This application is a 35 U.S.C. 371 National Phase Entry Application from PCT/CU2013/000007, filed Oct. 30, 2013, which claims the benefit of Cuban Patent Application No. CU-2012-0158 filed on Nov. 9, 2012, the disclosure of which is incorporated herein in its entirety by reference.
The present invention relates to the fields of Biotechnology and Medicine. Particularly to the use of mutated variants of TGFβ molecule, which are antagonists of the signaling of their natural counterparts, and to the therapeutic application of these variants.
TGFβ cytokines were discovered by their capacity to stimulate cell colony formation (Roberts A B, et al, Proc Natl Acad Sci USA 78: 5339-43, 1981); because this process is a classic marker of cellular transformation, this molecule was called Transforming Growth Factor beta. Nowadays TGFβ ligands (TGFβ1, TGFβ2, TGFβ3) are recognized as the prototype of multifunctional growth factors. Almost any type of cell in the body produces them and expresses its receptor complex. These molecules are potent inhibitors of the proliferation of epithelial, endothelial and hematopoietic cells (Ravitz, M J et al, Adv Cancer Res 71: 165-207, 1997) and they are one of the most potent regulators of extracellular matrix production and deposition (Massague, J. The Annu Rev Cell Biol 6: 597-641, 1990) and of tissue repair cascade (Roberts A B., and others, 275-308 Plenum, 1996). They also regulate various mechanisms during embryonic development such as cell differentiation, migration and angiogenesis. (Taya, Y. at al, Development 126: 3869-79, 1999; Lidral, A. et al Am J Hum Genet 63: 557-68, 1998)
In the immune system the TGFβ signaling is a very important regulation node. One of its most important functions is maintaining lymphocyte homeostasis and immune tolerance, through inhibition of the proliferation of naïve T cells induced by self-antigens in lymphopenic environments. (Bevan, M. et al, Nat Immunol. 27, 13 (7): 667-73, 2012). This molecule also suppresses or alters the activation, maturation and differentiation of natural killer cells (Laouar, Y. et al Nature Immunol 6: 600-607, 2005), dendritic cells (Luo, X. et al, Proc. Natl Acad. Sci USA 104: 2821-2826, 2007; Bekeredjian Ding, I. et al, Immunology 128: 439-450, 2009), macrophages (Sica, A. et al, Semin. Cancer Biol 18, 349-355, 2008, Torroella. M et al, Cancer Res 69: 4800-09, 2009), neutrophils (Fridlender, Z G et al, Cancer cell 16: 183-194, 2009) and effector and memory T cells (Gorelik, L. & Flavell, R A Nature Med, 7: 1118-1122, 2001; Flavell, R A Immunity 31:131-44, 2009). The TGFβ plays an essential role in the induction, differentiation and maintenance of natural and induced regulatory T cells (CD4+Foxp3+) and TCD4+IL17+(TH17) effector T cells (Kryczek, I. et al, J. Immunol. 178 : 6730-33, 2007; Moo-Young, T A et al. J. Immunother 32: 12-21, 2009; Fantini, M C et al J. Immunol. 172: 5149-53, 2004; Flavell, R. A. Cell 134: 392-404, 2008).
Mature TGFβ ligands are homodimers of 112 amino acid residues. They are derived from a precursor molecule formed by the latency associated pro-peptide (LAP) located at N-terminal and the active domain towards the C-terminus extreme. Both domains are intracellularly separated by proteolysis and the ligands are secreted as inactive precursors, formed by the prodomain reversibly bound to the active domain, thus regulating access to cellular receptors (Geoffrey D. Young and Joanne E. Murphy-Ullrich. JBC Vol 279, No. 36: 38032-39, 2004). It has been postulated that the pro-peptide associated to latency is also important for secretion of the mature domain (Gray A. and A Mason Science 247:1328-30, 1990).
All three isoforms (TGFβ1, TGFβ2, TGFβ3) interact in the plasma membrane with receptors TβRI, TβRII and TβRIII. The latter, also known as Betaglycan, is not expressed in all cell types, and although it is dispensable for the signaling mediated by TGFβ1 and TGFβ3 ligands, constitutes a reservoir of these ligands when TβRII is saturated. (Wang X F et al, Cell 67: 797-805, 1991; Lebrin F. et al Cardiovasc. Res 65: 599-608, 2005). TβRIII forms complexes with TβRI and TβRII receptors presenting the ligand to them. These receptors bind primarily to TβRII and the TβRII/TGFβ complex recruits and activates cooperatively and with high affinity TβRI receptor, resulting in the formation of a signaling hetero-trimeric complex. TGFβ1 and TGFβ3 can bind to TβRII with high affinity (5-30 pm), while TGF-β2 can only do it in the same way in the presence of TβRIII (De Crescenzo et al, J Biol Chem 279: 26013-18, 2004; De Crescenzo et al, J. Mol. Biol 328: 1173-1183, 2003; Groppe et al, Molecular Cell 29, 157-168, 2008).
