Title of Invention

A METHOD OF PRODCING A CELL PERMEABLE OSTEOINDUCTIVE POLYPEPTIDE

Abstract The invention provides fusion polypeptides comprising protein transduction domains and osteoinductive polypeptides, as well as methods of using such polypeptides to induce osteogenesis and to promote proteoglycan synthesis. The invention also provides osteoinductive peptides which have demonstrated the ability to induce bone formation in vivo.
Full Text

A METHOD OF PRODUCING A CELL PERMEABLE OSTEOINDUCTIVE POLYPEPTIDE^ -A
This application claims the benefit of United States provisional application
number 60/456,551, filed March 24,2003.
Field of the Invention
The present invention relates generally to osteoinductive proteins and
methods for the delivery of those proteins into cells. More specifically, the invention
relates to osteoinductive proteins such as LIM mineralization proteins (LMPs), bone
morphogenetic proteins (BMPs) and Smad proteins, conjugates of such
osteoinductive proteins with protein transduction domains (PTDs), conjugates of
PTDs and nucleic acids comprising nucleotide sequences encoding osteoinductive
proteins, and to the transduction of these conjugates into cells. Furthermore, the
invention relates to the use of PTD/osteoinductive protein conjugates to promote
bone growth and disc regeneration.
Background
Tissue regeneration is an important component of the healing process
subsequent to disease, trauma, or surgery. In situations where disease or trauma
produces bone defect, for example, or where a surgical procedure such as insertion of
an autograft or allograft, bone bridge, or bone fusion is used to correct a bone defect,
bone regeneration is a central goal of recovery. It is not, however, a goal that is
always or easily achieved and much research has been devoted to newer and more
effective ways to promote tissue repair and regeneration.
Elimination of joint motion by creation of a bone bridge is a common
orthopedic' strategy for the treatment of degenerative spine and joint disorders.
Failure of spine fusion can occur in as many as forty-five percent of the patients who
mdergo the procedure, leaving them with continued pain, repeated surgeries,
medical costs, and overall therapeutic failure.
Intracellular and extracellular osteoinductive proteins promote bone growth
and repair and constitute potential targets for therapeutic use. Such proteins include
the bone morphogenetic proteins and the LIM mineralization proteins. BMPs have
been shown to stimulate bone growth in vivo and LMPs, particularly LMP-1 and
LMP-3, have a more upstream effect on osteoinduction, as evidenced by the fact that
inhibition of LMP-1 expression blocks nodule formation that would normally be
stimulated by glucocorticoids or BMP-6. Since they are considered "extracellular"
proteins, acting via interaction with cell surface receptors, very high doses of bone
morphogenetic proteins are required to achieve consistent effects in humans. Since
the manufacturing costs of BMPs is generally high, this can mean that the cost of
therapy is prohibitive. Therefore, although BMPs have demonstrated efficacy and
are a viable therapeutic aid to osteoinduction, it would be beneficial to develop an
alternate therapy that might be more cost-effective and possibly even more
therapeutically effective.
Delivery of LMPs to the intracellular environment provides an attractive
therapeutic regimen. This can be accomplished by transfection of cells with plasmids
comprising a nucleotide sequence encoding a LIM mineralization protein, or can be
done by infection of target cells with a viral vector carrying the nucleotide sequence
of LMP. Each of these techniques has limitations, however. Plasmid transfection
generally requires that cells be isolated for transfection and then implanted after
transfection. Viral delivery generally requires that the appropriate receptor be
located on the surface of the target cell in order to facilitate viral entry into the cell.
There is tremendous potential for the use of osteoinductive proteins and
peptides, particularly for the use of those proteins and peptides that act via an
intracellular mechanism. What is needed is a method of delivery of effective
intracellular osteoinductive proteins and peptides into cells.
Summary of the Invention
The present invention provides a method of producing a cell-permeable
osteoinductive polypeptide comprising introducing into a suitable host cell an
expression construct encoding a cell-permeable polypeptide and an osteoinductive
polypeptide positioned so that the osteoinductive polypeptide is expressed as part of
a fusion protein with the cell-permeable polypeptide. The expression construct
generally contains a promoter positioned to direct transcription of the polynucleotide
sequence encoding the fusion product.
The expression construct may further comprise a purification tag. The cell-
permeable polypeptide may be chosen from the group consisting of HIV-TAT, VP-22,
a growth factor signal peptide sequence, Pep-1, and a Drosophila Antp peptide. The
osteoinductive polypeptide may be chosen from the group consisting of LMP-1, LMP-
3, SEQ ID NO 1, SEQ ID NO 2, SEQ ID NO 3, SEQ ID NO 4, SEQ ID NO 5, SEQ ID
NO 6, SEQ ID NO 7, SEQ ID NO 8, BMP-2, BMP-4, BMP-6, BMP-7, TGF-beta 1 and
Smad.
The invention provides osteoinductive polypeptides chosen from among the
group consisting of SEQ ID NO 1, SEQ ID NO 2, SEQ ID NO 3, SEQ ID NO 4, SEQ ID
NO 5, SEQ ID NO 6, SEQ ID NO 7, and SEQ ID NO 8, or combinations thereof.
The invention also provides a method of inducing bone formation in a
mammal comprising administering an effective amount of a fusion polypeptide
comprising a protein transduction domain and at least one osteoinductive
polypeptide. The fusion polypeptide may be administered as an implant and may be
administered to at least one multipotent progenitor cell, which can be implanted into
a mammal to promote osteoinduction.
The invention also provides a polynucleotide encoding a fusion protein
comprising a protein transduction domain and at least one osteoinductive
polypeptide, the protein transduction domain being chosen from among a variety of
protein transduction, membrane-translocation, and other similar polypeptides
represented, for example, by HIV-TAT, VP-22, a growth factor signal peptide
sequence, Pep-1, and a Drosophila Antp peptide. The osteoinductive polypeptide
may be chosen from the group consisting of LMP-1, LMP-3, SEQ ID NO 1, SEQ ID
NO 2, SEQ ID NO 3, SEQ ID NO 4, SEQ ID NO 5, SEQ ID NO 6, SEQ ID NO 7, SEQ
ID NO 8, BMP-2, BMP-4, BMP-6, BMP-7, TGF-beta l and Smad.
A method of inducing proteoglycan synthesis in a mammal is also provided.
The method comprises administering an effective amount of a fusion polypeptide
comprising a protein transduction domain and at least one osteoinductive
polypeptide. The fusion polypeptide may be administered
as an implant, and may be administered to at least one multipotent progenitor cell.
An isolated fusion polypeptide comprising a membrane-translocating peptide
operably linked to an osteoinductive polypeptide is provided by the invention. The
membrane-translocating peptide may be chosen from the group consisting of HIV-
TAT, VP-22, a growth factor signal peptide sequence, Pep-1, and a Drosophila Antp
peptide and the osteoinductive polypeptide may be chosen from the group consisting
of LMP-1, LMP-3, SEQ ID NO 1, SEQ ID NO 2, SEQ ID NO 3, SEQ ID NO 4, SEQ ID
NO 5, SEQ ID NO 6, SEQ ID NO 7, SEQ ID NO 8, BMP-2, BMP-4, BMP-6, BMP-7,
TGF-beta 1 and Smad.
The invention provides a method of inducing osteoblast differentiation in a
progenitor cell, the method comprising administering to the progenitor cell an
effective amount of a fusion polypeptide comprising a protein transduction domain
and at least one osteoinductive polypeptide. The protein transduction domain can be
chosen from the group represented by HIV-TAT, VP-22, a growth factor signal
peptide sequence, Pep-1, and Drosophila Antp polypeptides and the osteoinductive
polypeptide may be chosen from the group represented by LMP-1, LMP-3, SEQ ID
NO 1, SEQ ID NO 2, SEQ ID NO 3, SEQ ID NO 4, SEQ ID NO 5, SEQ ID NO 6, SEQ
ID NO 7, SEQ ID NO 8, BMP-2, BMP-4, BMP-6, BMP-7, TGF-beta 1 and Smad.
Brief Description of the accompaning drawings
Fig. 1 is a graph of BMP protein levels in media 6 days after treatment of
annulus cells with LMP-1 (AdLMP-1 at MOI 25). The protein levels of BMP-2 and
BMP-7 were increased significantly but BMP-4 and BMP-6 protein levels were not
significantly different from media of untreated control cells. Each result is expressed
as a ratio in proportion to the value from untreated cells. The mean and SEM for
seven samples are reported. (* p Fig. 2 illustrates time-course BMP mRNA levels after treatment of annulus
cells with LMP-1 (AdLMP-1 at MOI 25). BMP-2 mRNA level was upregulated
significantly as early as 12 hours after AdLMP-1 treatement and reached a plateau 3
days after AdLMP-1 treatment. BMP-7 mRNA level was significantly increased 3
days after AdLMP-1 treatment. Each result is expressed as a ratio to values from
untreated cells at the same time point. The mean and SEM for six samples are
reported. (** p Fig. 3 graphs aggrecan mRNA level in annulus cells after treatment with LMP-
1 (AdLMP-1) measured by realtime PCR. The mRNA level of aggrecan was
significantly increased 6 days after treatment with AdLMP-1 at MOI 25 as compared
to untreated cells. The mRNA level of aggrecan was not changed in cells treated with
AdLacZ as compared to untreated cells. Each result is expressed as a ratio to values
from untreated cells. The mean and SEM for nine samples are reported. AdLMP-1:
MOI 25, AdLacZ: MOI 25. (** p Fig. 4 is a table summarizing parameters and results of LMP-1 administration
via a PTD/LMP-1 fusion protein in Harlan afhymic rats.
Fig. 5 is a table summarizing parameters and results of LMP-1 administration
via a PTD/LMP-1 fusion protein in New Zealand White rabbits.
Fig. 6 is a table summarizing results of administration of the indicated
osteoinductive peptides via a PTD/peptide fusion protein in Harlan athymic rats,
and, where indicated, New Zealand White rabbits. Bone growth was detected by x-
ray, and, where indicated, was also palpable.
Detailed Description
The inventors have discovered that a fusion protein comprising a protein
transduction polypeptide and an osteoinductive polypeptide can be effectively used
to promote bone development and intervertebral disc regeneration in vivo. The
invention therefore provides osteoinductive polypeptides for intracellular delivery,
polynucleotides encoding such osteoinductive polypeptides and protein transduction
sequences, and methods of utilizing these fusion proteins to promote bone
development and intervertebral disc regeneration in vivo.
Previous work has demonstrated that LIM mineralization protein splice
variants 1 and 3 (LMP-1 and LMP-3) are osteoinductive, while LMP-2 does not
appear to have such osteoinductive potential. A forty amino acid sequence
corresponding to amino acids 94-133 of the amino acid sequence of human LMP-1
(hLMP-1) is common to both LMP-1 and LMP-3. The inventors therefore surmised
that this unique region of the proteins might, in itself, have osteoinductive potential.
