BACKGROUND OF THE INVENTION
[0001] Dual Signaling Proteins (DSP), also known as Signal-Converting-Proteins (SCP), which
are currently known in the as bi-functional fusion proteins that link an extracellular
portion of a type I membrane protein (extracellular amino-terminus), to an extracellular
portion of a type II membrane protein (extracellular carboxyl-terminus), forming a
fusion protein with two active sides (see for example
US Patent Nos. 7,569,663 and
8,039,437).
[0002] PD1 is a surface co-inhibitory receptor of the immunoglobulin super family. PD1 is
expressed on T cells, B cells, monocytes, natural killer cells, dendritic cells and
many tumor-infiltrating lymphocytes (TILs). PD1 has two ligands: PDL1 (also named
B7H1; CD274) and PDL2 (B7DC; CD273), that are both co-inhibitory. PDL1 is expressed
on resting T cells, B cells, dendritic cells, macrophage, vascular endothelial cells
and pancreatic islet cells. PDL1 is also known to be expressed in various types of
cancers, especially in NSCLC, melanoma, renal cell carcinoma, gastric cancer, hepatocellular
as well as cutaneous and various leukemia cancers, multiple myeloma and others. PDL2
expression is seen on macrophages and dendritic cells alone and is far less prevalent
than PDL1 across tumor types. The expression of PDL1 is induced by multiple proinflammatory
molecules, including types I and II IFN-γ, TNF-α, LPS, GM-CSF and VEGF, as well as
the cytokines IL-10 and IL-4, with IFN-γ being the most potent inducer. The tumor
micro-environment upregulates PDL1 expression, thereby, promoting immune suppression.
In response to immune attack, cancer cells overexpress PDL1, which binds to PD1 receptor
on T cells, inhibiting the activation of T-cells, thus suppressing T-cell attack and
inducing tumor immune escape. PD1/PDL1 pathway regulates immune suppression by several
mechanisms:
- Induce apoptosis of activated T cells
- Restrain cytotoxic T lymphocytes (CTL-CD8) activity
- Inhibit the proliferation of T cells
- Facilitate T cell anergy and exhaustion
- Enhance the function of regulatory T cells
- Restrain impaired T cell activation and IL-2 production.
41BBL is the activating ligand of the 41BB receptor (CD137), a member of the TNF receptor
superfamily and a potent activation-induced T cell costimulatory molecule. 41BBL naturally
forms a homo-trimer but signaling via 41BB requires significant oligomerization of
41BBL. 41BBL is present on a variety of antigen presenting cells (APCs), including
dendritic cells (DCs), B cells, and macrophages. The 41BB receptor is not detected
(<3%) on resting T cells or T cell lines, however, 41BB is stably upregulated when
T cells are activated. 41BB activation upregulates survival genes, enhances cell division,
induces cytokine production and prevents activation induced cell death in T-cells.
SUMMARY
[0005] The invention provides a soluble PD1-41BBL fusion protein for use in the treatment
of cancer, wherein the fusion protein is in a form of a homo-trimer, comprises SEQ
ID NO: 1 and is capable of: (i) binding PD-L1 and 41BB; (ii) activating said 41BB
signaling pathway in a cell expressing said 41BB; and (iii) co-stimulating immune
cells expressing said 41BB.
[0006] The diseased cells of a patient to be treated may express PD-L 1.
[0007] The invention further provides a method of activating immune cells expressing 41BB,
the method comprising in-vitro activating immune cells expressing 41BB in the presence
of a soluble PD1-41BBL fusion protein, in a form of a homo-trimer comprising SEQ ID
NO: 1 wherein said fusion protein is capable of: (i) binding PD-L1 and 41BB; (ii)
activating said 41BB signaling pathway in a cell expressing said 41BB; and (iii) co-stimulating
immune cells expressing said 41BB.
[0008] Said activating may be in the presence of cells expressing PD-L1 or exogenous PD-L1.
[0009] Said PD1-41BBL fusion protein may consist of said SEQ ID NO: 1.
[0010] Any reference in the description to methods of treatment or
in-vivo diagnosis refer to the compounds, pharmaceutical compositions and medicaments of
the present invention for use in method of treatment of the human or animal body by
therapy or for
in-vivo diagnosis.
DETAILED DESCRIPTION
[0011] Described herein is a PD1-41BBL fusion protein comprising a single amino acid linker
between the PD1 and the 41BBL.
[0012] Described herein is a PD1-41BBL fusion protein, wherein the PD1 amino acid is 123-166
amino acids in length.
[0013] Described herein is a PD1-41BBL fusion protein, wherein the PD1 amino acid sequence
comprises SEQ ID NO: 2.
[0014] Described herein is a PD1-41BBL fusion protein in a form of at least a homo-trimer.
[0015] As described herein, in some aspects the at least homo-trimer is at least 100 kD
in molecular weight as determined by SDS-PAGE.
[0016] As described herein, in some aspects the PD1-41BBL fusion protein comprises a linker
between the PD1 and the 41BBL.
[0017] As described herein, in some aspects the linker has a length of one to six amino
acids.
[0018] As described herein, in some aspects the linker is a single amino acid linker.
[0019] According to instances of the disclosure, the linker is not an Fc domain of an antibody
or a fragment thereof.
[0020] According to instances of the disclosure, the linker is glycine.
[0021] According to instances of the disclosure, the PD1 amino acid sequence is 123-166
amino acids in length.
[0022] According to instances of the disclosure, the PD1 amino acid sequence comprises SEQ
ID NO: 2.
[0023] According to instances of the disclosure, the PD1 amino acid sequence consists of
SEQ ID NO: 2.
[0024] According to instances of the disclosure, the PD1-41BBL fusion protein being soluble.
[0025] According to instances of the disclosure, the PD1 comprises an extracellular domain
of the PD1 or a functional fragment thereof.
[0026] According to instances of the disclosure, the 41BBL comprises an extracellular domain
of the 41BBL or a functional fragment thereof.
[0027] According to instances of the disclosure, the fusion protein is capable of at least
one of:
- (i) binding PD-L1 and 41BB;
- (ii) activating the 41BB signaling pathway in a cell expressing the 41BB; and/or
- (iii)co-stimulating immune cells expressing the 41BB.
[0028] According to the invention, the PD1-41BBL fusion protein amino acid sequence comprises
SEQ ID NO: 1.
[0029] According to some embodiments of the invention, the PD1-41BBL fusion protein amino
acid sequence consists of SEQ ID NO: 1.
[0030] According to instances of the disclosure, there is provided a polynucleotide encoding
the PD1-41BBL fusion protein of the present invention.
[0031] According to instances of the disclosure, there is provided a nucleic acid construct
comprising the polynucleotide of the present invention, and a regulatory element for
directing expression of the polynucleotide in a host cell.
[0032] According to instances of the disclosure, the polynucleotide comprises SEQ ID NO:
9.
[0033] According to instances of the disclosure, there is provided a host cell comprising
the PD1-41BBL fusion protein of the present invention or the polynucleotide or the
nucleic acid construct of the present invention.
[0034] According to instances of the disclosure, there is provided a method of producing
a PD1-41BBL fusion protein, the method comprising expressing in a host cell the polynucleotide
or the nucleic acid construct of the present invention.
[0035] According to instances of the disclosure, the method comprising isolating the fusion
protein.
[0036] According to instances of the disclosure, the cell is selected from the group consisting
of CHO, PERC.6 and 293.
[0037] According to instances of the disclosure, there is provided a method of treating
cancer comprising administering the PD1-41BBL fusion protein of the present invention
to a subject in need thereof.
[0038] According to instances of the disclosure, there is provided a method of treating
a disease that can benefit from activating immune cells comprising administering to
a subject in need thereof the PD1-41BBL fusion protein of the present invention, the
polynucleotide or the nucleic acid construct of the present invention or the host
cell of any one of the present invention.
[0039] According to instances of the disclosure, there is provided an article of manufacture
identified for the treatment of a disease that can benefit from activating immune
cells comprising a packaging material packaging a therapeutic agent for treating the
disease; and a PD1-41BBL fusion protein, a polynucleotide encoding same, a nucleic
acid construct encoding same or a host cell expressing same.
[0040] According to instances of the disclosure, the disease comprises a hyper-proliferative
disease.
[0041] According to instances of the disclosure, the hyper-proliferative disease comprises
sclerosis, fibrosis, Idiopathic pulmonary fibrosis, psoriasis, systemic sclerosis/scleroderma,
primary biliary cholangitis, primary sclerosing cholangitis, liver fibrosis, prevention
of radiation-induced pulmonary fibrosis, myelofibrosis or retroperitoneal fibrosis.
[0042] According to instances of the disclosure, the hyper-proliferative disease comprises
cancer.
[0043] According to instances of the disclosure, there is provided a method of treating
cancer comprising administering to a subject in need thereof an anti-cancer agent;
and a PD1-41BBL fusion protein, a polynucleotide encoding same, a nucleic acid construct
encoding same or a host cell expressing same.
[0044] According to instances of the disclosure, the anti-cancer agent comprises an antibody.
[0045] According to instances of the disclosure, the antibody is selected from the group
consisting rituximab, cetuximab, trastuzumab, edrecolomab, almetuzumab, gemtuzumab,
ibritumomab, panitumumab, Belimumab, Bevacizumab, Bivatuzumab mertansine, Blinatumomab,
Blontuvetmab, Brentuximab vedotin, Catumaxomab, Cixutumumab, Daclizumab, Adalimumab,
Bezlotoxumab, Certolizumab pegol, Citatuzumab bogatox, Daratumumab, Dinutuximab, Elotuzumab,
Ertumaxomab, Etaracizumab, Gemtuzumab ozogamicin, Girentuximab, Necitumumab, Obinutuzumab,
Ofatumumab, Pertuzumab, Ramucirumab, Siltuximab, Tositumomab, Trastuzumab and ipilimumab.
[0046] According to instances of the disclosure, the antibody is selected from the group
consisting of rituximab and cetuximab.
[0047] According to instances of the disclosure, the cancer is selected from the group consisting
of lymphoma, leukemia, colon cancer, pancreatic cancer, ovarian cancer, lung cancer
and squamous cell carcinoma.
[0048] According to instances of the disclosure, cells of the cancer express PD-L1.
[0049] According to instances of the disclosure, the disease comprises a disease associated
with immune suppression or medication induced immunosuppression.
[0050] According to instances of the disclosure, the disease comprises HIV, Measles, influenza,
LCCM, RSV, Human Rhinoviruses, EBV, CMV or Parvo viruses.
[0051] According to instances of the disclosure, the disease comprises an infection.
[0052] According to instances of the disclosure, diseased cells of the subject express PD-L1.
[0053] According to instances of the disclosure, there is provided a method of activating
T cells, the method comprising in-vitro activating T cells in the presence of a PD1-41BBL
fusion protein and cells expressing PD-L1.
[0054] According to instances of the disclosure, there is provided a method of activating
immune cells, the method comprising in-vitro activating immune cells in the presence
of a PD1-41BBL fusion protein, a polynucleotide encoding same, a nucleic acid construct
encoding same or a host cell expressing same.
[0055] According to instances of the disclosure, the activating is in the presence of cells
expressing PD-L1 or exogenous PD-L1.
[0056] According to instances of the disclosure, the cells expressing the PD-L1 comprise
cancer cells.
[0057] According to instances of the disclosure, the method comprising adoptively transferring
the immune cells following the activating to a subject in need thereof.
[0058] According to instances of the disclosure, the subject is afflicted with a disease
associated with the cells expressing the PD-L1.
[0059] According to instances of the disclosure, the PD1-41BBL fusion protein comprises
the PD1-41BBL fusion protein of the present invention, the polynucleotide or the nucleic
acid construct comprises the polynucleotide or the nucleic acid construct of the present
invention, and the host cell comprises the host cell of the present invention.
[0060] According to instances of the disclosure, the immune cells comprise T cells.
[0061] Unless otherwise defined, all technical and/or scientific terms used herein have
the same meaning as commonly understood by one of ordinary skill in the art to which
the invention pertains. Although methods and materials similar or equivalent to those
described herein can be used in the practice or testing of embodiments of the invention,
exemplary methods and/or materials are described below. In case of conflict, the patent
specification, including definitions, will control. In addition, the materials, methods,
and examples are illustrative only and are not intended to be necessarily limiting.
BRIEF DESCRIPTION OF THE SEVERAL VIEWS OF THE DRAWINGS
[0062] Some embodiments of the invention are herein described, by way of example only, with
reference to the accompanying drawings. With specific reference now to the drawings
in detail, it is stressed that the particulars shown are by way of example and for
purposes of illustrative discussion of embodiments of the invention. In this regard,
the description taken with the drawings makes apparent to those skilled in the art
how embodiments of the invention may be practiced.
[0063] In the drawings:
FIG. 1 is a photograph of western blot analysis of His-tagged PD1-41BBL (SEQ ID NO:
5) under reducing or non-reducing conditions. Following affinity purification, proteins
(250 ng / well) were separated on SDS-PAGE gel under denaturing or non-denaturing
conditions, as indicated, followed by immunoblotting with an anti-His-tag antibody.
FIGs. 2A-B are photographs of western blot analysis of His-tagged PD1-41BBL (SEQ ID
NO: 5) under reducing or non-reducing conditions. Following affinity purification,
proteins (250 ng / well) were separated on SDS-PAGE gel under denaturing (FIG. 2A)
or non-denaturing (FIG. 2B) conditions, followed by immunoblotting with an anti-41BBL
antibody.
FIG. 2C is a photograph of coomassie blue staining of SDS-PAGE analysis of His-tagged
PD1-41BBL (SEQ ID NO: 5) under reducing conditions treated or un-treated with de-glycosylase.
His-tagged PD1-41BBL bands are marked with small black arrows.
FIGs. 3A-B are graphs demonstrating interaction of His-tagged PD1-41BBL (SEQ ID NO:
5) with its counterpart ligands, as determined by bio-layer interferometry Blitz® assay. FIG. 3A demonstrates binding to PD-L1 - the biosensor was pre-loaded with
PD-L1:Fc and then incubated with His-tagged PD1-41BBL (SEQ ID NO: 5) or SIRPα-41BBL
(SEQ ID NO: 6, as a negative control), or sPD-L1 (as a competitor). FIG. 3B demonstrates
binding to 41BB - the biosensor was pre-loaded with 41BB:Fc and then incubated with
His-tagged PD1-41BBL (SEQ ID NO: 5) or PD1-CD70 (SEQ ID NO: 7, as a negative control).
FIGs. 4A-B are histograms (FIG. 4A) and a table summarizing Geometric mean fluorescence
intensity (GMFI) (FIG. 4B) demonstrating expression of the indicated receptors on
HT1080-WT (HT1080), HT1080-CD27, HT1080-41BB, DLD1-WT and DLD1-PDL1 cell lines. The
surface expression levels of CD27, PDL1, 41BB and CD47 was determined by immunostaining
of each cell line with the corresponding antibodies, followed by flow cytometric analysis.
FIGs. 5A-B demonstrate binding of His-tagged PD1-41BBL protein (SEQ ID NO: 5) to HT1080-41BB
cells (FIG. 5A) but not to the negative control HT1080-CD27 cells (FIG. 5B). The cells
were incubated with different concentrations of His-tagged PD1-41BBL protein (SEQ
ID NO: 5) for 30 minutes on ice, followed by immunostaining with anti-PD-1 antibody
and flow cytometry analysis. GMFI values were used to create a binding curve graph
with a GraphPad Prism software.
FIGs. 6A-B demonstrate binding of His-tagged PD1-41BBL protein (SEQ ID NO: 5) to DLD1-PDL1
cells (FIG. 6A) but not to the negative control DLD1-WT cells. The cells were incubated
with different concentrations of His-tagged PD1-41BBL protein (SEQ ID NO: 5) for 30
minutes on ice, followed by immunostaining with anti-41BBL antibody and flow cytometry
analysis. GMFI values were used to create a binding curve graph with a GraphPad Prism
software.
FIG. 7 is a graph demonstrating that His-tagged PD1-41BBL protein (SEQ ID NO: 5) promotes
TNFR signaling as demonstrated by IL-8 secretion from HT1080-41BB cells in medium
containing FBS.
FIG. 8 is a graph demonstrating that His-tagged PD1-41BBL protein (SEQ ID NO: 5) promotes
TNFR signaling as demonstrated by IL-8 secretion from HT1080-41BB cells in serum free
media.
FIGs. 9A-D demonstrate that His-tagged PD1-41BBL protein (SEQ ID NO: 5) triggers 41BB
co-stimulatory signaling and potentiates T cell activation. FIG. 9A shows histograms
demonstrating expression of 41BB in HT1080-41BB cells and no expression of 41BB in
HT1080-WT (HT1080) cells. FIG. 9B shows histograms demonstrating PDL1 expression in
DLD1-PDL1 cells and no expression of PDL1 in DLD1-WT (DLD1). FIG. 9C is a graph demonstrating
IL-8 secretion by HT1080-41BB cells when treated alone with His-tagged PD1-41BBL protein
(SEQ ID NO: 5) or when treated in mixed cultures with DLD1 cells. FIG. 9D is a graph
demonstrating IL8 secretion by HT1080-41BB cells when treated alone with His-tagged
PD1-41BBL protein (SEQ ID NO: 5) or when treated in mixed cultures with DLD1-PDL1
cells.
FIG. 10 demonstrates that His-tagged PD1-41BBL protein (SEQ ID NO: 5) activates freshly
isolated human T cells on PDL1-Fc coated plates in the presence of sub-optimal concentrations
of anti-CD3/anti-CD28 activation beads, while SIRPα:41BBL (SEQ ID NO: 6) does not
induce activation. T cell activation was measured by evaluating CD25 expression by
flow cytometry after 7 days of treatment.
FIGs. 11A-B demonstrate that His-tagged PD1-41BBL protein (SEQ ID NO: 5) promotes
INF-γ secretion from anti-CD3 primed human PBMCs. FIG. 11A is a graph demonstrating
IFN-γ concentration detected in the culture supernatant of human PBMCs incubated for
40 hours with different concentrations of His-tagged PD1-41BBL protein (SEQ ID NO:
5) in the presence of anti-CD3 or anti-CD3 plus IL2, as indicated. FIG. 11B is a graph
demonstrating IFN-γ concentration detected in the culture supernatant of human PBMCs
co-cultured with PDL1 expressing murine LivMet cells and incubated for 40 hours with
different concentrations of His-tagged PD1-41BBL protein (SEQ ID NO: 5), in the presence
of anti-CD3 or anti-CD3 plus IL2, as indicated.
FIGs. 12A-C demonstrate that treatment of CT-26 inoculated mice with His-tagged PD1-41BBL
protein (SEQ ID NO: 5) significantly reduces tumor volume. FIG. 12A is a schematic
illustration of experiment timelines: mice were inoculated S.C. with 1 × 106 CT-26 cells on day 0, PBS control or PD1-41BBL were injected on days 3, 7, 10, and
14. FIG. 12B show spider plots demonstrating tumor volume of the different mice in
the two treatment groups. FIG. 12C is a graph demonstrating mean ± standard error
tumor volume in the two treatment groups.
FIGs. 13A-B demonstrate that His-tagged PD1-41BBL protein (SEQ ID NO: 5) is effective
for the treatment of mice inoculated with P388 syngeneic leukemia tumor. FIG. 13A
is a schematic illustration of experiment timelines: mice were inoculated I.P. with
1 × 106 P388 cells on day 0, PBS control, αPD1 or PD1-41BBL were injected on days 1, 3, 5,
and 7. FIG. 13B is a graph demonstrating mean ± standard error spleen weight in the
three treatment groups upon sacrifice.
FURTHER DETAILED DESCRIPTION
[0064] The present invention, relates to a PD1-41BBL fusion protein and methods of use thereof.
[0065] The present invention as claimed relates to a PD1-41BBL fusion protein and methods
of use thereof.
[0066] Dual Signaling Proteins (DSP), also known as Signal-Converting-Proteins (SCP), which
are currently known in the art as bi-functional fusion proteins that link an extracellular
portion of a type I membrane protein (extracellular amino-terminus), to an extracellular
portion of a type II membrane protein (extracellular carboxyl-terminus), forming a
fusion protein with two active sides.
[0067] Surprisingly, it was found that a specific fusion protein may be advantageously administered
to subjects suffering from cancerous diseases, depending upon the presence of tumors
that have tumor-infiltrating lymphocytes (TILs) on the tumor cells or in the tumor
micro-environment as well as tumors with relatively high expression of PDL1 in the
tumor micro-environment.
[0068] As is illustrated hereinunder and in the examples section, which follows, the present
inventors have produced a his-tagged PD1-41BBL fusion protein (SEQ ID NO: 5) and show
that the fusion protein (SEQ ID NO: 5) contains both domains and produced in the form
of at least trimers (Experiments 1A-B, FIGs. 1 and 2A-C). Following, the present inventors
demonstrate that the produced his-tagged PD1-41BBL fusion protein (SEQ ID NO: 5) retains
functional binding activity for its cognate receptors PD-L1 and 41BB (Experiments
1C-D, FIGs. 3A-B, 4A-B, 5A-B, 6A-B) and can trigger 41BB co-stimulation and activation
of cells expressing 41BB (e.g. T cells, PBMCs) wherein presence of PD-L1 augments
this activity (Experiments 2-3, 3A-B, FIGs. 7-8, 9A-D, 10, 11A-B). The inventors further
demonstrate that the his-tagged PD1-41BBL fusion protein (SEQ ID NO: 5) is effective
for the treatment of tumors as shown in in-vivo syngeneic colon carcinoma and syngeneic
leukemia mouse tumor models (Experiments 4, 4A-B, FIGs. 12A-C and 13A-B).
[0069] Consequently, the present teachings suggest PD1-41BBL fusion proteins, polynucleotides
encoding same and host cells expressing same; and uses of same in e.g. activating
immune cells (via co-stimulation) in general and treating diseases that can benefit
from activating immune cells (e.g. cancer) in particular.
[0070] Thus according to a first aspect of the disclosure , there is provided a PD1-41BBL
fusion protein or any variants or fragments thereof optionally with a linker therebetween
or a PD1-41BBL fusion protein, which is at least about 70%, homologous to the sequence
as set forth in SEQ ID No. 4 optionally with a linker therebetween.
[0071] According to another aspect of the present invention, there is provided a PD1-41BBL
fusion protein comprising a single amino acid linker between said PD1 and said 41BBL.
[0072] According to another aspect of the disclosure , there is provided a PD1-41BBL fusion
protein, wherein said PD1 amino acid is 123-166 amino acids in length.
[0073] According to another aspect of the present invention, there is provided a PD1-41BBL
fusion protein, wherein said PD1 amino acid sequence comprises SEQ ID NO: 2.
[0074] According to another aspect of the disclosure , there is provided a PD1-41BBL fusion
protein in a form of at least a homo-trimer.
