Patent Grant
8163281
The present disclosure relates to methods and compositions for the treatment of drug-related side effects and tissue damage by targeting the CD24-HMGB1-Siglec10 axis.
Inflammation is a critical determinant of pathogen virulence in some of the most challenging infectious diseases. Pathogen-associated and danger-associated molecular patterns are two well known inducers of inflammation. Pathogen-associated molecular patterns (PAMPs) interact with receptors on innate immune cells to initiate protective immune responses. Danger-associated molecular patterns (DAMPs), which are intracellular components such as high mobility group 1 protein (HMGB1), heat shock proteins (HSP) HSP70 and HSP90, and cellular RNA released during cellular injury, also induce TLR-dependent inflammatory responses. Pattern recognition receptors, which recognize pathogens or components of injured cells (danger), trigger activation of the innate immune system.
Despite availability of antibiotics, the mortality and hospitalization of severe sepsis increased rapidly between 1993 and 2003, causing approximately 200,000 annual deaths in the United States alone; see V. Y. Dombrovskiy, A. A. Martin, J. Sunderram, H. L. Paz, Crit Care Med 35, 1244 (May, 2007). Inability to control the disease highlights a major gap in understanding the root-cause of inflammation associated with infections. Among the best defined causes of inflammation are the PAMPs that interact with pattern-recognition receptors, such as the toll-like receptors (TLR) and Nod-like receptors (NLR). However, PAMPs alone do not appear to satisfactorily explain why antibiotics are ineffective in treating sepsis as PAMPs should be eliminated along with infection. Another source of inflammation is the DAMPs, mostly the conserved intracellular structures exposed after cell deaths, including necrosis or secondary necrosis following apoptosis.
The present technology provides methods and compositions for the treatment of tissue damage related immune dysregulation by administering a composition comprising one or more of a CD24 agonist; CD24; CD24 fragments, variants and derivatives, CD24Fc fusion proteins; Siglec-10 agonist, such as anti-Siglec 10 antibodies; HMBG1-binding proteins, binding proteins to HMBG1 Box B; antagonists of HMGB1 such as antibodies that bind and suppress the activity of HMGB1 Box B; sialidase inhibitors such as Neu5Ac2en and/or Neu5Gc2en and their derivatives; and combinations thereof. The subject of the administering may be a patient having or susceptible to having tissue damage relating to drug-induced toxicity, for example, drug overdoses, alcoholism, alcohol poisoning fulminant hepatitis caused by drugs, or other types of aseptic tissue injuries including vascular ischemia, liver ischemia and reperfusion, heart ischemia and reperfusion, atherosclerosis, myocardial infarction, stroke, heart failure, surgeries that result in tissue damage, and angina, or septic tissue injuries caused by pathogenic infection such as bacterial infection, sepsis, fulminant hepatitis caused by viral infection, viral or bacterial pneumonia.
In some embodiments, a method for treating inflammation from danger-associated molecular patterns in a subject comprises administering to the subject at least one of: (a) CD24 agonist; (b) Siglec-10 agonist; and (c) a molecule that binds High Mobility Group Box 1 (HMGB1) protein. In some cases, any two of (a), (b), and (c) are administered and in some cases all three of (a), (b), and (c) are administered.
In some embodiments, a method for treating inflammation from septic injuries comprises administering to the subject at least one of: (a) CD24 agonist; (b) Siglec-10 agonist; and (c) a sialidase inhibitor. In some cases, any two of (a), (b), and (c) are administered and in some cases all three of (a), (b), and (c) are administered.
In some embodiments, a method for treating inflammation from danger-associated molecular patterns comprises administering to the subject at least one of: (a) CD24 agonist; (b) Siglec-10 agonist; (c) a molecule that binds High Mobility Group Box 1 (HMGB1) protein; and (d) a sialidase inhibitor. In some cases, any two of (a), (b), (c), and (d) are administered, in some cases any three of (a), (b), (c), and (d) are administered, and in some cases all four of (a), (b), (c), and (d) are administered.
The present technology can also be combined with administration of an immunosuppressive agent.
Further areas of applicability will become apparent from the description provided herein. The description and specific examples in this summary are intended for purposes of illustration only and are not intended to limit the scope of the present disclosure.
The drawings described herein are for illustrative purposes only of selected embodiments and not all possible implementations, and are not intended to limit the scope of the present disclosure.
The following description of technology is merely exemplary in nature of the subject matter, manufacture and use of one or more inventions, and is not intended to limit the scope, application, or uses of any specific invention claimed in this application or in such other applications as may be filed claiming priority to this application, or patents issuing therefrom. The following definitions and non-limiting guidelines must be considered in reviewing the description of the technology set forth herein.
The headings (such as “Introduction” and “Summary”) and sub-headings used herein are intended only for general organization of topics within the present disclosure, and are not intended to limit the disclosure of the technology or any aspect thereof. In particular, subject matter disclosed in the “Introduction” may include novel technology and may not constitute a recitation of prior art. Subject matter disclosed in the “Summary” is not an exhaustive or complete disclosure of the entire scope of the technology or any embodiments thereof. Classification or discussion of a material within a section of this specification as having a particular utility is made for convenience, and no inference should be drawn that the material must necessarily or solely function in accordance with its classification herein when it is used in any given composition.
The citation of references herein does not constitute an admission that those references are prior art or have any relevance to the patentability of the technology disclosed herein. All references cited in the “Detailed Description” section of this specification are hereby incorporated by reference in their entirety.
The description and specific examples, while indicating embodiments of the technology, are intended for purposes of illustration only and are not intended to limit the scope of the technology. Moreover, recitation of multiple embodiments having stated features is not intended to exclude other embodiments having additional features, or other embodiments incorporating different combinations of the stated features. Specific examples are provided for illustrative purposes of how to make and use the apparatus and systems of this technology and, unless explicitly stated otherwise, are not intended to be a representation that given embodiments of this technology have, or have not, been made or tested.
As referred to herein, all compositional percentages are by weight of the total composition, unless otherwise specified. As used herein, the word “include,” and its variants, is intended to be non-limiting, such that recitation of items in a list is not to the exclusion of other like items that may also be useful in the materials, compositions, devices, and methods of this technology. Similarly, the terms “can” and “may” and their variants are intended to be non-limiting, such that recitation that an embodiment can or may comprise certain elements or features does not exclude other embodiments of the present technology that do not contain those elements or features.
“A” and “an” as used herein indicate “at least one” of the item is present; a plurality of such items may be present, when possible. “About” when applied to values indicates that the calculation or the measurement allows some slight imprecision in the value (with some approach to exactness in the value; approximately or reasonably close to the value; nearly). If, for some reason, the imprecision provided by “about” is not otherwise understood in the art with this ordinary meaning, then “about” as used herein indicates at least variations that may arise from ordinary methods of measuring or using such parameters. In addition, disclosure of ranges includes disclosure of all distinct values and further divided ranges within the entire range.
The present technology relates to treating inflammation caused by a subject's immune response to damage- and/or pathogen-associated molecular patterns.
Many commonly used drugs such as aspirin, acetaminophen, alcohol and infections cause necrosis of normal cells. The contents of necrotic cells can induce an inflammatory response that can be lethal. The present investigators have identified a pathway, involving CD24 and Siglec 10 that acts as a potent repressor of the inflammatory response. Inflammation and side effects thereof can be effectively treated by either blocking HMGB 1 or stimulating CD24 and Siglec 10.
