Modulation of angiogenesis

Abstract
This invention relates to compounds, compositions, and methods for the treatment of traits, diseases and conditions that respond to the modulation of angiogenic growth factor bioavailability or biological activity.
Description

BRIEF DESCRIPTION OF DRAWINGS


FIG. 1, panel A is a photo of a human eye demonstrating abrupt termination of blood vessels in the conjunctiva (CJ) at its border with the cornea (C), the limbus



FIG. 1, panel B depicts a non-reducing western blot of mouse cornea revealing immunoreactive bands of VEGF-A at 100-130 kDa corresponding to bound forms and negligible immunoreactivity at 45-50 kDa corresponding to the free form.



FIG. 1, panel C depicts sflt-1 (lane 1) and VEGF-A (lane 3) transcripts in mouse cornea identified by representative RT-PCR. Lane 2 is water (template negative) control.



FIG. 1, panel D and panel E depict sflt-1 mRNA detected by in situ hybridization in mouse corneal epithelium (epi) and stroma (str). Antisense RNA probes show purple-brown reactivity. Sense RNA probes show negligible reactivity.



FIG. 1, panel F depicts immunolocalization (brown) of sflt-1 protein in mouse cornea.



FIG. 1, panel G depicts reducing western blots using an antibody against the amino (N)-terminus of flt-1 that recognizes both mbflt-1 and sflt-1 and an antibody against the unique carboxyl terminus of sflt-1 specific antibody reveal that mouse cornea (1) contains primarily sflt-1 (60 kDa) while conjunctiva (2) contains primarily mbflt-1 (190 kDa).



FIG. 1, panel H depicts western blot analysis of two independent mouse cornea samples immunoprecipitated with anti-VEGF-A antibody and immunoblotted with a biotinylated antibody against the amino (N)-terminus of flt-1 that recognizes both mbflt-1 and sflt-1 reveals that VEGF-A interacts with sflt-1 (60 kDa). Subsequent immunoblot with a biotinylated anti-VEGF-A antibody confirms the pull-down of VEGF-A by the immunoprecipitating antibody.



FIG. 2, panel A depicts topical enzymatically active Cre recombinase abolishes corneal avascularity in flt-1loxP/loxP mice. NLS-Cre induces Cre expression (brown) in the cornea within 1 hour of eye drop application as demonstrated by immunolocalization in cell nuclei.



FIG. 2, panel B shows that NLS-β-galactosidase expression fails to induce Cre expression (brown) in cornea within 1 hour of eye drop application as demonstrated by immunolocalization in cell nuclei stained red.



FIG. 2, panel C depicts a reducing western blot of Cre expression.



FIG. 2, panel D depicts Xgal staining of corneal flat mount of ROSA26R lacZ reporter mouse confirms expression of β-galactosidase (blue) 2 days after Cre expression.



FIG. 2, panel E depicts representative corneal flat mounts showing CD31+ (green) LYVE-1 blood vessels in flt-1loxP/loxP mouse corneas 14 days after treatment with NLS-Cre eye drops.



FIG. 2, panel F depicts representative corneal flat mounts showing CD31+ (green) LYVE-1 blood vessels in flt-1loxP/loxP mouse corneas 14 days after treatment with NLS-β-galactosidase expression.



FIG. 2, panel G depicts the absence of corneal vascularization in wild-type mice after topical application of NLS-Cre.



FIG. 2, panel H depicts the absence of corneal vascularization in wild-type mice after topical application of NLS-β-galactosidase.



FIG. 2, panel I depicts a western blot indicating that topical application of NLS-Cre leads to Cre expression in the mouse cornea and is enhanced by the prior topical application of proparacaine eye drops (+P) compared to no prior application (−P).



FIG. 3, panel A is a bar graph indicating that sflt-1 mRNA knockdown abolishes corneal avascularity. Real time RT-PCR reveals reduced sflt-1 mRNA in wild-type mouse corneas 3 days after injection of pshRNA-sflt-1 but not pshRNA-mbflt-1. * P<0.05, Bonferroni corrected Mann Whitney U test. Error bars depict s.e.m.



