WO2002099379A2

WO2002099379A2 - Breast homing peptides and methods of identifying same using aminopeptidase p

Info

Publication number: WO2002099379A2
Application number: PCT/US2002/016462
Authority: WO
Inventors: Erkki Ruoslahti; Markus Essler
Original assignee: The Burnham Institute
Priority date: 2001-06-01
Filing date: 2002-05-21
Publication date: 2002-12-12
Also published as: WO2002099379A3; AU2002310106A1

Abstract

The present invention provides a method of directing a moiety to breast vasculature in a subject by administering to the subject a conjugate which contains a moiety linked to a homing molecule that selectively homes to breast vasculature, whereby the moiety is directed to breast vasculature. In one embodiment, the homing molecule is a peptide containing the amino acid sequence PGPEGAG (SEQ ID NO: 1), or a peptidomimetic thereof.

Description

BREAST HOMING PEPTIDES AND METHODS OF IDENTIFYING SAME USING AMINOPEPTIDASE P

This invention was made with government support under CA74238, CA82715 and Cancer Center Support Grant CA 30199 from the National Cancer

Institute. The government has certain rights in this invention.

BACKGROUND OF THE INVENTION

FIELD OF THE INVENTION

The present invention relates generally to the fields of molecular medicine and drug delivery and, more specifically, to molecules that selectively home to the vasculature of mammary tissue.

BACKGROUND INFORMATION

A major hurdle to advances in treating breast cancer is the relative lack of agents that can selectively target the cancer while sparing normal tissue. For example, radiation therapy and surgery, which generally are localized treatments, can cause substantial damage to normal tissue in the treatment field, resulting in scarring and loss of normal tissue. Chemotherapy, in comparison, which generally is administered systemically, can cause substantial damage to organs such as bone marrow, mucosae, skin and the small intestine, which undergo rapid cell turnover and continuous cell division. As a result, undesirable side effects such as nausea, loss of hair and drop in blood cell count can occur as a result of the systemic treatment of a breast cancer patient with a chemotherapeutic agent. Such undesirable side effects often limit the amount of a treatment that can be safely administered, thereby hampering survival rate and impacting the quality of patient life.

As an example, estrogen receptor positive cancer often is treated with the estrogen receptor modulator agent, tamoxifen. However, potential risks associated with tamoxifen treatment include endometrial cancer and thromboembolic disease. Similarly, the use of the platinum agent, cisplatin, can be limited by the severe nausea, vomiting, neuropathy and myelosuppression that accompany administration of this drug. Other agents for treatment of breast cancer similarly are accompanied by undesirable side effects due to the fact that they cannot be specifically delivered to the breast without also reaching other organs of the patient.

It is clear that there is a strong genetic component to the etiology of most types of malignant tumors, including breast cancer. Mutations in the tumor suppressor genes BRCA-1, BRCA-2 and p53, for example, contribute to predisposition to breast cancer. Familial occurrence, tests for mutated tumor suppressor genes and the diagnosis of lobular carcinoma in si tu define a population of women at high risk of developing breast cancer. Currently, the only effective strategy for preventive treatment of these women at high risk is preventive mastectomy. Thus, there is a need for simpler and less invasive procedures for selectively ablating breast tissue, for example, as a preventive measure in women at high risk or to treat pre-malignant or early breast cancer.

The present invention satisfies this need by providing molecules that selectively home to breast vasculature and which are suitable for selectively targeting agents for cell ablation or other chemotherapeutic agents to breast tissue, particularly to breast vasculature . Related advantages also are provided.

SUMMARY OF THE INVENTION

The present invention provides a method of directing a moiety to breast vasculature in a subject by administering to the subject a conjugate which contains a moiety linked to a homing molecule that selectively homes to breast vasculature, whereby the moiety is directed to breast vasculature. In a method of the invention, the homing molecule can be, for example, a peptide or peptidomimetic . In one embodiment, the homing molecule is a peptide containing the amino acid sequence PGPEGAG (SEQ ID NO: 1), or a peptidomimetic thereof. In other embodiments, the homing molecule is a peptide that contains the amino acid sequence CRSS (SEQ ID NO: 3) or the amino acid sequence CRTS (SEQ ID NO: 4) , or a peptidomimetic of one of these sequences.

In specific embodiments, a method of the invention for directing a moiety to breast vasculature is practiced with a homing peptide having a length of at most 10 or 20 amino acids. In additional embodiments, a method of the invention is practiced with a homing peptide containing the amino acid sequence PGPEGAG (SEQ ID NO: 1) and having a length of at most 10 or 20 amino acids. In additional embodiments, a method of the invention is practiced with a homing peptide containing the amino acid sequence CRSS (SEQ ID NO: 3) and having a length of at most 10 or 20 amino acids. In still further embodiments, a method of the invention is practiced with a homing peptide containing the amino acid sequence CRTS (SEQ ID NO: 4) and having a length of at most 10 or 20 amino acids. In yet further embodiments, the invention is practiced with a cyclic homing peptide or peptidomimetic, for example, a cyclic peptide containing the amino acid sequence PGPEGAG (SEQ ID NO: 1) or a peptidomimetic thereof; a cyclic peptide containing the amino acid sequence CRSS (SEQ ID NO: 3) or a peptidomimetic thereof; or a cyclic peptide containing the amino acid sequence CRTS (SEQ ID NO: 4) or a peptidomimetic thereof.

A variety of moieties can be directed to breast vasculature by a method of the invention. Such a moiety can be, for example, a therapeutic agent, cancer chemotherapeutic agent, pro-apoptotic agent, cytotoxic agent or detectable label . In specific embodiments, a method of the invention is practiced with a conjugate containing a homing peptide or peptidomimetic linked to a moiety which is a therapeutic agent, cancer chemotherapeutic agent, pro- apoptotic agent, cytotoxic agent or detectable label. In other embodiments, a method of the invention is practiced with a conjugate that includes a homing peptide containing the amino acid sequence PGPEGAG (SEQ ID NO: 1), or a peptidomimetic thereof, linked to a moiety which is a therapeutic agent, cancer chemotherapeutic agent, pro-apoptotic agent, cytotoxic agent or detectable label. In further embodiments, a method of the invention is practiced with a conjugate that includes a homing peptide containing the amino acid sequence CRSS (SEQ ID NO: 3) or CRTS (SEQ ID NO: 4) , or a peptidomimetic of one of these sequences, linked to a moiety which is a therapeutic agent, cancer chemotherapeutic agent, pro-apoptotic agent, cytotoxic agent or detectable label .

The invention further provides a method of directing a moiety to breast vasculature in a subject by administering to the subject a conjugate containing a moiety linked to a homing molecule that specifically binds aminopeptidase P, whereby the moiety is directed to breast vasculature. Such a method can be practiced, for example, with a homing molecule that is a peptide or peptidomimetic. In one embodiment, a homing molecule that specifically binds aminopeptidase P is a peptide containing the amino acid sequence PGPEGAG (SEQ ID NO: 1), or a peptidomimetic thereof. The invention can be practiced with a homing peptide having a length, for example, of at most 10 or 20 amino acids. For example, the invention can be practiced with a homing peptide containing the amino acid sequence PGPEGAG (SEQ ID NO: 1) and having a length of at most 10 or 20 amino acids. In specific embodiments, the homing molecule that specifically binds aminopeptidase P is a cyclic peptide or peptidomimetic, for example, a cyclic peptide containing the amino acid sequence PGPEGAG (SEQ ID NO: 1), or a peptidomimetic thereof. In another embodiment, the homing molecule that specifically binds aminopeptidase P is a selective inhibitor of aminopeptidase P.

In a method of the invention for directing a moiety to breast vasculature in a subject, the conjugate can contain a moiety which is, for example, a therapeutic agent, cancer chemotherapeutic agent, pro-apoptotic agent, cytotoxic agent or detectable label. In specific embodiments, the invention is practiced with a conjugate that contains a homing peptide or peptidomimetic linked to a moiety which is a therapeutic agent, cancer chemotherapeutic agent, pro-apoptotic agent, cytotoxic agent or detectable label. In further embodiments, the invention is practiced with a conjugate that contains a homing peptide including the amino acid sequence PGPEGAG (SEQ ID NO: 1), or a peptidomimetic thereof, linked to a moiety which is a therapeutic agent, cancer chemotherapeutic agent, pro-apoptotic agent, cytotoxic agent or detectable label .

Further provided by the invention is a method of imaging breast vasculature in a subject. The method includes the steps of administering to the subject a conjugate containing a detectable label linked to a molecule that specifically binds aminopeptidase P, whereby the conjugate specifically binds breast vasculature; and detecting the conjugate. In a method of the invention for imaging breast vasculature, the homing molecule can be, for example, a peptide or peptidomimetic, such as a peptide comprising the amino acid sequence PGPEGAG (SEQ ID NO: 1), or a peptidomimetic thereof, and, if desired, can be a cyclic peptide or peptidomimetic. A homing peptide useful in the invention, such as a peptide including the amino acid sequence PGPEGAG (SEQ ID NO: 1) , can have a length of, for example, at most 10 or 20 amino acids. In one embodiment, the homing molecule that specifically binds aminopeptidase P is a selective inhibitor of aminopeptidase P. A variety of detectable labels are useful in the imaging methods of the invention, including, for example, indium-Ill, technitium-99, carbon-11 and carbon-13.

The invention further provides an isolated homing peptide that selectively homes to breast vasculature, which contains an amino acid sequence that has a length of less than 50 amino acids. An isolated homing peptide of the invention can have a variety of lengths, for example, at most 10 or at most 20 amino acids and, if desired, can be cyclic.

The invention additionally provides an isolated homing molecule having a length of less than 50 amino acids that selectively homes to breast vasculature and contains the amino acid sequence PGPEGAG (SEQ ID NO: 1), or a peptidomimetic thereof. In one embodiment, the invention provides an isolated homing peptide having a length of less than 50 amino acids that selectively homes to breast vasculature and contains the amino acid sequence PGPEGAG (SEQ ID NO: 1) . In another embodiment, the invention provides an isolated homing molecule having a length of less than 50 amino acids that selectively homes to breast vasculature and contains the amino acid sequence CPGPEGAGC (SEQ ID NO : 2) , or a peptidomimetic thereof. Any of the above homing peptides can be useful as short peptides, for example, having a length of at most 10 or 20 amino acids, and, if desired, can be cyclic.

The invention also provides an isolated homing molecule having a length of less than 50 amino acids that selectively homes to breast vasculature and contains the amino acid sequence CRSS (SEQ ID NO: 3) or CRTS (SEQ ID NO: 4) , or a peptidomimetic of one of these sequences. In one embodiment, the invention provides an isolated homing peptide having a length of less than 50 amino acids that selectively homes to breast vasculature and contains the amino acid sequence CRSS (SEQ ID NO: 3) . In another embodiment, the invention provides an isolated homing peptide having a length of less than 50 amino acids that selectively homes to breast vasculature and contains the amino acid sequence CRTS (SEQ ID NO : 4) .

Further provided by the invention is a conjugate which contains a moiety linked to a homing molecule that selectively homes to breast vasculature. A homing molecule useful in the conjugate of the invention can be, for example, a peptide or peptidomimetic. In specific embodiments, a conjugate of the invention includes a homing peptide containing the amino acid sequence the amino acid sequence PGPEGAG (SEQ ID NO: 1), CPGPEGAGC (SEQ ID NO : 2), CRSS (SEQ ID NO: 3) or CRTS (SEQ ID NO: 4) , or a peptidomimetic of one of these sequences. In one embodiment, a conjugate of the invention includes a homing peptide containing the amino acid sequence CRSS (SEQ ID NO: 3) . In another embodiment, a conjugate of the invention includes a homing peptide containing the amino acid sequence CRTS (SEQ ID NO : 4) . In a further embodiment, a conjugate of the invention contains a homing molecule that selectively binds aminopeptidase P. In yet a further embodiment, a conjugate contains a homing molecule which is a selective inhibitor of aminopeptidase P such as apstatin or an analog thereof.

