WO2010002959A2 - A chimeric bacteriophage lysin with activity against staphylococci bacteria - Google Patents
A chimeric bacteriophage lysin with activity against staphylococci bacteria Download PDFInfo
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- A01—AGRICULTURE; FORESTRY; ANIMAL HUSBANDRY; HUNTING; TRAPPING; FISHING
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- C12N2795/10011—Details dsDNA Bacteriophages
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Definitions
- the present disclosure relates to the identification and use of chimeric lytic enzymes to rapidly and specifically detect and kill Staphylococci bacteria, including certain antibiotic-resistant Staphylococcus aureus bacterial strains.
- Staphylococcus aureus is an opportunistic pathogen inhabiting human skin and mucous membranes.
- S. aureus is the causative agent of variety of skin and soft tissue infections in humans and serious infections such as pneumonia, meningitis, endocarditis, and osteomyelitis.
- S. aureus exotoxins also cause disease syndromes such as bullous impetigo, scalded skin syndrome, and toxic shock syndrome.
- staphylococci are also among the most common causes of food-borne illness in United States (Fischetti VA, Novick, R.P., Ferretti, J.J., Portnoy, D.A. and Rood, J. I., editor. 2006. Gram-positive pathogens.
- S. aureus is also a major cause of community- and hospital-acquired (nosocomial) infections. Of the nearly 2 million cases of nosocomial infections in United States, approximately 230,000 cases are caused by S. aureus (NNIS. 2003. NNIS report, data summary from January 1992 through June 2003, issued August 2003. American Journal of Infection Control 31 :481 -498.). [0005] The global appearance of methicillin- and vancomycin-resistant clinical isolates of S. aureus has become a serious concern. Currently, 40- 60% of nosocomial infections of S.
- aureus are resistant to oxacillin (Massey RC, Horsburgh MJ, Lina G, Hook M, Recker M. 2006. The evolution and maintenance of virulence in Staphylococcus aureus: a role for host-to-host transmission? Nat Rev Microbiol 4(12):953-8.) and greater than 60% of the isolates are resistant to methicillin (Gill SR, Fouts DE, Archer GL, Mongodin EF, Deboy RT, Ravel J, Paulsen IT, Kolonay JF, Brinkac L, Beanan M and others. 2005.
- lysins Bacteriophage endolysins
- lysins Bacteriophage endolysins
- lysins are one such class of novel antimicrobial agents that are emerging as novel agents for the prophylactic and therapeutic treatment of bacterial infections.
- Lysins are cell wall hydrolases that are produced during the infection cycle of double-stranded DNA bacteriophages (or phages) enabling release of progeny virions.
- lysins have two distinct functional domains consisting of a catalytic domain for peptidoglycan hydrolysis and a binding domain for recognition of surface moieties on the bacterial cell walls. The catalytic domains are relatively conserved among lysins.
- lysins can be classified into two groups based on bond specificity within the peptidoglycan: glycosidases that hydrolyze linkages within the aminosugar moieties and amidases that hydrolyze amide bonds of cross-linking stem peptides.
- the binding domains however are not conserved among lysins. Hence the binding domain imparts species- and strain-specificity because the binding targets, often carbohydrates associated with the peptidoglycan, display species- or strain-specific distribution (Fischetti VA, Nelson D, Schuch R. 2006. Reinventing phage therapy: are the parts greater than the sum? Nat Biotechnol 24(12):1508-1 1 ).
- lysins' The modular architecture of lysins' is an important feature with respect to their development as antimicrobial agents. This enables creation of chimeras by swapping lysin domains and thereby altering binding specificity or enzymatic activity or both (Sheehan MM, Garcia JL, Lopez R, Garcia P. 1996. Analysis of the catalytic domain of the lysin of the lactococcal bacteriophage Tuc2009 by chimeric gene assembling. FEMS Microbiol Lett 140(1 ):23-8; Lopez R GE, Garcia P, Garcia JL. 1997. The pneumococcal cell wall degrading enzymes: a modular design to create new lysins?
- Microb Drug Res 3:199-21 1 Croux C, Ronda C, Lopez R, Garcia JL. 1993. Interchange of functional domains switches enzyme specificity: construction of a chimeric pneumococcal-clostridial cell wall lytic enzyme.
- lysins When applied exogenously, native or recombinant lysins were able to degrade the cell wall of susceptible bacteria and cause rapid cell lysis (Nelson D, Loomis L, Fischetti VA. 2001 . Prevention and elimination of upper respiratory colonization of mice by group A streptococci by using a bacteriophage lytic enzyme. Proc Natl Acad Sci U S A 98(7):4107-12). Lysins have been developed against a number of Gram-positive pathogens including Group A streptococci (Nelson D, Loomis L, Fischetti VA. 2001. Prevention and elimination of upper respiratory colonization of mice by group A streptococci by using a bacteriophage lytic enzyme.
- staphylococcal lysin Various labs have unsuccessfully attempted to obtain a staphylococcal lysin.
- the expression of more than twenty different staphylococcal lysins using a variety of techniques have been attempted without success. These include expression of lysin genes in E. coli using different expression vectors and conditions, expression in Bacillus, yeast and mammalian systems, expression in the presence of chaperones, expression of truncated versions etc.
- lysin genes in E. coli using different expression vectors and conditions
- expression in Bacillus, yeast and mammalian systems expression in the presence of chaperones
- expression of truncated versions etc To our knowledge, there is only one report of the successful development of S.
- MV-L atvretvs-specific lysin called MV-L (Rashel M, Uchiyama J, Ujihara T, Uehara Y, Kuramoto S, Sugihara S, Yagyu K, Muraoka A, Sugai M, Hiramatsu K and others. 2007. Efficient elimination of multidrug-resistant Staphylococcus aureus by cloned lysin derived from bacteriophage phi MR1 1. J Infect Dis 196(8): 1237-47). MV-L lysin is comprised of two catalytic domains (an endopeptidase and an amidase domain) linked to a single cell wall targeting (CWT) domain, a type of binding domain.
- CWT single cell wall targeting
- references herein to a "binding domain” herein include a CWT domain.
- the MV-L CWT domain like the staphylolytic enzyme lysostaphin, displays homology to SH3b-like domains.