Peptides comprising overlapping segments of this sequence were designed and used
to test the inventors' hypothesis. Their results indicate that peptides derived from
LMP-1 and LMP-3 have osteoinductive potential. When used in vivo, these peptides
demonstrated the ability to induce bone formation. Fig. 6 indicates peptides which
have demonstrated osteoinductive functionality when introduced into cells as part of
the fusion protein of the present invention in the method of the present invention.
Implantation of cells expressing LMP-1 into the thoracic or lumbar spine has
been shown by the inventors to produce solid spine fusion in athymic rats. Results
herein disclosed demonstrate that LMP-1 and LMP-3 peptides such as those
provided by SEQ ID NO 1, SEQ ID NO 2, SEQ ID NO 3, SEQ ID NO 4, SEQ ID NO 5,
SEQ ID NO 6, SEQ ID NO 7, and SEQ ID NO 8 also provide the osteoinductive
benefit that has been demonstrated for LMP-1.
Bone morphogenetic proteins are generally required in very high doses to
achieve consistent effects in humans. LMP-1 intracellular delivery by means of a
PTD fusion protein, as described herein, provide a more cost-effective therapeutic
option. Furthermore, results to date indicate that LMP-1, and LMP-related
osteoinductive peptides, act within the cell to induce a cascade of factors to active the
natural osteoinductive pathway.
Protein transduction polypeptides facilitate the uptake and subsequent
expression of nucleic acid sequences or therapeutic proteins. In the literature, they
may be referred to alternately, and often interchangeably, as cell-permeable peptides,
protein transduction domains, membrane transport sequences, and membrane-
translocating peptides. They function to transport an attached peptide, polypeptide,
or protein through the cell membrane into the interior of the cell in a receptor-
independent manner. A fusion protein utilizing a protein transduction domain can
comprise one or more peptides, polypeptides, or proteins operably linked to the
protein transduction domain. In the present invention, such a fusion protein can
comprise a protein transduction domain and at least one osteoinductive peptide,
polypeptide, or protein, or combinations thereof. These peptides can be used to
transduce autologous, allogeneic, or xenogeneic cells or tissues of ectodermal,
mesenchymal, or hematopoetic origin and infuse or implant them into the recipient
to induce or contribute to the formation of new tissue. In the method of the present
invention, such polypeptides facilitate the uptake of proteins that can induce cells
such as, for example, multipotent progenitor (stem) cells, to produce, for example,
BMP-2, BMP-4, BMP-6, BMP-7, BMP-9, BMP-12, BMP-13, aggrecan, collagen type I,
collagen type II, versican, lumican, fibromodulin, biglycan, and decorin. Effective
amounts of polypeptides of the present invention are indicated in the experimental
design and results disclosed herein, but may also be determined by one of skill in the
art based upon the disclosure of effective amounts provided herein.
Human LIM mineralization protein-1 (hLMP-1), one of a family of LMP
proteins, is an intracellular regulatory protein that can enhance the efficacy of bone
mineralization in vitro and in vivo. Human LMP-1 is so named because it possesses
a characteristic structural motif composed of two special zinc fingers that are joined
by an amino acid spacer. LIM mineralization protein splice variants and their uses
have been described by the inventors in U.S. patents numbers 6,300,127; 6,444,803;
and 6,521,750. The sequences of LMP-1, LMP-2, and LMP-3 have also been
disclosed in those patents. On Jul. 22, 1997, a sample of 10-4/RLMP (Rattus
norvegicus LIM mineralization protein cDNA) in a vector designated pCMV2/RLMP
(which is vector pRc/CMV2 with insert 10-4 clone/RLMP) was deposited with the
American Type Culture Collection (ATCC), 12301 Parklawn Drive, Rockville, Md.
20852, and was assigned accession number 209153. On Mar. 19,1998, a sample of
the vector pHis-A with insert HLPM-1s (Homo sapiens LIM mineralization protein
cDNA) was deposited at the American Type Culture Collection and assigned
accession number 209698.
A serotype 5 adenovirus (Ads) has been employed for the delivery of LMPs to
a variety of cells and tissues including cells derived from peripheral blood and bone
marrow. fBoden. et al.. "Adenoviral Delivery of LMP-1 Induces Consistent Spine
Fusion", 47th Annual Meeting, Orthopaedic Research Society, San Francisco,
California (2001)). However, the Ad5 virus utilizes a specific receptor (i.e., coxsackie
adenovirus receptor or CAR), which is absent, or present in limited quantities, in
these cells. Protein transduction across the cell membrane to facilitate intracellular
delivery of proteins without receptor-mediated mechanisms offers an attractive
alternative to allow treatment of a variety of cell and tissue types.
The actions of LMPs and other osteoinductive proteins indicate that they have
therapeutic potential in a variety of tissues, such as brain, spinal cord, peripheral
nerve, bone, cartilage, intervertebral discs, connective tissue, tendons, and ligaments.
Delivery of LMPs, for example, to a variety of tissues can be accomplished by delivery
systems comprising, for example, collagen, collagen ceramic combinations,
demineralized bone matrix, natural or synthetic polymers such as elastin, fibrin,
polylactic acid, polyglycolic acid, polycaprolactone, polypropylene fumarate,
polyvinyl alcohol, polyesters, polyethers, polyhydroxyls, and structural implants.
Such matrices may be injectable, moldable, solid implants, structural implants, or
combinations thereof.
The present inventors have discovered that PTDs can be used to deliver
functional osteoinductive proteins into cells and to effectively induce osteogenesis
and proteoglycan synthesis. Such cell-permeable peptide import (CPPI) provides a
method for delivering osteoinductive proteins into a variety of cell types. An 11
amino acid peptide, initially derived from the HIV-1 TAT protein, was successfully
used to deliver osteoinductive proteins into cells. The TAT peptide can be over-
expressed in bacterial cells using the pTAT-HA vector. A recombinant human gene
can be inserted into this vector in such a manner as to produce a fusion protein
containing both the TAT peptide sequence as well as the gene product of interest.
Furthermore, the PTD/osteoinductive polypeptide can be expressed in conjunction
with a polyHis tag in order to facilitate isolation and purification of the fusion
protein. The pTAT-HA vector and a purification protocol for TAT fusion proteins
have been described previously by Nagahara, et al. f Nature Medicine. Vol. 4, p. 1449-
1452, December 1998).
A peptide sequence as found in a variety of PTDs can facilitate entry into cells
in a coxsackie-adenovirus receptor (CAR)-1ndependent manner, thereby improving
transduction efficiencies to target cells and subsequently lowering the required
amounts of nucleic acid or protein needed to achieve the desired effect. PTD fusion
proteins therefore provide a therapeutic tool that may be used to reduce the cost of
therapy.
In one embodiment of the invention, a fusion protein of a protein
transduction domain and an osteoinductive protein is provided. Osteoinductive
proteins include, but are not limited to, LIM mineralization proteins (LMPs), bone
morphogenetic proteins (BMP) and Smad proteins. As used herein, "osteoinductive
proteins," "osteoinductive polypeptides," and "osteoinductive peptides" may be used
interchangeably to refer to either a peptide or polypeptide of varying length or a full-
length protein with osteoinductive functionality.
A fusion protein comprising a PTD and a LIM mineralization protein is
provided as one embodiment of the invention. The fusion protein can comprise a
PTD and one or more LIM mineralization proteins or polypeptides. Useful LIM
mineralization proteins include, for example, LMPs as disclosed in U. S. Patents
numbers 6,300,127; 6,444,803; and 6,521,750; as well as pending U.S. Patent
Application Serial No. 09/959,578, filed April 28, 2000. Preferably, the LMP is
RLMP, HLMP-1, HLMP-1s, HLMP-2, HLMP-3, or a peptide derived therefrom.
These peptides can include, for example, SEQ ID NO 1, SEQ ID NO 2, SEQ ID NO 3,
SEQ ID NO 4, SEQ ID NO 5, SEQ ID NO 6, SEQ ID NO 7, or a polypeptide as in SEQ
ID NO 8.
The nucleotide sequence encoding the LIM mineralization protein preferably
hybridizes under standard conditions to a nucleic acid molecule complementary to
the full length of the following sequence:
tcctcatccg ggtcttgcat gaactcggtg
or hybridizes under highly stringent conditions to a nucleic acid molecule
complementary to the full length of the following sequence:
gcccccgccc gctgacagcg ccccgcaa,
or both.
"Standard hybridization conditions" will vary with the size of the probe, the
background and the concentration of the nucleic acid reagents, as well as the type of
hybridization (in situ, Southern blot, or hybrization of DNA-RNA hybrids (Northern
blot)). The determination of "standard hybridization conditions" is within the level of
skill in the art. Methods include, for example, those described in U.S. Patent
5,580,775 (Fremeau, et al.), Southern, J. Mol. Biol., 98:503 (1975), Alwine, et al,
Meth. Enzvmol.. 68:220 (1979), and Sambrook, et ah, Molecular Cloning: A
Laboratory Manual. 2nd edition, Cold Spring Harbor Press, 7.19-7.50 (1989).
One set of standard hybrization conditions involves pre-hybridizing a blot at
42°C for 2 hours in 50% formamide, 5X SSPE (150 nM NaCl, 10 mM Na H2PO4 [pH
7.4], 1 mM EDTA [pH 8.o])l 5X Denhardt's solution (2omg Ficoll, 2omg
polyvinylpyrrolidone and 20 mg BSA per 100 ml water), 10% dextran sulphate, 1%
SDS and 100 mg/ml salmon sperm DNA. A 32p- labeled cDNA probe is added, and
further hybridizing continued for 14 hours. Afterward, the blot is washed twice with
2X SSPE, 0.1 % SDS for 20 minutes at 22°C, followed by a 1 hour wash at 65°C in
O.IX SSPE, 0.1 %SDS. The blot is then dried and exposed to x-ray film for 5 days in
the presence of an intensifying screen.
Under "highly stringent conditions", a probe will hybridize to its target
sequence if those two sequences are substantially identical. Techniques are known to
those of skill in the art for determining the conditions under which only substantially
identical sequences will hybridize while non-1dentical sequences will not.
As used herein, the term "protein" is intended to include mimetics and the
term "amino acid" is intended to include L-form, D-form, and modified amino acids.
These substitutions may be made by one of skill in the art, using the known
structural similarities between the molecules. The amino acid sequence is also
intended to include any peptide or protein sequence that may include additional
amino acids either N-terminal or C-terminal to the listed sequence, or both. The
term "osteoinductive protein" is intended to include variants or biologically active
fragments of the polypeptide, as well as full-length proteins.
It is well known in the art that a single amino acid may be encoded by more
than one nucleotide codon, and that the nucleotide sequence may be modified to
produce an alternate nucleotide sequence that encodes the same peptide. Therefore,
alternate embodiments of the present invention include alternate DNA sequences