Where a conjugate contains a homing peptide, the peptide can have, for example, a length of at most 10 or 20 amino acids. If desired, a homing molecule used in a conjugate of the invention can be cyclic. A variety of moieties are useful in a conjugate of the invention including, for example, therapeutic agents, cancer chemotherapeutic agents, pro-apoptotic agents, cytotoxic agents, and detectable labels.

The invention also provides a method of identifying a homing molecule that selectively homes to breast vasculature by contacting aminopeptidase P with one or more molecules; and determining specific binding of a molecule to aminopeptidase P, where the presence of specific binding identifies at least one of the molecules as a homing molecule that selectively homes to breast vasculature. A method of the invention for identifying a homing molecule that selectively homes to breast vasculature can be practiced, for example, with substantially purified aminopeptidase P. In one embodiment, the invention is practiced with aminopeptidase P immobilized on a support . In another embodiment, the invention is practiced with human aminopeptidase P.

The invention further provides a method of identifying a homing molecule that selectively homes to breast vasculature by contacting aminopeptidase P and a peptide containing the amino acid sequence PGPEGAG (SEQ ID NO: 1) , or a peptidomimetic thereof, with one or more molecules; and determining specific binding of the peptide or peptidomimetic to aminopeptidase P in the presence of the one or more molecules as compared to binding in the absence of the one or more molecules, where inhibition of specific binding identifies at least one of the molecules as a homing molecule that selectively homes to breast vasculature. In a method of the invention, the aminopeptidase P can be, for example, substantially purified. In one embodiment, the aminopeptidase P is human aminopeptidase P.

Further provided by the invention is a method of identifying a homing molecule that selectively homes to breast vasculature by contacting aminopeptidase P with one or more molecules; and determining selective inhibition of aminopeptidase P by at least one of the molecules, where the presence of selective inhibition identifies at least one of the molecules as a homing molecule that selectively homes to breast vasculature. The aminopeptidase P can be, for example, substantially purified aminopeptidase P. In one embodiment, the aminopeptidase P is immobilized on a support. In another embodiment, the aminopeptidase P is human aminopeptidase P.

BRIEF DESCRIPTION OF THE DRAWINGS

Figure 1 shows isolation of a breast-targeting phage by in vivo screening of a phage library. A CX₇C library (10⁹ plaque forming units) was injected into the tail vein of mice; after seven minutes, the mice were perfused through the heart, and phage rescued from breast tissue. The rescued phage were then amplified and re-injected in four additional consecutive rounds. The number of plaque forming units (pfu) recovered from breast tissue is shown (black bars) . As a control, non-recombinant T7 phage were injected (white bars) . In round five, the number of pfu of phage recovered from the pancreas also was determined (gray bar) .

Figure 2 shows recovery of CPGPEGAGC (SEQ ID NO: 2) phage from a variety of tissues. CPGPEGAGC (SEQ ID NO: 2) phage (10⁹ pfu) were injected into mice, and phage recovered from the indicated organs. The number of pfu recovered from each organ is shown. "Breast/free peptide" indicates phage recovered from breast tissue when CPGPEGAGC (SEQ ID NO: 2) phage were coinjected with 0.5 ml of 2 mg/ml free corresponding peptide SEQ ID NO: 2.

Figure 3 shows localization of CPGPEGAGC (SEQ ID NO: 2) binding using phage overlay assays. Cryo-sections from normal mouse breast tissue, hyperplastic breast tissue, MMTV PyMT breast carcinomas (A) or metastases from MMTV PyMT carcinomas (B) were incubated with CPGPEGAGC (SEQ ID NO: 2) phage suspension (10¹⁰ pfu/ml) . Phage binding to the tissue sections was visualized with rabbit anti-T7 antiserum and FITC-labeled goat anti-rabbit antibody. The sections were co-stained for CD31 with mouse monoclonal anti-CD31 and TRITC-conjugated anti-mouse IgG antibody.

Figure 4 shows isolation of cDNA clones encoding CPGPEGAGC (SEQ ID NO: 2) -binding proteins.

(A) The CPGPEGAGC (SEQ ID NO: 2) peptide was covalently linked to microtiter wells, and a phage cDNA library screened for clones that bound to the peptide by performing four consecutive rounds of selection. The number of pfu recovered from the wells is shown.

(B) Clones from the screening shown in panel A were tested individually for binding to wells coated with the CPGPEGAGC (SEQ ID NO: 2) peptide. (C) Comparison of residues 1 to 42 of aminopeptidase P (SEQ ID NO: 5) to clone #47 (SEQ ID NO: 6) .

Figure 5 shows that free CPGPEGAGC (SEQ ID NO: 2) peptide, anti-aminopeptidase P antibody and a chemical aminopeptidase P inhibitor block binding of CPGPEGAGC (SEQ ID NO: 2) phage to aminopeptidase P in vitro and homing to breast vasculature in vivo. (A) The binding of phage displaying an aminopeptidase P cDNA fragment (10⁸ pfu) to microtiter wells coated with CPGPEGAGC (SEQ ID NO: 2) peptide was tested in presence of 1 mg free CPGPEGAGC (SEQ ID NO: 2) peptide; the aminopeptidase P chemical inhibitor, apstatin (10 μg/ml) ; purified IgG from an anti-aminopeptidase P antiserum (10 μg/ml) ; IgG from normal rabbit serum (10 μg/ml), or buffer. (B) CPGPEGAGC (SEQ ID NO: 2) -displaying phage were injected into the tail vein of mice together with 10 μg of the anti-aminopeptidase P IgG or control IgG. (C) Recovery of another breast homing phage displaying the peptide CRSS (SEQ ID NO: 3) was not modulated by anti-aminopeptidase P antiserum or by 1 mg free CPGPEGAGC (SEQ ID NO: 2) peptide.

Figure 6 shows expression of aminopeptidase P in individual mouse tissues. Lysates of various mouse tissues were tested for aminopeptidase P expression by immunoblotting with an anti-aminopeptidase P antibody.

Figure 7 shows the nucleotide (SEQ ID NO: 7) and amino acid (SEQ ID NO: 8) sequence of human membrane-bound aminopeptidase P.

DETAILED DESCRIPTION OF THE INVENTION

The present invention is directed, in part, to the discovery of homing molecules that selectively home to the vasculature of breast tissue. As disclosed herein, peptides CPGPEGAGC (SEQ ID NO: 2), CRSS (SEQ ID NO: 3) and CRTS (SEQ ID NO: 4) were identified by in vivo panning as selectively homing to breast tissue as compared to control pancreatic tissue. About 100 times more of the CPGPEGAGC (SEQ ID NO: 2) -displaying phage than control T7 phage homed to breast and, furthermore, the CPGPEGAGC (SEQ ID NO: 2) phage did not home to most other tissues, including pancreas, brain, kidney, lung and skin from parts of the body other than the breast fat pad (see Figure 2) . As further disclosed herein, breast homing of the CPGPEGAGC (SEQ ID NO: 2) phage was specific, since coinjection of free peptide SEQ ID NO: 2 markedly reduced recovery of CPGPEGAGC (SEQ ID NO: 2) -bearing phage from breast tissue (see Example I and Figure 2) .

As further disclosed herein in Example II, peptide CPGPEGAGC (SEQ ID NO: 2) selectively homed to the vascular endothelium of mammary tissue. As shown in Figure 3A, phage overlay of tissue sections stained with the endothelial marker, CD-31, revealed co- localization of breast homing phage bearing CPGPEGAGC (SEQ ID NO: 2) with the endothelial marker. The SEQ ID NO: 2 bearing phage also co-localized with CD-31 in hyperplastic mammary tissue of breast cancers that developed in MMTV PyMT mice, although not to the vasculature of lung or liver metastases in these mice (see Figure 3B) . These results demonstrate that CPGPEGAGC (SEQ ID NO: 2) -bearing phage home to the vascular endothelium of breast tissue.

The present invention further is directed to the surprising discovery that the receptor for the CPGPEGAGC (SEQ ID NO : 2) peptide in breast vasculature is aminopeptidase P. As disclosed herein in Example III, a breast cancer cDNA library was screened against insolubilized CPGPEGAGC (SEQ ID NO: 2) peptide; phage recovery increased about 50-fold in 5 rounds of selection on the peptide, as shown in Figure 4A. Furthermore, binding of the aminopeptidase P encoding phage to insolubilized CPGPEGAGC (SEQ ID NO: 2) peptide was blocked by incubation of phage with free peptide SEQ ID NO: 2, and independently blocked by apstatin, a synthetic inhibitor of aminopeptidase P (Figure 5A) . Binding of aminopeptidase P encoding phage also was blocked by an anti-aminopeptidase P antibody, although not by control antibody. As further shown herein in Figure 5B, co-injection of an anti-aminopeptidase P antibody with the CPGPEGAGC (SEQ ID NO: 2) phage into mice reduced by almost 90% the number of phage subsequently rescued from the breast tissue, while a control antibody did not affect breast homing of the SEQ ID NO: 2-bearing phage. These results demonstrate that aminopeptidase P is the receptor for the CPGPEGAGC (SEQ ID NO: 2) homing molecule in breast vasculature and that aminopeptidase P can act as a receptor for homing molecules that selectively home to breast vasculature .

Based on these findings, the present invention provides homing molecules and conjugates useful for preventing, treating or reducing the severity of breast cancer. Such conjugates can be administered, for example, to a woman at high risk of developing breast cancer to reduce the amount of breast tissue. Such conjugates also can be administered, for example, to a subject having pre-malignant breast tissue or to a subject having early breast cancer.

Thus, the present invention provides a method of directing a moiety to breast vasculature in a subject by administering to the subject a conjugate which contains a moiety linked to a homing molecule that selectively homes to breast vasculature, whereby the moiety is directed to breast vasculature. In a method of the invention, the homing molecule can be, for example, a peptide or peptidomimetic. In one embodiment, the homing molecule is a peptide containing the amino acid sequence PGPEGAG (SEQ ID NO: 1) , or a peptidomimetic thereof. In other embodiments, the homing molecule is a peptide containing the amino acid sequence CRSS (SEQ ID NO: 3) or CRTS (SEQ ID NO : 4), or a peptidomimetic of one of these sequences. In specific embodiments, a method of the invention for directing a moiety to breast vasculature is practiced with a homing peptide having a length of at most 10 or 20 amino acids. In additional embodiments, a method of the invention is practiced with a homing peptide containing the amino acid sequence PGPEGAG (SEQ ID NO: 1) and having a length of at most 10 or 20 amino acids. In additional embodiments, a method of the invention is practiced with a homing peptide containing the amino acid sequence CRSS (SEQ ID NO : 3) and having a length of at most 10 or 20 amino acids. In further embodiments, a method of the invention is practiced with a homing peptide containing the amino acid sequence CRTS (SEQ ID NO: 4) and having a length of at most 10 or 20 amino acids. In yet further embodiments, the invention is practiced with a cyclic homing peptide or peptidomimetic, for example, a cyclic peptide containing the amino acid sequence PGPEGAG (SEQ ID NO: 1) or a peptidomimetic thereof; a cyclic peptide containing the amino acid sequence CRSS (SEQ ID NO: 3) or a peptidomimetic thereof; or a cyclic peptide containing the amino acid sequence CRTS (SEQ ID NO: 4) or a peptidomimetic thereof.