- the SH3b-like domains bind to the peptide cross-bridge (the penta Glycine) in the staphylococcal cell wall.
- staphylococcal strains developing resistance at 10 "6 frequencies to lysostaphin by altering their peptide cross-bridges. Therefore, we expect staphylococci to develop resistance at a higher frequency to lysins containing SH3b-like CWT domains including MV-L.
- This disclosure describes novel staphylococcal lysins, as well as methods of making and using the lysin.
- CIyS for chimeric lysin for staphylococci
- CIyS is specifically active against susceptible and drug-resistant staphylococci, and was constructed by fusing the catalytic domain of a Staphylococcus-specific phage lysin with a unique binding domain from another Staphylococcus-specific phage lysin that has no known homologs.
- CIyS is a soluble Staphylococcal-specific lysin without a SH3b-like CWT domain, but does contain a CWT domain that is believed to recognize a staphylococci-specific surface carbohydrate. Consequently, the frequency by which staphylococcal strains will develop resistance to CIyS may be reduced. Additionally, biochemical characterization of CIyS revealed that the pH and salt spectrum of CIyS is very different from conventional lysins thereby providing unique properties to this chimeric lysin.
- the binding domain for diagnostic purposes, the method comprising the steps of contacting a sample with a reporter molecule comprising a cell wall target domain comprising the amino acid sequence of SEQ ID NO:1 and a fluorescent reporting moiety bound thereto; and subsequently detecting the presence of the reporter molecule bound to a staphylococcus bacteria within the sample.
- the reporter molecule is a green fluorescent protein.
- Figure 1 is a schematic diagram of phiNM3 lysin showing the putative CHAP ("cysteine- and histidine-dependent amidohydrolase/peptidase") and CWT domains. The numbers represent the amino acid positions and the domain limits. The CWT domain of CIyS is indicated in the diagram.
- Figure 2A is a gel showing the purification of phiNM3 CWT. SDS- PAGE and coomassie blue stained gel of phiNM3 CWT purified by anion- exchange chromatography is depicted in the lane marked "CWT.” Protein molecular weight markers in kilodaltons (kDa) are shown in the lane marked
- Figure 2B shows the amino acid sequence of the phiNM3 CWT protein (SEQ ID NO:1 ).
- Figure 3 shows a series of micrographs showing PhiNM3 CWT binding specifically to staphylococci. Purified phiNM3 CWT was labeled with
- Figure 4 is a schematic diagram illustrating chimeric lysin development.
- Figure 4 provides schematic diagrams of various chimeric lysins showing their respective domains and the corresponding expression and solubility of the protein and activity against S. aureus cells.
- PlyB-cat indicates catalytic domain of Bacillus-specific lysin PIyB (and is marked with a
- CWT indicates CWT domain of S. aureus phage Twort lysin (and is marked with a "8" in the figure);
- Lysostaphin CWt indicates CWT domain of lysostaphin (and is marked with a "10" in the figure);
- Se autolyin amidase indicates an amidase domain of S. epidermidis autolysin (and is marked with a "12" in the figure).
- Figure 5A shows the CIyS protein sequence.
- the predicted protein sequence of the chimeric protein CIyS showing the Twort endopeptidase catalytic and the phiNM3 CWT domains.
- Figure 5B shows the amino acid sequence for the AD127 chimeric molecule, described with respect to Figure 4.
- Figure 5C shows the amino acid sequence for the native
- FIG. 6 is a gel showing the purification of CIyS.
- CIyS was expressed in E. coli DH5 ⁇ cells and purified by cation-exchange chromatography followed by hydroxyapatite chromatography. Purified sample (10 micrograms) was separated by SDS-PAGE and stained by Coomassie blue (right hand lane). Protein molecular weight markers in kilodaltons (kDa) are shown in the left hand lane.
- Figure 7 is a graph showing the activity of CIyS against S. aureus in vitro.
- S. aureus strain 8325-4 cells were resuspended in 20 mM phosphate buffer (pH 7.4), incubated with 5OU of CIyS and OD600 (filled triangles) monitored by a spectrophotometer. Control experiments (filled squares) were performed under the same conditions with buffer alone. Viability (filled diamonds) of cells, shown as colony-forming units/ml, was determined by serially diluting and plating the cells.
- Figure 8 is a series of micrographs showing that CIyS causes cell wall disruption and ultimately lysis of 8325-4 cells.
- Figures 8A - 8C are thin-section transmission electron micrographs (bars, 200 nm) of S. aureus 3 minutes after exposure to 50 U of CIyS. The arrows indicate cytoplasmic membrane extrusions through holes generated in the cell wall by CIyS. Ultimate lysis results in "cell-ghosts" (D) after the loss of cytoplasmic contents (bar, 500 nm).
- Figures 9A and 9B are graphs showing the activity of CIyS in various pH and salt concentration conditions.
- Figure 9A is a graph of the activity of CIyS (50U) tested against S. aureus strain 8325-4 in buffers with pH values ranging from 4 and 10 in 15 minute assays.
- Optical density (filled squares) and viability (filled diamonds) was measured as described in legend of Figure 6.
- Fold killing in the viability assay was calculated by dividing the number of viable bacteria after buffer treatment at a particular pH by the number after exposure to CIyS enzyme at the same pH. Final pH readings for each reaction are recorded on the x axis.
- Figure 9B is a graph showing the activity of CIyS (50 U) tested against S. aureus strain 8325-4 in 20 mM phosphate buffer (pH 7.4) in the presence of different concentrations of NaCI. After 15 minutes samples were assayed for optical density and viability calculated as above.
- Figure 10 is a bar graph showing that CIyS exerts specific killing of staphylococci. Log-phase cultures of different bacteria were exposed to 50 U of CIyS for 15 minutes. Fold killing was calculated as described in Figure 8 legend.
- Figure 1 1 depicts a graph of the CFU of MRSA from individual
- Figure 12 depicts Kaplan Meier Survival Curves showing the effect of CIyS on preventing death in mice injected with MRSA compared with phosphate buffer control.
