Patent Application
20130084331
The present invention relates in general to the field of gene-targeted cancer therapy, and more particularly, to the development of novel therapies and drug delivery systems for the treatment of pancreatic neuroendocrine tumors.
None.
The present application includes a Sequence Listing filed separately in an electronic format as required by 37 C.F.R §1.821-1.825.
Without limiting the scope of the invention, its background is described in connection with the design and delivery of shRNA-based therapies targeting the expression of the PDX-1 oncogene as treatments for pancreatic neuroendocrine tumors.
Islet neoplasia refers collectively to disorders emanating from pancreatic islet cells, such as pancreatic neuroendocrine tumors (NET), insulinomas, and carcinoid. Islet cell tumors have a 5-year survival rate between 35-50% [1,2]. Islet neoplasia affects relatively young patients (age at diagnosis 50 years) [3,4]. Patients with insulinoma in particular suffer horribly from uncontrollable hypoglycemia, for which there is no effective treatment. Hypoglycemia results from hyperinsulinemia and manifests with symptoms of neuroglycopenia, such as headache, dizziness, lethargy, diplopia, seizures and sympathetic activation [3]. Surgery remains the most effective treatment modality, and there are no effective adjuvant therapies. When synchronous resection of the primary tumor and metastases is possible, recurrence rates remain high. Moreover, survival has not improved with systemic therapy [5,6]. Thus, a need exists for novel and effective therapeutic approaches to treat NET.
Pancreatic duodenal homeobox-1 (PDX-1) is an embryonic transcription factor of pancreatic organogenesis that is over expressed in most NET's and all islet cell insulinomas. The transcription factor PDX-1 gene is directly responsible for regulating insulin secretion in benign and malignant insulinomas [7-10]. It is also found in a variety of cancers where it appears to be associated with proliferation, differentiation, and migration, with a primary role in the development of NET and pancreatic embryogenesis [7-14]. In the adult pancreas, PDX-1 is expressed by 90% of β cells, where it has been shown to regulate expression of insulin, glucokinase, and glucose transporter type 2 (GLUT2) [15-19]. These genes have a critical role in maintaining glucose homeostasis in both acute and chronic hyperglycemia. In acute hyperglycemia, PDX-1 migrates from the cytoplasm to the nucleus of β-cells and activates the insulin gene, the first step in increased insulin production and secretion [20, 21].
PDX-1 was shown to be overexpressed in a number of cancers by the present inventors and others [22-25]. In particular, the present inventors found that PDX-1 was overexpressed in more than 80 pancreatic cancers and islet cell neoplasias [26]. One hundred percent of insulinomas also have PDX-1 overexpression. The inventors have recently demonstrated that PDX-1 regulates proliferation and invasion of pancreatic cancer and insulinoma cell lines [27]. It will be appreciated by those skilled in the art that if the compositions and methods to modulate the overexpression of PDX-1 in cancers are provided, such compositions and methods would have a positive value and represent a substantial contribution to the art. Likewise, it will be appreciated by those versed in the drug delivery art that if a delivery system is provided to bypass non-target organs and target the delivery of the therapeutic agent to the target organs over expressing PDX-1, such a delivery system would be clinically useful in the practice of medicine. A strategy for treating pancreatic adenocarcinoma by targeting PDX-1 is provided in U.S. Pat. No. 6,716,824 issued to Brunicardi (2004) that relates to a recombinant nucleic acid for an RIP-tk (rat insulin promoter-thymidine kinase) construct that selectively targets insulin secreting cells, such as β-cells, PDX-1 positive human pancreatic ductal carcinomas, and other cells containing certain transcription factors. The Brunicardi invention is useful in the treatment of pancreatic cancers, such as β-cell insulinomas.
Preclinical studies confirm that RNA interference techniques (RNAi) can be used to silence cancer-related targets [28-38]. In vivo studies have also shown favorable outcomes by RNAi targeting of components critical for tumor cell growth [29, 39-42], metastasis [43-45], angiogenesis [46, 47], and chemoresistance [48-50]. Applications of the RNAi technology initially employed two types of molecules; the chemically synthesized double-stranded small interfering RNA (siRNA) or vector based short hairpin RNA (shRNA). Although siRNA and shRNA can achieve similar knockdown functions, siRNA and shRNA are intrinsically different molecules. shRNAs, which share the same biogenesis pathways as the naturally occurring microRNAs (miRNAs), are processed and transported to the cytoplasm where they load onto the RNA interference silencing complexes (RISC) [51]. The primary transcripts of endogenous miRNAs are synthesized from genomic DNA in the nucleus as long RNA strands with hairpin structures, which are processed to mature 21-23 base pair double stranded miRNA by a series of endogenous RNase III enzymes. At least two RNase III enzyme complexes are involved in the maturational process; first, the Drosha/DGCR8 complex produces the pre-miRNA hairpin structure which, following nuclear export, is incorporated into the RLC where the second enzyme, Dicer, excises the loop producing the mature miRNA [52], the effector molecule that is loaded onto RISC for RNAi [53].
