AU739063B2 - A method of treatment and prophylaxis - Google Patents

Description

WO 98/27996 PCT/AU97/00880 -1- A METHOD OF TREATMENT AND PROPHYLAXIS FIELD OF THE INVENTION The present invention relates generally to a method for controlling fertility and/or modulating the maintenance of pregnancy in animals. The present invention further provides an animal model useful for screening for therapeutic agents to treat infertility, to prevent or reduce spontaneous abortion and/or as contraceptive agents in animals.

Bibliographic details of the publications numerically referred to in this specification are collected at the end of the description. Sequence Identity Numbers (SEQ ID Nos.) for the nucleotide and amino acid sequences referred to in the specification are defined following the bibliography.

BACKGROUND OF THE INVENTION The increasing sophistication of recombinant DNA technology is greatly facilitating research and development in the medical and allied health fields. A particularly important area of research involves cytokines and growth factors and their putative roles in fertility, birth control and pregnancy maintenance in humans and animals.

Approximately one third of normal human pregnancies end in spontaneous abortion and about one fifth of these during the very early stages of pregnancy. In the animal and livestock industry, spontaneous abortion is a major economic consideration. There is a need, therefore, to further investigate the basis behind spontaneous abortion and to develop appropriate therapeutic means for reducing its occurrence. There is also a need to investigate ways of improving the fertility rates of animals and to treat infertility in males and females. In work leading up to the present invention, the inventors investigated the role of IL- 11 in fertility and pregnancy.

Interleukin(IL)-ll (IL-11) is a cytokine with many biological actions It was originally cloned based on its ability to stimulate proliferation of a murine IL-6 dependent plasmacytoma cell line and to inhibit adipogenesis Within the hematopoietic system, IL-11 actions WO 98/27996 PCT/AU97/00880 -2include stimulation of multipotential progenitors and effects on erythropoiesis megakaryopoiesis and B lymphocyte maturation IL-11 also stimulates acute phase protein synthesis regulates neuronal differentiation and acts in osteoclast development In vivo, IL-11 has been demonstrated to stimulate multilineage hematopoietic reconstitution and enhance recovery of intestinal epithelial cells and spermatogenesis after cytotoxic therapy (11, 12, 13).

Many of the activities of IL-11 are shared with other cytokines including IL-6, leukemia inhibitory factor (LIF), ciliary neurotrophic growth factor (CNTF) and oncostatin M (OSM) (12, 14, 15, 16, 17). These cytokines elicit their actions by binding to multi-subunit receptor complexes expressed on the surface of target cells and their overlapping biological functions may, in part, be attributable to the sharing of receptor subunits. The receptors involved in the formation of these complexes are members of the hematopoietin receptor family. Particular receptor subunits, the LIF receptor a-chain and gpl30, which are components of several receptors (16) are also involved. IL-6, for example, binds with low affinity to its specific a-chain and with high affinity to this a-chain together with two gpl30 subunits Similarly, IL-11 binds to the interleukin-11 receptor a-chain (IL-1 IRa) with low affinity and to a complex of IL- 1 IRa and gpl30 with high affinity (19, The inventors have previously cloned cDNA encoding the IL-1 IRa chain and in accordance with the present invention, the inventors have now created mice in which the low affinity IL-11 receptor (IL-1 IRa) gene has been disrupted thereby ablating IL-11 signalling in the tissues of these mice. Surprisingly, the mice exhibited infertility. The present invention provides, therefore, a method for modulating fertility and pregnancy as well as a method for treating individuals with altered levels of IL-11, IL-1 IRa or altered IL-11-receptor interaction.

SUMMARY OF THE INVENTION Throughout this specification, unless the context requires otherwise, the word "comprise", or variations such as "comprises" or "comprising", will be understood to imply the inclusion of a stated element or integer or group of elements or integers but not the exclusion of any other WO 98/27996 PCT/AU97/00880 -3element or integer or group of elements or integers.

One aspect of the present invention contemplates a method for modulating fertility in an animal, said method comprising administering to said animal an effective amount of IL- 1 or a functional derivative or homologue thereof or an effective amount of an agonist or antagonist of interaction between IL-11 and IL-1IRa.

In a related aspect, the present invention provides a method for modulating fertility in an animal, said method comprising modulating the levels of expression of the gene encoding IL-11 and/or its receptor.

Another aspect of the present invention contemplates a method of enhancing fertility and/or maintenance of a pregnancy in a female animal, said method comprising administering to said female animal an effective amount of IL- 11 or a functional derivative or homologue thereof or an agonist thereof for a time and under conditions sufficient for a pregnancy to proceed past the early post-implantation stage.

In a related aspect, the present invention relates to a method of enhancing fertility and/or maintenance of a pregnancy in a female animal, said method comprising modulating the levels of expression of the gene encoding IL-11 and/or its receptor for a time and under conditions sufficient for a pregnancy to proceed past the early post-implantation stage.

Yet another aspect of the present invention provides a method of enhancing fertility in a male animal, said method comprising administering to said male animal, an effective amount of IL-11 or a functional derivative or homologue thereof or an agonist thereof.

In a related aspect, the present invention is directed to a method of enhancing fertility in a male animal, said method comprising modulating the levels of expression of the gene encoding IL- 11 and/or its receptor.

Still yet another aspect of the present invention provides a method of decreasing fertility or WO 98/27996 PCT/AU97/00880 -4promoting termination of a pregnancy in a female animal, said method comprising administering to said female animal an effective amount of an antagonist of IL-11 or IL-11- receptor interaction.

In a related aspect, the present invention contemplates a method of decreasing fertility or promoting termination of a pregnancy in a female animal, said method comprising modulating the levels of expression of the gene encoding IL-11 and/or its receptor.

A further aspect of the present invention contemplates a method of decreasing fertility in a male animal, said method comprising administering to said male animal an effective amount of an antagonist of IL-11 or IL-11-receptor interaction.

In a related aspect, the present invention provides a method of decreasing fertility in a male animal, said method comprising modulating the levels of expression of the gene encoding IL-11 and/or its receptor.

Another aspect of the present invention contemplates an animal model comprising a mutation in at least one allele for IL-11 and/or IL-11 Ra.

BRIEF DESCRIPTION OF THE FIGURES Figure 1 is a diagrammatic representation showing disruption of the IL-11Ra locus by homologous recombination. Genomic organization of the murine IL-1 IRa locus encoded by genomic phage clone X 11.4 is shown, the exons indicated as boxes and numbered, and coding regions shown in black. Dashed lines indicate parts of locus IL-11 Ra2 that are not homologous with locus IL-11Ra. Restriction enzyme sites for locus IL-11Ra and IL-11Ra2 are indicated.

Sites unique to a particular locus are shown in bold. EcoRI BamHI SacI HindIII and SphI Shown below is the targeting vector containing the 5' and 3' homology regions and the cDNA encoding neomycin transferase (NEO) and thymidine kinase (TK) and the recombinant IL-1 iRa locus. Location on the endogenous IL-1 lRa locus of the probe used in Southern screening of embryonic stem cells and tail biopsies and the expected sizes of the WO 98/27996 PCT/AU97/00880 endogenous IL-11 Ra (3.4 kb), targeted IL-11Ra (5.2 kb) and endogenous IL-11Ra2 (4.0 kb) loci after EcoRI restriction digest are indicated.

Figure 2 is a photographic representation of a Southern analysis of EcoRI digested genomic DNA extracted from tails of mice derived from a cross between heterozygous mice resulting in heterozygous, homozygous and wild type mice. Sizes of the endogenous IL-11 Ra (3.4 kb) and the targeted IL-1 IRa (5.2 kb) loci are indicated, as is the band for the endogenous IL-1 lRa2 locus (4.0 kb).

Figure 3 is a photographic representation of a Northern analysis of poly(A)+ mRNA extracted from kidneys of heterozygous homozygous and wild type mice. The blot was initially examined with a probe encoding the deleted region of the IL- 11Ra locus (Panel then with a probe situated in the locus 5' of the deleted region (Panel and finally with a rat glyceraldehyde-3-phosphate dehydrogenase probe (GAPDH) to compare mRNA loading (Panel Also indicated is the size of the expected mRNA transcript (1.8 kb) in the heterozygous and wild type organs.

