Patent Application
20230331786
The instant application contains a Sequence Listing which has been submitted electronically in XML file format and is hereby incorporated by reference in its entirety. Said XML file, created on Jan. 10, 2023, is named VCN-003C2_112492-5203-USC2.xml and is 41,416 bytes in size.
The invention relates to the field of disease therapy and, more in particular, to a recombinant adenovirus for gene therapy or virotherapy comprising an albumin-binding moiety on the outer surface of the adenoviral hexon protein, particularly to an oncolytic adenovirus comprising an albumin-binding moiety and to its use for the prevention and/or treatment of cancer. Said adenoviruses are shielded against neutralizing antibodies present in the bloodstream and are thus particularly suitable for systemic administration.
Adenoviruses have been extensively used as gene delivery vectors for gene therapy as well as oncolytic agents for cancer treatment. They exhibit several features that make them suitable for these applications. Namely, their structure and biology has been widely studied which allows for an easy modification of their genome, they are able to infect both replicating and non-replicating cells, and they can easily be produced at high titers for their use in the clinic. In terms of safety, they do not cause life-threatening diseases in humans, and their genome is non-integrative which prevents for insertional mutagenesis. Clinical trials with adenovirus-based vectors report a good toxicology and safety profile, although the efficacy still needs improvement, especially when the virus is administered systemically.
In the field of gene therapy, systemic administration, that is, injection into the bloodstream endovenously or intra-arterially, may be needed to reach multiple organs or disseminated cells. For example, in cancer therapy with adenovirus vectors and oncolytic adenoviruses systemic administration is necessary to treat disseminated tumours at an advanced or metastatic stage. Nonetheless, adenoviruses show important limitations when injected into the bloodstream that impair the efficacy of the therapy. Adenovirus type 5 (Ad5) suffers multiple neutralizing interactions in the bloodstream that reduce drastically the bioavailability of the virus. Liver sequestration represents the major obstacle for the therapy since >90% of the injected dose is retained by this organ, mainly by liver macrophages named Kupffer cells, but also by liver sinusoidal endothelial cells (LSECs) and hepatocytes. Direct interaction with blood cells and proteins also represents an important barrier. Ad5 can bind directly to blood cells such as erythrocytes via CAR receptor and to platelets via integrins. Antibodies not only can neutralize the virus directly but can also trigger an innate immune response by complement activation and by docking the virus particles to the Fc receptors of monocytes and neutrophils. Furthermore, vector re-administration raises the levels of anti-Ad neutralizing antibodies (NAbs) and therefore the neutralization of the virus. Adenovirus opsonization by antibodies and complement also enhances clearance by Kupffer cells. Altogether, these interactions result in a very short half-life of Ad in blood, of about few minutes in mice and humans.
Extensive efforts have been made to evade the neutralization by antibodies and immune cells when the adenovirus is systemically administered.
Chemical modification of adenovirus capsid with polymers (polyethyleneglycol (PEG) or N-(2-hydroxypropyl)methacrylamide (HPMA)) has been tested. Polymer conjugation on viral surface enabled the virus to evade neutralisation by antibodies and immune cells as well as ablates CAR, integrin, and FX-binding. Nevertheless, polymers conjugated to the capsid do not pass to the virus progeny and increase the complexity of large-scale GMP production for clinical application.
WO 2011/129468 A9 discloses a chimeric adenovirus capable of evading immune recognition of neutralizing antibodies. Said adenovirus was obtained by genetic modification of the capsid of human adenovirus serotype 5, wherein the gene that codes for hexon protein was replaced by the hexon gene from simian adenovirus serotype 19. The chimeric adenovirus obtained showed also higher anti-tumour activity than the same adenovirus without the genetic modification.
Several attempts have been made in order to obtain an adenovirus shielded by albumin protein (see WO 2007/050128 A2). However, experimental evidence has demonstrated that an adenovirus having a capsid modified with an albumin-binding domain is not protected against neutralizing antibodies (Hedley S. J. et al. 2009. The Open Gene Therapy Journal, 2:1-11).
Therefore, there is still a need for further genetic modified adenovirus suitable for systemic administration and capable of escaping neutralizing antibodies.
In a first aspect, the invention relates to an adenoviral genome characterized in that it comprises a sequence encoding an albumin-binding moiety inserted in the coding region of the hypervariable region 1 (HVR1) of the hexon protein which results in the expression of fusion protein comprising a hexon protein and an albumin-binding moiety and wherein the albumin-binding moiety is located on the outer surface of the hexon protein when the hexon protein is assembled in the adenovirus capsid.
In a second aspect, the invention relates to a recombinant adenovirus having an adenoviral genome according to the invention.
In a third aspect, the invention relates to a pharmaceutical composition comprising a therapeutically effective amount of a recombinant adenovirus according to the invention together with a pharmaceutically acceptable carrier.
In a fourth aspect, the invention relates to a recombinant adenovirus or a pharmaceutical composition according to the invention for use in medicine.
In a further aspect, the invention relates to a recombinant adenovirus or a pharmaceutical composition according to the invention for use in the prevention and/or treatment of cancer in a mammal, wherein the adenovirus is an oncolytic adenovirus or an adenovirus comprising a gene used in cancer therapy inserted in its genome.
The inventors of the present invention have discovered that an adenovirus genetically modified with an albumin-binding moiety on the outer surface of the capsid, particularly on the outer surface of the adenoviral hexon protein, is capable of acquiring an albumin shield allowing the virus to escape neutralizing antibodies and increasing its blood persistence after systemic administration. This result is unexpected because previous attempts of modifying an adenovirus with an albumin-binding domain failed to increase protection of the adenovirus against neutralizing antibodies (Hedley S. J. et al. 2009. The Open Gene Therapy Journal, 2:1-11).
Additionally, when the recombinant adenovirus is an oncolytic adenovirus, the insertion of the albumin-binding moiety improves its anti-tumour activity. In this sense, said genetically modified adenoviruses have potential value for overcoming limitations of systemic administration, particularly for the treatment of cancer.
The results provided in the examples of the present invention clearly show that a replication-selective oncolytic adenovirus (ICOVIR15-ABD) comprising a sequence encoding an albumin-binding domain (ABD) from streptococcal protein G inserted in the hypervariable region 1 (HVR1) of the hexon protein coding sequence, expose this domain on its capsid promoting albumin binding, shielding the adenovirus against neutralizing antibodies, increasing its plasma half-life and improving its anti-tumour efficacy. The experimental examples provided by the present invention also show that the insertion of an ABD from streptococcal protein G in the HVR1 of the hexon protein of a replication-deficient adenovirus (AdGL-ABD) protects the adenovirus from neutralizing antibodies (
The results obtained in the present invention show that an adenovirus comprising an albumin-binding moiety on the outer surface of the adenoviral hexon protein can be coated with albumin thus protecting itself from neutralizing antibodies present in the bloodstream. This protective effect is observed both for replicative (ICOVIR15-ABD) and non-replicative (AdGL-ABD) adenoviruses.
In an aspect, the invention relates to a recombinant adenovirus having an adenoviral genome characterized in that it comprises a sequence encoding an albumin-binding moiety inserted in the coding region of the hypervariable region 1 (HVR1) of the hexon protein which results in the expression of fusion protein comprising a hexon protein and an albumin-binding moiety and wherein the albumin-binding moiety is located on the outer surface of the hexon protein when the hexon protein is assembled in the adenovirus capsid.
The term “adenovirus”, as used herein, refers to any virus that can be categorized as an adenovirus, i.e. any virus pertaining to the Adenoviridae family characterized by being a non-enveloped virus with an icosahedral nucleocapsid containing a double stranded DNA genome. This term includes any adenovirus capable of infecting a human or an animal, including all groups, subgroups, and serotypes that use CAR as receptor for infection of target cells. Adenoviruses of the present invention include, without limitation, avian, canine, equine, bovine, ovine, porcine, human or frog adenovirus. In a preferred embodiment the adenovirus of the invention is a human adenovirus, i.e. an adenovirus capable of infecting humans. According to the invention, a “serotype” is each of the immunologically different types of adenovirus. There are at least 57 serotypes of human adenovirus that are classified into several subgroups (A to G). The invention contemplates the use of any adenoviral serotype known in the state of the art including, without limitation, any of the serotypes defined in Table 1.
In a preferred embodiment, the human adenovirus is selected from the group consisting of human adenovirus serotypes 1 to 57.
In another preferred embodiment the adenovirus pertains to subgroup C, more preferably is serotype 5.
Human adenovirus serotype 5 (Ad5) is associated with mild respiratory infections. The gene sequence of human adenovirus serotype 5 can be found in GenBank: AY339865.1 (version of 13th Aug. 2007).
The adenovirus of the invention is a recombinant adenovirus. The term “recombinant”, as used herein, refers to an adenovirus that does not appear naturally. This recombinant adenovirus contains one or more modifications with respect to the wild-type. Such modifications include, but are not limited to, modifications to the adenovirus genome that is packaged in the particle in order to make an infectious virus. Other modifications allow obtaining replication-deficient virus (i.e. virus that cannot reproduce) by removing a gene from the virus genome that is critical for replication. Exemplary modifications include deletions known in the art, such as deletions in one or more of the E1a, E1b, E2a, E2b, E3, or E4 coding regions. Other exemplary modifications include deletions of all of the coding regions of the adenoviral genome. Such adenoviruses are known as “gutless” adenoviruses. Chimeric adenoviruses formed by combination of elements from different serotypes are also included.
The term “recombinant” also includes replication-conditional adenoviruses, which are viruses that preferentially replicate in certain types of cells or tissues but to a lesser degree or not at all in other types. For example, among the adenoviruses provided herein, are adenoviruses that replicate in abnormally proliferating tissue, such as solid tumours and other neoplasms. These include the viruses disclosed in U.S. Pat. Nos. 5,998,205 and 5,801,029. Such viruses are sometimes referred to as “cytolytic” or “cytopathic” viruses (or vectors), and, if they have such an effect on neoplastic cells, are referred to as “oncolytic” viruses (or vectors).
In an embodiment the adenovirus is a replicative adenovirus, particularly an oncolytic adenovirus.
In another embodiment the adenovirus is a non-replicative adenovirus or a replication-deficient adenovirus. Replication-deficient adenovirus or non-replicating adenovirus are adenovirus unable to replicate in the target cell that are used in gene therapy as carriers of genes to target cells since the goal is to express the therapeutic gene within the cell and not the lysis of the cell.
