WO2011163460A1 - Yl-based insulin-like growth factors exhibiting high activity at the insulin receptor - Google Patents

Yl-based insulin-like growth factors exhibiting high activity at the insulin receptor Download PDF

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WO2011163460A1
WO2011163460A1 PCT/US2011/041601 US2011041601W WO2011163460A1 WO 2011163460 A1 WO2011163460 A1 WO 2011163460A1 US 2011041601 W US2011041601 W US 2011041601W WO 2011163460 A1 WO2011163460 A1 WO 2011163460A1
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alkyl
group
prodrug
chain
igf
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PCT/US2011/041601
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French (fr)
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Richard D. Dimarchi
Shujiang Cheng
Binbin Kou
Jie Han
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Indiana University Research And Technology Corporation
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K14/00Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/435Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • C07K14/575Hormones
    • C07K14/65Insulin-like growth factors (Somatomedins), e.g. IGF-1, IGF-2
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides

Definitions

  • nucleotide/amino acid sequence listing submitted concurrently herewith and identified as follows: One 37 KB ACII (Text) file named "YL216453" created on June 23, 2011.
  • Insulin is a proven therapy for the treatment of juvenile-onset diabetes and later stage adult-onset diabetes. Unfortunately, its pharmacology is not glucose sensitive and as such it is capable of excessive action that can lead to life-threatening hypoglycemia. Inconsistent pharmacology is a hallmark of insulin therapy such that it is extremely difficult to normalize blood glucose without occurrence of
  • native insulin is of short duration of action and requires modification to render it suitable for use in control of basal glucose.
  • One central goal in insulin therapy is designing an insulin formulation capable of providing a once a day time action. Extending the action time of an insulin dosage can be achieved by decreasing the solubility of insulin at the site of injection.
  • Prodrug chemistry offers an alternative mechanism to precisely control the onset and duration of insulin action after clearance from the site of administration and equilibration in the plasma at a highly defined concentration.
  • the central virtue of such an approach relative to current long-acting insulin analogs and formulations is that the insulin reservoir is not the subcutaneous fatty tissue where injection occurs, but rather the blood compartment. This removes the variability in precipitation and solubilization.
  • the use of a prodrug form of insulin also enables administration of the peptide hormone by routes other than a subcutaneous injection.
  • an active site structural address is needed that can form the basis for the reversible attachment of a prodrug structural element.
  • the structural address needs to offer two key features; (1) the potential for selective chemical modification and (2) the ability to provide full activity in the native form upon removal of the prodrug structural element.
  • Insulin is a two chain heterodimer that is biosynthetically derived from a low potency single chain proinsulin precursor through enzymatic processing.
  • Human insulin is comprised of two peptide chains (an "A chain” (SEQ ID NO: 1) and "B chain” (SEQ ID NO: 2)) bound together by disulfide bonds and having a total of 51 amino acids.
  • the native insulin structure has limited unique chemical elements at the active site residues that might be used for selective assemble of an amide linked prodrug element. Accordingly there is a need for insulin mimetics that function as insulin receptor agonists but have advantageous properties such as providing sites for attachment of prodrug elements, enhanced ease of synthesis, and co-agonist activity at receptors other than the insulin receptors.
  • IGF's Insulin-like growth factors
  • IGF-1 insulin-like growth factor-I
  • IGF-2 insulin-like growth factor- II
  • multiplication-stimulating activity a mixture of peptides called "multiplication-stimulating activity.”
  • This heterologous group of peptides exhibit important growth-promoting effects in vitro (Daughaday, W. H. (1977) Clin. Endocrin. Metab. 6: 117-135.; Clemmons, D. R. and Van Wyk, J.
  • Human IGF-1 is a 70 aa basic peptide having the protein sequence shown in SEQ ID NO: 3, and has a 43% homology with proinsulin (Rinderknecht et al. (1978) J. Biol. Chem. 253:2769-2776).
  • Human IGF-2 is a 67 amino acid basic peptide having the protein sequence shown in SEQ ID NO: 4. Specific binding proteins of high molecular weight having very high binding capacity for IGF-1 and IGF-2 act as carrier proteins or as modulators of IGF-1 functions (Holly et al. (1989) J. Endocrinol. 122:611-618).
  • IGF B16B17 derivative peptides that display high activity at the insulin receptor.
  • Such derivatives are more readily synthesized than insulin and enable the development of co-agonist analogs for insulin and IGF- 1 receptors, and potentially selective insulin receptor isoform specific analogs.
  • the B 16 tyrosine of insulin has been identified as an amino acid of great importance to high affinity insulin agonism.
  • the remaining differences in amino acid sequence between insulin and IGFs appear to be of minor importance to high affinity interaction of insulin-like ligands with the insulin receptor.
  • This discovery enables the use of IGF-insulin based hybridized peptides to be used as full and super-potent insulin agonists.
  • IGF B 16B 17 derivative peptide include, but are not limited to relative ease of synthesis, development of co-agonists for insulin and IGF- 1 receptors, and potentially selective insulin receptor isoform specific analogs.
  • a prodrug derivative of an IGF B 16B 17 derivative peptide comprises a modified IGF A chain and B chain, wherein the A chain comprises a sequence of Z- GIVX 4 ECCX8X9SCDLX 1 4Xi5LEX 18 X 19 CX2i-Ri3 (SEQ ID NO: 19) or a sequence that differs from SEQ ID NO: 19 by 1 to 3 amino acid modifications selected from positions 5, 8, 9, 10, 12, 14, 15, 17, 18 and 21 of SEQ ID NO: 19, and said B chain sequence comprises a sequence of
  • J-R22-X25LCGX29X30LVX33X34LX36LVCGDX42GFX45-R14 (SEQ ID NO: 20) or a sequence that differs from SEQ ID NO: 20 by 1 to 3 amino acid modifications selected from positions 5, 6, 9, 10, 16, 17, 18, 19 and 21 of SEQ ID NO: 20;
  • Z and J are independently hydrogen (forming an N-terminal amine) or a dipeptide comprising the general structure of Formula I:
  • R ⁇ R 2, R4 and R 8 are independently selected from the group consisting of H, C 1 -C18 alkyl, C 2 -Ci 8 alkenyl, (Ci-Ci 8 alkyl)OH, (Ci-Ci 8 alkyl)SH, (C 2 -C 3 alkyl)SCH 3 , (C1-C4 alkyl)CONH 2 , (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH 2 , (C1-C4 alkyl)NHC(NH 2 + )NH 2 , (C 0 -C 4 alkyl)(C 3 -C 6 cycloalkyl), (C 0 -C 4 alkyl)(C 2 -C 5 heterocyclic), (C 0 -C 4 alkyl)(C 6 -C 10 aryl)R 7 , (Q-C4 alkyl)(C 3 -C 9 heteroaryl), and C C 12 alkyl(W)C
  • R3 is selected from the group consisting of Ci-C 18 alkyl, (Ci-C 18 alkyl)OH, (Ci-C 18 alkyl)NH 2 , (Ci-C 18 alkyl)SH, (C 0 -C 4 alkyl)(C 3 -C 6 )cycloalkyl, (C 0 - C 4 alkyl)(C 2 -C 5 heterocyclic), (C 0 -C 4 alkyl)(C 6 -C 10 aryl)R 7 , and (C1-C4 alkyl)(C 3 -C 9 heteroaryl) or R 4 and R 3 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 5 is NHR 6 or OH
  • R 6 is H, Ci-C 8 alkyl or R 6 and R 2 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of H and OH
  • X4 is aspartic acid or glutamic acid
  • X 8 is histidine or phenylalanine
  • X 9 and X 14 are independently selected from arginine or alanine
  • X 15 is arginine or leucine
  • X 18 is methionine, asparagine or threonine
  • Xi 9 is an amino acid of the general structure
  • X is selected from the group consisting of OH or NHR 10 , wherein Rio is a dipeptide comprising the general structure of Formula I:
  • X 21 is alanine, glycine or asparagine
  • R 22 is a covalent bond or 1 to six amino acids
  • X25 is selected from the group consisting of histidine and threonine
  • X29 is selected from the group consisting of alanine, glycine and serine
  • X30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
  • X33 is selected from the group consisting of aspartic acid and glutamic acid;
  • X34 is selected from the group consisting of alanine and threonine;
  • X36 is an amino acid of the general structure
  • X 12 is selected from the group consisting of OH and NHRn, wherein Rn is a dipeptide comprising the general structure of Formula I:
  • X 42 is selected from the group consisting of alanine and arginine.
  • X45 is histidine, asparagine or an amino acid of the general structure
  • X 13 is selected from the group consisting of OH and NHR 12 , wherein R 12 is a dipeptide comprising the general structure of Formula I:
  • R 13 and R 14 are independently COOH or CONH 2 , with the proviso that one and only one of X, X 12 , X 13 , J and Z comprises a dipeptide of the general structure of Formula I:
  • IGF mom / derivative peptide does not comprise the sequence of SEQ ID NO: 1 or SEQ ID NO: 2.
  • both Ri and R 2 are not hydrogen.
  • the insulin analog comprises the sequence identified immediately above with the exception that X 45 is histidine or asparagine.
  • R 22 is selected from the group consisting of the peptide AYRPSE (SEQ ID NO: 14), FGPE (SEQ ID NO: 68), the tripeptide glycine-proline-glutamic acid, the dipeptide proline- glutamic acid, glutamic acid and an N-terminal amine.
  • R 22 is selected from the group consisting of a tripeptide glycine -proline-glutamic acid, a dipeptide proline- glutamic acid, glutamic acid and an N-terminal amine.
  • the dipeptide present at Z, J, Rio, Rn or Ri 2 comprises a compound having the general structure of Formula I:
  • R4 and Rg are independently selected from the group consisting of H, C1-C18 alkyl, C 2 -Ci 8 alkenyl, (Ci-Cie alkyl)OH, (Ci-Cie alkyl)SH, (C 2 -C 3 alkyl)SCH 3 , (C 1 -C4 alkyl)CONH 2 , (C 1 -C4 alkyl)COOH, (C 1 -C4 alkyl)NH 2 , (C 1 -C4
  • R 3 is selected from the group consisting of C 1 -C 18 alkyl, (C 1 -C 18 alkyl)OH,
  • R 5 is NHR 6 or OH
  • R 6 is H, Ci-Cs alkyl or R 6 and Ri together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of hydrogen, Q-Cis alkyl, C 2 -Cis alkenyl, (C 0 -C 4 alkyl)CONH 2 , (C 0 -C 4 alkyl)COOH, (C 0 -C 4 alkyl)NH 2 , (C 0 -C 4 alkyl)OH, and halo, with the proviso that when J or Z comprise the dipeptide of Formula I, and R 4 and R 3 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring, then both Ri and R 2 are not hydrogen.
  • X 12 is OH
  • X 45 is histidine
  • asparagine or tyrosine J and Z are each H and X comprises a dipeptide of the general structure of Formula I:
  • derivative peptide comprises an A chain having the sequence of Z- GIVDECCFRSCDLRRLEMX 19 CA-R 13 (SEQ ID NO: 22) and a B chain having the sequence J-R 22 -TLCGAELVDALX 36 LVCGDRGFX 45 FNKPT-R 14 (SEQ ID NO: 23), or J-R 22 -X 25 LCGAX 30 LVDALYLVCGDX 42 GFY (SEQ ID NO: 18) wherein the designations are defined as above.
  • IGF derivative peptide from interacting with the insulin or IGF receptor upon
  • the dipeptide structure of Formula I further comprises a polymer (e.g. a hydrophilic polymer), an alkyl or acylating group.
  • single-chain IGF derivative peptides, and prodrug derivatives thereof are provided.
  • carboxy terminus of an IGF analog B chain of the present disclosure, or a functional analog thereof is covalently linked to the N-terminus of an IGF A chain, or a functional analog thereof.
  • the B chain is linked to the A chain via peptide linker of 4- 12 or 4-8 amino acids.
  • the solubility of the IGF derivative peptides is enhanced by the covalent linkage of a hydrophilic moiety to the peptide.
  • the hydrophilic moiety is linked to the insulin analog via a linker.
  • the hydrophilic moiety is linked (directly or indirectly through a linker) to either the N-terminal alpha amine of the B chain or to the side chain of an amino acid at position 27 of SEQ ID NO: 6.
  • the hydrophilic moiety is a polyethylene glycol (PEG) chain, having a molecular weight selected from the range of about 500 to about 40,000 Daltons.
  • the polyethylene glycol chain has a molecular weight selected from the range of about 500 to about 5,000 Daltons.
  • the polyethylene glycol chain has a molecular weight of about 10,000 to about 20,000 Daltons.
  • Acylation or alkylation can increase the half-life of the IGF B 16B 17 derivative peptides, and prodrug derivatives thereof, in circulation. Acylation or alkylation can advantageously delay the onset of action and/or extend the duration of action at the insulin receptors.
  • the insulin analogs may be acylated or alkylated at the same amino acid position where a hydrophilic moiety is linked, or at a different amino acid position.
  • a pharmaceutical composition comprising any of the novel IGF B 16B 17 derivative peptides disclosed herein, preferably at a purity level of at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98% or 99%, and a pharmaceutically acceptable diluent, carrier or excipient.
  • compositions may contain an IGF B 16B 17 derivative peptide as disclosed herein at a concentration of at least 0.5 mg/ml, 1 mg/ml, 2 mg/ml, 3 mg/ml, 4 mg/ml, 5 mg/ml, 6 mg/ml, 7 mg/ml, 8 mg/ml, 9 mg/ml, 10 mg/ml, 11 mg/ml, 12 mg/ml, 13 mg/ml, 14 mg/ml, 15 mg/ml, 16 mg/ml, 17 mg/ml, 18 mg/ml, 19 mg/ml, 20 mg/ml, 21 mg/ml, 22 mg/ml, 23 mg/ml, 24 mg/ml, 25 mg/ml or higher.
  • the pharmaceutical compositions comprise aqueous solutions that are sterilized and optionally stored within various package containers.
  • the pharmaceutical compositions comprise a lyophilized powder.
  • the pharmaceutical compositions can be further packaged as part of a kit that includes a disposable device for administering the composition to a patient.
  • the containers or kits may be labeled for storage at ambient room temperature or at refrigerated temperature.
  • an improved method of regulating blood glucose levels in insulin dependent patients comprises the steps of administering an IGF B 16B 17 derivative peptide of the present disclosure, or prodrug derivative thereof, in an amount therapeutically effective for the control of diabetes.
  • the IGF B 16B 17 derivative peptide is pegylated with a PEG chain having a molecular weight selected from the range of about 5,000 to about 40,000 Daltons BRIEF DESCRIPTION OF THE DRAWINGS
  • Fig. 1. is a schematic overview of the two step synthetic strategy for preparing human insulin. Details of the procedure are provided in Example 1.
  • Fig. 2 is a graph comparing insulin receptor specific binding of synthetic human insulin relative to purified native insulin. As indicated by the data presented in the graph, the two molecules have similar binding activities.
  • Fig. 3 is a graph comparing relative insulin receptor binding of native insulin and the A19 insulin analog (Insulin(p-NH 2 -F) 19 ). As indicated by the data presented in the graph, the two molecules have similar binding activities.
  • Fig. 4 is a graph comparing relative insulin receptor binding of native insulin and the IGFl(Y B 16 L B 17 ) analog. As indicated by the data presented in the graph, the two molecules have similar binding activities.
  • Fig. 5 is an alignment of the human proinsulin (SEQ ID NO: 66) and insulinlike growth factors I and II (IGF I; SEQ ID NO: 3 and IGF II; SEQ ID NO: 4) amino acid sequences.
  • the alignment demonstrates that these three peptides share a high level of sequence identity (* indicates a space with no corresponding amino acid and a dash (-) indicates the identical amino acid as present in insulin).
  • Fig. 6 is a schematic drawing of the synthetic scheme used to prepare the IGFl(Y B16 L B17 )(p-NH 2 -F) A19 prodrug analogs.
  • Fig. 7 is a graph comparing relative insulin receptor binding of
  • IGF 1 ( Y B 16 L B 17 ) ( Aib Ala) .
  • Fig. 8A-8C provides the activity of a dimer prepared in accordance with the present disclosure.
  • Fig 8 A shows the structure of an IGF-1 single chain dimer that comprises two single chain IGF B 16B 17 derivative peptides (IGF- IB
  • Fig 8B is a graph demonstrating the relative insulin receptor binding of insulin, IGF-1, a single chain IGF B16B17 derivative peptide dimer and a two chain IGF B16B17 derivative peptide dimer.
  • Fig 8C is a graph demonstrating the relative activity of insulin, IGF-1, and a two chain IGF B 16B 17 derivative peptide dimer to induce insulin receptor phosphorylation.
  • Fig 9A-9C shows the degradation of a prodrug form of an IGF derivative peptide: (Aib-Pro on (pNH 2 -F) 19 of IGFlA(Ala) 6 ' 7 ' U ' 20 amide.
  • the dipeptide was incubated in PBS, pH 7.4 at 37°C for predetermined lengths of time. Aliquots were taken at 20 minutes (Fig. 9A), 81 minutes (Fig 9B) and 120 minutes (Fig. 9C) after beginning the incubation, were quenched with 0.1%TFA and tested by analytical HPLC.
  • Peak a (IGFlA(Ala) 6 ' 7 ' 11 ' 20 (pNH 2 -F) 1 amide) and b (IGFlA(Ala) 6 ' 7 ' n ' 20 (Aib- Pro-pNH-F) 19 amide) were identified with LC-MS and quantified by integration of peak area. The data indicate the spontaneous, non-enzymatic conversion of
  • IGFlA(Ala) 6 ' 7 ' 11 ' 20 (Aib-Pro-pNH-F) 19 amide to IGFlA(Ala) 6 ' 7 ' 11 ' 20 (pNH 2 -F) 1 amide over time.
  • Fig. 10A & 10B are graphs depicting the in vitro activity of the prodrug Aib,dPro-IGFlYL (wherein the dipeptide Aib,dPro is linked via an amide bond to the insulin analog through the A19 4-aminoPhe).
  • Fig 10A is a graph comparing relative insulin receptor binding of native insulin (measured at 1 hour at 4°C) and the A19 IGF prodrug analog (Aib,dPro-IGFlYL) over time (0 hours, 2.5 hours and 10.6 hours) incubated in PBS.
  • Fig 10B is a graph comparing relative insulin receptor binding of native insulin (measured at 1.5 hour at 4°C) and the A19 IGF prodrug analog
  • Fig. 11 A & 1 IB are graphs depicting the in vitro activity of the prodrug dK,(N-isobutylG)-IGFlYL (wherein the dipeptide dK,(N-isobutylG) is linked via an amide bond to the insulin analog through the A19 4-aminoPhe).
  • Fig 11A is a graph comparing relative insulin receptor binding of native insulin (measured at 1 hour at 4°C) and the A19 IGF prodrug analog (IGF1YL: dK,(N-isobutylG) over time (0 hours, 5 hours and 52 hours) incubated in PBS.
  • Fig 1 IB is a graph comparing relative insulin receptor binding of native insulin (measured at 1.5 hour at 4°C) and the A19 IGF prodrug analog (IGF1YL: dK,(N-isobutylG) over time (0 hours, 3.6 hours and 24.8 hours) incubated in 20% plasma/PBS. As indicated by the data presented in the graph, increased activity is recovered form the A19 IGF prodrug analog sample as the prodrug form is converted to the active IGF1YL peptide.
  • IGF1YL dK,(N-isobutylG
  • FIGS. 12A & 12B are graphs depicting the in vitro activity of the prodrug dK(e- acetyl),Sar)-IGFlYL (wherein the acylated dipeptide dK(e-acetyl),Sar) is linked via an amide bond to the insulin analog through the A19 4-aminoPhe).
  • Fig 12A is a graph comparing relative insulin receptor binding of native insulin (measured at 1 hour at 4°C) and the A19 IGF prodrug analog (IGF1YL: dK(e-acetyl),Sar) over time (0 hours, 7.2 hours and 91.6 hours) incubated in PBS.
  • Fig 12B is a graph comparing relative insulin receptor binding of native insulin (measured at 1.5 hour at 4°C) and the A19 IGF prodrug analog (IGF1YL: dK(e-acetyl),Sar) over time (0 hours, 9 hours and 95 hours) incubated in 20% plasma/PBS. As indicated by the data presented in the graph, increased activity is recovered from the A19 IGF prodrug analog sample as the prodrug form is converted to the active IGF1YL peptide.
  • IGF1YL dK(e-acetyl),Sar
  • Fig. 13 is a graph comparing relative insulin receptor binding of native insulin heteroduplex and the IGF- 1 A and B chain heteroduplex and a single chain IGF- 1 analog wherein the carboxy terminus of the B chain is directly linked to the N- terminus of the IGF-1 A chain.
  • Fig. 14 is a graph comparing relative insulin receptor binding of native insulin heteroduplex, IGF-1, the IGF-1 delta heteroduplex and a single chain IGF-1 delta single chain analog wherein the carboxy terminus of the B chain is linked to the N- terminus of the IGF- 1 A chain through a peptide linker consisting of the sequence GYGSSSOR (SEQ ID NO: 85 ), wherein the IGF- 1 delta analog comprises the native IGF-1 sequence with the following amino acid substitutions: HA8, OA9, OA14, OA15, QA17, NA21, YB 16, LB17, OB22.
  • Fig. 15 is a bar graph depicting the relative in vitro binding activity of single chain insulin analogs at the IGF-1 receptor or the A or B subtype insulin receptors wherein the carboxy terminus of the native insulin B chain is linked to the amino terminus of the native insulin A chain via the IGF- 1 C peptide or various derivative of the IGF-1 C peptide.
  • B°C 1 A° insulin analog nomenclature the B° and A 0 designations refer to the insulin sequences of the A and B chain, while C 1 designates the IGF-1 C peptide.
  • a single chain insulin analog that links the B chain to the A chain via the IGF-1 C peptide is a potent insulin agonist.
  • FIG. 16 is a bar graph depicting the relative in vitro binding activity of single chain insulin analogs of the formula B°C 1 A° at the IGF-1 receptor or the A or B subtype insulin receptors wherein the native sequence of the linking IGF-1 C peptide has been modified by the indicated amino acid substitutions at position 1, 2, 3, 4 or 8.
  • B°C 1 A° insulin analog nomenclature the B° and A 0 designations refer to the insulin sequences of the A and B chain, while C 1 designates the IGF-1 C peptide.
  • Fig. 17 is a bar graph depicting the relative in vitro binding activity and phosphorylation activity of single chain B°C 1 A° insulin analogs at the A subtype insulin receptor. The activity of the native IGF-1 C peptide (010) relative to various amino acid substitutions or deletions was compared.
  • B°C 1 A° insulin analog nomenclature the B° and A 0 designations refer to the insulin sequences of the A and B chain, while C 1 designates the IGF-1 C peptide.
  • Figs. 18A-18D are graphs demonstrating that insulin analogs comprising an IGF-1 A chain have enhanced resistance to degradation by the specific insulin degrading enzyme (IDE) relative to insulin analogs comprising an insulin A chain. As shown in Figs. 18A-18D both native insulin and IGF-2 A chains leads to greater susceptibility to proteolysis relative to insulin analogs having an IGF-1 a chain.
  • IDE insulin degrading enzyme
  • Fig. 19 is a graph demonstrating the relative activity of IGF-1, insulin and insulin/IGF chimera to induce in vitro cellular proliferation. T he results indicate that the insulin activity associated with the IGF-1 single chain insulin analogs does not correlate with the proliferation activity associated with native IGF-1.
  • Fig. 20A-20B show the activity of prodrug MIU-29: B 1 (Y16,L17,Y25)29a : A 1 (aF19-dLys(Ac),NLeu).
  • Fig. 20A shows that in vitro insulin receptor binding increase with time MIU-29 is incubated ex vivo in PBS buffer at 37°C and exhibiting a half life of about 4.4 hours.
  • Fig. 20B is a graph showing the results of a
  • the prodrug derivative MIU-29 comprises a 4-amino-phenylalanine substitution at position A19 wherein a dipeptide dLys(Ac),NLeu has been covalently linked at the 4-amino position of the A19 residue and the side chain of the lysine of the dipeptide element has been acylated with a C14 fatty acid.
  • MIU-29c This dipeptide will auto-cleave under physiological conditions with a half life of approximately 4.4 hours.
  • MIU-29c the resultant compound
  • Figs. 21A & 21B represents the results obtained from a comparative insulin tolerance test for insulin prodrug analog MIU-30a: B 1 (Y16,L17,Y25)29a :
  • a 1 (dLys(Ac),Sar-aF19), (wherein the acylated dipeptide dLys(Ac),Sar is linked via an amide bond to the insulin analog through the A19 4-aminoPhe).
  • the half life of the prodrug is estimated to be approximately 20 hours.
  • the data shown in Fig. 21A reveals that the parent compound has low potency, but after incubation in 20% plasma for 48 hours (generating "MIU-30c”) potency is increased.
  • vehicle control
  • T MIU 30a, 90 nm/kg
  • V MIU 30c, 90 nm/kg
  • MIU 30a, 270 nm/kg
  • 0 MIU 30c, 270 nm/kg.
  • Fig. 21B represents blood glucose AUC after 8 hours in C57/Blk mice indicating that the potency of the compounds increases with time incubated in vitro prior to administration.
  • Fig. 22 is a graph depicting the in vitro activity of the acylated insulin analog MIU 46: B ⁇ S.IO Y16,L17,Y25, K29-C14)28a : ⁇ , aF19NH2) relative to its non-acylated counterpart (MIU-45) and to native insulin.
  • the acylated insulin comprises a 4-amino-phenylalanine substitution at position A19 and a lysine substitution at B29, wherein the side chain of the B29 lysine has been acylated with a C14 fatty acid.
  • the acylated analog has reduced potency relative to the parent compound.
  • Fig. 23 is a graph depicting the in vitro activity of the acylated prodrug MIU 42: B 1 (Y16,L17,Y25)29a : A 1 (dLys(rE-C14),Sar-aF19) (wherein an amino acid of the dipeptide prodrug element is acylated, linked at the gamma position "rE” of a glutamic acid linker ) relative to time incubated ex vivo in 30% ACN/PBS at pH 7.4 and 37°C. As shown by the data, activity is restored to parent compound MIU 42 with increased time incubated ex vivo.
  • Figs. 24A-24D provide data from a comparative insulin tolerance test for Detemir and acylated insulin analog MIU-46 using C57/Blk mice.
  • the acylated derivative MIU 46: ⁇ , ⁇ Y16,L17,Y25, K29-C14)28a : ⁇ , aF19NH2) comprises a lysine substitution at position 29 that has been acylated with a C14 fatty acid through a gamma glutamic acid spacer.
  • acylated analog MIU-46 is not very potent relative to Detemir.
  • Fig. 25 is a generalized structure of one pegylated insulin prodrug embodiment wherein a 20 kDa PEG is linked to the N-terminal alpha amine of the B chain through a linker and the a chain comprises a 4-amino phenylalanine substitution at position A 19, wherein a dipeptide (AA1, AA2) is linked to the 4-amino group of 4-amino phenylalanine via an amide bond.
  • the dipeptide (AA1, AA2) is Norleucine, dlysine (acylated).
  • Fig. 26 is a is a schematic drawing of the synthetic scheme used to prepare the generalized structure of Fig. 25. A more detailed description of the synthesis is provided in Example 15.
  • Figs. 27 & 28 are graphs demonstrating the in vitro activity of various prodrug compounds (having the general structure of Fig. 25) at insulin A subtype receptor (Fig 27) and B subtype receptor (Fig. 28) receptors based on a phosphorylation assay.
  • Compounds tested were native insulin ( ⁇ ), B 1 Aoa2(H5, H10,Y16,L17)25a :
  • a 1 (pNH 2 -F19, N18, N21 ( ⁇ , having the aminooxyacetyl (Aoa) linker but no PEG, and not dipeptide at A19), B 1 PEG-Aoa2(H5, H10,Y16,L17)25a : A ⁇ pNH ⁇
  • prodrug is defined as any compound that undergoes chemical modification before exhibiting its pharmacological effects.
  • amino acid encompasses any molecule containing both amino and carboxyl functional groups, wherein the amino and carboxylate groups are attached to the same carbon (the alpha carbon).
  • the alpha carbon optionally may have one or two further organic substituents.
  • designation of an amino acid without specifying its stereochemistry is intended to encompass either the L or D form of the amino acid, or a racemic mixture.
  • the D form of the amino acid is specified by inclusion of a lower case d before the three letter code and superscript number (e.g., dLys "1 ), wherein the designation lacking the lower case d (e.g., Lys -1 ) is intended to specify the native L form of the amino acid.
  • a lower case d before the three letter code and superscript number
  • the designation lacking the lower case d e.g., Lys -1
  • the inclusion of the superscript number designates the position of the amino acid in the IGF peptide sequence, wherein amino acids that are located within the IGF sequence are designated by positive superscript numbers numbered consecutively from the N- terminus.
  • Additional amino acids linked to the IGF peptide either at the N-terminus or through a side chain are numbered starting with 0 and increasing in negative integer value as they are further removed from the IGF sequence.
  • the position of an amino acid within a dipeptide prodrug linked to the N-terminus of IGF is designated aa _1 -aa°-IGF wherein aa° represents the carboxy terminal amino acid of the dipeptide and aa "1 designates the amino terminal amino acid of the dipeptide.
  • hydroxyl acid refers to amino acids that have been modified to replace the alpha carbon amino group with a hydroxyl group.
  • non-coded amino acid encompasses any amino acid that is not an L-isomer of any of the following 20 amino acids: Ala, Cys, Asp, Glu, Phe, Gly, His, He, Lys, Leu, Met, Asn, Pro, Gin, Arg, Ser, Thr, Val, Trp, Tyr.
  • a “dipeptide” is a compound formed by linkage of an alpha amino acid or an alpha hydroxyl acid to another amino acid, through a peptide bond.
  • bioactive polypeptide refers to polypeptides which are capable of exerting a biological effect in vitro and/or in vivo.
  • a general reference to a peptide is intended to encompass peptides that have modified amino and carboxy termini.
  • an amino acid sequence designating the standard amino acids is intended to encompass standard amino acids at the N- and C- terminus as well as a corresponding hydroxyl acid at the N-terminus and/or a corresponding C-terminal amino acid modified to comprise an amide group in place of the terminal carboxylic acid.
  • an "acylated" amino acid is an amino acid comprising an acyl group which is non-native to a naturally- occurring amino acid, regardless by the means by which it is produced.
  • exemplary methods of producing acylated amino acids and acylated peptides are known in the art and include acylating an amino acid before inclusion in the peptide or peptide synthesis followed by chemical acylation of the peptide.
  • the acyl group causes the peptide to have one or more of (i) a prolonged half-life in circulation, (ii) a delayed onset of action, (iii) an extended duration of action, (iv) an improved resistance to proteases, such as DPP-IV, and (v) increased potency at the IGF and/or insulin peptide receptors.
  • an "alkylated” amino acid is an amino acid comprising an alkyl group which is non-native to a naturally- occurring amino acid, regardless of the means by which it is produced.
  • Exemplary methods of producing alkylated amino acids and alkylated peptides are known in the art and including alkylating an amino acid before inclusion in the peptide or peptide synthesis followed by chemical alkylation of the peptide.
  • alkylation of peptides will achieve similar, if not the same, effects as acylation of the peptides, e.g., a prolonged half-life in circulation, a delayed onset of action, an extended duration of action, an improved resistance to proteases, such as DPP-IV, and increased potency at the IGF and/or insulin receptors.
  • the term "pharmaceutically acceptable carrier” includes any of the standard pharmaceutical carriers, such as a phosphate buffered saline solution, water, emulsions such as an oil/water or water/oil emulsion, and various types of wetting agents. The term also encompasses any of the agents approved by a regulatory agency of the US Federal government or listed in the US Pharmacopeia for use in animals, including humans.
  • pharmaceutically acceptable salt refers to salts of compounds that retain the biological activity of the parent compound, and which are not biologically or otherwise undesirable. Many of the compounds disclosed herein are capable of forming acid and/or base salts by virtue of the presence of amino and/or carboxyl groups or groups similar thereto.
  • Pharmaceutically acceptable base addition salts can be prepared from inorganic and organic bases.
  • Salts derived from inorganic bases include by way of example only, sodium, potassium, lithium, ammonium, calcium and magnesium salts.
  • Salts derived from organic bases include, but are not limited to, salts of primary, secondary and tertiary amines.
  • Salts derived from inorganic acids include hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid, and the like.
  • Salts derived from organic acids include acetic acid, propionic acid, glycolic acid, pyruvic acid, oxalic acid, malic acid, malonic acid, succinic acid, maleic acid, fumaric acid, tartaric acid, citric acid, benzoic acid, cinnamic acid, mandelic acid, methanesulfonic acid, ethanesulfonic acid, p-toluene-sulfonic acid, salicylic acid, and the like.
  • treating includes prophylaxis of the specific disorder or condition, or alleviation of the symptoms associated with a specific disorder or condition and/or preventing or eliminating said symptoms.
  • treating diabetes will refer in general to maintaining glucose blood levels near normal levels and may include increasing or decreasing blood glucose levels depending on a given situation.
  • an "effective" amount or a “therapeutically effective amount” of an insulin analog refers to a nontoxic but sufficient amount of an insulin analog to provide the desired effect.
  • one desired effect would be the prevention or treatment of hyperglycemia.
  • the amount that is “effective” will vary from subject to subject, depending on the age and general condition of the individual, mode of administration, and the like. Thus, it is not always possible to specify an exact “effective amount.” However, an appropriate “effective” amount in any individual case may be determined by one of ordinary skill in the art using routine
  • parenteral means not through the alimentary canal but by some other route such as intranasal, inhalation, subcutaneous, intramuscular, intraspinal, or intravenous.
  • the term “native insulin peptide” is intended to designate the 51 amino acid heterodimer comprising the A chain of SEQ ID NO: 1 and the B chain of SEQ ID NO: 2, as well as single-chain insulin analogs that comprise SEQ ID NOS: 1 and 2.
  • insulin peptide as used herein, absent further descriptive language is intended to encompass the 51 amino acid heterodimer comprising the A chain of SEQ ID NO: 1 and the B chain of SEQ ID NO: 2, as well as single-chain insulin analogs thereof (including for example those disclosed in published international application W096/34882 and US Patent No.
  • IGF based insulin agonist is a single chain or two chain insulin agonist that comprises an A chain and a B chain, wherein the B chain comprises the sequence of SEQ ID NO: 11 or an analog of that sequence that includes one or more of the following: modification of the amino acid at position B16 or B25 to a 4-amino phenylalanine or one or more amino acid substitutions at positions selected from B2, B3, B4, B5, B9, BIO, B13, B14, B20, B21, B22, B23, B26, B27, B28, B29 and B30 or deletions of any or all of positions Bl-4 and B26-30 (positions relative to the native insulin B chain sequence), provide that the analog of SEQ ID NO; 11 is not SEQ ID NO: 2, and/or at least one of positions B2, B3, B4, B9, B13 or B21 is identical to SEQ ID NO: 11.
  • A19 insulin analog is an insulin peptide that has a substitution of 4- amino phenylalanine or 4-methoxy phenylalanine for the native tyrosine residue at position 19 of the A chain of native insulin.
  • an "IGF B16B17 derivative peptide” is a generic term that comprising an A chain and B chain heterodimer, as well as single-chain insulin analogs thereof, wherein the A chain comprises the peptide sequence of SEQ ID NO: 19 and the B chain comprises the sequence of SEQ ID NO: 20 as well as derivatives of those sequences wherein the derivative of the A chain and/or B chain comprise 1-3 further amino acid substitutions, with the proviso that the A chain does not comprise the sequence of SEQ ID NO: 1 and/or the B chain does not comprise the sequence of SEQ ID NO: 2.
  • a "YL IGF analog” is a peptide comprising an IGF A chain of SEQ ID NO: 19 and an IGF B chain of SEQ ID NO: 9.
  • single-chain IGF B 16B 17 derivative peptide encompasses a group of structurally-related proteins wherein IGF B 16B 17 derivative peptide A and B chains are covalently linked.
  • identity as used herein relates to the similarity between two or more sequences. Identity is measured by dividing the number of identical residues by the total number of residues and multiplying the product by 100 to achieve a percentage. Thus, two copies of exactly the same sequence have 100% identity, whereas two sequences that have amino acid deletions, additions, or substitutions relative to one another have a lower degree of identity.
  • BLAST Basic Local Alignment Search Tool, Altschul et al. (1993) J. Mol. Biol. 215:403-410) are available for determining sequence identity.
  • an amino acid "modification” refers to a substitution of an amino acid, or the derivation of an amino acid by the addition and/or removal of chemical groups to/from the amino acid, and includes substitution with any of the 20 amino acids commonly found in human proteins, as well as atypical or non-naturally occurring amino acids.
  • Commercial sources of atypical amino acids include Sigma- Aldrich (Milwaukee, WI), ChemPep Inc. (Miami, FL), and Genzyme Pharmaceuticals (Cambridge, MA).
  • Atypical amino acids may be purchased from commercial suppliers, synthesized de novo, or chemically modified or derivatized from naturally occurring amino acids.
  • amino acid substitution refers to the replacement of one amino acid residue by a different amino acid residue.
  • all references to a particular amino acid position by letter and number refer to the amino acid at that position of either the A chain (e.g. position A5) or the B chain (e.g. position B5) in the respective native human insulin A chain (SEQ ID NO: 1) or B chain (SEQ ID NO: 2), or the corresponding amino acid position in any analogs thereof.
  • a reference herein to "position B28" absent any further elaboration would mean the corresponding position B27 of the B chain of an insulin analog in which the first amino acid of SEQ ID NO: 2 has been deleted.
  • polyethylene glycol chain refers to mixtures of condensation polymers of ethylene oxide and water, in a branched or straight chain, represented by the general formula H(OCH 2 CH 2 ) n OH, wherein n is at least 9. Absent any further characterization, the term is intended to include polymers of ethylene glycol with an average total molecular weight selected from the range of 500 to 80,000 Daltons. "Polyethylene glycol chain” or “PEG chain” is used in combination with a numeric suffix to indicate the approximate average molecular weight thereof. For example, PEG-5,000 refers to polyethylene glycol chain having a total molecular weight average of about 5,000 Daltons.
  • pegylated refers to a compound that has been modified from its native state by linking a polyethylene glycol chain to the compound.
  • a "pegylated polypeptide” is a polypeptide that has a PEG chain covalently bound to the polypeptide.
  • a "linker” is a bond, molecule or group of molecules that binds two separate entities to one another. Linkers may provide for optimal spacing of the two entities or may further supply a labile linkage that allows the two entities to be separated from each other. Labile linkages include photocleavable groups, acid-labile moieties, base-labile moieties and enzyme-cleavable groups.
  • an "IGF dimer” is a complex comprising two IGF B16B17 derivative peptides (each itself comprising an A chain and a B chain) covalently bound to one another via a linker.
  • the term IGF dimer when used absent any qualifying language, encompasses both IGF homodimers and IGF heterodimers.
  • An IGF homodimer comprises two identical subunits, whereas an IGF heterodimer comprises two subunits that differ, although the two subunits are substantially similar to one another.
  • C -C n alkyl wherein n can be from 1 through 6, as used herein, represents a branched or linear alkyl group having from one to the specified number of carbon atoms.
  • Typical CrC 6 alkyl groups include, but are not limited to, methyl, ethyl, n-propyl, iso-propyl, butyl, iso-butyl, sec-butyl, tert-butyl, pentyl, hexyl and the like.
  • C2-C n alkenyl wherein n can be from 2 through 6, as used herein, represents an olefinically unsaturated branched or linear group having from 2 to the specified number of carbon atoms and at least one double bond.
  • C 2 -C n alkynyl wherein n can be from 2 to 6, refers to an unsaturated branched or linear group having from 2 to n carbon atoms and at least one triple bond. Examples of such groups include, but are not limited to, 1-propynyl, 2- propynyl, 1-butynyl, 2-butynyl, 1-pentynyl, and the like.
  • aryl refers to a mono- or bicyclic carbocyclic ring system having one or two aromatic rings including, but not limited to, phenyl, naphthyl, tetrahydronaphthyl, indanyl, indenyl, and the like.
  • the size of the aryl ring and the presence of substituents or linking groups are indicated by designating the number of carbons present.
  • (Ci-C 3 alkyl) (C6-C 10 aryl) refers to a 5 to 10 membered aryl that is attached to a parent moiety via a one to three membered alkyl chain.
  • heteroaryl refers to a mono- or bi- cyclic ring system containing one or two aromatic rings and containing at least one nitrogen, oxygen, or sulfur atom in an aromatic ring.
  • the size of the heteroaryl ring and the presence of substituents or linking groups are indicated by designating the number of carbons present.
  • (C C n alkylXCs-Ce heteroaryl) refers to a 5 or 6 membered heteroaryl that is attached to a parent moiety via a one to "n" membered alkyl chain.
  • halo refers to one or more members of the group consisting of fluorine, chlorine, bromine, and iodine.
  • patient without further designation is intended to encompass any warm blooded vertebrate domesticated animal (including for example, but not limited to livestock, horses, cats, dogs and other pets) and humans.
  • derivatives of IGF I and IGF II that comprise a substitution of a tyrosine leucine dipeptide for the native IGF amino acids at positions corresponding to B16 and B17 of native insulin have a tenfold increase in potency at the insulin receptor.
  • the remaining differences in the relative amino acid sequence of insulin and IGFs appears to be of lesser importance to high affinity interaction of insulin-like ligands with the insulin receptor.
  • an IGF B16B17 derivative peptide comprising an A chain of IGF I (SEQ ID NO: 5) or IGF II (SEQ ID NO: 7) and a B chain of IGF I (SEQ ID NO: 6) or IGF II (SEQ ID NO: 8), wherein the native IGF amino acids at positions corresponding to positions 16 and 17 of the native insulin B chain sequence have been replaced with tyrosine and leucine, respectively.
  • IGF B16B17 derivative peptides disclosed herein may also comprise further modifications to the A chain and B chain, wherein such modifications either further enhance the activity at the insulin receptor and/or decrease activity at the IGF- 1 receptor. Additional modifications include, for example, modification of the amino acids at one or more of positions A 19, B16 or B25 (relative to the native insulin A and B chains) to a 4-amino phenylalanine or one or more amino acid substitutions at positions selected from A5, A8, A9, A10, A14, A15, A17, A18, A21, Bl, B2, B3, B4, B5, B9, BIO, B13, B 14, B20, B21, B22, B23, B26, B27, B28, B29 and B30 (relative to the native A and B chains of insulin) or deletions of any or all of positions
  • the IGF B16B17 derivative peptide does not comprise the sequences of SEQ ID NO: 1 and SEQ ID NO: 2.
  • the substitutions at positions selected from A5, A8, A9, A10, A14, A15, A17, A18, A21, Bl, B2, B3, B4, B5, B9, BIO, B13, B14, B20, B21, B22, B23, B26, B27, B28, B29 and B30 are conservative amino acid substitutions.
  • the IGF B16B17 derivative peptide comprises an A chain peptide sequence of SEQ ID NO: 19 and a B chain peptide sequence of SEQ ID NO: 17 as well as derivatives of those sequences wherein the derivative of the A chain and B chain each comprise 1-3 further amino acid substitutions, with the proviso that the A chain does not comprise the sequence of SEQ ID NO: 1 and/or the B chain does not comprise the sequence of SEQ ID NO: 2.
  • the IGF B16B17 derivative peptides exhibit 70%, 80%, 90%, 95%, 100% or greater activity at the insulin receptor relative to native insulin. In one embodiment the IGF B16B17 derivative peptides retain activity at the IGF receptor, but in an alternative embodiment the IGF B16B17 derivative peptide has high activity for the insulin receptor relative to native insulin (e.g., 90%, 95%, 100% or greater activity), but substantially reduced activity (e.g., less than 20%, less than 10% or less than 5%) at the IGF I receptor relative to native IGF I.
  • the IGF B 16B 17 derivative peptides disclosed herein are used as full and super-potent insulin agonists and thus have utility in any previously disclosed use for insulin. Additional virtues of the presently disclosed IGF B 16B 17 derivative peptides include, but are not limited to relative ease of synthesis, development of co-agonists for insulin and IGF 1 receptors, and potentially selective insulin receptor isoform specific analogs.
  • a polypeptide comprising the sequence X 2 5LCGX29X3oLVX33X34LYLVCGDX42GFY-R 14 (SEQ ID NO: 9) is provided, wherein X 2 5 is selected from the group consisting of histidine and threonine;
  • X 29 is selected from the group consisting of alanine, glycine and serine;
  • X30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
  • X33 is selected from the group consisting of aspartic acid and glutamic acid;
  • X34 is selected from the group consisting of alanine and threonine.
  • X 42 is selected from the group consisting of alanine and arginine.
  • this peptide is linked to a second peptide having the sequence GIVDECCXgXgSCDLXwXisLEXigYCX ⁇ -Ro (SEQ ID NO: 10) wherein
  • Xg is histidine or phenylalanine
  • X9 and X 14 are independently selected from arginine or alanine;
  • X 15 is arginine or leucine
  • X 18 is methionine, asparagine or threonine
  • X 21 is alanine, glycine or asparagine
  • R 13 and R 14 are independently COOH or CONH 2 .
  • the two peptides of SEQ ID NO: 9 and SEQ ID NO: 10 are linked to one another by intermolecular disulfide bonds to form an IGF analog heterodimer.
  • the N-terminus of one peptide is linked to the C-terminus of the other peptides to form a single chain IGF B16B17 derivative peptide. More particularly, in one embodiment the carboxy terminus of SEQ ID NO: 9 is linked to the N-terminus of the peptide of SEQ ID NO: 10 through a peptide bond.
  • IGF B 16B 17 derivative peptides disclosed herein may comprise additional modifications relative to the native IGF sequence besides the substitution of the amino acids at position B16 and B17.
  • IGF B 16B 17 derivative peptides may comprise an IGF A chain and an IGF B chain, wherein the A chain comprises the sequence GIVDECCFRSCDLRRLEMYCA (SEQ ID NO: 5) or
  • GIVEECCFRSCDLALLETYCA (SEQ ID NO: 7) and the B chain comprises the sequence GPETLCGAELVDALYLVCGDRGFYFNKPT (SEQ ID NO: 11) or AYRPSETLCGGELVDTLYLVCGDRGFYFSRPA (SEQ ID NO: 12), wherein those sequences are further modified to comprise one or more additional amino acid substitutions at positions corresponding to native insulin positions (see peptide alignment shown in Fig.
  • amino acid substitutions are conservative amino acid substitutions. Suitable amino acid substitutions at these positions that do not adversely impact insulin's desired activities are known to those skilled in the art, as demonstrated, for example, in Mayer, et al., Insulin Structure and Function, Biopolymers.
  • IGF B16B17 derivative peptides may comprise an IGF A chain and an IGF B chain, wherein the A chain comprises an amino acid sequence that shares at least 70% sequence identity (e.g., 70%, 75%, 80%, 85%, 90%, 95%) with at least one of
  • GIVDECCFRSCDLRRLEMYCA (SEQ ID NO: 5) or
  • GIVEECCFRSCDLALLETYCA (SEQ ID NO: 7) and the B chain comprises an amino acid sequence that shares at least 60% sequence identity (e.g., 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%) with at least one of the sequence
  • IGF B16B17 derivative peptides disclosed herein comprise a C-terminal amide or ester in place of a C-terminal carboxylate on the A chain and/or B chain.
  • an IGF -B16B17 derivative peptide comprising an A chain having the sequence
  • X 4 is glutamic acid or aspartic acid
  • X 5 is glutamic acid or glutamine
  • X 8 is histidine, threonine or phenylalanine
  • X 9 is serine, ornithine, arginine or alanine
  • Xio is serine or isoleucine
  • X 12 is serine or aspartic acid
  • X 14 are independently selected from tyrosine, ornithine, arginine or alanine;
  • X 15 is glutamine, ornithine, arginine, alanine or leucine;
  • X 18 is methionine, asparagine or threonine
  • Xi 9 is tyrosine, or 4-amino phenylalanine
  • X 21 is alanine, glycine or asparagine
  • X 25 is histidine or threonine
  • X 29 is selected from the group consisting of alanine, glycine and serine;
  • X 30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
  • X 33 is selected from the group consisting of aspartic acid and glutamic acid;
  • X 34 is selected from the group consisting of alanine and threonine;
  • X 41 is selected from the group consisting of glutamic acid and aspartic acid;
  • X 42 is selected from the group consisting of alanine, ornithine and arginine;
  • X 4 5 is phenylalanine, histidine, arginine or tyrosine
  • R 13 and R 14 are independently COOH or CONH 2 ;
  • R 22 is selected from the group consisting of AYRPSE (SEQ ID NO: 14),
  • FGPE (SEQ ID NO: 68), the tripeptide glycine-proline-glutamic acid, the dipeptide proline- glutamic acid, glutamic acid and an N-terminal amine;
  • R 47 is a phenylalanine-asparagine dipeptide, a phenylalanine-serine dipeptide or a tyrosine-threonine dipeptide;
  • R 4 8 is an aspartate-lysine dipeptide, an arginine-proline dipeptide, a proline - arginine dipeptide, a lysine-proline dipeptide, or a proline-lysine dipeptide;
  • R 49 is threonine or alanine; and R 13 and R 14 are independently selected from COOH and CONH 2 , with the proviso that the B chain is not a native insulin B chain sequence (e.g., not SEQ ID NO: 2).
  • X 4 is glutamic acid or aspartic acid
  • X 5 is glutamic acid or glutamine
  • X 8 is histidine, threonine or phenylalanine
  • X 9 is serine, arginine or alanine
  • X 10 is serine or isoleucine
  • X 12 is serine or aspartic acid
  • X 14 are independently selected from tyrosine, arginine or alanine;
  • X 15 is glutamine, arginine, alanine or leucine
  • X 18 is methionine, asparagine or threonine
  • Xi 9 is tyrosine, or 4-amino phenylalanine
  • X 21 is alanine, glycine or asparagine
  • X 2 5 is histidine or threonine
  • X 2 9 is selected from the group consisting of alanine, glycine and serine;
  • X30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
  • X33 is selected from the group consisting of aspartic acid and glutamic acid;
  • X34 is selected from the group consisting of alanine and threonine
  • X42 is selected from the group consisting of ornithine and arginine;
  • X45 is phenylalanine or tyrosine
  • R 13 and R 14 are independently COOH or CONH 2 ;
  • R 22 is selected from the group consisting of AYRPSE (SEQ ID NO: 14), the tripeptide glycine-proline- glutamic acid, the dipeptide proline- glutamic acid, glutamic acid and an N-terminal amine;
  • R47 is a phenylalanine-asparagine dipeptide, a phenylalanine-serine dipeptide or a tyrosine-threonine dipeptide;
  • R48 is an aspartate-lysine dipeptide, an arginine-proline dipeptide, a proline - arginine dipeptide, a lysine-proline dipeptide, or a proline-lysine dipeptide;
  • R 49 is threonine or alanine; and R 13 and R 14 are independently selected from COOH and CONH 2 , with the proviso that the B chain is not a native insulin B chain sequence (e.g., not SEQ ID NO: 2).
  • GrVX 4 ECCX 8 X 9 SCDLXi 4 Xi 5 LEXi 8 Xi 9 CX 21 (SEQ ID NO: 19) and a B chain comprising the sequence X 25 LCGX 29 ELVDX 34 LYLVCGDX 42 GFY (SEQ ID NO: 65) or a derivative of SEQ ID NO: 65 modified to have 1 to 3 amino acid substitutions at positions B4, B5, B8, B9, B15, B16, B18, B21, B22 and B23 relative to SEQ ID NO: 65. In one embodiment the 1 to 3 amino acid substitutions are conservative amino acid substitutions.
  • the B chain of SEQ ID NO: 65 is modified by one to two amino acid substitutions, at positions corresponding to native insulin positions, selected from the group consisting of serine at B9, histidine at B IO, glutamic acid at B 13, alanine at B 14 and asparagine at B21.
  • GrVX 4 ECCX8X9SCDLX 1 4Xi5LEX 18 X 19 CX2i-Ri3 (SEQ ID NO: 19) and a B chain comprising the sequence X 25 LCGX 29 X 3 oLVX 33 X 34 LYLVCGDX 42 GFY-Ri 4 (SEQ ID NO: 9), wherein
  • X 4 is aspartic acid or glutamic acid
  • Xg is histidine or phenylalanine
  • X 9 and X 14 are independently selected from arginine, ornithine or alanine; X 15 is arginine, ornithine or leucine;
  • Xi 8 is methionine, asparagine or threonine
  • Xi 9 is tyrosine, 4-methoxy-phenylalanine or 4-amino-phenylalanine;
  • X 21 is alanine, glycine or asparagine
  • X 2 5 is histidine or threonine
  • X 2 9 is selected from the group consisting of alanine, glycine and serine;
  • X 30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
  • X 33 is selected from the group consisting of aspartic acid and glutamic acid;
  • X 34 is selected from the group consisting of alanine and threonine
  • X 42 is selected from the group consisting of alanine ornithine and arginine; and R 13 and R 14 are independently COOH or CONH 2 . In one embodiment R 13 is COOH and R 14 is CONH 2 . In one embodiment X 19 is tyrosine. In a further embodiment X 19 is tyrosine, X 4 is aspartic acid and X 2 g is alanine.
  • the B chain comprises the sequence R 22 -X 25 LCGX 29 X 3 oLVX 33 X 34 LYLVCGDX 42 GFY-R 47 -R 48 - R 4 9-R 14 (SEQ ID NO: 9), wherein R 22 is selected from the group consisting of the peptide of AYRPSE (SEQ ID NO: 14), a glycine-proline- glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine (i.e., no additional amino acid residue), R 47 is a phenylalanine-asparagine dipeptide, a phenylalanine-serine dipeptide or a tyrosine-threonine dipeptide, R 48 is an aspartate - lysine dipeptide, an arginine-proline dipeptide, a lysine-proline dipeptide, or a proline-lysine dipeptide,
  • GIVX 4 ECCX 8 X 9 SCDLXi 4 Xi 5 LEXi 8 Xi 9 CX 21 -R 13 (SEQ ID NO: 19) and a B chain comprising the sequence X 25 LCGX 29 ELVDX 34 LYLVCGDX 42 GFY (SEQ ID NO: 65), wherein
  • X 4 is aspartic acid or glutamic acid
  • X 8 is phenylalanine or histidine
  • X9 is arginine, ornithine or alanine
  • X 14 is arginine or alanine
  • X 15 is arginine or leucine
  • X 18 is methionine or threonine
  • Xi 9 is tyrosine, 4-methoxy-phenylalanine or 4-amino-phenylalanine;
  • X21 is alanine, glycine or asparagine
  • X25 is histidine or threonine
  • X29 is selected from the group consisting of alanine and glycine
  • X 34 is selected from the group consisting of alanine and threonine; and X 42 is selected from the group consisting of alanine ornithine and arginine; and R 13 is COOH or CONH 2 .
  • an IGF derivative peptide comprising an A chain comprising the sequence GIVDECCX 8 X 9 SCDLRRLEMX 19 CX2i-Ri (SEQ ID NO: 19) and a B chain comprising the sequence
  • X 8 is phenylalanine or histidine
  • X9 is arginine, ornithine or alanine
  • Xi 9 is tyrosine, 4-methoxy-phenylalanine or 4-amino-phenylalanine;
  • X 21 is alanine or asparagine
  • X25 is histidine or threonine
  • X 3 o is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
  • X 42 is selected from the group consisting of alanine ornithine and arginine; and R 13 is COOH or CONH 2 .
  • R 13 is COOH and the carboxy terminal amino acid of the B peptide has an amide (CONH 2 ) in place of the natural alpha carbon carboxy group.
  • the B chain comprises the sequence R 22 -X 25 LCGAX 30 LVDALYLVCGDX 42 GFY-R 47 -R 48 - R 4 9-R 14 (SEQ ID NO: 18), wherein R 22 is selected from the group consisting of the peptide of AYRPSE (SEQ ID NO: 14), a glycine-proline- glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine, X 30 is selected from the group consisting of aspartic acid, glutamic acid, homocysteic acid and cysteic acid; X 42 is selected from the group consisting of alanine, ornithine and arginine; R 47 is a phenylalanine-asparagine dipeptide, a phenylalanine- serine dipeptide or a tyrosine-threonine dipeptide, R 48 is an aspartate-lysine dipeptide,
  • the IGF derivative peptide comprises an A chain having the sequence GIVDECCX 8 X 9 SCDLXi 4 Xi 5 LEXi 8 Xi 9 CX 21 -R 13 (SEQ ID NO: 13) and a B chain having the sequence of R 22 - X 25 LCGX 29 X 3 oLVX 33 X 34 LYLVCGDX 2 GFY-R 7 -R 8-R 9-R 1 (SEQ ID NO: 9) wherein
  • X 8 is histidine or phenylalanine
  • X 9 and X 14 are independently selected from arginine, ornithine or alanine; X 15 is arginine, ornithine or leucine;
  • X 18 is methionine, asparagine or threonine
  • X 19 is tyrosine or 4-amino-phenylalanine
  • X 21 is alanine, glycine or asparagine
  • X 25 is histidine or threonine
  • X 29 is selected from the group consisting of alanine, glycine and serine;
  • X 3 o is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
  • X 33 is selected from the group consisting of aspartic acid and glutamic acid;
  • X 4 is selected from the group consisting of alanine and threonine;
  • X 42 is selected from the group consisting of alanine, ornithine and arginine;
  • R 13 and R 14 are independently COOH or CONH 2 ;
  • R 22 is selected from the group consisting of AYRPSE (SEQ ID NO: 14), a glycine -proline-glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine;
  • R 47 is a phenylalanine-asparagine dipeptide, a phenylalanine-serine dipeptide or a tyrosine-threonine dipeptide;
  • R 4 g is an aspartate-lysine dipeptide, an arginine-proline dipeptide, a lysine- proline dipeptide, or a proline-lysine dipeptide;
  • R 4 9 is threonine or alanine; and R 13 and R 14 are independently COOH or
  • an IGF B16B17 derivative peptide comprising an A chain having the sequence GIVDECCX 8 X 9 SCDLXi 4 Xi 5 LEXi 8 YCX 21 -R 13 (SEQ ID NO: 10) and a B chain comprising the sequence
  • Xg is phenylalanine or histidine
  • X 9 and X 14 are independently selected from arginine or alanine;
  • X 15 is arginine or leucine
  • Xis is methionine, asparagine or threonine
  • X 2 i is alanine, glycine or asparagine
  • X 25 is histidine or threonine
  • X 3 o is glutamic acid or aspartic acid
  • X 42 is arginine, alanine or ornithine
  • R 13 and R 14 are independently COOH or CONH 2 .
  • an IGF B16B17 derivative peptide comprising an A chain having the sequence
  • Xg is histidine or phenylalanine
  • X9 is arginine or alanine
  • X 21 is alanine, glycine or asparagine
  • X 25 is histidine or threonine
  • X30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
  • X42 is selected from the group consisting of alanine and arginine;
  • R22 is selected from the group consisting of a glycine -proline-glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine;
  • R 48 is an aspartate-lysine dipeptide, an arginine-proline dipeptide, a lysine- proline dipeptide, or a proline-lysine dipeptide;
  • R49 is threonine
  • Ri3 is COOH and R 14 is CONH 2 .
  • an IGF/insulin co-agonist comprising an
  • X 8 is histidine or phenylalanine
  • X9 is arginine or alanine
  • X21 is alanine, glycine or asparagine
  • R 22 is selected from the group consisting of a glycine -proline-glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine;
  • X25 is histidine or threonine
  • X 3 o is selected from the group consisting of aspartic acid and glutamic acid;
  • Ri3 is COOH and R 14 is CONH 2 .
  • an IGF B16B17 derivative peptide having high specificity for the insulin receptor wherein the peptide comprises an A chain having the sequence GIVDECCX 8 X 9 SCDLRRLEMYCX 2 i-Ri 3 (SEQ ID NO: 16) and a B chain comprising the sequence R 22 -X 25 LCGAX 30 LVDALYLVCGDX 42 GFY (SEQ ID NO: 18), wherein
  • Xg is histidine or phenylalanine
  • X9 is arginine or alanine
  • X 21 is alanine, glycine or asparagine
  • R 22 is selected from the group consisting of a glycine -proline-glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine;
  • X25 is histidine or threonine
  • X 3 o is selected from the group consisting of aspartic acid and glutamic acid;
  • X42 is arginine, alanine or ornithine;
  • R 13 is COOH and the carboxy terminal amino acid of the B chain has an amide (CONH 2 ) in place of the native alpha carbon carboxylic acid.
  • an amide CONH 2
  • IGF B16B17 derivative peptide having high specificity for the insulin receptor is provided wherein the peptide comprises an A chain having the sequence
  • GIVDECCFRSCDLRRLEMX 19 CA-R 13 (SEQ ID NO: 22) and a B chain having the sequence R 2 2-TLCGAELVDALYLVCGDRGFYFNKPT-R 14 (SEQ ID NO: 64), wherein
  • X 19 is tyrosine or 4-amino-phenylalanine
  • R 22 is selected from the group consisting of a glycine -proline-glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine;
  • R 13 and R 14 are independently COOH or CONH 2. In one embodiment an
  • IGF B16B17 derivative peptide having high specificity for the insulin receptor is provided wherein the peptide comprises an A chain comprising the sequence
  • GIVDECCFRSCDLRRLEMYCA-R 13 (SEQ ID NO: 5) and a B chain comprising the sequence GPETLCGAELVDALYLVCGDRGFYFNKPT-R 14 (SEQ ID NO: 11), wherein R 1 and R 14 are independently COOH or CONH 2.
  • R 1 and R 14 are independently COOH or CONH 2.
  • IGF B16B17 derivative peptide having high specificity for the insulin receptor is provided wherein the peptide comprises an A chain comprising the sequence
  • Xg is histidine or phenylalanine
  • X9 is arginine or alanine
  • X 19 is tyrosine or 4-amino-phenylalanine
  • X25 is histidine or threonine
  • X 4 2 is arginine, alanine or ornithine
  • R 13 and R 14 are independently COOH or CONH 2.
  • the IGF B 16B 17 derivative peptides disclosed herein can be further modified by covalently linking a self cleaving dipeptide as a means of preparing prodrug and depot formulations.
  • these derivative peptides may be part of a dimer, trimer or higher order multimer comprising at least two, three, or more peptides bound via a linker, wherein at least one or both peptides is a the IGF B16B17 derivative peptide.
  • the dimer may be a homodimer or heterodimer, comprising peptides selected from the group consisting of native insulin, native IGF-1, native IGF- II, an insulin analog peptide and IGF B16B17 derivative peptides.
  • the linker is selected from the group consisting of a bifunctional thiol crosslinker and a bi- functional amine crosslinker.
  • the linker is PEG, e.g., a 5 kDa PEG, 20 kDa PEG.
  • the linker is a disulfide bond.
  • each monomer of the dimer may comprise a Cys residue (e.g., a terminal or internally positioned Cys) and the sulfur atom of each Cys residue participates in the formation of the disulfide bond.
  • Each monomer of the dimer represents a heterodimer of an A and B chain linked to one another by disulfide bonds or prepared as single chain peptides.
  • the monomers are connected via terminal amino acids (e.g., N-terminal or C-terminal), via internal amino acids, or via a terminal amino acid of at least one monomer and an internal amino acid of at least one other monomer. In specific aspects, the monomers are not connected via an N-terminal amino acid.
  • the monomers of the multimer are attached together in a "tail-to-tail" orientation in which the C-terminal amino acids of each monomer are attached together.
  • a conjugate moiety may be covalently linked to any of the IGF B 16B 17 derivative peptides described herein, including a dimer, trimer or higher order multimer.
  • the dipeptide prodrug element linked to the IGF B 16B 17 derivative peptide can be further modified to comprise a hydrophilic moiety.
  • the hydrophilic moiety is a polyethylene glycol chain, which can be covalently linked to the IGF B 16B 17 derivative peptide directly or through a linker.
  • a polyethylene glycol chain of 40k or higher is covalently bound to the side chain of the A or B amino acid of the dipeptide prodrug element.
  • the dipeptide prodrug element is additionally or alternatively acylated or alkylated with a fatty acid or bile acid, or salt thereof, e.g.
  • the ⁇ ' amino acid of the dipeptide prodrug element can include, for example, d-lysine covalently bound to an acyl or alkyl group through its side chain amino group, or d- cysteine covalently bound to a PEG molecule through its side chain sulfhydryl group.
  • the dipeptide prodrug element can be directly bound to the hydrophilic moiety, acyl group, or alkyl group, or bound to the hydrophilic moiety, acyl group, or alkyl group through a spacer, as described herein.
  • the dipeptide prodrug element can be linked to a depot protein such as dextran or a large PEG molecule (greater or equal to 80,000 daltons) that serves to sequester the prodrug at an injection site until cleavage of the dipeptide releases the active insulin analog.
  • the prodrug formulations disclosed herein improve the therapeutic index of the underlying peptide and delay onset of action and enhance the half life of the IGF B16B17 derivative peptide.
  • the disclosed prodrug chemistry can be chemically conjugated to active site amines to form amides that revert to the parent amine upon diketopiperazine formation and release of the prodrug element.
  • This novel biologically friendly prodrug chemistry spontaneously degrades under physiological conditions (e.g. pH of about 7, at 37°C in an aqueous environment) and is not reliant on enzymatic degradation.
  • the duration of the prodrug derivative is determined by the selection of the dipeptide prodrug sequence, and thus allows for flexibility in prodrug formulation.
  • an auto-cleaving dipeptide element as disclosed herein is covalently linked via an amide bond to an IGF based insulin agonist.
  • a prodrug having a non-enzymatic activation half time (tl/2) of between 1-100 hrs under physiological conditions.
  • Physiological conditions as disclosed herein are intended to include a temperature of about 35 to 40 °C and a pH of about 7.0 to about 7.4 and more typically include a pH of 7.2 to 7.4 and a temperature of 36 to 38 °C in an aqueous environment.
  • a dipeptide, capable of undergoing diketopiperazine formation under physiological conditions is covalently linked through an amide linkage to the IGF B16B17 derivative peptide.
  • the rate of cleavage, and thus activation of the prodrug depends on the structure and stereochemistry of the dipeptide pro-moiety and also on the strength of the nucleophile.
  • the prodrugs disclosed herein will ultimately be chemically converted to structures that can be recognized by the insulin/IGF receptor, wherein the speed of this chemical conversion will determine the time of onset and duration of in vivo biological action.
  • the prodrug chemistry disclosed in this application relies upon an intramolecular chemical reaction that is not dependent upon additional chemical additives, or enzymes.
  • the speed of conversion is controlled by the chemical nature of the dipeptide substituent and its cleavage under physiological conditions. Since physiological pH and temperature are tightly regulated within a highly defined range, the speed of conversion from prodrug to drug will exhibit high intra and interpatient reproducibility.
  • prodrugs wherein the IGF B16B17 derivative peptides have extended half lives of at least 1 hour, and more typically greater than 20 hours but less than 100 hours, and are converted to the active form at physiological conditions through a non-enzymatic reaction driven by inherent chemical instability.
  • the a non-enzymatic activation tl/2 time of the prodrug is between 1-100 hrs, and more typically between 12 and 72 hours, and in one embodiment the tl/2 is between 24-48 hrs as measured by incubating the prodrug in a phosphate buffer solution (e.g., PBS) at 37°C and pH of 7.2.
  • the half life of the prodrugs is about 1, 8, 12, 20, 24, 48 or 72 hours.
  • the half life of the prodrugs is about 100 hours or greater including half lives of up to about 168, 336, 504, 672 or 720 hours, and are converted to the active form at physiological conditions through a non-enzymatic reaction driven by inherent chemical instability.
  • activation of the prodrug occurs after cleavage of an amide bond linked dipeptide, and formation of a diketopiperazine or
  • the dipeptide prodrug element is covalently bound to the IGF B16B17 derivative peptide via an amide linkage, and the dipeptide further comprises a depot polymer linked to dipeptide.
  • a depot polymer linked to dipeptide In one embodiment two or more depot polymers are linked to a single dipeptide element. In one embodiment the depot polymer is linked to the side chain of one of the amino acids comprising the dipeptide prodrug element.
  • the depot polymer is selected to be biocompatible and of sufficient size that the IGF B16B17 derivative peptide modified by covalent attachment of the dipeptide remains sequestered at an injection site and/or incapable of interacting with its corresponding receptor upon administration to a patient.
  • the depot bearing dipeptide element can be linked to the IGF B16B17 derivative peptide via an amide bond through any convenient amine group of the IGF B16B17 derivative peptide, including an N-terminal amine or an amine bearing side chain of an internal natural or synthetic amino acid of the IGF B16B17 derivative peptide.
  • the depot polymer is selected from biocompatible polymers known to those skilled in the art.
  • the depot polymers typically have a size selected from a range of about 20,000 to 120,000 Daltons. In one embodiment the depot polymer has a size selected from a range of about 40,000 to 100,000 or about 40,000 to 80,000 Daltons. In one embodiment the depot polymer has a size of about 40,000, 50,000, 60,000, 70,000 or 80,000 Daltons.
  • Suitable depot polymers include but are not limited to dextrans, polylactides, polyglycolides, caprolactone-based polymers, poly(caprolactone), polyanhydrides, polyamines, polyesteramides, polyorthoesters, polydioxanones, polyacetals, polyketals, polycarbonates, polyphosphoesters, polyesters, polybutylene terephthalate, polyorthocarbonates, polyphosphazenes, succinates, poly(malic acid), poly(amino acids), polyvinylpyrrolidone, polyethylene glycol, polyhydroxycellulose,
  • the depot polymer is selected from the group consisting of polyethylene glycol, dextran, polylactic acid, polyglycolic acid and a copolymer of lactic acid and glycolic acid, and in one specific embodiment the depot polymer is polyethylene glycol. In one embodiment the depot polymer is polyethylene glycol and the combined molecular weight of depot polymer(s) linked to the dipeptide element is about 40,000 to 80,000 Daltons.
  • dipeptides composed of natural or synthetic amino acids have been identified that facilitate intramolecular decomposition under physiological conditions to release the active IGF B 16B 17 derivative peptide.
  • the dipeptide can be linked (via an amide bond) to an amino group present on the IGF B 16B 17 derivative peptide, or an amino group introduced into the IGF B 16B 17 derivative peptide by modification of the peptide sequence.
  • the dipeptide structure is selected to resist cleavage by peptidases present in mammalian sera, including for example dipeptidyl peptidase IV (DPP-IV).
  • the rate of cleavage of the dipeptide prodrug element from the bioactive peptide is not substantially enhanced (e.g., greater than 2X) when the reaction is conducted using physiological conditions in the presence of serum proteases relative to conducting the reaction in the absence of the proteases.
  • the cleavage half-life of the dipeptide prodrug element from the IGF B16B17 derivative peptide is not more than two, three, four or five fold the cleavage half-life of the dipeptide prodrug element from the IGF B16B17 derivative peptide in a solution comprising a DPP-IV protease.
  • the solution comprising a DPP- IV protease is serum, more particularly mammalian serum, including human serum.
  • the dipeptide prodrug element comprises the structure U-O, wherein U is an amino acid or a hydroxyl acid and O is an N- alkylated amino acid.
  • the structure of U-0 is selected, in one embodiment, wherein chemical cleavage of U-0 from the IGF B16B17 derivative peptide is at least about 90% complete within about 1 to about 720 hours in PBS under physiological conditions.
  • the chemical cleavage half-life (t 1/2 ) of U-0 from the IGF B16B17 derivative peptide is at least about 1 hour to about 1 week in PBS under physiological conditions.
  • U, O, or the amino acid of the IGF B16B17 derivative peptide to which U-0 is linked is a non-coded amino acid.
  • U and/or O is an amino acid in the D stereoisomer configuration.
  • U is an amino acid in the D stereoisomer configuration and O is an amino acid in the L stereoisomer configuration.
  • U is an amino acid in the L stereoisomer configuration and O is an amino acid in the D stereoisomer configuration.
  • U is an amino acid in the D stereoisomer configuration and O is an amino acid in the D stereoisomer configuration.
  • O is an N-alkylated amino acid but is not proline.
  • the N-alkylated group of amino acid O is a C Cig alkyl, and in one embodiment the N-alkylated group is Ci-C6 alkyl.
  • one or more dipeptide elements are linked to the IGF B16B17 derivative peptide through an amide bond formed through one or more amino groups selected from the N-terminal amino group of the A or B chain, or the side chain amino group of an amino acid present in the IGF derivative peptide.
  • the IGF B16B17 derivative peptide comprises two dipeptide elements, wherein the dipeptide elements are optionally pegylated, alkylated, acylated or linked to a depot polymer.
  • the dipeptide extension is covalently linked to an IGF B 16B 17 derivative peptide through the side chain amine of a lysine residue that resides at or near the active site.
  • the dipeptide extension is attached through a synthetic amino acid or a modified amino acid, wherein the synthetic amino acid or modified amino acid exhibits a functional group suitable for covalent attachment of the dipeptide extension (e.g., the aromatic amine of amino-phenylalanine).
  • one or more dipeptide elements are linked to the IGF B 16B 17 derivative peptide at an amino group selected from the N-terminal amino group of the A or B chain, or the side chain amino group of an aromatic amine of a 4-amino-phenylalanine residue present at a position corresponding to position A 19, B16 or B25 of native insulin.
  • the dipeptide prodrug element is designed to spontaneously cleave its amide linkage to the insulin analog under physiological conditions and in the absence of enzymatic activity.
  • the N-terminal amino acid of the dipeptide extension comprises a C-alkylated amino acid (e.g. amino isobutyric acid).
  • the C-terminal amino acid of the dipeptide comprises an N-alkylated amino acid (e.g., proline or N-methyl glycine).
  • the dipeptide comprises the sequence of an N-terminal C-alkylated amino acid followed by an N- alkylated amino acid.
  • the dipeptide prodrug element is linked to the aromatic ring of an A19 4-aminophenylalanine of an IGF derivative peptide via an amide bond, wherein the C-terminal amino acid of the dipeptide comprises an N-alkylated amino acid and the N-terminal amino acid of the dipeptide is any amino acid.
  • the dipeptide prodrug moiety can also be attached to additional sites of an IGF B16B17 derivative peptide to prepare IGF B16B17 derivative peptide prodrug analogs.
  • an IGF B 16B 17 derivative peptide prodrug analog comprising an IGF B 16B 17 derivative peptide A and B with a dipeptide prodrug element linked via an amide bond to the N-terminal amino group of the A chain or B chain, or the side chain amino group of an aromatic amine of a 4-amino- phenylalanine residue present at a position corresponding to A19, B16 or B25 of native insulin.
  • the dipeptide comprises an N-terminal C-alkylated amino acid followed by an N-alkylated amino acid.
  • the A chain and B chain comprising the IGF B 16B 17 derivative peptide prodrug analog may comprise the sequence of SEQ ID NO: 5 and SEQ ID NO: 11, respectively, or may comprise a derivative of SEQ ID NO: 5 and/or SEQ ID NO: 11 wherein the derivatives include substitution of the amino acid at position A 19, B16 or B25 with a 4-amino
  • phenylalanine and/or one or more amino acid substitutions at positions corresponding to positions A5, A8, A9, A10, A14, A15, A17, A18, A19 and A21, Bl, B2, B3, B4, B5, B9, BIO, B13, B14, B20, B22, B23, B26, B27, B28, B29 and B30 of native insulin, or deletions of any or all of corresponding positions Bl-4 and B26-30, relative to native insulin.
  • the dipeptide is linked to an N-terminal amino group of the A or B chain, wherein the C-terminal amino acid of the dipeptide comprises an N-alkylated amino acid and the N-terminal amino acid of the dipeptide is any amino acid, with the proviso that when the C-terminal amino acid of the dipeptide is proline, the N-terminal amino acid of the dipeptide comprises a C- alkylated amino acid.
  • R 2j R4 and R 8 are independently selected from the group consisting of H, C1-C18 alkyl, C 2 -Ci 8 alkenyl, (Ci-Ci 8 alkyl)OH, (Ci-Ci 8 alkyl)SH, (C 2 -C 3 alkyl)SCH 3 , (C1-C4 alkyl)CONH 2 , (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH 2 , (C1-C4
  • R 3 is selected from the group consisting of Ci-Cig alkyl, (Ci-Cig alkyl)OH,
  • R 5 is NHR 6 or OH
  • R 6 is H, Q-Cg alkyl or R 6 and R 2 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of H and OH.
  • the prodrug element is linked to the N-terminal amine of the IGF B16B17 derivative peptide and R 4 and R 3 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring, then at least one of Ri and R 2 are other than H.
  • prodrug element of Formula I wherein Ri is selected from the group consisting of H and Ci-Cg alkyl; and
  • R 2 , R8 and R 4 are independently selected from the group consisting of
  • Ci-Cg alkyl C 2 -C 8 alkenyl, (C1-C4 alkyl)OH, (C1-C4 alkyl)SH, (C 2 -C 3 alkyl)SCH 3 , (C1-C4 alkyl)CONH 2 , (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH 2 , (C1-C4
  • R 3 is selected from the group consisting of Ci-Cg alkyl, (Ci-C 4 alkyl)OH, (C1-C4 alkyl)SH, (C1-C4 alkyl)NH 2 , (C 3 -C 6 )cycloalkyl or R 4 and R 3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
  • R 5 is NHR 6 or OH
  • R 6 is H, or R 6 and R 2 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of H and OH and R 8 is H.
  • R 3 is Ci-C 8 alkyl and R 4 is selected from the group consisting of H, Ci-Ce alkyl, CH 2 OH, (C 0 -C 4 alkyl)(C 6 -C 10 aryl)R 7 , and CH 2 (C 5 -C 9 heteroaryl) or R 4 and R 3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring.
  • R5 is NHR 6 and R 8 is H.
  • R ⁇ R 2> R4 and R 8 are independently selected from the group consisting of H,
  • C1-C18 alkyl C 2 -C 18 alkenyl, (Ci-Cie alkyl)OH, (Ci-Cie alkyl)SH, (C 2 -C 3 alkyl)SCH 3 , (C1-C4 alkyl)CONH 2 , (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH 2 , (C1-C4
  • Ci-C 18 alkyl selected from the group consisting of Ci-C 18 alkyl, (Ci-C 18 alkyl)OH,
  • R 6 is H, Q-Cg alkyl or R 6 and Ri together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of hydrogen, Q-Cig alkyl, C 2 -Ci 8 alkenyl, (C 0 -C 4 alkyl)CONH 2, (C 0 -C 4 alkyl)COOH, (C 0 -C 4 alkyl)NH 2 , (C 0 -C 4 alkyl)OH, and halo.
  • Those skilled in the art appreciate that when Wi is N, under physiological conditions the nitrogen atom is also linked to H.
  • Ri and R 8 are independently H or Ci-Cg alkyl
  • R 2 and R 4 are independently selected from the group consisting of H, Ci-Cg alkyl, C 2 -C 8 alkenyl, (Ci-C 4 alkyl)OH, (Ci-C 4 alkyl)SH, (C 2 -C 3 alkyl)SCH 3 , (Ci-C 4 alkyl)CONH 2 , (Ci-C 4 alkyl)COOH, (Ci-C 4 alkyl)NH 2 , (Ci-C 4 alkyl)NHC(NH 2 +) NH 2 , (Co-C 4 alkyl)(C 3 -C 6 cycloalkyl), (C 0 -C 4 alkyl)(C 2 -C 5 heterocyclic), (C 0 -C 4 alkyl)(C6-Cio aryl)R 7 , and CH 2 (C 3 -C9 heteroaryl), or Ri and R 2 together with the atoms to which they are attached form a C 3 -Ci 2 cyclo
  • R is selected from the group consisting of Ci-Cg alkyl, (C 1 -C 4 alkyl)OH, (C - C 4 alkyl)NH 2> (Ci-C 4 alkyl)SH, (C 3 -C 6 )cyclo alkyl or R 4 and R 3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
  • R 5 is NHR 6 or OH
  • R 6 is H, Ci-Cg alkyl, or R 6 and R 2 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of hydrogen, Ci-Cig alkyl, C 2 -Cig alkenyl, (C 0 -C 4 alkyl)CONH 2, (C 0 -C 4 alkyl)COOH, (C 0 -C 4 alkyl)NH 2 , (C 0 -C 4 alkyl)OH and halo, provided that when R 4 and R 3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring, both Ri and R 2 are not H.
  • either the first amino acid and/or the second amino acid of the dipeptide prodrug element is an amino acid in the D stereoisomer configuration.
  • the prodrug element of Formula I is provided wherein Ri is selected from the group consisting of H and Ci-Cg alkyl; and R 2 and R 4 are independently selected from the group consisting of H, C Cg alkyl, C 2 -C 8 alkenyl, (C1-C4 alkyl)OH, (C1-C4 alkyl)SH, (C 2 -C 3 alkyl)SCH 3 , (C1-C4 alkyl)CONH 2 , (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH 2 , (C1-C4
  • R is selected from the group consisting of Ci-Cg alkyl, (C 1 -C 4 alkyl)OH, (C C 4 alkyl)SH, (C C 4 alkyl)NH 2 , (C 3 -C 6 )cycloalkyl or R 4 and R 3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
  • R 5 is NHR 6 or OH
  • R 6 is H, or R 6 and R 2 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of hydrogen, Q-Cig alkyl, C 2 - Ci8 alkenyl, (C 0 -C 4 alkyl)CONH 2> (C 0 -C 4 alkyl)COOH, (C 0 -C 4 alkyl)NH 2 , (C 0 -C 4 alkyl)OH and halo, and R 8 is H, provided that when the dipeptide element is linked to an N terminal amine and R 4 and R 3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring, both Ri and R 2 are not H.
  • R 8 is H, provided that when the dipeptide element is linked to an N terminal amine and R 4 and R 3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring, both Ri and R 2 are not H.
  • either the first amino acid and/or the second amino acid of the dipeptide prodrug element is an amino acid in the D stereoisomer configuration.
  • dipeptide prodrug element has the structure of Formula I, wherein
  • Ri and R 8 are independently H or Ci-Cg alkyl
  • R 2 and R 4 are independently selected from the group consisting of H, Ci-Cg alkyl, C 2 -C 8 alkenyl, (C1-C4 alkyl)OH, (C1-C4 alkyl)SH, (C 2 -C 3 alkyl)SCH 3 , (C1-C4 alkyl)CONH 2 , (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH 2 , (C1-C4 alkyl)NHC(NH 2 +) NH 2 , (Co-C 4 alkyl)(C 3 -C 6 cycloalkyl), (C 0 -C 4 alkyl)(C 2 -C 5 heterocyclic), (C 0 -C 4 alkyl)(C6-Cio aryl)R 7 , and CH 2 (C 3 -C9 heteroaryl), or Ri and R 2 together with the atoms to which they are attached form a C 3 -Ci 2 cyclo
  • R 3 is C1-C18 alkyl
  • R 5 is NHR 6 ;
  • R 6 is H or Ci-Cg alkyl;
  • R 7 is selected from the group consisting of hydrogen, Q-Cig alkyl, C 2 -Cig alkenyl, (C 0 -C 4 alkyl)CONH 2 , (C 0 -C 4 alkyl)COOH, (C 0 -C 4 alkyl)NH 2 , (C 0 -C 4 alkyl)OH, and halo.
  • Ri and R 2 are independently Ci-Cig alkyl or (C 0 -C 4 alkyl)(C 6 -Cio aryl)R 7 ; or Ri and R 2 are linked through -(CH 2 ) P , wherein p is 2-9;
  • R 3 is C1-C18 alkyl
  • R 4 and R 8 are each hydrogen
  • R 5 is NH 2 ;
  • R 7 is selected from the group consisting of hydrogen, Q-Cig alkyl, C 2 -Cig alkenyl, (Co-C 4 alkyl)CONH 2> (C 0 -C 4 alkyl)COOH, (C 0 -C 4 alkyl)NH 2 , (C 0 -C 4 alkyl)OH, and halo.
  • Ri and R 2 are independently selected from the group consisting of hydrogen, C 1 -C 18 alkyl, (C 1 -C 18 alkyl)OH, (C 1 -C4 alkyl)NH 2 , and (C 0 -C 4 alkyl)(C 6 -Ci 0 aryl)R 7 , or Ri and R 2 are linked through (CH 2 ) P , wherein p is 2-9;
  • R 3 is Ci-Ci 8 alkyl or R 3 and R 4 together with the atoms to which they are attached form a 4-12 heterocyclic ring;
  • R 4 and R 8 are independently selected from the group consisting of hydrogen, Ci-Ce alkyl and (C 0 -C 4 alkyl)(C 6 -C 10 aryl)R 7 ;
  • R 5 is NH 2 ;
  • R 7 is selected from the group consisting of H, Ci-Cig alkyl, C 2 -Cig alkenyl,
  • dipeptide prodrug element has the structure of Formula I, wherein
  • Ri and R 2 are independently selected from the group consisting of hydrogen, Ci-Cg alkyl and (Ci-C 4 alkyl)NH 2 , or Ri and R 2 are linked through (CH 2 ) P , wherein p is 2-9;
  • R 3 is Ci-Cg alkyl or R 3 and R 4 together with the atoms to which they are attached form a 4-6 heterocyclic ring;
  • R 4 is selected from the group consisting of hydrogen and Ci-Cg alkyl
  • Rg is hydrogen
  • R5 is NH 2 , with the proviso that both Ri and R 2 are not hydrogen.
  • dipeptide prodrug element has the structure of Formula I, wherein
  • Ri and R 2 are independently selected from the group consisting of hydrogen, Ci-Cg alkyl and (C1-C4 alkyl)NH 2 ;
  • R 3 is Ci-C 6 alkyl
  • R 4 and Rg are each hydrogen
  • R5 is NH 2 , with the proviso that both Ri and R 2 are not hydrogen.
  • dipeptide prodrug element has the structure of Formula I, wherein
  • Ri and R 2 are independently selected from the group consisting of hydrogen and Ci-Cg alkyl, (Ci-C 4 alkyl)NH 2 , or Ri and R 2 are linked through (CH 2 ) P , wherein p is 2-9;
  • R 3 is Ci-Cg alkyl
  • R 4 is (Co-C 4 alkyl)(C 6 -Cio aryl)R 7 ;
  • R 5 is NH 2 ;
  • R 7 is selected from the group consisting of hydrogen, Q-Cg alkyl and (Co-C 4 alkyl)OH;
  • Rg is hydrogen, with the proviso that both Ri and R 2 are not hydrogen.
  • dipeptide prodrug element has the structure of Formula I, wherein
  • Ri is selected from the group consisting of hydrogen, Q-Cg alkyl and (Co-C 4 alkyl)(C 6 -Cio aryl)R 7 ;
  • R 2 is hydrogen
  • R 3 is C 1 -C 18 alkyl
  • R 4 and Rg are each hydrogen
  • R 5 is NHR 6 or OH
  • R 6 is H, Ci-Cg alkyl, or R 6 and Ri together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring; and R 7 is selected from the group consisting of hydrogen, Q-Cig alkyl, C 2 -Ci 8 alkenyl, (C 0 -C 4 alkyl)CONH 2> (C 0 -C 4 alkyl)COOH, (C 0 -C 4 alkyl)NH 2 , (C 0 -C 4 alkyl)OH, and halo, with the proviso that, if R is alkyl or (C 0 -C 4 alkylXCe-Cio aryl)R 7 , then R and R 6 together with the atoms to which they are attached form a 4- 11 heterocyclic ring.
  • an insulin-like growth factor analog is provided comprising an A chain and a B chain wherein said A chain comprises a sequence of
  • Z and J are independently H or a dipeptide element comprising the general structure of U-O, wherein U is an amino acid or a hydroxyl acid and O is an N-alkylated amino acid linked through an amide bond;
  • X 4 is aspartic acid or glutamic acid
  • Xg is histidine or phenylalanine
  • X9 and X 14 are independently selected from arginine, ornithine or alanine;
  • X 15 is arginine, ornithine or leucine
  • X 18 is methionine, asparagine or threonine
  • Xi9 is an amino acid of the general structure:
  • X is selected from the group consisting of OH or NHRio, wherein R 10 is H or a dipeptide element comprising the general structure U-O, wherein U is an amino acid or a hydroxyl acid and O is an N-alkylated amino acid;
  • X 21 is alanine, glycine or asparagine;
  • R22 is selected from the group consisting of a covalent bond, AYRPSE (SEQ ID NO: 14), a glycine-proline- glutamic acid tripeptide , a proline- glutamic acid dipeptide and glutamic acid;
  • X25 is selected from the group consisting of histidine and threonine
  • X29 is selected from the group consisting of alanine, glycine and serine;
  • X30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
  • X33 is selected from the group consisting of aspartic acid and glutamic acid;
  • X34 is selected from the group consisting of alanine and threonine
  • X36 is an amino acid of the general structure
  • X 12 is selected from the group consisting of OH and NHRn, wherein Rn is a dipeptide element comprising the general structure U-O;
  • X42 is selected from the group consisting of alanine and arginine.
  • X45 is an amino acid of the general structure
  • X 13 is selected from the group consisting of OH and NHR 12 , wherein R 12 is a dipeptide element comprising the general structure U-O;
  • Ri3 is COOH or CONH 2 , with the proviso that one and only one of X, X 12 , X 13 , J and Z comprises U-O.
  • J and Z are each H
  • X 12 and X 13 are each OH
  • X is NH-U-O.
  • U and O are selected to inhibit enzymatic cleavage of the U-0 dipeptide from an insulin peptide by enzymes found in mammalian serum.
  • U and/or O are selected such that the cleavage half-life of U-0 from the insulin peptide, in PBS under physiological conditions, is not more than two fold the cleavage half-life of U-0 from the insulin peptide in a solution comprising a DPP-IV protease (i.e., cleavage of U-0 from the insulin prodrug does not occur at a rate more than 2x faster in the presence of DPP-IV protease and physiological conditions relative to identical conditions in the absence of the enzyme).
  • U, O, or the amino acid of the insulin peptide to which U-0 is linked is a non-coded amino acid.
  • U and/or O is an amino acid in the D stereoisomer configuration.
  • U is an amino acid in the D stereoisomer configuration and O is an amino acid in the L stereoisomer configuration. In some exemplary embodiments, U is an amino acid in the L stereoisomer configuration and O is an amino acid in the D stereoisomer configuration. In some exemplary embodiments, U is an amino acid in the D stereoisomer configuration and O is an amino acid in the D stereoisomer
  • U-0 is a dipeptide comprising the structure of Formula I as defined herein.
  • O is an N-alkylated amino acid but is not proline.
  • a prodrug form of IGF B16B17 derivative peptide comprising an A chain comprising the sequence
  • X 4 is aspartic acid or glutamic acid
  • X 8 is phenylalanine or histidine
  • X9 is arginine, ornithine or alanine
  • Xi 9 is an amino acid of the general structure O
  • U is an amino acid or a hydroxyl acid and O is an N-alkylated amino acid linked through an amide bond;
  • X 21 is alanine or asparagine
  • X25 is histidine or threonine
  • X 30 is selected from the group consisting of aspartic acid, glutamic acid, homocysteic acid and cysteic acid
  • X42 is selected from the group consisting of alanine ornithine and arginine; and R 13 is COOH or CONH 2 .
  • R 1 is COOH and the carboxy terminal amino acid of the B chain has an amide (CONH 2 ) in place of the natural alpha carbon carboxy group.
  • X 4 is aspartic acid.
  • the B chain comprises the sequence R 22 -X 25 LCGAX 30 LVDALYLVCGDX 42 GFY-R 47 -R 48 - R 49 -R 14 (SEQ ID NO: 18), wherein
  • X25 is histidine or threonine
  • X 3 o is glutamic acid
  • X 42 is selected from the group consisting of alanine ornithine and arginine;
  • R 22 is selected from the group consisting of the peptide of AYRPSE (SEQ ID NO: 14), PGPE (SEQ ID NO: 68), a glycine-proline- glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine, R 47 is a
  • R 48 is an aspartate-lysine dipeptide, an arginine-proline dipeptide, a proline-arginine dipeptide, a lysine-proline dipeptide, or a proline-lysine dipeptide
  • R 49 is threonine or alanine
  • R 1 and R 14 are independently COOH or CONH 2 .
  • a prodrug form of an IGF B 16B 17 derivative peptide comprising an A chain and a B chain wherein the A chain comprises a sequence of Z-GIVX 4 ECCX 8 X 9 SCDLXi 4 Xi 5 LEXi 8 Xi 9 CX 21 -R 13 (SEQ ID NO: 19) or a sequence that differs from SEQ ID NO: 19 by 1 to 3 amino acid modifications selected from positions 5, 8, 9, 10, 12, 14, 15, 17, 18 and 21 of SEQ ID NO: 19, and the B chain sequence comprises a sequence of J-R 22 - X25LCGX29X30LVX33X34LX36LVCGDX42GFX45 (SEQ ID NO: 20) or a sequence that differs from SEQ ID NO: 20 by 1 to 3 amino acid modifications selected from positions 1, 2, 5, 6, 12, 13, 14, 15, 17, 18, 19, 20, and 21 of SEQ ID NO: 20
  • Z and J are independently H or a dipeptide comprising the general structure of Formula I:
  • R 2, R4 and R 8 are independently selected from the group consisting of H, C1-C18 alkyl, C 2 -C 18 alkenyl, (Ci-Cie alkyl)OH, (Ci-Cie alkyl)SH, (C 2 -C 3 alkyl)SCH 3 , (C1-C4 alkyl)CONH 2 , (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH 2 , (C1-C4 alkyl)NHC(NH 2 + )NH 2 , (C 0 -C 4 alkyl)(C 3 -C 6 cycloalkyl), (C 0 -C 4 alkyl)(C 2 -C 5 heterocyclic), (C 0 -C 4 alkyl)(C 6 -C 10 aryl)R 7 , (Q-C4 alkyl)(C 3 -C 9 heteroaryl), and C C 12 alkyl(W)C 1 -C
  • R3 is selected from the group consisting of Ci-C 18 alkyl, (Ci-C 18 alkyl)OH, (Ci-C 18 alkyl)NH 2 , (Ci-C 18 alkyl)SH, (C 0 -C 4 alkyl)(C 3 -C 6 )cycloalkyl, (C 0 - C 4 alkyl)(C 2 -C 5 heterocyclic), (C 0 -C 4 alkyl)(C 6 -Ci 0 aryl)R 7 , and (C1-C4 alkyl)(C 3 -C 9 heteroaryl) or R 4 and R 3 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 5 is NHR 6 or OH
  • R 6 is H, Ci-C 8 alkyl or R 6 and R 2 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of H and OH
  • X4 is aspartic acid or glutamic acid
  • X 8 is histidine or phenylalanine
  • X 9 and X 14 are independently selected from arginine, ornithine or alanine;
  • X 15 is arginine, ornithine, alanine or leucine;
  • X 18 is methionine, asparagine or threonine
  • X 19 is an amino acid of the general structure
  • X is selected from the group consisting of OH or NHRio, wherein Rio is a dipeptide comprising the general structure of Formula I:
  • X 21 is alanine, glycine or asparagine
  • X25 is selected from the group consisting of histidine and threonine
  • X29 is selected from the group consisting of alanine, glycine and serine;
  • X30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
  • X33 and X 4 i are independently selected from the group consisting of aspartic acid and glutamic acid;
  • X34 is selected from the group consisting of alanine and threonine
  • X36 is an amino acid of the general structure
  • X 12 is selected from the group consisting of OH and NHRn, wherein Rn is a dipeptide comprising the general structure of Formula I:
  • X 42 is arginine, ornithine or alanine
  • X 45 is an amino acid of the general structure
  • X 13 is selected from the group consisting of OH and NHR 12 , wherein R 12 is a dipeptide comprising the general structure of Formula I:
  • R 22 is a covalent bond or one to four amino acids
  • Ri 3 is COOH or CONH 2 ;
  • m is an integer selected from 0-3, with the proviso that one and only one of X, X 12 , Xi 3 , J and Z comprises a dipeptide of the general structure of Formula I: .
