WO1995012979A1 - Compositions and methods for transduction of cells - Google Patents

Compositions and methods for transduction of cells Download PDF

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Publication number
WO1995012979A1
WO1995012979A1 PCT/US1994/012912 US9412912W WO9512979A1 WO 1995012979 A1 WO1995012979 A1 WO 1995012979A1 US 9412912 W US9412912 W US 9412912W WO 9512979 A1 WO9512979 A1 WO 9512979A1
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Prior art keywords
cells
gene
muscle
tissue
phenotype
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PCT/US1994/012912
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French (fr)
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Laurence H. Kedes
Vittorio Sartorelli
Howard M. Prentice
Robert A. Kloner
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The University Of Southern California
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Priority to AU10527/95A priority Critical patent/AU1052795A/en
Publication of WO1995012979A1 publication Critical patent/WO1995012979A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K14/00Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/435Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • C07K14/46Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates
    • C07K14/47Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates from mammals
    • C07K14/4701Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates from mammals not used
    • C07K14/4702Regulators; Modulating activity
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K14/00Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/435Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • C07K14/475Growth factors; Growth regulators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K48/00Medicinal preparations containing genetic material which is inserted into cells of the living body to treat genetic diseases; Gene therapy
    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12NMICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
    • C12N2799/00Uses of viruses
    • C12N2799/02Uses of viruses as vector
    • C12N2799/021Uses of viruses as vector for the expression of a heterologous nucleic acid
    • C12N2799/027Uses of viruses as vector for the expression of a heterologous nucleic acid where the vector is derived from a retrovirus

Definitions

  • the present invention relates generally to the fields of biotechnology and medicine. More particularly, the present invention is directed to compositions and methods useful in the transduction of cells for therapeutic purposes.
  • somatic gene therapy in which a therapeutic gene encoding a therapeutic protein is delivered to cells, tissues or organs manifesting a disease.
  • One therapeutic approach involves introduction of a suitable vector containing the gene ex vivo into autologous cells from the site at which the therapy is directed, followed by reimplantation of the cells.
  • introduction of genetic material directly into mammalian cells may be effected in vivo through the use of, e.g., viral particles functioning in the ordinary course of infection; retro viruses have been found to be especially useful as vectors for accomplishing gene insertion.
  • compositions and methods useful for the therapeutic transduction of cells are provided.
  • compositions and methods which may be employed in the treatment of injured or diseased muscle are provided.
  • delivery of a nucleotide sequence corresponding to a cell lineage commitment gene is employed to transduce proliferating cells to a novel phenotype.
  • proliferating fibroblasts are transduced to a myogenic phenotype as a technique for remediation of muscle injury or trauma.
  • delivery of muscle regulatory factor gene to the myocardium is employed in order to convert to a myogenic phenotype the cells that populate a myocardial scar following infarction.
  • Upon conversion of the proliferating cardiac fibroblasts to skeletal muscle cells they strengthen the weakened heart wall, effect the tissue remodeling that accompanies post-infarction processes, and potentially contribute to contraction.
  • the feasibility of this approach is demonstrated by direct introduction of a myogenic determination gene, MyoD1, into the scar tissue of an experimental model of myocardial infarction.
  • the present invention calls for the introduction of at least one nucleotide sequence corresponding to or functionally equivalent to (as hereinafter defined) a mammalian gene which regulates cell lineage commitment into a suitable proliferating cell.
  • a mammalian gene which regulates cell lineage commitment into a suitable proliferating cell.
  • One type of gene of particular interest for use in accordance with the present invention is the family of muscle regulatory factor genes.
  • the muscle regulatory factor gene family includes, but is not limited to, the following genes: myogenin [Edmondson, D.G. & Olson, E.N. (1989) Genes & Development, 3, 628-640]; Myf-5 [Braun, T. et al. (1989) EMBO Journal, 8, 701-709]; MRF4 [Rhodes, S.J.
  • MyoDl has been shown to convert non-muscle cells to the skeletal muscle phenotype in vitro [Weintraub, H. et al. (1989) Proc. Natl. Acad. Sci. USA, 86, 5434-5438; Choi, J. et al. (1990) Proc. Natl. Acad. Sci. USA, 87, 7988-92].
  • Members of this family of genes act as transcription factors capable of transactivating muscle specific genes [Lassar, A.B. et al. (1989) Cell, 58, 823-831], and display cell cycle suppressive activities [Crescenzi M. et al. (1990) Proc. Natl. Acad. Sci.
  • sense orientation encodes only one open reading frame that is greater than 100 residues and has a good initiation sequence consensus (GATATGG); this portion of the molecule is indicated in bold face.
  • the single major ORF is indicated in bold.
  • CAGCCACTATGCGCGAGCGGAGGCGCCTGAAGAAGGT CAACCAGGCTTTCGAAACCCTCAAGAGGTGTACCACGA CCAACCCCAACCAGAGGCTGCCCAAGGTGGAGATCCT
  • proliferating fibroblasts represent the most likely target cell. This is based on a) the propensity of retroviral transduction for proliferating cells and b) the observation that following ischemic injury in adult myocardium the cardiomyocytes do not proliferate.
  • the strategy of using at least one muscle regulatory factor gene to convert cells in a cardiac scar in vivo is useful in strengthening the contractions of the injured heart and preventing the deleterious consequences of myocardial remodeling following infarction.
  • the present invention is particularly useful in the treatment of heart muscle that is weak or functioning poorly.
  • a prime situation for use of the inventive protocol is the treatment of ischemic heart tissue resulting from coronary artery disease or coronary infarction.
  • Other pathologic abnormalities resulting in muscle which is weak or functioning poorly may also be ameliorated in accordance with the inventive method.
  • the ability to deliver genes such as MyoD to organs and tissues by various delivery vectors could have more widespread use than the heart model described in detail herein.
  • the present invention has a clear utility in the conversion of non-muscle cells to skeletal muscle phenotype in repair of other injured or ischemic muscles, including but not limited to muscles of the eye, hand and foot.
  • MyoD was the first identified mammalian gene that appears to regulate cell lineage commitment. It is likely that other such genes exist that are master switches for other tissue types (such as nerves, skin, bone and cartilage). As such genes are characterized, they are also suitable for use in accordance with the present invention for therapeutic conversion.
  • the present invention involves the administration of therapeutic compositions useful in the transduction of proliferating cells to a novel phenotype, as well as in delivering a therapeutic nucleotide sequence corresponding to a cell lineage commitment gene to those cells.
  • exemplary nucleotide sequences corresponding to cell lineage commitment genes for use in accordance with the present invention include members of the muscle regulatory factor gene family or functional equivalents thereof.
  • a “functional equivalent" of a muscle regulatory factor gene is intended a nucleotide sequence or portion thereof encoding a peptide corresponding to a product of a member of the muscle regulatory factor gene family or a portion of such a peptide sufficient to achieve the desired transduction of proliferating cells to a myogenic phenotype.
  • nucleotide sequences include an active constitutive or inducible promoter sequence as are well known in the art.
  • Conventional engineered vector constructs such as plasmid and bacteriophage (phage) vectors, containing suitable promoter sequences are useful in accordance with the present invention.
  • phage bacteriophage
  • These and other DNA sequences which are able to replicate in a host cell may be employed in accordance with the present invention as cloning vehicles in a manner well known in the art.
  • the therapeutic nucleotide sequence of the present invention may suitably comprise a DNA construct capable of generating therapeutic nucleotide molecules in high copy numbers in the target cells, as described in published PCT application WO 92/06693, the entire disclosure of which is hereby incorporated by reference.
  • Retroviral vectors may also be employed in accordance with the present invention. Transduction with viral vectors has been valuable as a tool for obtaining high level gene expression in a high proportion of cells within a target area [Nabel, E.G. et al. (1989) Science, 244, 1342-4; Nabel, E.G. et al. (1991) Journal Of The American College Of Cardiology , 17 189B-194B]. Retroviral vectors preferentially infect dividing cells and for this reason are not useful to transduce a terminally differentiated cell type, such as cardiomyocytes. They would, however, be expected to transduce proliferating cardiac fibroblasts in vivo following ischemic injury.
  • Recent DNA transfer techniques employing uptake of recombinant adeno virus by normal myocardium may also be particularly applicable to myocytes following ischemia and reperfusion in accordance with the present invention.
  • Recombination of such vectors is rare; there are no known associations of human malignancies with adenoviral infections despite common human infection with adenoviruses; the genome may be manipulated to accommodate foreign genes of a fairly substantial size (up to about 7.5 kb in length); live adenovirus has been safely used as a human vaccine; and host proliferation is not required for expression of adenoviral proteins.
  • compositions useful for practicing the therapeutic methods described herein are contemplated.
  • Therapeutic compositions of the present invention may contain a physiologically acceptable carrier together with one or more therapeutic nucleotide sequences as described herein, dissolved or dispersed in the carrier, as the active ingredient.
  • the composition is not immunogenic or otherwise able to cause undesirable side effects when administered to a mammal or human patient for therapeutic purposes.
  • compositions, carriers, diluents and reagents represents that the materials are capable of administration to or upon a mammal, including a human patient, without the production of undesirable physiological effects, including but not limited to nausea, dizziness, gastric upset and the like.
  • compositions which contains active ingredients dissolved or dispersed therein are well understood in the art. Typically, such compositions are prepared for purposes of injection as liquid solutions or suspensions; however, solid forms suitable for solution or suspension in liquid prior to use may also be prepared.
  • Physiologically acceptable carriers are well known in the art.
  • Exemplary liquid carriers for use in accordance with the present invention are sterile aqueous solutions which contain no materials other than the active ingredient and water, or may contain a buffer such as sodium phosphate at physiological pH value, physiological saline or both (i.e., phosphate-buffered saline).
  • Suitable aqueous carriers may further comprise more than one buffer salt, as well as other salts (such as sodium and potassium chlorides) and/ or other solutes.
  • the active ingredient may further be mixed in amounts suitable for use in the therapeutic methods described herein with one or more excipients which are pharmaceutically acceptable and compatible with the active ingredient.
  • Suitable excipients include dextrose, glycerol, ethanol and the like, and combinations of one or more thereof with vegetable oils, propylene glycol, polyethylene glycol, benzyl alcohol and the like to provide a suitable injectable composition.
  • the composition can contain wetting or emulsifying agents, isotonic agents, pH buffering agents, dissolution promoting agents, stabilizers, antiseptic agents and other typical auxiliary additives employed in the formulation of pharmaceutical preparations.
  • the therapeutic nucleotide sequences of the present invention may be incorporated into liposomal vesicles [see, e.g. , U.S.
  • Patent 5,104,661 U.S. Patent 5,013,556; and published PCT application WO
  • a therapeutic composition for use in accordance with the present invention typically contains an amount of the therapeutic nucleotide sequence as described herein sufficient to deliver a therapeutically effective amount to the target tissue. Following the protocols described herein, at least about 10% of the target cells in an infarcted area are transduced upon administration of a therapeutic composition in accordance with the present invention, and preferably about 20% to about 30% are affected. It is anticipated that with the use of more powerful vectors, transduction of at least 50% of the targets cells can be achieved. For purposes of the present invention, it is contemplated transduction of at least a portion of the target cells corresponding to about 10% thereof is sufficient to achieve a desired therapeutic effect. Typically, the compositions comprise at least about 0.1 weight percent to about 90 weight percent of therapeutic nucleotide sequence per weight of total therapeutic composition.
