CA2758178A1 - Human skin equivalents expressing exogenous polypeptides - Google Patents

Abstract

The present invention relates generally to compositions for wound closure.
More specifically, the present invention provides human skin equivalents engineered to express exogenous polypeptides (e.g., antimicrobial polypeptides and keratinocyte growth factor 2) and compositions and methods for making human skin equivalents engineered to express exogenous polypeptides. In addition, the present invention provides methods for treatment of wounds with human skin equivalents engineered to express exogenous polypeptides.

Description

DEMANDES OU BREVETS VOLUMINEUX
LA PRESENTE PARTIE DE CETTE DEMANDE OU CE BREVETS
COMPREND PLUS D'UN TOME.

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THAN ONE VOLUME.

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HUMAN SKIN EQUIVALENTS EXPRESSING EXOGENOUS POLYPEPTIDES t This application was supported in part by STTR Fast-Tract Grant Phase I #1 R41 AR 0530349-01 and Phase 11, 4 4 R42 AR. 050349-02. The government may have certain rights in the invention.

FIELD OF THE INVENTION
The present invention relates generally to compositions for wound closure.
More specifically, the present invention provides human skin equivalents engineered to express exogenous polypeptides (e.g., antimicrobial polypeptides and keratinocyte growth factor 2) and compositions and methods for making human skin equivalents engineered to express exogenous polypeptides. In addition, the present invention provides methods for treatment of wounds with human skin equivalents engineered to express exogenous polypeptides.
BACKGROUND
Chronic wounds affect three million people each year in the U.S. Chronic wounds generally involve any break, or ulceration, of the skin that is of long duration or recurs frequently. Such wounds cause pain, loss of function, force changes in an individual's life through potential lack of mobility, take extended periods of time for recovery, and require high amounts of patient compliance for recovery.
Chronic wounds disrupt the integrity of the skin by tearing, cutting, piercing or breaking the tissue. The causes may be structural, such as injury, or physiological, such as an underlying disease. The most frequently occurring skin wounds are venous ulcers, pressure ulcers and diabetic foot ulcers.
Chronic wounds are a serious health concern with substantial morbidity. They also are a source of frustration to both physician and patient, as lengthy treatments, treatment failures and the need for long periods of patient compliance prove challenging, The wounds take so long to heal that compliance drops off and worsens when reversals occur or new ulcers appear.
Chronic wounds occur in individuals with underlying diseases of various types whose medical conditions compromise the body's ability to repair injured tissue on its own, Despite the use of a variety of medical and surgical treatments, chronic wounds can take months or even years to heal and frequently recur. These wounds are often large and unsightly and may be painful in some patients.
Chronic wounds are of three major types: venous stasis ulcers, diabetic ulcers and pressure ulcers. A venous ulcer is an ulceration that develops on the ankle or lower leg in patients with chronic vascular disease. In these patients, blood flow in the lower extremities is impaired, leading to edema (swelling) and mild redness and scaling of the skin that gradually progress to ulceration. Venous ulcers are a condition affecting 500,000 - 700,000 patients in the US and 1.3 million people in the industrialized world.
A diabetic ulcer is a chronic wound that occurs in patients with diabetes.
While the actual cause of the ulcer in these patients is an injury such as a callus, blister or foreign body such as a pebble or splinter, it is the patient's underlying disease that places him or her at high risk for developing an ulcer. Important risk factors include: inadequate local blood supply, which impairs their ability to repair injured tissue and ward off infection, and reduced sensation in the extremities, which causes the initial injury to go unrecognized until it becomes a serious, chronic wound. Diabetic ulcers are a condition affecting just under 500,000 patients in the US and 1.2 million people in the industrialized world.
A pressure ulcer is defined as any lesion caused by unrelieved pressure on tissues that are located over a bony prominence on the body. Pressure ulcers were formerly referred to as bedsores or decubitus ulcers. Pressure ulcers develop in immobile patients whose tissues are subjected to continuous pressure from bones on the interior and hard surfaces such as beds or chairs on the exterior. In addition to their immobility, patients at risk for the development of pressure ulcers typically have poor nutritional status, inadequate hydration, and other underlying medical conditions that compromise their ability to heal injuries.
Pressure ulcers affect over 1.6 million people in the US and 4.1 million people in the industrialized world. Estimates of the prevalence of these conditions vary greatly.
Estimates as high as 12 million patients have been reported for all types of chronic wounds in the industrialized markets.
Chronic wounds can be of variable sizes and depths. In general, there are four layers of tissue that can potentially sustain injury in a wound, the epidermis, or outermost layer;
the dermis; the subcutaneous tissue; and, at the deepest layer, muscle, tendon, and bone.
Partial-thickness ulcers involve a loss of skin that is limited to the epidermis and, potentially, part of the dermis, These wounds heal by epithelialization (proliferation and migration of epithelial cells). Full-thickness ulcers involve damage or necrosis of the epidermis, dermis, and subcutaneous tissue, and may extend into the connective tissue below the dermis. These wounds heal by granulation (filling of the wound with connective tissue), contraction, and epithelialization. The most severe category of ulcer involves injury to the epidermis, dermis, subcutaneous tissue, and muscle, tendon, or bone.
The wound healing process is not complete even after the wound has closed. The process of rebuilding normal skin and tissue in a wound can take up to two years after the initial injury.
Treatment of chronic wounds varies with the severity of the wound. Partial-and full-thickness wounds are typically treated with dressings and debridement (use of chemicals or surgery to clear away necrotic, 'or dead, tissue). Antibiotics may be used in the event of an infection. Partial-thickness to full-thickness wounds represent the largest categories of chronic wound patients, the areas of greatest unmet medical need, and the categories most amenable to treatment with prescription growth factor therapy such as Repifermin. Patients with full-thickness wounds extending into muscle, tendon or bone are at significant risk of sepsis and are typically treated with surgery.
Despite the number of conservative therapies available, chronic wounds remain a very frustrating problem for health care practitioners because of the time-consuming nature of treatment regimens and patient non-compliance. What is needed is a therapy that can increase a practitioner's success in healing chronic wounds and/or accelerate the rate of chronic wound healing.

SUMMARY OF THE INVENTION
The present invention relates generally to compositions for wound closure.
More specifically, the present invention provides human skin equivalents engineered to express exogenous polypeptides (e.g., antimicrobial polypeptides and keratinocyte growth factor 2) and compositions and methods for making human skin equivalents engineered to express exogenous polypeptides. In addition, the present invention provides methods for treatment of wounds with human skin equivalents engineered to express exogenous polypeptides.
Accordingly, in some embodiments, the present invention provides methods for providing cells expressing heterologous KGF-2 comprising: a) providing a host cell selected from the group consisting of primary keratinocytes and immortalized keratinocytes and an expression vector comprising a DNA sequence encoding KGF-2 operably linked to a regulatory sequence; b) introducing the expression vector to the host cell (e.g., under conditions such that said expression vector is internalized by the host cell);
and c) culturing the host cells under conditions such that KGF-2 is expressed. The present invention is not limited to the use of any particular primary or immortalized keratinocytes. In some preferred embodiments, the keratinocytes are NIKS cells or cell derived from NIKS cells.
In other embodiments, the keratinocytes are capable of stratifying into squamous epithelia.
In still other embodiments, the methods include the step of co-culturing the host cells with cells derived from a patient. The present invention is not limited to the use of any particular expression vector. In some embodiments, the expression vector further comprises a selectable marker. The present invention is not limited to the use of any particular regulatory sequence. In some embodiments, the regulatory sequence is a promoter sequence. The present invention is not limited to any particular promoter sequence. In some embodiments, the promoter sequence is K14 promoter sequence, preferably a full-length K14 promoter sequence. In other embodiments, the promoter is an involucrin promoter. In preferred embodiments, the promoter sequence allows expression in a keratinocyte. In still further embodiments, the present invention provides host cells produced by the foregoing method.
In some embodiments, the present invention provides compositions comprising host cells expressing heterologous KGF-2, wherein the host cells are selected from the group consisting of primary and immortalized keratinocytes. In some embodiments, the host cells are NIKS cells or cell derived from NIKS cells. In further embodiments, the KGF-2 is full length KGF-2.
In further embodiments, the present invention provides methods of treating wounds comprising: a) providing immortalized keratinocytes expressing heterologous KGF-2, and a subject with a wound; and b) contacting the wound with the immortalized cells expressing heterologous KGF-2. The present invention is not limited to any particular type of contacting. Indeed, a variety of ways of contacting are contemplated. In some embodiments, the contacting comprises topical application. In other embodiments, the contacting comprises engraftment. In still other embodiments, the contacting comprises wound dressing. The present invention is not limited to the treatment of any particular type of wound. Indeed, the treatment of a variety of wounds is contemplated, including, but not limited to those selected from the group comprising venous ulcers, diabetic ulcers, pressure ulcers, burns, ulcerative colitis, mucosal injuries, internal injuries, external injuries. In some embodiments, the immortalized keratinocytes are NIKS cells. In further embodiments, the immortalized keratinocytes are incorporated into a human skin equivalent. In still further embodiments, the human skin equivalent further comprises cells derived from a patient. In other embodiments, the methods further comprise the step mixing the keratinocytes expressing heterologous KGF-2 with cells derived from the subject prior to the contacting step.
In still other embodiments, the present invention provides vectors comprising a keratinocyte specific promoter operably linked to a DNA sequence encoding KGF-2. In some embodiments, the keratinocyte specific promoter is the Kl4 promoter or the involucrin promoter. The present invention also provides host cells and skin equivalents comprising these vectors.
In other embodiments, the present invention provides a method for providing a tissue (e.g., human skin equivalent) expressing an exogenous antimicrobial polypeptide or peptide comprising providing a keratinocyte and an expression vector comprising a DNA
sequence encoding an antimicrobial polypeptide or peptide thereof operably linked to a regulatory sequence; introducing the expression vector into the keratinocyte;
and incorporating the keratinocyte into a tissue (e.g., human skin equivalent). In some embodiments, the keratinocyte is capable of stratifying into squamous epithelia. In some embodiments, the keratinocyte is selected a primary or immortalized keratinocyte (e.g.
preferably NIKS cells). In certain embodiments, the expression vector further comprises a selectable marker. In some preferred embodiments, the regulatory sequence is a promoter sequence (e.g., an involucrin promoter or a keratin- 14 promoter). In certain preferred embodiments, the promoter sequence allows antimicrobial polypeptide expression in the host cell. The present invention is not limited to a particular antimicrobial polypeptide.
Indeed, a variety of antimicrobial polypeptides is contemplated including, but not limited to, human beta defensin 1, 2, and 3 and human cathelicidin. In some embodiments, the human beta defensin 3 has a mutated amino acid sequence (e.g., one or more single amino acid substitutions). In some preferred embodiments, the one or more single amino acid substitutions comprise Cys40Ala, Cys45Ala, Cys55Ala, Cys62Ala, and Cys63Ala.
In other embodiments, the single amino acid substitution is Gly38Ala. In particularly preferred embodiments, the mutated human beta defenin 3 has antimicrobial activity. In other embodiments, the expression vector further comprises a nucleic acid sequence encoding a signal secretion peptide. In preferred embodiments, the skin equivalent exhibits antimicrobial activity. The present invention additionally provides a skin equivalent produced by the method described herein.
In yet other embodiments, the present invention provides a composition comprising keratinocytes (e.g., primary or immortalized keratinocytes) expressing an exogenous antimicrobial polypeptide. In preferred embodiments, the keratinocytes are NIKS cells or cells derived from NIKS cells. The present invention is not limited to a particular antimicrobial polypeptide. Indeed, a variety of antimicrobial polypeptides is contemplated including, but not limited to, human beta defensin 1, 2, and 3 and human cathelicidin. In some embodiments, the human beta defensin 3 has a mutated amino acid sequence (e.g., one or more single amino acid substitutions). In some preferred embodiments, the one or more single amino acid substitutions comprise Cys40Ala, Cys45Ala, Cys55Ala, Cys62Ala, and Cys63Ala. In other embodiments, the single amino acid substitution is Gly38Ala. In some embodiments, the keratinocytes are stratified. In other embodiments, the composition further comprises a demial equivalent. In yet other embodiments, the present invention provides an organotypic culture of the keratinocytes. In other embodiments, the composition further comprises cells derived from a patient. In still further embodiments, the composition further comprises keratinocytes that do not express the exogenous antimicrobial polyeptide. In yet other embodiments, the composition further comprises keratinocytes expressing at least one additional exogenous (e.g., antimicrobial) polypeptide.
The present invention further provides a method of treating wounds comprising:
providing primary or immortalized keratinocytes (e.g., NIKS cells) expressing a exogenous antimicrobial polypeptide, and a subject with a wound; contacting the wound with the immortalized keratinocytes expressing an exogenous antimcrobial polypeptide.
The present invention is not limited to a particular antimicrobial polypeptide. Indeed, a variety of antimicrobial polypeptides is contemplated including, but not limited to, human beta defensin 1, 2, and 3 and human cathelicidin. In some embodiments, the human beta defensin 3 has a mutated amino acid sequence (e.g., one or more single amino acid substitutions). In some preferred embodiments, the one or more single amino acid substitutions comprise Cys40Ala, Cys45Ala, Cys55Ala, Cys62Ala, and Cys63Ala.
In other embodiments, the single amino acid substitution is Gly38Ala. In some embodiments, the contacting comprises engraftment, topical application, or wound dressing. The present invention contemplates treatment of any type of wound, including, but not limited to, venous ulcers, diabetic ulcers, pressure ulcers, bums, ulcerative colitis, mucousal injuries, internal injuries, and external injuries. In some embodiments, the human skin equivalent further comprises cells derived from a patient.
The present invention additionally provides a vector comprising a keratinocyte specific promoter (e.g., involucrin promoter or the keratin-14 promoter) operably linked to a DNA sequence encoding an antimicrobial polypeptide. The present invention is not limited to a particular antimicrobial polypeptide. Indeed, a variety of antimicrobial polypeptides is contemplated including, but not limited to, human beta defensin 1, 2, and 3 and human cathelicidin. In some embodiments, the human beta defensin 3 has a mutated amino acid sequence (e.g., one or more single amino acid substitutions). The present invention further provides a host cell comprising the vector. The present invention also provides a human tissue (e.g., skin equivalent) comprising the host cell. In some embodiments, the human tissue (e.g., skin equivalent) further comprises cells derived from a patient.
In other embodiments, the human tissue (e.g., skin equivalent) further comprises keratinocytes not comprising the vector. In yet other embodiments, the human skin equivalent further comprises keratinocytes expressing at least one additional antimicrobial polypeptide.
In yet other embodiments, the present invention provides a method for providing a human tissue (e.g., skin equivalent) expressing an exogenous KGF-2 and an exogenous antimicrobial polypeptide comprising providing a keratinocyte; a first expression vector comprising a DNA sequence encoding an antimicrobial polypeptide operably linked to a regulatory sequence; and a second expression vector comprising a DNA encoding an exogenous KGF-2 polypeptide; and introducing the expression vector into the keratinocyte;
and incorporating the keratinocyte into a human tissue (e.g., skin equivalent).
In still other embodiments, the present invention provides a method of selecting cells with increased pluripotency or multipotency relative to a population, comprising providing a population of cells; electroporating the cells under conditions such that electroporated cells with increased pluripotency or multipotency relative to the population of cells are selected. In some embodiments, the electroporated cells exhibit stem cell like properties. In some embodiments, the population of cells are keratinocytes and the electroporated keratinocytes have holoclone or meroclone cell morphology. In other embodiments, the electroporated cells exhibit extended proliferative capacity. In some embodiments, the population of cells is electroporated with an exogenous nucleic acid expressing a selectable marker. In certain embodiments, the method further comprises the step of culturing the cells under conditions such that only cells expressing the selectable marker are selected for.
The present invention additionally provides a cell or population of cells generated by the method.
In certain embodiments, the present invention provides a method of selecting keratinocytes with holoclone or meroclone cell morphology, comprising providing a population of keratinocytes; and electroporating the keratinocytes under conditions such that electroporated keratinocytes with holoclone or meroclone cell morphology are selected.
In some embodiments, the holoclone cell morphology comprises one or more properties selected from the group consisting of tightly packed cells, cells uniform in size, colonies with smooth colony edges, and an overall round colony morphology. In some embodiments, the population of keratinocytes is electroporated with an exogenous nucleic acid expressing a selectable marker. In certain embodiments, the method further comprises the step of culturing the keratinocytes under conditions such that only cells expressing the selectable marker are selected for. The present invention also provides a keratinocyte population generated by the method.
A method for providing tissues expressing heterologous KGF-2 and/or antimicrobial polypeptide comprising providing a tissue and an expression vector comprising a DNA
sequence encoding KGF-2 and/or antimicrobial polypeptide operably linked to a regulatory sequence; introducing said expression vector to said tissue under conditions such that said expression vector is internalized by a host cell contained in said tissue and said KGF-2 and/or antimicrobial polypeptide is expressed. In some embodiments, the tissue is a human tissue (e.g., a human skin equivalent). In some embodiments, the expression vector is introduced to the tissue by particle bombardment, electroporation, or transfection.
DESCRIPTION OF THE FIGURES
Figure 1 provides the consensus sequence of the K14 promoter.
Figure 2 provides a diagram of the construction of the K14-luciferase vector.
Figure 3 provides a diagram of the K14-KGF-2 vector.
Figure 4 provides a diagram of the RT-PCR strategy.
Figure 5 provides a diagram of a vector for the expression of KGF-2 by the Involucrin promoter.
Figure 6 provides the DNA sequence for human beta defensin 1 (SEQ ID NO:9).
Figure 7 provides the DNA sequence for human beta defensin 2 (SEQ ID NO: 10), Figure 8 provides the DNA sequence for human beta defensin 3 (SEQ ID NO: 11).
Figure 9 provides the DNA sequence for the involuerin promoter (SEQ ID NO:
12).
Figure 10 provides amino acid sequence alignments of the human (3-defensins 1-Figure 11 is a schematic drawing demonstrating characteristic j3-defensin covalent cysteine disulfide bond formation.
Figure 12 is a restriction enzyme map of the human (3-defensin-1 mammalian expression vector.
Figure 13 provides the cloning strategy for the human P-defensin vectors.

Figure 14 describes expression vectors for expression of human (3-defensin.
Figure 15 provides the results of a RT-PCR assay for expression of human P-defensin mRNA.
Figure 16 provides the results of immunoblot detection of human (3-defensin protein.
Figure 17 shows the antimicrobial activity of human (3-defensins 1, 2, and 3.
Figure 18 shows the antimicrobial activity of human (3-defensins 3 in an organotypic culture.
Figure 19 shows a linear map and restriction digest analysis of the hCAP18 vector.
Figure 20 shows the results of a RT-PCR assay for expression of hCAP 18.
DEFINTIONS
As used herein, the term "growth factor" refers to extracellular molecules that bind to a cell-surface triggering an intracellular signaling pathway leading to proliferation, differentiation, or other cellular response. Examples of growth factors include, but are not limited to, growth factor I, trophic factor, Caz+, insulin, hormones, synthetic molecules, pharmaceutical agents, and LDL.
As used herein, the term "keratinocyte growth factor" or "KGF" refers to a member of a group of structurally-distinct proteins known as FGFs that display varying degrees of sequence homology, suggesting that they are encoded by a related family of genes. The FGFs share common receptor sites on cell surfaces. KGF, for example, can bind to FGFR-3.

As used herein, the term "antimicrobial polypeptide" refers to polypeptides and peptides thereof that inhibit the growth of microbes (e.g., bacteria).
Examples of antimicrobial polypeptides include, but are not limited to, the polypeptides described in Table 1 below (e.g., defensins or cathelicidins). Antimicrobial polypeptides include peptides synthesized from both L-amino and D-amino acids. "Antimicrobial polypeptides"
also include peptide portions of the antimicrobial polypeptide, obtained by any method (e.g., synthesized or enzymatically obtained).
As used herein, the term "defensin" refers to a family of highly cross-linked, structurally homologous antimicrobial peptides that are generally, but not necessarily, found in the azurophil granules of polymorphonuclear leukocytes (PMN's) with homologous peptides being present in macrophages.

As used herein, the terms "human beta-defensin 1" or "hBD1", when used in reference to a protein or nucleic acid refers to a protein or nucleic acid encoding a protein that shares greater than about 50% identity with SEQ ID NO: 13 and also has at least one activity of wild type hBD1. Thus, the term hBD1 protein encompasses both proteins that are identical to wild-type hBD 1 protein and those that are derived from wild type hBD 1 protein (e.g., variants of hBD1 protein or chimeric genes constructed with portions of hBD1 protein coding regions).
As used herein, the term "activity of hBD1" refers to any activity of wild type hBD1 protein (e.g., antimicrobial activity). The term is intended to encompass all activities of hBD1 protein, alone or in combination.

In particular, the term "hBD I gene" refers to the full-length hBD l nucleotide sequence (e.g., contained in SEQ ID NO:9). However, it is also intended that the term encompass fragments of the hBD1 sequence, as well as other domains within the full-length hBD 1 nucleotide sequence, as well as variants of hBD 1. Furthermore, the terms " hBD 1 gene nucleotide sequence" or " hBD1 gene polynucleotide sequence" encompasses DNA, cDNA, and RNA (e.g., mRNA) sequences.

As used herein, the terms "human beta-defensin 2" or "hBD2", when used in reference to a protein or nucleic acid refers to a protein or nucleic acid encoding a protein that shares greater than about 50% identity with SEQ ID NO: 14 and also has at least one activity of wild type hBD2. Thus, the term hBD2 protein encompasses both proteins that are identical to wild-type hBD2 protein and those that are derived from wild type hBD2 protein (e.g., variants of hBD2 protein or chimeric genes constructed with portions of hBD2 protein coding regions).

As used herein, the term "activity of hBD2" refers to any activity of wild type hBD2 protein (e.g., antimicrobial activity). The term is intended to encompass all activities of hBD2 protein, alone or in combination.
In particular, the term "hBD2 gene" refers to the full-length hBD1 nucleotide sequence (e.g., contained in SEQ ID NO:10). However, it is also intended that the term encompass fragments of the hBD 1 sequence, as well as other domains within the full-length hBD2 nucleotide sequence, as well as variants of hBD 1. Furthermore, the terms " hBD2 gene nucleotide sequence" or " hBD1 gene polynucleotide sequence" encompasses DNA, cDNA, and RNA (e.g., mRNA) sequences.

As used herein, the terms "human beta-defensin 3" or "hBD3", when used in reference to a protein or nucleic acid refers to a protein or nucleic acid encoding a protein that shares greater than about 50% identity with SEQ ID NO: 15 and also has at least one activity of wild type hBD3. Thus, the term hBD3 protein encompasses both proteins that are identical to wild-type hBD3 protein and those that are derived from wild type hBD3 protein (e.g., variants of hBD3 protein or chimeric genes constructed with portions of hBD3 protein coding regions).
As used herein, the term "activity of hBD3" refers to any activity of wild type hBD3 protein (e.g., antimicrobial activity). The term is intended to encompass all activities of hBD1 protein, alone or in combination.
In particular, the tern "hBD3 gene" refers to the full-length hBD3 nucleotide sequence (e.g., contained in SEQ ID NO: 11). However, it is also intended that the term encompass fragments of the hBD3 sequence, as well as other domains within the full-length hBD3 nucleotide sequence, as well as variants of hBD3. Furthermore, the terms " hBD3 gene nucleotide sequence" or " hBD3 gene polynucleotide sequence" encompasses DNA, cDNA, and RNA (e.g., mRNA) sequences.

