WO2022243502A1 - Inhibitors of mitoferrin-2 for use in treating cancer - Google Patents

Inhibitors of mitoferrin-2 for use in treating cancer Download PDF

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WO2022243502A1
WO2022243502A1 PCT/EP2022/063693 EP2022063693W WO2022243502A1 WO 2022243502 A1 WO2022243502 A1 WO 2022243502A1 EP 2022063693 W EP2022063693 W EP 2022063693W WO 2022243502 A1 WO2022243502 A1 WO 2022243502A1
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mitoferrin
inhibitor
cancer
activity
cell
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French (fr)
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Darjus TSCHAHARGANEH
Stephan KRIEG
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Deutsches Krebsforschungszentrum DKFZ
Universitaet Heidelberg
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Deutsches Krebsforschungszentrum DKFZ
Universitaet Heidelberg
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Priority to JP2023571846A priority Critical patent/JP2024522079A/ja
Priority to US18/562,167 priority patent/US20240240190A1/en
Priority to EP22729690.2A priority patent/EP4341402A1/en
Publication of WO2022243502A1 publication Critical patent/WO2022243502A1/en
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    • C12N15/09Recombinant DNA-technology
    • C12N15/11DNA or RNA fragments; Modified forms thereof; Non-coding nucleic acids having a biological activity
    • C12N15/113Non-coding nucleic acids modulating the expression of genes, e.g. antisense oligonucleotides; Antisense DNA or RNA; Triplex- forming oligonucleotides; Catalytic nucleic acids, e.g. ribozymes; Nucleic acids used in co-suppression or gene silencing
    • C12N15/1138Non-coding nucleic acids modulating the expression of genes, e.g. antisense oligonucleotides; Antisense DNA or RNA; Triplex- forming oligonucleotides; Catalytic nucleic acids, e.g. ribozymes; Nucleic acids used in co-suppression or gene silencing against receptors or cell surface proteins
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • G01N33/5005Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving human or animal cells
    • G01N33/5008Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving human or animal cells for testing or evaluating the effect of chemical or biological compounds, e.g. drugs, cosmetics
    • G01N33/502Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving human or animal cells for testing or evaluating the effect of chemical or biological compounds, e.g. drugs, cosmetics for testing non-proliferative effects
    • G01N33/5026Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving human or animal cells for testing or evaluating the effect of chemical or biological compounds, e.g. drugs, cosmetics for testing non-proliferative effects on cell morphology
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Definitions

  • the present invention relates to an inhibitor of mitoferrin-2 for use in treating a cancer with reduced activity of mitoferrin-1 in a subject.
  • the present invention also relates to a method for identifying an inhibitor of mitoferrin-2 comprising (a) contacting a (i) host cell with a reduced mitoferrin-1 activity and (ii) a host cell with a non-reduced mitoferrin-1 activity with a candidate inhibitor of mitoferrin-2, (b) determining growth and/or morphology of the host cells of step (a); (c) identifying an inhibitor of mitoferrin-2 if a growth arrest and/or abnormal morphology is/are detected in step (b) in the host cell having the reduced activity of mitoferrin- 1 but not in the host cell with the non-reduced activity of mitoferrin-1.
  • the present invention further relates to a method for identifying a subject susceptible to cancer treatment by an inhibitor of mitoferrin-2, comprising (A) determining mitoferrin-1 activity in a sample of said subject, preferably a sample of cancer cells, and (B) identifying a patient susceptible to cancer treatment by an inhibitor of mitoferrin-2 based on determining step (A).
  • Cancer cells may contain drastic changes to their genomes compared to non-cancer cells, including genes which are amplified, but also genes which are lost from the genome. Such changes are often cancer type specific or may even be subject specific. Other modifications are quite widespread, such that their identification and possible use for therapeutic approaches may benefit a large proportion of cancer patients. E.g., a deletion of the short arm of chromosome 8 (chromosome region 8p) was found to occur with frequencies of up to 70% in human cancers.
  • the present invention relates to an inhibitor of mitoferrin-2 for use in treating a cancer with reduced activity of mitoferrin-1 in a subject.
  • standard conditions if not otherwise noted, relates to IUPAC standard ambient temperature and pressure (SATP) conditions, i.e. preferably, a temperature of 25°C and an absolute pressure of 100 kPa; also preferably, standard conditions include a pH of 7.
  • SATP standard ambient temperature and pressure
  • the term “about” relates to the indicated value with the commonly accepted technical precision in the relevant field, preferably relates to the indicated value ⁇ 20%, more preferably ⁇ 10%, most preferably ⁇ 5%.
  • the term “essentially” indicates that deviations having influence on the indicated result or use are absent, i.e. potential deviations do not cause the indicated result to deviate by more than ⁇ 20%, more preferably ⁇ 10%, most preferably ⁇ 5%.
  • compositions defined using the phrase “consisting essentially of’ encompasses any known acceptable additive, excipient, diluent, carrier, and the like.
  • a composition consisting essentially of a set of components will comprise less than 5% by weight, more preferably less than 3% by weight, even more preferably less than 1% by weight, most preferably less than 0.1% by weight of non-specified component s).
  • the instant description relates to gene products.
  • the term "gene product” is known to the skilled person.
  • the term includes any and all products produced or producible by a host cell or by an in vitro expression system from a gene.
  • the term preferably includes RNA transcribed from a gene, in particular unspliced, partially spliced, and fully spliced RNA, unedited and edited RNA, as well as any polypeptide produced from one of the aforesaid RNAs, preferably mRNAs, preferably by protein biosynthesis.
  • the gene product preferably is an mRNA and/or a polypeptide encoded thereby.
  • the gene products referred to herein may be expressed in a plurality of isoforms, from different alleles, and/or may be expressed as isoforms and/or precursor forms which may be further processed in the cell, e.g. during intracellular trafficking and/or secretion.
  • subjects from non-human species will preferably express homologues of the specific sequences indicated herein, which may preferably be identified by sequence alignment and/or search algorithms based thereon, such as the BLAST algorithm, and appropriate databases, preferably publicly available databases.
  • the nucleic acid or amino acid sequence of a gene product as specified is at least 50%, more preferably 75%, still more preferably 85%, even more preferably at least 95%, even more preferably at least 98%, most preferably at least 99%, identical to a specific gene product sequence as referred to herein.
  • the degree of identity (e.g. expressed as "%identity") between two biological sequences, preferably DNA, RNA, or amino acid sequences, can be determined by algorithms well known in the art.
  • the degree of identity is determined by comparing two optimally aligned sequences over a comparison window, where the fragment of sequence in the comparison window may comprise additions or deletions (e.g., gaps or overhangs) as compared to the sequence it is compared to for optimal alignment.
  • the percentage is calculated by determining, preferably over the whole length of the polynucleotide or polypeptide, the number of positions at which the identical residue occurs in both sequences to yield the number of matched positions, dividing the number of matched positions by the total number of positions in the window of comparison and multiplying the result by 100 to yield the percentage of sequence identity.
  • Optimal alignment of sequences for comparison may be conducted by the local homology algorithm of Smith and Waterman (1981), by the homology alignment algorithm of Needleman and Wunsch (1970), by the search for similarity method of Pearson and Lipman (1988), by computerized implementations of these algorithms (GAP, BESTFIT, BLAST, PASTA, and TFASTA in the Wisconsin Genetics Software Package, Genetics Computer Group (GCG), 575 Science Dr., Madison, WI), or by visual inspection. Given that two sequences have been identified for comparison, GAP and BESTFIT are preferably employed to determine their optimal alignment and, thus, the degree of identity. Preferably, the default values of 5.00 for gap weight and 0.30 for gap weight length are used.
  • the term "essentially identical” indicates a %identity value of at least 80%, preferably at least 90%, more preferably at least 98%, most preferably at least 99%. As will be understood, the term essentially identical includes 100% identity. The aforesaid applies to the term "essentially complementary” mutatis mutandis.
  • fragment of a biological macromolecule, preferably of a polynucleotide or polypeptide, is used herein in a wide sense relating to any sub-part, preferably subdomain, of the respective biological macromolecule comprising the indicated sequence, structure and/or function.
  • the term includes sub-parts generated by actual fragmentation of a biological macromolecule, but also sub-parts derived from the respective biological macromolecule in an abstract manner, e.g. in silico.
  • sequence information in particular nucleic acid sequences and/or polypeptide sequences, the term "sub-sequence" is used for sequences representing only a part of a longer sequence.
