US20090191261A1 - Antibody fragment-targeted immunoliposomes for systemic gene delivery - Google Patents

Antibody fragment-targeted immunoliposomes for systemic gene delivery Download PDF

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US20090191261A1
US20090191261A1 US12/292,683 US29268308A US2009191261A1 US 20090191261 A1 US20090191261 A1 US 20090191261A1 US 29268308 A US29268308 A US 29268308A US 2009191261 A1 US2009191261 A1 US 2009191261A1
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nucleic acid
antibody fragment
scfv
cationic
lipid
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Liang Xu
Cheng-Cheng Huang
William Alexander
WenHua Tang
Esther H. Chang
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Georgetown University
SynerGene Therapeutics Inc
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SynerGene Therapeutics Inc
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    • A61K48/0008Medicinal preparations containing genetic material which is inserted into cells of the living body to treat genetic diseases; Gene therapy characterised by an aspect of the 'non-active' part of the composition delivered, e.g. wherein such 'non-active' part is not delivered simultaneously with the 'active' part of the composition
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    • C12N2810/859Vectors comprising as targeting moiety peptide derived from defined protein from vertebrates mammalian from immunoglobulins

Definitions

  • This invention provides methods for the preparation of antibody fragment-targeted liposomes (“immunoliposomes”), including lipid-tagged antibody fragment-targeted liposomes, methods for in vitro transfection using the immunoliposomes, and methods for systemic gene delivery in vivo.
  • the liposomes of the present invention are useful for carrying out targeted gene delivery and efficient gene expression after systemic administration.
  • the specificity of the delivery system is derived from the targeting antibody fragments.
  • An ideal therapeutic for cancer would be one that selectively targets a cellular pathway responsible for the tumor phenotype and which is nontoxic to normal cells. While cancer treatments involving gene therapy have substantial promise, there are many issues that need to be addressed before this promise can be realized. Perhaps foremost among the issues associated with macromolecular treatments is the efficient delivery of the therapeutic molecules to the site(s) in the body where they are needed. A variety of delivery systems (a.k.a. “vectors”) have been tried including viruses and liposomes. The ideal delivery vehicle would be one that could be systemically (as opposed to locally) administered and which would thereafter selectively target tumor cells wherever they occur in the body.
  • liposome approach offers a number of advantages over viral methodologies for gene delivery. Most significantly, since liposomes are not infectious agents capable of self-replication, they pose no risk of transmission to other individuals. Targeting cancer cells via liposomes can be achieved by modifying the liposomes so that they selectively deliver their contents to tumor cells. There now exists a significant knowledge base regarding specific molecules that reside on the exterior surfaces of certain cancer cells. Such cell surface molecules can be used to target liposomes to tumor cells, because the molecules that reside upon the exterior of tumor cells differ from those on normal cells.
  • cationic liposomes that make them versatile and attractive for DNA delivery include: simplicity of preparation; the ability to complex large amounts of DNA; versatility in use with any type and size of DNA or RNA; the ability to transfect many different types of cells, including non-dividing cells; and lack of immunogenicity or biohazardous activity (Felgner P L, et al., Ann. NY Acad. Sci . (1995) 772:126-139; Lewis J G, et al., Proc. Natl. Acad. Sci. USA (1996) 93:3176-3181). More importantly from the perspective of human cancer therapy, cationic liposomes have been proven to be safe and efficient for in vivo gene delivery (Aoki K et al., Cancer Res .
  • the transfection efficiency of cationic liposomes can be dramatically increased when they bear a ligand recognized by a cell surface receptor.
  • Receptor-mediated endocytosis represents a highly efficient internalization pathway present in eukaryotic surface (Cristiano R J, et al., Cancer Gene Ther . (1996) 3:49-57, Cheng P W, Hum. Gene Ther . (1996) 7:275-282).
  • the presence of a ligand on a liposome facilitates the entry of DNA into cells through initial binding of ligand by its receptor on the cell surface followed by internalization of the bound complex.
  • a variety of ligands have been examined for their liposome-targeting ability, including transferrin and folate (Lee R J, et al., J.
  • Transferrin receptors (TfR) levels are elevated in various types of cancer cells including prostate cancers, even those prostate cell lines derived from human lymph node and bone metastases (Keer H N et al., J. Urol . (1990) 143:381-385); Chackal-Roy M et al., J. Clin. Invest . (1989) 84:43-50; Rossi M C, et al., Proc. Natl. Acad. Sci. USA (1992) 89:6197-6201; Grayhack J T, et al., J. Urol . (1979) 121:295-299).
  • TfR levels also correlate with the aggressive or proliferative ability of tumor cells (Elliot R L, et al., Ann. NY Acad. Sci . (1993) 698:159-166). Therefore, TfR levels are considered to be useful as a prognostic tumor marker, and TfR is a potential target for drug delivery in the therapy of malignant cells (Miyamoto T, et al., Int. J. Oral Maxillofac. Surg . (1994) 23:430-433: Thorstensen K, et al., Scand. J. Clin. Lab. Invest. Suppl . (1993) 215:113-120).
  • specific antibodies can also be attached to the liposome surface (Allen T M et al., (1995) Stealth Liposomes , pp. 233-244) enabling them to be directed to specific tumor surface antigens (including but not limited to receptors) (Allen T M, Biochim. Biophys. Acta (1995) 1237:99-108).
  • These “immunoliposomes,” especially the sterically stabilized immunoliposomes can deliver therapeutic drugs to a specific target cell population (Allen T M, et al., (1995) Stealth Liposomes , pp. 233-244). Park, et al.
  • scFv directed viruses have been shown to target, bind to and infect specifically the cell types expressing the particular antigen. Moreover, at least in the case of the carcinoembryonic antigen, scFv was shown to have the same cellular specificity as the parental antibody (Nicholson I C, Mol. Immunol . (1997) 34:1157-1165).
  • immunoliposomes that are capable of tumor-targeted, systemic delivery of nucleic acids for use in human gene therapy. Based upon the data given in the Examples below these immunoliposome-DNA complexes incorporating the TfRscFv are capable of producing a much higher level of transfection efficiency than the same liposome-DNA complex bearing the complete Tf molecule. Therefore, in one aspect of the invention the immunoliposomes of the invention can be used to produce a kit for high efficiency transfection of various mammalian cell types that express the transferrin receptor.
  • the lipid-tagged scFv-immunoliposomes are prepared basically by two methods: a lipid-film solubilization method and a direct anchoring method.
  • the lipid-film solubilization method is modified from the detergent dialysis method, which was described by Laukkanen M L, et al., (Laukkanen M L, et al., Biochemistry (1994) 33:11664-11670) and de Kruif et al., (de Kruif et al., FEBS Lett . (1996) 399:232-236) for neutral or anionic liposomes, with the methods of both hereby incorporated by reference.
  • This method is suitable for attaching lipid-tagged scFv to cationic liposomes as well.
  • the lipids in chloroform are evaporated under reduced pressure to obtain a dry lipid film in a glass round-bottom flask.
  • the lipid film is then solubilized with 0.5-4%, preferably 1%, n-octyl ⁇ -D-glucoside (OG) containing the lipid-modified scFv and vortexed. After dilution with sterile water, the solution is briefly sonicated to clarity.
  • OG n-octyl ⁇ -D-glucoside
  • the second method for attaching lipid-tagged antibodies or antibody fragments is the direct anchoring method that is specifically useful for attaching the E. coli lipoprotein N-terminal 9 amino acids to an scFv (lpp-scFv) or other lipid-modified antibody or fragments and attaching these to preformed liposomes.
  • an scFv lpp-scFv
  • the lipid-modified scFv in 1% OG is added to preformed liposomes while vortexing, at volume ratios from 1:3 to 1:10. The mixture is vortexed for approximately a further 5-10 minutes to obtain a clear solution of scFv-immunoliposomes.
  • Any antibodies, antibody fragments, or other peptide/protein ligands that can be modified to have one or more lipid-tags on the surface are useful in the present invention.
  • Other lipid-modification methods include directly conjugating a lipid chain to an antibody or fragment, as described in Liposome Technology, 2nd Ed., Gregoriadis, G., Ed., CRC Press, Boca Raton, Fla., 1992.
  • a cysteine was added at the C-terminus of the scFv sequence and the protein was expressed in the inclusion bodies of E. coli , then refolded to produce active scFv.
  • the C-terminal cysteine provided a free sulfhydryl group to facilitate the conjugation of the scFv to liposomes.
  • the nucleic acids are then added to the scFv-liposome to form the scFv-liposome-DNA complex.
  • the pre-linking is designated since scFv is linked before DNA complexing.
  • 2) Post-linking method This strategy is to complex the cationic liposome with nucleic acids first to form a condensed structure. The scFv-SH is then linked onto the surface of DNA-liposome complex to produce scFv-liposome-DNA. The post-linking is designated since scFv is linked after DNA complexing.
  • the post-linking strategy ensures that 100% of scFv linked are on the surface of the complex, accessible to receptor binding. Therefore, this method can make a better use of the targeting ligand scFv and a better controlled inside structure of the complex.
  • the nucleic acid-immunoliposome complexes can be used therapeutically.
  • the complexes are targeted to a site of interest, preferably to a cell which is a cancer cell, more preferably to a cell expressing a transferrin receptor.
  • the targeting agent is the antibody or antibody fragment which preferably binds to a transferrin receptor.
  • the nucleic acid is the therapeutic agent and is preferably a DNA molecule and more preferably encodes a wild type p53 molecule.
  • the nucleic acid-immunoliposome complexes preferably in a therapeutic composition, can be administered systemically, preferably intravenously.
  • FIG. 1 show scFv TfR lipid-tag construction.
  • FIG. 2 shows a Western blot analysis of scFv-liposome-targeted p53 expression in vivo in tumor xenografts with systemic administration.
  • FIG. 3 shows pCMVp53 and pCMVpRO constructs.
  • FIG. 4 shows p53-3′Ad construction.
  • FIG. 5 shows construction of scFvTfR-cysteine with a His tag.
  • FIG. 6 shows construction of scFvTfR-cysteine without a His tag.
  • FIG. 7 shows construction of scFvTfR-cysteine with a cellulose binding domain (CBD) tag and with an S-tag.
  • CBD cellulose binding domain
  • FIG. 8 shows a Coomassie Blue stained SDS-polyacrylamide gel of purified TfRscFv protein produced by the conjugation method.
  • FIG. 9 shows a Western blot analysis of conjugation method produced TfRscFv-liposome-targeted p53 expression in vivo in tumor xenografts with systemic administration.
  • the invention is directed to immunoliposomes and methods of making and using these immunoliposomes.
  • a variety of embodiments are disclosed including immunoliposomes with different tags and various methods with which to attach the scFv to the liposomes.
  • the immunoliposomes may include lipid tags or be linked through a reducing group, which in a preferred embodiment is a free sulfhydryl.
  • Mutant forms of the tumor suppressor gene p53 have been associated with more than 50% of human cancers, including 15-50% of breast and 25-70% of metastatic prostate cancers. Abnormalities in p53 also correlate with poor prognosis in various types of malignancies. Therefore, the capability to systemically deliver and target gene therapy specifically to tumors to efficiently restore wtp53 function will be an important therapeutic modality in cancer treatment. Thus the immunoliposomes produced by the method of this invention will be useful as an effective new cancer therapeutic modality not just for restoration of wtp53 function but also as a tumor targeted systemic delivery vehicle for other therapeutic genes.
  • the vector pLP1 which contains an amino acid linker sequence between the E. coli lipoprotein signal peptide (ssLPP) and the scFv cloning site (de Kruif et al., FEBS Lett . (1996) 399:232-236).
  • This vector contains both c-myc and His 6 tag sequences that can be used for purification and detection of the expressed scFv ( FIG. 1 ).
  • pDFH2T-vecOK contains the single chain fragment for the 5E9 (Haynes et al., J. Immunol . (1981) 127:347-351) antibody linked to a DNA binding protein, which recognizes the human transferrin receptor (TfR).
  • This vector also contains the sequence for a DNA binding protein, and there are no unique restriction enzyme sites flanking the scFv sequence in pDFH2T-vecOK.
  • VH-linker-V ⁇ scFv by PCR amplification of the desired fragment using a 5′ primer (5′ GGCCCATGGAGGTGCAGCTGGTGG 3′ (SEQ ID NO:1)) (RB551) containing an NcoI site and a 3′ primer (RB552) (5′ CCGGAATTCGCGGCCGCTTTTATCTCCAGCTTGGTC 3′ (SEQ ID NO:2) containing a NotI site.
