Riverbend DS Assocation Home Page » Resources » Patents » Interferon » Methods of Treatment of Down Syndrome by Interferon Antagonists Methods of Treatment of Down Syndrome by Interferon Antagonists |
Inventors: Maroun; Leonard E. (Springfield, IL) Assignee: Meiogen Biotechnology Corporation (Springfield, IL) Appl. No.: 502519 Filed: July 14, 1995 |
Primary Examiner: Huff; Sheela Assistant Examiner: Eyler; Yvonne Attorney, Agent or Firm: Pennie & Edmonds LLP United States Patent 5,780,027 July 14, 1998 |
Claims
What is claimed is:
1. A method of ameliorating the pathological
effects of a trisomy of chromosome 21 which comprises administering an amount of
an interferon antagonist to a mammal having a trisomy of chromosome 21 that
renders the cells of the mammal hypersensitive to interferon, said amount being
effective to ameliorate the pathological effects of the trisomy, wherein the
patholoical effects are the result of increased responsiveness to interferon.
2. A method of ameliorating or preventing the pathological effects of
Down syndrome, which comprises administering an amount of an interferon
antagonist to a human having or at risk of having Down syndrome, said amount
being effective to amerliorate or prevent the pathological effects of Down
syndrome, wherein the pathological effects are the result of increased
responsiveness to interferon.
3. The method of claim 2 wherein the human
is a human fetus.
4. The method of claim 2 wherein the human is a human
infant.
5. The method of claim 2 wherein the human is a human adult.
6. The method of claim 2 wherein the interferon antagonist binds to
interferon and wherein the amount of antagonist is effective to reduce the level
of bioavailable interferon in the subject's blood to at most one third of a
normal level of bioavailable interferon.
7. The method of claim 6
wherein the interferon antagonist is an antibody to interferon or interferon
receptor and the administration is by an intramuscular, subcutaneous or
intravenous route.
8. The method of claim 6 wherein the interferon
antagonist is an antibody to interferon or interferon receptor and the
administration is by an intramuscular, subcutaneous or intravenous route.
9. The method of claim 6 wherein the interferon antagonist comprises an
interferon-binding domain of an interferon receptor and the administration is by
an intramuscular, subcutaneous or intravenous route.
10. The method of
claim 6 wherein the interferon antagonist comprises an interferon-binding domain
of an interferon receptor and the administration is by an transplacental route.
11. The method of claim 2 wherein the antagonist blocks the action of an
interferon receptor.
12. The method of claim 2 wherein the interferon
antagonist is a peptide that occupies the interferon-binding domain of an
interferon receptor but does not activate the interferon receptor.
13.
The method of claim 2 wherein the interferon antagonist is genetically
engineered.
14. The method of claim 2 wherein the interferon antagonist
is an antagonist of Type I interferon.
15. The method of claim 2 wherein
the interferon antagonist is an antagonist of Type II interferon.
16.
The method of claim 2 wherein the interferon antagonist is an antagonist of
placental interferon.
Description
1. FIELD OF THE INVENTION
The present invention relates to a
process for ameliorating or preventing neurological diseases that are caused, in
part, by an increased and/or abnormal responsivity to interferon. Down Syndrome
(DS) and Alzheimer's Disease (AD) are examples of such diseases. Specifically,
the invention provides a method for treating subjects suffering from or at risk
for such diseases by the administration of a pharmacological preparation that
antagonizes interferons' action.
2. BACKGROUND OF THE INVENTION
2.1. THE MOLECULAR BIOLOGY OF INTERFERONS AND INTERFERON RECEPTORS
Interferons are proteins that alter and regulate the transcription of
genes within a cell by binding to interferon receptors on the regulated cell's
surface and thus prevent viral replication within the cells. There are five
types of interferons (IFN), which are designated .alpha. (formerly
.alpha..sub.1), .omega. (formerly .alpha..sub.2), .beta., .gamma. and .tau..
Mature human interferons are between 165 and 172 amino acids in length. In
humans IFN-.alpha. and IFN-.omega. are encoded by multiple, closely related
non-allelic genes. Additionally, there are pseudo-genes of IFN-.alpha. and
IFN-.omega.. By contrast, IFN-.beta. and IFN-.gamma. are encoded by unique
genes.
The interferons can be grouped into two types. IFN-.gamma. is the
sole type II interferon; all others are type I interferons. Type I and type II
interferons differ in gene structure (type II interferon genes have three exons,
type I one), chromosome location (in humans, type II is located on
chromosome-12; the type I interferon genes are linked and on chromosome-9), and
the types of tissues where they are produced (type I interferons are synthesized
ubiquitously, type II by lymphocytes). Type I interferons competitively inhibit
each others binding to cellular receptors, while type II interferon has a
distinct receptor. Reviewed by Sen, G. C. & Lengyel, P., 1992, J. Biol.
Chem. 267:5017-5020.
Although all type I interferons compete for binding
to a common receptor or receptors, the effects of different type I interferons
can be different. Pontzer, C. H., 1994, J.Interfer.Res. 14:133-41. Additionally,
there appears to be several kinds of type I interferon receptor. For example,
there is evidence that the type I interferon receptors of different cell types
are different. Benoit, P., 1993, J. Immunol. 150:707. The number of genes
encoding the type I interferon receptors is unknown: however, the genes appear
to be linked to each other and to at least one gene encoding an IFN-.gamma.
receptor component as well. In humans, chromosome region 21q21.1-21.31 encodes
all the genes needed for the receptor for type I interferon (Raziuddin, A.,
1984, Proc. Natl. Acad. Sci. 81:5504-08; Soh, J., 1993, Proc. Natl. Acad. Sci.
