The invention provide methods and compositions for down regulating target gene expression in a subject by introducing RNA interference through in vivo delivery of nucleic acid, for example, by using siRNA duplexes. The methods are useful for target discovery and validation of gene-based drug development. The invention also provides methods and compositions for clinical application of siRNA therapeutics for the treatment if disease in a subject, for example to treat cancer, infectious diseases and/or inflammatory diseases.
RNA interference (RNAi) is a post-transcriptional process where a double stranded RNA inhibits gene expression in a sequence specific fashion. The RNAi process occurs in at least two steps: During the first step, a longer dsRNA is cleaved by an endogenous ribonuclease into shorter, 21- or 23-nucleotide-long dsRNAs, termed “small interfering RNAs” or siRNAs. In the second step, the smaller siRNAs then mediate the degradation of a target mRNA molecule. This RNAi effect can be achieved by introduction of either longer double-stranded RNA (dsRNA) or shorter small interfering RNA (siRNA) to the target sequence within cells. Recently, it was demonstrated that RNAi can also be achieved by introducing of plasmid that generate dsRNA complementary to target gene.
RNAi methods have been successfully used in gene function determination experiments in Drosophila(20,22,23,25), C. elegans(14,15,16), and Zebrafish(20). In those model organisms, it has been reported that both the chemically synthesized shorter siRNA or in vitro transcribed longer dsRNA can effectively inhibit target gene expression. Methods have been reported that successfully achieved RNAi effects in non human mammalian and human cell cultures(39-56). However, RNAi effects haveb been difficult to observe in adult animal models(57). This is for at least two reasons: first, introduction of a long double-stranded RNA into mammalian cells triggers an antiviral response through up-regulation of interferon gene expression, resulting in apoptosis and death of the cells, and; second, the efficiency of dsRNA delivery into the cell is too low, especially in animal disease models. Although RNAi has potential applications in both gene target validation and nucleic acid therapeutics, progress of the technology has been hindered due to the poor delivery of RNAi molecules into animal disease models. It is apparent, therefore, that improved methods for delivering RNAi molecules in vivo are greatly to be desired.
It is therefore an object of the invention to provide methods for inhibiting expression of one or more specific genes in a mammal.
It is a further object of the invention to provide methods for treating disease in a mammal by inhibiting expression of one or more specific genes in the mammal.
In achieving these objects there has been provided a method for down regulating a pre-selected endogenous gene in a mammal, comprising administering to a tissue of the mammal a composition comprising a double-stranded RNA molecule where the RNA molecule specifically reduces or inhibits expression of the endogenous gene. This down regulation of an endogenous gene may be used for treating a disease in the mammal that is caused or exacerbated by expression of the gene. The mammal may be a human.
There also has been provided a method for treating a disease in a mammal associated with undesirable expression of a preselected endogenous gene, comprising applying a nucleic acid composition to a tissue of the mammal and substantially contemporaneously applying a pulsed electric field to the tissue, where the nucleic acid composition may be capable of reducing expression of the endogenous gene in the tissue. The disease may be cancer or a precancerous growth and the tissue may be, for example, a breast tissue, colon tissue, a prostate tissue, a lung tissue or an ovarian tissue.
The RNA molecule may be a small interfering RNA or a long double stranded RNA. The small interfering RNA molecule may have a length of about 21-23 bp. The long double stranded RNA may have a length of about 100-800 bp. The RNA may have a length of about one hundred base pairs or less.
The composition may be administered directly to a tissue of the mammal, for example via injection into a tumor or joint in the mammal.
The composition may further comprises a polymeric carrier that enhances delivery of the RNA molecule to the tissue of the mammal. The polymeric carrier may comprise a cationic polymer that binds to the RNA molecule. The cationic polymer may be an amino acid copolymer, containing, for example, histidine and lysine residues. The polymer may be a branched polymer.
The composition may contain a targeted synthetic vector that enhances delivery of the RNA molecule to the tissue of the mammal. The synthetic vector may comprise a cationic polymer, a hydrophilic polymer, and a targeting ligand. The polymer may be a polyethyleneimine, the hydrophilic polymer may be a polyethyleneglycol, and/or the targeting ligand may be a peptide comprising an RGD sequence.
In any of these methods, a pulsed electric field may be applied to the tissue substantially contemporaneously with the composition. A second electric pulse may be applied substantially contemporaneously to the tissue to enhance delivery.
The endogenous gene may be a mutated endogenous gene, and at least one mutation in the mutated gene may be in a coding or regulatory region of the gene.