The Argonaute (Ago) family of proteins commonly associates with the cytoplasmic RISC. These proteins are involved in the loading of siRNA or miRNA, and are also implicated in both transcriptional (targeting heterochromatin) and post-transcriptional gene silencing. The guide strand of siRNA or miRNA loaded onto Ago-complexed RISCs seeks out target mRNAs with sequence complementarity. Endonucleolytically active Ago-2 cleaves mRNA to initiate mRNA degradation [54, 55]. Alternatively, partial complementary binding to the 3′ UTR of the targeted mRNA achieves translational repression through sequestration in processing bodies (P-bodies) [56]. Deadenylation leading to destabilization of the target mRNA has been observed in P-bodies [57, 58]. There is now compelling evidence in numerous animal models that RNAi-mediated gene knockdown is potent, specific, and well tolerated. These findings provide the scientific rationale for the translation of RNAi therapeutics into the clinic. At least 10 RNAi-based drugs are now in early phase clinical trials [59], four of which are cancer related [60-63]. Additional siRNAs have also demonstrated efficacy in animal models [60,61,64] and safety in non-human primates [65].
U.S. Patent Application No. 2009/0163431 (Kazhdan et al., 2009) discloses methods and compositions for inhibiting PDX-1. An anti-PDX-1 agent included in inventive methods and compositions that includes an antibody, an aptamer, an antisense oligonucleotide, a ribozyme and/or an inhibitory compound. Methods of inhibiting PDX-1 expression in a tumor cell are provided by the present invention which include contacting a tumor cell with an effective amount of an anti-PDX-1 agent highly or completely complementary to a specified region of an RNA molecule encoding PDX-1. Such an agent specifically hybridizes with the RNA molecule encoding PDX-1 and inhibits the expression of a PDX-1 gene in the tumor cell. Compositions including anti-PDX-1 siRNA and/or shRNA are described. Recombinant expression constructs encoding anti-PDX-1 siRNA or shRNA according to the present invention are described.
The present invention includes a PDX bi-shRNA, for concurrently inducing translational repression and post-transcriptional mRNA degradation of its target. The PDX bi-shRNA construct achieves higher efficacy and prolonged activity as compared to siRNAs with the same mRNA target specificity. The inventors have shown that PDX-1 knockdown induces apoptosis, arrests proliferation, and reduces invasiveness of NET cancer cells, and improves survival of SCID mice bearing carcinoma xenografts. The inventors have also demonstrated that multiple treatments of IV (intravenous) BIV liposomal PDX-1 shRNA resulted in near complete ablation of human PC xenografts in SCID mice and have confirmed response and survival advantage in a murine insulinoma model.
Bilamellar invaginated vesicles (BIV) are a delivery system in which temporarily masked, targeted liposomes are used to deliver therapeutics into cells by fusion with the cells membrane. These masked stealthed liposomes achieve higher transfection efficiencies by avoiding the endocytotic pathway. The Copernicus compacted nucleic acid delivery technology is another non-viral synthetic and modular platform in which single molecules or DNA or RNA are compacted by polycations to yield nanoparticles with very high transfection efficiencies. The inventors have developed a novel cancer therapy approach by packaging of compacted shRNA-containing DNA nanoparticles in masked stealthed BIV liposomes.
The present invention includes an expression vector comprising a promoter and a nucleic acid insert operably linked to the promoter, wherein the insert encodes one or more short hairpin RNAs (shRNA) capable of hybridizing to a region of a transcript encoding the PDX-1 transcription factor. The binding of the shRNA to the transcript inhibits PDX-1 expression via RNA interference. The shRNA may be bifunctional, incorporating both siRNA (cleavage-dependent) and miRNA (cleavage-independent) motifs simultaneously. In one embodiment of the present invention, the shRNA is both the cleavage-dependent and cleavage-independent inhibitor of PDX-1 expression. The mRNA sequences targeted by the shRNA are not limited to the 3′ untranslated (UTR) region of the PDX-1 mRNA transcript; in one embodiment of the present invention, the shRNA may target coding sequences. In one aspect the one or more shRNA comprise a sequence selected from the group consisting of SEQ. ID NO: 3, SEQ. ID NO: 4, SEQ. ID NO: 5, SEQ. ID NO: 6, SEQ. ID NO: 7, SEQ. ID NO: 8, and combinations or modifications thereof.
