WO2006109301A2 - Molecules and methods of using same for treating mcp-1/ccr2 associated diseases - Google Patents
Molecules and methods of using same for treating mcp-1/ccr2 associated diseases Download PDFInfo
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Definitions
- the present invention relates to novel molecules and, more particularly, to methods of treating MCP-1/CCR2 associated diseases, such as inflammatory diseases and cancer.
- chemokines leukocyte chemoattractant/activating factors
- Chemokines are produced and secreted by a wide variety of cell types in response to early inflammatory mediators such as IL- l ⁇ or TNF- ⁇ .
- the chemokine superfamily comprises two main branches: the ⁇ -chemokines (also known as the CXC chemokines) and the ⁇ -chemokines (also known as the CC chemokines). This classification is based on whether the first two cysteines in the amino acid sequence are separated by a single amino acid (CXC) or are adjacent (CC).
- CXC single amino acid
- CC adjacent
- the ⁇ -chemokine branch includes proteins such as IL-8, neutrophil activating peptide-
- NAP-2 melanoma growth stimulatory activity
- GRO ⁇ melanoma growth stimulatory activity
- ENA- 78 each of which have both attracting and activating effects predominantly on neutrophils and T lymphocytes.
- the members of the ⁇ -chemokine branch affect other blood cell types such as monocytes, lymphocytes, basophils, and eosinophils
- MCP-I monocyte chemotactic proteins 1-4
- MCP-2 monocyte chemotactic proteins 1-4
- MCP-3 monocyte chemotactic proteins 1-4
- MCP-4 monocyte chemotactic proteins 1-4
- RANTES RANTES
- MIP- l ⁇ and MIP- l ⁇ macrophage inflammatory proteins
- a third smaller branch of the chemokine superfamily comprises membrane- bound chemokines.
- Members of this class are designated CX3C chemokines [Bazan,
- Chemokines can mediate a range of pro-inflammatory effects on leukocytes, such as triggering of chemotaxis, degranulation, synthesis of lipid mediators, and integrin activation [Oppenheim, J. J. et al., Annu. Rev. Immunol., 9:617-648 (1991);
- chemokines bind to specific cell-surface receptors belonging to the family of G-protein-coupled seven-transmembrane-domain proteins [Murphy, P. M., Annu. Rev. Immunol., 12:593-633 (1994)] which are termed "chemokine receptors".
- chemokine receptors On binding their cognate ligands, chemokine receptors transduce an intracellular signal though the associated trimeric G proteins, resulting in, among other responses, a rapid increase in intracellular calcium concentration, changes in cell shape, increased expression of cellular adhesion molecules, degranulation, and promotion of cell migration.
- Chemokines have been implicated as important mediators of allergic, inflammatory and autoimmune disorders and diseases, such as asthma, atherosclerosis, glomerulonephritis, pancreatitis, restenosis, rheumatoid arthritis, diabetic nephropathy, pulmonary fibrosis, and transplant rejection.
- monocyte chemoattractant-1 (MCP-I)
- CCR-2 Chemokine Receptor 2
- MCP-I monocyte chemoattractant-1
- CCR-2 Chemokine Receptor 2
- MCP-I -/- mice had normal numbers of leukocytes and macrophages, but were unable to recruit monocytes into sites of inflammation after several different types of immune challenge [Bao Lu, et al., J. Exp. Med. 1998, 187, 601].
- CCR-2 -/- mice were unable to recruit monocytes or produce interferon ⁇ when challenged with various exogenous agents; moreover, the leukocytes of CCR-2 null mice did not migrate in response to MCP-I [Landin Boring, et al., 5. Clin. Invest.
- MCP-I is also upregulated in atherosclerotic lesions, and it has been shown that circulating levels of MCP-I play a role in disease progression [Abdolreza Rezaie- Majd, et al, Arterioscler. Thromb. Vase. Biol. 2002, 22, 1194-1199].
- MCP-I is responsible for the recruitment of monocytes into atherosclerotic areas, as shown by immunohistochemistry of macrophage-rich arterial wall [Yla-Hertruala et al., Proc Natl Acad Sci USA 88:5252-5256 (1991); Nelken et al., J Clin Invest 88:1121-1127 (1991)] and anti-MCP-1 antibody detection [Takeya et al, Human Pathol 24:534-539 (1993)].
- LDL-receptor/MCP-1 -deficient and apoB-transgenic/MCP-1 -deficient mice show significantly less lipid deposition and macrophage accumulation throughout their aortas compared with wild-type MCP-I strains [Alcami et al., J Immunol 160:624-633 (1998); Gosling et al, J Clin Invest 103:773-778 (1999); Gu et al, MoI. Cell. 2:275- 281 (1998); Boring et al, Nature 394:894-897 (1998)].
- MCP-I is upregulated in human multiple sclerosis, and it has been shown that effective therapy with interferon ⁇ -l ⁇ reduces MCP-I expression in peripheral blood mononuclear cells, suggesting that MCP-I plays a role in disease progression [Carlaquaintlori, et al., J. Neuroimmunol. 2002, 123, 170-179].
- Other studies have demonstrated the potential therapeutic value of antagonism of the MCP-l/CCR-2 interaction in treating multiple sclerosis; all of these studies have been demonstrated in experimental autoimmune encephalomyelitis (EAE), the conventional animal model for multiple sclerosis.
- EAE experimental autoimmune encephalomyelitis
- MCP-1/CCR2 interaction is also relevant in cancer.
- immunodeficient mice bearing human breast carcinoma cells were treated with an anti-MCP-1 antibody, inhibition of lung micrometastases and increases in survival were observed [Rosalba Salcedo, et al., Blood 2000, 96, 34-40].
- MCP-I is indicated in prostate cancer as described in details in PCT WO 2004/080273 to the present inventors.
- MCP-I antagonists could be useful therapeutics for such diseases.
- MCP-I has been shown to be overexpressed in the intestinal epithelial cells and bowel mucosa of patients with inflammatory bowel disease [H. C. Reinecker, et al., Gastroenterology
- MCP-I rats with induced brain trauma [J. S. King, et al, J. Neuroimmunol. 1994, 56, 127; Joan W. Berman, et al, J. Immunol. 1996, 156, 3017]. MCP-I has also been shown to be overexpressed in rodent cardiac allografts, suggesting a role for MCP-I in the pathogenesis of transplant arteriosclerosis [Mary E. Russell, et al. Proc. Natl. Acad. Sci. USA 1993, 90, 6086].
- MCP-I has been noted in the lung endothelial cells of patients with idiopathic pulmonary fibrosis [Harry N. Antoniades, et al, Proc. Natl. Acad. Sci. USA 1992, 89, 5371]. Similarly, the overexpression of MCP-I has been noted in the skin from patients with psoriasis [M. Deleuran, et al., J. Dermatol. Sci. 1996, 13, 228, and R. Gillitzer, et al., J. Invest. Dermatol. 1993, 101, 127]. Finally, a recent report has shown that MCP-I is overexpressed in the brains and cerebrospinal fluid of patients with HIV-1-associated dementia [Alfredo Garzino-Demo, WO 99/46991].
- chemokine antagonists reported to date are either neutralizing antibodies to specific chemokines or small molecule antagonists [Howard et al., Trend Biotechnol 14:46-51 (1996)].
- Anti-MCP-1 antibodies have been used effectively in a number of mouse disease models as described above.
- a major problem associated with using antibodies to antagonize chemokine function is that they must be humanized before use in crironic human diseases.
- the ability of multiple chemokines to bind and activate a single receptor forces the development of a multiple antibody strategy or the use of cross-reactive antibodies in order to completely block or prevent pathological conditions.
- a molecule comprising a heterologous amino acid sequence conjugated to a CCR2 amino acid sequence devoid of an N-terminus domain of CCR2, the CCR2 amino acid sequence being capable of binding MCP-I, and wherein the molecule is non immunogenic.
- a molecule comprising a CCR2 amino acid sequence attached to a non-proteinaceous moiety, wherein the CCR2 amino acid sequence is capable of binding MCP-I and whereas the molecule is non-immunogenic in a subject.
- a molecule comprising at least two CCR2 amino acid sequences each being capable of binding MCP-I.
- a molecule comprising a tag attached to a CCR2 amino acid sequence devoid of an N- terminus domain of CCR2, the CCR2 amino acid sequence being capable of binding MCP-I.
- the pharmaceutical composition comprising the molecule and a pharmaceutically acceptable carrier.
- a pharmaceutical composition comprising a molecule which comprises a CCR2 amino acid sequence devoid of an N-terminus domain of CCR2 and being capable of binding an MCP-I and a pharmaceutically acceptable carrier, the pharmaceutical composition being non-immunogenic.
- a method of treating an MCP-1/CCR2 associated disease in a subject in need thereof comprising administering to the subject a therapeutically effective amount of the molecule, thereby treating the MCP-1/CCR2 associated disease in the subject.
- a method of isolating MCP-I from a biological sample comprising: (a) contacting the biological sample with the molecule of claim 4 such that MCP-I and the molecule of claim 4 form a complex; and (b) isolating the complex to thereby isolate MCP-I from the biological sample.
- a method of treating an MCP-1/CCR2 associated disease in a subject in need thereof comprising administering to the subject a therapeutically effective amount of a molecule which comprises a CCR2 amino acid sequence devoid of an N-terminus domain of CCR2 and being capable of binding an MCP-I 5 thereby treating the MCP- 1/CCR2 associated disease in the subject.