encoding peptides containing the amino acid sequences as previously described.
DNA, sequences encoding peptides containing the claimed amino acid sequence
include DNA sequences which encode any combination of the claimed sequence and
other amino acids located N-terminal or C-terminal to the claimed amino acid
sequence. It is to be understood that amino acid and nucleic acid sequences may
include additional residues, particularly N- or C-terminal amino acids or 5" or 3'
nucleotide sequences, and still be essentially as set forth in the sequences disclosed
herein, as long as the sequence confers osteoinductive potential upon the expressed
polypeptide or protein.
Additional nucleic acid bases may be added either 5' or 3' to the nucleotide
sequence encoding the osteoinductive polypeptide, and may be combined with other
DNA sequences, such as promoters, polyadenylation signals, additional restriction
enzyme sites, multiple cloning sites, other coding segments, and the like. Therefore,
overall length of such a polynucleotide may vary considerably.
It is to be understood that a "variant" of a polypeptide is not completely
identical to the native protein. A variant of an osteoinductive polypeptide or protein,
for example, can be obtained by altering the amino acid sequence by insertion,
deletion or substitution of one or more amino acids. The amino acid sequence of the
polypeptide or protein can be modified, for example, by substitution to create a
polypeptide having substantially the same or improved qualities as compared to the
native polypeptide. The substitution may be a conserved substitution. A "conserved
substitution" is a substitution of an amino acid with another amino acid having a side
chain that is similar in polar/nonpolar nature, charge, or size. The 20 essential
amino acids can be grouped as those having nonpolar side chains (alanine, valine,
leucine, isoleucine, proline, phenylalanine, and tryptophan), uncharged polar side
chains (methionine, glycine, serine, threonine, cystine, tyrosine, asparagine and
glutamine), acidic side chains (aspartate and glutamate), and basic side chains
Gysine, arginine, and histidine). Conserved substitutions might include, for example,
Asp to Glu, Asn, or Gln; His to Lys, Arg or Phe; Asn to Gln, Asp or Glu; and Ser to
Cys, Thr or Gly. Alanine, for example, is often used to make conserved substitutions.
To those of skill in the art, variant polypeptides can be obtained by
substituting a first amino acid for a second amino acid at one or more positions in
the polypeptide structure in order to affect biological activity. Amino acid
substitutions may, for example, induce conformational changes in a polypeptide that
result in increased biological activity.
Those of skill in the art may also make substitutions in the amino acid
sequence based on the hydrophilicity index or hydropathic index of the amino acids.
A variant amino acid molecule of the present invention, therefore, has less than one
hundred percent, but at least about fifty percent, and preferably at least about eighty
to about ninety percent amino acid sequence homology or identity to the amino acid
sequence of a polypeptide comprising the amino acid sequence of LMP-1, LMP-2,
LMP-3, SEQ ID NO l, SEQ ID NO 2, SEQ ID NO 3, SEQ ID NO 4, SEQ ID NO 5, SEQ
ID NO 6, SEQ ID NO 7, or a polypeptide as in SEQ ID NO 8. Therefore, the amino
acid sequence of the variant osteoinductive polypeptide or protein corresponds
essentially to the native osteoinductive polypeptide or protein amino acid sequence.
As used herein, "corresponds essentially to" refers to a polypeptide sequence that will
elicit a similar biological and enzymatic activity to that generated by an
osteoinductive polypeptide or protein comprising LMP-1, LMP-2, LMP-3, SEQ ID
NO 1, SEQ ID NO 2, SEQ ID NO 3, SEQ ID NO 4, SEQ ID NO 5, SEQ ID NO 6, SEQ
ID NO 7, or a polypeptide as in SEQ ID NO 8., such activity being at least about 70
percent that of the native osteoinductive protein, and more preferably greater than
100 percent of the activity of the native osteoinductive protein.
A variant of the osteoinductive protein may include amino acid residues not
present in a corresponding osteoinductive protein comprising LMP-1, LMP-2, LMP-
3, SEQ ID NO l, SEQ ID NO 2, SEQ ID NO 3, SEQ ID NO 4, SEQ ID NO 5, SEQ ID
NO 6, SEQ ID NO 7, or SEQ ID NO 8, or may include deletions relative to the
osteoinductive protein comprising LMP-1, LMP-2, LMP-3, SEQ ID NO l, SEQ ID NO
2, SEQ ID NO 3, SEQ ID NO 4, SEQ ID NO 5, SEQ ID NO 6, SEQ ID NO 7, or SEQ ID
NO 8. A variant may also be a truncated "fragment," as compared to the
corresponding protein comprising LMP-1, LMP-2, LMP-3, SEQ ID NO l, SEQ ID NO
2, SEQ ID NO 3, SEQ ID NO 4, SEQ ID NO 5, SEQ ID NO 6, SEQ ID NO 7, or SEQ ID
NO 8., the fragment being only a portion of the full-length protein or polypeptide.
Bone morphogenetic proteins (BMPs) are members of the TGF-p superfamily
of proteins. BMPs have been shown to induce ectopic bone or cartilage formation.
According to the invention, a fusion protein of a PTD and a bone morphogenetic
protein is also provided. BMPs include, for example, BMP-2, BMP-3, BMP-3b, BMP-
4, BMP-5, BMP-6, BMP-7, BMP-8, BMP-9, BMP-10, BMP-11, BMP-12, BMP-13,
BMP-14, BMP-15, GDF-1, GDF-3, GDF-8 and GDF-9. Bone morphogenetic proteins
BMP-2, BMP-4, BMP-5, BMP-6, BMP-7, BMP-8, or BMP-9 can be especially useful
in the method of the present invention.
Smad proteins are intracellular proteins that mediate signaling from receptors
for extracellular TGF-beta-related factors (Heldin. et al, "TGF-b Signalling from Cell
Membrane to Nucleus through SMAD Proteins", Nature. Vol. 390 (1997)). Smad
proteins can be activated (i.e., phosphorylated) by the binding of a BMP to its
receptor. Upon activation, the Smad proteins translocate to the nucleus where they
regulate gene expression. A fusion protein of a PTD and a Smad protein is also
provided in the present invention. Smad- 1, Smad-2, Smad-3, Smad-4, Smad-5,
Smad-6, Smad-7 or Smad-8 can be especially useful for promoting osteoinduction
when delivered as a fusion protein with a protein transduction domain as in the
present invention.
The protein transduction domain according to the invention can be any
peptide, mimetic, or peptide nucleic acid (PNA) sequence that can traverse the
plasma membrane of a cell to deliver an attached or accompanying protein, peptide,
or nucleic acid to the interior of the cell. The inventors have demonstrated that
osteoinductive proteins can be delivered intracellularly (as a fusion protein moiety,
for example) without impairing their ability to promote osteoinduction and
proteoglycan synthesis. PTDs include, for example, polypeptides derived from the
Drosophila homeotic transcription factor Antennapedia (Antp), the herpes simplex
virus (HSV) protein VP22, signal peptide sequences from growth factors such as
Kaposi's fibroblast growth factor (K-FGF) (Lin, et al, J. Biol. Chem., Vol. 270, p.
14255-14258, 1995) a membrane translocation sequence derived from the K-FGF
signal peptide sequence (Rojas, et al, Nat. Biotech.. Vol. 16, p. 370-375, 1998), and
the human immunodeficiency virus (HIV)-1 transcriptional activator TAT (Fawell, et
al, Proc. Natl. Acad. Sci. USA. Vol. 91, p. 664-668,1994)- PTDs are disclosed in U.S.
Patent No. 5,652,122, and in Schwarze. et al, "Protein Transduction: Unrestricted
Delivery into all Cells", Trends in Cell Biology. Vol. 10 (2000). The inventors have
found the HIV-TAT PTD to be especially useful in the present invention.
A nucleic acid comprising a nucleotide sequence encoding a fusion protein
operably linked to a promoter, wherein the fusion protein comprises a protein
transduction domain (PTD) and an osteoinductive protein, is also provided. The
nucleic acid can be part of a vector (e.g., an expression vector such as a plasmid).
Osteoinductive proteins can include, for example, LIM mineralization proteins, bone
morphogenetic proteins, Smad proteins, and osteoinductive peptides and
polypeptides derived therefrom. Examples of osteoinductive peptides and
polypeptides include SEQ ID NO 1, SEQ ID NO 2, SEQ ID NO 3, SEQ ID NO 4, SEQ
ID NO 5, SEQ ID NO 6, SEQ ID NO 7, and SEQ ID NO 8.
Methods of delivering osteoinductive proteins into cells are also provided by
the present invention. In a method of the invention, at least one osteoinductive
protein can be delivered into a cell via transduction wherein a fusion protein
comprising a protein transduction domain (PTD) and an osteoinductive protein is
contacted with the cell so that the fusion protein is delivered into the cell, the
delivery being facilitated by the protein transduction domain or cell-permeable
peptide
The cells into which the osteoinductive proteins can be delivered include, for
example, osseous (i.e., bone forming) and non-osseous cells. Such cells may include,
for example, buffy coat cells, stem cells (e.g., mesenchymal stem cells, multipotent
and pluripotent stem cells), intervertebral disc cells (e.g., cells of the annulus
fibrosus and cells of the nucleus pulposus), mesenchymal cells, hematopoietic cells,
endothelial cells and muscle cells. Stem cells can be derived from autalogous or
allogeneic tissue.
Cells transduced with or expressing a fusion protein of a protein transduction
domain (PTD) and an osteoinductive protein are also provided. Such cells may
include, but are not limited to, buffy coat cells, stem cells (e.g., mesenchymal stem
cells and pluripotential stem cells), intervertebral disc cells (e.g., cells of the annulus
fibrosus and cells of the nucleus pulposus), mesenchymal cells, hematopoietic cells,
endothelial cells and muscle cells. Cells containing a fusion protein of a PTD and an
osteoinductive protein as described herein can be implanted into the body of a
mammal to induce bone formation. Methods of inducing bone formation using
LMPs as osteoinductive proteins are described, for example, in U.S. Patent No.
6,300,127. Cells comprising a fusion protein of a PTD and an osteoinductive protein
may also be implanted into the intervertebral disc, for example, to stimulate
proteoglycan and/or collagen synthesis as set forth in U.S. Patent Application No.
10/292,951, filed November 13,2002, pending.
A conjugate of a PTD and a nucleic acid comprising a nucleotide sequence
encoding an osteoinductive protein is also provided. The PTD/nucleic acid conjugate
can be used to direct over-expression of an osteoinductive protein to promote bone
formation or disc regeneration, for example. Osteoinductive proteins encoded by the
nucleotide sequence can include, but are not limited to, LMPs, BMPs, and Smad
proteins. Methods for chemically linking peptides to nucleic acids are known in the
art. One such method is described in U.S. Patent No. 5,652,122. The nucleic acid can
be in the form of an expression vector comprising a nucleotide sequence encoding an
osteoinductive protein operably linked to a promoter.
Methods of the present invention can be used to induce the expression of one
or more bone morphogenetic proteins or transforming growth factor-p proteins in a
cell as described in copending U.S. Patent Application Serial No. 10/382,844, filed
March 7, 2003. For example, the expression of one or more proteins selected from
the group consisting of BMP-2, BMP-4, BMP-6, BMP-7, TGF-B1 and combinations
