DELIVERY DEVICE AND USE THEREOF FOR LOADING CELL PLASMA MEMBRANES
20190046649 ยท 2019-02-14
Inventors
- Gregory Szeto (Baltimore, MD)
- Michael ZHANG (Baltimore, MD, US)
- EMILY SLABY (STREET, MD, US)
- Darrell Irvine (Arlington, MA)
Cpc classification
B82Y5/00
PERFORMING OPERATIONS; TRANSPORTING
A61K47/543
HUMAN NECESSITIES
A61K35/12
HUMAN NECESSITIES
A61P35/00
HUMAN NECESSITIES
International classification
Abstract
The present invention provides for an ex vivo delivery platform of rapidly inserting lipid-conjugated molecular ligands into a membrane of cells or biological entities have a lipid membrane by lipid partitioning, termed depoting, wherein the ex vivo delivery platform is a lipid-tailed biomolecule.
Claims
1. An ex vivo method of introducing a biomolecule cargo into a cell without mechanical disturbance of a cell membrane of the cell, the method comprising: contacting the cell with lipid-tailed biomolecule, wherein the lipid-tailed biomolecule comprises: (a) a lipid component; (b) a biomolecule cargo for delivery into a cell; and (c) a linker positioned between and connecting the lipid component and the biomolecule cargo to form the lipid-tailed molecule; and maintaining the cell in a culture medium a sufficient time for the lipid component of the lipid-tailed molecule to blend with lipids positioned on the cell membrane without mechanical disturbance of a cell membrane and insertion of the biomolecule cargo into the cell. This ex vivo method provides for expansion of the cells with the inclusion of the biomolecule cargo.
2. The ex vivo method of claim 1 wherein the biomolecule cargo is an immunomodulatory compound, immunoregulatory compound, a molecular adjuvant, nucleosides, nucleotides or oligonucleotides, proteins or peptides.
3. The ex vivo method of claim 1, wherein the lipid component is selected from the group consisting of fatty acids with aliphatic tails of 8-30 carbons, linear saturated and unsaturated fatty acids, branched saturated and unsaturated fatty acids, fatty acids derivatives, fatty acid esters, fatty acid amides, fatty acid thioesters, diacyl lipids, Cholesterol, Cholesterol derivatives, steroid acids and combinations thereof.
4. The ex vivo method of claim 1, wherein the lipid component is selected for targeting specific intracellular locations.
5. The ex vivo method of claim 1 wherein the cell is selected from the group consisting of a lymphokine-activated killer cell, a dendritic cell, a monocyte, a B cell, a T-cell, a natural killer cell, a neutrophil, an eosinophil, a basophil, a mast cell, a keratinocyte, an endothelial cell, an islet cell, a fibroblast, an osteoblast, a chondrocyte, a muscle cell, a stem cell and a neural cell.
6. The ex vivo method of claim 1, wherein the linker is selected from two or more ethylene glycol (EG) units, cell-triggered linkers, tissue or organ response linkers, degradable linkers, or reactable linkers.
7. The ex vivo method of claim 6, wherein the two or more ethylene glycol units in in an amount from about 20 to 80 units.
8. The ex vivo method of claim 1, wherein the lipid tail is coupled to the linker by a bond selected from the group consisting of an ester bond linkage, amide bond linkage, thioester bond linkage, or combinations thereof.
9. The ex vivo method of claim 8, wherein the bond between the lipid tail and the linker/cargo is a covalent bond that is a cleavable or non-cleavable bond.
10. The ex vivo method of claim 9, wherein the cleavable bond is a disulfide bond, acid-cleavable linkage, ester bond, anhydride bond, biodegradable bond, or enzyme-cleavable linkage and the non-cleavable bond is an amide bond or phosphate bond.
11. A lipid-tailed biomolecule comprising (a) a lipid component; (b) a biomolecule cargo for delivery into a cell; and (c) a linker positioned between and connecting the lipid component and the biomolecule cargo to form the lipid-tailed biomolecule.
