THERAPEUTIC PEPTIDE COMPOSITION AND METHODS OF TREATMENT
20230340043 · 2023-10-26
Inventors
Cpc classification
C12N2710/10045
CHEMISTRY; METALLURGY
C12N2710/10052
CHEMISTRY; METALLURGY
C12N15/86
CHEMISTRY; METALLURGY
C12N2710/10043
CHEMISTRY; METALLURGY
International classification
Abstract
During lung fibrosis, activation of fibroblasts to myofibroblasts, is accompanied by the increased assembly of extracellular matrix proteins fibronectin and collagen. Activated myofibroblasts are key drivers of fibrosis; and increased deposition of the assembled matrix proteins, preserves the myofibroblast state. These changes contribute to enhanced tissue stiffness, collagenous deposition known as fibroblastic foci in lung and therefore, established pulmonary fibrosis. The present invention identifies a novel function of the 40 amino acid SOCS domain peptide (SEQ ID NO:1), in degrading the pathologic fibronectin and collagen matrix associated with fibrosis, markedly reducing the myofibroblast protein α-SMA and reducing collagen deposits in the fibrotic lung, leading to fibrosis reversal. Use of the SOCS domain peptide is a new approach to treat lung fibrosis as it restricts extracellular matrix assembly and reverses myofibroblasts to fibroblasts.
Claims
1. A composition comprising a polypeptide consisting of the following amino acid sequence TABLE-US-00001 (SEQ ID NO: 1) VRPLQELCRQRIVAAVGRENLARIPLNPVLRDYLSSFPFQI.
2. A composition comprising the peptide in claim 1 or pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier.
3. A composition comprising the peptide in claim 1 in the form of a pharmaceutically acceptable salt wherein said peptide is produced by solid phase peptide synthesis or produced by a yeast cell, mammalian cell or a bacterial cell expression system using one or more nucleic acid encoding the candidate peptide.
4. A polynucleotide comprising nucleotide sequences encoding the peptide in claim 1.
5. A vector comprising the polynucleotide of claim 4.
6. A cell engineered to express the polynucleotide of claim 4.
7. A composition comprising the peptide in claim 1 wherein the composition is a pharmaceutical composition and comprises water and buffer.
8. A pharmaceutical composition comprising the peptide in claim 1 and one or more pharmaceutically acceptable excipients.
9. A method of treating a subject having a disease or conditions characterized by excess matrix deposition or fibrosis, the method comprising administering the composition of claim 1 to a subject.
10. The method of claim 9, wherein the composition is administered intranasally, intrabronchially, intrapleurally or by instillation into the lungs of the subject.
11. The method of claim 9, wherein the fibrosis is pulmonary fibrosis.
12. The method of claim 9, wherein the fibrosis is idiopathic pulmonary fibrosis.
13. The method of claim 9, wherein the composition reduces: fibronectin matrix or collagen matrix or hydroxyproline production of fibroblasts in the subject.
14. The method of claim 9, wherein the composition reduces smooth muscle actin and VHL in the subject.
15. The method of claim 9, wherein the composition reduces fibrosis in the subject.
16. The method of claim 9, wherein the composition restricts formation of the fibronectin matrix in the subject.
17. The method of decreasing the fibronectin and collagen matrix assembly in a subject, comprising administering the composition of claim 1 to the subject.
18. The method of claim 17, wherein the subject has: an acute lung injury or a fibrotic condition; or an acute lung injury; or a fibrotic condition; or a fibrotic condition comprising pulmonary fibrosis; or idiopathic pulmonary fibrosis; or has, or is suspected of having, organ fibrosis.
19. The method of claim 17, wherein the composition is administered by intranasal, intrabronchial or by instillation into the lungs of the subject.
20. The method of claim 17 wherein the pharmaceutical composition is administered as part of a combination therapy regimen.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0021] The patent or application file contains at least one drawing executed in color. Copies of this patent or patent application publication with color drawing(s) will be provided by the Office upon request and payment of the necessary fee.
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[0027]
DETAILED DESCRIPTION OF THE INVENTION
[0028] Provided herein is a 40 amino acid SOCS domain polypeptide composition and method of delivery for the treatment of lung fibrosis.
