RADIONUCLIDE-LHRH CONJUGATES FOR DIAGNOSIS OF REPRODUCTIVE CANCERS
20230060997 · 2023-03-02
Inventors
Cpc classification
A61K51/088
HUMAN NECESSITIES
G01N33/76
PHYSICS
International classification
Abstract
The present disclosure concerns luteinizing hormone receptor hormone (LHRH) compositions that can selectively bind to an LHRH receptor. Through the incorporation of radionuclides in the LHRH compositions, selective radiolabeling is made possible, allowing for identification of cells over-expressing the LHRH receptor, which is often a facet of an abnormally growing cell or a tumorigenic cell. The LHRH compositions can therefore provide for improved detection and monitoring of cancers associated with or caused by LHRH receptor over-expression.
Claims
1. A luteinizing hormone releasing hormone (LHRH) composition comprising an LHRH peptide, a linker and a tridentate structure comprised of three amines and a metal or halide nuclide, wherein the three amines retain the metal or halide nuclide.
2. The LHRH composition of claim 1, wherein the linker is covalently bound internally to the LHRH peptide.
3. The LHRH composition of claim 1, wherein the LHRH peptide comprises an amino acid sequence as set forth in SEQ ID NO: 2 or SEQ ID NO: 3, wherein X1 is a serine residue, X2 is a tyrosine, phenylalanine, leucine or histidine residue, X3 is glycine, leucine, serine, histidine, lysine, aspartate, glutamate, alanine, or tryptophan residue and X4 is a leucine, valine, tryptophan, or methionine residue.
4. The LHRH composition of claim 3, wherein the linker is covalently bound to X1, X2, X3 or X4.
5. The LHRH composition of claim 3, wherein one or more of X1, X2, X3 or X4 is a right-handed amino acid.
6. The LHRH composition of claim 1, wherein the LHRH peptide is selected from the group consisting of [D-Lys6]-LHRH, leuprorelin, goserelin, buserelin, histrelin, triptorelin, degrelix, nafarelin, [D-Trp6]-LHRH, [D-Ala6]-LHRH, [Gln8]-LHRH, antide, and gonadorelin.
7. The LHRH composition of claim 1, wherein the LHRH peptide comprises [D-Lys6]-LHRH.
8. The LHRH composition of claim 1, wherein the linker is covalently bound to the LHRH peptide through a phenyl, an amine, a hydroxyl, a sulfhydryl, a thiol, or a carboxyl group on a side chain of an amino acid therein.
9. The LHRH composition of claim 1, wherein the linker is covalently bound to an amine of a side chain of the LHRH peptide.
10. The LHRH composition of claim 1, wherein the linker comprises an amino alkyl carboxylic acid, wherein the alkyl is of between 1 to 25 carbons in length.
11. The LHRH composition of claim 10, wherein the linker further comprises a polyethylene glycol chain of between 1 to 50 repeats in length.
12. The LHRH composition of claim 1, wherein the tridentate structure is covalently linked to the linker.
13. The LHRH composition of claim 1, wherein the tridentate structure is a dialkyltriamine.
14. The LHRH of claim 12, wherein the tridentate structure is a diethylenetriamine.
15. The LHRH composition of claim 1, wherein the metal or halide nuclide is a radionuclide.
16. The LHRH composition of claim 15, wherein the radionuclide is selected from the group consisting of .sup.99mtechnetium, .sup.186rhenium, .sup.188rhenium, .sup.186/188rhenium, .sup.18fluorine, .sup.67gallium, .sup.68gallium, .sup.64copper, .sup.67copper, .sup.64/67copper, .sup.90yttrium, .sup.177lutetium, .sup.192iridium, .sup.103palladium, .sup.89strontium, .sup.153samarium, .sup.212lead, .sup.213bismuth, .sup.131caesium, .sup.223radium, .sup.225radium, .sup.225actinium, .sup.228thorium, .sup.227thorium, .sup.211astatine, and .sup.111indium.
17-18. (canceled)
19. The LHRH composition of claim 1, wherein the LHRH peptide is dimerized through the metal nuclide.
20. (canceled)
21. A method for labeling an LHRH receptor on a cell comprising administering the LHRH composition of claim 1 to a cell, whereby the LHRH composition binds the LHRH receptor to provide a label thereof.
22-24. (canceled)
25. A method for determining LHRH receptor expression in a subject comprising administering the LHRH composition of claim 1 and detecting the metal nuclide thereof.
26. (canceled)
27. The LHRH composition of claim 1 comprising a structure as set forth in formula I: ##STR00011## wherein X is a radionuclide and n is from 1 to 25.
28. The LHRH composition of claim 1 comprising a structure as set forth in formula II: ##STR00012## wherein X is a radionuclide and n is from 1 to 25.
29. (canceled)
30. The LHRH composition of claim 19 comprising a structure as set forth in Formula III: ##STR00013## wherein X is a radionuclide and n is from 1 to 25.
31-33. (canceled)
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0026]
[0027]
[0028]
[0029]
[0030]
[0031]
[0032]
DETAILED DESCRIPTION
[0033] The present disclosure provides exemplary compositions and applications of such for the present disclosure, reference is made to the accompanying drawings that form a part hereof, and show by way of illustration specific manners in which the embodiments may be practiced. It is to be understood that other embodiments may be utilized and changes may be made without departing from the understood scope.
[0034] The present disclosure concerns luteinizing hormone releasing hormone (LHRH) compositions of LHRH peptides and derivatives thereof. As set forth herein, an LHRH peptide is based on a ten amino acid peptide with a sequence as set forth in SEQ ID NO: 1 (Pyr-His-Trp-Ser-Tyr-Gly-Leu-Arg-Pro-Gly-NH.sub.2) (Pyr being pyroglutamate). In other aspects, an LHRH peptide may be missing the amino terminal glycine. In some aspects, the LHRH peptides are conjugated to another domain(s) to form an LHRH composition. A composition that is a “conjugate” of two domains refers to one in which the two domains (or moieties) are covalently bonded to one another, either directly or via a linker.
