This invention relates to the discovery and uses of a class of short DNA aptamers that selectively recognize CD200R1, a protein expressed on the surface of myeloid and lymphoid cells that delivers immune inhibitory signals to modulate inflammation when engaged with its ligand, CD200.
CD200R1 is a type I glycoprotein expressed on cells of myeloid and lymphoid lineage. It delivers immune inhibitory signals upon ligation to the widely distributed cell surface glycoprotein CD200. Structurally, CD200R1 contains two Ig-like domains, a transmembrane region, and a cytoplasmic tail containing a NXPY motif which is phosphorylated upon CD200 ligation inducing recruitment of the adaptor protein Dok2 and subsequent signal transduction.
The physiological importance of CD200:CD200R1 inhibitory signalling has been established in a number of diseases including arthritis, transplantation, and a number of central nervous system autoimmune diseases such as Parkinson's disease (PD) and multiple sclerosis (MS). For instance, a recombinant CD200.Fc fusion protein has been shown to behave as a potent in-vivo immunosuppressant, prolonging allo- and xenograph survival as well as suppressing collagen-induced arthritis in mice. Also, the inhibition of CD200:CD200R1 signalling on microglial cells using a blocking antibody to CD200R1 exacerbated neurodegeneration and disease state in a murine model of experimental autoimmune encephalomyelitis (EAE). These findings were further supported in a separate EAE study where treatment with CD200.Fc suppressed microglial accumulation, and decreased the production of pro-inflammatory cytokines IL-6, TNF-α, and nitric oxide by myeloid cells in the spleen and central nervous system.
CD200R1 signalling has also been implicated in tissue specific autoimmunity, as both systemic and local treatment with an anti-CD200R1 agonistic antibody suppressed experimental autoimmune uveitis (EAU), a model of CD4+ T-cell organ-specific autoimmunity of the eye.
Thus the development of safe and effective immunomodulatory agents which stimulate CD200R1 signalling are of clinical interest. Despite advances in antibody and protein engineering, the major drawbacks of protein-based CD200R1 stimulators are their immunogenicity arising from their chronic use and their production costs resulting in expensive therapies for patients.
It would be useful to have a non-protein composition that binds to CD200R1 with high specificity and/or affinity without immune responses. Such a composition may act as a stimulator of immune inhibitory signalling by selectively binding, and hindering the function of, or inactivating, the CD200R1, and thus be useful as a treatment for immune related disease such as arthritis, allergy, infection, as a course of treatment during or after transplantation, or for treatment of autoimmune disorders such as systemic lupus erythematosus, Parkinson's Disease, or multiple sclerosis. Such a composition may also be useful conjugated or otherwise associated with a cytotoxic agent for specifically targeting such an agent to a CD200R1 expressing or overexpressing cell.
Aptamers are short, single-stranded nucleic acid oligomers (ssDNA or RNA) which adopt a specific tertiary structure allowing them to bind to molecular targets with high specificity and affinities comparable to that of monoclonal antibodies, through interactions other than classic Watson-Crick base pairing. In some cases, aptamers will display functional properties beyond just binding to their target. For instance, an aptamer to the inflammation factor human neutrophil elastase (hNE) was shown to significantly reduce lung inflammation in rats and displayed greater specificity for their target than an antielastase IgG control. Examples of other aptamers exhibiting functional attributes include a DNA aptamer to anti-HIV reverse transcriptase and RNA aptamers to the basic fibroblast growth factor and vascular endothelial growth factor. Finally, a single-stranded DNA aptamer selected to bind to thrombin has been shown to inhibit thrombin-catalyzed fibrin-clot formation in vitro using either purified fibrinogen or human plasma. Thus, aptamers can be derived to either block protein-protein interactions or act as agonists to cell surface receptors.
Aptamers have been generated for over 100 proteins including growth factors, transcription factors, enzymes, immunoglobulins, and receptors. A typical aptamer is 10-15 kDa in size (30-45 nucleotides), binds its target with sub-nanomolar affinity, and discriminates against closely related targets. They have several advantages over antibodies. As a class, they have demonstrated therapeutically acceptable toxicity, and a lack of immunogenicity. Aptamers can typically be administered by subcutaneous injection due to their low solubility as compared to antibodies. Aptamers are chemically robust, and can be readily manufactured since they can be chemically synthesized.
In contrast to antibodies and other protein-based agents, aptamers have a number of advantages including a long shelf life, low immunogenicity, and chemical synthesis. However, aptamers as therapeutic entities do display poor pharmacokinetic profiles as unprotected RNA or DNA aptamers are rapidly removed from circulation due to renal filtration and nuclease degradation29. However, improved pharmacokinetic properties have been observed upon site-specific conjugation of polyethylene glycol (PEG) polymers to aptamer termini as well as the incorporation of nuclease resistant 2′-F or 2′-Me nucleotides in the case of RNA aptamers. Functional aptamers which target co-stimulatory or co-inhibitory receptors represent a new class of targeted immunotherapeutic agents with unique and advantageous properties. Thus far, aptamers with either agonistic or antagonistic function have been developed to a number of immune co-receptors including CTLA-433, 4-1BB34, OX-4035,36, IL-6R37, IL-10R38, and CD28. However, only a few of them have been validated for activity in-vivo.