The recombinant adenovirus of the present invention is modified by insertion of a heterologous sequence on the outer surface of the adenoviral hexon protein. Particularly, the heterologous sequence encodes for an albumin-binding moiety.
The adenovirus particle consists on a capsid that encloses the viral DNA. The term “capsid”, as used herein, refers to the protein shell of a virus formed by subunits named capsomers that may be pentagonal or hexagonal. The adenoviral capsid has an icosahedral shape, which has 20 equilateral triangular faces. Most of the capsid is formed by the hexon protein and each vertex has a complex formed by penton base and fiber protein.
The term “adenoviral hexon protein” or “hexon protein” (formerly referred to as “protein II”), as used herein, refers to the major structural capsid protein found in adenoviruses that self-associates to form trimers, each in the shape of a hexagon. 240 hexon trimers are assembled to provide an adenoviral capsid. The hexon protein is essential for virus capsid assembly, determination of the icosahedral symmetry of the capsid and integrity of the capsid. The major structural features of the hexon protein are shared by adenoviruses across serotypes, but the hexon protein differs in size and immunological properties between serotypes. In the present invention, the term “hexon protein” encompasses the hexon protein of any adenovirus, including, without limitation, the protein defined by the sequence of the UniProt database with accession number P04133 dated 19 Feb. 2014 which corresponds to the hexon protein of human adenovirus C serotype 5: the protein defined by the sequence of the UniProt database with accession number P03277 dated 19 Feb. 2014 which corresponds to the hexon protein of human adenovirus C serotype 2; the protein defined by the sequence of the UniProt database with accession number P42671 dated 19 Feb. 2014 which corresponds to the hexon protein of avian adenovirus gall (strain Phelps); and the protein defined by the sequence of the UniProt database with accession number P11819 dated 19 Feb. 2014 which corresponds to the hexon protein of human adenovirus F serotype 40. The expression includes all the natural variants of hexon protein that appear naturally in other subgroups or serotypes.
In the present invention, the expression “outer surface of the hexon protein”, refers to the regions of the hexon protein that are exposed on the surface of the capsid. In order to know if the albumin-binding moiety of the present invention has been introduced in the inner part or in the outer surface of the adenoviral hexon protein, an assay for detecting of binding to human serum albumin may be performed as disclosed in the experimental section of this patent application (for example, an ELISA assay) or an in vitro neutralization assay. If human serum albumin is capable of binding to the adenovirus, then the albumin-binding moiety has been introduced in the outer surface of the adenoviral hexon protein.
It has been reported that Loop 1 (L1) and Loop 2 (L2) of hexon protein are exposed on the outside of the viral capsomere structure. L1 contains six hypervariable regions (HVRs), i.e. HVR1 to HVR6 and L2 contains the seventh hypervariable region (HVR7).
The term “hypervariable region” or “HVR”, as used herein, refers to a region varying in length and sequence between adenoviral serotypes forming part of surfaced exposed loops. There are seven hypervariable regions of the adenoviral hexon for each subunit of the trimer (Biere B and Schweiger B. J Clin Virol 2010; 47(4):366-371). In the context of the present invention, the nomenclature used for the HVRs is as disclosed in Crawford-Miksza and Schnurr (Crawford-Miksza and Schnurr. 1996. Virology, 224(2):357-367). In a preferred embodiment of the present invention, the HVR is HVR1. Insertion of a specific residue in the HVR region results in 240 times×3 or 720 total inserts per adenoviral vector. In a preferred embodiment the sequence encoding the albumin-binding moiety is inserted so that the resulting fusion protein contains the albumin-binding moiety after the D150 amino acid of the hexon protein according to the numbering of the hexon protein having the GenBank accession number BAG48782.1 dated 14 Jun. 2008 corresponding to hexon protein from human adenovirus serotype 5 (SEQ ID NO: 27). In a more preferred embodiment, the nucleotide sequence of the complete modified adenoviral hexon having ABD inserted in HVR1 (ABD-HVR1) is SEQ ID NO: 3. The inventors have demonstrated that insertion of the albumin-binding domain in another HVR (specifically HVR5) produces viable virus but does not protect adenovirus from neutralizing antibodies. Examples of the present patent application show that the sequence encoding the albumin-binding moiety is inserted in HVR5 so that the resulting fusion protein contains the albumin-binding moiety after the A274 amino acid of the hexon protein according to the numbering of the hexon protein having the GenBank accession number BAG48782.1 dated 14 Jun. 2008 corresponding to hexon protein from human adenovirus serotype 5 (SEQ ID NO: 27). The nucleotide sequence of the complete modified adenoviral hexon having ABD inserted in HVR5 (ABD-HVR5) is SEQ ID NO: 4.
The albumin-binding moiety may be directly attached to the hexon protein, i.e. the N- and C-terminus of the albumin-binding moiety are linked directly to the hexon protein. However, it is also possible that the albumin-binding moiety is connected to the hexon protein by means of a linker sequence. Thus, in another embodiment, the N- an/or the C-terminus of the albumin-binding moiety is connected to the hexon protein by a linker sequence.
The term “linker sequence”, as used herein, refers to an amino acid sequence that acts as a hinge region between the hexon protein and the albumin-binding moiety, providing space between both elements and assuring that the secondary structure of hexon protein is not affected by the presence of the ABD moiety and vice versa. The linker sequence may be of any length that allows both elements to move independently from one another while maintaining the three-dimensional form of the individual elements. In a preferred embodiment, the linker sequence is a flexible linker peptide with a length of 31 amino acids or less. More preferably, the linker sequence comprises less than 10 amino acids, less than 5 amino acids, less than 4 amino acids or 2 amino acids. In an embodiment, the linker sequence comprises 2 or more amino acids selected from the group consisting of glycine, serine, alanine and threonine. In another embodiment, said linker is a polyglycine linker. Exemplary, non-limitative, examples of linker sequences include SGGTSGSTSGTGST (SEQ ID NO: 5), AGSSTGSSTGPGSTT (SEQ ID NO: 6), GGSGGAP (SEQ ID NO: 7) and GGGVEGGG (SEQ ID NO: 8). These sequences have been used for binding designed coiled coils to other protein domains (Muller, K. M. et al. Meth. Enzymology, 2000, 328:261-281). Preferably, the linker sequence comprises the sequence GSGS (SEQ ID NO: 2). Other linkers known in the art could be used alternatively (Reddy Chichili, V P., Kumar, V., and Sivaraman, J. (2013). Linkers in the structural biology of protein-protein interactions. Protein Science 22(2):153-67).
Therefore, the adenovirus of the present invention has an albumin-binding moiety on the outer surface of the hexon protein, thus coating the capsid of the adenovirus with albumin.
The term “albumin”, as used herein, refers to a member of the albumin family proteins that are water-soluble globular proteins, moderately soluble in concentrated salt solutions and experiencing heat denaturation. Albumins are commonly found in blood plasma. Serum albumin is produced by the liver, is dissolved in blood plasma and is the most abundant blood protein in mammals. Particularly, the term “serum albumin” refers to a globular protein that in humans is encoded by the ALB gene (UniGene Hs. 418167). Human serum albumin protein is the protein defined by the sequence of the Uniprot database with accession number P02768 dated 19 Mar. 2014.
The term “albumin-binding moiety”, as used herein, refers to any amino acid sequence capable of binding to albumin, i.e. having albumin binding affinity. Preferably, it is capable of binding serum albumin, more preferably human serum albumin. The term “albumin-binding moiety” includes, without limitation, naturally-occurring albumin-binding domains (ABD) (such as ABD present in bacterial proteins), and albumin-binding sequences from synthetic peptides. In a preferred embodiment, the albumin-binding moiety is selected from an albumin-binding domain from streptococcal protein G, an albumin-binding domain from Peptostreptococcus magnus protein PAB, an albumin-binding peptide having the core sequence DICLPRWGCLW (SEQ ID NO: 9) and functionally equivalent variants thereof. In a more preferred embodiment, the albumin-binding domain is from streptococcal protein G.
The term “albumin binding domain” refers to any region from a naturally occurring protein which is capable of binding albumin with sufficient specificity so as to ensure protection from neutralizing antibodies.
The term “albumin-binding domain from streptococcal protein G”, or “ABD from streptococcal protein G”, as used herein, refers to a domain that consists of 46 amino acid residues forming a three-helix bundle (Kraulis P. J. et al. FEBS Lett, 1996; 378:190-4), and binds with high affinity to both human and mouse albumin, but not to bovine albumin (Konig T. and Skerra A. J Immunol Methods, 1998; 218:73-83). There are multiple albumin-binding domains in streptococcal protein G. In a preferred domain the albumin-binding moiety is the albumin-binding domain 3 from streptococcal protein G. Preferably, the sequence of the albumin-binding domain 3 from streptococcal protein G is SEQ ID NO: 1.
The term “albumin-binding domain from Peptostreptococcus magnus protein PAB”, as used herein, refers to the albumin-binding domain from protein PAB of Finegoldia magna (formerly known as Peptostreptococcus magnus) known as the “GA module” that is capable of binding albumin (Lejon S et al. 2004. J Biol Chem 279:42924-42928). Protein PAB of Finegoldia magna is the protein defined by the sequence of the GenBank database with accession number CAA54857.1 dated 9 Sep. 2004.
The term “albumin-binding peptide having the core sequence DICLPRWGCLW (SEQ ID NO: 9)”, as used herein, refers to peptides that bind albumin derived from phage clones RA and SA as disclosed in Dennis M S et al. (J Biol Chem. 2002. 277:35035-35043).
The invention also encompasses functionally equivalent variants of such albumin-binding moieties. The term “functionally equivalent variant”, as used herein, refers to any polypeptide derived from an albumin-binding moiety by insertion, deletion or substitution of one or more residues and which maintains substantially the ability to interact with the albumin as determined above. In a preferred embodiment, a polypeptide is considered a functionally equivalent variant of an albumin-binding moiety if it shows an ability in binding to albumin that is at least 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90% or 100% of the ability in binding to albumin of the albumin-binding domain of SEQ ID NO: 1. Preferably, a polypeptide is considered a functionally equivalent variant of an albumin-binding moiety if it is capable of neutralizing antibodies at least 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90% or 100% as efficiently as the albumin-binding domain of SEQ ID NO: 1.