A variety of moieties can be directed to breast vasculature by a method of the invention. Such a moiety can be, for example, a therapeutic agent, cancer chemotherapeutic agent, pro-apoptotic agent, cytotoxic agent or detectable label. In specific embodiments, a method of the invention is practiced with a conjugate containing a homing peptide or peptidomimetic linked to a moiety which is a therapeutic agent, cancer chemotherapeutic agent, pro-apoptotic agent, cytotoxic agent or detectable label. In other embodiments, a method of the invention is practiced with a conjugate that includes a homing peptide containing the amino acid sequence PGPEGAG (SEQ ID NO: 1) , or a peptidomimetic thereof, linked to a moiety which is a therapeutic agent, cancer chemotherapeutic agent, pro-apoptotic agent, cytotoxic agent or detectable label. In further embodiments, a method of the invention is practiced with a conjugate that includes a homing peptide containing the amino acid sequence CRSS (SEQ ID NO: 3) or CRTS (SEQ ID NO: 4) , or a peptidomimetic of one of these sequences, linked to a moiety which is a therapeutic agent, cancer chemotherapeutic agent, pro-apoptotic agent, cytotoxic agent or detectable label .

The invention further provides a method of directing a moiety to breast vasculature in a subject by administering to the subject a conjugate containing a moiety linked to a homing molecule that specifically binds aminopeptidase P, whereby the moiety is directed to breast vasculature. In one embodiment, the invention provides a method of directing a moiety to breast vasculature in a subject by administering to the subject a conjugate containing a moiety linked to a homing molecule that specifically binds aminopeptidase P, whereby the moiety is directed to breast vasculature and provided that the homing molecule is not an antibody or antigen-binding fragment thereof.

A method of the invention can be practiced, for example, with a homing molecule that is a peptide or peptidomimetic. In one embodiment, a homing molecule that specifically binds aminopeptidase P is a peptide containing the amino acid sequence PGPEGAG (SEQ ID NO: 1) , or a peptidomimetic thereof. The invention can be practiced with a homing peptide having a length, for example, of at most 10 or 20 amino acids. For example, the invention can be practiced with a homing peptide containing the amino acid sequence PGPEGAG (SEQ ID NO: 1) and having a length of at most 10 or 20 amino acids. In specific embodiments, the homing molecule that specifically binds aminopeptidase P is a cyclic peptide or peptidomimetic, for example, a cyclic peptide containing the amino acid sequence PGPEGAG (SEQ ID NO: 1), or a peptidomimetic thereof. In another embodiment, the homing molecule that specifically binds aminopeptidase P inhibits the binding of peptide

PGPEGAG (SEQ ID NO: 1) to breast vasculature. In a further embodiment, the homing molecule that specifically binds aminopeptidase P is a selective inhibitor of aminopeptidase P such as apstatin or an analog thereof.

In a method of the invention for directing a moiety to breast vasculature in a subject, the conjugate can contain a moiety which is, for example, a therapeutic agent, cancer chemotherapeutic agent, pro-apoptotic agent, cytotoxic agent or detectable label. In specific embodiments, the invention is practiced with a conjugate that contains a homing peptide or peptidomimetic linked to a moiety which is a therapeutic agent, cancer chemotherapeutic agent, pro-apoptotic agent, cytotoxic agent or detectable label. In further embodiments, the invention is practiced with a conjugate that contains a homing peptide including the amino acid sequence PGPEGAG (SEQ ID NO: 1) , or a peptidomimetic thereof, linked to a moiety which is a therapeutic agent, cancer chemotherapeutic agent, pro-apoptotic agent, cytotoxic agent or detectable label . The invention further provides an isolated homing peptide that selectively homes to breast vasculature, which contains an amino acid sequence that has a length of less than 50 amino acids. An isolated homing peptide of the invention can have a variety of lengths, for example, at most 10 or at most 20 amino acids and, if desired, can be cyclic.

The invention additionally provides an isolated homing molecule having a length of less than 50 amino acids that selectively homes to breast vasculature and contains the amino acid sequence PGPEGAG (SEQ ID NO: 1), or a peptidomimetic thereof. In one embodiment, the invention provides an isolated homing peptide having a length of less than 50 amino acids that selectively homes to breast vasculature and contains the amino acid sequence PGPEGAG (SEQ ID NO: 1) . In another embodiment, the invention provides an isolated homing molecule having a length of less than 50 amino acids that selectively homes to breast vasculature and contains the amino' acid sequence

CPGPEGAGC (SEQ ID NO: 2), or a peptidomimetic thereof. Any of the above homing peptides can be useful as short peptides, for example, having a length of at most 10 or 20 amino acids, and, if desired, can be cyclic.

The invention also provides an isolated homing molecule having a length of less than 50 amino acids that selectively homes to breast vasculature and contains the amino acid sequence CRSS (SEQ ID NO: 3) , CRTS (SEQ ID NO: 4), CRSSN (SEQ ID NO : 9), CRTSN (SEQ ID NO: 10), CRSSNXXC (SEQ ID NO: 11), CRTSNXXC (SEQ ID NO: 12), CRSSNGDC (SEQ ID NO : 13), CRTSNYGC (SEQ ID NO: 14) or CR(T/S)SN(G/Y) (D/G) C (SEQ ID NO: 15), or a peptidomimetic of one of these sequences, where X is any amino acid. In one embodiment, the invention provides an isolated homing peptide having a length of less than 50 amino acids that selectively homes to breast vasculature and contains the amino acid sequence CRSS (SEQ ID NO: 3) . In another embodiment, the invention provides an isolated homing peptide having a length of less than 50 amino acids that selectively homes to breast vasculature and contains the amino acid sequence CRTS (SEQ ID NO: 4) . In further embodiments, the invention provides an isolated homing peptide having a length of less than 50 amino acids that selectively homes to breast vasculature and contains one of the following amino acid sequences: CRSSN (SEQ ID NO: 9), CRTSN (SEQ ID NO: 10), CRSSNXXC (SEQ ID NO: 11), CRTSNXXC (SEQ ID NO: 12), CRSSNGDC (SEQ ID NO: 13), CRTSNYGC (SEQ ID NO: 14) or CR (T/S) SN (G/Y) (D/G) C (SEQ ID NO: 15) , where X is any amino acid.

Further provided by the invention is a conjugate which contains a moiety linked to a homing molecule that selectively homes to breast vasculature. A homing molecule useful in the conjugate of the invention can be, for example, a peptide or peptidomimetic. In specific embodiments, a conjugate of the invention includes a homing peptide which contains the amino acid sequence PGPEGAG (SEQ ID NO: 1), CRSS (SEQ ID NO: 3) or CRTS (SEQ ID NO: 4), or a peptidomimetic of one of these sequences . In one embodiment, a conjugate of the invention includes a homing peptide that contains the amino acid sequence CRSS (SEQ ID NO: 3) . In another embodiment, a conjugate of the invention includes a homing peptide that contains the amino acid sequence CRTS (SEQ ID NO: 4) . In a further embodiment, a conjugate of the invention contains a homing molecule that selectively binds aminopeptidase P. In yet a further embodiment, a conjugate contains a homing molecule which is a selective inhibitor of aminopeptidase P. In one embodiment, the invention provides a conjugate which contains a moiety linked to a homing molecule that selectively homes to breast vasculature, provided that the homing molecule is not an antibody or antigen- binding fragment thereof .

A method or conjugate of the invention relies on a homing molecule that selectively homes to breast vasculature. As used herein, the term "molecule" is used broadly to mean a polymeric or non-polymeric organic chemical such as a small molecule drug; a nucleic acid molecule such as an RNA, a cDNA or an oligonucleotide; a peptide or peptidomimetic; or a protein such as an antibody or a growth factor receptor or a fragment thereof such as an Fv, Fd or Fab fragment of an antibody containing the antigen-binding domain.

Exemplified herein are various homing molecules that selectively home to breast vasculature such as PGPEGAG (SEQ ID NO: 1), CRSS (SEQ ID NO: 3), CRTS (SEQ ID NO: 4), and apstatin and analogs thereof. Additional homing molecules that selectively home to breast vasculature can be identified using in vivo panning, as disclosed in Example I (see, also, U.S. Patent No. 5,622,699). Molecules that selectively home to breast vasculature further can be identified by contacting aminopeptidase P with one or more molecules, and then determining specific binding of a molecule to aminopeptidase P, as disclosed herein below. In addition, molecules that selectively home to breast vasculature can be identified by contacting aminopeptidase P and PGPEGAG (SEQ ID NO: 1) with one or more molecules, and determining that specific binding of PGPEGAG (SEQ ID NO: 1) to aminopeptidase P was inhibited by at least one of the molecules, as disclosed herein below.

The term "homing molecule," as used herein, means any molecule that selectively homes in vivo to breast vasculature. By "selectively homes" is meant that, in vivo, the homing molecule binds preferentially to breast vasculature as compared to vasculature from a control organ and generally is characterized by at least a two-fold greater localization within breast vasculature as compared to the control vasculature . A homing molecule can be characterized by 5-fold, 10- fold, 20-fold or more preferential localization to breast vasculature as compared to control vasculature . It is understood that a homing molecule can home to one or more other types of vasculature in addition to breast vasculature.

The homing molecules of the invention are provided in isolated form. As used herein in reference to a homing molecule of the invention, the term "isolated" means a molecule that is in a form that is relatively free from material such as contaminating polypeptides, lipids, nucleic acids and other cellular material that normally is associated with the molecule in a cell or that is associated with the molecule in a library. In one embodiment, a homing molecule of the invention is a peptide or peptidomimetic. The term "peptide" is used broadly herein to mean peptides, proteins, fragments of proteins and the like. In one embodiment, a breast homing peptide of the invention is not an antibody or antigen-binding fragment thereof, which is an art-recognized term that refers to a peptide or polypeptide containing one or more complementarity determining regions (CDRs) . See, for example, Borrabaeck, Antibody Engineering 2nd Edition, Oxford University Press, New York (1995) .

Where a homing molecule that selectively homes to breast vasculature is a peptide, the peptide can have a relatively short length of less than five, six, seven, eight, nine, ten, 12, 15, 20, 25, 30, 35 or 40 amino acids. A homing peptide of the invention also can maintain its homing capability in the context of a significantly longer peptide or polypeptide sequence and can have, for example, a length of up to 50, 100, 150 or 200 amino acids. As disclosed herein, peptides CPGPEGAGC (SEQ ID NO : 2), CRSS (SEQ ID NO: 3) and CRTS (SEQ ID NO: 4) maintained the ability to home when fused to a phage coat protein, confirming that these peptides have homing activity when embedded in larger protein sequences.

In one embodiment, the invention provides chimeric peptides which contain a homing peptide that selectively homes to breast vasculature fused to a second peptide with a separate function. Such chimeric peptides are bifunctional, for example, displaying pro- apoptotic activity in addition to selective homing activity. As exemplary chimeric, bifunctional peptides, the invention provides PGPEGAG-GG-_D (KLAKLAK) ₂, CRSS-GG-_D(KLAKLAK)₂, and CRTS-GG-_D (KLAKLAK) ₂, which display selective homing activity to breast vasculature in addition to pro-apoptotic activity.

The invention further provides a homing peptide fused to a heterologous protein. In specific embodiments, the invention provides the peptide PGPEGAG (SEQ ID NO: 1), CPGPEGAGC (SEQ ID NO : 2), CRSS (SEQ ID NO: 3) or CRTS (SEQ ID NO: 4) fused to a heterologous protein, which can have a variety of lengths, for example, up to 100, 200, 400 or 800 amino acid residues. The term "heterologous," as used herein in reference to a protein fused to a homing peptide, means a protein derived from a source other than the gene encoding the homing peptide.

As used herein, the term "peptidomimetic" is used broadly to mean a peptide-like molecule that has the binding activity of the homing peptide upon which it is structurally based. Such peptidomimetics include chemically modified peptides, peptide-like molecules containing non-naturally occurring amino acids, and peptoids and have the selective homing activity of the homing peptide upon which the peptidomimetic is derived (see, for example, Goodman and Ro, Peptidomimetics for Drug Design, in "Burger's Medicinal Chemistry and Drug Discovery" Vol. 1 (ed. M.E. Wolff; John Wiley & Sons 1995) , pages 803-861) .

