WO2000031244A1 - Compositions comprising angiostatin and kringle 5 region of plasminogen and methods of use thereof - Google Patents

Compositions comprising angiostatin and kringle 5 region of plasminogen and methods of use thereof Download PDF

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Publication number
WO2000031244A1
WO2000031244A1 PCT/US1999/027243 US9927243W WO0031244A1 WO 2000031244 A1 WO2000031244 A1 WO 2000031244A1 US 9927243 W US9927243 W US 9927243W WO 0031244 A1 WO0031244 A1 WO 0031244A1
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plasminogen
kringle
angiostatin
region
biologically active
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PCT/US1999/027243
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French (fr)
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Richard-Weidong Ji
Mohammand E. Kondri
Pamela A. Trail
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Bristol-Myers Squibb Company
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Priority to CA002352477A priority Critical patent/CA2352477A1/en
Priority to AU17313/00A priority patent/AU1731300A/en
Priority to JP2000584055A priority patent/JP2002531385A/en
Publication of WO2000031244A1 publication Critical patent/WO2000031244A1/en

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    • 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
    • C12N9/00Enzymes; Proenzymes; Compositions thereof; Processes for preparing, activating, inhibiting, separating or purifying enzymes
    • C12N9/14Hydrolases (3)
    • C12N9/48Hydrolases (3) acting on peptide bonds (3.4)
    • C12N9/50Proteinases, e.g. Endopeptidases (3.4.21-3.4.25)
    • C12N9/64Proteinases, e.g. Endopeptidases (3.4.21-3.4.25) derived from animal tissue
    • C12N9/6421Proteinases, e.g. Endopeptidases (3.4.21-3.4.25) derived from animal tissue from mammals
    • C12N9/6424Serine endopeptidases (3.4.21)
    • C12N9/6435Plasmin (3.4.21.7), i.e. fibrinolysin
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/16Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • A61K38/43Enzymes; Proenzymes; Derivatives thereof
    • A61K38/46Hydrolases (3)
    • A61K38/48Hydrolases (3) acting on peptide bonds (3.4)
    • A61K38/482Serine endopeptidases (3.4.21)
    • A61K38/484Plasmin (3.4.21.7)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00Drugs for dermatological disorders
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P17/00Drugs for dermatological disorders
    • A61P17/06Antipsoriatics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P27/00Drugs for disorders of the senses
    • A61P27/02Ophthalmic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/10Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12YENZYMES
    • C12Y304/00Hydrolases acting on peptide bonds, i.e. peptidases (3.4)
    • C12Y304/21Serine endopeptidases (3.4.21)
    • C12Y304/21007Plasmin (3.4.21.7), i.e. fibrinolysin

Definitions

  • the present invention relates to compositions useful to inhibit proliferation and/or migration of endothelial cells.
  • the compositions comprise a combination of angiostatin protein plus the kringle-5 region of plasminogen.
  • the compositions of the present invention are capable of inhibiting angiogenesis related diseases and modulating angiogenic processes.
  • angiogenesis means the generation of new blood vessels into tissue or organ. Under normal physiological conditions, humans or animals undergo angiogenesis only in very restricted situations. For example, angiogenesis is normally observed in wound healing, fetal and embryonic development and formation of the corpus luteum, endometrium and placenta.
  • endothelium means a thin layer of flat endothelial cells that lines serous cavities, lymph vessels, and blood vessels.
  • Endothelial cells and pericytes surrounded by a basement membrane, form capillary blood vessels.
  • Angiogenesis begins with the erosion of the basement membrane by enzymes released by endothelial cells and leukocytes.
  • the endothelial cells which line the lumen of blood vessels, then protrude through the basement membrane.
  • Angiogenic stimulants induce the endothelial cells to migrate through the eroded basement membrane.
  • the migrating cells form a "sprout" off the parent blood vessel, where the endothelial cells undergo mitosis and proliferate.
  • the endothelial sprouts merge with each other to form capillary loops, creating new blood vessels.
  • Pathological angiogenesis occurs in a number of disease states, for example tumor metastasis and abnormal growth by endothelial cells, and supports the pathological damage seen in these conditions.
  • the diverse pathological disease states in which abnormal angiogenesis is present have been grouped together as "angiogenic dependent" or "angiogenic associated” disorders.
  • Angiogenesis is tightly regulated by both positive and negative signals.
  • Angiogenic stimulators such as fibroblast growth factor (FGF), and vascular endothelial growth factor (VEGF) are potent mitogens for endothelial cell proliferation and strong chemoattractants for endothelial cell migration.
  • FGF fibroblast growth factor
  • VEGF vascular endothelial growth factor
  • Angiogenic stimulators are potent mitogens for endothelial cell proliferation and strong chemoattractants for endothelial cell migration.
  • FGF fibroblast growth factor
  • VEGF vascular endothelial growth factor
  • Angiostatin ranks as one of the most effective endogenous inhibitors of angiogenesis (O'Reilly, M. S. et. al., (1994) Cell 79:315- 328; O'Reilly, M. S. et. al., (1996) Nat. Med. 2:689-692; Wu, Z. et. al., (1997)
  • Angiostatin comprises an internal fragment of plasminogen and consists of four triple-looped kringle domains constrained by three disulfide bonds. Angiostatin was shown to inhibit endothelial cell proliferation in vitro and to suppress growth factor-induced angiogenesis in vivo (O'Reilly ( 1994), supra). Inhibition of angiogenesis by treatment with angiostatin results in significant suppression of tumor growth in both murine and human tumor models (O'Reilly (1994); O'Reilly (1996); Wu (1997), supra).
  • Angiostatin has been described as a potent angiogenesis inhibitor that could markedly suppress the growth of a variety of tumors, including carcinomas of lung, prostate, colon, and breast (Cao, Y. et. al., (1998) J. Clin. Invest. 101(5): 1055-1063; O'Reilly, et. al., (1996) supra; O'Reilly, et. al, (1994) supra).
  • the individual kringle domains of angiostatin have distinct anti-proliferative and anti-migratory activities toward endothelial cells (Cao, Y. et. al, (1996) J. Biol. Chem. 271 :29461-29467; Ji, W.R. et. al, (1998) FASEB Jrnl (in press)). It has been documented that the first three kringles of angiostatin exhibit potent inhibitory activities on endothelial cell proliferation whereas kringle 4 has a marginal effect. It was also shown that the intact kringle structure is essential for the anti-proliferative activities of angiostatin.
  • the kringle 5 of human plasminogen displays high structural similarity and about 50% sequence identity to the four kringles of angiostatin.
  • Kringle 5 was reported to inhibit bFGF-elicited endothelial cell growth in a dose-dependent manner (Ji, W.R. et. al, (1998) Biochem Biophys Res Commun. 247(2): 414-419; Cao, Y. et. al, (1997) J. Biol. Chem. 272:22924-22928).
  • kringle 5 like angiostatin, may have potent anti- angiogenic activities.
  • compositions comprising an Angiostatin molecule plus a kringle 5 molecule.
  • Applicants herein provide evidence that a combination of Angiostatin plus a kringle 5 molecule exhibit a synergistic effect, and shows superior results over Angiostatin, the kringle 5 region alone, or kringles 1-5 of plasminogen.
  • the present invention provides methods and compositions for treating diseases and processes mediated by undesired and uncontrolled angiogenesis by administering to a human or animal a composition comprising Angiostatin and the kringle 5 region of plasminogen.
  • the present invention is particularly useful for treating, or for repressing the growth of, tumors.
  • Administration of compositions of the present invention to a human or animal with prevascularized metastasized tumors will prevent the growth or expansion of those tumors.
  • the methods of the present invention encompass the use of a single composition comprising Angiostatin and the kringle 5 region of plasminogen. Additionally, the methods of the present invention encompass the use of a composition comprising Angiostatin and a composition comprising the kringle 5 region of plasminogen, said compositions administered simultaneously or sequentially.
  • Figure 1 is a graph showing the additive anti-endothelial cell migratory activities of kringle 5 of human plasminogen in combination with Angiostatin.
  • Figure 1A shows additive inhibition of HUVEC cell migration by kringle 5 of human plasminogen in combination with Angiostatin;
  • Figure IB shows additive inhibition of BCE cell migration by kringle 5 of human plasminogen in combination with Angiostatin.
