GENETICALLY MODIFIED ENTEROVIRUS VECTORS
20220267799 · 2022-08-25
Inventors
- Honglin Luo (Vancouver, CA)
- William Wei-Guo Jia (Vancouver, CA)
- Huitao Liu (Vancouver, CA)
- Ismael Samudio (Vancouver, CA)
Cpc classification
C12N7/00
CHEMISTRY; METALLURGY
C12N2770/32321
CHEMISTRY; METALLURGY
A61K35/768
HUMAN NECESSITIES
C12N15/113
CHEMISTRY; METALLURGY
Y02A50/30
GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
A61K48/005
HUMAN NECESSITIES
C12N15/86
CHEMISTRY; METALLURGY
C12N2770/32332
CHEMISTRY; METALLURGY
C12N2770/32343
CHEMISTRY; METALLURGY
International classification
C12N15/86
CHEMISTRY; METALLURGY
A61K35/768
HUMAN NECESSITIES
A61P35/00
HUMAN NECESSITIES
Abstract
A replicating oncolytic virus vector is provided having a modified Enterovirus genome (e.g., a Poliovirus, Coxsackievirus or Echovirus genome), wherein the modified Enterovirus genome has one or more copies of one or more miRNA target sequences operably linked to an untranslated region (UTR) of the Enterovirus genome. Also provided are compositions and methods for treating cancer (including for example, lung cancer).
Claims
1. A replicating oncolytic virus vector comprising a modified Enterovirus genome, wherein the modified Enterovirus genome comprises one or more copies of one or more miRNA target sequences operably linked to an untranslated region (UTR) of the Enterovirus genome.
2. The replicating oncolytic virus vector of claim 1, wherein said Enterovirus is a Coxsackievirus.
3. The replicating oncolytic virus vector of claim 2, wherein the Coxsackievirus is Coxsackievirus A or B.
4. The replicating oncolytic virus vector of claim 1, wherein the untranslated region (UTR) is a 5′ UTR or a 3′ UTR.
5. The replicating oncolytic virus vector of claim 1, wherein the one or more copies of the one or more miRNA target sequences comprises one or more copies of two or more different miRNA target sequences.
6. The replicating oncolytic virus vector of claim 1, wherein spacers of 2 to 50 base pairs in size are inserted between the one or more miRNA target sequences.
7. The replicating oncolytic virus vector of claim 1 wherein the one or more copies of the one or more miRNA target sequences recognize cardiac or pancreatic specific miRNAs.
8. The replicating oncolytic virus vector of claim 1, wherein the one or more different miRNA target sequences recognize an miRNA selected the group consisting of miR1, miR-7, miR-30c, miR-124, miR-124*, miR-127, miR-128, miR-129, miR-129*, miR-133, miR-135b, miR-136, miR-136*, miR-137, miR-139-5p, miR-143, miR-154, miR-184, miR-188, miR-204, miR-208, miR216, miR217, miR-299, miR-300-3p, miR-300-5p, miR-323, miR-329, miR-337, miR-335, miR-341, miR-369-3p, miR-369-5p, miR-375, miR-376a, miR-376a*, miR-376b-3p, miR-376b-5p, miR-376c, miR-377, miR-379, miR-379*, miR-382, miR-382*, miR-409-5p, miR-410, miR-411, miR-431, miR-433, miR-434, miR-451, miR-466b, miR-485, miR-495, miR-499, miR-539, miR-541, miR-543*, miR-551b, miR-758, and miR-873.
9. The replicating oncolytic virus vector of claim 8, wherein the two or more different miRNA target sequences comprise target sequences for miR1, miR133, miR216, miR145 and miR143.
10. The replicating oncolytic virus vector of claim 9, comprising two, three, four, five, or six copies of the target sequence for miR1, miR133, miR216, miR145 and miR143.
11. The replicating oncolytic virus vector of claim 1, wherein one or more copies of the one or more miRNA target sequences is in a forward orientation and one or more copies of the one or more miRNA target sequences is in a reverse orientation.
12. The replicating oncolytic virus vector of claim 1, wherein the modified Enterovirus genome comprises at least one nucleic acid encoding a non-viral protein selected from the group consisting of immunostimulatory factors, antibodies, and checkpoint blocking peptides, wherein the at least one nucleic acid is operably linked to a suitable tumor-specific regulatory region.
13. The replicating oncolytic virus vector of claim 12, wherein the non-viral protein is selected from the group consisting of IL12, IL15, IL15 receptor alpha subunit, OX40L, CD73, and a checkpoint inhibitor.
14. A method for lysing tumor cells, comprising providing an effective amount of a first replicating oncolytic virus vector of claim 1 to tumor cells.
15. The method of claim 14, wherein the tumor cells comprise lung cancer cells.
16. The method of claim 14, wherein the tumor cells comprise pancreatic cancer cells, liver cancer cells, or breast cancer cells.
17. A therapeutic composition comprising at least one replicating oncolytic virus vector of any of the above claims and a pharmaceutically acceptable carrier.
18. A method for treating cancer in a subject suffering therefrom, comprising the step of administering a composition comprising a therapeutically effective amount of the composition of claim 17.
19. The method of claim 18 wherein said cancer is selected from the group consisting of lung cancer, pancreatic cancer, liver cancer and breast cancer.