- Figure 13 depicts an isobologram for a checkerboard broth microdilution study of the effect of vancomycin on VISA (vancomycin-resistant
- Figure 14 depicts Kaplan Meier Survival Curves showing the effect of oxacillin alone or in combination with CIyS.
- Figure 15 depicts a photograph of a Coomassie-blue stained SDS-
- the bottom right gel shows a much higher amount of intact pClyS in the presence of 5mM DTT after 5 days compared to intact CIyS in the presence of 5 mM DTT after 5 days.
- isolated means at least partially purified from a starting material.
- purified means that the biological material has been measurably increased in concentration by any purification process, including by not limited to, column chromatography, HPLC, precipitation, electrophoresis, etc., thereby partially, substantially or completely removing impurities such as precursors or other chemicals involved in preparing the material.
- material that is homogenous or substantially homogenous e.g., yields a single protein signal in a separation procedure such as electrophoresis or chromatography
- Skilled artisans will appreciate that the amount of purification necessary will depend upon the use of the material. For example, compositions intended for administration to humans ordinarily must be highly purified in accordance with regulatory standards.
- lytic enzyme genetically coded for by a bacteriophage refers to a polypeptide having at least some lytic activity against the host bacteria.
- Variants of "chimeric bacteriophage lysin” are included within the definition of chimeric bacteriophage lysins, and include a functionally active chimeric bacteriophage lysin with killing activity against Staphylococcus aureus having at least 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, 97%, 98%, 99%, or even at least 99.5% amino acid sequence identity with a sequence described herein.
- the present invention includes chimerical bacteriophage lysins having at least 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, 97%, 98%, 99%, or even at least 99.5% amino acid sequence identity with the polypeptide sequence of SEQ ID NO:2.
- Percent (%) polypeptide sequence identity with respect to the lytic enzyme polypeptide sequences identified here is defined as the percentage of amino acid residues in a candidate sequence that are identical with the amino acid residues in the specific lytic enzyme polypeptide sequence, after aligning the sequences and introducing gaps, if necessary, to achieve the maximum percent sequence identity, and not considering any conservative substitutions as part of the sequence identity. Methods for alignment for purposes of determining percent amino acid sequence identity are described below. Staphylococcal Lysins
- FIG. 1 is a schematic diagram of phiNM3 lysin showing the putative CHAP domain 1 10 and the CWT domain 120. The numbers represent the amino acid positions and the domain limits.
- the CWT domain of CIyS is shown as shaded box 120.
- the N-terminal module consists of a catalytic domain believed to possess the ability to break down the bacterial cell wall of certain bacteria. Enzymatic activities often associated with the catalytic domain are amidases, endopeptidases, glucosamidases and muramidases.
- the C- terminal module consists of a binding domain that is believed to have an affinity for a carbohydrate epitope on the target bacteria cell wall.
- the binding domain is believed to determine the specificity of the lysin.
- the peptide cross- bridge within the staphylococcal peptidoglycan is believed to function as the receptor for the CWT domain of lysostaphin, a staphylolytic enzyme produced by Staphylococcus simulans.
- the CWT domain of lysostaphin has homology to the SH3b domain suggesting that such lysins might also utilize the peptide cross-bridge as its receptor.
- Staphylococcus-specific binding molecules comprising a CWT domain within staphylococcal lysins are provided that have no known domain homologs.
- the binding molecules are lysins.
- the binding molecules may be used as diagnostic tools, for example to identify the presence of Staphylococcus bacteria.
- such a CWT domain is provided to recognize a different epitope such as a cell wall-associated carbohydrate instead of the peptide cross-bridge in the staphylococcal cell wall.
- the CIyS lysine can be used to digest the cell wall of Staphylococcus aureus bacterial strains, which in turn would allow access to the genetic and cytoplasmic material, such as endogenous DNA and RNA, to further identify and sequence the Staphylococcus aureus bacterial strain. It will also release membrane-associated and wall- associated molecules for diagnostic purposes.
- the binding molecule is a soluble binding domain of a bacterial lysin comprising a polypeptide including an amino acid sequence providing specific binding to S. aureus, such as SEQ ID NO:1 (phiNM3 CWT domain).
- the lysin preferably includes the polypeptide sequence of S.
- FIG. 1 is an anion exchange gel showing the protein of SEQ ID NO:1 in a second column next to a set of marker proteins in a first column.
- Figure 2B shows the amino acid sequence of SEQ ID NO:1.
- the purified protein was labeled with FITC and exposed to log-phase S. aureus, S. epidermidis and mixed population of S. aureus and Bacillus. Group A streptococci, E. coli and Bacillus cereus were used as controls. More preferably, The FITC-labeled phiNM3 CWT domain bound specifically to S. aureus (Fig 3-1 ) and S. epidermidis (Fig 3-3) cells when present in single or mixed populations (Fig 3-6) while binding to streptococci (Fig 3-5), Bacillus ( Figure 3-2) or E. coli ( Figure 3-4) was not observed.
- the binding molecule comprises a CWT binding domain, such as the amino acid sequence of SEQ ID NO:1 , attached to a reporting portion that is detectable to identify the presence of the binding molecule bound to Staphylococcal bacteria.
- the binding molecule may include the amino acid sequence of SEQ ID NO:1 bound to a fluorescent reporter group, a radioactive reporter group or a heterologous tag that is adapted to bind a fluorescent reporter.
- the phiNM3 (SEQ ID NO:1 ) CWT domain may be used as a diagnostic tool for the identification of staphylococcal bacteria.
- the high affinity binding site may be used in a wide range of assay techniques to detect S. aureus.
- Such assay methods include radioimmunoassays, gold sol radial immune assays, competitive-binding assays, Western Blot assays and ELISA assays.
- detection assays advantageously utilize a heterogeneous format wherein a binding reaction (SEQ ID NO:1 ) between a conjugated binding agent comprising (SEQ ID NO:1 ) and an analyte occurs followed by a wash step to remove unbound conjugated binding agent.
- gold sol particles may be prepared with protein that comprises the binding region with the binding protein immobilized on the particle surfaces. As binding occurs between the protein and (staphylococcal) bacteria, the particles merge and form a colored product.
