Engineered extracellular vesicles for enhanced tissue delivery
11660355 · 2023-05-30
Assignee
Inventors
Cpc classification
A61K47/60
HUMAN NECESSITIES
A61K49/0082
HUMAN NECESSITIES
International classification
A61K9/00
HUMAN NECESSITIES
A61K47/60
HUMAN NECESSITIES
A61K47/69
HUMAN NECESSITIES
Abstract
Several embodiments relate to engineered extracellular vesicles (EVs) using the membrane cloaking platform technology described herein, the cloaking imparting to the EVs enhanced delivery to tissues of interest, such as damaged or dysfunctional tissue. Several embodiments relate to engineering exosomes derived from cardiosphere-derived cells (CDCs) using the membrane cloaking platform technology described herein to confer enhanced tissue homing specificities, thereby leading to repair and regeneration at sites of injury. Uses of engineered EV compositions to treat diseases are also provided for in several embodiments.
Claims
1. An engineered extracellular vesicle, comprising: a lipid anchor moiety configured to insert at least partially into a lipid bilayer of the extracellular vesicle, a targeting moiety configured to bind to a target molecule, a spacer, and a coupling moiety comprising: a first member of a specific binding pair and a second member of a specific binding pair, wherein said first member is covalently linked to the targeting moiety, said second member is covalently linked to the spacer, said first member and said second member noncovalently bind one another with a dissociation constant less than or equal to 10.sup.−8 mol/L, and said first and second members of the specific binding pair are a biotin moiety and an avidin moiety.
2. The engineered extracellular vesicle of claim 1, wherein the lipid anchor moiety comprises an amphipathic lipid having a hydrophobic moiety and a hydrophilic portion.
3. The engineered extracellular vesicle of claim 2, wherein the amphipathic lipid is selected from the group comprising phospholipids, aminolipids and sphingolipids.
4. The engineered extracellular vesicle of claim 3, wherein the phospholipid is selected from the group comprising dilauroyl-phosphatidylcholine (DLPC), dimyristoyl-phosphatidyl choline (DMPC), dipalmitoyl-phosphatidyl choline (DPPC), diarachidoyl-phosphatidyl choline (DAPC), distearoyl-phosphatidyl choline (DSPC), dioleoyl-phosphatidyl choline (DOPC), 1,2 Distearoyl-sn-glycero-3-Ethylphosphocholine (Ethyl-DSPC), dipentadecanoyl-phosphatidylcholine (DPDPC), 1-myristoyl-2-palmitoyl-phosphatidylcholine (MPPC), 1-palmitoyl-2-myristoyl-phosphatidylcholine (PMPC), 1-palmitoyl-2-stearoyl-phosphatidylcholine (PSPC), 1-stearoyl-2-palmitoyl-phosphatidylcholine (SPPC), 1-palmitoyl-2-oleylphosphatidyl choline (POC), 1-oleyl-2-palmitoyl-phosphatidylcholine (OPPC), dilauroylphosphatidyl glycerol (DLPG), diarachidoyl phosphatidyl glycerol (DAPG), dimyristoylphosphatidylglycerol (DMPG) and its, dipalmitoylphosphatidylglycerol (DPPG), distearoylphosphatidylglycerol (DSPC), dioleoyl-phosphatidylglycerol (DOPG), dimyristoyl phosphatidic acid (RMPA), dipalmitoyl phosphatidic acid (DPPA), distearoyl phosphatidic acid (DSPA), diarachidoylphosphatidic acid (DAPA), dimyristoylphosphatidylethanolamine (DMPE), dipalmitoylphosphatidylethanolamine (DPPE), distearoyl phosphatidyl-ethanolamine (DSPE), dioleylphosphatidy lethanolarnine (DOPE), diarachidoy lphosphatidy lethanolarnine (DAPE), dilinoleylphosphatidylethanolamine (DLPE), dimyristoyl phosphatidylserine (DMPS), diarachidoyl phosphatidylserine (DAPS), dipalmitoyl phosphatidylserine (DPPS), distearoylphosphatidylserine (DSPS), dioleoylphosphatidylserine (DOPS), dipalmitoyl sphingomyelin (DPSP), and distearoylsphingomyelin (DSSP), dilauroyl-phosphatidylinositol (DLPI), diarachidoylphosphatidylinositol (DAPI), dimyristoylphosphatidylinositol (DMPI), dipalmitoylphosphatidylinositol (DPPI), distearoylphosphatidylinositol (DSPI), and dioleoyl-phosphatidylinositol (DOM).
5. The engineered extracellular vesicle of claim 4, wherein the target molecule is a ligand that is over-expressed on target cells, and wherein the targeting moiety is a peptide.
6. The engineered extracellular vesicle of claim 5, wherein the peptide comprises a monoclonal antibody, a recombinant antibody, a human antibody, a humanized antibody, a Fab, a Fab′, a F(ab′)2, an Fv, a single-chain Fv (scFv), minibody, a diabody, and a single-domain antibody, a functional derivative thereof, a variant thereof or a fragment thereof.
7. The engineered extracellular vesicle of claim 5, wherein the target cells are cells that have incurred damage due to ischemia following acute myocardial infarction.
8. The engineered extracellular vesicle of claim 7, wherein the peptide is selected from the group consisting of CSTSMLKAC (SEQ ID NO: 1), CKPGTSSYC (SEQ ID NO: 2), and CPDRSVNNC (SEQ H) NO: 3).
9. The engineered extracellular vesicle of claim 1, wherein the first member of the specific binding pair is a biotin moiety and the second member of the specific binding pair is an avidin moiety.
10. The engineered extracellular vesicle of claim 1, wherein the spacer is a hydrophilic polymer, wherein the hydrophilic polymer is polyethylene glycol (PEG), polypropylene glycol, methoxypolyethylene glycol (mPEG), polyvinylalcohol, polyvinylpyrrolidone, and copolymers thereof.
11. The engineered extracellular vesicle of claim 1, wherein the lipid anchor moiety comprises a phosphatidylethanolamine conjugated through covalent, bond to the spacer, wherein the spacer is a hydrophilic polymer.
12. The engineered extracellular vesicle of claim 11, wherein the lipid anchor moiety comprises DMPE-PEG, DPPE-PEG, DSPE-PEG, or DAPE-PEG.
13. The engineered extracellular vesicle of claim 1, wherein the extracellular vesicle is derived from the group comprising cardiosphere-derived cells (CDCs), human neural stem cells (hNSCs), bone marrow stem cells, and mononuclear cells (MNCs).
14. The engineered extracellular vesicle of claim 13, wherein the extracellular vesicle is an exosome derived from CDCs.
Description
BRIEF DESCRIPTION OF THE FIGURES
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DETAILED DESCRIPTION
General
(16) Various methods, platforms, and components for engineering targeted EVs are disclosed. Some embodiments disclosed herein pertain to methods of engineering EVs configured to interact with target tissues, such as damaged and/or dysfunctional tissue. In some embodiments, engineered EVs with enhanced delivery to target tissues are provided herein. In some embodiments, engineered EVs with enhanced uptake by target tissues are provided herein. In some embodiments, the engineered EVs comprise one or more therapeutic factors that are delivered to target tissues. Several embodiments relate to EVs engineered using the membrane cloaking platform technology described herein. In some embodiments, the targeting moiety binds to a target molecule on a target tissue. In some embodiments, the binding of the targeting moiety and tissue ligand causes the engineered EV to be endocytosed by the target tissue. In some embodiments, the engineered EVs further comprise a reporter moiety configured for detection of the engineered EV in vivo and in vitro. In some embodiments, the lipid anchor and/or targeting moiety further comprises one or more spacers. In several embodiments, the engineered EVs are exosomes.
(17) In some embodiments, the exosomes starting materials are exosomes as described in U.S. Application Publication No. 2015/0203844, which is incorporated by reference herein in its entirety. In some embodiments, the engineered exosomes are derived from cells and comprise one or more of the therapeutic biological factors of their parental cells. A variety of methods, components, and platforms for targeting EVs to tissues of interest are described herein to illustrate various examples that may be employed to achieve one or more desired improvements (e.g., enhanced delivery and/or uptake by target cells). These examples are only illustrative and are not intended in any way to restrict the general inventions presented and the various aspects and features of these inventions. Furthermore, the phraseology and terminology used herein is for the purpose of description and should not be regarded as limiting. No features, structure, or step disclosed herein is essential or indispensable. Any of the platform components or methods disclosed herein can exclude one or more steps or features described herein.
(18) As used herein, “and/or” refers to and encompasses any and all possible combinations of one or more of the associated listed items, as well as the lack of combinations when interpreted in the alternative (“or”).
(19) “Treat” or “treating” or “treatment” refers to any type of action that imparts a modulating effect, which, for example, can be a beneficial effect, to a subject afflicted with a disorder, disease or illness, including preventing the manifestation of disease states associated with the condition, improvement in the condition of the subject (e.g., in one or more symptoms or in the disease), delay or reduction in the progression of the condition, and/or change in clinical parameters, disease or illness, curing the illness, etc.
(20) The term “therapeutically effective amount,” as used herein, refers to an amount of the therapeutic (e.g., cloaked EVs, or the molecular cargo thereof, or combinations thereof) that imparts a modulating effect, which, for example, can be a beneficial effect, to a subject afflicted with a disorder, disease or illness, including improvement in the condition of the subject (e.g., modulating one or more symptoms), delay or reduction in the progression of the condition, prevention or delay of the onset of the disorder, and/or change in clinical parameters, disease or illness, etc. For example, in some embodiments, an effective amount can refer to the amount of a composition, compound, or agent that improves a condition in a subject by at least 5%, e.g., at least 10%, at least 15%, at least 20%, at least 25%, at least 30%, at least 35%, at least 40%, at least 45%, at least 50%, at least 55%, at least 60%, at least 65%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, or at least 100%. Actual dosage levels of active ingredients and agents in an active composition of the disclosed subject matter can be varied so as to administer an amount of the active agent(s) that is effective to achieve the desired response for a particular subject and/or application. The selected dosage level will depend upon a variety of factors including, but not limited to, the activity of the composition, formulation, route of administration, combination with other drugs or treatments, severity of the condition being treated, and the physical condition and prior medical history of the subject being treated. The term “a therapeutically effective amount” can mean an amount of cloaked CDC-EVs sufficient to reverse dystrophinopathy through dystrophin re-expression and/or to durably (e.g., substantially irreversibly) restore skeletal muscle function at a targeted dystrophic skeletal muscle.
