This invention relates to the therapeutic use of molecules associated with protease activated receptors.
References referred to by bracketed numbers in the body of the specification are listed at the end of the specification before the claims.
The process by which epithelial cells become invasive is complex and has yet to be fully elucidated. One example of this process is observed in metastatic tumors. Another example of epithelial cells becoming invasive occurs during normal human embryonic development, in which the cytotrophoblasts (i.e. the fetal cells on the front line of the placenta) invade the uterus, as part of their normal differentiation program and successful implantation.
The physiologic invasiveness of cytotrophoblasts closely resembles that of malignant cells, sharing many common features. Tumor invasion and metastasis involve, among other alterations, proteolytic modification of basement membranes and extracellular matrices (ECMs). Cancer cells have to detach from their primary location, encounter basement membranes (i.e. during extravasation of blood or lymphatic vessels), and disseminate through the circulation to establish new cellular colonies at distant sites. Therefore, the process of cell invasion involves a well-orchestrated sequence of events including integrin activation, cell migration and proteolytic degradation of specific barrier components. This enzymatic cleavage is highly regulated, since extensive proteolysis could impede the invasive process by degrading essential matrix components required for the transmission of survival and cell shape signals, through contacts with the basement membrane. Localized proteolysis directed to discrete regions of the cell surface may facilitate cellular invasion.
The thrombin-receptor (ThR) is a seven transmembrane domain G-coupled protein, belonging to the protease-activated receptor (PAR) family [1]. Recently, two other members of this family (PAR-2 and PAR-3) have been identified [2-4], and a fourth member (PAR-4) has also been described [19]. Unlike most cellular growth factor receptors, the activation of these receptors does not require formation of the traditional ligand-receptor complex. Instead, the receptor serves as a substrate for proteolytic digestion, yielding an irreversible form of activated cell surface protein to convey further cell signaling.
Applicant's co-pending Israel Patent Application No. 114890, whose contents are incorporated herein by reference, discloses' that a direct correlation exists between ThR level of expression in tumor cells and their degree of invasiveness. This finding was used to develop a diagnostic method for evaluating the metastatic tendency of tumor cells by following the expression of the ThR gene.
U.S. Pat. No. 5,352,664 to Carney, et al, describes thrombin-derived polypeptides which are capable of selectively stimulating or inhibiting thrombin receptor occupancy signals. Carney suggests that the inhibitory polypeptides may be used in preventing metastasis and angiogenesis. No supporting data is disclosed.
It is an object of the present invention to provide a method for treating metastatic tumors.
It is a further object of the present invention to provide a method for treating irregularities in physiological placental development.
The present invention is based on the surprising finding that interfering with the expression of PAR proteins of an invasive cell affects its degree of invasiveness. The interference may be realized at the DNA (gene) level, at the mRNA level, and/or at the protein (receptor) level. Interference at the DNA level may be achieved by use of gene therapy methods; interference at the mRNA level may be achieved by use of antisense molecules; and interference at the protein level may be achieved by use of specific antibodies.
The PAR protein may be any member of the PAR family such as, for example but not limited to, ThR, PAR-2, PAR-3 and PAR-4.
In a first aspect of the invention, the invasive cells are pathological cells such as metastatic tumor cells. Thus, in this aspect of the invention, there is provided a method for treating metastatic tumor cells of a subject comprising administrating to said subject an antisense molecule, said antisense molecule comprising a nucleotide sequence which is complementary to an RNA sequence of a PAR protein.
Also provided are antisense molecules and pharmaceutical compositions comprising them.
Further provided is a method for treating metastatic tumor cells of a subject comprising administrating to said subject an antibody molecule, said antibody molecule being capable of binding to a protease activated receptor (PAR) protein. The antibody molecule may be a polyclonal or monoclonal antibody, prepared by methods known per se.
In this aspect of the invention, the tumor cells will generally be of epithelial origin, which form solid carcinoma-type tumors. Examples of such epithelial tissues are breast, esophagus, kidney, prostate, ovary, melanoma and bladder tissue.
In a second aspect of the invention, the invasive cells are normal cells such as placental cells. As described above, ThR plays a role during cytotrophoblast invasion and implantation. The finding that ThR expression is associated with the invasiveness of placental tissue may be beneficial for improved implantation of human embryo in the maternal uterus decidua. To date, the rate of spontaneous abortions is 8-12%, 50% of which are due to defects in proper implantation. It is even more striking in the I.V.F. procedure, where 40% of the overall cases result in failure. 90% of these failures are apparently due to implantation defects. Transfection of normal placenta with ThR and other PAR family genes may considerably improve implantation.