  • the compounds specified in particular polynucleotides, polypeptides, or fragments thereof, e.g. inhibitors of mitoferrin-2, may be comprised in larger structures, e.g. may be covalently or non-covalently linked to accessory molecules, carrier molecules, retardants, and other excipients.
  • polypeptides as specified may be comprised in fusion polypeptides comprising further peptides, which may serve e.g. as a tag for purification and/or detection, as a linker, or to extend the in vivo half-life of a compound.
  • detectable tag refers to a stretch of amino acids which are added to or introduced into the fusion polypeptide; preferably, the tag is added C- or N- terminally to the fusion polypeptide. Said stretch of amino acids preferably allows for detection of the fusion polypeptide by an antibody which specifically recognizes the tag; or it preferably allows for forming a functional conformation, such as a chelator; or it preferably allows for visualization, e.g. in the case of fluorescent tags.
  • Preferred detectable tags are the Myc-tag, FLAG-tag, 6-Uis- tag, HA-tag, GST-tag or a fluorescent protein tag, e.g. a GFP-tag. These tags are all well known in the art.
  • polypeptides preferably comprised in a fusion polypeptide comprise further amino acids or other modifications which may serve as mediators of secretion, as mediators of blood-brain-barrier passage, as cell-penetrating peptides, and/or as immune stimulants.
  • Further polypeptides or peptides to which the polypeptides may be fused are signal and/or transport sequences and/or linker sequences.
  • Polynucleotides, in particular polynucleotide inhibitors of mitoferrin-2 may be comprised or produced in a cell as a sub- sequence of a longer polynucleotide, e.g. comprising further polynucleotide inhibitors of additional genes.
  • polynucleotides may be comprised in larger structures, preferably mediating cell entry, such as complexes with chemicals such as calcium chloride, di ethyl aminoethyl (DEAE)-comprising polymers (e.g. DEAE dextran), liposomes, virus capsids, and the like.
  • polynucleotides may be comprised in expressible constructs comprising expression control sequences, and/or in vectors.
  • the polynucleotide inhibitor of mitoferrin-2 is comprised in an expression construct and/or a vector, which preferably comprises, more preferably consists of, the nucleic acid sequence of SEQ ID NO:2, 4, 6, or 8.
  • determining gene expression may relate to determining any gene product as specified herein above.
  • Expression of a gene may be determined qualitatively, semiquantitatively, or quantitatively, which terms are in principle known to the skilled person.
  • Qualitative determination may be a binary assessment that the gene is expressed or not expressed by a cell, e.g. by determining whether the gene product is expressed above a detection level of an assay.
  • Qualitative expression may, however, also be determining whether the gene is present in the cell; i.e., as referred to herein, a gene lacking from a cell is deemed not expressed.
  • Semiquantitative determination may comprise assorting expression to expression categories, such as low, medium, or high expression.
  • methods of determining gene expression preferably include methods of determining an RNA as gene product, preferably mRNA, such as RNA hybridization methods; RT-PCR, preferably qRT- PCR; single-cell RNA sequencing, and the like; also, methods of determining gene expression preferably include methods of determining polypeptides, in particular immunological methods, but also reporter gene systems, which are all well known to the skilled person.
  • Methods of determining gene expression also preferably include methods of determining a polypeptide as gene product; appropriate methods are widely known in the art and include in particular measuring activity of a polypeptide and immunological methods, such as ELISA methods and any other immunoassay methods deemed suitable by the skilled person.
  • methods of determining gene expression preferably further include methods of determining the presence of a gene in a genome of a cell, e.g. by karyotyping, in situ hybridization, PCR with cellular DNA as a template, and the like. Determining gene expression preferably comprises determining the full-length gene product, more preferably comprises determining at least a fragment of at least one gene product.
  • said fragment preferably is a specific fragment, i.e. a fragment known to be only detected in case the gene is expressed. More preferably, said fragment is a unique fragment, i.e. a fragment comprising at least one nucleic acid or amino acid sequence occurring exclusively in the gene product compared to the whole genome of a cell in case the presence of a gene is determined, of the whole transcriptome of a cell in case an RNA is determined, and of the whole proteome of a cell in case a polypeptide is determined.
  • mitochondrial iron uptake known under this designation.
  • mitoferrin-2 is encoded by the SLC25A28 gene with chromosomal location 10q24.2 (Genbank Gene ID: 81894, HUGO Gene Nomenclature Committee (HGNC) ID: HGNG23472).
  • the mRNA sequence expressed from the SLC25A28 gene is available e.g. from Genbank Acc. No. NM_03 1212.4; the amino acid sequence of mitoferrin-2 is available e.g. from Genbank Acc. No. NP_112489.3.
  • mitoferrin-1 relates to the member of the solute carrier polypeptide family mediating mitochondrial iron uptake known under this designation.
  • mitoferrin-1 is encoded by the SLC25A37 gene with chromosomal location 8p21.2 (Genbank Gene ID: 51312, HGNC ID: HGNG29786).
  • the mRNA sequence expressed from the SLC25A37 gene is available e.g. from Genbank Acc. No. NM_016612.4, the amino acid sequence of mitoferrin-2 is available e.g. from Genbank Acc. No. NP_001304741.1.
  • inhibitor of mitoferrin-2 includes each and every compound having the activity of inhibiting mitoferrin-2 activity; thus, the inhibitor of mitoferrin-2 preferably inhibits iron transport by mitoferrin-2 over the inner mitochondrial membrane. Preferably, said inhibition is by at least 50%, more preferably at least 75%, still more preferably at least 85%, even more preferably at least 90%, most preferably at least 95%, compared to the same cell type not treated with said inhibitor.
  • the inhibitor of mitoferrin-2 may be a direct inhibitor or an indirect inhibitor.
  • direct inhibitor of mitoferrin-2 as used herein, relates to a compound binding to mitoferrin-2 and thereby inhibiting the activity of mitoferrin-2.
  • the direct inhibitor of mitoferrin-2 is an aptamer, an antibody, or a fragment thereof, having the activity of inhibiting mitoferrin-2.
  • the indirect inhibitor of mitoferrin-2 may be a compound reducing the amount of mitoferrin-2 in a cell, e.g. by reducing expression of the SLC25A28 gene or by enhancing degradation of mitoferrin-2, by removing the SLC25A28 gene, or by reducing availability of the substrate of mitoferrin-2, i.e. intracellular iron, preferably Fe 2+ , in a cell.
  • the inhibitor of mitoferrin-2 is a specific mitoferrin-2 inhibitor, i.e. a compound specifically inhibiting mitoferrin, more preferably specifically inhibiting mitoferrin-2.
  • the inhibitor of mitoferrin-2 preferably does not inhibit non-mitoferrin-2 ion transporters, preferably does not inhibit non-mitoferrin-2 mitochondrial ion transporters, more preferably does not inhibit non- mitoferrin-2 iron transporters, most preferably does not inhibit mitoferrin-1.
  • the inhibitor of mitoferrin-2 comprises, preferably is, a polynucleotide, preferably having the activity of reducing expression of the gene encoding mitoferrin-2, preferably by at least 50%, more preferably at least 75%, still more preferably at least 85%, even more preferably at least 90%, most preferably at least 95%.
  • Polynucleotides inhibiting expression of a gene of interest are provided by the skilled person according to textbook methods and are commercially available upon provision of a target sequence.
  • the inhibitor of mitoferrin-2 comprises a silencing polynucleotide and/or causes expression of a silencing polynucleotide in a host cell, preferably a cancer cell.
  • silencing polynucleotide relates to any polynucleotide having the activity of reducing or preventing expression of a target gene, preferably SLC25A28, in a host cell.
  • the silencing polynucleotide is an RNA or DNA, more preferably an RNA.
  • the inhibitor of mitoferrin-2 comprises, preferably is, an siRNA, a shRNA, and/or an miRNA, or a polynucleotide mediating expression of at least one of the aforesaid in a host cell.
  • the silencing polynucleotide comprises, preferably consists of, the nucleic acid sequence 5'- TTCAGTGCTACTTCACTTGCCA-3' (SEQ ID NO:l) or 5'- TTTAAAGGCTTTTTATTAGGAA-3' (SEQ ID NO:3).
  • the inhibitor of mitoferrin-2 is a polynucleotide inducing RNA interference.
  • RNA interference also referred to as “RNAi” refers to sequence-specific, post- transcriptional gene silencing of a selected target gene by degradation of RNA transcribed from the target gene (target RNA).
  • target RNA RNA transcribed from the target gene
  • RNAi requires in the cell the presence of dsRNAs that are homologous in sequence to the target RNAs.
