Alleviation of symptoms associated with inflammatory disease states

a technology for inflammatory diseases and symptoms, applied in the field of alleviation of symptoms associated with inflammatory disease states, can solve the problems of affecting the effect of inflammatory reaction, affecting the normal course of disease, and affecting the effect of immune response, so as to inhibit plasma leakage, the effect of confirming the effect of the therapy, and reducing the risk of inflammatory reaction

Inactive Publication Date: 2005-01-06
ROSE LYNN M
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Benefits of technology

The hematologic hallmarks of untreated EAE are a progressive leukocytosis and lymphopenia prior to the onset of clinical signs. The leukocytosis can represent as much as a four-fold increase in the number of circulating PMNC and no significant changes in the frequency or absolute numbers of monocytes, eosinophils, or basophils. Following successful treatments of EAE, the absolute numbers of lymphocytes and PMNC return, fairly soon after the initiation of treatment, to pre-sensitization levels. Thus, continuous monitoring of blood leukocytes provides a useful measure of disease progression which complements the clinical evaluation and magnetic resonance imaging.
Blood was drawn on a weekly basis until the onset of clinical disease and then more frequently. One-half ml was sent to the hematology laboratory for WBC and differential counts. The results are set out in Table 3 below providing white blood cell number (×103) per mm3 whole blood. “NA” indicates that data was not available. A dashed line indicates that the animal was sacrificed at this time. TABLE 3WBC ANALYSES OF MAB-TREATED EAE ANIMALSANIMALS:890708907589080890698907189074DayPresens8.18.714.08.07.813.3Onset14.616.216.49.312.318.1Day 2—27.133.222.222.649.9Day 449.653.131.641.472.0Day 761.261.716.490.788.6Day 1020.718.220.012.814.6Day 1433.39.68.218.413.4Day 218.712.98.937.1—Day 288.719.86.7—Day 357.916.46.9Day 42NANA8.6WBC ANALYSIS OF CONTROL EAE ANIMALSDEXAMETHASONE CONTROLAnimal:871438712587209890778720087069Presens4.76.16.713.58.914.1Onset9.69.014.632.212.416.3Day 23.1———5.4NADay 43.73.6NADay 73.87.0NADay 108.710.7—Day 147.9—Day 21—SALINE CONTROLAnimal:842288421884291861408618786209Presens11.07.013.39.78.39.7Onset14.39.021.923.614.213.5Day 220.28.422.529.0——Day 430.18.0——Day 7——
In animals treated with mAb 60.3 and dexamethasone, a delayed resolution of the leukocytosis was observed as compared to animals treated with dexamethasone alone as revealed in Table 3. In two of the dexamethasone-treated animals that survived 9 days or longer, the white blood cell counts dropped to pre-sensitization levels two days after the initiation of treatment. In mAb 60.3-treated animals, a pronounced leukocytosis (4-12 fold above presensitization values) was observed which lasted for the entire treatment period. In these animals, the WBC returned to presensitization levels 3-7 days only after the treatment period had ended. Transient episodes of lymphopenia and leukocytosis continued to be observed in the surviving animals, and could be correlated in some cases with episodes of clinical relapse.
Reaction of the treatment mAb with blood leukocytes was confirmed by staining cells with anti-murine Kappa chain mAb (Becton-Dickinson, San Jose, Calif.). Flow cytometric analysis was performed with a FACSCAN Analyzer (Becton Dickinson, San Jose, Calif.). Forward and right-angle scatter gates were set on lymphocytes or large polymorphonuclear granulocytes for analysis of staining patterns. The results for lymphocytes are set out in Table 4 below. TABLE 4% MURINE Ig-COATED CELLSANIMALS:Day890708907589080890698907189074Presens000000Onset000000Day 2—96.697.794.296.798.2Day 493.895.291.297.049.8Day 795.299.194.995.427.2Day 1002.611.219.61.4
Monitoring disease progression by a combination of clinical evaluation, blood cell fluctuations, and magnetic resonance imaging (MRI) revealed the following. Antibody treated animals survived significantly longer than either dexamethasone- or saline-treated animals (p<0.02; p<0.001; respectively). The effectiveness of this therapy is further confirmed by visualization by magnetic resonance imaging (MRI). The almost complete disappearance of major lesions in the brainstems of three different animals was unprecedented as brainstem lesions are rapidly fatal in untreated animals. The disappearance of MRI-detectable lesions following administration of mAb 60.3 demonstrates a potent effect on the inflammatory reactions producing edema in the brain lesions. MAb 60.3 is known to inhibit plasma leakage in vivo [Arfors et al, Blood, 60: 338-340, (1987)], probably the most important factor in improvement in MRI-detectable lesions, as changes in the tissue water characteristics can be visualized by changes in image intensity on the MRI scans.