The present invention also provides a system to deliver the shRNAs to the PDX-1 mRNA target. The delivery system comprises a therapeutic agent carrier, such as a liposome, coupled to an expression vector comprising a promoter and a nucleic acid insert operably linked to the promoter, wherein the insert encodes one or more short hairpin RNAs (shRNA) capable of hybridizing to a region of a transcript encoding the PDX-1 transcription factor. The one or more shRNA comprise a sequence selected from the group consisting of SEQ. ID NO: 3, SEQ. ID NO: 4, SEQ. ID NO: 5, SEQ. ID NO: 6, SEQ. ID NO: 7, SEQ. ID NO: 8, and combinations or modifications thereof. The binding of the shRNA to the transcript inhibits PDX-1 expression via RNA interference. The shRNA may be bifunctional, incorporating both siRNA (cleavage-dependent) and miRNA (cleavage-independent) motifs. In one embodiment of the present invention, the shRNA is both the cleavage-dependent and cleavage-independent inhibitor of PDX-1 expression. The mRNA sequences targeted by the shRNA are not limited to the 3′ untranslated (UTR) region of the PDX-1 mRNA transcript; in one embodiment of the present invention, the shRNA may target coding sequences. The therapeutic agent carrier may be a compacted DNA nanoparticle. In one embodiment, the DNA of the expression vector may be compacted by combining it with polycations. More particularly, the DNA may be compacted by combining it with CK30PEG10k, a 10 kD polyethylene glycol (PEG) modified with a peptide comprising a N-terminus cysteine and 30 lysine residues. The therapeutic agent carrier may also be a liposome in which the DNA may be compacted by combining it with a 30 mer lysine condensing peptide. In one embodiment, the liposome may be a bilamellar invaginated vesicle (BIV). The liposome may be specifically targeted to a target tissue by decorating it with “smart” receptor targeting moieties. In one example, the targeting moieties may be small molecule bivalent beta-turn mimics. The liposome may be reversibly masked to bypass non-target organs. In one example, reversible masking may be accomplished by coating the liposomes with small molecular weight lipids (about 500 Mol. Wt. and lower) such as n-dodecyl-β-D-maltopyranoside. In another embodiment of the present invention, the compacted DNA nanoparticle and liposome delivery systems may be combined. Accordingly, compacted DNA nanoparticles containing the shRNA expression vector may be encapsulated in liposomes. These compacted DNA-nanoparticle-containing liposomes may be BIVs. The liposomes may be decorated with targeting moieties, and may also be reversibly masked.
Another embodiment of the invention is a method to deliver a shRNA to a target tissue expressing PDX-1 comprising the steps of (i) preparing an expression vector comprising a promoter, and an insert of nucleic acid operably linked to the promoter encoding one or more shRNA capable of hybridizing to a region of an mRNA transcript encoding PDX-1; (ii) combining the expression vector with a therapeutic agent carrier; and, (iii) administering a therapeutically effective amount of the expression vector and therapeutic agent carrier complex to a patient in need thereof. The therapeutic agent carrier may be a compacted DNA nanoparticle. In one embodiment, the DNA of the expression vector may be compacted by combining it with polycations. More particularly, the DNA may be compacted by combining it with CK30PEG10k. The therapeutic agent carrier may also be a liposome. In one embodiment, the liposome may be a BIV. The liposome may be specifically targeted to a target tissue by decorating it with “smart” receptor targeting moieties. In one example, the targeting moieties may be small molecule bivalent beta-turn mimics. The liposome may be reversibly masked to bypass non-target organs. In one example, reversible masking may be accomplished by coating the liposomes with small molecular weight lipids (about 500 Mol. Wt. and lower) such as n-dodecyl-β-D-maltopyranoside. In another embodiment of the present invention, the compacted DNA nanoparticle and liposome delivery systems may be combined. Thus, compacted DNA nanoparticles containing the shRNA expression vector may be encapsulated in liposomes. These compacted DNA-nanoparticle-containing liposomes may be BIVs. The liposomes may be decorated with targeting moieties, and may also be reversibly masked. In one aspect the one or more shRNA comprise a sequence selected from the group consisting of SEQ. ID NO: 3, SEQ. ID NO: 4, SEQ. ID NO: 5, SEQ. ID NO: 6, SEQ. ID NO: 7, SEQ. ID NO: 8, and combinations or modifications thereof.
The present invention also provides a method to silence the expression of PDX-1 in target cells, the method comprising the steps of (i) selecting a target cell; and (ii) transfecting the target cell with a vector that expresses one or more shRNA capable of hybridizing to a region of an mRNA transcript encoding PDX-1, wherein transfection of cancer cells with the vector inhibits PDX-1 expression via RNA interference. The shRNA may be bifunctional, incorporating simultaneously cleavage-dependent and cleavage-independent motifs. In one embodiment of the present invention, the shRNA is both the cleavage-dependent and cleavage-independent inhibitor of PDX-1 expression. The mRNA sequences targeted by the shRNA are not limited to the 3′ untranslated (UTR) region of the PDX-1 mRNA transcript; in one embodiment of the present invention, the shRNA may target coding sequences. The one or more shRNA comprise a sequence selected from the group consisting of SEQ. ID NO: 3, SEQ. ID NO: 4, SEQ. ID NO: 5, SEQ. ID NO: 6, SEQ. ID NO: 7, SEQ. ID NO: 8, and combinations or modifications thereof.