  • the therapeutic nucleotide compositions comprising synthetic oligonucleotide sequences in accordance with the present invention may be prepared in a manner known per se to those skilled in the art by suitable method, including but not limited to the phosphotriester and phosphodiester methods, as described in, e.g., Narang et al. , Meth. Enzymol. 68:90 (1979), Brown et al., Meth. Enzymol. 68: 109 (1979) and U.S. Patent 4,356,270.
  • the method of the present invention generally comprises contacting specific cells with a therapeutically effective amount of a pharmaceutically acceptable composition comprising a therapeutic nucleotide sequence of this invention.
  • This contact may suitably be effected by a direct injection of the compositions into tissues or organs comprising the target cells.
  • intracoronary administration may be effected via a catheter.
  • intravenous administration of suitable compositions may be employed.
  • non-myocytes converted to skeletal muscle with MyoD may require electrical stimulation if they are to contract.
  • the conduction system of the newly-created skeletal muscle must be coupled to that of the healthy cardiac tissue.
  • the electrical currents present in the cardiac tissue could be sufficient to induce coupling to the adjacent skeletal muscle tissue.
  • exogenous transfer of cardiac gap junction protein [Beyer, E.C. et al. (1987) Journal of Cell Biology, 105, 2621-9; Fishman, G. I. et al. (1990) Journal of Cell Biology, 111, 589-98; Beyer, E.C. et al.
  • the plasmid RSN (Rous Sarcoma Nirus)-luciferase containing the luciferase gene under the control of the Rous Sarcoma Virus promoter is described in R. Kitsis et al. , supra.
  • Amphitrophic retroviruses containing the MyoD coding sequence were obtained as a supernatant from PA317 cells.
  • 2 ml of retroviral supernatant derived from LMDS ⁇ infected ⁇ b cells was used to transduce PA317 cells at a density of 5 ⁇ 10 5 cells/100 mm dish. Infection was conducted for 3 hours after which the culture medium was changed. 24 hours later cells were split 1:400 for selection in G418 containing medium (1.5 mg/ml) and cultured until antibiotic resistant colonies were visible.
  • One such colony was used as a source of MyoD encoding amphotrophic retrovirus.
  • ⁇ -galactosidase encoding retrovirus was obtained from a PA317 clone transduced with L ⁇ POZ.
  • the viral titer of L ⁇ POZ was 5 ⁇ 10 5 colony forming units per ml.
  • retroviral supernatants (LMDSN or LNPOZ) transduced PA317 cells were grown to a density of 5 ⁇ 10 5 cells/100 mm dish and cultured in the absence of G418 for 24 hours after which supernatants were moved and stored at -80°C.
  • LMDSN vector is described in Weintraub et al. (1989), supra.
  • Tissue was homogenized with a Polytron (Kinematic, Switzerland) for 45 sec in 1 ml of ice cold homogenization buffer [Brasier, A.R. et al. (1989) BioTech. , 7, 1116-1122].
  • luciferase activity samples were assayed for peak light production at 10 sec with a Monolight model 2001 luminometer (Analytical Luminescence Laboratory). 100 ⁇ l of each homogenate was combined with 350 ml of Buffer B and 100 ⁇ of the buffer containing D-luciferin.
  • Photomicroscopy was performed using Scotchrome 1000 film and a Zeiss microscope. Immunostaining of frozen tissue sections for skeletal specific MHC performed using monoclonal antibody MY-32 (Sigma) at 1:400 dilution and anti-chicken ⁇ -actinin antiserum (Sigma) at 1:500 dilution. Staining was visualized using fluorescein conjugated goat anti-mouse immunoglobulin G (skeletal MHC) and rhodamine conjugated goat anti-rabbit immunoglobulin G ( ⁇ -actinin).
  • tissue was fixed in formalin and embedded in paraffin. Sections were cut and stained with hematoxylin and eosin and picrosirius red.
  • Neonatal rat cardiac fibroblasts were isolated according to the literature procedure [Simpson, P. et al. (1982) Cir. Res. , 50, 101-116].
  • Heart tissue was finely minced and subjected to gentle trypsinization and mechanical disruption for 4-5 hours. Disassociated cells were plated for 30-60 minutes on 100 mm tissue culture dishes, after which the culture medium containing the cardiomyocytes was removed.
  • Adherent cardiac fibroblasts were then expanded in culture for retroviral transduction.
  • Cardiac fibroblasts were plated in 60 mm dishes with 5 ⁇ 10 5 cells/dish and polybrene was added at 8 ⁇ g/ml. Cells were infected with 100 ⁇ l of retroviral supernatant for 2 days.
  • the cells were detached by trypsinization and seeded at densities ranging from 300 to 60,000 cells per plate.
  • the cells were grown in the presence of G418 (800 ⁇ g/ml) and the medium changed every 3-4 days. After 12 days in culture G418 resistant colonies were isolated.
  • LMDSN carrying the MyoD and neomycin resistance genes or LMDSN carrying only the neomycin resistance gene, cells resistant to G418 were compared.
  • the mo ⁇ hology of the LMDSN transduced cells was distinctive compared to that of cells transduced with vector alone. The former had been converted to a markedly extended shape and formed elongated multinucleated cells compared to the rounded fibroblast mo ⁇ hology retained by the control cells. Only the LMDSN transduced cells reacted positively with an antibody specific to the skeletal muscle-specific isoform of myosin heavy chain.
  • primary cardiac fibroblasts can be converted to the skeletal muscle phenotype by overexpression of MyoD.
  • Mongrel dogs were anesthetized with sodium pentobarbital (35 mg/kg), intubated, and ventilated.
  • Myocardial infarcts were created percutaneously by embolizing alpha helix thrombotic coils (Target Therapeutics) into the left anterior descending coronary artery, under fluoroscopic guidance. Angiography was repeated at approximately 20-40 minutes to confirm coronary occlusion.
  • Retroviral supernatants of LNPOZ and LMDSN were mixed in equal volumes and injected through a 27 gauge needle into the visible infarct within an area of 1 cm 2 . The location of the injections was marked with a suture. Three injections, each of 0.3 ml, were made per infarct.
  • viral supernatant was diluted 1 : 1 with growth medium and 0.3 ml of solution was injected at 3 sites within the infarcted area. After injection the chest was closed, air was evacuated from the chest, and the dogs were allowed to recover for 7-12 days. At 7-12 days the dogs were euthanized and hearts excised for analysis. Sections were obtained for immunostaining and histology.
  • This example was an attempt to convert to a skeletal muscle phenotype the cells present in a scar forming in the living animal after a myocardial infarction.
  • the density of dividing cells in a myocardial scar is at its peak 5-14 days after infarction and retroviruses preferentially transduce only proliferating cells. Accordingly, this time period was chosen to inject MyoD expressing retroviruses into a grossly infarcted segment of myocardium.
  • Six dogs entered the study on MyoD gene transfer. As presented in Table 2, five of six dogs had developed gross myocardial infarctions when observed following thoracotomy at 6-11 days post coronary artery occlusion. Four dogs were injected with both LNPOZ and LMDSN. Two dogs (one of which was the dog that did not develop infarction) were injected with LNPOZ only.
  • the LNPOZ retrovirus carrying the ⁇ - galactosidase gene was injected. Seven to 12 days after injection of retrovirus into ischemic dog heart the area of gene transfer was confirmed by Xgal staining. 3 out of 4 dogs injected with both LNPOZ and LMDSN stained positively for ⁇ -galactosidase (Table 2). The one dog with an infarct that was injected with LNPOZ alone served as a control and also stained positive for ⁇ -galactosidase.
  • Tissue obtained from the infarcted areas of all dog hearts revealed loss of myocytes with infiltration of fibroblasts and mononuclear cells into the region.
  • Picrosirius red staining revealed bright red areas of collagen deposition which were easily distinguished from surrounding viable myocytes at the edge of the infarct which stained yellow. No definite skeletal muscle myotubes were identified.
  • the lack of any skeletal MHC positive multinucleated myotubes in the injected tissue may have been due to the relatively low number of cells that were converted to the skeletal phenotype. It is likely, however, that with the use of retroviruses of a higher titer or of viral vectors such as adenovirus, a higher percentage of cardiac fibroblasts could be converted to the skeletal muscle phenotype in vivo and myotubes might be formed. It is also possible that the experiments underestimated the fraction of cells that took up the retrovirus and expressed MyoD.
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  • GCGGTGCACC CAGGCCCAGG CGCTCGTGAG GATGAGCATG TGCGCGCC CAGCGGGCAC 420
  • CAAAAGCCAT CACTTCTGTA GCAGGGGGCT TTTAAGTGGG GCTGTCCTGA TGTCCAGAAA 900
  • GTCCATCACC CAGTTCAGAT CAGTCAGAGG CCAAGGAGGA GAACATGATG ATGGACCTTT 60 TTGAAACTGG CTCCTATTTC TTCTACTTAG ATGGAGAAAA TGTGACTCTT CAGCCATTAG 120
  • CAGGCCTTCA GCCACCCCAC TGCCCAGGTC AGTGTCTGAT CTGGGCTTGC AAGACTTGCA 300 AGAGAAAATC TGCCCCCACA GATCGTCGGA AAGCAGCTAC CCTGCGCGAA AGGAGGAGGC 360
  • GCTACAAACC CAAGCAAGAA ATTCTTGAGG GTGCGGATTT CCTGCGCACC TGCAGCCCGC 600 AGTGGCCAAG TGTTTCGGAT CATTCCAGGG GCCTGGTGAT AACTGCTAAG GAAGGAGGAG 660
  • AAATAGTCTT AGTACTTTCG TTTTTATGTA AACCTAAAGG ACATATTTTA AATGTGGAAT 1200 TAAGCATTGT ATATAAAATG TGTGAGAGTC TGATATTGTA ATATTAAAAT ATTAATACGT 1260
  • GCCATCCGCT ACATCGAGAG CCTGCAGGAG TTGCTGAGAG AGCAGGTGGA GAACTACTAT 480 AGCCTGCCGG GACAGAGCTG CTCGGAGCCC ACCAGCCCCA CCTCCAACTG CTCTGATGGC 540
  • AGTGTATTTA ACTAAAAAGT CATCATTGCA AATAATACTT TCTTCTTCTT TATTATTCTT 1020 TGCTTAGATA TTAATACATA GTTCCAGTAA TACTATTTCT GATAGGGGGC CATTGATTGA 1080

Abstract

A method of transducing proliferating cells to a novel phenotype by administering to the cells an amount effective to transduce at least a portion of the target cells of a composition wherein the active agent is a nucleotide molecule including at least one sequence corresponding to a cell lineage commitment gene and compositions for use in the method are described. Conversion of non-myocytes (for examples, fibroblasts in the ischemic heart) to the skeletal muscle phenotype is effected by injection of a vector expressing a muscle regulatory factor gene. Cellular conversion through exogenous MyoD expression demonstrates the potential of converting one type of cell (for example, the areas of fibrotic tissue within the ischemic heart wall) to another (e.g., a skeletal muscle phenotype). Such tragedies lead to the development of alternative therapeutic interventions in a variety of conditions, including those involving injured or traumatized tissue (e.g., muscle in ischemic heart disease).