20. The method of claim 18, wherein the cancer is non-small-cell lung cancer (NSCLC) associated with KRAS mutations, small-cell lung cancer (SCLC) commonly linked to TP53 and Rb mutations, or pancreatic cancer
21. The method of claim 18, wherein the administration is intravenous (IV) administration, intraperitoneal (IP) administration, or intratumoral (IT) administration.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0018] Exemplary features of the present disclosure, its nature and various advantages will be apparent from the accompanying drawings and the following detailed description of various embodiments. Non-limiting and non-exhaustive embodiments are described with reference to the accompanying drawings, wherein like labels or reference numbers refer to like parts throughout the various views unless otherwise specified. The sizes and relative positions of elements in the drawings are not necessarily drawn to scale. For example, the shapes of various elements are selected, enlarged, and positioned to improve drawing legibility. The particular shapes of the elements as drawn have been selected for ease of recognition in the drawings. One or more embodiments are described hereinafter with reference to the accompanying drawings in which:
[0019]
[0020]
[0021]
[0022]
[0023]
[0024]
[0025]
[0026]
[0027]
[0028]
[0029]
[0030]
[0031]
[0032]
[0033]
DETAILED DESCRIPTION OF THE INVENTION
[0034] The present invention may be understood more readily by reference to the following detailed description of preferred embodiments of the invention and the Examples included herein.
[0035] Prior to setting forth the invention in more detail however, it may be helpful to an understanding thereof to first set forth definitions of certain terms that are used hereinafter.
[0036] The term “microRNA” or “miRNA” as used herein refers to a family of short (typically 21-25 nucleotides), endogenous, single-stranded RNAs expressed in a wide range of organisms including both animals and plants. There are over 1000 unique miRNAs expressed in humans. miRNAs bind to specific target sequences found in messenger RNAs (mRNAs). Binding to complementary or partially complementary sequences (target sequences) in mRNA molecules results in down-regulation of gene expressing by cleavage of the mRNA, increased degradation from shortening of its polyA tail, and direct translational repression. A selected list of microRNAs in tumors (along with associated references) are provided in
[0037] “MicroRNA target sequence(s)”, “miRNA target sequence(s)” and “miRNA binding sequence(s)” refer to sequences which are complementary to, or bind to (i.e., they need not be 100% complementary) to miRNA sequences such as those disclosed in
[0038] The term “oncolytic Enterovirus” refers to a Enterovirus that is capable of replicating in and killing tumor cells. Briefly, Enterovirus is a genus of single stranded positive-sense RNA viruses which are most commonly associated with mammalian diseases that are transmitted through a fecal-oral route. Common examples of Enterovirus include poliovirus, coxsackievirus and echoviruses.
[0039] The term “oncolytic Coxsackievirus” or “CSV” refers generally to a Coxsackievirus capable of replicating in and killing tumor cells. Within certain embodiments the virus can be recombinantly (or ‘genetically’) engineered in order to more selectively target tumor cells and/or to reduce immune-mediated neutralization of the CSV in a human host. Coxsackievirus B3 (CVB3) is a small, nonenveloped virus that contains a positive RNA genome encoding a single open reading frame flanked by 5′ and 3′ untranslated regions (UTRs).
[0040] “Treat” or “treating” or “treatment,” as used herein, means an approach for obtaining beneficial or desired results, including clinical results. Beneficial or desired clinical results can include, but are not limited to, alleviation or amelioration of one or more symptoms or conditions, diminishment of extent of disease, stabilized (i.e. not worsening) state of disease, preventing spread of disease, delay or slowing of disease progression, amelioration or palliation of the disease state, diminishment of the reoccurrence of disease, and remission (whether partial or total), whether detectable or undetectable. The terms “treating” and “treatment” can also mean prolonging survival as compared to expected survival if not receiving treatment.
[0041] The term “cancer” refers to a disease state caused by uncontrolled or abnormal growth of cells in a subject. Representative forms of cancer include carcinomas, leukemia's, lymphomas, myelomas and sarcomas. Further examples include, but are not limited to cancer of the bile duct cancer, brain (e.g., glioblastoma), breast, cervix, colorectal, CNS (e.g., acoustic neuroma, astrocytoma, craniopharyogioma, ependymoma, glioblastoma, hemangioblastoma, medulloblastoma, menangioma, neuroblastoma, oligodendroglioma, pinealoma and retinoblastoma), endometrial lining, hematopoietic cells (e.g., leukemia's and lymphomas), kidney, larynx, lung, liver, oral cavity, ovaries, pancreas, prostate, skin (e.g., melanoma and squamous cell carcinoma) and thyroid. Cancers can comprise solid tumors (e.g., sarcomas such as fibrosarcoma, myxosarcoma, liposarcoma, chondrosarcoma and osteogenic sarcoma), be diffuse (e.g., leukemia's), or some combination of these (e.g., a metastatic cancer having both solid tumors and disseminated or diffuse cancer cells). Cancers can also be resistant to conventional treatment (e.g. conventional chemotherapy and/or radiation therapy).
[0042] Benign tumors and other conditions of unwanted cell proliferation may also be treated.
[0043] In order to further an understanding of the various embodiments herein, the following sections are provided which describe various embodiments: A. Oncolytic Enteroviruses; B. MicroRNAs; D. Therapeutic Compositions, and E. Administration.
[0044] A. Oncolytic Enteroviruses
[0045] As noted above, Enteroviruses are a genus of single stranded positive-sense RNA viruses which are most commonly associated with mammalian diseases that are transmitted through a fecal-oral route. Common examples of Enterovirus include polioviruses, coxsackieviruses and echoviruses.
[0046] Coxsackievirus is a virus that belongs to a family of nonenveloped, linear, positive-sense single-stranded RNA viruses, Picornaviridae and the genus Enterovirus, which also includes poliovirus and echovirus. Enteroviruses are among the most common and important human pathogens, and ordinarily its members are transmitted by the fecal-oral route. Coxsackieviruses are among the leading causes of aseptic meningitis (the other usual suspects being echovirus and mumps virus). Coxsackieviruses share many characteristics with poliovirus. With control of poliovirus infections in much of the world, more attention has been focused on understanding the nonpolio enteroviruses such as coxsackievirus. (Sean P, Semler B L. Coxsackievirus B RNA replication: lessons from poliovirus. Curr Top Microbiol Immunol 2008; 323: 89-121).