- the binding protein may be complexed, preferably covalently with an enzyme such as beta galactosidase, peroxidase, or horseradish peroxidase. After wash, the remaining bound enzyme can be detected by adding a substrate such as a fluorogenic or chemilumigenic substrate.
- the binding protein may be complexed with any other reagent that can make a signal such as a rare earth fluor and detected by time resolved fluorescence, a radioactive material and detected by radioactivity measurement, green fluorescent protein (GFP) or another fluorescent tag, and detected by fluorescence.
- FIG. 5B provides the amino acid sequence of SEQ ID NO:3, the AD1 19 sample discussed with respect to Figure 4.
- AD1 19 (SEQ ID NO:3) comprises the Twort endopeptidase domain joined to the Lysostaphin CWT domain.
- AD127 chimeric compound of SEQ ID NO:2
- SEQ ID NO:1 phiNM3 CWT domain
- the AD127 compound was insoluble and exhibited little or no killing activity against S. aureus.
- the conjugation of the binding region with a detectable tag may be carried out by synthetic chemistry or a biological process.
- a DNA sequence coding for the binding region of SEQ ID NO:1 or of the entire lysin of SEQ ID NO:2 can be linked to genetic information that encodes a detectable marker such as green fluorescent protein (GFP) or an enzyme such as alkaline phosphatase.
- GFP green fluorescent protein
- an enzyme such as alkaline phosphatase
- the binding domain has a similar binding affinity of an immunoglobulin G molecule, the marked binding domain will effectively identify Staphylococcus aureus with little false positive activity.
- the isolated binding domain of SEQ ID NO:1 may be separated from the catalytic domain of SEQ ID NO:2 and may be expressed, purified and labeled using a number of fluorescent molecules such as fluorescein isothiocyanate, rhodamine isothiocyanate and others known by skilled artisans.
- the binding domain may be modified with biotin to allow formation of a biotin-avidin complex after the binding region adheres to the Staphylococcus aureus for identification.
- the lysin is a chimeric protein that comprises an endopeptidase domain of the S. aureus Twort lysin upstream of the phiNM3 CWT domain (SEQ ID NO:1 ).
- the chimeric polypeptide is preferably sufficiently soluble in phosphate buffered saline (PBS).
- PBS phosphate buffered saline
- the chimeric lysins comprising an endopeptidase domain of a first lysin (e.g., Twort S. aureus lysin) bound to the CWT domain of SEQ ID NO:1 are surprisingly soluble in PBS (e.g., at least about 1 mg/ml, and typically about 3 mg/ml or greater).
- a lysin is provided in SEQ ID NO:2 (AD127), shown in Figure 5A and consisting of the Twort lysin endopeptidase domain attached to the phiNM3 CWT domain (SEQ ID NO:1 ).
- the isolated polypeptide of SEQ ID NO:2 was constructed by engineering S. epidermidis autolysin amidase and Twort lysin endopeptidase domains upstream of phiNM3 CWT domain, respectively.
- Chimera AD 126 had no expression or activity but AD 127 was soluble and had very high activity but low expression.
- the entire chimera gene was cloned into expression vector pJML6 to generate pAD 138.
- the expression, solubility and activity of AD 127 from the pAD138 construct was very high. Therefore, this chimera was named 'CIyS' for Chimeric lysin for Staphylococcus ( Figure 5A).
- CIyS (SEQ ID NO:2) contains 280 amino acid residues with a deduced molecular mass of 31956 Da and a theoretical isoelectric point of 9.17, and was purified by two-step column chromatography to >90% homogeneity.
- CIyS had a molecular mass of approximately 31 kDa by SDS/PAGE ( Figure 6) which was confirmed by gel filtrations chromatography, suggesting that the protein exists as a monomer and is not proteolytically processed (data not shown).
- the unit activity of CIyS was defined by measuring the spectrophotometric loss of turbidity, indicative of cell lysis, of S. aureus 8325- 4 cells upon adding serial dilutions of CIyS. In our assays, 5 micrograms of CIyS corresponded to 1 U of lytic activity. When 50 U of CIyS was added to exponentially growing 8325-4 cells the OD600 dropped to baseline within 5 min ( Figure 7). To confirm that the observed cell lysis corresponds to cell death, staphylococcal viability was determined by enumerating aliquots from the lytic reaction at various time points. A decrease in viability of approximately 3-logs was observed in 30 min ( Figure 7).
- CIyS Muralytic activity of CIyS was tested on a number of bacterial strains representing a variety of species which were divided into sets (Table 1 and Figure 10).
- Set I consisted of S. aureus strains including methicillin- sensitive S. aureus (MSSA) and MRSA.
- MSSA methicillin- sensitive S. aureus
- CIyS was active against MSSA and MRSA although differences were observed between S. aureus strains.
- Set Il consisted of different species of staphylococci including S. epidermidis, S. simulans and S. sciuri.
- CIyS was active not only against S. epidermidis including the biofilm-forming strain RP62A but was also active against S. simulans and S.
- Set III consisted of a mix of Gram-positive and Gram-negative bacteria including representatives of group A, B, C and E streptococci, oral streptococcal species including S. gordonii, and S. salivarius, as well as S. uberis, Bacillus cereus, Pseudomonas aeruginosa and E. coli. CIyS exhibited no activity against any of these organisms.
- a chimeric peptide comprises an isolated polypeptide comprising an endopeptidase domain of the S. aureus Twort lysin upstream of the lyphostaphin CWT domain.
- S. aureus Twort lysin upstream of the lyphostaphin CWT domain.
- One example of such a lysin is provided in SEQ ID NO:3 (AD1 19).
- lytic compositions may comprise a mixture of two or more lysins.
- the mixture may include a first polypeptide and a second peptide where one or both of the polypeptides may lack a desired level of lytic activity, but the mixture provides desirably specific and effective lytic activity against a bacteria of interest.
- a composition may include an isolated first polypeptide comprising an endopeptidase domain of the S. aureus Twort lysin upstream of the lyphostaphin CWT domain combined with a second isolated polypeptide comprising an S. epidermidis autolysin amidase domain upstream of the lysostaphin CWT domain.
- One example of such a composition comprises a mixture of SEQ ID NO:3 (AD1 19) and SEQ ID NO:4 (AD1 12).
