The disclosure relates to delivery of therapeutic polypeptides into cells. Proteins and peptides have the potential to be valuable prophylactic and therapeutic agents in humans and other animal subjects. However, because proteins and peptides are larger and more complex than conventional organic and inorganic drug molecules, the formulation and delivery of such agents present unique problems. In this regard, potentially beneficial protein and peptide drugs typically require the maintenance of their integrity in order to be efficacious with regard to their desired biological properties against the intended targets. A protein's integrity can be altered by any of the numerous protein degradation pathways present in the body.
While there have been extensive and ongoing research efforts focused on novel ways to successfully deliver protein and peptide drugs to their intended targets, there remains a need for effective delivery techniques for polypeptides.
The disclosure also relates to treatments for trypanosomatid infections, such as leishmaniasis. Leishmaniasis, also spelled leishmaniosis, is a disease caused by protozoan trypanosomatid parasites of the genus Leishmania and is spread by the bite of certain types of sandflies. Typically, disease presents in one of three ways: cutaneous, mucocutaneous, or visceral leishmaniasis. The cutaneous form presents with skin ulcers, while the mucocutaneous form presents with ulcers of the skin, mouth, and nose, and the visceral form starts with skin ulcers and then later presents with fever, low red blood cells, and enlarged spleen and liver. Infections in humans are caused by more than 20 species of Leishmania.
Leishmaniasis occurs in 88 tropical and subtropical countries, including through much of the Americas from northern Argentina to Texas, much of Asia, Africa, Mediterranean basin and the Middle East. About 350 million people live in these affected areas. As many as 12 million people are affected worldwide, with 1.5-2.0 million new cases each year.
The treatment is determined by where the disease was acquired, the species of Leishmania, and the type of infection. For visceral leishmaniasis in India, South America, and the Mediterranean, liposomal amphotericin B is the recommended treatment and is often used as a single dose. Rates of cure with a single dose of amphotericin have been reported as 95%. In India, almost all infections are resistant to pentavalent antimony compounds (antimonials), whereas in Africa, a combination of pentavalent antimonials and paromomycin is recommended. These, however, can have significant side effects. Miltefosine, an oral medication, is effective against both visceral and cutaneous leishmaniasis. Side effects are generally mild, though it can cause birth defects if taken within 3 months of getting pregnant, and it is not effective against L. major or L. braziliensis.
There is thus a need for improved control (prevention and treatment) for leishmaniasis, as well as for other diseases caused by trypanosomatid infections.
This disclosure provides certain advantages and advancements over the prior art, in particular, vaccines and polypeptide delivery vectors comprising phthalocyanine-treated trypanosomatid microorganisms, as well as methods for treating trypanosomatid infections comprising administering phthalocyanine compounds.
In one aspect, the disclosure provides compositions for delivering polypeptides into mammalian cells, the compositions comprising a trypanosomatid that has been treated with a compound of formula (I):
or an acceptable salt thereof,
wherein the trypanosomatid expresses the polypeptide.
In some embodiments, the trypanosomatid has been transgenically modified to express a cDNA sequence encoding the polypeptide. In some embodiments, the polypeptide is a vaccine candidate. In some embodiments, the trypanosomatid is capable of entering the mammalian cell. In some embodiments, the trypanosomatid has been exposed to light to inactivate the trypanosomatid following treatment of the trypanosomatid with the compound of formula (I). In some embodiments, the trypanosomatid is a Leishmania sp.
In some embodiments, the mammalian cell is a mammalian immune cell. In some embodiments, the mammalian immune cell is an antigen-presenting cell. In some embodiments, the mammalian immune cell is a dendritic cell or a macrophage or a B cell.
In another aspect, the disclosure provides methods for delivering a polypeptide to a cell of a mammalian subject, the methods comprising: (a) providing a trypanosomatid that expresses the polypeptide; (b) contacting the cell with the trypanosomatid by administering the trypanosomatid to the mammalian subject; (c) administering to the subject a photosensitizer, wherein the photosensitizer is a compound of formula (I):
or an acceptable salt thereof,
(d) exposing the subject to light to inactivate the trypanosomatid.
In another aspect, the disclosure provides methods for delivering a polypeptide to a cell of a mammalian subject, the methods comprising: (a) providing a trypanosomatid that expresses the polypeptide; (b) treating the trypanosomatid with a photosensitizer to produce a carrier, wherein the photosensitizer is a compound of formula (I):
or an acceptable salt thereof,
In another aspect, the disclosure provides methods for delivering a polypeptide to a cell of a mammalian subject, the methods comprising: (a) providing a trypanosomatid that expresses the polypeptide; (b) treating the trypanosomatid with a photosensitizer to produce a carrier, wherein the photosensitizer is a compound of formula (I):
or an acceptable salt thereof,
In some embodiments of the above methods, the trypanosomatid has been transgenically modified to express a cDNA sequence encoding the polypeptide. In some embodiments, the polypeptide is a vaccine candidate.
In some embodiments, the wavelength of the light is between about 600 and 700 nm. In some embodiments, the wavelength of the light is more than about 650 nm. In some embodiments, the trypanosomatid is a Leishmania sp. trypanosomatid. In some embodiments, the cell is an immune cell. In some embodiments, the immune cell is an antigen-presenting cell. In some embodiments, the immune cell is a dendritic cell or a macrophage.
In another aspect, the disclosure provides methods of treating a trypanosomatid infection in a subject, the method comprising administering to the subject a therapeutically effective amount of a compound of formula (I):
or an acceptable salt thereof,
In some embodiments, the methods further comprise exposing the subject to light following administration of the compound of formula (I). In some embodiments, the wavelength of the light is between about 600 and 700 nm. In some embodiments, the wavelength of the light is more than about 650 nm.