[0047] Coxsackievirus B3 (CVB3) contains a positive RNA genome encoding a single open reading frame flanked by 5′ and 3′ untranslated regions (UTRs). CVB3 has a short lifecycle, which typically culminates in rapid cell death and release of progeny virus. Subsequent to virus attachment to receptors, viral RNA is released into the cell where it acts as a template for the translation of the virus polyprotein and replication of the virus genome.
[0048] B. MicroRNAs (miRNAs)
[0049] As noted above, the present invention provides miRNA-based approaches to modify the Enterovirus genome (e.g., a Poliovirus, Coxsackievirus or Echovirus genome) in order to further enhance its tumor-specificity. miRNAs are a class of endogenous small non-coding RNAs that are evolutionarily conserved and act as key regulators in a wide range of fundamental cellular functions by binding to the UTR of the targeted mRNAs. Subsequently, they promote either mRNA degradation or suppression of gene expression. Recent evidence suggests that miRNAs also play a key role in tumorigenesis. miRNAs are commonly observed to be downregulated in different cancer tissues. This unique feature can be exploited to develop miRNA-sensitive, tumor-specific oncolytic viruses. miRNA-145 (miR-145) and miR-143 have been identified as tumor-suppressive miRNAs and are significantly downregulated in lung cancer tissues.
[0050] Individual miRNAs and groups of miRNAs may be expressed exclusively or preferentially in certain tissue types. Exemplary miRNAs include miR-1, miR-7, miR-30c, miR-124, nniR-124*, miR-127, miR-128, miR-129, nniR-129*, miR-132, miR-135b, miR-136, miR-136*, miR-137, miR-139-5p, miR-143, miR-154, miR-184, miR-188, miR-204, miR-208, miR-216, miR-217, miR-299, miR-300-3p, miR-300-5p, miR-323, miR-329, miR-337, miR-335, miR-341, miR-369-3p, miR-369-5p, miR-375, miR-376a, nniR-376a*, miR-376b-3p, miR-376b-5p, miR-376c, miR-377, miR-379, nniR-379*, miR-382, nniR-382*, miR-409-5p, miR-410, miR-411, miR-431, miR-433, miR-434, miR-451, miR-466b, miR-485, miR-495, miR-499, miR-539, miR-541, miR-543*, miR-551b, miR-758, and miR-873. By convention, the strand that is more frequently found to be the final product is referred to as miRNA and the rarer partner as miRNA*.
[0051] Within certain embodiments of the invention miRNA target sequences can be inserted in the 5′UTR or 3′UTR of the Coxsackievirus B3 genome. Within certain embodiments at least one, two, three, four, five, or six miRNA target sequences can be inserted in tandem. Within further embodiments there may be at least 10 target sequences can be inserted in tandem. Within other embodiments there are less than 10, 15, 20, 50, or 100 target sequences. An optimal number of target sequences can be determined by assaying expression levels of CSVB3. A low to nonexistent level of CSVB3 in normal cells is desired. The multiple miRNA target sequences may all bind the same miRNA or may bind different miRNAs. The target sequences may be in clusters (e.g.,
[0052] The multiple miRNA target sequences may be adjacent without intervening nucleotides or have from 1 to about 25, or from 1 to about 20, or from 1 to about 15, or from 1 to about 10, or from 1 to about 5, or from 3 to about 10, or from 5 to about 10 intervening nucleotides. Intervening nucleotides may be chosen to have a similar G+C content as the 5′UTR and preferably do not contain a polyadenylation signal sequence.
[0053] C. Therapeutic Compositions
[0054] Therapeutic compositions are provided that may be used to prevent, treat, or ameliorate the effects of a disease, such as, for example, cancer. More particularly, therapeutic compositions are provided comprising at least one oncolytic virus as described herein.
[0055] In certain embodiments, the compositions will further comprise a pharmaceutically acceptable carrier. The phrase “pharmaceutically acceptable carrier” is meant to encompass any carrier, diluent or excipient that does not interfere with the effectiveness of the biological activity of the oncolytic virus and that is not toxic to the subject to whom it is administered (see generally Remington: The Science and Practice of Pharmacy, Lippincott Williams & Wilkins; 21st ed. (May 1, 2005 and in The United States PharmacopE1A: The National Formulary (USP 40-NF 35 and Supplements).
[0056] In the case of an oncolytic virus as described herein, non-limiting examples of suitable pharmaceutical carriers include phosphate buffered saline solutions, water, emulsions (such as oil/water emulsions), various types of wetting agents, sterile solutions, and others. Additional pharmaceutically acceptable carriers include gels, bioabsorbable matrix materials, implantation elements containing the oncolytic virus, or any other suitable vehicle, delivery or dispensing means or material(s). Such carriers can be formulated by conventional methods and can be administered to the subject at an effective dose. Additional pharmaceutically acceptable excipients include, but are not limited to, water, saline, polyethylene glycol, hyaluronic acid and ethanol. Pharmaceutically acceptable salts can also be included therein, e.g., mineral acid salts (such as hydrochlorides, hydrobromides, phosphates, sulfates, and the like) and the salts of organic acids (such as acetates, propionates, malonates, benzoates, and the like). Such pharmaceutically acceptable (pharmaceutical-grade) carriers, diluents and excipients that may be used to deliver the oncolytic virus to a cancer cell will preferably not induce an immune response in the individual (subject) receiving the composition (and will preferably be administered without undue toxicity).