Problems solved by technology

In all, cases, this cellular damage ultimately leads to the influx of white blood cells (leukocytes) to the site of injury.
In this setting, the mediators produced may amplify the inflammatory response and cause damage to otherwise normal tissue.
The disease course is unpredictable and involves exacerbations and remissions in 75% of patients.
Over one million physician visits occur annually for multiple sclerosis in the United States alone; however, there is currently no effective treatment-for multiple sclerosis.
Experimental therapy with, other immunosuppressive agents, such as cyclophosphamide, has been tried, but with limited success.
These chemotactic agents cause a significant increase in albumin extravasation; extravasation of PMNs at chemotaxin-injective sites is followed by plasma leakage.

Method used

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  • Alleviation of symptoms associated with inflammatory disease states
  • Alleviation of symptoms associated with inflammatory disease states
  • Alleviation of symptoms associated with inflammatory disease states

Examples

Experimental program
Comparison scheme
Effect test

example 1

Induction of EAE

Eighteen male monkeys Macaca fasciculatis weighing 2-3 kg were sensitized to myelin basic protein (BP) by the intra dermal injection of 0.1 ml of an emulsion containing 5.0 mg of monkey BP and 0.5 mg of heat-killed M. tuberculosis. Each animal was obtained and housed by the Regional Primate Research Center at the University of Washington, Seattle. The Primate Center conforms to the National Institutes of Health Guide for the Care and Use of Laboratory Animals. Ten days after sensitization to BP, each animal was outfitted with a femoral catheter and tether to facilitate blood sampling and the administration of treatments or anesthetics for magnetic resonance imaging (MRI). The animals were maintained on intravenous heparin (18 units / hour) to prevent blood clots from forming in the intra venous lines.

The animals were randomly admitted to specific treatment groups before they were sensitized to BP. This was done to schedule MRI and to prevent the severity of clinic...

example 2

Treatment By Antibody Infusion

At the onset of definite clinical signs (± to +) six EAE animals received a bolus injection of mAb 60.3 (2 mg / kg) and dexamethasone (4 mg / kg). Dexamethasone was administered to reduce the incidence of severe acute EAE which is rapidly fatal within 48 hours unless treated immediately. Sever acute EAE occurs in approximately 25% of animals induced to develop EAE and is caused by edema in areas involving or impinging upon the brain stem or cerebral cortex. Following injection of the bolus, these six animals were treated by continuous infusion of mAb 60.3 (2 mg / kg / day) for seven days. Over the seven day treatment period, the dose of dexamethasone, which started at 4 mg / kg, was halved every two days until only 1 mg had been in effect for three days. Six control EAE animals were treated only with dexamethasone, following the same protocol outlined above, and six additional controls were treated with continuous infusion of saline.

Animals that improved and...

example 3

Evaluation of Disease Progression

Disease progression was monitored by a combination of clinical evaluation, blood analysis and magnetic resonance imaging. Clinical evaluations were performed twice daily.

As indicated in Table 2 below, all of the animals in this study developed clinical signs of EAE 13-26 days after sensitization to myelin basic protein.

In Table 2, listing of animal numbers in boldface identified animals scanned by MRI; the Onset / Grade column reflects the day of onset after sensitization and the severity of clinical signs (see Table 1) at onset; the Survival / Grade column reflects days of survival post-onset and severity of clinical signs at time of sacrifice.

TABLE 2THERAPEUTIC RESULTSAnimalsOnset / GradeTreatmentSurvival / Grade8907017 days / +60.3 + dex 2 days / D8907521 days / +60.3 + dex42 days / ±8908021 days / +60.3 + dex42 days / ±8906918 days / ±60.3 + dex42 days / ±8907118 days / ±60.3 + dex21 days / ++8907422 days / +60.3 + dex13 days / +8714321 days / ±dex alone17 days / ++8712524...

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Abstract

Disclosed are methods for the alleviation of symptoms associated with inflammatory disease states, and more particularly to the inhibition of amatory processes associated with the multiple sclerosis disease, by administering a pharmaceutically effective amount of antibody substance immunologically reactive with the common β chain (CD18) of human leukocyte integrins and / or competes with mAb 60.3 for binding to human LPA-1.

Description

BACKGROUND OF THE INVENTION The-present invention relates generally to methods for the alleviation of symptoms associated with inflammatory disease states, and more particularly to the inhibition of inflammatory processes through administration of a pharmaceutically effective amount of an antibody substance immunologically reactive with molecules expressed on the surface of leukocytes. Inflammation is a body process central to a number of diseases and is the body's primary defense against infection. The inflammatory process involves an orchestrated series of events initiated in response to tissue damage. In all, cases, this cellular damage ultimately leads to the influx of white blood cells (leukocytes) to the site of injury. As leukocytes arrive at the site of injury, they become metabolically activated and begin to secrete specific proteins (mediators) that are generally of defensive significance, for example, in the eradication of bacteria. If unregulated, the inflammatory sta...

Claims

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Application Information

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Patent Type & AuthorityApplications(United States)
IPC IPC(8): A61K38/00A61P29/00C07K16/18A61K39/395C07K16/28C12N5/10C12N5/20C12N15/02C12N15/09C12P21/08C12R1/91
CPCA61K38/00A61K2039/505C07K2319/00C07K2317/24C07K16/2845A61P29/00
InventorROSE, LYNN M.
OwnerROSE LYNN M