The present investigators have identified that the immunological mediators CD24 and Siglec-10 selectively repress tissue damage-induced immune responses. We report that CD24-deficient mice exhibit increased susceptibility to danger but not pathogen-associated molecular patterns. CD24 associates with high mobility group box 1 (HMGB1), heat shock protein 70 (HSP70) and heat shock protein 90 (HSP90), which negatively regulates their stimulatory activity and inhibits nuclear factor-kappa B (NF-κB) activation. This occurs at least in part through CD24 association with Siglec-10 in humans or Siglec-G in mice. Our results reveal that the CD24-Siglec G (or Siglec-10 in humans) pathway protects the host against a lethal response to pathological cell death and discriminates danger-associated versus pathogen-associated molecular patterns.
An acetaminophen (AAP)-induced liver necrosis model was used to identify genes that regulate the innate immune response resulting from tissue injury. A sublethal dose of AAP (10 mg/mouse), which is tolerated by wild-type (WT) mice, caused rapid death of CD24-deficient mice (CD24−/−) mice within 20 hours (
CD24 is a small glycosyl-phosphoinositol-anchored protein that is able to provide costimulatory signals to T cells and has been implicated in the development of autoimmune disease. An object of the present study was to identify proteins that associate with CD24 because none of the known CD24 ligands provided insight into its protective effect in our liver injury model. Proteins whose interactions can be disrupted by the cation chelator, EDTA were focused, because more than 90% of the mass of CD24 is estimated to be derived from glycosylation, and because protein-polysaccharide interactions largely depend on cations. CD24 was immunoprecipitated and its associated proteins from lysates of mouse splenocytes were isolated and purified. The proteins eluted by EDTA were subjected to high throughput mass spectrometry analysis and SDS-PAGE. HMGB1, a prototypical DAMP molecule that activates the immune response following tissue damage, was among the most prominent proteins that we identified (
To determine whether the hypersensitivity to AAP observed in CD24−/− mice was the result of an enhanced immune response to HMGB1, AAP-treated mice were injected with antibodies to HMGB1. In one representative experiment, blockade of HMGB1 rescued 87.5% of the mice that received AAP (
HMGB1 can be divided into two domains: an inhibitory A box and a stimulatory B box. To determine whether CD24 inhibits HMGB1 by binding to the inhibitory A box, deletion mutants were produced lacking either the A box or the B box. CD24-Fc immunoprecipitated full length HMGB1 and the box B-containing mutant, but not the box A-containing mutant (
CD24 has no known mechanism for signal transduction. In order to understand how CD24 negatively regulates HMGB1, a potential CD24 receptor was searched that may transduce signals downstream of CD24. Sialic acid-binding Ig-like lectins (Siglecs) were identified as candidates for further study. Siglecs are cell surface receptors of the immunoglobulin super-family that recognize sialic acid-containing proteins. Siglecs are primarily expressed by cells of hematopoietic origin. Most Siglecs are considered to be negative regulators of the immune system because they contain one or more cytosolic immune receptor tyrosine-based inhibitory motifs (ITIMs). To determine whether CD24 interacts with Siglecs, splenocytes were incubated on plates coated with the recombinant extracellular domains of ITIM-containing Siglec-5, -7, -10 or -11. Siglec-10, but not Siglecs-5, -7 or -11, bound to CD24 (
Without wishing to be bound by any particular theory, it was believed that CD24, Siglec-10 and HMGB1 might form a tri-molecular complex because CD24 can interact with both HMGB1 and Siglec-10. Indeed, Siglec-10-Fc was able to immunoprecipitate HMGB1 from lysates of WT but not CD24−/− splenocytes (
The likely murine homologue of Siglec-10 is Siglec-G. Anti-Siglec-G anti-sera were prepared by immunizing Siglecg−/− mice with WT spleen cells (
It is believed that CD24 and Siglec-10 are unlikely to function by acting directly on hepatocytes because they are not expressed by these cells. Dendritic cells (DCs), however, respond to HMGB1 and express both CD24 and Siglec-G. To test whether DCs can respond to HMGB1, bone marrow-derived DCs isolated from WT, CD24−/− or Siglecg−/− mice we cultured and stimulated with HMGB1 or the TLR ligands LPS or poly I:C. HMGB1 stimulation resulted in significantly greater production of IL-6 and TNF-α by CD24−/− or Siglecg−/− DC than by WT DC (
Siglec-10 associates with the tyrosine phosphatase SHP-1, a known negative regulator of NF-κB activation. In a subpopulation of B cells that reside in the peritoneum, the absence of Siglec-G results in the constitutive activation of NF-κB. To test whether activation of NF-κB by HMGB1 or LPS is affected by the absence of CD24 or Siglec-G, the nuclear translocation of the NF-κB subunit p65 in WT, CD24−/− and Siglecg−/− DCs were assayed. Both LPS and to a much lesser extent, HMGB1, induced nuclear translocation of p65 in WT DCs; however, in CD24 or Siglecg-deficient DCs, HMGB1 caused even greater increases in nuclear translocation of p65 than did LPS (
To substantiate this hypothesis, a lethal dose of LPS was administered to WT, CD24−/− or Siglecg−/− mice. Neither the absence of Siglec-G nor CD24 affected the kinetics of LPS-induced lethality (
In addition to nuclear DAMPs, such as HMGB1, DCs also respond to cytoplasmic DAMPs such as HSP70 and 90 by TLR-dependent mechanisms. To determine if the CD24-Siglec-G pathway also regulates host responses to HSP70 and 90, we first evaluated whether HSP70 and 90 associate with CD24 and Siglec-G. Reciprocal coimmunoprecipitations revealed that CD24 associates with both HSP70 and HSP90 (
To test whether CD24Fc, a fusion protein that binds to HMGB1 and Siglec 10 can inhibit inflammatory response to AAP-induced liver damage, AAP was injected into WT B6 mice that also received CD24Fc or control Ig. WT mice received injection of AAP (16 mg/mouse, dissolved in H20) in conjunction with either CD24Fc or control IgG Fc. Serum was collected 5 hours after AAP injection and cytokines and ALT were measured by multiple cytokine beads array. Data shown are serum levels of the cytokines IL-6, IL-10, MCP-1, IFN-γ and TNF-α at 5 hours after AAP injection (mean±SE, n=5; *P<0.05 and **P<0.01, student t-test). As shown in
Our results indicate that CD24 partners with Siglec-10 in humans or Siglec-G in mice to negatively regulate the immune response to proteins released by damaged cells, but not to ligands of microbial origin. Pattern recognition receptors such as TLRs and RAGE mediate activation induced by DAMP. Our data indicate that repression of response to HMGB1 may be achieved by inhibition of NF-κB activation. Inhibition may be mediated by SHP-1. SHP-1 associates with Siglec-10 via its ITIM motif and deficiency of either Siglec-G or SHP-1 enhances NF-κB activation. Given the role of HMGB 1 in the pathogenesis of a number of diseases, including drug toxicity and liver and cardiac ischemia and reperfusion, this pathway may uncover new targets for disease intervention.
Although it is well established that the host can recognize “danger” induced by damaged tissue, information as to whether or how immune responses are triggered by tissue damage is limited is unknown. By identifying the CD24-Siglec-G pathway that selectively suppresses the immune response to DAMPs, the data presented herein provides a mechanism by which tissue injury and infection are distinguished, even though they both use the evolutionally conserved TLR.
The following materials and methods were employed in the experiments.