Description

COMPOSITIONS AND METHODS FOR TRANSDUCTION OF CELLS
Background of the Invention
The present invention relates generally to the fields of biotechnology and medicine. More particularly, the present invention is directed to compositions and methods useful in the transduction of cells for therapeutic purposes.
Considerable research is currently being directed to techniques for somatic gene therapy, in which a therapeutic gene encoding a therapeutic protein is delivered to cells, tissues or organs manifesting a disease. One therapeutic approach involves introduction of a suitable vector containing the gene ex vivo into autologous cells from the site at which the therapy is directed, followed by reimplantation of the cells. Alternatively, introduction of genetic material directly into mammalian cells may be effected in vivo through the use of, e.g., viral particles functioning in the ordinary course of infection; retro viruses have been found to be especially useful as vectors for accomplishing gene insertion.
Several strategies have been developed to use skeletal muscle tissue to influence the performance of a failing heart. Skeletal muscle grafts with neuronal innervation have been used clinically as a means of strengthening the contractions of the ischemic heart. Such approaches are subject to the limitations imposed by surgical intervention and post operative side effects.
One possible way to circumvent these problems would be to transplant skeletal muscle cells into the myocardium in the hopes that they might fuse and form functional fragments of contractile tissue. Experimental attempts to insert such myogenic cells recently has been attempted in animal models, leading to the formation of a patch of well demarcated skeletal muscle surrounded by normal myocardium [Koh, G.Y. et al. (1993) Am. J. Physiol, 264, H1727-H1733].
Gene transfer into the normal myocardium has been achieved through direct
DNA injection, resulting in high level and long term expression from cell type specific, hormone responsive and ubiquitously active promoters [Lin, H. et al. (1990) Circ , 82, 2217-2221; Kitsis, R. N. , et al. (1991) Proceedings Of The
National Academy Of Sciences Of The United States Of America, 88, 4138-42; Acsadi, G. et al. (1991) New Biol, 3, 71-81; von Harsdorf, R. et al. (1993) Circulation Research, 72, 688-95]. It had not heretofore been determined, however, whether directly injected foreign genes are transcribed in ischemic myocardium.
It is an object of the present invention to provide compositions and methods useful for the therapeutic transduction of cells. In particular, it is an object of the present invention to provide compositions and methods which may be employed in the treatment of injured or diseased muscle.
Summary of the Invention
In accordance with the present invention, delivery of a nucleotide sequence corresponding to a cell lineage commitment gene is employed to transduce proliferating cells to a novel phenotype. For example, proliferating fibroblasts are transduced to a myogenic phenotype as a technique for remediation of muscle injury or trauma. In a particular embodiment of the invention, delivery of muscle regulatory factor gene to the myocardium is employed in order to convert to a myogenic phenotype the cells that populate a myocardial scar following infarction. Upon conversion of the proliferating cardiac fibroblasts to skeletal muscle cells, they strengthen the weakened heart wall, effect the tissue remodeling that accompanies post-infarction processes, and potentially contribute to contraction. The feasibility of this approach is demonstrated by direct introduction of a myogenic determination gene, MyoD1, into the scar tissue of an experimental model of myocardial infarction.
Detailed Description of the Invention
In accordance with the present invention, it has now been demonstrated both in vivo and in cell culture that it is possible to convert non-myocytes, for example fibroblasts in the ischemic heart, to the skeletal muscle phenotype by injection of a vector expressing a muscle regulatory factor gene. These observations on cellular conversion through exogenous MyoD expression indicate the potential of converting one type of cell (for example, the areas of fibrotic tissue within the ischemic heart wall) to another (e.g. , skeletal muscle phenotype) by delivery to the target cells of at least one nucleotide sequence corresponding to a cell lineage commitment gene. Such strategies lead to the development of alternative therapeutic interventions in a variety of conditions involving injured or traumatized tissue (e.g., muscle in ischemic heart disease).
The present invention calls for the introduction of at least one nucleotide sequence corresponding to or functionally equivalent to (as hereinafter defined) a mammalian gene which regulates cell lineage commitment into a suitable proliferating cell. One type of gene of particular interest for use in accordance with the present invention is the family of muscle regulatory factor genes. The muscle regulatory factor gene family includes, but is not limited to, the following genes: myogenin [Edmondson, D.G. & Olson, E.N. (1989) Genes & Development, 3, 628-640]; Myf-5 [Braun, T. et al. (1989) EMBO Journal, 8, 701-709]; MRF4 [Rhodes, S.J. & Konieczny, S.F. (1989) Genes & Development, 3, 2050-2061]; and MyoDl [Weintraub, H. et al. (1991) Science, 251, 761-766; Davis, R.L. et al. (1987) Cell, 51, 987-1000].
MyoDl has been shown to convert non-muscle cells to the skeletal muscle phenotype in vitro [Weintraub, H. et al. (1989) Proc. Natl. Acad. Sci. USA, 86, 5434-5438; Choi, J. et al. (1990) Proc. Natl. Acad. Sci. USA, 87, 7988-92]. Members of this family of genes act as transcription factors capable of transactivating muscle specific genes [Lassar, A.B. et al. (1989) Cell, 58, 823-831], and display cell cycle suppressive activities [Crescenzi M. et al. (1990) Proc. Natl. Acad. Sci. USA, 87, 8442-6; Sorrentino V. et al. (1990) Nature, 345, 813-5]. Conversion of chondroblasts, epithelial, nerve, fat and fibroblast cells has been demonstrated in cell culture to varying degrees [Weintraub et al. (1989), supra; Choi et al. , supra] . When expression of exogenous MyoD in cardiocytes is forced during development in transgenic mice, there is an hypertrophic response and conversion to the skeletal muscle phenotype [Miner, J.H. et al. (1992) Development, 114, 853-860]. However, it had not heretofore been established whether such phenotypic changes could be induced by introduction of a muscle regulatory factor gene into adult tissues in vivo.
The reported sequence for a MyoD cDNA [Davis et al. , supra] is as follows: ACACCTCTGACAGGACAGGACAGGGAGGAGGGGTAGAG GACAGCCGGTGTGCATTCCAACCCACAGAACCTTTGTCAT TGTACTGTTGGGGTTCCGGAGTGGCAGAAAGTTAAGACG ACTCTCACGGCTTGGGTTGAGGCTGGACCCAGGAACTGG GATATGGAGCTTCTATCGCCGCCACTCCGGGACATAGA
CTTGACAGGCCCCGACGGCTCTCTCTGCTCCTTTGAGA CAGCAGACGACTTCTATGATGATCCGTGTTTCGACTCA CCAGACCTGCGCTTTTTTGAGGACCTGGACCCGCGCCT GGTGCACGTGGGAGCCCTCCTGAAACCGGAGGAGCAC GCACACTTCTCTACTGCGGTGCACCCAGGCCCAGGCG
CTCGTGAGGATGAGCATGTGCGCGCGCCCAGCGGGCA CCACCAGGCGGGTCGCTGCTTGCTGTGGGCCTGCAAG GCGTGCAAGCGCAAGACCACCAACGCTGATCGCCGCA AGGCCGCCACCATGCGCGAGCGCCGCCGCCTGAGCAA AGTGAATGAGGCCTTCGAGACGCTCAAGCGCTGCACG
TCCAGCAACCCGAACCAGCGGCTACCCAAGGTGGAGA TCCTGCGCAACGCCATCCGCTACATCGAAGGTCTGCAG GCTCTGCTGCGCGACCAGGACGCCGCGCCCCCTGGCG CCGCTGCCTTCTACGCACCTGGACCGCTGCCCCCAGG CCGTGGCAGCGAGCACTACAGTGGCGACTCAGACGCG
TCCAGCCCGCGCTCCAACTGCTCTGATGGCATGATGGA TTACAGCGGCCCCCCAAGCGGCCCCCGGCGGCAGAAT GGCTACGACACCGCCTACTACAGTGAGGCGGTGCGCG AGTCCAGGCCAGGGAAGAGTGCGGCTGTGTCGAGCCT CGACTGCCTGTCCAGCATAGTGGAGCGCATCTCCACA
GACAGCCCCGCTGCGCCTGCGCTGCTTTTGGCAGATG CACCACCAGAGTCGCCTCCGGGTCCGCCAGAGGGGGC ATCCCTAAGCGACACAGAACAGGGAACCCAGACCCCG TCTCCCGACGCCGCCCCTCAGTGTCCTGCAGGCTCAAA CCCCAATGCGATTTATCAGGTGCTTTGAGAGATCGACT
GCAGCAGCAGAGGGCGCACCACCGTAGGCACTCCTGGGG ATGGTGCCCCTGGTTCTTCACGCCCAAAAGATGAAGCTTA AATGACACTCTTCCCAACTGTCCTTTCGAAGCCGTTCTTC CAGAGGGAAGGGAAGAGCAGAAGTCTGTCCTAGATCCAG CCCCAAAGAAAGGACATAGTCCTTTTTGTTGTTGTTGTTG TAGTCCTTCAGTTGTTTGTTTGTTTTTTCATGCGGCTCACA
GCGAAGGCCACTTGCACTCTGGCTGCACCTCACTGGGCC AGAGCTGATCCTTGAGTGGCCAGGCGCTCTTCCTTTCCTC ATAGCACAGGGGTGAGCCTTGCACACCTAAGCCCTGCCC TCCACATCCTTTTGTTTGTCACTTTCTGGAGCCCTCCTGG CACCCACTTTTCCCCACAGCTTGCGGAGGCCACTCAGGTC
TCAGGTGTAACAGGTGTAACCATACCCCACTCTCCCCCTT CCCGCGGTTCAGGACCACTTATTTTTTTATATAAGACTTT TGTAATCTATTCGTGTAAATAAGAGTTGCTTGGCCAGAGC GGGAGCCCCTTGGGCTATATTTATCTCCCAGGCATGCTGT GTAGTGCAACAAAAACTTTGTATGTTTATTCCTCAAGCGG
GCGAGTCAGGTGTTGGAAATCC [SEQ ID NO: 1].
It is further reported that the sense orientation encodes only one open reading frame that is greater than 100 residues and has a good initiation sequence consensus (GATATGG); this portion of the molecule is indicated in bold face.