The present invention also includes a method of suppressing tumor cell growth in a cancer patient comprising the steps of (i) identifying a patient in need of treatment of a tumor; and (ii) transfecting the tumor cell with a vector that expresses one or more shRNA capable of hybridizing to a region of an mRNA transcript encoding PDX-1, wherein cancer cells transfected with the vector undergo apoptosis, arrested proliferation, or reduced invasiveness. The shRNA may be bifunctional, incorporating simultaneously cleavage-dependent and cleavage-independent motifs and comprises a sequence selected from the group consisting of SEQ. ID NO: 3, SEQ. ID NO: 4, SEQ. ID NO: 5, SEQ. ID NO: 6, SEQ. ID NO: 7, SEQ. ID NO: 8, and combinations or modifications thereof. In one embodiment of the present invention, the shRNA is both the cleavage-dependent and cleavage-independent inhibitor of PDX-1 expression. The mRNA sequences targeted by the shRNA are not limited to the 3′ untranslated (UTR) region of the PDX-1 mRNA transcript; in one embodiment of the present invention, the shRNA may target coding sequences. More particularly, the targeted cancer may be a pancreatic neuroendocrine tumor (NET).
For a more complete understanding of the features and advantages of the present invention, reference is now made to the detailed description of the invention along with the accompanying figures and in which:
While the making and using of various embodiments of the present invention are discussed in detail below, it should be appreciated that the present invention provides many applicable inventive concepts that can be embodied in a wide variety of specific contexts. The specific embodiments discussed herein are merely illustrative of specific ways to make and use the invention and do not delimit the scope of the invention.
To facilitate the understanding of this invention, a number of terms are defined below. Terms defined herein have meanings as commonly understood by a person of ordinary skill in the areas relevant to the present invention. Terms such as “a”, “an” and “the” are not intended to refer to only a singular entity, but include the general class of which a specific example may be used for illustration. The terminology herein is used to describe specific embodiments of the invention, but their usage does not delimit the invention, except as outlined in the claims.
As used herein the term “nucleic acid” or “nucleic acid molecule” refers to polynucleotides, such as deoxyribonucleic acid (DNA) or ribonucleic acid (RNA), oligonucleotides, fragments generated by the polymerase chain reaction (PCR), and fragments generated by any of ligation, scission, endonuclease action, and exonuclease action. Nucleic acid molecules can be composed of monomers that are naturally-occurring nucleotides (such as DNA and RNA), or analogs of naturally-occurring nucleotides (e.g., α-enantiomeric forms of naturally-occurring nucleotides), or a combination of both. Modified nucleotides can have alterations in sugar moieties and/or in pyrimidine or purine base moieties. Sugar modifications include, for example, replacement of one or more hydroxyl groups with halogens, alkyl groups, amines, and azido groups, or sugars can be functionalized as ethers or esters. Moreover, the entire sugar moiety can be replaced with sterically and electronically similar structures, such as aza-sugars and carbocyclic sugar analogs. Examples of modifications in a base moiety include alkylated purines and pyrimidines, acylated purines or pyrimidines, or other well-known heterocyclic substitutes. Nucleic acid monomers can be linked by phosphodiester bonds or analogs of such linkages. Analogs of phosphodiester linkages include phosphorothioate, phosphorodithioate, phosphoroselenoate, phosphorodiselenoate, phosphoroanilothioate, phosphoranilidate, phosphoramidate, and the like. The term “nucleic acid molecule” also includes so-called “peptide nucleic acids,” which comprise naturally-occurring or modified nucleic acid bases attached to a polyamide backbone. Nucleic acids can be either single stranded or double stranded.
The term “expression vector” as used herein in the specification and the claims includes nucleic acid molecules encoding a gene that is expressed in a host cell. Typically, an expression vector comprises a transcription promoter, a gene, and a transcription terminator. Gene expression is usually placed under the control of a promoter, and such a gene is said to be “operably linked to” the promoter. Similarly, a regulatory element and a core promoter are operably linked if the regulatory element modulates the activity of the core promoter. The term “promoter” refers to any DNA sequence which, when associated with a structural gene in a host yeast cell, increases, for that structural gene, one or more of 1) transcription, 2) translation or 3) mRNA stability, compared to transcription, translation or mRNA stability (longer half-life of mRNA) in the absence of the promoter sequence, under appropriate growth conditions.
The term “oncogene” as used herein refers to genes that permit the formation and survival of malignant neoplastic cells (Bradshaw, T. K.: Mutagenesis 1, 91-97 (1986).
As used herein the term “receptor” denotes a cell-associated protein that binds to a bioactive molecule termed a “ligand.” This interaction mediates the effect of the ligand on the cell. Receptors can be membrane bound, cytosolic or nuclear; monomeric (e.g., thyroid stimulating hormone receptor, beta-adrenergic receptor) or multimeric (e.g., PDGF receptor, growth hormone receptor, IL-3 receptor, GM-CSF receptor, G-CSF receptor, erythropoietin receptor and IL-6 receptor). Membrane-bound receptors are characterized by a multi-domain structure comprising an extracellular ligand-binding domain and an intracellular effector domain that is typically involved in signal transduction. In certain membrane-bound receptors, the extracellular ligand-binding domain and the intracellular effector domain are located in separate polypeptides that comprise the complete functional receptor.
The term “hybridizing” refers to any process by which a strand of nucleic acid binds with a complementary strand through base pairing.
The term “transfection” refers to the introduction of foreign DNA into eukaryotic cells. Transfection may be accomplished by a variety of means known to the art including, e.g., calcium phosphate-DNA co-precipitation, DEAE-dextran-mediated transfection, polybrene-mediated transfection, electroporation, microinjection, liposome fusion, lipofection, protoplast fusion, retroviral infection, and biolistics.
