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AU766767B2 - Modified C1 esterase inhibitor for blocking the infectiousness of HIV - Google Patents
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AU766767B2 - Modified C1 esterase inhibitor for blocking the infectiousness of HIV - Google Patents

Modified C1 esterase inhibitor for blocking the infectiousness of HIV Download PDF

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Publication number
AU766767B2
AU766767B2 AU36865/99A AU3686599A AU766767B2 AU 766767 B2 AU766767 B2 AU 766767B2 AU 36865/99 A AU36865/99 A AU 36865/99A AU 3686599 A AU3686599 A AU 3686599A AU 766767 B2 AU766767 B2 AU 766767B2
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Prior art keywords
hiv
modified
inhibitor
esterase inhibitor
human
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AU36865/99A
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AU3686599A (en
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Albrecht Groner
Jurgen Romisch
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CSL Behring GmbH Deutschland
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Aventis Behring GmbH
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Assigned to AVENTIS BEHRING GMBH reassignment AVENTIS BEHRING GMBH Amend patent request/document other than specification (104) Assignors: CENTEON PHARMA GMBH
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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K14/00Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides
    • A61K38/16Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • A61K38/55Protease inhibitors
    • A61K38/57Protease inhibitors from animals; from humans
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/12Antivirals
    • A61P31/14Antivirals for RNA viruses
    • A61P31/18Antivirals for RNA viruses for HIV
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K14/00Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/81Protease inhibitors
    • C07K14/8107Endopeptidase (E.C. 3.4.21-99) inhibitors
    • C07K14/811Serine protease (E.C. 3.4.21) inhibitors
    • C07K14/8121Serpins

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Organic Chemistry (AREA)
  • General Health & Medical Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Proteomics, Peptides & Aminoacids (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Communicable Diseases (AREA)
  • Oncology (AREA)
  • Virology (AREA)
  • Biochemistry (AREA)
  • Biophysics (AREA)
  • Genetics & Genomics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Epidemiology (AREA)
  • Zoology (AREA)
  • Engineering & Computer Science (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • AIDS & HIV (AREA)
  • Tropical Medicine & Parasitology (AREA)
  • Immunology (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Peptides Or Proteins (AREA)

