WO1997038014A1 - Fibulin pharmaceutical compositions and related methods - Google Patents

Fibulin pharmaceutical compositions and related methods Download PDF

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Publication number
WO1997038014A1
WO1997038014A1 PCT/US1997/006280 US9706280W WO9738014A1 WO 1997038014 A1 WO1997038014 A1 WO 1997038014A1 US 9706280 W US9706280 W US 9706280W WO 9738014 A1 WO9738014 A1 WO 9738014A1
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Prior art keywords
protein
amino acids
fibulin
cys
ser
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PCT/US1997/006280
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French (fr)
Inventor
Larry G. Bennett
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Amgen Inc.
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Priority to AU26708/97A priority Critical patent/AU2670897A/en
Publication of WO1997038014A1 publication Critical patent/WO1997038014A1/en

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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K14/00Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/435Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • C07K14/78Connective tissue peptides, e.g. collagen, elastin, laminin, fibronectin, vitronectin, cold insoluble globulin [CIG]
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K14/00Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/435Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • C07K14/575Hormones
    • C07K14/5759Products of obesity genes, e.g. leptin, obese (OB), tub, fat
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides

Definitions

  • the present invention relates to fibulin protein, fibulin/OB protein complex and pharmaceutical compositions thereof.
  • the present invention also relates to methods of making and using the above proteins and compositions.
  • OB gene OB gene
  • protein protein encoded
  • Zhang et al. Nature 372 : 425-432 (1994); see also, the Correction at Nature 374: 479 (1995) .
  • the OB protein is active in vivo in both ob/ob mutant mice (mice obese due to a defect in the production of the OB gene product) as well as in normal, wild type mice.
  • the biological activity manifests itself in, among other things, weight loss. See generally, Barinaga, "Obese” Protein Slims Mice, Science 269: 475-476 (1995) .
  • OB protein in blood has not been accomplished to any significant degree. For example, it is not known whether OB protein circulates complexed to other substances in blood, and, if so, what effects these other substances may have. Such binding complexes or proteins may, for example, act as antagonist, or may have a protective effect, and contribute to the stability of either exogenously administered or naturally occurring OB protein present in the body.
  • fibulins are known to be plasma proteins. S_ee Tran et al. , J. Biol. Chem. 270: 19458-19464 (1990) . There are two known types of fibulins, type 1 and type 2. Agraves et al . , J. Cell Biol. Ill: 3155-3164 (1990) . Of fibulin type 1, there are 4 variants or isoforms, denoted in the literature as "A", "B” , "C", and "D” . Id. at Figure 6. Generally, fibulin type 1 "A" is a 537 amino acid protein. Argraves, et al.
  • Variants “B” , “C” and “D” have conserved amino acids 1-537, but have altered C-termini: “B” has amino acids 538-572, “C” has amino acids 538- 654, and “D” has amino acids 538-674.
  • the polypeptides predicted from the nucleotide sequences of the CDNA's have molecular masses of 58,670, 62,561, 71,551 and 77,274 for fibulin type 1 variants A-D respectively. See Argraves et al. , supra. These forms are also rich in cysteine, approximately 11 mole %. .Id. at 3160.
  • Fibulin type 1 is known to co-purify with fibrinogen, and to bind to various extracellular matrix proteins such as fibronectin, laminin, and nidogen. See Tran et al. , supra. Fibulin type 1 has been observed in the blood in concentrations of 30-40 ⁇ g/ml, id., and is thought to be, among other things, a structural protein that contributes to the elastic properties of connective tissue, or is involved in the process of fibrogenesis . Roark et al. , J. Histochem. Cytochem. 4_3: 401-411 (1995) . Fibulin protein, the DNA encoding it, as well as antibodies reactive with fibulin, have also been characterized by Argraves et al . in the PCT published application No. WO 91/02755.
  • fibulin type 2 As for fibulin type 2, it is larger than fibulin type 1 and possesses a 408 amino acid N-terminal domain not found in fibulin type 1. See Zhang et al . , Genomics 2 : 425-430 (1994) . Fibulin type 2 has been observed in the skin, including the epidermal layer, the dermis and adipose tissue, as well as the keratinocyte layer of the hair, the epithelial layer of the cornea, the aortic intima, and around small vessels in the kidney and liver. Id. at 428. In addition, serum levels of fibulin type 2 have been noted to be 1000 fold lower than fibulin type 1. if], at 1269. It is desirable to have a pharmaceutical composition which enhances the effectiveness of either exogenously administered or endogenous OB protein. Such compositions would be useful for example, to reduce or eliminate the need for exogenous OB protein administration. SUMMARY OF THE INVENTION
  • fibulin type 1 binds to OB protein. Such binding is thought to have a potentiating effect of OB protein. While not wishing to be bound by theory, such potentiating effect is thought to be related to fibulin' s protection of OB protein in circulation. Such protection may increase the stability of OB protein in the blood, and therefore permit biological activity enhanced relative to OB protein alone. Accordingly, fibulin can be used as a pharmaceutical composition to enhance the effectiveness of either exogenously administered or endogenous OB protein. Therefore, one aspect of the present invention is a pharmaceutical composition containing fibulin type 1 protein.
  • This composition can contain either fibulin type 1 variant "A” (amino acids 1-537) , fibulin type 1 variant “B” (amino acids 1-572) , fibulin type 1 variant “C” (amino acids 1-654), fibulin type 1 variant "D"
  • the pharmaceutical composition can also contain the methionyl form of any of the above fibulin type 1 variants having a methionyl residue at the N-terminus (at the -1 position) .
  • Other analogs, amino acid substitutions, derivatives, truncated versions of fibulin type 1 variants and combinations thereof are also within the scope of this invention. This would include fibulin type 2 as well since type 2 is the same as type 1 with an additional 408 amino acid N-terminal domain added.
  • the fibulin can also be in a dimer form.
  • the pharmaceutical composition includes a pharmaceutically acceptable carrier, diluent, adjuvant, solubilizer and/or stabilizer.
  • a second aspect of the present invention includes OB protein complexed to the fibulin type 1 protein whether variant A, B, C, D or a combination thereof is used.
  • the OB protein can be chemically, covalently, or ionically attached or complexed to fibulin type 1, as well as, any other means of association. In addition, such binding can occur in the presence of divalent cations, especially calcium, (Ca ++ ) .
  • divalent cations especially calcium, (Ca ++ )
  • the N-terminal methionyl form of fibulin type 1 can also be used.
  • various forms of the OB protein, analogs or derivations thereof can be used as well as various forms of fibulin type 1, analogs, derivatives or combinations thereof .
  • a third aspect of the present invention provides a pharmaceutical composition containing the OB protein/fibulin type 1 complex as described above in a pharmaceutically acceptable carrier, diluent, adjuvant solubilizer and/or stabilizer.
  • a fourth aspect of the present invention includes a method of treating obesity, hyperlypedemia, Type II diabetes and other obesity related disorders by administering an effective amount of one or more of the pharmaceutical compositions containing fibulin type 1 or fibulin type 1/OB protein complex.
  • Such treatment includes use of variants, analogs, derivations or combinations of fibulin type 1 and/or OB protein.
  • Treatment using the above includes, but is not limited to, the reduction of serum lipid levels, cholesterol and triglyceride levels, reduction or prevention of arterial plaque, and the reduction of hypertension and related gall stone formation.
  • a fifth aspect of the present invention is a method of preparing the pharmaceutical compositions discussed above by admixing purified and isolated fibulin type 1 or OB protein/fibulin type 1 complex, with a pharmaceutically acceptable carrier, diluent, adjuvant solubilizer and/or stabilizer.
  • This method includes use of any variants, N-terminal methionyl versions, analogs, derivatives or combinations of fibulin type 1 or OB protein/fibulin type 1 complex.
  • Another aspect of the present invention includes a method for detecting the presence of OB protein in a biological sample.
  • Such a method comprises the steps of incubating the sample with fibulin type 1, or variants, analogs or derivatives as described above, under conditions that allow binding of the fibulin type 1 to OB protein in a sample. The amount of OB protein bound to the fibulin type 1 in the complex is then determined.
  • Figure 1 represents the presence of fibulin type 1 binding to OB protein. Lane 1 contains the wash from the control resin. Lane 2, contains the wash from the OB-linked resin. Lanes 3-10 contain various wash fractions and controls. Fibulin is located in Lane 2 at band ⁇ 85 kD. Figure 2 represents the amino acid and DNA sequences for recombinant murine met-OB protein (SEQ. ID. NOs. 1, 2 and 3) .
  • Figure 3 represents the amino acid and DNA sequences for recombinant human met-OB analog (SEQ. ID. NOs. 4, 5 and 6) .
  • Figure 4 represents the amino acid sequence for human fibulin type 1 isoform or variant A (SEQ. ID. NO. 7) .
  • Figure 5 represents the amino acid sequence for human fibulin type 1 isoform or variant B (SEQ. ID. NO. 8) .
  • Figure 6 represents the amino acid sequence for human fibulin type 1 isoform or variant C (SEQ. ID. NO. 9) .
  • Figure 7 represents the amino acid sequence for human fibulin type 1 isoform or variant D (SEQ. ID. NO. 10) .
  • Fibulin may be selected from fibulin type 1 isoforms or variants A, B, C or D.
  • fibulin type 1 may be selected from amino acids 1-537 (variant A) of SEQ. ID. NO. 7 ( Figure 4) ; amino acids 1-572 (variant B) of SEQ. ID. NO. 8 ( Figure 5); amino acids 1-654 (variant C) of SEQ. ID. NO. 9 ( Figure 6); or amino acids 1-674 (variant D) of SEQ. ID. NO. 10 ( Figure 7) .
  • the amino acid sequences above can contain a methionyl residue at the -1 position, however, as with any of the present fibulin proteins and analogs, the methionyl residue may be absent.
  • any fibulin protein used can be isolated and purified from naturally occurring sources or recombinantly produced.
  • Such fibulins may also include, incident to expression or otherwise, the leader sequence at position -29 to -1.
  • Such fibulins can also include a dimer form of fibulin.
  • what is needed is that portion of the fibulin type 1 protein sufficient to complex to the type of OB protein used. This is readily determined by preparing deletion or substitution analogs (for example, using the methods of Alton et al . PCT published application No.
  • WO 83/04053 or other methods available to those skilled in the art) , contacting such prepared portion of fibulin type 1 with the desired OB protein under suitable conditions (e.g., physiological conditions) , including but not limited to the presence of divalent cations such as Calcium (Ca ++ ) and ascertaining the presence or amount of fibulin/OB protein complex formed.
  • suitable conditions e.g., physiological conditions
  • divalent cations such as Calcium (Ca ++ )
  • one or more cysteine residues may be replaced by an alanine or serine residue and one or more tyrosine residues replaced by a phenylalanine residue.
  • chemical moieties can include water soluble polymers, such as polyethylene glycol or polyamino acid.
  • the chemical moiety can be attached at solely the N-terminus of the fibulin protein.
  • Hybrid molecules based on the fibulin type 1 variants A, B, C or D can also be prepared.
  • the fibulin type 1 variants have conserved sequences 1-537 but differ from amino acids 538-674. One may substitute another amino acid or add to the existing amino acids one or more of the amino acids from these alternative isoforms to obtain a hybrid molecule.
  • fibulin type 2 which is the same as fibulin type 1 with an additional 408 amino acid N-terminal domain added.
  • consensus molecules include but are not limited to the following fibulin protein molecules (using the numbering of SEQ. ID. NOS. 7, 8, 9 and 10) :
  • the OB protein may be selected from recombinant murine set forth below (SEQ. ID. NOs. 1, 2 or 3 ) , or recombinant human protein as set forth in Zhang et al . , Nature, supra. herein incorporated by reference) or those lacking a glutaminyl residue at position 28. (See Zhang et al, Nature, supra. at page 428) .
  • the murine protein is substantially homologous to the human protein, particularly as a mature protein, and, further, particularly at the N-terminus.
  • the amino acid at position 146 is cysteine
  • Rat OB protein differs from human OB protein at the following positions (using the numbering of SEQ. ID. NO. 6) : 4, 22., 33, 3_5, 5.0, 68, 71, 74, 77, 78, .81, 9J . , 100, 101, 102, 105. 106. 107. 108, 111, 118, 136, 138 and 145.
  • One may substitute with another amino acid one or more of the amino acids at these divergent positions.
  • the positions in bold print are those which in which the murine OB protein as well as the rat OB protein are divergent from the human OB protein, and thus, are particularly suitable for alteration. At one or more of these positions, one may substitute an amino acid from the corresponding rat OB protein, or another amino acid.
  • the positions from both rat and murine OB protein which diverge from the mature human OB protein are: 4, 32, 33, 35, 50, 64, 68, 71, 74, 77, 78, 89, 97, 100, 102, 105, 106, 107, 108, 111, 118, 136, 138, 142, and 145.
  • a human OB protein according to SEQ. ID. NO. 6 (with lysine at position 35 and isoleucine at position 74) having one or more of the above amino acids deleted or replaced with another amino acid, such as the amino acid found in the corresponding rat or murine sequence, may also be effective.
  • amino acids found in rhesus monkey OB protein which diverge from the mature human OB protein are (with identitites noted in parentheses in one letter amino acid abbreviation) : 8 (S) , 35 (R) , 48(V), 53(Q), 60(1), 66(1), 67 (N) , 68(L), 89 (L) , 100(L), 108(E), 112 (D) , and 118 (L) . Since the recombinant human OB protein is active in cynomolgus monkeys, a human OB protein according to SEQ. ID. NO.
  • rhesus monkey divergent amino acids may be effective.
  • certain rhesus divergent amino acids are also those found in the above murine species (positions 35, 68, 89, 100 and 112) .
  • a murine/rhesus/human consensus molecule having (using the numbering of SEQ.ID. NO.
  • amino acids 1-99 and (connected to) 112-146 amino acids 1-99 and (connected to) 112-146 having one or more of amino acids 100-111 placed between amino acids 99 and 112.
  • the truncated forms may also have altered one or more of the amino acids which are divergent (in the rhesus, rat or murine OB protein) from human OB protein.
  • any alterations may be in the form of altered amino acids, such as peptidomimetics or D-amino acids.
  • the present fibulin and/or OB protein may also be derivatized by the attachment of one or more chemical moieties to the protein moiety. If the present pharmaceutical compositions contain as the active ingredient a complex of fibulin and OB protein, one or both of such proteins may be derivatized.
  • the chemically modified derivatives may be further formulated for intraarterial, intraperitoneal, intramuscular, subcutaneous, intravenous, oral, nasal, pulmonary, topical or other routes of administration.
  • the chemical moieties suitable for derivatization may be selected from among various water soluble polymers.
  • the polymer selected should be water soluble so that the protein to which it is attached does not precipitate in an aqueous environment, such as a physiological environment.
  • the polymer will be pharmaceutically acceptable.
  • One skilled in the art will be able to select the desired polymer based on such considerations as whether the polymer/protein conjugate will be used therapeutically, and if so, the desired dosage, circulation time, resistance to proteolysis, and other considerations.
  • the effectiveness of the derivatization may be ascertained by administering the derivative, in the desired form (i.e., by osmotic pump, or, more preferably, by injection or infusion, or, further formulated for oral, pulmonary or nasal delivery, for example) , and observing biological effects as described herein.
  • the water soluble polymer may be selected from the group consisting of, for example, polyethylene glycol, copolymers of ethylene glycol/propylene glycol, carboxymethylcellulose, dextran, polyvinyl alcohol, polyvinyl pyrolidone, poly-1, 3-dioxolane, poly-1, 3, 6-trioxane, ethylene/maleic anhydride copolymer, polyaminoacids (either homopolymers or random or non-random copolymers) , and dextran or poly(n-vinyl pyrolidone)polyethylene glycol, propylene glycol homopolymers, polypropylene oxide/ethylene oxide co-polymers, polyoxyethylated polyols, polystyrenemaleate and polyvinyl alcohol.
  • Polyethylene glycol propionaldenhyde may have advantages in manufacturing due to its stability in water.
  • Fusion proteins may be prepared by attaching polyaminoacids to the fibulin or OB protein (or analog) moiety.
  • the polyamino acid may be a carrier protein which serves to increase the circulation half life of the protein.
  • such polyamino acid should be those which have do not create neutralizing antigenic response, or other adverse response.
  • Such polyamino acid may be selected from the group consisting of serum album (such as human serum albumin) , an antibody or portion thereof (such as an antibody constant region, sometimes called "Fc”) or other polyamino acids.
  • the location of attachment of the polyamino acid may be at the N-terminus of the fibulin or OB protein moiety, or other place, and also may be connected by a chemical "linker" moiety to the fibulin or OB protein.
  • the polymer may be of any molecular weight, and may be branched or unbranched.
  • the preferred molecular weight is between about 2 kDa and about 100 kDa (the term "about” indicating that in preparations of polyethylene glycol, some molecules will weigh more, some less, than the stated molecular weight) for ease in handling and manufacturing.
  • polymer molecules so attached may vary, and one skilled in the art will be able to ascertain the effect on function.
  • One may mono-derivatize, or may provide for a di-, tri-, tetra- or some combination of derivatization, with the same or different chemical moieties (e.g., polymers, such as different weights of polyethylene glycols) .
  • the proportion of polymer molecules to protein (or peptide) molecules will vary, as will their concentrations in the reaction mixture.
  • the optimum ratio in terms of efficiency of reaction in that there is no excess unreacted protein or polymer
  • the desired degree of derivatization e.g., mono, di-, tri-, etc.
  • the molecular weight of the polymer selected whether the polymer is branched or unbranched, and the reaction conditions.
  • the chemical moieties should be attached to the protein with consideration of effects on functional or antigenic domains of the protein.
  • attachment methods available to those skilled in the art.
  • EP 0 401 384 herein incorporated by reference (coupling PEG to G-CSF) , see also Malik et al. , Exp. Hematol. 2J): 1028-1035 (1992) (reporting pegylation of GM-CSF using tresyl chloride) .
  • polyethylene glycol may be covalently bound through amino acid residues via a reactive group, such as, a free amino or carboxyl group.
  • Reactive groups are those to which an activated polyethylene glycol molecule may be bound.
  • the amino acid residues having a free amino group may include lysine residues and the N-terminal amino acid residue.
  • Those having a free carboxyl group may include aspartic acid residues, glutamic acid residues, and the C-terminal amino acid residue.
  • Sulfhydrl groups may also be used as a reactive group for attaching the polyethylene glycol molecule(s) .
  • Preferred for therapeutic purposes is attachment at an amino group, such as attachment at the N-terminus or lysine group. Attachment at residues important for receptor binding should be avoided if receptor binding is desired.
  • polyethylene glycol as an illustration of the present compositions, one may select from a variety of polyethylene glycol molecules (by molecular weight, branching, etc.), the proportion of polyethylene glycol molecules to protein molecules in the reaction mix, the type of pegylation reaction to be performed, and the method of obtaining the selected
  • N-terminally pegylated protein The method of obtaining the N-terminally pegylated preparation (i.e., separating this moiety from other monopegylated moieties if necessary) may be by purification of the N-terminally pegylated material from a population of pegylated protein molecules.
