KR20200097751A - 근위축증 및 근긴장성 이영양증을 치료하는 조성물 및 방법 - Google Patents
근위축증 및 근긴장성 이영양증을 치료하는 조성물 및 방법 Download PDFInfo
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Abstract
Description
[도 1]은 콜레스테롤-미오스타틴 siRNA 접합체의 예시적인 구조를 도시한다.
[도 2]는 TfR mAb-(Cys)-HPRT-PEG5k, DAR1의 SAX HPLC 크로마토그램을 도시한다.
[도 3]은 TfR mAb-(Cys)-HPRT-PEG5k, DAR1의 SEC HPLC 크로마토그램을 도시한다.
[도 4]는 TfR1mAb-Cys-BisMal-siRNA 접합체의 DAR1 및 DAR2 SAX HPLC 크로마토그램의 오버레이를 도시한다.
[도 5]는 TfR1mAb-Cys-BisMal-siRNA 접합체의 DAR1 및 DAR2 SEC HPLC 크로마토그램의 오버레이를 도시한다.
[도 6]은 CD71 Fab-Cys-HPRT-PEG5의 SEC 크로마토그램을 도시한다.
[도 7]은 CD71 Fab-Cys-HPRT-PEG5의 SAX 크로마토그램을 도시한다.
[도 8]은 C2C12 근원세포 및 근관에서 Murf1 및 아트로진-1의 상대적인 발현 수준을 도시하며, C2C12 근원세포 및 근관은 실시예 4에 기재된 바와 같이 생성하였다. mRNA 수준은 실시예 4에 기재된 바와 같이 결정하였다.
[도 9a]는 골격근에서 미오스타틴(MSTN)의 mRNA 하향 조절을 매개하는 능력에 대해 예시적인 접합체의 능력을 평가하기 위한 생체 내 연구 설계를 보여준다.
[도 9b]는 마우스 비복근(gastroc) 근육에서 마우스 MSTN의 siRNA 매개 mRNA 녹다운을 나타낸다.
[도 10a]는 골격근에서 미오스타틴(MSTN)의 mRNA 하향 조절을 매개하는 능력에 대해 예시적인 접합체의 능력을 평가하기 위한 생체 내 연구 설계를 보여준다.
[도 10b]는 화학식 I의 예시적인 분자의 투여 후 1008 h까지의 조직 농도-시간 프로파일을 나타낸다.
[도 10c]는 마우스 비복근(gastroc) 근육에서 마우스 MSTN의 siRNA 매개 mRNA 녹다운을 나타낸다.
[도 10d]는 마우스 비복근(gastroc) 근육에서 마우스 MSTN의 siRNA 매개 mRNA 녹다운 후 혈장 MSTN 단백질 감소를 나타낸다.
[도 10e]는 마우스 비복근(gastroc) 근육에서 마우스 MSTN의 siRNA 매개 mRNA 녹다운 후 근육 크기에서의 변화를 나타낸다.
[도 10f]는 [도 10e]의 웰치의 양측 비대응 t 검정을 나타낸다.
[도 11a]는 예시적인 생체 내 연구 설계를 보여준다.
[도 11b]는 지시된 용량의 예시적인 화학식 I의 분자의 단일 i.v. 투여 후 마우스 비복근(gastroc) 근육에서 siRNA의 조직 축적을 나타낸다.
[도 11c]는 마우스 비복근(gastroc) 근육에서 마우스 MSTN의 siRNA 매개 mRNA 녹다운을 나타낸다.
[도 12a]는 예시적인 생체 내 연구 설계를 보여준다.
[도 12b]는 다양한 근육 조직에서 siRNA의 축적을 나타낸다.
[도 12c]는 마우스 비복근(gastroc) 및 심장 근육에서 마우스 MSTN의 siRNA 매개 mRNA 녹다운을 나타낸다.
[도 12d]는 마우스 비복근(gastroc) 근육에서 MSTN 가이드 가닥의 RISC 로딩을 나타낸다.
[도 13a]는 예시적인 생체 내 연구 설계를 보여준다.
[도 13b]는 마우스 비복근(gastroc), 사두근, 삼두근, 및 심장에서 마우스 MSTN의 siRNA 매개 mRNA 녹다운을 나타낸다.
[도 13c]는 혈장 미오스타틴 수준을 나타낸다.
[도 13d]는 상이한 조직 유형: 비복근, 삼두근, 사두근, 및 심장 조직에서의 siRNA 축적을 나타낸다.
[도 13e]는 마우스 비복근(gastroc) 근육에서 MSTN 가이드 가닥의 RISC 로딩을 나타낸다.