  • the PCR amplification using primers RB551 and RB552 amplified the scFv for TfR from pDFH2T-vecOK from the Met at base 81 to Lys at base 821.
  • the pLP1 vector also contains sequences for the E.
  • ssLPP E. coli lipoprotein signal peptide
  • LBP E. coli lipoprotein N-terminal 9 amino acids
  • the insertion of these sequences will lead to fatty acid acylation of the expressed signal in the E. coli host and its insertion into the bacterial membrane.
  • the vector also has a non-critical 10 amino acid linker sequence to increase the space between the lipid-tag site and the scFv. Purification of the lipid modified scFv sequence from the bacterial membrane results in an active molecule that can be attached or inserted into liposomes.
  • E. coli expression host SF110 F′ with the expression vector constructed above. While the host cell is not critical it is preferred that it contain expressed lac repressor. A number of clones were selected and the one that produces the best yield of scFv was chosen.
  • the lipid-modified scFv (lpp-scFv) was isolated from the bacterial membrane using Triton X-100 as described by de Kruif et al., (de Kruif et al., FEBS Lett . (1996) 399:232-236). For purification a single colony was resuspended in 200 ⁇ l LB containing 5% glucose and the appropriate antibiotics.
  • the mixture was plated onto two 90 mm LB agar plates containing 5% glucose and the appropriate antibiotics and grown overnight. The next day, the cells were washed from the plates and used to inoculate a total of 5 liters of LB containing 0.1% glucose and the appropriate antibiotics. The cultures were grown at 25EC, at 200 rpm for 6 hours until the OD 600 reached 0.5 to 0.7. IPTG was added to a final concentration of 1 mM and the cultures were further incubated overnight. The next day, the bacterial cultures were collected by centrifugation and lysed in 200 ml lysis buffer at room temperature for 30 minutes. The sample was sonicated at 28 watts for 5 minutes with cooling on ice.
  • the lysis buffer contains 20 mM HEPES pH 7.4 to 7.9, 0.5 M NaCl, 10% glycerol, and 0.1 mM PMSF.
  • the only deviations from the cited protocol include washing and elution of metal affinity columns in buffer containing 20 mM HEPES pH 7.4 to 7.9, 0.5 M NaCl, 10% glycerol, 0.1 mM PMSF, 1% n-octyl ⁇ -D-glucoside (OG), and 10% glycerol containing 20 and 200 mM imidazole, respectively.
  • the eluted samples of lpp-scFv were analyzed by SDS-PAGE and Western Blot using anti-c-myc antibody 9E 10 which confirmed that the purified scFv showed a band of the size of about 30 kDa.
  • This example discloses a detailed procedure of lipid-film solubilization method to prepare lipid-tagged scFv-immunoliposomes.
  • 5 ⁇ mol lipids (DOTAP/DOPE, 1:1 molar ratio) in chloroform are evaporated under reduced pressure to obtain a dry lipid film in a glass round-bottom flask.
  • To the lipid film is added 0.5 ml 1% OG, 20 mM HEPES, 150 mM NaCl, pH 7.4, containing the lipid-modified scFv. This is incubated 10-20 minutes at room temperature and then vortexed to solubilize the lipid membrane. 2 ml sterile water is then added to dilute the scFv-lipid mixture.
  • the solution is briefly sonicated to clarity in a bath-type sonicator at 20° C.
  • the scFv-liposome is a clear solution with a limited amount of detergent OG left.
  • the OG and the uncomplexed scFv can be eliminated by chromatography with Sepharose CL-4B or Sephacryl S500, even though they do not interfere a lot with the subsequent use.
  • This example provides a direct anchoring method to prepare lipid-tagged scFv-immunoliposomes.
  • 20 ⁇ mol lipids (LipA-H, see below for compositions and ratios) prepared as dry lipid film in a glass round-bottom flask is added to 10 ml pure water and sonicated in a bath-type sonicator for 10-30 min at room temperature (LipA, B, C) or at 65° C. (LipD, E, G, H, or any composition with Cholesterol (Chol)).
  • the cationic liposomes prepared are clear solutions, their compositions and ratios are as follows:
  • the lipid-modified scFv (Ipp-scFv) in 20 mM HEPES, 150 mM NaCl, pH 7.4, containing 1% OG is added to preformed liposomes while vortexing, at volume ratios from 1:3 to 1:10.
  • the mixture is vortexed for a further 1 to 5 min to get a clear solution of scFv-immunoliposomes.
  • the remaining OG and the uncomplexed scFv can be eliminated by chromatography, although they do not interfere very much with the subsequent usage.
  • This example provides the characterization of the anti-TfR scFv-immunoliposomes with respect to their ability of binding to the TfR(+) cells.
  • the human prostate cancer cell line DU145 and the human squamous cell carcinoma of head and neck cell line JSQ-3 served as the TfR+ target cells for these studies.
  • Indirect cellular enzyme-linked immunosorbent assay was employed to determine the immunoreactivity of the Ipp-scFv before and after attachment to liposomes.
  • Confluent JSQ-3 cells in 96-well plates were fixed with 0.5% glutaraldehyde in PBS for 10 min at room temperature. The plate was blocked with 5% fetal bovine serum (FBS) in PBS at 30° C. for 30 min.
  • FBS fetal bovine serum
  • the Ipp-scFv, scFv-immunoliposomes and liposomes were added to wells in duplicate and incubated at 4° C. overnight.
  • anti-TfR scFv-Lip(A) was incubated at 4° C. with JSQ-3 and DU145 cells, then with FITC-labeled sheep anti-mouse IgG, also at 4° C. Incubation of JSQ-3 cells with the scFv-Lip(A) resulted in a fluorescence shift identical to that observed with the unattached free anti-TfR lpp-scFv antibody, demonstrating a significant amount of binding to the target cells. In contrast, the untargeted liposome demonstrated very low binding to the cells. Similar results were observed with prostate tumor cell line DU145.
  • the scFv-Lip(A) complex demonstrated clear, substantial binding to the tumor cells, as compared to the untargeted Lip(A).
  • the FACS data is summarized in Table 2, where the fluorescence shift is indicated as the percent of the cells displaying fluorescence above the threshold level (percent of positive cells).
  • the level of binding to the cells represented by the percent of positive cells, was similar to that of the unattached free scFv further indicating that incorporation into the liposome complex did not inactivate the immunological activity of the anti-TfR lpp-scFv.
  • the liposome preparation used for these initial experiments with DU145 was that optimized for JSQ-3 cells. Therefore, the binding of the scFv-targeted liposome complex to the prostate tumor cells can be further enhanced by the use of the liposome complex optimized for this cell type.
  • scFv-immunoliposome Mediated p53 Gene Transfection Target to Tumor Cells Causing Sensitization to Chemotherapeutic Agents
  • exogenous wtp53 in JSQ-3 tumor cells transfected with the anti-TfR scFv-targeted Lip(A)-p53-3′Ad was assessed by co-transfection of an expression plasmid (pBP100) which contains the luciferase reporter gene under the control of a p53 responsive promoter (Chen L, et al., Proc. Natl. Acad. Sci. USA (1998) 95:195-200). Consequently, the higher the level of exogenous wt p53 expression (representing the scFv-Lip(A)-p53-3′Ad transfection efficiency), the higher the level of luciferase activity.
  • This luciferase enzyme activity is expressed as relative light units (RLU).
  • RLU relative light units
  • mouse melanoma cell line B16 was transfected with anti-TfR scFv-immunoliposome complexed with p53-3′Ad ( FIG. 4 ) or pCMVpRo plasmid ( FIG. 3 ) DNA (scFv-Lip(A)-p53 and scFv-Lip(A)-pRo, respectively) at a dose of 5 ⁇ g DNA/2 ⁇ 10 5 cells in 2 sets of 6-well plates.
  • transferrin-liposome-DNA LipT-p53 or LipT-pRo
  • CDDP was added to one set of plates to 10 ⁇ M final concentration. 24 and 48 hours after the drug was added, both the attached and floating cells were collected for apoptosis staining.
  • the cells were stained with an Annexin V-FITC Kit (Trevigen, Inc., Gaithersburg, Md.) according to manufacturer's protocol.
  • Annexin V is a lipocortin, a naturally occurring blood protein and anti-coagulant.
  • the stained cells were analyzed on a FACStar cytometer (Becton and Dickinson). Table 6 summarizes the results of the apoptosis analysis.
  • CDDP there was no increase in the percent of apoptotic cells induced at 24 hours by the addition of the scFv ligand as compared to the amount induced by the liposome complex alone. However, by 48 hours, there is a greater than 2-fold increase in the percent of apoptotic cells by the addition of the targeting scFv to the lipoplex. With CDDP there is a significant increase in apoptotic cells (approximately 1.5-fold) even at 24 hours as compared to the untargeted liposome complex. More significantly, this increase in apoptotic cells in combination with CDDP is more pronounced using the scFv to the Tf receptor as the targeting ligand than using the Tf molecule itself. This increase correlates with transfection efficiency.
  • scFv-Lip(A)-p53-3′Ad ( FIG. 4 ) or the untargeted Lip(A)-p53-3′Ad ( FIG. 4 ) was injected intravenously into nude mice bearing JSQ-3 subcutaneous xenograft tumors. Two days after injection, the tumors were excised and protein isolated from liver and skin, as well as the tumor, for Western blot analysis (Xu L, et al., Hum. Gene Ther . (1997) 8:467-475). Equal amounts of protein (100 ⁇ g, as determined by concentration) were loaded in each lane.
  • the tumor from the mouse systemically treated with the scFv-Lip(A)-p53-3′Ad complex displayed a very intense p53 signal as well as the additional lower band indicative of a high level of expression of the exogenous wtp53, while only the lower expression of the endogenous mouse p53 is evident in both the skin and the liver.
  • a significantly lower level of exogenous p53 expression is evident in the tumor isolated from the untargeted Lip(A)-p53-3′Ad injected mouse, labeled Lip(A)-p53 in FIG. 2 .
  • the liposome complex targeted by our new and unique anti-TfR lpp-scFv ligand can clearly deliver exogenous genes selectively to the tumor in vivo.
  • the VH-linker-V ⁇ scFv for the TfR was obtained from plasmid expression vector, pDFH2T-vecOK (described in Example 1).
  • a 5′ primer (5′ GGCCCATGGAGGTGC AGCTGGTGG 3′ (SEQ ID NO:3)) for PCR amplification
  • an NcoI site was introduced into pDFH2T-vecOK.
  • the nucleotide sequence for the cysteine residue as well as a NotI restriction site was introduced using a 3′ primer (5′ GGCGCGGCCGCGCATTTTATCTCCAGCTTG 3′ (SEQ ID NO:4)).
  • the PCR product was cloned into NcoI and NotI sites of the commercial vector pET26b(+) (Novagen).
  • This vector also contains, 5′ of the NcoI site, the pelB leader signal sequence. The presence of this sequence in the expression vector allows transport of the protein to the periplasmic space.
  • the pET26b(+) vector also contains a Histidine tag sequence 3′ of the NotI site ( FIG. 5 ).
  • a third alternative construct containing a cysteine residue for linkage to the cationic lipoplex using the conjugation method was also made.
  • this construct FIG. 7
  • no His-tag would be present in the protein product.
  • the PCR product of these reactions was cloned into a different vector, pET37b(+) (Novagen).
  • This vector contains a cellulose binding domain tag (CBD ⁇ -tag) and an S-tag, both 5′ of the NcoI site in the vector.
  • the CBD-tag sequence encodes a cellulose binding domain derived from a microbial cellulase.
  • this tag enables the use of cellulose-based supports for highly specific, low cost affinity purification of the protein product.
  • the presence of the S-tag present in this construct allows for easy detection of the protein product on Western blots and for easy enzymatic quantitation of protein amounts.
  • E. coli expression host BL21 (DE3), which contains the expressed lac repressor, was transformed with an expression vector (all three were used individually) described above in Example 8, section 1. A number of clones were selected and the ones that produced the best yield of TfRscFv were chosen. Purification of the protein from the construct described above in Example 8, section 1. A, with the histidine tag is given in detail as an example, although the same method is used for purification of the cysteine containing TfRscFv protein from all three constructs described in Example 8, section 1. The majority of the TfRscFv protein (approximately 90%) was found not to be soluble but to be contained within the inclusion bodies.
  • the TfRscFv containing the cysteine-linker was purified from the inclusion bodies as follows.
  • a single clone was inoculated into 5-10 ml LB containing 50 ⁇ g/ml Kanamycin, and grown at 37° C., and 250 rpm to an OD 600 of 0.5B0.7 (4-5 hrs).