A variety of peptidomimetics are known in the art including, for example, peptide-like molecules which contain a constrained amino acid, a non-peptide component that mimics peptide secondary structure, or an amide bond isostere. A peptidomimetic that contains a constrained, non-naturally occurring amino acid can include, for example, an -methylated amino acid; α,α- dialkylglycine or -aminocycloalkane carboxylic acid; an N^α-C^α cylized amino acid; an N^-methylated amino acid; a β- or γ-amino cycloalkane carboxylic acid; an , β-unsaturated amino acid; a β,β-dimethyl or β-methyl amino acid; a β-substituted-2,3-methano amino acid; an N-C^δ or C^-C⁵ cyclized amino acid; a substituted proline or another amino acid mimetic. A peptidomimetic which mimics peptide secondary structure can contain, for example, a nonpeptidic β-turn mimic; γ-turn mimic; mimic of β-sheet structure; or mimic of helical structure, each of which is well known in the art. A peptidomimetic also can be a peptide-like molecule which contains, for example, an amide bond isostere such as a retro-inverso modification; reduced amide bond; methylenethioether or methylenesulfoxide bond; methylene ether bond; ethylene bond; thioamide bond; trans-olefin or fluoroolefin bond; 1, 5-disubstituted tetrazole ring; ketomethylene or fluoroketomethylene bond or another amide isostere. One skilled in the art understands that these and other peptidomimetics are encompassed within the meaning of the term "peptidomimetic" as used herein.

Methods for identifying a peptidomimetic are well known in the art and include, for example, the screening of databases that contain libraries of potential peptidomimetics. For example, the Cambridge Structural Database contains a collection of greater than 300,000 compounds that have known crystal structures (Allen et al . , Acta Crystallogr. Section B, 35:2331 (1979)). This structural depository is continually updated as new crystal structures are determined and can be screened for compounds having suitable shapes, for example, the same shape as a homing molecule, as well as potential geometrical and chemical complementarity to a target molecule, for example, aminopeptidase P. Where no crystal structure of a homing peptide or a target molecule that binds the homing molecule is available, a structure can be generated using, for example, the program CONCORD (Rusinko et al . , J. Chem. Inf. Comput . Sci . 29:251 (1989) ) . Another database, the Available Chemicals Directory (Molecular Design Limited, Informations Systems; San Leandro CA) , contains about 100,000 ^• compounds that are commercially available and also can be searched to identify potential peptidomimetics of a homing molecule that selectively homes to breast vasculature .

In one embodiment, a homing molecule of the invention is a cyclic peptide or peptidomimetic. As used herein, the term "cyclic" refers to a peptide or peptidomimetic having an intramolecular bond between two non-adjacent amino acids or amino acid analogues. The cyclization can be effected through a covalent or non-covalent bond. Intramolecular bonds include, but are not limited to, backbone to backbone, side-chain to backbone and side-chain to side-chain bonds. A preferred method of cyclization is through formation of a disulfide bond between the side-chains of non- adjacent amino acids or amino acid analogs. Residues capable of forming a disulfide bond include, for example, cysteine (Cys) , penicillamine (Pen), β,β- pentamethylene cysteine (Pmc) , β, β-pentamethylene-β- mercaptopropionic acid (Pmp) and functional equivalents thereof (see, also, Table 1) .

includes amino acids and analogs thereof . A peptide or peptidomimetic also can cyclize, for example, via a lactam bond, which can utilize a side-chain group of one amino acid or analog thereof to form a covalent attachment to the N-terminal amine of the amino-terminal residue. Residues capable of forming a lactam bond include aspartic acid (Asp) , glutamic acid (Glu) , lysine (Lys) , ornithine (Orn) , a, β-diaminopropionic acid, γ-amino-adipic acid (Adp) and M- (aminomethyl) benzoic acid (Mamb) . Cyclization additionally can be effected, for example, through the formation of a lysinonorleucine bond between lysine (Lys) and leucine (Leu) residues or a dityrosine bond between two tyrosine (Tyr) residues.

In another embodiment, a homing molecule that selectively homes to breast vasculature is a selective inhibitor of aminopeptidase P. As used herein, the term "selective inhibitor of aminopeptidase P" means an organic molecule that selectively decreases the enzymatic activity of aminopeptidase P. In general, a selective inhibitor of aminopeptidase P is a molecule that binds to the active site of aminopeptidase P. Such an inhibitor can be an organic molecule such as a drug; peptide; modified peptide or peptide mimetic; protein or protein fragment; nucleic acid molecule such as a ribonucleic or deoxyribonucleic acid; oligosaccharide; lipid; glycolipid; or lipoprotein. Exemplary aminopeptidase P inhibitors disclosed herein are apstatin and other apstatin analogs shown in Tables 2 through 4.

Table 2: Modifications of the Penultimate Proline or the C-Terminal Residue of Apstatin

IC₅₀ (μM) for membrane-bound aminopeptidase P^a

Compound AA human monkey rat bovine

IC₅₀ (μM) for membrane-bound aminopeptidase P^a

Compound AA human monkey rat bovine

IC₅₀ (μM) for membrane-bound aminopeptidase P^a

Compound AA human monkey rat bovine

Table 2 : Modifications of the Penultimate Proline or the C-Terminal Residue of Apstatin

IC₅₀ (μM) for membrane-bound aminopeptidase P^a

Compound AA R human monkey rat bovine

IC₅₀s determined in triplicate by linear regression analysis of the linear portion of the rate vs log inhibitor concentration plot. Average correlation coefficients for all determinations equal to 0.96. IC₅₀s determined with 0.5 mM arg=Pro-Pro in 0.1 M Hepes, pH 8.0. Compound 1 = apstatin, available from Sigma Chemical Company.

Table 3 : N- erminal Modifications of Apstatin

R-Pro-Ala-NH,

IC₅₀ (μM) for membrane-bound aminopeptidase P^a

Compound R human monkey rat bovine

Table 3: N- erminal Modifications of Apstatin

R-Pro-Ala-NH,

IC₅₀ (μM) for membrane-bound aminopeptidase P^a

Compound human monkey rat bovine

IC₅₀s determined in triplicate by linear regression analysis of the linear portion of the rate vs log inhibitor concentration plot. Average correlation coefficients for all determinations equal to 0.96. IC_sos determined with 0.5 mM arg=Pro-Pro in 0.1 M Hepes, pH 8.0. In the presence of mM MnCl₂.

Table 4: Substitutions for the AHPB-Pro Residues of Apstatin

R-Pro-Ala-NH,

IC₅₀ (μM) for membrane-bound aminopeptidase P^a

Compound stereoisome human monkey rat bovine r

Table 4: Substitutions for the AHPB-Pro Residues of Apstatin

R-Pro-Ala-NH,

IC₅₀ (μM) for membrane-bound aminopeptidase P^a

Compound stereoisome human monkey rat bovine r

a: IC₅₀s determined in triplicate by linear regression analysis of the linear portion of the rate vs log inhibitor concentration plot. Average correlation coefficients for all determinations equal to 0.96. IC₅₀s determined with 0.5 mM arg=Pro-Pro in 0.1 M Hepes, pH 8.0.

b: Fast and slow moving isomers from reverse phase HPLC.

A variety of selective inhibitors of aminopeptidase P are known in the art or can be identified by routine methods described herein below. Such selective inhibitors of aminopeptidase P include apstatin and are described, for example, in Maggiora, supra, 1339 , and Stockel et al . , "Specific Inhibitors of Aminopeptidase P," in Ansorge and Langner (Eds), Cellular Peptidases in Immune Functions and Diseases Plenum Press, New York 1997.

The conjugates of the invention are useful in preventing, treating or reducing the severity of breast cancer, including various stages of breast cancer. In one embodiment, a conjugate of the invention is administered to a woman at high risk of developing breast cancer to reduce the amount of breast tissue. Such a conjugate can contain, for example, a homing molecule that selectively homes to breast vasculature linked to a moiety such as a cytotoxic or pro-apoptotic moiety, wherein, upon administration to a subject, there is selective ablation of breast tissue. In another embodiment, a conjugate of the invention is administered to a subject having pre-malignant breast tissue. In a further embodiment, a conjugate of the invention is administered to a subject having early breast cancer.

The conjugates of the invention include a moiety linked to a homing molecule that selectively homes to breast vasculature. As used herein, the term "moiety" is used broadly to mean a physical, chemical, or biological material that can be linked to a breast homing molecule of the invention and generally imparts a biologically useful function to the breast homing molecule . A moiety can be any natural or nonnatural material including an organic chemical such as a small molecule, radionuclide, nucleic acid molecule or oligonucleotide, polypeptide, peptide or peptidomimetic. A moiety can be, for example, a therapeutic agent; cancer chemotherapeutic agent, pro-apoptotic agent, cytotoxic agent, diagnostic label or imaging agent ; or a tag or insoluble support . These and other moieties known in the art can be components of a conjugate of the invention, as disclosed herein below.

In one embodiment, a moiety is a therapeutic agent. As used herein, the term "therapeutic agent" means a molecule with a clinically valuable biological activity in a normal or pathologic tissue. A variety of therapeutic agents can be useful in a conjugate of the invention. A therapeutic agent useful for treating breast cancer can be, for example, a taxane such as docetaxel; an anthracyclin such as doxorubicin; an alkylating agent; a vinca alkaloid; an anti-metabolite; a platinum agent; a selective estrogen receptor modulator; a therapeutic antibody such as trastuzumab; or another agent useful for preventing, treating or reducing the severity of breast cancer.

A therapeutic agent useful in a conjugate of the invention can be, for example, a taxane drug such as docetaxel (Taxotere; Aventis Pharmaceuticals, Inc.; Parsippany, NJ) or paclitaxel (Taxol; Bristol-Myers Squibb; Princeton, NJ) . See, for example, Chan et al . , J. Clin. Oncol. 17:2341-2354 (1999), and Paridaens et al., J. Clin. Oncol. 18:724 (2000). Doxetaxel can be used in a conjugate of the invention, for example, for treatment of anthracyclin-resistant breast cancer (Burris, Seminars in Oncol . 28:38-44 (2001)). A therapeutic agent useful in a conjugate of the invention also can be an anthracyclin such as doxorubicin, idarubicin or daunorubicin. Doxorubicin is a commonly used cancer chemotherapeutic agent and, particularly, can be useful for treating breast cancer (Stewart and Ratain, In: "Cancer: Principles and practice of oncology" 5th ed. , chap. 19 (eds. DeVita, Jr., et al . ; J.P. Lippincott 1997); Harris et al . , In "Cancer: Principles and practice of oncology," supra, 1997) . In addition, doxorubicin has anti-angiogenic activity (Folkman, supra, 1997; Steiner, In "Angiogenesis : Key principles-Science, technology and medicine," pp. 449-454 (eds. Steiner et al . ; Birkhauser Verlag, 1992) ) , which can contribute to its effectiveness in treating cancer.

In addition to an anthracyclin, an alkylating agent such as melphalan or chlorambucil can be a therapeutic agent useful in a conjugate of the invention. Similarly, a vinca alkaloid such as vindesine, vinblastine or vinorelbine; or an antimetabolite such as 5-fluorouracil, 5-fluorouridine or a derivative thereof also is a cancer chemotherapeutic agent useful when conjugated to a breast homing molecule. Other chemotherapeutic agents useful in a conjugate of the invention include cis- platinum, methotrexate, and mitomycin-C.