90:8737-41; Soh, J., 1994, J. Biol. Chem. 269:18102-10) and at least one
essential component of the type II interferon receptor (Jung, V., 1990, J. Biol.
Chem. 265:1827-30).
2.2. THE BIOLOGY OF INTERFERON ACTION AND DOWN
SYNDROME
The binding of interferons to their receptor, leads to a
cascade post-translational modification to other proteins which are then
transported to the nucleus where they regulate the transcription of genes by
binding to specific nucleic acid sequences. The nucleic acid sequence which is
characteristic of genes responsive to type I interferons is designated the
Interferon Sensitive Response Element (ISRE). Reviewed Tanaka, T. &
Taniguchi, T., 1992, Adv. Immunol. 52:263. Type-I interferons are synthesized in
response to viral infection, except for IFN-.tau. which is constitutively
produced in the placenta; Type II interferons are synthesized in response to
antigen stimulation.
Interferons alter the rates of synthesis and the
steady state levels of many cellular proteins. An overall effect of interferon
is usually an inhibition of cellular proliferation.
The possibility that
cells from subjects having Down Syndrome may have abnormal responsivity to
interferon was introduced by the discovery that a gene encoding an interferon
inducible protein, which was subsequently identified as the type I interferon
receptor, was located on chromosome-21. Tan Y. H. et al., 1974, J. Exp. Med.
137:317-330. This observation prompted comparisons of the response of diploid
and trisomy-21 aneuploid cultured cells to interferon added to the culture
medium. These studies have consistently shown an increased responsivity of
trisomy-21 cells to interferon. Tan, Y. H., et al., 1974, Science 186:61-63;
Maroun, L. E., 1979, J. Biochem. 179:221; Weil, J., et al., 1983, Hum. Genetics
65:108-111; reviewed Epstein, C. J., & Epstein, L. B., 8 LYMPHOKINES
pp277-301 (Academic Press, New York, 1983); Epstein, C. J. et al., 1987,
ONCOLOGY AND IMMUNOLOGY OF DOWN SYNDROME (Alan R. Liss, 1987). The publications
of these studies have been accompanied by speculative conjectures that the
altered responsivity to interferon played a role in the pathogenesis of lesions
of Down Syndrome. See, Maroun, L. E., 1980, J. Theoret. Biol. 86:603-606.
2.3. DOWN SYNDROME AND ANIMAL MODELS OF IT
An animal model of
Down Syndrome has been constructed by use of the knowledge that human
chromosome-21 is syntenic to mouse chromosome-16, i.e., that many of the genes
present on each are homologs of each other. Mice having specified trisomies can
be bred by use of parental mice having "Robertsonian" chromosomes,
i.e., chromosomes that are essentially the centromeric fusion of two different
murine chromosomes. A variety of such Robertsonian chromosomes have been
identified, including at least two involving chromosome-16 and a second
different chromosome: Rb(16.17) and Rb(6.16). Mice homozygous for any
Robertsonian or combination of independent Robertsonian chromosomes are euploid
and fertile.
The intercross (F.sub.1) between an Rb(16.17) and an
Rb(6.16) mouse is also fully diploid at each genetic locus, although errors in
meiosis may cause reduced fertility. Note that in such an F.sub.1 both the
maternal and paternal chromosome-16 are a part of a Robertsonian chromosome.
Because of meiotic errors the outcross between a mouse having both two
different Robertsonian chromosome-16's and a non-Robertsonian mouse gives rise
to a trisomy-16 conceptus in between 15% and 20% of cases. Gearhart, J. D., et
al., 1986, Brain Res. Bull. 16:789-801; Gropp, A., et al., 1975, Cytogenet. Cell
Genet. 14:42-62. The murine trisomy-16 fetuses develop to term but do not live
beyond birth by more than a few hours.
Examination of the fetal
trisomy-16 and the post-partum human trisomy-21 reveals a number of analogous or
parallel lesions. For this reason, the murine trisomy-16 construct is considered
to be an animal model of Down Syndrome. Epstein, C. J., THE METABOLIC BASIS OF
INHERITED DISEASE, 6TH ED. pp291-326 (McGraw-Hill, New York, 1989); Epstein, C. J., et al., 1985, Ann. N.Y. Acad. Sci. 450:157-168. Because a murine trisomy-16
fetus is not viable post partum, the opportunity to study the neurological
pathology of the model has been limited. However, it is clear that in both human
trisomy-21 and murine trisomy-16 there is an overall reduction in fetal size and
particularly in the development of the fetal brain. Epstein, C. J., THE
CONSEQUENCES OF CHROMOSOME IMBALANCE: PRINCIPLES, MECHANISMS AND MODELS
(Cambridge University Press, New York, 1986). Further insights into the effects
of murine trisomy-16 have been obtained by the formation of Ts16.rarw..fwdarw.2N
chimeras (Gearhart, J. D., et al., 1986, Brain Res. Bulletin 16:815-24) and by
transplantation of fetal-derived Ts16 tissue into a 2N host (Holtzman, D. M., et
al., 1992, Proc. Natl. Acad. Sci. 89:138387; Holtzman, D. M., et al., DOWN
SYNDROME AND ALZHEIMER DISEASE, pp227-44 (Wiley-Liss, New York, 1992).