[0035] In some aspects, the LHRH compositions can include LHRH peptides that include the three most carboxyl terminal and three most amino terminal amino acids as set forth in SEQ ID NO: 1, with between 2 and 10 amino acids spaced therebetween, including 3, 4, 5, 6, 7, 8, and/or 9. In other aspects, an LHRH peptide may include a peptide or modified form thereof that retains ability to bind with an LHRH receptor. Such peptides may bind the LHRH receptor with similar, reduced or enhanced affinity.
[0036] In some aspects, LHRH peptides can include peptides with the amino acid sequence Pyr-His-Trp-X1-X2-X3-X4-Arg-Pro-Gly-NH.sub.2 (SEQ ID NO: 2) and/or Glu-His-Trp-X1-X2-X3-X4-Arg-Pro-Gly-NH.sub.2 (SEQ ID NO: 20) and/or Pyr-His-Trp-X1-X2-X3-X4-Arg-Pro-NH.sub.2 (SEQ ID NO: 3) and/or Glu-His-Trp-X1-X2-X3-X4-Arg-Pro-NH.sub.2 (SEQ ID NO: 21), wherein X1, X2, X3 and X4 are any amino acid. In some aspects, X1 is a serine residue and/or X2 is a tyrosine, phenylalanine, leucine or histidine residue and/or X3 is glycine, leucine, serine, histidine, lysine, aspartate, glutamate, alanine, or tryptophan residue and/or X4 is a leucine, valine, tryptophan, or methionine residue. In further aspects, X1 and/or X2 and/or X3 and/or X4 is a right-handed or “D” isomer residue, such a D-Ala, D-His, D-Lys, D-Leu, D-Ser, D-Met, D-Val, D-Tyr, D-Asp, D-Glu or D-Trp residue. It will be appreciated that the LHRH peptides may include the presence of one or more of a β-amino acid, a γ-amino acid, a proline derivative, 2-naphthyalanine, biphenylalanine, N-alkyl glycine, peptoids, a 3-substituted alanine, a glycine derivative, a ring-substituted phenylalanine, a ring-substituted tyrosine, and/or an N-methyl amino acid. In some aspects, X1 and/or X2 and/or X3 and/or X4 is appended with a further modification, such as a napthyl, t-butyl (tBu), benzyl, isopropyl, ureido, S-dihydroorotamido, and/or pyridyl group.
[0037] In some aspects, LHRH peptides may optionally be devoid of an amino terminal glycine. In other aspects, the LHRH peptides may feature an ethylamide (NHEt), hydrazide, and/or a carbomyl group at one or both termini.
[0038] In some aspects, the LHRH peptides can include various isoforms or analogs of LHRH with a radiolabel. An isoform or analog may refer to a molecule of a peptide sequence that is comparable to an endogenously produced compound, in which, one or more residues have been replaced, deleted or modified. An isoform or analog of LHRH can include natural or synthetic peptides that resemble endogenous LHRH in structure and/or function. Such may include the peptides pEHWSHGWYPG-NH.sub.2 (SEQ ID NO: 4), EHWSHGWYPG-NH.sub.2 (SED ID NO: 22), pEHWSHDWKPG-NH.sub.2 (SEQ ID NO: 5), and EHWSHDWKPG-NH.sub.2 (SEQ ID NO: 23). In further aspects, LHRH peptides can include analogous peptides with varying chemical modification(s) and/or appended groups to the peptides therein. For example, currently identified analogous peptides include: [D-Lys6]-LHRH (Pyr-His-Trp-Ser-Tyr-D-Lys-Leu-Arg-Pro-Gly-NH.sub.2)(SEQ ID NO: 6) or (Pyr-His-Trp-Ser-Tyr-D-Lys-Leu-Arg-Pro-NH.sub.2) (SEQ ID NO: 7), leuprorelin (Pyr-His-Trp-Ser-Tyr-D-Leu-Leu-Arg-Pro-NHEt) (SEQ ID NO: 8), goserelin (Pyr-His-Trp-Ser-Tyr-D-Ser(tBu)-Leu-Arg-Pro-NHNHCONH.sub.2) (SEQ ID NO: 9), buserelin (Pyr-His-Trp-Ser-Tyr-D-Ser(tButyl)-Leu-Arg-Pro-NHEt) (SEQ ID NO: 10), histrelin (Pyr-His-Trp-Ser-Tyr-D-His(1-Benzyl)-Leu-Arg-Pro-NHEt) (SEQ ID NO: 11), triptorelin (Pyr-His-Trp-Ser-Tyr-D-Trp-Leu-Arg-Pro-Gly-NH.sub.2) (SEQ ID NO: 12), degrelix (Acetyl-D-Ala(2-Naphthyl)-D-Phe(4-Chloro)-D-Ala(3-Pyridyl)-Ser-Phe(4-S-dihydroorotamido)-D-Phe(4-ureido)-Leu-Lys(isopropyl)-Pro-D-Ala-NH.sub.2) (SEQ ID NO: 13), nafarelin (Pyr-His-Trp-Ser-Tyr-D-Ala(2-naphthyl)-Leu-Arg-Pro-Gly-NH.sub.2) (SEQ ID NO: 14), [D-Trp6]-LHRH (Pyr-His-Trp-Ser-Tyr-D-Trp-Leu-Arg-Pro-Gly-NH.sub.2) (SEQ ID NO: 15), [D-Ala6]-LHRH (Pyr-His-Trp-Ser-Tyr-D-Ala-Leu-Arg-Pro-Gly-NH.sub.2) (SEQ ID NO: 16), [Gln8]-LHRH (Pyr-His-Trp-Ser-Tyr-Gly-Leu-Gln-Pro-Gly-NH.sub.2) (SEQ ID NO: 17), antide (Acetyl-D-2Nal-D-Phe(4-Cl)-D-3Pal-Ser-Lys(nicotinyl)-D-Lys(nicotinyl)-Leu-Lys(isopropyl)-Pro-D-Ala-NH.sub.2) (SEQ ID NO: 18), and gonadorelin (Pyr-His-Trp-Ser-Tyr-Gly-Leu-Arg-Pro-Gly-NH.sub.2) (SEQ ID NO: 19). It will be apparent to those skilled in the art that each instance of pyroGlu can be readily replaced with glutamate. In addition, LHRH peptides may include LHRH receptor agonists and antagonists. See A. V. Schally, et al., Prostate, 45, pp. 158-66 (2000); W. R. Miller, Nature, 313, pp. 231-33 (1985); and K. Szepashzi, et al., Breast Cancer Res. Treat., 56, pp. 267-76 (1999).