A therapeutic agent for treatment of breast cancer also can be an agent that antagonizes the effect of estrogen, such as a selective estrogen receptor modulator or an anti-estrogen. The selective estrogen receptor modulator, tamoxifen, is a therapeutic agent that can be used in a conjugate of the invention for treatment of breast cancer (Fisher et al . , J. Natl. Cancer Instit . 90:1371-1388 (1998)). A therapeutic agent to be linked to a breast homing molecule in a conjugate of the invention also can be a platinum agent. Such a platinum agent can be, for example, cisplatin or carboplatin as described, for example, in Crown, Seminars in Oncol . 28:28-37 (2001).

A therapeutic agent useful in a conjugate of the invention also can be an antibody such as a humanized monoclonal antibody. For example, the anti-epidermal growth factor receptor 2 (HER2) antibody, trastuzumab (Herceptin; Genentech, South San Francisco, CA) is a therapeutic agent useful in a conjugate of the invention for treating HER2/neu overexpressing breast cancers (Burris et al . , supra, 2001; White et al . , Annu. Rev. Med. 52:125-141 (2001)).

In one embodiment, a conjugate of the invention contains a cytotoxic agent linked to a homing molecule that selectively homes to breast vasculature. As used herein, the term "cytotoxic agent" refers to any molecule that results in cell death by any mechanism. Exemplary cytotoxic agents are doxorubicin, docetaxel and trastuzumab and antimicrobial peptides, described herein below.

The invention further provides a conjugate in which a homing molecule that selectively homes to a breast vasculature is linked to an antimicrobial peptide, where the conjugate is selectively internalized by breast tissue and exhibits a high toxicity to the breast tissue, and where the antimicrobial peptide has low mammalian cell toxicity when not linked to the homing molecule. As used herein, the term "antimicrobial peptide" means a naturally occurring or synthetic peptide having antimicrobial activity, which is the ability to kill or slow the growth of one or more microbes and which has low mammalian cell toxicity when not linked to a homing molecule. An antimicrobial peptide can, for example, kill or slow the growth of one or more strains of bacteria including a Gram-positive or Gram-negative bacteria, or a fungi or protozoa. Thus, an antimicrobial peptide can have, for example, bacteriostatic or bacteriocidal activity against, for example, one or more strains of Escherichia coli, Pseudomonas aeruginosa or Staphylococcus aureus . While not wishing to be bound by the following, an antimicrobial peptide can have biological activity due to the ability to form ion channels through membrane bilayers as a consequence of self-aggregation.

An antimicrobial peptide is typically highly basic and can have a linear or cyclic structure. As discussed further below, an antimicrobial peptide can have an amphipathic α-helical structure (see U.S. Patent 5,789,542; Javadpour et al . , supra, 1996; Blondelle and Houghten, supra, 1992) . An antimicrobial peptide also can be, for example, a β-strand/sheet-forming peptide as described in Mancheno et al., J. Peptide Res. 51:142-148 (1998).

An antimicrobial peptide can be a naturally occurring or synthetic peptide. Naturally occurring antimicrobial peptides have been isolated from biological sources such as bacteria, insects, amphibians and mammals and are thought to represent inducible defense proteins that can protect the host organism from bacterial infection. Naturally occurring antimicrobial peptides include the gramicidins, magainins, mellitins, defensins and cecropins (see, for example, Maloy and Kari, Biopolvmers 37:105-122 (1995); Alvarez-Bravo et al . , Biochem. J. 302:535-538 (1994); Bessalle et al . , FEBS 274:151-155 (1990); and Blondelle and Houghten in Bristol (Ed.), Annual Reports in Medicinal Chemistry pages 159-168 Academic Press, San Diego) . As discussed further below, an antimicrobial peptide also can be an analog of a natural peptide, especially one that retains or enhances amphipathicity.

An antimicrobial peptide incorporated within a conjugate of the invention has low mammalian cell toxicity when not linked to a breast homing molecule. Mammalian cell toxicity readily can be assessed using routine assays. For example, mammalian cell toxicity can be assayed by lysis of human erythrocytes in vi tro as described in Javadpour et al . , supra, 1996. An antimicrobial peptide having low mammalian cell toxicity is not lytic to human erythrocytes or requires concentrations of greater than 100 μM for lytic activity, preferably concentrations greater than 200, 300, 500 or 1000 μM.

In one embodiment, the invention provides a conjugate in which the antimicrobial peptide portion promotes disruption of mitochondrial membranes when internalized by eukaryotic cells. In particular, such an antimicrobial peptide preferentially disrupts mitochondrial membranes as compared to eukaryotic membranes. Mitochondrial membranes, like bacterial membranes but in contrast to eukaryotic plasma membranes, have a high content of negatively charged phospholipids . An antimicrobial peptide can be assayed for activity in disrupting mitochondrial membranes using, for example, an assay for mitochondrial swelling (as described in Example I) or another assay well known in the art. As disclosed herein, for example, _D (KLAKLAK) ₂ induced marked mitochondrial swelling at a concentration of 10 μM, significantly less than the concentration required to kill eukaryotic cells. An antimicrobial peptide that induces significant mitochondrial swelling at, for example, 50 μM, 40 μM, 30 μM, 20 μM, 10 μM, or less, is considered a peptide that promotes disruption of mitochondrial membranes.

An antimicrobial peptide portion can include, for example, the sequence (KLAKLAK) ₂ (SEQ ID NO: 16), (KLAKKLA)₂ (SEQ ID NO: 17), (KAAKKAA)₂ (SEQ ID NO: 18), or (KLGKKLG)₃ (SEQ ID NO: 19), and, in one embodiment, includes the sequence _D (KLAKLAK) ₂. A conjugate of the invention, which contains a homing molecule that selectively homes to breast vasculature linked to an antimicrobial peptide, can have, for example, the sequence PGPEGAG-GG-_D (KLAKLAK) ₂, CRSS-GG-_D (KLAKLAK) ₂, or CRTS-GG-_D (KLAKLAK) ₂.

Antimicrobial peptides generally have random coil conformations in dilute aqueous solutions, yet high levels of helicity can be induced by helix-promoting solvents and amphipathic media such as micelles, synthetic bilayers or cell membranes. -Helical structures are well known in the art, with an ideal α-helix characterized by having 3.6 residues per turn and a translation of 1.5 A per residue (5.4A per turn; see Creighton, Proteins : Structures and Molecular Properties W.H Freeman, New York (1984)) . In an amphipathic -helical structure, polar and non-polar amino acid residues are aligned into an amphipathic helix, which is an α-helix in which the hydrophobic amino acid residues are predominantly on one face, with hydrophilic residues predominantly on the opposite face when the peptide is viewed along the helical axis.

Antimicrobial peptides of widely varying sequence have been isolated, sharing an amphipathic α-helical structure as a common feature (Saberwal et al., Biochim. Biophvs. Acta 1197:109-131 (1994)). Analogs of native peptides with amino acid substitutions predicted to enhance amphipathicity and helicity typically have increased antimicrobial activity. In general, analogs with increased antimicrobial activity also have increased cytotoxicity against mammalian cells (Maloy et al . , Biopolymers 37:105-122 (1995) ) .

As used herein in reference to an antimicrobial peptide, the term amphipathic α-helical structure means an α-helix with a hydrophilic face containing several polar residues at physiological pH and a hydrophobic face containing nonpolar residues . A polar residue can be, for example, a lysine or arginine residue, while a nonpolar residue can be, for example, a leucine or alanine residue. An antimicrobial peptide having an amphipathic α-helical structure generally has an equivalent number of polar and nonpolar residues within the amphipathic domain and a sufficient number of basic residues to give the peptide an overall positive charge at neutral pH (Saberwal et al . , Biochim. Biophys . Acta 1197:109-131 (1994)). One skilled in the art understands that helix-promoting amino acids such as leucine and alanine can be advantageously included in an antimicrobial peptide of the invention (see, for example, Creighton, supra, 1984) . Synthetic, antimicrobial peptides having an amphipathic α-helical structure are known in the art, for example, as described in U.S. Patent No. 5,789,542 to McLaughlin and Becker.

A therapeutic agent useful in a conjugate of the invention also can be an anti-angiogenic agent, which is a molecule that reduces or prevents angiogenesis . Vascular endothelial growth factor (VEGF) has been shown to be important for breast cancer angiogenesis in vivo (Borgstrom et al . , Anticancer Res. 19:4213-4214 (1999)). An anti- angiogenic agent can be, for example, an inhibitor or neutralizing antibody that inhibits a growth factor or other factor important for angiogenesis. In one embodiment, the anti-angiogenic agent is an anti-VEGF neutralizing monoclonal antibody (Borgstrom et al., supra, 1999) .

It is understood by one skilled in the art of medicinal oncology that these and other agents are useful therapeutic agents, which can be used separately or together in treating breast cancer. It further is understood that a conjugate of the invention can contain one or more of such therapeutic agents and that additional components can be included as part of the conjugate, if desired. For example, in some cases, it can be desirable to utilize an oligopeptide spacer between the homing molecule and the therapeutic agent (Fitzpatrick and Garnett, Anticancer Drug Des . 10:1-9 (1995) ) .

Further provided by the invention is a method of imaging breast vasculature in a subject. The method includes the steps of administering to the subject a conjugate containing a detectable label linked to a molecule that specifically binds aminopeptidase P, whereby the conjugate specifically binds breast vasculature; and detecting the conjugate. In a method of the invention for imaging breast vasculature, the homing molecule can be, for example, a peptide or peptidomimetic, such as a peptide comprising the amino acid sequence PGPEGAG (SEQ ID NO: 1) , or a peptidomimetic thereof, and, if desired, can be a cyclic peptide or peptidomimetic. A homing peptide useful in the invention, such as a peptide including the amino acid sequence PGPEGAG (SEQ ID NO: 1) , can have a length of, for example, at most 10 or 20 amino acids. In one embodiment, the homing molecule that specifically binds aminopeptidase P is a selective inhibitor of aminopeptidase P. A variety of detectable labels are useful in the imaging methods of the invention, including, for example, indium-Ill, technitium-99, carbon-11 and carbon-13.

The imaging methods of the invention can be useful for detecting the presence or absence of pathology in the breast. For example, following administration of a breast homing molecule conjugated to a detectable label, breast vasculature can be visualized. If the image is abnormal, for example, if the local distribution of breast vasculature is other than that expected for a size and age matched subject, the imaging result can indicate the presence of cancer.

In a method of imaging breast vasculature, the conjugate administered contains a detectable label that allows detection or visualization of breast vasculature. For in vivo diagnostic imaging of breast vasculature, a breast homing molecule is linked to a detectable label that, upon administration to the subject, is detectable external to the subject. Such a detectable label can be, for example, a gamma ray emitting radionuclide such as indium-113, indium-115 or technetium-99; following administration to a subject, the conjugate can be visualized using a solid scintillation detector.

The present invention is directed to the surprising discovery that aminopeptidase P-binding molecules home specifically to breast vasculature in spite of aminopeptidase P expression in other tissues such as kidney and lung. As disclosed herein, phage bearing aminopeptidase P-binding peptide SEQ ID NO: 1 homed selectively to breast vasculature in preference to pancreas, brain, kidney, lung and skin and in spite of the fact that aminopeptidase P is expressed in lung vasculature . These results indicate that aminopeptidase P can act as a receptor to mediate selective homing of molecules to breast vasculature in preference to the vasculature in other organs .

Based on this finding, the present invention provides a method of identifying a homing molecule that selectively homes to breast vasculature by contacting aminopeptidase P with one or more molecules; and determining specific binding of a molecule to aminopeptidase P, where the presence of specific binding identifies at least one of the molecules as a homing molecule that selectively homes to breast vasculature. A method of the invention for identifying a homing molecule that selectively homes to breast vasculature can be practiced, for example, with substantially purified aminopeptidase P. In one embodiment, the invention is practiced with aminopeptidase P immobilized on a support. In another embodiment, the invention is practiced with human aminopeptidase P.