  • J or Z comprise the dipeptide of Formula I
  • R 4 and R 3 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring, then both Ri and R 2 are not hydrogen.
  • R 13 is COOH and the carboxy terminal amino acid of the B peptide has an amide (CONH 2 ) in place of the natural alpha carbon carboxy group.
  • R 22 is selected from the group consisting of a bond, the tripeptide glycine-proline- glutamic acid, the dipeptide proline- glutamic acid, and glutamic acid.
  • m is 1.
  • the B chain comprises the sequence J-R 22 -X 25 LCGX 29 X oLVX 33 X 34 LX 36 LVCGDX 42 GFX 45 -R 47 - R 48 -R 49 -Ri 4 (SEQ ID NO: 20), wherein
  • X 2 5 is histidine or threonine
  • X 2 9 is alanine or glycine
  • X 3 o is selected from the group consisting of aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
  • X 33 is selected from the group consisting of aspartic acid and glutamic acid;
  • X 4 is selected from the group consisting of alanine and threonine
  • X 3 6 is selected from the group consisting of phenylalanine and 4-amino- phenylalanine;
  • X 42 is selected from the group consisting of alanine, ornithine and arginine;
  • X 4 5 is selected from the group consisting of phenylalanine and 4-amino- phenylalanine;
  • Ri 3 is COOH and R 14 is CONH 2 ;
  • R 22 is selected from the group consisting of a covalent bond, AYRPSE (SEQ ID NO: 14), a glycine-proline- glutamic acid tripeptide, a proline- glutamic acid dipeptide, and glutamic acid;
  • R 47 is a phenylalanine-asparagine dipeptide, a phenylalanine-serine dipeptide or a tyrosine-threonine dipeptide;
  • R 48 is an aspartate-lysine dipeptide, an arginine-proline dipeptide, a lysine- proline dipeptide, or a proline-lysine dipeptide;
  • R 4 9 is threonine or alanine and R 14 is COOH or CONH 2 .
  • X, X 12 and X 13 are each OH, R 13 is COOH and R 14 is CONH 2 further provided that when R 4 and R 3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring, then at least one of Ri and R 2 are other than H.
  • an insulin-like growth factor analog comprising an A chain and a B chain wherein said A chain comprises a sequence of GIVX 4 ECCX 8 X 9 SCDLXi 4 Xi 5 LEXi 8 Xi 9 CX 21 -R 13 (SEQ ID NO: 19) or a sequence that differs from SEQ ID NO: 19 by 1 to 3 amino acid modifications selected from positions 5, 8, 9, 10, 14, 15, 17, 18 and 21 of SEQ ID NO: 19, and said B chain sequence comprises a sequence of
  • R 22 -X 25 LCGX 29 X 3 oLVX 33 X 34 LX 36 LVCGDX 42 GFX 4 5 (SEQ ID NO: 20) or a sequence that differs from SEQ ID NO: 20 by 1 to 3 amino acid modifications selected from positions 5, 6, 9, 10, 16, 18, 19 and 21 of SEQ ID NO: 20;
  • X 4 is aspartic acid or glutamic acid
  • X 8 is histidine or phenylalanine
  • X9 and X 14 are independently selected from arginine, ornithine or alanine; X 15 is arginine, ornithine or leucine;
  • X 18 is methionine, asparagine or threonine
  • X 19 is an amino acid of the general structure:
  • X is selected from the group consisting of OH or NHRio, wherein R ⁇ is a dipeptide element comprising the general structure U-O, wherein U is an amino acid or a hydroxyl acid and O is an N-alkylated amino acid;
  • X 21 is alanine, glycine or asparagine
  • R 22 is selected from the group consisting of a covalent bond, AYRPSE (SEQ ID NO: 14), a glycine-proline- glutamic acid tripeptide, a proline- glutamic acid dipeptide and glutamic acid;
  • X 2 5 is selected from the group consisting of histidine and threonine
  • X29 is selected from the group consisting of alanine, glycine and serine
  • X30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
  • X33 is selected from the group consisting of aspartic acid and glutamic acid;
  • X34 is selected from the group consisting of alanine and threonine;
  • X36 is tyrosine
  • X42 is selected from the group consisting of alanine and arginine.
  • X45 is tyrosine, histidine, asparagine or phenylalanine; further wherein the B chain comprises a carboxy terminal extension of 1 to 4 amino acids wherein said carboxy terminal extension comprises an amino acid having the structure of
  • n is an integer from 0-3;
  • n is an integer from 1-4;
  • R 12 is a dipeptide comprising the general structure U-O; and R 3 is COOH or CONH 2 .
  • U-0 comprises the general structure of:
  • R is selected from the group consisting of H and Ci-Cg alkyl
  • R 2 and R 4 are independently selected from the group consisting of H, Ci-Ce alkyl, C 2 -C 8 alkenyl, (C1-C4 alkyl)OH, (C1-C4 alkyl)SH, (C 2 -C 3 alkyl)SCH 3 , (C1-C4 alkyl)CONH 2 , (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH 2 , (C1-C4
  • R 3 is selected from the group consisting of Ci-C 8 alkyl, (Ci-C 4 alkyl)OH, (C1-C4 alkyl)SH, (C1-C4 alkyl)NH 2 , (C 3 -C 6 )cycloalkyl or R 4 and R 3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
  • R 5 is NHR 6 or OH
  • R 6 is H, or R 6 and R 2 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of hydrogen, Ci-C 18 alkyl, C 2 - Ci8 alkenyl, (C 0 -C 4 alkyl)CONH 2> (C 0 -C 4 alkyl)COOH, (C 0 -C 4 alkyl)NH 2 , (C 0 -C 4 alkyl)OH, and halo.
  • the A chain comprises the sequence GIVX 4 ECCX 8 X 9 SCDLX 14 X 15 LEX 18 X 19 CX 21 -R 13 (SEQ ID NO: 19) and the B chain comprises the sequence X 25 LCGX 29 X 3 oLVX 33 X 34 LYLVCGDX 42 GFY (SEQ ID NO: 9), with the designations defined as immediately above.
  • derivative peptide comprising an A chain comprising the sequence Z- GIVX 4 X 5 CCX 8 X 9 XioCX 12 LX 14 X 15 LEX 18 X 19 CX 21 -R 13 (SEQ ID NO: 82) and a B chain having the sequence J-R 22 -X 25 LCGX 29 X 3 oLVX 33 X 34 LYLVCGX 41 X 42 GFX 45 R 47 - R 48 -R 49 -R 14 (SEQ ID NO: 67), wherein
  • Z and J are independently H or a dipeptide comprising the general structure of Formula I:
  • Ri and R 8 are independently H or Ci-C 8 alkyl
  • R 2 and R 4 are independently selected from the group consisting of H, Ci-C 8 alkyl, C 2 -C 8 alkenyl, (C C 4 alkyl)OH, (C C 4 alkyl)SH, (C 2 -C 3 alkyl)SCH 3 , (C C 4 alkyl)CONH 2 , (C C 4 alkyl)COOH, (C C 4 alkyl)NH 2 , (C C 4 alkyl)NHC(NH 2 +) NH 2 , (Co-C 4 alkyl)(C 3 -C 6 cycloalkyl), (C 0 -C 4 alkyl)(C 2 -C 5 heterocyclic), (C 0 -C 4 alkyl)(C 6 -Cio aryl)R 7 , and CH 2 (C 3 -C 9 heteroaryl), or Ri and R 2 together with the atoms to which they are attached form a C 3 -C 12 cycloalkyl; R 3 is selected from the group consist
  • R 5 is NHR 6 or OH
  • R 6 is H, Q-Cg alkyl, or R 6 and R 2 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of hydrogen, Q-Qg alkyl, C 2 -Cig alkenyl, (C 0 -C 4 alkyl)CONH 2, (C 0 -C 4 alkyl)COOH, (C 0 -C 4 alkyl)NH 2 , (C 0 -C 4 alkyl)OH and halo, provided that when R 4 and R together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring, both Ri and R 2 are not H;
  • X 4 is glutamic acid or aspartic acid
  • X 5 is glutamic acid or glutamine
  • X 8 is histidine, threonine or phenylalanine
  • X 9 is serine, ornithine, arginine or alanine
  • Xio is serine or isoleucine
  • X 12 is serine or aspartic acid
  • X 14 are independently selected from tyrosine, ornithine, arginine or alanine;
  • X 15 is glutamine, ornithine, arginine, alanine or leucine;
  • Xig is methionine, asparagine or threonine
  • Xi9 is an amino acid of the general structure
  • X is selected from the group consisting of OH or NHR 10 , wherein R 10 is a dipeptide comprising the general structure of Formula I:
  • X 21 is alanine, glycine or asparagine
  • X 2 5 is histidine or threonine
  • X 2 9 is selected from the group consisting of alanine, glycine and serine
  • X 30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
  • X 33 is selected from the group consisting of aspartic acid and glutamic acid;
  • X 34 is selected from the group consisting of alanine and threonine;
  • X 41 is selected from the group consisting of glutamic acid and aspartic acid;
  • X 42 is selected from the group consisting of alanine, ornithine and arginine;
  • X 4 5 is an amino acid of the general structure
  • X 13 is selected from the group consisting of OH and NHR 12 , wherein R 12 is a dipeptide comprising the general structure of Formula I:
  • R 13 and R 14 are independently COOH or CONH 2 ;
  • R 22 is selected from the group consisting of a bond, the tripeptide glycine- proline- glutamic acid, the dipeptide proline- glutamic acid, and glutamic acid;
  • R 4 7 is a phenylalanine-asparagine dipeptide, a phenylalanine-serine dipeptide or a tyrosine-threonine dipeptide;
  • R 48 is an aspartate-lysine dipeptide, an arginine-proline dipeptide, a proline - arginine dipeptide, a lysine-proline dipeptide, or a proline-lysine dipeptide;
  • R 4 9 is threonine or alanine; and R13 and R 14 are independently selected from
  • m is an integer selected from 0-3, with the proviso that the B chain is not a native insulin B chain sequence (e.g., not SEQ ID NO: 2) and that one and only one of X, X 13 , J and Z comprises a dipeptide of the general structure of Formula I:
  • a prodrug form of a IGF -B16B 17 derivative peptide comprising an A chain having the sequence
  • X 4 is glutamic acid or aspartic acid
  • X 5 is glutamic acid or glutamine
  • Xg is histidine, threonine or phenylalanine
  • X9 is serine, arginine or alanine
  • X 10 is serine or isoleucine
  • X 12 is serine or aspartic acid
  • X 14 are independently selected from tyrosine, arginine or alanine;
  • X 15 is glutamine, arginine, alanine or leucine
  • X 18 is methionine, asparagine or threonine
  • X 19 is an amino acid of the general structure
  • R 4 and R 8 are independently selected from the group consisting of H, C 1 -C18 alkyl, C 2 -Ci 8 alkenyl, (Ci-Ci 8 alkyl)OH, (Ci-Ci 8 alkyl)SH, (C 2 -C 3 alkyl)SCH 3 , (C1-C4 alkyl)CONH 2 , (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH 2 , (C1-C4
  • R is selected from the group consisting of C C ⁇ alkyl, (C -Cn alkyl)OH, (C 1 -C18 alkyl)NH 2 , (Ci-Cie alkyl)SH, (C 0 -C 4 alkyl)(C 3 -C 6 )cycloalkyl, (C 0 -C 4 alkyl)(C 2 -C 5 heterocyclic), (C 0 -C 4 alkyl)(C 6 -C 10 aryl)R 7 , and (C1-C4 alkyl)(C 3 -C 9 heteroaryl) or R 4 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 5 is NHR 6 or OH
  • R 6 is H, Q-Cg alkyl or R 6 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of hydrogen, Q-Qg alkyl, C 2 -C 1 g alkenyl, (C 0 -C 4 alkyl)CONH 2> (C 0 -C 4 alkyl)COOH, (C 0 -C 4 alkyl)NH 2 , (C 0 -C 4 alkyl)OH, and halo;
  • X 21 is alanine, glycine or asparagine
  • X 2 5 is histidine or threonine
  • X 29 is selected from the group consisting of alanine, glycine and serine;
  • X30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
  • X33 is selected from the group consisting of aspartic acid and glutamic acid;
  • X 34 is selected from the group consisting of alanine and threonine;
  • X42 is selected from the group consisting of ornithine and arginine;
  • X 45 is phenylalanine or tyrosine
  • R 13 and R 14 are independently COOH or CONH 2 ;
  • R 22 is selected from the group consisting of the tripeptide glycine-proline- glutamic acid, the dipeptide proline- glutamic acid, glutamic acid and an N-terminal amine;
  • R 47 is a phenylalanine-asparagine dipeptide, a phenylalanine-serine dipeptide or a tyrosine-threonine dipeptide;
  • R 48 is an aspartate-lysine dipeptide, an arginine-proline dipeptide, a proline - arginine dipeptide, a lysine-proline dipeptide, or a proline-lysine dipeptide;
  • R 49 is threonine or alanine; and R13 and R14 are independently selected from
  • the B chain is not a native insulin B chain sequence (e.g., not SEQ ID NO: 2).
  • a prodrug form of a IGF B 16B 17 derivative peptide comprising an A chain comprising the sequence
  • X4 is aspartic acid or glutamic acid
  • Xg is phenylalanine or histidine
  • X9 is arginine, ornithine or alanine
  • X 14 is arginine or alanine
  • X 15 is arginine or leucine
  • X 18 is methionine or threonine
  • X 19 is an amino acid of the general structure
  • X is selected from the group consisting of OH or NHR 10 , wherein Rio is a dipeptide comprising the general structure of Formula I:
  • X 21 is alanine, glycine or asparagine
  • X25 is histidine or threonine
  • X29 is selected from the group consisting of alanine and glycine
  • X30 is selected from the group consisting of aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
  • X33 is aspartic acid
  • X 34 is selected from the group consisting of alanine and threonine.
  • X 42 is selected from the group consisting of alanine ornithine and arginine;
  • a prodrug form of IGF -B16B17 derivative peptide comprising an A chain comprising the sequence
  • Xg is phenylalanine or histidine
  • X9 is arginine, ornithine or alanine
  • X19 is an amino acid of the general structure
  • R 4 and R 8 are independently selected from the group consisting of H, C1-C18 alkyl, C 2 -Ci 8 alkenyl, (Ci-Ci 8 alkyl)OH, (Ci-Ci 8 alkyl)SH, (C 2 -C 3 alkyl)SCH 3 , (C1-C4 alkyl)CONH 2 , (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH 2 , (C1-C4
  • R is selected from the group consisting of C C ⁇ alkyl, (C -Cn alkyl)OH, (C1-C18 alkyl)NH 2 , (Ci-Cie alkyl)SH, (C 0 -C 4 alkyl)(C 3 -C 6 )cycloalkyl, (C 0 -C 4 alkyl)(C 2 -C 5 heterocyclic), (C 0 -C 4 alkyl)(C 6 -C 10 aryl)R 7 , and (C1-C4 alkyl)(C 3 -C 9 heteroaryl) or R 4 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 5 is NHR 6 or OH
  • R 6 is H, Q-Cg alkyl or R 6 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of hydrogen, Q-Qg alkyl, C 2 -C 1 g alkenyl, (C 0 -C 4 alkyl)CONH 2> (C 0 -C 4 alkyl)COOH, (C 0 -C 4 alkyl)NH 2 , (C 0 -C 4 alkyl)OH, and halo;
  • X 21 is alanine or asparagine
  • X 2 5 is histidine or threonine
  • X30 is selected from the group consisting of aspartic acid, glutamic acid, homocysteic acid and cysteic acid
  • X42 is selected from the group consisting of alanine, ornithine and arginine; and R 13 is COOH or CONH 2 .
  • R 13 is COOH and the carboxy terminal amino acid of the B peptide has an amide (CONH 2 ) in place of the natural alpha carbon carboxy group.
  • X 30 is glutamic acid and X 42 is arginine.
  • the B chain comprises the sequence R 22 - X 2 5LCGAX 30 LVDALYLVCGDX 42 GFY-R 4 7-R 4 8-R 9-Ri 4 (SEQ ID NO: 18, wherein R 22 is selected from the group consisting of the peptide of AYRPSE (SEQ ID NO: 14), a glycine-proline-glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine, X 3 o is glutamic acid, X 42 is arginine, R 47 is a phenylalanine-asparagine dipeptide or a phenylalanine- serine dipeptide, R 4 g is an aspartate-lysine dipeptide, an arginine-proline dipeptide, a proline- arginine dipeptide, a lysine -proline dipeptide, or a proline-lysine dipeptide, and R
  • a prodrug form of IGF -B16B 17 derivative peptide comprises an A chain having the sequence
  • X 8 is histidine or phenylalanine
  • X 9 and X 14 are independently selected from arginine, ornithine or alanine;
  • X 15 is arginine, ornithine or leucine
  • Xis is methionine, asparagine or threonine
  • X 19 is an amino acid of the general structure
  • R 4 and R 8 are independently selected from the group consisting of H, C 1 -C18 alkyl, C 2 -Ci 8 alkenyl, (Ci-Ci 8 alkyl)OH, (Ci-Ci 8 alkyl)SH, (C 2 -C 3 alkyl)SCH 3 , (C1-C4 alkyl)CONH 2 , (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH 2 , (C1-C4
  • R is selected from the group consisting of C C ⁇ alkyl, (C -Cn alkyl)OH, (C 1 -C18 alkyl)NH 2 , (Ci-Cie alkyl)SH, (C 0 -C 4 alkyl)(C 3 -C 6 )cycloalkyl, (C 0 -C 4 alkyl)(C 2 -C 5 heterocyclic), (C 0 -C 4 alkyl)(C 6 -C 10 aryl)R 7 , and (C1-C4 alkyl)(C 3 -C 9 heteroaryl) or R 4 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 5 is NHR 6 or OH
  • R 6 is H, Q-Cg alkyl or R 6 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of hydrogen, Q-Qg alkyl, C 2 -C 1 g alkenyl, (C 0 -C 4 alkyl)CONH 2> (C 0 -C 4 alkyl)COOH, (C 0 -C 4 alkyl)NH 2 , (C 0 -C 4 alkyl)OH, and halo;
  • X 21 is alanine, glycine or asparagine
  • X 2 5 is histidine or threonine
  • X 29 is selected from the group consisting of alanine, glycine and serine;
  • X30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
  • X33 is selected from the group consisting of aspartic acid and glutamic acid;
  • X34 is selected from the group consisting of alanine and threonine
  • X42 is selected from the group consisting of alanine, ornithine and arginine;
  • R 13 and R 14 are independently COOH or CONH 2 ;
  • R 22 is selected from the group consisting of AYRPSE (SEQ ID NO: 14), PGPE (SEQ ID NO: 68), a glycine-proline-glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine;
  • R 4 7 is a phenylalanine-asparagine dipeptide, a phenylalanine-serine dipeptide or a tyrosine-threonine dipeptide;
  • R 4 g is an aspartate-lysine dipeptide, an arginine-proline dipeptide, a lysine- proline dipeptide, or a proline-lysine dipeptide;
  • R 49 is threonine or alanine; and R 13 and R 14 are independently COOH or CONH 2 and R 13 and R 14 are independently COOH or CONH 2 .
  • a prodrug derivative of an IGF B16B17 derivative peptide having high specificity for the insulin receptor comprises an A chain having the sequence GIVDECCX 8 X 9 SCDLRRLEMX 19 CX 2 i- Ri 3 (SEQ ID NO: 69) and a B chain comprising the sequence R 22 - X 25 LCGAX 3 oLVDALYLVCGDX 42 GFY (SEQ ID NO: 18), wherein
  • X 8 is histidine or phenylalanine
  • X9 is arginine or alanine
  • X 19 is an amino acid of the general structure
  • R 2j R4 and R 8 are independently selected from the group consisting of H, C1-C18 alkyl, C 2 -Ci 8 alkenyl, (Ci-Ci 8 alkyl)OH, (Ci-Ci 8 alkyl)SH, (C 2 -C 3 alkyl)SCH 3 , (C1-C4 alkyl)CONH 2 , (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH 2 , (C1-C4
  • R 3 is selected from the group consisting of C C ⁇ alkyl, (C -Cn alkyl)OH,
  • R 5 is NHR 6 or OH
  • R 6 is H, Q-Cg alkyl or R 6 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of hydrogen, Q-Qg alkyl, C 2 -C 1 g alkenyl, (C 0 -C 4 alkyl)CONH 2, (C 0 -C 4 alkyl)COOH, (C 0 -C 4 alkyl)NH 2 , (C 0 -C 4 alkyl)OH, and halo;
  • X 21 is alanine, glycine or asparagine
  • R 22 is selected from the group consisting of a glycine -proline-glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine;
  • X25 is histidine or threonine;
  • X 3 o is selected from the group consisting of aspartic acid and glutamic acid;
  • X 42 is arginine, alanine or ornithine
  • R 13 is COOH and the carboxy terminal amino acid of the B chain has an amide (CONH 2 ) in place of the native alpha carbon carboxylic acid.
  • prodrug derivative of an IGF derivative peptide having high specificity for the insulin receptor is provided wherein the peptide comprises an A chain having the sequence GIVDECCFRSCDLRRLEMX 19 CA-R 13 (SEQ ID NO: 22) and a B chain having the sequence R 22 -TLCGAELVDALYLVCGDRGFYFNKPT-R 14 (SEQ ID NO: 64), wherein X 19 is an amino acid of the general structure
  • R 4 and R 8 are independently selected from the group consisting of H, C1-C18 alkyl, C 2 -C 18 alkenyl, (CrC 18 alkyl)OH, (CrC 18 alkyl)SH, (C 2 -C 3 alkyl)SCH 3 , (C1-C4 alkyl)CONH 2 , (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH 2 , (C1-C4
  • R 3 is selected from the group consisting of CrC 18 alkyl, (CrC 18 alkyl)OH, (Ci-Cie alkyl)NH 2 , (CrC 18 alkyl)SH, (C 0 -C 4 alkyl)(C 3 -C 6 )cycloalkyl, (C 0 -C 4 alkyl)(C 2 -C 5 heterocyclic), (C 0 -C 4 alkyl)(C 6 -Ci 0 aryl)R 7 , and (C1-C4 alkyl)(C 3 -C 9 heteroaryl) or R 4 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 5 is NHR 6 or OH
  • R 6 is H, CrC 8 alkyl or R 6 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of hydrogen, Ci-C 18 alkyl, C 2 -C 18 alkenyl, (C 0 -C 4 alkyl)CONH 2, (C 0 -C 4 alkyl)COOH, (C 0 -C 4 alkyl)NH 2 , (C 0 -C 4 alkyl)OH, and halo;
  • R22 is selected from the group consisting of a glycine -proline-glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine;
  • R 13 and R 14 are independently COOH or CONH 2.
  • an IGF B16B17 derivative peptide having high specificity for the insulin receptor is provided wherein the peptide comprises an A chain comprising the sequence
  • GrVDECCFRSCDLRRLEMX 19 CA-R 13 (SEQ ID NO: 70) and a B chain comprising the sequence GPETLCGAELVDALYLVCGDRGFYFNKPT-R 14 (SEQ ID NO: 11) or AYRPSETLCGGELVDTLYLVCGDRGFYFSRPA-Ri4 (SEQ ID NO: 12), wherein X 19 is an amino acid of the general structure
  • R 1; R 2, R ⁇ and Rg are independently selected from the group consisting of H, C1-C18 alkyl, C 2 -C 18 alkenyl, (Ci-Cie alkyl)OH, (Ci-Cie alkyl)SH, (C 2 -C 3 alkyl)SCH 3 , (C1-C4 alkyl)CONH 2 , (C C 4 alkyl)COOH, (C C 4 alkyl)NH 2 , (C C 4
  • R 3 is selected from the group consisting of Ci-Cn alkyl, (Ci-Cn alkyl)OH, (Ci-Cie alkyl)NH 2 , (Ci-Cie alkyl)SH, (C 0 -C 4 alkyl)(C 3 -C 6 )cycloalkyl, (C 0 -C 4 alkyl)(C 2 -C 5 heterocyclic), (C 0 -C 4 alkyl)(C 6 -Ci 0 aryl)R 7 , and (C C 4 alkyl)(C 3 -C 9 heteroaryl) or R 4 and R 3 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 5 is NHR 6 or OH
  • R 6 is H, Q-C8 alkyl or R 6 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of hydrogen, Q-Cig alkyl, C 2 -Ci 8 alkenyl, (C 0 -C 4 alkyl)CONH 2 , (C 0 -C 4 alkyl)COOH, (C 0 -C 4 alkyl)NH 2 , (C 0 -C 4 alkyl)OH, and halo; and
  • R 13 and R 14 are independently COOH or CONH 2.
  • a prodrug derivative of an IGF B16B17 derivative peptide having high specificity for the insulin receptor wherein the peptide comprises an A chain comprising the sequence
  • GrVDECCX 8 X 9 SCDLRRLEMXi 9 CA-Ri 3 (SEQ ID NO: 21) and a B chain comprising the sequence GPETLCGAELVDALYLVCGDRGFY-R 14 (SEQ ID NO: 11), wherein
  • Xg is histidine or phenylalanine
  • X9 is arginine or alanine
  • X 19 is an amino acid of the general structure
  • R ⁇ R 2> R* and R 8 are independently selected from the group consisting of H, Ci-Cie alkyl, C 2 -C 18 alkenyl, (Ci-Cie alkyl)OH, (Ci-Cie alkyl)SH, (C 2 -C 3 alkyl)SCH 3 , (Ci-C 4 alkyl)CONH 2 , (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH 2 , (C1-C4
  • R 3 is selected from the group consisting of C C ⁇ alkyl, (C -Cn alkyl)OH,
  • R 5 is NHR 6 or OH
  • R 6 is H, Q-C8 alkyl or R 6 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of hydrogen, Q-Cig alkyl, C 2 -Ci 8 alkenyl, (C 0 -C 4 alkyl)CONH 2> (C 0 -C 4 alkyl)COOH, (C 0 -C 4 alkyl)NH 2 , (C 0 -C 4 alkyl)OH, and halo; and
  • R 13 and R 14 are independently COOH or CONH 2.
  • the IGF B 16B 17 derivative peptide prodrugs disclosed herein may be part of a dimer, trimer or higher order multimer comprising at least two, three, or more peptides bound via a linker, wherein at least one or both peptides is an IGF B 16B 17 derivative peptide.
  • the dimer comprises either two single chain insulin/IGF B 16B 17 derivative peptides, or two A chain/B chain heterodimers or a combination thereof.
  • the dimer may be a homodimer or heterodimer, comprising peptides selected from the group consisting of native insulin, native IGF- 1, native IGF- II, an insulin analog peptide, and IGF B 16B 17 derivative peptides (as either single chain peptides or as heterodimers of the A and B chains).
  • the linker is selected from the group consisting of a bifunctional thiol crosslinker and a bi-functional amine crosslinker.
  • the linker is PEG, e.g., a 5 kDa PEG, 20 kDa PEG.
  • the linker is a disulfide bond.
  • each monomer of the dimer may comprise a Cys residue (e.g., a terminal or internally positioned Cys) and the sulfur atom of each Cys residue participates in the formation of the disulfide bond.
  • the monomers are connected via terminal amino acids (e.g., N-terminal or C-terminal; see Fig. 8A), via internal amino acids, or via a terminal amino acid of at least one monomer and an internal amino acid of at least one other monomer.
  • the monomers are not connected via an N-terminal amino acid.
  • the monomers of the multimer are attached together in a "tail-to-tail" orientation in which the C-terminal amino acids of each monomer are attached together.
  • a conjugate moiety may be covalently linked to any of the IGF B16B17 derivative peptides described herein, including a dimer, trimer or higher order multimer.
  • the dipeptide of Formula I is further modified to comprise a large polymer that interferes with the IGF B16B17 derivative peptide's ability to interact with the insulin or IGF-1 receptor. Subsequent cleavage of the dipeptide releases the IGF B16B17 derivative peptide from the dipeptide complex wherein the released IGF B16B17 derivative peptide is fully active. In accordance with one embodiment the dipeptide of Formula I is further modified to comprises a large polymer that interferes with the bound IGF B16B17 derivative peptide's ability to interact with the insulin or IGF-1 receptor. In accordance with one embodiment one of X, Xi2, i3, J and Z comprises a dipeptide of the general structure of Formula I:
  • dipeptide of Formula I is pegylated or acylated.
  • either J, Z or X comprises an acylated or pegylated dipeptide of Formula I
  • J comprises an acylated or pegylated dipeptide of Formula I.
  • the dipeptide of Formula I further comprises an polyethylene oxide, alkyl or acyl group.
  • one or more polyethylene oxide chains are linked to the dipeptide of Formula I wherein the combined molecular weight of the polyethylene oxide chains ranges from about 20,000 to about 80,000 Daltons, or 40,000 to 80,000 Daltons or 40,000 to 60,000 Daltons.
  • the polyethylene oxide is polyethylene glycol.
  • at least one polyethylene glycol chain having a molecular weight of about 40,000 Daltons or about 20,000 Daltons is linked to the dipeptide of Formula I either directly or through a liner/spacer.
  • the dipeptide of Formula I is acylated with an acyl group of sufficient size to bind serum albumin and
  • the acyl group can be linear or branched, and in one embodiment is a C 16 to C30 fatty acid.
  • the acyl group can be any of a C 16 fatty acid, CI 8 fatty acid, C20 fatty acid, C22 fatty acid, C24 fatty acid, C26 fatty acid, C28 fatty acid, or a C30 fatty acid.
  • the acyl group is a C16 to C20 fatty acid, e.g., a C18 fatty acid or a C20 fatty acid.
  • a prodrug form of an IGF derivative peptide comprising an A chain having the sequence Z- GIVDECCX8X 9 SCDLRRLEMX 19 CX2i-Ri3 (SEQ ID NO: 21) and a B chain having the sequence J-R22-X25LCGAX30LVDALYLVCGDX42GFYFN-R48-R49-R14 (SEQ ID NO: 15), wherein
  • Z and J are independently H or a dipeptide comprising the general structure:
  • Xg is histidine or phenylalanine
  • X9 is arginine or alanine
  • X 19 is an amino acid of the general structure
  • X is selected from the group consisting of OH or NHR 10 , wherein R ⁇ is a dipeptide comprising the general structure:
  • X 21 is alanine, glycine or asparagine
  • X 2 5 is histidine or threonine
  • X30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
  • X42 is selected from the group consisting of alanine and arginine;
  • R 2j R4 and R 8 are independently selected from the group consisting of H, C1-C18 alkyl, C 2 -Ci 8 alkenyl, (Ci-Ci 8 alkyl)OH, (Ci-Ci 8 alkyl)SH, (C 2 -C 3 alkyl)SCH 3 , (C1-C4 alkyl)CONH 2 , (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH 2 , (C1-C4
  • R is selected from the group consisting of C C ⁇ alkyl, (C -Cn alkyl)OH, (C1-C18 alkyl)NH 2, (Ci-Cie alkyl)SH, (C 0 -C 4 alkyl)(C 3 -C 6 )cycloalkyl, (C 0 -C 4 alkyl)(C 2 -C 5 heterocyclic), (C 0 -C 4 alkyl)(C 6 -C 10 aryl)R 7 , and (C1-C4 alkyl)(C 3 -C 9 heteroaryl) or R 4 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 5 is NHR 6 or OH
  • R 6 is H, Q-Cs alkyl or R 6 and R 2 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of H and OH
  • Ri3 is COOH and R 14 is CONH 2 ;
  • R 22 is selected from the group consisting of a covalent bond, AYRPSE (SEQ ID NO: 14), a glycine-proline- glutamic acid tripeptide, a proline- glutamic acid dipeptide, and glutamic acid;
  • R 4 g is an aspartate-lysine dipeptide, an arginine-proline dipeptide, a lysine- proline dipeptide, or a proline-lysine dipeptide;
  • R 49 is threonine, with the proviso that one and only one of X, J and Z comprises a dipeptide of the general structure:
  • R 3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring, at least one of R and R 2 are other than H.
  • Z and J are both H and X is NHR 10 .
  • a prodrug derivative of an IGF/insulin co-agonist prodrug comprising an A chain having the sequence Z- GrVDECCX 8 X9SCDLRRLEMX 19 CX2i-Ri3 (SEQ ID NO: 21) and a B chain having the sequence J-R 22 -X 2 5LCGAX 3 oLVDALYLVCGDRGFYFNKPT-R 14 (SEQ ID NO: 17), wherein
  • Z and J are independently H or a dipeptide comprising the general structure:
  • X 8 is histidine or phenylalanine
  • X9 is arginine or alanine
  • X9 is arginine or alanine
  • X 19 is an amino acid of the general structure
  • X is selected from the group consisting of OH or NHR 10 , wherein R ⁇ is a dipeptide comprising the general structure:
  • R 4 and Rg are independently selected from the group consisting of H, C 1 -C18 alkyl, C 2 -Ci 8 alkenyl, (Ci-Ci 8 alkyl)OH, (Ci-Ci 8 alkyl)SH, (C 2 -C 3 alkyl)SCH 3 , (C 1 -C4 alkyl)CONH 2 , (C 1 -C4 alkyl)COOH, (C 1 -C4 alkyl)NH 2 , (C 1 -C4 alkyl)NHC(NH 2 + )NH 2 , (C 0 -C 4 alkyl)(C 3 -C 6 cycloalkyl), (C 0 -C 4 alkyl)(C 2 -C 5 heterocyclic), (C 0 -C 4 alkyl)(C 6 -C 10 aryl)R 7 , (CrC 4 alkyl)(C 3 -C 9 heteroaryl), and Cr C 12 alkyl(W
  • R is selected from the group consisting of Q-Qs alkyl, (C -Cn alkyl)OH, (Ci-Ci 8 alkyl)NH 2> (Ci-Ci 8 alkyl)SH, (C 0 -C 4 alkyl)(C 3 -C 6 )cycloalkyl, (C 0 - C 4 alkyl)(C 2 -C 5 heterocyclic), (C 0 -C 4 alkyl)(C 6 -C 10 aryl)R 7 , and (C1-C4 alkyl)(C 3 -C 9 heteroaryl) or R 4 and R 3 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 5 is NHR 6 or OH
  • R 6 is H, Q-Cg alkyl or R 6 and R 2 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of H and OH
  • Ri3 is COOH and R 14 is CONH 2 ;
  • X 21 is alanine, glycine or asparagine
  • X 2 5 is histidine or threonine
  • X 3 o is selected from the group consisting of aspartic acid and glutamic acid; Ri3 is COOH and R 14 is CONH 2 ; and
  • R 22 is selected from the group consisting of a covalent bond, the tripeptide glycine -proline-glutamic acid, the dipeptide proline- glutamic acid, and glutamic acid.
  • X is OH and R 4 and R together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring
  • both Ri and R 2 are both other than H, with the proviso that one and only one of X
  • J and Z comprises a dipeptide of the general structure: .
  • both Ri and R 2 are not hydrogen.
  • Z and J are both H and X is NHRi 0 .
  • IGF derivative peptide having high specificity for the insulin receptor relative to the IGF I receptor wherein the peptide comprises an A chain having the sequence
  • Xg is histidine or phenylalanine
  • X9 is arginine or alanine
  • X 19 is an amino acid of the general structure
  • R 1; R 2 R* and R 8 are independently selected from the group consisting of H, Ci-C 18 alkyl, C 2 -C 18 alkenyl, (Ci-C 18 alkyl)OH, (Ci-C 18 alkyl)SH, (C 2 -C 3 alkyl)SCH 3 , (C1-C4 alkyl)CONH 2 , (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH 2 , (C 1 -C4 alkyl)NHC(NH 2 + )NH 2 , (C 0 -C 4 alkyl)(C 3 -C 6 cycloalkyl), (C 0 -C 4 alkyl)(C 2 -C 5 heterocyclic), (C 0 -C 4 alkyl)(C 6 -C 10 aryl)R 7 , (Q-C4 alkyl)(C 3 -C 9 heteroaryl), and Q- C 12 alkyl(W)Ci
  • R 5 is NHR 6 or OH
  • R 6 is H, Q-C8 alkyl or R 6 and R 2 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of H and OH
  • R 13 is COOH and the carboxy terminal amino acid of the B chain has an amide (CONH 2 ) in place of the native alpha carbon carboxylic acid;
  • X 21 is alanine, glycine or asparagine
  • X 2 5 is histidine or threonine
  • X 3 o is selected from the group consisting of aspartic acid and glutamic acid;
  • X 42 is selected from the group consisting of alanine, arginine and ornithine;
  • R 22 is selected from the group consisting of a glycine -proline-glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine.
  • an IGF -B16B 17 derivative peptide prodrug analog comprising an A chain sequence of GIVDECCFRSCDLRRLEMX 19 CA-R 13 (SEQ ID NO: 22) and a B chain sequence of R 22 -
  • TLCGAELVDALX 36 LVCGDRGFX 45 FNKPT-R 14 (SEQ ID NO: 23), or alternatively an A chain comprises the sequence of GIVDECCHASCDLRRLEMX 19 CN-R 13 (SEQ ID NO: 24) and a B chain sequence of R 22 -
  • X 19 is an amino acid of the general structure
  • X is selected from the group consisting of OH or NHR 10 , wherein R 10 is a dipeptide comprising the general structure:
  • Ri is selected from the group consisting of H and Ci-Cg alkyl
  • R 2 and R 4 are independently selected from the group consisting of H, Ci-Ce alkyl, C 2 -C 8 alkenyl, (C1-C4 alkyl)OH, (C1-C4 alkyl)SH, (C 2 -C 3 alkyl)SCH 3 , (C1-C4 alkyl)CONH 2 , (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH 2 , (C1-C4
  • R is selected from the group consisting of Ci-Cg alkyl, (C 1 -C 4 alkyl)OH, (C 1 -C4 alkyl)NH 2> (C 1 -C4 alkyl)SH, and (C 3 -C 6 )cycloalkyl or R 4 and R 3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
  • R 5 is NHR 6 or OH
  • R 6 is H, or R 6 and R 2 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of H and OH; and R 8 is H;
  • X 3 6 is an amino acid of the general structure
  • X 12 is selected from the group consisting of OH and NHRu, wherein Rn is a dipeptide comprising the general structure:
  • X45 is an amino acid of the general structure
  • X 13 is selected from the group consisting of OH and NHR 12 , wherein R 12 is a dipeptide comprising the general structure:
  • R 13 and R 14 are independently COOH or CONH 2 ;
  • R 22 is selected from the group consisting of a covalent bond, the tripeptide glycine -proline-glutamic acid, the dipeptide proline- glutamic acid, glutamic acid and an N-terminal amine, with the proviso that one and only one of X, X 12 and X 13 , comprises a dipeptide of the general structure:
  • X 12 and X 13 are each OH and X is NHR 10 . In a further embodiment X 12 and X 13 are each OH, X is NHR 10 and Rio is COOH and R 14 is CONH 2 .
  • an IGF -B16B 17 derivative peptide prodrug analog comprising an A chain sequence of GIVDECCFRSCDLRRLEMXi 9 CA-Ri 3 (SEQ ID NO: 22) and a B chain sequence of
  • FVNQTLCGAELVDALYLVCGDRGFYFNKPX 49 -Ri 4 (SEQ ID NO: 71), GPETLCGAELVDALYLVCGDRGFYFNKPT-R14 (SEQ ID NO: 11) or
  • AYRPSETLCGGELVDTLYLVCGDRGFYFSRPA-R14 (SEQ ID NO: 12) wherein Xi9 is an amino acid of the general structure
  • U is an amino acid or a hydroxyl acid and O is an N-alkylated amino acid
  • X49 is threonine or a threonine- glutamic acid-glutamic acid tripeptide; and R 13 and R 14 are independently COOH or CONH 2 .
  • an IGF derivative peptide prodrug analog comprising an A chain sequence of GIVDECCFRSCDLRRLEMX 19 CA-R 13 (SEQ ID NO: 22) and a B chain sequence of
  • AYRPSETLCGGELVDTLYLVCGDRGFYFSRPA-R 14 (SEQ ID NO: 12) wherein Xi9 is an amino acid of the general structure
  • R is selected from the group consisting of H and Ci-Cg alkyl
  • R 2 and R 4 are independently selected from the group consisting of H, Ci-C 8 alkyl, C 2 -C 8 alkenyl, (C1-C4 alkyl)OH, (C1-C4 alkyl)SH, (C 2 -C 3 alkyl)SCH 3 , (C1-C4 alkyl)CONH 2 , (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH 2 , (C1-C4
  • R 3 is selected from the group consisting of Ci-Cg alkyl, (C 1 -C 4 alkyl)OH, (C1-C4 alkyl)NH 2> (C1-C4 alkyl)SH, and (C 3 -C 6 )cycloalkyl or R 4 and R 3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
  • R 6 is H, or R 6 and R 2 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of H and OH.
  • R 13 and R 14 are independently COOH or CONH 2 .
  • the IGF derivative peptide can be selected to provide the desired half life of a
  • prodrug derivative of the IGF derivative peptides disclosed herein when a dipeptide prodrug element comprising the structure:
  • Ri and R 2 are independently C1-C18 alkyl or aryl; or Ri and R 2 are linked through -(CH 2 ) p -, wherein p is 2-9;
  • R 3 is C1-C18 alkyl
  • R 4 and R 8 are each hydrogen
  • prodrugs linked at the N-terminus and having a t 1/2 of, e.g., about 1 hour comprise a with the structure:
  • Ri and R 2 are independently Ci-Cig alkyl or (C 0 -C4 alkyl)(C 6 -Cio aryl)R 7 ; or Ri and R 2 are linked through -(CH 2 ) P , wherein p is 2-9;
  • R 3 is C1-C18 alkyl
  • R 4 and Rg are each hydrogen
  • R 5 is NH 2 ;
  • R 7 is selected from the group consisting of hydrogen, Q-Cig alkyl, C 2 -Cig alkenyl, (C 0 -C 4 alkyl)CONH 2> (C 0 -C 4 alkyl)COOH, (C 0 -C 4 alkyl)NH 2 , (C 0 -C 4 alkyl)OH, and halo; and Rg is H.
  • an IGF B16B17 derivative peptide prodrug analog wherein the dipeptide prodrug is linked to the alpha amino group of the N-terminal amino acid of the IGF B16B17 derivative peptide A or B chain, and the prodrug has a t between about 6 to about 24 hours in PBS under physiological conditions.
  • an IGF B16B17 derivative peptide prodrug analog having a t 1/2 between about 6 to about 24 hours in PBS under physiological conditions is provided wherein the prodrug element has the structure of formula I and
  • Ri and R 2 are independently selected from the group consisting of hydrogen, Ci-Cig alkyl and aryl, or Ri and R 2 are linked through -(CH 2 ) P -, wherein p is 2-9;
  • R 3 is Ci-Cig alkyl or R and R 4 together with the atoms to which they are attached form a 4-12 heterocyclic ring;
  • R 4 and Rg are independently selected from the group consisting of hydrogen, Ci-Cg alkyl and aryl;
  • R5 is an amine, with the proviso that both Ri and R 2 are not hydrogen and provided that one of R 4 or Rg is hydrogen.
  • an IGF B16B17 derivative peptide prodrug analog wherein the dipeptide prodrug is linked to the alpha amino group of the N- terminal amino acid of the IGF B 16B 17 derivative peptide A or B chain, and the prodrug has a t 1/2 between about 72 to about 168 hours in PBS under physiological conditions.
  • an IGF B16B17 derivative peptide prodrug analog having a ti/2 between about 72 to about 168 hours in PBS under physiological conditions wherein the prodrug element has the structure of Formula I and
  • Ri is selected from the group consisting of hydrogen, Q-Cg alkyl and aryl;
  • P 3 is Ci-Cie alkyl
  • P4 and Rg are each hydrogen
  • P 5 is an amine or N-substituted amine or a hydroxyl
  • Ri is alkyl or aryl, then Ri and R5 together with the atoms to which they are attached form a 4-11 heterocyclic ring.
  • prodrugs having the dipeptide prodrug element linked to the N-terminal alpha amino acid of the IGF B16B17 derivative A chain or B chain peptide and having a ti /2 , e.g., between about 12 to about 72 hours, or in some embodiments between about 12 to about 48 hours, comprise a dipeptide prodrug element with the structure:
  • Ri and R 2 are independently selected from the group consisting of hydrogen, C1-C18 alkyl, (Ci-Ci 8 alkyl)OH, (C1-C4 alkyl)NH 2 , and (C 0 -C 4 alkyl)(C 6 -Ci 0 aryl)R 7 , or Ri and R 2 are linked through (CH 2 ) P , wherein p is 2-9;
  • R3 is C1-C18 alkyl or R 3 and R4 together with the atoms to which they are attached form a 4-12 heterocyclic ring;
  • R 4 and R 8 are independently selected from the group consisting of hydrogen, Ci-C 8 alkyl and (C 0 -C 4 alkyl)(C 6 -Ci 0 aryl)R 7 ;
  • R 5 is NH 2 ;
  • R 7 is selected from the group consisting of H, C1-C18 alkyl, C2-Ci8 alkenyl, (C0-C4 alkyl)CONH 2 , (C 0 -C 4 alkyl)COOH, (C 0 -C 4 alkyl)NH 2 , (C 0 -C 4 alkyl)OH, and halo;
  • a chain or B chain peptide and having a t e.g., between about 12 to about 72 hours, or in some embodiments between about 12 to about 48 hours, comprise a dipeptide prodrug element with the structure:
  • Ri and R 2 are independently selected from the group consisting of hydrogen, Ci-Cg alkyl and (Ci-C 4 alkyl)NH 2 , or Ri and R 2 are linked through (CH 2 ) P , wherein p is 2-9;
  • R 3 is Ci-Cg alkyl or R and R 4 together with the atoms to which they are attached form a 4-6 heterocyclic ring;
  • R 4 is selected from the group consisting of hydrogen and Ci-Cg alkyl; and R 5 is NH 2 ;
  • a chain or B chain peptide and having a ti /2 e.g., between about 12 to about 72 hours, or in some embodiments between about 12 to about 48 hours, comprise a dipeptide prodrug element with the structure:
  • Ri and R 2 are independently selected from the group consisting of hydrogen, Ci-C 8 alkyl and (Ci-C 4 alkyl)NH 2 ;
  • R 3 is Ci-C 6 alkyl
  • R 4 is hydrogen
  • R 5 is NH 2 ;
  • prodrugs having the dipeptide prodrug element linked to the N-terminal amino acid of the IGF B16B17 derivative A chain or B chain peptide and having a t , e.g., between about 12 to about 72 hours, or in some embodiments between about 12 to about 48 hours, comprise a dipeptide prodrug element with the structure:
  • Ri and R 2 are independently selected from the group consisting of hydrogen and Ci-Cg alkyl, (Ci-C 4 alkyl)NH 2 , or Ri and R 2 are linked through (CH 2 ) P , wherein p is 2-9;
  • R 3 is Ci-Ce alkyl
  • R 4 is (Co-C 4 alkyl)(C 6 -Cio aryl)R 7 ;
  • R 5 is NH 2 ;
  • R 7 is selected from the group consisting of hydrogen, Q-Cg alkyl and (Co-C 4 alkyl)OH;
  • a prodrug having the dipeptide prodrug element linked to the N- terminal alpha amino acid of the IGF B16B17 derivative peptide and having a t 1/2 , e.g., of about 72 to about 168 hours is provided wherein the dipeptide prodrug element has the structure:
  • Ri is selected from the group consisting of hydrogen, Ci-Cg alkyl and (Co-C 4 alkyl)(C 6 -Cio aryl)R 7 ;
  • R 3 is C 1 -C 18 alkyl
  • R 4 and R 8 are each hydrogen
  • R 5 is NHR 6 or OH
  • R 6 is H, Q-Cg alkyl, or R 6 and Ri together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of hydrogen, Q-Cig alkyl, C 2 -Cig alkenyl, (C 0 -C 4 alkyl)CONH 2 , (C 0 -C 4 alkyl)COOH, (C 0 -C 4 alkyl)NH 2 , (C 0 -C 4 alkyl)OH, and halo;
  • Ri is alkyl or (Co-C 4 alkyl)(C 6 -Cio aryl)R 7 , then Ri and R5 together with the atoms to which they are attached form a 4-11 heterocyclic ring.
  • the dipeptide prodrug element is linked to a side chain amine of an internal amino acid of the IGF B16B17 derivative peptide.
  • prodrugs having a 1 hour have the structure:
  • Ri and R 2 are independently Q-Cg alkyl or (C 0 -C 4 alkyl)(C 6 -Cio aryl)R 7 ; or Ri and R 2 are linked through -(CH 2 ) P -, wherein p is 2-9;
  • R 3 is C1-C18 alkyl
  • R 4 and Rg are each hydrogen
  • R 5 is NH 2 ;
  • R 7 is selected from the group consisting of hydrogen, Q-Cig alkyl, C 2 -Cig alkenyl, (C 0 -C 4 alkyl)CONH 2> (C 0 -C 4 alkyl)COOH, (C 0 -C 4 alkyl)NH 2 , (C 0 -C 4 alkyl)OH, and halo.
  • Ri and R 2 are independently selected from the group consisting of hydrogen, Ci-Cg alkyl, and (C 0 -C 4 alkyl)(C 6 -Cio aryl)R 7 , or Ri and R 2 are linked through - (CH 2 ) P -, wherein p is 2-9;
  • R 3 is Ci-Cig alkyl or R 3 and R 4 together with the atoms to which they are attached form a 4-12 heterocyclic ring;
  • R 4 and Rg are independently hydrogen, C Qg alkyl or (C 0 -C 4 alkyl)(C 6 -Cio aryl)R 7 ;
  • R 5 is NHR 6 ;
  • R 6 is H or Ci-Cg alkyl, or R 6 and R 2 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of hydrogen, Q-Qg alkyl, C 2 -Cig alkenyl, (C 0 -C 4 alkyl)CONH 2> (C 0 -C 4 alkyl)COOH, (C 0 -C 4 alkyl)NH 2 , (C 0 -C 4 alkyl)OH, and halo;
  • a prodrug having a t 1/2 e.g., of about 72 to about 168 hours and having the dipeptide prodrug element linked to a internal amino acid side chain of the IGF B16B17 derivative peptide is provided wherein the dipeptide prodrug element has the structure:
  • Ri is selected from the group consisting of hydrogen, Ci-Cig alkyl and (Co-C 4 alkyl)(C 6 -Ci 0 aryl)R 7 ;
  • R 3 is Ci-Cig alkyl
  • R 4 and Rg are each hydrogen
  • R 5 is NHR 6 or OH
  • R 6 is H or Ci-Cg alkyl, or R 6 and Ri together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of hydrogen, Ci-Cig alkyl, C 2 -Cig alkenyl, (Co-C 4 alkyl)CONH 2, (C 0 -C 4 alkyl)COOH, (C 0 -C 4 alkyl)NH 2 , (C 0 -C 4 alkyl)OH, and halo; with the proviso that, if Ri and R 2 are both independently an alkyl or (Co-C 4 alkyl)(C 6 -Cio aryl)R 7 , either Ri or R 2 is linked through (CH 2 ) P to R5, wherein p is 2-9.
  • the dipeptide prodrug element is linked to a side chain amine of an internal amino acid of the IGF B16B17 derivative peptide wherein the internal amino acid comprises the structure of Formula III
  • n is an integer selected from 1 to 4. In some embodiments n is 3 or 4 and in some embodiments the internal amino acid is lysine. In some embodiments the dipeptide prodrug element is linked to a primary amine on a side chain of an amino acid located at position 28, or 29 of the B-chain of the IGF B16B17 derivative peptide.
  • the substituents of the prodrug element can be selected to provide the desired time of activation.
  • m is an integer from 0 to 3, can be selected by altering the substituents of R 1; R 2 , R3, R4, R5, and R 8 .
  • the amino acid of formula II is present at an amino acid corresponding to position A 19, B 16 or B25 of native insulin, and in one specific example the amino acid of formula II is located at position A19 of the IGF derivative peptide, and m is 1.
  • an IGF derivative peptide prodrug analog comprising the structure of Formula II and having a tl/2 of about 1 hour in PBS under physiological conditions is provided.
  • a tl/2 of about 1 hour in PBS under physiological conditions
  • the IGF derivative peptide prodrug analog having a tl/2 of about 1 hour in PBS under physiological conditions comprises the structure of formula II wherein,
  • Ri and R 2 are independently C C ⁇ alkyl or aryl
  • R 3 is C C ⁇ alkyl or R 3 and R 4 together with the atoms to which they are attached form a 4-12 heterocyclic ring;
  • R 4 and R 8 are independently selected from the group consisting of hydrogen, Ci-Qg alkyl and aryl;
  • R 5 is an amine or a hydroxyl. In one embodiment m is 1.
  • the dipeptide prodrug element is linked to the IGF derivative peptide via an amine present on an aryl group of an aromatic amino acid of
  • the IGF derivative peptide wherein prodrugs having a t 1/2 , e.g., of about 1 hour have a dipeptide structure of:
  • Ri and R 2 are independently Ci-C ⁇ alkyl or (C 0 -C 4 alkyl)(C 6 -Cio aryl)R 7 ;
  • R 3 is Ci-Cig alkyl or R and R 4 together with the atoms to which they are attached form a 4-12 heterocyclic ring;
  • R 4 and Rg are independently selected from the group consisting of hydrogen, C 1 -C18 alkyl and (C 0 -C 4 alkyl)(C 6 -Ci 0 aryl)R 7 ;
  • R 5 is NH 2 or OH
  • R 7 is selected from the group consisting of hydrogen, Q-C ⁇ alkyl, C 2 -Ci 8 alkenyl, (C 0 -C 4 alkyl)CONH 2, (C 0 -C 4 alkyl)COOH, (C 0 -C 4 alkyl)NH 2 , (C 0 -C 4 alkyl)OH, and halo.
  • an IGF derivative peptide prodrug analog comprising the structure of Formula II, wherein m is an integer from 0 to 3 and having a tl/2 of about 6 to about 24 hours in PBS under physiological conditions, is
  • IGF derivative peptide prodrug having a tl/2 of about 6 to about 24 hours in PBS under physiological conditions comprises the structure of formula II wherein,
  • Ri is selected from the group consisting of hydrogen, Q-C ⁇ alkyl and aryl, or Ri and P 2 are linked through -(CH 2 ) P -, wherein p is 2-9;
  • P 3 is Ci-Cig alkyl or R 3 and R 4 together with the atoms to which they are attached form a 4-6 heterocyclic ring;
  • R 4 and Rg are independently selected from the group consisting of hydrogen, C 1 -C 18 alkyl and aryl;
  • R5 is an amine or N-substituted amine. In one embodiment m is 1.
  • prodrugs having the dipeptide prodrug element linked via an aromatic amino acid and having a t , e.g., of about 6 to about 24 hours are provided wherein the dipeptide comprises a structure of:
  • Ri is selected from the group consisting of hydrogen, Q-Cig alkyl, (C C ⁇ alkyl)OH, (C1-C4 alkyl)NH 2 , and (C 0 -C 4 alkyl)(C 6 -C 10 aryl)R 7 ;
  • R 3 is Ci-Ci 8 alkyl or R 3 and R 4 together with the atoms to which they are attached form a 4-6 heterocyclic ring;
  • R 4 and R 8 are independently selected from the group consisting of hydrogen, C1-C18 alkyl and (C 0 -C 4 alkyl)(C 6 -C 10 aryl)R 7 ;
  • R 5 is NHR 6 ;
  • R 6 is H, Ci-Cg alkyl, or R 6 and Ri together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
  • R 7 is selected from the group consisting of hydrogen, C 1 -C18 alkyl, C 2 -Ci 8 alkenyl, (C 0 -C 4 alkyl)CONH 2, (C 0 -C 4 alkyl)COOH, (C 0 -C 4 alkyl)NH 2 , (C 0 -C 4 alkyl)OH, and halo.

Abstract

Insulin-like growth factor analogs are disclosed wherein substitution of the IGF native amino acids, at positions corresponding to positions B16 and B17 of native insulin, with tyrosine and leucine, respectively, increases potency of the resulting analog at the insulin receptor by tenfold. Also disclosed are prodrug and depot formulations of the IGF analogs, wherein the IGF analog has been modified by the linkage of a dipeptide to the analog through an amide bond linkage. The prodrug and depot formulations disclosed herein have extended half lives of at least 2 hours, 10 hours, and more typically greater than 20 hours, and are converted to the active form at physiological conditions through a non-enzymatic reaction driven by chemical instability.

Description

YL-BASED INSULIN-LIKE GROWTH FACTORS EXHIBITING HIGH
ACTIVITY AT THE INSULIN RECEPTOR
CROSS REFERENCE TO RELATED APPLICATIONS This application claims priority to U.S. Provisional Patent Application No.
61/358,181, filed June 24, 2010, which is hereby incorporated by reference in its entirety.
INCORPORATION BY REFERENCE OF MATERIAL SUBMITTED ELECTRONICALLY Incorporated by reference in its entirety is a computer-readable
nucleotide/amino acid sequence listing submitted concurrently herewith and identified as follows: One 37 KB ACII (Text) file named "YL216453" created on June 23, 2011.
BACKGROUND
Insulin is a proven therapy for the treatment of juvenile-onset diabetes and later stage adult-onset diabetes. Unfortunately, its pharmacology is not glucose sensitive and as such it is capable of excessive action that can lead to life-threatening hypoglycemia. Inconsistent pharmacology is a hallmark of insulin therapy such that it is extremely difficult to normalize blood glucose without occurrence of
hypoglycemia. Furthermore, native insulin is of short duration of action and requires modification to render it suitable for use in control of basal glucose. One central goal in insulin therapy is designing an insulin formulation capable of providing a once a day time action. Extending the action time of an insulin dosage can be achieved by decreasing the solubility of insulin at the site of injection.
There are three proven and distinct molecular approaches to reducing solubility and they include; (1) formulation of insulin as an insoluble suspension with zinc, (2) increase in its isoelectric point to physiological pH through addition of cationic amino acids, (3) covalent modification to provide a hydrophobic ligand that reduces solubility and binds albumin. All of these approaches are limited by the inherent variability that occurs with precipitation at the site of injection, and with subsequent re- solubilization & transport to blood as an active hormone.
Prodrug chemistry offers an alternative mechanism to precisely control the onset and duration of insulin action after clearance from the site of administration and equilibration in the plasma at a highly defined concentration. The central virtue of such an approach relative to current long-acting insulin analogs and formulations is that the insulin reservoir is not the subcutaneous fatty tissue where injection occurs, but rather the blood compartment. This removes the variability in precipitation and solubilization. The use of a prodrug form of insulin also enables administration of the peptide hormone by routes other than a subcutaneous injection. To build a successful prodrug-hormone, an active site structural address is needed that can form the basis for the reversible attachment of a prodrug structural element. The structural address needs to offer two key features; (1) the potential for selective chemical modification and (2) the ability to provide full activity in the native form upon removal of the prodrug structural element.
Insulin is a two chain heterodimer that is biosynthetically derived from a low potency single chain proinsulin precursor through enzymatic processing. Human insulin is comprised of two peptide chains (an "A chain" (SEQ ID NO: 1) and "B chain" (SEQ ID NO: 2)) bound together by disulfide bonds and having a total of 51 amino acids. The native insulin structure has limited unique chemical elements at the active site residues that might be used for selective assemble of an amide linked prodrug element. Accordingly there is a need for insulin mimetics that function as insulin receptor agonists but have advantageous properties such as providing sites for attachment of prodrug elements, enhanced ease of synthesis, and co-agonist activity at receptors other than the insulin receptors.
Insulin-like growth factors (IGF's) have been isolated from various animal species and are believed to be active growth promoting molecules that mediate the anabolic effects of such hormones as growth hormone and placental lactogen. To date, several classes of IGF's have been identified. These include insulin-like growth factor-I (IGF-1; somatomedin C), insulin-like growth factor- II (IGF-2; Somatomedin A) and a mixture of peptides called "multiplication-stimulating activity." This heterologous group of peptides exhibit important growth-promoting effects in vitro (Daughaday, W. H. (1977) Clin. Endocrin. Metab. 6: 117-135.; Clemmons, D. R. and Van Wyk, J. J. (1981) J. Cell Physiol. 106: 362-367.) and in vivo (Schoenle, E. Zapf, J., Humbel, R. E. and Froesch, E. R. (1982) Nature 296: 252-253).
Human IGF-1 is a 70 aa basic peptide having the protein sequence shown in SEQ ID NO: 3, and has a 43% homology with proinsulin (Rinderknecht et al. (1978) J. Biol. Chem. 253:2769-2776). Human IGF-2 is a 67 amino acid basic peptide having the protein sequence shown in SEQ ID NO: 4. Specific binding proteins of high molecular weight having very high binding capacity for IGF-1 and IGF-2 act as carrier proteins or as modulators of IGF-1 functions (Holly et al. (1989) J. Endocrinol. 122:611-618).
Applicants have identified YL based IGF analogs (referred to herein as
IGF B16B17 derivative peptides) that display high activity at the insulin receptor. Such derivatives are more readily synthesized than insulin and enable the development of co-agonist analogs for insulin and IGF- 1 receptors, and potentially selective insulin receptor isoform specific analogs. SUMMARY
As disclosed herein the B 16 tyrosine of insulin has been identified as an amino acid of great importance to high affinity insulin agonism. Selective substitution of the native IGF residues corresponding to positions B16 and B 17 of native insulin with the tyrosine and leucine, respectively, increases potency of the resulting IGF analog at the insulin receptor by tenfold. Accordingly, the remaining differences in amino acid sequence between insulin and IGFs appear to be of minor importance to high affinity interaction of insulin-like ligands with the insulin receptor. This discovery enables the use of IGF-insulin based hybridized peptides to be used as full and super-potent insulin agonists. The newly discovered importance of B16 tyrosine in these peptides identify it as a site for selective assemble of insulin-agonist prodrugs. Additional virtues of the IGF B 16B 17 derivative peptide include, but are not limited to relative ease of synthesis, development of co-agonists for insulin and IGF- 1 receptors, and potentially selective insulin receptor isoform specific analogs.
In accordance with one embodiment a prodrug derivative of an IGF B 16B 17 derivative peptide is provided. In one embodiment such peptide comprises a modified IGF A chain and B chain, wherein the A chain comprises a sequence of Z- GIVX4ECCX8X9SCDLX14Xi5LEX18X19CX2i-Ri3 (SEQ ID NO: 19) or a sequence that differs from SEQ ID NO: 19 by 1 to 3 amino acid modifications selected from positions 5, 8, 9, 10, 12, 14, 15, 17, 18 and 21 of SEQ ID NO: 19, and said B chain sequence comprises a sequence of
J-R22-X25LCGX29X30LVX33X34LX36LVCGDX42GFX45-R14 (SEQ ID NO: 20) or a sequence that differs from SEQ ID NO: 20 by 1 to 3 amino acid modifications selected from positions 5, 6, 9, 10, 16, 17, 18, 19 and 21 of SEQ ID NO: 20;
wherein Z and J are independently hydrogen (forming an N-terminal amine) or a dipeptide comprising the general structure of Formula I:
Figure imgf000005_0001
wherein
R^ R2, R4 and R8 are independently selected from the group consisting of H, C1-C18 alkyl, C2-Ci8 alkenyl, (Ci-Ci8 alkyl)OH, (Ci-Ci8 alkyl)SH, (C2-C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4 alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (Q-C4 alkyl)(C3-C9 heteroaryl), and C C12 alkyl(W)C1-C12 alkyl, wherein W is a heteroatom selected from the group consisting of N, S and O, or Ri and R2 together with the atoms to which they are attached form a C3-Ci2 cycloalkyl or aryl; or R4 and R8 together with the atoms to which they are attached form a C3-C6 cycloalkyl;
R3 is selected from the group consisting of Ci-C18 alkyl, (Ci-C18 alkyl)OH, (Ci-C18 alkyl)NH2, (Ci-C18 alkyl)SH, (C0-C4 alkyl)(C3-C6)cycloalkyl, (C0- C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, and (C1-C4 alkyl)(C3-C9 heteroaryl) or R4 and R3 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
R5 is NHR6 or OH;
R6 is H, Ci-C8 alkyl or R6 and R2 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring; and
R7 is selected from the group consisting of H and OH;
X4 is aspartic acid or glutamic acid;
X8 is histidine or phenylalanine; X9 and X14 are independently selected from arginine or alanine;
X15 is arginine or leucine;
X18 is methionine, asparagine or threonine;
Xi9 is an amino acid of the general structure
Figure imgf000006_0001
wherein X is selected from the group consisting of OH or NHR10, wherein Rio is a dipeptide comprising the general structure of Formula I:
Figure imgf000006_0002
X21 is alanine, glycine or asparagine;
R22 is a covalent bond or 1 to six amino acids;
X25 is selected from the group consisting of histidine and threonine; X29 is selected from the group consisting of alanine, glycine and serine; X30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
X33 is selected from the group consisting of aspartic acid and glutamic acid; X34 is selected from the group consisting of alanine and threonine;
X36 is an amino acid of the general structure
Figure imgf000006_0003
wherein X12 is selected from the group consisting of OH and NHRn, wherein Rn is a dipeptide comprising the general structure of Formula I:
Figure imgf000007_0001
X42 is selected from the group consisting of alanine and arginine.;
X45 is histidine, asparagine or an amino acid of the general structure
Figure imgf000007_0002
wherein X13 is selected from the group consisting of OH and NHR12, wherein R12 is a dipeptide comprising the general structure of Formula I:
Figure imgf000007_0003
R13 and R14 are independently COOH or CONH2, with the proviso that one and only one of X, X12, X13, J and Z comprises a dipeptide of the general structure of Formula I:
Figure imgf000007_0004
, and that said IGFmom / derivative peptide does not comprise the sequence of SEQ ID NO: 1 or SEQ ID NO: 2. In one embodiment, when J or Z comprise the dipeptide of Formula I, and R4 and R3 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring, then both Ri and R2 are not hydrogen. In one embodiment the insulin analog comprises the sequence identified immediately above with the exception that X45 is histidine or asparagine. In accordance with one embodiment R22 is selected from the group consisting of the peptide AYRPSE (SEQ ID NO: 14), FGPE (SEQ ID NO: 68), the tripeptide glycine-proline-glutamic acid, the dipeptide proline- glutamic acid, glutamic acid and an N-terminal amine. In accordance with one embodiment R22 is selected from the group consisting of a tripeptide glycine -proline-glutamic acid, a dipeptide proline- glutamic acid, glutamic acid and an N-terminal amine.
In accordance with one embodiment the dipeptide present at Z, J, Rio, Rn or Ri2 comprises a compound having the general structure of Formula I:
Figure imgf000008_0001
wherein
Ri, R2> R4 and Rg are independently selected from the group consisting of H, C1-C18 alkyl, C2-Ci8 alkenyl, (Ci-Cie alkyl)OH, (Ci-Cie alkyl)SH, (C2-C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (C1-C4 alkyl)(C3-C9 heteroaryl), and Ci- C12 alkyl(Wi)Ci-Ci2 alkyl, wherein Wi is a heteroatom selected from the group consisting of N, S and O, or Ri and R2 together with the atoms to which they are attached form a C3-Ci2 cycloalkyl; or R4 and R8 together with the atoms to which they are attached form a C3-C6 cycloalkyl;
R3 is selected from the group consisting of C1-C18 alkyl, (C1-C18 alkyl)OH,
(C1-C18 alkyl)NH2> (Ci-Ci8 alkyl)SH, (C0-C4 alkyl)(C3-C6)cycloalkyl, (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-Ci0 aryl)R7, and (C1-C4 alkyl)(C3-C9 heteroaryl) or R4 and R3 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
R5 is NHR6 or OH;
R6 is H, Ci-Cs alkyl or R6 and Ri together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring; and
R7 is selected from the group consisting of hydrogen, Q-Cis alkyl, C2-Cis alkenyl, (C0-C4 alkyl)CONH2, (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH, and halo, with the proviso that when J or Z comprise the dipeptide of Formula I, and R4 and R3 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring, then both Ri and R2 are not hydrogen.
In accordance with one embodiment, X12 is OH, X45 is histidine, asparagine or tyrosine and J and Z are each H and X comprises a dipeptide of the general structure of Formula I:
Figure imgf000009_0001
derivative peptide comprises an A chain having the sequence of Z- GIVDECCFRSCDLRRLEMX19CA-R13 (SEQ ID NO: 22) and a B chain having the sequence J-R22-TLCGAELVDALX36LVCGDRGFX45FNKPT-R14 (SEQ ID NO: 23), or J-R22-X25LCGAX30LVDALYLVCGDX42GFY (SEQ ID NO: 18) wherein the designations are defined as above.
In accordance with one embodiment the dipeptide structure of Formula I further comprises a large molecule covalently bound to the dipeptide that prevents the
B16B17
IGF derivative peptide from interacting with the insulin or IGF receptor upon
B 16B 17 administration to a patient. Subsequent cleavage of the dipeptide from the IGF derivative peptide releases the peptide in a fully active form. In accordance with one embodiment the dipeptide structure of Formula I further comprises a polymer (e.g. a hydrophilic polymer), an alkyl or acylating group.
B 16B 17
In accordance with one embodiment single-chain IGF derivative peptides, and prodrug derivatives thereof, are provided. In this embodiment the carboxy terminus of an IGF analog B chain of the present disclosure, or a functional analog thereof, is covalently linked to the N-terminus of an IGF A chain, or a functional analog thereof. In one embodiment the B chain is linked to the A chain via peptide linker of 4- 12 or 4-8 amino acids.
B 16B 17
In another embodiment the solubility of the IGF derivative peptides is enhanced by the covalent linkage of a hydrophilic moiety to the peptide. In one embodiment the hydrophilic moiety is linked to the insulin analog via a linker. In one embodiment the hydrophilic moiety is linked (directly or indirectly through a linker) to either the N-terminal alpha amine of the B chain or to the side chain of an amino acid at position 27 of SEQ ID NO: 6. In one embodiment the hydrophilic moiety is a polyethylene glycol (PEG) chain, having a molecular weight selected from the range of about 500 to about 40,000 Daltons. In one embodiment the polyethylene glycol chain has a molecular weight selected from the range of about 500 to about 5,000 Daltons. In another embodiment the polyethylene glycol chain has a molecular weight of about 10,000 to about 20,000 Daltons.
Acylation or alkylation can increase the half-life of the IGF B 16B 17 derivative peptides, and prodrug derivatives thereof, in circulation. Acylation or alkylation can advantageously delay the onset of action and/or extend the duration of action at the insulin receptors. The insulin analogs may be acylated or alkylated at the same amino acid position where a hydrophilic moiety is linked, or at a different amino acid position.
In accordance with one embodiment a pharmaceutical composition is provided comprising any of the novel IGF B 16B 17 derivative peptides disclosed herein, preferably at a purity level of at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98% or 99%, and a pharmaceutically acceptable diluent, carrier or excipient. Such compositions may contain an IGF B 16B 17 derivative peptide as disclosed herein at a concentration of at least 0.5 mg/ml, 1 mg/ml, 2 mg/ml, 3 mg/ml, 4 mg/ml, 5 mg/ml, 6 mg/ml, 7 mg/ml, 8 mg/ml, 9 mg/ml, 10 mg/ml, 11 mg/ml, 12 mg/ml, 13 mg/ml, 14 mg/ml, 15 mg/ml, 16 mg/ml, 17 mg/ml, 18 mg/ml, 19 mg/ml, 20 mg/ml, 21 mg/ml, 22 mg/ml, 23 mg/ml, 24 mg/ml, 25 mg/ml or higher. In one embodiment the pharmaceutical compositions comprise aqueous solutions that are sterilized and optionally stored within various package containers. In other embodiments the pharmaceutical compositions comprise a lyophilized powder. The pharmaceutical compositions can be further packaged as part of a kit that includes a disposable device for administering the composition to a patient. The containers or kits may be labeled for storage at ambient room temperature or at refrigerated temperature.
In accordance with one embodiment an improved method of regulating blood glucose levels in insulin dependent patients is provided. The method comprises the steps of administering an IGF B 16B 17 derivative peptide of the present disclosure, or prodrug derivative thereof, in an amount therapeutically effective for the control of diabetes. In one embodiment the IGF B 16B 17 derivative peptide is pegylated with a PEG chain having a molecular weight selected from the range of about 5,000 to about 40,000 Daltons BRIEF DESCRIPTION OF THE DRAWINGS
Fig. 1. is a schematic overview of the two step synthetic strategy for preparing human insulin. Details of the procedure are provided in Example 1.
Fig. 2 is a graph comparing insulin receptor specific binding of synthetic human insulin relative to purified native insulin. As indicated by the data presented in the graph, the two molecules have similar binding activities.
Fig. 3 is a graph comparing relative insulin receptor binding of native insulin and the A19 insulin analog (Insulin(p-NH2-F)19). As indicated by the data presented in the graph, the two molecules have similar binding activities.
Fig. 4 is a graph comparing relative insulin receptor binding of native insulin and the IGFl(Y B 16 L B 17 ) analog. As indicated by the data presented in the graph, the two molecules have similar binding activities.
Fig. 5 is an alignment of the human proinsulin (SEQ ID NO: 66) and insulinlike growth factors I and II (IGF I; SEQ ID NO: 3 and IGF II; SEQ ID NO: 4) amino acid sequences. The alignment demonstrates that these three peptides share a high level of sequence identity (* indicates a space with no corresponding amino acid and a dash (-) indicates the identical amino acid as present in insulin).
Fig. 6 is a schematic drawing of the synthetic scheme used to prepare the IGFl(YB16LB17)(p-NH2-F)A19 prodrug analogs.
Fig. 7 is a graph comparing relative insulin receptor binding of
IGFl(YB16LB17)(p-NH2-F)A19 and the dipeptide extended form of IGFl(YB16LB17)(p- NH2-F)A19-AibAla, wherein the dipeptide AibAla is bound at position A19 (i.e.
IGF 1 ( YB 16LB 17 ) ( Aib Ala) .
Fig. 8A-8C provides the activity of a dimer prepared in accordance with the present disclosure. Fig 8 A shows the structure of an IGF-1 single chain dimer that comprises two single chain IGF B 16B 17 derivative peptides (IGF- IB
chain[C°H5Y16L17022]-A chain[09'14'15N18'21]; SEQ ID NO: 83) linked together by a disulfide bond between the side chains of the amino terminus of the B chains. Fig 8B is a graph demonstrating the relative insulin receptor binding of insulin, IGF-1, a single chain IGF B16B17 derivative peptide dimer and a two chain IGF B16B17 derivative peptide dimer. Fig 8C is a graph demonstrating the relative activity of insulin, IGF-1, and a two chain IGF B 16B 17 derivative peptide dimer to induce insulin receptor phosphorylation. Fig 9A-9C shows the degradation of a prodrug form of an IGF derivative peptide: (Aib-Pro on (pNH2-F)19 of IGFlA(Ala)6'7'U'20amide. The dipeptide was incubated in PBS, pH 7.4 at 37°C for predetermined lengths of time. Aliquots were taken at 20 minutes (Fig. 9A), 81 minutes (Fig 9B) and 120 minutes (Fig. 9C) after beginning the incubation, were quenched with 0.1%TFA and tested by analytical HPLC. Peak a (IGFlA(Ala)6'7'11'20(pNH2-F)1amide) and b (IGFlA(Ala)6'7'n'20(Aib- Pro-pNH-F)19amide) were identified with LC-MS and quantified by integration of peak area. The data indicate the spontaneous, non-enzymatic conversion of
IGFlA(Ala)6'7'11'20(Aib-Pro-pNH-F)19amide to IGFlA(Ala)6'7'11'20(pNH2-F)1amide over time.
Fig. 10A & 10B are graphs depicting the in vitro activity of the prodrug Aib,dPro-IGFlYL (wherein the dipeptide Aib,dPro is linked via an amide bond to the insulin analog through the A19 4-aminoPhe). Fig 10A is a graph comparing relative insulin receptor binding of native insulin (measured at 1 hour at 4°C) and the A19 IGF prodrug analog (Aib,dPro-IGFlYL) over time (0 hours, 2.5 hours and 10.6 hours) incubated in PBS. Fig 10B is a graph comparing relative insulin receptor binding of native insulin (measured at 1.5 hour at 4°C) and the A19 IGF prodrug analog
(Aib,dPro-IGFlYL) over time (0 hours, 1.5 hours and 24.8 hours) incubated in 20% plasma/PBS. As indicated by the data presented in the graph, increased activity is recovered form the A19 IGF prodrug analog sample as the prodrug form is converted to the active IGF1YL peptide.
Fig. 11 A & 1 IB are graphs depicting the in vitro activity of the prodrug dK,(N-isobutylG)-IGFlYL (wherein the dipeptide dK,(N-isobutylG) is linked via an amide bond to the insulin analog through the A19 4-aminoPhe). Fig 11A is a graph comparing relative insulin receptor binding of native insulin (measured at 1 hour at 4°C) and the A19 IGF prodrug analog (IGF1YL: dK,(N-isobutylG) over time (0 hours, 5 hours and 52 hours) incubated in PBS. Fig 1 IB is a graph comparing relative insulin receptor binding of native insulin (measured at 1.5 hour at 4°C) and the A19 IGF prodrug analog (IGF1YL: dK,(N-isobutylG) over time (0 hours, 3.6 hours and 24.8 hours) incubated in 20% plasma/PBS. As indicated by the data presented in the graph, increased activity is recovered form the A19 IGF prodrug analog sample as the prodrug form is converted to the active IGF1YL peptide. Fig. 12A & 12B are graphs depicting the in vitro activity of the prodrug dK(e- acetyl),Sar)-IGFlYL (wherein the acylated dipeptide dK(e-acetyl),Sar) is linked via an amide bond to the insulin analog through the A19 4-aminoPhe). Fig 12A is a graph comparing relative insulin receptor binding of native insulin (measured at 1 hour at 4°C) and the A19 IGF prodrug analog (IGF1YL: dK(e-acetyl),Sar) over time (0 hours, 7.2 hours and 91.6 hours) incubated in PBS. Fig 12B is a graph comparing relative insulin receptor binding of native insulin (measured at 1.5 hour at 4°C) and the A19 IGF prodrug analog (IGF1YL: dK(e-acetyl),Sar) over time (0 hours, 9 hours and 95 hours) incubated in 20% plasma/PBS. As indicated by the data presented in the graph, increased activity is recovered from the A19 IGF prodrug analog sample as the prodrug form is converted to the active IGF1YL peptide.
Fig. 13 is a graph comparing relative insulin receptor binding of native insulin heteroduplex and the IGF- 1 A and B chain heteroduplex and a single chain IGF- 1 analog wherein the carboxy terminus of the B chain is directly linked to the N- terminus of the IGF-1 A chain.
Fig. 14 is a graph comparing relative insulin receptor binding of native insulin heteroduplex, IGF-1, the IGF-1 delta heteroduplex and a single chain IGF-1 delta single chain analog wherein the carboxy terminus of the B chain is linked to the N- terminus of the IGF- 1 A chain through a peptide linker consisting of the sequence GYGSSSOR (SEQ ID NO: 85 ), wherein the IGF- 1 delta analog comprises the native IGF-1 sequence with the following amino acid substitutions: HA8, OA9, OA14, OA15, QA17, NA21, YB 16, LB17, OB22.
Fig. 15 is a bar graph depicting the relative in vitro binding activity of single chain insulin analogs at the IGF-1 receptor or the A or B subtype insulin receptors wherein the carboxy terminus of the native insulin B chain is linked to the amino terminus of the native insulin A chain via the IGF- 1 C peptide or various derivative of the IGF-1 C peptide. In the B°C1A° insulin analog nomenclature, the B° and A0 designations refer to the insulin sequences of the A and B chain, while C1 designates the IGF-1 C peptide. As shown by the data a single chain insulin analog that links the B chain to the A chain via the IGF-1 C peptide is a potent insulin agonist.
Furthermore, modifications of position 2 (e.g., substituting alanine for native tyrosine), or alternatively deleting the last four amino acids of the IGF-1 C linking peptide, generates a high potency, insulin selective single chain insulin analog. Fig. 16 is a bar graph depicting the relative in vitro binding activity of single chain insulin analogs of the formula B°C1A° at the IGF-1 receptor or the A or B subtype insulin receptors wherein the native sequence of the linking IGF-1 C peptide has been modified by the indicated amino acid substitutions at position 1, 2, 3, 4 or 8. In the B°C1A° insulin analog nomenclature, the B° and A0 designations refer to the insulin sequences of the A and B chain, while C1 designates the IGF-1 C peptide.
Fig. 17 is a bar graph depicting the relative in vitro binding activity and phosphorylation activity of single chain B°C1A° insulin analogs at the A subtype insulin receptor. The activity of the native IGF-1 C peptide (010) relative to various amino acid substitutions or deletions was compared. In the B°C1A° insulin analog nomenclature, the B° and A0 designations refer to the insulin sequences of the A and B chain, while C1 designates the IGF-1 C peptide.
Figs. 18A-18D are graphs demonstrating that insulin analogs comprising an IGF-1 A chain have enhanced resistance to degradation by the specific insulin degrading enzyme (IDE) relative to insulin analogs comprising an insulin A chain. As shown in Figs. 18A-18D both native insulin and IGF-2 A chains leads to greater susceptibility to proteolysis relative to insulin analogs having an IGF-1 a chain.
Fig. 19 is a graph demonstrating the relative activity of IGF-1, insulin and insulin/IGF chimera to induce in vitro cellular proliferation. T he results indicate that the insulin activity associated with the IGF-1 single chain insulin analogs does not correlate with the proliferation activity associated with native IGF-1.
Fig. 20A-20B show the activity of prodrug MIU-29: B1(Y16,L17,Y25)29a : A1(aF19-dLys(Ac),NLeu). Fig. 20A shows that in vitro insulin receptor binding increase with time MIU-29 is incubated ex vivo in PBS buffer at 37°C and exhibiting a half life of about 4.4 hours. Fig. 20B is a graph showing the results of a
comparative insulin tolerance test conducted in normal mice for a prodrug two chain insulin analog acylated at the dipeptide prodrug element (MIU-29:
[B1(Y16,L17,Y25)29a : A1(aF19-dLys(Ac),NLeu)] relative to its parent insulin analog (MIU-27: [B1(Y16,L17,Y25)29a : A1(aF19-NH2)]. The prodrug derivative MIU-29 comprises a 4-amino-phenylalanine substitution at position A19 wherein a dipeptide dLys(Ac),NLeu has been covalently linked at the 4-amino position of the A19 residue and the side chain of the lysine of the dipeptide element has been acylated with a C14 fatty acid. This dipeptide will auto-cleave under physiological conditions with a half life of approximately 4.4 hours. After incubating MIU-29 for 24 hours ex vivo, the resultant compound (designated "MIU-29c") was administered to mice and its ability to lower blood glucose was compared to parent compound. As shown in Fig. 13 the two compounds performed almost identically.
Figs. 21A & 21B represents the results obtained from a comparative insulin tolerance test for insulin prodrug analog MIU-30a: B1(Y16,L17,Y25)29a :
A1(dLys(Ac),Sar-aF19), (wherein the acylated dipeptide dLys(Ac),Sar is linked via an amide bond to the insulin analog through the A19 4-aminoPhe). The half life of the prodrug is estimated to be approximately 20 hours. The data shown in Fig. 21A reveals that the parent compound has low potency, but after incubation in 20% plasma for 48 hours (generating "MIU-30c") potency is increased. · = vehicle control, T = MIU 30a, 90 nm/kg; V= MIU 30c, 90 nm/kg;♦ = MIU 30a, 270 nm/kg; 0 = MIU 30c, 270 nm/kg. Similarly, Fig. 21B represents blood glucose AUC after 8 hours in C57/Blk mice indicating that the potency of the compounds increases with time incubated in vitro prior to administration.
Fig. 22 is a graph depicting the in vitro activity of the acylated insulin analog MIU 46: B^S.IO Y16,L17,Y25, K29-C14)28a : Α^ΝΙδ^Ι, aF19NH2) relative to its non-acylated counterpart (MIU-45) and to native insulin. The acylated insulin comprises a 4-amino-phenylalanine substitution at position A19 and a lysine substitution at B29, wherein the side chain of the B29 lysine has been acylated with a C14 fatty acid. The acylated analog has reduced potency relative to the parent compound.
Fig. 23 is a graph depicting the in vitro activity of the acylated prodrug MIU 42: B1(Y16,L17,Y25)29a : A1(dLys(rE-C14),Sar-aF19) (wherein an amino acid of the dipeptide prodrug element is acylated, linked at the gamma position "rE" of a glutamic acid linker ) relative to time incubated ex vivo in 30% ACN/PBS at pH 7.4 and 37°C. As shown by the data, activity is restored to parent compound MIU 42 with increased time incubated ex vivo.
Figs. 24A-24D provide data from a comparative insulin tolerance test for Detemir and acylated insulin analog MIU-46 using C57/Blk mice. The acylated derivative MIU 46: Β^Ή,ΙΟ Y16,L17,Y25, K29-C14)28a : Α^ΝΙδ^Ι, aF19NH2) comprises a lysine substitution at position 29 that has been acylated with a C14 fatty acid through a gamma glutamic acid spacer. As shown in Figs. 24A-24D acylated analog MIU-46 is not very potent relative to Detemir.
Fig. 25 is a generalized structure of one pegylated insulin prodrug embodiment wherein a 20 kDa PEG is linked to the N-terminal alpha amine of the B chain through a linker and the a chain comprises a 4-amino phenylalanine substitution at position A 19, wherein a dipeptide (AA1, AA2) is linked to the 4-amino group of 4-amino phenylalanine via an amide bond. In one embodiment the dipeptide (AA1, AA2) is Norleucine, dlysine (acylated).
Fig. 26 is a is a schematic drawing of the synthetic scheme used to prepare the generalized structure of Fig. 25. A more detailed description of the synthesis is provided in Example 15.
Figs. 27 & 28 are graphs demonstrating the in vitro activity of various prodrug compounds (having the general structure of Fig. 25) at insulin A subtype receptor (Fig 27) and B subtype receptor (Fig. 28) receptors based on a phosphorylation assay. Compounds tested were native insulin (■), B1Aoa2(H5, H10,Y16,L17)25a :
A1(pNH2-F19, N18, N21 (·, having the aminooxyacetyl (Aoa) linker but no PEG, and not dipeptide at A19), B1PEG-Aoa2(H5, H10,Y16,L17)25a : A^pNH^
F19dLys(rE-C14),Sar-aF19, N18, N21 ( A , having an N-terminal 20 kDa PEG but no dipeptide at A19), B1PEGAoa2(H5, H10,Y16,L17)25a : A1(dLys(rE-C14),pAla-aF19, N18, N21 ( , having an N-terminal 20 kDa PEG and a poorly cleavable dipeptide (dLys(rE-C14),pAla) at A19), B1PEGAoa2(H5, H10,Y16,L17)25a : A^dLysCrE- C14),Nleu-aF19, N18, N21 (♦, having an N-terminal 20 kDa PEG and a self cleaving dipeptide (dLys(rE-C14),Nleu) at A19, administered without an incubation step), and B1PEGAoa2(H5, H10,Y16,L17)25a : A1(dLys(rE-C14),Nleu-aF19, N18, N21 « having an N-terminal 20 kDa PEG and a self cleaving dipeptide (dLys(rE-C14),Nleu) at A19, administered after incubation in PBS for 78 hours). As noted in Fig. 20A & 20B the dipeptide dLys(rE-C14),Nleu will auto-cleave under physiological conditions with a half life of approximately 4.4 hours.
DETAILED DESCRIPTION DEFINITIONS
In describing and claiming the invention, the following terminology will be used in accordance with the definitions set forth below. As used herein, the term "prodrug" is defined as any compound that undergoes chemical modification before exhibiting its pharmacological effects.
As used herein the term "amino acid" encompasses any molecule containing both amino and carboxyl functional groups, wherein the amino and carboxylate groups are attached to the same carbon (the alpha carbon). The alpha carbon optionally may have one or two further organic substituents. For the purposes of the present disclosure designation of an amino acid without specifying its stereochemistry is intended to encompass either the L or D form of the amino acid, or a racemic mixture. However, in the instance where an amino acid is designated by its three letter code and includes a superscript number, the D form of the amino acid is specified by inclusion of a lower case d before the three letter code and superscript number (e.g., dLys"1), wherein the designation lacking the lower case d (e.g., Lys-1) is intended to specify the native L form of the amino acid. In this nomenclature, the inclusion of the superscript number designates the position of the amino acid in the IGF peptide sequence, wherein amino acids that are located within the IGF sequence are designated by positive superscript numbers numbered consecutively from the N- terminus. Additional amino acids linked to the IGF peptide either at the N-terminus or through a side chain are numbered starting with 0 and increasing in negative integer value as they are further removed from the IGF sequence. For example, the position of an amino acid within a dipeptide prodrug linked to the N-terminus of IGF is designated aa_1-aa°-IGF wherein aa° represents the carboxy terminal amino acid of the dipeptide and aa"1 designates the amino terminal amino acid of the dipeptide.
As used herein the term "hydroxyl acid" refers to amino acids that have been modified to replace the alpha carbon amino group with a hydroxyl group.
As used herein the term "non-coded amino acid" encompasses any amino acid that is not an L-isomer of any of the following 20 amino acids: Ala, Cys, Asp, Glu, Phe, Gly, His, He, Lys, Leu, Met, Asn, Pro, Gin, Arg, Ser, Thr, Val, Trp, Tyr.
A "dipeptide" is a compound formed by linkage of an alpha amino acid or an alpha hydroxyl acid to another amino acid, through a peptide bond.
As used herein the term "chemical cleavage" absent any further designation encompasses a non-enzymatic reaction that results in the breakage of a covalent chemical bond. A "bioactive polypeptide" refers to polypeptides which are capable of exerting a biological effect in vitro and/or in vivo.
As used herein a general reference to a peptide is intended to encompass peptides that have modified amino and carboxy termini. For example, an amino acid sequence designating the standard amino acids is intended to encompass standard amino acids at the N- and C- terminus as well as a corresponding hydroxyl acid at the N-terminus and/or a corresponding C-terminal amino acid modified to comprise an amide group in place of the terminal carboxylic acid.
As used herein an "acylated" amino acid is an amino acid comprising an acyl group which is non-native to a naturally- occurring amino acid, regardless by the means by which it is produced. Exemplary methods of producing acylated amino acids and acylated peptides are known in the art and include acylating an amino acid before inclusion in the peptide or peptide synthesis followed by chemical acylation of the peptide. In some embodiments, the acyl group causes the peptide to have one or more of (i) a prolonged half-life in circulation, (ii) a delayed onset of action, (iii) an extended duration of action, (iv) an improved resistance to proteases, such as DPP-IV, and (v) increased potency at the IGF and/or insulin peptide receptors.
As used herein, an "alkylated" amino acid is an amino acid comprising an alkyl group which is non-native to a naturally- occurring amino acid, regardless of the means by which it is produced. Exemplary methods of producing alkylated amino acids and alkylated peptides are known in the art and including alkylating an amino acid before inclusion in the peptide or peptide synthesis followed by chemical alkylation of the peptide. Without being held to any particular theory, it is believed that alkylation of peptides will achieve similar, if not the same, effects as acylation of the peptides, e.g., a prolonged half-life in circulation, a delayed onset of action, an extended duration of action, an improved resistance to proteases, such as DPP-IV, and increased potency at the IGF and/or insulin receptors.
As used herein, the term "pharmaceutically acceptable carrier" includes any of the standard pharmaceutical carriers, such as a phosphate buffered saline solution, water, emulsions such as an oil/water or water/oil emulsion, and various types of wetting agents. The term also encompasses any of the agents approved by a regulatory agency of the US Federal government or listed in the US Pharmacopeia for use in animals, including humans. As used herein the term "pharmaceutically acceptable salt" refers to salts of compounds that retain the biological activity of the parent compound, and which are not biologically or otherwise undesirable. Many of the compounds disclosed herein are capable of forming acid and/or base salts by virtue of the presence of amino and/or carboxyl groups or groups similar thereto.
Pharmaceutically acceptable base addition salts can be prepared from inorganic and organic bases. Salts derived from inorganic bases, include by way of example only, sodium, potassium, lithium, ammonium, calcium and magnesium salts. Salts derived from organic bases include, but are not limited to, salts of primary, secondary and tertiary amines.
Pharmaceutically acceptable acid addition salts may be prepared from inorganic and organic acids. Salts derived from inorganic acids include hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid, and the like. Salts derived from organic acids include acetic acid, propionic acid, glycolic acid, pyruvic acid, oxalic acid, malic acid, malonic acid, succinic acid, maleic acid, fumaric acid, tartaric acid, citric acid, benzoic acid, cinnamic acid, mandelic acid, methanesulfonic acid, ethanesulfonic acid, p-toluene-sulfonic acid, salicylic acid, and the like.
As used herein, the term "treating" includes prophylaxis of the specific disorder or condition, or alleviation of the symptoms associated with a specific disorder or condition and/or preventing or eliminating said symptoms. For example, as used herein the term "treating diabetes" will refer in general to maintaining glucose blood levels near normal levels and may include increasing or decreasing blood glucose levels depending on a given situation.
As used herein an "effective" amount or a "therapeutically effective amount" of an insulin analog refers to a nontoxic but sufficient amount of an insulin analog to provide the desired effect. For example one desired effect would be the prevention or treatment of hyperglycemia. The amount that is "effective" will vary from subject to subject, depending on the age and general condition of the individual, mode of administration, and the like. Thus, it is not always possible to specify an exact "effective amount." However, an appropriate "effective" amount in any individual case may be determined by one of ordinary skill in the art using routine
experimentation . The term, "parenteral" means not through the alimentary canal but by some other route such as intranasal, inhalation, subcutaneous, intramuscular, intraspinal, or intravenous.
As used herein the term "native insulin peptide" is intended to designate the 51 amino acid heterodimer comprising the A chain of SEQ ID NO: 1 and the B chain of SEQ ID NO: 2, as well as single-chain insulin analogs that comprise SEQ ID NOS: 1 and 2. The term "insulin peptide" as used herein, absent further descriptive language is intended to encompass the 51 amino acid heterodimer comprising the A chain of SEQ ID NO: 1 and the B chain of SEQ ID NO: 2, as well as single-chain insulin analogs thereof (including for example those disclosed in published international application W096/34882 and US Patent No. 6,630,348, the disclosures of which are incorporated herein by reference), including heterodimers and single-chain analogs that comprise modified derivatives of the native A chain and/or B chain, including modification of the amino acid at position A19, B16 or B25 to a 4-amino
phenylalanine or one or more amino acid substitutions at positions selected from A5, A8, A9, A10, A12, A14, A15, A17, A18, A21, Bl, B2, B3, B4, B5, B9, BIO, B13, B14, B17, B20, B21, B22, B23, B26, B27, B28, B29 and B30 or deletions of any or all of positions Bl-4 and B26-30.