  • Angiostatin has been described as a potent angiogenesis inhibitor that can markedly suppress the growth of a variety of tumors, including carcinomas of lung, prostate, colon, and breast.
  • Angiostatin and the sequences of mouse, human, rhesus monkey, porcine and bovine plasminogen are given in U.S. Patent No. 5,639,725, the disclosure of which is incorporated herein by reference in its entirety.
  • the kringle 5 of human plasminogen displays high structural similarity and about 50% sequence identity to the four kringles of angiostatin.
  • Kringle 5 was reported to inhibit bFGF-elicited endothelial cell growth in a dose-dependent manner. These data suggest that kringle 5, like angiostatin, may have potent anti-angiogenic activities.
  • the present invention for the first time presents evidence that combination therapy, involving the administration of Angiostatin and a kringle 5 fragment of plasminogen, exhibits superior angiogenesis inhibition over Angiostatin alone, kringle 5 alone, and a kringle 1-5 region of plasminogen.
  • compositions comprising a kringle 5 region of plasminogen and Angiostatin.
  • the source plasminogen i.e., the plasminogen from which the kringle 5 region and/or the Angiostatin is derived
  • the source plasminogen may be from the same species (e.g., human) or from different species (e.g., a kringle 5 region from murine plasminogen and Angiostatin comprising kringles 1-4 from human plasminogen).
  • a kringle 5 region from plasminogen, or biologically active portion thereof, and said Angiostatin may be derived, for example, from murine plasminogen, human plasminogen, Rhesus plasminogen, porcine plasminogen, canine plasminogen, or bovine plasminogen.
  • the kringle 5 region and the Angiostatin are derived from the same species.
  • the kringle 5 fragment and the Angiostatin may be administered in the same composition, or they may be administered in separate compositions. If separate compositions are used, the compositions may be administered simultaneously or sequentially.
  • variations of the kringle 5 fragment including biologically active fragments, and biologically active analogs involving amino acid deletions, additions and/or substitutions.
  • biologically active fragment includes fragments of the kringle 5 region that maintain the same biological activity of the kringle 5 region.
  • biologically active analogs includes variations of the kringle 5 region that do not materially alter the biological activity (i.e., anti-angiogenic activity) of the kringle 5 fragment. Included within the scope of the invention are changes made to the kringle 5 fragment that increase anti-angiogenic activity.
  • Preferred analogs include a kringle 5 fragment and Angiostatin molecule whose sequences differ from the wild-type sequence by one or more conservative amino acid substitutions or by one or more non-conservative amino acid substitutions, deletions or insertions which do not abolish the biological activity of the molecules.
  • Conservative substitutions typically include the substitution of one amino acid for another with similar characteristics, e.g., substitutions within the following groups: valine, glycine; glycine, alanine; valine, isoleucine, leucine; aspartic acid, glutamic acid; asparagine, glutamine; serine, threonine; lysine, arginine; and phenylalanine, tyrosine.
  • Other conservative amino acid substitutions can be taken from the table below.
  • analogs within the invention are those with modifications which increase protein or peptide stability; such analogs may contain, for example, one or more non-peptide bonds (which replace the peptide bonds) in the protein or peptide sequence. Also included are analogs that include residues other than naturally occurring L-amino acids, e.g., D-amino acids or non-naturally occurring or synthetic amino acids, e.g., ⁇ or ⁇ amino acids.
  • the kringle 5 regions and Angiostatin useful in the present invention may be obtained by synthetic means, i.e., chemical synthesis of the polypeptide from its component amino acids, by methods known to those of ordinary skill in the art. For example, the solid phase procedure described in Houghton et al, Proc. Natl.'Acad. Sci. 82, 5131-5135 (1985) may be employed.
  • the polypeptides may be obtained by production in prokaryotic or eukaryotic host cells expressing a DNA sequence coding for all or part of the desired fragment, or by in vitro translation of the mRNA encoded by a DNA sequence coding for the desired peptide. Techniques for the production of a kringle 5 fragment and Angiostatin by these means are known in the art, and are described herein.
  • the kringle 5 region and Angiostatin produced in this manner may then be isolated and purified to some degree using various protein purification techniques.
  • chromatographic procedures such as ion exchange chromatography, gel filtration chromatography and immunoaffinity chromatography may be employed.
  • polypeptides of the invention i.e., a kringle 5 fragment and Angiostatin
  • the expression vectors can be partly or wholly synthesized chemically and/or partly or wholly prepared through genetic engineering techniques. Fragments can be sequentially ligated (via appropriate terminal restriction sites or complementary terminal sequences) so as to form the correct linear sequence of nucleotides.
  • Expression vehicles of the invention for production of the anti-angiogenic polypeptides of the invention include plasmids or other vectors. In general, such vectors contain control sequences that allow expression in various types of hosts.
  • Suitable expression vectors containing the desired coding and control sequences may be constructed using standard recombmant DNA techniques known in the art, many of which are described m Sambrook et al (1989), Molecular Cloning A Laboratory Manual, 2 nd edition, Cold Spring Harboi Laboratory, Cold Spring Harbor, NY
  • An expression vector as contemplated by the present invention is capable of directing the replication of the vectoi in bacte ⁇ a, yeast, insect, and/or mammalian cells
  • One class of vectors utilizes yeast DNA elements that provide autonomously replicating origins such as the yeast 2 ⁇ element or ARS 1 sequence which yield extrachromosomal plasmids
  • a second class of vectors relies upon the integration of the desired gene sequences into the host cell chromosome
  • the vectors may also mcoiporate a bacterial origin of leplication Suitable bacte ⁇ al origins of replication include, foi example, the Co/El, pSClOl and Ml 3 origins of replication
  • Expression vectors useful of the present invention typically contain a promoter located 5' to (I e , upstream of) the DNA sequence to be expressed, and a transcription termination sequence located 3' to (1 e , downstream of) the sequence to be expressed
  • Suitable promoteis include, for example, the yeast ADH1 promoter
  • the promoter sequence may also be mducible, to allow modulation of expression (e g , by the presence or absence of nutrients oi other mducers in the growth medium) Examples include the yeast GAL1, CUPI, and MET25 promoteis
  • Suitable termination sequences include, for example, the yeast CYC] termination and polyadenylation sequences
  • the expression vectors may also include other regulatory sequences for optimal expression of the desired pioduct
  • Such sequences include secretory leader sequences, which provide for secietion of the expressed product or direct membrane localization, and restriction enzyme l ecognition sequences, which provide sites for cleavage by restriction endonucleases All of these mateiials are known m the art and most are commercially available
  • a suitable expression vectoi may also include marking sequences, which allow phenotypic detection and/or selection of transformed yeast or bacterial cells
  • marking sequences which allow phenotypic detection and/or selection of transformed yeast or bacterial cells
  • Such a marker may provide prototi ophy to an auxotrophic host (e g , ammo acid biosynthetic genes), biocide lesistance oi supersensitivity (e g , anti obi otic resistance) or a phenotypically detectable signal (e g , fluorescence)
  • the selectable marker gene can be either directly linked to the DNA gene sequences to be expiessed, or introduced into the same cell by transformation Examples of yeast selectable maikers include Basidium pullulans A UR1-C gene, the S cerevisiae URA3 oi LEU2 genes and the like.
  • bacterial selectable markers include the ampicillin resistance gene.
  • a preferred vector is pYESII, containing the Co/El and 2 ⁇ origins of replication, the yeast URA3 and bacterial amp R genes, and the yeast GAL1 promoter sequence (Invitrogen).
  • the constructs may be introduced into a cell by transformation in conjunction with a gene allowing for selection where the construct will become integrated into the host genome or persist episomally.
  • the construct will be part of a vector having homologous sequences for integration or a replication system recognized by the host cell.
  • compositions of the present invention comprising a kringle 5 fragment of plasminogen (or a biologically active fragment or analog thereof) and Angiostatin, are useful to treat angiogenic associated disorders.
  • the present invention includes the method of treating an angiogenic-associated disorder with an effective amount of a composition comprising a kringle 5 fragment and Angiostatin.
  • a single composition comprising a kringle 5 fragment and Angiostatin may be used, or separate compositions (a first comprising a kringle 5 fragment and a second comprising Angiostatin) may be administered simultaneously or sequentially.