  • 30 ml of the mini culture was pelleted, suspended in LB broth, added to 1 L LB containing 50 ⁇ g/ml Kanamycin and incubated at 37° C. and 250 rpm, to an OD 600 of 0.5B0.7 (4-5 hrs).
  • IPTG IPTG at a final concentration of 1 mM was added to the culture at this time and incubation continued for an additional 4 hrs. This time was determined to yield the maximum level of protein expression.
  • the bacterial cultures were then collected by centrifugation and lysed in 100 ml of cold 20 mM Tris-HCl, pH 7.5, containing 100 ⁇ g/ml lysozyme, at 30° C. for 15 minutes. The sample was sonicated at 10 watts for 5 minutes (in 30 second bursts) with cooling on ice.
  • the inclusion bodies were isolated by centrifugation at 13,000 g for 15 minutes. The resulting pellet was washed three times in cold 20 mM Tris-HCl buffer, pH 7.5. The purity and quantity of the inclusion bodies were determined by SDS-polyacrylamide gel electrophoresis before solubilization.
  • the isolated inclusion bodies were dissolved in 100 mM Tris-HCl, pH 8.0 containing 6 M guanidine-HCl and 200 mM NaCl (6 M GuHCl buffer) and centrifuged at 12,300 g for 15 minutes to remove insoluble debris. 2-mercaptoethanol was added to the supernatant to a final concentration equal to approximately 50 molar fold of the protein concentration and the mixture incubated with rotation for 1 hour at room temperature. The presence of such a high concentration of guanidine-HCl and the reducing agent results in a totally unfolded protein. Refolding of the TfRscFv protein was accomplished by dialysis at 4° C. against decreasing concentrations of guanidine-HCl in the absence of 2-mercaptoethanol.
  • Dialysis was performed for 24 hours each against the following concentrations of guanidine-HCl in 100 mM Tris-HCl, pH 8.0 and 200 mM NaCl: 6 M, 3 M, 2 M, 1 M and 0.5 M. The last dialysis was against three changes of just 100 mM Tris-HCl, pH 8.0 and 200 mM NaCl.
  • the fourth dialysis solution (of 1 M guanidine-HCl) also contained 2 mM glutathione (oxidized form) and 500 mM L-arginine. These reagents allow the partially refolded protein to form the proper disulfide bonds to produce the correct protein conformation.
  • the solution was clarified by centrifugation at 13000 g to remove aggregates.
  • the sample was concentrated approximately 1.5 fold using the Centrplus centrifugal filter (Amicon) at 3000 g for 90 min. SDS-PAGE showed a single band of the solubilized cysteine containing TfRscFv with a molecular weight of approximately 28-30 kDa containing only minor contaminants ( FIG. 8 ).
  • the purified TfRscFv was reduced by DTT to obtain monomer scFv-SH as follows: To scFv in HBS (10 mM HEPES, 150 mM NaCl, pH 7.4) was added 1 M DTT to a final concentration of 1-50 mM. After rotation at room temperature for 5-10 min, the protein was desalted on a 10-DG column (Bio-Rad). The free —SH group was measured by 5,5′-dithiobis-(2-nitrobenzoic acid) (DTNB, Ellman's reagent) (G. L. Ellman (1959) Arch. Biochem. Biophys. 82:70-77. P. W. Riddles, R. L. Blakeley, B.
  • MPB-DOPE 4-(p-maleimidophenyl)butyrate-DOPE
  • Avanti Polar Lipids is included in the seven liposome formulations described in Example 3, to a 5-8% molar of total lipids.
  • the MPB-liposomes were prepared the same way as described in Example 3.
  • Other liposome preparation methods can also be used to prepare the cationic liposomes.
  • the ethanol injection method modified from that described by Campbell M J ( Biotechniques 1995 June; 18(6):1027-32) was used successfully in the present invention.
  • all lipids were solubilized in ethanol and mixed, injected into vortexing pure water of 50-60° C. with a Hamilton syringe.
  • the solution was vortexed for a further 10-15 min.
  • the final concentration was 1-2 mM total lipids.
  • the ethanol injection method is faster, easier and more robust.
  • 1 M HEPES, pH 7.5 pH 7.0-8.0 was added to a final concentration of 10-20 mM. Since we have found that the maleimide group is not stable in aqueous solution with pH>7, the liposomes should be prepared in water (pH 5-6.5).
  • the pH can be adjusted to 7.0-8.0 before linking to scFv-SH with 1 M HEPES buffer, pH 7.0-8.0, to facilitate the post-coating reaction.
  • scFv-SH was added to MPB-liposome at a protein/lipid (w/w) ratio of 1/5-1/40, preferably 1/10-1/20.
  • the solution was mixed by gentle rotation for 30 min at room temperature to yield scFv-Lip.
  • the scFv-Lip was used without purification although it can be purified by Sepharose CL-4B column chromatography.
  • Plasmid DNA was diluted in water and added to the scFv-Lip at a DNA/lipid ( ⁇ g/nmol) ratio of 1/6-1/20, preferably 1/10-1/14.
  • the solution was mixed well for 5-15 min by inversion several times to produce scFv-Lip-DNA complex.
  • scFv-Lip-DNA was used without purification although it can be purified by Sepharose CL-4B column chromatography. 80-100% of the scFv was found to be conjugated to the liposome.
  • Plasmid DNA was diluted in water and was added to the MPB-liposome at a DNA/lipid ( ⁇ g/nmol) ratio of 1/6-1/20, preferably 1/10-1/14. The solution was mixed well for 5-15 min by inversion several times to produce an MPB-Lip-DNA complex. scFv-SH was then added to the complex at a protein/lipid (w/w) ratio of 1/5-1/40, preferably 1/10-1/20. The solution was mixed by gentle rotation for 30 min at room temperature, to produce the final scFv-Lip-DNA complex. The scFv-Lip-DNA was used without purification although it can be purified by Sepharose CL-4B column chromatography. 80-100% of the scFv was found to be conjugated to the liposome.
  • This example provides the characterization of the anti-TfRscFv-immunoliposomes produced by the conjugation method of this invention with respect to their ability to bind to TfR(+) cells in vitro.
  • Human squamous cell carcinoma of head and neck cell line JSQ-3 served as the TfR(+) target cells for these studies.
  • Hb21 An anti-transferrin receptor monoclonal antibody (Hb21, obtained from David Fitzgerald, NIH) was used in one series of wells as a positive control. The plate was incubated at 4° C. overnight. The wells were washed three times with PBS, and an anti-His monoclonal antibody (Qiagen) was added to each well (except for those receiving the antibody positive control) in 3% FBS in PBS and incubated at 37° C. for 60 min. After three PBS washes, HRP-labeled goat-anti-mouse IgG (Sigma) diluted in 3% FBS was added to each well and incubated for 30 min at 37° C.
  • the plate was washed three times with PBS and 100 ⁇ l substrate 0.4 mg/ml OPD in citrate phosphate buffer (Sigma) was added to each well. The color-development was stopped by adding 100 ⁇ l 2 M sulfuric acid to each well. The plate was read on an ELISA plate reader (Molecular Devices Corp.) at 490 nm.
  • the indirect cellular ELISA assay was also performed after the same TfRscFv protein was incorporated via the conjugation method of the invention (Example 9) into two different liposome complexes (Lip(A) and Lip(B)) to demonstrate the universality of this method with cationic liposomes.
  • Both the pre- and post-linking conjugation methods of liposome preparation detailed in Example 9 were used.
  • Table 8 the immunoreactivity of the TfRscFv prepared by the conjugation method is not lost through complexing to either of the two liposome compositions. This was true for both pre- and post-linking methods used to produce the immunoliposome complex.
  • the TfRscFv-targeted lipoplexes also demonstrated binding to the cells. This binding was significantly higher than that of the liposome without the TfRscFv, suggesting that this binding is in fact mediated through the attachment of the TfRscFv to the transferrin receptor on the cells.
  • TfRscFv-liposome complex prepared by the conjugation method, in cells using the plasmid pLuc, which contains the firefly luciferase gene under control of the CMV promoter as the reporter gene.
  • plasmid pLuc which contains the firefly luciferase gene under control of the CMV promoter as the reporter gene.
  • two separate liposome compositions Lip(A) and Lip(B) were conjugated to the TfRscFv protein.
  • Human breast cancer cell line MDA-MB-435 and human squamous cell carcinoma of the head and neck cell line JSQ-3 were used in these studies.
  • the in vitro transfection was performed in 24-well plates (Xu L, et al., Hum. Gene Ther . (1999) 10:2941-2952).
  • the transfection solutions were added to the cells in the presence of 10% serum. 24 hr later the cells were washed and lysed to measure the luciferase activity and protein concentration.
  • the results are expressed as 10 3 relative light units (RLU) per ⁇ g protein in the lysate, as shown in Tables 9A and 9B.
  • the cysteine containing TfRscFv-immunoliposomes prepared by the conjugation method have very high transfection activity in vitro, 3-6 fold higher than the untargeted liposomes and 2-3 fold higher than the transferrin-targeted liposomes. This was true for both liposome compositions and both human tumor cell lines. Thus, they still retain their immunoreactivity and can bind to their target receptor.
  • the scFv-liposomes can also be used as efficient gene transfection reagents in vitro, and are much more efficient than commercially available cationic liposomes (DOTAP/DOPE and DDAB/DOPE) and transferrin-liposomes.
  • the TfRscFv-immunoliposomes disclosed in the present invention can be used for an efficient in vitro gene transfection kit useful for the transfection of mammalian cells with transferrin receptors.
  • TfRscFv is a smaller molecule than transferrin itself.
  • the resulting complex is more compact and more easily taken up by the cells giving a higher transfection efficiency.
  • TfRscFv immunoliposome for systemic delivery for human use.
  • the smaller size allows increased access to the tumor cells through the small capillaries.
  • the TfRscFv is not a human blood product as is the Tf molecule. Therefore, the concerns and technical problems associated with the use of transferrin itself for human therapy are avoided.
  • TfRscFv-Immunoliposome Mediated Expression of Wild-type p53 in a Nude Mouse Xenograft Model Following Systemic Delivery
  • TfRscFv In this example the ability of the TfRscFv, produced by the conjugation method of this invention, to direct a lipoplex carrying the wild-type p53 (wtp53) gene preferentially to tumor cells in vivo after systemic delivery is demonstrated.
  • wtp53 wild-type p53
  • two separate liposome compositions Lip(A) and Lip(B) were complexed to the cysteine-containing TfRscFv protein by the conjugation method. Only the pre-linking method of conjugation as detailed in Example 9 was used in this study.
  • conjugated TfRscFv-Lip(A) carrying the empty vector in place of the p53 containing vector was also injected into a mouse.
  • the animals were sacrificed and the tumors, as well as the liver, were excised.
  • Protein was isolated from the tissues and 100 ⁇ g of each sample (as determined by protein concentration assay) was run on a 10% polyacrylamide gel for Western blot analysis using an anti-p53 monoclonal antibody.
  • the endogenous mouse and the exogenous human p53 migrate at the same position. The results here mirror those described in Example 7. As shown in FIG.
  • both the DU145 and MDA-MB-435 tumors from the animals intravenously injected with the TfRscFv-Lip(A)-pCMVp53 lipoplex or the TfRscFv-Lip(B)-pCMVp53 lipoplex prepared by the conjugation method displayed a high level of expression of exogenous wtp53, as indicated by the intense p53 signal and an additional lower band, with the best expression in the DU145 tumors. While it appears that in both tumor types the Lip(A) composition was somewhat better than the Lip(B), both liposome compositions worked demonstrating the universality of this method. Only the endogenous mouse p53 protein was evident in the liver of these animals.
  • the methods of this invention described in the preceding Examples generate a TfRscFv protein that not only retains its ability to bind to cationic liposomes but is still immunologically active preserving its ability to bind to the transferrin receptor in vitro and in vivo, thus fulfilling our objective of producing a tumor-specific, targeted immunoliposome for gene therapy.

Abstract

Nucleic acid-immunoliposome compositions useful as therapeutic agents are disclosed. These compositions preferably comprise (i) cationic liposomes, (ii) a single chain antibody fragment which binds to a transferrin receptor, and (iii) a nucleic acid encoding a wild type p53. These compositions target cells which express transferrin receptors, e.g., cancer cells. These compositions can be used therapeutically to treat persons or animals who have cancer, e.g., head and neck cancer, breast cancer or prostate cancer.