The present invention also provides a method of identifying a homing molecule that selectively homes to breast vasculature by contacting aminopeptidase P and a peptide containing the amino acid sequence PGPEGAG (SEQ ID NO: 1) , or a peptidomimetic thereof, with one or more molecules; and determining specific binding of the peptide or peptidomimetic to aminopeptidase P in the presence of the one or more molecules as compared to binding in the absence of the one or more molecules, where inhibition of specific binding identifies at least one of the molecules as a homing molecule that selectively homes to breast vasculature . In a method of the invention, the aminopeptidase P can be, for example, substantially purified. In one embodiment, the aminopeptidase P is human aminopeptidase P.

The methods of the invention for identifying a homing molecule that selectively homes to breast vasculature can be practiced in vivo or in vi tro, and aminopeptidase P can be obtained from a number of sources. Sources of aminopeptidase P include whole cells or cell extracts containing endogenous or exogenous aminopeptidase P. Sources of endogenous aminopeptidase P include, for example, breast tissue, breast vasculature, or breast endothelial cell lines. Sources of aminopeptidase P further include partially purified cell extracts; biochemically purified enzyme, for example, affinity purified aminopeptidase P; recombinant polypeptide; and transfected cell lines, which can be, for example, endothelial cell lines such as breast endothelial cell lines.

Aminopeptidase P (AP-P; E.C. 3.4.11.9; X-Pro aminopeptidase) is expressed in a variety of different organisms, including mammals, yeast and bacteria, and is one of the rare enzymes which process proline motifs in peptides. This exopeptidase cleaves the N-terminal residue from long and short peptides with a penultimate proline and is one of only a few proline specific peptidases that can cleave the imide bond on the amino-terminal side of proline. Physiological substrates for aminopeptidase P include bradykinin, which has potent vasodilatory and cardioprotective effects; this substrate is inactivated, in part, through cleavage by aminopeptidase P (Lloyd et al . , Biochem. Pharmacol. 52:229-236 (1996).

Specificity studies with aminopeptidase P have revealed a broad specificity for the first amino acid of a peptide substrate, while proline or hydroxyproline is generally seen in the second position. Dipeptides are not cleaved by aminopeptidase P, and the third amino acid typically has a small side chain, for example, alanine, proline, glycine, or valine. In addition, aminopeptidase P generally shows higher binding affinities for tetrapeptide than tripeptide substrates (Simmons and Orawski, J. Biol. Chem. 267:4897-4903 (1992); Yoshimoto et al., Arch. Biochem. Biophvs. 311:28-34 (1994); and Orawski and Simmons, Biochemistry 34:11227-11236

(1995)). Aminopeptidase P can be selectively inhibited by apstatin with a Ki value of 2.6 μM and 0.64 μM for rat and human membrane-bound aminopeptidase P, respectively (Yoshimoto et al . , supra, 1994). Aminopeptidase P is known to occur in two forms: a membrane-bound form and a cytosolic form (Dehm and Nordwig, Eur. J. Biochem. 17:364-371 (1970)). The membrane-bound form, first purified from porcine kidney, is attached to the lipid bilayer by a glycosyl- phosphatidylinositol (GPI) anchor (Hooper et al . , Biochem. J. 267:509-515 (1990)). The membrane-bound form of aminopeptidase P is located as an ectoenzyme on the plasma membrane of endothelial and epithelial cells. GPI anchors membrane-bound aminopeptidase P to the luminal surface of the pulmonary microvascular endothelium (Ryan et al . , Immunopharmacol . 32:149-152 (1996)). The cDNA encoding membrane-bound aminopeptidase P encodes a protein with a cleavable N-terminal signal peptide that directs translocation into the endoplasmic reticulum, and a C-terminal GPI anchor attachment signal (Hyde et al . , Biochem. J. 319:197-201 (1996) ) .

Aminopeptidase P has been purified from a variety of sources. The soluble form of aminopeptidase P has been purified, for example, from human platelets (van Hoof et al . , Biochem. Pharmacol. 44:479-487 (1992)), human leukocytes (Rusu and Yaron, Eur. J. Biochem. 210:93-100 (1992)), rat brain (Harbeck and Mentlein, Eur. J. Biochem. 198: 451-458 (1991)), and guinea pig serum (Ryan et al . , Biochim. Biophys. Acta 1119:140-147 (1992); and Ryan et al . , Biochem . Biophys . Res. Comm. 205:1796-1802 (1994)). The insoluble, membrane-bound form of aminopeptidase P has been purified, for example, from pig kidney (Hooper et al . , Biochem. J. 267:509-515 (1990); Romero et al . , Eur . J. Biochem. 229:262-269 (1995), bovine lung (Simmons and Orawski, J. Biol. Chem. 267:4897-4903 (1992), rat lung (Orawski and Simmons, Biochemistry 34:11227-11236 (1995) and guinea pig lung and kidney (Ryan et al . , supra, 1994) . The membrane-bound form of aminopeptidase P is heavily glycosylated and, as discussed above, contains a GPI anchor.

The human membrane-bound aminopeptidase P cDNA has an open reading frame of 2019 nucleotides and a deduced amino acid sequence of 673 residues with a calculated molecular weight of about 75 kDa (Venema et al., Biochimica et Biophysica Acta 1354:45-48 (1997)). Comparison of the human aminopeptidase P amino acid sequence to that of porcine aminopeptidase P reveals

83% amino acid identity between the two species. Human membrane-bound aminopeptidase P is widely expressed as determined by Northern analysis, with expression detected in kidney, lung, heart, placenta, liver, small intestine and colon while no expression was observed in brain, skeletal muscle, pancreas, spleen, thymus, prostate, testis, ovary and leukocytes (Venema et al . , supra, 1997) .

As used herein, the term "aminopeptidase P" is synonymous with "X-Pro aminopeptidase," "APP" and

"AP-P" and means an enzyme that cleaves the imide bond on the amino-terminal side of proline and which is selectively inhibited by apstatin. The term aminopeptidase P encompasses any bacterial, yeast or mammalian aminopeptidase P, for example, a human, monkey, bovine, porcine, guinea pig, rat, murine or E. coli homolog of aminopeptidase P. An exemplary human membrane-bound aminopeptidase P sequence is provided herein as SEQ ID NO: 8 in Figure 7 (see, also, GenBank accession U90724) . The term aminopeptidase P includes any homolog of human aminopeptidase P as well as any related polypeptide having substantial amino acid sequence similarity to an aminopeptidase P homolog. Such related polypeptides generally will exhibit greater sequence similarity to SEQ ID NO: 8 than to other proline directed peptidases and include membrane- bound and cytosolic forms of aminopeptidase P, alternatively spliced forms and isotype variants of the human aminopeptidase P amino acid sequence shown in Figure 7 and other species homologs known in the art . Thus, the term aminopeptidase P encompasses homologous polypeptides obtained from different species as well as other variants and related polypeptides that generally have amino acid identities of greater than 50% with SEQ ID NO: 8, and can have amino acid identities of greater than 60%, 70%, 80%, 90% or 95% with SEQ ID NO: 8. It is understood that the term aminopeptidase P encompasses mature forms of the protein lacking signal peptides, for example, mature forms of human aminopeptidase P beginning at Lys-24 or His-22 as shown in Figure 7.

It further is clear to the skilled person that the term aminopeptidase P encompasses polypeptides with one or more naturally occurring or non-naturally occurring amino acid substitutions, deletions or insertions as compared to SEQ ID NO: 8, provided that the polypeptide retains enzymatic activity. Modifications to naturally occurring aminopeptidase P polypeptides that are encompassed within the definition of aminopeptidase P include, for example, an addition, deletion, or substitution of one or more conservative or non-conservative amino acid residues; substitution of a compound that mimics amino acid structure or function; or addition of chemical moieties such as amino or acetyl groups. The activity of a modified aminopeptidase P or fragment thereof can be assayed using an appropriate substrate such as Arg-Pro-Pro as described in Simmons and Orawski, supra, 1992. It is understood that one skilled in the art can identify a homing molecule that selectively homes to vasculature using any aminopeptidase P, including naturally and non-naturally occurring forms of the enzyme. In one embodiment, a method of the invention for identifying breast homing molecules is practiced with a membrane-bound aminopeptidase P. In another embodiment, a method of the invention relies on a mammalian aminopeptidase P. In a further embodiment, identification of breast homing molecules according to a method of the invention uses a mammalian membrane- bound aminopeptidase P, which can be, for example, a human membrane aminopeptidase P (see Figure 7) .

It further is understood that a method for identifying a homing molecule that selectively homes to breast vasculature can be practiced with an active fragment of aminopeptidase P. As used herein, the term "active fragment" means a polypeptide fragment that has substantially the amino acid sequence of a portion of an aminopeptidase P polypeptide and that retains the enzymatic activity of the parent polypeptide. An active fragment of aminopeptidase P can have, for example, substantially the amino acid sequence of the carboxy-terminal half of a mammalian aminopeptidase P such as the carboxy-terminal half of human membrane-bound aminopeptidase P. See, for example, Cottrell et al . , Biochemistry 39:15129-15135 (2000), in which residues involved in metal binding and catalysis were identified.

In one embodiment, a method of the invention for identifying a homing molecule that selectively homes to breast vasculature is practiced with substantially purified aminopeptidase P. The term "substantially purified, " as used herein in reference to an aminopeptidase P polypeptide or active fragment thereof, means that the polypeptide or active fragment is in a form that is relatively free from contaminating lipids, nucleic acids, unrelated polypeptides and other cellular material normally associated with aminopeptidase P in a cell.

Affinity chromatography can be particularly useful for purifying or partially purifying aminopeptidase P for use in identifying a homing molecule according to a method of the invention. For example, aminopeptidase P can be purified from breast tissue extracts, breast vasculature, a breast endothelial cell line, or another cell line or tissue in which aminopeptidase P is expressed by affinity chromatography using immobilized peptide CPGPEGAGC (SEQ ID NO: 2) as described in Example III. Similarly, aminopeptidase P can be obtained by affinity chromatography using other immobilized ligands such as apstatin. A partially purified preparation of membrane-bound aminopeptidase P can be readily obtained, for example, by treatment of cultured cells or cells from dispersed tissue with phosphatidylinositol-specific phospholipase C (ICN; Costa Mesa, CA) , followed by centrifugation as described previously in Simmons and Orawski, supra, 1992.

Recombinant aminopeptidase P or an active fragment thereof also can be useful for identifying a breast homing molecule according to a method of the invention. The amino acid and nucleic acid sequences of a variety of aminopeptidase P homologs are known in the art . Nucleic acid sequences encoding an aminopeptidase P can be obtained, for example, from the literature or from databases such as GenBank. See, for example, the membrane-bound human aminopeptidase P sequence available as GenBank accession U90724; the membrane-bound porcine aminopeptidase P sequence available as GenBank accession U55039; the murine membrane-bound aminopeptidase P sequence available as GenBank accession AF367247; the rat membrane-bound aminopeptidase P sequence available as GenBank accession AF359355; the human cytosolic aminopeptidase P sequence available as GenBank accession AF272981; the murine cytosolic aminopeptidase P sequence available as GenBank accession AF363970; and the E. coli aminopeptidase P sequence available as GenBank accession P15034. Novel aminopeptidase P cDNAs can be isolated from additional mammalian species with a nucleotide sequence as a probe or primer using methods well known in the art of molecular biology (Innis et al . (Ed.), PCR Protocols, San Diego: Academic Press, Inc. (1990)). One skilled in the art knows a variety of methods for expression of aminopeptidase P encoding nucleic acids and subsequent isolation of recombinant aminopeptidase P polypeptide.

