Classifications

• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07K—PEPTIDES
  • C07K14/00—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
  • C07K14/435—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
  • C07K14/705—Receptors; Cell surface antigens; Cell surface determinants
  • C07K14/70596—Molecules with a "CD"-designation not provided for elsewhere
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P11/00—Drugs for disorders of the respiratory system
  • A61P11/16—Central respiratory analeptics
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P19/00—Drugs for skeletal disorders
  • A61P19/02—Drugs for skeletal disorders for joint disorders, e.g. arthritis, arthrosis
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P35/00—Antineoplastic agents
  • A61P35/04—Antineoplastic agents specific for metastasis
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P7/00—Drugs for disorders of the blood or the extracellular fluid
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P7/00—Drugs for disorders of the blood or the extracellular fluid
  • A61P7/02—Antithrombotic agents; Anticoagulants; Platelet aggregation inhibitors
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P9/00—Drugs for disorders of the cardiovascular system
  • A61P9/08—Vasodilators for multiple indications
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P9/00—Drugs for disorders of the cardiovascular system
  • A61P9/10—Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07K—PEPTIDES
  • C07K14/00—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
  • C07K14/435—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
  • C07K14/705—Receptors; Cell surface antigens; Cell surface determinants
  • C07K14/7056—Lectin superfamily, e.g. CD23, CD72
  • C07K14/70564—Selectins, e.g. CD62
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
  • A61K38/00—Medicinal preparations containing peptides