In some embodiments, the compound of formula (I) is administered to the subject topically, intramuscularly, subcutaneously, intravenously, parenterally, enterally, dermally, transbuccally, or intranasally. In some embodiments, the infection is a cutaneous, mucocutaneous, or visceral infection. In some embodiments, the compound of formula (I) is administered to the subject in an in vitro vaccination procedure by: (a) treating antigen-presenting cells from the subject with the compound of formula (I) in vitro; and (b) administering the treated antigen-presenting cells to the subject.
In another aspect, the disclosure provides methods of deactivating a trypanosomatid, the methods comprising: (a) treating a live trypanosomatid with a compound of formula (I):
or an acceptable salt thereof,
In some embodiments, the light is white light. In some embodiments, the light is red light. In some embodiments, the wavelength of the light is between about 600 and 700 nm. In some embodiments, the wavelength of the light is more than about 650 nm. In some embodiments, the trypanosomatid is Leishmania.
In another aspect, the disclosure provides vaccine compositions comprising a deactivated trypanosomatid prepared by the above methods and a suitable pharmaceutical carrier.
In another aspect, the disclosure provides methods for inducing an immune response against a trypanosomatid in a mammalian subject comprising administering to the subject a vaccine composition as disclosed herein. In another aspect, the disclosure provides methods for inducing an immune response against Leishmania in a subject comprising administering to the subject a vaccine composition as disclosed herein, wherein the trypanosomatid is Leishmania.
In some embodiments of any of the methods and/or compositions disclosed herein, each q in formula (I) is an integer selected from 0 and 1. In some embodiments, each q in formula (I) is 0, as in the following formula:
In some embodiments, L1 and L2 are independently selected from —O(C1-C6 alkyl), —O(C1-C6 alkenyl), —O(C1-C6 alkynyl), and —OR. In some embodiments, L1 and L2 are independently selected from —O(C1-C6 alkyl) and —OR. In some embodiments, L1 and L2 are independently —OR. In some embodiments, each R is independently —[C1-C6 alkylene-NR″]n—R′, or -[ethylene-NR″]n—R′, or -[propylene-NR″]n—R′. In some embodiments, n is an integer selected from 1 to 6, or from 1 to 5, or from 1 to 4, or from 1 to 3, or n is 1, 2, or 3, or n is 1, or n is 2, or n is 3. In some embodiments, R″ is hydrogen or methyl, or R″ is hydrogen. In some embodiments, R′ is hydrogen or methyl, or R′ is hydrogen, or R′ is methyl. In some embodiments, L1 and L2 are independently selected from:
In some embodiments, L1 and L2 are independently selected from:
In some embodiments, L1 and L2 are independently selected from:
In some embodiments, L1 and L2 are the same. In some embodiments, the compound of formula (I) is:
These and other features and advantages of the present invention will be more fully understood from the following detailed description of the invention taken together with the accompanying claims. It is noted that the scope of the claims is defined by the recitations therein and not by the specific discussion of features and advantages set forth in the present description.
The following detailed description of the embodiments of the present invention can be best understood when read in conjunction with the following drawings, in which:
All publications, patents and patent applications cited herein are hereby expressly incorporated by reference for all purposes.
Before describing the present invention in detail, a number of terms will be defined. As used herein, the singular forms “a”, “an”, and “the” include plural referents unless the context clearly dictates otherwise. For example, reference to a “protein” means one or more proteins.
It is noted that terms like “preferably”, “commonly”, and “typically” are not utilized herein to limit the scope of the claimed invention or to imply that certain features are critical, essential, or even important to the structure or function of the claimed invention. Rather, these terms are merely intended to highlight alternative or additional features that can or cannot be utilized in a particular embodiment of the present invention.
For the purposes of describing and defining the present invention it is noted that the term “substantially” is utilized herein to represent the inherent degree of uncertainty that can be attributed to any quantitative comparison, value, measurement, or other representation. The term “substantially” is also utilized herein to represent the degree by which a quantitative representation can vary from a stated reference without resulting in a change in the basic function of the subject matter at issue.
The disclosure provides systems and methods for delivering protein or peptide agents into a target cell. The delivery system comprises a biological carrier comprising an infective trypanosomatid protozoan, such as an infective Leishmania, selected or engineered to infect the target cell. The trypanosomatid is photosensitized using a phthalocyanine compound so that it is killed upon exposure to light; furthermore, the trypanosomatid expresses, or is transgenically modified to express, the desired polypeptide in the carrier. After the carrier is introduced into the target cell, the system is irradiated with light, such as visible light or light of specific wavelength, which leads to the death of the carrier and the subsequent release of the expressed proteins or peptides within the carrier into the target cell.
In some embodiments, the infective trypanosomatid is an infective Leishmania sp., which can include guinea pig Leishmania enriettii, rodent Leishmania turinica and reptilian Leishmania torentolae, and avirulent strains of pathogenic Leishmania spp., which are either laboratory-derived or genetically engineered by the strategies of molecular attenuation of virulence described.
In a preferred embodiment, the carrier is a non-pathogenic (but infective) trypanosomatid protozoan, such as members in the genera of Crithidia, Blastocrithidia, Herpetomonas, Phytomonas, Leptomonas, Trypanosoma and other non-pathogenic lower trypanosomatid protozoa.