thereof can be induced by contacting a cell with a fusion protein comprising a PTD
and an osteoinductive protein according to the invention. Additionally, cells which
over-express one or more proteins selected from the group consisting of BMP-2,
BMP4, BMP-6, BMP-7, TGF-S1 and combinations thereof are also provided
according to the invention. The cell can be any somatic cell including, but not limited
to, a stem cell, a buffy coat cell, a bone marrow cell, a peripheral blood cell or a fat
cell. The cell can be a stem cell derived from autologous or allogeneic tissue.
In the kidney, for example, cells may be stimulated to produce BMP-7 via
administration of a PTD/LMP fusion polypeptide as described in the present
invention, or stem cells may be treated with a PTD/LMP fusion polypeptide,
inducing them to express BMP-7. Once transplanted into the kidney, their
production of BMP-7 can provide a therapeutic benefit not previously available
through administration of exogenous BMP-7. BMP-7 induces repair of severely
damaged renal tubular epithelial cells, in association with reversal of chronic renal
injury (Zeisberg, et al., Nat. Med. 9: 964-968, 2000). One complication of chronic
kidney disease, adynamic bone disorder, has been reported to be successfully treated
in mice by administration of BMP-7 (Lund, et al., J Am Soc Nephrol 15(2): 359-369,
2004). In mouse genetic models of chronic renal injury and fibrosis, administration
of exogenous human recombinant BMP-7 improved renal function and survival
(Zeisberg, et al., Am J Phvsiol Renal Phvsiol 285(6): F1060-7, 2003). BMP-7 has
also been shown to partially reverse diabetic-1nduced kidney hypertrophy (Wang, et
al., Kidney Int 63(6): 2037-2049, 2003). Davies, et al, determined that BMP-7
deficiency is a pathophysiologic factor in chronic renal failure (J Am Soc Nephrol
14(6): 1559-1567> 2003). These studies, in conjunction with the discovery by the
inventors that LMP-1 induces BMP-7 production by the cell, and that LMP peptides
(SEQ ID NO 1, SEQ ID NO 2, SEQ ID NO 3, SEQ ID NO 4, SEQ ID NO 5, SEQ ID NO
6, SEQ ID NO 7, and SEQ ID NO 8) function in a similar fashion to LMP-1 protein,
demonstrate that a fusion polypeptide comprising a protein transduction domain
and an LMP-1 or LMP-3 protein or related peptide can be of benefit in the treatment
of kidney disease. Stem cells induced to express BMP-7 by means of a fusion
polypeptide of the present invention may be particularly useful for this purpose.
BMP-4 and BMP-7 have also been shown to inhibit proliferation and induce
apoptosis in human myeloma cells. Therapeutic use of BMP has been suggested for
myeloma bone disease and myeloma cell growth. The method of the present
invention provides a way to stimulate both BMP-4 and BMP-7 production in vivo by
administering LMP-1, LMP-3, or peptides comprising SEQ ID NO l, SEQ ID NO 2,
SEQ ID NO 3, SEQ ID NO 4, SEQ ID NO 5, SEQ ID NO 6, SEQ ID NO 7, and SEQ ID
NO 8, by, for example, injection, an implant, or implantation of stem cells that have
been treated with a PTD/LMP fusion polypeptide. A combination of a stem cell
implant in conjunction with a source of PTD/LMP such as an implantable drug
delivery device may be particularly effective.
Stem cells, or multipotent progenitor cells, can provide a source of cells from
which to generate osteoblasts. These cells may be isolated at various stages of
differentiation and induced to differentiate in specific lineage pathways. The cells
may be used to treat bone diseases such as osteoporosis or osteogenesis imperfecta,
as well as non-healing fractures. Core binding factor alpha 1 (Cbfai) has been
demonstrated to be necessary for osteogenesis. BMP-2, BMP-4, and BMP-7, which
are known to induce osteoblast differentiation, up-regulate Cbfai expression. BMP-
8 and Smad-3 are up-regulated during osteoblast differentiation. Activation of TGF-
beta/BMP-Smad signaling has been shown to promote Cbfai expression, and
osteoblast differentiation. The present invention provides fusion proteins
comprising functional BMPs, LMPs, Smad proteins, or a combination thereof, for
example, to promote osteoblast differentiation in cells such as human bone marrow-
derived mesodermal progenitor cells. Suitable cells may include, for example,
multipotent cells such as those described by Jiang, et al. fNature, Vol. 418, p. 41-49,
2002). Administration of suitable osteoinductive proteins or polypeptides, or
combinations thereof, can be performed ex vivo before implantation of the cells, or in
vivo following implantation or injection.
For in vivo administration, osteoinductive proteins of the present invention
can be injected at a target site so that they can be delivered to the interior of nearby
cells via a PTD or cell-permeable peptide, for example. Alternately, an implant
comprising a carrier in combination with a PTD/osteoinductive polypeptide may be
used. Implants may contain reservoirs in which to place the PTD/osteoinductive
polypeptide for release into the surrounding tissue, or may comprise a porous
composition that has been soaked in a solution containing one or more
PTD/osteoinductive polypeptide constructs. Hydrogels, time-release capsules or
spheres, liposomes, microspheres, nanospheres, biodegradable polymers, or other
such drug delivery systems may also be employed to deliver peptides and proteins of
the present invention to target cells and tissues. U.S. Patent No. 6,475,516
(DiCosmo, et al), for example, provides hydrogels loaded with liposomal therapeutic
agents such as antibiotics, the hydrogels being covalently bonded to the surface of an
in-dwelling medical device such as an implant.
A hallmark of disc degeneration is the decreased production of proteoglycans
in the disc, especially sulfated-glycosammoglycans (sGAG) and aggrecan. A decrease
in the production rate of aggrecan, the major proteoglycan of the intervertebral disc,
is an important factor in intervertebral disc degeneration. Because of the central role
of proteoglycans in the function of the intervertebral disc, restoration of normal
proteoglycan production of the intervertebral disc may be critically important in any
biological treatment of intervertebral disc degeneration.
The inventors performed experiments which demonstrated that LMP-1 over-
expression or intracellular administration increases disc cell proteoglycan production
in vitro and in vivo. LMP-1 over-expression induces the upregulation of BMP-2 and
BMP-7 mRNA in vitro and in vivo. Noggin, which specifically inhibits these BMP-2
and BMP-7, inhibits proteoglycan upregulation by AdLMP-1, indicating that LMP-1
induced upregulation of proteoglycan is mediated by the upregulation of BMPs.
LMP-1 administration via gene therapy or protein therapy (e.g., delivery by PTD
conjugates) therefore can be used to stimulate proteoglycan production in discs and
play a therapeutic role in disc regeneration.
Cytokines such as TGF-B1, IGF-1, and EGF have been shown to stimulate
intervertebral disc cell mitosis and, to some extent, proteoglycan production. Other
cytokines such as BMP-2 and BMP-7 have also been shown to be effective in
stimulating proteoglycan production. Because cytokines are small water soluble
molecules, however, they rapidly diffuse away from the intervertebral disc or become
inactivated by other regulatory factors. LIM Mineralization Protein-1 (LMP-1) is an
intracellular regulatory molecule that is known to induce the secretion of multiple
different BMPs from leukocytes and osteoblasts. By delivering LMP-1, LMP-2, LMP-
3, or an osteoinductive peptide derived from LMP-1 or LMP-3, or a combination
thereof, into the cell, particularly via a PTD/nucleic acid conjugate, BMP production
can be stimulated from within the cells. Suitable osteoinductive peptides include, for
example, SEQ ID NO 1, SEQ ID NO 2, SEQ ID NO 3, SEQ ID NO 4, SEQ ID NO 5,
SEQ ID NO 6, SEQ ID NO 7, or a polypeptide as in SEQ ID NO 8.
The present invention may be more fully understood by reference to the
following non-limiting examples.
Examples
The synthesis and use of a (His)6 TAT-LMP protein conjugate, comprising the
protein transduction domain of HIV-Tat and the LMP-1 protein, is described below.
The pTAT-HA-vector was obtained under a material transfer agreement from
Washington University (St. Louis, MO).
An Ncol restriction site was added to the 5' end of hLMP-1 by utilizing
PCDNA3.1/I1LMP-1 as the template for PCR with the following primers:
Fwd: 5'-CCATGGAflCCflCAAAGTAGTGC-3'
Rev: 5 -CAGGGCGGGCGGCTGGTAG-3'
The reaction was performed at: 95°C for 2 Min.[95°C, 30 sec; 66°C, 30 sec; 72°C, 1
mm] x 25, and 72°C 10 mm. The PCR product was cloned into PCRII-TOPO vector
(Invitrogen) and appropriate clones were identified by sequencing.
Construction of the (His)6 TAT-LMP vector was accomplished by restriction
endonuclease digestion of plasmid clones with Ncol and Clal, and purification of the
resulting product by agarose gel electrophoresis and electroelution. The full-length
hLMP-1 sequence was isolated by restriction digest of the pCDNA3.1/hLMP-l vector
with Clal and EcoRI, and purification of the resulting product by agarose gel
electrophoresis and electroelution. The pTAT-HA-vector was also subjected to
restriction digestion with Ncol and EcoRI, and the resulting linearized vector was
purified by agarose gel electrophoresis and electroelution. Products were then ligated
by standard procedures overnight at i6°C. Correctly ligated products (5' hLMP-1 + 3'
hLMP-1 + linearized pTAT-HA-vector = (His)6 TAT-LMP vector) were determined by
subsequent agarose gel electrophoreses and molecular weight determinations.
Ligation products were transfected into BL21 (DE3) competent cells and
suitable clones were identified by restriction analysis.
Synthesizing and Harvesting the (His)6 TAT-LMP Protein
Appropriate BL21 (DE3) Eschericia coli colonies containing positive clones of
(His)6 TAT-LMP fusion constructs were grown to 0.8 OD (600 nm) and protein
production was induced with 100 uM IPTG for 4h at 37°C. Induced cells were
harvested by standard methods and lysed (20 raM P04 buffer, pH 7.2, 8 M urea, 100
mM NaC1, 20 mM Imidazole) by sonicarion (4 x 20 s, each with 2 mm rest periods,
4°C).
The lysate was clarified by centrifugation (10000 x g) and the resulting
supernatant applied to a Ni2+ sepharose affinity column (Invitrogen) under gravity
flow conditions. The column was washed (20 mM PO4 buffer, pH 6.0,8 M Urea, 250
mM NaCl, 20 mM Imidazole) and then bound proteins eluted (20 mM P04 buffer,
pH 4.0,8 M Urea, 500 mM NaCI).
Eluate was subjected to anion exchange chromatography (Hitrap Q HP, 5 mL,
Pharmacia) using a linear gradient (Buffer A: 20 mM sodium carbonate, pH 11, 8 M
Urea; Buffer B: 20mM sodium carbonate, pH 11, 8 M Urea, 2 M NaCl) from 0%
Buffer B to 100% Buffer B (40 mm @ 5 mL/min). Eluted fractions (5 mL) were
analyzed for the presence of hLMP-1 by SDS-PAGE and Western blot analyses.
Fractions positive for hLMP-1 were subjected to hydrophobic interaction
chromatography (Hitrap® Phenyl-sepharose, 5 mL, Pharmacia). Elution (Buffer A:
2omM sodium carbonate, pH 10.5, 1.5 M ammonium sulfate; Buffer B: 2omM
sodium carbonate, pH 10.5) was performed with a linear gradient of 0% to 100%
Buffer B for 20 mm @ 5 mL/mm. Eluted fractions (5 mL) were analyzed for the