(21) Cardiospheres
(22) Cardiospheres are undifferentiated cardiac cells that grow as self-adherent clusters as described in WO/2005/012510 and Messina et al., “Isolation and Expansion of Adult Cardiac Stem Cells From Human and Murine Heart,” Circulation Research, 95:911-921 (2004), the disclosures of which are herein incorporated by reference in their entirety, the disclosure of which is herein incorporated by reference in its entirety.
(23) Briefly, heart tissue can be collected from a patient during surgery or cardiac biopsy. The heart tissue can be harvested from the left ventricle, right ventricle, septum, left atrium, right atrium, crista terminalis, right ventricular endocardium, septal or ventricle wall, atrial appendages, or combinations thereof. A biopsy can be obtained, e.g., by using a percutaneous bioptome as described in, e.g., US/2009/012422 and US/2012/0039857, the disclosures of which are herein incorporated by reference in their entirety. The tissue can then be cultured directly, or alternatively, the heart tissue can be frozen, thawed, and then cultured. The tissue can be digested with protease enzymes such as collagenase, trypsin and the like. The heart tissue can be cultured as an explant such that cells including fibroblast-like cells and cardiosphere-forming cells grow out from the explant. In some instances, an explant is cultured on a culture vessel coated with one or more components of the extracellular matrix (e.g., fibronectin, laminin, collagen, elastin, or other extracellular matrix proteins). The tissue explant can be cultured for about 1, 2, 3, 4, or more weeks prior to collecting the cardiosphere-forming cells. A layer of fibroblast-like cells can grow from the explant onto which cardiosphere-forming cells appear. Cardiosphere-forming cells can appear as small, round, phase-bright cells under phase contrast microscopy. Cells surrounding the explant including cardiosphere-forming cells can be collected by manual methods or by enzymatic digestion. The collected cardiosphere-forming cells can be cultured under conditions to promote the formation of cardiospheres. In some aspects, the cells are cultured in cardiosphere-growth medium comprising buffered media, amino acids, nutrients, serum or serum replacement, growth factors including but not limited to EGF and bFGF, cytokines including but not limited to cardiotrophin, and other cardiosphere promoting factors such as but not limited to thrombin. Cardiosphere-forming cells can be plated at an appropriate density necessary for cardiosphere formation, such as about 20,000-100,000 cells/mL. The cells can be cultured on sterile dishes coated with poly-D-lysine, or other natural or synthetic molecules that hinder the cells from attaching to the surface of the dish. Cardiospheres can appear spontaneously about 2-7 days or more after cardiosphere-forming cells are plated. In several embodiments, the engineered EVs are initially isolated from cardiospheres.
(24) Cardiosphere-Derived Cells
(25) Cardiosphere-derived cells (CDCs) are a population of cells generated by manipulating cardiospheres in the manner as described in, e.g., US/2012/0315252, the disclosures of which are herein incorporated by reference in their entirety. For example, CDCs can be generated by plating cardiospheres on a solid surface which is coated with a substance which encourages adherence of cells to a solid surface of a culture vessel, e.g., fibronectin, a hydrogel, a polymer, laminin, serum, collagen, gelatin, or poly-D-lysine, and expanding same as an adherent monolayer culture. CDCs can be repeatedly passaged, e.g., passaged two times or more, according to standard cell culturing methods. In several embodiments, the engineered EVs are initially isolated from CDCs.
(26) EVs
(27) In some embodiments, EVs includes exosomes and/or microvesicles. While, in several embodiments, functionalized EVs or EVs are described herein, those embodiments should be understood to include microvesicles and/or exosomes as well. Thus, where an embodiment is described for EVs, those same descriptions are to be understood as applying equally to exosomes or microvesicles. The release of EVs into the extracellular environment allows for interaction with recipient cells via, for example, adhesion to the cell surface mediated by lipid-ligand receptor interactions, internalization via endocytic uptake, or by direct fusion of the vesicles and cell membrane. These processes lead to the release of EV cargo content into the target cell. The net result of exosome-cell interactions is modulation of genetic pathways in the target recipient cell, as induced through any of several different mechanisms including antigen presentation, the transfer of transcription factors, cytokines, growth factors, nucleic acid such as mRNA and microRNAs.
(28) Provided herein are EVs engineered using the membrane cloaking platform technology described herein, the cloaking imparting to the EVs enhanced delivery and uptake to cells and tissues of interest, increasing therapeutic benefit. In some embodiments, functionalized EVs (e.g., engineered EVs or simply EVs for short) have a broad range of diameters and functions, including apoptotic bodies (1-5 m), microvesicles (100-1000 nm) in size, and vesicles of endosomal origin, known as exosomes (50-150 nm). In some embodiments, the functionalized EVs as disclosed have a diameter that is less than or equal to about: 15 nm, 20 nm, 30 nm, 40 nm, 50 nm, 60 nm, 70 nm, 80 nm, 90 nm, 100 nm, 120 nm, 140 nm, 150 nm, 160 nm, 170 nm, 180 nm, 190 nm, 200 nm, 210 nm, 250 nm, 300 nm. 500 nm, 1000 nm, or ranges spanning and/or including the aforementioned values. In some embodiments, the EVs are generated from a cellular body, and are 100, 200, 300, 400, 500, 600, 700, 800, 900, 1000, 2000, 5000, or 10,000 times smaller in at least one dimension (such as a diameter) than the original cellular body.
(29) The “cargo” contents of EVs may reflect their parental cellular origin, as containing distinct subsets of biological factors in connection with their parent cellular origin, including the cell regulatory state when formed. In some embodiments, EV contain a biological milieu of different proteins, including cytokines and growth factors, coding and noncoding RNA molecules, all necessarily derived from their parental cells. In addition to containing a rich array of cytosolic derivatives, EV further express the extracellular domain of membrane-bound receptors at the surface of the membrane.
(30) In addition to components reflecting their vesicular origin, another property in some embodiments of EVs (and exosomes) is a capability to contain both mRNA and microRNA associated with signaling processes, with both cargo mRNA being capable to translation in recipient cells, or microRNA functionally degrading target mRNA in recipient cells. Other noncoding RNAs, capable for influencing gene expression, may also be present in EVs (or in some embodiments could be introduced into the EVs). RNA molecules (such as mRNA or microRNA populations) can be selectively incorporated (and in some cases enriched), rather than randomly incorporated, into EVs. In some embodiments, the presence of RNA molecules in EVs and their potential to effect changes in target recipient cells is employed in therapeutic approaches comprising targeted EVs. In various embodiments, the functionalized EVs include one or more RNAs (e.g., a plurality of 2, 3, 4, 5, 6, 7, 8, 9, 10 or more RNAs), including non-coding RNAs. In other embodiments, the non-coding RNAs include tRNAs, yRNAs, rTNAs, mirRNAs, IncRNAs, piRNAs, snRNAs, snoRNAs, further including fragments thereof, among others. In some embodiments, the EVs include and/or deliver one or more microRNAs selected the following: let-7a, let-7b, let-7c, let-7e, let-7f, miR-lb, miR-9, miR-17, miR-17a, miR-181a, miR-19a, miR-19b, miR-21, miR-22, miR-23a, miR-23b, miR-24, miR-26a, miR-26b, miR-27a, miR-27b, miR-29, miR-29a, miR-29b, miR-29c, miR-29d, miR-30b, miR-30c, miR-34, mi-R34a, miR-92, miR92a, miR-96, miR-122, miR-125a-5p, miR-125b, miR-126, miR-128, miR-130a, miR-132, miR-133a, miR-140-3p, miR-143, miR-144, miR-145, miR-146a, miR-148a, miR-150, miR-155, miR-185, miR-187, miR-191, miR-193a-3p, miR-199a, miR-199b, miR-210, miR-214, miR-223, miR-320a, miR-363, miR-376c, miR-378, miR-423-5p, miR-451, miR-499, miR-574-3p, miR-574-5p, miR-663, miR-638, miR-720, miR-762, miR-885-5p, miR-1224-3p, miR-1268, miR-1281, miR-1307, miR-1976, miR-3141, miR-3196, miR-3197, miR-4267, miR-4281, miR-let-7e 143, miR-lrt-7g, tomiR-1469, or fragments of any of the foregoing. In several embodiments, a plurality (e.g., 1, 2, 3, 4, or more) of these miRNAs or fragments thereof are used to treat damaged or dysfunctional tissue. In several embodiments, the EVs do not contain or are depleted of one or more of the microRNAs listed above, including one or more of miR-92, miR-17, miR-21, miR-92, miR92a, miR-29, miR-29a, miR-29b, miR-29c, miR-34, mi-R34a, miR-150, miR-451, miR-145, miR-143, miR-144, miR-193a-3p, miR-133a, miR-155, miR-181a, miR-214, miR-199b, miR-199a, miR-126, miR-378, miR-363 and miR-30b, or miR-499 for example. In several embodiments, the EVs further comprise at least one protein that further facilitates regeneration and/or improved function of the tissue. In some embodiments, the EVs can be enriched and/or depleted of any one of these markers or RNA molecules.
(31) In various embodiments, one or more of the plurality of functionalized EVs (e.g., cloaked exosomes) includes one or more cloaked exosomes expressing a biomarker. In certain embodiments, the biomarkers are tetraspanins. In other embodiments, the tetraspanins are one or more selected from the group including CD9, CD63, CD81, CD82, CD53, and CD37. In other embodiments, the cloaked exosomes express one or more lipid raft associated proteins (e.g., glycosylphosphatidylinositol-anchored proteins and flotillin), cholesterol, sphingomyelin, and/or hexosylceramides.
(32) In several embodiments, the plurality of cloaked exosomes includes one or more cloaked exosomes containing a biological protein. In various embodiments, the biological protein includes transcription factors, cytokines, growth factors, and similar proteins capable of modulating signaling pathways in a target cell. In various embodiments, the biological protein is capable of facilitating regeneration and/or improved function of a tissue. In other embodiments, the biological protein is capable of modulating a pathway related to vasodilation, such as prostacyclin and nitric oxide, and/or vasoconstrictors such as thromboxane and endothelin-1 (ET-1). In various embodiments, the biological protein is capable of modulating pathways related to Iraki, Traf6, toll-like receptor (TLR) signaling pathway, NOX-4, SMAD-4, and/or TGF-β. In other embodiments, the biological protein is capable of mediating M1 and/or M2 immune responses in macrophages. In other embodiments, the biological protein related to exosome formation and packaging of cytosolic proteins such as Hsp70, Hsp90, 14-3-3 epsilon, PKM2, GW182 and AG02. In certain embodiments, the cloaked exosomes express CD63, HSP70, CD 105 or combinations thereof. In other embodiments, the cloaked exosomes do not express CD9 or CD81, or express neither. For example, plurality of cloaked exosomes can include one or more cloaked exosomes that are CD63+, HSP+, CD105+, CD9−, and CD81−.