Thus, in some embodiments, the target cell for the carrier is a mammalian cell. In some embodiments, the target cell is a mammalian macrophage. Other targets can include polymorphonuclear phagocytes, fibroblasts, and dendritic cells or any other cells susceptible to infection by genetically engineered Leishmania or other trypanosomatid protozoa with ligands specific to the targeted cells. Leishmania, for example, is known to specifically infect macrophages and dendritic cells. Leishmania cell- or tissue-specificity can be further genetically altered by incorporating ligand molecules from other cell-, tissue- or organ-specific parasites. Constructs so engineered are expected to “home-in” toward specific cells and tissues other than macrophages.
In some embodiments, genes of interest can be introduced into the carrier by incorporation into the chromosomal composition of the carrier. In some embodiments, genes can be introduced via standard plasmid vector techniques, or other techniques known in the art. In some embodiments, the gene of interest intended for introduction into the carrier can be one that serves any desired purpose, but preferably includes gene that expresses gene products that are therapeutic, prophylactic, and/or pharmacologically active. In some embodiments, the gene of interest can code for a product that will ultimately operate antigenically as a vaccine, such as a vaccine candidate.
The disclosure further provides methods of treating a mammal by delivering a protein or peptide to the mammal via the biological carrier described above. The biological carrier can be used to deliver the protein or peptide to a mammal to treat the mammal by administering the carrier encoding the protein or peptide of interest to the mammal. Administration of the carrier to a subject can be achieved by techniques that are well-known in the art. By way of example and not limitation, such administration techniques can include topical application, intramuscular injection, subcutaneous injection, intravenous administration and other parenteral, enteral, dermal routes of administration, inhalation, transbuccal, and nasal administration.
Genes encoding various peptides and proteins of potential prophylactic and/or therapeutic interest can be introduced into the trypanosomatid for expression and eventual release as a result of photosensitization and light exposure. Techniques for transfection of Leishmania with such genes are well known in the art. By way of example and not limitation, foreign genes of interest can be introduced into the chromosomal genome of the trypanosomatid, or they can be introduced by using well-known plasmid vector techniques. Examples of gene expression systems in these organisms are disclosed in International Patent Applications WO 02/44355 and WO 01/32896.
Other desirable genes can be introduced into the trypanosomatid for expression and ultimate release. The gene selected for introduction into the trypanosomatid will vary depending on the preferences of the practitioner of the present invention.
In embodiments where the trypanosomatid is Leishmania, the methods and compositions disclosed herein are contemplated for use in photodynamic vaccination by exploiting the unusual properties of Leishmania, i.e., the innate ability of Leishmania spp. to home to the phagolysosomes of antigen-presenting cells (the very cells which process and present antigenic epitopes to the mammalian immune systems for eliciting effective immunity) such as dendritic cells and macrophages. The vaccine candidate-expressing Leishmania constructs end up in the phagolysosomes of these antigen-presenting cells when delivered to animals as do the wildtype Leishmania. Light exposure of the photosensitized trypanosomatid lyses the intralysosomal Leishmania constructs, thereby concentrating vaccine candidate polypeptides for release and exposure to this antigen processing site for effective presentation. Leishmania has been reported to effectively deliver ovalbumin to macrophages for presentation of its antigenic epitopes to CD+ T-cells (Kaye et al., 1993, Eur. J. Immunol., 23:2311-2319). Time-controllable release of this and other antigens has not been incorporated into the previous schemes, but it is expected to heighten the level of the immune response. This is achievable through the use of photosensitized Leishmania according to the present disclosure. In addition, cytolysis of the photosensitized “carrier” Leishmania by visible light irradiation minimizes the risk of leishmaniasis, especially when non-pathogenic or avirulent species and strains are used. Both human and veterinary applications of the “vaccine” delivery by the Leishmania compositions of the disclosure can be considered under the same principles. The utility of this host-parasite model is contemplated for both in vitro and in vivo photodynamic therapy and vaccination by using exogenously supplied photosensitizers. Phthalocyanine (PC)-type photosensitizers of the disclosure contemplated for use in photodynamic therapy and photodynamic vaccination are shown in
Thus, the methods and compositions of the disclosure are contemplated for use in vaccinating a human subject with a polypeptide (protein) vaccine candidate. The composition would include, in a preferred form of the invention, a Leishmania that expresses or has been transfected to express a cDNA sequence encoding the polypeptide vaccination candidate and one or more of the photosensitizers set forth herein loaded into the Leishmania for photo-inactivation to define a vehicle to deliver the protein vaccination candidate into a cell of a mammalian subject. Suitable routes of administration include oral, topical and transdermal. In some embodiments, it is also contemplated that the composition would specifically target mammalian macrophages or dendritic cells for presentation to T cells to cause an immune response.
Thus, in certain aspects of the disclosure, methods of delivering a polypeptide vaccination candidate to a cell of a mammalian subject includes the steps of: (1) providing a Leishmania that expresses a polypeptide vaccination candidate, such as a Leishmania transgenically modified to express a cDNA sequence encoding the protein vaccination candidate; (2) loading the Leishmania with an effective photosensitizer to sensitize the Leishmania as a carrier; (3) exposing the carrier to light to inactivate the Leishmania; and (4) delivering the carrier to the mammalian subject. In some embodiments, the Leishmania is exposed to or delivered to the mammalian subject prior to exposing the Leishmania to a photosensitizer, and prior to exposing the Leishmania to light. In some embodiments, the Leishmania is delivered or administered to the mammalian subject after exposure of the Leishmania to a photosensitizer, but prior to exposure of the Leishmania (and the mammalian subject) to light to deactivate the Leishmania.