- a molecule which comprises a CCR2 amino acid sequence devoid of an N- terminus domain of CCR2 and being capable of binding an MCP-I for the manufacture of a medicament identified for treating an MCP-1/CCR2 associated diseases.
- the heterologous amino acid sequence comprises an immunoglobulin amino acid sequence.
- the CCR2 amino acid sequence devoid of an N-terminus domain of CCR2 is as set forth in SEQ ID NO: 2.
- the MCP-1/CCR2 associated disease is selected from the group consisting of inflammatory diseases, necrosis, atherosclerosis, cancer, multiple sclerosis, atheroma, monocytic leukemia, kidney diseases (e.g., glomerularnephritis), hamman-rich syndrome, endometriosis, rheumatoid arthritis, bronchiolitis, asthma, systemic lupus erythematosus, inflammatory bowel diseases (e.g., colitis), alveolitis, restinosis, brain trauma, psoriasis, idiopathic pulmonary fibrosis and transplant arteriosclerosis.
- the tag is an epitope tag.
- the molecule is attached to a solid support. According to still further features in the described preferred embodiments the molecule is attached to a non-proteinnaceous moiety.
- the non-proteinaceous moiety is selected from the group consisting of polyethylene glycol (PEG), Polyvinyl pyrrolidone (PVP), poly(styrene comaleic anhydride) (SMA), and divinyl ether and maleic anhydride copolymer (DIVEMA).
- PEG polyethylene glycol
- PVP Polyvinyl pyrrolidone
- SMA poly(styrene comaleic anhydride)
- DIVEMA divinyl ether and maleic anhydride copolymer
- the pharmaceutically acceptable carrier is formulated for parenteral administration.
- the pharmaceutically acceptable carrier is substantially non-immunogenic. According to still further features in the described preferred embodiments the pharmaceutically acceptable carrier comprises a lipoamine acid.
- the pharmaceutically acceptable carrier comprises a carbohydrate.
- the pharmaceutically acceptable carrier comprises a microsphere.
- the pharmaceutically acceptable carrier comprises a liposome.
- the pharmaceutically acceptable carrier comprises a polymer microsphere.
- the present Invention successfully addresses the shortcomings of the presently known configurations by providing novel molecules and methods using same for treating MCP-1/CCR2 associated diseases.
- all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs.
- suitable methods and materials are described below. In case of conflict, the patent specification, including definitions, will control.
- the materials, methods, and examples are illustrative only and not intended to be limiting.
- FIGS. 1a are graphs showing that prostate cancer patients selectively develop a highly significant autoantibody titer against MCP-I.
- Figure Ia Human sera from 23 prostrate cancer patients, 21 patients with Benign Prostatic Hyperplasia (BPH) and 10 control subjects, all age-matched mails, were monitored for possible appearance of autoantibodies to the following 13 chemokines: SDF-I (CXCL 12, GenBank Accession No. NM199168), MIF (GenBank Accession No. L19686), MIP- l ⁇ (CCL3, GenBank Accession No. NM002983), MIP- l ⁇ (CCL4, GenBank Accession No. NM002984), IL-8 (CXCL8, GenBank Accession No.
- FIG. 2 is a schematic illustration depicting the generation of the expression construct encoding the human Ig-CCR2 peptide of the present invention (Ig-E3).
- FIG. 3 is a bar graph depicting specific binding of the E3 domain of CCR2 to MCP-I.
- FIG. 4 is a bar graph depicting the ability of human CCR2(E3)-IgG to inhibit MCP-I induced migration of THP-I cells (ATCC Accession NO. TIB-202).
- An in vitro trans well migration assay was performed.
- THP-I cells (10 6 /well) were added to the upper chamber of the transwell plate and CCL2 (recombinant human MCP-I, RHMCP-I ; (20 ng/ml) was added to the lower well, that was also supplemented with different concentrations of CCR2(E3)-IgG as shown in the Figure.
- CCL2 recombinant human MCP-I, RHMCP-I ; (20 ng/ml
- THP-I cells were counted by a FACS. Result are shown as mean of triplicates ⁇ SE.
- FIGs. 5a-d are graphs depicting the development of primary tumor and its metatastic spread as compared between CCR2(E3)-IgG administered cells and control (IgG administered or PBS treated) cells.
- Figures 5a-b are a graphs depicting the ability of CCR2(E3)-IgG to reduce tumor growth through time either when administration of CCR2(E3)-IgG starts together with ( Figure 5a), or 18 days after ( Figure 5b) administration of PC-3 cells.
- Tumor volume (mm 3 ) of tumors from CCR2(E3)-IgG administered (depicted in blue), isotype matched control IgG administered (depicted in green), or PBS administered (depicted in brown or yellow) mice was measured repeatedly in various times as indicated.
- Figure 5 c is a graph showing the anti-tumor activity of CCR2(E3)-IgG injected 8 days following PC3 cells administration.
- the volume (mm 3 ) of tumors from mice administered with PC-3 cells together with CCR2(E3)-IgG (depicted in blue), isotype matched control IgG administered(depicted in green), or PBS (depicted in pink) was measured repeatedly in various times as indicated.
- Figure 5d is a bar graph depicting inhibition of bone and lung metastasis of luciferase expressing PC-3 cells by CCR2(E3)-Ig as indicated, with comparison to control cells.
- FIGs. 6a-f are photographs showing that blockage of CCL-2 with CCR2(E3)- Ig entirely suppresses VEGF production at the tumor site.
- Treatment with either CCR2(E3)-Ig ( Figures 6a,d), isotype matched control IgG ( Figures 6b,e) or PBS (control cells; Figures 6c,f), is shown. Animals were sacrificed and tumor/tissue withdrawn. Tissues were washed, fixed, and permeabilized, and VEGF was detected by irnmunostaining using confocal microscopy. Micrographs are shown either in X 10 ( Figures 6a-c) or X 40 ( Figures 6d-f) magnification.
- FIG. 7 is a bar graph depicting cell migration of CCL2 treated PC3 cells, as determined by optical density.
- PC3 cells were treated with either CCL2 (MCP-I), CCL2 together with an antibody against CCL2 (MCP-I + anti MCP-I), CCL2 together with CCR2(E3)-IgG (MCP-I + CCR2(E3)-IgG) and control cells which were not ligand-treated.
- the present invention is of molecules, compositions including same and methods of using same for treating MCP-1/CCR2 associated diseases, such as cancer.
- MCP-1/CCR2 associated diseases such as cancer.
- the principles and operation of the present invention may be better understood with reference to the drawings and accompanying descriptions.
- Monocyte chemoattractant protein (MCP)-I also termed CCL2
- CCP Monocyte chemoattractant protein
- the present invention envisages the use of any CCR2 amino acid sequence which comprises the E3 domain of CCR2 and preferably devoid of an N- terminus domain of CCR2, and/or compositions comprising same for the treatment of MCP-1/CCR2 associated diseases, such as cancer.
- compositions of the present invention are non-immunogenic to achieve maximal therapeutic efficacy.
- the present invention envisages for example, inclusion of the CCR2 sequence in a complex where it is attached to a proteinaceous (e.g., heterologous amino acid sequence) or non- proteinaceous moieties (e.g., PEG), each of which being capable of prolonging the half-life of the composition in the circulation.
- a non- immunogenic molecule comprising at least one heterologous amino acid sequence conjugated to a CCR2 amino acid sequence preferably devoid of an N- terminus domain of CCR2 (e.g., amino acid coordinates 1-41 of translated GenBank Accession No. NM_000647/NP_000638 or corresponding amino acid coordinates of GenBank Accession No. NM_000648/ NP_000639), the CCR2 amino acid sequence being capable of binding MCP-I.
- chimeric molecules of this aspect of the present invention which comprise the newly uncovered MCP-I binding domain (E3-IgG), inhibited tumor development even as long as 18 days following tumor cell administration. Surprisingly, the same chimeric molecules even dramatically inhibited tumor metastasis to bone and lung tissues.
- the present findings support the use of the molecules of the present invention in the treatment of MCP-I /CCR2 associated diseases, such as cancer.
- chimeric molecules of this aspect of the present invention are markedly different from those describes in WO 97/31949 which teaches the use of chimeric-E3 (i.e., KLH-E3) peptides for the production of antibodies directed at the E3 region of CCR2, thereby inhibiting the CCR2 receptor from ligand binding.
- the non-immunogenic peptides of the present invention are used for targeting the ligand of CCR2, MCP-I, to thereby inhibit the ligand from receptor binding.
- molecules of the present invention allow extraordinarily control and specificity, they can be easily synthesized and administered and are featured by high bioavailability.
- MCP-I interchangeably referred to CCL2 refers to a mammalian (e.g., human) MCP-I protein such as set forth in GenBank Accession Nos. NM_002982 orNP_002973.
- non-immunogenic refers to a substance which is substantially incapable of producing an immune response in a subject administered therewith.
- non-immunogenic in a human means that upon contacting the chimeric molecule of this aspect of the present invention with the appropriate tissue of a human, no state of sensitivity or resistance to the chimeric molecule is demonstrable upon the second administration of the chimeric molecule after an appropriate latent period (e.g., 8 to 14 days).
- CCR2 amino acid sequence refers to a peptide portion of a mammalian (e.g., human) ⁇ hemokine C-C receptor 2 protein having affinity binding for MCP-I. It should be noted that a single CCR2 amino acid sequence may be included in the molecules of the present invention, but inclusion of at least two CCR2 amino acid sequences, each being capable of binding CCR2 (preferably with high affinity, e.g., SEQ ID NO: 9) may be preferred. Due to increased avidity, these polypeptides may be used as potent inhibitors of MCP-I activity and lower dosages may be administered.