(33) In some embodiments, the plurality of cloaked exosomes includes one or more cloaked exosomes containing a signaling lipid. This includes ceramide and derivatives. In other embodiments, the plurality of cloaked exosomes includes one or more exosomes containing a coding and/or non-coding nucleic acid.
(34) The use of cloaked EVs, as disclosed herein, may provide advantages, not only over cell-based therapies, but also over EV-based therapies, such as enhanced efficiency of targeting, longer residence time at a target tissue, ability to engineer a “multiplicity of infection” into EV interactions with target cells, and the like. In some embodiments, the focused application of engineered EVs to target tissues by the cloaking technology disclosed herein provides superior therapeutic results as compared to administration of therapeutic stem cells, for one or more of the following reasons. First, the retention of delivered stem cells has been shown to be short-lived. Second, the quantity of local release of EVs from a delivered stem cell is limited and occurs only as long as the cell is retained. Third, the quantity of engineered EVs delivered can be much higher (e.g., high dosing of its contents). Fourth, engineered EVs can be readily taken up by the cells in the local tissue milieu. Fifth, issues of immunogenicity are avoided by the administration of engineered EVs in lieu of stem cells. Sixth, repeated doses of engineered EVs are feasible, while impractical/potentially dangerous for stem cells as they can potentially impact the microvasculature. Seventh, application of biological factors enriched in other species and vital to their regenerative potential, may be extendible to mammalian species. In other words, EVs may have one or more of the following properties or others: improved safety profile (with decreased risks for immunogenic and/or tumorigenic responses with lower content of membrane-bound proteins, including MHC complex molecules), higher residency time (e.g., resistance to degradation), improved scalability (durability of EVs in culture allows for the acquisition of large quantities of exosomes through their collection from a culture medium in which the exosomes are secreted over periods of time), improved reproducibility, enhanced delivery (both through targeting and because EV encapsulation of bioactive components in lipid vesicles allows protection of contents from degradation in vivo, thereby potentially negating obstacles often associated with delivery of soluble molecules such as cytokines, growth factors, transcription factors and RNAs).
(35) Therapies based on the administration of EVs, which can be cell-free, are an approach to regenerative medicine that can provide advantages relative to cell therapy. Exosomes, for example, contain many biological factors that serve to initiate and promote many of the therapeutic effects of their parent cells, including cytokines, growth factors, transcription factors, nucleic acids including non-coding nucleic acids such as microRNAs.
(36) One approach for loading therapeutic agents into EVs involves transfecting exosome-producing cells and having them overexpress a specific gene product. The exosomes from these producer cells are then fused with liposomes embedded with peptides or antibodies as targeting moieties in vitro to produce hybrid vesicles. Exosomes isolated from genetically engineered cells with particular surface proteins can be fused with various liposomes for membrane engineering. These “hybrid” micelle:exosome vesicles have an altered lipid composition due to the addition of the exogenous lipid micelles. While these hybrid vesicles have shown some activity for drug delivery to recipient cells, they possess the disadvantages of difficulty of manufacture, a non-native membrane composition, and a non-native cargo that does not reflect the biological factors found in native therapeutic stem cells.
(37) Exosomes
(38) As noted elsewhere herein, exosomes are one type of EV. Exosomes are formed via a specific intracellular pathway involving multivesicular bodies or endosomal-related regions of the plasma membrane of a cell. Their initial formation begins with inward budding of the cell membrane to form endosomes, which is followed by invagination of the limiting membrane of late endosomes to form multivesicular bodies. Fusion of the MVB with the plasma membrane results in the release of the internal vesicles to the extracellular space, through the formation of vesicles thereafter known as exosomes. Exosomes are lipid bilayer vesicles that are enriched in a variety of biological factors, including cytokines, growth factors, transcription factors, and coding and non-coding nucleic acids.
(39) Exosomes can range in size from approximately 20-150 nm in diameter (or as described elsewhere herein for EVs). In some cases, they have a characteristic buoyant density of approximately 1.1-1.2 g/mL, and a characteristic lipid composition. Their lipid membrane is typically rich in cholesterol and contains sphingomyelin, ceramide, lipid rafts and exposed phosphatidylserine. Exosomes express certain marker proteins, such as integrins and cell adhesion molecules, but generally lack markers of lysosomes, mitochondria, or caveolae. In some embodiments, the exosomes contain cell-derived components, such as but not limited to, proteins, DNA and RNA (e.g., microRNA and noncoding RNA). In some embodiments, exosomes can be obtained from cells obtained from a source that is allogeneic, autologous, xenogeneic, or syngeneic with respect to the recipient of the exosomes.
(40) As disclosed elsewhere herein, certain types of RNA, e.g., microRNA (miRNA), are known to be carried by exosomes. miRNAs function as post-transcriptional regulators, often through binding to complementary sequences on target messenger RNA transcripts (mRNAs), thereby resulting in translational repression, target mRNA degradation and/or gene silencing. For example, as described in WO/2014/028493, miR146a exhibits over a 250-fold increased expression in CDCs, and miR210 is upregulated approximately 30-fold, as compared to the exosomes isolated from normal human dermal fibroblasts.
(41) Isolation of EVs (and Exosomes)
(42) Exosomes derived from cardiospheres and CDCs are described in, e.g., WO/2014/028493, the disclosure of which is herein incorporated by reference in its entirety. Methods for preparing exosomes can include the steps of: culturing cardiospheres or CDCs in conditioned media, isolating the cells from the conditioned media, purifying the exosome by, e.g., sequential centrifugation, and optionally, clarifying the exosomes on a density gradient, e.g., sucrose density gradient. In some instances, the isolated and purified exosomes are essentially free of non-exosome components, such as components of cardiospheres or CDCs. Exosomes can be resuspended in a buffer such as a sterile PBS buffer containing 0.01-1% human serum albumin. The exosomes may be frozen and stored for future use.
(43) Exosomes can be prepared using a commercial kit such as, but not limited to the ExoSpin™ Exosome Purification Kit, Invitrogen® Total Exosome Purification Kit, PureExo® Exosome Isolation Kit, and ExoCap™ Exosome Isolation kit. Methods for isolating exosome from stem cells are found in, e.g., Tan et al., Journal of Extracellular Vesicles, 2:22614 (2013); Ono et al., Sci Signal, 7(332):ra63 (2014) and US/2012/0093885 and US/2014/0004601. Methods for isolating exosome from cardiosphere-derived cells are found in, e.g., Ibrahim et al., Stem Cell Reports, 2:606-619 (2014). Collected exosomes can be concentrated and/or purified using methods known in the art. Specific methodologies include ultracentrifugation, density gradient, HPLC, adherence to substrate based on affinity, or filtration based on size exclusion.
(44) In various embodiments, the plurality of exosomes is isolated from the supernatants of the population of cells. This includes, for example, exosomes secreted into media as conditioned by a population of cells in culture, further including cell lines capable of serial passaging. In certain embodiments, the cells are cultured in a serum-free media. In certain embodiments, the cells in culture are grown to 10, 20, 30, 40, 50, 60, 70, 80, 90, or 90% or more confluency when exosomes are isolated. In certain embodiments, the population of cells has been genetically manipulated. This includes, for example, knockout (KO) or transgenic (TG) cell lines, wherein an endogenous gene has been removed (or disrupted) and/or an exogenous introduced in a stable, persistent manner. In certain embodiments, the cells are genetically modified to express endothelial nitric oxide synthase (eNOS), vascular endothelial growth factor (VEGF), SDF-1 (stromal derived factor), IGF-1 (insulin-like growth factor 1), HGF (hepatocyte growth factor). Depending on the embodiment, this may further include transient knockdown of one or more genes and associated coding and non-coding transcripts within the population of cells, via any number of methods known in the art, such as introduction of dsRNA, small interfering ribonucleic acid (siRNA), microRNA (miR), etc. Depending on the embodiment, this may further include transient expression of one or more genes and associated coding and non-coding transcripts within the population of cells, via any number of methods known in the art, such as introduction of a vector, plasmid, artificial plasmid, replicative and/or non-replicative virus, etc. In other embodiments, the population of cells has been altered by exposure to environmental conditions (e.g., hypoxia), small molecule addition, presence/absence of exogenous factors (e.g., growth factors, cytokines) at the time, or substantially contemporaneous with, isolating the plurality of exosomes in a manner altering the regulatory state of the cell. For example, one may add a differentiation agent to a population of stem cells, progenitors and/or precursors in order to promote partial or full differentiation of the cell, and thereafter derive a plurality of exosomes. In various embodiments, altering the regulatory state of the cell changes composition of one or more exosomes in the plurality of exosomes.
(45) For example, differential ultracentrifugation has become a leading technique wherein secreted exosomes are isolated from the supernatants of cultured cells. This approach allows for separation of exosomes from nonmembranous particles, by exploiting their relatively low buoyant density. Size exclusion allows for their separation from biochemically similar, but biophysically different microvesicles, which possess larger diameters of up to 1,000 nm. Differences in flotation velocity further allows for separation of differentially sized exosomes. In general, exosome sizes will possess a diameter ranging from 30-200 nm, including sizes of 40-100 nm. In general, exosomes with a diameter ranging from about 30 to about 300 nm, including sizes of about 40 to about 100 nm, or about 30 to about 50 nm, about 50 to about 70 nm, or about 70 to about 90 nm can be isolated. Further purification may rely on specific properties of the particular exosomes of interest. This includes, e.g., use of immunoadsorption with a protein of interest to select specific vesicles with exoplasmic or outward orientations. In several embodiments, isolating a plurality of exosomes from the population of cells includes centrifugation of the cells and/or media conditioned by the cells. In several embodiments, ultracentrifugation is used. In several embodiments, isolating a plurality of exosomes from the population of cells is via size-exclusion filtration. In other embodiments, isolating a plurality of exosomes from the population of cells includes use of discontinuous density gradients, immunoaffinity, ultrafiltration and/or high performance liquid chromatography (HPLC).