Figure 4 is a photographic representation showing pregnant uteri of normal (left panels) and IL11Ra-/- mice (right panels) at 4.5-7.5 d.p.c. showing the reduced size of the decidual swellings in IL11Ra-/- mice. a,b, 4.5 d.p.c. c,d, 5.5 d.p.c. e,f 6.5 d.p.c. g,h, 7.5 d.p.c. Mice were injected with Chicago Sky Blue dye 5 minutes prior to collecting the 4.5 and 5.5 d.p.c. specimens in order to visualise the implantation sites. The blue dye reaction is reduced in the IL1Ra-/- specimens.

Figure 5 is a photographic representation showing decidual transformation of uteri of normal and IL11Ra-/- mice and 9.5 d.p.c. placental tissues. a,b, Sections of WT and IL11Ra-/- (b) d.p.c. uteri showing the reduced secondary decidual response to the implanting blastocyst in the IL11Ra-/- uterus. c,d, 5.5 d.p.c. WT and IL1Ra-/- uteri. e,f Low power view of WT and IL11Rt-/- uteri at 6.5 d.p.c. The IL1Ra-/- uterus shows reduced decidual size, with hemorrhage in the uterine lumen, g, IL11Ra-/- uterus at 7.5 showing destruction of the abnormal decidua. h, High power view of a IL11Ra-/- decidua at 7.5 d.p.c., demonstrating disruption of the antimesometrial decidua and the absence of mesometrial WO 98/27996 PCT/AU97/00880 -6decidualization. An intact 7.5 d.p.c. embryo is present. i, IL11Ra-/- 7 d.p.c. deciduum, demonstrating the overgrowth of giant trophoblast cells in the mesometrial port of the deciduum.

j, RNA in situ hybridisation was performed on a section of a 7.5 d.p.c. IL11Ra decidua, using a probe for the giant-cell marker placental lactogen-1. Bright-field images of adjacent sections probed with left, sense, and right antisense probes. Counterstained with Mayers haematoxylin.

k1, 9.5 d.p.c. WT and IL1Ra-/- placentas showing the absence of maternal decidual cells and the increased numbers of giant cells in the IL uterus. 1: labrynthine trophoblast, s: spongiotrophoblast, g: giant cells, ma: maternal decidua. a-i, k, 1, Haematoxylin and eosin stain.

Scale bars: a, b, 20gm, c,d, 4 0gm, e-g, 200gm, h,j, 50 gm.

Figure 6 is a graphical representation showing oil-induced deciduoma formation in pseudopregnant IL11Ra-/- and control uteri. Wet weight of single uterine horns from IL11Ra-/and control (IL11Ra-/-, C) mice. Mice were mated with pseudopregnant males and, at were anaesthetised and one uterine horn was injected with 25 l1 of sesame oil whilst the contralateral horn was used as a control. In some experiments progesterone was administered as described in the Examples. Results are shown as the mean and standard deviation of the weight of between 8 and 23 uterine horns. IL1Ra-/- oil-injected horns vs control oil-injected horns, with or without progesterone administration p<0.001 (Student's t-test).

Figure 7 is a photographic representation of gene expression in virgin and 0.5-9.5 d.p.c. uteri of C57BL/6 females and in oil-induced deciduomata. RNase protection analysis of gene expression in the uterus during the estrus cycle and from 0.5-9.5 d.p.c. 7.5-9.5 d.p.c. samples were divided into decidua embryo and uterus Numbers refer to days post coitum.

C: control, P: proestrus, OE: estrus, M: metestrus, Probe: full length probe, t-RNA: probe after RNase digestion. The lower band in the LIF panel is a partially degraded transcript. In the LIFRa panel the asterisk indicates the protected band corresponding to the full length transcript and the arrowhead indicates the protected band corresponding to the soluble form of the LIFRa.

Control samples: IL-11: testis, LIF: STO cells, ILl Ra: kidney, gpl30: liver, LIFRa: liver, Actin: testis. b, RNase protection analysis of IL-11 gene expression in RNA prepared from deciduomata induced by injection of oil into pseudopregnant uteri of C57BL/6 mice. Numbers refer to days post coitum. Asterisk: undigested full length probe. Arrowhead: protected WO 98/27996 PCT/AU97/00880 -7fragment.

DETAILED DESCRIPTION OF THE PREFERRED

EMBODIMENTS

One aspect of the present invention contemplates a method for modulating fertility in an animal, said method comprising administering to said animal an effective amount of IL-il or a functional derivative or homologue thereof or an effective amount of an agonist or antagonist of interaction between IL-l1 and IL-i IRa.

In a related aspect, the present invention provides a method for modulating fertility in an animal, said method comprising modulating the levels of expression of the gene encoding IL- 11 and/or its receptor.

Reference herein to "animals" includes humans, primates, livestock animals (eg. horses, cattle, sheep, pigs, goats), companion animals (eg. dogs, cats), laboratory test animals (eg. mice, rats, guinea pigs) and captive wild animals (eg. deer, foxes, kangaroos).

The present invention is predicated in part on the surprising finding that IL-l, its receptor and/or the IL- I-receptor complex and/or other downstream signalling molecules are required for fertility and the maintenance of pregnancy. In female animals, normal IL- 11 function is required for uterine decidual reaction which occurs post-implantation. Where a normal uterine decidual reaction does not occur, a pregnancy is aborted during the early post-implantation period, before the development of the chorioallantoic placenta. In male animals IL- I function is required for normal spermatogenesis to occur.

The term "modulates" encompasses up-regulating or down-regulating fertility or the maintenance of a pregnancy. Accordingly, the present invention is applicable for facilitating fertility and pregnancy maintenance as well as fertility control and induction of abortion such as may be required in life threatening situations for a pregnant female. The ability to control fertility and pregnancy is also important for animal breeding such as in the horse industry and livestock animal industry. The present invention is applicable to modulating fertility in both female and male WO 98/27996 PCT/AU97/00880 -8animals and, hence, is useful for birth control in females and males. The present invention is also applicable to fertility and pregnancy control in vermin animals such as but not limited to rodents, foxes, bats, rabbits, mice and rats.

Accordingly, another aspect of the present invention contemplates a method of enhancing fertility and/or maintenance of a pregnancy in a female animal, said method comprising administering to said female animal an effective amount of IL-I I or a functional derivative or homologue thereof or an agonist thereof for a time and under conditions sufficient for a pregnancy to proceed past the early post-implantation stage.

In a related aspect, the present invention relates to a method of enhancing fertility and/or maintenance of a pregnancy in a female animal, said method comprising modulating the levels of expression of the gene encoding IL-l1 and/or its receptor for a time and under conditions sufficient for a pregnancy to proceed past the early post-implantation stage.

In a further related embodiment, the present invention provides a method of enhancing fertility in a male animal, said method comprising administering to said male animal, an effective amount of IL- 1 or a functional derivative or homologue thereof or an agonist thereof.

In a related aspect, the present invention is directed to a method of enhancing fertility in a male animal, said method comprising modulating the levels of expression of the gene encoding IL-I 1 and/or its receptor.

IL- i or its functional derivatives or homologues may also be simultaneously or sequentially coadministered with one or more other cytokines such as but not limited to LIF, CNTF, IL-6 and/or OSM or their functional derivatives or homologues.

Another aspect of the present invention provides a method of decreasing fertility or promoting termination of a pregnancy in a female animal, said method comprising administering to said female animal an effective amount of an antagonist of IL- 1I or IL- I- receptor interaction.

WO 98/27996 PCT/AU97/00880 -9- In a related aspect, the present invention contemplates a method of decreasing fertility or promoting termination of a. pregnancy in a female animal, said method comprising modulating the levels of expression of the gene encoding IL- and/or its receptor.

