AU2020213269A1 - Soluble tnf receptors and their use in treatment of disease - Google Patents

Abstract

The present invention relates to tumor necrosis factor (TNF) antagonists and corresponding nucleic acids derived from tumor necrosis factor receptors (TNFRs) and their use in the treatment of inflammatory diseases. These proteins are soluble secreted decoy receptors that bind to TNF and preventTNF from signaling to cells. In particular, the proteins are mammalian TNFRs that lack exon 7 and which can bind TNF and can act as a TNF antagonist.

Description

SOLUBLE TNF RECEPTORS AND THEIR USE IN TREATMENT OF DISEASE

[00011 This application claims the benefit of PCT application Ser. No. PCT/US2006/043651, filed November 10, 2006 and U.S. Provisional application Ser. No. /862,350, filed October 20, 2006, both of which are incorporated by reference herein in their entirety. FIELD OF THE INVENTION

[0002] The present invention relates to tumor necrosis factor (TNF) antagonists and corresponding nucleic acids derived from TNF receptors and their use in the treatment of inflammatory diseases. These proteins are soluble secreted decoy receptors that bind to TNF a and prevent TNF-a from signaling to cells. BACKGROUND OF THE INVENTION

[0003] TNF-a is a pro-inflammatory cytokine that exists as a membrane-bound homotrimer and is released as a homotrimer into the circulation by the protease TNF-a converting enzyme (TACE). TNF-a is introduced into the circulation as a mediator of the inflammatory response to injury and infection. TNF-a activity is implicated in the progression of inflammatory diseases such as rheumatoid arthritis, Crohn's disease, ulcerative colitis, psoriasis and psoriatic arthritis (Palladino, M.A., et al., 2003, Nat. Rev. Drug Discov. 2:736-46). Acute exposure to high TNF-a levels, as experienced during a massive infection, results in sepsis. Its symptoms include shock, hypoxia, multiple organ failure, and death. Chronic low-level release of TNF-a is associated with malignancies and leads to cachexia, a disease characterized by weight loss, dehydration and fat loss.

[00041 TNF-a activity is mediated primarily through two receptors coded by two different genes, TNF-a receptor type I (hereafter "TNFR1", exemplified by GenBank accession number X55313 for human TNFR1) and TNF-a receptor type II (hereafter "TNFR2", exemplified by GenBank accession number NM_001066 for human TNFR2). TNFR1 is a membrane-bound protein with a molecular weight of approximately 55 kilodaltons (kDal), while TNFR2 is a membrane-bound protein with a molecular weight of approximately 75 kDal. TNFR1 and TNFR2 belong to a family of receptors known as the TNF receptor (TNFR) superfamily. The TNFR superfamily is a group of type I transmembrane proteins, with a carboxy-terminal intracellular domain and an amino-terminal extracellular domain characterized by a common cysteine rich domain (CRD). TNFR1 and TNFR2 have a unique domain in common, called the pre-ligand-binding assembly domain (PLAD) that is required for assembly of multiple receptor subunits and subsequent binding to TNF-L.

[00051 TNFR1 and TNFR2 also share a common gene structure, in which the coding sequence of each extends over 10 exons separated by 9 introns (Fuchs, et al., 1992, Genomics 13:219; Santee, et al., 1996, J. Biol. Chem. 35:21151). Most of the transmembrane domain sequence is encoded by the seventh exon ("exon 7") (See FIG. 1).

[0006] Experiments in knockout mice lacking both TNFRI and TNFR2 demonstrated that the injury-induced immune response to brain injury was suppressed, suggesting that drugs that target the TNF signaling pathways may be beneficial in treating stroke or traumatic brain injury (Bruce, et al., 1996, Nat. Med. 2:788). TNFR2 knockout mice, but not TNFR1 knockout mice, were resistant to experimentally-induced cerebral malaria (Lucas, R., et al., 1997, Eur. J. Immunol. 27:1719); whereas TNFR1 knockout mice were resistant to autoimmune encephalomyelitis (Suvannavejh, G.C., et al., 2000, Cell. Immunol., 205:24). These knockout mice are models for human cerebral malaria and multiple sclerosis, respectively.

[0007] TNFR2 is present at high density on T cells of patients with interstitial lung disease, suggesting a role for TNFR2 in the immune responses that lead to alveolitis (Agostini, C., et al., 1996, Am. J. Respir. Crit. Care Med., 153:1359). TNFR2 is also implicated in human disorders of lipid metabolism. TNFR2 polymorphism is associated with obesity and insulin resistance (Fernandez-Real, et al., 2000, Diabetes Care, 23:831), familial combined hyperlipidemia (Geurts, et al., 2000, Hum. Mol. Genet 9:2067), hypertension and hypercholesterolemia (Glenn, et al., 2000, Hum. Mol. Genet., 9:1943). In addition, TNFR2 polymorphism is associated with susceptibility to human narcolepsy (Hohjoh, H., et al., 2000, Tissue Antigens, 56:446) and to systemic lupus erythematosus (Komata, T., et al., 1999, Tissue Antigens, 53:527). 10008] To simplify further analysis and comparison, the human TNFR2 461 amino acid sequence provided in SEQ ID No: 4, GenBank accession number NP_001057, is used as a reference unless stated otherwise (FIG. 1). Amino acid 1 is the first amino acid of the full length protein human TNFR2, which includes the signal sequence. Amino acid 23 located in exon 1 is the first amino acid of the mature protein, which is the protein after cleavage of the signal sequence. The transmembrane region spans amino acids 258-287. The exon 6/7 junction is located within the codon that encodes residue 263, while the exon 7/8 junction is located within the codon that encodes residue 289.

[0009] Physiological, soluble fragments of both TNFR1 and TNFR2 have been identified. For example, soluble extracellular domains of these receptors are shed to some extent from the cell membrane by the action of metalloproteases (Palladino, M.A., et al., 2003, Nat. Rev.

Drug Discov. 2:736-46). Additionally, the pre-mRNA of TNFR2 undergoes alternative splicing, creating either a full length, active membrane-bound receptor, or a secreted receptor that lacks exons 7 and 8 (Lainez et al., 2004, Int. Immunol., 16:169) ("Lainez"). The secreted protein binds TNF-a but does not elicit a physiological response, hence reducing overall TNF-a activity. Although an endogenous, secreted splice variant of TNFR Ihas not yet been identified, the similar genomic structureof the two receptors suggests that a TNFR1 splice variant can be produced.

[0010] The cDNA for the splice variant identified by Lainez contains the 113 bp deletion of exons 7 and 8. This deletion gives rise to a stop codon 17 bp after the end of exon 6. Consequently, the protein has the sequence encoded by the first six exons of the TNFR2 gene (residues 1-262) followed by a 6 amino acid tail of Ala-Ser-Leu-Ala-Cys-Arg.

[00111 Additional soluble fragments of recombinantly-engineered TNF receptors are known. In particular, truncated forms of TNFRI or TNFR2 have been produced which have (1) all or part of the extracellular domain or (2) a TNFR extracellular domain fused to another protein.

[00121 Smith discloses truncated human TNFR2s, including a protein with residues 23 257, which terminates immediately before the transmembrane region, and a protein with residues 23-185 (U.S. Pat. No. 5,945,397). BothTNFR2 fragments are soluble and capable of binding TNF-a. 100131 Craig discloses that an extracellular domain of human TNFR2 with residues 23 257 fused to the Fc region of human IgGi (TNFR:Fc) is a TNF-a antagonist capable of reducing inflammation in rat and mice arthritis models (U.S. Pat. No. 5,605,690). TNFR:Fc is an FDA-approved treatment for certain forms of arthritis, ankylosing spondylitis, and psoriasis and is sold under the name etanercept (Enbrel@).

[00141 Moosmayer demonstrated that soluble human TNFR2 proteins containing the entire intracellular domain are more active TNF antagonists than the extracellular domain alone (Moosmayer et al., 1996, J. Interferon Cytokine Res., 16:471). In those experiments, Moosmayer compared the activities of solubilized full length TNFR2 (1-461), with TNFR2 lacking all but the three C-terminal amino acids of the transmembrane region (ATM) (1-258 joined to 283-461), TNFR extracellular domain (1-258), and TNFR:Fc. Theinhibitionof TNF-mediated cytotoxicity by the ATM protein and solubilized full length TNFR2 are comparable. However, their activities are approximately 60-fold higher than the TNFR2 extracellular domain alone, but approximately seven-fold less than TNFR:Fc.

[0015] Since excess TNF-a activity is associated with disease pathogenesis, particularly for inflammatory conditions, there is a need for TNF-a antagonists and methods for their use in the treatment of inflammatory diseases. Concerns have been raised regarding the side effects of currently approved protein-based TNF-a antagonists, including TNFR:Fc; these concerns include exacerbation of latent tuberculosis, worsening of congestive heart failure, and increased risk of lymphoma (Palladino, M.A., et al., 2003, Nat. Rev. Drug Discov. 2:736 46). Furthermore, there are patients who do not respond to currently approved TNF antagonists. Therefore, there is a continuing need to identify new TNF-a antagonists.

[00161 To that end, Sazani et al. have shown, inter alia, that by using splice switching oligonucleotides (SSOs) it is possible to generate alternatively spliced mRNA coding for variant TNFR1 or TNFR2 proteins using the naturally-occurring exon and intron structure (U.S. Apple. Ser. No. 11/595,485). In particular, the SSOs lead the cell to produce mRNAs that encode novel TNFR proteins that lack only exon 7, which encodes most of the transmembrane region of these proteins. Further characterization of the TNFR2 protein lacking only exon 7 surprisingly showed that it is a particularly stable, soluble decoy receptor that binds to and inactivates extracellular TNF-a. This protein unexpectedly has anti-TNF-a activity that is at least equivalent to TNFR:Fc. SUMMARY OF THE INVENTION

[00171 One embodiment of the invention is a protein, either full length or mature, which can bind TNF, is encoded by a cDNA derived from a mammalian TNFR gene, and in the cDNA exon 6 is followed directly by exon 8 and as a result lacks exon 7 ("TNFR A7"). In another embodiment, the invention is a pharmaceutical composition comprising a TNFR A7. In a further embodiment, the invention is a method of treating an inflammatory disease or condition by administering a pharmaceutical composition comprising a TNFR A7.

[0018] In yet another embodiment, the invention is a nucleic acid that encodes a TNFR A7. In a further embodiment, the invention is a pharmaceutical composition comprising a nucleic acid that encodes a TNFR A7.

[0019] In another embodiment, the invention is an expression vector comprising a nucleic acid that encodes a TNFR A7. In a further embodiment, the invention is a method of increasing the level of a soluble TNFR in the serum of a mammal by transforming cells of the mammal with an expression vector comprising a nucleic acid that encodes a TNFR A7.

[00201 In another embodiment, the invention is a cell transformed with an expression vector comprising a nucleic acid that encodes a TNFR A7. In a further embodiment, the invention is a method of producing a TNFR A7 by culturing, under conditions suitable to express the TNFR A7, a cell transformed with an expression vector comprising a nucleic acid that encodes a TNFR A7. In yet another embodiment, the invention is a method of treating an inflammatory disease or condition by administering an expression vector comprising a nucleic acid that encodes a TNFR A7.

[0021] In yet another embodiment, splice-switching oligomers (SSOs) are disclosed that alter the splicing of a mammalian TNFR2 pre-mRNA to produce a mammalian TNFR2 protein, which can bind TNF and where exon 6 is followed directly by exon 8 and as a result lacks exon 7 ("TNFR2 A7"). One embodiment of the invention is a method of treating an inflammatory disease or condition by administering SSOs to a patient or a live subject. The SSOs that are administered alter the splicing of a mammalian TNFR2 pre-mRNA to produce a TNFR2 A7. In another embodiment, the invention is a method of producing a TNFR2 A7 in a cell by administering SSOs to the cell.

[00221 The foregoing and other objects and aspects of the present invention are discussed in detail in the drawings herein and the specification set forth below. BRIEF DESCRIPTION OF THE DRAWINGS

[0023] FIG. 1 schematically depicts the human TNFR2 structure. Relevant exons and introns are represented by boxes and lines, respectively. The signal sequence and the transmembrane region are shaded. Residues that form the boundaries of the signal sequence, the transmembrane region, and the final residue are indicated below the diagram. Exon boundaries are indicated above the diagram; if the 3' end of an exon and the 5' end of the following exon have the same residue number, then the splice junction is located within the codon encoding that residue.

[0024] FIG. 2A graphically illustrates the amount of soluble TNFR2 from SSO treated primary human hepatocytes. The indicated SSO was transfected into primary human hepatocytes at 50 nM. After -48 hrs, the extracellular media was analyzed by enzyme linked immunosorbant assay (ELISA) for soluble TNFR2 using the Quantikine@ Human sTNF RII ELISA kit from R&D Systems (Minneapolis, MN). Error bars represent the standard deviation for 3 independent experiments.

[0025J FIG. 2B: Total RNA was analyzed for TNFR2 splice switching by RT-PCR using primers specific for human TNFR2. SSOs targeted to exon seven led to shifting from full length TNFR2 mRNA (FL) toTNFR2 A7 mRNA (A7). SSO 3083 is a control SSO with no TNFR2 splice switching ability.

[0026] FIG. 3 shows the splicing products of L929 cells treated with SSO 10-mers targeted to mouse TNFR2 exon 7. L929 cells were transfected with the indicated SSO concentration (50 or 1OOnM), and evaluated for splice switching of TNFR2 by RT-PCR 24 hrs later. PCR primers were used to amplify from Exon 5 to Exon 9, so that "Full Length" (FL) TNFR2 is represented by a 486 bp band. Transcripts lacking exon 7 (A7) is represented by a 408 bp band.

[0027] FIGs. 4A and 4B show the splicing products of mice treated with SSO 10-mers targeted to mouse TNFR2 exon 7. The indicated SSOs were resuspended in saline, and injected i.p. into mice at 25mg/kg/day for 5 days. Mice were prebled before SSO injection, and 10 days after the final SSO injection and sacrificed. At the time of sacrifice, total RNA from livers was analyzed for TNFR2 splice switching by RT-PCR. FL - full length TNFR2; A7 - TNFR2 A7 (FIG. 4A). The concentration of TNFR2 A7 in the serum taken before (Pre) and after (Post) SSO injection was determined by ELISA using the Quantikine@ Mouse sTNF RII ELISA kit from R&D Systems (Minneapolis, MN) (FIG. 413). Error bars represent the standard error from 3 independent readings of the same sample.

[00281 FIG. 5 depicts the splice switching ability of SSOs of different lengths. Primary human hepatocytes were transfected with the indicated SSO and TNFR2 expression analyzed by RT-PCR (top panel) and ELISA (bottom panel) as in Figure 2. Error bars represent the standard deviation from 2 independent experiments.

[00291 FIGs. 6A and 6B illustrate TNFR2 A7 mRNA induction in the livers of SSO treated mice. FIG. 6A: Total RNA from the livers of SSO 3274 treated mice were subjected to RT-PCR, and the products visualized on a 1.5% agarose gel. The sequence of the exon 6 exon 8 junction is shown in FIG. 613.

[0030] FIGs. 7A and 7B illustrate TNFR2 A7 mRNA induction in SSO treated primary human hepatocytes. FIG. 7A: Total RNA from SSO 3379 treated cells were subjected to RT PCR, and the products visualized on a 1.5% agarose gel. The sequence of the exon 6 - exon 8 junction is shown in FIG. 7B.

[00311 FIGs. 8A and 8B illustrate the dose dependence of TNFR2 pre-mRNA splicing shifting by SSO 3378, 3379 and 3384. Primary human hepatocytes were transfected with 1 150nM of the indicated SSO. After -48 hrs, the cells were harvested for total RNA, and the extracellular media was collected. FIG. 8A: Total RNA was analyzed for TNFR2 splice switching by RT-PCR using primers specific for human TNFR2. For each SSO, amount of splice switching is plotted as a function of SSO concentration. FIG. 8B: The concentration of soluble TNFR2 in the extracellular media was determined by ELISA and plotted as a function of SSO. Error bars represent the standard deviation for at least 2 independent experiments.

[00321 FIG. 9 graphically illustrates detection of secreted TNFR2 splice variants from L929 cells. Cells were transfected with the indicated SSOs. After 72 hrs, the extracellular media was removed and analyzed by ELISA. The data are expressed as pg soluble TNFR2 per mL.

[00331 FIG. 10 shows the splicing products for intraperitoneal (i.p.) injection of SSO 3274 (top) and 3305 (bottom) in mice. SSO 3274 was injected i.p. at 25 mg/kg/day for either 4 days (4/1 and 4/10) or 10 days (10/1). Mice were sacrificed either 1 day (4/1 and 10/1) or days (4/10) after the last injection and total RNA from liver was analyzed by RT-PCR for TNFR2 splice switching as described in Figure 3. SSO 3305 was injected at the indicated dose per day for 4 days. Mice were sacrificed the next day and the livers analyzed as with 3274 treated animals.

[00341 FIG. 1IA graphically illustrates the amount of soluble TNFR2 in mouse serum 10 days after SSO treatment. Mice were injected i.p. with the indicated SSO or saline (n=5 per group) at 25 mg/kg/day for 10 days. Serum was collected 4 days before injections began and on the indicated days after the last injection. Sera was analyzed by ELISA as described in Figure 2. At day 10, mice were sacrificed and livers were analyzed for TNFR2 splice switching by RT-PCR (FIG. 11B) as described in Figure 10.

[0035] FIG. 12A graphically illustrates the amount of soluble TNFR2 in mouse serum 27 days after SSO treatment. Mice were treated as described in Figure 11, except that serum samples were collected until day 27 after the last injection. SSOs 3083 and 3272 are control SSOs with no TNFR2 splice switching ability. At day 27, mice were sacrificed and livers were analyzed for TNFR2 splice switching by RT-PCR (FIG. 12B) as described in Figure 11.

[00361 FIGs. 13A and 13B graphically depict the anti-TNF-a activity in a cell-based assay using serum from SSO treated mice, where serum samples were collected 5 days (FIG. 6A) and 27 days (FIG. 6B) after SSO treatment. L929 cells were treated with either 0.1 ng/mL TNF-a, or TNF-a plus 10% serum from mice treated with the indicated SSO. Cell viability was measured 24 hrs later and normalized to untreated cells.