An "IGF based insulin agonist" is a single chain or two chain insulin agonist that comprises an A chain and a B chain, wherein the B chain comprises the sequence of SEQ ID NO: 11 or an analog of that sequence that includes one or more of the following: modification of the amino acid at position B16 or B25 to a 4-amino phenylalanine or one or more amino acid substitutions at positions selected from B2, B3, B4, B5, B9, BIO, B13, B14, B20, B21, B22, B23, B26, B27, B28, B29 and B30 or deletions of any or all of positions Bl-4 and B26-30 (positions relative to the native insulin B chain sequence), provide that the analog of SEQ ID NO; 11 is not SEQ ID NO: 2, and/or at least one of positions B2, B3, B4, B9, B13 or B21 is identical to SEQ ID NO: 11.
An "A19 insulin analog" is an insulin peptide that has a substitution of 4- amino phenylalanine or 4-methoxy phenylalanine for the native tyrosine residue at position 19 of the A chain of native insulin.
As used herein an "IGF B16B17 derivative peptide" is a generic term that comprising an A chain and B chain heterodimer, as well as single-chain insulin analogs thereof, wherein the A chain comprises the peptide sequence of SEQ ID NO: 19 and the B chain comprises the sequence of SEQ ID NO: 20 as well as derivatives of those sequences wherein the derivative of the A chain and/or B chain comprise 1-3 further amino acid substitutions, with the proviso that the A chain does not comprise the sequence of SEQ ID NO: 1 and/or the B chain does not comprise the sequence of SEQ ID NO: 2.
A "YL IGF analog" is a peptide comprising an IGF A chain of SEQ ID NO: 19 and an IGF B chain of SEQ ID NO: 9.
As used herein, the term "single-chain IGF B 16B 17 derivative peptide" encompasses a group of structurally-related proteins wherein IGF B 16B 17 derivative peptide A and B chains are covalently linked.
The term "identity" as used herein relates to the similarity between two or more sequences. Identity is measured by dividing the number of identical residues by the total number of residues and multiplying the product by 100 to achieve a percentage. Thus, two copies of exactly the same sequence have 100% identity, whereas two sequences that have amino acid deletions, additions, or substitutions relative to one another have a lower degree of identity. Those skilled in the art will recognize that several computer programs, such as those that employ algorithms such as BLAST (Basic Local Alignment Search Tool, Altschul et al. (1993) J. Mol. Biol. 215:403-410) are available for determining sequence identity.
As used herein an amino acid "modification" refers to a substitution of an amino acid, or the derivation of an amino acid by the addition and/or removal of chemical groups to/from the amino acid, and includes substitution with any of the 20 amino acids commonly found in human proteins, as well as atypical or non-naturally occurring amino acids. Commercial sources of atypical amino acids include Sigma- Aldrich (Milwaukee, WI), ChemPep Inc. (Miami, FL), and Genzyme Pharmaceuticals (Cambridge, MA). Atypical amino acids may be purchased from commercial suppliers, synthesized de novo, or chemically modified or derivatized from naturally occurring amino acids.
As used herein an amino acid "substitution" refers to the replacement of one amino acid residue by a different amino acid residue. Throughout the application, all references to a particular amino acid position by letter and number (e.g. position A5) refer to the amino acid at that position of either the A chain (e.g. position A5) or the B chain (e.g. position B5) in the respective native human insulin A chain (SEQ ID NO: 1) or B chain (SEQ ID NO: 2), or the corresponding amino acid position in any analogs thereof. For example, a reference herein to "position B28" absent any further elaboration would mean the corresponding position B27 of the B chain of an insulin analog in which the first amino acid of SEQ ID NO: 2 has been deleted.
As used herein, the term "conservative amino acid substitution" is defined herein as exchanges within one of the following five groups:
I. Small aliphatic, nonpolar or slightly polar residues:
Ala, Ser, Thr, Pro, Gly;
II. Polar, negatively charged residues and their amides:
Asp, Asn, Glu, Gin;
III. Polar, positively charged residues:
His, Arg, Lys; Ornithine (Orn)
IV. Large, aliphatic, nonpolar residues:
Met, Leu, He, Val, Cys, Norleucine (Nle), homocysteine
V. Large, aromatic residues:
Phe, Tyr, Trp, acetyl phenylalanine
As used herein the general term "polyethylene glycol chain" or "PEG chain", refers to mixtures of condensation polymers of ethylene oxide and water, in a branched or straight chain, represented by the general formula H(OCH2CH2)nOH, wherein n is at least 9. Absent any further characterization, the term is intended to include polymers of ethylene glycol with an average total molecular weight selected from the range of 500 to 80,000 Daltons. "Polyethylene glycol chain" or "PEG chain" is used in combination with a numeric suffix to indicate the approximate average molecular weight thereof. For example, PEG-5,000 refers to polyethylene glycol chain having a total molecular weight average of about 5,000 Daltons.
As used herein the term "pegylated" and like terms refers to a compound that has been modified from its native state by linking a polyethylene glycol chain to the compound. A "pegylated polypeptide" is a polypeptide that has a PEG chain covalently bound to the polypeptide. As used herein a "linker" is a bond, molecule or group of molecules that binds two separate entities to one another. Linkers may provide for optimal spacing of the two entities or may further supply a labile linkage that allows the two entities to be separated from each other. Labile linkages include photocleavable groups, acid-labile moieties, base-labile moieties and enzyme-cleavable groups.
As used herein an "IGF dimer" is a complex comprising two IGF B16B17 derivative peptides (each itself comprising an A chain and a B chain) covalently bound to one another via a linker. The term IGF dimer, when used absent any qualifying language, encompasses both IGF homodimers and IGF heterodimers. An IGF homodimer comprises two identical subunits, whereas an IGF heterodimer comprises two subunits that differ, although the two subunits are substantially similar to one another.
The term "C -Cn alkyl" wherein n can be from 1 through 6, as used herein, represents a branched or linear alkyl group having from one to the specified number of carbon atoms. Typical CrC6 alkyl groups include, but are not limited to, methyl, ethyl, n-propyl, iso-propyl, butyl, iso-butyl, sec-butyl, tert-butyl, pentyl, hexyl and the like.
The terms "C2-Cn alkenyl" wherein n can be from 2 through 6, as used herein, represents an olefinically unsaturated branched or linear group having from 2 to the specified number of carbon atoms and at least one double bond. Examples of such groups include, but are not limited to, 1-propenyl, 2-propenyl (-CH2-CH=CH2), 1,3- butadienyl, (-CH=CHCH=CH2), 1-butenyl (-CH=CHCH2CH3), hexenyl, pentenyl, and the like.
The term "C2-Cn alkynyl" wherein n can be from 2 to 6, refers to an unsaturated branched or linear group having from 2 to n carbon atoms and at least one triple bond. Examples of such groups include, but are not limited to, 1-propynyl, 2- propynyl, 1-butynyl, 2-butynyl, 1-pentynyl, and the like.
As used herein the term "aryl" refers to a mono- or bicyclic carbocyclic ring system having one or two aromatic rings including, but not limited to, phenyl, naphthyl, tetrahydronaphthyl, indanyl, indenyl, and the like. The size of the aryl ring and the presence of substituents or linking groups are indicated by designating the number of carbons present. For example, the term "(Ci-C3 alkyl) (C6-C10 aryl)" refers to a 5 to 10 membered aryl that is attached to a parent moiety via a one to three membered alkyl chain.
The term "heteroaryl" as used herein refers to a mono- or bi- cyclic ring system containing one or two aromatic rings and containing at least one nitrogen, oxygen, or sulfur atom in an aromatic ring. The size of the heteroaryl ring and the presence of substituents or linking groups are indicated by designating the number of carbons present. For example, the term "(C Cn alkylXCs-Ce heteroaryl)" refers to a 5 or 6 membered heteroaryl that is attached to a parent moiety via a one to "n" membered alkyl chain.
As used herein, the term "halo" refers to one or more members of the group consisting of fluorine, chlorine, bromine, and iodine.
As used herein the term "patient" without further designation is intended to encompass any warm blooded vertebrate domesticated animal (including for example, but not limited to livestock, horses, cats, dogs and other pets) and humans.
EMBODIMENTS
As shown by the alignment of the human insulin and insulin-like growth factors I and II (IGF I and IGF II), these three peptides share a high level of sequence identity (see Fig. 5). As disclosed herein the B16 tyrosine of native insulin has been found to be an amino acid of great importance for high affinity insulin agonism.
More particularly, applicants have discovered that derivatives of IGF I and IGF II that comprise a substitution of a tyrosine leucine dipeptide for the native IGF amino acids at positions corresponding to B16 and B17 of native insulin have a tenfold increase in potency at the insulin receptor. Thus, the remaining differences in the relative amino acid sequence of insulin and IGFs appears to be of lesser importance to high affinity interaction of insulin-like ligands with the insulin receptor.
In accordance with one embodiment an IGF B16B17 derivative peptide is provided comprising an A chain of IGF I (SEQ ID NO: 5) or IGF II (SEQ ID NO: 7) and a B chain of IGF I (SEQ ID NO: 6) or IGF II (SEQ ID NO: 8), wherein the native IGF amino acids at positions corresponding to positions 16 and 17 of the native insulin B chain sequence have been replaced with tyrosine and leucine, respectively.
In addition, the IGF B16B17 derivative peptides disclosed herein may also comprise further modifications to the A chain and B chain, wherein such modifications either further enhance the activity at the insulin receptor and/or decrease activity at the IGF- 1 receptor. Additional modifications include, for example, modification of the amino acids at one or more of positions A 19, B16 or B25 (relative to the native insulin A and B chains) to a 4-amino phenylalanine or one or more amino acid substitutions at positions selected from A5, A8, A9, A10, A14, A15, A17, A18, A21, Bl, B2, B3, B4, B5, B9, BIO, B13, B 14, B20, B21, B22, B23, B26, B27, B28, B29 and B30 (relative to the native A and B chains of insulin) or deletions of any or all of positions
Bl-4 and B26-30, provided that the IGF B16B17 derivative peptide does not comprise the sequences of SEQ ID NO: 1 and SEQ ID NO: 2. In one embodiment the substitutions at positions selected from A5, A8, A9, A10, A14, A15, A17, A18, A21, Bl, B2, B3, B4, B5, B9, BIO, B13, B14, B20, B21, B22, B23, B26, B27, B28, B29 and B30 are conservative amino acid substitutions. In one embodiment the IGF B16B17 derivative peptide comprises an A chain peptide sequence of SEQ ID NO: 19 and a B chain peptide sequence of SEQ ID NO: 17 as well as derivatives of those sequences wherein the derivative of the A chain and B chain each comprise 1-3 further amino acid substitutions, with the proviso that the A chain does not comprise the sequence of SEQ ID NO: 1 and/or the B chain does not comprise the sequence of SEQ ID NO: 2.
In one embodiment the IGFB16B17 derivative peptides exhibit 70%, 80%, 90%, 95%, 100% or greater activity at the insulin receptor relative to native insulin. In one embodiment the IGF B16B17 derivative peptides retain activity at the IGF receptor, but in an alternative embodiment the IGF B16B17 derivative peptide has high activity for the insulin receptor relative to native insulin (e.g., 90%, 95%, 100% or greater activity), but substantially reduced activity (e.g., less than 20%, less than 10% or less than 5%) at the IGF I receptor relative to native IGF I.
In accordance with one embodiment, the IGF B 16B 17 derivative peptides disclosed herein are used as full and super-potent insulin agonists and thus have utility in any previously disclosed use for insulin. Additional virtues of the presently disclosed IGF B 16B 17 derivative peptides include, but are not limited to relative ease of synthesis, development of co-agonists for insulin and IGF 1 receptors, and potentially selective insulin receptor isoform specific analogs.
In accordance with one embodiment a polypeptide comprising the sequence X25LCGX29X3oLVX33X34LYLVCGDX42GFY-R14 (SEQ ID NO: 9) is provided, wherein X25 is selected from the group consisting of histidine and threonine;
X29 is selected from the group consisting of alanine, glycine and serine;
X30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
X33 is selected from the group consisting of aspartic acid and glutamic acid;
X34 is selected from the group consisting of alanine and threonine; and
X42 is selected from the group consisting of alanine and arginine.
In accordance with one embodiment this peptide is linked to a second peptide having the sequence GIVDECCXgXgSCDLXwXisLEXigYCX^-Ro (SEQ ID NO: 10) wherein
Xg is histidine or phenylalanine;
X9 and X14 are independently selected from arginine or alanine;
X15 is arginine or leucine;
X18 is methionine, asparagine or threonine;
X21 is alanine, glycine or asparagine; and
R13 and R14 are independently COOH or CONH2. In one embodiment the two peptides of SEQ ID NO: 9 and SEQ ID NO: 10 are linked to one another by intermolecular disulfide bonds to form an IGF analog heterodimer. In an alternative embodiment the N-terminus of one peptide is linked to the C-terminus of the other peptides to form a single chain IGF B16B17 derivative peptide. More particularly, in one embodiment the carboxy terminus of SEQ ID NO: 9 is linked to the N-terminus of the peptide of SEQ ID NO: 10 through a peptide bond.
The IGF B 16B 17 derivative peptides disclosed herein may comprise additional modifications relative to the native IGF sequence besides the substitution of the amino acids at position B16 and B17. For example, IGF B 16B 17 derivative peptides may comprise an IGF A chain and an IGF B chain, wherein the A chain comprises the sequence GIVDECCFRSCDLRRLEMYCA (SEQ ID NO: 5) or
GIVEECCFRSCDLALLETYCA (SEQ ID NO: 7) and the B chain comprises the sequence GPETLCGAELVDALYLVCGDRGFYFNKPT (SEQ ID NO: 11) or AYRPSETLCGGELVDTLYLVCGDRGFYFSRPA (SEQ ID NO: 12), wherein those sequences are further modified to comprise one or more additional amino acid substitutions at positions corresponding to native insulin positions (see peptide alignment shown in Fig. 5) selected from A5, A8, A9, A10, A14, A15, A17, A18, A21, Bl, B2, B3, B4, B5, B9, BIO, B13, B14, B20, B22, B23, B26, B27, B28, B29 and B30, with the proviso that the A chain does not comprise the sequence of SEQ ID NO: 1 and the B chain does not comprise the sequence of SEQ ID NO: 2. In one embodiment the amino acid substitutions are conservative amino acid substitutions. Suitable amino acid substitutions at these positions that do not adversely impact insulin's desired activities are known to those skilled in the art, as demonstrated, for example, in Mayer, et al., Insulin Structure and Function, Biopolymers.
2007;88(5):687-713, the disclosure of which is incorporated herein by reference.
Such modifications are also believed to be suitable for the IGF B16B17 derivative peptides disclosed herein. In accordance with one embodiment IGF B16B17 derivative peptides may comprise an IGF A chain and an IGF B chain, wherein the A chain comprises an amino acid sequence that shares at least 70% sequence identity (e.g., 70%, 75%, 80%, 85%, 90%, 95%) with at least one of
GIVDECCFRSCDLRRLEMYCA (SEQ ID NO: 5) or
GIVEECCFRSCDLALLETYCA (SEQ ID NO: 7) and the B chain comprises an amino acid sequence that shares at least 60% sequence identity (e.g., 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%) with at least one of the sequence
GPETLCGAELVDALYLVCGDRGFYFNKPT (SEQ ID NO: 11) or
AYRPSETLCGGELVDTLYLVCGDRGFYFSRPA (SEQ ID NO: 12). In one embodiment the IGF B16B17 derivative peptides disclosed herein comprise a C-terminal amide or ester in place of a C-terminal carboxylate on the A chain and/or B chain.
In accordance with one embodiment an IGF -B16B17 derivative peptide is provided comprising an A chain having the sequence
GrvTX4X5CCX8X9XioCX12LX14Xi5LEX18X19CX2i-Ri3 (SEQ ID NO: 82) and a B chain having the sequence R22-X25LCGX29X3oLVX33X34LYLVCGX41X42GFX45R, R48-R49-R14 (SEQ ID NO: 67), wherein
X4 is glutamic acid or aspartic acid;
X5 is glutamic acid or glutamine;
X8 is histidine, threonine or phenylalanine;
X9 is serine, ornithine, arginine or alanine;
Xio is serine or isoleucine;
X12 is serine or aspartic acid;
X14 are independently selected from tyrosine, ornithine, arginine or alanine; X15 is glutamine, ornithine, arginine, alanine or leucine;
X18 is methionine, asparagine or threonine;
Xi9 is tyrosine, or 4-amino phenylalanine;
X21 is alanine, glycine or asparagine;
X25 is histidine or threonine;
X29 is selected from the group consisting of alanine, glycine and serine;
X30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
X33 is selected from the group consisting of aspartic acid and glutamic acid; X34 is selected from the group consisting of alanine and threonine;
X41 is selected from the group consisting of glutamic acid and aspartic acid;
X42 is selected from the group consisting of alanine, ornithine and arginine;
X45 is phenylalanine, histidine, arginine or tyrosine;
R13 and R14 are independently COOH or CONH2;
R22 is selected from the group consisting of AYRPSE (SEQ ID NO: 14),
FGPE (SEQ ID NO: 68), the tripeptide glycine-proline-glutamic acid, the dipeptide proline- glutamic acid, glutamic acid and an N-terminal amine;
R47 is a phenylalanine-asparagine dipeptide, a phenylalanine-serine dipeptide or a tyrosine-threonine dipeptide;
R48 is an aspartate-lysine dipeptide, an arginine-proline dipeptide, a proline - arginine dipeptide, a lysine-proline dipeptide, or a proline-lysine dipeptide;
R49 is threonine or alanine; and R13 and R14 are independently selected from COOH and CONH2, with the proviso that the B chain is not a native insulin B chain sequence (e.g., not SEQ ID NO: 2).
B16B17
In accordance with one embodiment an IGF derivative peptide is provided comprising an A chain comprising the sequence
GrvTX4X5CCX8X9XioCX12LX14X15LEX18X19CX2i-Ri3 (SEQ ID NO: 82) and a B chain comprising the sequence R22-
X25LCGX29X3oLVX33X34LYLVCGDX42GFX45R47-R48-R49-Ri4 (SEQ ID NO: 67), wherein
X4 is glutamic acid or aspartic acid;
X5 is glutamic acid or glutamine;
X8 is histidine, threonine or phenylalanine; X9 is serine, arginine or alanine;
X10 is serine or isoleucine;
X12 is serine or aspartic acid;
X14 are independently selected from tyrosine, arginine or alanine;
X15 is glutamine, arginine, alanine or leucine;
X18 is methionine, asparagine or threonine;
Xi9 is tyrosine, or 4-amino phenylalanine;
X21 is alanine, glycine or asparagine;
X25 is histidine or threonine;
X29 is selected from the group consisting of alanine, glycine and serine; X30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
X33 is selected from the group consisting of aspartic acid and glutamic acid;
X34 is selected from the group consisting of alanine and threonine;
X42 is selected from the group consisting of ornithine and arginine;
X45 is phenylalanine or tyrosine;
R13 and R14 are independently COOH or CONH2;
R22 is selected from the group consisting of AYRPSE (SEQ ID NO: 14), the tripeptide glycine-proline- glutamic acid, the dipeptide proline- glutamic acid, glutamic acid and an N-terminal amine;
R47 is a phenylalanine-asparagine dipeptide, a phenylalanine-serine dipeptide or a tyrosine-threonine dipeptide;
R48 is an aspartate-lysine dipeptide, an arginine-proline dipeptide, a proline - arginine dipeptide, a lysine-proline dipeptide, or a proline-lysine dipeptide;
R49 is threonine or alanine; and R13 and R14 are independently selected from COOH and CONH2, with the proviso that the B chain is not a native insulin B chain sequence (e.g., not SEQ ID NO: 2).
B16B17
In accordance with one embodiment an IGF derivative peptide is provided comprising an A chain having the sequence
GrVX4ECCX8X9SCDLXi4Xi5LEXi8Xi9CX21 (SEQ ID NO: 19) and a B chain comprising the sequence X25LCGX29ELVDX34LYLVCGDX42GFY (SEQ ID NO: 65) or a derivative of SEQ ID NO: 65 modified to have 1 to 3 amino acid substitutions at positions B4, B5, B8, B9, B15, B16, B18, B21, B22 and B23 relative to SEQ ID NO: 65. In one embodiment the 1 to 3 amino acid substitutions are conservative amino acid substitutions. In one embodiment the B chain of SEQ ID NO: 65 is modified by one to two amino acid substitutions, at positions corresponding to native insulin positions, selected from the group consisting of serine at B9, histidine at B IO, glutamic acid at B 13, alanine at B 14 and asparagine at B21.
B16B17
In accordance with one embodiment an IGF derivative peptide is provided comprising an A chain comprising the sequence
GrVX4ECCX8X9SCDLX14Xi5LEX18X19CX2i-Ri3 (SEQ ID NO: 19) and a B chain comprising the sequence X25LCGX29X3oLVX33X34LYLVCGDX42GFY-Ri4 (SEQ ID NO: 9), wherein
X4 is aspartic acid or glutamic acid;
Xg is histidine or phenylalanine;
X9 and X14 are independently selected from arginine, ornithine or alanine; X15 is arginine, ornithine or leucine;
Xi8 is methionine, asparagine or threonine;
Xi9 is tyrosine, 4-methoxy-phenylalanine or 4-amino-phenylalanine;
X21 is alanine, glycine or asparagine;
X25 is histidine or threonine;
X29 is selected from the group consisting of alanine, glycine and serine;
X30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
X33 is selected from the group consisting of aspartic acid and glutamic acid;
X34 is selected from the group consisting of alanine and threonine;
X42 is selected from the group consisting of alanine ornithine and arginine; and R13 and R14 are independently COOH or CONH2. In one embodiment R13 is COOH and R14 is CONH2. In one embodiment X19 is tyrosine. In a further embodiment X19 is tyrosine, X4 is aspartic acid and X2g is alanine. In one embodiment the B chain comprises the sequence R22-X25LCGX29X3oLVX33X34LYLVCGDX42GFY-R47-R48- R49-R14 (SEQ ID NO: 9), wherein R22 is selected from the group consisting of the peptide of AYRPSE (SEQ ID NO: 14), a glycine-proline- glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine (i.e., no additional amino acid residue), R47 is a phenylalanine-asparagine dipeptide, a phenylalanine-serine dipeptide or a tyrosine-threonine dipeptide, R48 is an aspartate - lysine dipeptide, an arginine-proline dipeptide, a lysine-proline dipeptide, or a proline-lysine dipeptide, and R49 is threonine or alanine; and R13 and R14 are independently COOH or CONH2.
B16B17
In accordance with one embodiment an IGF derivative peptide is provided comprising an A chain comprising the sequence
GIVX4ECCX8X9SCDLXi4Xi5LEXi8Xi9CX21-R13 (SEQ ID NO: 19) and a B chain comprising the sequence X25LCGX29ELVDX34LYLVCGDX42GFY (SEQ ID NO: 65), wherein
X4 is aspartic acid or glutamic acid;
X8 is phenylalanine or histidine;
X9 is arginine, ornithine or alanine;
X14 is arginine or alanine;
X15 is arginine or leucine;
X18 is methionine or threonine;
Xi9 is tyrosine, 4-methoxy-phenylalanine or 4-amino-phenylalanine;
X21 is alanine, glycine or asparagine;
X25 is histidine or threonine;
X29 is selected from the group consisting of alanine and glycine;
X34 is selected from the group consisting of alanine and threonine; and X42 is selected from the group consisting of alanine ornithine and arginine; and R13 is COOH or CONH2.
B16B17
In one embodiment an IGF derivative peptide is provided comprising an A chain comprising the sequence GIVDECCX8X9SCDLRRLEMX19CX2i-Ri (SEQ ID NO: 19) and a B chain comprising the sequence
X25LCGAX30LVDALYLVCGDX42GFY (SEQ ID NO: 18), wherein
X8 is phenylalanine or histidine;
X9 is arginine, ornithine or alanine;
Xi9 is tyrosine, 4-methoxy-phenylalanine or 4-amino-phenylalanine;
X21 is alanine or asparagine;
X25 is histidine or threonine;
X3o is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid; X42 is selected from the group consisting of alanine ornithine and arginine; and R13 is COOH or CONH2. In one embodiment R13 is COOH and the carboxy terminal amino acid of the B peptide has an amide (CONH2) in place of the natural alpha carbon carboxy group. In one embodiment is tyrosine. In one embodiment the B chain comprises the sequence R22-X25LCGAX30LVDALYLVCGDX42GFY-R47-R48- R49-R14 (SEQ ID NO: 18), wherein R22 is selected from the group consisting of the peptide of AYRPSE (SEQ ID NO: 14), a glycine-proline- glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine, X30 is selected from the group consisting of aspartic acid, glutamic acid, homocysteic acid and cysteic acid; X42 is selected from the group consisting of alanine, ornithine and arginine; R47 is a phenylalanine-asparagine dipeptide, a phenylalanine- serine dipeptide or a tyrosine-threonine dipeptide, R48 is an aspartate-lysine dipeptide, an arginine-proline dipeptide, a proline- arginine dipeptide, a lysine -proline dipeptide, or a proline-lysine dipeptide, and R49 is threonine or alanine; and R14 is COOH or CONH2. In one embodiment X3o is glutamic acid and in a further embodiment X3o is glutamic acid and X42 is arginine.
B16B17
In a further embodiment the IGF derivative peptide comprises an A chain having the sequence GIVDECCX8X9SCDLXi4Xi5LEXi8Xi9CX21-R13 (SEQ ID NO: 13) and a B chain having the sequence of R22- X25LCGX29X3oLVX33X34LYLVCGDX 2GFY-R 7-R 8-R 9-R1 (SEQ ID NO: 9) wherein
X8 is histidine or phenylalanine;
X9 and X14 are independently selected from arginine, ornithine or alanine; X15 is arginine, ornithine or leucine;
X18 is methionine, asparagine or threonine;
X19 is tyrosine or 4-amino-phenylalanine;
X21 is alanine, glycine or asparagine;
X25 is histidine or threonine;
X29 is selected from the group consisting of alanine, glycine and serine;
X3o is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
X33 is selected from the group consisting of aspartic acid and glutamic acid; X 4 is selected from the group consisting of alanine and threonine; X42 is selected from the group consisting of alanine, ornithine and arginine; R13 and R14 are independently COOH or CONH2;
R22 is selected from the group consisting of AYRPSE (SEQ ID NO: 14), a glycine -proline-glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine;
R47 is a phenylalanine-asparagine dipeptide, a phenylalanine-serine dipeptide or a tyrosine-threonine dipeptide;
R4g is an aspartate-lysine dipeptide, an arginine-proline dipeptide, a lysine- proline dipeptide, or a proline-lysine dipeptide; and
R49 is threonine or alanine; and R13 and R14 are independently COOH or
CONH2.
In one embodiment an IGF B16B17 derivative peptide is provided comprising an A chain having the sequence GIVDECCX8X9SCDLXi4Xi5LEXi8YCX21-R13 (SEQ ID NO: 10) and a B chain comprising the sequence
X25LCGAX30LVDALYLVCGDX42GFYFN (SEQ ID NO: 15), wherein
Xg is phenylalanine or histidine;
X9 and X14 are independently selected from arginine or alanine;
X15 is arginine or leucine;
Xis is methionine, asparagine or threonine;
X2i is alanine, glycine or asparagine;
X25 is histidine or threonine;
X3o is glutamic acid or aspartic acid;
X42 is arginine, alanine or ornithine;
R13 and R14 are independently COOH or CONH2.
In accordance with one embodiment an IGF B16B17 derivative peptide is provided comprising an A chain having the sequence
GrVDECCX8X9SCDLRRLEMYCX2i-Ri3 (SEQ ID NO: 16) and a B chain having the sequence R22-X25LCGAX3oLVDALYLVCGDX42GFYFN-R48-R49-Ri4 (SEQ ID NO: 15), wherein
Xg is histidine or phenylalanine;
X9 is arginine or alanine;
X21 is alanine, glycine or asparagine;
X25 is histidine or threonine; X30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
X42 is selected from the group consisting of alanine and arginine;
R22 is selected from the group consisting of a glycine -proline-glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine;
R48 is an aspartate-lysine dipeptide, an arginine-proline dipeptide, a lysine- proline dipeptide, or a proline-lysine dipeptide;
R49 is threonine;
Ri3 is COOH and R14 is CONH2.
In a further embodiment, an IGF/insulin co-agonist is provided comprising an
A chain having the sequence GIVDECCX8X9SCDLRRLEMYCX2i-Ri3 (SEQ ID NO: 16) and a B chain having the sequence R22-
X25LCGAX3oLVDALYLVCGDRGFYFNKPT-Ri4 (SEQ ID NO: 17), wherein
X8 is histidine or phenylalanine;
X9 is arginine or alanine;
X21 is alanine, glycine or asparagine;
R22 is selected from the group consisting of a glycine -proline-glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine;
X25 is histidine or threonine;
X3o is selected from the group consisting of aspartic acid and glutamic acid;
Ri3 is COOH and R14 is CONH2.
In one embodiment an IGF B16B17 derivative peptide having high specificity for the insulin receptor is provided wherein the peptide comprises an A chain having the sequence GIVDECCX8X9SCDLRRLEMYCX2i-Ri3 (SEQ ID NO: 16) and a B chain comprising the sequence R22-X25LCGAX30LVDALYLVCGDX42GFY (SEQ ID NO: 18), wherein
Xg is histidine or phenylalanine;
X9 is arginine or alanine;
X21 is alanine, glycine or asparagine;
R22 is selected from the group consisting of a glycine -proline-glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine;
X25 is histidine or threonine;
X3o is selected from the group consisting of aspartic acid and glutamic acid; X42 is arginine, alanine or ornithine;
R13 is COOH and the carboxy terminal amino acid of the B chain has an amide (CONH2) in place of the native alpha carbon carboxylic acid. In one embodiment an
IGF B16B17 derivative peptide having high specificity for the insulin receptor is provided wherein the peptide comprises an A chain having the sequence
GIVDECCFRSCDLRRLEMX19CA-R13 (SEQ ID NO: 22) and a B chain having the sequence R22-TLCGAELVDALYLVCGDRGFYFNKPT-R14 (SEQ ID NO: 64), wherein
X19 is tyrosine or 4-amino-phenylalanine;
R22 is selected from the group consisting of a glycine -proline-glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine; and
R13 and R14 are independently COOH or CONH2. In one embodiment an
IGF B16B17 derivative peptide having high specificity for the insulin receptor is provided wherein the peptide comprises an A chain comprising the sequence
GIVDECCFRSCDLRRLEMYCA-R13 (SEQ ID NO: 5) and a B chain comprising the sequence GPETLCGAELVDALYLVCGDRGFYFNKPT-R14 (SEQ ID NO: 11), wherein R1 and R14 are independently COOH or CONH2. In another embodiment an
IGF B16B17 derivative peptide having high specificity for the insulin receptor is provided wherein the peptide comprises an A chain comprising the sequence
GIVDECCX8X9SCDLRRLEMXi9CA-Ri3 (SEQ ID NO: 86) and a B chain comprising the sequence GPEX25LCGAELVDALYLVCGDX42GFY-Ri4 (SEQ ID NO: 26), wherein
Xg is histidine or phenylalanine;
X9 is arginine or alanine;
X19 is tyrosine or 4-amino-phenylalanine;
X25 is histidine or threonine;
X42 is arginine, alanine or ornithine;
R13 and R14 are independently COOH or CONH2.
Prodrug and Depot Derivative of the IGF Insulin Agonist Analogs
The IGF B 16B 17 derivative peptides disclosed herein can be further modified by covalently linking a self cleaving dipeptide as a means of preparing prodrug and depot formulations. Furthermore, these derivative peptides may be part of a dimer, trimer or higher order multimer comprising at least two, three, or more peptides bound via a linker, wherein at least one or both peptides is a the IGF B16B17 derivative peptide. The dimer may be a homodimer or heterodimer, comprising peptides selected from the group consisting of native insulin, native IGF-1, native IGF- II, an insulin analog peptide and IGF B16B17 derivative peptides. In some embodiments, the linker is selected from the group consisting of a bifunctional thiol crosslinker and a bi- functional amine crosslinker. In certain embodiments, the linker is PEG, e.g., a 5 kDa PEG, 20 kDa PEG. In some embodiments, the linker is a disulfide bond.
For example, each monomer of the dimer may comprise a Cys residue (e.g., a terminal or internally positioned Cys) and the sulfur atom of each Cys residue participates in the formation of the disulfide bond. Each monomer of the dimer represents a heterodimer of an A and B chain linked to one another by disulfide bonds or prepared as single chain peptides. In some aspects of the invention, the monomers are connected via terminal amino acids (e.g., N-terminal or C-terminal), via internal amino acids, or via a terminal amino acid of at least one monomer and an internal amino acid of at least one other monomer. In specific aspects, the monomers are not connected via an N-terminal amino acid. In some aspects, the monomers of the multimer are attached together in a "tail-to-tail" orientation in which the C-terminal amino acids of each monomer are attached together. A conjugate moiety may be covalently linked to any of the IGF B 16B 17 derivative peptides described herein, including a dimer, trimer or higher order multimer.
In accordance with some embodiments the dipeptide prodrug element linked to the IGF B 16B 17 derivative peptide can be further modified to comprise a hydrophilic moiety. In some embodiments the hydrophilic moiety is a polyethylene glycol chain, which can be covalently linked to the IGF B 16B 17 derivative peptide directly or through a linker. In accordance with some embodiments a polyethylene glycol chain of 40k or higher is covalently bound to the side chain of the A or B amino acid of the dipeptide prodrug element. In another embodiment the dipeptide prodrug element is additionally or alternatively acylated or alkylated with a fatty acid or bile acid, or salt thereof, e.g. a C4 to C30 fatty acid, a C8 to C24 fatty acid, cholic acid, a C4 to C30 alkyl, a C8 to C24 alkyl, or an alkyl comprising a steroid moiety of a bile acid. The Ά' amino acid of the dipeptide prodrug element can include, for example, d-lysine covalently bound to an acyl or alkyl group through its side chain amino group, or d- cysteine covalently bound to a PEG molecule through its side chain sulfhydryl group. The dipeptide prodrug element can be directly bound to the hydrophilic moiety, acyl group, or alkyl group, or bound to the hydrophilic moiety, acyl group, or alkyl group through a spacer, as described herein. Alternatively, the dipeptide prodrug element can be linked to a depot protein such as dextran or a large PEG molecule (greater or equal to 80,000 daltons) that serves to sequester the prodrug at an injection site until cleavage of the dipeptide releases the active insulin analog.
Advantageously the prodrug formulations disclosed herein improve the therapeutic index of the underlying peptide and delay onset of action and enhance the half life of the IGF B16B17 derivative peptide. The disclosed prodrug chemistry can be chemically conjugated to active site amines to form amides that revert to the parent amine upon diketopiperazine formation and release of the prodrug element. This novel biologically friendly prodrug chemistry spontaneously degrades under physiological conditions (e.g. pH of about 7, at 37°C in an aqueous environment) and is not reliant on enzymatic degradation. The duration of the prodrug derivative is determined by the selection of the dipeptide prodrug sequence, and thus allows for flexibility in prodrug formulation. In one embodiment an auto-cleaving dipeptide element as disclosed herein is covalently linked via an amide bond to an IGF based insulin agonist.
In one embodiment a prodrug is provided having a non-enzymatic activation half time (tl/2) of between 1-100 hrs under physiological conditions. Physiological conditions as disclosed herein are intended to include a temperature of about 35 to 40 °C and a pH of about 7.0 to about 7.4 and more typically include a pH of 7.2 to 7.4 and a temperature of 36 to 38 °C in an aqueous environment. In one embodiment a dipeptide, capable of undergoing diketopiperazine formation under physiological conditions, is covalently linked through an amide linkage to the IGF B16B17 derivative peptide.
Advantageously, the rate of cleavage, and thus activation of the prodrug, depends on the structure and stereochemistry of the dipeptide pro-moiety and also on the strength of the nucleophile. The prodrugs disclosed herein will ultimately be chemically converted to structures that can be recognized by the insulin/IGF receptor, wherein the speed of this chemical conversion will determine the time of onset and duration of in vivo biological action. The prodrug chemistry disclosed in this application relies upon an intramolecular chemical reaction that is not dependent upon additional chemical additives, or enzymes. The speed of conversion is controlled by the chemical nature of the dipeptide substituent and its cleavage under physiological conditions. Since physiological pH and temperature are tightly regulated within a highly defined range, the speed of conversion from prodrug to drug will exhibit high intra and interpatient reproducibility.
As disclosed herein prodrugs are provided wherein the IGF B16B17 derivative peptides have extended half lives of at least 1 hour, and more typically greater than 20 hours but less than 100 hours, and are converted to the active form at physiological conditions through a non-enzymatic reaction driven by inherent chemical instability. In one embodiment the a non-enzymatic activation tl/2 time of the prodrug is between 1-100 hrs, and more typically between 12 and 72 hours, and in one embodiment the tl/2 is between 24-48 hrs as measured by incubating the prodrug in a phosphate buffer solution (e.g., PBS) at 37°C and pH of 7.2. In one embodiment the half life of the prodrugs is about 1, 8, 12, 20, 24, 48 or 72 hours. In one embodiment the half life of the prodrugs is about 100 hours or greater including half lives of up to about 168, 336, 504, 672 or 720 hours, and are converted to the active form at physiological conditions through a non-enzymatic reaction driven by inherent chemical instability. The half lives of the various prodrugs are calculated by using the formula t1/2 = .693/k, where 'k' is the first order rate constant for the degradation of the prodrug. In one embodiment, activation of the prodrug occurs after cleavage of an amide bond linked dipeptide, and formation of a diketopiperazine or
diketomorpholine, and the active IGF B16B17 derivative peptide.
In another embodiment, the dipeptide prodrug element is covalently bound to the IGF B16B17 derivative peptide via an amide linkage, and the dipeptide further comprises a depot polymer linked to dipeptide. In one embodiment two or more depot polymers are linked to a single dipeptide element. In one embodiment the depot polymer is linked to the side chain of one of the amino acids comprising the dipeptide prodrug element. The depot polymer is selected to be biocompatible and of sufficient size that the IGF B16B17 derivative peptide modified by covalent attachment of the dipeptide remains sequestered at an injection site and/or incapable of interacting with its corresponding receptor upon administration to a patient.
Subsequent cleavage of the dipeptide releases the IGF B16B17 derivative peptide to interact with its intended target. The depot bearing dipeptide element can be linked to the IGF B16B17 derivative peptide via an amide bond through any convenient amine group of the IGF B16B17 derivative peptide, including an N-terminal amine or an amine bearing side chain of an internal natural or synthetic amino acid of the IGF B16B17 derivative peptide.
In accordance with one embodiment the depot polymer is selected from biocompatible polymers known to those skilled in the art. The depot polymers typically have a size selected from a range of about 20,000 to 120,000 Daltons. In one embodiment the depot polymer has a size selected from a range of about 40,000 to 100,000 or about 40,000 to 80,000 Daltons. In one embodiment the depot polymer has a size of about 40,000, 50,000, 60,000, 70,000 or 80,000 Daltons. Suitable depot polymers include but are not limited to dextrans, polylactides, polyglycolides, caprolactone-based polymers, poly(caprolactone), polyanhydrides, polyamines, polyesteramides, polyorthoesters, polydioxanones, polyacetals, polyketals, polycarbonates, polyphosphoesters, polyesters, polybutylene terephthalate, polyorthocarbonates, polyphosphazenes, succinates, poly(malic acid), poly(amino acids), polyvinylpyrrolidone, polyethylene glycol, polyhydroxycellulose,
polysaccharides, chitin, chitosan, hyaluronic acid, and copolymers, terpolymers and mixtures thereof, and biodegradable polymers and their copolymers including caprolactone-based polymers, polycaprolactones and copolymers which include polybutylene terephthalate. In one embodiment the depot polymer is selected from the group consisting of polyethylene glycol, dextran, polylactic acid, polyglycolic acid and a copolymer of lactic acid and glycolic acid, and in one specific embodiment the depot polymer is polyethylene glycol. In one embodiment the depot polymer is polyethylene glycol and the combined molecular weight of depot polymer(s) linked to the dipeptide element is about 40,000 to 80,000 Daltons.
Specific dipeptides composed of natural or synthetic amino acids have been identified that facilitate intramolecular decomposition under physiological conditions to release the active IGF B 16B 17 derivative peptide. The dipeptide can be linked (via an amide bond) to an amino group present on the IGF B 16B 17 derivative peptide, or an amino group introduced into the IGF B 16B 17 derivative peptide by modification of the peptide sequence. In one embodiment the dipeptide structure is selected to resist cleavage by peptidases present in mammalian sera, including for example dipeptidyl peptidase IV (DPP-IV). Accordingly, in one embodiment the rate of cleavage of the dipeptide prodrug element from the bioactive peptide (e.g., insulin analog (Q)) is not substantially enhanced (e.g., greater than 2X) when the reaction is conducted using physiological conditions in the presence of serum proteases relative to conducting the reaction in the absence of the proteases. Thus the cleavage half-life of the dipeptide prodrug element from the IGF B16B17 derivative peptide (in PBS under physiological conditions) is not more than two, three, four or five fold the cleavage half-life of the dipeptide prodrug element from the IGF B16B17 derivative peptide in a solution comprising a DPP-IV protease. In one embodiment the solution comprising a DPP- IV protease is serum, more particularly mammalian serum, including human serum.
In accordance with one embodiment the dipeptide prodrug element comprises the structure U-O, wherein U is an amino acid or a hydroxyl acid and O is an N- alkylated amino acid. The structure of U-0 is selected, in one embodiment, wherein chemical cleavage of U-0 from the IGF B16B17 derivative peptide is at least about 90% complete within about 1 to about 720 hours in PBS under physiological conditions.
In one embodiment the chemical cleavage half-life (t1/2) of U-0 from the IGF B16B17 derivative peptide is at least about 1 hour to about 1 week in PBS under physiological conditions. In one embodiment U, O, or the amino acid of the IGF B16B17 derivative peptide to which U-0 is linked is a non-coded amino acid. In some embodiments U and/or O is an amino acid in the D stereoisomer configuration. In some exemplary embodiments, U is an amino acid in the D stereoisomer configuration and O is an amino acid in the L stereoisomer configuration. In some exemplary embodiments, U is an amino acid in the L stereoisomer configuration and O is an amino acid in the D stereoisomer configuration. In some exemplary embodiments, U is an amino acid in the D stereoisomer configuration and O is an amino acid in the D stereoisomer configuration. In one embodiment O is an N-alkylated amino acid but is not proline. In one embodiment the N-alkylated group of amino acid O is a C Cig alkyl, and in one embodiment the N-alkylated group is Ci-C6 alkyl.
In one embodiment one or more dipeptide elements are linked to the IGF B16B17 derivative peptide through an amide bond formed through one or more amino groups selected from the N-terminal amino group of the A or B chain, or the side chain amino group of an amino acid present in the IGF derivative peptide. In one embodiment the IGF B16B17 derivative peptide comprises two dipeptide elements, wherein the dipeptide elements are optionally pegylated, alkylated, acylated or linked to a depot polymer. In accordance with one embodiment the dipeptide extension is covalently linked to an IGF B 16B 17 derivative peptide through the side chain amine of a lysine residue that resides at or near the active site. In one embodiment the dipeptide extension is attached through a synthetic amino acid or a modified amino acid, wherein the synthetic amino acid or modified amino acid exhibits a functional group suitable for covalent attachment of the dipeptide extension (e.g., the aromatic amine of amino-phenylalanine). In accordance with one embodiment one or more dipeptide elements are linked to the IGF B 16B 17 derivative peptide at an amino group selected from the N-terminal amino group of the A or B chain, or the side chain amino group of an aromatic amine of a 4-amino-phenylalanine residue present at a position corresponding to position A 19, B16 or B25 of native insulin.
The dipeptide prodrug element is designed to spontaneously cleave its amide linkage to the insulin analog under physiological conditions and in the absence of enzymatic activity. In one embodiment the N-terminal amino acid of the dipeptide extension comprises a C-alkylated amino acid (e.g. amino isobutyric acid). In one embodiment the C-terminal amino acid of the dipeptide comprises an N-alkylated amino acid (e.g., proline or N-methyl glycine). In one embodiment the dipeptide comprises the sequence of an N-terminal C-alkylated amino acid followed by an N- alkylated amino acid.
Applicants have discovered that the selective insertion of a 4-amino phenylalanine amino acid moiety for the native tyrosine at position 19 of the A chain can be accommodated without loss in potency of the insulin peptide (see Fig. 3). Subsequent chemical amidation of this active site amino group with the dipeptide prodrug moiety disclosed herein dramatically lessens insulin receptor binding activity and thus provides a suitable prodrug of insulin (see Fig. 6, data provided for the IGF1Y16L17 (p-NH2-F)A19 analog which has been demonstrated to have comparable activity as insulin (p-NH2-F)A19, see Fig. 4). Applicants have discovered that a similar modification can be made to the IGF B 16B 17 derivative peptides to provide a suitable attachment site for prodrug chemistry. Accordingly, in one embodiment the dipeptide prodrug element is linked to the aromatic ring of an A19 4-aminophenylalanine of an IGF derivative peptide via an amide bond, wherein the C-terminal amino acid of the dipeptide comprises an N-alkylated amino acid and the N-terminal amino acid of the dipeptide is any amino acid.
The dipeptide prodrug moiety can also be attached to additional sites of an IGF B16B17 derivative peptide to prepare IGF B16B17 derivative peptide prodrug analogs.
In accordance with one embodiment an IGF B 16B 17 derivative peptide prodrug analog is provided comprising an IGF B 16B 17 derivative peptide A and B with a dipeptide prodrug element linked via an amide bond to the N-terminal amino group of the A chain or B chain, or the side chain amino group of an aromatic amine of a 4-amino- phenylalanine residue present at a position corresponding to A19, B16 or B25 of native insulin. In one embodiment the dipeptide comprises an N-terminal C-alkylated amino acid followed by an N-alkylated amino acid. The A chain and B chain comprising the IGF B 16B 17 derivative peptide prodrug analog may comprise the sequence of SEQ ID NO: 5 and SEQ ID NO: 11, respectively, or may comprise a derivative of SEQ ID NO: 5 and/or SEQ ID NO: 11 wherein the derivatives include substitution of the amino acid at position A 19, B16 or B25 with a 4-amino
phenylalanine and/or one or more amino acid substitutions at positions corresponding to positions A5, A8, A9, A10, A14, A15, A17, A18, A19 and A21, Bl, B2, B3, B4, B5, B9, BIO, B13, B14, B20, B22, B23, B26, B27, B28, B29 and B30 of native insulin, or deletions of any or all of corresponding positions Bl-4 and B26-30, relative to native insulin. In one embodiment the dipeptide is linked to an N-terminal amino group of the A or B chain, wherein the C-terminal amino acid of the dipeptide comprises an N-alkylated amino acid and the N-terminal amino acid of the dipeptide is any amino acid, with the proviso that when the C-terminal amino acid of the dipeptide is proline, the N-terminal amino acid of the dipeptide comprises a C- alkylated amino acid.
In one embodiment the dipeptide prodrug element comprises the general structure of Formula I:
Figure imgf000042_0001
wherein R2j R4 and R8 are independently selected from the group consisting of H, C1-C18 alkyl, C2-Ci8 alkenyl, (Ci-Ci8 alkyl)OH, (Ci-Ci8 alkyl)SH, (C2-C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (Q-C4 alkyl)(C3-C9 heteroaryl), and C C12 alkyl(W)C1-C12 alkyl, wherein W is a heteroatom selected from the group consisting of N, S and O, or Ri and R2 together with the atoms to which they are attached form a C3-C12 cycloalkyl or aryl; or R4 and Rg together with the atoms to which they are attached form a C3-C6 cycloalkyl;
R3 is selected from the group consisting of Ci-Cig alkyl, (Ci-Cig alkyl)OH,
(C1-C18 alkyl)NH2, (Ci-Cig alkyl)SH, (C0-C4 alkyl)(C3-C6)cycloalkyl, (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, and (C1-C4 alkyl)(C3-C9 heteroaryl) or R4 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
R5 is NHR6 or OH;
R6 is H, Q-Cg alkyl or R6 and R2 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring; and
R7 is selected from the group consisting of H and OH. In one embodiment when the prodrug element is linked to the N-terminal amine of the IGF B16B17 derivative peptide and R4 and R3 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring, then at least one of Ri and R2 are other than H.
In one embodiment the prodrug element of Formula I is provided wherein Ri is selected from the group consisting of H and Ci-Cg alkyl; and
R2, R8 and R4 are independently selected from the group consisting of
H, Ci-Cg alkyl, C2-C8 alkenyl, (C1-C4 alkyl)OH, (C1-C4 alkyl)SH, (C2-C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +) NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C6-C10 aryl)R7, and CH2(C5-C9 heteroaryl), or Ri and R2 together with the atoms to which they are attached form a C3-Cg cycloalkyl ring;
R3 is selected from the group consisting of Ci-Cg alkyl, (Ci-C4 alkyl)OH, (C1-C4 alkyl)SH, (C1-C4 alkyl)NH2, (C3-C6)cycloalkyl or R4 and R3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
R5 is NHR6 or OH;
R6 is H, or R6 and R2 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring; and
R7 is selected from the group consisting of H and OH and R8 is H. In one embodiment R3 is Ci-C8 alkyl and R4 is selected from the group consisting of H, Ci-Ce alkyl, CH2OH, (C0-C4 alkyl)(C6-C10 aryl)R7, and CH2(C5-C9 heteroaryl) or R4 and R3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring. In a further embodiment R5 is NHR6 and R8 is H.
In accordance with one embodiment the dipeptide element comprises a compound having the general structure of Formula I:
Figure imgf000044_0001
wherein
R^ R2> R4 and R8 are independently selected from the group consisting of H,
C1-C18 alkyl, C2-C18 alkenyl, (Ci-Cie alkyl)OH, (Ci-Cie alkyl)SH, (C2-C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (CrC4 alkyl)(C3-C9 heteroaryl), and Cr C12 alkylC Ci-Cn alkyl, wherein Wi is a heteroatom selected from the group consisting of N, S and O, or Ri and R2 together with the atoms to which they are attached form a C3-C12 cycloalkyl; or R4 and R8 together with the atoms to which they are attached form a C3-C6 cycloalkyl;
selected from the group consisting of Ci-C18 alkyl, (Ci-C18 alkyl)OH,
(Ci-Cie alkyl)NH2, (CrC18 alkyl)SH, (C0-C4 alkyl)(C3-C6)cycloalkyl, (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-Ci0 aryl)R7, and (C1-C4 alkyl)(C3-C9 heteroaryl) or R4 and R together with the atoms to which they are attached form 5 or 6 member heterocyclic ring;
NHR6 or OH; R6 is H, Q-Cg alkyl or R6 and Ri together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring; and
R7 is selected from the group consisting of hydrogen, Q-Cig alkyl, C2-Ci8 alkenyl, (C0-C4 alkyl)CONH2, (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH, and halo. Those skilled in the art appreciate that when Wi is N, under physiological conditions the nitrogen atom is also linked to H.
In another embodiment the dipeptide prodrug element comprises the general structure:
Figure imgf000045_0001
wherein
Ri and R8 are independently H or Ci-Cg alkyl;
R2 and R4 are independently selected from the group consisting of H, Ci-Cg alkyl, C2-C8 alkenyl, (Ci-C4 alkyl)OH, (Ci-C4 alkyl)SH, (C2-C3 alkyl)SCH3, (Ci-C4 alkyl)CONH2, (Ci-C4 alkyl)COOH, (Ci-C4 alkyl)NH2, (Ci-C4 alkyl)NHC(NH2+) NH2, (Co-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-Cio aryl)R7, and CH2(C3-C9 heteroaryl), or Ri and R2 together with the atoms to which they are attached form a C3-Ci2 cycloalkyl;
R is selected from the group consisting of Ci-Cg alkyl, (C1-C4 alkyl)OH, (C - C4 alkyl)NH2> (Ci-C4 alkyl)SH, (C3-C6)cyclo alkyl or R4 and R3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
R5 is NHR6 or OH;
R6 is H, Ci-Cg alkyl, or R6 and R2 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring; and
R7 is selected from the group consisting of hydrogen, Ci-Cig alkyl, C2-Cig alkenyl, (C0-C4 alkyl)CONH2, (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH and halo, provided that when R4 and R3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring, both Ri and R2 are not H. In one embodiment either the first amino acid and/or the second amino acid of the dipeptide prodrug element is an amino acid in the D stereoisomer configuration. In a further embodiment the prodrug element of Formula I is provided wherein Ri is selected from the group consisting of H and Ci-Cg alkyl; and R2 and R4 are independently selected from the group consisting of H, C Cg alkyl, C2-C8 alkenyl, (C1-C4 alkyl)OH, (C1-C4 alkyl)SH, (C2-C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +) NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C6-Ci0 aryl)R7, and CH2(C5-C9 heteroaryl), or Ri and R2 together with the atoms to which they are attached form a C3-Cg cycloalkyl ring;
R is selected from the group consisting of Ci-Cg alkyl, (C1-C4 alkyl)OH, (C C4 alkyl)SH, (C C4 alkyl)NH2, (C3-C6)cycloalkyl or R4 and R3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
R5 is NHR6 or OH;
R6 is H, or R6 and R2 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
R7 is selected from the group consisting of hydrogen, Q-Cig alkyl, C2- Ci8 alkenyl, (C0-C4 alkyl)CONH2> (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH and halo, and R8 is H, provided that when the dipeptide element is linked to an N terminal amine and R4 and R3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring, both Ri and R2 are not H. In one
embodiment either the first amino acid and/or the second amino acid of the dipeptide prodrug element is an amino acid in the D stereoisomer configuration.
In other embodiments the dipeptide prodrug element has the structure of Formula I, wherein
Ri and R8 are independently H or Ci-Cg alkyl;
R2 and R4 are independently selected from the group consisting of H, Ci-Cg alkyl, C2-C8 alkenyl, (C1-C4 alkyl)OH, (C1-C4 alkyl)SH, (C2-C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4 alkyl)NHC(NH2+) NH2, (Co-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-Cio aryl)R7, and CH2(C3-C9 heteroaryl), or Ri and R2 together with the atoms to which they are attached form a C3-Ci2 cycloalkyl;
R3 is C1-C18 alkyl;
R5 is NHR6; R6 is H or Ci-Cg alkyl; and
R7 is selected from the group consisting of hydrogen, Q-Cig alkyl, C2-Cig alkenyl, (C0-C4 alkyl)CONH2, (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH, and halo.
In a further embodiment the dipeptide prodrug element has the structure of
Formula I, wherein
Ri and R2 are independently Ci-Cig alkyl or (C0-C4 alkyl)(C6-Cio aryl)R7; or Ri and R2 are linked through -(CH2)P, wherein p is 2-9;
R3 is C1-C18 alkyl;
R4 and R8 are each hydrogen;
R5 is NH2; and
R7 is selected from the group consisting of hydrogen, Q-Cig alkyl, C2-Cig alkenyl, (Co-C4 alkyl)CONH2> (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH, and halo.
In a further embodiment the dipeptide prodrug element has the structure of
Formula I, wherein
Ri and R2 are independently selected from the group consisting of hydrogen, C1-C18 alkyl, (C1-C18 alkyl)OH, (C1-C4 alkyl)NH2, and (C0-C4 alkyl)(C6-Ci0 aryl)R7, or Ri and R2 are linked through (CH2)P, wherein p is 2-9;
R3 is Ci-Ci8 alkyl or R3 and R4 together with the atoms to which they are attached form a 4-12 heterocyclic ring;
R4 and R8 are independently selected from the group consisting of hydrogen, Ci-Ce alkyl and (C0-C4 alkyl)(C6-C10 aryl)R7;
R5 is NH2; and
R7 is selected from the group consisting of H, Ci-Cig alkyl, C2-Cig alkenyl,
(Co-C4 alkyl)CONH2> (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH, and halo, with the proviso that both Ri and R2 are not hydrogen and provided that at least one of R4 or Rg is hydrogen.
In another embodiment the dipeptide prodrug element has the structure of Formula I, wherein
Ri and R2 are independently selected from the group consisting of hydrogen, Ci-Cg alkyl and (Ci-C4 alkyl)NH2, or Ri and R2 are linked through (CH2)P, wherein p is 2-9; R3 is Ci-Cg alkyl or R3 and R4 together with the atoms to which they are attached form a 4-6 heterocyclic ring;
R4 is selected from the group consisting of hydrogen and Ci-Cg alkyl;
Rg is hydrogen; and
R5 is NH2, with the proviso that both Ri and R2 are not hydrogen.
In a further embodiment the dipeptide prodrug element has the structure of Formula I, wherein
Ri and R2 are independently selected from the group consisting of hydrogen, Ci-Cg alkyl and (C1-C4 alkyl)NH2;
R3 is Ci-C6 alkyl;
R4 and Rg are each hydrogen; and
R5 is NH2, with the proviso that both Ri and R2 are not hydrogen.
In another embodiment the dipeptide prodrug element has the structure of Formula I, wherein
Ri and R2 are independently selected from the group consisting of hydrogen and Ci-Cg alkyl, (Ci-C4 alkyl)NH2, or Ri and R2 are linked through (CH2)P, wherein p is 2-9;
R3 is Ci-Cg alkyl;
R4 is (Co-C4 alkyl)(C6-Cio aryl)R7;
R5 is NH2;
R7 is selected from the group consisting of hydrogen, Q-Cg alkyl and (Co-C4 alkyl)OH; and
Rg is hydrogen, with the proviso that both Ri and R2 are not hydrogen.
In another embodiment the dipeptide prodrug element has the structure of Formula I, wherein
Ri is selected from the group consisting of hydrogen, Q-Cg alkyl and (Co-C4 alkyl)(C6-Cio aryl)R7;
R2 is hydrogen;
R3 is C1-C18 alkyl;
R4 and Rg are each hydrogen;
R5 is NHR6 or OH;
R6 is H, Ci-Cg alkyl, or R6 and Ri together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring; and R7 is selected from the group consisting of hydrogen, Q-Cig alkyl, C2-Ci8 alkenyl, (C0-C4 alkyl)CONH2> (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH, and halo, with the proviso that, if R is alkyl or (C0-C4 alkylXCe-Cio aryl)R7, then R and R6 together with the atoms to which they are attached form a 4- 11 heterocyclic ring. In one embodiment an insulin-like growth factor analog is provided comprising an A chain and a B chain wherein said A chain comprises a sequence of
Z-GIVX4ECCX8X9SCDLX14X15LEX18X19CX21-R13 (SEQ ID NO: 19) or a sequence that differs from SEQ ID NO: 19 by 1 to 3 amino acid modifications selected from positions 5, 8, 9, 10, 14, 15, 17, 18 and 21 of SEQ ID NO: 19, and said B chain sequence comprises a sequence of
J-R22-X25LCGX29X3oLVX33X34LX36LVCGDX42GFX45 (SEQ ID NO: 20) or a sequence that differs from SEQ ID NO: 20 by 1 to 3 amino acid modifications selected from positions 5, 6, 9, 10, 16, 18, 19 and 21 of SEQ ID NO: 20;
wherein Z and J are independently H or a dipeptide element comprising the general structure of U-O, wherein U is an amino acid or a hydroxyl acid and O is an N-alkylated amino acid linked through an amide bond;
X4 is aspartic acid or glutamic acid;
Xg is histidine or phenylalanine;
X9 and X14 are independently selected from arginine, ornithine or alanine;
X15 is arginine, ornithine or leucine;
X18 is methionine, asparagine or threonine;
Xi9 is an amino acid of the general structure:
Figure imgf000049_0001
wherein X is selected from the group consisting of OH or NHRio, wherein R10 is H or a dipeptide element comprising the general structure U-O, wherein U is an amino acid or a hydroxyl acid and O is an N-alkylated amino acid; X21 is alanine, glycine or asparagine;
R22 is selected from the group consisting of a covalent bond, AYRPSE (SEQ ID NO: 14), a glycine-proline- glutamic acid tripeptide , a proline- glutamic acid dipeptide and glutamic acid;
X25 is selected from the group consisting of histidine and threonine;
X29 is selected from the group consisting of alanine, glycine and serine;
X30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
X33 is selected from the group consisting of aspartic acid and glutamic acid;
X34 is selected from the group consisting of alanine and threonine;
X36 is an amino acid of the general structure
Figure imgf000050_0001
wherein X12 is selected from the group consisting of OH and NHRn, wherein Rn is a dipeptide element comprising the general structure U-O;
X42 is selected from the group consisting of alanine and arginine.;
X45 is an amino acid of the general structure
Figure imgf000050_0002
wherein X13 is selected from the group consisting of OH and NHR12, wherein R12 is a dipeptide element comprising the general structure U-O; and
Ri3 is COOH or CONH2, with the proviso that one and only one of X, X12, X13, J and Z comprises U-O. In one embodiment J and Z are each H, X12 and X13 are each OH, and X is NH-U-O. In one embodiment U and O are selected to inhibit enzymatic cleavage of the U-0 dipeptide from an insulin peptide by enzymes found in mammalian serum. In one embodiment U and/or O are selected such that the cleavage half-life of U-0 from the insulin peptide, in PBS under physiological conditions, is not more than two fold the cleavage half-life of U-0 from the insulin peptide in a solution comprising a DPP-IV protease (i.e., cleavage of U-0 from the insulin prodrug does not occur at a rate more than 2x faster in the presence of DPP-IV protease and physiological conditions relative to identical conditions in the absence of the enzyme). In one embodiment U, O, or the amino acid of the insulin peptide to which U-0 is linked is a non-coded amino acid. In one embodiment U and/or O is an amino acid in the D stereoisomer configuration. In some exemplary embodiments, U is an amino acid in the D stereoisomer configuration and O is an amino acid in the L stereoisomer configuration. In some exemplary embodiments, U is an amino acid in the L stereoisomer configuration and O is an amino acid in the D stereoisomer configuration. In some exemplary embodiments, U is an amino acid in the D stereoisomer configuration and O is an amino acid in the D stereoisomer
configuration. In one embodiment U-0 is a dipeptide comprising the structure of Formula I as defined herein. In one embodiment O is an N-alkylated amino acid but is not proline.
In accordance with one embodiment a prodrug form of IGF B16B17 derivative peptide is provided comprising an A chain comprising the sequence
GrVX4ECCX8X9SCDLRRLEMXi9CX2i-Ri3 (SEQ ID NO: 87) and a B chain comprising the sequence X25LCGAX3oLVDALYLVCGDX42GFY (SEQ ID NO: 18), wherein
X4 is aspartic acid or glutamic acid;
X8 is phenylalanine or histidine;
X9 is arginine, ornithine or alanine;
Xi9 is an amino acid of the general structure O
HN CH C -
Figure imgf000052_0001
wherein U is an amino acid or a hydroxyl acid and O is an N-alkylated amino acid linked through an amide bond;
X21 is alanine or asparagine;
X25 is histidine or threonine;X30 is selected from the group consisting of aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
X42 is selected from the group consisting of alanine ornithine and arginine; and R13 is COOH or CONH2. In one embodiment R1 is COOH and the carboxy terminal amino acid of the B chain has an amide (CONH2) in place of the natural alpha carbon carboxy group. In one embodiment X4 is aspartic acid. In one embodiment the B chain comprises the sequence R22-X25LCGAX30LVDALYLVCGDX42GFY-R47-R48- R49-R14 (SEQ ID NO: 18), wherein
X25 is histidine or threonine;
X3o is glutamic acid;
X42 is selected from the group consisting of alanine ornithine and arginine;
R22 is selected from the group consisting of the peptide of AYRPSE (SEQ ID NO: 14), PGPE (SEQ ID NO: 68), a glycine-proline- glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine, R47 is a
phenylalanine-asparagine dipeptide, a phenylalanine-serine dipeptide or a tyrosine- threonine dipeptide, R48 is an aspartate-lysine dipeptide, an arginine-proline dipeptide, a proline-arginine dipeptide, a lysine-proline dipeptide, or a proline-lysine dipeptide, and R49 is threonine or alanine; and R1 and R14 are independently COOH or CONH2.
In accordance with one embodiment a prodrug form of an IGF B 16B 17 derivative peptide is provided comprising an A chain and a B chain wherein the A chain comprises a sequence of Z-GIVX4ECCX8X9SCDLXi4Xi5LEXi8Xi9CX21-R13 (SEQ ID NO: 19) or a sequence that differs from SEQ ID NO: 19 by 1 to 3 amino acid modifications selected from positions 5, 8, 9, 10, 12, 14, 15, 17, 18 and 21 of SEQ ID NO: 19, and the B chain sequence comprises a sequence of J-R22- X25LCGX29X30LVX33X34LX36LVCGDX42GFX45 (SEQ ID NO: 20) or a sequence that differs from SEQ ID NO: 20 by 1 to 3 amino acid modifications selected from positions 1, 2, 5, 6, 12, 13, 14, 15, 17, 18, 19, 20, and 21 of SEQ ID NO: 20
(corresponding to B5, B6, B9, B10, B16, B17, B18, B 19, B21, B22, B23, B24 and B25 of native insulin);
wherein Z and J are independently H or a dipeptide comprising the general structure of Formula I:
Figure imgf000053_0001
wherein
R2, R4 and R8 are independently selected from the group consisting of H, C1-C18 alkyl, C2-C18 alkenyl, (Ci-Cie alkyl)OH, (Ci-Cie alkyl)SH, (C2-C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4 alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (Q-C4 alkyl)(C3-C9 heteroaryl), and C C12 alkyl(W)C1-C12 alkyl, wherein W is a heteroatom selected from the group consisting of N, S and O, or Ri and R2 together with the atoms to which they are attached form a C3-Ci2 cycloalkyl or aryl; or R4 and R8 together with the atoms to which they are attached form a C3-C6 cycloalkyl;
R3 is selected from the group consisting of Ci-C18 alkyl, (Ci-C18 alkyl)OH, (Ci-C18 alkyl)NH2, (Ci-C18 alkyl)SH, (C0-C4 alkyl)(C3-C6)cycloalkyl, (C0- C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-Ci0 aryl)R7, and (C1-C4 alkyl)(C3-C9 heteroaryl) or R4 and R3 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
R5 is NHR6 or OH;
R6 is H, Ci-C8 alkyl or R6 and R2 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring; and
R7 is selected from the group consisting of H and OH;
X4 is aspartic acid or glutamic acid; X8 is histidine or phenylalanine;
X9 and X14 are independently selected from arginine, ornithine or alanine; X15 is arginine, ornithine, alanine or leucine;
X18 is methionine, asparagine or threonine;
X19 is an amino acid of the general structure
Figure imgf000054_0001
wherein X is selected from the group consisting of OH or NHRio, wherein Rio is a dipeptide comprising the general structure of Formula I:
Figure imgf000054_0002
X21 is alanine, glycine or asparagine;
X25 is selected from the group consisting of histidine and threonine;
X29 is selected from the group consisting of alanine, glycine and serine;
X30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
X33 and X4i are independently selected from the group consisting of aspartic acid and glutamic acid;
X34 is selected from the group consisting of alanine and threonine;
X36 is an amino acid of the general structure
Figure imgf000055_0001
wherein X12 is selected from the group consisting of OH and NHRn, wherein Rn is a dipeptide comprising the general structure of Formula I:
Figure imgf000055_0002
X42 is arginine, ornithine or alanine;
X45 is an amino acid of the general structure
Figure imgf000055_0003
wherein X13 is selected from the group consisting of OH and NHR12, wherein R12 is a dipeptide comprising the general structure of Formula I:
Figure imgf000055_0004
R22 is a covalent bond or one to four amino acids;
Ri3 is COOH or CONH2; and
m is an integer selected from 0-3, with the proviso that one and only one of X, X12, Xi3, J and Z comprises a dipeptide of the general structure of Formula I:
Figure imgf000056_0001
. In one embodiment when J or Z comprise the dipeptide of Formula I, and R4 and R3 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring, then both Ri and R2 are not hydrogen. In one embodiment R13 is COOH and the carboxy terminal amino acid of the B peptide has an amide (CONH2) in place of the natural alpha carbon carboxy group. In one embodiment R22 is selected from the group consisting of a bond, the tripeptide glycine-proline- glutamic acid, the dipeptide proline- glutamic acid, and glutamic acid. In one embodiment m is 1. In one embodiment, m is 1 and the B chain comprises the sequence J-R22-X25LCGX29X oLVX33X34LX36LVCGDX42GFX45-R47- R48-R49-Ri4 (SEQ ID NO: 20), wherein
X25 is histidine or threonine;
X29 is alanine or glycine;
X3o is selected from the group consisting of aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
X33 is selected from the group consisting of aspartic acid and glutamic acid;
X 4 is selected from the group consisting of alanine and threonine;
X36 is selected from the group consisting of phenylalanine and 4-amino- phenylalanine;
X42 is selected from the group consisting of alanine, ornithine and arginine; X45 is selected from the group consisting of phenylalanine and 4-amino- phenylalanine;
Ri3 is COOH and R14 is CONH2;
R22 is selected from the group consisting of a covalent bond, AYRPSE (SEQ ID NO: 14), a glycine-proline- glutamic acid tripeptide, a proline- glutamic acid dipeptide, and glutamic acid; R47 is a phenylalanine-asparagine dipeptide, a phenylalanine-serine dipeptide or a tyrosine-threonine dipeptide;
R48 is an aspartate-lysine dipeptide, an arginine-proline dipeptide, a lysine- proline dipeptide, or a proline-lysine dipeptide;
R49 is threonine or alanine and R14 is COOH or CONH2. In a further embodiment, X, X12 and X13 are each OH, R13 is COOH and R14 is CONH2 further provided that when R4 and R3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring, then at least one of Ri and R2 are other than H.
In one embodiment an insulin-like growth factor analog is provided comprising an A chain and a B chain wherein said A chain comprises a sequence of GIVX4ECCX8X9SCDLXi4Xi5LEXi8Xi9CX21-R13 (SEQ ID NO: 19) or a sequence that differs from SEQ ID NO: 19 by 1 to 3 amino acid modifications selected from positions 5, 8, 9, 10, 14, 15, 17, 18 and 21 of SEQ ID NO: 19, and said B chain sequence comprises a sequence of
R22-X25LCGX29X3oLVX33X34LX36LVCGDX42GFX45 (SEQ ID NO: 20) or a sequence that differs from SEQ ID NO: 20 by 1 to 3 amino acid modifications selected from positions 5, 6, 9, 10, 16, 18, 19 and 21 of SEQ ID NO: 20;
wherein
X4 is aspartic acid or glutamic acid;
X8 is histidine or phenylalanine;
X9 and X14 are independently selected from arginine, ornithine or alanine; X15 is arginine, ornithine or leucine;
X18 is methionine, asparagine or threonine;
X19 is an amino acid of the general structure:
Figure imgf000057_0001
wherein X is selected from the group consisting of OH or NHRio, wherein R^ is a dipeptide element comprising the general structure U-O, wherein U is an amino acid or a hydroxyl acid and O is an N-alkylated amino acid;
X21 is alanine, glycine or asparagine;
R22 is selected from the group consisting of a covalent bond, AYRPSE (SEQ ID NO: 14), a glycine-proline- glutamic acid tripeptide, a proline- glutamic acid dipeptide and glutamic acid;
X25 is selected from the group consisting of histidine and threonine; X29 is selected from the group consisting of alanine, glycine and serine;
X30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
X33 is selected from the group consisting of aspartic acid and glutamic acid; X34 is selected from the group consisting of alanine and threonine;
X36 is tyrosine;
X42 is selected from the group consisting of alanine and arginine.;
X45 is tyrosine, histidine, asparagine or phenylalanine; further wherein the B chain comprises a carboxy terminal extension of 1 to 4 amino acids wherein said carboxy terminal extension comprises an amino acid having the structure of
-ς-ΗΝ
Figure imgf000058_0001
wherein m is an integer from 0-3;
n is an integer from 1-4;
R12 is a dipeptide comprising the general structure U-O; and R 3 is COOH or CONH2. In one embodiment U-0 comprises the general structure of:
Figure imgf000058_0002
wherein R is selected from the group consisting of H and Ci-Cg alkyl; and
R2 and R4 are independently selected from the group consisting of H, Ci-Ce alkyl, C2-C8 alkenyl, (C1-C4 alkyl)OH, (C1-C4 alkyl)SH, (C2-C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +) NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C6-C10 aryl)R7, and CH2(C5-C9 heteroaryl); R3 is selected from the group consisting of Ci-C8 alkyl, (Ci-C4 alkyl)OH, (C1-C4 alkyl)SH, (C1-C4 alkyl)NH2, (C3-C6)cycloalkyl or R4 and R3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
R5 is NHR6 or OH;
R6 is H, or R6 and R2 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
R7 is selected from the group consisting of hydrogen, Ci-C18 alkyl, C2- Ci8 alkenyl, (C0-C4 alkyl)CONH2> (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH, and halo. In a further embodiment the A chain comprises the sequence GIVX4ECCX8X9SCDLX14X15LEX18X19CX21-R13 (SEQ ID NO: 19) and the B chain comprises the sequence X25LCGX29X3oLVX33X34LYLVCGDX42GFY (SEQ ID NO: 9), with the designations defined as immediately above.
B16B17
In accordance with one embodiment a prodrug derivative of an IGF
derivative peptide is provided comprising an A chain comprising the sequence Z- GIVX4X5CCX8X9XioCX12LX14X15LEX18X19CX21-R13 (SEQ ID NO: 82) and a B chain having the sequence J-R22-X25LCGX29X3oLVX33X34LYLVCGX41X42GFX45R47- R48-R49-R14 (SEQ ID NO: 67), wherein
Z and J are independently H or a dipeptide comprising the general structure of Formula I:
Figure imgf000059_0001
wherein
Ri and R8 are independently H or Ci-C8 alkyl;
R2 and R4 are independently selected from the group consisting of H, Ci-C8 alkyl, C2-C8 alkenyl, (C C4 alkyl)OH, (C C4 alkyl)SH, (C2-C3 alkyl)SCH3, (C C4 alkyl)CONH2, (C C4 alkyl)COOH, (C C4 alkyl)NH2, (C C4 alkyl)NHC(NH2+) NH2, (Co-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-Cio aryl)R7, and CH2(C3-C9 heteroaryl), or Ri and R2 together with the atoms to which they are attached form a C3-C12 cycloalkyl; R3 is selected from the group consisting of Q-Cg alkyl, (Ci-C4 alkyl)OH, (C - C4 alkyl)NH2> (C C4 alkyl)SH, (C3-C6)cyclo alkyl or R4 and R3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
R5 is NHR6 or OH;
R6 is H, Q-Cg alkyl, or R6 and R2 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring; and
R7 is selected from the group consisting of hydrogen, Q-Qg alkyl, C2-Cig alkenyl, (C0-C4 alkyl)CONH2, (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH and halo, provided that when R4 and R together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring, both Ri and R2 are not H;
X4 is glutamic acid or aspartic acid;
X5 is glutamic acid or glutamine;
X8 is histidine, threonine or phenylalanine;
X9 is serine, ornithine, arginine or alanine;
Xio is serine or isoleucine;
X12 is serine or aspartic acid;
X14 are independently selected from tyrosine, ornithine, arginine or alanine; X15 is glutamine, ornithine, arginine, alanine or leucine;
Xig is methionine, asparagine or threonine;
Xi9 is an amino acid of the general structure
Figure imgf000060_0001
wherein X is selected from the group consisting of OH or NHR10, wherein R10 is a dipeptide comprising the general structure of Formula I:
Figure imgf000060_0002
X21 is alanine, glycine or asparagine;
X25 is histidine or threonine;
X29 is selected from the group consisting of alanine, glycine and serine; X30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
X33 is selected from the group consisting of aspartic acid and glutamic acid; X34 is selected from the group consisting of alanine and threonine;
X41 is selected from the group consisting of glutamic acid and aspartic acid; X42 is selected from the group consisting of alanine, ornithine and arginine; X45 is an amino acid of the general structure
Figure imgf000061_0001
wherein X13 is selected from the group consisting of OH and NHR12, wherein R12 is a dipeptide comprising the general structure of Formula I:
Figure imgf000061_0002
R13 and R14 are independently COOH or CONH2;
R22 is selected from the group consisting of a bond, the tripeptide glycine- proline- glutamic acid, the dipeptide proline- glutamic acid, and glutamic acid;
R47 is a phenylalanine-asparagine dipeptide, a phenylalanine-serine dipeptide or a tyrosine-threonine dipeptide;
R48 is an aspartate-lysine dipeptide, an arginine-proline dipeptide, a proline - arginine dipeptide, a lysine-proline dipeptide, or a proline-lysine dipeptide;
R49 is threonine or alanine; and R13 and R14 are independently selected from
COOH and CONH2, m is an integer selected from 0-3, with the proviso that the B chain is not a native insulin B chain sequence (e.g., not SEQ ID NO: 2) and that one and only one of X, X13, J and Z comprises a dipeptide of the general structure of Formula I:
Figure imgf000062_0001
J or Z comprise the dipeptide of
Formula I, and R4 and R3 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring, then both R and R2 are not hydrogen.
In accordance with one embodiment a prodrug form of a IGF -B16B 17 derivative peptide is provided comprising an A chain having the sequence
GIVX4X5CCX8X9XioCX12LX14X15LEX18X19CX21-R13 (SEQ ID NO: 82) or a peptide that differs from SEQID NO: 82 by one or two conservative amino acid substitutions and a B chain having the sequence R22-
X25LCGX29X3oLVX33X34LYLVCGDX42GFX45R47-R48-R49-Ri4 (SEQ ID NO: 88) or a peptide that differs from SEQID NO: 67 by one or two conservative amino acid substitutions , wherein
X4 is glutamic acid or aspartic acid;
X5 is glutamic acid or glutamine;
Xg is histidine, threonine or phenylalanine;
X9 is serine, arginine or alanine;
X10 is serine or isoleucine;
X12 is serine or aspartic acid;
X14 are independently selected from tyrosine, arginine or alanine;
X15 is glutamine, arginine, alanine or leucine;
X18 is methionine, asparagine or threonine;
X19 is an amino acid of the general structure
Figure imgf000063_0001
wherein
R2> R4 and R8 are independently selected from the group consisting of H, C1-C18 alkyl, C2-Ci8 alkenyl, (Ci-Ci8 alkyl)OH, (Ci-Ci8 alkyl)SH, (C2-C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (C C4 alkyl)(C3-C9 heteroaryl), and C C12 alkylC Ci-Cn alkyl, wherein W is a heteroatom selected from the group consisting of N, S and O, or R and R2 together with the atoms to which they are attached form a C3-C12 cycloalkyl; or R4 and Rg together with the atoms to which they are attached form a C3-C6 cycloalkyl;
R is selected from the group consisting of C C^ alkyl, (C -Cn alkyl)OH, (C1-C18 alkyl)NH2, (Ci-Cie alkyl)SH, (C0-C4 alkyl)(C3-C6)cycloalkyl, (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, and (C1-C4 alkyl)(C3-C9 heteroaryl) or R4 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
R5 is NHR6 or OH;
R6 is H, Q-Cg alkyl or R6 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring; and
R7 is selected from the group consisting of hydrogen, Q-Qg alkyl, C2-C1g alkenyl, (C0-C4 alkyl)CONH2> (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH, and halo;
X21 is alanine, glycine or asparagine;
X25 is histidine or threonine;
X29 is selected from the group consisting of alanine, glycine and serine; X30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
X33 is selected from the group consisting of aspartic acid and glutamic acid; X34 is selected from the group consisting of alanine and threonine;
X42 is selected from the group consisting of ornithine and arginine;
X45 is phenylalanine or tyrosine;
R13 and R14 are independently COOH or CONH2;
R22 is selected from the group consisting of the tripeptide glycine-proline- glutamic acid, the dipeptide proline- glutamic acid, glutamic acid and an N-terminal amine;
R47 is a phenylalanine-asparagine dipeptide, a phenylalanine-serine dipeptide or a tyrosine-threonine dipeptide;
R48 is an aspartate-lysine dipeptide, an arginine-proline dipeptide, a proline - arginine dipeptide, a lysine-proline dipeptide, or a proline-lysine dipeptide;
R49 is threonine or alanine; and R13 and R14 are independently selected from
COOH and CONH2, with the proviso that the B chain is not a native insulin B chain sequence (e.g., not SEQ ID NO: 2).
In accordance with one embodiment a prodrug form of a IGF B 16B 17 derivative peptide is provided comprising an A chain comprising the sequence
GIVX4ECCX8X9SCDLX14Xi5LEX18X19CX2i-Ri3 (SEQ ID NO: 19) and a B chain comprising the sequence X25LCGX29X3oLVX33X34LYLVCGDX42GFY (SEQ ID NO: 9), wherein
X4 is aspartic acid or glutamic acid;
Xg is phenylalanine or histidine;
X9 is arginine, ornithine or alanine;
X14 is arginine or alanine;
X15 is arginine or leucine;
X18 is methionine or threonine;
X19 is an amino acid of the general structure
Figure imgf000065_0001
wherein X is selected from the group consisting of OH or NHR10, wherein Rio is a dipeptide comprising the general structure of Formula I:
Figure imgf000065_0002
; X21 is alanine, glycine or asparagine;
X25 is histidine or threonine;
X29 is selected from the group consisting of alanine and glycine;
X30 is selected from the group consisting of aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
X33 is aspartic acid;
X34 is selected from the group consisting of alanine and threonine; and
X42 is selected from the group consisting of alanine ornithine and arginine; and
Figure imgf000065_0003
In one embodiment a prodrug form of IGF -B16B17 derivative peptide is provided comprising an A chain comprising the sequence
GrVDECCX8X9SCDLRRLEMXi9CX2i-Ri3 (SEQ ID NO: 21) and a B chain comprising the sequence X25LCGAX30LVDALYLVCGDX42GFY (SEQ ID NO: 18), wherein
Xg is phenylalanine or histidine;
X9 is arginine, ornithine or alanine;
X19 is an amino acid of the general structure
Figure imgf000066_0001
R2> R4 and R8 are independently selected from the group consisting of H, C1-C18 alkyl, C2-Ci8 alkenyl, (Ci-Ci8 alkyl)OH, (Ci-Ci8 alkyl)SH, (C2-C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (C C4 alkyl)(C3-C9 heteroaryl), and C C12 alkylC Ci-Cn alkyl, wherein W is a heteroatom selected from the group consisting of N, S and O, or R and R2 together with the atoms to which they are attached form a C3-C12 cycloalkyl; or R4 and Rg together with the atoms to which they are attached form a C3-C6 cycloalkyl;
R is selected from the group consisting of C C^ alkyl, (C -Cn alkyl)OH, (C1-C18 alkyl)NH2, (Ci-Cie alkyl)SH, (C0-C4 alkyl)(C3-C6)cycloalkyl, (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, and (C1-C4 alkyl)(C3-C9 heteroaryl) or R4 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
R5 is NHR6 or OH;
R6 is H, Q-Cg alkyl or R6 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring; and
R7 is selected from the group consisting of hydrogen, Q-Qg alkyl, C2-C1g alkenyl, (C0-C4 alkyl)CONH2> (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH, and halo;
X21 is alanine or asparagine;
X25 is histidine or threonine; X30 is selected from the group consisting of aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
X42 is selected from the group consisting of alanine, ornithine and arginine; and R13 is COOH or CONH2. In one embodiment R13 is COOH and the carboxy terminal amino acid of the B peptide has an amide (CONH2) in place of the natural alpha carbon carboxy group. In one embodiment X30 is glutamic acid and X42 is arginine. In one embodiment the B chain comprises the sequence R22- X25LCGAX30LVDALYLVCGDX42GFY-R47-R48-R 9-Ri4 (SEQ ID NO: 18, wherein R22 is selected from the group consisting of the peptide of AYRPSE (SEQ ID NO: 14), a glycine-proline-glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine, X3o is glutamic acid, X42 is arginine, R47 is a phenylalanine-asparagine dipeptide or a phenylalanine- serine dipeptide, R4g is an aspartate-lysine dipeptide, an arginine-proline dipeptide, a proline- arginine dipeptide, a lysine -proline dipeptide, or a proline-lysine dipeptide, and R49 is threonine or alanine; and R13 and R14 are independently COOH or CONH2.
In a further embodiment a prodrug form of IGF -B16B 17 derivative peptide comprises an A chain having the sequence
GIVDECCX8X9SCDLXi4Xi5LEXi8Xi9CX21-R13 (SEQ ID NO: 13) and a B chain having the sequence of R22-X25LCGX29X3oLVX33X34LYLVCGDX42GFY-R47-R48- R49-Ri4 (SEQ ID NO: 9) wherein
X8 is histidine or phenylalanine;
X9 and X14 are independently selected from arginine, ornithine or alanine;
X15 is arginine, ornithine or leucine;
Xis is methionine, asparagine or threonine;
X19 is an amino acid of the general structure
Figure imgf000068_0001
wherein
R2> R4 and R8 are independently selected from the group consisting of H, C1-C18 alkyl, C2-Ci8 alkenyl, (Ci-Ci8 alkyl)OH, (Ci-Ci8 alkyl)SH, (C2-C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (C C4 alkyl)(C3-C9 heteroaryl), and C C12 alkylC Ci-Cn alkyl, wherein W is a heteroatom selected from the group consisting of N, S and O, or R and R2 together with the atoms to which they are attached form a C3-C12 cycloalkyl; or R4 and Rg together with the atoms to which they are attached form a C3-C6 cycloalkyl;
R is selected from the group consisting of C C^ alkyl, (C -Cn alkyl)OH, (C1-C18 alkyl)NH2, (Ci-Cie alkyl)SH, (C0-C4 alkyl)(C3-C6)cycloalkyl, (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, and (C1-C4 alkyl)(C3-C9 heteroaryl) or R4 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
R5 is NHR6 or OH;
R6 is H, Q-Cg alkyl or R6 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring; and
R7 is selected from the group consisting of hydrogen, Q-Qg alkyl, C2-C1g alkenyl, (C0-C4 alkyl)CONH2> (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH, and halo;
X21 is alanine, glycine or asparagine;
X25 is histidine or threonine;
X29 is selected from the group consisting of alanine, glycine and serine; X30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
X33 is selected from the group consisting of aspartic acid and glutamic acid;
X34 is selected from the group consisting of alanine and threonine;
X42 is selected from the group consisting of alanine, ornithine and arginine;
R13 and R14 are independently COOH or CONH2;
R22 is selected from the group consisting of AYRPSE (SEQ ID NO: 14), PGPE (SEQ ID NO: 68), a glycine-proline-glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine;
R47 is a phenylalanine-asparagine dipeptide, a phenylalanine-serine dipeptide or a tyrosine-threonine dipeptide;
R4g is an aspartate-lysine dipeptide, an arginine-proline dipeptide, a lysine- proline dipeptide, or a proline-lysine dipeptide; and
R49 is threonine or alanine; and R13 and R14 are independently COOH or CONH2 and R13 and R14 are independently COOH or CONH2.
In one embodiment a prodrug derivative of an IGF B16B17 derivative peptide having high specificity for the insulin receptor is provided, wherein the peptide comprises an A chain having the sequence GIVDECCX8X9SCDLRRLEMX19CX2i- Ri3 (SEQ ID NO: 69) and a B chain comprising the sequence R22- X25LCGAX3oLVDALYLVCGDX42GFY (SEQ ID NO: 18), wherein
X8 is histidine or phenylalanine;
X9 is arginine or alanine;
X19 is an amino acid of the general structure
Figure imgf000069_0001
wherein R2j R4 and R8 are independently selected from the group consisting of H, C1-C18 alkyl, C2-Ci8 alkenyl, (Ci-Ci8 alkyl)OH, (Ci-Ci8 alkyl)SH, (C2-C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (C C4 alkyl)(C3-C9 heteroaryl), and C C12 alkylC Ci-Cn alkyl, wherein W is a heteroatom selected from the group consisting of N, S and O, or R and R2 together with the atoms to which they are attached form a C3-C12 cycloalkyl; or R4 and Rg together with the atoms to which they are attached form a C3-C6 cycloalkyl;
R3 is selected from the group consisting of C C^ alkyl, (C -Cn alkyl)OH,
(C1-C18 alkyl)NH2, (Ci-Cie alkyl)SH, (C0-C4 alkyl)(C3-C6)cycloalkyl, (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, and (C1-C4 alkyl)(C3-C9 heteroaryl) or R4 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
R5 is NHR6 or OH;
R6 is H, Q-Cg alkyl or R6 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring; and
R7 is selected from the group consisting of hydrogen, Q-Qg alkyl, C2-C1g alkenyl, (C0-C4 alkyl)CONH2, (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH, and halo;
X21 is alanine, glycine or asparagine;
R22 is selected from the group consisting of a glycine -proline-glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine; X25 is histidine or threonine;
X3o is selected from the group consisting of aspartic acid and glutamic acid;
X42 is arginine, alanine or ornithine;
R13 is COOH and the carboxy terminal amino acid of the B chain has an amide (CONH2) in place of the native alpha carbon carboxylic acid. In one embodiment a
B16B17
prodrug derivative of an IGF derivative peptide having high specificity for the insulin receptor is provided wherein the peptide comprises an A chain having the sequence GIVDECCFRSCDLRRLEMX19CA-R13 (SEQ ID NO: 22) and a B chain having the sequence R22-TLCGAELVDALYLVCGDRGFYFNKPT-R14 (SEQ ID NO: 64), wherein X19 is an amino acid of the general structure
Figure imgf000071_0001
wherein
R2> R4 and R8 are independently selected from the group consisting of H, C1-C18 alkyl, C2-C18 alkenyl, (CrC18 alkyl)OH, (CrC18 alkyl)SH, (C2-C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (C C4 alkyl)(C3-C9 heteroaryl), and C C12 alkylC Ci-Cn alkyl, wherein Wi is a heteroatom selected from the group consisting of N, S and O, or R and R2 together with the atoms to which they are attached form a C3-C12 cycloalkyl; or R4 and R8 together with the atoms to which they are attached form a C3-C6 cycloalkyl;
R3 is selected from the group consisting of CrC18 alkyl, (CrC18 alkyl)OH, (Ci-Cie alkyl)NH2, (CrC18 alkyl)SH, (C0-C4 alkyl)(C3-C6)cycloalkyl, (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-Ci0 aryl)R7, and (C1-C4 alkyl)(C3-C9 heteroaryl) or R4 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
R5 is NHR6 or OH;
R6 is H, CrC8 alkyl or R6 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring; and
R7 is selected from the group consisting of hydrogen, Ci-C18 alkyl, C2-C18 alkenyl, (C0-C4 alkyl)CONH2, (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH, and halo; R22 is selected from the group consisting of a glycine -proline-glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine; and
R13 and R14 are independently COOH or CONH2. In one embodiment an IGF B16B17 derivative peptide having high specificity for the insulin receptor is provided wherein the peptide comprises an A chain comprising the sequence
GrVDECCFRSCDLRRLEMX19CA-R13 (SEQ ID NO: 70) and a B chain comprising the sequence GPETLCGAELVDALYLVCGDRGFYFNKPT-R14 (SEQ ID NO: 11) or AYRPSETLCGGELVDTLYLVCGDRGFYFSRPA-Ri4 (SEQ ID NO: 12), wherein X19 is an amino acid of the general structure
Figure imgf000072_0001
wherein
R1; R2, R} and Rg are independently selected from the group consisting of H, C1-C18 alkyl, C2-C18 alkenyl, (Ci-Cie alkyl)OH, (Ci-Cie alkyl)SH, (C2-C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C C4 alkyl)COOH, (C C4 alkyl)NH2, (C C4
alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (C C4 alkyl)(C3-C9 heteroaryl), and C C12 alkylC Ci-Cn alkyl, wherein Wi is a heteroatom selected from the group consisting of N, S and O, or R and R2 together with the atoms to which they are attached form a C3-C12 cycloalkyl; or R4 and R8 together with the atoms to which they are attached form a C3-C6 cycloalkyl;
R3 is selected from the group consisting of Ci-Cn alkyl, (Ci-Cn alkyl)OH, (Ci-Cie alkyl)NH2, (Ci-Cie alkyl)SH, (C0-C4 alkyl)(C3-C6)cycloalkyl, (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-Ci0 aryl)R7, and (C C4 alkyl)(C3-C9 heteroaryl) or R4 and R3 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
R5 is NHR6 or OH;
R6 is H, Q-C8 alkyl or R6 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring; and
R7 is selected from the group consisting of hydrogen, Q-Cig alkyl, C2-Ci8 alkenyl, (C0-C4 alkyl)CONH2, (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH, and halo; and
R13 and R14 are independently COOH or CONH2.
In another embodiment a prodrug derivative of an IGF B16B17 derivative peptide having high specificity for the insulin receptor is provided wherein the peptide comprises an A chain comprising the sequence
GrVDECCX8X9SCDLRRLEMXi9CA-Ri3 (SEQ ID NO: 21) and a B chain comprising the sequence GPETLCGAELVDALYLVCGDRGFY-R14 (SEQ ID NO: 11), wherein
Xg is histidine or phenylalanine;
X9 is arginine or alanine;
X19 is an amino acid of the general structure
Figure imgf000073_0001
wherein
R^ R2> R* and R8 are independently selected from the group consisting of H, Ci-Cie alkyl, C2-C18 alkenyl, (Ci-Cie alkyl)OH, (Ci-Cie alkyl)SH, (C2-C3 alkyl)SCH3, (Ci-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (C C4 alkyl)(C3-C9 heteroaryl), and C C12 alkylC Ci-Cn alkyl, wherein \ is a heteroatom selected from the group consisting of N, S and O, or R and R2 together with the atoms to which they are attached form a C3-C12 cycloalkyl; or R4 and Rg together with the atoms to which they are attached form a C3-C6 cycloalkyl;
R3 is selected from the group consisting of C C^ alkyl, (C -Cn alkyl)OH,
(C1-C18 alkyl)NH2> (Ci-Ci8 alkyl)SH, (C0-C4 alkyl)(C3-C6)cycloalkyl, (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, and (C1-C4 alkyl)(C3-C9 heteroaryl) or R4 and R3 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
R5 is NHR6 or OH;
R6 is H, Q-C8 alkyl or R6 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring; and
R7 is selected from the group consisting of hydrogen, Q-Cig alkyl, C2-Ci8 alkenyl, (C0-C4 alkyl)CONH2> (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH, and halo; and
R13 and R14 are independently COOH or CONH2.
The IGF B 16B 17 derivative peptide prodrugs disclosed herein may be part of a dimer, trimer or higher order multimer comprising at least two, three, or more peptides bound via a linker, wherein at least one or both peptides is an IGF B 16B 17 derivative peptide. The dimer comprises either two single chain insulin/IGF B 16B 17 derivative peptides, or two A chain/B chain heterodimers or a combination thereof. The dimer may be a homodimer or heterodimer, comprising peptides selected from the group consisting of native insulin, native IGF- 1, native IGF- II, an insulin analog peptide, and IGF B 16B 17 derivative peptides (as either single chain peptides or as heterodimers of the A and B chains). In some embodiments, the linker is selected from the group consisting of a bifunctional thiol crosslinker and a bi-functional amine crosslinker. In certain embodiments, the linker is PEG, e.g., a 5 kDa PEG, 20 kDa PEG. In some embodiments, the linker is a disulfide bond.