A further aspect of the present invention contemplates a method of decreasing fertility in a male animal, said method comprising administering to said male animal an effective amount of an antagonist of IL-11 or IL-l1-receptor interaction.

In a related aspect, the present invention provides a method of decreasing fertility in a male animal, said method comprising modulating the levels of expression of the gene encoding IL-i11 and/or its receptor.

Where a female animal is pregnant, termination would normally occur early post-implantation, prior to development of the chorioallantoic placenta. Preferably, IL-11 or IL-11Ra expression or interaction is modulated to an extent to affect decidualization. For example, down-regulation of IL-il or IL- 11Ra or inhibiting interaction between IL- 1 and IL-11Ra would facilitate defective decidualization.

The term "derivatives" as it applies to IL- 11, its receptor and other cytokines and their receptors includes parts, fragments, portions, analogues and homologues. The derivatives may comprise single or multiple amino acid substitutions, deletions and/or additions. Agonists or antagonists may be derived from a target molecule (eg. IL- 1i or its receptor) or may be a chemical molecule identified, for example, following natural product screening or screening of other chemical entities. Reference to "functional" molecules means that the molecules (eg. IL-11 or IL- 1IRa) retain the ability to act in a manner for which they are normally associated. For example, a functional IL-1 or IL-11 Ra would retain IL- 11-mediated signalling function.

The term "analogues" includes, but is not limited to, modification to side chains, incorporating of unnatural amino acids and/or their derivatives during peptide, polypeptide or protein synthesis and the use of crosslinkers and other methods which impose conformational constraints on the proteinaceous molecule or their analogues.

WO 98/27996 PCT/AU97/00880 Examples of side chain modifications contemplated by the present invention include modifications of amino groups such as by reductive alkylation by reaction with an aldehyde followed by reduction with NaBH 4 amidination with methylacetimidate; acylation with acetic anhydride; carbamoylation of amino groups with cyanate; trinitrobenzylation of amino groups with 2, 4, 6-trinitrobenzene sulphonic acid (TNBS); acylation of amino groups with succinic anhydride and tetrahydrophthalic anhydride; and pyridoxylation of lysine with phosphate followed by reduction with NaBH 4 The guanidine group of arginine residues may be modified by the formation of heterocyclic condensation products with reagents such as 2,3-butanedione, phenylglyoxal and glyoxal.

The carboxyl group may be modified by carbodiimide activation via O-acylisourea formation followed by subsequent derivitisation, for example, to a corresponding amide.

Sulphydryl groups may be modified by methods such as carboxymethylation with iodoacetic acid or iodoacetamide; performic acid oxidation to cysteic acid; formation of a mixed disulphides with other thiol compounds; reaction with maleimide, maleic anhydride or other substituted maleimide; formation of mercurial derivatives using 4 -chloromercuribenzoate, 4chloromercuriphenylsulphonic acid, phenylmercury chloride, 2 -chloromercuri-4-nitrophenol and other mercurials; carbamoylation with cyanate at alkaline pH.

Tryptophan residues may be modified by, for example, oxidation with N-bromosuccinimide or alkylation of the indole ring with 2 -hydroxy-5-nitrobenzyl bromide or sulphenyl halides.

Tyrosine residues on the other hand, may be altered by nitration with tetranitromethane to form a 3 -nitrotyrosine derivative.

Modification of the imidazole ring of a histidine residue may be accomplished by alkylation with iodoacetic acid derivatives or N-carbethoxylation with diethylpyrocarbonate.

Examples of incorporating unnatural amino acids and derivatives during peptide synthesis include, but are not limited to, use of norleucine, 4-amino butyric acid, 4-amino-3-hydroxy-5- WO 98/27996 PCT/A1J97/00880 phenylpentanoic acid, 6 -aminohexanoic acid, t-butylglycine, norvaline, phenyiglycine, omnithine, sarcosine, 4 -amino- 3 -hydroxy-6-methylheptanoic acid, 2-thienyl alanine and/or D-isomers of amino acids. A list of unnatural amino acid, contemplated herein is shown in Table 1.

WO 9827996PCT/AU97/00880 -12- TABLE 1 Non-conventional Code Non-conventional Code amino acid amino acid a-aminobutyric acid a-anuno-ci-methylbutyrate ammiiocyclopropanecarboxylate amninoisobutyric acid aminonorbomylcarboxylate cyclohexylalanine cyclopentylalanine D-alanine D-arginine D-aspartic acid D-cysteine D-glutamnine D-glutamnic acid D-histidine D-isoleucine D-Ieucine D-lysine D-methionine D-omnithine D-phenylalanine D-proline D-serine D-threonine D-tryptophan Abu Mgabu Cpro Aib Norb Cpen Dal Darg Dasp Dcys Dgln Dglu Dhis Dile Dleu Dlys Dmet Domn Dphe Dpro Dser Dthr Dtrp L-N-methylalanine L-N-methylarginine L-N-methylasparagine L-N-methylaspartic acid L-N-methylcysteine L-N-methylglutamine L-N-methylglutanmic acid Chexa L-N-mnethylhistidine L-N-methylisolleucine L-N-methylleucine L-N-methyllysine L-N-methylmethionine L-N-methylnorleucine L-N-methylnorvaline L-N-methylomithine L-N-methylphenylalanine L-N-methylproline L-N-methylserine L-N-methylthreonine L-N-methyltryptophan L-N-methyltyrosine L-N-methylvaline L-N-methylethylglycine L-N-methyl-t-butylglycine L-norleucine L-norvaline Nmala Nmarg Nmasn Nmasp Nmncys Nmgln Nmglu Nmhis Nmile Nmleu Nmlys Nmnmet Nmnle Nmnva Nmom Nmnphe Nmpro Nmser Nmnthr Nmtrp Nmtyr Nmval Nmetg Nmntbug NMe Nva WO 98/27996 PCT/AU97/00880 13 D-tyrosine D-valine D-a-methylalanine D-a-methylarginine D-a-methylasparagine D-a-methylaspartate D-ax-methylcysteine D-a-methylglutamine D-a-methylhistidine D-a-methylisoleucine D-cx-methylleucine D-a-methyllysine D-cx-methylmethionine D-a-methylomithine D-a-methylphenylalanne D-cz-methylproline D-a-methylserine D-a-methylthreonine D-a-methyltryptophan D-a-methyltyrosine D-cc-methylvaline D-N-methylalanine D-N-methylarginine D-N-methylasparagine D-N-methylaspartate D-N-methylcysteine D-N-methylglutamine D-N-methylglutamate D-N-methylhistidine D-N-methylisoleucine D-N-methylleucine Dtyr DvaI Dmala Dmarg Dmasn Dmasp Dmcys Dmgln Dmhis Dmile Dmleu Dmlys Dmmet Dmom Dmphe Dmpro Dmser Dmthr Dmtrp Dmty Dmval Dnmala Dnmnarg Dnmasn Dnmasp Dnmcys Dngln Dmnglu Dnmhis Dnm-ile Dnxnleu cz-methyl-ariinoisobutyrate a-methyl-y-aminobutyrate a-methylcyclohexylalanine a.-methylcylcopentylalanine a-methyl-a-napthylalanine c-methylpenicillamine

N-(

4 -amrinobutyl)glycine

N-(

2 -aminoethyl)glycine

N-(

3 -amninopropyl)glycine N-amino-a-methylbutyrate a-napthylaianine N-benzylglycine N-(2-carbainylethyl)glycine N-(Carbam-ylmethyl)glycine N-(2-carboxyethyl)glycine N-(carboxymethyl)glycine N-cyclobutylglycine N-cycloheptylglycine N-cyclohexylglycine N-cyclodecylglycine N-cylcododecylglycine N-cyclooctylglycine N-cyclopropylglycine N-cycloundecylglycine