Description

U
r/uu/u 1 1 2&/91 Regulation 3.2(2)
AUSTRALIA
Patents Act 1990
ORIGINAL
COMPLETE SPECIFICATION STANDARD PATENT *t
.J
Application Number: Lodged: Invention Title: MODIFIED C1 ESTERASE INHIBITOR FOR BLOCKING THE INFECTIOUSNESS OF HIV The following statement Is a full description of this Invention, Including the best method of performing It known to us 1 MODIFIED C1 ESTERASE INHIBITOR FOR BLOCKING THE INFECTIOUSNESS OF HIV The invention relates to a modified C1 esterase inhibitor which can be employed for blocking the infectiousness of human immunodeficiency virus (HIV) in vivo or in vitro.
It is known that the removal of HIV from biological fluids, but especially from blood, blood plasma or blood serum, is an important prerequisite for their risk-free use for all sorts of medical purposes. Numerous processes have therefore also already been proposed using which removal of HIV from biological fluids should be achieved. Thus a process has been proposed in International Patent Application WO 97/07674 using which HIV can be removed from biological fluids or inactivated by treating them with certain ethylenimine oligomers. It is important in this case that other constituents of the blood, in particular the cellular constituents, especially the erythrocytes, are not damaged by a treatment of this type and the removal of HIV can be carried out in a simple manner and short time in order that sufficiently large amounts of purified blood can be obtained in an economically justifiable process.
We have already proposed a process to remove HIV from biological fluids adsorptively by means of filtration through a material impregnated with the C1 20 inhibitor in Australian granted patent No. 745851, the disclosure of which is incorporated herein by reference.
S"The C1 inhibitor, also called C1 esterase inhibitor, is a protein present in the blood and is the main inhibitor of the classical pathway of the complement system and of the contact system. The C1 inhibitor can inhibit the activated form of factor Xll and of kallikrein (Schapira M. et al., 1985, Complement 2: 111; Davis 1988, Ann Rev Immunol 6: 595; Sim R.B.
0 0 2 et al., 1979, FEBS Lett 97: 111; De Agostini A. et al., 1984, J Clin Invest 73: 1542; Pixley R.A. et al., 1985, J Biol Chem 260: 1723; Schapira M. et al., 1982, J Clin Invest 69: 462; Van der Graaf F. et al., 1983, J Clin Invest 71: 149; Harpel P.C. et al., 1975, J clin Invest 55: 593). The C1 inhibitor thus regulates the activities of two plasma cascades, namely the complement system and the contact system, by which biologically active peptides are produced. The C1 inhibitor is therefore also an important regulator of the inflammatory system. The C1 inhibitor moreover inhibits the activated factor XI (Meijers J.C.M. et al., 1988, Biochemistry 27: 959; Wuillemin W.A. et al., 1995, Blood 85: 1517). It follows from this that the C1 inhibitor can be considered as a coagulation inhibitor. The tissue plasminogen activator and plasmin are also inhibited to a certain extent by the C1 inhibitor, although that is not its main function (Harpel P.C. et al., 1975, J Clin Invest 55: 149; Booth N.A. et al., 1987, Blood 69: 1600).
The C1 inhibitor is obtained to a considerable extent from plasma by Spurification and utilized for clinical applications, in particular in the treatment of hereditary angioedema, a disorder which is caused by a genetically related lack of the C1 inhibitor. Moreover, it has already been described that by administration of the C1 inhibitor in systemic inflammations [International Patent Application WO 92/22320 (Genentech in severe burns, pancreatitis, bone marrow transplants, cytokine therapy and during use in a extracorporeal blood circulations [DE-A-4 227 762 (Behringwerke AG)] good therapeutic results were achieved.
The complete genomic and the cDNA which codes for the C1 inhibitor has already been cloned (Bock S.C. et al., 1986, Biochemistry 25: 4292; Carter P.E. et al., 1988, Eur J Biochem 173: 163). Various variants of the recombinant C1 inhibitor with amino acid mutations in the P1 and the P3 and/or P5 positions of the reactive center and variants which were isolated from patients with a hereditary angioedema have already been prepared recombinantly (Eldering E. et al., 1988, J Biol Chem 263: 11776; Eldering 3 E. et al., 1993, J Biol Chem 267: 7013; Eldering E. et al., 1993, J Clin Invest 91: 1035; US-Patent 5,622,930; Davis A.E. et al., 1992, Nature Genetics 1: 354; Eldering E. et al., 1995, J Biol Chem 270: 2579; Verpy et al., 1995, J Clin Invest 95: 350).
The C1 inhibitor belongs to the large family of serine proteinase inhibitors which are also called serpines (Travis J. et al., 1983, Ann Rev Biochem 52: 655; Carrel R.W. et al., 1985, Trends Bioch Sci 10: 20). On SDS polyacrylamide gels, the C1 inhibitor exhibits a molecular weight of approximately 105 KD. Its plasma concentration is approximately 270 mg/I (Schapira M et al., 1985, Complement 2: 111; Nuijens JH et al., 1989, J Clin Invest 84: 443). The C1 inhibitor is a protein whose plasma level can increase up to two-fold in uncomplicated infections and other inflammations (Kalter ES et al., 1985, J Infect Dis 151: 1019). The increased formation of the C1 inhibitor in inflammations probably serves to protect the body against the harmful effects of the intravascular activation S* of the complement system and of the contact system during the acute reactions.