12. The lipid-tailed biomolecule of claim 11 wherein the biomolecule cargo is an immunomodulatory compound, immunoregulatory compound, a molecular adjuvant, nucleosides, nucleotides or oligonucleotides, proteins or peptides.
13. The lipid-tailed biomolecule of claim 11, wherein the lipid component is selected from the group consisting of fatty acids with aliphatic tails of 8-30 carbons, linear saturated and unsaturated fatty acids, branched saturated and unsaturated fatty acids, fatty acids derivatives, fatty acid esters, fatty acid amides, fatty acid thioesters, diacyl lipids, Cholesterol, Cholesterol derivatives, steroid acids and combinations thereof.
14. The lipid-tailed biomolecule of claim 11, wherein the lipid component is selected for targeting specific intracellular locations.
15. The lipid-tailed biomolecule of claim 11, wherein the cell is selected from the group consisting of a lymphokine-activated killer cell, a dendritic cell, a monocyte, a B cell, a T-cell, a natural killer cell, a neutrophil, an eosinophil, a basophil, a mast cell, a keratinocyte, an endothelial cell, an islet cell, a fibroblast, an osteoblast, a chondrocyte, a muscle cell, a stem cell and a neural cell.
16. The lipid-tailed biomolecule of claim 11, wherein the linker is selected from two or more ethylene glycol (EG) units, cell-triggered linkers, tissue or organ response linkers, degradable linkers, or reactable linkers.
17. The lipid-tailed biomolecule of claim 16, wherein the two or more ethylene glycol units in in an amount from about 20 to 80 units.
18. The lipid-tailed biomolecule of claim 11, wherein the lipid tail is coupled to the linker by a bond selected from the group consisting of an ester bond linkage, amide bond linkage, thioester bond linkage, or combinations thereof.
19. The lipid-tailed biomolecule of claim 18, wherein the bond between the lipid tail and the linker/cargo is a covalent bond that is a cleavable or non-cleavable bond.
20. The lipid-tailed biomolecule of claim 19, wherein the cleavable bond is a disulfide bond, acid-cleavable linkage, ester bond, anhydride bond, biodegradable bond, or enzyme-cleavable linkage and the non-cleavable bond is an amide bond or phosphate bond.
21. A method of treating a patient for an illness, the method comprising: preparing a lipid-tailed biomolecule for entry into isolated and/or removed cells from the patient: contacting the isolated and/or removed cells with the lipid-tailed biomolecule, wherein the lipid-tailed biomolecule comprises: (a) a lipid component; (b) a biomolecule cargo for delivery into a cell; and (c) a linker positioned between and connecting the lipid component and the biomolecule cargo; maintaining the isolated and/or removed cells in an ex vivo culture medium a sufficient time for the lipid component of the lipid-tailed molecule to blend with lipids positioned on the cell membrane without mechanical disturbance of a cell membrane and insertion of the biomolecule cargo into the isolated and removed cells to form activated cells; and administering and reintroducing an effective amount of the activated cells into the patient.
22. The method of claim 21, wherein the illness is cancer, viral infection, autoimmune disease or alloimmune disease.
23. The method of claim 21 wherein the biomolecule cargo is an immunomodulatory compound, immunoregulatory compound, a molecular adjuvant, nucleosides, nucleotides or oligonucleotides, proteins or peptides.
24. The method of claim 21, wherein the lipid component is a diacyl lipid or triacyl lipid having carbon chains between about 12 and 22.
25. The method of claim 21 wherein the cell is selected from the group consisting of a lymphokine-activated killer cell, a dendritic cell, a monocyte, a B cell, a T-cell, a natural killer cell, a neutrophil, an eosinophil, a basophil, a mast cell, a keratinocyte, an endothelial cell, an islet cell, a fibroblast, an osteoblast, a chondrocyte, a muscle cell, a stem cell and a neural cell.
