Patent Grant
10907221
The instant application contains a Sequence Listing which has been submitted electronically in ASCII format and is hereby incorporated by reference in its entirety. Said ASCII copy, created on Jun. 5, 2018, is named 002806-079411-PCT_SL.txt and is 80,598 bytes in size.
The disclosure relates to genetic engineered bacteria, compositions thereof, formulations thereof, methods of analyses and method of treatment of conditions related to the gastrointestinal tract including the mouth and the stomach.
The mammalian gastrointestinal tract is a complex heterogeneous and dynamic environment that hosts a community of symbiotic microbes, the microbiome. The gastrointestinal tract microbiome interacts closely with the host, impacting health, disease and metabolism; changes in its behavior can lead to liver disease, inflammatory/autoimmune disease, transfer of antibiotic resistance, obesity and diabetes, inflammatory bowel disease, pathogenic infections, and cancer. However, there is limited ability to non-destructively and/or non-invasively interrogate the gut. Novel non-destructive or non-invasive strategies are in demand.
Embodiments of the present disclosure are based on genetic engineered Escherichia coli and gut coliform bacteria having genome integrated genetic memory circuits that can accurately senses specific environmental conditions in the gut long after the initial stimulus has been removed. For example, sensing antibiotic exposure. Therefore, specific genetic engineered bacteria can be designed for diagnostic/prognosis purposes, to monitor, indicate and/or report certain environmental conditions of interest in the gut without resorting to invasive endoscopy, colonoscopy and/or flexible sigmoidoscopy. Furthermore, specific genetic engineered bacteria can be designed for the delivery of therapeutics to the gut when certain environmental conditions of interest occur in the gut.
It is the objective of this disclosure to provide genetic engineered unicellular organism such as a bacterium having a genome-integrated genetic memory circuits for use in diagnostic, prognosis, and therapeutic purposes in the gastrointestinal tract of a mammal. The gastrointestinal tract would include the colon.
It is also the objective of this disclosure to provide methods of detecting environmental conditions of interest in the colon or the gastrointestinal tract using the genetic engineered unicellular organism such as engineered bacteria having genome integrated genetic memory circuits.
It is also the objective of this disclosure to provide methods of treating conditions of interest in the colon or the gastrointestinal tract using the genetic engineered unicellular organism such as engineered bacteria having genome integrated genetic memory circuits. For example, conditions such as colorectal cancer or colitis.
Accordingly, in one embodiment, provided herein is an engineered unicellular organism comprising a memory circuit comprising a bacteriophage-reporter element-based memory element comprising two antagonistic transcription factors or gene regulatory factors; and an inducible transcription factor-based trigger element which produces a triggering transcription factor upon induction, wherein the triggering transcription factor is operably linked to an inducible promoter, wherein the inducible promoter is responsive to a stimulus, and wherein the memory circuit is integrated into the genome of the organism. The reporter element of memory element comprises a reporter gene that is operably-linked to the one of the two antagonistic transcription factors of the memory element. In the absence of the stimulus that can induce the inducible transcription factor-based trigger element, the memory element is in the OFF state wherein the reporter element does not transcribe the reporter gene. In the presence of the stimulus, the inducible transcription factor-based trigger element is induced to produce the triggering transcription factor which turns the memory element to the ON state wherein the reporter element transcribes the reporter gene.
In one embodiment, the bacteriophage-reporter element-based memory element comprises two antagonistic transcription factors or gene regulatory factors and a reporter element. For example, the lambda phage-based cI/Cro. In one embodiment, each of the two antagonistic transcription factors or gene regulatory factors is operably linked to a respective promoter, wherein the function of each promoter is inhibited by the transcription factor or gene regulatory factor that is not operably-linked to it. In one embodiment, the reporter element comprises a reporter gene which is operably-linked to the one of the two antagonistic transcription factors of the memory element. In one embodiment, the triggering transcription factor is one of the two antagonistic transcription factors comprising the memory element.
In one embodiment, provided herein is a method of detecting a stimulus in a multicellular organism, the method comprising administering an engineered unicellular organism described herein to the subject, wherein the inducible promoter encompassed within the engineered unicellular organism described is responsive to the stimulus.
In one embodiment, provided herein is a method of detecting a stimulus in the subject, the method comprising (a) administering an engineered unicellular organism described herein to the subject, wherein the inducible promoter is responsive to the stimulus; (b) collecting a sample from the subject after a period of time after administering the engineered unicellular organism; and (c) measuring the expression or action of a reporter element to indicate the state of the memory element of the circuit in the engineered unicellular organism wherein the detectable expression or action of the reporter element encompassed within the engineered unicellular organism described indicates the presence of the stimulus and the presence of a condition caused by microbiota in the subject. In one embodiment, the organism is bacteria. In one embodiment, the sample is a fecal sample.
In one embodiment, provided herein is a method of detecting for cancer in the colon or the gastrointestinal tract in a subject in need thereof, the method comprising (a) administering an engineered unicellular organism described herein, wherein the inducible promoter encompassed within the engineered unicellular organism described is responsive a symptom or biomarker that is known to occur when colorectal cancer is present; (b) collecting a biological sample from the subject after a period of time after administering the engineered unicellular organism; and (c) measuring the expression of the reporter element from the memory element of the circuit in the engineered wherein the detectable expression or action of the reporter element indicates the presence of the a symptom or biomarker that is known to occur when colorectal cancer is present and the likelihood of cancer in the colon of the subject. In one embodiment, the biological sample is a fecal sample.
In one embodiment, provided herein is a method of detecting pathogenic bacterial infection in the colon or the gastrointestinal tract in a subject in need thereof, the method comprising (a) administering an engineered unicellular organism described herein, wherein the inducible promoter encompassed within the engineered unicellular organism described is responsive a symptom or biomarker that is known to occur when as an enteric pathogenic bacterium is present; (b) collecting a biological sample of from the subject after a period of time after administering the engineered unicellular organism; and (c) measuring the expression of or action of the reporter element indicating the state of the memory element of the circuit in the engineered organism wherein the detectable expression of the reporter element indicates the presence of the symptom or biomarker that is known to occur when as an enteric pathogenic bacterium is present and the presence of pathogenic bacterial infection in the colon of the subject. In one embodiment, the biological sample is a fecal sample.
In one embodiment, provided herein is a method of detecting inflammation in the colon or the gastrointestinal tract in a subject in need thereof, the method comprising (a) administering an engineered unicellular organism described herein, wherein the inducible promoter encompassed within the engineered unicellular organism described is responsive a symptom or biomarker that is known to occur when inflammation is present; (b) collecting a biological sample of from the subject after a period of time after administering the engineered unicellular organism; and (c) measuring the expression or action of the reporter element from the memory element of the circuit in the engineered unicellular organism wherein the detectable expression or action of the reporter element indicates the presence of the a symptom or biomarker that is known to occur when inflammation is present and the likelihood of inflammation in the colon of the subject. In one embodiment, the biological sample is a fecal sample.
In one embodiment, provided herein is a method of distinguishing colitis from Crohn's disease in the colon in a subject in need thereof, the method comprising (a) administering an engineered unicellular organism described herein to a subject, wherein the inducible promoter encompassed within the engineered unicellular organism described is responsive to a symptom or biomarker that is known to occur when inflammation is present; (b) administering a second engineered organism described herein to a subject, wherein the inducible promoter is responsive to a symptom or biomarker that is known to occur when a pathogenic bacteria in the colon; (c) collecting a biological sample from the subject after a period of time after the administration steps; and (d) measuring the expression or action of the reporter element from the memory element of the circuit in the first and second engineered unicellular organisms. In one embodiment, the biological sample is a fecal sample.
In one embodiment, provided herein is a method of monitoring the efficacy of a therapy for a colon or the gastrointestinal tract condition in a subject comprising (a) performing a method described herein comprising an engineered unicellular organism at a first time point; (b) performing a method described herein comprising an engineered organism at a second time point, wherein the method in the first time point and second time point are the same and the second time point is after administering at least one therapy; (c) comparing the expression or action of the reporter element from the first time point with that of the second time point, wherein a decrease in the expression or action of the reporter element encompassed within the engineered unicellular organism described is indication of effective therapy and wherein an increase or no change in the expression of the reporter element is indication of ineffective therapy. In one embodiment, the biological sample is a fecal sample.
In one embodiment, the unicellular organism is a bacterium. For example, Escherichia coli.
In one embodiment, the stimulus is an indicator of a condition in the subject. For example, tetrathionate and nitric oxide.
In one embodiment, the condition in the colon or the gastrointestinal tract is caused by the microbiota. For example, Fusobacterium nucleatum, Bilophila wadsworthia, pathogenic E. coli, and Salmonella sp.
In one embodiment, the method further comprises collecting a biological sample of matter from the subject after administering the engineered organism to the subject. In one embodiment, the biological sample is a fecal sample.
In one embodiment, the method further comprises measuring for the expression of the reporter element in the subject's biological sample wherein the expression or action of the reporter element indicates the presence of the stimulus and the presence of the corresponding condition in the subject.
In one embodiment, the method further comprises selecting a subject for detecting. In one embodiment, the subject has or is suspected of having a colon or the gastrointestinal tract condition described herein.
In one embodiment, the subject has or is at risk of developing a condition caused by the microbiota. For example, Fusobacterium nucleatum, Bilophila wadsworthia, pathogenic E. coli, and Salmonella sp.
In one embodiment, the two antagonistic transcription factors or gene regulatory factors are cI and Cro.
In one embodiment, the stimulus is a particular environmental condition or marker of interest in the gut of a subject. In one embodiment, the stimulus is the microbiota in the gut of the subject. In other embodiments, the stimulus includes but is not limited to small molecules such as tetracycline, tetrathionate, reactive oxygen species, calprotectin, lactoferrin, and hydrogen sulfide gas (H2S)) or endogenous two-component systems or gene-regulatory networks.
In one embodiment, the stimulus is the inducer described in Table 3 or the target of interest in Table 4.
In one embodiment, provided herein is an engineered unicellular organism such as a bacterium comprising a memory circuit comprising a lambda phage-based cI/Cro-reporter gene-based memory element, and an inducible Cro-based or cI-based trigger element, wherein the lambda phage-based c I/Cro regulates a reporter gene within the memory element, wherein the reporter gene is operably linked to Cro expression in the memory element, wherein Cro or cI in the trigger element is operably linked to an inducible promoter, wherein the inducible promoter is responsive to a trigger agent, wherein the inducible Cro-based or cI-based trigger element produces the trigger transcription factor Cro or I in the presence of the trigger agent, and wherein the memory circuit is integrated into the genome of the bacteria. In one embodiment, the trigger agent is an indicator of a particular environmental condition of interest in the colon of a subject. In one embodiment, the subject is a mammal, for example, a primate mammal, a human.
In another embodiment, provided herein is a method of detecting a target in the colon or gastrointestinal tract in a subject, the method comprising administering any engineered unicellular organism described herein to the subject, wherein the inducible promoter encompassed within the engineered unicellular organism described is responsive to the target, collecting a sample of fecal matter from the subject after a period of time after the administration step; and measuring the expression of the reporter gene from the memory element of the circuit in the engineered unicellular organism wherein the detectable expression of the reporter gene indicates the presence of the target and the presence of a condition in the colon or gastrointestinal tract of the subject. In one embodiment, the presence of the target in the colon or gastrointestinal tract indicates a particular condition in the colon or gastrointestinal tract. For example, the target is the microbiota in the gut such as F. nucleatum, B. wadsworthia, pathogenic E. coli, and Salmonella sp. Presences of these bacteria indicate colon cancer.
In another embodiment, provided herein is a method of detecting cancer in the colon or gastrointestinal tract in a subject in need thereof, the method comprising administering any engineered unicellular organism described herein to a subject, wherein the inducible promoter encompassed within the engineered unicellular organism described is responsive to a symptom or biomarker that is known to occur when colorectal cancer is present; collecting a sample of fecal matter from the subject after a period of time after the administration step; and measuring the expression of the reporter gene from the memory element of the circuit in the engineered unicellular organism wherein the detectable expression of the reporter gene indicates the presence of a trigger agent and the likelihood of cancer in the colon of the subject.
