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Since the first demonstration in 1988 that mitochondrial DNA (mtDNA) base substitution and deletion mutations are linked to human disease, a variety of degenerative diseases have been associated with mtDNA mutations (Wallace, 1994). Mitochondria are vital for the cell's energy metabolism and for the regulation of programmed cell death. In addition, mitochondria are critically involved in the modulation of intracellular calcium concentration and the mitochondrial respiratory chain. Consequently mitochondrial dysfunction either causes or at least contributes to a large number of human diseases.
Mitochondria are a prime target for pharmacological intervention (Szewczyk et al., 2002). Malfunctioning mitochondria are found in several adult-onset diseases including diabetes, cardiomyopathy, infertility, migraine, blindness, deafness, kidney and liver diseases and stroke. The accumulation of somatic mutations in the mitochondrial genome has been suggested as contributing to aging, age-related neurodegenerative diseases and neuromuscular diseases as well as in cancer. Certain deleterious base substitutions can cause familial deafness and some cases of Alzheimer's disease and Parkinson's disease. Other nucleotide substitutions have been associated with Leber's Hereditary Optic Neuropathy (LHON) and myoclonic epilepsy and ragged-red fiber disease (MERF). Base substitutions can also cause pediatric diseases such as Leigh's syndrome and dystonia. Severe rearrangements involving deletions have been linked with adult-onset chronic progressive external opthalmoplegia (CPEO) and Kearns-Sayre syndrome (KSS) as well as the lethal childhood disorder Pearson's marrow/pancreas syndrome (Wallace, 1994).
Three different approaches for somatic gene therapy (Ledley, 1996) can be distinguished based on the nature of the material that is administered to the patient: (a) cell-based approaches involving the administration to the patient of genetically engineered cells (“ex-vivo”), (b) administration to the patient of genetically engineered, attenuated, or defective viruses, and (c) plasmid-based approaches that involve pharmaceutical formulations of DNA molecules. A variety of viral and non-viral methods have been developed for introducing DNA molecules into a cell. Non-viral techniques include precipitation of DNA with calcium phosphate (Chen et al., 1987; Sompayrac et al., 1981) or with polybrene (Aubin et al., 1988); direct introduction of DNA using cell electroporation (Neuman et al., 1982) or DNA microinjection (Capecchi, 1980); complexation of DNA with polycations (Kabanov et al., 1995); and DNA incorporation in reconstructed virus coats (Schreier et al., 1992; Schreier et al., 1995).
Cationic lipids have become important reagents for gene transfer in vitro and in vivo. Several clinical trials approved by the NIH are in progress (Ledley, 1994 and Ledley, 1995). In terms of transfection efficiency, virus-based vectors are superior to all other DNA transfection methods. Several different viral vectors have been developed and are in clinical trials including those derived from murine leukemia viruses (retroviruses), adeno-associated virus, and adenovirus (reviewed in Ledley, 1996).
There have been only a few reports of nucleic acids entering mitochondria, and most have focused on the nuclear encoded RNA component of the mitochondrial RNA processing activity, RNase MRP (Chang et al., 1987; Li et al., 1994). The uptake of exogenous DNA into mitochondria involving the protein import pathway has been reported from two laboratories. Vestweber et al. (1989) achieved uptake of a 24-bp both single- and double-stranded oligonucleotide into yeast mitochondria by coupling the 5′ end of the oligonucleotide to a precursor protein consisting of the yeast cytochrome c oxidase subunit IV presequence fused to a modified mouse dihydrofolate reductase. More recently, Seibel et al. (1995) reported the import into the mitochondrial matrix of double-stranded DNA molecules conjugated to the amino-terminal leader peptide of the rat ornithine-transcarbamylase. Both studies, however, were done with isolated mitochondria, not addressing the question of how oligonucleotide-peptide conjugates will pass the cytosolic membrane and reach mitochondrial proximity. Negatively-charged biological cell surfaces and lysosomal degradation establish major obstacles, which are very unlikely to be overcome by single oligonucleotide-peptide complexes.