As used herein, the term “liposome” refers to a closed structure composed of lipid bilayers surrounding an internal aqueous space. The term “polycation” as used herein denotes a material having multiple cationic moieties, such as quaternary ammonium radicals, in the same molecule and includes the free bases as well as the pharmaceutically-acceptable salts thereof.
The present invention includes a PDX bi-shRNA developed for the purpose of concurrently inducing translational repression and post-transcriptional mRNA degradation of its target. The prototype construct achieves higher efficacy and prolonged activity as compared to siRNAs with the same mRNA target specificity. The inventors have shown that PDX-1 knockdown induces apoptosis, arrests proliferation, and reduces invasiveness of NET cancer cells, and improves survival of SCID mice bearing carcinoma xenografts. The inventors have also demonstrated that multiple treatments of IV (intravenous) BIV liposomal PDX-1 shRNA resulted in near complete ablation of human PC xenografts in SCID mice and have confirmed response and survival advantage in a murine insulinoma model.
bi-shRNA: The present inventors have pioneered a third unique RNAi platform known as bi-functional shRNA. Conceptually, RNAi can be achieved through shRNA-loaded RISCs to promote cleavage-dependent or cleavage-independent mRNA knockdown. Concomitant expression of both configurations of shRNAs (hence the nomenclature, bi-functional shRNA) has been shown by us to achieve more effective target gene knockdown at a more rapid onset of silencing (rate of mRNA and protein turnover notwithstanding) with greater durability as compared with siRNA. The basic design of the bi-functional shRNA expression unit comprises two stem-loop shRNA structures; one composed of fully matched passenger and guide strands for cleavage-dependent RISC loading, and a second stem-loop with a mismatched passenger strand (at positions 9-12) for cleavage-independent RISC loading. This bi-functional design is, much more efficient for two reasons; first, the bi-functional promotes guide strand loading onto distinct RISC types, hence promoting mRNA targeting; second, the presence of cleavage-dependent and cleavage-independent RISCs against the same target mRNA promotes silencing by both degradation and translational inhibition/sequestration processes. The potent gene knockdown effector achieves spatial and temporal control by the multiplexed shRNAs under the control of a single pol II promoter. The platform designed by the present inventors mimics the natural process. Multiple studies by others and the literature support the approach of the present inventors [66-70].
Using a miR30-scaffold, the inventors have produced novel bifunctional (bi-shRNA) against the microtubule remodeling oncoprotein stathmin (STMN1, oncoprotein 18, prosolin, p19, op18). Bi-shRNASTMN1 demonstrated more effective silencing activity as compared with siRNAs to the same target site. STMN1 is critically involved in mitotic spindle formation [71, 72]. The bi-shRNASTMN1 construct of the present invention demonstrates safe, effective target knockdown and significant dose advantage in tumor cell killing when compared to siRNA to the same target. Moreover, significant tumor growth control and survival advantage was demonstrated by the bi-shRNASTMN1 lipoplex in vivo (
Having demonstrated the effector mechanism and functional efficacy of the bi-sh RNASTMN1 vector the inventors further explored anticancer activity in vitro and successfully demonstrated effective cell kill in several cancer cell lines. Although targeting to the same sequence, bi-sh RNASTMN1 achieved an IC50 at 5 logs lower molar concentration than siRNASTMN1 (
Insulinoma is the most common type of islet cell tumor. Malignant insulinomas are devastating from hyperinsulinemia and result in uncontrollable hypoglycemia. As discussed hereinabove pancreatic duodenal homebox-1 (PDX-1) belongs to a homeodomain-containing transcription factor family and plays a primary role in pancreatic organogenesis. PDX-1 maintains beta-cell function by regulating transcription of insulin, glucokinase and glucose transporter type 2. PDX-1 is overexpressed in insulinoma resulting in hyperinsulinemia. PDX-1 is also found to be commonly overexpressed in pancreatic tumors. Metastatic pancreatic cancer has a 4-6 month survival from diagnosis.
shRNA knockdown PDX-1 in mouse insulinoma model: In order to demonstrate expression of PDX-1 in insulinoma, Dr. Brunicardi's lab developed a potent antibody to PDX-1. Using this antibody the present inventors have demonstrated that PDX-1 is significantly over expressed in murine insulinoma to similar levels as in human insulinoma (
Silencing of PDX-1 expression represents an attractive approach to inhibit tumor growth. The present inventors designed a bi-functional shRNA to silence gene expression of PDX-1. MiR30-based bi-functional shRNA cassettes against either human PDX-1 (SEQ. ID NO: 1) or mouse PDX-1 (SEQ. ID NO: 1) were cloned into pUMVC3 vector.
GA
In the sequence presented hereinabove the coding region is represented in bold italics, and the primary and the secondary target sites represented are underlined and bolded, respectively.
GGACAG
In the sequence presented hereinabove the coding region is represented in bold italics and the target site represented is underlined.