Definitions

• inflammatory responses involving binding reactions with the selectins including GMP-140, ELAM-1, and lymphocyte-homing receptor.
• the adherence of platelets and leukocytes to vascular surfaces is a critical component of the inflammatory response, and is part of a complex series of reactions involving the simultaneous and
• necrosis factor and interleukin-1 becomes adhesive after one to six hours.
• the rapid endothelial-dependent leukocyte adhesion has been associated with expression of the lipid mediator platelet activating factor (PAF) on the cell surface, and presumably, the appearance of other endothelial and leukocyte surface receptors.
• PAF lipid mediator platelet activating factor
• the slower cytokine-inducible endothelial adhesion for leukocytes is mediated, at least in part, by an endothelial cell receptor, ELAM-1, that is synthesized by endothelial cells after exposure to cytokines and then transported to the cell surface, where it binds neutrophils.
• a peripheral lymph node homing receptor also called “the murine Mel 14 antigen”, “Leu 8”, the “Leu 8 antigen” and “LAM-1”, is another structure on
• neutrophils neutrophils, monocytes, and lymphocytes that binds lymphocytes to high endothelial venules in peripheral lymph nodes.
• the characterization and cloning of this protein is reviewed by Lasky, et al., Cell 56, 1045- 1055 (1989) (mouse) and Tedder, et al., J. Exp. Med. 170, 123-133 (1989).
• GMP-140 granule membrane protein 140
• PADGEM protein glycoprotein
• the cDNA-derived amino acid sequence reported by Johnston, et al., in Cell 56, 1033-1044 (March 24 1989), and in U.S. Serial No. 07/320,408 filed March 8, 1989, indicates that it contains a number of modular domains that are likely to fold independently. Beginning at the N-terminus, these include a "lectin” domain, an "EGF” domain, nine tandem consensus repeats similar to those in complement binding proteins, a transmembrane domain (except in a soluble form that appears to result from differential splicing), and a ⁇ ytoplasmic tail.
• GMP-140 membrane bound GMP-140 is presented within seconds on the cell surface.
• glycoprotein could play an important role at sites of inflammation or vascular disruption.
• ELAM-1 the homing receptor
• GMP-140 the homing receptor
• lectins based on their related structure and function.
• platelets in response to vascular injury, platelets are known to adhere to subendothelial surfaces, become activated, and support coagulation. Platelets and other cells may also play an important role in the recruitment of leukocytes into the wound in order to contain
• leukocytes may recruit platelets into tissues at sites of
• coagulation and inflammatory pathways are regulated in a coordinate fashion in response to tissue damage.
• activated endothelial cells express tissue factor on the cell surface and decrease their surface expression of thrombomodulin, leading to a net facilitation of coagulation reactions on the cell surface.
• thrombomodulin a single receptor can be involved in both inflammatory and coagulation
• Proteins are usually expensive to produce in quantities sufficient for administration to a patient. Moreover, there can be a reaction against the protein after it has been administered more than once to the patient. It is therefore desirable to develop peptides having the same, or better, activity as the protein, which are inexpensive to synthesize, reproducible and relatively innocuous. It is also desirable to develop carbohydrate molecules which can be used both in vitro and in vivo to modulate binding by the selectins, as effectively as the protein molecules, but which are less expensive to synthesize, more reproducible and presumably potentially less likely to cause a reaction.
• selectins including GMP-140, ELAM-1, and lymphocyte homing receptor.
• carbohydrate structures to inhibit leukocyte adhesion to endothelium or to platelets. It is a further object of the present invention to provide methods for using these peptides and carbohydrate structures to modulate the immune response and the hemostatic pathway.
• inventions to provide carbohydrates and peptides for use in diagnostic assays relating to GMP-140, ELAM-1, and lymphocyte homing receptor.
• Peptides derived from three regions of the lectin binding region of GMP-140 have been found to selectively interact with "selectins", including GMP-140, ELAM-1, and lymphocyte homing receptor.
• the three regions include amino acids 19-34, 54-72, and 66-89, based on the numbers of the residues contained in the peptide, with residue 1 defined as the N terminus of the mature protein after cleavage of the signal peptide.
• the peptides can be as short as five to eight amino acids in length and are easily prepared by standard techniques.
• Fucosylated sialyated lactosamine structures that bind to GMP-140 have also been discovered.
• the structure is created by expression of or(1,3)
• sialyl Le x a common trisaccharide structure on myeloid cells but not on lymphocytes or erythroid cells, forms the core of this sialyated structure.
• the actual structure may be sialyl Le x , which is
• NeuAca2-3Galß1-4(Fuc ⁇ 1,3)GlcNAc-R Other possible structures include difucosyl sialyl Le x , a longer polyfucosylated polyactosaminoglycan, or a related variant. Several of these structures may bind to GMP- 140 with various degrees of affinity.
• IC 50 the dose required to inhibit adhesion of neutrophils to immobilized GMP-140 by 50%
• the binding affinity can be modulated using sequences from the EGF domain and divalent cations which bind to both the EGF and lectin domains.
• An assay is also demonstrated that is useful for screening for variations of these peptides that interfere with binding of all selectins or individual selectins, especially GMP-140.
• Examples using Chinese Hamster Ovary (CHO) cell lines transfected with specific glycosyl transferases confirm that the oligosaccharide ligand for GMP-140 is a sialylated fucosylated structure, that the sialic acid linkage must be ⁇ 2,3 to Gal and that the fucose linkage must be ⁇ l,3 to a GlcNac to which a Gal has been attached by a ß1,4 linkage.
• the peptides and carbohydrate structures including sialyl Le x , difucosyl sialyl Le x , or a longer polyfucosylated polyactosaminoglycan variant, produced synthetically or expressed in genetically engineered cells, are useful as diagnostics and, in combination with a suitable pharmaceutical carrier, for clinical applications in the modulation or inhibition of
• the peptides and carbohydrate can also be modified to increase in vivo half-life, by chemical modification of the amino acids or by attachment to a carrier molecule or inert substrate.
• Antibodies to these structures can also be used as diagnostics and as pharmaceuticals for modulation of the coagulation or inflammatory processes.
• Figure 1 is the nucleotide and deduced amino acid sequence of endothelial cell GMP-140.
• the translated amino acid sequence of the open reading frame is given in the single-letter code.
• the stop codon is shown by the asterisk.
• the thin underlines show the matching positions of amino acid sequences determined from the N-terminus and from 26 peptides of platelet GMP-140.
• the signal peptide corresponds to positions -41 to -1.
• the putative transmembrane domain is heavily underlined.
• the cysteine residues are circled and potential asparagine-linked
• NXS/T glycosylation sites
• Figure 2 is a graph demonstrating inhibition of binding by peptides from the GMP-140 lectin domain, amino acids 66-78 (triangle), amino acids 73-83
• Figure 3A and B are comparisons of the specific adhesion of neutrophils to microtiter wells coated with no peptide (1); coated with lectin domain peptide 19-34 conjugated to KHL (2); or coated with a control carboxyterminus peptide (amino acid residues 761-777) conjugated to KLH (3), blocked with Hank's Balanced Salt Solution containing human serum albumin prior to addition of 2 ⁇ 10 5 neutrophils to each well, in the presence of fluid-phase competitors.
• Fluid-phase competitors added to the neutrophils prior to transfer to the wells were: Panel A, none (dark bar), purified platelet glycoprotein Ilb-IIIa (slashed bar), or purified GMP-140 (stippled bar); Panel B, none (dark bar), 1.5 mM C-terminal peptide 761-777 (slashed bar), 1.5 mM lectin domain peptide 19-34 (stippled bar).
• Figures 4A-4D are graphs of the binding of GMP- 140 to wild-type and transfected CHO and HL60 cells, measured as CPM 51 Cr, as a function of GMP-140
• Figure 4A CHO binding to GMP-140, CHO + Ca 2+ (-- squares--) , CHO - Ca 2+ ( --dark diamonds--); 4B, Lee 8 CHO binding to GMP-140, Lee 8 + Ca + ( - -squares--) , Lee 8 - Ca 2+ (--dark diamonds--); 4C, Neo Lewis CHO binding to GMP-140, Neo Lewis + Ca 2+ (--squares--), Neo Lewis, Neuraminidase (--dark diamonds--), and Neo Lewis, EDTA (--dark squares--); and 4D, HL60 cell binding to GMP-140, HL60 + Ca 2+ (-- squares--), HL60, Neuraminidase (--dark diamonds--), and HL60, EDTA (--dark squares--).
