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Vol. 298, Issue 3, 1185-1192, September 2001
Inex Pharmaceuticals Corporation, Burnaby, British Columbia, Canada
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Abstract |
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The therapeutic benefit from phosphorothioate oligodeoxynucleotides (PS
ODN) containing immune stimulatory sequences (ISS) has been
demonstrated in animal models of cancer and infection. In particular,
when CpG-containing PS ODN are administered to mice, activation of
macrophages and dendritic, NK, T, and B cells occurs, resulting
in the release of an array of cytokines, including interleukin-12
(IL-12), interferon-
(IFN-
), and tumor necrosis factor-
(TNF-
). We have previously described stabilized antisense-lipid particles (SALP) for the i.v. administration of antisense ODN [Biochim Biophys Acta (2001)
1510:152-166]. Given the propensity for SALP to target
macrophages in vivo it was of interest to determine whether they could
enhance the potency of CpG ODN to induce an immune response. In this
report we show that when CpG-containing SALP are administered
intravenously to ICR mice the plasma concentrations of IL-12, IFN-
,
IL-6, monocyte chemoattractant protein-1, and TNF-
are
greatly increased compared with the same dose of free ODN. The pattern
of cytokine induction indicates that the immune response is T helper
cell type 1-biased, similar to that observed for PS CpG ODN ISS in
general. Furthermore, when phosphodiester (PO) ODN is substituted for
PS ODN in the SALP formulation cytokine induction is even greater at
the early time points, in marked contrast to free PO ODN, which is
inactive. These results demonstrate that the immunogenicity of ISS is
not only enhanced by encapsulation in lipid particles, which more
closely mimic the way ISS DNA would normally be presented to antigen
presenting cells by pathogens in vivo, but also SALP enable unmodified
PO CpG ODN to be used as immune stimulants.
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Introduction |
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The stimulatory effects of DNA
on immune cells are well described in the literature (Lipford et al.,
1998
), especially those associated with ODN in which the backbone has
been modified to reduce molecular degradation by nucleases (Monteith et
al., 1997
). The degree of immune stimulation is variable depending upon
the nucleic acid sequence; however, the presence of unmethylated CpG dinucleotides flanked by two 5' purines and two 3' pyrimidines induces
the most potent response for PS ODN, which are molecules stabilized by
substituting nonbridging oxygens with sulfur atoms to form a
phosphorothioate backbone (Boggs et al., 1997
). This immune stimulatory
sequence (ISS) is recognized by macrophages, dendritic cells, and B
cells as a danger signal indicating bacterial infection (Lipford et
al., 1998
; Krieg et al., 1999
).
Macrophages are a critical cell type in the innate immune response.
Their ability to rapidly respond to danger signals associated with
pathogens provides a primary defense against infection, and the
cytokines secreted by activated macrophages initiate and orchestrate the development of the adaptive immune response. Antigen presenting cells (APC), like macrophages, possess structurally conserved pattern
recognition receptors capable of differentiating
pathogen-associated molecular shapes, such as those described by the
molecular structure of liposaccharide and peptidoglycan, from molecular
forms common to the host (Medzhitov and Janeway, 2000
). Bacterial DNA
can be distinguished from host DNA because, in the former, CpG is
present at the statistically expected frequency of 1 per 16 dinucleotides, whereas in the DNA of vertebrates CpG dimers occur at a
quarter of this frequency and are also methylated at the 5' position of cytosine (Bird, 1986
).
Hemmi et al. (2000)
recently demonstrated that immune stimulatory CpG
DNA is recognized by Toll-like receptor 9 (TLR-9). When immune cells
are activated through the TLR-9 signaling pathway a strong T helper
cell type 1 (Th1) response is induced, characterized by the secretion
of IL-12 and IFN-
, production of the antibody isotype IgG2a, and
activation of cell-mediated immunity (Jakob et al., 1998
). The strong
Th1-biased response to CpG ODN has resulted in proposals for a number
of therapeutic applications, many of which have since demonstrated
proof of principle in animal models (Krieg et al., 1999
). For example,
CpG ODN may be effective as immune modulators of allergic responses
(Kline et al., 1998
; Tighe et al., 2000
), where a dominant antibody
(Th2) response is pathogenic. In such cases, induction of Th1 cytokines
down-regulates the damaging Th2 response. Through activation of
macrophages, CpG ODN also enhance the killing of intracellular
pathogens that infect these cells (Walker et al., 1999
), demonstrate
promise as immune adjuvants when combined with weak antigens (Weiner et
al., 1997
; Hartmann et al., 2000
), and have been shown to induce
antitumor activity in part through the activation of NK cells (Dow et
al., 1999
).
