METHODS OF TREATING ZIKA VIRUS, MERS-COV, CHIKUNGUNYA, VENEZUELAN EQUINE ENCEPHALITUS, AND RHINOVIRUS IN MAMMALIAN PATIENTS
20170157219 ยท 2017-06-08
Assignee
Inventors
Cpc classification
C12Y301/27
CHEMISTRY; METALLURGY
C12N9/22
CHEMISTRY; METALLURGY
International classification
Abstract
Viral infections in mammals can be treated and prophylactically prevented by systemic administration of ranpirnase and three other ribonucleases that are highly homologous with it and that have activities that are highly similar to it. Experimental results against Zika virus, Middle East Respiratory Syndrome Coronavirus (MERS-CoV), Chikungunya virus, Venezuelan equine encephalitis, and rhinovirus-14 are disclosed.
Claims
1. A method of treating a viral infection in a mammalian patient, the viral infection being other than Dengue fever, yellow fever, and severe acute respiratory syndrome and being classified in Baltimore Classification Group IV, comprising systemically administering a therapeutically effective dose of ranpirnase to the patient.
2. A method of treating a viral infection in a mammalian patient, the viral infection being other than Dengue fever, yellow fever, and severe acute respiratory syndrome and being classified in Baltimore Classification Group IV, comprising systemically administering a therapeutically effective dose of Amphinase 2 to the patient.
3. A method of treating a viral infection in a mammalian patient, the viral infection being other than Dengue fever, yellow fever, and severe acute respiratory syndrome and being classified in Baltimore Classification Group IV, comprising systemically administering a therapeutically effective dose of rAmphinase 2 to the patient.
4. A method of treating a viral infection in a mammalian patient, the viral infection being other than Dengue fever, yellow fever, and severe acute respiratory syndrome and being classified in Baltimore Classification Group IV, comprising systemically administering a therapeutically effective dose of the '805 variant to the patient.
5. The method of claim 1, 2, 3, or 4, wherein the patient is a human being.
6. The method of claim 1, 2, 3, or 4 wherein the patient is an equine species.
7. A method of treating a Zika virus infection in a mammalian patient, comprising systemically administering a therapeutically effective dose of ranpirnase to the patient.
8. A method of treating a MERS-CoV infection in a mammalian patient, comprising systemically administering a therapeutically effective dose of ranpirnase to the patient.
9. A method of treating an infection in the rhinovirus family in a mammalian patient, comprising systemically administering a therapeutically effective dose of ranpirnase to the patient.
10. A method of treating a Venezuelan equine encephalitis infection in a mammalian patient, comprising systemically administering a therapeutically effective dose of ranpirnase to the patient.
11. A method of treating a Chikungunya infection in a mammalian patient, comprising systemically administering a therapeutically effective dose of ranpirnase to the patient.
12. The method of claim 7, 8, 9, or 11, wherein the patient is a human being.
13. The method of claim 10, wherein the patient is an equine species.
14. A method of treating a Zika virus infection in a mammalian patient, comprising systemically administering a therapeutically effective dose of Amphinase 2 to the patient.
15. A method of treating a MERS-CoV infection in a mammalian patient, comprising systemically administering a therapeutically effective dose of Amphinase 2 to the patient.
16. A method of treating an infection in the rhinovirus family in a mammalian patient, comprising systemically administering a therapeutically effective dose of Amphinase 2 to the patient.
17. A method of treating a Venezuelan equine encephalitis infection in a mammalian patient, comprising systemically administering a therapeutically effective dose of Amphinase 2 to the patient.
18. A method of treating a Chikungunya infection in a mammalian patient, comprising systemically administering a therapeutically effective dose of Amphinase 2 to the patient.
19. The method of claim 14, 15, 16, or 18, wherein the patient is a human being.
20. The method of claim 17, wherein the patient is an equine species.
21. A method of treating a Zika virus infection in a mammalian patient, comprising systemically administering a therapeutically effective dose of rAmphinase 2 to the patient.