[0075] According to specific aspects of the disclosure, at least 10 %, at least 20 %, at
least 30 %, at least 40 %, at least 50 %, at least 60 %, at least 70 %, at least 80
%, at least 90 %, at least 95 % of the PD1-41BBL fusion protein is in a form of at
least a homo-trimer, each possibility represents a separate aspects of the disclosure.
[0076] According to the invention , the at least homo-trimer comprises a homo-trimer.
[0077] According to specific aspects of the disclosure, the at least homo-trimer comprises
a homo-tetramer.
[0078] According to specific aspects of the disclosure, the at least homo-trimer comprises
a homo-pentamer.
[0079] According to specific aspects of the disclosure, the at least homo-trimer comprises
a homo-hexamer.
[0080] Methods of determining trimerization are well known in the art and include, but are
not limited to SDS-PAGE, NATIVE-PAGE, SEC-HPLC 2D gels, gel filtration, SEC MALLS,
Analytical ultracentrifugation (AUC) Mass spectrometry (MS), capillary gel electrophoresis
(CGE).
[0081] According to specific aspects of the disclosure, the at least homo-trimer is at least
100 kD, at least 120 kD, at least 140 kD, at least 160 kD, at least 180 kD in molecular
weight as determined by SDS-PAGE.
[0082] According to specific aspects of the disclosure, the at least homo-trimer is at least
100 kD in molecular weight as determined by SDS-PAGE.
[0083] According to specific aspects of the disclosure, the at least homo-trimer is at least
200 kD in molecular weight as determined by SDS-PAGE.
[0084] As used herein the term "PD1 (Programmed Death 1, also known as CD279)" refers to
the polypeptide of the
PDCD1 gene (Gene ID 5133) or a functional homolog e.g., functional fragment thereof. As
used herein, the term "PD1" refers to a functional homolog of PD1 polypeptide. According
to the disclosure, PD1 is human PD1. According to the invention, the PD1 protein refers
to the human protein, such as provided in the following GenBank Number NP_005009.
[0085] Two ligands for PD-1 have been identified, PD-L1 and PD-L2 (also known as B7-DC).
According to the invention, the PD-L1 protein refers to the human protein, such as
provided in the following GenBank Number NP_001254635 and NP_054862. According to
a the invention, the PD-L2 protein refers to the human protein, such as provided in
the following GenBank Number NP_079515.
[0086] As used herein, a "functional PD1" is capable of binding its cognate ligands PD-L1
and/or PDL-2.
[0087] According to the disclosure, a functional PD1 is capable of binding PD-L1.
[0088] As use herein, the phrase "functional homolog" or "functional fragment" when related
to PD1 refers to a portion of the polypeptide which maintains the activity of the
full length PD1 e.g., PD-L1 binding.
[0089] Assays for testing binding are well known in the art and include, but not limited
to flow cytometry, BiaCore, bio-layer interferometry Blitz
® assay, HPLC.
[0090] According to aspects of the disclosure the PD1 binds PD-L1 with a Kd of 1 nM - 100
µM, 10-nM - 10 µM, 100 nM - 100 µM, 200 nM - 10 µM, as determined by SPR analysis,
each possibility represents a separate aspect of the disclosure.
[0091] According to aspects of the disclosure, the PD1 binds PD-L1 with a Kd of about 270
nM as determined by SPR analysis.
[0092] According to aspects of the disclosure, the PD1 comprises an extracellular domain
of said PD1 or a functional fragment thereof.
[0093] According to aspects of the disclosure, PD1 amino acid sequence comprises SEQ ID
NO: 10.
[0094] According to aspects of the disclosure, PD1 amino acid sequence consists of SEQ ID
NO: 10.
[0095] According to aspects of the disclosure, PD1 nucleic acid sequence comprises SEQ ID
NO: 11.
[0096] According to aspects of the disclosure, PD 1 nucleic acid sequence consists of SEQ
ID NO: 11.
[0097] According to aspects of the disclosure, PD1 amino acid sequence comprises SEQ ID
NO: 2.
[0098] According to aspects of the disclosure, PD1 amino acid sequence consists of SEQ ID
NO: 2.
[0099] According to aspects of the disclosure, PD1 nucleic acid sequence comprises SEQ ID
NO: 12.
[0100] According to aspects of the disclosure, PD1 nucleic acid sequence consists of SEQ
ID NO: 12.
[0101] According to aspects of the disclosure, PD1 amino acid sequence comprises SEQ ID
NO: 16 or SEQ ID NO: 17.
[0102] According to aspects of the disclosure, PD1 amino acid sequence consists of SEQ ID
NO: 16 or SEQ ID NO: 17.
[0103] According to the claimed invention, the PD1-41BLL fusion protein comprises or consists
of SEQ ID NO: 1.
[0104] The term "PD1" also encompasses functional homologues (naturally occurring or synthetically/recombinantly
produced), which exhibit the desired activity (i.e., binding PD-L1 and/or PD-L2).
Such homologues can be, for example, at least 70 %, at least 75 %, at least 80 %,
at least 81 %, at least 82 %, at least 83 %, at least 84 %, at least 85 %, at least
86 %, at least 87 %, at least 88 %, at least 89 %, at least 90 %, at least 91 %, at
least 92 %, at least 93 %, at least 94 %, at least 95 %, at least 96 %, at least 97
%, at least 98 %, at least 99 % or 100 % identical or homologous to the polypeptide
SEQ ID NO: 2, 10, 16, or 17; or at least 70 %, at least 75 %, at least 80 %, at least
81 %, at least 82 %, at least 83 %, at least 84 %, at least 85 %, at least 86 %, at
least 87 %, at least 88 %, at least 89 %, at least 90 %, at least 91 %, at least 92
%, at least 93 %, at least 94 %, at least 95 %, at least 96 %, at least 97 %, at least
98 %, at least 99 % or 100 % identical to the polynucleotide sequence encoding same
(as further described hereinbelow).
[0105] Sequence identity or homology can be determined using any protein or nucleic acid
sequence alignment algorithm such as Blast, ClustalW, and MUSCLE.
[0106] The homolog may also refer to an ortholog, a deletion, insertion, or substitution
variant, including an amino acid substitution, as further described hereinbelow.
[0107] According to aspects of the disclosure, the PD1 polypeptide may comprise conservative
amino acid substitutions.
[0108] According to aspects of the disclosure, one or more amino acid changes are located
at an amino acid position selected from: V39, L40, N41, Y43, R44, M45, S48, N49, Q50,
T51, D52, K53, A56, Q63, G65, Q66, V72, H82, M83, R90, Y96, L97, A100, S102, L103,
A104, P105, K106, and A107 relative to the PD1 amino acid sequence set forth in SEQ
ID NO: 17; or the corresponding amino acid position relative to another PD1 polypeptide.
[0109] According to aspects of the disclosure, one or more amino acid changes are selected
from the group consisting of: (1) V39H or V39R; (2) L40V or L40I; (3) N41I or N41V;
(4) Y43F or Y43H; (5) R44Y or R44L; (6) M45Q, M45E, M45L, or M45D; (7) S48D, S48L,
S48N, S48G, or S48V; (8) N49C, N49G, N49Y, or N49S; (9) Q50K, Q50E, or Q50H; (10)
T51V, T51L, or T51A; (11) D52F, D52R, D52Y, or D52V; (12) K53T or K53L; (13) A56S
or A56L; (14) Q63T, Q63I, Q63E, Q63L, or Q63P; (15) G65N, G65R, G65I, G65L, G65F,
or G65V; (16) Q66P; (17) V72I; (18) H82Q; (19) M83L or M83F; (20) R90K; (21) Y96F;
(22) L97Y, L97V, or L97I; (23) A100I or A100V; (24) S102T or S102A; (25) L103I, L103Y,
or L103F; (26) A104S, A104H, or A104D; (27) P105A; (28) K106G, K106E, K106I, K106V,
K106R, or K106T; and (29) A107P, A107I, or A107V relative to the PD1 amino acid sequence
set forth in SEQ ID NO: 17; or a change that results in the same amino acid at the
corresponding amino acid position relative to another PD1 polypeptide.
[0110] Additional description on conservative amino acid and non-conservative amino acid
substitutions is further provided hereinbelow.
[0111] According to aspects of the disclosure, PD1 amino acid sequence comprises 100-200
amino acids, 120-180 amino acids, 120-160, 130-170 amino acids, 130-160, 130-150,
140-160 amino acids, 145-155 amino acids, each possibility represents a separate embodiment
of the present invention.
[0112] According to aspects of the disclosure, PD1 amino acid sequence is 123-166 amino
acids in length.
[0113] According to aspects of the disclosure, PD1 amino acid sequence is 145-155 amino
acids in length.
[0114] According to aspects of the disclosure, PD1 amino acid sequence is 150 amino acids
in length.
[0115] As used herein the term "41BBL (also known as CD137L and TNFSF9)" refers to the polypeptide
of the TNFSF9 gene (Gene ID 8744) or a functional homolog e.g., functional fragment
thereof. As used herein , the term "41BBL" refers to a functional homolog of 41BBL
polypeptide. According to the disclosure , 41BBL is human 41BBL. According to the
disclosure , the 41BBL protein refers to the human protein, such as provided in the
following GenBank Number NP_003802.
[0116] According to specific embodiments, the 41BBL comprises an extracellular domain of
said 41BBL or a functional fragment thereof.
[0117] According to aspects of the disclosure, 41BBL amino acid sequence comprises SEQ ID
NO: 13.
[0118] According to aspects of the disclosure, 41BBL amino acid sequence consists of SEQ
ID NO: 13.
[0119] According to aspects of the disclosure, 41BBL nucleic acid sequence comprises SEQ
ID NO: 14.
[0120] According to aspects of the disclosure, 41BBL nucleic acid sequence consists of SEQ
ID NO: 14.
[0121] According to aspects of the disclosure, 41BBL amino acid sequence comprises SEQ ID
NO: 3.
[0122] According to aspects of the disclosure, 41BBL amino acid sequence consists of SEQ
ID NO: 3.
[0123] According to aspects of the disclosure, 41BBL nucleic acid sequence comprises SEQ
ID NO: 15.
[0124] According to aspects of the disclosure, 41BBL nucleic acid sequence consists of SEQ
ID NO: 15. According to the claimed invention, the PD1-41BLL fusion protein comprises
or consists of SEQ ID NO: 1.
[0125] The term "41BBL" also encompasses functional homologues (naturally occurring or synthetically/recombinantly
produced), which exhibit the desired activity (as defined hereinbelow). Such homologues
can be, for example, at least 70 %, at least 75 %, at least 80 %, at least 81 %, at
least 82 %, at least 83 %, at least 84 %, at least 85 %, at least 86 %, at least 87
%, at least 88 %, at least 89 %, at least 90 %, at least 91 %, at least 92 %, at least
93 %, at least 94 %, at least 95 %, at least 96 %, at least 97 %, at least 98 %, at
least 99 % or 100 % identical or homologous to the polypeptide SEQ ID NO: 3, 13; or
at least 70 %, at least 75%, at least 80 %, at least 81 %, at least 82 %, at least
83 %, at least 84 %, at least 85 %, at least 86 %, at least 87 %, at least 88 %, at
least 89 %, at least 90 %, at least 91 %, at least 92 %, at least 93 %, at least 94
%, at least 95 %, at least 96 %, at least 97 %, at least 98 %, at least 99 % or 100
% identical to the polynucleotide sequence encoding same (as further described hereinbelow).
[0126] According to aspects of the disclosure, the 41BBL polypeptide may comprise conservative
amino acid substitutions, as further described hereinbelow.
[0127] According to aspects of the disclosure, 41BBL amino acid sequence comprises 100-300
amino acids, 150-250 amino acids, 100-250 amino acids, 150-220 amino acids, 180-220
amino acids, 190-210 amino acids, each possibility represents a separate embodiment
of the present invention.
[0128] According to aspects of the disclosure, 41BBL amino acid sequence is 190-210 amino
acids in length.
[0129] According to aspects of the disclosure, 41BBL amino acid sequence is 204 amino acids
in length.
[0130] As used herein, a "functional 41BBL" is capable of least one of:
- (i) binding its cognate receptor 41BB (also known as CD137),
- (ii) activating 41BB signaling pathway in an immune cell expressing 41BB; and/or
- (iii)activating immune cells expressing said 41BB.
[0131] According to aspects of the disclosure, functional 41BBL is capable of (i), (ii),
(iii), (i)+(ii), (i)+(iii), (ii)+(iii).
[0132] According to the disclosure , functional 41BBL is capable of (i)+(ii)+(iii).
[0133] As use herein, the phrase "functional homolog" or "functional fragment" when related
to 41BBL, refers to a portion of the polypeptide which maintains the activity of the
full length 41BBL e.g., binding 41BB, activating 41BB signaling pathway, activating
immune cells expressing 41BB.
[0134] According to aspects of the disclosure, the 41BB protein refers to the human protein,
such as provided in the following GenBank Number NP_001552.
[0135] Assays for testing binding are well known in the art and are further described hereinabove.
According to aspects of the disclosure, the SIRPα binds CD47 with a Kd of 0.1 - 100
µM, 0.1 - 10 µM, 1-10 µM, 0.1-5 µM, or 1-2 µM as determined by SPR, each possibility
represented a separate embodiment of the present invention.
[0136] According to aspects of the disclosure, the 41BBL binds 41BB with a Kd of about 55.2
nM as determined by SPR.
[0137] As used herein the terms "activating" or "activation" refer to the process of stimulating
an immune cell (e.g. T cell, B cell, NK cell, dendritic cell) that results in cellular
proliferation, maturation, cytokine production, phagocytosis and/or induction of regulatory
or effector functions.
[0138] According to the disclosure , activating comprises co-stimulating.
[0139] As used herein the term "co-stimulating" or "co-stimulation" refers to transmitting
a secondary antigen independent stimulatory signal (e.g. 41BB signal) resulting in
activation of the immune cell.
[0140] According to the disclosure , activating comprises suppressing an inhibitory signal
(e.g. PD1 signal) resulting in activation of the immune cell.
[0141] Methods of determining signaling of a stimulatory or inhibitory signal are well known
in the art and also disclosed in the Examples section which follows, and include,
but are not limited to, binding assay using e.g. BiaCore, HPLC or flow cytometry,
enzymatic activity assays such as kinase activity assays, and expression of molecules
involved in the signaling cascade using e.g. PCR, Western blot, immunoprecipitation
and immunohistochemistry. Additionally or alternatively, determining transmission
of a signal (co-stimulatory or inhibitory) can be effected by evaluating immune cell
activation or function. Methods of evaluating immune cell activation or function are
well known in the art and include, but are not limited to, proliferation assays such
as CFSE staining, MTS, Alamar blue, BRDU and thymidine incorporation, cytotoxicity
assays such as CFSE staining, chromium release, Calcin AM, cytokine secretion assays
such as intracellular cytokine staining ELISPOT and ELISA, expression of activation
markers such as CD25, CD69, CD137, CD107a, PD1, and CD62L using flow cytometry.
[0142] According to aspects of the disclosure, determining the signaling activity or activation
is effected in-vitro or ex-vivo e.g. in a mixed lymphocyte reaction (MLR), as further
described hereinbelow.
[0143] For the same culture conditions the signaling activity or the immune cell activation
or function are generally expressed in comparison to the signaling, activation or
function in a cell of the same species but not contacted with the PD1-41BBL fusion
protein, a polynucleotide encoding same or a host cell encoding same; or contacted
with a vehicle control, also referred to as control. The terms "DSP" and "fusion protein",
"chimeric protein" or "chimera" are used herein interchangeably, and refer to an amino
acid sequence having two or more parts which are not found together in a single amino
acid sequence in nature.
[0144] The disclosure is directed to a fusion protein comprising a PD1-41BBL, (hereinafter,
PD1-41BBL fusion protein) or any variants or fragments thereof optionally with a linker
therebetween.
[0145] PD1-41BBL is a Dual Signaling Protein (DSP) chimera protein fusing the extracellular
domains of two different human membrane proteins. The N terminal domain is the extracellular
domain of the human PD1 (gene: PDCD1), which is a type 1 membrane protein, and the
C terminal domain of the chimera is the extracellular domain of the human 41BBL (gene:
TNFSF9), which is a type 2 membrane protein.
[0146] According to the claimed invention , the PD1-41BBL fusion protein is soluble (i.e.,
not immobilized to a synthetic or a naturally occurring surface).
[0147] According to aspects of the disclosure, the PD1-41BBL fusion protein is immobilized
to a synthetic or a naturally occurring surface.
[0148] According to aspects of the disclosure, the PD1-41BBL does not comprise a linker
between the PD1 and the 41BBL.
[0149] According to aspects of the disclosure, the PD1-41BBL comprises a linker which may
be at any length.
[0150] According to aspects of the disclosure, the PD1-41BBL fusion protein comprises a
linker between said PD1 and said 41BBL.
[0151] Any linker known in the art can be used with specific aspects of the disclosure.
[0154] According to aspects of the disclosure, the linker is a synthetic linker such as
PEG.
[0155] According to aspects of the disclosure, the linker is an Fc domain or the hinge region
of an antibody (e.g., of IgG, IgA, IgD or IgE) or a fragment thereof.
[0156] According to aspects of the disclosure, the linker is not an Fc domain or a hinge
region of an antibody or a fragment thereof.
[0157] According to aspects of the disclosure, the linker may be functional. For example,
without limitation, the linker may function to improve the folding and/or stability,
improve the expression, improve the pharmacokinetics, and/or improve the bioactivity
of the PD1-41BBL fusion protein. In another example, the linker may function to target
the PD1-41BBL fusion protein to a particular cell type or location.
[0158] According to aspects of the disclosure, the linker is a polypeptide.
[0159] According to aspects of the disclosure, the PD1-41BBL fusion protein comprises a
linker at a length of one to six amino acids.
[0160] According to aspects of the disclosure, the linker is substantially comprised of
glycine and/or serine residues (e.g. about 30%, or about 40%, or about 50%, or about
60%, or about 70%, or about 80%, or about 90%, or about 95%, or about 97% or 100 %
glycines and serines). According to aspects of the disclosure, the linker is a single
amino acid linker.
[0161] In the invention, the one amino acid which links PD1 and 41BBL is glycine, also referred
to herein as PD1-G-41BBL fusion protein.
[0162] According to the claimed invention , the PD1-41BBL fusion protein amino acid sequence
comprises SEQ ID NO: 1.
[0163] According to specific embodiments, the PD1-41BBL fusion protein amino acid sequence
consists of SEQ ID NO: 1.
[0164] In the claimed invention the term "PD1-G-41BBL fusion protein" refers to a protein
identified by SEQ ID NO. 1:
Amino-acid sequence of the chimera protein (PD1- G - 41BBL):

[0165] The extracellular domain of the human PD1 protein is underlined i.e.

[0166] The extracellular domain of the human 41BBL is bold i.e.

[0167] According to aspects of the disclosure, the amino acid sequence of PD1- G - 41BBL
is at least about 70%, 75%, 80%, 85%, 90%, 95%, 96%, 97%, 98% or 99% homologous to
the amino acid sequence as set forth in SEQ ID No. 1 or to the polynucleotide sequence
encoding same.
[0168] According to aspects of the disclosure, the PD1- G - 41BBL fusion protein may be
a functional fragment, variant and/or derivative of the amino acid sequence shown
in SEQ ID NO. 1. A number of such variants are known in the art, see as for example
in Young Won, et al, 2010; Rabu, et al, 2005; Maute, et al, 2015; and Parry, et al,
2005.
[0169] According to aspects of the disclosure, there is provided a PD1- 41BBL fusion protein
which is at least about 70%, 75%, 80%, 85%, 90%, 95%, 96%, 97%, 98% or 99% homologous
to the sequence as set forth in SEQ ID No. 4 optionally with a linker between PD1
peptide or the ECD thereof and 41BBL peptide or the ECD thereof, wherein SEQ ID No.
4 is:

[0170] According to aspects of the disclosure, there is provided a PD1- 4-1BBL as set forth
in SEQ ID No. 4 optionally with a linker between PD1 peptide or the ECD thereof and
41BBL peptide or the ECD thereof, wherein SEQ ID No. 4 is:

[0171] According to aspects of the disclosure, the PD1-41BBL fusion protein is capable of
least one of:
- (i) binding PD-L1 AND 41BB,
- (ii) activating 41BB signaling pathway in an immune cell (e.g. T cell) expressing
41BB; and/or
- (iii)activating immune cells (e.g. T cells) expressing said 41BB.
[0172] According to aspects of the disclosure, the PD1-41BBL fusion protein is capable of
(i), (ii), (iii), (i)+(ii), (i)+(iii), (ii)+(iii).
[0173] According to the claimed invention , the PD1-41BBL fusion protein is capable of (i)+(ii)+(iii),
where activation is co-stimulation of immune cells expression said 41BB.
[0174] Methods of determining binding, activating 41BB signaling pathway and activating
immune cells are well known in the art and are further described hereinabove and in
the Examples section which follows.
[0175] As the compositions of some aspects of the disclosure, (e.g. the fusion protein,
a polynucleotide or nucleic acid encoding same or a host cell expressing same) are
capable of activating immune cells, they can be used in method of activating immune
cells, in-vitro, ex-vivo and/or in-vivo.
[0176] Thus, according to an aspect of the present invention, there is provided a method
of activating immune cells, the method comprising in-vitro activating immune cells
in the presence of a PD1-41BBL fusion protein, a polynucleotide encoding same, a nucleic
acid construct encoding same or a host cell expressing same.
[0177] According to another aspect of the present invention, there is provided a method
of activating T cells, the method comprising in-vitro activating T cells in the presence
of a PD1-41BBL fusion protein and cells expressing PD-L1.
[0178] According to specific embodiments, the immune cells express 41BB.
[0179] According to specific embodiments, the immune cells comprise peripheral mononuclear
blood cells (PBMCs).
[0180] As used herein the term "peripheral mononuclear blood cells (PBMCs)" refers to a
blood cell having a single nucleus and includes lymphocytes, monocytes and dendritic
cells (DCs).
[0181] According to specific embodiments, the PBMCs are selected from the group consisting
of dendritic cells (DCs), T cells, B cells, NK cells and NKT cells.
[0182] According to specific embodiments, the PBMCs comprise T cells, B cells, NK cells
and NKT cells.
[0183] Methods of obtaining PBMCs are well known in the art, such as drawing whole blood
from a subject and collection in a container containing an anti-coagulant (e.g. heparin
or citrate); and apheresis. Following, according to specific embodiments, at least
one type of PBMCs is purified from the peripheral blood. There are several methods
and reagents known to those skilled in the art for purifying PBMCs from whole blood
such as leukapheresis, sedimentation, density gradient centrifugation (e.g. ficoll),
centrifugal elutriation, fractionation, chemical lysis of e.g. red blood cells (e.g.
by ACK), selection of specific cell types using cell surface markers (using e.g. FACS
sorter or magnetic cell separation techniques such as are commercially available e.g.
from Invitrogen, Stemcell Technologies, Cellpro, Advanced Magnetics, or Miltenyi Biotec.),
and depletion of specific cell types by methods such as eradication (e.g. killing)
with specific antibodies or by affinity based purification based on negative selection
(using e.g. magnetic cell separation techniques, FACS sorter and/or capture ELISA
labeling). Such methods are described for example in
THE HANDBOOK OF EXPERIMENTAL IMMUNOLOGY, Volumes 1 to 4, (D.N. Weir, editor) and
FLOW CYTOMETRY AND CELL SORTING (A. Radbruch, editor, Springer Verlag, 2000).