In one embodiment of the method, the symptom or biomarker that is known to occur when colorectal cancer is present is selected from the group consisting of inflammation, an increase in H2S levels, the presence of B. wadsworthia and/or F. nucleatum, an increase in the sdiA antigen of a sdiA receptor, and an increase in the overall population of Escherichia coli or Psuedomons sp. in the colon or gastrointestinal tract.
In one embodiment of the method, more than one symptom or biomarker that is known to occur when colorectal cancer is present are monitored in order to determine the presence of cancer. In this embodiment, the method comprises more than one type of engineered bacteria, wherein each type of engineered unicellular organism is designed to be responsive to a symptom or biomarker described herein that is known to occur when colorectal cancer is present.
In one embodiment of any methods described, inflammation is detected by the presence of reactive oxygen species (ROS), or tetrathionate which is formed as a result of ROS. H2S can be detected by the dsrABEFHCMKLJOPNRS operon from Allochromatium vinosum. In one embodiment, an increase in H2S levels indicates the presence of B. wadsworthia or F. nucleatum, which correlate with colorectal cancer. sdiA is a reporter system in E. coli that senses the population levels of other E. coli. Because the population of E. coli in healthy people is steady, increases in E. coli population will trigger the sdiA response element in an sdiA inducible trigger element, which would indicate presence of a pathogenic strain.
In another embodiment, provided herein is a method of detecting enteric pathogenic bacterial infection in the colon or gastrointestinal tract in a subject in need thereof, the method comprising administering an engineered unicellular organism described herein to a subject, wherein the inducible promoter encompassed within the engineered unicellular organism described is responsive to a symptom or biomarker that is known to occur when a pathogenic bacteria in the colon or gastrointestinal tract; collecting a sample of fecal matter from the subject after a period of time after the administration step; and measuring the expression of the reporter gene from the memory element of the circuit in the engineered unicellular organism, wherein the symptom or biomarker that is known to occur when a pathogenic bacteria in the colon is inflammation, ROS, or tetrathionate, and wherein the detectable expression of the reporter gene indicates the presence of the trigger agent and the presence of pathogenic bacterial infection in the colon of the subject. In one embodiment, inflammation can be detected by the presence of ROS, or tetrathionate which is formed as a result of ROS.
In another embodiment, provided herein is a method of detecting inflammation in the colon or gastrointestinal tract in a subject in need thereof, the method comprising administering an engineered unicellular organism described herein to a subject, wherein the inducible promoter encompassed within the engineered unicellular organism described is responsive to a symptom or biomarker that is known to occur when inflammation is present; collecting a sample of fecal matter from the subject after a period of time after the administration step; and measuring the expression of the reporter gene from the memory element of the circuit in the engineered bacteria. wherein the symptom or biomarker that is known to occur when inflammation is present is ROS, NO, tetrathionate, H2S, calprotectin or lactoferrin, and wherein the detectable expression of the reporter gene indicates the presence of the trigger agent and the likelihood of inflammation in the colon of the subject. In some embodiments, the symptom or biomarker that is known to occur when inflammation is present include but are not limited to reactive oxygen species such as oxyRS and soxRS; tetrathionate, H2S, calprotectin and lactoferrin.
In another embodiment, provided herein is a method of distinguishing colitis from Crohn's disease in the colon or gastrointestinal tract in a subject in need thereof, the method comprising: administering a first engineered unicellular organism described herein to a subject, wherein the inducible promoter encompassed within the engineered unicellular organism described is responsive to a symptom or biomarker that is known to occur when inflammation is present; administering a second engineered unicellular organism described herein to a subject, wherein the inducible promoter is responsive to a symptom or biomarker that is known to occur when a pathogenic bacteria in the colon; collecting a sample of fecal matter from the subject after a period of time after the administration step; and measuring the expression of the reporter gene from the memory element of the circuit in the first and second engineered bacteria.
It is known that inflammation is present in both these diseases. In one embodiment, the detectable expression of the reporter genes from either the first and second engineered unicellular organism described indicates the presence of inflammation and therefore preliminarily indicates the possible presence of colitis or Crohn's disease. In one embodiment, the detectable expressions of the reporter genes from both the first and second engineered unicellular organism described, and/or the detectable presence of inflammation and the presence of specific bacteria distinguished between the two conditions, colitis or Crohn's disease, and/or other conditions that may cause inflammation.
In another embodiment, provided herein is a method of monitoring the efficacy of a therapy for a colon or gastrointestinal tract condition in a subject comprising performing a method comprising an engineered unicellular organism described herein at a first time point; performing a method comprising an engineered unicellular organism described herein at a second time point, wherein the method in the first time point and second time point are the same and the second time point is after administering at least one therapy; comparing the expression of the reporter gene from the first time point with that of the second time point, wherein a decrease in the expression of the reporter gene is indication of effective therapy and wherein an increase or no change in the expression of the reporter gene is indication of ineffective therapy.
In another embodiment, provided herein is a formulation comprising an engineered unicellular organism described herein.
In one aspect, this disclosure relates to the use of engineered unicellular organism described herein for detecting cancer in the colon or gastrointestinal tract in a subject.
In another aspect, this disclosure relates to the use of engineered unicellular organism described herein for detecting pathogenic bacterial infection in the colon or gastrointestinal tract in a subject.
In another aspect, this disclosure relates to the use of engineered unicellular organism described herein for detecting inflammation in the colon or gastrointestinal tract in a subject.
In another aspect, this disclosure relates to the use of engineered unicellular organism described herein for distinguishing colitis from Crohn's disease in the colon or gastrointestinal tract in a subject.
In another aspect, this disclosure relates to the use of engineered unicellular organism described herein for monitoring the efficacy of a therapy for a colon or gastrointestinal tract condition in a subject. For example, treatment of colitis and Crohn's disease.
In one embodiment, the engineered unicellular organism is an engineered bacterium. For example, E. coli.
In one embodiment of the engineered unicellular organism, the memory circuit in maintained in the unicellular organism without any antibiotic or metabolic selection.
In one embodiment of any engineered unicellular organism or bacterium described, the memory circuit comprises the lambda phage sequences of PL, OL, cI and Cro. In one embodiment of any engineered unicellular organism or bacterium described, the memory circuit further comprises the lambda phage sequences rexA and rexB. In one embodiment of any engineered unicellular organism or bacterium described, the memory circuit comprises the lambda phage sequences of PL, OL, rexA, rexB, cI and Cro. In one embodiment of any memory circuit in any engineered unicellular organism or bacterium described, the lambda phage PL, OL, rexA, rexB, cI and Cro sequences are arranged in the following order: PL, OL, rexA, rexB, cI and Cre. In one embodiment, PL, OL, rexA, rexB, cI and Cre sequences are arranged in the normal prophage orientation.
In one embodiment any methods described, any reporter gene that can be express and produces measurable or detectable signal readout can be used in the memory element. In one embodiment any methods described, the reporter gene encompassed within the bacteriophage-reporter element-based memory element is selected from a group consisting of β-galactosidase (LacZ), chloramphenicol acetyltransferase (CAT), neomycin phosphotransferase (G418), bacteria luciferase (LuxAB), a fluorescent protein (FP), alkaline phosphatase (PhoA), and p-glucuronidase (GUS), and leptin. In some embodiments, the FP is selected from green fluorescent protein, yellow fluorescent protein, red fluorescent protein, cyan fluorescent protein, blue fluorescent protein, Far-red fluorescent protein, true-red fluorescent protein, and infra-red fluorescent protein.
In one embodiment, the inducible promoter is responsive to a stimulus or a target.
In one embodiment, the inducible promoter is responsive to tetracycline. In other embodiments the inducible promoter is responsive to but not limited to tetrathionate, calprotectin, lactoferrin, hydrogen sulfide (H2S), reactive oxygen species such as hydrogen peroxide, nitric oxide (NO), and superoxide, undesirable pathogenic bacteria such as E. coli NC101, Salmonella typhimurium, B. wadswortia, and F. nucleatum.
In another embodiment, provided herein is a method of detecting a target in the colon or gastrointestinal tract of a subject, the method comprising administering engineered bacteria described herein to the subject, wherein the inducible promoter encompassed within the engineered bacteria described is responsive to the target, and wherein the engineered bacteria described herein indicates the presence of the target in the colon. In other words, the engineered bacteria described herein “sense” the presence of the target in the colon and report the detected presence of the target via the regulated expression of the reporter gene encoded which in the memory element in the engineered bacteria.
In one embodiment, the target is an indicator of a condition in the colon or gastrointestinal tract. In some embodiments, several targets in combination indicate a condition in the colon. For example, the target can be H2S, NO, super oxide or tetrathionate. All these targets individually indicate the presence of inflammation in the colon or gastrointestinal tract.
In one embodiment, more than one type of engineered bacteria described herein is administered to the subject in order to ascertain the presence or absence of a particular condition in the colon of the subject. In one embodiment, each type of engineered bacteria described herein indicates the presence or absence of a single target in the colon or gastrointestinal tract.
In one embodiment, the method further comprises collecting a sample of fecal matter from the subject after administering the engineered bacteria to the subject.
In one embodiment, the method further comprises measuring for the expression of the reporter gene in the sample of fecal matter wherein the detectable expression of the reporter gene indicates the presence of the target and the presence of the condition in the colon of the subject.
In one embodiment, the method further comprises selecting a subject for detecting.
In one embodiment, the subject has or is at risk of developing a colon condition.
In some embodiments, the target includes but is not limited tetrathionate, reactive oxygen species (ROS), H2S, SdiA, bacteria enterotoxins, calprotectin and lactoferrin. Essentially anything that bacteria can detect through a two-component signaling system can serve as the target for detection. In some embodiments, the target includes the presence of metabolites such as amino acids, or other carbon sources such as arabinose.
In one embodiment, the colon condition is cancer, inflammation, pathogenic bacterial infection, inflammatory bowel disease (IBD) such as Crohn's disease, colitis, and diabetes. In one embodiment, the colon condition is detected and identified by detecting an increase in inflammation in the colon. Recent publications have indicated that disruptions to the balance of the microbiota and the immune system lead to increases in inflammation that lead to virtually every inflammation-based and over-active immune system-based disease. This includes diabetes, arthritis, and allergies. In another embodiment, the colon condition is detected and identified by detecting an increase in inflammation in the colon and the presence of at least one symptom of cancer, inflammation, pathogenic bacterial infection, inflammatory bowel disease (IBD) such as Crohn's disease, colitis, and diabetes.
For convenience, certain terms employed in the entire application (including the specification, examples, and appended claims) are collected here. Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs.
As used herein, the term “comprising” or “comprises” is used in reference to methods, and respective component(s) thereof, that are essential to the invention, yet open to the inclusion of unspecified elements, whether essential or not. The use of “comprising” indicates inclusion rather than limitation.
As used herein, the term “gut” refers to the alimentary canal or gastrointestinal tract or a portion thereof, including the mouth, stomach, small intestine, large intestine, colon, rectum and anus.