The composition may be a vector composition where the vector encodes an RNA transcript operatively coupled to a regulatory sequence that controls transcription of the transcript, and where the transcript can form a double stranded RNA molecule in the tissue that specifically reduces or inhibits expression of the endogenous gene. The vector may be a viral vector or a plasmid, cosmid or bacteriophage vector. The regulatory sequence may comprise a promoter, for example a a tissue-selective promoter such as a skin-selective promoter or a tumor selective promoter. The may be selected from the group consisting of CMV, RSV LTR, MPSV LTR, SV4 AFP, ALA, OC and keratin specific promoters.
In any of these methods, the endogenous gene may be selected from the group consisting of cancer causing genes, growth factor genes, angiogenesis factor genes, protease genes, protein serine/threonine kinase genes, protein tyrosine kinase genes, protein serine/threonine phosphatase genes, protein tyrosine phosphatase genes, receptor genes, matrix protein genes, cytokine genes, growth hormone genes, and transcription factor genes. The gene may be selected from the group consisting of VEGF, VEGF-R, VEGF-R2, VEGF121, VEGF165, VEGF189, and VEGF206.
In methods involving application of an electric pulse the pulse may comprise a square wave pulse of at least 50 V that may be applied to the tissue for between about 10 and about 20 minutes The pulse may be monopolar, bipolar or of multiple polarity. The pulse may comprise an exponential decay pulse of 120 V that may be applied to the tissue for between about 10 and about 20 minutes. In each of these methods the electric pulse may be applied via an electrode selected from the group consisting of a caliper electrode, a meander electrode, a needle electrode, a micro needle array electrode, a micropatch electrode, a ring electrode, and combinations thereof. The caliper electrode may have an area of about 1 cm2. The caliper electrode may be applied to a skin fold having a thickness of about 1 mm to about 6 mm.
Other objects, features and advantages of the present invention will become apparent from the following detailed description. It should be understood, however, that the detailed description and the specific examples, while indicating preferred embodiments of the invention, are given by way of illustration only, since various changes and modifications within the spirit and scope of the invention will become apparent to those skilled in the art from this detailed description
Methods for efficient RNAi delivery in vivo are provided. In one embodiment, RNAi is delivered into a subject, for example, a human or other animal, both locally and systemically through use of a pulsed electrical field (electroporation). The methods may be used with (1) all forms of RNAi, e.g. siRNA, dsRNA and DNA-RNA duplex; (2) all forms of RNAi payloads, eg. synthetic, in vitro transcribed and vector expressed RNAi; and (3) all types of tissues and organs that are accessible for electroporation. In other methods the RNAi is delivered using a polymer carrier and via intravenous (IV) delivery.
The invention also provides the medium used for delivery of RNAi;) routes chosen for effective delivery and parameters suitable for use for in vivo electroporation. The methods of the present invention have been used to achieve down regulation of a reporter gene that is co-delivered with its corresponding RNAi. The methods also have been successfully used to demonstrate antitumor efficacy after delivery of different payload forms of the corresponding RNAi by, for example, down regulation of expression of angiogenesis factors, e.g. VEGF and VEGFR2.
The present inventors have identified certain properties of different forms of RNAi, e.g. small interfering RNA (21-23 nt) and double stranded RNA (about 700 bp) in animal disease models. This invention provided a powerful tool to achieve RNAi effects in vivo, and hold tremendous potential for various applications in functional genomic research and in nucleic acid therapeutics.
The use of RNA interference (RNAi) has been developing rapidly in cell culture and in model organisms such as Drosophila, C. elegans, and zebrafish. Studies of RNAi have found that long dsRNA is processed by Dicer, a cellular ribonuclease III, to generate duplexes of about 21 nt with 3′-overhangs, called short interfering RNA (siRNA), which mediates sequence-specific mRNA degradation (5). An understanding of the mechanisms of RNAi and its rapidly expanding application represent a major breakthrough during the last decade in the field of biomedicine. Use of siRNA duplexes to interfere with expression of a specific gene requires knowledge of target accessibility, effective delivery of the siRNA into the target cells and, for some biological applications, long-term activity of the siRNA in the cell.
Together with the rapidly growing literature on siRNA as a functional genomic tool, there is emerging interest in using siRNA molecules as novel therapeutics. Successful therapeutic applications will depend upon successful development of optimized local and systemic delivery methods. The advantages of using siRNA as a therapeutic agent are due to its specificity (3, 4), stability (18) and mechanism of action (5, 6).