[0184] According to specific embodiments, the immune cells comprise tumor infiltrating lymphocytes.
[0185] As used herein the term "tumor infiltrating lymphocytes (TILs) refers to mononuclear
white blood cells that have lest the bloodstream and migrated into a tumor.
[0186] According to specific embodiments, the TILs are selected from the group consisting
of T cells, B cells, NK cells and monocytes.
[0187] Methods of obtaining TILs are well known in the art, such as obtaining tumor samples
from a subject by e.g. biopsy or necropsy and preparing a single cell suspension thereof.
The single cell suspension can be obtained in any suitable manner, e.g., mechanically
(disaggregating the tumor using, e.g., a gentleMACS(TM) Dissociator, Miltenyi Biotec,
Auburn, Calif.) or enzymatically (e.g., collagenase or DNase). Following, the at least
one type of TILs can be purified from the cell suspension. There are several methods
and reagents known to those skilled in the art for purifying the desired type of TILs,
such as selection of specific cell types using cell surface markers (using e.g. FACS
sorter or magnetic cell separation techniques such as are commercially available e.g.
from Invitrogen, Stemcell Technologies, Cellpro, Advanced Magnetics, or Miltenyi Biotec.),
and depletion of specific cell types by methods such as eradication (e.g. killing)
with specific antibodies or by affinity based purification based on negative selection
(using e.g. magnetic cell separation techniques, FACS sorter and/or capture ELISA
labeling). Such methods are described for example in
THE HANDBOOK OF EXPERIMENTAL IMMUNOLOGY, Volumes 1 to 4, (D.N. Weir, editor) and
FLOW CYTOMETRY AND CELL SORTING (A. Radbruch, editor, Springer Verlag, 2000).
[0188] According to specific embodiments, the immune cells comprise phagocytic cells.
[0189] As used herein, the term "phagocytic cells" refer to a cell that is capable of phagocytosis
and include both professional and non-professional phagocytic cells. Methods of analyzing
phagocytosis are well known in the art and include for examples killing assays, flow
cytometry and/or microscopic evaluation (live cell imaging, fluorescence microscopy,
confocal microscopy, electron microscopy). According to specific embodiments, the
phagocytic cells are selected from the group consisting of monocytes, dendritic cells
(DCs) and granulocytes.
[0190] According to specific embodiments, the immune cells comprise monocytes.
[0191] According to specific embodiments, the term "monocytes" refers to both circulating
monocytes and to macrophages (also referred to as mononuclear phagocytes) present
in a tissue.
[0192] According to specific embodiments, the monocytes comprise macrophages. Typically,
cell surface phenotype of macrophages include CD14, CD40, CD11b, CD64, F4/80 (mice)/EMR1
(human), lysozyme M, MAC-1/MAC-3 and CD68.
[0193] According to specific embodiments, the monocytes comprise circulating monocytes.
Typically, cell surface phenotypes of circulating monocytes include CD14 and CD16
(e.g. CD14++ CD16-, CD14+CD16++, CD14++CD16+).
[0194] According to specific embodiments, the immune cells comprise DCs
[0195] As used herein the term "dendritic cells (DCs)" refers to any member of a diverse
population of morphologically similar cell types found in lymphoid or non-lymphoid
tissues. DCs are a class of professional antigen presenting cells, and have a high
capacity for sensitizing HLArestricted T cells. DCs include, for example, plasmacytoid
dendritic cells, myeloid dendritic cells (including immature and mature dendritic
cells), Langerhans cells, interdigitating cells, follicular dendritic cells. Dendritic
cells may be recognized by function, or by phenotype, particularly by cell surface
phenotype. These cells are characterized by their distinctive morphology having veillike
projections on the cell surface, intermediate to high levels of surface HLA-class
II expression and ability to present antigen to T cells, particularly to naive T cells
(See
Steinman R, et al., Ann. Rev. Immunol. 1991; 9:271-196.). Typically, cell surface phenotype of DCs include CD1a+, CD4+, CD86+, or HLA-DR.
The term DCs encompasses both immature and mature DCs.
[0196] According to specific embodiments, the immune cells comprise granulocytes.
[0197] As used herein, the tern "granulocytes" refer to polymorphonuclear leukocytes characterized
by the presence of granules in their cytoplasm.
[0198] According to specific embodiments, the granulocytes comprise neutrophils.
[0199] According to specific embodiments, the granulocytes comprise mast-cells.
[0200] According to specific embodiments the immune cells comprise T cells.
[0201] As used herein, the term "T cells" refers to a differentiated lymphocyte with a CD3+,
T cell receptor (TCR)+ having either CD4+ or CD8+ phenotype. The T cell may be either
an effector or a regulatory T cell.
[0202] As used herein, the term "effector T cells" refers to a T cell that activates or
directs other immune cells e.g. by producing cytokines or has a cytotoxic activity
e.g., CD4+, Th1/Th2, CD8+ cytotoxic T lymphocyte.
[0203] As used herein, the term "regulatory T cell" or "Treg" refers to a T cell that negatively
regulates the activation of other T cells, including effector T cells, as well as
innate immune system cells. Treg cells are characterized by sustained suppression
of effector T cell responses. According to a specific embodiment, the Treg is a CD4+CD25+Foxp3+
T cell.
[0204] According to specific embodiments, the T cells are CD4+ T cells.
[0205] According to other specific embodiments, the T cells are CD8+ T cells.
[0206] According to specific embodiments, the T cells are memory T cells. Non-limiting examples
of memory T cells include effector memory CD4+ T cells with a CD3+/CD4+/CD45RA-/CCR7-phenotype,
central memory CD4+ T cells with a CD3+/CD4+/CD45RA-/CCR7+ phenotype, effector memory
CD8+ T cells with a CD3+/CD8+ CD45RA-/CCR7-phenotype and central memory CD8+ T cells
with a CD3+/CD8+ CD45RA-/CCR7+ phenotype.
[0207] According to specific embodiments, the T cells comprise engineered T cells transduced
with a nucleic acid sequence encoding an expression product of interest.
[0208] According to specific embodiments, the expression product of interest is a T cell
receptor (TCR) or a chimeric antigen receptor (CAR).
[0211] According to specific embodiments, the immune cells comprise B cells.
[0212] As used herein the term "B cells" refers to a lymphocyte with a B cell receptor (BCR)+,
CD19+ and or B220+ phenotype. B cells are characterized by their ability to bind a
specific antigen and elicit a humoral response.
[0213] According to specific embodiments, the immune cells comprise NK cells.
[0214] As used herein the term "NK cells" refers to differentiated lymphocytes with a CD16+
CD56+ and/or CD57+ TCR- phenotype. NK are characterized by their ability to bind to
and kill cells that fail to express "self' MHC/HLA antigens by the activation of specific
cytolytic enzymes, the ability to kill tumor cells or other diseased cells that express
a ligand for NK activating receptors, and the ability to release protein molecules
called cytokines that stimulate or inhibit the immune response.
[0215] According to specific embodiments, the immune cells comprise NKT cells.
[0216] As used herein the term "NKT cells" refers to a specialized population of T cells
that express a semi-invariant αβ T-cell receptor, but also express a variety of molecular
markers that are typically associated with NK cells, such as NK1.1. NKT cells include
NK1.1+ and NK1.1-, as well as CD4+, CD4-, CD8+ and CD8- cells. The TCR on NKT cells
is unique in that it recognizes glycolipid antigens presented by the MHC I-like molecule
CD1d. NKT cells can have either protective or deleterious effects due to their abilities
to produce cytokines that promote either inflammation or immune tolerance.
[0217] According to specific embodiments, the immune cells are obtained from a healthy subject.
[0218] According to specific embodiments, the immune cells are obtained from a subject suffering
from a pathology.
[0219] According to specific embodiments, the activating is in the presence of cells expressing
PD-L1 or exogenous PD-L1.
[0220] According to specific embodiments, the activating is in the presence of exogenous
PD-L1,
[0221] According to specific embodiments, the exogenous PD-L1 is soluble.
[0222] According to other specific embodiments, the exogenous PD-L1 is immobilized to a
solid support.
[0223] According to specific embodiments, the activating is in the presence of cells expressing
PD-L1.
[0224] According to specific embodiments, the cells expressing the PD-L1 comprise pathologic
(diseased) cells.
[0225] According to specific embodiments, the cells expressing the PD-L1 comprise cancer
cells.
[0226] According to aspects of the disclosure, the activating is in the presence of a stimulatory
agent capable of at least transmitting a primary activating signal [e.g. ligation
of the T-Cell Receptor (TCR) with the Major Histocompatibility Complex (MHC)/peptide
complex on the Antigen Presenting Cell (APC)] resulting in cellular proliferation,
maturation, cytokine production, phagocytosis and/or induction of regulatory or effector
functions of the immune cell. According to specific embodiments, the stimulator agent
can also transmit a secondary co-stimulatory signal.
[0227] Methods of determining the amount of the stimulatory agent and the ratio between
the stimulatory agent and the immune cells are well within the capabilities of the
skilled in the art and thus are not specified herein.
[0228] The stimulatory agent can activate the immune cells in an antigen-dependent or -independent
(i.e. polyclonal) manner.
[0229] According to aspects of the disclosure, stimulatory agent comprises an antigen non-specific
stimulator.
[0230] Non-specific stimulator are known to the skilled in the art. Thus, as a non-limiting
example, when the immune cells comprise T cells, antigen non-specific stimulator can
be an agent capable of binding to a T cell surface structure and induce the polyclonal
stimulation of the T cell, such as but not limited to anti-CD3 antibody in combination
with a co-stimulatory protein such as anti-CD28 antibody. Other non-limiting examples
include anti-CD2, anti-CD137, anti-CD134, Notch-ligands, e.g. Delta-like 1/4, Jaggedl/2
either alone or in various combinations with anti-CD3. Other agents that can induce
polyclonal stimulation of T cells include, but not limited to mitogens, PHA, PMA-ionomycin,
CEB and CytoStim (Miltenyi Biotech). According to specific embodiments, the antigen
non-specific stimulator comprises anti-CD3 and anti-CD28 antibodies. According to
specific embodiments, the T cell stimulator comprises anti-CD3 and anti-CD28 coated
beads, such as the CD3CD28 MACSiBeads obtained from Miltenyi Biotec.
[0231] According to aspects of the disclosure, the stimulatory agent comprises an antigen-specific
stimulator.
[0232] Non-limiting examples of antigen specific T cell stimulators include an antigen-loaded
antigen presenting cell [APC, e.g. dendritic cell] and peptide loaded recombinant
MHC. Thus, for example, a T cells stimulator can be a dendritic cell preloaded with
a desired antigen (e.g. a tumor antigen) or transfected with mRNA coding for the desired
antigen.
[0233] According to aspects of the disclosure, the antigen is a cancer antigen.
[0234] As used herein, the term "cancer antigen" refers to an antigen is overexpressed or
solely expressed by a cancerous cell as compared to a non-cancerous cell. A cancer
antigen may be a known cancer antigen or a new specific antigen that develops in a
cancer cell (i.e. neoantigens).
[0235] Non-limiting examples for known cancer antigens include MAGE-AI, MAGE-A2, MAGE-A3,
MAGE-A4, MAGE-AS, MAGE-A6, MAGE-A7, MAGE-AS, MAGE-A9, MAGE-AIO, MAGE-A11, MAGE-A12,
GAGE-I, GAGE-2, GAGE-3, GAGE-4, GAGE-5, GAGE-6, GAGE-7, GAGE-8, BAGE-1, RAGE- 1, LB33/MUM-1,
PRAME, NAG, MAGE-Xp2 (MAGE-B2), MAGE-Xp3 (MAGE-B3), MAGE-Xp4 (MAGE-B4), MAGE- C1/CT7,
MAGE-C2, NY-ES0-1, LAGE-1, SSX-1, SSX-2(HOM-MEL-40), SSX-3, SSX-4, SSX-5, SCP-1 and
XAGE, melanocyte differentiation antigens, p53, ras, CEA, MUCI, PMSA, PSA, tyrosinase,
Melan-A, MART-I, gplOO, gp75, alphaactinin-4, Bcr-Abl fusion protein, Casp-8, beta-catenin,
cdc27, cdk4, cdkn2a, coa-1, dek-can fusion protein, EF2, ETV6-AML1 fusion protein,
LDLR-fucosyltransferaseAS fusion protein, HLA-A2, HLA-All, hsp70-2, KIAA0205, Mart2,
Mum-2, and 3, neo-PAP, myosin class I, OS-9, pml-RAR alpha fusion protein, PTPRK,
K-ras, N-ras, Triosephosphate isomerase, GnTV, Herv-K-mel, NA-88, SP17, and TRP2-Int2,
(MART-I), E2A-PRL, H4-RET, IGH-IGK, MYL-RAR, Epstein Barr virus antigens, EBNA, human
papillomavirus (HPV) antigens E6 and E7, TSP-180, MAGE-4, MAGE-5, MAGE-6, p185erbB2,
plSOerbB-3, c-met, nm-23Hl, PSA, TAG-72-4, CA 19-9, CA 72-4, CAM 17.1, NuMa, K-ras,
alpha.-fetoprotein, 13HCG, BCA225, BTAA, CA 125, CA 15-3 (CA 27.29\BCAA), CA 195,
CA 242, CA-50, CAM43, CD68\KP1, C0-029, FGF-5, 0250, Ga733 (EpCAM), HTgp-175, M344,
MA-50, MG7-Ag, MOV18, NB\170K, NYCO-I, RCASI, SDCCAG16, TA-90 (Mac-2 binding protein\cyclophilin
C-associated protein), TAAL6, TAG72, TLP, TPS, tyrosinase related proteins, TRP-1,
or TRP-2.
[0237] Alternatively, or additionally, a tumor antigen may be identified using cancer cells
obtained from the subject by e.g. biopsy.
[0238] According to aspects of the disclosure, the stimulatory agent comprises a cancer
cell.
[0239] According to aspects of the disclosure, the activating is in the presence of an anti-cancer
agent.
[0240] According to specific embodiments, the immune cells are purified following the activation.
[0241] Thus, the present invention also contemplated isolated immune cells obtainable according
to the methods of the present invention.
[0242] According to specific embodiments, the immune cells used and/or obtained according
to the present invention can be freshly isolated, stored e.g., cryopreserved (i.e.
frozen) at e.g. liquid nitrogen temperature at any stage for long periods of time
(e.g., months, years) for future use; and cell lines.
[0243] Methods of cryopreservation are commonly known by one of ordinary skill in the art
and are disclosed e.g. in International Patent Application Publication Nos.
WO2007054160 and
WO 2001039594 and US Patent Application Publication No.
US20120149108.
[0244] According to specific embodiments, the cells obtained according to the present invention
can be stored in a cell bank or a depository or storage facility.
[0245] Consequently, the present teachings further suggest the use of the isolated immune
cells and the methods of the present invention as, but not limited to, a source for
adoptive immune cells therapies for diseases that can benefit from activating immune
cells e.g. a hyper-proliferative disease; a disease associated with immune suppression
and infections.
[0246] Thus, according to aspects of the disclosure, a method of the present disclosure
comprise adoptively transferring the immune cells following said activating to a subject
in need thereof.
[0247] According to aspects of the disclosure, there is provided the immune cells obtainable
according to the methods of the present disclosure are for use in adoptive cell therapy.
[0248] The cells used according to specific embodiments of the present invention may be
autologous or non-autologous; they can be syngeneic or non-syngeneic: allogeneic or
xenogeneic to the subject; each possibility represents a separate embodiment of the
present invention.
[0249] The present teachings also contemplates the use of the compositions of the present
invention (e.g. the fusion protein, a polynucleotide or nucleic acid construct encoding
same or a host cell expressing same) in methods of treating a disease that can benefit
from activating immune cells.
[0250] Thus, according to another aspect of the present disclosure , there is provided a
method of treating a disease that can benefit from activating immune cells comprising
administering to a subject in need thereof the PD1-41BBL fusion protein, a polynucleotide
or nucleic acid construct encoding same or a host cell encoding same.
[0251] According to aspects of the disclosure, there is provided the PD1-41BBL fusion protein,
a polynucleotide or nucleic acid construct encoding same or a host cell encoding same
for use in the treatment of a disease that can benefit from activating immune cells.
[0252] According to the claimed invention, treatment relates to the use of a fusion protein
as described herein to treat cancer.
[0253] The term "treating" or "treatment" refers to inhibiting, preventing or arresting
the development of a pathology (disease, disorder or medical condition) and/or causing
the reduction, remission, or regression of a pathology or a symptom of a pathology.
Those of skill in the art will understand that various methodologies and assays can
be used to assess the development of a pathology, and similarly, various methodologies
and assays may be used to assess the reduction, remission or regression of a pathology.
[0254] As used herein, the term "subject" includes mammals, e.g., human beings at any age
and of any gender. According to specific embodiments, the term "subject" refers to
a subject who suffers from the pathology (disease, disorder or medical condition).
According to specific embodiments, this term encompasses individuals who are at risk
to develop the pathology.
[0255] According to specific embodiments, the subject is afflicted with a disease associated
with cells expressing PD-L1.
[0256] According to specific embodiments,diseased cells of the subject express PD-L1.
[0257] As used herein the phrase "a disease that can benefit from activating immune cells"
refers to diseases in which the subject's immune response activity may be sufficient
to at least ameliorate symptoms of the disease or delay onset of symptoms, however
for any reason the activity of the subject's immune response in doing so is less than
optimal.
[0258] Non-limiting examples of diseases that can benefit from activating immune cells include
hyper-proliferative diseases, diseases associated with immune suppression, immunosuppression
caused by medication (e.g. mTOR inhibitors, calcineurin inhibitor, steroids) and infections.
According to aspects of the disclosure, the disease comprises a hyper-proliferative
disease. According to aspects of the disclosure, the hyper-proliferative disease comprises
sclerosis, fibrosis, Idiopathic pulmonary fibrosis, psoriasis, systemic sclerosis/scleroderma,
primary biliary cholangitis, primary sclerosing cholangitis, liver fibrosis, prevention
of radiation-induced pulmonary fibrosis, myelofibrosis or retroperitoneal fibrosis.
[0259] According to the claimed invention, the hyper-proliferative disease comprises cancer.
[0260] Thus, according to another aspect of the present invention, there is provided a method
of treating cancer comprising administering the PD1-41BBL fusion protein to a subject
in need thereof.
[0261] As used herein, the term cancer encompasses both malignant and pre-malignant cancers.
[0262] With regard to pre-malignant or benign forms of cancer, optionally the compositions
and methods thereof may be applied for halting the progression of the pre-malignant
cancer to a malignant form.
[0263] Cancers which can be treated by the methods of some embodiments of the invention
can be any solid or non-solid cancer and/or cancer metastasis.
[0264] According to specific embodiments, the cancer comprises malignant cancer.
[0265] Cancers which can be treated by the methods of some embodiments of the invention
can be any solid or non-solid cancer and/or cancer metastasis. Examples of cancer
include but are not limited to, carcinoma, lymphoma, blastoma, sarcoma, and leukemia.
More particular examples of such cancers include squamous cell cancer, lung cancer
(including small-cell lung cancer, non-small-cell lung cancer, adenocarcinoma of the
lung, and squamous carcinoma of the lung), cancer of the peritoneum, hepatocellular
cancer, gastric or stomach cancer (including gastrointestinal cancer), pancreatic
cancer, glioblastoma, cervical cancer, ovarian cancer, liver cancer, bladder cancer,
hepatoma, breast cancer, colon cancer, colorectal cancer, endometrial or uterine carcinoma,
salivary gland carcinoma, kidney or renal cancer, liver cancer, prostate cancer, vulval
cancer, thyroid cancer, hepatic carcinoma and various types of head and neck cancer,
as well as B-cell lymphoma (including low grade/follicular non-Hodgkin's lymphoma
(NHL); small lymphocytic (SL) NHL; intermediate grade/follicular NHL; intermediate
grade diffuse NHL; high grade immunoblastic NHL; Burkitt lymphoma, Diffused large
B cell lymphoma (DLBCL), high grade lymphoblastic NHL; high-grade small non-cleaved
cell NHL; bulky disease NHL; mantle cell lymphoma; AIDS-related lymphoma; and Waldenstrom's
Macroglobulinemia); T cell lymphoma, Hodgkin lymphoma, chronic lymphocytic leukemia
(CLL); acute lymphoblastic leukemia (ALL); Acute myeloid leukemia (AML), Acute promyelocytic
leukemia (APL), Hairy cell leukemia; chronic myeloblastic leukemia (CML); and post-transplant
lymphoproliferative disorder (PTLD), as well as abnormal vascular proliferation associated
with phakomatoses, edema (such as that associated with brain tumors), and Meigs' syndrome.
Preferably, the cancer is selected from the group consisting of breast cancer, colorectal
cancer, rectal cancer, non-small cell lung cancer, non-Hodgkins lymphoma (NHL), renal
cell cancer, prostate cancer, liver cancer, pancreatic cancer, soft-tissue sarcoma,
Kaposi's sarcoma, carcinoid carcinoma, head and neck cancer, melanoma, ovarian cancer,
mesothelioma, and multiple myeloma. The cancerous conditions amenable for treatment
of the invention include metastatic cancers.
[0266] According to specific embodiments, the cancer comprises pre-malignant cancer.
[0267] Pre-malignant cancers (or pre-cancers) are well characterized and known in the art
(refer, for example, to
Berman JJ. and Henson DE., 2003. Classifying the precancers: a metadata approach.
BMC Med Inform Decis Mak. 3:8). Classes of pre-malignant cancers amenable to treatment via the method of the invention
include acquired small or microscopic pre-malignant cancers, acquired large lesions
with nuclear atypia, precursor lesions occurring with inherited hyperplastic syndromes
that progress to cancer, and acquired diffuse hyperplasias and diffuse metaplasias.
Examples of small or microscopic pre-malignant cancers include HGSIL (High grade squamous
intraepithelial lesion of uterine cervix), AIN (anal intraepithelial neoplasia), dysplasia
of vocal cord, aberrant crypts (of colon), PIN (prostatic intraepithelial neoplasia).
Examples of acquired large lesions with nuclear atypia include tubular adenoma, AILD
(angioimmunoblastic lymphadenopathy with dysproteinemia), atypical meningioma, gastric
polyp, large plaque parapsoriasis, myelodysplasia, papillary transitional cell carcinoma
in-situ, refractory anemia with excess blasts, and Schneiderian papilloma. Examples
of precursor lesions occurring with inherited hyperplastic syndromes that progress
to cancer include atypical mole syndrome, C cell adenomatosis and MEA. Examples of
acquired diffuse hyperplasias and diffuse metaplasias include AIDS, atypical lymphoid
hyperplasia, Paget's disease of bone, post-transplant lymphoproliferative disease
and ulcerative colitis.