In the methods of the invention for identifying a homing molecule that selectively homes to breast vasculature, specific binding of a molecule to aminopeptidase P can identify the molecule as a homing molecule that selectively homes to breast vasculature. The term "specific binding," as used herein in reference to a molecule and aminopeptidase P, means that the molecule has an affinity for aminopeptidase P that is measurably different from a non-specific interaction. Specific binding can be measured, for example, by determining binding of a molecule compared to binding of a control molecule, which generally is a molecule of similar structure that does not have binding activity. In this case, specific binding is indicated if the molecule has measurably higher affinity for aminopeptidase P than the control molecule. Specificity of binding also can be determined, for example, by competition with a control molecule that is known to bind to aminopeptidase P, for example, a peptide containing the PGPEGAG (SEQ ID NO: 1) motif.

The term specific binding, as used herein, includes both low and high affinity specific binding. Specific binding can be exhibited, for example, by a low affinity aminopeptidase P-binding molecule having a Kd for aminopeptidase P of about 10^~4 M to about 10"⁷ M. Specific binding also can be exhibited by a high affinity aminopeptidase P binding molecule, for example, an aminopeptidase P-binding molecule having a Kd for aminopeptidase P of at least about 10"⁷ M, at least about 10^"8 M, at least about 10^"9 M, at least about 10^"10 M, or at least about 10^"11 M or 10^-12 M. Both low and high affinity aminopeptidase P-binding molecules can be useful as homing molecules to selectively direct a moiety to breast vasculature in a subject as disclosed herein.

A molecule that specifically binds aminopeptidase P binds in preference to an unrelated protein such as albumin or in preference to a related but distinct enzyme, for example, in preference to one or all other proline-directed peptidases. In one embodiment, a molecule that specifically binds aminopeptidase P has little or no binding to other proline-directed peptidases such as prolidase.

A variety of art known techniques can be used to determine specific binding of a molecule to aminopeptidase P according to a method of the invention. Conditions suitable for specific binding are described, for example, in Example III. Specific binding can be determined by transfecting cells lacking aminopeptidase P expression with an aminopeptidase P- encoding nucleic acid molecule. In this case, specific binding can be determined by significantly higher binding of a molecule to the aminopeptidase P-transfected cells than to untransfected cells. Homing molecules that selectively home to breast vasculature also can be identified by selecting molecules which inhibit binding of a known aminopeptidase P binding molecule such as a peptide containing the amino acid sequence PGPEGAG (SEQ ID NO: 1) , or a peptidomimetic thereof, to aminopeptidase P.

The term "selective inhibition, " as used herein in reference to a aminopeptidase P, means a decrease in aminopeptidase P enzymatic activity in a manner that is selective for the aminopeptidase P enzyme as compared to related but different enzymes such as other proteases. Thus, selective inhibition of aminopeptidase P is distinct from non-specific inhibition of, for example, all zinc metalloproteases . In one embodiment, selective inhibition is a decrease in aminopeptidase P enzymatic activity as compared to one or all other proline-directed peptidases. For example, a molecule that selectively inhibits aminopeptidase P can selectively decrease aminopeptidase P activity while having little or no effect on the activity of other proline-directed peptidases such as prolidase.

A variety of assays are known in the art for determining enzymatic activity of aminopeptidase P. All forms of aminopeptidase P can be routinely assayed, for example, using 0.5 mM Arg-Pro-Pro (Bachem Biosciences; Philadelphia, PA)' in 0.1 M Hepes, pH 8.0. The enzyme reaction can be followed by measuring the increase in production of free arginine by a fluorescence assay, as described, for example, in

Simmons and Orawski, supra, 1992 (see, also, Maggiora et al., J. Med. Chem. 42:2394-2402 (1999). Additional fluorogenic substrates for conveniently assaying for selective inhibition of aminopeptidase P are known in the art, as described, for example, in Hawthorne et al., Analytical Biochem. 253:13-17 (1997). One skilled in the art understands that these and other routine assays can be used in the methods of the invention.

The following examples are intended to illustrate but not limit the present invention.

EXAMPLE I THE CYCLIC PEPTIDE CPGPEGAGC (SEQ ID NO; 2) HOMES TO

BREAST TISSUE

This example demonstrates that in vivo panning can be used to identify a peptide that selectively homes to breast tissue.

Phage that home selectively to mammary vasculature were identified by intravenous injection of a phage library into mice and subsequently rescue of the phage from breast tissue. Figure 1 shows the enrichment profile obtained in 5 rounds of phage selection. The number of phage recovered from breast tissue increased to about 100-fold in five rounds of selection. The number of phage recovered from the pancreas, which was used as a control tissue, remained unaffected. Non-recombinant T7 phage were not enriched by in vivo selection for breast homing.

Sequence analysis showed that phage displaying the heptapeptide CPGPEGAGC (SEQ ID NO: 2) were enriched among phage isolated from breast tissue, accounting for 14% of phage present in the pool. Furthermore, when tested individually, about 100 times more of the CPGPEGAGC (SEQ ID NO: 2) -displaying phage than control T7 phage homed to breast tissue. As shown in Figure 2, the CPGPEGAGC (SEQ ID NO : 2) phage did not home to the other tissues assayed, including pancreas, brain, kidney, lung, or skin from parts of the body other than the breast fat pad. As further shown in Figure 2, the breast-homing of the CPGPEGAGC (SEQ ID NO: 2) phage was specific; coinjection of free peptide SEQ ID NO: 2 markedly reduced phage recovery from breast tissue.

A phage display peptide library with the general structure of CX₇C, where C is cysteine and X is any amino acid, was constructed in T7 phage essentially as follows. Briefly, complementary oligonucleotides that encoded the random peptide insert as NNK codons, and had 5DECORI and 3DHindIII overhangs, were annealed. The resulting double stranded DNA was phosphorylated with T4 polynucleotide kinase (Novagen; Madison, WI) and ligated into 1 μg of T7Select415-lb vector arms. The ligated product was directly added to 50 μl of packaging extract and incubated for two hours, yielding 10⁸ pfu total recombinants . The recombinants were amplified in 500 ml of liquid culture. Purification of phage particles and sequencing of single stranded phage DNA was performed essentially as described in Hoffman et al . , "In vivo and ex vivo selections using phage-displayed libraries" in Phage Display: A Practical Approach, Clarkson and Lowman, Eds. (Oxford, U.K.: Oxford University Press), 2001.

In vivo phage selection was performed as described previously with a few modifications. Briefly, mice were anesthetized with avertin and then injected intravenously with 10⁹ plaque forming units (pfu) from the CX₇C library. Seven minutes after the injection, the mice were perfused through the heart with 10 ml of phosphate buffered saline (PBS) . Mammary tissue was then excised, weighed, and homogenized using a Medimachine (Dako, Denmark) . The resulting single cells were spun down at 1500 rpm and washed five times with PBS. Phage adherent to the cells were rescued by infecting BL21 bacteria (Novagen) , and the phage quantified by plaque assay.

These results indicate that the peptide CPGPEGAGC (SEQ ID NO: 2) selectively homes to breast tissue.

EXAMPLE II CPGPEGAGC (SEQ ID NO; 2) PHAGE BIND TO BREAST VASCULAR

ENDOTHELIUM

This example demonstrates that phage displaying the peptide CPGPEGAGC (SEQ ID NO: 2) bind the vascular endothelium of mammary tissue.

Phage overlay of tissue sections stained with the endothelial marker, CD-31, showed that the binding sites for the breast-homing phage co-localized with the endothelial marker, indicating that the CPGPEGAGC (SEQ ID NO: 2) phage primarily bound endothelial cells (Figure 3A) . Some phage binding to the parenchymal cells in breast tissue also was observed. CPGPEGAGC (SEQ ID NO: 2) phage also co-localized with CD-31 in hyperplastic mammary tissue of 45-day old MMTV PyMT mice . The vasculature of breast cancers developed by these mice, tested at 80 days of age, was also positive in the phage overlay. As further shown in Figure 3B, phage bearing the breast homing peptide CPGPEGAGC (SEQ ID NO: 2) did not bind to vasculature of lung or liver metastases in the MMTV PyMT mice.

Phage overlay assays were performed essentially as follows. Sections from fresh frozen tissues were cut at 7 μm, air dried for one hour on microscope slides, fixed with ice-cold acetone, and air dried for 15 minutes. The slides were then incubated in 50 μl of phage solution (10¹⁰ pfu/ml) at 4Dc for one hour; washed three times with PBS/0.01% Tween-20 (BioRad; Hercules, CA) ; and incubated with antiserum to T7 phage, followed by FITC-labeled goat anti-rabbit antibody (Molecular Probes; Eugene, OR) .

CD31 immunostaining was performed as follows.

Sections from fresh frozen tissue were fixed as described above, and the slides incubated for one hour with monoclonal anti-CD-31 antibody (Invitrogen; La Jolla, CA) , diluted 1/1000, followed by incubation with TRITC-labeled goat anti-mouse antibody, diluted 1/200 (Molecular Probes) .

These results demonstrate that peptide CPGPEGAGC (SEQ ID NO: 2) selectively homes to the endothelium of breast tissue. EXAMPLE III AN AMINOPEPTIDASE P-RELATED CLONE BINDS THE CPGPEGAGC (SEQ ID NO; 2) PEPTIDE

To identify the receptor for the CPGPEGAGC (SEQ ID NO: 2) peptide in breast vasculature, a breast cancer cDNA library was screened against insolubilized CPGPEGAGC (SEQ ID NO: 2) peptide. Phage recovery increased about 50-fold in 5 rounds of selection on the peptide (Figure 4A) . Among the individual phage clones from the selected pool, one clone bound avidly to the peptide-coated surface (Figure 4B) , but not to a surface treated with the blocking buffer only (not shown) . As shown in Figure 4C, sequence analysis revealed that this clone encodes a peptide that is highly homologous to the signal peptide plus the N-terminal 14 amino acids of aminopeptidase P (AmPaseP) .

As shown in Figure 5A, binding of the aminopeptidase P encoding phage to insolubilized CPGPEGAGC (SEQ ID NO : 2) peptide could be blocked by co-incubation of the phage with free peptide SEQ ID NO: 2; with apstatin (SIGMA; St. Louis, MO), a synthetic inhibitor of aminopeptidase P; or with an anti-aminopeptidase P antibody (Lasch et al., Biol. Chem. 379:705-709 (1998)). In contrast, a control antibody had no effect. Furthermore, co-injection into mice of anti-aminopeptidase P antibody with CPGPEGAGC (SEQ ID NO: 2) -bearing phage reduced by almost 90% the number of phage subsequently rescued from the breast tissue, while a control antibody did not affect breast homing of CPGPEGAGC (SEQ ID NO: 2) -bearing phage (see Figure 5B) . As further shown in Figure 5C, anti-aminopeptidase P antibody did not block the breast homing of another phage, CRSS (SEQ ID NO: 2) , identified in the screening for breast homing. Free CPGPEGAGC (SEQ ID NO: 2) peptide also had no effect on the recovery of the CRSS (SEQ ID NO: 3) -bearing phage from breast tissue (see Figure 5C) . These results indicate that the breast homing peptides CRSS (SEQ ID NO: 3) and CPGPEGAGC (SEQ ID NO : 2) bind distinct target receptors in breast tissue.

cDNA libraries displayed on T7 phage (Sche et al., Chem. and Biol. 6:707-716 (1999); Sidhu, Curr. Opin. Biotechnol 11:610-616 (2000); and Cochrane et al., J. Mol. Biol. 297:89-97 (2000)) were used to clone cDNAs encoding proteins that bound the CPGPEGAGC (SEQ ID NO: 2) peptide. The peptide was synthesized in a Symphony synthesizer (Rainin Instruments; Emeryville, CA) , cyclized, and purified by HPLC. The peptide was immobilized on a 96 well Reacti-Bind^® polystyrene strip plate (Pierce; Rockford, IL) . The wells were then treated three times x 200 μl SuperBlock^® blocking buffer (Pierce) .

