Use of Macrophage inflammatory protein-1Beta (MIP-1Beta) inhibitor to protect pancreas and prevent blood sugar from rising

Abstract

The present invention relates to a use of a macrophage inflammatory protein-1 (MIP-1) inhibitor to protect the pancreas and prevent blood sugar from rising. The present invention relates to a use of a macrophage inflammatory protein-1 (MIP-1) inhibitor to protect the pancreas, and to prevent blood sugar from rising in a diabetic subject.

Claims

1. A use of a macrophage inflammatory protein-1 (MIP-1) inhibitor to prepare a pharmaceutical composition for protecting the function of pancreas in a diabetic subject, wherein the protection of pancreas function comprises preventing with islet cell damage in the diabetic subject.

2. The use of claim 1, wherein the pharmaceutical composition is used to maintain insulin secretion in the diabetic subject.

3. The use of claim 1, wherein the pharmaceutical composition is used to prevent the elevation of blood sugar in the diabetic subject.

4. The use of claim 1, wherein the macrophage inflammatory protein-1 inhibitor is a compound capable of decreasing or inhibiting the biological activity of MIP-1.

5. The use of claim 1, wherein the macrophage inflammatory protein-1 (MIP-1) inhibitor is a ligand compound with binding specificity for MIP-1.

6. The use of claim 5, wherein the MIP-1 inhibitor is an antibody against MIP-1.

7. The use of claim 6, wherein the antibody is a monoclonal antibody with binding specificity for MIP-1 or a MIP-1 fragment.

8. The use of claim 7, wherein the monoclonal antibody comprises a protein moiety that has a binding site with a fragment of MIP-1.

9. The use of claim 7, the monoclonal antibody comprises a binding site for a fragment of MIP-1 comprising an amino acid sequence of SFVMDYYET (SEQ ID NO: 1).

10. The use of claim 7, the monoclonal antibody comprises a binding site for a fragment of MIP-1 comprising an amino acid sequence of AVVFLTKRGRQIC (SEQ ID NO:2).

Description

BRIEF DESCRIPTION OF THE DRAWINGS

[0013] FIG. 1 shows the protective effects of MIP-1 inhibitor on pancreas in STZ-induced type 1 diabetic mice. The activity of macrophage inflammatory protein (MIP)-1 is inhibited by monoclonal antibody (mAb), which effectively increases the serum insulin levels (n=9).

[0014] FIG. 2 shows the results of streptozotocin (STZ)-induced inflammation in pancreatic tissue of the type 1 diabetic animal model observed by section staining. The red fluorescence indicates insulin expression in islet cells.

[0015] FIG. 3 shows the serum levels of MIP-1 in STZ-induced diabetic mice (n=6).

[0016] FIG. 4 shows the inflammatory states in the pancreatic tissue of type 2 diabetic animal model with hyperinsulinemia and hyperglycaemia observed by histochemical staining. The red fluorescence indicates insulin expression in islet cells.

[0017] FIG. 5 shows the results of Western blot and statistical analysis of IL-6 and IL-8 in pancreas of mice (n=3; 3B). #P<0.05, ##P<0.01 compared with control mice. *P<0.05, **P<0.01 compared with untreated DM mice.

[0018] FIG. 6A shows the concentration of MIP-1 in the supernatants of islet cell (NIT-1 cell) culture medium treated with different doses of STZ. The MIP-1 level was increased with the proliferation of NIT-1 cells. FIG. 6B shows the cytotoxicity of different doses of STZ (STZ 1.5, STZ 3) to NIT-1 cells evaluated by MTT assay (n=3). The decreased NIT-1 cell proliferation is restored by the treatment of monoclonal antibody (mAb), which decreases the damages cause by STZ.

[0019] FIG. 7 shows the insulin levels in the supernatants of NIT-1 cells (n=6). #P<0.05, ##P<0.01 compared with control group of NIT-1 cell. *P<0.05, **P<0.01 compared with the same STZ concentration treated NIT-1 cell group.

DETAILED DESCRIPTION OF THE INVENTION

[0020] As used herein, MIP-1-inhibitor refers to a compound that decreases the level of MIP-1 protein and/or decreases at least one activity of MIP-1 protein. In an exemplary embodiment, a MIP-1-inhibiting compound may decrease at least one biological activity of a MIP-1 protein by at least about 10%, 25%, 50%, 75%, 100%, or more.