[00371 FIG. 14 graphically compares the anti-TNF-a activity of serum from the indicated SSO oligonucleotide-treated mice to recombinant soluble TNFR2 (rsTNFR2) extracellular domain from Sigma@ and to Enbrel@ using the cell survival assay described in Figure 13.

[0038] FIGs. 15A and 15B compare the stability of muTNFR2 A7 protein (FIG. 15A) and mRNA (FIG. 15B). Mice were injected at 25 mg/kg/day daily with either SSO.3272, SSO 3274 or SSO 3305 (n = 5). Mice were bled on the indicated day after the last injection and the serum TNFR2 concentration was measured. Total RNA from mice sacrificed on the indicated day after the last injection of SSO was subjected to RT-PCR as described in Figure 10.

100391 FIG. 16 plots TNFR2 A7 protein (dashed line) and mRNA (solid line) levels over time, as a percentage of the amount of protein or mRNA, respectively, 10 days after the last injection.

[00401 FIG. 17 graphically illustrates the dose dependant anti-TNF-a activity of TNFR2 A7 expressed in HeLa cells after transfection with TNFR2 A7 mammalian expression plasmids. HeLa cells were transfected with the indicated mouse or human TNFR2 A7 plasmid and extracellular media was collected after 48 hrs. The TNFR2 A7 concentration in the media was determined by ELISA and serial dilutions were prepared. These dilutions were assayed for anti-TNF-a activity by the L929 cytoxicity assay as in FIG. 14. 10041] FIG. 18 shows expressed mouse (A) and human (B) TNFR2 A7 protein isolated by polyacrylamide gel electrophoresis (PAGE). HeLa cells were transfected with the indicated plasmid. After -48 hrs, the extracellular media was collected and concentrated, and cells were collected in RIPA lysis buffer. The proteins in the samples were separated by PAGE and a western blot was performed using a C-terminal TNFR2 primary antibody (Abcam) that recognizes both the human and mouse TNFR2 A7 proteins. Media, extracellular media samples from HeLa cells transfected with the indicated plasmid; Lysate, cell lysate from Hela cells transfected with the indicated plasmid. CM, control media from untransfected HeLa cells; CL, control cell lysates from untransfected HeLa cells.+, molecular weight markers (kDal).

[0042] FIG. 19 shows purified His-tagged human and mouse TNFR2 A7. Unconcentrated extracellular media containing the indicated TNFR2 A7 protein was prepared as in Figure 18. Approximately 32 mL of the media was applied to a 1 mL HisPur cobalt spin column (Pierce), and bound proteins were eluted in 1 mL buffer containing 150 mM imidazole. Samples of each were analyzed by PAGE and western blot was performed as in Figure 18. The multiple bands in lanes 1144-4 and 1319-1 represent variably glycosylated forms of TNFR2 A7. DETAILED DESCRIPTION OF THE INVENTION

[00431 Definitions:

[00441 As used herein, the terms "tumor necrosis factor receptor", "TNF receptor", and "TNFR" refer to proteins having amino acid sequences of or which are substantially similar to native mammalian TNF receptor sequences, and which are capable of binding TNF molecules. In this context, a "native" receptor or gene for such a receptor, means a receptor or gene that occurs in nature, as well as the naturally-occurring allelic variations of such receptors and genes.

[00451 The term "mature" as used in connection with a TNFR means a protein expressed in a form lacking a leader or signal sequence as may be present in full-length transcripts of a native gene. 100461 The nomenclature for TNFR proteins as used herein follows the convention of naming the protein (e.g., TNFR2) preceded by a species designation, e.g., hu (for human) or mu (for murine), followed by a A (to designate a deletion) and the number of the exon(s) deleted. For example, huTNFR2 A7 refers to human TNFR2 lacking exon 7. In the absence of any species designation, TNFR refers generically to mammalian TNFR.

[0047] The term "secreted" means that the protein is soluble, i.e., that it is not bound to the cell membrane. In this context, a form will be soluble if using conventional assays known to one of skill in the art most of this form can be detected in fractions that are not associated with the membrane, e.g., in cellular supernatants or serum.

[00481 The term "stable" means that the secreted TNFR form is detectable using conventional assays by one of skill in the art, such as, western blots, ELISA assays in harvested cells, cellular supernatants, or serum.

[0049] As used herein, the terms "tumor necrosis factor" and "TNF" refer to the naturally-occuring protein ligands that bind to TNF receptors. TNF includes, but is not limited to, TNF-a and TNF-p.

[00501 As used herein, the term "an inflammatory disease or condition" refers to a disease, disorder, or other medical condition that at least in part results from or is aggravated by the binding of TNF to its receptor. Such diseases or conditions include, but are not limited to, those associated with increased levels of TNF, increased levels of TNF receptor, or increased sensitization or deregulation of the corresponding signaling pathway. The term also encompasses diseases and conditions for which known TNF antagonists have been shown useful. Examples of inflammatory diseases or conditions include, but are not limited to, rheumatoid arthritis, juvenile rheumatoid arthritis, psoriasis, psoriatic arthritis, ankylosing spondylitis, inflammatory bowel disease (including Crohn's disease and ulcerative colitis), hepatitis, sepsis, alcoholic liver disease, and non-alcoholic steatosis.

[00511 As used herein, the term "hepatitis" refers to a gastroenterological disease, condition, or disorder that is characterized, at least in part, by inflammation of the liver. Examples of hepatitis include, but are not limited to, hepatitis associated with hepatitis A virus, hepatitis B virus, hepatitis C virus, or liver inflammation associated with ischemia/reperfusion.

[00521 As used herein, the term "TNF antagonist" means that the protein is capable of measurable inhibition of TNF-mediated cytotoxicity using standard assays as are well known in the art. (See, e.g., Example 1 below, L929 cytotoxicity assay).

[0053] The term "binds TNF" means that the protein can bind detectable levels of TNF, preferably TNF-a, as measured by standard binding assays as are well known in the art (See, e.g., U.S. Pat. No. 5,945,397 to Smith, cols. 16-17). Preferably, receptors of the present invention are capable of binding greater than 0.1 nmoles TNF-a/nmole receptor, and more preferably, greater than 0.5 nmoles TNF-a/nmole receptor using standard binding assays.

[00541 As used herein, the term "regulatory element" refers to a nucleotide sequence involved in an interaction of molecules that contributes to the functional regulation of a nucleic acid, including but not limited to, replication, duplication, transcription, splicing, translation, or degradation of the nucleic acid. The regulation may be enhancing or inhibitory in nature. Regulatory elements known in the art include, for example, transcriptional regulatory sequences such as promoters and enhancers. A promoter is a DNA region that is capable under certain conditions of aiding the initiation of transcription of a coding region usually located downstream (in the 3' direction) from the promoter.

[0055] As used herein, the term "operably linked" refers to a juxtaposition of genetic elements, wherein the elements are in a relationship permitting them to operate in the expected manner. For example, a promoter is operably linked to a coding region if the promoter helps initiate transcription of the coding sequence. As long as this functional relationship is maintained, there can be intervening residues between the promoter and the coding region.

[0056] As used herein, the terms "transformation" or "transfection" refer to the insertion of an exogenous nucleic acid into a cell, irrespective of the method used for the insertion, for example, lipofection, transduction, infection or electroporation. The exogenous nucleic acid can be maintained as a non-integrated vector, for example, a plasmid, or alternatively, can be integrated into the cell's genome.

[00571 As used herein, the term "vector" refers to a nucleic acid molecule capable of transporting another nucleic acid to which it has been linked. One type of vector is a "plasmid", which refers to a circular double stranded DNA loop into which additional DNA segments can be ligated. Another type of vector is a viral vector, wherein additional DNA segments can be ligated into the viral genome. Certain vectors are capable of autonomous replication in a host cell into which they are introduced (e.g., bacterial vectors having a bacterial origin of replication and episomal mammalian vectors). Other vectors (e.g., non episomal mammalian vectors) are integrated into the genome of a host cell upon introduction into the host cell, and thereby are replicated along with the host genome. Moreover, certain vectors, expression vectors, are capable of directing the expression of genes to which they are operably linked. In general, expression vectors of utility in recombinant DNA techniques are often in the form of plasmids. or viral vectors (e.g., replication defective retroviruses, adenoviruses and adeno-associated viruses).

[0058] As used herein, the term "isolated protein" refers to a protein or polypeptide that is not naturally-occurring and/or is separated from one or more components that are naturally associated with it.

[00591 As used herein, the term "isolated nucleic acid" refers to a nucleic acid that is not naturally-occurring and/or is in the form of a separate fragment or as a component of a larger construct, which has been derived from a nucleic acid isolated at least once in substantially pure form, i.e., free of contaminating endogenous materials, and in a quantity or concentration enabling identification and manipulation by standard biochemical methods, for example, using a cloning vector.

[0060] As used herein the term "purified protein" refers to a protein that is present in the substantial absence of other protein. However, such purified proteins can contain other proteins added as stabilizers, carriers, excipients, or co-therapeutics. The term "purified" as used herein preferably means at least 80% by dry weight, more preferably in the range of 95 99% by weight, and most preferably at least 99.8% by weight, of protein present, excluding proteins added as stabilizers, carriers, excipients, or co-therapeutics.

[00611 As used herein, the term "altering the splicing of a pre-mRNA" refers to altering the splicing of a cellular pre-mRNA target resulting in an altered ratio of splice products. Such an alteration of splicing can be detected by a variety of techniques well known to one of skill in the art. For example, RT-PCR on total cellular RNA can be used to detect the ratio of splice products in the presence and the absence of an SSO. 100621 As used herein, the term "complementary" is used to indicate a sufficient degree of complementarity or precise pairing such that stable and specific binding occurs between an oligonucleotide and a DNA or RNA containing the target sequence. It is understood in the art that the sequence of an oligonucleotide need not be 100% complementary to that of its target. For example, for an SSO there is a sufficient degree of complementarity when, under conditions which permit splicing, binding to the target will occur and non-specific binding will be avoided.

[00631 Proteins:

[00641 One embodiment of the present invention is a protein, either full length or mature, which is encoded by a cDNA derived from a mammalian TNFR gene, and in the cDNA exon 6 is followed directly by exon 8 and as a result lacks exon 7. Furthermore the protein can bind TNF, preferably TNF-a, and can act as a TNF, preferably TNF-a, antagonist. Preferably, TNFR of the present invention is capable of inhibition of TNF-mediated cytotoxicity to a greater extent than the soluble extracellular domain alone, and more preferably, to an extent comparable to or greater than TNFR:Fc. Mammalian TNFR according to the present disclosure includes, but is not limited to, human, primate, murine, canine, feline, bovine, ovine, equine, and porcine TNFR. Furthermore, mammalian TNFR according to the present disclosure includes, but is not limited to, a protein sequence that results from one or more single nucleotide polymorphisms, such as for example those disclosed in EP Pat. Apple. 1,172,444, as long as the protein retains a comparable biological activity to the reference sequence with which it is being compared.

[0065] In one embodiment, the mammalian TNFR is a mammalian TNFR1, preferably a human TNFRI. For human TNFRI two non-limiting examples of this embodiment are given by huTNFR1 A7 which includes the signal sequence as shown in SEQ ID No: 6 and mature huTNFR1 A7 (amino acids 30-417 of SEQ ID No: 6) which lacks the signal sequence. The sequences of these huTNFR1 A7 proteins are either amino acids 1-208 of wild type human TNFR1 (SEQ ID No: 2) which includes the signal sequence or 30-208 of wild type human TNFR I for mature huTNFR1 A7 which lacks the signal sequence, and in either case is followed immediately by amino acids 247-455 of wild type human TNFR.

[00661 In another preferred embodiment, the mammalian TNFR is a mammalian TNFR2, most preferably a human TNFR2. For human TNFR2 two non-limiting examples of this embodiment are given by huTNFR2 A7 which includes the signal sequence as shown in SEQ ID No: 10 or mature huTNFR2 A7 (amino acids 23-435 of SEQ ID No: 10) which lacks the signal sequence. The sequences of these huTNFR2 A7 proteins are either amino acids 1-262 of wild type human TNFR2 (SEQ ID No: 4) which includes the signal sequence or 23-262 of wild type human TNFR2 for mature huTNFR2 A7 which lacks the signal sequence, followed in either case by the amino acid glutamate, because of the creation of a unique codon at the exon 6-8 junction, which is followed by amino acids 290-461 of wild type human TNFR2.

[0067] The proteins of the present invention also include those proteins that are chemically modified. Chemical modification of a protein refers to a protein where at least one of its amino acid residues is modified by either natural processes, such as processing or other post-translational modifications, or by chemical modification techniques known in the art. Such modifications include, but are not limited to, acetylation, acylation, amidation, ADP-ribosylation, glycosylation, methylation, pegylation, prenylation, phosphorylation, or cholesterol conjugation.

[0068] Nucleic Acids:

[0069] One embodiment of the present invention is a nucleic acid that encodes a protein, either full length or mature, which is encoded by a cDNA derived from a mammalian TNFR gene, and in the cDNA exon 6 is followed directly by exon 8 and as a result lacks exon 7.

[00701 Such sequences are preferably provided in the form of an open reading frame uninterrupted by internal nontranslated sequences, or introns, which are typically present in eukaryotic genes. Genomic DNA containing the relevant sequences can also be used. In one embodiment, the nucleic acid is either an mRNA or a cDNA. In another embodiment, it is genomic DNA.

[0071] In one embodiment, the mammalian TNFR is a mammalian TNFR1. For this embodiment, the mammalian TNFR1 is preferably a human TNFR1. For human TNFR1, two non-limiting examples of this embodiment are nucleic acids which encode the huTNFR1 A7 which includes the signal sequence as shown in SEQ ID No: 6 and mature huTNFR1 A7 (amino acids 30-417 of SEQ ID No: 6) which lacks the signal sequence. Preferably, the sequences of these huTNFR1 A7 nucleic acids are nucleotides 1-1251 of SEQ ID No: 5, which includes the signal sequence and nucleotides 88-1251 of SEQ ID No: 5 which lacks the signal sequence. The sequences of these huTNFRI A7 nucleic acids are either nucleotides 1-625 of wild type human TNFR1 (SEQ ID No: 1) which includes the signal sequence or 88-625 of wild type human TNFR1 for mature huTNFR2 A7 which lacks the signal sequence, and in either case is followed immediately by amino acids 740-1368 of wild type human TNFR1.

[00721 In another preferred embodiment, the mammalian TNFR is a mammalian TNFR2, most preferably a human TNFR2. For human TNFR2, two non-limiting examples of this embodiment are nucleic acids which encode the huTNFR2 A7 which includes the signal sequence as shown in SEQ ID No: 10 or mature huTNFR2 A7 (amino acids 23-435 of SEQ ID No: 10) which lacks the signal sequence. Preferably, the sequences of these huTNFR2 A7 nucleic acids are nucleotides 1-1305 of SEQ ID No: 9 which includes the signal sequence and nucleotides 67-1305 of SEQ ID No: 9 which lacks the signal sequence. The sequences of these huTNFR2 A7 nucleic acids are either nucleotides 1-787 of wild type human TNFR2 (SEQ ID No: 3) which includes the signal sequence or 67-787 of wild type human TNFR2 for mature huTNFR2 A7 which lacks the signal sequence, and in either case is followed immediately by amino acids 866-1386 of wild type human TNFR2.

[00731 The bases of the nucleic acids of the present invention can be the conventional bases cytosine, guanine, adenine and uracil or thymidine. Alternatively, modified bases can be used. Other suitable bases include, but are not limited to, 5-methylcytosine (eC), isocytosine, pseudoisocytosine, 5-bromouracil, 5-propynyluracil, 5-propyny-6, 5 methylthiazoleuracil, 6-aminopurine, 2-aminopurine, inosine, 2,6-diaminopurine, 7-propyne 7-deazaadenine, 7-propyne-7-deazaguanine, 2-chloro-6-aminopurine and 9 (aminoethoxy)phenoxazine.

[0074] Suitable nucleic acids of the present invention include numerous alternative chemistries. For example, suitable nucleic acids of the present invention include, but are not limited to, those wherein at least one of the internucleotide bridging phosphate residues is a modified phosphate, such as phosphorothioate, methyl phosphonate, methyl phosphonothioate, phosphoromorpholidate, phosphoropiperazidate, and phosphoroamidate. In another non-limiting example, suitable nucleic acids of the present invention include those wherein at least one of the nucleotides contain a 2' lower alkyl moiety (e.g., C-C4 , linear or branched, saturated or unsaturated alkyl, such as methyl, ethyl, ethenyl, propyl, 1-propenyl, 2-propenyl, and isopropyl).

[0075] Nucleic acids of the present invention also include, but are not limited to, those wherein at least one, of the nucleotides is a nucleic acid analogue. Examples of such analogues include, but are not limited to, hexitol(HNA) nucleotides, 2'O-4'C-linked bicyclic ribofuranosyl (LNA) nucleotides, peptide nucleic acid (PNA) analogues, N3'-+P5' phosphoramidate analogues, phosphorodiamidate morpholino nucleotide analogues, and combinations thereof.

[00761 Nucleic acids of the present invention include, but are not limited to, modifications of the nucleic acids involving chemically linking to the nucleic acids one or more moieties or conjugates. Such moieties include, but are not limited to, lipid moieties such as a cholesterol moiety, cholic acid, a thioether, e.g. hexyl-S-tritylthiol, a thiocholesterol, an aliphatic chain, e.g., dodecandiol or undecyl residues, a phospholipids, e.g., di-hexadecyl-rac-glycerol or triethylammonium 1,2-di-O-hexadecyl-rac-glycero-3-14 phosphonate, a polyamine or a polyethylene glycol chain, an adamantane acetic acid, a palmityl moiety, an octadecylamine or hexylamino-carbonyl-oxycholesterol moiety. 100771 Pharmaceutical Compositions and Preparations:

[0078] Other embodiments of the invention are pharmaceutical compositions comprising the foregoing proteins and nucleic acids.

[0079] The nucleic acids and proteins of the present invention may be admixed, encapsulated, conjugated, or otherwise associated with other molecules, molecule structures, or mixtures of compounds, as for example liposomes, receptor targeted molecules, oral, rectal, topical or other formulations, for assisting in uptake, distribution, and/or absorption.