[0039] In some aspects, the LHRH peptides of the LHRH compositions can be recombinant or synthetic peptides or a combination thereof. Recombinant peptides can be generated and/or isolated from cells that include a nucleic acid sequence encoding the LHRH peptides, such as through the introduction of a DNA or RNA molecule with a nucleic acid encoding the LHRH peptide to a cell, such as through transfection or transformation. Recombinant LHRH peptides may further be prepared using cell-free protein synthesis (CFPS) or in vitro protein synthesis with a cellular lysate including ribosomes, t-RNA synthetases, nucleases and elongation factors and the like to translate a nucleic acid encoding the LHRH peptide without the confines of a cell wall.
[0040] In other aspects, the LHRH peptides can be assembled synthetically. Such may include solution phase synthesis and/or solid phase synthesis and may include a stepwise assembly of the LHRH peptide's amino acids through application of amino acids with an amino terminal protecting group and/or a side chain protecting group that can be selectively de-protected to allow for the appropriate formation of the peptide bonds as each amino acid is added.
[0041] In some aspects, the present disclosure also concerns post-translational or post-synthesis LHRH peptide modifications. Such can include natural modifications that occur or can occur in a cell, and non-natural chemical modifications. By way of example and not limitation, such can include phosphorylation, glycosylation, methylation, acetylation, isoprenylation, myristolation, palmitoylation, alkylation, amidation, butyrylation, hydroxylation, iodination, adenylation, succinylation, sulfation, glycation, carbamylation, carbonylation, biotinylation, oxidation, and/or PEGylation (polyethylene glycol) of one or more amino acids.
[0042] In some aspects, the LHRH peptides may be appended and/or conjugated with a linker. A linker may include an amino, a carboxylic, an ester, an ether, or an aliphatic alkyl covalent attachment to a side chain of one or more amino acids of the LHRH peptides as set forth herein. A linker may also include acetate linkers, PEG groups or chains thereof, ester linkers, sugars, lectins, antibodies and their fragments, hormones and hormone analogues. In some aspects, a further LHRH peptide may serve as a linker.
[0043] In some aspects, the linker may covalently bind to a side chain of an amino acid of the LHRH peptide, such as through a reactive aspect of a side chain, including a phenyl, an amine, a hydroxyl, a sulfhydryl, a thiol, and/or a carboxyl group. In some aspects, a linker may include the covalent attachment of an amino aliphatic carboxylic acid, such as an amino alkyl carboxylic acid, including saturated or non-saturated and/or hydroxylated alkyl chains of between 1 and 25 carbons in length (e.g. —(CH.sub.2).sub.n— wherein n=1-25), including 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, and 24 carbons in length. In further aspects, the terminal carbon of an appended amino aliphatic carboxylic acid may be linked to the central nitrogen of a di-amino di-alkyl amine or a dialkyltriamine, such as diethylenetriamine or dien for short.
[0044] In some aspects, a linker may also include a polyethylene glycol (PEG) attached and/or conjugated to a reactive component of a side chain of an amino acid residue of the LHRH peptides as set forth herein. In some aspects, the PEG group or chain may attach to an available amine on a side chain. In some aspects, the PEG group or chain may be of between 1 to about 50 ethylene oxide repeats, including 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, and 49 ethylene oxide repeats. In further aspects, the terminal hydroxyl of the PEG may be linked to an amino aliphatic carboxylic acid, such as an amino alkyl carboxylic acid.
[0045] In further aspects, other linkers may be present and/or included to connect the LHRH peptide with the amino aliphatic carboxylic acid linker. Such may include, either in addition to PEG groups or chains or as a substitution for PEG groups or chains, sulfonamide, oxo, triazine and/or pyridyl ligands. Similarly, additional peptide or hormones may also be used as linkers or as a part thereof.
[0046] In some aspects, the LHRH peptide is linked to a di-aminoalkyl amine or a dialkyltriamine, such that three amine groups are present to allow for provide for a tridentate structure of the LHRH composition. In some aspects, the tridentate structure is conjugated to the linker that is conjugated to the LHRH peptide. In some aspects, the tridentate structure can bind and/or retain a transition/post-transition metal or an isotope or a radioisotope thereof.
[0047] The present disclosure, in some aspects, provides for compositions of LHRH peptides linked to a tridentate structure bearing a metal, such as an alkali, alkaline earth, transition or post-transition metal nuclide, or halide. Such elements are understood in the art. In some aspects, the alkali/alkali earth/transition/post-transition metal or halide nuclide is an isotope thereof, including a radio-isotope or radionuclide such that it is a radiation emitter, such as an alpha, beta or gamma ray emitter. By coupling to LHRH peptides, the radioactive alkali/alkaline earth/transition/post-transition metal or halide nuclide can be delivered with specificity to LHRH receptors and/or cells expressing LHRH receptors. Through delivery of a radionuclide-label to LHRH receptors, the compositions provide for radiolabeling of cells over-expressing LHRH receptors and/or the identification of cells over-expressing LHRH receptors. In instances where cells overexpress LHRH receptors, the LHRH-radioactive metal compositions can selectively deliver radiolabels and/or radioactive treatment.