[0029] Current understanding in the field of IPF, demonstrates that lung fibrosis is accompanied and driven by the deposition and assembly of extracellular matrix proteins fibronectin and collagen. The present inventors confirmed that normal lung fibroblast cells differentiated to their fibrotic counterpart, myofibroblasts, markedly enhance matrix formation of fibronectin and collagen. Matrix formation is readily detectable by fluorescence microscopy, and labeling of specific proteins using fluorophore-conjugated antibodies revealing fibril-like structures greater than 3 μm in length. While the persistence of the matrix contributes to the pathogenesis of IPF, a method to target the matrix and restore the myofibroblast cells towards the fibroblast state has been unclear.
[0030] IPF patient lungs have demonstrated elevated VHL levels. The VHL protein is central to the process of matrix formation of fibronectin. The present invention reduces both VHL levels and matrix formation thereby effectively targeting both components that drive fibrosis.
[0031] Unlike normal lung fibroblasts, fibroblasts obtained from lungs of patients with IPF or from mice with bleomycin-induced IPF, an accepted model of human IPF, collagen content is vastly increased. As demonstrated in the present invention, the SOCS domain significantly reduces collagen accumulation in the IPF lung.
[0032] We have demonstrated the protective function of the SOCS domain in restricting the conversion of normal lung fibroblasts towards their fibrotic counterpart, myofibroblasts, if the SOCS domain is overexpressed in these cells. Here, the SOCS domain prevents assembly of the fibronectin matrix and maintains the cells in the normal fibroblast state.
Definitions
[0033] Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. However, in case of conflict, the present specification, including definitions, will control. Accordingly, in the context of the embodiments described herein, the following definitions apply.
[0034] As used herein, the term ‘treatment’ or ‘therapeutic’ means an approach to obtaining a beneficial or intended clinical result, which may include alleviation of symptoms, reduction in disease severity, inhibiting the underlying cause of the disease, stabilizing diseases in a non-advanced state, preventing disease progression, delaying the progress of disease and/or improvement or alleviation of disease conditions.
[0035] The term “fibroblast” as used herein refers to a connective tissue cell that makes and secretes collagen protein. Fibroblasts, the most common cell type found in connective tissues, play as important role in healing wounds. In certain situations, epithelial cells can give rise to fibroblasts, a process called epithelial-mesenchymal transition.
[0036] The term “myofibroblasts” used interchangeably with “fibrotic fibroblasts” and used herein, refers to the activated fibroblasts in the wound areas that have some characteristics of smooth muscle, express α-SMA, exhibit contractile properties and produce excess fibronectin and collagen.
[0037] The term “fibronectin assembly” or fibrillogenesis used herein refers to the assembly of fibronectin protein dimers into fibronectin polymers that localize at the cell surface.
[0038] The term “matrix assembly” refers to the assembly or polymerization of matrix proteins contributing to matrix stiffness, cell stiffness and mechanical properties of the cell.
[0039] In embodiments where compositions are provided comprising the SOCS domain, the SOCS domain polypeptide may be synthetic (e.g., designed by man) or naturally occurring sequence.
[0040] As referred to herein, “polypeptide” and “peptide” may be used interchangeably.
[0041] Suitably, the test peptide or polypeptide may be labeled with an antibody, a tag, a reporter or may be a fluorescent protein fusion.
[0042] In another embodiment of any aspect of the invention, the test peptide or polypeptide is functionally linked to a reporter protein, and wherein detecting the amount of test peptide present in the cell comprises detecting the amount of reporter protein present in the cell.
[0043] The candidate peptide in accordance with any aspect of the invention may be provided by expression of one or more nucleic acid molecules encoding the candidate peptide. Suitably, the nucleic acid sequences encoding the candidate peptide may be encompassed in different plasmids/vectors such that transfection/transduction of a eukaryotic cell with each plasmid/vector will result in each component (peptide/polypeptide) being produced by the cell, when it is cultured in suitable conditions.
[0044] In embodiments in which the SOCS domain polypeptide is provided, the SOCS domain polypeptide retains one or more structural and/or functional features of the full-length protein such as VHL degradation, HIF-1α upregulation, matrix degradation.