As used herein, the term "NIKS cells" refers to cells having the characteristics of the cells deposited as cell line ATCC CRL-12191.
The term "gene" refers to a nucleic acid (e.g., DNA) sequence that comprises coding sequences necessary for the production of a polypeptide or precursor (e.g., GKLF). The polypeptide can be encoded by a full length coding sequence or by any portion of the coding sequence so long as the desired activity or functional properties (e.g., enzymatic activity, ligand binding, signal transduction, etc.) of the full-length or fragment are retained.
The term also encompasses the coding region of a structural gene and the including sequences located adjacent to the coding region on both the 5' and 3' ends for a distance of about I kb on either end such that the gene corresponds to the length of the full-length rRNA. The sequences that are located 5' of the coding region and which are present on the rnRNA are referred to as 5' untranslated sequences. The sequences that are located 3' or downstream of the coding region and that are present on the mRNA are referred to as 3' untranslated sequences. The term "gene" encompasses both cDNA and genomic forms of a gene. A genomic form or clone of a gene contains the coding region interrupted with non-coding sequences termed "introns" or "intervening regions" or "intervening sequences."
Inhrons are segments of a gene that are transcribed into nuclear RNA (hnRNA);
introns may contain regulatory elements such as enhancers. Introns are removed or "spliced out" from the nuclear or primary transcript; introns therefore are absent in the messenger RNA
(mRNA) transcript. The mRNA functions during translation to specify the sequence or order of amino acids in a nascent polypeptide.

As used herein, the terms "nucleic acid molecule encoding," "DNA sequence encoding," and "DNA encoding" refer to the order or sequence of deoxyribonucleotides along a strand of deoxyribonucleic acid. The order of these deoxyribonucleotides determines the order of amino acids along the polypeptide (protein) chain. The DNA
sequence thus codes for the amino acid sequence.

As used herein, the term "recombinant DNA molecule" as used herein refers to a DNA molecule that is comprised of segments of DNA joined together by means of molecular biological techniques.

The term "isolated" when used in relation to a nucleic acid, as in "an isolated oligonucleotide" or "isolated polynucleotide" refers to a nucleic acid sequence that is identified and separated from at least one contaminant nucleic acid with which it is ordinarily associated in its natural source. Isolated nucleic acid is present in a form or setting that is different from that in which it is found in nature. In contrast, non-isolated nucleic acids are nucleic.acids such as DNA and RNA found in the state they exist in nature. For example, a given DNA sequence (e.g., a gene) is found on the host cell chromosome in proximity to neighboring genes; RNA sequences, such as a specific mRNA
sequence encoding a specific protein, are found in the cell as a mixture with numerous other mRNAs that encode a multitude of proteins. However, isolated nucleic acid encoding KGF-2 includes, by way of example, such nucleic acid in cells ordinarily expressing KGF-2 where the nucleic acid is in a chromosomal location different from that of natural cells, or is otherwise flanked by a different nucleic acid sequence than that found in nature. The isolated nucleic acid, oligonucleotide, or polynucleotide may be present in single-stranded or double-stranded form. When an isolated nucleic acid, oligonucleotide or polynucleotide is to be utilized to express a protein, the oligonucleotide or polynucleotide will contain at a minimum the sense or coding strand (i.e., the oligonucleotide or polynucleotide may be single-stranded), but may contain both the sense and anti-sense strands (i.e., the oligonucleotide or polynucleotide may be double-stranded).

As used herein the term "portion" when in reference to a nucleotide sequence (as in "a portion of a given nucleotide sequence") refers to fi-agments of that sequence. The fragments may range in size from four nucleotides to the entire nucleotide sequence minus one nucleotide (10 nucleotides, 20, 30, 40, 50, 100, 200, etc.).

As used herein the term "coding region" when used in reference to structural gene refers to the nucleotide sequences that encode the amino acids found in the nascent polypeptide as a result of translation of a mRNA molecule. The coding region is bounded, in eukaryotes, on the 5' side by the nucleotide triplet: "ATG" that encodes the initiator methionine and on the 3' side by one of the three triplets that specify stop codons (i.e., TAA, TAG, TGA).
As used herein, the term "purified" or "to purify" refers to the removal of contaminants from a sample.

As used herein, the term "vector" is used in reference to nucleic acid molecules that transfer DNA segment(s) from one cell to another. The term "vehicle" is sometimes used interchangeably with "vector."

The term "expression vector" as used herein refers to a recombinant DNA
molecule containing a desired coding sequence and appropriate nucleic acid sequences necessary for the expression of the operably linked coding sequence in a particular host organism.
Nucleic acid sequences necessary for expression in prokaryotes usually include a promoter, an operator (optional), and a ribosome binding site, often along with other sequences.
Eukaiyotic cells are known to utilize promoters, enhancers, and termination and polyadenylation signals.

A "regulatory sequence" refers to a polynucleotide sequence that is necessary for regulation of expression of a coding sequence to which the polynucleotide sequence is operably linked. The nature of such regulatory sequences differs depending upon the host organism. In prokaryotes, such regulatory sequences generally include, for example, a promoter, and/or a transcription termination sequence. In eukaryotes, generally, such regulatory sequences include, for example, a promoter and/or a transcription termination sequence. The term "regulatory sequence" may also include additional components the presence of which are advantageous, for example, a secretory leader sequence for secretion of the polypeptide attached thereto.

"Operably linked" refers to a juxtaposition wherein the components so described are in a relationship permitting them to function in their intended manner. A
regulatory sequence is "operably linked" to a coding sequence when it is joined in such a way that expression of the coding sequence is achieved under conditions compatible with the regulatory sequence.

"PCR" refers to the techniques of the polymerase chain reaction as described in Saiki, et al., Nature 324:163 (1986); and Scharf et al., Science 233:1076-1078 (1986); U.S.
Pat. No. 4,683,195; and U.S. Pat. No. 4,683,202. As used herein, x is "heterologous" with respect to y if x is not naturally associated with y or x is not associated with y in the same manner as is found in nature.

By "pharmaceutically acceptable carrier," is meant any carrier that is used by persons in the art for administration into a human that does not itself induce any undesirable side effects such as the production of antibodies, fever, etc. Suitable carriers are typically large, slowly metabolized macromolecules that can be a protein, a polysaccharide, a polylactic acid, a polyglycolic acid, a polymeric amino acid, amino acid copolymers or an inactive virus particle. Such carriers are well known to those of ordinary skill in the art.
Preferably the carrier is thyroglobulin.

As used herein, the term "host cell" refers to any eukaryotic or prokaryotic cell (e.g., bacterial cells such as E. coli, yeast cells, mammalian cells, avian cells, amphibian cells, plant cells, fish cells, and insect cells), whether located in vitro or in vivo.
For example, host cells may be located in a transgenic animal.

The terms "overexpression" and "overexpressing" and grammatical equivalents, are used in reference to levels of mRNA to indicate a level of expression approximately 3-fold higher than that typically observed in a given tissue in a control or non-transgenic animal.
Levels of mRNA are measured using any of a number of techniques known to those skilled in the art including, but not limited to Northern blot analysis. Appropriate controls are included on the Northern blot to control for differences in the amount of RNA
loaded from each tissue analyzed (e.g., the amount of 28S rRNA, an abundant RNA transcript present at essentially the same amount in all tissues, present in each sample can be used as a means of normalizing or standardizing the KGF-2 mRNA-specific signal observed on Northern blots). The amount of mRNA present in the band corresponding in size to the correctly spliced KGF-2 transgene RNA is quantified; other minor species of RNA which hybridize to the transgene probe are not considered in the quantification of the expression of the transgenic rRNA.

The term "transfection" as used herein refers to the introduction of foreign DNA into eukaryotic cells. Transfection may be accomplished by a variety of means known to the art including calcium phosphate-DNA co-precipitation, DEAE-dextran-mediated transfection, polybrene-mediated transfection, electroporation, microinjection, liposome fusion, lipofection, protoplast fusion, retroviral infection, and biolistics.
The term "stable transfection" or "stably transfected" refers to the introduction and integration of foreign DNA into the genome of the transfected cell. The term "stable transfectant" refers to a cell that has stably integrated foreign DNA into the genomic DNA.

The term "transient transfection" or "transiently transfected" refers to the introduction of foreign DNA into a cell where the foreign DNA does not integrate into the genome of the transfected cell. The foreign DNA persists in the nucleus of the transfected cell for several days. During this time the foreign DNA is subject to the regulatory controls that govern the expression of endogenous genes in the chromosomes. The term "transient transfectant" refers to cells that have taken up foreign DNA but have failed to integrate this DNA.

The term "calcium phosphate co-precipitation" refers to a technique for the introduction of nucleic acids into a cell. The uptake of nucleic acids by cells is enhanced when the nucleic acid is presented as a calcium phosphate-nucleic acid co-precipitate. The original technique of Graham and van der Eb (Graham and van der Eb, Virol., 52:456 [ 1973]) has been modified by several groups to optimize conditions for particular types of cells. The art is well aware of these numerous modifications.

The term "test compound" refers to any chemical entity, pharmaceutical, drug, and the like that can be used to treat or prevent a disease, illness, sickness, or disorder of bodily function, or otherwise alter the physiological or cellular status of a sample.
Test compounds comprise both known and potential therapeutic compounds. A test compound can be determined to be therapeutic by screening using the screening methods of the present invention. A "known therapeutic compound" refers to a therapeutic compound that has been shown (e.g., through animal trials or prior experience with administration to humans) to be effective in such treatment or prevention.

The term "sample" as used herein is used in its broadest sense. A sample suspected of containing a human chromosome or sequences associated with a human chromosome may comprise a cell, chromosomes isolated from a cell (e.g., a spread of metaphase chromosomes), genomic DNA (in solution or bound to a solid support such as for Southern blot analysis), RNA (in solution or bound to a solid support such as for Northern blot analysis), cDNA (in solution or bound to a solid support) and the like. A
sample suspected of containing a protein may comprise a cell, a portion of a tissue, an extract containing one or more proteins and the like.

As used herein, the term "response", when used in reference to an assay, refers to the generation of a detectable signal (e.g., accumulation of reporter protein, increase in ion concentration, accumulation of a detectable chemical product).

As used herein, the term "reporter gene" refers to a gene encoding a protein that may be assayed. Examples of reporter genes include, but are not limited to, luciferase (See, e.g., deWet et al., Mol. Cell. Biol. 7:725 [1987] and U.S. Pat Nos.,6,074,859;
5,976,796;
5,674,713; and 5,618,682; all of which are incorporated herein by reference), green fluorescent protein (e.g., GenBank Accession Number U43284; a number of GFP
variants are commercially available from CLONTECH Laboratories, Palo Alto, CA), chloramphenicol acetyltransferase, Beta-galactosidase, alkaline phosphatase, and horse radish peroxidase.

DETAILED DESCRIPTION
The present invention provides human skin equivalents (e.g., NTKS cells) expressing exogenous polypeptides (e.g., KGF-2 and antimicrobial polypeptides), and compositions and methods for making such cells. In addition, the present invention provides methods for treatment of wounds with such cells.
1. Methods of Generating Host Cells In some embodiments, the present invention provides methods of generating human tissues such as skin equivalents (e.g., from NIKS cells) expressing exogenous polypeptides (e.g., KGF-2 and antimicrobial polypeptides).
A) Host Cells Generally, any source of cells or cell line that can stratify into squamous epithelia is useful in the present invention. Accordingly, the present invention is not limited to the use of any particular source of cells that are capable of differentiating into squamous epithelia.
Indeed, the present invention contemplates the use of a variety of cell lines and sources that can differentiate into squanous epithelia, including both primary and immortalized keratinocytes. Sources of cells include keratinocytes and dermal fibroblasts biopsied from humans and cavaderic donors (Auger et al., In Vitro Cell. Dev. Biol. - Animal 36:96-103;

U.S. Pat. Nos. 5,968,546 and 5,693,332, each of which is incorporated herein by reference), neonatal foreskins (Asbill et al., Pharm. Research 17(9): 1092-97 (2000);
Meana et al., Burns 24:621-30 (1998); U.S. Pat. Nos. 4,485,096; 6,039,760; and 5,536,656, each of which is incorporated herein by reference), and immortalized keratinocytes cell lines such as NM1 cells (Baden, In Vitro Cell. Dev. Biol. 23(3):205-213 (1987)), HaCaT cells (Boucamp et al., J. cell. Boil. 106:761-771 (1988)); and NMS cells (Cell line BC-1-Ep/SL; U.S.
Pat. No.
5,989,837, incorporated herein by reference; ATCC CRL-12191). Each of these cell lines can be cultured or genetically modified as described below in order to produce a cell line capable of expressing an exogenous polypeptide.
In particularly preferred embodiments, NIKS cells or cells derived from NIKS
cells are utilized. NIKS cells (Cell line BC-1-Ep/SL; U.S. Pat. Nos. 5,989,837, 6514,711, 6,495,135, 6,485,724, and 6,214,567; each of which is incorporated herein by reference;
ATCC CRL-12191). The discovery of a novel human keratinocyte cell line (near-diploid immortalized keratinocytes or NIKS) provides an opportunity to genetically engineer human keratinocytes for new therapeutic methods. A unique advantage of the NIKS cells is that they are a consistent source of genetically-uniform, pathogen-free human keratinocytes.
For this reason, they are useful for the application of genetic engineering and genomic gene expression approaches to provide skin equivalent cultures with properties more similar to human skin. Such systems will provide an important alternative to the use of animals for testing compounds and formulations. The NIKS keratinocyte cell line, identified and characterized at the University of Wisconsin, is nontumorigenic, exhibits a stable karyotype, and undergoes normal differentiation both in monolayer and organotypic culture. NIKS
cells form fully stratified skin equivalents in culture. These cultures are indistinguishable by all criteria tested thus far from organotypic cultures formed from primary human keratinocytes. Unlike primary cells however, the immortalized NIKS cells will continue to proliferate in monolayer culture indefinitely. This provides an opportunity to genetically manipulate the cells and isolate new clones of cells with new useful properties (Allen-Hoffmann et aL, J. Invest. Dermatol., 114(3): 444-455 (2000)).
The NIKS cells arose from the BC-1-Ep strain of human neonatal foreskin keratinocytes isolated from an apparently normal male infant. In early passages, the BC-1-Ep cells exhibited no morphological or growth characteristics that were atypical for cultured normal human keratinocytes. Cultivated BC-1-Ep cells exhibited stratification as well as features ofprogramnned cell death. To determine replicative lifespan, the BC-1-Ep cells were serially cultivated to senescence in standard keratinocyte growth medium at a density of 3 x 105 cells per 100-nun dish and passaged at weekly intervals (approximately a 1:25 split). By passage 15, most keratinocytes in the population appeared senescent as judged by the presence of numerous abortive colonies that exhibited large, flat cells.
However, at passage 16, keratinocytes exhibiting a small cell size were evident. By passage 17, only the small-sized keratinocytes were present in the culture and no large, senescent keratinocytes were evident. The resulting population of small keratinocytes that survived this putative crisis period appeared morphologically uniform and produced colonies of keratinocytes exhibiting typical keratinocyte characteristics including cell-cell adhesion and apparent squame production. The keratinocytes that survived senescence were serially cultivated at a density of 3 x 105 cells per 100-mm dish. Typically the cultures reached a cell density of approximately 8 x 106 cells within 7 days. This stable rate of cell growth was maintained through at least 59 passages, demonstrating that the cells had achieved immortality. The keratinocytes that emerged from the original senescencing population were originally designated BC-I-Ep/Spontaneous Line and are now termed NIKS. The NIKS cell line has been screened for the presence of proviral DNA sequences for HIV-1, HIV-2, EBV, CMV, HTLV-1, HTLV-2, HBV, HCV, B-19 parvovirus, HPV-16 and HPV-31 using either PCR
or Southern analysis. None of these viruses were detected.
Chromosomal analysis was performed on the parental BC-1-Ep cells at passage 3 and NIKS cells at passages 31 and 54. The parental BC-1-Ep cells have a normal chromosomal complement of 46, XY. At passage 31, all NIKS cells contained 47 chromosomes with an extra isochromosome of the long arm of chromosome 8. No other gross chromosomal abnormalities or marker chromosomes were detected. At passage 54, all cells contained the isochromosome 8.
The DNA fingerprints for the NIKS cell line and the BC-1-Ep keratinocytes are identical at all twelve loci analyzed demonstrating that the NIKS cells arose from the parental BC-1-Ep population. The odds of the NIKS cell line having the parental BC-1-Ep DNA fingerprint by random chance is 4 x 10-16. The DNA fingerprints from three different sources of human keratinocytes, ED-1-Ep, SCC4 and SCC13y are different from the BC-1-Ep pattern. This data also shows that keratinocytes isolated from other humans, ED-1-Ep, SCC4, and SCC13y, are unrelated to the BC-1-Ep cells or each other. The NIKS
DNA
fingerprint data provides an unequivocal way to identify the NIKS cell line.
Loss of p53 function is associated with an enhanced proliferative potential and increased frequency of immortality in cultured cells. The sequence of p53 in the NIKS cells is identical to published p53 sequences (GenBank accession number: M14695). In humans, p53 exists in two predominant polymorphic forms distinguished by the amino acid at codon 72. Both alleles of p53 in the NIKS cells are wild-type and have the sequence CGC at codon 72, which codes for an arginine. The other common form of p53 has a proline at this position. The entire sequence of p53 in the NIKS cells is identical to the BC-1-Ep progenitor cells. Rb was also found to be wild-type in NIKS cells.
Anchorage-independent growth is highly correlated to tumorigenicity in vivo.
For this reason, the anchorage-independent growth characteristics of NIKS cells in agar or methylcellulose-containing medium was investigated. After 4 weeks in either agar- or methylcellulose-containing medium, NIKS cells remained as single cells. The assays were continued for a total of 8 weeks to detect slow growing variants of the NIKS
cells. None were observed.
To determine the tumorigenicity of the parental BC-1-Ep keratinocytes and the immortal NIKS keratinocyte cell line, cells were injected into the flanks of athymic nude mice. The human squamous cell carcinoma cell line, SCC4, was used as a positive control for tumor production in these animals. The injection of samples was designed such that animals received SCC4 cells in one flank and either the parental BC-1-Ep keratinocytes or the NIKS cells in the opposite flank. This injection strategy eliminated animal to animal variation in tumor production and confirmed that the mice would support vigorous growth of tumorigenic cells. Neither the parental BC-1-Ep keratinocytes (passage 6) nor the NIKS
keratinocytes (passage 35) produced tumors in athymic nude mice.
NIKS cells were analyzed for the ability to undergo differentiation in both surface culture and organotypic culture. For cells in surface culture, a marker of squamous differentiation, the formation comified envelopes was monitored. In cultured human keratinocytes, early stages of cornified envelope assembly result in the formation of an immature structure composed of involucrin, cystatin-a and other proteins, which represent the innermost third of the mature cornified envelope. Less than 2% of the keratinocytes from the adherent BC-1-Ep cells or the NIKS cell line produce cornified envelopes. This finding is consistent with previous studies demonstrating that actively growing, subconfluent keratinocytes produce less than 5% comified envelopes. To determine whether the NIKS cell line is capable of producing comified envelopes when induced to differentiate, the cells were removed from surface culture and suspended for 24 hours in medium made semi-solid with methylcellulose. Many aspects of tenninal differentiation, including differential expression of keratins and cornified envelope formation can be triggered in vitro by loss of keratinocyte cell-cell and cell-substratum adhesion. The NIKS

keratinocytes produced as many as and usually more cornified envelopes than the parental keratinocytes. These findings demonstrate that the NIKS keratinocytes are not defective in their ability to initiate the formation of this cell type-specific differentiation structure.
To confirm that the NIKS keratinocytes can undergo squamous differentiation, the cells were cultivated in organotypic culture. Keratinocyte cultures grown on plastic substrata and submerged in medium replicate but exhibit limited differentiation.
Specifically, human keratinocytes become confluent and undergo limited stratification producing a sheet consisting of 3 or more layers of keratinocytes. By light and electron microscopy there are striking differences between the architecture of the multilayered sheets formed in tissue culture and intact human skin. In contrast, organotypic culturing techniques allow for keratinocyte growth and differentiation under in vivo-like conditions.
Specifically, the cells adhere to a physiological substratum consisting of dermal fibroblasts embedded within a fibrillar collagen base. The organotypic culture is maintained at the air-medium interface. In this way, cells in the upper sheets are air-exposed while the proliferating basal cells remain closest to the gradient of nutrients provided by diffusion through the collagen gel. Under these conditions, correct tissue architecture is formed.
Several characteristics of a normal differentiating epidermis are evident. In both the parental cells and the NIKS cell line a single layer of cuboidal basal cells rests at the junction of the epidermis and the dermal equivalent. The rounded morphology and high nuclear to cytoplasmic ratio is indicative of an actively dividing population of keratinocytes.
In normal human epidermis, as the basal cells divide they give rise to daughter cells that migrate upwards into the differentiating layers of the tissue. The daughter cells increase in size and become flattened and squamous. Eventually these cells enucleate and form cornified, keratinized structures. This normal differentiation process is evident in the upper layers of both the parental cells and the NIKS cells. The appearance of flattened squamous cells is evident in the upper layers of keratinocytes and demonstrates that stratification has occurred in the organotypic cultures. In the uppermost part of the organotypic cultures the enucleated squames peel off the top of the culture. To date, no histological differences in differentiation at the light microscope level between the parental keratinocytes and the NIKS keratinocyte cell line grown in organotypic culture have been observed.
To observe more detailed characteristics of the parental (passage 5) and NIKS
(passage 38) organotypic cultures and to confirm the histological observations, samples were analyzed using electron microscopy. Parental cells and the immortalized human keratinocyte cell line, NIKS, were harvested after 15 days in organotypic culture and sectioned perpendicular to the basal layer to show the extent of stratification. Both the parental cells and the NIKS cell line undergo extensive stratification in organotypic culture and form structures that are characteristic of normal human epidermis.
Abundant desmosomes are formed in organotypic cultures of parental cells and the NIKS
cell line.
The formation of a basal lamina and associated hemidesmosomes in the basal keratinocyte layers of both the parental cells and the cell line was also noted.
Hemidesmosomes are specialized structures that increase adhesion of the keratinocytes to the basal lamina and help maintain the integrity and strength of the tissue.
The presence of these structures was especially evident in areas where the parental cells or the NIKS cells had attached directly to the porous support. These findings are consistent with earlier ultrastructural findings using human foreskin keratinocytes cultured on a fibroblast-containing porous support. Analysis at both the light and electron microscopic levels demonstrate that the NIKS cell line in organotypic culture can stratify, differentiate, and form structures such as desmosomes, basal lamina, and hemidesmosomes found in normal human epidermis.
B) KGF-2 In some embodiments, the present invention provides human skin equivalents (e.g., keratinocytes) that express exogenous KGF-2 protein. KGF-2 is a 208 amino acid protein that influences normal keratinocyte and epithelial cells to proliferate and migrate to wound sites. Protein and nucleic acid sequences for KGF-2 are provided in U.S. Pat.
No.
6,077,692; which is incorporated herein by reference.
KGF-2 promotes wound healing in tissues containing keratinocytes and fibroblasts by having a positive proliferative effect on epithelial cells and mediating keratinocyte migration. In addition, KGF-2 promotes wound healing by increasing deposition of granulation tissue and collagen, and maturation of collagen (Soler et al., Wound Repair Regen. 7(3):172-178 (1999)).

