WO1994011497A1 - Method of causing selective immunosuppression using hl-60-related lectins - Google Patents
Method of causing selective immunosuppression using hl-60-related lectins Download PDFInfo
- Publication number
- WO1994011497A1 WO1994011497A1 PCT/US1993/011107 US9311107W WO9411497A1 WO 1994011497 A1 WO1994011497 A1 WO 1994011497A1 US 9311107 W US9311107 W US 9311107W WO 9411497 A1 WO9411497 A1 WO 9411497A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- lectin
- cells
- pharmaceutical composition
- amino acid
- acid sequence
- Prior art date
Links
- 239000002523 lectin Substances 0.000 title claims abstract description 318
- 108090001090 Lectins Proteins 0.000 title claims abstract description 314
- 102000004856 Lectins Human genes 0.000 title claims abstract description 314
- 238000000034 method Methods 0.000 title claims description 65
- 230000001506 immunosuppresive effect Effects 0.000 title claims description 7
- 206010062016 Immunosuppression Diseases 0.000 title claims description 6
- 239000012634 fragment Substances 0.000 claims abstract description 35
- GUBGYTABKSRVRQ-QKKXKWKRSA-N Lactose Natural products OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)C(O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-QKKXKWKRSA-N 0.000 claims abstract description 31
- 239000008101 lactose Substances 0.000 claims abstract description 28
- 239000003018 immunosuppressive agent Substances 0.000 claims abstract description 23
- 229960003444 immunosuppressant agent Drugs 0.000 claims abstract description 22
- 239000008194 pharmaceutical composition Substances 0.000 claims abstract description 21
- 239000000203 mixture Substances 0.000 claims abstract description 18
- 206010039073 rheumatoid arthritis Diseases 0.000 claims abstract description 15
- 241000283973 Oryctolagus cuniculus Species 0.000 claims abstract description 14
- 201000006417 multiple sclerosis Diseases 0.000 claims abstract description 13
- 206010028417 myasthenia gravis Diseases 0.000 claims abstract description 12
- 210000003743 erythrocyte Anatomy 0.000 claims abstract description 11
- 230000035931 haemagglutination Effects 0.000 claims abstract description 11
- 238000003556 assay Methods 0.000 claims abstract description 9
- 230000028993 immune response Effects 0.000 claims abstract description 9
- 230000004988 N-glycosylation Effects 0.000 claims abstract description 7
- BHPQYMZQTOCNFJ-UHFFFAOYSA-N Calcium cation Chemical compound [Ca+2] BHPQYMZQTOCNFJ-UHFFFAOYSA-N 0.000 claims abstract description 6
- 206010020751 Hypersensitivity Diseases 0.000 claims abstract description 4
- 230000000638 stimulation Effects 0.000 claims abstract description 3
- 125000003275 alpha amino acid group Chemical group 0.000 claims abstract 14
- 210000004027 cell Anatomy 0.000 claims description 90
- 230000000694 effects Effects 0.000 claims description 57
- 210000004698 lymphocyte Anatomy 0.000 claims description 29
- 150000001720 carbohydrates Chemical class 0.000 claims description 22
- 239000003814 drug Substances 0.000 claims description 22
- 229940079593 drug Drugs 0.000 claims description 20
- 230000001861 immunosuppressant effect Effects 0.000 claims description 15
- 238000002560 therapeutic procedure Methods 0.000 claims description 12
- 208000023275 Autoimmune disease Diseases 0.000 claims description 11
- 229930105110 Cyclosporin A Natural products 0.000 claims description 11
- PMATZTZNYRCHOR-CGLBZJNRSA-N Cyclosporin A Chemical class CC[C@@H]1NC(=O)[C@H]([C@H](O)[C@H](C)C\C=C\C)N(C)C(=O)[C@H](C(C)C)N(C)C(=O)[C@H](CC(C)C)N(C)C(=O)[C@H](CC(C)C)N(C)C(=O)[C@@H](C)NC(=O)[C@H](C)NC(=O)[C@H](CC(C)C)N(C)C(=O)[C@H](C(C)C)NC(=O)[C@H](CC(C)C)N(C)C(=O)CN(C)C1=O PMATZTZNYRCHOR-CGLBZJNRSA-N 0.000 claims description 11
- 108010036949 Cyclosporine Proteins 0.000 claims description 11
- 229960001265 ciclosporin Drugs 0.000 claims description 11
- 229930182912 cyclosporin Natural products 0.000 claims description 11
- 210000000987 immune system Anatomy 0.000 claims description 9
- SYKYBMOFPMXDRQ-SOIZYFOBSA-N thiodigalactoside Chemical compound O[C@@H]1[C@@H](O)[C@H](O)[C@@H](CO)O[C@H]1S[C@@H]1[C@@H](O)[C@H](O)[C@@H](O)[C@H](CO)O1 SYKYBMOFPMXDRQ-SOIZYFOBSA-N 0.000 claims description 9
- LMEKQMALGUDUQG-UHFFFAOYSA-N azathioprine Chemical compound CN1C=NC([N+]([O-])=O)=C1SC1=NC=NC2=C1NC=N2 LMEKQMALGUDUQG-UHFFFAOYSA-N 0.000 claims description 8
- 229960002170 azathioprine Drugs 0.000 claims description 8
- CMSMOCZEIVJLDB-UHFFFAOYSA-N Cyclophosphamide Chemical compound ClCCN(CCCl)P1(=O)NCCCO1 CMSMOCZEIVJLDB-UHFFFAOYSA-N 0.000 claims description 7
- 229960004397 cyclophosphamide Drugs 0.000 claims description 7
- 230000001681 protective effect Effects 0.000 claims description 7
- 201000000596 systemic lupus erythematosus Diseases 0.000 claims description 7
- 230000001225 therapeutic effect Effects 0.000 claims description 7
- GUBGYTABKSRVRQ-XLOQQCSPSA-N Alpha-Lactose Chemical compound O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@H]1O[C@@H]1[C@@H](CO)O[C@H](O)[C@H](O)[C@H]1O GUBGYTABKSRVRQ-XLOQQCSPSA-N 0.000 claims description 6
- 231100000433 cytotoxic Toxicity 0.000 claims description 6
- 230000001472 cytotoxic effect Effects 0.000 claims description 6
- 238000001727 in vivo Methods 0.000 claims description 6
- 230000004044 response Effects 0.000 claims description 6
- 238000000338 in vitro Methods 0.000 claims description 5
- 241000124008 Mammalia Species 0.000 claims description 4
- 150000002016 disaccharides Chemical class 0.000 claims description 4
- 239000003120 macrolide antibiotic agent Chemical class 0.000 claims description 4
- XOFYZVNMUHMLCC-ZPOLXVRWSA-N prednisone Chemical compound O=C1C=C[C@]2(C)[C@H]3C(=O)C[C@](C)([C@@](CC4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 XOFYZVNMUHMLCC-ZPOLXVRWSA-N 0.000 claims description 4
- 229960004618 prednisone Drugs 0.000 claims description 4
- ZAHRKKWIAAJSAO-UHFFFAOYSA-N rapamycin Chemical class COCC(O)C(=C/C(C)C(=O)CC(OC(=O)C1CCCCN1C(=O)C(=O)C2(O)OC(CC(OC)C(=CC=CC=CC(C)CC(C)C(=O)C)C)CCC2C)C(C)CC3CCC(O)C(C3)OC)C ZAHRKKWIAAJSAO-UHFFFAOYSA-N 0.000 claims description 4
- QFJCIRLUMZQUOT-HPLJOQBZSA-N sirolimus Chemical class C1C[C@@H](O)[C@H](OC)C[C@@H]1C[C@@H](C)[C@H]1OC(=O)[C@@H]2CCCCN2C(=O)C(=O)[C@](O)(O2)[C@H](C)CC[C@H]2C[C@H](OC)/C(C)=C/C=C/C=C/[C@@H](C)C[C@@H](C)C(=O)[C@H](OC)[C@H](O)/C(C)=C/[C@@H](C)C(=O)C1 QFJCIRLUMZQUOT-HPLJOQBZSA-N 0.000 claims description 4
- 229960002930 sirolimus Drugs 0.000 claims description 4
- 229960004584 methylprednisolone Drugs 0.000 claims description 3
- 150000002772 monosaccharides Chemical class 0.000 claims description 3
- 230000008685 targeting Effects 0.000 claims description 3
- 206010067584 Type 1 diabetes mellitus Diseases 0.000 claims description 2
- 230000002757 inflammatory effect Effects 0.000 claims description 2
- 239000000546 pharmaceutical excipient Substances 0.000 claims description 2
- 239000000126 substance Substances 0.000 claims 6
- 230000008878 coupling Effects 0.000 claims 4
- 238000010168 coupling process Methods 0.000 claims 4
- 238000005859 coupling reaction Methods 0.000 claims 4
- VHRSUDSXCMQTMA-PJHHCJLFSA-N 6alpha-methylprednisolone Chemical compound C([C@@]12C)=CC(=O)C=C1[C@@H](C)C[C@@H]1[C@@H]2[C@@H](O)C[C@]2(C)[C@@](O)(C(=O)CO)CC[C@H]21 VHRSUDSXCMQTMA-PJHHCJLFSA-N 0.000 claims 2
- 229940125644 antibody drug Drugs 0.000 claims 2
- 230000028709 inflammatory response Effects 0.000 claims 2
- 208000030961 allergic reaction Diseases 0.000 claims 1
- 239000007864 aqueous solution Substances 0.000 claims 1
- 239000007979 citrate buffer Substances 0.000 claims 1
- 230000001747 exhibiting effect Effects 0.000 claims 1
- 238000011282 treatment Methods 0.000 abstract description 19
- 206010052779 Transplant rejections Diseases 0.000 abstract description 8
- 210000000056 organ Anatomy 0.000 abstract description 6
- 230000001363 autoimmune Effects 0.000 abstract description 5
- 239000004480 active ingredient Substances 0.000 abstract description 4
- 210000001744 T-lymphocyte Anatomy 0.000 description 39
- 241000700159 Rattus Species 0.000 description 34
- 102000034337 acetylcholine receptors Human genes 0.000 description 34
- 108090000623 proteins and genes Proteins 0.000 description 30
- 241001465754 Metazoa Species 0.000 description 26
- 235000018102 proteins Nutrition 0.000 description 26
- 102000004169 proteins and genes Human genes 0.000 description 26
- 241000699670 Mus sp. Species 0.000 description 24
- 210000001165 lymph node Anatomy 0.000 description 23
- 230000027455 binding Effects 0.000 description 21
- 239000000872 buffer Substances 0.000 description 18
- 102000005962 receptors Human genes 0.000 description 17
- 108020003175 receptors Proteins 0.000 description 17
- 102000036639 antigens Human genes 0.000 description 16
- 108091007433 antigens Proteins 0.000 description 16
- 239000000427 antigen Substances 0.000 description 15
- 230000013595 glycosylation Effects 0.000 description 15
- 238000006206 glycosylation reaction Methods 0.000 description 15
- 238000002347 injection Methods 0.000 description 14
- 239000007924 injection Substances 0.000 description 14
- 210000002216 heart Anatomy 0.000 description 13
- 239000000047 product Substances 0.000 description 13
- 230000004083 survival effect Effects 0.000 description 13
- 230000002992 thymic effect Effects 0.000 description 13
- 108020004414 DNA Proteins 0.000 description 12
- 108010009685 Cholinergic Receptors Proteins 0.000 description 11
- WQZGKKKJIJFFOK-FPRJBGLDSA-N beta-D-galactose Chemical class OC[C@H]1O[C@@H](O)[C@H](O)[C@@H](O)[C@H]1O WQZGKKKJIJFFOK-FPRJBGLDSA-N 0.000 description 11
- 239000002299 complementary DNA Substances 0.000 description 11
- 201000010099 disease Diseases 0.000 description 11
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 11
- 210000003386 epithelial cell of thymus gland Anatomy 0.000 description 11
- 210000001519 tissue Anatomy 0.000 description 11
- 150000001413 amino acids Chemical group 0.000 description 10
- 235000014633 carbohydrates Nutrition 0.000 description 10
- 201000002491 encephalomyelitis Diseases 0.000 description 10
- 150000004676 glycans Chemical class 0.000 description 10
- 239000005017 polysaccharide Substances 0.000 description 10
- 238000012360 testing method Methods 0.000 description 10
- 241000699666 Mus <mouse, genus> Species 0.000 description 9
- HEMHJVSKTPXQMS-UHFFFAOYSA-M Sodium hydroxide Chemical compound [OH-].[Na+] HEMHJVSKTPXQMS-UHFFFAOYSA-M 0.000 description 9
- 210000004072 lung Anatomy 0.000 description 9
- 229920001282 polysaccharide Polymers 0.000 description 9
- 210000002966 serum Anatomy 0.000 description 9
- 229960000814 tetanus toxoid Drugs 0.000 description 9
- 230000004520 agglutination Effects 0.000 description 8
- 238000002474 experimental method Methods 0.000 description 8
- 235000001014 amino acid Nutrition 0.000 description 7
- 238000005119 centrifugation Methods 0.000 description 7
- 210000003038 endothelium Anatomy 0.000 description 7
- 229930182830 galactose Natural products 0.000 description 7
- 230000003993 interaction Effects 0.000 description 7
- 210000005059 placental tissue Anatomy 0.000 description 7
- 108010062580 Concanavalin A Proteins 0.000 description 6
- 238000007792 addition Methods 0.000 description 6
- 210000003719 b-lymphocyte Anatomy 0.000 description 6
- 230000001054 cortical effect Effects 0.000 description 6
- 230000003247 decreasing effect Effects 0.000 description 6
- 239000000284 extract Substances 0.000 description 6
- 238000009472 formulation Methods 0.000 description 6
- 230000003053 immunization Effects 0.000 description 6
- 238000002649 immunization Methods 0.000 description 6
- 239000003446 ligand Substances 0.000 description 6
- 230000005012 migration Effects 0.000 description 6
- 238000013508 migration Methods 0.000 description 6
- 230000035772 mutation Effects 0.000 description 6
- 230000003169 placental effect Effects 0.000 description 6
- 230000002829 reductive effect Effects 0.000 description 6
- 239000000243 solution Substances 0.000 description 6
- 238000002965 ELISA Methods 0.000 description 5
- 101001004833 Electrophorus electricus Beta-galactoside-binding lectin Proteins 0.000 description 5
- 241000588724 Escherichia coli Species 0.000 description 5
- 230000002411 adverse Effects 0.000 description 5
- 238000006243 chemical reaction Methods 0.000 description 5
- 210000002919 epithelial cell Anatomy 0.000 description 5
- 238000011694 lewis rat Methods 0.000 description 5
- 210000002826 placenta Anatomy 0.000 description 5
- 108090000765 processed proteins & peptides Proteins 0.000 description 5
- 238000002054 transplantation Methods 0.000 description 5
- HZAXFHJVJLSVMW-UHFFFAOYSA-N 2-Aminoethan-1-ol Chemical compound NCCO HZAXFHJVJLSVMW-UHFFFAOYSA-N 0.000 description 4
- KRKNYBCHXYNGOX-UHFFFAOYSA-K Citrate Chemical group [O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O KRKNYBCHXYNGOX-UHFFFAOYSA-K 0.000 description 4
- 241000287828 Gallus gallus Species 0.000 description 4
- 206010061218 Inflammation Diseases 0.000 description 4
- 210000001185 bone marrow Anatomy 0.000 description 4
- 235000013330 chicken meat Nutrition 0.000 description 4
- 238000004587 chromatography analysis Methods 0.000 description 4
- 230000001955 cumulated effect Effects 0.000 description 4
- 238000011161 development Methods 0.000 description 4
- 230000018109 developmental process Effects 0.000 description 4
- 210000002889 endothelial cell Anatomy 0.000 description 4
- 239000000499 gel Substances 0.000 description 4
- 230000004054 inflammatory process Effects 0.000 description 4
- 238000004519 manufacturing process Methods 0.000 description 4
- HOVAGTYPODGVJG-UHFFFAOYSA-N methyl beta-galactoside Natural products COC1OC(CO)C(O)C(O)C1O HOVAGTYPODGVJG-UHFFFAOYSA-N 0.000 description 4
- 230000002232 neuromuscular Effects 0.000 description 4
- 239000002244 precipitate Substances 0.000 description 4
- 230000028327 secretion Effects 0.000 description 4
- 208000027930 type IV hypersensitivity disease Diseases 0.000 description 4
- 239000013598 vector Substances 0.000 description 4
- 239000003981 vehicle Substances 0.000 description 4
- LJRDOKAZOAKLDU-UDXJMMFXSA-N (2s,3s,4r,5r,6r)-5-amino-2-(aminomethyl)-6-[(2r,3s,4r,5s)-5-[(1r,2r,3s,5r,6s)-3,5-diamino-2-[(2s,3r,4r,5s,6r)-3-amino-4,5-dihydroxy-6-(hydroxymethyl)oxan-2-yl]oxy-6-hydroxycyclohexyl]oxy-4-hydroxy-2-(hydroxymethyl)oxolan-3-yl]oxyoxane-3,4-diol;sulfuric ac Chemical compound OS(O)(=O)=O.N[C@@H]1[C@@H](O)[C@H](O)[C@H](CN)O[C@@H]1O[C@H]1[C@@H](O)[C@H](O[C@H]2[C@@H]([C@@H](N)C[C@@H](N)[C@@H]2O)O[C@@H]2[C@@H]([C@@H](O)[C@H](O)[C@@H](CO)O2)N)O[C@@H]1CO LJRDOKAZOAKLDU-UDXJMMFXSA-N 0.000 description 3
- NHBKXEKEPDILRR-UHFFFAOYSA-N 2,3-bis(butanoylsulfanyl)propyl butanoate Chemical compound CCCC(=O)OCC(SC(=O)CCC)CSC(=O)CCC NHBKXEKEPDILRR-UHFFFAOYSA-N 0.000 description 3
- 208000034172 Autoimmune Experimental Myasthenia Gravis Diseases 0.000 description 3
- 241000283707 Capra Species 0.000 description 3
- 241000196324 Embryophyta Species 0.000 description 3
- 102000003886 Glycoproteins Human genes 0.000 description 3
- 108090000288 Glycoproteins Proteins 0.000 description 3
- 108060003951 Immunoglobulin Proteins 0.000 description 3
- FBOZXECLQNJBKD-ZDUSSCGKSA-N L-methotrexate Chemical compound C=1N=C2N=C(N)N=C(N)C2=NC=1CN(C)C1=CC=C(C(=O)N[C@@H](CCC(O)=O)C(O)=O)C=C1 FBOZXECLQNJBKD-ZDUSSCGKSA-N 0.000 description 3
- 206010028980 Neoplasm Diseases 0.000 description 3
- 229920005654 Sephadex Polymers 0.000 description 3
- 239000012507 Sephadex™ Substances 0.000 description 3
- 229920002684 Sepharose Polymers 0.000 description 3
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 3
- 239000002671 adjuvant Substances 0.000 description 3
- 239000003430 antimalarial agent Substances 0.000 description 3
- 229940033495 antimalarials Drugs 0.000 description 3
- 108010005774 beta-Galactosidase Proteins 0.000 description 3
- 210000004204 blood vessel Anatomy 0.000 description 3
- 229910001424 calcium ion Inorganic materials 0.000 description 3
- 239000006285 cell suspension Substances 0.000 description 3
- 230000004064 dysfunction Effects 0.000 description 3
- 238000004108 freeze drying Methods 0.000 description 3
- 206010073071 hepatocellular carcinoma Diseases 0.000 description 3
- 102000018358 immunoglobulin Human genes 0.000 description 3
- 230000005764 inhibitory process Effects 0.000 description 3
- 238000002955 isolation Methods 0.000 description 3
- 210000003734 kidney Anatomy 0.000 description 3
- 210000004185 liver Anatomy 0.000 description 3
- 210000002540 macrophage Anatomy 0.000 description 3
- 206010025482 malaise Diseases 0.000 description 3
- 239000000463 material Substances 0.000 description 3
- 230000001404 mediated effect Effects 0.000 description 3
- 239000002609 medium Substances 0.000 description 3
- 229960000485 methotrexate Drugs 0.000 description 3
- 230000002297 mitogenic effect Effects 0.000 description 3
- 108020004707 nucleic acids Proteins 0.000 description 3
- 102000039446 nucleic acids Human genes 0.000 description 3
- 150000007523 nucleic acids Chemical class 0.000 description 3
- 239000008188 pellet Substances 0.000 description 3
- 229960001639 penicillamine Drugs 0.000 description 3
- 230000002093 peripheral effect Effects 0.000 description 3
- 238000002360 preparation method Methods 0.000 description 3
- 102000004196 processed proteins & peptides Human genes 0.000 description 3
- 238000012545 processing Methods 0.000 description 3
- 238000010188 recombinant method Methods 0.000 description 3
- 238000010186 staining Methods 0.000 description 3
- 208000024891 symptom Diseases 0.000 description 3
- 239000003053 toxin Substances 0.000 description 3
- 231100000765 toxin Toxicity 0.000 description 3
- 108700012359 toxins Proteins 0.000 description 3
- 239000003656 tris buffered saline Substances 0.000 description 3
- 238000005406 washing Methods 0.000 description 3
- OWEGMIWEEQEYGQ-UHFFFAOYSA-N 100676-05-9 Natural products OC1C(O)C(O)C(CO)OC1OCC1C(O)C(O)C(O)C(OC2C(OC(O)C(O)C2O)CO)O1 OWEGMIWEEQEYGQ-UHFFFAOYSA-N 0.000 description 2
- 102000002260 Alkaline Phosphatase Human genes 0.000 description 2
- 108020004774 Alkaline Phosphatase Proteins 0.000 description 2
- 241000271566 Aves Species 0.000 description 2
- 238000011725 BALB/c mouse Methods 0.000 description 2
- GUBGYTABKSRVRQ-DCSYEGIMSA-N Beta-Lactose Chemical compound OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)[C@H](O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-DCSYEGIMSA-N 0.000 description 2
- 241000283690 Bos taurus Species 0.000 description 2
- 108091003079 Bovine Serum Albumin Proteins 0.000 description 2
- 241000282472 Canis lupus familiaris Species 0.000 description 2
- 108091026890 Coding region Proteins 0.000 description 2
- 208000016192 Demyelinating disease Diseases 0.000 description 2
- 102000004190 Enzymes Human genes 0.000 description 2
- 108090000790 Enzymes Proteins 0.000 description 2
- 206010015866 Extravasation Diseases 0.000 description 2
- WSFSSNUMVMOOMR-UHFFFAOYSA-N Formaldehyde Chemical compound O=C WSFSSNUMVMOOMR-UHFFFAOYSA-N 0.000 description 2
- 241000282412 Homo Species 0.000 description 2
- UETNIIAIRMUTSM-UHFFFAOYSA-N Jacareubin Natural products CC1(C)OC2=CC3Oc4c(O)c(O)ccc4C(=O)C3C(=C2C=C1)O UETNIIAIRMUTSM-UHFFFAOYSA-N 0.000 description 2
- 239000006137 Luria-Bertani broth Substances 0.000 description 2
- GUBGYTABKSRVRQ-PICCSMPSSA-N Maltose Natural products O[C@@H]1[C@@H](O)[C@H](O)[C@@H](CO)O[C@@H]1O[C@@H]1[C@@H](CO)OC(O)[C@H](O)[C@H]1O GUBGYTABKSRVRQ-PICCSMPSSA-N 0.000 description 2
- 102000003792 Metallothionein Human genes 0.000 description 2
- 108090000157 Metallothionein Proteins 0.000 description 2
- 206010028813 Nausea Diseases 0.000 description 2
- 108010076504 Protein Sorting Signals Proteins 0.000 description 2
- 240000004808 Saccharomyces cerevisiae Species 0.000 description 2
- 206010070834 Sensitisation Diseases 0.000 description 2
- 230000005867 T cell response Effects 0.000 description 2
- QJJXYPPXXYFBGM-LFZNUXCKSA-N Tacrolimus Chemical compound C1C[C@@H](O)[C@H](OC)C[C@@H]1\C=C(/C)[C@@H]1[C@H](C)[C@@H](O)CC(=O)[C@H](CC=C)/C=C(C)/C[C@H](C)C[C@H](OC)[C@H]([C@H](C[C@H]2C)OC)O[C@@]2(O)C(=O)C(=O)N2CCCC[C@H]2C(=O)O1 QJJXYPPXXYFBGM-LFZNUXCKSA-N 0.000 description 2
- 206010053613 Type IV hypersensitivity reaction Diseases 0.000 description 2
- 208000036142 Viral infection Diseases 0.000 description 2
- 206010000059 abdominal discomfort Diseases 0.000 description 2
- 230000001580 bacterial effect Effects 0.000 description 2
- GUBGYTABKSRVRQ-QUYVBRFLSA-N beta-maltose Chemical compound OC[C@H]1O[C@H](O[C@H]2[C@H](O)[C@@H](O)[C@H](O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@@H]1O GUBGYTABKSRVRQ-QUYVBRFLSA-N 0.000 description 2
- 230000004071 biological effect Effects 0.000 description 2
- 230000015572 biosynthetic process Effects 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004556 brain Anatomy 0.000 description 2
- 238000011685 brown norway rat Methods 0.000 description 2
- 230000000747 cardiac effect Effects 0.000 description 2
- 230000008859 change Effects 0.000 description 2
- 239000003638 chemical reducing agent Substances 0.000 description 2
- 238000010276 construction Methods 0.000 description 2
- 230000009260 cross reactivity Effects 0.000 description 2
- 230000034994 death Effects 0.000 description 2