The reported sequence for a myogenin cDNA [Edmondson et al. , supra] is as follows:
GGTCNNNNCTACAGAGGCGGGGGCGGGCCCAGCCCATGG TGCCCAGTGAATGCAACTCCCAGGGGCCCTCNNCTGCGG GACGTTGGGGGCCAGTGGCAGGAACAAGCCTTTTGCGAC CTGATGGAGCTGTATGAGACATCCCCCTATTTCTACCA
GGAGCCCCACTTCTATGATGGGGAAAACTACCTTCCTG TCCACCTTCAGGGCTTCGAGCCCCCGGGCTATGAGCG GACTGAGCTCAGCTTAAGCCCGGAAGCCCGAGGGCCC CTGGAAGAAAAGGGACTGGGGACCCCTGAGCATTGTC CAGGCCAGTGCCTGCCGTGGGCATGTAAGGTGTGTAA
GAGGAAGTCTGTGTCGGTGGACCGGAGGAGGGCAGCC ACACTGAGGGAGAAGCGCAGGCTCAAGAAAGTGAATG AGGCCTTCGAGGCCCTGAAGAGGAGCACCCTGCTCAA CCCCAACCAGCGGCTGCCTAAAGTGGAGATCCTGCGC CATGCCATCCAGTACATTGAGCGCCTACAGGCCTTGCT CAGCTCCCTCAACCAGGAGGAGCGCGATCTCCGCTAC
AGAGGCGGGGGCGGGCCCAGCCCATGGTGCCCAGTGA ATGCAACTCCCACAGCGCCTCCTGCAGTCCGGAGTGG GGCAATGCACTGGAGTTCGGTCCCAACCCAGGAGATC ATTTGCTCGCGGCTGACCCTACAGACGCCCACAATCTG CACTCCCTTACGTCCATCGTGGACAGCATCACGGTGGA
GGATATGTCTGTTGCCTTCCCAGACGAAACCATGCCCA ACTGAGATTGTCTGTCAGGCTGGGTGTGCATGTGAGC CCCCAAGTTGGTGTCAAAAGCCATCACTTCTGTAGCAG GGGGCTTTTAAGTGGGGCTGTCCTGATGTCCAGAAAACA GCCCTGGGCTGCCACAAGCCAGACTCCCCACTCCCCATT
CACATAAGGCTAACACCCAGCCCAGGGAGGGAATTTAGC TGACTCCTTAAAGCAGAGAGCATCCTCTTCTGAGGAGAG AAAGATGCAGTCCAGAGAGCCCCCTTGTTAATGTCCCTC AGTGGGGCAAACTCAGGAGCTTCTTTTTTGTTTATCATAT ATGCCTCGAATTCCACCCCCCACCCCCAAAATGAAACCG
TTTGAGAGACATGAGTGCCCTGACCTGGACAAGTGTGCA CATCTGTTCTAGTCTCTTCCTGAAGCCAGTGGCTGGGCTG GGCCTGCCCTGAGTTGAGAGAGAAGGGGGAGGAGCTATC CGGTTCCAAAGCCTCTGGGGGCCAAGCATTTGCAGTGGA TCTTGGGNNNNTTCCAGTGCTTTGTGTATTGTTTATTGTT
TTGTGTGTTGTTTGTAAAGCTGCCGTCTGCCAAGGTCTCC TGTGCTGATGATACCGGGAACAGGCAGGCCAGGGGGTGG GGGCTCTTGGGGTGACTTCTTTTGTTAACTAAGCATTGTG TGGTTTTGCCAATTTTTTTTCTTTTGTAATTCTTTTGCTAA CTTATTTGGATTTCCTTTTTTAAAAAATGAATAAAGACTG GTTGCTATCAGAAAAAAAAAAAAAAAAAAAAAAAAA
[SEQ ID NO:2].
Once again, the reported longest uninterrupted ORF is indicated in bold.
The following nucleotide sequence for MRF4 cDNA has been reported [Rhodes & Konieczny, supra]:
AGTCCATCACCCAGTTCAGATCAGTCAGAGGCCAAGGAG GAGAACATGATGATGGACCTTTTTGAAACTGGCTCCTA TTTCTTCTACTTAGATGGAGAAAATGTGACTCTTCAGC CATTAGAAGTGGCAGAGGGCTCTCCTTTGTACCCAGG GAGTGATGGTACCCTATCCCCTTGCCAGGACCAAATGC
CCCAGGAAGCCGGGAGCGACAGCAGTGGAGAGGAACA CGTTCTGGCTCCCCCAGGCCTTCAGCCACCCCACTGCC CAGGTCAGTGTCTGATCTGGGCTTGCAAGACTTGCAAG AGAAAATCTGCCCCCACAGATCGTCGGAAAGCAGCTA CCCTGCGCGAAAGGAGGAGGCTTAAGAAAATCAACGA
AGCCTTTGAGGCCTTGAAGCGTAGAACTGTGGCCAAC CCCAACCAGAGGCTGCCCAAGGTGGAGATTCTGAGAA GTGCCATCAACTACATTGAGCGTCTGCAGGACCTGCTG CACCGGCTGGATCAGCAAGAGAAAATGCAGGAGCTGG GGGTGGACCCTTACAGCTACAAACCCAAGCAAGAAATT
CTTGAGGGTGCGGATTTCCTGCGCACCTGCAGCCCGC AGTGGCCAAGTGTTTCGGATCATTCCAGGGGCCTGGT GATAACTGCTAAGGAAGGAGGAGCAAGCGTCGATGCT TCAGCCTCCAGCAGTCTTCAGCGCCTTTCTTCCATCGT GGACAGTATTTCCTCAGAGGAACGCAAACTCCCCAGC
GTGGAGGAGGTGGTGGAGAAGTAACTCAGTCAGCATTT GGAACATTCTTCGCTCAGCAGGAAGAGCCCCTTTCCGCCT AATCATTTAGATTAGGGCTCACAGACCCCAGAATTTATGA AAGGCAAGAGACTTAGTGTTAAAAAAGAAACCTCTCCCC ACCTCAAGTGAAAATCCTTCGGCTTGGGGCTTTTATTATA
ACTATTATTGTATCTGAACCGCTAGTGGCTTAGCTCTAGA ACCCTAATTTTGTTTTTAGTTTGGTTGGTTTTTTATAACAT ATTAACTTTTGCTATGATCACGTGACCCTTTCCTGTCAGT TGCAAACGAAGTTCATTCCTGTCTAAATCAAAGTGGGAA CGTTTAATCCTAAGAGTATTTAATGTACTTTTGTAAATAG TCTTAGTACTTTCGTTTTTATGTAAACCTAAAGGACATAT
TTTAAATGTGGAATTAAGCATTGTATATAAAATGTGTGAG AGTCTGATATTGTAATATTAAAATATTAATACGTTTCTAC ACGTAAAAAAAAAAAAAAAAAAAAAAAAAA [SEQ ID NO:3].
The single major ORF is indicated in bold.
A Myf-5 cDNA sequence has been reported [Braun et al., supra] as follows:
CCTCTCGCTGCCGTCCAGGTGCACCGCCTGCCTCTCAGCA GGATGGACGTGATGGATGGCTGCCAGTTCTCACCTTCT GAGTACTTCTACGACGGCTCCTGCATACCGTCCCCCGA
GGGTGAATTTGGGGACGAGTTTGTGCCGCGAGTGGCT GCCTTCGGAGCGCACAAAGCAGAGCTGCAGGGCTCAG ATGAGGACGAGCACGTGCGAGCGCCTACCGGCCACCA CCAGGCTGGTCACTGCCTCATGTGGGCCTGCAAAGCC TGCAAGAGGAAGTCCACCACCATGGATCGGCGGAAGG
CAGCCACTATGCGCGAGCGGAGGCGCCTGAAGAAGGT CAACCAGGCTTTCGAAACCCTCAAGAGGTGTACCACGA CCAACCCCAACCAGAGGCTGCCCAAGGTGGAGATCCT CAGGAATGCCATCCGCTACATCGAGAGCCTGCAGGAG TTGCTGAGAGAGCAGGTGGAGAACTACTATAGCCTGC
CGGGACAGAGCTGCTCGGAGCCCACCAGCCCCACCTC CAACTGCTCTGATGGCATGCCCGAATGTAACAGTCCTG TCTGGTCCAGAAAGAGCAGTACTTTTGACAGCATCTAC TGTCCTGATGTATCAAATGTATATGCCACAGATAAAAA CTCCTTATCCAGCTTGGATTGCTTATCCAACATAGTGG
ACCGGATCACCTCCTCAGAGCAACCTGGGTTGCCTCTC CAGGATCTGGCTTCTCTCTCTCCAGTTGCCAGCACCGA
TTCACAGCCTCGAACTCCAGGGGCTTCTAGTTCCAGGC
TTATCTATCATGTGCTATGAACTAATTTTCTGGTCTATAT
GACTTCTTCCAGGAGGGCCTAATACACAGGACGAAGAAG GCTTCAAAAAGTCCCAAACCAAGACAACATGTACATAAA
GATTTCTTTTCAGTTGTAAATTTGTAAAGATTACCTTGCC
ACTTTATAAGAAAGTGTATTTAACTAAAAAGTCATCATTG
CAAATAATACTTTCTTCTTCTTTATTATTCTTTGCTTAGAT
ATTAATACATAGTTCCAGTAATACTATTTCTGATAGGGGG CCATTGATTGAGGGTAGCTTGTTCGAATGCTTAACTTATA
TATACATATATATATATTATAAATATTGCTCATCAAAATG
TCTCTGGTGTTTAGAGCTTTATTTTTTTCTTTAAAACATTA
AAACAGCTGAGAATCAGTTAAATGGAATTTTAAATATATT
TAACTATTTCTTTTCTCTTTAATCCTTTAGTTATATTGTAT TAAATAAAAATATAATACTGCCTAATGTATATATTTTGAT
CTTTTCTTGTAAGAAATGTATCTTTTAAATGTAAGCACAA
AATAGTACTTTGTGGATCATTTCAAGATATAAGAAATTTT
GGAAATTCCACCATAAATAAAATTTTTTACTACAAGAAAAA
[SEQ ID NO.4].
The single ORF in both orientations as reported is indicated in bold.
In the retroviral mediated gene therapy experiments in ischemic heart models reported herein, proliferating fibroblasts represent the most likely target cell. This is based on a) the propensity of retroviral transduction for proliferating cells and b) the observation that following ischemic injury in adult myocardium the cardiomyocytes do not proliferate.
The strategy of using at least one muscle regulatory factor gene to convert cells in a cardiac scar in vivo is useful in strengthening the contractions of the injured heart and preventing the deleterious consequences of myocardial remodeling following infarction. Thus, the present invention is particularly useful in the treatment of heart muscle that is weak or functioning poorly. A prime situation for use of the inventive protocol is the treatment of ischemic heart tissue resulting from coronary artery disease or coronary infarction. Other pathologic abnormalities resulting in muscle which is weak or functioning poorly (such as cardiomyopathy, hypertensive heart disease or long-standing valvular disease) may also be ameliorated in accordance with the inventive method.