As used herein, the term “pharmaceutically acceptable”, and grammatical variations thereof, as they refer to compositions, carriers, diluents and reagents, are used interchangeably and represent that the materials are capable of administration to or upon a mammal without the production of undesirable physiological effects such as nausea, dizziness, gastric upset and the like. Each carrier must also be “acceptable” in the sense of being compatible with the other ingredients of the formulation. The preparation of a pharmacological composition that contains active ingredients dissolved or dispersed therein is well understood in the art and need not be limited based on formulation. The pharmaceutical formulation contains a compound of the invention in combination with one or more pharmaceutically acceptable ingredients. The carrier can be in the form of a solid, semi-solid or liquid diluent, cream or a capsule. Typically such compositions are prepared as injectable either as liquid solutions or suspensions, however, solid forms suitable for solution, or suspensions, in liquid prior to use can also be prepared. The preparation can also be emulsified or presented as a liposome composition. The active ingredient can be mixed with excipients which are pharmaceutically acceptable and compatible with the active ingredient and in amounts suitable for use in the therapeutic methods described herein. Suitable excipients are, for example, water, saline, dextrose, glycerol, ethanol or the like and combinations thereof. In addition, if desired, the composition can contain minor amounts of auxiliary substances such as wetting or emulsifying agents, pH buffering agents and the like which enhance the effectiveness of the active ingredient. The therapeutic composition of the present invention can include pharmaceutically acceptable salts of the components therein. Pharmaceutically acceptable salts include the acid addition salts (formed with the free amino groups of the polypeptide) that are formed with inorganic acids such as, for example, hydrochloric or phosphoric acids, or such organic acids as acetic, tartaric, mandelic and the like. Salts formed with the free carboxyl groups can also be derived from inorganic bases such as, for example, sodium, potassium, ammonium, calcium or ferric hydroxides, and such organic bases as isopropylamine, trimethylamine, 2-ethylamino ethanol, histidine, procaine and the like. Physiologically tolerable carriers are well known in the art. Exemplary liquid carriers are sterile aqueous solutions that contain no materials in addition to the active ingredients and water, or contain a buffer such as sodium phosphate at physiological pH value, physiological saline or both, such as phosphate-buffered saline. Still further, aqueous carriers can contain more than one buffer salt, as well as salts such as sodium and potassium chlorides, dextrose, polyethylene glycol and other solutes. Liquid compositions can also contain liquid phases in addition to and to the exclusion of water. Exemplary of such additional liquid phases are glycerin, vegetable oils such as cottonseed oil, and water-oil emulsions. The amount of an active agent used in the invention that will be effective in the treatment of a particular disorder or condition will depend on the nature of the disorder or condition, and can be determined by standard clinical techniques. The phrase “pharmaceutically acceptable carrier or diluent” means a pharmaceutically acceptable material, composition or vehicle, such as a liquid or solid filler, diluent, excipient, solvent or encapsulating material, involved in carrying or transporting the subject agents from one organ, or portion of the body, to another organ, or portion of the body. A pharmaceutically acceptable carrier will not promote the raising of an immune response to an agent with which it is admixed, unless so desired.
As used herein, “administered” refers to the placement of one or more type of engineered bacteria described herein, or a composition comprising into one or more type of engineered bacteria described here in a subject by a method or route which results in at least partial localization of the engineered bacteria to a desired site. In some embodiments, the desired site is anywhere along the gut. Modes of administration include injection, infusion, instillation, or ingestion. “Injection” includes, without limitation, intravenous, intramuscular, intraarterial, intrathecal, intraventricular, intracapsular, intraorbital, intracardiac, intradermal, intraperitoneal, transtracheal, subcutaneous, subcuticular, intraarticular, sub capsular, subarachnoid, intraspinal, intracerebro spinal, and intrasternal injection and infusion.
As used herein, “operably linked” is intended to mean that a nucleotide sequence of interest is linked to the regulatory sequence(s) in a manner which allows for expression of the nucleotide sequence (e.g., in an in vitro transcription/translation system or in a target cell when the vector is introduced into the target cell). The term “regulatory sequence” is intended to include promoters, enhancers and other expression control elements (e.g., polyadenylation signals). Such regulatory sequences are described, for example, in Goeddel; Gene Expression Technology: Methods in Enzymology 185, Academic Press, San Diego, Calif. (1990). Regulatory sequences include those which direct constitutive expression of a nucleotide sequence in many types of host cell and those which direct expression of the nucleotide sequence only in certain host cells (e.g., tissue-specific regulatory sequences).
As used herein, “a symptom or biomarker that is known to occur when colorectal cancer is present” includes but not limited to detect inflammation, anaerobic conditions, an increase in H2S levels, the presence of B. wadsworthia or F. nucleatum, an increase in the sdiA antigen of a sdiA receptor, and an increase in the overall population of E. coli in the colon, and secondary metabolites that may indicate the presence of a pro-tumor environment.
As used herein, “a symptom or biomarker that is known to occur when inflammation is present in the colon” includes but not limited to ROS, H2S, calprotectin or lactoferrin, hydrogen peroxide, nitric oxide, superoxide, and tetrathionate.
As used herein, “a symptom or biomarker that is known to occur when an enteric pathogen bacteria is present in the colon” includes but is not limited to inflammation, ROS, tetrathionate, species specific quorum signals and pathogen specific metabolites such as H2S.
As used herein, in one embodiment, the term “memory circuit” refers to a gene-based “device” comprising a (1) memory element and (2) a trigger element, wherein the memory element further comprises a (3) reporter element.
As used herein, in one embodiment, the term “memory element” refers to a genetic element comprising mutually exclusive, transcriptional auto-feedback loops defining distinct transcriptional states regulated by the expressions of antagonistic transcription factors.
As used herein, in one embodiment, the term “trigger element” refers to a genetic element comprising a stimulus-responsive promoter driving the expression of a trigger transcription factor that will induce the memory element to switch state from OFF to ON. In one embodiment, the trigger transcription factor from the trigger element is the trigger transcription factor that would upregulate the expression of the reporter gene encompassed within the memory element. In one embodiment, the trigger transcription factor from the trigger element is one of the antagonistic transcription factors comprising the memory element.
As used herein, in one embodiment, the term “reporter element” refers to a genetic element comprising promoters responsive to the state of the memory element, wherein the responsive promoters are operably linked to a reporter gene, and the reporter element produces a detectable signal that indicates the state of the memory element. In some embodiments, the detectable signal comprises a change in protein expression or DNA rearrangement. In some embodiments, the change in protein expression or DNA rearrangement is detected as a change in fluorescence over a reference level of fluorescence. In one embodiment, the reference level of fluorescence is the background level of fluorescence in the absence of protein expression or DNA rearrangement.
As used herein, in one embodiment, the term “genetic element” refers to elements comprising nucleic acid sequences, for example, deoxyribonucleic acid and ribonucleic acid.
As used herein, in one embodiment, the term “antagonistic transcription factors” refer to DNA binding proteins that act to upregulate self-expression and downregulate the expression of the competing transcription factor.
As used herein, in one embodiment, the term “stimulus” refers to a small molecule, protein, or environmental state that acts to upregulate transcription from a transcriptional promoter.
As used herein, “a stimulus-responsive promoter” is a promoter comprising at least one responsive element that is operably linked to drive the expression of a trigger transcription factor.
As used herein, in one embodiment, the phrase “a disease related to the microbiota” refers to a condition selected from the group consisting of cancer, inflammation, pathogenic bacterial infection, inflammatory bowel disease (IBD), Crohn's disease, colitis, rheumatoid arthritis, and diabetes.
As used herein, in one embodiment, the phrase “the expression or action of the reporter element” refers to the expression of the reporter gene encompassed within the reporter element.
As used herein, the term “microbiota” refers to the collection of the microorganisms of a particular site, habitat, or geological period. For example, gut microbiota (formerly called gut flora) is the name given today to the microbe population living in the intestine of a subject.
In one embodiment, as used herein, the term “detectable expression” or “detectable signal” when used in the context of the expression or action of reporter gene of the memory element to indicate the corresponding condition of the colon, gastrointestinal tract, target or stimulus means that the reporter expression level or action level is over the background level wherein the background expression or signal is that obtained in the absence of the any fecal matter or engineered unicellular organism when an appropriate detection method is used for assessing the expression or action of reporter gene or the background expression or signal is that obtained in healthy subjects having the engineered unicellular organisms. The protein expression is converted to a signal that can be measured and determined, e.g. a color precipitate or fluorescence. For example, if the signal is protein fluorescence, then “detectable expression” or “detectable signal” means fluorescence over that of background fluorescence reading in the absence of any fecal matter or engineered unicellular organism using the same fluorescence detection method.
In one embodiment, as used herein, the term “detectable expression” or “detectable signal” when used in the context of the expression or action of reporter gene in the memory element to indicate the corresponding condition of the colon, gastrointestinal tract, target or stimulus means that the reporter expression or action level is at least 2.5% increase over a reference level.
In one embodiment, the reference level is the background expression or signal obtained in the absence of the any fecal matter or engineered unicellular organism when an appropriate detection method is used for assessing the expression or action of reporter gene.
In one embodiment, the reference level is the background expression or signal obtained in healthy subjects having the engineered unicellular organisms when an appropriate detection method is used for assessing the expression or action of reporter gene. Healthy subjects would not have any inducers or biomarkers that would activate the trigger element.
In one embodiment, the reference level is the average background detectable expression or signal obtained in the absence of the any fecal matter or engineered unicellular organism or the average background expression or signal obtained in healthy subjects having the engineered unicellular organisms when an appropriate detection method is used for assessing the expression or action of reporter gene. The background is obtained by taking at least 10 separate and independent measurements (i.e., n>10) and the average background is calculated.
In one embodiment, the reference level is the average detectable expression or signal obtained from the fecal matter or engineered unicellular organisms obtained from healthy subjects known not to have condition of the colon, gastrointestinal tract, target or stimulus of interest. The average detectable expression or signal is obtained from a population of healthy subjects known not to have condition of the colon, gastrointestinal tract, target or stimulus of interest. For example, average detectable expression or signal is obtained from a population of at least 25 healthy subjects.
In some embodiments, as used herein, the term “detectable expression” or “detectable signal” when used in the context of the expression or action of reporter gene of the memory element to indicate the corresponding condition of the colon, gastrointestinal tract, target or stimulus means that the reporter expression or action level is least one or two standard deviation increase over a reference level, wherein the reference level is an average value from a collection of at least n>10 data points.
In some embodiments, the increase of the expression or action of reporter gene is by at least 2.5%, at least 5%, at least 7.5%, at least 10%, at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, up to and including 100% over the reference level.
In some embodiments, the increase of the expression or action of reporter gene is by at least one standard deviation or at least two standard deviations over the average reference level.
Unless otherwise explained, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this disclosure belongs. Definitions of common terms in molecular biology may be found in Benjamin Lewin, Genes IX, published by Jones & Bartlett Publishing, 2007 (ISBN-13: 9780763740634); Kendrew et al. (eds.), The Encyclopedia of Molecular Biology, published by Blackwell Science Ltd., 1994 (ISBN 0-632-02182-9); and Robert A. Meyers (ed.), Molecular Biology and Biotechnology: a Comprehensive Desk Reference, published by VCH Publishers, Inc., 1995 (ISBN 1-56081-569-8). Further, unless otherwise required by context, singular terms shall include pluralities and plural terms shall include the singular.
Unless otherwise stated, the present invention was performed using standard procedures known to one skilled in the art, for example, in Maniatis et al., Molecular Cloning: A Laboratory Manual, Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y., USA (1982); Sambrook et al., Molecular Cloning: A Laboratory Manual (2 ed.), Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y., USA (1989); Davis et al., Basic Methods in Molecular Biology, Elsevier Science Publishing, Inc., New York, USA (1986); Current Protocols in Molecular Biology (CPMB) (Fred M. Ausubel, et al. ed., John Wiley and Sons, Inc.), Current Protocols in Immunology (CPI) (John E. Coligan, et. al., ed. John Wiley and Sons, Inc.), Current Protocols in Cell Biology (CPCB) (Juan S. Bonifacino et. al. ed., John Wiley and Sons, Inc.), Culture of Animal Cells: A Manual of Basic Technique by R. Ian Freshney, Publisher: Wiley-Liss; 5th edition (2005), Animal Cell Culture Methods (Methods in Cell Biology, Vol. 57, Jennie P. Mather and David Barnes editors, Academic Press, 1st edition, 1998), Methods in Molecular biology, Vol. 180, Transgenesis Techniques by Alan R. Clark editor, second edition, 2002, Humana Press, and Methods in Molecular Biology, Vo. 203, 2003, Transgenic Mouse, editored by Marten H. Hofker and Jan van Deursen, which are all herein incorporated by reference in their entireties.
It should be understood that this invention is not limited to the particular methodology, protocols, and reagents, etc., described herein and as such may vary. The terminology used herein is for the purpose of describing particular embodiments only, and is not intended to limit the scope of the present invention, which is defined solely by the claims.
Other than in the operating examples, or where otherwise indicated, all numbers expressing quantities of ingredients or reaction conditions used herein should be understood as modified in all instances by the term “about.” The term “about” when used in connection with percentages will mean±1%.
All patents and publications identified are expressly incorporated herein by reference for the purpose of describing and disclosing, for example, the methodologies described in such publications that might be used in connection with the present invention. These publications are provided solely for their disclosure prior to the filing date of the present application. Nothing in this regard should be construed as an admission that the inventors are not entitled to antedate such disclosure by virtue of prior invention or for any other reason. All statements as to the date or representation as to the contents of these documents is based on the information available to the applicants and does not constitute any admission as to the correctness of the dates or contents of these documents.