[0268] In some embodiments of the invention, the diseases to be treated by a fusion protein
comprising PD1 and 41BBL such as for example, PD1- G - 41BBL are:
Acute Myeloid Leukemia, Anal Cancer, Basal Cell Carcinoma, B-Cell Non-Hodgkin Lymphoma,
Bile Duct Cancer, Bladder Cancer, Breast Cancer, Cervical Cancer, Chronic Lymphocytic
Leukemia (CLL), Chronic Myelocytic Leukemia (CML), Colorectal Cancer, Cutaneous T-Cell
Lymphoma, Diffuse Large B-Cell Lymphoma, Endometrial Cancer, Esophageal Cancer, Fallopian
Tube Cancer, Follicular Lymphoma, Gastric Cancer, Gastroesophageal (GE) Junction Carcinomas,
Germ Cell Tumors, Germinomatous (Seminomatous), Germ Cell Tumors, Glioblastoma Multiforme
(GBM), Gliosarcoma, Head And Neck Cancer, Hepatocellular Carcinoma, Hodgkin Lymphoma,
Hypopharyngeal Cancer, Laryngeal Cancer, Leiomyosarcoma, Mantle Cell Lymphoma, Melanoma,
Merkel Cell Carcinoma, Multiple Myeloma, Neuroendocrine Tumors, Non-Hodgkin Lymphoma,
Non-Small Cell Lung Cancer, Oral Cavity (Mouth) Cancer, Oropharyngeal Cancer, Osteosarcoma,
Ovarian Cancer, Pancreatic Cancer, Peripheral Nerve Sheath Tumor (Neurofibrosarcoma),
Peripheral T-Cell Lymphomas (PTCL), Peritoneal Cancer, Prostate Cancer, Renal Cell
Carcinoma, Salivary Gland Cancer, Skin Cancer, Small-Cell Lung Cancer, Soft Tissue
Sarcoma, Squamous Cell Carcinoma, Synovial Sarcoma, Testicular Cancer, Thymic Carcinoma,
Thyroid Cancer, Ureter Cancer, Urethral Cancer, Uterine Cancer, Vaginal Cancer, Vulvar
Cancer.
[0269] According to some embodiments of the invention the diseases to be treated by a fusion
protein comprising PD1 and 41BBL such as for example, PD1- G - 41BBL are: Acute myeloid
leukemia, Bladder Cancer, Breast Cancer, chronic lymphocytic leukemia, Chronic myelogenous
leukemia, Colorectal cancer, Diffuse large B-cell lymphoma, Epithelial Ovarian Cancer,
Epithelial Tumor, Fallopian Tube Cancer, Follicular Lymphoma, Glioblastoma multiform,
Hepatocellular carcinoma, Head and Neck Cancer, Leukemia, Lymphoma, Mantle Cell Lymphoma,
Melanoma, Mesothelioma, Multiple Myeloma, Nasopharyngeal Cancer, Non Hodgkin lymphoma,
Non-small-cell lung carcinoma, Ovarian Cancer, Prostate Cancer, Renal cell carcinoma.
[0270] According to specific embodiments, the cancer is selected from the group consisting
of lymphoma, leukemia, colon cancer, pancreatic cancer, ovarian cancer, lung cancer
and squamous cell carcinoma.
[0271] According to specific embodiments, the cancer is selected from the group consisting
of lymphoma, carcinoma and leukemia.
[0272] According to specific embodiments, the cancer is colon carcinoma.
[0273] According to specific embodiments, the cancer is ovarian carcinoma.
[0274] According to specific embodiments, the cancer is lung carcinoma.
[0275] According to specific embodiments, the cancer is head and neck carcinoma.
[0276] According to specific embodiments, the cancer is leukemia.
[0277] According to specific embodiments, the leukemia is selected from the group consisting
of acute nonlymphocytic leukemia, chronic lymphocytic leukemia, acute granulocytic
leukemia, chronic granulocytic leukemia, acute promyelocytic leukemia, adult T-cellleukemia,
aleukemic leukemia, a leukocythemic leukemia, basophylic leukemia, blast cell leukemia,
bovine leukemia, chronic myelocytic leukemia, leukemia cutis, embryonal leukemia,
eosinophilic leukemia, ()ross' leukemia, hairy-cell leukemia, hemoblastic leukemia,
hemocytoblastic leukemia, histiocytic leukemia, stem cell leukemia, acute monocytic
leukemia, leukopenic leukemia, lymphatic leukemia, lymphoblastic leukemia, lymphocytic
leukemia, lymphogenous leukemia, lymphoid leukemia, lymphosarcoma cell leukemia, mast
cell leukemia, megakaryocytic leukemia, micromyeloblastic leukemia, monocytic leukemia,
myeloblastic leukemia, myelocytic leukemia, myeloid granulocytic leukemia, myelomonocytic
leukemia, Naegeli leukemia, plasma cell leukemia, plasmacytic leukemia, promyelocytic
leukemia, Rieder cell leukemia, Schilling's leukemia, stem cell leukemia, subleukemic
leukemia, and undifferentiated cell leukemia.
[0278] According to specific embodiments, the leukemia is promyelocytic leukemia, acute
myeloid leukemia or chronic myelogenous leukemia.
[0279] According to specific embodiments, the cancer is lymphoma.
[0280] According to specific embodiments, the lymphoma is B cell lymphoma
[0281] According to specific embodiments, the lymphoma is T cell lymphoma.
[0282] According to other specific embodiments, the lymphoma is Hodgkins lymphoma.
[0283] According to specific embodiments, the lymphoma is non-Hodgkins lymphoma.
[0284] According to specific embodiments, the non-Hodgkin's Lymphoma is a selected from
the group consisting of aggressive NHL, transformed NHL, indolent NHL, relapsed NHL,
refractory NHL, low grade non-Hodgkin's Lymphoma, follicular lymphoma, large cell
lymphoma, B-cell lymphoma, T-cell lymphoma, Mantle cell lymphoma, Burkitt's lymphoma,
NK cell lymphoma, diffuse large B-cell lymphoma, acute lymphoblastic lymphoma, and
cutaneous T cell cancer, including mycosos fungoides/Sezry syndrome.
[0285] According to specific embodiments, the cancer is multiple myeloma.
[0286] According to at least some embodiments, the multiple myeloma is selected from the
group consisting of multiple myeloma cancers which produce light chains of kappa-type
and/or light chains of lambda-type; aggressive multiple myeloma, including primary
plasma cell leukemia (PCL); benign plasma cell disorders such as MGUS (monoclonal
gammopathy of undetermined significance), Waldenstrom's macroglobulinemia (WM, also
known as lymphoplasmacytic lymphoma) which may proceed to multiple myeloma; smoldering
multiple myeloma (SMM), indolent multiple myeloma, premalignant forms of multiple
myeloma which may also proceed to multiple myeloma; primary amyloidosis.
A suggested Mode of action of PD1-41BBL
[0287] According to the claimed invention, the chimera PD1-41BBL can be used for treating
of cancer via the following possible mode-of-action:
- Due to the relatively high expression of PDL1 on the surface of tumor cells and in
the tumor micro-environment, the PD1 moiety of the PD1-41BBL chimera will target the
molecule to tumor and metastasis sites, and will bind the chimera to PDL1 within the
tumor micro-environment.
- Targeting the chimera to the tumor cells or/and tumor micro-environment will facilitate
an increase in PD1-41BBL concentration in the tumor micro-environment and subsequent
oligomerization of the 41BBL moiety of the chimera at the tumor site. Since oligomerization
of 41BBL is a necessary step for 41BB signaling, this 41BBL binding and oligomerization
will deliver a 41BB co-stimulatory signal that will promote activation of T-cells,
B cells, NK cells, especially Tumor-Infiltrating Lymphocytes (TILs), and other immune
cells at the tumor site, to kill cancer cells.
- In addition to the 41BBL - 41BB co-stimulatory signal, the binding of the chimera's
PD1 moiety to PDL1 in the tumor site will compete with the endogenous PD1 expressed
on T cells, thus, removing the inhibition on T cells and further contributing to the
activation of TILs in the tumor micro-environment.
[0288] The above activities of PD1-41BBL are anticipated to lead to a synergistic effect
on the activation of TILs within the tumor micro-environment, which is expected to
be more specific and more robust effect as compared to the effect of each peptide
or ECD thereof separately, as well as when using the two different peptides or ECD
thereof in combination.
[0289] Thus, according to specific embodiments, the cancer is defined by the presence of
tumors that have tumor-infiltrating lymphocytes (TILs) in the tumor micro-environment
and/or tumors with expression of PDL1 in the tumor micro-environment.
[0290] Thus, according to specific embodiments, the cancer is defined by the presence of
tumors that have tumor-infiltrating lymphocytes (TILs) in the tumor micro-environment
and/or tumors with a relatively high expression of PDL1 in the tumor micro-environment.
[0291] According to specific embodiments, cells of the cancer express PD-L1.
[0292] According to aspects of the disclosure, the disease comprises a disease associated
with immune suppression or immunosuppression caused by medication (e.g. mTOR inhibitors,
calcineurin inhibitor, steroids).
[0293] According to aspects of the disclosure, the disease comprises HIV, Measles, influenza,
LCCM, RSV, Human Rhinoviruses, EBV, CMV or Parvo viruses.
[0294] According to aspects of the disclosure, the disease comprises an infection.
[0295] As used herein, the term "infection" or "infectious disease" refers to a disease
induced by a pathogen. Specific examples of pathogens include, viral pathogens, bacterial
pathogens e.g., intracellular mycobacterial pathogens (such as, for example, Mycobacterium
tuberculosis), intracellular bacterial pathogens (such as, for example, Listeria monocytogenes),
or intracellular protozoan pathogens (such as, for example, Leishmania and Trypanosoma).
[0296] Specific types of viral pathogens causing infectious diseases treatable according
to the teachings of the present invention include, but are not limited to, retroviruses,
circoviruses, parvoviruses, papovaviruses, adenoviruses, herpesviruses, iridoviruses,
poxviruses, hepadnaviruses, picornaviruses, caliciviruses, togaviruses, flaviviruses,
reoviruses, orthomyxoviruses, paramyxoviruses, rhabdoviruses, bunyaviruses, coronaviruses,
arenaviruses, and filoviruses.
[0297] Specific examples of viral infections which may be treated according to the teachings
of the present invention include, but are not limited to, human immunodeficiency virus
(HIV)-induced acquired immunodeficiency syndrome (AIDS), influenza, rhinoviral infection,
viral meningitis, Epstein-Barr virus (EBV) infection, hepatitis A, B or C virus infection,
measles, papilloma virus infection/warts, cytomegalovirus (CMV) infection, Herpes
simplex virus infection, yellow fever, Ebola virus infection, rabies, etc.
[0298] According to specific embodiments, the compositions of the present invention (e.g.
PD1-41BBL fusion protein
can be administered to a subject in combination with other established or experimental
therapeutic regimen to treat a disease that can benefit from activating immune cells
(e.g. cancer) including, but not limited to analgesics, chemotherapeutic agents, radiotherapeutic
agents, cytotoxic therapies (conditioning), hormonal therapy, antibodies and other
treatment regimens (e.g., surgery) which are well known in the art.
[0299] According to specific embodiments, the compositions of the present invention (e.g.
PD1-41BBL fusion protein
can be administered to a subject in combination with adoptive cell transplantation
such as, but not limited to transplantation of bone marrow cells, hematopoietic stem
cells, PBMCs, cord blood stem cells and/or induced pluripotent stem cells.
[0300] According to specific embodiments, the therapeutic agent administered in combination
with the composition of the invention comprises an anti-cancer agent.
[0301] Thus, according to another aspect of the present invention, there is provided a method
of treating cancer comprising administering to a subject in need thereof an anti-cancer
agent; and a PD1-41BBL fusion protein
[0302] Anti-cancer agent that can be use with specific embodiments of the invention include,
but are not limited to the anti-cancer drugs Acivicin; Aclarubicin; Acodazole Hydrochloride;
Acronine; Adriamycin; Adozelesin; Aldesleukin; Altretamine; Ambomycin; Ametantrone
Acetate; Aminoglutethimide; Amsacrine; Anastrozole; Anthramycin; Asparaginase; Asperlin;
Azacitidine; Azetepa; Azotomycin; Batimastat; Benzodepa; Bicalutamide; Bisantrene
Hydrochloride; Bisnafide Dimesylate; Bizelesin; Bleomycin Sulfate; Brequinar Sodium;
Bropirimine; Busulfan; Cactinomycin; Calusterone; Caracemide; Carbetimer; Carboplatin;
Carmustine; Carubicin Hydrochloride; Carzelesin; Cedefingol; Chlorambucil; Cirolemycin;
Cisplatin; Cladribine; Crisnatol Mesylate; Cyclophosphamide; Cytarabine; Dacarbazine;
Dactinomycin; Daunorubicin Hydrochloride; Decitabine; Dexormaplatin; Dezaguanine;
Dezaguanine Mesylate; Diaziquone; Docetaxel; Doxorubicin; Doxorubicin Hydrochloride;
Droloxifene; Droloxifene Citrate; Dromostanolone Propionate; Duazomycin; Edatrexate;
Eflornithine Hydrochloride; Elsamitrucin; Enloplatin; Enpromate; Epipropidine; Epirubicin
Hydrochloride; Erbulozole; Esorubicin Hydrochloride; Estramustine; Estramustine Phosphate
Sodium; Etanidazole; Etoposide; Etoposide Phosphate; Etoprine; Fadrozole Hydrochloride;
Fazarabine; Fenretinide; Floxuridine; Fludarabine Phosphate; Fluorouracil; Flurocitabine;
Fosquidone; Fostriecin Sodium; Gemcitabine; Gemcitabine Hydrochloride; Hydroxyurea;
Idarubicin Hydrochloride; Ifosfamide; Ilmofosine; Interferon Alfa-2a; Interferon Alfa-2b;
Interferon Alfa-n1; Interferon Alfa-n3; Interferon Beta- I a; Interferon Gamma- I
b; Iproplatin; Irinotecan Hydrochloride; Lanreotide Acetate; Letrozole; Leuprolide
Acetate; Liarozole Hydrochloride; Lometrexol Sodium; Lomustine; Losoxantrone Hydrochloride;
Masoprocol; Maytansine; Mechlorethamine Hydrochloride; Megestrol Acetate; Melengestrol
Acetate; Melphalan; Menogaril; Mercaptopurine; Methotrexate; Methotrexate Sodium;
Metoprine; Meturedepa; Mitindomide; Mitocarcin; Mitocromin; Mitogillin; Mitomalcin;
Mitomycin; Mitosper; Mitotane; Mitoxantrone Hydrochloride; Mycophenolic Acid; Nocodazole;
Nogalamycin; Ormaplatin; Oxisuran; Paclitaxel; Pegaspargase; Peliomycin; Pentamustine;
Peplomycin Sulfate; Perfosfamide; Pipobroman; Piposulfan; Piroxantrone Hydrochloride;
Plicamycin; Plomestane; Porfimer Sodium; Porfiromycin; Prednimustine; Procarbazine
Hydrochloride; Puromycin; Puromycin Hydrochloride; Pyrazofurin; Riboprine; Rogletimide;
Safingol; Safingol Hydrochloride; Semustine; Simtrazene; Sparfosate Sodium; Sparsomycin;
Spirogermanium Hydrochloride; Spiromustine; Spiroplatin; Streptonigrin; Streptozocin;
Sulofenur; Talisomycin; Taxol; Tecogalan Sodium; Tegafur; Teloxantrone Hydrochloride;
Temoporfin; Teniposide; Teroxirone; Testolactone; Thiamiprine; Thioguanine; Thiotepa;
Tiazofuirin; Tirapazamine; Topotecan Hydrochloride; Toremifene Citrate; Trestolone
Acetate; Triciribine Phosphate; Trimetrexate; Trimetrexate Glucuronate; Triptorelin;
Tubulozole Hydrochloride; Uracil Mustard; Uredepa; Vapreotide; Verteporfin; Vinblastine
Sulfate; Vincristine Sulfate; Vindesine; Vindesine Sulfate; Vinepidine Sulfate; Vinglycinate
Sulfate; Vinleurosine Sulfate; Vinorelbine Tartrate; Vinrosidine Sulfate; Vinzolidine
Sulfate; Vorozole; Zeniplatin; Zinostatin; Zorubicin Hydrochloride. Additional antineoplastic
agents include those disclosed in
Chapter 52, Antineoplastic Agents (Paul Calabresi and Bruce A. Chabner), and the introduction thereto,
1202-1263, of Goodman and Gilman's "The Pharmacological Basis of Therapeutics", Eighth
Edition, 1990, McGraw-Hill, Inc. (Health Professions Division).
[0303] According to specific embodiments, the anti-cancer agent comprises an antibody.
[0304] According to specific embodiments, the antibody is selected from the group consisting
rituximab, cetuximab, trastuzumab, edrecolomab, alemtuzumab, gemtuzumab, ibritumomab,
panitumumab Belimumab, Bevacizumab, Bivatuzumab mertansine, Blinatumomab, Blontuvetmab,
Brentuximab vedotin, Catumaxomab, Cixutumumab, Daclizumab, Adalimumab, Bezlotoxumab,
Certolizumab pegol, Citatuzumab bogatox, Daratumumab, Dinutuximab, Elotuzumab, Ertumaxomab,
Etaracizumab, Gemtuzumab ozogamicin, Girentuximab, Necitumumab, Obinutuzumab, Ofatumumab,
Pertuzumab, Ramucirumab, Siltuximab, Tositumomab, Trastuzumab and ipilimumab.
[0305] According to specific embodiments, the antibody is selected from the group consisting
of rituximab and cetuximab.
[0306] According to specific embodiments, the therapeutic agent administered in combination
with the composition of the invention comprises an anti-infection agent (e.g. antibiotics
and anti-viral agents)
[0307] According to specific embodiments, the therapeutic agent administered in combination
with the composition of the invention comprises an immune suppressor agent (e.g. GCSF
and other bone marrow stimulators, steroids).
[0308] According to specific embodiments the combination therapy has an additive effect.
[0309] According to specific embodiments, the combination therapy has a synergistic effect.
[0310] According to aspects of the disclosure there is provided an article of manufacture
identified for the treatment of a disease that can benefit from activating immune
cells comprising a packaging material packaging a therapeutic agent for treating said
disease; and a PD1-41BBL fusion protein, a polynucleotide encoding same, a nucleic
acid construct encoding same or a host cell expressing same.
[0311] According to aspects of the disclosure, the therapeutic agent for treating said disease;
and a PD1-41BBL fusion protein, a polynucleotide encoding same, a nucleic acid construct
encoding same or a host cell expressing same are packages in separate containers.
[0312] According to aspects of the disclosure, the therapeutic agent for treating said disease;
and a PD1-41BBL fusion protein, a polynucleotide or a nucleic acid encoding same,
a nucleic acid construct encoding same or a host cell expressing same are packages
in a co-formulation.
[0313] As used herein, the term "amino acid derivative" or "derivative" refers to a group
derivable from a naturally or non-naturally occurring amino acid, as described and
exemplified herein. Amino acid derivatives are apparent to those of skill in the art
and include, but are not limited to, ester, amino alcohol, amino aldehyde, amino lactone,
and N-methyl derivatives of naturally and non-naturally occurring amino acids. In
an aspects of the disclosure, an amino acid derivative is provided as a substituent
of a compound described herein, wherein the substituent is -NH-G(Sc)-C(0)- Q or -OC(O)G(S
c)-Q, wherein Q is -SR, -NRR or alkoxyl, R is hydrogen or alkyl, S
c is a side chain of a naturally occurring or non-naturally occurring amino acid and
G is C
1-C
2 alkyl. In certain embodiments, G is Ci alkyl and Sc is selected from the group consisting
of hydrogen, alkyl, heteroalkyl, arylalkyl and heteroarylalkyl.
[0314] As used herein, the term "peptide", "polypeptide" or "protein, which are interchangeably
used herein, may be derived from a natural biological source, synthesized, or produced
by recombinant technology. It may be generated in any manner known in the art of peptide
or protein synthesis, including by chemical synthesis. For solid phase peptide synthesis,
a summary of the many techniques may be found in
J. M. Stewart and J. D. Young, Solid Phase Peptide Synthesis, W. H. Freeman Co. (San
Francisco), 1963 and
J. Meienhofer, Hormonal Proteins and Peptides, vol. 2, p. 46, Academic Press (New
York), 1973. For classical solution synthesis see
G. Schroder and K. Lupke, The Peptides, vol. 1, Academic Press (New York), 1965. One or more of the amino acids may be modified, for example, by the addition of
a chemical entity such as a carbohydrate group, a phosphate group, a farnesyl group,
an isofamesyt group, a fatty acid group, an acyl group (e.g., acetyl group), a linker
for conjugation, functionalization, or other known protecting/blocking groups. Modifications
to the peptide or protein can be introduced by gene synthesis, site-directed (e.g.,
PCR based) or random mutagenesis (e.g., EMS) by exonuclease deletion, by chemical
modification, or by fusion of polynucleotide sequences encoding a heterologous domain
or binding protein, for example.
[0315] As used herein, the term "peptide," may be fragments, derivatives, analogs, or variants
of the foregoing peptides, and any combination thereof. Fragments of peptides, as
that term or phrase is used herein, include proteolytic fragments, as well as deletion
fragments. Variants of peptides include fragments and peptides with altered amino
acid sequences due to amino acid substitutions, deletions, or insertions.
[0316] Variants may occur naturally or be non-naturally occurring. Examples include fusion
proteins, peptides having one or more residues chemically derivatized by reaction
of a functional side group, and peptides that contain one or more naturally occurring
amino acid derivatives of the twenty standard amino acids. These modifications may
also include the incorporation of D-amino acids, or other non-encoded amino-acids.
In one embodiment, none of the modifications should substantially interfere with the
desired biological activity of the peptide, fragment thereof. In another embodiment,
modifications may alter a characteristic of the peptide, fragment thereof, for instance
stability or half-life, without interfering with the desired biological activity of
the peptide, fragment thereof. In one embodiment, as used herein the terms "peptide"
and "protein" may be used interchangeably having all the same meanings and qualities.
[0317] In one embodiment, to facilitate recovery, the expressed coding sequence can be engineered
to encode the peptide of the present invention and fused cleavable moiety. In one
embodiment, a fusion protein can be designed so that the peptide can be readily isolated
by affinity chromatography; e.g., by immobilization on a column specific for the cleavable
moiety. In one embodiment, a cleavage site is engineered between the peptide and the
cleavable moiety and the peptide can be released from the chromatographic column by
treatment with an appropriate enzyme or agent that specifically cleaves the fusion
protein at this site [e.g., see
Booth et al., Immunol. Lett. 19:65-70 (1988); and
Gardella et al., J. Biol. Chem. 265:15854-15859 (1990)].