  • Selective N-terminal chemical modification may be accomplished by reductive alkylation which exploits differential reactivity of different types of primary amino groups (lysine versus the N-terminal) available for derivatization in a particular protein. Under the appropriate reaction conditions, substantially selective derivatization of the protein at the N-terminus with a carbonyl group containing polymer is achieved.
  • attachment of a water soluble polymer to a protein is controlled: the conjugation with the polymer takes place predominantly at the N-terminus of the protein and no significant modification of other reactive groups, such as the lysine side chain amino groups, occurs.
  • the water soluble polymer may be of the type described above, and should have a single reactive aldehyde for coupling to the protein.
  • Polyethylene glycol pro ionaldehyde containing a single reactive aldehyde, may be used.
  • An N-terminally monopegylated derivative is preferred for ease in production of a therapeutic.
  • N-terminal pegylation ensures a homogenous product as characterization of the product is simplified relative to di-, tri- or other multi pegylated products.
  • the use of the above reductive alkylation process for preparation of an N-terminal product is preferred for ease in commercial manufacturing.
  • compositions in yet another aspect of the present invention, methods of using pharmaceutical compositions of the proteins, and derivatives are provided.
  • Such pharmaceutical compositions may be for administration by injection, or for oral, pulmonary, nasal, transdermal or other forms of administration.
  • pharmaceutical compositions comprising effective amounts of protein or derivative products of the invention together with pharmaceutically acceptable diluents, preservatives, solubilizers, emulsifiers, adjuvants and/or carriers.
  • compositions include diluents of various buffer content (e.g., Tris-HCI, acetate, phosphate), pH and ionic strength; additives such as detergents and solubilizing agents (e.g., Tween 80, Polysorbate 80), anti-oxidants (e.g., ascorbic acid, sodium metabisulfite) , preservatives (e.g., Thimersol, benzyl alcohol) and bulking substances (e.g., lactose, mannitol); incorporation of the material into particulate preparations of polymeric compounds such as polylactic acid, polyglycolic acid, etc. or into liposomes.
  • buffer content e.g., Tris-HCI, acetate, phosphate
  • additives e.g., Tween 80, Polysorbate 80
  • anti-oxidants e.g., ascorbic acid, sodium metabisulfite
  • preservatives e.g., Thimersol, benzy
  • Hylauronic acid may also be used, and this may have the effect of promoting sustained duration in the circulation.
  • Such compositions may influence the physical state, stability, rate of n vivo release, and rate of in vivo clearance of the present proteins and derivatives. See, e.g. , Remington's Pharmaceutical Sciences, 18th Ed. (1990, Mack Publishing Co., Easton, PA 18042) pages 1435-1712 which are herein incorporated by reference.
  • the compositions may be prepared in liquid form, or may be in dried powder, such as lyophilized form. Implantable sustained release formulations are also contemplated, as are transdermal formulations.
  • Solid dosage forms include tablets, capsules, pills, troches or lozenges, cachets or pellets.
  • liposomal or proteinoid encapsulation may be used to formulate the present compositions (e.g. , proteinoid microspheres reported in U.S. Patent No. 4,925,673) .
  • Liposomal encapsulation may be used and the liposomes may be derivatized with various polymers (e.g. U.S. Patent No. 5,013,556) .
  • the formulation will include the protein (or analog or derivative) , and inert ingredients which allow for protection against the stomach environment, and release of the biologically active material in the intestine.
  • Protein may be chemically modified so that oral delivery of the derivative is efficacious.
  • the chemical modification contemplated is the attachment of at least one moiety to the protein (or peptide) molecule itself, where said moiety permits (a) inhibition of proteolysis; and (b) uptake into the blood stream from the stomach or intestine.
  • the increase in overall stability of the protein and increase in circulation time in the body examples include: polyethylene glycol, copolymers of ethylene glycol and propylene glycol, carboxymethyl cellulose, dextran, polyvinyl alcohol, polyvinyl pyrrolidone and polyproline.
  • Abuchowski and Davis Soluble polymer-Enzyme Adducts: "Enzymes as Drugs", Hocenberg and Roberts, eds., Wiley-Interscience, New York, NY,
  • the location of release may be the stomach, the small intestine (the duodenum, the jejunem, or the ileum) , or the large intestine.
  • the release will avoid the deleterious effects of the stomach environment, either by protection of the protein (or derivative) or by release of the biologically active material beyond the stomach environment, such as in the intestine.
  • a coating impermeable to at least pH 5.0 is essential.
  • cellulose acetate trimellitate cellulose acetate trimellitate
  • HPMCP 50 hydroxypropylmethylcellulose phthalate
  • HPMCP 55 polyvinyl acetate phthalate
  • PVAP polyvinyl acetate phthalate
  • Eudragit L30D Eudragit L30D
  • Aquateric cellulose acetate phthalate
  • CAP Eudragit L
  • Eudragit S and Shellac.
  • a coating or mixture of coatings can also be used on tablets, which are not intended for protection against the stomach. This can include sugar coatings, or coatings which make the tablet easier to swallow.
  • Capsules may consist of a hard shell (such as gelatin) for delivery of dry therapeutic i.e. powder; for liquid forms, a soft gelatin shell may be used.
  • the shell material of cachets could be thick starch or other edible paper.
  • moist massing techniques can be used.
  • the therapeutic can be included in the formulation as fine multiparticulates in the form of granules or pellets of particle size about 1mm.
  • the formulation of the material for capsule administration could also be as a powder, lightly compressed plugs or even as tablets.
  • the therapeutic could be prepared by compression.
  • Colorants and flavoring agents may all be included.
  • the protein (or derivative) may be formulated (such as by liposome or microsphere encapsulation) and then further contained within an edible product, such as a refrigerated beverage containing colorants and flavoring agents.
  • these diluents could include carbohydrates, especially mannitol, ⁇ -lactose, anhydrous lactose, cellulose, sucrose, modified dextrans and starch.
  • Certain inorganic salts may be also be used as fillers including calcium triphosphate, magnesium carbonate and sodium chloride.
  • Some commercially available diluents are Fast-Flo, Emdex, STA-Rx 1500, Emcompress and Avicell .
  • Disintegrants may be included in the formulation of the therapeutic into a solid dosage form. Materials used as disintegrates include but are not limited to starch including the commercial disintegrant based on starch, Explotab.
  • Sodium starch glycolate, Amberlite, sodium carboxymethylcellulose, ultramylopectin, sodium alginate, gelatin, orange peel, acid carboxymethyl cellulose, natural sponge and bentonite may all be used.
  • Another form of the disintegrants are the insoluble cationic exchange resins.
  • Powdered gums may be used as disintegrants and as binders and these can include powdered gums such as agar, Karaya or tragacanth. Alginic acid and its sodium salt are also useful as disintegrants.
  • Binders may be used to hold the therapeutic agent together to form a hard tablet and include materials from natural products such as acacia, tragacanth, starch and gelatin.
  • MC methyl cellulose
  • EC ethyl cellulose
  • CMC carboxymethyl cellulose
  • PVP polyvinyl pyrrolidone
  • HPMC hydroxypropylmethyl cellulose
  • Lubricants may be used as a layer between the therapeutic and the die wall, and these can include but are not limited to; stearic acid including its magnesium and calcium salts, polytetrafluoroethylene (PTFE) , liquid paraffin, vegetable oils and waxes. Soluble lubricants may also be used such as sodium lauryl sulfate, magnesium lauryl sulfate, polyethylene glycol of various molecular weights, Carbowax 4000 and 6000.
  • stearic acid including its magnesium and calcium salts
  • PTFE polytetrafluoroethylene
  • Soluble lubricants may also be used such as sodium lauryl sulfate, magnesium lauryl sulfate, polyethylene glycol of various molecular weights, Carbowax 4000 and 6000.
  • the glidants may include starch, talc, pyrogenic silica and hydrated si1icoaluminate.
  • surfactant might be added as a wetting agent.
  • Surfactants may include anionic detergents such as sodium lauryl sulfate, dioctyl sodium sulfosuccinate and dioctyl sodium sulfonate.
  • anionic detergents such as sodium lauryl sulfate, dioctyl sodium sulfosuccinate and dioctyl sodium sulfonate.
  • Cationic detergents might be used and could include benzalkonium chloride or benzethomium chloride.
  • nonionic detergents that could be included in the formulation as surfactants are lauromacrogol 400, polyoxyl 40 stearate, polyoxyethylene hydrogenated castor oil 10, 50 and 60, glycerol monostearate, polysorbate 40, 60, 65 and 80, sucrose fatty acid ester, methyl cellulose and carboxymethyl cellulose.
  • surfactants could be present in the formulation of the protein or derivative either alone or as a mixture in different ratios.
  • Additives which potentially enhance uptake of the protein (or derivative) are for instance the fatty acids oleic acid, linoleic acid and linolenic acid.
  • Controlled release formulation may be desirable.
  • the drug could be incorporated into an inert matrix which permits release by either diffusion or leaching mechanisms i.e. gums.
  • Slowly degenerating matrices may also be incorporated into the formulation.
  • Another form of a controlled release of this therapeutic is by a method based on the Oros therapeutic system (Alza Corp.), i.e. the drug is enclosed in a semipermeable membrane which allows water to enter and push drug out through a single small opening due to osmotic effects .
  • Some entric coatings also have a delayed release effect.
  • Other coatings may be used for the formulation. These include a variety of sugars which could be applied in a coating pan.
  • the therapeutic agent could also be given in a film coated tablet and the materials used in this instance are divided into 2 groups.
  • the first are the nonenteric materials and include methyl cellulose, ethyl cellulose, hydroxyethyl cellulose, methylhydroxy-ethyl cellulose, hydroxypropyl cellulose, hydroxypropyl-methyl cellulose, sodium carboxy-methyl cellulose, providone and the polyethylene glycols.
  • the second group consists of the enteric materials that are commonly esters of phthalic acid.
  • Film coating may be carried out in a pan coater or in a fluidized bed or by compression coating.
  • pulmonary delivery of the present proteins, or derivative thereof is delivered to the lungs of a mammal while inhaling and traverses across the lung epithelial lining to the blood stream.
  • the protein derivative is delivered to the lungs of a mammal while inhaling and traverses across the lung epithelial lining to the blood stream.
  • Adjei et al. Pharmaceutical Research 7_L 565-569 (1990); Adjei et al. , International Journal of Pharmaceutics 6_3: 135-144 (1990) (leuprolide acetate); Braquet et al. , Journal of Cardiovascular Pharmacology 13 (suppl. 5) : s.143-146
  • Contemplated for use in the practice of this invention are a wide range of mechanical devices designed for pulmonary delivery of therapeutic products, including but not limited to nebulizers, metered dose inhalers, and powder inhalers, all of which are familiar to those skilled in the art.
  • Ultravent nebulizer manufactured by Mallinckrodt, Inc., St. Louis, Missouri
  • Acorn II nebulizer manufactured by Marquest Medical Products, Englewood, Colorado
  • the Ventolin metered dose inhaler manufactured by Glaxo Inc., Research Triangle Park, North Carolina
  • the Spinhaler powder inhaler manufactured by Fisons Corp., Bedford, Massachusetts.
  • each formulation is specific to the type of device employed and may involve the use of an appropriate propellant material, in addition to diluents, adjuvants and/or carriers useful in therapy.
  • the proteins (or derivative) should most advantageously be prepared in particulate form with an average particle size of less than 10 ⁇ m (or microns) , most preferably 0.5 to 5 ⁇ m, for most effective delivery to the distal lung.
  • Carriers include carbohydrates such as trehalose, mannitol, xylitol, sucrose, lactose, and sorbitol. Other ingredients for use in formulations may include DPPC, DOPE, DSPC and DOPC.
  • Natural or synthetic surfactants may be used. Polyethylene glycol may be used (even apart from its use in derivatizing the protein or analog) . Dextrans, such as cyclodextran, may be used. Bile salts and other related enhancers may be used. Cellulose and cellulose derivatives may be used. Amino acids may be used, such as use in a buffer formulation.
  • liposomes are contemplated.
  • microcapsules or microspheres inclusion complexes, or other types of carriers.
  • Formulations suitable for use with a nebulizer will typically comprise protein (or derivative) dissolved in water at a concentration of about 0.1 to 25 mg of biologically active protein per mL of solution.
  • the formulation may also include a buffer and a simple sugar (e.g., for protein stabilization and regulation of osmotic pressure) .
  • the nebulizer formulation may also contain a surfactant, to reduce or prevent surface induced aggregation of the protein caused by atomization of the solution in forming the aerosol.
  • Formulations for use with a metered-dose inhaler device will generally comprise a finely divided powder containing the protein (or derivative) suspended in a propellant with the aid of a surfactant.
  • the propellant may be any conventional material employed for this purpose, such as a chlorofluorocarbon, a hydrochlorofluorocarbon, a hydrofluorocarbon, or a hydrocarbon, including trichlorofluoromethane, dichlorodifluoromethane, dichlorotetrafluoroethanol, and 1, 1, 1, 2-tetrafluoroethane, or combinations thereof.
  • Suitable surfactants include sorbitan trioleate and soya lecithin. Oleic acid may also be useful as a surfactant.
  • Formulations for dispensing from a powder inhaler device will comprise a finely divided dry powder containing protein (or derivative) and may also include a bulking agent, such as lactose, sorbitol, sucrose, mannitol, trehalose, or xylitol in amounts which facilitate dispersal of the powder from the device, e.g. 50 to 90% by weight of the formulation.
  • a bulking agent such as lactose, sorbitol, sucrose, mannitol, trehalose, or xylitol in amounts which facilitate dispersal of the powder from the device, e.g. 50 to 90% by weight of the formulation.
  • Nasal delivery of the protein is also contemplated. Nasal delivery allows the passage of the protein to the blood stream directly after administering the therapeutic product to the nose, without the necessity for deposition of the product in the lung.
  • Formulations for nasal delivery include those with dextran or cyclodextran. Delivery via transport across other mucus membranes is also contemplated.
  • One skilled in the art will be able to ascertain effective dosages by administration and observing the desired therapeutic effect.
  • the formulation of the molecule or complex in a pharmaceutical composition will be such that between about .10 ⁇ g/kg/day and 10 ⁇ g/kg/day will yield the desired therapeutic effect.
  • the effective dosages may be determined using diagnostic tools over time.
  • a diagnostic for measuring the amount of OB or fibulin protein in the blood (or plasma or serum) may first be used to determine endogenous levels of OB or fibulin protein.
  • Such diagnostic tools may be in the form of an antibody assay, such as an antibody sandwich assay.
  • the amount of OB protein can also be determined by means of the methods disclosed as part of the invention herein. These include incubating biological samples with fibulin protein and determining the amount of OB protein bound in the OB/fibulin complex. The amount of endogenous OB or fibulin protein is quantified initially, and a baseline is determined.
  • the therapeutic dosages are determined as the quantification of endogenous and exogenous OB or fibulin protein (that is, protein, analog or derivative found within the body, either self-produced or administered) is continued over the course of therapy.
  • the dosages may therefore vary over the course of therapy, with a relatively high dosage being used initially, until therapeutic benefit is seen, and lower dosages used to maintain the therapeutic benefits.
  • Methods of Use Therapeutic benefits include the reduction of excess weight and/or excess fat. When excess weight and/or fat is reduced or eliminated, other therapeutic benefits may concomitantly occur, such as a treatment of Type II diabetes. There may also be a reduction in blood lipid levels and related cardio-vacular problems, such as a reduction in LDL or VLDL, cholesterol, a reduction in artherial plaque or the rate of formation thereof, treatment of hyper-tension, and a reduction in the rate of gall stone formation. Additional therapeutic benefits include the relative or absolute increase in lean mass along with loss in fat. Increase in lean tissue mass may also result in an increase in sensitivity to insulin, and improvement in overall strength, a decrease in bone resorption, and an increase in red blood cells or oxygenation of tissue.
  • the present compositions may have solely cosmetic benefits in weight reduction or fat reduction.
  • the present methods may be used in conjunction with other medicaments, such as those useful for the treatment of diabetes (e.g. , insulin, and possibly amylin) , cholesterol and blood pressure lowering medicaments (such as those which reduce blood lipid levels or other cardiovascular medicaments) , and activity increasing medicaments (e.g. , amphetamines) .
  • Appetite suppressants may also be used.
  • Such administration may be simultaneous or may be in seriatim.
  • the present methods may be used in conjunction with surgical procedures, such as cosmetic surgeries designed to alter the overall appearance of a body (e.g. , liposuction or laser surgeries designed to reduce body mass, or implant surgeries designed to increase the appearance of body mass) .
  • surgical procedures such as cosmetic surgeries designed to alter the overall appearance of a body (e.g. , liposuction or laser surgeries designed to reduce body mass, or implant surgeries designed to increase the appearance of body mass) .
  • the health benefits of cardiac surgeries such as bypass surgeries or other surgeries designed to relieve a deleterious condition caused by blockage of blood vessels by fatty deposits, such as arterial plaque, may be increased with concomitant use of the present compositions and methods.
  • Methods to eliminate gall stones, such as ultrasonic or laser methods may also be used either prior to, during or after a course of the present therapeutic methods.
  • the present methods may be used as an adjunct to surgeries or therapies for broken bones, damaged muscle, or other therapies which would be improved by an increase in lean tissue mass. Therefore, the present invention provides a method for treating disorders selected from among excess weight, high blood levels, high cholesterol, high triglycerides, Type II diabetes, or other related disorders, comprised of administering an effective amount of fibulin type I protein selected from among the following:
  • fibulin protein analog sufficient to bind an OB protein, analog or derivative thereof;
  • a hybrid molecule of fibulin protein selected from among the following:
  • amino acids 1-537 and (connected to) amino acids 573-654 having one or more of amino acids 538-572 placed between amino acids 537 and 573;
  • amino acids 1-537 and (connected to) amino acids 655-674 having one or more of amino acids 538-572 and/or 573-654, placed between amino acids 537 and 655;
  • amino acids 1-572 and (connected to) amino acids 655-674 having one or more of amino acids 573-654 placed between amino acids 572 and 655;
  • the present invention also provides a method for treating disorders selected from among excess weight, high blood levels, high cholesterol, high triglycerides, Type II diabetes, or other related disorders comprised of administering a therapeutically effective amount of a complex consisting of fibulin type I, or analogs or derivatives thereof as discussed above, complexed to an OB protein, analog or derivative thereof selected from among the following: (a) the amino acid sequence 1-146 as set forth in SEQ. ID. NO. 3 (below) or SEQ ID. NO. 6 (below) ,
  • a truncated OB protein analog selected from among: (using the numbering of SEQ. ID. NO. 6 having a lysine residue at position 35 and an isoleucine residue at position 74) : (i) amino acids 98-146;
  • amino acids 1-32 amino acids 40-116; amino acids 1-99 and 112-146; amino acids 1-99 and 112-146 having one or more of amino acids 100-111 sequentially placed between amino acids 99 and 112;
  • Fibulin may also be used as an affinity reagent to purify or detect the presence of OB protein in a biological sample.
  • the fibulin protein is immobilized on CnBr-activated Sepharose and a column of protein-Sepharose conjugate is used to remove OB protein from liquid samples.