[도 13f]는 근육 면적에서의 변화를 나타낸다.
[도 13g]는 [도 13f]의 웰치의 양측 비대응 t 검정을 나타낸다.
[도 14a]는 예시적인 생체 내 연구 설계를 보여준다.
[도 14b]는 본원에 기재된 예시적인 접합체에 의한 비복근 근육의 HPRT mRNA 발현을 나타낸다.
[도 14c]는 본원에 기재된 예시적인 접합체에 의한 비복근 근육의 SSB mRNA 발현을 나타낸다.
[도 14d]는 본원에 기재된 예시적인 접합체에 의한 심장 조직의 HPRT mRNA 발현을 나타낸다.
[도 14e]는 본원에 기재된 예시적인 접합체에 의한 심장 조직의 SSB mRNA 발현을 나타낸다.
[도 14f]는 비복근 근육에서 siRNA의 축적을 나타낸다.
[도 15a]는 예시적인 생체 내 연구 설계를 보여준다.
[도 15b]는 비복근(gastroc) 근육에서 아트로진-1 하향 조절을 나타낸다.
[도 15c]는 심장 조직에서 아트로진-1 하향 조절을 나타낸다.
[도 16a]는 예시적인 생체 내 연구 설계를 보여준다.
[도 16b]는 비복근 근육에서 MuRF-1 하향 조절을 나타낸다.
[도 16c]는 심장 조직에서 MuRF-1 하향 조절을 나타낸다.
[도 17]은 시험관 내에서 마우스 C2C12 근원세포로 형질 감염된 siRNA를 보여준다. 평가된 4개의 DMPK siRNA는 모두 DMPK mRNA 녹다운을 나타냈지만, 음성 대조군 siRNA는 나타내지 않았다. 점선은 비선형 회귀에 의한 3개의 매개 변수 곡선 맞춤이다.
[도 18A] 내지 [도 18F]는 DMPK siRNA 항체 접합체의 단일 i.v. 투여 후 7일에 DMPK mRNA 녹다운에 대해 강력한 용량 반응을 나타내는 생체 내 결과를 보여준다. 의 투여. [도 18A]: 비복근; [도 18B]: 전경골; [도 18C] : 사두근; [도 18D]: 가로막; [도 18E]: 심장; 및 [도 18F]: 간.
[도 19A] 내지 [도 19L]은 본원에 기재된 예시적인 항체-핵산 접합체를 나타낸다.
[도 19M]은 [도 19A] 내지 [도 19L]에서 사용된 항체 그림을 제시한다.
[도 20a] 내지 [도 20b]는 실시예 20에서 사용된 예시적인 21mer 이중체를 도시한다. [도 20a]는 5' 말단에 C6-NH2 접합 핸들과 3' 말단에 C6-S-NEM을 갖는 siRNA 패신저(passenger) 가닥의 대표적인 구조를 나타낸다. [도 20b]는 19개 염기의 상보성 및 3' 디뉴클레오티드 오버행을 갖는 21 mer 이중체의 대표적인 구조를 나타낸다.
[도 21a] 내지 [도 21b]는 실시예 20에서 사용된 제2의 예시적인 21 mer 이중체를 도시한다. [도 21a]는 5' 접합 핸들을 갖는 siRNA 패신저 가닥의 대표적인 구조를 나타낸다. [도 21b]는 19개 염기의 상보성 및 하나의 3' 디뉴클레오티드 오버행을 갖는 평활 말단 이중체의 대표적인 구조를 나타낸다.
[도 22]는 예시적인 생체 내 연구 설계를 나타낸다.
[도 23]은 3mg/kg의 단일 투여의 용량으로 IV 전달 후 TfR1 항체 siRNA 접합체에 의해 매개된 비복근 근육에서 아트로진-1 mRNA 하향 조절의 시간 경과를 보여준다.
[도 24]는 3 mg/kg의 단일 투여의 용량으로 IV 전달 후 TfR1 항체 siRNA 접합체에 의해 매개된 심장 근육에서 아트로진-1 mRNA 하향 조절의 시간 경과를 보여준다.
[도 25]는 예시적인 생체 내 연구 설계를 나타낸다.
[도 26]은 지시된 용량으로 IV 전달 후 TfR1 항체 siRNA 접합체에 의해 매개된 비복근 근육에서 96시간에서의 MuRF1 mRNA 하향 조절을 나타낸다.
[도 27]은 지시된 용량으로 IV 전달 후 TfR1 항체 siRNA 접합체에 의해 매개된 심장 근육에서 96시간에서의 MuRF1 mRNA 하향 조절을 나타낸다.
