# Patent

## Title
Thrombolytic peptide, production thereof, and thrombolytic agent

## Abstract

This is a divisional of application Ser. No. 07/852,631, filed Mar. 17, 1992, now abandoned.

## Background
The present invention relates to certain peptides of nerve growth factor receptor protein. These peptides may be used to accentuate stimulatory effects of nerve growth factor.

Neurons that successfully compete for target derived trophic factors, such as nerve growth factor, NGF, at critical stages in development, are spared cell death. Exogenous NGF, or its withdrawal by anti-NGF, has permanent effects on survival of peripheral and striatal neurons. The relationship between developmental neuronal cell death and its counterparts after injury and during aging in CNS is not known. NGF action has been best documented for sensory, sympathetic and magnocellular cholinergic neurons (MCN) of the basal forebrain (BF). There are two NGF binding activities with equilibrium dissociation constants (K.sub.d) of 10.sup.-11 M and 10.sup.-9 M respectively. The former is a high affinity, low capacity binding site (NGFR-I) with a slow dissociation rate constant; the latter is a low affinity, high capacity site (NGFR-II) with a fast dissociation rate constant. Differences in NGFR are most likely due to the presence of an unidentified receptor-associated protein. Intraventricular injections of NGF in neonatal rats increases choline acetyl transferase (ChAT) activity in the basal forebrain, hippocampus, cortex, and the caudate nucleus. There are reported reductions in NGF and NGFR in cholinergic areas of the aged CNS. Since there is a reduction in trophic and principally NGF associated activity in those cholinergic regions that display aged associated pathology, it is not surprising that there have been found reductions in the NGF and NGF binding capacity in the aged rodent basal forebrain and hippocampus.

NGF is a neurotrophic protein whose structural features have been well-chronicled (Greene and Shooter, 1980; Levi-Montalcini, (1987). NGF has been purified from the submaxillary gland of mice and rats, murine saliva, several snake venoms, the guinea pig prostate, bovine seminal plasma, rodent seminal vesicle, and human term placenta (Perez-Polo, 1985). In some tissues, NGF has been isolated as a subunit containing protein. In all instances, only the .beta.-NGF subunit, henceforth called NGF, has been found to have nerve growth promoting activity. To date, the role of the quaternary structure of NGF in the mouse submaxillary gland and the nature of the subunits' composition, if any, of NGF in neuronal tissues or not known (see Table 1). ______________________________________ Studies on NGF ______________________________________ Biological variables studied Neurite outgrowth Cell hypertrophy Cellular proliferation Synaptogenesis Cell survival Cell death Neurotransmitter expression Neuro-immune-endocrine activation Biological phenomena of interest Development Regeneration after spinal and head trauma Chronic degenerative neurological dysfunction Aging associated phenomena Behavioral disorders ______________________________________

The sequence of the .alpha., .beta., and NGF genes is known, for .beta.-NGF, the gene sequence is known for mouse, rat, bovine, human, and chick NGF, and all are highly conserved (Ebendal et al., 1986; Goedert, 1986; Isackson et al., 1987; Meier et al., 1986; Misko et al., 1987; Schwarz et al., 1989; .Scott et al., 1983; Ullrich et al., 1983a,b; Whittemore et al., 1988). The human gene for NGF is on the proximal short arm of chromosome 1 (Francke et al., 1983). Recombinant NGF has been characterized and shown to be biologically active (Bruce and Heinrich, 1989; Edwards et al., 1988). NGF mRNA levels have been determined for brain, superior cervical ganglia, and spinal cord, and correlated with NGF protein levels as a function of development, innervation, and response to injury (Auburger et al., 1987; Ayer-LeLievre et al., 1988; Goedert et al., 1986; Heumann et al., 1984, 1987; Korsching et al., 1985, 1986; Large et al., 1986;  Lu et al., 1989; Rennert and Heinrich, 1986; Shelton and Reichardt, 1984). Although there is only one mature form of NGF expressed in the nervous system, there are two different precursor forms caused by differential RNA splicing (Edwards et al., 1986).

Levels of NGF mRNA and protein in the peripheral nerve system (PNS) and central nerve system (CNS) correlate with the density of sympathetic innervation (Korsching et al., 1985; Shelton and Reichardt, 1984). NGF mRNA and protein are widely distributed in CNS. The highest levels are in cortex and hippocampus, which are terminal regions for projections from basal forebrain cholinergic neurons. This is where NGF effects on ChAT induction and cell sparing, following lesions, have been best documented (Gnahn et al., 1983; Hefti et al., 1984; Mobley et al., 1986). It should be emphasized that, at early developmental stages, NGF and NGF receptor mRNA levels are highest in noncholinergic CNS structures, such as the cerebellum and outside the nervous system in the immune system (Buck et al., 1987, 1988; Ebendal et al., 1986; Ernfors et al., 1988; Large et al., 1986). It is not known what the role of NGF is during development, and these noncholinergic neurons do not remain NGF-responsive into adulthood (Dreyfus, 1989; Whittemore and Seiler, 1987).