22. A method of treating a MERS-CoV infection in a mammalian patient, comprising systemically administering a therapeutically effective dose of rAmphinase 2 to the patient.
23. A method of treating an infection in the rhinovirus family in a mammalian patient, comprising systemically administering a therapeutically effective dose of rAmphinase 2 to the patient.
24. A method of treating a Venezuelan equine encephalitis infection in a mammalian patient, comprising systemically administering a therapeutically effective dose of rAmphinase 2 to the patient.
25. A method of treating a Chikungunya infection in a mammalian patient, comprising systemically administering a therapeutically effective dose of rAmphinase 2 to the patient.
26. The method of claim 21, 22, 23, or 25 wherein the patient is as human being.
27. The method of claim 24, wherein the patient is an equine species.
28. A method of treating a Zika virus infection in a mammalian patient, comprising systemically administering a therapeutically effective dose of the '805 variant to the patient.
29. A method of treating a MERS-CoV infection in a mammalian patient, comprising systemically administering a therapeutically effective dose of the '805 variant to the patient.
30. A method of treating an infection in the adenoviridae family, or an infection in the rhinovirus family in a mammalian patient, comprising systemically administering a therapeutically effective dose of the '805 variant to the patient.
31. A method of treating a Venezuelan equine encephalitis infection in a mammalian patient, comprising systemically administering a therapeutically effective dose of the '805 variant to the patient.
32. A method of treating a Chikungunya infection in a mammalian patient, comprising systemically administering a therapeutically effective dose of the '805 variant to the patient.
33. The method of claim 28, 29, 30, or 32, wherein the patient is a human being.
34. The method of claim 31, wherein the patient is an equine species.
35. A method of prophylactically protecting a patient from: a. Zika virus; or b. MERS-CoV; or c. Chikungunya; or d. Venezuelan equine encephalitis; or e. a virus in the rhinovirus family, comprising the step of administering a therapeutically effective dose of ranpirnase to the patient.
36. A method of prophylactically protecting a patient from: a. Zika virus; or b. MERS-CoV; or c. Chikungunya; or d. Venezuelan equine encephalitis; or e. a virus in the rhinovirus family, comprising the step of administering a therapeutically effective dose of the '805 variant to the patient.
37. A method of prophylactically protecting a patient from: a. Zika virus; or b. MERS-CoV; or c. Chikungunya; or d. Venezuelan equine encephalitis; or e. a virus in the rhinovirus family, comprising the step of administering a therapeutically effective dose of Amphinase 2 to the patient.
38. A method of prophylactically protecting a patient from: a. Zika virus; or b. Mers-CoV; or c. Chikungunya; or d. Venezuelan equine encephalitis; or e. a virus in the rhinovirus family, comprising the step of administering a therapeutically effective dose of rAmphinase 2 to the patient.
39. A method of treating a patient for a viral infection caused by a virus in the Flaviviridae family, comprising systemically administering a therapeutically effective dose of ranpirnase to the patient.
40. A method of treating a patient for a viral infection caused by a virus in the Flaviviridae family, comprising systemically administering a therapeutically effective dose of the '805 variant to the patient.
41. A method of treating a patient for a viral infection caused by a virus in the Flaviviridae family, comprising systemically administering a therapeutically effective dose of Amphinase 2 to the patient.
42. A method of treating a patient for a viral infection caused by a virus in the Flaviviridae family, comprising systemically administering a therapeutically effective dose of rAmphinase 2 to the patient.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0012] In the drawings, wherein
[0013] CC.sub.50 is the cytotoxic concentration (expressed in nM) of ranpirnase, i.e. the ranpirnase concentration that decreased cell viability by 50%, and
[0014] IC.sub.50 is the inhibitory concentration (expressed in nM) of ranpirnase, i.e. the ranpirnase concentration that inhibited replication of the virus under test by 50%,
[0015] SI, the selective index, is CC.sub.50/IC.sub.50. The higher the value of SI, the more active is the ranpirnase against the virus under test.