Thus, in this aspect of the invention, there is provided a method for the treatment of disorders involving the implantation of a placenta in a female subject comprising administrating to said subject an antisense molecule, said antisense molecule comprising a nucleotide sequence which is complementary to an RNA sequence of a PAR protein.
Also provided are antisense molecules and pharmaceutical compositions comprising them.
The synthesis of antisense molecules to known mRNA sequences is well known to the skilled artisan. In theory, based on Watson-Crick base pair formation, if an appropriate target can be identified, an antisense oligomer of more than 15 to 17 nucleotides in length would be expected to have a unique sequence relative to the entire human genome. A suitable oligomer should be able to interfere, in a sequence specific manner with the process of mRNA translation into protein [9]. The requirements for an antisense oligomer for therapeutic use are: (1) that it must be stable in vivo; (2) it must be able to enter the target cell; and (3) it must be able to interact with its cellular targets.
As oligomers possess little or no innate ability to diffuse across cell membranes, the cells must take them up through energy-dependent mechanisms. To resolve the problem of uptake, a large number of strategies have been employed in order to augment the rate of cellular internalization of nucleic acids and to increase the rate at which they pass through the endosomal membrane. These strategies include: (i) coupling oligomers to polycations such as polylysine [10], polyethylamine [11] or others; (ii) use of transferin/polylysine-conjugated DNA in the presence of the capsid of a replication-deficient adenovirus [12]; (iii) conjugation of oligonucleotides to fusogenic peptides [13] or to a peptide fragment of the homeodomain of the Drosophila antennapedia protein [14]; (iv) targeting of oligonucleotides to specific cell surface receptors, such as folate, asialoglycoprotein receptor and transferrin [15], (v) conjugation to cholesterol [16]; and, most successfully (vi) complexation of oligonucleotides with cationic lipids [17] and GS 288 etofectin [18].
Preferred antisense sequences are those designed to comprise sequences which hybridize to uniquely conserved regions in the PAR family of proteins. Conserved regions may be identified by comparing the nucleotide sequences of different members of the PAR family. For example, certain regions within the ThR sequence have 27% sequence similarity to PAR-3 and 28% similarity to PAR-2. Examples of conserved unique regions are:
1) The protease activated domains and hirudin binding domain:
2) Second extracellular loop: located between transmembrane domains 4 & 5 and corresponding to residues: ITTCHDV which are conserved in PAR 1-3, while in PAR-4 only the three amino acids CHD are conserved.
3) The entire promoter region of the PAR family (i.e. 5′ cloned regions downstream to the ATG of PAR-1 and PAR-3). This region is likely to contain important regulatory sequences.
In order to understand the invention and to see how it may be carried out in practice, a preferred embodiment will now be described, by way of non-limiting example only, with reference to the accompanying drawings, in which:
Lower Panel. Western blot analysis of ThR. Western blot analysis of cell lysates (50 μg/lane) of MCF-7 (A), MDA-231(B) and MDA-435 (C) cells. Specific protein band was detected following incubation with anti ThR antibodies and visualized by the ECL immunoblotting detection system according to the manufacturer's instructions.
Materials and Methods
Cells: The human breast carcinoma cell lines, MCF-7 (adenocarcinoma), MDA-MB-231 (adenocarcinoma), MDA-MB-435 (ductal carcinoma) and ZR-75-1 (carcinoma), were kindly provided by Dr. Robert Stern (Department of Pathology, University of California, San Francisco). The invasive properties of these breast cell lines were determined following injection of the cells into the mammary pads of nude mice with or without Matrigel [5]. Cells were cultured in DMEM (1 g glucose/liter) containing 10% bovine calf serum. MCF10A (nearly-normal immortalized epithelial cells), MCF10AT cells (derived from human fibrocystic epithelium transfected with Ha-ras) and MCF10AT3B cells (derived from a 94-day third transplant generation of lesion in Beige/Nude mice, classified as grade 2), were kindly provided by Dr. F. R. Miller (Karamanos Cancer Institute, Meyer L. Prentiss Center, Detroit) and grown in RPMI-1640 containing 10% fetal calf serum (FCS). Tissue culture medium was supplemented with penicillin (50 U/ml) and streptomycin (50 μg/ml) (GIBCO-BRL, Gaithersburg, Md.) and the cells were maintained at 37° C. in a 10% CO2 humidified incubator. Cells were dissociated with 0.05% trypsin/0.02% EDTA, 0.01M sodium phosphate (pH 7.4) solution (STV) and subcultured at a split ratio of 1:5.
