NZ337693A

NZ337693A - Photodynamic therapy generated oxidative stress for temporal and selective expression of heterologous genes

Info

Publication number: NZ337693A
Application number: NZ337693A
Authority: NZ
Inventors: Charles J Gomer; Sam Keng Sum Wong; Angela Ferrario Nehme; Marian Coensgen Luna
Original assignee: Res Dev Foundation
Priority date: 1997-03-10
Filing date: 1998-03-09
Publication date: 2001-07-27
Also published as: CN1252006A; KR20000076115A; JP2001514658A; IL131776A0; ZA981948B; AU6453998A; CA2283108A1; AU731502B2; WO1998040105A1; EP1005375A1

Abstract

Methods to obtain selective and temporal expression of heterologous genes in target tissues. Promoters inducible by photodynamic therapy or heat are used to express genes of interest under conditions of heating or Photodynamic Therapy-(PDT-) induced oxidative stress. Selective and temporal expression of heterologous genes (such as cytokines, toxins, tumor suppressor genes, antisense molecules and anti-angiogenic factors) are of significant therapeutic benefit in the treatment of tumors, vascular proliferation and tissue hypertrophy. Gene therapy targeted by laser induced heating, other heating sources (such as microwave, ultrasound or radiofrequency induced currents), or PDT enhances treatment effectiveness by inducing expression of therapeutic genes in a controlled and localized manner.