2.4. ALZHEIMER'S DISEASE AND AMYLOID PRECURSOR PROTEIN
Alzheimer's Disease is a progressive dementia which is characterized by
the precipitation of a peptide, termed an A.beta. peptide, of about 40 amino
acids within the brain and within the walls of blood vessels in the brain. The
A.beta. peptide is derived from the processing of a larger cell surface protein
called the .beta. Amyloid Precursor Protein (.beta.APP). Production of the
A.beta. peptide is not per se pathological. The functions of both the A.beta.
peptide or .beta.APP are unknown.
Several lines of evidence indicate
that the deposition of the A.beta. peptide is not merely correlative but rather
causative of Alzheimer's Disease. The gene encoding .beta.APP is located on
chromosome-21 and, as noted above, subjects having Down Syndrome develop
Alzheimer's Disease. More directly, kinship groups have been identified among
the many causes of familial Alzheimer's Disease in which the inheritance of the
Disease is linked to the inheritance of a gene encoding a mutated .beta.APP,
moreover the mutation is within the A.beta. peptide itself. Reviewed Selkoe, D.
J., 1994, Ann. Rev. Neurosci. 17:489-517. Transgenic mice, having multiple
copies of such a mutant .beta.APP gene, operatively linked to a strong, neuronal
and glial cell specific promoter, develop the anatomical lesions of Alzheimer's
Disease at about 6-9 months of age. Games, D., et al., 1995, Nature 373:523.
There is a relationship between Down Syndrome and Alzheimer's Disease.
The gene encoding the .beta.APP is found on chromosome-21. Patients with Down
Syndrome are at increased risk of developing Alzheimer's Disease, most often by
about the fifth decade of life although cases of earlier development have been
reported. Mann, D. M. A., et al., 1990, Acta Neuropathol. 80:318-27.
3.
SUMMARY OF THE INVENTION
The present invention is based, in part, on the
recognition that in certain pathologic processes that result in mental
impairment, the host is rendered abnormally and/or aberrantly sensitive to the
effects of interferon so that the effects of interferon become an immediate and
direct cause of the pathology. Such processes include, in humans, trisomy of
chromosome-21 or the portion of the chromosome-21 that encodes the receptor for
type I interferon and at least one component of the receptor for IFN-.gamma.,
which is the genetic abnormality associated with Down Syndrome; and also include
Alzheimer's Disease.
The present invention provides a method of
ameliorating the pathologic effects of interferon by administering to a subject,
in the above-noted circumstances, an antagonist of interferon. Embodiments of
the invention include the administration of antagonists, alone or in
combination, that are antagonists of Type I interferon, Type II interferon
(IFN-.gamma.), and placental interferon (IFN-.tau.).
4. DESCRIPTION OF
THE FIGURES
FIG. 1A-1C. The lengths of Trisomy 16 fetuses plotted as a
function of the average length of normal littermates. FIG. 1A, Uninjected
controls; FIG. 1B, non-specific IgG (ns-IgG) injected controls; FIG. 1C,
anti-IFN injected fetuses. An analysis-of-covariance was performed to compare
the groups on length while adjusting for average normal littermate length. The
lengths of the anti-IFN treated group were significantly greater than those of
the ns-IgG injected controls (p=0.0112) and those of the uninjected controls
(p=0.0037). The dotted lines in each figure encompass the 95% confidence limits.
FIG. 2A-2B. Morphometric analysis of the development in normal, Trisomy
16 treated and Trisomy 16 sham treated fetuses. FIG. 2A, average eye opening of
17 to 23 mm trisomy 16 fetuses; FIG. 2B, average back curvature scores of
trisomy 16 fetuses greater than 20 mm in length. Columns: (A) Uninjected; (B)
non-specific IgG injected; (C) anti-IFN injected; (D) euploid. The
mean.+-.standard error is presented.
5. DETAILED DESCRIPTION OF THE
INVENTION
5.1. SELECTION OF SUBJECTS
The present invention
concerns the administration of interferon antagonists to subjects in order to
ameliorate the neurological and developmental abnormalities in the subject due
to the action of interferon. A particular group of subjects at risk are subjects
having a trisomy of the portion of the chromosome region, designated in humans
21q21.1-21.31, that encodes for interferon receptors. This group has the
clinical diagnosis of Down Syndrome. Grete, N., 1993, Eur. J. Hum. Genetics
1:51-63; Sinet, P. M., 1994, Biomed. & Pharmacol. 48:247-252. The homologous
chromosome in mice is chromosome-16.
Diagnosis of Down Syndrome can be
made by any method known to the medical arts. Typically, for diagnosis in utero,
amniocentesis can be performed at about 14 weeks of gestational age and
chorionic villus sampling (biopsy) can be performed between 9 and 12 weeks of
gestational age. Down Syndrome in children and adults is diagnosed from
karyotypes of peripheral blood cells. Cells from either type of sample are
cultured and cytogenetic examination can be performed by methods well understood
by those skilled in the art.