presence of hLMP-1 by SDS-PAGE and Western blot analyses. Fractions positive for
(His)6TAT-LMP fusion protein were lyophilized until used.
Use of (His)6TAT-LMP Fusion Protein for de novo Bone Formation
Lyophilized fractions (55 pg) were resuspended into 40 mM KOH to (Stock
Solution; 1.0 uM). Human buffy coat cells were prepared as described in
Viggeswarapu, et al., J. Bone Joint Surg.. Vol. 83(3), p. 364 (2001). These cells were
mixed with 5 uL of(His)6 TAT-LMP fusion protein in alpha MEM (Gibco) and
incubated for 30 min.@ 37°C.
An appropriate volume of human buffy coat cells containing the (His)6 TAT-
LMP fusion protein was then applied to a porous collagen matrix for implantation.
To demonstrate de novo bone formation in vivo, 100 mL of cell suspension was
applied via sterile pipette to a sterile 5 x 5 mm type I human collagen disc for
implantation into rats. A similar quantity of cell suspension was applied to 10 x 25
mm sheets for implantation to promote spine fusion. Discs were surgically
implanted subcutaneously in the chest/abdomen of 4-5 week old athymic rats
(rnu~/rnu"). The animals were sacrificed at 4 weeks, at which time discs were
excised, fixed in 70% ethanol, and analyzed by radiography and undecalcified
histologic examination (sectioned to 5 urn and stained with Goldner Trichrome).
In rabbits, posterolateral lumbar spine arthrodesis was performed and carrier
matrix was implanted (i.e., collagen sponge with 15% hydroxyapatite/85% tricalcium
phosphate) with each side of the spine receiving 4 x 106 transduced buffy coat cells.
After 4 weeks, rabbits were euthanized and their lumbar spines excised. The status of
the spine fusion was assessed by blinded manual palpation of the motion segments to
detect residual motion (indicative of failed fusion), radiographs, CT scans, and non-
decalcified histology.
In both rats and rabbits, radiography revealed a high level of mineralized bone
formation conforming to the form of the original collagen discs or sheets containing
LMP-1 transfected human buffy coat cells. No mineralized bone formation was
observed in the control, and the original collagen discs or sheets appeared to be
undergoing absorption. Histology revealed new bone trabeculae lined with
osteoblasts in the LMP-l transduced implants, whereas no bone was seen, and the
carrier was partially resorbed, in the controls.
Use of Osteoinductive Peptides to Induce In Vivo Bone Formation
Protocols were essentially as described above. Peptides were applied to 4
separate implants (3 for rabbit), 250 microliters per disc, 6M/ml. Implants
comprised collagen discs. Implants were placed within the chest of Harlan athymic
rats or New Zealand White rabbits. Dose ranges tested were 5 nM, 10 nM, 12.5 nM,
15 nM, 17.5 nM, 20 nM, 22.5 nM, and 25 nM. Results are shown in Fig. 6.
LMP-1 Stimulation of sGAG Synthesis
In vitro experiments with lumbar intervertebral disc cells from Sprague-
Dawley rats were performed by treating the cells with an adenovirus containing an
LMP-1 nucleotide sequence insert (AdLMP-1) at various doses (multiplicity of
infection o, 5,10, 25, 50) and culturing them for 6 days in monolayer to determine
the effect of LMP-1 over-expression in vitro. The DMMB method was used to
quantitate sulfated glycosaminoglycan (sGAG) level in the media. Real-time PCR
was used to quantitate mRNA levels of aggrecan, over-expressed LMP-1, BMP-2,4,6,
and 7. A direct ELISA method was used to quantiate the levels of BMP-2,4, 6, and 7
in the media. To demonstrate that LMP-1 upregulation of disc cell proteoglycan
production involves BMPs, a molecule (noggin) which specifically blocks BMP-2, 4,
6, and 7 activities was added to AdLMP-1 treated cells at different concentrations.
In vivo gene therapy experiments were performed in New Zealand White
rabbits. Lumbar discs were injected with either AdLMP-1 (experimental) or an
adenovirus carrying a marker gene (AdLacZ - control) at three different doses (106,
107, and 108 pfu/disc). Three weeks later the injected discs were harvested and the
mRNA level of total LMP-1 (endogenous), over-expressed LMP-1, aggrecan, BMP-2,
and BMP-7 were measured.
AdLMP-1 at a multiplicity of infection (MOI) of 25 was sufficient to induce the
maximal level of sGAG upregulation. A period of 6 days in monolayer culture was
required to reach the maximal level of sGAG upregulation after AdLMP-1 treatment
(MOI 25). Aggrecan mRNA increased by 2 times compared to control. When the
cells were cultured in alginate, the effect of AdLMP-1 treatment on sGAG production
was sustained for 3 weeks. Six days after AdLMP-1 treatment, BMP-2 and BMP-7
mRNA levels increased significantly to 3.o±o.2 and 2.8±o.3 times that of controls (p
BMP-7 protein levels in the media were increased significantly (p to control. In contrast, BMP-4 and BMP-6 protein levels were not elevated. Noggin
at 3200 ng/ml completely blocked the upregulation of proteoglycan by AdLMP-1.
Endogenous levels of LMP-1 mRNA were detected in lumbar nucleus pulposus. In
vivo discs injected with 107 pfu/disc of AdLMP-1 had a significantly elevated level of
LMP-1, BMP-2, and BMP-7 mRNA levels compared to control.
In vitro experiments were carried out with Sprague-Dawley (SD) rat lumbar
disc cells. Two tailed student t-tests were used to compare the experimental group to
control group. The error bars in the figures present 1 SEM.
A replication deficient type 5 adenovirus carrying the cDNA for the human
LMP-1 gene was used (AdLMP-1). Monolayer culture experiments with SD annulus
cells were carried out to determine the relationship between virus dose and over-
expressed LMP-1 mRNA expression using realtime PCR method using a primer that
is specific for only the virally delivered LMP-l cDNA. Monolayer culture experiments
with SD annulus cells were performed to determine the relationship between virus
dose and sGAG production. The sGAG levels were measured with a DMMB method.
The optimal dose of AdLMP-1 was defined as the lowest dose which led to the plateau
level of sGAG production. Using the optimal dose (25 MOI), a time-course
experiment (9 days) was carried out to determine the minimal length of time (6 days)
necessary to reach the plateau level of sGAG production The aggrecan mRNA level of
AdLMP-1 treated annulus cells were compared to controls using the optimal viral
dose and time determined above (AdLMP-1 at 25 MOI and six days after treatment).
In order to ascertain that nucleus cells responded in a similar fashion to annulus
cells, the effect of AdLMP-1 on sGAG production and cell number was determined for
both annulus and nucleus cells at 25 MOI six days after treatment. To investigate the
more long-term effects of AdLMP-1 treatment, sGAG accumulation in the alginate of
SD annulus cells cultured in alginate was determined at 1, 2, and 3 weeks. All
experiments were repeated at least twice.
Monolayer culture experiments with SD annulus cells were performed using
AdLMP-1 at MOI 25. Briefly, the mRNA levels of LMP-1, BMP-2, BMP-4, BMP-6,
and BMP-7 were measured with real-time PCR analysis at 0.5,1, 3, and 6 days after
AdLMP-1 treatment. Levels of BMP-2, BMP-4, BMP-6, and BMP-7 were measured
in the media six days after treatment using a direct EUSA method. To determine the
effect of blocking BMP activity, noggin was added to the culture media at the start of
AdLMP-1 treatment. The change in sGAG level with or without noggin at various
concentrations after treatment with AdLMP-1 was determined in a six day
experiment
To determine the in vivo effects of administration of LMP-1 (via AdLMP-1) on
aggrecan, BMP-2, and BMP-7, four New Zealand White (NZW) rabbits (3-4 kg) were
used. The anterior lumbar discs L2/3, L3/4, L4/5, and L5/6 were exposed through a
left retroperitoneal approach. Either the experimental virus (AdLMP-1) or control
virus (AdGFP - type 5 adenovirus with Green Fluorescence Protein cDNA as insert)
at io? plaque-forming units (pfu) was injected into each of the exposed disc nucleus
in alternating fashion (i.e., two discs injected with AdLMP-1 and two discs injected
with AdGFP in each rabbit). The virus was administered by delivery in 10 microliters
of phosphate buffered saline through a 30G Hamilton syringe. After 3 weeks,
nucleus pulposus tissue from the injected lumbar discs was harvested. Nucleus
tissues from two rabbits were pooled into either control or experimental disc groups
to obtain sufficient mRNA for further analysis. Reverse transcription and real-time
PCR were used to quantitate the mRNA levels of total LMP-1, BMP-7, and aggrecan.
The primers for total LMP-1 were designed to identity both endogenous and over-
expressed LMP-l.
In a second in vivo demonstration, various doses of the AdLMP-1 virus were
used to establish a dose response relationship. AdLMP-1 at three different doses
(io6,107, i08 pfu) and AdGFP at a single dose (io? pfu) were administered. In this
experiment, all the discs from each animal were injected with a single dose of virus
instead of alternating virus type as in the previous experiment. Eight NZW rabbits
(3-4kg) were used, two rabbits for each of the four virus groups. The rabbits were
euthanized three weeks later and the nucleus pulposus was harvested. The harvested
tissue from within each treatment group was pooled, mRNA isolated and used to
generate corresponding cDNA. Real-time PCR was used to quantitate the mRNA
levels of total LMP-1, over-expressed LMP-l, BMP-2, BMP-7, and aggrecan.
The relative amounts of over-expressed LMP-1 mRNA at 12 hours after virus
treatment at different doses (MOI o, 10, 25, and 50) were normalized to the lowest
detectable level of over-expressed LMP-1 mRNA (AdLMP-1 MOI 5). Increasing the
dose of AdLMP-1 resulted in statistically significant increases in over-expressed
LMP-l mRNA as compared to MOI 5. No detectable levels of over-expressed LMP-l
mRNA could be found in the untreated control or the AdLacZ control groups,
indicating that AdLMP-1 induced over-expression of LMP-l in annulus cells in a dose
dependent manner.
The sGAG concentration in the culture media from annulus cells was
determined 6 days after treatment with AdLMP-1 at different doses. The sGAG
concentration in the culture media on day 6 is a measure of the total sGAG produced
by the cells over the three-day time period between media change and the sGAG
measurement, and therefore is a measure of the production rate of sGAG during that
time period. Data is expressed as a ratio between treated and untreated controls.
Administration of LMP-1 (via AdLMP-1 at MOI 25) provided the highest sGAG level,
which was 3.1 ± 0.2 times that of the control (p difference in sGAG levels in media between cells treated with MOI 25 or MOI 50.
Because this AdLMP-1 dose of MOI 25 was the lowest dose that could achieve the
maximal sGAG response, the inventors chose MOI 25 as the working dose for the
remainder of the experiments.
A time-course experiment was carried out to determine the effect of varying
the length of the experiment after treatment with AdLMP-1 at MOI 25. Annulus cells
were treated with LMP-1 (AdLMP-1 at MOI 25), and the production of sGAG over
three day increments were measured. The results were normalized by DNA content
at each time point and expressed as a ratio to untreated controls from the same time