[0057] The compositions provided herein can be provided at a variety of concentrations. For example, dosages of oncolytic virus can be provided which ranges from about 10.sup.6 to about 10.sup.11 pfu. Within further embodiments, the dosage can range from about 10.sup.6 to about 10.sup.10 pfu/ml, with up to 4 mls being injected into a patient with large lesions (e.g., >5 cm) and smaller amounts (e.g., up to 0.1 mls) in patients with small lesions (e.g., <0.5 cm) every 2-3 weeks, of treatment.
[0058] Within certain embodiments of the invention, lower dosages than standard may be utilized. Hence, within certain embodiments less than about 10.sup.6 pfu/ml (with up to 4 mls being injected into a patient every 2-3 weeks) can be administered to a patient.
[0059] The compositions may be stored at a temperature conducive to stable shelf-life and includes room temperature (about 20° C.), 4° C., −20° C., −80° C., and in liquid N2. Because compositions intended for use in vivo generally don't have preservatives, storage will generally be at colder temperatures. Compositions may be stored dry (e.g., lyophilized) or in liquid form.
[0060] E. Administration
[0061] In addition to the compositions described herein, various methods of using such compositions to treat or ameliorate disease (e.g., cancer) are provided, comprising the step of administering an effective dose or amount of a modified Coxsackievirus as described herein to a subject.
[0062] The terms “effective dose” and “effective amount” refers to amounts of the oncolytic virus that is sufficient to effect treatment of a targeted cancer, e.g., amounts that are effective to reduce a targeted tumor size or load, or otherwise hinder the growth rate of targeted tumor cells. More particularly, such terms refer to amounts of oncolytic virus that is effective, at the necessary dosages and periods of treatment, to achieve a desired result. For example, in the context of treating a cancer, an effective amount of the compositions described herein is an amount that induces remission, reduces tumor burden, and/or prevents tumor spread or growth of the cancer. Effective amounts may vary according to factors such as the subject's disease state, age, gender, and weight, as well as the pharmaceutical formulation, the route of administration, and the like, but can nevertheless be routinely determined by one skilled in the art.
[0063] The therapeutic compositions are administered to a subject diagnosed with cancer or is suspected of having a cancer. Subjects may be human or non-human animals.
[0064] The OV (e.g., Coxsackievirus) as described herein may be given by a route that is e.g. intravenous, intratumor, or intraperitoneal. Within certain embodiments the oncolytic virus may be delivered by a cannula, by a catheter, or by direct injection. The site of administration may be intra-tumor or at a site distant from the tumor. The route of administration will often depend on the type of cancer being targeted. The OV (e.g., CSV) as described herein are particularly suitable for intravenous (IV) administration.
[0065] The optimal or appropriate dosage regimen of the oncolytic virus is readily determinable within the skill of the art, by the attending physician based on patient data, patient observations, and various clinical factors, including for example a subject's size, body surface area, age, gender, and the particular oncolytic virus being administered, the time and route of administration, the type of cancer being treated, the general health of the patient, and other drug therapies to which the patient is being subjected. According to certain embodiments, treatment of a subject using the oncolytic virus described herein may be combined with additional types of therapy, such as chemotherapy using, e.g., a chemotherapeutic agent such as etoposide, ifosfamide, adriamycin, vincristine, doxycycline, and others.
[0066] OV (e.g., CSV) may be formulated as medicaments and pharmaceutical compositions for clinical use and may be combined with a pharmaceutically acceptable carrier, diluent, excipient or adjuvant. The formulation will depend, at least in part, on the route of administration. Suitable formulations may comprise the virus and inhibitor in a sterile medium. The formulations can be fluid, gel, paste or solid forms. Formulations may be provided to a subject or medical professional
[0067] A therapeutically effective amount is preferably administered. This is an amount that is sufficient to show benefit to the subject. The actual amount administered and time-course of administration will depend at least in part on the nature of the cancer, the condition of the subject, site of delivery, and other factors.
[0068] Within yet other embodiments of the invention the oncolytic virus can be administered by a variety of methods, e.g., intratumorally, intraperitoneal, intravenously, or, after surgical resection of a tumor.
[0069] The following are additional exemplary embodiments of the present disclosure:
[0070] 1. A replicating oncolytic virus vector comprising a modified Enterovirus genome, wherein the modified Enterovirus genome comprises one or more copies of one or more miRNA target sequences operably linked to an untranslated region (UTR) of the Enterovirus genome. Within a related embodiment, replicating oncolytic virus vectors ae provided comprising a modified Enterovirus genome, wherein the modified Enterovirus genome comprises a plurality of one or more miRNA target sequences operably linked to an untranslated region (UTR) of the Enterovirus genome. Within various embodiments the Enterovirus may be a Poliovirus, a Coxsackievirus, or an Echovirus.
[0071] 2. The replicating oncolytic virus vector of embodiment 1, wherein said Enterovirus is a Coxsackievirus.
[0072] 3. The replicating oncolytic virus vector of embodiment 2, wherein the Coxsackievirus is Coxsackievirus A or B.
[0073] 4. The replicating oncolytic virus vector of any one of embodiments 1, 2 or 3, wherein the untranslated region (UTR) is a 5′ UTR. Within other embodiments the UTR is a 3′ UTR. Within yet further embodiments of the invention the one or more miRNA target sequences may be operably linked to a 3′ UTR and one or more miRNA target sequences may be operably linked to a 5′ UTR.
[0074] 5. The replicating oncolytic virus vector of any one of embodiments 1, 2, 3 or 4, wherein the one or more copies of the one or more_miRNA target sequences comprises one or more copies of two or more different miRNA target sequences.