[0318] In one embodiment, each of the peptides that forms the fusion protein (also termed
here "the peptide") of the present invention can also be synthesized using in vitro
expression systems. In one embodiment, in vitro synthesis methods are well known in
the art and the components of the system are commercially available.
[0319] In one embodiment, production of a peptide of this invention is using recombinant
DNA technology. A "recombinant" peptide, or protein refers to a peptide, or protein
produced by recombinant DNA techniques; i.e., produced from cells transformed by an
exogenous DNA construct encoding the desired peptide or protein.
[0320] Thus, according to another aspect of the present disclosure there is provided an
isolated polynucleotide comprising a nucleic acid sequence encoding any of the above
described fusion proteins.
[0321] According to specific aspects, the polynucleotide comprises SEQ ID NO: 9.
[0322] According to specific aspects, the polynucleotide consists of SEQ ID NO: 9.
[0323] According to specific aspects, the polynucleotide is least about 70%, 75%, 80%, 85%,
90%, 95%, 96%, 97%, 98% or 99% homologous to the nucleic sequence as set forth in
SEQ ID No. 9.
[0324] As used herein the term "polynucleotide" refers to a single or double stranded nucleic
acid sequence which is isolated and provided in the form of an RNA sequence, a complementary
polynucleotide sequence (cDNA), a genomic polynucleotide sequence and/or a composite
polynucleotide sequences (e.g., a combination of the above).
[0325] To express exogenous PD1-41BBL in mammalian cells, a polynucleotide sequence encoding
PD1-41BBL is preferably ligated into a nucleic acid construct suitable for mammalian
cell expression. Such a nucleic acid construct includes a promoter sequence for directing
transcription of the polynucleotide sequence in the cell in a constitutive or inducible
manner.
[0326] Hence, according to specific aspects, there is provided nucleic acid construct comprising
the polynucleotide and a regulatory element for directing expression of said polynucleotide
in a host cell.
[0327] The nucleic acid construct (also referred to herein as an "expression vector") of
some embodiments of the invention includes additional sequences which render this
vector suitable for replication and integration in prokaryotes, eukaryotes, or preferably
both (e.g., shuttle vectors). In addition, a typical cloning vectors may also contain
a transcription and translation initiation sequence, transcription and translation
terminator and a polyadenylation signal. By way of example, such constructs will typically
include a 5' LTR, a tRNA binding site, a packaging signal, an origin of second-strand
DNA synthesis, and a 3' LTR or a portion thereof.
[0328] The nucleic acid construct of some aspects, typically includes a signal sequence
for secretion of the peptide from a host cell in which it is placed. Preferably the
signal sequence for this purpose is a mammalian signal sequence or the signal sequence
of the polypeptide variants of some embodiments of the invention.
[0329] Eukaryotic promoters typically contain two types of recognition sequences, the TATA
box and upstream promoter elements. The TATA box, located 25-30 base pairs upstream
of the transcription initiation site, is thought to be involved in directing RNA polymerase
to begin RNA synthesis. The other upstream promoter elements determine the rate at
which transcription is initiated.
[0330] Preferably, the promoter utilized by the nucleic acid construct of some aspects,
is active in the specific cell population transformed. Examples of cell type-specific
and/or tissue-specific promoters include promoters such as albumin that is liver specific
[
Pinkert et al., (1987) Genes Dev. 1:268-277], lymphoid specific promoters [
Calame et al., (1988) Adv. Immunol. 43:235-275]; in particular promoters of T-cell receptors [
Winoto et al., (1989) EMBO J. 8:729-733] and immunoglobulins; [
Banerji et al. (1983) Cell 33729-740], neuron-specific promoters such as the neurofilament promoter [
Byrne et al. (1989) Proc. Natl. Acad. Sci. USA 86:5473-5477], pancreas-specific promoters [
Edlunch et al. (1985) Science 230:912-916] or mammary gland-specific promoters such as the milk whey promoter (
U.S. Pat. No. 4,873,316 and
European Application Publication No. 264,166).
[0331] Enhancer elements can stimulate transcription up to 1,000 fold from linked homologous
or heterologous promoters. Enhancers are active when placed downstream or upstream
from the transcription initiation site. Many enhancer elements derived from viruses
have a broad host range and are active in a variety of tissues. For example, the SV40
early gene enhancer is suitable for many cell types. Other enhancer/promoter combinations
that are suitable for some embodiments of the invention include those derived from
polyoma virus, human or murine cytomegalovirus (CMV), the long term repeat from various
retroviruses such as murine leukemia virus, murine or Rous sarcoma virus and HIV.
See,
Enhancers and Eukaryotic Expression, Cold Spring Harbor Press, Cold Spring Harbor,
N.Y. 1983 .
[0332] In the construction of the expression vector, the promoter is preferably positioned
approximately the same distance from the heterologous transcription start site as
it is from the transcription start site in its natural setting. As is known in the
art, however, some variation in this distance can be accommodated without loss of
promoter function.
[0333] Polyadenylation sequences can also be added to the expression vector in order to
increase the efficiency of PD1-41BBL mRNA translation. Two distinct sequence elements
are required for accurate and efficient polyadenylation: GU or U rich sequences located
downstream from the polyadenylation site and a highly conserved sequence of six nucleotides,
AAUAAA, located 11-30 nucleotides upstream. Termination and polyadenylation signals
that are suitable for some embodiments of the invention include those derived from
SV40.
[0334] In addition to the elements already described, the expression vector of some aspects,
may typically contain other specialized elements intended to increase the level of
expression of cloned nucleic acids or to facilitate the identification of cells that
carry the recombinant DNA. For example, a number of animal viruses contain DNA sequences
that promote the extra chromosomal replication of the viral genome in permissive cell
types. Plasmids bearing these viral replicons are replicated episomally as long as
the appropriate factors are provided by genes either carried on the plasmid or with
the genome of the host cell.
[0335] The vector may or may not include a eukaryotic replicon. If a eukaryotic replicon
is present, then the vector is amplifiable in eukaryotic cells using the appropriate
selectable marker. If the vector does not comprise a eukaryotic replicon, no episomal
amplification is possible. Instead, the recombinant DNA integrates into the genome
of the engineered cell, where the promoter directs expression of the desired nucleic
acid.
[0336] The expression vector of some aspects, can further include additional polynucleotide
sequences that allow, for example, the translation of several proteins from a single
mRNA such as an internal ribosome entry site (IRES) and sequences for genomic integration
of the promoter-chimeric polypeptide.
[0337] It will be appreciated that the individual elements comprised in the expression vector
can be arranged in a variety of configurations. For example, enhancer elements, promoters
and the like, and even the polynucleotide sequence(s) encoding a PD1-41BBL can be
arranged in a "head-to-tail" configuration, may be present as an inverted complement,
or in a complementary configuration, as an anti-parallel strand. While such variety
of configuration is more likely to occur with non-coding elements of the expression
vector, alternative configurations of the coding sequence within the expression vector
are also envisioned.
[0338] Examples for mammalian expression vectors include, but are not limited to, pcDNA3,
pcDNA3.1(+/-), pGL3, pZeoSV2(+/-), pSecTag2, pDisplay, pEF/myc/cyto, pCMV/myc/cyto,
pCR3.1, pSinRep5, DH26S, DHBB, pNMT1, pNMT41, pNMT81, which are available from Invitrogen,
pCI which is available from Promega, pMbac, pPbac, pBK-RSV and pBK-CMV which are available
from Strategene, pTRES which is available from Clontech, and their derivatives.
[0339] Expression vectors containing regulatory elements from eukaryotic viruses such as
retroviruses can be also used. SV40 vectors include pSVT7 and pMT2. Vectors derived
from bovine papilloma virus include pBV-1MTHA, and vectors derived from Epstein Bar
virus include pHEBO, and p2O5. Other exemplary vectors include pMSG, pAV009/A+, pMTO10/A+,
pMAMneo-5, baculovirus pDSVE, and any other vector allowing expression of proteins
under the direction of the SV-40 early promoter, SV-40 later promoter, metallothionein
promoter, murine mammary tumor virus promoter, Rous sarcoma virus promoter, polyhedrin
promoter, or other promoters shown effective for expression in eukaryotic cells.
[0340] As described above, viruses are very specialized infectious agents that have evolved,
in many cases, to elude host defense mechanisms. Typically, viruses infect and propagate
in specific cell types. The targeting specificity of viral vectors utilizes its natural
specificity to specifically target predetermined cell types and thereby introduce
a recombinant gene into the infected cell. Thus, the type of vector used by some aspects,
will depend on the cell type transformed. The ability to select suitable vectors according
to the cell type transformed is well within the capabilities of the ordinary skilled
artisan and as such no general description of selection consideration is provided
herein. For example, bone marrow cells can be targeted using the human T cell leukemia
virus type I (HTLV-I) and kidney cells may be targeted using the heterologous promoter
present in the baculovirus Autographa californica nucleopolyhedrovirus (AcMNPV) as
described in
Liang CY et al., 2004 (Arch Virol. 149: 51-60).
[0341] Recombinant viral vectors are useful for in vivo expression of PD1-41BBL since they
offer advantages such as lateral infection and targeting specificity. Lateral infection
is inherent in the life cycle of, for example, retrovirus and is the process by which
a single infected cell produces many progeny virions that bud off and infect neighboring
cells. The result is that a large area becomes rapidly infected, most of which was
not initially infected by the original viral particles. This is in contrast to vertical-type
of infection in which the infectious agent spreads only through daughter progeny.
Viral vectors can also be produced that are unable to spread laterally. This characteristic
can be useful if the desired purpose is to introduce a specified gene into only a
localized number of targeted cells.
[0342] Various methods can be used to introduce the expression vector of some aspects,
into cells. Such methods are generally described in
Sambrook et al., Molecular Cloning: A Laboratory Manual, Cold Springs Harbor Laboratory,
New York (1989, 1992), in
Ausubel et al., Current Protocols in Molecular Biology, John Wiley and Sons, Baltimore,
Md. (1989),
Chang et al., Somatic Gene Therapy, CRC Press, Ann Arbor, Mich. (1995),
Vega et al., Gene Targeting, CRC Press, Ann Arbor Mich. (1995),
Vectors: A Survey of Molecular Cloning Vectors and Their Uses, Butterworths, Boston
Mass. (1988) and
Gilboa et at. [Biotechniques 4 (6): 504-512, 1986] and include, for example, stable or transient transfection, lipofection, electroporation
and infection with recombinant viral vectors. In addition, see
U.S. Pat. Nos. 5,464,764 and
5,487,992 for positive-negative selection methods.
[0343] Introduction of nucleic acids by viral infection offers several advantages over other
methods such as lipofection and electroporation, since higher transfection efficiency
can be obtained due to the infectious nature of viruses.
[0344] Currently preferred in vivo nucleic acid transfer techniques include transfection
with viral or non-viral constructs, such as adenovirus, lentivirus, Herpes simplex
I virus, or adeno-associated virus (AAV) and lipid-based systems. Useful lipids for
lipid-mediated transfer of the gene are, for example, DOTMA, DOPE, and DC-Chol [
Tonkinson et al., Cancer Investigation, 14(1): 54-65 (1996)]. The most preferred constructs for use in gene therapy are viruses, most preferably
adenoviruses, AAV, lentiviruses, or retroviruses. A viral construct such as a retroviral
construct includes at least one transcriptional promoter/enhancer or locus-defining
element(s), or other elements that control gene expression by other means such as
alternate splicing, nuclear RNA export, or post-translational modification of messenger.
Such vector constructs also include a packaging signal, long terminal repeats (LTRs)
or portions thereof, and positive and negative strand primer binding sites appropriate
to the virus used, unless it is already present in the viral construct. In addition,
such a construct typically includes a signal sequence for secretion of the peptide
from a host cell in which it is placed. Preferably the signal sequence for this purpose
is a mammalian signal sequence or the signal sequence of the polypeptide variants
of some embodiments of the invention. Optionally, the construct may also include a
signal that directs polyadenylation, as well as one or more restriction sites and
a translation termination sequence. By way of example, such constructs will typically
include a 5' LTR, a tRNA binding site, a packaging signal, an origin of second-strand
DNA synthesis, and a 3' LTR or a portion thereof. Other vectors can be used that are
non-viral, such as cationic lipids, polylysine, and dendrimers.
[0345] As mentioned, other than containing the necessary elements for the transcription
and translation of the inserted coding sequence, the expression construct of some
embodiments of the invention can also include sequences engineered to enhance stability,
production, purification, yield or toxicity of the expressed peptide. For example,
the expression of a fusion protein or a cleavable fusion protein comprising the PD1-41BBL
protein of some embodiments of the invention and a heterologous protein can be engineered.
Such a fusion protein can be designed so that the fusion protein can be readily isolated
by affinity chromatography; e.g., by immobilization on a column specific for the heterologous
protein. Where a cleavage site is engineered between the PD1-41BBL protein and the
heterologous protein, the PD1-41BBL protein can be released from the chromatographic
column by treatment with an appropriate enzyme or agent that disrupts the cleavage
site [e.g., see
Booth et al. (1988) Immunol. Lett. 19:65-70; and
Gardella et al., (1990) J. Biol. Chem. 265:15854-15859].
[0346] The disclosure also contemplates cells comprising the composition described herein.
[0347] Thus, according to aspects of the disclosure, there is provided a host cell comprising
the PD1-41BBL fusion protein, the polynucleotide encoding same or the nucleic acid
construct encoding same.
[0348] As mentioned hereinabove, a variety of prokaryotic or eukaryotic cells can be used
as hostexpression systems to express the polypeptides of some embodiments of the invention.
These include, but are not limited to, microorganisms, such as bacteria transformed
with a recombinant bacteriophage DNA, plasmid DNA or cosmid DNA expression vector
containing the coding sequence; yeast transformed with recombinant yeast expression
vectors containing the coding sequence; plant cell systems infected with recombinant
virus expression vectors (e.g., cauliflower mosaic virus, CaMV; tobacco mosaic virus,
TMV) or transformed with recombinant plasmid expression vectors, such as Ti plasmid,
containing the coding sequence. Mammalian expression systems can also be used to express
the polypeptides of some embodiments of the invention.
[0350] Examples of eukaryotic cells which may be used along with the teachings of the invention
include but are not limited to, mammalian cells, fungal cells, yeast cells, insect
cells, algal cells or plant cells.
[0351] In yeast, a number of vectors containing constitutive or inducible promoters can
be used, as disclosed in
U.S. Pat. Application No: 5,932,447. Alternatively, vectors can be used which promote integration of foreign DNA sequences
into the yeast chromosome.
[0352] In cases where plant expression vectors are used, the expression of the coding sequence
can be driven by a number of promoters. For example, viral promoters such as the 35S
RNA and 19S RNA promoters of CaMV [
Brisson et al. (1984) Nature 310:511-514], or the coat protein promoter to TMV [
Takamatsu et al. (1987) EMBO J. 6:307-311] can be used. Alternatively, plant promoters such as the small subunit of RUBISCO
[
Coruzzi et al. (1984) EMBO J. 3:1671-1680 and
Brogli et al., (1984) Science 224:838-843] or heat shock promoters, e.g., soybean hsp17.5-E or hsp17.3-B [
Gurley et al. (1986) Mol. Cell. Biol. 6:559-565] can be used. These constructs can be introduced into plant cells using Ti plasmid,
Ri plasmid, plant viral vectors, direct DNA transformation, microinjection, electroporation
and other techniques well known to the skilled artisan. See, for example,
Weissbach & Weissbach, 1988, Methods for Plant Molecular Biology, Academic Press,
NY, Section VIII, pp 421-463.
[0353] Other expression systems such as insects and mammalian host cell systems which are
well known in the art can also be used.
[0354] According to specific aspects, the cell is a mammalian cell.
[0355] According to specific aspects, the cell is a human cell.
[0356] According to a specificaspects, the cell is a cell line.
[0357] According to another specific aspect, the cell is a primary cell.
[0358] The cell may be derived from a suitable tissue including but not limited to blood,
muscle, nerve, brain, heart, lung, liver, pancreas, spleen, thymus, esophagus, stomach,
intestine, kidney, testis, ovary, hair, skin, bone, breast, uterus, bladder, spinal
cord, or various kinds of body fluids. The cells may be derived from any developmental
stage including embryo, fetal and adult stages, as well as developmental origin i.e.,
ectodermal, mesodermal, and endodermal origin.
[0359] Non limiting examples of mammalian cells include monkey kidney CV1 line transformed
by SV40 (COS, e.g. COS-7, ATCC CRL 1651); human embryonic kidney line (HEK293 or HEK293
cells subcloned for growth in suspension culture,
Graham et al., J. Gen Virol., 36:59 1977); baby hamster kidney cells (BHK, ATCC CCL 10); mouse sertoli cells (
TM4, Mather, Biol. Reprod., 23:243-251 1980); monkey kidney cells (CV1 ATCC CCL 70); African green monkey kidney cells (VERO-76,
ATCC CRL-1587); human cervical carcinoma cells (HeLa, ATCC CCL 2); NIH3T3, Jurkat,
canine kidney cells (MDCK, ATCC CCL 34); buffalo rat liver cells (BRL 3A, ATCC CRL
1442); human lung cells (W138, ATCC CCL 75); human liver cells (Hep G2, HB 8065);
mouse mammary tumor (MMT 060562, ATCC CCL51); TRI cells (
Mather et al., Annals N.Y. Acad. Sci., 383:44-68 1982); MRC 5 cells; FS4 cells; and a human hepatoma line (Hep G2), PER.C6, K562, and Chinese
hamster ovary cells (CHO).
[0360] According to some aspects, the mammalian cell is selected from the group consisting
of a Chinese Hamster Ovary (CHO), HEK293, PER.C6, HT1080, NS0, Sp2/0, BHK, Namalwa,
COS, HeLa and Vero cell.
[0361] According to some aspects, the host cell comprises a Chinese Hamster Ovary (CHO),
PER.C6 or a 293 (e.g. Expi293F) cell.
[0362] According to another aspect , there is provided a method of producing a PD1-41BBL
fusion protein, the method comprising expressing in a host cell the polynucleotide
or the nucleic acid construct described herein.
[0363] According to specific aspects, the methods comprising isolating the fusion protein.
[0364] According to specific aspects, recovery of the recombinant polypeptide is effected
following an appropriate time in culture. The phrase "recovering the recombinant polypeptide"
refers to collecting the whole fermentation medium containing the polypeptide and
need not imply additional steps of separation or purification. Notwithstanding the
above, polypeptides of some embodiments of the invention can be purified using a variety
of standard protein purification techniques, such as, but not limited to, affinity
chromatography, ion exchange chromatography, filtration, electrophoresis, hydrophobic
interaction chromatography, gel filtration chromatography, reverse phase chromatography,
concanavalin A chromatography, mix mode chromatography, metal affinity chromatography,
Lectins affinity chromatography chromatofocusing and differential solubilization.
[0365] In some aspects, the recombinant peptides, fragments thereof or peptides are synthesized
and purified; their therapeutic efficacy can be assayed either in vivo or in vitro.
In one aspect, the activities of the recombinant fragments or peptides of the present
invention can be ascertained using various assays including cell viability, survival
of transgenic mice, and expression of megakaryocytic and lymphoid RNA markers.
[0366] In one aspect, a peptide comprises at least 3 amino acids. In another embodiment,
a peptide comprises at least 5 amino acids. In another aspect, a peptide comprises
at least 10 amino acids. In another aspect, a peptide comprises at least 20 amino
acids. In another aspect, a peptide comprises at least 25 amino acids. In other aspects,
a peptide comprises at least 30 amino acids or at least 50 amino acids or 75 amino
acids, or 100 amino acids, or 125 amino acids, or 150 amino acids, or 200 amino acids,
or 250 amino acids or 300 amino acids or 350 amino acids or 400 amino acids. In oneaspect,
a peptide of this invention consists essentially of at least 5 amino acids. In anotheraspect,
a peptide consists essentially of at least 10 amino acids. In other aspects, a peptide
consists essentially of at least 30 amino acids or at least 50 amino acids or 75 amino
acids, or 100 amino acids, or 125 amino acids, or 150 amino acids, or 200 amino acids,
or 250 amino acids or 300 amino acids or 350 amino acids or 400 amino acids. In one
aspect, a peptide of this invention consists of at least 5 amino acids. In another
aspect, a peptide consists of at least 10 amino acids. In other aspects, a peptide
consists of at least 30 amino acids or at least 50 amino acids or 75 amino acids,
or 100 amino acids, or 125 amino acids, or 150 amino acids, or 200 amino acids, or
250 amino acids or 300 amino acids or 350 amino acids or 400 amino acids or 500 or
600 or 700 amino acids.
[0367] As used herein, the terms "peptide" and "fragment" may be used interchangeably having
all the same meanings and qualities. As used herein in, in one embodiment the term
"peptide" includes native peptides (either degradation products, synthetically synthesized
peptides or recombinant peptides) and peptidomimetics (typically, synthetically synthesized
peptides), such as peptoids and semipeptoids which are peptide analogs, which may
have, for example, modifications rendering the peptides more stable while in a body
or more capable of penetrating into bacterial cells. Such modifications include, but
are not limited to N terminus modification, C terminus modification, peptide bond
modification, including, but not limited to, CH2-NH, CH2-S, CH2-S=O, O=C-NH, CH2-O,
CH2-CH2, S=C-NH, CH=CH or CF=CH, backbone modifications, and residue modification.
Methods for preparing peptidomimetic compounds are well known in the art and are specified,
for example, in
Quantitative Drug Design, C.A. Ramsden Gd., Chapter 17.2, F. Choplin Pergamon Press
(1992). Further details in this respect are provided herein under.
[0368] Peptide bonds (-CO-NH-) within the peptide may be substituted, for example, by N-methylated
bonds (-N(CH3)-CO-), ester bonds (-C(R)H-C-O-O-C(R)-N-), ketomethylen bonds (-CO-CH2-),
α-aza bonds (-NH-N(R)-CO-), wherein R is any alkyl, e.g., methyl, carba bonds (-CH2-NH-),
hydroxyethylene bonds (-CH(OH)-CH2-), thioamide bonds (-CS-NH-), olefinic double bonds
(-CH=CH-), retro amide bonds (-NH-CO-), peptide derivatives (-N(R)-CH2-CO-), wherein
R is the "normal" side chain, naturally presented on the carbon atom.
[0369] These modifications can occur at any of the bonds along the peptide chain and even
at several (2-3) at the same time.
[0370] Natural aromatic amino acids, Trp, Tyr and Phe, may be substituted for synthetic
non-natural acid such as TIC, naphthylelanine (Nol), ring-methylated derivatives of
Phe, halogenated derivatives of Phe or o-methyl-Tyr.
[0371] In one aspect, a peptide further comprises a detectable tag. As used herein, in one
aspect, the term "detectable tag" refers to any moiety that can be detected by a skilled
practitioner using art known techniques. Detectable tags for use in the screening
methods of the present invention may be peptide sequences. Optionally the detectable
tag may be removable by chemical agents or by enzymatic means, such as proteolysis.