Previously, we have described a structurally unique, lipid-based
delivery system for the intravenous administration of negatively charged, nucleic acid oligomers such as antisense and ribozyme drugs.
Referred to as stabilized antisense lipid particles (SALP), they
enhance the circulation life time of ODN, protect their payload from
degradation by nucleases, and can deliver more intact sequences to
growing tumors and sites of inflammation than is possible using equivalent doses of free drug (Klimuk et al., 2000
; Semple et al.,
2000
). It is also important to note that SALP target macrophages in
vivo, in a manner similar to other liposome-like, particulate delivery
systems (Juliano, 1986
). Consequently, we predicted that SALP should
exhibit a profound effect on the immune response if the encapsulated
ODN contained an active CpG motif. In this study we have used an ODN
sequence that is complementary to the initiation codon region of the
human and mouse proto-oncogene c-myc, but also happens to contains a 5'
CpG motif capable of inducing a strong Th1 response in mice. We
demonstrate that SALP greatly enhance the activity of the ISS motif,
enabling vigorous responses at ODN doses where free molecule is
inactive. Moreover, because SALP fully protect ODN from nuclease
degradation, they enable the use of unmodified, PO ODN as immune stimulants.
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Experimental Procedures |
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Materials.
DSPC and DODAP were purchased from Avanti Polar
Lipids (Alabaster, AL), while cholesterol was from Sigma (St. Louis,
MO). 1-O-(2'-(
-methoxypolyethyleneglycol)succinoyl-2-N-myristoylsphingosine was synthesized by Dr. Zhao Wang (Inex Pharmaceuticals Corporation, Burnaby, BC, Canada). The ODN sequences used include a 15-mer c-myc ODN
complementary to the initiation codon region of the human/mouse c-myc
proto-oncogene mRNA (5'-AACGTTGAGGGGCAT-3'), referred to in the
literature as LR-3280 or INX-3280; a 16-mer version of the same
sequence INX-6295 with an additional 5' thymidine (5'-TAACGTTGAGGGGCAT-3'); and INX-3300, a control ODN to INX-3280 that
maintains the same base composition as well as the four-guanosine sequence but disrupts the CpG motif (5'-AAGCATACGGGGTGT-3'). INX-3280 and INX-6295 were synthesized by Inex USA (Hayward, CA), while INX-3300
was purchased from Boston Biosystems, Inc. (Bedford, MA). All
sequences were prepared with either PS or PO backbones. Female,
6-week-old ICR mice were obtained from Harlan Sprague-Dawley (Indianapolis, IN) and were quarantined for at least 1 week prior to use.
SALP.
SALP composed of
DSPC/cholesterol/DODAP/1-O-(2'-(
-methoxypolyethyleneglycol)succinoyl-2-N-myristoylsphingosine
(20:45:25:10, molar ratio) and encapsulated ODN were prepared as
previously described (Semple et al., 2000
). For PS ODN, 300 mM citrate
buffer was used to dissolve the ODN, whereas for PO ODN the
solubilizing buffer was 20 mM citrate, pH 4.0. Briefly, the lipid
mixture dissolved in ethanol was added to the citrate solution of ODN
(3.33 mg/ml) to give a final ethanol concentration of 40% (v/v). The
mixture was freeze-thawed five times and extruded through two stacked 100-nm pore-sized filters using an extruder (Lipex Biomembranes, Vancouver, Canada) to make a homogeneous population of vesicles approximately 100 nm in diameter (Hope et al., 1985
). The resulting vesicles were dialyzed for 2 h against citrate buffer to remove the ethanol then overnight against a 500-fold volume of HBS (150 mM
NaCl, 20 mM HEPES, pH 7.5) to raise the external pH and neutralize DODAP located in the outer monolayer of the particles. Unencapsulated ODN was removed from the preparation by anion exchange chromatography using DEAE-Sepharose CL-6B. The final ODN-to-lipid ratio was calculated by measuring ODN concentration by A260 and lipid
content by phosphate assay (Bartlett and Lewis, 1970
), assuming that
the lipid mixture consisted of 20 mole percent DSPC. Because the
phosphate on the ODN backbone would interfere with the lipid analysis,
samples were first subjected to a Bligh and Dyer lipid extraction
(Bligh and Dyer, 1959
) followed by three water/methanol washes to
remove residual ODN. The ODN-to-lipid ratio was typically 0.15 to 0.20 (w/w). Vesicle size, as determined by quasi-elastic light scattering using an NICOMP Submicron particle sizer (model 370), was approximately 120 ± 50 nm.