Description

    CROSS-REFERENCE TO RELATED APPLICATIONS
  • This application is a divisional of U.S. application Ser. No. 09/914,046, filed Oct. 1, 2001. application Ser. No. 09/914,046 is a National Phase Filing under 35 U.S.C. § 371 of International Application No. PCT/US00/04392, filed Feb. 22, 2000, which published in the English language as WO 00/50008, on Aug. 31, 2000, and which claims the benefit of U.S. Application No. 60/121,133, filed Feb. 22, 1999. The disclosures of each of these applications are hereby incorporated by reference herein in their entireties.
  • BACKGROUND OF THE INVENTION
  • 1. Field of the Invention
  • This invention provides methods for the preparation of antibody fragment-targeted liposomes (“immunoliposomes”), including lipid-tagged antibody fragment-targeted liposomes, methods for in vitro transfection using the immunoliposomes, and methods for systemic gene delivery in vivo. The liposomes of the present invention are useful for carrying out targeted gene delivery and efficient gene expression after systemic administration. The specificity of the delivery system is derived from the targeting antibody fragments.
  • 2. Background Art
  • An ideal therapeutic for cancer would be one that selectively targets a cellular pathway responsible for the tumor phenotype and which is nontoxic to normal cells. While cancer treatments involving gene therapy have substantial promise, there are many issues that need to be addressed before this promise can be realized. Perhaps foremost among the issues associated with macromolecular treatments is the efficient delivery of the therapeutic molecules to the site(s) in the body where they are needed. A variety of delivery systems (a.k.a. “vectors”) have been tried including viruses and liposomes. The ideal delivery vehicle would be one that could be systemically (as opposed to locally) administered and which would thereafter selectively target tumor cells wherever they occur in the body.
  • The infectivity that makes viruses attractive as delivery vectors also poses their greatest drawback. Consequently, a significant amount of attention has been directed towards non-viral vectors for the delivery of molecular therapeutics. The liposome approach offers a number of advantages over viral methodologies for gene delivery. Most significantly, since liposomes are not infectious agents capable of self-replication, they pose no risk of transmission to other individuals. Targeting cancer cells via liposomes can be achieved by modifying the liposomes so that they selectively deliver their contents to tumor cells. There now exists a significant knowledge base regarding specific molecules that reside on the exterior surfaces of certain cancer cells. Such cell surface molecules can be used to target liposomes to tumor cells, because the molecules that reside upon the exterior of tumor cells differ from those on normal cells.
  • The publications and other materials used herein to illuminate the background of the invention or provide additional details respecting the practice, are incorporated by reference.
  • Current somatic gene therapy approaches employ either viral or non-viral vector systems. Many viral vectors allow high gene transfer efficiency but are deficient in certain areas (Ledley F D, et al. Hum. Gene Ther. (1995) 6:1129-1144). Non-viral gene transfer vectors circumvent some of the problems associated with using viral vectors. Progress has been made toward developing non-viral, pharmaceutical formulations of genes for in vivo human therapy, particularly cationic liposome-mediated gene transfer systems (Massing U, et al., Int. J. Clin. Pharmacol. Ther. (1997) 35:87-90). Features of cationic liposomes that make them versatile and attractive for DNA delivery include: simplicity of preparation; the ability to complex large amounts of DNA; versatility in use with any type and size of DNA or RNA; the ability to transfect many different types of cells, including non-dividing cells; and lack of immunogenicity or biohazardous activity (Felgner P L, et al., Ann. NY Acad. Sci. (1995) 772:126-139; Lewis J G, et al., Proc. Natl. Acad. Sci. USA (1996) 93:3176-3181). More importantly from the perspective of human cancer therapy, cationic liposomes have been proven to be safe and efficient for in vivo gene delivery (Aoki K et al., Cancer Res. (1997) 55:3810-3816; Thierry A R, Proc. Natl. Acad. Sci. USA (1997) 92:9742-9746). More than thirty clinical trials are now underway using cationic liposomes for gene therapy (Zhang W et al., Adv. Pharmacology (1997) 32:289-333; RAC Committee Report: Human Gene Therapy Protocols-December 1998), and liposomes for delivery of small molecule therapeutics (e.g., antifungal and conventional chemotherapeutic agents) are already on the market (Allen T M, et al., Drugs (1997) 54 Suppl 4:8-14).
  • The transfection efficiency of cationic liposomes can be dramatically increased when they bear a ligand recognized by a cell surface receptor. Receptor-mediated endocytosis represents a highly efficient internalization pathway present in eukaryotic surface (Cristiano R J, et al., Cancer Gene Ther. (1996) 3:49-57, Cheng P W, Hum. Gene Ther. (1996) 7:275-282). The presence of a ligand on a liposome facilitates the entry of DNA into cells through initial binding of ligand by its receptor on the cell surface followed by internalization of the bound complex. A variety of ligands have been examined for their liposome-targeting ability, including transferrin and folate (Lee R J, et al., J. Biol. Chem. (1996) 271:8481-8487). Transferrin receptors (TfR) levels are elevated in various types of cancer cells including prostate cancers, even those prostate cell lines derived from human lymph node and bone metastases (Keer H N et al., J. Urol. (1990) 143:381-385); Chackal-Roy M et al., J. Clin. Invest. (1989) 84:43-50; Rossi M C, et al., Proc. Natl. Acad. Sci. USA (1992) 89:6197-6201; Grayhack J T, et al., J. Urol. (1979) 121:295-299). Elevated TfR levels also correlate with the aggressive or proliferative ability of tumor cells (Elliot R L, et al., Ann. NY Acad. Sci. (1993) 698:159-166). Therefore, TfR levels are considered to be useful as a prognostic tumor marker, and TfR is a potential target for drug delivery in the therapy of malignant cells (Miyamoto T, et al., Int. J. Oral Maxillofac. Surg. (1994) 23:430-433: Thorstensen K, et al., Scand. J. Clin. Lab. Invest. Suppl. (1993) 215:113-120). In our laboratory, we have prepared transferrin-complexed cationic liposomes with tumor cell transfection efficiencies in SCCHN of 60%-70%, as compared to only 5-20% by cationic liposomes without ligand (Xu L, et al., Hum. Gene Ther. (1997) 8:467-475).
  • In addition to the use of ligands that are recognized by receptors on tumor cells, specific antibodies can also be attached to the liposome surface (Allen T M et al., (1995) Stealth Liposomes, pp. 233-244) enabling them to be directed to specific tumor surface antigens (including but not limited to receptors) (Allen T M, Biochim. Biophys. Acta (1995) 1237:99-108). These “immunoliposomes,” especially the sterically stabilized immunoliposomes, can deliver therapeutic drugs to a specific target cell population (Allen T M, et al., (1995) Stealth Liposomes, pp. 233-244). Park, et al. (Park J W, et al., Proc. Natl. Acad. Sci. USA (1995) 92:1327-1331) found that anti-HER-2 monoclonal antibody (Mab) Fab fragments conjugated to liposomes could bind specifically to HER-2 overexpressing breast cancer cell line SK-BR-3. The immunoliposomes were found to be internalized efficiently by receptor-mediated endocytosis via the coated pit pathway and also possibly by membrane fusion. Moreover, the anchoring of anti-HER-2 Fab fragments enhanced their inhibitory effects. Doxorubicin-loaded anti-HER-2 immunoliposomes also showed significant and specific cytotoxicity against target cells in vitro and in vivo (Park J W, et al., Proc. Natl. Acad. Sci. USA (1995) 92:1327-1331). In addition, Suzuki et al., (Suzuki S, et al., Br. J. Cancer (1997) 76:83-89) used an anti-transferrin receptor monoclonal antibody conjugated immunoliposome to deliver doxorubicin more effectively in human leukemia cells in vitro. Huwyler et al. (Huwyler J, et al., Proc. Natl. Acad. Sci. USA (1996) 93:14164-14169) used anti-TfR monoclonal antibody immunoliposome to deliver daunomycin to rat glioma (RT2) cells in vivo. This PEGylated immunoliposome resulted in a lower concentration of the drug in normal tissues and organs. These studies demonstrated the utility of immunoliposomes for tumor-targeting drug delivery. It should be noted that the immunoliposome complexes used by Suzuki et al. and Huwyler et al. differ from those of the invention described herein in that they are anionic liposomes and that the methods used by Suzuki et al. and Huwyler et al. are not capable of delivering nucleic acids.
  • Single-Chain Antibody Fragments
  • Progress in biotechnology has allowed the derivation of specific recognition domains from Mab (Poon R Y, (1997) Biotechnology International: International Developments in the Biotechnology Industry, pp. 113-128). The recombination of the variable regions of heavy and light chains and their integration into a single polypeptide provides the possibility of employing single-chain antibody derivatives (designated scFv) for targeting purposes. Retroviral vectors engineered to display scFv directed against carcinoembryonic antigen, HER-2, CD34, melanoma associated antigen and transferrin receptor have been developed (Jiang A, et al., J. Virol. (1998) 72:10148-10156, Konishi H, et al., Hum. Gene Ther. (1994) 9:235-248: Martin F, et al., Hum. Gene Ther. (1998) 9:737-746). These scFv directed viruses have been shown to target, bind to and infect specifically the cell types expressing the particular antigen. Moreover, at least in the case of the carcinoembryonic antigen, scFv was shown to have the same cellular specificity as the parental antibody (Nicholson I C, Mol. Immunol. (1997) 34:1157-1165).
  • The combination of cationic liposome-gene transfer and immunoliposome techniques appears to be a promising system for targeted gene delivery.
  • BRIEF SUMMARY OF THE INVENTION
  • We constructed a variety of immunoliposomes that are capable of tumor-targeted, systemic delivery of nucleic acids for use in human gene therapy. Based upon the data given in the Examples below these immunoliposome-DNA complexes incorporating the TfRscFv are capable of producing a much higher level of transfection efficiency than the same liposome-DNA complex bearing the complete Tf molecule. Therefore, in one aspect of the invention the immunoliposomes of the invention can be used to produce a kit for high efficiency transfection of various mammalian cell types that express the transferrin receptor. In one aspect of the invention, we constructed an scFv protein with a lipid tag such that the lipid is added naturally by the bacterial cell to allow easy incorporation of the scFv into liposomes while also avoiding chemical reactions which can inactivate the scFv.
  • The lipid-tagged scFv-immunoliposomes are prepared basically by two methods: a lipid-film solubilization method and a direct anchoring method. The lipid-film solubilization method is modified from the detergent dialysis method, which was described by Laukkanen M L, et al., (Laukkanen M L, et al., Biochemistry (1994) 33:11664-11670) and de Kruif et al., (de Kruif et al., FEBS Lett. (1996) 399:232-236) for neutral or anionic liposomes, with the methods of both hereby incorporated by reference. This method is suitable for attaching lipid-tagged scFv to cationic liposomes as well. In the lipid-film solubilization method, the lipids in chloroform are evaporated under reduced pressure to obtain a dry lipid film in a glass round-bottom flask. The lipid film is then solubilized with 0.5-4%, preferably 1%, n-octyl β-D-glucoside (OG) containing the lipid-modified scFv and vortexed. After dilution with sterile water, the solution is briefly sonicated to clarity.
  • The second method for attaching lipid-tagged antibodies or antibody fragments is the direct anchoring method that is specifically useful for attaching the E. coli lipoprotein N-terminal 9 amino acids to an scFv (lpp-scFv) or other lipid-modified antibody or fragments and attaching these to preformed liposomes. For attaching the scFv to preformed liposomes, the lipid-modified scFv in 1% OG is added to preformed liposomes while vortexing, at volume ratios from 1:3 to 1:10. The mixture is vortexed for approximately a further 5-10 minutes to obtain a clear solution of scFv-immunoliposomes. The remaining OG and the uncomplexed scFv can be eliminated by chromatography, although they will not interfere very much with the subsequent usage. Separation experiments, i.e., ultrafiltration with Centricon-100 (Amicon), Ficoll-400 floatation (Shen D F, et al., Biochim. Biophys. Acta (1982) 689: 31-37), or Sepharose CL-4B (Pharmacia) chromatography, demonstrated that virtually all the lipid-tagged scFv molecules added have been attached or anchored to the cationic liposomes. This is an improvement over the much lower attachment rate of lpp-scFv to neutral or anionic liposomes. Therefore, this improvement makes it unnecessary to include a further purification step to remove the unattached scFv.
  • Any antibodies, antibody fragments, or other peptide/protein ligands that can be modified to have one or more lipid-tags on the surface are useful in the present invention. Other lipid-modification methods include directly conjugating a lipid chain to an antibody or fragment, as described in Liposome Technology, 2nd Ed., Gregoriadis, G., Ed., CRC Press, Boca Raton, Fla., 1992.