[0075] 6. The replicating oncolytic virus vector of any one of embodiments 1, 2, 3, 4, or 5, wherein spacers of 2 to 50 base pairs (“bp”) in size are inserted between the one or more miRNA target sequences. Within various embodiments the spacers may be 2-10 bp, 10-20 bp in size, 20-30 bp in size, 30-40 bp in size, or 40-50 bp in size.
[0076] 7. The replicating oncolytic virus vector of embodiment 1 wherein the one or more copies of the one or more miRNA target sequences recognize cardiac or pancreatic specific miRNAs. Representative examples of cardiac specific miRNAs include miR-1, miR133a/b, miR-208a/b and miR-499. Representative examples of pancreatic specific miRNAs include miR-7, miR-204, miR-216, miR-217, and miR-375.
[0077] 8. The replicating oncolytic virus vector of any one of embodiments 1, 2, 3, 4, 5, 6, or 7, wherein the one or more different miRNA target sequences recognize an miRNA selected the group consisting of miR1, miR-7, miR-30c, miR-124, miR-124*, miR-127, miR-128, miR-129, miR-129*, miR-133, miR-135b, miR-136, miR-136*, miR-137, miR-139-5p, miR-143, miR-154, miR-184, miR-188, miR-204, miR-208, miR216, miR217, miR-299, miR-300-3p, miR-300-5p, miR-323, miR-329, miR-337, miR-335, miR-341, miR-369-3p, miR-369-5p, miR-375, miR-376a, miR-376a*, miR-376b-3p, miR-376b-5p, miR-376c, miR-377, miR-379, miR-379*, miR-382, miR-382*, miR-409-5p, miR-410, miR-411, miR-431, miR-433, miR-434, miR-451, miR-466b, miR-485, miR-495, miR-499, miR-539, miR-541, miR-543*, miR-551b, miR-758, and miR-873. By convention, the strand that is more frequently found to be the final product is referred to as miRNA and the rarer partner as miRNA*. Within various embodiments, the replicating oncolytic virus may contain one or more copies of positive strand miRNAs and/or one or more copies of negative strand miRNAs.
[0078] 9. The replicating oncolytic virus vector of any one of embodiments 1, 2, 3, 4, 5, 6, 7, or 8, wherein the two or more (or plurality) of different miRNA target sequences comprise target sequences for miR1, miR133, miR216, miR145 and miR143.
[0079] 10. The replicating oncolytic virus vector of embodiment 9, comprising two, three, four, five, or six copies of the target sequence for miR1, miR133, miR216, miR145 and miR143.
[0080] 11. The replicating oncolytic virus vector of any one of embodiments 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10, wherein one or more copies of the one or more miRNA target sequences is in a forward orientation and one or more copies of the one or more miRNA target sequences is in a reverse orientation.
[0081] 12. The replicating oncolytic virus vector of any one of embodiments 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, or 11, wherein the modified Enterovirus genome comprises at least one nucleic acid encoding a non-viral protein selected from the group consisting of immunostimulatory factors, antibodies (including for example bispecific antibodies), and checkpoint blocking peptides (also referred to as “checkpoint inhibitors” or “checkpoint modulators”), wherein the at least one nucleic acid is operably linked to a suitable tumor-specific regulatory region. Within various embodiments of the invention the bispecific antibody comprises a first antigen-binding domain which recognizes a tumor antigen, as well as a second antigen-binding domain which recognizes a cell surface molecule on an effector cell. Within other embodiments of the invention the checkpoint modulator is a peptide ligand, soluble domain of natural receptor, RNAi, antisense molecule or antibody. Within further embodiments of the invention the immune modulator at least partially antagonizes the activity of an inhibitory immune checkpoint(s), such as, for example, PD-1, PD-L1, PD-L2, LAG 3, Tim3, BTLA and /or CTLA4.
[0082] 13. The replicating oncolytic virus vector of embodiment 12, wherein the non-viral protein is selected from the group consisting of IL12, IL15, IL15 receptor alpha subunit, OX40L, CD73, and a checkpoint inhibitor. Within further embodiments of the invention the above noted replicating oncolytic virus described in any of embodiments 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, or 12 retains its ability to infect and lyse tumor cells, but has reduced toxicity in vitro and/or in vivo as compared to an unmodified wild-type virus of the same strain (e.g., miR-modified coxsackievirus having greater than 5%, 10%, 25%, 50%, 75%, 80%, or 90% reduced toxicity in vitro and/or in vivo as compared to an unmodified wild-type coxsackievirus of the same strain). Within certain embodiments, the reduced toxicity is in cardiomyocytes, and/ or in normal pancreatic cells.
[0083] 14. A method for lysing tumor cells, comprising providing an effective amount of a replicating oncolytic virus vector of any of embodiments 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, or 13 to tumor cells. Tumor cells can be found, for example, in vivo within the cancers described herein,
[0084] 15. The method of embodiment 14, wherein the tumor cells comprise lung cancer cells.
[0085] 16. The method of embodiment 14, wherein the tumor cells comprise pancreatic cancer cells 17. Therapeutic composition comprising at least one replicating oncolytic virus vector of any of the above embodiments 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, or, 13, and a pharmaceutically acceptable carrier.
[0086] 18. A method for treating cancer in a subject suffering therefrom, comprising the step of administering a composition comprising a therapeutically effective amount of the composition of embodiment 17. Representative examples of cancers include those that are described herein. Particularly preferred cancers include lung cancers, pancreatic cancer, liver cancer and breast cancer.
[0087] 19. The method of embodiment 18 wherein said cancer is selected from the group consisting of lung cancer, pancreatic cancer, liver cancer and breast cancer.