  • Fibulin protein may also be immobilized on other support materials which are well known in the art.
  • Fibulin can also be used as a diagnostic reagent to detect and quantitate OB protein in biological samples.
  • Such methods utilize fibulin protein as a capture agent under conditions that allow OB protein in a biological sample to bind to fibulin protein forming a fibulin/OB complex. The amount of OB protein or the presence of OB protein in a sample can then be determined through known methods.
  • Example 1 demonstrates that fibulin binds to OB protein.
  • Example 2 is a prophetic example illustrating the use of the present fibulin pharmaceutical compositions for the treatment of obesity.
  • Example 3 is a prophetic example illustrating the use of the present fibulin/OB protein complex pharmaceutical composition for the treatment of obesity. Materials and Methods follow.
  • the resin capsule was removed from the serum, and washed until the eluant was relatively protein-free, having an OD below .01 at A280-
  • the first was buffer contained 50 mM Tris, pH 7.5, 150 mM NaCl, 2 mM CaCl2 and 2 mM MgCl2 • One milliliter fractions were collected.
  • SDS-PAGE The SDS-PAGE (non-reducting conditions) results are shown in FIGURE 1.
  • Lane 4 contains molecular weight standards ranging from 200 kD to 6kD.
  • the presence of fibulin binding to OB protein is demonstrated by comparing lane 1 containing the EDTA elution from the control resin (first lane on the left) and the lane 2, containing the EDTA elution from the OB- linked resin (second lane from the left) , As can be seen, there is a band at approximately 85 kD seen in lane 2.
  • Fibulin dimer binding to OB protein is demonstrated by comparing lane 1 containing the EDTA elutions from the control resin and lane 2, containing the EDTA elution from the OB-linked resin. As can be seen, there is a band at approxiamtely 200 kD in lane 2.
  • Sequencing Confirmation Sequencing confirmed the identity of fibulin in the 85 kD band.
  • the N-terminal 13 amino acids were identical to the N-terminal amino acids of the mature fibulin protein (GenBank accession No. P37888) .
  • This Example demonstrates the use of fibulin pharmaceutical compositions for the treatment of obesity.
  • An obese human, with a BMI greater than 30, is treated with an effective dose of fibulin in a pharmaceutically acceptable diluent, adjuvant or carrier.
  • the fibulin is selected from amino acids
  • variant B 1-572 of SEQ. ID. NO. 8; amino acids (variant C) 1-654 of SEQ. ID. NO. 9; amino acids
  • fibulin levels in the serum are monitored using an anti-fibulin selective binding molecule, such as a monoclonal antibody.
  • This Example demonstrates the use of fibulin/OB protein complex pharmaceutical compositions for the treatment of obesity.
  • An obese human, with a BMI greater than 30, is treated with an effective dose of fibulin/OB protein complex, in a pharmaceutically acceptable diluent, adjuvant or carrier.
  • the fibulin and OB protein are selected from the amino acids, analogs and derivates described herein.
  • the fibulin can be monitored using an anti-fibulin selective binding molecule, such as a monoclonal antibody.
  • fibulin type 1 can be produced using standard methods well known in the art.
  • fibulin type 1 can also be isolated and purified from naturally occurring sources such as human placenta or human serum or plasma using standard methods well known in the art. Such methods have previously been described in Balbona et al. , J. Biol. Chem. 267: 20120- 20125 (1992) and Argraves et al. , J. Cell Biol. Ill: 3155- 3164 (1990) .
  • standard methods for producing methionyl analogs and other derivatives can also be used in the preparation of fibulin type 1 analogs or derivatives.
  • the plasmid expression vector used is pCFM1656, ATCC Accession No. 69576.
  • the above DNA was ligated into the expression vector pCFM1656 linearized with Xbal and BamHI and transformed into the E. coli host strain, FM5.
  • E. coli FM5 cells were derived at Amgen Inc., Thousand Oaks, CA from E. coli K-12 strain (Bachmann, et al . , Bacteriol. Rev. 40.: 116-167 (1976)) and contain the integrated lambda phage repressor gene, CI857 (Sussman et al., CR. Acad. Sci. 254.: 1517-1579 (1962)) .
  • Fermentation Process A three-phase fermentation protocol known as a fed-batch process was used. Media compositions are set forth below. Batch: A nitrogen and phosphate source were sterilized (by raising to 122 °C for 35 minutes, 18-20 psi) in the fermentation vessel (Biolafitte, 12 liter capacity) . Upon cooling, carbon, magnesium, vitamin, and trace metal sources were added aseptically. An overnight culture of the above recombinant murine protein-producing bacteria (16 hours or more) of 500 mL (grown in LB broth) was added to the fermentor.
  • Feed I Upon reaching between 4.0-6.0 OD600 cultures were fed with Feed I. The glucose was fed at a limiting rate in order to control the growth rate ( ⁇ ) .
  • the Distributive Control System An automated system (called the Distributive Control System) was instructed to control the growth rate to 0.15 generations per hour.
  • Feed II When the OD600 had reached 30, culture temperature were slowly increased to 42°C and the feed changed to Feed II, below. The fermentation was allowed to continue for 10 hours with sampling every 2 hours. After 10 hours, the contents of the fermentor was chilled to below 20°C and harvested by centrifugation.
  • Feed I 50 g/L Bacto-tryptone
  • Feed II 200 g/L Bacto-tryptone
  • E. coli cell paste was suspended in 5 times volume of 7 mM of EDTA, pH 7.0. The cells in the EDTA were further broken by two passes through a microfluidizer. The broken cells were centrifuged at 4.2 K rpm for 1 hour in a Beckman J6-B centrifuge with a JS-4.2 rotor.
  • Inclusion body wash #1 The supernatant from above was removed, and the pellet was resuspended with 5 times volume of 7 mM EDTA, pH 7.0, and homogenized. This mixture was centrifuged as in step 1.
  • Inclusion body wash #2 The supernatant from above was removed, and the pellet was resuspended in ten times volume of 20 mM tris, pH 8.5, 10 mM DTT, and 1% deoxycholate, and homogenized. This mixture was centrifuged as in step 1.
  • CM Sepharose pool of peak fractions (ascertained from ultraviolet absorbance) from the above step was made to be 0.2 M ammonium sulfate.
  • a 20 column volume reverse salt gradient was done at 5 mM NaOAC, pH 4.2, with .4 M to 0 M ammonium sulfate. This material was concentrated and diafiltered into PBS.
  • Fermentation of the above host cells to produce recombinant human OB protein analog can be accomplished using the conditions and compositions as described above for recombinant murine material.
  • Recombinant human protein analog may be purified using methods similar to those used for purification of recombinant murine protein.
  • step 8 For preparation of recombinant human OB protein analog, step 8 should be performed by adjusting the pH of the supernatant from step 7 to pH 5.0, and loading this onto a CM Sepharose fast flow column.
  • the 20 column volume salt gradient should be performed at 20 mM NaOAC, pH 5.5, 0M to 0.5 M NaCl.
  • Step 9 should be performed by diluting the CM Sepharose pool four fold with water, and adjusting the pH to 7.5. This mixture should be made to 0.7 M ammonium sulfate.
  • Recombinant human OB protein of SEQ.ID.NO.6 having lysine 35 and isoleucine 74 can be formulated in a buffer containing 10 mM histidine, 4.3% arginine, at pH 6.0. Methods of producing fibulin Type 1/OB Protein Complex.
  • Fibulin type 1/OB protein complex can be prepared by admixing purified and isolated Fibulin type 1 with purified and isolated OB protein. The fibulin type 1/OB protein complex will form due to the ability of fibulin type 1 to associate with OB protein.
  • CTCCCTGCCG TCCCAGAACG TTCTTCAGAT CGCTAACGAC CTCGAGAACC TTCGCGACCT 300
  • MOLECULE TYPE protein
  • Val Leu Thr Ser Leu Pro Ser Gin Asn Val Leu Gin lie Ala Asn Asp 65 70 75 80
  • Thr lie Val Thr Arg lie Asn Asp lie Ser His Thr Gin Ser Val Ser 20 25 30 Ser Lys Gin Arg Val Thr Gly Leu Asp Phe lie Pro Gly Leu His Pro 35 40 45 lie Leu Thr Leu Ser Lys Met Asp Gin Thr Leu Ala Val Tyr Gin Gin 50 55 60 lie Leu Thr Ser Met Pro Ser Arg Asn Val Leu Gin lie Ser Asn Asp 65 70 75 80

Abstract

The present invention relates to fibulin protein, fibulin/OB protein complex and pharmaceutical compositions thereof. In addition, the present invention also relates to methods of making and using the above proteins and compositions.

Description

FIBULIN PHARMACEUTICAL COMPOSITIONS AND RELATED METHODS
FIELD OF THE INVENTION
The present invention relates to fibulin protein, fibulin/OB protein complex and pharmaceutical compositions thereof. In addition, the present invention also relates to methods of making and using the above proteins and compositions.
BACKGROUND
Although the molecular basis for obesity is largely unknovm, the identification of the "OB gene" and protein encoded ("OB protein") has shed some light on mechanisms the body uses to regulate body fat deposition. Zhang et al. , Nature 372 : 425-432 (1994); see also, the Correction at Nature 374: 479 (1995) . The OB protein is active in vivo in both ob/ob mutant mice (mice obese due to a defect in the production of the OB gene product) as well as in normal, wild type mice. The biological activity manifests itself in, among other things, weight loss. See generally, Barinaga, "Obese" Protein Slims Mice, Science 269: 475-476 (1995) . It is known, for instance, that in ob/ob mutant mice, administration of OB protein results in a decrease in serum insulin levels, and serum glucose levels. It is also known that administration of OB protein results in a decrease in body fat. This was observed in both ob/ob mutant mice, as well as non-obese normal mice. Pelleymounter et al. , Science 269 : 540-543 (1995); Halaas et al. , Science 269: 543-546 (1995) . See also. Campfield et al. , Science 2_69_: 546-549 (1995) (Peripheral and central administration of microgram doses of OB protein reduced food intake and body weight of ob/ob and diet-induced obese mice but not in db/db obese mice.) In none of these reports have toxicities been observed, even at the highest doses.
The characterization of OB protein in blood has not been accomplished to any significant degree. For example, it is not known whether OB protein circulates complexed to other substances in blood, and, if so, what effects these other substances may have. Such binding complexes or proteins may, for example, act as antagonist, or may have a protective effect, and contribute to the stability of either exogenously administered or naturally occurring OB protein present in the body.
As fully described below, the present invention relates to the association of fibulin with OB protein. The fibulins are known to be plasma proteins. S_ee Tran et al. , J. Biol. Chem. 270: 19458-19464 (1990) . There are two known types of fibulins, type 1 and type 2. Agraves et al . , J. Cell Biol. Ill: 3155-3164 (1990) . Of fibulin type 1, there are 4 variants or isoforms, denoted in the literature as "A", "B" , "C", and "D" . Id. at Figure 6. Generally, fibulin type 1 "A" is a 537 amino acid protein. Argraves, et al. , Cell 58.:623-629(1989) . Variants "B" , "C" and "D" have conserved amino acids 1-537, but have altered C-termini: "B" has amino acids 538-572, "C" has amino acids 538- 654, and "D" has amino acids 538-674. The polypeptides predicted from the nucleotide sequences of the CDNA's have molecular masses of 58,670, 62,561, 71,551 and 77,274 for fibulin type 1 variants A-D respectively. See Argraves et al. , supra. These forms are also rich in cysteine, approximately 11 mole %. .Id. at 3160. Fibulin type 1 is known to co-purify with fibrinogen, and to bind to various extracellular matrix proteins such as fibronectin, laminin, and nidogen. See Tran et al. , supra. Fibulin type 1 has been observed in the blood in concentrations of 30-40 μg/ml, id., and is thought to be, among other things, a structural protein that contributes to the elastic properties of connective tissue, or is involved in the process of fibrogenesis . Roark et al. , J. Histochem. Cytochem. 4_3: 401-411 (1995) . Fibulin protein, the DNA encoding it, as well as antibodies reactive with fibulin, have also been characterized by Argraves et al . in the PCT published application No. WO 91/02755.
As for fibulin type 2, it is larger than fibulin type 1 and possesses a 408 amino acid N-terminal domain not found in fibulin type 1. See Zhang et al . , Genomics 2 : 425-430 (1994) . Fibulin type 2 has been observed in the skin, including the epidermal layer, the dermis and adipose tissue, as well as the keratinocyte layer of the hair, the epithelial layer of the cornea, the aortic intima, and around small vessels in the kidney and liver. Id. at 428. In addition, serum levels of fibulin type 2 have been noted to be 1000 fold lower than fibulin type 1. if], at 1269. It is desirable to have a pharmaceutical composition which enhances the effectiveness of either exogenously administered or endogenous OB protein. Such compositions would be useful for example, to reduce or eliminate the need for exogenous OB protein administration. SUMMARY OF THE INVENTION
The present invention stems from the observation that fibulin type 1 binds to OB protein. Such binding is thought to have a potentiating effect of OB protein. While not wishing to be bound by theory, such potentiating effect is thought to be related to fibulin' s protection of OB protein in circulation. Such protection may increase the stability of OB protein in the blood, and therefore permit biological activity enhanced relative to OB protein alone. Accordingly, fibulin can be used as a pharmaceutical composition to enhance the effectiveness of either exogenously administered or endogenous OB protein. Therefore, one aspect of the present invention is a pharmaceutical composition containing fibulin type 1 protein. This composition can contain either fibulin type 1 variant "A" (amino acids 1-537) , fibulin type 1 variant "B" (amino acids 1-572) , fibulin type 1 variant "C" (amino acids 1-654), fibulin type 1 variant "D"
(amino acids 1-674) or a combination of the above. In addition, the pharmaceutical composition can also contain the methionyl form of any of the above fibulin type 1 variants having a methionyl residue at the N-terminus (at the -1 position) . Other analogs, amino acid substitutions, derivatives, truncated versions of fibulin type 1 variants and combinations thereof are also within the scope of this invention. This would include fibulin type 2 as well since type 2 is the same as type 1 with an additional 408 amino acid N-terminal domain added. Furthermore, the fibulin can also be in a dimer form. The pharmaceutical composition includes a pharmaceutically acceptable carrier, diluent, adjuvant, solubilizer and/or stabilizer. A second aspect of the present invention includes OB protein complexed to the fibulin type 1 protein whether variant A, B, C, D or a combination thereof is used. The OB protein can be chemically, covalently, or ionically attached or complexed to fibulin type 1, as well as, any other means of association. In addition, such binding can occur in the presence of divalent cations, especially calcium, (Ca++) . Furthermore, the N-terminal methionyl form of fibulin type 1 can also be used. In forming the OB protein/fibulin type 1 complex, various forms of the OB protein, analogs or derivations thereof can be used as well as various forms of fibulin type 1, analogs, derivatives or combinations thereof . A third aspect of the present invention provides a pharmaceutical composition containing the OB protein/fibulin type 1 complex as described above in a pharmaceutically acceptable carrier, diluent, adjuvant solubilizer and/or stabilizer. A fourth aspect of the present invention includes a method of treating obesity, hyperlypedemia, Type II diabetes and other obesity related disorders by administering an effective amount of one or more of the pharmaceutical compositions containing fibulin type 1 or fibulin type 1/OB protein complex. Such treatment includes use of variants, analogs, derivations or combinations of fibulin type 1 and/or OB protein. Treatment using the above includes, but is not limited to, the reduction of serum lipid levels, cholesterol and triglyceride levels, reduction or prevention of arterial plaque, and the reduction of hypertension and related gall stone formation.
A fifth aspect of the present invention is a method of preparing the pharmaceutical compositions discussed above by admixing purified and isolated fibulin type 1 or OB protein/fibulin type 1 complex, with a pharmaceutically acceptable carrier, diluent, adjuvant solubilizer and/or stabilizer. This method includes use of any variants, N-terminal methionyl versions, analogs, derivatives or combinations of fibulin type 1 or OB protein/fibulin type 1 complex.
Another aspect of the present invention includes a method for detecting the presence of OB protein in a biological sample. Such a method comprises the steps of incubating the sample with fibulin type 1, or variants, analogs or derivatives as described above, under conditions that allow binding of the fibulin type 1 to OB protein in a sample. The amount of OB protein bound to the fibulin type 1 in the complex is then determined.
BRIEF DESCRIPTION OF THE FIGURES
Figure 1 represents the presence of fibulin type 1 binding to OB protein. Lane 1 contains the wash from the control resin. Lane 2, contains the wash from the OB-linked resin. Lanes 3-10 contain various wash fractions and controls. Fibulin is located in Lane 2 at band ~ 85 kD. Figure 2 represents the amino acid and DNA sequences for recombinant murine met-OB protein (SEQ. ID. NOs. 1, 2 and 3) .
Figure 3 represents the amino acid and DNA sequences for recombinant human met-OB analog (SEQ. ID. NOs. 4, 5 and 6) .
Figure 4 represents the amino acid sequence for human fibulin type 1 isoform or variant A (SEQ. ID. NO. 7) . Figure 5 represents the amino acid sequence for human fibulin type 1 isoform or variant B (SEQ. ID. NO. 8) .
Figure 6 represents the amino acid sequence for human fibulin type 1 isoform or variant C (SEQ. ID. NO. 9) .
Figure 7 represents the amino acid sequence for human fibulin type 1 isoform or variant D (SEQ. ID. NO. 10) .
DETAILED DESCRIPTION
Fibulin may be selected from fibulin type 1 isoforms or variants A, B, C or D. In particular, fibulin type 1 may be selected from amino acids 1-537 (variant A) of SEQ. ID. NO. 7 (Figure 4) ; amino acids 1-572 (variant B) of SEQ. ID. NO. 8 (Figure 5); amino acids 1-654 (variant C) of SEQ. ID. NO. 9 (Figure 6); or amino acids 1-674 (variant D) of SEQ. ID. NO. 10 (Figure 7) . As set forth below, the amino acid sequences above can contain a methionyl residue at the -1 position, however, as with any of the present fibulin proteins and analogs, the methionyl residue may be absent. Furthermore, as discussed below, any fibulin protein used can be isolated and purified from naturally occurring sources or recombinantly produced. Such fibulins may also include, incident to expression or otherwise, the leader sequence at position -29 to -1. Such fibulins can also include a dimer form of fibulin. At a minimum, what is needed is that portion of the fibulin type 1 protein sufficient to complex to the type of OB protein used. This is readily determined by preparing deletion or substitution analogs (for example, using the methods of Alton et al . PCT published application No. WO 83/04053 or other methods available to those skilled in the art) , contacting such prepared portion of fibulin type 1 with the desired OB protein under suitable conditions (e.g., physiological conditions) , including but not limited to the presence of divalent cations such as Calcium (Ca++) and ascertaining the presence or amount of fibulin/OB protein complex formed.
One may also use the above amino acid sequences but with various amino acids substituted. For example, one or more cysteine residues may be replaced by an alanine or serine residue and one or more tyrosine residues replaced by a phenylalanine residue.