  • In another aspect of the invention a cysteine was added at the C-terminus of the scFv sequence and the protein was expressed in the inclusion bodies of E. coli, then refolded to produce active scFv. The C-terminal cysteine provided a free sulfhydryl group to facilitate the conjugation of the scFv to liposomes. There are two strategies which can be used in the conjugation process. 1) Pre-linking method: The first step is to conjugate the scFv-SH with the cationic liposome which contains a maleimidyl group or other sulfhydryl-reacting group, to make the scFv-liposome. The nucleic acids are then added to the scFv-liposome to form the scFv-liposome-DNA complex. The pre-linking is designated since scFv is linked before DNA complexing. 2) Post-linking method: This strategy is to complex the cationic liposome with nucleic acids first to form a condensed structure. The scFv-SH is then linked onto the surface of DNA-liposome complex to produce scFv-liposome-DNA. The post-linking is designated since scFv is linked after DNA complexing. The post-linking strategy ensures that 100% of scFv linked are on the surface of the complex, accessible to receptor binding. Therefore, this method can make a better use of the targeting ligand scFv and a better controlled inside structure of the complex.
  • The nucleic acid-immunoliposome complexes, regardless of whether the antibody or antibody fragment is lipid tagged or conjugated to the liposome, can be used therapeutically. Preferably the complexes are targeted to a site of interest, preferably to a cell which is a cancer cell, more preferably to a cell expressing a transferrin receptor. The targeting agent is the antibody or antibody fragment which preferably binds to a transferrin receptor. The nucleic acid is the therapeutic agent and is preferably a DNA molecule and more preferably encodes a wild type p53 molecule. The nucleic acid-immunoliposome complexes, preferably in a therapeutic composition, can be administered systemically, preferably intravenously.
  • BRIEF DESCRIPTION OF THE DRAWINGS/FIGURES
  • FIG. 1 show scFv TfR lipid-tag construction.
  • FIG. 2 shows a Western blot analysis of scFv-liposome-targeted p53 expression in vivo in tumor xenografts with systemic administration.
  • FIG. 3 shows pCMVp53 and pCMVpRO constructs.
  • FIG. 4 shows p53-3′Ad construction.
  • FIG. 5 shows construction of scFvTfR-cysteine with a His tag.
  • FIG. 6 shows construction of scFvTfR-cysteine without a His tag.
  • FIG. 7 shows construction of scFvTfR-cysteine with a cellulose binding domain (CBD) tag and with an S-tag.
  • FIG. 8 shows a Coomassie Blue stained SDS-polyacrylamide gel of purified TfRscFv protein produced by the conjugation method.
  • FIG. 9 shows a Western blot analysis of conjugation method produced TfRscFv-liposome-targeted p53 expression in vivo in tumor xenografts with systemic administration.
  • DETAILED DESCRIPTION OF THE INVENTION
  • The invention is directed to immunoliposomes and methods of making and using these immunoliposomes. A variety of embodiments are disclosed including immunoliposomes with different tags and various methods with which to attach the scFv to the liposomes. The immunoliposomes may include lipid tags or be linked through a reducing group, which in a preferred embodiment is a free sulfhydryl.
  • Mutant forms of the tumor suppressor gene p53 have been associated with more than 50% of human cancers, including 15-50% of breast and 25-70% of metastatic prostate cancers. Abnormalities in p53 also correlate with poor prognosis in various types of malignancies. Therefore, the capability to systemically deliver and target gene therapy specifically to tumors to efficiently restore wtp53 function will be an important therapeutic modality in cancer treatment. Thus the immunoliposomes produced by the method of this invention will be useful as an effective new cancer therapeutic modality not just for restoration of wtp53 function but also as a tumor targeted systemic delivery vehicle for other therapeutic genes.
  • The invention is illustrated by the following Examples.
  • Example 1 Construction and Expression of Biosynthetically Lipid-Tagged scFv 1. Construction of the Expression Vector for TfRscFv
  • To construct the expression vector, we used the vector pLP1 which contains an amino acid linker sequence between the E. coli lipoprotein signal peptide (ssLPP) and the scFv cloning site (de Kruif et al., FEBS Lett. (1996) 399:232-236). This vector contains both c-myc and His6 tag sequences that can be used for purification and detection of the expressed scFv (FIG. 1).
  • We obtained a plasmid expression vector, pDFH2T-vecOK, which contains the single chain fragment for the 5E9 (Haynes et al., J. Immunol. (1981) 127:347-351) antibody linked to a DNA binding protein, which recognizes the human transferrin receptor (TfR). This vector also contains the sequence for a DNA binding protein, and there are no unique restriction enzyme sites flanking the scFv sequence in pDFH2T-vecOK. Therefore, we cloned the VH-linker-Vκ scFv by PCR amplification of the desired fragment using a 5′ primer (5′ GGCCCATGGAGGTGCAGCTGGTGG 3′ (SEQ ID NO:1)) (RB551) containing an NcoI site and a 3′ primer (RB552) (5′ CCGGAATTCGCGGCCGCTTTTATCTCCAGCTTGGTC 3′ (SEQ ID NO:2) containing a NotI site. The PCR amplification using primers RB551 and RB552 amplified the scFv for TfR from pDFH2T-vecOK from the Met at base 81 to Lys at base 821. The pLP1 vector also contains sequences for the E. coli lipoprotein signal peptide (ssLPP) and the E. coli lipoprotein N-terminal 9 amino acids (LPP), as described by Laukkanen M L, et al., (Laukkanen M L, et al., Biochemistry (1994) 33:11664-11670) and de Kruif et al (de Kruif et al., FEBS Lett. (1996) 399:232-236). The insertion of these sequences will lead to fatty acid acylation of the expressed signal in the E. coli host and its insertion into the bacterial membrane. The vector also has a non-critical 10 amino acid linker sequence to increase the space between the lipid-tag site and the scFv. Purification of the lipid modified scFv sequence from the bacterial membrane results in an active molecule that can be attached or inserted into liposomes.
  • 2. Expression and Purification of the TfRscFv
  • We transformed E. coli expression host SF110 F′ with the expression vector constructed above. While the host cell is not critical it is preferred that it contain expressed lac repressor. A number of clones were selected and the one that produces the best yield of scFv was chosen. The lipid-modified scFv (lpp-scFv) was isolated from the bacterial membrane using Triton X-100 as described by de Kruif et al., (de Kruif et al., FEBS Lett. (1996) 399:232-236). For purification a single colony was resuspended in 200 μl LB containing 5% glucose and the appropriate antibiotics. The mixture was plated onto two 90 mm LB agar plates containing 5% glucose and the appropriate antibiotics and grown overnight. The next day, the cells were washed from the plates and used to inoculate a total of 5 liters of LB containing 0.1% glucose and the appropriate antibiotics. The cultures were grown at 25EC, at 200 rpm for 6 hours until the OD600 reached 0.5 to 0.7. IPTG was added to a final concentration of 1 mM and the cultures were further incubated overnight. The next day, the bacterial cultures were collected by centrifugation and lysed in 200 ml lysis buffer at room temperature for 30 minutes. The sample was sonicated at 28 watts for 5 minutes with cooling on ice. The lysis buffer contains 20 mM HEPES pH 7.4 to 7.9, 0.5 M NaCl, 10% glycerol, and 0.1 mM PMSF. The only deviations from the cited protocol include washing and elution of metal affinity columns in buffer containing 20 mM HEPES pH 7.4 to 7.9, 0.5 M NaCl, 10% glycerol, 0.1 mM PMSF, 1% n-octyl β-D-glucoside (OG), and 10% glycerol containing 20 and 200 mM imidazole, respectively. The eluted samples of lpp-scFv were analyzed by SDS-PAGE and Western Blot using anti-c-myc antibody 9E 10 which confirmed that the purified scFv showed a band of the size of about 30 kDa.
  • Example 2 Preparation of Lipid-Tagged ScFv-Immunoliposomes by a Lipid-Film Solubilization Method
  • This example discloses a detailed procedure of lipid-film solubilization method to prepare lipid-tagged scFv-immunoliposomes. 5 μmol lipids (DOTAP/DOPE, 1:1 molar ratio) in chloroform are evaporated under reduced pressure to obtain a dry lipid film in a glass round-bottom flask. To the lipid film is added 0.5 ml 1% OG, 20 mM HEPES, 150 mM NaCl, pH 7.4, containing the lipid-modified scFv. This is incubated 10-20 minutes at room temperature and then vortexed to solubilize the lipid membrane. 2 ml sterile water is then added to dilute the scFv-lipid mixture. The solution is briefly sonicated to clarity in a bath-type sonicator at 20° C. The scFv-liposome is a clear solution with a limited amount of detergent OG left. The OG and the uncomplexed scFv can be eliminated by chromatography with Sepharose CL-4B or Sephacryl S500, even though they do not interfere a lot with the subsequent use.
  • Example 3 Preparation of Lipid-Tagged ScFv-Immunoliposomes by a Direct Anchoring Method
  • This example provides a direct anchoring method to prepare lipid-tagged scFv-immunoliposomes. 20 μmol lipids (LipA-H, see below for compositions and ratios) prepared as dry lipid film in a glass round-bottom flask is added to 10 ml pure water and sonicated in a bath-type sonicator for 10-30 min at room temperature (LipA, B, C) or at 65° C. (LipD, E, G, H, or any composition with Cholesterol (Chol)). The cationic liposomes prepared are clear solutions, their compositions and ratios are as follows:
  • LipA DOTAP/DOPE 1:1 molar ratio
    LipB DDAB/DOPE 1:1 molar ratio
    LipC DDAB/DOPE 1:2 molar ratio
    LipD DOTAP/Chol 1:1 molar ratio
    LipE DDAB/Chol 1:1 molar ratio
    LipG DOTAP/DOPE/Chol 2:1:1 molar ratio
    LipH DDAB/DOPE/Chol 2:1:1 molar ratio
  • For attaching the scFv to preformed liposomes, the lipid-modified scFv (Ipp-scFv) in 20 mM HEPES, 150 mM NaCl, pH 7.4, containing 1% OG is added to preformed liposomes while vortexing, at volume ratios from 1:3 to 1:10. The mixture is vortexed for a further 1 to 5 min to get a clear solution of scFv-immunoliposomes. The remaining OG and the uncomplexed scFv can be eliminated by chromatography, although they do not interfere very much with the subsequent usage. Separation experiments, i.e., ultrafiltration with Centricon-100 (Amicon), Ficoll-400 floatation (Shen D F, et al., Biochim Biophys Acta (1982) 689:31-37), or Sepharose CL-4B (Pharmacia) chromatography, demonstrated that virtually all the lipid-tagged scFv added have been attached or anchored to the cationic liposomes. This is in contrast to the much lower attachment rate of Ipp-scFv to neutral or anionic liposomes. Therefore, it is unnecessary to have a further purification step to get rid of the unattached scFv.
  • Example 4 Immunoreactivity of Lipid-tagged scFv-immunoliposomes Revealed by ELISA, FACS and Immunofluorescence
  • This example provides the characterization of the anti-TfR scFv-immunoliposomes with respect to their ability of binding to the TfR(+) cells. The human prostate cancer cell line DU145 and the human squamous cell carcinoma of head and neck cell line JSQ-3 served as the TfR+ target cells for these studies.
  • Indirect cellular enzyme-linked immunosorbent assay (ELISA) was employed to determine the immunoreactivity of the Ipp-scFv before and after attachment to liposomes. Confluent JSQ-3 cells in 96-well plates were fixed with 0.5% glutaraldehyde in PBS for 10 min at room temperature. The plate was blocked with 5% fetal bovine serum (FBS) in PBS at 30° C. for 30 min. The Ipp-scFv, scFv-immunoliposomes and liposomes were added to wells in duplicate and incubated at 4° C. overnight. After three PBS-washes, an anti-c-myc monoclonal antibody was added to each well in 3% FBS in PBS and incubated at 37° C. for 60 min. After three PBS-washes, HRP-labeled goat-anti-mouse IgG (Sigma) diluted in 3% FBS was added to each well and incubated for 30 min at 37° C. The plate was washed three times with PBS and 100 μl substrate 0.4 mg/ml OPD in citrate phosphate buffer (Sigma) was added to each well. The color-development was stopped by adding 100 μl 2 M sulfuric acid to each well. The plate was read by an ELISA plate reader (Molecular Devices Corp.) at 490 nm. Indirect cellular ELISA demonstrated that the anti-TfR scFv retained its immunoreactivity after incorporation into the liposome complex (Table 1).