In cancer, the tumorigenesis process is thought to be the result of abnormal over-expression of oncogenes, angiogenesis factors, growth factors, and mutant tumor suppressors, even though under-expression of other proteins also plays a critical role. Increasing evidences supports the notion that siRNA duplexes ar able to “knockdown” tumorigenic genes both in vitro and in vivo, resulting in significant antitumor effects (6). The present inventors have demonstrated substantial knockdown of human VEGF in MCF-7 cell, MDA-MB435 cell and 1483 cell induced xenograft tumor models, achieving tumor growth inhibition of 40-80%. It is anticipated that VEGF-siRNA induced antiangiogenesis effect will alter the microvasculature in tumor and will result in activation of tumor cell apoptosis and, on the other hand, will also enhance efficacy of the cytotoxic chemotherapeutic drugs. However, to achieve significantly improved antitumor efficacy of antiangiogenesis agents and chemotherapeutic drugs, a highly effective delivery method is necessary so that elevated concentrations of the drugs accumulate in the local tumor tissue.
The present inventors previously have described a method of validating drug targets that determines which targets controlling tumor disease and thus justify anti-tumor drug discovery (see PCT/US02/31554). This method validates targets directly in animal tumor models through transgene over-expression and eliminates targets lacking disease control. The method reduces the need for protein generation, antibodies, and/or transgenic animals, while providing clear and definitive evidence that targets actually control the disease. Moreover, the method provides valuable information that may be lost with methods that rely solely on cell-culture and miss the complex interactions of multiple cell types that result in disease pathology.
The present inventors also have described gene delivery technologies suitable for high throughput delivery into animal tumor models. See WO01/47496, the contents of which are hereby incorporated by reference in their entirety. These methods enable direct tumor administration of plasmids and achieve a significant (for example, seven-fold) increase in efficiency compared to “gold standard” nucleotide delivery reagents. Accordingly, the methods provide strong tumor expression and activity of candidate target proteins in the tumor.
This platform is a powerful tool for validation of genes that are under-expressed in tumor tissue. However, a method to achieve gene silencing is highly desired for validation of genes that are over-expressed in tumor tissue. Recently, double stranded RNA has been demonstrated to induce gene-specific silencing by a phenomenon called RNA interference (RNAi). Although the mechanism of RNAi is still not completely understood, early results suggested that this RNAi effect may be achieved in vitro in various cell types including mammalian cells.
A double stranded RNA targeted against a target mRNA results in the degradation of the target, thereby causing the silencing of the corresponding gene. Large double stranded RNA is cleaved into smaller fragments of 21-23 nucleotides long by a RNase Im like activity involving an enzyme Dicer. These shorter fragments known as siRNA (small interfering RNA) are believed to mediate the cleavage of mRNA. Although gene down regulation by RNAi mechanism has been studied in C. elegans and other lower organisms in recent past, its effectiveness in mammalian cells in culture has only recently been demonstrated. An RNAi effect recently was demonstrated in mouse using the firefly luciferase gene reporter system (57).
To develop an RNAi technology platform for in vivo gene function validation and for potential clinical application of nucleic acid therapeutics to treat human diseases, the present inventors performed several in vivo studies in tumor-bearing mouse models. In those experiments, either siRNA or dsRNA targeting a tumor related ligand (human VEGF) or receptor (mouse VEGFR2) was intratumorally delivered to nude mice bearing xenografted human MCF-7 derived tumor or human MDA-MBA35 tumors. For the first time we were able to demonstrate that RNAi can effectively silencing target gene in tumor cells in vivo and that, as a result, tumor growth was inhibited.
The present invention, thus generally described, will be understood more readily by reference to the following examples, which are provided by way of illustration and are not intended to be limiting of the present invention
To investigate whether interfering RNAs inhibit gene expression in a mouse tumor model, we used direct intratumoral injection followed by electroporation to co-deliver naked dsRNA and Luciferase expression plasmid DNA into human MDA-MB435 tumor xenografted in nude mice. Briefly, a 700 bp DNA fragment derived from the firefly Luciferase gene was PCR amplified and a T7 promoter sequence was added to both ends of the DNA fragment during the PCR reaction. The DNA fragment was then used as a DNA template for in vitro transcription. The in vitro transcription was carried out using an dsRNA generation kit from New England BioLab following the manufacturer's instructions. Two μg of luciferase expression plasmid, pCILuc, was mixed with 0.5, 2, and 5 μg dsRNA derived from Luciferase gene or LacZ-gene in a final volume of 30 μl physiologic saline. The DNA/dsRNA mixture in saline solution was directly injected into human MDA-MB-435 tumor xenografted in Ncr Nu/Nu mice with a precision injector (Stepper, Tridake).