[0080] Formulations of the present invention comprise nucleic acids and proteins in a physiologically or pharmaceutically acceptable carrier, such as an aqueous carrier. Thus formulations for use in the present invention include, but are not limited to, those suitable for parenteral administration including intra-articular, intraperitoneal, intravenous, intraarterial, subcutaneous, or intramuscular injection or infusion, as well as those suitable for topical, ophthalmic, vaginal, oral, rectal or pulmonary administration (including inhalation or insufflation of powders or aerosols, including by nebulizer, intratracheal, and intranasal delivery). The formulations may conveniently be presented in unit dosage form and may be prepared by any of the methods well known in the art. The most suitable route of administration in any given case may depend upon the subject, the nature and severity of the condition being treated, and the particular active compound which is being used.

[00811 Pharmaceutical compositions of the present invention include, but are not limited to, physiologically and pharmaceutically acceptable salts, i.e., salts that retain the desired biological activity of the parent compound and do not impart undesired toxicological properties. Examples of such salts are (a) salts formed with cations such as sodium, potassium, NH4', magnesium, calcium, polyamines such as spermine and spermidine, etc.; (b) acid addition salts formed with inorganic acids, for example, hydrochloric acid, hydrobromic acid, sulfuric acid, phosphoric acid, nitric acid and the like; and (c) salts formed with organic acids such as, for example, acetic acid, oxalic acid, tartaric acid, succinic acid, maleic acid, fumaric acid, gluconic acid, citric acid, malic acid, ascorbic acid, benzoic acid, tannic acid, palmitic acid, alginic acid, polyglutamic acid, napthalenesulfonic acid, methanesulfonic acid, p-toluenesulfonic acid, napthalenedisulfonic acid, polygalacturonic acid, and the like. 100821 The present invention provides for the use of proteins and nucleic acids as set forth above for the preparation of a medicament for treating a patient afflicted with an inflammatory disorder involving excessive activity of TNF, as discussed below. In the manufacture of a medicament according to the invention, the nucleic acids and proteins of the present invention are typically admixed with, inter alia, an acceptable carrier. The carrier must, of course, be acceptable in the sense of being compatible with other ingredients in the formulation and must not be deleterious to the patient. The carrier may be a solid or liquid. Nucleic acids and proteins of the present invention are incorporated in formulations, which may be prepared by any of the well known techniques of pharmacy consisting essentially of admixing the components, optionally including one or more accessory therapeutic ingredients.

[00831 Formulations of the present invention may comprise sterile aqueous and non aqueous injection solutions of the active compounds, which preparations are preferably isotonic with the blood of the intended recipient and essentially pyrogen free. These preparations may contain anti-oxidants, buffers, bacteriostats, and solutes which render the formulation isotonic with the blood of the intended recipient. Aqueous and non-aqueous sterile suspensions can include, but are not limited to, suspending agents and thickening agents. The formulations may be presented in unit dose or multi-dose containers, for example, sealed ampoules and vials, and may be stored in freeze-dried lyophilizedd) condition requiring only the addition of the sterile liquid carrier, for example, saline or water for-injection immediately prior to use.

[0084] In the formulation the nucleic acids and proteins of the present invention may be contained within a particle or vesicle, such as a liposome or microcrystal, which may be suitable for parenteral administration. The particles may be of any suitable structure, such as unilamellar or plurilameller, so long as the nucleic acids and proteins of the present invention are contained therein. Positively charged lipids such as N-[1-(2,3-dioleoyloxy)propyl] N,N,N-trimethyl-ammoniummethylsulfate, or "DOTAP," are particularly preferred for such particles and vesicles. The preparation of such lipid particles is well known (See references in U.S. Pat. No. 5,976,879 col. 6).

[0085] Expression Vectors and Host Cells:

[0086] The present invention provides expression vectors to amplify or express DNA encoding mammalian TNFR of the current invention. The present invention also provides host cells transformed with the foregoing expression vectors. Expression vectors are replicable DNA constructs which have synthetic orcDNA-derived DNA fragments encoding mammalian TNFR or bioequivalent analogues operably linked to suitable transcriptional or translational regulatory elements derived from mammalian, microbial, viral, or insect genes.

A transcriptional unit generally comprises an assembly of (a) a genetic element or elements having a regulatory role in gene expression, such as, transcriptional promoters or enhancers, (b) a structural or coding sequence which is transcribed into mRNA and translated into protein, and (c) appropriate transcription and translation initiation and termination sequences. Such regulatory elements can include an operator sequence to control transcription, and a sequence encoding suitable mRNA ribosomal binding sites. The ability to replicate in a host, usually conferred by an origin of replication, and a selection gene to facilitate recognition of transformants, can additionally be incorporated.

[00871 DNA regions are operably linked when they are functionally related to each other. For example, DNA for a signal peptide (secretory leader) is operably linked to DNA for a polypeptide if it is expressed as a precursor which participates in the secretion of the polypeptide; a promoter is operably linked to a coding sequence if it controls the transcription of the sequence; or a ribosome binding site is operably linked to a coding sequence if it is positioned so as to permit translation. Generally, operably linked means contiguous and, in the case of secretory leaders, contiguous and in reading frame. Structural elements intended for use in yeast expression systems preferably include a leader sequence enabling extracellular secretion of translated protein by a host cell. Alternatively, where recombinant protein is expressed without a leader or transport sequence, it may include an N-terminal methionine residue. This residue may optionally be subsequently cleaved from the expressed protein to provide a final product.

[0088] Mammalian TNFR DNA is expressed or amplified in a recombinant expression system comprising a substantially homogeneous monoculture of suitable host microorganisms, for example, bacteria such as E. coli or yeast such as S. cerevisiae, which have stably integrated (by transformation or transfection) a recombinant transcriptional unit into chromosomal DNA or carry the recombinant transcriptional unit as a component of a resident plasmid. Recombinant expression systems as defined herein will express heterologous protein either constitutively or upon induction of the regulatory elements linked to the DNA sequence or synthetic gene to be expressed.

[00891 Transformed host cells are cells which have been transformed or transfected with mammalian TNFR vectors constructed using recombinant DNA techniques. Transformed host cells ordinarily express TNFR, but host cells transformed for purposes of cloning or amplifying TNFR DNA do not need to express TNFR. Suitable host cells for expression of mammalian TNFR include prokaryotes, yeast, fungi, or higher eukaryotic cells. Prokaryotes include gram negative or gram positive organisms, for example E. coli or bacilli. Higher eukaryotic cells include, but are not limited to, established insect and mammalian cell lines. Cell-free translation systems can also be employed to produce mammalian TNFR using RNAs derived from the DNA constructs of the present invention. Appropriate cloning and expression vectors for use with bacterial, fungal, yeast, and mammalian cellular hosts are well known in the art.

[0090] Prokaryotic expression hosts may be used for expression of TNFR that do not require extensive proteolytic and disulfide processing. Prokaryotic expression vectors generally comprise one or more phenotypic selectable markers, for example a gene encoding proteins conferring antibiotic resistance or supplying an autotrophic requirement, and an origin of replication recognized by the host to ensure amplification within the host. Suitable prokaryotic hosts for transformation include E. coli, Bacillus subtilis, Salmonella typhimurium, and various species within the genera Pseudomonas, Streptomyces, and Staphyolococcus, although others can also be employed as a matter of choice.

[0091] Useful expression vectors for bacterial use can comprise a selectable marker and bacterial origin of replication derived from commercially available plasmids comprising genetic elements of the well known cloning vector pBR322 (ATCC 37017). These pBR322 "backbone" sections are combined with an appropriate promoter and the structural sequence to be expressed. pBR322 contains genes for ampicillin and tetracycline resistance and thus provides simple means for identifying transformed cells. Such commercial vectors include, for example, the series of Novagen@ pET vectors (EMD Biosciences, Inc., Madison, Wis.).

[0092] Promoters commonly used in recombinant microbial expression vectors include the lactose promoter system, and the X PL promoter, the T7 promoter, and the T7 lac promoter. A particularly useful bacterial expression system, Novagen@ pET system (EMD Biosciences, Inc., Madison, Wis.) employs a T7 or T7 lac promoter and E. coli strain, such as BL21(DE3) which contain a chromosomal copy of the T7 RNA polymerase gene.

[00931 TNFR proteins can also be expressed in yeast and fungal hosts, preferably from the genus Saccharomyces, such as S. cerevisiae. Yeast of other genera, such as Pichia or Kluyveromyces can also be employed. Yeast vectors will generally contain an origin of replication from the 2p yeast plasmid or an autonomously replicating sequence (ARS), promoter, DNA encoding TNFR, sequences for polyadenylation and transcription termination and a selection gene. Preferably, yeast vectors will include an origin of replication and selectable marker permitting transformation of both yeast and E. coli, e.g., the ampicillin resistance gene of E. coli and S. cerevisiae TRPI or URA3 gene, which provides a selection marker for a mutant strain of yeast lacking the ability to grow in tryptophan or uracil, respectively, and a promoter derived from a highly expressed yeast gene to induce transcription of a structural sequence downstream. The presence of the TRPl or URA3 lesion in the yeast host cell genome then provides an effective environment for detecting transformation by growth in the absence of tryptophan or uracil, respectively.

[0094] Suitable promoter sequences in yeast vectors include the promoters for metallothionein, 3-phosphoglycerate kinase or other glycolytic enzymes , such as enolase, glyceraldehyde-3-phosphate dehydrogenase, hexokinase, pyruvate decarboxylase, phosphofructokinase, glucose-6-phosphate isomerase, 3-phosphoglycerate mutase, pyruvate kinase, triosephosphate isomerase, phosphoglucose isomerase, and glucokinase. Suitable vectors and promoters for use in yeast expression are well known in the art.

[00951 Preferred yeast vectors can be assembled using DNA sequences from pUC18 for selection and replication in E. coli (Ampr gene and origin of replication) and yeast DNA sequences including a glucose-repressible ADH2 promoter and a-factor secretion leader. The yeast a-factor leader, which directs secretion of heterologous proteins, can be inserted between the promoter and the structural gene to be expressed. The leader sequence can be modified to contain, near its 3' end, one or more useful restriction sites to facilitate fusion of the leader sequence to foreign genes. Suitable yeast transformation protocols are known to those of skill in the art.

[0096] Host strains transformed by vectors comprising the ADH2 promoter may be grown for expression in a rich medium consisting of 1% yeast extract, 2% peptone, and 1% or 4% glucose supplemented with 80 pg/ml adenine and 80 pg/ml uracil. Derepression of the ADH2 promoter occurs upon exhaustion of medium glucose. Crude yeast supernatants are harvested by filtration and held at 4°C. prior to further purification.

[00971 Various mammalian or insect cell culture systems are also advantageously employed to express TNFR protein. Expression of recombinant proteins in mammalian cells is particularly preferred because such proteins are generally correctly folded, appropriately modified and completely functional. Examples of suitable mammalian host cell lines include the COS-7 lines of monkey kidney cells, and other cell lines capable of expressing an appropriate vector including, for example, L cells, such as L929, C127, 3T3, Chinese hamster ovary (CHO), HeLa and BHK cell lines. Mammalian expression vectors can comprise nontranscribed elements such as an origin of replication, a suitable promoter, for example, the CMVie promoter, the chicken beta-actin promoter, or the composite hEF1I-HTLV promoter, and enhancer linked to the gene to be expressed, and other 5' or 3' flanking nontranscribed sequences, and 5' or 3'nontranslated sequences, such as necessary ribosome binding sites, a polyadenylation site, splice donor and acceptor sites, and transcriptional termination sequences. Baculovirus systems for production of heterologous proteins in insect cells are known to those of skill in the art.

[0098] The transcriptional and translational control sequences in expression vectors to be used in transforming vertebrate cells can be provided by viral sources. For example, commonly used promoters and enhancers are derived from Polyoma, Adenovirus 2, Simian Virus 40 (SV40), human cytomegalovirus, such as the CMVie promoter, HTLV, such as the composite hEF1-HTLV promoter. DNA sequences derived from the SV40 viral genome, for example, SV40 origin, early and late promoter, enhancer, splice, and polyadenylation sites can be used to provide the other genetic elements required for expression of a heterologous DNA sequence.

[00991 Further, mammalian genomic TNFR promoter, such as control and/or signal sequences can be utilized, provided such control sequences are compatible with the host cell chosen.

[0100] In preferred aspects of the present invention, recombinant expression vectors comprising TNFR cDNAs are stably integrated into a host cell's DNA.

[01011 Accordingly one embodiment of the invention is a method of treating an inflammatory disease or condition by administering a stable, secreted, ligand-binding form of a TNF receptor, thereby decreasing the activity of TNF for the receptor. In another embodiment, the invention is a method of treating an inflammatory disease or condition by administering an oligonucleotide that encodes a stable, secreted, ligand-binding form of a TNF receptor, thereby decreasing the activity of TNF for the receptor. In another embodiment, the invention is a method of producing a stable, secreted, ligand-binding form of a TNF receptor.

[01021 The following aspects of the present invention discussed below apply to the foregoing embodiments.

[01031 The methods, nucleic acids, proteins, and formulations of the present invention are also useful as in vitro or in vivo tools.

[0104] Embodiments of the invention can be used to treat any condition in which the medical practitioner intends to limit the effect of TNF or a signalling pathway activated by it. In particular, the invention can be used to treat an inflammatory disease. In one embodiment, the condition is an inflammatory systemic disease, e.g., rheumatoid arthritis or psoriatic arthritis. In another embodiment, the disease is an inflammatory liver disease. Examples of inflammatory liver diseases include, but are not limited to, hepatitis associated with the hepatitis A, B, or C viruses, alcoholic liver disease, and non-alcoholic steatosis. In yet another embodiment, the inflammatory disease is a skin condition such as psoriasis. 101051 The uses of the present invention include, but are not limited to, treatment of diseases for which known TNF antagonists have been shown useful. Three specific TNF antagonists are currently FDA-approved. The drugs are etanercept (Enbrel@), infliximab (Remicade@) and adalimumab (Humira@). One or more of these drugs is approved for the treatment of rheumatoid arthritis, juvenile rheumatoid arthritis, psoriasis, psoriatic arthritis, ankylosing spondylitis, and inflammatory bowel disease (Crohn's disease or ulcerative colitis).

[01061 Protein Expression and Purification:

[01071 When mammalian or insect cells are used, properly expressed TNFR protein will be secreted into the extracellular media. The protein is recovered from the media, and is concentrated and is purified using standard biochemical techniques. After expression in mammalian cells by lentiviral or AAV transduction, plasmid transfection, or any similar procedure, or in insect cells after baculoviral transduction, the extracellular media of these cells is concentrated using concentration filters with an appropriate molecular weight cutoff, such as Amicon@ filtration units. To avoid loss of TNFR protein, the filter should allow proteins to flow through that are at or below 50 kDal.

[0108] When TNFR protein is expressed in bacterial culture it can be purified by standard biochemical techniques. Bacteria are lysed, and the cellular extract containing the TNFR is desalted and is concentrated.

[0109] In either case, the TNFR protein is preferably purified by affinity chromatography. The use of column chromatography with an affinity matrix comprising TNF-a is preferred. Alternatively, an affinity purification tag can be added to either the N- or the C-terminus of the TNFR protein. For example, a polyhistidine-tag (His-tag), which is an amino acid motif with at least six histidines, can be used for this purpose (Hengen, P., 1995, Trends Biochem. Sci. 20:285-86). The addition of a His-tag can be achieved by the in-frame addition of a nucleotide sequence encoding the His-tag directly to either the 5' or 3' end of the TNFR open reading frame in an expression vector. One such nucleotide sequence for the addition of a C-terminal His-tag is given in SEQ ID No: 126. When a His-tag is incorporated into the protein, a nickel or cobalt affinity column is employed to purify the tagged TNFR, and the His-tag can optionally then be cleaved. Other suitable affinity purification tags and methods of purificationof proteins with those tags are well known in the art.

[01101 Alternatively, a non-affinity based purification scheme can be used, involving fractionation of the TNFR extracts on a series of columns that separate the protein based on size (size exclusion chromatography), charge (anion and cation exchange chromatography) and hydrophobicity (reverse phase chromatography). High performance liquid chromatography can be used to facilitate these steps.

[01111 Other methods for the expression and purification of TNFR proteins are well known (See, e.g., U.S. Pat. No. 5,605,690 to Jacobs).

[01121 Use of proteins for the treatment of inflammatory diseases:

[01131 For therapeutic use, purified TNFR proteins of the present invention are administered to a patient, preferably a human, for treating TNF-dependent inflammatory diseases, such as arthritis. In the treatment of humans, the use of huTNFRs is preferred. The TNFR proteins of the present invention can be administered by bolus injection, continuous infusion, sustained release from implants, or other suitable techniques. Typically, TNFR therapeutic proteins will be administered in the form of a composition comprising purified protein in conjunction with physiologically acceptable carriers, excipients or diluents. Such carriers will be nontoxic to recipients at the dosages and concentrations employed. Ordinarily, the preparation of such compositions entails combining the TNFR with buffers, antioxidants such as ascorbic acid, polypeptides, proteins, amino acids, carbohydrates including glucose, sucrose or dextrins, chelating agents such as EDTA, glutathione and other stabilizers and excipients. Neutral buffered saline or saline mixed with conspecific serum albumin are exemplary appropriate diluents. Preferably, product is formulated as a lyophilizate using appropriate excipient solutions, for example, sucrose, as diluents. Preservatives, such as benzyl alcohol may also be added. The amount and frequency of administration will depend of course, on such factors as the nature and the severity of the indication being treated, the desired response, the condition of the patient and so forth.

[01141 TNFR proteins of the present invention are administered systemically in therapeutically effective amounts preferably ranging from about 0.1 mg/kg/week to about 100 mg/kg/week. In preferred embodiments, TNFR is administered in amounts ranging from about 0.5 mg/kg/week to about 50 mg/kg/week. For local administration, dosages preferably range from about 0.01 mg/kg to about 1.0 mg/kg per injection.