- 230000003111 delayed effect Effects 0.000 description 2
- 238000012217 deletion Methods 0.000 description 2
- 230000037430 deletion Effects 0.000 description 2
- 230000001419 dependent effect Effects 0.000 description 2
- 238000012377 drug delivery Methods 0.000 description 2
- 238000001962 electrophoresis Methods 0.000 description 2
- 210000003989 endothelium vascular Anatomy 0.000 description 2
- 230000036251 extravasation Effects 0.000 description 2
- 230000002349 favourable effect Effects 0.000 description 2
- 239000012091 fetal bovine serum Substances 0.000 description 2
- OVBPIULPVIDEAO-LBPRGKRZSA-N folic acid Chemical compound C=1N=C2NC(N)=NC(=O)C2=NC=1CNC1=CC=C(C(=O)N[C@@H](CCC(O)=O)C(O)=O)C=C1 OVBPIULPVIDEAO-LBPRGKRZSA-N 0.000 description 2
- 238000007710 freezing Methods 0.000 description 2
- 230000008014 freezing Effects 0.000 description 2
- -1 galactose saccharides Chemical class 0.000 description 2
- 150000002343 gold Chemical class 0.000 description 2
- 230000012010 growth Effects 0.000 description 2
- 238000010438 heat treatment Methods 0.000 description 2
- 210000002443 helper t lymphocyte Anatomy 0.000 description 2
- 210000004408 hybridoma Anatomy 0.000 description 2
- 229940072221 immunoglobulins Drugs 0.000 description 2
- 239000002955 immunomodulating agent Substances 0.000 description 2
- 229910052738 indium Inorganic materials 0.000 description 2
- APFVFJFRJDLVQX-UHFFFAOYSA-N indium atom Chemical compound [In] APFVFJFRJDLVQX-UHFFFAOYSA-N 0.000 description 2
- 208000015181 infectious disease Diseases 0.000 description 2
- 230000008595 infiltration Effects 0.000 description 2
- 238000001764 infiltration Methods 0.000 description 2
- 230000002401 inhibitory effect Effects 0.000 description 2
- 210000000265 leukocyte Anatomy 0.000 description 2
- 230000036210 malignancy Effects 0.000 description 2
- 230000035800 maturation Effects 0.000 description 2
- 230000010534 mechanism of action Effects 0.000 description 2
- 229910021645 metal ion Inorganic materials 0.000 description 2
- 238000010172 mouse model Methods 0.000 description 2
- 230000008693 nausea Effects 0.000 description 2
- 239000013642 negative control Substances 0.000 description 2
- 230000003647 oxidation Effects 0.000 description 2
- 238000007254 oxidation reaction Methods 0.000 description 2
- 230000001769 paralizing effect Effects 0.000 description 2
- 230000002980 postoperative effect Effects 0.000 description 2
- 230000001323 posttranslational effect Effects 0.000 description 2
- 230000003389 potentiating effect Effects 0.000 description 2
- 230000002035 prolonged effect Effects 0.000 description 2
- 238000000746 purification Methods 0.000 description 2
- 238000011552 rat model Methods 0.000 description 2
- 230000001105 regulatory effect Effects 0.000 description 2
- 239000000523 sample Substances 0.000 description 2
- 230000008313 sensitization Effects 0.000 description 2
- 125000005629 sialic acid group Chemical group 0.000 description 2
- 210000002027 skeletal muscle Anatomy 0.000 description 2
- 239000011780 sodium chloride Substances 0.000 description 2
- 150000003431 steroids Chemical class 0.000 description 2
- 230000004936 stimulating effect Effects 0.000 description 2
- 235000000346 sugar Nutrition 0.000 description 2
- 150000008163 sugars Chemical class 0.000 description 2
- NCEXYHBECQHGNR-QZQOTICOSA-N sulfasalazine Chemical compound C1=C(O)C(C(=O)O)=CC(\N=N\C=2C=CC(=CC=2)S(=O)(=O)NC=2N=CC=CC=2)=C1 NCEXYHBECQHGNR-QZQOTICOSA-N 0.000 description 2
- 229960001940 sulfasalazine Drugs 0.000 description 2
- NCEXYHBECQHGNR-UHFFFAOYSA-N sulfasalazine Natural products C1=C(O)C(C(=O)O)=CC(N=NC=2C=CC(=CC=2)S(=O)(=O)NC=2N=CC=CC=2)=C1 NCEXYHBECQHGNR-UHFFFAOYSA-N 0.000 description 2
- 229940124597 therapeutic agent Drugs 0.000 description 2
- 125000003396 thiol group Chemical group [H]S* 0.000 description 2
- 238000001890 transfection Methods 0.000 description 2
- 230000009466 transformation Effects 0.000 description 2
- 230000005951 type IV hypersensitivity Effects 0.000 description 2
- 210000003462 vein Anatomy 0.000 description 2
- 230000003612 virological effect Effects 0.000 description 2
- 238000005303 weighing Methods 0.000 description 2
- 230000004580 weight loss Effects 0.000 description 2
- 238000001262 western blot Methods 0.000 description 2
- 229930195724 β-lactose Natural products 0.000 description 2
- DGVVWUTYPXICAM-UHFFFAOYSA-N β‐Mercaptoethanol Chemical compound OCCS DGVVWUTYPXICAM-UHFFFAOYSA-N 0.000 description 2
- 108091032973 (ribonucleotides)n+m Proteins 0.000 description 1
- IQFYYKKMVGJFEH-OFKYTIFKSA-N 1-[(2r,4s,5r)-4-hydroxy-5-(tritiooxymethyl)oxolan-2-yl]-5-methylpyrimidine-2,4-dione Chemical compound C1[C@H](O)[C@@H](CO[3H])O[C@H]1N1C(=O)NC(=O)C(C)=C1 IQFYYKKMVGJFEH-OFKYTIFKSA-N 0.000 description 1
- BFSVOASYOCHEOV-UHFFFAOYSA-N 2-diethylaminoethanol Chemical compound CCN(CC)CCO BFSVOASYOCHEOV-UHFFFAOYSA-N 0.000 description 1
- OSJPPGNTCRNQQC-UWTATZPHSA-N 3-phospho-D-glyceric acid Chemical compound OC(=O)[C@H](O)COP(O)(O)=O OSJPPGNTCRNQQC-UWTATZPHSA-N 0.000 description 1
- QTBSBXVTEAMEQO-UHFFFAOYSA-M Acetate Chemical compound CC([O-])=O QTBSBXVTEAMEQO-UHFFFAOYSA-M 0.000 description 1
- 241000251468 Actinopterygii Species 0.000 description 1
- 101710186708 Agglutinin Proteins 0.000 description 1
- 201000010000 Agranulocytosis Diseases 0.000 description 1
- 201000004384 Alopecia Diseases 0.000 description 1
- 241000252073 Anguilliformes Species 0.000 description 1
- 206010002961 Aplasia Diseases 0.000 description 1
- FHETWELNCBMRMG-HJGDQZAQSA-N Asn-Leu-Thr Chemical compound [H]N[C@@H](CC(N)=O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H]([C@@H](C)O)C(O)=O FHETWELNCBMRMG-HJGDQZAQSA-N 0.000 description 1
- 206010003591 Ataxia Diseases 0.000 description 1
- 206010003694 Atrophy Diseases 0.000 description 1
- 208000032116 Autoimmune Experimental Encephalomyelitis Diseases 0.000 description 1
- 208000030767 Autoimmune encephalitis Diseases 0.000 description 1
- 230000003844 B-cell-activation Effects 0.000 description 1
- 241000304886 Bacilli Species 0.000 description 1
- 241000193388 Bacillus thuringiensis Species 0.000 description 1
- 241000894006 Bacteria Species 0.000 description 1
- 108010077805 Bacterial Proteins Proteins 0.000 description 1
- BVKZGUZCCUSVTD-UHFFFAOYSA-M Bicarbonate Chemical group OC([O-])=O BVKZGUZCCUSVTD-UHFFFAOYSA-M 0.000 description 1
- 241000701822 Bovine papillomavirus Species 0.000 description 1
- UXVMQQNJUSDDNG-UHFFFAOYSA-L Calcium chloride Chemical compound [Cl-].[Cl-].[Ca+2] UXVMQQNJUSDDNG-UHFFFAOYSA-L 0.000 description 1
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 1
- 208000002177 Cataract Diseases 0.000 description 1
- 241000700199 Cavia porcellus Species 0.000 description 1
- 206010065941 Central obesity Diseases 0.000 description 1
- 208000017667 Chronic Disease Diseases 0.000 description 1
- 108020004705 Codon Proteins 0.000 description 1
- 108020004635 Complementary DNA Proteins 0.000 description 1
- 101710151559 Crystal protein Proteins 0.000 description 1
- UYPPEWHLQQUDPM-UHFFFAOYSA-N Cyclosporin I Natural products CC=CCC(C)C(O)C1N(C)C(=O)C(C(C)C)N(C)C(=O)C(CC(C)C)NC(=O)C(CC(C)C)N(C)C(=O)C(C)NC(=O)C(C)NC(=O)C(CC(C)C)N(C)C(=O)C(C(C)C)NC(=O)C(CC(C)C)N(C)C(=O)CN(C)C(=O)C(C(C)C)NC1=O UYPPEWHLQQUDPM-UHFFFAOYSA-N 0.000 description 1
- RGHNJXZEOKUKBD-SQOUGZDYSA-M D-gluconate Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@@H](O)C([O-])=O RGHNJXZEOKUKBD-SQOUGZDYSA-M 0.000 description 1
- 230000006820 DNA synthesis Effects 0.000 description 1
- 206010012305 Demyelination Diseases 0.000 description 1
- 229920002307 Dextran Polymers 0.000 description 1
- 241000168726 Dictyostelium discoideum Species 0.000 description 1
- 108090000204 Dipeptidase 1 Proteins 0.000 description 1
- 108010049959 Discoidins Proteins 0.000 description 1
- 239000006144 Dulbecco’s modified Eagle's medium Substances 0.000 description 1
- KCXVZYZYPLLWCC-UHFFFAOYSA-N EDTA Chemical compound OC(=O)CN(CC(O)=O)CCN(CC(O)=O)CC(O)=O KCXVZYZYPLLWCC-UHFFFAOYSA-N 0.000 description 1
- 241000206602 Eukaryota Species 0.000 description 1
- 208000010201 Exanthema Diseases 0.000 description 1
- 241000282326 Felis catus Species 0.000 description 1
- 201000008808 Fibrosarcoma Diseases 0.000 description 1
- 206010017533 Fungal infection Diseases 0.000 description 1
- 230000005526 G1 to G0 transition Effects 0.000 description 1
- 108010093031 Galactosidases Proteins 0.000 description 1
- 102000002464 Galactosidases Human genes 0.000 description 1
- 208000010412 Glaucoma Diseases 0.000 description 1
- 206010018364 Glomerulonephritis Diseases 0.000 description 1
- 208000009329 Graft vs Host Disease Diseases 0.000 description 1
- 206010018687 Granulocytopenia Diseases 0.000 description 1
- 102000006354 HLA-DR Antigens Human genes 0.000 description 1
- 108010058597 HLA-DR Antigens Proteins 0.000 description 1
- 239000012981 Hank's balanced salt solution Substances 0.000 description 1
- 101710154606 Hemagglutinin Proteins 0.000 description 1
- 206010019668 Hepatic fibrosis Diseases 0.000 description 1
- 241000238631 Hexapoda Species 0.000 description 1
- 101000573199 Homo sapiens Protein PML Proteins 0.000 description 1
- 101710146024 Horcolin Proteins 0.000 description 1
- 108010001336 Horseradish Peroxidase Proteins 0.000 description 1
- 208000031226 Hyperlipidaemia Diseases 0.000 description 1
- 206010020772 Hypertension Diseases 0.000 description 1
- 102000010789 Interleukin-2 Receptors Human genes 0.000 description 1
- 108010038453 Interleukin-2 Receptors Proteins 0.000 description 1
- 206010022714 Intestinal ulcer Diseases 0.000 description 1
- 206010022773 Intracranial pressure increased Diseases 0.000 description 1
- 208000003456 Juvenile Arthritis Diseases 0.000 description 1
- 206010059176 Juvenile idiopathic arthritis Diseases 0.000 description 1
- 102000011782 Keratins Human genes 0.000 description 1
- 108010076876 Keratins Proteins 0.000 description 1
- 125000002842 L-seryl group Chemical group O=C([*])[C@](N([H])[H])([H])C([H])([H])O[H] 0.000 description 1
- QIVBCDIJIAJPQS-VIFPVBQESA-N L-tryptophane Chemical compound C1=CC=C2C(C[C@H](N)C(O)=O)=CNC2=C1 QIVBCDIJIAJPQS-VIFPVBQESA-N 0.000 description 1
- JVTAAEKCZFNVCJ-UHFFFAOYSA-M Lactate Chemical compound CC(O)C([O-])=O JVTAAEKCZFNVCJ-UHFFFAOYSA-M 0.000 description 1
- 101710189395 Lectin Proteins 0.000 description 1
- 206010025327 Lymphopenia Diseases 0.000 description 1
- 101710179758 Mannose-specific lectin Proteins 0.000 description 1
- 101710150763 Mannose-specific lectin 1 Proteins 0.000 description 1
- 101710150745 Mannose-specific lectin 2 Proteins 0.000 description 1
- 238000000585 Mann–Whitney U test Methods 0.000 description 1
- 102000012750 Membrane Glycoproteins Human genes 0.000 description 1
- 108010090054 Membrane Glycoproteins Proteins 0.000 description 1
- FQISKWAFAHGMGT-SGJOWKDISA-M Methylprednisolone sodium succinate Chemical compound [Na+].C([C@@]12C)=CC(=O)C=C1[C@@H](C)C[C@@H]1[C@@H]2[C@@H](O)C[C@]2(C)[C@@](O)(C(=O)COC(=O)CCC([O-])=O)CC[C@H]21 FQISKWAFAHGMGT-SGJOWKDISA-M 0.000 description 1
- 241001529936 Murinae Species 0.000 description 1
- 208000021642 Muscular disease Diseases 0.000 description 1
- 206010062207 Mycobacterial infection Diseases 0.000 description 1
- 208000031888 Mycoses Diseases 0.000 description 1
- 201000009623 Myopathy Diseases 0.000 description 1
- OVBPIULPVIDEAO-UHFFFAOYSA-N N-Pteroyl-L-glutaminsaeure Natural products C=1N=C2NC(N)=NC(=O)C2=NC=1CNC1=CC=C(C(=O)NC(CCC(O)=O)C(O)=O)C=C1 OVBPIULPVIDEAO-UHFFFAOYSA-N 0.000 description 1
- 125000001429 N-terminal alpha-amino-acid group Chemical group 0.000 description 1
- 241001494875 Naja naja Species 0.000 description 1
- 102000005348 Neuraminidase Human genes 0.000 description 1
- 108010006232 Neuraminidase Proteins 0.000 description 1
- 101710138657 Neurotoxin Proteins 0.000 description 1
- 108091028043 Nucleic acid sequence Proteins 0.000 description 1
- 208000007117 Oral Ulcer Diseases 0.000 description 1
- 208000001132 Osteoporosis Diseases 0.000 description 1
- 101710093908 Outer capsid protein VP4 Proteins 0.000 description 1
- 101710135467 Outer capsid protein sigma-1 Proteins 0.000 description 1
- 229910019142 PO4 Inorganic materials 0.000 description 1
- 206010033557 Palpitations Diseases 0.000 description 1
- 206010033661 Pancytopenia Diseases 0.000 description 1
- 206010033799 Paralysis Diseases 0.000 description 1
- 241001494479 Pecora Species 0.000 description 1
- 108010087702 Penicillinase Proteins 0.000 description 1
- 108010033276 Peptide Fragments Proteins 0.000 description 1
- 102000007079 Peptide Fragments Human genes 0.000 description 1
- 108010022181 Phosphopyruvate Hydratase Proteins 0.000 description 1
- 102000004160 Phosphoric Monoester Hydrolases Human genes 0.000 description 1
- 108090000608 Phosphoric Monoester Hydrolases Proteins 0.000 description 1
- 108091000080 Phosphotransferase Proteins 0.000 description 1
- 206010035664 Pneumonia Diseases 0.000 description 1
- 101710176177 Protein A56 Proteins 0.000 description 1
- 206010037075 Protozoal infections Diseases 0.000 description 1
- 241000589516 Pseudomonas Species 0.000 description 1
- 206010061924 Pulmonary toxicity Diseases 0.000 description 1
- 241000700157 Rattus norvegicus Species 0.000 description 1
- 102000007056 Recombinant Fusion Proteins Human genes 0.000 description 1
- 108010008281 Recombinant Fusion Proteins Proteins 0.000 description 1
- 108010039491 Ricin Proteins 0.000 description 1
- 241000714474 Rous sarcoma virus Species 0.000 description 1
- 238000011803 SJL/J (JAX™ mice strain) Methods 0.000 description 1
- 239000012506 Sephacryl® Substances 0.000 description 1
- 241000193998 Streptococcus pneumoniae Species 0.000 description 1
- CZMRCDWAGMRECN-UGDNZRGBSA-N Sucrose Chemical compound O[C@H]1[C@H](O)[C@@H](CO)O[C@@]1(CO)O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 CZMRCDWAGMRECN-UGDNZRGBSA-N 0.000 description 1
- 229930006000 Sucrose Natural products 0.000 description 1
- 241000282887 Suidae Species 0.000 description 1
- 101001018322 Sus scrofa Myelin basic protein Proteins 0.000 description 1
- 206010043376 Tetanus Diseases 0.000 description 1
- 108010055044 Tetanus Toxin Proteins 0.000 description 1
- 241000327799 Thallomys paedulcus Species 0.000 description 1
- 241000251735 Torpedo marmorata Species 0.000 description 1
- 239000007983 Tris buffer Substances 0.000 description 1
- 102000004142 Trypsin Human genes 0.000 description 1
- 108090000631 Trypsin Proteins 0.000 description 1
- QIVBCDIJIAJPQS-UHFFFAOYSA-N Tryptophan Natural products C1=CC=C2C(CC(N)C(O)=O)=CNC2=C1 QIVBCDIJIAJPQS-UHFFFAOYSA-N 0.000 description 1
- 241000251539 Vertebrata <Metazoa> Species 0.000 description 1
- 241000700605 Viruses Species 0.000 description 1
- IXKSXJFAGXLQOQ-XISFHERQSA-N WHWLQLKPGQPMY Chemical compound C([C@@H](C(=O)N[C@@H](CC=1C2=CC=CC=C2NC=1)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H](CC(C)C)C(=O)N1CCC[C@H]1C(=O)NCC(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H](CC(O)=O)C(=O)N1CCC[C@H]1C(=O)N[C@@H](CCSC)C(=O)N[C@@H](CC=1C=CC(O)=CC=1)C(O)=O)NC(=O)[C@@H](N)CC=1C2=CC=CC=C2NC=1)C1=CNC=N1 IXKSXJFAGXLQOQ-XISFHERQSA-N 0.000 description 1
- 238000002835 absorbance Methods 0.000 description 1
- 238000009825 accumulation Methods 0.000 description 1
- OIPILFWXSMYKGL-UHFFFAOYSA-N acetylcholine Chemical compound CC(=O)OCC[N+](C)(C)C OIPILFWXSMYKGL-UHFFFAOYSA-N 0.000 description 1
- 229960004373 acetylcholine Drugs 0.000 description 1
- 150000008043 acidic salts Chemical class 0.000 description 1
- 230000002378 acidificating effect Effects 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 239000013543 active substance Substances 0.000 description 1
- 230000001154 acute effect Effects 0.000 description 1
- 238000001042 affinity chromatography Methods 0.000 description 1
- 239000000910 agglutinin Substances 0.000 description 1
- 150000001447 alkali salts Chemical class 0.000 description 1
- 208000026935 allergic disease Diseases 0.000 description 1
- 230000000961 alloantigen Effects 0.000 description 1
- 230000000735 allogeneic effect Effects 0.000 description 1
- 229910052782 aluminium Inorganic materials 0.000 description 1
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 1
- 125000000539 amino acid group Chemical group 0.000 description 1
- 238000010171 animal model Methods 0.000 description 1
- 230000003466 anti-cipated effect Effects 0.000 description 1
- 230000030741 antigen processing and presentation Effects 0.000 description 1
- 206010003246 arthritis Diseases 0.000 description 1
- 230000037444 atrophy Effects 0.000 description 1
- 230000003190 augmentative effect Effects 0.000 description 1
- 230000006472 autoimmune response Effects 0.000 description 1
- 229940097012 bacillus thuringiensis Drugs 0.000 description 1
- 230000000721 bacterilogical effect Effects 0.000 description 1
- SQVRNKJHWKZAKO-UHFFFAOYSA-N beta-N-Acetyl-D-neuraminic acid Natural products CC(=O)NC1C(O)CC(O)(C(O)=O)OC1C(O)C(O)CO SQVRNKJHWKZAKO-UHFFFAOYSA-N 0.000 description 1
- 102000006635 beta-lactamase Human genes 0.000 description 1
- 238000004166 bioassay Methods 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 210000000601 blood cell Anatomy 0.000 description 1
- 210000005013 brain tissue Anatomy 0.000 description 1
- 239000001110 calcium chloride Substances 0.000 description 1
- 229910001628 calcium chloride Inorganic materials 0.000 description 1
- 108091008400 carbohydrate binding proteins Proteins 0.000 description 1
- 102000023852 carbohydrate binding proteins Human genes 0.000 description 1
- 235000011089 carbon dioxide Nutrition 0.000 description 1
- 230000024245 cell differentiation Effects 0.000 description 1
- 230000001413 cellular effect Effects 0.000 description 1
- 230000007969 cellular immunity Effects 0.000 description 1
- 210000003169 central nervous system Anatomy 0.000 description 1
- 230000002490 cerebral effect Effects 0.000 description 1
- 238000012512 characterization method Methods 0.000 description 1
- 150000005829 chemical entities Chemical class 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 238000010367 cloning Methods 0.000 description 1
- 238000002648 combination therapy Methods 0.000 description 1
- 150000001875 compounds Chemical class 0.000 description 1
- 239000012141 concentrate Substances 0.000 description 1
- 230000021615 conjugation Effects 0.000 description 1
- 230000001276 controlling effect Effects 0.000 description 1
- 210000004087 cornea Anatomy 0.000 description 1
- 239000003246 corticosteroid Substances 0.000 description 1
- 229960001334 corticosteroids Drugs 0.000 description 1
- 238000012258 culturing Methods 0.000 description 1
- 125000000151 cysteine group Chemical group N[C@@H](CS)C(=O)* 0.000 description 1
- 229940127089 cytotoxic agent Drugs 0.000 description 1
- 239000002254 cytotoxic agent Substances 0.000 description 1
- 238000000354 decomposition reaction Methods 0.000 description 1
- 230000007850 degeneration Effects 0.000 description 1
- 230000008021 deposition Effects 0.000 description 1
- 230000006866 deterioration Effects 0.000 description 1
- 206010012601 diabetes mellitus Diseases 0.000 description 1
- 238000002405 diagnostic procedure Methods 0.000 description 1
- 238000010790 dilution Methods 0.000 description 1
- 239000012895 dilution Substances 0.000 description 1
- 230000003292 diminished effect Effects 0.000 description 1
- 230000003467 diminishing effect Effects 0.000 description 1
- 210000000031 electric organ Anatomy 0.000 description 1
- 238000010828 elution Methods 0.000 description 1
- 239000003995 emulsifying agent Substances 0.000 description 1
- 238000005538 encapsulation Methods 0.000 description 1
- 230000003511 endothelial effect Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 210000000981 epithelium Anatomy 0.000 description 1
- DNJIEGIFACGWOD-UHFFFAOYSA-N ethyl mercaptane Natural products CCS DNJIEGIFACGWOD-UHFFFAOYSA-N 0.000 description 1
- 201000005884 exanthem Diseases 0.000 description 1
- 208000012997 experimental autoimmune encephalomyelitis Diseases 0.000 description 1
- 239000013613 expression plasmid Substances 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 238000011049 filling Methods 0.000 description 1
- 229960000304 folic acid Drugs 0.000 description 1
- 235000019152 folic acid Nutrition 0.000 description 1
- 239000011724 folic acid Substances 0.000 description 1
- 125000000524 functional group Chemical group 0.000 description 1
- 230000002538 fungal effect Effects 0.000 description 1
- 102000037865 fusion proteins Human genes 0.000 description 1
- 108020001507 fusion proteins Proteins 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 238000002523 gelfiltration Methods 0.000 description 1
- 229940050410 gluconate Drugs 0.000 description 1
- PCHJSUWPFVWCPO-UHFFFAOYSA-N gold Chemical compound [Au] PCHJSUWPFVWCPO-UHFFFAOYSA-N 0.000 description 1
- 239000010931 gold Substances 0.000 description 1
- 229910052737 gold Inorganic materials 0.000 description 1
- 208000024908 graft versus host disease Diseases 0.000 description 1
- 230000003779 hair growth Effects 0.000 description 1
- 208000024963 hair loss Diseases 0.000 description 1
- 230000003676 hair loss Effects 0.000 description 1
- 239000000185 hemagglutinin Substances 0.000 description 1
- 230000002962 histologic effect Effects 0.000 description 1