  • the angiogenesis mediated diseases include, but are not limited to, solid tumors, blood bom tumors such as leukemias; tumor metastasis; benign tumors, for example, hemangiomas, acoustic acuromas, neurofibromas, trachomas, and pyogenic granulomas; rheumatoid arthritis; psoriasis; ocular angiogenic diseases, for example, diabetic retinopathy, retinopathy of prematurity, macular degeneration, comeal graft rejection, neovascular glaucoma, retro!
  • compositions of the present invention are useful in treatment of disease of excessive or abnormal stimulation of endothelial cells. These disorders include, but are not limited to, intestinal adhesions, atherosclerosis, scleroderma, and hypertrophic scars, i.e., keloids.
  • the compositions can also be used as birth control agents by preventing vascularization required for embryo implantation.
  • compositions and methods of the present invention may be used in combination with other compositions and procedures for the treatment of angiogenic associated disorders.
  • a tumor may be treated conventionally with surgery, radiation or chemotherapy, and then compositions comprising a kringle 5 region and Angiostatin may be subsequently administered to the patient to extend the dormancy of micrometastases and to stabilize any residual primary tumor.
  • the present invention also provides pharmaceutical (i.e., therapeutic) compositions comprising a kringle 5 region of plasminogen (or a biologically active fragment or analog thereof) and Angiostatin, optionally in combination with at least one additional active compound, and any pharmaceutically acceptable carrier, adjuvant or vehicle.
  • additional active compounds encompasses, but is not limited to, an agent or agents selected from the group consisting of an immunosuppressant, an anti-cancer agent, an anti-viral agent, an anti-inflammatory agent, an anti-fungal agent, an antibiotic, or an anti-vascular hypeiproliferation compound.
  • pharmaceutically acceptable carrier, adjuvant or vehicle refers to a earner, adjuvant or vehicle that may be administered to a subject, incorporated into a composition of the present invention, and which does not destroy the pharmacological activity thereof.
  • Pharmaceutically acceptable carriers, adjuvants and vehicles that may be used in the pharmaceutical compositions of the present invention include, but are not limited to, the following: ion exchangers, alumina, aluminum stearate, lecithin, self-emulsifying drug delivery systems ("SEDDS”) such as d(-tocopherol polyethyleneglycol 1000 succinate, surfactants used in pharmaceutical dosage forms such as Tweens or other similar polymeric delivery matrices, serum proteins such as human serum albumin, buffer substances such as phosphates, glycine, sorbic acid, potassium sorbate, partial glyceride mixtures of saturated vegetable fatty acids, water, salts or electrolytes such as protamine sulfate, disodium hydrogen phosphate, potassium hydrogen
  • Cyclodextrins such as ⁇ -, ⁇ - and ⁇ -cyclodextrin, or chemically modified derivatives such as hydroxyalkyl cyclodextrins, including 2- and 3-hydroxypropyl- ⁇ - cyclodextrins, or other solubilized derivatives may also be used to enhance delivery of the compositions of the present invention.
  • compositions of the present invention may contain other therapeutic agents as described below, and may be formulated, for example, by employing conventional solid or liquid vehicles or diluents, as well as pharmaceutical additives of a type appropriate to the mode of desired administration (for example, excipients, binders, preservatives, stabilizers, flavors, etc.) according to techniques such as those well known in the art of pharmaceutical formulation.
  • compositions of the present invention may be administered by any suitable means, for example, orally, such as in the form of tablets, capsules, granules or powders; sublingually; buccally; parenterally, such as by subcutaneous, intravenous, intramuscular, or intrastemal injection or infusion techniques (e.g., as sterile injectable aqueous or non-aqueous solutions or suspensions); nasally such as by inhalation spray; topically, such as in the form of a cream or ointment; or rectally such as in the form of suppositories; in dosage unit formulations containing non-toxic, pharmaceutically acceptable vehicles or diluents.
  • suitable means for example, orally, such as in the form of tablets, capsules, granules or powders; sublingually; buccally; parenterally, such as by subcutaneous, intravenous, intramuscular, or intrastemal injection or infusion techniques (e.g., as sterile injectable aqueous or non
  • compositions may, for example, be administered in a form suitable for immediate release or extended release. Immediate release or extended release may be achieved by the use of suitable pharmaceutical compositions comprising a kringle 5 fragment and Angiostatin, or, particularly in the case of extended release, by the use of devices such as subcutaneous implants or osmotic pumps.
  • suitable pharmaceutical compositions comprising a kringle 5 fragment and Angiostatin, or, particularly in the case of extended release, by the use of devices such as subcutaneous implants or osmotic pumps.
  • the present compositions may also be administered liposomally.
  • compositions for oral administration include suspensions which may contain, for example, crOcrystalline cellulose for imparting bulk, alginic acid or sodium alginate as a suspending agent, methylcellulose as a viscosity enhancer, and sweeteners or flavoring agents such as those known in the art; and immediate release tablets which may contain, for example, microcrystalline cellulose, dicalcium phosphate, starch, magnesium stearate and/or lactose and/or other excipients, binders, extenders, disintegrants, diluents and lubricants such as those known in the art.
  • the present compounds may also be delivered through the oral cavity by sublingual and/or buccal administration.
  • Molded tablets, compressed tablets or freeze-dried tablets are exemplary forms which may be used.
  • Exemplary compositions include those formulating the present compositions with fast dissolving diluents such as mannitol, lactose, sucrose and/or cyclodextrins. Also included in such formulations may be high molecular weight excipients such as celluloses (avicel) or polyethylene glycols (PEG).
  • Such formulations may also include an excipient to aid mucosal adhesion such as hydroxy propyl cellulose (HPC), hydroxy propyl methyl cellulose (HPMC), sodium carboxy methyl cellulose (SCMC), maleic anhydride copolymer (e.g., Gantrez), and agents to control release such as polyacrylic copolymer (e.g., Carbopol 934).
  • HPC hydroxy propyl cellulose
  • HPMC hydroxy propyl methyl cellulose
  • SCMC sodium carboxy methyl cellulose
  • maleic anhydride copolymer e.g., Gantrez
  • agents to control release such as polyacrylic copolymer (e.g., Carbopol 934).
  • Lubricants, glidants, flavors, coloring agents and stabilizers may also be added for ease of fabrication and use.
  • Exemplaiy compositions for nasal aerosol or inhalation administration include solutions in saline which may contain, for example, benzyl alcohol or other suitable preservatives, absorption promoters to enhance bioavailability, and/or other solubilizing or dispersing agents such as those known in the art.
  • Exemplaiy compositions for parenteral administration include injectable solutions or suspensions which may contain, for example, suitable non-toxic, parenterally acceptable diluents or solvents, such as mannitol, 1,3-butanediol, water, Ringer's solution, an isotonic sodium chloride solution, or other suitable dispersing or wetting and suspending agents, including synthetic mono- or diglycerides, and fatty acids, including oleic acid.
  • suitable non-toxic, parenterally acceptable diluents or solvents such as mannitol, 1,3-butanediol, water, Ringer's solution, an isotonic sodium chloride solution, or other suitable dispersing or wetting and suspending agents, including synthetic mono- or diglycerides, and fatty acids, including oleic acid.
  • parenteral as used herein includes subcutaneous, intracutaneous, intravenous, intramuscular, intraarticular, intraarterial, intrasynovial, intraste
  • compositions for rectal administration include suppositories which may contain, for example, a suitable non-i ⁇ itating excipient, such as cocoa butter, synthetic glyceride esters or polyethylene glycols, which are solid at ordinary temperatures, but liquify and/or dissolve in the rectal cavity to release the active compounds (i.e., the kringle 5 fragment and Angiostatin).
  • a suitable non-i ⁇ itating excipient such as cocoa butter, synthetic glyceride esters or polyethylene glycols, which are solid at ordinary temperatures, but liquify and/or dissolve in the rectal cavity to release the active compounds (i.e., the kringle 5 fragment and Angiostatin).
  • Exemplaiy compositions for topical administration include a topical carrier such as Plastibase (mineral oil gelled with polyethylene).
  • a topical carrier such as Plastibase (mineral oil gelled with polyethylene).
  • the effective amount of a compound of the present invention may be dete ⁇ nined by one of ordinary skill in the art, and includes exemplaiy dosage amounts for an adult human of from about 0.1 to 500 mg/kg of body weight of active compound per day, which may be administered in a single dose or in the form of individual divided doses, such as from 1 to 5 times per day. It will be understood that the specific dose level and frequency of dosage for any particular subject may be varied and will depend upon a variety of factors including the activity of the specific compound employed, the metabolic stability and length of action of that compound, the species, age, body weight, general health, sex and diet of the subject, the mode and time of administration, rate of excretion and clearance, drug combination, and severity of the particular condition.