The disclosure also relates to photodynamic therapy (PDT), in which photosensitizers (PS) that are light-excitable are used to produce, within a target cell or microorganism, cytotoxic reactive oxygen species (ROS) in the presence of atmospheric oxygen for clinical treatment of tumors, skin cancer and other cutaneous diseases. Photosensitizers can be applied exogenously, such is the case with phthalocyanines, or it can be induced endogenously with delta-aminolevulinate (ALA) to up-regulate heme biosynthesis of the target cells for over-producing photosensitive intermediates of this pathway, i.e. porphyrins. PDT has the potential to overcome the challenges of emerging drug-resistance in infectious and malignant diseases, since it is not known to elicit such resistance. Light and photosensitizers alone are non-cytotoxic and thus select no resistance phenotype. In combination, a burst of powerful cytotoxic ROS is rapidly generated, which simultaneously attack multiple cellular molecules, making it unlikely to induce the development of resistance.
In certain aspects, the present disclosure concerns the use of PDT for treatment of infectious diseases caused by trypanosomatid protozoa, for example, in the genus of Leishmania that cause leishmaniasis. Disclosed herein are phthalocyanine compounds that are significantly more effective (e.g., Leishmania are ˜50× more sensitive to PDT mediated by PC1/PC2 than PDT mediated by previously known phthalocyanines (Dutta et al, 2011, PLoS One 6:e20786)) and discriminating (e.g., EC50s of PC1/PC2-mediated PDT are in the nanomolar range for Leishmania, yet >10 μM for their host cells) than phthalocyanines previously identified for PDT of Leishmania.
Thus, in one aspect, the disclosure provides compositions for delivering a polypeptide into a mammalian cell, the composition comprising a trypanosomatid that has been treated with a compound of formula (I):
or an acceptable salt thereof,
wherein the trypanosomatid expresses the polypeptide.
In some embodiments, the trypanosomatid has been transgenically modified to express a cDNA sequence encoding the polypeptide. In some embodiments, the polypeptide is a vaccine candidate. In some embodiments, the trypanosomatid is capable of entering the mammalian cell. In some embodiments, the trypanosomatid has been exposed to light to inactivate the trypanosomatid following treatment of the trypanosomatid with the compound of formula (I).
As used herein, the terms “irradiate” and “expose to light” are interchangeable and refer to any means of exposing a cell, subject, or system to light, such as visible light, UV light, and infrared light. Typically, in the aspects and embodiments disclosed herein, the light is visible light. In some embodiments, the light is white light or sun light, inclusive of all effective wavelengths for phthalocyanines. In some embodiments, the light is red light. In some embodiments, the wavelength of the light is between about 600 and 700 nm. In some embodiments, the wavelength of the light is about 650 nm.
In some embodiments, the trypanosomatid is a Leishmania sp. trypanosomatid. In some embodiments, the Leishmania sp. is L. aethiopica, L. amazonensis, L. arabica, L. archibaldi, L. aristedesi, L. (Viannia) braziliensis, L. chagasi (syn. L. infantum), L. (Viannia) colombiensis, L. deanei, L. donovani, L. enriettii, L. equatorensis, L. forattinii, L. garnhami, L. gerbili, L. (Viannia) guyanensis, L. herreri, L. hertigi, L. infantum, L. killicki, L. (Viannia) lainsoni, L. major, L. mexicana, L. (Viannia) naiffi, L. (Viannia) panamensis, L. (Viannia) peruviana, L. (Viannia) pifanoi, L. (Viannia) shawi, L. tarentolae, L. tropica, L. turanica, or L. venezuelensis. In some embodiments, the Leishmania sp. Leishmania enriettii, Leishmania turinica, Leishmania torentolae, Leishmania tropica, or an avirulent strain of pathogenic Leishmania spp., either laboratory-derived or genetically engineered by known strategies of molecular attenuation of virulence. In some embodiments, the trypanosomatid is a non-pathogenic trypanosomatid protozoan, such as members in the genera of Crithidia, Blastocrithidia, Herpetomonas, Phytomonas, Leptomonas, Trypanosoma and other non-pathogenic lower trypanosomatid protozoa.
In some embodiments, the mammalian cell is a mammalian immune cell. In some embodiments, the mammalian immune cell is an antigen-presenting cell. In some embodiments, the mammalian immune cell is a dendritic cell or a macrophage or a B cell.
In another aspect, the disclosure provides methods for delivering a polypeptide to a cell of a mammalian subject, the methods comprising: (a) providing a trypanosomatid that expresses the polypeptide; (b) contacting the cell with the trypanosomatid by administering the trypanosomatid to the mammalian subject; (c) administering to the subject a photosensitizer, wherein the photosensitizer is a compound of formula (I):
or an acceptable salt thereof,
(d) exposing the subject to light to inactivate the trypanosomatid.
In another aspect, the disclosure provides methods for delivering a polypeptide to a cell of a mammalian subject, the methods comprising: (a) providing a trypanosomatid that expresses the polypeptide; (b) treating the trypanosomatid with a photosensitizer to produce a carrier, wherein the photosensitizer is a compound of formula (I):
or an acceptable salt thereof,
In another aspect, the disclosure provides methods for delivering a polypeptide to a cell of a mammalian subject, the methods comprising: (a) providing a trypanosomatid that expresses the polypeptide; (b) treating the trypanosomatid with a photosensitizer to produce a carrier, wherein the photosensitizer is a compound of formula (I):
or an acceptable salt thereof,
In some embodiments of the above methods, the trypanosomatid has been transgenically modified to express a cDNA sequence encoding the polypeptide. In some embodiments, the polypeptide is a vaccine candidate.
In some embodiments, the wavelength of the light is between about 600 and 700 nm. In some embodiments, the wavelength of the light is more than about 650 nm. In some embodiments, the trypanosomatid is a Leishmania sp. trypanosomatid. In some embodiments, the cell is an immune cell. In some embodiments, the immune cell is an antigen-presenting cell. In some embodiments, the immune cell is a dendritic cell or a macrophage.