[0048] In some aspects, the tridentate structure retains and/or binds a radioactive alkali, alkaline-earth, transition or post-transition metal or halide nuclide. Radionuclide can also be referred to as radiolabels. Examples of suitable radio-isotopes or radionuclides include .sup.18fluorine, .sup.99mtechnetium, .sup.186rhenium, .sup.188rhenium, .sup.186/188rhenium, .sup.67gallium, .sup.68gallium, .sup.64copper, .sup.67copper, 64/67copper, .sup.90yttrium, .sup.177lutetium, .sup.192iridium, .sup.103palladium, .sup.89strontium, .sup.153samarium, .sup.212lead, .sup.213bismuth, .sup.131caesium, .sup.223radium, .sup.225radium, .sup.225actinium, .sup.228thorium, .sup.227thorium, .sup.211astatine, and .sup.111indium.
[0049] The present disclosure accordingly provides for LHRH compositions of LHRH peptides coupled or conjugated, directly or indirectly through a linker, to an alkali, alkaline earth, transition or post-transition metal or halide nuclide or isotope thereof. Such compositions may utilize and amino aliphatic carboxylic acid and/or a PEG linker and/or other linker as an intermediary as set forth herein. The LHRH peptide may be coupled or conjugated to a di-aminoalkyl amine or a dialkyltriamine to provide a tridentate structure to retain the metal or halide nuclide or isotope thereof.
[0050] In some aspects, the present description concerns LHRH-compositions that feature a peptide fragment, a linker fragment and a tridentate fragment, the latter of which can retain a metal or halide nuclide or a radionuclide thereof.
##STR00004##
wherein X is a radionuclide and wherein n is from 1 to 25. In other aspects, the LHRH composition includes a structure as set forth in Formula II:
##STR00005##
wherein X is a radionuclide and wherein n is from 1 to 25 and mPEG.sub.n is of between 1 and 50. The peptides demonstrated in Formulas I and II utilizes a D-Lysine residue in the internal segment of the LHRH peptide, leaving the N- and C-terminal amino acids required for LHRH receptor binding to ensure that the intrinsic receptor binding properties of the LHRH peptide are unaltered by any further modification and/or conjugation. A di-amino ethyl amine can then be reacted with or without a PEG intermediary (cf. Formulas I and II) to provide one version of the LHRH compositions as set forth herein.
[0051]
[0052] As also set forth in
[0053] Accordingly, in some aspects of the disclosure, an LHRH peptide can be conjugated to a radionuclide, such as .sup.99mTc or .sup.186/188Re as shown in
[0054]
[0055]
[0056] In further aspects, the LHRH compositions may include a dimer and/or be formulated as a dimer. As set forth in the working examples and in, e.g.,
[0057]
##STR00006##
wherein X is a metal nuclide and n is of between 1 and 25. As set forth, the LHRH-linker-tridentate structures can arrange either side of a shared metal nuclide, X, providing a dimer LHRH-X-LHRH. It will be appreciated that as depicted in Formula III, the presence of PEG in such dimers is a further aspect of the disclosure, as is depicted in Formula IV:
##STR00007##
wherein X is a metal nuclide and n is of between 1 and 25 and mPEG.sub.n is of between 1 and 50.
[0058] In some aspects, the present disclosure concerns methods for preparing the LHRH compositions as set forth herein. In some aspects, the method can utilize synthetic approaches for assembling the LHRH compositions, such as through the use of solution phase synthesis or solid-phase synthesis (see, e.g., Isidro-Llobet et al. J. Org. Chem. 84(8): 4615-4628, 2019; Stawikowski et al., Curr. Protoc. Protein. Sci. 26(1): 18.1.1-18.1.9, 2001)). As set forth in the working examples, LHRH peptides can be assembled using solid state protein synthesis with Fmoc (9-fluorenyl methoxy carbonyl) techniques. The protection of the desired side chain with tert-butyloxy carbonyl (Boc) allows for the peptide to be assembled and then the addition of the linker and the tridentate structure. As set forth in the examples, Boc groups may also be utilized to protect the amino ends of the tridentate structure and allow for the free amine of the amino aliphatic carboxylic acid to bind and/or couple to the LHRH peptide or PEG group appended thereto. For convenience, the assembled linker and the tridentate structure with the optional presence of one or more PEG groups is referred to in some parts of the disclosure as a Bocdienac (Boc-dien-acetyl) linker. It will be appreciated that the terminology does not require the presence of a Boc group in the final composition, but may instead refer to the application of Boc to protect the amines of tridentate structure during the preparation of the LHRH compositions.
[0059] In some aspects, the present disclosure provides radionuclide LHRH compositions. As set forth herein, the tridentate structure can retain an isotope of an alkali, alkaline earth, transition or post-transition metal or halide, such as a radionuclide. In some aspects, the LHRH composition is a dimer around a shared radionuclide. In some aspects, the present disclosure provides .sup.99mTc, .sup.186Re, .sup.188Re, .sup.186/188Re, .sup.18F, .sup.67Ga, .sup.68Ga, .sup.64Cu, .sup.67Cu, .sup.64/67Cu, .sup.90Y, .sup.177Lu, .sup.192Ir, .sup.103Pd, .sup.89Sr, .sup.153Sm, .sup.212Pb, .sup.213Bi, .sup.131Cs, .sup.223Ra, .sup.225Ra, .sup.225Ac, .sup.228Th, .sup.227Th, .sup.211At and .sup.111In-LHRH peptide dimers or conjugates.
[0060] The radionuclide-LHRH compositions, through the binding to LHRH receptors, allow for an effective and site-specific delivery of the respective radionuclides to enhance diagnosis and/or observation and/or monitoring of tumor cells. The specific targeting of the LHRH receptor by the LHRH compositions as set forth herein increases the precision, sensitivity and accuracy of imaging by accumulating a higher concentration of the radionuclides at the tumor cells overexpressing the LHRH receptors, thereby decreasing background and/or non-specific radiolabeling.