So far it has not been reported that ligands of TGFβ1, TGFβ2 and TGFβ3 families have the capacity to bind to other type II receptors, which are part of the same protein family TβRII belongs to (Huang F and Y G Chen Cell Biosc Mar. 15, 2:9, 2012). However they can bind with several type I receptors. ALK5 is described as the reference TβRI receptor of its ligand subfamily. After its recruitment into the TβRII/TGFβ complex the phosphorylation of SMAD2/3 proteins is induced (Huang F and Y G Chen Cell Biosc; Mar. 15, 2:9, 2012). ALK1 is activated in response to the formation of the TGF/TβRII complex in endothelial cells and signals by SMAD1 and SMAD5 (Goumans M J et al, Mol Cell 12 (4): 817-28, 2003). In some epithelial cells the SMAD1/5 signaling is induced by receptor ALK2, ALK3 and ALK6 (Daly A C et al, Mol Cell Biol, 28: 6889-6902, 2008). ALK2 is also associated with processes related to in vivo cardiovascular development (Olivey H E et al, Dev Dyn 235 (1): 50-9, 2006). We should highlight that both TβRII and ALK5 are unique to TGFβ1, TGFβ2 and TGF β3 family of ligands while ALK1/2/6/3 are more promiscuous and also shared by Activins and Bone Morphogenetic Proteins (Sebald W. et al, Biol Chem, 385 (8): 697-710, 2004).
ALK5 mediated signaling is associated with various pathogenic mechanisms in certain diseases. In cancer, for example, its role is complex and is associated with the suppression of immune response and promotion of tumor progression. The suppression of immune response occurs mainly during early stages of tumorigenesis. While its role as tumor progressor occurs in advanced stages of the carcinogenesis, through the induction of metastatic invasive phenotypes and the suppression of anti-tumor immune response (Miyazono K. Nat Rev. Cancer 10: 415-24, 2010; Miyazono K. Cancer Sci 101 (2): 306-12, 2010; Hawinkels L J. et al, Growth Factors 29(4):140-52, 2011). Another illness in which of TGFβ's activity is also deleterious are chronic infections caused by pathogens such as HIV, HBV, HCV, CMV, mycobacteria and Trypanosoma cruzi parasite. The TGFβ exerts a negative influence on the protective immune response, allowing growth and survival of these intracellular pathogens (Reed G S. Microbes and Infection 1: 1313-1325, 1999). In many diseases overproduction of TGFβ contributes to pathological excess of fibrotic tissue, which compromises the normal function of the damaged organ. Some examples of pathological excess of fibrotic tissues are pulmonary fibrosis, sarcoidosis, cardiac fibrosis, cardiomyopathy, liver cirrhosis, systemic sclerosis, glomerular sclerosis and primary biliary cirrhosis, among others (Kopp J B et al, Microbes and Infection, 1: 1349-1365, 1999).
Multiple strategies have been designed to inhibit TGFβ signaling. Most inhibitors have been evaluated in preclinical models, although some of them have begun to be tested in various types of cancer and fibrosis in clinical trials (Flavell R A. Nat Rev Immunol. 10(8): 554-67, 2010; Connolly E C et al, Int J Biol Sci 8(7): 964-78, 2012; Hawinkels L J. et al, Growth Factors 29 (4): 140-52, 2011). In the state of the art you may find the following inhibition strategies:
So far an inhibition strategy using muteins of ligands TGFβ as signaling antagonists has not been reported.
The present invention is related to the scientific finding that mutated variants of the TGFβ family (TGFβ1, TGFβ2 and TGFβ3) may inhibit the function of their natural counterparts. The inventors found for the first time in in vitro experiments that the mutated variants of TGFβ can substantially inhibit the signaling induced by native variants and thus neutralize its biological effects. This finding provides the basis of a new strategy for modulating TGFβ signaling in diseases such as cancer, fibrosis or chronic infection in which these ligands have deleterious activity.