For example, each monomer of the dimer may comprise a Cys residue (e.g., a terminal or internally positioned Cys) and the sulfur atom of each Cys residue participates in the formation of the disulfide bond. In some aspects of the invention, the monomers are connected via terminal amino acids (e.g., N-terminal or C-terminal; see Fig. 8A), via internal amino acids, or via a terminal amino acid of at least one monomer and an internal amino acid of at least one other monomer. In specific aspects, the monomers are not connected via an N-terminal amino acid. In some aspects, the monomers of the multimer are attached together in a "tail-to-tail" orientation in which the C-terminal amino acids of each monomer are attached together. A conjugate moiety may be covalently linked to any of the IGF B16B17 derivative peptides described herein, including a dimer, trimer or higher order multimer.
In accordance with one embodiment the dipeptide of Formula I is further modified to comprise a large polymer that interferes with the IGF B16B17 derivative peptide's ability to interact with the insulin or IGF-1 receptor. Subsequent cleavage of the dipeptide releases the IGF B16B17 derivative peptide from the dipeptide complex wherein the released IGF B16B17 derivative peptide is fully active. In accordance with one embodiment the dipeptide of Formula I is further modified to comprises a large polymer that interferes with the bound IGF B16B17 derivative peptide's ability to interact with the insulin or IGF-1 receptor. In accordance with one embodiment one of X, Xi2, i3, J and Z comprises a dipeptide of the general structure of Formula I:
Figure imgf000075_0001
wherein the dipeptide of Formula I is pegylated or acylated. In one embodiment either J, Z or X comprises an acylated or pegylated dipeptide of Formula I, and in one embodiment J comprises an acylated or pegylated dipeptide of Formula I.
In accordance with one embodiment the dipeptide of Formula I further comprises an polyethylene oxide, alkyl or acyl group. In one embodiment one or more polyethylene oxide chains are linked to the dipeptide of Formula I wherein the combined molecular weight of the polyethylene oxide chains ranges from about 20,000 to about 80,000 Daltons, or 40,000 to 80,000 Daltons or 40,000 to 60,000 Daltons. In one embodiment the polyethylene oxide is polyethylene glycol. In one embodiment at least one polyethylene glycol chain having a molecular weight of about 40,000 Daltons or about 20,000 Daltons is linked to the dipeptide of Formula I either directly or through a liner/spacer. In another embodiment the dipeptide of Formula I is acylated with an acyl group of sufficient size to bind serum albumin and
-B16B17
thus inactivate the IGF derivative peptide upon administration. The acyl group can be linear or branched, and in one embodiment is a C 16 to C30 fatty acid. For example, the acyl group can be any of a C 16 fatty acid, CI 8 fatty acid, C20 fatty acid, C22 fatty acid, C24 fatty acid, C26 fatty acid, C28 fatty acid, or a C30 fatty acid. In some embodiments, the acyl group is a C16 to C20 fatty acid, e.g., a C18 fatty acid or a C20 fatty acid.
B 16B 17
In accordance with one embodiment a prodrug form of an IGF derivative peptide is provided comprising an A chain having the sequence Z- GIVDECCX8X9SCDLRRLEMX19CX2i-Ri3 (SEQ ID NO: 21) and a B chain having the sequence J-R22-X25LCGAX30LVDALYLVCGDX42GFYFN-R48-R49-R14 (SEQ ID NO: 15), wherein
wherein Z and J are independently H or a dipeptide comprising the general structure:
Figure imgf000076_0001
Xg is histidine or phenylalanine;
X9 is arginine or alanine;
X19 is an amino acid of the general structure
Figure imgf000076_0002
wherein X is selected from the group consisting of OH or NHR10, wherein R^ is a dipeptide comprising the general structure:
Figure imgf000077_0001
X21 is alanine, glycine or asparagine;
X25 is histidine or threonine;
X30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
X42 is selected from the group consisting of alanine and arginine;
R2j R4 and R8 are independently selected from the group consisting of H, C1-C18 alkyl, C2-Ci8 alkenyl, (Ci-Ci8 alkyl)OH, (Ci-Ci8 alkyl)SH, (C2-C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (C C4 alkyl)(C3-C9 heteroaryl), and C C12 alkyl(W)C1-C12 alkyl, wherein W is a heteroatom selected from the group consisting of N, S and O, or R and R2 together with the atoms to which they are attached form a C3-C12 cycloalkyl or aryl; or R4 and Rg together with the atoms to which they are attached form a C3-C6 cycloalkyl;
R is selected from the group consisting of C C^ alkyl, (C -Cn alkyl)OH, (C1-C18 alkyl)NH2, (Ci-Cie alkyl)SH, (C0-C4 alkyl)(C3-C6)cycloalkyl, (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, and (C1-C4 alkyl)(C3-C9 heteroaryl) or R4 and R together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
R5 is NHR6 or OH;
R6 is H, Q-Cs alkyl or R6 and R2 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring; and
R7 is selected from the group consisting of H and OH;
Ri3 is COOH and R14 is CONH2;
R22 is selected from the group consisting of a covalent bond, AYRPSE (SEQ ID NO: 14), a glycine-proline- glutamic acid tripeptide, a proline- glutamic acid dipeptide, and glutamic acid;
R4g is an aspartate-lysine dipeptide, an arginine-proline dipeptide, a lysine- proline dipeptide, or a proline-lysine dipeptide; R49 is threonine, with the proviso that one and only one of X, J and Z comprises a dipeptide of the general structure:
Figure imgf000078_0001
. In one embodiment, when X is OH and R4 and
R3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring, at least one of R and R2 are other than H. In one embodiment Z and J are both H and X is NHR10.
In a further embodiment, a prodrug derivative of an IGF/insulin co-agonist prodrug is provided comprising an A chain having the sequence Z- GrVDECCX8X9SCDLRRLEMX19CX2i-Ri3 (SEQ ID NO: 21) and a B chain having the sequence J-R22-X25LCGAX3oLVDALYLVCGDRGFYFNKPT-R14 (SEQ ID NO: 17), wherein
Z and J are independently H or a dipeptide comprising the general structure:
Figure imgf000078_0002
X8 is histidine or phenylalanine;
X9 is arginine or alanine;
X9 is arginine or alanine;
X19 is an amino acid of the general structure
Figure imgf000078_0003
wherein X is selected from the group consisting of OH or NHR10, wherein R^ is a dipeptide comprising the general structure:
Figure imgf000079_0001
R2> R4 and Rg are independently selected from the group consisting of H, C1-C18 alkyl, C2-Ci8 alkenyl, (Ci-Ci8 alkyl)OH, (Ci-Ci8 alkyl)SH, (C2-C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4 alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (CrC4 alkyl)(C3-C9 heteroaryl), and Cr C12 alkyl(W)Ci-C12 alkyl, wherein W is a heteroatom selected from the group consisting of N, S and O, or Ri and R2 together with the atoms to which they are attached form a C3-C12 cycloalkyl or aryl; or R4 and Rg together with the atoms to which they are attached form a C3-C6 cycloalkyl;
R is selected from the group consisting of Q-Qs alkyl, (C -Cn alkyl)OH, (Ci-Ci8 alkyl)NH2> (Ci-Ci8 alkyl)SH, (C0-C4 alkyl)(C3-C6)cycloalkyl, (C0- C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, and (C1-C4 alkyl)(C3-C9 heteroaryl) or R4 and R3 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
R5 is NHR6 or OH;
R6 is H, Q-Cg alkyl or R6 and R2 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring; and
R7 is selected from the group consisting of H and OH;
Ri3 is COOH and R14 is CONH2;
X21 is alanine, glycine or asparagine;
X25 is histidine or threonine;
X3o is selected from the group consisting of aspartic acid and glutamic acid; Ri3 is COOH and R14 is CONH2; and
R22 is selected from the group consisting of a covalent bond, the tripeptide glycine -proline-glutamic acid, the dipeptide proline- glutamic acid, and glutamic acid. In one embodiment, when X is OH and R4 and R together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring, then both Ri and R2 are both other than H, with the proviso that one and only one of X, J and Z comprises a dipeptide of the general structure:
Figure imgf000080_0001
. In one embodiment, when J or Z comprise the dipeptide of Formula I, and R4 and R3 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring, then both Ri and R2 are not hydrogen. In one embodiment Z and J are both H and X is NHRi0.
In one embodiment a prodrug derivative of an B16B17
IGF derivative peptide having high specificity for the insulin receptor relative to the IGF I receptor is provided wherein the peptide comprises an A chain having the sequence
GrVDECCX8X9SCDLRRLEMXi9CX21-R13 (SEQ ID NO: 21) and a B chain having the sequence R22-X25LCGAX30LVDALYLVCGDX42GFY (SEQ ID NO: 18), wherein
Xg is histidine or phenylalanine;
X9 is arginine or alanine;
X19 is an amino acid of the general structure
Figure imgf000080_0002
wherein R1; R2 R* and R8 are independently selected from the group consisting of H, Ci-C18 alkyl, C2-C18 alkenyl, (Ci-C18 alkyl)OH, (Ci-C18 alkyl)SH, (C2-C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4 alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (Q-C4 alkyl)(C3-C9 heteroaryl), and Q- C12 alkyl(W)Ci-C12 alkyl, wherein W is a heteroatom selected from the group consisting of N, S and O, or Ri and R2 together with the atoms to which they are attached form a C3-Ci2 cycloalkyl or aryl; or R4 and R8 together with the atoms to which they are attached form a C3-C6 cycloalkyl; R3 is selected from the group consisting of C -Cn alkyl, (C -Cu alkyl)OH, (Ci-Ci8 alkyl)NH2> (Ci-Ci8 alkyl)SH, (C0-C4 alkyl)(C3-C6)cycloalkyl, (C0- C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, and (C1-C4 alkyl)(C3-C9 heteroaryl) or R4 and R3 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
R5 is NHR6 or OH;
R6 is H, Q-C8 alkyl or R6 and R2 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring; and
R7 is selected from the group consisting of H and OH;
R13 is COOH and the carboxy terminal amino acid of the B chain has an amide (CONH2) in place of the native alpha carbon carboxylic acid;
X21 is alanine, glycine or asparagine;
X25 is histidine or threonine;
X3o is selected from the group consisting of aspartic acid and glutamic acid; X42 is selected from the group consisting of alanine, arginine and ornithine; R22 is selected from the group consisting of a glycine -proline-glutamic acid tripeptide, a proline- glutamic acid dipeptide, glutamic acid and an N-terminal amine.
In one embodiment, an IGF -B16B 17 derivative peptide prodrug analog is provided comprising an A chain sequence of GIVDECCFRSCDLRRLEMX19CA-R13 (SEQ ID NO: 22) and a B chain sequence of R22-
TLCGAELVDALX36LVCGDRGFX45FNKPT-R14 (SEQ ID NO: 23), or alternatively an A chain comprises the sequence of GIVDECCHASCDLRRLEMX19CN-R13 (SEQ ID NO: 24) and a B chain sequence of R22-
HLCGADLVDALX36LVCGDAGFX45FNKPT-R14 (SEQ ID NO: 25), wherein
X19 is an amino acid of the general structure
Figure imgf000081_0001
wherein X is selected from the group consisting of OH or NHR10, wherein R10 is a dipeptide comprising the general structure:
Figure imgf000082_0001
wherein Ri is selected from the group consisting of H and Ci-Cg alkyl;
R2 and R4 are independently selected from the group consisting of H, Ci-Ce alkyl, C2-C8 alkenyl, (C1-C4 alkyl)OH, (C1-C4 alkyl)SH, (C2-C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +) NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C6-Ci0 aryl)R7, and CH2(C5-C9 heteroaryl), or Ri and R2 together with the atoms to which they are attached form a C3-C6 cycloalkyl;
R is selected from the group consisting of Ci-Cg alkyl, (C1-C4 alkyl)OH, (C1-C4 alkyl)NH2> (C1-C4 alkyl)SH, and (C3-C6)cycloalkyl or R4 and R3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
R5 is NHR6 or OH;
R6 is H, or R6 and R2 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
R7 is selected from the group consisting of H and OH; and R8 is H;
X36 is an amino acid of the general structure
Figure imgf000082_0002
wherein X12 is selected from the group consisting of OH and NHRu, wherein Rn is a dipeptide comprising the general structure:
Figure imgf000083_0001
X45 is an amino acid of the general structure
Figure imgf000083_0002
wherein X13 is selected from the group consisting of OH and NHR12, wherein R12 is a dipeptide comprising the general structure:
Figure imgf000083_0003
R13 and R14 are independently COOH or CONH2;
R22 is selected from the group consisting of a covalent bond, the tripeptide glycine -proline-glutamic acid, the dipeptide proline- glutamic acid, glutamic acid and an N-terminal amine, with the proviso that one and only one of X, X12 and X13, comprises a dipeptide of the general structure:
Figure imgf000083_0004
. In one embodiment X12 and X13 are each OH and X is NHR10. In a further embodiment X12 and X13 are each OH, X is NHR10 and Rio is COOH and R14 is CONH2.
In one embodiment, an IGF -B16B 17 derivative peptide prodrug analog is provided comprising an A chain sequence of GIVDECCFRSCDLRRLEMXi9CA-Ri3 (SEQ ID NO: 22) and a B chain sequence of
FVNQTLCGAELVDALYLVCGDRGFYFNKPX49-Ri4 (SEQ ID NO: 71), GPETLCGAELVDALYLVCGDRGFYFNKPT-R14 (SEQ ID NO: 11) or
AYRPSETLCGGELVDTLYLVCGDRGFYFSRPA-R14 (SEQ ID NO: 12) wherein Xi9 is an amino acid of the general structure
O
UN CH C -¾-
Figure imgf000084_0001
wherein U is an amino acid or a hydroxyl acid and O is an N-alkylated amino acid;
X49 is threonine or a threonine- glutamic acid-glutamic acid tripeptide; and R13 and R14 are independently COOH or CONH2.
B 16B 17
In one embodiment, an IGF derivative peptide prodrug analog is provided comprising an A chain sequence of GIVDECCFRSCDLRRLEMX19CA-R13 (SEQ ID NO: 22) and a B chain sequence of
FVNQTLCGAELVDALYLVCGDRGFYFNKPT-Ri4 (SEQ ID NO: 72),
GPETLCGAELVDALYLVCGDRGFYFNKPT-Ri4 (SEQ ID NO: 11) or
AYRPSETLCGGELVDTLYLVCGDRGFYFSRPA-R14 (SEQ ID NO: 12) wherein Xi9 is an amino acid of the general structure
Figure imgf000084_0002
wherein R is selected from the group consisting of H and Ci-Cg alkyl; R2 and R4 are independently selected from the group consisting of H, Ci-C8 alkyl, C2-C8 alkenyl, (C1-C4 alkyl)OH, (C1-C4 alkyl)SH, (C2-C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +) NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C6-C10 aryl)R7, and CH2(Cs-C9 heteroaryl), or Ri and R2 together with the atoms to which they are attached form a C3-C6 cycloalkyl;
R3 is selected from the group consisting of Ci-Cg alkyl, (C1-C4 alkyl)OH, (C1-C4 alkyl)NH2> (C1-C4 alkyl)SH, and (C3-C6)cycloalkyl or R4 and R3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
NHR6 or OH;
R6 is H, or R6 and R2 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
R7 is selected from the group consisting of H and OH; and
Figure imgf000085_0001
R13 and R14 are independently COOH or CONH2.
The substituents of the dipeptide prodrug element, and its site of attachment to
B16B17
the IGF derivative peptide, can be selected to provide the desired half life of a
B16B17
prodrug derivative of the IGF derivative peptides disclosed herein. For example, when a dipeptide prodrug element comprising the structure:
Figure imgf000085_0002
I
is linked to the alpha amino group of the N-terminal amino acid of the IGF
derivative peptide A or B chain, compounds having a t1/2 of about 1 hour in PBS under physiological conditions are provided when
Ri and R2 are independently C1-C18 alkyl or aryl; or Ri and R2 are linked through -(CH2)p-, wherein p is 2-9;
R3 is C1-C18 alkyl;
R4 and R8 are each hydrogen; and
R5 is an amine. In other embodiments, prodrugs linked at the N-terminus and having a t1/2 of, e.g., about 1 hour comprise a with the structure:
Figure imgf000086_0001
wherein
Ri and R2 are independently Ci-Cig alkyl or (C0-C4 alkyl)(C6-Cio aryl)R7; or Ri and R2 are linked through -(CH2)P, wherein p is 2-9;
R3 is C1-C18 alkyl;
R4 and Rg are each hydrogen;
R5 is NH2;
R7 is selected from the group consisting of hydrogen, Q-Cig alkyl, C2-Cig alkenyl, (C0-C4 alkyl)CONH2> (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH, and halo; and Rg is H..
Alternatively, in one embodiment an IGF B16B17 derivative peptide prodrug analog is provided wherein the dipeptide prodrug is linked to the alpha amino group of the N-terminal amino acid of the IGF B16B17 derivative peptide A or B chain, and the prodrug has a t between about 6 to about 24 hours in PBS under physiological conditions. In one embodiment an IGF B16B17 derivative peptide prodrug analog having a t1/2 between about 6 to about 24 hours in PBS under physiological conditions is provided wherein the prodrug element has the structure of formula I and
Ri and R2 are independently selected from the group consisting of hydrogen, Ci-Cig alkyl and aryl, or Ri and R2 are linked through -(CH2)P-, wherein p is 2-9;
R3 is Ci-Cig alkyl or R and R4 together with the atoms to which they are attached form a 4-12 heterocyclic ring;
R4 and Rg are independently selected from the group consisting of hydrogen, Ci-Cg alkyl and aryl; and
R5 is an amine, with the proviso that both Ri and R2 are not hydrogen and provided that one of R4 or Rg is hydrogen.
In a further embodiment an IGF B16B17 derivative peptide prodrug analog is provided wherein the dipeptide prodrug is linked to the alpha amino group of the N- terminal amino acid of the IGF B 16B 17 derivative peptide A or B chain, and the prodrug has a t1/2 between about 72 to about 168 hours in PBS under physiological conditions.
In one embodiment an IGF B16B17 derivative peptide prodrug analog having a ti/2 between about 72 to about 168 hours in PBS under physiological conditions is provided wherein the prodrug element has the structure of Formula I and
Ri is selected from the group consisting of hydrogen, Q-Cg alkyl and aryl;
P 3 is Ci-Cie alkyl;
P4 and Rg are each hydrogen; and
P 5 is an amine or N-substituted amine or a hydroxyl;
with the proviso that, if Ri is alkyl or aryl, then Ri and R5 together with the atoms to which they are attached form a 4-11 heterocyclic ring.
In some embodiments, prodrugs having the dipeptide prodrug element linked to the N-terminal alpha amino acid of the IGF B16B17 derivative A chain or B chain peptide and having a ti/2, e.g., between about 12 to about 72 hours, or in some embodiments between about 12 to about 48 hours, comprise a dipeptide prodrug element with the structure:
Figure imgf000087_0001
wherein Ri and R2 are independently selected from the group consisting of hydrogen, C1-C18 alkyl, (Ci-Ci8 alkyl)OH, (C1-C4 alkyl)NH2, and (C0-C4 alkyl)(C6-Ci0 aryl)R7, or Ri and R2 are linked through (CH2)P, wherein p is 2-9;
R3 is C1-C18 alkyl or R3 and R4 together with the atoms to which they are attached form a 4-12 heterocyclic ring;
R4 and R8 are independently selected from the group consisting of hydrogen, Ci-C8 alkyl and (C0-C4 alkyl)(C6-Ci0 aryl)R7;
R5 is NH2; and
R7 is selected from the group consisting of H, C1-C18 alkyl, C2-Ci8 alkenyl, (C0-C4 alkyl)CONH2, (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH, and halo;
with the proviso that both Ri and R2 are not hydrogen and provided that at least one of R4 or Rg is hydrogen. In some embodiments, prodrugs having the dipeptide prodrug element linked
B16B17
to the N-terminal amino acid of the IGF derivative A chain or B chain peptide and having a t , e.g., between about 12 to about 72 hours, or in some embodiments between about 12 to about 48 hours, comprise a dipeptide prodrug element with the structure:
Figure imgf000088_0001
wherein Ri and R2 are independently selected from the group consisting of hydrogen, Ci-Cg alkyl and (Ci-C4 alkyl)NH2, or Ri and R2 are linked through (CH2)P, wherein p is 2-9;
R3 is Ci-Cg alkyl or R and R4 together with the atoms to which they are attached form a 4-6 heterocyclic ring;
R4 is selected from the group consisting of hydrogen and Ci-Cg alkyl; and R5 is NH2;
with the proviso that both Ri and R2 are not hydrogen.
In other embodiments, prodrugs having the dipeptide prodrug element linked
B16B17
to the N-terminal amino acid of the IGF derivative A chain or B chain peptide and having a ti/2, e.g., between about 12 to about 72 hours, or in some embodiments between about 12 to about 48 hours, comprise a dipeptide prodrug element with the structure:
Figure imgf000088_0002
wherein
Ri and R2 are independently selected from the group consisting of hydrogen, Ci-C8 alkyl and (Ci-C4 alkyl)NH2;
R3 is Ci-C6 alkyl;
R4 is hydrogen; and
R5 is NH2;
with the proviso that both Ri and R2 are not hydrogen. In some embodiments, prodrugs having the dipeptide prodrug element linked to the N-terminal amino acid of the IGF B16B17 derivative A chain or B chain peptide and having a t , e.g., between about 12 to about 72 hours, or in some embodiments between about 12 to about 48 hours, comprise a dipeptide prodrug element with the structure:
Figure imgf000089_0001
wherein
Ri and R2 are independently selected from the group consisting of hydrogen and Ci-Cg alkyl, (Ci-C4 alkyl)NH2, or Ri and R2 are linked through (CH2)P, wherein p is 2-9;
R3 is Ci-Ce alkyl;
R4 is (Co-C4 alkyl)(C6-Cio aryl)R7;
R5 is NH2; and
R7 is selected from the group consisting of hydrogen, Q-Cg alkyl and (Co-C4 alkyl)OH;
with the proviso that both Ri and R2 are not hydrogen.
In addition a prodrug having the dipeptide prodrug element linked to the N- terminal alpha amino acid of the IGF B16B17 derivative peptide and having a t1/2, e.g., of about 72 to about 168 hours is provided wherein the dipeptide prodrug element has the structure:
Figure imgf000089_0002
wherein Ri is selected from the group consisting of hydrogen, Ci-Cg alkyl and (Co-C4 alkyl)(C6-Cio aryl)R7;
R3 is C1-C18 alkyl;
R4 and R8 are each hydrogen;
R5 is NHR6 or OH; R6 is H, Q-Cg alkyl, or R6 and Ri together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring; and
R7 is selected from the group consisting of hydrogen, Q-Cig alkyl, C2-Cig alkenyl, (C0-C4 alkyl)CONH2, (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH, and halo;
with the proviso that, if Ri is alkyl or (Co-C4 alkyl)(C6-Cio aryl)R7, then Ri and R5 together with the atoms to which they are attached form a 4-11 heterocyclic ring.
In some embodiments the dipeptide prodrug element is linked to a side chain amine of an internal amino acid of the IGF B16B17 derivative peptide. In this embodiment prodrugs having a 1 hour have the structure:
Figure imgf000090_0001
wherein
Ri and R2 are independently Q-Cg alkyl or (C0-C4 alkyl)(C6-Cio aryl)R7; or Ri and R2 are linked through -(CH2)P-, wherein p is 2-9;
R3 is C1-C18 alkyl;
R4 and Rg are each hydrogen;
R5 is NH2; and
R7 is selected from the group consisting of hydrogen, Q-Cig alkyl, C2-Cig alkenyl, (C0-C4 alkyl)CONH2> (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH, and halo.
Furthermore, prodrugs having a ti/2, e.g., between about 6 to about 24 hours and having the dipeptide prodrug element linked to an internal amino acid side chain comprise a dipeptide prodrug element with the structure:
Figure imgf000090_0002
wherein Ri and R2 are independently selected from the group consisting of hydrogen, Ci-Cg alkyl, and (C0-C4 alkyl)(C6-Cio aryl)R7, or Ri and R2 are linked through - (CH2)P-, wherein p is 2-9; R3 is Ci-Cig alkyl or R3 and R4 together with the atoms to which they are attached form a 4-12 heterocyclic ring;
R4 and Rg are independently hydrogen, C Qg alkyl or (C0-C4 alkyl)(C6-Cio aryl)R7;
R5 is NHR6;
R6 is H or Ci-Cg alkyl, or R6 and R2 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring; and
R7 is selected from the group consisting of hydrogen, Q-Qg alkyl, C2-Cig alkenyl, (C0-C4 alkyl)CONH2> (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH, and halo;
with the proviso that both Ri and R2 are not hydrogen and provided that at least one of R4 or Rg is hydrogen.
In addition a prodrug having a t1/2, e.g., of about 72 to about 168 hours and having the dipeptide prodrug element linked to a internal amino acid side chain of the IGF B16B17 derivative peptide is provided wherein the dipeptide prodrug element has the structure:
Figure imgf000091_0001
wherein Ri is selected from the group consisting of hydrogen, Ci-Cig alkyl and (Co-C4 alkyl)(C6-Ci0 aryl)R7;
R3 is Ci-Cig alkyl;
R4 and Rg are each hydrogen;
R5 is NHR6 or OH;
R6 is H or Ci-Cg alkyl, or R6 and Ri together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring; and
R7 is selected from the group consisting of hydrogen, Ci-Cig alkyl, C2-Cig alkenyl, (Co-C4 alkyl)CONH2, (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH, and halo; with the proviso that, if Ri and R2 are both independently an alkyl or (Co-C4 alkyl)(C6-Cio aryl)R7, either Ri or R2 is linked through (CH2)P to R5, wherein p is 2-9. In some embodiments the dipeptide prodrug element is linked to a side chain amine of an internal amino acid of the IGF B16B17 derivative peptide wherein the internal amino acid comprises the structure of Formula III
Figure imgf000092_0001
(CH2)n
/
H^
wherein
n is an integer selected from 1 to 4. In some embodiments n is 3 or 4 and in some embodiments the internal amino acid is lysine. In some embodiments the dipeptide prodrug element is linked to a primary amine on a side chain of an amino acid located at position 28, or 29 of the B-chain of the IGF B16B17 derivative peptide.
In embodiments where the dipeptide prodrug element of formula I is linked to an amino substituent of an aryl group of an aromatic amino acid, prodrug, the substituents of the prodrug element can be selected to provide the desired time of activation. For example, the half life of a prodrug derivative of any of the IGF -B16B17 derivative peptides disclosed herein comprising an amino acid of the structure of Formula II:
Figure imgf000092_0002
wherein m is an integer from 0 to 3, can be selected by altering the substituents of R1; R2, R3, R4, R5, and R8. In one embodiment the amino acid of formula II is present at an amino acid corresponding to position A 19, B 16 or B25 of native insulin, and in one specific example the amino acid of formula II is located at position A19 of the IGF derivative peptide, and m is 1. In one embodiment an IGF derivative peptide prodrug analog comprising the structure of Formula II and having a tl/2 of about 1 hour in PBS under physiological conditions is provided. In one embodiment
B16B17
the IGF derivative peptide prodrug analog having a tl/2 of about 1 hour in PBS under physiological conditions comprises the structure of formula II wherein,
Ri and R2 are independently C C^ alkyl or aryl;
R3 is C C^ alkyl or R3 and R4 together with the atoms to which they are attached form a 4-12 heterocyclic ring;
R4 and R8 are independently selected from the group consisting of hydrogen, Ci-Qg alkyl and aryl; and
R5 is an amine or a hydroxyl. In one embodiment m is 1.
B 16B 17
In one embodiment, the dipeptide prodrug element is linked to the IGF derivative peptide via an amine present on an aryl group of an aromatic amino acid of
B 16B 17
the IGF derivative peptide, wherein prodrugs having a t1/2, e.g., of about 1 hour have a dipeptide structure of:
Figure imgf000093_0001
wherein Ri and R2 are independently Ci-C^ alkyl or (C0-C4 alkyl)(C6-Cio aryl)R7;
R3 is Ci-Cig alkyl or R and R4 together with the atoms to which they are attached form a 4-12 heterocyclic ring;
R4 and Rg are independently selected from the group consisting of hydrogen, C1-C18 alkyl and (C0-C4 alkyl)(C6-Ci0 aryl)R7;
R5 is NH2 or OH; and
R7 is selected from the group consisting of hydrogen, Q-C^ alkyl, C2-Ci8 alkenyl, (C0-C4 alkyl)CONH2, (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH, and halo.
B 16B 17
In another embodiment an IGF derivative peptide prodrug analog comprising the structure of Formula II, wherein m is an integer from 0 to 3 and having a tl/2 of about 6 to about 24 hours in PBS under physiological conditions, is
B 16B 17
provided. In one embodiment where the IGF derivative peptide prodrug having a tl/2 of about 6 to about 24 hours in PBS under physiological conditions comprises the structure of formula II wherein,
Ri is selected from the group consisting of hydrogen, Q-C^ alkyl and aryl, or Ri and P2 are linked through -(CH2)P-, wherein p is 2-9;
P 3 is Ci-Cig alkyl or R3 and R4 together with the atoms to which they are attached form a 4-6 heterocyclic ring;
R4 and Rg are independently selected from the group consisting of hydrogen, C1-C18 alkyl and aryl; and
R5 is an amine or N-substituted amine. In one embodiment m is 1.
In one embodiment, prodrugs having the dipeptide prodrug element linked via an aromatic amino acid and having a t , e.g., of about 6 to about 24 hours are provided wherein the dipeptide comprises a structure of:
Figure imgf000094_0001
wherein
Ri is selected from the group consisting of hydrogen, Q-Cig alkyl, (C C^ alkyl)OH, (C1-C4 alkyl)NH2, and (C0-C4 alkyl)(C6-C10 aryl)R7;
R3 is Ci-Ci8 alkyl or R3 and R4 together with the atoms to which they are attached form a 4-6 heterocyclic ring;
R4 and R8 are independently selected from the group consisting of hydrogen, C1-C18 alkyl and (C0-C4 alkyl)(C6-C10 aryl)R7;
R5 is NHR6;
R6 is H, Ci-Cg alkyl, or R6 and Ri together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring; and
R7 is selected from the group consisting of hydrogen, C1-C18 alkyl, C2-Ci8 alkenyl, (C0-C4 alkyl)CONH2, (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH, and halo.
In another embodiment an IGF B16B17 derivative peptide prodrug analog comprising the structure of Formula II, wherein m is an integer from 0 to 3 and having a tl/2 of about 72 to about 168 hours in PBS under physiological conditions, is provided. In one embodiment where the IGF B16B17 derivative peptide prodrug analog having a tl/2 of about 72 to about 168 hours in PBS under physiological conditions comprises the structure of formula II wherein,
Ri and R2 are independently selected from the group consisting of hydrogen, Ci-Cg alkyl and aryl;
R3 is Ci-Cig alkyl or R and R4 together with the atoms to which they are attached form a 4-6 heterocyclic ring;
R4 and Rg are each hydrogen; and
R5 is selected from the group consisting of amine, N-substituted amine and hydroxyl. In one embodiment m is 1.
In one embodiment, prodrugs having the dipeptide prodrug element linked via an aromatic amino acid and having a t , e.g., of about 72 to about 168 hours are provided wherein the dipeptide comprises a structure of:
Figure imgf000095_0001
wherein Ri and R2 are independently selected from the group consisting of hydrogen, Ci-C8 alkyl, (Ci-C4 alkyl)COOH, and (C0-C4 alkyl)(C6-Ci0 aryl)R7> or Rj and R5 together with the atoms to which they are attached form a 4- 11 heterocyclic ring;
R3 is Ci-Cig alkyl or R and R4 together with the atoms to which they are attached form a 4-6 heterocyclic ring;
R4 is hydrogen or forms a 4-6 heterocyclic ring with R3;
Rg is hydrogen;
R5 is NHR6 or OH;
R6 is H or Ci-Cg alkyl, or R6 and Ri together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring; and
R7 is selected from the group consisting of hydrogen, Q-Cig alkyl, C2-Cig alkenyl, (C0-C4 alkyl)CONH2, (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH, and halo.
In accordance with one embodiment a single-chain IGF B16B17 derivative peptide prodrug analog is provided wherein the carboxy terminus of an IGF analog B chain, as disclosed herein, is covalently linked to the N-terminus of an IGF analog A chain, as disclosed herein, and further wherein a dipeptide prodrug moiety having the general structure:
Figure imgf000096_0001
O R4 is covalently bound at the N-terminus of the peptide, or at the side chain of an amino acid corresponding to positions A 19, B16 or B25 of the respective native insulin A chain or B chain, via an amide bond. In accordance with one embodiment the single-chain IGF B16B17 derivative peptide comprises a compound of the formula: B-P-A, wherein: B represents an IGF analog B-chain, as disclosed herein, and A represents the A chain of an IGF analog, as disclosed herein, and P represents a linker, including a peptide linker, that covalently joins the A chain to the B chain. In one embodiment the linker is a peptide linker of about 5 to about 18, or about 10 to about 14, or about 4 to about 8, or about 6 amino acids. In one embodiment the B chain is linked to the A chain via peptide linker of 4- 12 or 4-8 amino acids. In one embodiment the peptide linker of the single chain analog is selected from the group consisting of GYGSSSRRAPQT; SEQ ID NO: 89, GYGSSSRR (SEQ ID NO: 90), GYGSSSOR (SEQ ID NO: 85), GYGSSSX7X8 (SEQ ID NO: 91), or GAGSSSRRAPQT (SEQ ID NO: 79) or a sequence that differs from SEQ ID NOs: 89, 90 or 79 by 1 to 3 amino acid substitutions, or 1 to 2 amino acid substitutions, wherein X7 and X8 are independently ornithine, arginine or lysine. Optionally, the linking moiety of the single chain analogs can also serve as a site for the attachment of the dipeptide element, and in one embodiment the linking moiety is a peptide linker that comprises an amino acid having a side chain group suitable for attaching the dipeptide element of the present invention via an amide linkage.
In one embodiment the single chain insulin analog comprises a compound of the formula: B-P-A, wherein "B" represents an IGF B chain comprising the sequence GPETLCGAELVDALYLVCGDRGFYFNKPT-R14 (SEQ ID NO: 11), "A" represents an IGF A chain comprising the sequence GIVDECCFRSCDLRRLEMX19CA-R13 (SEQ ID NO: 22) and "P" represents a linker including for example an 8-12 amino acid linker, wherein
Xi9 is an amino acid of the general structure O UN CH C
Figure imgf000097_0001
wherein X is selected from the group consisting of OH or NHR10, wherein Rio is a dipeptide comprising the general structure:
Figure imgf000097_0002
selected from the group consisting of H and Ci-Cg alkyl;
R2 and R4 are independently selected from the group consisting of H, Ci-C8 alkyl, C2-C8 alkenyl, (C1-C4 alkyl)OH, (C1-C4 alkyl)SH, (C2-C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +) NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C6-Ci0 aryl)R7, and CH2(C5-C9 heteroaryl), or Ri and R2 together with the atoms to which they are attached form a C3-C6 cycloalkyl;
R is selected from the group consisting of Ci-Cg alkyl, (C1-C4 alkyl)OH, (d-C4 alkyl)NH2> (C1-C4 alkyl)SH, and (C3-C6)cycloalkyl or R4 and R3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
R5 is NHR6 or OH;
R6 is H, or R6 and R2 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
R7 is selected from the group consisting of H and OH; and
R8 is H; and
Ri and Ri4 are independently COOH or CONH2. The present invention also encompasses any combination of IGF analog A chain and B chain peptides, as disclosed herein, linked together as a single chain peptide of the formula B-P-A. In accordance with one embodiment R10 is a dipeptide comprising the general structure of Formula I:
Figure imgf000098_0001
wherein
R2> R4 and R8 are independently selected from the group consisting of H,
C1-C18 alkyl, C2-Ci8 alkenyl, (Ci-Ci8 alkyl)OH, (Ci-Ci8 alkyl)SH, (C2-C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (C C4 alkyl)(C3-C9 heteroaryl), and C C12 alkylC Ci-Cn alkyl, wherein W is a heteroatom selected from the group consisting of N, S and O, or R and R2 together with the atoms to which they are attached form a C3-C12 cycloalkyl; or R4 and Rg together with the atoms to which they are attached form a C3-C6 cycloalkyl;
selected from the group consisting of C C^ alkyl, (C C^ alkyl)OH,
(C1-C18 alkyl)NH2, (Ci-Cie alkyl)SH, (C0-C4 alkyl)(C3-C6)cycloalkyl, (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, and (C1-C4 alkyl)(C3-C9 heteroaryl) or R4 and R together with the atoms to which they are attached form 5 or 6 member heterocyclic ring;
NHR6 or OH;
Re is H, Q-C8 alkyl or R6 and Ri together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring; and
R7 is selected from the group consisting of hydrogen, Q-Cis alkyl, C2-Cig alkenyl, (C0-C4 alkyl)CONH2, (C0-C4 alkyl)COOH, (C0-C4 alkyl)NH2, (C0-C4 alkyl)OH, and halo, with the proviso that when the dipeptide of Formula I is linked to an N-terminal amine and R4 and R3 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring, then both Ri and R2 are not hydrogen.
In accordance with one embodiment the peptide linker, "P", is 5 to 18 amino acids in length and comprises a sequence selected from the group consisting of: Gly- Gly-Gly-Pro-Gly-Lys-Arg (SEQ ID NO: 27), Gly-Tyr-Gly-Ser-Ser-Ser-Arg-Arg-Ala-
Pro-Gln-Thr (SEQ ID NO: 79), Arg-Arg-Gly-Pro-Gly-Gly-Gly (SEQ ID NO: 37), Gly-Gly-Gly-Gly-Gly-Lys-Arg (SEQ ID NO: 29), Arg-Arg-Gly-Gly-Gly-Gly-Gly (SEQ ID NO: 30), Gly-Gly-Ala-Pro-Gly-Asp-Val-Lys-Arg (SEQ ID NO: 31), Arg- Arg-Ala-Pro-Gly-Asp-Val-Gly-Gly (SEQ ID NO: 32), Gly-Gly-Tyr-Pro-Gly-Asp- Val-Lys-Arg (SEQ ID NO: 33), Arg-Arg-Tyr-Pro-Gly-Asp-Val-Gly-Gly (SEQ ID NO: 34), Gly-Gly-His-Pro-Gly-Asp-Val-Lys-Arg (SEQ ID NO: 35) and Arg-Arg- His-Pro-Gly-Asp-Val-Gly-Gly (SEQ ID NO: 36). In one embodiment the peptide linker is 7 to 12 amino acids in length and comprises the sequence Gly-Gly-Gly-Pro- Gly-Lys-Arg (SEQ ID NO: 27) or Gly-Tyr-Gly-Ser-Ser-Ser-Arg-Arg-Ala-Pro-Gln- Thr (SEQ ID NO: 79).
In a further embodiment the peptide linker comprises a sequence selected from the group consisting of AGRGSGK (SEQ ID O: 40), AGLGSGK (SEQ ID NO: 41), AGMGSGK (SEQ ID NO: 42), ASWGSGK (SEQ ID NO: 43). TGLGSGQ (SEQ ID NO: 44), TGLG GK (SEQ 03 NO: 45), TGLGSGK (SEQ ID NO: 46), HGLYSG (SEQ ID NO: 47), KGLGSGQ (SEQ ID NO: 48), VGLMSGK (SEQ ID NO: 49), VGLSSGQ (SEQ ID NO: 50), VGLYSG (SEQ ID NO: 5.1 ), VGLSSGK (SEQ ID NO: 52), VGMSSGK (SEQ ID NO: 53), VWSSSGK (SEQ ID NO: 54), VGSSSGK (SEQ ID NO: 55), VGMSSGK (SEQ ID NO: 56), TGLGSGR (SEQ ID NO: 57), TGLGKGQ (SEQ ID NO: 58), KGLSSGQ (SEQ ID NO: 59), VKLSSGQ (SEQ ID NO: 60), VGLKSGQ (SEQ ID NO: 61), TGLGKGQ (SEQ ID NO: 62), SRVSRRSR (SEQ ID NO: 80), GYGSSSRRAPQT (SEQ ID NO: 79) and VGLSKGQ (SEQ ID NO: 63). In one embodiment the linker comprises GSSSRRAP (SEQ ID NO: 81) or SRVSRRSR (SEQ ID NO: 80).
In one embodiment the single-chain insulin analog comprises the amino acid sequence:
His-Leu-Cys-Gly-Ala-Glu-Leu-Val-Glu-Ala-Leu-Tyr-Leu-Val-Cys-Gly-Asp-Ala- Gly-Phe-Tyr-Phe-Asn-Lys-Pro-Thr-Gln-Pro-Leu-Ala-Leu-Glu-Gly-Ser-Leu- Gln- Lys-Arg-Gly-Ile-Val-Asp-Glu-Cys-Cys-His-Ala-Ser-Cys-Asp-Leu-Arg-Arg-Leu- Glu-Met-Xaa-Cys-Asn (SEQ ID NO: 38) or
Thr-Leu-Cys-Gly-Ala-Glu-Leu-Val-Asp-Ala-Leu-Tyr-Leu-Val-Cys-Gly-Asp-Arg- Gly-Phe-Tyr-Phe-Asn-Lys-Pro-Thr-Gln-Pro-Leu-Ala-Leu-Glu-Gly-Ser-Leu- Gln- Lys-Arg-Gly-Ile-Val-Asp-Glu-Cys-Cys-Phe-Arg-Ser-Cys-Asp-Leu-Arg-Arg-Leu- Glu-Met-Xaa-Cys-Ala (SEQ ID NO: 39) wherein Xaa is an amino acid of the general structure:
Figure imgf000100_0001
wherein
Ri is selected from the group consisting of H and Ci-C8 alkyl;
R2 and R4 are independently selected from the group consisting of H,
Ci-C8 alkyl, C2-C8 alkenyl, (C1-C4 alkyl)OH, (C1-C4 alkyl)SH, (C2-C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +) NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C6-C10 aryl)R7, and CH2(C5-C9 heteroaryl), or Ri and R2 together with the atoms to which they are attached form a C3-C6 cycloalkyl;
R3 is selected from the group consisting of Ci-C8 alkyl, (C1-C4 alkyl)OH, (C1-C4 alkyl)NH2> (C1-C4 alkyl)SH, and (C3-C6)cycloalkyl or R4 and R3 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
R5 is NHR6 or OH;
R6 is H, or R6 and R2 together with the atoms to which they are attached form a 5 or 6 member heterocyclic ring;
R7 is selected from the group consisting of H and OH; and R8 is H.
The prodrugs disclosed herein can be further modified to improve the peptide's solubility in aqueous solutions at physiological pH, while enhancing the effective duration of the peptide by preventing renal clearance of the peptide. Peptides are easily cleared because of their relatively small molecular size when compared to plasma proteins. Increasing the molecular weight of a peptide above 40 kDa exceeds the renal threshold and significantly extends duration in the plasma. Accordingly, in one embodiment the peptide prodrugs are further modified to comprise a covalently linked hydrophilic moiety. In one embodiment the hydrophilic moiety is a plasma protein, polyethylene oxide chain or the Fc portion of an immunoglobin. Therefore, in one embodiment the presently disclosed IGF B16B17 derivative peptide and prodrug derivatives thereof are further modified to comprise one or more hydrophilic groups covalently linked to the side chains of amino acids.
In accordance with one embodiment the insulin prodrugs disclosed herein are further modified by linking a hydrophilic moiety to either the N-terminal amino acid of the B chain or to the side chain of a lysine amino acid (or other suitable amino acid) located at the carboxy terminus of the B chain, including for example, at position 28 of SEQ ID NO: 11. In one embodiment a single-chain insulin prodrug analog is provided wherein one of the amino acids of the peptide linker is modified by linking a hydrophilic moiety to the side chain of the peptide linker. In one
embodiment the modified amino acid is cysteine, lysine or acetyl phenylalanine. In one embodiment the peptide linker is selected from the group consisting of
TGLGSGQ (SEQ ID NO: 44), VGLSSGQ (SEQ ID NO: 50), VGLSSGK (SEQ ID NO: 52), TGLGSGR (SEQ ID NO: 57), TGLGKGQ (SEQ ID NO: 58), KGLSSGQ (SEQ ID NO: 59), VKLSSGQ (SEQ ID NO: 60), VGLKSGQ (SEQ ID NO: 61), TGLGKGQ (SEQ ID NO: 62), SRVSRRSR (SEQ ID NO: 80), GYGSSSRRAPQT (SEQ ID NO: 79) and VGLSKGQ (SEQ ID NO: 63) and the hydrophilic moiety (e.g., polyethylene glycol) is linked to the lysine side chain of the peptide linker.
In another embodiment the IGF B16B17 derivative peptides, and their prodrug derivatives, disclosed herein are further modified by the addition of a modified amino acid to the carboxy or amino terminus of the A chain or B chain of the IGF B16B17 derivative peptide, wherein the added amino acid is modified to comprise a hydrophilic moiety linked to the amino acid. In one embodiment the amino acid added to the C-terminus is a modified cysteine, lysine or acetyl phenylalanine. In one embodiment the hydrophilic moiety is selected from the group consisting of a plasma protein, polyethylene oxide chain and an Fc portion of an immunoglobin.
In one embodiment the hydrophilic group is a polyethylene oxide chain, and in one embodiment two or more polyethylene oxide chains are covalently attached to two or more amino acid side chains of the IGF B16B17 derivative peptide. In
accordance with one embodiment the hydrophilic moiety is covalently attached to an amino acid side chain of an IGF B 16B 17 derivative peptide prodrug disclosed herein at a position corresponding to A10, B28, B29 and the C-terminus or N-terminus of native insulin. For IGF B16B17 derivative peptides and their prodrug derivatives having multiple polyethylene oxide chains, the polyethylene oxide chains can be attached at the N-terminal amino acid of the B chain or to the side chain of a lysine amino acid located at the carboxy terminus of the B chain, or by the addition of a single amino acid at the C-terminus of the peptide wherein the added amino acid has a polyethylene oxide chain linked to its side chain. In accordance with one embodiment the polyethylene oxide chain or other hydrophilic moiety is linked to the side chain of one of the two amino acids comprising the dipeptide prodrug element (i.e., the A or B amino acids of the dipeptide prodrug element). In one embodiment the dipeptide prodrug element comprises a lysine (in the D or L stereoisomer configuration) with a polyethylene oxide chain attached to the side chain amine of the lysine. In another embodiment the dipeptide prodrug element comprises a lysine (in the D or L stereoisomer configuration) wherein the side chain amine of lysine has been acylated.
In accordance with one embodiment, the IGF B 16B 17 derivative peptides, and prodrug derivatives thereof, disclosed herein are further modified by amino acid substitutions, wherein the substituting amino acid comprises a side chain suitable for crosslinking with hydrophilic moieties, including for example, polyethylene glycol.
In one embodiment the amino acid at the position of the IGF B 16B 17 derivative peptide where the hydrophilic moiety is to be linked is substituted (or added at the C- terminus) with a natural or synthetic amino acid to introduce, or allow for ease in attaching, the hydrophilic moiety. For example, in one embodiment a native amino acid at a position corresponding to A5, A8, A9, A10, A12, A14, A15, A17, A18, Bl, B2, B3, B4, B5, B13, B14, B17, B21, B22, B26, B27, B28, B29 and B30 of native insulin is substituted with a lysine, cysteine or acetyl phenylalanine residue (or a lysine, cysteine or acetyl phenylalanine residue is added to the C-terminus) to allow for the covalent attachment of a polyethylene oxide chain.
In one embodiment the IGF B 16B 17 derivative peptide, or prodrug derivative thereof, has a single cysteine residue added to the amino or carboxy terminus of the B chain, or the insulin prodrug analog is substituted with at least one cysteine residue, wherein the side chain of the cysteine residue is further modified with a thiol reactive reagent, including for example, maleimido, vinyl sulfone, 2-pyridylthio, haloalkyl, and haloacyl. These thiol reactive reagents may contain carboxy, keto, hydroxyl, and ether groups as well as other hydrophilic moieties such as polyethylene glycol units.
In an alternative embodiment, the IGF B16B17 derivative peptide, or prodrug derivative thereof, has a single lysine residue added to the amino or carboxy terminus of the B chain, or the IGF B16B17 derivative peptide prodrug analog is substituted with lysine, and the side chain of the substituting lysine residue is further modified using amine reactive reagents such as active esters (succinimido, anhydride, etc) of carboxylic acids or aldehydes of hydrophilic moieties such as polyethylene glycol.
Linkage of hydrophilic moieties
In another embodiment the solubility of the IGF B16B17 derivative peptides disclosed herein are enhanced by the covalent linkage of a hydrophilic moiety to the peptide. Hydrophilic moieties can be attached to the IGF B 16B 17 derivative peptides under any suitable conditions used to react a protein with an activated polymer molecule. Any means known in the art can be used, including via acylation, reductive alkylation, Michael addition, thiol alkylation or other chemoselective
conjugation/ligation methods through a reactive group on the PEG moiety (e.g., an aldehyde, amino, ester, thiol, a-haloacetyl, maleimido or hydrazino group) to a reactive group on the target compound (e.g., an aldehyde, amino, ester, thiol, a- haloacetyl, maleimido or hydrazino group). Activating groups which can be used to link the water soluble polymer to one or more proteins include without limitation sulfone, maleimide, sulfhydryl, thiol, triflate, tresylate, azidirine, oxirane and 5- pyridyl. If attached to the peptide by reductive alkylation, the polymer selected should have a single reactive aldehyde so that the degree of polymerization is controlled. See, for example, Kinstler et al., Adv. Drug. Delivery Rev. 54: 477-485 (2002); Roberts et al., Adv. Drug Delivery Rev. 54: 459-476 (2002); and Zalipsky et al, Adv. Drug Delivery Rev. 16: 157-182 (1995).
Suitable hydrophilic moieties include polyethylene glycol (PEG),
polypropylene glycol, polyoxyethylated polyols (e.g., POG), polyoxyethylated sorbitol, polyoxyethylated glucose, polyoxyethylated glycerol (POG),
polyoxyalkylenes, polyethylene glycol propionaldehyde, copolymers of ethylene glycol/propylene glycol, monomethoxy-polyethylene glycol, mono-(Cl-ClO) alkoxy- or aryloxy-polyethylene glycol, carboxymethylcellulose, polyacetals, polyvinyl alcohol (PVA), polyvinyl pyrrolidone, poly-1, 3-dioxolane, poly-l,3,6-trioxane, ethylene/maleic anhydride copolymer, poly (.beta. -amino acids) (either
homopolymers or random copolymers), poly(n-vinyl pyrrolidone)polyethylene glycol, propropylene glycol homopolymers (PPG) and other polyakylene oxides,
polypropylene oxide/ethylene oxide copolymers, colonic acids or other
polysaccharide polymers, Ficoll or dextran and mixtures thereof.
The hydrophilic moiety, e.g., polyethylene glycol chain in accordance with some embodiments has a molecular weight selected from the range of about 500 to about 40,000 Daltons. In one embodiment the hydrophilic moiety, e.g. PEG, has a molecular weight selected from the range of about 500 to about 5,000 Daltons, or about 1,000 to about 5,000 Daltons. In another embodiment the hydrophilic moiety, e.g., PEG, has a molecular weight of about 10,000 to about 20,000 Daltons. In yet other exemplary embodiments the hydrophilic moiety, e.g., PEG, has a molecular weight of about 20,000 to about 40,000 Daltons.
In one embodiment dextrans are used as the hydrophilic moiety. Dextrans are polysaccharide polymers of glucose subunits, predominantly linked by al-6 linkages. Dextran is available in many molecular weight ranges, e.g., about 1 kD to about 100 kD, or from about 5, 10, 15 or 20 kD to about 20, 30, 40, 50, 60, 70, 80 or 90 kD.
Linear or branched polymers are contemplated. Resulting preparations of conjugates may be essentially monodisperse or polydisperse, and may have about 0.5, 0.7, 1, 1.2, 1.5 or 2 polymer moieties per peptide.
In those embodiments wherein the IGF B16B17 derivative peptide, or prodrug derivative thereof, comprises a polyethylene glycol chain, the polyethylene glycol chain may be in the form of a straight chain or it may be branched. In accordance with one embodiment the polyethylene glycol chain has an average molecular weight selected from the range of about 20,000 to about 60,000 Daltons. Multiple
polyethylene glycol chains can be linked to the IGF B 16B 17 derivative peptide to provide an insulin analog with optimal solubility and blood clearance properties. In one embodiment the IGF B 16B 17 derivative peptide, or prodrug derivative thereof, is linked to a single polyethylene glycol chain that has an average molecular weight selected from the range of about 20,000 to about 60,000 Daltons. In another embodiment the IGF derivative peptide, or prodrug derivative thereof, is linked to two polyethylene glycol chains wherein the combined average molecular weight of the two chains is selected from the range of about 40,000 to about 80,000 Daltons. In one embodiment a single polyethylene glycol chain having an average molecular weight of 20,000 or 60,000 Daltons is linked to the IGFB16B17 derivative peptide, or prodrug derivative thereof. In another embodiment a single polyethylene glycol chain is linked to the IGF B 16B 17 derivative peptide, or prodrug derivative thereof, and has an average molecular weight selected from the range of about 40,000 to about 50,000 Daltons. In one embodiment two polyethylene glycol chains are linked to the IGF B 16B 17 derivative peptide, or prodrug derivative thereof, wherein the first and second polyethylene glycol chains each have an average molecular weight of 20,000 Daltons. In another embodiment two polyethylene glycol chains are linked to the
IGF B 16B 17 derivative peptide, or prodrug derivative thereof, wherein the first and second polyethylene glycol chains each have an average molecular weight of 40,000 Daltons.
In a further embodiment an IGF B 16B 17 derivative peptide, or prodrug derivative thereof, comprising two or more polyethylene glycol chains covalently bound to the peptide is provided, wherein the total molecular weight of the polyethylene glycol chains is about 40,000 to about 60,000 Daltons. In one embodiment the pegylated IGF B 16B 17 derivative peptide, or prodrug derivative thereof, comprises a polyethylene glycol chain linked to one or more amino acids selected from the N-terminus of the B chain and/or position 28 of SEQ ID NO: 11, wherein the combined molecular weight of the PEG chain(s) is about 40,000 to about 80,000 Daltons.
In another embodiment the IGF B 16B 17 derivative peptides disclosed herein are further modified by the addition of a modified amino acid to the carboxy terminus of the B chain of the IGF B 16B 17 derivative peptide, wherein the C-terminally added amino acid is modified to comprise a hydrophilic moiety linked to the amino acid. In one embodiment the amino acid added to the C-terminus is a modified cysteine, lysine or acetyl phenylalanine. In one embodiment the hydrophilic moiety is selected from the group consisting of a plasma protein, polyethylene oxide chain and an Fc portion of an immunoglobin.
In accordance with one embodiment, an IGF B 16B 17 derivative peptide, or prodrug/depot derivative thereof, are fused to an accessory peptide which is capable of forming an extended conformation similar to chemical PEG (e.g., a recombinant PEG (rPEG) molecule), such as those described in International Patent Application Publication No. WO2009/023270 and U.S. Patent Application Publication No.
US2008/0286808. The rPEG molecule is not polyethylene glycol. The rPEG molecule in some aspects is a polypeptide comprising one or more of glycine, serine, glutamic acid, aspartic acid, alanine, or proline. In some aspects, the rPEG is a homopolymer, e.g., poly-glycine, poly-serine, poly-glutamic acid, poly-aspartic acid, poly-alanine, or poly-proline. In other embodiments, the rPEG comprises two types of amino acids repeated, e.g., poly(Gly-Ser), poly(Gly-Glu), poly(Gly-Ala), poly(Gly- Asp), poly(Gly-Pro), poly(Ser-Glu), etc. In some aspects, the rPEG comprises three different types of amino acids, e.g., poly(Gly-Ser-Glu). In specific aspects, the rPEG increases the half-life of the IGF B16B17 derivative peptide. In some aspects, the rPEG comprises a net positive or net negative charge. The rPEG in some aspects lacks secondary structure. In some embodiments, the rPEG is greater than or equal to 10 amino acids in length, and in some embodiments is about 40 to about 50 amino acids in length. The accessory peptide in some aspects is fused to the N- or C- terminus of the peptide of the invention through a peptide bond or a proteinase cleavage site, or is inserted into the loops of the peptide of the invention. The rPEG in some aspects comprises an affinity tag or is linked to a PEG that is greater than 5 kDa. In some embodiments, the rPEG confers the peptide of the invention with an increased hydrodynamic radius, serum half-life, protease resistance, or solubility and in some aspects confers the peptide with decreased immunogenicity.
In accordance with one embodiment, an IGF B16B17 derivative peptide, or prodrug derivative thereof, is provided wherein a plasma protein has been covalently linked to an amino acid side chain of the peptide to improve the solubility, stability and/or pharmacokinetics of the insulin prodrug analog. For example, serum albumin can be covalently bound to the IGF B16B17 derivative peptide, or prodrug derivative thereof, presented herein. In one embodiment the plasma protein is covalently bound to the N-terminus of the B chain and/or to an amino acid corresponding to position 28 or 29 relative to native insulin (e.g., position 27 of SEQ ID NO: 11).
In accordance with one embodiment, an IGF B16B17 derivative peptide, or prodrug derivative thereof, is provided wherein a linear amino acid sequence representing the Fc portion of an immunoglobin molecule has been covalently linked to an amino acid side chain to improve the solubility, stability and/or
B16B17
pharmacokinetics of the IGF derivative peptide, or prodrug derivative thereof. For example, the amino acid sequence representing the Fc portion of an
immunoglobin molecule can be covalently bound to the amino or carboxy terminus of the A chain, or the amino or carboxy terminus of an A chain that has been terminally extended. The Fc portion is typically one isolated from IgG, but the Fc peptide fragment from any immunoglobin should function equivalently.
B 16B 17
In one specific embodiment, the IGF derivative peptide, or prodrug derivative thereof, is modified to comprise an alkyl or acyl group by direct alkylation or acylation of an amine, hydroxyl, or thiol of a side chain of an amino acid of the
B16B17 B16B 17
IGF derivative peptide prodrug analog. In some embodiments, the IGF derivative peptide prodrug analog is directly acylated through the side chain amine, hydroxyl, or thiol of an amino acid. In some embodiments, acylation is at one or
B 16B 17
more positions of the IGF derivative peptide corresponding to positions A 10, B28 or B29 of native insulin. In some specific embodiments, the direct acylation of the insulin prodrug analog occurs through the side chain amine, hydroxyl, or thiol of an amino acid present in the carboxy terminal amino acids of the B chain. In one
B 16B 17
further embodiment the IGF derivative peptide comprises an acyl group of a carboxylic acid with 1-24 carbon atoms bound to the epsilon-amino group of a Lys present at the corresponding insulin position B28 of SEQ ID NO: 11. In one embodiment a single-chain insulin prodrug analog is provided wherein one of the amino acids of the peptide linker is modified to comprise an acyl group by direct acylation of an amine, hydroxyl, or thiol of a side chain of an amino acid of the peptide linker. In accordance with one embodiment the peptide linker of the single- chain insulin analog is selected from the group consisting of AGRGSG (SEQ ID NO: 40 :. AGLGSG (SEQ ID NO: 41), AGMGSG (SEQ I D NO: 42), ASWGSGK (SEQ ID NO: 43), TGLGSGQ (SEQ ID NO: 44), TGLGRGK (SEQ ID NO: 45), TGLGSG (SEQ 03 NO: 46), BGLYSGK (SEQ ID NO: 47), KG LGSGQ (SEQ ID NO: 48), VGLMSGK (SEQ ID NO: 49), VGLSSGQ (SEQ ID NO: 50), VGLYSGK (SEQ ID NO: 51), VGLSSGK (SEQ ID NO: 52), VGMSSGK (SEQ ID NO: 53). VWSSSGK (SEQ ID NO: 54), VGSSSG (SEQ ID NO: 55), VGMSSGK (SEQ ID NO: 56), TGLGSGR (SEQ ID NO: 57), TGLGKGQ (SEQ ID NO: 58), KGLSSGQ (SEQ ID NO: 59), VKLSSGQ (SEQ ID NO: 60), VGLKSGQ (SEQ ID NO: 61), TGLGKGQ (SEQ ID NO: 62) and VGLSKGQ (SEQ ID NO: 63) wherein at least one lysine residue in the A-chain, in the B-chain or in the connecting peptide has been chemically modified by acylation. In one embodiment the acylating group comprises a 1-5, 10-12 or 12-24 carbon chain.
In accordance with one embodiment the IGF B 16B 17 derivative peptide prodrug analogs as disclosed herein are further modified to link an additional compound to the prodrug dipeptide moiety of the analog. In one embodiment the side chain of an amino acid comprising the dipeptide prodrug element is pegylated, acylated or alkylated. In one embodiment the dipeptide is acylated with a group comprising a 1- 5, 10-12 or 12-24 carbon chain. In one embodiment the dipeptide is pegylated with a 40-80 KDa polyethylene glycol chain. In one embodiment the dipeptide prodrug element is pegylated and the IGF B 16B 17 derivative peptide sequence linked to the dipeptide is acylated, including, for example, acylation at the lysine present at A10 or at the C-terminal lysine of the B chain. In accordance with one embodiment a hydrophilic moiety or a sequestering macromolecule is covalently linked to the R2 side chain of the dipeptide comprising the general structure:
Figure imgf000108_0001
O R4 , wherein R2 is selected from the group consisting of (CrC4 alkyl)OH, (CrC4 alkyl)SH, and (CrC4 alkyl)NH2 wherein the remaining substituents have been defined previously herein. In one embodiment R2 is (C3-C4 alkyl)NH2. Sequestering macromolecules are known to those skilled in the art and include dextrans and large molecular weight polyethylene oxide chains (e.g., greater than or equal to 40-80 KDa). By linking the sequestering
macromolecule to the dipeptide moiety, the prodrug will remain sequestered, while the active IGF B 16B 17 derivative peptide is slowly released based on the kinetics of the cleavage of the dipeptide amide bond.
The present disclosure also encompasses other conjugates in which IGF B 16B 17 derivative peptide prodrug analogs of the invention are linked, optionally via covalent bonding, and optionally via a linker, to a conjugate. Linkage can be accomplished by covalent chemical bonds, physical forces such electrostatic, hydrogen, ionic, van der Waals, or hydrophobic or hydrophilic interactions. A variety of non-covalent coupling systems may be used, including biotin-avidin, ligand/receptor,
enzyme/substrate, nucleic acid/nucleic acid binding protein, lipid/lipid binding protein, cellular adhesion molecule partners; or any binding partners or fragments thereof which have affinity for each other.
Exemplary conjugates include but are not limited to a heterologous peptide or polypeptide (including for example, a plasma protein), a targeting agent, an immunoglobulin or portion thereof (e.g. variable region, CDR, or Fc region), a diagnostic label such as a radioisotope, fluorophore or enzymatic label, a polymer including water soluble polymers, or other therapeutic or diagnostic agents. In one embodiment a conjugate is provided comprising an IGF B16B17 derivative peptide prodrug analog of the present disclosure and a plasma protein, wherein the plasma protein is selected from the group consisting of albumin, transferin and fibrinogen. In one embodiment the plasma protein moiety of the conjugate is albumin or transferin. In some embodiments, the linker comprises a chain of atoms from 1 to about 60, or 1 to 30 atoms or longer, 2 to 5 atoms, 2 to 10 atoms, 5 to 10 atoms, or 10 to 20 atoms long. In some embodiments, the chain atoms are all carbon atoms. In some embodiments, the chain atoms in the backbone of the linker are selected from the group consisting of C, O, N, and S. Chain atoms and linkers may be selected according to their expected solubility (hydrophilicity) so as to provide a more soluble conjugate. In some embodiments, the linker provides a functional group that is subject to cleavage by an enzyme or other catalyst or hydrolytic conditions found in the target tissue or organ or cell. In some embodiments, the length of the linker is long enough to reduce the potential for steric hindrance. If the linker is a covalent bond or a peptidyl bond and the conjugate is a polypeptide, the entire conjugate can be a fusion protein. Such peptidyl linkers may be any length. Exemplary linkers are from about 1 to 50 amino acids in length, 5 to 50, 3 to 5, 5 to 10, 5 to 15, or 10 to 30 amino acids in length. Such fusion proteins may alternatively be produced by recombinant genetic engineering methods known to one of ordinary skill in the art.
Conjugates and fusions
The present disclosure also encompasses other conjugates in which IGFB16B derivative peptides of the invention are linked, optionally via covalent bonding and optionally via a linker, to a conjugate moiety. Linkage can be accomplished by covalent chemical bonds, physical forces such electrostatic, hydrogen, ionic, van der Waals, or hydrophobic or hydrophilic interactions. A variety of non-covalent coupling systems may be used, including biotin-avidin, ligand/receptor,
enzyme/substrate, nucleic acid/nucleic acid binding protein, lipid/lipid binding protein, cellular adhesion molecule partners; or any binding partners or fragments thereof which have affinity for each other.
The peptide can be linked to conjugate moieties via direct covalent linkage by reacting targeted amino acid residues of the peptide with an organic derivatizing agent that is capable of reacting with selected side chains or the N- or C-terminal residues of these targeted amino acids. Reactive groups on the peptide or conjugate include, e.g., an aldehyde, amino, ester, thiol, a-haloacetyl, maleimido or hydrazino group.
Derivatizing agents include, for example, maleimidobenzoyl sulfosuccinimide ester (conjugation through cysteine residues), N-hydroxysuccinimide (through lysine residues), glutaraldehyde, succinic anhydride or other agents known in the art.
Alternatively, the conjugate moieties can be linked to the peptide indirectly through intermediate carriers, such as polysaccharide or polypeptide carriers. Examples of polysaccharide carriers include aminodextran. Examples of suitable polypeptide carriers include polylysine, polyglutamic acid, polyaspartic acid, co-polymers thereof, and mixed polymers of these amino acids and others, e.g., serines, to confer desirable solubility properties on the resultant loaded carrier.
Cysteinyl residues most commonly are reacted with a-haloacetates (and corresponding amines), such as chloroacetic acid or chloroacetamide, to give carboxymethyl or carboxyamidomethyl derivatives. Cysteinyl residues also are derivatized by reaction with bromotrifluoroacetone, alpha-bromo- -(5- imidozoyl)propionic acid, chloroacetyl phosphate, N-alkylmaleimides, 3-nitro-2- pyridyl disulfide, methyl 2-pyridyl disulfide, p-chloromercuribenzoate, 2- chloromercuri-4-nitrophenol, or chloro-7-nitrobenzo-2-oxa- 1 ,3-diazole.
Histidyl residues are derivatized by reaction with diethylpyrocarbonate at pH 5.5-7.0 because this agent is relatively specific for the histidyl side chain. Para- bromophenacyl bromide also is useful; the reaction is preferably performed in 0.1 M sodium cacodylate at pH 6.0. Lysinyl and amino-terminal residues are reacted with succinic or other carboxylic acid anhydrides. Derivatization with these agents has the effect of reversing the charge of the lysinyl residues. Other suitable reagents for derivatizing alpha-amino-containing residues include imidoesters such as methyl picolinimidate, pyridoxal phosphate, pyridoxal, chloroborohydride, trinitrobenzenesulfonic acid, O- methylisourea, 2,4-pentanedione, and transaminase-catalyzed reaction with glyoxylate.
Arginyl residues are modified by reaction with one or several conventional reagents, among them phenylglyoxal, 2,3-butanedione, 1,2-cyclohexanedione, and ninhydrin. Derivatization of arginine residues requires that the reaction be performed in alkaline conditions because of the high pKa of the guanidine functional group. Furthermore, these reagents may react with the groups of lysine as well as the arginine epsilon- amino group.
The specific modification of tyrosyl residues may be made, with particular interest in introducing spectral labels into tyrosyl residues by reaction with aromatic diazonium compounds or tetranitromethane. Most commonly, N-acetylimidizole and tetranitromethane are used to form O-acetyl tyrosyl species and 3-nitro derivatives, respectively.
Carboxyl side groups (aspartyl or glutamyl) are selectively modified by reaction with carbodiimides (R-N=C=N-R'), where R and R' are different alkyl groups, such as l-cyclohexyl-3-(2-morpholinyl-4-ethyl) carbodiimide or l-ethyl-3-(4- azonia-4,4-dimethylpentyl) carbodiimide. Furthermore, aspartyl and glutamyl residues are converted to asparaginyl and glutaminyl residues by reaction with ammonium ions.
Other modifications include hydroxylation of proline and lysine,
phosphorylation of hydroxyl groups of seryl or threonyl residues, methylation of the alpha-amino groups of lysine, arginine, and histidine side chains (T. E. Creighton, Proteins: Structure and Molecular Properties, W.H. Freeman & Co., San Francisco, pp. 79-86 (1983)), deamidation of asparagines or glutamine, acetylation of the N- terminal amine, and/or amidation or esterification of the C-terminal carboxylic acid group. Another type of covalent modification involves chemically or enzymatically coupling glycosides to the peptide. Sugar(s) may be attached to (a) arginine and histidine, (b) free carboxyl groups, (c) free sulfhydryl groups such as those of cysteine, (d) free hydroxyl groups such as those of serine, threonine, or
hydroxyproline, (e) aromatic residues such as those of tyrosine, or tryptophan, or (f) the amide group of glutamine. These methods are described in WO87/05330 published 11 Sep. 1987, and in Aplin and Wriston, CRC Crit. Rev. Biochem., pp. 259-306 (1981).
Exemplary conjugate moieties that can be linked to any of the IGF B16B17 derivative peptides described herein include but are not limited to a heterologous peptide or polypeptide (including for example, a plasma protein), a targeting agent, an immunoglobulin or portion thereof (e.g. variable region, CDR, or Fc region), a diagnostic label such as a radioisotope, fluorophore or enzymatic label, a polymer including water soluble polymers, or other therapeutic or diagnostic agents. In one embodiment a conjugate is provided comprising a IGF B16B17 derivative peptide disclosed herein and a plasma protein, wherein the plasma protein is selected form the group consisting of albumin, transferin, fibrinogen and globulins.
In some embodiments, the linker comprises a chain of atoms from 1 to about 60, or 1 to 30 atoms or longer, 2 to 5 atoms, 2 to 10 atoms, 5 to 10 atoms, or 10 to 20 atoms long. In some embodiments, the chain atoms are all carbon atoms. In some embodiments, the chain atoms in the backbone of the linker are selected from the group consisting of C, O, N, and S. Chain atoms and linkers may be selected according to their expected solubility (hydrophilicity) so as to provide a more soluble conjugate. In some embodiments, the linker provides a functional group that is subject to cleavage by an enzyme or other catalyst or hydrolytic conditions found in the target tissue or organ or cell. In some embodiments, the length of the linker is long enough to reduce the potential for steric hindrance. If the linker is a covalent bond or a peptidyl bond and the conjugate is a polypeptide, the entire conjugate can be a fusion protein. Such peptidyl linkers may be any length. Exemplary linkers are from about 1 to 50 amino acids in length, 5 to 50, 3 to 5, 5 to 10, 5 to 15, or 10 to 30 amino acids in length. Such fusion proteins may alternatively be produced by recombinant genetic engineering methods known to one of ordinary skill in the art.
Ill As noted above, in some embodiments, the IGF derivative peptides are conjugated, e.g., fused to an immunoglobulin or portion thereof (e.g. variable region, CDR, or Fc region). Known types of immunoglobulins (Ig) include IgG, IgA, IgE, IgD or IgM. The Fc region is a C-terminal region of an Ig heavy chain, which is responsible for binding to Fc receptors that carry out activities such as recycling
(which results in prolonged half-life), antibody dependent cell-mediated cytotoxicity (ADCC), and complement dependent cytotoxicity (CDC).
For example, according to some definitions the human IgG heavy chain Fc region stretches from Cys226 to the C-terminus of the heavy chain. The "hinge region" generally extends from Glu216 to Pro230 of human IgGl (hinge regions of other IgG isotypes may be aligned with the IgGl sequence by aligning the cysteines involved in cysteine bonding). The Fc region of an IgG includes two constant domains, CH2 and CH3. The CH2 domain of a human IgG Fc region usually extends from amino acids 231 to amino acid 341. The CH3 domain of a human IgG Fc region usually extends from amino acids 342 to 447. References made to amino acid numbering of immunoglobulins or immunoglobulin fragments, or regions, are all based on Kabat et al. 1991, Sequences of Proteins of Immunological Interest, U.S. Department of Public Health, Bethesda, Md. In a related embodiments, the Fc region may comprise one or more native or modified constant regions from an
immunoglobulin heavy chain, other than CHI, for example, the CH2 and CH3 regions of IgG and IgA, or the CH3 and CH4 regions of IgE.
Suitable conjugate moieties include portions of immunoglobulin sequence that include the FcRn binding site. FcRn, a salvage receptor, is responsible for recycling immunoglobulins and returning them to circulation in blood. The region of the Fc portion of IgG that binds to the FcRn receptor has been described based on X-ray crystallography (Burmeister et al. 1994, Nature 372:379). The major contact area of the Fc with the FcRn is near the junction of the CH2 and CH3 domains. Fc-FcRn contacts are all within a single Ig heavy chain. The major contact sites include amino acid residues 248, 250-257, 272, 285, 288, 290-291, 308-311, and 314 of the CH2 domain and amino acid residues 385-387, 428, and 433-436 of the CH3 domain.
Some conjugate moieties may or may not include FcyR binding site(s). FcyR are responsible for ADCC and CDC. Examples of positions within the Fc region that make a direct contact with FcyR are amino acids 234-239 (lower hinge region), amino acids 265-269 (B/C loop), amino acids 297-299 (C'/E loop), and amino acids 327-332 (F/G) loop (Sondermann et al., Nature 406: 267-273, 2000). The lower hinge region of IgE has also been implicated in the FcRI binding (Henry, et al., Biochemistry 36, 15568-15578, 1997). Residues involved in IgA receptor binding are described in Lewis et al., (J Immunol. 175:6694-701, 2005). Amino acid residues involved in IgE receptor binding are described in Sayers et al. (J Biol Chem. 279(34):35320-5, 2004).
Amino acid modifications may be made to the Fc region of an
immunoglobulin. Such variant Fc regions comprise at least one amino acid modification in the CH3 domain of the Fc region (residues 342-447) and/or at least one amino acid modification in the CH2 domain of the Fc region (residues 231-341). Mutations believed to impart an increased affinity for FcRn include T256A, T307A, E380A, and N434A (Shields et al. 2001, J. Biol. Chem. 276:6591). Other mutations may reduce binding of the Fc region to FcyRI, FcyRIIA, FcyRIIB, and/or FcyRIIIA without significantly reducing affinity for FcRn. For example, substitution of the Asn at position 297 of the Fc region with Ala or another amino acid removes a highly conserved N-glycosylation site and may result in reduced immunogenicity with concomitant prolonged half-life of the Fc region, as well as reduced binding to FcyRs (Routledge et al. 1995, Transplantation 60:847; Friend et al. 1999, Transplantation 68: 1632; Shields et al. 1995, J. Biol. Chem. 276:6591). Amino acid modifications at positions 233-236 of IgGl have been made that reduce binding to FcyRs (Ward and Ghetie 1995, Therapeutic Immunology 2:77 and Armour et al. 1999, Eur. J. Immunol. 29:2613). Some exemplary amino acid substitutions are described in US Patents 7,355,008 and 7,381,408, each incorporated by reference herein in its entirety. Linkage of hydrophilic moieties
In another embodiment the solubility of the insulin analogs disclosed herein are enhanced by the covalent linkage of a hydrophilic moiety to the peptide.
Hydrophilic moieties can be attached to the insulin analogs under any suitable conditions used to react a protein with an activated polymer molecule. Any means known in the art can be used, including via acylation, reductive alkylation, Michael addition, thiol alkylation or other chemo selective conjugation/ligation methods through a reactive group on the PEG moiety (e.g., an aldehyde, amino, ester, thiol, a- haloacetyl, maleimido or hydrazino group) to a reactive group on the target compound (e.g., an aldehyde, amino, ester, thiol, a-haloacetyl, maleimido or hydrazino group). Activating groups which can be used to link the water soluble polymer to one or more proteins include without limitation sulfone, maleimide, sulfhydryl, thiol, triflate, tresylate, azidirine, oxirane and 5-pyridyl. If attached to the peptide by reductive alkylation, the polymer selected should have a single reactive aldehyde so that the degree of polymerization is controlled. See, for example, Kinstler et al., Adv. Drug. Delivery Rev. 54: 477-485 (2002); Roberts et al., Adv. Drug Delivery Rev. 54: 459- 476 (2002); and Zalipsky et al., Adv. Drug Delivery Rev. 16: 157-182 (1995).
Suitable hydrophilic moieties include polyethylene glycol (PEG),
polypropylene glycol, polyoxyethylated polyols (e.g., POG), polyoxyethylated sorbitol, polyoxyethylated glucose, polyoxyethylated glycerol (POG),
polyoxyalkylenes, polyethylene glycol propionaldehyde, copolymers of ethylene glycol/propylene glycol, monomethoxy-polyethylene glycol, mono-(Cl-ClO) alkoxy- or aryloxy-polyethylene glycol, carboxymethylcellulose, polyacetals, polyvinyl alcohol (PVA), polyvinyl pyrrolidone, poly-1, 3-dioxolane, poly-l,3,6-trioxane, ethylene/maleic anhydride copolymer, poly (.beta. -amino acids) (either
homopolymers or random copolymers), poly(n-vinyl pyrrolidone)polyethylene glycol, propropylene glycol homopolymers (PPG) and other polyakylene oxides,
polypropylene oxide/ethylene oxide copolymers, colonic acids or other
polysaccharide polymers, Ficoll or dextran and mixtures thereof.
Acylation and alkylation
In accordance with some embodiments, the IGF B16B17 derivative peptides disclosed herein are modified to comprise an acyl group or alkyl group. Acylation or alkylation can increase the half-life of the IGF B16B17 derivative peptides in circulation. Acylation or alkylation can advantageously delay the onset of action and/or extend the duration of action at the insulin and/or IGF-1 receptors and/or improve resistance to proteases such as DPP-IV and/or improve solubility. IGF B 16B 17 derivative peptides may be acylated or alkylated at the same amino acid position where a hydrophilic moiety is linked, or at a different amino acid position.
In some embodiments, the invention provides a IGF B 16B 17 derivative peptide modified to comprise an acyl group or alkyl group covalently linked to the amino acid at a position corresponding to A10, B28, B29 of native insulin, or at the C-terminus or
N-terminus of the A or B chain. The IGF B16B17 derivative peptide may further comprise a spacer between the IGF B 16B 17 derivative peptide amino acid and the acyl group or alkyl group. In some embodiments, the acyl group is a fatty acid or bile acid, or salt thereof, e.g. a C4 to C30 fatty acid, a C8 to C24 fatty acid, cholic acid, a C4 to C30 alkyl, a C8 to C24 alkyl, or an alkyl comprising a steroid moiety of a bile acid. The spacer is any moiety with suitable reactive groups for attaching acyl or alkyl groups. In exemplary embodiments, the spacer comprises an amino acid, a dipeptide, or a tripeptide, or a hydrophilic bifunctional spacer. In some embodiments, the spacer is selected from the group consisting of: Trp, Glu, Asp, Cys and a spacer comprising NH2(CH2CH20)n(CH2)mCOOH, wherein m is any integer from 1 to 6 and n is any integer from 2 to 12. Such acylated or alkylated IGF B 16B 17 derivative peptides may also further comprise a hydrophilic moiety, optionally a polyethylene glycol. Any of the foregoinglGF B 16B 17 derivative peptides may comprise two acyl groups or two alkyl groups, or a combination thereof.
Acylation can be carried out at any positions within the IGF B 16B 17 derivative peptide, provided that IGF B 16B 17 derivative peptide insulin agonist activity is retained.
The acyl group can be covalently linked directly to an amino acid of the IGF B 16B 17 derivative peptide, or indirectly to an amino acid of the IGF B 16B 17 derivative peptide via a spacer, wherein the spacer is positioned between the amino acid of the IGF B 16B 17 derivative peptide and the acyl group. In a specific aspect of the invention, the
IGF B 16B 17 derivative peptide is modified to comprise an acyl group by direct acylation of an amine, hydroxyl, or thiol of a side chain of an amino acid of the IGF B 16B 17 derivative peptide. In some embodiments, the IGF B 16B 17 derivative peptide is directly acylated through the side chain amine, hydroxyl, or thiol of an amino acid. In some embodiments, acylation is at a position corresponding to A10, B28, B29 of native insulin, or at the C-terminus or N-terminus of the A or B chain. In this regard, the acylated IGF B 16B 17 derivative peptide can comprise the amino acid sequence of SEQ ID NO : 9 and SEQ ID NO: 10, or a modified amino acid sequence thereof comprising one or more of the amino acid modifications described herein, with at least one of the amino acids at a position corresponding to A10, B28, B29 of native insulin, or at the C-terminus or N-terminus of the A or B chain modified to any amino acid comprising a side chain amine, hydroxyl, or thiol. In some specific embodiments, the direct acylation of the IGF derivative peptide occurs through the side chain amine, hydroxyl, or thiol of the amino acid at a position corresponding to A10 or B29 of native insulin.
In some embodiments, the amino acid comprising a side chain amine is an amino acid of Formula VI:
H
H2N C COOH
(CH2)n NH2
wherein n = 1 to 4
[Formula VI]
In some exemplary embodiments, the amino acid of Formula VI, is the amino acid wherein n is 4 (Lys) or n is 3 (Orn).
In other embodiments, the amino acid comprising a side chain hydroxyl is an amino acid of Formula IV:
H
H2N C COOH
(CH2)n OH
wherein n = 1 to 4
[Formula IV]
In some exemplary embodiments, the amino acid of Formula IV is the amino acid wherein n is 1 (Ser).
In yet other embodiments, the amino acid comprising a side chain thiol is an amino acid of Formula V: H
H2N C COOH
(CH2) ',n
SH
wherein n = 1 to 4
[Formula V] In some exemplary embodiments, the amino acid of Formula V is the amino acid wherein n is 1 (Cys).
In some exemplary embodiments, the IGF -B16B17 derivative peptide is modified to comprise an acyl group by acylation of an amine, hydroxyl, or thiol of a spacer, which spacer is attached to a side chain of an amino acid at position A 10, B28 or B29 (according to the amino acid numbering of wild type insulin). The amino acid to which the spacer is attached can be any amino acid comprising a moiety which permits linkage to the spacer. For example, an amino acid comprising a side chain NH2, -OH, or -COOH (e.g., Lys, Orn, Ser, Asp, or Glu) is suitable. In some embodiments, the spacer is an amino acid comprising a side chain amine, hydroxyl, or thiol, or a dipeptide or tripeptide comprising an amino acid comprising a side chain amine, hydroxyl, or thiol.
When acylation occurs through an amine group of a spacer the acylation can occur through the alpha amine of the amino acid or a side chain amine. In the instance in which the alpha amine is acylated, the spacer amino acid can be any amino acid. For example, the spacer amino acid can be a hydrophobic amino acid, e.g., Gly, Ala, Val, Leu, He, Trp, Met, Phe, Tyr. Alternatively, the spacer amino acid can be an acidic residue, e.g., Asp and Glu. In the instance in which the side chain amine of the spacer amino acid is acylated, the spacer amino acid is an amino acid comprising a side chain amine, e.g., an amino acid of Formula IV (e.g., Lys or Orn). In this instance, it is possible for both the alpha amine and the side chain amine of the spacer amino acid to be acylated, such that the IGF B 16B 17 derivative peptide is diacylated.
The present disclosure further contemplates diacylated IGF B 16B 17 derivative peptides. When acylation occurs through a hydroxyl group of a spacer, the amino acid or one of the amino acids of the dipeptide or tripeptide can be an amino acid of Formula V. In a specific exemplary embodiment, the amino acid is Ser.
When acylation occurs through a thiol group of a spacer, the amino acid or one of the amino acids of the dipeptide or tripeptide can be an amino acid of Formula V. In a specific exemplary embodiment, the amino acid is Cys.
In one embodiment, the spacer comprises a hydrophilic bifunctional spacer. In a specific embodiment, the spacer comprises an amino poly(alkyloxy)carboxylate. In this regard, the spacer can comprise, for example, NH2(CH2CH20)n(CH2)mCOOH, wherein m is any integer from 1 to 6 and n is any integer from 2 to 12, such as, e.g., 8- amino-3,6-dioxaoctanoic acid, which is commercially available from Peptides International, Inc. (Louisville, KY).
Suitable methods of peptide acylation via amines, hydroxyls, and thiols are known in the art. See, for example, Miller, Biochem Biophys Res Commun 218: 377- 382 (1996); Shimohigashi and Stammer, Int J Pept Protein Res 19: 54-62 (1982); and Previero et al., Biochim Biophys Acta 263: 7-13 (1972) (for methods of acylating through a hydroxyl); and San and Silvius, J Pept Res 66: 169-180 (2005) (for methods of acylating through a thiol); Bioconjugate Chem. "Chemical Modifications of Proteins: History and Applications" pages 1, 2-12 (1990); Hashimoto et al.,
Pharmacuetical Res. "Synthesis of Palmitoyl Derivatives of Insulin and their
Biological Activity" Vol. 6, No: 2 pp.171-176 (1989)..
The acyl group of the acylated IGF B 16B 17 derivative peptide can be of any size, e.g., any length carbon chain, and can be linear or branched. In some specific embodiments of the invention, the acyl group is a C4 to C30 fatty acid. For example, the acyl group can be any of a C4 fatty acid, C6 fatty acid, C8 fatty acid, CIO fatty acid, C12 fatty acid, C14 fatty acid, C16 fatty acid, CI 8 fatty acid, C20 fatty acid, C22 fatty acid, C24 fatty acid, C26 fatty acid, C28 fatty acid, or a C30 fatty acid. In some embodiments, the acyl group is a C8 to C20 fatty acid, e.g., a C14 fatty acid or a C 16 fatty acid.
In an alternative embodiment, the acyl group is a bile acid. The bile acid can be any suitable bile acid, including, but not limited to, cholic acid, chenodeoxycholic acid, deoxycholic acid, lithocholic acid, taurocholic acid, glycocholic acid, and cholesterol acid. In a specific embodiment, the IGF derivative peptide comprises a cholesterol acid, which is linked to a Lys residue of the IGF B 16B 17 derivative peptide through an alkylated des-amino Cys spacer, i.e., an alkylated 3-mercaptopropionic acid spacer. The alkylated des-amino Cys spacer can be, for example, a des-amino- Cys spacer comprising a dodecaethylene glycol moiety. In one embodiment, the
IGF B 16B 17 derivative peptide comprises the structure:
Figure imgf000120_0001
The acylated IGF derivative peptides described herein can be further modified to comprise a hydrophilic moiety. In some specific embodiments the hydrophilic moiety can comprise a polyethylene glycol (PEG) chain. The incorporation of a hydrophilic moiety can be accomplished through any suitable means, such as any of the methods described herein.
Alternatively, the acylated IGF B16B17 derivative peptide can comprise a spacer, wherein the spacer is both acylated and modified to comprise the hydrophilic moiety. Nonlimiting examples of suitable spacers include a spacer comprising one or more amino acids selected from the group consisting of Cys, Lys, Orn, homo-Cys, and Ac- Phe.
In accordance with one embodiment, the IGF B 16B 17 derivative peptide is modified to comprise an alkyl group which is attached to the IGF B 16B 17 derivative peptide via an ester, ether, thioether, amide, or alkyl amine linkage for purposes of prolonging half-life in circulation and/or delaying the onset of and/or extending the duration of action and/or improving resistance to proteases such as DPP-IV.
The alkyl group of the alkylated IGF B 16B 17 derivative peptide can be of any size, e.g., any length carbon chain, and can be linear or branched. In some
embodiments of the invention, the alkyl group is a CI to C30 alkyl. For example, the alkyl group can be any of a CI alkyl, C2 alkyl, C3 alkyl, C4 alkyl, C6 alkyl, C8 alkyl, CIO alkyl, C12 alkyl, C14 alkyl, C16 alkyl, C18 alkyl, C20 alkyl, C22 alkyl, C24 alkyl, C26 alkyl, C28 alkyl, or a C30 alkyl. In some embodiments, the alkyl group is a C8 to C20 alkyl, e.g., a C14 alkyl or a C16 alkyl.
In some specific embodiments, the alkyl group comprises a steroid moiety of a bile acid, e.g., cholic acid, chenodeoxycholic acid, deoxycholic acid, lithocholic acid, taurocholic acid, glycocholic acid, and cholesterol acid.
In accordance with some embodiments the dipeptide prodrug element can be further modified to comprise a hydrophilic moiety. In some embodiments the hydrophilic moiety is a polyethylene glycol chain. In accordance with some embodiments a polyethylene glycol chain of 40k or higher is covalently bound to the side chain of the A or B amino acid of the dipeptide prodrug element. In another embodiment the dipeptide prodrug element is additionally or alternatively acylated or alkylated with a fatty acid or bile acid, or salt thereof, e.g. a C4 to C30 fatty acid, a C8 to C24 fatty acid, cholic acid, a C4 to C30 alkyl, a C8 to C24 alkyl, or an alkyl comprising a steroid moiety of a bile acid. The 'A' amino acid of the dipeptide prodrug element can include, for example, d-lysine covalently bound to an acyl or alkyl group through its side chain amino group, or d-cysteine covalently bound to a PEG molecule through its side chain sulfhydryl group. The dipeptide prodrug element can be directly bound to the hydrophilic moiety, acyl group, or alkyl group, or bound to the hydrophilic moiety, acyl group, or alkyl group through a spacer, as described herein. Alternatively, the dipeptide prodrug element can be linked to a depot protein such as dextran or a large PEG molecule (greater or equal to 80,000 daltons) that serves to sequester the prodrug at an injection site until cleavage of the dipeptide releases the active insulin analog (Q).
Effect of Dipeptide Prodrug Element Structure on Cleavage Rate
As previously described herein, the rate of cleavage of the dipeptide prodrug element A-B from the insulin analog (Q), and thus activation of the prodrug, depends on the structure (including N-alkylation, number of substituents, length or bulkiness), and stereochemistry of the amino acids of the dipeptide prodrug element. The rate of cleavage of the dipeptide prodrug element A-B from the insulin analog (Q) also depends on the steric hindrance, nucleophilicity, and stability of the leaving group of Q during diketopiperazine formation. Some of these structural features are described in Category I, Category II, and Category III below, which form part of the invention. Explicitly excluded from any of these categories are peptide sequences disclosed in Int'l Application No. PCT/US2009/68745, filed December 18, 2009 or its sequence listing, and sub-categories of (1) dipeptide prodrug elements, (2) A amino acids, and/or (3) B amino acids disclosed in Int'l Application No. PCT/US2009/68745, filed December 18, 2009, to the extent they fall completely within and/or overlap with a portion of any of the sub-categories described herein, and only to the extent necessary to confer novelty on claimed subject matter. Category I: Composition of Amino Acid B of the Dipeptide Prodrug Element
In some embodiments, the half-life of the prodrug, e.g., the chemical cleavage half-life (t^) of A-B from Q of at least about 1 hour to about 1 week in PBS, under physiological conditions, is dependent on the presence and length of the N-alkyl substituent on the B amino acid. For example, a prodrug that has a shorter N-alkyl substituent on the B amino acid (e.g. Gly(N-methyl)), will undergo a slower rate of cleavage of A-B, and have a longer half-life, than a prodrug that has a longer N-alkyl substituent on the B amino acid (e.g., Gly(N-hexyl)). In some embodiments, the half-life of the prodrug is dependent on the presence or absence of an alkyl side chain, and the degree of substitution at the beta position of the alkyl side chain, of the B amino acid of the dipeptide prodrug element. For example, a prodrug that has an N-alkylated B amino acid that is disubstituted at the beta position (e.g., N-alkylated isoleucine) will undergo slower cleavage of A-B, and have a longer half-life, than a prodrug that has an N-alkylated B amino acid that is monosubstituted at the beta position (e.g., N-alkylated leucine). Further, a prodrug that has an N-alkylated B amino acid that is monosubstituted at the beta position (e.g., N-alkylated leucine) will undergo slower cleavage of A-B, and have a longer half-life, than a prodrug that has an N-alkylated B amino acid that is unsubstituted at the beta position (e.g., N-alkylated alanine). Further still, a prodrug with an N-alkylated B amino acid that has an unsubstituted beta position (e.g., N-alkylated alanine) will undergo slower cleavage of A-B, and have a longer half-life, than a prodrug that has glycine or N-alkylated glycine as the B amino acid.
In some embodiments, the half-life of the prodrug is dependent on the bulkiness of the side chain of the B amino acid. For example, a prodrug that has a bulkier side chain on the B amino acid (e.g., N-alkylated phenylalanine), will undergo slower cleavage of A-B, and have a longer half-life, than a prodrug that has a less bulky side chain on the B amino acid (e.g., N-alkylated alanine). Cleavage rates of dipeptides can be further differentiated by the amine of the drug (e.g., insulin) to which they are attached. More particularly the same dipeptide will cleave at a faster rate when linked to an aromatic amine relative to an N-terminal amine, where the dipeptide linked to an N-terminal amine will cleave at a faster rate relative to when the dipeptide is linked to the side chain amine of a lysine residue.
The composition of the B amino acid of the dipeptide prodrug element can be classified into the below sub-categories IA, IB, and IC. Generally, the dipeptide prodrug elements in sub-category IA undergo cleavage the fastest and the dipeptide prodrug elements in sub-category IC undergo cleavage the slowest.
Sub-Category IA: Amino Acid B of the Dipeptide Prodrug Element is N- Alkylated Glycine
In some embodiments, the prodrug comprises the structure:
A-B-Q; wherein Q is a bioactive peptide (e.g., an insulin peptide);
wherein A-B comprises the structure:
Figure imgf000124_0001
wherein
Ri and R2 are independently selected from the group consisting of H, Ci-C^ alkyl, C2-C18 alkenyl, (Ci-C18 alkyl)OH, (Ci-C18 alkyl)SH, (C2-C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4 alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6- C10 aryl)R7, (C1-C4 alkyl)(C3-C9 heteroaryl), and C1-C12 alkyl(Wi)Ci-Ci2 alkyl, wherein Wi is a heteroatom selected from the group consisting of N, S and O, or Ri and R2 together with the atoms to which they are attached form a C3-Ci2 cycloalkyl;
R3 is C1-C18 alkyl;
Figure imgf000124_0002
R5 is NHR6;
R6 is H or Q-C4 alkyl, or R5 and R2 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring; and,
R7 is selected from the group consisting of H and OH.
In some embodiments, the B amino acid is selected from the group consisting of glycine(N-methyl), glycine(N-ethyl), glycine(N-propyl), glycine(N-butyl), glycine (N-pentyl), glycine(N-hexyl), glycine(N-heptyl), and glycine(N-octyl). For example, the B amino acid can be glycine(N-methyl) or glycine(N-hexyl).
In some embodiments when Ri and R2 are both hydrogen, R3 is C1-C4 alkyl. In some embodiments when one of Ri or R2 is other than hydrogen, R is C1-C4 alkyl.