N-(

2 2 -diphenylethyl)glycine

N-(

3 3 -diphenylpropyl)glycine

N-(

3 -guanidinopropyl)glycine 1 -hydroxyethyl)glycine N-(hydroxyethyl))glycine N-(imidazolylethyl))glycine N-(3-indolylyethyl)glycine Maib Mgabu Mohexa Mcpen Manap Mpen Nglu Naeg Norn Nmaabu Mnap Nphe Ngln Nasn Nglu Nasp Ncbut Nchep Nchex Ncdec Ncdod Ncoct Ncpro Ncund Nbhm Nbhe Narg Nthr Nser Nhis Nhtrp WO 98/27996 PCT/AU97/00880 -14- D-N-methyllysine N-methylcyclohexylalanine D-N-methylornjthine N-methylglycine N-methylaniinoisobutyrate 1-methylpropyl)glycine

N-(

2 -methylpropyl)glycine D-N-methyltryptophan D-N-methyltyrosine D-N-methylvaline y-aminobutyric acid L-t-butylglycine L-ethylglycine L-homophenylalanine L-a-methylarginine L-a-methylaspartate L-a-methylcysteine L-a-metliylglutanine L-a-methylhisticline L-a-methylisoleucine L-a-methylleucine L-a-methylmetfionine L-a-methylnorvaline L-a-methylphenylalanine L-a-methylserine L-a-methyltryptophan Dnmlys Nmchexa Dnmorn Nala Nmaib Nile Nleu Dnmtrp Drntyr Drnval Gabu Thug Etg Hphe Marg Masp Mcys Mgln Mhis Mile MNeu Mmet Mnva Mphe Mser N-methyl-y-aminobutyrate D-N-Inethylmethionine N-methylcyclopentylalanine D-N-methylphenylalanine D-N-methylproline D-N-methylserine D-N-methylthreonine N-(l1-Inethylethyl)glycine N-methyla-napthylalanine N-methylpenicilnmme N-(p-hydroxyphenyl)glycine N-(thiomethyl)glycine pernedlamine L-a-methylalanine L-a-methylasparagine L-a-methyl-t-butylglycine L-methylethylglycine L-ix-methylglutamate L-al-methylhomophenylalanine

N-(

2 -methylthioethyl)glycine L-a-methyllysine L-a-methylnorleucine L-a-methylornithine L-a-methylproline L-a-methylthreonine Nmgabu Dnmmet Nmcpen Dnmphe Dnmpro Drnser Dnnnhr Nval Nmanap Nmpen Nhtyr Ncys Pen Mala Masn Mtbug Metg Mglu Mhphe Nmet

NUYS

Mnle Morn Mpro Mthr Mtyr Mtrp L-a-methyltyrosine WO 98/27996 PCT/AU97/00880 L-a-methylvaline Mval L-N-methylhomophenylalanine Nmhphe N-(N-(2,2-diphenylethyl) Nnbhm N-(N-(3,3-diphenylpropyl) Nnbhe carbamylmethyl)glycine carbamylmethyl)glycine 1-carboxy-l-(2,2-diphenyl- Nmbc ethylamino)cyclopropane Crosslinkers can be used, for example, to stabilise 3D conformations, using homo-bifunctional crosslinkers such as the bifunctional imido esters having (CH 2 n spacer groups with n= 1 to n=6, glutaraldehyde, N-hydroxysuccinimide esters and hetero-bifunctional reagents which usually contain an amino-reactive moiety such as N-hydroxysuccinimide and another group specificreactive moiety such as maleimido or dithio moiety (SH) or carbodiimide (COOH). In addition, peptides can be conformationally constrained by, for example, incorporation of C, and N methylamino acids, introduction of double bonds between C, and Cp atoms of amino acids and the formation of cyclic peptides or analogues by introducing covalent bonds such as forming an amide bond between the N and C termini, between two side chains or between a side chain and the N or C terminus.

The present invention further contemplates chemical analogues of IL-11 capable of acting as antagonists or agonists of IL-11 or which can act as functional analogues of IL-11. Chemical analogues may not necessarily be derived from IL-11 but may share certain conformational similarities. Alternatively, chemical analogues may be specifically designed to mimic certain physiochemical properties of IL-11. Chemical analogues may be chemically synthesised or may be detected following, for example, natural product screening.

These types of modifications may be important to stabilise the analogues if administered to an animal.

Other derivatives contemplated by the present invention include a range of glycosylation variants from a completely unglycosylated molecule to a modified glycosylated molecule.

WO 98/27996 PCT/AU97/00880 -16- Altered glycosylation patterns may result from expression of recombinant molecules in different host cells.

The cytokines such as IL-11, LIF, CNTF, IL-6 and OSM, their derivatives and homologues and their receptors (eg. IL-11 Ra) are referred to herein as "therapeutic molecules".

The therapeutic molecules of the present invention are useful in a pharmaceutical composition together with one or more pharmaceutically acceptable carriers and/or diluents to modulate fertility and/or pregnancy. The term "active ingredient/s" is also used below to describe the therapeutic molecules.

The pharmaceutical forms suitable for injectable use include sterile aqueous solutions (where water soluble) and sterile powders for the extemporaneous preparation of sterile injectable solutions. It must be stable under the conditions of manufacture and storage and must be preserved against the contaminating action of microorganisms such as bacteria and fungi. The carrier can be a solvent or dispersion medium containing, for example, water, ethanol, polyol (for example, glycerol, propylene glycol and liquid polyethylene glycol, and the like), suitable mixtures thereof, and vegetable oils. The proper fluidity can be maintained, for example, by the use of a coating such as licithin, by the maintenance of the required particle size in the case of dispersion and by the use of superfactants. The preventions of the action of microorganisms can be brought about by various antibacterial and antifungal agents, for example, parabens, chlorobutanol, phenol, sorbic acid, thirmerosal and the like. In many cases, it will be preferable to include isotonic agents, for example, sugars or sodium chloride. Prolonged absorption of the injectable compositions can be brought about by the use in the compositions of agents delaying absorption, for example, aluminum monostearate and gelatin.

Sterile injectable solutions are prepared by incorporating the active compounds in the required amount in the appropriate solvent with various of the other ingredients enumerated above, as required, followed by filter sterilization. In the case of sterile powders for the preparation of sterile injectable solutions, the preferred methods of preparation are vacuum drying and the freeze-drying technique which yield a powder of the active ingredient plus any additional WO 98/27996 PCT/AU97/00880 -17desired ingredient from previously sterile-filtered solution thereof.

When the active ingredients are suitably protected they may be orally administered, for example, with an inert diluent or with an assimilable edible carrier, or it may be enclosed in hard or soft shell gelatin capsule, or it may be compressed into tablets, or it may be incorporated directly with the food of the diet. For oral therapeutic administration, the active compound may be incorporated with excipients and used in the form of ingestible tablets, buccal tablets, troches, capsules, elixirs, suspensions, syrups, wafers, and the like. Such compositions and preparations should contain at least 1% by weight of active compound. The percentage of the compositions and preparations may, of course, be varied and may conveniently be between about 5 to about of the weight of the unit. The amount of active compound in such therapeutically useful compositions in such that a suitable dosage will be obtained. Preferred compositions or preparations according to the present invention are prepared so that an oral dosage unit form contains between about 0.1 y.g and 2000 mg of active compound.

The tablets, troches, pills, capsules and the like may also contain the components as listed hereafter: A binder such as gum, acacia, corn starch or gelatin; excipients such as dicalcium phosphate; a disintegrating agent such as corn starch, potato starch, alginic acid and the like; a lubricant such as magnesium stearate; and a sweetening agent such a sucrose, lactose or saccharin may be added or a flavouring agent such as peppermint, oil of wintergreen, or cherry flavouring. When the dosage unit form is a capsule, it may contain, in addition to materials of the above type, a liquid carrier. Various other materials may be present as coatings or to otherwise modify the physical form of the dosage unit. For instance, tablets, pills, or capsules may be coated with shellac, sugar or both. A syrup or elixir may contain the active compound, sucrose as a sweetening agent, methyl and propylparabens as preservatives, a dye and flavouring such as cherry or orange flavour. Of course, any material used in preparing any dosage unit form should be pharmaceutically pure and substantially non-toxic in the amounts employed. In addition, the active compound(s) may be incorporated into sustained-release preparations and formulations.