The serpines react as inhibitors by formation of bimolecular complexes with the proteinase to be inhibited. In these complexes, the active center of S"the proteinase is bound by the active center of the serpine and thus inactive (Travis J. et al., 1983, Ann Rev Biochem 52: 655). The serpines react specifically with certain proteinases, this specificity being determined by the amino acid sequence of the reactive center.
The present invention starts from the observation that the infectiousness of HIV can be blocked by the administration of a C1 inhibitor.
As is known, the first step in an HIV infection consists in helper T lymphocytes (TH cells) of the immune system, which carry CD4 receptors on their surface, entering into an interaction with the surface proteins of HIV. Antibodies against CD4 block the HIV infection of TH cells in vitro. Even with an excess of free CD4 protein, the infection rate decreases in vitro. Both treatments admittedly block the infection, but do not destroy the virus. Similarly, the direct interaction between the surface proteins of HIV and the CD4 receptors of the TH cells can be suppressed according to the invention by binding of HIV to the C1 inhibitor.
The human C1 inhibitor, however, not only has a great affinity for the coat proteins of HIV, but also a great affinity for the surface proteins of lymphocytes. By means of the C1 inhibitor, a bridge-like connection can be produced between the HIV and the TH cell in the manner of a spacer. However, the infectiousness of HIV surprisingly still cannot be decreased by this. This can be achieved, however, if a modified C1 esterase inhibitor is employed which on the one hand has a high binding affinity for the coat proteins of HIV, but on the other hand does not bind to human cell membranes.
i. The term 'modified C1 esterase inhibitor' is to be understood in a functional sense o o 15 relative to the normal human C1 esterase inhibitor binding specificity. Whereas the human C1 esterase inhibitor binds to both HIV and human cell membranes, a modified C1 esterase inhibitor will bind to HIV but not to human cell membranes. Modified C1 esterase inhibitors include native non-human mammalian C1 esterase inhibitors which do not normally bind to human cells and native human C1 esterase inhibitors that are natural genetic variants or genetically engineered forms that will not bind to human cell membranes.
Modified C1 esterase inhibitors are available from different sources. Thus the C1 esterase inhibitors obtained from the blood of cattle or other mammals show no affinity a for human cell membranes, in particular not for the CD4 receptors of the human TH cells.
25 Their affinity for the surface proteins of HIV (gp 120 and gp41), however, can be compared with that of the human C1 esterase inhibitor. An animal C1 esterase inhibitor is therefore able to bind to the surface proteins of HIV, but prevents any contact of HIV with the human CD4 receptors, since the C1 inhibitor does not adhere to the surfaces of the TH cells.
There is, however, also the possibility of preparing modified variants of the human Cl inhibitor by a genetic engineering route. The exact amino acid sequence of the human C1 inhibitor and the DNA sequence which codes for this human C1 inhibitor have been described by Bock et al., Biochemistry 25: 4292-4301, 1986 and by Davis et al., PNAS 83: 3161-3165, 1986. Biologically active variants of the C1 esterase Inhibitor are known from the International Patent Application WO 91/06650 and are incorporated herein by reference. These variants can be prepared by recombinant expression processes, the DNA coding for the C1 esterase inhibitor having specific deletions, insertions or substitutions of nucleotides.
Fundamentally, all non-human C1 esterase inhibitors which do not bind to lymphocytes can be employed for blocking the infectiousness of HIV. These are either animal C1 esterase inhibitors isolated from natural material or animal C1 esterase inhibitors prepared recombinantly. Moreover, a recombinantly modified, human C1 esterase inhibitor whose binding ability to the CD4 receptors of the T-helper cells is abolished can block the infectiousness of HIV. For this, modifications of the amino acid sequence of the C1 inhibitor causing the binding to the CD4 receptor are necessary, which can be carried out by recombinant methods known per se and are described in particular in the International Patent Application WO 92/22320 and are incorporated herein by reference.
The abovementioned non-human C1 esterase inhibitors and recombinantly modified, human C1 esterase inhibitors are expediently administered parenterally and in an amount sufficient for the therapeutic action. In general, they are administered to the patient in a physiological saline solution, a Ringer's solution or another excipient suitable for injection purposes.
In Order to more clearly describe the subject invention, the following Example is provided.
Example The binding of Cl-inhibitor of human or bovine origin to HIV and human T-cells, respectively, was tested. HIV and a human T-cell line (Jurkat) were bound to a 96 well microtitre plate using standard methods. Cl-inhibitor serially diluted 1:2 in PBS/0.05% Tween 20 was added, incubated, washed, and blocked using standard methods. Bound C1- 25 inhibitor was detected using goat anti-human peroxidase conjugated antibody (Accurate Chemical Scientific Corporation, Westbury, NY, USA).
human C1-Inhibitor bovine C -Inhibitor C1-Inhibitor Jurkat HIV Jurkat
HIV
[conc] [Adsorption] [Adsorption] [Adsorption] [Adsorption] 1:10 0.98 0.63 0.21 0.52 1:20 0.72 0.56 '0.09 0.43 1:40 0.35 0.49 0.12 0.36 1:80 0.28 0.42 0.07 0.32 1:160 0.11 0.38 0.08 0.21 A nt.
I1 0 0.06 0.19 0.
1:640 0.07 0.10 0.09 u.vu 0.12