Description

<div class="application article clearfix" id="description"> WO 98/40105 PCT/US98/04551 5 10 PHOTODYNAMIC THERAPY GENERATED OXIDATIVE STRESS FOR TEMPORAL AND SELECTIVE EXPRESSION OF HETEROLOGOUS GENES 15 BACKGROUND OF THE INVENTION This invention was produced in part using funds obtained through a grant from the National Institutes of Health. 20 Consequently, the federal government has certain rights in this invention. Field of the Invention The present invention relates generally to the clinical 25 treatment of solid tumors. More specifically, the present invention relates to inducing expression of therapeutic genes in a controlled and localized manner. Description of the Related Art Photodynamic therapy (PDT) is a clinical treatment of solid 30 malignancies (Fisher, A.M.R., et al., Laser Surgery Medicine 17:2-31 (1995); Marcus, S.L. and Dugan, M.H., Laser Surgery Medicine, 12: 318-24 (1992); and Henderson, B.W. and Dougherty, T.J., Photochem. Photobiol., 55:931-48 (1992)). Properties of photosensitizer localization in tumor tissue and photochemical 35 generation of reactive oxygen species are combined with precise 1 Printed from Mimosa 09/08/1999 14:26:35 page -3- WO 98/40105 PCT/US98/04551 delivery of laser generated light to produce a procedure offering effective local tumoricidal activity (Henderson, B.W., Photodermatology 6:200-11 (1989); and Wilson, B.C., and Jeeves, W.P., PHOTOMEDICINE (Ed. by Ben Hur, E., and I. Rosenthal) 2:127-5 67 (1987)). A derivative of hematoporphyrin termed Photofrin is the photosensitizer used in the majority of clinical trials. Photofnn-mediated PDT has recently received FDA approval for treatment of esophageal carcinoma and this compound has also received regulatory approval in Canada, the Netherlands and 10 Japan. PDT shows considerable promise for treating tumors of the bronchus, bladder, skin, head/ neck and cervix as well as for non-malignant disorders such as psoriasis and age-related macular degeneration. Growing interest exists also in the development and clinical 15 evaluation of new photosensitizers exhibiting improved pharmacological, photochemical and photophysical properties (Gomer, C.J., Yearly Review: Photochem. PhotobioL, 54:1093-1107 (1991)). Second generation photosensitizers undergoing clinical trials include tin etiopurpurin (SnET2), mono-l-aspartyl chlorin e6 20 (NPe6), benzoporphyrin derivative (BPD), meso-tetra-(hydroxyphenyl) chlorin (mTHPC) and 5-amino levulinic acid (ALA). These compounds exhibit a number of properties thought to be comparable or superior to Photofrin including chemical purity, increased photon absorption at longer wavelengths, 25 improved tumor tissue retention, rapid clearance from normal tissues, high quantum yields of reactive oxygen species and minimal dark toxicity (Dougherty, T.J., Photochem. Photobiol. 58:895-900 (1993); Moan, J. and Berg, K, Photochem. PhotobioL 55:931-48 (1992) and Kessel, Photochem. PhotobioL, 50:169-74 30 (1989)). ALA is a metabolic precursor of endogenous protoporphyrin IX. Photochemical generation of reactive oxygen species during PDT can produce damage to lipids, proteins and nucleic acids (Moan, J., Photochem. Photobiol. 43:681-90 (1986)). Indeed, 35 injury to cellular membranes, organelles, enzymes and DNA have been documented in numerous normal and malignant cells (Prinze, C., et al., Biochim. Biophys. Acta., 1038:152-57 (1990); and Hilf, R., et al., Cancer Res., 44:1483-88 (1984)). Oxidative damage to any 2 Printed from Mimosa 09/08/1999 14:26:35 page -4- WO 98/40105 PCT/US98/04551 of these sites could be sufficient to cause cell death. However, the actual mechanism(s) and target(s) of PDT-induced lethality remain to be elucidated. PDT induces expression of early response genes (c-fos, c-jun, 5 c-myc, egr-1) as well as stress protein genes belonging to the heat shock proteins (HSP), glucose regulated proteins (GRP) and heme oxygenase families (Luna, M.C, et al, Cancer Res., 54:1374-80 (1994); Gomer, C.J., et al., Photochem. PhotobioL, 53:275-279 (1991), Gomer, C.J., et al., Cancer Res., 51:6574-79 (1991); and 10 Gomer, C.J., et al., Cancer Res. (In press) (1997)). Induction of the stress genes is at the level of transcription but information on specific targets and/or signaling pathways responsible for inducting stress responsive gene expression is unknown. Apoptosis is also induced by PDT and appears to involve a signal 15 transduction pathway originating at the cell membrane (Agarwal, M.L., et al, Cancer Res., 51:5993-96, (1991); He, X.Y., et al., Photochem. PhotobioL 59:468-73 (1994) and Zaidi, S.I.A., et al., Photochem. Photobiol. 58:771-76 (1993)). Characteristic DNA fragmentation, chromatin condensation, and activation of a 20 constitutive endonuclease is observed in photosensitized cells. Apoptosis has also been identified in vivo as an early event in PDT-treated tumors. Cells have different stress responses. Each such response is triggered by one or more kinds of environmental insult or stress, 25 the main consequence of its induction being increased stress tolerance levels. The heat shock response is one of the best-characterized of these stress responses. In 1962, it was reported that exposure to high but nonlethal temperatures (heat shock) and to certain chemicals causes the appearance of new puffs on the 30 salivary gland Drosophila busckii. These puffs, clearly visible in the light microscope, represent high transcriptional activity on heat shock-inducible genes, and RNA synthesis that generates the messenger RNAs for the heat shock proteins. More recently, a wide range of organisms, from bacteria to higher vertebrates, has 35 been shown to display similar dramatic changes in gene expression with heat shock. 3 Printed from Mimosa 09/08/1999 14:26:35 page -5- WO 98/40105 PCT/US98/04551 The response to heat shock entails both strong induction of genes for heat shock proteins (HSPs) and repression of most genes that were being expressed previous to the induction. There are marked changes both to patterns of gene transcription and to the 5 way in which mRNAs are selected for translation by the protein-synthesizing machinery of the cell. The transcriptional changes with heat shock are due to the presence of a heat shock element in heat shock gene promoters. This element is a DNA sequence needed for specific induction of 10 transcription in response to heat shock. In the heat-inducible promoters of E. coli, the concensus sequence for the heat shock element is CTGCCACCC at nucleotide positions -44 to -36 relative to the transcription initiation site. In the heat-inducible promoters of eukaryotes, it is contiguous repeats of the 5-bp sequence 15 NGAAN, arranged in alternative orientation positioned upstream of the TATA box element. For experimental purposes, the heat shock response is usually induced by a temperature upshift. The optimal temperature for induction is species dependent, but it is usually a 20 degree or two above the maximum that permits growth. Also, the response is generally transient. There are other inducers of heat shock protein synthesis besides thermal stress. These include several potentially cytotoxic chemicals and physiologic states which may cause generation of 25 highly reactive free radicals These inducers likely share with high temperatures the ability to cause intracellular accumulation of aberrant or partially denatured protein. Glucose Regulated Proteins, or GRPs, with molecular weights of 78,000 and 94,000, share sequence homology with heat shock 30 proteins. The GRP family of proteins is coordinately induced by glucose starvation, anoxia, alterations in intracellular calcium, exposure to inhibitors or glycosylation as well as by PDT-mediated oxidative stress (Gomer, C.J., et al., Cancer Res. 51:6574-79 (1991); and Li, L-J., et al., J. Cell Physiol. 