The present invention is about polypeptides with high homology at the level of primary sequence with the human TGFβ, except in some positions where the native amino acid have been mutated to eliminate or to decrease substantially their ability to signal through the ALK5 type 1 receptor. These mutated variants of TGFβ maintain its capacity to bind with high affinity to TβRII and TβRIII receptors, but are unable to signal because they do not interact with the ALK5 type I receptor, negatively modulating natural variants signaling by competing with them for binding to high affinity TβRII and TβRIII receptors. The invention also includes the therapeutic applications of these mutated variants, alone or in combination with vaccines or other therapeutic modalities for the treatment of diseases such as cancer, fibrosis or chronic infections in which the action of TGFβ influences the course of the disease.
The novelty of the present invention is that it provides a novel therapeutic approach to modulate TGFβ signaling and thus modulate the invasive and metastatic capacity of various tumor and the activity of various immune system and connective tissue cells, in diseases where the function of TGFβ reduce the protective immune response either natural or induced by vaccination or inducing an excessive tissue repair and fibrosis. None of the inhibition strategies mentioned above uses muteins of TGFβ ligands as signaling antagonists. TGFβ mutants of the present invention are virtually self-proteins and therefore have low immunogenicity, which minimizes the risk of antibody responses against them. Their high specificity for the TGFβ receptor system reduces unexpected toxicities (common in strategies based in small size inhibitors). These mutated variants of TGFβ maintain binding affinities to TβRII receptor at least as native TGFβ1 and TGFβ3 (6-10 pM). This affinity is hard to achieve with other receptor or ligand inhibition strategies, with monoclonal antibodies or other drugs. Surprisingly the authors of the present invention found that these TGFβ mutated variants maintain their ability to interact with TβRII and TβRIII receptor, which constitutes an advantage over TβRII anti-receptor antibodies, since muteins block all possible binding sites of natural ligands to cell surface.
The present invention relates to polypeptides that antagonize the activity mediated by the ALK5 receptor of TGFβ natural ligands. These polypeptides possess homology greater than 90% with respect to the amino acid sequence of TGFβ natural ligands. The polypeptides of the present invention have at least one mutation in their primary amino acid sequence, in one of the residues selected from the group consisting of Y6, W30, W32, I51, L51, Q67 and L101.
In a particular embodiment of the invention the original amino acid residue is mutated by one of amino acid residues selected from the group comprising;
It is another object of the present invention polypeptides in which mutations were added in the interaction interface with receptors TGFβRII and/or TGFβRIII increasing its affinity to them.
Furthermore, the present invention relates to pharmaceutical compositions used for the treatment of cancer, diseases accompanied by fibrosis and chronic infectious diseases that contain one or a mixture of the polypeptides described in the present invention and a pharmaceutically suitable vehicle for their administration. Such polypeptides may be covalently linked to a carrier protein, which may be Albumin or the Fc region of human immunoglobulins. In another embodiment of the present invention the polypeptides may be pegylated.
Finally the present invention relates to the use of the polypeptides described to manufacture a pharmaceutical composition, useful in the treatment of cancer, diseases accompanied by fibrosis and chronic infectious diseases, as well as to enhance the cellular and/or humoral response to vaccines in replacement of native TGFβ especially when the vaccine to potentiate is a therapeutic vaccine for cancer treatment.
Obtaining TGFβ Mutant Polypeptides
The present invention relates to polypeptides having 112 amino acids in length. These polypeptides maintain a high sequence identity with the different native TGFβ molecules, more than 90% identity. In a zone of their sequence, the polypeptides include 1-6 mutations as compared to native TGFβ. The residues that replace the original residues are selected to have very different physicochemical properties with respect to the original amino acid, a change in the residue from nonpolar to polar, from charged to uncharged, from large to small and from acid to basic.
These polypeptides, which may also be called TGFβ muteins, were designed based on the three dimensional structure of native TGFβ1, TGFβ2 and TGFβ3 in complex with their receptors TβRII and ALK5 (and entered in the PDB database). Mutations were introduced only at TGFβ positions corresponding to amino acids significantly exposed to the solvent that form part of the ALK5 receptor binding region but not that of TβRII receptor. These residues were predicted to be important in the interaction with ALK5 using bioinformatic programs of public domain. The following table shows residues from the binding interface to ALK5 that are predicted to be important in the interaction and the possible mutations that affect the binding. With these results a database of all possible theoretical muteins was made and the muteins with the highest antagonist potency in vitro were selected
The polypeptides of this invention can be obtained by various procedures including chemical synthesis of proteins. They may also be obtained by genetic engineering techniques, such as expressing them as inclusion bodies in bacteria such as E. coli or in mammalian cells such as CHO and HEK293 using any transfection protocol reflected in the art of the technique. Mutations at specific positions may also be obtained by directed mutagenesis techniques directed by means of reaction of the polymerase chain.