- affinity binding refers to a minimal K D value of at least 10 "6
- CCR2 proteins are provided in GenBank Accession Nos.
- the CCR2 of this aspect of the present invention is preferably devoid of an N-terminus domain, but retains an E3 domain (i.e., amino acid coordinates 273-292 of GenBank Accession No. NM_000647, SEQ ID NO: 2) or mimetics thereof.
- mimetics when made in reference to peptides refers to molecular structures, which serve as substitutes for the peptides of the present invention in interaction with MCP-I [Morgan et al. (1989) Ann. Reports Med. Chem. 24:243-252 for a review of peptide mimetics].
- Peptide mimetics include synthetic structures (known and yet unknown), which may or may not contain amino acids and/or peptide bonds, but retain the structural and functional features of a peptide ligand. Types of amino acids which can be utilized to generate mimetics are further described hereinbelow.
- peptide mimetics also includes peptoids and oligopeptoids, which are peptides or oligomers of N-substituted amino acids [Simon et al. (1972) Proc. Natl. Acad. Sci. USA 89:9367-9371]. Further included as peptide mimetics are peptide libraries, which are collections of peptides designed to be of a given amino acid length and representing all conceivable sequences of amino acids corresponding thereto. Methods for the production of peptide mimetics are described hereinbelow.
- the CCR2 amino acid sequence includes the amino acid sequence of SEQ ID NO: 2 and can be encoded by a nucleic acid sequence set forth by SEQ ID NO: 1.
- the molecule of this aspect of the present invention is as set forth in SEQ ID NO: 14 or 15.
- Natural aromatic amino acids, Trp, Tyr and Phe may be substituted for synthetic non-natural acid such as Phenylglycine, TIC, naphthylelanine (NoI), ring- methylated derivatives of Phe, halogenated derivatives of Phe or o-methyl-Tyr.
- the peptides of the present invention may also include one or more modified amino acids or one or more non-amino acid monomers (e.g. fatty acids, complex carbohydrates etc).
- amino acid or “amino acids” is understood to include the 20 naturally occurring amino acids; those amino acids often modified post-translationally in vivo, including, for example, hydroxyproline, phosphoserine and phosphothreonine; and other unusual amino acids including, but not limited to, 2-aminoadipic acid, hydroxylysine, isodesmosine, nor-valine, nor-leucine and ornithine.
- amino acid includes both D- and L-amino acids. Tables 1 and 2 below list naturally occurring amino acids (Table 1) and non- conventional or modified amino acids (Table 2) which can be used with the present invention. Table 1
- the present peptides are preferably utilized in therapeutics or diagnostics which require the peptides to be in soluble form
- the peptides of the present invention preferably include one or more non-natural or natural polar amino acids, including but not limited to serine and threonine which are capable of increasing peptide solubility due to their hydroxyl-containing side chain.
- the peptides of the present invention are preferably utilized in a linear form, although it will be appreciated that in cases where cyclicization does not severely interfere with peptide characteristics, cyclic forms of the peptide can also be utilized.
- the present invention contemplates a display library comprising a plurality of display vehicles (such as phages, viruses or bacteria) each displaying at least 2, at least 3, at least 5, at least 7, at least 11, at least 15 consecutive amino acids derived from polypeptide sequences of the E3 of CCR2 (e.g., SEQ ID NO: 2).
- display vehicles such as phages, viruses or bacteria
- Methods of constructing such display libraries are well known in the art.
- Peptide mimetics can also be uncovered using computational biology.
- Software programs useful for displaying three-dimensional structural models such as RIBBONS (Carson, M., 1997. Methods in Enzymology 277, 25), O (Jones, TA. et al, 1991. Acta Crystallogr. A47, 110), DINO (DINO: Visualizing Structural Biology (2001) http://www.dino3d.org); and QUANTA, INSIGHT, SYBYL, MACROMODE, ICM, MOLMOL, RASMOL and GRASP (reviewed in Kraulis, J., 1991. Appl Crystallogr.
- the chimeric molecule of this aspect of the present invention includes a heterologous amino acid sequence.
- heterologous amino acid sequence refers to a non- immunogenic amino acid sequence which does not form a part of the CCR2 amino acid sequence. This sequence preferably confers solubility to the molecule of this aspect of the present invention, preferably increasing the half-life of the chimeric molecule in the serum.
- the heterologous amino acid sequence is generally localized at the amino- or carboxyl- terminus of the CCR2 peptide of the present invention.
- the at least one heterologous amino acid sequence can be conjugated to the CCR2 amino acid sequence of the present invention.
- the at least one CCR2 amino acid sequence may be embedded between two heterologous sequences, such as described Hoogenboom (1991) MoI. Immunol. 28:1027-1037.
- the heterologous amino acid sequence may be attached to the CCR2 amino acid sequence by any of peptide or non-peptide bond. Attachment of the CCR2 amino acid sequence to the heterologous amino acid sequence may be effected by direct covalent bonding (peptide bond or a substituted peptide bond) or indirect binding such as by the use of a linker having functional groups.
- heterologous amino acid sequence which may be used in accordance with this aspect of the present invention is an immunoglobulin sequence, such as the hinge and Fc regions of an immunoglobulin heavy domain (see U.S. Pat. No. 6,777,196).
- the immunoglobulin moiety in the chimeras of this aspect of the present invention may be obtained from IgGl, IgG2, IgG3 or IgG4 subtypes, IgA, IgE, IgD or IgM, as further discussed herein below.
- Chimeras constructed from a receptor sequence linked to an appropriate immunoglobulin constant domain sequence are known in the art.
- Immunoadhesins reported in the literature include fusions of the T cell receptor [Gascoigne et al., Proc. Natl.Acad. Sci. USA, 84: 2936-2940 (1987)]; CD4 [Capon et al., Nature 337: 525-531 (1989); Traunecker et al., Nature, 339: 68-70 (1989); Zettmeissl et al., DNA Cell Biol. USA, 9: 347-353 (1990); Byrn et al., Nature, 344: 667-670 (1990)]; L-selectin (homing receptor) [(Watson et al., J. Cell.
- the chimeric molecule will retain at least functionally active hinge and CH2 and CH3 domains of the constant region of an immunoglobulin heavy chain. Fusions can also be generated to the C-terminus of the Fc portion of a constant domain, or immediately N-terminal to the CHl of the heavy chain or the corresponding region of the light chain.
- the exact site at which fusion (conjugation) between the heterologous sequence and the CCR2 amino acid sequence is not critical. Particular sites are well known in the art and may be selected in order to optimize the biological activity, secretion or binding characteristics of the chimeric molecules of this aspect of the present invention (see Example 3 of the Example section which follows).
- the CCR2 amino acid sequence of the present invention may be conjugated to the CCR2 amino acid sequence of the present invention, it is preferable to fuse shorter sequences.
- a sequence beginning in the hinge region just upstream of the papain cleavage site, which defines IgG Fc chemically; residue 216, taking the first residue of heavy chain constant region to be 114, or analogous sites of other immunoglobulins is used in the fusion.
- the CCR2 amino acid sequence is fused to the hinge region and CH2 and CH3, or to the CHl, hinge, CH2 and CH3 domains of an IgGl, IgG2, or IgG3 heavy chain (see U.S. Pat. No. 6,777,196).
- the precise site at which the fusion is made is not critical, and the optimal site can be determined by routine experimentation.
- the immunoglobulin sequences used in the construction of the chimeric molecules of this aspect of the present invention may be from an IgG immunoglobulin heavy chain constant domain.
- the use of human IgGl and IgG3 immunoglobulin sequences is preferred.
- a major advantage of using IgGl is that IgGl can be purified efficiently on immobilized protein A.
- purification of IgG3 requires protein G, a significantly less convenient medium.
- other structural and functional properties of immunoglobulins should be considered when choosing the Ig fusion partner for a particular chimera construction.
- the IgG3 hinge is longer and more flexible, so it can accommodate larger CCR2 amino acid sequences that may not fold or function properly when fused to IgGl.
- IgG are bivalent homodimers, whereas Ig subtypes like IgA and IgM may give rise to dimeric or pentameric structures, respectively, of the basic Ig homodimer unit.
- IgA and IgM may give rise to dimeric or pentameric structures, respectively, of the basic Ig homodimer unit.
- Other considerations in selecting the immunoglobulin portion of the chimeric molecules of this aspect of the present invention are described in U.S. Pat. No. 6, 77,196.
- molecules of this aspect of the present invention may comprise a heterologous amino acid sequence, as described above.
- CCR2 amino acid sequences (capable of binding MCP-I) of the present invention may be attached to a non-proteinaceous moiety, such molecules are selected non-immunogenic in a subject.
- a non-proteinaceous moiety such molecules are selected non-immunogenic in a subject.
- Such a molecule is highly stable (resistant to in- vivo proteaolytic activity probably due to steric hindrance conferred by the non-preoteinaceous moiety) and may be produced using common solid phase synthesis methods which are inexpensive and highly efficient, as further described hereinbelow.
- recombinant techniques may still be used, whereby the recombinant peptide product is subjected to in- vitro modification (e.g., PEGylation as further described hereinbelow).
- non-proteinaceous moiety refers to a molecule not including amino acids (peptide bonded) that is attached to the above-described CCR2 amino acid sequence.
- the non-proteinaceous moiety of this aspect of the present invention is a polymer or a co-polymer (synthetic or natural).