  • Preferred subjects for treatment include animals, most preferably mammalian species such as humans, and domestic animals such as dogs, cats and the like, subject to angiogenic associated disorders.
  • compositions of the present invention may be employed alone or in combination with other suitable therapeutic agents useful in the treatment of angiogenic associated disorders, such as angiogenesis inhibitors other than those of the present invention, antiinflammatories, antiproliferatives, chemotherapeutic agents, immunosuppressants, and antimicrobials.
  • suitable therapeutic agents useful in the treatment of angiogenic associated disorders such as angiogenesis inhibitors other than those of the present invention, antiinflammatories, antiproliferatives, chemotherapeutic agents, immunosuppressants, and antimicrobials.
  • compositions of the present invention may be used, for example, in those amounts indicated in the Physicians' Desk Reference (PDR) or as otherwise determined by one of ordinary skill in the art.
  • PDR Physicians' Desk Reference
  • Example 1 Gene construction, expression, and purification of recombinant human angiostatin
  • the human angiostatin cDNA was amplified from a human plasminogen cDNA template (American Type Culture Collection, Rockville, MD) by standard polym erase chain reaction (PCR) with the following two primers:
  • the amplified cDNA fragment was ligated into the BamHI site of the pMelBacA vector (InVitrogen, San Diego, CA).
  • the angiostatin cDNA plasmid was then co-transfected into Sf9 cells with viral BaculoGoldTM DNA (PharMingen, San Diego, CA).
  • the transfection solution was removed 4 hours post-transfection and replaced with 3 ml of Sf900H medium (Gibco BRL, Gaithersburg, MD). Four days after incubation, the viral supernatant was harvested and individual clones were identified by limiting dilution. The clone with the highest protein expression, as determined by SDS-PAGE/Coomassie blue staining, was amplified in Sf9 cells for protein production. High Five insect cells (InVitrogen, San Diego, CA) (1.5 x 10 6 cells/ml) were infected with approximately 1 x 10 viral particles/ml of the recombinant virus.
  • the cDNA for K4-5 was amplified from HPg cDNA template by PCR as previously described (Menhart, N, et. al, (1993) Biochemistry 32:8799-8806).
  • the amplified cDNA was inserted between the Avr II and the Not I sites of the pPIC9K vector (InVitrogen, San Diego, CA).
  • the transfer plasmid, pPIC9K[K4-K5 of HPg] was then linearized with restriction endonuclease Sac I and transformed into the KM71 strain of Pichia pastoris by electroporation. Isolation of high-yield clones and the following high bio-mass fermentation were performed as previously described (Nilsen, S. L, et.
  • the purified products were extensively dialyzed against water, lyophilized, and digested with elastase at room temperature for 16 hours in 0.1 M phosphate/15 mM ⁇ -aminocaproic acid (pH 7.8) at a protein: elastase ratio of 1:250 (w/w).
  • the digest was then reapplied to a lysine-Sepharose chromatography column and the kringle 5 fragment collected in the flow-through.
  • the kringle 5 protein was extensively dialyzed against water and lyophilized.
  • Example 3 Anti-Endothelial Cell Proliferative/Migratory Activity of Kringle 5 in Combination With Angiostatin Two primary endothelial cell types, human umbilical vein endothelial cell
  • HUVEC bovine capillary endothelial
  • BCE bovine capillary endothelial
  • a Boyden Chamber-based assay was perfo ⁇ ned First, polycarbonate membranes with 8 ⁇ m pore sizes (Neuro Probe Inc , Cabin John, MD) were coated with 100 ⁇ g/ml of collagen type I following manufacturer's instructions (Becton Dickinson, Bedford, MA) BCE cells between passage 10 to 14, or HUVEC cells between passage 1 to 3, were harvested with 0 05% tiypsin solution, washed, resuspended to a density of 75,000 cells/ml in DMEM containing 10% bovine calf serum and 10 ng/ml of bFGF, and incubated at 37°C for 30 minutes During cell incubation, various concentrations of k ⁇ ngle 5, Angiostatin, or a combination of kringle 5 and Angiostatin samples were loaded into the lower chambers The collagen-coated membrane filter was placed on top of the lower chamber and the top chamber then attached After the 30 minute incubation,
  • the IC 5 o's (protein concentrations at 50% of inhibition) of angiostatin and kringle 5 are approximately 0.65 ⁇ M and 0.10 ⁇ M, respectively ( Figure 1A & Table 2).
  • a combination of these two agents produced a significant increase of the anti-migratory activity with an IC50 of about 9.3 nM.
  • This one-log increase in anti-endothelial cell activity implies that kringle 5 and angiostatin may inhibit angiogenesis via different yet coordinated pathways.
  • the IC 5 o's of angiostatin and kringle 5 were approximately 0.49 ⁇ M and 0.09 ⁇ M, respectively ( Figure IB & Table 2).
  • kringle 5 and angiostatin may function in cooperation to block angiogenesis.
  • the recombinant kringle 1-5 protein was generated in the Bacculovirus expression system. It is shown to potently inhibit HUVEC and BCE cell migration in a dose-dependent manner.

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Abstract

The present invention relates to one or more compositions that inhibit the proliferation and/or migration of endothelial cells. The compositions contain a kringle 5 region of plasminogen and/or Angiostatin. If two separate compositions are used, one containing a kringle 5 region of plasminogen, or a biologically active portion thereof, and the other containing Angiostatin, the compositions may be administered sequentially or simultaneously. The compositions are useful to treat angiogenic associated disorders.

Description

COMPOSITIONS COMPRISING ANGIOSTATIN AND KRINGLE 5 REGION OF PLASMINOGEN AND METHODS OF USE THEREOF
Field of the Invention
The present invention relates to compositions useful to inhibit proliferation and/or migration of endothelial cells. The compositions comprise a combination of angiostatin protein plus the kringle-5 region of plasminogen. The compositions of the present invention are capable of inhibiting angiogenesis related diseases and modulating angiogenic processes.
Background of the Invention
As used herein, the term "angiogenesis" means the generation of new blood vessels into tissue or organ. Under normal physiological conditions, humans or animals undergo angiogenesis only in very restricted situations. For example, angiogenesis is normally observed in wound healing, fetal and embryonic development and formation of the corpus luteum, endometrium and placenta. The term "endothelium" means a thin layer of flat endothelial cells that lines serous cavities, lymph vessels, and blood vessels.
Endothelial cells and pericytes, surrounded by a basement membrane, form capillary blood vessels. Angiogenesis begins with the erosion of the basement membrane by enzymes released by endothelial cells and leukocytes. The endothelial cells, which line the lumen of blood vessels, then protrude through the basement membrane. Angiogenic stimulants induce the endothelial cells to migrate through the eroded basement membrane. The migrating cells form a "sprout" off the parent blood vessel, where the endothelial cells undergo mitosis and proliferate. The endothelial sprouts merge with each other to form capillary loops, creating new blood vessels.
Pathological angiogenesis occurs in a number of disease states, for example tumor metastasis and abnormal growth by endothelial cells, and supports the pathological damage seen in these conditions. The diverse pathological disease states in which abnormal angiogenesis is present have been grouped together as "angiogenic dependent" or "angiogenic associated" disorders. For a review of angiogenesis and its relation to tumor growth, see PCT publication WO 95/29242 and references cited therein, hereby incorporated by reference in its entirety. Angiogenesis is tightly regulated by both positive and negative signals. Angiogenic stimulators, such as fibroblast growth factor (FGF), and vascular endothelial growth factor (VEGF), are potent mitogens for endothelial cell proliferation and strong chemoattractants for endothelial cell migration. These positive regulators can promote neovascularization to sustain the expansion of both primary and metastatic tumors (Gross, J. L. et. al., (1993) J. Natl. Cancer Inst. 85(2): 121-131; Kim, K.J. et. al., (1993) Nature 362(6243):841-844). Among the negative regulators described to date, Angiostatin ranks as one of the most effective endogenous inhibitors of angiogenesis (O'Reilly, M. S. et. al., (1994) Cell 79:315- 328; O'Reilly, M. S. et. al., (1996) Nat. Med. 2:689-692; Wu, Z. et. al., (1997)
Biochem. Biophys. Res. Commun. 236:651-654). Angiostatin comprises an internal fragment of plasminogen and consists of four triple-looped kringle domains constrained by three disulfide bonds. Angiostatin was shown to inhibit endothelial cell proliferation in vitro and to suppress growth factor-induced angiogenesis in vivo (O'Reilly ( 1994), supra). Inhibition of angiogenesis by treatment with angiostatin results in significant suppression of tumor growth in both murine and human tumor models (O'Reilly (1994); O'Reilly (1996); Wu (1997), supra).