Membrane impermeant aptamers have the potential to be used as antagonists themselves, or to serve as intracellular delivery agents specific to an internalized surface marker on a cancer cell, for example. Therapeutic cargoes such as siRNAs, antisense oligonucleotides, ribozymes as well as low MW drugs, can be directly coupled to aptamers or packaged into particles modified with aptamers. Aptamer-containing conjugates can be constructed by chemically coupling a drug, such as a chemotherapeutic drug, to the aptamer via a linker or by intercalating the drug into the aptamer folded structure creating a physical complex. The cargo is then imported into a target cell due to the aptamer specificity while reducing toxicity towards other cells. Cargoes can be conjugated to aptamers during solid-phase synthesis or post-synthesis by incorporating an amino or thiol group at one end of the oligonucleotide during its assembly. A therapeutic protein can also be coupled to the aptamer, to reach an intracellular substrate target. Aptamers can also be conjugated to radionuclides or metal chelators to image or kill cells targeted by the aptamer. Recently, aptamers have been conjugated to nanostructures, representing a promising class of new agents for targeted imaging and therapy. Thus, cargoes can also be encapsulated into such nanoparticles decorated on their surface with aptamers. The targeted structures include nanorods, quantum dots as well as soft and hard nanoparticles.
An aptamer that binds with high specificity and/or affinity to CD200R1 would be desirable for its potential as a simple (compared, for example, to an antibody), synthetic, potentially non-immunogenic stimulator of immune inhibitory signalling. Such a compound would be useful for a variety of research, diagnostic, and therapeutic uses, for example, for imaging, diagnosis, or for the treatment of immune related disease such as arthritis, allergy, infection, as a course of treatment during or after transplantation, or for treatment of autoimmune disorders such as systemic lupus erythematosus, Parkinson's Disease, or multiple sclerosis. Such a compound could also be useful conjugated or otherwise associated with a cytotoxic agent for specifically targeting such an agent to a TNFα-expressing or overexpressing cell.
Disclosed are a series of aptamers which bind to murine CD200R1 and stimulate immune inhibitory signalling. These agonistic aptamers (termed, herein, M49, M52, and CCS13) exhibit in vitro immunosuppressive properties as measured by suppression of cytotoxic T-lymphocyte (CTL) induction in allogenic-mixed lymphocyte cultures (allo-MLC). Importantly, PEGylated conjugates of these aptamers retain bioactivity in-vitro and function as potent immunosuppressants when administered in-vivo. The therapeutic potential of agonistic CD200R1 aptamers is demonstrated—intravenous administration of PEG-M49 and PEG-M52 prolongs the survival of murine skin allografts to a similar extent as CD200.Fc. CCS13 was also shown to be a cross-species aptamer, having function in both humans and mice. The aptamers showed to suppress CTL induction in 5 day mixed leukocyte culture (MLC) and cause rapid phosphorylation of the CD200R1 cytoplasmic tail thereby initiating immune inhibitory signalling. PEGylated forms of these aptamers were synthesized and show significant in-vivo immunosuppression. In a murine model of transplantation, intravenous injection of PEGylated aptamers enhanced survival of allogeneic skin grafts as effectively as a soluble CD200Fc. As DNA aptamers exhibit inherent advantages over conventional protein-based therapeutics including low immunogenicity, ease of synthesis, low cost, and long shelf life, the disclosed CD200R1 specific DNA aptamers are a useful and safe non-steroidal anti-inflammatory therapeutic agent.
CD200R1 aptamers are disclosed at Table 1 (M49, M52, CCS8 and CCS13, having as their nucleotide sequences SEQ ID NOs 1, 2, 16 and 3, respectively); all show high specificity and binding affinity to CD200R1, and in two cases (CCS8 and CCS13) has been shown capable of cross-species agonistic activity. The CD200R1-specific regions of these aptamers are shown herein at Table 2, (TM49, TM52, TCCS8 and TCCS13), having as their nucleotide sequences the SEQ ID NOs.: 4, 5, 15 and 6, respectively.