As noted above, subjects having Down
Syndrome are at increased risk to develop Alzheimer's Disease. A further group
of subjects that would benefit from the invention consist of subjects having the
diagnosis of probable Alzheimer's Disease or who are at increased risk of
developing Alzheimer's Disease from causes other than Down Syndrome. The
diagnosis of probable Alzheimer's Disease is made by clinical criteria (McKhann,
G., 1984, Neurology 34:939; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL
DISORDERS IV, American Psychological Association, Washington, D.C.). Persons
having a familial predisposition to Alzheimer's Disease are also suitable
subjects for the present invention.
5.2. THE SELECTION OF ANTAGONISTS
The antagonist of the invention can be any antagonist that can be
administered to the subject in an amount effective to prevent the deleterious
action of the interferon on the central nervous system.
The effective
amount of antagonists that act by binding to and blocking interferon proteins in
the blood can be determined by assaying the concentration of bioavailable
interferon in the subjects blood. An effective dose of antagonist is a dose that
is sufficient to reduce the level of bioavailable interferon by between at least
three to five fold, more preferably by about ten fold and most preferably by
about twenty five fold below the normal levels of interferon.
The assay
of bioavailable interferon is performed by adding a sample of the subjects blood
to a culture of an interferon sensitive cell line which is then infected with a
test virus, typically Vesicular Stomatitis Virus (VSV), and the number of viral
plaques is determined or the cytotoxic effects of the VSV infection is otherwise
quantitated. Bioavailable interferon blocks productive viral infection. The
level of bioavailable interferon is calculated by comparing various dilutions of
the test sample with a titration of a standard sample of interferon. Such assays
are rountine in the art. See, e.g., Hahn, T., et al., 1980, in INTERFERON:
PROPERTIES AND CLINICAL USES, ed. by A. Khan, N. O. Hill and G. L. Dorn, (Leland
Fikes Foundation Press, Dallas, Tex.); Armstrong, J. A., 1971, Applied
Microbiology 21:723-725; Havell, E. A. & Vilcek, J. 1972, Anti-microbial
Agents and Chemotherapy 2:476-484.
In one embodiment of the invention
the antagonist is a monoclonal anti-interferon antibody or fragment thereof. The
production of such antibodies is well known in the art. The production of
anti-IFN-.alpha. monoclonal antibodies that block interferon activity is taught
by U.S. Pat. No. 4,973,556 to Bove et al. The production of blocking monoclonal
antibodies to IFN-.gamma. is taught by U.S. Pat. No. 4,948,738 to Banchereau.
The structure of human trophoblastic interferon (IFN-.tau.) has been recently
disclosed (Whaley, A. E., 1994, J. Biol. Chem. 269:10864-8). Monoclonal
antibodies and other antagonists to this interferon can be produced using
methods well known to those skilled in the art.
In a preferred
embodiment, the antibody is a "chimeric" antibody, i.e., an antibody
having a variable region from one species and a constant region from another
species. Most typically chimeric antibodies for use in humans have constant
regions of human origin. In an alternative preferred embodiment, the antibody is
a "grafted" antibody, i.e., an antibody having complementarity
determining regions from one species and a constant region and a framework
region of the variable region from a second species. A grafted antibody in which
the second species is human is termed a "humanized" antibody. Methods
of making chimeric antibodies suitable for pharmaceutical use are disclosed in
patent publication WO92/16553 by Le, J. (Oct. 1, 1992). "Grafted"
antibodies and "humanized" antibodies are described in U.S. Pat. No.
5,225,539 to Winter and patent publications WO91/09967 and WO92/11383 by Adair,
J. R. et al. Suitable antagonists, smaller than an antibody molecule, can be
derived from anti-interferon monoclonal antibodies by techniques well known in
the art. See, e.g., U.S. Pat. No. 5,091,513 to Huston and U.S. Pat. No.
5,260,203 to Ladner. As used herein the term "antibody antagonists"
includes natural polyclonal and monoclonal antibodies, chimeric and grafted
antibodies, and enzymatically and recombinantly produced interferon binding
fragments of each type of antibody.
In an alternative embodiment the
antagonist can be a recombinantly produced protein that comprises the interferon
binding portion of an interferon receptor. The production of soluble interferon
receptors by baculovirus transduced cells is described in Fountoulakis et al.,
1991, Eur. J. Biochem. 198:441-450. Alternatively the antagonist can be a fusion
protein that contains an interferon binding domain of an interferon receptor.
In alternative embodiments, the antagonist can be an antibody to an
interferon receptor, a soluble interferon receptor, receptor fragment, or a
peptide that is derived from an interferon that occupies the receptor binding
site but does not activate the receptor. Such an IFN-.gamma. peptide antagonist
is disclosed by Jarpe, M. A. et al., 1993, J. Interferon Res. 13:99-103.
When the subject is a fetus, or an infant less than 6 weeks of age, the
blood brain barrier is not fully formed. In these circumstances antibodies and
other proteins that block the interferon receptor can directly reach the central
nervous system. When the subject has an intact blood brain barrier, the
preferred embodiment of the invention employs antibodies and proteins that block
interferon by binding the interferon directly, rather than those that act at the
interferon receptor.
Alternatively, increased CNS entry of antibody
antagonists can be obtained by chemical modification of the antagonist. Such
modifications include cationization, Pardridge, W., 1991, "Peptide Drug
Delivery to the Brain", and glycation, Poduslo, J. F., & Curran, G. L.,
1994, Molecular Brain Research 23:157.