Reagents. Recombinant proteins consisting of human IgG Fc and extracellular domains of SIglec 5, 7, 10 and 11 were purchased from R&D Systems. Horseradish perioxidase conjugated anti-mouse, or anti-rabbit secondary-step reagents, as well as anti-p65 and anti-sp1 were purchased from Santa Cruz Biotechnology. Anti-FLAG M2 affinity gel, anti-FLAG mAb, acetaminophen (AAP) and lipopolysaccharide (LPS, from E. coli 055:B5) were purchased from Sigma (St Louis, Mo.). The composition CD24Fc have been described, the product is obtained from OncoImmune, Inc. (Columbus, Ohio). Human HSP70, HSP90 and anti-mouse Hsp70, Hsp90 antibodies were purchased from Biovision, Inc. (Mountain View, Calif.). The anti-HMGB-1 antibodies 3E8 and 3B1 are described below.
Characterization of HMGB-1 antibodies used for the study. HMGB-1 is highly conserved (98% identity between mouse and human). In order to break immune tolerance, we introduced a universal T cell epitope from a mycobacterium tuberculosis Ag 5 into C-terminus of HMGB-1 and the resulting recombinant protein was used as an antigen for immunization. With the help of the T cell epitope and autoimmune NZB/W mice, we were able to obtain a panel of mouse anti-HMGB-1 antibodies that cross-react with mouse and human HMGB-1. Two of them, 3E8 and 3B1 were used in this study. As shown in
cDNAs encoding either full-length or specifically truncated human HMGB1 and N-FLAG-tagged wild-type (WT) or mutant (119R>A) Siglec10 were cloned into expression vector pCMV-Tag 2B (Sigma). All constructs were verified by DNA sequencing. For purification of FLAG-tagged HMGB-1, the full-length HMGB-1 expression vector was transfected into TSA cells, the lysates were used as source to purify recombinant HMGB-1 according to a reported procedure.
Experimental animals: Mice with targeted mutations of CD24 and Siglecg were produced from ES cells of C57BL/6 origin as described. Age- and sex-matched wild type C57BL/6 mice were used as controls. All mice were used at 6-8 weeks of age. All procedures involving mice have been approved by the University Animal Use Regulatory Committees.
Mouse pathological findings: For ALT measurements, blood was collected at given time points. Serum was isolated by centrifugation of clotted blood at 12,000×g for 10 min at room temperature and then sent to Animal Diagnostic Laboratory of Animal Research Facility, University of Michigan (Ann Arbor, USA) for determining ALT activity. For histology, the mouse livers were removed and immediately fixed in 4% formaldehyde-PBS solution, embedded in paraffin, sectioned at 5 μm, and stained with hematoxylin and eosin. Serum cytokines were determined using mouse cytokine bead array designed for inflammatory cytokines (Cat. No 552364, BD Biosciences).
Flow cytometric analysis for Siglec10 ligands: Spleen cells from WT or CD24−/− mice were washed in buffer A (150 mM NaCl, 3 mM MnCl2, 1 mM CaCl2, 1 mM MgCl2, 25 mM Tris, pH 7.6, 2% BSA), and incubated for 1 hour at 37° C. with 1 μg of Siglec-10-Fc or Fc control. The bound receptors were detected with PE conjugated anti-human IgG-Fc and analyzed on a BD LSII.
Immunoprecipitation and immunoblotting: Cell lysates were prepared in the buffer B (1% Triton X-100, 150 mM NaCl, 3 mM MnCl2, 1 mM CaCl2, 1 mM MgCl2, 25 mM Tris, pH 7.6) and protease inhibitors (1 μg/ml leupeptin, 1 μg/ml aprotinin and 1 mM phenylmethylsulfonyl fluoride). Samples were pre-cleared with 60 μl of protein A-conjugated agarose beads (Upstate, Lake Placid, N.Y.) for 2 h at 4° C. or 37° C. with rotation, and then incubated with corresponding antibodies (anti-CD24 mAbs M1/69 and 20C9, 10 μg/ml; anti-HMGB-1, 2 μg/ml; anti-HSP70 and HSP90 antibodies, 3 μg/ml). The beads were washed four times with buffer B and re-suspended in SDS sample buffer for Western blot analyses with given antibodies (0.5 μg/ml). The anti-Siglec-G antisera were used at 1:100 dilution.
Confirmation of CD24-HMGB-1 interaction by mass-spectrometry. The lysates from WT and CD24-deficient hosts were incubated with anti-CD24 mAbs (a mixture of 20C9 and M1/69 and precipitated with protein G beads. The precipitates were incubated with the EDTA to release cation-dependent binding. The eluted proteins were subject to trysinization followed by mass-spectrometry analysis. The data shown in Table 1 are peptides identified from WT spleen cells, and no HMGB-1 peptides were identified from the immunoprecipitates of the CD24−/− spleen cells.
Mass spectrometry: After gel concentration, the protein samples were submitted to Taplin Spectrometry Facility at Harvard Medical School for high throughput analysis.
Statistical Analysis: The differences in cytokine proteins and ALT activities were analyzed by Student's t test. The differences in survival rates were analyzed by Kaplan-Meier survival analysis with log-rank test.
The present investigators have also identified that disruption of sialic acid-based pattern recognition exacerbates polybacterial sepsis.
Inflammation is a critical determinant of pathogen virulence in some of the most challenging infectious diseases. Pathogen-associated and/or danger-associated molecular patterns (PAMP and DAMP, respectively) are two well known inducers of inflammation. Because CD24-Siglec G/10 interaction selectively represses inflammatory response to DAMP, microbial disruption of the negative regulation would provide a general mechanism to exacerbate inflammation. Here we show that the sialic acid-based pattern recognition of CD24 by Siglec G/10 is targeted by sialidases in polybacterial sepsis. Sialidase inhibitors protect mice against sepsis by a Siglecg-dependent mechanism, whereas a targeted mutation of either CD24 or Siglecg exacerbates sepsis. Our results demonstrate a role for disrupting sialic acid-based pattern recognition in microbial virulence and indicate a therapeutic approach to dampen the harmful inflammatory response during infection.
While DAMPs released during infection trigger inflammation through TLR and/or NLR receptors, our studies have indicated that host response to DAMP is negatively regulated by CD24-Siglec G/10 interactions. As a result, inflammation to DAMPs is limited unless the CD24-Siglec G (mouse)/10 (human) interaction is disrupted. Therefore, we determined whether the CD24-Siglec G/10 interaction may be targeted by pathogens during infection.