The need for mitochondria-specific delivery systems arises from the central role mitochondria play in a multitude of metabolic pathways (Weissig, 2005; Weissig et al., 2004; Murphy et al., 2000). Despite the progress being made in developing delivery systems for DNA and bioactive molecules into intact cells and into nuclei of intact cells, there is a need for an efficient method for introducing DNA and bioactive molecules into mitochondria of intact cells.
This invention is directed to mitochondriotropic phospholipid vesicles, i.e., mitochondriotropic liposomes, that comprise a hydrophobized amphiphilic delocalized cation, such as those comprising, e.g., a triphenylphosphonium or a quinolinium moiety, incorporated into the phospholipid membrane of the vesicles, or liposomes. The hydrophobized portion of the amphiphilic delocalized cation, e.g., a fatty acid or other phospholipid derivative, is embedded in the phospholipid membrane of the liposome, and the amphiphilic portion of the cation is exposed on the surface of the liposome.
Mitochondriotropic liposomes according to the invention constitute a mitochondria-targeted drug delivery system, which permits the transport of a high payload of therapeutic water-soluble molecules in their native (i.e., active) state specifically and exclusively to mitochondria in living mammalian cells. This invention combines into one delivery system the mitochondria-specificity of amphiphilic delocalized cations with the ability of liposomes to encapsulate a large variety of water-soluble molecules.
Thus, the compositions according to the invention provide a universally applicable drug delivery system, which delivers in vitro and in vivo highly water-soluble molecules (such as low-molecular weight drugs, peptides, peptide-nucleic acids, saccharides and oligonucleotides) selectively and exclusively to mitochondria in living mammalian cells, including malignant transformed cells.
The delivery of both small drug molecules and large macromolecules to and into mitochondria provides the basis for a large variety of cytoprotective and cytotoxic therapies. For example, the delivery of therapeutic DNA and RNA such as antisense oligonucleotides, ribozymes, plasmid DNA expressing mitochondrial encoded genes as well as wild-type mtDNA can provide the basis for treatment of mitochondrial DNA diseases. The delivery of antioxidants can protect mitochondria from oxidative stress caused by a variety of insults, perhaps even contributing to slowing down the natural aging process. The delivery of mitochondria-specific naturally occurring toxins or synthetic drugs such as photosensitizers can open up avenues for new anticancer therapies. Moreover, delivering molecules known to trigger apoptosis by directly acting on mitochondria can overcome the apoptosis-resistance of many cancer cells. The delivery of drugs targeting mitochondrial uncoupling proteins can become a basis for treating obesity, and the delivery of peptides and proteins can become the basis for the treatment of a huge variety of other mitochondrial disorders.
Other features and advantages of the invention will be apparent from the following description of the preferred embodiments thereof and from the claims, taken in conjunction with the accompanying drawings, in which:
The compositions of the invention provide a universally applicable drug delivery system, which delivers in vitro and in vivo highly water-soluble molecules (low-molecular weight drugs, peptides, peptide-nucleic acids, saccharides, oligonucleotides) selectively and exclusively to mitochondria in living mammalian cells including malignant transformed cells. The compositions according to the invention can be used to address the significant problems caused by damaged or diseased mitochondria. Recently, more than fourteen groups of potential mitochondrial drugs or mitochondrial drug targets have been summarized (Weissig et al., 2004). The vast majority of the recently published reviews center around drug targets related to the crucial role mitochondria play during apoptosis (Morisaki et al., 2003; Kotake et al., 2003; Kroemer, 2003; Malisan et al., 2003; Galiegue et al., 2003; O'Neil et al., 2003; Pastorino et al., 2003; Granville et al., 2003; Halestrap et al., 2003; Waldmeier et al., 2003; Crompton, 2003; Sordet et al., 2003). Another area of high interest is the protection of mitochondria from oxidative stress (James et al., 2004; Green et al., 2004; Coulter et al., 2000). An additional area of interest is disease caused by mutated mitochondrial DNA (Dimauro et al., 2001; Wallace, 1992; Wallace, 2001; Pulkes et al., 2001; Manfredi et al., 2000; D'Souza et al., 2004). A large number of treatments have been proposed in this area.
Certain amphiphilic compounds (“mitochondriotropics”) are able to cross both mitochondrial membranes leading to their accumulation in the mitochondrial matrix.