[도 28]은 덱사메타손 유발 근위축증의 부재 및 존재하에서 TfR1 항체 siRNA 접합체(3 mg/kg siRNA의 IV 전달)에 의해 매개된 비복근 근육에서의 MuRF1 및 아트로진-1 mRNA 하향 조절의 시간 경과를 나타낸다.
[도 29]은 덱사메타손 유발 근위축증의 부재 및 존재하에서 TfR1 항체 siRNA 접합체(3 mg/kg siRNA의 IV 전달)에 의해 매개된 심장 근육에서의 MuRF1 및 아트로진-1 mRNA 하향 조절의 시간 경과를 나타낸다.
[도 30]은 근위축증의 부재 및 존재하에서 TfR1 항체 siRNA 접합체(3 mg/kg siRNA의 IV 전달)에 의해 매개된 비복근 중량 변화의 시간 경과를 나타낸다.
[도 31]은 근위축증의 부재 및 존재하에서 TfR1 항체 siRNA 접합체(3 mg/kg siRNA의 IV 전달)에 의해 매개된 비복근 및 심장 근육에서의 siRNA 조직 농도의 시간 경과를 나타낸다.
[도 32]는 예시적인 생체 내 연구 설계를 나타낸다.
[도 33]은 덱사메타손 유발 근위축증(제7일에 개시됨의 부재 또는 존재하에서 TfR1 항체 siRNA 접합체 후 10일에, 조직에서 siRNA의 측정 농도에 대한 비복근 근육에서의 아트로진-1 mRNA 하향 조절을 나타낸다.
[도 34]는 덱사메타손 유발 위축증의 부재(그룹 10 및 13 및 그룹 11 및 14) 및 존재(그룹 12 및 15) 하에서 스크램블(scrambled) 대조군 그룹에 대한 비복근 근육에서의 상대적인 아트로진-1 mRNA 수준을 나타낸다.
[도 35]는 덱사메타손 유발 위축증의 부재 및 존재하에서 TfR1-mAb 접합체 전달 후 마우스 비복근 근육에서 아트로진-1 가이드 가닥의 상대적인 RISC 로딩을 나타낸다.
[도 36]은 PBS 대조군에 대해 덱사메타손 유발 위축증(제7일에 개시됨)의 부재(실선) 및 존재(점선) 하에서 TfR1 항체 siRNA 접합체 전달 후 비복근 근육에서의 MSTN mRNA 하향 조절의 시간 경과를 나타낸다.
[도 37]은 덱사메타손 유발 위축증의 부재 및 존재하에서 TfR1-mAb 접합체 전달 후 비복근 근육에서의 다리 근육 성장 속도를 나타낸다.
[도 38]은 예시적인 생체 내 연구 설계를 나타낸다.
[도 39a]는 아트로진-1 siRNA 또는 MuRF1 siRNA의 4.5 mg/kg(siRNA)의 단일 처리 또는 조합된 두 siRNA의 단일 투여가 비복근에서 각 표적의 최대 75% 하향 조절을 초래하였다는 것을 보여준다.
[도 39b]는 비복근에서 두 표적의 mRNA 녹다운이 온전한 다리에서 ASC 투여 후 제37일까지 75%로 유지됨을 보여준다.
[도 39c]는 근육 면적에서의 변화를 나타낸다.
[도 39d]는 비복근 중량에서의 변화를 나타낸다.
[도 39e]는 다리 근육 면적의 측면에서 근육 소모의 처리 유도된 절약 백분율을 나타낸다. 통계 분석은 웰치 T 검정을 사용하여 처리군을 스크램블 siRNA 대조군 그룹과 비교하였다.
[도 39f]는 비복근 중량의 측면에서 근육 소모의 처리 유도된 절약 백분율 나타낸다.
Claims (39)
- 아트로젠(atrogene)의 표적 서열에 혼성화하는 폴리핵산 분자에 접합된 항체 또는 이의 결합 단편을 포함하는 폴리핵산 분자 접합체로서,
폴리핵산 분자는 적어도 하나의 2' 변형된 뉴클레오티드, 적어도 하나의 변형된 뉴클레오티드간 연결, 또는 적어도 하나의 역위된 무염기 모이어티를 포함하고; 폴리핵산 분자 접합체는 아트로젠에 대한 RNA 간섭을 매개하여, 대상체에서 근위축증 또는 근긴장성 이영양증을 치료하는 것인 상기 폴리핵산 분자 접합체. - 제1항에 있어서, 아트로젠은 IGF1-Akt-FoxO 경로, 글루코코르티코이드-GR 경로, PGC1α-FoxO 경로, TNFα-NFκB 경로, 또는 미오스타틴-ActRIIb-Smad2/3 경로 내에서 차등적으로 조절되는 유전자를 포함하는 것인 폴리핵산 분자 접합체.