Siglec G/10 is a member of Siglecs, immunoglobulin super family lectins with a defining feature of recognizing sialic acid-containing structures. We used cecal ligation and puncture (CLP) as a basic model to evaluate the potential contribution of CD24-Siglec G interaction in lethal sepsis. As shown in
The impact of genetic disruption of the CD24-Siglec G interaction indicates that this pathway negatively regulates inflammation during sepsis and thus raises an intriguing possibility this interaction may be targeted to exacerbate sepsis. Because many pathogenic bacteria encodes sialidases as their virulence factor, and because sialic acid-based pattern recognition is a cardinal feature of Siglec, we considered the possibility that bacterial sialidase may exacerbate sepsis by CD24 desialyation. To determine whether the CD24-Siglec 10 interaction may be susceptible to bacterial sialidase, we treated the CD24Fc with recombinant sialidases of three different bacteria known to cause sepsis, including Streptococcus pneumoniae, Clostridium perfringens, and Vibrio cholerae. The interaction between CD24 and Siglec 10 fusion proteins were measured by co-immunoprecipitation and a solid-phase binding assay. Regardless of their specificities for either 2-3-, or 2-3- and 2-6-, or 2-3-, 2-6- and 2-8-linked sialic acids, all sialidases abolished CD24-Siglec 10 interaction. The interaction was inhibited by either 2-3 or 2-6-linked sialoside, although the 2-6 sialoside was more potent (
We then tested the potential role for sialidase in the CLP model. As shown in
To test the role of bacterial sialidases in pathogenesis of sepsis, we synthesized two sialidase inhibitors, 2,3-dehydro-2-deoxy-N-acetylneuraminic acid (Neu5Ac2en) and 2,3-dehydro-2-deoxy-N-glycolylneuraminic acid (NeuGc2en). We first tested their inhibition of sialidase activity in the serum of sepsis mice. As shown in
Taken together, we have shown that CD24-Siglec 10/G interaction is a key regulator for polybacterial sepsis. Since a combination of two sialidase inhibitors conveyed a significant therapeutic effect, sialidases may represent valuable therapeutic targets for sepsis. It is of note that many pathogens, including viruses and bacteria encode their own sialidases, which are also known as neuraminidase. In both viruses and bacteria, the sialidases have been shown as virulence factors, although a sialidase from Streptococcus pneumoniae may protect mice against intravascular coagulation during sepsis. Until now, virulence and the sialidase function were largely viewed from the prism of pathogen growth. Our results presented herein have demonstrated that sialidase can regulate virulence by a bacterial growth-independent mechanism; i.e., by disruption of pattern recognition that selectively represses host response to tissue injuries. Since tissue injury is common during infections, it is likely that the sialidases from other pathogens also affect virulence by targeting the CD24-Siglec 10 interaction.
The current paradigm for the cause of inflammation emphasizes interaction between PAMP, DAMP and their receptors. Our results demonstrate that in addition to providing PAMP and DAMP, microbes can exacerbate innate immunity by disrupting sialic acid-based pattern recognition. This would further strengthen the discrimination between septic and aseptic insults. Therefore, an effective strategy to control excessive inflammation can target both production of and regulation of the host response to DAMP and PAMP.
The following procedures were used in the experiments.
Reagents included the following materials. Recombinant protein consisting of human IgG Fc and extracellular domains of Siglec 10 and biotinylated anti-human Siglec 10 antibody were purchased from R&D Systems. Horseradish perioxidase conjugated anti-mouse IgG was purchased from Santa Cruz Biotechnology. Lipopolysaccharide (LPS, from E. coli 055:B5), α2-3 sialidase (N7271, from Streptococcus pneumoniae), and α2-3/6 sialidase (N5521, from Clostridium perfringens) were purchased from Sigma (St Louis, Mo.). Sialidase (11082340, from Vibrio cholerae) was purchased from Roche. Pierce Avidin Agarose beads were purchased from Thermo Scientific (Rockford, Ill.). Anti-mouse CD24-PE, anti-mouse CD11c-APC, and PE-streptavidin were purchased from eBioscience. Anti-human CD24 (Cat: 555426) was purchased from BD Pharmingen™. Amplex® Red Neuraminidase Assay Kit (A22178) was purchased from Molecular Probes. Neu5Acα2-3Lac and Neu5Acα2-6Lac were synthesized as described in Deng, R., Herceg, E. & Trenary, M. Identification and hydrogenation of C2 on Pt(111). Journal of the American Chemical Society 127, 17628-17633 (2005) and Yu, H. et al. Highly efficient chemoenzymatic synthesis of naturally occurring and nonnatural alpha-2,6-linked sialosides: a P. damsela alpha-2,6-sialyltransferase with extremely flexible donor-substrate specificity. Angewandte Chemie International ed 45, 3938-3944 (2006). Neu5Ac2en and Neu5Gc2en were synthesized as described in
Experimental animals CD24−/− and Siglecg−/− C57BL/6 mice are described by Ding, C. et al. Siglecg limits the size of B1a B cell lineage by down-regulating NFkappaB activation. PloS one 2, e997 (2007) and Nilsson, N., Wallen-Ohman, M., Ohlin, M. & Borrebaeck, C. A. Altered gene expression associated with apoptosis in a pre-B-leukemic cell line following cross-linking of MHC class I. Exp Cell Res 231, 190-197 (1997). Transgenic mice expressing CD24 under the control of CD11c promoter, CD24CD11ctg, were produced using a previously described CD11c transgenic construct; see Brocker, T., Riedinger, M. & Karjalainen, K. Driving gene expression specifically in dendritic cells. Adv Exp Med Biol 417, 55-57 (1997) and Chen, M. et al. Dendritic cell apoptosis in the maintenance of immune tolerance. Science 311, 1160-1164 (2006). Mice with DC-exclusive CD24 expression were produced by crossing the CD24CD11ctgtransgene into the CD24−/− background. Irradiation bone-marrow chimera were produced using 5×106 bone marrow cells from either WT or CD24−/− mice as donors and the lethally (1,200 Rad) irradiated CD24−/− recipients, as described in Chen, C. et al. TSC-mTOR maintains quiescence and function of hematopoietic stem cells by repressing mitochondrial biogenesis and reactive oxygen species. The Journal of experimental medicine 205, 2397-2408 (2008). All procedures involving mice have been approved by the University of Michigan Animal Care and Use Committee.
Cecal Ligation and Puncture. The procedure for lethal CLP was performed as described in Rittirsch, D., Huber-Lang, M. S., Flierl, M. A. & Ward, P. A. Immunodesign of experimental sepsis by cecal ligation and puncture. Nature protocols 4, 31-36 (2009). Briefly, mice were anesthetized with isoflurane anesthesia. Through a midline incision, the cecum was exteriorized and tightly ligated 1 cm from its base with 3-O silk. The cecum was then punctured through-and-through once with a 21 gauge needle. A small amount of stool was expelled from the puncture before the cecum was replaced into the peritoneal cavity and the abdominal incision closed. An amount of 100 μl sterile saline or sugar was administered by i.p. injection immediately after CLP. The CLP were performed blinded to the identities of the treatment groups and/or genotypes of the mice. Mortality was assessed twice a day for at least 7 days.
Flow cytometric analysis for Siglec10 ligands. Spleen cells from normal WT or CLP treated WT mice were washed in buffer A (150 mM NaCl, 3 mM MnCl2, 1 mM CaCl2, 1 mM MgCl2, 2% BSA Tris-HCl, pH 7.6), and incubated for 1 hour on ice with 1 μg of Siglec10 Fc. The cells were washed and then incubated with biotinylated-anti-Siglec 10 antibody (0.05 μg/ml) for another hour on ice. The bound receptor was detected with PE conjugated streptavidin and analyzed on a BD LSII.
Measurement of inflammatory cytokines. Blood was obtained at indicated time points. Cytokines in the serum were determined using mouse cytokine bead array designed for inflammatory cytokines (552364, BD Biosciences).
Microplate binding assay. Ninety-six well plates were coated with either untreated, desialyated or resialyated CD24 in 50 mM carbonate/bicarbonate buffer, pH 9.5, overnight at 4° C. Wells were blocked with binding buffer (20 mM HEPES, 2% bovine serum albumin, 150 mM NaCl, 3 mM MnCl2, 1 mM CaCl2, 1 mM MgCl2, pH 7.6) for 1 hour. Siglec 10 Fc (1 μg/ml) was added to the plate and incubated for 2 hours. Between incubations (all at 37° C.), the plates were washed five times with the binding buffer. Biotinylated-anti-Siglec 10 antibody (0.05 μg/ml) was used to detect bound Siglec 10Fc. The plate-associated biotinylated proteins were detected by horseradish perioxidase (HRP)-conjugated streptavidin (1:1,000) for 1 hour and development with 100 μl/well p-nitrophenyl phosphate liquid substrate system. Absorbance at 450 nm was recorded.