Free Monomer and Quadruplex ODN Preparation.
ODN that
contain at least four or more contiguous guanosine bases tend to
combine to form G-tetrads or quadruplex structures (Jin et al., 1992
).
When INX-3280 is hydrated from a lyophilized powder with HBS at room
temperature it exists as a mixture of quadruplexes and monomers in the
mole ratio of 70:30 as determined by HPLC. It is simple to convert the
mixture all to the monomer form by incubating it for 30 min at 65°C.
The monomer content after this treatment is typically >99% by HPLC,
consequently the monomer form was used throughout the study. Samples
used for injections were prepared fresh daily.
HPLC Analysis. The proportion of INX-3280 in monomeric and quadruplex form was quantified by size exclusion chromatography-HPLC using a Pharmacia Superdex 75HR 10/30 gel filtration column equilibrated with a buffer containing 25 mM sodium phosphate, 0.25 mM Na2EDTA, pH 7.5. The column was operated at a flow rate 0.75 ml/min for 30 min at room temperature and peaks were monitored at 260 nm.
Plasma Collection and Cytokine Analysis.
ICR mice (7 weeks
old at the start of the experiment) were injected intravenously with
0.2 ml of sample in HBS. At various times, the mice were killed by a
terminal dose of anesthetic [3.2% (v/v) ketamine/0.8% (v/v)
xylazine] and blood collected in Vacutainer tubes containing EDTA. The
blood was centrifuged (500g for 10 min at 4°C) to pellet
the blood cells and the plasma was isolated and frozen at
20°C
until assayed. Plasma concentrations of IL-2, IL-4, IL-10, IL-12,
IFN-
, MCP-1, and TNF-
were determined using commercial
enzyme-linked immunosorbent assay kits (PharMingen, San Diego, CA).
Some variability in the kinetics and magnitude (~2-fold) of cytokine
induction between experiments was observed. Consequently, a single
benchmark formulation (SALP INX-6295-PS) was included in all
experiments as an internally consistent control group. Differences
observed in the absolute levels of cytokines induced between
experiments are probably due to variability in the response of the ICR
mice from different litters. All data points represent the average from
four mice ± 1 S.E.
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Results |
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Two CpG-containing ODN sequences were used throughout this study, a 15-mer (INX-3280) and a 16-mer (INX-6295). Both are antisense to the initiation codon of the murine and human c-myc proto-oncogene with the only difference between the two sequences being a thymidine added to the 5' end of INX-6295. However, no differences in the biological activity between the two ODN have been detected, both exhibit similar antisense activity against c-myc mRNA in vitro and the same immune (this report) and antitumor activity (data not shown). Each ODN sequence was synthesized in the PS and PO forms. In some experiments the 15-mer was used and in others the 16-mer, but because their activities were the same, and to make the text more readable, we simply refer to PS CpG ODN or PO CpG ODN. However, the code numbers are used to identify each ODN in the figure legends.
Plasma Cytokines Induced by Free and Encapsulated PS ODN.
In
the first experiment, ICR mice were injected i.v. with a 20-mg ODN/kg
dose of PS-CpG ODN, either in free monomer form or as a SALP
formulation. Cytokines common to both Th1 and Th2 pathways (IL-12,
IFN-
, IL-2, IL-4, IL-6, IL-10), as well as MCP-1 (a macrophage chemokine) and TNF-
(an inflammatory mediator) were measured over a
24-h time course following administration. Of the Th1/Th2-associated cytokines, IL-12 and IFN-
are strong promoters of Th1 responses, while IL-4 and IL-10 favor Th2. Free PS CpG ODN induced a significant increase in IL-12 concentration between 2 and 24 h after
injection, with peak levels (a 20-fold increase compared with untreated
mice) occurring at about 4 h (Fig.