Moreover, the ability to deliver genes such as MyoD to organs and tissues by various delivery vectors could have more widespread use than the heart model described in detail herein. For example, the present invention has a clear utility in the conversion of non-muscle cells to skeletal muscle phenotype in repair of other injured or ischemic muscles, including but not limited to muscles of the eye, hand and foot. MyoD was the first identified mammalian gene that appears to regulate cell lineage commitment. It is likely that other such genes exist that are master switches for other tissue types (such as nerves, skin, bone and cartilage). As such genes are characterized, they are also suitable for use in accordance with the present invention for therapeutic conversion.
The present invention involves the administration of therapeutic compositions useful in the transduction of proliferating cells to a novel phenotype, as well as in delivering a therapeutic nucleotide sequence corresponding to a cell lineage commitment gene to those cells. Exemplary nucleotide sequences corresponding to cell lineage commitment genes for use in accordance with the present invention include members of the muscle regulatory factor gene family or functional equivalents thereof. By a "functional equivalent" of a muscle regulatory factor gene is intended a nucleotide sequence or portion thereof encoding a peptide corresponding to a product of a member of the muscle regulatory factor gene family or a portion of such a peptide sufficient to achieve the desired transduction of proliferating cells to a myogenic phenotype. Although various reported cDNA sequences for members of the muscle regulatory factor gene family are disclosed herein, also contemplated as clearly within the scope of the present invention are variant forms of the heretofore-identified muscle regulatory factor genes and functional equivalents thereof, including sequences containing mutations and deletions, which are competent to encode a peptide which achieves the desired cell transduction. In particular, those portions of the reported cDNA sequences identified as encoding the corresponding muscle regulatory factor, degenerate sequences encoding these factors, and sequences encoding peptides which are functionally equivalent to these factors in transducing target cells would be immediately recognized by those skilled in the art as equivalents and thus well within the scope of the present invention. Similar considerations apply with respect to other cell lineage commitment genes and nucleotide sequences corresponding to cell lineage commitment genes.
In addition, preferred nucleotide sequences include an active constitutive or inducible promoter sequence as are well known in the art. Conventional engineered vector constructs, such as plasmid and bacteriophage (phage) vectors, containing suitable promoter sequences are useful in accordance with the present invention. These and other DNA sequences which are able to replicate in a host cell may be employed in accordance with the present invention as cloning vehicles in a manner well known in the art. The therapeutic nucleotide sequence of the present invention may suitably comprise a DNA construct capable of generating therapeutic nucleotide molecules in high copy numbers in the target cells, as described in published PCT application WO 92/06693, the entire disclosure of which is hereby incorporated by reference. Further, a wide variety of known retroviral vectors may also be employed in accordance with the present invention. Transduction with viral vectors has been valuable as a tool for obtaining high level gene expression in a high proportion of cells within a target area [Nabel, E.G. et al. (1989) Science, 244, 1342-4; Nabel, E.G. et al. (1991) Journal Of The American College Of Cardiology , 17 189B-194B]. Retroviral vectors preferentially infect dividing cells and for this reason are not useful to transduce a terminally differentiated cell type, such as cardiomyocytes. They would, however, be expected to transduce proliferating cardiac fibroblasts in vivo following ischemic injury.
Recent DNA transfer techniques employing uptake of recombinant adeno virus by normal myocardium [Stratford-Perricaudet, L.D. et al. (1992) Journal of Clinical Investigation, 90, 626-30] may also be particularly applicable to myocytes following ischemia and reperfusion in accordance with the present invention. Recombination of such vectors is rare; there are no known associations of human malignancies with adenoviral infections despite common human infection with adenoviruses; the genome may be manipulated to accommodate foreign genes of a fairly substantial size (up to about 7.5 kb in length); live adenovirus has been safely used as a human vaccine; and host proliferation is not required for expression of adenoviral proteins.
In various embodiments of the present invention, therapeutic compositions useful for practicing the therapeutic methods described herein are contemplated. Therapeutic compositions of the present invention may contain a physiologically acceptable carrier together with one or more therapeutic nucleotide sequences as described herein, dissolved or dispersed in the carrier, as the active ingredient. In preferred embodiments of the invention, the composition is not immunogenic or otherwise able to cause undesirable side effects when administered to a mammal or human patient for therapeutic purposes.
As used herein, the term "physiologically acceptable" as applied to compositions, carriers, diluents and reagents, represents that the materials are capable of administration to or upon a mammal, including a human patient, without the production of undesirable physiological effects, including but not limited to nausea, dizziness, gastric upset and the like.
The preparation of a pharmacological composition which contains active ingredients dissolved or dispersed therein is well understood in the art. Typically, such compositions are prepared for purposes of injection as liquid solutions or suspensions; however, solid forms suitable for solution or suspension in liquid prior to use may also be prepared.
Physiologically acceptable carriers are well known in the art. Exemplary liquid carriers for use in accordance with the present invention are sterile aqueous solutions which contain no materials other than the active ingredient and water, or may contain a buffer such as sodium phosphate at physiological pH value, physiological saline or both (i.e., phosphate-buffered saline). Suitable aqueous carriers may further comprise more than one buffer salt, as well as other salts (such as sodium and potassium chlorides) and/ or other solutes. The active ingredient may further be mixed in amounts suitable for use in the therapeutic methods described herein with one or more excipients which are pharmaceutically acceptable and compatible with the active ingredient. Suitable excipients include dextrose, glycerol, ethanol and the like, and combinations of one or more thereof with vegetable oils, propylene glycol, polyethylene glycol, benzyl alcohol and the like to provide a suitable injectable composition. In addition, if desired, the composition can contain wetting or emulsifying agents, isotonic agents, pH buffering agents, dissolution promoting agents, stabilizers, antiseptic agents and other typical auxiliary additives employed in the formulation of pharmaceutical preparations. In another variation, the therapeutic nucleotide sequences of the present invention may be incorporated into liposomal vesicles [see, e.g. , U.S.
Patent 5,104,661; U.S. Patent 5,013,556; and published PCT application WO
92/06192, the entire disclosures of which are hereby incorporated by reference].
A therapeutic composition for use in accordance with the present invention typically contains an amount of the therapeutic nucleotide sequence as described herein sufficient to deliver a therapeutically effective amount to the target tissue. Following the protocols described herein, at least about 10% of the target cells in an infarcted area are transduced upon administration of a therapeutic composition in accordance with the present invention, and preferably about 20% to about 30% are affected. It is anticipated that with the use of more powerful vectors, transduction of at least 50% of the targets cells can be achieved. For purposes of the present invention, it is contemplated transduction of at least a portion of the target cells corresponding to about 10% thereof is sufficient to achieve a desired therapeutic effect. Typically, the compositions comprise at least about 0.1 weight percent to about 90 weight percent of therapeutic nucleotide sequence per weight of total therapeutic composition.
The therapeutic nucleotide compositions comprising synthetic oligonucleotide sequences in accordance with the present invention may be prepared in a manner known per se to those skilled in the art by suitable method, including but not limited to the phosphotriester and phosphodiester methods, as described in, e.g., Narang et al. , Meth. Enzymol. 68:90 (1979), Brown et al., Meth. Enzymol. 68: 109 (1979) and U.S. Patent 4,356,270.
The method of the present invention generally comprises contacting specific cells with a therapeutically effective amount of a pharmaceutically acceptable composition comprising a therapeutic nucleotide sequence of this invention. This contact may suitably be effected by a direct injection of the compositions into tissues or organs comprising the target cells. Alternatively, for treatment of ischemic tissue intracoronary administration may be effected via a catheter. Finally, intravenous administration of suitable compositions may be employed.
Whereas skeletal muscle grafted onto heart by cardiomyoplasty is innervated
[Hooper, T.L. et al. (1993) Surgery Annual, 1, 157-73] non-myocytes converted to skeletal muscle with MyoD may require electrical stimulation if they are to contract. Thus, to effectively repair damage cardiac tissue the conduction system of the newly-created skeletal muscle must be coupled to that of the healthy cardiac tissue. The electrical currents present in the cardiac tissue could be sufficient to induce coupling to the adjacent skeletal muscle tissue. Alternatively, exogenous transfer of cardiac gap junction protein [Beyer, E.C. et al. (1987) Journal of Cell Biology, 105, 2621-9; Fishman, G. I. et al. (1990) Journal of Cell Biology, 111, 589-98; Beyer, E.C. et al. (1990) Journal of Membrane Biology, 116, 187-94] by gene transfer would permit coupling between these different muscle cell types. To stimulate sympathetic innervation, exogenous expression of the gene for nerve growth factor (NGF) within the converted myotubes may lead to creation of a conduction system within the skeletal muscle tissue.
A further consideration in attempts to ensure the conversion of scar to contractile muscle within the heart is the lack of vascularization of the infarcted region. To solve this problem exogenous expression of angiogenic factors such as acidic and basic FGF by gene transfer [Barr, E. et al. (1991) Circulation, 84 (Suppl II), 11-420] could lead to neo vascularization within the ischemic area. To obtain sufficient levels of these foreign proteins within newly formed skeletal muscle careful attention must be paid to the use of appropriate promoter/enhancer systems that will ensure high level and long term gene expression. For this purpose striated muscle specific promoters whose specificity was validated in vivo would be suitable choices. Alternatively, if these foreign genes were introduced into unconverted cardiac fibroblasts a strong promoter would be appropriate to give high level gene expression.
The invention may be better understood with reference to the accompanying examples, which are intended for purposes of illustration only and should not be construed as in any sense limiting the scope of the present invention as defined in the claims appended hereto.
Examples
The plasmid RSN (Rous Sarcoma Nirus)-luciferase containing the luciferase gene under the control of the Rous Sarcoma Virus promoter is described in R. Kitsis et al. , supra. Amphitrophic retroviruses containing the MyoD coding sequence were obtained as a supernatant from PA317 cells. First, 2 ml of retroviral supernatant derived from LMDSΝ infected \b cells was used to transduce PA317 cells at a density of 5 × 105 cells/100 mm dish. Infection was conducted for 3 hours after which the culture medium was changed. 24 hours later cells were split 1:400 for selection in G418 containing medium (1.5 mg/ml) and cultured until antibiotic resistant colonies were visible. One such colony was used as a source of MyoD encoding amphotrophic retrovirus.
To test whether functional MyoD protein was expressed by the amphitrophic retrovirus, 2 ml of retroviral supernatant was used to infect 10T1/2 cells at 5 × 105 cells/ 100 mm dish. Cells were infected for 3 hours and transferred to fresh medium. 24 hours later cells were split 1:20 for selection in G418 containing medium. After 3 weeks in culture approximately 100 colonies/dish were formed. These colonies contained cells that differentiated into an extensive array of multinucleated myotubes which confirmed that functional MyoD was expressed by the amphitrophic retrovirus.
β-galactosidase encoding retrovirus was obtained from a PA317 clone transduced with LΝPOZ. The viral titer of LΝPOZ was 5 × 105 colony forming units per ml. For preparation of retroviral supernatants (LMDSN or LNPOZ) transduced PA317 cells were grown to a density of 5 × 105 cells/100 mm dish and cultured in the absence of G418 for 24 hours after which supernatants were moved and stored at -80°C. The LMDSN vector is described in Weintraub et al. (1989), supra.