  • dsRNA refers to RNA having a duplex structure comprising two complementary and anti-parallel nucleic acid strands.
  • RNA strands forming the dsRNA may have the same or a different number of nucleotides, whereby one of the strands of the dsRNA can be the target RNA. It is, however, also contemplated that the dsRNA is formed between two sequence stretches on the same RNA molecule, e.g. by stem- loop formation.
  • Methods relating to the use of RNAi to silence genes in animals, including mammals, are known in the art (see, for example, Hammond et al. (2001), Nature Rev. Genet. 2, 110-119; Elbashir et al. (2001), Nature 411: 494-498).
  • the inhibitor of mitoferrin-2 preferably is an RNAi agent.
  • RNAi agent refers to an shRNA, a siRNA agent, or a miRNA agent as specified below.
  • the RNAi agent of the present invention is of sufficient length and complementarity to stably interact with the target RNA, i.e. it comprises at least 15, at least 17, at least 19, at least 21, at least 22 nucleotides complementary to the target RNA.
  • the inhibitor of mitoferrin-2 mediates at least one of (i) an at least partial knock-out of the gene encoding mitoferrin-2, (ii) RNA interference of mitoferrin- 2 gene expression, and (iii) silencing of mitoferrin-2 gene expression.
  • RNA agent encompasses: a) a dsRNA consisting of at least 15, at least 17, at least 19, at least 21 consecutive nucleotides base-paired, i.e. forming hydrogen bonds with complementary nucleotides b) a small interfering RNA (siRNA) molecule or a molecule comprising an siRNA molecule.
  • siRNA small interfering RNA
  • the siRNA is a single-stranded RNA molecule with a length, preferably, greater than or equal to 15 nucleotides and, preferably, a length of 15 to 49 nucleotides, more preferably 17 to 30 nucleotides, and most preferably 17 to 30 nucleotides, preferably 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, or 30 nucleotides.
  • the term "molecule comprising a siRNA molecule” preferably includes RNA molecules from which an siRNA is processed by a cell, preferably by a mammalian cell.
  • a molecule comprising an siRNA molecule preferably, is a small hairpin RNA, also known as shRNA.
  • the term "shRNA” relates to a, preferably artificial, RNA molecule forming a stem-loop structure comprising at least 10, preferably at least 15, more preferably at least 17, most preferably at least 20 nucleotides, base-paired to a complementary sequence on the same mRNA molecule (“stem”), i.e. as a dsRNA, separated by a stretch of non-base-paired nucleotides (“loop”) c) a polynucleotide encoding a) or b), wherein, preferably, said polynucleotide is operatively linked to an expression control sequence.
  • stem mRNA molecule
  • Preferred expression control sequences are those, which can be regulated by exogenous stimuli, e.g. the tet operator, whose activity can be regulated by tetracycline, or heat inducible promoters.
  • one or more expression control sequences can be used which allow tissue-specific expression of the siRNA agent, e.g. cancer cell-specific expression.
  • the siRNA agent more preferably the shRNA, comprises, preferably consists of, the nucleic acid sequence of SEQ ID NO: 1 or 3.
  • RNAi agent is a miRNA agent.
  • a “miRNA agent” as meant herein encompasses: a) a pre-microRNA, i.e. a mRNA comprising at least 30, at least 40, at least 50, at least 60, at least 70 nucleotides base-paired to a complementary sequence on the same mRNA molecule (“stem”), i.e. as a dsRNA, separated by a stretch of non-base-paired nucleotides (“loop”) b) a pre-microRNA, i.e.
  • a dsRNA molecule comprising a stretch of at least 19, at least 20, at least 21, at least 22, at least 23, at least 24, at least 25 base-paired nucleotides formed by nucleotides of the same RNA molecule (stem), separated by a loop c) a microRNA (miRNA), i.e. a dsRNA comprising at least 15, at least 17, at least 18, at least 19, at least 21 nucleotides on two separate RNA strands d) a polynucleotide encoding a) or b), wherein, preferably, said polynucleotide is operatively linked to an expression control sequence as specified above.
  • miRNA microRNA
  • the inhibitor of mitoferrin-2 comprises at least one CRISPR/Cas oligonucleotide, also known as guide RNA (gRNA).
  • CRISPR/Cas oligonucleotide also known as guide RNA (gRNA).
  • gRNA guide RNA
  • the CRISPR/Cas system has been known for several years as a convenient system for inducing knock-out mutations, i.e. deletions, preferably of chromosomal genes.
  • the skilled person knows how to design appropriate oligonucleotides, which are, preferably, expressed from a vector, to induce deletion of a DNA sequence of interest.
  • said deletion is a partial deletion, more preferably deletion of a portion of the gene essential for function; most preferably said deletion is a complete deletion of at least the whole coding region.
  • one gRNA is used to introduce a double strand break in the SLC25A28 gene, which is then repaired by the cell in the error-prone non- homologous end-joining (NHEJ) process, introducing a deletion/insertion into the SLC25A28 gene.
  • NHEJ error-prone non- homologous end-joining
  • at least two gRNAs are provided, selected such that the aforesaid at least partial deletion of the SLC25A28 gene is created.
  • the inhibitor of mitoferrin- 2 comprises (i) at least one guide-RNA and (ii) a Cas nuclease or a polynucleotide causing expression of a Cas nuclease in a host cell, preferably a cancer cell.
  • the CRISPR/Cas oligonucleotide comprises, preferably consists of the nucleic acid sequence 5'- GGTGACCGCCTATTTCCGAG-3' (SEQ ID NO:5) or 5'-TTCAGGACGGTATATCAAGT- 3' (SED ID NO:7). More preferably, the CRISPR/Cas oligonucleotide (gRNA) comprises, preferably consists of the nucleic acid sequence of SEQ ID NO: 6 or 8.
  • the inhibitor of mitoferrin-2 comprises, preferably is, a polypeptide preferably, said polypeptide is an aptamer, an antibody, or a fragment thereof.
  • the polypeptide may, however, also be an anticalin or a DARPin.
  • polypeptide refers to a molecule comprising, preferably consisting of, a multitude of, typically at least 10, amino acids that are covalently linked to each other by peptide bonds. Molecules consisting of less than 10 amino acids covalently linked by peptide bonds may also be referred to as "peptides".
  • the polypeptide comprises of from 20 to 2000, more preferably of from 50 to 1000, still more preferably of from 75 to 750, most preferably of from 100 to 500 amino acids.
  • any specific peptide or polypeptide referred to herein may be comprised in a fusion polypeptide and/or a polypeptide complex.
  • the term "aptamer” relates to a polypeptide binding specifically to a target molecule by virtue of its three-dimensional structure.
  • the aptamer comprises 8-80 amino acids, more preferably 10-50 amino acids, and most preferably 15-30 amino acids.
  • Aptamers can e.g. be isolated from randomized peptide expression libraries in a suitable host system like baker’s yeast (see, for example, Klevenz et al, Cell Mol Life Sci. 2002, 59: 1993— 1998).
  • An aptamer preferably, is a free polypeptide; it is, however, also contemplated that an aptamer is fused to a polypeptide serving as “scaffold”, meaning that the covalent linking to said polypeptide serves to fix the three-dimensional structure of said aptamer to a specific conformation. More preferably, the aptamer is fused to a transport signal, in particular a cell- penetrating peptide.
  • the term "antibody” relates to a soluble immunoglobulin from any of the classes IgA, IgD, IgE, IgG, or IgM, having the activity of directly interacting with mitoferrin-2 and inhibiting mitoferrin-2 activity as specified herein above.
  • Antibodies against mitoferrin-2 can be prepared by well-known methods using a purified mitoferrin-2 polypeptide or a suitable fragment derived therefrom as an antigen.
  • a fragment which is suitable as an antigen may be identified by antigenicity determining algorithms well known in the art.
  • a fragment may also be obtained either from the mitoferrin-2 polypeptide by proteolytic digestion, may be a synthetic peptide, or may be recombinantly expressed.
  • the antibody of the present invention is a monoclonal antibody, a human, or humanized antibody, or primatized, chimerized or fragment thereof. More preferably, the antibody is a single chain antibody, a single-domain antibody, a nanobody, or an antibody fragment, such as Fab, scFab, and the like. Also comprised as antibodies of the present invention are a bispecific antibody, a synthetic antibody, or a chemically modified derivative of any of the aforesaid antibodies. Preferably, the antibody of the present invention shall specifically bind (i.e.