(46) Among current methods, e.g., differential centrifugation, discontinuous density gradients, immunoaffinity, ultrafiltration and high performance liquid chromatography (HPLC), differential ultracentrifugation is the most commonly used for exosome isolation. This technique utilizes increasing centrifugal force from 2000×g to 10,000×g to separate the medium- and larger-sized particles and cell debris from the exosome pellet at 100,000×g. In some embodiments, employment of differential ultracentrifugation for exosome isolation utilizes increasing centrifugal force from 2000×g to 10,000×g to separate the medium- and larger-sized particles and cell debris from the exosome pellet at 100,000×g. Centrifugation alone allows for significant separation/collection of exosomes from a conditioned medium, although it is insufficient to remove various protein aggregates, genetic materials, particulates from media and cell debris that are common contaminants. Enhanced specificity of exosome purification may deploy sequential centrifugation in combination with ultrafiltration, or equilibrium density gradient centrifugation in a sucrose density gradient, to provide for the greater purity of the exosome preparation (flotation density 1.1-1.2 g/ml) or application of a discrete sugar cushion in preparation. In certain embodiments, differential ultracentrifugation includes using centrifugal force from 1000-2000×g, 2000-3000×g, 3000-4000×g, 4000-5000×g, 5000-6000×g, 6000-7000×g, 7000-8000×g, 8000-9000×g, 9000-10,000×g, to 10,000×g or more to separate larger-sized particles from a plurality of exosomes derived from the cells. Centrifugation alone allows for significant separation/collection of exosomes from a conditioned medium, although it is insufficient to remove various protein aggregates, genetic materials, particulates from media and cell debris that are common contaminants. Enhanced specificity of exosome purification may deploy sequential centrifugation in combination with ultrafiltration, or equilibrium density gradient centrifugation in a sucrose density gradient, to provide for the greater purity of the exosome preparation (flotation density 1.1-1.2 g/mL) or application of a discrete sugar cushion in preparation.
(47) Ultrafiltration can be used to purify exosomes without compromising their biological activity. Membranes with different pore sizes—such as 100 kDa molecular weight cut-off (MWCO) and gel filtration to eliminate smaller particles—have been used to avoid the use of a nonneutral pH or non-physiological salt concentration. Currently available tangential flow filtration (TFF) systems are scalable (to >10,000 L), allowing one to not only purify, but concentrate the exosome fractions, and such approaches are less time consuming than differential centrifugation. HPLC can also be used to purify exosomes to homogeneouslysized particles and preserve their biological activity as the preparation is maintained at a physiological pH and salt concentration. In certain embodiments, a size exclusion membrane with different pore sizes is used. For example, a size exclusion membrane can include use of a filter with a pore size of 0.1-0.5 μM, 0.5-1.0 μM, 1-2.5 μM, 2.5-5 μM, 5 or more μM. In certain embodiments, the pore size is about 0.2 μM. In certain embodiments, filtration or ultrafiltration includes size exclusion ranging from 100-500 daltons (Da), 500-1 kDa, 1-2 kDa, 2-5 kDa, 5-10 kDa, 10-25 kDa, 25-50 kDa, 50-100 kDa, 100-250 kDa, 250-500 kDa, 500 or more kDa. In certain embodiments, the size exclusion is for about 2-5 kDa. In certain embodiments, the size exclusion is for about 3 kDa. In other embodiments, filtration or ultrafiltration includes size exclusion includes use of hollow fiber membranes capable of isolating particles ranging from 100-500 daltons (Da), 500-1 kDa, 1-2 kDa, 2-5 kDa, 5-10 kDa, 10-25 kDa, 25-50 kDa, 50-100 kDa, 100-250 kDa, 250-500 kDa, 500 or more kDa. In certain embodiments, the size exclusion is for about 2-5 kDa. In certain embodiments, the size exclusion is for about 3 kDa. In other embodiments, a molecular weight cut-off (MWCO) gel filtration capable of isolating particles ranging from 100-500 daltons (Da), 500-1 kDa, 1-2 kDa, 2-5 kDa, 5-10 kDa, 10-25 kDa, 25-50 kDa, 50-100 kDa, 100-250 kDa, 250-500 kDa, 500 or more kDa. In certain embodiments, the size exclusion is for about 2-5 kDa. In certain embodiments, the size exclusion is for about 3 kDa. In various embodiments, such systems are used in combination with variable fluid flow systems.
(48) Other chemical methods have exploit differential solubility of exosomes for precipitation techniques, addition to volume-excluding polymers (e.g., polyethylene glycols (PEGs)), possibly combined additional rounds of centrifugation or filtration. For example, a precipitation reagent, ExoQuick, can be added to conditioned cell media to quickly and rapidly precipitate a population of exosomes, although re-suspension of pellets prepared via this technique may be difficult. Flow field-flow fractionation (FlFFF) is an elution-based technique that is used to separate and characterize macromolecules (e.g., proteins) and nano- to micro-sized particles (e.g., organelles and cells) and which has been successfully applied to fractionate exosomes from culture media. Thus, in some embodiments, isolating a plurality of exosomes from the population of cells includes use of a precipitation reagent. For example, a precipitation reagent, ExoQuick, can be added to conditioned cell media to quickly and rapidly precipitate a population of exosomes. In other embodiments, isolating a plurality of exosomes from the population of cells includes use of volume-excluding polymers (e.g., polyethylene glycols (PEGs)) are used. In another embodiment, isolating a plurality of exosomes from the population of cells includes use of flow field-flow fractionation (FlFFF), an elution-based technique.
(49) Beyond these techniques relying on general biochemical and biophysical features, focused techniques may be applied to isolate specific exosomes of interest. This includes relying on antibody immunoaffinity to recognizing certain exosome-associated antigens. As described, exosomes further express the extracellular domain of membrane-bound receptors at the surface of the membrane. This presents a ripe opportunity for isolating and segregating exosomes in connections with their parental cellular origin, based on a shared antigenic profile. Conjugation to magnetic beads, chromatography matrices, plates or microfluidic devices allows isolating of specific exosome populations of interest as may be related to their production from a parent cell of interest or associated cellular regulatory state. Other affinity-capture methods use lectins which bind to specific saccharide residues on the exosome surface. Beyond these techniques relying on general biochemical and biophysical features, focused techniques may be applied to isolated specific exosomes of interest. This includes relying on antibody immunoaffinity to recognizing certain exosome-associated antigens. Conjugation to magnetic beads, chromatography matrices, plates or microfluidic devices allows isolating of specific exosome populations of interest as may be related to their production from a parent cell of interest or associated cellular regulatory state. Other affinity-capture methods use lectins which bind to specific saccharide residues on the exosome surface.
(50) In various embodiments, the techniques disclosed herein can provide exosomes having a size of about 10 nm to about 250 nm in diameter, including those about 10 nm to about 15 nm, about 15 nm to about 20 nm, about 20 nm to about 25 nm, about 25 nm to about 30 nm, about 30 nm to about 35 nm, about 35 nm to about 40 nm, about 40 nm to about 50 nm, about 50 nm to about 60 nm, about 60 nm to about 70 nm, about 70 nm to about 80 nm, about 80 nm to about 90 nm, about 90 nm to about 95 nm, about 95 nm to about 100 nm, about 100 nm to about 105 nm, about 105 nm to about 110 nm, about 110 nm to about 115 nm, about 115 nm to about 120 nm, about 120 nm to about 125 nm, about 125 nm to about 130 nm, about 130 nm to about 135 nm, about 135 nm to about 140 nm, about 140 nm to about 145 nm, about 145 nm to about 150 nm, about 150 to about 200 nm, about 200 nm to about 250 nm, about 250 nm or more.
(51) Following isolation, exosomes can be cloaked using the modular platform components described herein and the protocol described in Example 1. Variations to the cloaking protocol described herein due to alternative platform components will be appreciated by one of skill in the art.
(52) In some embodiments, exosomes engineered using a membrane cloaking platform enjoy several advantages. In some embodiments, the ‘cloaking’ platform disclosed herein provides the benefit of targeting exosomes without requiring any alteration of the exosome-producing cells, thus leveraging the advantages of the innate structure and components of the therapeutic exosomes derived from unmodified parental producer cells. In some embodiments, the cloaking platform involves attaching a biotinylated targeting moiety directly to the surface of any exosome vesicle with an embedded lipid anchor molecule to engineer highly target-specific therapeutic exosomes. This lipid anchor comprises, in some embodiments, a 1,2-bis(dimethylphosphino) ethane (DMPE) phospholipid anchor covalently attached to a 5 kDa polyethylene glycol chain (that can vary in molecular weight, but is approximately 5 kDa in several embodiments) that is conjugated to streptavidin. In view of the disclosure provided herein, there are a variety of exosomes that can be engineered in order to target and deliver therapeutic payloads to particular target tissues, damaged or dysfunctional tissues. Further non-limiting examples of such cloaked EVs are discussed in more detail below.
(53) CDC-EVs: 10 KDa & 1000 KDa Method: MSC-EVs: Newt-EVs
(54) A) 10 KDa & 1000 KDa Method
(55) CDC-EV (10 KDa or 1000 KDa) drug substance is obtained after filtering CDC conditioned medium (CM) containing EVs through a 10 KDa or 1000 KDa pore size filter, wherein the final product, composed of secreted EVs and concentrated CM, is formulated in PlasmaLyte A by diafiltration and stored frozen.
(56) B) MSC-EVs
(57) EVs originating from human bone marrow mesenchymal stem cells (MSC-EVs) are obtained after filtering MSC CM containing EVs through a 10 KDa pore size filter following a similar process as for CDC-EV production. MSC-EVs are a non-cellular, filter sterilized product obtained from human MSCs cultured under defined, serum-free conditions. The final product, composed of secreted EVs and concentrated CM, is formulated in PlasmaLyte A and stored frozen. The frozen final product is “ready to use” for direct subconjunctival injection after thawing.