Angiostatin has been described as a potent angiogenesis inhibitor that could markedly suppress the growth of a variety of tumors, including carcinomas of lung, prostate, colon, and breast (Cao, Y. et. al., (1998) J. Clin. Invest. 101(5): 1055-1063; O'Reilly, et. al., (1996) supra; O'Reilly, et. al, (1994) supra).
The individual kringle domains of angiostatin have distinct anti-proliferative and anti-migratory activities toward endothelial cells (Cao, Y. et. al, (1996) J. Biol. Chem. 271 :29461-29467; Ji, W.R. et. al, (1998) FASEB Jrnl (in press)). It has been documented that the first three kringles of angiostatin exhibit potent inhibitory activities on endothelial cell proliferation whereas kringle 4 has a marginal effect. It was also shown that the intact kringle structure is essential for the anti-proliferative activities of angiostatin.
The kringle 5 of human plasminogen displays high structural similarity and about 50% sequence identity to the four kringles of angiostatin. Kringle 5 was reported to inhibit bFGF-elicited endothelial cell growth in a dose-dependent manner (Ji, W.R. et. al, (1998) Biochem Biophys Res Commun. 247(2): 414-419; Cao, Y. et. al, (1997) J. Biol. Chem. 272:22924-22928). These data suggest that kringle 5, like angiostatin, may have potent anti- angiogenic activities. Summary of the Invention In accordance with the present invention, compositions are provided comprising an Angiostatin molecule plus a kringle 5 molecule. Applicants herein provide evidence that a combination of Angiostatin plus a kringle 5 molecule exhibit a synergistic effect, and shows superior results over Angiostatin, the kringle 5 region alone, or kringles 1-5 of plasminogen.
The present invention provides methods and compositions for treating diseases and processes mediated by undesired and uncontrolled angiogenesis by administering to a human or animal a composition comprising Angiostatin and the kringle 5 region of plasminogen. The present invention is particularly useful for treating, or for repressing the growth of, tumors. Administration of compositions of the present invention to a human or animal with prevascularized metastasized tumors will prevent the growth or expansion of those tumors. The methods of the present invention encompass the use of a single composition comprising Angiostatin and the kringle 5 region of plasminogen. Additionally, the methods of the present invention encompass the use of a composition comprising Angiostatin and a composition comprising the kringle 5 region of plasminogen, said compositions administered simultaneously or sequentially.
All references cited herein, whether supra or infra, are hereby incorporated by reference in their entirety.
Brief Description of the Figures Figure 1 is a graph showing the additive anti-endothelial cell migratory activities of kringle 5 of human plasminogen in combination with Angiostatin. Figure 1A shows additive inhibition of HUVEC cell migration by kringle 5 of human plasminogen in combination with Angiostatin; Figure IB shows additive inhibition of BCE cell migration by kringle 5 of human plasminogen in combination with Angiostatin. (Abbreviations: K5 = kringle 5; AST = Angiostatin; bFGF = basic fibroblast growth factor). Detailed Description of the Invention Angiostatin has been described as a potent angiogenesis inhibitor that can markedly suppress the growth of a variety of tumors, including carcinomas of lung, prostate, colon, and breast. Angiostatin and the sequences of mouse, human, rhesus monkey, porcine and bovine plasminogen are given in U.S. Patent No. 5,639,725, the disclosure of which is incorporated herein by reference in its entirety.
The kringle 5 of human plasminogen displays high structural similarity and about 50% sequence identity to the four kringles of angiostatin. Kringle 5 was reported to inhibit bFGF-elicited endothelial cell growth in a dose-dependent manner. These data suggest that kringle 5, like angiostatin, may have potent anti-angiogenic activities.
The present invention for the first time presents evidence that combination therapy, involving the administration of Angiostatin and a kringle 5 fragment of plasminogen, exhibits superior angiogenesis inhibition over Angiostatin alone, kringle 5 alone, and a kringle 1-5 region of plasminogen.
Compositions are provided comprising a kringle 5 region of plasminogen and Angiostatin. The source plasminogen (i.e., the plasminogen from which the kringle 5 region and/or the Angiostatin is derived) may be from the same species (e.g., human) or from different species (e.g., a kringle 5 region from murine plasminogen and Angiostatin comprising kringles 1-4 from human plasminogen). A kringle 5 region from plasminogen, or biologically active portion thereof, and said Angiostatin, may be derived, for example, from murine plasminogen, human plasminogen, Rhesus plasminogen, porcine plasminogen, canine plasminogen, or bovine plasminogen. Preferably, the kringle 5 region and the Angiostatin are derived from the same species.
Additionally, the kringle 5 fragment and the Angiostatin may be administered in the same composition, or they may be administered in separate compositions. If separate compositions are used, the compositions may be administered simultaneously or sequentially. Also encompassed within the scope of the present invention are variations of the kringle 5 fragment, including biologically active fragments, and biologically active analogs involving amino acid deletions, additions and/or substitutions. "Biologically active fragment" includes fragments of the kringle 5 region that maintain the same biological activity of the kringle 5 region. "Biologically active analogs" includes variations of the kringle 5 region that do not materially alter the biological activity (i.e., anti-angiogenic activity) of the kringle 5 fragment. Included within the scope of the invention are changes made to the kringle 5 fragment that increase anti-angiogenic activity.
Preferred analogs include a kringle 5 fragment and Angiostatin molecule whose sequences differ from the wild-type sequence by one or more conservative amino acid substitutions or by one or more non-conservative amino acid substitutions, deletions or insertions which do not abolish the biological activity of the molecules.
Conservative substitutions typically include the substitution of one amino acid for another with similar characteristics, e.g., substitutions within the following groups: valine, glycine; glycine, alanine; valine, isoleucine, leucine; aspartic acid, glutamic acid; asparagine, glutamine; serine, threonine; lysine, arginine; and phenylalanine, tyrosine. Other conservative amino acid substitutions can be taken from the table below.
Table 1 Conservative amino acid replacements
Figure imgf000007_0001
Other analogs within the invention are those with modifications which increase protein or peptide stability; such analogs may contain, for example, one or more non-peptide bonds (which replace the peptide bonds) in the protein or peptide sequence. Also included are analogs that include residues other than naturally occurring L-amino acids, e.g., D-amino acids or non-naturally occurring or synthetic amino acids, e.g., β or γ amino acids.
The kringle 5 regions and Angiostatin useful in the present invention may be obtained by synthetic means, i.e., chemical synthesis of the polypeptide from its component amino acids, by methods known to those of ordinary skill in the art. For example, the solid phase procedure described in Houghton et al, Proc. Natl.'Acad. Sci. 82, 5131-5135 (1985) may be employed. The polypeptides may be obtained by production in prokaryotic or eukaryotic host cells expressing a DNA sequence coding for all or part of the desired fragment, or by in vitro translation of the mRNA encoded by a DNA sequence coding for the desired peptide. Techniques for the production of a kringle 5 fragment and Angiostatin by these means are known in the art, and are described herein.
The kringle 5 region and Angiostatin produced in this manner may then be isolated and purified to some degree using various protein purification techniques. For example, chromatographic procedures such as ion exchange chromatography, gel filtration chromatography and immunoaffinity chromatography may be employed.