153:575-82 (1992)). The 78,000 35 GRP is identical in sequence to the immunoglobulin heavy chain binding protein and both GRP78 and GRP94 are localized in the endoplasmic reticulum (ER). GRP78 binds transiently to nascent, 4 Printed from Mimosa 09/08/1999 14:26:35 page -6- WO 98/40105 PCT/US98/04551 secretory and transmembrane proteins and binds permanently to abnormally folded or processed proteins in the ER. GRP78 is thought to have a protective function during and after cellular stress when protein processing in the ER is perturbed. Lee et al. 5 have shown that transcriptional activation of grp78 by tumor hypoxia can be exploited for targeted gene therapy. A truncated grp78 promoter with most of the basal elements removed was shown effectively to drive high level expression of a reporter gene in hypoxic mouse tumors (Gazit, G., et al., Cancer Res. 55.1660-63 10 (1995)). The present invention demonstrates that PDT-mediated oxidative stress is a strong transcriptional transducer of stress proteins, specifically those belonging to the heat shock proteins. Thus, the present invention is drawn to methods of targeted gene 15 therapy using recombinant constructs with HSP- or GRP-inducible promoters to drive high-level, local expression of cytotoxins or immunomodulators to enhance PDT tumoricidal action. Thus, the prior art is deficient in methods of producing high level local expression of cytotoxins or immunomodulators It is 20 an object of the present invention to fulfill this long-standing need and desire in the art, and/or to provide the public with a useful choice SUMMARY OF THE INVENTION According to a first aspect, the invention provides a use of an 25 expression vector in the manufacture of a medicament for enhancing the expression of a gene in a target tissue in an individual, wherein said vector expresses a therapeutic, heterologous gene under control of a promoter inducible by photodynamic therapy or heat, and wherein said gene is heterologous with regard to said promoter. According to a second aspect, the invention provides a use of a photosensitizer and an expression vector in the manufacture of a medicament for photodynamic therapy to enhance the expression of a gene in a target tissue in an individual, wherein said vector expresses a 35 therapeutic, heterologous gene under control of a promoter inducible by photodynamic therapy, wherein said gene is heterologous with regard to said promoter, and wherein said photosensitizer and expression vector may 5 I ~ ;n. / i! gct 2:;: be administered separately, simultaneously or sequentially to an individual in need thereof. Disclosed but not claimed is a novel method for enhancing locally the tumoncidal (or anti-angiogemc) properties of PDT (or heat) by using these therapeutic modalities to act as a molecular switch for the spatial and temporal expression of genes to enhance or act synergistically with the direct effects of PDT. The present invention is superior to current strategies which attempt to deliver localized cytotoxic gene therapy using constitutively-acting promoters, i.e. viral delivery systems using tissue-specific receptors or tissue-specific enhancers that limit gene transcription to a select group of cells The temporal regulation of gene expression is not possible using constitutively-acting promoters due to the high basal expression of cytotoxic gene productions in normal cells and tissue. The present invention (combining inducible gene therapy and PDT or 5a L i ,,<ji jiii UrnC'-'P i,Z ! 1 1 OCT 2SJ3 i ^ 7 ^ 11 ' 1 -s. t .! ! * I WO 98/40105 PCT/US98/04551 heat) enhances local tumor control without increasing normal tissue toxicity (increasing the therapeutic gam). Transcriptional activation of a PDT or heat inducible promoter is controlled within a given tissue volume and for a specific time period. This 5 procedure, therefore, exploits both the direct cytotoxicity induced by PDT or heat and the targeting potential of PDT or heat to induce spatial and temporal regulation of cytotoxic gene transcription. PDT- or heat-targeted gene therapy uses a construct containing a PDT- or heat-inducible promoter upstream of a cDNA 10 encoding a heterologous gene which is activated transcriptionally within the PDT or heat treatment field to enhance local cytotoxicity Weichselbaum et al. has reported on a similar procedure using ionizing radiation (Weichselbaum, R.R., et al., Cancer Res. 54.4266-69 (1994)) i 5 The present invention further discloses a method of temporal and localized treatment of a target tissue in an individual comprising the steps of administering an expression vector to said individual, wherein said vector expresses a therapeutic, heterologous gene under control of a promoter 20 inducible by photodynamic therapy or heat and exposing said target tissue to said photodynamic therapy or heat Various embodiments of this particular disclosure include generating heat by thermal laser, microwaves, ultrasound or radiofrequency waves 25 Further disclosed is a method of temporal and localized treatment of a target tissue in an individual comprising the steps of: administering a photosensitizer for photodynamic therapy to said individual; administering an expression vector to said individual, wherein 30 said vector expresses a therapeutic, heterologous gene under control of a promoter inducible by photodynamic therapy; allowing said photosensitizer and said expression vector to be taken up by said target tissue; and exposing said target tissue to light, wherein said light combined with said photosensitizer will 35 generate reactive oxygen species to induce said promoter inducible by photodynamic therapy, causing said therapeutic, heterologous gene to be expressed A particular embodiment of this disclosure includes a photosensitizer is 6 liMYLLLtCi-KL F.iCPcH'iV 0H:lCt; b l \iZ OCT WO 98/40105 PCT/US98/04551 selected from the group of photofrin, tin etiopurpurin, mono-1-aspartyl chlorin e6, benzoporphynn derivative, meso-tetra-(hydroxyphenyl)chlonn and 5-amino levulinic acid 5 Preferably, the vector is administered systematically or locally Preferred embodiments of the vector disclosed in the present invention include cases wherein said vector is a retroviral vector, an adeno-associated viral vector, or a liposomal DNA vector 10 Particular preferred embodiments of the present invention are where said promoter is a heat shock protein (hsp) promoter or a glucose regulated protein promoter. Further, preferred embodiments include wherein said heterologous gene is an immunomodulatory gene, particularly a 15 cytokine In addition, embodiments include where said heterologous gene is a tumor suppressor gene, an anti-sense DNA, or an anti-angiogemc gene In another aspect of the