One may further prepare derivatives, as described below, with chemical moieties connected to the fibulin protein moieties. Such chemical moieties can include water soluble polymers, such as polyethylene glycol or polyamino acid. In addition, the chemical moiety can be attached at solely the N-terminus of the fibulin protein. Hybrid molecules based on the fibulin type 1 variants A, B, C or D can also be prepared. The fibulin type 1 variants have conserved sequences 1-537 but differ from amino acids 538-674. One may substitute another amino acid or add to the existing amino acids one or more of the amino acids from these alternative isoforms to obtain a hybrid molecule. This would include fibulin type 2 which is the same as fibulin type 1 with an additional 408 amino acid N-terminal domain added. Such consensus molecules include but are not limited to the following fibulin protein molecules (using the numbering of SEQ. ID. NOS. 7, 8, 9 and 10) :
(a) amino acids 1-537 and (connected to) amino acids 573-654 or amino acids 655-674;
(b) amino acids 1-572 and (connected to) amino acids 655-674; (c) amino acids 1-537 and (connected to) amino acids 573-654, having one or more of amino acids 538-572 placed between amino acids 537 and 573;
(d) amino acids 1-537 and (connected to) amino acids 655-674, having one or more of amino acids 538-572 and/or 573-654, placed between amino acids 537 and 655; and
(e) amino acids 1-572 and (connected to) amino acids 655-674, having one or more of amino acids 573-654 placed between amino acids 572 and 655. The OB protein may be selected from recombinant murine set forth below (SEQ. ID. NOs. 1, 2 or 3 ) , or recombinant human protein as set forth in Zhang et al . , Nature, supra. herein incorporated by reference) or those lacking a glutaminyl residue at position 28. (See Zhang et al, Nature, supra. at page 428) . One may also use the recombinant human OB protein analog as set forth in SEQ. NOs. 4, 5 or 6 which contains: (1) an arginine in place of lysine at position 35; and (2) a leucine in place of isoleucine at position 74. (A shorthand abbreviation for this analog is the recombinant human R->K^5( ->I^ ) . The amino acid sequences for the recombinant human analog and recombinant murine proteins are set forth below with a methionyl residue at the -1 position, however, as with any of the present OB proteins and analogs, the methionyl residue may be absent.
The murine protein is substantially homologous to the human protein, particularly as a mature protein, and, further, particularly at the N-terminus. One may prepare an analog of the recombinant human protein by altering (such as substituting amino acid residues) , in the recombinant human sequence, the amino acids which diverge from the murine sequence. Because the recombinant human protein has biological activity in mice, such analog would likely be active in humans. For example, using a human protein having a lysine at residue 35 and an isoleucine at residue 74 according to the numbering of SEQ. ID. NO. 6, wherein the first amino acid is valine, and the amino acid at position 146 is cysteine, one may substitute with another amino acid one or more of the amino acids at positions 32, 35, 50, 64, 68, 71, 74, 77, 89, 97, 100, 105, 106, 107, 108, 111, 118, 136, 138, 142, and 145. One may select the amino acid at the corresponding position of the murine protein, (SEQ. ID. NO. 3), or another amino acid.
One may further prepare "consensus" molecules based on the rat OB protein sequence. Murakami et al. , Biochem. Biophys. Res. Comm. 209 : 944-952 (1995) herein incorporated by reference. Rat OB protein differs from human OB protein at the following positions (using the numbering of SEQ. ID. NO. 6) : 4, 22., 33, 3_5, 5.0, 68, 71, 74, 77, 78, .81, 9J., 100, 101, 102, 105. 106. 107. 108, 111, 118, 136, 138 and 145. One may substitute with another amino acid one or more of the amino acids at these divergent positions. The positions in bold print are those which in which the murine OB protein as well as the rat OB protein are divergent from the human OB protein, and thus, are particularly suitable for alteration. At one or more of these positions, one may substitute an amino acid from the corresponding rat OB protein, or another amino acid.
The positions from both rat and murine OB protein which diverge from the mature human OB protein are: 4, 32, 33, 35, 50, 64, 68, 71, 74, 77, 78, 89, 97, 100, 102, 105, 106, 107, 108, 111, 118, 136, 138, 142, and 145. A human OB protein according to SEQ. ID. NO. 6 (with lysine at position 35 and isoleucine at position 74) having one or more of the above amino acids deleted or replaced with another amino acid, such as the amino acid found in the corresponding rat or murine sequence, may also be effective.
In addition, the amino acids found in rhesus monkey OB protein which diverge from the mature human OB protein are (with identitites noted in parentheses in one letter amino acid abbreviation) : 8 (S) , 35 (R) , 48(V), 53(Q), 60(1), 66(1), 67 (N) , 68(L), 89 (L) , 100(L), 108(E), 112 (D) , and 118 (L) . Since the recombinant human OB protein is active in cynomolgus monkeys, a human OB protein according to SEQ. ID. NO. 6 (with lysine at position 35 and isoleucine at position 74) having one or more of the rhesus monkey divergent amino acids replaced with another amino acid, such as the amino acids in parentheses, may be effective. It should be noted that certain rhesus divergent amino acids are also those found in the above murine species (positions 35, 68, 89, 100 and 112) . Thus, one may prepare a murine/rhesus/human consensus molecule having (using the numbering of SEQ.ID. NO. 6 having a lysine at position 35 and an isoleucine at position 74) having one or more of the amino acids at positions replaced by another amino acid: 4, 8, 32, 33, 3_5, 48, 50, 53, 60, 64, 66, 67, 6 , 71, 74, 77, 78, 8.9, 97, I , 102, 105, 106, 107, 108, 111, 112, 118, 136, 138, 142, and 145. Other analogs may be prepared by deleting a part of the protein amino acid sequence. For example, the mature protein lacks a leader sequence (-22 to -1) . One may prepare the following truncated forms of human OB protein molecules (using the numbering of SEQ. ID. NO. 6) :
(a) amino acids 98-146;
(b) amino acids 1-32;
(c) amino acids 40-116;
(d) amino acids 1-99 and (connected to) 112-146; and (e) amino acids 1-99 and (connected to) 112-146 having one or more of amino acids 100-111 placed between amino acids 99 and 112.
In addition, the truncated forms may also have altered one or more of the amino acids which are divergent (in the rhesus, rat or murine OB protein) from human OB protein. Furthermore, any alterations may be in the form of altered amino acids, such as peptidomimetics or D-amino acids.
Derivatives
The present fibulin and/or OB protein (herein the term "protein" is used to include "peptide" and OB or fibulin analogs, such as those recited both supra and infra, unless otherwise indicated) may also be derivatized by the attachment of one or more chemical moieties to the protein moiety. If the present pharmaceutical compositions contain as the active ingredient a complex of fibulin and OB protein, one or both of such proteins may be derivatized. The chemically modified derivatives may be further formulated for intraarterial, intraperitoneal, intramuscular, subcutaneous, intravenous, oral, nasal, pulmonary, topical or other routes of administration. Chemical modification of biologically active proteins has been found to provide additional advantages under certain circumstances, such as increasing the stability and circulation time of the therapeutic protein and decreasing immunogenicity. See U.S. Patent No. 4,179,337, Davis et al. , issued December 18, 1979. For a review, see Abuchowski et al. , in Enzymes as Drugs. (J.S. Holcerberg and J. Roberts, eds. pp. 367-383 (1981)) . A review article describing protein modification and fusion proteins is Francis, Focus on Growth Factors 2: 4-10 (May 1992) (published by Mediscript, Mountview Court, Friern Barnet Lane, London N20, OLD, UK) .
The chemical moieties suitable for derivatization may be selected from among various water soluble polymers. The polymer selected should be water soluble so that the protein to which it is attached does not precipitate in an aqueous environment, such as a physiological environment. Preferably, for therapeutic use of the end-product preparation, the polymer will be pharmaceutically acceptable. One skilled in the art will be able to select the desired polymer based on such considerations as whether the polymer/protein conjugate will be used therapeutically, and if so, the desired dosage, circulation time, resistance to proteolysis, and other considerations. For the present proteins and peptides, the effectiveness of the derivatization may be ascertained by administering the derivative, in the desired form (i.e., by osmotic pump, or, more preferably, by injection or infusion, or, further formulated for oral, pulmonary or nasal delivery, for example) , and observing biological effects as described herein.
The water soluble polymer may be selected from the group consisting of, for example, polyethylene glycol, copolymers of ethylene glycol/propylene glycol, carboxymethylcellulose, dextran, polyvinyl alcohol, polyvinyl pyrolidone, poly-1, 3-dioxolane, poly-1, 3, 6-trioxane, ethylene/maleic anhydride copolymer, polyaminoacids (either homopolymers or random or non-random copolymers) , and dextran or poly(n-vinyl pyrolidone)polyethylene glycol, propylene glycol homopolymers, polypropylene oxide/ethylene oxide co-polymers, polyoxyethylated polyols, polystyrenemaleate and polyvinyl alcohol. Polyethylene glycol propionaldenhyde may have advantages in manufacturing due to its stability in water.
Fusion proteins may be prepared by attaching polyaminoacids to the fibulin or OB protein (or analog) moiety. For example, the polyamino acid may be a carrier protein which serves to increase the circulation half life of the protein. For the present therapeutic or cosmetic purposes, such polyamino acid should be those which have do not create neutralizing antigenic response, or other adverse response. Such polyamino acid may be selected from the group consisting of serum album (such as human serum albumin) , an antibody or portion thereof (such as an antibody constant region, sometimes called "Fc") or other polyamino acids. As indicated below, the location of attachment of the polyamino acid may be at the N-terminus of the fibulin or OB protein moiety, or other place, and also may be connected by a chemical "linker" moiety to the fibulin or OB protein. The polymer may be of any molecular weight, and may be branched or unbranched. For polyethylene glycol, the preferred molecular weight is between about 2 kDa and about 100 kDa (the term "about" indicating that in preparations of polyethylene glycol, some molecules will weigh more, some less, than the stated molecular weight) for ease in handling and manufacturing. Other sizes may be used, depending on the desired therapeutic profile (e.g., the duration of sustained release desired, the effects, if any on biological activity, the ease in handling, the degree or lack of antigenicity and other known effects of the polyethylene glycol to a therapeutic protein or analog) .
The number of polymer molecules so attached may vary, and one skilled in the art will be able to ascertain the effect on function. One may mono-derivatize, or may provide for a di-, tri-, tetra- or some combination of derivatization, with the same or different chemical moieties (e.g., polymers, such as different weights of polyethylene glycols) . The proportion of polymer molecules to protein (or peptide) molecules will vary, as will their concentrations in the reaction mixture. In general, the optimum ratio (in terms of efficiency of reaction in that there is no excess unreacted protein or polymer) will be determined by factors such as the desired degree of derivatization (e.g., mono, di-, tri-, etc.), the molecular weight of the polymer selected, whether the polymer is branched or unbranched, and the reaction conditions.
The chemical moieties should be attached to the protein with consideration of effects on functional or antigenic domains of the protein. There are a number of attachment methods available to those skilled in the art. E.g. , EP 0 401 384 herein incorporated by reference (coupling PEG to G-CSF) , see also Malik et al. , Exp. Hematol. 2J): 1028-1035 (1992) (reporting pegylation of GM-CSF using tresyl chloride) . For example, polyethylene glycol may be covalently bound through amino acid residues via a reactive group, such as, a free amino or carboxyl group. Reactive groups are those to which an activated polyethylene glycol molecule may be bound. The amino acid residues having a free amino group may include lysine residues and the N-terminal amino acid residue. Those having a free carboxyl group may include aspartic acid residues, glutamic acid residues, and the C-terminal amino acid residue. Sulfhydrl groups may also be used as a reactive group for attaching the polyethylene glycol molecule(s) . Preferred for therapeutic purposes is attachment at an amino group, such as attachment at the N-terminus or lysine group. Attachment at residues important for receptor binding should be avoided if receptor binding is desired.
One may specifically desire N-terminally chemically modified protein. Using polyethylene glycol as an illustration of the present compositions, one may select from a variety of polyethylene glycol molecules (by molecular weight, branching, etc.), the proportion of polyethylene glycol molecules to protein molecules in the reaction mix, the type of pegylation reaction to be performed, and the method of obtaining the selected
N-terminally pegylated protein. The method of obtaining the N-terminally pegylated preparation (i.e., separating this moiety from other monopegylated moieties if necessary) may be by purification of the N-terminally pegylated material from a population of pegylated protein molecules. Selective N-terminal chemical modification may be accomplished by reductive alkylation which exploits differential reactivity of different types of primary amino groups (lysine versus the N-terminal) available for derivatization in a particular protein. Under the appropriate reaction conditions, substantially selective derivatization of the protein at the N-terminus with a carbonyl group containing polymer is achieved. For example, one may selectively N-terminally pegylate the protein by performing the reaction at a pH which allows one to take advantage of the pK differences between the ε-amino group of the lysine residues and that of the α-amino group of the N-terminal residue of the protein. By such selective derivatization, attachment of a water soluble polymer to a protein is controlled: the conjugation with the polymer takes place predominantly at the N-terminus of the protein and no significant modification of other reactive groups, such as the lysine side chain amino groups, occurs. Using reductive alkylation, the water soluble polymer may be of the type described above, and should have a single reactive aldehyde for coupling to the protein. Polyethylene glycol pro ionaldehyde, containing a single reactive aldehyde, may be used. An N-terminally monopegylated derivative is preferred for ease in production of a therapeutic. N-terminal pegylation ensures a homogenous product as characterization of the product is simplified relative to di-, tri- or other multi pegylated products. The use of the above reductive alkylation process for preparation of an N-terminal product is preferred for ease in commercial manufacturing.
Pharmaceutical Compositions In yet another aspect of the present invention, methods of using pharmaceutical compositions of the proteins, and derivatives are provided. Such pharmaceutical compositions may be for administration by injection, or for oral, pulmonary, nasal, transdermal or other forms of administration. In general, comprehended by the invention are pharmaceutical compositions comprising effective amounts of protein or derivative products of the invention together with pharmaceutically acceptable diluents, preservatives, solubilizers, emulsifiers, adjuvants and/or carriers. Such compositions include diluents of various buffer content (e.g., Tris-HCI, acetate, phosphate), pH and ionic strength; additives such as detergents and solubilizing agents (e.g., Tween 80, Polysorbate 80), anti-oxidants (e.g., ascorbic acid, sodium metabisulfite) , preservatives (e.g., Thimersol, benzyl alcohol) and bulking substances (e.g., lactose, mannitol); incorporation of the material into particulate preparations of polymeric compounds such as polylactic acid, polyglycolic acid, etc. or into liposomes. Hylauronic acid may also be used, and this may have the effect of promoting sustained duration in the circulation. Such compositions may influence the physical state, stability, rate of n vivo release, and rate of in vivo clearance of the present proteins and derivatives. See, e.g. , Remington's Pharmaceutical Sciences, 18th Ed. (1990, Mack Publishing Co., Easton, PA 18042) pages 1435-1712 which are herein incorporated by reference. The compositions may be prepared in liquid form, or may be in dried powder, such as lyophilized form. Implantable sustained release formulations are also contemplated, as are transdermal formulations.
Contemplated for use herein are oral solid dosage forms, which are described generally in Remington's Pharmaceutical Sciences, 18th Ed. 1990 (Mack Publishing Co. Easton PA 18042) at Chapter 89, which is herein incorporated by reference. Solid dosage forms include tablets, capsules, pills, troches or lozenges, cachets or pellets. Also, liposomal or proteinoid encapsulation may be used to formulate the present compositions (e.g. , proteinoid microspheres reported in U.S. Patent No. 4,925,673) . Liposomal encapsulation may be used and the liposomes may be derivatized with various polymers (e.g. U.S. Patent No. 5,013,556) . A description of possible solid dosage forms for the therapeutic is given by Marshall, K. In: Modern Pharmaceutics Edited by G.S. Banker and CT. Rhodes Chapter 10, 1979, herein incorporated by reference. In general, the formulation will include the protein (or analog or derivative) , and inert ingredients which allow for protection against the stomach environment, and release of the biologically active material in the intestine.
Also specifically contemplated are oral dosage forms of the above derivatized proteins. Protein may be chemically modified so that oral delivery of the derivative is efficacious. Generally, the chemical modification contemplated is the attachment of at least one moiety to the protein (or peptide) molecule itself, where said moiety permits (a) inhibition of proteolysis; and (b) uptake into the blood stream from the stomach or intestine. Also desired is the increase in overall stability of the protein and increase in circulation time in the body. Examples of such moieties include: polyethylene glycol, copolymers of ethylene glycol and propylene glycol, carboxymethyl cellulose, dextran, polyvinyl alcohol, polyvinyl pyrrolidone and polyproline. Abuchowski and Davis, Soluble polymer-Enzyme Adducts: "Enzymes as Drugs", Hocenberg and Roberts, eds., Wiley-Interscience, New York, NY,
(1981) , pp 367-383; Newmark, et al. , J. Appl. Biochem. 4 : 185-189 (1982) . Other polymers that could be used are poly-1, 3-dioxolane and poly-1, 3, 6-tioxocane.
For the protein (or derivative) the location of release may be the stomach, the small intestine (the duodenum, the jejunem, or the ileum) , or the large intestine. One skilled in the art has available formulations which will not dissolve in the stomach, yet will release the material in the duodenum or elsewhere in the intestine. Preferably, the release will avoid the deleterious effects of the stomach environment, either by protection of the protein (or derivative) or by release of the biologically active material beyond the stomach environment, such as in the intestine. To ensure full gastric resistance a coating impermeable to at least pH 5.0 is essential. Examples of the more common inert ingredients that are used as enteric coatings are cellulose acetate trimellitate (CAT) , hydroxypropylmethylcellulose phthalate (HPMCP) , HPMCP 50, HPMCP 55, polyvinyl acetate phthalate (PVAP) , Eudragit L30D, Aquateric, cellulose acetate phthalate (CAP), Eudragit L, Eudragit S, and Shellac. These coatings may be used as mixed films.
A coating or mixture of coatings can also be used on tablets, which are not intended for protection against the stomach. This can include sugar coatings, or coatings which make the tablet easier to swallow. Capsules may consist of a hard shell (such as gelatin) for delivery of dry therapeutic i.e. powder; for liquid forms, a soft gelatin shell may be used. The shell material of cachets could be thick starch or other edible paper. For pills, lozenges, molded tablets or tablet triturates, moist massing techniques can be used. The therapeutic can be included in the formulation as fine multiparticulates in the form of granules or pellets of particle size about 1mm. The formulation of the material for capsule administration could also be as a powder, lightly compressed plugs or even as tablets. The therapeutic could be prepared by compression.
Colorants and flavoring agents may all be included. For example, the protein (or derivative) may be formulated (such as by liposome or microsphere encapsulation) and then further contained within an edible product, such as a refrigerated beverage containing colorants and flavoring agents.