• Figure 5 is a graph of the effect of monoclonal antibodies on the binding of NeoLewis CHO cells to immobilized GMP-140, % binding of control for control (dark bar), in the presence of Gl antibody (III) , in the presence of S12 antibody (++++), and in the presence of EDTA (/ / /).
• Figure 6 is a graph of transfected COS cells cells bound (10 -4 ) by soluble ELAM-1 or GMP-140 in a control and in the presence of inhibitors: by ELAM-1 - none, GMP-140, and H18/7 (blocks ELAM-1 binding but not GMP-140 binding); and by GMP-140 - none, GMP, and Gl.
• Figure 7 is a graph of the PMS and HT-29 (which express sialyl Le x ) cells bound (x 10 -4 ) by transfected COS cells: control, by ELAM-1 alone and in the presence of H18/7 antibody which blocks binding by ELAM-1 but not GMP-140, and by GMP-140 alone and in the presence of G1 antibody which blocks binding by GMP-140 but not ELAM-1.
• Figure 8 is a graph of the effect of trypsin on binding Neo Lewis CHO cells to immobilized GMP-140, % binding of control for control (dark bar), treated with trypsin (III ) , and in the presence of EDTA (light bar).
• GMP-140 The structure and biosynthesis of GMP-140 has now been analyzed in detail. The entire amino acid sequence of GMP-140 has been determined by a
• GMP-140 acts as a receptor for neutrophils, and interacts with complement protein C3b and the anticoagulant cofactor protein S.
• a 3.0 kb clone was isolated which encoded a protein of 727 amino acids.
• the repeats are homologous to those found in a family of proteins that include proteins regulating C3b and C4b, but are unique in having six conserved cysteines per repeat instead of the typical four.
• extracytoplasmic i.e., facing the lumen of the secretory granule, or, following activation of the cell, exposed to the extracellular environment.
• the first domain contains 41 residues (labeled -41 to -1 in Figure 1) and has the characteristic features of a signal peptide. These include several positively charged amino acids, followed by a hydrophobic domain and then a region rich in polar residues. The small uncharged residues found at positions -3 and -1 are typical of those found at sites of cleavage by signal peptidase.
• the amino acid sequence of the N-terminus of platelet GMP-140 matches the deduced endothelial cell sequence at 25 out of 27 positions from residues 1 to 27.
• glycosylation sites having the consensus sequence NxS/T All are located on the extracytoplasmic portion of the molecule and all appear to be
• glycosylated based on the carbohydrate composition of platelet GMP-140.
• the mature protein contains 65 cysteines accounting for 8% of the total amino acids. Most of these are predicted to be organized into disulfide bridges since only a small amount of
• carboxymethyl cysteine can be identified in samples of nonreduced GMP-140 treated with iodoacetamide.
• the second domain begins at residue 1 and encompasses the first 118 amino acids of the mature protein. This region is rich in lysine (12%),
• GMP-140 tyrosine (10%), asparagine (13%), and tryptophan (6%) residues.
• This region of GMP-140 is designated as a "lectin" domain, since many of the proteins containing this motif bind carbohydrate.
• the third domain which begins at residue 119, has a sequence of 40 amino acids that contains six cysteines. Comparison of this region of GMP-140 to sequences in the NBRF database reveals many proteins that contain the same arrangement of cysteines.
• the first protein described with this motif is the
• EGF epidermal growth factor
• the fourth domain which begins at residue 159, consists of nine tandem consensus repeats, each containing 62 amino acids; in addition, extensions of eight and four residues, respectively, are found at the ends of the seventh and ninth repeats.
• the boundaries of this domain are set arbitrarily at the first cysteine of the initial repeat and at the last residue before the putative transmembrane domain.
• a consensus sequence shows that many amino acids occur in at least five out of the nine repeats. All repeats contain six conserved cysteines, three glycines, and one tryptophan, phenylalanine, proline, and leucine.
• the cysteine residues are arranged in a different motif than the six cysteines found in the "EGF" domain.
• the repeats are 31% to 56% identical to each other at the amino acid level and 42% to 62% identical at the nucleotide level. No gaps are required to maximize the alignment among the repeats.
• the fifth domain, beginning at residue 731, is the 24-residue putative transmembrane domain.
• cytoplasmic segment of 35 residues that begins with several highly charged residues and ends at the C-terminus of the protein at residue 789.
• residue 789 There are possible phosphorylation sites at serine, threonine, and tyrosine residues, as well as a cysteine that might undergo posttranslational modification.
• the first deletion is 186 bp. This deletion removes 62 amino acids from the seventh consensus repeat and predicts a protein containing eight instead of nine repeats.
• the second deletion is 120 bp, which removes 40 amino acids just after the end of the ninth repeat.
• the region deleted includes the transmembrane domain and the first few residues of the cytoplasmic domain. The remaining 28 residues at the C-terminus are predicted to continue just after the ninth repeat.
• a hydrophilicity plot (Kyte and Doolittle, J.Mol.Biol. 157:105-132 (1982) predicts that this form of GMP-140 is soluble.
• GMP-140 has been demonstrated to be a receptor on platelets and endothelial cells that binds to a surface ligand on neutrophils and monocytes, thereby facilitating the inflammatory process.
• GMP-140 serves as receptor for the adherence of leukocytes to activated
• endothelial cells and platelets was originally based on several observations: the rapid appearance of GMP- 140 on the surface of endothelium stimulated with thrombin or histamine which parallels the inducible adherence of neutrophils to endothelium stimulated with these agonists; the interaction of neutrophils or monocytes with platelets only after platelet
• agonists such as thrombin which cause redistribution of GMP-140 to the cell surface and not with platelet agonists such as ADP; concentration of GMP-140 in postcapillary venules which are the
• endothelial cells stimulated with histamine
• GMP-140 also mediates adhesion of neutrophils to stimulated platelets, but not unstimulated platelets, in the presence of Ca 2+ .
• the binding of platelets to neutrophils was inhibited by a monoclonal antibody to GMP-140 and by purified GMP-140.
• GMP-140 binds to C3b, a complement system protein, and protein S, an anticoagulant cofactor protein. GMP-140 shares sequence homology with the plasma protein C4b-binding protein (C4bp), which not only interacts with the plasma protein C4b but also with protein S.
• C4bp plasma protein C4b-binding protein
• Peptides derived from GMP-140 have now been discovered that are useful in diagnostics and in modulating the hemostatic and inflammatory responses in a patient wherein a therapeutically effective amount of a peptide capable of blocking leukocyte recognition of GMP-140 is administered to the patient.
• sequences within the lectin domain of GMP-140 having homology with the lectin domains of other proteins, especially ELAM-1 and the homing receptor, selectively inhibit neutrophil adhesion to purified GMP-140, can therefore be used in diagnostic assays of patients and diseases characterized by altered binding by these molecules, and in screening assays for compounds altering this binding, and should be useful clinically to inhibit or modulate interactions of leukocytes with platelets or endothelial cells involving coagulation and/or inflammatory processes.
• the cDNA-derived primary structure of GMP-140 provides several insights into functions for GMP-140 in the vascular system. The most remarkable
• ELAM-1 is an endothelial cell protein that is not present in unstimulated endothelium. However, when endothelium is exposed to cytokines such as tumor necrosis factor or interleukin-1, the gene for ELAM-1 is transcribed, producing RNA which in turn is
• ELAM-1 is expressed on the surface of endothelial cells 1-4 hours after exposure to cytokines, as reported by Bevilacqua et al., Proc.Nat1.Acad. Sci.USA 84:9238- 9242 (1987) (in contrast to GMP-140, which is stored in granules and presented on the cell surface within seconds after activation).
• ELAM-1 has been shown to mediate the adherence of neutrophils to cytokine-treated endothelium and thus appears to be important in allowing leukocytes to migrate across cytokine-stimulated endothelium into tissues.