[0088] 20. The method of embodiment 18, wherein the cancer is non-small-cell lung cancer (NSCLC) associated with KRAS mutations, small-cell lung cancer (SCLC) commonly linked to TP53 and Rb mutations, or pancreatic cancer.
[0089] 21. The method of embodiment 18, 19, or 20 wherein the administration is intravenous (IV) administration, intraperitoneal (IP) administration, or intratumoral (IT) administration.
[0090] The following Examples are offered by way of illustration and not by way of limitation.
EXAMPLES
Example 1
miR-145 and miR-143 are Downregulated in Lung Cancer Cells
[0091] This example describes an experiment to investigate the expression of miR-145 and miR-143 in lung and cardiomyocyte cells. miRNA levels were detected by reverse transcription reactions conducted with the following stem-loop primers: miR-145: CTCAACTGGTGTCGTGGAGTCGGCAATTCAGTTGAGAGGGATTC (SEQ ID NO: 1); miR-143: GTCGTATCCAGTGCTGGGTCCGAGTGATTCGCACTGGATACGACTGAGCTACA (SEQ ID NO: 2); and miR93:
CTCAACGGTGTCGTGGAGTCGGCAATTCAGTTGAGCTACCTGC (SEQ ID NO: 3). These primers were used to convert the cellular miR-145, miR-143 and miR-93 (internal control) into corresponding complementary DNA. Briefly, 1 μg total RNA from various lung cells and cardiomyocytes was mixed with 2 μl RT primer mix including 50 nM RT primer for each miRNA in 15 μl nuclease free water. Reactions were incubated at 65° C. for 5 min and then on ice for 2 min to form the stem loop. Then the mixture was used for the reverse transcription using iScript cDNA Synthesis kit (Biorad, 1708890) by mixing with 4 ul 5X iScript reaction mix and 1 μl reverse transcriptase at 25° C. for 5 min, 42° C. for 30min, and 85° C. 5nnin. The mixture was then diluted with 80 μl nuclease free water. For qPCR, three primer pairs were used to determine the relative expression level of miR-145 and miR-143: miR-145 (forward: CGGCGGGTCCAGTTTTCCCAGG (SEQ ID NO: 4); reverse: CTGGTGTCGTGGAGTCGGCAATTC (SEQ ID NO: 5)), miR-143 (forward: CCTGGCCTGAGATGAAGCAC (SEQ ID NO: 6); reverse: CAGTGCTGGGTCCGAGTGA (SEQ ID NO: 7)), miR-93 (forward: CGGCGGCAAAGTGCTGTTCGTG (SEQ ID NO: 8); reverse: CTGGTGTCGTGGAGTCGGCAATTC (SEQ ID NO: 9)). Briefly, 1 μl cDNA product was added into a 10 μl reaction mixture with primer concentration recommended by manufacturers using the Luna universal qPCR master mix (Neb, M3003). Reactions were cycled as follows: 95° C. for 1 min, 45 cycles of 95° C. for 10 s, 65° C. for 30 s, and then the melt curve was set in the ViiA 7 Real-Time PCR System (Applied Biosystems). Samples were run in triplicate and analyzed using a comparative CT (2—MCT) method with control samples and presented as relative quantitation (RQ).
[0092] Results are presented in
Example 2
Construction of a miRNA-modified CVB3
[0093] To generate a recombinant CVB3 vector with decreased viral toxicity to normal tissues, a miRNA-engineered CVB3 was constructed as shown in
[0094] To produce miR-CVB3 and WT-CVB3 stock, viral genome was synthesized from pCVB3-miR145-miR143 and pCVB3/T7 linearized by Sall digestion, respectively, using HiScribe™ T7 Quick High Yield RNA Synthesis Kit (#E20505, New England Biolabs). Subsequently, viral RNA was transfected into HeLa cells and the supernatant was collected at ˜72 hours post-transfection when cytopathic effects were most prominent. The virus-containing supernatant was further propagated in HeLa cells until viral titers reached desirable levels for storage.
Example 3
Reduction of miR-CVB3 RNA Level, Viral Titers, and Cytotoxicity in Cardiomyocytes
[0095] If the miRNA-modified CVB3 is susceptible to miRNA-dependent downregulation, it would be predicted that those cells with abundant miR-145 and miR-143 expression would selectively suppress the viral growth or replication of miR-CVB3 while WT-CVB3 growth would not be affected. To test this prediction, a panel of cell lines was treated with miR-CVB3 or WT-CVB3 at an MOI of 0.1 and a titration of viral particles in the supernatant 36 hrs post infection was performed. As shown in
[0096] The intracellular replication and one step growth curve of both viruses were also assessed and normalized to per cell levels by measuring the viral genome copy number (
[0097] The toxicity of miR-CVB3 compared to that of the WT-CVB3 was tested in the mouse cardiomyocyte HL-1 cell line, that expresses relatively high levels of miR-145 and miR-143 as compared to lung cancer cells. As shown in
Example 4
miR-CVB3 Retains the Ability to Lyse KRAS.SUP.mut .Lung Cancer Cells
[0098] To determine whether the miRNA modification impairs the lytic ability of miR-CVB3 towards the KRAS.sup.mut adenocarcinoma cells, three typical cell lines H2030 (G12C), H23 (G12C) and A549 (G12S), with mutant KRAS, were utilized for the evaluation. As shown in
Example 5
Both WT- and miR-CVB3 Kill Small-Cell Lung Cancer (SCLC) Cells, Whereas Human Normal Lung
[0099] Epithelial Cells are Impermissive to both WT- and miR-CVB3.