NGF is one of a family of proteins called neurotrophins made up of NGF, brain derived neurotrophic factor (BDNF), NT3, and NT4. These share a 50-60% amino acid sequence homology, overlapping cellular targets in CNS and a common low affinity receptor species called p75.sup.NGFR.

The first step of NGF action is the binding to specific membrane receptors (Banerjee et al., 1973; Frazier et al., 1973; Herrup and Shooter, 1973). In the PNS, two distinct NGF receptor (NGFR) sites have been found (Godfrey and Shooter, 1986). In the CNS, where NGF binding has not been as extensively characterized, preliminary reports would suggest that NGF binding activity has similar kinetic properties to its PNS counterparts (Angelucci et al., 1988z; Bernd et al., 1988; Cohen-Cory et al., 1989; Raivich and Kreutzberg, 1987; Taglialatela et al., 1990). It should be emphasized that, although the NGF receptor expressed by PC12 cells and some peripheral neurons has been partially characterized, less is known about the structural properties of NGFR expression in CNS and non-neural tissues. In part, this is as a result of the use of NGFR genetic probes based on the cDNA coding for only one of the NGF binding sites, the low affinity receptor (Radeke et al., 1987).

There are different ways to characterize NGF receptor activity. One method is to use receptor binding assays. Two NGF binding activities have been demonstrated for most neuronal tissues with equilibrium dissociation constants (K.sub.d) of around 10.sup.-11 and 10.sup.-9 M (Stach and Perez-Polo, 1987; Sutter et al., 1979). The former represents a high affinity, low capacity binding site (NGFR-I) that has a slow dissociation rate constant for ligand; the latter represents a low affinity, high capacity binding site (NGFR-II) that has a fast dissociation rate constant. It is generally believed that the NGFR-I is the physiologically relevant receptor present in neuronal populations (Green et al., 1986; Sonnenfeld and Ishii, 1985). Unfortunately, most demonstrations of high affinity NGF binding in the CNS have been indirect, and have relied on autoradiographic analysis of tissue sections exposed to .sup.125 I-NGF, and not on Scatchard analysis of specific, saturable binding of an NGF ligand (Cohen-Cory et al.,1989; Riopelle et al., 1987a,b; Yip and Johnson, 1987). The one exception would suggest that the proportion of low affinity sites to high affinity sites is greater outside the PNS making such an analysis difficult (Angelucci et al., 1988a; Taglialatela et al., 1990). It has been proposed that binding of NGF to the low affinity receptor converts it to its high affinity counterpart (Landreth and Shooter, 1980). There is also evidence that molecular species other than NGF can increase the proportion of high affinity receptors to NGF in isolated fractions of NGFR practically devoid of high affinity binding at the expense of the low affinity sites present there almost exclusively (Marchetti and Perez-Polo, 1987 ). The NGF-NGFR complex is internalized via high affinity binding mechanisms, a step thought to be necessary for NGF action, although there is no direct evidence for this (Bernd and Greene, 1984; Green et al., 1986; Hosang and Shooter, 1987).

A second approach that has been useful for the study of NGFR structure is sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) of .sup.125 I-NGF, which has been covalently crosslinked to NGFR. SDS-PAGE analysis has also been carried out on immunoprecipitated NGF-NGFR complexes, iodinated surface proteins of NGF responsive cells, and partially isolated NGFR enriched fractions relying on immunoaffinity chromatography, preparative isoelectric focusing, and reverse-phase high performance liquid chromatography, RP-HPLC (Beck et al., 1989; Buxser et al., 1985; Green and Greene, 1986; Grob et al., 1985; Hosang and Shooter, 1985; Kouchalakos and Bradshaw, 1986; Marano et al., 1987; Marchetti and Perez-Polo, 1987; Massague et al., 1982; Puma et al., 1983). Most descriptions of rodent NGFR are consistent with a 70-80 kD protein as the prevalent NGFR species, whereas, Puma et al., 1983 and Riopelle et al., 1987b, in human NGFR bearing cells, NGFR proteins of 92.5 kD have been reported. In both instances, there are higher molecular weight species of NGFR recognized. Kouchalakos and Bradshaw (1986) have analyzed the various reports for NGFR, and described a set of four different species of NGFR; class A (70-81 kD), Class B (87-105 kD), class C (120-145 kD), and class D (190-300 kD). The low affinity NGFR-II in PC12 cells, in human neuroblastoma LA-N-1 cells, and in human melanoma A875 cells was assigned to classes A and B. The larger molecular weight, NGFR in the class D category could be dimmer of the class B since their peptide maps are similar and there is some evidence for interconversion of the D to the B class under reducing conditions (Buxser et al., 1985; Grob et al., 1985; Marchetti and Perez-Polo, 1987). It is likely that B and C forms are part of one spectrum of biologically active NGFR, and A and D, respectively, represent truncated or aggregated forms (DiStefano and Johnson, 1988a,b). Ambiguities as to reported sizes may be the result of differences in the glycosylation or phosphorylation of NGFR, as well as of the many existing disulfide linkages present (Grob et al., 1983, 1985; Ross et al., 1984). Also, there is indirect evidence for a receptor associated protein with structural and functional effects on NGF binding (Hosang and Shooter, 1985; Marchetti and Perez-Polo, 1987). One difficulty here is that data from different tissues and species using different techniques are difficult to compare. It would appear that in most cases NGFR can be identified as two or more different molecular weight species.