Immunoprecipitation and immunoblotting. Biotin conjugated human CD24Fc was digested with various kinds of sialidase for 16 hours at 37° C. and then incubated with 1 μg/ml Siglec 10 Fc in buffer A. Siglec 10 bound to the CD24 was immunoprecipitated with streptavidin-beads. Immunoprecipitates were washed 4 times with buffer A and resuspended in SDS sample buffer for Western blot analysis.
Sialidase-desialylation and sialyltransferase-resialyation of CD24 were carried out as described below.
Serum neuraminidase assay. The neuraminidase activity in serum was measured according to the procedure provided in Amplex° Red Neuraminidase Assay Kit (Cat. No. A22178).
Statistical analysis. The differences in cytokine proteins were analyzed by Student's t test. The differences in survival rates were analyzed by Kaplan-Meier plot and the statistical significance was determined using a log-rank test.
Expression of enzymes. A recombinant sialidase cloned from Bifidobacterium infantis (S2), a CMP-sialic acid synthetase cloned from Neisseria meningitidis (NmCSS), an α2-3-sialyltransferase cloned from Pasteurella multocida (PmST2), and an α2-6-sialyltransferase cloned from Photobacterium damsela were used for CD24 glycan redecoration. All of these recombinant enzymes have an N-terminal or a C-terminal His6-tag to facilitate their immobilization to Ni-NTA resins and separation from CD24 after the desialylation or sialylation reactions.
E. coli BL21(DE3) cells carrying the recombinant plasmid were cultured in LB-rich medium supplemented with ampicillin (100 mg/ml). Overexpression of the target protein was achieved by inducing the E. coli cell culture with IPTG (0.3 mM for sialidase and 0.1 mM for other enzymes) when the OD600 nm of the culture reached 0.6 followed by incubating at 20° C. for 24 hours with vigorous shaking at 250 rpm in a C25KC incubator shaker (New Brunswick Scientific, Edison, N.J.).
Immobilization of enzymes to Ni-NTA beads. To obtain the cell lysate, cell pellet harvested by centrifugation at 4000 rpm for 2 hours was resuspended in a lysis buffer (pH 8.0, 100 mM Tris-HCl containing 0.1% Triton X-100) (20 mL/L cell culture). Lysozyme (50 mg/ml) and DNase I (3 mg/ml) were then added and the mixture was incubated at 37° C. for 60 minutes with vigorous shaking. Cell lysate was obtained by centrifugation at 12,000 rpm for 30 minutes as the supernatant. To immobilize the enzyme, lysate (5 ml) was mixed with pre-washed Ni-NTA agarose resin (1 ml) and incubated for 30 min. The beads were then separated from the lysate by centrifugation and washed with 3 rounds of 1× washing buffer (50 mM Tris-HCl, pH 8.0, 500 mM NaCl, 20 mM imidazole) and 1 round of 1× reaction buffer (50 mM MES buffer, pH 5.0).
Sialidase treatment of CD24. Recombinant CD24 (30 mg) was incubated with sialidase immobilized on beads (1 ml) in a total volume of 5 ml in 1× reaction buffer (50 mM MES buffer, pH 5.0) for 4 h at 37° C. with gentle shaking. The beads were simply removed by centrifugation at 4000 rpm for 5 min. The solution containing sialidase treated CD24 was subjected to extensive dialysis against dialysis buffer containing activated charcoal to remove the Neu5Ac released from the CD24 by the sialidase. The dialysis buffer was changed every 24 hours until no Neu5Ac was detected in the desialylated CD24 by 1,2-diamino-4,5-methylenedioxybenzene (DMB)-conjugation derivatization followed by HPLC fluorescent analysis.
α2-3 or α2-6-sialylation of desialylated CD24. Desialylated CD24 (10 mg) was re-sialylated to form exclusively α2-3- or α2-6-sialyl linkage using 50 equivalents of Neu5Ac and CTP in a one-pot two-enzyme system containing a recombinant Neisseria meningitidis CMP-sialic acid synthetase (NmCSS) and a Pasteurella multocida α2-3-sialyltransferase (PmST2) (for the formation of α2-3-sialyl linkage) or a Photobacterium damsela α2-6-sialyltransferase (for the formation of α2-6-sialyl linkage). Reactions were carried out in a total volume of 4 ml in 100 mM Tris-HCl (pH 8.0) buffer for 4 hours at 37° C. with gentle shaking. The beads were then simply removed by centrifugation at 4000 rpm for 5 min. Extensive dialysis against activated charcoal was performed to remove excess amount of Neu5Ac, CTP, and CMP byproducts.
Synthesis of sialidase inhibitors. The 2,3-dehydro-2-deoxy sialic acid derivatives, Neu5Ac2en (molecule “9” in
Chemoenzymatic synthesis of Neu5Ac2en (“9” in
Chemoenzymatic synthesis of Neu5Gc2en (“10”) was carried out similarly as described above for the synthesis of Neu5Ac2en (“9”) except that ManNGc instead of ManNAc was used as a starting material for the aldolase-catalyzed reaction. The fully protected Neu5Gc methyl ester was purified in 65% yield for six steps from ManNAc, which was further converted to the final Neu5Gc2en.
Inhibitors for the sialidases from S. pneumoniae are now described as examples to illustrate methods to generate selective sialidase inhibitors and derivatives thereof. S. pneumoniae is the leading cause of secondary bacterial pneumonia and a common causative agent for sepsis. Therefore S. pneumoniae sialidases are used as the targets for inhibitors. Three distinct sialidases, NanA, NanB and NanC, are encoded in the S. pneumoniae genome. They are cloned using synthetic genes with codons optimized for an E. coli expression system, using DNA templates for polymerase chain reactions, to obtain sufficient quantities of proteins for drug screening.
The protein crystal structures of a truncated NanA (56.5 kDa) of S. pneumoniae (CNanA) containing the catalytic domain that retained full enzyme activity (13), S. pneumoniae NanB, human cytosolic sialidase NEU2, and several influenza virus neuraminidases in complex with inhibitor Neu5Ac2en or Zanamivir (a 4-deoxy-4-N-guanidino derivative of Neu5Ac2en) have been reported. Despite their primary sequence differences, bacterial, viral, and human sialidases share a common canonical six-bladed β-propeller fold. Comparing the conformation of the bound inhibitors (
Referring now to
On the other hand, the C8-OH in Neu5Ac2en is separated from both bacterial sialidases and human NEU2 by a relatively big cavity, while the C8-OH in the Zanamivir, a strong inhibitor for the influenza virus neuraminidase, makes extensive contact with 18NA. The Neu5Ac2en derivatives with a C8-alkoxyl group may have improved inhibitory activity against S. pneumoniae NanA and NanB. This enhancement may not be selective, as we expect a similar impact for inhibition of human sialidase NEU2.