Sub-Category IB: Amino Acid B of the Dipeptide Prodrug Element is
Unsubstituted or Monosubstituted at the Beta Position
In some embodiments, the prodrug comprises the structure: A-B-Q;
wherein Q is a bioactive peptide (e.g., an insulin peptide);
wherein A-B comprises the structure:
Figure imgf000125_0001
wherein
Ri and R2 are independently selected from the group consisting of H, C C^ alkyl, C2-Ci8 alkenyl, (Ci-Ci8 alkyl)OH, (Ci-Ci8 alkyl)SH, (C2-C3 alkyl)SCH3, (C C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (CrC4 alkyl)(C3-C9 heteroaryl), and Cr C12 alkylC Ci-Cn alkyl, wherein W is a heteroatom selected from the group consisting of N, S and O, or Ri and R2 together with the atoms to which they are attached form a C3-C12 cycloalkyl;
R3 is C1-C18 alkyl;
R4 is selected from the group consisting of CH , CH2(C1-C1o alkyl), CH2(C2- C10 alkenyl), CH2(C0-Ci0 alkyl)OH, CH2(C0-Ci0 alkyl)SH, CH2(C0-C3 alkyl)SCH3, CH2(Co-C3 alkyl)CONH2, CH2(C0-C3 alkyl)COOH, CH2(C0-C3 alkyl)NH2, CH2(C0- C3 alkyl)NHC(NH2 +)NH2, CH2(C0-C3 alkyl)(C3-C6 cycloalkyl), CH2(C0-C3 alkyl)(C2-C5 heterocyclic), CH2(C0-C3 alkyl)(C6-Ci0 aryl)R7, CH2(Ci-C3 alkyl)(C3- C9 heteroaryl), and CH2(Co-C12 alkylXW Q-Cn alkyl, wherein W is a heteroatom selected from the group consisting of N, S and O; or R4 and R3 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
R8 is H,
R5 is NHR6, or R5 and R2 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
R6 is H or CrC4 alkyl; and, R7 is selected from the group consisting of H and OH.
In some embodiments, R4 is selected from the group consisting of CH CH2(Ci-C4 alkyl), CH2(Ci-C4) alkenyl, CH2(C0-C4 alkyl)OH, CH2(C0-C4 alkyl)SH, CH2(Co-C3 alkyl)SCH3, CH2(C0-C3 alkyl)CONH2, CH2(C0-C3 alkyl)COOH, CH2(Co-C4 alkyl)NH2, and CH2(C0-C3 alkyl)NHC(NH2 +)NH2.
Nonlimiting examples of the B amino acid in these embodiments include alanineiN-Ci-Cioalkyl), leucineiN-CrCioalkyl), methionineiN-CrCioalkyl), asparagineiN-Ci-Cioalkyl), glutamic acidiN-C Cioalkyl), aspartic acid(N-Cr C10alkyl), glutamineiN-CrCioalkyl), histidineiN-CrCioalkyl), lysineiN-Cr Cioalkyl), arginineiN-Ci-Cioalkyl), serineiN-Ci-Cioalkyl), and cysteineiN-Cr Cioalkyl).
In some embodiments, the B amino acid is selected from the group consisting of alanineiN-Ci-Cealkyl), leucineiN-Q-Cealkyl), methionineiN-CrCealkyl), asparagineiN-Ci-Cealkyl), glutamic acidiN-Ci-Cealkyl), aspartic acid(N-Ci- C6alkyl), glutamineCN-CrCealkyl), histidineiN-CrCealkyl), lysineiN-CrCealkyl), arginineiN-Ci-Cealkyl), serineiN-CrCealkyl), and cysteineiN-CrCealkyl).
For example, the B amino acid can include alanine(N-methyl), leucine(N- methyl), methionine(N-methyl), asparagine(N-methyl), glutamic acid(N-methyl), aspartic acid(N-methyl), glutamine(N-methyl), histidine(N-methyl), lysine(N- methyl), arginine(N-methyl), serine(N-methyl), and cysteine(N-methyl).
In some embodiments, R4 is selected from the group consisting of CH2(Co-C3 alkyl)(C3-C6 cycloalkyl), CH2(C0-C3 alkyl)(C2-C5 heterocyclic), CH2(C0-C3 alk l)(C6-Cio aryl)R7, CH2(Ci-C3 alkyl)(C3-C9 heteroaryl), and CH2(C0-C12 alkylXW C Cn alkyl, wherein Wi is a heteroatom selected from the group consisting of N, S and O, and wherein R7 is selected from the group consisting of H and OH.
Nonlimiting examples of the B amino acid in these embodiments include phenylalanineiN-Ci-Cioalkyl), tyrosineiN-CrCioalkyl), and tryptophan(N-Ci- Cioalkyl). In some embodiments, the B amino acid is selected from the group consisting of phenylalanine(N-Ci-C6alkyl), tyrosineiN-Ci-Cealkyl), and
tryptophaniN-Ci-Cealkyl). For example, the B amino acid can include
phenylalanine(N-methyl), tyrosine(N-methyl), and tryptophan(N-methyl).
In some embodiments, the B amino acid is proline. In some embodiments, proline is excluded from Sub-Category IB.
Sub-Category IC: Amino Acid B of the Dipeptide Prodrug Element
Disubstituted at the Beta Position
In some embodiments, the prodrug comprises the structure:
A-B-Q; wherein Q is a bioactive peptide (e.g., an insulin peptide); wherein A-B comprises the structure:
Figure imgf000127_0001
wherein
Ri and R2 are independently selected from the group consisting of H, Ci-C^ alkyl, C2-Ci8 alkenyl, (Ci-Ci8 alkyl)OH, (Ci-Ci8 alkyl)SH, (C2-C3 alkyl)SCH3, (C C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (CrC4 alkyl)(C3-C9 heteroaryl), and Cr C12 alkyl(Wi)Ci-C12 alkyl, wherein Wi is a heteroatom selected from the group consisting of N, S and O, or Ri and R2 together with the atoms to which they are attached form a C3-Ci2 cycloalkyl; or Ri and R2 together with the atoms to which they are attached form a C3-Ci2 cycloalkyl;
R3 is C1-C18 alkyl; R4 is independently selected from the group consisting of CHiC Cg alkyl)2, CH (C2-C8 alkenyl)2, CH(Ci-C8 alkyl)(OH), CH(Ci-C8 alkyl)((Ci-C8 alkyl)SH), CH(Ci-C3 alkyl)((Ci-C8 alkyl)(NH2));
R8 is H; R5 is NHR6j or R5 and R2 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
R6 is H or CrC4 alkyl; and,
R7 is selected from the group consisting of H and OH.
In some embodiments, R4 is CH(CrC8 alkyl)2 or CH(CrC8 alkyl)OH.
Nonlimiting examples of the B amino acid include isoleucineiN-Ci-Cioalkyl), valineiN-Ci-Cioalkyl), and threonineiN-CrCioalkyl). In some embodiments, the B amino acid is selected from the group consisting of isoleucineiN-CrCealkyl), valineiN-Ci-Cealkyl), and threonineiN-Ci-Cealkyl). For example, the B amino acid can include isoleucine(N-methyl), valine(N-methyl), and threonine(N-methyl).
Category II: Composition of Amino Acid A of the Dipeptide Prodrug Element
In some embodiments, the half-life of the prodrug is dependent on the number of substituents at the alpha position of the A amino acid. For example, a prodrug comprising an A amino acid that is an a-monosubstituted amino acid (e.g., Ala) will undergo cleavage more slowly, and have a longer half-life than, a prodrug comprising an A amino acid that is an α,α-disubstituted amino acid (e.g., Aib).
In some embodiments, the half-life of the prodrug is dependent on the degree of alkylation on the alpha amino group of the A amino acid. Generally, the greater the degree of alkylation, the slower the rate of cleavage and the longer the half-life of the prodrug. For example, a dipeptide prodrug element having N-alkylated Ala will cleave at a slower rate, and have a longer half-life, than Ala.
The composition of the A amino acid of the dipeptide prodrug element can be classified into the below sub-categories IIA and IIB. Generally, the dipeptide prodrug elements in sub-category IIA cleave faster than dipeptide prodrug elements in sub- category IIB. Sub-Category IIA: Amino Acid A of the Dipeptide Prodrug Element is Disubstituted at the Alpha Position
In some embodiments, the A amino acid of the dipeptide prodrug element is disubstituted at the alpha position. In these embodiments, Ri and R2 of the structures described in sub-categories IA, IB, and IC are independently selected from the group consisting of C1-C10 alkyl, C2-Ci0 alkenyl, (C1-C10 alkyl)OH, (C1-C10 alkyl)SH, (C2- C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4 alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (Q-C4 alkyl)(C3-C9 heteroaryl), and Q- C12 alkyl(Wi)Ci-Ci2 alkyl, wherein Wi is a heteroatom selected from the group consisting of N, S and O, or Ri and R2 together with the atoms to which they are attached form a C3-C12 cycloalkyl, and wherein R7 is selected from the group consisting of H and OH.
For example, the A amino acid can include aminoisobutyric acid (Aib).
Sub-Category IIB: Amino Acid A of the Dipeptide Prodrug Element is
Unsubstituted or Monosubstituted at the Alpha Position
In some embodiments, the A amino acid of the dipeptide prodrug element is unsubstituted or monosubstituted at the alpha position. In these embodiments, Ri of the structures described in sub-categories IA, IB, and IC is H, and R2 of the structures described in sub-categories IA, IB, and IC is selected from the group consisting of H, C1-C10 alkyl, C2-Ci0 alkenyl, (C1-C10 alkyl)OH, (C1-C10 alkyl)SH, (C2-C3 alkyl)SCH3, (C1-C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (Ci-C4 alkyl)(C3-C9 heteroaryl), and Cr C12 alkyl(Wi)Ci-C12 alkyl, wherein R7 is selected from the group consisting of H and OH, wherein Wi is a heteroatom selected from the group consisting of N, S and O, or Ri and R2 together with the atoms to which they are attached form a C3-Ci2 cycloalkyl, or R2 and R5 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring.
In some embodiments, the A amino acid of the dipeptide prodrug element has
'd' stereochemistry. Nonlimiting examples of the A amino acid in these embodiments include lysine, cysteine, and alanine. For example, d-lysine, d-cysteine, and d- alanine. In some embodiments, d-stereochemistry may enhance half-life through reducing proteolytic degradation of the prodrug peptide.
In some embodiments, the A amino acid is N-alkylated with a group that has 1 to 4 carbon atoms such as Ala(N-C1-C4alkyl), Lys(N-Ci-C4alkyl), and Cys(N-Cr C4alkyl). For example, the A amino acid can be Ala(N-methyl), Lys(N-methyl), and Cys(N-methyl). N-alkylation of the A amino acid decreases the rate of cleavage of the dipeptide prodrug element from Q and provides a longer half-life.
Category III: Conjugation Site of the Dipeptide Prodrug Element (A-B) to the Insulin Analog (Q)
In some embodiments, the half-life of the prodrug depends on the steric hindrance, nucleophilicity, and stability of the leaving group on Q during
diketopiperazine formation. The less sterically hindered the leaving group, the less nucleophilic the leaving group, or the more stable the leaving group after cleavage, the shorter the half life of the prodrug. The type of leaving group on Q can be determined by the type of the linkage between A-B and an amino group of Q, as described in sub-categories IIIA and IIIB below. Generally, dipeptide prodrug elements in sub-category IIIB cleave faster from Q and have a shorter half-life than dipeptide prodrug elements in subcategory IIIA.
Sub-Category IIIA: A-B Linked to an Aliphatic Amino Group of Q
In some embodiments, A-B is linked to Q through an amide bond between A- B and an aliphatic amino group of Q to result in a prodrug with a chemical cleavage half-life (ti/2) of A-B from Q of at least about 1 hour to about 1 week in PBS, under physiological conditions, as previously described herein.
In some embodiments, A-B is linked to Q through an amide bond between A-
B and the alpha amino group of the N-terminal amino acid of Q. For example, a dipeptide prodrug element having a B amino acid from any of sub-categories IA, IB, and IC and an A amino acid from any of sub-categories IIA and IIB can be linked to the N-terminal amino acid of Q to result in a prodrug with a chemical cleavage half- life (t1/2) of A-B from Q of at least about 1 hour to about 1 week in PBS, under physiological conditions. In some embodiments, A-B is linked to Q through an amide bond between A- B and an aliphatic amino group on a side chain of an amino acid of Q. For example, a dipeptide prodrug element having a B amino acid from any of sub-categories IA, IB, and IC and an A amino acid from any of sub-categories IIA and IIB can be linked to an aliphatic amino group of a side chain of an amino acid of Q to result in a prodrug with a chemical cleavage half-life (t1/2) of A-B from Q of at least about 1 hour to about 1 week in PBS, under physiological conditions.
In some embodiments, when A-B is linked to Q through an amide bond between A-B and an aliphatic amino group of Q, either A should be an α,α- disubstituted amino acid (Sub-category IIA) or B should be N-alkylated (any of Subcategories IA, IB or IC) , or both. For example, when A is an a-monosubstituted amino acid (e.g., Ala), B is not N-alkylated, and A-B is attached to Q through an aliphatic amino group of Q, then there will not be significant cleavage of A-B.
In other embodiments, when A-B is linked to Q through an amide bond between A-B and an aliphatic amino group of Q, and A is an amino acid that is unsubstituted at the alpha position (e.g. glycine) and B is an amino acid from Subcategory IA (N-alkylated glycine), the N-alkyl substitutent of the B amino acid has a length of at least five carbon atoms (for example, N-Cs-Cgalkyl).
In yet other embodiments, when A-B is linked to Q through an amide bond between A-B and an aliphatic amino group of Q, and the A amino acid is
unsubstituted or monosubstituted at the alpha position (Sub-category IIB), the B amino acid is not proline.
Sub-Category IIIB: A-B Linked to an Aromatic Amino Group of Q
In some embodiments, A-B is linked to Q through an amide bond between A- B and an aromatic amino group of a side chain of an amino acid of Q to result in a prodrug with a chemical cleavage half-life (t1/2) of A-B from Q of at least about 1 hour to about 1 week in PBS, under physiological conditions, as previously described herein. For example, a dipeptide prodrug element having a B amino acid from any of sub-categories IA, IB, and IC and an A amino acid from any of sub-categories IIA and IIB can be linked to an aromatic amino group of a side chain of an amino acid of Q to result in a prodrug with a chemical cleavage half-life (t1/2) of A-B from Q of at least about 1 hour to about 1 week in PBS, under physiological conditions.
Any of the B amino acids defined by Category I can be combined with any of the A amino acids defined by Category II to form a dipeptide prodrug element. This dipeptide prodrug element can be linked to any of the positions described in Category III. The half life of the prodrug can be tuned through the selection of:
(i) the number of substituents on the alpha position of the A amino acid;
(ii) the degree of N-alkylation of the A and the B amino acids;
(iii) the number of substituents on the beta position of the B amino acid;
(iv) the bulkiness of the side chain of the B amino acid; and,
(iii) the steric hindrance, nucleophilicity, and stability of the leaving group on Q during diketopiperazine formation.
Modification of Dipeptide Prodrug Element A-B
The dipeptide prodrug elements described above can be further modified to comprise a hydrophilic moiety, an acyl group, or an alkyl group, as previously described herein. In some embodiments, the dipeptide prodrug element includes lysine that is conjugated to an acyl group or an alkyl group through its side chain amino group. In some embodiments, the dipeptide prodrug element includes cysteine that is conjugated to a hydrophilic moiety (e.g., 40 kD PEG) through the side chain sulfhydryl group. The hydrophilic moiety, acyl group, or alkyl group can be conjugated directly to the dipeptide prodrug element or through a spacer. In some exemplary embodiments, the hydrophilic group, the alkyl group and/or the acyl group are conjugated to the A amino acid of the dipeptide prodrug element.
In some embodiments, the following dipeptide prodrug elements are
PEGylated: dCys-Gly(N-Hexyl) dCys-Gly(N-Methyl), and dCys-Phe(N-Methyl). In some embodiments, the following dipeptide prodrug elements include an acyl group: dLys-Gly(N-Hexyl), dLys-Gly(N-Methyl), and dLys-Phe(N-Methyl). In some embodiments, the following dipeptide prodrug elements include an alkyl group: dLys-Gly(N-Hexyl), dLys-Gly(N-Methyl), and dLys-Phe(N-Methyl).
Exemplary Embodiments The dipeptide prodrug element of the invention can include combinations of any of the B amino acids from Category I with any of the A amino acids from Category II. Nonlimiting examples of amino acids suitable for the A amino acid and for the B amino acid of the dipeptide prodrug element are listed in the below Table.
Figure imgf000133_0001
41 Gly(N-methyl) Ala(N-methyl)
42 Ala(N-methyl) Leu(N-methyl)
43 Leu(N-methyl) Met(N-methyl)
44 Met(N-methyl) Asn(N-methyl)
45 Asn(N-methyl) Glu(N-methyl)
46 Glu(N-methyl) Asp(N-methyl)
47 Asp(N-methyl) Gln(N-methyl)
48 Gln(N-methyl) His(N-methyl)
49 His(N-methyl) Lys(N-methyl)
50 Lys(N-methyl) Arg(N-methyl)
51 Arg(N-methyl) Ser(N-methyl)
52 Ser(N-methyl) Cys(N-methyl)
53 Cys(N-methyl) Phe(N-methyl)
54 Phe(N-methyl) Tyr(N-methyl)
55 Tyr(N-methyl) Trp(N-methyl)
56 Trp(N-methyl) Ile(N-methyl)
57 Ile(N-methyl) Val(N-methyl)
58 Val(N-methyl) Thr(N-methyl)
59 Thr(N-methyl) d-Ala(N-methyl)
60 d-Ala(N-methyl) d-Leu(N-methyl)
61 d-Leu(N-methyl) d-Met(N-methyl)
62 d-Met(N-methyl) d-Asn(N-methyl)
63 d-Asn(N-methyl) d-Glu(N-methyl)
64 d-Glu(N-methyl) d-Asp(N-methyl)
65 d-Asp(N-methyl) d-Gln(N-methyl)
66 d-Gln(N-methyl) d-His(N-methyl)
67 d-His(N-methyl) d-Lys(N-methyl)
68 d-Lys(N-methyl) d-Arg(N-methyl)
69 d-Arg(N-methyl) d-Ser(N-methyl)
70 d-Ser(N-methyl) d-Cys(N-methyl)
71 d-Cys(N-methyl) d-Phe(N-methyl)
72 d-Phe(N-methyl) d-Tyr(N-methyl)
73 d-Tyr(N-methyl) d-Trp(N-methyl)
74 d-Trp(N-methyl) d-Ile(N-methyl)
75 d-ne(N-methyl) d-Val(N-methyl)
76 d-Val(N-methyl) d-Thr(N-methyl)
77 d-Thr(N-methyl) Gly(N-hexyl)
78 Ala(N-hexyl)
79 Leu(N-hexyl)
80 Met(N-hexyl)
81 Asn(N-hexyl)
82 Glu(N-hexyl)
83 Asp(N-hexyl)
84 Gln(N-hexyl)
85 His(N-hexyl)
86 Lys(N-hexyl)
87 Arg(N-hexyl) 88 Ser(N-hexyl)
89 Cys(N-hexyl)
90 Phe(N-hexyl)
91 Tyr(N-hexyl)
92 Trp(N-hexyl)
93 Ile(N-hexyl)
94 Val(N-hexyl)
95 Thr(N-hexyl)
96 d-Ala(N-hexyl)
97 d-Leu(N-hexyl)
98 d-Met(N-hexyl)
99 d-Asn(N-hexyl)
100 d-Glu(N-hexyl)
101 d-Asp(N-hexyl)
102 d-Gln(N-hexyl)
103 d-His(N-hexyl)
104 d-Lys(N-hexyl)
105 d-Arg(N-hexyl)
106 d-Ser(N-hexyl)
107 d-Cys(N-hexyl)
108 d-Phe(N-hexyl)
109 d-Tyr(N-hexyl)
110 d-Trp(N-hexyl)
111 d-Ile(N-hexyl)
112 d-Val(N-hexyl)
113 d-Thr(N-hexyl)
In some embodiments, the dipeptide prodrug element includes the
combination of any one of A1-A77 with any one of Bl-Bl 13. For example, combinations of the A amino acid and the B amino acid of the dipeptide prodrug element can include: Al-Bl; A1-B2; A1-B3; A1-B4; A1-B5; A1-B6; A1-B7; A1-B8; A1-B9; A1-B10; Al-Bl l ; A1-B12; A1-B13; A1-B14; A1-B15; A1-B16; A1-B17; A1-B18; A1-B19; A1-B20; A1-B21; A1-B22; A1-B23; A1-B24; A1-B25; A1-B26; A1-B27; A1-B28; A1-B29; A1-B30; A1-B31; A1-B32; A1-B33; A1-B34; A1-B35; A1-B36; A1-B37; A1-B38; A1-B39; A1-B40; A1-B41; A1-B42; A1-B43; A1-B44; A1-B45; A1-B46; A1-B47; A1-B48; A1-B49; A1-B50; A1-B51; A1-B52; A1-B53; A1-B54; A1-B55; A1-B56; A1-B57; A1-B58; A1-B59; A1-B60; A1-B61; A1-B62; A1-B63; A1-B64; A1-B65; A1-B66; A1-B67; A1-B68; A1-B69; A1-B70; A1-B71; A1-B72; A1-B73; A1-B74; A1-B75; A1-B76; A1-B77; A1-B78; A1-B79; A1-B80; A1-B81; A1-B82; A1-B83; A1-B84; A1-B85; A1-B86; A1-B87; A1-B88; A1-B89; A1-B90; A1-B91; A1-B92; A1-B93; A1-B94; A1-B95; A1-B96; A1-B97; A1-B98; A1-B99; A1-B100; A1-B 101; A1-B102; A1-B103; A1-B104; A1-B105; A1-B106; A1-B107; A1-B108; A1-B109; A1-B110; Al-Bl l l; A1-B112; A1-B113;
In some embodiments, the dipeptide prodrug element includes the
combination of any one of A 1 -A 154 with any one of B 1-B113. For example, combinations of the A amino acid and the B amino acid of the dipeptide prodrug element can include: Al-Bl; A1-B2; A1-B3; A1-B4; A1-B5; A1-B6; A1-B7; A1-B8; A1-B9; A1-B10; Al-Bl l ; A1-B12; A1-B13; A1-B14; A1-B 15; A1-B16; A1-B17;
Al -B18; Al -B19; Al -B20; Al -B21; A1-B22; Al -B23; Al -B24; Al -B25; Al -B26;
Al -B27; Al -B28; Al -B29; Al -B30; A1-B31; Al -B32; Al -B33; Al -B34; Al -B35;
Al -B36; Al -B37; Al -B38; Al -B39; A1-B40; Al -B41; Al -B42; Al -B43; Al -B44;
Al -B45; Al -B46; Al -B47; Al -B48; A1-B49; Al -B50; Al -B51; Al -B52; Al -B53;
Al -B54; Al -B55; Al -B56; Al -B57; A1-B58; Al -B59; Al -B60; Al -B61; Al -B62;
Al -B63; Al -B64; Al -B65; Al -B66; A1-B67; Al -B68; Al -B69; Al -B70; Al -B71;
Al -B72; Al -B73; Al -B74; Al -B75; A1-B76; Al -B77; Al -B78; Al -B79; Al -B80;
Al -B81; Al -B82; Al -B83; Al -B84; A1-B85; Al -B86; Al -B87; Al -B88; Al -B89;
Al -B90; Al -B91; Al -B92; Al -B93; A1-B94; Al -B95; Al -B96; Al -B97; Al -B98;
Al -B99; Al -B100; A1-B 101; A1-B102; A1-B103; A1-B104; A1-B105; A1-B106;
A1-B107; A1-B108; A1-B109; A1-B110; Al-Bl l l; A1-B112; A1-B113;
A2-B1; A2-B2; A2-B3; A2-B4; A2-B5; A2-B6; A2-B7; A2-B8; A2-B9; A2-
B10; A2- -Bl l; A2-B12; A2- -B13; A2-B14; A2 -B15; A2- -B16; A2- -B17; A2-B18; A2-
B19; A2- -B20; A2-B21; A2- -B22; A2-B23; A2 -B24; A2- -B25; A2- -B26; A2-B27; A2-
B28; A2- -B29; A2-B30; A2- -B31; A2-B32; A2 -B33; A2- -B34; A2- -B35; A2-B36; A2-
B37; A2- -B38; A2-B39; A2- -B40; A2-B41; A2 -B42; A2- -B43; A2- -B44; A2-B45; A2-
B46; A2- -B47; A2-B48; A2- -B49; A2-B50; A2 -B51; A2- -B52; A2- -B53; A2-B54; A2-
B55; A2- -B56; A2-B57; A2- -B58; A2-B59; A2 -B60; A2- -B61; A2- -B62; A2-B63; A2-
B64; A2- -B65; A2-B66; A2- -B67; A2-B68; A2 -B69; A2- -B70; A2- -B71; A2-B72; A2-
B73; A2- -B74; A2-B75; A2- -B76; A2-B77; A2 -B78; A2- -B79; A2- -B80; A2-B81; A2-
B82; A2- -B83; A2-B84; A2- -B85; A2-B86; A2 -B87; A2- -B88; A2- -B89; A2-B90; A2-
B91; A2- -B92; A2-B93; A2- -B94; A2-B95; A2 -B96; A2- -B97; A2- -B98; A2-B99; A2-
B100; A2-B101; A2-B102; A2-B103; A2-B104; A2-B105; A2-B106; A2-B107; A2- B108; A2-B109; A2-B110; A2-B111; A2-B112; A2-B113; A3-B1; A3-B2; A3-B3; A3-B4; A3-B5; A3-B6; A3-B7; A3-B8; A3-B9; A3-
BIO; A3 -Bl l; A3 -B12; A3 -B13; A3 -B14; A3 -B15; A3 -B16; A3 -B17; A3 -B18; A3-
B19; A3 -B20; A3 -B21; A3 -B22; A3 -B23; A3 -B24; A3 -B25; A3 -B26; A3 -B27; A3-
B28; A3 -B29; A3 -B30; A3 -B31; A3 -B32; A3 -B33; A3 -B34; A3 -B35; A3 -B36; A3- B37; A3 -B38; A3 -B39; A3 -B40; A3 -B41; A3 -B42; A3 -B43; A3 -B44; A3 -B45; A3-
B46; A3 -B47; A3 -B48; A3 -B49; A3 -B50; A3 -B51; A3 -B52; A3 -B53; A3 -B54; A3-
B55; A3 -B56; A3 -B57; A3 -B58; A3 -B59; A3 -B60; A3 -B61; A3 -B62; A3 -B63; A3-
B64; A3 -B65; A3 -B66; A3 -B67; A3 -B68; A3 -B69; A3 -B70; A3 -B71; A3 -B72; A3-
B73; A3 -B74; A3 -B75; A3 -B76; A3 -B77; A3 -B78; A3 -B79; A3 -B80; A3 -B81; A3- B82; A3 -B83; A3 -B84; A3 -B85; A3 -B86; A3 -B87; A3 -B88; A3 -B89; A3 -B90; A3-
B91; A3 -B92; A3 -B93; A3 -B94; A3 -B95; A3 -B96; A3 -B97; A3 -B98; A3 -B99; A3-
BlOO; A3-B101; A3-B102; A3-B103; A3-B104; A3-B105; A3-B106; A3-B107; A3- B108; A3-B109; A3-B110; A3-B111; A3-B112; A3-B113;
A4-B1; A4-B2; A4-B3; A4-B4; A4-B5; A4-B6; A4-B7; A4-B8; A4-B9; A4-
BIO; A4- -Bl l; A4-B12; A4- -B13; A4-B14; A4 -B15; A4- -B16; A4- -B17; A4-B18; A4-
B19; A4- -B20; A4-B21; A4- -B22; A4-B23; A4 -B24; A4- -B25; A4- -B26; A4-B27; A4-
B28; A4- -B29; A4-B30; A4- -B31; A4-B32; A4 -B33; A4- -B34; A4- -B35; A4-B36; A4-
B37; A4- -B38; A4-B39; A4- -B40; A4-B41; A4 -B42; A4- -B43; A4- -B44; A4-B45; A4-
B46; A4- -B47; A4-B48; A4- -B49; A4-B50; A4 -B51; A4- -B52; A4- -B53; A4-B54; A4-
B55; A4- -B56; A4-B57; A4- -B58; A4-B59; A4 -B60; A4- -B61; A4- -B62; A4-B63; A4-
B64; A4- -B65; A4-B66; A4- -B67; A4-B68; A4 -B69; A4- -B70; A4- -B71; A4-B72; A4-
B73; A4- -B74; A4-B75; A4- -B76; A4-B77; A4 -B78; A4- -B79; A4- -B80; A4-B81; A4-
B82; A4- -B83; A4-B84; A4- -B85; A4-B86; A4 -B87; A4- -B88; A4- -B89; A4-B90; A4-
B91; A4- -B92; A4-B93; A4- -B94; A4-B95; A4 -B96; A4- -B97; A4- -B98; A4-B99; A4- BlOO; A4-B101; A4-B102; A4-B103; A4-B104; A4-B105; A4-B106; A4-B107; A4- B108; A4-B109; A4-B110; A4-B111; A4-B112; A4-B113;
A5-B1; A5-B2; A5-B3; A5-B4; A5-B5; A5-B6; A5-B7; A5-B8; A5-B9; A5- B10; A5-B11; A5-B12; A5-B13; A5-B14; A5-B15; A5-B16; A5-B17; A5-B18; A5- B19; A5-B20; A5-B21; A5-B22; A5-B23; A5-B24; A5-B25; A5-B26; A5-B27; A5- B28; A5-B29; A5-B30; A5-B31; A5-B32; A5-B33; A5-B34; A5-B35; A5-B36; A5- B37; A5-B38; A5-B39; A5-B40; A5-B41; A5-B42; A5-B43; A5-B44; A5-B45; A5- B46; A5-B47; A5-B48; A5-B49; A5-B50; A5-B51; A5-B52; A5-B53; A5-B54; A5- B55; A5-B56; A5-B57; A5-B58; A5-B59; A5-B60; A5-B61; A5-B62; A5-B63; A5- B64; A5-B65; A5-B66; A5-B67; A5-B68; A5-B69; A5-B70; A5-B71; A5-B72; A5- B73; A5-B74; A5-B75; A5-B76; A5-B77; A5-B78; A5-B79; A5-B80; A5-B81; A5- B82; A5-B83; A5-B84; A5-B85; A5-B86; A5-B87; A5-B88; A5-B89; A5-B90; A5- B91; A5-B92; A5-B93; A5-B94; A5-B95; A5-B96; A5-B97; A5-B98; A5-B99; A5- B100; A5-B101; A5-B102; A5-B103; A5-B104; A5-B105; A5-B106; A5-B107; A5- B108; A5-B109; A5-B110; A5-B111; A5-B112; A5-B113;
A6-B1; A6-B2; A6-B3; A6-B4; A6-B5; A6-B6; A6-B7; A6-B8; A6-B9; A6-
BIO; A6- -Bl l; A6- -B12; A6 -B13; A6-B14; A6 -B15; A6- -B16; A6- -B17; A6-B18; A6-
B19; A6- -B20; A6- -B21; A6 -B22; A6-B23; A6 -B24; A6- -B25; A6- -B26; A6-B27; A6-
B28; A6- -B29; A6- -B30; A6 -B31; A6-B32; A6 -B33; A6- -B34; A6- -B35; A6-B36; A6-
B37; A6- -B38; A6- -B39; A6 -B40; A6-B41; A6 -B42; A6- -B43; A6- -B44; A6-B45; A6-
B46; A6- -B47; A6- -B48; A6 -B49; A6-B50; A6 -B51; A6- -B52; A6- -B53; A6-B54; A6-
B55; A6- -B56; A6- -B57; A6 -B58; A6-B59; A6 -B60; A6- -B61; A6- -B62; A6-B63; A6-
B64; A6- -B65; A6- -B66; A6 -B67; A6-B68; A6 -B69; A6- -B70; A6- -B71; A6-B72; A6-
B73; A6- -B74; A6- -B75; A6 -B76; A6-B77; A6 -B78; A6- -B79; A6- -B80; A6-B81; A6-
B82; A6- -B83; A6- -B84; A6 -B85; A6-B86; A6 -B87; A6- -B88; A6- -B89; A6-B90; A6-
B91; A6- -B92; A6- -B93; A6 -B94; A6-B95; A6 -B96; A6- -B97; A6- -B98; A6-B99; A6-
BlOO; A6-B101; A6-B102; A6-B103; A6-B104; A6-B105; A6-B106; A6-B107; AG- BIOS; A6-B109; A6-B110; A6-B111; A6-B112; A6-B113;
A7-B1; A7-B2; A7-B3; A7-B4; A7-B5; A7-B6; A7-B7; A7-B8; A7-B9; A7-
BIO; A7 -Bl l; A7 -B12; A7 -B13; A7 -B14; A7 -B15; A7 -B16; A7 -B17; A7 -B18; A7-
B19; A7 -B20; A7 -B21; A7 -B22; A7 -B23; A7 -B24; A7 -B25; A7 -B26; A7 -B27; A7-
B28; A7 -B29; A7 -B30; A7 -B31; A7 -B32; A7 -B33; A7 -B34; A7 -B35; A7 -B36; A7-
B37; A7 -B38; A7 -B39; A7 -B40; A7 -B41; A7 -B42; A7 -B43; A7 -B44; A7 -B45; A7-
B46; A7 -B47; A7 -B48; A7 -B49; A7 -B50; A7 -B51; A7 -B52; A7 -B53; A7 -B54; A7-
B55; A7 -B56; A7 -B57; A7 -B58; A7 -B59; A7 -B60; A7 -B61; A7 -B62; A7 -B63; A7-
B64; A7 -B65; A7 -B66; A7 -B67; A7 -B68; A7 -B69; A7 -B70; A7 -B71; A7 -B72; A7-
B73; A7 -B74; A7 -B75; A7 -B76; A7 -B77; A7 -B78; A7 -B79; A7 -B80; A7 -B81; A7-
B82; A7 -B83; A7 -B84; A7 -B85; A7 -B86; A7 -B87; A7 -B88; A7 -B89; A7 -B90; A7-
B91; A7 -B92; A7 -B93; A7 -B94; A7 -B95; A7 -B96; A7 -B97; A7 -B98; A7 -B99; A7- BlOO; A7-B101; A7-B102; A7-B103; A7-B104; A7-B105; A7-B106; A7-B107; A7- B108; A7-B109; A7-B110; A7-B111; A7-B112; A7-B113;
A8-B1; A8-B2; A8-B3; A8-B4; A8-B5; A8-B6; A8-B7; A8-B8; A8-B9; A8-
BIO; A8 -Bl l; A8 -B12; A8 -B13; A8 -B14; A8 -B15; A8 -B16; A8 -B17; A8 -B18; A8- B19; A8 -B20; A8 -B21; A8 -B22; A8 -B23; A8 -B24; A8 -B25; A8 -B26; A8 -B27; A8-
B28; A8 -B29; A8 -B30; A8 -B31; A8 -B32; A8 -B33; A8 -B34; A8 -B35; A8 -B36; A8-
B37; A8 -B38; A8 -B39; A8 -B40; A8 -B41; A8 -B42; A8 -B43; A8 -B44; A8 -B45; A8-
B46; A8 -B47; A8 -B48; A8 -B49; A8 -B50; A8 -B51; A8 -B52; A8 -B53; A8 -B54; A8-
B55; A8 -B56; A8 -B57; A8 -B58; A8 -B59; A8 -B60; A8 -B61; A8 -B62; A8 -B63; A8- B64; A8 -B65; A8 -B66; A8 -B67; A8 -B68; A8 -B69; A8 -B70; A8 -B71; A8 -B72; A8-
B73; A8 -B74; A8 -B75; A8 -B76; A8 -B77; A8 -B78; A8 -B79; A8 -B80; A8 -B81; A8-
B82; A8 -B83; A8 -B84; A8 -B85; A8 -B86; A8 -B87; A8 -B88; A8 -B89; A8 -B90; A8-
B91; A8 -B92; A8 -B93; A8 -B94; A8 -B95; A8 -B96; A8 -B97; A8 -B98; A8 -B99; A8-
BlOO; A8-B101; A8-B102; A8-B103; A8-B104; A8-B105; A8-B106; A8-B107; A8- B108; A8-B109; A8-B110; A8-B111; A8-B112; A8-B113;
A9-B1; A9-B2; A9-B3; A9-B4; A9-B5; A9-B6; A9-B7; A9-B8; A9-B9; A9-
BIO; A9- -Bl l; A9- -B12; A9 -B13; A9-B14; A9 -B15; A9- -B16; A9- -B17; A9-B18; A9-
B19; A9- -B20; A9- -B21; A9 -B22; A9-B23; A9 -B24; A9- -B25; A9- -B26; A9-B27; A9-
B28; A9- -B29; A9- -B30; A9 -B31; A9-B32; A9 -B33; A9- -B34; A9- -B35; A9-B36; A9-
B37; A9- -B38; A9- -B39; A9 -B40; A9-B41; A9 -B42; A9- -B43; A9- -B44; A9-B45; A9-
B46; A9- -B47; A9- -B48; A9 -B49; A9-B50; A9 -B51; A9- -B52; A9- -B53; A9-B54; A9-
B55; A9- -B56; A9- -B57; A9 -B58; A9-B59; A9 -B60; A9- -B61; A9- -B62; A9-B63; A9-
B64; A9- -B65; A9- -B66; A9 -B67; A9-B68; A9 -B69; A9- -B70; A9- -B71; A9-B72; A9-
B73; A9- -B74; A9- -B75; A9 -B76; A9-B77; A9 -B78; A9- -B79; A9- -B80; A9-B81; A9-
B82; A9- -B83; A9- -B84; A9 -B85; A9-B86; A9 -B87; A9- -B88; A9- -B89; A9-B90; A9-
B91; A9- -B92; A9- -B93; A9 -B94; A9-B95; A9 -B96; A9- -B97; A9- -B98; A9-B99; A9-
BlOO; A9-B101; A9-B102; A9-B103; A9-B104; A9-B105; A9-B106; A9-B107; A9- B108; A9-B109; A9-B110; A9-B111; A9-B112; A9-B113;
A10-B1; A10-B2; A10-B3; A10-B4; A10-B5; A10-B6; A10-B7; A10-B8; A10-B9; A10-B10; A10-B11; A10-B12; A10-B13; A10-B14; A10-B15; A10-B16; A10-B17; A10-B18; A10-B19; A10-B20; A10-B21; A10-B22; A10-B23; A10-B24; A10-B25; A10-B26; A10-B27; A10-B28; A10-B29; A10-B30; A10-B31; A10-B32; A10-B33 A10-B34; A10-B35 A10-B36; A10-B37; A10-B38; A10-B39; A10-B40 A10-B41 A10-B42; A10-B43 A10-B44; A10-B45; A10-B46; A10-B47; A10-B48 A10-B49 A10-B50; A10-B51 A10-B52; A10-B53; A10-B54; A10-B55; A10-B56 A10-B57 A10-B58; A10-B59 A10-B60; A10-B61; A10-B62; A10-B63; A10-B64 A10-B65 A10-B66; A10-B67 A10-B68; A10-B69; A10-B70; A10-B71; A10-B72 A10-B73 A10-B74; A10-B75 A10-B76; A10-B77; A10-B78; A10-B79; A10-B80 A10-B81 A10-B82; A10-B83 A10-B84; A10-B85; A10-B86; A10-B87; A10-B88 A10-B89 A10-B90; A10-B91 A10-B92; A10-B93; A10-B94; A10-B95; A10-B96 A10-B97 A10-B98; A10-B99 A10-B100; A10-B101; A10-B102; A10-B103; A10- B104; A10-B105; A10-B106; A10-B107; A10-B108; A10-B109; A10-B110; A10- Blll; A10-B112; A10-B113;
All-Bl; A11-B2; A11-B3; A11-B4; A11-B5; A11-B6; A11-B7; A11-B8; A11-B9; A11-B10; All-Bll; A11-B12; A11-B13; A11-B14; A11-B15; A11-B16;
All- -B17 All- -B18 All- -B19 All- -B20 All- -B21 All- -B22 All- -B23 All- -B24
All- -B25 All- -B26 All- -B27 All- -B28 All- -B29 All- -B30 All- -B31 All- -B32
All- -B33 All- -B34 All- -B35 All- -B36 All- -B37 All- -B38 All- -B39 All- -B40
All- -B41 All- -B42 All- -B43 All- -B44 All- -B45 All- -B46 All- -B47 All- -B48
All- -B49 All- -B50 All- -B51 All- -B52 All- -B53 All- -B54 All- -B55 All- -B56
All- -B57 All- -B58 All- -B59 All- -B60 All- -B61 All- -B62 All- -B63 All- -B64
All- -B65 All- -B66 All- -B67 All- -B68 All- -B69 All- -B70 All- -B71 All- -B72
All- -B73 All- -B74 All- -B75 All- -B76 All- -B77 All- -B78 All- -B79 All- -B80
All- -B81 All- -B82 All- -B83 All- -B84 All- -B85 All- -B86 All- -B87 All- -B88
All- -B89 All- -B90 All- -B91 All- -B92 All- -B93 All- -B94 All- -B95 All- -B96
All- -B97 All- -B98 All- -B99 A11-B100; A11-B101; A11-B102; A11-B103; All- B104; A11-B105; A11-B106; A11-B107; A11-B108; A11-B109; A11-B110; All- Bl 11; All-Bl 12; All-Bl 13;
A12-B1; A12-B2; A12-B3; A12-B4; A12-B5; A12-B6; A12-B7; A12-B8; A12-B9; A12-B10; A12-B11; A12-B12; A12-B13; A12-B14; A12-B15; A12-B16; A12-B17; A12-B18; A12-B19; A12-B20; A12-B21; A12-B22; A12-B23; A12-B24 A12-B25; A12-B26; A12-B27; A12-B28; A12-B29; A12-B30; A12-B31; A12-B32 A12-B33; A12-B34; A12-B35; A12-B36; A12-B37; A12-B38; A12-B39; A12-B40 A12-B41; A12-B42; A12-B43; A12-B44; A12-B45; A12-B46; A12-B47; A12-B48 A12-B49; A12-B50; A12-B51; A12-B52; A12-B53; A12-B54; A12-B55; A12-B56; A12-B57; A12-B58; A12-B59; A12-B60; A12-B61; A12-B62; A12-B63; A12-B64; A12-B65; A12-B66; A12-B67; A12-B68; A12-B69; A12-B70; A12-B71; A12-B72; A12-B73; A12-B74; A12-B75; A12-B76; A12-B77; A12-B78; A12-B79; A12-B80; A12-B81; A12-B82; A12-B83; A12-B84; A12-B85; A12-B86; A12-B87; A12-B88; A12-B89; A12-B90; A12-B91; A12-B92; A12-B93; A12-B94; A12-B95; A12-B96; A12-B97; A12-B98; A12-B99; A12-B100; A12-B 101; A12-B102; A12-B103; A12- B104; A12-B105; A12-B106; A12-B107; A12-B108; A12-B 109; A12-B110; A12- Bl l l; A12-B112; A12-B113;
A13-B1; A13-B2; A13-B3; A13-B4; A13-B5; A13-B6; A13-B7; A13-B8;
A13-B9; A13-B10; A13-B11; A13-B12; A13-B13; A13-B14; A13-B15; A13-B16;
A13 -B17; A13 -B18; A13 -B19; A13 -B20; A13 -B21; A13 -B22; A13 -B23; A13-B24;
A13 -B25; A13 -B26; A13 -B27; A13 -B28; A13 -B29; A13 -B30; A13 -B31; A13-B32;
A13 -B33; A13 -B34; A13 -B35; A13 -B36; A13 -B37; A13 -B38; A13 -B39; A13-B40;
A13 -B41; A13 -B42; A13 -B43; A13 -B44; A13 -B45; A13 -B46; A13 -B47; A13-B48;
A13 -B49; A13 -B50; A13 -B51; A13 -B52; A13 -B53; A13 -B54; A13 -B55; A13-B56;
A13 -B57; A13 -B58; A13 -B59; A13 -B60; A13 -B61; A13 -B62; A13 -B63; A13-B64;
A13 -B65; A13 -B66; A13 -B67; A13 -B68; A13 -B69; A13 -B70; A13 -B71; A13-B72;
A13 -B73; A13 -B74; A13 -B75; A13 -B76; A13 -B77; A13 -B78; A13 -B79; A13-B80;
A13 -B81; A13 -B82; A13 -B83; A13 -B84; A13 -B85; A13 -B86; A13 -B87; A13-B88;
A13 -B89; A13 -B90; A13 -B91; A13 -B92; A13 -B93; A13 -B94; A13 -B95; A13-B96;
A13 -B97; A13 -B98; A13 -B99; A13 -B100; A13-B 101; A13-B102; A13-B103; A13-
B104; A13-B105; A13-B106; A13-B107; A13-B108; A13-B109; A13-B110; A13- Bl l l; A13-B112; A13-B113;
A14-B1; A14-B2; A14-B3; A14-B4; A14-B5; A14-B6; A14-B7; A14-B8;
A14-B9; A14-B10; A14-B11; A14-B12; A14-B13; A14-B14; A14-B15; A14-B16; A14-B17; A14-B18; A14-B19; A14-B20; A14-B21; A14-B22; A14-B23; A14-B24: A14-B25; A14-B26; A14-B27; A14-B28; A14-B29; A14-B30; A14-B31; A14-B32: A14-B33; A14-B34; A14-B35; A14-B36; A14-B37; A14-B38; A14-B39; A14-B40: A14-B41; A14-B42; A14-B43; A14-B44; A14-B45; A14-B46; A14-B47; A14-B48: A14-B49; A14-B50; A14-B51; A14-B52; A14-B53; A14-B54; A14-B55; A14-B56: A14-B57; A14-B58; A14-B59; A14-B60; A14-B61; A14-B62; A14-B63; A14-B64: A14-B65; A14-B66; A14-B67; A14-B68; A14-B69; A14-B70; A14-B71; A14-B72; A14-B73; A14-B74; A14-B75; A14-B76; A14-B77; A14-B78; A14-B79; A14-B80; A14-B81; A14-B82; A14-B83; A14-B84; A14-B85; A14-B86; A14-B87; A14-B88; A14-B89; A14-B90; A14-B91; A14-B92; A14-B93; A14-B94; A14-B95; A14-B96; A14-B97; A14-B98; A14-B99; A14-B100; A14-B 101; A14-B102; A14-B103; A14- B104; A14-B105; A14-B106; A14-B107; A14-B108; A14-B 109; A14-B110; A14- Bl l l; A14-B112; A14-B113;
A15-B1; A15-B2; A15-B3; A15-B4; A15-B5; A15-B6; A15-B7; A15-B8; A15-B9; A15-B10; A15-B11; A15-B12; A15-B13; A15-B14; A15-B15; A15-B16;
A15 -B17; A15 -B18; A15 -B19; A15 -B20; A15 -B21; A15 -B22; A15 -B23; A15-B24;
A15 -B25; A15 -B26; A15 -B27; A15 -B28; A15 -B29; A15 -B30; A15 -B31; A15-B32;
A15 -B33; A15 -B34; A15 -B35; A15 -B36; A15 -B37; A15 -B38; A15 -B39; A15-B40;
A15 -B41; A15 -B42; A15 -B43; A15 -B44; A15 -B45; A15 -B46; A15 -B47; A15-B48;
A15 -B49; A15 -B50; A15 -B51; A15 -B52; A15 -B53; A15 -B54; A15 -B55; A15-B56;
A15 -B57; A15 -B58; A15 -B59; A15 -B60; A15 -B61; A15 -B62; A15 -B63; A15-B64;
A15 -B65; A15 -B66; A15 -B67; A15 -B68; A15 -B69; A15 -B70; A15 -B71; A15-B72;
A15 -B73; A15 -B74; A15 -B75; A15 -B76; A15 -B77; A15 -B78; A15 -B79; A15-B80;
A15 -B81; A15 -B82; A15 -B83; A15 -B84; A15 -B85; A15 -B86; A15 -B87; A15-B88;
A15 -B89; A15 -B90; A15 -B91; A15 -B92; A15 -B93; A15 -B94; A15 -B95; A15-B96;
A15 -B97; A15 -B98; A15 -B99; A15 -B100; A15-B 101; A15-B102; A15-B103; A15-
B104; A15-B105; A15-B106; A15-B107; A15-B108; A15-B109; A15-B110; A15- Bl l l; A15-B112; A15-B113;
A16-B1; A16-B2; A16-B3; A16-B4; A16-B5; A16-B6; A16-B7; A16-B8; A16-B9; A16-B10; A16-B11; A16-B12; A16-B13; A16-B14; A16-B15; A16-B16; A16-B17; A16-B18; A16-B19; A16-B20; A16-B21; A16-B22; A16-B23; A16-B24 A16-B25; A16-B26; A16-B27; A16-B28; A16-B29; A16-B30; A16-B31; A16-B32 A16-B33; A16-B34; A16-B35; A16-B36; A16-B37; A16-B38; A16-B39; A16-B40 A16-B41; A16-B42; A16-B43; A16-B44; A16-B45; A16-B46; A16-B47; A16-B48 A16-B49; A16-B50; A16-B51; A16-B52; A16-B53; A16-B54; A16-B55; A16-B56 A16-B57; A16-B58; A16-B59; A16-B60; A16-B61; A16-B62; A16-B63; A16-B64 A16-B65; A16-B66; A16-B67; A16-B68; A16-B69; A16-B70; A16-B71; A16-B72 A16-B73; A16-B74; A16-B75; A16-B76; A16-B77; A16-B78; A16-B79; A16-B80 A16-B81; A16-B82; A16-B83; A16-B84; A16-B85; A16-B86; A16-B87; A16-B88; A16-B89; A16-B90; A16-B91; A16-B92; A16-B93; A16-B94; A16-B95; A16-B96; A16-B97; A16-B98; A16-B99; A16-B100; A16-B 101; A16-B102; A16-B103; A16- B104; A16-B105; A16-B106; A16-B107; A16-B108; A16-B 109; A16-B110; A16- Bi l l; A16-B112; A16-B113;
A17-B1; A17-B2; A17-B3; A17-B4; A17-B5; A17-B6; A17-B7; A17-B8; A17-B9; A17-B10; A17-B11; A17-B12; A17-B13; A17-B14; A17-B15; A17-B16;
A17 -B17; A17 -B18; A17 -B19; A17 -B20; A17 -B21; A17 -B22; A17 -B23; A17-B24;
A17 -B25; A17 -B26; A17 -B27; A17 -B28; A17 -B29; A17 -B30; A17 -B31; A17-B32;
A17 -B33; A17 -B34; A17 -B35; A17 -B36; A17 -B37; A17 -B38; A17 -B39; A17-B40;
A17 -B41; A17 -B42; A17 -B43; A17 -B44; A17 -B45; A17 -B46; A17 -B47; A17-B48;
A17 -B49; A17 -B50; A17 -B51; A17 -B52; A17 -B53; A17 -B54; A17 -B55; A17-B56;
A17 -B57; A17 -B58; A17 -B59; A17 -B60; A17 -B61; A17 -B62; A17 -B63; A17-B64;
A17 -B65; A17 -B66; A17 -B67; A17 -B68; A17 -B69; A17 -B70; A17 -B71; A17-B72;
A17 -B73; A17 -B74; A17 -B75; A17 -B76; A17 -B77; A17 -B78; A17 -B79; A17-B80;
A17 -B81; A17 -B82; A17 -B83; A17 -B84; A17 -B85; A17 -B86; A17 -B87; A17-B88;
A17 -B89; A17 -B90; A17 -B91; A17 -B92; A17 -B93; A17 -B94; A17 -B95; A17-B96;
A17 -B97; A17 -B98; A17 -B99; A17 -B100; A17-B 101; A17-B102; A17-B103; A17-
B104; A17-B105; A17-B106; A17-B107; A17-B108; A17-B109; A17-B110; A17- Bl l l; A17-B112; A17-B113;
A18-B1; A18-B2; A18-B3; A18-B4; A18-B5; A18-B6; A18-B7; A18-B8;
A18 -B9; A18-B10; A18-B11; A18-B12; A18-B13; A18-B14; A18-B15; A18-B16;
A18 -B17; A18 -B18; A18 -B19; A18 -B20; A18 -B21; A18 -B22; A18 -B23; A18 -B24;
A18 -B25; A18 -B26; A18 -B27; A18 -B28; A18 -B29; A18 -B30; A18 -B31; A18 -B32;
A18 -B33; A18 -B34; A18 -B35; A18 -B36; A18 -B37; A18 -B38; A18 -B39; A18 -B40;
A18 -B41; A18 -B42; A18 -B43; A18 -B44; A18 -B45; A18 -B46; A18 -B47; A18 -B48;
A18 -B49; A18 -B50; A18 -B51; A18 -B52; A18 -B53; A18 -B54; A18 -B55; A18 -B56;
A18 -B57; A18 -B58; A18 -B59; A18 -B60; A18 -B61; A18 -B62; A18 -B63; A18 -B64;
A18 -B65; A18 -B66; A18 -B67; A18 -B68; A18 -B69; A18 -B70; A18 -B71; A18 -B72;
A18 -B73; A18 -B74; A18 -B75; A18 -B76; A18 -B77; A18 -B78; A18 -B79; A18 -B80;
A18 -B81; A18 -B82; A18 -B83; A18 -B84; A18 -B85; A18 -B86; A18 -B87; A18 -B88;
A18 -B89; A18 -B90; A18 -B91; A18 -B92; A18 -B93; A18 -B94; A18 -B95; A18 -B96; A18-B97; A18-B98; A18-B99; A18-B100; A18-B 101; A18-B102; A18-B103; A18- B104; A18-B105; A18-B106; A18-B107; A18-B108; A18-B 109; A18-B110; A18- Bl l l; A18-B112; A18-B113;
A19-B1; A19-B2; A19-B3; A19-B4; A19-B5; A19-B6; A19-B7; A19-B8; A19-B9; A19-B10; A19-B11; A19-B12; A19-B13; A19-B14; A19-B15; A19-B16;
A19 -B17; A19- -B18; A19 -B19; A19- -B20; A19- -B21; A19- -B22; A19- -B23; A19-B24;
A19 -B25; A19- -B26; A19 -B27; A19- -B28; A19- -B29; A19- -B30; A19- -B31; A19-B32;
A19 -B33; A19- -B34; A19 -B35; A19- -B36; A19- -B37; A19- -B38; A19- -B39; A19-B40;
A19 -B41; A19- -B42; A19 -B43; A19- -B44; A19- -B45; A19- -B46; A19- -B47; A19-B48;
A19 -B49; A19- -B50; A19 -B51; A19- -B52; A19- -B53; A19- -B54; A19- -B55; A19-B56;
A19 -B57; A19- -B58; A19 -B59; A19- -B60; A19- -B61; A19- -B62; A19- -B63; A19-B64;
A19 -B65; A19- -B66; A19 -B67; A19- -B68; A19- -B69; A19- -B70; A19- -B71; A19-B72;
A19 -B73; A19- -B74; A19 -B75; A19- -B76; A19- -B77; A19- -B78; A19- -B79; A19-B80;
A19 -B81; A19- -B82; A19 -B83; A19- -B84; A19- -B85; A19- -B86; A19- -B87; A19-B88;
A19 -B89; A19- -B90; A19 -B91; A19- -B92; A19- -B93; A19- -B94; A19- -B95; A19-B96;
A19 -B97; A19- -B98; A19 -B99; A19- -B100; A19-B 101; A19-B102; A19-B103; A19-
B104; A19-B105; A19-B106; A19-B107; A19-B108; A19-B109; A19-B110; A19- Bl l l; A19-B112; A19-B113;
A20-B1; A20-B2; A20-B3; A20-B4; A20-B5; A20-B6; A20-B7; A20-B8; A20-B9; A20-B10; A20-B11; A20-B12; A20-B13; A20-B14; A20-B15; A20-B16;
A20 -B17; A20- -B18; A20 -B19; A20- -B20; A20- -B21; A20- -B22; A20- -B23; A20-B24;
A20 -B25; A20- -B26; A20 -B27; A20- -B28; A20- -B29; A20- -B30; A20- -B31; A20-B32;
A20 -B33; A20- -B34; A20 -B35; A20- -B36; A20- -B37; A20- -B38; A20- -B39; A20-B40;
A20 -B41; A20- -B42; A20 -B43; A20- -B44; A20- -B45; A20- -B46; A20- -B47; A20-B48;
A20 -B49; A20- -B50; A20 -B51; A20- -B52; A20- -B53; A20- -B54; A20- -B55; A20-B56;
A20 -B57; A20- -B58; A20 -B59; A20- -B60; A20- -B61; A20- -B62; A20- -B63; A20-B64;
A20 -B65; A20- -B66; A20 -B67; A20- -B68; A20- -B69; A20- -B70; A20- -B71; A20-B72;
A20 -B73; A20- -B74; A20 -B75; A20- -B76; A20- -B77; A20- -B78; A20- -B79; A20-B80;
A20 -B81; A20- -B82; A20 -B83; A20- -B84; A20- -B85; A20- -B86; A20- -B87; A20-B88;
A20 -B89; A20- -B90; A20 -B91; A20- -B92; A20- -B93; A20- -B94; A20- -B95; A20-B96;
A20 -B97; A20- -B98; A20 -B99; A20- -B100; A20-B 101; A20-B102; A20-B103; A20- B104; A20-B105; A20-B106; A20-B107; A20-B108; A20-B 109; A20-B110; A20- Bl l l; A20-B112; A20-B113;
A21-B1; A21-B2; A21-B3; A21-B4; A21-B5; A21-B6; A21-B7; A21-B8; A21-B9; A21-B10; A21-B11; A21-B12; A21-B13; A21-B14; A21-B15; A21-B16;
A21 -B17; A21 -B18; A21 -B19; A21 -B20; A21 -B21; A21 -B22; A21 -B23; A21-B24;
A21 -B25; A21 -B26; A21 -B27; A21 -B28; A21 -B29; A21 -B30; A21 -B31; A21-B32;
A21 -B33; A21 -B34; A21 -B35; A21 -B36; A21 -B37; A21 -B38; A21 -B39; A21-B40;
A21 -B41; A21 -B42; A21 -B43; A21 -B44; A21 -B45; A21 -B46; A21 -B47; A21-B48;
A21 -B49; A21 -B50; A21 -B51; A21 -B52; A21 -B53; A21 -B54; A21 -B55; A21-B56;
A21 -B57; A21 -B58; A21 -B59; A21 -B60; A21 -B61; A21 -B62; A21 -B63; A21-B64;
A21 -B65; A21 -B66; A21 -B67; A21 -B68; A21 -B69; A21 -B70; A21 -B71; A21-B72;
A21 -B73; A21 -B74; A21 -B75; A21 -B76; A21 -B77; A21 -B78; A21 -B79; A21-B80;
A21 -B81; A21 -B82; A21 -B83; A21 -B84; A21 -B85; A21 -B86; A21 -B87; A21-B88;
A21 -B89; A21 -B90; A21 -B91; A21 -B92; A21 -B93; A21 -B94; A21 -B95; A21-B96;
A21 -B97; A21 -B98; A21 -B99; A21 -B100; A21-B 101; A21-B102; A21-B103; A21-
B104; A21-B105; A21-B106; A21-B107; A21-B108; A21-B109; A21-B110; A21- Bl l l; A21-B112; A21-B113;
A22-B1; A22-B2; A22-B3; A22-B4; A22-B5; A22-B6; A22-B7; A22-B8;
A22-B9; A22-B10; A22-B11; A22-B12; A22-B13; A22-B14; A22-B15; A22-B16;
A22-B17; A22- -B18; A22 -B19; A22- -B20; A22- -B21; A22- -B22; A22- -B23; A22-B24;
A22-B25; A22- -B26; A22 -B27; A22- -B28; A22- -B29; A22- -B30; A22- -B31; A22-B32;
A22-B33; A22- -B34; A22 -B35; A22- -B36; A22- -B37; A22- -B38; A22- -B39; A22-B40;
A22-B41; A22- -B42; A22 -B43; A22- -B44; A22- -B45; A22- -B46; A22- -B47; A22-B48;
A22-B49; A22- -B50; A22 -B51; A22- -B52; A22- -B53; A22- -B54; A22- -B55; A22-B56;
A22-B57; A22- -B58; A22 -B59; A22- -B60; A22- -B61; A22- -B62; A22- -B63; A22-B64;
A22-B65; A22- -B66; A22 -B67; A22- -B68; A22- -B69; A22- -B70; A22- -B71; A22-B72;
A22-B73; A22- -B74; A22 -B75; A22- -B76; A22- -B77; A22- -B78; A22- -B79; A22-B80;
A22-B81; A22- -B82; A22 -B83; A22- -B84; A22- -B85; A22- -B86; A22- -B87; A22-B88;
A22-B89; A22- -B90; A22 -B91; A22- -B92; A22- -B93; A22- -B94; A22- -B95; A22-B96;
A22-B97; A22- -B98; A22 -B99; A22- -B100; A22-B 101; A22-B102; A22-B103; A22-
B104; A22-B105; A22-B106; A22-B107; A22-B108; A22-B109; A22-B110; A22- Bl l l; A22-B112; A22-B113; A23-B1; A23-B2; A23-B3; A23-B4; A23-B5; A23-B6; A23-B7; A23-B8; A23-B9; A23-B10; A23-B11; A23-B12; A23-B13; A23-B14; A23-B15; A23-B16;
A23 -B17; A23 -B18; A23 -B19; A23 -B20; A23 -B21; A23 -B22; A23 -B23; A23-B24;
A23 -B25; A23 -B26; A23 -B27; A23 -B28; A23 -B29; A23 -B30; A23 -B31; A23-B32;
A23 -B33; A23 -B34; A23 -B35; A23 -B36; A23 -B37; A23 -B38; A23 -B39; A23-B40;
A23 -B41; A23 -B42; A23 -B43; A23 -B44; A23 -B45; A23 -B46; A23 -B47; A23-B48;
A23 -B49; A23 -B50; A23 -B51; A23 -B52; A23 -B53; A23 -B54; A23 -B55; A23-B56;
A23 -B57; A23 -B58; A23 -B59; A23 -B60; A23 -B61; A23 -B62; A23 -B63; A23-B64;
A23 -B65; A23 -B66; A23 -B67; A23 -B68; A23 -B69; A23 -B70; A23 -B71; A23-B72;
A23 -B73; A23 -B74; A23 -B75; A23 -B76; A23 -B77; A23 -B78; A23 -B79; A23-B80;
A23 -B81; A23 -B82; A23 -B83; A23 -B84; A23 -B85; A23 -B86; A23 -B87; A23-B88;
A23 -B89; A23 -B90; A23 -B91; A23 -B92; A23 -B93; A23 -B94; A23 -B95; A23-B96;
A23 -B97; A23 -B98; A23 -B99; A23 -B100; A23-B 101; A23-B102; A23-B103; A23-
B104; A23-B105; A23-B106; A23-B107; A23-B108; A23-B 109; A23-B110; A23- Bl l l; A23-B112; A23-B113;
A24-B1; A24-B2; A24-B3; A24-B4; A24-B5; A24-B6; A24-B7; A24-B8; A24-B9; A24-B10; A24-B11; A24-B12; A24-B13; A24-B14; A24-B15; A24-B16;
A24-B17; A24- -B18; A24 -B19; A24- -B20; A24- -B21; A24- -B22; A24- -B23; A24-B24;
A24-B25; A24- -B26; A24 -B27; A24- -B28; A24- -B29; A24- -B30; A24- -B31; A24-B32;
A24-B33; A24- -B34; A24 -B35; A24- -B36; A24- -B37; A24- -B38; A24- -B39; A24-B40;
A24-B41; A24- -B42; A24 -B43; A24- -B44; A24- -B45; A24- -B46; A24- -B47; A24-B48;
A24-B49; A24- -B50; A24 -B51; A24- -B52; A24- -B53; A24- -B54; A24- -B55; A24-B56;
A24-B57; A24- -B58; A24 -B59; A24- -B60; A24- -B61; A24- -B62; A24- -B63; A24-B64;
A24-B65; A24- -B66; A24 -B67; A24- -B68; A24- -B69; A24- -B70; A24- -B71; A24-B72;
A24-B73; A24- -B74; A24 -B75; A24- -B76; A24- -B77; A24- -B78; A24- -B79; A24-B80;
A24-B81; A24- -B82; A24 -B83; A24- -B84; A24- -B85; A24- -B86; A24- -B87; A24-B88;
A24-B89; A24- -B90; A24 -B91; A24- -B92; A24- -B93; A24- -B94; A24- -B95; A24-B96;
A24-B97; A24- -B98; A24 -B99; A24- -B100; A24-B 101; A24-B102; A24-B103; A24-
B104; A24-B105; A24-B106; A24-B107; A24-B108; A24-B109; A24-B110; A24- Bl l l; A24-B112; A24-B113;
A25-B1; A25-B2; A25-B3; A25-B4; A25-B5; A25-B6; A25-B7; A25-B8; A25-B9; A25-B10; A25-B11; A25-B12; A25-B13; A25-B14; A25-B15; A25-B16; A25 -B17; A25 -B18; A25 -B19; A25 -B20; A25 -B21; A25 -B22; A25 -B23; A25-B24
A25 -B25; A25 -B26; A25 -B27; A25 -B28; A25 -B29; A25 -B30; A25 -B31; A25-B32
A25 -B33; A25 -B34; A25 -B35; A25 -B36; A25 -B37; A25 -B38; A25 -B39; A25-B40
A25 -B41; A25 -B42; A25 -B43; A25 -B44; A25 -B45; A25 -B46; A25 -B47; A25-B48
A25 -B49; A25 -B50; A25 -B51; A25 -B52; A25 -B53; A25 -B54; A25 -B55; A25-B56
A25 -B57; A25 -B58; A25 -B59; A25 -B60; A25 -B61; A25 -B62; A25 -B63; A25-B64
A25 -B65; A25 -B66; A25 -B67; A25 -B68; A25 -B69; A25 -B70; A25 -B71; A25-B72
A25 -B73; A25 -B74; A25 -B75; A25 -B76; A25 -B77; A25 -B78; A25 -B79; A25-B80
A25 -B81; A25 -B82; A25 -B83; A25 -B84; A25 -B85; A25 -B86; A25 -B87; A25-B88
A25 -B89; A25 -B90; A25 -B91; A25 -B92; A25 -B93; A25 -B94; A25 -B95; A25-B96
A25 -B97; A25 -B98; A25 -B99; A25 -B100; A25-B 101; A25-B102; A25-B103; A25
B104; A25-B105; A25-B106; A25-B107; A25-B108; A25-B 109; A25-B110; A25- Bl l l; A25-B112; A25-B113;
A26-B1; A26-B2; A26-B3; A26-B4; A26-B5; A26-B6; A26-B7; A26-B8; A26-B9; A26-B10; A26-B11; A26-B12; A26-B13; A26-B14; A26-B15; A26-B16;
A26 -B17; A26- -B18; A26 -B19; A26- -B20; A26- -B21; A26- -B22; A26- -B23; A26-B24;
A26 -B25; A26- -B26; A26 -B27; A26- -B28; A26- -B29; A26- -B30; A26- -B31; A26-B32;
A26 -B33; A26- -B34; A26 -B35; A26- -B36; A26- -B37; A26- -B38; A26- -B39; A26-B40;
A26 -B41; A26- -B42; A26 -B43; A26- -B44; A26- -B45; A26- -B46; A26- -B47; A26-B48;
A26 -B49; A26- -B50; A26 -B51; A26- -B52; A26- -B53; A26- -B54; A26- -B55; A26-B56;
A26 -B57; A26- -B58; A26 -B59; A26- -B60; A26- -B61; A26- -B62; A26- -B63; A26-B64;
A26 -B65; A26- -B66; A26 -B67; A26- -B68; A26- -B69; A26- -B70; A26- -B71; A26-B72;
A26 -B73; A26- -B74; A26 -B75; A26- -B76; A26- -B77; A26- -B78; A26- -B79; A26-B80;
A26 -B81; A26- -B82; A26 -B83; A26- -B84; A26- -B85; A26- -B86; A26- -B87; A26-B88;
A26 -B89; A26- -B90; A26 -B91; A26- -B92; A26- -B93; A26- -B94; A26- -B95; A26-B96;
A26 -B97; A26- -B98; A26 -B99; A26- -B100; A26-B 101; A26-B102; A26-B103; A26-
B104; A26-B105; A26-B106; A26-B107; A26-B108; A26-B109; A26-B110; A26- Bl l l; A26-B112; A26-B113;
A27-B1; A27-B2; A27-B3; A27-B4; A27-B5; A27-B6; A27-B7; A27-B8; A27-B9; A27-B10; A27-B11; A27-B12; A27-B13; A27-B14; A27-B15; A27-B16; A27-B17; A27-B18; A27-B19; A27-B20; A27-B21; A27-B22; A27-B23; A27-B24; A27-B25; A27-B26; A27-B27; A27-B28; A27-B29; A27-B30; A27-B31; A27-B32; A27-B33; A27-B34; A27-B35; A27-B36; A27-B37; A27-B38; A27-B39; A27-B40; A27-B41; A27-B42; A27-B43; A27-B44; A27-B45; A27-B46; A27-B47; A27-B48; A27-B49; A27-B50; A27-B51; A27-B52; A27-B53; A27-B54; A27-B55; A27-B56; A27-B57; A27-B58; A27-B59; A27-B60; A27-B61; A27-B62; A27-B63; A27-B64; A27-B65; A27-B66; A27-B67; A27-B68; A27-B69; A27-B70; A27-B71; A27-B72; A27-B73; A27-B74; A27-B75; A27-B76; A27-B77; A27-B78; A27-B79; A27-B80; A27-B81; A27-B82; A27-B83; A27-B84; A27-B85; A27-B86; A27-B87; A27-B88; A27-B89; A27-B90; A27-B91; A27-B92; A27-B93; A27-B94; A27-B95; A27-B96; A27-B97; A27-B98; A27-B99; A27-B100; A27-B 101; A27-B102; A27-B103; A27- B104; A27-B105; A27-B106; A27-B107; A27-B108; A27-B 109; A27-B110; A27- Bl l l; A27-B112; A27-B113;
A28-B1; A28-B2; A28-B3; A28-B4; A28-B5; A28-B6; A28-B7; A28-B8; A28-B9; A28-B10; A28-B11; A28-B12; A28-B13; A28-B14; A28-B15; A28-B16;
A28 -B17; A28 -B18; A28 -B19; A28 -B20; A28 -B21; A28 -B22; A28 -B23; A28-B24;
A28 -B25; A28 -B26; A28 -B27; A28 -B28; A28 -B29; A28 -B30; A28 -B31; A28-B32;
A28 -B33; A28 -B34; A28 -B35; A28 -B36; A28 -B37; A28 -B38; A28 -B39; A28-B40;
A28 -B41; A28 -B42; A28 -B43; A28 -B44; A28 -B45; A28 -B46; A28 -B47; A28-B48;
A28 -B49; A28 -B50; A28 -B51; A28 -B52; A28 -B53; A28 -B54; A28 -B55; A28-B56;
A28 -B57; A28 -B58; A28 -B59; A28 -B60; A28 -B61; A28 -B62; A28 -B63; A28-B64;
A28 -B65; A28 -B66; A28 -B67; A28 -B68; A28 -B69; A28 -B70; A28 -B71; A28-B72;
A28 -B73; A28 -B74; A28 -B75; A28 -B76; A28 -B77; A28 -B78; A28 -B79; A28-B80;
A28 -B81; A28 -B82; A28 -B83; A28 -B84; A28 -B85; A28 -B86; A28 -B87; A28-B88;
A28 -B89; A28 -B90; A28 -B91; A28 -B92; A28 -B93; A28 -B94; A28 -B95; A28-B96;
A28 -B97; A28 -B98; A28 -B99; A28 -B100; A28-B 101; A28-B102; A28-B103; A28- B104; A28-B105; A28-B106; A28-B107; A28-B108; A28-B109; A28-B110; A28- Bl l l; A28-B112; A28-B113;
A29-B1; A29-B2; A29-B3; A29-B4; A29-B5; A29-B6; A29-B7; A29-B8; A29-B9; A29-B10; A29-B11; A29-B12; A29-B13; A29-B14; A29-B15; A29-B16; A29-B17; A29-B18; A29-B19; A29-B20; A29-B21; A29-B22; A29-B23; A29-B24: A29-B25; A29-B26; A29-B27; A29-B28; A29-B29; A29-B30; A29-B31; A29-B32: A29-B33; A29-B34; A29-B35; A29-B36; A29-B37; A29-B38; A29-B39; A29-B40: A29-B41; A29-B42; A29-B43; A29-B44; A29-B45; A29-B46; A29-B47; A29-B48: A29-B49; A29-B50; A29-B51; A29-B52; A29-B53; A29-B54; A29-B55; A29-B56; A29-B57; A29-B58; A29-B59; A29-B60; A29-B61; A29-B62; A29-B63; A29-B64; A29-B65; A29-B66; A29-B67; A29-B68; A29-B69; A29-B70; A29-B71; A29-B72; A29-B73; A29-B74; A29-B75; A29-B76; A29-B77; A29-B78; A29-B79; A29-B80; A29-B81; A29-B82; A29-B83; A29-B84; A29-B85; A29-B86; A29-B87; A29-B88; A29-B89; A29-B90; A29-B91; A29-B92; A29-B93; A29-B94; A29-B95; A29-B96; A29-B97; A29-B98; A29-B99; A29-B100; A29-B 101; A29-B102; A29-B103; A29- B104; A29-B105; A29-B106; A29-B107; A29-B108; A29-B 109; A29-B110; A29- Bl l l; A29-B112; A29-B113;
A30-B1; A30-B2; A30-B3; A30-B4; A30-B5; A30-B6; A30-B7; A30-B8;
A30-B9; A30-B10; A30-B11; A30-B12; A30-B13; A30-B14; A30-B15; A30-B16;
A30 -B17; A30- -B18; A30 -B19; A30 -B20; A30- -B21; A30 -B22; A30- -B23; A30-B24;
A30 -B25; A30- -B26; A30 -B27; A30 -B28; A30- -B29; A30 -B30; A30- -B31; A30-B32;
A30 -B33; A30- -B34; A30 -B35; A30 -B36; A30- -B37; A30 -B38; A30- -B39; A30-B40;
A30 -B41; A30- -B42; A30 -B43; A30 -B44; A30- -B45; A30 -B46; A30- -B47; A30-B48;
A30 -B49; A30- -B50; A30 -B51; A30 -B52; A30- -B53; A30 -B54; A30- -B55; A30-B56;
A30 -B57; A30- -B58; A30 -B59; A30 -B60; A30- -B61; A30 -B62; A30- -B63; A30-B64;
A30 -B65; A30- -B66; A30 -B67; A30 -B68; A30- -B69; A30 -B70; A30- -B71; A30-B72;
A30 -B73; A30- -B74; A30 -B75; A30 -B76; A30- -B77; A30 -B78; A30- -B79; A30-B80;
A30 -B81; A30- -B82; A30 -B83; A30 -B84; A30- -B85; A30 -B86; A30- -B87; A30-B88;
A30 -B89; A30- -B90; A30 -B91; A30 -B92; A30- -B93; A30 -B94; A30- -B95; A30-B96;
A30 -B97; A30- -B98; A30 -B99; A30 -B100; A30-B 101; A30-B102; A30-B103; A30-
B104; A30-B105; A30-B106; A30-B107; A30-B108; A30-B109; A30-B110; A30- Bl l l; A30-B112; A30-B113;
A31-B1; A31-B2; A31-B3; A31-B4; A31-B5; A31-B6; A31-B7; A31-B8;
A31-B9; A31-B10; A31-B11; A31-B12; A31-B13; A31-B14; A31-B15; A31-B16; A31-B17; A31-B18; A31-B19; A31-B20; A31-B21; A31-B22; A31-B23; A31-B24: A31-B25; A31-B26; A31-B27; A31-B28; A31-B29; A31-B30; A31-B31; A31-B32: A31-B33; A31-B34; A31-B35; A31-B36; A31-B37; A31-B38; A31-B39; A31-B40: A31-B41; A31-B42; A31-B43; A31-B44; A31-B45; A31-B46; A31-B47; A31-B48: A31-B49; A31-B50; A31-B51; A31-B52; A31-B53; A31-B54; A31-B55; A31-B56: A31-B57; A31-B58; A31-B59; A31-B60; A31-B61; A31-B62; A31-B63; A31-B64 A31-B65; A31-B66; A31-B67; A31-B68; A31-B69; A31-B70; A31-B71; A31-B72; A31-B73; A31-B74; A31-B75; A31-B76; A31-B77; A31-B78; A31-B79; A31-B80; A31-B81; A31-B82; A31-B83; A31-B84; A31-B85; A31-B86; A31-B87; A31-B88; A31-B89; A31-B90; A31-B91; A31-B92; A31-B93; A31-B94; A31-B95; A31-B96; A31-B97; A31-B98; A31-B99; A31-B100; A31-B 101; A31-B102; A31-B103; A31- B104; A31-B105; A31-B106; A31-B107; A31-B108; A31-B 109; A31-B110; A31- Bl l l; A31-B112; A31-B113;
A32-B1; A32-B2; A32-B3; A32-B4; A32-B5; A32-B6; A32-B7; A32-B8; A32-B9; A32-B10; A32-B11; A32-B12; A32-B13; A32-B14; A32-B15; A32-B16;
A32-B17; A32- -B18; A32 -B19; A32- -B20; A32- -B21; A32- -B22; A32- -B23; A32-B24
A32-B25; A32- -B26; A32 -B27; A32- -B28; A32- -B29; A32- -B30; A32- -B31; A32-B32
A32-B33; A32- -B34; A32 -B35; A32- -B36; A32- -B37; A32- -B38; A32- -B39; A32-B40
A32-B41; A32- -B42; A32 -B43; A32- -B44; A32- -B45; A32- -B46; A32- -B47; A32-B48
A32-B49; A32- -B50; A32 -B51; A32- -B52; A32- -B53; A32- -B54; A32- -B55; A32-B56
A32-B57; A32- -B58; A32 -B59; A32- -B60; A32- -B61; A32- -B62; A32- -B63; A32-B64
A32-B65; A32- -B66; A32 -B67; A32- -B68; A32- -B69; A32- -B70; A32- -B71; A32-B72
A32-B73; A32- -B74; A32 -B75; A32- -B76; A32- -B77; A32- -B78; A32- -B79; A32-B80
A32-B81; A32- -B82; A32 -B83; A32- -B84; A32- -B85; A32- -B86; A32- -B87; A32-B88
A32-B89; A32- -B90; A32 -B91; A32- -B92; A32- -B93; A32- -B94; A32- -B95; A32-B96
A32-B97; A32- -B98; A32 -B99; A32- -B100; A32-B 101; A32-B102; A32-B103; A32
B104; A32-B105; A32-B106; A32-B107; A32-B108; A32-B109; A32-B110; A32- Bl l l; A32-B112; A32-B113;
A33-B1; A33-B2; A33-B3; A33-B4; A33-B5; A33-B6; A33-B7; A33-B8; A33-B9; A33-B10; A33-B11; A33-B12; A33-B13; A33-B14; A33-B15; A33-B16; A33-B17; A33-B18; A33-B19; A33-B20; A33-B21; A33-B22; A33-B23; A33-B24: A33-B25; A33-B26; A33-B27; A33-B28; A33-B29; A33-B30; A33-B31; A33-B32 A33-B33; A33-B34; A33-B35; A33-B36; A33-B37; A33-B38; A33-B39; A33-B40 A33-B41; A33-B42; A33-B43; A33-B44; A33-B45; A33-B46; A33-B47; A33-B48: A33-B49; A33-B50; A33-B51; A33-B52; A33-B53; A33-B54; A33-B55; A33-B56 A33-B57; A33-B58; A33-B59; A33-B60; A33-B61; A33-B62; A33-B63; A33-B64: A33-B65; A33-B66; A33-B67; A33-B68; A33-B69; A33-B70; A33-B71; A33-B72 A33-B73; A33-B74; A33-B75; A33-B76; A33-B77; A33-B78; A33-B79; A33-B80: A33-B81; A33-B82; A33-B83; A33-B84; A33-B85; A33-B86; A33-B87; A33-B88; A33-B89; A33-B90; A33-B91; A33-B92; A33-B93; A33-B94; A33-B95; A33-B96; A33-B97; A33-B98; A33-B99; A33-B100; A33-B 101; A33-B102; A33-B103; A33- B104; A33-B105; A33-B106; A33-B107; A33-B108; A33-B 109; A33-B110; A33- Bi l l; A33-B112; A33-B113;
A34-B1; A34-B2; A34-B3; A34-B4; A34-B5; A34-B6; A34-B7; A34-B8; A34-B9; A34-B10; A34-B11; A34-B12; A34-B13; A34-B14; A34-B15; A34-B16;
A34-B17; A34- -B18; A34 -B19; A34- -B20; A34- -B21; A34- -B22; A34- -B23; A34-B24
A34-B25; A34- -B26; A34 -B27; A34- -B28; A34- -B29; A34- -B30; A34- -B31; A34-B32
A34-B33; A34- -B34; A34 -B35; A34- -B36; A34- -B37; A34- -B38; A34- -B39; A34-B40
A34-B41; A34- -B42; A34 -B43; A34- -B44; A34- -B45; A34- -B46; A34- -B47; A34-B48
A34-B49; A34- -B50; A34 -B51; A34- -B52; A34- -B53; A34- -B54; A34- -B55; A34-B56
A34-B57; A34- -B58; A34 -B59; A34- -B60; A34- -B61; A34- -B62; A34- -B63; A34-B64
A34-B65; A34- -B66; A34 -B67; A34- -B68; A34- -B69; A34- -B70; A34- -B71; A34-B72
A34-B73; A34- -B74; A34 -B75; A34- -B76; A34- -B77; A34- -B78; A34- -B79; A34-B80
A34-B81; A34- -B82; A34 -B83; A34- -B84; A34- -B85; A34- -B86; A34- -B87; A34-B88
A34-B89; A34- -B90; A34 -B91; A34- -B92; A34- -B93; A34- -B94; A34- -B95; A34-B96
A34-B97; A34- -B98; A34 -B99; A34- -B100; A34-B 101; A34-B102; A34-B103; A34
B104; A34-B105; A34-B106; A34-B107; A34-B108; A34-B109; A34-B110; A34- Bl l l; A34-B112; A34-B113;
A35-B1; A35-B2; A35-B3; A35-B4; A35-B5; A35-B6; A35-B7; A35-B8; A35-B9; A35-B10; A35-B11; A35-B12; A35-B13; A35-B14; A35-B15; A35-B16;
A35 -B17; A35 -B18; A35 -B19; A35 -B20; A35 -B21; A35 -B22; A35 -B23; A35 -B24;
A35 -B25; A35 -B26; A35 -B27; A35 -B28; A35 -B29; A35 -B30; A35 -B31; A35 -B32;
A35 -B33; A35 -B34; A35 -B35; A35 -B36; A35 -B37; A35 -B38; A35 -B39; A35 -B40;
A35 -B41; A35 -B42; A35 -B43; A35 -B44; A35 -B45; A35 -B46; A35 -B47; A35 -B48;
A35 -B49; A35 -B50; A35 -B51; A35 -B52; A35 -B53; A35 -B54; A35 -B55; A35 -B56;
A35 -B57; A35 -B58; A35 -B59; A35 -B60; A35 -B61; A35 -B62; A35 -B63; A35 -B64;
A35 -B65; A35 -B66; A35 -B67; A35 -B68; A35 -B69; A35 -B70; A35 -B71; A35 -B72;
A35 -B73; A35 -B74; A35 -B75; A35 -B76; A35 -B77; A35 -B78; A35 -B79; A35 -B80;
A35 -B81; A35 -B82; A35 -B83; A35 -B84; A35 -B85; A35 -B86; A35 -B87; A35 -B88;
A35 -B89; A35 -B90; A35 -B91; A35 -B92; A35 -B93; A35 -B94; A35 -B95; A35 -B96; A35-B97; A35-B98; A35-B99; A35-B100; A35-B 101; A35-B102; A35-B103; A35- B104; A35-B105; A35-B106; A35-B107; A35-B108; A35-B 109; A35-B110; A35- Bl l l; A35-B112; A35-B113;
A36-B1; A36-B2; A36-B3; A36-B4; A36-B5; A36-B6; A36-B7; A36-B8; A36-B9; A36-B10; A36-B11; A36-B12; A36-B13; A36-B14; A36-B15; A36-B16;
A36 -B17; A36- -B18; A36 -B19; A36 -B20; A36- -B21; A36 -B22; A36- -B23; A36-B24;
A36 -B25; A36- -B26; A36 -B27; A36 -B28; A36- -B29; A36 -B30; A36- -B31; A36-B32;
A36 -B33; A36- -B34; A36 -B35; A36 -B36; A36- -B37; A36 -B38; A36- -B39; A36-B40;
A36 -B41; A36- -B42; A36 -B43; A36 -B44; A36- -B45; A36 -B46; A36- -B47; A36-B48;
A36 -B49; A36- -B50; A36 -B51; A36 -B52; A36- -B53; A36 -B54; A36- -B55; A36-B56;
A36 -B57; A36- -B58; A36 -B59; A36 -B60; A36- -B61; A36 -B62; A36- -B63; A36-B64;
A36 -B65; A36- -B66; A36 -B67; A36 -B68; A36- -B69; A36 -B70; A36- -B71; A36-B72;
A36 -B73; A36- -B74; A36 -B75; A36 -B76; A36- -B77; A36 -B78; A36- -B79; A36-B80;
A36 -B81; A36- -B82; A36 -B83; A36 -B84; A36- -B85; A36 -B86; A36- -B87; A36-B88;
A36 -B89; A36- -B90; A36 -B91; A36 -B92; A36- -B93; A36 -B94; A36- -B95; A36-B96;
A36 -B97; A36- -B98; A36 -B99; A36 -B100; A36-B 101; A36-B102; A36-B103; A36-
B104; A36-B105; A36-B106; A36-B107; A36-B108; A36-B109; A36-B110; A36- Bl l l; A36-B112; A36-B113;
A37-B1; A37-B2; A37-B3; A37-B4; A37-B5; A37-B6; A37-B7; A37-B8; A37-B9; A37-B10; A37-B11; A37-B12; A37-B13; A37-B14; A37-B15; A37-B16;
A37 -B17; A37 -B18; A37 -B19; A37 -B20; A37 -B21; A37 -B22; A37 -B23; A37-B24;
A37 -B25; A37 -B26; A37 -B27; A37 -B28; A37 -B29; A37 -B30; A37 -B31; A37-B32;
A37 -B33; A37 -B34; A37 -B35; A37 -B36; A37 -B37; A37 -B38; A37 -B39; A37-B40;
A37 -B41; A37 -B42; A37 -B43; A37 -B44; A37 -B45; A37 -B46; A37 -B47; A37-B48;
A37 -B49; A37 -B50; A37 -B51; A37 -B52; A37 -B53; A37 -B54; A37 -B55; A37-B56;
A37 -B57; A37 -B58; A37 -B59; A37 -B60; A37 -B61; A37 -B62; A37 -B63; A37-B64;
A37 -B65; A37 -B66; A37 -B67; A37 -B68; A37 -B69; A37 -B70; A37 -B71; A37-B72;
A37 -B73; A37 -B74; A37 -B75; A37 -B76; A37 -B77; A37 -B78; A37 -B79; A37-B80;
A37 -B81; A37 -B82; A37 -B83; A37 -B84; A37 -B85; A37 -B86; A37 -B87; A37-B88;
A37 -B89; A37 -B90; A37 -B91; A37 -B92; A37 -B93; A37 -B94; A37 -B95; A37-B96;
A37 -B97; A37 -B98; A37 -B99; A37 -B100; A37-B 101; A37-B102; A37-B103; A37- B104; A37-B105; A37-B106; A37-B107; A37-B108; A37-B 109; A37-B110; A37- Bl l l; A37-B112; A37-B113;
A38-B1; A38-B2; A38-B3; A38-B4; A38-B5; A38-B6; A38-B7; A38-B8; A38-B9; A38-B10; A38-B11; A38-B12; A38-B13; A38-B14; A38-B15; A38-B16;
A38 -B17; A38 -B18; A38 -B19; A38 -B20; A38 -B21; A38 -B22; A38 -B23; A38-B24;
A38 -B25; A38 -B26; A38 -B27; A38 -B28; A38 -B29; A38 -B30; A38 -B31; A38-B32;
A38 -B33; A38 -B34; A38 -B35; A38 -B36; A38 -B37; A38 -B38; A38 -B39; A38-B40;
A38 -B41; A38 -B42; A38 -B43; A38 -B44; A38 -B45; A38 -B46; A38 -B47; A38-B48;
A38 -B49; A38 -B50; A38 -B51; A38 -B52; A38 -B53; A38 -B54; A38 -B55; A38-B56;
A38 -B57; A38 -B58; A38 -B59; A38 -B60; A38 -B61; A38 -B62; A38 -B63; A38-B64;
A38 -B65; A38 -B66; A38 -B67; A38 -B68; A38 -B69; A38 -B70; A38 -B71; A38-B72;
A38 -B73; A38 -B74; A38 -B75; A38 -B76; A38 -B77; A38 -B78; A38 -B79; A38-B80;
A38 -B81; A38 -B82; A38 -B83; A38 -B84; A38 -B85; A38 -B86; A38 -B87; A38-B88;
A38 -B89; A38 -B90; A38 -B91; A38 -B92; A38 -B93; A38 -B94; A38 -B95; A38-B96;
A38 -B97; A38 -B98; A38 -B99; A38 -B100; A38-B 101; A38-B102; A38-B103; A38-
B104; A38-B105; A38-B106; A38-B107; A38-B108; A38-B109; A38-B110; A38- Bl l l; A38-B112; A38-B113;
A39-B1; A39-B2; A39-B3; A39-B4; A39-B5; A39-B6; A39-B7; A39-B8;
A39-B9; A39-B10; A39-B11; A39-B12; A39-B13; A39-B14; A39-B15; A39-B16;
A39 -B17; A39- -B18; A39 -B19; A39 -B20; A39- -B21; A39 -B22; A39- -B23; A39-B24;
A39 -B25; A39- -B26; A39 -B27; A39 -B28; A39- -B29; A39 -B30; A39- -B31; A39-B32;
A39 -B33; A39- -B34; A39 -B35; A39 -B36; A39- -B37; A39 -B38; A39- -B39; A39-B40;
A39 -B41; A39- -B42; A39 -B43; A39 -B44; A39- -B45; A39 -B46; A39- -B47; A39-B48;
A39 -B49; A39- -B50; A39 -B51; A39 -B52; A39- -B53; A39 -B54; A39- -B55; A39-B56;
A39 -B57; A39- -B58; A39 -B59; A39 -B60; A39- -B61; A39 -B62; A39- -B63; A39-B64;
A39 -B65; A39- -B66; A39 -B67; A39 -B68; A39- -B69; A39 -B70; A39- -B71; A39-B72;
A39 -B73; A39- -B74; A39 -B75; A39 -B76; A39- -B77; A39 -B78; A39- -B79; A39-B80;
A39 -B81; A39- -B82; A39 -B83; A39 -B84; A39- -B85; A39 -B86; A39- -B87; A39-B88;
A39 -B89; A39- -B90; A39 -B91; A39 -B92; A39- -B93; A39 -B94; A39- -B95; A39-B96;
A39 -B97; A39- -B98; A39 -B99; A39 -B100; A39-B 101; A39-B102; A39-B103; A39-
B104; A39-B105; A39-B106; A39-B107; A39-B108; A39-B109; A39-B110; A39- Bl l l; A39-B112; A39-B113; A40-B1; A40-B2; A40-B3; A40-B4; A40-B5; A40-B6; A40-B7; A40-B8; A40-B9; A40-B10; A40-B11; A40-B12; A40-B13; A40-B14; A40-B15; A40-B16;
A40 -B17; A40- -B18; A40 -B19; A40- -B20; A40- -B21; A40- -B22; A40- -B23; A40-B24;
A40 -B25; A40- -B26; A40 -B27; A40- -B28; A40- -B29; A40- -B30; A40- -B31; A40-B32;
A40 -B33; A40- -B34; A40 -B35; A40- -B36; A40- -B37; A40- -B38; A40- -B39; A40-B40;
A40 -B41; A40- -B42; A40 -B43; A40- -B44; A40- -B45; A40- -B46; A40- -B47; A40-B48;
A40 -B49; A40- -B50; A40 -B51; A40- -B52; A40- -B53; A40- -B54; A40- -B55; A40-B56;
A40 -B57; A40- -B58; A40 -B59; A40- -B60; A40- -B61; A40- -B62; A40- -B63; A40-B64;
A40 -B65; A40- -B66; A40 -B67; A40- -B68; A40- -B69; A40- -B70; A40- -B71; A40-B72;
A40 -B73; A40- -B74; A40 -B75; A40- -B76; A40- -B77; A40- -B78; A40- -B79; A40-B80;
A40 -B81; A40- -B82; A40 -B83; A40- -B84; A40- -B85; A40- -B86; A40- -B87; A40-B88;
A40 -B89; A40- -B90; A40 -B91; A40- -B92; A40- -B93; A40- -B94; A40- -B95; A40-B96;
A40 -B97; A40- -B98; A40 -B99; A40- -B100; A40-B 101; A40-B102; A40-B103; A40-
B104; A40-B105; A40-B106; A40-B107; A40-B108; A40-B 109; A40-B110; A40- Bl l l; A40-B112; A40-B113;
A41-B1; A41-B2; A41-B3; A41-B4; A41-B5; A41-B6; A41-B7; A41-B8; A41-B9; A41-B10; A41-B11; A41-B12; A41-B13; A41-B14; A41-B15; A41-B16;
A41 -B17; A41 -B18; A41 -B19; A41 -B20; A41 -B21; A41 -B22; A41 -B23; A41-B24;
A41 -B25; A41 -B26; A41 -B27; A41 -B28; A41 -B29; A41 -B30; A41 -B31; A41-B32;
A41 -B33; A41 -B34; A41 -B35; A41 -B36; A41 -B37; A41 -B38; A41 -B39; A41-B40;
A41 -B41; A41 -B42; A41 -B43; A41 -B44; A41 -B45; A41 -B46; A41 -B47; A41-B48;
A41 -B49; A41 -B50; A41 -B51; A41 -B52; A41 -B53; A41 -B54; A41 -B55; A41-B56;
A41 -B57; A41 -B58; A41 -B59; A41 -B60; A41 -B61; A41 -B62; A41 -B63; A41-B64;
A41 -B65; A41 -B66; A41 -B67; A41 -B68; A41 -B69; A41 -B70; A41 -B71; A41-B72;
A41 -B73; A41 -B74; A41 -B75; A41 -B76; A41 -B77; A41 -B78; A41 -B79; A41-B80;
A41 -B81; A41 -B82; A41 -B83; A41 -B84; A41 -B85; A41 -B86; A41 -B87; A41-B88;
A41 -B89; A41 -B90; A41 -B91; A41 -B92; A41 -B93; A41 -B94; A41 -B95; A41-B96;
A41 -B97; A41 -B98; A41 -B99; A41 -B100; A41-B 101; A41-B102; A41-B103; A41-
B104; A41-B105; A41-B106; A41-B107; A41-B108; A41-B109; A41-B110; A41- Bl l l; A41-B112; A41-B113;
A42-B1; A42-B2; A42-B3; A42-B4; A42-B5; A42-B6; A42-B7; A42-B8; A42-B9; A42-B10; A42-B11; A42-B12; A42-B13; A42-B14; A42-B15; A42-B16; A42- -B17; A42- -B18; A42 -B19; A42- -B20; A42- -B21; A42- -B22; A42- -B23; A42-B24
A42- -B25; A42- -B26; A42 -B27; A42- -B28; A42- -B29; A42- -B30; A42- -B31; A42-B32
A42- -B33; A42- -B34; A42 -B35; A42- -B36; A42- -B37; A42- -B38; A42- -B39; A42-B40
A42- -B41; A42- -B42; A42 -B43; A42- -B44; A42- -B45; A42- -B46; A42- -B47; A42-B48
A42- -B49; A42- -B50; A42 -B51; A42- -B52; A42- -B53; A42- -B54; A42- -B55; A42-B56
A42- -B57; A42- -B58; A42 -B59; A42- -B60; A42- -B61; A42- -B62; A42- -B63; A42-B64
A42- -B65; A42- -B66; A42 -B67; A42- -B68; A42- -B69; A42- -B70; A42- -B71; A42-B72
A42- -B73; A42- -B74; A42 -B75; A42- -B76; A42- -B77; A42- -B78; A42- -B79; A42-B80
A42- -B81; A42- -B82; A42 -B83; A42- -B84; A42- -B85; A42- -B86; A42- -B87; A42-B88
A42- -B89; A42- -B90; A42 -B91; A42- -B92; A42- -B93; A42- -B94; A42- -B95; A42-B96
A42- -B97; A42- -B98; A42 -B99; A42- -B100; A42-B 101; A42-B102; A42-B103; A42
B104; A42-B105; A42-B106; A42-B107; A42-B108; A42-B 109; A42-B110; A42- Bl l l; A42-B112; A42-B113;