Selection of TGFβ Mutant Polypeptides According to their Biological Activity;
The polypeptides of the present invention are selected from the in vitro and in vivo experiments to simultaneously possess the following properties:
These TGFβ mutated variants have the ability to inhibit the differentiation of naive T CD4+ cells to Treg foxp3+ or TH17 phenotypes induced by their natural analogs. This property can be evaluated directly in in vitro Treg and Th17 cells induction assays. In a concentration range of 50 ng/mL-10 μg/mL these muteins should exhibit the ability to inhibit at least 100 times the signaling induced by commercial ligands.
The present invention encompasses additional modifications of the TGFβ muteins from which the mature domain lacking LAP could be produced, without affecting the secretion thereof. This entails that the muteins can be obtained in their active form so that they interact with TβRII, which results in the simplification of the production process.
In another embodiment the present invention relates to additional modifications of TGFβ muteins that increase their half-life. These modifications include pegylation, the fusion of any of the above-described immunomodulatory polypeptides to a carrier protein, which can be Albumin or the Fc region of human immunoglobulins, among others.
In a more particular embodiment the present invention relates to mutated variants of TGFβ (specific mutations are referred to in Table 2) fused to an Fc fragment of a human IgG1 which results in a mutein that has been selected to display the properties referred to above. The Fc region selected for the coupling has a set of mutations (ala234, ala235) on the Cγ2 domain that prevent it from interacting with Fc gamma receptors, except with the neonatal Fc receptor, thus silencing its ability to induce immune effector mechanisms (Labrijn A F et al, Curr Opin Immunol. Aug. 20 (4):479-85, 2008. Epub 2008 Jul. 9).
These muteins have multiple amino acid substitutions that significantly reduce their ability to signal through ALK5. However, they maintain its ability to bind to TβRII and TβRIII, and inhibit the activity of native TGFβ.
In another embodiment the present invention also encompasses additional modifications of TGFβ muteins, made in order to either increase their affinity to TβRII and TβRIII, but without affecting or even improving their inhibitor character, or to improve their in vivo pharmacodynamic with the increase of half-life. Such additional mutations may be obtained by rational design with bioinformatics tools or using combinatorial molecular libraries of different nature (phage display libraries, libraries of gene expression in yeast or bacteria).
This invention also includes the pharmaceutical compositions comprising as active principle TGFβ muteins and their analogs or the fusion proteins disclosed by the present invention as well as their possible therapeutic applications for the modulation of the invasive and metastatic capacity of various tumors and the activity of various immune system and connective tissue cells in diseases in which the functions of TGFβ reduce the protective immune response, either natural or induced by vaccination, or induce an excessive tissue repair and fibrosis.
For their therapeutic use, the polypeptides of the present invention can be administered to a subject carrying a disease independently or combined with other polypeptides or other substances that facilitate or enhance its therapeutic action. The administration route may be any of administration routes described in the art of the technique for parenteral administration of drugs.
The polypeptides may be preferably administered intravenously, intramuscularly, subcutaneously or intratumorally.
The polypeptides or fusion proteins described in the present invention can also be administered as part of a pharmaceutical composition useful in the therapy of cancer, diseases accompanied by fibrosis and chronic infectious diseases. Preferably, the present invention encompasses compositions, including pharmaceutical compositions, comprising a pharmaceutically acceptable vehicle.
The composition includes pharmaceutically acceptable carriers. The pharmaceutically acceptable carriers include, but are not limited to: saline, sterile water, phosphate buffered saline, and similars. Other buffering agents, dispersed agents and inert non-toxic substances suitable for administration to a patient may be included in the compositions of the present invention. The compositions may be appropriate solutions for the administration and are sterile and free of unwanted particles.
In another embodiment the present invention also relates to methods of treatment comprising the administration of a therapeutically effective amount of polypeptides, fusion proteins or compositions described in this invention to subjects with cancer, diseases accompanied by fibrosis or chronic infectious diseases. In a particular embodiment the subject is a human being.
The polypeptides or fusion proteins described by the present invention may also be administered in combination with traditional oncological therapies (chemotherapy and radiation) as an enhancer of the effect of these.
To obtain the desired therapeutic effect, the polypeptides of the present invention should be administered at doses high enough to guarantee that their concentration in the lymph node or peripheral site is appropriate for the disease of interest, that is, in the concentration range in which mutein shows an inhibitory effect of native TGFβ. The dose must therefore be adjusted to the type of disease and route of administration being studied. For example, in the case of tumor therapy, the dose should be adjusted to achieve mutant concentrations inside the tumor and/or loco-regional lymph node high enough to exhibit an inhibitory effect. Dose ranges to be explored may vary between 1.25-20 mg/kg/dose weekly or biweekly.