- Non-limiting examples of the non- proteinaceous moiety of the present invention include polyethylene glycol (PEG), Polyvinyl pyrrolidone (PVP), divinyl ether and maleic anhydride copolymer (DIVEMA; see for example, Kaneda Y, et al., 1997, Biochem. Biophys. Res. Commun. 239: 160-5) and poly(styrene comaleic anhydride) (SMA; see for example, Mu Y, et al., 1999, Biochem Biophys Res Commun. 255: 75-9).
- PEG polyethylene glycol
- PVP Polyvinyl pyrrolidone
- DIVEMA divinyl ether and maleic anhydride copolymer
- SMA poly(styrene comaleic anhydride)
- Bioconjugation of such a non-proteinaceous moiety confers the CCR2 amino acid sequence with stability (e.g., against protease activities) and/or solubility (e.g., within a biological fluid such as blood, digestive fluid) while preserving its biological activity and prolonging its half-life.
- Bioconjugation is advantageous particularly in cases of therapeutic proteins which exhibit short half-life and rapid clearance from the blood.
- the increased half-lives of bioconjugated proteins in the plasma results from increased size of protein conjugates (which limits their glomerular filtration) and decreased proteolysis due to polymer steric hindrance.
- the more polymer chains attached per peptide the greater the extension of half-life.
- measures are taken not to reduce the specific activity of the CCR2 amino acid sequence of the present invention (i.e., MCP-I binding).
- Bioconjugation of the CCR2 amino acid sequence with PEG can be effected using PEG derivatives such as N-hydroxysuccinimide (NHS) esters of PEG carboxylic acids, monomethoxyPEG 2 -NHS, succinimidyl ester of carboxymethylated PEG (SCM-PEG), benzotriazole carbonate derivatives of PEG, glycidyl ethers of PEG, PEG p-nitrophenyl carbonates (PEG-NPC, such as methoxy PEG-NPC), PEG aldehydes, PEG-orthopyridyl-disulfide, carbonyldimidazol- activated PEGs, PEG-thiol, PEG-maleimide.
- PEG derivatives such as N-hydroxysuccinimide (NHS) esters of PEG carboxylic acids, monomethoxyPEG 2 -NHS, succinimidyl ester of carboxymethylated PEG (SCM-PEG
- PEG derivatives are commercially available at various molecular weights [See, e.g., Catalog, Polyethylene Glycol and Derivatives, 2000 (Shearwater Polymers, Inc., Huntsvlle, Ala.)]. If desired, many of the above derivatives are available in a monofunctional monomethoxyPEG (mPEG) form.
- mPEG monomethoxyPEG
- the PEG added to the CCR2 amino acid sequence of the present invention should range from a molecular weight (MW) of several hundred Daltons to about 100 kDa (e.g., between 3-30 kDa). Larger MW PEG may be used, but may result in some loss of yield of PEGylated peptides.
- PEG purity of larger PEG molecules should be also watched, as it may be difficult to obtain larger MW PEG of purity as high as that obtainable for lower MW PEG. It is preferable to use PEG of at least 85 % purity, and more preferably of at least 90 % purity, 95 % purity, or higher. PEGylation of molecules is further discussed in, e.g., Hermanson, Bioconjugate Techniques, Academic Press San Diego, Calif. (1996), at Chapter 15 and in Zalipsky et al., "Succinimidyl Carbonates of Polyethylene Glycol," in Dunn and Ottenbrite, eds., Polymeric Drugs and Drug Delivery Systems, American Chemical Society, Washington, D.C. (1991).
- PEG can be attached to a chosen position in the CCR2 amino acid sequence by site-specific mutagenesis as long as the activity of the conjugate is retained (i.e., MCP-I binding).
- the Cysteine residue at position 5 of the CCR2 amino acid sequence as set forth in SEQ ID NO:1 can be a target for PEGylation.
- other Cysteine residues can be added to the CCR2 amino acid sequence (e.g., at the N-terminus or the C-terminus) to thereby serve as a target for PEGylation.
- Computational analysis may be effected to select a preferred position for mutagenesis without compromising the activity.
- activated PEG such as PEG-maleimide, PEG-vinylsulfone (VS), PEG-acrylate (AC), PEG-orthopyridyl disulfide
- Methods of preparing activated PEG molecules are known in the arts.
- PEG-VS can be prepared under argon by reacting a dichloromethane (DCM) solution of the PEG-OH with NaH and then with di-vinylsulfone (molar ratios: OH 1: NaH 5: divinyl sulfone 50, at 0.2 gram PEG/mL DCM).
- DCM dichloromethane
- PEG- AC is made under argon by reacting a DCM solution of the PEG-OH with acryloyl chloride and triethylamine (molar ratios: OH 1: acryloyl chloride 1.5: triethylamine 2, at 0.2 gram PEG/mL DCM).
- acryloyl chloride and triethylamine molar ratios: OH 1: acryloyl chloride 1.5: triethylamine 2, at 0.2 gram PEG/mL DCM.
- Such chemical groups can be attached to linearized, 2-arm, 4- arm, or 8-arm PEG molecules.
- cysteine residues While conjugation to cysteine residues is one convenient method by which the CCR2 amino acid of the present invention can be PEGylated, other residues can also be used if desired.
- acetic anhydride can be used to react with NH 2 and SH groups, but not COOH, S-S, or -SCH 3 groups
- hydrogen peroxide can be used to react with -SH and — SCH 3 groups, but not NH 2 .
- Reactions can be conducted under conditions appropriate for conjugation to a desired residue in the peptide employing chemistries exploiting well-established reactivities.
- the terminal COOH-bearing PVP is synthesized from N-vinyl-2- pyrrolidone by radical polymerization in dimethyl formamide with the aid of 4,4'- azobis-(4-cyano valeric acid) as a radical initiator, and 3-mercaptopropionic acid as a chain transfer agent.
- Resultant PVPs with an average molecular weight of Mr 6,000 can be separated and purified by high-performance liquid chromatography and the terminal COOH group of synthetic PVP is activated by the N- hydroxysuccinimide/dicyclohexyl carbodiimide method.
- the CCR2 amino acid sequence is reacted with a 60-fold molar excess of activated PVP and the reaction is stopped with amino caploic acid (5-fold molar excess against activated PVP), essentially as described in Haruhiko Kamada, et al., 2000, Cancer Research 60: 6416- 6420, which is fully incorporated herein by reference.
- Resultant conjugated CCR2 molecules are separated, purified and qualified using e.g., high-performance liquid chromatography (HPLC).
- purified conjugated molecules of this aspect of the present invention may be further qualified using e.g., in vitro assays in which the binding specificity of MCP-I to its receptor (e.g., CCR2) is tested in the presence or absence of the CCR2 conjugates of the present invention, essentially as described for other chemokines [e.g., MIP- l ⁇ , see for example, Hesselgesser J, 1998 (Supra), which is fully incorporated herein by reference].
- Molecules of this aspect of present invention can be biochemically synthesized such as by using standard solid phase techniques. These methods include exclusive solid phase synthesis, partial solid phase synthesis methods, fragment condensation and classical solution synthesis. These methods are preferably used when the peptide is relatively short (i.e., 10 kDa) and/or when it cannot be produced by recombinant techniques (i.e., not encoded by a nucleic acid sequence, such as a "Tag” further described hereinbelow) and therefore involve different chemistry.
- Solid phase peptide synthesis procedures are well known in the art and further described by John Morrow Stewart and Janis Dillaha Young, Solid Phase Peptide Syntheses (2nd Ed., Pierce Chemical Company, 1984).
- Synthetic peptides can be purified by preparative high performance liquid chromatography [Creighton T. (1983) Proteins, structures and molecular principles. WH Freeman and Co. N.Y.] and the composition of which can be confirmed via amino acid sequencing.
- the peptides of the present invention can be generated using recombinant techniques such as described by Bitter et al., (1987) Methods in Enzymol. 153:516- 544, Studier et al. (1990) Methods in Enzymol. 185:60-89, Brisson et al. (1984) Nature 310:511-514, Takamatsu et al. (1987) EMBO J. 6:307-311, Coruzzi et al. (1984) EMBO J. 3:1671-1680 and Brogli et al., (1984) Science 224:838-843, Gurley et al. (1986) MoI. Cell. Biol. 6:559-565 and Weissbach & Weissbach, 1988, Methods for Plant Molecular Biology, Academic Press, NY, Section VIII, pp 421 -463.
- an expression construct i.e., expression vector
- an isolated polynucleotide i.e., isolated from a naturally occurring source thereof, e.g., SEQ ID NO: 10
- SEQ ID NO: 10 which comprises a nucleic acid sequence encoding the CCR2 amino acid sequence (ooptionally in frame fused to a nucleic acid sequence encoding the heterologous amino acid sequence) of the present invention positioned under the transcriptional control of a regulatory element, such as a promoter, is introduced into host cells.
- a nucleic acid sequence encoding a CCR2 peptide of the present invention is ligated in frame to an immunoglobulin cDNA sequence (e.g., SEQ ID NOs: 3 and 5).
- an immunoglobulin cDNA sequence e.g., SEQ ID NOs: 3 and 5
- ligation of genomic immunoglobulin fragments can also be used.
- fusion requires the presence of immunoglobulin regulatory sequences for expression.
- cDNAs encoding IgG heavy- chain constant regions can be isolated based on published sequence from cDNA libraries derived from spleen or peripheral blood lymphocytes, by hybridization or by polymerase chain reaction (PCR) techniques.
- the nucleic acid sequences encoding the CCR2 amino acid sequence and immunoglobulin can be ligated in tandem into an expression construct (vector) that directs efficient expression in the selected host cells, further described hereinbelow.