Suitable functional variants are those showing a degree of identity with respect to the albumin-binding domains or albumin-binding sequences disclosed in the present invention of at least 25% amino acid sequence identity, such as at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98% or at least 99%. The degree of identity between two polypeptides is determined using computer algorithms and methods that are widely known for the persons skilled in the art. The identity between two amino acid sequences is preferably determined by using the BLASTP algorithm [BLAST Manual, Altschul, S., et al., NCBI NLM NIH Bethesda, Md. 20894, Altschul. S., et al., J. Mol. Biol. 215: 403-410 (1990)], though other similar algorithms can also be used. BLAST and BLAST 2.0 are used, with the parameters described herein, to determine percent sequence identity. Software for performing BLAST analyses is publicly available through the National Center for Biotechnology Information.
The functionally equivalent variants of the albumin-binding moieties can be derivatives of the albumin-binding domains and albumin-binding sequences. The term “derivatives” includes, without limitation, albumin-binding domains from bacteria modified to increase their affinity to albumin, as those disclosed in Johansson M U. et al. (J Biol Chem. 2002. 277:8114-8120), Jonsson A. et al. (Protein Eng Des Sel. 2008. 21: 515-527) and Linhult M. et al. (Protein Sci. 2002. 11:206-213). For example, a derivative may be the modified streptococcal G ABD ABD035 disclosed in Jonsson A. et al. (Protein Eng Des Sel. 2008. 21: 515-527).
Recombinant adenoviruses may be obtained by standard molecular biology techniques known in the state of the art (Chillon and Bosch. Adenovirus. Methods and Protocols. 3rd edition. Methods in Molecular Biology, vol. 1089. Springer Protocols. Humana Press. (2014)).
The adenovirus that contains the albumin-binding moiety of the present invention is propagated and amplified following the standard methods in the field of adenoviral vectors as disclosed in Chillon and Bosch. Adenovirus. Methods and Protocols. 3rd edition. Methods in Molecular Biology, vol. 1089. Springer Protocols. Humana Press. (2014); and Alemany R, Zhang W. Oncolytic adenoviral vectors. Totowa, NJ.: Humana Press, 1999. Cell lines normally used in the field of gene therapy and virotherapy are HEK-293 and A549 cell lines. The preferred method for propagation is by infection of a cell line that allows the replication of adenovirus. The lung adenocarcinoma A549 cell line is an example of such a cell line. The propagation is carried out, for example, as follows: A549 cells are seeded on plastic cell culture plates and infected with 100 viral particles per cell. Two days later the cytopathic effect evidences the viral production when cells detach forming “grape-like” clusters. The cells are harvested in tubes. After centrifugation at 1000 g during 5 minutes, the cell pellet is frozen and thawed three times to break the cells. The resulting cell extract is centrifuged at 1000 g during 5 minutes and the supernatant containing the virus is layered onto a cesium chloride gradient and centrifuged during 1 hour at 35000 g. The band of virus obtained from the gradient is collected and layered again onto another gradient of cesium chloride and centrifuged during 16 hours at 35000 g. The virus band is collected and dialyzed against PBS-10% glycerol. The dialyzed virus is aliquoted and kept at −80° C. The quantification of the number of viral particles and plaque-forming units is done following standard protocols. Phosphate buffered saline (PBS) with 5% glycerol is a standard formulation used for the storage of adenovirus. Nevertheless other formulations that improve the stability of the virus have been described.
The methods of purification of the adenoviruses that contain the albumin-binding moiety for its use in the prevention or treatment of cancer are the same as those described for other adenoviruses and adenoviral vectors used in virotherapy and gene therapy of cancer.
Adenovirus can be used to target abnormal cells, for example, any cells which are harmful or otherwise unwanted in vivo. Broad examples include cells causing autoimmune disease, restenosis, and scar tissue formation.
The adenoviruses of the invention can be selectively distributed in vivo in a given tissue, avoiding or significantly reducing expression in non-target or non-tumour tissue.
The replicative adenovirus of the invention may have modifications in its genomic sequence that confer selective replication in a cell. In order to direct the expression of the adenovirus to the tissue wherein such expression is needed or to the tumoural tissue to be treated, the adenovirus of the invention may comprise a tissue-specific promoter or a tumour-specific promoter. Thus, in an embodiment, the adenovirus further comprises a tissue-specific promoter or a tumour-specific promoter.
In a preferred embodiment, the tissue-specific promoter or the tumour-specific promoter are promoter sequences to control the expression of one or more genes selected from the group consisting of E1a, E1b, E2, and E4. Preferably, the promoter controls the expression of E1a.
The term “promoter”, as used herein, is used according to its art-recognized meaning. It is intended to mean the DNA region, usually upstream to the coding sequence of a gene, which binds RNA polymerase and directs the enzyme to the correct transcriptional start site. Said promoter controls the viral genes that start the replication.
The term “tissue-specific” is intended to mean that the promoter to which the gene essential for replication is operably linked functions specifically in that tissue so that replication proceeds in that tissue. This can occur by the presence in that tissue, and not in non-target tissues, of positive transcription factors that activate the promoter. It can also occur by the absence of transcription inhibiting factors that normally occur in non-target tissues and prevent transcription as a result of the promoter. Thus, when transcription occurs, it proceeds into the gene essential for replication such that in a target tissue, replication of the vector and its attendant functions occur.
Tissue specificity is particularly relevant with respect to targeting an abnormal counterpart of a particular tissue type while avoiding the normal counterpart of the tissue, or avoiding surrounding tissue of a different type than the abnormal tissue, while treating the abnormal tissue. In a particular embodiment, the promoter is “tumour-specific”, which means that the promoter functions specifically in tumoural tissues. For example, the recombinant adenoviruses of the invention are useful for treating metastases to the liver. One specific example is colon cancer, which often metastasizes into the liver. It has been found that even when colon cancer metastasizes into the liver, the CEA promoter is active in the cells of the metastases but not in normal liver cells. Accordingly, normal human adult liver should not support replication of a virus that has viral genes essential for replication linked to the colon cancer CEA-specific promoter. Replication should occur in the primary cancer cells. Another example is the alphafetoprotein promoter, which is active only in hepatocellular carcinoma. A further example is the tyrosinase promoter, which is active only in melanoma and not in normal skin. In each case, replication is expected in the abnormal but not the normal cells.
Examples of tissue-specific promoters are, without limitation, alphafetoprotein promoter, DE3 promoter, tyrosinase promoter, carcinoembryonic antigen (CEA) promoter, surfactant protein promoter, E2F promoter, telomerase hTERT promoter, prostate-specific antigen promoter, COX-2 promoter, albumin gene promoter, the core promoter of hepatitis virus, the promoter of the globulin-binding protein which binds to thyroxine and ErbB2 promoter.
In a preferred embodiment, the promoter is selected from the group consisting of a E2F promoter, a telomerase hTERT promoter, a tyrosinase promoter, a prostate-specific antigen promoter, an alphafetoprotein promoter, and a COX-2 promoter.
The adenoviruses of the invention are particularly useful for the treatment of cancer. All tumours are potentially amenable to treatment with the adenovirus of the invention. Tumour types include, but are not limited to, hematopoietic, pancreatic, neurologic, hepatic, gastrointestinal tract, endocrine, biliary tract, sinopulmonary, head and neck, soft tissue sarcoma and carcinoma, dermatologic, reproductive tract, and the like. Preferred tumours for treatment are those with a high mitotic index relative to normal tissue, preferably solid tumours.
In a preferred embodiment, the adenovirus of the invention is an oncolytic adenovirus.
The term “oncolytic adenovirus”, as used herein, refers to any adenovirus that is able to replicate or that is replication-competent in the tumour cell, even without selectivity. The therapeutic action of oncolytic adenoviruses is based on the capability to replicate and to lyse the tumour cell to be eliminated. The death of the tumour cells can be detected by any method of the state of the art, such as determining the number of viable cells, the cytopathic effect, the apoptosis of tumour cells, the synthesis of viral proteins in tumour cells (for example, by metabolic labelling, Western blot of viral proteins or PCR with reverse transcription of the viral genes needed for replication) or the reduction in the size of the tumour.
Another strategy to achieve selective replication in tumours is the deletion of viral functions that are necessary for replication in normal cells but that are not needed in tumour cells. This includes, for example, the deletion of early E1A functions which block the retinoblastoma (pRB) pathway. The selective replication of such mutants has been demonstrated in several prior art documents. Other viral genes that interact directly with pRB such as E4 and E4orf6/7 are candidates to be deleted in order to achieve selective replication in tumour cells.
Another modification described to achieve selective replication in tumours is the deletion of adenoviral genes coding for the virus-associated RNAs (VA-RNAs). These RNAs block the antiviral activity of interferon and their deletion results in adenoviruses that are sensitive to interferon inhibition. Due to the characteristic truncation in the interferon pathway in tumour cells such adenoviruses replicate normally in tumours.
Therefore, in another embodiment the adenovirus of the invention further comprises mutations in one or more genes selected from the group consisting of E1a, E1b, E4, and VA-RNAs, to achieve selective replication in tumours. Preferably the mutations are in E1a. In a preferred embodiment the mutation in E1a is a deletion of some amino acids of the E1A protein affecting the interaction of E1A with pRB, preferably is a deletion of the amino acids 121-129 of the polypeptide chain (Δ24 deletion).
The expression “selective replication”, as used herein, means that the adenovirus has replication efficiency in tumour cells higher than in normal cells (for example 1000-fold higher than in normal cells).
The term “replication”, as used herein, refers to the duplication of adenoviral vectors that occur at the level of nucleic acid or at the level of infectious viral particle. In the case of DNA viruses, replication at the nucleic acid level is DNA replication. However, replication also includes the formation of infectious DNA viral particles.
Replication of an adenovirus can be assayed by well-known techniques. Assays for replication of an adenoviral vector in a cell generally involve detecting a polynucleotide, virions or infective virus. A variety of well-known methods that can be used for this purpose involve determining the amount of a labelled substrate incorporated into a polynucleotide during a given period in a cell.
When replication involves a DNA polynucleotide, 3H-thymidine often is used as the labelled substrate. In this case, the amount of replication is determined by separating DNA of the vector from the bulk of cellular DNA and measuring the amount of tritium incorporated specifically into vector DNA.