One may dilute or increase the volume of the therapeutic with an inert material. These diluents could include carbohydrates, especially mannitol, α-lactose, anhydrous lactose, cellulose, sucrose, modified dextrans and starch. Certain inorganic salts may be also be used as fillers including calcium triphosphate, magnesium carbonate and sodium chloride. Some commercially available diluents are Fast-Flo, Emdex, STA-Rx 1500, Emcompress and Avicell . Disintegrants may be included in the formulation of the therapeutic into a solid dosage form. Materials used as disintegrates include but are not limited to starch including the commercial disintegrant based on starch, Explotab. Sodium starch glycolate, Amberlite, sodium carboxymethylcellulose, ultramylopectin, sodium alginate, gelatin, orange peel, acid carboxymethyl cellulose, natural sponge and bentonite may all be used. Another form of the disintegrants are the insoluble cationic exchange resins. Powdered gums may be used as disintegrants and as binders and these can include powdered gums such as agar, Karaya or tragacanth. Alginic acid and its sodium salt are also useful as disintegrants. Binders may be used to hold the therapeutic agent together to form a hard tablet and include materials from natural products such as acacia, tragacanth, starch and gelatin. Others include methyl cellulose (MC) , ethyl cellulose (EC) and carboxymethyl cellulose (CMC) . Polyvinyl pyrrolidone (PVP) and hydroxypropylmethyl cellulose (HPMC) could both be used in alcoholic solutions to granulate the therapeutic.
An antifrictional agent may be included in the formulation of the therapeutic to prevent sticking during the formulation process. Lubricants may be used as a layer between the therapeutic and the die wall, and these can include but are not limited to; stearic acid including its magnesium and calcium salts, polytetrafluoroethylene (PTFE) , liquid paraffin, vegetable oils and waxes. Soluble lubricants may also be used such as sodium lauryl sulfate, magnesium lauryl sulfate, polyethylene glycol of various molecular weights, Carbowax 4000 and 6000.
Glidants that might improve the flow properties of the drug during formulation and to aid rearrangement during compression might be added. The glidants may include starch, talc, pyrogenic silica and hydrated si1icoaluminate.
To aid dissolution of the therapeutic into the aqueous environment a surfactant might be added as a wetting agent. Surfactants may include anionic detergents such as sodium lauryl sulfate, dioctyl sodium sulfosuccinate and dioctyl sodium sulfonate. Cationic detergents might be used and could include benzalkonium chloride or benzethomium chloride. The list of potential nonionic detergents that could be included in the formulation as surfactants are lauromacrogol 400, polyoxyl 40 stearate, polyoxyethylene hydrogenated castor oil 10, 50 and 60, glycerol monostearate, polysorbate 40, 60, 65 and 80, sucrose fatty acid ester, methyl cellulose and carboxymethyl cellulose. These surfactants could be present in the formulation of the protein or derivative either alone or as a mixture in different ratios. Additives which potentially enhance uptake of the protein (or derivative) are for instance the fatty acids oleic acid, linoleic acid and linolenic acid.
Controlled release formulation may be desirable. The drug could be incorporated into an inert matrix which permits release by either diffusion or leaching mechanisms i.e. gums. Slowly degenerating matrices may also be incorporated into the formulation. Another form of a controlled release of this therapeutic is by a method based on the Oros therapeutic system (Alza Corp.), i.e. the drug is enclosed in a semipermeable membrane which allows water to enter and push drug out through a single small opening due to osmotic effects . Some entric coatings also have a delayed release effect. Other coatings may be used for the formulation. These include a variety of sugars which could be applied in a coating pan. The therapeutic agent could also be given in a film coated tablet and the materials used in this instance are divided into 2 groups. The first are the nonenteric materials and include methyl cellulose, ethyl cellulose, hydroxyethyl cellulose, methylhydroxy-ethyl cellulose, hydroxypropyl cellulose, hydroxypropyl-methyl cellulose, sodium carboxy-methyl cellulose, providone and the polyethylene glycols. The second group consists of the enteric materials that are commonly esters of phthalic acid.
A mix of materials might be used to provide the optimum film coating. Film coating may be carried out in a pan coater or in a fluidized bed or by compression coating.
Also contemplated herein is pulmonary delivery of the present proteins, or derivative thereof. The protein (derivative) is delivered to the lungs of a mammal while inhaling and traverses across the lung epithelial lining to the blood stream. (Other reports of this include Adjei et al. , Pharmaceutical Research 7_L 565-569 (1990); Adjei et al. , International Journal of Pharmaceutics 6_3: 135-144 (1990) (leuprolide acetate); Braquet et al. , Journal of Cardiovascular Pharmacology 13 (suppl. 5) : s.143-146
(1989) (endothelin-1) ;Hubbard et al . , Annals of Internal Medicine 2: 206-212 (1989) (αl-antitrypsin) ; Smith et al., J. Clin. Invest. M : 1145-1146 (1989) (α-1-proteinase) ; Oswein et al. , "Aerosolization of Proteins", Proceedings of Symposium on Respiratory Drug Delivery II, Keystone, Colorado, March, 1990 (recombinant human growth hormone) ; Debs et al . , The Journal of Immunology 140: 3482-3488 (1988) (interferon-γ and tumor necrosis factor alpha) and Platz et al. , U.S. Patent No. 5,284,656 (granulocyte colony stimulating factor) .
Contemplated for use in the practice of this invention are a wide range of mechanical devices designed for pulmonary delivery of therapeutic products, including but not limited to nebulizers, metered dose inhalers, and powder inhalers, all of which are familiar to those skilled in the art.
Some specific examples of commercially available devices suitable for the practice of this invention are the Ultravent nebulizer, manufactured by Mallinckrodt, Inc., St. Louis, Missouri; the Acorn II nebulizer, manufactured by Marquest Medical Products, Englewood, Colorado; the Ventolin metered dose inhaler, manufactured by Glaxo Inc., Research Triangle Park, North Carolina; and the Spinhaler powder inhaler, manufactured by Fisons Corp., Bedford, Massachusetts.
All such devices require the use of formulations suitable for the dispensing of protein (or analog or derivative) . Typically, each formulation is specific to the type of device employed and may involve the use of an appropriate propellant material, in addition to diluents, adjuvants and/or carriers useful in therapy. The proteins (or derivative) should most advantageously be prepared in particulate form with an average particle size of less than 10 μm (or microns) , most preferably 0.5 to 5 μm, for most effective delivery to the distal lung. Carriers include carbohydrates such as trehalose, mannitol, xylitol, sucrose, lactose, and sorbitol. Other ingredients for use in formulations may include DPPC, DOPE, DSPC and DOPC. Natural or synthetic surfactants may be used. Polyethylene glycol may be used (even apart from its use in derivatizing the protein or analog) . Dextrans, such as cyclodextran, may be used. Bile salts and other related enhancers may be used. Cellulose and cellulose derivatives may be used. Amino acids may be used, such as use in a buffer formulation.
Also, the use of liposomes, microcapsules or microspheres, inclusion complexes, or other types of carriers is contemplated.
Formulations suitable for use with a nebulizer, either jet or ultrasonic, will typically comprise protein (or derivative) dissolved in water at a concentration of about 0.1 to 25 mg of biologically active protein per mL of solution. The formulation may also include a buffer and a simple sugar (e.g., for protein stabilization and regulation of osmotic pressure) . The nebulizer formulation may also contain a surfactant, to reduce or prevent surface induced aggregation of the protein caused by atomization of the solution in forming the aerosol. Formulations for use with a metered-dose inhaler device will generally comprise a finely divided powder containing the protein (or derivative) suspended in a propellant with the aid of a surfactant. The propellant may be any conventional material employed for this purpose, such as a chlorofluorocarbon, a hydrochlorofluorocarbon, a hydrofluorocarbon, or a hydrocarbon, including trichlorofluoromethane, dichlorodifluoromethane, dichlorotetrafluoroethanol, and 1, 1, 1, 2-tetrafluoroethane, or combinations thereof. Suitable surfactants include sorbitan trioleate and soya lecithin. Oleic acid may also be useful as a surfactant.
Formulations for dispensing from a powder inhaler device will comprise a finely divided dry powder containing protein (or derivative) and may also include a bulking agent, such as lactose, sorbitol, sucrose, mannitol, trehalose, or xylitol in amounts which facilitate dispersal of the powder from the device, e.g. 50 to 90% by weight of the formulation.
Nasal delivery of the protein (or analog or derivative) is also contemplated. Nasal delivery allows the passage of the protein to the blood stream directly after administering the therapeutic product to the nose, without the necessity for deposition of the product in the lung. Formulations for nasal delivery include those with dextran or cyclodextran. Delivery via transport across other mucus membranes is also contemplated. One skilled in the art will be able to ascertain effective dosages by administration and observing the desired therapeutic effect. Preferably, the formulation of the molecule or complex in a pharmaceutical composition will be such that between about .10 μg/kg/day and 10 μg/kg/day will yield the desired therapeutic effect. The effective dosages may be determined using diagnostic tools over time. For example, a diagnostic for measuring the amount of OB or fibulin protein in the blood (or plasma or serum) may first be used to determine endogenous levels of OB or fibulin protein. Such diagnostic tools may be in the form of an antibody assay, such as an antibody sandwich assay. The amount of OB protein can also be determined by means of the methods disclosed as part of the invention herein. These include incubating biological samples with fibulin protein and determining the amount of OB protein bound in the OB/fibulin complex. The amount of endogenous OB or fibulin protein is quantified initially, and a baseline is determined. The therapeutic dosages are determined as the quantification of endogenous and exogenous OB or fibulin protein (that is, protein, analog or derivative found within the body, either self-produced or administered) is continued over the course of therapy. The dosages may therefore vary over the course of therapy, with a relatively high dosage being used initially, until therapeutic benefit is seen, and lower dosages used to maintain the therapeutic benefits.
Methods of Use Therapeutic benefits include the reduction of excess weight and/or excess fat. When excess weight and/or fat is reduced or eliminated, other therapeutic benefits may concomitantly occur, such as a treatment of Type II diabetes. There may also be a reduction in blood lipid levels and related cardio-vacular problems, such as a reduction in LDL or VLDL, cholesterol, a reduction in artherial plaque or the rate of formation thereof, treatment of hyper-tension, and a reduction in the rate of gall stone formation. Additional therapeutic benefits include the relative or absolute increase in lean mass along with loss in fat. Increase in lean tissue mass may also result in an increase in sensitivity to insulin, and improvement in overall strength, a decrease in bone resorption, and an increase in red blood cells or oxygenation of tissue.
Even in the absence of weight loss, use of the present compositions may result in the above therapeutic benefits. There may be dosages administered for maintenance of body weight or fat loss, but which result in the above therapeutic benefits.
Additionally, the present compositions may have solely cosmetic benefits in weight reduction or fat reduction. The present methods may be used in conjunction with other medicaments, such as those useful for the treatment of diabetes (e.g. , insulin, and possibly amylin) , cholesterol and blood pressure lowering medicaments (such as those which reduce blood lipid levels or other cardiovascular medicaments) , and activity increasing medicaments (e.g. , amphetamines) . Appetite suppressants may also be used. Such administration may be simultaneous or may be in seriatim.
In addition, the present methods may be used in conjunction with surgical procedures, such as cosmetic surgeries designed to alter the overall appearance of a body (e.g. , liposuction or laser surgeries designed to reduce body mass, or implant surgeries designed to increase the appearance of body mass) . The health benefits of cardiac surgeries, such as bypass surgeries or other surgeries designed to relieve a deleterious condition caused by blockage of blood vessels by fatty deposits, such as arterial plaque, may be increased with concomitant use of the present compositions and methods. Methods to eliminate gall stones, such as ultrasonic or laser methods, may also be used either prior to, during or after a course of the present therapeutic methods. Furthermore, the present methods may be used as an adjunct to surgeries or therapies for broken bones, damaged muscle, or other therapies which would be improved by an increase in lean tissue mass. Therefore, the present invention provides a method for treating disorders selected from among excess weight, high blood levels, high cholesterol, high triglycerides, Type II diabetes, or other related disorders, comprised of administering an effective amount of fibulin type I protein selected from among the following:
(a) the amino acid sequence 1 - 537 as set forth in SEQ. ID. NO. 7; (b) the amino acid sequence 1 - 572 as set forth in SEQ. ID. NO. 8;
(c) the amino acid sequence 1 - 654 as set forth in SEQ. ID. NO. 9;
(d) the amino acid sequence 1 - 672 as set forth in SEQ. ID. NO. 10;
(e) the amino acid sequence of any of subparts (a) , (b) , (c) , or (d) having a methionyl residue at the N-terminus;
(f) the amino acid sequence of any of subparts (a) , (b) , (c) , or (d) having a different amino acid substituted in one or more of the following positions:
(i) one or more cysteine residues replaced by an alanine or serine residue; (ii) one or more tyrosine residues replaced by a phenylalanine residue;
(g) a truncated fibulin protein analog sufficient to bind an OB protein, analog or derivative thereof; (h) a hybrid molecule of fibulin protein selected from among the following:
(i) amino acids 1-537 and (connected to) amino acids 573-654 or amino acids 655-674;
(ii) amino acids 1-572 and (connected to) amino acids 655-674;
(iii) amino acids 1-537 and (connected to) amino acids 573-654, having one or more of amino acids 538-572 placed between amino acids 537 and 573; (iv) amino acids 1-537 and (connected to) amino acids 655-674, having one or more of amino acids 538-572 and/or 573-654, placed between amino acids 537 and 655; and (v) amino acids 1-572 and (connected to) amino acids 655-674, having one or more of amino acids 573-654 placed between amino acids 572 and 655;
(i) the fibulin protein, analog or derivative of any of subparts (a) through (h) comprised of a chemical moiety connected to the protein moiety;
(j) a derivative of subpart (i) wherein said chemical moiety is a water soluble polymer moiety;
(k) a derivative of subpart (j) wherein said water soluble polymer moiety is polyethylene glycol;
(1) a derivative of subpart (j) wherein said water soluble polymer moiety is a polyamino acid moiety; (m) a derivative of subpart (j) wherein said water soluble polymer moiety is attached at solely the N-terminus of said protein moiety;
(n) a combination of fibulin protein from any of subparts (a) through (m) ; and
(o) a dimer fibulin protein from any of subparts (a) through (m) .
In addition, the present invention also provides a method for treating disorders selected from among excess weight, high blood levels, high cholesterol, high triglycerides, Type II diabetes, or other related disorders comprised of administering a therapeutically effective amount of a complex consisting of fibulin type I, or analogs or derivatives thereof as discussed above, complexed to an OB protein, analog or derivative thereof selected from among the following: (a) the amino acid sequence 1-146 as set forth in SEQ. ID. NO. 3 (below) or SEQ ID. NO. 6 (below) ,
(b) the amino acid sequence set 1-146 as forth in SEQ. ID. NO. 6 (below) having a lysine residue at position 35 and an isoleucine residue at position 74;
(c) the amino acid sequence of subpart (b) having a different amino acid substituted in one or more of the following positions (using the numbering according to SEQ. ID. NO. 6, and retaining the same numbering even in the absence of a glutaminyl residue at position 28) : 4, 8, 32, 33, 35, 48, 50, 53, 60, 64, 66, 67, 68, 71, 74, 77, 78, 89, 97, 100, 102, 105, 106, 107, 108, 111, 112, 118, 136, 138, 142, and 145; (d) the amino acid sequence of subparts (a) ,
(b) or (c) optionally lacking a glutaminyl residue at position 28;
(e) the amino acid sequence of subparts (a) , (b) , (c) , or (d) having a methionyl residue at the N terminus.
(f) a truncated OB protein analog selected from among: (using the numbering of SEQ. ID. NO. 6 having a lysine residue at position 35 and an isoleucine residue at position 74) : (i) amino acids 98-146;
(ii) amino acids 1-32; (iii) amino acids 40-116; (iv) amino acids 1-99 and 112-146; (v) amino acids 1-99 and 112-146 having one or more of amino acids 100-111 sequentially placed between amino acids 99 and 112;
(vi) the truncated OB analog of subpart (i) having one or more of amino acids 100, 102, 105, 106, 107, 108, 111, 112, 118, 136, 138, 142, and 145 substituted with another amino acid; (vii) the truncated analog of subpart (ii) having one or more of amino acids 4, 8 and 32 substituted with another amino acid;
(viii) the truncated analog of subpart (iii) having one or more of amino acids 50, 53, 60, 64, 66, 67, 68, 71, 74, 77, 78, 89, 97, 100, 102, 105, 106, 107, 108, 111 and 112 replaced with another amino acid;
(vix) the truncated analog of subpart (iv) having one or more of amino acids 4, 8, 32, 33, 35, 48, 50, 53, 60, 64, 66, 67, 68, 71, 74, 77, 78, 89, 97, 112, 118, 136, 138, 142, and 145 replaced with another amino acid;
(x) the truncated analog of subpart (v) having one or more of amino acids 4, 8,32, 33, 35, 48, 50, 53, 60, 64, 66, 67, 68, 71, 74, 77, 78, 89, 97, 100, 102, 105, 106, 107, 108, 111, 112, 118, 136, 138, 142, and 145 replaced with another amino acid; and (xi) the truncated analog of any of subparts (i)-(x) having an N-terminal methionyl residue;
(g) the OB protein or analog derivative of any of subparts (a) through (f) comprised of a chemical moiety connected to the protein moiety;
(h) a derivative of subpart (g) wherein said chemical moiety is a water soluble polymer moiety;
(i) a derivative of subpart (h) wherein said water soluble polymer moiety is polyethylene glycol; (j) A derivative of subpart (h) wherein said water soluble polymer moiety is a polyamino acid moiety; (k) a derivative of subpart (h) wherein said water soluble polymer moiety is attached at solely the N-terminus of said protein moiety (1) an OB protein, analog or derivative of any of subparts (a) through (k) in a pharmaceutically acceptable carrier.
Fibulin may also be used as an affinity reagent to purify or detect the presence of OB protein in a biological sample. In one method, the fibulin protein is immobilized on CnBr-activated Sepharose and a column of protein-Sepharose conjugate is used to remove OB protein from liquid samples. In other methods, Fibulin protein may also be immobilized on other support materials which are well known in the art. Fibulin can also be used as a diagnostic reagent to detect and quantitate OB protein in biological samples. Such methods, utilize fibulin protein as a capture agent under conditions that allow OB protein in a biological sample to bind to fibulin protein forming a fibulin/OB complex. The amount of OB protein or the presence of OB protein in a sample can then be determined through known methods.
The following examples are offered to more fully illustrate the invention, but are not to be construed as limiting the scope thereof. Example 1 demonstrates that fibulin binds to OB protein. Example 2 is a prophetic example illustrating the use of the present fibulin pharmaceutical compositions for the treatment of obesity. Example 3 is a prophetic example illustrating the use of the present fibulin/OB protein complex pharmaceutical composition for the treatment of obesity. Materials and Methods follow.
EXAMPLE 1
This Example demonstrates that fibulin binds to OB protein. Resin covalently bound to recombinant human OB protein was contacted with human serum. The Resin/serum mix was then washed to remove excess proteins. SDS-PAGE gel analysis and sequencing confirmation were then performed to identify fibulin/OB protein complex.
1. Resin preparation. Actigel-ALD (Sterogene) , a Sepharose gel with activated aldehyde was used. Two small containers ("capsules") of resin were prepared. The first was a control resin, with the active groups (aldehyde) blocked by ethanolamine. The second was resin covalently bound to recombinant human OB protein having the amino acid sequence set 1-146 as forth in SEQ. ID. NO. 6 (below) having a lysine residue at position 35 and an isoleucine residue at position 74, and a methionyl residue at position -1. Five milligrams of OB protein was used per 200 microliters of resin.