- 229940088597 hormone Drugs 0.000 description 1
- 239000005556 hormone Substances 0.000 description 1
- 230000005745 host immune response Effects 0.000 description 1
- 102000054896 human PML Human genes 0.000 description 1
- 238000009396 hybridization Methods 0.000 description 1
- 230000009610 hypersensitivity Effects 0.000 description 1
- 229940124622 immune-modulator drug Drugs 0.000 description 1
- 238000003018 immunoassay Methods 0.000 description 1
- 229940127121 immunoconjugate Drugs 0.000 description 1
- 230000005847 immunogenicity Effects 0.000 description 1
- 230000016784 immunoglobulin production Effects 0.000 description 1
- 229940121354 immunomodulator Drugs 0.000 description 1
- 238000012744 immunostaining Methods 0.000 description 1
- 229940125721 immunosuppressive agent Drugs 0.000 description 1
- 230000001771 impaired effect Effects 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 230000006698 induction Effects 0.000 description 1
- 239000003112 inhibitor Substances 0.000 description 1
- 230000035992 intercellular communication Effects 0.000 description 1
- 206010022694 intestinal perforation Diseases 0.000 description 1
- 230000003834 intracellular effect Effects 0.000 description 1
- 201000009941 intracranial hypertension Diseases 0.000 description 1
- 238000001990 intravenous administration Methods 0.000 description 1
- 238000004255 ion exchange chromatography Methods 0.000 description 1
- 238000002372 labelling Methods 0.000 description 1
- 238000002350 laparotomy Methods 0.000 description 1
- 201000002364 leukopenia Diseases 0.000 description 1
- 231100001022 leukopenia Toxicity 0.000 description 1
- 150000002632 lipids Chemical class 0.000 description 1
- 239000002502 liposome Substances 0.000 description 1
- 238000012317 liver biopsy Methods 0.000 description 1
- 238000011068 loading method Methods 0.000 description 1
- 230000004807 localization Effects 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 229940070813 lymphocyte immune globulin Drugs 0.000 description 1
- 210000005210 lymphoid organ Anatomy 0.000 description 1
- 231100001023 lymphopenia Toxicity 0.000 description 1
- 238000012792 lyophilization process Methods 0.000 description 1
- 229940041033 macrolides Drugs 0.000 description 1
- 238000012423 maintenance Methods 0.000 description 1
- 210000004962 mammalian cell Anatomy 0.000 description 1
- MIKKOBKEXMRYFQ-WZTVWXICSA-N meglumine amidotrizoate Chemical compound C[NH2+]C[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO.CC(=O)NC1=C(I)C(NC(C)=O)=C(I)C(C([O-])=O)=C1I MIKKOBKEXMRYFQ-WZTVWXICSA-N 0.000 description 1
- 210000004379 membrane Anatomy 0.000 description 1
- 239000012528 membrane Substances 0.000 description 1
- 210000002418 meninge Anatomy 0.000 description 1
- 108020004999 messenger RNA Proteins 0.000 description 1
- 230000004060 metabolic process Effects 0.000 description 1
- 208000037819 metastatic cancer Diseases 0.000 description 1
- 208000011575 metastatic malignant neoplasm Diseases 0.000 description 1
- 229930182817 methionine Natural products 0.000 description 1
- 125000001360 methionine group Chemical group N[C@@H](CCSC)C(=O)* 0.000 description 1
- HPNSFSBZBAHARI-UHFFFAOYSA-N micophenolic acid Natural products OC1=C(CC=C(C)CCC(O)=O)C(OC)=C(C)C2=C1C(=O)OC2 HPNSFSBZBAHARI-UHFFFAOYSA-N 0.000 description 1
- 230000000813 microbial effect Effects 0.000 description 1
- 238000000386 microscopy Methods 0.000 description 1
- 239000003226 mitogen Substances 0.000 description 1
- 238000007799 mixed lymphocyte reaction assay Methods 0.000 description 1
- 238000002156 mixing Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 208000027531 mycobacterial infectious disease Diseases 0.000 description 1
- 229960000951 mycophenolic acid Drugs 0.000 description 1
- HPNSFSBZBAHARI-RUDMXATFSA-N mycophenolic acid Chemical compound OC1=C(C\C=C(/C)CCC(O)=O)C(OC)=C(C)C2=C1C(=O)OC2 HPNSFSBZBAHARI-RUDMXATFSA-N 0.000 description 1
- 231100000417 nephrotoxicity Toxicity 0.000 description 1
- 239000002581 neurotoxin Substances 0.000 description 1
- 231100000618 neurotoxin Toxicity 0.000 description 1
- 239000002773 nucleotide Substances 0.000 description 1
- 125000003729 nucleotide group Chemical group 0.000 description 1
- 229920001542 oligosaccharide Polymers 0.000 description 1
- 150000002482 oligosaccharides Chemical class 0.000 description 1
- 230000001151 other effect Effects 0.000 description 1
- 210000001672 ovary Anatomy 0.000 description 1
- 239000002245 particle Substances 0.000 description 1
- 230000007170 pathology Effects 0.000 description 1
- 229950009506 penicillinase Drugs 0.000 description 1
- 238000010647 peptide synthesis reaction Methods 0.000 description 1
- 210000005259 peripheral blood Anatomy 0.000 description 1
- 239000011886 peripheral blood Substances 0.000 description 1
- 210000003200 peritoneal cavity Anatomy 0.000 description 1
- 210000003024 peritoneal macrophage Anatomy 0.000 description 1
- 210000001986 peyer's patch Anatomy 0.000 description 1
- 239000012071 phase Substances 0.000 description 1
- NBIIXXVUZAFLBC-UHFFFAOYSA-K phosphate Chemical compound [O-]P([O-])([O-])=O NBIIXXVUZAFLBC-UHFFFAOYSA-K 0.000 description 1
- 239000010452 phosphate Substances 0.000 description 1
- 102000020233 phosphotransferase Human genes 0.000 description 1
- 239000000902 placebo Substances 0.000 description 1
- 229940068196 placebo Drugs 0.000 description 1
- 239000013612 plasmid Substances 0.000 description 1
- 210000004180 plasmocyte Anatomy 0.000 description 1
- 231100000374 pneumotoxicity Toxicity 0.000 description 1
- 229940049548 pneumovax Drugs 0.000 description 1
- 150000004804 polysaccharides Polymers 0.000 description 1
- 230000002265 prevention Effects 0.000 description 1
- 230000009290 primary effect Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 230000035755 proliferation Effects 0.000 description 1
- 230000009696 proliferative response Effects 0.000 description 1
- 238000001742 protein purification Methods 0.000 description 1
- 230000007047 pulmonary toxicity Effects 0.000 description 1
- 230000003016 quadriplegic effect Effects 0.000 description 1
- 238000003127 radioimmunoassay Methods 0.000 description 1
- 206010037844 rash Diseases 0.000 description 1
- 230000009257 reactivity Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000003252 repetitive effect Effects 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 230000004043 responsiveness Effects 0.000 description 1
- 230000000284 resting effect Effects 0.000 description 1
- 239000000790 retinal pigment Substances 0.000 description 1
- 230000003248 secreting effect Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 231100000004 severe toxicity Toxicity 0.000 description 1
- 210000003491 skin Anatomy 0.000 description 1
- 239000012064 sodium phosphate buffer Substances 0.000 description 1
- 239000007790 solid phase Substances 0.000 description 1
- 239000002904 solvent Substances 0.000 description 1
- 241000894007 species Species 0.000 description 1
- 210000000278 spinal cord Anatomy 0.000 description 1
- 210000000952 spleen Anatomy 0.000 description 1
- 210000004989 spleen cell Anatomy 0.000 description 1
- 238000012289 standard assay Methods 0.000 description 1
- 238000010561 standard procedure Methods 0.000 description 1
- 238000007619 statistical method Methods 0.000 description 1
- 238000000528 statistical test Methods 0.000 description 1
- 230000003637 steroidlike Effects 0.000 description 1
- 238000003860 storage Methods 0.000 description 1
- 229940031000 streptococcus pneumoniae Drugs 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
- 239000000758 substrate Substances 0.000 description 1
- 239000005720 sucrose Substances 0.000 description 1
- 239000006228 supernatant Substances 0.000 description 1
- 230000008961 swelling Effects 0.000 description 1
- 230000009182 swimming Effects 0.000 description 1
- 238000003786 synthesis reaction Methods 0.000 description 1
- 229940118376 tetanus toxin Drugs 0.000 description 1
- 238000010257 thawing Methods 0.000 description 1
- 150000003573 thiols Chemical class 0.000 description 1
- 206010043554 thrombocytopenia Diseases 0.000 description 1
- 229940104230 thymidine Drugs 0.000 description 1
- 210000001541 thymus gland Anatomy 0.000 description 1
- 229950003937 tolonium Drugs 0.000 description 1
- HNONEKILPDHFOL-UHFFFAOYSA-M tolonium chloride Chemical compound [Cl-].C1=C(C)C(N)=CC2=[S+]C3=CC(N(C)C)=CC=C3N=C21 HNONEKILPDHFOL-UHFFFAOYSA-M 0.000 description 1
- 231100000331 toxic Toxicity 0.000 description 1
- 230000002588 toxic effect Effects 0.000 description 1
- 230000001988 toxicity Effects 0.000 description 1
- 231100000419 toxicity Toxicity 0.000 description 1
- 238000010361 transduction Methods 0.000 description 1
- 230000026683 transduction Effects 0.000 description 1
- 238000012546 transfer Methods 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
- LENZDBCJOHFCAS-UHFFFAOYSA-N tris Chemical compound OCC(N)(CO)CO LENZDBCJOHFCAS-UHFFFAOYSA-N 0.000 description 1
- 239000012588 trypsin Substances 0.000 description 1
- 231100000397 ulcer Toxicity 0.000 description 1
- 241000701161 unidentified adenovirus Species 0.000 description 1
- 238000011144 upstream manufacturing Methods 0.000 description 1
- 238000002255 vaccination Methods 0.000 description 1
- 230000002792 vascular Effects 0.000 description 1
- 230000001457 vasomotor Effects 0.000 description 1
- 230000009385 viral infection Effects 0.000 description 1
- 238000012800 visualization Methods 0.000 description 1
- 238000010792 warming Methods 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
- 230000029663 wound healing Effects 0.000 description 1
Classifications
-
- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K14/00—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
- C07K14/435—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
- C07K14/46—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates
- C07K14/47—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates from mammals
- C07K14/4701—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates from mammals not used
- C07K14/4726—Lectins
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K38/00—Medicinal preparations containing peptides
- A61K38/16—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
- A61K38/168—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from plants
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K39/00—Medicinal preparations containing antigens or antibodies
- A61K39/395—Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/50—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
- A61K47/51—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
- A61K47/62—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being a protein, peptide or polyamino acid
- A61K47/64—Drug-peptide, drug-protein or drug-polyamino acid conjugates, i.e. the modifying agent being a peptide, protein or polyamino acid which is covalently bonded or complexed to a therapeutically active agent
- A61K47/6415—Toxins or lectins, e.g. clostridial toxins or Pseudomonas exotoxins
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/50—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
- A61K47/51—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
- A61K47/62—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being a protein, peptide or polyamino acid
- A61K47/64—Drug-peptide, drug-protein or drug-polyamino acid conjugates, i.e. the modifying agent being a peptide, protein or polyamino acid which is covalently bonded or complexed to a therapeutically active agent
- A61K47/646—Drug-peptide, drug-protein or drug-polyamino acid conjugates, i.e. the modifying agent being a peptide, protein or polyamino acid which is covalently bonded or complexed to a therapeutically active agent the entire peptide or protein drug conjugate elicits an immune response, e.g. conjugate vaccines
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
- A61K47/50—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates
- A61K47/51—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent
- A61K47/68—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment
- A61K47/6835—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site
- A61K47/6851—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment the modifying agent being an antibody or an immunoglobulin bearing at least one antigen-binding site the antibody targeting a determinant of a tumour cell
Definitions
- the invention relates to the use of
- carbohydrate-binding proteins as regulators of cell differentiation and immunity.
- the active ingredient is a soluble lectin of about 14 kD or a fragment thereof which can be isolated from human HL-60 cells or placenta tissue.
- Recombinant materials and methods to produce these inventive lectins are also provided.
- invention is also directed to methods to treat autoimmune diseases and to prevent transplant rejection.
- Lectins are defined as proteins which specifically bind carbohydrates of various types.
- Sparrow, C.P., et al., J. Biol. Chem. (1987) 252:7383-7390 describe three classes of soluble lectins from human lung, one of 14 kD, one of 22 kD, and a third of 29 kD. All of these lectins are specific to ⁇ -D-galactosides.
- the carbohydrate specificities of the 14 kD class are for the most part similar, but the larger molecular weight species tend to have different specificities.
- Other species are also noted as showing more than one soluble ⁇ -D-galactoside-binding lectin, including mouse (Roff, C.F., et al., J. Biol. Chem.
- ligand specificity is considerably different, and the approximately 14 kD group appears distinct from the 22 kD and 29 kD representatives described by Sparrow, et al., supra.
- ⁇ -D-galactoside containing moieties specifically to certain ⁇ -D-galactoside containing moieties and are found in a wide range of mammalian, invertebrate, avian, and even microbial sources. All of the lectins in this class appear to contain subunits with molecular weights of about 12-18 kD. Furthermore, these lectins can be readily classified by virtue of a simple diagnostic test: their ability to agglutinate
- trypsin-treated rabbit red blood cells is specifically inhibited by certain ⁇ -D-galactose-containing moieties.
- lectins themselves agglutinate
- the agglutination can be inhibited by, for example, lactose, thiodigalactoside and certain other ⁇ -D-galactose containing moieties.
- lactose thiodigalactoside
- ⁇ -D-galactose containing moieties Other common characteristics include no requirement for metal ions in effecting agglutination and the required presence of a reducing agent such as a thiol.
- sequences of several animal lectins including those from chick, eel, human placenta, human lung, and two
- hepatoma-derived lectins (all of these lectins described as referenced above). Only the chicken lectin contains an "N-linked" glycosylation site, which is not conjugated to saccharide. No known mammalian lectin in this family has an N-linked glycosylation site.
- the preferred lectins of the present invention are isolated from the human promyelocytic leukemia cell line HL-60 or human placenta tissue. Lectins have been isolated from the HL-60 cell line by others, but they are markedly different from the lectins of the present invention. Paietta, E., et al., Cancer Res. (1988)
- intercellular communication are so subtle in nature and so critically tuned to the host environment, subtle changes in structure can result in a wide range of such regulators with differing therapeutic and diagnostic uses.
- a number of members of the class of ⁇ -D-galactose-binding soluble lectins weighing approximately 14 kD are known in the art. However, while these lectins have some similarities, they are not interchangeable therapeutically or diagnostically.
- lectins which can be glycosylated the extent and nature of the glycosylation can be manipulated to alter important lectin properties (e.g., circulating half-life, metabolism in vivo, solubility, stability, and specific activity).
- Levy et al. (Eur. J. Immunol. (1983) 13:500- 507) reported that electrolecrin binds to peripheral blood and lymph node lymphocytes and is mitogenic. When Levy et al. administered electrolectin to rabbits
- autoimmune diseases such as myasthenia gravis (MG), rheumatoid arthritis (RA)
- systemic lupus erythematosus SLE
- MS multiple sclerosis
- juvenile arthritis Typically MG, RA, SLE and MS are treated first with corticosteroids.
- Steroidal drugs have been used for decades and their adverse effects are well known. Adverse effects that can be anticipated in all patients on prolonged steroid therapy include osteoporosis, truncal obesity, impaired wound healing, infections and growth arrest in children. Less frequently occurring adverse effects include myopathy, hypertension, hyperlipidemia, diabetes mellitus and cataracts. Severe side effects may develop and require patient monitoring. These include glaucoma, intracranial hypertension, intestinal perforation, and ulcers.
- MG, RA, SLE or MS become refractory to steroids, then increasingly toxic drugs are employed, including azathioprine, methotrexate and
- azathioprine inhibits DNA synthesis, thus lowering numbers of T and B lymphocytes.
- azathioprine inhibits the mixed lymphocyte reaction and immunoglobulin production, but does not consistently affect delayed-type
- azathioprine is pancytopenia, particularly lymphopenia and granulocytopenia. Consequently, there are increased risks of viral, fungal, mycobacterial and protozoal infections. An increased rate of lymphoreticular
- Methotrexate inhibits folic acid synthesis and is cytotoxic, suppressing bone marrow. At the low doses used for RA, methotrexate should not decrease the numbers of lymphocytes; but IgM and IgG are reduced. Side effects include pneumonia, nausea, stomach upsets, mouth ulcers, leukopenia, thrombocytopenia, and a form of hepatic fibrosis, which can only be diagnosed by liver biopsy.
- Cyclophosphamide is also used in RA therapy. It is metabolized in the liver to a compound which crosslinks DNA. Cyclophosphamide is cytotoxic, with severe toxicity seen even at low doses. It affects RA by reducing numbers of B- and T-lymphocytes, decreasing the immunoglobulin concentrations and diminishing B-cell responsiveness to mitogenic stimuli. Hair loss, infections, and powerful nausea are common. With prolonged administration, patients develop malignancies at an increased rate.
- Cyclosporin does not suppress white cells, but it is a powerful immunomodulatory drug and is effective in treating rheumatoid arthritis. However, an important side effect is renal toxicity.
- Monoclonal antibodies to CD4 have been used in autoimmune diseases, but they cause nonspecific
- Gold salts are given intramuscularly and their effect may not be seen for months.
- Adverse effects of gold treatment include bone marrow aplasia,
- Antimalarials exert several effects on the immune system without decreasing the numbers of lymphocytes. The most serious side effects of antimalarials include retinal pigment
- Sulfasalazine has several effects which contribute to its effect on RA; however, it has numerous side effects.
- Penicillamine has been successfully used in RA; however, its numerous side effects have limited its use.
- Penicillamine has been reported to cause other autoimmune diseases, including myasthenia gravis and SLE.
- transplanted including the kidneys, heart, lungs, skin, bone marrow, cornea, and liver.
- Drugs frequently used in transplant patients include cyclosporin, azathioprine, rapamycin, other macrolides such as FK506, prednisone, methylprednisolone, CD4 antibodies and cyclophosphamide. Frequently these drugs must be given in higher doses and for longer periods to transplant patients than to
- the present invention is directed to a
- the active agent is a soluble lectin of MW of about 14 kD or a fragment thereof, wherein the lectin or fragment (1) binds ⁇ - galactoside-containing moieties whether Ca +2 is present or not, (2) stimulates hemagglutination of trypsinized rabbit erythrocytes in standard lectin assays which is inhibited by lactose or thiodigalactoside, (3) provides an amino acid sequence containing at least one N- glycosylation site and at least 90% homologous to the amino acid sequence shown in positions 2-135 of Figure 1 or the relevant portions thereof, and wherein the active ingredient is mixed with a carbohydrate and at least one pharmaceutically acceptable excipient.
- the composition can also contain one or.more general immune system suppressants such as cyclosporin.
- the invention also provides recombinant materials and methods to produce these new lectins.
- the invention is directed to methods to treat autoimmune diseases and to prevent transplant rejection.
- the efficacy of these methods results from the surprising ability of the inventive lectin to suppress the host immune response to both autoimmunogens and foreign tissue.
- Figure 1 shows the cDNA sequence and deduced amino acid sequence of both the HL-60 and placenta lectin. Superscript numbers correlate to the
- Figure 2 shows immunostaining of thymic epithelium by anti-lectin and anti-cytokeratin
- Figure 3 shows an electrophoresis gel with staining in a location indicative of mRNA for the inventive lectin in thymic epithelial cells.