[0115] Use of expression vectors to increase the levels of a TNF antagonist in a mammal:

[01161 The present invention provides a process of increasing the levels of a TNF antagonist in a mammal. The process includes the step of transforming cells of the mammal with an expression vector described herein, which drives expression of a TNFR as described herein.

[0117] The process is particularly useful in large mammals such as domestic pets, those used for food production, and primates. Exemplary large mammals are dogs, cats, horses cows, sheep, deer, and pigs. Exemplary primates are monkeys, apes, and humans.

[01181 The mammalian cells can be transformed either in vivo or ex vivo. When transformed in vivo, the expression vector are administered directly to the mammal, such as by injection. Means for transforming cells in vivo are well known in the art. When transformed ex vivo, cells are removed from the mammal, transformed ex vivo, and the transformed cells are reimplanted into the mammal.

[01191 Splice-switching oligomers (SSOs):

[01201 In another aspect, the present invention employs splice switching oligonucleotides or splice switching oligomers (SSOs) to control the alternative splicing of TNFR2 so that the amount of a soluble, ligand-binding form that lacks exon 7 is increased and the amount of the integral membrane form is decreased. The methods and compositions of the present invention can be used in the treatment of diseases associated with excessive TNF activity.

[0121] Accordingly, one embodiment of the invention is a method of treating an inflammatory disease or condition by administering SSOs to a patient. The SSOs that are administered alter the splicing of a pre-mRNA to produce a mammalian TNFR2 protein that lacks exon 7. In another embodiment, the invention is a method of producing a mammalian TNFR2 protein that lacks exon 7 in a cell by administering SSOs to the cell.

[01221 The length of the SSO (i.e. the number of monomers in the oligomer) is similar to an antisense oligonucleotide (ASON), typically between about 8 and 30 nucleotides. In preferred embodiments, the SSO will be between about 10 to 16 nucleotides. The invention can be practiced with SSOs of several chemistries that hybridize to RNA, but that do not activate the destruction of the RNA by RNase H, as do conventional antisense 2'-deoxy oligonucleotides. The invention can be practiced using 2'O modified nucleic acid oligomers, -O-CH such as where the 2'O is replaced with -O-CH3, 2 -CH2-0-CH 3, -O-CH2-CH 2-CH 2 NH 2 , -O-CH 2 -CH2 -CH 2-OH or -F, where 2'O-methyl or 2'O-methyloxyethyl is preferred. The nucleobases do not need to be linked to sugars; so-called peptide nucleic acid oligomers or morpholine-based oligomers can be used. A comparison of these different linking chemistries is found in Sazani, P. et al., 2001, Nucleic Acids Res. 29:3695. The term splice switching oligonucleotide is intended to cover the above forms. Those skilled in the art will appreciate the relationship between antisense oligonucleotide gapmers and SSOs. Gapmers are ASON that contain an RNase H activating region (typically a 2'-deoxyribonucleoside phosphorothioate) which is flanked by non-activating nuclease resistant oligomers. In general, any chemistry suitable for the flanking sequences in a gapmer ASON can be used in an SSO.

[0123] The SSOs of this invention may be made through the well-known technique of solid phase synthesis. Any other means for such synthesis known in the art may additionally or alternatively be used. It is well known to use similar techniques to prepare oligonucleotides such as the phosphorothioates and alkylated derivatives.

[0124] The bases of the SSO may be the conventional cytosine, guanine, adenine and uracil or thymidine. Alternatively, modified bases can be used. Of particular interest are modified bases that increase binding affinity. One non-limiting example of preferred modified bases are the so-called G-clamp or 9-(aminoethoxy)phenoxazine nucleotides, cytosine analogues that form 4 hydrogen bonds with guanosine. (Flanagan, W.M., et al., 1999, Proc. Natl. Acad. Sci. 96:3513; Holmes, S.C., 2003, Nucleic Acids Res. 31:2759). Specific examples of other bases include, but are not limited to, 5-methyleytosine (CC), isocytosine, pseudoisocytosine, 5-bromouracil, 5-propynyluracil, 5-propyny-6, 5 methylthiazoleuracil, 6-aminopurine, 2-aminopurine, inosine, 2,6-diaminopurine, 7-propyne 7-deazaadenine, 7-propyne-7-deazaguanine and 2-chloro-6-aminopurine.

[0125] A particularly preferred chemistry is provided by locked nucleic acids (LNA) (Koshkin, A.A., et al., 1998, Tetrahedron 54:3607; Obika, S., et al., 1998, Tetrahedron Lett. 39:5401). As used herein, the terms "LNA unit", "LNA monomer", "LNA residue", "locked nucleic acid unit", "locked nucleic acid monomer" or "locked nucleic acid residue", refer to a bicyclic nucleoside analogue. LNA units and methods of their synthesis are described in inter alia WO 99/14226, WO 00/56746, WO 00/56748, WO 01/25248, WO 02/28875, WO 03/006475 and WO 03/095467. The LNA unit may also be defined with respect to its chemical formula. Thus, an "LNA unit", as used herein, has the chemical structure shown in Formula I below:

Formula 1

B

x or 1A IB

[0126] wherein,

[0127] X is selected from the group consisting of 0, S and NRH, where R is H orCi-Ce alkyl;

[0128] Y is (-CH 2 )r, where r is an integer of 1-4; and

[01291 B is a base of natural or non-natural origin as described above.

[01301 In a preferred embodiment, r is 1 or 2, and in a more preferred embodiment r is 1.

[01311 When LNA nucleotides are employed in an SSO it is preferred that non-LNA nucleotides also be present. LNA nucleotides have such high affinitiesof hybridization that there can be significant non-specific binding, which may reduce the effective concentration of the free-SSO. When LNA nucleotides are used they may be alternated conveniently with 2'-deoxynucleotides. The pattern of alternation is not critical. Alternating nucleotides, alternating dinucleotides or mixed patterns, e.g., LDLDLD or LLDLLD or LDDLDD can be used. For example in one embodiment, contains a sequence of nucleotides selected from the group consisting of: LdLddLLddLdLdLL, LdLdLLLddLLLdLL, LMLMMLLMMLMLMLL, LMLMLLLMMLLLMLL, LFLFFLLFFLFLFLL, LFLFLLLFFLLLFLL, LddLddLddL, dLddLddLdd, ddLddLddLd, LMMLMMLMML, MLMMLMMLMM, MMLMMLMMLM, LFFLFFLFFL, FLFFLFFLFF, FFLFFLFFLF, dLdLdLdLdL, LdLdLdLdL, MLMLMLMLML, LMLMLMLML, FLFLFLFLFL, LFLFLFLFL, where L is a LNA unit, d is a DNA unit, M is 2'MOE, F is 2'Fluoro.

[0132] When 2'-deoxynucleotides or 2'-deoxynucleoside phosphorothioates are mixed with LNA nucleotides it is important to avoid RNase H activation. It is expected that between about one third and two thirds of the LNA nucleotides of an SSO will be suitable. When affinity-enhancing modifications are used, including but not limited to LNA or G clamp nucleotides, the skilled person recognizes it can be necessary to increase the proportion of such affinity-enhancing modifications.

[01331 Numerous alternative chemistries which do not activate RNase H are available. For example, suitable SSOs can be oligonucleotides wherein at least one of the internucleotide bridging phosphate residues is a modified phosphate, such as methyl phosphonate, methyl phosphonothioate, phosphoromorpholidate, phosphoropiperazidate, and phosphoroamidate. For example, every other one of the internucleotide bridging phosphate residues may be modified as described. In another non-limiting example, such SSO are oligonucleotides wherein at least one of the nucleotides contains a 2' lower alkyl moiety (e.g., CI-C 4 , linear or branched, saturated or unsaturated alkyl, such as methyl, ethyl, ethenyl, propyl, 1-propenyl, 2-propenyl, and isopropyl). For example, every other one of the nucleotides may be modified as described. (See references in U.S. Pat. 5,976,879 col. 4). For in vivo use, phosphorothioate linkages are preferred.

[01341 The length of the SSO will be from about 8 to about 30 bases in length. Those skilled in the art appreciate that when affinity-increasing chemical modifications are used, the SSO can be shorter and still retain specificity. Those skilled in the art will further appreciate that an upper limit on the size of the SSO is imposed by the need to maintain specific recognition of the target sequence, and to avoid secondary-structure forming self hybridization of the SSO and by the limitations of gaining cell entry. These limitations imply that an SSO of increasing length (above and beyond a certain length which will depend on the affinity of the SSO) will be more frequently found to be less specific, inactive or poorly active. 101351 SSOs of the invention include, but are not limited to, modifications of the SSO involving chemically linking to the SSO one or more moieties or conjugates which enhance the activity, cellular distribution or cellular uptake of the SSO. Such moieties include, but are not limited to, lipid moieties such as a cholesterol moiety, cholic acid, a thioether, e.g. hexyl S-tritylthiol, a thiocholesterol, an aliphatic chain, e.g., dodecandiol or undecyl residues, a phospholipids, e.g., di-hexadecyl-rac-glycerol or triethylammonium 1,2-di-0-hexadecyl-rac glycero-3-H-phosphonate, a polyamine or a polyethylene glycol chain, an adamantane acetic acid, a palmityl moiety, an octadecylamine or hexylamino-carbonyl-oxycholesterol moiety.

[0136] It is not necessary for all positions in a given SSO to be uniformly modified, and in fact more than one of the aforementioned modifications may be incorporated in a single compound or even at a single nucleoside within an SSO.

[01371 The SSOs may be admixed, encapsulated, conjugated, or otherwise associated with other molecules, molecule structures, or mixtures of compounds, as for example liposomes, receptor targeted molecules, oral, rectal, topical or other formulation, for assisting in uptake, distribution, and/or absorption.

101381 Those skilled in the art appreciate that cellular differentiation includes, but is not limited to, differentiation of the spliceosome. Accordingly, the activity of any particular SSO can depend upon the cell type into which they are introduced. For example, SSOs which are effective in one cell type may be ineffective in another cell type.

[0139] The methods, oligonucleotides, and formulations of the present invention are also useful as in vitro or in vivo tools to examine splicing in human or animal genes. Such methods can be carried out by the procedures described herein, or modifications thereof which will be apparent to skilled persons.

[0140] The SSOs disclosed herein can be used to treat any condition in which the medical practitioner intends to limit the effect of TNF or the signalling pathway activated by TNF. In particular, the invention can be used to treat an inflammatory disease. In one embodiment, the condition is an inflammatory systemic disease, e.g., rheumatoid arthritis or psoriatic arthritis. In another embodiment, the disease is an inflammatory liver disease. Examples of inflammatory liver diseases include, but are not limited to, hepatitis associated with the hepatitis A, B, or C viruses, alcoholic liver disease, and non-alcoholic steatosis. In yet another embodiment, the inflammatory disease is a skin condition such as psoriasis.

[0141] The uses of the present invention include, but are not limited to, treatment of diseases for which known TNF antagonists have been shown useful. Three specific TNF antagonists are currently FDA-approved. The drugs are etanercept (Enbrel), infliximab (Remicade@) and adalimumab (Humira@). One or more of these drugs is approved for the treatment of rheumatoid arthritis, juvenile rheumatoid arthritis, psoriasis, psoriatic arthritis, ankylosing spondylitis, and inflammatory bowel disease (Crohn's disease or ulcerative colitis).

[0142] The administration of the SSO to subjects can be accomplished using procedures developed for ASON. ASON have been successfully administered to experimental animals and human subjects by intravenous administration in saline in doses as high as 6 mg/kg three times a week (Yacysyhn, B.R., et al., 2002, Gut 51:30 (anti-ICAM-1 ASON for treatment of Crohn's disease); Stevenson, J., et al., 1999, J. Clinical Oncology 17:2227 (anti-RAF-1 ASON targeted to PBMC)). The pharmacokinetics of 2'O-MOE phosphorothioate ASON, directed towards TNF-a has been reported (Geary, R.S., et al., 2003, Drug Metabolism and Disposition 31:1419). The systemic efficacy of mixed LNA/DNA molecules has also been reported (Fluiter, K., et al., 2003, Nucleic Acids Res. 31:953).

[01431 The systemic activity of SSO in a mouse model system was investigated using 2'O-MOE phosphorothioates and PNA chemistries. Significant activity was observed in all tissues investigated except brain, stomach and dermis (Sazani, P., et al., 2002, Nature Biotechnology 20, 1228).

[0144] In general any method of administration that is useful in conventional antisense treatments can be used to administer the SSO of the invention. For testing of the SSO in cultured cells, any of the techniques that have been developed to test ASON or SSO may be used.

[01451 Formulations of the present invention comprise SSOs in a physiologically or pharmaceutically acceptable carrier, such as an aqueous carrier. Thus formulations for use in the present invention include, but are not limited to, those suitable for parenteral administration including intraperitoneal, intraarticular, intravenous, intraarterial, subcutaneous, or intramuscular injection or infusion, as well as those suitable for topical, ophthalmic, vaginal, oral, rectal or pulmonary (including inhalation or insufflation of powders or aerosols, including by nebulizer, intratracheal, intranasal delivery) administration. The formulations may conveniently be presented in unit dosage form and may be prepared by any of the methods well known in the art. The most suitable route of administration in any given case may depend upon the subject, the nature and severity of the condition being treated, and the particular active compound which is being used.

[01461 Pharmaceutical compositions of the present invention include, but are not limited to, physiologically and pharmaceutically acceptable salts ,i.e, salts that retain the desired biological activity of the parent compound and do not impart undesired toxicological properties. Examples of such salts are (a) salts formed with cations such as sodium, potassium, NI-4, magnesium, calcium, polyamines such as spermine and spermidine, etc.; (b) acid addition salts formed with inorganic acids, for example, hydrochloric acid, hydrobromic acid, sulfuric acid, phosphoric acid, nitric acid and the like; and (c) salts formed with organic acids such as, for example, acetic acid, oxalic acid, tartaric acid, succinic acid, maleic acid, fumaric acid, gluconic acid, citric acid, malic acid, ascorbic acid, benzoic acid, tannic acid, palmitic acid, alginic acid, polyglutamic acid, napthalenesulfonic acid, methanesulfonic acid, p-toluenesulfonic acid, napthalenedisulfonic acid, polygalacturonic acid, and the like.

[01471 The present invention provides for the use of SSOs having the characteristics set forth above for the preparation of a medicament for increasing the ratio of a mammalian TNFR2 protein that lacks exon 7 to its corresponding membrane bound form, in a patient afflicted with an inflammatory disorder involving TNF-a, as discussed above. In the manufacture of a medicament according to the invention, the SSOs are typically admixed with, inter alia, an acceptable carrier. The carrier must, of course, be acceptable in the sense of being compatible with any other ingredients in the formulation and must not be deleterious to the patient. The carrier may be a solid or liquid. SSOs are incorporated in the formulations of the invention, which may be prepared by any of the well known techniques of pharmacy consisting essentially of admixing the components, optionally including one or more accessory therapeutic ingredients. 101481 Formulations of the present invention may comprise sterile aqueous and non aqueous injection solutions of the active compounds, which preparations are preferably isotonic with the blood of the intended recipient and essentially pyrogen free. These preparations may contain anti-oxidants, buffers, bacteriostats, and solutes which render the formulation isotonic with the blood of the intended recipient. Aqueous and non-aqueous sterile suspensions can include, but are not limited to, suspending agents and thickening agents. The formulations may be presented in unit dose or multi-dose containers, for example, sealed ampoules and vials, and may be stored in freeze-dried lyophilizedd) condition requiring only the addition of the sterile liquid carrier, for example, saline or water for-injection immediately prior to use.

[0149] In the formulation the SSOs may be contained within a particle or vesicle, such as a liposome, or microcrystal, which may besuitable for parenteral administration. The particles may be of any suitable structure, such as unilamellar or plurilameller, so long as the SSOs are contained therein. Positively charged lipids such as N-[1-(2,3-dioleoyloxy)propyl] N,N,N-trimethyl-ammoniummethylsulfate, or "DOTAP," are particularly preferred for such particles and vesicles. The preparation of such lipid particles is well known. [See references in U.S. Pat. 5,976,879 col. 6]

[0150] The SSO can be targeted to any element or combination of elements that regulate splicing, including the 3'splice site, the 5' splice site, the branch point, the polypyrimidine tract, exonic splicing ehancers, exonic splicing silencers, intronic splicing enhancers, and intronic splicing silencers.

[0151] Those skilled in the art can appreciate that the invention as directed toward human TNFR2 can be practiced using SSO having a sequence that is complementary to at least 8, to at least 9, to at least 10, to at least 11, to at least 12, to at least 13, to at least 14, to at least 15, preferably between 10 and 16 nucleotides of the portions of the TNFR2 gene comprising exons 7 and its adjacent introns. SEQ ID No: 13 contains the sequence of exon 7 of TNFR2 and 50 adjacent nucleotides of the flanking introns. For example, SSO targeted to human TNFR2 can have a sequence selected from the sequences listed in Table 1. When affinity enhancing modifications are used, including but not limited to LNA or G-clamp nucleotides, the skilled person recognizes the length of the SSO can be correspondingly reduced. The pattern of alternation of LNA and conventional nucleotides is not important. Table 1: SSOs Targeted to Human TNFR2 SEQ ID. Name Sequence 5' to 3' 14 3378 CCA CAA TCA GTC CTA G 15 SK101 A CAA TCA GTC CTA G 16 SK102 AA TCA GTC CTA G 17 SK103 TCA GTC CTA G 18 SK104 CCA CAA TCA GTC CT 19 SK105 CCA CAA TCA GTC 20 SK106 CCA CAA TCA G 21 SK107 CA CAA TCA GTC CTA 22 SK108 CA CAA TCA GTC C 23 SK109 A CAA TCA GTC CT 24 SK110 CAA TCA GTC CTA 25 SK111 CA CAA TCA GT 26 SK112 A CAA TCA GTC 27 SK113 CAA TCA GTC C 28 SK114 AA TCA GTC CT 29 SK115 A TCA GTC CTA 30 3379 CAG TCC TAG AAA GAA A 31 SK117 G TCC TAG AAA GAA A 32 SK118 CC TAG AAA GAA A 33 SK119 TAG AAA GAA A 34 SK120 CAG TCC TAG AAA GA 35 SK121 CAG TCC TAG AAA 36 SK122 CAG TCC TAG A 37 SK123 AG TCC TAG AAA GAA 38 SK124 AG TCC TAG AAA G 39 SK125 G TCC TAG AAA GA 40 SK126 TCC TAG AAA GAA 41 SK127 AG TCC TAG AA 42 SK128 G TCC TAG AAA 43 SK129 TCC TAG AAA G 44 SK130 CC TAG AAA GA 45 SK131 C TAG AAA GAA 46 3384 ACT TTT CAC CTG GGT C 47 SK133 T TTT CAC CTG GGT C 48 SK134 TT CAC CTG GGT C 49 SK135 CAC CTG GGT C 50 SK136 ACT TTT CAC CTG GG 51 SK137 ACT TTT CAC CTG 52 SK138 ACT TTT CAC C 53 SK139 CT TTT CAC CTG GGT 54 SK140 CT TTT CAC CTG G 55 SK141 T TTT CAC CTG GG 56 SK142 TTT CAC CTG GGT

57 SK143 CT TTT CAC CT 58 SK144 T TTT CAC CTG 59 SK145 TTT CAC CTG G 60 SK146 TT CAC CTG GG 61 SK147 T CAC CTG GGT

[01521 Those skilled in the art will also recognize that the selection of SSO sequences must be made with care to avoid a self-complementary SSO, which may lead to the formation of partial "hairpin" duplex structures. In addition, high GC content should be avoided to minimize the possibility of non-specific base pairing. Furthermore, SSOs matching off-target genes, as revealed for example by BLAST, should also be avoided.