Embodiments of the present disclosure are based on genetic engineered Escherichia coli and gut coliform bacteria having genome integrated genetic memory circuits that can accurately senses specific environmental conditions in the gut long after the initial stimulus has been removed. The inventors showed that Escherichia coli engineered with a synthetic, compact genetic switch can sense antibiotic exposure during passage through the mouse gut. Further, the inventors showed that the engineered bacteria accurately senses, remembers and reports on the specific environmental conditions in the mouse gut, long after the initial stimulus has been removed; long after the removal of the stimulus. The inventors also showed that the designed genetic memory circuit can be transferred to a murine gut coliform bacterium, retaining the same stability and switching properties as in E. coli K12 in vitro and in vivo, and surviving among the gut microbiome in the absence of antibiotic selection. This work lays the foundation for the use of synthetic genetic circuits as living diagnostics and therapeutics.
Therefore, specific genetic engineered bacteria can be designed for diagnostic and/or prognosis purposes, to monitor, indicate and/or report certain environmental conditions of interest in the gut without resorting to invasive endoscopy, colonoscopy and/or flexible sigmoidoscopy. Furthermore, specific genetic engineered bacteria can be designed for delivery of therapeutics to the gut when certain environmental conditions of interest occur in the gut.
Accordingly, in one embodiment, provided herein is an engineered unicellular organism comprising a memory circuit comprising a bacteriophage-reporter element-based memory element comprising two antagonistic transcription factors or gene regulatory factors; and an inducible transcription factor-based trigger element which produces a triggering transcription factor upon induction, wherein the triggering transcription factor is operably linked to an inducible promoter, wherein the inducible promoter is responsive to a stimulus, and wherein the memory circuit is integrated into the genome of the organism. The reporter element of memory element comprises a reporter gene that is operably-linked to the one of the two antagonistic transcription factors of the memory element. In the absence of the stimulus that can induce the inducible transcription factor-based trigger element, the memory element is in the OFF state wherein the reporter element does not transcribe the reporter gene. In the presence of the stimulus, the inducible transcription factor-based trigger element is induced to produce the triggering transcription factor which turns the memory element to the ON state wherein the reporter element transcribes the reporter gene.
In one embodiment, the bacteriophage-reporter element-based memory element comprises two antagonistic transcription factors or gene regulatory factors and a reporter element. For example, the lambda phage-based cI/Cro. In one embodiment, each of the two antagonistic transcription factors or gene regulatory factors is operably linked to a respective promoter, wherein the function of each promoter is inhibited by the transcription factor or gene regulatory factor that is not operably-linked to it. In one embodiment, the reporter element comprises a reporter gene which is operably-linked to the one of the two antagonistic transcription factors of the memory element. In one embodiment, the triggering transcription factor is one of the two antagonistic transcription factors comprising the memory element.
In one embodiment, provided herein is an engineered unicellular organism such as a bacterium, wherein the organism comprises a memory circuit comprising a lambda phage-based cI/Cro-reporter gene-based memory element, and an inducible Cro-based or cI-based trigger element, wherein the lambda phage-based cI/Cro regulates the expression of the reporter gene encompassed within the memory element, wherein Cro or cI in the trigger element is operably linked to an inducible promoter, wherein the inducible promoter is responsive to a trigger agent, and wherein the memory circuit is integrated into the genome of the organism. In one embodiment, the trigger agent is an indicator of a particular environmental condition of interest in the colon of a subject. For example, the condition is inflammation or cancer. In one embodiment, the subject is a mammal, for example, a primate mammal, a human.
In one embodiment, provided herein is an engineered unicellular organism such as a bacterium, wherein the organism comprises a memory circuit comprising a lambda phage-based cI/Cro-reporter gene-based memory element, and an inducible Cro-based or cI-based trigger element, wherein the lambda phage-based cI/Cro regulates the expression of the reporter gene encompassed within the memory element, wherein Cro or cI in the trigger element is operably linked to an inducible promoter, wherein the inducible promoter is responsive to a trigger agent, and wherein the memory circuit is integrated into the genome of the organism, wherein the engineered unicellular organism can sense a trigger element selected from the group consisting of hydrogen peroxide, hydrogen sulfide, NO, quoram signal of pathogenic E. coli, elastase, heme, iron, superoxide and tetrathionate.
In another embodiment, provided herein is a method of detecting a target in the colon or the gastrointestinal tract in a subject, the method comprising (a) administering an engineered unicellular organism such as a bacterium to the subject, wherein the organism having a memory circuit comprising a lambda phage-based cI/Cro-reporter gene-based memory element, and an inducible Cro-based or cI-based trigger element, wherein the lambda phage-based cI/Cro regulates the expression of the reporter gene encompassed within the memory element, wherein Cro or cI in the trigger element is operably linked to an inducible promoter, wherein the inducible promoter is responsive to the target, (b) collecting a sample of fecal matter from the subject after a period of time after the administration step; and (c) measuring the expression of the reporter gene from the memory element of the circuit in the engineered bacterium wherein the detectable expression of the reporter gene indicates the presence of the target. In one embodiment, the presence of the target in the colon indicates a particular condition in the colon. In one embodiment, the detectable expression of the reporter gene indicates the presence of a condition in the colon or the gastrointestinal tract of the subject.
In some embodiments, the raw data from the reporter gene comes in the form of either a fluorescent protein or an enzyme that will react with chemical precursors to produce colored pigments or fluorescent compounds. In either case, the “activated” organisms in a fecal sample can be detected directly by sensitive techniques such as flow-cytometry or microscopy or by eye if the engineered bacteria in the fecal matter are cultured for 12 hours and then examined. To culture the bugs for analysis, the fecal sample is solubilized, dilute, and then spread on soft agar plates with antibiotics. These plates are grown at 37 degree Celcius in normal atmosphere for 12-16 hours for colonies to develop. In general, at least 100 colonies of one type of engineered organism would need to be counted to get an accurate percentage of switched versus unswitched bacteria. In order to get this count, it may be necessary to plate multiple dilutions to get the appropriate plated colony density. For direct analysis, the fecal sample is analyzed directly by flow-cytometry.
For example, the raw data is interpreted as a comparison. The number of activated colonies is counted in the test subject and also a healthy subject as a control. Activation of the memory system and reporter genes in response to tetrathionate exposure is established by comparing the percentage of colored engineered organisms in the presence or absence of tetrathionate or healthy versus infected individuals. However, once the background levels of reporter gene activation in the absence of tetrathionate (or infection) are known, it is no longer necessary to perform “negative control” assays to effectively diagnose the presence of tetrathionate in the gut.
Similarly, the false positive rate of the engineered organisms is established in the absence of the environmental stimulus or in healthy individuals, an effective diagnosis can be made without additional controls. These negative controls would account for normal levels of the compound or environmental signal that are present in healthy individuals and possible leaky expression of the reporter element. Once the background levels of reporter gene activation are established for each of these reporter systems, the only relevant controls are related to the quality of the reagents or equipment used to analyze the engineered organisms in the fecal sample.
In another embodiment, provided herein is a method of detecting for cancer in the colon or the gastrointestinal tract in a subject in need thereof, the method comprising (a) administering an engineered unicellular organism such as a bacterium to the subject, wherein the organism has a memory circuit comprising a lambda phage-based cI/Cro-reporter gene-based memory element, and an inducible Cro-based or cI-based trigger element, wherein the lambda phage-based cI/Cro regulates the expression of a reporter gene encompassed within the memory element, wherein Cro or cI in the trigger element is operably linked to an inducible promoter, wherein the inducible promoter is responsive to a symptom or biomarker that is known to occur when colorectal cancer is present; (b) collecting a sample of fecal matter from the subject after a period of time after the administration step; and (c) measuring the expression of the reporter gene from the memory element of the circuit in the engineered bacteria wherein the detectable expression of the reporter gene indicates the presence of the trigger agent and the likelihood of cancer in the colon or the gastrointestinal tract of the subject.
Specific examples of sensors organism that might be useful for detecting cancer are trigger systems linked to the oxyRS, soxRS, dsrI, ttrRS, sidA, ompC, hmuO, sodB, and vpsA bacterial gene promoters. To directly detect colon cancer, engineered unicellular organisms that will sense hydrogen peroxide (oxyRS), hydrogen sulfide (soxRS, dsrE), tetrathionate (ttrRS), bacterial quorum signals (sidA), elastase (ompC), heme (hmuO), iron (sodB), and biofilm formation (vpsA) are used.
Different cancers have different biomarkers. For example, elastase is frequently used as a biomarker of pancreatic cancer; if heme, iron, or biofilms are detected, then colorectal adenoma is suspected; if tetrathionate, then a Salmonella infection; if hydrogen sulfide, then dyregulation of the microbiota and F. nucleatum and B. wadsworthia; etc. These later markers represent risk factors for colorectal cancer. Thus, different biomarkers can be used to indicate different diagnosis.
At a minimum, detecting elastase (ompC) would be necessary for pancreatic cancer diagnosis. Heme (humO) and an increase in gut iron levels (sodB) would be indicative of blood in the stool which could be caused by colorectal adenoma or another serious complication. Bacterial biofilms (vpsA) are strongly associated with colorectal cancer but not a direct diagnosis. Detecting Tetrathionate (ttrRS) is necessary for Salmonella diagnosis. Detecting bacterial quorum signals (sidA) is necessary for pathogenic E. coli diagnosis. Detecting hydrogen sulfide (soxRS, dsrE) would be strongly associated with a dysregulation of gut microbes, specifically F. nucleatum and B. wadsworthia which are a risk factor for colorectal cancer.
To sense the presence of hydrogen peroxide and gut inflammation, engineered organisms with oxyRS responsive gene promoters will be linked to the cro antirepressor or cI dominant negative transcription factors in the trigger element. Activation of these trigger elements will repress synthesis of the cI repressor and activate synthesis of the cro anti-repressor in the memory element. The cro and switching of the downstream memory element to the “ON” state and concomitant production of the reporter gene.
To sense the presence of hydrogen sulfide in the gut lumen produced by dysregulated gut microbes such as F. nucleatum and B. wadsworthia, engineered organisms with soxRS or dsrE responsive gene promoters will be linked to the cro antirepressor or cI dominant negative transcription factors in the trigger element. Activation of these trigger elements will repress synthesis of the cI repressor and activate synthesis of the cro anti-repressor in the memory element. The cro and switching of the downstream memory element to the “ON” state and concomitant production of the reporter gene.
The activity levels of the trigger elements that sense the various triggering or inducing agent describing (e.g. ttrB, dsrE, sdiA) are correlated with the amount of chemical or biological disease signature present. However, switching of the memory element occurs only once an activity threshold of the environmental trigger is surpassed. In practice, this means that in situations with intermediate levels of trigger activation, a percentage of the engineered organisms will switch to the “On” state while the rest do not. Therefore, the inventors can establish the levels of disease biomarker present by determining the percentage of switch versus unswitched bacteria for a given trigger and compare that to the background percentage in healthy individuals. In a multi-organism administration, this becomes slightly more complicated because the switched versus unswitched bacteria are first sorted and then the individual triggers identified by PCR or DNA sequencing.
In one embodiment, the activity levels of the trigger elements is at least two standard deviations or more above background for a positive diagnosis, ie. confirming the presence of the gut condition that is correlated with the triggering agent.
To sense the presence of tetrathionate caused by pathogenic Salmonella invading the gut, engineered organisms with ttrRS responsive gene promoters will be linked to the cro antirepressor or cI dominant negative transcription factors in the trigger element. Activation of these trigger elements will repress synthesis of the cI repressor and activate synthesis of the cro anti-repressor in the memory element. The cro and switching of the downstream memory element to the “ON” state and concomitant production of the reporter gene.
To sense the presence of quorum signals from pathogenic E. coli invading the gut lumen, engineered organisms with the sidA responsive gene promoter will be linked to the cro antirepressor or cI dominant negative transcription factors in the trigger element. Activation of these trigger elements will repress synthesis of the cI repressor and activate synthesis of the cro anti-repressor in the memory element. The cro and switching of the downstream memory element to the “ON” state and concomitant production of the reporter gene.