2. Contact with human serum. The capsules of control or OB-resin were placed in human serum. For a typical study, 2000 milliliters of human serum was contacted with 200 microliters of resin (either control or OB protein bound) . The resin/serum mix was allowed to stir for 48 hours at 4°C.
3. First Wash. The resin capsule was removed from the serum, and washed until the eluant was relatively protein-free, having an OD below .01 at A280- The first was buffer contained 50 mM Tris, pH 7.5, 150 mM NaCl, 2 mM CaCl2 and 2 mM MgCl2 • One milliliter fractions were collected.
4. EDTA Elution. The resin capsule was then washed with the same buffer, but containing no MgCl2 or CaCl2, and containing 10 mM EDTA. One milliliter fractions were collected and O.D. nm monitored to follow protein elution. 5. GEB Elution. Gentle Antibody/Antigen Elution Buffer ("GEB", Pierce Chemical) was used to wash the resin capsule, and one milliliter fractions were collected. The fractions were combined, and dialyzed against the above Tris buffer containing metals, or against phosphate buffered saline.
6. SDS-PAGE. The SDS-PAGE (non-reducting conditions) results are shown in FIGURE 1. Lane 4 contains molecular weight standards ranging from 200 kD to 6kD. The presence of fibulin binding to OB protein is demonstrated by comparing lane 1 containing the EDTA elution from the control resin (first lane on the left) and the lane 2, containing the EDTA elution from the OB- linked resin (second lane from the left) , As can be seen, there is a band at approximately 85 kD seen in lane 2. Fibulin dimer binding to OB protein is demonstrated by comparing lane 1 containing the EDTA elutions from the control resin and lane 2, containing the EDTA elution from the OB-linked resin. As can be seen, there is a band at approxiamtely 200 kD in lane 2.
7. Sequencing Confirmation. Sequencing confirmed the identity of fibulin in the 85 kD band. The N-terminal 13 amino acids were identical to the N-terminal amino acids of the mature fibulin protein (GenBank accession No. P37888) .
EXAMPLE 2
This Example demonstrates the use of fibulin pharmaceutical compositions for the treatment of obesity.
An obese human, with a BMI greater than 30, is treated with an effective dose of fibulin in a pharmaceutically acceptable diluent, adjuvant or carrier. The fibulin is selected from amino acids
(variant A) 1-537 of SEQ. ID. NO. 7; amino acids
(variant B) 1-572 of SEQ. ID. NO. 8; amino acids (variant C) 1-654 of SEQ. ID. NO. 9; amino acids
(variant D) 1-674 of SEQ. ID. NO. 10 or other analogs or derivates discussed herein. During the course of treatment, fibulin levels in the serum are monitored using an anti-fibulin selective binding molecule, such as a monoclonal antibody.
EXAMPLE 3
This Example demonstrates the use of fibulin/OB protein complex pharmaceutical compositions for the treatment of obesity.
An obese human, with a BMI greater than 30, is treated with an effective dose of fibulin/OB protein complex, in a pharmaceutically acceptable diluent, adjuvant or carrier. The fibulin and OB protein are selected from the amino acids, analogs and derivates described herein. The fibulin can be monitored using an anti-fibulin selective binding molecule, such as a monoclonal antibody.
METHODS FOR PRODUCTION OF FIBULIN TYPE 1
Biologically active recombinant fibulin type 1 can be produced using standard methods well known in the art. In addition, fibulin type 1 can also be isolated and purified from naturally occurring sources such as human placenta or human serum or plasma using standard methods well known in the art. Such methods have previously been described in Balbona et al. , J. Biol. Chem. 267: 20120- 20125 (1992) and Argraves et al. , J. Cell Biol. Ill: 3155- 3164 (1990) . As discussed previously herein, standard methods for producing methionyl analogs and other derivatives can also be used in the preparation of fibulin type 1 analogs or derivatives.
METHODS FOR PRODUCTION OF OB PROTEIN
The below methods for production have been used to produce biologically active recombinant methionyl murine or human analog OB protein. Similar methods may be used to prepare biologically active recombinant methionyl human OB protein.
Expression Vector and Host Strain
The plasmid expression vector used is pCFM1656, ATCC Accession No. 69576. The above DNA was ligated into the expression vector pCFM1656 linearized with Xbal and BamHI and transformed into the E. coli host strain, FM5. E. coli FM5 cells were derived at Amgen Inc., Thousand Oaks, CA from E. coli K-12 strain (Bachmann, et al . , Bacteriol. Rev. 40.: 116-167 (1976)) and contain the integrated lambda phage repressor gene, CI857 (Sussman et al., CR. Acad. Sci. 254.: 1517-1579 (1962)) . Vector production, cell transformation, and colony selection were performed by standard methods. E.g. , Sambrook, et al. , Molecular Cloning: A Laboratory Manual, 2d Edition, Cold Spring Harbor Laboratory Press, Cold Spring Harbor, NY. Host cells were grown in LB media.
Fermentation Process A three-phase fermentation protocol known as a fed-batch process was used. Media compositions are set forth below. Batch: A nitrogen and phosphate source were sterilized (by raising to 122 °C for 35 minutes, 18-20 psi) in the fermentation vessel (Biolafitte, 12 liter capacity) . Upon cooling, carbon, magnesium, vitamin, and trace metal sources were added aseptically. An overnight culture of the above recombinant murine protein-producing bacteria (16 hours or more) of 500 mL (grown in LB broth) was added to the fermentor.
Feed I: Upon reaching between 4.0-6.0 OD600 cultures were fed with Feed I. The glucose was fed at a limiting rate in order to control the growth rate (μ) .
An automated system (called the Distributive Control System) was instructed to control the growth rate to 0.15 generations per hour.
Feed II: When the OD600 had reached 30, culture temperature were slowly increased to 42°C and the feed changed to Feed II, below. The fermentation was allowed to continue for 10 hours with sampling every 2 hours. After 10 hours, the contents of the fermentor was chilled to below 20°C and harvested by centrifugation.
Media Composition:
Batch: 10 g/L Yeast extract
5.25 g/L (NH4)2S04 3.5 g/L K2HPO4
4.0 g/L KH2PO4
5.0 g/L Glucose 1.0 g/L MgSθ4-7H2θ
2.0 mL/L Vitamin Solution 2.0 mL/L Trace Metal Solution
1.0 mL/L P2000 Antifoam
Feed I: 50 g/L Bacto-tryptone
50 g/L Yeast extract
450 g/L Glucose 8.75 g/L MgS047H20
10 mL/L Vitamin Solution
10 mL/L Trace Metal Solution
Feed II: 200 g/L Bacto-tryptone
100 g/L Yeast extract 110 g/L Glucose Vitamin Solution (Batch and Feed I) :
0.5 g Biotin, 0.4 g Folic acid, and 4.2 g riboflavin, was dissolved in 450 mis H2θ and 3 mis 10 N NaOH, and brought to 500 mLs in H2O. 14 g pyridoxine-HCl and 61 g niacin was dissolved 150 ml H2O and 50 ml 10 N NaOH, and brought to 250 ml in H2O. 54 g pantothenic acid was dissolved in 200 mL H2O, and brought to 250 mL. The three solutions were combined and brought to 10 liters total volume.
Trace Metal Solution (Batch and Feed I) : Ferric Chloride (FeCl3 • 6H2O) : 27 g/L Zinc Chloride (ZnCl2 4H20) : 2 g/L Cobalt Chloride (C0CI2 6H2O) : 2 g/L Sodium Molybdate (NaMoθ4•2H20) : 2 g/L Calcium Chloride (CaCl2 2H20) : 1 g/L Cupric Sulfate (CUSO4 5H20) : 1.9 g/L Boric Acid (H3BO3) : 0.5 g/L Manganese Chloride (MnCl2 4H20) : 1.6 g/L Sodium Citrate dihydrate: 73.5 g/L
Purification Process for Murine OB Protein Purification was accomplished by the following steps (unless otherwise noted, the following steps were performed at 4°C) :
1. Cell paste. E. coli cell paste was suspended in 5 times volume of 7 mM of EDTA, pH 7.0. The cells in the EDTA were further broken by two passes through a microfluidizer. The broken cells were centrifuged at 4.2 K rpm for 1 hour in a Beckman J6-B centrifuge with a JS-4.2 rotor.
2. Inclusion body wash #1. The supernatant from above was removed, and the pellet was resuspended with 5 times volume of 7 mM EDTA, pH 7.0, and homogenized. This mixture was centrifuged as in step 1. 3. Inclusion body wash #2. The supernatant from above was removed, and the pellet was resuspended in ten times volume of 20 mM tris, pH 8.5, 10 mM DTT, and 1% deoxycholate, and homogenized. This mixture was centrifuged as in step 1.
4. Inclusion body wash #3. The supernatant from above was removed and the pellet was resuspended in ten times volume of distilled water, and homogenized. This mixture was centrifuged as in step 1. 5. Refolding. The pellet was refolded with 15 volumes of 10 mM HEPES, pH 8.5, 1% sodium sarcosine (N-lauroyl sarcosine), at room temperature. After 60 minutes, the solution was made to be 60 μM copper sulfate, and then stirred overnight. 6. Removal of sarcosine. The refolding mixture was diluted with 5 volumes of 10 mM tris buffer, pH 7.5, and centrifuged as in step 1. The supernatant was collected, and mixed with agitation for one hour with Dowex® 1-X4 resin (Dow Chemical Co., Midland MI), 20-50 mesh, chloride form, at 0.066% total volume of diluted refolding mix. See WO 89/10932 at page 26 for more information on Dowex®. This mixture was poured into a column and the eluant collected. Removal of sarcosine was ascertained by reverse phase HPLC. 7. Acid precipitation. The eluant from the previous step was collected, and pH adjusted to pH 5.5, and incubated for 30 minutes at room temperature. This mixture was centrifuged as in step 1.
8. Cation exchange chromatography. The pH of the supernatant from the previous step was adjusted to pH
4.2, and loaded on CM Sepharose Fast Flow (at 7% volume) . 20 column volumes of salt gradient were done at 20 mM NaOAC, pH 4.2, O M to l.O M NaCl.
9. Hydrophobic interaction chromatography. The CM Sepharose pool of peak fractions (ascertained from ultraviolet absorbance) from the above step was made to be 0.2 M ammonium sulfate. A 20 column volume reverse salt gradient was done at 5 mM NaOAC, pH 4.2, with .4 M to 0 M ammonium sulfate. This material was concentrated and diafiltered into PBS.
Fermentation of recombinant human OB protein analog.
Fermentation of the above host cells to produce recombinant human OB protein analog (SEQ. ID. NO. 4) can be accomplished using the conditions and compositions as described above for recombinant murine material.
Purification of the recombinant human OB protein analog.
Recombinant human protein analog may be purified using methods similar to those used for purification of recombinant murine protein. For preparation of recombinant human OB protein analog, step 8 should be performed by adjusting the pH of the supernatant from step 7 to pH 5.0, and loading this onto a CM Sepharose fast flow column. The 20 column volume salt gradient should be performed at 20 mM NaOAC, pH 5.5, 0M to 0.5 M NaCl. Step 9 should be performed by diluting the CM Sepharose pool four fold with water, and adjusting the pH to 7.5. This mixture should be made to 0.7 M ammonium sulfate. Twenty column volume reverse salt gradient should be done at 5 mM NaOAC, pH 5.5, 0.2 M to 0M ammonium sulfate. Otherwise, the above steps are identical. Recombinant human OB protein of SEQ.ID.NO.6 having lysine 35 and isoleucine 74 can be formulated in a buffer containing 10 mM histidine, 4.3% arginine, at pH 6.0. Methods of producing fibulin Type 1/OB Protein Complex.
Biological active recombinant fibulin type 1 or recombinant OB protein can be produced according to the above methods. Fibulin type 1/OB protein complex can be prepared by admixing purified and isolated Fibulin type 1 with purified and isolated OB protein. The fibulin type 1/OB protein complex will form due to the ability of fibulin type 1 to associate with OB protein.
While the present invention has been described in terms of preferred embodiments, it is understood that variations and modifications will occur to those skilled in the art. Therefore, it is intended that the appended claims cover all such equivalent variations which come within the scope of the invention as claimed.
SEQUENCE LISTING
(1) GENERAL INFORMATION:
(i) APPLICANT: AMGEN INC.
(ii) TITLE OF INVENTION: FIBULIN PHARMACEUTICAL COMPOSITIONS AND RELATED METHODS
(iii) NUMBER OF SEQUENCES: 10
(iv) CORRESPONDENCE ADDRESS:
(A) ADDRESSEE: AMGEN INC.
(B) STREET: 1840 DEHAVILLAND DRIVE
(C) CITY: THOUSAND OAKS
(D) STATE: CA
(E) COUNTRY: USA
(F) ZIP: 91320-1789
(v) COMPUTER READABLE FORM:
(A) MEDIUM TYPE: Floppy disk
(B) COMPUTER: IBM PC compatible
(C) OPERATING SYSTEM: PC-DOS/MS-DOS
(D) SOFTWARE: Patentin Release #1.0, Version #1.30
(vi) CURRENT APPLICATION DATA:
(A) APPLICATION NUMBER: US 08/627,636
(B) FILING DATE: 04-APR-1996
(C) CLASSIFICATION: NOT ASSIGNED YET
(viii) ATTORNEY/AGENT INFORMATION:
(A) NAME: Knight, Matthew W.
(B) REGISTRATION NUMBER: 36,846
(C) REFERENCE/DOCKET NUMBER: A-389
(2) INFORMATION FOR SEQ ID NO: 1 :
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 491 base pairs
(B) TYPE: nucleic acid
(C) STRANDEDNESS: single
(D) TOPOLOGY: linear
(ii) MOLECULE TYPE: cDNA
(xi) SEQUENCE DESCRIPTION: SEQ ID NO:l:
TCTAGATTTG AGTTTTAACT TTTAGAAGGA GGAATAACAT ATGGTACCGA TCCAGAAAGT 60
TCAGGACGAC ACCAAAACCT TAATTAAAAC GATCGTTACG CGTATCAACG ACATCAGTCA 120
CACCCAGTCG GTCTCCGCTA AACAGCGTGT TACCGGTCTG GACTTCATCC CGGGTCTGCA 180 CCCGATCCTA AGCTTGTCCA AAATGGACCA GACCCTGGCT GTATACCAGC AGGTGTTAAC 240
CTCCCTGCCG TCCCAGAACG TTCTTCAGAT CGCTAACGAC CTCGAGAACC TTCGCGACCT 300
GCTGCACCTG CTGGCATTCT CCAAATCCTG CTCCCTGCCG CAGACCTCAG GTCTTCAGAA 360
ACCGGAATCC CTGGACGGGG TCCTGGAAGC ATCCCTGTAC AGCACCGAAG TTGTTGCTCT 420
GTCCCGTCTG CAGGGTTCCC TTCAGGACAT CCTTCAGCAG CTGGACGTTT CTCCGGAATG 480
TTAATGGATC C 491 (2) INFORMATION FOR SEQ ID NO:2 :
(l) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 491 base pairs
(B) TYPE: nucleic acid
(C) STRANDEDNESS: single
(D) TOPOLOGY: linear
(n) MOLECULE TYPE: cDNA
(xi) SEQUENCE DESCRIPTION- SEQ ID NO:2:
AGATCTAAAC TCAAAATTGA AAATCTTCCT CCTTATTGTA TACCATGGCT AGGTCTTTCA 60
AGTCCTGCTG TGGTTTTGGA ATTAATTTTG CTAGCAATGC GCATAGTTGC TGTAGTCAGT 120
GTGGGTCAGC CAGAGGCGAT TTGTCGCACA ATGGCCAGAC CTGAAGTAGG GCCCAGACGT 180
GGGCTAGGAT TCGAACAGGT TTTACCTGGT CTGGGACCGA CATATGGTCG TCCACAATTG 240
GAGGGACGGC AGGGTCTTGC AAGAAGTCTA GCGATTGCTG GAGCTCTTGG AAGCGCTGGA 300
CGACGTGGAC GACCGTAAGA GGTTTAGGAC GAGGGACGGC GTCTGGAGTC CAGAAGTCTT 360
TGGCCTTAGG GACCTGCCCC AGGACCTTCG TAGGGACATG TCGTGGCTTC AACAACGAGA 420
CAGGGCAGAC GTCCCAAGGG AAGTCCTGTA GGAAGTCGTC GACCTGCAAA GAGGCCTTAC 480
AATTACCTAG G 491 (2) INFORMATION FOR SEQ ID NO: 3.