• ELAM-1 The cDNA-derived primary structure of ELAM-1 indicates that it contains a "lectin" domain, an EGF domain, and six (instead of the nine in GMP-140) repeats similar to those of complement-regulatory proteins, a transmembrane domain, and a short cytoplasmic tail. There is extensive sequence homology between GMP-140 and ELAM-1 throughout the both proteins, but the similarity is particularly striking in the lectin and EGF domains.
• the second molecule with overall structural similarity to GMP-140 is a homing receptor found on lymphocytes. Homing receptors are lymphocyte surface structures that allow lymphocytes to bind to
• the lymphocytes to migrate across the endothelium into the lymphatic tissues where they are exposed to processed antigens. The lymphocytes then re-enter the blood through the lymphatic system.
• the homing receptor contains a lectin domain, an EGF domain, two
• the homing receptor also shares extensive sequence homology with GMP-140, particularly in the lectin and EGF domains.
• the actual structure may be sialyl Le x , which is
• NeuAc ⁇ 2-3Galß1-4(Fuc ⁇ 1,3)GlcNAc-R Other possible structures include difucosyl sialyl Le x , a longer polyfucosylated polyactosaminoglycan, or a related variant. Several of these structures may bind to GMP-140 with various degrees of affinity.
• the carbohydrate portion of the ligand is thought to be carried on one or more proteins on myeloid or other cells that interact with GMP-140.
• the myeloid glycoprotein(s) has not been isolated, but preliminary information about some of its features has been obtained.
• binding is at least partially reduced by treating neutrophils with neuraminidase from the Newcastle disease virus, which cleaves sialic acid at ⁇ 2,3 but not ⁇ 2,6 linkages, as well as the neuraminidase from Vibrio cholera , at least some of the critical linkages in the ligand contain ⁇ 2,3 linkages. Both types of enzymes also cleave ⁇ 2,8 linkages, but these are not present on myeloid cells.
• oligosaccharides for GMP-140 is too low to measure by this assay.
• oligosaccharide structures may also interact with GMP-140.
• a sialylated fucosylated lactosaminoglycan with an ⁇ 2,6 sialic-acid linkage might bind; however, this structure has not been described in eukaryotic cells.
• fucosylated lactosamine or a carbohydrate or protein molecule to which multiple sialyated fucosylated lactosamines have been attached.
• Using multiple sialylated fucosylated lactosamines attached to a single molecule may increase the affinity of the GMP-140 for the artificial molecule over the natural ligand.
• Example 1 Demonstration of Competitive Inhibition of Binding of Neutrophils to immobilized GMP- 140 by Peptides from the lectin domain of GMP-140.
• the role of the GMP-140 lectin domain was tested by synthesizing a series of peptides spanning almost all of the 118 residues of the lectin domain, except for two hydrophobic stretches predicted to be
• Peptides were also made from one of the consensus repeats, the transmembrane region, and the C-terminus (cytoplasmic tail) of the molecule as controls.
• Peptides were screened for their ability to inhibit neutrophil adhesion to purified GMP-140 immobilized on plastic wells, using the assay
• Human neutrophils are isolated from heparinized whole blood by density gradient centrifugation on Mono-Poly resolving media. Flow Laboratories.
• Neutrophil suspensions are greater than 98% pure and greater than 95% viable by trypan blue exclusion.
• neutrophils are suspended at a concentration of 2 ⁇ 10 6 cells/ml in Hanks' balanced salt solution containing 1.26 mM Ca 2+ and 0.81 mM Mg 2+ (HBSS, Gibco) with 5 mg/ml human serum albumin
• HBSS/HSA Adhesion assays are conducted in triplicate in 96-well microtiter plates. Corning, incubated at 4°C overnight with 50 microliters of various protein solutions.
• GMP-140 is isolated from human platelet lysates by immunoaffinity chromatography on antibody S12- Sepharose TM and ion-exchange chromatography on a Mono- Q TM column (FLPC, Pharmacia Fine Chemicals), as follows.
• Outdated human platelet packs (100 units) obtained from a blood bank and stored at 4°C are pooled, adjusted to 5 mM EDTA at pH 7.5, centrifuged at 4,000 rpm for 30 min in 1 liter bottles, then washed three times with 1 liter of 0.1 M NaCl, 20 mM Tris pH 7.5 (TBS), 5 mM EDTA, 5 mM benzamidine.
• pellets are then resuspended in a minimum amount of wash buffer and made l mM in DIFP, then frozen in 50 ml screwtop tubes at -80°C.
• the frozen platelets are thawed and resuspended in 50 ml TBS, 5 mM benzamidine, 5 mM EDTA pH 7.5, 100 M leupeptin.
• the suspension is frozen and thawed two times in a dry ice-acetone bath using a 600 ml lyophilizing flask, then homogenized in a glass/teflon mortar and pestle and made 1 mM in DIFP.
• the NaCl concentration is adjusted to 0.5 M with a stock solution of 4 M NaCl. After stirring the suspension at 4°C, it is centrifuged in polycarbonate tubes at 33,000 rpm for 60 min at 4°C.
• the supernatant (0.5 M NaCl wash) is removed and saved; this supernatant contains the soluble form of GMP-140. Care is taken not to remove the top part of the pellet with the supernatant.
• the pellets are then homogenized in extraction buffer (TBS, 5 mM benzamidine, 5 mM EDTA, pH 7.5, 100 M leupeptin, 2% Triton X-100). After centrifugation at 19,500 rpm for 25 min at 4°C, the supernatant is removed. The extraction procedure is repeated with the pellet and the supernatant is combined with the first supernatant.
• the combined extracts which contain the membrane form of GMP-140, are adjusted to 0.5 M NaCl.
• the soluble fraction (0.5 M NaCl wash) and the membrane extract (also adjusted to 0.5 M NaCl) are absorbed with separate pools of the monoclonal
• Bound GMP-140 is eluted from the S12 Affigel with 100 ml of 80% ethylene glycol, 1 mM MES pH 6.0, 0.01% Lubrol PX. Peak fractions with absorbance at 280 nm are pooled. Eluates are dialyzed against TBS with 0.05% Lubrol, then applied to a Mono Q column (FPLC from Pharmacia). The concentrated protein is step eluted with 2 M NaCl, 20 mM Tris pH 7.5 (plus 0.05% Lubrol PX for the membrane fraction). Peak fractions are dialyzed into TBS pH 7.5 (plus 0.05% Lubrol PX for the membrane fraction).
• GMP-140 is plated at 5 micrograms/ml and the control proteins: human serum albumin (Alb), platelet glycoprotein Ilb/IIIa (IIb), von Willebrand factor (vWF), fibrinogen (FIB), thrombomodulin (TM), gelatin (GEL) or human serum (HS), are added at 50
• Inhibition is read as a lower percent adhesion, so that a value of 5% means that 95% of the specific adhesion was inhibited.
• peptides from the EGF domain of GMP-140 inhibited adhesion.
• peptides from three noncontiguous regions of the lectin domain inhibited adhesion.
• the three regions from the lectin domain are from amino acid 19 to 34, amino acid 54 to 72, amino acid 73 to 89, and an overlapping peptide of amino acids 66-78.
• Amino acids are numbered based on the number of the residues contained in the peptide, with residue l defined as the N terminus of the mature protein after cleavage of the signal peptide.
• the shortest peptide sequences derived from these sequences that are known to have activity range from eight to thirteen amino acids, varying somewhat depending on the area of the lectin domain from it was derived. Some of the shorter peptides have more activity than the longer peptide sequences.
• the shortest active peptide characterized at this time is lectin domain amino acids 23 to 30, derived from lectin domain amino acids 19 to 34. This peptide is identical among GMP-140, ELAM-1, and the homing receptor with the exception of a single amino acid difference in ELAM-1, and is therefore expected to inhibit cell-cell contacts mediated by all three selectins.
• the shortest active peptide derived from lectin domain amino acids 54 to 72 known at this time is from amino acid 54 to 63.
• the shortest active peptide derived from lectin domain amino acids 78-89 known at this time is from amino acids 73 to 83.
• an overlapping peptide, spanning amino acids 66 to 78, is very active. It may be possible to design two active shorter, non-overlapping peptides from the region spanning amino acids 66 to 83.
• amino acid sequence 54 to 60 derived from lectin region 54 to 72, has a number of amino acids
• the number of cells bound to immobilized GMP-140 was determined as described in Geng, et al., Nature 343:757-760 (1990). The number of cells bound in the presence of the control C- terminal peptide (residues 761-777) was
• Peptide inhibition of adhesion is indicated by an adhesion value significantly less than 100%; for example, a value of 5% indicates 95%
• Example 2 Demonstration of Competitive Inhibition by Peptides from the lectin domain of GMP-140 of the binding of monoclonal antibodies to immobilized GMP-140.
• Example 1 demonstrates that peptides from three regions of the lectin domain of GMP-140 inhibit binding of neutrophils to GMP-140 immobilized on a surface. A study was also done to determine whether the peptides would also inhibit binding of monoclonal antibodies to the immobilized GMP-140.