The present invention also extends to forms suitable for topical application such as creams, WO 98/27996 PCT/AU97/00880 -18lotions, gels and foam. Topical application may be important during invasive procedures on female reproductive organs.

Pharmaceutically acceptable carriers and/or diluents include any and all solvents, dispersion media, coatings, antibacterial and antifungal agents, isotonic and absorption delaying agents and the like. The use of such media and agents for pharmaceutical active substances is well known in the art. Except insofar as any conventional media or agent is incompatible with the active ingredient, use thereof in the therapeutic compositions is contemplated. Supplementary active ingredients can also be incorporated into the compositions.

It is especially advantageous to formulate parenteral compositions in dosage unit form for ease of administration and uniformity of dosage. Dosage unit form as used herein refers to physically discrete units suited as unitary dosages for the mammalian subjects to be treated; each unit containing a predetermined quantity of active material calculated to produce the desired therapeutic effect in association with the required pharmaceutical carrier. The specification for the novel dosage unit forms of the invention are dictated by and directly dependent on the unique characteristics of the active material and the particular therapeutic effect to be achieved, and the limitations inherent in the art of compounding such an active material for the treatment of disease in living subjects having a diseased condition in which bodily health is impaired as herein disclosed in detail.

The principal active ingredient is compounded for convenient and effective administration in effective amounts with a suitable pharmaceutically acceptable carrier in dosage unit form as hereinbefore disclosed. A unit dosage form can, for example, contain the principal active compound in amounts ranging from 0.5 pg to about 2000 mg. Expressed in proportions, the active compound is generally present in from about 0.5 pg to about 2000 mg/ml of carrier. In the case of compositions containing supplementary active ingredients, the dosages are determined by reference to the usual dose and manner of administration of the said ingredients.

The pharmaceutical composition may also comprise genetic molecules such as a vector capable of transfecting target cells where the vector carries a nucleic acid molecule capable of WO 98/27996 PCT/AU97/00880 -19modulating IL-11 expression or IL-i1 activity, or the expression or activity of the IL-11 receptor. The vector may, for example, be a viral vector. The present invention further contemplates gene therapy and other genetic means of modulating expression of the IL- 11 gene or the IL- i receptor gene. For example, co-suppression, anti-sense molecule and/or ribozyme molecules can be used to reduce expression of IL-i1 or its receptor. Alternatively, more efficient promoters or other regulatory molecules may be employed to enhance expression.

The methods of the present invention may require the selective disruption of IL- 1 or IL- i mediated signalling such that the disruption affects only, or substantially only the reproductive system. This may be important where IL-1 is required for other physiologic activities such as modulating the immune system. Furthermore, the present invention may be applied to all loci encoding IL-1i IRa. For example, some mice contain two loci for IL- 1Ra: one of these, IL- S11Ra is expressed only in testis, lymph node and thymus.

The present invention further contemplates an animal model comprising a mutation in at least one allele for IL-il and/or IL-1 Ra. Preferably the animal is a murine animal such as a mouse, the mutation may be a substitution, deletion and/or addition of one or more nucleotides in the IL-1I or IL-1 IRa gene and includes deletion of the entire gene. In one embodiment, ES cells are isolated, the IL- 1 or IL-11 Ra gene disrupted or deleted by, for example, homologous recombination, antisense technology, riboenzymes or by co-suppression and the ES cells injected into blastocysts and implanted in a foster mother. The preferred offspring are IL- 11-/and/or IL- IRa-I- but heterozygotes animals are also encompassed by the present invention.

The animal model of the present invention is useful for screening for therapeutic molecules capable of modulating fertility and pregnancy. For example, IL- I mice spontaneously abort at early post-implantation stage. Such mice may be subjected to a range of putative therapeutic molecules and then mice screened for successfully maintaining a pregnancy.

Examples of putative therapeutic molecules include IL-1 or IL-I 1 complexed with its receptor.

A similar protocol may be employed to screen for molecules capable of promoting fertility. The present invention further contemplates the treatment and/or prophylaxis of individuals with aberrations in IL- 11i or IL- 1I receptor. This might be particularly useful in treating female WO 98/27996 PCTIAU97/00880 individuals.

The present invention is further described by the following non-limiting Examples.

The subject specification uses "IL-1 IRa" and "IL-1 iRa" interchangeably, with or without a hyphen to describe the IL-11 receptor locus in all animals.

The subject specification uses "IL-l1Ra" and "IL1 Ra" interchangedly (with or without a hyphen) to describe the IL-11 receptor locus in all animals.

WO 98/27996 PCT/AU97/00880 -21- EXAMPLE 1 BLUE DYE REACTION For blue dye reactions 100 l of a 1% w/v solution of Chicago Sky Blue was injected into the tail vein on 4.5 or 5.5 d.p.c. Mice were killed 5 minutes later. Uteri were then fixed and serially sectioned to ascertain the number of implanting blastocysts.

EXAMPLE 2 EMBRYO TRANSFERS Superovulated females were mated and eight-cell to early morula-stage embryos were recovered from the oviduct at 2.5 d.p.c. Similar numbers of fertilised and unfertilised embryos were recovered from WT, IL1lRa-/- and IL11Ra-/- females. Healthy embryos were transferred to each uterine horn of 2.5 d.p.c. pseudopregnant recipient females. If recipients failed to litter at term, they were killed and the uterus was examined for evidence of resorption sites. All live-born pups were genotyped by Southern analysis of tail DNA (26).

EXAMPLE 3

DECIDUOMATA

Mice 7-12 weeks of age were mated with vasectomized males. At 3.5 mice were anaesthetised and 25 /l of sesame oil (Sigma) was injected into one or both uterine horns.

Mice were killed at 8.5 d.p.c. and each horn was weighed. In a further series of experiments, medroxyprogesterone acetate (Upjohn) in peanut oil was administered subcutaneously to control ILllRa-/- mice as follows: 1 mg 1.5-2.5 2 mg 3.5-7.5 d.p.c.

WO 98/27996 PCT/AU97/00880 -22- EXAMPLE 4 IN SITU HYBRIDISATION Tissues fixed in 4% v/v paraformaldehyde were dehydrated and embedded in paraffin.

Adjacent 5 zm sections were processed and hybridised with (a3P)UTP labelled sense and antisense riboprobes as described The placental lactogen-1 probe has been described Two IL1Ra probes were used: 1155 bp HindII and 436bp SphI-SacI cDNA fragments subcloned into Bluescript (Stratagene). Both gave similar results. Two IL-11 probes were used: one as described (13) and a 460 bp fragment, generated by PCR, corresponding to nucleotides 48-508 of the murine IL-11 cDNA.

EXAMPLE RNase PROTECTION ANALYSIS AND RIBOPROBES RNase protection analyses were performed using the RPAII Kit (Ambion). For IL-11, the assay was performed using 20 pg of total RNA. For other riboprobes, 10 jug of total RNA was used. For each riboprobe, the assays were repeated using two different sets of RNA samples prepared from timed matings of C57BL/6 mice. For samples collected prior to the uteri were flushed to confirm the presence of fertilised embryos. The IL-11 and LIF riboprobes have been described previously (13, 29). The gpl30 riboprobe was a 313 bp EcoRI-ApaI cDNA fragment cloned into Bluescript. The LIF receptor riboprobe was a 705 bp BglII-ApaI cDNA fragment cloned into Bluescript. This probe was able to detect the soluble form of the LIF receptor as a protected fragment of 411 bp The actin riboprobe was purchased from Ambion.