present invention, a preferred embodiment includes where said target tissue is a tumor or an 20 area of abnormal tissue growth Other and further aspects, features, and advantages of the present invention will be apparent from the following description of the presently preferred embodiments of the invention These embodiments are given for the purpose of disclosure 25 BRIEF DESCRIPTION OF THE DRAWINGS The appended drawings have been included herein so that the above-recited features, advantages and objects of the 30 invention will become clear and can be understood in detail. These drawings form a part of the specification It is to be noted, however, that the appended drawings illustrate preferred embodiments of the invention and should not be considered to limit the scope of the invention Figures 1-5 demonstrate the 35 selective and temporal expression of the beta-galactosidase ((3-gal) reporter gene in RIF HB-3 cells exposed to either heat or PDT: 7 IMELLcC'iUaL Cr-.C »P ImZ 1 1 OCT WO 98/40105 PCT/US98/04551 Figure 1: Beta-galactosidase activity (measured by using ONPG (o-nitrophenyl-pyranogalactose) as a substrate) in transfected RIF HB-3 cells treated with heat (45«C) for 1.5, 10, 20, 30 and 40 minutes. Samples were collected six hours after hyperthermia 5 Each data point represents the average of at least three separate experiments + S.E. Figure 2. Beta-galactosidase activity (measured by using ONPG as a substrate) in RIF HB-3 cells treated with NPe6-mediated PDT at doses ranging from 600 Joules/cm2 to 5400 10 Joules/cm2 Samples were collected six hours after light exposure. Each data point represents the average of at least three separate experiments + S.E. Figure 3. Kinetics of Beta-galactosidase expression (measured by using ONPG as a substrate) in RIF HB-3 cells treated at 45°C for 15 20 minutes. Each data point represents the average of at least three separate experiments + S.E. Enzyme activity was detected three hours after heat treatment (19 milliunits/mg protein). The peak values of fl-gal activity (100 and 125 milliunits/mg protein) were reached at six and twelve hours following heat exposure. 20 Figure 4. Kinetics of Beta-galactosidase expression (measured by using ONPG as a substrate) in RIF HB-3 cells treated with NPe6-PDT at a light dose of 3000 Joules/cm^ Each data point represents the average of at least three separate experiments + S.E. A minimal level of enzyme activity was detected three hours 25 after treatment. Peak activity was reached between six and twelve hours after NPe6 mediated PDT. Figure 5. Beta-galactosidase activity (measured by using ONPG as a substrate) from RIF HB-3 tumors growing in C3H/HeJ mice and treated with either heat or NPe6-PDT. Heat treatment 30 consisted in 20 minutes exposure at 45 °C. Three doses of light were tested for PDT. Each column represents the average of five distinct measurements +. S.E. The largest response was observed following hyperthermia (8.25 milliunits/mg protein). NPe6-PDT induced P-gal enzyme activity ranged between 1.08 and 3.48 35 milliunits/mg protein. No measurable levels were recorded for control tumors nor for tumors treated only with light or NPe6. (Comparable results were obtained for PDT treatments using PH and Sn ET2.) 8 Printed from Mimosa 09/08/1999 14:26:35 page -10- WO 98/40105 PCT/US98/04551 Figures 6 through 12 demonstrate the selective and temporal expression of the chloramphenicol acetyl transferase (CAT) reporter gene in RIF HC-2 cells and RIF RHC-7 cells exposed to either heat or PDT 5 Figure 6. CAT activity in transfected RIF HC-2 cells treated with heat (45°C) for 1.5, 10, 20, and 40 minutes. Samples were collected 24 hours after hyperthermia. Conversion of chloramphenicol to acetylated chloramphenicol was calculated by counting radioactivity from resulting TLC plates. 10 Figure 7. CAT activity in transfected RIF RHC-7 cells treated with heat (45°C) for 1.5, 10, 20, and 40 minutes. Samples were collected 24 hours after hyperthermia. Conversion of chloramphenicol to acetylated chloramphenicol was calculated by counting radioactivity from resulting TLC plates. 15 Figure 8. CAT activity in transfected RIF HC-2 cells treated with NPe6 mediated PDT at doses ranging from 600 Joules/cm^ to 5400 Joules/cm2. Samples were collected 24 hours after light exposure. Conversion of chloramphenicol to acetylated chloramphenicol was calculated by counting radioactivity from 20 resulting TLC plates. Figure 9. Kinetics of CAT activity in transfected RIF HC-2 cells treated at 45°C for 20 minutes. Samples were collected 3-48 hours after heat exposure. Conversion of chloramphenicol to acetylated chloramphenicol was calculated by counting 25 radioactivity from resulting TLC plates. Figure 10. Kinetics of CAT activity in transfected RIF RHC-7 cells treated at 45°C for 20 minutes. Samples were collected 3-48 hours after heat exposure. Conversion of chloramphenicol to acetylated chloramphenicol was calculated by counting 30 radioactivity from resulting TLC plates. Figure 11. CAT activity from RIF HC-2 cells and RIF HC-2 tumors growing in C3H/HeJ mice and treated with either water bath heat for cells or laser induced heat for tumors. Heat treatment consisted of 20 minutes exposure at 45 °C. Cell culture 35 samples were collected 24 hours after heating and tumor samples were collected 3, 6 or 24 hours after heating No measurable CAT activity levels were recorded for control tumors. 9 Printed from Mimosa 09/08/1999 14:26:35 page -11- WO 98/40105 PCT/US98/04551 Figure 12. CAT activity from RIF HC-2 and RIF RHC-7 tumors growing in C3H/HeJ mice and treated with either laser induced heat, NPe6-PDT or PH-PDT Heat treatment consisted in 20 minutes exposure at 45°C. No measurable levels were recorded 5 for control tumors or for tumors treated only with light, NPe6 or PH. DETAILED DESCRIPTION OF THE INVENTION 10 It will be apparent to one skilled in the art that various substitutions and modifications may be made to the invention disclosed herein without departing from the scope and spirit of the invention. As used herein, the term "photodynamic therapy" or "PDT" 15 refers to the treatment of solid tumors with visible light (usually generated by non-thermal lasers) following the systemic administration of a tumor localizing photosensitizer (see Fisher, A.M.R., et al., Laser Surgery Medicine 17:2-31 (1995); Marcus, S.L. and Dugan, M.H., Laser Surgery Medicine, 12: 318-24 (1992); and 20 Henderson, B.W. and Dougherty, T.J., Photochem. PhotobioL, 55:931-48 (1992)). The photochemical reaction induced by the photosensitizer and laser light produces reactive oxygen species such as singlet oxygen which in turn induces oxidative damage to subcellular targets (membranes, organelles, enzymes, and DNA) 25 PDT is used clinically to treat various types of solid tumors (esophagus, bronchus, bladder, brain, eye, head/neck, skin, cervical as well as non-malignant diseases such as age related macular degeneration and psoriasis. Various photosensitizers, including Photofrin (PH), tin etiopurpurin (SnET2), mono-1-30 aspartyl chlorin e6 (NPe6), benzoporphyrin derivative (BPD), meso-tetra-(hydroxyphenyl) chlorin (mTHPC) and 5-amino levulinic acid (ALA) are used in PDT. As used herein, the term "heat shock gene" refers to a gene which is transcribed at a high level in response to elevated 35 temperature. As used herein, the term "CAT" or "CAT assay" refers to an assay used to assess in vivo effectiveness of eukaryotic promoter Printed from Mimosa 09/08/1999 14:26:35 page -12- WO 98/40105 PCT/US98/04551 sequences. The CAT gene codes for CAT, which inactivates the antibiotic chloramphenicol by acetylatmg the drug at one or both of its two hydroxyl groups. Because eukaryotic cells do not synthesize CAT, the gene has been exploited as a reporter gene for 5 analysis of promoters, particularly in mammalian cells. CAT is assayed by a method based on thin-layer chromotography in which [14C]chloramphenicol can be separated from the acetylated and inactive derivatives which are only synthesized in the presence of the CAT enzyme. 