To sense the presence of elastase in the gut lumen, engineered organisms with the ompC gene promoter will be linked to the cro antirepressor or cI dominant negative transcription factors in the trigger element. Activation of these trigger elements will repress synthesis of the cI repressor and activate synthesis of the cro anti-repressor in the memory element. The cro and switching of the downstream memory element to the “ON” state and concomitant production of the reporter gene.
To sense the presence of heme in the gut lumen, engineered organisms with the hmuO gene promoter will be linked to the cro antirepressor or cI dominant negative transcription factors in the trigger element. Activation of these trigger elements will repress synthesis of the cI repressor and activate synthesis of the cro anti-repressor in the memory element. The cro and switching of the downstream memory element to the “ON” state and concomitant production of the reporter gene.
To sense the presence of iron in the gut lumen, engineered organisms with the sodB gene promoter will be linked to the cro antirepressor or cI dominant negative transcription factors in the trigger element. Activation of these trigger elements will repress synthesis of the cI repressor and activate synthesis of the cro anti-repressor in the memory element. The cro and switching of the downstream memory element to the “ON” state and concomitant production of the reporter gene.
To sense the presence of biofilm in the gut lumen, engineered organisms with the vpsA gene promoter will be linked to the cro antirepressor or cI dominant negative transcription factors in the trigger element. Activation of these trigger elements will repress synthesis of the cI repressor and activate synthesis of the cro anti-repressor in the memory element. The cro and switching of the downstream memory element to the “ON” state and concomitant production of the reporter gene.
In one embodiment, the reporter gene in the different engineered unicellular organisms is the same for each case sensing type of organism. The reporter gene functions to give a preliminary diagnosis to the individual that a potentially serious gut illness is evident. This diagnosis will depend on an implicit comparison to reporter gene levels observed in healthy individuals. After the preliminary diagnosis, the activated organisms can be separated from unactivated organisms in a fecal sample based on the expression of the reporter gene. Once the organisms have been sorted and pooled into active and inactive fractions, the specific identities of the sensors can be determined by PCR or DNA sequencing of the microbes. The identities of the active versus inactive sensors can then be correlated with a specific disease such as colorectal cancer.
In one embodiment, one can assess the overall population of E. coli or Pseudomonas sp. in the colon with engineered organisms capable of sensing chemical compounds called auto-inducers that are involved in quorum sensing systems in these organisms. E. coli and Pseudomonas constantly secrete auto-inducer compounds (E. coli produce autoinducer-2 and Pseudomonas sp produce N-3-oxododecanoyl-homoserine lactone) at low levels so that when these bacterial populations expand, the amount of auto-inducer present also increases. Our engineered organism detects and remember these autoinducer compounds which results in switching of the memory element. As a diagnosis of cancer, we would measure the percentage of switched organisms from a fecal sample and compare this to the percentage observed in healthy individuals.
In another embodiment, provided herein is a method of detecting an enteric pathogenic bacterial infection in the colon or the gastrointestinal tract in a subject in need thereof, the method comprising (a) administering an engineered unicellular organism such as a bacterium to the subject, wherein the bacteria have a memory circuit comprising a lambda phage-based cI/Cro-reporter gene-based memory element, and an inducible Cro-based or cI-based trigger element, wherein the lambda phage-based cI/Cro regulates the expression of a reporter gene within the memory element, wherein Cro or cI in the trigger element is operably linked to an inducible promoter, wherein the inducible promoter is responsive to a symptom or biomarker that is known to occur when a pathogenic bacteria in the colon or the gastrointestinal tract; (b) collecting a sample of fecal matter from the subject after a period of time after the administration step; and (c) measuring the expression of the reporter gene from the memory element of the circuit in the engineered bacteria wherein the detectable expression of the reporter gene indicates the presence of the trigger agent and the presence of pathogenic bacterial infection in the colon or the gastrointestinal tract of the subject.
In some embodiments, the symptom or biomarker that is known to occur when a pathogenic bacteria in the colon include but is not limited to sdiA (regulatory protein SdiA) and enterotoxins secreted by the enteric pathogenic bacteria. For example, verotoxins or Shiga-like toxins from enterohaemorrhagic E. coli (EHEC). Non-exclusive and non-limiting examples of enteric pathogenic bacteria include E. coli (EHEC, EIEC, EAEC), Shigella sp., Salmonella sp., Campylobacter sp., Yersinia sp., Aeromonas sp., Plesiomonas sp., and Clostridium difficile.
To sense dysregulation of gut microbes such as F. nucleatum and B. wadsworthia, engineer organisms that sense the presence of hydrogen sulfide in the gut lumen are used. Hydrogen sulfide will be detected via the soxRS or dsrE responsive gene promoters linked to the cro antirepressor or cI dominant negative transcription factors in the trigger element. Activation of these trigger elements will repress synthesis of the cI repressor and activate synthesis of the cro anti-repressor in the memory element. The cro and switching of the downstream memory element to the “ON” state and concomitant production of the reporter gene.
To sense the presence of pathogenic Salmonella invading the gut, engineer organisms that detect tetrathionate via ttrRS responsive gene promoters are used. These gene promoters will be linked to the cro antirepressor or cI dominant negative transcription factors in the trigger element. Activation of these trigger elements will repress synthesis of the cI repressor and activate synthesis of the cro anti-repressor in the memory element. The cro and switching of the downstream memory element to the “ON” state and concomitant production of the reporter gene.
To sense the presence of pathogenic E. coli invading the gut lumen, engineer organisms that detect quorum signals specific to invasive E. coli via sidA responsive gene promoters are used. These gene promoters will be linked to the cro antirepressor or cI dominant negative transcription factors in the trigger element. Activation of these trigger elements will repress synthesis of the cI repressor and activate synthesis of the cro anti-repressor in the memory element. The cro and switching of the downstream memory element to the “ON” state and concomitant production of the reporter gene.
In another embodiment, provided herein is a method of detecting inflammation in the colon or the gastrointestinal tract in a subject in need thereof, the method comprising administering an engineered unicellular organism such as a bacterium described herein to a subject, wherein the inducible promoter within the inducible trigger element is responsive to a symptom or biomarker that is known to occur when inflammation is present; (b) collecting a sample of fecal matter from the subject after a period of time after the administration step; and (c) measuring the expression of the reporter gene from the memory element of the circuit in the engineered bacteria wherein the detectable expression of the reporter gene indicates the presence of the trigger agent and the likelihood of inflammation in the colon or the gastrointestinal tract of the subject.
In some embodiments, the symptom or biomarker that is known to occur during inflammation in the gut includes but is not limited to ROS, NO, tetrathionate, H2S, calprotectin or lactoferrin. Non-limiting stimulus for the trigger element for detecting inflammation would be ttrRS, soxRS, and oxyRS.
Hydrogen peroxide, nitric oxide (NO), and superoxide are all products of the immune inflammatory response but not necessarily from the same source or mechanism. Therefore, each of these compounds is a marker of inflammation individually and would most likely be present all at the same time.
In another embodiment, provided herein is a method of distinguishing colitis from Crohn's disease in the colon in a subject in need thereof, the method comprising: (a) administering a first engineered unicellular organism such as a bacterium described herein to a subject, wherein the inducible promoter within the first engineered unicellular organism is responsive to a symptom or biomarker that is known to occur when inflammation is present; administering a second engineered unicellular organism such as a bacterium described herein to a subject, wherein the inducible promoter within the second engineered unicellular organism is responsive to a symptom or biomarker that is known to occur when a pathogenic bacteria in the colon; (b) collecting a sample of fecal matter from the subject after a period of time after the administration step; and (c) measuring the expression of the reporter gene from the memory element of the circuit in the first and second engineered unicellular organisms. The presence of inflammation in the colon caused by infection with a pathogenic bacterium such as Salmonella can be distinguished here from a patient suffering from Crohn's if both administered unicellular bacteria are activated during passage through the patient's gut. In a different case, the presence of inflammation and elevated levels of B. wadsworthia is strongly correlated with Crohn's patients.
Crohn's disease is an inflammatory bowel disease that often leads to colitis and is typically diagnosed only when alternative diagnoses have been excluded and a colonoscopy reveals characteristic granulomas. Our engineered organisms will be capable of discriminating diagnosis such as detecting infectious bacteria, microbial or antibiotic induced dysbiosis (hydrogen sulfide, F. nucleatum, B. wadswortia), pancreatic and colorectal cancer—all of which would be extremely useful in reaching an accurate diagnosis.
In another embodiment, provided herein is a method of monitoring the efficacy of a therapy for a colon or the gastrointestinal tract condition in a subject comprising performing a method comprising an engineered unicellular organism such as a bacterium at a first time point; performing a method comprising an engineered unicellular organism such as a bacterium described herein at a second time point, wherein the method in the first time point and second time point are the same and the second time point is after administering at least one therapy; comparing the expression of the reporter gene from the first time point with that of the second time point, wherein a decrease in the expression of the reporter gene is indication of effective therapy and wherein an increase or no change in the expression of the reporter gene is indication of ineffective therapy.
In some embodiments, the decrease of the expression or action of reporter gene at the second time point is by at least 2.5%, at least 5%, at least 7.5%, at least 10%, at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, up to and including 100% compared to the expression or action of reporter gene at the second time point.
For example, a subject has been diagnosed with ulcerative colitis and the subject is started an immune suppression drug therapy to help regulate the immune system. Prior to the start of the therapy, the subject is given a formulation comprising engineered unicellular organisms such as an engineered bacterium described herein. The bacterium is designed to detect inflammation in the gut by detecting at least ROS, NO, tetrathionate, H2S, calprotectin or lactoferrin by way of the stimulus of at least ttrRS, soxRS, or oxyRS on the inducible promoter in the trigger element. A fecal sample is taken one day and/or two days after taking the formulation. The fecal samples are tested and the protein expression of the reporter gene within the memory element of the engineered unicellular organisms indicates the level or status of inflammation in the gut of the subject prior to the therapy. The therapy is then start for one or two months and a formulation comprising engineered unicellular organisms as administered is given. Again, a fecal sample is taken one day and/or two days after taking the formulation. The fecal samples are tested and the protein expression of the reporter gene within the memory element of the engineered unicellular organisms indicates the level or status of inflammation in the gut of the subject during to the therapy. The protein expressions of the reporter gene obtained prior to the therapy and during the therapy are compared. When there is a decrease in the protein expression of the reporter gene during the therapy when compared to prior the start of the therapy, this indicates that the therapy is effective in reducing inflammation in the gut of the subject.
During the course of the therapy, the subject can be periodically monitored by the described method over time, i.e., periodically administer the formulation comprising engineered unicellular organisms such as an engineered bacterium described herein and collecting fecal samples thenafter and measuring the protein expression levels of the reporter gene encompassed within the engineered unicellular organisms. For example, administer the formulation every two months intervals and take subsequent fecal sample. The newest protein expression of the reporter gene is to be compared with that prior to the start of the therapy and also with the immediate previous protein expression of the reporter gene. The therapy continues to be effective if the newest protein expression of the reporter gene is decrease compared to that prior to start of the therapy and the newest protein expression of the reporter gene is decrease or unchanged compared to that of the immediate previous protein expression of the reporter gene.
In another embodiment, provided herein is a composition comprising an engineered unicellular organism such as an engineered bacterium described herein. In one embodiment, one or more types of engineered unicellular organisms comprise the composition. In one embodiment, the composition is formulated for oral administration into a subject.
In another embodiment, provided herein is a pharmaceutical composition comprising an engineered unicellular organisms such as an engineered bacterium described herein and a pharmaceutically acceptable carrier.
In another embodiment, provided herein is an enteric formulation comprising an engineered unicellular organism such as an engineered bacterium described herein.
In one embodiment, the pharmaceutical composition is an enteric formulation.
In one aspect, this disclosure relates to the use of engineered bacteria described herein for detecting cancer in the colon or the gastrointestinal tract in a subject.
In another aspect, this disclosure relates to the use of engineered unicellular organisms such as an engineered bacterium described herein for detecting pathogenic bacterial infection in the colon or the gastrointestinal tract in a subject.