EXAMPLE 6 GENE TARGETING The targeting construct was created using the pNTK vector. A 5' 2.6 kb HindIII-SphI fragment and a 3' 2.9 kb BamHI-HindmII fragment (both derived from genomic clone A 11.4, (21) were blunt-ended and inserted either side of the 1.8 kb pgkNEO cassette at the BamHI and WO 98/27996 PCT/AU97/00880 -23- ClaI sites. The NEO cassette replaced exons 9, 10, 11, 12, and exons 8 and 13 partially, resulting in a null mutation. The construct was linearised using XhoI and electroporated into embryonic stem (ES) cells (22) which were selected using gancyclovir and G418 on day 2 and 10 respectively. Antibiotic resistant ES cell clones were isolated, amplified and screened by Southern blot by hybridizing Eco RI digested DNA to a 600 bp HindlII-EcoRI fragment derived from genomic clone ;11.4 (21) (Fig.l). The probe (Fig.l), which is situated in the IL- 11 Ra locus outside the targeting construct, allowed distinction between the endogenous loci (3.4 kb for locus IL-1 IRa and 4.0 kb for locus IL-11 Ra2) and mutant IL-1 IRa loci (5.2 kb for locus IL-11Ra and 5.8 kb for locus IL-1lRa2). Genomic DNA was digested to completion with EcoRI, transferred to nylon membrane by capillary blotting and pre-hybridized and hybridized at 65 °C in a solution containing NaCI 1M, SDS 1% w/v, and dextran sulphate w/v. The membranes were washed with a solution containing 0.2x SSC (lxSSC is 0.15 M NaCI, 0.015 M trisodium citrate) and 0.1% w/v SDS, at 65 OC and exposed to radiographic film for 18 h at -70 °C using intensifying screens. A single targeted clone for locus IL-1 IRa was used to derive chimeric mice (23) which were mated with C57BL/6 female mice and the heterozygous offspring interbred to yield wild type heterozygous and mutant mice. Mice genotypes were determined by Southern blot analysis of genomic DNA obtained from tail biopsies (Fig. 2).

EXAMPLE 7 HAEMATOLOGICAL

ANALYSIS

Orbital plexus blood was collected from anaesthetised mice and peripheral blood white cell count, haematocrit, and platelet counts were determined using either manual or automated (Sysmex K1000) counting techniques. Cell suspensions were made from bone marrow and spleen by standard techniques and total femoral and splenic cellularity was determined by haemocytometryafter eosin staining. Manual 100-400 cell differential counts were performed on May-Grunwald Giemsa stained blood smears and cyto-centrifuge preparations of bone marrow and spleen.

Bone marrow and spleen progenitors were assayed using semisolid agar and methyl cellulose WO 98/27996 PCT/AU97/00880 -24cultures as previously described (23, 24). For each sample, 5x104 nucleated cells, were plated in triplicate in 1 ml cultures. Colony formation was stimulated by combinations of growth factors at the following final concentrations: murine granulocyte-macrophage colony stimulating factor (GM-CSF) 10 ng/ml, murine granulocyte -CSF 10 ng/ml, murine interleukin-3 (IL-3) 1, 0.1 ng/ml, human IL-1 10 ng/ml, murine IL-6 500 ng/ml, recombinant human erythropoietin 4U/ml, murine stem cell factor (SCF) 10ng/ml, human megakaryocyte growth and development factor. Colony numbers were enumerated after 7 days incubation in humidified atmosphere at 37 0 C supplemented with 10% or 5% CO 2 Cultures were fixed and stained using acetyl choline esterase, luxol fast blue and haematoxylin and the cellular composition of colonies determined.

EXAMPLE 8 NORTHERN

ANALYSIS

Poly(A) mRNA (3 /g/lane) was dissolved in 10 /l RNA loading buffer (2 mM 3-Nmorpholino).propane-sulfonic acid (MOPS), 1 mM EDTA, 5 mM sodium acetate pH 7.0, v/v formamide, 6.3% v/v formaldehyde) and fractionated on 1% w/v agarose gel containing 0.22 M formaldehyde, lxMOPS buffer (0.02 M MOPS, pH 7, 1 mM EDTA, 5 mM sodium acetate), 0.1 g/g/ml ethidium bromide and run in IxMOPS. RNA was transferred to nitrocellulose membrane (Hybond-C extra, Amersham) by capillary blotting with Prehybridisation and hybridisation were carried out in a solution containing 50% v/v deionised formamide, 5xSSC, 0.1% w/v SDS, 300 gg/ml sheared herring sperm DNA and 2x Denhardt6s (100x Denhardt6s is 2% w/v Bovine Serum albumin, 2% w/v Ficoll and 2% w/v polyvinylpyrollidone). Washes were performed with 0.2xSSC, 0.1% w/v SDS at 65 oC. Northern blots (Fig. 3) were first screened with a radiolabelled murine cDNA fragment, a 445 bp SphIlSacI restriction enzyme digest fragment, nucleotide 709-1158 from the murine IL-11Ra clone 30.1 encoding the deleted exons 8-11. The filters were then stripped and reprobed with a radiolabelled 485 bp polymerase chain reaction (PCR) generated product encoding exons 2-6 and part of exon 7. PCR reactions were carried out in 50 /l volume containing 1 x PCR buffer (Boehringer) 0.2 mM of each dNTP, 0.5 unit Taq Polymerase (Boehringer) and 200 ng of each primer: ATGAGCAGCAGCTGCTCAGGGCTG (SEQ ID NO:1) and WO 98/27996 PCT/AU97/00880 ACTTTCCCTCTGACTCTCAGCTCCTGG (SEQ ID NO:2). Amplification conditions were: initial denaturation of 96 °C for 2 min followed by 25 cycles of 94 °C for 30 s, 55 °C for s, 72 °C for 90 s. The PCR product was purified from an 2% w/v agarose gel using Qiaex Kit (Qiagen).

EXAMPLE 9 GENERATION OF MICE WITH A NULL MUTATION OF THE IL-11Ra GENE Mice heterozygous for the IL-1 IRa (IL-1 mutation were interbred and the offspring genotyped (Figure Mice homozygous for the IL-1 Ra mutation (IL-1 were born with Mendelian frequency (Table To demonstrate that the mutation of the IL-11Ra gene in these mice resulted in a null mutation, expression of the gene was examined in several tissues by Northern analysis. Analysis of polyA+ RNA from IL-11 kidney (a site which had previously been shown to express IL-11Ra at high level) using IL-11 Ra cDNA probes lying both within the deleted region and 5' to it, did not reveal any IL-1 Ra transcript (Figure 3).

Therefore the IL-11 mice bear a null mutation of the IL-1 IRa gene.

EXAMPLE HAEMATOPOIESIS IN THE IL-11Ra-/-

MICE

The IL-11 mice appeared normal and thrived as well as their wild type litter mates. Gross anatomical examination and extensive histological examination did not reveal any abnormalities in IL-1 IRa-/- mice of either sex. Peripheral blood counts, and differential counts of blood, spleen and bone marrow were unaltered. When bone marrow cells were cultured in semi-solid media with SCF, GM-CSF, IL-3 and IL-6 no differences were observed between the numbers or type of haematopoietic progenitor cells observed in the IL-1 1Ra-/- mice or in their wild-type littermates. IL-11 alone did not support colony formation in cultures from IL-11 mice or controls. The synergy previously shown to occur with IL-11 and stem cell factor (SCF) was observed in cultures of wild type bone marrow cells but was absent in cultures of IL-1 1Rabone marrow (Table This provided further confirmation that the IL-1 Ra disruption had resulted in a null mutation of the gene.

WO 98/27996 PCT/AU97/00880 -26- EXAMPLE 11 IL-11Ra-/- FEMALE MICE ARE INFERTILE As described above, mating IL-1 lRa+/- mice resulted in the production of normal numbers of IL- IRa-/- pups, demonstrating that the IL- IRa-/- embryo was viable. However, matings between IL-11Ra-/- dams and wild type, IL- IRa+/- or IL-11Ra-/- males never resulted in visible pregnancy or in the birth of pups (Table Currently, female IL- 11Ra-/-mice have been housed with proven stud males for periods of up to 100 days.

To investigate this further, the inventors mated two virgin female IL-11R+/- and two virgin female IL-11IRa-/- mice with wild type males and sacrificed them at 7.5 days post coitus (dpc) Whilst the uteri of the IL-11R+/- mice contained normal embryos within well-developed decidua, the uteri of the IL-I IRa-/- mice contained minute decidua, largely composed of the embryo-derived trophoblastic giant cells, with minimal decidual tissue and necrotic embryonic tissue.