  • Antibodies or fragments thereof can be obtained by using methods, which are described, e.g., in Harlow and Lane "Antibodies, A Laboratory Manual", CSH Press, Cold Spring Harbor, 1988. Monoclonal antibodies can e.g. be prepared by the techniques originally described in Kohler and Milstein, Nature. 1975. 256: 495; and Galfre, Meth. Enzymol. 1981, 73: 3, which comprise the fusion of mouse myeloma cells to spleen cells derived from immunized mammals.
  • the term "anticalin” relates to an artificial polypeptide derived from a lipocalin specifically binding mitoferrin-2 and inhibiting mitoferrin-2 activity.
  • a "Designed Ankyrin Repeat Protein” or “DARPin” is an artificial polypeptide, comprising several ankyrin repeat motifs, specifically binding mitoferrin-2 and inhibiting mitoferrin-2 activity.
  • the inhibitor of mitoferrin-2 comprises, preferably is, a low-molecular weight compound, preferably having a molecular weight of at most 1 kDa.
  • the inhibitor of mitoferrin-2 is an iron chelator.
  • iron chelator relates to a chemical compound forming a stable complex with iron ions, preferably Fe 2+ and/or Fe 3+ .
  • the iron chelator is a compound having a log stability constant for at least one of its iron complexes of at least 3, more preferably at least 5, more preferably 10, still more preferably at least 20, even more preferably at least 25, most preferably at least 30.
  • the log stability constant is the log of the equilibrium constant for the formation of the Fe/iron chelator complex in aqueous solution, preferably determined under standard conditions, preferably as specified elsewhere herein; preferably, the log stability constant of an iron chelator is determined in a solution consisting of water, iron ions, and iron chelator.
  • Iron chelators are, in principle, known in the art and include compounds comprising at least one of a 2-pyridone structure, a hydroxamate structure, a (thio)semicarbazone structure, a bis(2-hydroxyphenyl)-lH- 1,2,4- triazol structure, an alpha-hydroxyketone structure, an arylhydrazone structure, and a catechol structure.
  • a pharmaceutically compatible compound relates to a chemical compound which is pharmaceutically acceptable in the sense of being not deleterious to the recipient thereof and, preferably, being compatible with optional other ingredients of a formulation thereof.
  • a pharmaceutically compatible compound is a compound causing at most moderate adverse drug reactions, preferably causing at most mild adverse drug reactions.
  • mild adverse reactions relates to adverse reactions not requiring medical intervention, such as skin rashes, headaches, digestive disturbances, fatigue, and the like; “moderate” adverse reactions are adverse reactions requiring medical intervention, but not being potentially life threatening.
  • a "pharmaceutically compatible iron chelator” is an iron chelator as specified herein above which is pharmaceutically compatible as specified above.
  • the pharmaceutically compatible iron chelator is an iron chelator comprising a chemical compound in clinical use, preferably approved for clinical use by at least one of the Food and Drug Administration (FDA), the European Medicines Agency (EMEA), and the Bundesinstitut fiir Arzneistoff und Kunststoff area (BfArM).
  • the pharmaceutically compatible iron chelator is an iron chelator comprising a chemical compound in clinical use as an iron chelator, preferably approved for clinical use by at least one of the aforesaid institutions.
  • the iron chelator is ciclopirox (2(lH)-Pyridinone, 6-cyclohexyl- l-hydroxy-4- methylpyridin-2(lH)-one; CAS-No: 29342-05-0), Deferoxamine (DFO, CAS No. 70-51-9) or hydroxycarbamide (CAS No. 127-07-1), nitrofural (CAS No. 59-87-0), 3-aminopyridine-2- carboxaldehyde Thiosemicarbazone (Triapine, CAS No. 236392-56-6) or 5-Hydroxypyridine- 2-carboxaldehyde Thiosemicarbazone (HPCT, CAS No.
  • treating refers to an amelioration of the diseases or disorders referred to herein or the symptoms accompanied therewith to a significant extent. Said treating as used herein also includes an entire restoration of health with respect to the diseases or disorders referred to herein. It is to be understood that treating, as the term is used herein, may not be effective in all subjects to be treated. However, the term shall require that, preferably, a statistically significant portion of subjects suffering from a disease or disorder referred to herein can be successfully treated.
  • Whether a portion is statistically significant can be determined without further ado by the person skilled in the art using various well known statistic evaluation tools, e.g., determination of confidence intervals, p-value determination, Student ' s t-test, Mann- Whitney test etc.
  • Preferred confidence intervals are at least 90%, at least 95%, at least 97%, at least 98% or at least 99 %.
  • the p-values are, preferably, 0.1, 0.05, 0.01, 0.005, or 0.0001.
  • the treatment shall be effective for at least 10%, at least 20% at least 50% at least 60%, at least 70%, at least 80%, or at least 90% of the subjects of a given cohort or population.
  • treating cancer is reducing tumor burden in a subject.
  • treating has the effect of causing a tumor to stop growing, more preferably to cause regression of a tumor, more preferably of causing a tumor to resolve.
  • cancer relates to a disease of an animal, including man, characterized by uncontrolled growth by a group of body cells (“cancer cells”). This uncontrolled growth may be accompanied by intrusion into and destruction of surrounding tissue and possibly spread of cancer cells to other locations in the body.
  • cancer is a relapse.
  • the cancer is a solid cancer, a metastasis, or a relapse thereof.
  • Cancer may be induced by an infectious agent, preferably a virus, more preferably an oncogenic virus, more preferably Epstein-Barr virus, a hepatitis virus, Human T-lymphotropic virus 1, a papillomavirus, or Human herpesvirus 8. Cancer may, however, also be induced by chemical compounds, e.g. a carcinogen, or endogenously, e.g. caused by spontaneous mutation.
  • the cancer is selected from the list consisting of acute lymphoblastic leukemia, acute myeloid leukemia, adrenocortical carcinoma, aids-related lymphoma, anal cancer, appendix cancer, astrocytoma, atypical teratoid, basal cell carcinoma, bile duct cancer, bladder cancer, brain stem glioma, breast cancer, burkitt lymphoma, carcinoid tumor, cerebellar astrocytoma, cervical cancer, chordoma, chronic lymphocytic leukemia, chronic myelogenous leukemia, colon cancer, colorectal cancer, craniopharyngioma, endometrial cancer, ependymoblastoma, ependymoma, esophageal cancer, extracranial germ cell tumor, extragonadal germ cell tumor, extrahepatic bile duct cancer, fibrosarcoma, gallbladder cancer, gastric cancer, gastrointestinal strom
  • the cancer is a solid cancer, a metastasis, or a relapse thereof. More preferably, said cancer is liver cancer, preferably hepatocellular carcinoma; lung cancer, preferably lung adenocarcinoma; pancreas cancer, preferably pancreas adenocarcinoma; or colon cancer, preferably colon adenocarcinoma. Also preferably, the cancer is another adenocarcinoma, e.g. breast adenocarcinoma, esophageal adenocarcinoma, prostate adenocarcinoma, cervical adenocarcinoma, or stomach adenocarcinoma.
  • adenocarcinoma e.g. breast adenocarcinoma, esophageal adenocarcinoma, prostate adenocarcinoma, cervical adenocarcinoma, or stomach adenocarcinoma.
  • reduced activity of a compound preferably mitoferrin-1
  • the activity is reduced by at least 50%, more preferably at least 75%, still more preferably at least 85%, even more preferably at least 90%, most preferably at least 95%, compared to control cells, preferably non-cancer cells, more preferably SNU387 cells.
  • Reduced activity of mitoferrin-1 may be measured by measuring the iron transport activity of mitoferrin-1 in a cell.
  • activity of mitoferrin-1 in a cell is determined by determining the amount of mitoferrin-1 polypeptide and/or of mitoferrin-1 encoding mRNA in said cell; the activity of mitoferrin-1 may, however, also be determined by determining the presence of a mitoferrin-1 encoding gene in a cell.
  • a cell not comprising a SLC25A37 gene or not expressing a SLC25A37 gene is a cell with a reduced mitoferrin-1 activity,
  • a cell comprising only one copy of the SLC25A37 gene i.e.
  • a cancer with reduced activity of mitoferrin-1 is a cancer with reduced expression of the gene encoding mitoferrin-1.
  • the subject is a human and the cancer is a cancer comprising a deletion of chromosomal region 8p21.2, more preferably of chromosome 8p.
  • the term "subject”, as used herein, relates to an animal, preferably a vertebrate, more preferably a mammal, preferably to a livestock, like a cattle, a horse, a pig, a sheep, or a goat, to a companion animal, such as a cat or a dog, or to a laboratory animal, like a rat, mouse, or guinea pig.