In another aspect, the disclosure provides methods of treating a trypanosomatid infection and/or an infectious or malignant disease associated with a trypanosomatid infection in a subject, the method comprising administering to the subject a therapeutically effective amount of a compound of formula (I):
or an acceptable salt thereof,
In some embodiments, the methods further comprise exposing the subject to light following administration of the compound of formula (I). In some embodiments, the wavelength of the light is between about 600 and 700 nm. In some embodiments, the wavelength of the light is more than about 650 nm.
In some embodiments, the compound of formula (I) is administered to the subject topically, intramuscularly, subcutaneously, intravenously, parenterally, enterally, dermally, transbuccally, or intranasally. In some embodiments, the infection is a cutaneous, mucocutaneous, or visceral infection.
In some embodiments, the compound of formula (I) is administered to the subject in an in vitro vaccination procedure by: (a) treating antigen-presenting cells from the subject with the compound of formula (I) in vitro; and (b) administering the treated antigen-presenting cells to the subject. As used herein, the terms “in vitro vaccination” and “in vitro immunization” are interchangeable and refer to a process of isolating, and, optionally, culturing, antigen presenting cells, such as dendritic cells, from a subject. The isolated cells are then treated with or exposed to a vaccine candidate, following by re-introduction of the treated cells back into the subject. Alternatively, the treated cells are used to activate T-cells from the same subject. The activated T-cells are then returned to the subject for immunotherapy or cell therapy.
In some embodiments, the compound of formula (I) is administered at a dosage suitable for treating the trypanosomatid infection and/or the infectious or malignant diseases associated with the trypanosomatid infection. In some embodiments, the compound of formula (I) is administered at a dosage suitable to or sufficient to induce an immune response against Leishmania in the subject. In some embodiments, such as embodiments relating to in vitro vaccination, the compound of formula (I) is provided to antigen-presenting cells in vitro in an amount sufficient to induce an immune response against Leishmania, other infective agents and malignancy after the antigen-presenting cells are re-introduced into the subject. In some embodiments, the dosage of the compound of formula (I) ranges from about 0.1 mg/kg to about 10 mg/kg, such as from about 0.5 mg/kg to about 8 mg/kg, such as from about 1 mg/kg to about 5 mg/kg, such as about 3 mg/kg.
In some embodiments, the trypanosomatid infection is a Leishmania infection. In some embodiments, the Leishmania infection is caused by L. aethiopica, L. amazonensis, L. arabica, L. archibaldi, L. aristedesi, L. (Viannia) braziliensis, L. chagasi (syn. L. infantum), L. (Viannia) colombiensis, L. deanei, L. donovani, L. enriettii, L. equatorensis, L. forattinii, L. garnhami, L. gerbili, L. (Viannia) guyanensis, L. herreri, L. hertigi, L. infantum, L. killicki, L. (Viannia) lainsoni, L. major, L. mexicana, L. (Viannia) naiffi, L. (Viannia) panamensis, L. (Viannia) peruviana, L. (Viannia) pifanoi, L. (Viannia) shawi, L. tarentolae, L. tropica, L. turanica, or L. venezuelensis. In some embodiments, the Leishmania infection is an infection by Leishmania enriettii, Leishmania turinica, Leishmania torentolae, Leishmania tropica, or an avirulent strain of pathogenic Leishmania spp., either laboratory-derived or genetically engineered by known strategies of molecular attenuation of virulence. In some embodiments, the carrier is a non-pathogenic trypanosomatid protozoan, such as members in the genera of Crithidia, Blastocrithidia, Herpetomonas, Phytomonas, Leptomonas, Trypanosoma and other non-pathogenic lower trypanosomatid protozoa.
The term “therapeutically effective amount” refers to an amount administered to a subject that is sufficient to cause a desired effect in the subject.
The term “pharmaceutical formulation” or “pharmaceutical composition” refers to a preparation which is in such form as to permit a biological activity of an active ingredient to be effective, and which contains no additional components which are unacceptably toxic to a subject to which the formulation would be administered.
In some embodiments, the active ingredients of the compositions and methods disclosed herein are formulated as a pharmaceutically acceptable salt. As used herein, the term “pharmaceutically acceptable salt” refers to salts of the compounds of the present invention derived from the combination of such compounds and a pharmaceutically acceptable organic or inorganic acid (acid addition salts) or a pharmaceutically acceptable organic or inorganic base (base addition salts) which retain the biological effectiveness and properties of the compounds of the present invention and which are not biologically or otherwise undesirable. Examples of pharmaceutically acceptable salts include but not limited to those described in for example: “Handbook of Pharmaceutical Salts, Properties, Selection, and Use”, P. Heinrich Stahl and Camille G. Wermuth (Eds.), Published by VHCA (Switzerland) and Wiley-VCH (FRG), 2002. The compounds of the present invention may be used in either the free base or salt forms, with both forms being considered as being within the scope of the present invention.
In another aspect, the disclosure provides methods of deactivating a trypanosomatid, the methods comprising: (a) treating a live trypanosomatid with a compound of formula (I):
or an acceptable salt thereof,
In some embodiments, the light is white light. In some embodiments, the light is red light. In some embodiments, the wavelength of the light is between about 600 and 700 nm. In some embodiments, the wavelength of the light is more than about 650 nm. In some embodiments, the trypanosomatid is Leishmania.
In some embodiments, the compound of formula (I) is administered at a dosage suitable to deactivate the trypanosomatid.