10 As used herein, the term "P-gal" or "P-galactosidase assay" refers to an assay used to assess in vivo effectiveness of eukaryotic promoter sequences. P-galactosidase is an enzyme which hydrolyzes p-galactosides such as lactose into component sugars by hydrolysis of terminal nonreducmg P-galactose residues. 15 The E. coli LacZ gene is used as a reporter gene in studies of promoter action as a translational in-frame fusion between a gene of interest and the LacZ gene puts lacZ expression under the control of the promoter under investigation. The activity of the promoter can then be assayed by measuring the p-galactosidase 20 activity using o-nitrophenyl-pyranogalactose as a substrate. As used herein, the term "glucose regulated protein" or "GRP" refers to the family of proteins that is induced coordinately by glucose starvation, anoxia, alterations in intracellular calcium, exposure to inhibitors or glycosylation as well as by PDT mediated 25 oxidative stress conditions. As used herein, the term "tumor suppressor gene" refers to a class of genes believed to be involved in different aspects of normal control of cellular growth and division. The common characteristic of these genes is that it is their inactivation, usually 30 by genetic means, which contributes to tumor development. As used herein, the term "immunomodulatory gene" refers to a gene the expression of which modulates the course of an immune reaction to a specific stimulus or a variety of stimuli. Examples include interleukin 4, interleukin 10, tumor necrosis 35 factor a, etc. 11 Printed from Mimosa 09/08/1999 14:26:35 page -13- WO 98/40105 PCT/US98/04551 As used herein, the term "cytokine" refers to a small protein produced by cells of the immune system that can affect and direct the course of an immune response to specific stimuli. As used herein, the term "anti-angiogenic gene" refers to 5 genes coding for proteins which reduce or terminate the formation of blood vessels. As used herein the term "antisense DNA" refers to DNA which codes for an antisense RNA. Such antisense RNA has the potential to form an RNA-RNA duplex with the natural 'sense' 10 mRNA transcript of a gene, thereby preventing its translation. Antisense RNA provides a means of inactivating the expression of specific genes and can be applied to both simple and complex eukaryotes. In accordance with the present invention there may be 15 employed conventional molecular biology, microbiology, and recombinant DNA techniques within the skill of the art Such techniques are explained fully in the literature. See, e.g., Maniatis, Fritsch & Sambrook, "Molecular Cloning: A Laboratory Manual" (1982); "DNA Cloning: A Practical Approach," Volumes I and II 20 (D.N. Glover ed. 1985); "Oligonucleotide Synthesis" (M.J. Gait ed. 1984); "Nucleic Acid Hybridization" (B.D. Hames & S J. Higgins eds. (1985)); "Transcription and Translation" (B.D. Hames & S.J. Higgins eds. (1984)); "Animal Cell Culture" (R.I. Freshney, ed. (1986)); "Immobilized Cells And Enzymes" (IRL Press, (1986)); B. Perbal, "A 25 Practical Guide To Molecular Cloning" (1984)). Therefore, if appearing herein, the following terms shall have the definitions set out below. A "vector" is a replicon, such as plasmid, phage or cosmid, to which another DNA segment may be attached so as to bring about 30 the replication of the attached segment. A vector is said to be "pharmacologically acceptable" if its administration can be tolerated by a recipient mammal. Such as agent is said to be administered in a "therapeutically effective amount" if the amount administered is physiologically significant. An agent is 35 physiologically significant if its presence results in a change in the physiology of a recipient mammal. For example, in the treatment of retroviral infection, a compound which decreases the extent of 12 Printed from Mimosa 09/08/1999 14:26:35 page -14- WO 98/40105 PCT/US98/04551 infection or of physiologic damage due to infection, would be considered therapeutically effective. A "DNA molecule" refers to the polymeric form of deoxyribonucleotides (adenine, guanine, thymine, or cytosine) in 5 either single stranded form, or a double-stranded helix. This term refers only to the primary and secondary structure of the molecule, and does not limit it to any particular tertiary forms. Thus, this term includes double-stranded DNA found, inter alia, in linear DNA molecules (e.g., restriction fragments), viruses, 10 plasmids, and chromosomes. In discussing the structure herein according to the normal convention of giving only the sequence in the 5' to 3' direction along the nontranscnbed strand of DNA (i.e., the strand having a sequence homologous to the mRNA) An "origin of replication" refers to those DNA sequences that 15 participate in DNA synthesis. A DNA "coding sequence" is a double-stranded DNA sequence which is transcribed and translated into a polypeptide in vivo when placed under the control of appropriate regulatory sequences. The boundaries of the coding sequence are determined 20 by a start codon at the 5' (amino) terminus and a translation stop codon at the 3' (carboxyl) terminus. A coding sequence can include, but is not limited to, prokaryotic sequences, cDNA from eukaryotic mRNA, genomic DNA sequences from eukaryotic (e.g., mammalian) DNA, and even synthetic DNA sequences. A 25 polyadenylation signal and transcription termination sequence will usually be located 3' to the coding sequence. Transcriptional and translational control sequences are DNA regulatory sequences, such as promoters, enhancers, polyadenylation signals, terminators, and the like, that provide for 30 the expression of a coding sequence in a host cell. A "promoter sequence" is a DNA regulatory region capable of binding RNA polymerase in a cell and initiating transcription of a downstream (3' direction) coding sequence. For purposes of defining the present invention, the promoter sequence is bounded 35 at its 3' terminus by the transcription initiation site and extends upstream (5' direction) to include the minimum number of bases or elements necessary to initiate transcription at levels detectable above background. Within the promoter sequence will be found a 13 Printed from Mimosa 09/08/1999 14:26:35 page -15- WO 98/40105 PCT/US98/04551 transcription initiation site (conveniently defined by mapping with nuclease SI), as well as protein binding domains (consensus sequences) responsible for the binding of RNA polymerase. Eukaryotic promoters will often, but not always, contain "TATA" 5 boxes and "CAT" boxes. Prokaryotic promoters contain Shine-Dalgarno sequences in addition to the -10 and -35 consensus sequences. Various promoters may be used to drive vectors. An "expression control sequence" is a DNA sequence that controls and regulates the transcription and translation of another 10 DNA sequence. A coding sequence is "under the control" of transcriptional and translational control sequences in a cell when RNA polymerase transcribes the coding sequence into mRNA, which is then translated into the protein encoded by the coding sequence. 