point. The sGAG level was increased to 1.6 + 0.2 (p noted between day 6 and day 9, indicating that a pleateau level was achieved by day
6.
LMP-1 Induction of Aggrecan Synthesis
Because aggrecan is the predominant proteoglycan of the intervertebral disc,
aggrecan core protein mRNA levels were measured 6 days after treatment with
AdLMP-1. Quantitative real-time PCR methods were used and the data are
presented as a ratio to untreated controls. After AdLMP-1 treatment (MOI 25),
aggrecan mRNA level was 2.1 + 0.1 (p treatment (MOI 25) aggrecan mRNA level was unchanged, 1.0 ±_o.i6 times that of
controls. These results, together with the sGAG experiments, demonstrated that
LMP-1 stimulates intervertebral disc cell production of proteoglycans.
Having established the dose and timing necessary for optimal AdLMP-1
activity on our culture system, the inventors then compared the effect of LMP-1, as
administered via AdLMP-1, on annulus and nucleus cells. Rat annulus and nucleus
cells were treated with AdLMP-1 at MOI 25 and the sGAG concentration of each cell
type was measured on day 6. The sGAG concentration was normalized by DNA
content in order to account for minor variations in cell number. The results were not
normalized to untreated controls in order to compare the untreated controls of
annulus and nucleus cell types. The results for untreated annulus and nucleus cells
were 0.6 ± 0.04 sGAG/DNA and 1.0 ± 0.12 sGAG/DNA respectively. This difference
was statistically significant (p produce more sGAG per cell than annulus cells. After AdLMP-1 treatment the results
for annulus and nucleus cells were 1.5 ± 0.08 sGAG/DNA (p sGAG/DNA (p increases compared to their respective untreated controls. The relative increases
from untreated to AdLMP-1 treated cells were similar between annulus and nucleus
cells. The cell number at day 6 with and without AdLMP-1 treatment was
determined by measuring the DNA content. The annulus cell DNA content increased
1.2 times compared to untreated controls (p was unaffected by AdLMP-1. This indicated that LMP-1 induced a mild but
significant increase in the number of annulus cells but not nucleus cells.
In order to test the effect of administration of LMP-1 (via AdLMP-1) on sGAG
production in vitro for a period of weeks, the inventors used an alginate culture
system. Alginate provides a three-dimensional matrix for cells that is important for
maintenance of chondrocytic phenotype in long term in vitro cultures. Annulus cells
grown in monolayer were treated with AdLMP-1 at MOI 25 then transferred to
alginate culture 24 hours later. The cells were cultured for periods of 1, 2, and 3
weeks. At 1 week, the sGAG level in the AdLMP-1 group was 1.5 ± 0.06 (p times that of untreated control (Figure 5). At 2 weeks, the sGAG in the AdLMP-1
treated group increased to 2.9 + 0.3 (p difference was maintained at 3 weeks; the sGAG level in the AdLMP-1 treated group
was 2.9 ± 0.1 (p effective in maintaining increased sGAG accumulation in alginate for at least 3 weeks
in culture.
Having demonstrated the effect of LMP-1 over-expression on proteoglycan
production, we investigated the mechanism by which LMP-1 over-expression
induced this effect. The time-course of changes in mRNA of over-expressed LMP-1
and BMPs (BMP-2, 4, 6, and 7) were determined. These BMPs had previously been
shown to be stimulated in leukocytes and osteoblasts by LMP-1 over-expression.
The time-dependent changes in over-expressed LMP-1 after annulus cell
treatment with AdLMP-1 at MOI 25 were determined. The data were expressed as a
percent of the maximal mRNA level of over-expressed LMP-1 (day 6) instead of as
ratio to untreated controls because no over-expressed LMP-1 mRNA was detectable
in controls. LMP-1 mRNA was detectable 12 hours after treatment and continued to
increase up to the last time point checked (day 6). This indicated that over-expressed
LMP-1 could have an effect on downstream genes as early as 12 hours after LMP-1
administration.
The time-course of BMP mRNA levels after treatment with AdLMP-1 at MOI
25 were also determined by real-time PCR and calculated as a ratio to untreated
controls at each time point. BMP-2 mRNA was upregulated early, reaching a
statistically significant (p mRNA increase reached a plateau level by day 3. BMP-7 mRNA was upregulated
later than BMP-2, reaching statistically significantly increase at day 3 (p day 6 (p different from those of untreated controls.
Having established that LMP-1 mRNA over-expression provides up-regulation
of BMP-2 and BMP-7 mRNAs in annulus cells, the inventors tested whether this
mRNA increase correlated with increased secretion of the BMP proteins into the
culture media. An ELISA assay to quantitate the level of BMP-2,4, 6, and 7 proteins
in the conditioned media. Annulus cells cultured in monolayer were treated with
AdLMP-1 at MOI 25. Media was changed once at day 3, and media was analyzed at
day 6. Test samples therefore contained BMPs secreted during the last 3 days (day 4
to 6) of culture. Protein levels of BMP-2 and BMP-7 in the media were 3.5 + 0.4 (p 0.01) and 2.5 ± 0.3 (p and BMP-6 protein levels were not significantly different from those of untreated
control, which is consistent with the results obtained for mRNA.
Since the mRNA and protein of BMP-2 and BMP-7 were upregulated by LMP-
1, the inventors investigated whether blocking these BMPs would prevent the
increase in sGAG production induced by LMP-1. Annulus cells cultured in
monolayer with AdLMP-1 at MOI 25 were simultaneously treated with the BMP
inhibitor noggin in the culture media and the sGAG levels were measured at day 6.
Cells treated with AdLMP-1 alone had increased sGAG levels (2.7 + 0.3 times that of
untreated control), whereas cells treated with noggin at 3200 ng/ml and AdLMP-1 at
MOI 25 had unchanged sGAG levels (1.1 + 0.1 times untreated control), indicating
that noggin completely blocked the effect of AdLMP-1. Cells treated with noggin
alone (3200 ng/ml) still had nearly unchanged sGAG level (0.8 + 0.1 times untreated
control), indicating the absence of a toxic effect by noggin. The inhibitory effect of
noggin on AdLMP-1 induced sGAG production was concentration dependent.
Endogenous levels of aggrecan, BMP-7, and LMP-1 mRNA in the control discs
(AdGFP injected discs) were detected in the nucleus pulposus. Endogenous mRNA
levels were used to calculate the increase in aggrecan, BMP-7, and LMP-1 mRNA in
the AdLMP-1 injected discs. Discs injected with AdLMP-1 expressed 830% higher
levels of total LMP-1 mRNA than the discs injected with AdGFP. Administration of
LMP-1 via AdLMP-1 produced an 1100% increase in the BMP-7 mRNA level over
control (p (p Endogenous levels of BMP-2, BMP-7, LMP-1, and aggrecan mRNA were also
detected. A correlation between increasing AdLMP-1 dose and total LMP-1 mRNA
was seen. Administration of LMP-1 via AdLMP-1 significantly increased BMP-2 and
BMP-7 mRNA levels maximally at a dose of 107 pfu per disc (p dose of 107 pfu per disc led to the highest increase in aggrecan mRNA, 50% over
control (p Administration LMP-1 to intervertebral disc cells resulted in an increase in
sGAG production and an increase in aggrecan mRNA levels. LMP-1 administration
produced an increase in the mRNA and protein levels of BMP-2 and BMP-7 in vitro,
and the effect of LMP-1 administration on upregulation of proteoglycan production
could be blocked by administration of the BMP inhibitor noggin.
Sprague-Dawley rats aged 11 months were euthanized and intervertebral disc
tissue from the lumbar spine and tail were harvested in under sterile conditions.
Annulus fibrosus and nucleus pulposus were separately dissected and diced. The
intervertebral disc tissue was placed in Dulbecco's modified Eagle's medium and
Ham's F12 medium (DMEM/F-12 ; GIBCO BRL, Grand Island, NY.U.S.A.)
containing 100 unit/ml penicillin and 100 mg/ml streptomycin. The intervertebral
disc tissue was treated with 0.2% pronase (Sigma Chemical, St. Louis, MO, U.S A.) in
the medium for 1 hour at 37 °C and then treated with 0.025% collagenase (Sigma
Chemical, St. Louis, MO, U.S.A.) for 6 hours at 37 °C. Isolated cells were washed and
filtered through a 70 mm mesh (Falcon, Franklin Lakes, NJ, U.S.A.) into 75 cm2
flasks with 12 ml DMEM/F-12 medium containing 10% fetal bovine serum (FBS),
100 unit/ml penicillin, 100 mg/ml streptomycin, 2mM Lrglutamine and 50 mg/ml
ascorbate. The cells were grown at 37°C in 5% C02 with humidification. The culture
media was changed every 2 days for approximately 8 days.
Two different viruses were used. The replication deficient type 5 Adenovirus
containing the human LMP-1 cDNA driven by a CMV promoter (AdLMP-1) was used
as the experimental virus. The control virus consisted of a similar replication
deficient type 5 adenovirus containing the lacZ cDNA.
When the primary culture of intervertebral disc cells became confluent, the
cells were subcultured into 6-well plates at 400,000 cells per well. Three days later,
the cells were treated with adenovirus containing the cDNA for either the human
LMP-1 gene (AdLMP-1) or the LacZ gene (AdLacZ). Cell number was determined at
day o by counting a control well using a hemocytometer. The viral dose was
expressed as a multiplicity of infection (MOI), the number of plaque-forming unit
(pfu) per cell. This is essentially the number of recombinant adenoviral plaque-
forming units to which a single intervertebral disc cell was exposed. The cultured
cells were treated for thirty minutes at 37 °C with AdLMP-1 or AdLacZ in 300 ml of
DMEM/F-12 with 0% FBS at different MOIs (o, 10, 25, 50) as designated in each
experiment. Then the culture volume was raised to 2.0 ml with DMEM/F-12
medium containing i%FBS, 100 unit/ml penicillin, 100 mg/ml streptomycin, 2mM
L-glutamine and 50 mg/ml Vitamin C. The medium was changed every 3 days
during the experiment.
The sulfated-glycosaminoglycan (sGAG) content of the culture media was
assayed using the 1,9-dimethylmethylene blue (DMMB) method. The culture media
2 ml was centrifuged (5000 x G for 30 minutes) to concentrate the sGAG using the
Centricon YM-50 centrifugal filter (Millipore Co., Bedford, MA, U.S.A.). The sample
solution (20 ml) were mixed gently with 200 ml DMMB dye solution in a 96-well
microtiter plate, and the optical density (OD) was checked immediately at 520 nm
wavelength filter. A standard curve was constructed using serial dilutions of
chondroitin sulfate (Sigma Chemical, St. Louis, MO, U.S.A.). Total sGAG in the
media were normalized by DNA content and presented as a ratio to the untreated
control.
The cell number was determined by the DNA content of each well, and DNA
content was measured with a Hoechst dye 33258 (Polysciences, Warrington, PA,
U.S.A.) method, as previously described. Cultured cells were removed from the plate
by exposure to papain (10 units/ml). Cells were then pelleted and incubated at 60 °C
for 3 hours. A twenty microliter aliquot of the papain digest was mixed with 200 ml
of Hoechst dye 33258 solution in a 96-well fluoroplate. Emission and excitation
spectra were measured in Luminescence Spectrometer LS 50B (Perkin-Elmer,
Wellesly, MA, U.S.A.) at 456 nm and 365 nm, respectively. Standard curves were
generated at the time of each measurement using known concentrations of calf
thymus DNA (Sigma Chemical, St. Louis, MO, U.S.A.).