[0100] Compared to lung adenocarcinoma, SCLC has a closer correlation to smoking. H524 and H526, two suspension SCLC cell lines originally donated from two smoker patients, were seeded to begin to investigate 1) whether CVB3 has the potential to treat TP53.sup.mutSCLC and 2) whether miR-CVB3 retains the equivalent ability to suppress the growth of SCLC cell lines. As shown in
Example 6
In Vivo Testing of miR-CVB3 in a Mouse Model
[0101] A safety test of miR-CVB3 compared to WT-CVB3 was done in immunocompromised NOD-SCID mice with an endpoint of day 14 post virus injection. 6-week-old mice were intraperitoneally administrated with WT-CVB3 (4 mice) or miR-CVB3 (5 mice) at a single dose of 1×10.sup.8 PFU. The treated mice were then monitored daily for change of body weight, appearance, behavior, and any signs of infection at the tumor cell injection site. The mice were kept in the cages until endpoint day 14, then euthanized. Heart, pancreas, lung, liver, kidney and spleen were collected for H&E and viral capsid protein VP1 staining, as well as viral plaque assay. As shown in
[0102] For efficacy testing of the miR-CVB3 oncolytic virus, the TP53.sup.mut SCLC cell line H526 was used to establish a xenograft mouse model. Briefly, H526 cells (1×10.sup.7 cells) were injected subcutaneously into the left and right flank of 8-week-old male NOD-SCID mice. When tumors reached a size of around 100 mm.sup.3 (at around 10 days), mice were intraperitoneally injected with either PBS (8 mice), WT-CVB3 (5 mice,) or miR-CVB3 (8 mice) at a single dose (1×10.sup.8 PFU). Mice were monitored daily for general appearance, behavior, weight, and any signs of infection at the tumor cell injection site. Tumor size was measured twice per week and tumor volume was calculated as length×width×width/2. Mice were euthanized when they manifested severe symptoms related to CVB3 injection or until the endpoint day 25 unless the tumor diameter exceeded 2.0 cm. As the survival rate (
Example 7
Construction of Additional miRNA-Modified CVB3s and In Vivo Testing in an Immunocompetent Mouse Model
[0103] Three additional recombinant miRNA-engineered CVB3 vectors were constructed by insertion of four copies of the target sequence of miR145 and two to four copies of the target sequences of miR-143, miR-1, miR-133, or miR-216 into the 5′ UTR of the CVB3 genome, denoted as miR-CVB3-A, miR-CVB3-B, and miR-CVB3-C (see
[0104] Male C57BL/6 mice aged ˜4 weeks were inoculated intraperitoneally with one dose of WT-CVB3 (n=3), miR-CVB3 (n=3), miR-CVB3-A (n=3), miR-CVB3-B (n=3), or miR-CVB3-C (n=3) at 1×10.sup.8 PFU or sham infected with PBS (n=3) for 14 days. Body weight reductions were observed in mice inoculated with WT-CVB3 and miR-CVB3, while mice inoculated with miR-CVB3-A, miR-CVB3-B, or miR-CVB3-C continued to gain body weight at a rate similar to that of mice inoculated with PBS control (see
Example 8
In Vitro Cardiotoxicity of Multiple miRNA-Regulated CVB3 Variants
[0105] Several miRNA-modified CVB3s, in which four copies of miR-145 targeted sequences alone (either in its forward or reverse orientation) or in combination with two copies of miR-143 target sequences were inserted into the 5′ UTR or 3′ UTR of the CVB3 genome, were generated. Mouse HL-1 cardiomyocytes were sham-infected or inoculated with WT-CVB3 or various modified CVB3 at different MOIs as indicated for 72 hours. As shown in
Example 9
Modification of CVB3 by Additional miRNA-Targeting Sequences Further Reduces both WT-CVB3-Induced Cardio- and Pancreo-Toxicity in Immunocompetent Mice
[0106] In this experiment, male C57B1/6 mice at the age of four weeks were inoculated intraperitoneally with one dose of PBS (sham, n=5), WT-CVB3 (1x10.sup.8 PFU, n=5), or miR145/143-CVB3 (1×10.sup.8 PFU, n=5). Mouse organs were harvested at day 12 for H&E staining (
[0107] C57BL/6 mice were injected with various types of CVB3 as described above and organs were collected at day 13-14 post-treatment for IHC staining of viral protein VP1 (
Example 10
miRNA145/143/1/216-CVB3 Potently Kills SCLC Cells at a Comparable Level to WT-CVB3
[0108] TP53.sup.mut/Rb1.sup.mut SCLC cells lines (H524 and H526) were sham-treated or infected with WT or miR145/143/1/216-CVB3 at different MOIs as indicated for 72 hours. Cell viability was assessed via the alamarBlue assay (mean +/−SD, n=3). *, p<0.05 compared to WT-CVB3 (
Example 11
miRNA-modified CVB3s Efficiently Kill a Variety of Mouse Tumor Cells
[0109] The various mouse tumor cell lines, cancer types, and host information used in this experiment are described in
[0110] Human KRAS.sup.mut H23 cells and the various mouse tumor cell lines described above were sham-infected or infected with different miR-CVB3s at an MOI of 0.1, 1, or 10 for 72 hours, followed by crystal violet staining (
[0111] The invention has been described broadly and generically herein. Each of the narrower species and subgeneric groupings falling within the generic disclosure also form part of the invention. This includes the generic description of the invention with a proviso or negative limitation removing any subject matter from the genus, regardless of whether or not the excised material is specifically recited herein.
[0112] It is also to be understood that as used herein and in the appended claims, the singular forms “a,” “an,” and “the” include plural reference unless the context clearly dictates otherwise, the term “X and/or Y” means “X” or “Y” or both “X” and “Y”, and the letter “s” following a noun designates both the plural and singular forms of that noun. In addition, where features or aspects of the invention are described in terms of Markush groups, it is intended, and those skilled in the art will recognize, that the invention embraces and is also thereby described in terms of any individual member and any subgroup of members of the Markush group, and Applicants reserve the right to revise the application or claims to refer specifically to any individual member or any subgroup of members of the Markush group.