- the present disclosure pertains to lytic enzymes as a prophylactic treatment for preventing infection those who have possibly been exposed to S. aureus bacteria, or as a therapeutic treatment for those who have already become ill from the infection.
- the phage associated lytic enzymes described herein are specific for S. aureus bacteria and preferably effectively and efficiently break down the cell wall of the S. aureus bacteria.
- the chimeric lytic enzyme polypeptides described herein may also be employed as a therapeutic agent.
- the lytic enzyme polypeptides of the present invention can be formulated according to known methods to prepare pharmaceutically useful compositions, whereby the lytic enzyme product hereof is combined in admixture with a pharmaceutically acceptable carrier vehicle.
- compositions which may be used for the prophylactic and therapeutic treatment of a S. aureus bacteria infection also includes the shuffled and/or chimeric enzyme and a means of application (such as a carrier system or an oral delivery mode) to the mucosal lining of the oral and nasal cavity, such that the enzyme is put in the carrier system or oral delivery mode to reach the mucosa lining.
- a means of application such as a carrier system or an oral delivery mode
- a Staphylococcus chimeric lysin such as a lysin of SEQ ID NO:2 (CIyS) is administered as an antibacterial composition in combination with a suitable pharmaceutical carrier.
- a suitable pharmaceutical carrier such as a lysin of SEQ ID NO:2 (CIyS)
- the amount of the chimeric bactehophase lysin present is a therapeutically effective amount.
- Carriers as used herein include pharmaceutically acceptable carriers, excipients, or stabilizers which are nontoxic to the cell or mammal being exposed thereto at the dosages and concentrations employed. Often the physiologically acceptable carrier is an aqueous pH buffered solution.
- physiologically acceptable carriers include buffers such as phosphate, citrate, and other organic acids; antioxidants including ascorbic acid; low molecular weight (less than about 10 residues) polypeptide; proteins, such as serum albumin, gelatin, or immunoglobulins; hydrophilic polymers such as polyvinylpyrrolidone; amino acids such as glycine, glutamine, asparagine, arginine or lysine; monosaccharides, disaccharides, and other carbohydrates including glucose, mannose, or dexthns; chelating agents such as EDTA; sugar alcohols such as mannitol or sorbitol; salt-forming countehons such as sodium; and/or nonionic surfactants such as TWEEN TM, polyethylene glycol (PEG), and PLURONICSTM.
- buffers such as phosphate, citrate, and other organic acids
- antioxidants including ascorbic acid
- proteins such as
- Routes of administration include topical, ocular, nasal, pulmonary, buccal, parenteral (intravenous, subcutaneous, and intramuscular), oral, parenteral, vaginal and rectal. Also administration from implants is possible.
- the compounds of the invention may also be administered topically to the skin or mucosa, that is, dermally or transdermally.
- Typical formulations for this purpose include gels, hydrogels, lotions, solutions, creams, ointments, dusting powders, dressings, foams, films, skin patches, wafers, implants, sponges, fibres, bandages and microemulsions. Liposomes may also be used.
- Typical carriers include alcohol, water, mineral oil, liquid petrolatum, white petrolatum, glycerin, polyethylene glycol and propylene glycol.
- Penetration enhancers may be incorporated [see, for example, J Pharm Sci, 88 (10), 955-958 by Finnin and Morgan (October 1999).]
- the compounds of the invention may also be administered directly into the blood stream, into muscle, or into an internal organ.
- Suitable means for parenteral administration include intravenous, intraarterial, intraperitoneal, intrathecal, intraventricular, intraurethral, intrasternal, intracranial, intramuscular and subcutaneous.
- Suitable devices for parenteral administration include needle (including microneedle) injectors, needle-free injectors and infusion techniques.
- the compounds of the invention may also be administered intranasally or orally by inhalation, typically in the form of a aerosol.
- Suitable antimicrobial preparation forms are, for example granules, powders, tablets, coated tablets, (micro) capsules, suppositories, syrups, emulsions, microemulsions, defined as optically isotropic thermodynamically stable systems consisting of water, oil and surfactant, liquid crystalline phases, defined as systems characterized by long-range order but short- range disorder (examples include lamellar, hexagonal and cubic phases, either water- or oil continuous), or their dispersed counterparts, gels, ointments, dispersions, suspensions, creams, aerosols, droplets or injectable solution in ampule form and also preparations with protracted release of active compounds, in whose preparation excipients, diluents, adjuvants or carriers are customarily used as described above.
- the pharmaceutical composition may also be provided in bandages or in sutures or the like.
- Many orthopedic surgeons consider that humans with prosthetic joints should be considered for antibiotic prophylaxis. Late deep infection by S. aureus is a serious complication sometimes leading to loss of the prosthetic joint and is accompanied by significant morbidity and mortality. It may therefore be possible to extend the use of the chimeric bacteriophage lysin described herein (e.g., SEQ ID NO:2) as a replacement for or for use in combination with prophylactic antibiotics in this situation.
- the chimeric bacteriophage lysin may be administered by injection with a suitable carrier directly to the site of the orthopedic device in situ to clear the infection, or on a surface of the device prior to implantantation.
- injection routes such as subcutaneous, intramuscular, or intraperitoneal
- Alternative means for administration include transmucosal and transdermal administration using penetrants such as bile salts or fusidic acids or other detergents.
- penetrants such as bile salts or fusidic acids or other detergents.
- oral administration may also be possible. Administration of these compounds may also be topical and/or localized, in the form of salves, pastes, gels, and the like.
- a chimeric peptide described herein Prior to, or at the time the enzyme is put in the carrier system or oral delivery mode, it may be desirable for a chimeric peptide described herein to be administered or formulated in a stabilizing buffer environment, maintaining a pH range between about 5.0 and about 7.5.
- the enzyme Prior to, or at the time the chimeric peptide is put in the carrier system or oral delivery mode, the enzyme may be in a stabilizing buffer environment for maintaining a suitable pH range, such as between about 5.0 and about 8.0, including a pH of about 5.0, 6.0, 7.0, 8.0 or any pH interval of 0.05 therebetween, or any interval that is a multiple of 0.05 therebetween, including pH values of 5.2, 6.5, 7.4, 7.5 and 8.5.