[0153] In some situations, it may be preferred to select an SSO sequence that can target a human and at least one other species. These SSOs can be used to test and to optimize the invention in said other species before being used in humans, thereby being useful for regulatory approval and drug development purposes. For example, SSOs with sequences selected from SEQ ID Nos: 14, 30, 46, 70 and 71 which target human TNFR2 are also 100% complementary to the corresponding Macaca Mullata sequences. As a result these sequences can be used to test treatments in monkeys, before being used in humans.

[0154] It will be appreciated by those skilled in the art that various omissions, additions and modifications may be made to the invention described above without departing from the scope of the invention, and all such modifications and changes are intended to fall within the scope ofthe invention, as defined by the appended claims. All sequence citations, references, patents, patent applications or other documents cited referred to herein are incorporated by reference. Example 1 Materials and Methods

[01551 Oligonucleotides. Table 3 lists chimeric locked nucleic acid (LNA) SSOs with alternating 2'deoxy- and 2'O-4'-(methylene)-bicyclic-ribonucleoside phosphorothioates and having sequences as described in U.S. Apple. No. 11/595,485. These were synthesized by Santaris Pharma, Denmark. For each SSO, the 5'-terminal nucleoside was a 2'O-4' methylene-ribonucleoside and the 3'-tenninal nucleoside was a 2'deoxy-ribonucleoside. Table 4 shows the sequences of chimeric LNA SSOs with alternating 2'-O-methyl ribonucleoside-phosphorothioates (2'-OMe) and 2'0-4'-(methylene)-bicyclic-ribonucleoside phosphorothioates. These were synthesized by Santaris Pharma, Denmark. The LNA is shown in capital letters and the 2'-OME is shown in lower case letters.

[01561 Cell culture and transfections. L929 cells were maintained in minimal essential media supplemented with 10% fetal bovine serum and antibiotic (37°C, 5% CO2 ). For transfection, L929 cells were seeded in 24-well plates at 105 cells per well and transfected 24 hrs later. Oligonucleotides were complexed, at the indicated concentrations, with 2 pL of LipofectamineTM 2000 transfection reagent (Invitrogen) as per the manufacturer's directions. The nucleotide/lipid complexes were then applied to the cells and incubated for 24 hrs. The media was then aspirated and cells harvested with TRI-ReagentTM (MRC, Cincinnati, OH).

[01571 RT-PCR. Total RNA was isolated with TRI-Reagent (MRC, Cincinnati, OH) and TNFRI or TNFR2 mRNA was amplified by GeneAmp@ RT-PCR using rTth polymerase (Applied Biosystems) following supplier directions. Approximately 200 ng of RNA was used per reaction. Primers used in the examples described herein are included in Table 2. Cycles of PCR proceeded: 95°C, 60 sec; 56°C, 30 sec; 72°C, 60 sec for 22-30 cycles total.

[0158] In some instances a CyS-labeled dCTP (GE Healthcare) was included in the PCR step for visualization (0.1 tL per 50 pL PCR reaction). The PCR products were separated on a 10% non-denaturing polyacrylamide gel, and Cy5-labeled bands were visualized with a TyphoonTM 9400 Scanner (GE Healthcare). Scans were quantified with ImageQuantTM (GE Healthcare) software. Alternatively, in the absence of the inclusion of Cy5-labeled dCTP, the PCR products were separated on a 1.5% agarose gel containing trace amounts of ethidium bromide for visualization.

[0159] PCR. PCR was performed with Platinum@ Taq DNA Polymerase (Invitrogen) according to the manufacturer's directions. For each 50 pL reaction, approximately 30 pmol of both forward and reverse primers were used. Primers used in the examples described herein are included in Table 2. The thermocycling reaction proceeded, unless otherwise stated, as follows: 94°C, 3 minutes; then 30-40 cycles of 94°C, 30 sec; 55°C, 30 sec; and 72°C, 105 see; followed by 72°C, 3 minutes. The PCR products were analyzed on 1.5% agarose gels and visualized with ethidium bromide. Table 2: RT-PCR and PCR Primers SEQ Name Sequence 5' to 3' ID. Human TNFR2 74 TROOACT GGG CTT CAT CCC AGC ATC 75 TROO2 CAC CAT GGC GCC CGT CGC CGT CTG G 76 TROO3CGA CTT CGC TCT TCC AGT TGA GAA GCC CTT GTG CCT GCA G 77 TRO04 TTA ACT GGG CTT CAT CCC AGC ATC 78 TRO05CTG CAG GCA CAA GGG CTT CTC AAC TGG AAG AGC GAA GTC G 79 TR026 TTA ACT GGG CTT CAT CCC AGC 80 TRO27 CGA TAG AAT TCA TGG CGC CCG TCG CCG TCT GG 81 TR028CCT AAC TCG AGT TAA CTG GGC TTC ATC CCA GC 82 TR029 GAC TGA GCG GCC GCC ACC ATG GCG CCC GTC GCC GTC TGG

83 TR030CTA AGC GCG GCC GCT TAA CTG GGC TTC ATC CCA GCA TC 84 TR047CGT TCT CCA ACA CGA CTT CA 85 TR048 CTT ATC GGC AGG CAA GTG AGG 86 TR049ACT GAA ACA TCA GAC GTG GTG TGC 87 TR050CCT TAT CGG CAG GCA AGT GAG Human TNFR1 88 TR006CCT CAT CTG AGA AGA CTG GGC G 89 TROO7GCC ACC ATG GGC CTC TCC ACC GTG C TRO08GGG CAC TGA GGA CTC AGT TTG TGG GAA ATC GAC ACC TG 91 TRO09CAG GTG TCG ATT TCC CAC AAA CTG AGT CCT CAG TGC CC 92 TROIOCAC CAT GGG CCT CTC CAC CGT GC 93 TRO1lTCT GAG AAG ACT GGG CG 94 TR031CGA TAG GAT CCA TGG GCC TCT CCA CCG TGC TR032 CCT AAC TCG AGT CAT CTG AGA AGA CTG GGC G 96 TR033GAC TGA GCG GCC GCC ACC ATG GGC CTC TCC ACC GTG C 97 TR034 CTA AGC GCG GCC GCT CAT CTG AGA AGA CTG GGC G Mouse TNFR2 98 TRO12 GGT CAG GCC ACT TTG ACT GC 99 TR013CAC CGC TGC CCC TAT GGC G 100 TR014CAC CGC TGC CAC TAT GGC G 101 TRO15GGT CAG GCC ACT TTG ACT GCA ATC 102 TRO16 GCC ACC ATG GCG CCCOO GGCC 'CTC TGG 103 TRO17 GGC ATC TCT CTT CCA ATT GAG AAG CCC TCC TGC CTA CAA AG 104,TRO18 CTT TGT AGG CAG GAG GGC TTC TCA ATT GGA AGA GAG ATG CC 105 TRO19 GGC CAC TTT GAC TGC AAT CTG 106 TR035 CAC CAT GGC GCC CGC CGC CCT CTG G 107 TRO36 TCA GGC CAC TTT GAC TGC AAT C 108 TR037 CGA TAG AAT TCA TGG CGC CCG CCG CCC TCT GG 109 TR038 CCT AAC TCG AGT CAG GCC ACT TTG ACT GCA ATC 110 TR039GAC TGA GCG GCC GCC ACC ATG GCG CCC GCC GCC CTC TGG 111 TRO40CTA AGC GCG GCC GCT CAG GCC ACT TTG ACT GCA ATC 112 TRO45 GAG CCC CAA ATG GAA ATG TGC 113 TRO46 GCT CAA GGC CTA CTG CAT CC Mouse TNFR1 114 TRO20 GGT TAT CGC GGG AGG CGG GTC G 115 TR021 GCC ACC ATG GGT CTC CCC ACC GTG CC 116 TR022CAC AAA CCC CCA GGA CTC AGT TTG TAG GGA TCC CGT GCC T 117 TR023 AGG CAC GGG ATC CCT ACA AAC TGA GTC CTG GGG GTT TGT G 118 TR024 CAC CAT GGG TCT CCC CAC CGT GCC 119 TR025 TCG CGG GAG GCG GGT CGT GG 120 TRo41CGA TAG TCG ACA TGG GTC TCC CCA CCG TGC C 121 TR042 CCT AAG AAT TCT TAT CGC GGG AGG CGG GTC G 122 TR043 GAC TGA GCG GCC GCC ACC ATG GGT CTC CCC ACC GTG CC 123 TRO44 CTA AGC GCG GCC GCT TAT CGC GGG AGG CGG GTC G

[01601 Human hepatocyte cultures. Human hepatocytes were obtained in suspension either from ADMET technologies, or from The UNC Cellular Metabolism and Transport

Core at UNC-Chapel Hill. Cells were washed and suspended in RPMI 1640 supplemented with 10% FBS, I g/mL human insulin, and 13 nM Dexamethasone. Hepatocytes were plated in 6-well plates at 0.5 x 106 cells per plate in 3 mL media. After 1-1.5 hrs, non adherent cells were removed, and the media was replaced with RPMI 1640 without FBS, supplemented with 1 ig/mL human insulin, and 130 nM Dexamethasone.

[01611 For delivery of SSOs to hepatocytes in 6-well plates, 10 pL of a 5 pM SSO stock was diluted into 100 L of OPTI-MEM T M , and 4 L of LipofectamineTM 2000 was diluted into 100 iL of OPTI-MEMTM. The 200 iL complex solution was then applied to the cells in the 6-well plate containing 2800 pL of media, for a total of 3000 L. The final SSO concentration was 17 nM. After 24 hrs, cells were harvested in TRI-ReagentTM. Total RNA was isolated per the manufacturer's directions. Approximately 200 ng of total RNA was subjected to reverse transcription-PCR (RT-PCR).

[0162] ELISA. To determine the levels of soluble TNFR2 in cell culture media or sera, the Quantikine@ Mouse sTNF RII ELISA kit from R&D Systems (Minneapolis, MN) or Quantikine@ Human sTNF RII ELISA kit from R&D Systems (Minneapolis, MN) were used. The antibodies used for detection also detect the protease cleavage forms of the receptor. ELISA plates were read using a microplate reader set at 450nm, with wavelength correction set at 570 nm.

[0163] For mouse in vivo studies, blood from the animals was clotted for 1 hour at 37C and centrifuged for 10 min at 14,000 rpm (Jouan BRA4i centrifuge) at 4°C. Sera was collected and assayed according to the manufacturer's guide, using 50 pL of mouse sera diluted 1:10.

[01641 L929 cytotoxicity assay. L929 cells plated in 96-well plates at 104 cells per well were treated with 0.1 ng/mL TNF-a and 1 g/mL actinomycin D in the presence of 10% serum from mice treated with the indicated oligonucleotide in 100 L total of complete MEM media (containing 10% regular FBS) and allowed to grow for -24 hrs at 37C. Control lanes were plated in 10% serum from untreated mice. Cell viability was measured 24 hrs later by adding 20 L CellTiter 96@ AQueou, One Solution Reagent (Promega) and measuring absorbance at 490 mn with a microplate reader. Cell viability was normalized to untreated cells.

[01651 Western blots. Twenty pL of media or 20pg of lysate were loaded in each well of a 4-12% NuPAGE@ polyacrylamide gel (Invitrogen). The gel was run 40 min at 200V. The protein was transferred, for 1 hr at 30V, to an InvitrolonTM PVDF membrane (Invitrogen), which was then blocked with StartingBlock@ Blocking Buffer (Pierce) for 1 hr at room temperature. The membrane was incubated for 3 hrs at room temperature with a rabbit polyclonal antibody that recognizes the C-terminus of human and mouse TNFR2 (Abeam), Following three washes in PBS-T buffer (1xPBS, 0.1% Tween-20), the membrane was incubated for one hour at room temperature with secondary goat anti-rabbit antibody (Abcam) and again washed three times with PBS-T buffer. The protein was then detected with ECL PlusTM (GE Healthcare), according to the manufacturer's recommendations and then photographed. Example 2 SSO Splice Switching Activity with TNFR mRNA

[01661 Table 3 shows the splice switching activities of SSOs having sequences as described in U.S. Apple. No. 11/595,485 and targeted to mouse and human TNFRs. Of SSOs targeted to mouse TNFR2 exon 7, at least 8 generated some muTNFR2 A7 mRNA. In particular, SSO 3312, 3274 and 3305 induced at least 50% skipping of exon 7; SSO 3305 treatment resulted in almost complete skipping. Of SSOs transfected into primary human hepatocytes, and targeted to human TNFR2 exon 7, at least 7 SSOs generated some huTNFR2 A7 mRNA. In particular, SSOs 3378, 3379, 3384 and 3459 induced at least 75% skipping of exon 7 (FIG. 2B), and significant induction of huTNFR2 A7 into the extracellular media (FIG. 2A).

Table 3: SSO Splice Switching Activity SEQ ID. I Name I Activity Mouse TNFR2 3272 3304 3305

+ 3306

+ 3307

+ 3308

+ 3309

+ 3310 3311

+ 62 3274

+ 3312

+ 3273 Mouse TNFR1 133333 1 + Human TNFR2 14 3378 +

30 3379 +

3380 70 3381 +

71 3382 +

3383 46 3384 +

72 3459 +

3460 73 3461 +

Control 3083

[0167] Table 4 contains the sequences of 10 nucleotide chimeric SSOs with alternating 2'-O-methyl-ribonucleoside-phosphorothioates (2'-OMe) and 2'0-4'-(methylene)-bicyclic ribonucleoside phosphorothioates. These SSOs are targeted to exon 7 of mouse TNFR2. Table 4: LNA/2'-OMe-ribonucleosidephosphorothioate chimeric mouse targeted SSO SEQ ID. Name Sequence 5' to 3'* 62 3274 AgAgCaGaAcCtTaCt 63 3837 gAaCcTuAcT 64 3838 aGaGcAgAaC 65 3839 gAgCaGaAcC 66 3840 aGcAgAaCcT 67 3841 gCaGaAcCuT 68 3842 cAgAaCcTuA 69 3843 aGaAcCuTaC *Capital letters are 2'O-4'-(methylene)-bicyclic ribonucleosides; lowercase letters are 2'-OMe

[01681 To analyze the in vitro splice-switching activity of the SSOs listed in Table 4, L929 cells were cultured and seeded as described in Example 1. For delivery of each of the

SSOs in Table 4 to the L929 cells, SSOs were diluted into 50 L of OPTI-MEM TM, and then TM L Lipofectamine T M2000 mix (1 part LipofectamineTM 2000 to 25 parts OPTI-MEM

) was added and incubated for 20 minutes. Then 400 pL of serum free media was added to the SSOs and applied to the cells in the 24-well plates. The final SSO concentration was either or 100 nM. After 24 hrs, cells were harvested in 800pL TRI-ReagentTM. Total RNA was isolated per the manufacturer's directions and analyzed by RT-PCR (FIG. 3) using the forward primer TR045 (SEQ ID No: 112) and the reverse primer TR046 (SEQ ID No: 113).

[01691 To analyze the in vivo splice-switching activity of the SSOs listed in Table 4, mice were injected with the SSOs listed in Table 4 intraperitoneal (i.p.) at 25 mg/kg/day for 5 days. Mice were bled before injection and again 1, 5 and 10 days after the last injection. The concentration of soluble TNFR2 A7 in the sera taken before the first injection and 10 days after the last injection were measured by ELISA (FIG. 4B). The mice were sacrificed on day and total RNA from 5-10 mg of the liver was analyzed by RT-PCR (FIG. 4A) using the forward primer TR045 (SEQ ID No: 112) and the reverse primer TR046 (SEQ ID No: 113).

[01701 Of the 10 nucleotide SSOs subsequences of SSO 3274 tested in vitro, all of them 3840 and generated at least some muTNFR2 A7 mRNA (FIG. 3). In particular, SSO 3839, 3841 displayed greater splice-switching activity than the longer 16 nucleotide SSO 3274 from which they are derived. The three 10 nucleotide SSOs, 3839, 3840, 3841, that demonstrated A7 the greatest activity in vitro also were able to generate significant amounts of muTNFR2 mRNA (FIG. 4A) and soluble muTNFR2 A7 protein (FIG. 4B) in mice in vivo.

[01711 To assess the effect of SSO length on splice switching activity in human TNFR2, cells were treated with SSOs of different lengths. Primary human hepatocytes were transfected with the indicated SSOs selected from Table 1. These SSOs were synthesized by Santaris Pharma, Denmark with alternating 2'deoxy- and 2'O-4'-(methylene)-bicyclic ribonucleoside phosphorothioates. For each SSO, the 5'-terminal nucleoside was a 2'O-4' methylene-ribonucleoside and the 3'-terminal nucleoside was a 2'deoxy ribonucleoside.These SSOs were either 10-, 12-, 14- or 16-mers. The concentration of soluble TNFR2 A7 was measured by ELISA (FIG. 5, top panel). Total RNA was analyzed by RT-PCR for splice switching activity (FIG. 5, bottom panel). Example 3 Analysis of the Splice Junction of SSO-induced TNFR2 Splice Variants

[01721 To confirm that the SSO splice switching, both in mice and in human cells, leads to the expected TNFR2 A7 mRNA, SSO-induced TNFR2 A7 mRNA was analyzed by RT PCR and was sequenced.