26. The method of claim 21, where the isolated and/or removed cells in the ex vivo culture medium are maintained at a temperature from between 20 to 45 C. and a pH of from about 6 to 7.5.
27. The method of claim 26, wherein the ex vivo culture medium further nutrients selected from carbon, hydrogen, oxygen, nitrogen, sulphur and phosphorus.
28. The method of claim 21, wherein the lipid component is selected from the group consisting of fatty acids with aliphatic tails of 8-30 carbons, linear saturated and unsaturated fatty acids, branched saturated and unsaturated fatty acids, fatty acids derivatives, fatty acid esters, fatty acid amides, fatty acid thioesters, diacyl lipids, Cholesterol, Cholesterol derivatives, steroid acids and combinations thereof.
29. The method of claim 21, wherein the lipid component is selected for targeting specific intracellular locations.
30. The method of claim 21, wherein the linker is selected from two or more ethylene glycol (EG) units, cell-triggered linkers, tissue or organ response linkers, degradable linkers, or reactable linkers.
31. The method of claim 30, wherein the two or more ethylene glycol units in in an amount from about 20 to 80 units.
32. The method of claim 21, wherein the lipid tail is coupled to the linker by a bond selected from the group consisting of an ester bond linkage, amide bond linkage, thioester bond linkage, or combinations thereof.
33. The method of claim 32, wherein the bond between the lipid tail and the linker/cargo is a covalent bond that is a cleavable or non-cleavable bond.
34. The method of claim 33, wherein the cleavable bond is a disulfide bond, acid-cleavable linkage, ester bond, anhydride bond, biodegradable bond, or enzyme-cleavable linkage and the non-cleavable bond is an amide bond or phosphate bond.
35. Therapeutic cells for the study and treatment of cancer, viral, autoimmune and alloimmune diseases and disorders produced by the method of claim 1.
Description
BRIEF DESCRIPTION OF THE FIGURES
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DETAILED DESCRIPTION OF THE INVENTION
Definitions
[0040] An immunostimulatory oligonucleotide, as used herein, is an oligonucleotide that can stimulate (e.g., induce or enhance) an immune response.
[0041] As used herein, CG oligodeoxynucleotides (CG ODNs) are short single-stranded synthetic DNA molecules that contain a cytosine nucleotide (C) followed by a guanine nucleotide (G).
[0042] By immune cell is meant a cell of hematopoietic origin and that plays a role in the immune response. Immune cells include lymphocytes (e.g., B cells and T cells), natural killer cells, and myeloid cells (e.g., monocytes, macrophages, eosinophils, mast cells, basophils, and granulocytes).
[0043] The term T cell refers to a CD4+ T cell or a CD8+ T cell. The term T cell includes TH1 cells, TH2 cells and TH17 cells.
[0044] The term T cell cytotoxicity includes any immune response that is mediated by CD8+ T cell activation. Exemplary immune responses include cytokine production, CD8+ T cell proliferation, granzyme or clearance of an infectious agent.
[0045] As generally used herein pharmaceutically acceptable refers to those compounds, materials, compositions, and/or dosage forms which are, within the scope of sound medical judgment, suitable for use in contact with the tissues, organs, and/or bodily fluids of human beings and animals without excessive toxicity, irritation, allergic response, or other problems or complications commensurate with a reasonable benefit/risk ratio.
[0046] The terms individual, subject, and patient refer to any individual who is the target of treatment using the disclosed compositions. The subject can be a vertebrate, for example, a mammal. Thus, the subject can be a human. The subjects can be symptomatic or asymptomatic. The term does not denote a particular age or sex. Thus, adult and newborn subjects, whether male or female, are intended to be covered. A subject can include a control subject or a test subject, rodents, such as mice and rats, and other laboratory animals.
[0047] As used herein, the term polypeptide refers to a chain of amino acids of any length, regardless of modification (e.g., phosphorylation or glycosylation).