[0045] In embodiments in which the SOCS domain polypeptide is provided, the SOCS domain polypeptide does not retain one or more structural and/or functional features of the full-length protein such as capability to attenuate STAT phosphorylation, inhibit cytokine induction of STAT, suppress inflammatory gene expression, etc.
[0046] As used herein, the term “SOCS domain mutant” refers to a variant of the SOCS domain polypeptide having a distinct amino acid sequence from the most common variant occurring in nature, referred to as the “wild-type” sequence. A mutant polypeptide may be a naturally-occurring protein that is not the most common sequence in nature (or a subsequence thereof), or may be a polypeptide that is not a naturally-occurring sequence (or a subsequence thereof). For example, a “SOCS domain mutant” may be a naturally-occurring, non-wild-type SOCS domain, or may be a synthetic SOCS domain that does not occur in nature.
[0047] As used herein, the term “pharmaceutical composition” refers to the combination of an active agent (e.g., SOCS domain peptide) with a carrier, inert or active, making the composition especially suitable for diagnostic or therapeutic use in vitro, in vivo or ex vivo.
[0048] The term “pharmaceutically acceptable”, as used herein, refers to compositions that do not substantially produce adverse reactions, e.g., toxic, allergic, or immunological reactions, when administered to a subject.
[0049] The peptide composition may contain suitable excipients such as lysozyme, BSA, cellular retinoic acid-binding protein, yeast hexokinase, recombinant human insulin, β-lactoglobulin, invertase (EC 3.2.1.26), apoflavodoxin, amyloidogenic light chain protein, ribonuclease-A, recombinant hemoglobin, albutropin, hGH, trehalose, sucrose, lactose, mannitol, sorbitol, dextran, PVP, starch derivatives, polysorbates 20 and 80, poloxamer, PEG, polyethylene glycol-b-poly L-histidine. ascorbic acid, ecotoine, glutathione, monothioglycerol, morin, polyethylenimine, propyl gallate, vitamin E, citric acid, EDTA, hexaphosphate, thioglycolic acid, phosphate, bicarbonate, sulphate, nitrate, acetate, chloride, pyruvate, Mg(OH).sub.2, ZnCO.sub.3, alanine, arginine, aspartic acid, glycine, histidine, lysine, proline, glucose, potassium phosphate, sodium sulphate, hexaphosphate, phenol, zinc, cyclodextrin, glycerol.
Example I
SOCS Domain Decreases VHL Levels in Lung Myofibroblasts
[0050] To test whether the SOCS domain degrades VHL in myofibroblasts, IMR90 lung fibroblasts were differentiated to myofibroblasts with TGFβ treatment for 48 h and cells transduced with adenovirus expressing the SOCS domain, SOCS domain mutant or empty viral vector. Viral transduction of myofibroblast cells are evident from GFP reporter expression. As depicted in the immunoblot, GFP expression was confirmed (
Example II
SOCS Domain Promotes Matrix Disassembly and Decreases αSMA in Myofibroblasts
[0051] Prior studies have established that excess matrix deposition and assembly, preserves a fibrotic state (King, Pardo et al. 2011). As confirmed by immunocytochemistry, differentiation of fibroblasts to myofibroblasts using TGFβ increased fibril formation of fibronectin and collagen (
Example III
SOCS Domain Retards Fibroblast Differentiation
[0052] Having shown that the SOCS domain significantly restores fibroblasts after differentiation by TGFβ, the goal of the next experiment was to test whether the SOCS domain retards fibroblast differentiation. Here, fibroblast cells were transduced with adenovirus expressing the SOCS domain, mutant or empty vector, prior to differentiation with TGFβ. Untransduced cells exhibited a noticeable increase in fibronectin matrix deposition and α-SMA levels upon differentiation. However, fibroblast cells transduced with the SOCS domain failed to upregulate matrix formation or α-SMA levels when differentiated with TGFβ (
Example IV
Intranasal Delivery of Adenoviral Vectors Localized to the Lung
[0053] Localization and expression of adenovirus-mediated transduction to mouse lungs was confirmed by intranasal delivery of empty adenovirus vector expressing the GFP reporter. As shown in FIG. A-C, viral titers of 1×10.sup.8 PFU and 1×10.sup.9 PFU were delivered on Day 0 and mouse lung tissue was evaluated on Day 5 for GFP-DAB levels by immunohistochemistry. Substantial GFP expression was detected at 1×10.sup.9 PFU compared to the negligible staining at 1×10.sup.8 PFU. GFP expression was restricted to the lung tissue and we observed no expression in the diaphragmatic smooth muscle in close proximity to the lungs and no expression was noted in the lymphoid tissue found within and near the lungs. Quantification of the GFP intensities (H-score) confirmed significant increase in GFP levels at the higher viral titer. This data confirmed localization and optimum viral titer for transduction to the mouse lung.