  • TABLE 1
    Binding of anti-TfR scFv-liposomes to JSQ-3 cells*
    Lip(A) only 0.142 ± 0.036
    scFv-LipA1 1.134 ± 0.038
    scFv-LipA2 1.386 ± 0.004
    lpp-scFv 0.766 ± 0.009
    *ELISA, OD490, Mean ± SD
    scFv-LipA1: by lipid-film solubilization method.
    scFv-LipA2: by direct anchoring method.
  • For FACS analysis, anti-TfR scFv-Lip(A), was incubated at 4° C. with JSQ-3 and DU145 cells, then with FITC-labeled sheep anti-mouse IgG, also at 4° C. Incubation of JSQ-3 cells with the scFv-Lip(A) resulted in a fluorescence shift identical to that observed with the unattached free anti-TfR lpp-scFv antibody, demonstrating a significant amount of binding to the target cells. In contrast, the untargeted liposome demonstrated very low binding to the cells. Similar results were observed with prostate tumor cell line DU145. Here also, the scFv-Lip(A) complex demonstrated clear, substantial binding to the tumor cells, as compared to the untargeted Lip(A). The FACS data is summarized in Table 2, where the fluorescence shift is indicated as the percent of the cells displaying fluorescence above the threshold level (percent of positive cells). In these studies also, the level of binding to the cells, represented by the percent of positive cells, was similar to that of the unattached free scFv further indicating that incorporation into the liposome complex did not inactivate the immunological activity of the anti-TfR lpp-scFv. It should be noted that the liposome preparation used for these initial experiments with DU145 was that optimized for JSQ-3 cells. Therefore, the binding of the scFv-targeted liposome complex to the prostate tumor cells can be further enhanced by the use of the liposome complex optimized for this cell type.
  • TABLE 2
    FACS Analysis of TfRscFv-liposome
    Binding to JSQ-3 and DU145
    JSQ-3 DU145
    Transfected by % Positive Meana % Positive Meana
    Untransfected 3.46 4.07 2.22 3.40
    Lip(A) 9.69 6.26 4.51 4.07
    scFv-LipA1 86.38 19.8 50.19 12.40
    scFv-LipA2 89.58 21.30 39.52 11.1
    Free lpp-scFv 85.09 21.30 78.09 18.40
    HB21b 99.44 69.80 98.70 64.90
    aMean of the relative fluorescence
    bParental monoclonal antibody of the anti-TfR scFv
  • Indirect immunofluorescence staining with scFv-liposome (where Lip(A) had been labeled with rhodamine-DOPE) and FITC-labeled anti-mouse IgG following anti-c-myc antibody, confirmed the binding of the scFv-targeted liposome complex to the JSQ-3 cells. The concurrence of the red and green fluorescence in the transfected cells demonstrates that the anti-TfR scFv (indicated by the FITC-labeled anti-c-myc antibody as green fluorescence) does indeed direct the rhodamine-labeled Lip(A) to the cells. Moreover, the high level of cellular binding of the scFv-Lip(A) system is demonstrated by the large percentage of red/green double-positive fluorescent cells.
  • Example 5 Optimization of scFv-immunoliposome Mediated Gene Transfection of Target Cells In Vitro
  • We determined the in vitro transfection efficiency of the anti-TfR scFv-Lip(A) complex in JSQ-3 cells using β-galactosidase as the reporter gene. In these studies the reporter construct used contained the β-galactosidase gene under the control of the CMV promoter (pCMVb), the same promoter used in pCMVp53 (FIG. 3). The level of β-Gal expression in the transfected cells (correlating with the transfection efficiency) was assessed by β-Gal enzymatic assay (Xu L, et al., Hum. Gene Ther. (1997) 8:467-475). As shown in Table 3, the attachment of the anti-TfR scFv to the Lip(A) resulted in a doubling of the enzyme activity in the scFv-Lip(A)-pCMVb transfected cells, as compared to the untargeted liposome complex. This level of expression was also found to be virtually identical to that observed when transferrin itself was used as the targeting ligand (Tf-Lip(A)-pCMVb). Moreover, this increase in gene expression was shown to be reporter gene DNA dose dependent. Table 4 shows the optimization of scFv-liposome mediated transfection of JSQ-3 cells.
  • TABLE 3
    Transfection of JSQ-3 Cells by Anti-TfR scFv-liposomes*
    DNA (μg/well) Lip(A) only Tf-Lip(A) scFV-LipA1 scFv-LipA2
    1.0 475 1031 997 1221
    0.5 601 981 811 854
    0.25 266 503 578 471
    0.125 130 262 215 236
    *milliunits/mg protein, β-galactosidase equivalent, β-Gal enzymatic assay
    scFv-LipA1: by lipid-film solubilization method
    scFv-LipA2: by direct anchoring method
  • TABLE 4
    Optimization of scFv-liposome transfection to JSQ-3*
    DNA/Lip Lip(A) scFv- scFv- scFv- scFv- scFv-
    (μg/nmol) only LipA1 LipA2 LipB LipD LipG
    1/8 1.559 2.793 2.642 1.827 0.874 0.648
    1/10 1.776 2.846 2.83 2.268 1.606 1.283
    1/12 1.868 2.772 2.815 2.175 1.257 1.416
    1/14 1.451 3.031 2.797 2.31 1.78 1.656
    *β-Gal enzymatic assay, OD405
    scFv-LipA1: by lipid-film solubilization method
    scFv-LipA2: by direct anchoring method
  • Example 6 scFv-immunoliposome Mediated p53 Gene Transfection Target to Tumor Cells Causing Sensitization to Chemotherapeutic Agents
  • 1. Anti-TfR scFv Facilitated Liposome-Mediated wtp53 Gene Transfection In Vitro
  • The expression of exogenous wtp53 in JSQ-3 tumor cells transfected with the anti-TfR scFv-targeted Lip(A)-p53-3′Ad was assessed by co-transfection of an expression plasmid (pBP100) which contains the luciferase reporter gene under the control of a p53 responsive promoter (Chen L, et al., Proc. Natl. Acad. Sci. USA (1998) 95:195-200). Consequently, the higher the level of exogenous wt p53 expression (representing the scFv-Lip(A)-p53-3′Ad transfection efficiency), the higher the level of luciferase activity. This luciferase enzyme activity is expressed as relative light units (RLU). As was demonstrated above with the β-gal reporter gene, the addition of the anti-TfR scFv as the targeting agent to the Lip(A)-p53-3′Ad complex resulted in a significant increase in transfection efficiency and wtp53 protein expression (as expressed by RLU of Luciferase activity) over the untargeted Lip(A)-p53-3′Ad complex (Table 5). Once again, the level of p53 expression in the scFv-Lip(A)-p53-3′Ad transfected cells was similar to that observed when transferrin itself was used as the targeting ligand (LipT(A)-p53-3′Ad). Therefore, these findings indicate that the anti-TfR single-chain antibody strategy is a useful method of targeting the cationic liposome complex, and delivering a biologically active wtp53 gene, to tumor cells.
  • TABLE 5
    In Vitro p53 Expression Mediated by
    Different Liposomes in JSQ-3 cells
    Transfected by RLU*
    Medium + p53-3′Ad + pBP100 158
    Lip(A) + p53-3′Ad + pBP100 4073
    LipT(A) + p53-3′Ad + pBP100 7566
    scFv-Lip(A1) + p53-3′Ad + pBP100 6441
    *Relative light units per well

    2. Anti-TfR scFv-Immunoliposome Mediated p53 Gene Restoration Sensitized the Tumor Cells to the Cytotoxicity of Cisplatin (CDDP).
  • For the p53-induced apoptosis study, mouse melanoma cell line B16 was transfected with anti-TfR scFv-immunoliposome complexed with p53-3′Ad (FIG. 4) or pCMVpRo plasmid (FIG. 3) DNA (scFv-Lip(A)-p53 and scFv-Lip(A)-pRo, respectively) at a dose of 5 μg DNA/2×105 cells in 2 sets of 6-well plates. For comparison, transferrin-liposome-DNA (LipT-p53 or LipT-pRo) were also transfected at a dose of 5 μg DNA/2×105 cells. 24 hours later, CDDP was added to one set of plates to 10 μM final concentration. 24 and 48 hours after the drug was added, both the attached and floating cells were collected for apoptosis staining. The cells were stained with an Annexin V-FITC Kit (Trevigen, Inc., Gaithersburg, Md.) according to manufacturer's protocol. Annexin V is a lipocortin, a naturally occurring blood protein and anti-coagulant. The stained cells were analyzed on a FACStar cytometer (Becton and Dickinson). Table 6 summarizes the results of the apoptosis analysis.
  • TABLE 6
    Apoptosis of B16 Cells Induced by Liposomal
    p53-gene Restoration and CDDP*
    24 hours 48 hours
    Transfected by −CDDP +CDDP −CDDP +CDDP
    Untransfected 0.22 4.4 6.33 20.11
    LipA-p53 15.9 26.7 15.02 26.52
    scFv-LipA-p53 13.9 38.4 34.94 43.7
    scFv-LipA-pRo 8.1 19.9 24.14 37.59
    Tf-LipA-p53 22.4 29.5 34.47 31.7
    Tf-LipA-pRo 14.1 12.6 14.00 25.34
    *% of apoptotic cells (Annexin V-FITC positive)
  • Without CDDP there was no increase in the percent of apoptotic cells induced at 24 hours by the addition of the scFv ligand as compared to the amount induced by the liposome complex alone. However, by 48 hours, there is a greater than 2-fold increase in the percent of apoptotic cells by the addition of the targeting scFv to the lipoplex. With CDDP there is a significant increase in apoptotic cells (approximately 1.5-fold) even at 24 hours as compared to the untargeted liposome complex. More significantly, this increase in apoptotic cells in combination with CDDP is more pronounced using the scFv to the Tf receptor as the targeting ligand than using the Tf molecule itself. This increase correlates with transfection efficiency.
  • Example 7 scFv-immunoliposome-targeted wtp53 Gene Delivery and Expression In Vivo with Systemic Administration
  • To examine the ability of the anti-TfR scFv containing liposomes to deliver wtp53 specifically to tumor tissue in vivo, scFv-Lip(A)-p53-3′Ad (FIG. 4) or the untargeted Lip(A)-p53-3′Ad (FIG. 4) was injected intravenously into nude mice bearing JSQ-3 subcutaneous xenograft tumors. Two days after injection, the tumors were excised and protein isolated from liver and skin, as well as the tumor, for Western blot analysis (Xu L, et al., Hum. Gene Ther. (1997) 8:467-475). Equal amounts of protein (100 μg, as determined by concentration) were loaded in each lane. As shown in FIG. 2, the tumor from the mouse systemically treated with the scFv-Lip(A)-p53-3′Ad complex, labeled scFv-Lip(A)-p53 in FIG. 2, displayed a very intense p53 signal as well as the additional lower band indicative of a high level of expression of the exogenous wtp53, while only the lower expression of the endogenous mouse p53 is evident in both the skin and the liver. In contrast, as would be expected based upon our earlier results, a significantly lower level of exogenous p53 expression is evident in the tumor isolated from the untargeted Lip(A)-p53-3′Ad injected mouse, labeled Lip(A)-p53 in FIG. 2. Therefore, the liposome complex targeted by our new and unique anti-TfR lpp-scFv ligand can clearly deliver exogenous genes selectively to the tumor in vivo. These results demonstrate the potential of this new way of efficiently targeting systemically delivered, cationic liposome complexes specifically to tumors in vivo.
  • Example 8 Construction and Purification of TfRscFv with a 3′Cysteine for Use in the Conjugation Method
  • In the absence of a lipid tag, another method was devised to attach the purified TfRscFv protein to the lipoplex. This approach entails the conjugation of the single chain protein to cationic liposomes via a reducible group such as a sulfhydryl group. In the preferred embodiment a cysteine residue is added at the 3′ end of the TfRscFv protein. Reduction of this cysteine results in a free sulfhydryl group which is capable of being conjugated to cationic liposomes, thus targeting the lipoplex to cells expressing the transferrin receptor. While the following examples use cysteine as the reducible group it is obvious that other similar reducing groups would also work with this method.
  • 1. Construction
  • A. Construction of an Expression Vector Containing a 3′Cysteine with a Histidine Tag for Use in the Conjugation Method of Producing TfRscFv Immunoliposomes
  • As in Example 1, the VH-linker-Vκ scFv for the TfR was obtained from plasmid expression vector, pDFH2T-vecOK (described in Example 1). Using a 5′ primer (5′ GGCCCATGGAGGTGC AGCTGGTGG 3′ (SEQ ID NO:3)) for PCR amplification, an NcoI site was introduced into pDFH2T-vecOK. The nucleotide sequence for the cysteine residue as well as a NotI restriction site was introduced using a 3′ primer (5′ GGCGCGGCCGCGCATTTTATCTCCAGCTTG 3′ (SEQ ID NO:4)). The PCR product was cloned into NcoI and NotI sites of the commercial vector pET26b(+) (Novagen). This vector also contains, 5′ of the NcoI site, the pelB leader signal sequence. The presence of this sequence in the expression vector allows transport of the protein to the periplasmic space. To aid in purification of the protein, the pET26b(+) vector also contains a Histidine tag sequence 3′ of the NotI site (FIG. 5).