If the polypeptides of the invention (i.e., a kringle 5 fragment and Angiostatin) are made through recombinant techniques, the DNA sequences useful to prepare the polypeptides of the invention can be obtained using various methods well known to those of ordinary skill in the art. The expression vectors can be partly or wholly synthesized chemically and/or partly or wholly prepared through genetic engineering techniques. Fragments can be sequentially ligated (via appropriate terminal restriction sites or complementary terminal sequences) so as to form the correct linear sequence of nucleotides. Expression vehicles of the invention for production of the anti-angiogenic polypeptides of the invention include plasmids or other vectors. In general, such vectors contain control sequences that allow expression in various types of hosts. Suitable expression vectors containing the desired coding and control sequences may be constructed using standard recombmant DNA techniques known in the art, many of which are described m Sambrook et al (1989), Molecular Cloning A Laboratory Manual, 2nd edition, Cold Spring Harboi Laboratory, Cold Spring Harbor, NY
An expression vector as contemplated by the present invention is capable of directing the replication of the vectoi in bacteπa, yeast, insect, and/or mammalian cells One class of vectors utilizes yeast DNA elements that provide autonomously replicating origins such as the yeast 2μ element or ARS 1 sequence which yield extrachromosomal plasmids A second class of vectors relies upon the integration of the desired gene sequences into the host cell chromosome The vectors may also mcoiporate a bacterial origin of leplication Suitable bacteπal origins of replication include, foi example, the Co/El, pSClOl and Ml 3 origins of replication
Expression vectors useful of the present invention typically contain a promoter located 5' to (I e , upstream of) the DNA sequence to be expressed, and a transcription termination sequence located 3' to (1 e , downstream of) the sequence to be expressed Suitable promoteis include, for example, the yeast ADH1 promoter The promoter sequence may also be mducible, to allow modulation of expression (e g , by the presence or absence of nutrients oi other mducers in the growth medium) Examples include the yeast GAL1, CUPI, and MET25 promoteis Suitable termination sequences include, for example, the yeast CYC] termination and polyadenylation sequences
The expression vectors may also include other regulatory sequences for optimal expression of the desired pioduct Such sequences include secretory leader sequences, which provide for secietion of the expressed product or direct membrane localization, and restriction enzyme l ecognition sequences, which provide sites for cleavage by restriction endonucleases All of these mateiials are known m the art and most are commercially available
A suitable expression vectoi may also include marking sequences, which allow phenotypic detection and/or selection of transformed yeast or bacterial cells Such a marker may provide prototi ophy to an auxotrophic host (e g , ammo acid biosynthetic genes), biocide lesistance oi supersensitivity (e g , anti obi otic resistance) or a phenotypically detectable signal (e g , fluorescence) The selectable marker gene can be either directly linked to the DNA gene sequences to be expiessed, or introduced into the same cell by transformation Examples of yeast selectable maikers include Basidium pullulans A UR1-C gene, the S cerevisiae URA3 oi LEU2 genes and the like. Examples of bacterial selectable markers include the ampicillin resistance gene. A preferred vector is pYESII, containing the Co/El and 2μ origins of replication, the yeast URA3 and bacterial ampR genes, and the yeast GAL1 promoter sequence (Invitrogen). In a further alternative, the constructs may be introduced into a cell by transformation in conjunction with a gene allowing for selection where the construct will become integrated into the host genome or persist episomally. Usually, the construct will be part of a vector having homologous sequences for integration or a replication system recognized by the host cell. The compositions of the present invention, comprising a kringle 5 fragment of plasminogen (or a biologically active fragment or analog thereof) and Angiostatin, are useful to treat angiogenic associated disorders. The present invention includes the method of treating an angiogenic-associated disorder with an effective amount of a composition comprising a kringle 5 fragment and Angiostatin. As described above, a single composition comprising a kringle 5 fragment and Angiostatin may be used, or separate compositions (a first comprising a kringle 5 fragment and a second comprising Angiostatin) may be administered simultaneously or sequentially.
The angiogenesis mediated diseases include, but are not limited to, solid tumors, blood bom tumors such as leukemias; tumor metastasis; benign tumors, for example, hemangiomas, acoustic acuromas, neurofibromas, trachomas, and pyogenic granulomas; rheumatoid arthritis; psoriasis; ocular angiogenic diseases, for example, diabetic retinopathy, retinopathy of prematurity, macular degeneration, comeal graft rejection, neovascular glaucoma, retro! ental fibroplasia, rubeosis; Osier- Webber Syndrome; myocardial angiogenesis; plaque neovascularization; telangiectasia; hemophiliac joints; angiofibroma; and wound granulation. The compositions of the present invention are useful in treatment of disease of excessive or abnormal stimulation of endothelial cells. These disorders include, but are not limited to, intestinal adhesions, atherosclerosis, scleroderma, and hypertrophic scars, i.e., keloids. The compositions can also be used as birth control agents by preventing vascularization required for embryo implantation.
The compositions and methods of the present invention may be used in combination with other compositions and procedures for the treatment of angiogenic associated disorders. For example, a tumor may be treated conventionally with surgery, radiation or chemotherapy, and then compositions comprising a kringle 5 region and Angiostatin may be subsequently administered to the patient to extend the dormancy of micrometastases and to stabilize any residual primary tumor.
The present invention also provides pharmaceutical (i.e., therapeutic) compositions comprising a kringle 5 region of plasminogen (or a biologically active fragment or analog thereof) and Angiostatin, optionally in combination with at least one additional active compound, and any pharmaceutically acceptable carrier, adjuvant or vehicle. "Additional active compounds" encompasses, but is not limited to, an agent or agents selected from the group consisting of an immunosuppressant, an anti-cancer agent, an anti-viral agent, an anti-inflammatory agent, an anti-fungal agent, an antibiotic, or an anti-vascular hypeiproliferation compound.
The term "pharmaceutically acceptable carrier, adjuvant or vehicle" refers to a earner, adjuvant or vehicle that may be administered to a subject, incorporated into a composition of the present invention, and which does not destroy the pharmacological activity thereof. Pharmaceutically acceptable carriers, adjuvants and vehicles that may be used in the pharmaceutical compositions of the present invention include, but are not limited to, the following: ion exchangers, alumina, aluminum stearate, lecithin, self-emulsifying drug delivery systems ("SEDDS") such as d(-tocopherol polyethyleneglycol 1000 succinate, surfactants used in pharmaceutical dosage forms such as Tweens or other similar polymeric delivery matrices, serum proteins such as human serum albumin, buffer substances such as phosphates, glycine, sorbic acid, potassium sorbate, partial glyceride mixtures of saturated vegetable fatty acids, water, salts or electrolytes such as protamine sulfate, disodium hydrogen phosphate, potassium hydrogen phosphate, sodium chloride, zinc salts, colloidal silica, magnesium trisilicate, polyvinyl pyrrolidone, cellulose-based substances, polyethylene glycol, sodium carboxymethylcellulose, polyacrylates, waxes, polyethylene-polyoxypropylene-block polymers, polyethylene glycol and wool fat. Cyclodextrins such as α-, β- and γ-cyclodextrin, or chemically modified derivatives such as hydroxyalkyl cyclodextrins, including 2- and 3-hydroxypropyl-β- cyclodextrins, or other solubilized derivatives may also be used to enhance delivery of the compositions of the present invention.
The compositions of the present invention may contain other therapeutic agents as described below, and may be formulated, for example, by employing conventional solid or liquid vehicles or diluents, as well as pharmaceutical additives of a type appropriate to the mode of desired administration (for example, excipients, binders, preservatives, stabilizers, flavors, etc.) according to techniques such as those well known in the art of pharmaceutical formulation.
The compositions of the present invention may be administered by any suitable means, for example, orally, such as in the form of tablets, capsules, granules or powders; sublingually; buccally; parenterally, such as by subcutaneous, intravenous, intramuscular, or intrastemal injection or infusion techniques (e.g., as sterile injectable aqueous or non-aqueous solutions or suspensions); nasally such as by inhalation spray; topically, such as in the form of a cream or ointment; or rectally such as in the form of suppositories; in dosage unit formulations containing non-toxic, pharmaceutically acceptable vehicles or diluents. The present compositions may, for example, be administered in a form suitable for immediate release or extended release. Immediate release or extended release may be achieved by the use of suitable pharmaceutical compositions comprising a kringle 5 fragment and Angiostatin, or, particularly in the case of extended release, by the use of devices such as subcutaneous implants or osmotic pumps. The present compositions may also be administered liposomally.