15 A "signal sequence" can be included before the coding sequence. This sequence encodes a signal peptide, N-terminal to the polypeptide, that communicates to the host cell to direct the polypeptide to the cell surface or secrete the polypeptide into the media, and this signal peptide is clipped off by the host cell before 20 the protein leaves the cell. Signal sequences can be found associated with a variety of proteins native to prokaryotes and eukaryotes. The present invention is directed to a novel method for enhancing locally the tumoricidal (or anti-angiogemc) properties 25 of PDT (or heat) by using these therapeutic modalities to act as a molecular switch for the spatial and temporal expression of genes to enhance or act synergistically with the direct effects of PDT. The present invention is superior to current strategies which attempt to deliver localized cytotoxic gene therapy using 30 constitutively-acting promoters, i e. viral delivery systems using tissue-specific receptors or tissue-specific enhancers that limit gene transcription to a select group of cells. The temporal regulation of gene expression is not possible using constitutively-acting promoters due to the high basal expression of cytotoxic 35 gene productions in normal cells and tissue. The present invention (combining inducible gene therapy and PDT or heat) enhances local tumor control without increasing normal tissue toxicity (increasing the therapeutic gain). Transcriptional 14 Printed from Mimosa 09/08/1999 14:26:35 page -16- WO 98/40105 PCT/US98/04551 activation of a PDT or heat inducible promoter is controlled within a given tissue volume and for a specific time period. This procedure, therefore, exploits both the direct cytotoxicity induced by PDT or heat and the targeting potential of PDT or heat to induce 5 spatial and temporal regulation of cytotoxic gene transcription. PDT- or heat-targeted gene therapy uses a construct containing a PDT- or heat-inducible promoter upstream of a cDNA encoding a heterologous gene which is activated transcriptionally within the PDT or heat treatment field to enhance local 10 cytotoxicity. It is contemplated the present invention provides a method of temporal and localized treatment of a target tissue in an individual comprising the steps of: administering an expression vector to said individual, wherein said vector expresses a 15 therapeutic, heterologous gene under control of a promoter inducible by photodynamic therapy or heat, and exposing said target tissue to said photodynamic therapy or heat. For gene therapy applications, a person having ordinary skill in the art of molecular biology and oncology would be able to 20 determine, without undue experimentation, the appropriate dosages and routes of administration to be employed in the novel method of the present invention. The present invention describes a method for the selection and temporal expression of heterologous genes. The invention 25 consists of two methods to obtain selective and temporal expression of heterologous genes both in cells grown in culture and for cells grown in-vivo as solid tumors. The human heat shock protein (hsp) promoter is used to express genes of interest under conditions of laser induced heating or Photodynamic 30 Therapy- (PDT-) induced oxidative stress Selective and temporal expression of heterologous genes (such as cytokines, toxins, tumor suppressor genes, antisense molecules and anti-angiogenic factors) are of significant therapeutic benefit in the treatment of tumors, vascular proliferation and tissue hypertrophy. Gene therapy 35 targeted by laser induced heating, other heating sources (such as microwave, ultrasound or radiofrequency induced currents) 15 Printed from Mimosa 09/08/1999 14:26:35 page -17- WO 98/40105 PCT/US98/04551 enhances treatment effectiveness by inducing expression of therapeutic genes in a controlled and localized manner. The following examples are given for the purpose of illustrating various embodiments of the invention and are not 5 meant to limit the present invention in any fashion. EXAMPLE 1 Cell Lines: Radiation-induced fibrosarcoma cells (RIF) were used as 10 parental control cells and as recipient cells transfected or transduced with hsp promoter reporter gene constructs. Three hsp promoter reporter gene cell lines were established and tested. Two of the cell lines were transfected with expression plasmids and one cell line was transduced with an inducible expression 15 retroviral vector. Plasmids from StressGen Biotech Corp, p2500-CAT (providing inducible expression of chloramphenicol acetyl transferase (CAT) under the control of the hsp70 promoter) and pl730R (providing inducible expression of beta galactosidase (P-gal) under the control of the hsp70 promoter) as well as plasmid 20 pMClNeo from Stratagene (providing constitutive expression of the neomycin resistance gene under the control of a thymidine kinase promoter) were grown in supercompetent E. coli, isolated following alkaline lysis and purified. Each StressGen expression plasmid was co-transfected into RIF-1 cells along with 25 pMClNeo (5 to 1 ratio) using the calcium phosphate DNA precipitation technique. The cells were grown in 600 [ig/ml G418 and resulting colonies were picked using cloning rings. G418 resistant clones were expanded and examined for P-gal or CAT activity using heat as a positive inducer. Positive clones were 30 then tested for activity following PDT. Individual RIF-1 clones which expressed either p-gal or CAT activity following PDT were obtained. The 3 cell lines used to prove that heat or PDT could be used as a switch for turning on heterologous reporter genes are: 35 1. RIF HC-2 cells which express CAT under the control of a 2.5 kb hsp promoter; 2. RIF HB-3 cells which express beta galactosidase under the control of a 2.5 kb hsp promoter; and 16 Printed from Mimosa 09/08/1999 14:26:35 page -18- WO 98/40105 PCT/US98/04551 3. RIF RHC-7 cells which were obtained by transducing a modified GINA retroviral vector (containing a 300 bp hsp promoter ligated to the chloramphenicol acetyl transferase gene plus the phosphotransferase (neo resistance) gene constitutively 5 expressed from the 5' LTR). Stable transfectants were established by growth in G-418 and then screened for heat induced expression of chloramphenicol acetyl transferase activity. All three of these cell lines have stably integrated expression vectors and all cell lines are injected into the flank of 10 C3H/HeJ mice to produce solid fibrosarcoma tumors. EXAMPLE 2 TREATMENT CONDITIONS: 15 Hyperthermia treatment of cells in culture: Cells (2x106) were seeded in T-75 flasks 24 hours prior to heat treatment. Hyperthermia was delivered by exposing cells to 45 °C in a temperature-controlled water bath. 20 Photosensitizer treatment of cells in culture (PDT): Three different photosensitizers were examined: Photofrin (PH), mono-l-aspartyl chlorin e6 (Npe6), and tin etio purpurin (Sn ET2). Cells (2x10^) were seeded in 100 mm Petri dishes 24 hours prior to a 16 hour incubation with one of the 25 photosensitizers. Photosensitizer incubation concentrations were 25 |xg/ml for PH and Npe6 and 0.75 ng/ml for SnET2. Cells were incubated with the photosensitizer in the dark for 16 hours in media containing 5% serum. The cells were then rinsed for 30 minutes in media containing 15% serum and then exposed to 30 graded doses of red light. 