Referring now to
In contrast, our modeling studies indicate that Neu5Ac2en analogs with an alkyl ether modification at C9-OH (
Compound 1 Neu5Ac2en together with C5-derivative Neu5Gc2en have been successfully synthesized using a novel chemoenzymatic method involving a sialic acid aldolase-catalyzed reaction. To test their predicted selectivity of inhibition against bacterial sialidases NanA and NanB, compounds 2-9 are synthesized similarly. Briefly, Neu5Ac and 8-O-methylneuraminic acid (Neu5Ac8OMe) prepared from N-acetylmannosamine (ManNAc) or 5-O-methyl ManNAc catalyzed by a sialic acid aldolase can be readily converted to 2,3-dehydro products using a reported method. Selective protection and deprotection of 2,3-dehydro compound following known procedures will afford a free C-9 primary hydroxyl group. Various alkyl groups are then installed on the free hydroxyl group at C-9 by reacting with alkyl bromides. Deacetylation and saponification will afford Neu5Ac2en derivatives 2-9. This chemoenzymatic synthetic approach can be used as a general approach to synthesize a diverse library of Neu5Ac2en derivatives with modifications at different carbons. The application of an aldolase in producing more complex nine-carbon monosaccharides from chemically modified six-carbon monosaccharides provides increased efficiency.
Since not all of the sialidase crystal structures are available, a focused random library of Neu5Ac2en and Neu5Gc2en derivatives can be synthesized using a similar sialic acid aldolase-catalyzed chemoenzymatic approach. This library includes Neu5Ac2en and Neu5Gc2en derivatives with modifications at C8-OH and/or carbon-5 with or without C9-OH modification. These compounds can be tested as potential inhibitors for S. pneumoniae NanA, NanB, and NanC as well as for other commercially available bacterial sialidases. The human sialidase NEU2 has been cloned and we have purified and unpurified avian and human influenza virus particles. The selectivity of the potential bacterial sialidase inhibitors is tested against these human and viral sialidases. The compounds selective for bacterial sialidases and with IC50 of less than 100 nM can be tested for their inhibition of digestion of CD24 in vitro and protection in vivo. The combination of protein crystal structure-based rational design and inhibitor screening based on a focused compound library provides potent inhibitors having enhanced inhibition and selectivity toward targeted bacterial sialidases.
Methods, uses, dosages and schedules of the present technology can include the following aspects. The compositions and methods can be administered to subjects suffering from tissue damage relating to drug-induced toxicity, for example, drug overdoses, alcoholism, alcohol poisoning, vascular ischemia, liver ischemia and reperfusion, heart ischemia and reperfusion, atherosclerosis, myocardial infarction, stroke, heart failure, fulminant hepatitis caused by viral infection or drugs, surgeries that resulted in tissue damage, angina and any dysregulated immune response in which immune mediators, HMGB1, heat shock proteins (HSP) HSP70, HSP90 or cellular RNA are detected in the patient at levels above normal range that are indicative with other clinical signs and symptoms to be related to tissue damage. Methods for determining levels of these tissue-damage related immune modulators in the patient are routinely performed by those of ordinary skill, for example, by immunological detection of the modulators in blood, urine, and tissue samples.
In some embodiments, the present technology provides methods for treating a patient having one or more diseases or disorders associated with drug-side effect or tissue-damage immune responses associated with immune dysregulation not involving bacterial or viral pathologies, comprising administering to the host or patient an efficacious amount of a pharmaceutical composition comprising one or more DAMP and/or PAMP dependent inhibitors. The inhibitor can be one or more of CD24 active molecules, for example, a CD24 agonist; CD24; CD24 fragment, variant, or derivative, including CD24Fc fusion proteins; HMBG1-binding protein, including binding protein to HMBG1 Box B; antagonist of HMGB1, for example, polyclonal, monoclonal, recombinant, chimeric, humanized scFv antibody and antibody fragments to full length HMGB1, fragments of HMGB1 and preferably antibodies that bind and suppress the activity of HMGB1 Box B and combinations thereof. Optionally, the composition can include one or more of immunosuppressive agents including TNF-α antibody (infliximab), a TNF-R-Fc fusion protein (etanercept), IL-1 (interleukin-1) receptor antagonist, IL-6 (interleukin-6) receptor antagonist or high doses of corticosteroids.
In some embodiments, a method includes the steps of identifying a patient having a tissue-damage disease with an elevated level of one or more immune mediators including, serum alanine transaminase (ALT), HMGB1, heat shock proteins (HSP) HSP70, HSP90 or cellular RNA. These levels can optionally be compared with levels of each suggestive of being in the normal range. Elevated levels of these immune mediators can also be corroborated with other clinical signs and symptoms related to dug-side effects, for example drug overdose and tissue damage. The patient found with elevated levels of one or more immune mediators can then be administered a safe and therapeutically effective dose of the present compositions described herein.
In some embodiments, compositions of the present technology that include multiple components can be collectively or independently formulated and co-administered or separately administered.
The pharmaceutical compositions of the present technology are suitable for use in a variety of drug delivery systems. Examples of suitable formulations for use in the present technology are found in Remington's Pharmaceutical Sciences (Mack Publishing Company, Philadelphia, Pa., 17th ed. (1985)), which is incorporated herein by reference. In addition, for a brief review of methods for drug delivery, see, Langer, Science 249:1527-1533 (1990), which is incorporated herein by reference.
The present technology provides pharmaceutical compositions which include isolated antibodies against full length HMGB1, fragments, motifs, or derivatives thereof In some embodiments, the antibody suppresses the activity of HMGB1 stimulatory Box B. In some embodiments, the present technology provides pharmaceutical compositions comprising antibodies, including, polyclonal, monoclonal antibody, fragments, e.g. Fab2, Fab′, scFv, chimeric antibodies and recombinant antibodies that specifically bind to full length HMGB1, fragments, motifs, or derivatives thereof described herein. These antibodies find use in the therapeutic and diagnostic methods described herein.
An antibody against full length HMGB1, fragments, motifs, or derivatives thereof of the present technology may be any monoclonal or polyclonal antibody, as long as it can recognize at least part of the full length of HMGB1, and preferably the stimulatory Box B portion of HMGB1 and suppresses its activity, availability or expression. Antibodies can be produced by using a full length HMGB1, fragments, motifs, or derivatives or antigenic fragment thereof taught in the present technology as the antigen according to conventional antibody or antiserum preparation processes.
The present technology contemplates the use of both monoclonal and polyclonal antibodies that are pharmaceutically acceptable and having a risk/benefit ratio that is commensurate with standard pharmaceutical treatments used to treat dysfunctional immune responses related to drug side-effects and tissue-damage. Any suitable method may be used to generate the antibodies used in the methods and compositions of the present technology, including but not limited to, those disclosed herein. For example, for preparation of a monoclonal antibody, full length HMGB1, fragments, motifs, or derivatives thereof, as such, or together with a suitable carrier or diluent is administered to an animal (e.g., a mammal) under conditions that permit the production of antibodies. For enhancing the antibody production capability, complete or incomplete Freund's adjuvant may be administered. Normally, the full length HMGB1, fragments, motifs, or derivatives thereof can be administered once every 2 weeks to 6 weeks, in total, about 2 times to about 10 times to the animal used to produce the antibodies. Animals suitable for use in such methods include, but are not limited to, primates, rabbits, dogs, guinea pigs, mice, rats, sheep, goats, etc.
For preparing monoclonal antibody-producing cells, an individual animal whose antibody titer has been confirmed (e.g., a mouse) is selected, and 2 days to 5 days after the final immunization, its spleen or lymph node is harvested and antibody-producing cells contained therein are fused with myeloma cells to prepare the desired monoclonal antibody producer hybridoma. Measurement of the antibody titer in the antiserum can be carried out, for example, by quantifying the amount of specific antibody binding to a labeled full length HMGB1, fragments, motifs, or derivatives thereof. The cell fusion can be carried out according to known methods, for example, the method described by Koehler and Milstein (Nature 256:495 (1975)). As a fusion promoter, for example, polyethylene glycol (PEG) or Sendai virus (HVJ), preferably PEG is used.