C) Antimicrobial polypeptides In some embodiments, the present invention provides human skin equivalents (e.g., keratinocytes) that express exogenous antimicrobial polypeptides. In intact human skin, the stratum corneurn serves as the first line of defense against microbial organisms. The stratum corneum is the uppermost, nonviable, desiccated layer of the epidermis that is composed of fully differentiated keratinocytes. The innate immune response prevents invasion of microbial organisms if the outer most layer of the skin barrier is penetrated. This response includes phagocytosis by macrophages and neutrophils and their production of reactive oxygen intermediates that kill microbial agents. Associated with this line of defense are antimicrobial peptides that are naturally expressed and localized to the upper layers of the epidermis. The most thoroughly studied human antimicrobial peptides belong to two subfamilies, the a- and (3-defensins, which differ from one another by their disulfide bond pairing, genomic organization and tissue distributions (Ganz, T. and J.
Weiss, Semin Hematol, 1997. 34(4): p. 343-54). The (3-defensins are characteristically found in epithelial tissues and are expressed in human keratinocytes. This defensin subfamily demonstrates strong antimicrobial activity against a broad spectrum of pathogenic agents, including bacteria, fungi and viruses.
Microorganisms have difficulty acquiring resistance to the defensin peptides, making these peptides very attractive for therapeutic use as antibiotics (Schroder, J.M., Biochem Pharmacol, 1999. 57(2): p. 121-34). In clinical trials, defensin peptides applied to skin have been found to be safe (Hancock, R.E., Lancet, 1997. 349(9049): p.
418-22). The safety of topically-applied defensins is consistent with the finding that human epidermal keratinocytes express defensin peptides in vivo.
In the human genome, all known defensin genes cluster to a < 1 Mb region of chromosome 8p22-p23; these findings suggest an evolutionary conservation of this gene family. Harder, J., et al., Mapping of the gene encoding human beta-defensin-2 (DEFB2) to chromosome region 8p22-p23. 1. Genomics, 1997. 46(3): p, 472-5. It is generally accepted that evolutionarily conserved genes maintain some overlap in gene function.
The defensin gene family is no exception to this theory. The defensin genes encode small (3-5kDa), cationic molecules characterized by an amphipathic structure and have six cysteine residues that form three intramolecular disulfide bonds (see Figure 11). These cationic regions are thought to be attractive to the anionic surfaces of most bacteria. The human defensin gene family is divided into two subfamilies: the a-defensins and (3-defensins that differ from one another by their disulfide bond pairing, genomic organization and tissue distributions. The a- and (3-defensins share similarity in tertiary structure and both contain triple stranded antiparallel beta sheets (Pardi, A., et al., Bochemistry, 1992. 31(46): p.
11357-64;
Zimmermann, G.R., et al., Biochemistry, 1995. 34(41): p. 13663-71). However, their antimicrobial mechanisms of action are distinct from one another.
Historically the a-defensins have been found in storage granules of specialized cell types such as neutrophils and Paneth cells of the small intestine, whereas the P-defensins are expressed in epithelial tissues. The a-defensins also have an inhibitory pro-region in their amino-terminal sequence, which is cleaved off after release from granules. The pro-region is likely to contain a granule targeting motif but may function independently as a protease inhibitor. The broad spectrum of antimicrobial activity is mediated in part by permeabilization of biological membranes. Although extremely potent for killing invading microorganisms, a-defensins have also been shown to be toxic to eukaryotic cell types (Lichtenstein, A., et al., Blood, 1986. 68(6): p. 1407-10; Okrent et al., Am Rev Respir Dis, 1990. 141(1): p. 179-85). The a-defensin-induced pleiotropic cell killing activity makes this subfamily of defensins unattractive as a gene candidate for expression in living human skin substitutes.
Keratinocytes of the skin and other epithelia harbor endogenously expressed members of the P-defensins. To date, there have been six distinct genes identified. Three of these human (3-defensin genes, hBD-1, hBD-2 & hBD-3, are expressed in epidermal keratinocytes of the skin. The first exon encodes the signal sequence and propeptide and the second exon encodes the mature peptide. Amino acid sequence alignment highlighting conserved residues and the characteristic six cysteine residues of the human (3-defensins 1-3 are shown in Figure 10. The disulfide covalent bonds required for secondary structure of the active peptide are demonstrated in Figure 11.
Several factors are thought to contribute to the antimicrobial action of the defensins on microbes. First because of their cationic and amphiphilic characteristics, antimicrobial peptides bind and insert into the cytoplasmic membrane, where they assemble into multimeric pores, and destroy the target microbe by changing membrane conductance and altering intracellular function (White, S.H., W.C. Wimley, and M.E.
Selsted, Curr Opin Struct Biol, 1995. 5(4): p. 521-7; Boman, H.G., Annu Rev Immunol, 1995. 13: p.
61-92).
Most antimicrobial peptides kill microorganisms by forming pores in the cell membrane.
These peptides are not toxic to mammalian cells due to the sensitivity of these peptide antibiotics to cholesterol and phospholipids, major components of mammalian cell membranes. The P-defensins are attractive candidates for therapeutic use as antibiotics since it is difficult for microorganisms to acquire resistance to the peptides' bactericidal mechanism of action (Schroder, J.M., Biochem Phannaeol, 1999. 57(2): p. 121-34).
When expressed, the (3-defensin peptides appear to initially localize to the cytoplasm of undifferentiated or less differentiated keratinocytes. As these cells differentiate and move closer to the epidermal surface, they secrete these antimicrobial peptides onto the keratinoc}ate membrane or into the intracellular space. The signal peptide sequence is thought to contribute to the specialized localization of this active peptide.
Finally human (3-defensin peptides accumulate in the dehydrated cells of the epidermal surface.
Studies demonstrate that, although the three (3-defensin genes are very similar, their expression is determined by completely different regulatory mechanisms (Frye, M., J. Bargon, and R.
Gropp, J Mol Med, 2001. 79(5-6): p. 275-82).
The burn wound is an ideal environment for bacterial growth and provides a pathway for microbial invasion. Luterman and coworkers concluded "Burned skin is a nidus and portal for bacterial invasion, causing burn wound sepsis, the leading cause of death in burn units around the world" (Luterman, A., C.C. Dacso, and P.W.
Curreri, Am J
Med, 1986. 8l(lA): p. 45-52). Infection is further promoted by skin loss and post burn immuno-suppression. As expected, human defensin gene expression is diminished in full thickness burn wounds most probably due to the destruction of the epithelium.
For example, human J3-defensin gene (hBD-2) expression is virtually undetectable in the burn wound suggesting the loss of defensins due to thermal destruction of the skin (Milner, S.M.
and M.R. Ortega, Burns, 1999. 25(5): p. 411-3). A routinely used debridement procedure may also contribute to significant removal of epithelia in a wound bed.
Debridement speeds the healing of ulcers, burns, and other wounds by removing dead tissue so that the remaining living tissue can adequately heal. Wounds that contain non-living (necrotic) tissue take longer to heal because necrotic debris is a nutrient source for bacteria in a wound. The debridement procedure introduces a potential risk that surface bacteria may be introduced deeper into the body, causing infection.
Bacteria typically encountered in a burn wound include E. coil, P. aeruginosa, S.
aureus, and C. albicans (Heggers, J.P., Treatment of infection in burns, H.
DN, Editor.
1996, WB Saunders: London. p. 98-135). All of these microbes are killed by one or more of the (3-defensin antimicrobial peptides.
Some J3-defensin family members are upregulated in response to inflammatory stimuli or bacterial invasion. Others remain non-responsive, downregulated or suppressed in response to inflammatory stimuli or bacterial exposure. In unwounded, intact skin, the calculated epidermal concentrations of J3-defensin peptides are well within the range needed for their antimicrobial effects. The (3-defensins possess chemotactic activity for immature dendritic cells and memory T cells. These chemotactic responses require much lower concentrations than required for antimicrobial activity (Yang, D., et al., Science, 1999.
286(5439): p. 525-8). As a result of this cross-talk, the J3-defensins are thought to mediate an important link between innate and adaptive immunity. Therefore, the J3-defensins appear to play a multifunctional role by promoting both an adaptive immune response and inflammation, while facilitating wound healing through their antimicrobial activity.
Adaptive immunity is promoted through the endogenous antimicrobial peptides in healthy human skin and likely provides an effective shield from microbial infection;
however, patients with unhealthy or chronic skin wounds would also benefit from boosted local antimicrobial peptide levels.
The hBD-1 gene encodes for a 3.9 kDa basic peptide that was originally identified in hemofiltrates from human patients with end stage renal disease (Bensch, K.W., at al., FEBS Lett, 1995. 368(2): p. 331-5). hBD-1 bactericidal activity is predominantly against gram negative bacteria such as E. tali and P. aeruginosa. Constitutive hBD-1 expression has been observed in skin from various sites on the body. The overexpression of hBD-l in immortalized human skin cells (HaCat) is associated with keratinocyte cell differentiation.
Overexpression was confirmed to have no effect on proliferating cells. The present invention is not limited to a particular mechanism. Indeed, an understanding of the mechanism is not necessary to practice the present invention. Nonetheless, it is contemplated that (3-defensin gene expression is a consequence of differentiation, rather than an inducer of differentiation in keratinocytes (Frye, M., J. Bargon, and R. Gropp, J Mol Med, 2001. 79(5-6): p. 275-82). hBD-1 expression in differentiated keratinocyte cells is inhibited upon exposure to bacteria. The present invention is not limited to a particular mechanism. Indeed, an understanding of the mechanism is not necessary to practice the present invention. Nonetheless, it is contemplated that this result indicates that this factor is an important mediator of the healing process in regenerating epithelia. These studies confirm the upregulation ofhBD-I expression is a result of factors not associated with an inflammatory response. This antimicrobial peptide is not induced by inflammatory cytokines, which is consistent with the lack of cytokine-responsive transcription factor regulatory elements in the hBD-l 5'regulatory sequences.
hBD-2 peptide was originally identified in desqualnated squarnes of psoriatic skin and hBD-2 gene expression has since been identified in normal human keratinocytes (Harder, J., at al., Genomics, 1997. 46(3): p. 472-5). This gene encodes for a 4 kDa basic peptide. Variable endogenous levels of expression have been observed when comparing skin from various sites on the body, with the most prominent expression observed in facial skin and foreskin. Expression is localized to the suprabasal layers and the stratum comeum of intact skin. Low levels of hBD-2 protein have been detected in the cytoplasm of keratinocytes in basal layers of skin tissue. These proteins are believed to be secreted into the cell membrane or intercellular spaces as the cells achieve a suprabasal position in the tissue and eventually concentrate in the dehydrated cells of the stratum corneum. hBD-2 peptide efficiently combats clinical isolates of gram negative bacteria such as P. aeruginosa and E. coli, while only having a bacteriostatic effect, at high concentrations, on gram positive bacterial strains such as S. aureus (Liu, A.Y., et al., J Invest Dermatol, 2002.
118(2):p.275-81). Studies show that endogenous expression is triggered by inflammatory cytokines as well as exposure to bacteria. Finally, not only does hBD-2 have antimicrobial activity, it also modulates the inflammatory response in various skin conditions (Garcia, J.R., et al., Cell Tissue Res, 2001. 306(2): p. 257-64).
The hBD-3 gene encodes for a 5 kDa basic peptide that was identified by screening genomic sequences for antimicrobial activity and the ability to activate monocytes. The gene was cloned from differentiated respiratory epithelial cells. Strongest expression has been exhibited in the skin and tonsil. Endogenous expression is triggered by inflammation, and therefore, hBD-3 is not constitutive but rather a readily inducible antimicrobial peptide.
This peptide is also a potent chemoattractant for monocytes and neutrophils, which are strongly involved in the innate immune response (Garcia, J.R., et al., Cell Tissue Res, 2001.
306(2): p. 257-64). hBD-3 possesses a broad spectrum antimicrobial peptide activity at low micromolar concentrations, against many potential pathogenic microbes including P.
aeruginosa, S. pyrogenes, multiresistant S. aureus, vancomycin-resistant E.
faeciuni, and the yeast C. albicans. hBD-3 gene expression is also induced in HaCat and cultured skin-derived keratinocytes when stimulated with heat-inactivated bacteria (Harder, J., et al., Nature, 1997. 387(6636): p. 861). It is speculated that some disorders of defective innate immunity, such as unexplained recurrent infections of particular organs, may be caused by abnormalities that reduce expression of one or more genes that encode defensins or other antimicrobial peptides. Synthetic BD-3 protein exhibits a strong antimicrobial activity against gram-negative and gram-positive bacteria and fungi.
The present invention contemplates that the overexpression of exogenous antimicrobial polypeptides in human skin equivalents speeds wound healing and prevents infection of the wound. In some preferred embodiments, the antimicrobial polypeptide is overexpressed in the human skin equivalent is human beta defensins 1, 2, or 3 or combinations thereof.
The present invention is not limited to the expression of any particular exogenous antimicrobial polypeptide in the human skin equivalents. Indeed, the expression of a variety of antimicrobial polypeptides is contemplated, including, but not limited to the following:

following: magainin (e.g., magainin I, magainin II, xenopsin, xenopsin precursor fragment, caerulein precursor fragment), magainin I and II analogs (PGLa, magainin A, magainin G, pexiganin, Z-12, pexigainin acetate, D35, NISI-78A, MGO [K10E, K1 1E, F12W-magainin 2], MG2+ [KIOE, F12W-magainin-2], MG4+ [Fl2W-magainin 2], MG6+ [fl2W, E19Q-magainin 2 amide], MSI-238, reversed magainin II analogs [e.g., 53D, 87-ISM, and A87-ISM], Ala-magainin II amide, magainin II amide), cecropin PI, cecropin A, cecropin B, indolicidin, nisin, ranalexin, lactoferricin B, poly-L-lysine, cecropin A (1-8)-magainin II (1-12), cecropin A (1-8)-melittin (1-12), CA(1-13)-MA(1-13), CA(1-13)-ME(1-13), gramicidin, gramicidin A, gramicidin D, gramicidin S, alamethicin, protegrin, histatin, dermaseptin, lentivirus amphipathic peptide or analog, parasin I, lycotoxin I
or II, globomycin, gramicidin S, surfactin, ralinomycin, valinomycin, polymyxin B, PM2 [ (+/-) 1-(4-aminobutyl)-6-benzylindane], PM2c [ (+/-) -6-benzyl-I-(3-carboxypropyl)indane], PM3 [(+/-)1-benzyl-6-(4-aminobutyl)indane], tachyplesin, buforin I or II, misgurin, melittin, PR-39, PR-26, 9-phenylnonylamine, (KLAKKLA)n, (KLAKLAK)n, where n =
1, 2, or 3, (KALKALK)3, KLGKKLG)n, and KAAKKAA)n, wherein N = 1, 2, or 3, paradaxin, Bac 5, Bac 7, ceratoxin, mdelin 1 and 5, bombin-like peptides, PGQ, cathelicidin, HD-5, Oabac5alpha, ChBac5, SMAP-29, Bac7.5, lactoferrin, granulysin, thionin, hevein and knottin-like peptides, MPG1, 1bAMP, snakin, lipid transfer proteins, and plant defensins. Exemplary sequences for the above compounds are provided in Table 1. In some embodiments, the antimicrobial peptides are synthesized from L-amino acids, while in other embodiments, the peptides are synthesized from or comprise D-amino acids.
In some preferred embodiments of the present invention, the antimicrobial polypeptide is a defensin. In certain embodiments, the defensin comprises the following consensus sequence: (SEQ ID NO:107 - XjCN1CRN2CN3ERN4CN5GN6CCX2, wherein N
and X represent conservatively or nonconservatively substituted amino acids and N, = 1, N2 = 3 or 4, N3 = 3 or 4, N4 = 1, 2, or 3, N6 = 5-9, Xl and X2 may be present, absent, or equal from 1-2.
In certain embodiments, mutant defensins are utilized in the methods and compositions of the present invention. For example, in some embodiments, disulfide bond formation in beta-defensin 3 is disrupted by mutation of one or more cysteine residues. In preferred embodiments, 5 of the 6 cysteine residues (e.g., Cys40, CYs45, CYs55, Cys62, and Cys63) are mutated to alanine or other uncharged amino acid not capable of forming disulfide bonds. The present invention is not limited to a particular mechanism. Indeed, an understanding of the mechanism is not necessary to practice the present invention, Nonetheless, it is contemplated that disruption of disulfide bond formation in beta-defensin 3 increases the antimicrobial activity of the protein (See e.g., Hoover et al., Antimicrobial agent and chemotherapy 47:2804 (2003) and Wu et al., PNAS 100:8880 (2003)).
The hBD-3 mutants of the present invention may have altered (e.g., greater or less) antimicrobial activity than wild type hBD-3 or they may have similar antimicrobial activity.
It is further contemplated that the disruption of disulfide bonds reduces or eliminates the ability of hBD-3 to elicit a chemotactic response. The elimination of chemotactic response may be desirable for avoidance of immune response to skin equilavents grafted onto hosts (e.g., human hosts).
In other embodiments, glycine to alanine substitutions are generated in hBD-3 (e.g., Gly38Ala). In some embodiments, the both Gly-Ala and Cys-Ala substitutions are generated in the same hBD-3 polypeptide.
In some embodiments, antimicrobial polypeptides are modified to include a secretion signal peptide at the N-terminus of the antimicrobial peptides to create a chimeric (hybrid) protein. It is contemplated that such signal sequences allow for the free secretion of antimicrobial peptides, rather than facilitating their association with the cell surface. The antimicrobial peptides have an endogenous signal secretion peptide that directs the immature peptide to the golgi apparatus and eventual secretion into intracellular spaces.
These peptides appear to be tightly associated with the cell surfaces, and not "freely"
secreted. In some embodiments, the IL-2 Signal secretion peptide is used (CTT
GCA CTT
GTC ACA AAC AGT GCA CCT; SEQ ID NO:108).
In other embodiments, the antimicrobial polypeptide is a human cathelicidin (hCAP18) polypeptide (SEQ ID NO:47).
The present invention is not limited to any particular antimicrobial peptide.
Indeed, media comprising a variety of antimicrobial polypeptides are contemplated.
Representative antimicrobial polypeptides are provided in Table 1 below.

Table 1 Antimicrobial Peptides SEQ ID Name Organism Sequence NO:
13 beta-defensin 1 Human MRTSYLLLFTLCLLLSEMASGGNFLTGLGHR
SDHYNCVSSGGQCLYSACPIFTKIQGTCYRG
KAKCCK