- Figure 4 shows the percentage of ARR T-cells that adhered to thymic epithelial cells with and without enzyme treatment.
- Figure 5 shows results of hemagglutinin bioassay of purified lectins from human placenta, HL-60 cells and E. coli cells transfected with vectors
- Figure 6 shows the effect of several doses of the inventive lectin on the primary immune response to tetanus toxoid.
- Figure 7 shows the effect of several doses of the inventive lectin on the primary immune response to pneumococcal polysaccharide.
- Figure 8 shows the effect of several doses of the inventive lectin on the primary immune response against the Torpedo receptor.
- Figure 9 shows the effect of several doses of the inventive lectin on the primary immune response against mouse skeletal muscle receptor in animals immunized with the Torpedo receptor.
- Figures 10 and 11 show the results of the treatment with, the inventive lectin on clinical symptoms in a rat model for multiple sclerosis.
- Figure 12 is a graphical representation of the effect of recombinantly produced lectin in a rat model for multiple sclerosis.
- Figure 13 shows the effect of the recombinantl produced lectin on a relapse murine model for multiple sclerosis.
- Figure 14 is a graphical comparison of the survival of skin allografts when rats received lectin and placebo.
- Figure 15 is a graphical comparison of the percentages of migrating lymphoid cells in various organs after heart allografts when rats received lectin and vehicle.
- Figure 16 is a graphical comparison of the percentages of migrating lymphoid cells in various organs after skin allografts when rats received lectin and vehicle.
- the invention is directed to pharmaceutical compositions wherein the active ingredient is a soluble, 14 kD lectin or fragment thereof.
- the preferred lectin of the invention is isolatable from HL-60 cells as well as from human placental tissue.
- the lectins of this invention are soluble, capable of binding ⁇ -galactoside- containing moieties independent of the presence or absence of calcium ion, capable of stimulating
- One embodiment consists essentially of the amino acids shown in Figure 1 numbered from 2-135 which contain at least one tripeptide sequence, Asn-X-Thr or Asn-X-Ser.
- this tripeptide sequence provides a
- a preferred embodiment of this invention provides a lectin with at least one glycosylation site, exemplified by Asn-Leu-Thr. Most preferably, the glycosylated tripeptide starts at position 96 of the illustrated HL-60 lectin.
- the native material at least in part, apparently is not glycosylated at this site; however, when the lectin is appropriately produced in certain recombinant hosts, the site can be glycosylated. Accordingly, the invention provides for glycosylated forms, so long as glycosylation does not destroy
- the preferred lectins include the peptide comprising positions 2-135 in Figure 1 or the naturally occurring mutants or allelic variations thereof. It is well understood that proteins produced by organisms do not necessarily remain stable in the form studied, but that the genes encoding them are subject to occasional natural mutations and variations that change one or a few amino acids; therefore, the proteins resulting from natural mutation are included in the invention, so long as the mutation does not destroy activity. An allelic mutation changing as many as 15 amino acids is not expected to destroy the activity of the lectin.
- the allelic mutation would change no more than about 10 amino acids. Most preferably, only about five amino acids would be changed by an allelic mutation.
- the fragments in order to be included within the scope of the invention, must exhibit the specific properties characterizing the class, i.e., they must be soluble, capable of binding 0-galactoside-containing moieties independent of the presence or absence of calcium ion, capable of stimulating hemagglutination of trypsinized rabbit erythrocytes in standard lectin assays which can be inhibited by lactose or thiogalactoside, and at least 90% homologous to the relevant portion of positions 2-135 of Figure 1. While a specific minimum fragment length cannot now be identified, it is within ordinary routine experimentation to assay candidate fragments for these activities. It is well understood that only portions or fragments of a particular protein can have the activity of the complete natively produced protein.
- HL-60 cells and placenta tissue produce the preferred 14 kD ⁇ -gal binding lectin of the invention; this lectin is representative of the inventive class of 14- ⁇ -gal soluble lectins, one embodiment of which has at least one glycosylation site.
- the phrase "14- ⁇ -gal mammalian lectin containing at least one glycosylation site" refers to a class of peptides having the characteristics of the group of lectins exemplified by the HL-60 lectin of Figure 1 which contain at least one tripeptide sequence, Asn-X-Thr or Asn-X-Ser, which provides a glycosylation site.
- a peptide must exhibit the following biological properties:
- a molecular weight of the nonglycosylated protein is approximately 14 kD. As a practical matter. the molecular weight ranges from about 12-18 kD when it is measured by various techniques.
- the inventive lectin causes hemagglutination of trypsinized rabbit erythrocytes in standard lectin assays, in which the stimulation of agglutination is inhibited by moieties containing the ⁇ -galactoside linkage, such as lactose and thiogalactoside. Hemagglutination can occur without a reducing agent, which is capable of maintaining thiol groups in the reduced form, but hemagglutination occurs without metal ions, in particular calcium ions.
- inventive lectins and fragments have at least 40% homology with the HL-60 lectin of Figure 1, preferably at least 75% homology, more preferably over
- glycosylation site is at residues 96-99, as is the case for the lectin of Figure 1.
- the glycosylation site can be within, at most, a four-amino acid spacing upstream or three-amino acid spacing downstream, i.e., between residues 92 and 101 inclusive.
- Other preferred locations include those which contain Asn, X (any amino acid), and Ser/Thr residues in any of the animal lectins at nonconserved regions.
- the most preferred embodiment of the 14- ⁇ -gal lectins containing glycosylation sites is that of the HL-60 lectin of Figure 1, particularly the lectin from HL-60 cell or placental tissue sources or a lectin from the naturally occurring mutants and allelic variants thereof.
- glycosylation of these inventive lectins can be any glycosylation of these inventive lectins.
- the lectins of the invention can be isolated from native sources, synthesized, or produced by
- the lectins and fragments of the invention can be prepared, if desired, by standard solid phase or other peptide synthesis methods. This mode of preparation is generally considered most suited for smaller peptide fragments. Although this method is clearly within the skill of the art with respect to the full-length lectin sequences, such as that shown in Figure 1, part or all of the molecule can more conveniently be synthesized using recombinant techniques.
- the DNA which encodes the inventive lectin or fragment is mobilized by ligating the appropriate sequence to control sequences regulating expression, transfecting the resulting expression systems into appropriate hosts, and culturing the transformed or transfected hosts under conditions favorable for the expression of the DNA.
- an intronless DNA is required; however, in eucaryotes a genomic DNA can also be used.
- Genomic DNA encoding the HL-60 and placental lectin and its naturally occurring mutants and allelic variants can be recovered from the HL-60 or placental genome using the cDNA of Figure 1 as a probe.
- the lectin-encoding sequence can be ligated into the expression system preceded by an ATG to obtain the lectin as a mature protein.
- signal sequences known to be operable in the intended host such as the penicillinase or alkaline phosphatase system in bacteria, the alpha-factor system in yeast, or various hormone signal sequences in mammalian cells can be used to effect secretion by constructing the expression system with the DNA encoding signal in reading phase with the lectin DNA.
- the lectin could also be produced as a fusion protein by ligating the coding sequence into reading frame with an additional coding sequence if desired.
- E. coli are preferred, although other bacterial strains, such as Bacillis and
- Suitable control systems include, but are not limited to, promoters associated with bacterial proteins such as ⁇ -lactamase and lactose (lac) promoter systems (Chang et al., Nature (1977)
- yeast systems includes, but is not limited to, the promoter for 3-phosphoglycerate kinase (Hitzeman et al., J. Biol. Chem. (1980) 255:2073), the enolase gene promoter (Holland, M.J., et al., J. Biol. Chem. (1981) 256:1385). and the leu2 gene obtained from YEp 13 (Broach, J., et al., Gene (1978) 8:121).
- the promoter for 3-phosphoglycerate kinase Hitzeman et al., J. Biol. Chem. (1980) 255:2073
- the enolase gene promoter Holland, M.J., et al., J. Biol. Chem. (1981) 256:1385).
- leu2 gene obtained from YEp 13 (Broach, J., et al., Gene (1978) 8:121).
- promoters operable in such cells include, but are not limited to, viral promoters such as the SV40 promoter (Fiers et al., Nature (1978) 273:113) and promoters derived from adenovirus, bovine papilloma virus, Rous sarcoma virus, and so forth. Also usable are regulatable promoters such as the metallothionein I or
- the appropriate coding sequences are ligated to the control sequences in operable configuration and in suitable vectors for transfection into the intended host.
- the vectors include, but are not limited to, plasmids, virus particles and phages depending on the intended host and the mode of transformation.
- Transformation includes all forms of causing uptake of foreign DNA by a host cell including viral infection, transduction, conjugation or, probably most common, induction of uptake in vitro by transfection using transfecting agents such as calcium chloride or
- the transformed cells are then screened for those which contain the desired DNA and the successful transformants are cultured under conditions which affect the expression of the coding sequences.
- the lectin produced is then purified from the medium (if the
- construction results in secretion) or from the lysed cells (if the construction results in an intracellular protein).
- the lectin can be purified by standard methods, including extraction in lactose solution followed by
- chromatographic procedures includes chromatography on lactose sepharose gels, a sephadex S-200 HR column, or a lactose-HEMA column. After using any of these chromatography
- the presence of the protein in the active fractions can be easily detected by the ability of the fraction, after removal of the lactose, to cause
- hemagglutination of trypsinized rabbit erythrocytes wherein the hemagglutination is inhibited by millimolar concentrations of lactose or thiodigalactoside.
- the lectins of the invention can be used in conventional ways to raise antisera reactive with, and specific for, these lectins.
- An antibody "specific for" the referenced lectin means an antibody which is
- antibodies raised against this lectin are likely to cross-react with other inventive lectins. However, by producing monoclonal antibodies with respect to this lectin, antibodies specific to one particular embodiment or to a selected group of inventive lectins can be generated. In addition, antibodies specific for various glycosylated forms can also be prepared.
- Antibodies can be prepared using known techniques with specificities for any particular member of the inventive 14- ⁇ -gal lectin class, including those with at least one glycosylation site and in
- the antibodies within the scope of the invention are those which are reactive with one or more members of the lectins of the invention, but the antibodies are not cross-reactive with the lectins presently known in the art. Also included in the scope of the invention are antisera raised by any of the lectins of the invention, since these antisera are unique to these lectins even if they contain antibodies which are cross-reactive in some measure with known lectins.
- lectins and fragments of the invention and their compositions are useful in a range of therapeutic and diagnostic applications. In general, these peptides and proteins are particularly useful as
- the inventive lectins and fragments can be used in the treatment of autoimmune diseases such as myasthenia gravis.
- autoimmune diseases such as myasthenia gravis.
- Other autoimmune diseases which are subject to treatment by these lectins include myasthenia gravis.
- inventive lectins can also be useful in controlling allergic reactions.
- inventive lectins and fragments can be administered in conjunction with various surgical transplantations including skin allografts, bone marrow transplants, and organ transplants such as kidney, heart, liver or lung transplants.
- various surgical transplantations including skin allografts, bone marrow transplants, and organ transplants such as kidney, heart, liver or lung transplants.
- the lectins and fragments of the present invention can be administered along with amounts of known general immunosuppressants that enhance their effects.
- suitable general immunosuppressants include, for example, cyclophosphamide, prednisone, cyclosporin, rapamycin, other macrolide derivatives such as FK506, azathioprine, mycophenolic acid, anti-Tac, lymphocyte immune globulin, and OKT3 antibodies.
- the inventive lectins and fragments thereof can be administered simultaneously or
- Suitable targets for lectins are those cells of mammalian subjects with galactose-terminating ligands. These lectins are coupled to a drug, for example, cytotoxic or therapeutic agents, or to a label, by methods in the art.
- antibodies specific for the inventive lectins are useful in targeting drugs or labels to tumors, since the level of certain lectins increases on the cell surface in metastatic cancer.
- Anti-lectin antibodies are coupled to the drug, for example, a cytotoxic or
- the label coupled to the lectin or anti-lectin can be administered to a living mammalian subjects (in vivo use) or used in in vitro tests, for example, as part of a test kit.
- the inventive lectins behave as immunomodulating agents and regulate the immune system by binding activated lymphocytes to other activated lymphocytes and to endothelial cells, for example on the inside of blood vessels.
- Surface glycoproteins on resting lymphocytes contain terminal sialic acid
- activated lymphocyte glycoproteins are desialylated to expose galactose.
- inventive lectin is specific for activated T-cells and causes them to agglutinate or to adhere to endothelial cells. It is believed that these interactions may inhibit or modify T-cell migration, e.g. extravasation from the
- the inventive lectin may affect the immune response by another route.
- Antibodies specific for the inventive lectin have been observed reacting with human thymic tissue, particularly thymic cortical epithelial cells whose interaction with immature cortical thymocytes is crucial in deleting auto-reactive T-cells.
- thymic tissue particularly thymic cortical epithelial cells whose interaction with immature cortical thymocytes is crucial in deleting auto-reactive T-cells.
- the thymus typically atrophies early in life and is not known to play an active role in adult autoimmune
- administration of the inventive lectin may possibly increase thymic deletion of autoreactive T- cells.
- the lectins and fragments are formulated in a manner suitable for the desired mode of administration using formulation technology known in the art as described, for example, in Remington's Pharmaceutical Sciences, 17th edition, Mack Publishing Co., Philadelphia, PA.
- Typical formulations for injection include admixture with physiological buffer for injection such as Hank's solution or Ringer's
- a particularly preferred method of formulation provides for long term storage of the soluble lectin of this invention in the lyophilized, or freeze-dried, form.
- Lyophilization is preferably conducted in the presence of a concentration of a carbohydrate which is effective to stabilize the lectin during the lyophilization process and at a relatively low pH of about 5. This pH appears to minimize oxidation.
- a low ionic strength buffer is also preferred.
- Suitable protective carbohydrates include, but are not limited to,
- carbohydrates are lactose and maltose. The most
- the preferred protective carbohydrate is lactose. Because the lyophilized product is used in a pharmaceutical composition, the protective carbohydrate must be
- the effective concentration of the protective carbohydrate can be 1-40% wt. /volume but is preferably around 5-15%, and even more preferably around 10%.
- the buffer is bicarbonate, gluconate, lactate, acetate or phosphate.
- the buffer is citrate. It is preferred that the buffer concentration be about 5-20 mM, more preferably 7-12 mM, and most preferably about 10 mM. Other conditions of lyophilization can also be used; however, it has been found that the presence of about 10% lactose in about 10 mM citrate and a pH of 5 are particularly favorable conditions.
- the dosage level and manner of administration of the lectins and fragments of the invention depends on the indication and the subject, as well as the severity of the condition to be treated.
- a higher dose is required than when active fragments of the lectin are administered.
- Some indications for use such as transplantation rejection, particularly full-blown rejections) require higher doses than to others (such as rheumatoid
- the subject who receives the inventive lectin can be a mammal, bird or other vertebrate, because the lectins of mammals, birds, eels, and fish have been found to be related.
- the term subjects refers to mammalian subjects, including humans, farm animals, sport animals and pets. Farm animals include, but are not limited to, cows, hogs and sheep. Sport animals include, but are not limited to, dogs and horses.
- the category pets includes, but is not limited to, cats and dogs. Smaller animals generally require somewhat higher doses per kilogram.
- Preferred dose levels range from about 0.004 mg/kg/day to about 2 mg/kg/day.
- inventive lectins or fragments are administered in a manner suitable for peptides or proteins--i.e., by injection or by other parenteral routes including transmembrane or transmucosal
- E. coli containing an expression plasmid in which the DNA to be expressed is that shown in Figure 1, were grown in Luria broth (LB) to stationary phase. In general, about 5 g of cells wet weight per liter of broth were typically obtained. The cells were then frozen and the lectin was extracted by purification procedures.
- LB Luria broth
- the frozen cell samples were thawed in ice overnight or under cool running water to expedite the thawing.
- the cells were collected in a beaker and slowly mixed with a 15 mM ⁇ -mercaptoethanol (B-ME) buffer to form a thin paste having a density of approximately 0.1 to 0.3 g/ml.
- the buffer was a solution comprised of 0.02M Tris, 0.15M NaCl, 0.002M EDTA, and 15mM
- the cold environment is a room that is maintained between 2 and 6° C.
- the cells and buffer were mixed for a time period as long as two hours until a homogeneous, lump-free, cell suspension results.
- the cell suspension was passed twice through a high pressure Microfluidics homogenizer, operated at 15,000 psi.
- the homogenizer was packed in ice to prevent heating of the cell suspension.
- Tris buffered saline (TBS) was used to recover the disrupted cell product obtained from the homogenizer.
- the disrupted cells were next placed in an RC5B centrifuge (DuPont de Nemours, Wilmington, DE) at the maximum speed (approximately 8000 rpm) for thirty minutes to separate cell debris.
- the centrifuged cell product was next decanted to separate the protein supernate from the cell pellets.
- the cell pellets can be quick frozen on dry ice for later possible application.
- PEI polyethylenimide
- PEI can be added before the first centrifugation step, instead of before the second centrifugation step, which can then be
- An alternative chromatographic procedure involves ion-exchange chromatography on a Sephadex S-200 column (Pharmacia).
- the column is depyrogenated using sodium hydroxide washes of decreasing concentration.
- the S-200 column is next equilibrated with 10 mM citrate, having a pH of 5.0.
- the yellow/tan supernate is loaded onto the column at a rate of approximately 15 cm/hr.
- the supernate can be loaded at a rate up to 6 % by volume of the total solvent exchange.
- the product concentration at loading should be as high as possible to eliminate or minimize the need to further concentrate the eluted product.
- the eluted product is diluted in a 1:1 ratio with sterile-filtered 10% Lactose in 10 mM Citrate having a pH of 5.0.
- a further alternative chromatographic procedure includes the use of a Lactose-HEMA column.
- the eluted product obtained from the above chromatographic procedure was stored in small vials, with about 1 to 5 ml of the product in the appropriately sized vial.
- the vials were sterilized prior to filling by heating the vials to about 150°C for a minimum of 4 hours. Any leak tight caps, such as grey split stoppers, can be used to contain the product within the vial.
- the product was next lyophilized using a Virtis lyophilization chamber or unit.
- the vials containing the product were placed in the unit's chamber and frozen to -30°C. This temperature was maintained for at least 3 hours.
- a vacuum was applied to the chamber and the pressure was reduced to less than about 100 torr and preferably about 15 torr.
- the Virtis unit was maintained at -30°C and 15 torr for at least two hours.
- the unit and vials were brought to 0°C and maintained at this temperature for at least two hours.
- the temperature was further increased to 30°C in 5°C increments over a six hour period. Once the 30°C temperature was reached, the unit was maintained at 30°C for at least two more hours.
- the vials were then sealed under vacuum with stoppers and aluminum seals, over which vial caps were crimped.
- Rat lymph node lymphocytes and human T-cells of the Jurkat line (10 7 /ml in Dulbecco's modified Eagle medium (MEM) with 5% fetal bovine serum (FBS) ) were treated with 250 ⁇ g/ml of the lectin of Example 1, with the lectin plus 1 mM lactose, or with no additions and subsequently were placed on ice for 30 min.
- the lectin severely agglutinated the T-cells and moderately clumped the rat lymphocytes.
- T-cells bound to the endothelium of inflamed cerebral blood vessels. T-cells treated with lectin did not bind to the endothelium, possibly because the T-cells were agglutinated and unavailable to react. Lectin strongly accentuated the binding of rat lymphocytes to the
- lectin enhances binding of rat lymphocytes to vascular endothelium by reacting with both the endothelium and with the lymphocytes and serving as a molecular bridge. The lectin did not similarly bind
- T-cells to endothelium, possibly because the T-cells were so thoroughly agglutinated that no free cells were available to bind the endothelium.
- lymphoid organs lymph nodes and Peyer's patch
- Lectin had no noticeable effect on rat lymphocytes; however, because control level binding was very low, this result cannot be relied on.
- anti-lectin antiserum was prepared by injecting the inventive recombinant lectin into rabbits. Polyclonal antiserum specific for the inventive lectin was obtained from the immunized rabbits. Slides were made of sections of human thymic cortex and of cultured thymic epithelial cells. These sections of human thymic tissue and cultured thymic epithelial cells were incubated with the rabbit anti-lectin antisera.
- the cross-reactivity was detected at a dilution of 1:1000 by labeling the antibody-coated sections with goat anti- rabbit horseradish peroxidase and adding substrate.
- the thymic sections were examined by microscopy and had highly stained thymic cortical epithelial cells.
- the cultured thymic epithelial cells were also highly
- recombinant lectin has been localized to epithelial cells in human thymic tissue.
- protein extracts of cultured thymic epithelial cells stained positively with the rabbit-polyclonal antiserum on Western blots in an immunoreactive band which comigrated with the inventive lectin.
- thymic cortical epithelial cells have a protein with a molecular weight, antigen reactivity and DNA sequence similar to those properties of the inventive lectin.
- inventive lectin appears to affect thymocyte maturation.
- immature cortical thymocytes show much higher levels of the galactose ligand which is recognized by the inventive lectin. This further supports interaction of the
- inventive lectin with immature thymic cells rather than an effect on mature T-cells.
- galactose-terminating ligands are present on the cell surfaces of migrating leukocytes and could be responsible for leukocyte recognition by lectincontaining homing receptors. Because the inventive lectins are specific for galactose ligands, the inventive lectins should affect the extravasation caused by
- T-cell lines MOLT4 and ARR a T-cell line with sialic-acid-terminating glycoproteins
- neuraminidase which cleaves terminal sialic acids from the glycoproteins on ARR cells and leaves terminal galactose
- galactosidase endolactosaminidase or no enzyme.
- the cells were incubated with and without lectin. All the treatment and control groups of T-cells were layered over thymic epithelial cells, incubated and washed as
- Biological activity of the inventive 14 kD lectins 1) isolated from HL-60 cells, 2) isolated from placenta tissue or 3) prepared recombinantly from E. coli cells transfected with lectin cDNA operably linked to a secretion signal was ascertained by agglutination of trypsinized rabbit erythrocytes.
- the top row shows a Concanavalin A control with an agglutination end-point at 1.5 ⁇ g/ml.
- the lower six rows show the three purified inventive 14 kD lectins incubated with varying concentrations of completing sugars, ⁇ - lactose and thiodigalactoside, which are known to be potent inhibitors of the 14 kD placental lectin.
- erythrocytes at concentrations greater than 0.31 mM and ⁇ -lactose inhibited agglutination at concentrations greater than 1.25 mM.
- EMG Experimental autoimmune myasthenia gravis
- AChR acetylcholine receptors
- T helper cells which produce acetylcholine receptor antibodies.
- the disease is induced in mice by injection of acetylcholine receptor.
- the acetylcholine receptor is obtained from the electric organ of the ray Torpedo marmorata and purified by affinity chromatography on Naja naja siamensis neurotoxin crosslinked to
- mice Young adult female BALB/c and C57B/6 mice (2-4 months of age) were used because they differ in EAMG susceptibility. The mice were injected subcutaneously with 10 ⁇ g of purified acetylcholine receptor, in
- a cholinergic receptor (AChR) extract was prepared as described by Lefvert, A.K. et al., Scand. J. Immunol, supra for determination of total AChR content and Ig-complexed AChR content, as described therein.
- AChR content known portions of the AChR extracts were incubated with a tenfold excess of 125 I-alpha-bungarotoxin for 1 hour at 37oC so as to label the receptor for quantitation. The mixture was subjected to gel filtration on Sephacryl G200 to separate free and bound toxin. To determine the amount of AChR complexed to IgG or IgM antibodies, the extract was incubated with a ten-fold excess of labeled bungarotoxin overnight at 4°C; anti-mouse IgG or IgM was then added and the samples incubated overnight at 4°C, followed by separation of the precipitates, washing and counting.