Example V
SOCS Domain Reduces Fibrotic Changes in the In Vivo Model of Bleomycin-Induced IPF
[0054] Here, IPF was established in a bleomycin (BLM) mouse model of lung fibrosis by delivery of bleomycin 3.07 units/kg on Day 0. On Day 9, during the fibrotic phase of the disease, vehicle (saline) and adenovirus (SOCS domain, SOCS domain mutant and Empty vector) was administered intranasally at a viral titer of 1×10.sup.9 PFU. On Day 21 after initiation of bleomycin injury, mouse lung tissue was collected, lysed and analyzed for collagen content using the hydroxyproline assay (
Example VI
Materials and Methods
[0055] Cell Lines and Culture Conditions
[0056] Human lung fibroblasts, IMR90, were obtained from the American Type Culture Collection (ATCC, #CCL-186) and cultured in EMEM media (ATCC, #30-2003) supplemented with 10% FBS (HyClone, #SH30109.03). Cells were maintained in a 37° C. humidified incubator buffered with 5% CO2. All experiments were performed at 70-80% cell densities.
[0057] Fibroblast Differentiation Conditions
[0058] IMR90 fibroblasts were differentiated to myofibroblasts with 5 ng/mL Recombinant Human Transforming Growth Factor-β1 (TGF-β1) (Invitrogen, #PHG9204) for 48 h in serum free media. TGF-β1 was reconstituted and stored according to manufacturer's recommendations.
[0059] Antibodies and Reagents
[0060] Antibodies for immunoblotting and immunocytochemistry: GFP (Abcam, #ab183734), VHL (Cell Signaling, #68547S), HIF1-α (Cell Signaling Technology, #14179S), β Actin (Invitrogen, #PA5-59497), β Tubulin (Invitrogen, #MA5-16308), Fibronectin (Santa Cruz, #sc-59826), Collagen (Abcam, #ab34710), Smooth Muscle Actin (Abcam, #ab7817), Donkey Anti-Mouse Alexa Flour 568 (Invitrogen, #A10037), Donkey Anti-Rabbit Alexa Flour 568 (Invitrogen #A10042).
[0061] Adenovirus Transduction
[0062] Adenoviral vectors Ad-GFP-Empty, Ad-GFP-SOCS domain, Ad-GFP-SOCS domain mutant were purchased from Vector Biolabs at a viral titer of 4.5×10.sup.10 PFU/mL, 1.2×10.sup.11 PFU/mL, 1.1×10.sup.12 PFU/mL respectively. We obtained ˜80% transduction for Ad-GFP at 100 MOI, Ad-GFP-SOCS domain at 600 MOI, and Ad-GFP-SOCS domain mutant at 600 MOI for our in vitro experiments.
[0063] Protein Extraction and Immunoblotting
[0064] IMR90 cells were seeded on 6 cm plates at a density of 163,000 cells. Protein extraction was performed at 4° C. using cold SDS lysis buffer containing protease and phosphatase inhibitors (1 mM DTT, 1 mM EDTA, 1 μg/mL Leupeptin, 100 μg/mL PMSF, and 1 mM Sodium Orthovanadate). Proteins were separated by SDS-Poly acrylamide gel electrophoresis and immunoblotted for specific proteins of interest. β Actin and β Tubulin were used as loading controls. Quantification of immunoblots was performed using the Li-Cor Image Studio Software version 5.2. Pixel intensities of each protein were normalized to the loading control. Three independent experiments were averaged and fold differences between fibroblasts and myofibroblasts or myofibroblasts transduced with Ad-GFP and myofibroblasts transduced with adenoviruses Ad-GFP-SOCS domain or Ad-GFP-SOCS domain mutant were plotted and shown as bar graphs. P values were determined using Student's t-test.