Table 1 Antimicrobial Peptides SEQ ID Name Organism Sequence NO:
14 beta-defensin 2 Human MRVLYLLFSFLFIFLMPLPGVFGGIGDPVTCL
KS GAICHP V FCPRRYKQIGTCGLPGTKCCKK
P
15 beta-defensin 3 Human MRIHYLLFALLFLFLVPVPGHGGIINTLQKYY
CRVRGGRCAVLSCLPKEEQIGKCSTRGRKCC
RRKK
16 lingual antimicrobial Bos taunts mrlhhlllallflvlsagsgftggvrnsgscrrnkgicvp peptide precursor ircpgsmrgigtclgagvkccr k (Magainin) 17 antimicrobial peptide Xenopus laevis Gvlsnvigylkklgtgalnavlkq PGQ
18 Xenopsin Xenopus laevis mykgiflcvllavicanslatpssdadedndeveryvrgw askiggtlgldakvgllceligpkreamlrsaeagglapwil 19 magainin precursor Xenopus laevis mfkglficsliavicanalpgpeasadedmderevrgigk flbsagkfgkafvgeimkskrdaeavgpeafadedldere vrgigkflhsakkfgkafvgeimnskrdaeavgpeafade dlderevrgigkflhsakkfgkafvgeimnskrdaeavgp eafadedlderevrgigkflhsakkfgkafvgeimnslcrd aeavgpeafadedfderevrgigkflhsakkfgkafvgei nurskrdaeavgpeafadedlderevrgigkflhsakkfgk afvgeirnnslcrdaeavddrrwve 20 tachyplesin I Tachypleus kwcfrvcyrgicyrrcr gigas 21 tachyplesin II Tachypleus rwcfn cyrgicyrkcr gigas 22 buforin I Bufo bufo msgrgkgggkvrakaktrssraglgfpvgrvhrllrkgny gagarizans agrvgagapvylaavleyltaeilelagnaardnkktrii prhlglavrndeehikllggvtiagggvlpnigavllpkt esskpaksk 23 buforin II Bufo bufo trssraglgfpvgrvhrllrk gagarizans 24 cecropin A Bontbyx mori mnfvrilsfvfalvlalgavsaapeprwklfk iekvgm vrdglikagpaiaviggakslgk 25 cecropin B Bombyx mori mnfakilsfvfalvlalsmtsaapeprwkifkkiekmgrn irdgivkagpaievlgsakaigk 26 cecropin C Drosophila mnfykifvfvalilaisiggseagwlkklgluierigght melanogaster rdatigglgiagqaanvaatarg 27 cecropin PI Sus scrofa swlsktakklensakkrisegiaiaigggpr 28' Indolicidin Bos taurus ilpwkwpwwpwrr 29 Nisin Lactococcus itsislctpgcktgalmgcnmktatchcsihvsk lactis Table 1 Antimicrobial Peptides SEQ ID Name Organism Sequence NO:
30 Ranalexin Rana flgglikivpamicavtkkc catesbeiana 31 lactoferricin B Bos taurus fkcrrwgwrmkldgapsitcvrraf 32 Protegrin-1 Sus scrofa rggrlcycrrrfcvcvgrx 33 Protegrhr2 Sus scrofa ggrlcycrrrfcicvg 34 histatin precursor Homo sapiens mkffvfalilalmismtgadshakrlrhgylakfhekhhsh rgyrsnylydn 35 histatin I Macaca dsheerhhgrhghhkygrkfhekhhshrgyrsnylydn fascicularis 36 dermaseptin Phyllomedusa alwktmlkklgtmalhagkaalgaaadtisgtq sauvagei 37 dermaseptin 2 Phyllomedusa alwftrnikldgtmalliagkaalgaaantisggtq sauvagei 38 dermaseptin 3 Phvllomedusa alwknmlkgigklagkaalgavkkivgaes sauvagei 39 Misgurin Misgurnus rgrveelskfskkgaaarrrk anguillicaudatu s 40 Melittin Apis niellifera gigavlkvlttglpaliswisrkkrgq 41 pardaxin-1 Pardachirus gffalipkiissplf tllsavgsalsssgege pavoninus 42 pardaxin-2 Pardachirus gffalipkiisspifktllsavgsalsssggge pavoninus 43 Bactenecin 5 precursor Bos taurus metgraslslgreslwllllglvlpsasagalsyreavlr avdgfnersseanlyrlleldptpnddldpgtrkpvsfrv ketdcprtsggplegcdfkenglvkqcvgtvtldpsndqf dincnelgsvrfrppirrppirppfyppfrppi pPifpp irppfrpplgpfpgrr 44 bactenecin precursor Bos taurus metpraslslgrwslwllllglalpsasagalsyreavlr avdglnegssepniyrlleldqppqddedpdspkrvsfrv ketvcsrttggppeqcdfkenglllacegtvtldqvrgnf ditcnnhgsiritkgpwappqaarlcrivvirvcr 45 ceratotoxin A Ceratitis sigsalkkalpvakkigkialpiakaalp capitata 46 ceratotoxin B Ceratitis sigsafkkalpvakkigkaalpiakaalp capitata 47 cathelicidin antimicrobial Homo sapiens mktgrnghslgrwslvllllglvmplaiiagvlsykeavl peptide raidgingrssdanlyrlldldprptmdgdpdtpkpvsft vketveprttggspedcdfkkdglvlaacmgtvtingargs fdiscdkdnkrfallgdfrkskekigkeflaivgrikdf Table 1 Antimicrobial Peptides SEQ ID Name Organism Sequence NO:
lrnlvprtes 48 myeloid cathelicidin 3 Equus caballus metgrntrclgrwsplllllglvippattgalsykeavlr avdgingrssdenlyrlleldplpkgdkdsdtpkpvsfmv ketvcprimkgtpegcdfkenglvkqcvgtvildpvkdyf dascdepgrvkrfhsvgsligrhgqmirdkseatrhgiri itrpklllas 49 myeloid antimicrobial Bos taurus metgraslslgrwslwllllglalpsasagalsyreavlr peptide BMAP-28 avdghreksseanlyrlleldpppkeddenpnipkpvsfr vketvcprtsggspeqcdfkengllkecvgtvtldqvgsn fditcavpqsvgglrslgrkilrawkkygpiivpiirig 50 myeloid cathelicidin 1 Equus caballus metgmtrclgrwsplllllglvippattgalsykeavlr avdgingrssdenlyrlleldplpkgdkdsdtpkpvsfmv ketvcprimkgtpegcdflcenglvkqcvgtvilgpvkdhf dvscgepgrvkrfgrlaksflrmrillprrkillas 51 SMAP 29 Ovis cries metqraslslgrcslwllllglalpsasaqvlsyreavlr aadglneksseanlyrlleldpppkgddensnipkpvsfr vketvcprtsggpaeqcdfkengllkecvgtvtldqvrnn fditcaepgsvrglrrlgrkiahgvkkygptvlriiriag 52 BNP-1 Bos taurus rlcrivvirvcr 53 HNP-1 Homo sapiens acycripaciagerrygtciyggrlwafcc 54 HNP-2 Homo sapiens cycripaciagerrygtciyggrlwafcc 55 HNP-3 Homo sapiens dcycripaciagerrygtciyggrlwafcc 56 HNP-4 Homo sapiens vcscrlvfcn-telrvgncliggvsftycctrv 57 NP-1 Oiyctolagus vvcacrralclprerragfcrirgrihplccrr cuniculus 58 NP-2 Oiyctolagus vvcacrralclplerragfcrirgrihplccrr cuniculus 59 NP-3A Oiyctolagus gicacn-rfcpnserfsgycrvngaryvrccsrr cuniculus 60 NP-3B Oiyctolagus grcvcrkgllcsyrerrigdckirgvrfpfccpr cuniculus 61 NP-4 Oryctolagus vsctcrrfscgfgerasgsctvnggvrhtlccrr Table I
Antimicrobial Peptides SEQ ID Name Organism Sequence NO:

cuniculus 62 NP-5 0iyctolagus vfctcrgflcgsgerasgsctingvrhtlccrr cuniculus 63 RatNP-1 Rattus vtcycrrtrcgfrerlsgacgyrgriyrlccr norvegicus 64 Rat-NP-3 Rattus cscrysscrfgerllsgacringriyrlcc norvegicus 65 Rat-NP-4 Rattus actcrigacvsgerltgacgingriyrlccr norvegicus 66 GPNP Guinea pig rrcicttrtcrfpyrrigtcifgnrvytfcc 67 theta defensin- I Macaca rcictrgfcrclcrrgvc niulatta 68 defensin CUAI Helian.thus mkssmkmfaalllvvmcllanemggplvveartcesgshk annuus fkgtclsdtncanvchserfsggkcrgfrrrcfctthc 69 defensin SD2 Helianthus mkssmkmfaalllvvmcllanemggphrveartcesgshk annuus fkgtclsdtncanvchserfsggkcrgfirrcfctthc 70 neutrophil defensin 2 Macaw acycripaclagerrygtcfymgrvwafcc mulatta 71 4 KDA defensin Androctonus gfgcpfnggachnccrsirrrggycaglfkgtctcyr australis hector 72 defensin Alvtilus gfgcpnnygchnccksipgrcggycggxhncctcyrc galloprovincialis 73 defensin AMP1 Heuchera dgvkledvpsgtwsghcgssskcsggekdrehfayggach sanguinea ygfpsvkcfckrgc 74 defensin AMPI Clitoria nlcerasltwtgncgntghedtgcrnwesakhgachkrgn ternatea wkcfcyfnc 75 cysteine-rich cryptdin-I Mus musculus mkhtvllfalvllafgvgadsiqntdeetkteeqpgekdq Table I
Antimicrobial Peptides SEQ ID Name Organism Sequence NO:

homolog avsvsfgdpqgsalqdaalgwgrrcpqcprcpscpscprc prcprckcnpk 76 beta-defensin-9 Bos taurus ggvrnfvtcrinrgfcvpircpghrrgigtclgpqikccr 77 beta-defensin-7 Bos taurus ggvrnfvtcrinrgfcvpircpghrrgigtclgprikccr 78 beta-defensin-6 Bos taunts ggvrnhvtcriyggfcvpircpgrtrgigtcfgrpvkccrrw 79 beta-defensin-5 Bos taurus gvvinpgscrwnmgvcipiscpgmnrgigtcfgprvpccr 80 beta-defensin-4 Bos taunts grvrnpgscrwnmgvcipflcrvgnrrqigtcfgprvpccrr 81 beta-defensin-3 Bos taurus ggvrnhvtcrinrgfcvpircpgrtrgigtcfgpril ccrsw 82 beta-defensin-10 Bos taunts ggvrsylscwgnrgicllnrcpgrmrgigtclaprvkccr 83 beta-defensin-13 Bos taurus sgisgplscgrnggvcipircpvpmrgigtcfgrpvkccrsw 84 beta-defensui-1 Bos taunts dfaschtnggiclpnrcpghrnigigicfrprvkccrsw 85 coleoptericin Zophobas slgggapnfpgpsgqnggwqvspolgrddkgntrgqiciq atratus rikgkdhdfhagwgkvirgpnkakptwhvggtyrr 86 defensin C Aedes aegypti atcdllsgfgvgdsacaahciargnrggycnskkvcvcrn 87 defensin B hlwilus edulis gfgcpndypclrnccksipgryggycggxhncctc 88 sapecin C Sarcophaga atcdllsgigvghsacalhcvfrgnrggyctgkgicvcrn peregrina 89 macrophage antibiotic Oyctolagus rnrtlallaaillvalgagaehvsvsidevvdqqppqaedq peptide MCP-1 cunicuhts dvaiyvkehessalealgvkagvvcacrralclprerrag fcrirgrihplccrr 90 cryptdin-2 Mus musculus mkplvllsalvllsfgvgadpiqntdeetkteeqsgeedq avsvsfgdregaslgeeslydlvcycrtrgckn=ermngt crkghlmytlec 91 cryptdin-5 Mus musculus mktfvllsalvllafgvgadpihk-tdeehiteegpgeedq avsisfgggegsalheelskklicycrirgchrervfgt crnlfltfvfccs Table 1 Antimicrobial Peptides SEQ ID Name Organism Sequence NO:

92 cryptdin 12 Mus musculus h=dlvcycrargckgrer mngtcrkghllymlccr 93 defensin Pyrrhocoris atcdilsfgsgwvtpnhagcalhcvikgykggqckitvcherr apterus 94 defensin R-5 Rattus vtcycrstrcgfrerlsgacgyrgriyrlccr nonvegicus 95 defensin R-2 Rattus vtcscrtsscrfgerlsgacringriyrlee norvegicus 96 defensin NP-6 Oryctolagus gicacnrfclnfegfsgycrvngaryvrccsrr cuniculus 97 beta-defensin-2 Pan troglodytes mrvlyllfsflfiflmplpgvfggisdpvtclksgaichp vfcprrykgigtcglpgtkcckkp 98 beta-defensin-1 Capra hircus nu=lhlilllvlfflvlsagsgftggirsrrschrnl:gvcal trcptnmrgigtcfgppvkccrkk 99 beta defensin-2 Capra hircus nrrlhlilllalfflvlsagsgftggiinhrscyrnkgvcap arcpnrmrgigtchgppvkccrkk 100 defensin-3 Macaca mrtlvilaaillvalgagaeplqartdeataaqeqiptdn mulatta pevvvslawdeslapkdsvpglrk-mnacycripaclager rygtcfyrrrvwafcc 101 defensin-1 Macaca mrtlvilaaillvalgagaeplqartdeataaqeqiptdn mulatta pevvvslawdeslapkdsvpglrkrunacycripaclager rygtcfylgrvwafcc 102 neutrophil defensin 1 Mesocricetus vtcfcrrrgcasrerhigycrfgntiyrlccrr auratus 103 neutrophil defensin I Mesocricetus cfclapvcdsgetgigycrlgntfyrlecrq auratus 104 Gallinacin 1-alpha Gallusgallus grksdcfrkngfcafllcpyltlisgkcsrflrlcckriw Table 1 Antimicrobial Peptides SEQ ID Name Organism Sequence NO:

105 defensin Allomyrina vtcdllsfeakgfaanhslcaahclaigrrggscergvcicrr dichotoma 106 neutroplul cationic Cavia porcellus rrcicttrtcrfpyrrlgtcifgnrvytfcc peptide I

Accordingly, in some embodiments the present invention contemplates the production of keratinocytes and skin equivalents expressing an antimicrobial polypeptide, and compositions and methods for making keratinocytes expressing an exogenous antimicrobial polypeptide. In preferred embodiments, the antimicrobial polypeptide is a defensin or a cathelicidin. In still more preferred embodiments, the defensin is a human beta defensin. In still more preferred embodiments, the human beta defensin is human beta defensin 1, 2 or 3. In some embodiments, the keratinocytes are transfected with more than one defensin selected from the group consisting of human beta-defensin 1, 2 or 3. In preferred embodiments, keratinocytes are induced to express an antimicrobial polypeptide through transfection with an expression vector comprising a gene encoding an antimicrobial polypeptide. An expression vector comprising a gene encoding an antimicrobial polypeptide can be produced by operably linking an antimicrobial polypeptide coding sequence to one or more regulatory sequences such that the resulting vector is operable in a desired host.
In preferred embodiments, the antimicrobial polypeptide is isolated from a DNA
source, cloned, sequenced, and incorporated into a selection vector. In certain embodiments, isolation of the antimicrobial polypeptide DNA occurs via PCR by using primer sequences designed to amplify the antimicrobial polypeptide sequence.
Primer sequences specific for the desired antimicrobial polypeptide may be obtained from Genbanlc. Amplification of a DNA source with such primer sequences through standard PCR procedures results in antimicrobial polypeptide cDNA isolation. In preferred embodiments, the source of cDNA is human cDNA.

D) Methods of Generating host cells expressing exogenous polypeptides In some embodiments, the present invention provides methods of generating host cells (e.g., keratinocytes) and skin equivalents expressing one or more exogenous polypeptides (e.g., KGF-2 and/or antimicrobial polypeptides. The present invention is not limited to particular methods for the generation of such cells and skin equivalents.
Exemplary methods are described below. Additional methods are known to those skilled in the relevant arts.
In certain embodiments, the antimicrobial polypeptide cDNA is cloned into a cloning vector. A regulatory sequence that can be linked to the antimicrobial polypeptide DNA sequence in an expression vector is a promoter that is operable in the host cell in which the antimicrobial polypeptide is to be expressed. Optionally, other regulatory sequences can be used herein, such as one or more of an enhancer sequence, an intron with functional splice donor and acceptance sites, a signal sequence for directing secretion of the defensin, a polyadenylation sequence, other transcription terminator sequences, and a sequence homologous to the host cell genome. Other sequences, such as origin of replication, can be added to the vector as well to optimize expression of the desired defensin. Further, a selectable marker can be present in the expression vector for selection of the presence thereof in the transformed host cells.
In preferred embodiments, antimicrobial polypeptide is fused to a regulatory sequence that drives the expression of the polypeptide (e.g., a promoter). In preferred embodiments, the regulatory sequence is the involucrin promoter (SEQ ID NO:
12) or the keratin- 14 promoter. However, any promoter that would allow expression of the antimicrobial polypeptide in a desired host can be used in the present invention.
Mammalian promoter sequences that can be used herein are those from mammalian viruses that are highly expressed and that have a broad host range. Examples include the SV40 early promoter, the Cytomegalovirus ("CMV") immediate early promoter mouse mammary tumor virus long terminal repeat ("LTR") promoter, adenovirus major late promoter (Ad MLP), and Herpes Simplex Virus ("HSV") promoter. In addition, promoter sequences derived from non-viral genes, such as the murine metallothionein gene, ubiquitin and elongation factor alpha (EF-la) are also useful herein. These promoters can further be either constitutive or regulated, such as those that can be induced with glucocorticoids in hormone-responsive cells.
In some preferred embodiments, host cells (e.g., keratinocytes cells) expressing KGF-2 or antimicrobial polypeptides can be produced by conventional gene expression technology, as discussed in more detail below. The practice of the present invention will employ, unless otherwise indicated, conventional techniques of molecular biology, microbiology, recombinant DNA, and immunology, which are within the skill of the art.
Such techniques are explained fully in the literature, including Sambrook, et al., MOLECULAR CLONING: A LABORATORY MANUAL 2nd ed. (Cold Spring Harbor Laboratory Press, 1989); DNA CLONING, Vol. I and II, D. N Glover ed. (IRL
Press, 1985); OLIGONUCLEOTIDE SYNTHESIS, M. J. Gait ed. (IRL Press, 1984); NUCLEIC
ACID HYBRIDIZATION, B. D. Hames & S. J. Higgins eds. (IRL Press, 1984);
TRANSCRIPTION AND TRANSLATION, B. D. Hames & S. J. Higgins eds., (IRL Press, 1984); ANIIvIAL CELL CULTURE, R. I. Freshney ed. (IRL Press, 1986);
IMMOBILIZED
CELLS AND ENZYMES, K. Mosbach (IRL Press, 1986); B. Perbal, A PRACTICAL
GUIDE TO MOLECULAR CLONING, Wiley (1984); the series, METHODS IN
ENZYMOLOGY, Academic Press, Inc.; GENE TRANSFER VECTORS FOR
MAMMALIAN CELLS, J. H. Miller and M. P. Calos eds. (Cold Spring Harbor Laboratory, 1987); METHODS IN ENZYMOLOGY, Vol. 154 and 155, Wu and Grossman, eds., and Wu, ed., respectively (Academic Press, 1987), HVIMUNOCHEMICAL METHODS IN
CELL AND MOLECULAR BIOLOGY, R. J. Mayer and J. H. Walker, eds. (Academic Press London, Harcourt Brace U.S., 1987), PROTEIN PURIFICATION: PRINCIPLES
AND PRACTICE, 2nd ed. (Springer-Verlag, N.Y. (1987), and HANDBOOK OF
EXPERIMENTAL IMMUNOLOGY, Vol. I-IV, D. M. Weir et al., (Blackwell Scientific Publications, 1986); Kitts et al., Biotechniques 14:810-817 (1993); Munemitsu et al., Mol.
and Cell. Biol. 10:5977-5982 (1990).
The present invention contemplates keratinocytes and skin equivalents expressing KGF-2 and/or antimicrobial polypeptides, and compositions and methods for making such cells. In some embodiments, host cells are induced to express exogenous polypeptides through transfection with an expression vector containing DNA encoding the exogenous polypeptide. An expression vector containing KGF-2 DNA can be produced by operably linking KGF-2 to one or more regulatory sequences such that the resulting vector is operable in a desired host. Cell transformation procedures suitable for use herein are those known in the art and include, for example with mammalian cell systems, dextran-mediated transfection, calcium phosphate precipitation, polybrene-mediated transfection, protoplast fission, electroporation, encapsulation of the exogenous polynucleotide in liposomes, and direct microinjection of the DNA into nuclei. In preferred embodiments, cells are transfected with a pUB-Bsd expression vector containing exogenous DNA (e.g., KGF-2 and antimicrobial polypeptides) operably linked to promoter (e.g., K14 or involucrin) DNA.
Immunoassays and activity assays that are known in the art can be utilized herein to determine if the transformed host cells are expressing the desired exogenous polypeptide (e.g., KGF-2 and antimicrobial polypeptides). In some embodiments, detection of intracellular production of KGF-2 or antimicrobial polypeptides by transformed host cells is accomplished with an immunofluorescence assay. In preferred embodiments, detection of intracellular production of exogenous polypeptides by transformed host cells is accomplished through a RT-PCR screen. In further embodiments, detection of secreted or extracellular production of KGF-2 or antimicrobial polypeptides by transformed host cells is accomplished through a direct ELISA screen. In some embodiments, the KGF-2 or antimicrobial polypeptide is detected by Western blotting.
In other embodiments, expression vectors comprising exogenous polypeptides are introduced directly into tissues (e.g., human skin equivalents). Expression vectors may be introduced into tissues using any suitable technique including, but not limited to, electroporation, particle bombardment (e.g., 6,685,669, 6,592,545, and 6,004,286) and transfection.
II. Selection of cells by Electroporation Experiments conducted during the course of development of the present invention (See e.g., Example 26) resulted in the identification of a novel technique for the selection of cells within a population. The experiments demonstrated that cells electroporated in the presence or absence of exogenous nucleic acid and selection demonstrated properties of multipotency. Accordingly, in some embodiments, the present invention provides methods of selecting for cells in a population having desired growth and proliferation properties.
In some embodiments, electroporation is used to select for cells with enhanced pluripotency or multipotency. In other embodiments, electroporation is used to select for cells with enhanced pluripotency or multipotency. As used herein, the term "pluripotent"
means the ability of a cell to differentiate into the three main germ layers:
endoderm, ectoderm, and mesoderm. In some embodiments, the cells with enhanced pluripotency or multipotency exhibit stem cells like properties.

For example, in some embodiments, electroporation is used to select for cells with stein-cell like properties. Stem cells are undifferentiated cells that can give rise to a succession of mature functional cells. Stem cells can by embryonically derived (See e.g., U.S. Pat. Nos. 5,843,780 and 6,200,806) or derived from adult cells.
Examples of adult stem cells include hematopoietic stem cells, neural stem cells, mesenehymal stem cells, and bone marrow strornal cells.
These stein cells have demonstrated the ability to differentiate into a variety of cell types including adipocytes, chondrocytes, osteocytes, myocytes, bone marrow stromal cells, and thymic stroma (mesenchymal stem cells); hepatocytes, vascular cells, and muscle cells (hematopoietic stem cells); myocytes, hepatocytes, and glial cells (bone marrow stromal cells) and, cells from all three germ layers (adult neural stem cells).
In other embodiments, electroporation is used to select for cells with extended proliferative capacity. For example, experiments conducted during the course of development of the present invention demonstrated that electroporated cells were typically the larger surviving colonies.

In yet other embodiments, electroporation is used to select for keratinocytes having holoclone or meroclone cell morphology (e.g., a colony morphology of tightly packed, uniform cells, smooth colony edges, overall round colony morphology).