- mice Three BALB/c female mice (7-8 weeks old) were injected intraperitoneally with 5 ⁇ g of AChR antibody, tetanus toxoid or pneumococcal polysaccharide,
- mice were injected intravenously with the same amount of antigen in 0.15 M sodium phosphate buffer, pH 7.4. Tetanus toxoid was obtained from the Swedish
- mice of the same strain were similarly immunized with these antigens in combination with 15 ⁇ g of the recombinant lectin;
- the animals were sacrificed 4 days after the booster injection and spleen cells (10 cells) were fused with the nonsecreting B-lymphocytoma cell line SP2-OAg14 (2 x 10 7 cells).
- the cell mixture was distributed in 6 x 96 Costar tray wells (2 x 10 5 cells/well) with a feeder layer of mouse peritoneal macrophages (5 x 10 5
- coadministration of lectin is effective in reducing the number of primary clones producing antibodies against AChR and tetanus toxoid. Coadministration of lectin reduced only slightly the number of hybridomas producing antibodies immunoreactive with the polysaccharide. It is believed that the B-cell response to the AChR and tetanus toxoid antigens is T-cell dependent, while that to the polysaccharide is independent of T-cells.
- microtiter wells were coated overnight with 100 ⁇ l of a solution containing 5 ⁇ g/ml of purified receptor as prepared in Example 8, Part A, and incubated with serum (diluted 1/25) for 3 hours at 37oC. After washing, the plates were incubated for 3 hours at 37°C with alkaline phosphatase-conjugated goat anti-mouse
- antibodies against mouse AChR antibodies were determined using as antigen a complex between a partially purified normal mouse skeletal muscle receptor and 125 I-alpha-bungarotoxin. The results were expressed in moles of toxin receptor precipitated by 1 liter of serum, after subtraction of the mean +4SD of cumulated results from a normal population (more than 50 mice).
- microtiter wells were coated overnight with 100 ⁇ l of a solution containing 5 ⁇ g/ml of the antigen and incubated with serum (diluted 1/200) for 3 hours at 37oC. After washing, the plates were
- the cut-off limit was the mean +4SD of cumulated values obtained with this normal serum pool. The values were expressed in milliabsorbance units after subtraction of the mean +4SD of the normal serum pool.
- mice Groups of BALB/c mice were immunized with tetanus toxoid, pneumococcal polysaccharide, ray Torpedo receptor and mouse receptor without and with various doses of recombinant lectin. Blood was obtained after 3 days and again after 1, 2, 3 and 4 weeks and antibody levels were determined as described above.
- EAE Experimental autoimmune encephalomyelitis
- GPBP guinea pig myelin basic protein
- CFA Complete Freund's Adjuvant
- T-cells specific for GPBP in immunized rats recognize amino acid residues 72-89 of GPBP and have the ability to transfer both clinical signs of EAE and delayed-type hypersensitivity reaction to GPBP to other animals.
- EAE was induced by injection of GPBP/CFA as described above.
- intravenous administration of lectin was started at day 0 relative to 50 ⁇ g GPBP/CFA injection, with additional lectin treatment at days 3 and 6.
- the severity of the disease was determined clinically and histologically:
- the 0, 3, 6-day protocol resulted in a slight delay in the onset of sickness; the sickness was less severe; the duration of sickness was shorter; and weight loss was less.
- Figure 10 shows the severity of the disease with lectin dosages ranging from 10-1500 ⁇ g intraperitoneally.
- Figure 11 shows a summary representation of these results computed on day 12. As determined from Figures 10 and 11, a daily dosage of 500 ⁇ g appears optimal for ameliorating the symptoms of experimental autoimmune encephalitis.
- lymph nodes draining the site of injection were collected and tested for a proliferative response to GPBP, purified protein derivative (PPD), and the T-cell mitogen, Concanavalin A (ConA). Consistent with the DTH test, lymph node cells of the lectin-treated rats had low or absent responses to both GPBP and PPD relative to control rats, especially on days 14 and 21 during which EAE onset occurs. Responses to ConA in treated rats were normal or augmented, however, indicating lack of global immunosuppression.
- lymph node cells were also unresponsive to the inventive lectin (data not shown), indicating that the lectin was not mitogenic
- the sera of treated rats did not contain antibodies specific for the lectin as measured by ELISA.
- T-cell lines were selected from the draining lymph nodes. Although GPBP- specific T-cell lines could be raised from the GPBP/CFA immunized control group, no responses were observed to GPBP and no lines could be established from the lectin- treated rats. In separate experiments, lectin added to established T-cell lines had no inhibitory effect, however. Taken together, the data show that the
- inventive recombinant lectin is potent in preventing primary sensitization to both GPBP and PPD, but did not affect T-cell responses generally, as shown by full T-cell responses to ConA.
- mice symptoms of EAE can be made to occur in cyclical fashion by boosting the animals with antigen following each cycle, and each cycle becomes more severe until death ultimately occurs.
- This is a useful model in which to determine therapeutic efficacy, since it closely mimics both the chronic disease relapses and the acute demyelination associated with multiple sclerosis.
- 20 female SJL/J mice were immunized with lyophilized spinal cord extract dissolved in PBS plus CFA on days 0, 7 and 21.
- Ten mice were injected with recombinant lectin, and ten mice were given buffer only.
- the lectin-treated mice received 50 ⁇ g lectin on days 13 and 15 intravenously in the tail vein, and an additional 100 ⁇ g i.v. daily from day 18 through day 24. Mice were followed until death or sacrifice at day 42.
- a control group comprised twelve recipients treated daily i.v. only with buffer control.
- the graft survival times were: 6d (x4), 7d (x7), and 8d, giving a mean survival of 6.82 + /-0.6d (SD).
- the final day of survival is defined as the day on which the donor heart ceased to contract as assessed by lack of obvious palpitations and as confirmed by direct visualization at laparotomy.
- mice Five recipients were treated with the recombinant lectin. All animals were pretreated with 1 mg/kg i.v. lectin on days -3, -2 and -1. The first two animals were then treated postoperatively with 1 mg/kg/d i.v. with lectin from day 1 until graft rejection. The second three animals were treated in the postoperative period from day 1 until graft rejection with 2 mg/kg/d i.v. of lectin. Graft survivals were 9 and 10d for the first group of rats, and 9, 10 and lid for the second group. No dramatic increase in survival was seen by doubling the dose of lectin in group two in the post- operative period. Therefore, graft survival times of both groups were combined for statistical analysis.
- Cyclosporin i.p. was started the day of the graft and continued daily. Recombinant lectin was started two days prior to transplant and continued daily.
- the number of survivors on day 16 are shown in Table 8.
- the group receiving cyclosporin alone was unusually long lived, since animals on such therapy typically die within two weeks.
- the combination therapy had a higher survivor rate than cyclosporin or lectin administered alone or the sum of the two survival rates.
- the differences between control and test groups decreased, which may be attributed to 1) the unusually longevity of the
- Phenotypes of Selected Rat Lymphocytes Table 11A shows a 28% increase in the number of rat lymph node suppressor T-cells (reactive with
- Table 11B shows a 32% increase in the number of spleen suppressor T-cells as well as a 19% and 24% decrease in the numbers of helper T-cells (W3/25 antibody reactive, Serotec-Bioproducts) and total T-cells (w3/13 antibody reactive, Serotec-Bioproducts), respectively.
- Human blood cells were pretreated with the inventive HL-60 lectin and then stained with
- peripheral lymph nodes were removed from about half of the
- lymph node cells were isolated on Ficol Hypaque density gradients.
- the lymphoid cells (roughly 75% T cells, 20% of which were activated as assessed by IL-2 receptor expression, and the remainder B cells and macrophages) were radiolabelled with 111 indium, according to the method of Signore et al., Immunol. Lett. (1983) 6:151.
- the labelled cells (about 10 x 10 6 cells per rat) were injected into the tail veins of the other half of the allograft recipients.
- HL-60 lectin 250 ⁇ g was administered to 6 test animals at one half hour before labelled cell injection and again at three hours after labelled cell injection. Six hours after injection of the labelled cells, the organs were harvested and
- the cells were labelled with
- Test animals received HL-60 lectin, and control animals received vehicle alone.
- inventive HL-60 lectin is inhibition of localization of lymphocytes into the lymph node, which is the site of immunization for alloantigens.
- HL-60 lectin inhibits allograft rejection by decreasing the number of allospecific T cells which react with the graft.
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Chemical & Material Sciences (AREA)
- Engineering & Computer Science (AREA)
- Bioinformatics & Cheminformatics (AREA)
- Medicinal Chemistry (AREA)
- General Health & Medical Sciences (AREA)
- Proteomics, Peptides & Aminoacids (AREA)
- Pharmacology & Pharmacy (AREA)
- Epidemiology (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Immunology (AREA)
- Molecular Biology (AREA)
- Organic Chemistry (AREA)
- Toxicology (AREA)
- Gastroenterology & Hepatology (AREA)
- Microbiology (AREA)
- Virology (AREA)
- Botany (AREA)
- Zoology (AREA)
- Biochemistry (AREA)
- Biophysics (AREA)
- Genetics & Genomics (AREA)
- Mycology (AREA)
- Cell Biology (AREA)
- Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
Abstract
Pharmaceutical compositions useful in the treatment of autoimmune conditions include as an active ingredient a soluble lectin having a molecular weight of about 14 kilodaltons or a frequent thereof. The lectin or fragment binds β-galactoside-containing moieties independent of the presence or absence of Ca+2, stimulates hemagglutination of trypsinized rabbit erythrocytes in standard lectin assays wherein the stimulation is inhibited by lactose or thiogalactoside, has an amino acid sequence containing at least one N-glycosylation site and is at least 90 % homologous to the amino acid sequence shown in positions 2-135 of Figure 1 or the relevant portions thereof. The composition is used for treatment of autoimmune conditions such as rheumatoid arthritis, myasthenia gravis, and multiple sclerosis, as well as modulating the immune response in allergic reactions or to organ or tissue transplant rejection. The inventive composition can be combined with general immunosuppressants.
Description
METHOD OF CAUSING SELECTIVE IMMUNOSUPPRESSION
USING HL-60-RELATED LECTINS
Technical Field
The invention relates to the use of
carbohydrate-binding proteins as regulators of cell differentiation and immunity. In particular, it concerns a pharmaceutical composition where the active ingredient is a soluble lectin of about 14 kD or a fragment thereof which can be isolated from human HL-60 cells or placenta tissue. Recombinant materials and methods to produce these inventive lectins are also provided. This
invention is also directed to methods to treat autoimmune diseases and to prevent transplant rejection.
Background Art
Lectins are defined as proteins which specifically bind carbohydrates of various types.
Initial interest was focused on those isolated from plants such as concanavalin A and ricin agglutinin.
These lectins, it was found, were useful in protein purification procedures due to the glycosylation state of a number of proteins of interest. Among the soluble lectins, there appear to be a number of varieties with varying molecular weights and/or carbohydrate
specificities. Sparrow, C.P., et al., J. Biol. Chem. (1987) 252:7383-7390 describe three classes of soluble lectins from human lung, one of 14 kD, one of 22 kD, and a third of 29 kD. All of these lectins are specific to β-D-galactosides. The carbohydrate specificities of the 14 kD class are for the most part similar, but the larger molecular weight species tend to have different
specificities. Other species are also noted as showing more than one soluble β-D-galactoside-binding lectin, including mouse (Roff, C.F., et al., J. Biol. Chem.
(1983) 258:10637-10663); rat (Cerra, R.F., et al., J.
iol. Chem. (1985) 260;10474-10477) and chickens (Beyer, E.C., et al., J. Biol. Chem. (1980) 255:4236-4239).
Among the various β-D-galactoside-specific soluble lectins, ligand specificity is considerably different, and the approximately 14 kD group appears distinct from the 22 kD and 29 kD representatives described by Sparrow, et al., supra.
Recently, however, interest has focused on a group of lactose-extractable lectins which bind
specifically to certain β-D-galactoside containing moieties and are found in a wide range of mammalian, invertebrate, avian, and even microbial sources. All of the lectins in this class appear to contain subunits with molecular weights of about 12-18 kD. Furthermore, these lectins can be readily classified by virtue of a simple diagnostic test: their ability to agglutinate
trypsin-treated rabbit red blood cells is specifically inhibited by certain β-D-galactose-containing moieties. Thus, although the lectins themselves agglutinate
trypsinized rabbit erythrocytes, the agglutination can be inhibited by, for example, lactose, thiodigalactoside and certain other β-D-galactose containing moieties. Other common characteristics include no requirement for metal ions in effecting agglutination and the required presence of a reducing agent such as a thiol.
Gitt, M.A. et al., Proc. Natl. Acad. Sci. USA
(1986) 83:7603-7607 obtained two cDNA clones from
immunoscreening a human hepatoma cDNA library with an antiserum specific to a human lung lectin. Gitt et al. partially sequenced the cDNAs and the lectins. Gitt compared these sequences with that of the human lung chicken lectin. Although there were marked similarities with chicken and lung lectin, Gitt et al. concluded "In
contrast with lung [encoding one form of HL-14 lectin], human hepatoma appears to express two other forms of HL-14" (page 7607). Kasai, K. et al., in Japanese Kokai 60/184020 describe a human placental lectin of
approximately 14 kD. The sequence of this placental lectin was shown by the same group to be somewhat similar to that isolated from chick tissues (Ohyama, Y., et al., Biochem. Biophys. Res. Coromun. (1986) 134:51-56). The chick-derived lectin was shown to be similar in structure to that of discoidin I,.which is a lectin also observed during certain developmental stages of the cellular slime mold Dictyostelium discoideum.
Caron, M., et al., Biochim. Biophys. Acta
(1987) 925:290-296 describe the purification and
characterization of lectins from rat and bovine brain tissue. deCabutti, N.E.F., et al., FEBS Letters (1987) 223:330-334 describe a lectin from amphibian ovary. The isolation from eel of a similar "electrolectin" had previously been described by Levi, G., et al., J. Biol. Chem. (1981) 256:5735-5740. An additional analogous 14 kD lectin was produced by cloning and expression of cDNA derived from various murine fibrosarcoma cell lines by Raz, A., et al., Experimental Cell Research (1987)
173: 109-116. A rat lung 14 kD lectin, and the cDNA encoding it were described by Clerch, L.B., et al.,
Biochemistry (1988) 27:692-699. Joubert, R., et al., Develop. Brain Res. (1987) 36:146-150 describe the isolation of lectins from rat brain which are capable of agglutinating brain cells. Raz, A., et al., Cancer Res. (1981) 41:3642-3647 describe a variety of lectins from neoplastic cells of various mammalian species.
Paroutaud, P., et al., (Proc. Natl. Acad. Sci. USA (1987) 84: 6345-6348) compared the amino acid
sequences of several animal lectins including those from chick, eel, human placenta, human lung, and two
hepatoma-derived lectins (all of these lectins described as referenced above). Only the chicken lectin contains
an "N-linked" glycosylation site, which is not conjugated to saccharide. No known mammalian lectin in this family has an N-linked glycosylation site.
Although several of the above references disclose some structural similarities with the present invention, none of the references teach the same
bioactivity of the unique lectin of the present
invention.
The preferred lectins of the present invention are isolated from the human promyelocytic leukemia cell line HL-60 or human placenta tissue. Lectins have been isolated from the HL-60 cell line by others, but they are markedly different from the lectins of the present invention. Paietta, E., et al., Cancer Res. (1988)
48: 280-287 describe a membrane-bound (not soluble), 17 kd lectin which recognizes N-acetyl neuraminic acid as well as galactose terminating biantennary oligosaccharide structures. Unlike other 14 kd lectins, this 17 kd lectin is not inhibited by complex galactose saccharides such as thiodigalactoside and does not require reducing thiol groups for binding activity.
Thus, ligand specificity and biodistribution of the lectin protein described herein are an abrupt
departure from the earlier disclosed lectins.
Because the activities of lectins in regulating the immune system and mediating other forms of
intercellular communication are so subtle in nature and so critically tuned to the host environment, subtle changes in structure can result in a wide range of such regulators with differing therapeutic and diagnostic uses. As described above, a number of members of the class of β-D-galactose-binding soluble lectins weighing approximately 14 kD are known in the art. However, while these lectins have some similarities, they are not interchangeable therapeutically or diagnostically. In addition, it appears that for lectins which can be glycosylated, the extent and nature of the glycosylation
can be manipulated to alter important lectin properties (e.g., circulating half-life, metabolism in vivo, solubility, stability, and specific activity).
Levy et al. (Eur. J. Immunol. (1983) 13:500- 507) reported that electrolecrin binds to peripheral blood and lymph node lymphocytes and is mitogenic. When Levy et al. administered electrolectin to rabbits
simultaneously with acetylcholine receptor, it prevented the development of a myasthenia gravis-like condition. Administering electrolectin after development of
myasthenia gravis caused complete recovery, in spite of high antibody levels specific for the acetylcholine receptor. Because electrolectin did not interfere with acetylcholine interaction with its receptor. Levy et al. proposed that electrolectin had an effect on the immune system.
Prominent diseases in which there is an immune system dysfunction include autoimmune diseases such as myasthenia gravis (MG), rheumatoid arthritis (RA)
systemic lupus erythematosus (SLE), multiple sclerosis (MS) and juvenile arthritis. Typically MG, RA, SLE and MS are treated first with corticosteroids. Steroidal drugs have been used for decades and their adverse effects are well known. Adverse effects that can be anticipated in all patients on prolonged steroid therapy include osteoporosis, truncal obesity, impaired wound healing, infections and growth arrest in children. Less frequently occurring adverse effects include myopathy, hypertension, hyperlipidemia, diabetes mellitus and cataracts. Severe side effects may develop and require patient monitoring. These include glaucoma, intracranial hypertension, intestinal perforation, and ulcers.
If MG, RA, SLE or MS become refractory to steroids, then increasingly toxic drugs are employed, including azathioprine, methotrexate and
cyclophosphamide. The primary effect of azathioprine is inhibiting DNA synthesis, thus lowering numbers of T and
B lymphocytes. In addition, azathioprine inhibits the mixed lymphocyte reaction and immunoglobulin production, but does not consistently affect delayed-type
hypersensitivity. The major adverse effect of
azathioprine is pancytopenia, particularly lymphopenia and granulocytopenia. Consequently, there are increased risks of viral, fungal, mycobacterial and protozoal infections. An increased rate of lymphoreticular
malignancies has been reported in kidney transplant patients, but not in patients with RA.
Methotrexate inhibits folic acid synthesis and is cytotoxic, suppressing bone marrow. At the low doses used for RA, methotrexate should not decrease the numbers of lymphocytes; but IgM and IgG are reduced. Side effects include pneumonia, nausea, stomach upsets, mouth ulcers, leukopenia, thrombocytopenia, and a form of hepatic fibrosis, which can only be diagnosed by liver biopsy.
Cyclophosphamide is also used in RA therapy. It is metabolized in the liver to a compound which crosslinks DNA. Cyclophosphamide is cytotoxic, with severe toxicity seen even at low doses. It affects RA by reducing numbers of B- and T-lymphocytes, decreasing the immunoglobulin concentrations and diminishing B-cell responsiveness to mitogenic stimuli. Hair loss, infections, and powerful nausea are common. With prolonged administration, patients develop malignancies at an increased rate.
Cyclosporin does not suppress white cells, but it is a powerful immunomodulatory drug and is effective in treating rheumatoid arthritis. However, an important side effect is renal toxicity.
Monoclonal antibodies to CD4 have been used in autoimmune diseases, but they cause nonspecific
immunosuppression. It has been recommended that new therapies interfere with the initial presentation of
specific inciting antigens to T-lymphocytes. (Wraith et al., Cell (1989) 57:709-715).
Other drugs have been used specifically in RA, including gold salts, antimalarials, sulfasalazine and penicillamine. Gold salts are given intramuscularly and their effect may not be seen for months. Adverse effects of gold treatment include bone marrow aplasia,
glomerulonephritis, pulmonary toxicity, vasomotor reactions and inflammatory flare. Antimalarials exert several effects on the immune system without decreasing the numbers of lymphocytes. The most serious side effects of antimalarials include retinal pigment
deposition, rash and gastrointestinal upset.
Sulfasalazine has several effects which contribute to its effect on RA; however, it has numerous side effects.
Penicillamine has been successfully used in RA; however, its numerous side effects have limited its use.
Penicillamine has been reported to cause other autoimmune diseases, including myasthenia gravis and SLE.
When patients receive allografts (transplanted tissue from other humans or other sources), their immune systems can destroy the allografts in short order were it not for the administration of immunosuppressant drugs. A number of different organs and tissues are now
transplanted, including the kidneys, heart, lungs, skin, bone marrow, cornea, and liver. Drugs frequently used in transplant patients include cyclosporin, azathioprine, rapamycin, other macrolides such as FK506, prednisone, methylprednisolone, CD4 antibodies and cyclophosphamide. Frequently these drugs must be given in higher doses and for longer periods to transplant patients than to
patients with autoimmune diseases. Hence, side effects from these drugs (discussed above) may be more common and severe in transplant patients.
What was needed before the present invention is a drug that would selectively treat autoimmune diseases
and transplant rejection without the severe side effects of the previously known therapies.
Disclosure of Invention
The present invention is directed to a
pharmaceutical composition. The active agent is a soluble lectin of MW of about 14 kD or a fragment thereof, wherein the lectin or fragment (1) binds β- galactoside-containing moieties whether Ca+2 is present or not, (2) stimulates hemagglutination of trypsinized rabbit erythrocytes in standard lectin assays which is inhibited by lactose or thiodigalactoside, (3) provides an amino acid sequence containing at least one N- glycosylation site and at least 90% homologous to the amino acid sequence shown in positions 2-135 of Figure 1 or the relevant portions thereof, and wherein the active ingredient is mixed with a carbohydrate and at least one pharmaceutically acceptable excipient. The composition can also contain one or.more general immune system suppressants such as cyclosporin. The invention also provides recombinant materials and methods to produce these new lectins.
In other aspects, the invention is directed to methods to treat autoimmune diseases and to prevent transplant rejection. The efficacy of these methods results from the surprising ability of the inventive lectin to suppress the host immune response to both autoimmunogens and foreign tissue. Brief Description of the Drawings
Figure 1 shows the cDNA sequence and deduced amino acid sequence of both the HL-60 and placenta lectin. Superscript numbers correlate to the
corresponding nucleotides and boxes show start and stop codons. The asterisk indicates the possible N-linked glycosylation site.
Figure 2 shows immunostaining of thymic epithelium by anti-lectin and anti-cytokeratin
antibodies.
Figure 3 shows an electrophoresis gel with staining in a location indicative of mRNA for the inventive lectin in thymic epithelial cells.
Figure 4 shows the percentage of ARR T-cells that adhered to thymic epithelial cells with and without enzyme treatment.
Figure 5 shows results of hemagglutinin bioassay of purified lectins from human placenta, HL-60 cells and E. coli cells transfected with vectors
containing lectin cDNA and an operably linked secretion signal, and inhibition of agglutination by sugars.
Figure 6 shows the effect of several doses of the inventive lectin on the primary immune response to tetanus toxoid.
Figure 7 shows the effect of several doses of the inventive lectin on the primary immune response to pneumococcal polysaccharide.
Figure 8 shows the effect of several doses of the inventive lectin on the primary immune response against the Torpedo receptor.