Cleavage products of human and mouse PDX-1 mRNA as identified by RACE-PCR is seen in
The study presented hereinabove demonstrated the efficacy and species-specificity of bi-functional shRNAs targeting either human or mouse PDX1. Bi-shRNAhPDX1 knocked down human PDX1 expression and presented no silencing effects on mouse PDX1 expression. Similarly, Bi-shRNAmPDX1 knocked down mouse PDX1 expression and presented no silencing effects on human PDX1 expression.
Liposomal delivery system: The liposomal delivery system previously validated by the inventors involved 1,2-dioleoyl-3-trimethyl-ammoniopropane (DOTAP) and cholesterol [77]. This formulation combines with DNA to form complexes that encapsulate nucleic acids within bilamellar invaginated vesicles (liposomal BIVs). One of the inventors has optimized several features of the BIV delivery system for improved delivery of RNA, DNA, and RNAi plasmids. The liposomal BIVs are fusogenic, thereby bypassing endocytosis mediated DNA cell entry, which can lead to nucleic acid degradation [78] and TLR mediated off-target effects. This liposomal delivery system has been used successfully in clinical trial by the present inventors and others [79-83]. Cumulative studies over the last decade indicate that the optimized delivery vehicle needs to be a stealthed (commonly achieved by PEGylation) nanoparticle with a zeta potential of ≦10 mV for efficient intravascular transport [84-86] in order to minimize nonspecific binding to negatively-charged serum proteins such as serum albumin (opsonization) [87]. Incorporation of targeting moieties such as antibodies and their single chain derivatives (scFv), carbohydrates, or peptides may further enhance transgene localization to the target cell.
The present inventors have created targeted delivery of the complexes in vivo without the use of PEG thereby avoiding an excessively prolonged circulatory half-life [86, 88-90]. While PEGylation is relevant for DNA or siRNA oligonucleotide delivery to improve membrane permeability, this approach has been shown by the inventors and others to cause steric hindrance in the BIV liposomal structures, resulting in inefficient DNA encapsulation and reduced gene expression. Furthermore, PEGylated complexes enter the cell predominantly through the endocytic pathway, resulting in degradation of the bulk of the nucleic acid in the lysosomes. While PEG provides extremely long half-life in circulation, this has created problems for patients as exemplified by doxil, a PEGylated liposomal formulation that encapsulates the cytotoxic agent doxorubicin [90-92]. Attempts to add ligands to doxil for delivery to specific cell surface receptors (e.g. HER2/neu) have not enhanced tumor-specific delivery [93].
Based on this reasoning, the BIVs of the present invention were produced with DOTAP, and synthetic cholesterol using proprietary manual extrusion process [94]. Furthermore, the delivery was optimized using reversible masking technology. Reversible masking utilizes small molecular weight lipids (about 500 Mol. Wt. and lower; e.g. n-dodecyl-β-D-maltopyranoside) that are uncharged and, thereby, loosely associated with the surface of BIV complexes, thereby temporarily shielding positively charged BIV complexes to bypass non-targeted organs. These small lipids are removed by shear force in the bloodstream. By the time they reach the target cell, charge is re-exposed (optimally ˜45 mV) to facilitate entry.
One reason that our BIV delivery system is uniquely efficient is because the complexes deliver therapeutics into cells by fusion with the cell membrane and avoid the endocytic pathway. The two major entry mechanisms of liposomal entry are via endocytosis or direct fusion with the cell membrane. The inventors found that nucleic acids encapsulated in BIV complexes delivered both in vitro and in vivo enter the cell by direct fusion and that the BIVs largely avoid endosomal uptake, as demonstrated in a comparative study with polyethylene-amine (PEI) in mouse alveolar macrophages. PEI is known to be rapidly and avidly taken up into endosomes, as demonstrated by the localization of ≧95% of rhodamine labeled oligonucleotides within 2-3 hrs post-transfection [95-97].
Cancer targeted delivery with decorated BIVs: Recently, Bartlett and Davis showed that siRNAs that were delivered systemically by tumor-targeted nanoparticles (NPs) were significantly more effective in inhibiting the growth of subcutaneous tumors, as compared to undecorated NPs [98]. Targeted delivery did not significantly impact pharmacokinetics or biodistribution, which remain largely an outcome of the EPR (enhanced permeability and retention) effect [95], but appeared to improved transgene expression through enhanced cellular uptake [95-97].
Indeed, a key “missing piece” in development of BIVs for therapeutic use has been the identification of such non-immunogenic ligands that can be placed on the surface of BIV-complexes to direct them to target cells. While it might be possible to do this with small peptides that are multimerized on the surface of liposomes, these can generate immune responses after repeated injections. Other larger ligands including antibodies, antibody fragments, proteins, partial proteins, etc. are far more refractory than using small peptides for targeted delivery on the surface of liposomes. The complexes of the present invention are thus unique insofar as they not only penetrate tight barriers including tumor vasculature endothelial pores and the interstitial pressure gradient of solid tumors [99], but also target tumor cells directly. Therefore, the therapeutic approach of the present invention is not limited to delivery solely dependent on the EPR effect but targets the tumor directly [100-102].