- lysins peptidoglycan and associated carbohydrates, respectively
- lysin resistance will be rare.
- Treatment refers to both therapeutic treatment and prophylactic or preventative measures, wherein the object is to prevent or slow down (lessen) the targeted pathologic condition or disorder.
- mammal for purposes of treatment refers to any animal classified as a mammal, including humans, domestic and farm animals, and zoo, sports, or pet animals, such as dogs, cats, cattle, horses, sheep, pigs, goats, rabbits, etc. Preferably, the mammal is human.
- the formulations to be used for in vivo administration are preferably sterile. This is readily accomplished by filtration through sterile filtration membranes, prior to or following lyophilization and reconstitution.
- Therapeutic compositions herein generally are placed into a container having a sterile access port, for example, an intravenous solution bag or vial having a stopper pierceable by a hypodermic injection needle.
- the route of administration is in accord with known methods, e.g. injection or infusion by intravenous, intraperitoneal, intracerebral, intramuscular, intraocular, intraarterial or intralesional routes, topical administration, or by sustained release systems.
- the lytic enzyme When treating a bacterial exposure or infection, the lytic enzyme may be administered in any suitable fashion, including parenterally or through the oral or nasal cavity.
- Dosages and desired drug concentrations of pharmaceutical compositions of the present invention may vary depending on the particular use envisioned. The determination of the appropriate dosage or route of administration is well within the skill of an ordinary physician. Animal- experiments provide reliable guidance for the determination of effective doses for human therapy. Interspecies scaling of effective doses can be performed following the principles laid down by Mordenti, J. and Chappell, W. "The use of interspecies scaling in toxicokinetics" In Toxicokinetics and New Drug Development, Yacobi et al., Eds., Pergamon Press, New York 1989, pp. 42- 96.
- chimeic peptide lysin When in vivo administration of a chimeic peptide lysin is employed, normal dosage amounts may vary from about 10 ng/kg to up to 1000 mg/kg of mammal body weight or more per day, or about 1 ⁇ g/kg/day to 10000mg/kg/day, depending upon the route of administration. Guidance as to particular dosages and methods of delivery is also provided below, as well as in the literature. It is anticipated that different formulations will be effective for different treatment compounds and different disorders, that administration targeting one organ or tissue, for example, may necessitate delivery in a manner different from that to another organ or tissue.
- the effective dosage rates or amounts of the chimeric peptide to be administered parenterally, and the duration of treatment will depend in part on the seriousness of the infection, the weight of the patient, the duration of exposure of the recipient to the infectious bacteria, the seriousness of the infection, and a variety of a number of other variables.
- the composition may be applied anywhere from once to several times a day, and may be applied for a short or long term period. The usage may last for days or weeks. Any dosage form employed should provide for a minimum number of units for a minimum amount of time.
- the concentration of the active units of a chimeric peptide believed to provide for an effective amount or dosage of enzyme may be in the range of about 10, 20, 30, 40, 50, 60, 70, 80, 90, or 100 units/ml up to about 10,000,000 units/ml of composition, in a range of about 1000 units/ml to about 10,000,000 units/ml, and from about 10,000 to 10,000,000 units/ml.
- a number of methods can be used to assist in transporting the enzyme across the cell membrane.
- the enzyme can be transported in a liposome, with the enzyme be "inserted" in the liposomes by known techniques. Similarly, the enzyme may be in a reverse micelle.
- the enzyme can also be pegylated, attaching the polyethylene glycol to the non- active part of the enzyme.
- hydrophobic molecules can be used to transport the enzyme across the cell membrane.
- glycosylation of the enzyme can be used to target specific internalization receptors on the membrane of the cell.
- compositions comprising a Staphylococcus chimeric lysin bacterial binding protein such as a lysin of SEQ ID NO:2 (CIyS), with other lytic enzymes which are useful for sanitizing or decontaminating porous surfaces e.g. textiles, carpeting.
- CCS Staphylococcus chimeric lysin bacterial binding protein
- other lytic enzymes which are useful for sanitizing or decontaminating porous surfaces e.g. textiles, carpeting.
- the composition of lytic enzymes may be used to decontaminate veterinarian surgical or examination areas, where such areas may be thought to harbor infectious organisms susceptible to the bacteriostatic or bacteriocidal activity.
- a Staphylococcus chimeric lysin such as a lysin of SEQ ID NO:2 (CIyS) may be combined with other bacteriostatic or bacteriocidal agents useful for decontamination of inanimate solid surfaces suspected of containing infectious bacteria, or for decontamination of porous surfaces.
- CCS Staphylococcus chimeric lysin
- Example 1 Identification of Specific Binding Peptides and Development of Chimeric Lvsins
- S. aureus phage phiNM3 lysin protein accession number YP_908849
- S. aureus prophage phi13 amidase accession number NP_803402
- S. aureus prophage MW2 amidase accession number NP_646703.1
- the C- terminal domain of these lysins did not display homology to any known domains in the database ( Figure 1 ).
- AD 1 12 SEQ ID NO:4
- AD 1 12 expressed very well and the protein was also very soluble but there was no lytic activity.
- the S. aureus cells clumped when exposed to AD 1 12. Since the lysostaphin catalytic domain (an amidase) (10) in AD 1 12 was of bacterial origin, we attempted to engineer a phage-derived catalytic domain upstream of the lysostaphin CWT.
- chimera AD 1 19 (SEQ ID NO:3).
- AD 1 19 was soluble.
- AD 1 19 alone did not show significant activity, when combined with chimera AD 1 12 the activity was significantly enhanced.
- chimeras AD 126 SEQ ID NO:16
- AD 127 SEQ ID NO:2
- Bacterial strains (Table 1 ) were stored at -80 0 C routinely grown at 37°C. Staphylococcal strains used in this study were grown in Trypticase Soy Broth (TSB) media, streptococcal strains were grown in THY (Todd-Hewitt broth, 1 % wt/vol yeast extract) media, B. cereus and P. aeruginosa were grown in BHI (Brain Heart Infusion) media while E. coli was cultivated in LB (Luria Bertani) media.