• G1, G2, and G3 Three monoclonal antibodies (mAb) that block adhesion of neutrophils to GMP-140 were developed, designated G1, G2, and G3. Based on competitive ELISAs with the purified protein, G1, G2, and G3 each recognize distinct or only partially overlapping epitopes. 1.5 mM peptide was added to biotinylated mAb at a concentration of 2.5 micrograms/ml, which were then added to the wells containing GMP-140, as described in example 1. Binding was measured by an ELISA with an avidin detection system.
• the monoclonal antibodies were biotinylated as follows: to 0.5 ml of purified IgG antibody (1 mg/ml in PBS, pH 7.4) was added 50 ⁇ l of 3.2 mM N- hydroxysuccinimide biotin in dimethyl sulfoxide and 50 ⁇ l of 1 M NaHCO 3 . After a 2 hour incubation at room temperature in the dark, the reaction was stopped with 50 ⁇ l of 1 M NH 4 Cl. The biotinylated antibody was then separated from other components by gel filtration on a PD-10 column equilibrated in PBS. The ELISA was performed as follows; all steps were performed at room temperature.
• Biotinylated antibody (2.5 ⁇ g/ml) with or without 1.5 mM peptide was incubated with wells coated with GMP-140 as described in example 1. After a 2 hour incubation, the antibody was removed, the wells were washed, and 0.1 ml of horseradish peroxidase- conjugated stepavidin (Pierce), diluted 1:1,000 in HBSS/HSA, was added for 30 min. The wells were then washed and 0.1 ml of peroxidase substrate (Pierce) was added for 15 min. The color reaction was read at 405 nm.
• PEPTIDES a % Binding of Biotinylated MAbs b
• the peptide (1.5 mM) was added to the mAb (2.5 micrograms/ml) prior to addition of the solution to the microtiter well containing immobilized GMP-140.
• G1, G2, and G3 are antibodies binding to GMP-140 that prevent neutrophil adhesion to immobilized GMP-140.
• Peptides from the lectin-like domain of GMP-140 were assayed for their ability to inhibit adhesion of neutrophils to immobilized GMP-140 in the assay described in example 1. Concentrations tested ranged from 0.1 mM to 1.5 mM. The results for four peptides are shown in
• IC 50 the dose of peptide required to inhibit adhesion by 50%, ranges from about 50 ⁇ M to about 300 ⁇ M, depending on the peptides. These ranges are well within the effective concentrations for the in vivo administration of peptides, based on comparison with the RGD-containing peptides, described, for example, in U.S. Patent No. 4,792,525 to Ruoslaghti, et al., used in vivo to alter cell attachment and
• modification of the peptides by alteration of the amino acids themselves or by
• attachment to a carrier molecule is required to increase half-life of the molecule in vivo.
• Lectin peptide 19-34 was conjugated to the carrier protein keyhole limpet hemocyanin by its N-terminal cysteine by standard procedures such as the commercial Imject kit from Pierce Chemicals. This peptide-KLH conjugate was then tested in the assay described in example 1 and the numbers of cells bound determined.
• Figures 3A and B are comparisons of the specific adhesion of neutrophils to microtiter wells coated with no peptide (1); coated with lectin domain peptide 19-34 conjugated to KHL (2); or coated with a control carboxyterminus peptide (amino acid residues 761-777) conjugated to KLH (3), blocked with Hank's Balanced Salt Solution containing human serum albumin prior to addition of 2 ⁇ 10 5 neutrophils to each well, in the presence of fluid-phase competitors.
• Fluid-phase competitors added to the neutrophils prior to transfer to the wells were none (control), purified platelet glycoprotein IIb-IIIa (control), or purified GMP-140 (Panel A); or none (control), 1.5 mM C-terminal peptide 761-777 (control), 1.5 mM lectin domain peptide 19-34 (Panel B).
• the lectin peptide-KHL conjugate when immobilized on plastic, directly supports neutrophil adhesion, although not as efficiently as native GMP-140.
• the lectin peptide 19-34 binds 40,000 and GMP-140 binds 120,000.
• the peptide is coupled to KLH simply to facilitate its coating to plastic.
• a large number of peptides from other regions of the lectin domain, the EGF domain, and scattered regions of GMP-140 do not inhibit neutrophil adhesion to immobilized GMP-140.
• the lectin 19-34 peptide prevents binding to
• Neutrophils were isolated, suspended to 4 ⁇ 10 6 /ml in Ca 2+ /Mg 2+ -free HBSS, supplemented with 1 mg/ml HSA and 1 mM Ca 2+ (HBSS/HSA/Ca), and kept at 4°C until used.
• Neutrophils were treated with proteases, either trypsin or elastase, to determine if the receptor contains a protease-sensitive protein component.
• DFP-treated fixed neturophils (1.6 ⁇ 10 7 /ml) in 0.15 M NaCl, 50 mM acetate, pH 6.0, 10 mg/ml HSA, 9 mM CaCl 2 , 0.05% sodium azide (digestion buffer) were incubated with neuraminidase, endo- ⁇ -galactosidase, or buffer for varying time periods at 37°c in the presence of 20 ⁇ M leupeptin, 30 ⁇ M antipain, 0.64 mM benzamidine, and 100 KlU/ml aprotinin.
• neuraminidase inhibitor Neu2en5Ac dissolved in digestion buffer
• the pH of the reaction mixture was not affected by the inhibitor.
• the cells were washed twice with cold HBSS/HSA/Ca and resuspended in HBSS/HSA/Ca to 4 ⁇ 10 6 /ml before measurement of [ 125 I] GMP-140 binding.
• the NDV neuraminidase used was a suspension of virus
• Binding of [ 125 I]GMP-140 to neutrophils was decreased to 4 to 5% by the proteases, but not by elastase or trypsin inactivated with
• diisopropylfluorophosphate indicating that at least a substantial fraction of the leukocyte counter-receptors for GMP-140 contain, or are associated with, a protease-sensitive protein component.
• Neutrophils were treated with neuraminidase from either Vibrio cholera (Boehringer-Mannheim).
• Neuraminidase from V. cholera cleaves ⁇ 2-3-, ⁇ 2-6-, and ⁇ 2-8-linked sialic acids.
• NDV neuraminidase cleaves only ⁇ 2-3- and ⁇ 2-8- linked sialic acids.
• neutrophils were treated with DFP before fixation to inactivate endogenous serine proteases, and the neuraminidase incubations were performed in the presence of 10 mg/ml HSA as well as several protease inhibitors.
• the specificity of the neuraminidase effect was further demonstrated by the ability of a competitive neuraminidase inhibitor, Neu2en5Ac, to prevent the neuraminidase-induced reduction in GMP-140 binding to neutrophils.
• Neu2en5Ac inhibited the effect of neuraminidase in a dose-dependent manner with an IC 50 of 2.5 mM.
• the counter-receptor, or ligand, on leukocytes for GMP-140 is a glycoprotein wherein sialic acid is required for receptor function.
• Neutrophils contain both ⁇ 2-3- and ⁇ 2-6-linked sialic acids, but ⁇ 2-8-linkages have not been detected.
• Partial loss of GMP-140 binding after treatment with NDV neuraminidase implies that at least some of the sialic acid linkages in the receptor are of the ⁇ 2-3- type.
• the greater inhibition observed using the V. cholera enzyme may mean that ⁇ 2-6- linkages are also required for receptor function, or the results may be due to lack of accessibility of all of essential linkages by the NDV enzyme, which is part of an intact virus.
• Myeloid cells in contrast to erythroid cells and lymphoid cells, are rich in polylactosaminoglycans which can terminate in ⁇ 2-3- or ⁇ 2-6- linked sialic acids. Many of these lactosaminoglycans are
• endo- ⁇ - galactosidase which hydrolyzes the ß1-4 linkage between galactose and N-acetylglucosamine (Galß1- 4GlcNAc) in unbranched polylactosaminyl side chains of glycoproteins.
• Galß1- 4GlcNAc N-acetylglucosamine
• Hamster Ovary cells or CHO cells.
• Ade-C cells were selected because they contain very low levels of endogenous
• ⁇ (1,3)fucosyltransferases these cells are denoted as wild type cells in the studies to be described.
• the transfected cells express certain types of
• Lec8 CHO Another CHO cell line used, designated Lec8 CHO, is deficient in the transporter for UDPGal and the cells consequently lack galactosylated and sialylated glycoconjugates (Deutscher and Hirschberg, J. Biol.
• mice structures present on some of these cells and the cell types are shown in Table III.
• the relevant cells are: wild type (CHO), Neo Lewis (Neo Lew), Neo Lewis related (Neo Lew (rel)), and Lec8 CHO (Lec8).
• the CHO line Ade-C (Oates and Patterson, Som. Cell Genet. 3:561-577 (1977); Van Keuren et al., Am. J. Hum. Genet. 38:793-804 (1986)) was grown in ⁇ -modified Eagle's medium supplemented with 10% fetal calf serum. Transfected CHO cells were grown in media supplemented with G418 (GIBCO) at 400 ⁇ g/ml (active drug).
• G418 G418
• the Neo Lewis CHO cells were prepared by stably transfecting Ade-C CHO cells with DNA encoding an ⁇ (1,3/1,4)fucosyltransferase as previously described (Lowe et al.. Cell 63:475-484, 1990; the cells were referred to as CHO-FT in this reference).
• the Neo Lewis (rel) cells were prepared by stably transfecting wild type CHO cells with similar methods with DNA encoding an ⁇ (1,3)fucosyltransferase that catalyzes transfer of GDP fucose only to nonsialylated