  • the mammal is a primate, more preferably a monkey, most preferably a human.
  • the subject is suffering from cancer, preferably a solid cancer, more preferably is suffering from liver cancer, lung cancer, pancreas cancer, or colon cancer, most preferably comprising a chromosome 8p deletion.
  • iron uptake in mitochondria is dependent on the activity of mitoferrin-1 and mitoferrin-2 and that upon loss of mitoferrin-1 activity, e.g. by a chromosome 8p deletion, cells, in particular cancer cells, become highly sensitive to mitoferrin-2 inhibition.
  • a chromosome 8p deletion cancers with a chromosome 8p deletion are treatable with inhibitors of mitoferrin-2; also, inhibition of mitoferrin-1 in cells makes it possible to screen for inhibitors of mitoferrin-2.
  • the present invention further relates to a method for identifying an inhibitor of mitoferrin-2 comprising
  • step (b) determining growth and/or morphology of the host cells of step (a);
  • step (c) identifying an inhibitor of mitoferrin-2 if a growth arrest and/or abnormal morphology is/are detected in step (b) in the host cell having the reduced activity of mitoferrin-1 but not in the host cell with the non-reduced activity of mitoferrin-1.
  • the method for identifying an inhibitor of mitoferrin-2 of the present invention preferably, is an in vitro method. Moreover, it may comprise steps in addition to those explicitly mentioned above. For example, further steps may relate, e.g., to providing host cells for step (a). Moreover, one or more of said steps may be assisted or performed by automated equipment. As will be understood by the skilled person, the method for identifying an inhibitor of mitoferrin-2 as specified is particularly suited for identifying a specific mitoferrin-2 inhibitor.
  • the term "host cell”, as used herein, relates to a vertebrate cell, preferably a mammalian cell, even more preferably a human cell, comprising mitoferrin-2 activity.
  • the host cell is a cultured cell, preferably a cell line.
  • the term "host cell with a reduced mitoferrin-1 activity" is, in view of the description herein, understood by the skilled person.
  • the host cell with a reduced mitoferrin-1 activity preferably is a host cell contacted with a specific mitoferrin-1 inhibitor, e.g.
  • a silencing polynucleotide as specified herein above a cell not expressing a gene encoding mitoferrin-1, and/or a cell lacking a gene encoding mitoferrin-1, e.g. a human cell having a chromosome 8p deletion.
  • a "host cell with a non-reduced mitoferrin-1 activity” is a cell with a mitoferrin-1 activity in the range naturally occurring in body cells of an apparently healthy subject.
  • the host cell with a non-reduced mitoferrin-1 activity preferably is a host cell not contacted with a specific mitoferrin-1 inhibitor and expressing a gene encoding mitoferrin-1.
  • the host cell with a reduced mitoferrin-1 activity and the host cell with a non-reduced mitoferrin-1 activity are similar, preferably essentially identical except for mitoferrin-1 expression.
  • the host cell with a reduced mitoferrin-1 activity may be a tumor cell comprising a chromosome 8p deletion and the host cell with a non-reduced mitoferrin-1 activity may be a cell of a tissue surrounding said tumor and not comprising a chromosome 8p deletion.
  • the host cell with a reduced mitoferrin-1 activity is a tumor cell comprising a chromosome 8p deletion and the host cell with a non-reduced mitoferrin-1 activity is a human cell comprising a chromosome 8p deletion expressing a gene encoding mitoferrin-1.
  • the host cell with a reduced mitoferrin-1 activity may, however, also be a host cell, e.g. a cell line, contacted with a specific inhibitor of mitoferrin-1, e.g. a silencing polynucleotide, while the host cell with a non-reduced mitoferrin-1 activity may be said host cell not contacted with a specific inhibitor of mitoferrin-1.
  • candidate inhibitor of mitoferrin-2 may relate to any chemical compound for which the skilled person may assume that it may be an inhibitor of mitoferrin-2.
  • the candidate inhibitor of mitoferrin-2 preferably is a biological macromolecule, e.g. a polynucleotide, polypeptide, preferably as specified herein above, or a polysaccharide, or the like. More preferably, the candidate inhibitor of mitoferrin-2 is a low-molecular weight compound as specified herein above.
  • determining growth of a host cell is understood by the skilled person.
  • the term relates to determining cell proliferation, i.e. determining whether the number of cells in a culture increases, remains constant, or decreases.
  • determining morphology of a host cell is understood by the skilled person.
  • the term includes determining cell size, cell shape, number and/or shape or organelles, number and/or shape of cell extensions, and the like.
  • An inhibitor of mitoferrin-2 is identified based on the results of determining growth and/or morphology of host cells.
  • the results of said determination for host cells with a reduced mitoferrin-1 activity are compared to those of host cells with a non-reduced mitoferrin-1 activity as a reference.
  • the candidate compound is identified to be an inhibitor of mitoferrin-2.
  • the present invention relates to a method for identifying a subject susceptible to cancer treatment by an inhibitor of mitoferrin-2, comprising
  • step (B) identifying a patient susceptible to cancer treatment by an inhibitor of mitoferrin-2 based on determining step (A).
  • the method for identifying a subject of the present invention preferably, is an in vitro method. Moreover, it may comprise steps in addition to those explicitly mentioned above. For example, further steps may relate, e.g., to providing a sample of cancer cells for step (A), and/or to providing cancer treatment to said subject, preferably comprising administration of an inhibitor of mitoferrin-2 as specified herein above. Moreover, one or more of said steps may be assisted or performed by automated equipment.
  • determining mitoferrin-1 activity preferably comprises determining expression of the gene encoding mitoferrin-1, more preferably comprises determining the presence of a mitoferrin-1 encoding gene in a cells.
  • sample refers to a sample of separated cells or to a sample from a tissue or an organ, preferably from a tumor.
  • the sample preferably comprises or is assumed to comprise cancer cells, preferably tumor cells.
  • the sample preferably is a tumor sample, e.g. a biopsy.
  • tissue or organ samples may be obtained from any tissue or organ by, e.g., biopsy, surgery, or any other method deemed appropriate by the skilled person.
  • Separated cells may be obtained from the body fluids, such as lymph, blood, plasma, serum, liquor and other, or from the tissues or organs by separating techniques such as centrifugation or cell sorting.
  • the sample is a tissue or body fluid sample which comprises cells.
  • the sample is a sample of a body fluid, preferably a blood sample.
  • the body fluid sample can be obtained from the subject by routine techniques which are well known to the person skilled in the art, e.g., venous or arterial puncture, lavage, or any other method deemed appropriate by the skilled person.
  • a patient susceptible to cancer treatment by an inhibitor of mitoferrin-2 is determined based on the result of determining mitoferrin-1 activity.
  • mitoferrin-1 activity, gene expression, and/or gene dosage is reduced by at least 50%, preferably at least 75%, more preferably at least 85%, even more preferably at least 90%, most preferably at least 95%, compared to a reference
  • the subject is identified as being susceptible to cancer treatment by an inhibitor of mitoferrin-2.
  • the reference to which mitoferrin-1 activity is compared to preferably is a non-cancer cell, e.g. of a cancer-adjacent non-caner tissue.
  • the reference may, however, also be derived from cells known not to have a reduced mitoferrin-1 activity, e.g. a cell line, or may be an average of expression over a set of subjects or cell lines.
  • the reference is a sample of cells known to be susceptible to treatment by an inhibitor of mitoferrin-2; in such case, a patient susceptible to cancer treatment by an inhibitor of mitoferrin-2 is preferably identified if the expression determined in step (A) is essentially identical to or lower than the reference.
  • the reference is a sample of cells known not to be susceptible to treatment by an inhibitor of mitoferrin-2; in such case, a patient susceptible to cancer treatment by an inhibitor of mitoferrin-2 is preferably identified if the expression determined in step (A) is lower than the reference.
  • a subject is identified as susceptible to cancer treatment by an inhibitor of mitoferrin-2 in case the at least one, preferably both, alleles of the gene encoding mitoferrin-1, preferably the SLC25A37 gene in case of a human cell, is found to be lacking from a cell, e.g. by in situ hybridization and/or karyotyping.
  • the method may comprise a step of performing in situ hybridization and or karyotyping of a sample of cancer cells as step (A), and determining whether said sample comprises cancer cells having a chromosome 8p deletion.
  • Step (a) may, however, also comprise immunohistochemical staining cancer cells for mitoferrin-1.
  • the present invention also relates to a kit comprising a means for determining mitoferrin-1 gene expression and an inhibitor of mitoferrin-2.