1). MCP-1 (Fig. 1) and IL-10 (Fig. 2) levels were weakly increased 2- to
3-fold over baseline, while no significant differences were seen for
IL-6 (Fig. 1), IFN-
(Fig. 1), IL-2 (Fig. 2), IL-4 (Fig. 2), or
TNF-
(Fig. 2).
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(20-fold at 8 h) were also greatly enhanced
by SALP (Fig. 1). In contrast, IL-10 (Fig. 2) and TNF-
(Fig. 2)
levels were only slightly enhanced compared with untreated mice, while
IL-2 and IL-4 levels were unaffected. The effect of empty SALP (lipid
only) was also investigated. An initial increase in IL-6 was seen
1 h after injection, which returned to baseline levels by 3 h
(Fig. 1). MCP-1 and IL-12 levels were also slightly increased but like
IL-6, the effect was notably less compared with SALP containing PS CpG
ODN, and IFN-
was unchanged by the lipid carrier alone (Fig. 1).
Thus, the increased plasma concentrations of cytokines induced by SALP
PS CpG ODN were due to a synergistic effect of combining free ODN with
the lipid carrier.
Effect of ODN Backbone on Plasma Cytokine Levels.
The PS
backbone is common to many antisense oligonucleotides because it is
more resistant to nuclease degradation than the naturally occurring PO
backbone. The PS structure remains a good substrate for RNase H and
therefore target mRNA levels can still be reduced through an antisense
mechanism (Fisher et al., 1993
). Because of their sensitivity to
nucleases, PO ODN are ineffective as antisense drugs. As expected, the
PO CpG ODN is unable to induce an immune response when administered
i.v. in the free form at a dose of 20 mg/kg (Fig.
3), presumably because it is degraded in
the blood before it can enter macrophages (Semple et al., 2000
). Previously, we have shown that PO ODN formulated in SALP are completely protected from interactions with extracellular proteins, including components of the complement cascade and nucleases, and are therefore stable in the circulation (Semple et al., 2000
). This is consistent with the observation that a potent immune response can now be detected
over the first 24 h following i.v. administration of PO CpG ODN
SALP, with extensive stimulation of IL-12, MCP-1, IL-6, and IFN-
(Fig. 3). As a comparison, mice were also treated with SALP containing
PS CpG ODN in the same experiment and, as shown in Fig. 3, cytokine
induction by encapsulated PO CpG ODN is even greater.
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peak is
detected several days after the early peak. The second peak is not seen
for either the PO or PS sequences when they are injected in the free
monomer form at this dose (Fig. 4).
Furthermore, the PO and PS formulations exhibit different IFN-
profiles. In mice injected with SALP encapsulating PS CpG ODN a peak in
IFN-
levels occurs at 8 h, as indicated previously, but a
second broad induction phase is seen between days 2 and 7, peaking at
approximately 5 days (Fig. 4). Two peaks are also observed in mice
receiving SALP containing PO CpG ODN, but a higher level of IFN-
at
8 h is measured compared with the PS formulation and the second
peak occurs at 6 days and is significantly lower (Fig. 4). Small second peaks are also observed for IL-12 (Fig.
5), a cytokine known to induce NK cells
to secrete IFN-
in vivo (Chace et al., 1997
, which occurs earlier for the PS SALP than for
the PO SALP by as much as 2 to 3 days (Figs. 4 and 5). The dashed line
in Fig. 5 represents IL-12 levels in HBS-injected mice to demonstrate
that the IL-12 level measured is above background. No significant
increases in IL-6 or MCP-1 levels were detected over a course of 7 days
(data not shown), beyond what could be associated with the tail end of
the initial 4 h peak (Figs. 1 and 3). Similarly, no changes in
IL-2, IL-4, IL-10, or TNF-
levels were detected (data not shown).
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Effect of ODN Sequence on Plasma Cytokine Levels.