Immediately after injection, a procedure of pulsed electrical field was carried out (
As illustrated in
An in vivo study was carried out to demonstrate that the introduced siRNA can not only silence the co-delivered reporter gene, but also down regulate expression of an endogenous gene, e.g. VEGF. When the target gene is a tumor control gene, down regulation of the gene causes a therapeutic efficacy: inhibition of tumor growth. Human VEGF induces angiogenesis and endothelial cell proliferation and plays an important role in regulating vasculogenesis. There are several splice variants of human VEGF including VEGF121, VEGF165, VEGF189, and VEGF206, each one comprising a specific exon addition. VEGF165 is the most predominant protein, though the transcript of VEGF121 may be more abundant VEGF165 is a heparin-binding glycoprotein that is secreted as a homodimer of 45 kDa. Most types of cells, but usually not endothelial cells themselves, secrete VEGF. Since the first-discovered VEGF, VEGF165, increases vascular permeability, it is also known as vascular permeability factor. In addition, VEGF causes vasodilatation, partly through stimulation of nitric oxide synthase in endothelial cells. VEGF also can stimulate cell migration and inhibit apoptosis.
Two animal models were used for a comparative study. The first tumor model was established with a MCF-7 breast tumor line, and the second tumor model was established with a MCF-7 derived tumor cell line, MCF-7/VEGF165. Before injection of any type of RNAi, we observed a much more aggressive tumor growth for MCF-7/VEGF165 induced tumor than that induced by MCF-7 itself This behavior has been reported and represents the role of VEGF165 as a tumor growth enhancer through an angiogenesis promoting activity. To achieve a VEGF specific down regulation, 10 μg of either siRNA (21 nt) derived from hVEGF gene or siRNA derived from LacZ gene was directly injected into xenografted MCF-7/VEGF165 tumor that over-expressing human VEGF165 in nude mice. Two siRNA (21 nt) sequences were designed to target human VEGF165 gene. VEGFRNAiA sequence is 5′-ucgagacccugguggacauuu-3′ and VEGFRNAiB sequence is 5′-ggccagcacauaggagagauu-3′. Both siRNAs were double-stranded with two UU overhang on both ends. For intratumoral injection, 5 μg of each of the two siRNAs makes up 10 μg of the VEGF specific siRNAs. In addition, the same amount of dsRNA (10 μg) targeting VEGF165 gene was also introduced by the same delivery method. Electric pulses were applied to tumor immediately after siRNA injection as described above. A second siRNA administration was performed on day 7 post first RNAi administration. The tumor volume was measured as an indication of hVEGF gene silencing.
As demonstrated in
To illustrate the power of RNAi mediated gene silencing in effecting tumor growth by targeting endogenous tumor control gene, one in vivo study was carried out to silence mouse VEGFR2 gene in MCF-7 derivative tumor bearing nude mice. Two siRNAi were designed to target mouse VEGFR2 gene. VEGFR2RNAiA sequence is 5′-gcucagcacacagaaagacuu-3′ and VGFR2RNAi B sequence is 5′-ugcggcgguggugacaguauu-3′. Both siRNAs were double-stranded with two UU overhang on both ends. Five μg of each siRNA makes up 10 μg for each delivery. Ten μg of siRNAi derived from mVEGFR2 or LacZ gene, or 10 μg of pCILuc plasmid DNA, was directly injected into . xenografted human MCF-7 derived tumor in nude mice. Electric pulses were applied to tumor immediately after siRNAs/DNA injection as described above. A second siRNAs/DNA administration was performed on day 7 post first administration. The tumor volume was measured as an indication of mVEGFR2 gene silencing. As demonstrated in
To further illustrate the power of RNAi mediated gene silencing in affecting tumor growth by a targeting tumor control gene, another in vivo study was carried out to silence the mouse VEGFR2 gene in human MDA-MB435 tumor-bearing nude mice. In addition to siRNAs derived from mVEGFR2 decribed above, 10 μg of either dsRNA (700 nt in length) derived from mouse VEGFR2 gene or siRNAs derived from LacZ gene was directly injected into human MDA-MB435 xengrafted tumor in nude mice. Electric pulses were applied to tumor immediately after dsRNA/siRNAs injection as described above. A second dsRNA/siRNAi administration was performed on day 3 post first administration. Ten μg of a DNAzyme specifically targeting mouse VEGFR2 was used as a positive control for down-regulation of the mVEGFR2 gene. The tumor volume was measured as an indication of mVEGFR2 gene silencing.