Tissue was homogenized with a Polytron (Kinematic, Switzerland) for 45 sec in 1 ml of ice cold homogenization buffer [Brasier, A.R. et al. (1989) BioTech. , 7, 1116-1122]. For measurements of luciferase activity samples were assayed for peak light production at 10 sec with a Monolight model 2001 luminometer (Analytical Luminescence Laboratory). 100 μl of each homogenate was combined with 350 ml of Buffer B and 100 μ of the buffer containing D-luciferin.
To assay for β-galactosidase, 3 mm sections of tissue were fixed in 4% paraformaldehyde in phosphate buffered saline (PBS) for 10 min at room temperature and incubated for 2 hours at 37 °C in 1 mM 5-bromo-4-chloro-3- indolyl-β-D-galactoside (X-gal), 5 mM potassium ferricyanide, 5 mM potassium ferrocyanide, 2 mM MgCl2. Samples were then embedded in OCT compound and 10 μ frozen sections were cut and counterstained with nuclear fast red.
Photomicroscopy was performed using Scotchrome 1000 film and a Zeiss microscope. Immunostaining of frozen tissue sections for skeletal specific MHC performed using monoclonal antibody MY-32 (Sigma) at 1:400 dilution and anti-chicken α-actinin antiserum (Sigma) at 1:500 dilution. Staining was visualized using fluorescein conjugated goat anti-mouse immunoglobulin G (skeletal MHC) and rhodamine conjugated goat anti-rabbit immunoglobulin G (α-actinin).
For determination of collagen content in infarcted areas tissue was fixed in formalin and embedded in paraffin. Sections were cut and stained with hematoxylin and eosin and picrosirius red.
Example 1
Cell Culture
Neonatal rat cardiac fibroblasts were isolated according to the literature procedure [Simpson, P. et al. (1982) Cir. Res. , 50, 101-116]. Heart tissue was finely minced and subjected to gentle trypsinization and mechanical disruption for 4-5 hours. Disassociated cells were plated for 30-60 minutes on 100 mm tissue culture dishes, after which the culture medium containing the cardiomyocytes was removed. Adherent cardiac fibroblasts were then expanded in culture for retroviral transduction. Cardiac fibroblasts were plated in 60 mm dishes with 5 × 105 cells/dish and polybrene was added at 8 μg/ml. Cells were infected with 100 μl of retroviral supernatant for 2 days. The cells were detached by trypsinization and seeded at densities ranging from 300 to 60,000 cells per plate. The cells were grown in the presence of G418 (800 μg/ml) and the medium changed every 3-4 days. After 12 days in culture G418 resistant colonies were isolated.
After transduction of the primary neonatal rat cardiac fibroblasts with either
LMDSN carrying the MyoD and neomycin resistance genes or LMDSN carrying only the neomycin resistance gene, cells resistant to G418 were compared. The moφhology of the LMDSN transduced cells was distinctive compared to that of cells transduced with vector alone. The former had been converted to a markedly extended shape and formed elongated multinucleated cells compared to the rounded fibroblast moφhology retained by the control cells. Only the LMDSN transduced cells reacted positively with an antibody specific to the skeletal muscle-specific isoform of myosin heavy chain. Thus, primary cardiac fibroblasts can be converted to the skeletal muscle phenotype by overexpression of MyoD.
Example 2
Rat Model of Myocardial Ischemia and Reperfusion
Female Sprague Dawley rats were anesthetized with 0.1 ml/100 g (body weight) of ketamine (50mg/ml) and xylazine (lOmg/ml) injected intra-peritoneally and the chests were surgically opened to expose the beating heart. The coronary artery was occluded as described [Li, Y. et al. (1992) Cardiovascular Research, 26, 226-31] for 15 (n= 12) or 60 minutes (n=6) followed by reperfusion. DNA injections (1-3 per rat) were performed 15 minutes later, after which the chest was closed. The DNA solution contained 50 μg of pRSVLuc and 1 % (vol/vol) Evans blue dye. 11 rats served as sham, non ischemic controls for the 60 minute group. Animals were sacrificed 7 days after surgery and hearts were removed for analysis of luciferase activity.
Whereas genes delivered by direct heart injection into normal hearts enter myocardial cells and are expressed, it had not been determined whether ischemic or otherwise injured myocardium would also be capable of accepting and expressing exogenously delivered DNA. Accordingly a short (15 minute) and a long (60 minute) interval of myocardial ischemia followed by reperfusion were used in order to engender different degrees of injury to the myocardium, which was then followed by direct injection of reporter genes. Hearts were excised 7 days after the injection to determine whether the injected gene was expressed. The results are presented in Table 1. Since the number of DNA injections varied from animal to animal the absolute values of luciferase activity observed in the injected hearts can be taken only as an indication of whether ischemic myocardium can process and robustly express exogenous genes and cannot be used to compare between sham and ischemic groups.
High level RSV-luciferase reporter gene activity was observed after delivery of exogenous DNA to the ischemic area of occluded hearts. The peak light production from these mildly ischemic heart samples did not differ from the levels obtained in non ischemic control animals. Significant levels of luciferase expression above 100 light units (measured over 10 seconds) were obtained with ten of 12 rats in the ischemia/reperfusion group and nine of 11 rats in the non- ischemic control group. Rats that failed to express likely did so because of faulty injection. One hour occlusion with 7 days of reperfusion also resulted in a high level of gene expression. There was a trend (not statistically valid) toward greater expression in this ischemic/reperfusion group compared to the non-ischemic group. Five of 6 rats in the non-ischemic control group and all 6 rats in the ischemic group expressed significant amounts of luciferase activity.
Example 3
Production of Myocardial Infarction in Dogs
Mongrel dogs were anesthetized with sodium pentobarbital (35 mg/kg), intubated, and ventilated. Myocardial infarcts were created percutaneously by embolizing alpha helix thrombotic coils (Target Therapeutics) into the left anterior descending coronary artery, under fluoroscopic guidance. Angiography was repeated at approximately 20-40 minutes to confirm coronary occlusion.
Six to 11 days after coronary occlusion the dogs were anesthetized, intubated, and ventilated. The chest was shaved, prepped with betadine and the animal draped. Using sterile procedure, a thoracotomy was performed in the fifth intercostal space. The pericardium was incised, exposing the anterior surface of the left ventricle. This allowed visualization of the infarct as pale-yellow, non contracting tissue in the antero-apical wall of the left ventricle. Retrovirus was injected directly into the wall of the heart.
Retroviral supernatants of LNPOZ and LMDSN were mixed in equal volumes and injected through a 27 gauge needle into the visible infarct within an area of 1 cm2. The location of the injections was marked with a suture. Three injections, each of 0.3 ml, were made per infarct. For injection of LNPOZ, viral supernatant was diluted 1 : 1 with growth medium and 0.3 ml of solution was injected at 3 sites within the infarcted area. After injection the chest was closed, air was evacuated from the chest, and the dogs were allowed to recover for 7-12 days. At 7-12 days the dogs were euthanized and hearts excised for analysis. Sections were obtained for immunostaining and histology.
This example was an attempt to convert to a skeletal muscle phenotype the cells present in a scar forming in the living animal after a myocardial infarction. The density of dividing cells in a myocardial scar is at its peak 5-14 days after infarction and retroviruses preferentially transduce only proliferating cells. Accordingly, this time period was chosen to inject MyoD expressing retroviruses into a grossly infarcted segment of myocardium. Six dogs entered the study on MyoD gene transfer. As presented in Table 2, five of six dogs had developed gross myocardial infarctions when observed following thoracotomy at 6-11 days post coronary artery occlusion. Four dogs were injected with both LNPOZ and LMDSN. Two dogs (one of which was the dog that did not develop infarction) were injected with LNPOZ only.
To establish whether retroviral uptake was possible in the infarcted area and to localize precisely the injection site, the LNPOZ retrovirus carrying the β- galactosidase gene was injected. Seven to 12 days after injection of retrovirus into ischemic dog heart the area of gene transfer was confirmed by Xgal staining. 3 out of 4 dogs injected with both LNPOZ and LMDSN stained positively for β-galactosidase (Table 2). The one dog with an infarct that was injected with LNPOZ alone served as a control and also stained positive for β-galactosidase.
To determine whether expression of the MyoD gene in these injected animals resulted in conversion of cells to the skeletal muscle phenotype, frozen section were stained with an antibody specific to skeletal fast myosis heavy chain (α-MHC). Only in sections from β-galactosidase positive tissue of the 3 dogs injected with both LMDSN and LNPOZ were found multiple small clusters of cells that stained positive for skeletal fast MHC. These cells co-stained positive for the muscle marker α-actinin. No such cells were found in surrounding uninfarcted myocardium, in normal myocardium or in the cardiac scar of the animal injected with LNPOZ alone. Skeletal muscle from the diaphragm of one dog with the specific anti-α-MHC monoclonal antibody was also stained. As expected, the myofibers stained positively. Similar sections of normal myocardium do not react with this antibody.
These data indicate that a percentage of cells in the infarcted area injected with a MyoD expressing retrovirus underwent conversion to the skeletal muscle phenotype. The lower number of cells converted may be due to the fact that the retrovirus was of a low titer or perhaps the period of time after gene transfer was not optimal for cellular conversion. It is likely that the cell type converted by MyoD was not the cardiomyocyte because such a severe infarct leads to extensive loss of cardiomyocyte viability. The fact that retroviruses preferentially infect dividing cells also points to non-myocytes as the target cells for conversion.
Tissue obtained from the infarcted areas of all dog hearts revealed loss of myocytes with infiltration of fibroblasts and mononuclear cells into the region. Picrosirius red staining revealed bright red areas of collagen deposition which were easily distinguished from surrounding viable myocytes at the edge of the infarct which stained yellow. No definite skeletal muscle myotubes were identified.
The high levels of gene expression obtained from DNA directly injected following 15 minutes of occlusion and reperfusion did not differ from levels obtained with sham operated rats. It is notable that expression of RSN-lucif erase was increased following ischemia resulting from 1 hour occlusion. This observation suggests that ischemic injury may increase DΝA uptake into cardiocytes, perhaps through alterations in cellular permeability. Such changes in cellular permeability following coronary artery occlusion have been reported [Haφer, I.S. et al. (1989) Basic Research In Cardiology, 84, 208-26]. Thus, foreign genes can be taken up by direct injection into ischemic/reperfused myocardium and transcribed by a strong promotor.
The lack of any skeletal MHC positive multinucleated myotubes in the injected tissue may have been due to the relatively low number of cells that were converted to the skeletal phenotype. It is likely, however, that with the use of retroviruses of a higher titer or of viral vectors such as adenovirus, a higher percentage of cardiac fibroblasts could be converted to the skeletal muscle phenotype in vivo and myotubes might be formed. It is also possible that the experiments underestimated the fraction of cells that took up the retrovirus and expressed MyoD. Expression of MyoD soon after uptake of the retrovirus might well lead to a rapid withdrawal from the cell cycle, allowing uninfected neighboring cells to selectively proliferate and greatly outnumber the transduced, MHC positive cells at the time of sampling 7-10 days after infection. From the foregoing description, one skilled in the art can readily ascertain the essential characteristics of the invention and, without departing from the spirit and scope thereof, can adapt the invention to various usages and conditions. Changes in form and substitution of equivalents are contemplated as circumstances may suggest or render expedient, and although specific terms have been employed herein, they are intended in a descriptive sense and not for puφoses of limitation.