- TTB Trypticase Soy Broth
- streptococcal strains were grown in THY (Todd-Hewitt broth, 1 % wt/vol yeast extract) media
- B. cereus and P. aeruginosa were grown in BHI (Brain Heart Infusion) media while E. coli was cultivated in LB (Luria Bertani) media.
- the chimeric lysin was constructed by amplifying and ligating individual domains from respective genes.
- the Twort endopeptidase domain was PCR amplified from plasmid pCR2.
- I pIyTW which contains the entire lysin (plyTW) gene using primers TW-Endo-Ncol-F: 5'- CTAGCCATGGAAACCCTGAAACAAGCAG-3' (SEQ ID NO:5) and TW-Endo- Pstl-R: 5'-ACATGCTGCAGAACCATATTGTAATTAATATTAGTTCTATC- 3'(SEQ ID NO:6).
- the cell wall targeting (CWT) domain was PCR amplified from S.
- CCCAAGCTTAAAACACTTCTTTCACAATCAATCTC-SXSEQ ID NO:8) The two PCR amplicons were ligated using the Pstl restriction endonuclease site.
- the ligated product was cloned into pBAD24 vector using the Ncol-Hindlll cloning sites to generate recombinant plasmid pAD127.
- the entire DNA fragment corresponding to clyS was PCR amplified from pAD124 using primers NM3-Lys-Xba-F: 5'-
- CTAGTCTAGAGGTGGAATAATGAAAACATACAGTGAAGCAAG-S' (SEQ ID NO:9) and primer NM3-CBD-Hind-R(SEQ ID NO:8).
- the PCR product was cloned into expression vector pJML6 to generate pAD138.
- the sequence of CIyS was confirmed by sequencing.
- the recombinant plasmid pAD138 was transformed into E. coli DH5 ⁇ cells.
- CIyS was induced overnight from E. coli DH5 ⁇ (pAD138) cells with lactose (10g/500ml final concentration) at 3O 0 C.
- Cells were harvested by centhfugation, resuspended in buffer A (20 mM phosphate buffer (PB), 1 mM DTT (dithiothreitol)) and lysed by an EmulsiFlex-C5 high pressure homogenizer (Avestin) at 4ooC.
- the lysates were cleared by centrifugation (2x 50,000xg) for 30 minutes at 4°C and the supernatant applied to a CM- sepharose column (Amersham Pharmacia, Piscataway, N. J.).
- CIyS was eluted with buffer A + 1 M NaCI using a linear gradient of 0-50% B in 15 columns volumes. Fractions were analyzed for lytic activity as previously described (Daniel et al, 2001 ). Fractions displaying lytic activity were pooled and dialyzed overnight against buffer B (PB, 1 mM DTT, 5OmM NaCI). The dialyzed sample was applied to a hydroxylapatite (MacroPrep Typell 40 ⁇ m, BioRad) column and eluted with elution buffer (500 mM PB + 50 mM NaCI+ 1 mM DTT) using a linear gradient of 0-100% B in 20 columns volumes. The fractions were analyzed by SDS-PAGE and for lytic activity. Active clean fractions of CIyS were pooled and dialyzed against buffer B. Protein concentration was determined with the BCA method (Sigma, St. Louis, MO).
- CIyS activity was measured as previously described (Daniel et al, 2001 ), with some modifications. Briefly, S. aureus strain 8325-4 was grown to an OD 6 Oo of 0.25-0.3, centhfuged, and resuspended in PB to a final OD 6 oo of 0.8-1.0. Two-fold serial dilutions of purified CIyS (1 OO ⁇ l) were added to 100 ⁇ l of bacterial suspension in 96-well plates (Costar) and the decrease in OD600 was monitored by a Spectramax Plus 384 spectrophotometer (Molecular Devices) over 30 min at 37 0 C. CIyS activity in units per milliliter was defined as the reciprocal of the highest dilution of lysin that decreased the absorbance by 50% in 15 minutes.
- Example 5 Measuring in vitro CIyS activity
- Example 6 Measuring CIyS activity as a function of pH and salt profile
- the effect of pH on CIyS activity was determined as previously described using the universal buffer system pH 4-10 (Yoong et al). Briefly, logphase 8325-4 cells were resuspended in the universal buffer system and incubated with 5OU of CIyS for 15 minutes. The final pH of each reaction was checked by pH paper. The samples were serially diluted and plated. In controls, PB replaced CIyS.
- S. aureus strain 8325-4 was grown to log-phase, centrifuged and resuspended in PBS to an absorbance at 600nm of 1.0.
- the bacterial suspension was incubated with 5OU of CIyS at room temperature.
- the lytic reaction was terminated after 1 minute and 5 minutes by adding glutaraldehyde (final concentration 2.5%).
- the suspension was pelleted by centhfugation and overlaid with 2.5% glutaraldehyde in 0.1 M cacodylate buffer (pH 7.4).
- the samples were then postfixed in 1 % osmium tetroxide, block stained with uranyl acetate and processed according to standard procedures by The Rockefeller University Electron Microscopy Service.
- the approximately 10-kDa phiNM3 CWT protein was expressed and the protein was purified in one step by cation-exhange chromatography.
- the purified protein (1 mg/ml) was incubated with 10 ⁇ l of FITC (1 mg/ml) for 1 hour. Excess FITC was removed on a desalting column.
- the labeled-protein 50 ⁇ g was incubated with bacterial cells for 10 minutes, washed 3x with phosphate-buffered saline (pH 7.4) and observed under fluorescence microscope.
- Example 8 Measuring in vivo activity of CIyS
- MRSA strain would be grown to log-phase, centhfuged and resuspended to a predefined titer of about 1010 cfu/ml.
- the animals would be divided into 2 groups and administered various concentrations of CIyS or sterile saline intraperitoneal ⁇ six hours after infection and every six hours thereafter for 3 days.
- the survival rate for each group would be observed up to 7 days post infection.
- Example 9 The linker region by itself does not confer solubility to a chimera.