The interferon antagonist can be
a mixture of antagonists that are specific for the various different types of
interferon. When one type of interferon predominates, the antagonist can be an
antagonist for only the predominate type of interferon that is present. For
example, when the subject is a fetus, the antagonist can be a INF-.tau. specific
antagonist.
When the subject is a fetus, then the antagonist can be
administered by a transplacental route, e.g., antibody that is transported
across the placenta. The human isotypes IgG1, IgG3 and IgG4 are suitable for
transplacental administration.
5.3. SELECTION OF DOSE AND TIMING OF
ADMINISTRATION
The amount of an antibody antagonist administered is
between 1 and 100 mg/kg. The preferred route of administration of an antibody
antagonist is intravenous administration to infant and adult subjects. The
preferred route of administration to fetal subjects is by intravenous
administration to the mother followed by transplacental transport. Alternatively
antibody antagonists can be administered by intramuscular and subcutaneous
routes. When an antagonist is delivered transplacentally, the calculation of the
dose is based on the maternal weight.
The antagonist is administered to
subjects having Down Syndrome preferably at the time when the central nervous
system is developing most rapidly. The preferred period of administration is
from a gestational age of 24 weeks onwards until a post natal age of about 2
years. Even though some proliferation of neurons takes place during weeks 8-18,
it is not critical that an antagonist be administered to a human subject prior
to week 20-24 of gestational age because the synaptic connections between the
neurons are not formed until week 20. Brandt, I., 1981, J. Perinat. Med. 9:3.
The administration of the antagonist to subjects having Alzheimer's Disease
should commence at the time that the diagnosis of probable Alzheimer's Disease
is first made and continue there after. In middle age, subjects having Down
Syndrome develop a dementia having an anatomical pathology which is identical to
Alzheimer's Disease (Mann, D. M. A., 1988, Mech. Aging and Develop. 43:99-136).
Thus, the administration of the antagonist to Down Syndrome patients can be
continued throughout the life of the patient, as Down Syndrome patients are at
risk for Alzheimer's Disease ab initio.
The frequency of administration
is determined by the circulation time of the antagonist, which can be determined
by direct measurement by methods well known to those skilled in the art.
In an alternative embodiment of the invention, the administration of
interferon antagonists is replaced by the extracorporeal treatments of the
subject's blood to remove circulating interferon, such as is described in U.S.
Pat. No. 4,605,394.
5.4. A MODEL EMBODIMENT OF THE INVENTION
The
invention is exemplified and its operability is demonstrated by the experiments
that are presented in Example 1 below. Briefly, normal female mice were crossed
with double heterozygous males having Rb(6.16) and Rb(16.17) chromosomes. The
females were injected with a mixture of rat monoclonal anti-IFN-.gamma. (1500
neutralizing units) and rabbit polyclonal anti-IFN-.alpha./.beta. (1362
neutralizing units) interperitonally (i.p.) on days 8, 10, 12 and 14 of
pregnancy. On day 17 the embryos were biopsied for cytogenetic classification,
sacrificed and four gross parameters were measured and compared to the
genetically normal littermates in order to assess relative development. Control
groups consisted of untreated females and sham treated females which were given
normal rabbit and rat serum .gamma.globulin injections.
The four
measured parameters were overall (crown-rump) length of the fetus, shape of the
back (normally concave at birth), eye-closing (the eyes normally close shortly
before birth) and fetal weight. The results of the comparison of each of the
parameters from 17 untreated, 16 sham treated and 18 treated controls showed a
statistically significant reduction in the growth retardation/maturation of the
treated trisomy-16 fetal mice compared to their euploid littermates.
The
fetuses from anti-IFN treated mothers had a mean weight decrease of -10.92%
compared to a -21.47% decrease for the uninjected group (p=0.079) and a -30.46%
decrease for the ns-IgG injected group (p=0.0003) relative to diploid
littermates. The uninjected and ns-IgG injected control groups were not
statistically different from each other (p=0.174).
6. EXAMPLE TREATMENT
OF MURINE TRISOMY-16 BY A INTERFERON ANTAGONIST
6.1. MATERIALS AND
METHODS
Animals and Mating. 6:16 Robertsonian translocation male
(Rb›6.16!24Lub) and 17:16 Robertsonian translocation female
(Rb›16.17!7Bnr) homozygotes were purchased from Jackson Laboratories, Bar
Harbor, Me. Mature (54 day) male offspring of these homozygotes (double
heterozygotes) were mated to 8-10 wk old euploid, nulliparous, C3H/HeJ females
(Jackson Laboratories). Surgery was performed on day 17 or 18 to yield fetuses
at the 17-25 mm stage (Theiler, K. (1972) In: The House Mouse, Springer, Berlin,
Heidelberg, N.Y.). The last three days of gestation are when the morphologic
characteristics (eye closure, back curvature and accelerated growth) can be
quantified.
Injections. Intraperitoneal (IP) injections (0.25 cc) were
begun on post-coitus day 8 (implantation occurs on day 5.5). Injections were
given every 48 hours for a total of four injections per animal.