- vector for expression in mammalian cells, pRK5-based vectors [Schall et al., Cell, 61:361-370 (1990)]; and CDM8-based vectors [Seed, Nature, 329:840 (1989)] can be used.
- junction can be created by removing the extra sequences between the designed junction codons using oligonucleotide- directed deletional mutagenesis [Zoller et al, Nucleic Acids Res., 10:6487 (1982); Capon et al., Nature, 337:525-531 (1989)].
- Synthetic oligonucleotides can be used, in which each half is complementary to the sequence on either side of the desired junction; ideally, these are 11 to 48-mers.
- PCR techniques can be used to join the two parts of the molecule in-frame with an appropriate vector. Methods of introducing the expression construct into a host cell are well known in the art and include, electroporation, lipofection and chemical transformation
- the "transformed" cells are cultured under suitable conditions, which allow the expression of the chimeric molecule encoded by the nucleic acid sequence. Following a predetermined time period, the expressed chimeric molecule is recovered from the cell or cell culture, and purification is effected according to the end use of the recombinant polypeptide.
- any of a number of suitable transcription and translation elements including constitutive and inducible promoters, transcription enhancer elements, transcription terminators, and the like, can be used in the expression vector [see, e.g., Bitter et al., (1987) Methods in Enzymol. 153:516- 544].
- the expression construct of the present invention can also include sequences engineered to optimize stability, production, purification, yield or toxicity of the expressed fusion protein.
- prokaryotic or eukaryotic cells can be used as host-expression systems to express the fusion protein coding sequence.
- These include, but are not limited to, microorganisms, such as bacteria transformed with a recombinant bacteriophage DNA, plasmid DNA or cosmid DNA expression vector containing the chimera coding sequence; yeast transformed with recombinant yeast expression vectors containing the chimera coding sequence; plant cell systems infected with recombinant virus expression vectors (e.g., cauliflower mosaic virus, CaMV; tobacco mosaic virus, TMV) or transformed with recombinant plasmid expression vectors, such as Ti plasmid, containing the chimera coding sequence.
- microorganisms such as bacteria transformed with a recombinant bacteriophage DNA, plasmid DNA or cosmid DNA expression vector containing the chimera coding sequence
- yeast transformed with recombinant yeast expression vectors containing the chimera coding sequence e.g.
- Mammalian expression systems are preferably used to express the chimera of the present invention.
- the choice of host cell line for the expression of the molecules depends mainly on the expression vector.
- Eukaroyotic exoression systems are preferred (e.g., mammalian and insects) since they allow post translational modifications (e.g., glyccosylation). Another consideration is the amount of protein that is required. Milligram quantities often can be produced by transient transfections.
- the adenovirus EIA-transformed 293 human embryonic kidney cell line can be transfected transiently with pRK5-based vectors by a modification of the calcium phosphate method to allow efficient expression.
- CDM8-based vectors can be used to transfect COS cells by the DEAE-dextran method (Aruffo et al., Cell, 61:1303-1313 (1990); Zettmeissl et al, DNA Cell Biol. US, 9:347-353 (1990)]. If larger amounts of protein are desired, the molecules can be expressed after stable transfection of a host cell line (see Example 2 of the Examples section). It will be appreciated that the presence of a hydrophobic leader sequence at the N-terminus of the molecule will ensure processing and secretion of the molecule by the transfected cells.
- bacterial or yeast host systems may be preferable to reduce cost of production.
- bacterial host systems are devoid of protein glycosylation mechanisms, a post production glycosylation may be needed.
- transformed cells are cultured under effective conditions, which allow for the expression of high amounts of recombinant polypeptide.
- Effective culture conditions include, but are not limited to, effective media, bioreactor, temperature, pH and oxygen conditions that permit protein production.
- An effective medium refers to any medium in which a cell is cultured to produce the recombinant chimera molecule of the present invention.
- Such a medium typically includes an aqueous solution having assimilable carbon, nitrogen and phosphate sources, and appropriate salts, minerals, metals and other nutrients, such as vitamins.
- Cells of the present invention can be cultured in conventional fermentation bioreactors, shake flasks, test tubes, microtiter dishes, and petri plates. Culturing can be carried out at a temperature, pH and oxygen content appropriate for a recombinant cell. Such culturing conditions are within the expertise of one of ordinary skill in the art.
- resultant proteins of the present invention may either remain within the recombinant cell, secreted into the fermentation medium, secreted into a space between two cellular membranes, such as the periplasmic space in E. coli; or retained on the outer surface of a cell or viral membrane.
- recovery of the recombinant protein refers to collecting the whole fermentation medium containing the protein and need not imply additional steps of separation or purification.
- Proteins of the present invention can be purified using a variety of standard protein purification techniques, such as, but not limited to, affinity chromatography, ion exchange chromatography, filtration, electrophoresis, hydrophobic interaction chromatography, gel filtration chromatography, reverse phase chromatography, concanavalin A chromatography, chromatofocusing and differential solubilization.
- Molecules of the present invention are preferably retrieved in "substantially pure” form.
- substantially pure refers to a purity that allows for the effective use of the protein in the diverse applications, described hereinbelow.
- Chimeric molecules comprising immunoglobulin amino acid sequence can be conveniently purified by affinity chromatography. The suitability of protein A as an affinity ligand depends on the species and isotype of the immunoglobulin Fc domain that is used in the chimera. Protein A can be used to purify chimeric molecules that are based on human ⁇ l, ⁇ 2, or ⁇ 4 heavy chains [Lindmark et al., J. Immunol. Meth., 62:1-13 (1983)].
- Protein G is preferably used for all mouse isotypes and for human ⁇ 3 [Guss et al., EMBO J., 5:1567-1575 (1986)].
- the solid support to which the affinity ligand is attached is most often agarose, but other solid supports are also available. Mechanically stable solid supports such as controlled pore glass or poly(styrenedivinyl)benzene allow for faster flow rates and shorter processing times than can be achieved with agarose.
- the conditions for binding the chimeric molecules to the protein A or G affinity column are dictated entirely by the characteristics of the Fc domain; that is, its species and isotype. Generally, when the proper ligand is chosen, efficient binding occurs directly from unconditioned culture fluid.
- chimeric molecules of this aspect of the present invention are distinct and distinct relative to an antibody of the same Fc type.
- Bound chimeric molecules of this aspect of the present invention can be efficiently eluted either at acidic pH (at or above 3.0), or in a neutral pH buffer containing a mildly chaotropic salt. This affinity chromatography step can result in an chimeric molecule preparation that is >95% pure. Medical grade purity is essential for therapeutic applications.
- the molecules of the present invention may be used to bind any ligand which binds CCR2 such as through the E3 domain thereof. These may include CCL7, CCL8 and CCLl 3 [D'Ambrosio (2003) J. Immunol. Methods 273:3-13].
- Molecules of this aspect of the present invention may be used to treat MCP- 1/CCR2 associated diseases.
- a method of treating MCP-1/CCR2 associated disease in a subject in need thereof comprising administering to the subject a therapeutically effective amount of the molecules of the present invention, thereby treating the MCP-1/CCR2 associated disease in the subject.
- the term "subject” refers to a mammal, preferably a human subject.
- the term “treating” refers to preventing, curing, reversing, attenuating, alleviating, minimizing, suppressing or halting the deleterious effects of an MCP-1/CCR2 associated disease.
- MCP-1/CCR2 associated disease refers to a disease which depends on the interaction between MCP-I and its receptor, CCR2, for onset or progression.
- MCP-I /CCR2 associated diseases include, but are not limited to, inflammatory diseases, necrosis, atherosclerosis, cancer (e.g., prostate cancer, mammary carcinoma, breast cancer, glioblastoma, esophagus cancer, neuroblastoma), multiple sclerosis, atheroma, monocytic leukemia, kidney diseases (e.g., glomerularnephritis), hamman-rich syndrome, endometriosis, rheumatoid arthritis, bronchiolitis, asthma, systemic lupus erythematosus, inflammatory bowel diseases (e.g., colitis), alveolitis, restinosis, brain trauma, psoriasis, idiopathic pulmonary fibrosis and transplant arteriosclerosis.
- cancer e.g., prostate cancer, mammary carcinoma, breast cancer, glioblastoma, esophagus cancer, neuroblastoma
- multiple sclerosis
- the molecule of the present invention can be administered to the subject per se, or in a pharmaceutical composition where it is mixed with suitable carriers or excipients.
- a pharmaceutical composition refers to a preparation of one or more of the active ingredients described herein with other chemical components such as physiologically suitable carriers and excipients.
- the purpose of a pharmaceutical composition is to facilitate administration of a compound to an organism.
- the pharmaceutical composition is not immunogenic.
- active ingredient refers to the molecule of the present invention accountable for the intended biological effect.
- physiologically acceptable carrier and “pharmaceutically acceptable carrier,” which may be used interchangeably, refer to a carrier or a diluent that does not cause significant irritation to an organism and does not abrogate the biological activity and properties of the administered compound.
- An adjuvant is included under these phrases.
- the pharmaceutically acceptable carrier of the present invention may comprise a lipoamine acid.
- the pharmaceutically acceptable carrier used by the present invention may comprise an embedding material such as a polyol (Le., a carbohydrate).
- a polyol Le., a carbohydrate
- carbohydrates which are suitable for use as excipients include maltodextrin (e.g., Glucidex Roquette), trehalose (e.g., Trehalose Merck), cellobiose, glucose, fructose, maltulose, iso-maltulose, lactulose, maltose, gentobiose, lactose, isomaltose, maltitol (e.g., Maltisorb Roquette), lactitol, erythritol, palatinitol, xylitol, mannitol, sorbitol, dulcitol and ribitol, sucrose, raffinose, gentianose, planteose, verbascose, stachyose,
- the pharmaceutically acceptable carrier used by the present is a microsphere suitable for oral administration.