[0021] In certain embodiments, methods for reducing, preventing or treating diseases or disorders using a MIP-1-modulating compound may also comprise decreasing the protein level of a MIP-1, or homologs thereof. Decreasing MIP-1 protein level can be achieved according to methods known in the art. For example, a siRNA, an antisense nucleic acid, or a ribozyme targeted to the MIP-1 can be expressed in or be transfected into the cell. Alternatively, agents that inhibit transcription can be used. Methods for modulating MIP-1 protein levels also include methods for modulating the transcription of genes encoding MIP-1, methods for destabilizing the corresponding mRNAs, and other methods known in the art.

[0022] In other embodiments, the MIP-1-inhibitor directly or indirectly decreases or inhibits the activity of MIP-1 protein by binding to MIP-1 protein, and thereby to protect pancreas and prevent blood sugar from rising. For instance, according to some embodiments of the present invention, methods for inhibiting the activity of MIP-1 protein in a subject may use an anti-MIP-1 antibody to compete with the MIP-1 protein for binding to its receptor on cell surface. The term antibody herein is used in the broadest sense and specifically includes full-length monoclonal antibodies, polyclonal antibodies, multi specific antibodies (e.g., bispecific antibodies), and antibody fragments, as long as they exhibit the desired biological activity.

[0023] As used herein, the term antibody means an immunoglobulin molecule or a fragment of an immunoglobulin molecule having the ability to specifically bind to a particular antigen. An antibody fragment comprises a portion of a full-length antibody, preferably antigen-binding or variable regions thereof. Examples of antibody fragments include Fab, Fab, F(ab).sub.2, F(ab).sub.2, F(ab).sub.3, Fv (typically the VL and VH domains of a single arm of an antibody), single-chain Fv (scFv), dsFv, Fd fragments (typically the VH and CH1 domain), and dAb (typically a VH domain) fragments; VH, VL, and VhH domains; minibodies, diabodies, triabodies, tetrabodies, and kappa bodies (see, e.g., Ill et al., Protein Eng 1997; 10: 949-57); camel IgG; and multispecific antibody fragments formed from antibody fragments, and one or more isolated CDRs or a functional paratope, where isolated CDRs or antigen-binding residues or polypeptides can be associated or linked together so as to form a functional antibody fragment.

[0024] In certain embodiments, the MIP-1-inhibitor is a monoclonal antibody specifically binding to the MIP-1 protein. In one embodiment, the anti-MIP-1 monoclonal antibody has the binding specificity for a functional fragment of MIP-1 protein structure. According to some embodiments of present invention, the MIP-1-inhibitor, such as a monoclonal antibody, binds to the antigen determinant fragment of MIP-1 protein comprising an amino acid sequence of 4654: SFVMDYYET (SEQ ID NO:1) or 6274: AVVFLTKRGRQIC (SEQ ID NO:2).

[0025] In some embodiments of the invention, the monoclonal antibody is a humanized antibody or a human antibody.

[0026] Pharmaceutical compositions for use in accordance with the present invention may be formulated in a conventional manner using one or more physiologically acceptable carriers comprising excipients and auxiliaries which facilitate processing of the active compounds into preparations which can be used pharmaceutically. Proper formulations, including (but not limited to) oral compositions such as tablets, capsules, powders and the like, parenteral compositions such as aqueous solutions for subcutaneous, intramuscular or intraperitoneal injection, and lyophilized powders combined with a physiological buffer solution just before administration, are formulated depending upon the chosen route of administration.

[0027] The other characteristics and advantages of the present invention will be further illustrated and described in the following examples. The examples described herein are using for illustrations, not for limitations of the invention.

EXAMPLE

Example 1. MIP-1 Inhibition Protects Pancreas and Prevents Blood Sugar from Rising in Streptozotocin (STZ)-Induced Diabetic Mice

[0028] The blood sugar concentrations were followed during in vivo experiment periods. The blood sugar levels of STZ-induced diabetic mice were not only increased in with or without the hindlimb ischemia surgery groups but in the MIP-1 neutralizing antibody injection for 2 weeks group. However, the blood sugar level was maintained in the MIP-1 neutralizing antibody injection for 4 weeks group no matter with or without the hindlimb ischemia surgery (Table 1).