(58) C) Newt-EVs
(59) EVs originating from newt A1 cell line (Newt-EVs) are obtained after filtering A1 cell line CM containing EVs through a 10 KDa pore size filter following a similar process as for CDC-EV production. Newt-EVs are a non-cellular, filter sterilized product obtained from newt A1 cells cultured under defined, serum-free conditions. The final product, composed of secreted EVs and concentrated CM, is formulated in PlasmaLyte A and stored frozen. The frozen final product is ready to use for direct subconjunctival injection after thawing.
(60) Doses of EVs in EV-Based Therapies
(61) In some embodiments, a dose of EVs (which include exosomes, microvesicles, or both) is administered to a patient or subject. In some embodiments, the dose of EVs administered is equal to or less than about: 1.0×10.sup.3, 1.0×10.sup.4, 1.0×10.sup.5, 1.0×10.sup.6, 1.0×10.sup.7, 5.0×10.sup.7, 1.0×10.sup.8, 2.0×10.sup.8, 3.5×10.sup.8, 5.0×10.sup.8, 7.5×10.sup.8, 1.0×10.sup.9, or ranges including and/or spanning the aforementioned values. In some embodiments, the dose of EVs administered is in a range from about: 1.0×10.sup.3 to 1.0×10.sup.4, 1.0×10.sup.5 to 1.0×10.sup.9, 1.0×10.sup.5 to 1.0×10.sup.6, 1.0×10.sup.6 to 1.0×10.sup.7, 1.0×10.sup.7 to 5.0×10.sup.7, 5.0×10.sup.7 to 1.0×10.sup.8, 1.0×10.sup.8 to 2.0×10.sup.8, 2.0×10.sup.8 to 3.5×10.sup.8, 3.5×10.sup.8 to 5.0×10.sup.8, 5.0×10.sup.8 to 7.5×10.sup.8, or 7.5×10.sup.8 to 1.0×10.sup.9 EVs, or an overlapping range thereof.
(62) In some embodiments, the EV dose is administered on a per kilogram basis, for example, about 1.0×10.sup.5 EVs/kg to about 1.0×10.sup.9 EVs/kg. In some embodiments, the EVs are delivered in an amount based on the mass of the target tissue, for example about 1.0×10.sup.5 EVs/gram of target tissue to about 1.0×10.sup.9 EVs/gram of target tissue. In some embodiments, the EVs are administered based on a ratio of the number of EVs the number of cells in a particular target tissue, for example EV:target cell ratio ranging from about 10.sup.9:1 to about 1:1, including about 10.sup.8:1, about 10.sup.7:1, about 10.sup.6:1, about 10.sup.5:1, about 10.sup.4:1, about 10.sup.3:1, about 10.sup.2:1, about 10:1, and ratios in between these ratios. In some embodiments, the EVs are administered in an amount about 10-fold to an amount of about 1,000,000-fold greater than the number of cells in the target tissue, including about 50-fold, about 100-fold, about 500-fold, about 1000-fold, about 10,000-fold, about 100,000-fold, about 500,000-fold, about 750,000-fold, and amounts in between these amounts. In some embodiments, the EVs are to be administered in conjunction with the concurrent therapy (for example, with cells that can still shed EVs, pharmaceutical therapy, nucleic acid therapy, and the like), and the dose of EVs administered is adjusted accordingly. For example, the dose of EVs can be increased or decreased as needed to achieve the desired therapeutic effect.
(63) In some embodiments, the EVs are delivered in a single, bolus dose. In some embodiments, multiple doses of EVs are delivered. In some embodiments, EVs are infused (or otherwise delivered) at a specified rate over time. In some embodiments, EVs are administered within a relatively short time frame after an adverse event (such as an injury or damaging event, or adverse physiological event such as an MI), and the EVs' administration prevents the generation or progression of damage to a target tissue. For example, if EVs are administered within about 20 to about 30 minutes, within about 30 to about 40 minutes, within about 40 to about 50 minutes, or within about 50 to about 60 minutes post-adverse event, the damage or adverse impact on a tissue is reduced (as compared to tissues that were not treated at such early time points). In some embodiments, the administration is as soon as possible after an adverse event. In some embodiments the administration is as soon as practicable after an adverse event (for example, once a subject has been stabilized in other respects). In some embodiments, administration is within about 1 to about 2 hours, within about 2 to about 3 hours, within about 3 to about 4 hours, within about 4 to about 5 hours, within about 5 to about 6 hours, within about 6 to about 8 hours, within about 8 to about 10 hours, or within about 10 to about 12 hours, or an overlapping range thereof. In some embodiments, administration is at a time point that occurs longer after an adverse event is effective at preventing damage to tissue.
(64) In various embodiments, the quantities of cloaked exosomes that are administered to achieved these effects range from 1×10.sup.6 to 1×10.sup.7, 1×10.sup.7 to 1×10.sup.8, 1×10.sup.8 to 1×10.sup.9, 1×10.sup.9 to 1×10.sup.10, 1×10.sup.10 to 1×10.sup.11, 1×10.sup.12 to 1×10.sup.12, 1×10.sup.12 or more.
(65) In some embodiments, the numbers of cloaked exosomes is relative to the number of cells used in a clinically relevant dose for a cell-therapy method. For example, it has been demonstrated that 3 mL/3×10.sup.5 human cardiac-derived cells (CDCs), is capable of providing therapeutic benefit in intracoronary administration, and therefore, a plurality of cloaked exosomes as derived from that number of cells is a clinically relevant dose for a cell-therapy method. In several embodiments, larger or smaller doses of exosomes may also be used.
(66) In various embodiments, administration can be in repeated doses. For example, defining an effective dose range, dosing regimen and route of administration, may be guided by studies using fluorescently labeled cloaked exosomes, and measuring target tissue retention, which can be >10×, >50×, or >100× background, as measured 5, 10, 15, 30, or 30 or more min as a screening criterion. In certain embodiments, >100× background measured at 30 mins is a baseline measurement for a low and high dose that is then assessed for safety and bioactivity (e.g., using MRI endpoints: scar size, global and regional function). In various embodiments, single doses are compared to two, three, four, four or more sequentially-applied doses. In various embodiments, the repeated or sequentially-applied doses are provided for treatment of an acute disease and/or condition. In various embodiments, the repeated or sequentially-applied doses are provided for treatment of a chronic disease and/or condition. In various embodiments, the administration can be in repeated doses, such as two, three, four, four or more sequentially-applied doses. In various embodiments, the repeated or sequentially-applied doses are provided for treatment of an acute disease and/or condition. In various embodiments, the repeated or sequentially-applied doses are provided for treatment of a chronic disease and/or condition.
(67) Additional Routes of Administration for EV-Based Therapies
(68) As disclosed elsewhere herein, EV-based therapy can delivered via a number of routes: intravenous, intracoronary, and intramyocardial. EVs also allow for new delivery routes that were previously not used for cell therapy, such as inhalation. Intravenous delivery technique can occur through a peripheral or central venous catheter. An additional approach is intracoronary cell infusion. In various embodiments, administration of cloaked EVs to the subject occurs through any of known techniques in the art. In some embodiments, this includes percutaneous delivery and/or injection into heart or skeletal muscle. In some embodiments, myocardial infusion is used, for example, the use of intracoronary catheters. In various embodiments, delivery can be intra-arterial or intravenous. Additional delivery sites include any one or more compartments of the heart, such as myocardium, associated arterial, venous, and/or ventricular locations. In certain embodiments, administration can include delivery to a tissue or organ site that is the same as the site of diseased and/or dysfunctional tissue. In certain embodiments, administration can include delivery to a tissue or organ site that is different from the site or diseased and/or dysfunctional tissue. In certain embodiments, the delivery is via inhalation or oral administration. In various embodiments, administration of cloaked exosomes can include combinations of multiple delivery techniques, such as intravenous, intracoronary, and intramyocardial delivery.
(69) An additional approach is intracoronary cell infusion. As delivered through the central lumen of a balloon catheter positioned in the coronary artery, exosomes can be administered with coronary flow. In some instances, balloon occlusion is used to introduce flow interruption as a means to minimize washout of the therapeutic. While intracoronary approach does offer the advantage of selective, local delivery of cells to the myocardial area of interest, thereby limiting risks of systemic administration, it also requires that the target myocardium be subtended by a patent coronary artery or identifiable collateral vessel and therefore performed following percutaneous coronary intervention (PCI). In another approach, direct intramyocardial delivery via injection into the myocardium via a transepicardial or transendocardial entry. While this epicardial approach allows for direct visualization of the infarcted myocardium for accurate targeting of delivery. Targeted injections can also be obtained by an endocardial approach, which obviates the need for surgery and has been applied as a stand-alone procedure. Provided herein, in some embodiments, are engineered EVs a reporter moiety configured for detection of the engineered EV in vivo and in vitro. Another alternative intravenous route is retrograde coronary sinus delivery. This approach relies on catheter placement into the coronary sinus, inflation of the balloon, and exosome administered by infusion at pressures higher than coronary sinus pressure (e.g., 20 mL), thereby allowing for retrograde perfusion of cells into the myocardium.
(70) Modular Membrane Cloaking
(71) Provided, in several embodiments, are methods of decorating the surface of EVs to enhance their specific cellular targeting for uptake (herein termed “cloaking” to provide engineered EVs). Such engineered EVs comprise, in some embodiments, a targeting moiety configured to bind to a target molecule and an anchor (e.g., a lipid anchor) configured to insert at least partially into a lipid bilayer of the vesicle. There is further provided, in some embodiments, a coupling moiety that couples the targeting moiety and the lipid anchor. In some embodiments, the coupling moiety comprises a first member of a specific binding pair and a second member of a specific binding pair that bind one another with high affinity and/or specificity. In some embodiments, the presence the targeting moiety enhances delivery to target cells and/or tissues of in need of treatment and causes the engineered extracellular vesicle to be endocytosed by the targeted cells and/or tissues, thereby delivering its therapeutic cargo. In some embodiments, the engineered extracellular vesicle comprises a reporter moiety configured for detection of the engineered extracellular vesicle in vivo and in vitro. In some embodiments, the reporter moiety and/or lipid anchor further comprises a spacer. The cloaking platform described herein is modular and be customized with little difficulty to engineer highly target-specified therapeutic EVs, as a targeting moiety can be selected that binds a target extracellular ligand (e.g., an antibody that recognizes a specific cell membrane factor on a desired target tissue) and then coupled to a population of EVs wherein the aforementioned lipid anchor is embedded. The engineered EVs described herein can be further customized in other dimensions depending on the needs of the subject to be treated, as the ‘cargo’ the EVs can be varied depending on their derivation. In some embodiments, the extracellular vesicle comprises a plurality of targeting moieties. In several embodiments, the extracellular vesicle comprises a plurality of reporter moieties. In some embodiments, the extracellular vesicle comprises one or more targeting moieties and one or more reporter moieties.