Replication of a polynucleotide vector also may be detected by lysing or permeating cells to release the polynucleotide, then isolating the polynucleotide and quantitating directly the DNA or RNA that is recovered. Polynucleotide replication also may be detected by quantitative PCR using primers that are specific for the assayed polynucleotide.
Virions may be assayed by electron microscope counting techniques well known to the art, by isolating the virions and determining protein and nucleic acid content, and by labelling viral genomic polynucleotides or virion proteins and determining the amount of virion from the amount of polynucleotide or protein.
Another strategy to achieve selectivity of an adenovirus towards a tumour cell is the modification of the virus capsid proteins implied in the infection of the host cell to target the adenovirus to a receptor present in a tumour cell. The modification of the capsid proteins that the virus uses to infect the cells may also be used to increase infectivity of the adenovirus (i.e. increasing the entry of the virus in the cell). Targeting adenovirus to the tumour can also be achieved with bifunctional ligands that bind to the virus in one end and to the tumour receptor in the other.
Thus, in another embodiment the adenovirus of the invention further comprises capsid modifications to increase its infectivity or to target it to a receptor present in a tumour cell. In a more preferred embodiment, the modification of the capsid is the insertion of an RGD motif (Arginine-Glycine-Asparagine motif) into the H1 loop of the adenoviral fiber protein. This insertion allows the adenovirus to use integrins to dock in the cell and not only to internalize as it is the case with wild-type adenovirus. The use of integrins as cellular receptors of the virus increases the infectivity and the oncolytic potency. In another embodiment, the oncolytic adenovirus has the capsid modified by means of a replacement of the KKTK (SEQ ID NO: 10) heparan sulphate binding domain in the adenovirus fibre with the domain RGDK (SEQ ID NO: 11) (N. Bayo et al. Human Gene Therapy 2009, 20:1214-21). Another strategy to increase infectivity of target cells with adenoviruses is the replacement of a portion of the fiber with the homologous portion from a different serotype. Commonly the fiber shaft and knob of human adenoviruses derived from serotype 5 have been replaced with the fiber shaft and knob of human serotype 3 or 35 adenoviruses. The obtained recombinant adenoviruses with genomes derived from different serotypes are known in the art as chimeric adenoviruses. In another embodiment the adenovirus of the invention further comprises a chimeric capsid derived from different adenovirus serotypes. In another preferred embodiment, the modification of the capsid is the substitution of part of the fiber gene with the homologous part from a different adenovirus serotype to form a chimeric adenovirus.
In a preferred embodiment, the oncolytic adenovirus is a tumour-selective replicating adenovirus characterized by containing a mutant version of the E1A protein where amino acids 121-129 of the polypeptide chain have been deleted (Δ24 deletion) affecting the interaction of E1a with pRB, the insertion of four E2F binding sites and one Sp1 binding site in the endogenous promoter of E1a to control the expression of E1a, and finally, the insertion of the RGD peptide in the adenoviral fibre to increase the infectivity of the virus. ICOVIR15-ABD is a preferred embodiment of the invention. Said modifications may be present in combination in the same adenovirus or in isolation.
In a preferred embodiment, the oncolytic adenovirus is a tumour-selective replicating adenovirus characterized by containing a deletion of some amino acids of the E1A protein affecting the interaction of E1A with pRB, preferably a deletion of the amino acids 121-129 of the polypeptide chain (Δ24 deletion).
In another preferred embodiment, the oncolytic adenovirus is a tumour-selective replicating adenovirus characterized by containing an insertion of four E2F binding sites and one Sp1 binding site in the endogenous promoter of E1a to control the expression of E1a.
In another preferred embodiment, the oncolytic adenovirus is a tumour-selective replicating adenovirus characterized by containing the insertion of the RGD peptide in the adenoviral fibre to increase the infectivity of the virus.
The genome of the adenovirus can also contain a heterologous gene that encodes a therapeutic protein such that the heterologous gene is expressed within an infected cell. A therapeutic protein, as used herein, refers to a protein that would be expected to provide some therapeutic benefit when expressed in a given cell. Said heterologous gene products may be contained in replicating or non-replicating adenovirus. The therapeutic gene inserted may be any gene used in gene therapy or in vaccination. Preferably, the heterologous gene is used in cancer gene therapy. The insertion of a therapeutic gene in the genome of the oncolytic adenovirus generates an “armed oncolytic adenovirus” that increase the cytotoxicity of oncolytic adenovirus towards tumour cells. For example, said heterologous gene can produce the death of the tumour cell, activate the immune system against the tumour, inhibit the angiogenesis, eliminate the extracellular matrix, induction of the apoptosis, among others. In these cases, the way and the time of expression of the therapeutic gene will be critical in the final result of the therapeutic approach.
Therefore, in an embodiment, the adenovirus comprises one or more non-adenoviral genes inserted in the genome of said adenovirus. In a preferred embodiment, the genes are genes used in gene therapy or in vaccination. In a more preferred embodiment the genes are genes used in cancer gene therapy. Preferably, the genes used in cancer gene therapy are at least a gene selected from the group consisting of prodrug-activating genes, tumour-suppressor genes, genes encoding anti-tumour interfering RNAs and immunostimulatory genes.
The term “non-adenoviral gene”, as used herein, refers to a heterologous gene not present in the genome of a wild-type adenovirus.
The term “gene used in gene therapy”, as used herein, refers to a gene that can be used as a drug to prevent or treat a genetic or acquired disease or condition by delivering said therapeutic DNA into patient's cells. As the person skilled in the art understands, the term gene therapy involves using DNA that encodes a functional, therapeutic gene to replace a mutated gene or using DNA that encodes a therapeutic protein. For example, the DNA can encode an enzyme, hormone, receptor or polypeptide of therapeutic value. Any gene that can be used to treat a disease that is suitable treated by gene therapy may be inserted in the adenoviral genome of the adenovirus of the invention. Genes used in gene therapy can be, without limitation, genes coding for enzymes, blood derivatives, hormones, interleukins, interferons, TNF, growth factors, neurotransmitters or their precursors or synthetic enzymes, trophic factors, namely BDNF, CNTF, NGF, IGF, GMF, aFGF, bFGF, NT3, NT5 and the like;
apolipoproteins, namely ApoAI, ApoAIV, ApoE, and the like; dystrophin or a minidystrophin; tumour-suppressor genes, namely p53, Rb, RaplA, DCC, k-rev; genes coding for factors involved in coagulation, namely factors VII, VIII, IX; prodrug-activating genes, namely thymidine kinase, cytosine deaminase; all or part of a natural or artificial immunoglobulin (Fab, ScFv, and the like). The therapeutic gene can also be an antisense gene or sequence whose expression in the target cell enables gene expression or transcription of cellular mRNAs to be controlled.
The term “gene used in vaccination”, as used herein, refers to a gene coding for an antigenic peptide, capable of generating an immune response in man or animals for the purpose of preventive or therapeutic vaccine production. Such antigenic peptides may be, without limitation, those specific to the Epstein-Barr virus, the HIV virus, the hepatitis B virus, the pseudorabies virus and tumour-specific peptides.
The term “prodrug-activating genes”, as used herein, refers to genes encoding a product that acts on a non-toxic prodrug, converting the non-toxic prodrug into a form that is toxic for the target tissue. Preferably, the toxin has anti-tumour activity or eliminates cell proliferation.
Examples of prodrug-activating genes include, without limitation, thymidine kinase gene. Herpes simplex virus thymidine kinase phosphorylates ganciclovir to produce the nucleotide toxin ganciclovir phosphate. This compound functions as a chain terminator and DNA polymerase inhibitor, prevents DNA synthesis and thus is cytotoxic. In an embodiment the prodrug-activating gene is thymidine kinase gene, preferably a viral thymidine kinase selected from the group consisting of Herpes simplex virus thymidine kinase, cytomegalovirus thymidine kinase and varicella-zoster virus thymidine kinase. When viral thymidine kinases are employed, the interaction or chemotherapeutic agent preferably is a nucleoside analogue, for example, one selected from the group consisting of ganciclovir, acyclovir, and 1-2-deoxy-2-fluoro-D-arabinofuranosil-5-iodouracil (FIAU). Such interaction agents are utilized efficiently by the viral thymidine kinases as substrates, and such interaction agents thus are incorporated lethally into the DNA of the tumour cells expressing the viral thymidine kinases, thereby resulting in the death of the target cells. In another embodiment the prodrug-activating gene is cytosine deaminase. Cytosine deaminase converts 5′-fluorocytosine to the anticancer drug 5′-fluorouracil, which is highly cytotoxic. Thus, the target cell which expresses the cytosine deaminase gene converts the 5-fluorocytosine to 5-fluorouracil and are killed. For a discussion of such “suicide” genes, see Blaese, R. M. et al., Eur. J. Cancer 30A:1190-1193 (1994).
The term “tumour-suppressor genes”, as used herein, refers to anti-oncogenes or genes that protect a cell from one step on the path to cancer. When one of these genes mutates to cause a loss or reduction in its function, the cell can progress to cancer, usually in combination with other genetic changes.
Examples of tumour-suppressor genes are, without limitation, p53 tumour-suppressor protein encoded by the TP53 gene, PTEN, pVHL, APC, CD95, ST5, YPEL3, ST7, and ST14.
The term “genes encoding antitumour interfering RNAs”, as used herein, refers to genes that encode therapeutically useful RNA molecules for the treatment of tumours, i.e. siRNA (Dorsett and Tuschl (2004) Nature Rev Drug Disc 3:318-329). In some cases, genes can be incorporated into a recombinant adenovirus of the invention to further enhance the ability of the adenovirus to eradicate the cell of the monocyte/macrophage lineage, although not having any direct impact on the cell itself. These include genes encoding siRNAs capable of inhibit the activity of factors that compromise MHC class I presentation, block complement, inhibit IFNs and IFN-induced mechanisms, chemokines and cytokines, NK cell based killing, down regulate the immune response (e.g. IL-10, TGF-Beta) and metalloproteases which can breakdown the extracellular matrix and enhance spread of the virus within the tumour.