[0048] The term effective amount or therapeutically effective amount means a dosage sufficient to provide treatment for a disorder, disease, or condition being treated, to induce or enhance an immune response, or to otherwise provide a desired pharmacologic and/or physiologic effect. The precise dosage will vary according to a variety of factors such as subject-dependent variables (e.g., age, immune system health, etc.), the disease, the disease stage, and the treatment being effected.
[0049] The present invention relates to the successful intracellular delivery of agents (cargo) not naturally taken up by cells that is achieved by exploiting the natural process of intracellular membrane fusion. The membrane barrier can be overcome by associating these agent substances in conjugates with the lipids that closely resemble the lipid composition of natural cell membranes. These lipids are able to fuse with the cell membranes on contact, and in the process, the associated cargo substances are delivered intracellularly. Lipid conjugates can not only facilitate intracellular transfers by fusing with cell membranes but also by overcoming charge repulsions between the cell membrane and the cargo to be inserted.
[0050] The lipid-tailed molecules of the present invention comprise a lipid component in combination with a linker/cargo for delivery and insertion into the cell.
[0051] Lipids make up the bulk of biological membranes, however, different cells contain hundreds of different lipid species that can be categorized into three main classes: glycerophospholipids, sphingolipids, and sterols. Glycerophospholipids have a polar head group and two hydrophobic hydrocarbon tails. Gycerophospholipds are molecules composed of glycerol, a phosphate group and two fatty acid chains. The tails are usually fatty acids, and they can differ in length (they normally contain between 14 and 24 carbon atoms). One tail usually has one or more cis-double bonds (i.e., it is unsaturated), while the other tail does not (i.e., it is saturated). Furthermore, additional complexity of eukaryotic lipids is generated by the many possible modifications of the hydrophilic head groups and the hydrophobic hydrocarbon tails. Their hydrophobic portion is a diacylglycerol (DAG), which contains saturated or cis-unsaturated fatty acyl chains of varying lengths. For example the head group of a glycerophospholipid can be modified by the addition of various chemical moieties onto the sn-3 position of the glycerol backbone, leading to a number of different phosphatidyl lipids, such as phosphatidylcholine (PC), -ethanolamine (PE), -serine (PS), -glycerol (PG), -inositol (PI), or the unmodified phosphatidic acid (PA). The fatty acid chains positions can be variable in terms of length and numbers of double bonds (degree of saturation), and the linkage to the glycerol backbone can also be varied by ester, alkyl ether, or alkenyl ether bonds.
[0052] The sphingolipids constitute another class of structural lipids. Their hydrophobic backbone is ceramide (Cer). The major sphingolipids in mammalian cells are sphingomyelin (SM) and the glycosphingolipids (GSLs), which contain mono-, di- or oligosaccharides based on glucosylceramide (GlcCer) and sometimes galactosylceramide (GalCer). Gangliosides are GSLs with terminal sialic acids. Sphingolipids have saturated (or trans-unsaturated) tails so are able to form taller and narrower cylinders than PtdCho lipids of the same chain length and pack more tightly, adopting the solid gel or so phase; they are also fluidized by sterols.
[0053] Sterols are the major non-polar lipids of cell membranes: cholesterol predominates in mammals.
[0054] In some embodiments, the lipid is a diacyl lipid or two-tailed lipid. In some embodiments, the tails in the diacyl lipid contain from about 8 to about 30 carbons and can be saturated, unsaturated, or combinations thereof.
[0055] Generally, the cargo can include therapeutic, prophylactic or diagnostic agents. The therapeutic and diagnostic agents can be nucleosides, nucleotides or oligonucleotides, proteins or peptides, polysaccharides and other sugars, synthetic inorganic and organic compounds, metals or radioactive compounds or molecules. The cargo of the lipid-tailed molecule disclosed may include a molecular adjuvant such as an immunostimulatory oligonucleotide, or a peptide antigen. However, the cargo can also be other oligonucleotides, peptides, Toll-like receptor agonists or other immunomodulatory compounds, dyes, MRI contrast agents, fluorophores or small molecule drugs that require efficient trafficking into a cell.