[0065] Immunocytochemistry and Imaging
[0066] For immunocytochemistry of Fibronectin, SMA, or collagen, IMR90 cells were seeded on sterile coverslips in a 6-well plate at a density of 80,000 cells per well. The coverslips were fixed with 4% paraformaldehyde and permeabilized in Triton X-100 for 1 min on ice. The cells were then blocked with 5% BSA-lx PBS. After blocking, FN antibody (1:70), SMA (1:1000) or COL (1:100) was added for 1 h followed by 1 h incubation with a secondary antibody. After secondary incubation, the cells were washed repeatedly with 0.2% Tween in 1×PBS. After washes, the cells were stained with the DNA stain DAPI (4,6 diamidino-2-phenylindole dihydrochloride) (Roche, #1023627001) and mounded with Prolong gold anti-fade mound media (Invitrogen, #S36936) on glass slides. Images and z-stacks (1 μM z-slice) were acquired using a Leica TCS SPEII confocal microscope at consistent acquisition parameters for each experiment.
[0067] Fibril Count and Quantification
[0068] Fibronectin and collagen fibril counts were determined from random fields of view within each sample and average percentage of fibril containing cells included in the bar graphs. A fibronectin or collagen track of ˜3 μM in length was considered a fibril. A total of at least 100 cells were counted for each condition. Data in figures that include fibril counts are averages of 3 independent experiments. Student's t-test was used to calculate P values.
[0069] SMA Intensities and Quantification
[0070] Bar graphs that depict SMA intensities were constructed with the intensity plugin available in Image J. Cell containing random fields of view within each sample were used to quantify the arbitrary SMA intensity values. SMA intensities included in the drawings represent averages of 3 independent experiments. Student's t-test was used to calculate P values.
[0071] Animal Models
[0072] All protocols concerning animal use were approved by the Institutional Animal Care and Use Committees at the Northern Arizona University and conducted in strict accordance with the National Institutes of Health Guide for the Care and Use of Laboratory Animals. Studies were conducted with 10-12 week old C57BI/6 mice. Mice were housed in a temperature and humidity-controlled pathogen-free facility with a 12:12 hour light:dark cycle. Animals were housed within a limited access rodent facility and kept in groups of a maximum of 4 mice per cage. Mice were housed in polypropylene cages with solid bottoms and wood shavings or corn cobb as bedding material. At study termination, mice were euthanized via anesthesia overdose and exsanguination.
[0073] Bleomycin Lung Fibrosis Model and Viral Transduction
[0074] IPF was established in C57BI/6 mice (10-12 weeks) by oral aspiration (OA) of bleomycin (3.07 units/kg) on Day 0. Adenovirus (Ad-GFP-Empty, SOCS domain and SOCS domain mutant) was administered intranasally (IN) on Day 9. Animals were euthanized on Day 21 (5 animals in each group).
[0075] Collagen content (hydroxyproline assay) in the lung was determined from lung lysates collected on Day 21 of the study.
[0076] Immunohistochemistry and GFP-DAB Staining and Quantification
[0077] To determine optimum adenoviral titer for transduction, C57BL/6 mice were administered adenovirus 10.sup.8 PFU and 10.sup.9 PFU or vehicle control (saline) on Day 0. On Day 3 following euthanasia, the lungs were inflated and fixed in formalin 10%. Tissues were processed in paraffin, sectioned and stained using GFP-DAB for assessment of transduction and H&E. Images were imported in HALO 3.0, regions of interest (lung tissue) annotated, and a quantitative image analysis algorithm performed. The algorithm (Cytonuclear V1.6) was used to segment nuclei based on hematoxylin staining, classify cells as either positive or negative for DAB staining and stratify positively stained cells as being 1+, 2+ or 3+ staining intensity (1+ being weak, 2+ being moderate, 3+ being strong staining intensity). To assign the H-score, a classification system was used to assess the total number of positive cells as well as the intensity of staining of each positive cell (on a scale of 0-3). The formula is calculated as [0*(ratio of negative cells)+1*(ratio of 1+ cells)+2*(ratio of 2+ cells)+3*(ratio of 3+ cells)].
[0078] Statistical Analysis
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