Mitochondriotropic molecules have two structural features in common. First, they are all amphiphilic; that is, they combine a hydrophilic charged center with a hydrophobic core. Second, in all structures the n-electron charge density extends over at least three atoms or more instead of being limited to the internuclear region between the heteroatom and the adjacent carbon atom. This causes a distribution of the positive charge density between two or more atoms; that is, the positive charge is delocalized, thus the terminology “delocalized cations.” Both structural features are widely believed to be crucial for the accumulation of these organic cations inside the matrix of mitochondria. Sufficient lipophilicity combined with delocalization of the positive charge on these cations, to reduce the free energy change when the cations move from an aqueous to a hydrophobic environment, are thought to be prerequisites for their mitochondrial accumulation in response to the mitochondrial membrane potential (Weiss et al., 1987).
The compositions and methods of the invention make use of these properties of mitochondriotropic molecules by combining the hydrophobized versions of these organic cations with the ideal vesicular delivery system, the liposome. Colloidal vesicles composed of phospholipids, or liposomes, are one of the most versatile and most extensively studied drug delivery systems. Liposomes can encapsulate an unlimited variety of hydrophilic, amphiphilic and hydrophobic small molecules either in their aqueous inner space or in their lipid bilayer membranes. They are essentially nontoxic, non-immunogenic and biodegradable; that is, liposomes meet all prerequisites for an ideal drug delivery system. The surface modification of liposomes with polyethylene glycol leads to prolonged circulation times in the bloodstream (Klibanov et al., 1990), which in turn is the basis for a variety of liposome-based drugs that have been approved by the FDA and FDA-like agencies in Europe and Asia over the last decade.
To utilize the superior drug carrier properties of liposomes for mitochondria-targeted delivery of bioactive molecules, amphiphilic delocalized cations have been hydrophobized according to the invention to form liposomes having surface-linked mitochondriotropic residues. In an exemplary embodiment according to the invention, stearyltriphenylphosphonium bromide (STPP) was synthesised by replacing the methyl group in methyltriphenylphosphonium bromide (
Any therapeutic compound, e.g., a therapeutic compound previously delivered by another delivery system, is a candidate for delivery to a patient by the system of the invention. Cyclosporin A (CsA), for example, has been shown to bind with nanomolar affinity to mitochondrial cyclophilin D, which potentially makes it an interesting anti-ischaemic drug candidate (Woodfield et al., 1998). However, CsA also targets at least eight other cyclophilins inside the cell, which are likely to bind a large portion of the administered drug. Therefore, the mitochondrial concentration of CsA is difficult to predict, and an effective CsA treatment may require high, even toxic concentrations to reach the mitochondrial target (Waldmeier et al., 2003). Consequently, CsA as a potential anti-ischaemic drug would benefit from the mitochondria-specific drug carrier system according to the invention, which would be able to increase its therapeutic index.
Paclitaxel is a potent antitubulin agent used in the treatment of malignancies (Eisenhauer et al., 1998). It has recently been demonstrated that clinically relevant concentrations of paclitaxel target mitochondria directly and trigger apoptosis by inducing cytochrome c (cyt c) release in a permeability transition pore (PTP)-dependent manner (Andre et al., 2002). Unfortunately, paclitaxel has a very narrow therapeutic window (Seligson et al., 2001, which most likely reflects the existence of several drug targets inside the cell, thus making only a subset of the drug available for mitochondria (Andre et al., 2002). Consequently, paclitaxel as an anticancer drug should greatly benefit from the organelle-specific delivery system according to the invention.
Ceramide is a major sphingolipid with sphingosine as its basic structure. A lipid-signaling molecule, it helps to regulate the differentiation, proliferation, and death of cells. In the cell, ceramide is degraded with ceramidase to sphingosine, which is then phosphorylated by sphingosine kinase to form sphingosine-1-phosphate. Phosphorylated sphingosine is able to form special channels in the outer mitochondrial membrane, releasing into the cell factors that trigger apoptosis and, thus, inhibiting cancer cell growth. The organelle-specific delivery system according to the invention should significantly increase the specificity, and thus the activity, of this useful therapeutic compound.