  • kit refers to a collection of the aforementioned compounds, means or reagents, which may or may not be packaged together.
  • the inhibitor of mitoferrin- 2 is comprised in a composition, preferably as a medicament, in the kit.
  • the housing may be any kind of container and/or packaging deemed appropriate by the skilled person.
  • the components of the kit may be comprised by separate vials (i.e. as a kit of separate parts) or provided in a single vial.
  • the housing is adapted such that the components of the kit may be transported together as a unit.
  • the kit preferably, is to be used for practicing the methods referred to elsewhere herein.
  • the kit preferably, contains instructions for carrying out said methods.
  • the instructions can be provided by a user's manual in paper or electronic form.
  • the manual may comprise instructions for administration and/or dosage instructions for carrying out the aforementioned methods using the kit of the present invention.
  • the kit comprises a diluent and/or a means of administration. Appropriate diluents are known to the skilled person; means of administration are all means suitable for administering the inhibitor of mitoferrin-2 to a subject.
  • the means of administration may include a delivery unit for the administration of the compound and a storage unit for storing said compound until administration.
  • the means of the current invention may appear as separate devices in such an embodiment and are, preferably, packaged together in said kit.
  • Preferred means for administration are those which can be applied without the particular knowledge of a specialized technician.
  • the means for administration is a syringe, more preferably with a needle, comprising the compound or composition of the invention.
  • the means for administration is an intravenous infusion (IV) equipment comprising the compound or composition.
  • the present invention further relates to a method for treating a subject suffering from cancer comprising administering an inhibitor of mitoferrin-2 to said subject.
  • the present invention also relates to a use of an inhibitor of mitoferrin-2 for the manufacture of a medicament for treating cancer.
  • compositions relate to a composition comprising the compound or compounds as specified herein in a pharmaceutically acceptable form and, preferably, a pharmaceutically acceptable carrier.
  • the compounds can be formulated as pharmaceutically acceptable salts. Acceptable salts comprise acetate, methylester, HC1, sulfate, chloride and the like.
  • the pharmaceutical compositions are, preferably, administered topically or systemically. Suitable routes of administration conventionally used for drug administration are oral, intravenous, or parenteral administration as well as inhalation.
  • the pharmaceutical composition of the present invention is administered via a parenteral route, preferably subcutaneously, intramuscularly, or intraperitoneally.
  • polynucleotide compounds may also be administered in a gene therapy approach by using viral vectors, viruses or liposomes, and may also be administered topically, e.g. as an ointment or intratumorally.
  • the compounds can be administered in combination with other drugs either in a common pharmaceutical composition or as separated pharmaceutical compositions wherein said separated pharmaceutical compositions may be provided in form of a kit of parts.
  • co-administration of a chemotherapeutic agent is envisaged.
  • the compounds are, preferably, administered in conventional dosage forms prepared by combining the drugs with standard pharmaceutical carriers according to conventional procedures. These procedures may involve mixing, granulating and compressing or dissolving the ingredients as appropriate to the desired preparation. It will be appreciated that the form and character of the pharmaceutically acceptable carrier or diluent is dictated by the amount of active ingredient with which it is to be combined, the route of administration and other well- known variables.
  • the carrier(s) must be acceptable in the sense of being compatible with the other ingredients of the formulation and being not deleterious to the recipient thereof.
  • the pharmaceutical carrier employed may be, for example, either a solid, a gel or a liquid.
  • Exemplary of solid carriers are lactose, terra alba, sucrose, talc, gelatin, agar, pectin, acacia, magnesium stearate, stearic acid and the like.
  • Exemplary of liquid carriers are phosphate buffered saline solution, syrup, oil such as peanut oil and olive oil, water, emulsions, various types of wetting agents, sterile solutions and the like.
  • the carrier or diluent may include time delay material well known to the art, such as glyceryl mono-stearate or glyceryl distearate alone or with a wax.
  • suitable carriers comprise those mentioned above and others well known in the art, see, e.g., Remington ' s Pharmaceutical Sciences, Mack Publishing Company, Easton, Pennsylvania.
  • the diluent(s) is/are preferably selected so as not to affect the biological activity of the inhibitor of mitoferrin-2 and potential further pharmaceutically active ingredients. Examples of such diluents are distilled water, physiological saline, Ringer's solutions, dextrose solution, and Hank's solution.
  • the pharmaceutical composition or formulation may also include other carriers, adjuvants, or nontoxic, nontherapeutic, nonimmunogenic stabilizers and the like.
  • a therapeutically effective dose refers to an amount of the compounds to be used in a pharmaceutical composition of the present invention which prevents, ameliorates or treats a condition referred to herein.
  • Therapeutic efficacy and toxicity of compounds can be determined by standard pharmaceutical procedures in cell culture or in experimental animals, e.g., by determining the ED50 (the dose therapeutically effective in 50% of the population) and/or the LD50 (the dose lethal to 50% of the population).
  • the dose ratio between therapeutic and toxic effects is the therapeutic index, and it can be expressed as the ratio, LD50/ED50.
  • the dosage regimen will be determined by the attending physician, preferably taking into account relevant clinical factors and, preferably, in accordance with any one of the methods described elsewhere herein.
  • a dosage for any one patient may depend upon many factors, including the patient's size, body surface area, age, the particular compound to be administered, sex, time and route of administration, general health, and other drugs being administered concurrently. Progress can be monitored by periodic assessment.
  • a typical dose can be, for example, in the range of 1 pg to 10000 pg; however, doses below or above this exemplary range are envisioned, especially considering the aforementioned factors.
  • the regimen comprises administration of 1 pg to 10 mg of a compound, however, depending on the subject and the mode of administration, the quantity of substance administration may vary over a wide range to provide from about 0.01 mg per kg body mass to about 1 mg per kg body mass, preferably.
  • compositions and formulations referred to herein are administered at least once in order to treat a disease or condition recited in this specification.
  • the said pharmaceutical compositions may be administered more than one time, for example, preferably from one to four times, more preferably two or three times.
  • the pharmaceutical composition may also be administered periodically, e.g. once a week, daily, or two times a day.
  • compositions are prepared in a manner well known in the pharmaceutical art and comprise at least an inhibitor of mitoferrin-2 as an active compound in admixture or otherwise associated with a pharmaceutically acceptable carrier or diluent.
  • the active compound(s) will usually be mixed with a carrier or the diluent, or enclosed or encapsulated in a capsule, sachet, cachet, paper or other suitable containers or vehicles.
  • the resulting formulations are to be adopted to the mode of administration, i.e. in the forms of tablets, capsules, suppositories, solutions, suspensions or the like.
  • Dosage recommendations shall be indicated in the prescriber or user instructions in order to anticipate dose adjustments depending on the considered recipient. In view of the above, the following embodiments are particularly envisaged:
  • Embodiment 1 An inhibitor of mitoferrin-2 for use in treating a cancer with reduced activity of mitoferrin-1 in a subject.
  • Embodiment 2 The inhibitor of mitoferrin-2 for use of embodiment 1, wherein said subject is a human.
  • Embodiment 3 The inhibitor of mitoferrin-2 for use of embodiment 1 or 2, wherein said cancer with reduced activity of mitoferrin-1 is a cancer with reduced expression of the gene encoding mitoferrin-1.
  • Embodiment 4 The inhibitor of mitoferrin-2 for use of any one of embodiments 1 to 3, wherein said cancer with reduced activity of mitoferrin-1 is a cancer comprising a deletion of chromosome 8p.
  • Embodiment 5 The inhibitor of mitoferrin-2 for use of any one of embodiments 1 to 4, wherein said cancer is a solid cancer, preferably is liver cancer, lung cancer, pancreas cancer, or colon cancer.
  • Embodiment 6 The inhibitor of mitoferrin-2 for use of any one of embodiments 1 to 5, wherein said inhibitor of mitoferrin-2 comprises a polynucleotide.
  • Embodiment 7 The inhibitor of mitoferrin-2 for use of any one of embodiments 1 to 6, wherein said polynucleotide has the activity of reducing expression of the gene encoding mitoferrin-2.
  • Embodiment 8 The inhibitor of mitoferrin-2 for use of any one of embodiments 1 to 7, wherein said inhibitor of mitoferrin-2 comprises a silencing polynucleotide and/or mediates expression of a silencing polynucleotide in a host cell, preferably a cancer cell, preferably wherein said inhibitor of mitoferrin-2 comprises the nucleic acid sequence of SEQ ID NO: 1 or 3.