III. Treatment of wounds with keratinocytes cells transfected with exogenous polypeptides Successful treatment of chronic skin wounds (e.g., venous ulcers, diabetic ulcers, pressure ulcers) is a serious problem. The healing of such a wound often times takes well over a year of treatment. Treatment options currently include dressings and debridernent (use of chemicals or surgery to clear away necrotic tissue), and/or antibiotics in the case of infection. These treatment options take extended periods of time and high amounts of patient compliance. As such, a therapy that can increase a practioner's success in healing chronic wounds and accelerate the rate of wound healing would meet an unmet need in the field.
In some embodiments, the present invention contemplates treatment of skin wound with keratinocytes and skin equivalents expression exogenous antimicriobial and/or KGF-2 polypeptides.
KGF-2 is associated with skin wound healing, In skin, KGF-2 is naturally expressed in the dermal compartment. Topical application of KGF-2 to skin wounds increases dermal cell proliferation. In addition, KGF-2 manifests strong mitogenic activity in dermal cells and stimulates granulation tissue formation in full thickness excisional wounds. KGF-2 accelerated wound closure is transient and does not cause scar formation after complete wound healing (Yu-Ping et al. 1999). Local protein administration, however, has been shown to be ineffective due to enzymes and proteases in the wound fluid (Jeschke et al. 2002), KGF-2 selectively induces normal epithelial cell proliferation, differentiation and migration, while having no in vitro or in vivo proliferative effects on KGFR (+) human epithelial-like tumors. (Alderson et al. 2002). As such, KGF-2 is an attractive candidate for therapeutic use to enhance wound healing.
The present invention contemplates treatment of skin wounds with keratinocytes or skin equivalents expressing KGF-2 and/or antimicrobial polypeptides. In some embodiments, cells expressing KGF-2 and/or antimicrobial polypeptides are topically applied to wound sites. In some embodiments, the keratinocytes are applied via a spray, while in other embodiments, the keratinocytes are applied via a gel. In other embodiments, cells expressing KGF-2 and/or antimicrobial polypeptides are used for engraftinent on partial thickness wounds. In other embodiments, cells expressing KGF-2 and/or antimicrobial polypeptides are used for engraftment on full thickness wounds.
In other embodiments, cells expressing KGF-2 and/or antimicrobial polypeptides are used to treat numerous types of internal wounds, including, but not limited to, internal wounds of the mucous membranes that line the gastrointestinal tract, ulcerative colitis, and inflammation of mucous membranes that maybe caused by cancer therapies. In still other embodiments, cells expressing KGF-2 and/or antimicrobial polypeptides are used as a temporary or permanent wound dressing.
Cells expressing KGF-2 and/or antimicrobial polypeptides find use in wound closure and burn treatment applications. The use of autografts and allografts for the treatment of burns and wound closure is described in Myers et al., A. J. Surg. 170(1):75-83 (1995) and U.S. Pat. Nos. 5,693,332; 5,658,331; and 6,039,760.
In some embodiments, the skin equivalents may be used in conjunction with dermal replacements such as DERMAGRAFT. In other embodiments, the skin equivalents are produced using both a standard source of keratinocytes (e.g., NIKS cells) and keratinocytes from the patient that will receive the graft. Therefore, the skin equivalent contains keratinocytes from two different sources. In still further embodiments, the skin equivalent contains keratinocytes from a human tissue isolate. Accordingly, the present invention provides methods for wound closure, including wounds caused by bums, comprising providing cells expressing KGF-2 and/or antimicrobial polypeptides and a patient suffering from a wound and treating the patient with the cells under conditions such that the wound is closed.
Detailed methods for producing the skin equivalents of the present invention are disclosed in the following Experimental section. However, the present invention is not limited to the production of skin equivalents by the methods. Indeed, a variety of organotypic culture techniques may be used to produce skin equivalents, including those described in U.S. Pat. Nos. 5,536,656 and 4,485,096, In some embodiments, different populations of keratinocytes are used to construct the skin equivalent. Accordingly, in some embodiments, the skin equivalents of the present invention are formed from keratinocytes derived from an immortalized cell line (e.g., NMS cells) and cell derived from a patient. In other embodiments, the skin equivalents of the present invention are formed from at least a first population of keratinocytes derived from an immortalized cell line that express a exogenous antimicrobial polypeptide and/or KGF-2 and a second population of keratinocytes derived from an immortalized cell line that do not express a exogenous antimicrobial polypeptide. It is contemplated that varying the ratio of the two populations the dose of antimicrobial polypeptide and/or KGF-2 delivered can be varied. In still other embodiments, the skin equivalents are formed from at least a first population of keratinocytes expressing a first exogenous antimicrobial polypeptide (e.g., hBD-1) and at least a second population of keratinocytes expressing a second exogenous antimicrobial polypeptide (e.g., hBD-2 or hBD-3). Again, the ratios of the cell populations can be varied to vary the dose. In still other embodiments, the skin equivalents are foamed from at least a first population of keratinocytes expressing a first exogenous antimicrobial polypeptide (e.g,, hBD-1), at least a second population of keratinocytes expressing a second exogenous antimicrobial polypeptide (e.g., hBD-2 or hBD-3), and keratinocytes derived from a patient.
In a further embodiment, the KGF-2 and/or antimicrobial polypeptide or a conjugate thereof can be mixed with a pharmaceutically acceptable carrier to produce a therapeutic composition that can be administered for therapeutic purposes, for example, for wound healing, and for treatment of hyperproliferative diseases of the skin and tumors, such as psoriasis and basal cell carcinoma.
In still further embodiments, the cells expressing KGF-2 and/or antimicrobial polypeptides are engineered to provide a therapeutic agent to a subject. The present invention is not limited to the delivery of any particular therapeutic agent.
Indeed, it is contemplated that a variety of therapeutic agents may be delivered to the subject, including, but not limited to, enzymes, peptides, peptide hormones, other proteins, ribosomal RNA, ribozymes, and antisense RNA. These therapeutic agents may be delivered for a variety of purposes, including but not limited to the purpose of correcting genetic defects. In some particular preferred embodiments, the therapeutic agent is delivered for the purpose of detoxifying a patient with an inherited inborn error of metabolism (e.g., aninoacidopathesis) in which the graft serves as wild-type tissue. It is contemplated that delivery of the therapeutic agent corrects the defect. In some embodiments, the cells expressing KGF-2 and/or antimicrobial polypeptides are transfected with a DNA construct encoding a therapeutic agent (e.g., insulin, clotting factor IX, erythropoietin, etc) and the cells grafted onto the subject. The therapeutic agent is then delivered to the patient's bloodstream or other tissues from the graft. In preferred embodiments, the nucleic acid encoding the therapeutic agent is operably linked to a suitable promoter. The present invention is not limited to the use of any particular promoter. Indeed, the use of a variety of promoters is contemplated, including, but not limited to, inducible, constitutive, tissue specific, and keratinocyte specific promoters. In some embodiments, the nucleic acid encoding the therapeutic agent is introduced directly into the keratinocytes (i.e., by calcium phosphate co-precipitation or via liposome transfection). In other preferred embodiments, the nucleic acid encoding the therapeutic agent is provided as a vector and the vector is introduced into the keratinocytes by methods known in the art. In some embodiments, the vector is an episomal vector such as a plasmid. In other embodiments, the vector integrates into the genome of the keratinocytes. Examples of integrating vectors include, but are not limited to, retroviral vectors, adeno-associated virus vectors, and transposon vectors.

IV. Testing Methods The host cells and cultured skin tissue of the present invention may be used for a variety of in vitro tests. In particular, the host cells and cultured skin tissue find use in the evaluation of: skin care products, drug metabolism, cellular responses to test compounds, wound healing, phototoxicity, dermal irritation, dermal inflammation, skin corrosivity, and cell damage. The host cells and cultured skin tissue are provided in a variety of formats for testing, including 6-well, 24-well, and 96-well plates. Additionally, the cultured skin tissue can be divided by standard dissection techniques and then tested. The cultured skin tissue of the present invention may have both an epidermal layer with a differentiated stratum corneum and dermal layer that includes dermal fibroblasts. As described above, in WO 20(h/012492 PCT/US2004/024627 preferred embodiments, the epidermal layer is derived from immortalized NIKS
cells.
Other preferred cell lines, including NIKS cells are characterized by; i) being immortalized;
ii) being nontumorigenic; iii) forming cornified envelopes when induced to differentiate; iv) undergoing normal squamous differentiation in organotypic culture; and v) maintaining cell type-specific growth requirements, wherein said cell type-specific growth requirements include 1) exhibition of morphological characteristics of normal human keratinocytes when cultured in standard keratinocyte growth medium in the presence of mitomycin C-treated 3T3 feeder cells; 2) dependence on epidermal growth factor for growth; and 3) inhibition of growth by transforming growth factor (31.

The present invention encompasses a variety of screening assays. In some embodiments, the screening method comprises providing a host cell or cultured skin tissue of the present invention and at least one test compound or product (e.g., a skin care product such as a moisturizer, cosmetic, dye, or fragrance; the products can be in any from, including, but not limited to, creams, lotions, liquids and sprays), applying the product or test compound to the host cell or cultured skin tissue, and assaying the effect of the product or test compound on the host cell or cultured skin tissue. A wide variety of assays are used to determine the effect of the product or test compound on the cultured skin tissue. These assays include, but are not limited to, MTT cytotoxicity assays (Gay, The Living Skin Equivalent as an In Vitro Model for Ranking the Toxic Potential of Dermal Irritants, Toxic.
In Vitro (1992)) and ELISA to assay the release of inflammatory modulators (e.g., prostaglandin E2, prostacyclin, and interleukin-l-alpha) and chemoattractants.
The assays can be further directed to the toxicity, potency, or efficacy of the compound or product.
Additionally, the effect of the compound or product on growth, barrier function, or tissue strength can be tested.

In particular, the present invention contemplates the use of host cells or cultured skin tissue for high throughput screening of compounds from combinatorial libraries (e.g., libraries containing greater than 104 compounds). In some embodiments, the cells are used in second messenger assays that monitor signal transduction following activation of cell-surface receptors. In other embodiments, the cells can be used in reporter gene assays that monitor cellular responses at the transcription/translation level. In still further embodiments, the cells can be used in cell proliferation assays to monitor the overall growth/no growth response of cells to external stimuli.

In second messenger assays, host cells or cultured skin tissue is treated with a compound or plurality of compounds (e.g., from a combinatorial library) and assayed for the presence or absence of a second messenger response. In some preferred embodiments, the cells (e.g., NIKS cells) used to create cultured skin tissue are transfected with an expression vector encoding a recombinant cell surface receptor, ion-channel, voltage gated channel or some other protein of interest involved in a signaling cascade. It is contemplated that at least some of the compounds in the combinatorial library can serve as agonists, antagonists, activators, or inhibitors of the protein or proteins encoded by the vectors. It is also contemplated that at least some of the compounds in the combinatorial library can serve as agonists, antagonists, activators, or inhibitors of protein acting upstream or downstream of the protein encoded by the vector in a signal transduction pathway.

In some embodiments, the second messenger assays measure fluorescent signals from reporter molecules that respond to intracellular changes (e.g., Ca2+
concentration, membrane potential, pH, IP3, cAMP, arachidonic acid release) due to stimulation of membrane receptors and ion channels (e.g., ligand gated ion channels; see Denyer et al., Drug Discov. Today 3:323-32 [1998]; and Gonzales et al., Drug. Discov.
Today 4:431-39 [1999]). Examples of reporter molecules include, but are not limited to, FRET (florescence resonance energy transfer) systems (e.g., Cuo-lipids and oxonols, EDAN/DABCYL), calcium sensitive indicators (e.g., Fluo-3, FURA 2, INDO 1, and FLUO3/AM, BAPTA AM), chloride-sensitive indicators (e.g., SPQ, SPA), potassium-sensitive indicators (e.g., PBFI), sodium-sensitive indicators (e.g., SBFI), and pH
sensitive indicators (e.g., BCECF).

In general, the cells comprising cultured skin tissue are loaded with the indicator prior to exposure to the compound. Responses of the host cells to treatment with the compounds can be detected by methods known in the art, including, but not limited to, fluorescence microscopy, confocal microscopy (e.g., FCS systems), flow cytometry, microfluidic devices, FLIPR systems (See, e.g., Schroeder and Neagle, J.
Biomol. Screening 1:75-80 [1996]), and plate-reading systems. In some preferred embodiments, the response (e.g., increase in fluorescent intensity) caused by compound of unknown activity is compared to the response generated by a known agonist and expressed as a percentage of the maximal response of the known agonist. The maximum response caused by a known agonist is defined as a 100% response. Likewise, the maximal response recorded after addition of an agonist to a sample containing a known or test antagonist is detectably lower than the 100% response.
The host cells and cultured skin tissue of the present invention are also useful in reporter gene assays. Reporter gene assays involve the use of host cells transfected with vectors encoding a nucleic acid comprising transcriptional control elements of a target gene (i.e., a gene that controls the biological expression and function of a disease target or inflammatory response) spliced to a coding sequence for a reporter gene.
Therefore, activation of the target gene results in activation of the reporter gene product. This serves as indicator of response such an inflammatory response. Therefore, in some embodiments, the reporter gene construct comprises the 5' regulatory region (e.g., promoters and/or enhancers) of a protein that is induced due to skin inflammation or irritation or protein that is involved in the synthesis of compounds produced in response to inflammation or irritation (e.g., prostaglandin or prostacyclin) operably linked to a reporter gene. Examples of reporter genes finding use in the present invention include, but are not limited to, chloramphenicol transferase, alkaline phosphatase, firefly and bacterial luciferases, (3-galactosidase, 1i-lactamase, and green fluorescent protein. The production of these proteins, with the exception of green fluorescent protein, is detected through the use of chemiluminescent, colorimetric, or bioluminecent products of specific substrates (e.g., X-gal and luciferin). Comparisons between compounds of known and unknown activities may be conducted as described above.

In other preferred embodiments, the host cells or cultured skin tissue find use for screening the efficacy of drug introduction across the skin or the affect of drugs directed to the skin. In these embodiments, cultured skin tissue or host cells are treated with the drug delivery system or drug, and the permeation, penetration, or retention or the drug into the skin equivalent is assayed. Methods for assaying drug permeation are provided in Asbill et al., Pharm Res. 17(9): 1092-97 (2000). In some embodiments, cultured skin tissue is mounted on top of modified Franz diffusion cells. The cultured skin tissue is allowed to hydrate for one hour and then pretreated for one hour with propylene glycol. A
saturated suspension of the model drug in propylene glycol is then added to the cultured skin tissue.
The cultured skin tissue can then be sampled at predetermined intervals. The cultured skin tissue is then analyzed by HPLC to determine the concentration of the drug in the sample.
Log P values for the drugs can be determined using the ACD program (Advanced Chemistry Inc., Ontario, Canada). These methods may be adapted to study the delivery of drugs via transdermal patches or other delivery modes.
It is contemplated that cultured skin tissue of the present invention is also useful for the culture and study of tumors that occur naturally in the skin as well as for the culture and study of pathogens that affect the skin. Accordingly, in some embodiments, it contemplated that the cultured skin tissue of the present invention is seeded with malignant cells. By way of non-limiting example, the cultured skin tissue can be seeded with malignant SCC13y cells as described in U.S. Pat. No. 5,989,837 to provide a model of human squamous cell carcinoma. These seeded cultured skin tissue can then be used to screen compounds or other treatment strategies (e.g., radiation or tomotherapy) for efficacy against the tumor in its natural environment. Thus, some embodiments of the present invention provide methods comprising providing cultured skin tissue comprising malignant cells or a tumor and at least one test compound, treating the cultured skin tissue with the compound, and assaying the effect of the treatment on the malignant cells or tumors. In other embodiments of the present invention, methods are provided that comprise providing cultured skin tissue comprising malignant cells or a tumor and at least one test therapy (e.g., radiation or phototherapy, treating the cultured skin tissue with the therapy, and assaying the effect of the therapy on the malignant cells or tumors.
In other embodiments, cultured skin tissue is used to culture and study skin pathogens. Byway of non-limiting example, cultured skin tissue is infected with human papilloma virus (HPV) such as HPV1S. Methods for preparing cultured skin tissue infected with HPV are described in U.S. Pat. No. 5,994,115.
Thus, some embodiments of the present invention provide methods comprising providing cultured skin tissue infected with a pathogen of interest and at least one test compound or treatment and treating the cultured skin tissue with the test compound or treatment. In some preferred embodiments, the methods further comprise assaying the effect the test compound or treatment on the pathogen. Such assays may be conducted by assaying the presence, absence, or quantity of the pathogen in the cultured skin tissue following treatment. For example, an ELISA may be performed to detect or quantify the pathogen. In some particularly preferred embodiments, the pathogen is viral pathogen such as HPV.

EXPERIMENTAL
The following examples are provided in order to demonstrate and further illustrate certain preferred embodiments and aspects of the present invention and are not to be construed as limiting the scope thereof.
In the experimental disclosure which follows, the following abbreviations apply: eq (equivalents); M (Molar); M (micromoler); N (Normal); mol (moles); mmol (millimoees);
gmol (micromoles); nmal (nanomoles); g (grams); mg (milligrams); gg (micrograms); ng (nanograms);1 or L (liters); ml (milliliters); gl (microliters); cm (centimeters); mm (millimeters); m (micrometers); nm (nanometers); C (degrees Centigrade); U
(units), mU
(milliunits); min. (minutes); sec. (seconds); % (percent); kb (kilobase); bp (base pair); PCR
(polymerase chain reaction); BSA (bovine serum albumin); Pfu (Pyrococcus furiosus).

Example 1 Keratin 14 Promoter Cloning and Characterization This Example describes the method used to isolate, clone and characterize the promoter DNA. Primer sequences were designed based on the published K14 Promoter sequence available at Genbank (Genbank Accession #U1 1076). In order to amplify the 2.35kb full length K14 promoter sequence, the following PCR primers were used:
Fwd 5'-AAGCTTATATTCCATGCTAGGGTTCTG-3' (ST080)(SEQ ID NO: 1) Rev 5'-GGTGCAGAGGAGGGAGGTGAGCGA-3' (ST081) (SEQ ID NO:2) Human genomic DNA (Promega) was amplified with these primers using Amplitaq DNA polymerase (Promega). Following a denaturation at 95 C for 4 minutes, samples were subjected to the following for 30 cycles: denaturation at 95 C for 1 minute, annealing conditions at 58 C for 1 minute, extension at 72 C for 3 minutes. A final extension at 72 C
for 7 minutes was followed by a 4 C hold. The expected PCR product of 2.35kb was observed. This PCR product was gel purified and subsequently used for cloning into a TA
cloning vector. The pCR 2.1-TOPO TA Cloning Kit (Invitrogen/LifeTechnologies) was used according to the standard protocol conditions.
Although thorough sequencing of this promoter has been problematic (typically encountered when sequencing promoter regions presumably due to the high GC
content), the cloned promoter sequence is different than the published K14 promoter sequence (Genbank sequence Accession #U110776). The consensus sequence of the cloned Keratin 14 promoter fragment (SEQ ID NO:3) is provided in Figure la.

In order to confirm the functionality of the K14 promoter sequence, a luciferase reporter gene expression system was used. The K14 promoter fragment was shuttled into the Hind III site of the pGL3 firefly luciferase vector multiple cloning site.
After subcloning this full length K14 promoter Hind III fragment an opportunity to truncate the promoter fragment by approximately 300bp was easily accomplished using a single Sma I
restriction enzyme site upstream in the multiple cloning site to release a 300bp 5' promoter fragment. Published experiments demonstrate a similar 5' truncation of the K14 promoter reduces the promoter activity by about 30% (Leask et al., Genes Dev.
4(11):1985-1998 (1990)). The full length promoter fragment (2.3kb) firefly luciferase activity was compared to that of the 5' truncated Promoter fragment (-2.0kb) activity. The K14 Promoter Luciferase Vector Construction is described in Figure 2 Results of luciferase reporter gene expression are as follows. The co-expression of Renilla Luciferase was used to correct for any variability introduced by potentially different transfection efficiencies or possible differences in cell numbers. After normalization, the firefly luciferase reporter gene results demonstrate strong promoter activity from the full length (2.3kb) K14 promoter fragment and approximately a 30% reduction in firefly luciferase activity in the truncated promoter fragment. This result is consistent with that reported by Leask et al.
Next, the full length K14 promoter was shuttled into the blasticidin selection vector.
Example 2 KGF-2 Cloning and Characterization This Example describes the isolation, cloning and characterization of KGF-2.
Primer sequences were designed based on the published KGF-2 sequence available at Genbank. In order to amplify the 627bp full length KGF-2 sequence, the following PCR
primer sequences (BamH I-EcoR V) were used:

Fwd 5'-CGCGGATCCGCGATGTGGAAATGGATACTG-3' (ST127)(SEQ ID NO: 4) Rev 5'-GGGATATCCTATGAGTGTACCACCATTGGA-3' (ST128)(SEQ ID NO:5) Pfu Turbo DNA Polylnerase (Stratagene) was used to minimize the risk of PCR
induced errors. Human Universal QUICK-Clone cDNA (CLONTECH) was used as the template for PCR amplification of the full length KGF-2 cDNA. Following a denaturation at 94 C for 4 minutes, samples were subjected to the following for 30 cycles:
denaturation at 94 C for 30 seconds, annealing conditions at 51 C for 30 seconds, extension at 72 C for 1 minute. A final extension at 72 C for 7 minutes was followed by a 4 C Hold.
The expected PCR product of 627bp was observed. After amplification, the addition of 3' A-overhangs to the Pfu PCR product was necessary to allow for efficient TA
cloning. The PCR product was gel purified using a Matrix Gel Extraction System (Marligen BioScience Inc.). Gel purified PCR products were cloned into a commercially available TA
cloning kit.
The pCR 2.1 -TOPO TA Cloning Kit (Invitrogen/Lifetechnologies) was used according to the standard protocol conditions.
Sequencing reactions were performed using each of the two sequencing primers that span the cloning site (M13 forward and reverse primers). Additionally, overlapping sequence was obtained using the KGF-2 specific primers used to PCR amplify the cDNA
(Primers ST127 and ST128). The cDNA sequence was identical to Genbank accession #U67918.
Next, the TA cloned KGF-2 cDNA was shuttled into a pIRES vector. The TA clone containing the correct KGF-2 cDNA sequence was digested with BamHI (5') and EcoRV
(3') to release a 627bp KGF-2 cDNA. This product was cloned directly into the BamHI and EcoRV sites of the manunalian expression pIRESpuro clonal selection vector.
A re-amplification and TA cloning step was necessary to obtain the desired restriction enzyme sites for directional cloning into the pUB-Bsd clonal selection vector.
The primer sequences used to amplify the KGF-2 cDNA that contain the Not I and Sal I
restriction enzyme sites are as follows.

Fwd 5'-GCGGCCGCATGTGGAAATGGATACTG-3' (ST133) (SEQ ID
NO:109) Rev 5'-GTCGACCTATGAGTGTACCACCATTGGA-3' (ST134) (SEQ ID
NO:110) The PCR conditions were the same as listed above. Pfu polymerase (Stratagene) was used, but fewer PCR cycles were required because the previous TA clone containing the KGF-2 gene was used as the starting template for this additional round of amplification.
The PCR product contained strategically placed Not I and Sal I restriction enzyme sites. This PCR product was cloned with the pCR 2.1-TOPO TA Cloning Kit (Invitrogen/Lifetechnologies) according to the standard protocol conditions.

The newly cloned KGF-2 cDNA was sequenced, and the sequence was confirmed to be identical to the KGF-2 cDNA sequence (Genbank accession #U67918).
The KGF-2 cDNA clone was shuttled out of the TA cloning vector by digestion with a 5' Not I and a 3' Sal I (ligates to Xho I restriction enzyme cleavage site) restriction enzyme. This fragment was directionally cloned between the K14 promoter and the globin polyA sequences in the pUB-Bsd vector using the Not I and Xho I restriction enzyme sites.
Example 3 Mammalian Expression Vector Design This Example presents a mammalian expression vector utilized in the present invention. The vector is described in Figure 3 and comprises the following elements: K14 promoter (2.35kb)/KGF-2 cDNA (627bp)/globin intron & poly(A) (1.165kb)/pUB-Bsd (4.245 kb).