664 nm diode laser light at a dose rate of 2 mW/cm^ was used for Npe6 and Sn ET2. Broad-spectrum (570-650 nm) red light generated by a parallel series of 30-W fluorescent bulbs at a dose rate of 0.35 mW/cm^ was used for cells incubated with PH. 35 Heat Treatment of tumors growing in mice: Hyperthermia treatments of tumors measuring 6-7 mm in diameter consisted of a 20 minute exposure to 44.5-45 °C. 17 Printed from Mimosa 09/08/1999 14:26:35 page -19- WO 98/40105 PCT/US98/04551 These temperatures were achieved by irradiating the tumors with a diode laser emitting 810 nm laser light at power density of 270 mW/cm^. 5 PDT Treatment of tumors growing in mice: Photodynamic therapy (PDT) treatments of tumors measuring 6-7 mm in diameter consisted of an intravenous injection of either PH or Npe6 at 5 mg/kg or SnET2 at 1.5 mg/kg. Non-thermal laser light exposure of the tumors was initiated 10 either 4-5 hours (for Npe6) or 24 hours (for PH and Sn ET2) after drug administration. Red light at 630 nm was used for PH-mediated PDT and 664 nm light was used for Sn ET2- and Npe6-mediated PDT. Light dose rates were 75 mW/cm^. 15 EXAMPLE 3 Cell and Tissue Beta-galactosidase assays: Cell lysates (obtained by incubating the RIF HB-3 cells with a Reporter Lysis Buffer (Promega)) or tumor lysates 20 (obtained by homogenizing RIF HB-3 solid tumors in Reporter Lysis Buffer with the Polytron) were placed in microcentrifuge tubes and centrifuged at 4°C for two minutes. 150 p.1 of the supernatant was tested for P-galactosidase activity by adding 150 p.1 of Assay 2X Buffer (Promega) containing the substrate ONPG (o-25 nitrophenyl-B-D-galactopyranoside) and incubating the reaction at 37°C for three hours. The reaction was stopped by adding 500 |il of 1 M Sodium Carbonate, and the absorbance at 420 nm was read with a spectrophotometer. Beta-galactosidase activity was expressed in milliunits/mg of protein (determined using the BIO-30 RAD protein assay). EXAMPLE 4 Cell and Tissue CAT assays: 35 For cells, 10 |ig of cellular protein (obtained by freeze/thawing of cells) was combined with 35 fil of 1M TrisCl pH 7.8, 10 jj.1 of 6.0 mg/ml acetyl CoA, 2.5 (il of C-14 chloramphenicol (ICN Pharmaceuticals, Inc., Costa Mesa, CA, catalogue no. 12060) 18 Printed from Mimosa 09/08/1999 14:26:35 page -20- WO 98/40105 PCT/US98/04551 and water to a final volume of 75 |il. The reaction mixture was incubated for 30 minutes in a 37° C water bath. Acetylated chloramphenicol was extracted from the reaction mixture by the addition of 1 ml ethyl acetate and vortexed for 1 minute and 5 centrifuged at maximum speed for 5 minutes. The ethyl acetate layer was removed and dried in a speed vac for 45 minutes. Samples were dissolved in 30 (il of ethyl acetate, spotted on silica gel thin layer chromatography plate. TLC plates were developed in a chamber containing 200 ml of chloroform:methanol (95:5) for 10 45 minutes, air dried, and exposed to x-ray film overnight. Percent CAT conversion was calculated by cutting out the acetylated and non acetylated spots on the TLC plate and counted in a scintillation counter. For tissue samples, CAT assays were performed 15 according to "Molecular Cloning", Sambrook, Fritsch, Maniatis, Cold Spring Harbor Laboratory Press (1989), with slight modifications. 65.5 |ig of protein sample was incubated at 65° C for 10 minutes to inactivate deacetylases. To each sample, 50 (il of 1 M TrisCl pH 7.8, 10 (il of 6.0 mg/ml acetyl CoA, 4.3 |il of C-14 chloramphenicol 20 (ICN Pharmaceuticals, Inc., Costa Mesa, CA) and water were added to a final volume of 130 (il. Samples were incubated for 6 hours at 37° C and 5 (il of freshly made 6.0 mg/ml acetyl CoA solution was added to the samples every 2 hours. Following 6 hours of incubation, 1 ml of ethyl acetate was added to each sample, 25 vortexed for 1 minute, centrifuged for 5 minutes, the organic layer was removed, air-dried in a speed vac, 30 |il of ethyl acetate was added to each sample, and the samples were spotted on to TLC plates. TLC plates were developed in a chamber containing 200 ml of chloroform:methanol (95:5) for 45 minutes, air dried and 30 exposed to x-ray film overnight. Percent CAT conversion was calculated by cutting out the acetylated and non acetylated spots on the TLC plate and counted in a scintillation counter. 35 EXAMPLE 5 PDT inducible promoter/ TNF-a expression vector: Starting plasmids are obtained from StressGen (p2500CAT) containing the hsp promoter and ATCC (pUC-R10173) 19 Printed from Mimosa 09/08/1999 14:26:35 page -21- WO 98/40105 PCT/US98/04551 containing the complete coding sequence of TNF-a. The CAT gene from p2500CAT is removed by digestion with Hindlll and BamHl. Resulting ends are modified using commercial adapters from New England Biolabs. The Hindlll end is converted to EcoRl using 5 previously annealed adapters 1105 (EcoRl - XmnI) and 1107 (Hindlll - XmnI) The BamHl end is converted to EcoRl using adapters 1105 (EcoRl - XmnI) and 1106 (BamHl - XmnI). Following adapter insertion, the vector is ligated to the purified EcoRl fragment of pUC-R10173. The circularized plasmid is used 10 to transform competent E.coli. Minipreps of selected colonies are cut with Aval and Bglll to determine insert orientation. A colony with the correct insert is expanded and the resulting plasmid (pHspTNF) is transfected along with pMClNeo in RIF cancer cells. Tumor cell lines containing the stably integrated hsp 15 promoter/TNF-oc expression vector, pHspTNF, is isolated. Any patents or publications mentioned in this specification are indicative of the levels of those skilled in the art to which the invention pertains. Further, these patents and publications are incorporated by reference herein to the same 20 extent as if each individual publication was specifically and individually indicated to be incorporated by reference. One skilled in the art will appreciate readily that the present invention is well adapted to carry out the objects and obtain the ends and advantages mentioned, as well as those 25 objects, ends and advantages inherent herein. The present examples, along with the methods, procedures, treatments, molecules, and specific compounds described herein are presently representative of preferred embodiments, are exemplary, and are not intended as limitations on the scope of the invention. Changes 30 therein and other uses will occur to those skilled in the art which are encompassed within the spirit of the invention as defined by the scope of the claims 20 Printed from Mimosa 09/08/1999 14:26:35 page -22- </div>