Figure imgf000025_0001
Figure imgf000026_0001
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(1) GENERAL INFORMATION:
(i) APPLICANT: UNIVERSITY OF SOUTHERN CALIFORNIA
(ii) TITLE OF INVENTION: COMPOSITIONS AND METHODS FOR TRANSDUCTION OF CELLS
(iii) NUMBER OF SEQUENCES: 4
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(A) ADDRESSEE: c/o Robbins, Berliner & Carson (B) STREET: 201 North Figueroa Street, Fifth Floor
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(v) COMPUTER READABLE FORM:
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(D) SOFTWARE: Patentin Release #1.0, Version #1.25 (vi) CURRENT APPLICATION DATA:
(A) APPLICATION NUMBER:
(B) FILING DATE:
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(viii) ATTORNEY/AGENT INFORMATION:
(A) NAME: Spitals, John P.
(B) REGISTRATION NUMBER: 29,215
(C) REFERENCE/DOCKET NUMBER: 1920-341
(ix) TELECOMMUNICATION INFORMATION:
(A) TELEPHONE: (213) 977-1001
(B) TELEFAX: (213) 977-1003
(2) INFORMATION FOR SEQ ID NO:1:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 1785 base pairs
(B) TYPE: nucleic acid
(C) STRANDEDNESS: single
(D) TOPOLOGY: linear
(ii) MOLECULE TYPE: cDNA
(xi) SEQUENCE DESCRIPTION: SEQ ID NO:1: ACACCTCTGA CAGGACAGGA CAGGGAGGAG GGGTAGAGGA CAGCCGGTGT GCATTCCAAC 60
CCACAGAACC TTTGTCATTG TACTGTTGGG GTTCCGGAGT GGCAGAAAGT TAAGACGACT 120
CTCACGGCTT GGGTTGAGGC TGGACCCAGG AACTGGGATA TGGAGCTTCT ATCGCCGCCA 180
CTCCGGGACA TAGACTTGAC AGGCCCCGAC GGCTCTCTCT GCTCCTTTGA GACAGCAGAC 240 GACTTCTATG ATGATCCGTG TTTCGACTCA CCAGACCTGC GCTTTTTTGA GGACCTGGAC 300
CCGCGCCTGG TGCACGTGGG AGCCCTCCTG AAACCGGAGG AGCACGCACA CTTCTCTACT 360
GCGGTGCACC CAGGCCCAGG CGCTCGTGAG GATGAGCATG TGCGCGCGCC CAGCGGGCAC 420
CACCAGGCGG GTCGCTGCTT GCTGTGGGCC TGCAAGGCGT GCAAGCGCAA GACCACCAAC 480
GCTGATCGCC GCAAGGCCGC CACCATGCGC GAGCGCCGCC GCCTGAGCAA AGTGAATGAG 540 GCCTTCGAGA CGCTCAAGCG CTGCACGTCC AGCAACCCGA ACCAGCGGCT ACCCAAGGTG 600
GAGATCCTGC GCAACGCCAT CCGCTACATC GAAGGTCTGC AGGCTCTGCT GCGCGACCAG 660
GACGCCGCGC CCCCTGGCGC CGCTGCCTTC TACGCACCTG GACCGCTGCC CCCAGGCCGT 720
GGCAGCGAGC ACTACAGTGG CGACTCAGAC GCGTCCAGCC CGCGCTCCAA CTGCTCTGAT 780
GGCATGATGG ATTACAGCGG CCCCCCAAGC GGCCCCCGGC GGCAGAATGG CTACGACACC 840 GCCTACTACA GTGAGGCGGT GCGCGAGTCC AGGCCAGGGA AGAGTGCGGC TGTGTCGAGC 900
CTCGACTGCC TGTCCAGCAT AGTGGAGCGC ATCTCCACAG ACAGCCCCGC TGCGCCTGCG 960
CTGCTTTTGG CAGATGCACC ACCAGAGTCG CCTCCGGGTC CGCCAGAGGG GGCATCCCTA 1020
AGCGACACAG AACAGGGAAC CCAGACCCCG TCTCCCGACG CCGCCCCTCA GTGTCCTGCA 1080
GGCTCAAACC CCAATGCGAT TTATCAGGTG CTTTGAGAGA TCGACTGCAG CAGCAGAGGG 1140 CGCACCACCG TAGGCACTCC TGGGGATGGT GCCCCTGGTT CTTCACGCCC AAAAGATGAA 1200
GCTTAAATGA CACTCTTCCC AACTGTCCTT TCGAAGCCGT TCTTCCAGAG GGAAGGGAAG 1260
AGCAGAAGTC TGTCCTAGAT CCAGCCCCAA AGAAAGGACA TAGTCCTTTT TGTTGTTGTT 1320
GTTGTAGTCC TTCAGTTGTT TGTTTGTTTT TTCATGCGGC TCACAGCGAA GGCCACTTGC 1380
ACTCTGGCTG CACCTCACTG GGCCAGAGCT GATCCTTGAG TGGCCAGGCG CTCTTCCTTT 1440 CCTCATAGCA CAGGGGTGAG CCTTGCACAC CTAAGCCCTG CCCTCCACAT CCTTTTGTTT 1500
GTCACTTTCT GGAGCCCTCC TGGCACCCAC TTTTCCCCAC AGCTTGCGGA GGCCACTCAG 1560
GTCTCAGGTG TAACAGGTGT AACCATACCC CACTCTCCCC CTTCCCGCGG TTCAGGACCA 1620
CTTATTTTTT TATATAAGAC TTTTGTAATC TATTCGTGTA AATAAGAGTT GCTTGGCCAG 1680
AGCGGGAGCC CCTTGGGCTA TATTTATCTC CCAGGCATGC TGTGTAGTGC AACAAAAACT 1740 TTGTATGTTT ATTCCTCAAG CGGGCGAGTC AGGTGTTGGA AATCC 1785 (2) INFORMATION FOR SEQ ID NO:2:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 1571 base pairs
(B) TYPE: nucleic acid
(C) STRANDEDNESS: single
(D) TOPOLOGY: linear
(ii) MOLECULE TYPE: cDNA (xi) SEQUENCE DESCRIPTION: SEQ ID NO:2:
GGTCNNNNCT ACAGAGGCGG GGGCGGGCCC AGCCCATGGT GCCCAGTGAA TGCAACTCCC 60
AGGGGCCCTC NNCTGCGGGA CGTTGGGGGC CAGTGGCAGG AACAAGCCTT TTGCGACCTG 120
ATGGAGCTGT ATGAGACATC CCCCTATTTC TACCAGGAGC CCCACTTCTA TGATGGGGAA 180 AACTACCTTC CTGTCCACCT TCAGGGCTTC GAGCCCCCGG GCTATGAGCG GACTGAGCTC 240
AGCTTAAGCC CGGAAGCCCG AGGGCCCCTG GAAGAAAAGG GACTGGGGAC CCCTGAGCAT 300
TGTCCAGGCC AGTGCCTGCC GTGGGCATGT AAGGTGTGTA AGAGGAAGTC TGTGTCGGTG 360
GACCGGAGGA GGGCAGCCAC ACTGAGGGAG AAGCGCAGGC TCAAGAAAGT GAATGAGGCC 420
TTCGAGGCCC TGAAGAGGAG CACCCTGCTC AACCCCAACC AGCGGCTGCC TAAAGTGGAG 480 ATCCTGCGCC ATGCCATCCA GTACATTGAG CGCCTACAGG CCTTGCTCAG CTCCCTCAAC 540
CAGGAGGAGC GCGATCTCCG CTACAGAGGC GGGGGCGGGC CCAGCCCATG GTGCCCAGTG 600
AATGCAACTC CCACAGCGCC TCCTGCAGTC CGGAGTGGGG CAATGCACTG GAGTTCGGTC 660
CCAACCCAGG AGATCATTTG CTCGCGGCTG ACCCTACAGA CGCCCACAAT CTGCACTCCC 720
TTACGTCCAT CGTGGACAGC ATCACGGTGG AGGATATGTC TGTTGCCTTC CCAGACGAAA 780 CCATGCCCAA CTGAGATTGT CTGTCAGGCT GGGTGTGCAT GTGAGCCCCC AAGTTGGTGT 840
CAAAAGCCAT CACTTCTGTA GCAGGGGGCT TTTAAGTGGG GCTGTCCTGA TGTCCAGAAA 900
ACAGCCCTGG GCTGCCACAA GCCAGACTCC CCACTCCCCA TTCACATAAG GCTAACACCC 960
AGCCCAGGGA GGGAATTTAG CTGACTCCTT AAAGCAGAGA GCATCCTCTT CTGAGGAGAG 1020
AAAGATGCAG TCCAGAGAGC CCCCTTGTTA ATGTCCCTCA GTGGGGCAAA CTCAGGAGCT 1080 TCTTTTTTGT TTATCATATA TGCCTCGAAT TCCACCCCCC ACCCCCAAAA TGAAACCGTT 1140
TGAGAGACAT GAGTGCCCTG ACCTGGACAA GTGTGCACAT CTGTTCTAGT CTCTTCCTGA 1200
AGCCAGTGGC TGGGCTGGGC CTGCCCTGAG TTGAGAGAGA AGGGGGAGGA GCTATCCGGT 1260
TCCAAAGCCT CTGGGGGCCA AGCATTTGCA GTGGATCTTG GGNNNNTTCC AGTGCTTTGT 1320
GTATTGTTTA TTGTTTTGTG TGTTGTTTGT AAAGCTGCCG TCTGCCAAGG TCTCCTGTGC 1380 TGATGATACC GGGAACAGGC AGGCCAGGGG GTGGGGGCTC TTGGGGTGAC TTCTTTTGTT 1440
AACTAAGCAT TGTGTGGTTT TGCCAATTTT TTTTCTTTTG TAATTCTTTT GCTAACTTAT 1500
TTGGATTTCC TTTTTTAAAA AATGAATAAA GACTGGTTGC TATCAGAAAA AAAAAAAAAA 1560
AAAAAAAAAA A 1571 (2) INFORMATION FOR SEQ ID NO:3:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 1296 base pairs
(B) TYPE: nucleic acid
(C) STRANDEDNESS: single
(D) TOPOLOGY: linear
(ii) MOLECULE TYPE: cDNA
(xi) SEQUENCE DESCRIPTION: SEQ ID N0:3:
GTCCATCACC CAGTTCAGAT CAGTCAGAGG CCAAGGAGGA GAACATGATG ATGGACCTTT 60 TTGAAACTGG CTCCTATTTC TTCTACTTAG ATGGAGAAAA TGTGACTCTT CAGCCATTAG 120
AAGTGGCAGA GGGCTCTCCT TTGTACCCAG GGAGTGATGG TACCCTATCC CCTTGCCAGG 180
ACCAAATGCC CCAGGAAGCC GGGAGCGACA GCAGTGGAGA GGAACACGTT CTGGCTCCCC 240
CAGGCCTTCA GCCACCCCAC TGCCCAGGTC AGTGTCTGAT CTGGGCTTGC AAGACTTGCA 300 AGAGAAAATC TGCCCCCACA GATCGTCGGA AAGCAGCTAC CCTGCGCGAA AGGAGGAGGC 360
TTAAGAAAAT CAACGAAGCC TTTGAGGCCT TGAAGCGTAG AACTGTGGCC AACCCCAACC 420
AGAGGCTGCC CAAGGTGGAG ATTCTGAGAA GTGCCATCAA CTACATTGAG CGTCTGCAGG 480
ACCTGCTGCA CCGGCTGGAT CAGCAAGAGA AAATGCAGGA GCTGGGGGTG GACCCTTACA 540
GCTACAAACC CAAGCAAGAA ATTCTTGAGG GTGCGGATTT CCTGCGCACC TGCAGCCCGC 600 AGTGGCCAAG TGTTTCGGAT CATTCCAGGG GCCTGGTGAT AACTGCTAAG GAAGGAGGAG 660
CAAGCGTCGA TGCTTCAGCC TCCAGCAGTC TTCAGCGCCT TTCTTCCATC GTGGACAGTA 720
TTTCCTCAGA GGAACGCAAA CTCCCCAGCG TGGAGGAGGT GGTGGAGAAG TAACTCAGTC 780
AGCATTTGGA ACATTCTTCG CTCAGCAGGA AGAGCCCCTT TCCGCCTAAT CATTTAGATT 840
AGGGCTCACA GACCCCAGAA TTTATGAAAG GCAAGAGACT TAGTGTTAAA AAAGAAACCT 900 CTCCCCACCT CAAGTGAAAA TCCTTCGGCT TGGGGCTTTT ATTATAACTA TTATTGTATC 960
TGAACCGCTA GTGGCTTAGC TCTAGAACCC TAATTTTGTT TTTAGTTTGG TTGGTTTTTT 1020