• the structures produced by wild type CHO and transfected CHO cells are shown in Table III.
• the wild type CHO cells express repeating
• NeoLewis cells have been transfected with a cDNA encoding an ⁇ l,3(4) fucosyltransferase, which uses GDP fucose as a donor and catalyzes addition of fucose to Gal ⁇ 1,4GlcNAc-R to yield Gal/ ⁇ 1,4 (Fuc ⁇ 1,3)GlcNAc-R; this is the Le x structure (sometimes also known as the SSEA-1 antigen).
• the same enzyme transfers fucose to the sialylated substrate NeuAc ⁇ 2,3Gal ⁇ ,3
• 1,4GlcNAc-R to yield NeuAc ⁇ 2,3Gal ⁇ 1,4(Fuc ⁇ 1,3)GlcNAc-R; this is the sialyl Le x structure.
• Two other related structures, VIM-2 and difucosyl Le x are also made by the NeoLewis cells, as shown in the table, as well as a variety of other sialylated polyfucosylated poly-N-acetyllactosamine-type structures.
• NeoLewis related cells have been transfected with a different fucosyl transferase, an ⁇ l,3
• GMP-140 was immobilized on plastic wells in increasing concentrations and the wells were then blocked with albumin-containing buffer.
• the HL-60 cells bound specifically to GMP-140-coated wells in a Ca 2+ -dependent manner, as described by Geng, et al, Nature 343:757-760 (1990).
• the wild type CHO cells, the Lee 8 CHO cells and the NeoLewis related CHO cells did not bind.
• the NeoLewis CHO cells bound avidly to immobilized GMP-140 in a Ca 2+ -dependent manner.
• the adhesion was specific, because it was prevented by G1, a blocking monoclonal antibody to GMP-140, but not by S12, a nonblocking antibody, as shown in Figure 5.
• the adhesion was critically dependent on sialic acid, because treatment of the NeoLewis CHO cells with neuraminidase from Vibrio cholera abolished binding. Pretreatment of the NeoLewis CHO cells with trypsin reduced binding by 60%, suggesting that at least a substantial fraction of the oligosaccharide ligands for GMP-140 on the cells are carried by a protein(s).
• sialic acid linkage must be ⁇ 2,3 to Gal, because the CHO cells do not have ⁇ 2,6 linkages.
• the fucose linkage must be ⁇ 1,3 to a GlcNAc to which a Gal has been attached by a ⁇ 1,4 linkage.
• Possible structures include sialyl Le x itself, difucosyl sialyl Le x , a longer polyfucosylated polylactosaminoglycan variant of sialyl Le x , or a branched structure
• Neolewis related cells which do not bind to GMP-140.
• the quantities of VIM-2 on the Neo Lewis related cells are not known; if they are low, then the cells might not bind well even though there is some affinity of VIM-2 for GMP-140.
• HT-29 a human carcinoma cell line, which contains abundant amounts of sialyl Le x , binds to ELAM-1-transfected cells, but not to GMP-140-transfected cells.
• GMP-140 and ELAM-1 each binds to a range of related oligosaccharide structures with different degrees of affinities.
• Human neutrophils were isolated from normal volunteers using Monopoly resolving media (Flow Labs) as described by Moore, et al., J. Cell Biol. 112, 491-499 (1991).
• Human HL-60 promyelocytic cells and HT-29 human colon carcinoma cells were obtained from the American Type Culture Collection (Rockville, MD).
• HL-60 cells were maintained in RPMI-1640/10% fetal bovine serum.
• HT-29 cells were maintained in culture in McCoy's 5a medium supplemented with 10% fetal calf serum (fcs).
• COS-7 cells were maintained in
• HG-DMEM/10% CS was added and the cells incubated for an additional 24 hours.
• the monolayers were then washed once with HBSS without Ca +2 and Mg +2 , the cells detached with 0.02% EDTA, pelleted by centrifugation, then resuspended in 12 ml HG-DMEM/10% CS.
• Two ml of the cell suspension were plated into each well of a 6-well tissue culture
• HG-DMEM/10% CS 3 ml HG-DMEM/10% CS and grown for an additional 24 hours. Prior to adhesion assays the wells were washed twice with HBSS. Duplicate wells were incubated with 0.5 ml HBSS containing 30 ⁇ g/ml of Gl F(ab') 2 , or H18/7 F(ab') 2 or buffer alone for 30 min at 22°C. One ml freshly isolated human neutrophils (2 ⁇ 10 6 /ml in HBSS) that was incubated for 30 min in the presence of 30 ⁇ g/ml GMP-140 or diluent, were then added to the monolayers and incubated for 20 min at
• adherent neutrophils were solubilized with 200 ⁇ l 0.5% hexadecyltrimethyl ammonium bromide in 50 mM potassium phosphate pH 6.0. The number of adherent neutrophils was assayed in duplicate using a myeperoxidase assay as described by Geng, et al.,
• GMP-140 inhibits neutrophil adhesion to COS7 cells transfected with cDNA encoding GMP-140 but not to cells transfected with cDNA encoding ELAM-1.
• COS7 cells were either mock transfected or transfected with cDNAs encoding GMP-140 or ELAM-1.
• the ability of purified GMP-140, Gl F(ab') 2 or H18/7 F(ab') 2 (all at 10 ⁇ g/ml, final concentration) to inhibit neutrophil rosetting to transfected COS7 cells is shown in Figure 6. The data represent the results from two
• Results are expressed as the number of neutrophils bound (mean + SD).
• fluid-phase GMP-140 while completely blocking neutrophil adhesion to GMP-140-transfected COS cells, has no effect on neutrophil adhesion to ELAM-1-transfected COS cells.
• the transfected COS cells were then used to assess differences in binding of HT-29 cells, which contain large amounts of the sialyl Le x structure.
• the results, shown in Figure 7, demonstrate that HT-29 cells bind avidly to ELAM-1-tranfected cells but not at all to GMP-140-transfected cells. Therefore, interactions of HT-29 cells with GMP-140- and ELAM-1- tranfected COS cells are not identical, even though GMP-140 and EIAM-1 both recognize oligosaccharide structures containing ⁇ (2,3)sialylated,
• Example 8 Characterization of the protein component of the GMP-140 ligand on neutrophils.
• GMP-140 surface glycoprotein rather than glycospingolipid.
• glycoprotein components are also major ligands for
• GMP-140 on these cells.
• a glycolipid ligand would not be expected on the NeoLewis CHO cells, since the simple glyeolipids synthesized by CHO cells would not be substrates for the transfected fueosyltransferase.
• the surface proteins bearing the oligosacharide structures recognized by GMP-140 are unlikely to be the same in human myeloid cells and Chinese hamster ovary cells. This suggests that high affinity binding of GMP-140 to its ligand does not require a protein- protein interaction.
• NeoLewis CHO cells suspended in HEPES buffer A were incubated for 10 min at 37°C with 0.1% DPCC-trypsin.
• Control cells were incubated under identical conditions with DPCC-trypsin that had been irreversibly inactivated with DFP.
• GMP-140 has an apparent Mr of approximately 120,000 as analyzed by SDS-PAGE under reducing conditions.
• a plasma membrane fraction of human neutrophils was prepared and the material analyzed by "ligand
• the material was fractionated by SDS-PAGE, transferred to Immobilon membranes, and probed with [ 125 ]GMP-140. Consistent binding of labeled GMP-140 to a 120-kD band under reducing conditions was observed. The binding is specific, because it is Ca 2+ - dependent, blocked by antibody G1 but not S12, and eliminated by prior treatment of the membrane with neuraminidase. This protein is bound quantitatively on a wheat germ agglutinin affinity column, indicating that it contains extensively sialylated
• the protein binds to and can be eluted from an affinity column of GMP-140 coupled to AffigelTM.
• the partially purified protein stains poorly with silver and Coomassie blue.
• the protein may represent a heavily O-glycosylated protein known as leukosialin, which has a similar apparent Mr and staining pattern on SDS polyacrylamide gels.
• treatment of the protein with low doses of neuraminidase, which does not remove all the sialic acid from the protein results in slower mobility on gels, a pattern
• glycoprotein may represent the most abundant ligand and/or the structure that binds with greatest affinity to GMP-140.
• peptides and carbohydrates described above have a variety of applications as diagnostic reagents and, potentially, in the treatment of numerous
• the GMP-140 binding peptides and antibodies or other probes to the carbohydrate can also be used for the detection of human disorders in which GMP-140 ligands might be defective. Such disorders would most likely be seen in patients with increased
• Detection systems include ELISA procedures, binding of radiolabeled antibody to immobilized activated cells, flow cytometry, or other methods known to those skilled in the arts.
• Inhibition of binding in the presence and absence of the lectin domain peptides can be used to detect defects or alterations in selectin binding. Such disorders would most likely be seen in patients with increased susceptibility to infections in which leukocytes would have defective binding to platelets and endothelium because of deficient leukocyte ligands for GMP-140.
• the GMP-140 peptide is labeled