- 제2항에 있어서, 아트로젠은 IGF1-Akt-FoxO 경로, 글루코코르티코이드-GR 경로, PGC1α-FoxO 경로, TNFα-NFκB 경로, 또는 미오스타틴-ActRIIb-Smad2/3 경로 내에서 하향 조절되는 유전자인 폴리핵산 분자 접합체.
- 제2항에 있어서, 아트로젠은 IGF1-Akt-FoxO 경로, 글루코코르티코이드-GR 경로, PGC1α-FoxO 경로, TNFα-NFκB 경로, 또는 미오스타틴-ActRIIb-Smad2/3 경로 내에서 상향 조절되는 유전자인 폴리핵산 분자 접합체.
- 제1항에 있어서, 아트로젠은 E3 리가아제를 코딩하는 것인 폴리핵산 분자 접합체.
- 제1항에 있어서, 아트로젠은 포크헤드 박스 전사 인자를 코딩하는 것인 폴리핵산 분자 접합체.
- 제1항에 있어서, 아트로젠은 아트로진-1 유전자(FBXO32), MuRF1 유전자(TRIM63), FOXO1, FOXO3 또는 MSTN을 포함하는 것인 폴리핵산 분자 접합체.
- 제1항에 있어서, 아트로젠은 DMPK를 포함하는 것인 폴리핵산 분자 접합체.
- 제1항에 있어서, 항체 또는 이의 결합 단편은 인간화 항체 또는 이의 결합 단편, 키메라 항체 또는 이의 결합 단편, 단클론 항체 또는 이의 결합 단편, 1가 Fab', 2가 Fab2, 단쇄 가변 단편(scFv), 디아바디, 미니바디, 나노바디, 단일 도메인 항체(sdAb), 또는 낙타과 항체 또는 이의 결합 단편을 포함하는 것인 폴리핵산 분자 접합체.
- 제1항에 있어서, 항체 또는 이의 결합 단편은 항-트랜스페린 수용체 항체 또는 이의 결합 단편인 폴리핵산 분자 접합체.
- 제1항에 있어서, 폴리핵산 분자는 센스 가닥 및 안티센스 가닥을 포함하고, 센스 가닥 및 안티센스 가닥은 각각 독립적으로 적어도 하나의 2' 변형된 뉴클레오티드, 적어도 하나의 변형된 뉴클레오티드간 연결, 또는 적어도 하나의 역위된 무염기 모이어티를 포함하는 것인 폴리핵산 분자 접합체.
- 제1항에 있어서, 폴리뉴클레오티드는 아트로젠의 표적 서열의 적어도 8개의 인접 염기에 혼성화하는 것인 폴리핵산 분자 접합체.
- 제1항에 있어서, 표적 서열은 서열 번호 28-141, 370-480, 또는 703-3406에 제시된 서열에 대해 적어도 80%, 85%, 90%, 95%, 96%, 97%, 98%, 99%, 또는 100% 서열 동일성을 포함하는 것인 폴리핵산 분자 접합체.
- 제1항에 있어서, 폴리뉴클레오티드는 약 8 내지 약 50 뉴클레오티드 길이, 또는 약 10 내지 약 30 뉴클레오티드 길이인 폴리핵산 분자 접합체.
- 제1항에 있어서, 센스 가닥은 서열 번호 142-255, 481-591, 3407-6110, 또는 8815-11518에 제시된 서열에 대해 적어도 80%, 85%, 90%, 95%, 96%, 97%, 98%, 99%, 또는 100% 서열 동일성을 갖는 서열을 포함하는 것인 폴리핵산 분자 접합체.
- 제1항에 있어서, 안티센스 가닥은 서열 번호 256-369, 592-702, 6111-8814, 또는 11519-14222에 제시된 서열에 대해 적어도 80%, 85%, 90%, 95%, 96%, 97%, 98%, 99%, 또는 100% 서열 동일성을 갖는 서열을 포함하는 것인 폴리핵산 분자 접합체.
- 제1항에 있어서, 결합 모이어티를 폴리뉴클레오티드에 연결하는 링커를 포함하는 폴리핵산 분자 접합체.
- 제1항에 있어서, 경우에 따라 추가 링커에 의해 폴리뉴클레오티드에 간접적으로 접합된 중합체를 추가로 포함하는 폴리핵산 분자 접합체.
- 제17항 또는 제18항에 있어서, 링커 및 추가 링커는 각각 독립적으로 비중합체성 링커인 폴리핵산 분자 접합체.