Figure 9 shows the effect of several doses of the inventive lectin on the primary immune response against mouse skeletal muscle receptor in animals immunized with the Torpedo receptor.
Figures 10 and 11 show the results of the treatment with, the inventive lectin on clinical symptoms in a rat model for multiple sclerosis.
Figure 12 is a graphical representation of the effect of recombinantly produced lectin in a rat model for multiple sclerosis.
Figure 13 shows the effect of the recombinantl produced lectin on a relapse murine model for multiple sclerosis.
Figure 14 is a graphical comparison of the survival of skin allografts when rats received lectin and placebo.
Figure 15 is a graphical comparison of the percentages of migrating lymphoid cells in various organs after heart allografts when rats received lectin and vehicle.
Figure 16 is a graphical comparison of the percentages of migrating lymphoid cells in various organs after skin allografts when rats received lectin and vehicle.
Modes for Carrying Out the Invention
The Inventive Compositions
The invention is directed to pharmaceutical compositions wherein the active ingredient is a soluble, 14 kD lectin or fragment thereof. The preferred lectin of the invention is isolatable from HL-60 cells as well as from human placental tissue. The lectins of this invention are soluble, capable of binding β -galactoside- containing moieties independent of the presence or absence of calcium ion, capable of stimulating
hemagglutination of trypsinized rabbit erythrocytes in standard lectin assays which can be inhibited by lactose or thiogalactoside, and at least 90% homologous to the relevant portion of positions 2-135 of Figure 1. One embodiment consists essentially of the amino acids shown in Figure 1 numbered from 2-135 which contain at least one tripeptide sequence, Asn-X-Thr or Asn-X-Ser.
Preferably, this tripeptide sequence provides a
glycosylation site. In native production by HL-60 cells and placental tissue, the N-terminal methionine of the HL-60 lectin appears to be cleaved, and the remaining protein can be acetylated. Various forms of
post-translational processing can be expected depending on the cell producing the protein. The processed
proteins resulting therefrom are, of course, included within the scope of the invention.
In particular, it should be noted that unlike the prior art mammalian lectins whose protein sequences are known, a preferred embodiment of this invention provides a lectin with at least one glycosylation site, exemplified by Asn-Leu-Thr. Most preferably, the glycosylated tripeptide starts at position 96 of the illustrated HL-60 lectin. The native material, at least in part, apparently is not glycosylated at this site; however, when the lectin is appropriately produced in certain recombinant hosts, the site can be glycosylated. Accordingly, the invention provides for glycosylated forms, so long as glycosylation does not destroy
activity.
The preferred lectins include the peptide comprising positions 2-135 in Figure 1 or the naturally occurring mutants or allelic variations thereof. It is well understood that proteins produced by organisms do not necessarily remain stable in the form studied, but that the genes encoding them are subject to occasional natural mutations and variations that change one or a few amino acids; therefore, the proteins resulting from natural mutation are included in the invention, so long as the mutation does not destroy activity. An allelic mutation changing as many as 15 amino acids is not expected to destroy the activity of the lectin.
Preferably, the allelic mutation would change no more than about 10 amino acids. Most preferably, only about five amino acids would be changed by an allelic mutation.
Also included within the invention are fragments of the lectins typified by that shown in
Figure 1. The fragments, in order to be included within the scope of the invention, must exhibit the specific properties characterizing the class, i.e., they must be soluble, capable of binding 0-galactoside-containing moieties independent of the presence or absence of
calcium ion, capable of stimulating hemagglutination of trypsinized rabbit erythrocytes in standard lectin assays which can be inhibited by lactose or thiogalactoside, and at least 90% homologous to the relevant portion of positions 2-135 of Figure 1. While a specific minimum fragment length cannot now be identified, it is within ordinary routine experimentation to assay candidate fragments for these activities. It is well understood that only portions or fragments of a particular protein can have the activity of the complete natively produced protein. Deletion of one or several amino acids from either the N- or C-terminus generally does not destroy activity; in addition, internal regions not required to maintain conformation or associated with the active sites can be deleted. Whether or not a protein fragment falls within the scope of the invention is readily determined by means of the assay systems described below for
determination of ability to effect hemagglutination both in the presence and absence of lactose or
thiodigalactoside.
HL-60 cells and placenta tissue produce the preferred 14 kD β-gal binding lectin of the invention; this lectin is representative of the inventive class of 14-β-gal soluble lectins, one embodiment of which has at least one glycosylation site. As used herein, the phrase "14-β-gal mammalian lectin containing at least one glycosylation site" refers to a class of peptides having the characteristics of the group of lectins exemplified by the HL-60 lectin of Figure 1 which contain at least one tripeptide sequence, Asn-X-Thr or Asn-X-Ser, which provides a glycosylation site.
To be included in the inventive class of
14-β-gal lectins or fragments containing at least one glycosylation site, a peptide must exhibit the following biological properties: For the forms which are not fragments, a molecular weight of the nonglycosylated protein is approximately 14 kD. As a practical matter.
the molecular weight ranges from about 12-18 kD when it is measured by various techniques. The lectin or
fragment is capable of binding β -D-galactoside containing moieties (e.g., lactose). Specifically, the inventive lectin causes hemagglutination of trypsinized rabbit erythrocytes in standard lectin assays, in which the stimulation of agglutination is inhibited by moieties containing the β-galactoside linkage, such as lactose and thiogalactoside. Hemagglutination can occur without a reducing agent, which is capable of maintaining thiol groups in the reduced form, but hemagglutination occurs without metal ions, in particular calcium ions.
The inventive lectins and fragments have at least 40% homology with the HL-60 lectin of Figure 1, preferably at least 75% homology, more preferably over
90% homology and most preferably over 95% homology. The preferred location of the glycosylation site is at residues 96-99, as is the case for the lectin of Figure 1. However, the glycosylation site can be within, at most, a four-amino acid spacing upstream or three-amino acid spacing downstream, i.e., between residues 92 and 101 inclusive. Other preferred locations include those which contain Asn, X (any amino acid), and Ser/Thr residues in any of the animal lectins at nonconserved regions.
The most preferred embodiment of the 14-β-gal lectins containing glycosylation sites is that of the HL-60 lectin of Figure 1, particularly the lectin from HL-60 cell or placental tissue sources or a lectin from the naturally occurring mutants and allelic variants thereof.
Glycosylated forms of this unique lectin having a molecular weight in the range of approximately 12-18 kD are also within the scope of this invention. The
glycosylation of these inventive lectins can be
manipulated to provide different properties for
therapeutic and diagnostic uses.
It is known, in general, that proteins exist in a variety of essentially equivalent forms including the acidic and basic salts thereof, forms which are
derivatized at side-chain functional groups, forms associated with lipids and membranes, and other
modifications made through post-translational processing of the cell expressing the DNA encoding the desired lectin. All of the proteins defined above are inclusive of these various forms.
Preparation of the Lectins and Fragments
The lectins of the invention can be isolated from native sources, synthesized, or produced by
recombinant methods. The isolation cf these lectins from native sources, such as HL-60 cells or placental cells, is described in detail in European Publication No.
337,799, published 18 October 1989, and is incorporated herein by reference. This publication also describes the retrieval of cDNA encoding HL-60 lectin. The structure of the full length cDNA clone is shown herein in
Figure 1.
The lectins and fragments of the invention can be prepared, if desired, by standard solid phase or other peptide synthesis methods. This mode of preparation is generally considered most suited for smaller peptide fragments. Although this method is clearly within the skill of the art with respect to the full-length lectin sequences, such as that shown in Figure 1, part or all of the molecule can more conveniently be synthesized using recombinant techniques.
For recombinant production, the DNA which encodes the inventive lectin or fragment is mobilized by ligating the appropriate sequence to control sequences regulating expression, transfecting the resulting expression systems into appropriate hosts, and culturing the transformed or transfected hosts under conditions favorable for the expression of the DNA. For procaryotic
systems, an intronless DNA is required; however, in eucaryotes a genomic DNA can also be used. Genomic DNA encoding the HL-60 and placental lectin and its naturally occurring mutants and allelic variants can be recovered from the HL-60 or placental genome using the cDNA of Figure 1 as a probe.
The lectin-encoding sequence can be ligated into the expression system preceded by an ATG to obtain the lectin as a mature protein. Alternatively, signal sequences known to be operable in the intended host, such as the penicillinase or alkaline phosphatase system in bacteria, the alpha-factor system in yeast, or various hormone signal sequences in mammalian cells can be used to effect secretion by constructing the expression system with the DNA encoding signal in reading phase with the lectin DNA. The lectin could also be produced as a fusion protein by ligating the coding sequence into reading frame with an additional coding sequence if desired.
A variety of host systems with appropriate controls are by now well known in the art. For example, among procaryotic hosts, E. coli are preferred, although other bacterial strains, such as Bacillis and
Pseudomonas, could be used. Suitable control systems include, but are not limited to, promoters associated with bacterial proteins such as β -lactamase and lactose (lac) promoter systems (Chang et al., Nature (1977)
198:1056; the tryptophan (trp) promoter system (Goeddel et al., Nucleic Acids Res. (1980) 8:4057); and the lambda-derived PL promoter and N-gene ribosome binding site system (Shimatake et al., Nature (1981) 292:128).
Similarly, a variety of vectors and promoters is known for yeast systems and includes, but is not limited to, the promoter for 3-phosphoglycerate kinase (Hitzeman et al., J. Biol. Chem. (1980) 255:2073), the enolase gene promoter (Holland, M.J., et al., J. Biol. Chem. (1981) 256:1385). and the leu2 gene obtained from YEp 13 (Broach, J., et al., Gene (1978) 8:121).
For expression in cells of higher organisms, promoters operable in such cells include, but are not limited to, viral promoters such as the SV40 promoter (Fiers et al., Nature (1978) 273:113) and promoters derived from adenovirus, bovine papilloma virus, Rous sarcoma virus, and so forth. Also usable are regulatable promoters such as the metallothionein I or
metallothionein II promoters. Control sequences for retroregulation are also available such as that
associated with the crystal protein gene of Bacillus thuringiensis.
Currently available also are systems for production of recombinant proteins in insect cells and in plant cells, although plant cell systems are currently less convenient. Their inconvenience, however, is a result of the current state of the art, and not of an inherent incompatibility between this host cell system and the gene encoding the proteins of the invention.
The appropriate coding sequences are ligated to the control sequences in operable configuration and in suitable vectors for transfection into the intended host. The vectors include, but are not limited to, plasmids, virus particles and phages depending on the intended host and the mode of transformation. "Transformation", as used herein, includes all forms of causing uptake of foreign DNA by a host cell including viral infection, transduction, conjugation or, probably most common, induction of uptake in vitro by transfection using transfecting agents such as calcium chloride or
DEAE/dextran, depending on the host.
The transformed cells are then screened for those which contain the desired DNA and the successful transformants are cultured under conditions which affect the expression of the coding sequences. The lectin produced is then purified from the medium (if the
construction results in secretion) or from the lysed
cells (if the construction results in an intracellular protein).
Whether the lectin is isolated from natural sources, synthesized, or produced by recombinant methods, the lectin can be purified by standard methods, including extraction in lactose solution followed by
chromatographic procedures. Convenient chromatographic procedures includes chromatography on lactose sepharose gels, a sephadex S-200 HR column, or a lactose-HEMA column. After using any of these chromatography
procedures, the presence of the protein in the active fractions can be easily detected by the ability of the fraction, after removal of the lactose, to cause
hemagglutination of trypsinized rabbit erythrocytes, wherein the hemagglutination is inhibited by millimolar concentrations of lactose or thiodigalactoside.
Antibodies Reactive with the Inventive Lectins
The lectins of the invention can be used in conventional ways to raise antisera reactive with, and specific for, these lectins. An antibody "specific for" the referenced lectin means an antibody which is
immunoreactive with this lectin or, in some cases, with other lectins of the invention, but not immunoreactive with non-galactose binding lectins. Because of the extensive homology of the Figure 1 HL-60 lectin with other lectins of the inventive class, polyclonal
antibodies raised against this lectin are likely to cross-react with other inventive lectins. However, by producing monoclonal antibodies with respect to this lectin, antibodies specific to one particular embodiment or to a selected group of inventive lectins can be generated. In addition, antibodies specific for various glycosylated forms can also be prepared.
Antibodies can be prepared using known techniques with specificities for any particular member of the inventive 14-β-gal lectin class, including those
with at least one glycosylation site and in
nonglycosylated and especially glycosylated forms.
In short, the antibodies within the scope of the invention are those which are reactive with one or more members of the lectins of the invention, but the antibodies are not cross-reactive with the lectins presently known in the art. Also included in the scope of the invention are antisera raised by any of the lectins of the invention, since these antisera are unique to these lectins even if they contain antibodies which are cross-reactive in some measure with known lectins.
Uses of the Inventive Lectins
The lectins and fragments of the invention and their compositions are useful in a range of therapeutic and diagnostic applications. In general, these peptides and proteins are particularly useful as
immunosuppressants. The inventive lectins and fragments can be used in the treatment of autoimmune diseases such as myasthenia gravis. Other autoimmune diseases which are subject to treatment by these lectins include
rheumatoid arthritis, systemic lupus erythematosus, juvenile diabetes, and multiple sclerosis. The inventive lectins can also be useful in controlling allergic reactions.
Since these proteins are immune system regulators, they are also useful in the prevention of graft- versus-host disease and inhibition of rejection of transplants in general. Thus, the inventive lectins and fragments can be administered in conjunction with various surgical transplantations including skin allografts, bone marrow transplants, and organ transplants such as kidney, heart, liver or lung transplants. When used as an immunosuppressant, either in treating autoimmune
conditions or in preventing transplant rejection, the lectins and fragments of the present invention can be administered along with amounts of known general
immunosuppressants that enhance their effects. Such suitable general immunosuppressants include, for example, cyclophosphamide, prednisone, cyclosporin, rapamycin, other macrolide derivatives such as FK506, azathioprine, mycophenolic acid, anti-Tac, lymphocyte immune globulin, and OKT3 antibodies. The inventive lectins and fragments thereof can be administered simultaneously or
sequentially with general immunosuppressants.
The inventive lectins are also useful in drug delivery and diagnostic applications by carrying the chemical entity to suitable targets. Suitable targets for lectins are those cells of mammalian subjects with galactose-terminating ligands. These lectins are coupled to a drug, for example, cytotoxic or therapeutic agents, or to a label, by methods in the art. Okuda et al.,
Infect. Immun. (1980) 27:690-92; Samoszuk et al.,
Antibody Immunoconjugates Radiopharm. (1989) 2:37-46; and Knowles et al., J. Clin. Invest. (1973) 52: 1443-52. In addition, antibodies specific for the inventive lectins are useful in targeting drugs or labels to tumors, since the level of certain lectins increases on the cell surface in metastatic cancer. Anti-lectin antibodies are coupled to the drug, for example, a cytotoxic or
therapeutic agent, or label. For diagnostic purposes, the label coupled to the lectin or anti-lectin can be administered to a living mammalian subjects (in vivo use) or used in in vitro tests, for example, as part of a test kit.
While not wishing to be bound by any theory, the Inventors propose that the inventive lectins behave as immunomodulating agents and regulate the immune system by binding activated lymphocytes to other activated lymphocytes and to endothelial cells, for example on the inside of blood vessels. Surface glycoproteins on resting lymphocytes contain terminal sialic acid
residues, but activated lymphocyte glycoproteins are desialylated to expose galactose. Hence the inventive
lectin is specific for activated T-cells and causes them to agglutinate or to adhere to endothelial cells. It is believed that these interactions may inhibit or modify T-cell migration, e.g. extravasation from the
circulation, during inflammation.
The inventive lectin may affect the immune response by another route. Antibodies specific for the inventive lectin have been observed reacting with human thymic tissue, particularly thymic cortical epithelial cells whose interaction with immature cortical thymocytes is crucial in deleting auto-reactive T-cells. Although the thymus typically atrophies early in life and is not known to play an active role in adult autoimmune
pathology, administration of the inventive lectin may possibly increase thymic deletion of autoreactive T- cells.
Formulation
For use in therapeutic applications, the lectins and fragments are formulated in a manner suitable for the desired mode of administration using formulation technology known in the art as described, for example, in Remington's Pharmaceutical Sciences, 17th edition, Mack Publishing Co., Philadelphia, PA. Typical formulations for injection include admixture with physiological buffer for injection such as Hank's solution or Ringer's
solution, encapsulation in liposomes or other emulsifying agents suited for drug delivery, and the like.
A particularly preferred method of formulation provides for long term storage of the soluble lectin of this invention in the lyophilized, or freeze-dried, form. Lyophilization is preferably conducted in the presence of a concentration of a carbohydrate which is effective to stabilize the lectin during the lyophilization process and at a relatively low pH of about 5. This pH appears to minimize oxidation. Also preferred is addition of a low ionic strength buffer. Suitable protective
carbohydrates include, but are not limited to,
monosaccharides such as galactose; disaccharides such as lactose, maltose and sucrose; and oligosaccharides containing galactose moieties. The preferred
carbohydrates are lactose and maltose. The most
preferred protective carbohydrate is lactose. Because the lyophilized product is used in a pharmaceutical composition, the protective carbohydrate must be
physiologically and pharmaceutically acceptable at the concentrations used. The effective concentration of the protective carbohydrate can be 1-40% wt. /volume but is preferably around 5-15%, and even more preferably around 10%.
The maintenance of the pH at about 4 to 8, preferably at about 4.5 to 6, and more preferably at about 5 discourages oxidation of cysteine residues. It is further preferable to maintain this pH in a buffer of relatively low ionic strength, since the freezing point of the mixture is then not lowered significantly.
Preferably, the buffer is bicarbonate, gluconate, lactate, acetate or phosphate. Most preferably, the buffer is citrate. It is preferred that the buffer concentration be about 5-20 mM, more preferably 7-12 mM, and most preferably about 10 mM. Other conditions of lyophilization can also be used; however, it has been found that the presence of about 10% lactose in about 10 mM citrate and a pH of 5 are particularly favorable conditions. Administration and Dosage
The dosage level and manner of administration of the lectins and fragments of the invention depends on the indication and the subject, as well as the severity of the condition to be treated. When the full lectin is administered, a higher dose (mg/day) is required than when active fragments of the lectin are administered. Some indications for use (such as transplantation
rejection, particularly full-blown rejections) require higher doses than to others (such as rheumatoid
arthritis, particularly between flare-ups of the
disease).
The subject who receives the inventive lectin can be a mammal, bird or other vertebrate, because the lectins of mammals, birds, eels, and fish have been found to be related. For purposes of this invention, the term subjects refers to mammalian subjects, including humans, farm animals, sport animals and pets. Farm animals include, but are not limited to, cows, hogs and sheep. Sport animals include, but are not limited to, dogs and horses. The category pets includes, but is not limited to, cats and dogs. Smaller animals generally require somewhat higher doses per kilogram.
Preferred dose levels range from about 0.004 mg/kg/day to about 2 mg/kg/day. When the inventive lectins are used in conjunction with general
immunosuppressants, however, lower dosages are generally preferred.
In general, the inventive lectins or fragments are administered in a manner suitable for peptides or proteins--i.e., by injection or by other parenteral routes including transmembrane or transmucosal
transitions. Formulations suitable for these modes of administration are well understood in the art. Oral administration is always desirable, provided the
formulation permits the substantially intact lectin or fragment thereof to survive the digestive tract and enter the bloodstream.
The following examples are intended to illustrate but not to limit the invention.
EXAMPLES
Example 1
Preparation of the Pharmaceutical Composition
The European publication 337,799, published 18 October 1989, cited above, describes in detail the isolation of 14 kD lectin from HL-60 cells or placenta and the recombinant production of HL-60 lectin in mammalian and bacterial cells. In the examples described hereinbelow, the lectin was prepared recombinantly in E. coli substantially as described in the above-referenced application, and as further described by Couraud, P.O. et al., J. Biol. Chem. (1988) 264: 1310-1316, also hereby incorporated herein by reference.
Briefly, E. coli containing an expression plasmid in which the DNA to be expressed is that shown in Figure 1, were grown in Luria broth (LB) to stationary phase. In general, about 5 g of cells wet weight per liter of broth were typically obtained. The cells were then frozen and the lectin was extracted by purification procedures.
The frozen cell samples were thawed in ice overnight or under cool running water to expedite the thawing. The cells were collected in a beaker and slowly mixed with a 15 mM β-mercaptoethanol (B-ME) buffer to form a thin paste having a density of approximately 0.1 to 0.3 g/ml. The buffer was a solution comprised of 0.02M Tris, 0.15M NaCl, 0.002M EDTA, and 15mM
Mercaptoethanol having of pH of 7.5. The cells and buffer were maintained in a cold environment.
Preferably, the cold environment is a room that is maintained between 2 and 6° C. The cells and buffer were mixed for a time period as long as two hours until a homogeneous, lump-free, cell suspension results.
Magnetic mixers, overhead mixers or other well known mixers or other mechanical disruption devices could be used. However, the overhead mixer has been most
effective for mixing large amounts of cells.
The cell suspension was passed twice through a high pressure Microfluidics homogenizer, operated at 15,000 psi. The homogenizer was packed in ice to prevent heating of the cell suspension. Tris buffered saline (TBS) was used to recover the disrupted cell product obtained from the homogenizer. The disrupted cells were next placed in an RC5B centrifuge (DuPont de Nemours, Wilmington, DE) at the maximum speed (approximately 8000 rpm) for thirty minutes to separate cell debris. The centrifuged cell product was next decanted to separate the protein supernate from the cell pellets. The
supernate contains the desired lectin. However, the cell pellets can be quick frozen on dry ice for later possible application.
The supernate'was mixed with an aqueous
solution containing 10% by volume, pH 8.0,
polyethylenimide (PEI). The supernate/PEI mixture was stirred slowly in a cold environment for approximately one half hour. A milky white precipitate formed which contains the desired nucleic acids. The mixture
containing the precipitate was next placed in the
centrifuge at the maximum speed (approximately 8000 rpm) for 20 to 30 minutes to remove the precipitated nucleic acids. A clear yellow/tan supernate was obtained from this second centrifugation process. The yellow/tan supernate can be stored at 4°C overnight before
processing it through chromatography columns the next day.
In an alternative method, PEI can be added before the first centrifugation step, instead of before the second centrifugation step, which can then be
skipped. However, the addition of PEI before the second centrifugation step is preferred because it preserves the cell pellets without the added protein of the PEI
precipitate. Furthermore, testing revealed that no loss of product resulted by adding the PEI before the second centrifugation step. However, since the second
centrifugation step adds at least one additional hour to the total process time, an alternative method of adding PEI before the first centrifugation step can be used to make this claimed invention in less time.
The next step was chromatography on lactose
Sepharose gels. First, the lactose Sepharose column (Pharmacia, Uppsala, Sweden) was equilibrated with TBS and MCE buffer. Next, the yellow/tan supernate was loaded onto the column at 12 to 20 cm/hr. Then, the column was washed with equilibrium buffer at 20 to 25 cm/hr until UV absorbance returned to baseline. Next, the column flow was reversed, and the buffer wash was continued for a time period equal to the time it would take to fill one-half of the column at the desired flow rate. The product was then eluted with 0.1M lactose in gradient form. The gradient method of elution is
preferred for smaller quantities; however, the batch method is preferred for larger quantities.