A human breast carcinoma cDNA library on T7 phage obtained from Novagen was amplified in a single step by infecting BLT 5615 bacteria. Phage suspension (100 μl, 10⁹ pfu/ml) in PBS was incubated in the wells for one hour; the wells were then washed five times with 200 μl PBS and once with elution buffer (Novagen) to elute phage bound with low and intermediate affinity. Phage bound to the immobilized peptide were subsequently recovered by incubating BLT 5615 bacteria in the wells for 10 minutes at room temperature. In sum, the results disclosed in this example demonstrate that aminopeptidase P is the receptor for the CPGPEGAGC (SEQ ID NO: 2) homing molecule in breast vasculature .

EXAMPLE IV

TISSUE DISTRIBUTION OF AMINOPEPTIDASE P

This example describes the tissue distribution of aminopeptidase P.

The expression level of aminopeptidase P was determined by immunoblotting various murine tissues with anti-aminopeptidase P antibody. As shown in Figure 6, expression of aminopeptidase P was higher in murine breast tissue than in the kidney, lung, heart or brain. Different molecular weight forms of aminopeptidase P were also observed in different organs .

Immunoblotting of aminopeptidase P was performed essentially as follows. After weighing, mouse tissues were minced with a scalpel and homogenized with a Medimachine . Cells were spun down and resuspended in lysis buffer (phosphate buffered saline, 200 mM octylglucoside, 3 mM PMSF) at 4Dc The homogenates were then passed 10 times through a 24G injection needle. Lysates were mixed with 2x sample buffer (Novex; La Jolla, CA) , boiled for five minutes, and electrophoresed on a pre-cast 4-20% Tris-glycine SDS-PAGE gradient gel (Novex) . Proteins were then electroblotted onto PVDF membranes . After blocking with TBST (Tris-buffered saline, 0.3% Tween-20) containing 20% FBS, membranes were incubated with anti-aminopeptidase P antibody diluted 1/1000 in TBST, washed 3 times with TBST, and incubated with HRP-conjugated goat anti-rabbit antibody (BioRad) , diluted 1/5000 in TBST. Blots were developed by using Western Blotting Luminol Reagent from Santa Cruz Biotechnology (Santa Cruz, CA) .

All journal article, reference and patent citations provided above, in parentheses or otherwise, whether previously stated or not, are d herein by reference in their entirety.

Although the invention has been described with reference to the examples provided above, it should be understood that various modifications can be made without departing from the spirit of the invention. Accordingly, the invention is limited only by the claims.

Claims

We claim :

1. A method of directing a moiety to breast vasculature in a subject, comprising administering to the subject a conjugate comprising a moiety linked to a homing molecule that selectively homes to breast vasculature, whereby the moiety is directed to breast vasculature.

2. The method of claim 1, wherein said homing molecule is a peptide or peptidomimetic.

3. The method of claim 2 , wherein said , homing molecule is a peptide.

4. The method of claim 2, wherein said homing molecule is a peptide comprising the amino acid sequence PGPEGAG (SEQ ID NO: 1), or a peptidomimetic thereof .

5. The method of claim 4 , wherein said homing molecule is a peptide comprising the amino acid sequence PGPEGAG (SEQ ID NO: 1) .

6. The method of claim 2, wherein said homing molecule is a peptide comprising an amino acid sequence selected from the group consisting of CRSS (SEQ ID NO: 3) or a peptidomimetic thereof and CRTS (SEQ ID NO: 4) or a peptidomimetic thereof.

7. The method of claim 6, wherein said homing molecule is a peptide comprising an amino acid sequence selected from the group consisting of CRSS (SEQ ID NO: 3) and CRTS (SEQ ID NO: 4) .

8. The method of claim 3, 5 or 7, wherein said peptide has a length of at most 20 amino acids.

9. The method of claim 3, 5 or 7, wherein said peptide has a length of at most 10 amino acids.

10. The method of claim 2, 3, 4 or 6, wherein said homing molecule is cyclic.

11. The method of claim 1, 2, 3 or 4, wherein said moiety is a therapeutic agent .

12. The method of claim 1, 2, 3, or 4, wherein said moiety is a cancer chemotherapeutic agent.

13. The method of claim 1, 2, 3 or 4, wherein said moiety is a cytotoxic agent.

14. The method of claim 1, 2, 3 or 4, wherein said moiety is a detectable label .

15. A method of directing a moiety to breast vasculature in a subject, comprising administering to the subject a conjugate comprising a moiety linked to a homing molecule that specifically binds aminopeptidase P, whereby the moiety is directed to breast vasculature .

16. The method of claim 15, wherein said homing molecule is a peptide or peptidomimetic.

17. The method of claim 16, wherein said homing molecule is a peptide.

18. The method of claim 16, wherein said homing molecule is a peptide comprising the amino acid sequence PGPEGAG (SEQ ID NO: 1), or a peptidomimetic thereof .

19. The method of claim 18, wherein said homing molecule is a peptide comprising the amino acid sequence PGPEGAG (SEQ ID NO: 1) .

20. The method of claim 17 or 19, wherein said peptide has a length of at most 20 amino acids.

21. The method of claim 17 or 19, wherein said peptide has a length of at most 10 amino acids.

22. The method of claim 16 or 18, wherein said homing molecule is cyclic.

23. The method of claim 15, wherein said homing molecule is a selective inhibitor of aminopeptidase P.

24. The method of claim 15, 16 or 18, wherein said moiety is a therapeutic agent .

25. The method of claim 15, 16 or 18, wherein said moiety is a cancer chemotherapeutic agent.

26. The method of claim 15, 16 or 18, wherein said moiety is a cytotoxic agent .

27. The method of claim 15, 16 or 18, wherein said moiety is a detectable label .

28. A method of imaging breast vasculature in a subject, comprising:

(a) administering to the subject a conjugate comprising a detectable label linked to a homing molecule that specifically binds aminopeptidase P, whereby said conjugate specifically binds said breast vasculature; and

(b) detecting said conjugate.

29. The method of claim 28, wherein said homing molecule is a peptide or peptidomimetic.

30. The method of claim 29, wherein said homing molecule is a peptide.

31. The method of claim 29, wherein said homing molecule is a peptide comprising the amino acid sequence PGPEGAG (SEQ ID NO: 1) , or a peptidomimetic thereof .

32. The method of claim 31, wherein said homing molecule is a peptide comprising the amino acid sequence PGPEGAG (SEQ ID NO: 1) .

33. The method of claim 30 or 32, wherein said peptide has a length of at most 20 amino acids.

34. The method of claim 30 or 32, wherein said peptide has a length of at most 10 amino acids.

35. The method of claim 29 or 31, wherein said homing molecule is cyclic.

36. The method of claim 28, wherein said homing molecule is a selective inhibitor of aminopeptidase P.

37. The method of claim 28, 29 or 31, wherein said detectable label is a radionuclide.

38. The method of claim 37, wherein said detectable label is selected from the group consisting of indium-Ill, technitium-99, carbon-11 and carbon-13.

39. An isolated homing peptide that selectively homes to breast vasculature, comprising an amino acid sequence that has a length of less than 50 amino acids .

40. An isolated homing molecule that selectively homes to breast vasculature, comprising the amino acid sequence PGPEGAG (SEQ ID NO: 1), or a peptidomimetic thereof, and having a length of less than 50 amino acids.

41. The isolated homing molecule of claim

40, which is a peptide.

42. The isolated homing molecule of claim 40, comprising the amino acid sequence CPGPEGAGC (SEQ ID NO: 2), or a peptidomimetic thereof.

43. An isolated homing molecule that selectively homes to breast vasculature, comprising an amino acid sequence selected from the group consisting of CRSS (SEQ ID NO: 3) or a peptidomimetic thereof and CRTS (SEQ ID NO: 4) or a peptidomimetic thereof, , said peptide having a length of less than 50 amino acids .

44. The isolated homing molecule of claim 43, which is a peptide.

45. The isolated homing molecule of claim 39, 40, 42 or 43, which is cyclic.

46. The isolated homing peptide of claim 39, 41 or 44, which has a length of at most 20 amino acids.

47. The isolated homing peptide of claim 39,

41 or 44, which has a length of at most 10 amino acids.

48. A conjugate, comprising a moiety linked to a homing molecule that selectively homes to breast vasculature.

49. The conjugate of claim 48, wherein said homing molecule is a peptide or peptidomimetic.

50. The conjugate of claim 49, wherein said homing molecule is a peptide.

51. The conjugate of claim 49, wherein said homing molecule is a peptide comprising an amino acid sequence selected from the group consisting of CRSS (SEQ ID NO: 3) or a peptidomimetic thereof and CRTS (SEQ ID NO: 4) or a peptidomimetic thereof.

52. The conjugate of claim 51, wherein said homing molecule is a peptide comprising an amino acid sequence selected from the group consisting of CRSS (SEQ ID NO: 3) and CRTS (SEQ ID NO: 4) .

53. The conjugate of claim 48, wherein said homing molecule is a molecule that selectively binds aminopeptidase P.

54. The conjugate of claim 53, wherein said homing molecule is a selective inhibitor of aminopeptidase P.

55. The conjugate of claim 53, wherein said homing molecule is a peptide comprising the amino acid sequence PGPEGAG (SEQ ID NO: 1), or a peptidomimetic thereof .

56. The conjugate of claim 55, wherein said homing molecule is a peptide comprising the amino acid sequence PGPEGAG (SEQ ID NO: 1) .

57. The conjugate of claim 50, 52 or 56, wherein said homing peptide has a length of at most 20 amino acids .

58. The conjugate of claim 50, 52 or 56, wherein said homing peptide has a length of at most 10 amino acids .

59. The conjugate of claim 49, 51 or 55, wherein said homing molecule is cyclic.

60. The conjugate of claim 48, 49, 53 or 55, wherein said moiety is a therapeutic agent.

61. The conjugate of claim 48, 49, 53 or 55, wherein said moiety is a cancer chemotherapeutic agent.

62. The conjugate of claim 48, 49, 53 or 55, wherein said moiety is a cytotoxic agent.

63. The conjugate of claim 48, 49, 53 or 55, wherein said moiety is a detectable label.

64. A method of identifying a homing molecule that selectively homes to breast vasculature, comprising:

(a) contacting aminopeptidase P with one or more molecules; and

(b) determining specific binding of a molecule to said aminopeptidase P, wherein the presence of specific binding identifies at least one of said molecules as a homing molecule that selectively homes to breast vasculature.

65. The method of claim 64, wherein said aminopeptidase P is substantially purified.

66. The method of claim 65, wherein said substantially purified aminopeptidase P is immobilized on a support.

67. The method of claim 64 or 65, wherein said aminopeptidase P is human aminopeptidase P.

68. A method of identifying a homing molecule that selectively homes to breast vasculature, comprising:

(a) contacting aminopeptidase P and a peptide comprising the amino acid sequence PGPEGAG (SEQ ID NO: 1) , or a peptidomimetic thereof, with one or more molecules; and (b) determining specific binding of said peptide or peptidomimetic thereof to said aminopeptidase P in the presence of said one or more molecules as compared to binding in the absence of said one or more molecules, wherein inhibition of specific binding identifies at least one of said molecules as a homing molecule that selectively homes to breast vasculature.

69. The method of claim 68, wherein said aminopeptidase P is substantially purified.

70. The method of claim 68 or 69, wherein said aminopeptidase P is human aminopeptidase P.

71. A method of identifying a homing molecule that selectively homes to breast vasculature, comprising:

(a) contacting aminopeptidase P with one or more molecules; and (b) determining selective inhibition of aminopeptidase P by at least one of said molecules, wherein the presence of selective inhibition identifies at least one of said molecules as a homing molecule that selectively homes to breast vasculature.

72. The method of claim 71, wherein said aminopeptidase P is substantially purified.

73. The method of claim 72, wherein said substantially purified aminopeptidase P is immobilized on a support .

74. The method of claim 71 or 72, wherein said aminopeptidase P is human aminopeptidase P.