- 제1항에 있어서, 하기 화학식 I의 분자를 포함하는 폴리핵산 분자 접합체:
[화학식 I]
A-X1-B-X2-C
상기 화학식에서,
A는 항체 또는 이의 결합 단편이고;
B는 아트로젠의 표적 서열에 혼성화하는 폴리핵산 분자이며;
C는 중합체이고;
X1 및 X2는 각각 독립적으로 결합 또는 비중합체성 링커로부터 선택되며;
A 및 C는 B에 동일한 말단에서 부착되지 않는다. - 제20항에 있어서, C는 폴리에틸렌 글리콜(PEG)인 폴리핵산 분자 접합체.
- 제20항에 있어서, A-X1은 B의 5' 말단에 접합되고, X2-C는 B의 3' 말단에 접합된 것인 폴리핵산 분자 접합체.
- 제20항에 있어서, X2-C는 B의 5' 말단에 접합되고, A-X1은 B의 3' 말단에 접합된 것인 폴리핵산 분자 접합체.
- 제20항에 있어서, B는 센스 가닥 및 안티센스 가닥을 포함하는 것인 폴리핵산 분자 접합체.
- 제24항에 있어서, A 및 C는 각각 센스 가닥의 상이한 말단에 부착된 것인 폴리핵산 분자 접합체.
- 제1항에 있어서, 적어도 하나의 2' 변형된 뉴클레오티드는 2'-O-메틸, 2'-O-메톡시에틸(2'-O-MOE), 2'-O-아미노프로필, 2'-데옥시, T-데옥시-2'-플루오로, 2'-O-아미노프로필(2'-O-AP), 2'-O-디메틸아미노에틸(2'-O-DMAOE), 2'-O-디메틸아미노프로필(2'-O-DMAP), T-O-디메틸아미노에틸옥시에틸(2'-O-DMAEOE), 또는 2'-O-N-메틸아세트아미도(2'-O-NMA) 변형된 뉴클레오티드를 포함하는 것인 폴리핵산 분자 접합체.
- 제1항에 있어서, 적어도 하나의 2' 변형된 뉴클레오티드는 잠금 핵산(LNA: locked nucleic acid) 또는 에틸렌 핵산(ENA: ethylene nucleic acid)을 포함하는 것인 폴리핵산 분자 접합체.
- 제1항에 있어서, 적어도 하나의 변형된 뉴클레오티드간 연결은 포스포로티오에이트 연결 또는 포스포로디티오에이트 연결을 포함하는 것인 폴리핵산 분자 접합체.
- 제1항에 있어서, 적어도 하나의 역위된 무염기 모이어티는 적어도 하나의 말단에 있는 것인 폴리핵산 분자 접합체.
- 제1항에 있어서, 근위축증은 당뇨병 관련 근위축증 또는 암 악액질 관련 근위축증인 폴리핵산 분자 접합체.
- 제1항에 있어서, 근위축증은 인슐린 결핍, 만성 신부전, 울혈성 심부전, 만성 호흡기 질환, 만성 감염, 단식, 탈신경, 사르코페니아, 또는 글루코코르티코이드 치료와 관련된 것인 폴리뉴클레오티드 분자 접합체.
- 제1항에 있어서, 근위축증은 근긴장성 이영양증 1형(DM1)과 관련된 것인 폴리핵산 분자 접합체.
- 제1항에 있어서, 근긴장성 이영양증은 DM1인 폴리핵산 분자 접합체.
- 제1항 내지 제33항 중 어느 한 항의 폴리핵산 분자 접합체; 및
약학적으로 허용 가능한 부형제
를 포함하는 약학 조성물. - 제34항에 있어서, 나노입자 제제로서 제제화된 약학 조성물.
- 제34항에 있어서, 비경구, 경구, 비강내, 협측, 직장 또는 경피 투여용으로 제제화된 약학 조성물.
- 근위축증 또는 근긴장성 이영양증의 치료를 필요로 하는 대상체에서 근위축증 또는 근긴장성 이영양증을 치료하는 방법으로서,
대상체에서 근위축증 또는 근긴장성 이영양증을 치료하기 위해서 치료 유효량의, 제1항 내지 제33항 중 어느 한 항의 폴리핵산 분자 접합체 또는 제34항 내지 제36항 중 어느 한 항의 약학 조성물을 상기 대상체에 투여하는 단계를 포함하는 방법. - 제37항에 있어서, 대상체는 인간인 방법.
- 제1항 내지 제33항 중 어느 한 항의 폴리핵산 분자 접합체 또는 제34항 내지 제36항 중 어느 한 항의 약학 조성물을 포함하는 키트.
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