In another aspect, the disclosure provides vaccine compositions comprising a deactivated trypanosomatid prepared by the above methods and a suitable pharmaceutical carrier.
The pharmaceutical or vaccine compositions of the disclosure can be administered to an animal, including human, by a number of methods known in the art. Examples of suitable methods include: (1) intramuscular, intradermal, intraepidermal, intravenous, intraarterial, subcutaneous, or intraperitoneal administration, (2) oral administration, and (3) topical application (such as ocular, intranasal, and intravaginal application).
Although an advantage of the vaccine methods and compositions disclosed herein is that they render the use of adjuvants unnecessary, in some embodiments, the vaccine methods compositions of the disclosure, e.g. Leishmania killed by oxidative photo-inactivation may optionally be used together with one or more adjuvants. Examples of suitable adjuvants include: (1) oil-in-water emulsion formulations (with or without other specific immunostimulating agents such as muramyl polypeptides or bacterial cell wall components), such as MF59™ (containing 5% Squalene, 0.5% Tween 80, and 0.5% sorbitan trioleate) and SAF (containing 10% Squalene, 0.4% Tween 80, 5% pluronic-blocked polymer L121, and thr-MDP); (2) saponin adjuvants, such as QS21, STIMULON™ (Cambridge Bioscience, Worcester, Mass.), ABISCO™ (Isconova, Sweden), or ISCOMATRIX™ (Commonwealth Serum Laboratories, Australia); (3) complete Freund's Adjuvant (CFA) and incomplete Freund's Adjuvant (IFA); (4) oligonucleotides comprising CpG motifs, i.e. containing at least one CG dinucleotide, where the cytosine is unmethylated; and (5) metal salt including aluminum salts (such as alum, aluminum phosphate, aluminum hydroxide); (12) a saponin and an oil-in-water emulsion.
In another aspect, the disclosure provides methods for inducing an immune response against a trypanosomatid in a mammalian subject comprising administering to the subject a vaccine composition as disclosed herein. In another aspect, the disclosure provides methods for inducing an immune response against Leishmania in a subject comprising administering to the subject a vaccine composition as disclosed herein, wherein the trypanosomatid is Leishmania. In some embodiments, the vaccine composition is administered to the subject in an amount effective to induce an immune response against the trypanosomatid, such as Leishmania.
In some embodiments of any of the methods and/or compositions disclosed herein, each q in formula (I) is an integer selected from 0 and 1. In some embodiments, each q in formula (I) is 0, as in the following formula:
In some embodiments, L1 and L2 are independently selected from —O(C1-C6 alkyl), —O(C1-C6 alkenyl), —O(C1-C6 alkynyl), and —OR. In some embodiments, L1 and L2 are independently selected from —O(C1-C6 alkyl) and —OR. In some embodiments, L1 and L2 are independently —OR. In some embodiments, each R is independently —[C1-C6 alkylene-NR″]n—R′, or -[ethylene-NR″]n—R′, or -[propylene-NR″]n—R′. In some embodiments, n is an integer selected from 1 to 6, or from 1 to 5, or from 1 to 4, or from 1 to 3, or n is 1, 2, or 3, or n is 1, or n is 2, or n is 3. In some embodiments, R″ is hydrogen or methyl, or R″ is hydrogen. In some embodiments, R′ is hydrogen or methyl, or R′ is hydrogen, or R′ is methyl. In some embodiments, L1 and L2 are independently selected from:
In some embodiments, L1 and L2 are independently selected from:
In some embodiments, L1 and L2 are independently selected from:
In some embodiments, L1 and L2 are the same. In some embodiments, the compound of formula (I) is:
The Examples that follow are illustrative of specific embodiments of the invention, and various uses thereof. They are set forth for explanatory purposes only, and are not to be taken as limiting the invention.
Novel PCs were screened, leading to the identification of amino-PC conjugates (PCs 1 and 2), which are significantly more effective and discriminating than PCs previously identified for photodynamic inactivation of Leishmania. This was demonstrated in both stages of L. tropica qualitatively by fluorescent microscopy and fluorimetry for the uptake of PCs 1 and 2, and quantitatively by fluorescence/metabolic cell viability assays after photo-inactivation. The effectiveness and discriminatory potential of PCs 1 and 2 are predicted from the large disparity between Leishmania and J774 macrophages in their EC50 values for photo-inactivation.
Phthalocyanines.
Four phthalocyanines (
All compounds were dissolved in a suitable solvent, such as dimethyl sulfoxide (DMSO), for preparing 1 mM stock solutions, from which working solutions (0.01 to 10 μM) were prepared by serial 10-fold dilutions.
Cells.
Leishmania used included 2 virulent strains of L. tropica EP41 (
Promastigotes were grown to stationary phase at 25° C. in HEPES-buffered Medium 199 or Schneider's Medium with 10% heat inactivated fetal bovine serum (HIFBS) and as axenic amastigotes at 33° C. in Schneider's Medium with 10% HIFBS, pH 5.3. Macrophages of the J774 cell line were cultured in RPMI-1640 medium plus 10% HIFBS. J774 macrophages were infected at 35° C. with both stages grown to stationary phase at a ratio of 1:10 (4×106 macrophages/40×106 Leishmania/4 ml RPMI+10% HIFBS in a 25 cm2TC flask). The rate of infection was quantitatively determined at the time points indicated by microscopic counting of ˜100 cells for % infection and the average # of Leishmania/cell. The total # of Leishmania per culture determined from these data are shown in
Footpad lesions were also observed on BALB/c mice after L. tropica infection (
GFP Transqenic Leishmania.