Example 4 KGF-2 mRNA Expression Diagnostic Screen (RT-PCR) This Example describes the KGF-2 n.RNA expression diagnostic screen utilized in the present invention. NIKS cells were transfected using Trans-It Keratinocyte Transfection Reagent (Mirus Corp.) and grown in either EpiLife Medium (Cascade Biologics) or NIKS
STRATALIFE medium. (Stratatech Corporation). Supernatants were collected for three days and used in the development of a direct KGF-2 ELISA Assay. After three days the cells were lysed with Trizol Reagent (hivitrogen) for RNA isolation. First strand cDNA
synthesis was performed using total RNA isolated form these transiently transfected NIKS
cells. The following primer sequences were utilized:
Fwd 5'-TGCTGTTCTTGGTGTCTTCCG-3' (ST135)(SEQ ID NO:6) KGF-2 Specific Rev 5'-CAACCAGCACGTTGCCCAGG-3' (ST124)(SEQ ID NO:7) Globin fragment Specific Oligo d(T) 5'TGTTACCAATCTGAAGTGGGAGC
GGCCGCCCTTTTTTTTTTTTTTTTTTT-3' (ST112)(SEQ ID NO:8) Next, reverse transcriptase reactions were conducted under the following conditions:
RNA Priming Reaction- 2.5ug total RNA (Template), 0.5mM dNTP mix, Oligo dT
(0.5ug )- Incubate 65 for 5 minutes, on ice 3 minutes. First strand cDNA synthesis reaction (added to the RNA Priming Reaction)- lx RT buffer (Promega Corp.), Rnase Out (40U) (Invitrogen), M-MLV RT (200U) (Promega), 42 degrees for 50 minutes, heat 70 degrees for 15 minutes. One microliter (lul) of RT reaction template was used for the subsequent PCR
reaction.
Next, PCR was conducted. Following a denaturation at 95 C for 5 minutes, samples were subjected to the following for 35 cycles: Denaturation at 94 C for 30 seconds, Annealing conditions at 60 C for 30 seconds, Extension at 72 C for 1 minute. A
final Extension at 72 C for 7 minutes was followed by a 4 C Hold. The RT-PCR
strategy is diagrammed in Figure 4.
A DNA vector specific product of 1.1kb was observed along with the specific product associated with first strand cDNA synthesis (KGF-2 RNA specific Product) of approximately 600bp was observed. No KGF-2 RNA specific product was observed in either the mock (vector w/o KGF-2 eDNA insert) control plasmid transfection or the reverse transcriptase minus control reaction.

Example 5 KGF-2 Protein Expression Diagnostic Screen (Direct ELISA) This Example describes the KGF-2 protein expression diagnostic screen used in the present invention.
NIKS cells were transfected using Trans-It Keratinocyte Taansfection Reagent (Mirus Corp.) and grown in either EpiLife Medium (Cascade Biologics) or NIKS
medium (Stratatech Corporation). Supernatants were collected for three days and used in the development of a direct KGF-2 ELISA Assay. The 100ul supernatants were incubated in plate (Nunc Immunoassay plate) over night; at a minimum samples were plated in duplicate.
The next day, the samples were washed 3X (lx PBS/0.05% Tween-20) 300ul/well;
blocked plate (lx PBS/1% BSA/5% Sucrose) 300u1/well @ rt for 30 minutes; washed 3X (lx PBS/0.05% Tween-20) 300u1/well; incubated with rabbit anti-huKGF-2 Ab (0.2ug/well) @
rt for 2 hours; washed 3X (lx PBS/0.05% Tween-20) 300ul/well; incubated with goat anti-rabbit HRP (0,8mg/ml) Ab- use at 1:1000 dilution @ rt for 30 minutes; washed 3X (lx PBS/0.05% Tween-20) 300ul/well; prewarmed TMB @ it 100ul/well for 30 minutes at room temperature; added 50u1 of 2N H2SO4; read O.D. 450nm and 620nm; corrected for plate imperfections (450nm-620nm).
This experiment demonstrates elevated KGF-2 protein levels are detected in the supernatants of transiently transfected NIKS cells, when compared to either mock transfection (empty vector) or medium alone controls.

Example 6 Isolation of NIKS cells expressing exogenously introduced full length human KGF-2 protein.

This Example describes the isolation of NIKS cells that express KGF-2.
A. Clonal Isolation Stratew-Vector Construct- Keratin 14 promoter/KGF-2 cDNA/p Ub-Bsd plasnnid. A DNA
fragment encoding KGF-2 was isolated by PCR and sequenced to verify the identity and integrity of the PCR product. The DNA fragment was identical to previously reported sequences for KGF-2. The DNA fragment encoding KGF-2 was cloned into a mammalian expression vector containing a blasticidin resistant cassette. Blasticidin has been used to select for stably transfected keratinocytes, which are subsequently able to undergo normal differentiation.
To provide for constitutive expression of KGF-2 in keratinocytes of the basal epidermal layer, constructs were generated in which expression of KGF-2 is under the control of the human keratin- 14 (K 14) promoter. A 2.3 kb genomic DNA
fragment containing the Ki4 promoter was amplified and its activity was confirmed by the ability to promote luciferase expression from the pGL3 reporter plasmid (Promega) in NMS
cells.
The 2.3 kb K14 promoter was then cloned into the pUb-bsd vector (Invitrogen).
Subsequently, the KGF-2 coding region was cloned downstream of the K14 promoter and a DNA fragment containing the rabbit (3-globin intron and poly (A) signal was inserted downstream of the KGF-2 coding region to complete this mammalian expression vector construction.
The structure of the final vector was confirmed by restriction enzyme mapping and DNA sequencing. Oligonucleotide primers were synthesized and used to examine the expression of this construct in NIKS keratinocyte cells using semi-quantitative RT-PCR
analysis. The primers were designed to span an intron in the rabbit (3-globin fragment, such that PCR products generated from a spliced RNA template is approximately 500 bp smaller than the corresponding fragment amplified from genomic DNA.
Transfection- Transit-Keratinocyte (Mires) transfection reagent was used to introduce the KGF-2 vector DNA into monolayer NIKS cell cultures. Twenty-four to forty-eight hours post transfection the NIKS cells were plated onto a blasticidin feeder layer of cells and fed with blasticidin selection medium.

Selection- NIKS keratinocyte clones were cocultured in the presence of blasticidin resistance feeder cells and selected for growth in presence of NIKSTM medium containing 2.5 ug/ml blasticidin. Only those colonies that continued to grow in the presence of blasticidin selection for duration of selection (a minimum of 18 days) were isolated and expanded for further characterization.
Clone Isolation- A traditional "Ring cloning" method to isolate blasticidin resistant colonies re-plated to individual tissue culture plates (p35 and p100) containing mouse fibroblast feeder cells. When these cultures reach 80-90% confluence, the p35 cultures are harvested for expression analysis and the p100 cultures are used for the subsequent expansion phase.
Characterization of Stably-transfected NIKS keratinocytes- Stable NIKS
keratinocyte colonies that survived the selection scheme therefore are presumed to contain the K14-KGF-2 expression construct. To confirm the presence of the KGF-2 transgene, genomic DNA was isolated from each clone and amplified with vector specific primers.
This PCR
screen was designed to reconcile products derived from transgene DNA from that of potential endogenous KGF-2 DNA products. Multiple clones were obtained using this construct and associated selection scheme.
Expansion- The results of expression analysis obtained from the p35 cultures dictate which clones will be expanded for further characterization. The p100 plates from cultures identified as having positive expression are grown to approximately 50-80%
confluence then expanded onto several plates containing mouse fibroblast feeder cells.
B. Results Twenty-nine NIKS clonal isolates that survived drug selection were isolated and characterized. Four of the 29 originally identified clones did not survive the expansion phase. The remaining 25 clones were successfully expanded and confirmed to express KGF-2, at the level of transcription, determined using RT-PCR. Total RNA isolated from previous transient transfections served as positive RT-PCR controls. Negative controls were identical reactions run in the absence of reverse transcriptase. The presence of a KGF-2 transgene present in the genome of any clone yielded an anticipated PCR
product of approximately 1 Kb in size with the use of a transgene specific primer set.
Clones were categorized by semi-quantitative expression analysis into categories representing low, medium or high expression levels.

Example 7 KGF-2 RNA and Protein Expression in Monolayer Cultures This example describes experiments analyzing the expression of KGF-2 in monolayer cell cultures. Each of the confirmed RT-PCR positive clones were assayed for protein expression; this effort resulted in the detection of KGF-2 protein over expression in supernatants. Commercially available KGF-2 specific antibodies were used to investigate protein levels of secreted KGF-2 protein detected in supernatants. Western Blot and ELISA
analysis was performed on cell culture supernatants of clones and compared to native NIKS
cell supernatants. A cell growth assay is being developed to investigate possible biological effects of conditioned media from cultured NIKS KGF-2 clones compared to endogenous NIKS cell supernatants.
A. RT-PCR
Transgene specific PCR products were semi-quantitatively reported relative to GAPDH specific products. The transgene specific PCR primer set was designed to produce a product utilizing the rabbit f -globin intron sequence region restricted to the transgene; as a result this product is easily distinguishable from endogenous KGF-2 product.
Transfected cultures were assayed for mRNA expression levels approximately 24 hours post-transfection. A commercially available RNA isolation kit was used to isolate total cellular RNA (Invitrogen, Carlsbad, CA). Total RNA provided a suitable template for the subsequent first strand cDNA synthesis (reverse-transcriptase) reaction followed by the polymerase chain reaction (RT-PCR). Amplification products are resolved on an ethidium bromide stained agarose gel. The anticipated PCR products specific for the transgene DNA
and mRNA product is 1.0 Kb and 550 bp respectively.
An additional RT-PCR printer set was designed to specifically amplify the KGF-gene mRNA product, however this primer set does not distinguish between endogenous and transgene messages. Despite the inability to distinguish endogenous mRNA from transgene mRNA intensities were semi-quantitatively compared using the endogenous control samples (untransfected and transfected with empty vector) as a point of reference.
To compare the level of KGF-2 RNA expressed from the K14-KGF-2 construct with KGF-2 RNA from the endogenous gene, RT-PCR analysis was performed using primers that will amplify KGF-2 RNA regardless of its origin. Under these conditions endogenous KGF-2 has not been identified using these RT-PCR conditions, therefore, KGF-2 does not appear to be expressed in NIKS keratinocytes. To date, no KGF-2 RT-PCR
products from non-transfected NIKS cell total RNA controls have been identified. The anticipated 550 bp fragment is routinely observed in NIKS cells transfected with the KGF-2 transgene. The KGF-2 expressed from the K14-KGF-2 construct gives rise to the 550 bp RT-PCR
product.
RT-PCR analysis of two K14-KGF-2 clones show that the 550 bp KGF-2 RNA product is overexpressed compared to non-detected endogenous KGF-2 levels. No PCR
products were seen in control reactions in which reverse transcriptase was omitted, demonstrating that these products are derived from RNA and not from template contamination of the PCR
reactions. These results demonstrate that NIKS clones stably-transfected with the KI 4-KGF-2 expression construct specifically overexpress the KGF-2 transgene.
B. Western Blot Western blot analysis demonstrates specific products at anticipated gel positions that correspond to post translational modification forms of KGF-2 reported in the literature.
Prominent KGF-2 specific protein bands are observed between 19 and 30 kDa.
Specific KGF-2 band product intensities observed in Western blot analysis corroborate the semi-quantitative RT-PCR expression results. Endogenous KGF-2 is not detected in unmodified NIKS control cultures; these findings are consistent with results obtained from semi-quantitative mRNA expression analysis. A positive control (recombinant human KGF-2) protein was used at concentrations ranging from 0.3 to 0.Sng/lane that routinely corresponds with the 19kDa KGF-2 protein band.
To quantify KGF-2 protein expression in stably-transfected K14- KGF-2 clones, a KGF-2 Sandwich ELISA (Polyclonal antibodies from R&D Systems and Santa Cruz) was developed to compare KGF-2 levels between various K14- KGF-2 clones and untransfected NIKS cells. Supernatants from several K14- KGF-2 clones contain elevated levels of KGF-2 compared to unmodified NIKS cell control samples. This increase in KGF-2 protein expression is consistent with the increase seen by RT-PCR analysis. These results demonstrate that NIKS cells can be engineered to stably express and secrete elevated levels of KGF-2 protein.
C. ELISA
A Sandwich assay was developed to compare secreted KGF-2 levels; assay results are reported as amount of protein detected per milliliter of cell supernatant.
The level of KGF-2 protein detected in supernatants is well above levels detected in unmodified NIKS
cell supernatants (negative control) samples. ELISA values were obtained for individual clones and used to assign relative expression levels.

Taken together, the expression analysis compiled from each of these assays was used to group clones into relative expression levels when compared to one another.

Example 8 KGF-2 RNA and Protein Expression in Organotypic Cultures This example describes experiments analyzing the expression of KGF-2 in organotypic cultures.
A. RT-PCR- Comparison of biopsy samples (clones versus NIKS) The expression of KGF-2 mRNA was examined by RT-PCR in skin tissue generated from stable clones. Total RNA was extracted from skin tissue and subjected to RT-PCR
using primers that detect mRNA expressed from the KGF-2 transgene, but not from an endogenous KGF-2 gene. KGF-2 mRNA was detected in skin tissue prepared from a KGF-2 clone, but was not detected in RNA from skin tissue prepared from untransfected NIKS cells. These results demonstrate that the K14- KGF-2 construct is expressed within the context of stratified epidermis.
B. Western Blot Results were similar to those obtained for the monolayer cell cultures.
C. ELISA
Results were similar to those obtained for the monolayer cell cultures.
D. Histology- Biopsy of clones versus NIKS
To verify that stably-transfected clones containing the K14- KGF-2 expression constructs undergo normal epidermal differentiation, cultured skin tissue containing these clones was prepared. After two weeks in organotypic culture, K14- KGF-2 clones formed cultured skin tissue with normal epidermal morphology. These findings indicate that elevated expression of KGF-2 does not interfere with the ability of NIKS cells to undergo normal epidermal differentiation.

Example 9 Use of Skin Equivalents Expressing Exogenous KGF-2 to Close Wounds This Example describes preliminary experimental results obtained when skin equivalents expressing exogenous KGF-2 were used to close wounds in a mouse wound model. In this experiment, organotypic cultured skin (i.e., skin equivalents) were grafted onto the denuded back of athymic nude mice. Skin equivalents containing native NIKS

cells were compared to genetically modified skin equivalents expressing KGF-2.
All tissues were meshed (2:1 ratio) immediately prior to being grafted onto mice.
Interstitial wound space closure was monitored in the mice. Each observation time point included recording micrometer measurements of the wound area; these measurements were supplemented with digital photography. At post operative day 3 (POD 3), complete wound closure of interstitial spaces have been observed in the mice with the genetically modified NIKS
organotypic skin tissue (KGF-2), but not observed in mice grafted with the NIKS culture tissue control.
Example 10 Mammalian Expression Vector Design This Example describes a mammalian expression vector utilized in some embodiments of the present invention. The vector is described in Figure 5 and comprises the following elements: hnvolucrin promoter (3.71cb)/KGF-2 cDNA (627bp)/globin intron &
poly(A) (1.165kb)/pUB-Bsd (4.245kb).
Construction of Expression Vector A genomic DNA fragment containing the human involucrin promoter sequence was isolated using PCR primers based on published sequences (Crish et al., J Biol Chem, 1998.
273(46): p. 30460-5). The integrity of the cloned involucrin promoter PCR
product was confirmed by restriction enzyme analysis and DNA sequencing using involucrin specific primers. The involucrin promoter is not expressed in undifferentiated keratinocytes, but is specifically activated in differentiated keratinocytes. It is preferable to direct overexpression of the KGF-2 to differentiated keratinocytes to avoid interfering with normal keratinocyte differentiation.
The coding region for the KGF-2 gene is cloned into the pUB-Bsd expression vector (Invitrogen, Carlsbad, CA). This vector is modified by inserting the involucrin promoter upstream of the multiple cloning site. This vector contains the blasticidin drug selection cassette that utilizes the ubiquitin promoter sequence driving blasticidin gene expression.
Briefly, gene specific primers for KGF-2 were designed to contain tenninal restriction enzyme sites (5'-Eco RV and 3'-Spe I). These primers were used in a PCR
reaction containing TA cloned cDNA template. The modified KGF-2 PCR product (containing terminal restriction enzyme sites) was cloned into the TA cloning vector (Invitrogen) then sequenced. The KGF-2 cDNA gene product was shuttled from the TA cloning vector into a mammalian expression vector. Complete mammalian expression vector construction required a two step vector assembly approach shown in Figure 5.

KGF-2 mRNA Expression Diagnostic Screen (RT-PCR) A mRNA expression screen was performed as described in Example 4.
Involucrin promoter/KGF-2 Expression Construct 1) Electroporation transfection method results-Table 1: Summary of clonal selection and mRNA expression results.
Experiment Clones Picked Clones Survived Positive 54:29 4 4 4 54:31 2 2 2 68:31 5 3 2 2) Trans-IT keratinocyte transfection method results-Table 2: Summary of clonal selection and mRNA expression results.
Experiment Clones Picked Clones Survived Positive 58:51 (TransiT) 16 2 2 Isolation of NIKS cells expressing exogenously introduced full length human KGF-2 Protein A. Clonal isolation strategy-Vector Construct- This clonal isolation strategy includes the use of a DNA
maxiprep (Qiagen) of the Involucrin/ KGF-2 cDNA/ Globin poly(A) fragment/pUb-Bsd plasmid.

TranslT-keratinocvte Transfection Method- Transit-Keratinocyte (Mires) transfection reagent was used to introduce the KGF-2 vector DNA into monolayer NIKS
cell cultures. Twenty-four to forty-eight hours post transfection the NIKS
cells were plated onto a blasticidin feeder layer of cells and fed with blasticidin selection medium.
Electroporation Transfection Method- Early passage NIKS cells were harvested at @ approximately 50-70% confluence. Cells were pelleted and the pellet resuspended (2x106 cells/800u1) in F-12/DME (5:1).

800u1 of NIKS cell suspension was placed in 0.4cm eectroporation cuvette, DNA
was added (10-30ug, linear or supercoiled), placed in cuvette holder of the GenePulser and started. All steps were done at room temperature; the cells were not placed on ice at any time during this procedure. The actual voltage and capacitance values were recorded Electroporated NIKS cells were removed from the cuvette and diluted into 25-50 mis of fresh NIKS medium, mixed well by pipetting, and plated (5-10 mis) per p150 containing blasticidin resistant feeders (using either 5 or 10 p150's per transfection reaction).
The following day, the medium is replaced on the p150's with blasticidin containing medium (2.5ug/ml blasticidin).

BioRad GenePulser Electroporation Settings:
Exponential Pulse Program 270 volts 950uF
ohms 0.4cm cuvette Selection- NIKS keratinocyte clones were cocultured in the presence of blasticidin resistance feeder cells and selected for growth in presence of NIKS medium containing 2.5 ug/mi blasticidin. Only those colonies that continued to grow in the presence of blasticidin selection for duration of selection (a minimum of 18 days) were isolated and expanded for further characterization.

Clone Isolation- A traditional "Ring cloning" method to isolate blasticidin resistant colonies re-plated to individual tissue culture plates (p35 and p100) containing mouse fibroblast feeder cells. When these cultures reach 80-90% confluence, the p35 cultures are harvested for expression analysis and the p100 cultures are used for the subsequent expansion phase.
Characterization of Stably-transfected NIKS keratinocytes- Stable NIKS
keratinocyte colonies that survived the selection scheme therefore are presumed to contain the Involucrin-KGF-2 expression construct. To confirm expression of the KGF-2 transgene, totoal RNA was isolated from each clone to provide a template for RT-PCR
analysis.
Multiple clones were obtained using this construct and associated selection scheme.
Expansion- The results of expression analysis obtained from the p35 cultures dictate which clones will be expanded for farther characterization. The p100 plates from cultures identified as having positive expression are grown to approximately 50-80%
confluence and then expanded onto several plates containing mouse fibroblast feeder cells.

B. Results-TranslT-Keiationcyte method of transfection for clonal selection- Sixteen NIKS
clonal isolates that survived drug selection were isolated and characterized.
Only two of the 16 originally identified clones survived the expansion phase. These two clones were successfully expanded and confirmed to express KGF-2, at the level of transcription, determined using RT-PCR. Total RNA isolated from previous transient transfections served as positive RT-PCR controls. Negative controls were identical reactions nun in the absence of reverse transcriptase. The presence of a KGF-2 transgene present in the genome of any clone yielded an anticipated PCR product of approximately 1 Kb in size with the use of a transgene specific primer set. Clones were categorized by semi-quantitative expression analysis into categories representing low, medium or high expression levels.
Electroporation method transfection for clonal selection - In one selection experiment, Four NIKS clonal isolates that survived drug selection were isolated and characterized. All four originally identified clones survived the expansion phase. In a second experiment, Two NIKS clonal isolates that survived drug selection were isolated and characterized. Both originally identified clones survived the expansion phase.
In a third experiment, Five NIKS clonal isolates that survived drug selection were isolated and characterized. All five originally identified clones survived the expansion phase.
All clones generated in this series of selection experiments were successfully expanded and confirmed to express KGF-2, at the level of transcription, determined using RT-PCR. Total RNA isolated from previous transient transfections served as positive RT-PCR controls. Negative controls were identical reactions ran in the absence of reverse transcriptase. The presence of a KGF-2 transgene present in the genome of any clone yielded an anticipated PCR product of approximately 1 Kb in size with the use of a transgene specific primer set. Clones were categorized by semi-quantitative expression analysis into categories representing low, medium or high expression levels.

Example 11 Expression of Endogenous Human Beta Defensins in NIKS Cells This example provides an analysis of endogenous human beta defensin (hBD) expression in NIKS cells. Since it was unknown if NIKS cells express hBDs, RT-PCR
analysis was performed to verify detectable levels of hBD-1, hBD-2, and hBD-3 in both monolayer and organotypic cultures of NIKS keratinocytes. Specifically, reverse transcriptase reactions were performed on both monolayer and organotypic NIKS
cell cultures for each of the human (3-defensin genes being studied. Reverse transcriptase reactions were performed using total RNA isolated from both NIKS cell monolayer and organotypic cultures using an oligonucleotide d(T) primer. One microliter of RT reaction template was used in a 20u1 PCR reaction containing gene specific primers. PCR
reactions were conducted as follows- Denaturation at 95 C for 5 minutes, samples were subjected to the following for 35 cycles: Denaturation at 94 C for 30 seconds, Annealing conditions at 58 C for 30 seconds, Extension at 72 C for 30 seconds. A final Extension at 72 C for 7 minutes was followed by a 4 C Hold. Fifteen microliters of a 20u1 PCR reaction was resolved on a 1 % agarose gel containing ethidium bromide. The gels were analyzed for the anticipated PCR product sizes of 275bp, 205bp & 290bp corresponding to hBD-1, hBD-2 &
hBD-3 respectively.
Intact human skin is reported to express all three human hBDs and their expression levels are increased in response to injury and inflammation. To date there have been no reports on the expression of hBDs in primary human keratinocytes in monolayer and only one report on hBD-2 protein expression in a nontherapeutic product, Matek's EpiDerm. A
thorough analysis of the RNA expression levels of all three hBDs in both monolayer and organotypic cultures of NIKS keratinocytes was conducted. Organotypic culture of NIKS
keratinocytes results in enhanced levels of all hBDs relative to monolayer culture conditions, although the magnitude of induction varied among the hBDs. In monolayers of NIKS cells the steady state mRNA expression levels of hBD-2 and hBD-3 were below the limit of detection. hBD-3, a broad spectrum antimicrobial peptide, was poorly expressed even in organotypic culture supporting the notion that overexpression of UM-3 in NIKS

keratinocytes will result in enhanced antimicrobial properties especially in bioengineered human skin tissue generated by organotypic culture techniques.