[0056] In some embodiments, the immunostimulatory oligonucleotide can serve as a ligand for pattern recognition receptors (PRRs). Examples of PRRs include the Toll-like family of signaling molecules that play a role in the initiation of innate immune responses and also influence the later and more antigen specific adaptive immune responses. Therefore, the oligonucleotide can serve as a ligand for a Toll-like family signaling molecule, such as Toll-Like Receptor 9 (TLR9).
[0057] In some embodiments, an immunostimulatory oligonucleotide can contain more than one CG dinucleotide, arranged either contiguously or separated by intervening nucleotide(s). The CpG motif(s) can be in the interior of the oligonucleotide sequence. Numerous nucleotide sequences stimulate TLR9 with variations in the number and location of CG dinucleotide(s), as well as the precise base sequences flanking the CG dimers.
[0058] Other PRR Toll-like receptors include TLR3, and TLR7 which may recognize double-stranded RNA, single-stranded and short double-stranded RNAs, respectively, and retinoic acid-inducible gene I (RIG-1)-like receptors, namely RIG-I and melanoma differentiation-associated gene 5 (MDAS), which are best known as RNA-sensing receptors in the cytosol. Therefore, in some embodiments, the oligonucleotide contains a functional ligand for TLR3, TLR7, or RIG-I-like receptors, or combinations thereof.
[0059] In some embodiments, the cargo is single-stranded DNA, single-stranded RNA, or double-stranded RNA. The oligonucleotide can be between 2-100 nucleotide bases in length, wherein the 3 end or the 5 end of the oligonucleotides can be conjugated to the linker. The oligonucleotides can be DNA or RNA nucleotides which typically include a heterocyclic base (nucleic acid base), a sugar moiety attached to the heterocyclic base, and a phosphate moiety which esterifies a hydroxyl function of the sugar moiety. The principal naturally-occurring nucleotides comprise uracil, thymine, cytosine, adenine and guanine as the heterocyclic bases, and ribose or deoxyribose sugar linked by phosphodiester bonds.
[0060] In some embodiments, the oligonucleotides are composed of nucleotide analogs that have been chemically modified to improve stability, half-life, or specificity or affinity for a target receptor, relative to a DNA or RNA counterpart. The chemical modifications include chemical modification of nucleobases, sugar moieties, nucleotide linkages, or combinations thereof. As used herein modified nucleotide or chemically modified nucleotide defines a nucleotide that has a chemical modification of one or more of the heterocyclic base, sugar moiety or phosphate moiety constituents. In some embodiments, the charge of the modified nucleotide is reduced compared to DNA or RNA oligonucleotides of the same nucleobase sequence. For example, the oligonucleotide can have low negative charge, no charge, or positive charge.
[0061] Peptide cargos can include an antigenic protein or polypeptide. The peptide can be 2-100 amino acids (aa), including for example, 5 amino acids, 10 amino acids, 15 amino acids, 20 amino acids, 25 amino acids, 30 amino acids, 35 amino acids, 40 amino acids, 45 amino acids, or 50 amino acids. In some embodiments, a peptide can be greater than 50 amino acids. In some embodiments, the peptide can be >100 amino acids. A protein/peptide can be linear, branched or cyclic. The peptide can include D amino acids, L amino acids, or a combination thereof. The peptide or protein can be conjugated to the polar block or lipid at the N-terminus or the C-terminus of the peptide or protein.
[0062] The protein or polypeptide can be any protein or peptide that can induce or increase the ability of the immune system to develop antibodies and T-cell responses to the protein or peptide. Examples of specific peptide and protein antigens that can be used in the lipid-tailed molecules disclosed herein are discussed in more detail below with respect to preferred antigens that can be used ex vivo for insertion into cells.