[0061] In other aspects, the present disclosure concerns methods of administering the LHRH compositions as set forth herein. Such administration may be providing the LHRH compositions to a cell, such as a cell in vitro, in vivo, or ex vivo. Such methods may include administering the LHRH compositions as set forth herein to the extra-cellular space. By administering the LHRH compositions to an extra-cellular area, the compositions may come into contact and/or proximity with the cell-surface expressed LHRH receptors. Due to the retained affinity for the LHRH receptor by the LHRH compositions, the LHRH composition can be retained or coupled to the receptor on the cell-surface. In some aspects, binding to the LHRH receptor may further provide for intracellular labeling through the internalization of the LHRH receptor after the LHRH composition binds thereto.
[0062] The LHRH compositions may be administered as a solution. As set forth herein, the LHRH compositions retain good solubility, although solubility may be enhanced if needed through the additional presence of PEG groups or chains in the linker. The LHRH compositions may be administered as a solution to a cell media solution or systemically to a subject. Routes of administration are well understood in the art and may include intravenous injection, oral ingestion, intrathecal injection, transdermal application, ocular application, nasal application, otic application, rectal administration and/or mucous membrane application. Administration may be systemic or local, such as to a tissue suspected or known to over express LHRH receptors. It will also be appreciated that the LHRH compositions may be administered to cells for a pathological analysis, such as in examining a biopsy or tissue obtained from a subject. A “subject” as set forth herein may refer to any animal or cell derived therefrom. In some aspects, a subject may include a mammal, such as a human. In some aspects, a subject refers to a human subject.
[0063] In some aspects, the LHRH-compositions may be administered, such as to a cell or a subject, and then detected to image and/or identify the location and/or concentration of LHRH receptors in a subject or cellular sample. As set forth herein, the LHRH compositions may include radionuclides, which may in turn be detected by means understood in the art, such as positron emission tomography, gamma cameras, single photon emission tomography, and the like. As set forth herein, LHRH receptors can be over-expressed in certain types of abnormally growing cells, including those associated with tumorous or malignant or cancerous growth. Accordingly, after administering the LHRH-compositions as set forth herein, in aspects where a radionuclide is part of the LHRH-composition, through detecting and/or imaging the radionuclides, due to binding the LHRH receptor, the LHRH compositions allow for cellular internalization after binding the LHRH compositions and selective labeling of such cells with a radionuclide. As described in the working examples, in administering the compositions as set forth herein to cells from breast cancer cell lines, both a Rhenium-LHRH and Rhenium-PEG-LHRH did not result in any alteration in normal cell growth compared to Rhenium treatment, thereby indicating no or limited cytotoxic effects from administration of the LHRH compositions (See,
[0064] The LHRH compositions may be administered either alone or in combination with a pharmaceutical carrier and/or a vehicle. Such are understood in the art, see, e.g., Remington: The Science and Practice of Pharmacy, Lippincott Williams & Wilkins, 21st Ed., 2005. The carriers and preparations may include sterile, aqueous or non-aqueous solutions, suspensions, and emulsions. The LHRH compositions may be administered in combination with a slow-release mechanism. Examples of non-aqueous solvents are propylene glycol, polyethylene glycol, vegetable oils, and injectable organic esters such as ethyl oleate. Aqueous carriers include water, alcoholic/aqueous solutions, emulsions or suspensions, including saline and buffered media. Parenteral vehicles include sodium chloride solution, Ringer's dextrose, dextrose and sodium chloride, lactated Ringer's, or fixed oils. The LHRH compositions may be mixed with excipients that are pharmaceutically acceptable and are compatible with the active ingredient. Suitable excipients include water, saline, dextrose, glycerol and ethanol, or combinations thereof. Intravenous vehicles include fluid and nutrient replenishers, electrolyte replenishers, such as those based on Ringer's dextrose, and the like. Preservatives and other additives may also be present such as antimicrobials, anti-oxidants, chelating agents, inert gases, and the like.
[0065] The LHRH compositions of the present disclosure may be administered to a patient by any “effective route”. Said effective route may include oral, intrapulmonary, parenteral, subcutaneous, intramuscular, intravenous, intra-arterial, intrathecal, transdermal, and via mucous membrane (nasal, sublingual, rectal, urinary, and reproductive tract). Parenteral infusions can include intraperitoneal administration. Transdermal delivery of the LHRH compositions may be in the form of a slow-release subcutaneous implant. The form may vary depending upon the route of administration. For example, compositions for injection may be provided in the form of an ampoule, each containing a unit dose amount, or in the form of a container containing multiple doses.
[0066] The LHRH compositions, in accordance with the present disclosure, may be formulated into diagnostic/therapeutic compositions as pharmaceutically acceptable salts. These salts may include acid addition salts formed with inorganic acids, for example hydrochloric or phosphoric acid, or organic acids, such as acetic oxalic, or tartaric acid and the like. Salts also include those formed from inorganic bases such as sodium, potassium, ammonium, calcium or ferric hydroxides, and organic bases such as isopropylamine, trimethylamine, histidine, procaine and the like. As used herein, an “effective amount” of a compound is an amount that when administered to a patient provides accurate detection of the targeted tumors to a clinically significant degree; or alternatively, to a statistically significant degree as compared to control.