Rabbit
polyclonal anti-mouse .alpha./.beta. IFN purified IgG (970 neutralizing units/mg
of protein, cat.#25301), and rat monoclonal IgGl anti-mouse .gamma. IFN, (7,200
neutralizing units/mg, cat. #25001) were obtained from Lee Biomolecular Research
Incorporated, San Diego, Calif. The anti-IFNs (supplied lyophilized from saline)
were dissolved in sterile water-for-injection (Investage) at a concentration
that would deliver 1500 neutralizing units of anti- .gamma. and 1362
neutralizing units of anti-.alpha./.beta. IgG per injection. The expectation was
that the IgG would reach the developing fetus through active IgG placental
transfer (Guzman-Enriques, L., et al., 1990, J. Rheumatol., 17:52-56). Control
injections delivered the same mg quantities of rat (Pierce cat. #31233X) and
rabbit (Pierce cat. #31207X) non-specific IgGs in an equivalent volume of
sterile saline-for-injection (Abbott). A second control group consisted of
uninjected mothers which were left undisturbed.
Fetus Processing.
Fetuses, obtained by hysterectomy of mice sacrificed by cervical dislocation,
were photographed, measured and fixed whole in Bouins fixative (Luna, L. G.
(1968) In: Manual of Histologic Staining Methods of the Armed Forces Institute
of Pathology, (3rd edition). The Blakiston Division, McGraw-Hill Book Company,
New York). Prior to fixation, limb tissue was obtained and minced to provide
fibroblast cultures for karyotyping. The fetal fibroblasts from the minced
tissue were grown at 37.degree. C. in EAGLE's Minimum Essential Media containing
20% fetal bovine serum, 2 mM glutamine, 100 units/ml of penicillin, and 100
.mu.g/ml of streptomycin. After five days in culture, colchicine (Sigma) was
added to level of 1 .mu.g/ml. One hour later, cells were collected, swelled in
25% media, and fixed in fresh methanol: acetic acid (3:1). Crown- to-rump length
was measured immediately after the fetus was obtained by measuring the
vertex-to-rump distance (without pressure on the fetus) while the fetus was
floating in serum-free Minimum Essential Media. Except where otherwise noted,
all statistical analyses were done using a two-tailed student's T-test.
6.2. RESULTS AND DISCUSSION
Mice pregnant with trisomy 16
conceptuses were obtained by the mating of euploid nulliparous C3H/HeJ females
with doubly heterozygous males. The males were also functionally euploid (i.e.,
they have a total of 40 chromosome arms) but they carried two Robertsonian
translocation chromosomes (6.16 and 17.16), each with one chromosome #16 arm.
The meiotic misdistribution of these translocation chromosomes results in a high
frequency of trisomy 16 fetuses carrying a maternal acrocentric chromosome 16
and both paternal translocation pseudometacentric chromosomes. This genetic
system has been described in detail (Gropp, A., et al., 1975, Cytogenet. Cell
Genet. 14:42-62; Gearhart, J. D., et al., 1986, Brain Res. Bull. 16:789-801).
Anti-IFN treated mothers received four IP injections of a cocktail of
anti-.alpha., .beta. and .gamma. IFN immunoglobulins. One control group of
mothers was left unhandled and one was given comparable injections of
non-specific IgG.
Mechanisms for the transfer of the IgG from
mother-to-fetus and neonate vary widely from species to species. Generally, some
combination of passive and active transport is involved; sequentially utilizing
the yolk sac and placenta prior to birth, and the intestine postnatally. In the
mouse system, maternal antibodies can initially be found in the fluid filling
the blastocyst cavity (Brambell, F. W. R., 1966, The Lancet 7473). This may be
due simply to passive diffusion, as this fluid generally resembles dilute
maternal blood plasma. Shortly thereafter active transport of IgG class
immunoglobulins via Fc receptors becomes primarily the function of the yolk sac.
This function is later shared but, in rodents, never dominated by Fc mediated
transfer of IgG across the placenta (Roberts, D. M. et al., 1990, J. Cell Biol.
111:1867-1876). In the experiments presented here, mice were injected after day
5.5 because of the possibility that trophoblast interferon may play an important
role at implantation (Roberts, R. M., 1991 BioEssays 13:121-126). In the mouse,
injected polyclonal rabbit IgG has an expected half-life of approximately 5 days
(Spiegelberg, H. L. & W. O. Weigle, 1965, J. Exp. Med. 121:323-337).
A total of 68 late stage fetuses with abnormal morphology were obtained
from among 440 offspring of 143 doubly heterozygous male.times.C3H/HeJ female
matings. Only fetuses that were both successfully karyotyped and from litters
where euploid fetuses averaged greater than 17 mm in length (crown-to-rump
›CRL!) are included in TABLE 1 and in all graphs. Fifty-one of a total of
68 trisomies met these criteria. In all cases, the return-toward-normal values
are seen with or without the inclusion of unkaryotyped fetuses. For comparison,
p values calculated with the unkaryotyped fetuses included are provided in
brackets next to those calculated using only successfully karyotyped fetuses.
Growth Retardation. The growth retardation seen in the trisomy 16 fetus
is quite variable. Nonetheless, the trisomic fetuses from the anti-IFN treated
mothers showed a significant return-toward-normal growth when CRL length is
plotted against the average length of the euploid littermates (FIG. 1). This
analysis suggests that unlike the erratic growth of their counterparts from
untreated mothers, the trisomy 16 fetuses from anti-IFN treated mothers were
nearly keeping pace with the growth of their euploid littermates.