FIG. 3, panel B is a bar graph depicting data generated from an ELISA. The data indicates that sflt-1 protein is reduced in wild-type mouse corneas 3 days after injection of pshRNA-sflt-1 but not pshRNA-mbflt-1. * P<0.05, Bonferroni corrected Mann Whitney U test. Error bars depict s.e.m.



FIG. 3, panel C is a bar graph depicting data generated from an ELISA. The data indicates that free VEGF-A protein is increased in wild-type mouse corneas 3 days after injection of pshRNA-sflt-1 but not pshRNA-mbflt-1. * P<0.05, Bonferroni corrected Mann Whitney U test. Error bars depict s.e.m.



FIG. 3, panel D provides an image of an eye expressing pshRNA-sflt-1.



FIG. 3, panel E depicts a corneal flat mount showing CD31+ (green) LYVE-1 blood vessels at 14 days after injection. pshRNA-sflt-1 expression induces CV in wild-type mice. Scale bars are 500 μm.



FIG. 3, panel F depicts a corneal flat mount showing CD31+ (green) LYVE-1 blood vessels at 14 days after injection. pshRNA-mbflt-1 expression fails to induce CV in wild-type mice. Scale bars are 500 μm.



FIG. 3, panel G is a graph depicting a decrease in sflt-1 (sVEGFR1) expression by a siRNA sequence that targets sflt-1 (sVEGFR1).



FIG. 3, panel H depicts suppression of unique tail of sFLT by siRNA targeting unique tail.



FIG. 3, panel I depicts suppression of mRNA of VEGF binding domains (553 bp) of sFLT by siRNA targeting unique tail, while 18sRNA (315 bp) is unaffected.



FIG. 3, panel J depicts western blot analysis of VEGF expression (band visible at 25 kD) in mouse corneas using immunoprecipitation by antibody to sFLT unique tail and demonstrating that siRNA knock down of sflt-1 expression frees VEGF from sflt-1 sequestration.



FIG. 4, panel A provides reducing western blots showing a deficiency of sflt-1 in corneas of corn1 and Pax6+/− mice compared to background strain A/J and Pax6+/+ mice.



FIG. 4, panel B is a bar graph showing that sflt-1/Fc administration inhibits CV in corn1 and Pax6+/− mice compared to IgG1/Fc (by 87±2% in corn1; P=0.01; by 85±3% in Pax6+/−; P=0.03) and to control untreated mice (by 87±2% in corn1; P=0.01; by 84±3% in Pax6+/−; P=0.03). Significance by Bonferroni corrected Mann Whitney U test. Error bars depict s.e.m.



FIG. 4, panel C depicts flat mounts showing CD31+ (green) LYVE-1—corneal blood vessels.



FIG. 4, panel D depicts immunostaining of a cornea and revealing a deficiency of sflt-1 (brown) in cornea with aniridia-associated vascularization (top), revealed by vascular cell adhesion molecule-1 (VCAM-1) staining (red) compared to the avascular cornea (lack of VCAM-1 staining) of a different cornea without aniridia (bottom).



FIG. 4, panel E depicts a marked deficiency of sflt-1 (reddish brown) staining in cornea of Antillean manatee.



FIG. 4, panel F depicts the presence of sflt-1 (reddish brown) staining in cornea of a dugong.



FIG. 4, panel G depicts the presence of sflt-1 (reddish brown) staining in cornea of an African elephant.



FIG. 4, panel H depicts the presence of sflt-1 (reddish brown) staining in cornea of a beaked whale.



FIG. 4, panel I depicts reducing western blots using an antibody against the amino (N) terminus of flt-1 reveal presence of sflt-1 (60 kDa) and absence of mbflt-1 (190 kDa) in corneas of bottlenose dolphin (1) and Asian elephant (2). Scale bars are 200 μm.



FIG. 5 depicts a reducing western blot of Cre expression showing that 1) AC injection of NLS-Cre leads to corneal expression of Cre; 2) SC injection leads to expression in the cornea, retina, and RPE/choroid; 3) VIT injection leads to expression in lens, retina, and RPE/choroid; and 4) SR injection leads to expression in retina and RPE/choroid over 1 hr.