[0067] In some aspects, the LHRH compositions may be administered in combination with other therapeutic and/or diagnostic compounds. Further diagnostic compounds may be utilized to co-label a cell to determine if a co-factor or associated protein is present and/or the extent of co-expression with the LHRH receptor. In some aspects, the LHRH compositions may be co-administered with a therapeutic agent. For example, LHRH receptor overexpressssion may be associated with breast and/or endometrial and/or ovarian cancers. As such, co-administration may be a therapeutic agent to treat or alleviate such malignancies and/or tumors is contemplated, including co-administration with raloxifene, tamoxifen, abemaciclib, paclitaxel, everolimus, tastuzumab, alpeli sib, anastrozole, pamidronate, exemestane, atezolizumab, capecitabine, cyclophosphamide, docetaxel, doxorubicin, epirubicin, 5-fluorouracil, toremifene, fluvestrant, letrozole, gemcitabine, eribulin, palbocicib, ixabepilone, pembrolizumab, lapatnib, olaparib, megestrol, methotrexate, neratinib, pertuzumab, ribociclib, sacituzumab, talazoparib, thiotepa, toremifene, tucatinib, vinblastine, melphalan, bevacizumab, carboplatin, cisplatin, topotecan, niraparib, rucaparib, pembrolizumab, lenvatinib, or combinations thereof. Similarly, the LHRH compositions may be useful in detecting or tracking prostate malignancies, abnormalities, tumors and/or cancers in combination with abiraterone, apalutamide, bicalutamide, cabazitaxel, darolutamide, degarelix, docetaxel, enzalutamide, flutamide, mitoxantrone, nilutamide, oalparib, rucaparib, sipuleucel-T, and combinations thereof. The presence of a radionuclide in the LHRH compositions as set forth herein further can provide localized radiation treatment to a cell or region or tissue over-expressing LHRH receptors. For example, the inclusion of radium-223 as a transition or post-transition metal in the LHRH compositions can provide localized radiation treatment, either alone or in combination with other treatments.
[0068] In some aspects, the LHRH compositions can be used in the diagnosis of reproductive and non-reproductive cancers expressing the LHRH receptor and/or in monitoring the progression of disease and/or treatment thereof. For example, the use of .sup.99mTc and .sup.186/188Re-LHRH compositions as set forth herein can increase the concentration of the .sup.99mTc and .sup.186/188Re nuclides in tumor cells or malignant cells overexpressing LHRH receptors, thereby providing precise and accurate detection. That the LHRH compositions can target cancerous, malignant or tumorigenic cells overexpressing the LHRH receptor with radionuclide compounds provides direct applications to reproductive and non-reproductive cancers and/or malignancies expressing the LHRH receptor, along with, metastatic cancers and rare, hard to treat cancers such as triple negative breast and metastatic ovarian cancer.
[0069] In some aspects, the LHRH compositions can target and bind to the LHRH receptors of any cancer cell or any tumor microenvironment that expresses these receptors. Further, the LHRH compositions provide an approach for selective binding that allows for more effective concentrations into the targeted area and cancer cells making them superior conjugates for accurate and quantitative diagnosis. Further, radiopharmaceuticals have applications for cancer therapy as well. See, Tavares et al. Int. J. Radiat. Biol. 2010 (4):261-70. That the LHRH compositions can radionuclides and selectively deliver such to LHRH overexpressing cells provides a selective approach for radiation treatment to those cells and the limited surrounding area.
[0070] According to an aspect, either alone or in combination with any other aspect, the present disclosure concerns luteinizing hormone releasing hormone (LHRH) compositions including an LHRH peptide, a linker and a tridentate structure comprised of three amines and a metal or halide nuclide, wherein the three amines retain the metal or halide nuclide.
[0071] According to a second aspect, either alone or in combination with any other aspect, the linker can be covalently bound internally to the LHRH peptide.
[0072] According to a third aspect, either alone or in combination with any other aspect, the LHRH peptide includes an amino acid sequence as set forth in SEQ ID NO: 2 or SEQ ID NO: 3, wherein X1 is a serine residue, X2 is a tyrosine, phenylalanine, leucine or histidine residue, X3 is glycine, leucine, serine, histidine, lysine, aspartate, glutamate, alanine, or tryptophan residue and X4 is a leucine, valine, tryptophan, or methionine residue.
[0073] According to a fourth aspect, either alone or in combination with any other aspect, the linker is covalently bound to X1, X2, X3 or X4.
[0074] According to a fifth aspect, either alone or in combination with any other aspect, one or more of X1, X2, X3 or X4 is a right-handed amino acid.
[0075] According to a sixth aspect, either alone or in combination with any other aspect, the LHRH peptide is selected from [D-Lys6]-LHRH, leuprorelin, goserelin, buserelin, histrelin, triptorelin, degrelix, nafarelin, [D-Trp6]-LHRH, [D-Ala6]-LHRH, [Gln8]-LHRH, antide, and gonadorelin.
[0076] According to a seventh aspect, either alone or in combination with any other aspect, the LHRH peptide includes [D-Lys6]-LHRH.
[0077] According to a eighth aspect, either alone or in combination with any other aspect, the linker is covalently bound to the LHRH peptide through a phenyl, an amine, a hydroxyl, a sulfhydryl, a thiol, or a carboxyl group on a side chain of an amino acid therein.
[0078] According to a ninth aspect, either alone or in combination with any other aspect, the linker is covalently bound to an amine of a side chain of the LHRH peptide.
[0079] According to a tenth aspect, either alone or in combination with any other aspect, the linker includes an amino alkyl carboxylic acid, wherein the alkyl is of between 1 to 25 carbons in length.
[0080] According to a eleventh aspect, either alone or in combination with any other aspect, the linker further includes a polyethylene glycol chain of between 1 to 50 repeats in length.
[0081] According to a twelfth aspect, either alone or in combination with any other aspect, the tridentate structure is covalently linked to the linker.
[0082] According to a thirteenth aspect, either alone or in combination with any other aspect, the tridentate structure is a dialkyltriamine.
[0083] According to a fourteenth aspect, either alone or in combination with any other aspect, the tridentate structure is a diethylenetriamine.
[0084] According to a fifteenth aspect, either alone or in combination with any other aspect, the metal or halide nuclide is a radionuclide.
[0085] According to a sixteenth aspect, either alone or in combination with any other aspect, the radionuclide is selected from .sup.99mtechnetium, .sup.186rhenium, .sup.188rhenium, .sup.186/188rhenium, .sup.18fluorine, .sup.67gallium, .sup.68gallium, .sup.64copper, .sup.67copper, .sup.64/67copper, .sup.90yttrium, .sup.177lutetium, .sup.192iridium, .sup.103palladium, .sup.89strontium, .sup.153samarium, .sup.212lead, .sup.213bismuth, .sup.131caesium, .sup.223radium, .sup.225radium, .sup.225actinium, .sup.228thorium, .sup.227thorium, .sup.211astatine, and .sup.111indium.