• GMP-140 radioactively, with a fluorescent tag, enzymatically, or with electron dense material such as gold for electron microscopy.
• the cells to be examined usually leukocytes, are incubated with the labeled GMP-140 peptides and binding assessed by methods described above with antibodies to GMP-140, or by other methods known to those skilled in the art. If ligands for GMP-140 are also found in the plasma, they can also be measured with standard ELISA or
• GMP-140 A similar approach can be used to determine qualitative or quantitative disorders of GMP-140.
• the carbohydrate is labeled and tested for its ability to bind to GMP-140 on activated platelets from patients with disorders in which GMP-140 might be defective.
• GMP-140 has several functions related to leukocyte adherence, inflammation, and coagulation, clinically, compounds which interfere with binding of GMP-140 and/or the other selectins, including ELAM-1 and LEU-8, such as the GMP-140 peptides or
• GMP-140 peptides or the
• carbohydrates can be used to competitively inhibit leukocyte adherence by competitively binding to GMP-140 receptors on the surface of activated platelets or endothelial cells. This kind of therapy would be particularly useful in acute situations where
• GMP-140 peptides or carbohydrate may also be feasible in some circumstances.
• An inflammatory response may cause damage to the host if unchecked, because leukocytes release many toxic molecules that can damage normal tissues. These molecules include proteolytic enzymes and free
• leukocytes can cause tissue damage.
• pathological situations in which leukocytes can cause tissue damage include injury from ischemia and reperfusion, bacterial sepsis and disseminated intravascular coagulation, adult respiratory distress syndrome, tumor metastasis, rheumatoid arthritis and atherosclerosis.
• thrombolytic therapy with agents such as tissue plasminogen activator or streptokinase can relieve coronary artery obstruction in many patients with severe myocardial ischemia prior to irreversible myocardial cell death. However, many such patients still suffer myocardial neurosis despite restoration of blood flow. This "reperfusion injury” is known to be associated with adherence of leukocytes to vascular endothelium in the ischemic zone,
• leukocytes in the pulmonary circulation This leads to extravasation of large amounts of plasma into the lungs and destruction of lung tissue, both mediated in large part by leukocyte products.
• LAK cells lymphokine-activated lymphocytes
• LAK cells adhere to endothelium could potentially release molecules that activate endothelium and then bind to endothelium by mechanisms similar to those operative in neutrophils.
• Tumor cells from many malignancies can metastasize to distant sites through the vasculature.
• Platelet-leukocyte interactions are believed to be important in atherosclerosis. Platelets might have a role in recruitment of monocytes into
• Atherosclerotic plaques the accumulation of monocytes is known to be one of the earliest detectable events during atherogenesis. Rupture of a fully developed plaque may not only lead to platelet deposition and activation and the promotion of thrombus formation, but also the early recruitment of neutrophils to an area of ischemia.
• Another area of potential application is in the treatment of rheumatoid arthritis.
• the peptide or carbohydrate or mixture thereof, in an appropriate pharmaceutical carrier is preferably administered intravenously where immediate relief is required.
• the peptide(s) or carbohydrate can also be administered intramuscularly, intraperitoneally, subcutaneously, orally, as the peptide or carbohydrate, conjugated to a carrier molecule, or in a drug delivery device.
• the peptides or carbohydrates can additionally be modified chemically to increase their in vivo half-life.
• the peptides can be prepared by proteolytic cleavage of GMP-140, or, preferably, by synthetic means such as those used to prepare the peptides in example 1. These methods are known to those skilled in the art. An example is the solid phase synthesis described by J. Merrifield, J. Am. Chem. Soc. 85, 2149 (1964), used in U.S. Patent No. 4,792,525, and
• the peptide can also be administered as a pharmaceutically acceptable acid- or base- addition salt, formed by reaction with inorganic acids such as hydrochloric acid, hydrobromic acid, perchloric acid, nitric acid, thiocyanic acid, sulfuric acid, and phosphoric acid, and organic acids such as formic acid, acetic acid, propionic acid, glycolic acid, lactic acid, pyruvic acid, oxalic acid, malonic acid, succinic acid, maleic acid, and fumaric acid, or by reaction with an inorganic base such as sodium
• hydroxide ammonium hydroxide, potassium hydroxide, and organic bases such as mono-, di-, trialkyl and aryl amines and substituted ethanolamines.
• Peptides containing cyclopropyl amino acids, or amino acids derivatized in a similar fashion, can also be used. These peptides retain their original
• the carbohydrate can be isolated from cells expressing the carbohydrate, either naturally or as a result of genetic engineering as described in the transfected Cos cell examples, or, preferably, by synthetic means. These methods are known to those skilled in the art. In addition, a large number of glycosyltransferases have been cloned (J.C. Paulson and K.J. Colley, J. Biol. Chem. 264:17615-17618,
• Peptides and carbohydrate that are biologically active are those which inhibit binding of neutrophils and monocytes to GMP-140, or which inhibit leukocyte adhesion to endothelium that is mediated by ELAM-1 and/or the homing receptor.
• the peptide or carbohydrate will usually be dissolved or suspended in sterile water or saline.
• the peptide or carbohydrate will be incorporated into an inert carrier in tablet, liquid, or capsular form. Suitable carriers may be starches or sugars and include lubricants, flavorings, binders, and other materials of the same nature.
• the GMP-140 peptide or carbohydrate can also be administered locally at a wound or inflammatory site by topical application of a solution or cream.
• the peptide or carbohydrate may be administered in liposomes or microspheres (or microparticles).
• Methods for preparing liposomes and microspheres for administration to a patient are known to those skilled in the art.
• carbohydrate can be incorporated and the microspheres, or composite of microspheres, implanted for slow release over a period of time, ranging from days to months. See, for example, U.S. Patent No. 4,906,474, 4,925,673, and 3,625,214.
• the subject peptides are generally active when administered parenterally in amounts above about 1 ⁇ g/kg of body weight. For treatment of most
• the dosage range will be between 0.1 to 30 mg/kg of body weight.
• a dosage of 70 mg/kg may be required for some of the peptides characterized in the examples. This dosage will be dependent, in part, on whether one or more peptides are administered.
• a synergistic effect may be seen with combinations of peptides from different, or overlapping, regions of the lectin domain, or in combination with peptides derived from the EGF domain of GMP-140.
• the carbohydrates should be active when the carbohydrates are active when the carbohydrates are active when the carbohydrates are active when the carbohydrates are active when the carbohydrates are active.
• This dosage will be dependent, in part, on whether one or more
• carbohydrates are administered.
• a synergistic effect may be seen with combinations of carbohydrates, or with multivalent forms of the natural ligand, or derivatives thereof, designed to increase affinity and/or avidity for GMP-140.
• the peptides or carbohydrates can also be coated onto substrates for use as prosthetics that are implanted into the body to prevent leukocyte adhesion to platelets or endothelium.
• therapeutic modalities employing antibodies to GMP-140, peptides thereof or carbohydrate is dictated by the specific condition and will generally follow standard medical practices.
• the criteria for the effective dosage to prevent extension of myocardial infarction would be determined by one skilled in the art by looking at marker enzymes of myocardial necrosis in the plasma, by monitoring the electrocardiogram, vital signs, and clinical response.
• For treatment of acute respiratory distress syndrome one would examine improvements in arterial oxygen, resolution of pulmonary infiltrates, and clinical improvement as measured by lessened dyspnea and tachypnea.
• the effective dosage would be based on the clinical response and specific measurements of function of vital organs such as the liver and kidney following restoration of blood pressure. Neurologic function would be monitored in patients with stroke. Specific tests are used to monitor the functioning of transplanted organs; for example, serum creatinine, urine flow, and serum electrolytes in patients