The third approach to the characterization of NGFR relies on recombinant DNA technology. Both rat and human NGFR are the product of a single gene that does not appear to undergo differential splicing (Johnson et al., 1986; Large et al., 1989; Radeke et al., 1987). Based on the known NGFR DNA sequence, it has been determined that the human NGFR is synthesized as a precursor molecule with 427 amino acids (Johnson et al., 1986). The rat NGFR is highly homologous, and is a synthesized 425 amino acid precursor protein (Radeke et al., 1987). After removal of the N-terminal signal peptide, the protein core consists of 399 (human) or 396 (rat) amino acids, with an estimated molecular weight of 42 or 49 kD. The protein core is subsequently glycosylated to yield a 75-80 KD NGFR (Grob et al., 1985; Johnson et al., 1986). A second gene coding for the NGF receptor is the p140.sup.prototrk gene product of the trkA gene which is a membrane spanning 140 kDa tyrosine kinase that binds NGF. There is also a p145.sup.trkb gene product that binds BDNF and an NT3 binding species p145.sup.trkC. The distribution and functions of these species in CNS is not definitively known but it would appear that whereas trkA is relevant to Alzheimer's disease, trkB is relevant to Parkinson's disease.

Receptors for NGF of p75.sup.NGFR variety are present on cells derived from all three germ layers, consistent with the hypothesis that NGF is not exclusively a neuronotrophic factor (Perez-Polo and Werrbach-Perez K., 1987; Thomson et al., 1988; Thorpe et al., 1987a,b,1989; Thorpe and Perez-Polo, 1987). For the CNS and PNS, NGFR and NGF mRNA expression appear to be coordinated and related to density of innervation (Buck et al., 1987; Korsching, 1986a,b; Whittemore and Seiler, 1987). There is NGF mRNA present in the hippocampus, cortex, thalamus/hypothalamus, brain stem, striatum, cerebellum, and spinal cord, in decreasing order. In some CNS regions, such as cerebellum, there is NGF and NGFR mRNA early in development not associated with cholinergic neurons (Whittemore and Seiler, 1987). The distribution of NGFR protein in the CNS is most evident in the hippocampus, frontal cortex, basal forebrain, and cerebellum (Angelucci et al., 1988a; Taniuchi et al., 1986a).

NGFRs are synthesized predominantly in the cell bodies of cholinergic neurons and subsequently transported via anterograde transport to the axon terminals (Buck et al., 1987). At the terminals, NGFR binds NGF, and the NGF-NGFR complex is internalized and retrogradely transported to neurons of the basal forebrain nuclei (Johnson et al., 1987; Seiler and Schwab, 1984). The continuous flux of NGF and NGFR, as well as, of the NGF-NGFR complex, may have regulatory significance on target tissues innervated, innervating neurons, or both (Hefti, 1986). However, NGF binding activity, NGFR protein, and NGFR mRNA in all regions of brain and lymphoid tissues, during some stages of development, have been reported for both the chick and the rat (Buck et al., 1988; Ernfors et al., 1988).

Three neuronal cell lines that have proven useful in the study of NGF are the PC12 rat pheochromocytoma line, the DK-N-SH-SY5Y (SY5Y), and the LA-N-1 human neuroblastoma lines. The rat pheochromocytoma cell line PC12 is the most extensively studied NGF responsive cell line (Greene and Tischler, 1976). NGF has several major effects on PC12 cells that have been classified temporally and based on their RNA transcription dependence (Greene, 1984; Levi et al., 1988):

1. In common with other growth factors, NGF elicits rapid cell surface ruffling, stimulated ion fluxes across the cell membrane, and internalization of the NGF ligand (Connolly et al., 1979);

2. NGF induces short-term transcription-independent phosphorylation of several cytoplasmic proteins (Halegoua and Patrick, 1980; Romano et al., 1987); and transcription of some proto-oncogenes, such as c-myc, c-fos, and c-jun (Milbrandt, 1986, 1988; Wu et al., 1989);

3. NGF induces short-term synthesis of ornithine decarboxylase (Greene and McGuire, 1978);

4. NGF induces long-term transcription-dependent synthesis of those cytoskeletal proteins and cell adhesion molecules that are required for normal neurite growth; and

5. NGF can induce mitotic arrest under some conditions for PC12 cells.

This broad spectrum of responses is not unique to NGF, but rather, represents the response of the PC12 cell; other classes of NGF responsive cells may display a different spectrum of responses (Thorpe et al., 1989). Also, even for one cell line, such as the PC12 line, the different cell responses may not be coupled, and represent different segments of physiologically distinct outcomes. For some cell types like astrocytes and Schwann cells, ambient conditions can drastically affect the NGF response (Bothwell et al., 1980; Burstein and Greene, 1978, 1982; Green et al., 1986; Levi et al., 1988).