TABLE-US-00001 TABLE 1 Blood sugar levels in STZ-induced diabetic mice Groups Before MIP-1 mAb After MIP-1 mAb Time points injection (mg/dl) injection (mg/dl) Non-DM control 105.3333 19.0875 110.3333 10.2632 DM without hindlimb 335.6667 67.1287 440.5000 24.7851** ischemia DM with hindlimb 350.0000 22.4321 435.5000 22.1427** ischemia DM + MIP-1 beta mAb 332.8333 55.3513 392.6667 32.2780* for 2 wks + stabilization 2 wks DM + MIP-1 beta mAb 351.0000 54.0074 289.0000 50.2872 for 4 wks DM without hindlimb 331.1667 42.9344 259.8333 89.3228 ischemia + MIP-1 beta mAb for 4 wks DM + IgG.sub.2A 319.0000 24.3721 404.0000 45.2769* Values are presented as mean SD (n = 6~8 in each group). *P < 0.05, **P < 0.01 compared with the same group of blood sugar level before MIP-1 mAb injection.

[0029] As showed in FIG. 1, serum concentrations of insulin were significantly decreased in STZ-induced diabetic mice compared with control mice. And, insulin levels were increased after MIP-1 neutralizing antibody injection for 4 weeks compared with untreated diabetic mice.

[0030] Additionally, the inflammatory state in pancreas tissue was observed by histochemical staining with insulin expression. As showed in FIG. 2, MIP-1 inhibition groups had more insulin expressions (by the islet cell having red fluorescence) in pancreas than untreated diabetic mice group. These results indicate that the number of pancreatic islets was significantly reduced due to inflammation damages in diabetic animals with high blood glucose levels (the DM group). On the contrary, the diabetic animals injected with a monoclonal antibody (mAb) against MIP-1 (the DM+mAb group) can prevent pancreatic island cells from the damages by inflammation, further partially maintain the morphology of pancreatic island and achieve the effects of protecting the pancreas.

Example 2. MIP-1 Inhibition Protects Pancreas and Prevents Blood Sugar from Rising in Leprdb/db Type 2 Diabetic Mice

[0031] As the results showed in FIG. 3, MIP-1 levels were elevated in high fat diet-induced Leprdb/db type 2 diabetic mice (produced by autosomal recessive mutation in the leptin receptor), compared to the normal control mice. Injection of an anti-MIP-1 monoclonal antibody can effectively control the blood glucose level, which does not continue to increase, in diabetic animals with high blood glucose level, no matter with or without the hindlimb ischemia surgery (OP) (Table 2).

TABLE-US-00002 TABLE 2 Blood sugar levels in Leprdb/db diabetic mice Before MIP-1 mAb After MIP-1 mAb injection (mg/dl) injection (mg/dl) non-DM control 154.6000 10.6442 157.4000 6.1074 DM without op 327.8000 43.5167 641.2000 51.1781** N = 5 DM with op 325.3333 57.0322 656.3333 39.6669** DM + MIP-1 beta 321.0000 55.0963 473.6667 58.5377** mAb for 2 wks + stabilization 2 wks DM + MIP-1 beta 342.6667 58.0299 377.0000 33.5857 mAb for 4 wks DM without op + 287.6000 25.9191 480.8000 112.0299** MIP-1 beta mAb for N = 5 2 wks + stabilization 2 wks DM without op + 319.6000 92.7324 370.4000 84.2929 MIP-1 beta mAb for N = 5 4 wks DM + IgG.sub.2A 363.2500 82.2086 629.7500 75.5177** Values are presented as mean SD (n = 4~6 in each group). *P < 0.05, **P < 0.01 compared with the same group of blood sugar level before MIP-1 mAb injection.