As demonstrated in
RNAi against targets can be successfully delivered using polymer-mediated delivery as shown by the results in
Targeted synthetic vectors of the type described in WO01/49324, which is hereby incorporated by reference in its entirety, may be used for systemic delivery of RNAi. Briefly, a PEI-PEG-RGD (polyethyleneimine-polyethylene glycol-argine-glycine-aspartic acid) synthetic vector was prepared as described, for example, in Examples 53 and 56 of WO01/49324. This vector was used to deliver RNAi systemically via intravenous injection. The results are shown in
Other Methods of RNAi Delivery
For certain applications, RNAi may be administered directly as a “naked” reagent with or without electroporation. This can be used, for example, to deliver RNAi molecules and vectors encoding RNAi molecules via direct injections into, for example, tumor tissue and directly into a joint The RNAi may be in a suitable carrier such as, for example, a saline solution or a buffered saline solution.
Target Validation
The ultimate goal of drug target validation is demonstration that a candidate target actually controls the disease. Disease-controlling targets are the high value targets that justify drug discovery. The goal of drug development is products that selectively target key pathways and the key controlling elements of those pathways in order to provide effective therapeutic control of the disease. Validation of such key pathways and elements requires demonstration that addition or subtraction of individual candidate targets controls the disease, i.e. results in a clear increase or decrease of pathology. In vitro cell-based strategies have provided useful information in helping identify and select potential targets. However, the ability of targets to control in vitro cell models associated with disease frequently is not sufficient to prove the target actually controls the disease process, i.e. the complex interactions of multiple cell types that result in disease pathology. Definitive demonstration of disease control by targets can only be obtained by studies of those targets in a true disease model.
The process of target discovery has been greatly accelerated by genomic methods but validation remains a bottlenecks First-generation genomic methods have generated large pools of candidate targets piled up at the validation step. Many approaches are currently being used to study the function of these gene targets and to validate their role in a disease process. Many of these approaches, although having the benefit of being efficient and high throughput, often succeed only at establishing a correlation or association with disease processes rather than determining a controlling role. Newer gene knockdown and forward or inverse genomic approaches have proven useful but these identify genes whose inhibition or mutation may have a disease role, missing potential valuable information from a gene's over-expression. Furthermore, they also employ primarily in vitro-cell-based phenotypes, which do not reflect the complex multi-cellular mechanisms of most diseases, such as tumor angiogenesis, and hence run the risk of missing important targets in adjacent cellular pathways or provide disease associations which are incomplete without the full biological context.
Rapid Definitive Target Validation
The present methods can be used for validating cancer-related drug targets. The methods validate targets directly in animal tumor models by silencing endogenous gene(s) in tumor tissue, and can be used in tandem with methods that involve gene overexpression. See PCT/US02/31554. These methods reduce the need for the costly and slow steps of definitive validation, such as gene cloning and sequencing, generation of proteins and antibodies or transgenic animals. The combination of these two methods vastly accelerates the process, and most importantly rapidly eliminates weaker targets. Moreover, results obtained by the methods provide clear and definitive evidence that targets actually control the disease, the key validation needed to proceed to the costly steps of drug discovery. The methods can be used to complete the validation of any candidate targets such as those generated from cell culture, model organisms, transgenic animals, etc.
Target Discovery: Capturing Targets Missed in Preliminary Validation
Another consideration is that, unfortunately, many high value disease-controlling targets may be lost when in vitro or disease-association methods are employed as the first “filter” in target discovery and validation. Many disease-controller targets may only be found in the context of the entire disease model. For example, targets controlling angiogenesis of tumors will only be found at the conjunction of tumors and blood vessels. In the case of tumors, certain valuable targets may only be discovered by studying the in vivo biological system containing assembly of tumor and surrounding tissues.
High Throughput Target Discovery Solutions
We have also proposed solutions to the challenge of discovering disease controller targets. The solution is to scale-up the basic approach by applying it to screen larger sets of gene targets in a higher throughput operation. By scaling the method to processing multiple candidate genes in animal tumor models, this approach can provide the opportunity to skip, in many cases, preliminary functional validation methods.
Tumor Target Elimination
The present methods, alone or in combination with the methods described in PCT/US02/31554, permit candidate targets to be rapidly tested for their capacity to control tumor growth. Those candidates showing only weak or negligible control of tumor growth can be eliminated from consideration in favor of those that have a strong effect on tumor growth. These Tumor Target Discrimination Methods rapidly discriminates targets into three categories: those enhancing tumor growth, those with little effect on tumor growth, and those inhibiting tumor growth.
This application claims priority to U.S. provisional application Ser. No. 60/401,029, filed Aug. 6, 2002, the entirety of which is hereby incorporated by reference.
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/US03/24587 | 8/6/2003 | WO | 3/28/2006 |
Number | Date | Country | |
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60401029 | Aug 2002 | US |