ATAACATATT AACTTTTGCT ATGATCACGT GACCCTTTCC TGTCAGTTGC AAACGAAGTT 1080
CATTCCTGTC'TAAATCAAAG TGGGAACGTT TAATCCTAAG AGTATTTAAT GTACTTTTGT 1140
AAATAGTCTT AGTACTTTCG TTTTTATGTA AACCTAAAGG ACATATTTTA AATGTGGAAT 1200 TAAGCATTGT ATATAAAATG TGTGAGAGTC TGATATTGTA ATATTAAAAT ATTAATACGT 1260
TTCTACACGT AAAAAAAAAA AAAAAAAAAA AAAAAA 1296
(2) INFORMATION FOR SEQ ID NO:4:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 1432 base pairs
(B) TYPE: nucleic acid
(C) STRANDEDNESS: single
(D) TOPOLOGY: linear
(ii) MOLECULE TYPE: cDNA
(Xi) SEQUENCE DESCRIPTION: SEQ ID NO:4:
CCTCTCGCTG CCGTCCAGGT GCACCGCCTG CCTCTCAGCA GGATGGACGT GATGGATGGC 60
TGCCAGTTCT CACCTTCTGA GTACTTCTAC GACGGCTCCT GCATACCGTC CCCCGAGGGT 120
GAATTTGGGG ACGAGTTTGT GCCGCGAGTG GCTGCCTTCG GAGCGCACAA AGCAGAGCTG 180
CAGGGCTCAG ATGAGGACGA GCACGTGCGA GCGCCTACCG GCCACCACCA GGCTGGTCAC 240
TGCCTCATGT GGGCCTGCAA AGCCTGCAAG AGGAAGTCCA CCACCATGGA TCGGCGGAAG 300 GCAGCCACTA TGCGCGAGCG GAGGCGCCTG AAGAAGGTCA ACCAGGCTTT CGAAACCCTC 360
AAGAGGTGTA CCACGACCAA CCCCAACCAG AGGCTGCCCA AGGTGGAGAT CCTCAGGAAT 420
GCCATCCGCT ACATCGAGAG CCTGCAGGAG TTGCTGAGAG AGCAGGTGGA GAACTACTAT 480 AGCCTGCCGG GACAGAGCTG CTCGGAGCCC ACCAGCCCCA CCTCCAACTG CTCTGATGGC 540
ATGCCCGAAT GTAACAGTCC TGTCTGGTCC AGAAAGAGCA GTACTTTTGA CAGCATCTAC 600
TGTCCTGATG TATCAAATGT ATATGCCACA GATAAAAACT CCTTATCCAG CTTGGATTGC 660
TTATCCAACA TAGTGGACCG GATCACCTCC TCAGAGCAAC CTGGGTTGCC TCTCCAGGAT 720 CTGGCTTCTC TCTCTCCAGT TGCCAGCACC GATTCACAGC CTCGAACTCC AGGGGCTTCT 780
AGTTCCAGGC TTATCTATCA TGTGCTATGA ACTAATTTTC TGGTCTATAT GACTTCTTCC 840
AGGAGGGCCT AATACACAGG ACGAAGAAGG CTTCAAAAAG TCCCAAACCA AGACAACATG 900
TACATAAAGA TTTCTTTTCA GTTGTAAATT TGTAAAGATT ACCTTGCCAC TTTATAAGAA 960
AGTGTATTTA ACTAAAAAGT CATCATTGCA AATAATACTT TCTTCTTCTT TATTATTCTT 1020 TGCTTAGATA TTAATACATA GTTCCAGTAA TACTATTTCT GATAGGGGGC CATTGATTGA 1080
GGGTAGCTTG TTCGAATGCT TAACTTATAT ATACATATAT ATATATTATA AATATTGCTC 1140
ATCAAAATGT CTCTGGTGTT TAGAGCTTTA TTTTTTTCTT TAAAACATTA AAACAGCTGA 1200
GAATCAGTTA AATGGAATTT TAAATATATT TAACTATTTC TTTTCTCTTT AATCCTTTAG 1260
TTATATTGTA TTAAATAAAA ATATAATACT GCCTAATGTA TATATTTTGA TCTTTTCTTG 1320 TAAGAAATGT ATCTTTTAAA TGTAAGCACA AAATAGTACT TTGTGGATCA TTTCAAGATA 1380
TAAGAAATTT TGGAAATTCC ACCATAAATA AAATTTTTTA CTACAAGAAA AA 1432

Claims

WHAT IS CLAIMED IS:
1. A method of transducing proliferating cells to a novel phenotype, comprising administering to the cells an amount effective to transduce at least a portion of the cells of a composition comprising a nucleotide molecule including at least one sequence corresponding to a cell lineage commitment gene.
2. A method according to claim 1, wherein said cell lineage commitment gene is a muscle regulatory factor gene.
3. A method according to claim 2, wherein said muscle regulatory factor gene is selected from the group consisting of MyoD, myogenin, Myf-5 and MRF4.
4. A method for treating injured and traumatized muscle tissue, comprising administering to the tissue a composition comprising at least one nucleotide molecule including at least one sequence corresponding to a muscle regulatory factor gene.
5. A method according to claim 4, wherein said muscle regulatory factor gene is selected from the group consisting of MyoD, myogenin, Myf-5 and MRF4.
6. A composition for transducing proliferating cells to a novel phenotype, comprising a suitable carrier or adjuvant and at least one nucleotide molecule including at least one sequence corresponding to a cell lineage commitment gene.
7. A composition according to claim 6, wherein said cell lineage commitment gene is a muscle regulatory factor gene.
8. A composition according to claim 7, wherein said muscle regulatory factor gene is selected from the group consisting of MyoD, myogemn, Myf-5 and MRF4.
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US7238673B2 (en) 1989-03-31 2007-07-03 The Regents Of The University Of Michigan Treatment of diseases by site-specific instillation of cells or site-specific transformation of cells and kits therefor
US6579523B1 (en) 1997-05-28 2003-06-17 Genzyme Corporation Transplants for myocardial scars
US6099832A (en) * 1997-05-28 2000-08-08 Genzyme Corporation Transplants for myocardial scars
US6110459A (en) * 1997-05-28 2000-08-29 Mickle; Donald A. G. Transplants for myocardial scars and methods and cellular preparations
US7067121B2 (en) 1997-05-28 2006-06-27 Genzyme Corporation Transplants for myocardial scars
US6682730B2 (en) 1997-05-28 2004-01-27 Genzyme Corporation Transplants for myocardial scars
WO1999058646A1 (en) * 1998-05-08 1999-11-18 Genera S.P.A. Genetically-modified fibroblasts and the use thereof
WO1999062940A2 (en) * 1998-05-30 1999-12-09 Collateral Therapeutics, Inc. Methods of altering cardiac cell phenotype
WO1999062940A3 (en) * 1998-05-30 2000-06-15 Collateral Therapeutics Inc Methods of altering cardiac cell phenotype
GB2346146A (en) * 1998-08-14 2000-08-02 Univ Texas Calcineurin-dependent control of skeletal muscle fiber type
WO2000009667A1 (en) * 1998-08-14 2000-02-24 Board Of Regents, The University Of Texas System Calcineurin-dependent control of skeletal muscle fiber type
US6673604B1 (en) 1999-07-23 2004-01-06 Diacrin, Inc. Muscle cells and their use in cardiac repair
WO2001007568A3 (en) * 1999-07-23 2001-08-09 Diacrin Inc Muscle cells and their use in cardiac repair
WO2001007568A2 (en) * 1999-07-23 2001-02-01 Diacrin, Inc. Muscle cells and their use in cardiac repair
US8663627B2 (en) 2000-07-31 2014-03-04 New York Medical College Methods and compositions for the repair and/or regeneration of damaged myocardium
US8343479B2 (en) 2000-07-31 2013-01-01 New York Medical College Methods and compositions for the repair and/or regeneration of damaged myocardium
US7862810B2 (en) 2000-07-31 2011-01-04 New York Medical College Methods and compositions for the repair and/or regeneration of damaged myocardium
US7297538B2 (en) 2001-04-13 2007-11-20 Cardio3 S.A. Encapsulated cell indicator system
US8008254B2 (en) 2001-06-06 2011-08-30 New York Medical College Methods and compositions for the repair and/or regeneration of damaged myocardium
WO2003103611A2 (en) 2002-06-05 2003-12-18 New York Medical College Methods and compositions for the repair and/or regeneration of damaged myocardium
US8889122B2 (en) 2005-05-09 2014-11-18 Mytogen, Inc. Cellular cardiomyoplasty as supportive therapy in patients with heart disease
US8247374B2 (en) 2007-11-09 2012-08-21 New York Medical College Methods and compositions for the repair and/or regeneration of damaged myocardium using cytokines and variants thereof
US8617889B2 (en) 2007-11-09 2013-12-31 New York Medical College Methods and compositions for the repair and/or regeneration of damaged myocardium using cytokines and variants thereof

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