- the microsphere can include a water insoluble matrix of organic material that is resistant to dissolution or acidic degradation at pH levels found in the stomach (e.g., a pH level lower than 4) essentially as described in U.S. Pat. No. 6,849,271 to Vaghefi, et al., which is fully incorporated herein by reference.
- organic matrix material can be, for example, triglyceride, hydrogenated vegetable oil, a wax or a mixture of waxes, polyalkoxyalkylether, polyalkoxyalkylester and water insoluble partially degraded proteins.
- the bioconjugated polymer e.g., the PEGylated
- CCR2 peptide of the present invention can be used in, and as a part of, the pharmaceutically acceptable carrier, and thus serves as a carrier molecule for delivery of the CCR2 amino acid sequence, while at the same time serving as a component of the delivery vehicle.
- a preferred embodiment of this dual use is a liposomal vehicle, e.g., PEG-conjugated liposomes, as described e.g., in U.S. Pat. Appl. No.
- excipient refers to an inert substance added to a pharmaceutical composition to further facilitate administration of an active ingredient.
- excipients examples include calcium carbonate, calcium phosphate, various sugars and types of starch, cellulose derivatives, gelatin, vegetable oils, and polyethylene glycols.
- Suitable routes of administration may, for example, include oral, rectal, transmucosal, especially transnasal, intestinal, or parenteral delivery, including intramuscular, subcutaneous, and intramedullary injections, as well as intrathecal, direct intraventricular, intravenous, inrtaperitoneal, intranasal, or intraocular injections.
- compositions of the present invention may be manufactured by processes well known in the art, e.g., by means of conventional mixing, dissolving, granulating, dragee-making, levigating, emulsifying, encapsulating, entrapping, or lyophilizing processes.
- Pharmaceutical compositions for use in accordance with the present invention thus may be formulated in conventional manner using one or more physiologically acceptable carriers comprising excipients and auxiliaries, which facilitate processing of the active ingredients into preparations that can be used pharmaceutically. Proper formulation is dependent upon the route of administration chosen.
- the active ingredients of the pharmaceutical composition may be formulated in aqueous solutions, preferably in physiologically compatible buffers such as Hank's solution, Ringer's solution, or physiological salt buffer.
- penetrants appropriate to the barrier to be permeated are used in the formulation.
- penetrants are generally known in the art.
- the pharmaceutical composition can be formulated readily by combining the active compounds with pharmaceutically acceptable carriers well known in the art.
- Such carriers enable the pharmaceutical composition to be formulated as tablets, pills, dragees, capsules, liquids, gels, syrups, slurries, suspensions, and the like, for oral ingestion by a patient.
- Pharmacological preparations for oral use can be made using a solid excipient, optionally grinding the resulting mixture, and processing the mixture of granules, after adding suitable auxiliaries as desired, to obtain tablets or dragee cores.
- Suitable excipients are, in particular, fillers such as sugars, including lactose, sucrose, mannitol, or sorbitol; cellulose preparations such as, for example, maize starch, wheat starch, rice starch, potato starch, gelatin, gum tragacanth, methyl cellulose, hydroxypropylmethyl- cellulose, and sodium carbomethylcellulose; and/or physiologically acceptable polymers such as polyvinylpyrrolidone (PVP).
- disintegrating agents such as cross-linked polyvinyl pyrrolidone, agar, or alginic acid or a salt thereof, such as sodium alginate, may be added.
- Dragee cores are provided with suitable coatings.
- suitable coatings For this purpose, concentrated sugar solutions may be used which may optionally contain gum arabic, talc, polyvinyl pyrrolidone, carbopol gel, polyethylene glycol, titanium dioxide, lacquer solutions, and suitable organic solvents or solvent mixtures.
- Dyestuffs or pigments may be added to the tablets or dragee coatings for identification or to characterize different combinations of active compound doses.
- compositions that can be used orally include push-fit capsules made of gelatin, as well as soft, sealed capsules made of gelatin and a plasticizer, such as glycerol or sorbitol.
- the push-fit capsules may contain the active ingredients in admixture with filler such as lactose, binders such as starches, lubricants such as talc or magnesium stearate, and, optionally, stabilizers.
- the active ingredients may be dissolved or suspended in suitable liquids, such as fatty oils, liquid paraffin, or liquid polyethylene glycols.
- stabilizers may be added.
- AU formulations for oral administration should be in dosages suitable for the chosen route of administration.
- the compositions may take the form of tablets or lozenges formulated in conventional manner.
- the active ingredients for use according to the present invention are conveniently delivered in the form of an aerosol spray presentation from a pressurized pack or a nebulizer with the use of a suitable propellant, e.g., dichlorodifluoromethane, trichlorofluoromethane, dichloro- tetrafluoroethane, or carbon dioxide.
- a suitable propellant e.g., dichlorodifluoromethane, trichlorofluoromethane, dichloro- tetrafluoroethane, or carbon dioxide.
- the dosage may be determined by providing a valve to deliver a metered amount.
- Capsules and cartridges of, for example, gelatin for use in a dispenser may be formulated containing a powder mix of the compound and a suitable powder base, such as lactose or starch.
- compositions described herein may be formulated for parenteral administration, e.g., by bolus injection or continuous infusion.
- Formulations for injection may be presented in unit dosage form, e.g., in ampoules or in multidose containers with, optionally, an added preservative.
- the compositions may be suspensions, solutions, or emulsions in oily or aqueous vehicles, and may contain formulatory agents such as suspending, stabilizing, and/or dispersing agents.
- Pharmaceutical compositions for parenteral administration include aqueous solutions of the active preparation in water-soluble form. Additionally, suspensions of the active ingredients may be prepared as appropriate oily or water-based injection suspensions.
- Suitable lipophilic solvents or vehicles include fatty oils such as sesame oil, or synthetic fatty acid esters such as ethyl oleate, triglycerides, or liposomes.
- Aqueous injection suspensions may contain substances that increase the viscosity of the suspension, such as sodium carboxymethyl cellulose, sorbitol, or dextran.
- the suspension may also contain suitable stabilizers or agents that increase the solubility of the active ingredients, to allow for the preparation of highly concentrated solutions.
- the active ingredient may be in powder form for constitution with a suitable vehicle, e.g., a sterile, pyrogen-free, water-based solution, before use.
- a suitable vehicle e.g., a sterile, pyrogen-free, water-based solution
- the pharmaceutical composition of the present invention may also be formulated in rectal compositions such as suppositories or retention enemas, using, for example, conventional suppository bases such as cocoa butter or other glycerides.
- Pharmaceutical compositions suitable for use in the context of the present invention include compositions wherein the active ingredients are contained in an amount effective to achieve the intended purpose. More specifically, a
- therapeutically effective amount means an amount of active ingredients (e.g., a nucleic acid construct) effective to prevent, alleviate, or ameliorate symptoms of a disorder (e.g., ischemia) or prolong the survival of the subject being treated.
- active ingredients e.g., a nucleic acid construct
- the dosage or the therapeutically effective amount can be estimated initially from in vitro and cell culture assays.
- a dose can be formulated in animal models to achieve a desired concentration or titer. Such information can be used to more accurately determine useful doses in humans.
- Toxicity and therapeutic efficacy of the active ingredients described herein can be determined by standard pharmaceutical procedures in vitro, in cell cultures or experimental animals. The data obtained from these in vitro and cell culture assays and animal studies can be used in formulating a range of dosage for use in human.
- the dosage may vary depending upon the dosage form employed and the route of administration utilized. The exact formulation, route of administration, and dosage can be chosen by the individual physician in view of the patient's condition. (See, e.g., Fingl, E. et al. (1975), "The Pharmacological Basis of Therapeutics," Ch. 1, p.l.)
- Dosage amount and administration intervals may be adjusted individually to provide sufficient plasma or brain levels of the active ingredient to induce or suppress the biological effect (i.e., minimally effective concentration, MEC).
- MEC minimally effective concentration
- the MEC will vary for each preparation, but can be estimated from in vitro data. Dosages necessary to achieve the MEC will depend on individual characteristics and route of administration. Detection assays can be used to determine plasma concentrations. Depending on the severity and responsiveness of the condition to be treated, dosing can be of a single or a plurality of administrations, with course of treatment lasting from several days to several weeks, or until cure is effected or diminution of the disease state is achieved.
- compositions to be administered will, of course, be dependent on the subject being treated, the severity of the affliction, the manner of administration, the judgment of the prescribing physician, etc.
- compositions of the present invention may, if desired, be presented in a pack or dispenser device, such as an FDA-approved kit, which may contain one or more unit dosage forms containing the active ingredient.
- the pack may, for example, comprise metal or plastic foil, such as a blister pack.
- the pack or dispenser device may be accompanied by instructions for administration.
- the pack or dispenser device may also be accompanied by a notice in a form prescribed by a governmental agency regulating the manufacture, use, or sale of pharmaceuticals, which notice is reflective of approval by the agency of the form of the compositions for human or veterinary administration. Such notice, for example, may include labeling approved by the U.S. Food and Drug Administration for prescription drugs or of an approved product insert.
- Compositions comprising a preparation of the invention formulated in a pharmaceutically acceptable carrier may also be prepared, placed in an appropriate container, and labeled for treatment of an indicated condition, as further detailed above.
- the molecule (e.g., chimeric proteinicious) of this aspect of the present invention can be provided to the subject by means of gene therapy.