Examples of myeloma cells include NS-1, P3U1, SP2/0, AP-1 and the like. The proportion of the number of antibody producer cells (spleen cells) and the number of myeloma cells to be used can be about 1:1 to about 20:1. PEG (preferably PEG 1000-PEG 6000) can be added in concentrations of about 10% to about 80%. Cell fusion can be carried out efficiently by incubating a mixture of both cells at about 20° C. to about 40° C., including about 30° C. to about 37° C. for about 1 minute to 10 minutes.
Various methods can be used for screening for a hybridoma producing the antibody (e.g., against a biomarker of the present technology). For example, a supernatant of the hybridoma is added to a solid phase (e.g., microplate) to which antibody is adsorbed directly or together with a carrier and then an anti-immunoglobulin antibody (if mouse cells are used in cell fusion, anti-mouse immunoglobulin antibody is used) or Protein A labeled with a radioactive substance or an enzyme is added to detect the monoclonal antibody against the PRDX bound to the solid phase. Alternately, a supernatant of the hybridoma is added to a solid phase to which an anti-immunoglobulin antibody or Protein A is adsorbed and then the protein labeled with a radioactive substance or an enzyme is added to detect the monoclonal antibody against the PRDX bound to the solid phase.
Selection of the monoclonal antibody will be made based on their biological functions. For example, anti-Siglec 10 or anti-CD24 antibodies will be selected based on their ability to reduce production of inflammatory cytokines elicited by DAMPs. The methods can include stimulating a human myeloid cell line with HMGB1 in the presence or absence of different amounts of anti-CD24 or anti-siglec 10 mAbs, the cytokines will be measured at 6 hours after treatment. Those that show the maximal reduction of the cytokines will be selected for further testing in animal model of tissue injuries, as outlined in this application.
In another embodiment, anti-CD24 or anti-Siglec 10 mAbs can be selected based on the ability of the antibodies to stabilize the trimolecular complexes consisting of CD24, HMGB1, and Siglec 10. In brief, purified CD24Fc, Siglec 10 Fc, HMGB1 (1 μg/ml) will be incubated with different ranges of anti-CD24 or anti-Siglec 10 mAbs. The amount of complexes will be measured by co-immunoprecipitation as is known in the art.
Separation and purification of a monoclonal antibody can be carried out according to the same manner as those of conventional polyclonal antibodies such as separation and purification of immunoglobulins, for example, salting-out, alcoholic precipitation, isoelectric point precipitation, electrophoresis, adsorption and desorption with ion exchangers (e.g., DEAE), ultracentrifugation, gel filtration, or a specific purification method wherein only an antibody is collected with an active adsorbent such as an antigen-binding solid phase, Protein A or Protein G and dissociating the binding to obtain the antibody.
Polyclonal antibodies may be prepared by any known method or modifications of these methods including obtaining antibodies from subjects. For example, a complex of an HMGB1 immunogen (an antigen of HMGB1) and a carrier protein is prepared and an animal is immunized by the complex according to the same manner as that described with respect to the above monoclonal antibody preparation. A material containing the antibody is recovered from the immunized animal and the antibody is separated and purified.
As to the complex of the HMGB1 immunogen and the carrier protein to be used for immunization of an animal, any carrier protein and any mixing proportion of the carrier and a hapten can be employed as long as an antibody against the hapten, which is crosslinked on the carrier and used for immunization, is produced efficiently. For example, bovine serum albumin, bovine cycloglobulin, keyhole limpet hemocyanin, etc. may be coupled to a hapten in a weight ratio of about 0.1 parts to about 20 parts, preferably, about 1 part to about 5 parts per 1 part of the hapten.
In addition, various condensing agents can be used for coupling of a hapten and a carrier. For example, glutaraldehyde, carbodiimide, maleimide activated ester, activated ester reagents containing thiol group or dithiopyridyl group, and the like find use with the present technology. The condensation product as such or together with a suitable carrier or diluent is administered to a site of an animal that permits the antibody production. For enhancing the antibody production capability, complete or incomplete Freund's adjuvant may be administered. Normally, the protein is administered once every 2 weeks to 6 weeks, in total, about 3 times to about 10 times.
The polyclonal antibody is recovered from blood, ascites and the like, of an animal immunized by the above method. The antibody titer in the antiserum can be measured according to the same manner as that described above with respect to the supernatant of the hybridoma culture. Separation and purification of the antibody can be carried out according to the same separation and purification method of immunoglobulin as that described with respect to the above monoclonal antibody.
The HMGB1 protein used herein as the immunogen is not limited to any particular type of HMGB1 immunogen. For example, any full length HMGB1 protein, fragments, motifs, or derivatives thereof Preferably, an antigenic region of the HMGB1 stimulatory Box B the present technology can be used as the HMGB1 immunogen. Further, fragments of the HMGB1 protein may be used. Fragments may be obtained by any method including, but not limited to expressing a fragment of the HMGB1 gene, enzymatic processing of the protein, chemical synthesis, and the like.
While it is possible for the antibodies which are capable of binding to HMGB1 or can suppress the activity of HMGB1 to be administered in a pure or substantially pure form, it is preferable to present HMGB1 antibodies as a pharmaceutical composition, formulation or preparation, that is safe and therapeutically effective in reducing any indicator of a pathologic immune response associated with a drug-side effect, cellular necrosis or damage as a result of a chemical injury, e.g. aspirin, acetaminophen, narcotics, alcohol and toxins (bacterial, plant, insect, vertebrate and the like).
In addition to antibodies to HMGB1, the formulations of the present technology, both for veterinary and for human use, can comprise a DAMP dependent inhibitor which can include one or more of (a) CD24 active molecules, for example, a CD 24 agonist such as CD24; CD24 fragments, variants and derivatives, including CD24Fc fusion proteins; (b) Siglec-10 active molecules, for example, a Siglec-10 agonist such as Siglec-10; Siglec-10 fragments, variants, and derivatives, including Siglec-10Fc fusion proteins; (c) HMBG1-binding proteins, including binding proteins to HMBG1 Box B; antagonists of HMGB1, for example, polyclonal, monoclonal, recombinant, chimeric, humanized scFv antibodies and antibody fragments to full length HMGB1, fragments of HMGB1 and antibodies that bind and suppress the activity of HMGB1 Box B; (d) sialidase inhibitors such as Neu5Ac2en and/or Neu5Gc2en, and derivatives thereof; and combinations of (a), (b), (c), and (d). Optionally, the composition can also include one or more immunosuppressive agents including TNF-α antibody (infliximab), a TNF-R-Fc fusion protein (etanercept), IL-1 (interleukin-1) receptor antagonist, IL-6 (interleukin-6) receptor antagonist or high doses of corticosteroids as described above, together with one or more pharmaceutically acceptable carriers. The carrier(s) must be “acceptable” in the sense of being compatible with the other ingredients of the formulation and not toxic or allergenic to the recipient thereof The formulations may conveniently be presented in unit dosage form and may be prepared by any method well-known in the pharmaceutical art.