Alginate bead cultures are useful for maintaining chondrocytic phenotype in
long term cultures. This method was to determine the effect of AdLMP-1 in three
week cultures. The cells were treated in monolayer cultures as described above. One
day later, the cells were released by trypsinization and washed 2 times with media.
The isolated cells were resuspended in 0.6% low-viscosity sterile alginate (Sigma
Chemical, St. Louis, MO, U.S.A.) solution at 600,000 cells/ml. The cells were
dispensed into a 0.102M CaCl + 0.15M NaCl solution in a dropwise fashion through a
21-gauge needle attached to 10-ml plastic syringe in order to form the alginate beads.
After 10 minutes the newly formed beads (containing approximately
i2,ooocells/bead ) were washed three times with sterile 0.9% NaCl solution foDowed
by two washes with DMEM/F-12. The beads containing the annulus fibrosus cells
were separately cultured in 6 wells plate with DMEM/F-12 medium containing 1%
FBS, ioo unit/ml penicillin, 100 mg/ml streptomycin, 2mM L-glutamine and 50
mg/ml Vitamin C. The media was changed every two days for different time periods
(1, 2, and 3 weeks). The alginate beads were dissolved in 350 ml sodium citrate
buffer (55mmol/L Na-citrate, 50mmol/L EDTA, isommol/L NaCl, PH7.4). Cells
were pelleted with centrifugation and the sGAG content in the dissolved solution was
measured with the DMMB method described above. The sGAG content that
remained the cell pellet was negligible compared to that in the suspension. The
results were described as fold increase over untreated control group using sGAG of
dissolved solution.
Quantification of mRNA levels.
Real-time PCR was used to determine mRNA levels of BMP-2, BMP-4, BMP-
6, BMP-7, and over-expressed LMP-1 in a quantitative fashion. The primers for all
of the genes were validated by determining the product size on an agarose gel and by
DNA sequencing the amplicon. 18S levels were determined in each sample to use as
an internal control.
Total RNA of each sample was extracted by a single-step method using a
guanidium thiocyanate-phenol-chloroform technique. The concentration of the
isolated RNA was determined with a spectrophotometer (DU-500; Beckman,
Fullerton, CA, U.S.A.) at 260 nm wavelength. The RNA was treated with DNAse 1
(Ambion,Inc. Texas, U.S.A.) to remove DNA contamination of the samples. Reverse
transcription was carried out in 40 ml volume with 2 mg of total RNA; 30U Avian
Myeloblastosis virus reverse transcriptase (Promega, Madison,WI, U.S A); 5 mM of
MgCl2; 60 U/ml of RNAsin (Promega, Madison,WI, U.S.A.); 1 mM of each
deoxyadenosine triphosphate (dATP), deoxycytidine triphosphate (dCTP),
deoxyguanidine triphosphate (dGTP), deoxythymidine triphosphate (dTTP); and 1
mg oligo(dT)i5 primer for 45 minutes at 42 °C. PCR was performed for 30 cycles ( 95
°C,3o"; 62 °C,30"; 72 °C,45") with Amplitaq® DNA polymerase. To confirm the
absence of DNA contamination, RNA samples treated without reverse transcriptase
were also subjected to PCR: the absence of PCR product confirmed the lack of DNA
contamination.
Real-time PCR has been reported to be a rapid, reliable, and reproducible
method for quantitative detection of specific mRNAs. A real-time PCR method using
SYBR® Green Real-Time PCR Kit (Applied Biosystems, Foster City, CA, USA.) was
used to perform quantitative mRNA analysis of BMP-2, BMP-4, BMP-6, BMP-7, and
aggrecan. Twenty-five microliters (25 ml) of reaction volume included 5 ml of cDNA,
3.75 picomole of each primer (BMP-2,-4,-6,-7 and 18S), and 12.5 ml of SYBR® Green
master mix (2x, Biorad, Hercules, CA, U.SAJ. To quantify mRNA levels of over-
expression LMP-1 and 18S, real-time PCR method using TaqMan® Real-Time PCR
Kit (Applied Biosystems, Foster City, CA, U.SA.) was also performed. Twenty-five
microliters (25 ml) of reaction volume included 5 ml of cDNA, 3.75 pmol of each
primer, and 12.5 ml of TaqMan® PCR master mix (2x, Biorad, Hercules, CA, U.S.A.).
Real-time PCR was performed with the following 3 step protocol; step 1: 50 °C
for 2 minutes, step 2: 95 °C for 10 minutes, and step 3: ( 95 °C for 15 seconds, 60 °C
for 1 minute ) x 45 cycles using the GeneAmp®; 5700 Sequence Detection system
(Applied Biosystems, Foster City, CA, U.S.A.). To confirm amplification specificity,
the PCR products were subjected to a dislocation curve analysis. Threshold cycles
(Ct) of each reaction were standardized according to 18S using the comparative -MCt
method, as described previously.
ELISA assay for BMP 2,4,6 and 7
Standard curves of BMPs were constructed using increasing concentrations
(0.1 ng/100 uL per well to looong /100 ^L per well) of human BMP 2, 4, 6, and 7
(Genetics Institute, Cambridge, MA) dissolved in 0.05 mol/L bicarbonate buffer.
One hundred microliters of the samples were added to each well in triplicate. After
incubating overnight at 4 °C, the plates were washed with 0.01 M phosphate-buffered
saline with 0.5% Tween 20 (PBST) three times and unreacted sites were blocked with
1% bovine albumin (Sigma, ST. Louis, MO) at room temperature for 1 hour. After the
plates were washed with PBST, primary antibody (1:1000) was added to each well in
100 microliter aliquots and incubated at room temperature for 2 hours. Polyclonal
goat antibodies to BMP 2, 4, and 6 (Santa Cruz Inc, Santa Cruz, California) and
rabbit antibody to BMP 7 (Sigma, St. Louis, MO) were used. The plates were washed
with PBST and then incubated respectively with alkaline phosphatase conjugated
anti-goat IgG and anti-rabbit IgG (Sigma, St. Louis, MO) at room temperature for 1
hour. Color was developed with the substrate p-nitrophenyl phosphate (Sigma, St.
Louis, MO) for 20 minutes before the reaction was stopped with 3N NaOH. The color
was quantified by measuring the absorption difference at 405 nm using an Elx 800-
microplate reader (Bio-Tek Instruments, Winooska, VT).
To quantitate the results, linear regression plots were made for each standard.
In all cases, the concentrations of samples were extrapolated from the linear
regression plots of the standard in according to the corresponding values at the same
absorbance as the standards.
BMP Inhibition by Noggin Glycoprotein
Noggin is a glycoprotein that binds to BMP-2, 4, 6, and 7 in a highly specific
manner and prevents these BMPs from activating their cognate receptors. A form of
mouse noggin (noggin-FC Sigma Chemical, St. Louis, MO, U.SA.) was used in
experiments to determine the effect of specifically blocking BMPs after AdLMP-1
treatment. Noggin at different concentrations (100, 200, 400, 800,1600 and 3200
ng/ml) was applied to cells on day 0 and day 3 after AdLMP-1 (MOI 25) treatment.
On day 6, the conditioned media were assayed to examine sGAG production using
the DMMB method described above. Results indicated that LMP-1 effects could be
blocked by administration of Noggin, demonstrating that LMP-1 activity is, in part,
related to its induction of BMPs.
WE CLAIM:
1. A method of producing a cell-permeable osteoinductive polypeptide
comprising introducing into a suitable host cell an expression construct comprising:
a) a polynucleotide encoding cell-permeable polypeptide;
b) a polynucleotide encoding an osteoinductive polypeptide operably linked to the
cell-permeable polypeptide and positioned so that the osteoinductive polypeptide
is expressed as part of a fusion protein with the cell-permeable polypeptide;
c.) a promoter positioned to direct transcription of the polynucleotides.
2. The method as claimed in claim 1 wherein the expression construct comprises
a purification tag.
3. The method as claimed in claim 1 wherein the cell-permeable polypeptide is
chosen from the group consisting of HIV-TAT, VP-22, a growth factor signal peptide
sequence, Pep-1, and a Drosophila Antp peptide.
4. The method as claimed in claim 1 wherein the cell permeable polypeptide is an
HIV-TAT protein transduction domain.
5. The method as claimed in claim 1, wherein the osteoinductive polypeptide is
chosen from the group consisting of LMP-l,LMP-3, SEQ ID NO 1, SEQ ID NO 2,
SEQ ID NO 3, SEQ ID NO 4, SEQ ID NO 5, SEQ ID NO 6, SEQ ID NO 7 , SEQ ID
NO 8, BMP-2, BMP-4, BMP-6, BMP-7, TGF-beta 1 and Smad.
6. The method as claimed in claim 1, wherein the osteoinductive polypeptide is
chosen from the group consisting of LMP-1, LMP-3, SEQ ID NO 1, SEQ ID NO 2,
SEQ ID NO 3, SEQ ID NO 4, SEQ ID NO 5, SEQ ID NO 6, SEQ ID NO 7, SEQ ID
NO 8.
7. A polynucleotide encoding a fusion protein comprising a protein transduction
domain and at least one osteoinductive polypeptide.
8. The polynucleotide as claimed in claim 7, wherein the protein transduction
domain is chosen from the group consisting of HIV-TAT, VP-22, a growth factor
signal peptide sequence, Pep-1, and a Drosophila Antp peptide.
9. The polynucleotide as claimed in claim 7, wherein the protein transduction
domain is an HIV-TAT protein transduction domain.
10. The polynucleotide as claimed in claim 7, wherein the osteoinductive
polypeptide is chosen from the group consisting of LMP-1, LMP-3, SEQ ID NO 1,
SEQ ID NO 2, SEQ ID NO 3, SEQ ID NO 4, SEQ ID NO 5, SEQ ID NO 6, SEQ ID
NO 7, SEQ ID NO 8, BMP-2, BMP-4, BMP-6, BMP-7, TGF-beta 1 and Smad.
11. The polynucleotide as claimed in claim 7, wherein the osteoinductive
polypeptide is chosen from the group consisting of LMP-1, LMP-3, SEQ ID NOl,
SEQ ID NO 2, SEQ ID NO 3, SEQ ID NO 4, SEQ ID NO 5, SEQ ID NO 6, SEQ ID
NO 7, SEQ ID NO 8.
12. An isolated fusion polypeptide comprising a membrane-translocating peptide ,
operably linked to an osteoinductive polypeptide.
13. An isolated fusion polypeptide as claimed in claim 12, wherein the
membrane-translocating peptide is chosen from the group consisting of HIV-TAT,
VP-22, a growth factor signal peptide sequence, Pep-1, and a Drosophila Antp
peptide.
14. An isolated fusion polypeptide as claimed in claim 12, wherein the
membrane-translocating peptide is an HIV-TAT protein transduction domain.
15. An isolated fusion polypeptide as claimed in claim 12, wherein the
osteoinductive polypeptide is chosen from the group consisting of LMP-1, LMP-3,
SEQ ID NO 1, SEQ ID NO 2, SEQ ID NO 3, SEQ ID NO 4, SEQ ID NO 5, SEQ ID
NO 6, SEQ ID NO 7, SEQ ID NO 8, BMP-2, BMP-4, BMP-6, BMP-7, TGF-beta 1
and Smad.
16. An isolated fusion polypeptide as claimed in claim 12, wherein the
osteoinductive polypeptide is chosen from the group consisting of LMP-1, LMP-3,
SEQ ID NO 1, SEQ ID NO 2, SEQ ID NO 3, SEQ ID NO 4, SEQ ID NO 5, SEQ ID
NO 6, SEQ ID NO 7, SEQ ID NO 8.
17. An osteoinductive polypeptide chosen from among the group consisting of
SEQ ID NO 1, SEQ ID NO 2, SEQ ID NO 3, SEQ ID NO 4, SEQ ID NO 5, SEQ ID
NO 6, SEQ ID NO 7 and SEQ ID NO 8 , or combinations thereof.
18. An osteoinductive polypeptide which hybridizes under standard conditions to a
nucleic acid molecule complementary to the sequence:
tcctcatccg ggtcttgcat gaactcggtg.
19. An osteoinductive polypeptide which hybridizes under highly stringent
conditions to a nucleic acid molecule complementary to the sequence:
gcccccgccc gctgacagcg ccccgcaa.
The invention provides fusion polypeptides comprising protein transduction
domains and osteoinductive polypeptides, as well as methods of using such
polypeptides to induce osteogenesis and to promote proteoglycan synthesis.
Theinvention also provides osteoinductive peptides which have demonstrated the ability
to induce bone formation in vivo.