  • B. Construction of an Expression Vector Containing a 3′ Cysteine without a Histidine Tag for Use in the Conjugation Method of Producing TfRscFv Immunoliposomes
  • For human use as a therapeutic delivery vehicle, it is preferable that the TfRscFv be produced without the Histidine tag. Therefore, the construct described in Example 8, section 1. A, was modified to eliminate this tag in the final protein product. To accomplish this, the same 5′ primer as described above (in Example 8, section 1. A) was used. However, a different 3′ primer was used. In addition to the nucleotide sequence for the cysteine residue and the NotI restriction site, this primer (5=GGCGCGGCCGCTCAGCATTTTATCTCCAGCTTG 3=(SEQ ID NO:5)), introduced a DNA stop codon adjacent to the cysteine sequence and before the NotI site (FIG. 6). Thus, the protein product of this construct will not contain the His-tag.
  • C. Construction of an Expression Vector Containing a 3′Cysteine with a 5′CBD™Tag for Use in the Conjugation Method of Producing TfRscFv Immunoliposomes
  • A third alternative construct containing a cysteine residue for linkage to the cationic lipoplex using the conjugation method was also made. For this construct (FIG. 7), the same two primers described above in Example 8, section 1. B, were used. Thus no His-tag would be present in the protein product. However, the PCR product of these reactions was cloned into a different vector, pET37b(+) (Novagen). This vector contains a cellulose binding domain tag (CBDθ-tag) and an S-tag, both 5′ of the NcoI site in the vector. The CBD-tag sequence encodes a cellulose binding domain derived from a microbial cellulase. Thus, the presence of this tag enables the use of cellulose-based supports for highly specific, low cost affinity purification of the protein product. The presence of the S-tag present in this construct allows for easy detection of the protein product on Western blots and for easy enzymatic quantitation of protein amounts.
  • 2. Purification of the TfRscFv containing the Cysteine Residue
  • The commercially available E. coli expression host BL21 (DE3), which contains the expressed lac repressor, was transformed with an expression vector (all three were used individually) described above in Example 8, section 1. A number of clones were selected and the ones that produced the best yield of TfRscFv were chosen. Purification of the protein from the construct described above in Example 8, section 1. A, with the histidine tag is given in detail as an example, although the same method is used for purification of the cysteine containing TfRscFv protein from all three constructs described in Example 8, section 1. The majority of the TfRscFv protein (approximately 90%) was found not to be soluble but to be contained within the inclusion bodies. Therefore, the TfRscFv containing the cysteine-linker was purified from the inclusion bodies as follows. A single clone was inoculated into 5-10 ml LB containing 50 μg/ml Kanamycin, and grown at 37° C., and 250 rpm to an OD600 of 0.5B0.7 (4-5 hrs). 30 ml of the mini culture was pelleted, suspended in LB broth, added to 1 L LB containing 50 μg/ml Kanamycin and incubated at 37° C. and 250 rpm, to an OD600 of 0.5B0.7 (4-5 hrs). To induce expression of the TfRscFv protein, IPTG at a final concentration of 1 mM was added to the culture at this time and incubation continued for an additional 4 hrs. This time was determined to yield the maximum level of protein expression. The bacterial cultures were then collected by centrifugation and lysed in 100 ml of cold 20 mM Tris-HCl, pH 7.5, containing 100 μg/ml lysozyme, at 30° C. for 15 minutes. The sample was sonicated at 10 watts for 5 minutes (in 30 second bursts) with cooling on ice. The inclusion bodies were isolated by centrifugation at 13,000 g for 15 minutes. The resulting pellet was washed three times in cold 20 mM Tris-HCl buffer, pH 7.5. The purity and quantity of the inclusion bodies were determined by SDS-polyacrylamide gel electrophoresis before solubilization.
  • The isolated inclusion bodies were dissolved in 100 mM Tris-HCl, pH 8.0 containing 6 M guanidine-HCl and 200 mM NaCl (6 M GuHCl buffer) and centrifuged at 12,300 g for 15 minutes to remove insoluble debris. 2-mercaptoethanol was added to the supernatant to a final concentration equal to approximately 50 molar fold of the protein concentration and the mixture incubated with rotation for 1 hour at room temperature. The presence of such a high concentration of guanidine-HCl and the reducing agent results in a totally unfolded protein. Refolding of the TfRscFv protein was accomplished by dialysis at 4° C. against decreasing concentrations of guanidine-HCl in the absence of 2-mercaptoethanol. Dialysis was performed for 24 hours each against the following concentrations of guanidine-HCl in 100 mM Tris-HCl, pH 8.0 and 200 mM NaCl: 6 M, 3 M, 2 M, 1 M and 0.5 M. The last dialysis was against three changes of just 100 mM Tris-HCl, pH 8.0 and 200 mM NaCl. The fourth dialysis solution (of 1 M guanidine-HCl) also contained 2 mM glutathione (oxidized form) and 500 mM L-arginine. These reagents allow the partially refolded protein to form the proper disulfide bonds to produce the correct protein conformation. The solution was clarified by centrifugation at 13000 g to remove aggregates. The sample was concentrated approximately 1.5 fold using the Centrplus centrifugal filter (Amicon) at 3000 g for 90 min. SDS-PAGE showed a single band of the solubilized cysteine containing TfRscFv with a molecular weight of approximately 28-30 kDa containing only minor contaminants (FIG. 8).
  • Example 9 Preparation of scFv-Liposomes by the Conjugation Method
  • 1. Reduction of scFv
  • The purified TfRscFv was reduced by DTT to obtain monomer scFv-SH as follows: To scFv in HBS (10 mM HEPES, 150 mM NaCl, pH 7.4) was added 1 M DTT to a final concentration of 1-50 mM. After rotation at room temperature for 5-10 min, the protein was desalted on a 10-DG column (Bio-Rad). The free —SH group was measured by 5,5′-dithiobis-(2-nitrobenzoic acid) (DTNB, Ellman's reagent) (G. L. Ellman (1959) Arch. Biochem. Biophys. 82:70-77. P. W. Riddles, R. L. Blakeley, B. Zeruer (1993) Methods Enzymol. 91:49-60) and calculated as —SH/protein molar ratio, or number of free —SH per scFv molecule (Table 7). The results indicate that 1-10 mM DTT is appropriate for the scFv reduction.
  • TABLE 7
    Reduction of TfRscFv
    DTT Concentration
    (mM) —SH/scFv molar ratio
    0 0.15
    1 0.45
    10 1.94
    20 2.26
    50 3.03
  • 2. Liposome Preparation
  • 4-(p-maleimidophenyl)butyrate-DOPE (MPB-DOPE) (Avanti Polar Lipids) is included in the seven liposome formulations described in Example 3, to a 5-8% molar of total lipids. The MPB-liposomes were prepared the same way as described in Example 3. Other liposome preparation methods can also be used to prepare the cationic liposomes. For example, the ethanol injection method modified from that described by Campbell M J (Biotechniques 1995 June; 18(6):1027-32) was used successfully in the present invention. In brief, all lipids were solubilized in ethanol and mixed, injected into vortexing pure water of 50-60° C. with a Hamilton syringe. The solution was vortexed for a further 10-15 min. The final concentration was 1-2 mM total lipids. The ethanol injection method is faster, easier and more robust. 1 M HEPES, pH 7.5 (pH 7.0-8.0) was added to a final concentration of 10-20 mM. Since we have found that the maleimide group is not stable in aqueous solution with pH>7, the liposomes should be prepared in water (pH 5-6.5). The pH can be adjusted to 7.0-8.0 before linking to scFv-SH with 1 M HEPES buffer, pH 7.0-8.0, to facilitate the post-coating reaction.
  • 3. Preparation of scFv-Liposome-DNA Complexes
  • A. Pre-Linking Method
  • scFv-SH was added to MPB-liposome at a protein/lipid (w/w) ratio of 1/5-1/40, preferably 1/10-1/20. The solution was mixed by gentle rotation for 30 min at room temperature to yield scFv-Lip. The scFv-Lip was used without purification although it can be purified by Sepharose CL-4B column chromatography. Plasmid DNA was diluted in water and added to the scFv-Lip at a DNA/lipid (μg/nmol) ratio of 1/6-1/20, preferably 1/10-1/14. The solution was mixed well for 5-15 min by inversion several times to produce scFv-Lip-DNA complex. scFv-Lip-DNA was used without purification although it can be purified by Sepharose CL-4B column chromatography. 80-100% of the scFv was found to be conjugated to the liposome.
  • B. Post-Linking Method
  • Plasmid DNA was diluted in water and was added to the MPB-liposome at a DNA/lipid (μg/nmol) ratio of 1/6-1/20, preferably 1/10-1/14. The solution was mixed well for 5-15 min by inversion several times to produce an MPB-Lip-DNA complex. scFv-SH was then added to the complex at a protein/lipid (w/w) ratio of 1/5-1/40, preferably 1/10-1/20. The solution was mixed by gentle rotation for 30 min at room temperature, to produce the final scFv-Lip-DNA complex. The scFv-Lip-DNA was used without purification although it can be purified by Sepharose CL-4B column chromatography. 80-100% of the scFv was found to be conjugated to the liposome.
  • 4. For intravenous injection, a 50% dextrose solution was added to the scFv-Lip-DNA to a final concentration of 5%.
  • Example 10 Immunoreactivity of Cysteine Containing TfRscFv-Immunoliposomes by the ELISA Assay
  • This example provides the characterization of the anti-TfRscFv-immunoliposomes produced by the conjugation method of this invention with respect to their ability to bind to TfR(+) cells in vitro. Human squamous cell carcinoma of head and neck cell line JSQ-3 served as the TfR(+) target cells for these studies.
  • As previously described in Example 4, indirect cellular enzyme-linked immunosorbent assay (ELISA) was employed to determine the immunoreactivity of the TfRscFv before and after conjugation to liposomes. Confluent JSQ-3 cells in 96-well plates were fixed with 0.5% glutaraldehyde in PBS for 10 min at room temperature. The plate was blocked with 5% fetal bovine serum (FBS) in PBS at 30° C. for 30 min. The cysteine containing TfRscFv alone, this TfRscFv conjugated to cationic liposomes (TfRscFv-immunoliposomes) and untargeted liposomes were added to wells in triplicate. An anti-transferrin receptor monoclonal antibody (Hb21, obtained from David Fitzgerald, NIH) was used in one series of wells as a positive control. The plate was incubated at 4° C. overnight. The wells were washed three times with PBS, and an anti-His monoclonal antibody (Qiagen) was added to each well (except for those receiving the antibody positive control) in 3% FBS in PBS and incubated at 37° C. for 60 min. After three PBS washes, HRP-labeled goat-anti-mouse IgG (Sigma) diluted in 3% FBS was added to each well and incubated for 30 min at 37° C. The plate was washed three times with PBS and 100 μl substrate 0.4 mg/ml OPD in citrate phosphate buffer (Sigma) was added to each well. The color-development was stopped by adding 100 μl 2 M sulfuric acid to each well. The plate was read on an ELISA plate reader (Molecular Devices Corp.) at 490 nm.
  • Indirect cellular ELISA clearly demonstrated that the anti-TfR scFv containing a C-terminal cysteine maintained its immunoreactivity. The OD490 values increased with increasing amounts of TfRscFv protein, rising from 0.060±0.0035 with 0.6 μg of protein, to 0.100±0.0038 at 1.5 μg and 0.132±0.0031 with 3 μg of TfRscFv. Moreover, this TfRscFv protein appears to have even greater binding activity than the parental Hb21 anti-transferrin receptor antibody used as a positive control. The OD490 for the highest concentration of the Hb21 (100 μl) was approximately 2-4 fold less (0.033±0.0086).
  • The indirect cellular ELISA assay was also performed after the same TfRscFv protein was incorporated via the conjugation method of the invention (Example 9) into two different liposome complexes (Lip(A) and Lip(B)) to demonstrate the universality of this method with cationic liposomes. Both the pre- and post-linking conjugation methods of liposome preparation detailed in Example 9 were used. As shown in Table 8, the immunoreactivity of the TfRscFv prepared by the conjugation method is not lost through complexing to either of the two liposome compositions. This was true for both pre- and post-linking methods used to produce the immunoliposome complex. The TfRscFv-targeted lipoplexes also demonstrated binding to the cells. This binding was significantly higher than that of the liposome without the TfRscFv, suggesting that this binding is in fact mediated through the attachment of the TfRscFv to the transferrin receptor on the cells.