[0016]
[0017]
[0018]
[0019]
[0020]
[0021]
[0022]
[0023]
[0024]
[0025]
[0026]
DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS
Example 1
Zika Virus in Huh-7 Liver Carcinoma Cells
[0027] The antiviral activity of ranpirnase against Zika virus strain Uganda MR 766 in Huh-7 human liver carcinoma cells was assessed. Interferon (which is known to be active against this Zika virus strain) was run in parallel as a control.
[0028] The ranpirnase and the control were serially diluted to produce eight half-log dilutions in MEM medium. The diluent for ranpirnase was 50 g/mL gentamicin and serum; the diluent for interferon was 50 g/mL gentamicin and serum and trypsin. Each dilution was added to 5 wells of a 96-well plate with 80%-100% confluent cells, and three wells of each dilution were then infected. Two wells remained uninfected as toxicity controls.
[0029] The virus was incubated for 4 days at 37 C. and 5% CO.sub.2. After cytopathic effect (CPE) was observed microscopically, plates were scored for degree of CPE and then stained with neutral red dye for approximately 2 hours, then supernatant dye was washed from the wells and the incorporated dye was extracted in 50:50 Sorensen citrate buffer/ethanol and read on a spectrophotometer. The optical density of test wells was converted to percent of cell and virus controls, then the concentration of ranpirnase required to inhibit CPE by 50% (IC.sub.50) was calculated by regression analysis. The concentration of ranpirnase that would cause 50% CPE in the absence of virus (CC.sub.50) was similarly calculated, as was the selectivity index SI.
[0030] The results of this experiment are shown in
[0031] The selectivity index SI is an accepted measurement of the ability of a drug under test to inhibit replication of a viral infection without killing the infected cells. Where SI in the accompanying Figure is greater than 1, ranpirnase is active against the virus indicated, and increasing values of SI indicate increasing activity. Thus, as can be seen in
[0032] Because SI measures the ability of a substance under test to inhibit replication of a particular virus without killing the infected cells themselves, it is reasonably correlated with usefulness of the substance in treating a mammalian subject that is infected with the virus. Accordingly, test results in which SI>1 indicate that mammalian subjects infected with with Uganda MR 766 strain of Zika virus can be treated by systemic administration of an appropriate dose of ranpirnase. Additionally, activity against the Uganda MR 766 strain of the Zika virus is reasonably correlated with activity against all strains of the Zika virus because such strains are similar and behave similarly. Furthermore, other below-disclosed experimental results in VEEV, CHIV, and RV-14 indicate that it should be possible to use ranpirnase as a prophylactic to prevent Zika viral infection.
Example 2
MERS-CoV in NHBE Cells
[0033] In the experiment illustrated in
[0034] More specifically, the NHBE cells were grown in HEPES Buffered Saline Solution at 37 C. for seven days. The cells were washed and refreshed once daily. Two controls were used: one contained MERS-CoV virus and the other contained uninfected NHBE cells that were treated with the agents under test.
[0035] On the eighth day, the tested concentrations of the three agents under test were introduced into the cells and buffer solution and the virus was introduced at a multiplicity of infection (MOI) of 0.01. The virus- and agent-containing samples were then incubated for 72 hours at 37 C. and 5% CO.sub.2, with the medium being replenished once each day. After 72 hours, the samples were then titrated to determine their viral content.
[0036] In this experiment SI was not calculated. Rather, the anti-viral activity of the various agents under test was determined by comparing viral production (viral titer in Vero 76 cells) in NHBE cells that had been treated with the various agents under test to the viral production in the NHBE cells used as controls.