In another aspect, this disclosure relates to the use of engineered unicellular organisms such as an engineered bacterium described herein for detecting inflammation in the colon or the gastrointestinal tract in a subject.
In another aspect, this disclosure relates to the use of engineered unicellular organisms such as an engineered bacterium described herein for distinguishing colitis from Crohn's disease in the colon or the gastrointestinal tract in a subject.
In another aspect, this disclosure relates to the use of engineered unicellular organisms such as an engineered bacterium described herein for monitoring the efficacy of a therapy for a colon or a gastrointestinal tract condition in a subject.
In one embodiment of the engineered bacterium, the memory circuit in maintained in the unicellular organisms such as an engineered bacterium without any antibiotic or metabolite selection.
In one embodiment, the engineered bacteria described herein are lyophilized and used in any methods, compositions, pharmaceutical compositions or formulation.
In one embodiment of any engineered unicellular organism such as an engineered bacterium described, the memory circuit comprises the lambda phage sequences of cI and Cro. These are antagonistic transcription factors. In one embodiment of any engineered bacterium described, the memory circuit comprises the lambda phage sequences of PL, OL, cI and Cro. In other embodiments, the memory circuit also comprises a reporter gene that is operably linked with Cro. In one embodiment, in the OFF state, the Cro/cI of memory circuit mutually exclude the expression of each other, consequently, the reporter gene is not expressed. In the ON state, there is insufficient cI to repress the expression of CRO in the memory circuit. When Cro is then expressed, so is the reporter gene.
In one embodiment of any engineered unicellular organisms such as an engineered bacterium described, the memory circuit further comprises the lambda phage sequences rexA and rexB. In one embodiment of any engineered unicellular organism such as an engineered bacterium described, the memory circuit comprises the lambda phage sequences of PL, OL, rexA, rexB, cI and Cro. In one embodiment of any memory circuit in any engineered unicellular organisms such as an engineered bacterium described, the lambda phage PL, OL, rexA, rexB, cI and Cro sequences are arranged in the following order: PL, OL, rexA, rexB, cI and Cro. In one embodiment, PL, OL, rexA, rexB, cI and Cro sequences are arranged in the normal prophage orientation. Examples of a lambda phage-based cI/Cro-reporter gene-based memory element is described in the Example section and shown in
In one embodiment, the trigger element is a Cro-based trigger element. The inducible promoter of this trigger element is operably-linked to Cro and drives the expression of Cro under permissible conditions. When induced in the present of a target, drives the expression of Cro, a repressor protein. Excessive amount of CRO inhibits the expression of the cI repressor protein in the memory element, thereby permitting the expression the operably-linked reporter gene.
In one embodiment, the trigger element is a cI-based trigger element. The inducible promoter of this trigger element is operably-linked to cI and drives the expression of cI under permissible conditions. In one embodiment, the cI coding nucleic acid is a mutant cI coding sequence that codes for an engineered mutant form of cI that is a dominant negative protein. The dominant negative CI mutant protein that binds wild-type cI and prevents wild-type cI from binding to DNA. When the inducible promoter is induced in the present of a target, the inducible promoter drives the expression of the expression of the engineered mutant form of cI. This relieves repression of cI in the memory element and leads to expression of CRO from the memory element, which activates the memory state. The reporter gene in the memory element gets expressed.
In one embodiment, the trigger element comprises an inducible promoter. In one embodiment, the inducible promoter is responsive to the target or a stimulus. In one embodiment, the inducible promoter is responsive to the target or a stimulus by way of the RE in the promoter. For example, an inducible promoter having a responsive element (RE) described in Table 3. For example, an inducible promoter having a tetracycline responsive element (RE) is responsive to tetracycline. Therefore, in the presence of tetracycline, engineered unicellular bacteria having such a TRE inducible promoter that is operably linked to a trigger transcription factor would express the trigger transcription factor which in turn would consequently lead to the expression of the reporter gene encompassed in the memory element when the memory element switches from the OFF state to the ON state as a result of the expression of the trigger transcription factor in the presence of tetracycline.
In one embodiment, the memory element and the trigger element are integrated into the genome of the bacteria. In one embodiment, the memory element and the trigger element are spread throughout the genome and not within 90,000 bases of each other. In one embodiment, the trigger element is integrated in the Ara operon and that the memory element is integrated in the mph operon.
In one embodiment, the reporter gene is selected from a group consisting of β-galactosidase (LacZ), chloramphenicol acetyltransferase (CAT), neomycin phosphotransferase (G418), bacteria luciferase (LuxAB), fluorescent protein (FP), alkaline phosphatase (PhoA), and p-glucuronidase (GUS), and leptin. In some embodiments, the FP is selected from green fluorescent protein, yellow fluorescent protein, red fluorescent protein, cyan fluorescent protein, blue fluorescent protein, Far-red fluorescent protein, true-red fluorescent protein, and infra-red fluorescent protein.
In one embodiment, the inducible promoter is responsive to tetracycline. In other embodiments the inducible promoter is responsive to but not limited to tetrathionate, reactive oxygen species such as hydrogen peroxide, nitric oxide, and superoxide, undesirable pathogenic bacteria such as E. coli NC101, S. typhimurium, B. wadswortia, F. nucleatum and H2S.
In another embodiment, provided herein is a method of detecting a target in the colon of a subject, the method comprising administering engineered bacteria described herein to the subject, wherein the inducible promoter is responsive to the target or a stimulus.
In one embodiment, the target is an indicator of a condition in the colon. In one embodiment, more than one target indicates a condition in the colon. In one embodiment, a combination of targets is used to indicate a condition in the colon.
In one embodiment, the method further comprises collecting a sample of fecal matter from the subject after administering the engineered bacteria to the subject.
In one embodiment, the method further comprises measuring for the expression of the reporter gene in the sample of fecal matter wherein the detectable expression of the reporter gene indicates the presence of the target and the presence of the condition in the colon of the subject.
In one embodiment, the method further comprises selecting a subject for detecting. In one embodiment, the subject selected for any of the methods exhibits the following symptoms: diarrhea, rectal bleeding, urgent need to move bowels, abdominal cramps and pain, sensation of incomplete evacuation, constipation (can lead to bowel obstruction), fever, loss of appetite, weight loss, fatigue night sweats and loss of normal menstrual cycle.
In one embodiment, the subject has or is at risk of developing a colon condition. For example, having a family history of colorectal cancer or the subject is a Jews of European descent (Ashkenazi Jews), an African Americans and Hispanic.
In one embodiment, the subject at risk of developing a colon condition exhibits at least one of the following symptoms: diarrhea, rectal bleeding, urgent need to move bowels, abdominal cramps and pain, sensation of incomplete evacuation, constipation (can lead to bowel obstruction), fever, loss of appetite, weight loss, fatigue, night sweats and loss of normal menstrual cycle.
In one embodiment, the target is selected from the group consisting of tetrathionate, reactive oxygen species, H2S, sdiA, heme, elastase, bacteria enterotoxins, calprotectin and lactoferrin.
In one embodiment, the stimulus is the inducer described in Table 3 or the target of interest in Table 4.
In one embodiment, the colon condition is selected from the group consisting of cancer, inflammation, and pathogenic bacterial infection, inflammatory bowel disease (IBD) such as Crohn's disease, colitis, and diabetes.
Crohn's disease and ulcerative colitis are both major categories of Inflammatory Bowel Diseases (IBD). IBD affects an estimated 1.4 million Americans. These chronic diseases tend to run in families and they affect males and females equally. While IBD can affect anyone, caucasians are more likely than other ethnic groups to have IBD. The diseases are especially prevalent in Jews of European descent (Ashkenazi Jews). African Americans and Hispanics in the United States are increasingly affected.
Crohn's disease is a chronic inflammatory condition of the gastrointestinal tract and may affect any part from the mouth to the anus.
Ulcerative colitis is a chronic inflammatory condition limited to the colon, otherwise known as the large intestine.
In one embodiment, the cancer in the colon of a subject is colorectal cancer.
In some embodiments, the symptoms or biomarkers that are known to occur when cancer is present in the colon or the symptoms or biomarkers that are known to be associated with the presence of cancer in the colon include but are not limited to inflammation, hydrogen sulfite gas (H2S) and specific bacteria. Non-limiting exemplary colorectal cancer-associated bacteria include F. nucleatum, B. wadsworthia, pathogenic E. coli, Streptococcus bovis, and Salmonella sp. For example, the method of detecting for cancer in a subject comprises determining the combination of presences of inflammation, H2S (hydrogen sulfide gas) and specific bacteria that are known to be present and associated with colon cancer.
In one embodiment of any methods described, the presence of inflammation can be determined by detecting the presence of calprotectin and/or lactoferrin. These are substances that are released by white blood cells. A hallmark of inflammation is an influx of white blood cells to the location of inflammation. Therefore, calprotectin and lactoferrin are indicators of the presence of white blood cells which in turn are indicators of inflammation. Accordingly, calprotectin and lactoferrin are the targets to be detected in the colon for the purpose of determining whether there is inflammation in the colon. In one embodiment, the inducible promoter of trigger element of the engineered bacterium described herein is responsive to calprotectin. In one embodiment, the inducible promoter of trigger element of the engineered bacterium described herein is responsive to lactoferrin. The detectable presence of calprotectin and/or lactoferrin activates the inducible promoter of trigger element of the engineered unicellular organism such as a bacterium and leads to expression of the repressor CRO or mutant form of the CI protein. These repressor proteins in turn lead to the expression of the reporter gene of the memory element of the engineered unicellular organism such as a bacterium. Therefore, the detectable presence of calprotectin and/or lactoferrin as indicated by the expression of the reporter gene of the memory element of the engineered unicellular organism such as a bacterium would indicate positive inflammation in the colon.
In some embodiments of any methods described, the inducible promoter of trigger element of the engineered bacterium described herein is responsive to H2S. The detectable presence of H2S in the colon activates the inducible promoter of trigger element of the engineered unicellular organism such as a bacterium and leads to expression of the repressor CRO or mutant CI protein. These repressor proteins in turn lead to the expression of the reporter gene of the memory element of the engineered unicellular organism such as a bacterium. Therefore, in this aspect, the expression of the reporter gene indicates the presence of detectable H2S in the colon.
In one embodiment of any one method of detecting for colorectal cancer in a subject, more than one type of genetic engineered bacterium can be administered to the subject. For example, if the subject is suspected of having colon cancer or is at high risk of developing such cancer, the subject can be administered three different types of genetic engineered bacterium, a first type for detecting the presence of inflammation in the colon, a second type for detecting H2S in the colon, and a third type for detecting a cancer-associated bacteria in the colon. When the reporter genes of all three types of genetic engineered bacteria are positive, ie., expressed the reporter gene from the memory element of each type of engineered bacteria administered, this indicates that inflammation, H2S and a cancer-associated bacteria have been detected in the colon of the subject. When there is positive presence of all three: inflammation, H2S and a cancer-associated bacteria, it indicates the likelihood of the presence colon cancer in the subject.
It is also envisioned that the methods described herein can be used as prophylaxis, for monitoring for the development of a colon condition of interest. For example, for colitis flare up or colon cancer.
Formulation and Application
In some embodiments, the genetic engineered unicellular organism such as a bacterium described herein can be incorporated into a variety of formulations for administration in accordance with the methods disclosed. For example, a simple formulation can incorporate the genetic engineered bacteria described herein with an excipient combined in solution, then frozen and lyophilized. The resulting powder can be formulated in a capsule, sachet, pill, and the like, and may further be formulated to comprise an enteric coating. In some embodiments, the formulations can comprise one or more types of genetic engineered bacteria wherein each type “senses” the presence or absence of a different type of target.
In one embodiment, the genetic engineered unicellular organism such as a bacterium described herein are formulated into pharmaceutical compositions by combination with appropriate, pharmaceutically acceptable carriers or diluents, and are formulated into preparations in solid, semi-solid, or liquid forms, such as tablets, capsules, powders, granules, solutions, gels, and microspheres. As such, administration of the genetic engineered bacteria described herein can be achieved by oral administration.