For example the term "detectable tag" includes chitin binding protein (CBP)-tag, maltose
binding protein (MBP)-tag, glutathione-S-transferase (GST)-tag, poly(His)-tag, FLAG
tag, Epitope tags, such as, V5-tag, c-myc-tag, and HA-tag, and fluorescence tags such
as green fluorescent protein (GFP), red fluorescent protein (RFP), yellow fluorescent
protein (YFP), blue fluorescent protein (BFP), and cyan fluorescent protein (CFP);
as well as derivatives of these tags, or any tag known in the art. The term "detectable
tag" also includes the term "detectable marker".
[0372] In one aspect, a peptide s an isolated peptide. Such an isolated peptide may include
a peptide-tag.
[0373] The peptides of some aspects are preferably utilized in a linear form, although it
will be appreciated that in cases where cyclicization does not severely interfere
with peptide characteristics, cyclic forms of the peptide can also be utilized.
[0374] As used herein, in oneaspect, the term "amino acid" refers to naturally occurring
and synthetic α, β γ or δ amino acids, and includes but is not limited to, amino acids
found in proteins, i.e. glycine, alanine, valine, leucine, isoleucine, methionine,
phenylalanine, tryptophan, proline, serine, threonine, cysteine, tyrosine, asparagine,
glutamine, aspartate, glutamate, lysine, arginine and histidine. In certain embodiments,
the amino acid is in the L-configuration. Alternatively, the amino acid can be a derivative
of alanyl, valinyl, leucinyl, isoleuccinyl, prolinyl, phenylalaninyl, tryptophanyl,
methioninyl, glycinyl, serinyl, threoninyl, cysteinyl, tyrosinyl, asparaginyl, glutaminyl,
aspartoyl, glutaroyl, lysinyl, argininyl, histidinyl, β-alanyl, β-valinyl, β-leucinyl,
β-isoleuccinyl, β-prolinyl, β -phenylalaninyl, β -tryptophanyl, β -methioninyl, β-
glycinyl, β-serinyl, β-threoninyl, β-cysteinyl, β-tyrosinyl, β-asparaginyl, β-glutaminyl,
β-aspartoyl, β-glutaroyl, β-lysinyl, β-argininyl or β-histidinyl.
[0375] Since the present peptides are preferably utilized in therapeutics or diagnostics
which require the peptides to be in soluble form, the peptides of some aspects preferably
include one or more non-natural or natural polar amino acids, including but not limited
to serine and threonine which are capable of increasing peptide solubility due to
their hydroxyl-containing side chain.
[0376] As used herein, the phrase "Conservatively modified variants" applies to both amino
acid and nucleic acid sequences. "Amino acid variants" refers to amino acid sequences.
With respect to particular nucleic acid sequences, conservatively modified variants
refers to those nucleic acids which encode identical or essentially identical amino
acid sequences, or where the nucleic acid does not encode an amino acid sequence,
to essentially identical or associated (e.g., naturally contiguous) sequences. Because
of the degeneracy of the genetic code, a large number of functionally identical nucleic
acids encode most proteins. For instance, the codons GCA, GCC, GCG and GCU all encode
the amino acid alanine. Thus, at every position where an alanine is specified by a
codon, the codon can be altered to another of the corresponding codons described without
altering the encoded polypeptide. Such nucleic acid variations are "silent variations",
which are one species of conservatively modified variations. Every nucleic acid sequence
herein which encodes a polypeptide also describes silent variations of the nucleic
acid. One of skill will recognize that in certain contexts each codon in a nucleic
acid (except AUG, which is ordinarily the only codon for methionine, and TGG, which
is ordinarily the only codon for tryptophan) can be modified to yield a functionally
identical molecule. Accordingly, silent variations of a nucleic acid which encodes
a polypeptide is implicit in a described sequence with respect to the expression product.
[0377] As to amino acid sequences, one of skill will recognize that individual substitutions,
deletions or additions to a nucleic acid, peptide, polypeptide, or protein sequence
which alters, adds or deletes a single amino acid or a small percentage of amino acids
in the encoded sequence is a "conservatively modified variant", including where the
alteration results in the substitution of an amino acid with a chemically similar
amino acid. Conservative substitution tables providing functionally similar amino
acids are well known in the art. Guidance concerning which amino acid changes are
likely to be phenotypically silent can also be found in
Bowie et al., 1990, Science 247: 1306 1310. Such conservatively modified variants are in addition to and do not exclude polymorphic
variants, interspecies homologs, and alleles. Typical conservative substitutions include
but are not limited to: 1) Alanine (A), Glycine (G); 2) Aspartic acid (D), Glutamic
acid (E); 3) Asparagine (N), Glutamine (Q); 4) Arginine (R), Lysine (K); 5) Isoleucine
(I), Leucine (L), Methionine (M), Valine (V); 6) Phenylalanine (F), Tyrosine (Y),
Tryptophan (W); 7) Serine (S), Threonine (T); and 8) Cysteine (C), Methionine (M)
(see, e.g.,
Creighton, Proteins (1984)). Amino acids can be substituted based upon properties associated with side chains,
for example, amino acids with polar side chains may be substituted, for example, Serine
(S) and Threonine (T); amino acids based on the electrical charge of a side chains,
for example, Arginine (R) and Histidine (H); and amino acids that have hydrophobic
side chains, for example, Valine (V) and Leucine (L). As indicated, changes are typically
of a minor nature, such as conservative amino acid substitutions that do not significantly
affect the folding or activity of the protein.
PROTEIN CHEMICAL MODIFICATIONS
[0378] In the present invention any part of a protein of the invention may optionally be
chemically modified, i.e. changed by addition of functional groups. For example the
side amino acid residues appearing in the native sequence may optionally be modified,
although as described below alternatively other parts of the protein may optionally
be modified, in addition to or in place of the side amino acid residues. The modification
may optionally be performed during synthesis of the molecule if a chemical synthetic
process is followed, for example by adding a chemically modified amino acid. However,
chemical modification of an amino acid when it is already present in the molecule
("in situ" modification) is also possible.
[0379] The amino acid of any of the sequence regions of the molecule can optionally be modified
according to any one of the following exemplary types of modification (in the peptide
conceptually viewed as "chemically modified"). Non-limiting exemplary types of modification
include carboxymethylation, acylation, phosphorylation, glycosylation or fatty acylation.
Ether bonds can optionally be used to join the serine or threonine hydroxyl to the
hydroxyl of a sugar. Amide bonds can optionally be used to join the glutamate or aspartate
carboxyl groups to an amino group on a sugar (
Garg and Jeanloz, Advances in Carbohydrate Chemistry and Biochemistry, Vol. 43, Academic
Press (1985);
Kunz, Ang. Chem. Int. Ed. English 26:294-308 (1987)). Acetal and ketal bonds can also optionally be formed between amino acids and carbohydrates.
Fatty acid acyl derivatives can optionally be made, for example, by acylation of a
free amino group (e.g., lysine) (
Toth et al., Peptides: Chemistry, Structure and Biology, Rivier and Marshal, eds.,
ESCOM Publ., Leiden, 1078-1079 (1990)).
[0380] As used herein the term "chemical modification", when referring to a protein or peptide
according to the present invention, refers to a protein or peptide where at least
one of its amino acid residues is modified either by natural processes, such as processing
or other post-translational modifications, or by chemical modification techniques
which are well known in the art. Examples of the numerous known modifications typically
include, but are not limited to: acetylation, acylation, amidation, ADP-ribosylation,
glycosylation, GPI anchor formation, covalent attachment of a lipid or lipid derivative,
methylation, myristylation, pegylation, prenylation, phosphorylation, ubiquitination,
or any similar process.
[0381] Other types of modifications optionally include the addition of a cycloalkane moiety
to a biological molecule, such as a protein, as described in
PCT Application No. WO 2006/050262 .
[0382] These moieties are designed for use with biomolecules and may optionally be used
to impart various properties to proteins.
[0383] Furthermore, optionally any point on a protein may be modified. For example, pegylation
of a glycosylation moiety on a protein may optionally be performed, as described in
PCT Application No. WO 2006/050247.
[0384] One or more polyethylene glycol (PEG) groups may optionally be added to O-linked
and/or N-linked glycosylation. The PEG group may optionally be branched or linear.
Optionally any type of water-soluble polymer may be attached to a glycosylation site
on a protein through a glycosyl linker.
[0385] By "PEGylated protein" is meant a protein, or a fragment thereof having biological
activity, having a polyethylene glycol (PEG) moiety covalently bound to an amino acid
residue of the protein.
[0386] By "polyethylene glycol" or "PEG" is meant a polyalkylene glycol compound or a derivative
thereof, with or without coupling agents or derivatization with coupling or activating
moieties (e.g., with thiol, triflate, tresylate, azirdine, oxirane, or preferably
with a maleimide moiety). Compounds such as maleimido monomethoxy PEG are exemplary
or activated PEG compounds of the invention. Other polyalkylene glycol compounds,
such as polypropylene glycol, may be used in the present invention. Other appropriate
polyalkylene glycol compounds include, but are not limited to, charged or neutral
polymers of the following types: dextran, colominic acids or other carbohydrate based
polymers, polymers of amino acids, and biotin derivatives.
ALTERED GLYCOSYLATION PROTEIN MODIFICATION
[0387] Proteins of the invention may be modified to have an altered glycosylation pattern
(i.e., altered from the original or native glycosylation pattern). As used herein,
"altered" means having one or more carbohydrate moieties deleted, and/or having at
least one glycosylation site added to the original protein.
[0388] Glycosylation of proteins is typically either N-linked or O-linked. N-linked refers
to the attachment of the carbohydrate moiety to the side chain of an asparagine residue.
The tripeptide sequences, asparagine-X-serine and asparagine-X-threonine, where X
is any amino acid except proline, are the recognition sequences for enzymatic attachment
of the carbohydrate moiety to the asparagine side chain. Thus, the presence of either
of these tripeptide sequences in a polypeptide creates a potential glycosylation site.
O-linked glycosylation refers to the attachment of one of the sugars N-acetylgalactosamine,
galactose, or xylose to a hydroxyamino acid, most commonly serine or threonine, although
5-hydroxyproline or 5-hydroxylysine may also be used.
[0389] Addition of glycosylation sites to proteins of the invention is conveniently accomplished
by altering the amino acid sequence of the protein such that it contains one or more
of the above-described tripeptide sequences (for N-linked glycosylation sites). The
alteration may also be made by the addition of, or substitution by, one or more serine
or threonine residues in the sequence of the original protein (for O-linked glycosylation
sites). The protein's amino acid sequence may also be altered by introducing changes
at the DNA level.
[0390] Another means of increasing the number of carbohydrate moieties on proteins is by
chemical or enzymatic coupling of glycosides to the amino acid residues of the protein.
Depending on the coupling mode used, the sugars may be attached to (a) arginine and
histidine, (b) free carboxyl groups, (c) free sulfhydryl groups such as those of cysteine,
(d) free hydroxyl groups such as those of serine, threonine, or hydroxyproline, (e)
aromatic residues such as those of phenylalanine, tyrosine, or tryptophan, or (f)
the amide group of glutamine. These methods are described in
WO 87/05330, and in
Aplin and Wriston, CRC Crit. Rev. Biochem., 22: 259-306 (1981).
[0391] Removal of any carbohydrate moieties present on proteins of the invention may be
accomplished chemically, enzymatically or by introducing changes at the DNA level.
Chemical deglycosylation requires exposure of the protein to trifluoromethanesulfonic
acid, or an equivalent compound. This treatment results in the cleavage of most or
all sugars except the linking sugar (N-acetylglucosamine or N-acetylgalactosamine),
leaving the amino acid sequence intact.
PHARMACEUTICAL COMPOSITIONS
[0393] The compositions (e.g. PD1-41BBL fusion protein, polynucleotide encoding same, nucleic
acid construct encoding same and/or cells) of some aspects can be administered to
an organism
per se, or in a pharmaceutical composition where it is mixed with suitable carriers or excipients.
[0394] The disclosure, in some aspects, features a pharmaceutical composition comprising
a therapeutically effective amount of a therapeutic agent according to the present
invention. According to the claimed invention, the therapeutic agent is a polypeptide
as described herein. The pharmaceutical composition is further used for the treatment
of cancer or an immune related disorder as described herein. The pharmaceutical composition
of the invention is for the treatment of cancer. The therapeutic agents of the present
invention can be provided to the subject alone, or as part of a pharmaceutical composition
where they are mixed with a pharmaceutically acceptable carrier.
[0395] As used herein a "pharmaceutical composition" refers to a preparation of one or more
of the active ingredients described herein with other chemical components such as
physiologically suitable carriers and excipients. The purpose of a pharmaceutical
composition is to facilitate administration of a compound to an organism.
[0396] Herein the term "active ingredient" refers to the composition (e.g. PD1-41BBL fusion
protein, polynucleotide, nucleic acid construct and/or cells described herein) accountable
for the biological effect.
[0397] Herein the term "excipient" refers to an inert substance added to a pharmaceutical
composition to further facilitate administration of an active ingredient. Examples,
without limitation, of excipients include calcium carbonate, calcium phosphate, various
sugars and types of starch, cellulose derivatives, gelatin, vegetable oils and polyethylene
glycols.
[0398] Hereinafter, the phrases "physiologically acceptable carrier" and "pharmaceutically
acceptable carrier" which may be interchangeably used refer to a carrier or a diluent
that does not cause significant irritation to an organism and does not abrogate the
biological activity and properties of the administered compound. An adjuvant is included
under these phrases.
[0399] As used herein, "pharmaceutically acceptable carrier" includes any and all solvents,
dispersion media, coatings, antibacterial and antifungal agents, isotonic and absorption
delaying agents, and the like that are physiologically compatible. Preferably, the
carrier is suitable for intravenous, intramuscular, subcutaneous, parenteral, spinal
or epidermal administration (e.g., by injection or infusion). Depending on the route
of administration, the active compound, i.e., a polypeptide, a polynucleotide, a nucleic
acid construct and/or cell as described herein, may include one or more pharmaceutically
acceptable salts. A "pharmaceutically acceptable salt" refers to a salt that retains
the desired biological activity of the parent compound and does not impart any undesired
toxicological effects (see e.g.,
Berge, S. M., et al. (1977) J. Pharm. Sci. 66: 1-19). Examples of such salts include acid addition salts and base addition salts. Acid
addition salts include those derived from nontoxic inorganic acids, such as hydrochloric,
nitric, phosphoric, sulfuric, hydrobromic, hydroiodic, phosphorous and the like, as
well as from nontoxic organic acids such as aliphatic mono- and dicarboxylic acids,
phenyl-substituted alkanoic acids, hydroxy alkanoic acids, aromatic acids, aliphatic
and aromatic sulfonic acids and the like. Base addition salts include those derived
from alkaline earth metals, such as sodium, potassium, magnesium, calcium and the
like, as well as from nontoxic organic amines, such as N,N'-dibenzylethylenediamine,
N-methylglucamine, chloroprocaine, choline, diethanolamine, ethylenediamine, procaine
and the like.
[0400] A pharmaceutical composition invention also may include a pharmaceutically acceptable
anti-oxidants. Examples of pharmaceutically acceptable antioxidants include: (1) water
soluble antioxidants, such as ascorbic acid, cysteine hydrochloride, sodium bisulfate,
sodium metabisulfite, sodium sulfite and the like; (2) oil-soluble antioxidants, such
as ascorbyl palmitate, butylated hydroxyanisole (BHA), butylated hydroxytoluene (BHT),
lecithin, propyl gallate, alpha-tocopherol, and the like; and (3) metal chelating
agents, such as citric acid, ethylenediamine tetraacetic acid (EDTA), sorbitol, tartaric
acid, phosphoric acid, and the like. A pharmaceutical composition also may include
additives such as detergents and solubilizing agents (e.g., TWEEN 20 (polysorbate-20),
TWEEN 80 (polysorbate-80)) and preservatives (e.g., Thimersol, benzyl alcohol) and
bulking substances (e.g., lactose, mannitol).
[0401] Examples of suitable aqueous and nonaqueous carriers that may be employed in the
pharmaceutical compositions include water, buffered saline of various buffer content
(e.g., Tris-HCl, acetate, phosphate), pH and ionic strength, ethanol, polyols (such
as glycerol, propylene glycol, polyethylene glycol, and the like), and suitable mixtures
thereof, vegetable oils, such as olive oil, and injectable organic esters, such as
ethyl oleate.
[0402] Proper fluidity can be maintained, for example, by the use of coating materials,
such as lecithin, by the maintenance of the required particle size in the case of
dispersions, and by the use of surfactants.
[0403] These compositions may also contain adjuvants such as preservatives, wetting agents,
emulsifying agents and dispersing agents. Prevention of presence of microorganisms
may be ensured both by sterilization procedures, supra, and by the inclusion of various
antibacterial and antifungal agents, for example, paraben, chlorobutanol, phenol sorbic
acid, and the like. It may also be desirable to include isotonic agents, such as sugars,
sodium chloride, and the like into the compositions. In addition, prolonged absorption
of the injectable pharmaceutical form may be brought about by the inclusion of agents
which delay absorption such as aluminum monostearate and gelatin.
[0404] Pharmaceutically acceptable carriers include sterile aqueous solutions or dispersions
and sterile powders for the extemporaneous preparation of sterile injectable solutions
or dispersion. The use of such media and agents for pharmaceutically active substances
is known in the art. Except insofar as any conventional media or agent is incompatible
with the active compound, use thereof in the pharmaceutical compositions
is contemplated. Supplementary active compounds can also be incorporated into the
compositions.
[0405] Therapeutic compositions typically must be sterile and stable under the conditions
of manufacture and storage. The composition can be formulated as a solution, microemulsion,
liposome, or other ordered structure suitable to high drug concentration. The carrier
can be a solvent or dispersion medium containing, for example, water, ethanol, polyol
(for example, glycerol, propylene glycol, and liquid polyethylene glycol, and the
like), and suitable mixtures thereof. The proper fluidity can be maintained, for example,
by the use of a coating such as lecithin, by the maintenance of the required particle
size in the case of dispersion and by the use of surfactants. In many cases, it will
be preferable to include isotonic agents, for example, sugars, polyalcohols such as
mannitol, sorbitol, or sodium chloride in the composition. Prolonged absorption of
the injectable compositions can be brought about by including in the composition an
agent that delays absorption, for example, monostearate salts and gelatin. Sterile
injectable solutions can be prepared by incorporating the active compound in the required
amount in an appropriate solvent with one or a combination of ingredients enumerated
above, as required, followed by sterilization microfiltration. Generally, dispersions
are prepared by incorporating the active compound into a sterile vehicle that contains
a basic dispersion medium and the required other ingredients from those enumerated
above. In the case of sterile powders for the preparation of sterile injectable solutions,
the preferred methods of preparation are vacuum drying and freeze-drying (lyophilization)
that yield a powder of the active ingredient plus any additional desired ingredient
from a previously sterile-filtered solution thereof.
[0406] Sterile injectable solutions can be prepared by incorporating the active compound
in the required amount in an appropriate solvent with one or a combination of ingredients
enumerated above, as required, followed by sterilization microfiltration. Generally,
dispersions are prepared by incorporating the active compound into a sterile vehicle
that contains a basic dispersion medium and the required other ingredients from those
enumerated above. In the case of sterile powders for the preparation of sterile injectable
solutions, the preferred methods of preparation are vacuum drying and freeze-drying
(lyophilization) that yield a powder of the active ingredient plus any additional
desired ingredient from a previously sterile-filtered solution thereof.
[0407] The amount of active ingredient which can be combined with a carrier material to
produce a single dosage form will vary depending upon the subject being treated, and
the particular mode of administration. The amount of active ingredient which can be
combined with a carrier material to produce a single dosage form will generally be
that amount of the composition which produces a therapeutic effect. Generally, out
of one hundred per cent, this amount will range from about 0.01 per cent to about
ninety-nine percent of active ingredient, preferably from about 0.1 per cent to about
70 per cent, most preferably from about 1 per cent to about 30 per cent of active
ingredient in combination with a pharmaceutically acceptable carrier.
[0408] Dosage regimens are adjusted to provide the optimum desired response (e.g., a therapeutic
response). For example, a single bolus may be administered, several divided doses
may be administered over time or the dose may be proportionally reduced or increased
as indicated by the exigencies of the therapeutic situation. It is especially advantageous
to formulate parenteral compositions in dosage unit form for ease of administration
and uniformity of dosage. Dosage unit form as used herein refers to physically discrete
units suited as unitary dosages for the subjects to be treated; each unit contains
a predetermined quantity of active compound calculated to produce the desired therapeutic
effect in association with the required pharmaceutical carrier. The specification
for the dosage unit forms
are dictated by and directly dependent on (a) the unique characteristics of the active
compound and the particular therapeutic effect to be achieved, and (b) the limitations
inherent in the art of compounding such an active compound for the treatment of sensitivity
in individuals.
[0410] Pharmaceutical compositions may be manufactured by processes well known in the art,
e.g., by means of conventional mixing, dissolving, granulating, dragee-making, levigating,
emulsifying, encapsulating, entrapping or lyophilizing processes.
[0411] A composition can be administered via one or more routes of administration using
one or more of a variety of methods known in the art. As will be appreciated by the
skilled artisan, the route and/or mode of administration will vary depending upon
the desired results. Preferred routes of administration for therapeutic agents according
to at least some embodiments of the present invention include intravascular delivery
(e.g. injection or infusion), intravenous, intramuscular, intradermal, intraperitoneal,
subcutaneous, spinal, oral, enteral, rectal, pulmonary (e.g. inhalation), nasal, topical
(including transdermal, buccal and sublingual), intravesical, intravitreal, intraperitoneal,
vaginal, brain delivery (e.g. intracerebroventricular, intra-cerebral, and convection
enhanced diffusion), CNS delivery (e.g. intrathecal, perispinal, and intra-spinal)
or parenteral (including subcutaneous, intramuscular, intraperitoneal, intravenous
(IV) and intradermal), transdermal (either passively or using iontophoresis or electroporation),
transmucosal (e.g., sublingual administration, nasal, vaginal, rectal, or sublingual),
administration or administration via an implant, or other parenteral routes of administration,
for example by injection or infusion, or other delivery routes and/or forms of administration
known in the art. The phrase "parenteral administration" as used herein means modes
of administration other than enteral and topical administration, usually by injection,
and includes, without limitation, intravenous, intramuscular, intraarterial, intrathecal,
intracapsular, intraorbital, intracardiac, intradermal, intraperitoneal, transtracheal,
subcutaneous, subcuticular, intraarticular, subcapsular, subarachnoid, intraspinal,
epidural and intrasternal injection and infusion or using bioerodible inserts, and
can be formulated in dosage forms appropriate for each route of administration. A
protein, a therapeutic agent or a pharmaceutical compositior can be administered intraperitoneally
or intravenously.
[0412] Compositions can be delivered to the lungs while inhaling and traverse across the
lung epithelial lining to the blood stream when delivered either as an aerosol or
spray dried particles having an aerodynamic diameter of less than about 5 microns.