[0037] As can be seen in
[0038] Because ranpirnase was so effective at inhibiting replication of the MERS-CoV virus in NHBE cells while not killing the host cells, this experiment further evidences the likelihood that systemically administered ranpirnase will be useful in treating a mammalian subject infected with a virus, and particularly a mammalian subject infected with MERS-CoV virus. Furthermore, other below-disclosed experimental results in VEEV, CHIV, and EBOV indicate that it should be possible to use ranpirnase as a prophylactic to prevent MERS-CoV infection.
Example 3
VEEV, and CHIV (In Vitro)
[0039] Methodology
[0040] Several studies were conducted to assess the ability of ranpirnase to inhibit infection of cells by VEEV and CHIV. Ranpirnase solution and powder-derived ranpirnase were tested. The powder-derived ranpirnase was lyophilized ranpirnase provided by Tamir Biotechnology, Inc. Quality control of the assay was conducted using Positive (Neutral) control (n=16) or infected cells+media, uninfected cells (Negative control) (n=16) and dose response for control inhibitors (n=2 or 4). Z was calculated for Neutral control and uninfected cells. Data were normalized on the plate bases. Data analysis was done using GeneData software and analysis of dose response curve to determine ED50 of ranpirnase was performed using GeneDataCondoseo software applying Levenberg-Marquardt algorithm (LMA) for curve fitting strategy.
[0041] VEEV in Astrocytes
[0042] To test the effect of ranpirnase on VEEV infection of astrocytes, ranpirnase solution (RAN) was tested in duplicated 10 point dose response, and powder-derived ranpirnase (RAN-2) was re-suspended in phosphate buffered saline at 3.5 mg/ml and was tested only as a single dose response. Both the RAN and the RAN-2 were tested in two independent experiments. In these experiments, astrocytes were plated at 4,000 and 3,000 cells/well, incubated overnight and pre-treated with ranpirnase for 2 hours before the infection. Cells were infected at a multiplicity of infection (MOI) equal to 0.05 for 20 hours. The results of the study are provided in
[0043] To test the effect of ranpirnase on VEEV infection of HeLa cells, RAN was tested in quadruplicated (n=4) 10 point dose response repeated in two independent experiments (rep1 and rep2). RAN2 was tested in n=2 dose responses on plate and repeated in 2 independent experiments. HeLa cells were plated at 4,000 cells/well, incubated overnight and pre-treated with ranpirnase 2 hours before infection. Cells were infected at an MOI equal to 0.05 for 20 hours. The results of the study are provided in
[0044] CHIV in U2OS Cells
[0045] To test the effect of ranpirnase on CHIV infection of U2OS cells, ranpirnase solution was tested in quadruplicated (n=4) 10 point dose response repeated in two independent experiments (rep1 and rep2). The RAN2 stock was tested in n=2 dose responses on plate and repeated in two independent experiments. U2OS cells were plated at 3,000 cells/well, incubated overnight and pre-treated with ranpirnase 2 hours before infection. Cells were infected at a MOI equal to 0.4 for 24 hours. The results of the study are provided in
[0046] Summary of In Vitro VEEV and CHIV Experiments
[0047] The results of the study showed that ranpirnase exhibited robust inhibition of VEEV and CHIV, with surprisingly low AC50 values and surprisingly high SI values. Because SI measures the ability of a substance under test to inhibit replication of a particular virus without killing the infected cells themselves, it is reasonably correlated with usefulness of the substance in treating a mammalian subject that is infected with the virus. Accordingly, test results such as these in which SI>1 indicate that mammalian subjects infected with VEEV, and CHIV can be treated by systemic administration of an appropriate dose of ranpirnase.
[0048] These experiments demonstrate that ranpirnase inhibited replication of the tested VEEV and CHIV in various mammalian cells (astrocytes, U2OS cells) without killing the cells themselves. These experiments further evidence the likelihood that systemically administered ranpirnase will be useful in treating a mammalian subject infected with a virus, and particularly a mammalian subject infected with VEEV and CHIV. Furthermore, it is to be noted that in these experiments, the ranpirnase was used prophylactically, in that the viruses were introduced into cells that had already been treated with ranpirnase. These experiments therefore constitute evidence that the antiviral qualities of ranpirnase can be used prophylactically as well as therapeutically.