Small molecules designed to bind proteins selectively can be used with the present invention. Importantly, the small molecules prepared are “bivalent” so they are particularly appropriate for binding cell surface receptors, and resemble secondary structure motifs found at hot-spots in protein-ligand interactions. The Burgess group has had success in designing bivalent beta-turn mimics that have an affinity for cell surface receptors [103-105]. The strategy has been adapted by the present inventors to give bivalent molecules that have hydrocarbon tails, and we prepared functionalized BIV complexes from these adapted small molecules. An efficient high throughput technology to screen the library was developed and run.
Compacted DNA Nanoparticles: Safe and Efficient DNA Delivery in Post-Mitotic Cells: The Copernicus nucleic acid delivery technology is a non-viral synthetic and modular platform in which single molecules of DNA or siRNA are compacted with polycations to yield nanoparticles having the minimum possible volume [106]. The polycations optimized for in vivo delivery is a 10 kDa polyethylene glycol (PEG) modified with a peptide comprising a N-terminus cysteine and 30 lysine residues (CK30PEG10k). The shape of these complexes is dependent in part on the lysine counterion at the time of DNA compaction [107]. The minimum cross-sectional diameter of the rod nanoparticles is 8-11 nm irrespective of the size of the payload plasmid, whereas for ellipsoids the minimum diameter is 20-22 nm for typical expression plasmids (
One uptake mechanism for these DNA nanoparticles is based on binding to cell surface nucleolin (26 nm KD), with subsequent cytoplasmic trafficking via a non-degradative pathway into the nucleus, where the nanoparticles unravel releasing biologically active DNA [113]. Long-term in vivo expression has been demonstrated for as long as 1 year post-gene transfer. These nanoparticles have a benign toxicity profile and do not stimulate toll-like receptors thereby avoiding toxic cytokine responses, even when the compacted DNA has hundreds of CpG islands and are mixed with liposomes, no toxic effect has been observed [114,115]. DNA nanoparticles have been dosed in humans in a cystic fibrosis trial with encouraging results, with no adverse events attributed to the nanoparticles and with most patients demonstrating biological activity of the CFTR protein [116].
In initial collaborative studies between the present inventors and Copernicus (Cleveland, Ohio), compacted DNA was administered to SCID mice bearing colon cancer tumor explants by either a tail vein or an intratumoral (IT) injection (
Novel delivery system: Since systemic gene transfer to the primary tumor and metastatic sites is desired, compacted DNA tumor delivery can be facilitated by packaging these nanoparticles comprised of DNA compacted by combining it with a 30 mer lysine condensing peptide in proprietary BIV liposomes. This novel coupling of compacted DNA and masked stealth liposomes represents a novel cancer gene therapy approach.
As seen hereinabove silencing PDX-1 expression by RNA interference in pancreatic cancer cell line PANC-1 inhibited cell proliferation in vitro and suppressed tumor growth in vivo with increased tumor cell apoptosis. Based on this strategy the inventors have developed a bifunctional shRNA (bi-shRNA-PDX-1) for clinical application for the treatment of insulinoma, pancreatic cancer and neuroendocrine tumors. Further the inventors demonstrate efficacy in vitro and efficacy in vivo with insulinoma/SCID model and with PANC-1/SCID pancreatic tumor model.
In vitro knockdown efficacy was assessed by western immunoblot and qRT-PCR analysis of PDX-1 expression in PDX-1 negative human cancer cell line (HCT116) with co-transfection of PDX-1 and bi-shRNA expression vectors (
HCT116 human cancer cells were electroporated with 1:1 ratio of plasmids. PDX-1 mRNA was quantitatively compared using qRT-PCR with ΔΔCt method (
Human and mouse specific bi-shRNA-PDX-1 show effective and species specific knockdown of PDX-1 mRNA expression in vitro.
Blood glucose level of fasting mice was determined at 7 days after each of the first two cycles of treatment, day 45 and day 90. In the mouse insulinoma model treatment with mbi-shRNA-PDX-1 effectively rescued mice from β-TC-6 cell induced hypoglycemia (
A Kaplan-Meier Survival analysis further demonstrate benefit of bi-shRNA-PDX-1 treatment for PANC-1 (
Survival was also enhanced in SCID mice following IV infusion of BIV liposomally delivered shRNAPDX-1 (L-mu-shRNAPDX-1) and appeared to be correlated with the number of L-mu-shRNAPDX-1 injections (
Novel bi-shRNAPDX-1: To apply the bi-functional shRNA strategy, the present inventors constructed and validated a murine (mu)-bi-shRNAPDX-1. The mu-bi-shRNAPDX-1 consists of two stem-loop structures with miR-30a backbone. The first stem-loop structure has a complete complementary guide strand and passenger strand, while the second stem-loop structure has two base pair mismatches at positions 10 and 11 of the passenger strand. The mu-bi-shRNAPDX-1 is targeted at nucleotides #723-#741 of the mouse PDX-1 mRNA (NM—008814).