(72) There is further provided, in some embodiments, a cloaking platform that employs a phospholipid anchor comprising of 1,2-bis(dimethylphosphino) ethane (DMPE) covalently attached to a polyethylene glycol chain consisting of 5k units (5k-PEG) which is conjugated to the protein streptavidin (S). Joined, this molecule is referred to as DPS herein. This unique configuration enables the attachment of any biotin conjugated molecule (e.g., antibody, protein, nucleic acid) to DPS. Once attached, the biotinylated moiety:DPS complex can be added to any cellular or extracellular vesicular lipid bilayer membrane as the DPS will anchor the entire complex on the surfaces of the cells or extracellular vesicles and display the biotinylated molecule, thus generating configurable cells and EVs. Accordingly, in some embodiments, the cloaking of exosomes comprises adding modified glycerol-phospholipid-PEG conjugates (for example, DMPE-PEG) to isolated EVs (for example, exosomes) in solution. DMPE-PEG embeds into exosome membranes and serves as an anchor for conjugating fluorescent molecules and/or ligand proteins. As described in Example 1, streptavidin can be conjugated with DMPE-PEG to create a modular exosome membrane anchoring platform (DMPE-PEG-streptavidin; DPS). Thus, any biotinylated molecule (e.g., an antibody, a homing peptide, or a reporter moiety) can be coupled to the DPS to decorate (i.e., cloak) exosome membranes for targeted delivery. Demonstrating the feasibility of this technology, Example 2 shows how cardiosphere-derived cell (CDC)-derived exosomes (CDC.sub.exo) were isolated, cloaked with DPS, conjugated with a biotinylated fluorescent marker (for example, bio-FITC and bio-PE), and then taken up by neonatal rat ventricular myocytes (NRVMs) in culture. Example 2 further demonstrates the use of this platform by using biotinylated antibodies to target macrophages (anti-CD68) and cardiac fibroblasts (anti-DDR2) in vitro. Further, it is contemplated that any biotinylated targeting moiety can be directly attached to the surface of any extracellular vesicle with the DPS complex to engineer highly target-specified therapeutic EVs.
(73) In view of the disclosure provided herein, there are a variety of other engineered EVs that can be generated in order to target and deliver cargo biological factors to particular target cells, such as cells residing in damaged, dysfunctional, and/or infected tissues. Non-limiting examples of such engineered EVs are discussed in more detail elsewhere herein.
EXAMPLES
(74) The present invention is further described with reference to the following non-limiting examples. EVs may play signaling roles in cellular development, cancer metastasis, immune modulation and/or tissue regeneration. As shown in the following examples, the EV membrane anchoring platform termed “cloaking” and described herein can be used to directly embed tissue-specific antibodies or homing peptides on EV membrane surfaces ex vivo for enhanced vesicle uptake in cells of interest. In some embodiments, the cloaking system includes three components: DMPE phospholipid membrane anchor, polyethylene glycol spacer and a conjugated streptavidin platform molecule, to which any biotinylated molecule can be coupled for EV decoration. Cloaking was compared to a complementary approach, surface display, in which parental cells are engineered to secrete EVs with fusion surface targeting proteins. EV targeting can be enhanced both by cloaking and by surface display; the former entails chemical modification of preformed EVs, while the latter requires genetic modification of the parent cells. The present reduction to practice of the cloaking approach, using several different EV surface modifications to target distinct cells and tissues, supports the notion of cloaking as a platform technology.
(75) Also as shown in the following examples, one embodiment of the methods described herein includes a membrane engineering methodology to directly embed EV surfaces ex vivo with an anchor conjugated to streptavidin. This provides a modular platform where any biotinylated molecule, such as a fluorescent molecule for tracking biodistribution, can be combined with tissue-targeted antibodies or homing peptides to facilitate engineered EV uptake in cells of interest. In some embodiments, the targeting approach involves adding modified glycerol-phospholipid-PEG conjugates (DMPE-PEG) to isolated EVs in solution. In some embodiments, DMPE-PEG embeds into vesicle lipid bilayer membranes and serves as an anchor for coupling biotinylated fluorescent molecules or ligand proteins. Cell uptake assays and whole animal biodistribution studies were performed using biotinylated fluorophores cloaked on EVs.
Example 1: Cloaking of Exosomes
(76) Stocks
(77) DMPE-PEG5k-Streptavidin (2 mg dry; depicted below) was resuspended in 400 μL phosphate buffered saline (PBS) to a final concentration of 5 μg/μL.
(78) ##STR00003##
(79) Bio-PEG-FITC (depicted below) was resuspended in 1000 μL PBS to a final concentration of 25 μg/μL.
(80) ##STR00004##
Step 1: Coupling of a Biotin-Molecule to the DMPE-PEG5k-Streptavidin Molecule
(81) Using 10 μg DMPE-PEG5k-Streptavidin per reaction plus 20-50 μg biotin molecule, a 20 uL reaction was prepared comprising: (1) 2 μL of 5 μg/μL stock of DMPE-PEG5k-Streptavidin; (2) 2 μL of stock 25 μg/μL Bio-PEG-FITC or 14 μg/μL Bio-PEG-PE; and (3) 16 μL water. As a control, another reaction mixture was prepared as above but leaving out the DMPE-PEG5k-Streptavidin.
(82) Both reaction mixtures were mixed gently, incubated at room temperature for 10 minutes, and then placed on ice.
(83) Step 2: Cloaking of Exosomes with DMPE-PEG5k-Streptavidin-Biotin Molecules
(84) A 200 μL reaction mixture comprising (1) 20 μL of 5 μg/μL exosomes (100 μg, ˜1×10{circumflex over ( )}9 particles); (2) 10 μL of DMPE-PEG5k-Biotin-molecule mixture (from earlier step); and (3) 170 μL water, was prepared and mixed gently. Following a 10 minute incubation at 37° C. for 10 minutes, the reaction mixture was placed on ice.
(85) Step 3: Removal of Excess DMPE-PEG5k-Streptavidin-Biotin Molecules
(86) In some embodiments, the removal of excess DMPE-PEG5k-Streptavidin-Biotin molecules comprises four steps that are depicted in
(87) Step A: 200 μL of cloaking reaction mixture was transferred to a 0.5 mL 100 kD mini spin column (Amicon/Milipore Ultra 0.5 mL, cat #UFC510096).
(88) Step B: The column was spun at 13,000 rpm for 5 minutes in a microfuge (or until about 20 μL was left in the top of the column).
(89) Step C: 200 μL of PBS was added to the top of column to wash, and the Step #2 spin was repeated.
(90) Step D: The column was removed from the tube, inverted, and spun at 13,000 rpm in a microfuge for 5 minutes to collect cloaked exosomes.
Example 2: Modification of Exosome Surfaces with Molecular Targeting Cloaks
(91) Experimental Design
(92) The novel approach of decorating exosomes surfaces to enhance their specific cellular targeting for uptake, termed “cloaking” herein, involves, in some embodiments, adding modified glycerol-phospholipid-PEG conjugates (DMPE-PEG) to isolated exosomes in solution. DMPE-PEG embeds into exosome membranes and thereby serves as an anchor for conjugating fluorescent molecules or ligand proteins. As described in Example 1, streptavidin was conjugated with DMPE-PEG to create a modular exosome membrane anchoring platform (DMPE-PEG-streptavidin; DPS). Any biotinylated molecule (e.g., an antibody) can be coupled to the DPS anchor to decorate exosome membranes for targeted delivery. To demonstrate the feasibility of the cloaking platform technology, exosomes from CDCs (CDC.sub.exo) were isolated, cloaked with DPS, coupled with a biotinylated fluorescent marker (e.g., bio-FITC [NANOCS] or bio-PE [Invitrogen]), and then added to neonatal rat ventricular myocytes (NRVMs) in culture. This platform was further tested using biotinylated antibodies to target macrophages (anti-CD68) and cardiac fibroblasts (anti-DDR2) in vitro.
(93) NRVM Uptake of Exosomes Cloaked with Fluorophores
(94) The feasibility of conjugating two different biotinylated (bio) fluorophores (bio-FITC and bio-PE) to CDC.sub.exo was demonstrated in this example.
(95) The cloaking reaction comprises several steps. First, the DPS anchor was incubated with the biotinylated molecule in a 1:5 ratio (e.g., 10 g DPS plus 50 g bio-FITC or bio-PE) for 10 min at 25° C. (
(96)
(97) Streptavidin (STVDN) was conjugated with DMPE-PEG to create a modular EV membrane anchoring platform (DMPE-PEG-STVDN; DPS). Thus, any biotinylated molecule (e.g., antibodies) can be coupled to the DPS anchor to decorate vesicle membranes for targeted delivery. A schematic of the membrane cloak anchoring strategy is depicted in
(98) To test uptake, fluorescently-cloaked CDC.sub.exo were incubated with NRVMs (10.sup.3 CDC.sub.exo/NRVM). Four hours later, NRVMs treated with bio-FITC-cloaked CDC.sub.exo (
(99) In other words, CDC-EV were incubated with cloaks for 10 min, then after an ultrafiltration step to remove unincorporated cloaks, bio-FITC and bio-PE cloaked CDC-EV were added to NRVMs in culture. The assays were allowed to proceed for 4 h, then the NRVMs were subjected to FACS analysis to quantitate fluorescent CDC-EV uptake. The results indicate rapid uptake of the cloaked bio-FITC CDC-EV (
(100) Targeting of Macrophages with Anti-CD68-Cloaked Exosomes
(101) Macrophages have been shown to be key mediators of cardiac inflammation after acute myocardial infarction (AMI), leading to adverse tissue remodeling events that are detrimental to organ function. To target macrophages, CDC.sub.exo were cloaked using a biotinylated anti-CD68 antibody. CD68 is a well-characterized, classical macrophage surface marker. Approximately 20 g of biotinylated CD68 monoclonal antibody (bio-CD68), clone FA-11 (ThermoFisher), was used to cloak 10.sup.9 CDC.sub.exo as described above, substituting bio-PE for the antibody. The CDC.sub.exo were also cloaked with bio-FITC simultaneously to enable tracking of cellular uptake. A mouse splenocyte assay containing a mixture of T, B cells, macrophages and monocytes was employed as a test cell population. CDC.sub.exo were cloaked with bio-FITC alone, or in combination with bio-CD68 cloaks. Splenocytes were incubated with the cloaked CDC.sub.exo for 5 to 15 minutes, fixed and then FACS performed on gated macrophage populations using a rat monoclonal Anti-F4/80, clone CI:A3-1, antibody (Abcam) along with a goat anti-Rat IgG (H+L) secondary antibody, Qdot® 655 conjugate (ThermoFisher).
