Use of recombinant human uteroglobin in treatment of inflammatory and fibrotic conditions

Inactive Publication Date: 2008-03-13
CC10 SWEDEN
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

[0023] Prior to the present invention, there could be no expectation that administration of rhUG in vivo would result in inhibition of PLA2 enzymes or in reduced deposition of fibronectin. The present invention therefore constitutes a significant step forward in the therapy of inflammatory and fibrotic diseases.

Problems solved by technology

While introduction of surfactant therapy dramatically improves survival of RDS patients, the development of chronic inflammatory and fibrotic disease in a significant percentage of this patient population is a major problem.
Likewise, hereditary fibronectin-deposit glomerular nephropathy leads to end stage renal failure when patients' kidneys become blocked and no longer filter the blood.
In both diseases, fibronectin deposition and fibrosis render the organ non-functional, and eventually, unable to support life.
However, its expression is not fully activated in developing human fetus until the last few weeks of gestation.
The absence of structural identity among UG-like proteins makes it impossible to predict whether a protein will possess in vivo function based on in vitro or other activity exhibited by a structurally related protein in the context of an human therapeutic.
There are no effective PLA2 inhibitors presently available for clinical use.
To date, only a few PLA2 inhibitors have progressed into clinical trials, but none have qualified for commercial marketing.
Large numbers of inflammatory cells (neutrophils) and fibroblasts infiltrate the lung during inflammatory episodes, which can lead to pulmonary fibrosis and ultimately death.

Method used

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  • Use of recombinant human uteroglobin in treatment of inflammatory and fibrotic conditions
  • Use of recombinant human uteroglobin in treatment of inflammatory and fibrotic conditions
  • Use of recombinant human uteroglobin in treatment of inflammatory and fibrotic conditions

Examples

Experimental program
Comparison scheme
Effect test

example 1

Production and Characterization of rhUG

[0054] Recombinant human UG is produced by the following procedures, and possesses a level of purity exceeding 99% such that it may be used according to the present invention to inhibit PLA2 activity and reduce fibronectin deposition in vitro and in vivo.

[0055] Construction of Bacterial Gene for rhUG

[0056] A synthetic gene for human UG is assembled from oligonucleotides and cloned into pBR322 for DNA sequencing to confirm the sequence. Because native UG has a glutamic acid residue at its N-terminus, an initiator methionine will be added. Mantile et al (1993; supra) have previously shown that addition of Met-Ala-Ala (SEQ ID NO:5) at the N-terminus of recombinant hUG does not alter its activity as an inhibitor of PLA.sub.2. Nor does a Met residue at the N-terminus (which allows bacterial translational initiation) effect is activity as a PCB-binding protein (Hard et al, 1996; supra). Bam Hi sticky ends are located at both ends of the annealed g...

example 2

In Vivo Experiments

[0084] One male and one female of the species P. cyanocephalus, weighing approximately 400 grams each were delivered by C-section at 142 days of gestation. This is an established model of RDS (Coalson, J. J., et al. Baboon Model of BPD. II: Pathologic features. Exp. Mol. Pathol. 37: 355-350 (1982)).

[0085] After delivery, the infants were anesthetized with ketamine (10 mg / kg) and intubated with a 2.5 mm diameter endotracheal tube. Blood gases and pressure were monitored via an arterial line placed by percutaneous injection into the radial artery. A deep venous line was placed percutaneously into this saphenous vein through which fluids and drugs were administered. Animals were maintained on servo-controlled infrared warmers and ventilated with a standard time-cycled, pressure-regulated ventilator with humidifiers maintained at 36-37° C. Initial settings were FiO21.0, rate 40 / min., I / E ratio 1:1.5, positive end expiratory pressure (PHEP) at 4 cm H2O, and peak insp...

example 3

Inhibition of Hydrolysis of Artificial Surfactant by Soluble PLA2 s in vitro

[0088] RhUG inhibits hydrolysis of artificial surfactant by soluble PLA2s in vitro. Survanta is an artificial surfactant derived from bovine lung and is used to treat pre-term neonates with RDS and adults with RDS (ARDS). Hydrolysis of Survanta by a Group I soluble PLA2, i.e., porcine, pancreatic PLA2 (Sigma) is characterized by its ability to compete as a substrate with a fluorescent phosphatidylcholine substrate (Cayman Chemicals), generating arachidonic acid as a product.

[0089] Survanta is a substrate for in vitro degradation by Group I soluble PLA2s. Survanta is rapidly degraded in vitro by PLA2s found in the extracellular fluids of a human lung. RhUG inhibits degradation of Survanta in vitro.

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Abstract

Method for treatment of inflammatory and fibrotic conditions in vivo using pure rhUG is disclosed. Method for treating or preventing inflammatory or fibrotic conditions characterized by a deficiency of endogenous functional UG is also disclosed. Compositions containing pure rhUG, optionally also containing lung surfactant, and assay procedures for detection of UG-fibronectin complexes, are also provided.

Description

[0001] This application is a continuation of U.S. Ser. No. 09 / 861,688, filed May 5, 2001, which is a continuation of U.S. Ser. No. 08 / 864,357, now U.S. Pat. No. 6,255,281, filed May 28, 1997, the disclosures of each of which are hereby incorporated by reference.FIELD OF THE INVENTION [0002] The present invention relates generally to the treatment of inflammatory and fibrotic conditions. More particularly, the invention provides a method for the treatment of inflammatory and fibrotic disease using recombinant human uteroglobin (rhUG). The invention identifies novel physiological roles for UG and their applications. Even more specifically, the invention relates to the treatment of inflammatory and fibrotic conditions by administering rhUG to inhibit PLA2s in vivo and to prevent fibronectin deposition in vivo. The invention further provides a method for the treatment of neonatal RDS / BPD, a critical clinical condition of the lung, and glomerular nephropathy, a disease of the kidney, bot...

Claims

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Application Information

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IPC IPC(8): A61K38/17A61P29/00A61K9/08A61K8/64A61K8/96A61K8/98A61K9/12A61K38/00A61K45/00A61P1/00A61P1/04A61P1/18A61P3/10A61P7/00A61P9/00A61P11/00A61P11/06A61P13/02A61P13/08A61P13/10A61P13/12A61P15/00A61P15/02A61P15/06A61P15/08A61P17/00A61P17/02A61P17/06A61P19/00A61P27/02A61P37/06A61P37/08A61P43/00A61Q17/00A61Q19/00C07K14/47C12N1/21C12N15/85
CPCA01K67/0276Y10S530/848A01K2217/00A01K2217/075A01K2227/105A01K2267/03A01K2267/0368A61K8/64A61K8/981A61K38/1709A61K38/395A61K2800/782A61K2800/86A61Q17/00A61Q19/00C07K14/4721C12N15/8509A01K2207/15Y10S530/836Y10S530/85A61K2300/00A61P1/00A61P1/04A61P1/18A61P11/00A61P11/06A61P13/02A61P13/08A61P13/10A61P13/12A61P15/00A61P15/02A61P15/06A61P15/08A61P17/00A61P17/02A61P17/06A61P19/00A61P27/02A61P29/00A61P31/10A61P37/06A61P37/08A61P43/00A61P7/00A61P9/00A61P3/10Y02A50/30A61K38/17
InventorPILON, APRILE L.MUKHERJEE, ANIL B.ZHANG, ZHONGJIAN
OwnerCC10 SWEDEN