The mu-bi-shRNAPDX-1 expression unit was assembled together with a combination of oligonucleotides. The assembled expression unit with Sal I and Not I sites at the 5′ and 3′ ends, respectively, was inserted into the Sal I and Not I sites of pUMVC3. The insert sequences were confirmed by sequencing from both directions with primers flanking the insert. Stem-loop RT-PCR method developed for the detection of microRNA was utilized to detect the mature shRNA in mu-bi-shRNAPDX-1 transfected cells. The inventors further validated activity of mu-bi-shRNAPDX-1 with the 5′ RACE assay to detect target site cleavage.
The insert sequences of the bi-shRNA plasmids of the instant invention are presented herein below:
The underlined portion in SEQ. ID NO: 3 (comprising nucleic acid residues from 25 to 43) represents a primary target site.
The underlined portion in SEQ. ID NO: 4 (comprising nucleic acid residues from 25 to 43) represents a primary target site.
The construction of a novel bi-shRNA therapeutic of the present invention represents a state-of-the art approach that can reduce the effective systemic dose needed to achieve an effective therapeutic outcome through post-transcriptional gene knockdown. Effective and clinically applicable delivery approaches are in place that can be rapidly transitioned for systemic targeting of PDX-1 overexpressing tumors.
It is contemplated that any embodiment discussed in this specification can be implemented with respect to any method, kit, reagent, or composition of the invention, and vice versa. Furthermore, compositions of the invention can be used to achieve methods of the invention.
It will be understood that particular embodiments described herein are shown by way of illustration and not as limitations of the invention. The principal features of this invention can be employed in various embodiments without departing from the scope of the invention. Those skilled in the art will recognize, or be able to ascertain using no more than routine experimentation, numerous equivalents to the specific procedures described herein. Such equivalents are considered to be within the scope of this invention and are covered by the claims.
All publications and patent applications mentioned in the specification are indicative of the level of skill of those skilled in the art to which this invention pertains. All publications and patent applications are herein incorporated by reference to the same extent as if each individual publication or patent application was specifically and individually indicated to be incorporated by reference.
The use of the word “a” or “an” when used in conjunction with the term “comprising” in the claims and/or the specification may mean “one,” but it is also consistent with the meaning of “one or more,” “at least one,” and “one or more than one.” The use of the term “or” in the claims is used to mean “and/or” unless explicitly indicated to refer to alternatives only or the alternatives are mutually exclusive, although the disclosure supports a definition that refers to only alternatives and “and/or.” Throughout this application, the term “about” is used to indicate that a value includes the inherent variation of error for the device, the method being employed to determine the value, or the variation that exists among the study subjects.
As used in this specification and claim(s), the words “comprising” (and any form of comprising, such as “comprise” and “comprises”), “having” (and any form of having, such as “have” and “has”), “including” (and any form of including, such as “includes” and “include”) or “containing” (and any form of containing, such as “contains” and “contain”) are inclusive or open-ended and do not exclude additional, unrecited elements or method steps.
The term “or combinations thereof” as used herein refers to all permutations and combinations of the listed items preceding the term. For example, “A, B, C, or combinations thereof” is intended to include at least one of: A, B, C, AB, AC, BC, or ABC, and if order is important in a particular context, also BA, CA, CB, CBA, BCA, ACB, BAC, or CAB. Continuing with this example, expressly included are combinations that contain repeats of one or more item or term, such as BB, AAA, MB, BBC, AAABCCCC, CBBAAA, CABABB, and so forth. The skilled artisan will understand that typically there is no limit on the number of items or terms in any combination, unless otherwise apparent from the context.
As used herein, words of approximation such as, without limitation, “about”, “substantial” or “substantially” refers to a condition that when so modified is understood to not necessarily be absolute or perfect but would be considered close enough to those of ordinary skill in the art to warrant designating the condition as being present. The extent to which the description may vary will depend on how great a change can be instituted and still have one of ordinary skilled in the art recognize the modified feature as still having the required characteristics and capabilities of the unmodified feature. In general, but subject to the preceding discussion, a numerical value herein that is modified by a word of approximation such as “about” may vary from the stated value by at least ±1, 2, 3, 4, 5, 6, 7, 10, 12 or 15%.
All of the compositions and/or methods disclosed and claimed herein can be made and executed without undue experimentation in light of the present disclosure. While the compositions and methods of this invention have been described in terms of preferred embodiments, it will be apparent to those of skill in the art that variations may be applied to the compositions and/or methods and in the steps or in the sequence of steps of the method described herein without departing from the concept, spirit and scope of the invention. All such similar substitutes and modifications apparent to those skilled in the art are deemed to be within the spirit, scope and concept of the invention as defined by the appended claims.
This application is a Continuation application of U.S. Ser. No. 12/913,515, filed on Oct. 27, 2010, which claims priority to U.S. Provisional Application Ser. No. 61/256,867, filed Oct. 30, 2009, the entire contents of which is incorporated herein by reference.
| Number | Date | Country | |
|---|---|---|---|
| 61256867 | Oct 2009 | US |
| Number | Date | Country | |
|---|---|---|---|
| Parent | 12913515 | Oct 2010 | US |
| Child | 13693578 | US |