[0173] Mice. Mice were injected with SSO 3274 intraperitoneal (i.p.) at 25 mg/kg/day for 10 days. The mice were then sacrificed and total RNA from the liver was analyzed by RT-PCR using the forward primer TR045 (SEQ ID No: 112) and the reverse primer TR46 (SEQ ID No: 113). The products were analyzed on a 1.5% agarose gel (FIG. 6A) and the product for the TNFR2 A7 was isolated using standard molecular biology techniques. The isolated TNFR2 A7 product was amplified by PCR using the same primers and then sequenced (FIG. 6B). The sequence data contained the sequence CTCTCTTCCAATTGAGAAGCCCTCCTGC (nucleotides 777-804 of SEQ ID No: 11), which confirms that the SSO-induced TNFR2 A7 mRNA lacks exon 7 and that exon 6 is joined directly to exon 8.

[0174] Human hepatocytes. Primary human hepatocytes were transfected with SSO 3379 as described in Example 1. Total RNA was isolated 48 hrs after transfection. The RNA was converted to cDNA with the SuperscriptTM II Reverse Transcriptase (Invitrogen) using random hexamer primers according to the manufacturer's directions. PCR was performed on the cDNA using the forward primer TR049 (SEQ ID No: 86) and the reverse primer TR050 (SEQ ID No: 87). The products were analyzed on a 1.5% agarose gel (FIG. 7A). The band corresponding to TNFR2 A7 was isolated using standard molecular biology techniques and then sequenced (FIG. 7B). The sequence data contained the sequence CGCTCTTCCAGTTGAGAAGCCCTTGTGC (nucleotides 774-801 of SEQ ID No: 9), which confirms that the SSO-induced TNFR2 A7 mRNA lacks exon 7 and that exon 6 is joined directly to exon 8. Example 4 SSO Dose-Dependent Production of TNFR2 A7 Protein in Primary Human Hepatocytes

[0175] The dose response of splice-switching activity of SSOs in primary human hepatocytes was tested. Human hepatocytes were obtained in suspension from ADMET technologies. Cells were washed three times and suspended in seeding media (RPMI 1640 supplemented with L-Glut, with 10% FBS, penicillin, streptomycin, and 12 nM Dexamethasone). Hepatocytes were evaluated for viability and plated in 24-well, collagen coated plates at 1.0 x 10 5 cells per well. Typically, cell viability was 85-93%. After approximately 24 hrs, the media was replaced with maintenance media (seeding media without FBS).

[0176] For delivery of each of the SSOs to the hepatocytes, SSOs were diluted into 50 pL of OPTI-MEMTM, and then 50 pL LipofectamineTM 2000 mix (1 part LipofectamineTM 2000 to 25 parts OPTI-MEMTM) was added and incubated for 20 minutes. The SSOs were then applied to the cells in the 24-well plates. The final SSO concentration ranged from 1 to 150 nM. After 48 hrs, cells were harvested in 800 L TRI-Reagent TM

.

[0177] Total RNA from the cells was analyzed by RT-PCR using the forward primer TR047 (SEQ ID No: 84) and the reverse primer TR048 (SEQ ID No: 85) (FIG. 8A). The concentration of soluble TNFR2 A7 in the serum was measured by ELISA (FIG. 8B). Both huTNFR2 A7 mRNA (FIG. 8A) and secreted huTNFR2 A7 protein (FIG. 8B) displayed dose dependent increases. Example 5 Secretion of TNFR2 Splice Variants from Murine Cells

[01781 The ability of SSOs to induce soluble TNFR2 protein production and secretion into the extracellular media was tested. L929 cells were treated with SSOs as described in Example 1, and extracellular media samples were collected -48 hrs after transfection. The concentration of soluble TNFR2 in the samples was measured by ELISA (FIG. 9). SSOs that best induced shifts in RNA splicing, also secreted the most protein into the extracellular media. In particular, SSOs 3305, 3312, and 3274 increased soluble TNFR2 at least 3.5-fold over background. Consequently, induction of the splice variant mRNA correlated with production and secretion of the soluble TNFR2. Example 6 In Vivo Injection of SSOs Generated muTNFR2 A7 mRNA in Mice

[01791 SSO 3305 in saline was injected intraperitoneal (i.p.) daily for 4 days into mice at doses from 3 mg/kg to 25 mg/kg. The mice were sacrificed on day 5 and total RNA from the liver was analyzed by RT-PCR. The data show splice switching efficacy similar to that found in cell culture. At the maximum dose of 25 mg/kg, SSO 3305 treatment induced almost full conversion to A7 mRNA (FIG. 10, bottom panel).

[01801 A similar experiment with SSO 3274 induced about 20% conversion to A7 mRNA. To optimize SSO 3274 induction of A7 mRNA, both the dose regimen and the time from the last injection to the sacrifice of the animal were varied. SSO 3274 was injected (i.p.) into mice daily for 4 days. SSO treatment induced about 30% conversion to A7 mRNA in mice analyzed on day 15, whereas a 20% shift was observed in mice analyzed on day five (FIG. 10, top panel). Furthermore, mice given injections for 10 days, and sacrificed on day I1 showed a 50% induction of A7 mRNA (FIG. 10, top). These in vivo data suggest that TNFR2 SSOs can produce muTNFR2 A7 mRNA for at least 10 days after administration.

Example 7 Circulatory TNFR2 A7

[0181] Mice were injected with SSO 3274, 3305, or the control 3083 intraperitoneal (i.p.) at 25 mg/kg/day for 10 days. Mice were bled before injection and again 1, 5 and 10 days after the last injection. The concentration of soluble TNFR2 A7 in the serum was measured. SSO treatment induced soluble TNFR2 A7 protein levels over background for at least 10 days (FIG. 11).

[0182] To test the effects at longer time points, the experiment was repeated, except that serum samples were collected until day 27 after the last injection.. The results show only a slight decrease in soluble TNFR2 A7 levels 27 days after the last SSO injection (FIG. 12). Example 8 Anti-TNF-a Activity in Mice Serum 10183] The anti-TNF-a activity of serum from SSO 3274 treated mice was tested in an L929 cytotoxicity assay. In this assay, serum is assessed for its ability to protect cultured L929 cells from the cytotoxic effects of a fixed concentration of TNF-a as described in Example 1. Serum from mice treated with SSO 3274 but not control SSOs (3083 or 3272) increased viability of the L929 cells exposed to 0.1 ng/mL TNF-a (FIG. 13). Hence, the SSO 3274 serum contained TNF-a antagonist sufficient to bind and to inactivate TNF-a, and thereby protect the cells from the cytotoxic effects of-TNF-a. This anti-TNF-a activity was present in the serum of animals 5 and 27 days after the last injection of SSO 3274. Example 9 Comparison of SSO Generated TNFR2 A7 to other anti-TNF-a antagonists

[01841 L929 cells were seeded as in Example 8. Samples were prepared containing 90 gL of serum-free MEM, 0.1 ng/ml TNF-a and 1 pg/ml of actinomycin D, with either (i) recombinant soluble protein (0.01-3 pg/mL)) from Sigma@ having the 236 amino acid residue extracellular domain of mouse TNFR2, (ii) serum from SSO 3274 or SSO 3305 treated mice (1.25-10%, diluted in serum from untreated mice; the concentration of TNFR2 A7 was determined by ELISA) or (iii) Enbrel@ (0.45-150 pg/ml) to a final volume of 100 pl with a final mouse serum concentration of 10%. The samples were incubated at room temperature for 30 minutes. Subsequently, the samples were applied to the plated cells and incubated for -24 hrs at 37°C in a 5% CO 2 humidified atmosphere. Cell viability was measured by adding 20 pL CellTiter 96@ AQ,0 u, One Solution Reagent (Promega) and measuring absorbance at 490 nm with a microplate reader. Cell viability was normalized to untreated cells and plotted as a function of TNF antagonist concentration (FIG. 14).

Example 10 Stability of TNFR2 A7 mRNA and protein

[01851 Mice were treated with either SSO 3274 or 3272 (control) (n=5) by i.p. injection at a dose of25 mg/kg/day daily for five days . Mice were bled before injection and again 5, , 22, 27, and 35 days after the last injection. The concentration of soluble TNFR2 A7 in the serum was measured (FIG. 15A). Splice shifting of TNFR2 in the liver was also determined at the time of sacrifice by RT-PCR of total RNA from the liver (FIG. 15B). Combined with data from Example 7, a time course of TNFR2 mRNA levels after SSO treatment was constructed, and compared with the time course of TNFR2 A7 protein in serum (FIG. 16). The data show that TNFR2 A7 mRNA in vivo decays at a rate approximately 4 times faster than that of TNFR2 A7 protein in serum. On day 35, TNFR2 A7 mRNA was only detectable in trace amounts, whereas TNFR2 A7 protein had only decreased by 20% from its peak concentration. Example I1 Generation of Human TNFR2 A7 cDNA

[0186] A plasmid containing the full length human TNFR2 cDNA was obtained commercially from OriGene (Cat. No: TC119459, NM_001066.2). The cDNA was obtained by performing PCR on the plasmid using reverse primer TROO1 (SEQ ID No: 74) and forward primer TROO2 (SEQ ID No: 75). The PCR product was isolated and was purified using standard molecular biology techniques, and contains the 1383 bp TNFR2 open reading frame without a stop codon.

[0187] Alternatively, full length human TNFR2 cDNA is obtained by performing RT PCR on total RNA from human mononuclear cells using the TRO01 reverse primer and the TROO2 forward primer. The PCR product is isolated and is purified using standard molecular biology techniques.

[0188] To generate human TNFR2 A7 cDNA, two separate PCR reactions were performed on the full length human TNFR2 cDNA, thereby creating overlapping segments of the TNFR2 A7 cDNA. In one reaction, PCR was performed on full length TNFR2 cDNA using the forward primer TROO3 (SEQ ID No: 76) and the reverse primer TROO4 (SEQ ID No: 77). In the other reaction, PCR was performed on full length TNFR2 cDNA using the reverse primer TRO05 (SEQ ID No: 78) and the TRO02 forward primer. Finally, the 2 overlapping segments were combined, and PCR was performed using the TROO2 forward primer and the TROO4 reverse primer. The PCR product was isolated and was purified using standard molecular biology techniques, and was expected to contain the 1308 bp TNFR2 A7 open reading frame with a stop codon (SEQ ID No: 9).

[0189] Similarly, by using the TROOlreverse primer instead of the TR04 reverse primer in these PCR reactions the 1305 bp human TNFR2 A7 open reading frame without a stop codon was generated. This allows for the addition of in-frame C-terminal affinity purification tags, such as His-tag, when the final PCR product is inserted into an appropriate vector. Example 12 Generation of Human TNFR1 A7 cDNA

[0190] A plasmid containing the full length human TNFR2 cDNA is obtained commercially from OriGene (Cat. No: TC127913, NM_001065.2). The cDNA is obtained by performing PCR on the plasmid using the TRO06 reverse primer (SEQ ID No: 88) and the TROO7 forward primer (SEQ ID No: 89). The full length human TNFR1 cDNA PCR product is isolated and is purified using standard molecular biology techniques.

[01911 Alternatively, full length human TNFR1 cDNA is obtained by performing RT PCR on total RNA from human mononuclear cells using the TR06 reverse primer and the TROO7 forward primer. The full length human TNFRI cDNA PCR product is isolated and is purified using standard molecular biology techniques.

[0192] To generate human TNFR1 A7 cDNA, two separate PCR reactions are performed on the full length human TNFR1 cDNA, thereby creating overlapping segments of the TNFR1 A7 cDNA. In one reaction, PCR is performed on full length TNFR1 cDNA using the TRO08 forward primer (SEQ ID No: 90) and the TRO06 reverse primer. In the other reaction, PCR is performed on full length TNFR1 cDNA using the TROO9 reverse primer (SEQ ID No: 91) and the TRO10 forward primer (SEQ ID No: 92). Finally, the 2 overlapping segments are combined, and PCR is performed using the TR10 forward primer and the TR06 reverse primer. The PCR product is isolated and is purified using standard molecular biology techniques, and contains the 1254 bp human TNFR1 A7 open reading frame with a stop codon (SEQ ID No: 5).

[0193] Alternatively, by using the TRO11 reverse primer (SEQ ID No: 93) instead of the TRO06 reverse primer in these PCR reactions the 1251 bp human TNFR1 A7 open reading frame without a stop codon is generated. This allows for the addition of in-frame C-terminal affinity purification tags, such as His-tag, when the final PCR product is inserted into an appropriate vector. Example 13 Generation of Murine TNFR2 A7 cDNA

[0194] To generate full length murine TNFR2 cDNA, PCR was performed on the commercially available FirstChoiceTM PCR-Ready Mouse Liver cDNA (Ambion, Cat. No:

AM3300) using the TRO12 reverse primer (SEQ ID No: 98) and the TR13 forward primer (SEQ ID No: 99). The full length murine TNFR2 cDNA PCR product is isolated and is purified using standard molecular biology techniques. Then by performing PCR on the resulting product using the TRO14 forward primer (SEQ ID No: 100) and the TR12 reverse primer the proper Kozak sequence was introduced.

[0195] Alternatively, full length murine TNFR2 cDNA is obtained by performing RT PCR on total RNA from mouse mononuclear cells or mouse hepatocytes using the TR15 reverse primer (SEQ ID No: 101) and the TRO16 forward primer (SEQ ID No: 102). The full length murine TNFR2 cDNA PCR product is isolated and is purified using standard molecular biology techniques.

[01961 To generate murine TNFR2 A7 cDNA, two separate PCR reactions were performed on the full length murine TNFR2 cDNA, thereby creating overlapping segments of the TNFR2 A7 cDNA. In one reaction, PCR was performed on full length TNFR2 cDNA using the TRO17 forward primer (SEQ ID No: 103) and the TRO15 reverse primer. In the other reaction, PCR was performed on full length TNFR2 cDNA using the TRI8'reverse primer (SEQ ID No: 104) and the TRO16 forward primer. Finally, the 2 overlapping segments were combined, and PCR was performed using the TRO16 forward primer and the TRO15 reverse primer. The PCR product was isolated and was purified using standard molecular biology techniques, and was expected to contain the 1348 bp murine TNFR2 A7 open reading frame with a stop codon (SEQ ID No: 11).

[01971 Alternatively, by using the TRO19 reverse primer (SEQ ID No: 105) instead of the TRO15 reverse primer in these PCR reactions the 1345 bp murine TNFR2 A7 open reading frame without a stop codon was generated. This allows for the addition of in-frame C terminal affinity purification tags, such as His-tag, when the final PCR product is inserted into an appropriate vector. Example 14 Generation of Murine TNFR1 A7 cDNA

[0198] To generate full length murine TNFR1 cDNA, PCR is performed on the commercially available FirstChoiceTMPCR-Ready Mouse Liver cDNA (Ambion, Cat. No: AM3300) using the TR020 reverse primer (SEQ ID No: 114) and the TR021 forward primer (SEQ ID No: 115). The full length murine TNFRI cDNA PCR product is isolated and is purified using standard molecular biology techniques.

[0199] Alternatively, full length murine TNFR1 cDNA is obtained by performing RT PCR on total RNA from mouse mononuclear cells using the TRO20 reverse primer and the

TR021 forward primer. The full length murine TNFR1 cDNA PCR product is isolated and is purified using standard molecular biology techniques.

[0200] To generate murine TNFR1 A7 cDNA, two separate PCR reactions are performed on the full length human TNFR1 cDNA, thereby creating overlapping segments of the TNFR1 A7 cDNA. In one reaction, PCR is performed on full length TNFRI cDNA using the TR022 forward primer (SEQ ID No: 116) and the TR020 reverse primer. In the other reaction, PCR is performed on full length TNFR1 cDNA using the TR023 reverse primer (SEQ ID No: 117) and the TR024 forward primer (SEQ ID No: 118). Finally,~the 2 overlapping segments are combined, and PCR is performed using TR024 forward primer and the TRO20 reverse primer. The 1259 bp PCR product is isolated and is purified using standard molecular biology techniques, and contains the 1251 bp murine TNFR1 A7 open reading frame with a stop codon (SEQ ID No: 7).

[0201] Alternatively, by using the TR025 reverse primer (SEQ ID No: 119) instead of the TR020 reverse primer in these PCR reactions the 1248 bp murine TNFR1 A7 open reading frame without a stop codon is generated. This allows for the addition of in-frame C-terminal affinity purification tags, such as His-tag, when the final PCR product is inserted into an appropriate vector. Example 15 Construction of Vectors for the Expression of Human TNFR2 A7 in Mammalian Cells

[0202] For expression of the human TNFR2 A7 protein in mammalian cells, a human TNFR2 A7 cDNA PCR product from Example 11 was incorporated into an appropriate mammalian expression vector. The TNFR2 A7 cDNA PCR product from Example 11, both with and without a stop codon, and the pcDNATM3.1D/V5-His TOPO@ expression vector (Invitrogen) were blunt-end ligated and isolated according to the manufacturer's directions. Plasmids containing inserts encoding human TNFR2 A7 were transformed into OneShot* Top10 competent cells (Invitrogen), according to the supplier's directions. Fifty JIL of the transformation mix were plated on LB media with 100 pg/mL of ampicillin and incubated overnight at 37°C. Single colonies were used to inoculate 5 mL cultures of LB media with 100 pg/mL ampicillin and incubated overnight at 37 0 C. The cultures were then used to inoculate 200 mL of LB-media with 100 pg/mL of ampicillin and grown overnight at 37°C. The plasmids were isolated using GenEluteTM Plasmid Maxiprep kit (Sigma) according to manufacturer's directions. Purification efficiency ranged from 0.5 to 1.5 mg of plasmid per preparation.