Priority Applications (2)

Applications Claiming Priority (4)

Related Child Applications (2)

Publications (1)

Family

ID=27070521

Family Applications (2)

Family Applications Before (1)

Country Status (9)

Families Citing this family (68)

Family Cites Families (14)

• 1991
  • 1991-07-17 WO PCT/US1991/005059 patent/WO1992001718A2/en not_active Application Discontinuation
  • 1991-07-17 EP EP95202380A patent/EP0714912B1/en not_active Expired - Lifetime
  • 1991-07-17 DE DE69133120T patent/DE69133120T2/de not_active Expired - Fee Related
  • 1991-07-17 AU AU86207/91A patent/AU660627B2/en not_active Ceased
  • 1991-07-17 ES ES95202380T patent/ES2183851T3/es not_active Expired - Lifetime
  • 1991-07-17 JP JP03517240A patent/JP3096305B2/ja not_active Expired - Fee Related
  • 1991-07-17 CA CA002086323A patent/CA2086323C/en not_active Expired - Fee Related
  • 1991-07-17 DK DK95202380T patent/DK0714912T3/da active
  • 1991-07-17 AT AT95202380T patent/ATE224911T1/de not_active IP Right Cessation
  • 1991-07-17 EP EP19910916882 patent/EP0544815A1/en not_active Withdrawn
• 1995
  • 1995-04-28 AU AU17731/95A patent/AU697488B2/en not_active Ceased
• 1998
  • 1998-08-03 JP JP10219500A patent/JPH11147900A/ja not_active Withdrawn
• 2000
  • 2000-11-22 JP JP2000356784A patent/JP2001197899A/ja not_active Withdrawn
• 2003
  • 2003-06-23 JP JP2003178744A patent/JP2004002444A/ja not_active Withdrawn
• 2005
  • 2005-05-26 JP JP2005154747A patent/JP2005255691A/ja not_active Withdrawn

Non-Patent Citations (1)

Also Published As

Similar Documents

Legal Events