(l) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 147 ammo acids
(B) TYPE: ammo acid
(C) STRANDEDNESS : s ng1e
(D) TOPOLOGY: linear
(ii) MOLECULE TYPE: protein (xi) SEQUENCE DESCRIPTION: SEQ ID NO:3 :
Met Val Pro lie Gin Lys Val Gin Asp Asp Thr Lys Thr Leu lie Lys 1 5 10 15
Thr lie Val Thr Arg lie Asn Asp lie Ser His Thr Gin Ser Val Ser 20 25 30
Ala Lys Gin Arg Val Thr Gly Leu Asp Phe lie Pro Gly Leu His Pro 35 40 45 lie Leu Ser Leu Ser Lys Met Asp Gin Thr Leu Ala Val Tyr Gin Gin 50 55 60
Val Leu Thr Ser Leu Pro Ser Gin Asn Val Leu Gin lie Ala Asn Asp 65 70 75 80
Leu Glu Asn Leu Arg Asp Leu Leu His Leu Leu Ala Phe Ser Lys Ser 85 90 95
Cys Ser Leu Pro Gin Thr Ser Gly Leu Gin Lys Pro Glu Ser Leu Asp 100 105 110
Gly Val Leu Glu Ala Ser Leu Tyr Ser Thr Glu Val Val Ala Leu Ser 115 120 125
Arg Leu Gin Gly Ser Leu Gin Asp lie Leu Gin Gin Leu Asp Val Ser 130 135 140
Pro Glu Cys 145
(2) INFORMATION FOR SEQ ID NO:4:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 454 base pairs
(B) TYPE: nucleic acid
(C) STRANDEDNESS: single
(D) TOPOLOGY: linear
(ii) MOLECULE TYPE: cDNA
(xi) SEQUENCE DESCRIPTION: SEQ ID NO: 4 :
CATATGGTAC. CGATCCAGAA AGTTCAGGAC GACACCAAAA CCTTAATTAA AACGATCGTT 60
ACGCGTATCA ACGACATCAG TCACACCCAG TCGGTGAGCT CTAAACAGCG TGTTACAGGC 120
CTGGACTTCA TCCCGGGTCT GCACCCGATC CTGACCTTGT CCAAAATGGA CCAGACCCTG 180
GCTGTATACC AGCAGATCTT AACCTCCATG CCGTCCCGTA ACGTTCTTCA GATCTCTAAC 240
GACCTCGAGA ACCTTCGCGA CCTGCTGCAC GTGCTGGCAT TCTCCAAATC CTGCCACCTG 300
CCATGGGCTT CAGGTCTTGA GACTCTGGAC TCTCTGGGCG GGGTCCTGGA AGCATCCGGT 360 TACAGCACCG AAGTTGTTGC TCTGTCCCGT CTGCAGGGTT CCCTTCAGGA CATGCTTTGG 420 CAGCTGGACC TGTCTCCGGG TTGTTAATGG ATCC 454
(2) INFORMATION FOR SEQ ID NO: 5 :
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 454 base pairs
(B) TYPE: nucleic acid
(C) STRANDEDNESS: single
(D) TOPOLOGY: linear
(ii) MOLECULE TYPE: cDNA
(xi) SEQUENCE DESCRIPTION: SEQ ID NO: 5:
GTATACCATG GCTAGGTCTT TCAAGTCCTG CTGTGGTTTT GGAATTAATT TTGCTAGCAA 60
TGCGCATAGT TGCTGTAGTC AGTGTGGGTC AGCCACTCGA GATTTGTCGC ACAATGTCCG 120
GACCTGAAGT AGGGCCCAGA CGTGGGCTAG GACTGGAACA GGTTTTACCT GGTCTGGGAC 180
CGACATATGG TCGTCTAGAA TTGGAGGTAC GGCAGGGCAT TGCAAGAAGT CTAGAGATTG 240
CTGGAGCTCT TGGAAGCGCT GGACGACGTG CACGACCGTA AGAGGTTTAG GACGGTGGAC 300
GGTACCCGAA GTCCAGAACT CTGAGACCTG AGAGACCCGC CCCAGGACCT TCGTAGGCCA 360
ATGTCGTGGC TTCAACAACG AGACAGGGCA GACGTCCCAA GGGAAGTCCT GTACGAAACC 420
GTCGACCTGG ACAGAGGCCC AACAATTACC TAGG 454 (2) INFORMATION FOR SEQ ID NO: 6 :
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 147 amino acids
(B) TYPE: amino acid
(C) STRANDEDNESS: single
(D) TOPOLOGY: linear
(ii) MOLECULE TYPE: protein
(xi) SEQUENCE DESCRIPTION: SEQ ID NO: 6 :
Met Val Pro lie Gin Lys Val Gin Asp Asp Thr Lys Thr Leu lie Lys 1 5 10 15
Thr lie Val Thr Arg lie Asn Asp lie Ser His Thr Gin Ser Val Ser 20 25 30 Ser Lys Gin Arg Val Thr Gly Leu Asp Phe lie Pro Gly Leu His Pro 35 40 45 lie Leu Thr Leu Ser Lys Met Asp Gin Thr Leu Ala Val Tyr Gin Gin 50 55 60 lie Leu Thr Ser Met Pro Ser Arg Asn Val Leu Gin lie Ser Asn Asp 65 70 75 80
Leu Glu Asn Leu Arg Asp Leu Leu His Val Leu Ala Phe Ser Lys Ser 85 90 95
Cys His Leu Pro Trp Ala Ser Gly Leu Glu Thr Leu Asp Ser Leu Gly 100 105 110
Gly Val Leu Glu Ala Ser Gly Tyr Ser Thr Glu Val Val Ala Leu Ser 115 120 125
Arg Leu Gin Gly Ser Leu Gin Asp Met Leu Trp Gin Leu Asp Leu Ser 130 135 140
Pro Gly Cys 145
(2) INFORMATION FOR SEQ ID NO:7:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 556 amino acids
(B) TYPE: amino acid
(C) STRANDEDNESS: single
(D) TOPOLOGY: linear
(ii) MOLECULE TYPE: protein
(ix) FEATURE: LEADER SEQUENCE=POSITIONS 1-29. SEE FIGURE 7 AND CORRESPONDING DESCRIPTION.
(xi) SEQUENCE DESCRIPTION: SEQ ID NO:7 :
Met Glu Arg Ala Ala Pro Ser Arg Arg Val Pro Leu Pro Leu Leu Leu 1 5 10 15
Leu Gly Gly Leu Ala Leu Leu Ala Ala Gly Val Asp Ala Asp Val Leu 20 25 30
Leu Glu Ala Cys Cys Ala Asp Gly His Arg Met Ala Thr His Gin Lys 35 40 45
Asp Cys Ser Leu Pro Tyr Ala Thr Glu Ser Lys Glu Cys Arg Met Val 50 55 60
Gin Glu Gin Cys Cys His Ser Gin Leu Glu Glu Leu His Cys Ala Thr
65 70 75 80
Cys Ala Thr Pro His Gly Asp Asn Ala Ser Leu Glu Ala Thr Phe Val 85 90 95 Lys Arg Cys Cys His Cys Cys Leu Leu Gly Arg Ala Ala Gin Ala Gin 100 105 110
Gly Gin Ser Cys Glu Tyr Ser Leu Met Val Gly Tyr Gin Cys Gly Gin 115 120 125
Val Phe Arg Ala Cys Cys Val Lys Ser Gin Glu Thr Gly Asp Leu Asp 130 135 140
Val Gly Gly Leu Gin Glu Thr Asp Lys lie lie Glu Val Glu Glu Glu 145 150 " 155 160
Gin Glu Asp Pro Tyr Leu Asn Asp Arg Cys Arg Gly Gly Gly Pro Cys 165 170 175
Lys Gin Gin Cys Arg Asp Thr Gly Asp Glu Val Val Cys Ser Cys Phe 180 185 190
Val Gly Tyr Gin Leu Leu Ser Asp Gly Val Ser Cys Glu Asp Val Asn 195 200 205
Glu Cys He Thr Gly Ser His Ser Cys Arg Leu Gly Glu Ser Cys He 210 215 220
Asn Thr Val Gly Ser Phe Arg Cys Gin Arg Asp Ser Ser Cys Gly Thr 225 230 235 240
Gly Tyr Glu Leu Thr Glu Asp Asn Ser Cys Lys Asp He Asp Glu Cys 245 250 255
Glu Ser Gly He His Asn Cys Leu Pro Asp Phe He Cys Gin Asn Thr 260 265 270
Leu Gly Ser Phe Arg Cys Arg Pro Lys Leu Gin Cys Lys Ser Gly Phe 275 280 285
He Gin Asp Ala Leu Gly Asn Cys He Asp He Asn Glu Cys Leu Ser 290 295 300
He Ser Ala Pro Cys Pro He Gly His Thr Cys He Asn Thr Glu Gly 305 310 315 320
Ser Tyr Thr Cys Gin Lys Asn Val Pro Asn Cys Gly Arg Gly Tyr His 325 330 335
Leu Asn Glu Glu Gly Thr Arg Cys Val Asp Val Asp Glu Cys Ala Pro 340 345 350
Pro Ala Glu Pro Cys Gly Lys Gly His Arg Cys Val Asn Ser Pro Gly 355 360 365
Ser Phe Arg Cys Glu Cys Lys Thr Gly Tyr Tyr Phe Asp Gly He Ser 370 375 380
Arg Met Cys Val Asp Val Asn Glu Cys Gin Arg Tyr Pro Gly Arg Leu 385 390 395 400
Cys Gly His Lys Cys Glu Asn Thr Leu Gly Ser Tyr Leu Cys Ser Cys 405 410 415
Ser Val Gly Phe Arg Leu Ser Val Asp Gly Arg Ser Cys Glu Asp He 420 425 430
Asn Glu Cys Ser Ser Ser Pro Cys Ser Gin Glu Cys Ala Asn Val Tyr 435 440 445
Gly Ser Tyr Gin Cys Tyr Cys Arg Arg Gly Tyr Gin Leu Ser Asp Val 450 455 460
Asp Gly Val Thr Cys Glu Asp He Asp Glu Cys Ala Leu Pro Thr Gly 465 470 475 480
Gly His He Cys Ser Tyr Arg Cys He Asn He Pro Gly Ser Phe Gin 485 490 495
Cys Ser Cys Pro Ser Ser Gly Tyr Arg Leu Ala Pro Asn Gly Arg Asn 500 505 510
Cys Gin Asp He Asp Glu Cys Val Thr Gly He His Asn Cys Ser He 515 520 525
Asn Glu Thr Cys Phe Asn He Gin Gly Ala Phe Arg Cys Leu Ala Phe 530 535 540
Glu Cys Pro Glu Asn Tyr Arg Arg Ser Ala Ala Thr 545 550 555
(2) INFORMATION FOR SEQ ID NO:8:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 601 amino acids
(B) TYPE: amino acid
(C) STRANDEDNESS: single
(D) TOPOLOGY: linear
(ii) MOLECULE TYPE: protein
(ix) FEATURE: LEADER SEQUENCE=P0SITIONS 1-29. SEE FIGURE 8 AND CORRESPONDING DESCRIPTION.
(xi) SEQUENCE DESCRIPTION: SEQ ID NO: 8 :
Met Glu Arg Ala Ala Pro Ser Arg Arg Val Pro Leu Pro Leu Leu Leu 1 5 10 15
Leu Gly Gly Leu Ala Leu Leu Ala Ala Gly Val Asp Ala Asp Val Leu 20 25 30
Leu Glu Ala Cys Cys Ala Asp Gly His Arg Met Ala Thr His Gin Lys 35 40 45
Asp Cys Ser Leu Pro Tyr Ala Thr Glu Ser Lys Glu Cys Arg Met Val 50 55 60
Gin Glu Gin Cys Cys His Ser Gin Leu Glu Glu Leu His Cys Ala Thr 65 70 75 80 Gly He Ser Leu Ala Asn Glu Gin Asp Arg Cys Ala Thr Pro His Gly 85 90 95
Asp Asn Ala Ser Leu Glu Ala Thr Phe Val Lys Arg Cys Cys His Cys 100 105 110
Cys Leu Leu Gly Arg Ala Ala Gin Ala Gin Gly Gin Ser Cys Glu Tyr 115 120 125
Ser Leu Met Val Gly Tyr Gin Cys Gly Gin Val Phe Arg Ala Cys Cys 130 135 140
Val Lys Ser Gin Glu Thr Gly Asp Leu Asp Val Gly Gly Leu Gin Glu 145 150 155 160
Thr Asp Lys He He Glu Val Glu Glu Glu Gin Glu Asp Pro Tyr Leu 165 170 175
Asn Asp Arg Cys Arg Gly Gly Gly Pro Cys Lys Gin Gin Cys Arg Asp 180 185 190
Thr Gly Asp Glu Val Val Cys Ser Cys Phe Val Gly Tyr Gin Leu Leu 195 200 205
Ser Asp Gly Val Ser Cys Glu Asp Val Asn Glu Cys He Thr Gly Ser 210 215 220
His Ser Cys Arg Leu Gly Glu Ser Cys He Asn Thr Val Gly Ser Phe 225 230 235 240
Arg Cys Gin Arg Asp Ser Ser Cys Gly Thr Gly Tyr Glu Leu Thr Glu 245 250 255
Asp Asn Ser Cys Lys Asp He Asp Glu Cys Glu Ser Gly He His Asn 260 265 270
Cys Leu Pro Asp Phe He Cys Gin Asn Thr Leu Gly Ser Phe Arg Cys 275 280 285
Arg Pro Lys Leu Gin Cys Lys Ser Gly Phe He Gin Asp Ala Leu Gly 290 295 300
Asn Cys He Asp He Asn Glu Cys Leu Ser He Ser Ala Pro Cys Pro 305 310 315 320
He Gly His Thr Cys He Asn Thr Glu Gly Ser Tyr Thr Cys Gin Lys 325 330 335
Asn Val Pro Asn Cys Gly Arg Gly Tyr His Leu Asn Glu Glu Gly Thr 340 345 350
Arg Cys Val Asp Val Asp Glu Cys Ala Pro Pro Ala Glu Pro Cys Gly 355 360 365
Lys Gly His Arg Cys Val Asn Ser Pro Gly Ser Phe Arg Cys Glu Cys 370 375 380 Lys Thr Gly Tyr Tyr Phe Asp Gly He Ser Arg Met Cys Val Asp Val 385 390 395 400
Asn Glu Cys Gin Arg Tyr Pro Gly Arg Leu Cys Gly His Lys Cys Glu 405 410 415
Asn Thr Leu Gly Ser Tyr Leu Cys Ser Cys Ser Val Gly Phe Arg Leu 420 425 430
Ser Val Asp Gly Arg Ser Cys Glu Asp He Asn Glu Cys Ser Ser Ser 435 440 445
Pro Cys Ser Gin Glu Cys Ala Asn Val Tyr Gly Ser Tyr Gin Cys Tyr 450 455 460
Cys Arg Arg Gly Tyr Gin Leu Ser Asp Val Asp Gly Val Thr Cys Glu 465 470 475 480
Asp He Asp Glu Cys Ala Leu Pro Thr Gly Gly His He Cys Ser Tyr 485 490 495
Arg Cys He Asn He Pro Gly Ser Phe Gin Cys Ser Cys Pro Ser Ser 500 505 510
Gly Tyr Arg Leu Ala Pro Asn Gly Arg Asn Cys Gin Asp He Asp Glu 515 520 525
Cys Val Thr Gly He His Asn Cys Ser He Asn Glu Thr Cys Phe Asn 530 535 540
He Gin Gly Ala Phe Arg Cys Leu Ala Phe Glu Cys Pro Glu Asn Tyr 545 550 555 560
Arg Arg Ser Ala Ala Thr Gin Lys Ser Lys Lys Gly Arg Gin Asn Thr 565 570 575
Pro Ala Gly Ser Ser Lys Glu Asp Cys Arg Val Leu Pro Trp Lys Gin 580 585 590
Gly Leu Glu Asp Thr His Leu Asp Ala 595 600
(2) INFORMATION FOR SEQ ID NO:9 :
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 683 amino acids
(B) TYPE: amino acid
(C) STRANDEDNESS: single
(D) TOPOLOGY: linear
(ii) MOLECULE TYPE: protein
(ix) FEATURE: LEADER SEQUENCE=POSITIONS 1-29. SEE FIGURE 9 AND CORRESPONDING DESCRIPTION. (xi) SEQUENCE DESCRIPTION: SEQ ID NO:9 :
Met Glu Arg Ala Ala Pro Ser Arg Arg Val Pro Leu Pro Leu Leu Leu
1 5 10 15
Leu Gly Gly Leu Ala Leu Leu Ala Ala Gly Val Asp Ala Asp Val Leu 20 25 30
Leu Glu Ala Cys Cys Ala Asp Gly His Arg Met Ala Thr His Gin Lys 35 40 45
Asp Cys Ser Leu Pro Tyr Ala Thr Glu Ser Lys Glu Cys Arg Met Val 50 55 60
Gin Glu Gin Cys Cys His Ser Gin Leu Glu Glu Leu His Cys Ala Thr 65 70 75 80
Gly He Ser Leu Ala Asn Glu Gin Asp Arg Cys Ala Thr Pro His Gly 85 90 95
Asp Asn Ala Ser Leu Glu Ala Thr Phe Val Lys Arg Cys Cys His Cys 100 105 110
Cys Leu Leu Gly Arg Ala Ala Gin Ala Gin Gly Gin Ser Cys Glu Tyr 115 120 125
Ser Leu Met Val Gly Tyr Gin Cys Gly Gin Val Phe Arg Ala Cys Cys 130 135 140
Val Lys Ser Gin Glu Thr Gly Asp Leu Asp Val Gly Gly Leu Gin Glu 145 150 155 160
Thr Asp Lys He He Glu Val Glu Glu Glu Gin Glu Asp Pro Tyr Leu 165 170 175
Asn Asp Arg Cys Arg Gly Gly Gly Pro Cys Lys Gin Gin Cys Arg Asp 180 185 190
Thr Gly Asp Glu Val Val Cys Ser Cys Phe Val Gly Tyr Gin Leu Leu 195 200 205
Ser Asp Gly Val Ser Cys Glu Asp Val Asn Glu Cys He Thr Gly Ser 210 215 220
His Ser Cys Arg Leu Gly Glu Ser Cys He Asn Thr Val Gly Ser Phe 225 230 235 240
Arg Cys Gin Arg Asp Ser Ser Cys Gly Thr Gly Tyr Glu Leu Thr Glu 245 250 255
Asp Asn Ser Cys Lys Asp He Asp Glu Cys Glu Ser Gly He His Asn 260 265 270
Cys Leu Pro Asp Phe He Cys Gin Asn Thr Leu Gly Ser Phe Arg Cys 275 280 285
Arg Pro Lys Leu Gin Cys Lys Ser Gly Phe He Gin Asp Ala Leu Gly 290 295 300 Asn Cys He Asp He Asn Glu Cys Leu Ser He Ser Ala Pro Cys Pro 305 310 315 320
He Gly His Thr Cys He Asn Thr Glu Gly Ser Tyr Thr Cys Gin Lys 325 330 335
Asn Val Pro Asn Cys Gly Arg Gly Tyr His Leu Asn Glu Glu Gly Thr 340 345 350
Arg Cys Val Asp Val Asp Glu Cys Ala Pro Pro Ala Glu Pro Cys Gly 355 360 365
Lys Gly His Arg Cys Val Asn Ser Pro Gly Ser Phe Arg Cys Glu Cys 370 375 380
Lys Thr Gly Tyr Tyr Phe Asp Gly He Ser Arg Met Cys Val Asp Val 385 390 395 400
Asn Glu Cys Gin Arg Tyr Pro Gly Arg Leu Cys Gly His Lys Cys Glu 405 410 415
Asn Thr Leu Gly Ser Tyr Leu Cys Ser Cys Ser Val Gly Phe Arg Leu 420 425 430
Ser Val Asp Gly Arg Ser Cys Glu Asp He Asn Glu Cys Ser Ser Ser 435 440 445
Pro Cys Ser Gin Glu Cys Ala Asn Val Tyr Gly Ser Tyr Gin Cys Tyr 450 455 460
Cys Arg Arg Gly Tyr Gin Leu Ser Asp Val Asp Gly Val Thr Cys Glu 465 470 475 480
Asp He Asp Glu Cys Ala Leu Pro Thr Gly Gly His He Cys Ser Tyr 485 490 495
Arg Cys He Asn He Pro Gly Ser Phe Gin Cys Ser Cys Pro Ser Ser 500 505 510
Gly Tyr Arg Leu Ala Pro Asn Gly Arg Asn Cys Gin Asp He Asp Glu 515 520 525
Cys Val Thr Gly He His Asn Cys Ser He Asn Glu Thr Cys Phe Asn 530 535 540
He Gin Gly Ala Phe Arg Cys Leu Ala Phe Glu Cys Pro Glu Asn Tyr 545 550 555 560
Arg Arg Ser Ala Ala Thr Arg Cys Glu Arg Leu Pro Cys His Glu Asn 565 570 575
Arg Glu Cys Ser Lys Leu Pro Leu Arg He Thr Tyr Tyr His Leu Ser 580 585 590
Phe Pro Thr Asn He Gin Ala Pro Ala Val Val Phe Arg Met Gly Pro 595 600 605 Ser Ser Ala Val Pro Gly Asp Ser Met Gin Leu Ala He Thr Gly Gly 610 615 620
Asn Glu Glu Gly Phe Phe Thr Thr Arg Lys Val Ser Pro His Ser Gly 625 630 635 640
Val Val Ala Leu Thr Lys Pro Val Pro Glu Pro Arg Asp Leu Leu Leu 645 650 655
Thr Val Lys Met Asp Leu Ser Arg His Gly Thr Val Ser Ser Phe Val 660 665 670
Ala Lys Leu Phe He Phe Val Ser Ala Glu Leu 675 680
(2) INFORMATION FOR SEQ ID NO:10:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 703 amino acids
(B) TYPE: amino acid
(C) STRANDEDNESS: single
(D) TOPOLOGY: linear
(ii) MOLECULE TYPE: protein
(ix) FEATURE: LEADER SEQUENCE=POSITIONS 1-29. SEE FIGURE 10 AND CORRESPONDING DESCRIPTION.