A43-B1; A43-B2; A43-B3; A43-B4; A43-B5; A43-B6; A43-B7; A43-B8; A43-B9; A43-B10; A43-B11; A43-B12; A43-B13; A43-B14; A43-B15; A43-B16;
A43 -B17; A43 -B18; A43 -B19; A43 -B20; A43 -B21; A43 -B22; A43 -B23; A43-B24;
A43 -B25; A43 -B26; A43 -B27; A43 -B28; A43 -B29; A43 -B30; A43 -B31; A43-B32;
A43 -B33; A43 -B34; A43 -B35; A43 -B36; A43 -B37; A43 -B38; A43 -B39; A43-B40;
A43 -B41; A43 -B42; A43 -B43; A43 -B44; A43 -B45; A43 -B46; A43 -B47; A43-B48;
A43 -B49; A43 -B50; A43 -B51; A43 -B52; A43 -B53; A43 -B54; A43 -B55; A43-B56;
A43 -B57; A43 -B58; A43 -B59; A43 -B60; A43 -B61; A43 -B62; A43 -B63; A43-B64;
A43 -B65; A43 -B66; A43 -B67; A43 -B68; A43 -B69; A43 -B70; A43 -B71; A43-B72;
A43 -B73; A43 -B74; A43 -B75; A43 -B76; A43 -B77; A43 -B78; A43 -B79; A43-B80;
A43 -B81; A43 -B82; A43 -B83; A43 -B84; A43 -B85; A43 -B86; A43 -B87; A43-B88;
A43 -B89; A43 -B90; A43 -B91; A43 -B92; A43 -B93; A43 -B94; A43 -B95; A43-B96;
A43 -B97; A43 -B98; A43 -B99; A43 -B100; A43-B 101; A43-B102; A43-B103; A43-
B104; A43-B105; A43-B106; A43-B107; A43-B108; A43-B109; A43-B110; A43- Bl l l; A43-B112; A43-B113;
A44-B1; A44-B2; A44-B3; A44-B4; A44-B5; A44-B6; A44-B7; A44-B8; A44-B9; A44-B10; A44-B11; A44-B12; A44-B13; A44-B14; A44-B15; A44-B16; A44-B17; A44-B18; A44-B19; A44-B20; A44-B21; A44-B22; A44-B23; A44-B24; A44-B25; A44-B26; A44-B27; A44-B28; A44-B29; A44-B30; A44-B31; A44-B32; A44-B33; A44-B34; A44-B35; A44-B36; A44-B37; A44-B38; A44-B39; A44-B40; A44-B41; A44-B42; A44-B43; A44-B44; A44-B45; A44-B46; A44-B47; A44-B48; A44-B49; A44-B50; A44-B51; A44-B52; A44-B53; A44-B54; A44-B55; A44-B56; A44-B57; A44-B58; A44-B59; A44-B60; A44-B61; A44-B62; A44-B63; A44-B64; A44-B65; A44-B66; A44-B67; A44-B68; A44-B69; A44-B70; A44-B71; A44-B72; A44-B73; A44-B74; A44-B75; A44-B76; A44-B77; A44-B78; A44-B79; A44-B80; A44-B81; A44-B82; A44-B83; A44-B84; A44-B85; A44-B86; A44-B87; A44-B88; A44-B89; A44-B90; A44-B91; A44-B92; A44-B93; A44-B94; A44-B95; A44-B96; A44-B97; A44-B98; A44-B99; A44-B100; A44-B 101; A44-B102; A44-B103; A44- B104; A44-B105; A44-B106; A44-B107; A44-B108; A44-B 109; A44-B110; A44- Bl l l; A44-B112; A44-B113;
A45-B1; A45-B2; A45-B3; A45-B4; A45-B5; A45-B6; A45-B7; A45-B8; A45-B9; A45-B10; A45-B11; A45-B12; A45-B13; A45-B14; A45-B15; A45-B16;
A45 -B17; A45 -B18; A45 -B19; A45 -B20; A45 -B21; A45 -B22; A45 -B23; A45-B24;
A45 -B25; A45 -B26; A45 -B27; A45 -B28; A45 -B29; A45 -B30; A45 -B31; A45-B32;
A45 -B33; A45 -B34; A45 -B35; A45 -B36; A45 -B37; A45 -B38; A45 -B39; A45-B40;
A45 -B41; A45 -B42; A45 -B43; A45 -B44; A45 -B45; A45 -B46; A45 -B47; A45-B48;
A45 -B49; A45 -B50; A45 -B51; A45 -B52; A45 -B53; A45 -B54; A45 -B55; A45-B56;
A45 -B57; A45 -B58; A45 -B59; A45 -B60; A45 -B61; A45 -B62; A45 -B63; A45-B64;
A45 -B65; A45 -B66; A45 -B67; A45 -B68; A45 -B69; A45 -B70; A45 -B71; A45-B72;
A45 -B73; A45 -B74; A45 -B75; A45 -B76; A45 -B77; A45 -B78; A45 -B79; A45-B80;
A45 -B81; A45 -B82; A45 -B83; A45 -B84; A45 -B85; A45 -B86; A45 -B87; A45-B88;
A45 -B89; A45 -B90; A45 -B91; A45 -B92; A45 -B93; A45 -B94; A45 -B95; A45-B96;
A45 -B97; A45 -B98; A45 -B99; A45 -B100; A45-B 101; A45-B102; A45-B103; A45- B104; A45-B105; A45-B106; A45-B107; A45-B108; A45-B109; A45-B110; A45- Bl l l; A45-B112; A45-B113;
A46-B1; A46-B2; A46-B3; A46-B4; A46-B5; A46-B6; A46-B7; A46-B8; A46-B9; A46-B10; A46-B11; A46-B12; A46-B13; A46-B14; A46-B15; A46-B16; A46-B17; A46-B18; A46-B19; A46-B20; A46-B21; A46-B22; A46-B23; A46-B24: A46-B25; A46-B26; A46-B27; A46-B28; A46-B29; A46-B30; A46-B31; A46-B32: A46-B33; A46-B34; A46-B35; A46-B36; A46-B37; A46-B38; A46-B39; A46-B40: A46-B41; A46-B42; A46-B43; A46-B44; A46-B45; A46-B46; A46-B47; A46-B48: A46-B49; A46-B50; A46-B51; A46-B52; A46-B53; A46-B54; A46-B55; A46-B56; A46-B57; A46-B58; A46-B59; A46-B60; A46-B61; A46-B62; A46-B63; A46-B64; A46-B65; A46-B66; A46-B67; A46-B68; A46-B69; A46-B70; A46-B71; A46-B72; A46-B73; A46-B74; A46-B75; A46-B76; A46-B77; A46-B78; A46-B79; A46-B80; A46-B81; A46-B82; A46-B83; A46-B84; A46-B85; A46-B86; A46-B87; A46-B88; A46-B89; A46-B90; A46-B91; A46-B92; A46-B93; A46-B94; A46-B95; A46-B96; A46-B97; A46-B98; A46-B99; A46-B100; A46-B 101; A46-B102; A46-B103; A46- B104; A46-B105; A46-B106; A46-B107; A46-B108; A46-B 109; A46-B110; A46- Bl l l; A46-B112; A46-B113;
A47-B1; A47-B2; A47-B3; A47-B4; A47-B5; A47-B6; A47-B7; A47-B8;
A47-B9; A47-B10; A47-B11; A47-B12; A47-B13; A47-B14; A47-B15; A47-B16;
A47 -B17; A47 -B18; A47 -B19; A47 -B20; A47 -B21; A47 -B22; A47 -B23; A47-B24;
A47 -B25; A47 -B26; A47 -B27; A47 -B28; A47 -B29; A47 -B30; A47 -B31; A47-B32;
A47 -B33; A47 -B34; A47 -B35; A47 -B36; A47 -B37; A47 -B38; A47 -B39; A47-B40;
A47 -B41; A47 -B42; A47 -B43; A47 -B44; A47 -B45; A47 -B46; A47 -B47; A47-B48;
A47 -B49; A47 -B50; A47 -B51; A47 -B52; A47 -B53; A47 -B54; A47 -B55; A47-B56;
A47 -B57; A47 -B58; A47 -B59; A47 -B60; A47 -B61; A47 -B62; A47 -B63; A47-B64;
A47 -B65; A47 -B66; A47 -B67; A47 -B68; A47 -B69; A47 -B70; A47 -B71; A47-B72;
A47 -B73; A47 -B74; A47 -B75; A47 -B76; A47 -B77; A47 -B78; A47 -B79; A47-B80;
A47 -B81; A47 -B82; A47 -B83; A47 -B84; A47 -B85; A47 -B86; A47 -B87; A47-B88;
A47 -B89; A47 -B90; A47 -B91; A47 -B92; A47 -B93; A47 -B94; A47 -B95; A47-B96;
A47 -B97; A47 -B98; A47 -B99; A47 -B100; A47-B 101; A47-B102; A47-B103; A47-
B104; A47-B105; A47-B106; A47-B107; A47-B108; A47-B109; A47-B110; A47- Bl l l; A47-B112; A47-B113;
A48-B1; A48-B2; A48-B3; A48-B4; A48-B5; A48-B6; A48-B7; A48-B8;
A48-B9; A48-B10; A48-B11; A48-B12; A48-B13; A48-B14; A48-B15; A48-B16; A48-B17; A48-B18; A48-B19; A48-B20; A48-B21; A48-B22; A48-B23; A48-B24: A48-B25; A48-B26; A48-B27; A48-B28; A48-B29; A48-B30; A48-B31; A48-B32: A48-B33; A48-B34; A48-B35; A48-B36; A48-B37; A48-B38; A48-B39; A48-B40: A48-B41; A48-B42; A48-B43; A48-B44; A48-B45; A48-B46; A48-B47; A48-B48: A48-B49; A48-B50; A48-B51; A48-B52; A48-B53; A48-B54; A48-B55; A48-B56: A48-B57; A48-B58; A48-B59; A48-B60; A48-B61; A48-B62; A48-B63; A48-B64: A48-B65; A48-B66; A48-B67; A48-B68; A48-B69; A48-B70; A48-B71; A48-B72; A48-B73; A48-B74; A48-B75; A48-B76; A48-B77; A48-B78; A48-B79; A48-B80; A48-B81; A48-B82; A48-B83; A48-B84; A48-B85; A48-B86; A48-B87; A48-B88; A48-B89; A48-B90; A48-B91; A48-B92; A48-B93; A48-B94; A48-B95; A48-B96; A48-B97; A48-B98; A48-B99; A48-B100; A48-B 101; A48-B102; A48-B103; A48- B104; A48-B105; A48-B106; A48-B107; A48-B108; A48-B 109; A48-B110; A48- Bl l l; A48-B112; A48-B113;
A49-B1; A49-B2; A49-B3; A49-B4; A49-B5; A49-B6; A49-B7; A49-B8; A49-B9; A49-B10; A49-B11; A49-B12; A49-B13; A49-B14; A49-B15; A49-B16;
A49 -B17; A49- -B18; A49 -B19; A49- -B20; A49- -B21; A49- -B22; A49- -B23; A49-B24;
A49 -B25; A49- -B26; A49 -B27; A49- -B28; A49- -B29; A49- -B30; A49- -B31; A49-B32;
A49 -B33; A49- -B34; A49 -B35; A49- -B36; A49- -B37; A49- -B38; A49- -B39; A49-B40;
A49 -B41; A49- -B42; A49 -B43; A49- -B44; A49- -B45; A49- -B46; A49- -B47; A49-B48;
A49 -B49; A49- -B50; A49 -B51; A49- -B52; A49- -B53; A49- -B54; A49- -B55; A49-B56;
A49 -B57; A49- -B58; A49 -B59; A49- -B60; A49- -B61; A49- -B62; A49- -B63; A49-B64;
A49 -B65; A49- -B66; A49 -B67; A49- -B68; A49- -B69; A49- -B70; A49- -B71; A49-B72;
A49 -B73; A49- -B74; A49 -B75; A49- -B76; A49- -B77; A49- -B78; A49- -B79; A49-B80;
A49 -B81; A49- -B82; A49 -B83; A49- -B84; A49- -B85; A49- -B86; A49- -B87; A49-B88;
A49 -B89; A49- -B90; A49 -B91; A49- -B92; A49- -B93; A49- -B94; A49- -B95; A49-B96;
A49 -B97; A49- -B98; A49 -B99; A49- -B100; A49-B 101; A49-B102; A49-B103; A49-
B104; A49-B105; A49-B106; A49-B107; A49-B108; A49-B109; A49-B110; A49- Bl l l; A49-B112; A49-B113;
A50-B1; A50-B2; A50-B3; A50-B4; A50-B5; A50-B6; A50-B7; A50-B8; A50-B9; A50-B10; A50-B11; A50-B12; A50-B13; A50-B14; A50-B15; A50-B16; A50-B17; A50-B18; A50-B19; A50-B20; A50-B21; A50-B22; A50-B23; A50-B24: A50-B25; A50-B26; A50-B27; A50-B28; A50-B29; A50-B30; A50-B31; A50-B32: A50-B33; A50-B34; A50-B35; A50-B36; A50-B37; A50-B38; A50-B39; A50-B40: A50-B41; A50-B42; A50-B43; A50-B44; A50-B45; A50-B46; A50-B47; A50-B48: A50-B49; A50-B50; A50-B51; A50-B52; A50-B53; A50-B54; A50-B55; A50-B56: A50-B57; A50-B58; A50-B59; A50-B60; A50-B61; A50-B62; A50-B63; A50-B64: A50-B65; A50-B66; A50-B67; A50-B68; A50-B69; A50-B70; A50-B71; A50-B72: A50-B73; A50-B74; A50-B75; A50-B76; A50-B77; A50-B78; A50-B79; A50-B80: A50-B81; A50-B82; A50-B83; A50-B84; A50-B85; A50-B86; A50-B87; A50-B88; A50-B89; A50-B90; A50-B91; A50-B92; A50-B93; A50-B94; A50-B95; A50-B96; A50-B97; A50-B98; A50-B99; A50-B100; A50-B 101; A50-B102; A50-B103; A50- B104; A50-B105; A50-B106; A50-B107; A50-B108; A50-B 109; A50-B110; A50- Bi l l; A50-B112; A50-B113;
A51-B1; A51-B2; A51-B3; A51-B4; A51-B5; A51-B6; A51-B7; A51-B8; A51-B9; A51-B10; A51-B11; A51-B12; A51-B13; A51-B14; A51-B15; A51-B16;
A51 -B17; A51 -B18; A51 -B19; A51 -B20; A51 -B21; A51 -B22; A51 -B23; A51-B24;
A51 -B25; A51 -B26; A51 -B27; A51 -B28; A51 -B29; A51 -B30; A51 -B31; A51-B32;
A51 -B33; A51 -B34; A51 -B35; A51 -B36; A51 -B37; A51 -B38; A51 -B39; A51-B40;
A51 -B41; A51 -B42; A51 -B43; A51 -B44; A51 -B45; A51 -B46; A51 -B47; A51-B48;
A51 -B49; A51 -B50; A51 -B51; A51 -B52; A51 -B53; A51 -B54; A51 -B55; A51-B56;
A51 -B57; A51 -B58; A51 -B59; A51 -B60; A51 -B61; A51 -B62; A51 -B63; A51-B64;
A51 -B65; A51 -B66; A51 -B67; A51 -B68; A51 -B69; A51 -B70; A51 -B71; A51-B72;
A51 -B73; A51 -B74; A51 -B75; A51 -B76; A51 -B77; A51 -B78; A51 -B79; A51-B80;
A51 -B81; A51 -B82; A51 -B83; A51 -B84; A51 -B85; A51 -B86; A51 -B87; A51-B88;
A51 -B89; A51 -B90; A51 -B91; A51 -B92; A51 -B93; A51 -B94; A51 -B95; A51-B96;
A51 -B97; A51 -B98; A51 -B99; A51 -B100; A51-B 101; A51-B102; A51-B103; A51-
B104; A51-B105; A51-B106; A51-B107; A51-B108; A51-B109; A51-B110; A51- Bl l l; A51-B112; A51-B113;
A52-B1; A52-B2; A52-B3; A52-B4; A52-B5; A52-B6; A52-B7; A52-B8; A52-B9; A52-B10; A52-B11; A52-B12; A52-B13; A52-B14; A52-B15; A52-B16;
A52-B17; A52- -B18; A52 -B19; A52- -B20; A52- -B21; A52- -B22; A52- -B23; A52- -B24;
A52-B25; A52- -B26; A52 -B27; A52- -B28; A52- -B29; A52- -B30; A52- -B31; A52- -B32;
A52-B33; A52- -B34; A52 -B35; A52- -B36; A52- -B37; A52- -B38; A52- -B39; A52- -B40;
A52-B41; A52- -B42; A52 -B43; A52- -B44; A52- -B45; A52- -B46; A52- -B47; A52- -B48;
A52-B49; A52- -B50; A52 -B51; A52- -B52; A52- -B53; A52- -B54; A52- -B55; A52- -B56;
A52-B57; A52- -B58; A52 -B59; A52- -B60; A52- -B61; A52- -B62; A52- -B63; A52- -B64;
A52-B65; A52- -B66; A52 -B67; A52- -B68; A52- -B69; A52- -B70; A52- -B71; A52- -B72;
A52-B73; A52- -B74; A52 -B75; A52- -B76; A52- -B77; A52- -B78; A52- -B79; A52- -B80;
A52-B81; A52- -B82; A52 -B83; A52- -B84; A52- -B85; A52- -B86; A52- -B87; A52- -B88;
A52-B89; A52- -B90; A52 -B91; A52- -B92; A52- -B93; A52- -B94; A52- -B95; A52- -B96; A52-B97; A52-B98; A52-B99; A52-B100; A52-B 101; A52-B102; A52-B103; A52- B104; A52-B105; A52-B106; A52-B107; A52-B108; A52-B 109; A52-B110; A52- Bl l l; A52-B112; A52-B113;
A53-B1; A53-B2; A53-B3; A53-B4; A53-B5; A53-B6; A53-B7; A53-B8; A53-B9; A53-B10; A53-B11; A53-B12; A53-B13; A53-B14; A53-B15; A53-B16;
A53 -B17; A53 -B18; A53 -B19; A53 -B20; A53 -B21; A53 -B22; A53 -B23; A53-B24;
A53 -B25; A53 -B26; A53 -B27; A53 -B28; A53 -B29; A53 -B30; A53 -B31; A53-B32;
A53 -B33; A53 -B34; A53 -B35; A53 -B36; A53 -B37; A53 -B38; A53 -B39; A53-B40;
A53 -B41; A53 -B42; A53 -B43; A53 -B44; A53 -B45; A53 -B46; A53 -B47; A53-B48;
A53 -B49; A53 -B50; A53 -B51; A53 -B52; A53 -B53; A53 -B54; A53 -B55; A53-B56;
A53 -B57; A53 -B58; A53 -B59; A53 -B60; A53 -B61; A53 -B62; A53 -B63; A53-B64;
A53 -B65; A53 -B66; A53 -B67; A53 -B68; A53 -B69; A53 -B70; A53 -B71; A53-B72;
A53 -B73; A53 -B74; A53 -B75; A53 -B76; A53 -B77; A53 -B78; A53 -B79; A53-B80;
A53 -B81; A53 -B82; A53 -B83; A53 -B84; A53 -B85; A53 -B86; A53 -B87; A53-B88;
A53 -B89; A53 -B90; A53 -B91; A53 -B92; A53 -B93; A53 -B94; A53 -B95; A53-B96;
A53 -B97; A53 -B98; A53 -B99; A53 -B100; A53-B 101; A53-B102; A53-B103; A53-
B104; A53-B105; A53-B106; A53-B107; A53-B108; A53-B109; A53-B110; A53- Bl l l; A53-B112; A53-B113;
A54-B1; A54-B2; A54-B3; A54-B4; A54-B5; A54-B6; A54-B7; A54-B8; A54-B9; A54-B10; A54-B11; A54-B12; A54-B13; A54-B14; A54-B15; A54-B16;
A54-B17; A54- -B18; A54 -B19; A54- -B20; A54- -B21; A54- -B22; A54- -B23; A54-B24
A54-B25; A54- -B26; A54 -B27; A54- -B28; A54- -B29; A54- -B30; A54- -B31; A54-B32
A54-B33; A54- -B34; A54 -B35; A54- -B36; A54- -B37; A54- -B38; A54- -B39; A54-B40
A54-B41; A54- -B42; A54 -B43; A54- -B44; A54- -B45; A54- -B46; A54- -B47; A54-B48
A54-B49; A54- -B50; A54 -B51; A54- -B52; A54- -B53; A54- -B54; A54- -B55; A54-B56
A54-B57; A54- -B58; A54 -B59; A54- -B60; A54- -B61; A54- -B62; A54- -B63; A54-B64
A54-B65; A54- -B66; A54 -B67; A54- -B68; A54- -B69; A54- -B70; A54- -B71; A54-B72
A54-B73; A54- -B74; A54 -B75; A54- -B76; A54- -B77; A54- -B78; A54- -B79; A54-B80
A54-B81; A54- -B82; A54 -B83; A54- -B84; A54- -B85; A54- -B86; A54- -B87; A54-B88
A54-B89; A54- -B90; A54 -B91; A54- -B92; A54- -B93; A54- -B94; A54- -B95; A54-B96
A54-B97; A54- -B98; A54 -B99; A54- -B100; A54-B 101; A54-B102; A54-B103; A54 B104; A54-B105; A54-B106; A54-B107; A54-B108; A54-B 109; A54-B110; A54- Bl l l; A54-B112; A54-B113;
A55-B1; A55-B2; A55-B3; A55-B4; A55-B5; A55-B6; A55-B7; A55-B8; A55-B9; A55-B10; A55-B11; A55-B12; A55-B13; A55-B14; A55-B15; A55-B16;
A55 -B17; A55 -B18; A55 -B19; A55 -B20; A55 -B21; A55 -B22; A55 -B23; A55-B24;
A55 -B25; A55 -B26; A55 -B27; A55 -B28; A55 -B29; A55 -B30; A55 -B31; A55-B32;
A55 -B33; A55 -B34; A55 -B35; A55 -B36; A55 -B37; A55 -B38; A55 -B39; A55-B40;
A55 -B41; A55 -B42; A55 -B43; A55 -B44; A55 -B45; A55 -B46; A55 -B47; A55-B48;
A55 -B49; A55 -B50; A55 -B51; A55 -B52; A55 -B53; A55 -B54; A55 -B55; A55-B56;
A55 -B57; A55 -B58; A55 -B59; A55 -B60; A55 -B61; A55 -B62; A55 -B63; A55-B64;
A55 -B65; A55 -B66; A55 -B67; A55 -B68; A55 -B69; A55 -B70; A55 -B71; A55-B72;
A55 -B73; A55 -B74; A55 -B75; A55 -B76; A55 -B77; A55 -B78; A55 -B79; A55-B80;
A55 -B81; A55 -B82; A55 -B83; A55 -B84; A55 -B85; A55 -B86; A55 -B87; A55-B88;
A55 -B89; A55 -B90; A55 -B91; A55 -B92; A55 -B93; A55 -B94; A55 -B95; A55-B96;
A55 -B97; A55 -B98; A55 -B99; A55 -B100; A55-B 101; A55-B102; A55-B103; A55-
B104; A55-B105; A55-B106; A55-B107; A55-B108; A55-B109; A55-B110; A55- Bl l l; A55-B112; A55-B113;
A56-B1; A56-B2; A56-B3; A56-B4; A56-B5; A56-B6; A56-B7; A56-B8;
A56-B9; A56-B10; A56-B11; A56-B12; A56-B13; A56-B14; A56-B15; A56-B16;
A56 -B17; A56- -B18; A56 -B19; A56 -B20; A56- -B21; A56 -B22; A56- -B23; A56-B24;
A56 -B25; A56- -B26; A56 -B27; A56 -B28; A56- -B29; A56 -B30; A56- -B31; A56-B32;
A56 -B33; A56- -B34; A56 -B35; A56 -B36; A56- -B37; A56 -B38; A56- -B39; A56-B40;
A56 -B41; A56- -B42; A56 -B43; A56 -B44; A56- -B45; A56 -B46; A56- -B47; A56-B48;
A56 -B49; A56- -B50; A56 -B51; A56 -B52; A56- -B53; A56 -B54; A56- -B55; A56-B56;
A56 -B57; A56- -B58; A56 -B59; A56 -B60; A56- -B61; A56 -B62; A56- -B63; A56-B64;
A56 -B65; A56- -B66; A56 -B67; A56 -B68; A56- -B69; A56 -B70; A56- -B71; A56-B72;
A56 -B73; A56- -B74; A56 -B75; A56 -B76; A56- -B77; A56 -B78; A56- -B79; A56-B80;
A56 -B81; A56- -B82; A56 -B83; A56 -B84; A56- -B85; A56 -B86; A56- -B87; A56-B88;
A56 -B89; A56- -B90; A56 -B91; A56 -B92; A56- -B93; A56 -B94; A56- -B95; A56-B96;
A56 -B97; A56- -B98; A56 -B99; A56 -B100; A56-B 101; A56-B102; A56-B103; A56-
B104; A56-B105; A56-B106; A56-B107; A56-B108; A56-B109; A56-B110; A56- Bl l l; A56-B112; A56-B113; A57-B1; A57-B2; A57-B3; A57-B4; A57-B5; A57-B6; A57-B7; A57-B8; A57-B9; A57-B10; A57-B11; A57-B12; A57-B13; A57-B14; A57-B15; A57-B16;
A57 -B17; A57 -B18; A57-B19; A57 -B20; A57 -B21; A57 -B22; A57 -B23; A57-B24;
A57 -B25; A57 -B26; A57-B27; A57 -B28; A57 -B29; A57 -B30; A57 -B31; A57-B32;
A57 -B33; A57 -B34; A57-B35; A57 -B36; A57 -B37; A57 -B38; A57 -B39; A57-B40;
A57 -B41; A57 -B42; A57-B43; A57 -B44; A57 -B45; A57 -B46; A57 -B47; A57-B48;
A57 -B49; A57 -B50; A57-B51; A57 -B52; A57 -B53; A57 -B54; A57 -B55; A57-B56;
A57 -B57; A57 -B58; A57-B59; A57 -B60; A57 -B61; A57 -B62; A57 -B63; A57-B64;
A57 -B65; A57 -B66; A57-B67; A57 -B68; A57 -B69; A57 -B70; A57 -B71; A57-B72;
A57 -B73; A57 -B74; A57-B75; A57 -B76; A57 -B77; A57 -B78; A57 -B79; A57-B80;
A57 -B81; A57 -B82; A57-B83; A57 -B84; A57 -B85; A57 -B86; A57 -B87; A57-B88;
A57 -B89; A57 -B90; A57-B91; A57 -B92; A57 -B93; A57 -B94; A57 -B95; A57-B96;
A57 -B97; A57 -B98; A57-B99; A57 -B100; A57-B 101; A57-B102; A57-B103; A57-
B104; A57-B105; A57-B106; A57-B107; A57-B108; A57-B 109; A57-B110; A57- Bl l l; A57-B112; A57-B113;
A58-B1; A58-B2; A58-B3; A58-B4; A58-B5; A58-B6; A58-B7; A58-B8; A58-B9; A58-B10; A58-B11; A58-B12; A58-B13; A58-B14; A58-B15; A58-B16;
A58 -B17; A58 -B18; A58-B19; A58 -B20; A58 -B21; A58 -B22; A58 -B23; A58-B24;
A58 -B25; A58 -B26; A58-B27; A58 -B28; A58 -B29; A58 -B30; A58 -B31; A58-B32;
A58 -B33; A58 -B34; A58-B35; A58 -B36; A58 -B37; A58 -B38; A58 -B39; A58-B40;
A58 -B41; A58 -B42; A58-B43; A58 -B44; A58 -B45; A58 -B46; A58 -B47; A58-B48;
A58 -B49; A58 -B50; A58-B51; A58 -B52; A58 -B53; A58 -B54; A58 -B55; A58-B56;
A58 -B57; A58 -B58; A58-B59; A58 -B60; A58 -B61; A58 -B62; A58 -B63; A58-B64;
A58 -B65; A58 -B66; A58-B67; A58 -B68; A58 -B69; A58 -B70; A58 -B71; A58-B72;
A58 -B73; A58 -B74; A58-B75; A58 -B76; A58 -B77; A58 -B78; A58 -B79; A58-B80;
A58 -B81; A58 -B82; A58-B83; A58 -B84; A58 -B85; A58 -B86; A58 -B87; A58-B88;
A58 -B89; A58 -B90; A58-B91; A58 -B92; A58 -B93; A58 -B94; A58 -B95; A58-B96;
A58 -B97; A58 -B98; A58-B99; A58 -B100; A58-B 101; A58-B102; A58-B103; A58-
B104; A58-B105; A58-B106; A58-B107; A58-B108; A58-B109; A58-B110; A58- Bl l l; A58-B112; A58-B113;
A59-B1; A59-B2; A59-B3; A59-B4; A59-B5; A59-B6; A59-B7; A59-B8; A59-B9; A59-B10; A59-B11; A59-B12; A59-B13; A59-B14; A59-B15; A59-B16; A59 -B17; A59- -B18; A59 -B19; A59 -B20; A59- -B21; A59 -B22; A59- -B23; A59-B24;
A59 -B25; A59- -B26; A59 -B27; A59 -B28; A59- -B29; A59 -B30; A59- -B31; A59-B32;
A59 -B33; A59- -B34; A59 -B35; A59 -B36; A59- -B37; A59 -B38; A59- -B39; A59-B40;
A59 -B41; A59- -B42; A59 -B43; A59 -B44; A59- -B45; A59 -B46; A59- -B47; A59-B48;
A59 -B49; A59- -B50; A59 -B51; A59 -B52; A59- -B53; A59 -B54; A59- -B55; A59-B56;
A59 -B57; A59- -B58; A59 -B59; A59 -B60; A59- -B61; A59 -B62; A59- -B63; A59-B64;
A59 -B65; A59- -B66; A59 -B67; A59 -B68; A59- -B69; A59 -B70; A59- -B71; A59-B72;
A59 -B73; A59- -B74; A59 -B75; A59 -B76; A59- -B77; A59 -B78; A59- -B79; A59-B80;
A59 -B81; A59- -B82; A59 -B83; A59 -B84; A59- -B85; A59 -B86; A59- -B87; A59-B88;
A59 -B89; A59- -B90; A59 -B91; A59 -B92; A59- -B93; A59 -B94; A59- -B95; A59-B96;
A59 -B97; A59- -B98; A59 -B99; A59 -B100; A59-B 101; A59-B102; A59-B103; A59-
B104; A59-B105; A59-B106; A59-B107; A59-B108; A59-B 109; A59-B110; A59- Bl l l; A59-B112; A59-B113;
A60-B1; A60-B2; A60-B3; A60-B4; A60-B5; A60-B6; A60-B7; A60-B8; A60-B9; A60-B10; A60-B11; A60-B12; A60-B13; A60-B14; A60-B15; A60-B16;
A60 -B17; A60- -B18; A60 -B19; A60 -B20; A60- -B21; A60 -B22; A60- -B23; A60-B24;
A60 -B25; A60- -B26; A60 -B27; A60 -B28; A60- -B29; A60 -B30; A60- -B31; A60-B32;
A60 -B33; A60- -B34; A60 -B35; A60 -B36; A60- -B37; A60 -B38; A60- -B39; A60-B40;
A60 -B41; A60- -B42; A60 -B43; A60 -B44; A60- -B45; A60 -B46; A60- -B47; A60-B48;
A60 -B49; A60- -B50; A60 -B51; A60 -B52; A60- -B53; A60 -B54; A60- -B55; A60-B56;
A60 -B57; A60- -B58; A60 -B59; A60 -B60; A60- -B61; A60 -B62; A60- -B63; A60-B64;
A60 -B65; A60- -B66; A60 -B67; A60 -B68; A60- -B69; A60 -B70; A60- -B71; A60-B72;
A60 -B73; A60- -B74; A60 -B75; A60 -B76; A60- -B77; A60 -B78; A60- -B79; A60-B80;
A60 -B81; A60- -B82; A60 -B83; A60 -B84; A60- -B85; A60 -B86; A60- -B87; A60-B88;
A60 -B89; A60- -B90; A60 -B91; A60 -B92; A60- -B93; A60 -B94; A60- -B95; A60-B96;
A60 -B97; A60- -B98; A60 -B99; A60 -B100; A60-B 101; A60-B102; A60-B103; A60-
B104; A60-B105; A60-B106; A60-B107; A60-B108; A60-B109; A60-B110; A60- Bl l l; A60-B112; A60-B113;
A61-B1; A61-B2; A61-B3; A61-B4; A61-B5; A61-B6; A61-B7; A61-B8; A61-B9; A61-B10; A61-B11; A61-B12; A61-B13; A61-B14; A61-B15; A61-B16; A61-B17; A61-B18; A61-B19; A61-B20; A61-B21; A61-B22; A61-B23; A61-B24; A61-B25; A61-B26; A61-B27; A61-B28; A61-B29; A61-B30; A61-B31; A61-B32; A61-B33; A61-B34; A61-B35; A61-B36; A61-B37; A61-B38; A61-B39; A61-B40; A61-B41; A61-B42; A61-B43; A61-B44; A61-B45; A61-B46; A61-B47; A61-B48; A61-B49; A61-B50; A61-B51; A61-B52; A61-B53; A61-B54; A61-B55; A61-B56; A61-B57; A61-B58; A61-B59; A61-B60; A61-B61; A61-B62; A61-B63; A61-B64; A61-B65; A61-B66; A61-B67; A61-B68; A61-B69; A61-B70; A61-B71; A61-B72; A61-B73; A61-B74; A61-B75; A61-B76; A61-B77; A61-B78; A61-B79; A61-B80; A61-B81; A61-B82; A61-B83; A61-B84; A61-B85; A61-B86; A61-B87; A61-B88; A61-B89; A61-B90; A61-B91; A61-B92; A61-B93; A61-B94; A61-B95; A61-B96; A61-B97; A61-B98; A61-B99; A61-B100; A61-B 101; A61-B102; A61-B103; A61- B104; A61-B105; A61-B106; A61-B107; A61-B108; A61-B 109; A61-B110; A61- Bl l l; A61-B112; A61-B113;
A62-B1; A62-B2; A62-B3; A62-B4; A62-B5; A62-B6; A62-B7; A62-B8; A62-B9; A62-B10; A62-B11; A62-B12; A62-B13; A62-B14; A62-B15; A62-B16;
A62-B17; A62- -B18; A62 -B19; A62- -B20; A62- -B21; A62- -B22; A62- -B23; A62-B24
A62-B25; A62- -B26; A62 -B27; A62- -B28; A62- -B29; A62- -B30; A62- -B31; A62-B32
A62-B33; A62- -B34; A62 -B35; A62- -B36; A62- -B37; A62- -B38; A62- -B39; A62-B40
A62-B41; A62- -B42; A62 -B43; A62- -B44; A62- -B45; A62- -B46; A62- -B47; A62-B48
A62-B49; A62- -B50; A62 -B51; A62- -B52; A62- -B53; A62- -B54; A62- -B55; A62-B56
A62-B57; A62- -B58; A62 -B59; A62- -B60; A62- -B61; A62- -B62; A62- -B63; A62-B64
A62-B65; A62- -B66; A62 -B67; A62- -B68; A62- -B69; A62- -B70; A62- -B71; A62-B72
A62-B73; A62- -B74; A62 -B75; A62- -B76; A62- -B77; A62- -B78; A62- -B79; A62-B80
A62-B81; A62- -B82; A62 -B83; A62- -B84; A62- -B85; A62- -B86; A62- -B87; A62-B88
A62-B89; A62- -B90; A62 -B91; A62- -B92; A62- -B93; A62- -B94; A62- -B95; A62-B96
A62-B97; A62- -B98; A62 -B99; A62- -B100; A62-B 101; A62-B102; A62-B103; A62 B104; A62-B105; A62-B106; A62-B107; A62-B108; A62-B109; A62-B110; A62- Bl l l; A62-B112; A62-B113;
A63-B1; A63-B2; A63-B3; A63-B4; A63-B5; A63-B6; A63-B7; A63-B8; A63-B9; A63-B10; A63-B11; A63-B12; A63-B13; A63-B14; A63-B15; A63-B16; A63-B17; A63-B18; A63-B19; A63-B20; A63-B21; A63-B22; A63-B23; A63-B24 A63-B25; A63-B26; A63-B27; A63-B28; A63-B29; A63-B30; A63-B31; A63-B32: A63-B33; A63-B34; A63-B35; A63-B36; A63-B37; A63-B38; A63-B39; A63-B40 A63-B41; A63-B42; A63-B43; A63-B44; A63-B45; A63-B46; A63-B47; A63-B48: A63-B49; A63-B50; A63-B51; A63-B52; A63-B53; A63-B54; A63-B55; A63-B56; A63-B57; A63-B58; A63-B59; A63-B60; A63-B61; A63-B62; A63-B63; A63-B64; A63-B65; A63-B66; A63-B67; A63-B68; A63-B69; A63-B70; A63-B71; A63-B72; A63-B73; A63-B74; A63-B75; A63-B76; A63-B77; A63-B78; A63-B79; A63-B80; A63-B81; A63-B82; A63-B83; A63-B84; A63-B85; A63-B86; A63-B87; A63-B88; A63-B89; A63-B90; A63-B91; A63-B92; A63-B93; A63-B94; A63-B95; A63-B96; A63-B97; A63-B98; A63-B99; A63-B100; A63-B 101; A63-B102; A63-B103; A63- B104; A63-B105; A63-B106; A63-B107; A63-B108; A63-B 109; A63-B110; A63- Bl l l; A63-B112; A63-B113;
A64-B1; A64-B2; A64-B3; A64-B4; A64-B5; A64-B6; A64-B7; A64-B8;
A64-B9; A64-B10; A64-B11; A64-B12; A64-B13; A64-B14; A64-B15; A64-B16;
A64-B17; A64- -B18; A64 -B19; A64- -B20; A64- -B21; A64- -B22; A64- -B23; A64-B24
A64-B25; A64- -B26; A64 -B27; A64- -B28; A64- -B29; A64- -B30; A64- -B31; A64-B32
A64-B33; A64- -B34; A64 -B35; A64- -B36; A64- -B37; A64- -B38; A64- -B39; A64-B40
A64-B41; A64- -B42; A64 -B43; A64- -B44; A64- -B45; A64- -B46; A64- -B47; A64-B48
A64-B49; A64- -B50; A64 -B51; A64- -B52; A64- -B53; A64- -B54; A64- -B55; A64-B56
A64-B57; A64- -B58; A64 -B59; A64- -B60; A64- -B61; A64- -B62; A64- -B63; A64-B64
A64-B65; A64- -B66; A64 -B67; A64- -B68; A64- -B69; A64- -B70; A64- -B71; A64-B72
A64-B73; A64- -B74; A64 -B75; A64- -B76; A64- -B77; A64- -B78; A64- -B79; A64-B80
A64-B81; A64- -B82; A64 -B83; A64- -B84; A64- -B85; A64- -B86; A64- -B87; A64-B88
A64-B89; A64- -B90; A64 -B91; A64- -B92; A64- -B93; A64- -B94; A64- -B95; A64-B96
A64-B97; A64- -B98; A64 -B99; A64- -B100; A64-B 101; A64-B102; A64-B103; A64
B104; A64-B105; A64-B106; A64-B107; A64-B108; A64-B109; A64-B110; A64- Bl l l; A64-B112; A64-B113;
A65-B1; A65-B2; A65-B3; A65-B4; A65-B5; A65-B6; A65-B7; A65-B8;
A65-B9; A65-B10; A65-B11; A65-B12; A65-B13; A65-B14; A65-B15; A65-B16; A65-B17; A65-B18; A65-B19; A65-B20; A65-B21; A65-B22; A65-B23; A65-B24: A65-B25; A65-B26; A65-B27; A65-B28; A65-B29; A65-B30; A65-B31; A65-B32 A65-B33; A65-B34; A65-B35; A65-B36; A65-B37; A65-B38; A65-B39; A65-B40 A65-B41; A65-B42; A65-B43; A65-B44; A65-B45; A65-B46; A65-B47; A65-B48: A65-B49; A65-B50; A65-B51; A65-B52; A65-B53; A65-B54; A65-B55; A65-B56 A65-B57; A65-B58; A65-B59; A65-B60; A65-B61; A65-B62; A65-B63; A65-B64 A65-B65; A65-B66; A65-B67; A65-B68; A65-B69; A65-B70; A65-B71; A65-B72; A65-B73; A65-B74; A65-B75; A65-B76; A65-B77; A65-B78; A65-B79; A65-B80; A65-B81; A65-B82; A65-B83; A65-B84; A65-B85; A65-B86; A65-B87; A65-B88; A65-B89; A65-B90; A65-B91; A65-B92; A65-B93; A65-B94; A65-B95; A65-B96; A65-B97; A65-B98; A65-B99; A65-B100; A65-B 101; A65-B102; A65-B103; A65- B104; A65-B105; A65-B106; A65-B107; A65-B108; A65-B 109; A65-B110; A65- Bl l l; A65-B112; A65-B113;
A66-B1; A66-B2; A66-B3; A66-B4; A66-B5; A66-B6; A66-B7; A66-B8; A66-B9; A66-B10; A66-B11; A66-B12; A66-B13; A66-B14; A66-B15; A66-B16;
A66 -B17; A66- -B18; A66 -B19; A66 -B20; A66- -B21; A66 -B22; A66- -B23; A66-B24;
A66 -B25; A66- -B26; A66 -B27; A66 -B28; A66- -B29; A66 -B30; A66- -B31; A66-B32;
A66 -B33; A66- -B34; A66 -B35; A66 -B36; A66- -B37; A66 -B38; A66- -B39; A66-B40;
A66 -B41; A66- -B42; A66 -B43; A66 -B44; A66- -B45; A66 -B46; A66- -B47; A66-B48;
A66 -B49; A66- -B50; A66 -B51; A66 -B52; A66- -B53; A66 -B54; A66- -B55; A66-B56;
A66 -B57; A66- -B58; A66 -B59; A66 -B60; A66- -B61; A66 -B62; A66- -B63; A66-B64;
A66 -B65; A66- -B66; A66 -B67; A66 -B68; A66- -B69; A66 -B70; A66- -B71; A66-B72;
A66 -B73; A66- -B74; A66 -B75; A66 -B76; A66- -B77; A66 -B78; A66- -B79; A66-B80;
A66 -B81; A66- -B82; A66 -B83; A66 -B84; A66- -B85; A66 -B86; A66- -B87; A66-B88;
A66 -B89; A66- -B90; A66 -B91; A66 -B92; A66- -B93; A66 -B94; A66- -B95; A66-B96;
A66 -B97; A66- -B98; A66 -B99; A66 -B100; A66-B 101; A66-B102; A66-B103; A66-
B104; A66-B105; A66-B106; A66-B107; A66-B108; A66-B109; A66-B110; A66- Bl l l; A66-B112; A66-B113;
A67-B1; A67-B2; A67-B3; A67-B4; A67-B5; A67-B6; A67-B7; A67-B8; A67-B9; A67-B10; A67-B11; A67-B12; A67-B13; A67-B14; A67-B15; A67-B16; A67-B17; A67-B18; A67-B19; A67-B20; A67-B21; A67-B22; A67-B23; A67-B24: A67-B25; A67-B26; A67-B27; A67-B28; A67-B29; A67-B30; A67-B31; A67-B32: A67-B33; A67-B34; A67-B35; A67-B36; A67-B37; A67-B38; A67-B39; A67-B40: A67-B41; A67-B42; A67-B43; A67-B44; A67-B45; A67-B46; A67-B47; A67-B48: A67-B49; A67-B50; A67-B51; A67-B52; A67-B53; A67-B54; A67-B55; A67-B56: A67-B57; A67-B58; A67-B59; A67-B60; A67-B61; A67-B62; A67-B63; A67-B64 A67-B65; A67-B66; A67-B67; A67-B68; A67-B69; A67-B70; A67-B71; A67-B72 A67-B73; A67-B74; A67-B75; A67-B76; A67-B77; A67-B78; A67-B79; A67-B80: A67-B81; A67-B82; A67-B83; A67-B84; A67-B85; A67-B86; A67-B87; A67-B88; A67-B89; A67-B90; A67-B91; A67-B92; A67-B93; A67-B94; A67-B95; A67-B96; A67-B97; A67-B98; A67-B99; A67-B100; A67-B 101; A67-B102; A67-B103; A67- B104; A67-B105; A67-B106; A67-B107; A67-B108; A67-B 109; A67-B110; A67- Bi l l; A67-B112; A67-B113;
A68-B1; A68-B2; A68-B3; A68-B4; A68-B5; A68-B6; A68-B7; A68-B8; A68-B9; A68-B10; A68-B11; A68-B12; A68-B13; A68-B14; A68-B15; A68-B16;
A68 -B17; A68 -B18; A68 -B19; A68 -B20; A68 -B21; A68 -B22; A68 -B23; A68-B24;
A68 -B25; A68 -B26; A68 -B27; A68 -B28; A68 -B29; A68 -B30; A68 -B31; A68-B32;
A68 -B33; A68 -B34; A68 -B35; A68 -B36; A68 -B37; A68 -B38; A68 -B39; A68-B40;
A68 -B41; A68 -B42; A68 -B43; A68 -B44; A68 -B45; A68 -B46; A68 -B47; A68-B48;
A68 -B49; A68 -B50; A68 -B51; A68 -B52; A68 -B53; A68 -B54; A68 -B55; A68-B56;
A68 -B57; A68 -B58; A68 -B59; A68 -B60; A68 -B61; A68 -B62; A68 -B63; A68-B64;
A68 -B65; A68 -B66; A68 -B67; A68 -B68; A68 -B69; A68 -B70; A68 -B71; A68-B72;
A68 -B73; A68 -B74; A68 -B75; A68 -B76; A68 -B77; A68 -B78; A68 -B79; A68-B80;
A68 -B81; A68 -B82; A68 -B83; A68 -B84; A68 -B85; A68 -B86; A68 -B87; A68-B88;
A68 -B89; A68 -B90; A68 -B91; A68 -B92; A68 -B93; A68 -B94; A68 -B95; A68-B96;
A68 -B97; A68 -B98; A68 -B99; A68 -B100; A68-B 101; A68-B102; A68-B103; A68-
B104; A68-B105; A68-B106; A68-B107; A68-B108; A68-B109; A68-B110; A68- Bl l l; A68-B112; A68-B113;
A69-B1; A69-B2; A69-B3; A69-B4; A69-B5; A69-B6; A69-B7; A69-B8; A69-B9; A69-B10; A69-B11; A69-B12; A69-B13; A69-B14; A69-B15; A69-B16;
A69 -B17; A69 -B18; A69 -B19; A69 -B20; A69- -B21; A69 -B22; A69- -B23; A69- -B24;
A69 -B25; A69 -B26; A69 -B27; A69 -B28; A69- -B29; A69 -B30; A69- -B31; A69- -B32;
A69 -B33; A69 -B34; A69 -B35; A69 -B36; A69- -B37; A69 -B38; A69- -B39; A69- -B40;
A69 -B41; A69 -B42; A69 -B43; A69 -B44; A69- -B45; A69 -B46; A69- -B47; A69- -B48;
A69 -B49; A69 -B50; A69 -B51; A69 -B52; A69- -B53; A69 -B54; A69- -B55; A69- -B56;
A69 -B57; A69 -B58; A69 -B59; A69 -B60; A69- -B61; A69 -B62; A69- -B63; A69- -B64;
A69 -B65; A69 -B66; A69 -B67; A69 -B68; A69- -B69; A69 -B70; A69- -B71; A69- -B72;
A69 -B73; A69 -B74; A69 -B75; A69 -B76; A69- -B77; A69 -B78; A69- -B79; A69- -B80;
A69 -B81; A69 -B82; A69 -B83; A69 -B84; A69- -B85; A69 -B86; A69- -B87; A69- -B88;
A69 -B89; A69 -B90; A69 -B91; A69 -B92; A69- -B93; A69 -B94; A69- -B95; A69- -B96; A69-B97; A69-B98; A69-B99; A69-B100; A69-B 101; A69-B102; A69-B103; A69- B104; A69-B105; A69-B106; A69-B107; A69-B108; A69-B 109; A69-B110; A69- Bl l l; A69-B112; A69-B113;
A70-B1; A70-B2; A70-B3; A70-B4; A70-B5; A70-B6; A70-B7; A70-B8; A70-B9; A70-B10; A70-B11; A70-B12; A70-B13; A70-B14; A70-B15; A70-B16;
A70 -B17; A70- -B18; A70 -B19; A70- -B20; A70- -B21; A70- -B22; A70- -B23; A70-B24;
A70 -B25; A70- -B26; A70 -B27; A70- -B28; A70- -B29; A70- -B30; A70- -B31; A70-B32;
A70 -B33; A70- -B34; A70 -B35; A70- -B36; A70- -B37; A70- -B38; A70- -B39; A70-B40;
A70 -B41; A70- -B42; A70 -B43; A70- -B44; A70- -B45; A70- -B46; A70- -B47; A70-B48;
A70 -B49; A70- -B50; A70 -B51; A70- -B52; A70- -B53; A70- -B54; A70- -B55; A70-B56;
A70 -B57; A70- -B58; A70 -B59; A70- -B60; A70- -B61; A70- -B62; A70- -B63; A70-B64;
A70 -B65; A70- -B66; A70 -B67; A70- -B68; A70- -B69; A70- -B70; A70- -B71; A70-B72;
A70 -B73; A70- -B74; A70 -B75; A70- -B76; A70- -B77; A70- -B78; A70- -B79; A70-B80;
A70 -B81; A70- -B82; A70 -B83; A70- -B84; A70- -B85; A70- -B86; A70- -B87; A70-B88;
A70 -B89; A70- -B90; A70 -B91; A70- -B92; A70- -B93; A70- -B94; A70- -B95; A70-B96;
A70 -B97; A70- -B98; A70 -B99; A70- -B100; A70-B 101; A70-B102; A70-B103; A70-
B104; A70-B105; A70-B106; A70-B107; A70-B108; A70-B109; A70-B110; A70- Bl l l; A70-B112; A70-B113;
A71-B1; A71-B2; A71-B3; A71-B4; A71-B5; A71-B6; A71-B7; A71-B8; A71-B9; A71-B10; A71-B11; A71-B12; A71-B13; A71-B14; A71-B15; A71-B16;
A71 -B17; A71 -B18; A71 -B19; A71 -B20; A71 -B21; A71 -B22; A71 -B23; A71-B24;
A71 -B25; A71 -B26; A71 -B27; A71 -B28; A71 -B29; A71 -B30; A71 -B31; A71-B32;
A71 -B33; A71 -B34; A71 -B35; A71 -B36; A71 -B37; A71 -B38; A71 -B39; A71-B40;
A71 -B41; A71 -B42; A71 -B43; A71 -B44; A71 -B45; A71 -B46; A71 -B47; A71-B48;
A71 -B49; A71 -B50; A71 -B51; A71 -B52; A71 -B53; A71 -B54; A71 -B55; A71-B56;
A71 -B57; A71 -B58; A71 -B59; A71 -B60; A71 -B61; A71 -B62; A71 -B63; A71-B64;
A71 -B65; A71 -B66; A71 -B67; A71 -B68; A71 -B69; A71 -B70; A71 -B71; A71-B72;
A71 -B73; A71 -B74; A71 -B75; A71 -B76; A71 -B77; A71 -B78; A71 -B79; A71-B80;
A71 -B81; A71 -B82; A71 -B83; A71 -B84; A71 -B85; A71 -B86; A71 -B87; A71-B88;
A71 -B89; A71 -B90; A71 -B91; A71 -B92; A71 -B93; A71 -B94; A71 -B95; A71-B96;
A71 -B97; A71 -B98; A71 -B99; A71 -B100; A71-B 101; A71-B102; A71-B103; A71- B104; A71-B105; A71-B106; A71-B107; A71-B108; A71-B 109; A71-B110; A71- Bl l l; A71-B112; A71-B113;
A72-B1; A72-B2; A72-B3; A72-B4; A72-B5; A72-B6; A72-B7; A72-B8; A72-B9; A72-B10; A72-B11; A72-B12; A72-B13; A72-B14; A72-B15; A72-B16;
A72-B17; A72- -B18; A72 -B19; A72- -B20; A72- -B21; A72- -B22; A72- -B23; A72-B24;
A72-B25; A72- -B26; A72 -B27; A72- -B28; A72- -B29; A72- -B30; A72- -B31; A72-B32;
A72-B33; A72- -B34; A72 -B35; A72- -B36; A72- -B37; A72- -B38; A72- -B39; A72-B40;
A72-B41; A72- -B42; A72 -B43; A72- -B44; A72- -B45; A72- -B46; A72- -B47; A72-B48;
A72-B49; A72- -B50; A72 -B51; A72- -B52; A72- -B53; A72- -B54; A72- -B55; A72-B56;
A72-B57; A72- -B58; A72 -B59; A72- -B60; A72- -B61; A72- -B62; A72- -B63; A72-B64;
A72-B65; A72- -B66; A72 -B67; A72- -B68; A72- -B69; A72- -B70; A72- -B71; A72-B72;
A72-B73; A72- -B74; A72 -B75; A72- -B76; A72- -B77; A72- -B78; A72- -B79; A72-B80;
A72-B81; A72- -B82; A72 -B83; A72- -B84; A72- -B85; A72- -B86; A72- -B87; A72-B88;
A72-B89; A72- -B90; A72 -B91; A72- -B92; A72- -B93; A72- -B94; A72- -B95; A72-B96;
A72-B97; A72- -B98; A72 -B99; A72- -B100; A72-B 101; A72-B102; A72-B103; A72-
B104; A72-B105; A72-B106; A72-B107; A72-B108; A72-B109; A72-B110; A72- Bl l l; A72-B112; A72-B113;
A73-B1; A73-B2; A73-B3; A73-B4; A73-B5; A73-B6; A73-B7; A73-B8;
A73-B9; A73-B10; A73-B11; A73-B12; A73-B13; A73-B14; A73-B15; A73-B16;
A73 -B17; A73 -B18; A73 -B19; A73 -B20; A73 -B21; A73 -B22; A73 -B23; A73-B24;
A73 -B25; A73 -B26; A73 -B27; A73 -B28; A73 -B29; A73 -B30; A73 -B31; A73-B32;
A73 -B33; A73 -B34; A73 -B35; A73 -B36; A73 -B37; A73 -B38; A73 -B39; A73-B40;
A73 -B41; A73 -B42; A73 -B43; A73 -B44; A73 -B45; A73 -B46; A73 -B47; A73-B48;
A73 -B49; A73 -B50; A73 -B51; A73 -B52; A73 -B53; A73 -B54; A73 -B55; A73-B56;
A73 -B57; A73 -B58; A73 -B59; A73 -B60; A73 -B61; A73 -B62; A73 -B63; A73-B64;
A73 -B65; A73 -B66; A73 -B67; A73 -B68; A73 -B69; A73 -B70; A73 -B71; A73-B72;
A73 -B73; A73 -B74; A73 -B75; A73 -B76; A73 -B77; A73 -B78; A73 -B79; A73-B80;
A73 -B81; A73 -B82; A73 -B83; A73 -B84; A73 -B85; A73 -B86; A73 -B87; A73-B88;
A73 -B89; A73 -B90; A73 -B91; A73 -B92; A73 -B93; A73 -B94; A73 -B95; A73-B96;
A73 -B97; A73 -B98; A73 -B99; A73 -B100; A73-B 101; A73-B102; A73-B103; A73-
B104; A73-B105; A73-B106; A73-B107; A73-B108; A73-B109; A73-B110; A73- Bl l l; A73-B112; A73-B113; A74-B1; A74-B2; A74-B3; A74-B4; A74-B5; A74-B6; A74-B7; A74-B8; A74-B9; A74-B10; A74-B11; A74-B12; A74-B13; A74-B14; A74-B15; A74-B16;
A74- -B17; A74- -B18; A74 -B19; A74- -B20; A74- -B21; A74- -B22; A74- -B23; A74-B24;
A74- -B25; A74- -B26; A74 -B27; A74- -B28; A74- -B29; A74- -B30; A74- -B31; A74-B32;
A74- -B33; A74- -B34; A74 -B35; A74- -B36; A74- -B37; A74- -B38; A74- -B39; A74-B40;
A74- -B41; A74- -B42; A74 -B43; A74- -B44; A74- -B45; A74- -B46; A74- -B47; A74-B48;
A74- -B49; A74- -B50; A74 -B51; A74- -B52; A74- -B53; A74- -B54; A74- -B55; A74-B56;
A74- -B57; A74- -B58; A74 -B59; A74- -B60; A74- -B61; A74- -B62; A74- -B63; A74-B64;
A74- -B65; A74- -B66; A74 -B67; A74- -B68; A74- -B69; A74- -B70; A74- -B71; A74-B72;
A74- -B73; A74- -B74; A74 -B75; A74- -B76; A74- -B77; A74- -B78; A74- -B79; A74-B80;
A74- -B81; A74- -B82; A74 -B83; A74- -B84; A74- -B85; A74- -B86; A74- -B87; A74-B88;
A74- -B89; A74- -B90; A74 -B91; A74- -B92; A74- -B93; A74- -B94; A74- -B95; A74-B96;
A74- -B97; A74- -B98; A74 -B99; A74- -B100; A74-B 101; A74-B102; A74-B103; A74-
B104; A74-B105; A74-B106; A74-B107; A74-B108; A74-B 109; A74-B110; A74- Bl l l; A74-B112; A74-B113;
A75-B1; A75-B2; A75-B3; A75-B4; A75-B5; A75-B6; A75-B7; A75-B8; A75-B9; A75-B10; A75-B11; A75-B12; A75-B13; A75-B14; A75-B15; A75-B16;
A75 -B17; A75 -B18; A75 -B19; A75 -B20; A75 -B21; A75 -B22; A75 -B23; A75-B24;
A75 -B25; A75 -B26; A75 -B27; A75 -B28; A75 -B29; A75 -B30; A75 -B31; A75-B32;
A75 -B33; A75 -B34; A75 -B35; A75 -B36; A75 -B37; A75 -B38; A75 -B39; A75-B40;
A75 -B41; A75 -B42; A75 -B43; A75 -B44; A75 -B45; A75 -B46; A75 -B47; A75-B48;
A75 -B49; A75 -B50; A75 -B51; A75 -B52; A75 -B53; A75 -B54; A75 -B55; A75-B56;
A75 -B57; A75 -B58; A75 -B59; A75 -B60; A75 -B61; A75 -B62; A75 -B63; A75-B64;
A75 -B65; A75 -B66; A75 -B67; A75 -B68; A75 -B69; A75 -B70; A75 -B71; A75-B72;
A75 -B73; A75 -B74; A75 -B75; A75 -B76; A75 -B77; A75 -B78; A75 -B79; A75-B80;
A75 -B81; A75 -B82; A75 -B83; A75 -B84; A75 -B85; A75 -B86; A75 -B87; A75-B88;
A75 -B89; A75 -B90; A75 -B91; A75 -B92; A75 -B93; A75 -B94; A75 -B95; A75-B96;
A75 -B97; A75 -B98; A75 -B99; A75 -B100; A75-B 101; A75-B102; A75-B103; A75-
B104; A75-B105; A75-B106; A75-B107; A75-B108; A75-B109; A75-B110; A75- Bl l l; A75-B112; A75-B113;
A76-B1; A76-B2; A76-B3; A76-B4; A76-B5; A76-B6; A76-B7; A76-B8; A76-B9; A76-B10; A76-B11; A76-B12; A76-B13; A76-B14; A76-B15; A76-B16; A76 -B17; A76- -B18; A76 -B19; A76- -B20; A76- -B21; A76- -B22; A76- -B23; A76-B24
A76 -B25; A76- -B26; A76 -B27; A76- -B28; A76- -B29; A76- -B30; A76- -B31; A76-B32
A76 -B33; A76- -B34; A76 -B35; A76- -B36; A76- -B37; A76- -B38; A76- -B39; A76-B40
A76 -B41; A76- -B42; A76 -B43; A76- -B44; A76- -B45; A76- -B46; A76- -B47; A76-B48
A76 -B49; A76- -B50; A76 -B51; A76- -B52; A76- -B53; A76- -B54; A76- -B55; A76-B56
A76 -B57; A76- -B58; A76 -B59; A76- -B60; A76- -B61; A76- -B62; A76- -B63; A76-B64
A76 -B65; A76- -B66; A76 -B67; A76- -B68; A76- -B69; A76- -B70; A76- -B71; A76-B72
A76 -B73; A76- -B74; A76 -B75; A76- -B76; A76- -B77; A76- -B78; A76- -B79; A76-B80
A76 -B81; A76- -B82; A76 -B83; A76- -B84; A76- -B85; A76- -B86; A76- -B87; A76-B88
A76 -B89; A76- -B90; A76 -B91; A76- -B92; A76- -B93; A76- -B94; A76- -B95; A76-B96
A76 -B97; A76- -B98; A76 -B99; A76- -B100; A76-B 101; A76-B102; A76-B103; A76
B104; A76-B105; A76-B106; A76-B107; A76-B108; A76-B 109; A76-B110; A76- Bl l l; A76-B112; A76-B113;
A77-B1; A77-B2; A77-B3; A77-B4; A77-B5; A77-B6; A77-B7; A77-B8; A77-B9; A77-B10; A77-B11; A77-B12; A77-B13; A77-B14; A77-B15; A77-B16;
A77 -B17; A77 -B18; A77 -B19; A77 -B20; A77 -B21; A77 -B22; A77 -B23; A77-B24;
A77 -B25; A77 -B26; A77 -B27; A77 -B28; A77 -B29; A77 -B30; A77 -B31; A77-B32;
A77 -B33; A77 -B34; A77 -B35; A77 -B36; A77 -B37; A77 -B38; A77 -B39; A77-B40;
A77 -B41; A77 -B42; A77 -B43; A77 -B44; A77 -B45; A77 -B46; A77 -B47; A77-B48;
A77 -B49; A77 -B50; A77 -B51; A77 -B52; A77 -B53; A77 -B54; A77 -B55; A77-B56;
A77 -B57; A77 -B58; A77 -B59; A77 -B60; A77 -B61; A77 -B62; A77 -B63; A77-B64;
A77 -B65; A77 -B66; A77 -B67; A77 -B68; A77 -B69; A77 -B70; A77 -B71; A77-B72;
A77 -B73; A77 -B74; A77 -B75; A77 -B76; A77 -B77; A77 -B78; A77 -B79; A77-B80;
A77 -B81; A77 -B82; A77 -B83; A77 -B84; A77 -B85; A77 -B86; A77 -B87; A77-B88;
A77 -B89; A77 -B90; A77 -B91; A77 -B92; A77 -B93; A77 -B94; A77 -B95; A77-B96;
A77 -B97; A77 -B98; A77 -B99; A77 -B100; A77-B 101; A77-B102; A77-B103; A77-
B104; A77-B105; A77-B106; A77-B107; A77-B108; A77-B109; A77-B110; A77- Bl l l; A77-B112; A77-B113;
A78-B1; A78-B2; A78-B3; A78-B4; A78-B5; A78-B6; A78-B7; A78-B8; A78-B9; A78-B10; A78-B11; A78-B12; A78-B13; A78-B14; A78-B15; A78-B16; A78-B17; A78-B18; A78-B19; A78-B20; A78-B21; A78-B22; A78-B23; A78-B24; A78-B25; A78-B26; A78-B27; A78-B28; A78-B29; A78-B30; A78-B31; A78-B32; A78-B33; A78-B34; A78-B35; A78-B36; A78-B37; A78-B38; A78-B39; A78-B40; A78-B41; A78-B42; A78-B43; A78-B44; A78-B45; A78-B46; A78-B47; A78-B48; A78-B49; A78-B50; A78-B51; A78-B52; A78-B53; A78-B54; A78-B55; A78-B56; A78-B57; A78-B58; A78-B59; A78-B60; A78-B61; A78-B62; A78-B63; A78-B64; A78-B65; A78-B66; A78-B67; A78-B68; A78-B69; A78-B70; A78-B71; A78-B72; A78-B73; A78-B74; A78-B75; A78-B76; A78-B77; A78-B78; A78-B79; A78-B80; A78-B81; A78-B82; A78-B83; A78-B84; A78-B85; A78-B86; A78-B87; A78-B88; A78-B89; A78-B90; A78-B91; A78-B92; A78-B93; A78-B94; A78-B95; A78-B96; A78-B97; A78-B98; A78-B99; A78-B100; A78-B 101; A78-B102; A78-B103; A78- B104; A78-B105; A78-B106; A78-B107; A78-B108; A78-B 109; A78-B110; A78- Bl l l; A78-B112; A78-B113;
A79-B1; A79-B2; A79-B3; A79-B4; A79-B5; A79-B6; A79-B7; A79-B8; A79-B9; A79-B10; A79-B11; A79-B12; A79-B13; A79-B14; A79-B15; A79-B16;
A79 -B17; A79- -B18; A79 -B19; A79- -B20; A79- -B21; A79- -B22; A79- -B23; A79-B24;
A79 -B25; A79- -B26; A79 -B27; A79- -B28; A79- -B29; A79- -B30; A79- -B31; A79-B32;
A79 -B33; A79- -B34; A79 -B35; A79- -B36; A79- -B37; A79- -B38; A79- -B39; A79-B40;
A79 -B41; A79- -B42; A79 -B43; A79- -B44; A79- -B45; A79- -B46; A79- -B47; A79-B48;
A79 -B49; A79- -B50; A79 -B51; A79- -B52; A79- -B53; A79- -B54; A79- -B55; A79-B56;
A79 -B57; A79- -B58; A79 -B59; A79- -B60; A79- -B61; A79- -B62; A79- -B63; A79-B64;
A79 -B65; A79- -B66; A79 -B67; A79- -B68; A79- -B69; A79- -B70; A79- -B71; A79-B72;
A79 -B73; A79- -B74; A79 -B75; A79- -B76; A79- -B77; A79- -B78; A79- -B79; A79-B80;
A79 -B81; A79- -B82; A79 -B83; A79- -B84; A79- -B85; A79- -B86; A79- -B87; A79-B88;
A79 -B89; A79- -B90; A79 -B91; A79- -B92; A79- -B93; A79- -B94; A79- -B95; A79-B96;
A79 -B97; A79- -B98; A79 -B99; A79- -B100; A79-B 101; A79-B102; A79-B103; A79- B104; A79-B105; A79-B106; A79-B107; A79-B108; A79-B109; A79-B110; A79- Bl l l; A79-B112; A79-B113;
A80-B1; A80-B2; A80-B3; A80-B4; A80-B5; A80-B6; A80-B7; A80-B8; A80-B9; A80-B10; A80-B11; A80-B12; A80-B13; A80-B14; A80-B15; A80-B16; A80-B17; A80-B18; A80-B19; A80-B20; A80-B21; A80-B22; A80-B23; A80-B24: A80-B25; A80-B26; A80-B27; A80-B28; A80-B29; A80-B30; A80-B31 ; A80-B32: A80-B33; A80-B34; A80-B35; A80-B36; A80-B37; A80-B38; A80-B39; A80-B40: A80-B41; A80-B42; A80-B43; A80-B44; A80-B45; A80-B46; A80-B47; A80-B48: A80-B49; A80-B50; A80-B51; A80-B52; A80-B53; A80-B54; A80-B55; A80-B56; A80-B57; A80-B58; A80-B59; A80-B60; A80-B61; A80-B62; A80-B63; A80-B64; A80-B65; A80-B66; A80-B67; A80-B68; A80-B69; A80-B70; A80-B71; A80-B72; A80-B73; A80-B74; A80-B75; A80-B76; A80-B77; A80-B78; A80-B79; A80-B80; A80-B81; A80-B82; A80-B83; A80-B84; A80-B85; A80-B86; A80-B87; A80-B88; A80-B89; A80-B90; A80-B91; A80-B92; A80-B93; A80-B94; A80-B95; A80-B96; A80-B97; A80-B98; A80-B99; A80-B100; A80-B 101; A80-B102; A80-B103; A80- B104; A80-B105; A80-B106; A80-B107; A80-B108; A80-B 109; A80-B110; A80- Bl l l; A80-B112; A80-B113;
A81-B1; A81-B2; A81-B3; A81-B4; A81-B5; A81-B6; A81-B7; A81-B8;
A81-B9; A81-B10; A81-B11; A81-B12; A81-B13; A81-B14; A81-B15; A81-B16;
A81 -B17; A81 -B18; A81 -B19; A81 -B20; A81 -B21; A81 -B22; A81 -B23; A81-B24;
A81 -B25; A81 -B26; A81 -B27; A81 -B28; A81 -B29; A81 -B30; A81 -B31; A81-B32;
A81 -B33; A81 -B34; A81 -B35; A81 -B36; A81 -B37; A81 -B38; A81 -B39; A81-B40;
A81 -B41; A81 -B42; A81 -B43; A81 -B44; A81 -B45; A81 -B46; A81 -B47; A81-B48;
A81 -B49; A81 -B50; A81 -B51; A81 -B52; A81 -B53; A81 -B54; A81 -B55; A81-B56;
A81 -B57; A81 -B58; A81 -B59; A81 -B60; A81 -B61; A81 -B62; A81 -B63; A81-B64;
A81 -B65; A81 -B66; A81 -B67; A81 -B68; A81 -B69; A81 -B70; A81 -B71; A81-B72;
A81 -B73; A81 -B74; A81 -B75; A81 -B76; A81 -B77; A81 -B78; A81 -B79; A81-B80;
A81 -B81; A81 -B82; A81 -B83; A81 -B84; A81 -B85; A81 -B86; A81 -B87; A81-B88;
A81 -B89; A81 -B90; A81 -B91; A81 -B92; A81 -B93; A81 -B94; A81 -B95; A81-B96;
A81 -B97; A81 -B98; A81 -B99; A81 -B100; A81-B 101; A81-B102; A81-B103; A81-
B104; A81-B105; A81-B106; A81-B107; A81-B108; A81-B109; A81-B110; A81- Bl l l; A81-B112; A81-B113;
A82-B1; A82-B2; A82-B3; A82-B4; A82-B5; A82-B6; A82-B7; A82-B8;
A82-B9; A82-B10; A82-B11; A82-B12; A82-B13; A82-B14; A82-B15; A82-B16; A82-B17; A82-B18; A82-B19; A82-B20; A82-B21; A82-B22; A82-B23; A82-B24: A82-B25; A82-B26; A82-B27; A82-B28; A82-B29; A82-B30; A82-B31; A82-B32: A82-B33; A82-B34; A82-B35; A82-B36; A82-B37; A82-B38; A82-B39; A82-B40: A82-B41; A82-B42; A82-B43; A82-B44; A82-B45; A82-B46; A82-B47; A82-B48: A82-B49; A82-B50; A82-B51; A82-B52; A82-B53; A82-B54; A82-B55; A82-B56: A82-B57; A82-B58; A82-B59; A82-B60; A82-B61; A82-B62; A82-B63; A82-B64: A82-B65; A82-B66; A82-B67; A82-B68; A82-B69; A82-B70; A82-B71; A82-B72; A82-B73; A82-B74; A82-B75; A82-B76; A82-B77; A82-B78; A82-B79; A82-B80; A82-B81; A82-B82; A82-B83; A82-B84; A82-B85; A82-B86; A82-B87; A82-B88; A82-B89; A82-B90; A82-B91; A82-B92; A82-B93; A82-B94; A82-B95; A82-B96; A82-B97; A82-B98; A82-B99; A82-B100; A82-B 101; A82-B102; A82-B103; A82- B104; A82-B105; A82-B106; A82-B107; A82-B108; A82-B 109; A82-B110; A82- Bl l l; A82-B112; A82-B113;
A83-B1; A83-B2; A83-B3; A83-B4; A83-B5; A83-B6; A83-B7; A83-B8; A83-B9; A83-B10; A83-B11; A83-B12; A83-B13; A83-B14; A83-B15; A83-B16;
A83 -B17; A83 -B18; A83 -B19; A83 -B20; A83 -B21; A83 -B22; A83 -B23; A83-B24;
A83 -B25; A83 -B26; A83 -B27; A83 -B28; A83 -B29; A83 -B30; A83 -B31; A83-B32;
A83 -B33; A83 -B34; A83 -B35; A83 -B36; A83 -B37; A83 -B38; A83 -B39; A83-B40;
A83 -B41; A83 -B42; A83 -B43; A83 -B44; A83 -B45; A83 -B46; A83 -B47; A83-B48;
A83 -B49; A83 -B50; A83 -B51; A83 -B52; A83 -B53; A83 -B54; A83 -B55; A83-B56;
A83 -B57; A83 -B58; A83 -B59; A83 -B60; A83 -B61; A83 -B62; A83 -B63; A83-B64;
A83 -B65; A83 -B66; A83 -B67; A83 -B68; A83 -B69; A83 -B70; A83 -B71; A83-B72;
A83 -B73; A83 -B74; A83 -B75; A83 -B76; A83 -B77; A83 -B78; A83 -B79; A83-B80;
A83 -B81; A83 -B82; A83 -B83; A83 -B84; A83 -B85; A83 -B86; A83 -B87; A83-B88;
A83 -B89; A83 -B90; A83 -B91; A83 -B92; A83 -B93; A83 -B94; A83 -B95; A83-B96;
A83 -B97; A83 -B98; A83 -B99; A83 -B100; A83-B 101; A83-B102; A83-B103; A83-
B104; A83-B105; A83-B106; A83-B107; A83-B108; A83-B109; A83-B110; A83- Bl l l; A83-B112; A83-B113;
A84-B1; A84-B2; A84-B3; A84-B4; A84-B5; A84-B6; A84-B7; A84-B8; A84-B9; A84-B10; A84-B11; A84-B12; A84-B13; A84-B14; A84-B15; A84-B16; A84-B17; A84-B18; A84-B19; A84-B20; A84-B21; A84-B22; A84-B23; A84-B24: A84-B25; A84-B26; A84-B27; A84-B28; A84-B29; A84-B30; A84-B31; A84-B32: A84-B33; A84-B34; A84-B35; A84-B36; A84-B37; A84-B38; A84-B39; A84-B40: A84-B41; A84-B42; A84-B43; A84-B44; A84-B45; A84-B46; A84-B47; A84-B48: A84-B49; A84-B50; A84-B51; A84-B52; A84-B53; A84-B54; A84-B55; A84-B56: A84-B57; A84-B58; A84-B59; A84-B60; A84-B61; A84-B62; A84-B63; A84-B64: A84-B65; A84-B66; A84-B67; A84-B68; A84-B69; A84-B70; A84-B71; A84-B72: A84-B73; A84-B74; A84-B75; A84-B76; A84-B77; A84-B78; A84-B79; A84-B80: A84-B81; A84-B82; A84-B83; A84-B84; A84-B85; A84-B86; A84-B87; A84-B88; A84-B89; A84-B90; A84-B91; A84-B92; A84-B93; A84-B94; A84-B95; A84-B96; A84-B97; A84-B98; A84-B99; A84-B100; A84-B 101; A84-B102; A84-B103; A84- B104; A84-B105; A84-B106; A84-B107; A84-B108; A84-B 109; A84-B110; A84- Bi l l; A84-B112; A84-B113;
A85-B1; A85-B2; A85-B3; A85-B4; A85-B5; A85-B6; A85-B7; A85-B8; A85-B9; A85-B10; A85-B11; A85-B12; A85-B13; A85-B14; A85-B15; A85-B16;
A85 -B17; A85 -B18; A85 -B19; A85 -B20; A85 -B21; A85 -B22; A85 -B23; A85-B24;
A85 -B25; A85 -B26; A85 -B27; A85 -B28; A85 -B29; A85 -B30; A85 -B31; A85-B32;
A85 -B33; A85 -B34; A85 -B35; A85 -B36; A85 -B37; A85 -B38; A85 -B39; A85-B40;
A85 -B41; A85 -B42; A85 -B43; A85 -B44; A85 -B45; A85 -B46; A85 -B47; A85-B48;
A85 -B49; A85 -B50; A85 -B51; A85 -B52; A85 -B53; A85 -B54; A85 -B55; A85-B56;
A85 -B57; A85 -B58; A85 -B59; A85 -B60; A85 -B61; A85 -B62; A85 -B63; A85-B64;
A85 -B65; A85 -B66; A85 -B67; A85 -B68; A85 -B69; A85 -B70; A85 -B71; A85-B72;
A85 -B73; A85 -B74; A85 -B75; A85 -B76; A85 -B77; A85 -B78; A85 -B79; A85-B80;
A85 -B81; A85 -B82; A85 -B83; A85 -B84; A85 -B85; A85 -B86; A85 -B87; A85-B88;
A85 -B89; A85 -B90; A85 -B91; A85 -B92; A85 -B93; A85 -B94; A85 -B95; A85-B96;
A85 -B97; A85 -B98; A85 -B99; A85 -B100; A85-B 101; A85-B102; A85-B103; A85-
B104; A85-B105; A85-B106; A85-B107; A85-B108; A85-B109; A85-B110; A85- Bl l l; A85-B112; A85-B113;
A86-B1; A86-B2; A86-B3; A86-B4; A86-B5; A86-B6; A86-B7; A86-B8; A86-B9; A86-B10; A86-B11; A86-B12; A86-B13; A86-B14; A86-B15; A86-B16;
A86 -B17; A86 -B18; A86 -B19; A86 -B20; A86- -B21; A86 -B22; A86- -B23; A86- -B24;
A86 -B25; A86 -B26; A86 -B27; A86 -B28; A86- -B29; A86 -B30; A86- -B31; A86- -B32;
A86 -B33; A86 -B34; A86 -B35; A86 -B36; A86- -B37; A86 -B38; A86- -B39; A86- -B40;
A86 -B41; A86 -B42; A86 -B43; A86 -B44; A86- -B45; A86 -B46; A86- -B47; A86- -B48;
A86 -B49; A86 -B50; A86 -B51; A86 -B52; A86- -B53; A86 -B54; A86- -B55; A86- -B56;
A86 -B57; A86 -B58; A86 -B59; A86 -B60; A86- -B61; A86 -B62; A86- -B63; A86- -B64;
A86 -B65; A86 -B66; A86 -B67; A86 -B68; A86- -B69; A86 -B70; A86- -B71; A86- -B72;
A86 -B73; A86 -B74; A86 -B75; A86 -B76; A86- -B77; A86 -B78; A86- -B79; A86- -B80;
A86 -B81; A86 -B82; A86 -B83; A86 -B84; A86- -B85; A86 -B86; A86- -B87; A86- -B88;
A86 -B89; A86 -B90; A86 -B91; A86 -B92; A86- -B93; A86 -B94; A86- -B95; A86- -B96; A86-B97; A86-B98; A86-B99; A86-B100; A86-B 101; A86-B102; A86-B103; A86- B104; A86-B105; A86-B106; A86-B107; A86-B108; A86-B 109; A86-B110; A86- Bl l l; A86-B112; A86-B113;
A87-B1; A87-B2; A87-B3; A87-B4; A87-B5; A87-B6; A87-B7; A87-B8; A87-B9; A87-B10; A87-B11; A87-B12; A87-B13; A87-B14; A87-B15; A87-B16;
A87 -B17; A87 -B18; A87-B19; A87 -B20; A87 -B21; A87 -B22; A87 -B23; A87-B24;
A87 -B25; A87 -B26; A87-B27; A87 -B28; A87 -B29; A87 -B30; A87 -B31; A87-B32;
A87 -B33; A87 -B34; A87-B35; A87 -B36; A87 -B37; A87 -B38; A87 -B39; A87-B40;
A87 -B41; A87 -B42; A87-B43; A87 -B44; A87 -B45; A87 -B46; A87 -B47; A87-B48;
A87 -B49; A87 -B50; A87-B51; A87 -B52; A87 -B53; A87 -B54; A87 -B55; A87-B56;
A87 -B57; A87 -B58; A87-B59; A87 -B60; A87 -B61; A87 -B62; A87 -B63; A87-B64;
A87 -B65; A87 -B66; A87-B67; A87 -B68; A87 -B69; A87 -B70; A87 -B71; A87-B72;
A87 -B73; A87 -B74; A87-B75; A87 -B76; A87 -B77; A87 -B78; A87 -B79; A87-B80;
A87 -B81; A87 -B82; A87-B83; A87 -B84; A87 -B85; A87 -B86; A87 -B87; A87-B88;
A87 -B89; A87 -B90; A87-B91; A87 -B92; A87 -B93; A87 -B94; A87 -B95; A87-B96;
A87 -B97; A87 -B98; A87-B99; A87 -B100; A87-B 101; A87-B102; A87-B103; A87-
B104; A87-B105; A87-B106; A87-B107; A87-B108; A87-B109; A87-B110; A87- Bl l l; A87-B112; A87-B113;
A88-B1; A88-B2; A88-B3; A88-B4; A88-B5; A88-B6; A88-B7; A88-B8; A88-B9; A88-B10; A88-B11; A88-B12; A88-B13; A88-B14; A88-B15; A88-B16;
A88 -B17; A88 -B18; A88 -B19; A88 -B20; A88 -B21; A88 -B22; A88 -B23; A88-B24;
A88 -B25; A88 -B26; A88 -B27; A88 -B28; A88 -B29; A88 -B30; A88 -B31; A88-B32;
A88 -B33; A88 -B34; A88 -B35; A88 -B36; A88 -B37; A88 -B38; A88 -B39; A88-B40;
A88 -B41; A88 -B42; A88 -B43; A88 -B44; A88 -B45; A88 -B46; A88 -B47; A88-B48;
A88 -B49; A88 -B50; A88 -B51; A88 -B52; A88 -B53; A88 -B54; A88 -B55; A88-B56;
A88 -B57; A88 -B58; A88 -B59; A88 -B60; A88 -B61; A88 -B62; A88 -B63; A88-B64;
A88 -B65; A88 -B66; A88 -B67; A88 -B68; A88 -B69; A88 -B70; A88 -B71; A88-B72;
A88 -B73; A88 -B74; A88 -B75; A88 -B76; A88 -B77; A88 -B78; A88 -B79; A88-B80;
A88 -B81; A88 -B82; A88 -B83; A88 -B84; A88 -B85; A88 -B86; A88 -B87; A88-B88;
A88 -B89; A88 -B90; A88 -B91; A88 -B92; A88 -B93; A88 -B94; A88 -B95; A88-B96;
A88 -B97; A88 -B98; A88 -B99; A88 -B100; A88-B 101; A88-B102; A88-B103; A88- B104; A88-B105; A88-B106; A88-B107; A88-B108; A88-B 109; A88-B110; A88- Bl l l; A88-B112; A88-B113;
A89-B1; A89-B2; A89-B3; A89-B4; A89-B5; A89-B6; A89-B7; A89-B8; A89-B9; A89-B10; A89-B11; A89-B12; A89-B13; A89-B14; A89-B15; A89-B16;
A89 -B17; A89- -B18; A89 -B19; A89 -B20; A89- -B21; A89 -B22; A89- -B23; A89-B24;
A89 -B25; A89- -B26; A89 -B27; A89 -B28; A89- -B29; A89 -B30; A89- -B31; A89-B32;
A89 -B33; A89- -B34; A89 -B35; A89 -B36; A89- -B37; A89 -B38; A89- -B39; A89-B40;
A89 -B41; A89- -B42; A89 -B43; A89 -B44; A89- -B45; A89 -B46; A89- -B47; A89-B48;
A89 -B49; A89- -B50; A89 -B51; A89 -B52; A89- -B53; A89 -B54; A89- -B55; A89-B56;
A89 -B57; A89- -B58; A89 -B59; A89 -B60; A89- -B61; A89 -B62; A89- -B63; A89-B64;
A89 -B65; A89- -B66; A89 -B67; A89 -B68; A89- -B69; A89 -B70; A89- -B71; A89-B72;
A89 -B73; A89- -B74; A89 -B75; A89 -B76; A89- -B77; A89 -B78; A89- -B79; A89-B80;
A89 -B81; A89- -B82; A89 -B83; A89 -B84; A89- -B85; A89 -B86; A89- -B87; A89-B88;
A89 -B89; A89- -B90; A89 -B91; A89 -B92; A89- -B93; A89 -B94; A89- -B95; A89-B96;
A89 -B97; A89- -B98; A89 -B99; A89 -B100; A89-B 101; A89-B102; A89-B103; A89-
B104; A89-B105; A89-B106; A89-B107; A89-B108; A89-B109; A89-B110; A89- Bl l l; A89-B112; A89-B113;
A90-B1; A90-B2; A90-B3; A90-B4; A90-B5; A90-B6; A90-B7; A90-B8;
A90-B9; A90-B10; A90-B11; A90-B12; A90-B13; A90-B14; A90-B15; A90-B16;
A90 -B17; A90- -B18; A90 -B19; A90 -B20; A90- -B21; A90 -B22; A90- -B23; A90-B24;
A90 -B25; A90- -B26; A90 -B27; A90 -B28; A90- -B29; A90 -B30; A90- -B31; A90-B32;
A90 -B33; A90- -B34; A90 -B35; A90 -B36; A90- -B37; A90 -B38; A90- -B39; A90-B40;
A90 -B41; A90- -B42; A90 -B43; A90 -B44; A90- -B45; A90 -B46; A90- -B47; A90-B48;
A90 -B49; A90- -B50; A90 -B51; A90 -B52; A90- -B53; A90 -B54; A90- -B55; A90-B56;
A90 -B57; A90- -B58; A90 -B59; A90 -B60; A90- -B61; A90 -B62; A90- -B63; A90-B64;
A90 -B65; A90- -B66; A90 -B67; A90 -B68; A90- -B69; A90 -B70; A90- -B71; A90-B72;
A90 -B73; A90- -B74; A90 -B75; A90 -B76; A90- -B77; A90 -B78; A90- -B79; A90-B80;
A90 -B81; A90- -B82; A90 -B83; A90 -B84; A90- -B85; A90 -B86; A90- -B87; A90-B88;
A90 -B89; A90- -B90; A90 -B91; A90 -B92; A90- -B93; A90 -B94; A90- -B95; A90-B96;
A90 -B97; A90- -B98; A90 -B99; A90 -B100; A90-B 101; A90-B102; A90-B103; A90-
B104; A90-B105; A90-B106; A90-B107; A90-B108; A90-B109; A90-B110; A90- Bl l l; A90-B112; A90-B113; A91-B1; A91-B2; A91-B3; A91-B4; A91-B5; A91-B6; A91-B7; A91-B8; A91-B9; A91-B10; A91-B11; A91-B12; A91-B13; A91-B14; A91-B15; A91-B16;
A91 -B17; A91 -B18; A91 -B19; A91 -B20; A91 -B21; A91 -B22; A91 -B23; A91-B24;
A91 -B25; A91 -B26; A91 -B27; A91 -B28; A91 -B29; A91 -B30; A91 -B31; A91-B32;
A91 -B33; A91 -B34; A91 -B35; A91 -B36; A91 -B37; A91 -B38; A91 -B39; A91-B40;
A91 -B41; A91 -B42; A91 -B43; A91 -B44; A91 -B45; A91 -B46; A91 -B47; A91-B48;
A91 -B49; A91 -B50; A91 -B51; A91 -B52; A91 -B53; A91 -B54; A91 -B55; A91-B56;
A91 -B57; A91 -B58; A91 -B59; A91 -B60; A91 -B61; A91 -B62; A91 -B63; A91-B64;
A91 -B65; A91 -B66; A91 -B67; A91 -B68; A91 -B69; A91 -B70; A91 -B71; A91-B72;
A91 -B73; A91 -B74; A91 -B75; A91 -B76; A91 -B77; A91 -B78; A91 -B79; A91-B80;
A91 -B81; A91 -B82; A91 -B83; A91 -B84; A91 -B85; A91 -B86; A91 -B87; A91-B88;
A91 -B89; A91 -B90; A91 -B91; A91 -B92; A91 -B93; A91 -B94; A91 -B95; A91-B96;
A91 -B97; A91 -B98; A91 -B99; A91 -B100; A91-B 101; A91-B102; A91-B103; A91-
B104; A91-B105; A91-B106; A91-B107; A91-B108; A91-B 109; A91-B110; A91- Bl l l; A91-B112; A91-B113;
A92-B1; A92-B2; A92-B3; A92-B4; A92-B5; A92-B6; A92-B7; A92-B8; A92-B9; A92-B10; A92-B11; A92-B12; A92-B13; A92-B14; A92-B15; A92-B16;
A92-B17; A92- -B18; A92 -B19; A92- -B20; A92- -B21; A92- -B22; A92- -B23; A92-B24
A92-B25; A92- -B26; A92 -B27; A92- -B28; A92- -B29; A92- -B30; A92- -B31; A92-B32
A92-B33; A92- -B34; A92 -B35; A92- -B36; A92- -B37; A92- -B38; A92- -B39; A92-B40
A92-B41; A92- -B42; A92 -B43; A92- -B44; A92- -B45; A92- -B46; A92- -B47; A92-B48
A92-B49; A92- -B50; A92 -B51; A92- -B52; A92- -B53; A92- -B54; A92- -B55; A92-B56
A92-B57; A92- -B58; A92 -B59; A92- -B60; A92- -B61; A92- -B62; A92- -B63; A92-B64
A92-B65; A92- -B66; A92 -B67; A92- -B68; A92- -B69; A92- -B70; A92- -B71; A92-B72
A92-B73; A92- -B74; A92 -B75; A92- -B76; A92- -B77; A92- -B78; A92- -B79; A92-B80
A92-B81; A92- -B82; A92 -B83; A92- -B84; A92- -B85; A92- -B86; A92- -B87; A92-B88
A92-B89; A92- -B90; A92 -B91; A92- -B92; A92- -B93; A92- -B94; A92- -B95; A92-B96
A92-B97; A92- -B98; A92 -B99; A92- -B100; A92-B 101; A92-B102; A92-B103; A92
B104; A92-B105; A92-B106; A92-B107; A92-B108; A92-B109; A92-B110; A92- Bl l l; A92-B112; A92-B113;
A93-B1; A93-B2; A93-B3; A93-B4; A93-B5; A93-B6; A93-B7; A93-B8; A93-B9; A93-B10; A93-B11; A93-B12; A93-B13; A93-B14; A93-B15; A93-B16; A93 -B17; A93 -B18; A93 -B19; A93 -B20; A93 -B21; A93 -B22; A93 -B23; A93-B24;
A93 -B25; A93 -B26; A93 -B27; A93 -B28; A93 -B29; A93 -B30; A93 -B31; A93-B32;
A93 -B33; A93 -B34; A93 -B35; A93 -B36; A93 -B37; A93 -B38; A93 -B39; A93-B40;
A93 -B41; A93 -B42; A93 -B43; A93 -B44; A93 -B45; A93 -B46; A93 -B47; A93-B48;
A93 -B49; A93 -B50; A93 -B51; A93 -B52; A93 -B53; A93 -B54; A93 -B55; A93-B56;
A93 -B57; A93 -B58; A93 -B59; A93 -B60; A93 -B61; A93 -B62; A93 -B63; A93-B64;
A93 -B65; A93 -B66; A93 -B67; A93 -B68; A93 -B69; A93 -B70; A93 -B71; A93-B72;
A93 -B73; A93 -B74; A93 -B75; A93 -B76; A93 -B77; A93 -B78; A93 -B79; A93-B80;
A93 -B81; A93 -B82; A93 -B83; A93 -B84; A93 -B85; A93 -B86; A93 -B87; A93-B88;
A93 -B89; A93 -B90; A93 -B91; A93 -B92; A93 -B93; A93 -B94; A93 -B95; A93-B96;
A93 -B97; A93 -B98; A93 -B99; A93 -B100; A93-B 101; A93-B102; A93-B103; A93-
B104; A93-B105; A93-B106; A93-B107; A93-B108; A93-B 109; A93-B110; A93- Bl l l; A93-B112; A93-B113;
A94-B1; A94-B2; A94-B3; A94-B4; A94-B5; A94-B6; A94-B7; A94-B8; A94-B9; A94-B10; A94-B11; A94-B12; A94-B13; A94-B14; A94-B15; A94-B16;
A94-B17; A94- -B18; A94 -B19; A94- -B20; A94- -B21; A94- -B22; A94- -B23; A94-B24
A94-B25; A94- -B26; A94 -B27; A94- -B28; A94- -B29; A94- -B30; A94- -B31; A94-B32
A94-B33; A94- -B34; A94 -B35; A94- -B36; A94- -B37; A94- -B38; A94- -B39; A94-B40
A94-B41; A94- -B42; A94 -B43; A94- -B44; A94- -B45; A94- -B46; A94- -B47; A94-B48
A94-B49; A94- -B50; A94 -B51; A94- -B52; A94- -B53; A94- -B54; A94- -B55; A94-B56
A94-B57; A94- -B58; A94 -B59; A94- -B60; A94- -B61; A94- -B62; A94- -B63; A94-B64
A94-B65; A94- -B66; A94 -B67; A94- -B68; A94- -B69; A94- -B70; A94- -B71; A94-B72
A94-B73; A94- -B74; A94 -B75; A94- -B76; A94- -B77; A94- -B78; A94- -B79; A94-B80
A94-B81; A94- -B82; A94 -B83; A94- -B84; A94- -B85; A94- -B86; A94- -B87; A94-B88
A94-B89; A94- -B90; A94 -B91; A94- -B92; A94- -B93; A94- -B94; A94- -B95; A94-B96
A94-B97; A94- -B98; A94 -B99; A94- -B100; A94-B 101; A94-B102; A94-B103; A94
B104; A94-B105; A94-B106; A94-B107; A94-B108; A94-B109; A94-B110; A94- Bl l l; A94-B112; A94-B113;
A95-B1; A95-B2; A95-B3; A95-B4; A95-B5; A95-B6; A95-B7; A95-B8; A95-B9; A95-B10; A95-B11; A95-B12; A95-B13; A95-B14; A95-B15; A95-B16; A95-B17; A95-B18; A95-B19; A95-B20; A95-B21; A95-B22; A95-B23; A95-B24; A95-B25; A95-B26; A95-B27; A95-B28; A95-B29; A95-B30; A95-B31; A95-B32; A95-B33; A95-B34; A95-B35; A95-B36; A95-B37; A95-B38; A95-B39; A95-B40; A95-B41; A95-B42; A95-B43; A95-B44; A95-B45; A95-B46; A95-B47; A95-B48; A95-B49; A95-B50; A95-B51; A95-B52; A95-B53; A95-B54; A95-B55; A95-B56; A95-B57; A95-B58; A95-B59; A95-B60; A95-B61; A95-B62; A95-B63; A95-B64; A95-B65; A95-B66; A95-B67; A95-B68; A95-B69; A95-B70; A95-B71; A95-B72; A95-B73; A95-B74; A95-B75; A95-B76; A95-B77; A95-B78; A95-B79; A95-B80; A95-B81; A95-B82; A95-B83; A95-B84; A95-B85; A95-B86; A95-B87; A95-B88; A95-B89; A95-B90; A95-B91; A95-B92; A95-B93; A95-B94; A95-B95; A95-B96; A95-B97; A95-B98; A95-B99; A95-B100; A95-B 101; A95-B102; A95-B103; A95- B104; A95-B105; A95-B106; A95-B107; A95-B108; A95-B 109; A95-B110; A95- Bl l l; A95-B112; A95-B113;
A96-B1; A96-B2; A96-B3; A96-B4; A96-B5; A96-B6; A96-B7; A96-B8; A96-B9; A96-B10; A96-B11; A96-B12; A96-B13; A96-B14; A96-B15; A96-B16;
A96 -B17; A96- -B18; A96 -B19; A96 -B20; A96- -B21; A96 -B22; A96- -B23; A96-B24;
A96 -B25; A96- -B26; A96 -B27; A96 -B28; A96- -B29; A96 -B30; A96- -B31; A96-B32;
A96 -B33; A96- -B34; A96 -B35; A96 -B36; A96- -B37; A96 -B38; A96- -B39; A96-B40;
A96 -B41; A96- -B42; A96 -B43; A96 -B44; A96- -B45; A96 -B46; A96- -B47; A96-B48;
A96 -B49; A96- -B50; A96 -B51; A96 -B52; A96- -B53; A96 -B54; A96- -B55; A96-B56;
A96 -B57; A96- -B58; A96 -B59; A96 -B60; A96- -B61; A96 -B62; A96- -B63; A96-B64;
A96 -B65; A96- -B66; A96 -B67; A96 -B68; A96- -B69; A96 -B70; A96- -B71; A96-B72;
A96 -B73; A96- -B74; A96 -B75; A96 -B76; A96- -B77; A96 -B78; A96- -B79; A96-B80;
A96 -B81; A96- -B82; A96 -B83; A96 -B84; A96- -B85; A96 -B86; A96- -B87; A96-B88;
A96 -B89; A96- -B90; A96 -B91; A96 -B92; A96- -B93; A96 -B94; A96- -B95; A96-B96;
A96 -B97; A96- -B98; A96 -B99; A96 -B100; A96-B 101; A96-B102; A96-B103; A96- B104; A96-B105; A96-B106; A96-B107; A96-B108; A96-B109; A96-B110; A96- Bl l l; A96-B112; A96-B113;
A97-B1; A97-B2; A97-B3; A97-B4; A97-B5; A97-B6; A97-B7; A97-B8; A97-B9; A97-B10; A97-B11; A97-B12; A97-B13; A97-B14; A97-B15; A97-B16; A97-B17; A97-B18; A97-B19; A97-B20; A97-B21; A97-B22; A97-B23; A97-B24: A97-B25; A97-B26; A97-B27; A97-B28; A97-B29; A97-B30; A97-B31; A97-B32: A97-B33; A97-B34; A97-B35; A97-B36; A97-B37; A97-B38; A97-B39; A97-B40: A97-B41; A97-B42; A97-B43; A97-B44; A97-B45; A97-B46; A97-B47; A97-B48: A97-B49; A97-B50; A97-B51; A97-B52; A97-B53; A97-B54; A97-B55; A97-B56; A97-B57; A97-B58; A97-B59; A97-B60; A97-B61; A97-B62; A97-B63; A97-B64; A97-B65; A97-B66; A97-B67; A97-B68; A97-B69; A97-B70; A97-B71; A97-B72; A97-B73; A97-B74; A97-B75; A97-B76; A97-B77; A97-B78; A97-B79; A97-B80; A97-B81; A97-B82; A97-B83; A97-B84; A97-B85; A97-B86; A97-B87; A97-B88; A97-B89; A97-B90; A97-B91; A97-B92; A97-B93; A97-B94; A97-B95; A97-B96; A97-B97; A97-B98; A97-B99; A97-B100; A97-B 101; A97-B102; A97-B103; A97- B104; A97-B105; A97-B106; A97-B107; A97-B108; A97-B 109; A97-B110; A97- Bl l l; A97-B112; A97-B113;
A98-B1; A98-B2; A98-B3; A98-B4; A98-B5; A98-B6; A98-B7; A98-B8;
A98-B9; A98-B10; A98-B11; A98-B12; A98-B13; A98-B14; A98-B15; A98-B16;
A98 -B17; A98 -B18; A98 -B19; A98 -B20; A98 -B21; A98 -B22; A98 -B23; A98-B24;
A98 -B25; A98 -B26; A98 -B27; A98 -B28; A98 -B29; A98 -B30; A98 -B31; A98-B32;
A98 -B33; A98 -B34; A98 -B35; A98 -B36; A98 -B37; A98 -B38; A98 -B39; A98-B40;
A98 -B41; A98 -B42; A98 -B43; A98 -B44; A98 -B45; A98 -B46; A98 -B47; A98-B48;
A98 -B49; A98 -B50; A98 -B51; A98 -B52; A98 -B53; A98 -B54; A98 -B55; A98-B56;
A98 -B57; A98 -B58; A98 -B59; A98 -B60; A98 -B61; A98 -B62; A98 -B63; A98-B64;
A98 -B65; A98 -B66; A98 -B67; A98 -B68; A98 -B69; A98 -B70; A98 -B71; A98-B72;
A98 -B73; A98 -B74; A98 -B75; A98 -B76; A98 -B77; A98 -B78; A98 -B79; A98-B80;
A98 -B81; A98 -B82; A98 -B83; A98 -B84; A98 -B85; A98 -B86; A98 -B87; A98-B88;
A98 -B89; A98 -B90; A98 -B91; A98 -B92; A98 -B93; A98 -B94; A98 -B95; A98-B96;
A98 -B97; A98 -B98; A98 -B99; A98 -B100; A98-B 101; A98-B102; A98-B103; A98-
B104; A98-B105; A98-B106; A98-B107; A98-B108; A98-B109; A98-B110; A98- Bl l l; A98-B112; A98-B113;
A99-B1; A99-B2; A99-B3; A99-B4; A99-B5; A99-B6; A99-B7; A99-B8;
A99-B9; A99-B10; A99-B11; A99-B12; A99-B13; A99-B14; A99-B15; A99-B16; A99-B17; A99-B18; A99-B19; A99-B20; A99-B21; A99-B22; A99-B23; A99-B24 A99-B25; A99-B26; A99-B27; A99-B28; A99-B29; A99-B30; A99-B31; A99-B32 A99-B33; A99-B34; A99-B35; A99-B36; A99-B37; A99-B38; A99-B39; A99-B40 A99-B41; A99-B42; A99-B43; A99-B44; A99-B45; A99-B46; A99-B47; A99-B48 A99-B49; A99-B50; A99-B51; A99-B52; A99-B53; A99-B54; A99-B55; A99-B56 A99-B57; A99-B58; A99-B59; A99-B60; A99-B61; A99-B62; A99-B63; A99-B64 A99-B65; A99-B66; A99-B67; A99-B68; A99-B69; A99-B70; A99-B71; A99-B72 A99-B73; A99-B74; A99-B75; A99-B76; A99-B77; A99-B78; A99-B79; A99-B80 A99-B81; A99-B82; A99-B83; A99-B84; A99-B85; A99-B86; A99-B87; A99-B88 A99-B89; A99-B90; A99-B91; A99-B92; A99-B93; A99-B94; A99-B95; A99-B96 A99-B97; A99-B98; A99-B99; A99-B100; A99-B 101; A99-B102; A99-B103; A99 B104; A99-B105; A99-B106; A99-B107; A99-B108; A99-B 109; A99-B110; A99- Bl l l; A99-B112; A99-B113;
A100-B1; A100-B2; A100-B3; A100-B4; A100-B5; A100-B6; A100-B7; A100-B8; A100-B9; A100-B10; A100-B11; A100-B12; A100-B13; A100-B14;
A100 -B15; A100- -B16; A100 -B17; A100- -B18; A100 -B19; A100- -B20; A100-B21;
A100 -B22; A100- -B23; A100 -B24; A100- -B25; A100 -B26; A100- -B27; A100-B28;
A100 -B29; A100- -B30; A100 -B31; A100- -B32; A100 -B33; A100- -B34; A100-B35;
A100 -B36; A100- -B37; A100 -B38; A100- -B39; A100 -B40; A100- -B41; A100-B42;
A100 -B43; A100- -B44; A100 -B45; A100- -B46; A100 -B47; A100- -B48; A100-B49;
A100 -B50; A100- -B51; A100 -B52; A100- -B53; A100 -B54; A100- -B55; A100-B56;
A100 -B57; A100- -B58; A100 -B59; A100- -B60; A100 -B61; A100- -B62; A100-B63;
A100 -B64; A100- -B65; A100 -B66; A100- -B67; A100 -B68; A100- -B69; A100-B70;
A100 -B71; A100- -B72; A100 -B73; A100- -B74; A100 -B75; A100- -B76; A100-B77;
A100 -B78; A100- -B79; A100 -B80; A100- -B81; A100 -B82; A100- -B83; A100-B84;
A100 -B85; A100- -B86; A100 -B87; A100- -B88; A100 -B89; A100- -B90; A100-B91;
A100 -B92; A100- -B93; A100 -B94; A100- -B95; A100 -B96; A100- -B97; A100-B98;
A100 -B99; A100- -B100; A100-B101; A100-B102; A100-B103; A100-B104; A100
B105; A100-B106; A100-B107; A100-B108; A100-B109; A100-B110; AlOO-Bl l l; A100-B112; A100-B113;
A101-B1; A101-B2; A101-B3; A101-B4; A101-B5; A101-B6; A101-B7;