The number of administrations should also be adjusted to the biodistribution of the mutein in question. In general the aforementioned effective concentrations should be sustained for a time period ranging from 2 to 30 consecutive days. If the mutein is coupled to a carrier protein, the frequency of administration should be adjusted accordingly.
When a compound or a composition of the invention is used in combination with another anticancer agent, the present invention provides, for example, concurrent, staggered or alternated treatment options. Thus, the compound/s of the invention may be administered simultaneously in separate pharmaceutical compositions, that is, a compound of the invention may be administered before or after the other anticancer agent, for example, with a difference of seconds, minutes, hours, days or weeks.
Therapeutic action is defined as full or partial remission of the symptoms of a disease. In cancer, therapeutic action is defined as a decrease in tumor volume or increase in relapse time, amongst others.
This novel therapeutic strategy has many advantages of over other proposals for modulating TGFβ signaling. For example:
The present invention is further elaborated by the following examples and drawings. However, these examples should not be interpreted as limiting the scope of the invention.
The TGFβ mutants were designed computationally using bioinformatics techniques. As starting point the reported structures of the ternary complex of TGFβ1 and TGFβ3 with the TGFβ receptor were used. The energy of binding of the native isoforms and all possible mutated variants was determined using public bioinformatics programs. G_M1 mutein were expressed in the CHO-K1 cells using a genetic construct based in the lentiviral vector PLW that included the C-terminal hinge region and the domains Cγ2 and Cγ3 of a human IgG1 and a histidine tail. G_M1 was purified by affinity chromatography with protein A. It was obtained (
An ELISA assay was performed coating with TβRII (1 ug/ml) and revealed with anti-human Fc antibody coupled to alkaline phosphatase. As a negative control irrelevant antibody hR3 was used.
We compared the inhibition of IL2-dependent CTLL-2 cell line proliferation, induced by mutant or native TGFβ. 5000 CTLL-2 cells/wells were stimulated with rIL-2 (50U/ml) and cultured in the presence of the indicated concentrations of TGFβ1 wild type or mutein G_M1, for 48 h. Later alamar blue reagent was added to the culture and its reduction was measured at 540 and 630 nm.
G_M1 mutein was unable to inhibit proliferation of CTLL-2 line, at concentrations 200 times greater than those of commercial TGFβ1 used as positive control of the experiment (
5000 CTLL-2 cells/wells were stimulated with rIL-2 (50U/ml) and cultured in the presence of 2 pM of TGFβ1 wild type and indicated concentrations of G_M1, or isotype control hR3 MAb; or anti-TGFβ1 antibody as a positive control. After 48 hour, alamar blue reagent was added to the culture and its reduction was measured at 540 and 630 nm.
The G_M1 mutein, but not the isotype control MAb hR3, neutralizes the inhibition of IL2-dependent CTLL-2 cell line proliferation, caused by native TGFβ1 (
The ability of the mutein G_M1 to inhibit migration of murine tumor cell line 4T1 was evaluated in an in vitro wound healing assay (C C Liang et al, Nat Protoc. Two (2): 329-33, 2007). Confluent cells were wounded by scraping the cell monolayer with a sterile pipette tip. G_M1 mutein or TGFβ1 wild type (as negative control) was added to the well.
CD4+CD25−GITR− naive population from the spleen of 4 C57/BL6 mice was purified by cells sorting. 5×104 of these cells were stimulated with 3 μg/mL plate bound anti-CD3 and 3 μg/mL of soluble anti-CD28, in presence of 5 ng/ml IL-2 and 5 ng/ml of native human TGFβ1. In this culture condition the percentage of regulatory T cells recovered after 3 days was of 55.6%. The effect of the mutein in this culture was evaluated at concentrations of 250 and 500 ng/mL. The percentage of Foxp3+ regulatory T cells recovered, in the presence or absence of the mutein was measured.
Number | Date | Country | Kind |
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CU/P/2012/0158 | Nov 2012 | CU | national |
Filing Document | Filing Date | Country | Kind |
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PCT/CU2013/000007 | 10/30/2013 | WO | 00 |
Publishing Document | Publishing Date | Country | Kind |
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WO2014/071894 | 5/15/2014 | WO | A |
Number | Name | Date | Kind |
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20020169292 | Weintraub | Nov 2002 | A1 |
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Flower DR. Receptor-binding sites: bioinformatic approaches. Methods Mol Biol. 2006;316:291-358. |
Number | Date | Country | |
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20150284441 A1 | Oct 2015 | US |