Exemplary compositions for oral administration include suspensions which may contain, for example, miciOcrystalline cellulose for imparting bulk, alginic acid or sodium alginate as a suspending agent, methylcellulose as a viscosity enhancer, and sweeteners or flavoring agents such as those known in the art; and immediate release tablets which may contain, for example, microcrystalline cellulose, dicalcium phosphate, starch, magnesium stearate and/or lactose and/or other excipients, binders, extenders, disintegrants, diluents and lubricants such as those known in the art. The present compounds may also be delivered through the oral cavity by sublingual and/or buccal administration. Molded tablets, compressed tablets or freeze-dried tablets are exemplary forms which may be used. Exemplary compositions include those formulating the present compositions with fast dissolving diluents such as mannitol, lactose, sucrose and/or cyclodextrins. Also included in such formulations may be high molecular weight excipients such as celluloses (avicel) or polyethylene glycols (PEG). Such formulations may also include an excipient to aid mucosal adhesion such as hydroxy propyl cellulose (HPC), hydroxy propyl methyl cellulose (HPMC), sodium carboxy methyl cellulose (SCMC), maleic anhydride copolymer (e.g., Gantrez), and agents to control release such as polyacrylic copolymer (e.g., Carbopol 934). Lubricants, glidants, flavors, coloring agents and stabilizers may also be added for ease of fabrication and use.
Exemplaiy compositions for nasal aerosol or inhalation administration include solutions in saline which may contain, for example, benzyl alcohol or other suitable preservatives, absorption promoters to enhance bioavailability, and/or other solubilizing or dispersing agents such as those known in the art.
Exemplaiy compositions for parenteral administration include injectable solutions or suspensions which may contain, for example, suitable non-toxic, parenterally acceptable diluents or solvents, such as mannitol, 1,3-butanediol, water, Ringer's solution, an isotonic sodium chloride solution, or other suitable dispersing or wetting and suspending agents, including synthetic mono- or diglycerides, and fatty acids, including oleic acid. The term "parenteral" as used herein includes subcutaneous, intracutaneous, intravenous, intramuscular, intraarticular, intraarterial, intrasynovial, intrastemal, intrathecal, intralesional and intracranial injection oi¬ infusion techniques.
Exemplary compositions for rectal administration include suppositories which may contain, for example, a suitable non-iιτitating excipient, such as cocoa butter, synthetic glyceride esters or polyethylene glycols, which are solid at ordinary temperatures, but liquify and/or dissolve in the rectal cavity to release the active compounds (i.e., the kringle 5 fragment and Angiostatin).
Exemplaiy compositions for topical administration include a topical carrier such as Plastibase (mineral oil gelled with polyethylene).
The effective amount of a compound of the present invention may be deteιτnined by one of ordinary skill in the art, and includes exemplaiy dosage amounts for an adult human of from about 0.1 to 500 mg/kg of body weight of active compound per day, which may be administered in a single dose or in the form of individual divided doses, such as from 1 to 5 times per day. It will be understood that the specific dose level and frequency of dosage for any particular subject may be varied and will depend upon a variety of factors including the activity of the specific compound employed, the metabolic stability and length of action of that compound, the species, age, body weight, general health, sex and diet of the subject, the mode and time of administration, rate of excretion and clearance, drug combination, and severity of the particular condition. Preferred subjects for treatment include animals, most preferably mammalian species such as humans, and domestic animals such as dogs, cats and the like, subject to angiogenic associated disorders.
The compositions of the present invention may be employed alone or in combination with other suitable therapeutic agents useful in the treatment of angiogenic associated disorders, such as angiogenesis inhibitors other than those of the present invention, antiinflammatories, antiproliferatives, chemotherapeutic agents, immunosuppressants, and antimicrobials.
Other therapeutic agents, when employed in combination with the compositions of the present invention, may be used, for example, in those amounts indicated in the Physicians' Desk Reference (PDR) or as otherwise determined by one of ordinary skill in the art.
The following examples are further illustrative of the present invention. These examples are not intended to limit the scope of the present invention, and provide further understanding of the invention.
Example 1 : Gene construction, expression, and purification of recombinant human angiostatin
The human angiostatin cDNA was amplified from a human plasminogen cDNA template (American Type Culture Collection, Rockville, MD) by standard polym erase chain reaction (PCR) with the following two primers:
5 '-GCGGATCCATGAAAGTGTATCTCTCAGAGTGCAAG (forward primer for residue 98-458); and
5'-GCGGATCCTCACTATTCTGTTCCTGAGCATTTTTTCAG (reverse primer for residue 98-458). The amplified cDNA fragment was ligated into the BamHI site of the pMelBacA vector (InVitrogen, San Diego, CA). The angiostatin cDNA plasmid was then co-transfected into Sf9 cells with viral BaculoGold™ DNA (PharMingen, San Diego, CA). Briefly, 1x 10 Sf9 cells were seeded in a T25 tissue culture flask and incubated at 27°C with 1 ml of the transfection solution containing 2 μg of transfer vector DNA, 0.5 μg of BaculoGold™ DNA, and 6 μl of Cellfectin (Gibco BRL,
Gaithersburg, MD). The transfection solution was removed 4 hours post-transfection and replaced with 3 ml of Sf900H medium (Gibco BRL, Gaithersburg, MD). Four days after incubation, the viral supernatant was harvested and individual clones were identified by limiting dilution. The clone with the highest protein expression, as determined by SDS-PAGE/Coomassie blue staining, was amplified in Sf9 cells for protein production. High Five insect cells (InVitrogen, San Diego, CA) (1.5 x 106 cells/ml) were infected with approximately 1 x 10 viral particles/ml of the recombinant virus. After 48 hours, the culture supernatant was collected by centrifugation at 5,000 x g for 30 minutes. The supernatant was then applied to a lysine-Sepharose column and angiostatin protein elutedwith ε-aminocaproic acid as previously described (Wu, Z, et. al, (1997) Biochem. Biophys. Res. Commun. 236:651-654).
Example 2: Production of recombinant kringle 5 of human plasminogen
The cDNA for K4-5 was amplified from HPg cDNA template by PCR as previously described (Menhart, N, et. al, (1993) Biochemistry 32:8799-8806). The amplified cDNA was inserted between the Avr II and the Not I sites of the pPIC9K vector (InVitrogen, San Diego, CA). The transfer plasmid, pPIC9K[K4-K5 of HPg], was then linearized with restriction endonuclease Sac I and transformed into the KM71 strain of Pichia pastoris by electroporation. Isolation of high-yield clones and the following high bio-mass fermentation were performed as previously described (Nilsen, S. L, et. al, (1997) Biotech, and Applied Biochem. 25:63-74). The K4-K5 protein of human plasminogen was purified from the fermentation medium by lysine affinity chromatography as described (Chang, Y, et. al, (1997) Biochemistry
36(25): 7652-7663). The purified products were extensively dialyzed against water, lyophilized, and digested with elastase at room temperature for 16 hours in 0.1 M phosphate/15 mM ε-aminocaproic acid (pH 7.8) at a protein: elastase ratio of 1:250 (w/w). The digest was then reapplied to a lysine-Sepharose chromatography column and the kringle 5 fragment collected in the flow-through. The kringle 5 protein was extensively dialyzed against water and lyophilized.
Example 3: Anti-Endothelial Cell Proliferative/Migratory Activity of Kringle 5 in Combination With Angiostatin Two primary endothelial cell types, human umbilical vein endothelial cell
(HUVEC) and bovine capillary endothelial (BCE) cell, were chosen for the Boyden- chamber based migration assay. Briefly, HUVEC cells were obtained commercially (Clonetics, San Diego, CA). Bovine capillary endothelial cells were harvested from bovine adrenal glands as previously described (Folkman, J. et. al, (1979) Proc. Natl. Acad. Sci. USA 76.5217-5221) BCE cells were maintained in DMEM in the presence of 10% bovine calf serum, 1% antibiotics, and 3 ng/ml of bFGF (PeproTech, Rockhill, NJ)
To evaluate endothelial cell migration, a Boyden Chamber-based assay was perfoπned First, polycarbonate membranes with 8 μm pore sizes (Neuro Probe Inc , Cabin John, MD) were coated with 100 μg/ml of collagen type I following manufacturer's instructions (Becton Dickinson, Bedford, MA) BCE cells between passage 10 to 14, or HUVEC cells between passage 1 to 3, were harvested with 0 05% tiypsin solution, washed, resuspended to a density of 75,000 cells/ml in DMEM containing 10% bovine calf serum and 10 ng/ml of bFGF, and incubated at 37°C for 30 minutes During cell incubation, various concentrations of kπngle 5, Angiostatin, or a combination of kringle 5 and Angiostatin samples were loaded into the lower chambers The collagen-coated membrane filter was placed on top of the lower chamber and the top chamber then attached After the 30 minute incubation, endothelial cells were loaded into the top chamber and incubated at 37°C for 4 hours The chemotaxis chamber was then dismantled and the filter membrane removed The non-migrated cells were scraped off the upper surface of the membrane with cotton swabs three times After rinsing with PBS, the membrane was fixed with 10% buffered formalin for 45 minutes and then stained with Gill No 2 hematoxylin overnight (J B Baker, Phillipsburg, NJ) The membrane was then rinsed with PBS and mounted with Cytoseal (Stephens Scientific, Riverdale, NJ) Each sample was tested in quadruplicate and a representative field in each well was counted at lOOx magnification to determine the number of migrated cells
Table 2 below summarizes the inhibitoiy activities of kringle 5 ("K5"), Angiostatin ("AST"), K5+AST combination, and kπngle 1 -5 ("Kl -5") of plasminogen.