The compositions of the present technology can be formulated for parenteral, topical, oral or local administration. In certain aspects, the compositions are administered parenterally, (e.g., intravenously, subcutaneously, intradermally, or intramuscularly). In some embodiments, the technology provides compositions for parenteral administration which comprises a DAMP and/or PAMP dependent inhibitor and optionally an immunosuppressive agent as described above, dissolved or suspended in an acceptable pharmaceutical excipient or carrier, preferably an aqueous carrier. A variety of aqueous carriers may be used including, for example, water, buffered water, 0.4% saline, 0.3% glycine, hyaluronic acid and the like. These compositions may be sterilized by conventional, well-known sterilization techniques or, they may be sterile filtered. The resulting aqueous solutions may be packaged for use as is or lyophilized, the lyophilized preparation being combined with a sterile solution prior to administration.
The compositions may contain pharmaceutically acceptable auxiliary substances as required to approximate physiological conditions including pH adjusting and buffering agents, tonicity adjusting agents, wetting agents and the like, such as, for example, sodium acetate, sodium lactate, sodium chloride, potassium chloride, calcium chloride, sorbitan monolaurate, triethanolamine oleate, etc. One or more stabilizers can be added to the pharmaceutical compositions contemplated herein. Illustrative stabilizers are poly-ethylene glycol, proteins, polysaccharides, amino acids, inorganic acids, and organic acids which may be used either on their own or as admixtures. These stabilizers are preferably incorporated in an amount of 0.11-10,000 parts by weight per part by weight of immunogen. If two or more stabilizers are to be used, their total amount is preferably within the range specified above. These stabilizers are used in aqueous solutions at the appropriate concentration and pH. The specific osmotic pressure of such aqueous solutions is generally in the range of 0.1-3.0 osmoles, preferably in the range of 0.8-1.2. The pH of the aqueous solution is adjusted to be within the range of 5.0-9.0, preferably within the range of 6-8. In formulating the immunogen of the present technology, one or more anti-adsorption agents may be used.
For solid formulations, a DAMP and/or PAMP dependent inhibitor can be admixed with conventional nontoxic solid carriers can be used which include, for example, pharmaceutical grades of mannitol, lactose, starch, magnesium stearate, sodium saccharin, talcum, cellulose, glucose, sucrose, magnesium carbonate, and the like. For oral administration, a pharmaceutically acceptable nontoxic composition is formed by incorporating any of the normally employed excipients, such as those carriers previously listed, and generally 10-95% of active ingredient and more preferably at a concentration of 25%-75%. In powders, the carrier is a finely divided solid that is in a mixture with the finely divided active component. In tablets, the active component is mixed with the carrier having the necessary binding properties in suitable proportions and compacted in the shape and size desired.
Powders and tablets preferably contain from 5% to 95% of the active DAMP dependent inhibitor. Suitable carriers are magnesium carbonate, magnesium stearate, talc, sugar, lactose, pectin, dextrin, starch, gelatin, tragacanth, methylcellulose, sodium carboxymethylcellulose, a low melting wax, cocoa butter, and the like. The term “preparation” is intended to include the formulation of the active DAMP dependent inhibitor with encapsulating material as a carrier providing a capsule in which the active component with or without other carriers, is surrounded by a carrier, which is thus in association with it. Similarly, cachets and lozenges are included. Tablets, powders, capsules, pills, cachets, and lozenges can be used as solid dosage forms suitable for oral administration.
For aerosol administration, the DAMP dependent inhibitor and optionally an immunosuppressive agent are preferably supplied in finely divided form along with a surfactant and propellant. The surfactant must, of course, be nontoxic, and preferably soluble in the propellant. Representative of such agents are the esters or partial esters of fatty acids containing from 6 to 22 carbon atoms, such as caproic, octanoic, lauric, palmitic, stearic, linoleic, linolenic, olesteric and oleic acids with an aliphatic polyhydric alcohol or its cyclic anhydride. Mixed esters, such as mixed or natural glycerides may be employed. A carrier can also be included, as desired, as with, (e.g., lecithin for intranasal delivery).
The pharmaceutical composition is preferably in unit dosage form. In such form the pharmaceutical composition is subdivided into unit doses containing appropriate quantities of the DAMP dependent inhibitor. The unit dosage form can be a packaged preparation, the package containing discrete quantities of preparation, such as blisters, packeted tablets, capsules, and powders and/or beads in vials, bags, sachets or ampoules. Also, the unit dosage form can be a capsule, tablet, cachet, or lozenge itself, or it can be the appropriate number of any of these in packaged form.
The quantity of active components in a unit dose preparation may be varied or adjusted from 0.01 mg to 10000 mg, preferably 0.1 mg to 5000 mg according to the particular application and the potency of the DAMP dependent inhibitor. The composition can, if desired, also contain other compatible therapeutic agents. In therapeutic use especially for the treatment of drug-side effects or liver or coronary toxicity, ischemia or reperfusion conditions, the DAMP dependent inhibitors utilized in the pharmaceutical method of the present technology can be administered at the initial dosage ranging from about 0.00001 mg/kg to about 500 mg/kg daily. A daily dose range of about 0.0001 mg/kg to about 150 mg/kg is preferred. Most preferably, the daily dose range is comprised between 0.001 mg/kg and 100 mg/kg, especially between 0.01 mg/kg and 25 mg/kg. The dosages, however, may be varied depending upon the requirements of the patient, the severity of the condition being treated, and the compound being employed.
Determination of the proper dosage for a particular situation is within the skill of the practitioner. Generally, treatment is initiated with smaller dosages that are less than the optimum dose of the compound. Thereafter, the dosage is titrated upwardly by small increments until the optimum effect under circumstances is reached. For convenience, the total daily dosage may be divided and administered in portions during the day, if desired. In therapeutic applications, the DAMP and/or PAMP dependent inhibitor and optional immunosuppressive agents of the present technology are administered to a patient in a combination amount sufficient to elicit a response. An amount adequate to accomplish this is defined as “therapeutically effective combination dose.” The methods include the administration of the DAMP and/or PAMP dependent inhibitor with an optional immunosuppressive agent wherein the two components are delivered in a simultaneous manner, in combination therapy wherein the one or more DAMP and/or PAMP dependent inhibitors are administered first, followed by the immunosuppressive agent, as well as wherein the optional immunosuppressive agent is delivered first followed by the DAMP and/or PAMP dependent inhibitor.
The method of the present technology also includes administration of a composition wherein the DAMP and/or PAMP dependent inhibitor strengthens association between CD24 and Siglec-10. The method of the present technology also includes administration of a composition wherein the DAMP and/or PAMP dependent inhibitor increases sialidation of CD24 to enhance the CD24-Siglec-10 interaction. The methods of the present technology also include administration of a composition wherein the DAMP and/or PAMP dependent inhibitor increases the interaction between CD24 and Siglec-10. The method of the present technology also includes administration of a pharmaceutical composition wherein the DAMP dependent inhibitor targets other members of the Siglec family that interact with CD24.
The embodiments and the examples described herein are exemplary and not intended to be limiting in describing the full scope of apparatus, compositions, systems, and methods of the present technology. Equivalent changes, modifications and variations of some embodiments, materials, compositions and methods can be made within the scope of the present technology, with substantially similar results.
This application claims the benefit of U.S. Provisional Application No. 61/157,423, filed on Mar. 4, 2009. The entire disclosure of the above application is incorporated herein by reference.
This disclosure was made with government support under National Institutes of Health Grant Nos. AI064350, CA058033 and CA112001. The Government has certain rights in the invention.
| Number | Date | Country | |
|---|---|---|---|
| 20110064746 A1 | Mar 2011 | US |
| Number | Date | Country | |
|---|---|---|---|
| 61157423 | Mar 2009 | US |