  • Embodiment 9 The inhibitor of mitoferrin-2 for use of any one of embodiments 1 to 8, wherein said inhibitor of mitoferrin-2 mediates at least one of (i) an at least partial knock-out of the gene encoding mitoferrin-2, (ii) RNA interference of mitoferrin-2 gene expression, and (iii) silencing of mitoferrin-2 gene expression.
  • Embodiment 10 The inhibitor of mitoferrin-2 for use of any one of embodiments 1 to 9, wherein said inhibitor of mitoferrin-2 comprises an siRNA, a shRNA, and/or an miRNA.
  • Embodiment 11 The inhibitor of mitoferrin-2 for use of any one of embodiments 1 to 7, wherein said inhibitor of mitoferrin-2 comprises (i) at least one guide-RNA and (ii) a Cas nuclease or a polynucleotide causing expression of a Cas nuclease in a host cell, preferably a cancer cell, preferably wherein said gRNA comprises the nucleic acid sequence of SEQ ID NO:5 or 7.
  • Embodiment 12 The inhibitor of mitoferrin-2 for use of any one of embodiments 1 to 11, wherein said inhibitor comprises a polypeptide.
  • Embodiment 13 The inhibitor of mitoferrin-2 for use of any one of embodiments 1 to wherein said inhibitor comprises an aptamer, an antibody, or a fragment thereof.
  • Embodiment 14 The inhibitor of mitoferrin-2 for use of any one of embodiments 1 to 13, wherein said inhibitor of mitoferrin-2 comprises a low-molecular weight compound, preferably having a molecular weight of at most 1 kDa.
  • Embodiment 15 The inhibitor of mitoferrin-2 for use of any one of embodiments 1 to 14, wherein said inhibitor of mitoferrin-2 is an iron chelator.
  • Embodiment 16 The inhibitor of mitoferrin-2 for use of any one of embodiments 1 to wherein said inhibitor of mitoferrin-2 is a specific inhibitor of mitoferrin-2.
  • Embodiment 17 A method for identifying an inhibitor of mitoferrin-2 comprising
  • step (b) determining growth and/or morphology of the host cells of step (a);
  • step (c) identifying an inhibitor of mitoferrin-2 if a growth arrest and/or abnormal morphology is/are detected in step (b) in the host cell having the reduced activity of mitoferrin-1 but not in the host cell with the non-reduced activity of mitoferrin-1.
  • Embodiment 18 The method of embodiment 17, wherein said cell is a vertebrate cell, preferably a mammalian cell, more preferably a human cell.
  • Embodiment 19 The method of embodiment 17 or 18, wherein said cell with a reduced mitoferrin-1 activity is a human cell comprising a chromosome 8p deletion.
  • Embodiment 20 The method of any one of embodiments 17 to 19, wherein said cell with a non-reduced mitoferrin-1 activity is a human cell comprising a chromosome 8p deletion expressing a gene encoding mitoferrin-1.
  • Embodiment 21 A method for identifying a subject susceptible to cancer treatment by an inhibitor of mitoferrin-2, comprising
  • step (B) identifying a patient susceptible to cancer treatment by an inhibitor of mitoferrin-2 based on determining step (A).
  • Embodiment 22 The method of embodiment 21, wherein said sample is a sample of cancer cells.
  • Embodiment 23 The method of embodiment 21 or 22, wherein said subject is a human.
  • Embodiment 24 The method of any one of embodiments 21 to 23, wherein mitoferrin-1 expression is determined by determining whether said sample comprises cancer cells having a chromosome 8p deletion.
  • Embodiment 25 The method of any one of embodiments 21 to 24, wherein mitoferrin-1 gene expression is compared to a reference.
  • Embodiment 26 The method of any one of embodiments 21 to 25, wherein said reference is a sample of cells known to be susceptible to treatment by an inhibitor of mitoferrin-2, and wherein a patient susceptible to cancer treatment by an inhibitor of mitoferrin-2 is identified if the expression determined in step (A) is essentially identical to or lower than the reference.
  • Embodiment 27 The method of any one of embodiments 21 to 26, wherein said reference is a sample of cells known not to be susceptible to treatment by an inhibitor of mitoferrin-2, and wherein a patient susceptible to cancer treatment by an inhibitor of mitoferrin-2 is identified if the expression determined in step (A) is lower than the reference.
  • Embodiment 28 A kit comprising a means for determining mitoferrin-1 gene expression and an inhibitor of mitoferrin-2.
  • Embodiment 29 A method for treating a subject suffering from cancer comprising administering an inhibitor of mitoferrin-2 to said subject.
  • Embodiment 30 Use of an inhibitor of mitoferrin-2 for the manufacture of a medicament for treating cancer.
  • Embodiment 31 The method of embodiment 29 and/or the use of embodiment 30, having a feature of any one of embodiments 2 to 16.
  • Fig. 1 MFRN1 and MFRN2 expression across cancer cell lines.
  • A Immunoblot showing MFRN1 protein level in common human liver cancer cell lines. Vinculin was used as loading control.
  • B MFRN1 and MFRN1 mRNA expression level in common liver cancer cell lines and
  • C primary mouse liver cancer cell lines.
  • Fig. 2 MFRN1-2KO leads to distinct growth arrest and morphological change.
  • A Westemblot for MFRN1 in SNU387 cells transfected with a CRISPR/Cas9 expression construct containing guides targeting MFRN 1 (MFRN1KO), MFRN2 (MFRN2KO) or both MFRN1 and MFRN2 (MFRN1-2KO).
  • Fig. 3 Cellular MFRN1 status effects response to MFRN2-KO.
  • A Competition assay of HUH6 cells (MFRNl-low expresser) or
  • B SNU387 cells (MFRNl-high expresser) showing competitive cell growth of MFRN1KO cells with either MFRN1KO (MFRN1+MFRN1/EV), MFRN2KO (MFRN 1 +MFRN2/E V) or MFRN1-2KO (MFRN1+MFRN1/MFRN2).
  • MFRN1KO MFRN1+MFRN1/EV
  • MFRN2KO MFRN 1 +MFRN2/E V
  • MFRN1-2KO MFRN1+MFRN1/MFRN2KO
  • Cells were transfected with a lentiviral CRISPR/Cas9 expression contruct containing a sgRNA targeting MFRN1 or no sgRNA (EV).
  • Fig. 4 Effects of shRNA mediated knockdown of MFRN2 on HUH6 cells.
  • A Colony formation assays showing clonogenic cell growth of HUH6 cells transfected with a Tet- incucible lentiviral construct expressing an shRNA targeting Renilla (shRenilla) or MFRN2 (MFRN2.1, MFRN2.2) and GFP Doxycycline (DOX) dependently.
  • B Competition assay of HUH6 cells showing competitive cell growth of HE ⁇ 6 cells expressing either shRenilla or an shRNA targeting MFRN2 (MFRN2.1,MFRN2.2) mix with nonmodified HUH6 cells in DOX containing medium.
  • C Westemblot for MFRN2 in HUH6 cells transfected with the respective inducible shRNA constructs (shRenilla, MFRN2.1, MFRN2.2) grown in DOX containing medium or under DOX withdrawal.
  • Fig. 5 Recapitulating loss of MFRN1 and MFRN2 in vivo using a mouse xenograft model.
  • A Schematic illustration of the workflow from cell preparation to sc. injection of immunodeficient mice.
  • B Tipper panel: Tumor volume change over time for each individual tumor xenograft harboring the indicated alterations.
  • Lower panel Stereomicroscopic imaging with macroscopic pictures in Brightfield (BF) exposure and GFP-channel. Immunohistochemical staining of GFP of same samples with different magnifications. Scalebar: 500 pm and 100 pm.
  • Fig. 6 Recapitulating loss of MFRN1 and MFRN2 in vivo using a mouse xenograft model.
  • Left panel Tumor volume change over time for each individual tumor xenograft harboring the indicated alterations.
  • Right panel Stereomicroscopic imaging with macroscopic pictures of exemplary tumors in Brightfield (BF) exposure and GFP-channel. Immunohistochemistry staining of GFP (IHC a-GFP) of same samples with different magnifications. Scalebar: 500 pm and 100 pm.
  • Fig. 7 Recapitulating loss of MFRN1 and MFRN2 in vivo using a mouse xenograft model.
  • Left panels Tumor volume change over time for each individual tumor xenograft harboring the indicated alterations.
  • Right panel Stereomicroscopic imaging with macroscopic pictures of exemplary tumors in Brightfield (BF) exposure and GFP-channel. Immunohistochemistry staining of GFP (IHC a-GFP) of same samples with different magnifications. Scalebar: 500 pm and 100 pm; OE: overexpression.