  • TABLE 8
    Binding of TfRscFv-immunoliposomes Prepared by
    theConjugation Method to JSQ-3 Cells In Vitro*
    DNA:Lipid
    Ratio OD490
    Lip(B)-DNA 1:10 0.088
    TfRscFv-Lip(A)-DNA by Pre- 1:10 0.152 ± 0.016
    TfRscFv-Lip(A)-DNA by Pre- 1:12 0.166 ± 0.009
    TfRscFv-Lip(A)-DNA by Post- 1:12 0.168 ± 0.006
    TfRscFv-Lip(B)-DNA by Pre- 1:12 0.139 ± 0.012
    TfRscFv only 0.235
    *ELISA, OD490, Mean ± SD (triplicate readings except for Lip(B)-DNA)
    Pre- = Pre-linking Conjugation Method
    Post- = Post-linking Conjugation Method
  • Example 11 Conjugated TfRscFv-immunoliposome Mediated Gene Transfection of Target Cells In Vitro
  • We determined the in vitro transfection efficiency of the TfRscFv-liposome complex, prepared by the conjugation method, in cells using the plasmid pLuc, which contains the firefly luciferase gene under control of the CMV promoter as the reporter gene. To demonstrate the universality of the TfRscFv as a targeting ligand, here also, as in Example 10, two separate liposome compositions (Lip(A) and Lip(B)) were conjugated to the TfRscFv protein. Human breast cancer cell line MDA-MB-435 and human squamous cell carcinoma of the head and neck cell line JSQ-3 were used in these studies. The in vitro transfection was performed in 24-well plates (Xu L, et al., Hum. Gene Ther. (1999) 10:2941-2952). The transfection solutions were added to the cells in the presence of 10% serum. 24 hr later the cells were washed and lysed to measure the luciferase activity and protein concentration. The results are expressed as 103 relative light units (RLU) per μg protein in the lysate, as shown in Tables 9A and 9B.
  • TABLE 9A
    Conjugated TfRscFv-immunoliposome Mediated
    Transfection In Vitro#
    Luciferase Activity
    (×103 RLU/μg protein)
    MDA-MB-435 JSQ-3
    LipA 106 377
    Tf-LipA 284 640
    scFv-LipA* 560 1160
    scFv-LipA** 660 1210
    scFv-LipA (1/10)@ 1315
    scFv-LipA (1/20)@ 751
    #Mean of duplicates
    *Containing 5% MPB-DOPE
    **Containing 7% MPB-DOPE
    @Ratio of scFv/lipids (w/w)
  • TABLE 9B
    In Vitro Transfection Activity of Conjugated
    TfRscFv-Immunoliposome-DNA Complexes Prepared
    for Systemic Administration
    Luciferase Activity
    (×103 RLU/μg protein)
    MDA-MB-435 JSQ-3
    scFv-LipA-pLuc (pre-linking)* 58.4 675
    scFv-LipA-pLuc (pre-linking)** 45.6 513
    scFv-LipB-pLuc (pre-linking)* 51.4 415
    scFv-LipA-pLuc (post-linking)* 58.1 856
    scFv-LipA-pLuc (post-linking)** 45.3 343
    scFv-LipB-pLuc (post-linking)* 47.2 237
    *Containing 5% MPB-DOPE
    **Containing 7% MPB-DOPE
  • The results show that the cysteine containing TfRscFv-immunoliposomes prepared by the conjugation method have very high transfection activity in vitro, 3-6 fold higher than the untargeted liposomes and 2-3 fold higher than the transferrin-targeted liposomes. This was true for both liposome compositions and both human tumor cell lines. Thus, they still retain their immunoreactivity and can bind to their target receptor. Based upon Table 9A, the scFv-liposomes can also be used as efficient gene transfection reagents in vitro, and are much more efficient than commercially available cationic liposomes (DOTAP/DOPE and DDAB/DOPE) and transferrin-liposomes. The TfRscFv-immunoliposomes disclosed in the present invention can be used for an efficient in vitro gene transfection kit useful for the transfection of mammalian cells with transferrin receptors.
  • The TfRscFv is a smaller molecule than transferrin itself. Thus, the resulting complex is more compact and more easily taken up by the cells giving a higher transfection efficiency.
  • These results are also advantageous for the use of the TfRscFv immunoliposome for systemic delivery for human use. The smaller size allows increased access to the tumor cells through the small capillaries. Most significantly, the TfRscFv is not a human blood product as is the Tf molecule. Therefore, the concerns and technical problems associated with the use of transferrin itself for human therapy are avoided.
  • Example 12 Conjugated TfRscFv-Immunoliposome Mediated Expression of Wild-type p53 in a Nude Mouse Xenograft Model Following Systemic Delivery
  • In this example the ability of the TfRscFv, produced by the conjugation method of this invention, to direct a lipoplex carrying the wild-type p53 (wtp53) gene preferentially to tumor cells in vivo after systemic delivery is demonstrated. To demonstrate the universality of the TfRscFv as a targeting ligand, here also, as in Example 10, two separate liposome compositions (Lip(A) and Lip(B)) were complexed to the cysteine-containing TfRscFv protein by the conjugation method. Only the pre-linking method of conjugation as detailed in Example 9 was used in this study. 2.5×106 MDA-MB-435 human breast cancer cells were subcutaneously injected into 4-6 wk old female athymic nude mice. 1.1×107 DU145 human prostate cancer cells suspended in Matrigel® collagen basement membrane (Collaborative Biomedical Products) were also subcutaneously injected into 4-6 week old female athymic nude mice and tumors were allowed to develop. Animals bearing tumors of between 50-200 mm3 were used in the study (1 animal/sample tested). Conjugated TfRscFv immunoliposomes carrying the wtp53 gene, as well as untargeted Lip(B)-p53 and wtp53 naked DNA were intravenously injected into the tail vein of the animals. As an additional control, conjugated TfRscFv-Lip(A) carrying the empty vector in place of the p53 containing vector was also injected into a mouse. As described in Example 7, approximately 60 hours post-injection, the animals were sacrificed and the tumors, as well as the liver, were excised. Protein was isolated from the tissues and 100 μg of each sample (as determined by protein concentration assay) was run on a 10% polyacrylamide gel for Western blot analysis using an anti-p53 monoclonal antibody. In both of these tumor types the endogenous mouse and the exogenous human p53 migrate at the same position. The results here mirror those described in Example 7. As shown in FIG. 9, both the DU145 and MDA-MB-435 tumors from the animals intravenously injected with the TfRscFv-Lip(A)-pCMVp53 lipoplex or the TfRscFv-Lip(B)-pCMVp53 lipoplex prepared by the conjugation method displayed a high level of expression of exogenous wtp53, as indicated by the intense p53 signal and an additional lower band, with the best expression in the DU145 tumors. While it appears that in both tumor types the Lip(A) composition was somewhat better than the Lip(B), both liposome compositions worked demonstrating the universality of this method. Only the endogenous mouse p53 protein was evident in the liver of these animals. In contrast, only the endogenous mouse p53 protein was evident in the tumors excised from the mice injected with the conjugated TfRscFv-Lip(B) carrying the empty vector or the naked wtp53 DNA. A small increase in p53 expression also was observed in the DU145 tumor with the untargeted Lip(B)-p53. Thus, the conjugated TfRscFv-immunoliposomes delivered the wtp53 gene preferentially to the tumors, as desired. It is also significant that this tumor targeting was evident in two different tumor types, indicating the general usefulness of the method of this invention. Therefore, the methods of this invention described in the preceding Examples generate a TfRscFv protein that not only retains its ability to bind to cationic liposomes but is still immunologically active preserving its ability to bind to the transferrin receptor in vitro and in vivo, thus fulfilling our objective of producing a tumor-specific, targeted immunoliposome for gene therapy.
  • While the invention has been disclosed in this patent application by reference to the details of preferred embodiments of the invention, it is to be understood that the disclosure is intended in an illustrative rather than in a limiting sense, as it is contemplated that modifications will readily occur to those skilled in the art, within the spirit of the invention and the scope of the appended claims.

Claims (20)

1. A method of delivering a nucleic acid molecule to an animal, comprising administering to said animal a therapeutically effective amount of a nucleic acid-cationic immunoliposome complex comprising (i) a cationic liposome, (ii) an scFv antibody fragment, and (iii) a nucleic acid, wherein said nucleic acid-cationic immunoliposome complex is prepared by a method comprising:
(a) preparing said antibody fragment;
(b) directly conjugating said antibody fragment to said cationic liposome to form a cationic immunoliposome, wherein said conjugation occurs via a sulfur atom which was part of a sulfhydryl group at the carboxy terminus on said antibody fragment prior to said conjugation; and
(c) mixing said cationic immunoliposome with said nucleic acid to form said nucleic acid-cationic immunoliposome complex;
wherein said antibody fragment and said cationic liposome are present at a protein:lipid ratio (w:w) in the range of 1:10 to 1:40 and wherein said nucleic acid and said cationic liposome are present at a nucleic acid:lipid (1 g:nmol) ratio in the range of 1:6 to 1:20.
2. The method of claim 1, wherein said complex is administered systemically.
3. The method of claim 1, wherein said complex is administered intravenously.
4. The method of claim 1, wherein said antibody fragment is capable of binding to a transferrin receptor.
5. The method of claim 1, wherein said nucleic acid is DNA.
6. The method of claim 1, wherein said nucleic acid encodes a wild type p53.
7. The method of claim 1, wherein said sulfur atom is part of a cysteine residue.
8. The method of claim 1, wherein said antibody fragment is covalently bound to dioleoylphosphatidylethanolamine (DOPE) linked to 4-(p maleimidophenyl)butyrate (MPB) or other sulfhydryl reacting group.
9. The method of claim 1, wherein said complex comprises a cationic liposome, an antibody fragment capable of binding to a transferrin receptor and a nucleic acid complex encoding a wild type p53.
10. The method of claim 1, wherein said cationic liposome comprises a cationic lipid and a neutral or helper lipid, and wherein said cationic lipid is dioleoyltrimethylammonium-propane (DOTAP) or dimethyldioctadecylammonium bromide (DDAB), and said neutral or helper lipid is dioleoylphosphatidylethanolamine (DOPE) and/or cholesterol.
11. The method of claim 1, wherein said neutral or helper lipid comprises dioleoylphosphatidylethanolamine (DOPE).
12. The method of claim 1, wherein said antibody fragment and said cationic liposome are present at a protein:lipid ratio (w:w) in the range of 1:10 to 1:20.
13. The method of claim 1, wherein said antibody fragment is a transferrin single chain antibody fragment (TfRscFv).
14. The method of claim 1, wherein said antibody fragment is a transferrin single chain antibody fragment (TfRscFv), said antibody fragment and said cationic liposome are present at a protein:lipid ratio (w:w) in the range of 1:10 to 1:20.
15. The method of claim 1, wherein said nucleic acid and said cationic liposome are present at a nucleic acid:lipid (μg:nmol) ratio in the range of 1:10 to 1:14.
16. The method of claim 1, wherein said animal is a human.
17. The method of claim 1, wherein said animal has cancer.
18. A method of delivering a nucleic acid molecule to an animal, comprising administering to said animal a therapeutically effective amount of a nucleic acid-cationic immunoliposome complex comprising (i) a cationic liposome, (ii) an scFv antibody fragment, and (iii) a nucleic acid, wherein said nucleic acid-cationic immunoliposome complex is prepared by a method comprising:
(a) preparing said antibody fragment;
(b) directly conjugating said antibody fragment to said cationic liposome to form a cationic immunoliposome, wherein said conjugation occurs via a sulfur atom which was part of a sulfhydryl group at the carboxy terminus on said antibody fragment prior to said conjugation; and
(c) mixing said cationic immunoliposome with said nucleic acid to form said nucleic acid-cationic immunoliposome complex;
wherein said antibody fragment and said cationic liposome are present at a protein:lipid ratio (w:w) in the range of 1:10 to 1:20 and wherein said nucleic acid and said cationic liposome are present at a nucleic acid:lipid (μg:nmol) ratio in the range of 1:10 to 1:14.
19. The method of claim 18, wherein said antibody fragment is a transferrin single chain antibody fragment (TfRscFv), and said nucleic acid encodes a wild type p53.
20. The method of claim 19, wherein the animal is a human that has cancer.
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