[0086] According to a seventeenth aspect, either alone or in combination with any other aspect, the radionuclide is .sup.99mtechnetium.
[0087] According to a eighteenth aspect, either alone or in combination with any other aspect, the radionuclide is .sup.186/188rhenium.
[0088] According to a nineteenth aspect, either alone or in combination with any other aspect, the LHRH peptide is dimerized through the metal nuclide.
[0089] According to a twentieth aspect, either alone or in combination with any other aspect, the LHRH compositions can further include a pharmaceutically acceptable carrier.
[0090] According to a twenty-first aspect, either alone or in combination with any other aspect, the present disclosure concerns methods for labeling an LHRH receptor on a cell the administering the LHRH compositions to a cell, whereby the LHRH composition binds the LHRH receptor to provide a label thereof.
[0091] According to a twenty-second aspect, either alone or in combination with any other aspect, the cell is in vitro.
[0092] According to a twenty-third aspect, either alone or in combination with any other aspect, the cell is from a biopsy or a tissue sample.
[0093] According to a twenty-fourth aspect, either alone or in combination with any other aspect, the cell is in vivo.
[0094] According to a twenty-fifth aspect, either alone or in combination with any other aspect, the present disclosure concerns methods for determining LHRH receptor expression in a subject comprising administering the LHRH compositions and detecting the metal nuclide thereof.
[0095] According to a twenty-sixth aspect, either alone or in combination with any other aspect, the LHRH composition is administered to a subject.
[0096] According to a twenty-seventh aspect, either alone or in combination with any other aspect, an LHRH composition includes a structure as set forth in formula I:
##STR00008##
wherein X is a radionuclide and n is from 1 to 25.
[0097] According to a twenty-eighth aspect, either alone or in combination with any other aspect, an LHRH composition includes a structure as set forth in formula II:
##STR00009##
wherein X is a radionuclide and n is from 1 to 25.
[0098] According to a twenty-ninth aspect, either alone or in combination with any other aspect, X is selected from a group consisting of rhenium, .sup.99mtechnetium, .sup.186rhenium, .sup.188rhenium, .sup.186/188rhenium, .sup.18fluorine, .sup.67gallium, .sup.68gallium, .sup.64copper, .sup.67copper, .sup.64/67copper, .sup.90yttrium, .sup.177lutetium, .sup.192iridium, .sup.103palladium, .sup.89strontium, .sup.153samarium, .sup.212lead, .sup.213bismuth, .sup.131caesium, .sup.223radium, .sup.225radium, .sup.225actinium, .sup.228thorium, .sup.227thorium, .sup.211astatine, and .sup.111indium.
[0099] According to a thirtieth aspect, either alone or in combination with any other aspect, an LHRH composition includes the structure as set forth in Formula III:
##STR00010##
wherein X is a radionuclide and n is from 1 to 25.
[0100] According to a thirty-first aspect, either alone or in combination with any other aspect, X is selected from a group consisting of .sup.99mTc, .sup.186/188Re, .sup.111ln, .sup.68Ga, .sup.64/67Cu, .sup.90Y, and .sup.177Lu.
[0101] According to a thirty-second aspect, either alone or in combination with any other aspect, the present disclosure concerns use of the LHRH composition for the detection and/or identification of an LHRH receptor on a cell.
[0102] According to a thirty-third aspect, either alone or in combination with any other aspect, the use of the LHRH composition is on a cell in a subject.
[0103] Further aspects and advantages of the disclosure are provided in the following section, which should be considered as illustrative only.
EXAMPLES
Example 1
[0104]
[0105] Complete synthesis of Acdien-PEG-LHRH complex was achieved using the same procedure described for Acdien-LHRH with slight variation. The LHRH peptide was assembled as described by Calderon et al. The Alloc protecting group was selectively removed using palladium as described above and Fmoc-11-amino-3,6,9-trioxaundecanoic acid (mPEG.sub.3) was conjugated to the free amine end. The Fmoc group on mPEG.sub.3 was deprotected with 20% piperidine in DMF for 3 min followed by coupling of the peptide to Bocdienac to give the target peptide. The fully assembled Acdien-PEG-LHRH peptide was cleaved from the solid support using a TFA/water/TIPS cleavage cocktail to give the crude target compound Acdien-PEG-LHRH. Intermediate products were washed between reactions with DMF. Acdien-PEG-LHRH was purified by HPLC or gel filtration using Sephadex G-10. The purified samples were lyophilized before use in the next step. The crude Acdien-PEG-LHRH (see Supporting Information) peptide was purified by HPLC on reverse phase C18 column with a linear gradient from 10% to 90% B eluent in 10 min; tR=6.5 min. The purity of Acdien-peg-LHRH was also confirmed using mass spectrometry. Yield, 31%. ESI-MS (M+H).sup.+, calculated for C.sub.73H.sub.114N.sub.22O.sub.19 1602.86; found 1602.87.
[0106] Acdien-LHRH was dissolved in water, and the pH of the solution was adjusted to 7, by titration with 1 M NaOH. The rhenium complex was prepared in accordance with known methods as described in Lazarova, et al., Inorganic Chemistry Communications 2004, 7 (9), 1023-1026; Schmidt et al., “Manganese(I) and Rhenium(I) Pentacarbonyl(Trifluoromethanesulfonato) Complexes”, In Inorganic Syntheses, John Wiley & Sons, Inc.: 2007; pp 113-117. Equimolar amount of [Re(CO).sub.3(H.sub.2O).sub.3].sup.+ was reacted with Acdien-LHRH (30 mg, 0.02 mmol) to give the crude Re-Acdien-LHRH conjugate. Re-Acdien-LHRH was purified by HPLC or gel filtration using Sephadex G-10. The purified samples were lyophilized before use in the next step. The crude Re-Acdien-LHRH conjugate was purified by HPLC on reverse phase C18 column with a linear gradient from 10% to 90% B eluent in 10 min; tR=7.3 min. The purity of Re-Acdien-LHRH was confirmed using mass spectrometry.