The inventors also induced ovulation in the IL-1 IRa mice and at 3.5 dpc and collected and examined the blastocysts. These blastocysts appeared normal.

These results indicate that in the IL-1 IRa-/- female mice ovulation occurs normally, and the fertilised eggs develop into blastocysts and initiate implantation. The uterine decidual reaction which occurs post-implantation is abnormal in these mice and consequently the pregnancy is aborted during the early post-implantation period, well before the development of the chorioallantoic placenta.

EXAMPLE 12 DEFECTIVE UTERINE DECIDUALIZATION INILIIRa-/.

MICE

Virgin IL11Ra-/- females had normal estrus cycles, as indicated by the cytology of vaginal smears, and normal mating behaviour was observed when they were caged with males. The appearance and histology of the ovaries, oviducts, vagina and virgin uterus were normal. To WO 98/27996 PCT/AU97/00880 -27elucidate the cause of the infertility, the inventors mated virgin C57BL/6 wild type (WT) and IL11Ra-/- females with males of both genotypes and examined the reproductive organs between and 10.5 d.p.c. (day 0.5 being the day of detection of the vaginal plug). Preimplantation, the appearance, wet weight and the histology of the uteri from WT and IL11Ra/- mice was similar and the number of fertilised and unfertilised ova or blastocysts recovered by flushing the oviduct at 0.5 or the uterus at 3.5 did not differ significantly. From 4.5-7.5 d.p.c., similar numbers of implantation sites were observed in both groups (WT: 5±4 per uterine horn, n=14, IL11Ra-/-: 5±3, n=25). The appearance and number of corpora lutea in the ovaries of IL11Ra-/- mice n=6 mice, 6.5 did not differ significantly from those present in WT mice n=6 mice, 6.5 At 4.5 d.p.c. the size and intensity of the blue dye reaction surrounding implantation sites in the IL1Ra-/- uteri was reduced indicating reduced capillary permeability and blood flow in the uterine vascular bed at the site of blastocyst apposition (31) (Fig. 4a-d). At 5.5-7.5 d.p.c. the decidua in the IL11Ra-/- uteri were considerably smaller than WT decidua and areas of haemorrhage were visible (Fig. 4c-h).

Microscopic examination of 4.5 d.p.c. decidua from IL11Ra-/- mice revealed that implantation had begun and an antimesometrial secondary decidual zone was apparent, but was markedly reduced in comparison with that seen in WT females (Fig. 5a, By 5.5 in WT mice, the decidua had increased in size to completely surround the developing embryo (Fig. 5c). In the pregnant IL11Ra-/- mice, however, the secondary decidual zone remained markedly reduced (Fig. 5d). The cells of the secondary decidual zone were polyhedral and basophilic often with two or more nuclei and were morphologically indistinguishable from those seen in WT decidua. In sections of 6.5-7.5 d.p.c. uteri, the reduced size of the IL1IRa-/- decidua was striking (Fig. 5e-g). The space normally occupied by the mesometrial decidua was invaded by very large cells resembling trophoblast giant cells (Fig. 5h, The identity of these cells was confirmed by in situ hybridisation with probe for placental lactogen-1 (Fig. 5j), and proliferin the expression of which is restricted to trophoblast (28).

The number of secondary trophoblast giant cells present in the IL1Rat-/- decidua was markedly increased. The invasion of trophoblast cells was similar to that seen when ectoplacental cone tissue was grafted to ectopic sites such as the kidney, spleen, or non-pregnant uterus. Its WO 98/27996 PCT/AU97/00880 -28occurrence in the ILlRRa-/- uteri suggests that signals from the mesometrial decidual tissues may normally regulate trophoblast development.

After 7.5 most embryos were necrotic and the uterine lumen was filled with blood and neutrophils. Increasing decidual disruption and infiltration by inflammatory cells was observed in sections of IL11Ra-/- uteri at 8.5 and 9.5 d.p.c. Live embryos were never observed after 10.5 d.p.c. Rarely (less than 1% of embryos examined) intact embryos were observed at 9 d.p.c. In most, the region normally occupied by the placenta was filled with fibrinoid material and inflammatory cells. In a few cases, however, the fetal components of the chorioallantoic placenta, including the chorionic plate, labyrinthine trophoblast and spongiotrophoblast were present. In these decidua, maternal venous sinuses were seen but the decidua basalis was entirely absent, being replaced by multiple layers of giant trophoblast cells, in contrast to the single-cell, discontinuous layer seen in normal 9.5 d.p.c. placentas (Fig. 5k,l). This demonstrated that the fetal components of the murine placenta can form in the absence of the decidua basalis. The decidua capsularis was present in the decidua of the rare embryos surviving in 9 d.p.c. IL11Rt-/- uteri, although it was reduced in thickness in comparison with WT decidua. The abnormalities of decidualization seen in the IL11Ra-/- mice were similar whether the mutation was on a mixed (129Sv x C57BL/6) or inbred (129Sv) background and were unaffected by the genotype of the implanting embryo.

Successful implantation and post-implantation events in the uterus require synchrony between embryonic development and uterine receptivity. To exclude defects in embryonic development, d.p.c. embryos were collected from WT, heterozygous and IL11Ra-/- females and were transfected to the uteri of recipient pseudopregnant female mice of all three genotypes.

ILRa-/- embryos survived normally when placed in foster uteri, however WT embryos were unable to survive in the uteri of the IL1Ra-/- mice (Table demonstrating that the homozygous material environment was deficient.

WO 98/27996 PCT/AU97/00880 -29- EXAMPLE 13 ARTIFICIAL DECIDUALIZATION IS IMPAIRED IN ILllR MICE AND IS NOT RESCUED BY PROGESTERONE

ADMINISTRATION

The murine decidual reaction can be mimicked by the application of a stimulus, such as oil, to the lumen of the pseudopregnant uterus. The inventors compared deciduoma formation in response to an artificial stimulus in IL11Ra-/- uteri and control mice.

Pseudopregnancy was induced by mating with vasectomized males and at 3.5 d.p.c. sesame oil was introduced into one or both uterine horns anaesthesia. The mice were killed at 8.5 d.p.c.

and the wet weight of the injected uterine horns was compared with that of uninjected controls.

The decidual response was significantly greater in the control mice compared with ILlRa-/mice (Fig. In several experiments, progesterone was administered to control and mutant mice. This did not rescue the decidualization defect observed in the IL11Ra-/- mice (Fig. 6).

Histologically, the oil-induced deciduomata of control mice resembled decidua of a normal pregnancy. In comparison with control deciduomata, the overall size of the IL1lRa-/deciduomata was reduced. However, in contrast to the ILlIRa-/- decidua induced by embryo implantation, in which mesometrial decidual tissue was absent, in a minority of oil-induced ILllRa-/- deciduomata some mesometrial decidual tissue was observed.

EXAMPLE 14 IL-11 AND IL1Ra ARE NORMALLY EXPRESSED IN PREGNANT UTERUS DURING THE PERIOD OF DECIDUALIZATION Initially, the inventors examined the level of IL-11 mRNA in pre- and postimplantation uteri using RNase protection analysis. Expression of IL-11 was not detected in uteri in dioestrus, proestrus or estrus and was variably present at a low level during metoestrus. IL-11 mRNA was undetectable from 0.5-3.5 but was observed postimplantation, peaking at 5.5-7.5 after which it decreased (Fig. 7a). A similar time of onset of IL-11 expression was seen in oil-induced deciduomata (Fig. 7b). In contrast, LIF expression was maximal at 2.5-3.5 d.p.c.

The expression ofIL-11Ra, gpl30 and the LIF receptor alpha chain did not alter significantly during pregnancy (Fig. 7a).