The term “immunostimulatory genes”, as used herein, refers to genes that activate the immune system against the tumour. Further examples of heterologous genes, or fragments thereof, include those that encode immunomodulatory proteins, such as cytokines or chemokines. Examples include interleukin 2, U.S. Pat. No. 4,738,927 or 5,641,665; interleukin 7, U.S. Pat. No. 4,965,195 or 5,328,988; and interleukin 12, U.S. Pat. No. 5,457,038; tumour necrosis factor alpha, U.S. Pat. No. 4,677,063 or 5,773,582; interferon gamma, U.S. Pat. No. 4,727,138 or 4,762,791; or GM CSF, U.S. Pat. No. 5,393,870 or 5,391,485, Mackensen et al. (1997) Cytokine Growth Factor Rev. 8:119-128).
These modifications in the genome of the adenovirus are not excluding each other.
The present invention is also directed to the genome of the adenovirus. In an aspect, the invention relates to an adenoviral genome characterized in that it comprises a sequence encoding an albumin-binding moiety inserted in the coding region of the hypervariable region 1 (HVR1) of the hexon protein which results in the expression of fusion protein comprising a hexon protein and an albumin-binding moiety and wherein the albumin-binding moiety is located on the outer surface of the hexon protein when the hexon protein is assembled in the adenovirus capsid.
The expression “adenoviral genome”, as used herein, refers to a double-stranded DNA sequence that, in the presence of appropriate proteins, can be packaged, resulting in a complete adenovirus particle. For this packaging to occur, the sequence must comply with some conditions, which can be summarized as follows:
The adenoviral genome is preferably deficient in at least one gene function required for viral replication, thereby resulting in a “replication-deficient” adenoviral vector. By “replication-deficient” is meant that the adenoviral vector comprises an adenoviral genome that lacks at least one replication-essential gene function (i.e., such that the adenoviral vector does not replicate in typical host cells, especially those in a human patient that could be infected by the adenoviral vector in the course of treatment in accordance with the invention).
More preferably, the replication-deficient adenoviral vector comprises an adenoviral genome deficient in at least one replication-essential gene function of one or more regions of the adenoviral genome. In this respect, the adenoviral vector is deficient in at least one essential gene function of the E4 region or E1 region of the adenoviral genome required for viral replication. In addition to a deficiency in the E1 region, the recombinant adenovirus can also have a mutation in the major late promoter (MLP). More preferably, the adenoviral vector is deficient in at least one essential gene function of the E1 region and at least part of the E3 region (e.g., an Xba I deletion of the E3 region). With respect to the E1 region, the adenoviral vector can be deficient in (e.g., deleted of) at least part of the E1a region and at least part of the E1b region. For example, the adenoviral vector can comprise a deletion of the entire E1 region and part of the E3 region of the adenoviral genome (i.e., nucleotides 355 to 3,511 and 28,593 to 30,470). A singly-deficient adenoviral vector can be deleted of approximately nucleotides 356 to 3,329 and 28,594 to 30,469 (based on the adenovirus serotype 5 genome). Alternatively, the adenoviral vector genome can be deleted of approximately nucleotides 356 to 3,510 and 28,593 to 30,470 (based on the adenovirus serotype 5 genome), thereby resulting in an adenoviral vector having deletions in the E1, E3, and E4 regions of the adenoviral genome.
A deficiency in a gene, gene function, or gene or genomic region, as used herein, is defined as a deletion of sufficient genetic material of the viral genome to impair or obliterate the function of the gene whose nucleic acid sequence was deleted in whole or in part. Deletion of an entire gene region often is not required for disruption of a replication-essential gene function. However, for the purpose of providing sufficient space in the adenoviral genome for one or more transgenes, removal of a majority of a gene region may be desirable. While deletion of genetic material is preferred, mutation of genetic material by addition or substitution also is appropriate for disrupting gene function. Replication-essential gene functions are those gene functions that are required for replication (e.g., propagation) and are encoded by, for example, the adenoviral early regions (e.g., the E1, E2, and E4 regions), late regions (e.g., the L1-L5 regions), genes involved in viral packaging (e.g., the IVa2 gene), and virus-associated RNAs (e.g., NA-RNA-1 and/or NA-RNA-2).
The adenoviral vector also can have essentially the entire adenoviral genome removed except the ITR and the packaging sequence. Such vectors are known in the art as gutless or helper-dependent adenovirus vectors. In this case the hexon sequence modified to contain an albumin binding moiety is provided by the helper adenovirus. The 5′ or 3′ regions of the adenoviral genome comprising ITRs and packaging sequence need not originate from the same adenoviral serotype as the remainder of the viral genome. For example, the 5′ region of an adenoviral serotype 5 genome (i.e., the region of the genome 5′ to the adenoviral E1 region) can be replaced with the corresponding region of an adenoviral serotype 2 genome (e.g., the Ad5 genome region 5′ to the E1 region of the adenoviral genome is replaced with nucleotides 1-456 of the Ad2 genome). However, the deficiencies of the adenoviral genome of the adenoviral vector of the inventive method preferably are limited to replication-essential gene functions encoded by the early regions of the adenoviral genome.
According to the invention, inverted terminal repeat or ITR is understood as sequences of approximately 100 base pairs which are on both sides of the linear genome of the adenovirus and which are essential for the replication of the adenoviral genome (Stow, N. D., 1982, Nucl. Acid. Res, 10:5105-5109).
According to the invention, adenoviral packaging signal W is understood as a sequence of approximately 160 base pairs long which, in the case of the adenovirus of serotypes 2 and 5, extends between positions 190 and 350 of the genome. The elimination of the sequence of the genome of an adenovirus prevents the DNA molecules which are generated during the multiplication of the virus from being efficiently incorporated to the recently formed capsids (Hearing, P. et al., 1987, J. Virol., 61:2555-2558), but they do not prevent the replication of said genome in the packaging cell, unlike the elimination of ITRs.
All the embodiments disclosed in the context of the adenoviruses of the invention are applicable to the adenoviral genomes of the invention.
Particularly, in an embodiment the adenoviral genome is from a human adenovirus, preferably selected from the group consisting of human adenovirus serotypes 1 to 57, more preferably serotype 5.
In another embodiment the albumin-binding moiety is selected from an albumin-binding domain from streptococcal protein G, an albumin-binding domain from Peptostreptococcus magnus protein PAB, an albumin-binding peptide having the core sequence DICLPRWGCLW (SEQ ID NO: 9) and functionally equivalent variants thereof. In a more preferred embodiment, the albumin-binding moiety is the albumin-binding domain 3 from streptococcal protein G, preferably having the sequence SEQ ID NO: 1.
In another embodiment the sequence encoding the albumin-binding moiety is inserted so that the resulting fusion protein contains the albumin-binding moiety after the D150 amino acid of the hexon protein according to the numbering of the hexon protein having the GenBank accession number BAG48782.1 (SEQ ID NO: 27). In a preferred embodiment, the nucleotide sequence of the complete modified adenoviral hexon having ABD inserted in HVR1 (ABD-HVR1) is SEQ ID NO: 3.
In another embodiment the N- and/or the C-terminus of the albumin-binding moiety is connected to the hexon protein by a linker sequence, preferably a linker sequence comprising the sequence GSGS (SEQ ID NO: 2).
In another embodiment the adenoviral genome further comprises a tissue-specific promoter or a tumour-specific promoter. In a preferred embodiment the tissue-specific promoter or the tumour-specific promoter are promoter sequences to control the expression of one or more genes selected from the group consisting of E1a, E1b, E2, and E4; more preferably a promoter selected from the group consisting of a E2F promoter, a telomerase hTERT promoter, a tyrosinase promoter, a prostate-specific antigen promoter, an alpha-fetoprotein promoter, and a COX-2 promoter.
In another embodiment the adenovirus is an oncolytic adenovirus, preferably an adenovirus wherein its adenoviral genome further comprises mutations in one or more genes selected from the group consisting of E1a, E1b, E4, and VA-RNAs, to achieve selective replication in tumours.
In another embodiment the adenoviral genome further comprises capsid modifications to increase adenovirus infectivity or to target it to a receptor present in a tumour cell. Preferably, the modification of the capsid is the insertion of an RGD motif into the H1 loop of the adenoviral fiber protein. In another embodiment the adenoviral genome is a chimeric adenovirus genome derived from one given serotype that contains a fragment or portion of its genome replaced by the homologous portion of the genome from another serotype. Preferably, the said chimeric adenovirus is a human adenovirus from the serotype 5 which contains a portion of the fiber gene replaced with the homologous portion from another serotype, preferably human adenovirus 3 or human adenovirus 35. In a preferred embodiment, the modification of the capsid is the substitution of part of the fiber gene with the homologous part from a different adenovirus serotype to form a chimeric adenovirus.
In another embodiment, the adenoviral genome comprises further genes inserted in said genome. In an embodiment, said genes are used in gene therapy or in vaccination. Preferably, said genes are genes used in cancer gene therapy, more preferably are at least a gene selected from the group consisting of prodrug-activating genes, tumour-suppressor genes, genes encoding anti-tumour interfering RNAs, and immunostimulatory genes.
The recombinant adenoviruses of the invention can be used to prepare a pharmaceutical composition. Thus, another aspect of the present invention is a pharmaceutical composition comprising a therapeutically effective amount of a recombinant adenovirus according to the invention together with a pharmaceutically acceptable carrier.
As it is used in the present invention, the expression “pharmaceutical composition” relates to a formulation that has been adapted for administering a predetermined dose of one or several therapeutic useful agents to a cell, a group of cells, an organ, a tissue or an organism.
The recombinant adenoviruses are administered in effective amounts. A “therapeutically effective amount” is understood as an amount capable of providing a therapeutic effect, and which can be determined by the person skilled in the art by commonly used means. The effective amount will vary with the particular condition being treated, the age and physical condition of the subject being treated, the severity of the condition, the duration of the treatment, the nature of the concurrent or combination therapy (if any), the specific route of administration and like factors within the knowledge and expertise of the health practitioner. It is preferred generally that a maximum dose be used, that is, the highest safe dose according to sound medical judgment. For example, if the subject has a tumour, an effective amount may be that amount that reduces the tumour volume or load (as for example determined by imaging the tumour). Effective amounts may also be assessed by the presence and/or frequency of cancer cells in the blood or other body fluid or tissue (e.g., a biopsy). If the tumour is impacting the normal functioning of a tissue or organ, then the effective amount may be assessed by measuring the normal functioning of the tissue or organ. Those skilled in the art will appreciate that dosages may also be determined with guidance from Goodman and Goldman's The Pharmacological Basis of Therapeutics, Ninth Edition (1996), Appendix II, pp. 1707-1711 and from Goodman and Goldman's The Pharmacological Basis of Therapeutics, Tenth Edition (2001), Appendix II, pp. 475-493.