[0107] Complete synthesis of Re-Acdien-PEG-LHRH conjugate was achieved using the same procedure described for Re-Acdien-LHRH. Re-Acdien-PEG-LHRH was purified by HPLC or gel filtration using Sephadex G-10. The purified samples were lyophilized before use in the next step. The crude Re-Acdien-PEG-LHRH was purified by HPLC on a reverse phase C18 column with a linear gradient from 10% to 90% B eluent in 10 min; tR=8.3 min. The purity of Re-Acdien-PEG-LHRH was confirmed using mass spectrometry.
[0108] LHRH was labeled with .sup.99mTc based on a previously reported method. See, Badar et al. EJNMMI Res. 4(1):14-14 (2014). [.sup.99mTcO.sub.4].sup.− solution was first prepared with the Isolink kit (Paul Scherrer Institute, Switzerland) according to the manufacturer's instructions to give [.sup.99mTc(CO).sub.3].sup.+, then further reacted with Acdien-LHRH . Typically, 2 mCi .sup.99mTcO.sub.4.sup.− was added into one vial of [.sup.99mTcO.sub.4].sup.− solution and heated at 100° C. for 20 min using the Isolink kit protocol and reagents. pH was adjusted to about 7-7.4 with HCl. Next, 100 ul of Acdien-LHRH from a stock solution of 1 mg/ml was then added and incubated at 75° C. for 60 min. Afterwards, the labeled peptide was purified by HPLC (C18 column, 10% MeCN+0.1% HOAc 0-10 min, 90% MeCN+0.1% HOAc 10-20 min. 200 nm, 1 ml/min). The retention time was ˜16 min (
[0109]
Example 2
[0110]
Example 3
[0111] Cell Viability Assay
[0112] 4T1 mouse mammary tumor and MDA-MB-231 human mammary tumor cell lines were purchased from ATCC. Both cell lines were maintained in Dulbecco's Modified Eagle Medium (DMEM) containing 10% Fetal Bovine Serum, 100 U/ml penicillin and 100 μg/ml streptomycin, incubated at 37° C. in a humidified atmosphere of 95% air and 5% CO.sub.2.
[0113] To assess if Re-Acdien-LHRH and Re-Acdien-PEG-LHRH affected cell viability, an MTT Assay was utilized. 4T1 or MDA-MB-231 cells were seeded at 2000 cells/100 μl in a 96-well plate and treated with either [Re(CO).sub.3(H.sub.2O).sub.3].sup.+, Re-Acdien-LHRH or Re-Acdien-PEG-LHRH from a range of 0.1 μM to 100 μM for 24 hours. Cells were washed 3 times with PBS and incubated in DMEM supplemented with 10% FBS for 48 hours. Afterwards the cells were incubated for 4 hours in 10 μl MTT solution obtained from Vybrant MTT Cell Proliferation Assay Kit (Life Technologies). Lastly, cells were solubilized, mixed with SDS (sodium dodecyl sulfate) and absorbance read at 595 nm on a Phenix Genios Tecon 96 well plate reader. In-vitro assays were used to explore the toxicity of Re-Acdien-LHRH conjugates as an indication for patient safety administration for adverse events. The cellular effect of free Re, Re-Acdien-LHRH, and Re-Acdien-PEG-LHRH conjugates were assayed and compared using methyl thiazol tetrazolium (MTT) (3-(4,5-dimethylthiazol-2-yl)-2,5diphenyltetrazolium bromide) assay as described in S. Aggarwal, et al., International Journal of Cancer, 111 (5), pp. 679-92 (2004).
[0114] The results were assayed using MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) assay. As shown in
Example 4
[0115] Drug Uptake Measurements
[0116] To determine cellular uptake of Re-Acdien-LHRH and Re-Acdien-peg-LHRH, 4T1 or MDA-MB-231 cells were seeded 1×10.sup.6 in 6 well plates and treated with either unbound [Re(CO).sub.3(H.sub.2O).sub.3].sup.+ (100 μM), Re-Acdien-LHRH (100 μM), or Re-Acdien-PEG-LHRH (100 μM) for 24 hours. Cells were washed 3 times with PBS, harvested, and analyzed for the presence of platinum using inductive coupled plasma (ICP-OES). As shown in
[0117] .sup.99mTc and .sup.186/188Re-LHRH conjugates are projected to be used in clinical settings to target reproductive cancers and any cancer type expressing the LHRH receptor in both animals and humans.
[0118] Various identified and recited features are described herein that can be used independently of one another or in combination with other features.
[0119] As used herein, the singular forms “a”, “an” and “the” include plural referents unless the context clearly dictates otherwise. “And” as used herein is interchangeably used with “or” unless expressly stated otherwise. As used herein, the term ‘about” means +/−5% of the recited parameter. All embodiments of any aspect of this disclosure can be used in combination, unless the context clearly dictates otherwise.
[0120] Unless the context clearly requires otherwise, throughout the description and the claims, the words ‘comprise’, ‘comprising’, and the like are to be construed in an inclusive sense as opposed to an exclusive or exhaustive sense; that is to say, in the sense of “including, but not limited to”. Words using the singular or plural number also include the plural and singular number, respectively. Additionally, the words “herein,” “wherein”, “whereas”, “above,” and “below” and words of similar import, when used in this application, shall refer to this application as a whole and not to any particular portions of the application.
[0121] All the references cited in this disclosure are hereby incorporated by reference in their entirety.
[0122] The foregoing description of several aspects of the LHRH compositions and methods of using such have been presented for purposes of illustration. It is not intended to be exhaustive or to limit the application to the precise forms disclosed, and obviously, many modifications and variations are possible in light of the above teaching. It is understood that the disclosure may be applied in ways other than as specifically set forth herein without departing from the scope of the disclosure.