Human neuroblastoma cell lines are another model for studying the structure of NGFR and the effects of NGF (Perez-Polo and Werrbach-Perez, 1985, 1987). These cell lines are genetically stable, dependent on NGF for cell survival when grown in the absence of serum, and reversibly responsive to NGF. Similar to the findings in PC12 cells, treatment of neuroblastoma cells with NGF induces neurite outgrowth and hypertrophy (Perez-Polo et al., 1979; Sonnenfeld and Ishii, 1982), increases protein synthesis (Perez-Polo et al., 1982; Sonnenfeld and Ishii, 1982), and induces electrical excitability (Kuramoto et al., 1981). The study of NGF effects on neuroblastoma cells offers unique opportunities since the cells possess properties not present in PC12 cells.

First, only the high affinity NGFR-I type binding has been detected in neuroblastoma SY5Y cells (Sonnenfeld and Ishii, 1982, 1985). Second, SY5Y cells are reported to have NGFR mRNA of the same size as that reported for the low affinity NGF receptor and, when the SY5Y NGFR gene is transfected to mouse fibroblast-like L cells, the receptor expressed is also the NGFR-II type (Chao et al., 1986; Hempstead et al., 1989). This implies that, in SY5Y cells, there may exist a specific cellular environment that is responsible for the expression of the NGFR gene as an NGFR protein expressing high affinity binding.

Nerve growth factor (NGF) regulates neuronal cell death, neurite extension, and synapse formation during the development of sensory and sympathetic ganglia, and is also trophic to some neurons in the central nervous system (Levi-Montalcini, 1987; Thoenen and Barde, 1980; Whittemore and Seiler, 1987). The role played by NGF in the PNS has been well established and extensively reviewed (Greene and Shooter, 1980; Levi-Montalcini, 1987). During neuronal development, increased ambient levels of NGF in the region of the developing neurons provide guidance to outgrowing neuronal fibers in a process that may involve increased synthesis of NGF and NGFR by Schwann cells (Assouline and Pantazis, 1989; DiStefano and Johnson, 1988b). Once target tissues are innervated, Schwann cell synthesis, secretion of NGF and NGFR is curtailed, and target derived NGF is taken up at nerve terminals and retrogradely transported to the soma to maintain the differentiated state of the neuron (see FIG. 1 and Tables 5 and 6)(Hamburger And Oppenheim, 1982; Levi-Montalcini, 1987).

Although less is known about the role of NGF in the development of the CNS, there is evidence that it provides trophic support to basal forebrain cholinergic neurons (Gnahn et al., 1983; Hefti et al., 1984; Whittemore and Seiler, 1987; Williams et al., 1986). For example, NGF is synthesized in hippocampus and frontal cortex, and released in the proximity of nerve terminals of the basal forebrain where it is bound by NGFR, internalized, and retrogradely transported to mostly, but not only, the cholinergic neurons of the basal forebrain nuclei (Johnson et al., 1987). After fimbria-fornix transection, a lesion that interrupts the NGF-NGFR flux between the hippocampus and the basal forebrain, the cholinergic neurons of the diagonal band of Broca and septum undergo rapid cell death or severe cell shrinkage. Exogenous administration of NGF prevents this phenomenon in rats, when the fimbria-fornix has been severed or aspirated, thus demonstrating that the cell death exhibited by the cholinergic neurons of the basal forebrain under these conditions is likely caused by the lack of retrogradely transported NGF of hippocampal origin (Hefti, 1986; Will and Hefti, 1985; Williams et al, 1986). In aged humans and rats, there are deficits in NGF and NGFR (Angelucci et al., 1988b; Gomez-Pinilla et al., 1989; Hefti and Mash, 1989; Koh and Loy, 1988; Larkfors et al., 1987; Mufson et al., 1989a,b). The intraventricular infusion of NGF into aged rats rescues septal cholinergic neurons and improves behavioral performances in a spatial orientation task (Fischer et al., 1987).

It must be remembered that NGFR is also expressed in noncholinergic area of the brain and spinal cord, where it may play different roles in development, such as the regulation of cell migration (Schatteman et al., 1988) and neurite outgrowth (Collins and Dawson, 1983). Also, not all NGF-responsive tissues are in the nervous system. NGF has been shown to act as a mitogen on cultured chromaffin cells (Aloe and Levi-Montalcini, 1979; Lillien and Claude, 1985) and some classes of hemopoietic cells (Matsuda et al., 1988; Thorpe and Perez-Polo, 1987). Thus, different target cells respond to NGF in different fashions.

It has been established that, although neurons of the adult mammalian PNS are able to regenerate, the opposite is true for most of the CNS, in which abortive sprouting is more common (Ramon y Cajal, 1928). In those instances in the periphery, where it has been established that regeneration takes place, it has been demonstrated that ambient conditions under the control of Schwann and satellite cells are permissive for axonal sprouting, growth, and synaptogenesis. In the periphery, neurons that are isolated from target tissues, for example as a consequence of injury, exhibit a more rigorous dependence on the appropriate survival factors. Also, a procession of metabolic changes takes place in the Schwann and satellite cells, such as expression of NGF and NGFR mRNA, among others, that may account in part for the success of regeneration in the periphery, as compared to the CNS. The time sequelae involved in these injury induced changes in the nonneuronal cells of the periphery may be one of the important factors that differentiate the PNS from the CNS with respect to regeneration. Less is known about the molecular signals that act on glial and mast cells as part of the inflammation, gliosis, and scarring associated with neuronal injury. Thus, manipulations of ambient levels of neuronotrophic substances, and of other time-dependent events involved in the neuronal response to injury may answer the question of whether external manipulation of the organism can overcome the inability of the CNS to recover functionally from certain traumatic injuries.