FIG. 6 depicts a reducing western blot of Cre expression showing that 1) AC injection of NLS-Cre leads to corneal expression of Cre; 2) SC injection leads to expression in the cornea, retina, and RPE/choroid; 3) VIT injection leads to expression in lens, retina, and RPE/choroid; and 4) SR injection leads to expression in retina and RPE/choroid over 3 hrs.



FIG. 7 depicts a reducing western blot of Cre expression showing that 1) AC injection of NLS-Cre leads to corneal expression of Cre; 2) SC injection leads to expression in the cornea, retina, and RPE/choroid; 3) VIT injection leads to expression in lens, retina, and RPE/choroid; and 4) SR injection leads to expression in retina and RPE/choroid over 8 hrs.



FIG. 8 depicts a reducing western blot of Cre expression showing that 1) AC injection of NLS-Cre leads to corneal expression of Cre; 2) SC injection leads to expression in the cornea, retina, and RPE/choroid; 3) VIT injection leads to expression in lens, retina, and RPE/choroid; and 4) SR injection leads to expression in retina and RPE/choroid over 24 hrs.


Claims
  • 1. A method of treating or preventing a condition associated with decreased vascularity in a subject, the method comprising administering to the subject a compound that regulates the bioavailability or biological activity of VEGF or PlGF by modulating the availability of a VEGF or PlGF inactivating agent, wherein the administering is sufficient to treat or prevent the condition in the subject.
  • 2. The method of claim 1, wherein the agent inactivates VEGF or PlGF by binding to VEGF or PlGF.
  • 3. The method of claim 1, wherein the modulating is by decreasing the amount of the agent.
  • 4. The method of claim 1, wherein the compound regulates the expression of the agent.
  • 5. The method of claim 1, wherein the agent is a polypeptide comprising a VEGF receptor (VEGFR). “as used herein is meant, any vascular endothelial growth factor receptor protein, peptide, or polypeptide (e.g., comprises a polypeptide encoded by the fms-like tyrosine kinase (Flt-1) gene.
  • 6. The method of claim 5, wherein the VEGF receptor is selected from the group consisting of VEGFR1, VEGFR2, and VEGFR3.
  • 7. The method of claim 1, wherein the VEGF is selected from the group consisting of VEGF-A, VEGF-B, VEGF-C and VEGF-D.
  • 8. The method of claim 1, wherein the PlGF is PlGF-1 or PlGF-2.
  • 9. The method of claim 1, wherein the condition associated with decreased vascularity is selected from the group consisting of ocular disorders, preeclampsia, systemic hypertension, cerebrovascular disorders, cardiovascular disorders, peripheral vascular disease, vascular regeneration/recovery, and wound healing disorders.
  • 10. The method of claim 4, wherein the compound comprises a double stranded nucleic acid molecule having one strand that is at least 95% complementary to at least a portion of a nucleic acid sequence encoding the agent.
  • 11. The method of claim 10, wherein the nucleic acid molecule comprises an interfering RNA molecule.
  • 12. The method of claim 11, wherein the interfering RNA molecule is selected from the group consisting of shRNA, siRNA and miRNA.
  • 13. The method of claim 11, wherein the interfering RNA is 10 to 40 nucleotides in length.
  • 14. The method of claim 1, wherein the compound comprises a purified antibody or antigen-binding fragment that specifically binds the agent.
  • 15. The method of claim 4, wherein the expression of the agent is regulated by an inducible excision system.
  • 16. The method of claim 15 wherein the inducible excision system is cre-lox or FLP/FRT excision system.
  • 17. The method of claim 15, wherein excision is facilitated by the introduction of exogenous CRE recombinase.
  • 18. The method of claim 17, wherein the introduction is by the topical application of NLS-Cre.
  • 19. The method of claim 1, wherein the compound is administered via a topical, intravitreal, transcleral, periocular, conjunctival, subtenon, intracameral, subretinal, subconjunctival, retrobulbar, suprachoroidal, intravenous, oral, or intracanalicular route.