(xi) SEQUENCE DESCRIPTION: SEQ ID NO: 10:
Met Glu Arg Ala Ala Pro Ser Arg Arg Val Pro Leu Pro Leu Leu Leu 1 5 10 15
Leu Gly Gly Leu Ala Leu Leu Ala Ala Gly Val Asp Ala Asp Val Leu 20 25 30
Leu Glu Ala Cys Cys Ala Asp Gly His Arg Met Ala Thr His Gin Lys 35 40 45
Asp Cys Ser Leu Pro Tyr Ala Thr Glu Ser Lys Glu Cys Arg Met Val 50 55 60
Gin Glu Gin Cys Cys His Ser Gin Leu Glu Glu Leu His Cys Ala Thr 65 70 75 80
Gly He Ser Leu Ala Asn Glu Gin Asp Arg Cys Ala Thr Pro His Gly 85 90 95
Asp Asn Ala Ser Leu Glu Ala Thr Phe Val Lys Arg Cys Cys His Cys 100 105 110
Cys Leu Leu Gly Arg Ala Ala Gin Ala Gin Gly Gin Ser Cys Glu Tyr 115 120 125
Ser Leu Met Val Gly Tyr Gin Cys Gly Gin Val Phe Arg Ala Cys Cys 130 135 140 Val Lys Ser Gin Glu Thr Gly Asp Leu Asp Val Gly Gly Leu Gin Glu 145 150 155 160
Thr Asp Lys He He Glu Val Glu Glu Glu Gin Glu Asp Pro Tyr Leu 165 170 175
Asn Asp Arg Cys Arg Gly Gly Gly Pro Cys Lys Gin Gin Cys Arg Asp 180 185 190
Thr Gly Asp Glu Val Val Cys Ser Cys Phe Val Gly Tyr Gin Leu Leu 195 200 205
Ser Asp Gly Val Ser Cys Glu Asp Val Asn Glu Cys He Thr Gly Ser 210 215 220
His Ser Cys Arg Leu Gly Glu Ser Cys He Asn Thr Val Gly Ser Phe 225 230 235 240
Arg Cys Gin Arg Asp Ser Ser Cys Gly Thr Gly Tyr Glu Leu Thr Glu 245 250 255
Asp Asn Ser Cys Lys Asp He Asp Glu Cys Glu Ser Gly He His Asn 260 265 270
Cys Leu Pro Asp Phe He Cys Gin Asn Thr Leu Gly Ser Phe Arg Cys 275 280 285
Arg Pro Lys Leu Gin Cys Lys Ser Gly Phe He Gin Asp Ala Leu Gly 290 295 300
Asn Cys He Asp He Asn Glu Cys Leu Ser He Ser Ala Pro Cys Pro 305 310 315 320
He Gly His Thr Cys He Asn Thr Glu Gly Ser Tyr Thr Cys Gin Lys 325 330 335
Asn Val Pro Asn Cys Gly Arg Gly Tyr His Leu Asn Glu Glu Gly Thr 340 345 350
Arg Cys Val Asp Val Asp Glu Cys Ala Pro Pro Ala Glu Pro Cys Gly 355 360 365
Lys Gly His Arg Cys Val Asn Ser Pro Gly Ser Phe Arg Cys Glu Cys 370 375 380
Lys Thr Gly Tyr Tyr Phe Asp Gly He Ser Arg Met Cys Val Asp Val 385 390 395 400
Asn Glu Cys Gin Arg Tyr Pro Gly Arg Leu Cys Gly His Lys Cys Glu 405 410 415
Asn Thr Leu Gly Ser Tyr Leu Cys Ser Cys Ser Val Gly Phe Arg Leu 420 425 430
Ser Val Asp Gly Arg Ser Cys Glu Asp He Asn Glu Cys Ser Ser Ser 435 440 445 Pro Cys Ser Gin Glu Cys Ala Asn Val Tyr Gly Ser Tyr Gin Cys Tyr 450 455 460
Cys Arg Arg Gly Tyr Gin Leu Ser Asp Val Asp Gly Val Thr Cys Glu 465 470 475 480
Asp He Asp Glu Cys Ala Leu Pro Thr Gly Gly His He Cys Ser Tyr 485 490 495
Arg Cys He Asn He Pro Gly Ser Phe Gin Cys Ser Cys Pro Ser Ser 500 505 510
Gly Tyr Arg Leu Ala Pro Asn Gly Arg Asn Cys Gin Asp He Asp Glu 515 520 525
Cys Val Thr Gly He His Asn Cys Ser He Asn Glu Thr Cys Phe Asn 530 535 540
He Gin Gly Ala Phe Arg Cys Leu Ala Phe Glu Cys Pro Glu Asn Tyr 545 550 555 560
Arg Arg Ser Ala Ala Thr Leu Gin Gin Glu Lys Thr Asp Thr Val Arg 565 570 575
Cys He Lys Ser Cys Arg Pro Asn Asp Val Thr Cys Val Phe Asp Pro 580 585 590
Val His Thr He Ser His Thr Val He Ser Leu Pro Thr Phe Arg Glu 595 600 605
Phe Thr Arg Pro Glu Glu He He Phe Leu Arg Ala He Thr Pro Pro 610 615 620
His Pro Ala Ser Gin Ala Asn He He Phe Asp He Thr Glu Gly Asn 625 630 635 640
Leu Arg Asp Ser Phe Asp He He Lys Arg Tyr Met Asp Gly Met Thr 645 650 655
Val Gly Val Val Arg Gin Val Arg Pro He Val Gly Pro Phe His Ala 660 665 670
Val Leu Lys Leu Glu Met Asn Tyr Val Val Gly Gly Val Val Ser His 675 680 685
Arg Asn Val Val Asn Val Arg He Phe Val Ser Glu Tyr Trp Phe 690 695 700

Claims

CLAIMS :
1. A pharmaceutical composition consisting of fibulin protein in a pharmaceutically acceptable diluent, adjuvant or carrier, said fibulin protein being selected from among:
(a) the amino acid sequence 1 - 537 as set forth in SEQ. ID. NO. 7;
(b) the amino acid sequence 1 - 572 as set forth in SEQ. ID. NO. 8;
(c) the amino acid sequence 1 - 654 as set forth in SEQ. ID. NO. 9;
(d) the amino acid sequence 1 - 672 as set forth in SEQ. ID. NO. 10; (e) the amino acid sequence of any of subparts (a) , (b) , (c) , or (d) having a methionyl residue at the N terminus;
(f) the amino acid sequence of any of subparts (a) , (b) , (c) , or (d) having a different amino acid substituted in one or more of the following positions:
(i) one or more cysteine residues replaced by an alanine or serine residue;
(ii) one or more tyrosine residues replaced by a phenylalanine residue;
(g) a truncated fibulin protein analog sufficient to bind an OB protein, analog or derivative thereof;
(h) a hybrid molecule of fibulin protein selected from among the following:
(i) amino acids 1-537 and (connected to) amino acids 573-654 or amino acids 655-674;
(ii) amino acids 1-572 and (connected to) amino acids 655-674; (iii) amino acids 1-537 and (connected to) amino acids 573-654, having one or more of amino acids 538-572 placed between amino acids 537 and 573; (iv) amino acids 1-537 and
(connected to) amino acids 655-674, having one or more of amino acids 538-572 and 573-654, placed between amino acids 537 and 655; and
(v) amino acids 1-572 and (connected to) amino acids 655-674, having one or more of amino acids 573-654 placed between amino acids 572 and 655;
(i) the fibulin protein, analog or derivative of any of subparts (a) through (h) comprised of a chemical moiety connected to the protein moiety;
(j) a derivative of subpart (i) wherein said chemical moiety is a water soluble polymer moiety;
(k) a derivative of subpart (j) wherein said water soluble polymer moiety is polyethylene glycol; (1) a derivative of subpart (j) wherein said water soluble polymer moiety is a polyamino acid moiety; (m) a derivative of subpart (j) wherein said water soluble polymer moiety is attached at solely the N-terminus of said protein moiety; (n) a combination of fibulin protein from any of subparts (a) through (m) ; and
(o) a dimer fibulin protein from any of subparts (a) through (m) .
2. A pharmaceutical composition of Claim 1 comprising said fibulin protein of subpart (a) .
3. A pharmaceutical composition of Claim 1 comprising said fibulin protein of subpart (b) .
4. A pharmaceutical composition of Claim 1 comprising said fibulin protein of subpart (c) .
5. A pharmaceutical composition of Claim 1 comprising said fibulin protein of subpart (d) .
6. A pharmaceutical composition of Claim 1 comprising said fibulin protein of subpart (e) .
7. A complex consisting of a fibulin molecule selected from among fibulin type 1 variants A, B, C, D (SEQ. ID. NOs. 7, 8, 9, and 10) , analogs or derivatives thereof, complexed to an OB protein, analog or derivative thereof selected from among: (a) the amino acid sequence 1-146 as set forth in SEQ. ID. NO. 3 or SEQ ID. NO. 6 ;
(b) the amino acid sequence 1-146 as set forth in SEQ. ID. NO. 6 having a lysine residue at position 35 and an isoleucine residue at position 74; (c) the amino acid sequence of subpart
(b) having a different amino acid substituted in one or more of the following positions (using the numbering according to SEQ. ID. NO. 6) : 4, 8, 32, 33, 35, 48, 50, 53, 60, 64, 66, 67, 68, 71, 74, 77, 78, 89, 97, 100, 102, 105, 106, 107, 108, 111, 112, 118, 136, 138, 142, and 145;
(d) the amino acid sequence of subparts (a) , (b) or (c) optionally lacking a glutaminyl residue at position 28; (e) the amino acid sequence of subparts
(a) , (b) , (c) , or (d) having a methionyl residue at the N terminus.
(f) a truncated OB protein analog (using the numbering of SEQ. ID. NO. 6 having a lysine residue at position 35, and an isoleucine residue at position 74) selected from among:
(i) amino acids 98-146; (ii) amino acids 1-32; (iii) amino acids 40-116;
(iv) amino acids 1-99 and 112-146; (v) amino acids 1-99 and 112-146 having one or more of amino acids 100-111 sequentially placed between amino acids 99 and 112; (vi) the truncated OB analog of subpart (f) (i) having one or more of amino acids 100, 102, 105, 106, 107, 108, 111, 112, 118, 136, 138, 142, and 145 substituted with another amino acid; (vii) the truncated analog of subpart (f) (ii) having one or more of amino acids 4, 8 and 32 substituted with another amino acid;
(viii) the truncated analog of subpart (f) (iii) having one or more of amino acids 50, 53, 60, 64, 66, 67, 68, 71, 74, 77, 78, 89, 97, 100, 102, 105, 106, 107, 108, 111 and 112 replaced with another amino acid;
(vix) the truncated analog of subpart (f) (iv) having one or more of amino acids 4, 8, 32, 33, 35, 48, 50, 53, 60, 64, 66, 67, 68, 71, 74, 77, 78, 89, 97, 112, 118, 136, 138, 142, and 145 replaced with another amino acid;
(x) the truncated analog of subpart (f) (v) having one or more of amino acids 4, 8,32, 33, 35, 48, 50, 53, 60, 64, 66, 67, 68, 71, 74,
77, 78, 89, 97, 100, 102, 105, 106, 107, 108, 111, 112, 118, 136, 138, 142, and 145 replaced with another amino acid; (xi) the truncated analog of any of subparts (f) (i)-(x) having an N-terminal methionyl residue; and
(g) the OB protein or analog derivative of any of subparts (a) through (f) comprised of a chemical moiety connected to the protein moiety;
(h) a derivative of subpart (g) wherein said chemical moiety is a water soluble polymer moiety;
(i) a derivative of subpart (h) wherein said water soluble polymer moiety is polyethylene glycol;
(j) A derivative of subpart (h) wherein said water soluble polymer moiety is a polyamino acid moiety; and (k) a derivative of subpart (h) wherein said water soluble polymer moiety is attached at solely the N-terminus of said protein moiety.
8. A complex of Claim 7 comprising said OB protein of subpart (a) .
9. A complex of Claim 7 comprising said OB protein of subpart (b) .
10. A pharamaceutical composition consisting of a complex according to Claim 7 or combination of complexes thereof in a pharmaceutically acceptable diluent, adjuvant or carrier.
11. A pharmaceutical composition of Claim 10 wherein said complex comprises said OB protein of subpart (a) .
12. A pharmaceutical composition of Claim 10 wherein said complex comprises said OB protein of subpart (b) .
13. A method of making a pharmaceutical composition by admixing purified and isolated fibulin protein according to Claim 1 or combination thereof, with a pharmaceutically acceptable diluent, adjuvant, or carrier.
14. A method of making a pharmaceutical composition by admixing purified and isolated complex according to Claim 7 or combination thereof, with a pharmaceutically acceptable diluent, adjuvant, or carrier.
15. A method of treatment of a disorder selected from among excess weight, high blood lipid levels, and type II diabetes, said method consisting of administering a therapeutically effective amount of Fibulin type 1 variants A, B, C, or D or analogs, derivatives or combinations thereof.
16. A method of treatment of a disorder selected from among excess weight, high blood lipid levels, and type II diabetes, said method consisting of administering a therepeutically effective amount of a complex according to Claim 7 or combination of complexes thereof .
17. A method of increasing lean tissue mass, said method consisting of administering a therapeutically effective amount of fibulin type 1 protein, including variants A, B, C, or D or analogs, derivatives or combinations thereof.
18. A method of increasing lean tissue mass, said method consisting of administering a therapeutically effective amount of a complex according to Claim 7 or combination of complexes thereof.
19. A method for detecting the presence of OB protein in a biological sample comprising: incubating the sample with fibulin protein according to Claim 1, or combination thereof, under conditions that allow binding of the fibulin protein to OB protein to form a complex; and measuring the amount of OB protein in the bound complex.
PCT/US1997/006280 1996-04-04 1997-04-03 Fibulin pharmaceutical compositions and related methods WO1997038014A1 (en)

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US5935810A (en) * 1994-08-17 1999-08-10 The Rockefeller University Mammalian ob polypeptides capable of modulating body weight, corresponding nucleic acids, and diagnostic and therapeutic uses thereof
US7521258B2 (en) 1994-08-17 2009-04-21 The Rockefeller University Methods of detecting, measuring, and evaluating modulators of body weight in biological samples, and diagnostic, monitoring, and therapeutic uses thereof
WO2000009165A1 (en) * 1998-08-10 2000-02-24 Amgen Inc. Dextran-leptin conjugates, pharmaceutical compositions and related methods
US6420339B1 (en) 1998-10-14 2002-07-16 Amgen Inc. Site-directed dual pegylation of proteins for improved bioactivity and biocompatibility
US8106098B2 (en) 1999-08-09 2012-01-31 The General Hospital Corporation Protein conjugates with a water-soluble biocompatible, biodegradable polymer
WO2001089548A2 (en) * 2000-05-24 2001-11-29 Schering Aktiengesellschaft Pharmaceutical use of fibulin-1
WO2001089548A3 (en) * 2000-05-24 2003-01-23 Schering Ag Pharmaceutical use of fibulin-1
WO2002072138A1 (en) * 2001-03-08 2002-09-19 Hyseq, Inc. Methods and materials relating to fibulin-like polypeptides and polynucleotides
US7183254B2 (en) 2001-10-22 2007-02-27 Amgen, Inc. Use of leptin for treating human lipoatrophy and method of determining predisposition to said treatment
US8318666B2 (en) 2001-10-22 2012-11-27 Amgen, Inc. Use of leptin to treat metabolic abnormalities associated with lipoatrophy
EP2219031A1 (en) 2001-10-22 2010-08-18 Amgen, Inc. Use of leptin for treating human lipoatrophy and method of determining predisposition to said treatment
EP2286839A2 (en) 2004-11-01 2011-02-23 Amylin Pharmaceuticals, Inc. Treatment of obesity and related diseases
EP2286838A2 (en) 2004-11-01 2011-02-23 Amylin Pharmaceuticals, Inc. Treatment of obesity and related disorders
EP2286840A2 (en) 2004-11-01 2011-02-23 Amylin Pharmaceuticals, Inc. Treatment of obesity and related diseases
EP2127676A2 (en) 2004-11-01 2009-12-02 Amylin Pharmaceuticals, Inc. Treatment of obesity and related disorders
US8394765B2 (en) 2004-11-01 2013-03-12 Amylin Pharmaceuticals Llc Methods of treating obesity with two different anti-obesity agents
EP2286837A2 (en) 2004-11-01 2011-02-23 Amylin Pharmaceuticals, Inc. Treatment of obesity and obesity related diseases
WO2009055864A1 (en) * 2007-10-31 2009-05-07 Crc For Asthma And Airways Ltd Methods and compositions for regulating airway tissue remodelling
AU2008318288B2 (en) * 2007-10-31 2013-11-14 The University Of Sydney Methods and compositions for regulating airway tissue remodelling
US8501686B2 (en) 2008-06-05 2013-08-06 University Of Michigan Method of treating fatty liver diseases and conditions in non-lipodystrophic subjects
US11535659B2 (en) 2010-09-28 2022-12-27 Amryt Pharmaceuticals Inc. Engineered polypeptides having enhanced duration of action
WO2014052583A1 (en) 2012-09-27 2014-04-03 The Children's Medical Center Corporation Compounds for the treatment of obesity and methods of use thereof
EP4082541A1 (en) 2012-09-27 2022-11-02 The Children's Medical Center Corporation Compounds for the treatment of obesity and methods of use thereof
WO2015081093A1 (en) 2013-11-26 2015-06-04 The Chilren's Medical Center Corporation Compounds for the treatment of obesity and methods of use thereof
WO2015153933A1 (en) 2014-04-03 2015-10-08 The Children's Medical Center Corporation Hsp90 inhibitors for the treatment of obesity and methods of use thereof
WO2018049424A1 (en) 2016-09-12 2018-03-15 Aegerion Pharmaceuticals, Inc. Methods of detecting anti-leptin neutralizing antibodies
US10775386B2 (en) 2016-09-12 2020-09-15 Aegerion Pharmaceuticals, Inc. Methods of detecting anti-leptin neutralizing antibodies
US11709166B2 (en) 2016-09-12 2023-07-25 Amryt Pharmaceuticals Inc. Methods of detecting anti-leptin neutralizing antibodies
EP4283304A2 (en) 2016-09-12 2023-11-29 Amryt Pharmaceuticals Inc. Methods of detecting anti-leptin neutralizing antibodies

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