Claims

<div class="application article clearfix printTableText" id="claims">



WO 98/40105 

PCT/US98AM551 

WHAT IS CLAIMED IS: 

1 A use of an expression vector in the manufacture of a medicament for enhancing the expression of a gene in a target tissue m an individual, wherein said vector expresses a therapeutic, heterologous gene 10 under control of a promoter inducible by photodynamic therapy or heat, and wherein said gene is heterologous with regard to said promoter.
2 A use of claim 1, wherein said medicament is 15 administered systemically
3 A use of claim 1, wherein said medicament is administered locally 

20
4 A use of claim 1, wherein said vector is retroviral vector, an adeno-associated viral vector, or a liposomal DNA vector.
5. A use of claim 1, wherein said promoter is 25 a heat shock protein (hsp) promoter or a glucose regulated protein promoter
6 A use of claim 1, wherein said heterologous gene is an immunomodulatory gene, a tumor 30 suppressor gene, an anti-sense DNA or an anti-angiogemc gene
7 A use of claim 6, wherein said immunomodulatory gene is a cytokine gene 

21 

liMIULbCTUAL huji'crtir CirlC OF i\!Z 

1 1 OCT 2CJ3 

WO 98/40105 

00 / P
8. A use of claim 1, wherein said promoter is inducible by reactive oxygen species 

5
9 A use of claim 1, wherein said target tissue is a tumor, an area of abnormal tissue growth, or an area of abnormal blood vessel growth 

10. A use of claim 1, wherein said heat is 10 generated by thermal laser, microwaves, ultrasound or radiofrequency waves. 

1 1 A use of claim 1, wherein said heat generated is from 44 5°C to 45°C 

15 

the manufacture of a medicament for photodynamic therapy to enhance the expression of a gene in a target tissue in an individual, wherein said vector expresses a therapeutic, heterologous gene under control of a promoter 20 inducible by photodynamic therapy, wherein said gene is heterologous with regard to said promoter., and wherein said photosensitizer and expression vector may be administered separately, simultaneously or sequentially to an individual in need thereof photosensitizer is selected from the group of photofrin, tin 

12 A use of a photosensitizer and an expression vector in 

25 

30 

13. A use of claim 12, wherein said 

22 

IAIWlC!IML P.lOl-'oil'v OJ-MCE 

i*Z 

I I OCT 23 

n- ,r >-• 

etiopurpurin, mono-l-aspartyl chlorin e6, benzoporphyrin derivative, meso-tetra-(hydroxyphenyl)chlorin and 5-amino levulinic acid. 

5 14. A use of claim 12, wherein said promoter is a heat shock protein (hsp) promoter or a glucose regulated protein promoter. 

15 A use of claim 12, wherein said vector is a 10 retroviral vector, an adeno-associated viral vector, or a liposomal DNA vector. 

1 6 A use of claim 12, wherein said heterologous gene is an immunomodulatory gene, a tumor 15 suppressor gene, an anti-sense DNA or an anti-angiogemc gene 

17 A use of claim 16, wherein said immunomodulatory gene is a cytokine gene 

20 1 8. A use of claim 12, wherein said light is generated by a laser 

19 A use as claimed in claim 1 or 12 substantially as herein described or exemplified with reference to the accompanying drawings. 

23 

iaIlaLcC».iGT -HiGmC- 

- uZ 

1 1 COT 2; 

i K ; 



</div>