  • Fig. 8 MFRNl expression levels in normal liver tissue samples and in liver cancer samples. Representative images of patient samples individually scored (MFRNl -Score) according to their staining intensities as indicated in Example 10; HCC: hepatocellular carcinoma.
  • Protein lysates of the indicated cell lines were generated using cell lysis buffer (Cell Signaling Technology) supplemented with both protease (Complete Mini; Roche) and phosphatase inhibitors. To ensure lysis, cells were sonicated for 5 min on ice and subsequently centrifuged at 4°C at 13,000rpm to collect protein lysates. Furthermore, protein lysates were equalized utilizing BCA protein assay (Thermo Scientific), equal amount of protein were mixed with Laemmli buffer (100 mM Tris-HCl pH 6.8, 5% glycerol, 2% SDS, 5% 2-mercaptoethanol) and boiled at 95°C for 5 min.
  • Laemmli buffer 100 mM Tris-HCl pH 6.8, 5% glycerol, 2% SDS, 5% 2-mercaptoethanol
  • Proteins were separated by SDS-PAGE, transferred onto PVDF membrane, and detected by immunoblotting using Anti-MFRNl antibody (Proteintech Catalogue number 26469- 1-AP). Image detection was performed with AlphaView software (ProteinSimple) using the Clarity Western ECL substrate Solution (Bio-Rad).
  • HEK293T cells were plated one day before transfection into 10 cm plates and transfected when near confluence was reached using a plasmid mix of 2.5 pg pMD.2G, 8 pg psPAX2 (Addgene plasmid #12259 and # 12260) and 10 pg pLenti CRISPR v2 harboring respective guides in 1000 pi serum free DMEM and 60 pi polyethylenimine (PEI, 1 pg/pl).
  • the SLC25A28 guide had the sequences
  • the plasmid mix was then vortexed for 5, incubated at room temperature for 30 min incubation and added drop-wise to cells. 24h following the transfection, medium was exchanged and lentiviral supernatant was harvested 48 h post-transfection using 0.45 pm Cellulose Acetate Membrane filters (VWR) and stored at -80°C until use. SNU387 cells were plated on 10cm plate and one day following the plating, cells were transduced with viral supernatants in the presence of Polybrene (4 pg/ml). 2 days post-transduction cells were selected with Puromycin (2 pg/ml).
  • protein lysates were generated using cell lysis buffer (Cell Signaling Technology) supplemented with both protease (Complete Mini; Roche) and phosphatase inhibitors. To ensure lysis, cells were sonicated for 5 min on ice and subsequently centrifuged at 4°C at 13,000rpm to collect protein lysates. Furthermore, protein lysates were equalized utilizing BCA protein assay (Thermo Scientific), equal amount of protein were mixed with Laemmli buffer (100 mM Tris-HCl pH 6.8, 5% glycerol, 2% SDS, 5% 2-mercaptoethanol) and boiled at 95°C for 5 min.
  • Laemmli buffer 100 mM Tris-HCl pH 6.8, 5% glycerol, 2% SDS, 5% 2-mercaptoethanol
  • Proteins were separated by SDS-PAGE, transferred onto PVDF membrane, and detected by immunoblotting using Anti-MFRNl antibody (Proteintech Catalogue number 26469- 1-AP). Image detection was performed with AlphaView software (ProteinSimple) using the Clarity Western ECL substrate Solution (Bio-Rad).
  • Microscope images of SNU387 cells were obtained 8 days after CRISPR/Cas9 mediated KO of MFRN1 (MFRNIKO), MFRN2 (MFRN2KO) or both (MFRN1-2KO) (Example 3).
  • EV empty vector, was used as control.
  • HEK293T cells were plated one day before transfection into 10 cm plates and transfected when near confluence was reached using a plasmid mix of 2.5 pg pMD.2G, 8 pg psPAX2 (Addgene plasmid #12259 and # 12260) and 10 pg pLenti CRISPR v2 harboring respective guides in 1000 pi serum free DMEM and 60 pi polyethylenimine (PEI, 1 pg/pl). the SLC25A28 guides were the same as in Example 3. The plasmid mix was then vortexed for 5, incubated at room temperature for 30 min incubation and added drop-wise to cells.
  • a plasmid mix was then vortexed for 5, incubated at room temperature for 30 min incubation and added drop-wise to cells.
  • HUH6 cells were plated on 10cm plate and one day following the plating, cells were transduced with viral supernatants in the presence of Polybrene (4 pg/ml). 2 days post-transduction cells were selected with Puromycin (2 pg/ml).
  • MFRN1KO cells were mixed with either MFRN1KO (MFRN1+MFRN1/EV), MFRN2KO (MFRN 1 +MFRN2/EV) or MFRN1 and 2 KO (MFRN1+MFRN1/MFRN2) cells each co expressing GFP as a marker and the relative distribution of GFP expressing cells over time was measured using a Guava® easyCyte benchtop flow cytometer (Merck Millipore).
  • MFRN1KO MFRN1+MFRN1/EV
  • MFRN2KO MFRN 1 +MFRN2/EV
  • MFRN1 and 2 KO MFRN1+MFRN1/MFRN2 cells each co expressing GFP as a marker and the relative distribution of GFP expressing cells over time was measured using a Guava® easyCyte benchtop flow cytometer (Merck Millipore).
  • 500 cells were plated in 6 well plates as triplicate. Cells were fixed with methanol and stained with 0.05% crystal violet after 10 days.
  • SNU387 cells were plated on 10cm plate and one day following the plating, cells were transduced with viral supernatants in the presence of Polybrene (4 pg/ml). 2 days post-transduction cells were selected with Puromycin (2 pg/ml).
  • MFRNIKO cells were mixed with either MFRN1KO (MFRN1+MFRN1/EV), MFRN2KO (MFRN 1 +MFRN2/EV) or MFRNl and 2 KO (MFRN1+MFRN1/MFRN2) cells each co-expressing GFP as a marker and the relative distribution of GFP expressing cells over time was measured using a Guava® easyCyte benchtop flow cytometer (Merck Millipore). To assess colony formation capacity, 500 cells were plated in 6 well plates as triplicate. Cells were fixed with methanol and stained with 0.05% crystal violet after 10 days.
  • HEK-gp-cells were one day before transfection into 10 cm plates and transfected when near confluence was reached using a plasmid mix of 2.5 pg pMD.2G and 20 pg retroviral plasmid LT3GEPIR with respective shRNAs in 1000 pi serum free DMEM and 60 pi polyethylenimine (PEI, 1 pg/pl).
  • the SLC25A28 shRNA expression constructs had the sequences
  • HUH6 cells were plated on 10cm plate and one day following the plating, cells were transduced with viral supernatants in the presence of Polybrene (4 pg/ml). 2 days post-transduction cells were selected with Puromycin (2 pg/ml). Three days after selection 500 cells were plated in 6 well plates as triplicate and cultured with or without doxycycline supplementation to allow shRNA expression (1 pg/ml). Cells were fixed with methanol and stained with 0.05% crystal violet after 10 days.
  • HUH6 cells transduced with the indicated shRNAs were mixed with parental, non-transduced cells and cultured in the presence of doxycycline (1 pg/ml) to allow shRNA and GFP expression in transduced cells.
  • the relative distribution of GFP expressing cells over time was measured using a Guava® easyCyte benchtop flow cytometer (Merck Millipore) over time.
  • HuH6 cells with indicated shRNA constructs were grown 4 days with or without DOX and protein lysates were generated using cell lysis buffer (Cell Signaling Technology) supplemented with both protease (Complete Mini; Roche) and phosphatase inhibitors. To ensure lysis, cells were sonicated for 5 min in ice and subsequently centrifuged at 4°C at 13,000rpm to collect protein lysates. Furthermore, protein lysates were equalized utilizing BCA protein assay (Thermo Scientific), equal amount of protein were mixed with Laemmli buffer (100 mM Tris-HCl pH 6.8, 5% glycerol, 2% SDS, 5% 2-mercaptoethanol) and boiled at 95°C for 5 min.
  • Laemmli buffer 100 mM Tris-HCl pH 6.8, 5% glycerol, 2% SDS, 5% 2-mercaptoethanol
  • Proteins were separated by SDS-PAGE, transferred onto PVDF membrane, and detected by immunoblotting using Anti-MFRN2 antibody (Abeam Catalogue number ab80467). Image detection was performed with AlphaView software (ProteinSimple) using the Clarity Western ECL substrate Solution (Bio-Rad).
  • Example 10 MFRN1 expression in tumor samples

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