Example 12 Cloning of Human Beta Defensin This example describes the cloning of hBD-1, h-BD2, and hBD3 from NIKS cells.
The reverse transcriptase-polymerase chain reaction products described in Example 1 were cloned into the TA cloning vector (Invitrogen) and sequenced to confirm their genetic identity. A summary of the sequencing results for each of the cloned cDNA
products is as follows. Human P-defensin-1 cDNA sequence was confirmed to be identical to Genbank Accession #U73945 for hBD-1. Sequence of the human fl-defensin-2 cDNA reveled a point mutation at amino acid position #48 (Lys4Arg) when compared to Genbank Accession #AF040153 for hBD-2. The sequence was amplified, using Pfu proof-reading polymerase, and cloned. The sequence was confirmed to be identical to the GenBank sequence.
The sequence of the human (3-defensin-3 cDNA clone was originally found to contain two point mutations at amino acid positions #57 (Thr- Met) and #62(Cys-Tyr).
Pfu polymerase (proof-reading enzyme) was used to successfully re-amplify the hBD-3 cDNA which was cloned into the TA cloning vector and sequenced. The sequence of this new clone is identical to that reported in the Genbank Accession #AF295370 for hBD-3.
Example 13 Construction of Expression Vectors The example describes the construction of hBD expression vectors. A genomic DNA fragment containing the human involucrin promoter sequence was isolated using PCR
primers based on published sequences. Crish, J.F., T.M. Zaim, and R.L. Eckert, The distal regulatory region of the human involucrin promoter is required for expression in epidermis.
J Biol Chem, 1998. 273(46): p. 30460-5. The integrity of the cloned involucrin promoter PCR product was confirmed by restriction enzyme analysis and DNA sequencing using involucrin specific primers. The involucrin promoter is not expressed in undifferentiated keratinocytes, but is specifically activated in differentiated keratinocytes.
In previous studies, we have demonstrated the use of this involucrin promoter fragment support expression in monolayer cultures of NIKS keratinocytes. It is preferable to direct overexpression of the (3-defensins to differentiated keratinocytes to avoid interfering with normal keratinocyte differentiation.
The coding region for each of the 13-defensin genes is cloned into the pUB-Bsd expression vector (Invitrogen, Carlsbad, CA). This vector is modified by inserting the involucrin promoter upstream of the multiple cloning site. This vector contains the blasticidin drug selection cassette that utilizes the ubiquitin promoter sequence driving blasticidin gene expression. A restriction enzyme map of the hBD1 vector is provided in Figure 12. Briefly, gene specific primers for hBD-1 were designed to contain terminal restriction enzyme sites (5'-Xma I and 3'-Xba 1). These primers were used in an RT-PCR
reaction containing total cellular RNA isolated from NIKS cells. The hBD-l PCR
product was cloned into the TA cloning vector (Invitrogen) then sequenced. The defensin cDNA
gene product was shuttled from the TA cloning vector into a mammalian expression vector.
Complete mammalian expression vector construction required a two step vector assembly approach shown in Figure 13. A similar cloning strategy was used to generate the hBD-2 and hBD-3 mammalian expression constructs.
Example 14 Expression of Exogenous hBD in NIKS Cells Purified DNA from each of the Involucrin-(3-defensin-UB-Bsd vectors was introduced into NIKS cells. Specifically, NIKS cells were transfected using TransIt-Keratinocyte reagent (Mirus Corporation), which has been used to efficiently transfect NIKS
cells. Negative control samples included mock transfected (no DNA) or empty vector (no (3-defensin) transfected populations of NIKS cells.
mRNA analysis: Transfected cultures were assayed for mRNA expression levels approximately 24 hrs post-transfection. A commercially available RNA isolation kit was used to isolate total cellular RNA (Invitrogen, Carlsbad, CA). Total RNA
provided a suitable template for the subsequent first strand cDNA synthesis (reverse-transcriptase) reaction followed by the polymerase chain reaction (RT-PCR). Amplification products were resolved on an ethidium bromide stained agarose gel. The anticipated PCR
products specific for the transgene DNA and mRNA is as follows- hBD-1 (720 bp and 220 bp), hBD-2 (700 bp and 200 bp), and hBD-3 (710 bp and 210 bp) respectively.
Results of this experiment confirm the anticipated RT-PCR product sizes, for each of the three defensins. Also, as anticipated in the reverse transcriptase minus control reactions a single robust signal was detected which corresponds to the amplification of the transgene DNA. No specific PCR products were observed in the mock transfected control reactions.

Protein analysis: Culture medium from cells transiently transfected with each of the three candidate P-defensin transgenes is assayed for (E-defensin peptide production using an Enzyme-Linked Immunosorbent Assay (ELISA) and Western Blotting assays using anti-n-defensin antibodies (Santa Cruz Biotechnology, Santa Cruz, CA). A comparison is made to endogenous levels from non-transfected NIKS cells. A synthetic peptide, positive control, is included in these assays. Cell lysates may be required for analysis as (3-defensin protein may remain associated with the outer membranes of the cells rather than freely secreted into the culture medium.

Example 15 Isolation of NIKS Cells Expressing Exogenously Introduced Full Length hBD-1 Protein This Example describes the isolation of NIKS cells that express hBD-l.
A. Clonal Isolation Strategy Vector Construct- Involucrin pronzoterABD-1 cDNA/pUb-Bsd plasmid. A DNA
fragment encoding hBD-1 was isolated by,PCR and sequenced to verify the identity and integrity of the PCR product. The DNA fragment was identical to previously reported sequences for hBD- 1. The DNA fragmentencoding hBD- 1 was cloned into a mammalian expression vector containing a blasticidin resistant cassette. Blasticidin has been used to select for stably transfected keratinocytes, which are subsequently able to undergo normal differentiation.
To provide for constitutive expression of hBD-1 in keratinocytes of the stratified epidermal layer, constructs were generated in which expression of hBD-1 is under the control of the human Involucrin promoter. A 3.71cb genomic DNA fragment containing the Involucrin promoter was amplified then cloned into the pUb-bsd vector (Invitrogen). The hBD-1 coding region was cloned downstream of the Involucrin promoter and a DNA
fragment containing the rabbit (3-globin intron and poly (A) signal was inserted downstream of the hBD-1 coding region to complete this mammalian expression vector construction.
The structure of the final vector was confirmed by restriction enzyme mapping and DNA sequencing. Oligonucleotide primers were synthesized and used to examine the expression of this construct in NIKS keratinocyte cells using semi-quantitative RT-PCR

analysis. The primers were designed to span an intron in the rabbit (3-globin fragment, such that PCR products generated from a spliced RNA template are approximately 500 bp smaller than the corresponding fragment amplified from genomic DNA.
Transfection- Transit-Keratinocyte (Mirus) transfection reagent was used to introduce the hBD-1 vector DNA into monolayer NIKS cell cultures. Twenty-four to forty-eight hours post transfection the NIKS cells were plated onto a blasticidin feeder layer of cells and fed with blasticidin selection medium.
Selection- NIKS keratinocyte clones were cocultured in the presence of blasticidin resistance feeder cells and selected for growth in presence of NIKS medium containing 2.5 ug/ml blasticidin. Only those colonies that continued to grow in the presence of blasticidin selection for duration of selection (a minimum of 18 days) were isolated and expanded for further characterization.
Clone Isolation- A traditional "Ring cloning" method was used to isolate blasticidin resistant colonies re-plated to individual tissue culture plates (p35 and p 100) containing mouse fibroblast feeder cells. When these cultures reach 80-90% confluence, the p35 cultures are harvested for expression analysis and the p 100 cultures are used for the subsequent expansion phase.
Characterization of Stably-transfected NIKS keratinocytes- Stable NIKS
keratinocyte colonies that survived the selection scheme therefore are presumed to contain the Involucrin-hBD-I expression construct. To confirm the presence of the hBD-1 transgene, total RNA was isolated from each clone and RT-PCR amplified with transgene specific primers. This PCR screen was designed to reconcile products derived from transgene total RNA from that of potential endogenous hBD-1 expression products. Multiple clones were obtained using this construct and associated selection scheme.
Expansion- The results of expression analysis obtained from the p35 cultures dictate which clones were expanded for further characterization. The p100 plates from cultures identified as having positive expression were grown to approximately 50-80%
confluence then expanded onto several plates containing mouse fibroblast feeder cells.

B. Results Thirty NIKS clonal isolates that survived drug selection were isolated and characterized. Ten of the 30 originally identified clones did not survive the expansion phase.
The remaining 20 clones were successfully expanded and confirmed to express hBD-1, at the level of transcription, determined using RT-PCR. Total RNA isolated from previous transient transfections served as positive RT-PCR controls. Negative controls were identical reactions run in the absence of reverse transcriptase. The presence of a hBD-1 transgene detected in the genome of any clone yielded an anticipated PCR product of approximately 720 bp in size with the use of a transgene specific primer set. Clones were categorized by semi-quantitative expression analysis into categories representing low, medium or high expression levels.
NIKS cell expression of exogenously introduced full length hBD-3 protein have also been isolated in the same fashion as described above.

Example 16 hBD Activity in NIKS Cells This Example describes assays for hBD activity. To determine if transient expression of (3-defensins in NIKS monola_ver cultures results in enhanced bactericidal activity, a modified in vitro inhibition zone assay is utilized. Hultmark, D., et al., Insect immunity. Attacins, a family of antibacterial proteins firom Hyalophora cecropia. Embo J, 1983. 2(4): p. 571-6. Briefly, thin (1mm) agarose plates are seeded with a microbe of choice (E. coli, S. aureus, P. aeruginosa, S. pyogenes or C. albicans). The melted agarose (1%) contains Luria-Bertani broth with or without supplemented salt. Vogel, H.J., Acetylornithinase of Escherichia soli: partial purification and some properties. J Biol Chem, 1956. 218: p. 97-106. The test organism, (-5 x 104log-phase cells/ml) is added just before pouring the plate. Small wells (3nun diameter) are punched in the assay plates and loaded with 3ul of harvested culture medium conditioned for at least 24 hours by untransfected NIKS, NIKS transiently transfected with the empty expression construct, or NIKS transiently expressing each (3-defensin. Alternatively, discs are loaded with 3ul of harvested conditioned medium described above and placed on a plate containing the seeded microbial lawn. A positive control sample of a synthetic hBD-3 peptide (2-30ug/ml) or an antibiotic such as streptomycin (100ug/ml) is added to the conditioned medium and assayed, along with a negative control (unconditioned medium sample). After overnight incubation at 30 C, the inhibition zones are recorded using a ruler and if necessary a magnifying glass.
The units of activity are read from a standard curve with the zones obtained by a dilution series for the synthetic (3-defensin peptide (i.e., hBD-3 synthetic peptide).
Garcia, J.R., et al., Identification of a novel, multifunctional beta-defensin (human beta-defensin 3) with specific antimicrobial activity. Its interaction with plasma membranes ofXenopus oocytes and the induction of macrophage chemoattraction. Cell Tissue Res, 2001.
306(2): p. 257-64. Antimicrobial potency is measured and compared to published standards (hBD-synthetic peptide or streptomycin). Ideally, the square of the diameter of the inhibition zone is proportional to the log of the concentration of an antibacterial factor.
Frohm, M., et al., Biochemical and antibacterial analysis of human wound and blister fluid. Eur J
Biochem, 1996.237(1): p. 86-92. This cost effective assay is standardly used as a measure of antimicrobial activity, however it provides only semi-quantitative results of antibacterial activity.
A minimum inhibitory concentration (MIC) assay is also performed. The smallest amount of conditioned medium from NIKS cells transiently transfected with each of the (3-defensin genes required to inhibit the growth of the test organism is determined. In this assay a series of culture tubes (or wells of a multi-well plate) containing bacterial growth medium with varying concentrations of NIKS conditioned medium is inoculated with the test organism. After an incubation period the turbidity is measured and the MIC is determined. Synthetic antimicrobial P-defensin peptides are used as positive controls. The MIC results are compared to those previously published by others (i.e., stimulated concentration range 15-70ug/gm tissue or 3.5-16uM. Harder, J., et al., Mucoid Pseudomonas aeruginosa, TNF-alpha, and IL-1 beta, but not IL-6, induce human beta-defensin-2 in respiratory epithelia. Am J Respir Cell Mol Biol, 2000. 22(6):
p. 714-21.
These relative ranges are only intended to provide guidance in an effort to achieve a reasonable point of reference.

Example 17 Organotypic Culture This Example describes assays for hBD expression in organotypically cultured NIKS cells. Stable genetically-modified NIKS clones that demonstrate greater than two fold higher expression levels and enhanced antimicrobial activity over endogenous (3-defensin gene expression in NIKS monolayer cultures are candidates of further characterization efforts. These efforts include preparing organotypic cultures to assess in vitro skin tissue for normal tissue morphology. A range of (3-defensin expression levels are examined because expression levels that are too high may hinder the ability to obtain normal tissue morphology.
NIKS cell clones that exhibit several different increased j3-defensin expression levels are used to prepare human skin substitute tissues using organotypic culturing techniques.

See, e.g., U.S. Application 10/087,388; 10/087,346; 10/087,641 and PCT
Application US
02/06088. The organotypic cultures consist of dermal and epidermal compartments. The dermal compartment is formed by mixing normal human neonatal fibroblasts with Type I collagen in Ham's F-12 medium containing 10% fetal calf serum and penicillin/streptomycin and allowing contraction. The epidermal compartment is produced by seeding NIKS cells on the contracted collagen gel in 25 }tl of a mixture of Ham's F-12:DME (3:1, final calcium concentration 1.88 mM) supplemented with 0.2% FCS, 0.4 gg/rnl hydrocortisone, 8.4 ng/ml cholera toxin, 5 g/ml insulin, 24 jig/ml adenine, and 100 units/ml P/S=. Cells are allowed to attach 2 hours at 37 C, 5% CO2 before flooding culture chamber with media (day 0). On day 2 cells are fed with fresh medium. On day 4, cells are lifted to the air/medium interface on the surface of a media-saturated cotton pad, which allows the cultures to be fed from below.
Organotypic cultures are incubated at 37 C, 5% CO2. 75% humidity and are fed fresh medium every 2 days. By day 10, the NIKS cells stratify to form the basal, spinous, granular and cornified epidermal layers.
Histological sections of skin substitutes tissues formed by genetically modified NIKS cells are compared to cultures prepared from unmodified NIKS cells.
Tissue sections are stained with hematoxylin and eosin to visualize the stratified epidermal layers. Cultures are examined for tissue morphology. Only those f 3-defensin-expressing clones that exhibit normal tissue organization and histology are used.
The organotypic cultures in the initial expression studies are prepared using cells expressing individual j3-defensin transgenes. However, chimeric organotypic cultures ca be prepared by mixing NIKS cells overexpressing different j3-defensins to achieve a broader range of antimicrobial activities. The cells expressing (3-defensin transgenes can be used in conjunction with cells derived from a patient (See, e.g., U.S. Appl.
2002/0192196) or in conjunction with untransfected NIKS cells so that potency can be adjusted.
This strategy provides further flexibility. in protein expression profiles in skin tissue.

Example 18 Analysis of Stable hBD mRNA Expression in Organotypic Cultures This Example describes assays for hBD rnRNA. Total cellular RNA is isolated from whole tissue samples. This total RNA is used as a template for the subsequent first strand cDNA synthesis (reverse-transcriptase) reaction followed by the polymerase chain reaction (RT-PCR). Amplification products are resolved on an ethidium bromide stained agarose gel.

The anticipated PCR products specific for the transgene DNA and mRNA product is 1.5 Kb and 720 bp respectively.

Example 19 Analysis of IIBD Protein Expression in Organotypic Cultures To monitor changes in (3-defensin expression in cultured skin substitute tissue, media underlying the cultures are harvested at various times. When organotypic cultures are days old, they are incubated for 48 hours in fresh medium. After 48 hours media is harvested every 12 hours for four days and the levels of j3-defensin protein in the media is 10 determined by ELISA and/or Western Blot analysis. A comparison is made to endogenous gene expression levels of cultured skin substitute tissues made with untransfected NIKS
cells. In some experiments, tissue lysates are generated in order to detect j3-defensin protein.

Example 20 Antimicrobial Analysis of Stable (3-Defensin Clones in Organotypic Cultures Inhibition Zone Assay of Antimicrobial Activity: To determine if human skin substitute tissue generated from (3-defensin-expressing NIKS cells results in enhanced bactericidal activity, a modified in vitro inhibition, zone assay is utilized.
Both the conditioned medium and biopsy punches from 14, 21, and 28 day old skin substitute tissues are analyzed for antimicrobial activity. Briefly, thin (I mm) agarose plates are seeded with a microbe of choice (E. coli, S. aureus, P. aeruginosa, S. pyogenes or C.
albicans). The melted agarose (1 %) contains Luria-Bertani broth with or without supplemented salt. The test organism, (-5 x 104 log-phase cells/ml) is added just before pouring the plate. To assay for (3-defensin activity in conditioned medium from skin substitute tissues small wells (3mm diameter) are punched in the assay plates and loaded with 3u1 of harvested culture medium conditioned for at least 24 hours by human skin substitutes generated with untransfected NIKS or NIKS clones stably expressing each P-defensin. Alternatively, discs may be loaded with 3u1 of harvested conditioned medium described above and placed on a plate containing the seeded microbial lawn. A positive control sample of a synthetic hBD-3 peptide (2-30ug/ml) or an antibiotic such as streptomycin (100ug/ml) will be added to the conditioned medium and assayed, along with a negative control (unconditioned medium sample). To assay the human skin substitute directly, four 8 mm punches are collected from each 44 cm2 circular skin substitute tissue. As described above, each biopsy punch is homogenized (PowerGen Homogenizer), and placed on a plate containing the seeded microbial lawn.
After overnight incubation at 30 C, the inhibition zones are recorded using a ruler and if necessary a magnifying glass. The units of activity are read from a standard curve with the zones obtained by a dilution series for the synthetic (3-defensin peptide (i.e., hBD-3 synthetic peptide). Antimicrobial potency is measured and compared to published standards (hBD-3 synthetic peptide or streptomycin). Ideally, the square of the diameter of the inhibition zone is proportional to the log of the concentration of an antibacterial factor.
Frohm, M., et al., Biochemical and antibacterial analysis of human wound and blister fluid.
Eur J Biochem, 1996.237(1): p. 86-92. This cost effective assay is standardly used as a measure of antimicrobial activity, however it will provide only semi-quantitative results of antibacterial activity.
Micro-broth Dilution Assay: A minimum inhibitory concentration (MIC) assay is performed. The smallest amount of conditioned medium and biopsy punches from 14, 21, and 28 day old skin substitutes from NIKS cells stably transfected with each of the (3-defensin genes required to inhibit the growth of the test organism are determined. In this assay, a series of culture tubes (or wells of a multi-well plate) containing bacterial growth medium with varying concentrations of conditioned medium from skin substitute tissues is inoculated with the test organism. To assay the human skin substitute directly, four 8 mm punches are collected from each 44 cm2 circular skin substitute tissue. As described above each biopsy punch is homogenized (PowerGen Homogenizer), and varying concentrations are incubated with the test organism. After an incubation period the turbidity is measured and the MIC is determined. Synthetic antimicrobial P-defensin peptides are used as positive controls. The MIC results are compared to those previously published by others (i.e., stimulated concentration range 15-70ug/gm tissue or 3.5-16uM. These relative ranges are only intended to provide guidance in an effort to achieve a reasonable point of reference.
Bacterial Growth Assay: To evaluate antimicrobial effects of (3-defensins on microbes, cell culture supernatants from stable NIKS clones (either monolayer or organotypic cultures) will be evaluated for the ability to inhibit bacterial growth. Cell culture supernatants will be inoculated with approximately 4X106 c.f.u. of bacteria, in triplicate, and incubated for 1-4 hours at 37 degrees. Cell culture media supernatant collected from a native NIKS cell culture (i.e. non-genetically modified) will serve as an experimental control. NIKS cell culture supernatants spiked with purified 3-defensin peptide titrations will be used as positive controls for antimicrobial activity. Immediately following the 1-4 hour incubation period, serial dilutions of each culture condition will be plated on LB/agar plates and incubated at 37 degrees for 18-20 hours.
Triplicate plates for each serial dilution are assessed for colony forming units.
Example 21 Expression of Defensins in NIKS cells This example describes elevated (3-defensin expression levels in transiently transfected NIKS cell monolayer cultures. Purified DNA from each of the Involucrin-(3-defensin-Ub-Bsd vectors (Figure 14) was introduced into INKS cells using TransIt-Keratinocyte reagent (Mims Corporation, Madison, WI). Mock transfected (no DNA) or empty vector (no (3-defensin) transfected populations of NIKS cells were also analyzed for endogenous expression levels.

Characterization of Transient (3-Defensin Transgene Expression in Monolayer NIKS
Cell Cultures Expression of (3-defensin mRNA from the involucrin expression constructs was detected in transiently-transfected NIKS monolayer cell cultures by RT-PCR
(Figure 15).
Primers were designed to amplify only the (3-defensin transgene transcripts from the involucrin expression vectors and do not detect endogenous j3-defensin expression mRNA.
Also, to minimize amplification from DNA template, DNase treatment was performed on each of the total mRNA samples prior to the first strand cDNA synthesis (reverse transcriptase) reaction. P-defensin specific expression mRNA products (arrowhead) can be distinguished from PCR products amplified from expression vector DNA in that they lack the rabbit (3-globin intron and are therefore 600 bp smaller than products amplified from DNA (see Figure 14).
The ability to achieve expression of each 0-defensin transgene was examined using transient transfections. NIKS keratinocyte monolayer cells (1x106 per well) were transfected with the Involucrin-p-defensin-Ub-Bsd plasmid (10 g) overnight using TransiT-keratinocyte reagent (Mirus Corporation, Madison, WI). A control mock transfection that contained NIKS cells without the addition of plasmid DNA was also included. One day post transfection, cells were collected. Total RNA was isolated using Trizol reagent (Invitrogen, Carlsbad, CA) and was analyzed by RT-PCR to monitor f3-defensin gene expression from each of the Involucrin-(3-defensin-Ub-Bsd constructs.
Results of the RT-PCR analysis of J3-defensin gene expression are shown in Figure 15. PCR primers were designed to amplify (3-defensin mRNA expressed from the transgene construct, but not endogenous hBD mRNA. These primers also amplify DNA from the Involucrin-p-defensin-Ub-Bsd plasmids, but this product can be distinguished from the spliced mRNA product because it contains the rabbit (3-globin intron and so is 600 bp larger than the spliced product (see Figure 14). A prominent PCR product corresponding to spliced P-defensin mRNA (arrowhead) is detected for hBD-1, hBD-2 and hBD-3 (Figure 15 lanes 1, 5, and 9 respectively). This product is not seen in control reactions lacking reverse transcriptase (Figure 15 lanes 3, 7, and 11), demonstrating that it is derived from mRNA.
These results also show that each of the hBD expression constructs is expressed in NIKS
keratinocyte cell cultures.