The therapeutic compositions of the invention may be administered orally, topically, or parenterally (e.g., intranasally, subcutaneously, intramuscularly, intravenously, or intra-arterially) by routine methods in pharmaceutically acceptable inert carrier substances and solutions. For example, the compositions of the invention may be administered in a sustained release formulation using a biodegradable biocompatible polymer. Filled mitochondriotropic phospholipid vesicles according to the invention can be administered in a dosage of 0.25 μg/kg/day to 5 mg/kg/day, and preferably 1 μg/kg/day to 500 μg/kg/day. Optimal dosage and modes of administration can readily be determined by conventional protocols.
The therapeutic compositions may be administered either systemically or in a site-specific manner. Additional targeting agents may be added to the surface of the mitochondriotropic liposomes of the invention, where appropriate, for targeted delivery to a specific cell type. In the case of treatment for cancer, carcinoma cells are known to have a higher membrane potential than normal cells, which results in thier preferential uptake of the mitochondriotropic liposomes of the invention.
The therapeutic compositions of the invention can be administered independently or co-administered with another active agent. It is contemplated that the therapeutic compositions of the invention will be particularly useful as antineoplastic agents when co-administered with, e.g., cis-Platin or methotrexate.
The following examples are presented to illustrate the advantages of the present invention and to assist one of ordinary skill in making and using the same. These examples are not intended in any way otherwise to limit the scope of the disclosure.
Stearyl-triphenylphosphonium bromide (according to
The preparation of liposomes in the presence of hydrophilic molecules that have been hydrophobized via linkage to fatty acid or phospholipid derivatives results in the covalent “anchoring” of the hydrophilic moiety to the liposomal surface. Liposomes according to the invention were prepared in the presence of STPP according to standard protocols (Lasch et al., 2003).
As expected (see,
To study the cellular uptake and intracellular distribution of STPP liposomes, cells of the breast cancer cell line BT 20 were incubated with fluorescence-labeled STPP liposomes for 1 h in serum-free medium. To remove non-internalized liposomes, cells were thoroughly washed and allowed to grow for another hour in complete medium. Typically obtained epifluorescence microscopic images are shown in
Results of a preliminary study suggest that the pro-apoptotic activity of C6 ceramide is increased when formulated in mitochondriotropic, i.e., STPP, liposomes according to the invention.
At identical ceramide concentrations, neither cells treated with ceramide loaded plain liposomes (Lane C,
Nude mice were inoculated subcutaneously into the left flank with COLO205 colon cancer cells. After the tumor size had reached 2-3 mm in diameter, 0.1 ml samples of radio-labeled liposomes (5 μCi total) were injected into the tail vein and the animals were sacrificed after 24 hours. Liposomes carrying polyethylene glycol (3′ PEG5000) had a zeta potential of −10.6, whereas liposomes loaded with 100 STPP as well as with 3% PEG5000 exhibited a zeta potential of +12.1.
Referring to
Materials and Methods
Materials
Triphenylphosphine (TPP), stearyl bromide, and organic solvents were purchased from Fisher Scientific and used without further purification. Egg phosphatidylcholine (PC) and cholesterol (Ch) were obtained from Avanti Polar Lipids. The CellTiter AQueous One Solution Cell Proliferation Assay kit was purchased from Promega, and all fluorescence dyes used in this study were obtained from Molecular Probes.
Synthesis of Stearyltriphenylphosphonium Bromide (STPP)
Following a protocol for the synthesis of analogue tertiary phosphonium salts (Rideout et al., 1989), stearyl bromide (1.93 g, 5.5 mmol) and triphenylphosphine (1.52 g, 5.8 mmol) were heated under reflux for 20 h in freshly distilled anhydrous xylene (30 mL). The progress of the reaction was monitored by thin layer chromatography (TLC) on silica gel plates (Silica Gel 60, F-254) using iodine as detection reagent. The solvent was removed on a rotary evaporator to obtain crude yellowish oil. The crude was purified by silica gel column chromatography (75 g) using methanol:chloroform (5:95) as an eluent. Purified STPP, obtained as a colorless oil, crystallized on standing and was recrystallized from ether to yield pure STPP in 35-45% yields. The product was characterized by 1H-NMR (CDCl3) and 31P-NMR (with external 85% H3PO4 as reference) on a VARIAN Mercury 300 NMR spectrometer: 1H NMR: 7.68-7.88 (m, 15H), 3.7-3.8 (m, 2H), 1.55-1.65 (t, 4H), 1.2-1.35 (m, 28H), 0.7-0.8 (t, 3H); 31P-NMR: 25.34.