For oral preparations, the genetic engineered unicellular organism such as a bacterium described herein can be used alone or in combination with appropriate additives to make tablets, powders, granules or capsules, for example, with conventional additives, such as lactose, mannitol, corn starch or potato starch; with binders, such as microcrystalline cellulose, cellulose derivatives, acacia, corn starch or gelatins; with disintegrants, such as corn starch, potato starch or croscarmellose sodium; with lubricants, such as talc or magnesium stearate; and if desired, with diluents, buffering agents, moistening agents, preservatives, colorants, and flavoring agents.
For enteral administration, a composition can be incorporated into an inert carrier in discrete units such as capsules, cachets, tablets or lozenges, each containing a predetermined amount of the active compound; as a powder or granules; or a suspension or solution in an aqueous liquid or non-aqueous liquid, e.g., a syrup, an elixir, an emulsion or a draught. Suitable carriers may be starches or sugars and include lubricants, flavorings, binders, and other materials of the same nature.
A tablet can be made by compression or molding, optionally with one or more accessory ingredients. Compressed tablets can be prepared by compressing in a suitable machine the active compound in a free-flowing form, e.g., a powder or granules, optionally mixed with accessory ingredients, e.g., binders, lubricants, inert diluents, surface active or dispersing agents. Molded tablets can be made by molding in a suitable machine, a mixture of the powdered active compound with any suitable carrier.
A syrup or suspension can be made by adding the genetic engineered bacteria described herein to a concentrated, aqueous solution of a sugar, e.g., sucrose, to which can also be added any accessory ingredients. Such accessory ingredients may include flavoring, an agent to retard crystallization of the sugar or an agent to increase the solubility of any other ingredient, e.g., as a polyhydric alcohol, for example, glycerol or sorbitol.
Formulations for oral administration can be presented with an enhancer. Orally-acceptable absorption enhancers include surfactants such as sodium lauryl sulfate, palmitoyl carnitine, Laureth-9, phosphatidylcholine, cyclodextrin and derivatives thereof; bile salts such as sodium deoxycholate, sodium taurocholate, sodium glycochlate, and sodium fusidate; chelating agents including citric acid and salicylates; and fatty acids (e.g., oleic acid, lauric acid, acylcarnitines, mono- and diglycerides). Other oral absorption enhancers include benzalkonium chloride, benzethonium chloride, CHAPS (3-(3-cholamidopropyl)-dimethylammonio-1-propanesulfonate), Big-CHAPS (N, N-bis(3-D-gluconamidopropyl)-cholamide), chlorobutanol, octoxynol-9, benzyl alcohol, phenols, cresols, and alkyl alcohols. An especially preferred oral absorption enhancer for the present invention is sodium lauryl sulfate.
In one embodiment, the formulations comprising one or more genetic engineered unicellular organism such as a bacterium described herein and the oral formulations comprise enteric coatings are formulated so that the genetic engineered unicellular organism such as a bacterium described herein is delivered to the intestinal tract. Enteric formulations are often used to protect an active ingredient from the strongly acid contents of the stomach. Such formulations are created by coating a solid dosage form with a film of a polymer that is insoluble in acid environments, and soluble in basic environments. Exemplary films are cellulose acetate phthalate, polyvinyl acetate phthalate, hydroxypropyl methylcellulose phthalate and hydroxypropyl methylcellulose acetate succinate, methacrylate copolymers, and cellulose acetate phthalate.
As regards formulations for administering the genetic engineered unicellular organism such as a bacterium described herein, one particularly useful embodiment is a tablet formulation comprising the genetic engineered unicellular organism such as a bacterium described herein with an enteric polymer casing. An example of such a preparation can be found in WO2005/021002. The active material in the core can be present in a micronized or solubilized form. In addition to active materials the core can contain additives conventional to the art of compressed tablets. Appropriate additives in such a tablet can comprise diluents such as anhydrous lactose, lactose monohydrate, calcium carbonate, magnesium carbonate, dicalcium phosphate or mixtures thereof; binders such as microcrystalline cellulose, hydroxypropylmethylcellulose, hydroxypropyl-cellulose, polyvinylpyrrolidone, pre-gelatinised starch or gum acacia or mixtures thereof; disintegrants such as microcrystalline cellulose (fulfilling both binder and disintegrant functions) cross-linked polyvinylpyrrolidone, sodium starch glycollate, croscarmellose sodium or mixtures thereof; lubricants, such as magnesium stearate or stearic acid, glidants or flow aids, such as colloidal silica, talc or starch, and stabilisers such as desiccating amorphous silica, colouring agents, flavours etc. Preferably the tablet comprises lactose as diluent. When a binder is present, it is preferably hydroxypropylmethyl cellulose. Preferably, the tablet comprises magnesium stearate as lubricant. Preferably the tablet comprises croscarmellose sodium as disintegrant. Preferably, the tablet comprises microcrystalline cellulose.
The diluent can be present in a range of 10-80% by weight of the core. The lubricant can be present in a range of 0.25-2% by weight of the core. The disintegrant can be present in a range of 1-10% by weight of the core. Microcrystalline cellulose, if present, can be present in a range of 10-80% by weight of the core.
The genetic engineered unicellular organism such as a bacterium described herein preferably comprises between 10 and 50% of the weight of the core, more preferably between 15 and 35% of the weight of the core (calculated as free base equivalent). The core can contain any therapeutically suitable dosage level of the active ingredient, but preferably contains up to 150 mg as free base of the active ingredient. Particularly preferably, the core contains 20, 30, 40, 50, 60, 80 or 100 mg as free base of the active ingredient. The active ingredient can be present as the free base, or as any pharmaceutically acceptable salt. If the active ingredient is present as a salt, the weight is adjusted such that the tablet contains the desired amount of active ingredient, calculated as free base of the salt. Preferably, the active ingredient is present as a hydrochloride salt.
The core can be made from a compacted mixture of its components. The components can be directly compressed, or can be granulated before compression. Such granules can be formed by a conventional granulating process as known in the art. In an alternative embodiment, the granules can be individually coated with an enteric casing, and then enclosed in a standard capsule casing.
The core is surrounded by a casing which comprises an enteric polymer. Examples of enteric polymers are cellulose acetate phthalate, cellulose acetate succinate, methylcellulose phthalate, ethylhydroxycellulose phthalate, polyvinylacetate pthalate, polyvinylbutyrate acetate, vinyl acetate-maleic anhydride copolymer, styrene-maleic mono-ester copolymer, methyl acrylate-methacrylic acid copolymer or methacrylate-methacrylic acid-octyl acrylate copolymer. These can be used either alone or in combination, or together with other polymers than those mentioned above. The casing can also include insoluble substances which are neither decomposed nor solubilised in living bodies, such as alkyl cellulose derivatives such as ethyl cellulose, crosslinked polymers such as styrene-divinylbenzene copolymer, polysaccharides having hydroxyl groups such as dextran, cellulose derivatives which are treated with bifunctional crosslinking agents such as epichlorohydrin, dichlorohydrin or 1, 2-, 3, 4-diepoxybutane. The casing can also include starch and/or dextrin.
Preferred enteric coating materials are the commercially available EUDRAGIT enteric polymers such as EUDRAGIT L, EUDRAGIT S and EUDRAGIT NE used alone or with a plasticiser. Such coatings are normally applied using a liquid medium, and the nature of the plasticiser depends upon whether the medium is aqueous or non-aqueous. Plasticisers for use with aqueous medium include propylene glycol, triethyl citrate, acetyl triethyl citrate or CITROFLEX or CITROFLEX A2. Non-aqueous plasticisers include these, and also diethyl and dibutyl phthalate and dibutyl sebacate. A preferred plasticiser is triethyl citrate. The quantity of plasticiser included will be apparent to those skilled in the art.
The casing can also include an anti-tack agent such as talc, silica or glyceryl monostearate. Preferably the anti-tack agent is glyceryl monostearate. Typically, the casing can include around 5-25 wt % Plasticiser and up to around 50 wt % of anti-tack agent, preferably 1-10 wt % of anti-tack agent.
If desired, a surfactant can be included to aid with forming an aqueous suspension of the polymer. Many examples of possible surfactants are known to the person skilled in the art. Preferred examples of surfactants are polysorbate 80, polysorbate 20, or sodium lauryl sulphate. If present, a surfactant can form 0.1-10% of the casing, preferably 0.2-5% and particularly preferably 0.5-2%
In one embodiment, there is a seal coat included between the core and the enteric coating. A seal coat is a coating material which can be used to protect the enteric casing from possible chemical attack by any alkaline ingredients in the core. The seal coat can also provide a smoother surface, thereby allowing easier attachment of the enteric casing. A person skilled in the art would be aware of suitable coatings. Preferably the seal coat is made of an Opadry coating, and particularly preferably it is Opadry White OY-S-28876.
In an example, lactose monohydrate, microcrystalline cellulose, the active ingredient—e. g. the genetic engineered bacteria, the hydroxypropyl methyl cellulose and half of the croscarmellose sodium are screened into a 10 Litre Fielder high-shear blender (any suitable high shear blender could be used) and blended for 5 minutes at 300 rpm with the chopper off. The mixture is then granulated by the addition of about 750 ml water whilst continuing to blend. The granules are dried in a Glatt 3/5 fluid bed drier, screened by Comil into a Pharmatec 5 Litre bin blender and then blended with any lactose anhydrous given in the formula plus the remainder of the croscarmellose sodium over 5 minutes at 20 rpm. Magnesium stearate is screened into the blender and the mixing process continued for a further 1 minute at 10 rpm. The lubricated mix is compressed using a Riva Piccolla rotary tablet press fitted with 9.5 mm round normal convex punches (any suitable tablet press could be used). The sealcoat, and subsequently the enteric coat, are applied by spraying of an aqueous suspension of the coat ingredients in a Manesty 10 coater using parameters for the coating process as recommended by the manufacturers of the coating polymers (again, any suitable coater could be used).
Other enteric formulations comprise engineered polymer microspheres made of biologically erodable polymers, which display strong adhesive interactions with gastrointestinal mucus and cellular linings and can traverse both the mucosal absorptive epithelium and the follicle-associated epithelium covering the lymphoid tissue of Peyer's patches. The polymers maintain contact with intestinal epithelium for extended periods of time and actually penetrate it, through and between cells. See, for example, Mathiowitz et al. (1997) Nature 386 (6623): 410-414. Drug delivery systems can also utilize a core of superporous hydrogels (SPH) and SPH composite (SPHC), as described by Dorkoosh et al. (2001) J Control Release 71(3):307-18. Other enteric-coated preparations of this sort can be prepared by one skilled in the art, using these materials or their equivalents.
The compositions can be formulated as a sustained release composition. For example, sustained-release means or delivery devices are known in the art and include, but are not limited to, sustained-release matrices such as biodegradable matrices or semi-permeable polymer matrices in the form of shaped articles, e.g., films, or microcapsules that comprise the genetic engineered bacteria described herein
A sustained-release matrix, as used herein, is a matrix made of materials, usually polymers, which are degradable by enzymatic or acid/base hydrolysis or by dissolution. Once inserted into the body, the matrix is acted upon by enzymes and body fluids. The sustained-release matrix desirably is chosen from biocompatible materials such as liposomes, polylactides (polylactic acid), polyglycolide (polymer of glycolic acid), polylactide co-glycolide (co-polymers of lactic acid and glycolic acid) polyanhydrides, poly(ortho)esters, polyproteins, hyaluronic acid, collagen, chondroitin sulfate, carboxylic acids, fatty acids, phospholipids, polysaccharides, nucleic acids, polyamino acids, amino acids such as phenylalanine, tyrosine, isoleucine, polynucleotides, polyvinyl propylene, polyvinylpyrrolidone and silicone. A preferred biodegradable matrix is a matrix of one of polylactide, polyglycolide, or polylactide co-glycolide (co-polymers of lactic acid and glycolic acid).