A wide range of mechanical devices designed for pulmonary delivery of therapeutic
products can be used, including but not limited to nebulizers, metered dose inhalers,
and powder inhalers, all of which are familiar to those skilled in the art. Some specific
examples of commercially available devices are the Ultravent nebulizer (Mallinckrodt
Inc., St. Louis, Mo.); the Acorn II nebulizer (Marquest Medical Products, Englewood,
Colo.); the Ventolin metered dose inhaler (Glaxo Inc., Research Triangle Park, N.C.);
and the Spinhaler powder inhaler (Fisons Corp., Bedford, Mass.). Nektar, Alkermes
and Mannkind all have inhalable insulin powder preparations approved or in clinical
trials where the technology could be applied to the formulations described herein.
[0413] In some in vivo approaches, the compositions disclosed herein are administered to
a subject in a therapeutically effective amount. As used herein the term "effective
amount" or "therapeutically effective amount" means a dosage sufficient to treat,
inhibit, or alleviate one or more symptoms of the disorder being treated or to otherwise
provide a desired pharmacologic and/or physiologic effect. The precise dosage will
vary according to a variety of factors such as subject-dependent variables (e.g.,
age, immune system health, etc.), the disease, and the treatment being effected. For
the polypeptide compositions disclosed herein, the polynucleotides and nucleic acids
constructs encoding the same and the cells described herein, as further studies are
conducted, information will emerge regarding appropriate dosage levels for treatment
of various conditions in various patients, and the ordinary skilled worker, considering
the therapeutic context, age, and general health of the recipient, will be able to
ascertain proper dosing. The selected dosage depends upon the desired therapeutic
effect, on the route of administration, and on the duration of the treatment desired.
For polypeptide compositions, generally dosage levels of 0.0001 to 100 mg/kg of body
weight daily are administered to mammals and more usually 0.001 to 20 mg/kg. For example
dosages can be 0.3 mg/kg body weight, 1 mg/kg body weight, 3 mg/kg body weight, 5
mg/kg body weight or 10 mg/kg body weight or within the range of 1-10 mg/kg. An exemplary
treatment regime entails administration 5 times per week, 4 times per week, 3 times
per week, 2 times per week, once per week, once every two weeks, once every three
weeks, once every four weeks, once a month, once every 3 months or once every three
to 6 months. Generally, for intravenous injection or infusion, dosage may be lower.
Dosage regimens are adjusted to provide the optimum desired response (e.g., a therapeutic
response). For example, a single bolus may be administered, several divided doses
may be administered over time or the dose may be proportionally reduced or increased
as indicated by the exigencies of the therapeutic situation. It is especially advantageous
to formulate parenteral compositions in dosage unit form for ease of administration
and uniformity of dosage. Dosage unit form as used herein refers to physically discrete
units suited as unitary dosages for the subjects to be treated; each unit contains
a predetermined quantity of active compound calculated to produce the desired therapeutic
effect in association with the required pharmaceutical carrier. The specification
for the dosage unit forms according to at least some embodiments of the present invention
are dictated by and directly dependent on (a) the unique characteristics of the active
compound and the particular therapeutic effect to be achieved, and (b) the limitations
inherent in the art of compounding such an active compound for the treatment of sensitivity
in individuals.
[0414] Optionally the polypeptide formulation may be administered in an amount between 0.0001
to 100 mg/kg weight of the patient/day, preferably between 0.001 to 20.0 mg/kg/day,
according to any suitable timing regimen. A therapeutic composition according to at
least some embodiments according to at least some embodiments of the present invention
can be administered, for example, three times a day, twice a day, once a day, three
times weekly, twice weekly or once weekly, once every two weeks or 3, 4, 5, 6, 7 or
8 weeks. Moreover, the composition can be administered over a short or long period
of time (e.g., 1 week, 1 month, 1 year, 5 years).
[0415] Alternatively, therapeutic agent such as the compositions disclosed herein can be
administered as a sustained release formulation, in which case less frequent administration
is required. Dosage and frequency vary depending on the half-life of the therapeutic
agent in the patient. In general, human antibodies show the longest half-life, followed
by humanized antibodies, chimeric antibodies, and nonhuman antibodies. The half-life
for fusion proteins may vary widely. The dosage and frequency of administration can
vary depending on whether the treatment is prophylactic or therapeutic. In prophylactic
applications, a relatively low dosage is administered at relatively infrequent intervals
over a long period of time. Some patients continue to receive treatment for the rest
of their lives. In therapeutic applications, a relatively high dosage at relatively
short intervals is sometimes required until progression of the disease is reduced
or terminated, and preferably until the patient shows partial or complete amelioration
of symptoms of disease. Thereafter, the patient can be administered a prophylactic
regime.
[0416] Actual dosage levels of the active ingredients in the pharmaceutical compositions
of the present disclosure may be varied so as to obtain an amount of the active ingredient
which is effective to achieve the desired therapeutic response for a particular patient,
composition, and mode of administration, without being toxic to the patient. The selected
dosage level will depend upon a variety of pharmacokinetic factors including the activity
of the particular compositions of the present invention employed, the route of administration,
the time of administration, the rate of excretion of the particular compound being
employed, the duration of the treatment, other drugs, compounds and/or materials used
in combination with the particular compositions employed, the age, sex, weight, condition,
general health and prior medical history of the patient being treated, and like factors
well known in the medical arts.
[0417] A "therapeutically effective dosage" of a polypeptide as disclosed herein preferably
results in a decrease in severity of disease symptoms, an increase in frequency and
duration of disease symptom-free periods, an increase in lifespan, disease remission,
or a prevention or reduction of impairment or disability due to the disease affliction.
[0418] One of ordinary skill in the art would be able to determine a therapeutically effective
amount, especially in light of the detailed disclosure provided herein, based on such
factors as the subject's size, the severity of the subject's symptoms, and the particular
composition or route of administration selected.
[0419] In certain aspects, the polypeptide, polynucleotide, nucleic acid construct or cells
compositions are administered locally, for example by injection directly into a site
to be treated. Typically, the injection causes an increased localized concentration
of the polypeptide, polynucleotide, nucleic acid construct or cells compositions which
is greater than that which can be achieved by systemic administration. The polypeptide
compositions can be combined with a matrix as described above to assist in creating
an increased localized concentration of the polypeptide compositions by reducing the
passive diffusion of the polypeptides out of the site to be treated.
[0420] Pharmaceutical compositions of the present invention may be administered with medical
devices known in the art. For example, in an optional aspect, a pharmaceutical composition
can be administered with a needles hypodermic injection device, such as the devices
disclosed in
U.S. Pat. Nos. 5,399,163;
5,383,851;
5,312,335;
5,064,413;
4,941,880;
4,790,824; or
4,596,556. Examples of well-known implants and modules useful in the present invention include:
U.S. Pat. No. 4,487,603, which discloses an implantable micro-infusion pump for dispensing medication at
a controlled rate;
U.S. Pat. No. 4,486,194, which discloses a therapeutic device for administering medicaments through the skin;
U.S. Pat. No. 4,447,233, which discloses a medication infusion pump for delivering medication at a precise
infusion rate;
U.S. Pat. No. 4,447,224, which discloses a variable flow implantable infusion apparatus for continuous drug
delivery;
U.S. Pat. No. 4,439,196, which discloses an osmotic drug delivery system having multi-chamber compartments;
and
U.S. Pat. No. 4,475,196, which discloses an osmotic drug delivery system. Many other such implants, delivery
systems, and modules are known to those skilled in the art.
[0421] The active compounds can be prepared with carriers that will protect the compound
against rapid release, such as a controlled release formulation, including implants,
transdermal patches, and microencapsulated delivery systems. Biodegradable, biocompatible
polymers can be used, such as ethylene vinyl acetate, polyanhydrides, polyglycolic
acid, collagen, polyorthoesters, and polylactic acid. Many methods for the preparation
of such formulations are patented or generally known to those skilled in the art.
See, e.g.,
Sustained and Controlled Release Drug Delivery Systems, J. R. Robinson, ed., Marcel
Dekker, Inc., New York, 1978.
[0422] Therapeutic compositions can be administered with medical devices known in the art.
For example, in an optional embodiment, a therapeutic composition according to at
least some embodiments of the present invention can be administered with a needles
hypodermic injection device, such as the devices disclosed in
U.S. Pat. Nos. 5,399,163;
5,383,851;
5,312,335;
5,064,413;
4,941,880;
4,790,824; or
4,596,556. Examples of well-known implants and modules useful in the present invention include:
U.S. Pat. No. 4,487,603, which discloses an implantable micro-infusion pump for dispensing medication at
a controlled rate;
U.S. Pat. No. 4,486,194, which discloses a therapeutic device for administering medicaments through the skin;
U.S. Pat. No. 4,447,233, which discloses a medication infusion pump for delivering medication at a precise
infusion rate;
U.S. Pat. No. 4,447,224, which discloses a variable flow implantable infusion apparatus for continuous drug
delivery;
U.S. Pat. No. 4,439,196, which discloses an osmotic drug delivery system having multi-chamber compartments;
and
U.S. Pat. No. 4,475,196, which discloses an osmotic drug delivery system.
[0423] Many other such implants, delivery systems, and modules are known to those skilled
in the art.
[0424] In certain embodiments, to ensure that the therapeutic compounds according to at
least some embodiments of the present invention cross the BBB (if desired), they can
be formulated, for example, in liposomes. For methods of manufacturing liposomes,
see, e.g.,
U.S. Pat. Nos. 4,522,811;
5,374,548; and
5,399,331. The liposomes may comprise one or more moieties which are selectively transported
into specific cells or organs, thus enhance targeted drug delivery (see, e.g.,
V. V. Ranade (1989) J. Clin. Pharmacol. 29:685). Exemplary targeting moieties include folate or biotin (see, e.g.,
U.S. Pat. No. 5,416,016 to Low et al.); mannosides (
Umezawa et al., (1988) Biochem. Biophys. Res. Commun. 153:1038); antibodies (
P. G. Bloeman et al. (1995) FEBS Lett. 357:140;
M. Owais et al. (1995) Antimicrob. Agents Chemother. 39:180); surfactant protein A receptor (
Briscoe et al. (1995) Am. J Physiol. 1233:134); p120 (
Schreier et al. (1994) J. Biol. Chem. 269:9090); see also
K. Keinanen; M. L. Laukkanen (1994) FEBS Lett. 346:123;
J. J. Killion; I. J. Fidler (1994) Immunomethods 4:273.
FORMULATIONS FOR PARENTERAL ADMINISTRATION
[0425] In a further embodiment, compositions disclosed herein, including those containing
peptides and polypeptides, are administered in an aqueous solution, by parenteral
injection. The formulation may also be in the form of a suspension or emulsion. In
general, pharmaceutical compositions are provided including effective amounts of a
peptide or polypeptide, polynucleotide, nucleic acid construct or cells described
herein, and optionally include pharmaceutically acceptable diluents, preservatives,
solubilizers, emulsifiers, adjuvants and/or carriers. Such compositions optionally
include one or more for the following: diluents, sterile water, buffered saline of
various buffer content (e.g., Tris-HCl, acetate, phosphate), pH and ionic strength;
and additives such as detergents and solubilizing agents (e.g., TWEEN 20 (polysorbate-20),
TWEEN 80 (polysorbate-80)), anti-oxidants (e.g., water soluble antioxidants such as
ascorbic acid, sodium metabisulfite, cysteine hydrochloride, sodium bisulfate, sodium
metabisulfite, sodium sulfite; oil-soluble antioxidants, such as ascorbyl palmitate,
butylated hydroxyanisole (BHA), butylated hydroxytoluene (BHT), lecithin, propyl gallate,
alpha-tocopherol; and metal chelating agents, such as citric acid, ethylenediamine
tetraacetic acid (EDTA), sorbitol, tartaric acid, phosphoric acid), and preservatives
(e.g., Thimersol, benzyl alcohol) and bulking substances (e.g., lactose, mannitol).
Examples of non-aqueous solvents or vehicles are ethanol, propylene glycol, polyethylene
glycol, vegetable oils, such as olive oil and corn oil, gelatin, and injectable organic
esters such as ethyl oleate. The formulations may be freeze dried (lyophilized) or
vacuum dried and redissolved/resuspended immediately before use. The formulation may
be sterilized by, for example, filtration through a bacteria retaining filter, by
incorporating sterilizing agents into the compositions, by irradiating the compositions,
or by heating the compositions.
FORMULATIONS FOR TOPICAL ADMINISTRATION
[0426] Various compositions (e.g., polypeptides) disclosed herein can be applied topically.
Topical administration does not work well for most peptide formulations, although
it can be effective especially if applied to the lungs, nasal, oral (sublingual, buccal),
vaginal, or rectal mucosa.
[0427] Compositions can be delivered to the lungs while inhaling and traverse across the
lung epithelial lining to the blood stream when delivered either as an aerosol or
spray dried particles having an aerodynamic diameter of less than about 5 microns.
[0428] A wide range of mechanical devices designed for pulmonary delivery of therapeutic
products can be used, including but not limited to nebulizers, metered dose inhalers,
and powder inhalers, all of which are familiar to those skilled in the art. Some specific
examples of commercially available devices are the Ultravent nebulizer (Mallinckrodt
Inc., St. Louis, Mo.); the Acorn II nebulizer (Marquest Medical Products, Englewood,
Colo.); the Ventolin metered dose inhaler (Glaxo Inc., Research Triangle Park, N.C.);
and the Spinhaler powder inhaler (Fisons Corp., Bedford, Mass.). Nektar, Alkermes
and Mannkind all have inhalable insulin powder preparations approved or in clinical
trials where the technology could be applied to the formulations described herein.
[0429] Formulations for administration to the mucosa will typically be spray dried drug
particles, which may be incorporated into a tablet, gel, capsule, suspension or emulsion.
Standard pharmaceutical excipients are available from any formulator. Oral formulations
may be in the form of chewing gum, gel strips, tablets or lozenges.
[0430] Transdermal formulations may also be prepared. These will typically be ointments,
lotions, sprays, or patches, all of which can be prepared using standard technology.
Transdermal formulations will require the inclusion of penetration enhancers.
CONTROLLED DELIVERY POLYMERIC MATRICES
[0431] Various compositions (e.g., polypeptides) disclosed herein may also be administered
in controlled release formulations. Controlled release polymeric devices can be made
for long term release systemically following implantation of a polymeric device (rod,
cylinder, film, disk) or injection (microparticles). The matrix can be in the form
of microparticles such as microspheres, where peptides are dispersed within a solid
polymeric matrix or microcapsules, where the core is of a different material than
the polymeric shell, and the peptide is dispersed or suspended in the core, which
may be liquid or solid in nature. Unless specifically defined herein, microparticles,
microspheres, and microcapsules are used interchangeably. Alternatively, the polymer
may be cast as a thin slab or film, ranging from nanometers to four centimeters, a
powder produced by grinding or other standard techniques, or even a gel such as a
hydrogel.
[0432] Either non-biodegradable or biodegradable matrices can be used for delivery of polypeptides
or nucleic acids encoding the polypeptides, although biodegradable matrices are preferred.
These may be natural or synthetic polymers, although synthetic polymers are preferred
due to the better characterization of degradation and release profiles. The polymer
is selected based on the period over which release is desired. In some cases linear
release may be most useful, although in others a pulse release or "bulk release" may
provide more effective results. The polymer may be in the form of a hydrogel (typically
in absorbing up to about 90% by weight of water), and can optionally be crosslinked
with multivalent ions or polymers.
[0433] The matrices can be formed by solvent evaporation, spray drying, solvent extraction
and other methods known to those skilled in the art. Bioerodible microspheres can
be prepared using any of the methods developed for making microspheres for drug delivery,
for example, as described by
Mathiowitz and Langer, J. Controlled Release, 5:13-22 (1987);
Mathiowitz, et al., Reactive Polymers, 6:275-283 (1987); and
Mathiowitz, et al., J. Appl Polymer ScL, 35:755-774 (1988).
[0434] The devices can be formulated for local release to treat the area of implantation
or injection - which will typically deliver a dosage that is much less than the dosage
for treatment of an entire body - or systemic delivery. These can be implanted or
injected subcutaneously, into the muscle, fat, or swallowed.
[0435] Compositions of some embodiments of the invention may, if desired, be presented in
a pack or dispenser device, such as an FDA approved kit, which may contain one or
more unit dosage forms containing the active ingredient. The pack may, for example,
comprise metal or plastic foil, such as a blister pack. The pack or dispenser device
may be accompanied by instructions for administration. The pack or dispenser may also
be accommodated by a notice associated with the container in a form prescribed by
a governmental agency regulating the manufacture, use or sale of pharmaceuticals,
which notice is reflective of approval by the agency of the form of the compositions
or human or veterinary administration. Such notice, for example, may be of labeling
approved by the U.S. Food and Drug Administration for prescription drugs or of an
approved product insert. Compositions comprising a preparation of the invention formulated
in a compatible pharmaceutical carrier may also be prepared, placed in an appropriate
container, and labeled for treatment of an indicated condition, as is further detailed
above.
EXAMPLES
Proof Of Concept (POC) Experiments
Manufacturing of a His-tagged PD1-41BBL
[0436] For initial POC analysis, a histidine-tagged protein is produced. A cDNA sequence,
coding for a 6-His-tagged PD1-41BBL, is sub-cloned into a mammalian expression vector.
Transfection-grade plasmid preparation is used for plasmid transfection into Expi293
cells or other cell-lines. The supernatant of the Expi293 expressing cells (100 ml
scale) is assessed for PD1-41BBL production by reduced and non-reduced SDS-PAGE and
Western blot (WB) with an anti-His antibody. His-tagged PD1-41BBL is then purified
from a positive supernatant by one-step affinity based purification (Nickel beads).
The production of the tagged chimera protein is verified by SDS-PAGE and Western blot
analysis using specific antibodies against each domain of the molecule (i.e. the extracellular
domain each of PD1 and 41BBL)
Experiment 1A - Production of a His-tag PD1-41BBL fusion protein
[0437] Production of His-tag PD1-41BBL fusion protein (SEQ ID NO: 5) was effected in Expi293F
cells transfected by a pcDNA3.4 expression vector cloned with coding sequence for
the full fusion protein. The sequence was cloned into the vector using EcoRI and HindIII
restriction enzymes, with addition of Kozak sequence, artificial signal peptide and
6 His-tag in the N terminus and a stop codon in the C terminus (SEQ ID NO: 18).
[0438] The protein was collected from supernatant of cell culture, and purified by one-step
purification by HisTrap
™ FF Crude column.
Experiment 1B - The produced His-tagged PD1-41BBL fusion protein contains both domains
[0439] Materials - His-tagged PD1-41BBL protein (SEQ ID NO: 5) produced as described in Experiment
1A hereinabove, protein marker: Spectra BR (Thermo Fisher Scientific, cat# 26634),
Anti PD1 (Cell Signaling, cat# 86163), Anti 41BBL (BioVision,5369-100), Mouse-anti-His
mAb (GenScript, Cat.No. A00186), Secondary Goat Anti-Rabbit IgG (H + L)-HRP Conjugate
(1:3333) (R&D, cat# 170-6515), Recombinant human PD1 0.5mg/ml (1086-PD-050) R&D, Recombinant
human 41BBL (TNFSF9) 0.1 mg/ml (8460 LF) Cell Signaling Stripping buffer (Thermo scientific,
cat# 21059), Protein De-glycosylation Mix: (NEB p6044).
[0440] Methods - Proteins (250 ng per lane) were incubated at denaturing, or non denaturing conditions
(in sample buffer containing β-mercaptoethanol and boiled for 5 minutes at 95 °C,
or, in sample buffer without β-mercaptoethanol without heating, respectively) and
separated on 12 % SDS-PAGE gel, followed by Western blotting. De-glycosylation treatment
was effected by PNGase F enzyme according to the Protein De-glycosylation Mix manufacturer
instructions.
Results
[0441] Western blot analysis of His-tagged PD1-41BBL (SEQ ID NO: 5) separated on a SDS-PAGE
gel under denaturing conditions followed by immunoblotting with an anti His-tag antibody
or an anti-41BBL antibody demonstrated that both the N-terminal side of the molecule
and the C-terminal side of the molecule are present (FIGs. 1 and 2A-B). Although the
predicted molecular weight of the protein according to its amino acid sequence is
39 kDa, the protein migrated under denaturing conditions as approximately 50-60 kDa
in molecular weight. This shift was found to be related to the glycosylation of the
protein, as determined by treating the protein with PNGase F enzyme that removes almost
all N-linked oligosaccharides from glycoproteins. Following the treatment, a major
band of about 39 kDa was observed (FIG. 2C).
[0442] When separated on a SDS-PAGE under non-denaturing conditions the His-tagged PD1-41BBL
(SEQ ID NO: 5) was detected at the same molecular weight as under denaturing conditions
(FIGs. 1, and 2B). Additional bands of higher molecular weight were also detected,
which were stronger under the non-denaturing conditions compared to the denaturing
conditions. This might suggest the formation of multimers, probably trimers, according
to the molecular size and the fact that 41BBL protein naturally tends to form trimers
(
Eun-Young et al, 2010, THE JOURNAL OF BIOLOGICAL CHEMISTRY VOL. 285, NO. 12, pp. 9202-9210).
Experiment 1C - Binding analysis of the PD1 and 41BBL moieties of the chimera to PDL1 and 41BB
[0443] The binding of the PD1 domain of the molecule to PDL1 and the binding of the 41BBL
domain of the molecule to 41BB was determined by the bio-layer interferometry Blitz
® assay.
[0444] Materials - PD-L1:FC (Sino Biological, cat # 12283-H02H), 41BB:FC (Sino Biological, cat # 10041-H03H),
His-tagged PD1-41BBL (SEQ ID NO: 5) produced as described in Experiment 1A hereinabove,
SIRPα-41BBL (SEQ ID NO: 6, as a negative control), Soluble PD-L1 (as a competitor,
Sino Biological cat #12283-H02H), PD1-CD70 (SEQ ID NO: 7, as a negative control),
41BB PE flow antibody (eBioscience, cat# 12-1379-42), PDL1 APC flow antibody (Biolegend,
cat# 329708).
[0445] Methods and results - The biosensor was pre-loaded with PD-L1:Fc, which led to a stable association plateau
(FIG. 3A). Upon subsequent incubation with His-tagged PD1-41BBL (SEQ ID NO: 5) a rapid
association of the His-tagged PD1-41BBL to PD-L1:Fc was detected (FIG. 3A, upper line).