(102) The FACS gating strategy that was employed is shown in
(103) Targeting of Cardiac Fibroblasts with Anti-DDR2-Cloaked Exosomes
(104) The process of embedding membrane anchors did not deform the CDC-EV as shown in
(105) Discoidin domain receptor tyrosine kinase 2 (DDR2), an abundant cardiac fibroblast surface marker, was chosen as a target ligand. CDC.sub.exo were cloaked with a bio-FITC cloak as well as a rabbit polyclonal bio-anti-DDR2 antibody (bio-DDR2; LifeSpan Biosciences) cloak. Untreated CDC.sub.exo, CDC.sub.exo cloaked with bio-FITC, CDC.sub.exo cloaked with bio-FITC and bio-DDR2, and CDC.sub.exo cloaked with a biotinylated IgG isotype antibody (bio-IgG) control cloak were used in uptake assays with isolated, neonatal rat cardiac fibroblasts.
(106) As shown in
(107) CDC-EV with bio-DDR2 and bio-FITC (bio-DDR2/FITC) or bio-IgG/FITC (as nontargeting control) were cloaked. Neonatal rat cardiac fibroblasts were isolated and exposed to CDC-EV (bio-DDR2/FITC or bio-IgG/FITC). Twelve hours later, cells were harvested and analyzed for CDC-EV uptake by flow cytometry. Cardiac fibroblasts treated with bio-DDR2/FITC, in contrast to bio-IgG/FITC, CDC-EV revealed significantly greater uptake (30% vs. ˜5%, p<0.0001) (
Example 3: Engineering and Characterization of Targeted CDC-EVs
(108) Engineering and In Vitro Characterization of CDC Extracellular Vesicles Cloaked with an Ischemic Homing Peptide or a Muscle Targeting Peptide
(109) Phage display in vitro and in vivo screens were used to identify unique, short peptide sequences that confer tissue homing specificities. Homing peptides targeting tissues such as lung, brain, kidney, muscle, and ischemic myocardium may be identified. The muscle homing peptide sequence ASSLNIA was selected to assess if cloaking CDC-EV can confer enhanced muscle cell uptake. A homing peptide molecule bearing three copies of the peptide sequence ASSLNIA, separated by two glycine residues in between, was synthesized along with a biotin group conjugated to the C-terminus. The muscle targeting peptide (termed MTP) was used in combination with bio-Qdot 655 fluorescent molecules for tracking uptake with mouse H2K mdx myoblasts in vitro. A schematic of the cloaking molecules used is shown in
(110) Next, another homing peptide cloak was designed to test whether CDC-EV could be programmed to target injured cells and tissues. CDC extracellular vesicle membranes were decorated with biotinylated Qdot655 and biotinylated ischemic homing peptide CSTSMLKAC (SEQ ID NO: 1) separately or simultaneously as depicted in
(111) Next, the uptake of Qdot655-cloaked control CDC-EVs and ischemic homing peptide/Qdot655-cloaked CDC-EVs by NRVMs was investigated in oxidative stress assays.
(112) In Vivo Biodistribution of CDC-EVs Cloaked with an Ischemic Homing Peptide
(113) In vivo studies with CDC-EV targeting were performed to (1) track CDC-EV major organ biodistribution after simple tail vein injection, (2) assess whether ischemia homing peptide cloaks direct CDC-EV uptake to damaged myocardium and (3) determine a role of ischemia in attracting and enriching ischemia-targeted CDC-EV to heart tissue. The rat ischemia/reperfusion (I/R) model was employed as a model of myocardial infarction coupled to tail vein injections of Qdot 655-tagged .sup.CtrlCDC-EV or Qdot 655-tagged and cloaked with ischemia homing peptides (.sup.IschCDC-EV, 10.sup.8 EVs per animal in 1 mL PBS). The experimental outline is shown in the schematic in
(114) The in vivo biodistribution of Qdot655-cloaked control CDC-EVs and ischemic peptide/Qdot655-cloaked CDC-EVs was investigated in the I/R rat model. The engineered EVs were administered via tail vein to three I/R model rats. As depicted in
(115) Additional characterization of the in vivo biodistribution of CDC-EVs cloaked with an ischemic myocardium homing peptide was undertaken. The identical rat I/R model outlined in
(116)
(117)
(118) The targeting and uptake of Qdot655-cloaked control CDC-EVs and ischemic homing peptide/Qdot655-cloaked CDC-EVs to regions of cardiac damage was investigated by staining and imaging of ischemic rat heart tissues. Ischemic rat heart tissues were incubated with 2,3,5-triphenyl-2H-tetrazolium chloride (TTC, 1% solution in PBS) for 20 minutes in the dark, washed with PBS, and then imaged to identify regions of cardiac damage (blanched white regions). Tissues were then sectioned and stained with Masson's Trichrome to reveal fibrotic scar areas (blue/gray color). The same sections were then imaged for Qdot655 fluorescence (Cy5 filter set) to locate ischemic tissue-targeted CDC-EV uptake. Regions of cardiac damage due myocardial infarction are indicated with a dashed outline (see
(119) Additional Utilization of Tissue Homing Peptides as Cloaks to Target CDC-EV
(120) A complementary approach was implemented where transgenic parental cells were engineered to secrete EVs with targeting proteins using the lactadherin C1C2 domain for membrane surface display. The lactadherin surface display technique was tested. Three copies of the ischemia-targeting peptide sequence were fused to make a C1C2 display fusion expression construct. This construct was used to overexpress the fusion protein and produce engineered EVs from human embryonic kidney (HEK) cells (
Additional Disclosure Relating to Examples 1-3
(121) These examples show that EVs can function as nanocarriers. In some embodiments EVs have intrinsic, favorable lipid and surface protein composition that offer cellular uptake advantages over existing delivery systems. In some embodiments, EVs also show low immunogenicity profiles and retain long half-lives in circulation. These examples further show that EVs may be loaded with valued cargo, and show programming of their delivery to specific target tissues that is a significant enhancement. Some embodiments involve manipulating CDC-EVs, ex vivo, to improve tissue targeting and therapeutic value. In the present disclosure, ischemia peptide surface display targeting and membrane cloaking both homed EVs specifically to areas of damaged myocardium that had been subjected to I/R.
(122) The EV surface engineering methods described herein that target specific tissue such as injured myocardium using the ischemic homing peptide were successful. In some embodiments, surface display approaches involve the use of transgenic modification of the producer cells. In some embodiments such as those using surface display approaches, to establish a cell line stably expressing the surface display fusion protein, transgenes are introduced by viral transduction or transposon integration. In some embodiments, surface display techniques using antibodies use a known, validated single-chain variable fragment sequence to fuse to the C1C2 display domain and expressed in the producer cells. In contrast, in some embodiments, cloaking lends itself to utilizing any biotinylated antibody. In some embodiments, adding a biotinylated fluorophore, such as FITC, PE or Qdots is a simple process when using the cloaking platform. Advantages of the cloaking technology, where, for example, EVs are produced ab initio from any parental cell line, are that the technology is easy to implement, economical, and effective.
(123) Molecular platform methods have herein been described and implemented to, for example, place targeting moieties, such as antibodies, homing peptides and other biological ligands, directly onto EV surfaces to enhance tissue targeting. In some embodiments, advantages of the platform are that it is simple to employ and quick. For example, cloaking EVs may require less than one hour of hands-on experimental time. The studies described herein demonstrate utilizing at least three different types of cloaks (fluorescent molecules, targeting antibodies, and homing peptides) across diverse cell culture types for uptake studies, as well as animal models to verify tissue localization of engineered EVs. The systems and methods described herein may be used to screen for top targeting molecules to direct EVs to desired destinations in cell culture models that are otherwise resistant to EV uptake, and/or to program EV delivery to organs and discreet tissues with animal models via delivery by IV to the circulation, and enable the ability to craft EVs for specific purposes.
Additional Description of Methods Used in Examples 1-3
(124) Isolation of EVs.
(125) EVs and exosomes may be isolated by a variety of methods. Some methods of isolation include: (1) ultracentrifugation, (2) size-exclusion (e.g., ultrafiltration and/or chromatography), (3) immunological separation (e.g., antibody-bead capture), and (4) polymer-based precipitation. Some of these methods offers tradeoffs between purity (i.e., protein-to-particle ratio, with the goal of minimizing non-EV proteins that may be present in the conditioned media), yield (number of particles) and quality (preservation of particle integrity). Purity of the EV preparation has been shown to influence potency, as large protein contaminants such as extracellular matrix proteins coat receptors necessary for endocytosis and signal transduction in target cells. Some embodiments favor the use of ultrafiltration due to its convenient application, scalability, satisfactory yield, and purity.
(126) The data presented here used EVs prepared by conditioning CDC cells for 15 days in glucose-containing serum-free basal media (which increases potency). Conditioned media was cleared of cellular debris using sterile vacuum filtration (0.45 m filter). EVs were isolated using ultrafiltration by centrifugation (UFC) with a molecular weight cutoff of 10 kDa, which retains the bioactive fraction (Vivacell 10 kDa MWCO Filtration unit). Glucose was included in the basal media as it may enhance production of vesicles and increase their resilience as manifested by less cryodamage during repeated freeze/thaw cycles. Characterization of EV preparations occurred at three levels; identity, bioactivity, and potency. Primary EV characterization methods included verifying particle size distributions proximate to previous descriptions in the literature (30-150 nm), presence of salient exosome markers including tetraspanins (CD63, CD9, and CD81), the absence of cell debris contaminants (e.g., endoplasmic reticulum proteins such as calnexin), and intactness of vesicles (e.g., RNA protection following ribonuclease [RNAse] treatment). EV batches were routinely characterized in terms of (1) particle size, number, and concentration (by nanoparticle tracking analysis, NanoSight NS300, Malvern); (2) RNA and protein content; (3) quantitative polymerase chain reaction (qPCR) quantification of selected miRs and Y RNA fragments which are associated with CDC-EV efficacy; (4) response to IV-injected EVs an in vivo potency assay of mouse AMI; and (5) confirmation of surface ligand remodeling and presence of tetraspanins/absence of calnexin.