A101-B8; A101-B9; A101-B10; A101-B11; A101-B12; A101-B13; A101-B14; A101-B15; A101-B16; A101-B17; A101-B18; A101-B19; A101-B20; A101-B21 A101-B22; A101-B23; A101-B24; A101-B25; A101-B26; A101-B27; A101-B28 A101-B29; A101-B30; A101-B31; A101-B32; A101-B33; A101-B34; A101-B35 A101-B36; A101-B37; A101-B38; A101-B39; A101-B40; A101-B41; A101-B42 A101-B43; A101-B44; A101-B45; A101-B46; A101-B47; A101-B48; A101-B49 A101-B50; A101-B51; A101-B52; A101-B53; A101-B54; A101-B55; A101-B56 A101-B57; A101-B58; A101-B59; A101-B60; A101-B61; A101-B62; A101-B63; A101-B64; A101-B65; A101-B66; A101-B67; A101-B68; A101-B69; A101-B70; A101-B71; A101-B72; A101-B73; A101-B74; A101-B75; A101-B76; A101-B77; A101-B78; A101-B79; A101-B80; A101-B81; A101-B82; A101-B83; A101-B84; A101-B85; A101-B86; A101-B87; A101-B88; A101-B89; A101-B90; A101-B91; A101-B92; A101-B93; A101-B94; A101-B95; A101-B96; A101-B97; A101-B98; A101-B99; A101-B100; A101-B101; A101-B102; A101-B103; A101-B104; A101- B105; A101-B106; A101-B107; A101-B108; A101-B109; A101-B110; AlOl-Bl l l; A101-B112; A101-B113;
A102-B1; A102-B2; A102-B3; A102-B4; A102-B5; A102-B6; A102-B7;
A102- -B8; A102-B9; A102-B10; A102-B11; A102-B12; A102-B13; A102-B14;
A102- -B15; A102- -B16; A102-B17; A102-B18; A102-B19; A102-B20; A102- -B21;
A102- -B22; A102- -B23; A102-B24; A102-B25; A102-B26; A102-B27; A102- -B28;
A102- -B29; A102- -B30; A102-B31; A102-B32; A102-B33; A102-B34; A102- -B35;
A102- -B36; A102- -B37; A102-B38; A102-B39; A102-B40; A102-B41; A102- -B42;
A102- -B43; A102- -B44; A102-B45; A102-B46; A102-B47; A102-B48; A102- -B49;
A102- -B50; A102- -B51; A102-B52; A102-B53; A102-B54; A102-B55; A102- -B56;
A102- -B57; A102- -B58; A102-B59; A102-B60; A102-B61; A102-B62; A102- -B63;
A102- -B64; A102- -B65; A102-B66; A102-B67; A102-B68; A102-B69; A102- -B70;
A102- -B71; A102- -B72; A102-B73; A102-B74; A102-B75; A102-B76; A102- -B77;
A102- -B78; A102- -B79; A102-B80; A102-B81; A102-B82; A102-B83; A102- -B84;
A102- -B85; A102- -B86; A102-B87; A102-B88; A102-B89; A102-B90; A102- -B91;
A102- -B92; A102- -B93; A102-B94; A102-B95; A102-B96; A102-B97; A102- -B98;
A102- -B99; A102- -B100; A102-B101; A102-B102; A102-B103; A102-B104; A 102-
B105; A102-B106; A102-B107; A102-B108; A102-B109; A102-B110; A102-B111; A102-B112; A102-B113;
A103-B1; A103-B2; A103-B3; A103-B4; A103-B5; A103-B6; A103-B7; A103-B8; A103-B9; A103-B10; A103-B11; A103-B12; A103-B13; A103-B14; A103-B15; A103-B16; A103-B17; A103-B18; A103-B19; A103-B20; A103-B21 A103-B22; A103-B23; A103-B24; A103-B25; A103-B26; A103-B27; A103-B28 A103-B29; A103-B30; A103-B31; A103-B32; A103-B33; A103-B34; A103-B35 A103-B36; A103-B37; A103-B38; A103-B39; A103-B40; A103-B41; A103-B42 A103-B43; A103-B44; A103-B45; A103-B46; A103-B47; A103-B48; A103-B49; A103-B50; A103-B51; A103-B52; A103-B53; A103-B54; A103-B55; A103-B56; A103-B57; A103-B58; A103-B59; A103-B60; A103-B61; A103-B62; A103-B63; A103-B64; A103-B65; A103-B66; A103-B67; A103-B68; A103-B69; A103-B70; A103-B71; A103-B72; A103-B73; A103-B74; A103-B75; A103-B76; A103-B77; A103-B78; A103-B79; A103-B80; A103-B81; A103-B82; A103-B83; A103-B84; A103-B85; A103-B86; A103-B87; A103-B88; A103-B89; A103-B90; A103-B91; A103-B92; A103-B93; A103-B94; A103-B95; A103-B96; A103-B97; A103-B98; A103-B99; A103-B100; A103-B101; A103-B102; A103-B103; A103-B104; A103- B105; A103-B106; A103-B107; A103-B108; A103-B109; A103-B110; A103-B111; A103-B112; A103-B113;
A104-B1; A104-B2; A104-B3; A104-B4; A104-B5; A104-B6; A104-B7; A104-B8; A104-B9; A104-B10; A104-B11; A104-B12; A104-B13; A104-B14;
A104- -B15; A104- -B16; A104- -B17; A104- -B18; A104- -B19; A104- -B20; A104- -B21;
A104- -B22; A104- -B23; A104- -B24; A104- -B25; A104- -B26; A104- -B27; A104- -B28;
A104- -B29; A104- -B30; A104- -B31; A104- -B32; A104- -B33; A104- -B34; A104- -B35;
A104- -B36; A104- -B37; A104- -B38; A104- -B39; A104- -B40; A104- -B41; A104- -B42;
A104- -B43; A104- -B44; A104- -B45; A104- -B46; A104- -B47; A104- -B48; A104- -B49;
A104- -B50; A104- -B51; A104- -B52; A104- -B53; A104- -B54; A104- -B55; A104- -B56;
A104- -B57; A104- -B58; A104- -B59; A104- -B60; A104- -B61; A104- -B62; A104- -B63;
A104- -B64; A104- -B65; A104- -B66; A104- -B67; A104- -B68; A104- -B69; A104- -B70;
A104- -B71; A104- -B72; A104- -B73; A104- -B74; A104- -B75; A104- -B76; A104- -B77;
A104- -B78; A104- -B79; A104- -B80; A104- -B81; A104- -B82; A104- -B83; A104- -B84;
A104- -B85; A104- -B86; A104- -B87; A104- -B88; A104- -B89; A104- -B90; A104- -B91;
A104- -B92; A104- -B93; A104- -B94; A104- -B95; A104- -B96; A104- -B97; A104- -B98;
A104- -B99; A104- -B100; A104-B101; A104-B102; A104-B103; A104-B104; A 104-
B105; A104-B106; A104-B107; A104-B108; A104-B109; A104-B110; A104-B111; A104-B112; A104-B113;
A105-B1; A105-B2; A105-B3; A105-B4; A105-B5; A105-B6; A105-B7; A105-B8; A105-B9; A105-B10; A105-B11; A105-B12; A105-B13; A105-B14; A105-B15; A105-B16; A105-B17; A105-B18; A105-B19; A105-B20; A105-B21; A105-B22; A105-B23; A105-B24; A105-B25; A105-B26; A105-B27; A105-B28; A105 -B29; A105 -B30; A105 -B31; A105 -B32; A105 -B33; A105 -B34; A105 -B35;
A105 -B36; A105 -B37; A105 -B38; A105 -B39; A105 -B40; A105 -B41; A105 -B42;
A105 -B43; A105 -B44; A105 -B45; A105 -B46; A105 -B47; A105 -B48; A105 -B49;
A105 -B50; A105 -B51; A105 -B52; A105 -B53; A105 -B54; A105 -B55; A105 -B56;
A105 -B57; A105 -B58; A105 -B59; A105 -B60; A105 -B61; A105 -B62; A105 -B63;
A105 -B64; A105 -B65; A105 -B66; A105 -B67; A105 -B68; A105 -B69; A105 -B70;
A105 -B71; A105 -B72; A105 -B73; A105 -B74; A105 -B75; A105 -B76; A105 -B77;
A105 -B78; A105 -B79; A105 -B80; A105 -B81; A105 -B82; A105 -B83; A105 -B84;
A105 -B85; A105 -B86; A105 -B87; A105 -B88; A105 -B89; A105 -B90; A105 -B91;
A105 -B92; A105 -B93; A105 -B94; A105 -B95; A105 -B96; A105 -B97; A105 -B98;
A105 -B99; A105 -B100; A105-B101; A105-B102; A105-B103; A105-B104; A105-
B105; A105-B106; A105-B107; A105-B108; A105-B109; A105-B110; A105-B111; A105-B112; A105-B113;
A106-B1; A106-B2; A106-B3; A106-B4; A106-B5; A106-B6; A106-B7;
A106 -B8; A106-B9; A106-B10; A106-B11; A106-B12; A106-B13; A106-B14;
A106 -B15; A106- -B16; A106-B17; A106-B18; A106-B19; A106-B20; A106 -B21;
A106 -B22; A106- -B23; A106-B24; A106-B25; A106-B26; A106-B27; A106 -B28;
A106 -B29; A106- -B30; A106-B31; A106-B32; A106-B33; A106-B34; A106 -B35;
A106 -B36; A106- -B37; A106-B38; A106-B39; A106-B40; A106-B41; A106 -B42;
A106 -B43; A106- -B44; A106-B45; A106-B46; A106-B47; A106-B48; A106 -B49;
A106 -B50; A106- -B51; A106-B52; A106-B53; A106-B54; A106-B55; A106 -B56;
A106 -B57; A106- -B58; A106-B59; A106-B60; A106-B61; A106-B62; A106 -B63;
A106 -B64; A106- -B65; A106-B66; A106-B67; A106-B68; A106-B69; A106 -B70;
A106 -B71; A106- -B72; A106-B73; A106-B74; A106-B75; A106-B76; A106 -B77;
A106 -B78; A106- -B79; A106-B80; A106-B81; A106-B82; A106-B83; A106 -B84;
A106 -B85; A106- -B86; A106-B87; A106-B88; A106-B89; A106-B90; A106 -B91;
A106 -B92; A106- -B93; A106-B94; A106-B95; A106-B96; A106-B97; A106 -B98;
A106 -B99; A106- -B100; A106-B101; A106-B102; A106-B103; A106-B104; A106-
B105; A106-B106; A106-B107; A106-B108; A106-B109; A106-B110; A106-B111; A106-B112; A106-B113;
A107-B1; A107-B2; A107-B3; A107-B4; A107-B5; A107-B6; A107-B7; A107-B8; A107-B9; A107-B10; A107-B11; A107-B12; A107-B13; A107-B14; A107 -B15; A107 -B16; A107 -B17; A107 -B18; A107 -B19; A107 -B20; A107 -B21;
A107 -B22; A107 -B23; A107 -B24; A107 -B25; A107 -B26; A107 -B27; A107 -B28;
A107 -B29; A107 -B30; A107 -B31; A107 -B32; A107 -B33; A107 -B34; A107 -B35;
A107 -B36; A107 -B37; A107 -B38; A107 -B39; A107 -B40; A107 -B41; A107 -B42;
A107 -B43; A107 -B44; A107 -B45; A107 -B46; A107 -B47; A107 -B48; A107 -B49;
A107 -B50; A107 -B51; A107 -B52; A107 -B53; A107 -B54; A107 -B55; A107 -B56;
A107 -B57; A107 -B58; A107 -B59; A107 -B60; A107 -B61; A107 -B62; A107 -B63;
A107 -B64; A107 -B65; A107 -B66; A107 -B67; A107 -B68; A107 -B69; A107 -B70;
A107 -B71; A107 -B72; A107 -B73; A107 -B74; A107 -B75; A107 -B76; A107 -B77;
A107 -B78; A107 -B79; A107 -B80; A107 -B81; A107 -B82; A107 -B83; A107 -B84;
A107 -B85; A107 -B86; A107 -B87; A107 -B88; A107 -B89; A107 -B90; A107 -B91;
A107 -B92; A107 -B93; A107 -B94; A107 -B95; A107 -B96; A107 -B97; A107 -B98;
A107 -B99; A107 -B100; A107-B101; A107-B102; A107-B103; A107-B104; A107-
B105; A107-B106; A107-B107; A107-B108; A107-B109; A107-B110; A107-B111; A107-B112; A107-B113;
A108-B1; A108-B2; A108-B3; A108-B4; A108-B5; A108-B6; A108-B7;
A108 -B8; A108-B9; A108-B10; A108-B11; A108-B12; A108-B13; A108-B14;
A108 -B15; A108 -B16; A108-B17; A108-B18; A108-B19; A108-B20; A108 -B21;
A108 -B22; A108 -B23; A108-B24; A108-B25; A108-B26; A108-B27; A108 -B28;
A108 -B29; A108 -B30; A108-B31; A108-B32; A108-B33; A108-B34; A108 -B35;
A108 -B36; A108 -B37; A108-B38; A108-B39; A108-B40; A108-B41; A108 -B42;
A108 -B43; A108 -B44; A108-B45; A108-B46; A108-B47; A108-B48; A108 -B49;
A108 -B50; A108 -B51; A108-B52; A108-B53; A108-B54; A108-B55; A108 -B56;
A108 -B57; A108 -B58; A108-B59; A108-B60; A108-B61; A108-B62; A108 -B63;
A108 -B64; A108 -B65; A108-B66; A108-B67; A108-B68; A108-B69; A108 -B70;
A108 -B71; A108 -B72; A108-B73; A108-B74; A108-B75; A108-B76; A108 -B77;
A108 -B78; A108 -B79; A108-B80; A108-B81; A108-B82; A108-B83; A108 -B84;
A108 -B85; A108 -B86; A108-B87; A108-B88; A108-B89; A108-B90; A108 -B91;
A108 -B92; A108 -B93; A108-B94; A108-B95; A108-B96; A108-B97; A108 -B98;
A108 -B99; A108 -B100; A108-B101; A108-B102; A108-B103; A108-B104; A108-
B105; A108-B106; A108-B107; A108-B108; A108-B109; A108-B110; A108-B111; A108-B112; A108-B113; A109-B1; A109-B2; A109-B3; A109-B4; A109-B5; A109-B6; A109-B7; A109-B8; A109-B9; A109-B10; A109-B11; A109-B12; A109-B13; A109-B14;
A109 -B15; A109- -B16; A109 -B17; A109- -B18; A109 -B19; A109- -B20; A109 -B21
A109 -B22; A109- -B23; A109 -B24; A109- -B25; A109 -B26; A109- -B27; A109 -B28
A109 -B29; A109- -B30; A109 -B31; A109- -B32; A109 -B33; A109- -B34; A109 -B35
A109 -B36; A109- -B37; A109 -B38; A109- -B39; A109 -B40; A109- -B41; A109 -B42
A109 -B43; A109- -B44; A109 -B45; A109- -B46; A109 -B47; A109- -B48; A109 -B49
A109 -B50; A109- -B51; A109 -B52; A109- -B53; A109 -B54; A109- -B55; A109 -B56
A109 -B57; A109- -B58; A109 -B59; A109- -B60; A109 -B61; A109- -B62; A109 -B63
A109 -B64; A109- -B65; A109 -B66; A109- -B67; A109 -B68; A109- -B69; A109 -B70
A109 -B71; A109- -B72; A109 -B73; A109- -B74; A109 -B75; A109- -B76; A109 -B77
A109 -B78; A109- -B79; A109 -B80; A109- -B81; A109 -B82; A109- -B83; A109 -B84
A109 -B85; A109- -B86; A109 -B87; A109- -B88; A109 -B89; A109- -B90; A109 -B91
A109 -B92; A109- -B93; A109 -B94; A109- -B95; A109 -B96; A109- -B97; A109 -B98
A109-B99; A109-B100; A109-B101; A109-B102; A109-B103; A109-B104; A109- B105; A109-B106; A109-B107; A109-B108; A109-B109; A109-B110; A109-B111; A109-B112; A109-B113;
A110-B1; A110-B2; A110-B3; A110-B4; A110-B5; A110-B6; A110-B7; A110-B8; A110-B9; A110-B10; A110-B11; A110-B12; A110-B13; A110-B14;
Al lO- -B15 A110- -B16 Al lO- -B17 A110- -B18 Al lO- -B19 A110- -B20 Al lO- -B21
Al lO- -B22 A110- -B23 Al lO- -B24 A110- -B25 Al lO- -B26 A110- -B27 Al lO- -B28
Al lO- -B29 A110- -B30 Al lO- -B31 A110- -B32 Al lO- -B33 A110- -B34 Al lO- -B35
Al lO- -B36 A110- -B37 Al lO- -B38 A110- -B39 Al lO- -B40 A110- -B41 Al lO- -B42
Al lO- -B43 A110- -B44 Al lO- -B45 A110- -B46 Al lO- -B47 A110- -B48 Al lO- -B49
Al lO- -B50 A110- -B51 Al lO- -B52 A110- -B53 Al lO- -B54 A110- -B55 Al lO- -B56
Al lO- -B57 A110- -B58 Al lO- -B59 A110- -B60 Al lO- -B61 A110- -B62 Al lO- -B63
Al lO- -B64 A110- -B65 Al lO- -B66 A110- -B67 Al lO- -B68 A110- -B69 Al lO- -B70
Al lO- -B71 A110- -B72 Al lO- -B73 A110- -B74 Al lO- -B75 A110- -B76 Al lO- -B77
Al lO- -B78 A110- -B79 Al lO- -B80 A110- -B81 Al lO- -B82 A110- -B83 Al lO- -B84
Al lO- -B85 A110- -B86 Al lO- -B87 A110- -B88 Al lO- -B89 A110- -B90 Al lO- -B91
Al lO- -B92 A110- -B93 Al lO- -B94 A110- -B95 Al lO- -B96 A110- -B97 Al lO- -B98
Al lO- -B99 A110-B100; A110-B101; A110-B102; A110-B103; A110-B104; A110- B105; A110-B106; A110-B107; A110-B108; A110-B109; A110-B110; Al lO-Bl l l; A110-B112; A110-B113;
Al l l-Bl; A111-B2; A111-B3; A111-B4; A111-B5; A111-B6; A111-B7; A111-B8; A111-B9; A111-B10; Al l l-Bl l; A111-B12; A111-B13; A111-B14;
A111-B15 A111-B16 A111-B17 A111-B18 A111-B19 A111-B20 A111-B21 A111-B22 A111-B23 A111-B24 A111-B25 A111-B26 A111-B27 A111-B28 A111-B29 A111-B30 A111-B31 A111-B32 A111-B33 A111-B34 A111-B35 A111-B36 A111-B37 A111-B38 A111-B39 A111-B40 A111-B41 A111-B42 A111-B43 A111-B44 A111-B45 A111-B46 A111-B47 A111-B48 A111-B49 A111-B50 A111-B51 A111-B52 A111-B53 A111-B54 A111-B55 A111-B56 A111-B57 A111-B58 A111-B59 A111-B60 A111-B61 A111-B62 A111-B63 A111-B64 A111-B65 A111-B66 A111-B67 A111-B68 A111-B69 A111-B70 A111-B71 A111-B72 A111-B73 A111-B74 A111-B75 A111-B76 A111-B77 A111-B78 A111-B79 A111-B80 A111-B81 A111-B82 A111-B83 A111-B84 A111-B85 A111-B86 A111-B87 A111-B88 A111-B89 A111-B90 A111-B91 A111-B92 A111-B93 A111-B94 A111-B95 A111-B96 A111-B97 A111-B98 A111-B99 Al l l-BlOO; Al l l-BlOl; A111-B102; A111-B103; A111-B104; Al l l- B105; A111-B106; A111-B107; A111-B108; A111-B109; Al l l-Bl lO; Al l l-Bl l l; A111-B112; A111-B113;
A112-B1; A112-B2; A112-B3; A112-B4; A112-B5; A112-B6; A112-B7; A112-B8; A112-B9; A112-B10; A112-B11; A112-B12; A112-B13; A112-B14;
A112-B15; A112- -B16; A112- -B17; A112- -B18; A112- -B19; A112- -B20; A112- -B21;
A112-B22; A112- -B23; A112- -B24; A112- -B25; A112- -B26; A112- -B27; A112- -B28;
A112-B29; A112- -B30; A112- -B31; A112- -B32; A112- -B33; A112- -B34; A112- -B35;
A112-B36; A112- -B37; A112- -B38; A112- -B39; A112- -B40; A112- -B41; A112- -B42;
A112-B43; A112- -B44; A112- -B45; A112- -B46; A112- -B47; A112- -B48; A112- -B49;
A112-B50; A112- -B51; A112- -B52; A112- -B53; A112- -B54; A112- -B55; A112- -B56;
A112-B57; A112- -B58; A112- -B59; A112- -B60; A112- -B61; A112- -B62; A112- -B63;
A112-B64; A112- -B65; A112- -B66; A112- -B67; A112- -B68; A112- -B69; A112- -B70;
A112-B71; A112- -B72; A112- -B73; A112- -B74; A112- -B75; A112- -B76; A112- -B77;
A112-B78; A112- -B79; A112- -B80; A112- -B81; A112- -B82; A112- -B83; A112- -B84;
A112-B85; A112- -B86; A112- -B87; A112- -B88; A112- -B89; A112- -B90; A112- -B91; A112-B92; A112-B93; A112-B94; A112-B95; A112-B96; A112-B97; A112-B98; A112-B99; A112-B100; A112-B101; A112-B102; A112-B103; A112-B104; A112- B105; A112-B106; A112-B107; A112-B108; A112-B109; A112-B110; A112-B111; A112-B112; A112-B113;
A113-B1; A113-B2; A113-B3; A113-B4; A113-B5; A113-B6; A113-B7; A113-B8; A113-B9; A113-B10; A113-B11; A113-B12; A113-B13; A113-B14; A113-B15; A113-B16; A113-B17; A113-B18; A113-B19; A113-B20; A113-B21 A113-B22; A113-B23; A113-B24; A113-B25; A113-B26; A113-B27; A113-B28 A113-B29; A113-B30; A113-B31; A113-B32; A113-B33; A113-B34; A113-B35 A113-B36; A113-B37; A113-B38; A113-B39; A113-B40; A113-B41; A113-B42 A113-B43; A113-B44; A113-B45; A113-B46; A113-B47; A113-B48; A113-B49 A113-B50; A113-B51; A113-B52; A113-B53; A113-B54; A113-B55; A113-B56 A113-B57; A113-B58; A113-B59; A113-B60; A113-B61; A113-B62; A113-B63 A113-B64; A113-B65; A113-B66; A113-B67; A113-B68; A113-B69; A113-B70 A113-B71; A113-B72; A113-B73; A113-B74; A113-B75; A113-B76; A113-B77 A113-B78; A113-B79; A113-B80; A113-B81; A113-B82; A113-B83; A113-B84 A113-B85; A113-B86; A113-B87; A113-B88; A113-B89; A113-B90; A113-B91 A113-B92; A113-B93; A113-B94; A113-B95; A113-B96; A113-B97; A113-B98 A113-B99; A113-B100; A113-B101; A113-B102; A113-B103; A113-B104; A113- B105; A113-B106; A113-B107; A113-B108; A113-B109; A113-B110; A113-B111; A113-B112; A113-B113;
A114-B1; A114-B2; A114-B3; A114-B4; A114-B5; A114-B6; A114-B7; A114-B8; A114-B9; A114-B10; A114-B11; A114-B12; A114-B13; A114-B14;
A114-B15 A114-B16; A114-B17 A114-B18; A114-B19 A114-B20; A114-B21 A114-B22 A114-B23; A114-B24 A114-B25; A114-B26 A114-B27; A114-B28 A114-B29 A114-B30; A114-B31 A114-B32; A114-B33 A114-B34; A114-B35 A114-B36 A114-B37; A114-B38 A114-B39; A114-B40 A114-B41; A114-B42 A114-B43 A114-B44; A114-B45 A114-B46; A114-B47 A114-B48; A114-B49 A114-B50 A114-B51; A114-B52 A114-B53; A114-B54 A114-B55; A114-B56 A114-B57 A114-B58; A114-B59 A114-B60; A114-B61 A114-B62; A114-B63 A114-B64 A114-B65; A114-B66 A114-B67; A114-B68 A114-B69; A114-B70 A114-B71 A114-B72; A114-B73 A114-B74; A114-B75 A114-B76; A114-B77 A114-B78; A114-B79; A114-B80; A114-B81; A114-B82; A114-B83; A114-B84; A114-B85; A114-B86; A114-B87; A114-B88; A114-B89; A114-B90; A114-B91; A114-B92; A114-B93; A114-B94; A114-B95; A114-B96; A114-B97; A114-B98; A114-B99; A114-B100; A114-B101; A114-B102; A114-B103; A114-B104; A114- B105; A114-B106; A114-B107; A114-B108; A114-B109; A114-B110; A114-B111; A114-B112; A114-B113;
A115-B1; A115-B2; A115-B3; A115-B4; A115-B5; A115-B6; A115-B7; A115-B8; A115-B9; A115-B10; A115-B11; A115-B12; A115-B13; A115-B14; A115-B15; A115-B16; A115-B17; A115-B18; A115-B19; A115-B20; A115-B21 Al 15-B22; Al 15-B23; Al 15-B24; Al 15-B25; Al 15-B26; Al 15-B27; Al 15-B28 A115-B29; A115-B30; A115-B31; A115-B32; A115-B33; A115-B34; A115-B35 A115-B36; A115-B37; A115-B38; A115-B39; A115-B40; A115-B41; A115-B42 A115-B43; A115-B44; A115-B45; A115-B46; A115-B47; A115-B48; A115-B49 A115-B50; A115-B51; A115-B52; A115-B53; A115-B54; A115-B55; A115-B56 A115-B57; A115-B58; A115-B59; A115-B60; A115-B61; A115-B62; A115-B63 A115-B64; A115-B65; A115-B66; A115-B67; A115-B68; A115-B69; A115-B70 A115-B71; A115-B72; A115-B73; A115-B74; A115-B75; A115-B76; A115-B77 A115-B78; A115-B79; A115-B80; A115-B81; A115-B82; A115-B83; A115-B84 A115-B85; A115-B86; A115-B87; A115-B88; A115-B89; A115-B90; A115-B91 Al 15-B92; Al 15-B93; Al 15-B94; Al 15-B95; Al 15-B96; Al 15-B97; Al 15-B98 A115-B99; A115-B100; A115-B101; A115-B102; A115-B103; A115-B104; A115- B105; A115-B106; A115-B107; A115-B108; A115-B109; A115-B110; A115-B111; A115-B112; A115-B113;
A116-B1; A116-B2; A116-B3; A116-B4; A116-B5; A116-B6; A116-B7; A116-B8; A116-B9; A116-B10; A116-B11; A116-B12; A116-B13; A116-B14; A116-B15; A116-B16; A116-B17; A116-B18; A116-B19; A116-B20; A116-B21 A116-B22; A116-B23; A116-B24; A116-B25; A116-B26; A116-B27; A116-B28 A116-B29; A116-B30; A116-B31; A116-B32; A116-B33; A116-B34; A116-B35 A116-B36; A116-B37; A116-B38; A116-B39; A116-B40; A116-B41; A116-B42 Al 16-B43; Al 16-B44; Al 16-B45; Al 16-B46; Al 16-B47; Al 16-B48; Al 16-B49 A116-B50; A116-B51; A116-B52; A116-B53; A116-B54; A116-B55; A116-B56 A116-B57; A116-B58; A116-B59; A116-B60; A116-B61; A116-B62; A116-B63 A116-B64; A116-B65; A116-B66; A116-B67; A116-B68; A116-B69; A116-B70; A116-B71; A116-B72; A116-B73; A116-B74; A116-B75; A116-B76; A116-B77; A116-B78; A116-B79; A116-B80; A116-B81; A116-B82; A116-B83; A116-B84; A116-B85; A116-B86; A116-B87; A116-B88; A116-B89; A116-B90; A116-B91; Al 16-B92; Al 16-B93; Al 16-B94; Al 16-B95; Al 16-B96; Al 16-B97; Al 16-B98; A116-B99; A116-B100; A116-B101; A116-B102; A116-B103; A116-B104; A116- B105; A116-B106; A116-B107; A116-B108; A116-B109; A116-B110; A116-B111; A116-B112; A116-B113;
A117-B1; A117-B2; A117-B3; A117-B4; A117-B5; A117-B6; A117-B7; A117-B8; A117-B9; A117-B10; A117-B11; A117-B12; A117-B13; A117-B14; A117-B15; A117-B16; A117-B17; A117-B18; A117-B19; A117-B20; A117-B21 A117-B22; A117-B23; A117-B24; A117-B25; A117-B26; A117-B27; A117-B28 A117-B29; A117-B30; A117-B31; A117-B32; A117-B33; A117-B34; A117-B35 A117-B36; A117-B37; A117-B38; A117-B39; A117-B40; A117-B41; A117-B42 Al 17-B43; Al 17-B44; Al 17-B45; Al 17-B46; Al 17-B47; Al 17-B48; Al 17-B49 A117-B50; A117-B51; A117-B52; A117-B53; A117-B54; A117-B55; A117-B56 A117-B57; A117-B58; A117-B59; A117-B60; A117-B61; A117-B62; A117-B63 A117-B64; A117-B65; A117-B66; A117-B67; A117-B68; A117-B69; A117-B70 A117-B71; A117-B72; A117-B73; A117-B74; A117-B75; A117-B76; A117-B77 A117-B78; A117-B79; A117-B80; A117-B81; A117-B82; A117-B83; A117-B84 A117-B85; A117-B86; A117-B87; A117-B88; A117-B89; A117-B90; A117-B91 A117-B92; A117-B93; A117-B94; A117-B95; A117-B96; A117-B97; A117-B98 A117-B99; A117-B100; A117-B101; A117-B102; A117-B103; A117-B104; A117- B105; A117-B106; A117-B107; A117-B108; A117-B109; A117-B110; A117-B111; A117-B112; A117-B113;
A118-B1; A118-B2; A118-B3; A118-B4; A118-B5; A118-B6; A118-B7; A118-B8; A118-B9; A118-B10; A118-B11; A118-B12; A118-B13; A118-B14; A118-B15; A118-B16; A118-B17; A118-B18; A118-B19; A118-B20; A118-B21 A118-B22; A118-B23; A118-B24; A118-B25; A118-B26; A118-B27; A118-B28 A118-B29; A118-B30; A118-B31; A118-B32; A118-B33; A118-B34; A118-B35 A118-B36; A118-B37; A118-B38; A118-B39; A118-B40; A118-B41; A118-B42 A118-B43; A118-B44; A118-B45; A118-B46; A118-B47; A118-B48; A118-B49 A118-B50; A118-B51; A118-B52; A118-B53; A118-B54; A118-B55; A118-B56; A118-B57; A118-B58; A118-B59; A118-B60; A118-B61; A118-B62; A118-B63; A118-B64; A118-B65; A118-B66; A118-B67; A118-B68; A118-B69; A118-B70; A118-B71; A118-B72; A118-B73; A118-B74; A118-B75; A118-B76; A118-B77; A118-B78; A118-B79; A118-B80; A118-B81; A118-B82; A118-B83; A118-B84; A118-B85; A118-B86; A118-B87; A118-B88; A118-B89; A118-B90; A118-B91; A118-B92; A118-B93; A118-B94; A118-B95; A118-B96; A118-B97; A118-B98; A118-B99; A118-B100; A118-B101; A118-B102; A118-B103; A118-B104; A118- B105; A118-B106; A118-B107; A118-B108; A118-B109; A118-B110; A118-B111; A118-B112; A118-B113;
A119-B1; A119-B2; A119-B3; A119-B4; A119-B5; A119-B6; A119-B7; A119-B8; A119-B9; A119-B10; A119-B11; A119-B12; A119-B13; A119-B14; A119-B15; A119-B16; A119-B17; A119-B18; A119-B19; A119-B20; A119-B21 A119-B22; A119-B23; A119-B24; A119-B25; A119-B26; A119-B27; A119-B28 A119-B29; A119-B30; A119-B31; A119-B32; A119-B33; A119-B34; A119-B35 A119-B36; A119-B37; A119-B38; A119-B39; A119-B40; A119-B41; A119-B42 A119-B43; A119-B44; A119-B45; A119-B46; A119-B47; A119-B48; A119-B49 A119-B50; A119-B51; A119-B52; A119-B53; A119-B54; A119-B55; A119-B56 A119-B57; A119-B58; A119-B59; A119-B60; A119-B61; A119-B62; A119-B63 Al 19-B64; Al 19-B65; Al 19-B66; Al 19-B67; Al 19-B68; Al 19-B69; Al 19-B70 A119-B71; A119-B72; A119-B73; A119-B74; A119-B75; A119-B76; A119-B77 A119-B78; A119-B79; A119-B80; A119-B81; A119-B82; A119-B83; A119-B84 A119-B85; A119-B86; A119-B87; A119-B88; A119-B89; A119-B90; A119-B91 A119-B92; A119-B93; A119-B94; A119-B95; A119-B96; A119-B97; A119-B98 A119-B99; A119-B100; A119-B101; A119-B102; A119-B103; A119-B104; A119- B105; A119-B106; A119-B107; A119-B108; A119-B109; A119-B110; A119-B111; A119-B112; A119-B113;
A120-B1; A120-B2; A120-B3; A120-B4; A120-B5; A120-B6; A120-B7; A120-B8; A120-B9; A120-B10; A120-B11; A120-B12; A120-B13; A120-B14; A120-B15; A120-B16; A120-B17; A120-B18; A120-B19; A120-B20; A120-B21 A120-B22; A120-B23; A120-B24; A120-B25; A120-B26; A120-B27; A120-B28 A120-B29; A120-B30; A120-B31; A120-B32; A120-B33; A120-B34; A120-B35 A120 -B36; A120 -B37; A120-B38; A120-B39; A120-B40; A120 -B41; A120-B42;
A120 -B43; A120 -B44; A120-B45; A120-B46; A120-B47; A120 -B48; A120-B49;
A120 -B50; A120 -B51; A120-B52; A120-B53; A120-B54; A120 -B55; A120-B56;
A120 -B57; A120 -B58; A120-B59; A120-B60; A120-B61; A120 -B62; A120-B63; A120 -B64; A120 -B65; A120-B66; A120-B67; A120-B68; A120 -B69; A120-B70;
A120 -B71; A120 -B72; A120-B73; A120-B74; A120-B75; A120 -B76; A120-B77;
A120 -B78; A120 -B79; A120-B80; A120-B81; A120-B82; A120 -B83; A120-B84;
A120 -B85; A120 -B86; A120-B87; A120-B88; A120-B89; A120 -B90; A120-B91;
A120 -B92; A120 -B93; A120-B94; A120-B95; A120-B96; A120 -B97; A120-B98; A120 -B99; A120 -B100; A120-B101; A120-B102; A120-B103; A120-B104; A120
B105; A120-B106; A120-B107; A120-B108; A120-B109; A120-B110; A120-B111; A120-B112; A120-B113;
A121-B1; A121-B2; A121-B3; A121-B4; A121-B5; A121-B6; A121-B7;
A121 -B8; A121-B9; A121-B10; A121-B11; A121-B12; A121-B13; A121-B14;
A121 -B15; A121 -B16; A121 -B17; A121 -B18; A121 -B19; A121 -B20; A121 -B21;
A121 -B22; A121 -B23; A121 -B24; A121 -B25; A121 -B26; A121 -B27; A121 -B28;
A121 -B29; A121 -B30; A121 -B31; A121 -B32; A121 -B33; A121 -B34; A121 -B35;
A121 -B36; A121 -B37; A121 -B38; A121 -B39; A121 -B40; A121 -B41; A121 -B42;
A121 -B43; A121 -B44; A121 -B45; A121 -B46; A121 -B47; A121 -B48; A121 -B49;
A121 -B50; A121 -B51; A121 -B52; A121 -B53; A121 -B54; A121 -B55; A121 -B56;
A121 -B57; A121 -B58; A121 -B59; A121 -B60; A121 -B61; A121 -B62; A121 -B63;
A121 -B64; A121 -B65; A121 -B66; A121 -B67; A121 -B68; A121 -B69; A121 -B70;
A121 -B71; A121 -B72; A121 -B73; A121 -B74; A121 -B75; A121 -B76; A121 -B77;
A121 -B78; A121 -B79; A121 -B80; A121 -B81; A121 -B82; A121 -B83; A121 -B84;
A121 -B85; A121 -B86; A121 -B87; A121 -B88; A121 -B89; A121 -B90; A121 -B91;
A121 -B92; A121 -B93; A121 -B94; A121 -B95; A121 -B96; A121 -B97; A121 -B98;
A121 -B99; A121 -B100; A121-B101; A121-B102; A121-B103; A121-B104; A121-
B105; A121-B106; A121-B107; A121-B108; A121-B109; A121-B110; A121-B111; A121-B112; A121-B113;
A122-B1; A122-B2; A122-B3; A122-B4; A122-B5; A122-B6; A122-B7; A122-B8; A122-B9; A122-B10; A122-B11; A122-B12; A122-B13; A122-B14; A122-B15; A122-B16; A122-B17; A122-B18; A122-B19; A122-B20; A122-B21; A122- -B22; A122- -B23; A122-B24; A122- -B25; A122-B26; A122- -B27; A122- -B28;
A122- -B29; A122- -B30; A122-B31; A122- -B32; A122-B33; A122- -B34; A122- -B35;
A122- -B36; A122- -B37; A122-B38; A122- -B39; A122-B40; A122- -B41; A122- -B42;
A122- -B43; A122- -B44; A122-B45; A122- -B46; A122-B47; A122- -B48; A122- -B49;
A122- -B50; A122- -B51; A122-B52; A122- -B53; A122-B54; A122- -B55; A122- -B56;
A122- -B57; A122- -B58; A122-B59; A122- -B60; A122-B61; A122- -B62; A122- -B63;
A122- -B64; A122- -B65; A122-B66; A122- -B67; A122-B68; A122- -B69; A122- -B70;
A122- -B71; A122- -B72; A122-B73; A122- -B74; A122-B75; A122- -B76; A122- -B77;
A122- -B78; A122- -B79; A122-B80; A122- -B81; A122-B82; A122- -B83; A122- -B84;
A122- -B85; A122- -B86; A122-B87; A122- -B88; A122-B89; A122- -B90; A122- -B91;
A122- -B92; A122- -B93; A122-B94; A122- -B95; A122-B96; A122- -B97; A122- -B98;
A122- -B99; A122- -B100; A122-B101; A122-B102; A122-B103; A122-B104; A122-
B105; A122-B106; A122-B107; A122-B108; A122-B109; A122-B110; A122-B111; A122-B112; A122-B113;
A123-B1; A123-B2; A123-B3; A123-B4; A123-B5; A123-B6; A123-B7;
A123 -B8; A123-B9; A123-B10; A123-B11; A123-B12; A123-B13; A123-B14;
A123 -B15; A123 -B16; A123-B17; A123-B18; A123-B19; A123-B20; A123 -B21;
A123 -B22; A123 -B23; A123-B24; A123-B25; A123-B26; A123-B27; A123 -B28;
A123 -B29; A123 -B30; A123-B31; A123-B32; A123-B33; A123-B34; A123 -B35;
A123 -B36; A123 -B37; A123-B38; A123-B39; A123-B40; A123-B41; A123 -B42;
A123 -B43; A123 -B44; A123-B45; A123-B46; A123-B47; A123-B48; A123 -B49;
A123 -B50; A123 -B51; A123-B52; A123-B53; A123-B54; A123-B55; A123 -B56;
A123 -B57; A123 -B58; A123-B59; A123-B60; A123-B61; A123-B62; A123 -B63;
A123 -B64; A123 -B65; A123-B66; A123-B67; A123-B68; A123-B69; A123 -B70;
A123 -B71; A123 -B72; A123-B73; A123-B74; A123-B75; A123-B76; A123 -B77;
A123 -B78; A123 -B79; A123-B80; A123-B81; A123-B82; A123-B83; A123 -B84;
A123 -B85; A123 -B86; A123-B87; A123-B88; A123-B89; A123-B90; A123 -B91;
A123 -B92; A123 -B93; A123-B94; A123-B95; A123-B96; A123-B97; A123 -B98;
A123 -B99; A123 -B100; A123-B101; A123-B102; A123-B103; A123-B104; A123-
B105; A123-B106; A123-B107; A123-B108; A123-B109; A123-B110; A123-B111; A123-B112; A123-B113; A124-B1; A124-B2; A124-B3; A124-B4; A124-B5; A124-B6; A124-B7;
A124- -B8; A124-B9; A124-B10; A124-B11; A124-B12; A124-B13; A124-B14;
A124- -B15; A124- -B16; A124-B17; A124-B18; A124-B19; A124-B20; A124 -B21;
A124- -B22; A124- -B23; A124-B24; A124-B25; A124-B26; A124-B27; A124 -B28;
A124- -B29; A124- -B30; A124-B31; A124-B32; A124-B33; A124-B34; A124 -B35;
A124- -B36; A124- -B37; A124-B38; A124-B39; A124-B40; A124-B41; A124 -B42;
A124- -B43; A124- -B44; A124-B45; A124-B46; A124-B47; A124-B48; A124 -B49;
A124- -B50; A124- -B51; A124-B52; A124-B53; A124-B54; A124-B55; A124 -B56;
A124- -B57; A124- -B58; A124-B59; A124-B60; A124-B61; A124-B62; A124 -B63;
A124- -B64; A124- -B65; A124-B66; A124-B67; A124-B68; A124-B69; A124 -B70;
A124- -B71; A124- -B72; A124-B73; A124-B74; A124-B75; A124-B76; A124 -B77;
A124- -B78; A124- -B79; A124-B80; A124-B81; A124-B82; A124-B83; A124 -B84;
A124- -B85; A124- -B86; A124-B87; A124-B88; A124-B89; A124-B90; A124 -B91;
A124- -B92; A124- -B93; A124-B94; A124-B95; A124-B96; A124-B97; A124 -B98;
A124- -B99; A124- -B100; A124-B101; A124-B102; A124-B103; A124-B104; A124-
B105; A124-B106; A124-B107; A124-B108; A124-B109; A124-B110; A124-B111; A124-B112; A124-B113;
A125-B1; A125-B2; A125-B3; A125-B4; A125-B5; A125-B6; A125-B7;
A125 -B8; A125-B9; A125-B10; A125-B11; A125-B12; A125-B13; A125-B14;
A125 -B15; A125 -B16; A125-B17; A125-B18; A125-B19; A125-B20; A125 -B21;
A125 -B22; A125 -B23; A125-B24; A125-B25; A125-B26; A125-B27; A125 -B28;
A125 -B29; A125 -B30; A125-B31; A125-B32; A125-B33; A125-B34; A125 -B35;
A125 -B36; A125 -B37; A125-B38; A125-B39; A125-B40; A125-B41; A125 -B42;
A125 -B43; A125 -B44; A125-B45; A125-B46; A125-B47; A125-B48; A125 -B49;
A125 -B50; A125 -B51; A125-B52; A125-B53; A125-B54; A125-B55; A125 -B56;
A125 -B57; A125 -B58; A125-B59; A125-B60; A125-B61; A125-B62; A125 -B63;
A125 -B64; A125 -B65; A125-B66; A125-B67; A125-B68; A125-B69; A125 -B70;
A125 -B71; A125 -B72; A125-B73; A125-B74; A125-B75; A125-B76; A125 -B77;
A125 -B78; A125 -B79; A125-B80; A125-B81; A125-B82; A125-B83; A125 -B84;
A125 -B85; A125 -B86; A125-B87; A125-B88; A125-B89; A125-B90; A125 -B91;
A125 -B92; A125 -B93; A125-B94; A125-B95; A125-B96; A125-B97; A125 -B98;
A125 -B99; A125 -B100; A125-B101; A125-B102; A125-B103; A125-B104; A125- B105; A125-B106; A125-B107; A125-B108; A125-B109; A125-B110; A125-B111; A125-B112; A125-B113;
A126-B1; A126-B2; A126-B3; A126-B4; A126-B5; A126-B6; A126-B7; A126-B8; A126-B9; A126-B10; A126-B11; A126-B12; A126-B13; A126-B14;
A126 -B15; A126- -B16; A126 -B17; A126- -B18; A126 -B19; A126- -B20; A126 -B21;
A126 -B22; A126- -B23; A126 -B24; A126- -B25; A126 -B26; A126- -B27; A126 -B28;
A126 -B29; A126- -B30; A126 -B31; A126- -B32; A126 -B33; A126- -B34; A126 -B35;
A126 -B36; A126- -B37; A126 -B38; A126- -B39; A126 -B40; A126- -B41; A126 -B42;
A126 -B43; A126- -B44; A126 -B45; A126- -B46; A126 -B47; A126- -B48; A126 -B49;
A126 -B50; A126- -B51; A126 -B52; A126- -B53; A126 -B54; A126- -B55; A126 -B56;
A126 -B57; A126- -B58; A126 -B59; A126- -B60; A126 -B61; A126- -B62; A126 -B63;
A126 -B64; A126- -B65; A126 -B66; A126- -B67; A126 -B68; A126- -B69; A126 -B70;
A126 -B71; A126- -B72; A126 -B73; A126- -B74; A126 -B75; A126- -B76; A126 -B77;
A126 -B78; A126- -B79; A126 -B80; A126- -B81; A126 -B82; A126- -B83; A126 -B84;
A126 -B85; A126- -B86; A126 -B87; A126- -B88; A126 -B89; A126- -B90; A126 -B91;
A126 -B92; A126- -B93; A126 -B94; A126- -B95; A126 -B96; A126- -B97; A126 -B98;
A126 -B99; A126- -B100; A126-B101; A126-B102; A126-B103; A126-B104; A126-
B105; A126-B106; A126-B107; A126-B108; A126-B109; A126-B110; A126-B111;
A126-B112; A126-B113;
A127-B1; A127-B2; A127-B3; A127-B4; A127-B5; A127-B6; A127-B7; A127-B8; A127-B9; A127-B10; A127-B11; A127-B12; A127-B13; A127-B14;
A127 -B15; A127 -B16; A 127 -B17; A127 -B18; A127 -B19; A127 -B20; A127 -B21;
A127 -B22; A127 -B23; A 127 -B24; A127 -B25; A127 -B26; A127 -B27; A127 -B28;
A127 -B29; A127 -B30; A 127 -B31; A127 -B32; A127 -B33; A127 -B34; A127 -B35;
A127 -B36; A127 -B37; A 127 -B38; A127 -B39; A127 -B40; A127 -B41; A127 -B42;
A127 -B43; A127 -B44; A 127 -B45; A127 -B46; A127 -B47; A127 -B48; A127 -B49;
A127 -B50; A127 -B51; A 127 -B52; A127 -B53; A127 -B54; A127 -B55; A127 -B56;
A127 -B57; A127 -B58; A 127 -B59; A127 -B60; A127 -B61; A127 -B62; A127 -B63;
A127 -B64; A127 -B65; A 127 -B66; A127 -B67; A127 -B68; A127 -B69; A127 -B70;
A127 -B71; A127 -B72; A 127 -B73; A127 -B74; A127 -B75; A127 -B76; A127 -B77;
A127 -B78; A127 -B79; A 127 -B80; A127 -B81; A127 -B82; A127 -B83; A127 -B84;
A127 -B85; A127 -B86; A 127 -B87; A127 -B88; A127 -B89; A127 -B90; A127 -B91; A127-B92; A127-B93; A127-B94; A127-B95; A127-B96; A127-B97; A127-B98; A127-B99; A127-B100; A127-B101; A127-B102; A127-B103; A127-B104; A127- B105; A127-B106; A127-B107; A127-B108; A127-B109; A127-B110; A127-B111; A127-B112; A127-B113;
A128-B1; A128-B2; A128-B3; A128-B4; A128-B5; A128-B6; A128-B7;
A128 -B8; A128-B9; A128-B10; A128-B11; A128-B12; A128-B13; A128-B14;
A128 -B15; A128 -B16; A128-B17; A128-B18; A128-B19; A128-B20; A128 -B21;
A128 -B22; A128 -B23; A128-B24; A128-B25; A128-B26; A128-B27; A128 -B28;
A128 -B29; A128 -B30; A128-B31; A128-B32; A128-B33; A128-B34; A128 -B35;
A128 -B36; A128 -B37; A128-B38; A128-B39; A128-B40; A128-B41; A128 -B42;
A128 -B43; A128 -B44; A128-B45; A128-B46; A128-B47; A128-B48; A128 -B49;
A128 -B50; A128 -B51; A128-B52; A128-B53; A128-B54; A128-B55; A128 -B56;
A128 -B57; A128 -B58; A128-B59; A128-B60; A128-B61; A128-B62; A128 -B63;
A128 -B64; A128 -B65; A128-B66; A128-B67; A128-B68; A128-B69; A128 -B70;
A128 -B71; A128 -B72; A128-B73; A128-B74; A128-B75; A128-B76; A128 -B77;
A128 -B78; A128 -B79; A128-B80; A128-B81; A128-B82; A128-B83; A128 -B84;
A128 -B85; A128 -B86; A128-B87; A128-B88; A128-B89; A128-B90; A128 -B91;
A128 -B92; A128 -B93; A128-B94; A128-B95; A128-B96; A128-B97; A128 -B98;
A128 -B99; A128 -B100; A128-B101; A128-B102; A128-B103; A128-B104; A128-
B105; A128-B106; A128-B107; A128-B108; A128-B109; A128-B110; A128-B111; A128-B112; A128-B113;
A129-B1; A129-B2; A129-B3; A129-B4; A129-B5; A129-B6; A129-B7; A129-B8; A129-B9; A129-B10; A129-B11; A129-B12; A129-B13; A129-B14;
A129-B15 A129-B16; A129-B17 A129-B18; A129-B19 A129-B20; A129-B21 A129-B22 A129-B23; A129-B24 A129-B25; A129-B26 A129-B27; A129-B28 A129-B29 A129-B30; A129-B31 A129-B32; A129-B33 A129-B34; A129-B35 A129-B36 A129-B37; A129-B38 A129-B39; A129-B40 A129-B41; A129-B42 A129-B43 A129-B44; A129-B45 A129-B46; A129-B47 A129-B48; A129-B49 A129-B50 A129-B51; A129-B52 A129-B53; A129-B54 A129-B55; A129-B56 A129-B57 A129-B58; A129-B59 A129-B60; A129-B61 A129-B62; A129-B63 A129-B64 A129-B65; A129-B66 A129-B67; A129-B68 A129-B69; A129-B70 A129-B71 A129-B72; A129-B73 A129-B74; A129-B75 A129-B76; A129-B77 A129-B78; A129-B79; A129-B80; A129-B81; A129-B82; A129-B83; A129-B84; A129-B85; A129-B86; A129-B87; A129-B88; A129-B89; A129-B90; A129-B91; A129-B92; A129-B93; A129-B94; A129-B95; A129-B96; A129-B97; A129-B98; A129-B99; A129-B100; A129-B101; A129-B102; A129-B103; A129-B104; A129- B105; A129-B106; A129-B107; A129-B108; A129-B109; A129-B110; A129-B111; A129-B112; A129-B113;
A130-B1; A130-B2; A130-B3; A130-B4; A130-B5; A130-B6; A130-B7;
A130 -B8; A130-B9; A130-B10; A130-B11; A130-B12; A130-B13; A130-B14;
A130 -B15; A130- -B16; A130-B17; A130-B18; A130-B19; A130-B20; A130 -B21;
A130 -B22; A130- -B23; A130-B24; A130-B25; A130-B26; A130-B27; A130 -B28;
A130 -B29; A130- -B30; A130-B31; A130-B32; A130-B33; A130-B34; A130 -B35;
A130 -B36; A130- -B37; A130-B38; A130-B39; A130-B40; A130-B41; A130 -B42;
A130 -B43; A130- -B44; A130-B45; A130-B46; A130-B47; A130-B48; A130 -B49;
A130 -B50; A130- -B51; A130-B52; A130-B53; A130-B54; A130-B55; A130 -B56;
A130 -B57; A130- -B58; A130-B59; A130-B60; A130-B61; A130-B62; A130 -B63;
A130 -B64; A130- -B65; A130-B66; A130-B67; A130-B68; A130-B69; A130 -B70;
A130 -B71; A130- -B72; A130-B73; A130-B74; A130-B75; A130-B76; A130 -B77;
A130 -B78; A130- -B79; A130-B80; A130-B81; A130-B82; A130-B83; A130 -B84;
A130 -B85; A130- -B86; A130-B87; A130-B88; A130-B89; A130-B90; A130 -B91;
A130 -B92; A130- -B93; A130-B94; A130-B95; A130-B96; A130-B97; A130 -B98;
A130 -B99; A130- -B100; A130-B101; A130-B102; A130-B103; A130-B104; A130-
B105; A130-B106; A130-B107; A130-B108; A130-B109; A130-B110; A130-B111; A130-B112; A130-B113;
A131-B1; A131-B2; A131-B3; A131-B4; A131-B5; A131-B6; A131-B7; A131-B8; A131-B9; A131-B10; A131-B11; A131-B12; A131-B13; A131-B14; A131-B15; A131-B16; A131-B17; A131-B18; A131-B19; A131-B20; A131-B21 A131-B22; A131-B23; A131-B24; A131-B25; A131-B26; A131-B27; A131-B28 A131-B29; A131-B30; A131-B31; A131-B32; A131-B33; A131-B34; A131-B35 A131-B36; A131-B37; A131-B38; A131-B39; A131-B40; A131-B41; A131-B42 A131-B43; A131-B44; A131-B45; A131-B46; A131-B47; A131-B48; A131-B49 A131-B50; A131-B51; A131-B52; A131-B53; A131-B54; A131-B55; A131-B56 A131-B57; A131-B58; A131-B59; A131-B60; A131-B61; A131-B62; A131-B63 A131-B64; A131-B65; A131-B66; A131-B67; A131-B68; A131-B69; A131-B70; A131-B71; A131-B72; A131-B73; A131-B74; A131-B75; A131-B76; A131-B77; A131-B78; A131-B79; A131-B80; A131-B81; A131-B82; A131-B83; A131-B84; A131-B85; A131-B86; A131-B87; A131-B88; A131-B89; A131-B90; A131-B91; A131-B92; A131-B93; A131-B94; A131-B95; A131-B96; A131-B97; A131-B98; A131-B99; A131-B100; A131-B101; A131-B102; A131-B103; A131-B104; A131- B105; A131-B106; A131-B107; A131-B108; A131-B109; A131-B110; A131-B111; A131-B112; A131-B113;
A132-B1; A132-B2; A132-B3; A132-B4; A132-B5; A132-B6; A132-B7; A132-B8; A132-B9; A132-B10; A132-B11; A132-B12; A132-B13; A132-B14;
A132- -B15; A132- -B16; A132- -B17; A132- -B18; A132- -B19; A132- -B20; A132-B21;
A132- -B22; A132- -B23; A132- -B24; A132- -B25; A132- -B26; A132- -B27; A132-B28;
A132- -B29; A132- -B30; A132- -B31; A132- -B32; A132- -B33; A132- -B34; A132-B35;
A132- -B36; A132- -B37; A132- -B38; A132- -B39; A132- -B40; A132- -B41; A132-B42;
A132- -B43; A132- -B44; A132- -B45; A132- -B46; A132- -B47; A132- -B48; A132-B49;
A132- -B50; A132- -B51; A132- -B52; A132- -B53; A132- -B54; A132- -B55; A132-B56;
A132- -B57; A132- -B58; A132- -B59; A132- -B60; A132- -B61; A132- -B62; A132-B63;
A132- -B64; A132- -B65; A132- -B66; A132- -B67; A132- -B68; A132- -B69; A132-B70;
A132- -B71; A132- -B72; A132- -B73; A132- -B74; A132- -B75; A132- -B76; A132-B77;
A132- -B78; A132- -B79; A132- -B80; A132- -B81; A132- -B82; A132- -B83; A132-B84;
A132- -B85; A132- -B86; A132- -B87; A132- -B88; A132- -B89; A132- -B90; A132-B91;
A132- -B92; A132- -B93; A132- -B94; A132- -B95; A132- -B96; A132- -B97; A132-B98;
A132- -B99; A132- -B100; A132-B101; A132-B102; A132-B103; A132-B104; A132
B105; A132-B106; A132-B107; A132-B108; A132-B109; A132-B110; A132-B111; A132-B112; A132-B113;
A133-B1; A133-B2; A133-B3; A133-B4; A133-B5; A133-B6; A133-B7; A133-B8; A133-B9; A133-B10; A133-B11; A133-B12; A133-B13; A133-B14; A133-B15; A133-B16; A133-B17; A133-B18; A133-B19; A133-B20; A133-B21: A133-B22; A133-B23; A133-B24; A133-B25; A133-B26; A133-B27; A133-B28: A133-B29; A133-B30; A133-B31; A133-B32; A133-B33; A133-B34; A133-B35: A133-B36; A133-B37; A133-B38; A133-B39; A133-B40; A133-B41; A133-B42: A133-B43; A133-B44; A133-B45; A133-B46; A133-B47; A133-B48; A133-B49: A133-B50; A133-B51; A133-B52; A133-B53; A133-B54; A133-B55; A133-B56; A133-B57; A133-B58; A133-B59; A133-B60; A133-B61; A133-B62; A133-B63; A133-B64; A133-B65; A133-B66; A133-B67; A133-B68; A133-B69; A133-B70; A133-B71; A133-B72; A133-B73; A133-B74; A133-B75; A133-B76; A133-B77; A133-B78; A133-B79; A133-B80; A133-B81; A133-B82; A133-B83; A133-B84; A133-B85; A133-B86; A133-B87; A133-B88; A133-B89; A133-B90; A133-B91; A133-B92; A133-B93; A133-B94; A133-B95; A133-B96; A133-B97; A133-B98; A133-B99; A133-B100; A133-B101; A133-B102; A133-B103; A133-B104; A133- B105; A133-B106; A133-B107; A133-B108; A133-B109; A133-B110; A133-B111; A133-B112; A133-B113;
A134-B1; A134-B2; A134-B3; A134-B4; A134-B5; A134-B6; A134-B7;
A134- -B8; A134-B9; A134-B10; A134-B11; A134-B12; A134-B13; A134-B14;
A134- -B15; A134- -B16; A134-B17; A134-B18; A134-B19; A134-B20; A134- -B21;
A134- -B22; A134- -B23; A134-B24; A134-B25; A134-B26; A134-B27; A134- -B28;
A134- -B29; A134- -B30; A134-B31; A134-B32; A134-B33; A134-B34; A134- -B35;
A134- -B36; A134- -B37; A134-B38; A134-B39; A134-B40; A134-B41; A134- -B42;
A134- -B43; A134- -B44; A134-B45; A134-B46; A134-B47; A134-B48; A134- -B49;
A134- -B50; A134- -B51; A134-B52; A134-B53; A134-B54; A134-B55; A134- -B56;
A134- -B57; A134- -B58; A134-B59; A134-B60; A134-B61; A134-B62; A134- -B63;
A134- -B64; A134- -B65; A134-B66; A134-B67; A134-B68; A134-B69; A134- -B70;
A134- -B71; A134- -B72; A134-B73; A134-B74; A134-B75; A134-B76; A134- -B77;
A134- -B78; A134- -B79; A134-B80; A134-B81; A134-B82; A134-B83; A134- -B84;
A134- -B85; A134- -B86; A134-B87; A134-B88; A134-B89; A134-B90; A134- -B91;
A134- -B92; A134- -B93; A134-B94; A134-B95; A134-B96; A134-B97; A134- -B98;
A134- -B99; A134- -B100; A134-B101; A134-B102; A134-B103; A134-B104; A 134-
B105; A134-B106; A134-B107; A134-B108; A134-B109; A134-B110; A134-B111; A134-B112; A134-B113;
A135-B1; A135-B2; A135-B3; A135-B4; A135-B5; A135-B6; A135-B7; A135-B8; A135-B9; A135-B10; A135-B11; A135-B12; A135-B13; A135-B14; A135-B15; A135-B16; A135-B17; A135-B18; A135-B19; A135-B20; A135-B21 A135-B22; A135-B23; A135-B24; A135-B25; A135-B26; A135-B27; A135-B28 A135-B29; A135-B30; A135-B31; A135-B32; A135-B33; A135-B34; A135-B35 A135 -B36; A135 -B37; A135-B38; A135 -B39; A135-B40; A135 -B41; A135-B42;
A135 -B43; A135 -B44; A135-B45; A135 -B46; A135-B47; A135 -B48; A135-B49;
A135 -B50; A135 -B51; A135-B52; A135 -B53; A135-B54; A135 -B55; A135-B56;
A135 -B57; A135 -B58; A135-B59; A135 -B60; A135-B61; A135 -B62; A135-B63;
A135 -B64; A135 -B65; A135-B66; A135 -B67; A135-B68; A135 -B69; A135-B70;
A135 -B71; A135 -B72; A135-B73; A135 -B74; A135-B75; A135 -B76; A135-B77;
A135 -B78; A135 -B79; A135-B80; A135 -B81; A135-B82; A135 -B83; A135-B84;
A135 -B85; A135 -B86; A135-B87; A135 -B88; A135-B89; A135 -B90; A135-B91;
A135 -B92; A135 -B93; A135-B94; A135 -B95; A135-B96; A135 -B97; A135-B98;
A135 -B99; A135 -B100; A135-B101; A135-B102; A135-B103; A135-B104; A135-
B105; A135-B106; A135-B107; A135-B108; A135-B109; A135-B110; A135-B111; A135-B112; A135-B113;
A136-B1; A136-B2; A136-B3; A136-B4; A136-B5; A136-B6; A136-B7; A136-B8; A136-B9; A136-B10; A136-B11; A136-B12; A136-B13; A136-B14;
A136 -B15; A136- -B16; A136 -B17; A136- -B18; A136 -B19; A136- -B20; A136 -B21;
A136 -B22; A136- -B23; A136 -B24; A136- -B25; A136 -B26; A136- -B27; A136 -B28;
A136 -B29; A136- -B30; A136 -B31; A136- -B32; A136 -B33; A136- -B34; A136 -B35;
A136 -B36; A136- -B37; A136 -B38; A136- -B39; A136 -B40; A136- -B41; A136 -B42;
A136 -B43; A136- -B44; A136 -B45; A136- -B46; A136 -B47; A136- -B48; A136 -B49;
A136 -B50; A136- -B51; A136 -B52; A136- -B53; A136 -B54; A136- -B55; A136 -B56;
A136 -B57; A136- -B58; A136 -B59; A136- -B60; A136 -B61; A136- -B62; A136 -B63;
A136 -B64; A136- -B65; A136 -B66; A136- -B67; A136 -B68; A136- -B69; A136 -B70;
A136 -B71; A136- -B72; A136 -B73; A136- -B74; A136 -B75; A136- -B76; A136 -B77;
A136 -B78; A136- -B79; A136 -B80; A136- -B81; A136 -B82; A136- -B83; A136 -B84;
A136 -B85; A136- -B86; A136 -B87; A136- -B88; A136 -B89; A136- -B90; A136 -B91;
A136 -B92; A136- -B93; A136 -B94; A136- -B95; A136 -B96; A136- -B97; A136 -B98;
A136 -B99; A136- -B100; A136-B101; A136-B102; A136-B103; A136-B104; A136-
B105; A136-B106; A136-B107; A136-B108; A136-B109; A136-B110; A136-B111; A136-B112; A136-B113;
A137-B1; A137-B2; A137-B3; A137-B4; A137-B5; A137-B6; A137-B7; A137-B8; A137-B9; A137-B10; A137-B11; A137-B12; A137-B13; A137-B14; A137-B15; A137-B16; A137-B17; A137-B18; A137-B19; A137-B20; A137-B21; A137 -B22; A137 -B23; A137 -B24; A137 -B25; A137 -B26; A137 -B27; A137 -B28;
A137 -B29; A137 -B30; A137 -B31; A137 -B32; A137 -B33; A137 -B34; A137 -B35;
A137 -B36; A137 -B37; A137 -B38; A137 -B39; A137 -B40; A137 -B41; A137 -B42;
A137 -B43; A137 -B44; A137 -B45; A137 -B46; A137 -B47; A137 -B48; A137 -B49;
A137 -B50; A137 -B51; A137 -B52; A137 -B53; A137 -B54; A137 -B55; A137 -B56;
A137 -B57; A137 -B58; A137 -B59; A137 -B60; A137 -B61; A137 -B62; A137 -B63;
A137 -B64; A137 -B65; A137 -B66; A137 -B67; A137 -B68; A137 -B69; A137 -B70;
A137 -B71; A137 -B72; A137 -B73; A137 -B74; A137 -B75; A137 -B76; A137 -B77;
A137 -B78; A137 -B79; A137 -B80; A137 -B81; A137 -B82; A137 -B83; A137 -B84;
A137 -B85; A137 -B86; A137 -B87; A137 -B88; A137 -B89; A137 -B90; A137 -B91;
A137 -B92; A137 -B93; A137 -B94; A137 -B95; A137 -B96; A137 -B97; A137 -B98;
A137 -B99; A137 -B100; A137-B101; A137-B102; A137-B103; A137-B104; A137-
B105; A137-B106; A137-B107; A137-B108; A137-B109; A137-B110; A137-B111; A137-B112; A137-B113;
A138-B1; A138-B2; A138-B3; A138-B4; A138-B5; A138-B6; A138-B7;
A138 -B8; A138-B9; A138-B10; A138-B11; A138-B12; A138-B13; A138-B14;
A138 -B15; A138 -B16; A138-B17; A138-B18; A138-B19; A138-B20; A138 -B21;
A138 -B22; A138 -B23; A138-B24; A138-B25; A138-B26; A138-B27; A138 -B28;
A138 -B29; A138 -B30; A138-B31; A138-B32; A138-B33; A138-B34; A138 -B35;
A138 -B36; A138 -B37; A138-B38; A138-B39; A138-B40; A138-B41; A138 -B42;
A138 -B43; A138 -B44; A138-B45; A138-B46; A138-B47; A138-B48; A138 -B49;
A138 -B50; A138 -B51; A138-B52; A138-B53; A138-B54; A138-B55; A138 -B56;
A138 -B57; A138 -B58; A138-B59; A138-B60; A138-B61; A138-B62; A138 -B63;
A138 -B64; A138 -B65; A138-B66; A138-B67; A138-B68; A138-B69; A138 -B70;
A138 -B71; A138 -B72; A138-B73; A138-B74; A138-B75; A138-B76; A138 -B77;
A138 -B78; A138 -B79; A138-B80; A138-B81; A138-B82; A138-B83; A138 -B84;
A138 -B85; A138 -B86; A138-B87; A138-B88; A138-B89; A138-B90; A138 -B91;
A138 -B92; A138 -B93; A138-B94; A138-B95; A138-B96; A138-B97; A138 -B98;
A138 -B99; A138 -B100; A138-B101; A138-B102; A138-B103; A138-B104; A138-
B105; A138-B106; A138-B107; A138-B108; A138-B109; A138-B110; A138-B111; A138-B112; A138-B113; A139-B1; A139-B2; A139-B3; A139-B4; A139-B5; A139-B6; A139-B7; A139-B8; A139-B9; A139-B10; A139-B11; A139-B12; A139-B13; A139-B14;
A139 -B15; A139- -B16; A139 -B17; A139- -B18; A139 -B19; A139- -B20; A139 -B21;
A139 -B22; A139- -B23; A139 -B24; A139- -B25; A139 -B26; A139- -B27; A139 -B28;
A139 -B29; A139- -B30; A139 -B31; A139- -B32; A139 -B33; A139- -B34; A139 -B35;
A139 -B36; A139- -B37; A139 -B38; A139- -B39; A139 -B40; A139- -B41; A139 -B42;
A139 -B43; A139- -B44; A139 -B45; A139- -B46; A139 -B47; A139- -B48; A139 -B49;
A139 -B50; A139- -B51; A139 -B52; A139- -B53; A139 -B54; A139- -B55; A139 -B56;
A139 -B57; A139- -B58; A139 -B59; A139- -B60; A139 -B61; A139- -B62; A139 -B63;
A139 -B64; A139- -B65; A139 -B66; A139- -B67; A139 -B68; A139- -B69; A139 -B70;
A139 -B71; A139- -B72; A139 -B73; A139- -B74; A139 -B75; A139- -B76; A139 -B77;
A139 -B78; A139- -B79; A139 -B80; A139- -B81; A139 -B82; A139- -B83; A139 -B84;
A139 -B85; A139- -B86; A139 -B87; A139- -B88; A139 -B89; A139- -B90; A139 -B91;
A139 -B92; A139- -B93; A139 -B94; A139- -B95; A139 -B96; A139- -B97; A139 -B98;
A139 -B99; A139- -B100; A139-B101; A139-B102; A139-B103; A139-B104; A139-
B105; A139-B106; A139-B107; A139-B108; A139-B109; A139-B110; A139-B111; A139-B112; A139-B113;
A140-B1; A140-B2; A140-B3; A140-B4; A140-B5; A140-B6; A140-B7; A140-B8; A140-B9; A140-B10; A140-B11; A140-B12; A140-B13; A140-B14;
A140 -B15; A140- -B16; A140 -B17; A140- -B18; A140 -B19; A140- -B20; A140 -B21;
A140 -B22; A140- -B23; A140 -B24; A140- -B25; A140 -B26; A140- -B27; A140 -B28;
A140 -B29; A140- -B30; A140 -B31; A140- -B32; A140 -B33; A140- -B34; A140 -B35;
A140 -B36; A140- -B37; A140 -B38; A140- -B39; A140 -B40; A140- -B41; A140 -B42;
A140 -B43; A140- -B44; A140 -B45; A140- -B46; A140 -B47; A140- -B48; A140 -B49;
A140 -B50; A140- -B51; A140 -B52; A140- -B53; A140 -B54; A140- -B55; A140 -B56;
A140 -B57; A140- -B58; A140 -B59; A140- -B60; A140 -B61; A140- -B62; A140 -B63;
A140 -B64; A140- -B65; A140 -B66; A140- -B67; A140 -B68; A140- -B69; A140 -B70;
A140 -B71; A140- -B72; A140 -B73; A140- -B74; A140 -B75; A140- -B76; A140 -B77;
A140 -B78; A140- -B79; A140 -B80; A140- -B81; A140 -B82; A140- -B83; A140 -B84;
A140 -B85; A140- -B86; A140 -B87; A140- -B88; A140 -B89; A140- -B90; A140 -B91;
A140 -B92; A140- -B93; A140 -B94; A140- -B95; A140 -B96; A140- -B97; A140 -B98;
A140 -B99; A140- -B100; A140-B101; A140-B102; A140-B103; A140-B104; A140- B105; A140-B106; A140-B107; A140-B108; A140-B109; A140-B110; A140-B111; A140-B112; A140-B113;
A141-B1; A141-B2; A141-B3; A141-B4; A141-B5; A141-B6; A141-B7;
A141 -B8; A141-B9; A141-B10; A141-B11; A141-B12; A141-B13; A141-B14;
A141 -B15; A141 -B16; A141 -B17; A141 -B18; A141 -B19; A141 -B20; A141 -B21;
A141 -B22; A141 -B23; A141 -B24; A141 -B25; A141 -B26; A141 -B27; A141 -B28;
A141 -B29; A141 -B30; A141 -B31; A141 -B32; A141 -B33; A141 -B34; A141 -B35;
A141 -B36; A141 -B37; A141 -B38; A141 -B39; A141 -B40; A141 -B41; A141 -B42;
A141 -B43; A141 -B44; A141 -B45; A141 -B46; A141 -B47; A141 -B48; A141 -B49;
A141 -B50; A141 -B51; A141 -B52; A141 -B53; A141 -B54; A141 -B55; A141 -B56;
A141 -B57; A141 -B58; A141 -B59; A141 -B60; A141 -B61; A141 -B62; A141 -B63;
A141 -B64; A141 -B65; A141 -B66; A141 -B67; A141 -B68; A141 -B69; A141 -B70;
A141 -B71; A141 -B72; A141 -B73; A141 -B74; A141 -B75; A141 -B76; A141 -B77;
A141 -B78; A141 -B79; A141 -B80; A141 -B81; A141 -B82; A141 -B83; A141 -B84;
A141 -B85; A141 -B86; A141 -B87; A141 -B88; A141 -B89; A141 -B90; A141 -B91;
A141 -B92; A141 -B93; A141 -B94; A141 -B95; A141 -B96; A141 -B97; A141 -B98;
A141 -B99; A141 -B100; A141-B101; A141-B102; A141-B103; A141-B104; A141-
B105; A141-B106; A141-B107; A141-B108; A141-B109; A141-B110; A141-B111;
A141-B112; A141-B113;
A142-B1; A142-B2; A142-B3; A142-B4; A142-B5; A142-B6; A142-B7; A142-B8; A142-B9; A142-B10; A142-B11; A142-B12; A142-B13; A142-B14;
A142- -B15; A142- -B16; A142- -B17; A142- -B18; A142- -B19; A142- -B20; A142- -B21;
A142- -B22; A142- -B23; A142- -B24; A142- -B25; A142- -B26; A142- -B27; A142- -B28;
A142- -B29; A142- -B30; A142- -B31; A142- -B32; A142- -B33; A142- -B34; A142- -B35;
A142- -B36; A142- -B37; A142- -B38; A142- -B39; A142- -B40; A142- -B41; A142- -B42;
A142- -B43; A142- -B44; A142- -B45; A142- -B46; A142- -B47; A142- -B48; A142- -B49;
A142- -B50; A142- -B51; A142- -B52; A142- -B53; A142- -B54; A142- -B55; A142- -B56;
A142- -B57; A142- -B58; A142- -B59; A142- -B60; A142- -B61; A142- -B62; A142- -B63;
A142- -B64; A142- -B65; A142- -B66; A142- -B67; A142- -B68; A142- -B69; A142- -B70;
A142- -B71; A142- -B72; A142- -B73; A142- -B74; A142- -B75; A142- -B76; A142- -B77;
A142- -B78; A142- -B79; A142- -B80; A142- -B81; A142- -B82; A142- -B83; A142- -B84;
A142- -B85; A142- -B86; A142- -B87; A142- -B88; A142- -B89; A142- -B90; A142- -B91; A142-B92; A142-B93; A142-B94; A142-B95; A142-B96; A142-B97; A142-B98; A142-B99; A142-B100; A142-B101; A142-B102; A142-B103; A142-B104; A142- B105; A142-B106; A142-B107; A142-B108; A142-B109; A142-B110; A142-B111; A142-B112; A142-B113;
A143-B1; A143-B2; A143-B3; A143-B4; A143-B5; A143-B6; A143-B7;
A143 -B8; A143-B9; A143-B10; A143-B11; A143-B12; A143-B13; A143-B14;
A143 -B15; A143 -B16; A143-B17; A143-B18; A143-B19; A143-B20; A143 -B21;
A143 -B22; A143 -B23; A143-B24; A143-B25; A143-B26; A143-B27; A143 -B28;
A143 -B29; A143 -B30; A143-B31; A143-B32; A143-B33; A143-B34; A143 -B35;
A143 -B36; A143 -B37; A143-B38; A143-B39; A143-B40; A143-B41; A143 -B42;
A143 -B43; A143 -B44; A143-B45; A143-B46; A143-B47; A143-B48; A143 -B49;
A143 -B50; A143 -B51; A143-B52; A143-B53; A143-B54; A143-B55; A143 -B56;
A143 -B57; A143 -B58; A143-B59; A143-B60; A143-B61; A143-B62; A143 -B63;
A143 -B64; A143 -B65; A143-B66; A143-B67; A143-B68; A143-B69; A143 -B70;
A143 -B71; A143 -B72; A143-B73; A143-B74; A143-B75; A143-B76; A143 -B77;
A143 -B78; A143 -B79; A143-B80; A143-B81; A143-B82; A143-B83; A143 -B84;
A143 -B85; A143 -B86; A143-B87; A143-B88; A143-B89; A143-B90; A143 -B91;
A143 -B92; A143 -B93; A143-B94; A143-B95; A143-B96; A143-B97; A143 -B98;
A143 -B99; A143 -B100; A143-B101; A143-B102; A143-B103; A143-B104; A143-
B105; A143-B106; A143-B107; A143-B108; A143-B109; A143-B110; A143-B111; A143-B112; A143-B113;
A144-B1; A144-B2; A144-B3; A144-B4; A144-B5; A144-B6; A144-B7; A144-B8; A144-B9; A144-B10; A144-B11; A144-B12; A144-B13; A144-B14;
A144-B15 A144-B16; A144-B17 A144-B18; A144-B19 A144-B20; A144-B21 A144-B22 A144-B23; A144-B24 A144-B25; A144-B26 A144-B27; A144-B28 A144-B29 A144-B30; A144-B31 A144-B32; A144-B33 A144-B34; A144-B35 A144-B36 A144-B37; A144-B38 A144-B39; A144-B40 A144-B41; A144-B42 A144-B43 A144-B44; A144-B45 A144-B46; A144-B47 A144-B48; A144-B49 A144-B50 A144-B51; A144-B52 A144-B53; A144-B54 A144-B55; A144-B56 A144-B57 A144-B58; A144-B59 A144-B60; A144-B61 A144-B62; A144-B63 A144-B64 A144-B65; A144-B66 A144-B67; A144-B68 A144-B69; A144-B70 A144-B71 A144-B72; A144-B73 A144-B74; A144-B75 A144-B76; A144-B77 A144-B78; A144-B79; A144-B80; A144-B81; A144-B82; A144-B83; A144-B84; A144-B85; A144-B86; A144-B87; A144-B88; A144-B89; A144-B90; A144-B91; A144-B92; A144-B93; A144-B94; A144-B95; A144-B96; A144-B97; A144-B98; A144-B99; A144-B100; A144-B101; A144-B102; A144-B103; A144-B104; A144- B105; A144-B106; A144-B107; A144-B108; A144-B109; A144-B110; A144-B111; A144-B112; A144-B113;
A145-B1; A145-B2; A145-B3; A145-B4; A145-B5; A145-B6; A145-B7;
A145 -B8; A145-B9; A145-B10; A145-B11; A145-B12; A145-B13; A145-B14;
A145 -B15; A145 -B16; A145-B17; A145-B18; A145-B19; A145-B20; A145 -B21;
A145 -B22; A145 -B23; A145-B24; A145-B25; A145-B26; A145-B27; A145 -B28;
A145 -B29; A145 -B30; A145-B31; A145-B32; A145-B33; A145-B34; A145 -B35;
A145 -B36; A145 -B37; A145-B38; A145-B39; A145-B40; A145-B41; A145 -B42;
A145 -B43; A145 -B44; A145-B45; A145-B46; A145-B47; A145-B48; A145 -B49;
A145 -B50; A145 -B51; A145-B52; A145-B53; A145-B54; A145-B55; A145 -B56;
A145 -B57; A145 -B58; A145-B59; A145-B60; A145-B61; A145-B62; A145 -B63;
A145 -B64; A145 -B65; A145-B66; A145-B67; A145-B68; A145-B69; A145 -B70;
A145 -B71; A145 -B72; A145-B73; A145-B74; A145-B75; A145-B76; A145 -B77;
A145 -B78; A145 -B79; A145-B80; A145-B81; A145-B82; A145-B83; A145 -B84;
A145 -B85; A145 -B86; A145-B87; A145-B88; A145-B89; A145-B90; A145 -B91;
A145 -B92; A145 -B93; A145-B94; A145-B95; A145-B96; A145-B97; A145 -B98;
A145 -B99; A145 -B100; A145-B101; A145-B102; A145-B103; A145-B104; A145-
B105; A145-B106; A145-B107; A145-B108; A145-B109; A145-B110; A145-B111; A145-B112; A145-B113;
A146-B1; A146-B2; A146-B3; A146-B4; A146-B5; A146-B6; A146-B7; A146-B8; A146-B9; A146-B10; A146-B11; A146-B12; A146-B13; A146-B14; A146-B15; A146-B16; A146-B17; A146-B18; A146-B19; A146-B20; A146-B21 A146-B22; A146-B23; A146-B24; A146-B25; A146-B26; A146-B27; A146-B28 A146-B29; A146-B30; A146-B31; A146-B32; A146-B33; A146-B34; A146-B35 A146-B36; A146-B37; A146-B38; A146-B39; A146-B40; A146-B41; A146-B42 A146-B43; A146-B44; A146-B45; A146-B46; A146-B47; A146-B48; A146-B49 A146-B50; A146-B51; A146-B52; A146-B53; A146-B54; A146-B55; A146-B56 A146-B57; A146-B58; A146-B59; A146-B60; A146-B61; A146-B62; A146-B63 A146-B64; A146-B65; A146-B66; A146-B67; A146-B68; A146-B69; A146-B70; A146-B71; A146-B72; A146-B73; A146-B74; A146-B75; A146-B76; A146-B77; A146-B78; A146-B79; A146-B80; A146-B81; A146-B82; A146-B83; A146-B84; A146-B85; A146-B86; A146-B87; A146-B88; A146-B89; A146-B90; A146-B91; A146-B92; A146-B93; A146-B94; A146-B95; A146-B96; A146-B97; A146-B98; A146-B99; A146-B100; A146-B101; A146-B102; A146-B103; A146-B104; A146- B105; A146-B106; A146-B107; A146-B108; A146-B109; A146-B110; A146-B111; A146-B112; A146-B113;
A147-B1; A147-B2; A147-B3; A147-B4; A147-B5; A147-B6; A147-B7;
A147 -B8; A147-B9; A147-B10; A147-B11; A147-B12; A147-B13; A147-B14;
A147 -B15; A147 -B16; A147-B17; A147-B18; A147-B19; A147-B20; A147 -B21;
A147 -B22; A147 -B23; A147-B24; A147-B25; A147-B26; A147-B27; A147 -B28;
A147 -B29; A147 -B30; A147-B31; A147-B32; A147-B33; A147-B34; A147 -B35;
A147 -B36; A147 -B37; A147-B38; A147-B39; A147-B40; A147-B41; A147 -B42;
A147 -B43; A147 -B44; A147-B45; A147-B46; A147-B47; A147-B48; A147 -B49;
A147 -B50; A147 -B51; A147-B52; A147-B53; A147-B54; A147-B55; A147 -B56;
A147 -B57; A147 -B58; A147-B59; A147-B60; A147-B61; A147-B62; A147 -B63;
A147 -B64; A147 -B65; A147-B66; A147-B67; A147-B68; A147-B69; A147 -B70;
A147 -B71; A147 -B72; A147-B73; A147-B74; A147-B75; A147-B76; A147 -B77;
A147 -B78; A147 -B79; A147-B80; A147-B81; A147-B82; A147-B83; A147 -B84;
A147 -B85; A147 -B86; A147-B87; A147-B88; A147-B89; A147-B90; A147 -B91;
A147 -B92; A147 -B93; A147-B94; A147-B95; A147-B96; A147-B97; A147 -B98;
A147 -B99; A147 -B100; A147-B101; A147-B102; A147-B103; A147-B104; A147-
B105; A147-B106; A147-B107; A147-B108; A147-B109; A147-B110; A147-B111; A147-B112; A147-B113;
A148-B1; A148-B2; A148-B3; A148-B4; A148-B5; A148-B6; A148-B7; A148-B8; A148-B9; A148-B10; A148-B11; A148-B12; A148-B13; A148-B14; A148-B15; A148-B16; A148-B17; A148-B18; A148-B19; A148-B20; A148-B21 A148-B22; A148-B23; A148-B24; A148-B25; A148-B26; A148-B27; A148-B28 A148-B29; A148-B30; A148-B31; A148-B32; A148-B33; A148-B34; A148-B35 A148-B36; A148-B37; A148-B38; A148-B39; A148-B40; A148-B41; A148-B42 A148-B43; A148-B44; A148-B45; A148-B46; A148-B47; A148-B48; A148-B49 A148-B50; A148-B51; A148-B52; A148-B53; A148-B54; A148-B55; A148-B56; A148-B57; A148-B58; A148-B59; A148-B60; A148-B61; A148-B62; A148-B63; A148-B64; A148-B65; A148-B66; A148-B67; A148-B68; A148-B69; A148-B70; A148-B71; A148-B72; A148-B73; A148-B74; A148-B75; A148-B76; A148-B77; A148-B78; A148-B79; A148-B80; A148-B81; A148-B82; A148-B83; A148-B84; A148-B85; A148-B86; A148-B87; A148-B88; A148-B89; A148-B90; A148-B91; A148-B92; A148-B93; A148-B94; A148-B95; A148-B96; A148-B97; A148-B98; A148-B99; A148-B100; A148-B101; A148-B102; A148-B103; A148-B104; A148- B105; A148-B106; A148-B107; A148-B108; A148-B109; A148-B110; A148-B111; A148-B112; A148-B113;
A149-B1; A149-B2; A149-B3; A149-B4; A149-B5; A149-B6; A149-B7;
A149 -B8; A149-B9; A149-B10; A149-B11; A149-B12; A149-B13; A149-B14;
A149 -B15; A149- -B16; A149-B17; A149-B18; A149-B19; A149-B20; A149 -B21;
A149 -B22; A149- -B23; A149-B24; A149-B25; A149-B26; A149-B27; A149 -B28;
A149 -B29; A149- -B30; A149-B31; A149-B32; A149-B33; A149-B34; A149 -B35;
A149 -B36; A149- -B37; A149-B38; A149-B39; A149-B40; A149-B41; A149 -B42;
A149 -B43; A149- -B44; A149-B45; A149-B46; A149-B47; A149-B48; A149 -B49;
A149 -B50; A149- -B51; A149-B52; A149-B53; A149-B54; A149-B55; A149 -B56;
A149 -B57; A149- -B58; A149-B59; A149-B60; A149-B61; A149-B62; A149 -B63;
A149 -B64; A149- -B65; A149-B66; A149-B67; A149-B68; A149-B69; A149 -B70;
A149 -B71; A149- -B72; A149-B73; A149-B74; A149-B75; A149-B76; A149 -B77;
A149 -B78; A149- -B79; A149-B80; A149-B81; A149-B82; A149-B83; A149 -B84;
A149 -B85; A149- -B86; A149-B87; A149-B88; A149-B89; A149-B90; A149 -B91;
A149 -B92; A149- -B93; A149-B94; A149-B95; A149-B96; A149-B97; A149 -B98;
A149 -B99; A149- -B100; A149-B101; A149-B102; A149-B103; A149-B104; A149-
B105; A149-B106; A149-B107; A149-B108; A149-B109; A149-B110; A149-B111; A149-B112; A149-B113;
A150-B1; A150-B2; A150-B3; A150-B4; A150-B5; A150-B6; A150-B7; A150-B8; A150-B9; A150-B10; A150-B11; A150-B12; A150-B13; A150-B14; A150-B15; A150-B16; A150-B17; A150-B18; A150-B19; A150-B20; A150-B21 A150-B22; A150-B23; A150-B24; A150-B25; A150-B26; A150-B27; A150-B28 A150-B29; A150-B30; A150-B31; A150-B32; A150-B33; A150-B34; A150-B35 A150 -B36; A150 -B37; A150-B38; A150-B39; A150-B40; A150 -B41; A150-B42;
A150 -B43; A150 -B44; A150-B45; A150-B46; A150-B47; A150 -B48; A150-B49;
A150 -B50; A150 -B51; A150-B52; A150-B53; A150-B54; A150 -B55; A150-B56;
A150 -B57; A150 -B58; A150-B59; A150-B60; A150-B61; A150 -B62; A150-B63; A150 -B64; A150 -B65; A150-B66; A150-B67; A150-B68; A150 -B69; A150-B70;
A150 -B71; A150 -B72; A150-B73; A150-B74; A150-B75; A150 -B76; A150-B77;
A150 -B78; A150 -B79; A150-B80; A150-B81; A150-B82; A150 -B83; A150-B84;
A150 -B85; A150 -B86; A150-B87; A150-B88; A150-B89; A150 -B90; A150-B91;
A150 -B92; A150 -B93; A150-B94; A150-B95; A150-B96; A150 -B97; A150-B98; A150 -B99; A150 -B100; A150-B101; A150-B102; A150-B103; A150-B104; A150
B105; A150-B106; A150-B107; A150-B108; A150-B109; A150-B110; A150-B111; A150-B112; A150-B113;
A151-B1; A151-B2; A151-B3; A151-B4; A151-B5; A151-B6; A151-B7; A151-B8; A151-B9; A151-B10; A151-B11; A151-B12; A151-B13; A151-B14;
A151 -B15; A151 -B16; A151 -B17; A151 -B18; A151 -B19; A151 -B20; A151-B21;
A151 -B22; A151 -B23; A151 -B24; A151 -B25; A151 -B26; A151 -B27; A151-B28;
A151 -B29; A151 -B30; A151 -B31; A151 -B32; A151 -B33; A151 -B34; A151-B35;
A151 -B36; A151 -B37; A151 -B38; A151 -B39; A151 -B40; A151 -B41; A151-B42;
A151 -B43; A151 -B44; A151 -B45; A151 -B46; A151 -B47; A151 -B48; A151-B49;
A151 -B50; A151 -B51; A151 -B52; A151 -B53; A151 -B54; A151 -B55; A151-B56;
A151 -B57; A151 -B58; A151 -B59; A151 -B60; A151 -B61; A151 -B62; A151-B63;
A151 -B64; A151 -B65; A151 -B66; A151 -B67; A151 -B68; A151 -B69; A151-B70;
A151 -B71; A151 -B72; A151 -B73; A151 -B74; A151 -B75; A151 -B76; A151-B77;
A151 -B78; A151 -B79; A151 -B80; A151 -B81; A151 -B82; A151 -B83; A151-B84;
A151 -B85; A151 -B86; A151 -B87; A151 -B88; A151 -B89; A151 -B90; A151-B91;
A151 -B92; A151 -B93; A151 -B94; A151 -B95; A151 -B96; A151 -B97; A151-B98;
A151 -B99; A151 -B100; A151-B101; A151-B102; A151-B103; A151-B104; A151
B105; A151-B106; A151-B107; A151-B108; A151-B109; A151-B110; A151-B111; A151-B112; A151-B113;
A152-B1; A152-B2; A152-B3; A152-B4; A152-B5; A152-B6; A152-B7; A152-B8; A152-B9; A152-B10; A152-B11; A152-B12; A152-B13; A152-B14; A152-B15; A152-B16; A152-B17; A152-B18; A152-B19; A152-B20; A152-B21; A152- -B22; A152- -B23; A152- -B24; A152- -B25; A152- -B26; A152- -B27; A152 -B28;
A152- -B29; A152- -B30; A152- -B31; A152- -B32; A152- -B33; A152- -B34; A152 -B35;
A152- -B36; A152- -B37; A152- -B38; A152- -B39; A152- -B40; A152- -B41; A152 -B42;
A152- -B43; A152- -B44; A152- -B45; A152- -B46; A152- -B47; A152- -B48; A152 -B49;
A152- -B50; A152- -B51; A152- -B52; A152- -B53; A152- -B54; A152- -B55; A152 -B56;
A152- -B57; A152- -B58; A152- -B59; A152- -B60; A152- -B61; A152- -B62; A152 -B63;
A152- -B64; A152- -B65; A152- -B66; A152- -B67; A152- -B68; A152- -B69; A152 -B70;
A152- -B71; A152- -B72; A152- -B73; A152- -B74; A152- -B75; A152- -B76; A152 -B77;
A152- -B78; A152- -B79; A152- -B80; A152- -B81; A152- -B82; A152- -B83; A152 -B84;
A152- -B85; A152- -B86; A152- -B87; A152- -B88; A152- -B89; A152- -B90; A152 -B91;
A152- -B92; A152- -B93; A152- -B94; A152- -B95; A152- -B96; A152- -B97; A152 -B98;
A152- -B99; A152- -B100; A152-B101; A152-B102; A152-B103; A152-B104; A 152-
B105; A152-B106; A152-B107; A152-B108; A152-B109; A152-B110; A152-B111; A152-B112; A152-B113;
A153-B1; A153-B2; A153-B3; A153-B4; A153-B5; A153-B6; A153-B7;
A153 -B8; A153-B9; A153-B10; A153-B11; A153-B12; A153-B13; A153-B14;
A153 -B15; A153 -B16; A153-B17; A153-B18; A153-B19; A153-B20; A153 -B21;
A153 -B22; A153 -B23; A153-B24; A153-B25; A153-B26; A153-B27; A153 -B28;
A153 -B29; A153 -B30; A153-B31; A153-B32; A153-B33; A153-B34; A153 -B35;
A153 -B36; A153 -B37; A153-B38; A153-B39; A153-B40; A153-B41; A153 -B42;
A153 -B43; A153 -B44; A153-B45; A153-B46; A153-B47; A153-B48; A153 -B49;
A153 -B50; A153 -B51; A153-B52; A153-B53; A153-B54; A153-B55; A153 -B56;
A153 -B57; A153 -B58; A153-B59; A153-B60; A153-B61; A153-B62; A153 -B63;
A153 -B64; A153 -B65; A153-B66; A153-B67; A153-B68; A153-B69; A153 -B70;
A153 -B71; A153 -B72; A153-B73; A153-B74; A153-B75; A153-B76; A153 -B77;
A153 -B78; A153 -B79; A153-B80; A153-B81; A153-B82; A153-B83; A153 -B84;
A153 -B85; A153 -B86; A153-B87; A153-B88; A153-B89; A153-B90; A153 -B91;
A153 -B92; A153 -B93; A153-B94; A153-B95; A153-B96; A153-B97; A153 -B98;
A153 -B99; A153 -B100; A153-B101; A153-B102; A153-B103; A153-B104; A153-
B105; A153-B106; A153-B107; A153-B108; A153-B109; A153-B110; A153-B111; A153-B112; A153-B113; A154-B1; A154-B2; A154-B3; A154-B4; A154-B5; A154-B6; A154-B7;
A154- -B8; A154-B9; A154-B10; A154-B11; A154-B12; A154-B13; A154-B14;
A154- -B15; A154- -B16; A154-B17; A154-B18; A154-B19; A154-B20; A154- -B21;
A154- -B22; A154- -B23; A154-B24; A154-B25; A154-B26; A154-B27; A154- -B28;
A154- -B29; A154- -B30; A154-B31; A154-B32; A154-B33; A154-B34; A154- -B35;
A154- -B36; A154- -B37; A154-B38; A154-B39; A154-B40; A154-B41; A154- -B42;
A154- -B43; A154- -B44; A154-B45; A154-B46; A154-B47; A154-B48; A154- -B49;
A154- -B50; A154- -B51; A154-B52; A154-B53; A154-B54; A154-B55; A154- -B56;
A154- -B57; A154- -B58; A154-B59; A154-B60; A154-B61; A154-B62; A154- -B63;
A154- -B64; A154- -B65; A154-B66; A154-B67; A154-B68; A154-B69; A154- -B70;
A154- -B71; A154- -B72; A154-B73; A154-B74; A154-B75; A154-B76; A154- -B77;
A154- -B78; A154- -B79; A154-B80; A154-B81; A154-B82; A154-B83; A154- -B84;
A154- -B85; A154- -B86; A154-B87; A154-B88; A154-B89; A154-B90; A154- -B91;
A154- -B92; A154- -B93; A154-B94; A154-B95; A154-B96; A154-B97; A154- -B98;
A154- -B99; A154- -B100; A154-B101; A154-B102; A154-B103; A154-B104; A 154-
B105; A154-B106; A154-B107; A154-B108; A154-B109; A154-B110; A154-B111; A154-B112; A154-B113;
Sub-Category IA: Amino Acid B of the Dipeptide Prodrug Element is N-Alkylated Glycine
In some embodiments, the B amino acid of the dipeptide prodrug element is N-alkylated glycine. Nonlimiting examples of dipeptide prodrug elements having N- alkylated glycine as the B amino acid are shown in the below Table.