As used herein, the term “pharmaceutically acceptable carrier” means a non-toxic, inert solid, semi-solid or liquid filler, diluent, encapsulating material or formulation auxiliary of any type that is acceptable to the patient from a pharmacological/toxicological point of view and to the manufacturing pharmaceutical chemist from a physical/chemical point of view regarding composition, formulation, stability, patient acceptance and bioavailability. Remington's Pharmaceutical Sciences. Ed. by Gennaro, Mack Publishing, Easton, Pa., 1995 discloses various carriers used in formulating pharmaceutical compositions and known techniques for the preparation thereof. Some examples of materials which can serve as pharmaceutically acceptable carriers include, but are not limited to, sugars such as lactose, glucose, and sucrose; starches such as corn starch and potato starch; cellulose and its derivatives such as sodium carboxymethyl cellulose, ethyl cellulose, and cellulose acetate; powdered tragacanth; malt; gelatin; talc; excipients such as cocoa butter and suppository waxes; oils such as peanut oil, cottonseed oil; safflower oil, sesame oil; olive oil; corn oil and soybean oil; glycols such as propylene glycol; esters such as ethyl oleate and ethyl laurate; agar; detergents such as TWEEN™ 80; buffering agents such as magnesium hydroxide and aluminium hydroxide; alginic acid; pyrogen-free water; isotonic saline; Ringer's solution; ethyl alcohol; and phosphate buffer solutions, as well as other non-toxic compatible lubricants such as sodium lauryl sulphate and magnesium stearate, as well as colouring agents, releasing agents, coating agents, sweetening, flavouring and perfuming agents, preservatives and antioxidants can also be present in the composition, according to the judgment of the formulator. If filtration or other terminal sterilization methods are not feasible, the formulations can be manufactured under aseptic conditions.
The pharmaceutical compositions of this invention can be administered to a patient by any means known in the art including oral and parenteral routes. According to such embodiments, the compositions of the invention may be administered by injection (e.g., intravenous, subcutaneous or intramuscular, intraperitoneal injection). In a particular embodiment, the recombinant adenoviruses of the present invention are administered to a subject in need thereof systemically, e.g. by IV infusion or injection. Injectable preparations, for example, sterile injectable aqueous or oleaginous suspensions may be formulated according to the known art using suitable dispersing or wetting agents and suspending agents. The sterile injectable preparation may also be a sterile injectable solution, suspension, or emulsion in a nontoxic parenterally acceptable diluent or solvent, for example, as a solution in 1,3-butanediol. Among the acceptable vehicles and solvents that may be employed are water, Ringer's solution, U.S.P., and isotonic sodium chloride solution. In addition, sterile, fixed oils are conventionally employed as a solvent or suspending medium. For this purpose any bland fixed oil can be employed including synthetic mono- or diglycerides. In addition, fatty acids such as oleic acid are used in the preparation of injectables. In one embodiment, the recombinant adenovirus is suspended in a carrier fluid comprising 1% (w/v) sodium carboxymethyl cellulose and 0.1% (v/v) TWEEN™ 80. The injectable formulations can be sterilized, for example, by filtration through a bacteria-retaining filter, or by incorporating sterilizing agents in the form of sterile solid compositions which can be dissolved or dispersed in sterile water or other sterile injectable medium prior to use.
The compositions can comprise the recombinant adenovirus as the only agent or in combination with another therapeutic agent.
In a preferred embodiment the composition comprises an oncolytic adenovirus or an adenovirus comprising one or more genes used in cancer gene therapy inserted in the genome of the adenovirus. In this particular case, the compositions can comprise this adenovirus as the only agent against the tumour, or in combination with another therapeutic agent such as a chemotherapy drug or a vector with an inserted therapeutic gene.
There is broad experience in the use of replication-defective and replication-competent adenoviruses in the field of gene therapy and in the field of vaccination.
In a further aspect, the invention relates to a recombinant adenovirus of the invention or a pharmaceutical composition according to the invention for use in medicine. The adenoviruses of the invention may be designed to treat any kind of disease that requires the administration of such adenovirus into the bloodstream.
The inventors have also shown that the adenoviruses of the invention are particularly useful for the treatment of cancer.
In another aspect, the invention relates to a recombinant adenovirus of the invention or a pharmaceutical composition according to the invention for use in the prevention and/or treatment of cancer in a mammal, wherein the adenovirus is an oncolytic adenovirus or an adenovirus comprising one or more genes used in cancer gene therapy inserted in the genome of the adenovirus.
Alternatively, the invention relates to the use of a recombinant adenovirus of the invention or a pharmaceutical composition according to the invention for the manufacture of a medicament for the prevention and/or treatment of cancer in a mammal, wherein the adenovirus is an oncolytic adenovirus or an adenovirus comprising one or more genes used in cancer gene therapy inserted in the genome of the adenovirus.
Alternatively, the invention relates to a method for the prevention and/or treatment of cancer in a mammal comprising administering to said mammal a recombinant adenovirus of the invention or a pharmaceutical composition according to the invention, wherein the adenovirus is an oncolytic adenovirus or an adenovirus comprising one or more genes used in cancer gene therapy inserted in the genome of the adenovirus.
The term “prevention”, as used herein, refers to a prophylactic or preventive method, wherein the adenovirus is administered in an initial or early stage of the disease (i.e. premalignant stage of a tumour), or to also prevent its onset.
Adenovirus vectors have been commonly used to prepare vaccines that elicit immunity against proteins of pathogens. For example, recombinant adenovirus vaccines have been publicly described against HIV, rabies virus, dengue virus, ebola virus, sars coronavirus, human papillomavirus, hepatitis C virus, hepatitis B virus, rotavirus, measles virus, respiratory syncytial virus, cytomegalovirus, herpes simplex 2 virus, Epstein barr virus, influenza virus, Trypanosoma cruzi and Plasmodium falciparum, against others.
In another aspect, the invention relates to a recombinant adenovirus of the invention or a pharmaceutical composition according to the invention for use in the prevention of an infectious disease in a mammal.
Alternatively, the invention relates to the use of a recombinant adenovirus of the invention or a pharmaceutical composition according to the invention for the manufacture of a medicament, preferably a vaccine, for the prevention of an infectious disease in a mammal.
Alternatively, the invention relates to a method for the prevention of an infectious disease in a mammal comprising administering to said mammal a recombinant adenovirus of the invention or a pharmaceutical composition according to the invention.
The expressions “infectious disease” or “infection”, as used herein, refer to a disease caused by the invasion of a host organism by an infectious or pathogenic agent such as viruses, viroids and prions; microorganisms such as bacteria; parasites such as nematodes (including roundworms and pinworms), arthropods such as ticks, mites, fleas and lice; fungi and protozoa.
The recombinant adenoviruses of the invention are suitable for the manufacture of vaccines for the prevention of any kind of infectious disease.
In a preferred embodiment the infectious disease is caused by a pathogenic agent selected from the group consisting of HIV, rabies virus, dengue virus, ebola virus, sars coronavirus, human papillomavirus, hepatitis C virus, hepatitis B virus, rotavirus, measles virus, respiratory syncytial virus, cytomegalovirus, herpes simplex 2 virus, Epstein barr virus, influenza virus, Trypanosoma cruzi and Plasmodium falciparum.
The term “treat” or “treatment” refers to a therapeutic treatment, wherein the goal is to control the progression of the disease before or after the clinical signs have appeared. Control of the progression of the disease is understood as the beneficial or desired clinical results which include but are not limited to reduction of the symptoms, reduction of the duration of the disease, stabilization of pathological conditions (specifically avoiding additional impairment), delaying the progression of the disease, improving the pathological condition and remission (both partial and complete). The control of the progression of the disease also involves a prolongation of survival in comparison to the expected survival if the treatment was not applied.
For example, in the case of treating cancer, a response could be monitored by observing one or more of the following effects: (1) inhibition, to some extent, of tumour growth, including, (i) slowing down (ii) inhibiting angiogenesis and (ii) complete growth arrest; (2) reduction in the number of tumour cells; (3) maintaining tumour size; (4) reduction in tumour size; (5) inhibition, including (i) reduction, (ii) slowing down or (iii) complete prevention, of tumour cell infiltration into peripheral organs; (6) inhibition, including (i) reduction, (ii) slowing down or (iii) complete prevention, of metastasis; (7) enhancement of anti-tumour immune response, which may result in (i) maintaining tumour size, (ii) reducing tumour size, (iii) slowing the growth of a tumour, (iv) reducing, slowing or preventing invasion and/or (8) relief, to some extent, of the severity or number of one or more symptoms associated with the disorder.
The term “cancer” is referred to a disease characterized by uncontrolled cell division (or by an increase of survival or apoptosis resistance), by the ability of said cells to invade other neighbouring tissues (invasion) or by the spread to other areas of the body where the cells are not normally located (metastasis) through the lymphatic and blood vessels. As used herein, the term cancer includes, but is not limited to, the following types of cancer; breast cancer; biliary tract cancer; bladder cancer; brain cancer including glioblastomas and medulloblastomas; cervical cancer; choriocarcinoma; colon cancer; endometrial cancer; esophageal cancer; gastric cancer; hematological neoplasms including acute lymphocytic and myelogenous leukemia; T-cell acute lymphoblastic leukemia/lymphoma; hairy cell leukemia; chronic myelogenous leukemia, multiple myeloma; AIDS-associated leukemias and adult T-cell leukemia/lymphoma; intraepithelial neoplasms including Bowen's disease and Paget's disease; liver cancer; lung cancer; lymphomas including Hodglun's disease and lymphocytic lymphomas; neuroblastomas; oral cancer including squamous cell carcinoma; ovarian cancer including those arising from epithelial cells, stromal cells, germ cells and mesenchymal cells; pancreatic cancer; prostate cancer; rectal cancer; sarcomas including leiomyosarcoma, rhabdomyosarcoma, liposarcoma, fibrosarcoma, and osteosarcoma; skin cancer including melanoma, Merkel cell carcinoma, Kaposi's sarcoma, basal cell carcinoma, and squamous cell cancer; testicular cancer including germinal tumours such as seminoma, non-seminoma (teratomas, choriocarcinomas), stromal tumours, and germ cell tumours; thyroid cancer including thyroid adenocarcinoma and medullar carcinoma; and renal cancer including adenocarcinoma and Wilms tumour. In an embodiment the cancer is breast cancer. In another embodiment the cancer is melanoma. Other cancers will-be known to one of ordinary skill in the art.