ssDNA aptamers specific towards murine CD200R1 were identified using the PCR-based Systematic Evolution of Ligands by Exponential Enrichment (SELEX) method-(Ellington and Szostak, Nature, 1990 Aug. 30:346(6286):818-22; Tuerk and Gold, Science 1990 Aug. 3 249(4968):505-10; Bock et al; Nature 1992 Feb. 6:355(6360):564-6, all incorporated herein by reference). A 25 nucleotide long random synthetic oligonucleotide library flanked by 25-base long 5′ and 3′ primer regions (5′-GACGATAGCGGTGACGGCACAGACGNNNNNNNNNNNNNNNNNNNNNN NNCGTATGCCGCTTCCGTCCGTCGCTC-3′, SEQ ID NO.: 7) was synthesized by Integrated DNA Technologies (IDT) along with the corresponding primer sequences (Forward 5′-GACGATAGCGGTGACGGCACAGACG-3′ (SEQ ID NO.: 8) and Reverse 5′ GAGCGACGGACGGAAGCGG CATACG-3′ (SEQ ID NO.: 9)). A 4 nmol aliquot of the library representing ˜2.5×1015 sequences was adsorbed onto MagneHis Ni-Particles (Promega) at 37 C for 1 hr to remove sequences which bound to the solid support. The resulting sub-library was incubated for 1 hr at 37° C. with 10 μg of a recombinant HIS-tagged murine CD200R1 protein immobilized on MagneHis Ni-Particles suspended in 1 mL phosphate buffered saline (PBS, pH 7.4). Unbound and weakly bound sequences were removed by washing the beads with PBS for 5 minutes and protein-aptamer complexes were eluted with PBS containing 0.5M imidazole. Aptamers were recovered using the Qiagen Nucleotide Removal kit following manufacturer's recommendations and the ssDNA pool was amplified for the next round of selection using asymmetric PCR at a 10:1 forward:reverse primer ratio. Fifteen rounds of selection were performed with the selection stringency increasing as the concentration of CD200R1 was halved every three rounds while simultaneously increasing the number of wash steps. After the 15th cycle, selected DNA aptamers were cloned into pCR4-TOPO vector (Life Technologies) and sequenced.
Over 20 DNA aptamer sequences specifically recognizing a murine CD200R1 recombinant protein were identified after 15 rounds of SELEX screens. These 75-base long sequences along with a scrambled control aptamer (cApt) (GACGATAGCGGTGACGGCACAGACGTCCCGCATCCTCCGCCGTGCCGACCCGTA TGCCGCTTCCGTCCGTCGCTC (SEQ ID NO.: 10), containing specific region TCCCGCATCCTCCGCCGTGCCGACC (SEQ ID NO.: 11)) were synthesized and systematically screened for CD200R1 agonistic activity by evaluating their capability to suppress the induction of cytotoxic T-lymphocyte (CTL) in 5 day allo-mixed lymphocyte cultures. Aptamer-induced suppression of CTL induction was monitored using a chromium release assay of labeled P815 mastocytoma serving as target cells for CTL lysis. Four aptamers M21, M48, M49, and M52 (
The 75-base long M49 and M52 aptamer sequences were further truncated based on their predicted secondary structure derived from mfold software (
Agonistic CD200R1 aptamers were identified and evaluated for their ability to suppress cytotoxic T-lymphocyte (CTL) induction in 5 day allo-MLC. Briefly, 2.5×105 C57BL/6 responder splenocytes were incubated with an equal number of irradiated BALB/c stimulator cells in the presence of synthetic aptamers, PEGylated aptamers, or CD200Fc for 5 days. CTL induction was assayed by monitoring the release of 51Cr from loaded P815 mastocytoma target cells over a 5 hour time period at a 25:1 effector-to-target ratio.
The 5′ termini of aptamer M49 (SEQ ID NO.: 4), M52 (SEQ ID NO.: 5), and the control aptamer cApt (SEQ ID NO.: 10) were modified with a 20 kDa polyethylene glycol (PEG) moiety to increase their circulatory half-life, as shown schematically in
The PEGylated aptamers PEG-M49, PEG-M52, and PEG-cApt were compared to unconjugated aptamers for their capability to suppress CTL induction in allogeneic-MLC. Both PEG-M49 and PEG-M52 suppressed CTL induction to a greater extent than M49 and M52 (
Intracellular phosphorylation of CD200R1 in response to PEG-M49, PEG-M52, and PEG-cApt was detected using a rabbit polyclonal antibody specific to the phosphorylated cytoplasmic tail of CD200R1. HEK-293 cells stably expressing CD200R1 were serum starved in OptiMEM media (Life Technologies) for 3 hrs followed by incubation for 30 min with 2.5 μM PEG-M49, PEG-M52, PEG-cApt, or a CD200 positive cell lysate (positive control) in OptiMEM. Cells were washed in PBS, lysed in RIPA buffer with protease inhibitor, and CD200R1 immunoprecipitated using an anti-CD200R1 (clone 2A10) monoclonal antibody (overnight 4 C) and Protein G agarose beads (Pierce). The phosphorylated form of CD200R1 was detected by western blot using the rabbit polyclonal antibody (1:1000 dilution) and anti-rabbit HRP (1:15,000 dilution).