There may be a correlation between cognitive deficits expressed in the aged and the levels of trophic activity in cholinergic areas of the CNS, as measured by the functional levels of critical growth factors, such as NGF and their receptors (Cortes et al., 1989; Eldridge et al., 1989 a,b; Flood and Coleman, 1988; Gage et al., 1988; Gomez-Pinilla et al., 1989; Hefti and Mash, 1989; Koh and Loy, 1988; Lahtinen, 1989; Larkfors et al., 1987, 1988; Mufson et al., 1989 a,b; Pezzoli et al., 1988). Since there is a reduction in trophic and principally NGF associated activity in those cholinergic regions that display age-associated pathology (Gomez-Pinilla et al., 1989; Hefti and Mash, 1989; Koh and Loy, 1988; Kudo et al., 1989; Larkfors et al., 1988; Mufson et al., 1989 a,b), it is not surprising that there is a reduction in the NGF and NGF binding capacity in the neurons of the aged rodent basal forebrain and hippocampus in the CNS, as well as in sympathetic neurons in the PNS (Angelucci et al., 1988a; Uchida and Tonionaga, 1987). Similar deficits in NGF and NGFR protein and mRNA have also been demonstrated in the CNS although, at the present time, it is not known if these deficits are a consequence of neuronal atrophy and cell loss there, or are a cause of such cell loss and atrophy (Flood and Coleman, 1988). It has been suggested that addition of exogenous NGF may reverse some cognitive deficits in the aged (Phelps et al., 1989).

It is not known if the mechanism by which NGF rescues basal forebrain cholinergic neurons following deafferentation lesions in the adult is the same as that by which NGF has sparing effects on aged rat cholinergic neurons of the CNS. It is difficult to speculate as to differences in the possible mechanisms of cell death, such as death resulting from neuronal injury as discussed here and cell death among NGF responsive neurons in the aged CNS. It is encouraging that acetyl-L-carnitine, a substance that ameliorates some age-associated cognitive deficits in aged rodents (Angelucci et al., 1986; Angelucci and Ramacci, 1986) and that appears to prevent age-associated decreases in NGF binding in hippocampus and basal forebrain (Angelucci et al., 1988), can also stimulate NGF binding activity in PC12 cells (Taglialatela et al., 1990 a,b). Although the precise mechanism by which acetyl-L-carnitine stimulates NGFR expression is not known, it is likely to be a general stimulation of trophic activity in the CNS acting by appropriate increased receptor expression.

The present invention involves peptides derived from the nerve growth factor receptor protein p75.sup.NGFR. Such peptides are characterized by competing for NGF binding to NGF receptor at high concentrations while accentuating NGF binding at low concentrations. Preferred peptides include Cys-Glu-Glu-Cys-Pro-Glu-OH, SEQ ID NO: 1 Asn-Thr-Val-Cys-Glu-Glu-Cys-Pro-Glu-OH, SEQ ID NO: 2 Gln-Asp-Lys-Gln-Asn-Thr-Val-Cys-Glu-Glu-Cys-Pro-Glu-OH SEQ ID NO: 3 and Cys-Gln-Asp-Lys-Gln-Asn-Thr-Val-Cys-Glu-Glu-Cys-Pro-Glu-OH SEQ ID NO: 4.

The nerve growth factor receptor peptides of the present invention comprise an amino acid sequence preferably derived from the extracellular domain of nerve growth factor receptor protein, p75.sup.NGFR particularly between positions 110 and 123. These peptides may be utilized to accentuate neuronal stimulation effects of nerve growth factor. Such accentuation is accomplished, for example, by contacting neurons in the presence of endogenous nerve growth factor with peptide segments of nerve growth factor receptor protein. Because of the commonality of use of p75.sup.NGFR by NGF, BDNF and NT3, it may be that the aforementioned peptides also enhance BDNF and NT3 binding to their respective receptors.

Animal model experiments described herein illustrate that, in neurotoxic lesions of the type commonly utilized as models for Parkinson's Disease and Alzheimer's Disease, treatment of neuronal cells transplanted into regions of lesion are positively affected by pretreatment by NGF in the presence of a peptide of the present invention. It is noted that treatment of the cells to be transplanted with the peptides of the present invention results in subsequently greater concentrations of NGF receptor protein on cell surfaces. Thus, those skilled in the art will understand that, to alleviate the symptoms of Alzheimer's Disease of Parkinson's Disease, the administration of a pharmaceutically acceptable composition comprising a therapeutically effective amount of the nerve growth factor receptor protein fragment which, at a low concentration, enhances binding of growth factor to nerve growth factor receptor while inhibiting said binding at higher concentrations enhances healthy neuronal growth. Such healthy neuronal growth is useful for treating such patients and alleviating the disease syndrome. Parenteral administration of the peptides of the present invention and particularly intracysternal administration is effective.