Plasmids and transfection: The DNA and amino acid sequences of ThR are shown in
RNA Isolation and Northern blot analysis: RNA was prepared using TRI-Reagent (Molecular Research Center, Inc. Cincinnati) according to manufacturer's instructions. The RNA (20 μg of total RNA) was separated by electrophoresis through a 1.1% agarose gel containing 2 M formaldehyde, transferred to a nylon membrane (Hybond N+; Amersham) and hybridized either to cDNA probes or PCR product radiolabeled by random primer extension with [α-32P]Dct [6] for 24 h at 42° C. The membrane was washed twice for 30 min at room temperature with 2×SSC containing 2% SDS and 15 min at 50° C. with 0.1×SSC, containing 0.1% SDS. The blots were exposed for 2-4 d at −70° C. and the relative amounts of mRNA transcripts were analyzed by laser densitometry using an Ultroscan XL Enhanced Laser Densitometer and normalized relative to internal β-actin controls.
In situ hybridization of human tumor and placenta biopsy specimens. RNA probes were transcribed and labeled by T7 RNA polymerase (for antisense orientation) or T3 RNA polymerase (for sense control orientation) using DIG-UTP labeling mix (Boehringer Mannheim, Mannheim, Germany). Probes were labeled from plasmid containing 462 base pair fragments of the human ThR (pBhThR-462S) inserted into the EcoRI-HindIII site. Final concentration for hybridization was 1 μg/ml, according to the manufacturer's instructions for non radioactive in situ hybridization application. Hybridization was carried out (overnight, 45° C.) on paraffin embedded breast tissue sections (Department of Pathology, Hadassah University Hospital, Jerusalem) or placenta sequential sections. Slides were washed in 0.2×SSPE (3×1 h) at 50° C. and blocked by blocking reagent (Boehringer Mannheim, Mannheim, Germany). Detection was performed using AP-conjugated, anti-DIG antibodies (Fab-fragment, diluted 1:300; Boehringer Mannheim, Mannheim, Germany), overnight at room temperature. AP reaction was detected by NBT/BCIP reagents according to the manufacturer's instructions.
Immunohistochemistry: Tumor cells were cultured overnight at 37° C. on eight chamber slides. The cells were fixed with 2% formaldehyde and 2% sucrose/PBS at room temperature for 30 min and permeabilized with 20 mM Hepes, pH 7.4, 300 mM sucrose, 50 mM NaCl, 3 mM MgCl2 and 0.5% Triton X-100, for 4 min at 0° C. After rehydration with PBS, the cells were incubated (10 min, 24° C.) with 3% H2O2 in PBS containing 10 mM glycine, 10 mg/ml BSA, followed by 30 min blocking with normal goat serum in PBS containing 1% BSA. Affinity purified rabbit-anti-human ThR antibodies were added (dilution 1:50-1:200) for 4 h at 4° C., followed by incubation (1 h, room temperature) with a second antibody goat-anti-rabbit IgG-Biotin conjugated and 1 h incubation with HRP-ExtraAvidin (1:200) (Sigma Immuno Chemicals, St. Louis, Mo.).
Antibodies: We have raised anti-ThR antibodies directed toward a synthetic peptide (thrombin-receptor activating peptide; TRAP) corresponding to residues Ser42-Lys51 (i.e. S-F-L-L-R-N-P-N-D-K). KLH conjugated peptide was injected to rabbits, and the immune serum was affinity purified. ELISA was performed on plates coated with the TRAP-peptide showing efficient positive identification at 1:25,600 dilution. Maximal response was obtained at 1:3,200 dilution. Monoclonal anti ThR Abs (mouse IgG1 clone IIaR-A) were used for Western blot analysis (Biodesign, Me., USA)
Western blotting analysis: Cells were dissolved in lysis buffer containing 10 mM Tris-HCl, pH 7.4, 150 mM NaCl, 1 mM EDTA, 1% Triton X-100 and protease inhibitors (5 μg/ml aprotinin, 1 μM phenylmethylsulfonylfluoride and 10 μg/ml leupeptin) for 30 min at 4° C. After centrifugation at 10,000 g for 20 min at 4° C., the supernatants were transferred and the protein content was measured. Lysates (50 μg) were loaded and resolved on 10% SDS-PAGE followed by transfer to Immobilon-P membrane (Millipore, Mass.). Membranes were blocked and probed with anti-ThR antibodies (1:4000) in 1% BSA in 10 mM Tris-HCl (pH 7.5), 100 mM NaCl and 0.05% Tween-20). After washes, blots were incubated with the appropriate second antibodies and conjugated to horseradish peroxidase. Immunoreactive bands were detected by the enhanced chemiluminescence (ECL) reagent using luminol and p-cumaric acid (Sigma, St. Louis, Mo).