The immediate signalling event following CD200:CD200R1 ligation is the phosphorylation of the tyrosine residue in the NPXY motif on the C-terminal cytoplasmic tail of CD200R1. The phosphorylated NPXY motif interacts with adaptor proteins thereby transducing immune inhibitory signalling5-8. To confirm that the suppression of CTL induction observed in our allo-MLC assays was indeed a consequence of aptamer-induced CD200R1 signalling, we verified whether PEG-M49 and PEG-M52 could induce the phosphorylation of this motif. HEK-293 cells were stably transfected to express murine CD200R1 (
To stimulate an immune response C57BL/6 mice received BALB/c skin allografts (Day 0) followed by five tail vein injections of 15 μg PEG-M49, PEG-M52, PEG-cApt, or CD200Fc dissolved in 0.3 mL PBS, pH 7.4 every 72 hours over 12 days in combination with low dose (0.5 mg/kg) rapamycin administered intraperitoneally every 48 hours (shown schematically in
CTL induction was significantly suppressed by treating animals with PEG-M49, PEG-M52, or CD200Fc alone but not with PEG-cApt (P<0.01) (
PEG-M49 and PEG-M52 were evaluated for their capability to prolong survival of allogeneic murine skin grafts. C57BL/6 mice (n=6) received BALB/c skin allografts (Day 0) prior to receiving 6 tail vein injections of 15 μg PEG-M49, PEG-M52, PEG-cApt or CD200Fc in 72 hr intervals over 15 days in combination with low dose (0.5 mg/kg) rapamycin administered intraperitoneally every 48 hrs. Graft survival was monitored daily by a blinded investigator.
Rapamycin at this dosage has been shown to have no effect no graft survival when administered alone. Treatment with PEG-M49 and PEG-M52 significantly extended allograft survival as compared to PBS or PEG-cApt groups (
The existing enriched libraries from SELEX to human and mouse CD200R1 were deep sequenced using IonTorrent and compared to each other to identify overlapping sequences. These sequences were synthesized and screened for CD200R1 agonistic activity (suppression of CTL in allo-MLC) with cells of both human and mouse origin. The identified agonists termed CCS13 and CCS8 (SEQ ID NOs.: 3 and 16, respectively, see Table 1, above) were PEGylated and activity verified by human and mouse allo-MLC. To evaluate in-vivo immunosuppression C57BL/6 mice received BALB/c allografts (Day 0) and were treated with 15 ug PEGylated aptamers or CD200.Fc in combination (72 hrs, i.v) with low dose rapamycin (0.5 mg/kg, 36 hrs, i.p.). Immune responses were monitored at Day 15 by ex-vivo allo-MLC. Lastly therapeutic potential was evaluated by monitoring the capability of PEG-CCS13 and PEG-CCS8 to prolong survival of the C57BL/6 allografts using the same treatment regimen described above to a total of 15 days. Graft survival was monitored by a blinded investigator.
Aptamers CCS13 and CCS8 induced potent suppression of CTL induction (<50% specific lysis) in both human (
Thus the aptamers CCS8 and CCS13 potently induced immunosuppression in both human and mouse allo-MLC. Furthermore PEGylated CCS13 and CCS8 retained this ability and functioned in-vivo to suppress immune response and prolong allograft survival.
Intracellular phosphorylation of CD200R1 in response to M49, as well as full length and truncated versions of CCS13 was detected using a rabbit polyclonal antibody specific to the phosphorylated cytoplasmic tail of CD200R150. HEK-293 cells stably expressing murine CD200R1 were serum-starved in OptiMEM (Life Technologies, Burlington, Canada) medium for 3 hrs and subsequently incubated for 30 min in OptiMEM medium containing either M49 (1.5 μM), negative control aptamer cApt (3 μM), CD200Fc (3.5 μM), or full length (FL) or truncated (T1, T2) versions of CCS13 (3 μM). Cells were washed with PBS and lysed in RIPA buffer (150 mM NaCl, 1.0% Igepal, 0.5% sodium deoxycholate, 0.1% SDS, and 50 mM Tris, pH 8.0) containing 50 mM NaF, 1 mM Na3VO4, and protease inhibitors. Phosphorylated and unphosphorylated forms of CD200R1 were recovered by immunoprecipitation using an anti-CD200R1 (clone 2A10) monoclonal antibody (overnight 4° C.) and Protein G agarose beads (Pierce). The phosphorylated form of CD200R1 was detected by western blot using the rabbit polyclonal antibody (1:1000 dilution) and anti-rabbit HRP (1:15,000 dilution) (
Filing Document | Filing Date | Country | Kind |
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PCT/CA2015/050212 | 3/20/2015 | WO | 00 |
Number | Date | Country | |
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61968740 | Mar 2014 | US |