An alternative chromatographic procedure involves ion-exchange chromatography on a Sephadex S-200 column (Pharmacia). The column is depyrogenated using sodium hydroxide washes of decreasing concentration. The S-200 column is next equilibrated with 10 mM citrate, having a pH of 5.0. The yellow/tan supernate is loaded onto the column at a rate of approximately 15 cm/hr. The supernate can be loaded at a rate up to 6 % by volume of the total solvent exchange. The product concentration at loading should be as high as possible to eliminate or minimize the need to further concentrate the eluted product. Immediately upon obtaining the peak from the S-200 column, the eluted product is diluted in a 1:1 ratio with sterile-filtered 10% Lactose in 10 mM Citrate having a pH of 5.0.
A further alternative chromatographic procedure includes the use of a Lactose-HEMA column.
The eluted product obtained from the above chromatographic procedure was stored in small vials, with
about 1 to 5 ml of the product in the appropriately sized vial. The vials were sterilized prior to filling by heating the vials to about 150°C for a minimum of 4 hours. Any leak tight caps, such as grey split stoppers, can be used to contain the product within the vial.
The product was next lyophilized using a Virtis lyophilization chamber or unit. The vials containing the product were placed in the unit's chamber and frozen to -30°C. This temperature was maintained for at least 3 hours. A vacuum was applied to the chamber and the pressure was reduced to less than about 100 torr and preferably about 15 torr. The Virtis unit was maintained at -30°C and 15 torr for at least two hours. After the freezing stage, the unit and vials were brought to 0°C and maintained at this temperature for at least two hours. The temperature was further increased to 30°C in 5°C increments over a six hour period. Once the 30°C temperature was reached, the unit was maintained at 30°C for at least two more hours. The vials were then sealed under vacuum with stoppers and aluminum seals, over which vial caps were crimped.
The recombinantly produced and purified lectin described above was tested to assure that it has the same electrophoretic and chromatographic mobility, the same N- terminal amino acid sequence, and the same
immunoreactivity on Western blots as that of the 14 kD inventive lectin derived from either human placenta or HL-60 cells. Example 2
Effect of the Inventive 14 kD Lectin on Lymphocyte Binding to Endothelial Cells To analyze the mechanism of action of the inventive lectins as immunomodulators, a test was devised to discover whether these lectins bind lymphocytes and/or T-cells to endothelial cells. Thin sections of tissue containing inflamed rat brain vascular endothelium were
prepared. Rat lymph node lymphocytes and human T-cells of the Jurkat line (107/ml in Dulbecco's modified Eagle medium (MEM) with 5% fetal bovine serum (FBS) ) were treated with 250 μg/ml of the lectin of Example 1, with the lectin plus 1 mM lactose, or with no additions and subsequently were placed on ice for 30 min. The lectin severely agglutinated the T-cells and moderately clumped the rat lymphocytes. These effects were not observed when lactose was added or when there were no additions.
Next the treated cells were layered onto the vascular endothelial sections. These treated sections were gyrated (60 rpm) on ice for 30 min. Then the sections were fixed, washed and stained with toluidine blue for viewing. Both the rat lymphocytes and the
T-cells bound to the endothelium of inflamed cerebral blood vessels. T-cells treated with lectin did not bind to the endothelium, possibly because the T-cells were agglutinated and unavailable to react. Lectin strongly accentuated the binding of rat lymphocytes to the
endothelium. Excess lactose eliminated the lectin effect both on T-cells and lymphocytes, so that binding was the same as the no-lectin control. Table 1 summarizes these results: Table 1
Binding to Inflamed Brain Endothelium
Control Lectin Lectin + Lactose Rat lymphocytes + ++++ +
Jurkat T-cells ++++ +/- ++++
While not wishing to be bound by any particular theory, it appears that lectin enhances binding of rat lymphocytes to vascular endothelium by reacting with both the endothelium and with the lymphocytes and serving as a molecular bridge. The lectin did not similarly bind
T-cells to endothelium, possibly because the T-cells were
so thoroughly agglutinated that no free cells were available to bind the endothelium.
Sections of lymphoid organs (lymph nodes and Peyer's patch) were tested as above. Lectin had no noticeable effect on rat lymphocytes; however, because control level binding was very low, this result cannot be relied on.
Example 3
Cross-Reactivity of a 14 kD Lectin
With Endogenous Lectin
In further characterizing the effects of the inventive lectin on the immune response, a test was devised to determine whether the inventive lectin is normally present in lymph nodes where it could affect thymic maturation. First, anti-lectin antiserum was prepared by injecting the inventive recombinant lectin into rabbits. Polyclonal antiserum specific for the inventive lectin was obtained from the immunized rabbits. Slides were made of sections of human thymic cortex and of cultured thymic epithelial cells. These sections of human thymic tissue and cultured thymic epithelial cells were incubated with the rabbit anti-lectin antisera. The cross-reactivity was detected at a dilution of 1:1000 by labeling the antibody-coated sections with goat anti- rabbit horseradish peroxidase and adding substrate. The thymic sections were examined by microscopy and had highly stained thymic cortical epithelial cells. The cultured thymic epithelial cells were also highly
stained. The epithelial nature of the stained thymic cells was confirmed by counterstaining with cytokeratin antibodies which are specific for epithelial cells. See Figure 2 for the comparison of anti-lectin staining and anti-cytokeratin staining. Thus, a protein which is immunologically cross-reactive with the inventive
recombinant lectin has been localized to epithelial cells in human thymic tissue. In addition, protein extracts of
cultured thymic epithelial cells stained positively with the rabbit-polyclonal antiserum on Western blots in an immunoreactive band which comigrated with the inventive lectin.
The cDNA for the inventive lectin was used as a hybridization probe against thymic epithelial cell RNA. A discrete transcript was detected and had the correct corresponding size, as shown in the representation of the electrophoresis gel in Figure 3. Thus, it appears that thymic cortical epithelial cells have a protein with a molecular weight, antigen reactivity and DNA sequence similar to those properties of the inventive lectin.
Because interaction between thymic epithelial cells and immature cortical thymocytes is crucial for proper selection of immunocompetent T-cells, the
inventive lectin appears to affect thymocyte maturation. In addition, in comparison to mature T-cells, immature cortical thymocytes show much higher levels of the galactose ligand which is recognized by the inventive lectin. This further supports interaction of the
inventive lectin with immature thymic cells, rather than an effect on mature T-cells.
Furthermore, galactose-terminating ligands are present on the cell surfaces of migrating leukocytes and could be responsible for leukocyte recognition by lectincontaining homing receptors. Because the inventive lectins are specific for galactose ligands, the inventive lectins should affect the extravasation caused by
leukocyte-receptor interaction. This can also be
conveniently tested.
The effects of the lectin on the binding of cultured T-cells to thymic epithelial cells were further tested according to the protocol of Singer et al. (Proc. Natl. Acad. Sci. (1986) 83: 6588-92). T-cell lines MOLT4 and ARR (a T-cell line with sialic-acid-terminating glycoproteins) were incubated with tritiated thymidine. Next, the cells were treated with neuraminidase (which
cleaves terminal sialic acids from the glycoproteins on ARR cells and leaves terminal galactose), galactosidase, endolactosaminidase or no enzyme. After this step, the cells were incubated with and without lectin. All the treatment and control groups of T-cells were layered over thymic epithelial cells, incubated and washed as
described in Singer et al. Lastly, the amount of bound T-cells was quantitated by decompositions per minute (DPM). Only lectin-treated T-cells with terminal galactose residues appreciably bound to thymic epithelial cells, as shown in Figure 4.
Example 4
Assay for β-galactoside
Binding Activity of Lectins
Biological activity of the inventive 14 kD lectins 1) isolated from HL-60 cells, 2) isolated from placenta tissue or 3) prepared recombinantly from E. coli cells transfected with lectin cDNA operably linked to a secretion signal was ascertained by agglutination of trypsinized rabbit erythrocytes. As seen in Figure 5, the top row shows a Concanavalin A control with an agglutination end-point at 1.5 μg/ml. The lower six rows show the three purified inventive 14 kD lectins incubated with varying concentrations of completing sugars, β- lactose and thiodigalactoside, which are known to be potent inhibitors of the 14 kD placental lectin.
Thiodigalactoside inhibited agglutination of the
erythrocytes at concentrations greater than 0.31 mM and β -lactose inhibited agglutination at concentrations greater than 1.25 mM.
Example 5
Effect of 14 kD β-gal Lectin in
a Myasthenia Gravis Model
Experimental autoimmune myasthenia gravis (EAMG) is an antibody-mediated autoimmune disease
responding to acetylcholine receptors (AChR). This condition in mice is a recognized model for studying the effects of the autoimmune response on neuromuscular transmission (Levi, G. et al., Eur. J. Immunol. (1983) 13:500-507; Lefvert, A.K. et al., Scand. J. Immunol.
(1978) 8:525; Lefvert, A.K. et al., J. Neuro. Immunol. (1985) 9:41; Lefvert, A.K. et al., Eur. J. Immunol.
(1982) 12:790). It appears that myasthenia gravis is mediated by T helper cells, which produce acetylcholine receptor antibodies. The disease is induced in mice by injection of acetylcholine receptor. The acetylcholine receptor is obtained from the electric organ of the ray Torpedo marmorata and purified by affinity chromatography on Naja naja siamensis neurotoxin crosslinked to
Sephadex.
Young adult female BALB/c and C57B/6 mice (2-4 months of age) were used because they differ in EAMG susceptibility. The mice were injected subcutaneously with 10 μg of purified acetylcholine receptor, in
Freund's complete adjuvant without and with the 14 kD-β- gal lectin.
Blood was obtained after 3 days and after 1, 2, 3 and 4 weeks. To follow the development of the disease, the mice were observed daily for signs of neuromuscular dysfunction and after 10 days subjected to forced
exercise using repetitive grasping, swimming and inverted hang. These exercises were repeated after warming under a heat lamp at 35°C for 5 min. The results of these observations are presented in Table 2 and show that in both strains of mice tested at higher lectin dose levels, the recombinant lectin markedly slowed neuromuscular deterioration.
Table 2
Mice Showing Clinical Signs of Neuromuscular Dysfunction (%)
Mouse Strain BALB/c C57B/6
Receptor Only 25 68
Receptor + 2.5 μg 18 59
Lectin
Receptor + 12 μg 4 11
Lectin
After the observation period, the animals were sacrificed, skinned, and eviscerated; and a cholinergic receptor (AChR) extract was prepared as described by Lefvert, A.K. et al., Scand. J. Immunol, supra for determination of total AChR content and Ig-complexed AChR content, as described therein.
Briefly, to determine total AChR content, known portions of the AChR extracts were incubated with a tenfold excess of 125I-alpha-bungarotoxin for 1 hour at 37ºC so as to label the receptor for quantitation. The mixture was subjected to gel filtration on Sephacryl G200 to separate free and bound toxin. To determine the amount of AChR complexed to IgG or IgM antibodies, the extract was incubated with a ten-fold excess of labeled bungarotoxin overnight at 4°C; anti-mouse IgG or IgM was then added and the samples incubated overnight at 4°C, followed by separation of the precipitates, washing and counting.
The results are shown in Table 3 together with the amount of recombinant lectin coadministered. These data show that single subcutaneous doses of about 7.5-12 μg recombinant lectin lowered both AChR loss and the amount of Ig-complexed AChR.
Table 3
Muscle Acetylcholine Receptor (AChR) Content
in Mice Immunized with AChR With and Without Lectin
(Determinations Made 10 Days After Injection)
Carcass AChR Content % of AChR
(mol x 10-11) Comolexed with Ig
Normal mice 3.9 + 0.7 0
AChR+lectin (0.1 μg) 0.8 + 0.4 48 + 6.0
AChR+lectin (1 μg) 1.4 + 0.3 52 + 2.0
AChR+lectin (5 μg) 0.9 + 0.5 44 + 5.0
AChR+lectin (15 μg) 3.5 + 0.4 11 + 10.7 AChR+lectin (25 μg) 3.2 + 0.6 11 + 7.8
AChR only 1.5 + 0.2 65 + 2.6
Example 6
B-Cell Repertoire of Mice Immunized with the
Acetylcholine Receptor, Tetanus Toxoid or Pneumococcal Polvsaccharide
The effect of the recombinant lectin on B-cell activation in BALB/c mice was also assayed using standard assays determining the number of hybridomas secreting antibodies to the administered antigen.
Three BALB/c female mice (7-8 weeks old) were injected intraperitoneally with 5 μg of AChR antibody, tetanus toxoid or pneumococcal polysaccharide,
respectively, in complete Freund's adjuvant. Two weeks later, the mice were injected intravenously with the same amount of antigen in 0.15 M sodium phosphate buffer, pH 7.4. Tetanus toxoid was obtained from the Swedish
National Bacteriological Laboratory and consisted of formalin-treated tetanus toxin (normally used for vaccination). A mixture of capsular polysaccharide extracts from 23 different serctypes of Streptococcus
pneumoniae (Pneumovax®) was obtained from Merck Sharp &
Dohme, Inc. (West Point, PA). Three other mice of the same strain were similarly immunized with these antigens in combination with 15 μg of the recombinant lectin;
controls received only the antigens.
The animals were sacrificed 4 days after the booster injection and spleen cells (10 cells) were fused with the nonsecreting B-lymphocytoma cell line SP2-OAg14 (2 x 107 cells). The cell mixture was distributed in 6 x 96 Costar tray wells (2 x 105 cells/well) with a feeder layer of mouse peritoneal macrophages (5 x 105
cells/well). From the third day in culture HAT
(hypoxanthine-aminopterin-thymidine) medium was added.
After 10-14 days, supernatants were assayed for binding to the respective antigens used for immunization using an enzyme-linked immunosorbent assay (ELISA).
The results in Table 4 show that
coadministration of lectin is effective in reducing the number of primary clones producing antibodies against AChR and tetanus toxoid. Coadministration of lectin reduced only slightly the number of hybridomas producing antibodies immunoreactive with the polysaccharide. It is believed that the B-cell response to the AChR and tetanus toxoid antigens is T-cell dependent, while that to the polysaccharide is independent of T-cells.
Table 4
Number of Clones Producing Antibodies Against Torpedo Receptor, Tetanus Toxoid and Pneumococcal Polysaccharide (180 Primary Clones for Each Antigen)
Antigen Antigen Experimental
+ Lectin Only % of Control
Torpedo
receptor 54 129 41
Tetanus
toxoid 79 161 48
Pneumococcal
polysaccharide 111 143 78
The effect of coadministration of lectin on the B-cell repertoire mounted as a primary response to immunization was also tested directly by antibody
formation in the sera. Immunoassays for antibody content for the various antigens were performed as follows:
For immunization with Torpedo acetylcholine receptor, microtiter wells were coated overnight with 100 μl of a solution containing 5 μg/ml of purified receptor as prepared in Example 8, Part A, and incubated with serum (diluted 1/25) for 3 hours at 37ºC. After washing, the plates were incubated for 3 hours at 37°C with alkaline phosphatase-conjugated goat anti-mouse
immunoglobulins. The plates were then washed extensively and incubated for 1 hour at 37°C with p-phenylphosphate ethanolamine buffer. The reaction was stopped by
addition of 25 μl of 3 M NaOH, and the binding of the labeled antibody was measured in an ELISA microreader at 405 nm. A normal mouse serum pool from more than 50 mice served as negative control. The cut-off limit was the mean +4SD of cumulated values obtained with this normal serum pool. The results were compared to results
obtained by radioimmunoassay and expressed in moles of toxin receptor precipitated by 1 liter of serum, after subtraction of the mean +4SD of cumulated results from a normal population (more than 50 mice).
For antibodies against mouse AChR, antibodies were determined using as antigen a complex between a partially purified normal mouse skeletal muscle receptor and 125I-alpha-bungarotoxin. The results were expressed in moles of toxin receptor precipitated by 1 liter of serum, after subtraction of the mean +4SD of cumulated results from a normal population (more than 50 mice).
For antibodies against tetanus toxoid and capsular poly-saccharides, microtiter wells were coated overnight with 100 μl of a solution containing 5 μg/ml of the antigen and incubated with serum (diluted 1/200) for 3 hours at 37ºC. After washing, the plates were
incubated for 3 hours at 37°C with alkaline
phosphatase-conjugated goat anti-mouse immunoglobulins. The plates were then washed extensively and incubated for 1 hour at 37°C with p-phenylphosphate ethanolamine buffer. The reaction was stopped by addition of 25 μl of 3 M NaOH, and the binding of the labeled antibody was measured in an ELISA microreader at 405 nm. A normal mouse serum pool from more than 50 mice served as
negative control. The cut-off limit was the mean +4SD of cumulated values obtained with this normal serum pool. The values were expressed in milliabsorbance units after subtraction of the mean +4SD of the normal serum pool.
Groups of BALB/c mice were immunized with tetanus toxoid, pneumococcal polysaccharide, ray Torpedo receptor and mouse receptor without and with various doses of recombinant lectin. Blood was obtained after 3 days and again after 1, 2, 3 and 4 weeks and antibody levels were determined as described above.
The results are shown in Figures 6-9. As indicated, the primary immune response to T-dependent antigens was significantly lowered when higher doses of
lectin (15 and 25 μg) were administered. No effect by any dose of the inventive lectin was observed for
pneumococcal polysaccharide (Figure 7), a T-independent antigen.
Example 7
Effect of 14 kD β-gal Lectin on
Experimental Autoimmune Encephalomvelitis.
An Animal Model for Multiple Sclerosis Experimental autoimmune encephalomyelitis (EAE) is a T-cell-mediated disease considered to be a useful model for human paralytic and demyelinating diseases such as multiple sclerosis (Vandenbark, A. et al., J. Immunol. (1985) 135:223). In the Lewis rat, paralytic signs of EAE are induced about 14 days after injecting guinea pig myelin basic protein (GPBP) in Complete Freund's Adjuvant (CFA). It has been shown by Offner, H. et al. (J.
Immunol. (1988) 141:3288) that T-cells specific for GPBP in immunized rats recognize amino acid residues 72-89 of GPBP and have the ability to transfer both clinical signs of EAE and delayed-type hypersensitivity reaction to GPBP to other animals.
In the studies reported in this example, EAE was induced by injection of GPBP/CFA as described above.
In one protocol intravenous administration of lectin was started at day 0 relative to 50 μg GPBP/CFA injection, with additional lectin treatment at days 3 and 6. The severity of the disease was determined clinically and histologically:
,,Clinical" ratings are as follows:
0 = No signs of disease.
1 = Flaccid tail.
2 = Ataxia.
3 = Hind quarter paralysis.
4 = Quadriplegic/Moribund.
"Histologic" ratings are as follows:
Slides were examined for degree of inflammation with ratings as follows:
0 = None;
0.5 = a few infiltrating cells in the meninges;
1 = meningeal infiltration, more organized and concentrated around blood vessels;
2-4 = increasing intensity of meningeal
infiltration and perivascular cuffing in the CNS
parenchyma.
As shown in Table 5, the 0, 3, 6-day protocol resulted in a slight delay in the onset of sickness; the sickness was less severe; the duration of sickness was shorter; and weight loss was less.
Table 5
Treatment of EAE with Lectin
Severity
of Disease
Clinical/
Day of Histological Duration Loss of Onset Ratings (davs) Weight (g)
Group I
10 control
rats injected
with buffer 14.5 (3.2/-) 30 Days 0,3,6
Group II
10 rats
injected with
250 μg lectin 17 (2.2/3.5) 3.0 20 Days 0,3,6
(p<.01)
In a second protocol, lectin was first administered three days before immunization with 50 μg GPBP/CFA and was followed by daily injections until day 7 after immunization. As shown in Table 6, with this protocol, the development of the disease was prevented completely.
In an additional experiment, animals were given various doses of lectin on days 0-12, following the
administration of 10 μg GPBP injected intramuscularly. The results of these experiments are shown in Figures 10 and 11.
Figure 10 shows the severity of the disease with lectin dosages ranging from 10-1500 μg intraperitoneally. Figure 11 shows a summary representation of these results computed on day 12. As determined from Figures 10 and 11, a daily dosage of 500 μg appears optimal for ameliorating the symptoms of experimental autoimmune encephalitis.
Table 6
Treatment of EAE with Lectin
Day of Severity Duration Loss of
Onset of Disease (days) Weight (g) DTH1
Clinical/Histoloαic GPBP/PPD
1DTH = delayed type hypersensitivity reaction, which is reported as swelling x mm/100 (background subtracted)
2Difference from control has a p<0.01
3Difference from control has a p<0.001
Example 8
Ability of Lectin to Prevent Primary
Sensitization to GPBP and PPD Specifically
At the indicated times after injection of 50 μg GPBP/CFA, lymph nodes draining the site of injection were collected and tested for a proliferative response to GPBP, purified protein derivative (PPD), and the T-cell mitogen, Concanavalin A (ConA). Consistent with the DTH test, lymph node cells of the lectin-treated rats had low or absent responses to both GPBP and PPD relative to control rats, especially on days 14 and 21 during which EAE onset occurs. Responses to ConA in treated rats were normal or augmented, however, indicating lack of global immunosuppression. These results are summarized in
Figure 12.
The lymph node cells were also unresponsive to the inventive lectin (data not shown), indicating that the lectin was not mitogenic In addition, the sera of treated rats did not contain antibodies specific for the lectin as measured by ELISA.
In a follow-up experiment, T-cell lines were selected from the draining lymph nodes. Although GPBP- specific T-cell lines could be raised from the GPBP/CFA immunized control group, no responses were observed to GPBP and no lines could be established from the lectin- treated rats. In separate experiments, lectin added to established T-cell lines had no inhibitory effect, however. Taken together, the data show that the
inventive recombinant lectin is potent in preventing primary sensitization to both GPBP and PPD, but did not affect T-cell responses generally, as shown by full T-cell responses to ConA.
Example 9
Effect of the Inventive 14 kD Lectin on EAE Relapse
An additional murine model of EAE was used to demonstrate the effect of the inventive lectin on this condition.
In mice, symptoms of EAE can be made to occur in cyclical fashion by boosting the animals with antigen following each cycle, and each cycle becomes more severe until death ultimately occurs. This is a useful model in which to determine therapeutic efficacy, since it closely mimics both the chronic disease relapses and the acute demyelination associated with multiple sclerosis. In this experiment, 20 female SJL/J mice were immunized with lyophilized spinal cord extract dissolved in PBS plus CFA on days 0, 7 and 21. Ten mice were injected with recombinant lectin, and ten mice were given buffer only. The lectin-treated mice received 50 μg lectin on days 13 and 15 intravenously in the tail vein, and an additional 100 μg i.v. daily from day 18 through day 24. Mice were followed until death or sacrifice at day 42.
The results in Figure 13 are mean clinical scores for control and lectin-treated mice. Lectin- treated mice had improved clinical scores during the first cycle, and improved survival and clinical scores through the second cycle.
Example 10
Effect of Lectin Treatment on Transplant Acceptance and Rejection The studies reported here relate to Brown
Norway rat tissue transplanted into Lewis rats. This model, a highly histo-incompatible donor/recipient pair, provides a very stringent test with predictive value in human transplantation. Known general immunosuppressive agents show immunosuppressive activity in these models. Several forms of this model are used in the studies reported here.
A. Rat Heart Transplantation:
These studies were performed in the laboratory of Dr. Randy Morris of Stanford University. Whole rat hearts were grafted into host rats which were examined daily thereafter for signs of rejection. The treatment groups, dose and schedule of administration are
summarized in Table 7.
Table 7
Heart Allograft Rejection
No. Onset of
Animals Dose Schedule Rejection (day)
A control group comprised twelve recipients treated daily i.v. only with buffer control. The graft survival times were: 6d (x4), 7d (x7), and 8d, giving a mean survival of 6.82 + /-0.6d (SD). The final day of survival is defined as the day on which the donor heart ceased to contract as assessed by lack of obvious palpitations and as confirmed by direct visualization at laparotomy.