Placental tissue sections: Sections of placental tissue, 6-15 weeks of gestation, were obtained from elective termination of normal pregnancies by dilatation and curettage.
Matrigel invasion assay: Blind well chemotaxis chambers with 13 mm diameter filters were used for this assay. Polyvinylpyrrolidone-free polycarbonate filters, 8 μm pore size (Costar Scientific Co., Cambridge, Mass.), were coated with basement membrane Matrigel (25 μg/filter) as previously described [7]. Briefly, the Matrigel was diluted to the desired final concentration with cold, distilled water, applied to the filters, dried under a hood, and reconstituted with serum-free medium. Cells (2-3×105), suspended in DMEM containing 0.1% bovine serum albumin were added to the upper chamber. Conditioned medium of 3T3 fibroblasts was applied as a chemoattractant and placed in the lower compartment of the Boyden chamber. Assays were carried out at 37° C. in 5% CO2; Over 90% of the cells attached to the filter after a 2 h incubation. At the end of the incubation, the cells on the upper surface of the filter were removed by wiping with a cotton swab. The filters were fixed in methanol and stained with hematoxylin and eosin. Cells in various areas of the lower surface were counted and each assay was performed in triplicate. For chemotaxis studies, filters were coated with collagen type IV alone (5 μg/filter) to promote cell adhesion. Cells were added to the upper chamber and conditioned medium was applied to the lower compartment.
In a preliminary experiment, a panel of mammary carcinoma cells was surveyed for a possible correlation between the level of ThR expression and established degrees of metastasis (
Affinity purified rabbit-anti-human ThR antibodies were applied to detect the expression and localization of the receptor protein. Massive staining of MDA-231 and MDA-435 cells was observed (FIGS. 5B&C, respectively), as opposed to little or no staining of MCF-7 cells (
Collectively, these data demonstrate the preferential expression of ThR in metastatic breast carcinoma cell lines, but not in non-metastatic MCF-7 or MCF10A breast carcinoma cells, regardless of whether the mRNA or protein levels were evaluated.
ThR gene expression and localization in vivo was studied in formalin fixed paraffin embedded human breast carcinoma specimens as compared to normal mammary sections obtained from reduction mammoplasty. ThR expression was examined in primary breast tumors representing poor to benign prognosis. In situ hybridization analysis using a ThR RNA probe (corresponding to nucleotide nos. 320-570 of the sequence of
As demonstrated in
To assess the invasion properties of aggressively metastatic breast carcinoma cells, the Matrigel in vitro invasion assay was applied. For this purpose, a reconstituted matrix of basement membrane was utilized to coat porous filters, in order to closely mimic natural barriers in a Boyden chamber. As a chemoattractant source, fibroblast conditioned medium was placed in the lower compartment [7]. The Matrigel invasion assay confirmed the expected differential metastatic properties of the carcinoma cell lines. High levels of invasion through Matrigel were obtained with MDA-435 and MDA-231 cells (
To analyze the impact of reduced ThR expression in the highly metastatic cells, MDA-435 breast carcinoma cells were transfected with an antisense ThR cDNA. mammalian expression vector containing ThR cDNA in an antisense orientation under the control of the Cytomegalovirus (CMV) promoter (see
Similar antisense molecules may be prepared from other members of the PAR family, such as PAR-2 (
Human embryo development depends on proper placentation and successful implantation. Trophoblast invasion through the uterine epithelium and deep into the stroma enables the establishment of the proper fetal-maternal interactions. Histological examination of placental biopsies during the first trimester (6-15 weeks), obtained from elective termination of pregnancies, showed a striking pattern of ThR temporal regulation. ThR mRNA levels were not detected up to 6 weeks of gestation (
Number | Date | Country | Kind |
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125698 | Aug 1998 | IL | national |
Number | Date | Country | |
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Parent | 09744679 | Apr 2001 | US |
Child | 11785721 | Apr 2007 | US |