[0203] Three human TNFR2 A7 clones (1319-1, 1138-5 and 1230-1) were generated and sequenced. Clone 1319-1 contains the human TNFR2 A7 open reading frame without a stop codon followed directly by an in-frame His-tag from the plasmid; while clones 1138-5 and 1230-1 contain the TNFR2 A7 open reading frame followed immediately by a stop codon. The sequence of the His-tag from the plasmid is given in SEQ ID No: 126. The sequences of the TNFR2 A7 open reading frames of clones 1230-1 and 1319-1 were identical to SEQ ID No: 9 with and without the stop codon, respectively. However relative to SEQ ID No: 9, the sequence (SEQ ID No: 125) of the TNFR2 A7 open reading frames of clone 1138-5 differed by a single nucleotide at position 1055 in exon 10, with an A in the former and a G in the later. This single nucleotide change causes the amino acid 352 to change from a glutamine to an arginine. Example 16 Expression of Human TNFR2 A7 in E. coli

[02041 For expression of the human TNFR2 A7 protein in bacteria, a human TNFR2 A7 cDNA from Example 11 is incorporated into an appropriate expression vector, such as a pET Directional TOPO@ expression vector (Invitrogen). PCR is performed on the PCR fragment from Example 11 using forward (TR02) (SEQ ID No: 75) and reverse (TR026) (SEQ ID No: 79) primers to incorporate a homologous recombination site for the vector. The resulting PCR fragment is incubated with the pET101/D-TOPO@ vector (Invitrogen) according to the manufacturer's directions, to create the human TNFR2 A7 bacterial expression vector. The resulting vector is transformed into the E. coli strain BL21(DE3). The human TNFR2 A7 is then expressed from the bacterial cells according to the manufacturer's instructions. Example 17 Expression of Human TNFR2 A7 in insect cells

[02051 For expression of the human TNFR2 A7 protein in insect cells, a human TNFR2 A7 cDNA from Example 11 is incorporated into a baculoviral vector. PCR is performed on a human TNFR2 A7 cDNA from Example 11 using forward (TR027) (SEQ ID No: 80) and reverse (TR028) (SEQ ID No: 81) primers. The resulting PCR product is digested with the restriction enzymes EcoRI and XhoI. The digested PCR product is ligated with a EcoRI and XhoI digested pENTRTM Vector (Invitrogen), such as any one of the pENTRTM1A, pENTRT2B, pENTRT3C, pENTR T 4, or pENTRTM11Vectors, to yield an entry vector. The product is then isolated, amplified, and purified using standard molecular biology techniques.

[0206] A baculoviral vector containing the human TNFR2 A7 cDNA is generated by homologous recombination of the entry vector with BaculoDirectTM Linear DNA (Invitrogen) using LR ClonaseTM (Invitrogen) according to the manufacturer's directions. The reaction mixture is then used to infect Sf9 cells to generate recombinant baculovirus. After harvesting the recombinant baculovirus, expression of human TNFR2 A7 is confirmed. Amplification of the recombinant baculovirus yields a high-titer viral stock. The high-titer viral stock is used to infect Sf9 cells, thereby expressing human TNFR2 A7 protein. Example 18 Generation of Adeno-Associated viral vectors for the expression of Human TNFR2 A7

[02071 For in vitro or in vivo delivery to mammalian cells of the human TNFR2 A7 gene for expression in those mammalian cells, a recombinant adeno-associated virus (rAAV) vector is generated using a three plasmid transfection system as described in Grieger, J., et al., 2006, Nature Protocols 1:1412. PCR is performed on a purified human TNFR2 A7 PCR product of Example 11, using forward (TR029) (SEQ ID No: 82) and reverse (TR030) (SEQ ID No: 83) primers to introduce unique flanking NotI restriction sites. The resulting PCR product is digested with the NotI restriction enzyme, and isolated by standard molecular biology techniques. The NotI-digested fragment is then ligated to NotI-digested pTR-UF2 (University of North Carolina (UNC) Vector Core Facility), to create a plasmid that contains the human TNFR2 A7 open reading frame, operably linked to the CMVie promoter, flanked by inverted terminal repeats. The resulting plasmid is then transfected with the plasmids pXX680 and pHelper (UNC Vector Core Facility) into HEK-293 cells, as described in Grieger, J., et al., to produce rAAV particles containing the human TNFR2 A7 gene where expression is driven by the strong constitutive CMVie promoter. The virus particles are harvested and purified, as described in Grieger, J., et al., to provide an rAAV stock suitable for transducing mammalian cells. Example 19 Expression of Human TNFR1 A7 in E. coli

[0208] For expression of the human TNFR1 A7 protein in bacteria, the cDNA from Example 12 is incorporated into an appropriate expression vector, such as a pET Directional TOPO@ expression vector (Invitrogen). PCR is performed on the cDNA from Example 12 using forward (TRO10) (SEQ ID No: 92) and reverse (TROO6) (SEQ ID No: 88) primers to incorporate a homologous recombination site for the vector. The resulting PCR fragment is incubated with the pET101/D-TOPO@ vector (Invitrogen) according to the manufacturer's directions, to create the human TNFR1 A7 bacterial expression vector. The resulting vector is transformed into the E. coli strain BL21(DE3). The human TNFR1 A7 is then expressed from the bacterial cells according to the manufacturer's instructions.

Example 20 Expression of Human TNFR1 A7 in mammalian cells

[02091 For expression of the human TNFRI A7 protein in mammalian cells, a human TNFR1 A7 cDNA PCR product from Example 12 is incorporated into an appropriate mammalian expression vector. human TNFR1 A7 cDNA PCR product from Example 12 and the pcDNA T 3.D/V5-His TOPO@ expression vector (Invitrogen) are blunt-end ligated according to the manufacturer's directions. The product is then isolated, amplified, and purified using standard molecular biology techniques to yield the mammalian expression vector. The vector is then transfected into a mammalian cell, where expression of the human TNFR1 A7 protein is driven by the strong constitutive CMVie promoter. Example 21 Expression of Human TNFR1 A7 in insect cells

[0210] For expression of the human TNFR1 A7 protein in insect cells, the cDNA from Example 12 is incorporated into a baculoviral vector. PCR is performed on the cDNA from Example 12 using forward (TR031) (SEQ ID No: 94) and reverse (TR032) (SEQ ID No: 95) primers. The resulting PCR product is digested with the restriction enzymes EcoRI and XhoI. The digested PCR product is ligated with a EcoRI and XhoI digested pENTR TM Vector (Invitrogen), such as any one of the pENTRTMA, pENTRT2B, pENTRTM3C, pENTRT4, or pENTRTMl Vectors, to yield an entry vector. The product is then isolated, amplified, and purified using standard molecular biology techniques.

[02111 A baculoviral vector containing the human TNFR1 A7 cDNA is generated by homologous recombination of the entry vector with BaculoDirectTM Linear DNA (Invitrogen) using LR ClonaseTM (Invitrogen) according to the manufacturer's directions. The reaction mixture is then used to infect Sf9 cells to generate recombinant baculovirus. After harvesting the recombinant baculovirus, expression of human TNFRI A7 is confirmed. Amplification of the recombinant baculovirus yields a high-titer viral stock. The high-titer viral stock is used to infect Sf9 cells, thereby expressing human TNFR1 A7 protein. Example 22 Generation of Adeno-Associated viral vectors for the expression of Human TNFR1 A7

[0212] For in vitro or in vivo delivery to mammalian cells of the human TNFR1 A7 gene for expression in those mammalian cells, a recombinant adeno-associated virus (rAAV) vector is generated using a three plasmid transfection system as described in Grieger, J., et al., 2006, Nature Protocols 1:1412. PCR is performed on the purified human TNFR1 A7 PCR product of Example 12, using forward (TR033) (SEQ ID No: 96) and reverse (TR034) (SEQ ID No: 97) primers to introduce unique flanking NotI restriction sites. The resulting

PCR product is digested with the NotI restriction enzyme, and isolated by standard molecular biology techniques. The NotI-digested fragment is then ligated to NotI-digested pTR-UF2 (University of North Carolina (UNC) Vector Core Facility), to create a plasmid that contains the human TNFR1 A7 open reading frame, operably linked to the CMVie promoter, flanked by inverted terminal repeats. The resulting plasmid is then transfected with the plasmids pXX680 and pHelper (UNC Vector Core Facility) into HEK-293 cells, as described in Grieger, J., et al., to produce rAAV particles containing the human TNFR1 A7 gene where expression is driven by the strong constitutive CMVie promoter. The virus particles are harvested and purified, as described in Grieger, J., et al., to provide an rAAV stock suitable for transducing mammalian cells. Example 23 Construction of Vectors for the Expression of Mouse TNFR2 A7 in mammalian cells

[02131 For expression of the murine TNFR2 A7 protein in mammalian cells, a murine TNFR2 A7 cDNA PCR product from Example 13 was incorporated into an appropriate mammalian expression vector. The TNFR2 A7 cDNA PCR product from Example 13, both with and without a stop codon, and the pcDNAT3.lD/V5-His TOPO@ expression vector (Invitrogen) was blunt-end ligated and isolated according to the manufacturer's directions. Plasmids containing inserts encoding murine A7 TNFR2 were transformed into OneShot* ToplO competent cells (Invitrogen), according to the supplier's directions. Fifty pL of the transformation mix were plated on LB media with 100 jg/mL of ampicillin and incubated overnight at 37°C. Single colonies were used to inoculate 5 mL cultures of LB media with 100 pg/mL ampicillin and incubated overnight at 37C. The cultures were then used to inoculate 200 mL of LB media with 100pg/mL of ampicillin and grown overnight at 37C. The plasmids were isolated using GenEluteTMPlasmid Maxiprep kit (Sigma) according to manufacturer's directions. Purification efficiency ranged from 0.5 to 1.5 mg of plasmid per preparation.

[02141 Two murine TNFR2 A7 clones (1144-4 and 1145-3) were generated and sequenced. Clone 1144-4 contains the murine TNFR2 A7 open reading frame without a stop codon followed directly by an in-frame His-tag from the plasmid; while clone 1145-3 contains the TNFR2 A7 open reading frame followed immediately by a stop codon. The sequence of the His-tag from the plasmid is given in SEQ ID No: 126. Relative to SEQ ID No: 11, the sequence (SEQ ID No: 124) of the TNFR2 A7 open reading frames of the two clones, 1144-4 and 1145-3, differed by a single nucleotide at eleven positions. As a result of these single nucleotide changes there are four amino acid differences relative to SEQ ID No: 12. Example 24 Expression of Murine TNFR2 A7 in E. coli

[0215] For expression of the mouse TNFR2 A7 protein in bacteria, a murine TNFR2 A7 cDNA from Example 13 is incorporated into an appropriate expression vector, such as a pET Directional TOPO@ expression vector (Invitrogen). PCR is performed on the PCR fragment from Example 13 using forward (TR035) (SEQ ID No: 106) and reverse (TR036) (SEQ ID No: 107) primers to incorporate a homologous recombination site for the vector. The resulting PCR fragment is incubated with the pETI01/D-TOPO@ vector (Invitrogen) according to the manufacturer's directions, to create the murine TNFR2 A7 bacterial expression vector. The resulting vector is transformed into the E. coli strain BL21(DE3). The murine TNFR2 A7 is then expressed from the bacterial cells according to the manufacturer's instructions. Example 25 Expression of Mouse TNFR2 A7 in insect cells

[02161 For expression of the murine TNFR2 A7 protein in insect cells, the cDNA from Example 13 is incorporated into a baculoviral vector. PCR is performed on the cDNA from Example 13 using forward (TR037) (SEQ ID No: 108) and reverse (TR038) (SEQ ID No: 109) primers. The resulting PCR product is digested with the restriction enzymes EcoRI and XhoI. The digested PCR product is ligated with a EcoRI and XhoI digested pENTRTM Vector (Invitrogen), such as any one of the pENTRTM1A, pENTRTM2B, pENTRT3C, pENTRT4, or pENTRTMI1 Vectors, to yield an entry vector. The product is then isolated, amplified, and purified using standard molecular biology techniques.

[02171 A baculoviral vector containing the murine TNFR2 A7 cDNA is generated by homologous recombination of the entry vector with BaculoDirectTM Linear DNA (Invitrogen) using LR ClonaseTM(Invitrogen) according to the manufacturer's directions. The reaction mixture is then used to infect Sf9 cells to generate recombinant baculovirus. After harvesting the recombinant baculovirus, expression of murine TNFR2 A7 is confirmed. Amplification of the recombinant baculovirus yields a high-titer viral stock. The high-titer viral stock is used to infect Sf9 cells, thereby expressing murine TNFR2 A7 protein. Example 26 Generation of Adeno-Associated viral vectors for the expression of Murine TNFR2 A7

[0218] For in vitro or in vivo delivery to mammalian cells of the murine TNFR2 A7 gene for expression in those mammalian cells, a recombinant adeno-associated virus (rAAV) vector is generated using a three plasmid transfection system as described in Grieger, J., et al., 2006, Nature Protocols 1:1412. PCR is performed on the purified marine TNFR2 A7 PCR product of Example 13, using forward (TR039)(SEQ ID No: 110) and reverse (TR040)(SEQ ID No: 111) primers to introduce unique flanking NotI restriction sites. The resulting PCR product is digested with the NotI restriction enzyme, and isolated by standard molecular biology techniques. The NotI-digested fragment is then ligated to NotI-digested pTR-UF2 (University of North Carolina (UNC) Vector Core Facility), to create a plasmid that contains the murine TNFR2 A7 open reading frame, operably linked to the CMVie promoter, flanked by inverted terminal repeats. The resulting plasmid is then transfected with the plasmids pXX680 and pHelper (UNC Vector Core Facility) into HEK-293 cells, as described in Grieger, J., et al., to produce rAAV particles containing the murine TNFR2 A7 gene where expression is driven by the strong constitutive CMVie promoter. The virus particles are harvested and purified, as described in Grieger, J., et al., to provide an rAAV stock suitable for transducing mammalian cells. Example 27 Expression of Murine TNFR1 A7 in E. coli

[0219] For expression of the mouse TNFR1 A7 protein in bacteria, the cDNA from Example 14 is incorporated into an appropriate expression vector, such as a pET Directional TOPO@ expression vector (Invitrogen). PCR is performed on the cDNA from Example 14 using forward (TR024)(SEQ ID No: 118) and reverse (TR020)(SEQ ID No: 114) primers to incorporate a homologous recombination site for the vector. The resulting PCR fragment is incubated with the pET1O/D-TOPO@ vector (Invitrogen) according to the manufacturer's directions, to create the marine TNFR1 A7 bacterial expression vector. The resulting vector is transformed into the E. coli strain BL21(DE3). The murine TNFR1 A7 is then expressed from the bacterial cells according to the manufacturer's instructions. Example 28 Expression of Mouse TNFR1 A7 in mammalian cells

[0220] For expression of the murine TNFR1 A7 protein in mammalian cells, a murine TNFR1 A7 cDNA PCR product from Example 14 is incorporated into an appropriate mammalian expression vector. The murine TNFR1 A7 cDNA PCR product from Example 14 and the pcDNATM3.1DV5-His TOPO@ expression vector (Invitrogen) are blunt-end ligated according to the manufacturer's directions. The product is then isolated, amplified, and purified using standard molecular biology techniques to yield the mammalian expression vector. The vector is then transfected into a mammalian cell, where expression of the murine TNFR1 A7 protein is driven by the strong constitutive CMVie promoter.

Example 29 Expression of Mouse TNFR1 A7 in insect cells

[02211 For expression of the murine TNFR1 A7 protein in insect cells, the cDNA from Example 14 is incorporated into a baculoviral vector. PCR is performed on the cDNA from Example 14 using forward (TRO41)(SEQ ID No: 120) and reverse (TR042) (SEQ ID No: 121) primers. The resulting PCR product is digested with the restriction enzymes EcoRI and XhoI. The digested PCR product is ligated with a EcoRI and XhoI digested pENTR TM Vector (Invitrogen), such as any one of the pENTRT1A, pENTR T 2B, pENTRTM3C, pENTRT4, or pENTRTM11Vectors, to yield an entry vector. The product is then isolated, amplified, and purified using standard molecular biology techniques.

[02221 A baculoviral vector containing the murine TNFR1 A7 cDNA is generated by homologous recombination of the entry vector with BaculoDirectTM Linear DNA (Invitrogen) using LR ClonaseTM (Invitrogen) according to the manufacturer's directions. The reaction mixture is then used to infect Sf9 cells to generate recombinant baculovirus. After harvesting the recombinant baculovirus, expression of murine TNFRI A7 is confirmed. Amplification of the recombinant baculovirus yields a high-titer viral stock. The high-titer viral stock is used to infect Sf9 cells, thereby expressing murine TNFR1 A7 protein. Example 30 Generation of Adeno-Associated viral vectors for the expression of Murine TNFR1 A7

[02231 For in vitro or in vivo delivery to mammalian cells of the murine TNFR1 A7 gene for expression in those mammalian cells, a recombinant adeno-associated virus (rAAV) vector is generated using a three plasmid transfection system as described in Grieger, J., et al., 2006, Nature Protocols 1:1412. PCR is performed on the purified murine TNFR1 A7 PCR product of Example 13, using forward (TR043)(SEQ ID No: 122) and reverse (TR044)(SEQ ID No: 123) primers to introduce unique flanking NotI restriction sites. The resulting PCR product is digested with the NotI restriction enzyme, and isolated by standard molecular biology techniques. The NotI-digested fragment is then ligated to NotI-digested pTR-UF2 (University of North Carolina (UNC) Vector Core Facility), to create a plasmid that contains the murine TNFRI A7 open reading frame, operably linked to the CMVie promoter, flanked by inverted terminal repeats. The resulting plasmid is then transfected with the plasmids pXX680 and pHelper (UNC Vector Core Facility) into HEK-293 cells, as described in Grieger, J., et al., to produce rAAV particles containing the murine TNFR1 A7 gene where expression is driven by the strong constitutive CMVie promoter. The virus particles are harvested and purified, as described in Grieger, J., et al., to provide an rAAV stock suitable for transducing mammalian cells.