Preparation of Liposomes with Incorporated STPP (STPP-Liposomes)
STPP-liposomes were prepared by probe sonication according to the general method of liposome preparation described in Lasch et al. (2003). Briefly, a mixture of lecithin, cholesterol, hydrophobized polyethylene glycol and STPP (PC/Ch/hPEG/STPP=62/15/3/20, molar ratio; final total lipid 25 mg/mL) was dissolved in chloroform followed by removal of the organic solvent using a rotary evaporator. After the addition of 5 mM HEPES (pH 7.4) to the dry lipid film, the sample was probe sonicated with a Sonic Dismembrator (Model 100, Fischer Scientific) at a power output of approximately 10 watts for 30 min. To remove any titanium particles shed from the tip of the probe during sonication, the sample was centrifuged for 10 min at 3000×g. The formed STPP-liposomes were separated from free, i.e., non-incorporated STPP, by gel filtration chromatography on a Sephadex G-15 column. The liposomal incorporation of STPP was confirmed by 31P-NMR spectroscopy.
Size Distribution Analysis
The liposome size and size distribution were determined by quasielastic laser light scattering using a Coulter N4 Submicron Particle Size Analyzer.
Zeta Potential Measurements of STPP-Liposomes
The zeta potential of STPP liposomes was determined at 2.5 V, 657 nm, 2.00 Hz and 25° C. using the Zeta Potential Analyzer Version 3.26 from Brookhaven Instruments Corporation. For each measurement, 10 μl liposome solution (total lipid, 25 mg/ml; STPP content varying between 0 and 25 mol %) were added into 2 mL HBS, pH 7.4 and incubated until temperature equilibration was attained.
Intracellular Distribution of STPP Liposomes
For analyzing their intracellular distribution pattern by fluorescence microscopy, STPP liposomes (20 mol % STPP) were labeled with 0.5 mol % Rhodamine-PE (Aex=550 nm, Aem=590 nm). BT-20 cells were grown on 22 mm cover slips in 6-well plates to about 85% confluence. After the medium had been replaced with serum-free medium, 35 μl STPP liposomes (25 mg/mL lipid) were added to each well. Following a 1 h incubation, the medium containing non-internalized liposomes was removed, cells were thoroughly washed, allowed to grow for another hour in complete medium and analyzed by epifluorescence microscopy using a BX61 Olympus model. For visualizing mitochondria in cells not treated with STPP liposomes, cells were co-incubated for 5-7 min with Mitotracker Red CMXRos. Images were taken with an Olympus camera on an Olympus BX61 microscope using a TRITC filter for Mitotracker and for Rhodamine. Photographs were taken digitally and processed using Adobe Photoshop 6.0.
Cudd, A., Nicolau, C. (1985). Intracellular fate of liposome-encapsulated DNA in mouse liver: analysis using electron microscope autoradiography and subcellular fractionation. Biochim. Biophys. Acta 845(3):477-491.
Granville, D. J., Gottlieb, R. A., (2003). The mitochondrial voltage-dependent anion channel (VDAC) as a therapeutic target for initiating cell death. Curr. Med. Chem. 10:1527-1533.
While the present invention has been described in conjunction with a preferred embodiment, one of ordinary skill, after reading the foregoing specification, will be able to effect various changes, substitutions of equivalents, and other alterations to the compositions and methods set forth herein. It is therefore intended that the protection granted by Letters Patent hereon be limited only by the definitions contained in the appended claims and equivalents thereof.
This application claims the priority of U.S. Provisional Application No. 60/657,802 filed Mar. 2, 2005 entitled, MITOCHONDRIOTROPIC PHOSPHOLIPID VESICLES, the whole of which is hereby incorporated by reference herein.
Filing Document | Filing Date | Country | Kind | 371c Date |
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PCT/US06/07628 | 3/2/2006 | WO | 8/30/2007 |
Number | Date | Country | |
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60657802 | Mar 2005 | US |