Claims (8)

1. A process for blocking the infectiousness of HIV, which comprises contacting HIV with a modified C1 esterase inhibitor as hereinbefore defined which on the one hand binds to HIV, but on the other hand not to human cell membranes.
2. A process according to claim 1 wherein the modified C1 esterase inhibitor is of non-human mammalian origin.
3. A process according to claim 1 wherein the modified C1 esterase inhibitor is of human origin.
4. A process according to claim 1 or 2 wherein the modified C1 esterase inhibitor is 10 selected from the group consisting of mouse, rat, bovine and chimpanzee origin. S*
5. A process according to claim 1 or 2 wherein the modified C1 esterase inhibitor is S* of bovine origin.
6. Use of a modified C1 esterase inhibitor as herein before defined which binds to HIV but not to human cell membranes for blocking the infectiousness of HIV in vivo or in vitro.
7. Use of a modified C1 esterase inhibitor as claimed in claim 6 in the form of a medicament for the in vivo treatment or prophylaxis of HIV AIDS.
8. A method of treatment or prophylaxis of HIV AIDS comprising administering to a patient, in need of such treatment or prophylaxis an efficacious amount of modified C1 esterase inhibitor substantially as hereinbefore defined. DATED this 5th day of September 2003 AVENTIS BEHRING GMBH WATERMARK PATENT TRADE MARK ATTORNEYS 290 BURWOOD ROAD HAWTHORN VICTORIA 3122 AUSTRALIA P6173AU00 KJS/BJD/SLB
AU36865/99A 1998-06-30 1999-06-29 Modified C1 esterase inhibitor for blocking the infectiousness of HIV Ceased AU766767B2 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE19829014A DE19829014A1 (en) 1998-06-30 1998-06-30 Modified C1 esterase inhibitor to block the infectivity of HIV
DE19829014 1998-06-30

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AU3686599A AU3686599A (en) 2000-01-13
AU766767B2 true AU766767B2 (en) 2003-10-23

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EP (1) EP0969017A1 (en)
JP (1) JP2000044599A (en)
KR (1) KR20000006553A (en)
AU (1) AU766767B2 (en)
CA (1) CA2276564A1 (en)
DE (1) DE19829014A1 (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7220557B2 (en) 1997-04-24 2007-05-22 Human Genome Sciences, Inc. METH1 polynucleotides

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA2535984A1 (en) * 2003-08-19 2005-02-24 Zlb Behring Gmbh C1-inh as a drug for treating viruses pathogenic to humans
US9006477B2 (en) 2011-07-07 2015-04-14 Ihara Chemical Industry Co., Ltd. Method for producing nitrobenzene compound

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2601034B1 (en) * 1986-07-03 1989-11-17 Pasteur Institut INHIBITOR OF THE ACTIVITY OF C1-ESTERASE PLASMATIC (C1-INHIBITOR) AND OF OTHER PROTEOLYTIC ENZYMES OF THE SERINE PROTEASE GROUP, PROCESS FOR PREPARING SAME, NUCLEIC ACIDS ENCODING THE SAME, DETECTION METHODS FOR DEFECTIVE CONDITIONS SAID INHIBITOR USING ANTIBODIES OR NUCLEOTIDE PROBES AND MEDICINES CONTAINING SAID SYNTHESIS INHIBITOR
WO1991006650A1 (en) * 1989-10-27 1991-05-16 Cetus Corporation C1 inhibitor muteins and uses thereof
WO1992022320A1 (en) * 1991-06-14 1992-12-23 Genentech, Inc. C1 inhibitor variants and treating inflammatory response with c1 inhibitor
PT716611E (en) * 1993-09-01 2002-06-28 Sanquin Bloedvoorziening METHOD FOR REDUCING LYNX OF THE MYOCARDIO DURING A PAIN OF THE ACUTE MIOCARDIO

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US7220557B2 (en) 1997-04-24 2007-05-22 Human Genome Sciences, Inc. METH1 polynucleotides

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EP0969017A1 (en) 2000-01-05
JP2000044599A (en) 2000-02-15
DE19829014A1 (en) 2000-01-05
KR20000006553A (en) 2000-01-25
CA2276564A1 (en) 1999-12-30
AU3686599A (en) 2000-01-13

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