- the above-described mammalian expression construct can be administered to the subject employing any suitable mode of administration, described hereinabove (i.e., in-vivo gene therapy).
- the nucleic acid construct is introduced into a suitable cell via an appropriate gene delivery vehicle/method (transfection, transduction, homologous recombination, etc.) and an expression system as needed and then the modified cells are expanded in culture and returned to the subject (i.e., ex-vivo gene therapy).
- nucleic acid transfer techniques include transfection with viral or non-viral constructs, such as adenovirus, lentivirus, Herpes simplex I virus, or adeno-associated virus (AAV) and lipid-based systems.
- viral or non-viral constructs such as adenovirus, lentivirus, Herpes simplex I virus, or adeno-associated virus (AAV) and lipid-based systems.
- Useful lipids for lipid-mediated transfer of the gene are, for example, DOTMA, DOPE, and DC-Choi [Tonkinson et al., Cancer Investigation, 14(1): 54-65 (1996)].
- the most preferred constructs for use in gene therapy are viruses, most preferably adenoviruses, AAV, lentiviruses, or retroviruses.
- a viral construct such as a retroviral construct includes at least one transcriptional promoter/enhancer or locus-defining element(s), or other elements that control gene expression by other means such as alternate splicing, nuclear RNA export, or post-translational modification of messenger.
- Such vector constructs also include a packaging signal, long terminal repeats (LTRs) or portions thereof, and positive and negative strand primer binding sites appropriate to the virus used, unless it is already present in the viral construct.
- LTRs long terminal repeats
- such a construct typically includes a signal sequence for secretion of the peptide from a host cell in which it is placed.
- the signal sequence for this purpose is a mammalian signal sequence such as the IgK leader sequence (e.g., SEQ ID NOs. 7 and 8).
- the construct may also include a signal that directs polyadenylation, as well as one or more restriction sites and a translation termination sequence.
- a signal that directs polyadenylation will typically include a 5' LTR, a tRNA binding site, a packaging signal, an origin of second-strand DNA synthesis, and a 3' LTR or a portion thereof.
- Other vectors can be used that are non- viral, such as cationic lipids, polylysine, and dendrimers.
- the affinity of the CCR2 peptide of the present invention to MCP-I allows use thereof in purification and detection of MCP-I.
- a molecule comprising a tag and the CCR2 peptide of the present invention.
- the term "tag” refers to a moiety which is specifically recognized by a binding partner such as an antibody, a chelator or an avidin (biotin) molecule.
- the tag can be placed C-termianlly or N-terminally of the CCR2 peptide, as long as it does not interfere with a biological activity thereof (e.g., MCP-I binding).
- a tag polypeptide has enough residues to provide an epitope (i.e., epitope tag) against which an antibody thereagainst can be made, yet is short enough such that it does not interfere with biological activity of the CCR2 peptide.
- the epitope tag preferably also is fairly unique so that the antibody thereagainst does not substantially cross-react with other epitopes.
- Suitable tag polypeptides generally have at least six amino acid residues and usually between about 8-50 amino acid residues (preferably between about 9-30 residues).
- Such epitope-tagged forms of the CCR2 are desirable, as the presence thereof can be detected using a labeled antibody against the tag polypeptide. Also, provision of the epitope tag enables the CCR2 peptide of the present invention to be readily purified by affinity purification using the anti-tag antibody. Affinity purification techniques and diagnostic assays involving antibodies are described later herein.
- Tag polypeptides and their respective antibodies are well known in the art. Examples include the flu HA tag polypeptide and its antibody 12CA5 (Field et al., MoI. Cell. Biol., 8:2159-2165 (1988)]; the c-myc tag and the 8F9, 3C7, 6E10, G4, B7 and 9E10 antibodies thereto (Evan et al., Molecular and Cellular Biology, 5:3610- 3616 (1985)]; and the Herpes Simplex virus glycoprotein D (gD) tag and its antibody. Paborsky et al., Protein Engineering, 3(6):547-553 (1990). Other tag polypeptides have been disclosed. Examples include the Flag-peptide [Hopp et al., BioTechnology,
- an antibody thereto can be generated using methods which are well known in the art. Such antibodies are commercially available such as from Sigma, St. Louis. USA.
- the molecules of this aspect of the present invention can be used to isolate MCP-I from biological samples or detect presence of MCP-I therein.
- biological sample refers to a biological fluid such as blood, serum, plasma, lymph, bile fluid, urine, saliva, sputum, synovial fluid, semen, tears, cerebrospinal fluid, bronchioalveolar large fluid, ascites fluid, pus, conditioned medium and the like in which MCP-I is present.
- solid support refers to a non-aqueous matrix to which a reagent of interest (e.g.,the molecule of this aspect of the present invention) can adhere.
- reagent of interest e.g.,the molecule of this aspect of the present invention
- solid supports include, but are not limited to, solid supports formed partially or entirely of glass (e.g.,controlled pore glass),
- the solid support can comprise the well of an assay plate; in others it is a purification column (e.g.,an affinity chromatography column). This term also includes a discontinuous solid phase of discrete particles, such as those described in U.S. Pat. No. 4,275,149.
- detectable moiety can be any one which is capable of producing, either directly or indirectly, a detectable signal.
- the detectable moiety may be a radioisotope, a fluorescent or chemiluminescent compound, or a tag (such as described hereinabove and to which a labeld antibody can bind).
- the molecules of the present invention may be employed in any known assay method, such as competitive binding assays, direct and indirect sandwich assays, and immunoprecipitation assays. Zola, Monoclonal Antibodies: A Manual of
- the molecules of this aspect of the present invention can be included in a diagnostic kit, in which the molecule and optionally solid support and imaging reagents (e.g., antibodies, chromogenic substrate etc.) can be packaged in suitable containers with appropriate buffers and preservatives and used for diagnosis.
- a diagnostic kit in which the molecule and optionally solid support and imaging reagents (e.g., antibodies, chromogenic substrate etc.) can be packaged in suitable containers with appropriate buffers and preservatives and used for diagnosis.
- CCL2 The connection between CCL2 and prostate cancer was established using an ELISA test for the presence of autoantibodies to various chemokines, including MCP- 1 (CCL2), in prostate cancer patients.
- chemokines including MCP- 1 (CCL2)
- Recombinant human chemokines SDF-I (CXCL12), MIP-Ia (CCL3), MlP-l ⁇ (CCL4), IL-8 (CXCL8), IP-10 (CXCLlO), MIP-3 ⁇ (CCL20), MIP-3 ⁇ (CCL-19), Lymphotactin (XCLl), MIG (CXCL9), RANTES (CCL5), MCP-3 (CCL7) and MCP- 1 (CCL2) were all purchased from PeproTech, Rocky Hill, NJ. Human MIF was purchased from R&D Systems (Minneapolis, NM). Results Prostate Cancer patients display a significant autoantibody titer to MCP-I
- Prostate-specific antigen PSA
- ng/ml [median (range)] 382 (3.7-3400)
- Prostate-specific antigen PSA
- ng/ml Median (range)] 6.8 (4.3-8.9)
- prostate cancer patients mounted a highly significant antibody titer exclusively to MCP-I ( Figure Ia, log 2 Ab titer of 11.85 ⁇ 0.8).
- the baseline titer of anti MCP-I antibodies (log 2 ) in healthy individuals and BPH patients was 5-6, and did not differ from the one observed in response to any of the other chemokines.
- prostate cancer patients display a highly specific and selective antibody response to MCP-I ( Figure Ia , p ⁇ 0.01).
- Statistical analysis revealed that about 82 % of prostate cancer patients (19/23), and only 4.7 % (1/21) of patients with non-malignant BPH, displayed a significant response (log2Ab titer >10, p ⁇ 0.01) to
- FIG. 2 shows an illustration of the CCR2(E3)-IgG chimera expressing construct.
- the IgGl construct was produced according the basic protocol that was previously utilized for the generation of CTLA4-Ig (Van Oosterhout, A. J., C. L. Hofstra, R. Shields, B. Chan, I. Van Ark, P. M. Jardieu, and F. P. Nijkamp. 1997.
- Murine CTLA4-IgG treatment inhibits airway eosinophilia and hyperresponsiveness and attenuates IgE upregulation in a murine model of allergic asthma.
- Am J Respir Cell MoI Biol 17:386 with modifications: cDNA encoding the constant region (Hinge-CH2-CH3) of human IgGl heavy chain has been cloned from LPS and IL-4 activated peripheral blood mononuclear cells (PBMC) onto pSecTag2/Hygro B (Invitrogen, San Diego, CA).
- PBMC peripheral blood mononuclear cells
- Human CCR2-E3 was subcloned from LPS activated human PBMC using primers encoding part of the 6 domain of CCR2 (E3, SEQ ID NOs: 1 and 2, respectively) as follows: sense: cccaagcttggcctgagtaactgtgaaag (SEQ ID NO: 12), antisense: ccgctcgagagtctctgtcacctgcgtgg (SEQ ID NO: 13). Following sequence verification the amplified PCR product was cloned into a pSec-Tag2 vector (Invitrogen, San Diego, CA). Hinge-CH2-CH3 of the human IgG Fc ⁇ was ligated to the plasmid (pSec-CCR2) down stream of the CCR2 (E3) to create a fusion protein CCR2-IgG.