(127) EV Engineering.
(128) Streptavidin (STVDN) was conjugated with 1,2-bis(dimethylphosphino)ethane: polyethylene glycol 5k (DMPE-PEG) to create a modular EV membrane anchoring platform (DMPE-PEG-STVDN; abbreviated DPS) using a custom chemical synthesis service (NANOCS, Inc.). DMPE-PEG “cloak” embeds into vesicle membranes and serves as an anchor for coupling fluorescent molecules or ligand proteins. Thus, any biotinylated molecule (e.g., antibodies) can be coupled to the DPS anchor to decorate vesicle membranes for targeted delivery. The cloaking reaction was straightforward. First, the DPS anchor was incubated with the biotinylated molecule in a 1:5 ratio, e.g., 10 μg DPS plus 50 μg bio-FITC (NANOCS, cat #PG2-BNFC-5k) or bio-PE (Thermo Fisher Scientific, cat #P811), bio-Antibody, bio-Homing peptide, bio-Qdot 655 (Thermo Fisher Scientific, cat #Q10321MP) for 10 min at 25° C. Next, the complex was mixed with CDC-EV (10.sup.9-101 particles in 500 μL) and incubated for 10 min at 37° C. The resulting suspension was concentrated by 100 kDa UFC. The flow-through (bottom of column, containing unincorporated complexes and dyes) was discarded and the retentate (top of column, containing the cloaked CDC-EV) was washed 2× with PBS by UFC. As a negative control, CDC-EV were incubated with bio-FITC or bio-PE without the DPS anchor. The same reaction ratios were employed for cardiac fibroblast targeting with α-DDR2 biotinylated rabbit polyclonal antibody (LifeSpan Biosciences, cat #LS-C255960, rabbit IgG isotype control, Abcam cat #ab200208). Muscle targeting, biotinylated peptide (H.sub.2N-ASSLNIAGGASSLNIAGGASSLNIA(KLC.sub.Biot)-OH) was synthesized by New England Peptide, Inc. and the ischemia-targeting peptide (H.sub.2N-CSTSMLKACGGCSTSMLKACGGCSTSMLKAC.sub.Biot-OH) was synthesized using ABclonal, Inc. custom peptide synthesis services. Ischemia-targeting peptide approach was further validated using transfected human embryonic kidney (HEK293) cells to produce engineered EVs with (1) a GFP lentivector that targets to secreted vesicles (XO-GFP; XPAKGFP, System Biosciences), and (2) the ischemic targeting peptide CSTSMLKAC coding sequence was cloned in triplicate and fused at the N-terminus to the C1C2 domain of the human lactadherin protein (surface display technology) along with a C-terminal DDK flag tag (to detect by Western blot). HEK293 cells were transfected with XO-GFP plasmid alone or cotransfected Ischemic peptide surface display lentivector plasmid using standard Lipofectamine procedures (Invitrogen). The next day, media was exchanged to serum-free medium. Twenty-four hours later, conditioned medium was harvested, cell debris removed (3200×g for 20 min), and EVs isolated by UFC. When examined by nanoparticle tracking analysis (NanoSight), EVs revealed typical size (mode diameter˜130 nm) and concentration (10.sup.9 particles/mL) found with EVs and exosomes. Successful loading of XO-GFP and ischemic peptide surface display into HEK EVs (.sup.IschHEK-EV) was confirmed by flow cytometry with magnetic bead capture (MagCapture™ Exosome T-cell immunoglobulin- and mucin-domain-containing molecule (Tim4), WAKO) assays (
(129) NanoSight EV Particle Analysis.
(130) In some embodiments, the NanoSight technique employs Nanoparticle Tracking Analysis (NTA), a type of light scattering technology that also utilizes particle tracking by Brownian motion, that be used for sizing nanoparticles as well as counting the number of particles present in a sample that is in a natural, aqueous environment. CDC-EVs were gently vortexed at 2.5 k for 10 s and then bath sonicated for 10 min at 33° C. to ensure adequate vesicle dispersion in the solution prior to NTA analysis. NanoSight measurements are carried out in 0.02 m filtered PBS to remove any background particles and then visualized on an NS300 NanoSight instrument in either visible mode or fluorescent mode 532 nm laser with a 565 nm long pass filter, to detect Qdot 655 labeling, at ambient temperature. All measurements were made in quadruplicate with flow applied with an automated syringe pump between detections.
(131) Cell Culture and Animal Models.
(132) Neonatal rat ventricular myocytes (NRVMs) were isolated from P2 neonatal Sprague-Dawley rats. The cells were plated on fibronectin-coated 6-well plates at a density of 1.5 million cells/well in Dulbecco's Modified Eagle Medium (DMEM) containing 10% Fetal Bovine Serum (Gibco) media and incubated at 37° C., with 5% CO.sub.2 for 24 h. Following washing with serum free DMEM, the cells were incubated with control or engineered EVs (10.sup.3EV/NRVM cell) for 4 h. The NRVMs where then processed (Tryple, Thermo Fisher Scientific) for flow cytometry on a BD FACS Canto II instrument. Flow data were analyzed using FlowJo® software. In vivo experimental protocols were performed on 7- to 10-week-old female Wistar-Kyoto rats (Charles River Labs). To induce ischemia/reperfusion (IR) injury, rats were provided general anesthesia, and then a thoracotomy was performed at the 4th intercostal space to expose the heart and left anterior descending coronary artery. A 7-0 silk suture was then used to ligate the left anterior descending coronary artery, which was subsequently removed after 45 min to allow for reperfusion for 20 min. PBS sham, control or targeted EVs (10.sup.9 particles in 1 mL PBS vehicle) were injected into test animals via slow tail vein injection. After 48 h, the animals were sacrificed and whole organ tissues collected for Qdot fluorescence biodistribution quantitation using either fluorescent plate reader (SpectraMax iD3; excitation/emission settings: 450 nm/655 nm) or tissue imaging using a Xenogen IVIS Lumina III Series instrument with Qdot 655 detection settings.
(133) Tissue Analysis.
(134) Rat hearts were arrested in diastole after intraventricular injection of 10% KCl and excised, washed in PBS, and cut into serial slices of 1 mm in thickness (from apex to basal edge of infarction). Heart tissue slices were incubated with 2,3,5-triphenyl-2H-tetrazolium chloride (Sigma, TTC, 1% solution in PBS) for 20 min in the dark, washed with PBS, and then imaged to identify infarcted areas from viable tissue (white versus red, respectively). The same heart tissue slices were embedded in optimum cutting temperature solution in a base mold/embedding ring block (Tissue Tek). Tissue blocks were immediately frozen by submersion in cold 2-methylbutane. Hearts were then sectioned at a thickness of 5 m and mounted on slides. Qdot 655 localization was performed using fluorescent image scanning with Cy5.5 filter set (Cytation 5 Cell Multi-Mode Reader). GFP biodistribution from XO-GFP-loaded .sup.CtrlHEK-EV or .sup.IschHEK-EV I/R studies were detected using an anti-TurboGFP antibody and AF488 secondary antibody combination as described herein. Heart tissue sections were scanned using the Cytation instrument with the FITC filter settings to image GFP localization.
(135) Statistical Analysis.
(136) Data are presented as mean±the standard error of the mean (SEM). Student's unpaired t-test or one-way analysis of variance (ANOVA) was used for comparisons between two groups unless otherwise noted. A value of p<0.05 was considered significant.
(137) Although the foregoing has been described in some detail by way of illustrations and examples for purposes of clarity and understanding, it will be understood by those of skill in the art that modifications can be made without departing from the spirit of the present disclosure. Therefore, it should be clearly understood that the forms disclosed herein are illustrative only and are not intended to limit the scope of the present disclosure, but rather to also cover all modification and alternatives coming with the true scope and spirit of the embodiments of the invention(s).
(138) It is contemplated that various combinations or subcombinations of the specific features and aspects of the embodiments disclosed above may be made and still fall within one or more of the inventions. Further, the disclosure herein of any particular feature, aspect, method, property, characteristic, quality, attribute, element, or the like in connection with an embodiment can be used in all other embodiments set forth herein. Accordingly, it should be understood that various features and aspects of the disclosed embodiments can be combined with or substituted for one another in order to form varying modes of the disclosed inventions. Thus, it is intended that the scope of the present inventions herein disclosed should not be limited by the particular disclosed embodiments described above. Moreover, while the invention is susceptible to various modifications, and alternative forms, specific examples thereof have been shown in the drawings and are herein described in detail. It should be understood, however, that the invention is not to be limited to the particular forms or methods disclosed, but to the contrary, the invention is to cover all modifications, equivalents, and alternatives falling within the spirit and scope of the various embodiments described and the appended claims. Any methods disclosed herein need not be performed in the order recited. The methods disclosed herein include certain actions taken by a practitioner; however, they can also include any third-party instruction of those actions, either expressly or by implication. For example, actions such as “administering a population of exosomes” include “instructing the administration of a population of exosomes.” In addition, where features or aspects of the disclosure are described in terms of Markush groups, those skilled in the art will recognize that the disclosure is also thereby described in terms of any individual member or subgroup of members of the Markush group.
(139) The ranges disclosed herein also encompass any and all overlap, sub-ranges, and combinations thereof. Language such as “up to,” “at least,” “greater than,” “less than,” “between,” and the like includes the number recited. Numbers preceded by a term such as “about” or “approximately” include the recited numbers. For example, “about 10 nanometers” includes “10 nanometers.”
(140) Terms and phrases used in this application, and variations thereof, especially in the appended claims, unless otherwise expressly stated, should be construed as open ended as opposed to limiting. As examples of the foregoing, the term ‘including’ should be read to mean ‘including, without limitation,’ ‘including but not limited to,’ or the like.
(141) The indefinite article “a” or “an” does not exclude a plurality. The term “about” as used herein to, for example, define the values and ranges of molecular weights means that the indicated values and/or range limits can vary within ±20%, e.g., within ±10%. The use of “about” before a number includes the number itself. For example, “about 5” provides express support for “5”.