[0063] Tumor antigen cargo are useful as targets for antibody-conjugated chemotherapeutic or cytotoxic agents. These are not specific markers for tumor cells in most cases; rather, they are overexpressed on tumor cells compared with normal tissue.
[0064] In some embodiments, the lipid-tailed molecules disclosed herein include a detection label, for example, a fluorophore such as fluorescein or rhodamine, Alexa Fluor dyes, DyLight Fluor dyes, Quasar and Cal Fluor dyes, cyanine dyes (Cy3, Cy5, Cy5.5, Cy7) or other fluorescent dyes. The label can be the cargo, or can be in addition to a cargo.
[0065] The linker is a molecule that effects access of the lipid of the lipid-tailed molecule to the membrane of cells. The length and composition of the linker can be adjusted based on the lipid and cargo selected. Suitable linkers include, but are not limited to, one or more ethylene glycol (EG) units, more preferably 2 or more EG units (i.e., polyethylene glycol (PEG)), cell-triggered linkers, tissue or organ response linkers, degradable linkers, reactable linkers, etc. Notably, by selectively choosing a specific linker, the cargo is the released into the cell.
[0066] For example, in some embodiments, a peptide conjugate includes a protein or peptide (e.g., peptide antigen) and a hydrophobic lipid linked by a polyethylene glycol (PEG) molecule or a derivative or analog thereof may be used. The precise number of EG units depends on the lipid and the cargo, however, typically, a polar block can have between about 1 and about 100, between about 20 and about 80, between about 30 and about 70, or between about 40 and about 60 EG units. In some embodiments, the polar block has between about 45 and 55 EG, units. For example, in one preferred embodiment, the polar block has 45 EG units.
[0067] The lipid tail is coupled to the linker and such bonding may include ester bond linkages, amide bond linkages, thioester bond linkages, or combinations thereof. The lipid and the linker/cargo are covalently linked. Such bonding may be a covalent bond that can be either a non-cleavable linkage or a cleavable linkage. The non-cleavable linkage can include an amide bond or phosphate bond, and the cleavable linkage can include a disulfide bond, acid-cleavable linkage, ester bond, anhydride bond, biodegradable bond, or enzyme-cleavable linkage.
[0068] In a preferred embodiment, the lipid-tailed molecules are administered in vitro or ex vivo to the cells. For example, cells are removed from the body, treated with the lipid-tailed molecules, alone or in combination with an adjuvant, and then reintroduced into the patient to be treated. In ex vivo methods, the desired cells are isolated from a sample of a patient's blood or tissues and combined with the lipid-tailed molecule. Additional manipulations of the present cells are possible during the ex vivo step, for example, cytokine treatment and amplification of cell numbers.
[0069] The present invention is further directed to methods for treating an illness wherein the method generally comprise administering to a patient an effective amount of the cells prepared ex vivo as described above.
[0070] The present invention using a lipid-tailed biomolecule presents a promising approach for 1) utilizing a non-classical but physiologically abundant APC such as B-cells for cross-presentation of antigen, 2) promoting activation of peripheral immune cells and functionalized T-cells through paracrine and autocrine signaling of lipo-TLR agonists, and 3) increasing proliferation of functionalized T-cells under immune-suppressive tumor environments.
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[0078] An diacyl (C18) lipid-conjugated ligands (lipo-ligands) was engineered that can be depoted into cell membranes in a time- and concentration-dependent fashion for precise and robust delivery up to 241.59.6 (meanSD) fold increase compared to nondepoted cells.
[0079] This ex vivo delivery strategy was further validated by depoting T-cells with di- and tri-palmitoyl lipid-conjugated TLR2 agonists: Pam2CSK4 and Pam3CSK4, to demonstrate enhanced activation of peripheral APCs as well as increased T-cell proliferation in immunosuppressive environments.