Sustained-release matrices include polylactides (U.S. Pat. No. 3,773,919, EP 58,481), copolymers of L-glutamic acid and gamma-ethyl-L-glutamate (U. Sidman et al., Biopolymers 22:547-556 (1983)), poly (2-hydroxyethyl methacrylate) (R. Langer et al., J. Biomed Mater. Res. 15:167-277 (1981), and R. Langer, Chem. Tech. 12:98-105 (1982)), ethylene vinyl acetate (R. Langer et al., Id.) or poly-D-(+3-hydroxybutyric acid (EP 133,988). Sustained-release compositions also include liposomally entrapped one or more genetic engineered bacteria described herein. Such liposomes can be prepared by methods known per se: DE 3,218,121; Epstein, et al., Proc. Natl. Acad. Sci. USA 82:3688-3692 (1985); Hwang et al., Proc. Natl. Acad. Sci. USA 77:4030-4034 (1980); EP 52,322; EP 36,676; EP 88,046; EP 143,949; EP 142,641; Japanese Pat. Appl. 83-118008; U.S. Pat. Nos. 4,485,045 and 4,544,545; and EP 102,324. Ordinarily, the liposomes are of the small (about 200-800 Angstroms) unilamellar type in which the lipid content is greater than about 30 mol. percent cholesterol, the selected proportion being adjusted for the optimal therapy. Other biodegradable polymers and their use are described, for example, in detail in Brem et al. (1991, J. Neurosurg. 74:441-446). For examples of sustained release compositions, see U.S. Pat. No. 3,773,919, EP 58,481A, U.S. Pat. No. 3,887,699, EP 158,277A, Canadian Patent No. 1176565, U. Sidman et al., Biopolymers 22:547 (1983) and R. Langer et al., Chem. Tech. 12:98 (1982).
Methods for preparing liposomes and microspheres for administration to a patient are known to those of skill in the art. U.S. Pat. No. 4,789,734, the contents of which are hereby incorporated by reference, describes methods for encapsulating biological materials in liposomes. A review of known methods is provided by G. Gregoriadis, Chapter 14, “Liposomes,” Drug Carriers in Biology and Medicine, pp. 287-341 (Academic Press, 1979).
Microspheres formed of polymers or proteins are well known to those skilled in the art, and can be tailored for passage through the gastrointestinal tract directly into the blood stream. Alternatively, the compound can be incorporated and the microspheres or composite of microspheres, implanted for slow release over a period of time ranging from days to months. See, for example, U.S. Pat. Nos. 4,906,474, 4,925,673 and 3,625,214, and Jein, TIPS 19:155-157 (1998), the contents of which are hereby incorporated by reference.
Preferred micro particles are those prepared from biodegradable polymers, such as polyglycolide, polylactide and copolymers thereof. Those of skill in the art can readily determine an appropriate carrier system depending on various factors, including the desired rate of drug release and the desired dosage.
Formulations are typically provided in a unit dosage form, where the term “unit dosage form,” refers to physically discrete units suitable as unitary dosages for the subjects, each unit containing a predetermined quantity of the genetic engineered bacteria described herein in an amount calculated sufficient to produce the desired effect in association with a pharmaceutically acceptable diluent, carrier or vehicle. The specifications for the unit dosage forms of the present invention depend on the particular complex employed and the effect to be achieved, and the pharmacodynamics associated with each complex in the host.
The pharmaceutically acceptable excipients, such as vehicles, adjuvants, carriers or diluents that are inherently nontoxic and nontherapeutic, are commercially available. Moreover, pharmaceutically acceptable auxiliary substances, such as pH adjusting and buffering agents, tonicity adjusting agents, stabilizers, wetting agents and the like, are commercially available. Any compound useful in the methods and compositions of the invention can be provided as a pharmaceutically acceptable base addition salt. “Pharmaceutically acceptable base addition salt” refers to those salts which retain the biological effectiveness and properties of the free acids, which are not biologically or otherwise undesirable. These salts are prepared from addition of an inorganic base or an organic base to the free acid. Salts derived from inorganic bases include, but are not limited to, the sodium, potassium, lithium, ammonium, calcium, magnesium, iron, zinc, copper, manganese, aluminum salts and the like. Preferred inorganic salts are the ammonium, sodium, potassium, calcium, and magnesium salts. Salts derived from organic bases include, but are not limited to, salts of primary, secondary, and tertiary amines, substituted amines including naturally occurring substituted amines, cyclic amines and basic ion exchange resins, such as isopropylamine, trimethylamine, diethylamine, triethylamine, tripropylamine, ethanolamine, 2 dimethylaminoethanol, 2 diethylaminoethanol, dicyclohexylamine, lysine, arginine, histidine, caffeine, procaine, hydrabamine, choline, betaine, ethylenediamine, glucosamine, methylglucamine, theobromine, purines, piperazine, piperidine, N ethylpiperidine, polyamine resins and the like. Particularly preferred organic bases are isopropylamine, diethylamine, ethanolamine, trimethylamine, dicyclohexylamine, choline and caffeine.
Examples of such carriers include ion exchangers, alumina, aluminum stearate, lecithin, serum proteins, such as human serum albumin, buffer substances such as phosphates, glycine, sorbic acid, potassium sorbate, partial glyceride mixtures of saturated vegetable fatty acids, water, salts, or electrolytes such as protamine sulfate, disodium hydrogen phosphate, potassium hydrogen phosphate, sodium chloride, zinc salts, colloidal silica, magnesium trisilicate, polyvinyl pyrrolidone, cellulose-based substances, and polyethylene glycol.
In one embodiment, other ingredients may be added to pharmaceutical formulations, including antioxidants, e.g., ascorbic acid; low molecular weight (less than about ten residues) polypeptides, e.g., polyarginine or tripeptides; proteins, such as serum albumin, gelatin, or immunoglobulins; hydrophilic polymers such as polyvinylpyrrolidone; amino acids, such as glycine, glutamic acid, aspartic acid, or arginine; monosaccharides, disaccharides, and other carbohydrates including cellulose or its derivatives, glucose, mannose, or dextrins; chelating agents such as EDTA, and sugar alcohols such as mannitol or sorbitol.
The present invention can be defined in any of the following numbered paragraphs:
This invention is further illustrated by the following example which should not be construed as limiting. The contents of all references cited throughout this application, as well as the figures and table are incorporated herein by reference.
Those skilled in the art will recognize, or be able to ascertain using not more than routine experimentation, many equivalents to the specific embodiments of the invention described herein. Such equivalents are intended to be encompassed by the following claims.
Materials and Methods
Artificial gene-based memory systems have been constructed using bi-stable transcriptional switches to permanently record transient environmental signals transmitted either directly through one of the transcription factors in the switch, or indirectly through a distinct trigger element 8-10. To engineer a bacterium that could record an environmental signal in the mammalian gut, the investigators set the following design specifications: (1) the initial ‘non-memory’ state should be highly stable, only failing as a result of mutation of the system; (2) the ‘memory’ state should also be highly stable; (3) the engineered elements should be integrated into the chromosome rather than on plasmids to minimize the chance of loss; and (4) the engineered elements should not impose a detectable fitness burden on the host (illustrated in
The inventors used the well-characterized cI/cro genetic switch from bacteriophage lambda11-13 to construct a memory element for the circuit. Natural selection has already tuned the repressed cI state to be so stable that in an induction-deficient cIind-lysogen, the repressor state only fails due to spontaneous mutation of cI and not to fluctuations in cI protein levels14. The presence of a lambda prophage causes little burden on the bacterial host as only 100-200 cI monomers per cell are present in a lysogen15.
To construct a memory element that reproduces the elements of cI regulation, the investigators inserted a DNA fragment from phage lambda from the left operator (OL) including the rexAB genes, cI, and cro upstream of lacZ; replacing lad. The construct lacks the N coding sequence, and the terminal ‘A’ of the Cro stop codon is followed by the initial ‘A’ in the LacZ start codon. This construct should thus reproduce exactly the elements of cI expression, including the interaction between the OL-OR operator sites16 and the natural downstream genes and terminators of the cI transcript, which may influence mRNA stability. The junction between Cro and LacZ is not natural; other junctions tested with elements of the natural post-cro terminator tR1 resulted in a memory element in which the cro state could not be maintained (
E. coli were further engineered to contain a trigger element driving Cro expression (
The wild-type-tetA promoter (tetP) (an inducible promoter) was placed upstream of Cro, and the minimal genetic elements that form the lambda transcriptional switch were integrated into the bacterial genome. Lambda switches from lysogenic to lytic state when the concentration of cI falls below about 10% of its steady-state value in a lysogen17. This leads to de-repression of the PR promoter and the expression of Cro. When Cro levels reach approximately 100 molecules per cell, the activity of the PRM promoter decreases17. In the presence of Cro-mediated PRM repression, about four cell divisions are required for cI to be diluted enough to switch from the cI state to the cro state8,12,16. Therefore, the investigators expected that if tetP is induced via anhydrotetracycline (ATC) for four consecutive cell divisions the memory element will switch from the cI state to the cro state, which the investigators could monitor by LacZ expression.
The genetic circuit consisting of the cI/cro switch from the lambda prophage and the tetP trigger was capable of sensing and recording exposure to antibiotics (
The trigger and memory elements were not deleterious to growth of E. coli, as inferred from competitive growth experiments in mixed cultures with the parental strain of E. coli.
Multiple independent mixed cultures, each with an initial ratio of about 1:1 E. coli MG1655 and PAS 132 were sub-cultured with and without ATC for about 50 cell divisions, and titered on indicator plates to distinguish the two strains. The change in ratios of parent cells to engineered cells varied from culture to culture but did not show a consistent overgrowth of parental cells (
PAS 132 was capable of ATC detection in the mammalian gut (
PAS 132 remembered ATC exposure in mice for more than a week after termination of ATC treatment. The inventors confirmed that 100% of the engineered bacteria sensed ATC in the mouse gut and switched to the cro state within 24 hours of ATC exposure (
In separate in vivo experiments, mice were not given ATC until PAS 132 was allowed to colonize the mouse gut and streptomycin was removed. Again PAS 132 switched from the cI state to the cro state within 24 hours and remembered ATC exposure throughout the remaining time course (
The genetic memory circuit functioned essentially identically in an uncharacterized coliform bacterium from the mouse gut. The inventors isolated a microbe from a mouse fecal sample that fermented lactose on MacConkey Lactose plates, and confirmed that its 16S ribosomal RNA gene sequences matched that of E. coli (
PAS 133 sensed and remembered exposure to ATC in the mouse gut. About 107 PAS 133 bacteria were administered to female Balb/C mice, and treated as described above. Cells were then collected and analyzed as above for LacZ expression on lactose indicator streptomycin plates. PAS 133 detected ATC exposure within 1 day, and remembered exposure of mice to ATC for more than 7 days after ATC withdrawal (
The ability to engineer natural bacteria to report on the environment within the gut should have enormous implications and demonstrates the fundamental power of synthetic biology. In the long term, it may be possible to use synthetically engineered bacteria as non-invasive probiotic diagnostics for disease states or for targeted therapeutic delivery21. For example, various disease states release molecules that can be sensed by bacteria, such as reactive oxygen species that may represent inflammatory states, or quorum signals that may indicate the presence of undesirable types of bacteria. The system described is sufficiently modular that the trigger and memory circuits could be readily re-engineered to respond to different stimuli such as inflammation, environmental toxins, tumors, or parasites in the gut. In combination with additional genetic circuits, cells could be designed to report on when a particular event occurred or emit a therapeutic. The inventors also indicate that the similarity to probiotics may make the engineered bacteria more palatable as compared to other therapies based on genetic modifications.
The references cited herein and throughout the specification are incorporated herein by reference.
E. coli quorum signals
F. nucleatum,
B. wadsworthia
Salmonella sp.
This application is a Continuation Application of U.S. application Ser. No. 15/103,372 filed on Jun. 10, 2016, now U.S. Pat. No. 10,047,405, which is a 35 U.S.C. § 371 National Phase Entry Application of International Application No. PCT/US2014/071672 filed on Dec. 19, 2014, which designates the U.S. and which claims benefit under 35 U.S.C. § 119(e) of U.S. Provisional Application No. 61/919,257 filed on Dec. 20, 2013, the contents of each of which are incorporated therein in their entirety.
This invention was made with government support under N66001-11-C-4203 awarded by the Department of Defense. The Government has certain rights in the invention.
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| Number | Date | Country | |
|---|---|---|---|
| 20190024192 A1 | Jan 2019 | US |
| Number | Date | Country | |
|---|---|---|---|
| 61919257 | Dec 2013 | US |
| Number | Date | Country | |
|---|---|---|---|
| Parent | 15103372 | US | |
| Child | 16000185 | US |