Documents:

2097-KOLNP-2005-FORM-27.pdf

2097-kolnp-2005-granted-abstract.pdf

2097-kolnp-2005-granted-assignment.pdf

2097-kolnp-2005-granted-claims.pdf

2097-kolnp-2005-granted-correspondence.pdf

2097-kolnp-2005-granted-description (complete).pdf

2097-kolnp-2005-granted-drawings.pdf

2097-kolnp-2005-granted-examination report.pdf

2097-kolnp-2005-granted-form 1.pdf

2097-kolnp-2005-granted-form 13.pdf

2097-kolnp-2005-granted-form 18.pdf

2097-kolnp-2005-granted-form 3.pdf

2097-kolnp-2005-granted-form 5.pdf

2097-kolnp-2005-granted-gpa.pdf

2097-kolnp-2005-granted-reply to examination report.pdf

2097-kolnp-2005-granted-specification.pdf


Patent Number 233643
Indian Patent Application Number 2097/KOLNP/2005
PG Journal Number 14/2009
Publication Date 03-Apr-2009
Grant Date 01-Apr-2009
Date of Filing 24-Oct-2005
Name of Patentee MEDTRONIC SOFAMOR DANEK
Applicant Address 1800 PYRAMID PLACE, MEMPHIS, TENNESSEE 38132
Inventors:
# Inventor's Name Inventor's Address
1 YOON SANGWOOK 2431 VALHALLA DRIVE, ATLANTA, GEORGIA 30345
2 TITUS FRANCES 1189 E, ROCK SPRING ROAD, ATLANTA, GE0RGIA 30306
3 MARX JEFFREY 2019 HOCKING COVE, GERMANTOWN, TENNESSEE 38139
4 DRAPEAU SUSAN 2009 WIRILY LANE, CORDOVA, TENNESSEE 38018
5 BODEN SCOTT 2842 CRAVEY DRIVE, ATLANTA, GEORGIA 30345
PCT International Classification Number C07H 21/04
PCT International Application Number PCT/US2004/009127
PCT International Filing date 2004-03-24
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 60/456,551 2003-03-24 U.S.A.