On
average the trisomic fetuses from anti-IFN treated mothers showed a 5.6%
decrease in length compared to a 15.28% decrease for the fetuses from
non-specific IgG injected mothers (p=0.014 ›0.0009!) and a 14.59%
decrease for the fetuses from uninjected mothers (p=0.015 ›0.010!). The
two control groups were not statistically different from each other (p=0.879
›0.759!). The improvement in growth was seen consistently against both
control groups and in all the fetus size groups (17-20 mm, 20-23 mm, >23 mm,
Table 1).
A similar return-toward-normal growth was observed when the
decrease in trisomy 16 fetal weights were analyzed. The fetuses from anti-IFN
treated mothers had a mean weight decrease of -10.92% compared to a -21.47%
decrease for the uninjected group (p=0.079 ›0.095!, NS) and a -30.46%
decrease for the ns-IgG injected group (p=0.0003 ›0.0026!). The two
control groups were not statistically different from each other (p=0.174
›0.33!).
There were no detectable effects of the non-specific IgG
or anti-IFN injections on the euploid fetuses. Growth of each trisomic fetus was
measured against its normal littermates to avoid errors due to a missed estimate
of gestational age. In these matings, the mean normal littermate length (MNLL)
measured 17.17 mm CRL at gestational day 16.5, 19.39 mm CRL at day 17.5 and
23.94 mm CRL at day 18.5 (plug date=day 0.5 ›Kaufman' 92!). There was no
significant difference between the MNLL of the uninjected control group
(gestational day) 18.5 (MNLL=23.944 ›N=18, p=0.419!) or the IgG injected
control group (MNLL=23.75 ›N=6, p=0.706!), and the anti-IFN treated group
(MNLL=23.333 ›N=24!). There was also no significant difference between
the MNLL of the two control groups (p=0.826).
Eye Opening. Eye opening
comparisons (FIG. 2A) were limited to fetuses from litters 17 mm to 23 mm in
length. Prior to this stage all fetuses have open eyes. The eyes of fetuses from
litters measuring 16.9-22.6 mm CRL obtained from anti-IFN treated mothers (N=13,
mean=0.21 mm) had made significantly more progress toward closure than the eyes
of comparably staged fetuses from untreated (N=11, mean=0.42 mm, p=0.019
›0.010!) and non-specific IgG injected mothers (N=11, mean=0.40 mm,
p=0.026 ›0.046!). There was no significant difference in the eye openings
of the uninjected and non-specific IgG injected control groups (p=0.746
›0.300!). Progress toward eye closure may be an all or nothing event.
Thus, it may be equally significant that 7 of the 13 fetuses (54%) from anti-IFN
treated mothers had eye openings that averaged less than 0.2 mm compared to 2 of
11 (18%) of those from untreated mothers and 2 of 11 (18%) of the comparable
fetuses from non-specific IgG treated mothers.
There have been numerous
mutations detected in the mouse that lead to open eyelids (Teramoto, S, et al.,
1988, Exp. Anim., 37:455-462). Most of these mutations show complete penetrance.
However, some affect each eye variably and at least one phenotype can be
reversed by a single maternal injection of steroids (Watney, M. J., & J. R.
Miller, 1964, Nature 202:1029-1031). In addition, phenocopies of these mutants
can be induced by common teratogens (Juriloff, D. M., et al., 1982 Can. J.
Genet. Cytol., 25:246-254). The eyelid is lined with an active zone of cell
growth (Kaufman, M. H., 1992, In: The Atlas of Mouse Development. Academic
Press, Harcourt Brace Jovanovich, San Diego, Calif.), and these data indicate
that the effect of the anti-IFN antibodies is to block cell growth inhibition of
the interferon super-sensitive trisomy 16 cells lining the eyelids.
Back
Curvature. One of the most striking effects of the maternal anti-IFN treatment
was the return-toward-normal of the curvature of the trisomy 16 fetus back which
is frequently rounded at later stages where a concave curvature is expected.
Back curvature comparisons (FIG. 2B) are restricted to fetuses from litters
greater than 20 mm in length because both euploid and trisomic fetuses are
expected to have rounded backs prior to the 20 mm stage (Theiler, K., 1972, In:
The House Mouse, Springer, Berlin, Heidelberg, N.Y.). Back curvature was
assessed by a double-blind study in which three individuals scored a rounded
back as a -1, a flat back as a 0 and a convex (normal) back as a +1. There was
good agreement between the scores of the three individuals (correlations ranged
from 0.80 to 0.92). The mean of the three evaluations was used for comparisons.
There was no significant difference in the back curvature scores of the
trisomic fetuses from uninjected and non-specific IgG injected control mothers
(p=0.8236 ›0.3424!). The trisomic fetuses from anti-IFN treated mothers
(N=10, mean=+0.66) showed a significant return-toward-normal back curvature when
compared to fetuses from untreated mothers (N=9, mean=-0.18, p=0.009
›0.009!) and the comparable fetuses from non-specific IgG treated animals
(N=11, mean=-0.27, p=0.008 ›0.003!).
One hundred fifty fetuses
whose eyes, back, and length, appeared normal were also karyotyped (75 control
and 75 anti-IFN treated). A 24 mm fetus was one of two fetuses discovered to be
trisomy in this screen. A second fetus (10 mm CRL) was also found in a litter
from an anti-IFN treated mother and was essentially indistinguishable from its
euploid littermates. LEGEND, TABLE 1: Compilation of data on karyotyped trisomy
16 fetuses.