Similar incubation with a control protein SIRPα-41BBL (composed of a SIRPα domain
fused to 41BBL, SEQ ID NO: 6), did results in binding to PD-L1:Fc (Figure 3A, middle
lower line). Furthermore, when the biosensor was not pre-loaded with PD-L1:Fc, the
His-tagged PD1-41BBL did not associate (FIG 3A, lower line). Upon reaching a stable
association plateau, the biosensor was washed with medium to determine the off-rate
of the His-tagged PD1-41BBL from PD-L1:Fc. The dissociation of His-tagged PD1-41BBL
from the PD-L1:Fc-loaded biosensor was slow, suggesting stable interaction of PD1
with PD-L1. Furthermore, soluble PD-L1 (sPD-L1) was loaded as a competitive binding
inhibitor. Indeed, binding of His-tagged PD1-41BBL to PD-L1:Fc occurred at a lower
yet detectable rate during the association phase, suggesting competitive binding to
sPD-L1 (FIG. 3A, middle upper line)
[0446] Upon similar loading of the biosensor with 41BB:Fc, binding of the 41BBL unit of
His-tagged PD1-41BBL (SEQ ID NO: 5) was evaluated (Figure 3B). As with the PD1 domain,
the 41BBL domain of the PD1-41BBL rapidly bound to its target receptor (FIG. 3B, upper
line); with the off-rate for the 41BBL/41BB interaction being also very slow, as evident
from the limited dissociation occurring during the last dissociation phase. Control
treatment with a PD1-CD70 (SEQ ID NO: 7), lacking the 41BBL domain, did not result
in any detectable binding to 41BBL:Fc (FIG 3B, middle line). Further, in the absence
of pre-loading with 41BB:Fc, the His-tagged PD1-41BBL did not detectably bind the
biosensor (FIG. 3B, lower line).
[0447] Taken together, both domains of the His-tagged PD1-41BBL (SEQ ID NO: 5) retain functional
binding activity for their cognate receptors.
Experiment 1D - Binding analysis of the PD1 and 41BBL moieties of the chimera to PDL1 and 41BB on
surface of cells
[0448] The binding of the PD1 domain of the molecule to human PDL1 is evaluated by using
HT1080 cells or CHO-K1 cell or another cell line overexpressing PDL1. Cells are stained
with different concentrations of His-tagged PD1-41BBL, and then by a secondary anti
4-1BBL antibody. Binding is analyzed by flow cytometry using fluorescence-activated
cell sorting (FACS). The use of different concentrations of the chimera allows to
determine affinity of the molecule to the PDL1. In this binding test, a recombinant
PD1 is also used as competitor to the His-tagged-PD1-41BBL in order to verify the
specificity of the binding. Antibodies that block the interaction between PD1 and
PDL1 can be used as well for the same purpose. For this assay, DLD1 carcinoma cells
that are treated with IFN gamma to express PDL1 can be used as well.
[0449] The binding of the 4-1BBL moiety of the chimera to human 4-1BB is tested by using
HT1080 cells or another cell line that are overexpressing 4-1BB. Cells are stained
with different concentrations of His-tagged-PD1-41BBL and then by a secondary anti
PD1 antibody, and binding affinity is analyzed by FACS. In this binding test, a recombinant
41BBL is used as a competitor to the PD1-41BBL in order to verify the specificity
of the binding. Antibodies that block the interaction between 41BB and 41BBL can be
used for the same purpose as well.
[0450] Materials - His-tagged PD1-41BBL protein (SEQ ID NO: 5) produced as described in Experiment
1A hereinabove; HT1080-WT, HT1080-CD27, HT1080-41BB, DLD1-WT and DLD1-PDL1 cell lines
(Lang et al 2015, Hendriks et al 2016), Fixable Viability Dye (BD Biosciences, cat#562247),
Human Fc blocker True stain FCX (Bioledgend, cat#422302), and the following antibodies:
| |
Target |
Fluor |
Cat# |
Manufacturer |
| Antibodies used for expression study |
anti CD27 |
APC |
356410 |
Biolegend |
| IgG1 |
400122 |
| anti 41BB (CD137) |
309810 |
| IgG1 |
400122 |
| anti PDL1 (CD274) |
BLG-329708 |
| Iso-C (IgG2b) |
BLG-400322 |
| anti CD47 |
Alexa 647 |
MCA2514A647 |
BioRad |
| IgG2b |
MCA691 A647 |
| Antibodies used for binding assays |
anti 41BBL |
PE |
311504 |
Biolegend |
| IgG1, K |
400112 |
| anti CD70 |
PE |
355104 |
| IgG1, K |
400114 |
| anti PD1 |
PE |
12-9969-42 |
eBioscience |
| IgG1, K |
12-4714-42 |
[0451] Methods - For expression assays, cells (0.5M cells/sample) were immuno-stained with the indicated
antibodies, followed by Flow cytometry analysis. For binding assays, cells were preincubated
with human Fc blocker prior to incubation with His-tagged PD1-41BBL (SEQ ID NO: 5)
for 30 minutes on ice, followed by immuno-staining with antibodies against the free
arm of the molecule, fixation and analysis by flow cytometry.
[0452] Results - As shown in FIG. 4A-B, HT1080-CD27 and HT1080-41BB cells indeed express the relevant
receptors, CD27 and 41BB, respectively, while HT1080-WT, DLD1-WT and DLD1-PDL1 cells
do not express both receptors. CD47 and PDL1 are endogenously expressed on the surface
of all the tested cell lines at different levels (FIGs. 4A-B).
[0453] Binding assays show that His-tagged PD1-41BBL (SEQ ID NO: 5) binds to HT1080-41BB
cells and to DLD1-PDL1 cells in a dose dependent manner (FIGs. 5A and 6A), while it
doesn't bind to the negative control HT1080-CD27 cells and to DLD1-WT cells (FIGs.
5B and 6B).
[0454] Taken together, both sides of the His-tagged PD1-41BBL protein (SEQ ID NO: 5), the
N and C terminals, can bind their relevant counterparts overexpressed on the surface
of cells.
Experiment 2 - Activation of the 41BB receptor by the chimera
[0455] The activation effect of the 41BB receptor by the His-tagged PD1-41BBL is tested
by using HT1080 cells or another cell line that are overexpressing the 41BB receptor.
Specifically, the HT1080-41BB cell line is overexpressing 41BB and is known to secrete
IL-8 upon binding of 41BBL (
Wyzgol, et al, 2009, The Journal of Immunology). Upon binding of 41BBL to the 41BB receptor on the surface of these cells, a signaling
pathway is activated resulting in secretion of IL8. The cells are incubated in the
presence of the His-tagged-PD1-41BBL in different concentrations and IL8 secretion
to the culture media is determined by ELISA. The oligomerization is tested by addition
of anti-His-tag cross linking antibody in different concentrations. With the addition
of the anti-His-tag Ab, the chimera molecules will be cross linked and form oligomers,
resulting in an increased IL8 secretion. Anti PD1 antibody can be used for the same
purpose as well (cross linking the PD1 moiety of the molecule). Recombinant PDL1 is
used as negative control (recombinant PDL1 will not cross link PD1 and will not form
oligomerization of the molecule).
[0456] The oligomerization is also tested by co-culturing the cells overexpressing the 41BB
receptor with HT1080 cells that are overexpressing human PDL1. The PD1-41BBL binds
to the PDL1 that is over expressed on the HT1080 cells and the 41BBL moiety is presented
to the HT1080 that are overexpressing the 4-1BB receptor. Due to this presentation
of several molecules in close vicinity, the requirement for oligomerization is fulfilled.
[0457] The activation of the 41BBL receptor by His-tagged PD1-41BBL can be compared to that
of its parts, namely, recombinant PD1 or 41BBL alone or in combination.
[0458] Materials - His-tagged PD1-41BBL protein (SEQ ID NO: 5) produced as described in Experiment
1A hereinabove, HT1080-41BB cell line, IL-8 ELISA kit (cat#D8000C, R&D), DMEM (cat#
01-055-1A, Biological industries), FBS (cat# 10270106, Rhenium), AIM V (serum free
medium) (Thermo Scientific)
[0459] Methods - HT1080-41BB cells (5000 per well) were incubated for 24 hours with different concentrations
of His-tagged PD1-41BBL protein (SEQ ID NO: 5). IL-8 concentration in the supernatant
was determined by IL-8 ELISA kit according to the manufacturer's protocol. Serum free
medium was used for some of the experiments to eliminate relatively high background
that was observed using medium with FBS.
[0460] Results - Several independent experiments showed the functionality of His-tagged PD1-41BBL
protein (SEQ ID NO: 5): His-tagged PD1-41BBL protein (SEQ ID NO: 5) was able to trigger
TNFR signaling as determined by IL8 secretion by HT1080-41BBL cells, in a dose dependent
manner both in medium containing FBS (FIG. 7) and in Serum free medium (FIG. 8).
Experiment 3 - Activation of T-cells by PD1-41BBL
[0461] The effect of PD1-41BBL on the activation of T-cells is tested using either T-cells
in human healthy donor PBMCs or by using human TILs. The T-cells are first co-cultured
with human carcinoma cancer cells and treated with anti CD3 and anti Epcam1 bispecific
antibodies to induce T-cell activation and then with the PD1-41BBL. The anti CD3/Epcam1
antibody is delivering the first signal for activation of T cells against the Epcam1
expressing cancer cells. The PD1-41BBL molecule is interacting with PDL1 expressed
on the surface of cancer cells, this interaction facilitates the presentation and
oligomerization of the molecule and by that, enables the interaction of the 41BBL
moiety with 41BB receptor on The T cell and delivery of a second co-stimulatory signal
to the T cell. The activation level of the T cells is determined by measuring several
parameters; Firstly, by testing the expression of activation markers on the surface
of the T cells, (for example: CD69, CD137, CD107a, PD1 etc.). Expression of activation
markers is tested by staining the cells with specific antibodies and flow cytometry
analysis (FACS). A second way to determine T cell activation is by measuring inflammatory
cytokine secretion (for example: IL2, IL6, INF gamma etc.). Secretion of inflammatory
cytokine is tested by ELISA. Proliferation of T cells is measured by pre-staining
of T cells with CFSE (carboxyfluorescein succinimidyl ester) and determining deviation
of cells by CFSE dilution that is determined by FACS. An additional parameter that
is tested is the killing of the cancer cells that is measured by pre - labeling the
cancer cells using Calcine-AM reagent and measuring Calcine release into the culture
medium using luminescence plate reader.
[0462] The effect of PD1-41BBL on the activation of TILs is tested on TILs that are extracted
from tumors and then co-cultured with the tumor cancer cells and treated with PD1-41BBL.
[0463] The first signal for activation of T cells is delivered by the cancer cells via MHC
class I: peptide - TCR (T cell receptor) pathway. The PD1-41BBL fusion protein is
interacting with PDL1 expressed on the surface of the tumor cells, this interaction
facilitates the presentation and oligomerization of the molecule and accordingly enables
the interaction of the 41BBL moiety with 41BB receptor on the T cell and delivery
of a second co-stimulatory signal to the T cell. Activation level of the TILs and
killing of tumor cells is determined in the same way as described (activation markers,
cytokine secretion, proliferation and killing of tumor cells).
[0464] The activation of T-cells by His-PD1-41BBL can be compared to that of its parts,
namely, recombinant PD1 or 41BBL alone or in combination.
Experiment 3A - PD1-41BBL protein demonstrates T cell co-stimulatory activity
[0465] Materials - His-tagged PD1-41BBL protein (SEQ ID NO: 5) produced as described in Experiment
1A hereinabove, HT1080-WT cells, HT1080-41BB cells, DLD1-PD-L1 cells, DLD1-WT cells
(Lang et al 2015), freshly isolated human T cells, IL8 Elisa kit (R&D systems, cat#
DY208), PD-L1:Fc (Sino Biological, cat# 10084-H02H), anti-CD3/anti-CD28 activation
beads (Life Technologies, cat# 11131D), anti CD25 antibody (Immuno Tools, cat# 21270256).
[0466] Methods and Results - The PD1-41BBL was designed to bind to PD-L1, thereby blocking PD-1/PDL1 inhibitory
signaling; and at the same time trigger 41BB-mediated activation of T cells. In this
experiment, the 41BBL domain of PD1-41BBL protein was evaluated for its potential
to stimulate T-cells.
[0467] Staining of HT1080-WT cells showed that 41BB was not detected on the cells surface,
while HT1080-41BB cells were positive for 41BB (FIG, 9A). Similarly, DLD1-WT cells
stained for PDL1 were negative for PDL1, while DLD1-PDL1 cells were positive for PDL1
(FIG. 9B).
[0468] Following, HT1080-41BB cells were mixed with DLD10PD-L1 cells or with control wild-type
DLD1. Upon treatment of single cultures of HT1080-41BB with His-tagged PD1-41BBL protein
(SEQ ID NO: 5), minimal production of IL-8 was detected following 24 hours of incubation
(FIG. 9C). Similarly, treatment with His-tagged PD1-41BBL protein (SEQ ID NO: 5) minimally
induced IL-8 secretion when HT1080-41BB cells were mixed with wild-type DLD1 cells
(FIG. 9C). Thus, in the absence of PD-L1 binding, the PD1-41BBL has a minimal co-stimulatory
activity. However, treatment of mixed cultures of HT1080-41BB and DLD1-PD-L1 with
His-tagged PD1-41BBL protein (SEQ ID NO: 5), triggered a strong increase in IL-8 secretion
that peaked at 2500 pg / mL (FIG. 9D). These results demonstrate that upon binding
of the PD1 domain of His-tagged PD1-41BBL protein (SEQ ID NO: 5) to PD-L1 expressing
cells, the 41BBL domain is presented in a cross-linked form that can trigger 41BB
co-stimulation. Thus, binding of the His-tagged PD1-41BBL protein (SEQ ID NO: 5) to
PD-L1 is beneficial for functional 41BBL/41BB interaction.
[0469] Next, the potential induction of T cell activation by the 41BBL domain of the His-tagged
PD1-41BBL protein (SEQ ID NO: 5) was evaluated. To this end, freshly isolated T cells
were added to PDL1-Fc coated plates and activated with sub-optimal concentrations
of anti-CD3/anti-CD28 activation beads for 7 days. Following treatment, a clear increase
in the percentage of activated CD25-positive T cells was detected in the His-tagged
PD1-41BBL protein (SEQ ID NO: 5) treated cells (FIG. 10), with an optimum induction
at ~7.5 µg / ml. In contrast, control fusion protein SIRPα:41BBL (SEQ ID NO: 6) did
not trigger T cell activation (FIG. 10). Thus, binding of His-tagged PD1-41BBL protein
(SEQ ID NO: 5) to PDL1 enables 41BBL/41BB-mediated co-stimulation and activation of
T cells.
[0470] Taken together, the data provides clear evidence that upon PDL1-mediated binding,
His-tagged PD1-41BBL protein (SEQ ID NO: 5) gains 41BBL-mediated co-stimulatory activity
that can augment T cell activation.
Experiment 3B - PD1-41BBL protein augments human PBMCs activation
[0471] Materials - His-tagged PD1-41BBL protein (SEQ ID NO: 5) produced as described in Experiment
1A hereinabove, INF-γ ELISA Kit [cat# 900-TM27, cat# 900-T00 - Elisa Buffer Kit (TMB)],
RPMI (cat# 01-100-1A, Biological industries), FBS (cat# 12657-029, Gibco), L-Glutamine
(cat# 25030-24, Gibco), Pen/Strep (cat# 15140-122, Gibco), Leaf purified anti-human
CD3 (cat# BLG-317315, BioLegend), recombinant human IL2 (cat# 202-IL-500, R&D Systems),
human Peripheral Blood Mononuclear Cells (PBMCs), isolated from healthy donor peripheral
blood by Ficoll-Paque (cat# 17-1440-03, GE Healthcare), LivMet mouse pancreas cancer
cells (Partecke et al, 2011).
[0472] Methods - Human PBMCs were isolated from healthy donor peripheral blood using Ficoll-Paque
(Grienvic et al. 2016). Following, PBMCs were cultured for 40 hours with addition
of different concentrations of His-tagged PD1-41BBL protein (SEQ ID NO: 5), in the
presence of anti-CD3 (30 ng/ml) or anti-CD3 plus IL2 (1000 U/ml). The experiment was
effected with or without co-culture with PDL1-expressing murine Livmet cells (E:T
ratio 1:1). INF-γ concentration in the cells supernatant was evaluated by INF-γ ELISA
kit according to the manufacturer's protocol.
[0473] Results - Human PBMCs, including NK cells, NKT cells, CD4+ and CD8+ effector Th1 cells, are
known to secrete pro-inflammatory Interferon-γ (INF-γ) in response to activation.
The activation of a T-cell requires two signals: ligation of the T-Cell Receptor (TCR)
with the Major Histocompatibility Complex (MHC)/peptide complex on the Antigen Presenting
Cell (APC) and cross-linking of co-stimulatory receptors on the T-cell with the corresponding
ligands on the APC. 41BB, is a T-cell costimulatory receptor induced by ligation of
41BBL. 41BB transmits a potent costimulatory signal to both CD8+ and CD4+ T cells,
promoting their expansion, survival, differentiation, and cytokine expression. 41BB
ligand, 41BBL, is a membrane protein, which provides a co-stimulatory signal to T-cells.
[0474] In this experiment the functionality of PD1-41BBL molecule in enhancing human PBMCs
activation was evaluated.
[0475] Addition of His-tagged PD1-41BBL protein (SEQ ID NO: 5), enhanced the activation
of PBMCs in a dose depended manner, as can be seen by an increase in INF-γ secretion
by PBMCs that were stimulated by anti-CD3 antibody, with or without the addition of
IL2 (FIG. 11A).
[0476] Co-culturing PBMCs with LivMet cells results in secretion of INF-γ, probably due
to direct activation effect of the PBMCs by the tumor cells. Treatment with His-tagged
PD1-41BBL protein (SEQ ID NO: 5) had a moderate effect when added to the co-culture;
and show a more pronounced effect when added together with IL2 (FIG. 11B).
[0477] Taken together, His-tagged PD1-41BBL protein (SEQ ID NO: 5), augments activation
of PBMCs, as can be seen by IFN-γ secretion.
Experiment 4 - In-vivo proof of concept
[0478] The effects of PD1-41BBL, both on the targeting and the activation of T, NK and B
cells are tested in-vivo in mouse models. The mouse His-PD1-41BBL fusion protein is
produced and purified as tagged protein in the same way as the human molecule. Mouse
tumor models are generated by injecting mice with mouse cancer cells that are known
to form tumors that express mouse PDL1. Mice are treated with the mouse His-tagged
PD1-41BBL fusion protein molecule or the human His-tagged-PD1-41BBL fusion protein
molecule. Tumor size, mice survival and inflammatory reaction in the tumor site are
monitored.
[0479] Similar experiments can be performed in a humanized mouse model using human tumors.
This model is constructed using mice that are lacking any mouse immune system (Nude/SCID/NSGmice).
A human-like immune system is established in these mice by injection of only human
T cells, PBMCs or by using genetically engineered mice that possess a fully humanized
immune system. The mice are inoculated with human cancer cells and treated with the
human His-tagged-PD1-41BBL molecule. Tumor size, mice survival and inflammatory reaction
in the tumor site are monitored in this model as well.
[0480] The in-vivo efficacy of His-tagged-PD1-41BBL can be compared to that of its parts,
namely, recombinant PD1 or 41BBL alone or in combination.
Experiment 4A - PD1-41BBL protein inhibits tumor growth in mice inoculated with syngeneic colon carcinoma
[0481] Materials - Mice autoclaved food and bedding (Ssniff, Soest, Germany), Female Balb/C mice (Janvier,
Saint Berthevin Cedex, France), CT-26 mouse colon carcinoma cell line(ATCC-CRL-2638),
His-tagged PD1-41BBL protein (SEQ ID NO: 5) produced as described in Experiment 1A
hereinabove, PBS.
[0482] Methods - Mice were maintained in individually ventilated cages in groups of four mice per
cage. The mice received autoclaved food and bedding and acidified (pH 4.0) tap water
ad libitum. The animal facility was equipped with an automatic 12 hours light/dark
regulation, temperature regulation at 22± 2 °C, and relative humidity of 50±10 %.
Female Balb/C mice were inoculated subcutaneously with 1 × 10
6 CT-26 cells and treatment started three days later. Following random assignment,
10 animals per group were administered twice weekly with four intravenous injections
of His-tagged PD1-41BBL protein (SEQ ID NO: 5) (100 µg / injection) or its soluble
buffer (PBS)(FIG. 12A). All administrations were performed in the morning, without
anesthesia. Tumor volume was determined three times per week using caliper measurements,
and the individual volumes were calculated by the formula: V=([width]2 × length)/2.
All animal experiments were done in accordance with the United Kingdom Coordinating
Committee on Cancer Research regulations for the Welfare of Animals (
Workman et al., Committee of the National Cancer Research Institute. Guidelines for
the welfare of animals in cancer research. Br J Cancer 2010; 102:1555-77) and of the German Animal Protection Law and approved by the local responsible authorities
(Gen0030/15).
[0483] Results - In this Experiment, the in-vivo effect of PD1-41BBL was evaluated using the CT-26
mouse colon cancer model. Treatment of CT-26 inoculated mice with His-tagged PD1-41BBL
protein (SEQ ID NO: 5) significantly reduced tumor volume (by about 42 % at max) (FIGs.
12B-C).
Experiment 4B - PD1-41BBL protein is effective for the treatment of mice inoculated with a syngeneic
leukemic tumor
[0484] Materials - Mice autoclaved food and bedding (Ssniff, Soest, Germany), Female DBA/2 mice (Janvier,
Saint Berthevin Cedex, France), P388 Leukaemia cell line (Max-Delbrueck-Center for
Molecular Medicine, Berlin, Germany), Anti-mouse PD-1 antibody (BioXcell, West Lebanon,
USA), His-tagged PD1-41BBL protein (SEQ ID NO: 5) produced as described in Experiment
1A hereinabove, PBS.
[0485] Methods - Mice were maintained in individually ventilated cages in groups of four mice per
cage. The mice received autoclaved food and bedding and acidified (pH 4.0) tap water
ad libitum. The animal facility was equipped with an automatic 12 hours light/dark
regulation, temperature regulation at 22± 2 °C, and relative humidity of 50±10 %.
Female DBA/2 mice were inoculated intraperitoneally with 1 × 10
6 P388 cells and treatment started the day after. Following random assignment, 10 mice
per group were administered every second day with four intravenous injections of His-tagged
PD1-41BBL protein (SEQ ID NO: 5) (100 µg / injection) or its soluble buffer (PBS).
5 mg / kg anti-mouse PD-1 at the same schedule were included as a therapeutic reference
(FIG. 13A). All administrations were performed in the morning, without anesthesia.
Mice bearing P388 were weighed daily and once the mice became moribund, they were
sacrificed; and the ascites volume was determined. Furthermore, spleens and liver
from each mouse was taken and weighed.
[0487] Results - In this experiment, the in-vivo effect of His-tagged PD1-41BBL protein (SEQ ID
NO: 5) was evaluated using the P388 ascites mouse leukemia model. In this model, spleen
weight is a marker for disease severity, due to the fact that the spleen serves as
draining lymph node for the ascites. Treatment of P388 mouse leukemia inoculated mice
with His-tagged PD1-41BBL protein (SEQ ID NO: 5) was effective as can be seen by significant
reduction in spleen weight (27 % mean, P-value= 0.003) (FIG. 13B). No differences
in liver weight were detected (data not shown).