[0113] It is to be understood that the terminology used herein is for the purpose of describing specific embodiments only and is not intended to be limiting. It is further to be understood that unless specifically defined herein, the terminology used herein is to be given its traditional meaning as known in the relevant art.
[0114] Reference throughout this specification to “one embodiment” or “an embodiment” and variations thereof means that a particular feature, structure, or characteristic described in connection with the embodiment is included in at least one embodiment. Thus, the appearances of the phrases “in one embodiment” or “in an embodiment” in various places throughout this specification are not necessarily all referring to the same embodiment. Furthermore, the particular features, structures, or characteristics may be combined in any suitable manner in one or more embodiments.
[0115] As used in this specification and the appended claims, the singular forms “a,” “an,” and “the” include plural referents, i.e., one or more, unless the content and context clearly dictates otherwise. It should also be noted that the conjunctive terms, “and” and “or” are generally employed in the broadest sense to include “and/or” unless the content and context clearly dictates inclusivity or exclusivity as the case may be. Thus, the use of the alternative (e.g., “or”) should be understood to mean either one, both, or any combination thereof of the alternatives. In addition, the composition of “and” and “or” when recited herein as “and/or” is intended to encompass an embodiment that includes all of the associated items or ideas and one or more other alternative embodiments that include fewer than all of the associated items or ideas.
[0116] Unless the context requires otherwise, throughout the specification and claims that follow, the word “comprise” and synonyms and variants thereof such as “have” and “include”, as well as variations thereof such as “comprises” and “comprising” are to be construed in an open, inclusive sense, e.g., “including, but not limited to.” The term “consisting essentially of” limits the scope of a claim to the specified materials or steps, or to those that do not materially affect the basic and novel characteristics of the claimed invention.
[0117] Any headings used within this document are only being utilized to expedite its review by the reader, and should not be construed as limiting the invention or claims in any manner. Thus, the headings and Abstract of the Disclosure provided herein are for convenience only and do not interpret the scope or meaning of the embodiments.
[0118] Where a range of values is provided herein, it is understood that each intervening value, to the tenth of the unit of the lower limit unless the context clearly dictates otherwise, between the upper and lower limit of that range and any other stated or intervening value in that stated range is encompassed within the invention. The upper and lower limits of these smaller ranges may independently be included in the smaller ranges is also encompassed within the invention, subject to any specifically excluded limit in the stated range. Where the stated range includes one or both of the limits, ranges excluding either or both of those included limits are also included in the invention.
[0119] For example, any concentration range, percentage range, ratio range, or integer range provided herein is to be understood to include the value of any integer within the recited range and, when appropriate, fractions thereof (such as one tenth and one hundredth of an integer), unless otherwise indicated. Also, any number range recited herein relating to any physical feature, such as polymer subunits, size or thickness, are to be understood to include any integer within the recited range, unless otherwise indicated. As used herein, the term “about” means±20% of the indicated range, value, or structure, unless otherwise indicated.
[0120] All of the U.S. patents, U.S. patent application publications, U.S. patent applications, foreign patents, foreign patent applications and non-patent publications referred to in this specification and/or listed in the Application Data Sheet, are incorporated herein by reference, in their entirety. Such documents may be incorporated by reference for the purpose of describing and disclosing, for example, materials and methodologies described in the publications, which might be used in connection with the presently described invention. The publications discussed above and throughout the text are provided solely for their disclosure prior to the filing date of the present application. Nothing herein is to be construed as an admission that the inventors are not entitled to antedate any referenced publication by virtue of prior invention.
[0121] All patents, publications, scientific articles, web sites, and other documents and materials referenced or mentioned herein are indicative of the levels of skill of those skilled in the art to which the invention pertains, and each such referenced document and material is hereby incorporated by reference to the same extent as if it had been incorporated by reference in its entirety individually or set forth herein in its entirety. Applicants reserve the right to physically incorporate into this specification any and all materials and information from any such patents, publications, scientific articles, web sites, electronically available information, and other referenced materials or documents.
[0122] In general, in the following claims, the terms used should not be construed to limit the claims to the specific embodiments disclosed in the specification and the claims, but should be construed to include all possible embodiments along with the full scope of equivalents to which such claims are entitled. Accordingly, the claims are not limited by the disclosure.
[0123] Furthermore, the written description portion of this patent includes all claims. Furthermore, all claims, including all original claims as well as all claims from any and all priority documents, are hereby incorporated by reference in their entirety into the written description portion of the specification, and Applicants reserve the right to physically incorporate into the written description or any other portion of the application, any and all such claims. Thus, for example, under no circumstances may the patent be interpreted as allegedly not providing a written description for a claim on the assertion that the precise wording of the claim is not set forth in haec verba in written description portion of the patent.
[0124] The claims will be interpreted according to law. However, and notwithstanding the alleged or perceived ease or difficulty of interpreting any claim or portion thereof, under no circumstances may any adjustment or amendment of a claim or any portion thereof during prosecution of the application or applications leading to this patent be interpreted as having forfeited any right to any and all equivalents thereof that do not form a part of the prior art.
[0125] Other nonlimiting embodiments are within the following claims. The patent may not be interpreted to be limited to the specific examples or nonlimiting embodiments or methods specifically and/or expressly disclosed herein. Under no circumstances may the patent be interpreted to be limited by any statement made by any Examiner or any other official or employee of the Patent and Trademark Office unless such statement is specifically and without qualification or reservation expressly adopted in a responsive writing by Applicants.