The ODN
sequence used here exhibits antitumor activity in numerous animal
models, which has been attributed to its antisense activity against
c-myc mRNA (Leonetti et al., 1996
; Citro et al., 1998
). However, it is
interesting to note that the negative control (nonantisense) sequence
used in these reports maintained the contiguous four guanosines (4G)
but disrupted the CpG motif. At the time these studies were conducted,
the immune effects of CpG sequences were not widely known, but there
was concern about potential nonantisense effects from 4G motifs,
consequently the 4G run was maintained in the control sequence INX-3300
(Leonetti et al., 1996
; Citro et al., 1998
). Here we measured the
ability of this control PS ODN to increase plasma IL-12 concentrations
4 to 8 h after administration. Elevated levels of plasma IL-12
were detected in mice treated with PS CpG ODN either as the free
monomer (4 ± 1 ng/ml at 8 h) or formulated in SALP (15 ± 2 ng/ml at 8 h) compared with mice treated with HBS (0.6 + 0.1 ng/ml). However, no increase in plasma IL-12 was observed at either 4 or 8 h in mice treated with free monomer INX-3300 (0.59 ± 0.07 ng/ml) or encapsulated INX-3300 (0.7 ± 0.1 ng/ml) in which
the CpG motif was corrupted, even though the 4G motif was intact.
Increased Potency of Encapsulated CpG ODN.
In the studies
described so far, a single dose of 20 mg of ODN/kg has been used, which
was chosen because we have consistently found this to be a dose at
which maximum antitumor activity is observed for free PS INX-6295 or PS
INX-3280 (data not shown). In the following experiment SALP
formulations of PS and PO CpG ODN were administered i.v. covering a
dose range of 2 to 20 mg of ODN/kg, and cytokine levels measured at
8 h were compared with those induced by free ODN administered over
a range of 10 to 60 mg of ODN/kg. The data clearly show that SALP
greatly increase ODN potency with respect to macrophage activation as
measured by IL-12 release (Fig. 6). Even
at the lowest dose of encapsulated ODN tested (2 mg/kg) the
concentration of plasma IL-12 is manyfold greater than an equivalent
dose of free PS CpG ODN, reaching a plateau at levels not achieved by
the free ODN, even at a dose of 60 mg/kg. Interestingly, when
formulated in SALP, PO CpG ODN is even more potent than equivalent
doses of encapsulated PS CpG ODN, inducing plasma IL-12 concentrations
on the order of 50 ng/ml at a dose of 2 mg/kg and reaching a maximum of
90 to 100 ng/ml at 10 mg/kg, a level 4- to 5-fold greater than the PS
formulation and more than 20-fold greater than the free PS sequence at
the same dose. Plasma concentrations of IL-6, MCP-1, and IFN-
were also measured and showed similar profiles to that seen for IL-12 in
Fig. 6 (data not shown). In the free form PO CpG ODN did not exhibit
any cytokine induction over the 10- to 60-mg/kg dose range.
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Discussion |
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In this study, we demonstrate that the immune response to a
CpG-containing ODN is greatly enhanced when encapsulated in a structurally unique lipid particle (SALP) approximately 100 nm in
diameter. Following i.v. administration, SALP containing PS CpG ODN
significantly increased the plasma concentrations of IL-12, IFN-
,
IL-6, and MCP-1 compared with cytokine levels induced by the same dose
of free ODN. Furthermore, SALP enabled the chemically unmodified PO CpG
ODN to exert an effect that is even more potent than that measured for
the same sequence with a PS backbone. These results are consistent with
the hypothesis that SALP increase delivery of intact CpG motifs to
macrophages and other APC where they are recognized as danger signals,
causing cell activation and induction of a Th1-biased immune response.
SALP were previously developed to encapsulate anionic antisense ODN
with high efficiency into well tolerated, lipid-based particles capable
of delivering intact sequences to sites of disease (Klimuk et al.,
1999
; Semple et al., 2000
). Although they exhibit many characteristics
common to large unilamellar vesicles, they actually contain multiple
layers of ODN/lipid and thus resemble small multilamellar vesicles
(Semple et al., 2001
). Consequently, despite their small size, each
particle contains on the order of 2000 to 3000 ODN molecules. Liposomes
are removed from the circulation by monocytes and macrophages (Juliano,
1986
; Rao and Alving, 2000
). This natural targeting process has been
used to specifically deliver drugs to this cell population (Scherphof et al., 1987
), including immunostimulatory components isolated from
bacteria, the latter designed to induce cell-mediated cytotoxic reactions against tumors and intracellular infections (Killion and
Fidler, 1998
; Rao and Alving, 2000
). Macrophages activated in this way
release cytokines that in turn can stimulate the cytotoxic effects of
NK cells and recruit T helper cells. The humoral immune response is
also up-regulated in the presence of these cytokines through enhanced
antigen presentation by APC and the presence of a milieu of activated T
cells. In vivo, we observe that SALP containing fluorescently labeled
ODN strongly distribute to tissue macrophages within the first 4 h
similar to other liposome-based delivery systems (Killion and Fidler,
1998
) and is consistent with macrophages being the primary effector
cell population.