The adenovirus of the present invention can be administered to a mammal. The term “mammal”, as used herein, refers to any mammalian species, including but not being limited to domestic and farm animals (cows, horses, pigs, sheep, goats, dogs, cats or rodents), primates, and humans. Preferably, the mammal is a human being. In the context of the present invention, the mammal is suffering from cancer or in risk of suffering from cancer.
To treat tumours in animal models or patients adenoviruses can be delivered by local or regional administration through intratumoural or intracavital injection or systemically by injection into the bloodstream. The virus can also be administered in the vasculature of the tumour. Since the recombinant adenoviruses of the invention are protected against neutralizing antibodies present in the bloodstream, they are particularly suitable for systemic administration. Therefore, in a preferred embodiment the adenovirus of the invention is systemically administered. The expression “systemically administered”, as used herein, refers to a route of administration into the circulatory system so that the entire body is affected. Preferably the administration is parenteral (generally intraarterial or endovenous injection, infusion or implantation).
The adenovirus of the invention is ideally administered before having been bound to serum albumin and it binds to albumin in the blood of the subject treated. However, to increase the blood persistence of adenoviruses in order to increase the possibilities of reaching the disseminated tumour nodes, the capsid can be coated with albumin before the adenovirus is administered.
The treatment of tumours with the adenoviruses of the invention can be used in combination with other therapeutic modalities like chemotherapy or radiotherapy, as previously described in the field of oncolytic adenovirus.
Protocols for using the adenoviruses described in the present invention for the treatment of cancer are the same procedures used in the fields of virotherapy and gene therapy with adenovirus.
The present invention is also directed to:
The following examples are provided as merely illustratives and are not to be construed as limiting the scope of the invention.
Cell lines. HEK293 (human embryonic kidney), A549 (human lung adenocarcinoma), Sk-mel28 (melanoma), and MCF7 (human breast adenocarcinoma) cells were obtained from the American Type Culture Collection (ATCC, Manassas, VA). All tumour cell lines, excluding MCF7, were maintained with Dulbecco's Modified Eagle's Medium supplemented with 5% fetal bovine serum at 37° C., 5% CO2. MCF7 cells were maintained with RPMI 1640 medium supplemented with 10% fetal bovine serum. All cell lines were routinely tested for Mycoplasma presence.
Viruses construction. ICOVIR15 oncolytic adenovirus has been previously described (Rojas J J, et al. Minimal RB-responsive E1A promoter modification to attain potency, selectivity, and transgene-arming capacity in oncolytic adenoviruses. Mol Ther 2010; 18 (11):1960-71). AdGL is a E1-deleted first generation vector expressing the EGFP-Luciferase fusion protein cassette from pEGFPLuc (Clontech). Insertion of the CMV promoter -EGFPLuc-polyA cassette replacing the E1 region was performed following a recombineering protocol adapted from Stanton et al. (Stanton R J, et al. Re-engineering adenovirus vector systems to enable high-throughput analyses of gene function. Biotechniques 2008; 45(6):659-62, 664-8) based on homologous recombination in bacteria using a positive-negative selection. The CMV-GFPLuc cassette flanked with E1 homologous regions was used to replace the positive-negative selection markers of pAd5-CV5-E3+, commonly used to construct E1-deleted adenovirus vectors. ICOVIR15 was propagated in A549 cells and the replication-deficient AdGL was propagated in HEK293 cells.
ICOVIR15-ABD and AdGL-ABD were constructed by inserting the Albumin-binding domain (ABD) flanked by two linkers (GSGS) (SEQ ID NO: 2) in the hyper-variable region 1 (HVR1) of the adenovirus hexon after the D150 amino acid. The nucleotide sequence of the complete modified hexon having ABD inserted in HVR1 (ABD-HVR1) is SEQ ID NO: 3. All modifications were performed following a recombineering protocol adapted from Stanton et al. (Stanton R J, et al. Re-engineering adenovirus vector systems to enable high-throughput analyses of gene function. Biotechniques 2008; 45(6):659-62, 664-8) based on homologous recombination in bacteria using a positive-negative selection with the RpsL-Neo cassette.
First, the rpsLNeo cassette was amplified by PCR from pJetRpsLNeo, a plasmid containing the rpsLneo positive-negative selection markers cloned into pJet1.2/blunt (Genscript, Wheelock House, Hong Kong), using oligonucleotides HVR1rpsLF 5′-GCCCTGGCTCCCAAGGGTGCCCCAAATCCTTGCGAATGGGGCCTGGTGATGATGGC-3′ (SEQ ID NO: 12) and HVR1rpsLR 5′-GTAATATTTATACCAGAATAAGGCGCCTGCCCAAATACGTGAGTTCAGAAGAACTC GTCAAGAAG-3′ (SEQ ID NO: 13). The cassette was inserted in the HVR1 of pAdZICOVIR15 and pAdZGL plasmids creating pAdZICOVIR15-H1-rpsLNeo and pAdZGL-H1-rpsLNeo. Second, the Linker-ABD-Linker fragment was generated by PCR using the following overlapping oligonucleotides:
This fragment was used to replace the rpsLNeo cassette in both plasmids creating pAdZICOVIR15-H1-ABD and pAdZGL-H1-ABD.
Also, the ABD was inserted in the hyper-variable region 5 of AdGL after the A274 aminoacid. The nucleotide sequence of the complete modified hexon having ABD inserted in HVR5 (ABD-HVR5) is SEQ ID NO: 4. For this purpose, the rpsLNeo cassette was amplified by PCR from pJetRpsLNeo using oligonucleotides H5rpsLF and H5rpsLR as follows
and inserted in pAdZGL plasmid, creating the pAdZGL-H5-rpsLNeo. In a second recombination step, the Linker-ABD-Linker fragment was amplified by PCR from pAdZICOVIR15-H1-ABD using oligonucleotides ABDH5F and ABDH5R as follows:
This fragment was used to replace the rpsLNeo of pAdZGL-H5-rpsLNeo creating the pAdZGL-H5-ABD.
Additionally, the domain could also be inserted in any of the hypervariable regions of the hexon protein. To do so, the rpsLNeo should be inserted in the desired region and then replaced by the ABD fragment generated by PCR with homology arms to recombine in the specific hypervariable loop.
ICOVIR15-ABD (ABD in HVR1), AdGL-ABD (ABD in HVR1), and AdGL-H5-ABD (ABD in HVR5) were generated by transfection of the generated plasmids with calcium phosphate standard protocol in HEK293 cells. Oncolytic adenovirus ICOVIR15-ABD was plaque-purified and further amplified in A549 cells. Adenoviral vector AdGL-ABD was plaque-purified and further amplified in HEK293 cells. Both viruses were purified using a cesium chloride double-gradient according to standard techniques.
Incubation of viruses with human serum albumin (HSA) was performed for one hour at room temperature with medium containing 1 mg/ml of HSA.
Viral production assay. A549 cells were infected with 800 viral particles (vp) per cell of each virus to obtain a 80-100% of infection. Cells were washed thrice with PBS 4 hours after the infection and incubated with fresh medium. At the indicated time points, cells were collected and frozen-thawed three times to obtain the cell extract. Viral titers were obtained by an antihexon staining-based method (Cascallo M, et al. Systemic toxicity-efficacy profile of ICOVIR-5, a potent and selective oncolytic adenovirus based on the pRB pathway. Mol Ther 2007; 15:1607-15) in HEK293 cells.
In vitro cytotoxicity assays. Cytotoxicity assays were performed by seeding 10,000 HEK293, 30,000 A549, 10,000 Sk-mel28 and 20,000 MCF-7 cells per well in 96-well plates. Prior to the infection, viruses were incubated for one hour at room temperature with either medium or medium containing 1 mg/ml of human serum albumin (HSA). Cells were infected in normal medium or in albumin-containing medium with serial dilutions (1/3 for HEK293, Sk-mel28 and MCF-7 cells, and 1/5 for A549 cells) starting with 10,000 vp/cell. At day 7 post-infection plates were washed with PBS and stained for total protein content (bicinchoninic acid assay; Pierce Biotechnology, Rockford, IL) and absorbance was quantified. The vp per cell required to produce 50% growth inhibition (IC50) was determined from dose-response curves by standard nonlinear regression (GraFit; Erithacus Software, Horley, UK), using an adapted Hill equation.
Detection of binding to Human and Mouse Serum Albumin. Detection of binding to human serum albumin (HSA) and mouse serum albumin (MSA) was performed following an ELISA protocol adapted from Konig and Skerra (Konig T, Skerra A. Use of an albumin-binding domain for the selective immobilisation of recombinant capture antibody fragments on ELISA plates. J Immunol Methods 1998; 218:73-83). Incubations were performed 1 h at room temperature followed by three washing steps with 200 μl of PBS containing 0.1% Tween20, which was also the buffer used to dilute viruses and antibodies.
The 96-well plate was coated with 200 μl of either HSA or BSA (Sigma) at 2 mg/mL diluted in PBS. Remaining binding sites on the plastic surface were blocked with 2 mg/mL of BSA diluted in PBS containing 0.5% Tween20. In the next step, the purified viruses were added in a volume of 50 μl. Three different amounts of viral protein were tested to detect the binding (25, 2.5, and 0.25 ng of viral protein) (
The same experiment was carried out coating a 96-well plate with 200 μl of either BSA, HSA or MSA (Sigma) at 2 mg/mL diluted in PBS and testing 25 ng of viral protein to detect the binding. A control mock group without virus was included (
In vitro antibody-mediated neutralization assays. Antibody-mediated neutralization was analysed at the level of infection (transduction with luciferase-GFP reporter adenoviruses) and replication (cytotoxicity mediated by replication-competent adenoviruses). The commercial antibody Ab6982 (Anti-Ad5 rabbit polyclonal, Abcam) was used as a neutralizing antibody. For the infectivity analysis, starting from a 1/100 dilution of the antibody stock, serial dilutions 1/6 of the antibody were performed in medium containing the different adenoviruses (AdGL or AdGL-ABD) in 96-well plates.