L. tropica EP41 and CBU10 were transfected by electroporation with egfp-p6.5 to express green fluorescent protein (GFP) (see Dutta et al., 2005, Antimicrob Agents Chemother 49: 4474-4484). The transfectants obtained were selected using 10 μg/mL tunicamycin.
CFSE Loading of Leishmania.
Leishmania were exposed for 10 min at 37° C. to 5-10 μM carboxyfluorescein succinimidyl ester (CFSE) (Invitrogen) at 108 cells/mL in Hank's Balanced Salt Solution (HBSS) HEPES-buffered to pH 7.4 plus 0.01% bovine serum albumin (HBSS-BSA). CFSE was converted by intracellular non-specific esterase into cell-impervious fluorescent products, rendering live Leishmania fluorescent.
Photosensitization of Cells.
Leishmania were suspended to 5×107-108 cells ml−1 in HBSS-BSA for exposure to serial dilutions of PCs 1-4 in the dark overnight. Controls included cells exposed to diluent alone. J774 macrophages were treated as monolayer in HBSS-BSA or culture medium under otherwise the same conditions. All cultures were kept in the dark for various time periods up to 24 hrs.
Exposure of Photo-Sensitized Cells to Red Light.
Control and PC-sensitized Leishmania were washed and suspended in HBSS-BSA. The cell suspensions in 24-well culture plates and monolayers of J774 macrophages in 25 cm2 TC flasks were exposed from the bottom to red light (wavelengths >650 nm) via a red filter (Smith-Victor Co., Barlett, Ill., USA; part #650021) over a light box for 20-30 min at a fluence of 1-2 J cm2.
MTT Reduction Assay.
An MTT reduction assay was performed according to manufacturer's protocol (Sigma, Molecular Probe kits). Freshly prepared MTT stock solution (5 mg ml−1) was added to promastigote and axenic amastigote cell suspensions at 0.5-1.0×108 per mL. Formazan formed were solubilized for reading in a Biotek Synergy HT plate reader (Texas Instruments) and analyzed by using GEN 5 version 5.11.1 software.
Quantitative Fluorescence Assay.
GFP transfectants or CFSE-loaded Leishmania in HBSS-BSA were dispensed in triplicate 100-μl aliquots at 5×106 cells/well to 96-well microtiter plates for detergent lysis with 0.5% (v/v) Nanodet P-40 to release cellular GFP/CFSE. The lysates were read for fluorescence at a sensitivity of 60 in a BIO-TEK Synergy HT plate reader (excitation wavelength of 485/20 nm and emission wavelength of 528/20 nm). Data collected were analyzed by using GEN 5 version 5.11.1 software.
Leishmania Uptake of PCs Assessed by Fluorimetry.
Promastigotes were exposed in the dark to 0.1 μM PC1 and PC2 at 5×107 cells ml−1 under non-growing conditions in HBSS-BSA. Controls were set up without cells under the same conditions. Samples were dispensed in 1-ml aliquots in the dark at 25° C. and harvested at different intervals for up to 24 hrs. Cells were washed once and sedimented as pellets stored at −20° C. At completion of the experiments, 2.5 ml of DMSO were added to each frozen pellet for extraction of PC. The fluorescence intensities of the extracts were determined (excitation wave length at 608 nm, Emission wavelength at 682 nm) in a LS-50B spectrofluorimeter (Perkin-Elmer) using FL WINLAB software. Concentrations of the PC were expressed in nmol per 107 cells by extrapolating their fluorescence intensities against those from a linear standard curve of PC concentrations from 0 to 20 nM.
Assays for Dark Toxicity of PCs.
GFP transfectants at 5×106 ml−1 in culture media were divided into 12-ml aliquots for exposure to a mixture of PC1 and PC2 in 10× serial dilutions from 0 to 1 μM. Cultures were handled in two ways to minimize light exposure: Normally used conditions: These were the conditions referred to as “in the dark” in all experiments described. Cells were exposed in 12-ml aliquots to 0 to 1 μM PCs each in individual culture vessels wrapped in aluminum foil. Culture vessels were unwrapped for daily sample collection under the incipient light with room light turned off. More stringent conditions: Samples from different experiments to be collected daily were aliquoted (3 ml) and wrapped together in aluminum foil for keeping them in total darkness for the duration of the incubation. Daily sample collection under both conditions took ˜10 min under incipient light. Cell pellets were frozen at −20° C. Frozen samples were processed for cellular GFP fluorescence assay as described above. Data were presented as % of the control values at each time point from untreated cells.
Fluorescence Microscopy.
Nikon Eclipse 80i and TE2000-S microscopes with CCD cameras were used with Metamorphosis (version 6.1) or NIS Elements version AR 4.20.01 software for image capture and analysis. Concentrated cells (˜3 μl) on a glass slide under an 18 mm2 glass coverslip were first scanned under phase contrast to localize cells. Cells exposed to PC1, PC2, PC3, and PC4 were then imaged for subcellular localization of PC fluorescence by using Cy5 filter set. GFP/CFSE fluorescent Leishmania were further examined by using the FITC filter set. Images captured under different settings were merged by using the software programs mentioned. The filter sets (Chroma Technology Co., Brattleboro, Vt.) used were: (1) HQ620/60 (620-nm exciter), Q660LP (660-nm dichroic), and HQ700/80 (700-nm emitter) for phthalocyanines; and (2) HQ480/40 (480-nm exciter), Q505LP (505-nm dichroic), and HQ535/50 (535-nm emitter) for GFP and CFSE.
Data Analysis/Presentation.
In the Examples disclosed herein, all experiments were repeated at least twice and in most cases three times using mainly EP41 and CBU10 for confirmation. Results obtained were comparable among repeat experiments. Data presented represent mean±standard errors of the values in triplicate for each of individual samples from representative experiments.