We conclude, therefore, that the increased immunogenicity of
CpG-containing ODN encapsulated in lipid-based particles is largely the
result of enhanced delivery to macrophages and other APC such as
dendritic cells. Furthermore, we have shown previously that PO ODN
encapsulated in lipid particles are protected from degradation by
plasma nucleases (Semple et al., 2000
), which probably explains the
dramatic difference in cytokine induction observed here for free versus
encapsulated PO CpG ODN (Figs. 3 and 4). Naked PO backbones are
degraded within minutes following administration i.v. (Semple et al.,
2000
, 2001
). Therefore, few intact CpG motifs would be expected to
reach effector cells, consistent with the fact that in the free form PO
ODN were unable to induce secretion of IL-12 (Fig. 3). In contrast, PS
backbones are significantly more resistant to degradation, enabling a
higher proportion of unencapsulated ISS to reach effector cells.
Our data also indicate that intracellular processing of the lipid-based
carrier to expose encapsulated ODN to the TLR-9 receptors occurs
rapidly because there is no apparent difference in the timing of IL-12
induction by encapsulated PO CpG ODN and unencapsulated PS CpG ODN
(Fig. 1). It is also important to note that unlike ODN/cationic lipid
complexes, which are normally used for intracellular delivery of DNA in
vitro (Hope et al., 1998
), SALP do not appear to be capable of
disrupting endosomal structure to release ODN into the cytoplasm (B. Mui, unpublished observation). This supports the conclusions of others
that the CpG pattern recognition receptors are located inside the
endosomal pathway (Krieg et al., 1995
; Hemmi et al., 2000
). However, it
should be noted that APC are capable of trafficking liposomes
differently when they contain proteins (Rao and Alving, 2000
),
which results in cross-priming between the major histocompatibility
complex II and I peptide presentation pathways. Therefore, APC may also
be capable of releasing encapsulated ODN into the cytoplasm.
It is interesting to note that when delivery into effector cells has
been accomplished, PO CpG ODN elicit a more potent response than the
same dose of PS CpG ODN (Fig. 6), especially at the early time points
(<24 h). This effect may be due to a greater affinity of the TLR-9
binding site for the natural PO backbone compared with the modified PS
backbone. It is known, for example, that PS ODN exhibit weaker binding
interactions with complementary mRNA targets and are poorer substrates
for RNase H than their PO counterparts (Krieg and Stein, 1995
).
Consequently, one would expect the PO backbone to be a better activator
of the TLR-9 signaling pathway than the corresponding PS backbone. It
is also known that PS ODN undergo extensive nonspecific binding to
proteins in vivo (Stein and Krieg, 1994
; Krieg and Stein, 1995
),
which may reduce their effective, intracellular concentration compared
with PO ODN.
Of the four cytokines measured in this study whose plasma
concentrations were most significantly increased in response to encapsulated CpG ODN, IL-12 and IFN-
are key to inducing antitumor effects and providing protection from infectious agents (Zimmermann et
al., 1998
; Dow et al., 1999
; Golab and Zagozdzon, 1999
; Walker et al.,
1999
). The early peak for IFN-
occurs at 8 h compared with
4 h for IL-12. This is consistent with the initial release of the
latter from macrophages, which in turn triggers the release of IFN-
from NK cells (Chace et al., 1997
). Of particular interest, however, is
the appearance of a large, late induction of IFN-
several days after
the single bolus administration (Fig. 4). This second IFN-
peak is
considerably larger for encapsulated PS CpG ODN than it is for
encapsulated PO CpG ODN. Smaller increases in IL-12 are detected prior
to these second peaks and may indicate that the immune system has been
altered or primed to respond more vigorously to this cytokine, possibly
through expansion of NK cells (Bramson et al., 2000
). The fact that the
PS-induced late peak of IFN-
is larger than the PO-induced peak
might be a reflection of the increased stability of PS ODN over several
days in vivo.