- sense cccaagcttggcctgagtaactgtgaaag
- the pSec-CCR2(E3)-IgG plasmid was co-transfected into the DG44 CHO cells (DHFR "7" ) (provided by Dr. Lawrence Chasin from Columbia university, USA), with CHO DHFR minigene vector using jet PEI (Polypluse transfection - Illkirch Cedex, France) according the manufacturer's protocol. Stable transfectent cells were selected in medium containing hygromycine (200 ⁇ g/ml).
- the CCR2(E3)-IgG fusion protein was purified from the supernatants by a protein G-Sepharose column obtained from Amersham Biosciences (Uppsia, Sweden) and verified by western blot analysis using the goat anti human IgG -HRP (Sigma, St. Louis, MO).
- CCR2(E3)-IgG binds specifically to MCP-I
- ELISA The binding specificity of CCR2(E3)-IgG to various commercially available human chemokines (PeproTech, Rocky Hill, NJ) was determined by direct ELISA as follows: 96-well ELISA plates (Nunc, Roskilde, Denemark) were coated with 100 ng/ml of each chemokine, washed and blocked with 1% B S A/PBS. CCR2(E3)-IgG at a concentration 5 ⁇ g/ml was then added. HRP labeled mouse anti human Ig (Jackson, Pennsylvania) was added as a second Antibody. Results are shown as O.D. reading at 450 nm. Anti CCL2 monoclonal antibody (MAB679; R&D Systems, Minneapolis, NM) was used as a positive control (1 ⁇ g/ml).
- THP-I cells were obtained from American Type Culture Collection (ATCC, Rockville, MD with ATCC Accession No. TIB-202) and grown according to the manufacturers protocol.
- Results Figure 4 shows that the soluble CCR2(E3)-IgG significantly and pronouncedly
- the second group was administered with a matching amount of PBS, and the third with isotype matched control IgG.
- administration was started 18 days after administration with PC-3 cells.
- VEGF- vascular endothelial growth factor-induced VEGF-induced VEGF-induced VEGF-induced VEGF-induced VEGF-induced VEGF-induced VEGF-induced VEGF-induced VEGF-induced VEGF-induced VEGF-induced VEGF-induced VEGF-induced VEGF-induced VEGF-induced VEGF-induced VEGF-induced VEGF-induced VEGF-induced VEGF- See de Wet, J. R., K. V. Wood, M. DeLuca, D. R. Helinski, and S. Subramani. 1987. Firefly luciferase gene: structure and expression in mammalian cells. MoI Cell Biol 7:725; Rubio, N., M. M. Villacampa, and J. Blanco. 1998. Traffic to lymph nodes of PC-3 prostate tumor cells in nude mice visualized using the luciferase gene as a tumor cell marker. Lab Invest 78:1315; Rubio, N.,
- Luciferase activity As previously described see El Hilali Clin Cancer Res. 2005 Feb 1; 11(3): 1253-8. Briefly, Animals were sacrificed on day 30 using CO2. Lungs and bone were retrieved and frozen in liquid nitrogen. The frozen tissue was then ground into powder and lysis buffer was added (Promega). Samples were vortexed for a few seconds and the mixture was centrifuged for 20 minutes (13000 rpm). Luciferase substrate was then added. Results
- CCL2 induced migration of PCS cells is inhibited by CCR2(E3)-IgG Materials and Experimental Procedures
- Cell migration assay- cell migration was determined using the CytoSelect kit of Cell Biolabs, San Diego, CA.
- Anti CCL2 was obtained from Dr. Martinez and Dr. Melado - Department of Immunology and Oncology, Centro Nacional de Biotecnologia, UAM Campus de Cantoblanco, Madrid, Spain..
- PC-3 cells (10 /well) were added to the upper chamber of the transwell plate and CCL2 (recombinant human MCP-I, RHMCP-I ; 20 ng/ml) was added to the lower well, that was also supplemented with anti CCL2 (50 ⁇ g) and/or CCR2(E3)-IgG (200 ⁇ g) as shown in the Figure 7.
- CCL2 recombinant human MCP-I, RHMCP-I ; 20 ng/ml
- anti CCL2 50 ⁇ g
- CCR2(E3)-IgG 200 ⁇ g
- a peptide having the following sequence: Lys GIy Leu Ser Asn Cy s GIu Ser Thr Ser GIn Leu Asp GIn Ala Thr GIn VaI Thr GIu Thr (SEQ ID NO: 11), which is identical to SEQ ID NO:1 except that a Lysine residue is added at its N-terminus, can be PEGylated using methods known in the art (e.g., Croyle, M.A., et al. 5 2000, Hum. Gene Ther. 11: 1721- 1730; Croyle, MA., et al., 2004, J. Virol.
- monomethoxypoly(ethylene) glycol can be activated by succinimidyl succinate (which can be obtained from Sigma Chemicals, St. Louis, Mo.). Once activated, the polymer can be added to the CCR2 peptide in a weight ratio of about 10:1 (polyme ⁇ peptide) and the PEGylation reaction is further performed at 25 °C with gentle agitation. The reactions can be stopped by the addition of excess (e.g., of 10 fold) of lysine (Sigma Chemicals) with respect to the amount of PEG added.
- succinimidyl succinate which can be obtained from Sigma Chemicals, St. Louis, Mo.
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EP1989216A2 (en) * | 2006-03-01 | 2008-11-12 | The Regents Of The University Of Michigan | Diagnosis and treatment of prostate cancer |
WO2009028411A1 (en) * | 2007-08-24 | 2009-03-05 | Keio University | Immunosuppression weaning agent comprising tumor cell and antitumor agent using the same |
US8388962B2 (en) | 2005-04-15 | 2013-03-05 | Rappaport Family Institute For Research In The Medical Sciences | Molecules and methods of using same for treating MCP-1/CCR2 associated diseases |
KR20190131987A (en) * | 2018-05-18 | 2019-11-27 | 가톨릭대학교 산학협력단 | Composition for preventing or treating bone diseases comprising CCR2 |
WO2021095946A1 (en) * | 2019-11-15 | 2021-05-20 | 가톨릭대학교 산학협력단 | Composition for preventing or treating bone diseases, including ccr2 as active ingredient |
KR20210059299A (en) * | 2019-11-15 | 2021-05-25 | 가톨릭대학교 산학협력단 | Composition for the prevention or treatment of bone disease, including soluble CCR2 stem cells as an active ingredient |
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CN102370981B (en) * | 2010-08-11 | 2014-07-16 | 中国科学院上海生命科学研究院 | Reagent and method for preventing and treating neurodegenerative diseases |
CA2920138A1 (en) * | 2013-08-06 | 2015-02-12 | Kyushu University, National University Corporation | Medicine for preventing or suppressing engraftment of cancer cells including an organic acid polymer as active ingredient |
NO2776305T3 (en) | 2014-04-23 | 2018-01-27 | ||
CN107362353A (en) * | 2016-05-11 | 2017-11-21 | 上海长海医院 | A kind of related drug target of prostate cancer of castration resistance and its application |
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US8388962B2 (en) | 2005-04-15 | 2013-03-05 | Rappaport Family Institute For Research In The Medical Sciences | Molecules and methods of using same for treating MCP-1/CCR2 associated diseases |
EP1989216A2 (en) * | 2006-03-01 | 2008-11-12 | The Regents Of The University Of Michigan | Diagnosis and treatment of prostate cancer |
EP1989216A4 (en) * | 2006-03-01 | 2010-03-31 | Univ Michigan | Diagnosis and treatment of prostate cancer |
WO2009028411A1 (en) * | 2007-08-24 | 2009-03-05 | Keio University | Immunosuppression weaning agent comprising tumor cell and antitumor agent using the same |
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US9169324B2 (en) | 2007-08-24 | 2015-10-27 | Keio University | Reducer of immunosuppression by tumor cell and antitumor agent using the same |
KR20190131987A (en) * | 2018-05-18 | 2019-11-27 | 가톨릭대학교 산학협력단 | Composition for preventing or treating bone diseases comprising CCR2 |
KR102308102B1 (en) * | 2018-05-18 | 2021-10-07 | 가톨릭대학교 산학협력단 | Composition for preventing or treating bone diseases comprising CCR2 |
WO2021095946A1 (en) * | 2019-11-15 | 2021-05-20 | 가톨릭대학교 산학협력단 | Composition for preventing or treating bone diseases, including ccr2 as active ingredient |
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KR20210110266A (en) * | 2019-11-15 | 2021-09-07 | 가톨릭대학교 산학협력단 | Composition for the prevention or treatment of bone disease, including soluble CCR2 stem cells as an active ingredient |
KR102308099B1 (en) * | 2019-11-15 | 2021-10-01 | 가톨릭대학교 산학협력단 | Composition for the prevention or treatment of bone disease, including soluble CCR2 stem cells as an active ingredient |
KR102446150B1 (en) * | 2019-11-15 | 2022-09-22 | 가톨릭대학교 산학협력단 | Composition for the prevention or treatment of bone disease, including soluble CCR2 stem cells as an active ingredient |
Also Published As
Publication number | Publication date |
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EP1871798A2 (en) | 2008-01-02 |
WO2006109301A3 (en) | 2006-12-07 |
DE602006009786D1 (en) | 2009-11-26 |
CA2597789A1 (en) | 2006-10-19 |
JP2008535909A (en) | 2008-09-04 |
ES2333358T3 (en) | 2010-02-19 |
CN101160323A (en) | 2008-04-09 |
AU2006233927A1 (en) | 2006-10-19 |
MX2007010484A (en) | 2007-10-15 |
EP1871798B1 (en) | 2009-10-14 |
US8388962B2 (en) | 2013-03-05 |
US20110033521A1 (en) | 2011-02-10 |
ATE445644T1 (en) | 2009-10-15 |
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