Example 31 Generation of Lentiviral vectors for the expression of TNFR A7

[02241 For in vitro or in vivo delivery to mammalian cells of a TNFR A7 gene for expression in those mammalian cells, a replication-incompetent lentivirus vector is generated. A PCR product from Example 16, Example 19, Example 24 or Example 27 and the pLenti6N5-D-TOPO@ vector (Invitrogen) are blunt-end ligated according to the manufacturer's directions. The resulting plasmid is transformed into E. coli, amplified, and purified using standard molecular biology techniques. This plasmid is transfected into 293FT cells (Invitrogen) according to the manufacturer's directions to produce lentivirus particles containing the TNFR A7 gene where expression is driven by the strong constitutive CMVie promoter. The virus particles are harvested and purified, as described in Tiscornia, G., et al., 2006, Nature Protocols 1:241, to provide a lentiviral stock suitable for transducing mammalian cells. Example 32 Expression of TNFR2 A7 in Mammalian Cells

[02251 The plasmids generated in Example 15 and Example 23 were used to express active protein in mammalian HeLa cells, and the resulting proteins were tested for anti-TNF a activity. HeLa cells were seeded in at 1.0 x 105 cells per well in 24-well plates in SMEM media containing L-glutamine, gentamicin, kanamycin, 5% FBS and 5% HS. Cells were grown overnight at 37C in a 5%CO 2 humidified atmosphere. Approximately 250 ng of plasmid DNA was added to 50pL of OPTI-MEMTM, and then 50 iL LipofectamineTM 2000 mix (1 part LipofectamineTM 2000 to 25 parts OPTI-MEMTM)was added and incubated for minutes. Then 400 iL of serum free media was added and then applied to the cells in the 24-well plates. After incubation for -48 hrs at 37C in a 5%CO 2 humidified atmosphere, the media was collected and the cells were harvested in 800 iL TRI-ReagentTM. Total RNA was isolated from the cells per the manufacturer's directions and analyzed by RT-PCR using the forward primer TR47 (SEQ ID No: 84) and the reverse primer TR048 (SEQ ID No: 85) for human TNFR2 A7, or the forward primer TR045 (SEQ ID No: 112) and the reverse primer TR046 (SEQ ID No: 113) for mouse TNFR2 A7. The concentration of soluble TNFR2 in the media was measured by ELISA.

[02261 The anti-TNF-a activity of the above media was tested in an L929 cytotoxicity assay. L929 cells were plated in 96-well plates at 2 x 104 cells per well in MEM media containing 10% regular FBS, penicillin and streptomycin and grown overnight at 37C in a %CO 2 humidified atmosphere. The media samples were diluted 1, 2, 4, 8 and 16 fold with media from non-transfected HeLa cells. Ninety RL of each of these samples was added to 10

) L of serum-free media, containing 1.0 ng/ml TNF-a and 1I g/ml of actinomycin D. The media from the cells were removed and replaced with these 100 pL samples. The cells were then grown overnight at 37°C in a 5% CO 2 humidified atmosphere. Twenty tL CellTiter 96@ AQ®eous One Solution Reagent (Promega) was then added to each well. Cell viability was measured 4 hrs later by measuring absorbance at 490 nm with a microplate reader. Cell viability was normalized to untreated cells nd plotted as a function of TNF antagonist concentration (FIG. 17).

[0227] The data from this example and from Example 9 were analyzed using the GraphPad Prism@ software to determine the EC5 0 value for each antagonist. For each antagonist from these examples a sigmoidal dose-response curve was fit by non-linear regression with the maximum and minimum responses held fixed to 100% and 0%, respectively. The ECso values shown in Table 5 correspond to a 95% confidence level, and each curve had an r2 value ranging from 0.7 to 0.9. Table 5: Activity of TNF-a antagonists TNF-a Antagonist E5

Etanercept 1.1 ±0.5 Recombinant soluble TNFR2 (rsTNFR2) 698 ±180 SSO 3305 treated mice serum (mouse TNFR2 A7) 0.6 0.2 SSO 3274 treated mice serum (mouse TNFR2 A7) 0.8 0.3 Extracellular media from 1144-4 transfected HeLa cells (mouse TNFR2 A7) 2.4:1.4 Extracellular media from 1145-3 transfected HeLa cells (mouse TNFR2 A7) 2.4 0.8 Extracellular media from 1230-1 transfected HeLa cells (human TNFR2 A7) 1.41 1.1 Extracellular media from 1319-1 transfected HeLa cells (human TNFR2 A7) 1.7 1.0 Extracellular media from 1138-5 transfected HeLa cells (human TNFR2 A7) 1.8 + 1.1 Example 33 Expression and Purification of TNFR2 A7 in Mammalian Cells

[02281 The plasmids generated in Example 15 and Example 23 were used to express and purify TNFR2 A7 from mammalian HeLa cells. HeLa cells were plated in 6-well plates at 5 x 105 cells per well, and grown overnight at 37°C, 5% CO2 , in humidified atmosphere. Each

well was then transfected with 1.5 pg of plasmid DNA using either 1144-4 (mouse TNFR2 A7 with His-tag), 1145-1 (mouse TNFR2 A7, no His-tag), 1230-1 (human TNFR2 A7, no His-tag) or 1319-1 (human TNFR2 A7 with His-tag) plasmids. Media was collected -48 hrs after transfection and concentrated approximately 40-fold using Amicon MWCO 30,000 filters. The cells were lysed in 120 L of RIPA lysis buffer (Invitrogen) with protease inhibitors (Sigma-aldrich) for 5 minutes on ice. Protein concentration was determined by the

Bradford assay. Proteins were isolated from aliquots of the cell lysates and the extracellular media and analyzed by western blot for TNFR2 as described in Example 1 (FIG. 18). 102291 Human and mouse TNFR2 A7 with a His-tag (clones 1319-1 and 1144-4, respectively) were purified from the above media by affinity chromatography. HisPurTM cobalt spin columns (Pierce) were used to purify mouse and human TNFR2 A7 containing a His-tag from the above media. Approximately 32 mL of media were applied to a I mL HisPurTMcolumn equilibrated with 50 mM sodium phosphate, 300 mM sodium chloride, 10 mM imidazole buffer (pH 7.4) as recommended by the manufacturer. The column was then washed with two column volumes of the same buffer and protein was eluted with 1 mL of 50 mM sodium phosphate, 300 mM sodium chloride, 150 mM imidazole buffer (pH 7.4). Five tL of each eluate were analyzed by Western blot as described above (FIG. 19). TNFR2 A7 appears in the eluate and the multiple bands represent variably glycosylated forms of TNFR2 A7. As negative controls, the TNFR2 A7 proteins expressed from plasmids 1230-1 or 1145-1 which do not contain a His-tag where subjected to the above purification procedure. These proteins do'not bind the affinity column and do not appear in the eluate (FIG. 19).

Claims (56)

1. Claims: - 1. An isolated protein capable of binding tumor necrosis factor (TNF), said protein having a sequence comprising the amino acids encoded by a cDNA derived from a mammalian tumor necrosis factor receptor (TNFR) gene, wherein the cDNA comprises in 5' to 3' contiguous order, the codon encoding the first amino acid after the cleavage point of the signal sequence of said gene through exon 6 of said gene and exon 8 of said gene through exon 10 of said gene; or the codon encoding the first amino acid of the open reading frame of said gene through exon 6 of said gene and exon 8 of said gene through exon 10 of said gene.
2. 2. The protein of claim 1, wherein said TNF is TNF-a.
3. 3. The protein of claim 1, wherein said protein contains at least one processing, chemical, or post-translational modification, and wherein said modification is selected from the group consisting of acetylation, acylation, amidation, ADP-ribosylation, glycosylation, methylation, pegylation, prenylation, phosphorylation, or cholesterol conjugation.
4. 4. The protein of claim 1, wherein said receptor is TNFR1.
5. 5. The protein of claim 4, wherein said receptor is human TNFR1.
6. 6. The protein of claim 1, wherein said receptor is TNFR2.
7. 7. The protein of claim 6, wherein said receptor is human TNFR2.
8. 8. The protein of claim 1, wherein the sequence of said protein comprises a sequence selected from the group consisting of SEQ ID No: 6, amino acids 30-417 of SEQ ID No: 6, SEQ ID No: 8, amino acids 30-416 of SEQ ID No: 8, SEQ ID No: 10, amino acids 23-435 of SEQ ID No: 10, SEQ ID No: 12, and amino acids 23-448 of SEQ ID No: 12.
9. 9. A pharmaceutical composition comprising the protein of any one of claims 1-8, in admixture with a pharmaceutically acceptable carrier.
10. 10. A composition comprising the purified protein of any one of claims 1-8.
11. 11. A method of treating an inflammatory disease or condition which comprises administering the pharmaceutical composition of claim 9 to a subject for a time and in an amount effective to reduce the activity of TNF.
12. 12. The method of claim 11, wherein said disease or condition is selected from the group consisting of rheumatoid arthritis, juvenile rheumatoid arthritis, psoriasis, psoriatic arthritis, ankylosing spondylitis, inflammatory bowel disease (Crohn's disease or ulcerative colitis), hepatitis associated with hepatitis A virus, hepatitis associated with hepatitis B virus, hepatitis associated with hepatitis C virus, hepatitis associated with ischemia/reperfusion, sepsis, alcoholic liver disease, and non-alcoholic steatosis.
13. 13. An isolated nucleic acid derived from a mammalian tumor necrosis factor receptor (TNFR) gene and encoding a protein capable of binding tumor necrosis factor (TNF), wherein the cDNA of said protein comprises in 5' to 3' contiguous order, the codon encoding the first amino acid after the cleavage point of the signal sequence of said gene through exon 6 of said gene and exon 8 of said gene through exon 10 of said gene; or the codon encoding the first amino acid of the open reading frame of said gene through exon 6 of said gene and exon 8 of said gene through exon 10 of said gene.
14. 14. The nucleic acid of claim 13, wherein said receptor is TNFR1.
15. 15. The nucleic acid of claim 14, wherein said receptor is human TNFR1.
16. 16. The nucleic acid of claim 13, wherein said receptor is TNFR2.
17. 17. The nucleic acid of claim 16, wherein said receptor is human TNFR2.
18. 18. The nucleic acid of claim 13, wherein the sequence of said protein comprises a sequence selected from the group consisting of SEQ ID No: 6, amino acids 30-417 of SEQ ID No: 6, SEQ ID No: 8, amino acids 30-416 of SEQ ID No: 8, SEQ ID No: 10, amino acids 23-435 of SEQ ID No: 10, SEQ ID No: 12, and amino acids 23-448 of SEQ ID No: 12.
19. 19. The nucleic acid of claim 16, wherein the sequence of said nucleic acid comprises a sequence selected from the group consisting of nucleotides 1-1251 of SEQ ID No: 5, nucleotides 88-1251 of SEQ ID No: 5, nucleotides 1-1248 of SEQ ID No: 7, nucleotides 88 1248 of SEQ ID No: 7, nucleotides 1-1305 of SEQ ID No: 9, nucleotides 67-1305 of SEQ ID No: 9, nucleotides 1-1344 of SEQ ID No: 11, and nucleotides 67-1344 of SEQ ID No: 11.
20. 20. An expression vector comprising the nucleic acid of any one of claims 13-19 operably linked to a regulatory sequence.
21. 21. A method of increasing the level of a TNF antagonist in a mammal which comprises transforming cells of said mammal with the expression vector of claim 20 to thereby express said TNF antagonist, wherein said vector drives expression of said TNFR.
22. 22. The method of claim 21, wherein said mammal is a human.
23. 23. The method of claim 22, wherein said human is an individual having an inflammatory disease or condition.
24. 24. The method of claim 21, wherein said expression vector is a plasmid, or a virus.
25. 25. The method of claim 21, wherein said cells are transformed in vivo.
26. 26. The method of claim 21, wherein said cells are transformed ex vivo.
27. 27. The method of claim 21, wherein said expression vector comprises a tissue specific promoter.
28. 28. The method of claim 27, wherein said tissue specific promoter is derived from a hepatocyte or a macrophage.
29. 29. The method of claim 21, wherein said cells are selected from the group consisting of hepatocytes, hematopoietic cells, spleen cells, and muscle cells.
30. 30. A cell transformed with the expression vector of claim 20.
31. 31. The cell of claim 30, wherein said cell is a mammalian cell, an insect cell, or a microbial cell.
32. 32. A process for producing a protein capable of binding tumor necrosis factor (TNF) which comprises culturing the cell of claim 30 under conditions suitable to express said protein, and recovering said protein.
33. 33. The process of claim 32, wherein said cell is a mammalian cell, an insect cell, or a microbial cell.
34. 34. A pharmaceutical composition comprising the nucleic acid of any one of claims 13-19, in admixture with a pharmaceutically acceptable carrier.
35. 35. A method of treating an inflammatory disease or condition which comprises administering the expression vector of claim 20 to a subject for a time and in an amount sufficient to reduce TNF activity.
36. 36. The method of claim 35, wherein said TNF activity is TNF-a activity.
37. 37. The method of claim 35, wherein said disease or condition is selected from the group consisting of rheumatoid arthritis, juvenile rheumatoid arthritis, psoriasis, psoriatic arthritis, ankylosing spondylitis, inflammatory bowel disease (Crohn's disease or ulcerative colitis), hepatitis associated with hepatitis A virus, hepatitis associated with hepatitis B virus, hepatitis associated with hepatitis C virus, hepatitis associated with ischemia/reperfusion, sepsis, alcoholic liver disease, and non-alcoholic steatosis.
38. 38. A method of treating an inflammatory disease or condition which comprises administering one or more splice switching oligomers (SSOs) to a subject for a time and in an amount to reduce the activity of TNF, wherein said one or more SSOs are capable of altering the splicing of a pre-mRNA encoding a mammalian tumor necrosis factor receptor 2 (TNFR2) to increase production of a protein capable of binding tumor necrosis factor (TNF), wherein said protein has a sequence comprising the amino acids encoded by a cDNA derived from a gene for said receptor, wherein the cDNA comprises in 5' to 3' contiguous order, the codon encoding the first amino acid after the cleavage point of the signal sequence of said gene through exon 6 of said gene and exon 8 of said gene through exon 10 of said gene; or the codon encoding the first amino acid of the open reading frame of said gene through exon 6 of said gene and exon 8 of said gene through exon 10 of said gene.
39. 39. The method of claim 38, wherein said receptor is a human TNFR2.
40. 40. The method of claim 38, wherein said disease or condition is selected from the group consisting of rheumatoid arthritis, juvenile rheumatoid arthritis, psoriasis, psoriatic arthritis, ankylosing spondylitis, inflammatory bowel disease (Crohn's disease or ulcerative colitis), hepatitis associated with hepatitis A virus, hepatitis-associated with hepatitis B virus, hepatitis associated with hepatitis C virus, hepatitis associated with ischemia/reperfusion, sepsis, alcoholic liver disease, and non-alcoholic steatosis.
41. 41. The method of claim 39, wherein the sequence of said SSO comprises at least 8 nucleotides which are complementary to a contiguous sequence from SEQ ID No: 13.
42. 42. The method of claim 41 wherein the sequence of said SSO comprises a sequence selected from the group consisting of SEQ ID Nos: 14, 30, 46, 70, 71, 72, and 73, and subsequences thereof at least 8 nucleotides.
43. 43. The method of claim 42, wherein the sequence of said SSO comprises a sequence selected from the group consisting of SEQ ID Nos: 14-61.
44. 44. The method of claim 38, wherein said administration is parenteral, topical, oral, rectal, or pulmonary.
45. 45. A method of increasing the production of a protein capable of binding tumor necrosis factor (TNF), in a cell, which comprises administering one or more splice switching oligomers (SSOs) to said cell, wherein said protein has a sequence comprising the amino acids encoded by a cDNA derived from a mammalian tumor necrosis factor receptor 2 (TNFR2) gene, wherein the cDNA comprises in 5' to 3' contiguous order, the codon encoding the first amino acid after the cleavage point of the signal sequence of said gene through exon 6 of said gene and exon 8 of said gene through exon 10 of said gene; or the codon encoding the first amino acid of the open reading frame of said gene through exon 6 of said gene and exon 8 of said gene through exon 10 of said gene, and wherein said one or more SSOs are capable of altering the splicing of a pre-mRNA encoding said receptor to increase production of said protein.
46. 46. The method of claim 45, wherein said method is performed in vivo.
47. 47. The method of claim 45, wherein said receptor is a human TNFR2.
48. 48. The method of claim 47, wherein said SSO comprises at least 8 nucleotides, which are complementary to a contiguous sequence from SEQ ID No: 13.
49. 49. The method of claim 48, wherein the sequence of said SSO comprises a sequence selected from the group consisting of SEQ ID Nos: 14, 30, 46, 70, 71, 72, and 73, and subsequences thereof at least 8 nucleotides.
50. 50. The method of claim 49, wherein the sequence of said SSO comprises a sequence selected from the group consisting of SEQ ID Nos: 14-61.
51. 51. A splice switching oligomer (SSO) comprising at least 8 nucleotides, said SSO capable of altering the splicing of a pre-mRNA encoding a mammalian tumor necrosis factor receptor 2 (TNFR2) to produce a protein capable of binding tumor necrosis factor (TNF), wherein said protein has a sequence comprising the amino acids encoded by a cDNA derived from a gene for said receptor, wherein the cDNA comprises in 5' to 3' contiguous order, the codon encoding the first amino acid after the cleavage point of the signal sequence of said gene through exon 6 of said gene and exon 8 of said gene through exon 10 of said gene; or the codon encoding the first amino acid of the open reading frame of said gene through exon 6 of said gene and exon 8 of said gene through exon 10 of said gene.
52. 52. The SSO of claim 51, wherein said receptor is a human TNFR2.
53. 53. The SSO of claim 52, which comprises at least 8 nucleotides which are complementary to a contiguous sequence from SEQ ID No: 13.
54. 54. The SSO of claim 53, wherein the sequence of said SSO comprises a sequence selected from the group consisting of SEQ ID Nos: 14, 30, 46, 70, 71, 72, and 73, and subsequences thereof at least 8 nucleotides.
55. 55. The SSO of claim 54, wherein the sequence of said SSO comprises a sequence selected from the group consisting of SEQ ID Nos: 14-61.
56. 56. A pharmaceutical composition comprising the SSO of claim 51 and a pharmaceutically acceptable carrier.