It has recently been reported that lipid/DNA complexes used for gene
transfer in vivo also cause transient increases in the plasma
concentrations of IL-12, IFN-
, and TNF-
as well as enhance IL-6
levels in the spleen, whereas an equivalent i.v. dose of naked plasmid
DNA has no effect (Dow et al., 1999
; Whitmore et al., 1999
). In both
studies, the antitumor activity of the lipid/DNA complex was correlated
to the immunogenicity of the bacterial DNA rather than expression of
the transgene. As noted earlier, the CpG-containing ODN used in the
studies reported here is antisense to human (Leonetti et al., 1996
;
Citro et al., 1998
) and murine c-myc mRNA (data not shown). An
extensive literature exists showing that this ODN exhibits significant
antitumor activity in a wide variety of preclinical animal models as a
free PS-ODN (Leonetti et al., 1996
; Calabretta and Skorski, 1997
; Citro
et al., 1998
). We have confirmed these reports, showing that the PS ODN
is efficacious in murine B16 melanoma, DoHH2 human B cell lymphoma, and
murine C26 colon carcinoma animal models (M. J. Hope, S. C. Semple, S. K. Klimuk, and T. O. Harasym, unpublished data). However, there is clearly a significant immune component associated with the overall
antitumor activity of this molecule. The large induction of IL-12 alone
would be expected to exert a considerable antitumor effect, because
this cytokine has been shown to exhibit antimetastatic and
antiangiogenic activities in preclinical models (Golab and Zagozdzon,
1999
). It is also interesting to note that the control sequence used in
many of these studies is the same six base mismatch used here, in which
the CpG motif is disrupted (Leonetti et al., 1996
; Citro et al., 1998
).
This ODN does not show any antitumor or as demonstrated in this study,
immune stimulatory activity in either the free or encapsulated form.
Moreover, these data highlight the fact that the immune stimulation is
CpG-dependent, while the four guanosines motif is not involved because
this sequence is present in both the active and inactive sequences.
Contiguous guanosine sequences can induce ODN to form higher ordered
structures, such as quadruplexes, that may influence the biological
behavior of ODN (Lee et al., 2000
).
In conclusion, the results reported herein indicate that encapsulation of ISS in lipid-based particles greatly increases their immunogenicity and support further research into the use of SALP-containing CpG ODN in immune therapies. Because of their Th1 bias, PS CpG ODN are being clinically tested as bioresponse modifiers in oncology, adjuvants for protein-based vaccines, and as agents for protection from infection. We believe the virus-like characteristics of SALP, which include protection of the DNA payload from extracellular degradation and delivery to APC, combine to enhance the innate immune response to encapsulated CpG ISS. Furthermore, the lipid envelope represents a platform to which a variety of protein, carbohydrate, and lipid antigens can be readily associated, to form a potent vaccine particle.
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Acknowledgments |
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The expertise and analysis of HPLC results on the monomer and quadruplex state of ODN were graciously provided by Hanna Kozlowska with assistance from Hector Gamboa.
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Footnotes |
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Accepted for publication May 25, 2001.
Received for publication March 23, 2001.
Address correspondence to: Barbara Mui, Inex Pharmaceuticals Corporation, 100-8900 Glenlyon Pkwy., Glenlyon Business Park, Burnaby, BC, V5J 5J8, Canada. E-mail: bmui{at}inexpharm.com
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Abbreviations |
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ODN, oligodeoxynucleotide; CpG ODN, ODN containing a CpG sequence motif; PS, phosphorothioate; ISS, immune stimulatory sequence; APC, antigen presenting cell; TLR-9, Toll-like receptor 9; Th, T helper cell; IL, interleukin; IFN, interferon; SALP, stabilized antisense-lipid particle; DSPC, distearoylphosphatidylcholine; DODAP, 1,2-dioleoyl-3-N,N-dimethylammoniumpropane; PO, phosphodiester; HPLC, high-performance liquid chromatography; MCP, monocyte chemoattractant protein; TNF, tumor necrosis factor; 4G, four guanosines; NK cell, natural killer cell.
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References |
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