Expression of Exogenous,P-Defensin Protein in NIKS Cells Culture medium from cells transiently transfected with each of the three (3-defensin constructs was assayed for overexpression of protein by immunoblot analysis using anti-(3-defensin antibodies specific for hBD-1, hBD-2 (Santa Cruz Biotechnology, Santa Cruz, CA) and hBD-3 (SAGE BioVentures,Carlsbad, CA).
Conditioned medium and cell lysates from transiently transfected monolayer of NIKS keratinocyte cultures were analyzed separately by SDS-PAGE under denaturing, reducing conditions and the levels of hBD-3 protein assessed by inununoblot analysis.
Transient transfection of NIKS monolayer cultures was performed and one day post transfection, monolayer culture supernatants and cell lysates were collected as previously described for mRNA expression analysis. A BCA protein assay kit (Pierce, Rockford, IL) was used to establish a predetermined amount of protein to be loaded into each well of a 16% Tricine Novex pre-cast gel (Invitrogen, Carlsbad, CA) and then electroblotted onto a PVDF (0.2 tm pore size) filter. After blocking with 4% skim milk in phosphate-buffered saline for 1 hour, the filter was incubated overnight with a rabbit polyclonal antibody purified against amino acid residues 23-33 of the human (3-defensin-3 protein (1:500). The filter was then incubated with goat anti-rabbit IgG horseradish peroxidase-conjugated secondary antibody (1:5000) for 1 hour. Products were detected by incubating blots with enhanced chemiluminescence (ECL) immunoblotting detection system (Amersham Pharmacia Biotech, Sunnyvale, CA) and exposing to film.

The anticipated product size of hBD-3 protein is 5 kDa. However recent studies have reported that hBD-3 protein exhibits a molecular weight of approximately 14 kDa, consistent with the formation of a dimer (Schibli, D.J., et al., J Biol Chem, 2002. 277(10): p.
8279-89). This difference in weight may be in part explained by post-translational modification of proteins (i.e., glycosylation) or is due to dimers of hBD-3 present as a result of non-reduced disulfide bonds. Synthetic, control hBD-3 (90ng) was detected by iminunoblot analysis (Figure 16, lane 1). hBD-3 protein of the expected molecular weight (5 kDa or 14 kDa) was not detected in conditioned medium harvested from transfected or mock (untransfected) NIKS (see Figure 16, lanes 4 & 5). The presence of the high molecular weight band observed in lanes 4 and 5 appears to be dependent on the presence of serum in the conditioned medium. Only a very faint high molecular weight band was observed in serum-free conditioned medium harvested from transfected or mock (untransfected) NIKS keratinocytes.
A14 kDa protein recognized by the anti-hBD-3 antibody in cell lysates from both transiently transfected and mock transfected NIKS cell lysates was detected (Figure 16, lanes 6 and 7). NIKS transiently transfected with the hBD-3 transgene produce increased levels of hBD-3 protein. These cell lysate results indicate that, although hBD-3 protein is over-expressed in transiently-transfected NIKS cells, it remains associated with the cells or extracellular matrix and does not appear to be secreted into the medium. The secretory signals for the granules that contain sequestered R-defensin peptide appear to be tightly associated with late stages of squamous differentiation (Oren, A., et al., Exp Mol Pathol, 2003, 74(2): p. 180-2).

Example 22 Antimicrobial activity of P-defensin in transiently transfected NIKS cell monolayer cultures.
This Example describes antimicrobial activity of defensins in cell culture.

Development of an Antimicrobial Assay Used to Detect Biological (3-Defensin Activity The antimicrobial activity assay employed Escherichia coli and Staphylococcus carnosus and is a modification of the protocol described by Porter and coworkers (Porter, E.M., et al., Infect Iimnun, 1997. 65(6): p. 2396-401). Briefly, gram-positive or gram-negative bacteria are grown overnight. The following day the test organisms are subcultured for 2.5 hr and working dilutions of 104 bacteria/ml for Escherichia coli or 105 bacteria/ml of Staphylococcus carnosus in 10mM sodium phosphate (pH 7.4)-1%
TSB are created. All the reactions mix 50 I of experimental reagent (lysis, supernatants or purified protein) with 50 l of bacterial suspension. These reactions are then incubated at 37 C for 1.5 hr. The reactions are diluted 1 00-fold in 10mM sodium phosphate (pH 7.4)-1% TSB
and plated on TSB plates using a spiral plater (Spiral Biotech, Norwood, MA).
The plates are then incubated for 12 to 16 hr at 37 C. Colonies on these plates are counted and the number of viable bacteria is determined and expressed as colony forming units per milliliter (CFU/ml).

Standard Curves for Antimicrobial Activity of Synthetic hBD-1, hBD-2 and hBD-3 Peptides Standard curves for the antimicrobial activity of hBD-1, hBD-2, and hBD-3 are shown in Figure 17. Among the hBD proteins, hBD-3 exhibited the most antimicrobial activity with the concentration necessary to kill 50% (LC50) of E. coli at 2.4 g/ nl (Figure 17a). Both hBD-2 and hBD-1 were less potent than hBD-3 against E. coli (Figure 17b and c). hBD-2 had an LC50 of 12.2 g/ml for E. coli and hBD-1 had an LC50 of 102 g/mi. The gram-positive bacteria, S. carnosus, appears to be even more sensitive to hBD-3 with an LC50 of 0.19 g/m1 (Figure 17d).
Neither conditioned medium nor cell lysates from monolayer cultures of NIKS
cells transiently transfected with hBD transgenes or controls exhibited antimicrobial activity in the antimicrobial assay. Endogenous expression of hBD-2 and hBD-3 is observed only in organotypic cultures ofN1KS keratinocytes not monolayer cultures. Therefore, the monolayer culture conditions compromise the ability to use transient expression experiments to assay for antimicrobial activities of the hBD-2 and hBD-3 proteins.
Although hBD-1 is expressed in monolayer and organotypic cultures of NIKS
keratinocytes, hBD-1 exhibits the lowest antimicrobial activity in test organisms. In addition, it is possible that the transient transfection efficiency of NIKS
cells, which is generally 20-30%, may not be sufficient to support the hBD levels necessary to exhibit antimicrobial activity. These findings led us to the generation of clones of NIKS
keratinocytes stably expressing an hBD transgene and to conducting antimicrobial activity assays using organotypic cultures of these NIKS clones.

Isolation of Stably Transfected NIKS Keratinocytes Based on the lack of antimicrobial activity observed in the transiently transfected NIKS keratinocytes, stably-transfected NIKS clones expressing hBD transgenes were isolated. The present invention is not limited to a particular mechanism.
Indeed, an understanding of the mechanism is not necessary to practice the present invention.
Nonetheless, it is contemplated that higher levels of hBD expression would be achieved in clones stably-transfected with the hBD transgenes. In addition, it was observed that both endogenous hBD mRNA and protein levels were enhanced by organotypic culture NIKS
keratinocytes and that stratification and/or late stage differentiation events associated with the development of barrier function may be necessary for hBD processing or secretion.
Transiently transfected NIKS keratinocytes cannot be assayed following organotypic culture because full stratification and barrier function requires at least 11 days to develop and transient expression of hBDs would be exhausted.
Stable clones of NIKS keratinocytes expressing hBD-3 were first generated. hBD-was selected because it demonstrates the most potency against the two test organisms and exhibits antimicrobial activity against both grain positive and gram negative bacteria.
Multiple independent clones expressing the hBD-3 transgene were obtained by transfecting NIKS cells and selecting stably-transfected cells using growth medium containing blasticidin (2.5 g/ml). Elevated (3-defensin inRNA expression was verified using RT-PCR
analysis of total RNA isolated from each NIKS clonal cell line and served as an initial screen for relative expression levels between different clones.
NIKS clones stably expressing the hBD-3 transgene have been isolated and screened. To quantify relative R-defensin expression levels in stably-transfected NIKS
Involucrin-Defensin-3-Ub-Bsd clones, total cellular RNA was isolated from blasticidin-resistant clones. RT-PCR analysis was performed on all blasticidin-resistant NIKS clones transfected with the Involucrin-Defensin-3-Ub-Bsd expression construct.

Conditioned Medium from Organotypic cultures of NIKSTM Clones Stably Expressing the hBD-3 Transgene Exhibit Enhanced Antimicrobial Activity The antimicrobial activity of conditioned medium harvested from organotypic cultures of the stably-transfected NIKS keratinocyte clone expressing the highest level of hBD-3 niRNA was assayed using the method described above. Figure 18 shows that 70%
of the E. coli and up to 52% of the S. carnosus bacteria were killed following exposure to conditioned medium from organotypic cultures of NIKS keratinocytes stably expressing the hBD-3 transgene when compared to conditioned medium harvested from organotypic cultures generated from untransfected NIKS keratinocytes. Conditioned medium from control NIKS organotypic cultures exhibit detectable, but low levels of antimicrobial activity, consistent with a link between squamous differentiation and endogenous hBD-3 expression (Abiko, Y., et al., J Dermatol Sci, 2003. 31(3): p. 225-8.).
Example 23 Defensin Mutants This example describes site-directed mutagenesis of hBD3. Five (5) of six Cys were mutated to Ala (i.e., Cys40, Cys45i Cys55, Cys62, Cys63). In another mutant, G1y38 is mutated to Ala3S).

Site-Directed Mutagenesis-A commercially available kit, QUIKCHANGE Multi Site-Directed Mutagenesis kit (Stratagene, La.olla, CA) was used to create amino acid substitutions in the native hBD-3 polypeptide. The hBD-3 cDNA TopoTA DNA vector was used as the parental DNA
template for the site-directed mutagenesis reactions using the manufacturer specifications.
Briefly, a thermocycling reaction included- double stranded DNA template, two or more synthetic phosphorylated oligonucleotide primers that contain the desired mutation(s), enzyme blend containing PfuTurbo DNA polymerase. First the mutagenic primers are annealed to the denatured DNA template. PfuTurbo DNA polymerase was used to extend the mutagenic primer(s) generating double stranded DNA molecules with one strand bearing the wanted mutation(s). In Step 2, the thermocycling reaction products were treated with Dpn I restriction endonuclease. The Dpn I endonuclease is specific for methylated and hemimethylated DNA and is used to digest parental DNA template. DNA isolated from almost all E. coli strains is darn methylated and therefore susceptible to this digestion. In Step 3, the reaction mixture, enriched for mutated single stranded DNA is transformed into ultracompetent cells (dam), where the mutant closed circle ss-DNA is converted to duplex form in vivo. Double stranded plasmid DNA is prepared from the transfonnants and clones are identified that contain the wanted mutation(s).

Synthetic phosphorylated oligonucleotide primers- The mutated codon sequence is underlined.

1) Gly38--> Ala mutation oligonucleotide sequence (ST262) 5'-Phos-GCA GAG TCA GAG GCG CCC GGT GTG CTG TGC
TCA GC-3' (SEQ ID NO: 115) 2) Cys (4O,45,55,62,63)4 Ala mutation oligonucleotide sequences (ST25 8) 5'-Phos-CCTCCTTTGGAAGGGCGCTGAGCACAGC
AGCCCGGCCGCC-3' (SEQ ID NO:116) (ST259) 5'-Phos- CTTTCTTCGGGC GGCTTTTCGGCCACGCGTCGA
GGCCTTGCCGATC-3' (SEQ ID NO: 117) Final mutant amino acid sequences- The site-directed substitutions are highlighted.
1) Amino Acid Sequence (Gly38- Ala) MRIHYLLFALLFLFLVPVPGHGGHNTLQKYYCRVRGARCAVLSCLPKEEQIG
KCSTRGRKCCRRKK (SEQ ID NO: 118) 2) Amino Acid Sequence (5Cys- Ala) MRIIIYLLFALLFLFLVP VPGHGGIINTLQKYYCRVRGGRAAVLSALPKEEQI
GKASTRGRKAARRKK (SEQ ID NO: 119) Expression Vector Constructs-Involucrin promoter hBD-3 mutant cDNA [3ibin poly(A) Electroporation Transfection Method- Early passage NIKS cells were harvested at @ approximately 50-70% confluence. Cells were pelleted and the pellet resuspended (1x10-3x106cells/800u1) in F-12/DME (5:1).
800u1 of NIKS cell suspension was placed in 0.4cm electroporation cuvette, DNA
was added (10-30ug, linear or supercoiled), placed in cuvette holder of the GenePulser and started. All steps were done at room temperature; the cells were not placed on ice at any time during this procedure. The actual voltage and capacitance values were recorded Electroporated NIKS cells were removed from the cuvette and diluted into 25-50 mis of fresh NIKS medium, mixed well by pipetting, and plated (5-10 mis) per p150 containing blasticidin resistant feeders (using either 5 or 10 p150's per transfection reaction).

In the next 24-48 hours, the medium is replaced on the p150's with blasticidin containing medium (2.5ug/ml blasticidin).

BioRad GenePulser Electroporation Settings:
Exponential Pulse Program 270 volts 950uF
ohms 0.4cm cuvette Selection- NIKS keratinocyte clones were cocultured in the presence of blasticidin resistance feeder cells and selected for growth in presence of NIKS medium containing 2.5 ug/ml blasticidin. Only those colonies that continued to grow in the presence of blasticidin selection for duration of selection (a minimum of 18 days) were isolated and expanded for further characterization.
Clone Isolation- A traditional "Ring cloning" method is to isolate blasticidin resistant colonies. The clones are first picked onto a feeder layer in individual plates (p60) and allowed to grow until they are between 80-90% confluent. The clones are then passed and re-plated to two individual tissue culture plates (p60 and p100). The p100 contains mouse fibroblast feeder cells and the p60 does not. When these cultures reach 80-90%
confluence, the p60 cultures are harvested for expression analysis and the p100 cultures are used for the subsequent expansion phase.
Characterization of Stably-transfected NIKS keratinocytes- Stable NIKS
keratinocyte colonies that survived the selection scheme therefore are presumed to contain the Involucrin hBD-3 expression construct. To confirm the presence of the hBD-3 transgene, RNA was isolated from each clone and eDNA products were generated using reverse transcription (RT). The RT products were then used as templates in subsequent PCR reactions.
This PCR
screen was designed to reconcile products derived from transgene eDNA from that of potential endogenous hBD-3 DNA products. Multiple clones were obtained using the hBD-3 constructs (Gly38 Ala substitution and 5 Cys Ala substitution) and associated selection scheme.
Expansion- The results of expression analysis obtained from the p60 cultures dictate which clones were expanded for further characterization. The p100 plates from cultures identified as having positive expression were grown to approximately 90%
confluence then harvested and frozen at -80 C in media containing 10% glycerol.
Results are shown below.

Experiment # (Clones picked/ Positive) Exp 1- Gly- Ala* 10/10 Exp 2- Gly- Ala 14/16 Exp 3- Gly- Ala 11/11 Cys4 Ala** 0/2 Exp 4- Cys--> Ala 2/2 Exp 5- Cys4 Ala 4/4 Exp 6- Cys- Ala 3/3 (two more yet to be screened) Exp 7- Cys4 Ala 25/26 (five clones yet to be screened) *Mutant construct (Gly- Ala)- bBD-3 amino acid substation **Mutant construct (Cys- Ala)- hBD-3 amino acid substation five of six cysteines to alanines.

Example 24 Design and Construction of hCAP18 Expression Vectors This example describes the design and construction of human cathelicidin (hCAP18) mammalian expression vectors.
The human cathelicidin (hCAP 18) cDNA was cloned from a commercially available human cDNA library. PCR products were amplified sequenced to confirm the genetic identity. This hCAP18 cDNA sequence was confirmed to be identical to that sequence deposited in Genbank for hCAP18.
Two hCAP18 mammalian expression vectors were generated. The first vector contains the tissue specific kertain- 14 promoter, and the second vector utilizes the involucrin promoter as an alternative promoter strategy. A linear map and diagnostic digests of the hCAP 18 mammalian expression vectors are shown in Figure 19. The diagnostic restriction enzyme digests demonstrate correct banding patterns of the appropriate sizes. Taken together these results account for the overall integrity of the mammalian expression constructs.
Sequencing across all of the cloning junctions on both final assembled constructs (K14 hCAP18 and involucrin hCAP18) was also performed to verify the sequence integrity of each expression vector.
Expression of hCAPI8 from Expression Constructs RT-PCR analysis was conducted to verify overexpressed levels of hCAP18 from both expression constructs (Figure 20). Reverse transcriptase reactions were performed on monolayer NIKS cell cultures transiently transfected with each of the human cathelicidin expression vectors or mock transfected. The anticipated PCR product size of 0.6 kb corresponding to hCAP18 is shown in transfected cells and as expected this hCAP18 product is not seen in RNA from Mock transfected monolayer NIKS cell cultures.
An additional set of PCR primers specific for an endogenous house keeping gene (GAPDH) was used on the RT reactions to control for RNA integrity and first strand cDNA synthesis reactions.

Example 25 hCAP18/LL-37 antimicrobial activity This example describes the development of an assay to detect LL-37 antimicrobial activity.
In developing this assay a standard kill curve was produced using a commercially available LL-37 peptide (Phoenix Pharmaceuticals, Belmont, CA). The assay is a modification of the antimicrobial assay developed to assess biological activity of other antimicrobial peptides described above. A standard curve for the antimicrobial activity of LL-37 was determined for gram-positive bacteria, S. carnosus using this synthetic peptide. Results indicated that LL-37 exhibited potent antimicrobial activity with a concentration necessary to kill 50%
(LC50) of the S. carnosus at 0.9 ug/ml.

Example 26 Electroporation of Cells This Example describes the use of electroporation to introduce nucleic acids into keratinocytes. This Example further describes the use of electroporation to select for pluripotent and multipotent cells in a population.

Protocol:
Harvest early passage NIKS cells @ approximately 50-70% confluence. Pellet cells and resuspend NIKS cell pellet (2x106 cells/800ul) in F-12/DME (5:1). This same protocol electroporating 1x106 NIKS cells in 800u1 with the same success.
Place 800u1 of NIKS cell suspension in 0.4cm electroporation euvette, add DNA
(10-30ug, linear or supercoiled) place in euvette holder of the GenePulser and push button.
All steps are done at room temperature; the cells are not placed on ice at any time during this procedure. Record actual voltage and capacitance values (these values are indicative of reproducible electroporation experimental conditions and may be useful for future reference).
Electroporated NIKS cells are removed from the euvette and diluted into 25-50 mis of fresh NIKS medium, cells are mixed well by pipetting, and plated (5-10 mis) per p150 containing blasticidin resistant feeders (using either 5 or 10 p150's per transfection reaction).
The following day replace medium on the p1 50's with blasticidin containing medium (2.5ug/ml blasticidin). Clonal selection of NIKS keratinocytes is typically carried out for 18-20 days in blasticidin media (with fresh medium changes every other day).

The traditional electroporation conditions for mammalian cells as provided by the manufacturer (BioRad) are described below. These conditions need to be optimized; they are equipment specific and cell type specific.

Electroporation Medium recommended to be minimal or TE at 0.5 -.8 mis.
Cell Density (single cell suspension) 6-8 x 106 Volume of Cells 0.4 - 0.8 mis DNA 20-200 ug Gene Pulser (BioRad) Technical Services Recommended Ranges Using an Exponential Protocol.
Gene Pulser Settings Voltage (V) 200-350 Capacitance ( F) 500-1000 Resistance ( ) Cuvette (mm) 0.4 Experiments conducted resulted in the following optimized protocol for electroporation:
Cell Density (single cell suspension) 1-2 x 106 Volume of Cells* 0.8 mis DNA** 10-20 ug * F-12/DME minimal medium (50 mis:10 mis) **Linear or supercoiled DNA (Qiagen Maxiprep DNA purification) All steps performed at ambient temperature Gene Pulser Settings Voltage (V) 270 Capacitance ( F) 950 Resistance( ) Cuvette (nun) 0.4 The above protocol was used to select for cells in a populations of cells that have stem-cell-like keratinocyte populations. In some embodiments, a drug selection cassette was electroporated. In other embodiments, the cells are electroporated in the absence of any exogenous nucleic acids. The results are described below.

1. Clonally selected cell population observations ( Drug selection cassette containing DNA electroporated and cell populations under drug selection for > 18 days):

1) Selected for keratinocytes having holoclone or meroclone cell morphology-colony morphology of tightly packed, uniform cells, smooth colony edges, overall round colony morphology.
2) Selected for cells with stem-cell-like properties 3) Selected for cells that exhibit extended proliferative capacity- in creation of stable cell lines, these colonies are typically the only surviving colonies after >18 days under drug selection pressure.
4) Selected for cells with enhanced pluripotency or multipotency.

5) Colonies without holoclone or meroclone morphology remain smaller and tend to stop growing. These colonies do not share the same characteristics as does the small tightly packed uniform cells within each large colony. These colonies die-off and most detach from the plate during the selection process.
Il. Electroporation population observations (Exposed to electroporation conditions w/o DNA and not placed under selection):

1) Selected for keratinocytes having holoclone or meroclone cell morphology-colony morphology of tightly packed, uniform cells, smooth colony edges, overall round colony morphology.
2) Selected for cells with stem-cell-like properties 3) Selected for cells that exhibit extended proliferative capacity- these colonies are typically the larger surviving colonies 4) Selected for cells with enhanced pluripotency or multipotency.
5) Colonies without holoclone or meroclone morphology remain smaller and tend to stop growing. These colonies do not share the same characteristics as does the small tightly packed uniform cells within each large colony.

The results of this experiment demonstrated that populations of cell can be electroporated with or without exogenous nucleic acid and cells with the above described properties are selected for. In addition, Transgene expression from NIK stable clones obtained using the electroporation method of selection have higher expression levels when compared to those clones obtained using the Trans-IT keratinocyte (Mires) transfection method as demonstrated with semi-quantitative RT-PCR analysis.

Various modifications and variations of the described method and system of the invention will be apparent to those skilled in the art without departing from the scope and spirit of the invention. Although the invention has been described in connection with specific preferred embodiments, it should be understood that the invention as claimed should not be unduly limited to such specific embodiments. Indeed, various modifications of the described modes for carrying out the invention that are obvious to those skilled in molecular biology, biochemistry, or related fields are intended to be within the scope of the following claims.

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Claims (8)

1. An in vitro human skin equivalent comprising immortalized keratinocytes stably transfected with a vector encoding an exogenous antimicrobial polypeptide selected from the group consisting of human cathelicidin, human beta defensin 1, human beta defensin 2 and human beta defensin 3 operably linked to a promoter sequence selected from the group consisting of the involucrin promoter and the keratin-14 promoter, wherein said keratinocytes are stratified into squamous epithelia.

2. The composition of Claim 1, wherein said keratinocytes are selected from the group consisting of NIKS cells and cells derived from NIKS cells.

3. The composition of Claim 1, wherein said antimicrobial polypeptide is selected from the group consisting of human beta defensin 1, 2, and 3.

4. The composition of Claim 1, wherein said antimicrobial polypeptide is human cathelicidin.

5. The composition of Claim 1, further comprising a dermal equivalent.

6. The composition of Claim 1, further comprising cells derived from a patient.

7. The composition of Claim 1, further comprising keratinocytes that do not express said exogenous antimicrobial polypeptide.

8. The composition of Claim 1, further comprising keratinocytes expressing at least one additional antimicrobial polypeptide.