After one hour of incubation at room temperature, 1E5 HEK293 or 3E4 Sk-mel28 cells per well were added to obtain the desired multiplicity of infection (0.5 TU/cell or 10 vp/cell for HEK293 cells and 40 vp/cell for Sk-mel28 cells). Twenty-four hours after the infection, medium was removed and cells were lysed adding 50 μl of Cell Lysis reagent (Promega, Madison, Wi) and frozen-thawed once. Lysates were centrifuged at 13,000 g for 5 minutes at 4° C. and the luciferase enzyme activity of the supernatant was measured using Luciferase Assay Reagent (Promega) in a luminometer (Berthold Junior, Berthold GmbH&Co, KG, Germany).
For the analysis of replication, a serial dilution 1/2 of the antibody was performed starting from a 1/100 dilution of the antibody stock. This serial dilution was performed using medium containing ICOVIR15 or ICOVIR15-ABD. One hour after incubation with the antibody at room temperature, 3E5 A549 cells per well were added to obtain a multiplicity of infection of 600 vp/cell. At day 4 post-infection cell viability was analyzed by staining the total protein content as described above in “in vitro cytotoxicity assays” material and methods section.
In vivo blood clearance. In vivo studies were performed at the ICO-IDIBELL facility (Barcelona, Spain) AAALAC unit 1155, and approved by IDIBELL's Ethical Committee for Animal Experimentation. Balb/C nu/nu female mice were injected intravenously with a mixture of ICOVIR15 and ICOVIR15-ABD (ratio 1:1) with a total dose of 5×1010 vp in a volume of 10 ml/kg in PBS (n=5). At 5 min, 15 min, 1 h, 4 h, and 24 h post-administration, blood samples were collected from the tail vein. Blood samples were centrifuged at 5000 g for 5 minutes at 4° C. to separate the cell fraction and collect the serum. Serum samples were digested with proteinase K and SDS for 45 minutes at 54° C. and later for 10 minutes at 90° C. to proteolyze the capsid and release the viral DNA. Digested samples were amplified by PCR using hexon HVR1-flanking oligonucleotides Ad19121F 5′-CTGGACATGGCTTCCACGTA-3′ (SEQ ID NO: 25) and Ad19300R 5-′GCTCGTCTACTTCGTCTTCG-3′ (SEQ ID NO: 26), and analysed by electrophoresis on a 1% agarose gel. As ICOVIR15-ABD has the insertion of ABD in the middle of HVR1, the size of the PCR product will be longer: the PCR product expected from ICOVIR15-ABD is 361 bp compared to 199 bp from ICOVIR15.
In vivo antitumoral efficacy. Subcutaneous melanoma xenograft tumours were established by injection of 1×107 Sk-mel28 cells into the flanks of 6-week-old female Balb/C nu/nu mice. When tumours reached 150 mm3 (experimental day 0), mice were randomized (n=10 to 12 animals per group) and were injected with a single intravenous administration of PBS or 5×1010 vp of ICOVIR15 or ICOVIR15-ABD in a volume of 10 ml/kg in PBS via tail vein. Tumour size and mice status were monitored thrice per week. Tumour volume was measured with a digital caliper and defined by the equation V(mm3)=π/6×W2×L, where W and L are the width and the length of the tumour, respectively. The statistical significance of differences in tumour size between treatment groups was assessed by a two-tailed Student's unpaired 1-test.
In vivo transduction. Melanoma tumors were established implanting 1×106 B16-CAR cells subcutaneously into both flanks of 6-week-old female C57BL6 mice (n=4-6 animals per group). When tumors reached 100 mm3, mice were injected intraperitoneally with either PBS (naïve group) or with 2×1010 vp of hAd5 wt (preimmunized group). Seven days after-immunization, animals were injected with a single intravenous administration of PBS, AdGL, or AdGL-ABD at a dose of 3×1010 viral particles per mouse. Three days after vector injection mice received an intraperitoneal injection of 250 μL of D-Luciferin (15 mg/mL; Biosynth, Staad, Switzerland) and mice were sacrificed for liver and tumor harvesting for bioluminescent imaging (IVIS). Organs were imaged on the IVIS Lumina XR (Caliper Life Sciences, Hopkinton, MA) and the Living Image v4.0 software was used to quantify the emission of light.
Generation and characterization of ICOVIR15-ABD. To generate an albumin-binding adenovirus, the albumin-binding domain 3 from the protein G of Streptococcus bacteria (SEQ ID NO: 1) was inserted in the HVR1 of ICOVIR15 hexon, generating the oncolytic adenovirus ICOVIR15-ABD (
To analyze the impact of the ABD insertion on virus replication, we compared the replication kinetics of ICOVIR15 and ICOVIR15-ABD in A549 cells. As shown in
An ELISA experiment was performed to demonstrate binding of ICOVIR15-ABD to HSA and MSA. Wells were coated with either MSA, HSA or BSA (note that ABD binds to MSA and HSA, but not to BSA) and binding of both viruses ICOVIR15 or ICOVIR15-ABD was analyzed. Positive signal was obtained when adding ICOVIR15-ABD to both HSA-coated wells (
Albumin-binding protects adenovirus from neutralizing antibodies in vitro. Having demonstrated the binding of ICOVIR15-ABD to human albumin, the inventors tested if this binding could protect the virus from neutralizing antibodies (NAbs) in vitro. For this, an adenovirus vector expressing a GFP-Luciferase fusion protein modified with ABD at the hexon, named AdGL-ABD, was constructed. The transduction efficiency of AdGL-ABD in HEK293 cells was studied, after incubation with serial dilutions of the commercial neutralizing antibody Ab6982 (rabbit polyclonal antibody against Ad5) in presence and absence of HSA. As shown in
In addition, the capacity of viruses to kill cancer cells in presence of neutralizing antibodies was also analyzed. For this purpose, A549 cells were infected with ICOVIR15 or ICOVIR15-ABD previously incubated with serial dilutions of the neutralizing antibody Ab6982 in presence and absence of HSA, and cell survival was analyzed 4 days after the infection. In absence of human albumin both viruses showed similar capacity to kill tumor cells (
ICOVIR15-ABD displays an increased plasma half life. To investigate whether albumin-binding can reduce the rapid blood clearance of adenovirus, the pharmacokinetics of ICOVIR15-ABD after systemic administration in vivo was studied. Mice were injected with a mixture of ICOVIR15 and ICOVIR15-ABD at a ratio 1:1 with a total dose of 5×1010 viral particles per mouse, and blood samples were collected at different time points. Amplification of hexon HVR1 was performed by PCR in serum samples. Because of the ABD insertion, a 361 bp band is obtained with ICOVIR15-ABD whereas with ICOVIR15 the size of the band is only 199 bp. Hence, comparing the relative intensity of the bands at each time point it was possible to determine which virus persists longer in the bloodstream.
Anti-tumour activity of ICOVIR15-ABD after systemic administration in vivo. Once demonstrated the increased plasma half-life of ICOVIR15-ABD, it was tested whether this translated in an increased anti-tumour efficacy after systemic administration. Mice bearing Sk-mel28 (melanoma) xenograft tumours were injected with a single intravenous dose of phosphate-buffered saline (PBS), ICOVIR15 or ICOVIR15-ABD at 5×1010 viral particles per mouse. At day 38 after treatment, animals were sacrificed due to the large size of PBS-treated tumours. Both viruses were able to significantly reduce the tumour growth compared with PBS (
Albumin-binding protects adenovirus from anti-HAd5 preimmunity in vivo. Immunocompetent C57BL6 mice bearing B16-CAR melanoma tumors were immunized with an intraperitoneal injection of 2×1010 viral particles of hAd5 wt or with PBS (preimmunized or naïve groups). Seven days later, mice received a single intravenous dose of PBS, AdGL, or AdGL-ABD at 3×1010 viral particles per mouse. Three days after vector injection mice were sacrificed and liver and tumors were harvested for in vivo bioluminescent imaging (IVIS). No significant differences were observed among vectors in liver and tumor transduction in naïve animals (
Insertion of ABD in hypervariable region 5. To test whether this insertion could also be made in other hypervariable regions of the hexon we constructed the AdGL-H5-ABD vector. HEK293 cells were transfected with pAdZGL-H5-ABD plasmid to generate AdGL-H5-ABD virus. One week after transfection the cells and supernatant were harvested and lysed by three freeze-thaw cycles. The cell extract containing virus was tittered in HEK293 cells by plaque assay. Wells corresponding to dilutions 1E6, 1E7 and 1E8 are shown in
Insertion of ABD in hypervariable region 5 does not protect adenovirus from neutralizing antibodies. To check if the ABD inserted in the hypervariable region 5 could also protect adenovirus from neutralizing antibodies, we compared the transduction efficiency of the vectors AdGL, AdGL-H1-ABD and AdGL-H5-ABD after incubation with serial dilutions of the Ab6982 NAb with or without HSA in HEK293 and Sk-mel28 cells. As observed in
| Number | Date | Country | Kind |
|---|---|---|---|
| 14382162.7 | Apr 2014 | EP | regional |
This is a continuation of U.S. patent application Ser. No. 16/795,478, filed Feb. 19, 2020 (now U.S. Pat. No. 11,578,104), which is a continuation under 35 USC § 120 of U.S. patent application Ser. No. 15/307,408 filed Oct. 28, 2016 (now U.S. Pat. No. 10,604,549) in the names of RAMON ALEMANY BONASTRE and LUIS ALFONSO ROJAS EXPÓSITO for ADENOVIRUS COMPRISING AN ALBUMIN-BINDING MOIETY, which in turn is a U.S. national phase application under the provisions of 35 U.S.C. § 371 of International Patent Application No. PCT/EP15/59593 filed Apr. 30, 2015, which in turn claims priority of European Patent Application No. 14382162.7 filed Apr. 30, 2014. The disclosures of U.S. patent application Ser. No. 16/795,478, U.S. patent application Ser. No. 15/307,408, International Patent Application No. PCT/EP15/59593 and European Patent Application No. 14382162.7 are hereby incorporated herein by reference in their respective entireties, for all purposes.
| Number | Date | Country | |
|---|---|---|---|
| Parent | 16795478 | Feb 2020 | US |
| Child | 18152562 | US | |
| Parent | 15307408 | Oct 2016 | US |
| Child | 16795478 | US |