Table 2
''Protein ™ " JCso (nM) ΪCsό (nJVJf
(HUVEC) (BCE)
AST 6502 489.1
K5 100.0 89.4
K5 + AST 9 3 8 8
K1-5 8 0 33.7 For FTUVEC migration, the IC5o's (protein concentrations at 50% of inhibition) of angiostatin and kringle 5 are approximately 0.65 μM and 0.10 μM, respectively (Figure 1A & Table 2). A combination of these two agents produced a significant increase of the anti-migratory activity with an IC50 of about 9.3 nM. This one-log increase in anti-endothelial cell activity implies that kringle 5 and angiostatin may inhibit angiogenesis via different yet coordinated pathways. For BCE cell migration, the IC5o's of angiostatin and kringle 5 were approximately 0.49 μM and 0.09 μM, respectively (Figure IB & Table 2). A combination of these two proteins resulted in a nearly one log increase in the anti -migratory activity (IC50 = 8.8 nM). This synergism suggests that kringle 5 and angiostatin may function in cooperation to block angiogenesis. As a reference, the recombinant kringle 1-5 protein was generated in the Bacculovirus expression system. It is shown to potently inhibit HUVEC and BCE cell migration in a dose-dependent manner. The anti -migratory activities of kringle 1-5 are close to those of angiostatin and kringle 5 combinations for HUVEC (IC50 of kringle 1-5 = 8 nM), but is approximately 4-fold less potent for BCE migration (IC50 = 33.7 nM for BCE). This shows that the combination of a kringle 5 fragment of plasminogen plus Angiostatin shows superior activity even over a kringle 1-5 fragment of plasminogen. Kringle 5 of human plasminogen may thus be used in combination with Angiostatin to potentiate its anti-angiogenic functions.
Although the present invention has been described in some detail by way of illustration and example for puiposes of clarity and understanding, it will be apparent that certain changes and modifications may be practiced within the scope of the appended claims.

Claims

We claim:
1. A therapeutic composition for inhibiting endothelial cell proliferation and/or migration comprising a kringle 5 region from plasminogen, or biologically active portion thereof, and angiostatin, and a pharmaceutically acceptable carrier.
2. The therapeutic composition of claim 1 wherein said kringle 5 region from plasminogen, or biologically active portion thereof, and said angiostatin are derived from the same or different species.
3. The therapeutic composition of claim 1 wherein said kringle 5 region from plasminogen, or biologically active portion thereof, and said angiostatin are derived from murine plasminogen, human plasminogen, Rhesus plasminogen, porcine plasminogen, canine plasminogen, or bovine plasminogen.
4. A method of inhibiting endothelial cell proliferation and/or migration comprising administering to an endothelial cell a proliferation and/or migration inhibiting amount of a composition comprising a kringle 5 region from plasminogen, or a biologically active portion thereof, and angiostatin.
5. The method of claim 4 wherein said kringle 5 region from plasminogen, or biologically active portion thereof, and said angiostatin are derived from the same or different species.
6. The method of claim 4 wherein said kringle 5 region from plasminogen, or biologically active portion thereof, and said angiostatin are derived from murine plasminogen, human plasminogen, Rhesus plasminogen, porcine plasminogen, canine plasminogen, or bovine plasminogen.
7. A method of treating a mammal with an angiogenic associated disorder comprising administering to said mammal a treatment effective amount of a composition comprising a kringle 5 region from plasminogen, or a biologically active portion thereof, and angiostatin.
8. The method of claim 7 wherein said kringle 5 region from plasminogen, or biologically active portion thereof, and said angiostatin are derived fi-om the s ame or di f fer ent speci es .
9. The method of claim 7 wherein said kringle 5 region from plasminogen, or biologically active portion thereof, and said angiostatin are derived fi-om murine plasminogen, human plasminogen, Rhesus plasminogen, porcine plasminogen, canine plasminogen, or bovine plasminogen.
10. A method of treating a mammal with an angiogenic associated disorder comprising administering to said mammal a treatment effective amount of a combination of a first and a second composition, said first composition comprising a kringle 5 region fi-om plasminogen, or a biologically active portion thereof, said second composition comprising angiostatin.
11. The method of claim 10 wherein said first composition and said second composition are administered simultaneously.
12. The method of claim 10 wherein said first composition and said second composition are administered sequentially.
13. The method of claim 10 wherein said kringle 5 region from plasminogen, or biologically active portion thereof, and said angiostatin are derived fi-om the same or different species.
14. The method of claim 10 wherein said kringle 5 region from plasminogen, or biologically active portion thereof, and said angiostatin are derived fi-om murine plasminogen, human plasminogen, Rhesus plasminogen, porcine plasminogen, canine plasminogen, or bovine plasminogen.
PCT/US1999/027243 1998-11-25 1999-11-17 Compositions comprising angiostatin and kringle 5 region of plasminogen and methods of use thereof WO2000031244A1 (en)

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WO2000061179A1 (en) * 1999-04-14 2000-10-19 Karolinska Innovations Ab Kringle domains of plasminogen, capable of modulating angiogenesis in vivo
EP1197550A2 (en) * 2000-08-25 2002-04-17 Pfizer Products Inc. Methods and compositions for diagnosing and treating disorders involving angiogenesis
WO2003054550A2 (en) * 2001-12-19 2003-07-03 Abbott Laboratories Uses of an endothelial cell receptor
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WO2006039173A2 (en) * 2004-09-22 2006-04-13 Abbott Laboratories Uses of an endothelial cell receptor
EP1790354A3 (en) * 2001-09-06 2007-10-24 Omnio AB Use of plasmonigen for wound healing

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Cited By (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000061179A1 (en) * 1999-04-14 2000-10-19 Karolinska Innovations Ab Kringle domains of plasminogen, capable of modulating angiogenesis in vivo
EP1197550A2 (en) * 2000-08-25 2002-04-17 Pfizer Products Inc. Methods and compositions for diagnosing and treating disorders involving angiogenesis
EP1197550A3 (en) * 2000-08-25 2002-11-20 Pfizer Products Inc. Methods and compositions for diagnosing and treating disorders involving angiogenesis
US7008921B2 (en) 2000-09-05 2006-03-07 Karolinska Innovations Ab Materials and methods relating to endothelial cell growth inhibitors
EP1790354A3 (en) * 2001-09-06 2007-10-24 Omnio AB Use of plasmonigen for wound healing
US8637010B2 (en) 2001-09-06 2014-01-28 Omnio Healer Ab Method of accelerating wound healing by administration of plasminogen
US8679482B2 (en) 2001-09-06 2014-03-25 Omnio Healer Ab Method of promoting healing of a tympanic membrane perforation using plasminogen
WO2003054550A2 (en) * 2001-12-19 2003-07-03 Abbott Laboratories Uses of an endothelial cell receptor
WO2003054550A3 (en) * 2001-12-19 2004-05-27 Abbott Lab Uses of an endothelial cell receptor
AU2002358265B2 (en) * 2001-12-19 2008-07-03 Abbott Laboratories Uses of an endothelial cell receptor
WO2006039173A2 (en) * 2004-09-22 2006-04-13 Abbott Laboratories Uses of an endothelial cell receptor
WO2006039173A3 (en) * 2004-09-22 2006-07-20 Abbott Lab Uses of an endothelial cell receptor

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