Example 4
RV in NHBE Cells
[0049] Ranpirnase stock solution was prepared, stored, thawed, and used to prepare working solutions as described in the AV and RSV experiments disclosed above.
[0050] NHBE from MatTek Corporation were used in the study. They were the same cell line as were used in the AV and RSV experiments discussed above and were provided in the same kits. As in the AV and RSV experiments, tissue inserts were immediately transferred to individual wells of a 6-well plate according to manufacturer's instructions. Tissues were supplied with 1 ml of the same culture medium used in the AV and RSV experiments to the basolateral side, and the apical side was exposed to a humidified 95% air/5% CO.sub.2 environment. Cells were equilibrated as in the AV experiment, and after this equilibration period, the mucin layer was removed as in the AV and RSV experiments and the culture medium was replenished.
[0051] RV-14 (strain 1059 from ATCC) was stored at 80 C. prior to use. The titer of the stock virus was equal to titer 3.6 log 10 CCID50/0.1 ml. The dose level of challenge virus was based on data from the previous experiments, and corresponded to a multiplicity of infection (MOI) of 0.0041.
[0052] Differentiated NHBE cells were experimentally infected with RV-14 virus. After an adsorption period of 1 hour, the viral inoculum was removed and treatments applied (
[0057] Toxicity controls were microscopically examined for possible changes in tissue and/or cell morphology at the end of the experiment.
[0058] NHBE cells were inoculated by exposure of the apical side to RV-14 or cell culture medium (sham infection) as seen in
[0059] After inoculation, ranpirnase, pirodavir, or cell culture medium (placebo/cell control) was added to the apical side of the cells and in the basal medium compartment, and incubated with the cells for 1 hour. After 1-hour incubation, the drug-containing medium was removed from the apical and basal chambers. Culture medium alone (Placebo/Cell control) or with drug (test condition) was added to the bottom chamber, and cells were incubated for 4 days. Twenty-four hours post infection, cell culture medium with and without drug was replenished to the basal compartment.
[0060] Following infection and treatment, cells were maintained at the air-liquid interface, and cell culture supernatant was harvested 4 days post virus exposure. Virus released into the apical compartment of the NHBE cells was harvested by the addition and collection of 500 l culture medium allowed to equilibrate for 30 min at 37 C. and 5% CO.sub.2. The medium from the apical compartment divided into 2 aliquots, which were stored at 80 C. for future analysis of viral titers.
[0061] HeLa Ohio-1 cells were seeded in 96-well plates and grown overnight to achieve confluence, then washed twice with 100 l infection medium (MEM/EBSS supplemented with 50 l/ml gentamycin). Wells were filled with 100 l infection medium. Apical washes from the NHBE cell cultures were diluted 10-fold in infection medium and 100 l were transferred into respective wells of a 96-well microtiter plate. Each concentration of ranpirnase from the NHBE cells (6 NHBE cell wells/dose) was titered leading to six titers per concentration (each NHBE well treated as a replicate) to evaluate the virus yields from infected and infected, treated cells. Thus, each concentration of Ranpirnase was titered a total of six times. For the positive control, pirodavir, one well of NHBE cells only was assigned to each concentration. Thus, each concentration was titered only once. Three wells were assigned as untreated, infected controls. They were titered once, resulting in three replicate untreated, infected control titers. After 7 days of incubation at 37 C. and 5% CO.sub.2, cells were microscopically examined and scored for virus-induced CPE. A well was scored positive if any trace of CPE (cell lysis) was observed as compared with the uninfected control. CCID50 was calculated by the Reed-Muench method and the inverse of that dilution represented the virus titer.
[0062] All ranpirnase treatments decreased virus titers relative to the titers of untreated infected controls except for the lowest dose (
[0063] No virus cytopathic effects were detected in uninfected, ranpirnase-treated or pirodavir-treated cells. Microscopy evaluations of ranpirnase-treated or pirodavir-treated NHBE cells revealed no toxicological phenomena.