WO 98/27996 PCT/AU97/00880 In situ hybridisation was used to determine the cell types expressing the genes encoding IL-11 and IL1Ra in the pregnant uterus. At 4.5 d.p.c. there was increased expression of IL-11 in the cells of the primary decidual zone. At 5.5, 6.5 and 7.5 d.p.c. IL-11 mRNA was detected throughout the decidua. After 7.5 very little IL-11 mRNA was detectable in the decidua, consistent with the RNase protection analysis. Some IL11Ra expression was seen throughout the pregnant uterus at all timepoints examined. At 4.5 however, IL 1Ra expression was augmented in the cells beginning to form the secondary decidual zone. By 6.5 ILIRa expression was detected predominantly in the outer predecidual cells. By 8.5 expression of ILIRa in the decidua had decreased. Positive signals were not detected in sections of ILIRa-/- decidua hybridised with an antisense probe. Whilst the RNase protection analysis results showed that the overall level of IL11Ra expression in the uterus was constant during pregnancy, the in situ hybridisation results clearly indicated focally increased expression of IL1Ra in predecidual and decidual cells during the period of maximal transformation.

WO 98/27996 PCT/AU97/00880 -31- TABLE 2 Results of 40 intercrosses of IL-I lRai-- mice WO 98/27996 PCT/ATJ97/00880 32 TABLE 3 Culture of bone marrow from IIL- 11 and wildtype littermates Stimulus Genotype SCF 80±3 80±16 IIL-IlI 1±1 1±1 SCF-i]L-l 11 110±+6 78±11 SCF(1;10) 50±7 53±9 11 95±6 59±14 4±3 3±2 SCF(l;1I00)+L]L- 11 9±4 2±1 LIL-3 92±26 98± 17 LL-3+IL- 11 125±20 72±25 JIL-3(i;10) 55±12 68±16 LIL-3(1;lIO)+]L- 11 111±28 81±25 IIL-3(1; 100) 15±14 18±7 IL-3(1; I00)+IL- 11 46±12 16±4 SCF+EPO 27±7 24±10 SCF+EPO+IL- 11 42±9 20±11 50,000 nucleated bone marrow cells were cultured in triplicate plates with growth factors as indicated. Results are expressed as mean number of colonies standard deviation of the results from three mice of each genotype.

WO 98/27996 PCT/AU97/00880 -33- TABLE 4 Average litter size from matings of IL-i I Rai-- and IL- I Ra-I- mice Mating pairs* Average litter size Female Male +1- 4.

0 -I-0 average of 6 litters WO 98/27996 PCT/AU97/00880 34- Transfer of ILJJR a-I- and WT 2.5 d.p.c. embryos Embryo donor Genotype* Recipient no nUnS hnrn Genotvpe* flfl~ flhlflv hewn ILl iRa-I ILJJRa-- VVrr Wr

WT

wL~Ral IL] JR a-I- WT =C57BL/6 **WT =B6xCBA WO 98/27996 PCT/AU97/00880

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14 Rose, T. M. and Bruce, A. G. (1991). Oncostatin M is a member of a cytokine family that includes leukemia-inhibitory factor, granulocyte colony-stimulating factor, and interleukin 6. Proc Natl Acad Sci US A, 88, 8641-5.

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18 Murakami, Hibi, Nakagawa, Nakagawa, Yasukawa,

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Yamanishi, Taga, T. and Kishimoto, T. (1993). IL-6-induced homodimerization of gpl30 and associated activation of a tyrosine kinase.

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(1996). The human IL-11 receptor requires gpl30 for signalling: demonstration by molecular cloning of the receptor. Oncogene, 12, 585-593.

21 Robb, Hilton, D. Willson, T. A. and Begley, C. G. (1996). Structural analysis of the gene encoding the murine interleukin-11 receptor a-chain and a related locus. JBiol Chem, 271, 13754-13761.

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WO 98/27996 PCT/AU97/00880 SEQUENCE LISTING GENERAL

INFORMATION:

APPLICANT: AMRAD OPERATIONS PTY LTD (ii) TITLE OF INVENTION: A METHOD OF TREATMENT

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PROPHYLAXIS

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APPLICATION NUMBER: INTERNATIONAL (PCT) APPLICATION FILING DATE: 24-DEC-1997

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Claims (15)

1. A method for modulating fertility in an animal, said method comprising administering to said animal an effective amount of IL-11 or a functional derivative thereof or a homologue thereof or an effective amount of an agonist or antagonist of interaction between IL-11 and IL-11Ra.

2. A method for modulating fertility in an animal, said method comprising modulating the levels of expression of the gene encoding IL-11 and/or its receptor.

3. A method according to claim 1 or 2 wherein the animal is a human, primate, livestock animal, companion animal, laboratory test animal or a captive wild animal.

4. A method according to claim 3 wherein the animal is a female animal. A method according to claim 1 or 2 wherein the fertility is down-modulated by administering an effective amount of an antagonist of IL-11 and IL-11Ra interaction sufficient to induce or facilitate defective decidualization.

6. A method according to claim 1 wherein the fertility is up-modulated by administering IL-11 or a functional derivative or homologue thereof or an agonist of IL-11 and IL-1 IRa interaction or genetic material to up-regulate expression of IL-11 or IL-11Ra.

7. A method according to claim 6 wherein IL-11 or an agonist is co-administered with one or more cytokines.

8. A method according to claim 7 wherein the co-administering cytokine is selected from LIF, CNTF, IL-6 and OSM or functional derivatives or homologues thereof. WO 98/27996 PCT/AU97/00880 -43- A method of enhancing fertility and/or maintenance of a pregnancy in a female animal, said method comprising administering to said female animal an effective amount of IL-lI or a functional derivative or homologue thereof or an agonist thereof for a time and under conditions sufficient for a pregnancy to proceed past the early post-implantation stage. 1 A method of enhancing fertility and/or maintenance of a pregnancy in a female animal, said method comprising modulating the levels of expression of the gene encoding IL-11 and/or its receptor for a time and under conditions sufficient for a pregnancy to proceed past the early post-implantation stage.

11. A method according to claim 9 or 10 wherein the animal is a human, primate, livestock animal, companion animal, laboratory test animal or a captive wild animal. J 1 A method according to claim 11 wherein the fertility is down-modulated by administering an effective amount of an antagonist of IL-11 and IL- I Ra interaction sufficient to induce or facilitate defective decidualization.

13. A method according to claim 11 wherein the fertility is up-modulated by administering IL-I or a functional derivative or homologue thereof or an agonist of IL-il and IL-I IRa interaction or genetic material to up-regulate expression of IL-I 1 or IL-1 IRa.

14. A method according to claim 13 wherein IL-1 or an agonist is co- administered with one or more cytokines. A method of decreasing fertility or promoting termination of a pregnancy in a female animal, said method comprising administering to said female animal an effective amount of an antagonist of IL-1l or IL- 11- receptor interaction.

16. A method of decreasing fertility or promoting termination of a pregnancy in P:\Op Ejh\AMENDED\2195530.amndclaims.241.doc-27/09/00 -44- a female animal, said method comprising modulating the levels of expression of the gene encoding IL-11 and/or its receptor.

17. A method according to claim 15 or 16 wherein the animal is a human, primate, livestock animal, companion animal, laboratory test animal or a captive wild animal. 1 8. A method according to claim 17 wherein the fertility is down-modulated by administering an effective amount of an antagonist IL-11 and IL-11Ra interaction sufficient to induce or facilitate defective decidualization.

19. A method according to claim 17 wherein the fertility is up-modulated by administering IL-11 or a functional derivative or homologue thereof or an agonist of IL-11 and IL-11Rac interaction or genetic material to up-regulate expression of IL-11 or IL-11Ra. A method according to claim 19 wherein IL-11 or an agoist is co-administered with one or more cytokines.

21. A composition when used for modulating fertility in an animal said composition comprising IL-11 or a functional derivative or homologue thereof or an agonist or antagonist of interaction between IL-11 and IL-11Ra and one or more pharmaceutically acceptable carriers and/or diluents.

22. A composition when used according to claim 21 further comprising a cytokine selected from LIF, CNTF, IL-6 and OSM. g* .o 0