  • 20. A short interfering nucleic acid (siNA) molecule that promotes VEGF bioavailability by down-regulating the expression of a polypeptide encoded by the fms-like tyrosine kinase (Flt-1) gene.
  • 21. The siNA molecule of claim 20, wherein the polypeptide is sflt-1 or mbflt-1.
  • 22. The siNA molecule of claim 20, wherein the siNA molecule comprises a sense region and an antisense region and wherein said antisense region comprises sequence complementary to a sequence encoded by the FLT gene and the sense region comprises sequence complementary to the antisense region.
  • 23. The siNA molecule of claim 22, wherein the siNA molecule is assembled from two nucleic acid fragments wherein one fragment comprises the sense region and the second fragment comprises the antisense region of the siNA molecule.
  • 24. The siNA molecule of claim 23, wherein the sense region and said antisense region are covalently connected via a linker molecule.
  • 25. The siNA molecule of claim 24, wherein the linker molecule is a polynucleotide linker.
  • 26. The siNA molecule of claim 24, wherein the linker molecule is a non-nucleotide linker.
  • 27. The siNA molecule of claim 20, wherein the nucleic acid is RNA.
  • 28. The siNA molecule of claim 27, wherein the RNA is an shRNA.
  • 29. The siNA molecule of claim 27, wherein the RNA is an siRNA.
  • 30. The siNA molecule of claim 27, wherein the RNA is an miRNA.
  • 31. The siNA molecule of claim 20, wherein the siNA molecule comprises a sequence selected from: a) a sequence comprising any one of SEQ ID NOs.:1, 2, 3, 4, 5, 6, or 7, and having a length of 21 to 50 nucleotides;b) a sequence consisting of any one of SEQ ID NOs.:1, 2, 3, 4, 5, 6, or 7; orc) a sequence comprising a region of at least 19 contiguous nucleotides having at least 90% sequence complementarity to, or at least 90% sequence identity with, any one of SEQ ID NO:1, 2, 3, 4, 5, 6, or 7, and having a length of 21 to 50 nucleotides.
  • 32. A vector comprising a nucleic acid sequence encoding at least one siNA molecule of claim 20 in a manner that allows expression of the nucleic acid molecule.
  • 33. A cell comprising an siRNA molecule of claim 20 or an expression vector of claim 32.
  • 34. The cell of claim 32, wherein the cell is a mammalian cell.
  • 35. The cell of claim 34, wherein the mammalian cell is a human cell.
  • 36. The siNA molecule of claim 20 further comprising a cell-penetrating peptide.
  • 37. The siNA molecule of claim 36, wherein the cell-penetrating peptide is selected from the group consisting of penetratin, transportan, pIsl, TAT, pVEC, MTS, and MAP.
  • 38. The siRNA molecule of claim 36, wherein the cell penetrating peptide is linked to the 5′ end of the siNA molecule by a covalent bond.
  • 39. A composition comprising an siRNA molecule having a length of 19 to 50 nucleotides and having a nucleotide sequence of any one of SEQ ID NO:1, 2, 3, 4, 5, 6, or 7, or a complement thereof, and a pharmaceutically acceptable carrier.
  • 40. A method of identifying a compound that regulates the bioavailability or biological activity of VEGF or PlGF in vivo or in situ, the method comprising: a) contacting corneal tissue with a test compound that regulates, or is believed to regulate: i) the expression of a VEGF or PlGF inactivating agent; orii) the ability of the VEGF or PlGF inactivating agent to bind to VEGF or PlGF;b) measuring the bioavailability or biological activity of VEGF or PlGF; andc) identifying a compound that regulates the bioavailability or biological activity of VEGF or PlGF.
  • 41. The method of claim 40, wherein the VEGF is selected from the group consisting of VEGF-A, VEGF-B, VEGF-C and VEGF-D.
  • 42. The method of claim 40, wherein the compound is a polypeptide, nucleic acid or small molecule.
Provisional Applications (1)
Number Date Country
60764269 Feb 2006 US