FIG. 1 shows that excesses of peptides (except for P1) are not as effective as NGF in displacing labelled NGF.

FIG. 2 illustrates how differing amounts of peptide displace labelled NGF from PC12 cells. As can be seen equimolar amounts of peptides at high concentrations can all equally displace NGF.

FIG. 3 shows how differing amounts of peptide 4 affect the survival of PC12 cells in the presence of 2 ng/ml of NGF.

FIG. 4 illustrates how differing amounts of peptide bound differing amounts of labelled NGF.

FIG. 5 demonstrates how differing amounts of peptide displace labelled NGF that is bound to PC12 cells.

FIG. 6 shows the effect of P5 on PC12 survival in the presence of 0.5 ng/ml NGF.

FIG. 6A shows that P4 is more effective than P3 for protein synthesis stimulation in the presence of 2 ng/ml of NGF.

FIG. 6B shows that P4 has trophic effects on PC12 cell protein synthesis activity.

FIG. 7 shows the specificity of the antisera to peptide 4.

FIG. 8A shows PC12 cells treated with nerve growth factor in vitro for two weeks, followed by transplantation into rat cortex at the site of the stab wound. FIG. 8B shows PC12 cells treated with peptide P4 in vitro for two weeks and then transplanted into rat cortex at the site of the stab wound. Two weeks after the transplant, the brain was immunohistochemically processed with monoclonal antibody to NGF receptor (Ig192). It is noted that in FIG. 8B the PC12 cells exhibited a denser accumulation of NGF receptor sites. This increase is interpreted by experts to reflect enhanced survival of transplanted cells and a better interaction with host tissue. This increase would suggest that tissue to be transplanted into diseased brain should be pretreated with P4. This increase would suggest that P4 enhanced the ability of the host brain to survive the stab wound.

Because NGF molecules may not cross the blood brain barrier easily and also because treatment with NGF may lead to immunological complications, the present invention relates to ways of enhancing NGF activity. The present inventor found that certain segments of NGF receptor protein surprisingly stimulated NGF binding and activity at low concentrations while inhibiting said binding or activity at higher concentrations. Since synthetic peptides are much smaller in size than NGF and are therefore more amenable to passing the blood/brain barrier when desired and also less likely to elicit immunological responses.

The following examples are meant to set forth specific preferred embodiments and are not meant to limit the invention unless otherwise specified in the claims.

The particular peptides utilized in these examples are shown in Table 2. These peptides were synthesized via a solid phase peptide synthesizer and their sequences derived from rat nerve growth factor receptor protein.

Peptide P1 is assigned the sequence identifier SEQ ID NO: 1, similarly, P2 is assigned SEQ ID NO: 2, P3 is assigned SEQ ID NO: 3, P4 is assigned SEQ ID NO: 4 and P5 is assigned the sequence identifier SEQ ID NO: 5. __________________________________________________________________________ P1 ##STR1## P2 ##STR2## P3 ##STR3## P4 ##STR4## P5 ##STR5## ##STR6## __________________________________________________________________________

Cell Culture. Stock cultures of PC12 cells are maintained in a medium consisting of RPMI 1640 supplemented with (v/v) 5% fetal calf serum and 5% horse serum ("complete medium"). At alternate feedings, media containing 1% PSN antibiotic mixture is used, consisting of 5 mg penicillin +5 mg streptomycin +10 mg neomycin/ml. Cells are grown in a humidified atmosphere containing 5% CO.sub.2. Cells are split once weekly in a 1:12 ratio by vigorous shaking and trituration. For experiments, PC12 cells are dislodged by shaking, centrifuged at 800.times.g, diluted in Puck's saline, counted in a hemocytometer, and plated on poly-D-lysine coated polystyrene tissue culture pates. For experiments to be performed in defined, serum-free medium, a modification of the N1 medium of Bottenstein et al. is used consisting of RPMI 1640 supplemented with insulin 5 ug/ml, transferrin 5 ug/ml, 20 nM progesterone, 100 .mu.M putrescine, and 30 nM sodium selenite. Cells are plated in complete medium and allowed to attach overnight before washing twice with serum-free RPMI and addition of N1 medium. For experiments examining effects of NGF on cell survival following serum deprivation, cells are plated in complete medium and allowed to attach overnight. Cells are then washed once with RPMI containing sheep anti-mouse beta-NGF to remove any residual NGF from serum. After washing once in RPMI, cells receive varying doses of NGF in RPMI. Media is changed on the third day of serum deprivation. On the fourth day, viability is assessed by .sup.35 S-methionine incorporation into trichloroacetic acid precipitable proteins. The effects of NGF on the response of PC12 cells to peptides is also examined by reduction of the dye 3,(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-tetrazolium (MTT). For experiments using MTT, cells (1.times.10.sup.4) are plated on poly-D-lysine coated 6 mm wells (96 well plates). Cells are allowed to attach overnight before addition of NGF and/or peptide. After 24 hr, media is removed and replaced with RPMI 1640 medium without serum. Following a 24 hour recovery period, each well is incubated with MTT for 4 hours at 37.degree. C. Formaxan crystals are then solubilized in isopropanol containing 0.04N HCl and plates read on an ELISA reader using test and reference wavelengths of 570 and 630 nm, respectively. All statistics are performed by computer-assisted methods using the Number Cruncher for Statistical Sciences (NCSS) package. Either Student's t-test or analysis of variance (ANOVA) followed by Fischer's least significant difference test are used.

Competitive binding assay. The following method of binding assay was carried out: precoat the 24-well plates were precoated with cytochrome C and the PC12 cells plated overnight as mentioned above. The .sup.125 I labeled NGF was added at 5 ng/ml in the presence of different doses of peptide from 4 ug/ml to 50 ug/ml. The result showed that at low levels some of the peptides increased the binding of NGF to its receptor on PC12 cells. One possible explanation for these results is that electrostatic forces might be involved in NGF when binding to its receptor. These peptides are very acidic and NGF is very basic. At high doses, they can block the NGF effect but at low concentrations they appear to bind to the NGF and make NGF more actively bind to its receptor.

Membrane discs were placed into wells of 96 well plate. Peptide (for example 265 ng/ul) was spotted on each disc. Series dilutions of peptide were used to assure the binding. The disc was dried at 37.degree. C. (or 40.degree. C.) for 1 hour. 1000 ul 4% BSA TBS was added to each well. An amount of labelled NGF was added to each well, followed by incubation in 4% BSA TBS. Each disc was washed 4 times with 200 ul TBS (5 minute interval). The discs were transferred to counting vial and counted.

Bioassay on PC12 cells. The method of bioassay is as follows. The 24-well plastic plates are precoated with cytochrome C at 1 mg/ml each well and incubated for 1 hour. PC12 cells are separated and coated on the plate about (1-2).times.10.sup.5 cells/ml in each well overnight. The cells are added in a preincubated mixture of different peptides and NGF in the amount of 100 ug/ml peptide to 2 ng/ml NGF. The results, compared with control in which there is only NGF or blank, indicate that high doses of peptides block NGF action and the PC12 cells do not show neurite extension. The four peptides showed the same effect. The peptides in the absence of NGF had no effect.

The 24 well plates were prepared as described in Example 2 (see section on the competitive binding assay.) FIG. 1 shows the binding of labeled NGF (NGF**) to the cells and the displacement of said labeled NGF by 10 micrograms of unlabeled NGF or 10 micrograms of the synthetic peptides P1-P4 at various concentrations of free labeled NGF. As might be expected, unlabeled NGF was more effective in displacing labeled NGF than most of the synthetic peptides. As shown in FIG. 2, at lower concentrations of free labeled NGF, all the synthetic peptides are still less effective than unlabeled NGF in labeled NGF displacement.

In another experiment 24-well plates were precoated with poly-D-Lys at 0.06 mg/ml for 15 minutes and PC12 cells plated overnight at 1.times.10.sup.5 cells/well in RPMI 1640 with serum conditioned media. The .sup.125 I-NGF was added at, e.g., 5 ng/ml, in the presence of varying amounts of peptide from 0.01 ug/ml to 50 ug/ml in Hepes buffer with 1 mg/ml BSA. The cells were incubated at rt. for 1 hour then washed with PBS three times and lysed with 0.5N NaOH. The radioactivity was then measured. Protein concentrations of the aliquots were determined by Lowry assay. The results showed that at low levels of peptide, around 0.1 to 1 ug/ml, there was an increase in the binding of NGF to its receptor. For P1 there was no effect noted. For P2 and P3 the binding increased by 10% at 1 ug/ml. For P4 the binding increased by 50% within the 0.01-0.1  ug/ml range.

The survival of PC12 cells was measured as a function of the amount of peptide P4. Should be noted that maximal cell survival was noted at the concentration of 5 .mu.g peptide P4 (See FIG. 3). P3 was not as effective as P4. P1 and P2 did not demonstrate cell survival accentuation.

Peptide P4 was attached to a solid matrix at various concentrations and the binding of labeled NGF measured to these various concentrations of bound P4. It is noted that an apparent maximal binding was achieved when about 3 .mu.g of peptide P4 were bound. FIG. 4 illustrates how differing amounts of peptide bound differing amounts of labelled NGF. Here the peptide is fixed to a filter in varying amounts, then exposed to constant amounts of labelled NGF and washed extensively to displace unspecifically bound radioactivity. A saturation indicative of specific binding of NGF to peptide is seen which suggests an interaction between the two molecules. The specific augmentation of NGF effects may thus be understood when small amounts of peptide are added.

At concentrations higher than about 1.5 .mu.g, peptides P3 and P4 are effective in displacing bound labeled NGF from PC12 cells. At the lower concentrations measured (1.3 .mu.g) the binding of labeled NGF was amplified. FIG. 5 demonstrates how differing amounts of peptide displace labelled NGF that is bound to PC12 cells. There is an increase in binding at the lower concentrations and then, due to competition, a decrease. Neither P1 nor P2 had any positive effect.

Cells were plated out as mentioned above in RPMI 1640 without serum but in the presence of a fixed amount of NGF with varying amounts of peptide from 0.1 to 100 ug/ml (day one). On day three, the serum free medium was changed as on day one. On day four, the medium was replaced with 2 uCi/ml .sup.35 S-Met, Met free conditioned medium for 4 hours at 37.degree. C. Cells were lysed with NaOH. The incorporation of .sup.35 S-Met into protein was determined by TCA precipitation and protein assay. The result showed that P4 peptide could increase protein synthesized by 20% at 0.1 ug/ml and could increase cell survival by 100% as compared to controls. For P1, P2 and P3 there was no significant change noted.

FIG. 6 shows the effects of P5 peptide concentration upon PC12 cell survival during subjection to serum deprivation in the presence of 0.5 ng/ml NGF. An enhancement of cell survival is noted.

FIG. 6A illustrates the effects of various levels of P3 and P4 in the presence of 2 ng/ml NGF on protein synthesis in PC12 cells in a serum-free medium. The stimulatory effects of P4 at from 0.1 to over 1 .mu.g/ml are notable.

FIG. 6B demonstrates the trophic effects of P4 on PC12 cell protein synthesis activity at various NGF concentrations. Protein synthesis was measured by the extent of .sup.35 S-methionine incorporation into acid-precipitable material at NGF concentrations of 0.1 to 10 ng/ml (in the range of physiological NGF concentrations).

For the Dot-Blot Immunostaining Assay materials were prepared as follows: in 1 ml 1x BSA Blocking solution Blocking solution

The procedure for indirect antibody ELISA is briefly described as follows

1) Dot Blots

2) React Primary Antibody shaking.

3) Add Second Antibody Conjugated with Enzyme

4) React Substrate with Bound Enzyme: substrate solution, incubate at rt. until desired color intensity is developed in about 10 min.

FIG. 7 shows the specificity of antisera to P4 for binding to peptides of the present invention. Note the antibody specificity for P4 and P5.

PC12 cells were treated with nerve growth factor (NGF) or peptide P4 in vitro for two weeks. The cells were then transplanted into a rat cortex at the site of the stab wound or 6-hydroxy dopamine-induced lesion. Two weeks after the transplant of the P12 cells, the animal brain was processed for immunohistochemistry by staining with monoclonal antibody to NGF receptor (Ig192). As seen by comparing FIG. 8A with FIG. 8B, cells which were also exposed to peptide P4 exhibited significantly greater NGF receptor. The stab-wound lesions carried out by inserting a 24 gauge needle into a stereotactically fixed animal so as to lesion motor cortex. Cells were then deposited with the same needle into the wound cavity.

Similar experiments were carried out with 6-hydroxydopamine-induced lesions, and with similar results. The 6-hydroxydopamine lesions were carried out by injecting 60 HDA stereotactically into striatum with a needle two weeks prior to transplantation and/or treatment of animals.

These experiments illustrate that neurocellular proliferation and/or biological integrity may be enhanced in vivo by treatment with peptides of the present invention.

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Wu B.-y., Fodor E. J. B., Edwards R. H., and Rutter W. J. (1989) Nerve growth factor induces the protooncogene c-jun in PC12 cells. J. Biol. Chem. 264, 9000-9003. SEQUENCE LISTING (1) GENERAL INFORMATION: (iii) NUMBER OF SEQUENCES: 5 (2) INFORMATION FOR SEQ ID NO: 1: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 6 amino acid residues (B) TYPE: amino acid (C) STRANDEDNESS: Not Relevant (D) TOPOLOGY: linear (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 1: CysGlu GluCysProGlu 15 (2) INFORMATION FOR SEQ ID NO: 2: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 9 amino acid residues (B) TYPE: amino acid (C) STRANDEDNESS: Not Relevant (D) TOPOLOGY: linear (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 2: AsnThrValCysGluGluCysProGlu 15 (2) INFORMATION FOR SEQ ID NO: 3: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 13 amino acid resdues (B) TYPE: amino acid (C) STRANDEDNESS: Not Relevant (D) TOPOLOGY: linear (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 3: GlnAspLysGlnAsnThrValCysGluGluCysProGlu 1510 (2) INFORMATION FOR SEQ ID NO: 4: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 14 amino acid residues (B) TYPE: amino acid (C) STRANDEDNESS: Not Relevant (D) TOPOLOGY: linear (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 4: CysGlnAspLysGlnAsnThrValCy sGluGluCysProGlu 1510 (2) INFORMATION FOR SEQ ID NO: 5: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 15 amino acid residues (B) TYPE: amino acid (C) STRANDEDNESS: Not Relevant (D) TOPOLOGY: linear (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 5: TyrCysGl nAspLysGlnAsnThrValCysGluGluCysProGlu 151015

## Claims

1. A peptide having the structure Gln-Asp-Lys-Gln-Asn-Thr-Val-Cys-Glu-Glu-Cys-Pro-Glu-OH.

2. A peptide having the structure Cys-Gln-Asp-Lys-Gln-Asn-Thr-Val-Cys-Glu-Glu-Cys-Pro-Glu-OH.

3. A peptide having the structure Tyr-Cys-Gln-Asp-Lye-Gln-Asn-Thr-Val-Cys-Glu-Glu-Cys-Pro-Glu-OH.