Figure imgf000211_0001
Sub-Category IB: Amino Acid B of the Dipeptide Prodrug Element is Unsubstituted or Monosubstituted at the Beta Position
In some embodiments, the B amino acid of the dipeptide prodrug element is unsubstituted or monosubstituted at the beta position and has a relatively non-bulky side chain. Nonlimiting examples of dipeptide prodrug elements having a B amino acid that is unsubstituted or monosubstituted at the beta position and a relatively non- bulky side chain are shown in the below Table.
Figure imgf000212_0001
Figure imgf000213_0001
95 d-Lys His(N-methyl)
96 d-Cys His(N-methyl)
97 Aib Lys(N-methyl)
98 d-Ala Lys(N-methyl)
99 d-Lys Lys(N-methyl)
100 d-Cys Lys(N-methyl)
101 Aib Arg(N-methyl)
102 d-Ala Arg(N-methyl)
103 d-Lys Arg(N-methyl)
104 d-Cys Arg(N-methyl)
105 Aib Ser(N-methyl)
106 d-Ala Ser(N-methyl)
107 d-Lys Ser(N-methyl)
108 d-Cys Ser(N-methyl)
109 Aib Cys(N-methyl)
110 d-Ala Cys(N-methyl)
111 d-Lys Cys(N-methyl)
112 d-Cys Cys(N-methyl)
113 Aib Ala(N-hexyl)
114 d-Ala Ala(N-hexyl)
115 d-Lys Ala(N-hexyl)
116 d-Cys Ala(N-hexyl)
117 Aib Leu(N-hexyl)
118 d-Ala Leu(N-hexyl)
119 d-Lys Leu(N-hexyl)
120 d-Cys Leu(N-hexyl)
121 Aib Met(N-hexyl)
122 d-Ala Met(N-hexyl)
123 d-Lys Met(N-hexyl)
124 d-Cys Met(N-hexyl)
125 Aib Asn(N-hexyl)
126 d-Ala Asn(N-hexyl)
127 d-Lys Asn(N-hexyl)
128 d-Cys Asn(N-hexyl)
129 Aib Glu(N-hexyl)
130 d-Ala Glu(N-hexyl)
131 d-Lys Glu(N-hexyl)
132 d-Cys Glu(N-hexyl)
133 Aib Asp(N-hexyl)
134 d-Ala Asp(N-hexyl)
135 d-Lys Asp(N-hexyl)
136 d-Cys Asp(N-hexyl)
137 Aib Gln(N-hexyl)
138 d-Ala Gln(N-hexyl)
139 d-Lys Gln(N-hexyl)
140 d-Cys Gln(N-hexyl)
141 Aib His(N-hexyl) 142 d-Ala His(N-hexyl)
143 d-Lys His(N-hexyl)
144 d-Cys His(N-hexyl)
145 Aib Lys(N-hexyl)
146 d-Ala Lys(N-hexyl)
147 d-Lys Lys(N-hexyl)
148 d-Cys Lys(N-hexyl)
149 Aib Arg(N-hexyl)
150 d-Ala Arg(N-hexyl)
151 d-Lys Arg(N-hexyl)
152 d-Cys Arg(N-hexyl)
153 Aib Ser(N-hexyl)
154 d-Ala Ser(N-hexyl)
155 d-Lys Ser(N-hexyl)
156 d-Cys Ser(N-hexyl)
157 Aib Cys(N-hexyl)
158 d-Ala Cys(N-hexyl)
159 d-Lys Cys(N-hexyl)
160 d-Cys Cys(N-hexyl)
In some embodiments, the B amino acid of the dipeptide prodrug element is monosubstituted at the beta position and has a relatively bulky side chain, as shown in the below Table.
Figure imgf000215_0001
182 d-Ala Trp(N-methyl)
183 d-Lys Trp(N-methyl)
184 d-Cys Trp(N-methyl)
185 Aib Phe(N-hexyl)
186 d-Ala Phe(N-hexyl)
187 d-Lys Phe(N-hexyl)
188 d-Cys Phe(N-hexyl)
189 Aib Tyr(N-hexyl)
190 d-Ala Tyr(N-hexyl)
191 d-Lys Tyr(N-hexyl)
192 d-Cys Tyr(N-hexyl)
193 Aib Trp(N-hexyl)
194 d-Ala Trp(N-hexyl)
195 d-Lys Trp(N-hexyl)
196 d-Cys Trp(N-hexyl)
Sub-Category IC: Amino Acid B of the Dipeptide Prodrug Element Disubstituted at the Beta Position
In some embodiments, the B amino acid of the dipeptide prodrug element is disubstituted at the beta position. Nonlimiting examples of dipeptide prodrug elements having a B amino acid that is disubstituted at the beta position are shown in the below Table.
Figure imgf000216_0001
217 Aib Thr(N-methyl)
218 d-Ala Thr(N-methyl)
219 d-Lys Thr(N-methyl)
220 d-Cys Thr(N-methyl)
221 Aib Ile(N-hexyl)
222 d-Ala Ile(N-hexyl)
223 d-Lys Ile(N-hexyl)
224 d-Cys Ile(N-hexyl)
225 Aib Val(N-hexyl)
226 d-Ala Val(N-hexyl)
227 d-Lys Val(N-hexyl)
228 d-Cys Val(N-hexyl)
229 Aib Thr(N-hexyl)
230 d-Ala Thr(N-hexyl)
231 d-Lys Thr(N-hexyl)
232 d-Cys Thr(N-hexyl))
In some exemplary embodiments, Aib-Gly(N-Hexyl), dLys-Gly(N-Hexyl), dCys-Gly(N-Hexyl), dAla-Gly(N-Hexyl), Aib-Gly(N-Methyl), dLys-Gly(N-Methyl), dCys-Gly(N-Methyl), dAla-Gly(N-Hexyl), Aib-Phe(N-Methyl), dLys-Phe(N-Methyl), dCys-Phe(N-Methyl), or dAla-Phe(N-Methyl) is conjugated to the N-terminal alpha amino group of an insulin analog disclosed herein.
In accordance with one embodiment the dipeptide element comprises one of three amino acids at the B of the A-B dipeptide: Gly(N-Hexyl), Gly(N-Methyl) or Phe(N-Methyl). Dipeptides selected from one of these three groups of dipeptides have relative cleavage rates wherein Gly(N-Hexyl) > Gly(N-Methyl) > Phe(N-
Methyl) all other factors being equal. In one embodiment Cys or Lys is provided in the first position (i.e., the A amino acid) to provides a location for acylation or pegylation. Ala is used as the A amino acid in one embodiment where no acylation or pegylation is desired. In one embodiment an Aib in first position (i.e., the A amino acid) increases speed of cleavage relative to natural amino acids such as Ala, Cys, & Lys.
Exemplary dipeptides include:
dAla-Phe(N-Methyl)
dCys-Phe(N-Methyl)
dLys-Phe(N-Methyl)
Aib-Phe(N-Methyl) dAla-Gly(N-Methyl)
dCys-Gly(N-Methyl)
dLys-Gly(N-Methyl)
Aib-Gly(N-Methyl)
dAla-Gly(N-Hexyl)
dCys-Gly(N-Hexyl)
dLys-Gly(N-Hexyl)
Aib-Gly(N-Hexyl)
In accordance with one embodiment a pharmaceutical composition is provided comprising any of the novel IGF B16B17 derivative peptides disclosed herein, preferably at a purity level of at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98% or 99%, and a pharmaceutically acceptable diluent, carrier or excipient. Such compositions may contain an IGF B16B17 derivative peptide as disclosed herein at a concentration of at least 0.5 mg/ml, 1 mg/ml, 2 mg/ml, 3 mg/ml, 4 mg/ml, 5 mg/ml, 6 mg/ml, 7 mg/ml, 8 mg/ml, 9 mg/ml, 10 mg/ml, 11 mg/ml, 12 mg/ml, 13 mg/ml, 14 mg/ml, 15 mg/ml, 16 mg/ml, 17 mg/ml, 18 mg/ml, 19 mg/ml, 20 mg/ml, 21 mg/ml, 22 mg/ml, 23 mg/ml, 24 mg/ml, 25 mg/ml or higher. In one embodiment the pharmaceutical compositions comprise aqueous solutions that are sterilized and optionally stored contained within various package containers. In other embodiments the
pharmaceutical compositions comprise a lyophilized powder. The pharmaceutical compositions can be further packaged as part of a kit that includes a disposable device for administering the composition to a patient. The containers or kits may be labeled for storage at ambient room temperature or at refrigerated temperature.
In one embodiment, a composition is provided comprising a mixture of a first and second IGF B16B17 derivative peptide prodrug analog, wherein the first and second
IGF B16B17 derivative peptide prodrug analogs differ from one another based on the structure of the prodrug element. More particularly, the first IGF B16B17 derivative peptide prodrug analog may comprise a dipeptide prodrug element that has a half life substantially different from the dipeptide prodrug element of the second IGF B 16B 17 derivative peptide prodrug analog. Accordingly, selection of different combinations of substituents on the dipeptide element will allow for the preparation of compositions that comprise a mixture of IGF B 16B 17 derivative peptide prodrug analogs that are activated in a controlled manner over a desired time frame and at specific time intervals. For example, the compositions can be formulated to release active
IGF B 16B 17 derivative peptide at mealtimes followed by a subsequent activation of
IGF B 16B 17 derivative peptide during nighttime with suitable dosages being released based on time of activation. In another embodiment the pharmaceutical composition comprises a mixture of an IGF B 16B 17 derivative peptide prodrug analog disclosed herein and native insulin, or a known bioactive derivative of insulin. The mixture in one embodiment can be in the form of a heterodimer linking an IGF B 16B 17 derivative peptide analog and a native insulin, or a known bioactive derivative of insulin. The dimers may comprise single chain insulin/IGF derivative peptide or disulfide linked A chain to B chain heterodimers. The mixtures may comprise one or more IGF B 16B 17 derivative peptide analogs, native insulin, or a known bioactive derivative of insulin in prodrug forms, depot derivative or other conjugate forms, and any combination thereof, as disclosed herein.
The disclosed IGF B 16B 17 derivative peptides, and their corresponding prodrug derivatives, are believed to be suitable for any use that has previously been described for insulin peptides. Accordingly, the IGF B 16B 17 derivative peptides, and their corresponding prodrug derivatives, described herein can be used to treat
hyperglycemia, or treat other metabolic diseases that result from high blood glucose levels. Accordingly, the present invention encompasses pharmaceutical compositions comprising an IGF B 16B 17 derivative peptide of the present disclosure, or a prodrug derivative thereof, and a pharmaceutically acceptable carrier for use in treating a patient suffering from high blood glucose levels. In accordance with one embodiment the patient to be treated using the IGF B 16B 17 derivative peptides disclosed herein is a domesticated animal, and in another embodiment the patient to be treated is a human.
One method of treating hyperglycemia in accordance with the present disclosure comprises the steps of administering the presently disclosed IGF B 16B 17 derivative peptide, or depot or prodrug derivative thereof, to a patient using any standard route of administration, including parenterally, such as intravenously, intraperitoneally, subcutaneously or intramuscularly, intrathecally, transdermally, rectally, orally, nasally or by inhalation. In one embodiment the composition is administered subcutaneously or intramuscularly. In one embodiment, the
composition is administered parenterally and the IGF B16B17 derivative peptide, or prodrug derivative thereof, composition is prepackaged in a syringe.
The IGF B 16B 17 derivative peptides disclosed herein, and depot or prodrug derivative thereof, may be administered alone or in combination with other antidiabetic agents. Anti-diabetic agents known in the art or under investigation include native insulin, native glucagon and functional derivatives thereof, sulfonylureas, such as tolbutamide (Orinase), acetohexamide (Dymelor), tolazamide (Tolinase), chlorpropamide (Diabinese), glipizide (Glucotrol), glyburide (Diabeta, Micronase, Glynase), glimepiride (Amaryl), or gliclazide (Diamicron); meglitinides, such as repaglinide (Prandin) or nateglinide (Starlix); biguanides such as metformin
(Glucophage) or phenformin; thiazolidinediones such as rosiglitazone (Avandia), pioglitazone (Actos), or troglitazone (Rezulin), or other PPARy inhibitors; alpha glucosidase inhibitors that inhibit carbohydrate digestion, such as miglitol (Glyset), acarbose (Precose/Glucobay); exenatide (Byetta) or pramlintide; Dipeptidyl peptidase-4 (DPP-4) inhibitors such as vildagliptin or sitagliptin; SGLT (sodium- dependent glucose transporter 1) inhibitors; or FBPase (fructose 1,6-bisphosphatase) inhibitors.
Pharmaceutical compositions comprising the IGF B 16B 17 derivative peptides disclosed herein, or depot or prodrug derivatives thereof, can be formulated and administered to patients using standard pharmaceutically acceptable carriers and routes of administration known to those skilled in the art. Accordingly, the present disclosure also encompasses pharmaceutical compositions comprising one or more of the IGF B 16B 17 derivative peptides disclosed herein (or prodrug derivative thereof), or a pharmaceutically acceptable salt thereof, in combination with a pharmaceutically acceptable carrier. In one embodiment the pharmaceutical composition comprises a lmg/ml concentration of the IGF B 16B 17 derivative peptide at pH of about 4.0 to about 7.0 in a phosphate buffer system. The pharmaceutical compositions may comprise the
IGF B 16B 17 derivative peptide as the sole pharmaceutically active component, or the
IGF B 16B 17 derivative peptide can be combined with one or more additional active agents. In accordance with one embodiment a pharmaceutical composition is
B 16B 17
provided comprising one of the IGF derivative peptides disclosed herein (or depot or prodrug derivative thereof), preferably sterile and preferably at a purity level of at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98% or 99%, and a pharmaceutically acceptable diluent, carrier or excipient. Such compositions may
B 16B 17
contain an IGF derivative peptide wherein the resulting active peptide is present at a concentration of at least 0.5 mg/ml, 1 mg/ml, 2 mg/ml, 3 mg/ml, 4 mg/ml, 5 mg/ml, 6 mg/ml, 7 mg/ml, 8 mg/ml, 9 mg/ml, 10 mg/ml, 11 mg/ml, 12 mg/ml, 13 mg/ml, 14 mg/ml, 15 mg/ml, 16 mg/ml, 17 mg/ml, 18 mg/ml, 19 mg/ml, 20 mg/ml, 21 mg/ml, 22 mg/ml, 23 mg/ml, 24 mg/ml, 25 mg/ml or higher. In one embodiment the pharmaceutical compositions comprise aqueous solutions that are sterilized and optionally stored within various containers. The compounds of the present invention can be used in accordance with one embodiment to prepare pre-formulated solutions ready for injection. In other embodiments the pharmaceutical compositions comprise a lyophilized powder. The pharmaceutical compositions can be further packaged as part of a kit that includes a disposable device for administering the composition to a patient. The containers or kits may be labeled for storage at ambient room
temperature or at refrigerated temperature.
All therapeutic methods, pharmaceutical compositions, kits and other similar
B 16B 17
embodiments described herein contemplate that IGF derivative peptides, or prodrug derivatives thereof, include all pharmaceutically acceptable salts thereof.
In one embodiment the kit is provided with a device for administering the
B 16B 17
IGF derivative peptide composition to a patient. The kit may further include a variety of containers, e.g. , vials, tubes, bottles, and the like. Preferably, the kits will also include instructions for use. In accordance with one embodiment the device of the kit is an aerosol dispensing device, wherein the composition is prepackaged within the aerosol device. In another embodiment the kit comprises a syringe and a needle,
B 16B 17
and in one embodiment the IGF derivative peptide composition is prepackaged within the syringe.
The compounds of this invention may be prepared by standard synthetic methods, recombinant DNA techniques, or any other methods of preparing peptides and fusion proteins. Although certain non-natural amino acids cannot be expressed by standard recombinant DNA techniques, techniques for their preparation are known in the art. Compounds of this invention that encompass non-peptide portions may be synthesized by standard organic chemistry reactions, in addition to standard peptide chemistry reactions when applicable.
EXAMPLE 1
Synthesis of Insulin A & B Chains
Insulin A & B chains were synthesized on 4-methylbenzhyryl amine (MBHA) resin or 4-Hydroxymethyl-phenylacetamidomethyl (PAM) resin using Boc chemistry. The peptides were cleaved from the resin using HF/p-cresol 95:5 for 1 hour at 0°C. Following HF removal and ether precipitation, peptides were dissolved into 50% aqueous acetic acid and lyophilized. Alternatively, peptides were synthesized using Fmoc chemistry. The peptides were cleaved from the resin using Trifluoroacetic acid (TFA)/ Triisopropylsilane (TIS)/ H20 (95:2.5:2.5), for 2 hour at room temperature. The peptide was precipitated through the addition of an excessive amount of diethyl ether and the pellet solubilized in aqueous acidic buffer. The quality of peptides were monitored by RP-HPLC and confirmed by Mass Spectrometry (ESI or MALDI).
Insulin A chains were synthesized with a single free cysteine at amino acid 7 and all other cysteines protected as acetamidomethyl A-(SH)7(Acm)6'U'20. Insulin B chains were synthesized with a single free cysteine at position 7 and the other cysteine protected as acetamidomethyl B-(SH) 7 (Acm) 19. The crude peptides were purified by conventional RP-HPLC.
The synthesized A and B chains were linked to one another through their native disulfide bond linkage in accordance with the general procedure outlined in Fig. 1. The respective B chain was activated to the Cys -Npys derivative through dissolution in DMF or DMSO and reacted with 2,2'-Dithiobis (5-nitropyridine) (Npys) at a 1: 1 molar ratio, at room temperature. The activation was monitored by RP-HPLC and the product was confirmed by ESI-MS.
The first B7-A7 disulfide bond was formed by dissolution of the respective A- (SH)7(Acm)6'U'20 and B-(Npys)7(Acm)19 at 1: 1 molar ratio to a total peptide concentration of 10 mg/ml. When the chain combination reaction was complete the mixture was diluted to a concentration of 50% aqueous acetic acid. The last two disulfide bonds were formed simultaneously through the addition of iodine. A 40 fold molar excess of iodine was added to the solution and the mixture was stirred at room temperature for an additional hour. The reaction was terminated by the addition of an aqueous ascorbic acid solution. The mixture was purified by RP-HPLC and the final compound was confirmed by MALDI-MS. As shown in Fig. 2 and the data in Table 1, the synthetic insulin prepared in accordance with this procedure compares well with purified insulin for insulin receptor binding.
Insulin peptides comprising a modified amino acid (such as 4-amino phenylalanine at position A 19) can also be synthesized in vivo using a system that allows for incorporation of non-coded amino acids into proteins, including for example, the system taught in US Patent Nos. 7,045,337 and 7,083,970.
Table 1 : Activity of synthesized insulin relative to native insulin
Figure imgf000223_0001
EXAMPLE 2
Pegylation of Amine Groups (N-Terminus and Lysine) by Reductive Alkylation a. Synthesis
Insulin (or an insulin analog), mPEG20k-Aldyhyde, and NaBH3CN, in a molar ratio of 1:2:30, were dissolved in acetic acid buffer at a pH of 4.1-4.4. The reaction solution was composed of 0.1 N NaCl, 0.2 N acetic acid and 0.1 N Na2C03. The insulin peptide concentration was approximately 0.5 mg/ml. The reaction occurs over six hours at room temperature. The degree of reaction was monitored by RP-HPLC and the yield of the reaction was approximately 50%.
b. Purification
The reaction mixture was diluted 2-5 fold with 0.1% TFA and applied to a preparative RP-HPLC column. HPLC condition: C4 column; flow rate 10 ml/min; A buffer 10% ACN and 0.1% TFA in water; B buffer 0.1% TFA in ACN; A linear gradient B% from 0-40% (0-80 min); PEG-insulin or analogues was eluted at approximately 35% buffer B. The desired compounds were verified by MALDI-TOF, following chemical modification through sulftolysis or trypsin degradation. Pegylation of Amine Groups (N-Terminus and Lysine) by N-Hydroxysuccinimide Acylation.
a. Synthesis
Insulin (or an insulin analog) along with mPEG20k-NHS were dissolved in 0.1 N Bicine buffer (pH 8.0) at a molar ratio of 1: 1. The insulin peptide concentration was approximately 0.5 mg/ml. Reaction progress was monitored by HPLC. The yield of the reaction is approximately 90% after 2 hours at room temperature.
b. Purification
The reaction mixture was diluted 2-5 fold and loaded to RP-HPLC.
HPLC condition: C4 column; flow rate 10 ml/min; A buffer 10% ACN and 0.1% TFA in water; B buffer 0.1% TFA in ACN; A linear gradient B% from 0-40% (0-80 min); PEG-insulin or analogues was collected at approximately 35% B. . The desired compounds were verified by MALDI-TOF, following chemical modification through sulftolysis or trypsin degradation. Reductive Aminated Pegylation of Acetyl Group on the Aromatic Ring Of The Phenylalanine
a. Synthesis
Insulin (or an insulin analogue), mPEG20k-Hydrazide, and NaBH3CN in a molar ratio of 1:2:20 were dissolved in acetic acid buffer (pH of 4.1 to 4.4). The reaction solution was composed of 0.1 N NaCl, 0.2 N acetic acid and 0.1 N Na2C03. Insulin or insulin analogue concentration was approximately 0.5 mg/ml. at room temperature for 24h. The reaction process was monitored by HPLC. The conversion of the reaction was approximately 50%. (calculated by HPLC)
b. Purification
The reaction mixture was diluted 2-5 fold and loaded to RP-HPLC.
HPLC condition: C4 column; flow rate 10 ml/min; A buffer 10% ACN and 0.1% TFA in water; B buffer 0.1% TFA in ACN; A linear gradient B% from 0-40% (0-80 min); PEG-insulin, or the PEG-insulin analogue was collected at approximately 35%B. . The desired compounds were verified by MALDI-TOF, following chemical modification through sulftolysis or trypsin degradation.
EXAMPLE 3
Insulin Receptor Binding Assay:
The affinity of each peptide for the insulin or IGF- 1 receptor was measured in a competition binding assay utilizing scintillation proximity technology. Serial 3-fold dilutions of the peptides were made in Tris-Cl buffer (0.05 M Tris-HCl, pH 7.5, 0.15 M NaCl, 0.1% w/v bovine serum albumin) and mixed in 96 well plates (Corning Inc., Acton, MA) with 0.05 nM (3-[125I]-iodotyrosyl) A TyrA14 insulin or (3-[125I]- iodotyrosyl) IGF-1 (Amersham Biosciences, Piscataway, NJ). An aliquot of 1-6 micrograms of plasma membrane fragments prepared from cells over-expressing the human insulin or IGF-1 receptors were present in each well and 0.25 mg/well polyethylene imine-treated wheat germ agglutinin type A scintillation proximity assay beads (Amersham Biosciences, Piscataway, NJ) were added. After five minutes of shaking at 800 rpm the plate was incubated for 12h at room temperature and radioactivity was measured with MicroBetal450 liquid scintillation counter (Perkin- Elmer, Wellesley, MA). Non-specific ally bound (NSB) radioactivity was measured in the wells with a four-fold concentration excess of "cold" native ligand than the highest concentration in test samples. Total bound radioactivity was detected in the wells with no competitor. Percent specific binding was calculated as following: % Specific Binding = (Bound-NSB / Total bound-NSB) x 100. IC50 values were determined by using Origin software (OriginLab, Northampton, MA).
EXAMPLE 4
Insulin Receptor Phosphorylation Assay:
To measure receptor phosphorylation of insulin or insulin analog, receptor transfected HEK293 cells were plated in 96 well tissue culture plates (Costar #3596, Cambridge, MA) and cultured in Dulbecco's modified Eagle medium (DMEM) supplemented with 100 IU/ml penicillin, 100 g/ml streptomycin, 10 mM HEPES and 0.25% bovine growth serum (HyClone SH30541, Logan, UT) for 16-20 hrs at 37°C, 5% C02 and 90% humidity. Serial dilutions of insulin or insulin analogs were prepared in DMEM supplemented with 0.5% bovine serum albumin (Roche Applied Science #100350, Indianapolis, IN) and added to the wells with adhered cells. After 15 min incubation at 37°C in humidified atmosphere with 5% C02 the cells were fixed with 5% paraformaldehyde for 20 min at room temperature, washed twice with phosphate buffered saline pH 7.4 and blocked with 2% bovine serum albumin in PBS for 1 hr. The plate was then washed three times and filled with horseradish peroxidase-conjugated antibody against phosphotyrosine (Upstate biotechnology #16- 105, Temecula, CA) reconstituted in PBS with 2% bovine serum albumin per manufacturer's recommendation. After 3 hrs incubation at room temperature the plate was washed 4 times and 0.1 ml of TMB single solution substrate (Invitrogen, #00- 2023, Carlbad, CA) was added to each well. Color development was stopped 5 min later by adding 0.05 ml 1 N HC1. Absorbance at 450 nm was measured on Titertek Multiscan MCC340 (ThermoFisher, Pittsburgh, PA). Absorbance vs. peptide concentration dose response curves were plotted and EC50 values were determined by using Origin software (OriginLab, Northampton, MA).
EXAMPLE 5
Determination of rate of model dipeptide cleavage (in PBS)
A specific hexapeptide (HSRGTF-NH2; SEQ ID NO: 73) was used as a model peptide upon which the rate of cleavage of dipeptide N-terminal extensions could be studied. The dipeptide-extended model peptides were prepared Boc- protected sarcosine and lysine were successively added to the model peptide-bound resin to produce peptide A (Lys-Sar-HSRGTF-NH2; SEQ ID NO: 74). Peptide A was cleaved by HF and purified by preparative HPLC.
Preparative purification using HPLC:
Purification was performed using HPLC analysis on a silica based 1 x 25 cm Vydac C18 (5 μ particle size, 300 A0 pore size) column. The instruments used were: Waters Associates model 600 pump, Injector model 717, and UV detector model 486. A wavelength of 230 nm was used for all samples. Solvent A contained 10% CH3CN /0.1 % TFA in distilled water, and solvent B contained 0.1% TFA in CH3CN. A linear gradient was employed (0 to 100% B in 2 hours). The flow rate was 10 ml/min and the fraction size was 4 ml. From -150 mgs of crude peptide, 30 mgs of the pure peptide was obtained. Peptide A was dissolved at a concentration of 1 mg/ml in PBS buffer. The solution was incubated at 37°C. Samples were collected for analysis at 5h, 8h, 24h, 31h, and 47h. The dipeptide cleavage was quenched by lowering the pH with an equal volume of 0.1%TFA. The rate of cleavage was qualitatively monitored by LC- MS and quantitatively studied by HPLC. The retention time and relative peak area for the prodrug and the parent model peptide were quantified using Peak Simple
Chromatography software.
Analysis using mass spectrometry
The mass spectra were obtained using a Sciex API- III electrospray quadrapole mass spectrometer with a standard ESI ion source. Ionization conditions that were used are as follows: ESI in the positive-ion mode; ion spray voltage, 3.9 kV; orifice potential, 60 V. The nebulizing and curtain gas used was nitrogen flow rate of 0.9 L/min. Mass spectra were recorded from 600-1800 Thompsons at 0.5 Th per step and 2 msec dwell time. The sample (about lmg/mL) was dissolved in 50% aqueous acetonitrile with 1% acetic acid and introduced by an external syringe pump at the rate of 5 μί/ιηίη. Peptides solubilized in PBS were desalted using a ZipTip solid phase extraction tip containing 0.6 μΐ^ C4 resin, according to instructions provided by the manufacturer (Millipore Corporation, Billerica, MA) prior to analysis.
Analysis using HPLC
The HPLC analyses were performed using a Beckman System Gold
Chromatography system equipped with a UV detector at 214 nm and a 150 mm x 4.6 mm C8 Vydac column. The flow rate was 1 ml/min. Solvent A contained 0.1% TFA in distilled water, and solvent B contained 0.1% TFA in 90% CH3CN. A linear gradient was employed (0% to 30%B in 10 minutes). The data were collected and analyzed using Peak Simple Chromatography software.
The rate of cleavage was determined for the respective propeptides. The concentrations of the propeptides and the model parent peptide were determined by their respective peak areas. The first order dissociation rate constants of the prodrugs were determined by plotting the logarithm of the concentration of the prodrug at various time intervals. The slope of this plot provides the rate constant 'k' . The half lives for cleavage of the various prodrugs were calculated by using the formula t1/2 = .693/k. The half life of the Lys-Sar extension to this model peptide HSRGTF-NH2 (SEQ ID NO: 73) was determined to be 14.0h. EXAMPLE 6
Rate of dipeptide cleavage half time in plasma as determined with an all d-isoform model peptide
An additional model hexapeptide (dHdTdRGdTdF-NH2 SEQ ID NO: 75) was used to determine the rate of dipeptide cleavage in plasma. The d-isomer of each amino acid was used to prevent enzymatic cleavage of the model peptide, with the exception of the prodrug extension. This model d-isomer hexapeptide was synthesized in an analogous fashion to the 1-isomer. The sarcosine and lysine were successively added to the N-terminus as reported previously for peptide A to prepare peptide B (dLys-dSar-dHdTdRGdTdF-NH2 SEQIDNO: 76)
The rate of cleavage was determined for the respective propeptides. The concentrations of the propeptides and the model parent peptide were determined by their respective peak areas. The first order dissociation rate constants of the prodrugs were determined by plotting the logarithm of the concentration of the prodrug at various time intervals. The slope of this plot provides the rate constant 'k' . The half life of the Lys-Sar extension to this model peptide dHdTdRGdTdF-NH2 (SEQ ID NO: 75) was determined to be 18.6h. EXAMPLE 7
The rate of cleavage for additional dipeptides linked to the model hexapeptide (HSRGTF-NH2; SEQ ID NO: 77) were determined using the procedures described in Example 5. The results generated in these experiments are presented in Tables 2 and 3.
Table 2: Cleavage of the Dipeptide O-U that are linked to the side chain of an N- terminal para-amino-Phe from the Model Hexapeptide (HSRGTF-NH2; SEQ ID NO: 77) in PBS
Figure imgf000229_0001
Figure imgf000229_0002
Table 3: Cleavage of the Dipeptides U-0 linked to histidine (or histidine derivative) at position 1 (X) from the Model Hexapeptide (XSRGTF-NH2; SEQ ID NO: 73) in PBS
NH2-U-0-XSRGTF-NH2 (SEQ ID NO: 73)
Figure imgf000230_0001
In addition various prodrug derivatives of IGF1YL insulin analogs have been prepared wherein a dipeptide element has been linked via an amide bond through the 4-amino-phenylalanine residue present at A19 of the IGF1YL. The in vitro analysis of these compounds using the procedures of Example 5 reveals that the activity of these compounds increases with time incubated in either a PBS buffer or in 20% plasma. See Figs. 9-12. In addition, the in vitro activity of the IGF analog prodrug MIU30: Al(aF19 - dLys(Ac),Sar) (dipeptide linked through and amide bond to the A19 4-aminoPhe) was measured for insulin receptor binding relative to native insulin over time (1 hour, 3 hours, 6 hours, 9 hours and 10.5 hours) incubated in 20% plasma. Table 3A compares the relative insulin receptor binding of over time incubated in 20% plasma/PBS at 37° C. As indicated by the data presented in an in vitro binding assay, see Table 3A and an in vitro phosphorylation assay, see Table 3B, increased activity is recovered from the A19 IGF prodrug derivative sample over time, as the prodrug form is converted to the active IGF1YL peptide.
Table 3A
Figure imgf000231_0001
In vivo glucose tolerance tests were conducted using C57/Blk mice
administered insulin analog MIU-30a: B1(Y16,L17,Y25)29a : A1(dLys(Ac),Sar- aF19)) (dipeptide linked through and amide bond to the A19 4-aminoPhe). MIU 30 dissolved in PBS (pH 7.4) with 20% plasma and incubated for 48 hours at 37°C (generating "MIU-30c"). Samples incubated for Ohr (MIU 30a) and 48hr (MIU 30c) were withdrawn and injected to C57 black mice at 90 nmol/kg and 270 nmol/kg to measure glucose lowering (insulin tolerance test). In Fig. 21A the glucose lowering profile of MIU 30a and MIU 30c at various times through 8hr are shown. The parent compound has low potency, but after incubation in 20% plasma for 48 hours
(generating "MIU-30c") potency is increased (See Fig. 21A). In Fig. 21B total blood glucose of MIU 30a and MIU 30c as compared to vehicle is reported as differential area under curve (AUC). At 90nmol/kg, MIU 30a indicates little change in glucose, while MIU 30c causes a sizable decrease. At 270nmol/kg, both MIU 30a and MIU 30c demonstrate glucose lowering, but the latter sample possesses significantly more hypoglycemic potency. In summary, the prodrug form of the insulin analog MIU30 shows appreciably lesser glucose lowering potency when injected prior to ex vivo conversion under physiological conditions to the parent insulin analog. These in vivo results are consistent with the in vitro analysis. The half life of the prodrug is estimated to be approximately 20 hours.
EXAMPLE 8
Identification of an Insulin Analog with Structure Suitable for Prodrug Construction
Position 19 of the A chain is known to be an important site for insulin activity. Modification at this site to allow the attachment of a prodrug element is therefore desirable. Specific analogs of insulin at A19 have been synthesized and characterized for their activity at the insulin receptors. Two highly active structural analogs have been identified at A 19, wherein comparable structural changes at a second active site aromatic residue (B24) were not successful in identification of similarly full activity insulin analogs.
Tables 4 and 5 illustrate the high structural conservation at position A19 for full activity at the insulin receptor (receptor binding determined using the assay described in Example 3). Table 4 demonstrates that only two insulin analogs with modifications at A19 have receptor binding activities similar to native insulin. For the 4-amino insulin analog, data from three separate experiments is provided. The column labeled "Activity (in test)" compares the percent binding of the insulin analog relative to native insulin for two separate experiments conducted simultaneously. The column labeled "Activity (0.60 nM)" is the relative percent binding of the insulin analog relative to the historical average value obtained for insulin binding using this assay. Under either analysis, two A19 insulin analogs ( 4-amino phenylalanine and 4- methoxy phenylalanine) demonstrate receptor binding approximately equivalent to native insulin. Fig. 3 represents a graph demonstrating the respective specific binding of native insulin and the A19 insulin analog to the insulin receptor. Table 5 presents data showing that the two A19 insulin analogs (4-amino and 4-methoxy) that demonstrate equivalent binding activities as native insulin also demonstrate equivalent activity at the insulin receptor (receptor activity determined using the assay described in Example 4).
Table 4: Insulin Receptor Binding Activity of A19 Insulin Analogs
Figure imgf000234_0001
Table 5: Insulin Receptor Phosphorylation Activity of A19 Insulin Analogs
Figure imgf000234_0002
EXAMPLE 9
Insulin like Growth Factor (IGF) Analog IGFl (YB16LB17)
Applicants have discovered an IGF analog that demonstrates similar activity at the insulin receptor as native insulin. More particularly, the IGF analog (IGFl (YmoLm /) comprises the native IGF A chain (SEQ ID NO: 5) and the modified B chain (SEQ ID NO: 11), wherein the native glutamine and phenylalanine at positions 15 and 16 of the native IGF B-chain (SEQ ID NO: 6) have been replaced with tyrosine and leucine residues, respectively. As shown in Fig. 4 and Table 6 below the binding activities of IGF1 (Y B 16 L B 17 ) and native insulin demonstrate that each are highly potent agonists of the insulin receptor.
Table 6
Figure imgf000235_0001
EXAMPLE 10
IGF Prodrug Derivatives
Based on the activity of the A19 insulin analog (see Example 5), a similar modification was made to the IGF1 A:B(Y B 16 L B 17 ) analog and its ability to bind and stimulate insulin receptor activity was investigated. Fig. 6 provides the general synthetic scheme for preparing IGF1 A:B(Y B 16 L B 17 ) wherein the native tyrosine is replace with a 4-amino phenylalanine [IGF1 A:B(YB16LB17)(p-NH2-F)A19amide] as well as the preparation of its dipeptide extended derivative [IGF1 A:B(YB16LB17)A19- AibAla amide], wherein a dipeptide comprising Aib and Ala are linked to the peptide through an amide linkage to the A19 4-amino phenylalanine. As shown in Fig. 7 and Table 7, the IGF analog, IGF1 (YB16LB17) A(p-NH2-F)19 specifically binds to the insulin receptor wherein the dipeptide extended derivative of that analog fails to specifically bind the insulin receptor. Note the dipeptide extension lacks the proper structure to allow for spontaneous cleavage of the dipeptide (absence of an N- alkylated amino acid at the second position of the dipeptide) and therefore there is no restoration of insulin receptor binding.
IGF A:B(Y B 16 L B 17 ) insulin analog peptides comprising a modified amino acid (such as 4-amino phenylalanine at position A 19) can also be synthesized in vivo using a system that allows for incorporation of non-coded amino acids into proteins, including for example, the system taught in US Patent Nos. 7,045,337 and 7,083,970.
Table 7
Figure imgf000236_0001
A further prodrug derivative of an IGF derivative peptide was prepared wherein the dipeptide prodrug element (alanine-proline) was linked via an amide
B16 B17 A 1 0
bond to the amino terminus of the A chain (IGF1(Y L ) (AlaPro) ' ). As shown
B 16 B17 o
in Table 8, the IGF1 (Y L )(AlaPro)A 1'u has substantially reduced affinity for the insulin receptor. Note, based on the data of Table 3, the dipeptide prodrug element lacks the proper structure to allow for spontaneous cleavage of the dipeptide prodrug element, and therefore the detected insulin receptor binding is not the result of cleavage of the prodrug element.
Table 8
Figure imgf000236_0002
EXAMPLE 11
Additional IGF Insulin Analogs.
Further modifications of the IGF 1 (Y B 16 L B 17 ) peptide sequence reveal additional IGF insulin analogs that vary in their potency at the insulin and IGF-1 receptor. Binding data is presented in Table 9 for each of these analogs (using the assay of Example 3), wherein the position of the modification is designated based on the corresponding position in the native insulin peptide (DPI = des B26-30). For example, a reference herein to "position B28" absent any further elaboration would mean the corresponding position B27 of the B chain of an insulin analog in which the first amino acid of SEQ ID NO: 2 has been deleted. Thus a generic reference to "B(Y16)" refers to a substitution of a tyrosine residue at position 15 of the B chain of the native IGF-1 sequence (SEQ ID NO: 6). Data regarding the relative receptor binding of insulin and IGF analogs is provided in Table 9, and data regarding IGF analog stimulated phosphorylation (using the assay of Example 4) is provided in Table 10.
Table 9 Receptor Binding Affinity of Insulin and IGF Analogues
Figure imgf000238_0001
Figure imgf000239_0001
Table 10: Total Phosphorylation by IGF-1 & IGF-2 Analogues
Figure imgf000240_0001
Figure imgf000241_0001
EXAMPLE 12
Dipeptide half life on IGFl dipeptide extended (p-NH2-F)A19amide derivatives
The cleavage of an (pNH2-Phe) amide linked dipeptide AibPro from various
IGF-1 peptides was measured to determine the impact of the peptide sequence or heteroduplex on the dipeptide cleavage. Results for the tested peptides is shown in Table 11 and the data reveals that the IGFl -A chain alone represents a good model for the study of prodrug half life for IGFl B:A (YB16LB17) peptides.
Table 11
Parent Peptide Half Life (hr)
IGFlA(Ala)6'U'20(pNH2-Phe)A19 2.2
IGFlA(Acm)6'U'20(pNH2-Phe)A19 1.8
IGFl B:A(S-S)A7'B7(Acm)A6'11'20'B19(pNH2-Phe)A19 1.8
IGFl B:A(pNH2-Phe)A19 1.6
Comparison of prodrug derivatives of the IGF A-chain relative to the disulfide bound A chain and B chain construct (IGFl A:B(Y B 16 L B 17 )) revealed the two compounds had similar half lives for the prodrug form. Note the AibAla derivative does not cleave and thus is not a prodrug, but serves to show the modification can inactivate the insulin analog IGFl A:B(YB16LB17)(p-NH2-F)A19amide. Accordingly, the IGF1A chain alone was determined to be a good model for the study of pro-drug half life on IGFl B:A (YB16LB17) derivative peptides. Note the AibAla derivative does not cleave and thus is not a prodrug, but serves to show the modification can inactivate the insulin analog IGFl A:B(YB16LB17)(p-NH2-F)A19amide. For simplicity, prodrug half lives were determined using only the IGFl A chain in the absence of the B chain. The half lives of each propeptide was determined as described in Example 5. The data is presented in Table 12: Table 12: Dipeptide half life on IGF1 dipeptide extended (p-NH2-F) amide derivatives
Figure imgf000243_0001
The data shows that by altering the substituents on the dipeptide prodrug element that the half life of prodrug can be varied from 2 hrs to >100 hrs.
Additional prodrug derivative peptides were prepared using an IGFl-A(pNH2- F)19 base peptide and altering the amino acid composition of the dipeptide prodrug element linked through the 4-amino phenylalanine at position A19. Dipeptide half lives were measured for different constructs both in PBS and in 20% plasma/PBS (i.e. in the presence of serum enzymes. The results are provided in Table 13. The results indicate that three of the four peptides tested were not impacted by serum enzymes.
Table 13: Dipeptide half life on IGFl-A(pNH2-F)
Figure imgf000244_0001
EXAMPLE 13
Receptor Binding of IGF B16B17 Derivative Peptides over Time
Prodrug formulations of IGF B16B17 Derivative Peptides were prepared and their degradation over time was measured using the insulin receptor binding assay of Example 3. Peptides used in the assay were prepared as follows:
Dipeptide-IGFIA analogs
If not specified, Boc-chemistry was applied in the synthesis of designed peptide analogs. Selected dipeptide H2N-AAl-AA2-COOH was added to (pNH2- Phe)19 on IGF1A (Ala)6'7'11'20. The IGF-1 A chain C-terminal tripeptide Boc(Fmoc- pNH-Phe)-Ala-Ala was synthesized on MB HA resin. After removal of Fmoc by the treatment with 20% piperidine/DMF at room temperature for 30 minutes, Fmoc-AA2 was coupled to the p-amino benzyl side chain at A19 by using a threefold excess of amino acid, PyBop, DIEA and catalytic amount of pyridine. The Boc-synthesis of the remaining IGF-1 A chain (Ala)6'7'11'20 sequence was completed using an Applied Biosystems 430A Peptide Synthesizer, yielding IGF-1 A chain
(Boc)0(Ala)6'7'U'20(Fmoc-AA2-pNH-Phe)19-MBHA. After the Fmoc group was removed from the N-terminus of AA2, Boc-AAl was then coupled to the amine using threefold excess of amino acid, DEPBT and DIEA. Removal of the two Boc groups remaining on the A chain by TFA was followed by HF cleavage, yielding IGF- 1 A- chain (Ala)6'7'U'20(H2N-AAl-AA2-pNH-Phe)19amide. In the case of AA1 being d- lysine, acetylation on the ε-amine was performed prior to Boc removal. Dipeptide- IGF-1 A chain analogs were purified by semi-preparative RP-HPLC and characterized by analytical RP-HPLC and MALDI mass spectrometry.
Dipeptide-IGF-1 (YL) analogs
A selected dipeptide H2N-AAl-AA2-COOH was added to (pNH2-Phe)19 on IGF-1 A chain (Acm)6'11'20 as described immediately above except PAM resin was used for the synthesis of IGF-1 A chain to yield a C terminal acid upon HF-cleavage. IGF-1 B chain (YB16LB17)(Acm)19 was synthesized on MBHA resin to yield a C terminal amide. The free thiol on Cys B7 was modified by Npys through reaction with DTNP at a 1: 1 molar ratio in 100% DMSO. Purified dipeptide-IGF- 1 A chain and IGF-1 B chain (Y B 16 L B 17 ) derivatives were assembled using the "1+2" two step chain combination strategy illustrated in Scheme 1. Intermediate and final purifications were performed on semi-preparative RP-HPLC and characterized by analytical RP- HPLC and MALDI mass spectrometry.
The IGF B 16B 17 derivative peptide prodrugs were incubated in PBS, pH 7.4 at 37°C and at predetermined time intervals an aliquot was taken and further degradation was quenched with 0.1% TFA and the aliquot was subjected to analytical HPLC analysis. Peaks a and b, representing the prodrug and active forms of the IGF B 16B 17 derivative peptide were identified with LC-MS and quantified by integration of peak area an HPLC. Figs 9A-9C show the output of an HPLC analysis of the degradation of the IGFB16B17 derivative peptide prodrug: IGF1 A(Ala)6'7'n'20(Aib-Pro-pNH-F)19. Aliquots were taken at 20 minutes (Fig. 9A), 81 minutes (Fig 9B) and 120 minutes (Fig. 9C) after beginning the incubation of the prodrug in PBS. The data indicate the spontaneous, non-enzymatic conversion of IGFlA(Ala)6'7'U'20(Aib-Pro-pNH- F)19amide to IGFlA(Ala)6'7'11'20(pNH2-F)1amide over time. The degradation of the prodrug forms of IGF B 16B 17 derivative peptides to their active form was also measured based on the compounds ability to bind to the insulin receptor as measured using the in vitro assay of Example 3. Fig. 10A & 10B are graphs depicting the in vitro activity of the prodrug Aib,dPro-IGFlYL (dipeptide linked through the A19 4-aminoPhe). Fig 10A is a graph comparing relative insulin receptor binding of native insulin (measured at 1 hour at 4°C) and the A19 IGF prodrug analog (Aib,dPro-IGFlYL) over time (0 hours, 2.5 hours and 10.6 hours) incubated in PBS. Fig 1 OB is a graph comparing relative insulin receptor binding of native insulin (measured at 1.5 hour at 4°C) and the A19 IGF prodrug analog
(Aib,dPro-IGFlYL) over time (0 hours, 1.5 hours and 24.8 hours) incubated in 20% plasma/PBS. As indicated by the data presented in the graph, increased activity is recovered form the A19 IGF prodrug analog sample as the prodrug form is converted to the active IGF1YL peptide. The activity of the IGF B16B17 derivative peptides was measured relative to insulin receptor binding, and since the underlying IGF B16B17 derivative peptides have more activity than native insulin, activity of greater than 100% relative to insulin is possible.
Fig. 11A & 1 IB are graphs depicting the in vitro activity of the prodrug dK, (N-isobutylG)-IGF 1 YL (dipeptide linked through the A19 4-aminoPhe). Fig 11A is a graph comparing relative insulin receptor binding of native insulin (measured at 1 hour at 4°C) and the A19 IGF prodrug analog (IGF1YL: dK,(N-isobutylG) over time (0 hours, 5 hours and 52 hours) incubated in PBS. Fig 1 IB is a graph comparing relative insulin receptor binding of native insulin (measured at 1.5 hour at 4°C) and the A19 IGF prodrug analog (IGF1YL: dK,(N-isobutylG) over time (0 hours, 3.6 hours and 24.8 hours) incubated in 20% plasma/PBS. As indicated by the data presented in the graph, increased activity is recovered form the A19 IGF prodrug analog sample as the prodrug form is converted to the active IGF1YL peptide.
Fig. 12A & 12B are graphs depicting the in vitro activity of the prodrug dK(e- acetyl),Sar)-IGFlYL (dipeptide linked through the A19 4-aminoPhe). Fig 12A is a graph comparing relative insulin receptor binding of native insulin (measured at 1 hour at 4°C) and the A19 IGF prodrug analog (IGF1YL: dK(e-acetyl),Sar) over time (0 hours, 7.2 hours and 91.6 hours) incubated in PBS. Fig 12B is a graph comparing relative insulin receptor binding of native insulin (measured at 1.5 hour at 4°C) and the A19 IGF prodrug analog (IGF1YL: dK(e-acetyl),Sar) over time (0 hours, 9 hours and 95 hours) incubated in 20% plasma/PBS. As indicated by the data presented in the graph, increased activity is recovered form the A19 IGF prodrug analog sample as the prodrug form is converted to the active IGF1YL peptide.
EXAMPLE 14 Comparative Insulin Tolerance for Insulin Prodrug Analogs
Normal mice were administered either an insulin heterodimer analog
[B1(Y16,L17,Y25)29a : A1(aF19-NH2)], or a prodrug derivative thereof. The prodrug derivative [B1(Y16,L17,Y25)29a : A1(aF19-dLys(Ac),NLeu)] comprises a 4-amino- phenylalnine substitution at position A19 wherein a dipeptide dLys(Ac),NLeu have been covalently linked at the 4-amino position of the A19 residue. This dipeptide will auto-cleave under physiological conditions with a half life of approximately 4.4 hours (see Fig. 20 A). After incubating the prodrug derivative MIU-29:
[B1(Y16,L17,Y25)29a : A1(aF19-dLys(Ac),NLeu)] for 24 hours ex vivo, the resultant compound was administered to mice and its ability to lower blood glucose was compared to parent compound. As shown in Fig. 20B the two compounds performed almost identically.
Acylation of the insulin prodrug analogs was investigated to determine if retention times in vivo could be enhanced. The in vitro activity of MIU 42
[B1(Y16,L17,Y25)29a : A1(dLys(rE-C14),Sar-aF19)], having an acylated dipeptide prodrug element, increases with time incubated ex vivo in 30 ACN/PBS @ pH7.4 37 °C (providing time for prodrug conversion) relative to the non-acylated prodrug (see Fig. 22). Comparative insulin potency tests conducted using the MIU 42 prodrug (Fig. 23) administered without a pre-incubation step show that the prodrug is not very potent relative to the non-prodrug parent compound (MIU-27). This was also found to be true for an acylated insulin analog MIU-46 [B^S.IO Y16,L17,Y25, K29- C14)28a : Α^ΝΙδ^Ι, aF19NH2)] having acylation at the B29 position. The compound did not exhibit a desired in vivo potency or a basal profile when tested in vivo in mice (Fig. 24C). Accordingly, at least in mice the acylation does not produce the desired profile.
EXAMPLE 15
Biosynthesis and Purification of Pegylated Insulin Prodrug Analogs IGF1 B chain (2-25) H5'10 Y16 L17 SH7 Acm19 amide was synthesized on an MBHA resin using solid phase Boc-chemistry (see Fig. 26). After cleavage of the peptide from the resin with simultaneous removal of amino acid side chain protection, crude B chain was mixed with 2,2'-dithiobis(5-nitropyridine) in DMSO to yield a cysteine-NpyS derivative at Cys . Addition of Boc-aminooxyacetyl (Aoa) to the N- terminal of B chain was achieved through reaction between B chain and Boc-Aoa- OSu. Purified IGF1 B chain (2-25)(BocAoa)° H5'10 Y16 L17 SH7 Acm19 amide was combined with IGF1 A chain Acm6'7'11 N18'21 (aalaa2)-pNH-F19 acid using the "1+2" method described herein (see Fig. 1) to generate the insulin analog with Boc-Aoa at the N terminal of B chain. Boc was removed by treatment of the peptide with brief treatment with 6N HC1 in the presence of 0-(Carboxymethyl)hydroxylamine hemihydrochloride as scavenger. After Boc removal and purification, the peptide was dissolved in 1% aniline / 30% ACN/ 0.2M NaOAc (pH4.6) at the concentration of 3mg/ml. Two-fold excess amount of 20KD PEG-propionic aldehyde was added to the solution, the reaction was conducted with stirring for one hour at room
temperature, followed by the final purification to yield the pegylated insulin analog.
As shown in Figs. 27 & 28 the addition of a 20 kDa PEG to the amino terminus of a two chain insulin analog (Fig. 25) reduces the potency of the insulin analog (comparing non pegylated parent compound, ·, with the pegylated compound, A ). The addition of an auto-cleavable dipeptide prodrug element (dLys(rE- C14),Nleu) at position A19 further reduces the potency of the compound by approximately 100 fold (see Fig. 27 and Fig. 28,♦). However preincubation of the prodrug in PBS at 37°C for 78 hours ( the dipeptide has a half life of approximately 4.4 hours) restores the potency to a value close to the parent pegylated compound. See Table 14 which lists the EC50 of the analogs at the insulin receptor A and b subtypes as measured in an in vitro phosphorylation assay.
Table 14 Activity of Pegylated Insulin Prodrug
Figure imgf000248_0001
EXAMPLE 16
Biosynthesis and Purification of Single Chain Insulin Analogs
An insulin-IGF-I minigene comprising a native insulin B and A chain linked via the IGF-I C chain (Β°-^-Α°) was cloned into expression vector pGAPZa A
(purchased from Invitrogen) under GAP promoter (promoter of the glyceraldehyde-3- phosphate dehydrogenase (GAPDH)) for constitutive expression and purification of recombinant protein in yeast Pichia pastoris. The minigene was fused to an N- terminal peptide encoding Saccharomyces cerevisiae a-mating factor leader signal for secretion of the recombinant protein into the medium. A Kex2 cleavage site between the minigene and the leading a-mating factor sequence was used to cleave the leader sequence for secretion of the minigene with native amino termini. Single-site alanine mutations were introduced into C peptide at positions 1 (G1A), 2 (Y2A), 3 (G3A), 4 (S4A), 5 (S5A), 6 (S6A), 7 (R7A), 8 (R8A), 10 (PIOA), 11 (QUA), and 12 (T12A) of the Β°-^-Α° minigene.
The minigenes including B°-C1-A°, eleven alanine mutants, and other select derivatives were transformed into yeast Pichia pastoris by electroporation. Positive transformants were selected on minimal methanol plates and a genomic preparation of each Pichia isolate was performed and integration of the constructs into the yeast genome was confirmed by PCR. An 833 base pair PCR product was visualized on an agarose DNA gel. The insulin analogs were produced by fermentation of a corresponding yeast line. The yeast cells were pelleted by centrifugation at 5 K for 20 minutes in 500 ml Beckman centrifuge tubes and the media was kept for subsequent protein purification.
Growth media supernatants were filtered through 0.2 μιη Millipore filter.
Acetonitrile (ACN) was added to the supernatant to a final volume of 20%. The supernatant was purified over a Amberlite XAD7HP resin from Sigma, pre- equilibrated with 20% aqueous ACN. The resin was then rinsed twice with 30 ml of 20% aqueous ACN and contaminants were removed with 30% aqueous ACN containing 0.1% TFA. Partially purified insulin analogs were eluted from the column with 54% aqueous ACN containing 0.1% TFA and lyophilizied. Lyophilized samples were re-suspended in 0.025M NH3HCO3 pH 8 and purified on a Luna C18 column (10 μηι particle size, 300A° pore size). Protein was eluted from the column using a linear gradient of 20-60% aqueous ACN. MALDI-MS positive fractions were pooled and transferred to a disposable scintillation vial for subsequent lyophilization.
Lyophilized samples were then resuspended in 20% aqueous ACN containing 0.1% TFA, and purified on a Luna C18 column (10 μιη particle size, 300A° pore size). The protein was eluted from the column using a linear gradient of 18-54% aqueous ACN with 0.1% TFA. Protein elution was monitored at an absorbance 280 nm. MALDI- TOF MS positive fractions were analyzed via a C8 analytical column to insure purity.
Fig. 15 illustrates the potency of the single-chain insulin analogs. The B°-C1- A° analog demonstrated potency that was equally effective at both insulin receptor isoforms and the IGF-1 receptor. Mutation of the tyrosine at position 2 to alanine or the shortening of the C-peptide to eight amino acids through deletion of C9-12 provided a selective enhancement in the specificity of insulin action by significant reduction in the IGF-1 receptor activity. See also the data provided in Tables 14A and 14B:
Table 14A
Insulin Binding & Phosphorylation Analysis
°C1A°)
Figure imgf000251_0001
Tablel4B
IGF-1 Binding & Phosphorylation Analysis
(B CW )
Figure imgf000252_0001
Fig. 16 demonstrates that position 2 and 3 in the C-peptide are most sensitive to modification at the IGF-1 receptor with the insulin receptor proving to be relatively immune to modification. Finally, Fig. 17 present the in vitro analysis of the single- chain insulin mutants as a ratio of binding affinity (IC50) and biochemical signaling through tyrosine phosphorylation (EC50). The two independent measurements demonstrate great consistency thereby validating this in vitro approach to structure- function analysis. All of the analogs maintained single unit nanomolar activity with certain specific analogs proving to be slightly enhanced in potency (low single unit nanomolar). The most insulin selective analogs were those that we missing the last four residues of the C-peptide, had an alanine mutation at position two of the C- peptide, or a combination of the two changes.
The stability of insulin/IGF chimeras was investigated by exposing insulin analogs to insulin-specific degrading enzyme (IDE) and assaying for activity.
Insulin Degradation assays: rDNA rat IDE was obtained from EMD
Chemicals Inc. Peptides were prepared as 15mM aliquots in ammonium bicarbonate buffer. Initial concentration was estimated based on UV absorbance at 276nm, and further confirmed by HPLC analyze with internal standard. The pH of the solution was kept between 7.8-8.4. The IDE was added and digestion was conducted at 37°C over time (12 to 48H). Ratio 1:350-450 (enzyme: substrate) was used depending on experiment. Aliquots were withdraw over time intervals into TFA buffered solution with internal reference peptide for the HPLC analysis. Additional aliquots were withdraw into DMEM assay medium for activity evaluation. All aliquots were immediately frozen on dry ice and kept at -55oC until analyzed.
HPLC assay: Degradation profile of investigated peptides was evaluated in an HPLC assay. The two runs on an Agilant Zorbax C8 column attached to a Beckman- Coulter system using TFA buffer were performed for each aliquot (gradient 20 to 60 B in 10 min, where B=90 AcN).
Bioactivity: The residual potency of analogs after incubation with IDE was determined as a half maximal effective concentration (EC50) in an insulin receptor phosphorylation ELISA assay. When peptides prepared during enzymatic
degradation were subjected to bioactivity assay by insulin receptor phosphorylation, we observed that all insulin and IGF-2 A-chain analogs lose substantially all activity while, all IGF-1 A-chain analogs retain it. Particularly, as shown in Fig. 18A the cleavage of insulin analogs by the insulin- specific degrading enzyme (IDE) is extremely robust and easily detected in those insulin analogs where the A-chain is derived from the native insulin sequence. In contrast those analogs where the A-chain is derived from the sequence of IGF-1 appear to be extremely resistant to proteolysis. As shown in Figs. 18B-18D both native insulin and IGF-2 A chains leads to greater susceptibility to proteolysis. These results support the hypothesis that the positively charged arginine residues at position A14 and A15 are the basis for the enhanced stability of these analogs against IDE degradation.
The prospect that the increased stability might engender increased
mitogenicity was explored and the results are reported in Fig. 19. There did not appear to be a correlation of the higher insulin potency analogs with increased proliferation. Furthermore, and of specific importance to proteolytic stability, the analogs that were more resistant to IDE did not appear to be of any greater mitogenic potential.
A set of insulin analogs were subjected to in vivo testing in normal mice (Melior Research Labs). All peptides of interest demonstrated similar or enhanced glucose lowering potency when compared to standard insulin treatment. However, when analogs with insulin A vs. IGFl A-chain with the same B-chains were compared, no significant difference in potency was observed. This supports a conclusion that IDE degradation and clearance of insulin is not a primary or physiologically relevant mechanism.

Claims

What is claimed:
1. A prodrug comprising the structure:
A-B-Q; wherein Q is an IGF based insulin agonist; wherein A-B comprises the structure:
Figure imgf000255_0001
wherein
Ri and R2 are independently selected from the group consisting of H, C -Cu alkyl, C2-C18 alkenyl, (Ci-Cie alkyl)OH, (Ci-Cie alkyl)SH, (C2-C3 alkyl)SCH3, (C C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (C C4 alkyl)(C3-C9 heteroaryl), and C C12 alkylC Ci-Cn alkyl, wherein Wi is a heteroatom selected from the group consisting of N, S and O, or Ri and R2 together with the atoms to which they are attached form a C3-C12 cycloalkyl;
R3 is Ci-Cie alkyl;
Figure imgf000255_0002
R5 is NHR6j or R5 and R2 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
R6 is H or Ci-C4 alkyl; and,
R7 is selected from the group consisting of H, OH, halo, (CrC7 alkyl), (C2-C7 alkenyl), OCF3, N02, CN, NC, 0(CrC7 alkyl), C02H, C02(Ci-C7 alkyl), NHR6, aryl, and heteroaryl; wherein A-B is linked to Q through an amide bond between A-B and an aliphatic amino group of Q; wherein chemical cleavage half-life (ti/2) of A-B from Q is at least about 1 hour to about 1 week in PBS under physiological conditions; with the proviso that when both Ri and R2 are H, R3 is Cs-Cig alkyl.
2. The prodrug of claim 1, wherein B is selected from the group consisting of glycine(N-methyl), glycine(N-ethyl), glycine(N-propyl), glycine(N-butyl), glycine (N-pentyl), glycine(N-hexyl), glycine(N-heptyl), and glycine(N-octyl).
3. The prodrug of claim 2, wherein B is glycine(N-methyl).
4. The prodrug of claim 2, wherein B is glycine(N-hexyl).
5. A prodrug comprising the structure:
A-B-Q; wherein Q is an IGF based insulin agonist; wherein A-B comprises the structure:
Figure imgf000256_0001
wherein
Ri and R2 are independently selected from the group consisting of H, Ci-C^ alkyl, C2-Ci8 alkenyl, (Ci-Ci8 alkyl)OH, (Ci-Ci8 alkyl)SH, (C2-C3 alkyl)SCH3, (C C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (CrC4 alkyl)(C3-C9 heteroaryl), and Cr C12 alkylC Ci-Cn alkyl, wherein \ is a heteroatom selected from the group consisting of N, S and O, or R and R2 together with the atoms to which they are attached form a C3-C12 cycloalkyl;
R3 is C1-C18 alkyl;
R4 is selected from the group consisting of CH3, CH2(C1-C1o alkyl), CH2(C2- C10 alkenyl), CH2(C0-Ci0 alkyl)OH, CH2(C0-Ci0 alkyl)SH, CH2(C0-C3 alkyl)SCH3, CH2(Co-C3 alkyl)CONH2, CH2(C0-C3 alkyl)COOH, CH2(C0-C3 alkyl)NH2, CH2(C0- C3 alkyl)NHC(NH2 +)NH2, CH2(C0-C3 alkyl)(C3-C6 cycloalkyl), CH2(C0-C3 alkyl)(C2-C5 heterocyclic), CH2(C0-C3 alkyl)(C6-Ci0 aryl)R7, CH2(Ci-C3 alkyl)(C3- C9 heteroaryl), and CH2(Co-C12 alkylXW Q-Cn alkyl, wherein W is a heteroatom selected from the group consisting of N, S and O, or R4 and R3 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
R8 is H;
R5 is NHR6, or R5 and R2 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
R6 is H or CrC4 alkyl; and,
R7 is selected from the group consisting of H, OH, halo, (Q-G7 alkyl), (C2-C7 alkenyl), OCF3> N02, CN, NC, 0(Ci-C7 alkyl), C02H, C02(Ci-C7 alkyl), NHR6, aryl, and heteroaryl; wherein A-B is linked to Q through an amide bond between A-B and an aliphatic amino group of Q; wherein chemical cleavage half-life (t1/2) of A-B from Q is at least about 1 hour to about 1 week in PBS under physiological conditions; with the proviso that when R and R2 are each H, then R4 and R3 together with the atoms to which they are attached do not form a 4, 5 or 6 member heterocyclic ring.
6. The prodrug of claim 5, wherein R4 is selected from the group consisting of CH3, CH2(Ci-C4 alkyl), CH2(Ci-C4) alkenyl, CH2(C0-C4 alkyl)OH, CH2(C0-C4 alkyl)SH, CH2(C0-C3 alkyl)SCH3, CH2(C0-C3 alkyl)CONH2, CH2(C0-C3
alkyl)COOH, CH2(C0-C4 alkyl)NH2, and CH2(C0-C3 alkyl)NHC(NH2 +)NH2.
7. The prodrug of claim 6, wherein B is selected from the group consisting of alanineiN-Ci-Cioalkyl), leucineiN-Ci-Cioalkyl), methionineiN-Ci-Cioalkyl), asparagineiN-Ci-Cioalkyl), glutamic acidiN-C Cioalkyl), aspartic acid(N-Cr C10alkyl), glutamineiN-CrCioalkyl), histidineiN-CrCioalkyl), lysine(N-Ci- Cioalkyl), arginineiN-Ci-Cioalkyl), serineiN-Ci-Cioalkyl), and cysteineiN-Cr C10alkyl).
8. The prodrug of claim 7, wherein B is selected from the group consisting of alanineiN-Ci-Cealkyl), leucine(N- C Cealkyl), methionineiN-CrCealkyl), asparagineiN-Ci-Cealkyl), glutamic acidiN-Ci-Cealkyl), aspartic acid(N-Ci- C6alkyl), glutamineCN-CrCealkyl), histidineiN-CrCealkyl), lysineiN-Q-Cealkyl), arginineiN-Ci-Cealkyl), serineiN-CrCealkyl), and cysteineiN-CrCealkyl).
9. The prodrug of claim 8, wherein B is selected from the group consisting of alanine(N-methyl), leucine(N-methyl), methionine(N-methyl), asparagine(N- methyl), glutamic acid(N-methyl), aspartic acid(N-methyl), glutamine(N-methyl), histidine(N-methyl), lysine(N-methyl), arginine(N-methyl), serine(N-methyl), and cysteine(N-methyl).
10. The prodrug of claim 5, wherein R4 is selected from the group consisting of CH2(Co-C3 alkyl)(C3-C6 cycloalkyl), CH2(C0-C3 alkyl)(C2-C5 heterocyclic), CH2(C0- C3 alk l)(C6-Cio aryl)R7, CH2(Ci-C3 alkyl)(C3-C9 heteroaryl), and CH2(C0-C12 alkylXW C Cn alkyl, wherein Wi is a heteroatom selected from the group consisting of N, S and O, and wherein R7 is selected from the group consisting of H and OH.
11. The prodrug of claim 10 wherein B is selected from the group consisting of phenylalanineiN-Ci-Cioalkyl), tyrosineiN-CrCioalkyl), and tryptophan(N-Ci- C10alkyl).
12. The prodrug of claim 11, wherein B is selected from the group consisting of phenylalanine(N-Ci-C6alkyl), tyrosine(N-Ci-C6alkyl), and tryptophan (N-Q- Cealkyl).
13. The prodrug of claim 12, wherein B is selected from the group consisting of phenylalanine(N-methyl), tyrosine(N-methyl), and tryptophan(N-methyl).
14. The prodrug of claim 5, wherein B is proline.
15. A prodrug comprising the structure:
A-B-Q; wherein Q is an IGF based insulin agonist; wherein A-B comprises the structure:
Figure imgf000259_0001
wherein
Ri and R2 are independently selected from the group consisting of H, Ci-C^ alkyl, C2-C18 alkenyl, (Ci-C18 alkyl)OH, (Ci-C18 alkyl)SH, (C2-C3 alkyl)SCH3, (C C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (CrC4 alkyl)(C3-C9 heteroaryl), and Cr C12 alkyl(Wi)Ci-C12 alkyl, wherein Wi is a heteroatom selected from the group consisting of N, S and O, or Ri and R2 together with the atoms to which they are attached form a C3-Ci2 cycloalkyl; or Ri and R2 together with the atoms to which they are attached form a C3-Ci2 cycloalkyl;
R3 is C1-C18 alkyl; R4 is selected from the group consisting of CH(Ci-C8 alkyl)2, CH (C2-C8 alkenyl)2, CH(Ci-C8 alkyl)(OH), CH(Ci-C8 alkyl)((Ci-C8 alkyl)SH), and CH(Ci-C3 alkyl)((Ci-C8 alkyl)(NH2);
R8 is H;
R5 is NHR6,or R5 and R2 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
R6 is H or CrC4 alkyl; and,
R7 is selected from the group consisting of H and OH; wherein A-B is linked to Q through an amide bond between A-B and an aliphatic amino group of Q; wherein chemical cleavage half-life (ti/2) of A-B from Q is at least about 1 hour to about 1 week in PBS under physiological conditions.
16. The prodrug of claim 15, wherein R4 is CH(Ci-C8 alkyl)2 or CH(Ci-C8 alkyl)OH.
17. The prodrug of claim 16, wherein B is selected from the group consisting of isoleucineiN-Ci-Cioalkyl), valineiN-CrCioalkyl), and threonineiN-CrCioalkyl).
18. The prodrug of claim 17, wherein B is selected from the group consisting of isoleucineiN-Ci-Cealkyl), valineiN-Ci-Cealkyl), and threonineiN-Ci-Cealkyl).
19. The prodrug of claim 18, wherein B is selected from the group consisting of isoleucine(N-methyl), valine(N-methyl), and threonine(N-methyl).
20. The prodrug of claim 1, wherein the aliphatic amino group is the alpha amino group on the N-terminal amino acid of Q.
21. The prodrug of claim 1, wherein the aliphatic amino group is an aliphatic amino group on a side chain of Q.
A prodrug comprising the structure: A-B-Q; wherein Q is an IGF based insulin agonist; wherein A-B comprises the structure:
Figure imgf000261_0001
wherein
Ri and R2 are independently selected from the group consisting of H, C1-C18 alkyl, C2-Ci8 alkenyl, (Ci-Ci8 alkyl)OH, (Ci-Ci8 alkyl)SH, (C2-C3 alkyl)SCH3, (C C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (CrC4 alkyl)(C3-C9 heteroaryl), and Cr C12 alkyl(Wi)Ci-C12 alkyl, wherein Wi is a heteroatom selected from the group consisting of N, S and O, or Ri and R2 together with the atoms to which they are attached form a C3-Ci2 cycloalkyl;
R3 is C1-C18 alkyl;
R4 and R8 are each H;
R5 is NHR6, or R5 and R2 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
R6 is H or Ci-C4 alkyl; and,
R7 is selected from the group consisting of H and OH; wherein A-B is linked to Q through an amide bond between A-B and an aromatic amino group on an amino acid side chain of Q; wherein chemical cleavage half-life (ti/2) of A-B from Q is at least about 1 hour to about 1 week in PBS under physiological conditions.
23. The prodrug of claim 22, wherein B is selected from the group consisting of glycine(N-methyl), glycine(N-ethyl), glycine(N-propyl), glycine(N-butyl), glycine (N-pentyl), glycine(N-hexyl), glycine(N-heptyl), and glycine(N-octyl).
24. The prodrug of claim 23, wherein B is glycine(N-methyl).
25. The prodrug of claim 23, wherein B is glycine(N-hexyl).
26. A prodrug comprising the structure:
A-B-Q; wherein Q is an IGF based insulin agonist; wherein A-B comprises the structure:
Figure imgf000262_0001
wherein
Ri and R2 are independently selected from the group consisting of H, C -Cu alkyl, C2-C18 alkenyl, (Ci-Cie alkyl)OH, (Ci-Cie alkyl)SH, (C2-C3 alkyl)SCH3, (C C4 alkyl)CONH2, (Ci-C4 alkyl)COOH, (Ci-C4 alkyl)NH2, (Ci-C4
alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (C C4 alkyl)(C3-C9 heteroaryl), and C C12 alkylC Ci-Cn alkyl, wherein Wi is a heteroatom selected from the group consisting of N, S and O, or Ri and R2 together with the atoms to which they are attached form a C3-C12 cycloalkyl;
R3 is Ci-Cie alkyl;
R4 is selected from the group consisting of CH3, CH2(Ci-Cio alkyl), CH2(C2- C10 alkenyl), CH2(C0-C10 alkyl)OH, CH2(C0-C10 alkyl)SH, CH2(C0-C3 alkyl)SCH3, CH2(Co-C3 alkyl)CONH2, CH2(C0-C3 alkyl)COOH, CH2(C0-C3 alkyl)NH2, CH2(C0- C3 alkyl)NHC(NH2 +)NH2, CH2(C0-C3 alkyl)(C3-C6 cycloalkyl), CH2(C0-C3 alkyl)(C2-C5 heterocyclic), CH2(C0-C3 alkyl)(C6-Ci0 aryl)R7, CH2(Ci-C3 alkyl)(C3- C9 heteroaryl), and CH2(Co-C12 alkylXW C Cn alkyl, wherein Wi is a heteroatom selected from the group consisting of N, S and O, or R4 and R3 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
R8 is H;
R5 is NHR6, or R5 and R2 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
R6 is H or Ci-C4 alkyl; and,
R7 is selected from the group consisting of H, OH, halo, (C C7 alkyl), (C2-C7 alkenyl), OCF3, N02, CN, NC, 0(C C7 alkyl), C02H, C02(Ci-C7 alkyl), NHR6, aryl, and heteroaryl. wherein A-B is linked to Q through an amide bond between A-B and an aromatic amino group on an amino acid side chain of Q; wherein chemical cleavage half-life (ti/2) of A-B from Q is at least about 1 hour to about 1 week in PBS under physiological conditions.
27. The prodrug of claim 26, wherein R4 is selected from the group consisting of CH3j CH2(Ci-C4 alkyl), CH2(Ci-C4) alkenyl, CH2(C0-C4 alkyl)OH, CH2(C0-C4 alkyl)SH, CH2(C0-C3 alkyl)SCH3, CH2(C0-C3 alkyl)CONH2, CH2(C0-C3 alkyl)COOH, CH2(C0-C4 alkyl)NH2, and CH2(C0-C3 alkyl)NHC(NH2 +)NH2.
28. The prodrug of claim 27, wherein B is selected from the group consisting of alanineiN-Ci-Cioalkyl), leucineiN-Ci-Cioalkyl), methionineiN-Ci-Cioalkyl), asparagineiN-Ci-Cioalkyl), glutamic acidiN-C Cioalkyl), aspartic acid(N-Cr C10alkyl), glutamineiN-CrCioalkyl), histidineiN-CrCioalkyl), lysine(N-Ci- Cioalkyl), arginineiN-Ci-Cioalkyl), serineiN-Ci-Cioalkyl), and cysteineiN-Cr C10alkyl).
29. The prodrug of claim 28, wherein B is selected from the group consisting of alanineiN-Ci-Cealkyl), leucine(N- Q-Cealkyl), methionineiN-CrCealkyl), asparagineiN-Ci-Cealkyl), glutamic acidiN-C Cealkyl), aspartic acid(N-Cr
C6alkyl), glutamineCN-CrCealkyl), histidineiN-CrCealkyl), lysineiN-CrCealkyl), arginineiN-Ci-Cealkyl), serineiN-C Cealkyl), and cysteineiN-CrCealkyl).
30. The prodrug of claim 29, wherein B is selected from the group consisting of alanine(N-methyl), leucine(N-methyl), methionine(N-methyl), asparagine(N- methyl), glutamic acid(N-methyl), aspartic acid(N-methyl), glutamine(N-methyl), histidine(N-methyl), lysine(N-methyl), arginine(N-methyl), serine(N-methyl), and cysteine(N-methyl).
31. The prodrug of claim 26, wherein R4 is selected from the group consisting of CH2(Co-C3 alkyl)(C3-C6 cycloalkyl), CH2(C0-C3 alkyl)(C2-C5 heterocyclic), CH2(C0- C3 alkyl)(C6-Cio aryl)R7, CH2(Ci-C3 alkyl)(C3-C9 heteroaryl), and CH2(C0-Ci2
Figure imgf000264_0001
is a heteroatom selected from the group consisting of N, S and O, and wherein R7 is selected from the group consisting of H and OH.
32. The prodrug of claim 31 wherein B is selected from the group consisting of phenylalanineiN-Ci-Cioalkyl), tyrosineiN-Q-Qoalkyl), and tryptophaniN-Cr Cioalkyl).
33. The prodrug of claim 32, wherein B is selected from the group consisting of phenylalanineiN-Ci-Cealkyl), tyrosineiN-CrCealkyl), and tryptophan (N-Q- C6alkyl).
34. The prodrug of claim 33, wherein B is selected from the group consisting of phenylalanine(N-methyl), tyrosine(N-methyl), and tryptophan(N-methyl).
35. The prodrug of claim 26, wherein B is proline.
36. A prodrug comprising the structure:
A-B-Q; wherein Q is an IGF based insulin agonist; wherein A-B comprises the structure:
Figure imgf000265_0001
wherein
Ri and R2 are independently selected from the group consisting of H, Ci-C18 alkyl, C2-C18 alkenyl, (Ci-C18 alkyl)OH, (Ci-C18 alkyl)SH, (C2-C3 alkyl)SCH3, (C C4 alkyl)CONH2, (C1-C4 alkyl)COOH, (C1-C4 alkyl)NH2, (C1-C4
alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (CrC4 alkyl)(C3-C9 heteroaryl), and Cr C12 alkyl(Wi)Ci-C12 alkyl, wherein Wi is a heteroatom selected from the group consisting of N, S and O, or Ri and R2 together with the atoms to which they are attached form a C3-Ci2 cycloalkyl; or Ri and R2 together with the atoms to which they are attached form a C3-Ci2 cycloalkyl;
R3 is C1-C18 alkyl;
R4 is independently selected from the group consisting of CH(Ci-Cg alkyl)2, CH (C2-C8 alkenyl)2, CH(Ci-C8 alkyl)(OH), CH(Ci-C8 alkyl)((Ci-C8 alkyl)SH), and CH(Ci-C3 alkyl)((Ci-C8 alkyl)(NH2));
R8 is H;
R5 is NHR6, or R5 and R2 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring;
R6 is H or Ci-C4 alkyl; and,
R7 is selected from the group consisting of H and OH; wherein A-B is linked to Q through an amide bond between A-B and an aromatic amino group an amino acid side chain of Q; wherein chemical cleavage half-life (ti/2) of A-B from Q is at least about 1 hour to about 1 week in PBS under physiological conditions.
37. The prodrug of claim 36, wherein R4 is CH(Ci-Cg alkyl)2 or CH(Ci-Cg alkyl)OH.
38. The prodrug of claim 37, wherein B is selected from the group consisting of isoleucineiN-Ci-Cioalkyl), valineiN-Ci-Cioalkyl), and threonineiN-Ci-Cioalkyl).
39. The prodrug of claim 38, wherein B is selected from the group consisting of isoleucine(N-Ci-C6alkyl), valine(N-Ci-C6alkyl), and threonineiN-Ci-Cealkyl).
40. The prodrug of claim 39, wherein B is selected from the group consisting of isoleucine(N-methyl), valine(N-methyl), and threonine(N-methyl).
41. The prodrug of any of the preceding claims, wherein Ri and R2 are
independently selected from the group consisting of Ci-Cio alkyl, C2-C1o alkenyl, (C Cio alkyl)OH, (Ci-Cio alkyl)SH, (C2-C3 alkyl)SCH3, (Ci-C4 alkyl)CONH2, (d- C4 alkyl)COOH, (Ci-C4 alkyl)NH2, (Ci-C4 alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3- C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-Ci0 aryl)R7, (C C4 alkyl)(C3-C9 heteroaryl), and CrC12 alkyl(Wi)Ci-Ci2 alkyl, wherein Wi is a heteroatom selected from the group consisting of N, S and O, or Ri and R2 together with the atoms to which they are attached form a C3-C12 cycloalkyl, and wherein R7 is selected from the group consisting of H and OH.
42. The prodrug of claim 41, wherein A is aminoisobutyric acid.
43. The prodrug of any of the preceding claims, wherein Ri is H and R2 is selected from the group consisting of H, Ci-Cio alkyl, C2-Cio alkenyl, (Ci-Cw alkyl)OH, (Cr Cio alkyl)SH, (C2-C3 alkyl)SCH3, (Ci-C4 alkyl)CONH2, (Ci-C4 alkyl)COOH, (Ci-C4 alkyl)NH2, (Ci-C4 alkyl)NHC(NH2 +)NH2, (C0-C4 alkyl)(C3-C6 cycloalkyl), (C0-C4 alkyl)(C2-C5 heterocyclic), (C0-C4 alkyl)(C6-C10 aryl)R7, (Ci-C4 alkyl)(C3-C9 heteroaryl), and CrC12 alkyl(Wi)Ci-C12 alkyl, wherein R7 is selected from the group consisting of H and OH , wherein \ is a heteroatom selected from the group consisting of N, S and O, or R and R2 together with the atoms to which they are attached form a C3-C12 cycloalkyl, or R2 and R5 together with the atoms to which they are attached form a 4, 5 or 6 member heterocyclic ring.
44. The prodrug of claim 43, wherein A is selected from the group consisting of lysine, cysteine, and alanine.
45. The prodrug of claim 43 or 44, wherein A has d- stereochemistry.
46. The prodrug of any of the preceding claims, wherein A-B is selected from the group consisting of Aib-Gly(N-Hexyl), dLys-Gly(N-Hexyl), dCys-Gly(N-Hexyl), dAla-Gly(N-Hexyl), Aib-Gly(N-Methyl), dLys-Gly(N-Methyl), dCys-Gly(N- Methyl), dAla-Gly(N-Hexyl), Aib-Phe(N-Methyl), dLys-Phe(N-Methyl), dCys- Phe(N-Methyl), or dAla-Phe(N-Methyl).
47. The prodrug of any of the preceding claims, further comprising a hydrophilic moiety covalently linked to the prodrug.
48. The prodrug of claim 47, wherein the hydrophilic moiety is a polyethylene glycol.
49. The prodrug of claim 48, wherein the polyethylene glycol is covalently linked to A-B.
50. The prodrug of claim 49, wherein the polyethylene glycol is covalently linked to A-B through a spacer.
51. The prodrug of any of the preceding claims, further comprising an acyl group or alkyl group covalently linked to the prodrug.
52. The prodrug of claim 501 wherein said acyl group or alkyl group is covalently linked to A-B.
53. The prodrug of claim 52 wherein said acyl group or alkyl group is covalently linked to A-B through a spacer.
54. The prodrug of any of the preceding claims wherein the IGF based insulin agonist (Q) comprises an A chain and a B chain wherein said A chain comprises a sequence of
Z-GIVX4ECCX8X9SCDLX14Xi5LEX18X19CX2i-Ri3 (SEQ ID NO: 19) or a sequence that differs from SEQ ID NO: 19 by 1 to 3 amino acid modifications selected from positions 5, 8, 9, 10, 14, 15, 17, 18 and 21 of SEQ ID NO: 19, and said B chain sequence comprises a sequence of
J-R22-X25LCGX29X3oLVX33X34LX36LVCGDX42GFX45 (SEQ ID NO: 20) or a sequence that differs from SEQ ID NO: 20 by 1 to 3 amino acid modifications selected from positions 5, 6, 9, 10, 16, 18, 19 and 21 of SEQ ID NO: 20;
wherein Z and J are independently H or said dipeptide element A-B;
X4 is aspartic acid or glutamic acid;
X8 is histidine or phenylalanine;
X9 and X14 are independently selected from arginine or alanine;
X15 is arginine or leucine;
Xis is methionine, asparagine or threonine;
X19 is an amino acid of the general structure:
Figure imgf000268_0001
wherein X is selected from the group consisting of OH or NHR10, wherein R 0 is said dipeptide element A-B;
X21 is alanine, glycine or asparagine;
R22 is selected from the group consisting of a covalent bond, AYRPSE (SEQ ID NO: 14), FGPE (SEQ ID NO: 68), a tripeptide glycine-proline- glutamic acid, a dipeptide proline- glutamic acid, and glutamic acid;
X25 is selected from the group consisting of histidine and threonine;
X29 is selected from the group consisting of alanine, glycine and serine; X30 is selected from the group consisting of histidine, aspartic acid, glutamic acid, homocysteic acid and cysteic acid;
X33 is selected from the group consisting of aspartic acid and glutamic acid; X34 is selected from the group consisting of alanine and threonine;
X36 is an amino acid of the general structure
Figure imgf000269_0001
wherein X12 is selected from the group consisting of OH and wherein Rn is said dipeptide element A-B;
X42 is selected from the group consisting of alanine and arginine.;
X45 is an amino acid of the general structure
Figure imgf000269_0002
wherein X13 is selected from the group consisting of OH and NHR12, wherein R12 is said dipeptide element A-B;
m is an integer selected from 0-3; and
R13 is COOH or CONH2, with the proviso that one and only one of X, X12, X13, J and Z comprises said dipeptide element A-B.
55. The prodrug of any of the proceeding claims wherein the B chain carboxy terminus is linked to the amino terminus of the A chain via a peptide linker of 8 to 12 amino acids to form a single chain insulin analog. 56 The prodrug of claim 55 wherein the peptide linker is selected from the group consisting of GYGSSSRRAPQT; SEQ ID NO: 89, GYGSSSX7X8 (SEQ ID NO: 91), or GAGSSSRRAPQT (SEQ ID NO: 79), wherein X7 and X8 are independently ornithine, arginine or lysine.
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