(A) Mean length of normal littermates (mm, CRL); (B) Length
of trisomic fetus (mm, CRL); (C) Change in trisomic fetus length relative to its
normal littermates (%); (D) Average weight of normal littermates (gm); (E)
Weight of trisomy fetus (gms); (F) Opening of the eyes (mm); (G) Average back
curvature scores of three individuals, +1=normal concave, 0=flat, -1=rounded.
7. EXAMPLE CONSTRUCTION OF A RECOMBINANT INTERFERON ANTAGONIST
COMPRISING HUMAN INTERFERON .alpha./.beta. AND .gamma. RECEPTOR DOMAINS
A gene encoding a fusion protein is constructed using a
Glutamine-S-transferase containing expression plasmid pAcGHLT-B (Pharmingen).
The interferon binding domain of the human .alpha./.beta. interferon receptor is
obtained by Nco I endonuclease digestion of plasmid p23, available from deposit
No. ATCC 65007, and isolation of the 1177 bp fragment. This fragment is inserted
into the Nco I site of pAcGHLT-B to yield pAcGST-23. The interferon binding
domain of the human .gamma. interferon receptor is obtained by Dsa I and Nsp I
endonuclease digestion of the plasmid pUCLGRIF16, available from deposit No.
ATCC 59873, and isolation of the 603 bp fragment. A Pst I-Sma I digest of
pAcGST-23 is used to remove a portion of the multiple cloning site located 3' of
the gene encoding the .alpha./.beta. interferon receptor domain and the Dsa
I/Nsp I fragment of pUCLGRIF16 is inserted to yield pAcGST-23-.gamma.r. The
translation product of the resultant construct, GST-.alpha./.beta.-.gamma.,
contains the following domains: GST-thrombin protease site-15 amino acid
leader-.alpha./.beta. interferon receptor domain-6 amino acid spacer-.gamma.
interferon receptor domain.
A recombinant baculovirus is constructed
containing the pAcGST-23-.gamma.r operably linked to the polyhedrin promoter,
suitable host cells are infected and the resultant fusion protein isolated by an
anti-GST affinity absorption techniques well known in the field. See, e.g., U.S.
Pat. No. 4,745,071 and U.S. Pat. No. 4,879,236 to Smith et al. The isolated
fusion protein is hydrolyzed with thrombin to yield the recombinant
.alpha./.beta.-.gamma. receptor.
The present invention is not to be
limited in scope by the specific embodiments described which were intended as
single illustrations of individual aspects of the invention, and functionally
equivalent methods and components are within the scope of the invention. Indeed,
various modifications of the invention, in addition to those shown and described
herein will become apparent to those skilled in the art from the foregoing
description and accompanying drawings. Such modifications are intended to fall
within the scope of the appended claims. All references are hereby incorporated
by reference in their entirety.
TABLE 1 __________________________________________________________________________ (A) (B) (C) (D) (E) (F) (G) Un- Ln NLM Ln Tri % .dwnarw. Wt NLM Wt Tri eyes Back curv. injected (mm)›N! (mm)›N! (mean .+-. sem) (gm)›N! (gm)›N! (mm) .+-. sem ›N! (euploid = + 1) __________________________________________________________________________ 17-20 mm 18.32›5! 17.29›8! -4.12 .+-. 1.7 0.60›5! 0.486›8! 0.490 .+-. 0.03›8! -0.207 62 fetuses (17 trisomic), 20-23 mm 21.26›3! 16.83›3! -20.67 .+-. 5.5 0.84›3! 0.591›3! 0.237 .+-. 0.12›3! + 0.333 5 resorption sites, 13 litters >23 mm 24.63›5! 18.40›6! -25.50 .+-. 4.3 1.21›5! 0.749›6! 0.200 .+-. 0.06›6! -0.443 (mean litter size: 4.8) ns-IgG 17-20 mm 18.30›4! 16.20›5! -11.20 .+-. 4.0 0.614›4! 9.463›5! 0.530 .+-. 0.03›5! -0.266 60 fetuses (16 trisomic), 20-23 mm 20.96›4! 18.30›6! -12.60 .+-. 2.2 0.796›4! 0.526›6! 0.283 .+-. 0.04›6! -0.220 2 resorption sites, 13 litters >23 mm 25.90›5! 19.80›5! -22.60 .+-. 9.2 1.460›5! 0.911›5! 0.127 .+-. 0.04›5! -0.334 (mean litter size: 4.6) Anti-IFN 17-20 mm 18.92›5! 18.66›8! -2.80 .+-. 2.4 0.50›5! 0.657›8! 0.230 .+-. 0.06›8! -0.165 70 fetuses (18 trisomic), 20-23 mm 20.57›4! 19.14›5! -7.10 .+-. 3.2 0.78›4! 0.643›5! 0.176 .+-. 0.06›5! .+-. 0.530 4 resorption sites, 13 litters >23 mm 24.59›4! 22.38›5! -8.40 .+-. 1.7 1.24›4! 1.060›5! 0.035 .+-. 0.03›5! .+-. 0.800 (mean litter size: 5.4)
Source: http://www.uspto.gov/patft/ | |
Revised: February 3, 2001. |