[0032] Furthermore, the inflammation in the pancreatic tissue of Leprdb/db type 2 diabetic mice model (which are hyperphagic, obese, hyperinsulinemic and hyperglycemic) was observed by histochemical staining. The red fluorescence presents the level of insulin expression for indicating islet cells. As showed in FIG. 4, the islet cells of diabetic mice were severely damaged as losing red fluorescence. However, the morphology of islet cells of Leprdb/db type 2 diabetic mice with high blood glucose level was partially restored after the injection of MIP-1 monoclonal antibody (mAb). These results suggest that administration of MIP-1 neutralizing monoclonal antibody provides protective effects on pancreas to prevent islet cells from damage and maintain the normal function of insulin secretion in the pancreas.

[0033] These findings implied the possible protection of pancreas from MIP-1 inhibition in diabetic animals.

Example 3. MIP-1 Inhibitor Protects Islet Cells from Inflammation in Streptozotocin (STZ)-Induced Damage Cell Model

[0034] For further understanding the mechanism of the protective effects on pancreas by MIP-1 inhibitor, we evaluated the level of inflammatory proteins in pancreas by Western blotting. As showed in FIG. 5, the levels of interleukin 6 (IL-6) and interleukin 8 (IL-8) were both decreased in the MIP-1 neutralizing monoclonal antibody treated group (DM+MIP-1 beta mAb group). The results indicate that injection of an anti-MIP-1 monoclonal antibody effectively inhibit the expression of inflammatory proteins, such as IL-6 and IL-8, in pancreas (especially, in islet). Thus, inhibiting the function of MIP-1 protein will protect islet cells from the inflammation response induced by the STZ-treatment.

[0035] In the in vitro experiment, we added STZ to mimic the in vivo conditions in our previous experiments. NIT-1 (a pancreatic beta-cell line established from transgenic nod/It mice) cells were seeded in 96-well plates at a cell concentration of 110.sup.5 cells per well and were pre-incubated overnight. After pre-incubation, NIT-1 cells were exposed to STZ (0, 0.75, 1.5, 3, 6 mM) for 24 hours. Cytotoxicity of STZ on the NIT-1 cells was determined using MTT assay. Also, NIT-1 cells were treated with STZ for 24 hours and then with or without MIP-1 antibody (R&D system) at low dose (0.3 g/ml) or high dose (30 g/ml) for 4 hours. NIT-1 cell proliferation was evaluated by MTT assay. The results are showed in FIG. 6.

[0036] As the results of NIT-1 cell research showed in FIG. 6A, streptozotocin (STZ 1.5, STZ 3) stimulated the islet cells (NIT-1 cells) to produce Macrophage inflammatory protein (MIP)-10, which resulted in the increased concentration of MIP-1 in the culture medium with the increasing dose of streptozotocin. The increase in macrophage inflammatory protein-1 production was inhibited by the administration of anti-MIP monoclonal antibody (mAb).

[0037] As showed in FIG. 6B, NIT-1 cell viability was significantly decreased after the streptozotocin (STZ 1.5, STZ 3) treatments. The cytotoxicity of STZ on the islet cells (NIT-1 cells) was increased with the dose of STZ. The antagonistic effect of monoclonal antibody (mAb) against the produced MIP-1 can directly and effectively improve the inhibition of islet cells (NIT-1) proliferation and cell damages induced by streptozotocin (STZ 1.5, STZ3). Therefore, inhibition of macrophage inflammatory protein (MIP)-1 can directly protect islet cells and reduce the damage of streptozotocin to islet cells.

[0038] The results in FIG. 7 showed that the insulin secretion in NIT-1 cell supernatants were decreased after 1.5 or 3 mM STZ treatment, and the decrease is dose-dependent. The inhibition of insulin secretion can be reversed by the treatment of MIP-1 neutralizing monoclonal antibody (mAb). These in vitro data confirmed that MIP-1 inhibition was benefit to protect islet directly, reduce the damages induced by STZ, and recover the decreased insulin secretion.

1. As one embodiment of inhibitory agent for MIP-1, the MIP-1 neutralizing antibody exhibits effects on type 1 and type 2 diabetic animals, including to protect pancreas from inflammation; maintain the blood sugar levels after MIP-1 neutralizing antibody treatments; increase insulin levels; and decrease IL-6/IL-8 expressions in pancreas, indicating the protection role of MIP-1 inhibition in pancreas function.