Of four phthalocyanines (PCs 1-4) examined (
PCs 1 and 2 were taken up by both Leishmania stages, as noted in the images captured by using Cy5 filter set (results for PC2 are shown in
The uptake of PCs 1 and 2 followed saturation kinetics, as determined by fluorometric quantitation of cell-associated PC (
The uptake of PS by Leishmania is a prerequisite for its PDT effectiveness. PCs 1 and 2 are clearly taken up by both stages of L tropica, as evidenced by fluorescent microscopy (
Microscopy of Leishmania Photolysis Mediated by PCs 1 and 2.
When sensitized with PCs 1 and 2 followed by exposure to red light, promastigotes were found to lose their motility (not shown) and structural integrity (
Similar results were obtained by using other fluorescent EP41 and CBU10 Leishmania cells (not shown, but see quantitative data presented in
In the presence of PCs 3 and 4, Leishmania showed no cellular fluorescence, and retained their motility and cellular integrity with or without red light exposure (not shown).
PC Dose-Dependent Sensitization of Leishmania for Photo-Inactivation.
MTT reduction and loss of cellular GFP/CFSE fluorescence assays showed that both promastigotes (
Growth of Promastigotes in the Presence of PC1 and PC2.
Room light exposure was minimized under normally used and more stringent conditions as described (see Materials and Methods). Daily collected samples included small aliquots from all for brief microscopic observations, which showed no gross differences in motility, integrity and density of the promastigotes exposed to all PC concentrations (0-1 μM) under both “dark” conditions throughout the incubation period of 4 days. GFP fluorescence assays of the samples showed differences in PC-mediated growth inhibition between the two “dark” conditions. Under normally used conditions, GFP fluorescence was reduced in samples exposed to all PC concentrations used by up to 25% of the PC-untreated controls on day 4 (
These results demonstrate that PCs 1 and 2 taken up by L. tropica sensitize them effectively to red light for photo-inactivation. This is underscored by the facts that PCs 3-4 are not taken up and have no photodynamic activity, consistent with previous observations using similarly ineffective PCs. Qualitative and quantitative data provided convincing evidence for PC1- and PC2-mediated photo-inactivation of Leishmania. This is indicated clearly by seeing red light-induced cellular changes of PC-loaded Leishmania, i.e. flagellar immobilization, cell disintegration, and loss of cellular GFP/CFSE fluorescence (
The efficacy of PC1- and PC2-mediated photo-inactivation of Leishmania is actually greater than what is reflected in the differences seen between dark and light conditions used (
Leishmania are far more sensitive than their host cells or J774 macrophages to PC-mediated photo-inactivation. The J774 cells actively endocytosed PCs 1 and 2 into their endosomes, which accumulated in the peri-nuclear region (
The EC50 values of PC1 and PC2 for reducing Leishmania viability were estimated from the graphs presented in
For photo-inactivation of Leishmania, the amino-PCs used here are 10-40 times more effective, depending on Leishmania stages, than both the endosome-targeting pyridyloxy PCs and mitochondrion-targeting anilinium PSs previously examined, as indicated by comparing the EC50s of PCs 1 and 2 (
In summary, the results obtained identify PC1 and PC2 as effective photosensitizers for oxidative photo-inactivation of Leishmania for use as vehicles in drug/vaccine delivery, considering their being up to 40 times more effective than those used previously (see, e.g., Dutta et al, 2011, PLoS One 6:e20786). In addition, the finding that Leishmania are >100 times more sensitive than macrophages to sensitization by PCs 1 and 2 for photo-inactivation suggests their utility for anti-Leishmania PDT.
J774 Macrophage Processing of Green Fluorescent Protein (GFP) Delivered by Amino-Phthalocyanine (PC)-Photoinactivated Leishmania GFP-Transfectants.
Three different schemes of PC-sensitization and photo-inactivation of Leishmania for peptide vaccine delivery to macrophages (Chang et al., 2016, Parasites & Vectors 9:396) were investigated using GFP as an example. Each scheme began with a mixture of 4×106 J774 cells and 40×106 Leishmania GFP transfectants in 4 ml RPMI1640 with 10% FBS in 25 cm2 TC flasks. However, in each scheme, the timing of PC sensitization and red light photo-inactivation was different. In the first scheme, scheme A ([J774+GFP-Leish]+PC+Red Light), GFP-Leish infection was established in J774 cells first (2 days) followed by exposure of the infected cultures to 1 μM PC in the dark overnight and then red light illumination (excitation wavelength=˜600 nm, ˜2 J cm2) (
Quantitation of PC-Mediated Photo-Inactivation of GFP-Leishmania Delivered by Three Different Schemes to J774 Macrophages for Processing.
Samples used were prepared as described for the three different schemes as described above for
Intra-Phagolysosomal Degradation of Oxidatively Photo-Inactivated Leishmania to Release GFP for Processing and Precipitation of PC into Inactive Aggregates.
Phase contrast (phase) and fluorescence (FITC/GFP, Cy5, PC1) images are shown in
Having described the invention in detail and by reference to specific embodiments thereof, it will be apparent that modifications and variations are possible without departing from the scope of the invention defined in the appended claims. More specifically, although some aspects of the present invention are identified herein as particularly advantageous, it is contemplated that the present invention is not necessarily limited to these particular aspects of the invention.
This application claims the benefit of U.S. Provisional Application No. 62/204,188, filed Aug. 12, 2015, the disclosure of which is hereby incorporated by reference in its entirety.
Number | Date | Country | |
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62204188 | Aug 2015 | US |