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[0082] As stated above, it was found that lipo-CpG can provide autocrine signaling depots to B and T cells with high specificity. B cells depoted with lipo-CpG had sustained activation up to 3 d (
[0083] Drug delivery to cells has consistently been a major barrier to cell engineering. The preliminary data demonstrated the feasibility and flexibility of using lipid tail insertion into plasma membranes as a simple, rapid, efficient method for delivering biomolecules onto and into cells. This method is inspired by natural glycophosphatidylinositol (GPI)-anchored proteins where GPI inserts itself into plasma membranes. It has been shown herein that both diacyl and triacyl TLR2 ligands, Pam2CSK4 and Pam3CSK4, respectively, can be rapidly inserted into cell membranes.
[0084] After determining that depoting was a robust process, the function of depoted Pam2CSK4 to activate neighboring immune cells was tested. Depoted T cells were co-cultured with responders (B cells) and the expression of activation markers was determined after 2 days of co-culture at a 1:1 T cell:B cell ratio. It was determined that depoted cells activated neighboring responder cells nearly equivalent to high doses of Pam2CSK4 in solution (
[0085] In
[0086] The proliferative capacity of depoted CD8+ T cells was evaluated after 3 days of coculture with CD3/28 beads in the presence or absence of immunosuppressive tumor cells. T cells with tumor cells showed impaired proliferation compared to T cells alone (
[0087] The present invention shows enhanced function of immune cells depoted with umethylated CpG DNA (lipo-CpG) by targeting endosomal toll-like receptor 9 (TLR9) while minimizing undesirable TLR9 targeting on bystander cells.
[0088] The major barrier to curing HIV infection is the presence of latently infected cells. These virus reservoirs persist even during and after therapy in a quiescent state essentially invisible to the immune system. Shock and kill is a promising approach that has emerged for HIV eradication. In this paradigm, agents are delivered to shock latently infected cells to reactive latent HIV and express viral proteins, along with targeting by endogenous or engineered effector cells such as cytotoxic T lymphocytes (CTLs) to deliver the kill and eliminate these reservoirs. Most shock and kill studies have focused on eliminating the resting memory CD4+ T cell reservoir. Myeloid-derived tissue-resident cells such as macrophages and microglia are long-lived populations that have also been shown to harbor latent virus. These cells are seeded throughout tissues such as the spleen, gut, and brain rapidly after HIV infection. They also serve as viral reservoirs that contribute to viral replication and rebound after cessation of antiretroviral (ARV) therapy. Importantly, systemic administration of any agent is inefficient, with only a fraction of injected dose penetrating tissues and the majority of intravenously administered doses filtered and metabolized by the liver and kidney. Thus use of the present delivery device will overcome the shortcomings of systemic administration.
[0089] Given the above, a shock and kill regimen would benefit from these properties: 1) reactivation of both T cell and myeloid reservoirs, 2) distribution of shock agents throughout tissue sites, and 3) enhanced kill activity of CTLs against HIV-infected cells. Optimizing these regimens needs to include coordination of the action of shock drugs with the kill activity from CTLs and activation-induced enhancement of cytotoxic CTL activity, increasing overall therapeutic efficacy while reducing toxicity.
[0090] The TLR2 ligand Pam3CSK4 has been identified as an effective shock agent in resting memory CD4+ T cells that can also enhance CTL kill activity, but the potential for reactivation and killing of primary HIV-infected myeloid cells has not been fully explored. Notably, as shown above, the TLR2 ligand Pam3CSK4 and has been inserted into a cell with the delivery device of the present invention. In the present invention, a macrophage-inclusive approach for HIV eradication is evaluated for leveraging a rapid platform for engineering CTLs to optimize shock and kill by simultaneously shocking T cell and myeloid reservoirs, increasing tissue penetrance and colocalization of drug activity, and developing novel CTL-enhancing drugs.
[0091] Lipid-tailed biomolecules are introduced into CTLs (hereafter termed depoting) for enhanced shock and kill regimens as shown in