- Example 10 In vivo Nasal Decolonization of MRSA by CIvS. Carriage of both MSSA and MRSA in the human anterior nares is the major reservoir for S. aureus infection. Studies have shown that roughly 80% of the population could be nasally colonized by S. aureus, and that colonization can be an increased risk factor for developing other more serious S. aureus infections (Kluytmans, J., A. van Belkum. 1997. Nasal carriage of Staphylococcus aureus: epidemiology, underlying mechanisms, and associated risks. Clin Microbiol Rev 10(3): 505-20.). Elimination of nasal carriage in the community or in the hospital setting thus could possibly reduce the risk of infection and slow the spread of drug resistant S.
- mice were intranasally inoculated with -2x10 7 of a spontaneously streptomycin resistant strain of MRSA (191- SM R ). Twenty-four hours post-infection mice were administered three doses hourly of either phosphate buffered saline (control) or CIyS (960 ⁇ g) into the nasal passages. One hour after the last treatment, mice were sacrificed and bacteria colonies were enumerated on Spectra MRSA agar, (a selective chromogenic medium developed to diagnostically detect MRSA nasal colonization) and Columbia blood agar.
- Example 1 CIyS Treatment of Systemic MRSA Infections.
- 4 week old FVB/NJ mice were intraperitonally injected with -5x10 5 CFU of the community-acquired MRSA strain MW2 in 5% mucin.
- Preliminary experiments determined that 5x10 5 CFU was 10X the LDioo dose for a twenty-four hour period.
- the MRSA infection was systemic, i.e., MRSA were recovered in high numbers from heart, liver, spleen, and kidney (data not shown).
- Example 12 CIvS showed synergistic interaction with Vancomycin and Oxacillin.
- vancomycin MIC for VISA strain Mu50 was 8 ⁇ g/ml and the oxacillin MIC for MRSA strain COL was 32 ⁇ g/ml, while the CIyS MIC was 6 and 8 U/ml for both strains tested (Mu50 and COL respectively), lsobolograms for CIyS with vancomycin and CIyS with oxacillin was plotted by transcribing the enzyme concentrations along the inhibitory line on the microtiter plate in an x/y plot. The shape of the curves for both interactions were characteristic of a synergistic interaction (Fig. 13) and were further confirmed by calculating the ⁇ FICI for both interactions which was ⁇ 0.5.
- Example 13 In vivo Synergy of Oxacillin and CIyS in the Treatment of Systemic MRSA Infections. In vitro experiments showed that CIyS acted synergistically with oxacillin (Figure 14). To determine if this effect could be seen in our systemic MRSA infection model, FVB/NJ mice were intrapehtonally injected with -5x10 5 CFUs of the MRSA strain MW2 as above. Three hours post infection mice were treated in parallel, with a lower IP dose of 130 ⁇ g/mouse of CIyS combined with different concentrations of oxacillin (10-100 ⁇ g/mouse) or buffer alone controls.
- Example 16 Modification of CIvS.
- the G 166 residue of CIyS (SEQ ID NO:2) was changed to a proline by site directed mutagenesis (creating pClyS).
- the purified pClyS molecule (SEQ ID NO: 17) was subjected to stability studies at 21 0 C for 5 days, the pClyS was found to be significantly more stable in the presence of 5mM DTT the native CIyS with or without DTT ( Figure 15).
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US13/502,912 US8840900B2 (en) | 2008-07-03 | 2009-07-01 | Chimeric bacteriophage lysin with activity against Staphylococci bacteria |
JP2011516843A JP5758291B2 (en) | 2008-07-03 | 2009-07-01 | Chimeric bacteriophage lysin with activity against Staphylococcibacteria |
CA2729160A CA2729160C (en) | 2008-07-03 | 2009-07-01 | A chimeric bacteriophage lysin with activity against staphylococci bacteria |
EP09774409.8A EP2307557B1 (en) | 2008-07-03 | 2009-07-01 | A chimeric bacteriophage lysin with activity against staphylococci bacteria |
ES09774409.8T ES2627321T3 (en) | 2008-07-03 | 2009-07-01 | A chimeric bacteriophage lysine with activity against staphylococcal bacteria |
AU2009266982A AU2009266982B2 (en) | 2008-07-03 | 2009-07-01 | A chimeric bacteriophage lysin with activity against staphylococci bacteria |
US14/480,822 US10053681B2 (en) | 2008-07-03 | 2014-09-09 | Chimeric bacteriophage lysin with activity against staphylococci bacteria |
AU2015230807A AU2015230807B2 (en) | 2008-07-03 | 2015-09-25 | A chimeric bacteriophage lysin with activity against staphylococci bacteria |
US16/105,155 US11015182B2 (en) | 2008-07-03 | 2018-08-20 | Chimeric bacteriophage lysin with activity against staphylococci bacteria |
US17/328,299 US11827911B2 (en) | 2008-07-03 | 2021-05-24 | Chimeric bacteriophage lysin with activity against Staphylococci bacteria |
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HK1248722A1 (en) | 2018-10-19 |
CA2984933A1 (en) | 2010-01-07 |
JP6169632B2 (en) | 2017-07-26 |
EP2307557A2 (en) | 2011-04-13 |
CA2984933C (en) | 2020-07-07 |
US20150064156A1 (en) | 2015-03-05 |
JP5758291B2 (en) | 2015-08-05 |
AU2009266982B2 (en) | 2015-06-25 |
AU2015230807A1 (en) | 2015-10-15 |
ES2627321T3 (en) | 2017-07-27 |
US20120258088A1 (en) | 2012-10-11 |
US11015182B2 (en) | 2021-05-25 |
JP2011526920A (en) | 2011-10-20 |
EP3263588A1 (en) | 2018-01-03 |
US20210348146A1 (en) | 2021-11-11 |
AU2015230807B2 (en) | 2017-07-27 |
JP2015126738A (en) | 2015-07-09 |
EP2307557B1 (en) | 2017-03-01 |
CA2729160C (en) | 2017-11-14 |
CA2729160A1 (en) | 2010-01-07 |
US10053681B2 (en) | 2018-08-21 |
US20190055533A1 (en) | 2019-02-21 |
US11827911B2 (en) | 2023-11-28 |
US8840900B2 (en) | 2014-09-23 |
WO2010002959A3 (en) | 2010-05-06 |
EP2307557A4 (en) | 2012-04-11 |
AU2009266982A1 (en) | 2010-01-07 |
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