Five recipients were treated with the recombinant lectin. All animals were pretreated with 1 mg/kg i.v. lectin on days -3, -2 and -1. The first two animals were then treated postoperatively with 1 mg/kg/d i.v. with lectin from day 1 until graft rejection. The second three animals were treated in the postoperative period from day 1 until graft rejection with 2 mg/kg/d i.v. of lectin. Graft survivals were 9 and 10d for the first group of rats, and 9, 10 and lid for the second group. No dramatic increase in survival was seen by doubling the dose of lectin in group two in the post-
operative period. Therefore, graft survival times of both groups were combined for statistical analysis. When graft survival was analyzed, lectin treatment produced a mean graft survival of 9.8 + /-0.34d (SD), +/-0.38d (SEM) with a 95% confidence limit. Using the one-tailed Mann- Whitney U-test to compare the differences between the graft survival times for the saline and lectin-treated groups, a P value of 0.00096 was obtained.
Thus, a small but very highly significant prolongation of heart allograft survival was achieved by treatment with lectin. In addition, there was no
noticeable toxicity as might be manifested by weight loss. B. Effect of General Immunosuppressants in
Combination with Lectin:
The heart transplant model of paragraph A was used. Five groups of 5 Lewis rats received hearts from Brown Norway rats and were given the following drugs by group, as shown in Table 8:
Table 8
Cyclosporin Lectin Survivors
Group (mg/kg/day) (mg/kg/Day) on Day 16
Cyclosporin i.p. was started the day of the graft and continued daily. Recombinant lectin was started two days prior to transplant and continued daily.
The number of survivors on day 16 are shown in Table 8. The group receiving cyclosporin alone was unusually long lived, since animals on such therapy typically die within two weeks. At certain dosages of
cyclosporin and lectin (2.5 and 5.0 mg/kg/day), the combination therapy had a higher survivor rate than cyclosporin or lectin administered alone or the sum of the two survival rates. After day 20, the differences between control and test groups decreased, which may be attributed to 1) the unusually longevity of the
cyclosporin-treated rats and 2) the immunogenicity of human lectin in rats. C. Skin Allografts:
The work in this report was done in the laboratory of Drs. Arthur Vandenbark and Halina Offner at the Oregon VA Medical Center. Brown Norway rat skin was transplanted onto the back of Lewis rats. Identical grafts were done on both sides of each animal's back and the results of each side (separated by commas) were shown for each parameter in Tables 9 and 10. The days upon which each graft exhibited inflammation, signs of degeneration, and finally rejection are given along with whether or not (+ or -) hair growth was restored in the tissue. A 250 μg/animal dose of lectin was administered i.v. daily on days 2-17. The results show that the lectin treatment delayed rejection of the grafts by 7 days, significantly reduced associated inflammation, and allowed the growth of hair in the grafted tissue.
The protocols' for the studies reported in Tables 9 and 10 differed only in that the lectin was delivered for four additional days up to day 21 (see Table 10).
8
The results of similar experiments conducted by Dr. Ann Kari-Lefvert at the Karolinska Institute are reported in Figure 14. In this experiment, 5 mg/kg recombinant lectin was used on rats bearing single grafts and the day of graft rejection was noted. As shown in Figure 14, treatment with the inventive lectin
considerably delayed rejection of the skin allograft.
Example 11
In Vivo Effect of Lectin On
Phenotypes of Selected Rat Lymphocytes Table 11A shows a 28% increase in the number of rat lymph node suppressor T-cells (reactive with
monoclonal antibody 0X8, Serotec-Bioproducts,
Indianapolis, IN) from lectin-treated animals.
Table 11B shows a 32% increase in the number of spleen suppressor T-cells as well as a 19% and 24% decrease in the numbers of helper T-cells (W3/25 antibody reactive, Serotec-Bioproducts) and total T-cells (w3/13 antibody reactive, Serotec-Bioproducts), respectively.
Example 12
Human blood cells were pretreated with the inventive HL-60 lectin and then stained with
fluoresceinated antibody having several different specificities. Control. cells were not pretreated with lectin. The results in Table 12 show that recombinant human lectin specifically reacts with human macrophages. No significant changes were observed for CD3+, CD4+, NK(L-A) or HLA-DR cell markers (Becton-Dickinson).
However, the effect of lectin treatment on M1 and M3 macrophages was significant. The percent of positive cells was reduced by 33% and 26%, respectively,
suggesting an interaction between lectin and epitopes recognized by M1 and M3 antibodies.
Example 13
To further elucidate the nature of the selective immunosuppression action of the inventive HL-60 lectin, the following study was undertaken to determine the effect of HL-60 lectin on migration patterns of lymphoid cells in recipients of cardiac allografts.
Inbred male adult Lewis rats weighing about 220 - 250 grams received allogeneic BN rat heart implants. The hearts were transplanted to the host infrarenal great vessels by standard microvascular techniques. Primarily vascularized grafts placed intraabdominally rapidly stimulate local lymph nodes: For example, there is prompt accumulation of plasma cells in the medullary cords of parathymic lymph nodes that drain the peritoneal cavity via subdiaphragmatic lymph nodes and retrosternal
lymphatics. Increased activity in parathymic lymph nodes during rejection has been well documented by migration of radiolabeled cells, both in vivo and in vitro. KupiecWeglinski et al., Transplantation (1982) 33:593.
Five days following the allografts, peripheral lymph nodes were removed from about half of the
allografted animals. The lymph node cells were isolated on Ficol Hypaque density gradients. The lymphoid cells (roughly 75% T cells, 20% of which were activated as assessed by IL-2 receptor expression, and the remainder B cells and macrophages) were radiolabelled with 111indium, according to the method of Signore et al., Immunol. Lett. (1983) 6:151.
The labelled cells (about 10 x 106 cells per rat) were injected into the tail veins of the other half of the allograft recipients. HL-60 lectin (250 μg) was administered to 6 test animals at one half hour before labelled cell injection and again at three hours after labelled cell injection. Six hours after injection of the labelled cells, the organs were harvested and
radioactivity was quantitated. The only difference in
treatment for the 5 control animals was administration of vehicle, not HL-60 lectin.
The results are summarized in Figure 15. In HL-60 lectin treated rats, significantly fewer
radiolabelled cells (p < 0.01 by the Wilcoxon statistical test) were found in the parathymic lymph node at six hours. No other effects on labelled lymphocyte migration patterns were seen. Importantly, the parathymic lymph node is the lymph node which drains the cardiac allograft in this model. These results demonstrate that the HL-60 lectin diminished lymphocyte migration to the allograft, a site where antigen presentation and lymphocyte
proliferation normally occur. Example 14
An experiment similar to that performed in Example 13 was performed in recipients of skin
allografts. Orthotopic full-thickness skin grafts (3x3 cm) were sutured bilaterally onto flanks of recipient animals. On day five after skin transplant, peripheral lymph node cells were isolated from half of the
transplanted animals. The cells were labelled with
111Indium and injected intravenously into day 5 skin transplant recipients. Test animals received HL-60 lectin, and control animals received vehicle alone.
Results are shown in Figure 16. In this skin transplant model, lymphocyte migration to all lymph nodes tested (the draining, mesenteric and peripheral lymph nodes) significantly decreased. The most significant difference was at the draining lymph node.
Data from the skin and heart allograft rats demonstrates that the mechanism of action of the
inventive HL-60 lectin is inhibition of localization of lymphocytes into the lymph node, which is the site of immunization for alloantigens. Thus, HL-60 lectin inhibits allograft rejection by decreasing the number of allospecific T cells which react with the graft.
Claims
1. A pharmaceutical composition comprising a soluble lectin of MW of about 14 kd or a fragment thereof wherein said lectin or fragment binds β-galactoside- containing moieties independent of the presence or absence of Ca+2, stimulates hemagglutination of
trypsinized rabbit erythrocytes in standard lectin assays wherein said stimulation is inhibited by lactose or thiodigalactoside, has at least 90% homologous to the amino acid sequence shown in positions 2-135 of Figure 1 or the relevant portions thereof; and
a carbohydrate;
in admixture with at least one pharmaceutically acceptable excipient.
2. The pharmaceutical composition of claim 1 wherein the amino acid sequence contains at least one N- glycosylation site.
3. The pharmaceutical composition of claim 1 wherein said lectin or fragment thereof has the amino acid sequence shown in the relevant portions of positions 2-135 of Figure 1 or alj.elic variants thereof.
4. The pharmaceutical composition of claim 1 wherein said soluble lectin is provided in lyophilized form.
5. The pharmaceutical composition of claim 3 wherein said soluble lectin has been lyophilized in the presence of about 1-40% carbohydrate.
6. The pharmaceutical composition of claim 3 wherein said soluble lectin has been lyophilized in the presence of about 5-15% carbohydrate.
7. The pharmaceutical composition of claim 3 wherein said soluble lectin has been lyophilized in the presence of about 10% carbohydrate.
8. The pharmaceutical composition of claim 3 wherein said carbohydrate is a disaccharide or
monosaccharide.
9. The pharmaceutical composition of claim 8 wherein said disaccharide is lactose.
10. The pharmaceutical composition of claim 3 wherein said soluble lectin has been lyophilized at a pH of about 4-8.
11. The pharmaceutical composition of claim 3 wherein said soluble lectin has been lyophilized at a pH of about 5.
12. The pharmaceutical composition of claim 1 which further contains a general immunosuppressant.
13. The composition of claim 12 wherein said general immunosuppressant is selected from the group consisting of cyclosporin, rapamycin, other macrolide derivatives, azathioprine, prednisone,
methylprednisolone, CD4 antibodies and cyclophosphamide.
14. A method to prepare a pharmaceutical composition comprising a soluble lectin of MW of about 14 kd or a fragment thereof wherein said lectin or fragment has an amino acid sequence containing at least one N- glycosylation site and is at least 95% homologous to the amino acid sequence shown in positions 2-135 of Figure 1 or the relevant portions thereof;
which method comprises lyophilizing said soluble lectin in an aqueous solution containing about 1- 40% concentration wt. /volume of a protective carbohydrate at a pH of about 4-8.
15. The method of claim 14 wherein said carbohydrate is about 5-15%.
16. The method of claim 14 wherein said carbohydrate is about 5-15%.
17. The method of claim 14 wherein said carbohydrate is about 10%.
18. The method of claim 14 wherein said protective carbohydrate is a disaccharide or
monosaccharide.
19. The method of claim 18 wherein said
protective carbohydrate is lactose.
20. The method of claim 14 wherein said pH is about 4.5 to 6.
21. The method of claim 14 wherein said pH is about 5.
22. The method of claim 14 wherein said pH is maintained in about 10 mM citrate buffer.
23. A method to effect immunosuppression in mammals which method comprises treating a mammalian subject in need of immunosuppressant therapy with a soluble lectin of MW of about 14 kd or a fragment thereof wherein said lectin or fragment has an amino acid
sequence containing at least one N-glycosylation site and is at least 90% homologous to the amino acid sequence shown in positions 2-135 of Figure 1 or the relevant portions thereof, said lectin being administered in an amount sufficient to suppress the immune system.
24. The method of claim 23 wherein said subject in need of immunosuppressant therapy has an autoimmune disorder.
25. The method of claim 23 wherein said subject in need of immunosuppressant therapy has at least one condition selected from the group consisting of myasthenia gravis and multiple sclerosis.
26. The method of claim 23 wherein said subject in need of immunosuppressant therapy has
rheumatoid arthritis.
27. The method of claim 23 wherein said subject in need of immunosuppressant therapy has systemic lupus erythematosus.
28. The method of claim 23 wherein said subject in need of immunosuppressant therapy has juvenile diabetes.
29. The method of claim 23 wherein said subject in need of immunosuppressant therapy has an allergic reaction.
30. The method of claim 23 wherein said subject is characterized by exhibiting an unwanted immune response to a transplant.
31. The method of claim 23 wherein said method further comprises administering a general
immunosuppressant.
32. The method of claim 31 wherein said immunosuppressant is selected from the group consisting of cyclosporin, rapamycin, other macrolide derivatives, azathioprine, prednisone, methylprednisolone, CD4 antibodies and cyclophosphamide.
33. The method of claim 31 wherein said pharmaceutical composition is simultaneously administered with said general immunosuppressant.
34. The method of claim 31 wherein said pharmaceutical composition is sequentially administered with said general immunosuppressant.
35. A method of delivering drugs to cells of mammalian subjects, said cells having chemical moieties for which a lectin which is at least 90% homologous to the amino acid sequence shown in positions 2-135 of Figure 1 is specific, said method comprising:
coupling said lectin to a drug to form lectin- drug complexes; and
administering said lectin-drug complexes to said subjects.
36. The method of claim 35 wherein said drugs are cytotoxic or therapeutic.
37. A method of targeting a chemical label for certain cells of mammalian subjects, said cells having chemical moieties for which a lectin which is at least 90% homologous to the amino acid sequence shown in positions 2-135 of Figure 1 is specific, said method comprising:
coupling said lectin to said chemical label to form lectin-label complexes; and
contacting said cells of the subjects with said lectin-label complexes.
38. The method of claim 37, wherein contacting said cells is performed in vivo or in vitro.
39. A method of delivering drugs to cells of mammalian subjects, said cells having a lectin which is at least 90% homologous to the amino acid sequence shown in positions 2-135 of Figure 1, said method comprising:
forming antibodies specific for said lectin; coupling said antibody to a drug to form antibody-drug complexes; and
administering said antibody-drug complexes to said subjects.
40. The method of claim 39 wherein said drugs are cytotoxic or therapeutic.
41. A method of targeting a chemical label for certain cells of mammal subjects, said cells having a lectin which is at least 90% homologous to the amino acid sequence shown in positions 2-135 of Figure 1, said method comprising:
forming antibodies specific for said lectin; coupling said antibodies to said chemical label to form antibody-label complexes; and
contacting said cells of said subjects with said antibody-label complexes.
42. The method of claim 41, wherein contacting said cells is performed in vivo or in vitro.
43. A method of suppressing the inflammatory response in a mammalian subject having or expected to undergo an inflammatory.response, said method comprising administering a sufficient quantity of a lectin which is at least 90% homologous to the amino acid sequence shown in positions 2-135 of Figure 1, said lectin being
administered in sufficient quantity to perturb normal lymphocyte distribution and thereby abort the inflammatory response.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU56085/94A AU5608594A (en) | 1992-11-16 | 1993-11-16 | Method of causing selective immunosuppression using hl-60-related lectins |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US97692892A | 1992-11-16 | 1992-11-16 | |
US07/976,928 | 1992-11-16 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1994011497A1 true WO1994011497A1 (en) | 1994-05-26 |
Family
ID=25524633
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US1993/011107 WO1994011497A1 (en) | 1992-11-16 | 1993-11-16 | Method of causing selective immunosuppression using hl-60-related lectins |
Country Status (2)
Country | Link |
---|---|
AU (1) | AU5608594A (en) |
WO (1) | WO1994011497A1 (en) |
Cited By (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1998008535A3 (en) * | 1996-08-26 | 1998-05-28 | Incyte Pharma Inc | Method of causing selective immunosuppression using HL-60-related lectins |
WO1999012041A1 (en) * | 1997-09-05 | 1999-03-11 | The Board Of Regents Of The University Of Oklahoma | Composition and methods using galectin-1 |
US6225071B1 (en) | 1997-09-05 | 2001-05-01 | The Board Of Regents Of The University Of Oklahoma | Methods of screening for compounds which mimic galectin-1 |
WO1998002456A3 (en) * | 1996-07-15 | 2002-10-17 | Incyte Pharmaceuticals, Inc. | Human c-type lectin |
WO2009131435A1 (en) * | 2008-04-23 | 2009-10-29 | Erasmus University Medical Center Rotterdam | Linker containing bungarotoxin and a binding peptide |
RU2528860C2 (en) * | 2008-10-29 | 2014-09-20 | Леуколект Ас | Leukolectin and use thereof |
RU2595823C2 (en) * | 2011-06-24 | 2016-08-27 | Аква Био Текнолоджи Аса | Methods for producing cosmetic composition containing leukolectin and use thereof |
US9708380B2 (en) | 2010-04-29 | 2017-07-18 | Leukolect As | Human leukolectins and uses thereof |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPS60184020A (en) * | 1984-03-02 | 1985-09-19 | Seikagaku Kogyo Co Ltd | Human-originated lectin and its collection |
US5258287A (en) * | 1988-03-22 | 1993-11-02 | Genentech, Inc. | DNA encoding and methods of production of insulin-like growth factor binding protein BP53 |
-
1993
- 1993-11-16 WO PCT/US1993/011107 patent/WO1994011497A1/en active Application Filing
- 1993-11-16 AU AU56085/94A patent/AU5608594A/en not_active Abandoned
Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
JPS60184020A (en) * | 1984-03-02 | 1985-09-19 | Seikagaku Kogyo Co Ltd | Human-originated lectin and its collection |
US5258287A (en) * | 1988-03-22 | 1993-11-02 | Genentech, Inc. | DNA encoding and methods of production of insulin-like growth factor binding protein BP53 |
Non-Patent Citations (5)
Title |
---|
E.A. RAWLINS, "Bentley's Textbook of Pharmaceutics", published 1978, by BAILLIERE TINDALL (LONDON), pages 186 and 192-194. * |
EUROPEAN JOURNAL OF IMMUNOLOGY, Volume 13, issued 1983, LEVI et al., "Prevention and Therapy with Electrolectin of Experimental Autoimmune Myasthenia Gravis in Rabbits", pages 500-507. * |
I.E. LIENER et al., "The Lectins: Properties, Functions, and Applications in Biology and Medicine", published 02 March 1986, by ACADEMIC PRESS (N.Y.), page 353. * |
J.W. GODING, "Monoclonal Antibodies: Principles and Practice", published 1983, by ACADEMIC PRESS (N.Y.), pages 250-261. * |
K. OLDEN et al., "Vertebrate Lectins", published 1987, by VAN NOSTRAND REINHOLD ADVANCED CELL BIOLOGY SERIES (N.Y.), pages 27-32. * |
Cited By (12)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1998002456A3 (en) * | 1996-07-15 | 2002-10-17 | Incyte Pharmaceuticals, Inc. | Human c-type lectin |
WO1998008535A3 (en) * | 1996-08-26 | 1998-05-28 | Incyte Pharma Inc | Method of causing selective immunosuppression using HL-60-related lectins |
WO1999012041A1 (en) * | 1997-09-05 | 1999-03-11 | The Board Of Regents Of The University Of Oklahoma | Composition and methods using galectin-1 |
US6225071B1 (en) | 1997-09-05 | 2001-05-01 | The Board Of Regents Of The University Of Oklahoma | Methods of screening for compounds which mimic galectin-1 |
WO2009131435A1 (en) * | 2008-04-23 | 2009-10-29 | Erasmus University Medical Center Rotterdam | Linker containing bungarotoxin and a binding peptide |
RU2528860C2 (en) * | 2008-10-29 | 2014-09-20 | Леуколект Ас | Leukolectin and use thereof |
US9260498B2 (en) | 2008-10-29 | 2016-02-16 | Leukolect As | Leukolectins and uses thereof |
US10124034B2 (en) | 2008-10-29 | 2018-11-13 | Leukolect As | Leukolectins and uses thereof |
US9708380B2 (en) | 2010-04-29 | 2017-07-18 | Leukolect As | Human leukolectins and uses thereof |
RU2595823C2 (en) * | 2011-06-24 | 2016-08-27 | Аква Био Текнолоджи Аса | Methods for producing cosmetic composition containing leukolectin and use thereof |
US10017552B2 (en) | 2011-06-24 | 2018-07-10 | Aqua Bio Technology Asa | Methods of using a composition comprising leukolectin for cosmetic skin treatment |
US10556937B2 (en) | 2011-06-24 | 2020-02-11 | Aqua Bio Technology Asa | Methods for the production of a cosmetic composition comprising leukolectin and uses thereof |
Also Published As
Publication number | Publication date |
---|---|
AU5608594A (en) | 1994-06-08 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US5693760A (en) | Method of causing selective immunosuppression using HL-60 related lectins | |
EP0764030B1 (en) | Composition containing autoantibodies for tumor therapy and prophylaxis | |
KR19990063648A (en) | Method for providing islet cells with antibodies against glutamic acid decarboxylase and poly (ethylene glycol) conjugates | |
US5587460A (en) | 14-beta-gal mammalian lectins | |
Cotmore et al. | Purification of Thy‐1‐related glycoproteins from human brain and fibroblasts: comparisons between these molecules and murine glycoproteins carrying Thy‐1.1 and Thy‐1.2 antigens | |
WO1996023882A9 (en) | IDENTIFICATION OF DEC, (DENTRITIC AND EPITHELIAL CELLS, 205 kDa), A RECEPTOR WITH C-TYPE LECTIN DOMAINS, NUCLEIC ACIDS ENCODING DEC, AND USES THEREOF | |
JPH08505764A (en) | Monoclonal antibody that specifically binds to tumor vascular endothelial cells and method of using the same | |
JP2002515893A (en) | Useful properties of human lactoferrin and its variants | |
IBRAHIM et al. | Reproductive tract secretions and bull spermatozoa contain different clusterin isoforms that cluster cells and inhibit complement‐induced cytolysis | |
JPH07505609A (en) | CD8 binding domain peptide | |
JPH10513347A (en) | Recombinant human α-fetoprotein and use thereof | |
Beneski et al. | Human retinal S-antigen. Isolation, purification, and characterization. | |
WO1994011497A1 (en) | Method of causing selective immunosuppression using hl-60-related lectins | |
JP2001523249A (en) | Combination of antigen and mucosal binding component to induce specific immune tolerance | |
US7332592B2 (en) | Isolated recombinant bovine soluble CD14 polypeptide, rbosCD14 | |
EP0303463B1 (en) | Method to control leukocyte extravasation | |
US5580561A (en) | Methods and pharmaceutical compositions for blocking suppression of immune defense mechanisms using an antibody, a factor, or an antisense peptide | |
US6406679B1 (en) | Use of HL-60-related lectins in drug delivery and detection of lectin-expressing cells | |
JPH09502089A (en) | Natural killer cell-specific antigen and antibody that identifies this antigen | |
WO2002100343A2 (en) | N-terminally truncated galectin-3 and antibodies for treating cancer | |
WO2000071147A1 (en) | Novel therapeutic use of viral inflammation modulatory protein in blocking xenograft rejection | |
US20040052780A1 (en) | Immunosuppresants | |
JP2002516339A (en) | Induction of antibiotic proteins and peptides by LAIT / sCD14-protein | |
JPH10212230A (en) | Inhibitor containing dihydroxynaphthoquinone to inhibit synthesis of protein belonging to hsp60 family | |
WO1998008535A2 (en) | Method of causing selective immunosuppression using hl-60-related lectins |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
AK | Designated states |
Kind code of ref document: A1 Designated state(s): AU CA JP US |
|
AL | Designated countries for regional patents |
Kind code of ref document: A1 Designated state(s): AT BE CH DE DK ES FR GB GR IE IT LU MC NL PT SE |
|
121 | Ep: the epo has been informed by wipo that ep was designated in this application | ||
DFPE | Request for preliminary examination filed prior to expiration of 19th month from priority date (pct application filed before 20040101) | ||
122 | Ep: pct application non-entry in european phase | ||
NENP | Non-entry into the national phase |
Ref country code: CA |