[0064] Therefore, the results of the study showed that all doses of ranpirnase tested (50 M, 1.0 M, 5 M and 1 M) reduced RV-14 titers in a statistically significant manner, and that ranpirnase alone did not elicit cytopathic effects in NHBE cells. Such titer reduction, accompanied by absence of cytopathic effects on the host cells, is reasonably correlated with usefulness of ranpirnase in treating RV-14. Because ranpirnase was so effective at inhibiting RV-14 while not killing the host cells, this experiment further evidences the likelihood that systemically administered ranpirnase will be useful in treating a mammalian subject infected with a virus, and particularly a mammalian subject infected with RV-14. Furthermore, the above-disclosed experimental results in Zika virus, VEEV, CHIV, and EBOV indicate that it should be possible to use ranpirnase as a prophylactic to prevent RV-14 infection.
[0065] Generally, in view of the different viruses that respond to treatment using ranpirnase, a person of ordinary skill in this art would conclude that any route by which ranpirnase is systemically administered will be adequate to treat any particular virus (although one route may be more effective than another in any particular instance). Thus, enteral administration (including without limitation oral administration and rectal administration) and parenteral administration (including without limitation intravenous administration, intramuscular administration, and aerosol delivery) are appropriate methods for administration of ranpirnase.
[0066] A therapeutically effective dose of ranpirnase can be determined by the skilled person as a matter of routine experimentation. The therapeutically effective dosage of a pharmaceutical composition can be determined readily by the skilled artisan, for example, from animal studies. Also, human clinical studies can be performed to determine the preferred effective dose for humans by a skilled artisan. Such clinical studies are routine and well known in the art. The precise dose to be employed will also depend on the route of administration. Effective doses may be extrapolated from dose-response curves derived from in vitro or animal test systems.
[0067] The above-recited experimental results were carried out using ranpirnase. However, other ribonucleases that are highly homologous to ranpirnase have exhibited highly similar activities against other viruses. These other ribonucleases are identified in U.S. Pat. Nos. 5,728,805, 6,239,257, and U.S. Pat. No. 7,229,824. The RNase of SEQ ID NO:2 in U.S. Pat. No. 5,728,805 is herein referred to as the '805 variant, the RNase of SEQ ID NO:1 in U.S. Pat. No. 6,239,257 is herein referred to as Amphinase 2, and the RNase of SEQ ID NO:59 of U.S. Pat. No. 7,229,824 is herein referred to as rAmphinase 2. To a person of ordinary skill in this art, the similarities of homology and activity of these three other ribonucleases is strong evidence that these three other ribonucleases will have the same activity as ranpirnase has. Hence, although the above-disclosed experiments have not yet been repeated using the '805 variant, Amphinase 2, or rAmphinase 2, it is believed that the above data are fully applicable to these three ribonucleases and that these three ribonucleases will be active against Zika virus, MERS-CoV, CHIV, and RV in humans, and VEEV in equine species.
[0068] As demonstrated above, ranpirnase inhibits growth of Zika virus, MERS-CoV, VEEV, and CHIV, and RV-14 in various cell types. These five viruses are all categorized in Baltimore Classification Group IV. This activity, taken together with the above-disclosed activity that ranpirnase has demonstrated against a broad spectrum of viruses, is substantial evidence justifying the conclusion that systemically administered ranpirnase will be effective against viruses categorized in Baltimore Classification Group IV. And, based upon the similarities of homology and activity of the '805 variant, Amphinase 2, and rAmphinase 2 to the homology and activity of ranpirnase, these three other ribonucleases would be expected to have the same activity as ranpirnase against viruses classified in Baltimore Classification Group IV.
[0069] Although at least one preferred embodiment of the invention has been described above, this description is not limiting and is only exemplary. The scope of the invention is defined only by the claims, which follow: