# Patent

## Title
Methods and compositions for treatment of retinoid-responsive conditions

## Abstract

Methods and composition for treating a retinoid-responsive condition in a subject are provided according to embodiments of the present invention which include administering a therapeutically effective amount of a substance selected from the group consisting of: neutrophil gelatinase-associated lipocalin (NGAL), an NGAL analog, an NGAL stimulator and an analog of an NGAL stimulator, to a subject having a retinoid-responsive condition. Retinoid-responsive conditions illustratively include acne, rosacea, psoriasis, promyelocytic leukemia and neuroblastoma.

## Background
REFERENCE TO RELATED APPLICATIONS
This application claims priority from U.S. Provisional Patent Application Ser. Nos. 61/031,475, filed Feb. 26, 2008 and 61/103,724, filed Oct. 8, 2008, the entire content of both of which is incorporated herein by reference.


GOVERNMENT SPONSORSHIP
This invention was made with government support under RO1 AR47820 awarded by NIAMS NIH. The government has certain rights in the invention.


FIELD OF THE INVENTION
Described are compositions and methods generally relating to treatment of retinoid-responsive conditions in a subject. In specific embodiments, compositions and methods described herein relate to neutrophil gelatinase-associated lipocalin, analogs and stimulators thereof, and their use in treatment of retinoid-responsive conditions in a subject.
BACKGROUND OF THE INVENTION
A number of pathological conditions, illustratively including acne, rosacea, psoriasis, promyelocytic leukemia and neuroblastoma, are currently treated using retinoids and are considered retinoid-responsive conditions.
For example, acne is the most prevalent skin condition encountered by dermatologists, affecting nearly 85% of the people between the ages of 12 and 24 years (15). While acne is not life-threatening, it does have significant physical and psychosocial morbidity (16). Acne results from the interplay of 4 factors: increased production sebum by the sebaceous gland, altered keratinization of follicular keratinocytes, activity of Propionibacterium acnes (P. acnes) and inflammation. P. acnes contributes to the inflammation associated with acne via activation of Toll-like receptor 2 on the surface of inflammatory cells in the skin infiltrate (17).
Isotretinoin (13-cis RA) is the most potent agent that affects all the pathogenic features of acne. It is the only therapeutic agent that drastically reduces the size and secretion of sebaceous glands. However, isotretinoin, like thalidomide, is a teratogen and its use is closely regulated through an FDA-mandated risk management program called iPLEDGE.
There is a continuing need for methods and compositions to treat retinoid-responsive conditions.
SUMMARY OF THE INVENTION
Methods of treating a retinoid-responsive condition in a subject are provided according to embodiments of the present invention which include administering a therapeutically effective amount of a substance selected from the group consisting of: neutrophil gelatinase-associated lipocalin (NGAL), an NGAL analog, an NGAL stimulator and an analog of an NGAL stimulator; to a subject having a retinoid-responsive condition. Optionally, the NGAL analog is an NGAL receptor agonist. In a further option, the NGAL stimulator is selected from the group consisting of: a Toll-like receptor 2 ligand, a Toll-like receptor 3 ligand, an activator of NFκB, leukotriene B4, cholesterol oleate and IL-17. Exemplary activators of NFκB that can be used in methods of treatment of retinoid-responsive conditions include IL1-beta and TNF-alpha. IL1-beta and TNF-alpha can be used individually or in combination.
Retinoid-responsive conditions are well-known in the art and include acne, rosacea, psoriasis, promyelocytic leukemia and neuroblastoma. In embodiments of methods of the present invention, the protein is administered to skin affected by: acne, rosacea and/or psoriasis. In further embodiments, the protein is administered to sebaceous glands of a subject affected by: acne, rosacea and/or psoriasis.
An exemplary Toll-like receptor 2 ligand used in embodiments of methods of the present invention is N-palmitoyl-S-[2,3-bis(palmitoyloxy)-(2RS)-propyl]-[R]-cysteinyl-[S]-seryl-[S]-lysyl-[S]-lysyl-[S]-lysyl-[S]-lysine. An exemplary Toll-like receptor 3 ligand used in embodiments of methods of the present invention is polyinosinic:polycytidylic acid.
Methods of treating a retinoid-responsive condition in a subject according to embodiments of the present invention include stimulating NEAL expression in a subject having a retinoid responsive condition. Methods of treating acne, rosacea, psoriasis, promyelocytic leukemia or neuroblastoma in a subject according to embodiments of the present invention include stimulating NGAL expression in a subject having acne, rosacea, psoriasis, promyelocytic leukemia or neuroblastoma. In embodiments of methods of the present invention, NGAL expression is stimulated by administration of an NGAL stimulator which upregulates transcription of a gene encoding NGAL and/or increases translation of NGAL, to increase NGAL protein, to a subject having a retinoid responsive condition. Optionally, NGAL expression is stimulated by administration of a nucleic acid encoding NGAL to the subject.
An NGAL stimulator used in treatment of a retinoid-responsive condition is selected from the group consisting of: a Toll-like receptor 2 ligand, a Toll-like receptor 3 ligand, an activator of NFκB, leukotriene B4, cholesterol oleate and IL-17 according to embodiments of methods of the present invention. In particular embodiments, the activator of NFκB is IL1-beta. TNF-alpha or a combination thereof. An exemplary Toll-like receptor 2 ligand used in treatment of a retinoid-responsive condition according to embodiments of the present invention is N-Palmitoyl-S-[2,3-bis(palmitoyloxy)-(2RS)-propyl]-[R]-cysteinyl-[S]-seryl-[S]-lysyl-[S]-lysyl-[S]-lysyl-[S]-lysine. An exemplary Toll-like receptor 3 ligand used in treatment of a retinoid-responsive condition according to embodiments of the present invention is polyinosinic:polycytidylic acid.
Methods of treating retinoid-responsive condition in a subject are provided according to embodiments of the present invention which include administering a therapeutically effective amount of a protein selected from: a protein comprising the amino acid of SEQ ID No. 1; a protein comprising the amino acid of SEQ ID No. 2; a protein encoded by the complement of a nucleic acid that hybridizes under highly stringent conditions with the nucleotide sequence of SEQ ID No 3; a protein encoded by the complement of a nucleic acid that hybridizes under highly stringent conditions with the nucleotide sequence of SEQ ID No. 4; wherein the highly stringent conditions are: hybridization in a solution containing 6×SSC, 5×Denhardt's solution, 30% formamide, and 100 micrograms/ml denatured salmon sperm at 37° C. overnight followed by washing in a solution of 0.1×SSC and 0.1% SDS at 60° C. for 15 minutes; a protein comprising an amino acid sequence that is at least 95% identical to SEQ ID No. 1; and a protein comprising an amino acid sequence that is at least 95% identical to SEQ ID No. 2, to a subject having a retinoid-responsive condition.
Methods of inhibiting Propionibacterium acnes are provided according to methods of the present invention which include contacting a Propionibacterium acnes bacterium with a substance selected from the group consisting of: NGAL and an NGAL analog. In preferred embodiments, the Propionibacterium acnes bacterium is in contact with a human subject, such as a subject having acne, rosacea or a predisposition to having acne or rosacea.
In further embodiments, methods of inhibiting Propionibacterium acnes are provided according to the present invention which include administering an NGAL stimulator and/or an analog of an NGAL stimulator to a subject colonized by Propionibacterium acnes or having a predisposition to colonization by Propionibacterium acnes. 
Compositions are provided according to embodiments of the present invention which include neutrophil gelatinase-associated lipocalin (NGAL), an NGAL analog, an NGAL stimulator or an analog of an NGAL stimulator. A combination of two or more of neutrophil gelatinase-associated lipocalin (NGAL), an NGAL analog, an NGAL stimulator and an analog of an NGAL stimulator can be included in compositions according to embodiments of the present invention Compositions according to embodiments of the present invention optionally include a pharmaceutically acceptable carrier. NGAL stimulators included in compositions according to embodiments of the present invention can be a Toll-like receptor 2 ligand, a Toll-like receptor 3 ligand, an activator of NFκB, N-Palmitoyl-S-[2,3-bis(palmitoyloxy)-(2RS)-propyl]-[R]-cysteinyl-[S]-seryl-[S]-lysyl-[S]-lysyl-[S]-lysyl-[S]-lysine, polyinosinic:polycytidylic acid, leukotriene B4, cholesterol oleate or IL-17. A combination of two or more of a Toll-like receptor 2 ligand, a Toll-like receptor 3 ligand, an activator of NFκB, leukotriene B4, N-Palmitoyl-S-[2,3-bis(palmitoyloxy)-(2RS)-propyl]-[R]-cysteinyl-[S]-seryl-[S]-lysyl-[S]-lysyl-[S]-lysyl-[S]-lysine, polyinosinic:polycytidylic acid, cholesterol oleate or IL-17 can be included in compositions according to embodiments of the present invention. In further embodiments, compositions according to the present invention include a protein selected from: a protein comprising the amino acid of SEQ ID No. 1; a protein comprising the amino acid of SEQ ID No. 2; a protein encoded by the complement of a nucleic acid that hybridizes under highly stringent conditions with the nucleotide sequence of SEQ ID No. 3; a protein encoded by the complement of a nucleic acid that hybridizes under highly stringent conditions with the nucleotide sequence of SEQ ID No. 4; wherein the highly stringent conditions are: hybridization in a solution containing 6×SSC, 5×Denhardt's solution, 30% formamide, and 100 micrograms/ml denatured salmon sperm at 37° C. overnight followed by washing in a solution of 0.1×SSC and 0.1% SDS at 60° C. for 15 minutes; a protein comprising an amino acid sequence that is at least 95% identical to SEQ ID No. 1; and a protein comprising an amino acid sequence that is at least 95% identical to SEQ ID No. 2, to a subject having a retinoid-responsive condition.
In still further embodiments, compositions and methods according to the present invention include a protein selected from: a protein comprising the amino acid of SEQ ID No. 1; a protein comprising the amino acid of SEQ ID No. 2; a protein encoded by the complement of a nucleic acid that hybridizes under highly stringent conditions with nucleotides 74-670 of the nucleotide sequence of SEQ ID No. 3; a protein encoded by the complement of a nucleic acid that hybridizes under highly stringent conditions with nucleotides 23-625 of the nucleotide sequence of SEQ ID No. 4; wherein the highly stringent conditions are: hybridization in a solution containing 6×SSC, 5×Denhardt's solution, 30% formamide, and 100 micrograms/ml denatured salmon sperm at 37° C. overnight followed by washing in a solution of 0.1×SSC and 0.1% SDS at 60° C. for 15 minutes; a protein comprising an amino acid sequence that is at least 95% identical to SEQ ID No. 1; and a protein comprising an amino acid sequence that is at least 95% identical to SEQ ID No. 2, to a subject having a retinoid-responsive condition.



BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a reproduction of images showing representative TUNEL stained sections from Patient 4 taken at baseline and at one week of isotretinoin treatment;
FIG. 2A is a graph showing comparison of array analysis and QPCR on RNA obtained from patient skin biopsies at baseline and one week of 13-cis RA treatment;
FIG. 2B is a graph showing comparison of array analysis and QPCR on RNA obtained from SEB-1 sebocytes incubated for 72 hours;
FIG. 3 is a reproduction of images showing immunostained sections indicating that NGAL (also termed lipocalin 2 and LCN2) expression is increased in sebaceous glands in patients biopsied at one week of isotretinoin treatment;
FIG. 4A is a set of two graphs showing expression of LCN2 mRNA detected after 48 hours of 13-cis RA (left panel) or ATRA (right panel) treatment;
FIG. 4B is a set of two graphs and corresponding immunoblots showing LCN2 protein expression after 72 hours of 13-cis RA (left panel) or ATRA (right panel) treatment;
FIG. 5A shows representative images of TUNEL assay results following treatment of SEB-1 sebocytes using purified recombinant human NGAL at various concentrations and indicating increasing apoptosis with increasing dosage;
FIG. 5B is a graph showing quantification of the percentage of TUNEL positive stained SEB-1 sebocytes in each treatment group after 24 hours of treatment with purified recombinant human NGAL at various concentrations;
FIG. 6A is a graph showing QPCR results demonstrating decreased expression of LCN2 mRNA following treatment of SEB-1 sebocytes with anti-LCN2 siRNA;
FIG. 6B is a reproduction of images of immunoblots showing that protein levels of NGAL were undetectable by western blotting after 48 and 72 hours of 13-cis RA and anti-LCN2 siRNA treatment;
FIG. 7 is an immunoblot and corresponding graph showing that treatment of cells with anti-LCN2 siRNA blocks the induction of caspase 3 cleavage by 13-cis retinoic acid in SEB-1 sebocytes;
FIG. 8A is a reproduction of images of SEB-1 sebocytes immunostained using an antibody to the murine 24p3 receptor (also known as the murine lipocalin 2 receptor and the murine NGAL receptor) showing presence of the receptor in cytoplasm of the cells;
FIG. 8B is a reproduction of an image of a Western blot analysis confirming presence of the murine 24p3 receptor in SEP-1 sebocytes and indicating two receptor isoforms are present in SEB-1 sebocytes;
FIG. 9 is a graph showing that NGAL expression is significantly increased through Toll-like receptor 2 signaling;
FIG. 10 is a reproduction of images of immunoblots for NGAL indicating that NGAL expression increases in response to poly (I:C) treatment; and
FIG. 11 is a graph showing inhibitory effects of NGAL oar P. acnes bacteria.



DETAILED DESCRIPTION OF THE INVENTION
Methods and compositions relating to neutrophil gelatinase-associated lipocalin (NGAL, also referred to as lipocalin 2 and LCN2), NGAL analogs, and use of NGAL and NGAL analogs, are provided according to embodiments of the present invention for treatment of retinoid-responsive conditions. Methods and compositions relating to increasing levels and/or activity of NGAL and/or NGAL analogs, and use of substances which increase levels and/or activity of NGAL and/or NGAL analogs, are provided according to embodiments of the present invention for treatment of retinoid-responsive conditions.
The term “retinoid-responsive condition” refers to any disease or condition for which administration of one or more retinoids has a beneficial effect. Retinoid-responsive conditions that can be treated using compositions and methods of the present invention include, but are not limited to, inflammatory dermatological conditions including, but not limited to, acne, rosacea, urticaria, eczema and psoriasis; and proliferative disorders including, but not limited to, promyelocytic leukemia and neuroblastoma.
Retinoids are well-known in the art and include retinol, retinal, tretinoin, isotretinoin, alitretinoin, etretinate, acitretin, tazarotene, bexarotene and adapalene.
Scientific and technical terms used herein are intended to have the meanings commonly understood by those of ordinary skill in the art. Such terms are found defined and used in context in various standard references illustratively including J. Sambrook and D. W. Russell, Molecular Cloning: A Laboratory Manual, Cold Spring Harbor Laboratory Press; 3rd Ed., 2001; F. M. Ausubel, Ed., Short Protocols in Molecular Biology, Current Protocols; 5th Ed., 2002; and B. Alberts et al., Molecular Biology of the Cell, 4th Ed., Garland, 2002; D. L. Nelson and M. M. Cox, Lehninger Principles of Biochemistry, 4th Ed., W.H. Freeman & Company, 2004.
NGAL is a protein which was initially isolated from neutrophils as described in references 27-32.
The term “NGAL” refers to NGAL protein disclosed herein and orthologs from any species. The term “NGAL analog” refers to a substance having a functional characteristic of NGAL. In particular, an NGAL analog is effective to produce a desired physiologic or pharmacologic effect in a subject having a retinoid-responsive pathological condition, prevents or ameliorates a retinoid-responsive pathological condition in the subject. In further embodiments, an NGAL analog is effective to inhibit Propionibacterium acnes. 
NGAL used in methods according to embodiments of the present invention and included in compositions according to embodiments of the present invention can be apo-NGAL or holo-NGAL.
In embodiments of the present invention the term “NGAL” refers to proteins of SEQ ID Nos. 1 and 2 and analogs thereof which have a desired NGAL function, particularly inhibition of P. acnes and/or apoptotic activity in sebocytes.
Human NGAL is disclosed herein as SEQ ID No. 1:








(SEQ ID No. 1)









MPLGLLWLGLALLGALHAQAQDSTSDLIPAPPLSKVPLQQNFQDNQFQGK



 


WYVVGLAGNAILREDKDPQKMYATIYELKEDKSYNVTSVLFRKKKCDYWI


 


RTFVPGCQPGEFTLGNIKSYPGLTSYLVRVVSTNYNQHAMVFFKKVSQNR


 


EYFKITLYGRTKELTSELKENFIRFSKSLGLPENHIVFPVPIDQCIDG






Mouse NGAL is disclosed herein as SEQ ID No. 2:








(SEQ ID No. 2)









MALSVMCLGLALLGVLQSQAQDSTQNLIPAPSLLTVPLQPDFRSDQFRGR



 


WYVVGLAGNAVQKKTEGSFTMYSTIYELQENNSYNVTSILVRDQDQGCRY


 


WIRTFVPSSRAGQFTLGNMHRYPQVQSYNVQVATTDYNQFAMVFFRKTSE


 


NKQYFKITLYGRTKELSPELKERFTRFAKSLGLKDDNIIFSVPTDQCIDN






As used herein, the term “NGAL analog” refers to both naturally occurring variations of a given NGAL protein and recombinantly prepared mutations of a given NGAL protein, as well as functional fragments thereof.
The term “NGAL analog” refers to a protein characterized by an amino acid sequence substantially similar to the amino acid sequence of human NGAL (SEQ ID No. 1) or mouse NGAL (SEQ ID No. 2) and which has substantially similar functional properties compared to human NGAL or mouse NGAL. Substantially similar analogs of human NGAL or mouse NGAL have at least 80%, or at least 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or greater, amino acid sequence identity to human NGAL or mouse NGAL. An NGAL analog can be encoded by a nucleic acid sequence having substantial similarity to nucleic acid sequences encoding human NGAL and mouse NGAL disclosed herein. A nucleic acid sequence having substantial similarity to a nucleic acid sequence encoding human NGAL or mouse NGAL has at least 70%, at least 75%, or at least 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or greater, nucleic acid sequence identity to nucleic acid sequences encoding human NGAL or mouse NGAL.
In embodiments of the present invention, a substantially similar nucleic acid sequence is characterized as having a complementary nucleic acid sequence capable of hybridizing to a nucleic acid sequence encoding human NGAL or mouse NGAL under high stringency hybridization conditions.
The term “nucleic acid” as used herein refers to RNA or DNA molecules having more than one nucleotide in any form including single-stranded, double-stranded, oligonucleotide or polynucleotide. The term “nucleotide sequence” is used to refer to the ordering of nucleotides in an oligonucleotide or polynucleotide in a single-stranded form of nucleic acid.
The term “complementary” as used herein refers to Watson-Crick base pairing between nucleotides and specifically refers to nucleotides hydrogen bonded to one another with thymine or uracil residues linked to adenine residues by two hydrogen bonds and cytosine and guanine residues linked by three hydrogen bonds. In general, a nucleic acid includes a nucleotide sequence described as having a “percent complementarity” to a specified second nucleotide sequence. For example, a nucleotide sequence may have 80%, 90%, or 100% complementarity to a specified second nucleotide sequence, indicating that 8 of 10, 9 of 10 or 10 of 10 nucleotides of a sequence are complementary to the specified second nucleotide sequence. For instance, the nucleotide sequence 3′-TCGA-5′ is 100% complementary to the nucleotide sequence 5′-AGCT-3′. Further, the nucleotide sequence 3′-TCGA- is 100% complementary to a region of the nucleotide sequence 5′-TTAGCTGG-3′.
The terms “hybridization” and “hybridizes” refer to pairing and binding of complementary nucleic acids. Hybridization occurs to varying extents between two nucleic acids depending on factors such as the degree of complementarity of the nucleic acids, the melting temperature, Tm, of the nucleic acids and the stringency of hybridization conditions, as is well known in the art. The term “stringency of hybridization conditions” refers to conditions of temperature, ionic strength, and composition of a hybridization medium with respect to particular common additives such as formamide and Denhardt's solution. Determination of particular hybridization conditions relating to a specified nucleic acid is routine and is well known in the art, for instance, as described in J. Sambrook and D. W. Russell, Molecular Cloning: A Laboratory Manual, Cold Spring Harbor Laboratory Press; 3rd Ed., 2001; and F. M. Ausubel, Ed., Short Protocols in Molecular Biology, Current Protocols; 5th Ed., 2002. High stringency hybridization conditions are those which only allow hybridization of substantially complementary nucleic acids. Typically, nucleic acids having about 85-100% complementarity are considered highly complementary and hybridize under high stringency conditions. Intermediate stringency conditions are exemplified by conditions under which nucleic acids having intermediate complementarity, about 50-84% complementarity, as well as those having a high degree of complementarity, hybridize. In contrast, low stringency hybridization conditions are those in which nucleic acids having a low degree of complementarity hybridize.
The terms “specific hybridization” and “specifically hybridizes” refer to hybridization of a particular nucleic acid to a target nucleic acid without substantial hybridization to nucleic acids other than the target nucleic acid in a sample.
Stringency of hybridization and washing conditions depends on several factors, including the Tm of the probe and target and ionic strength of the hybridization and wash conditions, as is well-known to the skilled artisan. Hybridization and conditions to achieve a desired hybridization stringency are described, for example, in Sambrook et al., Molecular Cloning: A Laboratory Manual, Cold Spring Harbor Laboratory Press, 2001; and Ausubel, F. et al., (Eds.), Short Protocols in Molecular Biology, Wiley, 2002.
An example of high stringency hybridization conditions is hybridization of nucleic acids over about 100 nucleotides in length in a solution containing 6×SSC, 5×Denhardt's solution, 30% formamide, and 100 micrograms/ml denatured salmon sperm at 37° C. overnight followed by washing in a solution of 0.1×SSC and 0.1% SDS at 60° C. for 15 minutes. SSC is 0.15M NaCl/0.015M Na citrate. Denhardt's solution is 0.02% bovine serum albumin/0.02% FICOLL/0.02% polyvinylpyrrolidone. Under highly stringent conditions, SEQ ID No. 3 or SEQ ID No. 4 will hybridize to the complement of substantially identical targets and not to unrelated sequences. In preferred embodiments, under highly stringent conditions, at least the coding region of SEQ ID No. 3 (nucleotides 74-670) or SEQ ID No. 4 (nucleotides 23-625) will hybridize to the complement of substantially identical targets and not to unrelated sequences.
Mutations can be introduced using standard molecular biology techniques, such as site-directed mutagenesis and PCR-mediated mutagenesis. One of skill in the art will recognize that one or more amino acid mutations can be introduced without altering the functional properties of NGAL. For example, one or more amino acid substitutions, additions, or deletions can be made without altering the functional properties of NGAL.
Conservative amino acid substitutions can be made in NGAL proteins to produce NGAL analogs. Conservative amino acid substitutions are art recognized substitutions of one amino acid for another amino acid having similar characteristics. For example, each amino acid may be described as having one or more of the following characteristics: electropositive, electronegative, aliphatic, aromatic, polar, hydrophobic and hydrophilic. A conservative substitution is a substitution of one amino acid having a specified structural or functional characteristic for another amino acid having the same characteristic. Acidic amino acids include aspartate, glutamate; basic amino acids include histidine, lysine, arginine; aliphatic amino acids include isoleucine, leucine and valine; aromatic amino acids include phenylalanine, glycine, tyrosine and tryptophan; polar amino acids include aspartate, glutamate, histidine, lysine, asparagine, glutamine, arginine, serine, threonine and tyrosine; and hydrophobic amino acids include alanine, cysteine, phenylalanine, glycine, isoleucine, leucine, methionine, proline, valine and tryptophan; and conservative substitutions include substitution among amino acids within each group. Amino acids may also be described in terms of relative size, alanine, cysteine, aspartate, glycine, asparagine, proline, threonine, serine, valine, all typically considered to be small.
NGAL analogs can include synthetic amino acid analogs, amino acid derivatives and/or non-standard amino acids, illustratively including, without limitation, alpha-aminobutyric acid, citrulline, canavanine, cyanoalanine, diaminobutyric acid, diaminopimelic acid, dihydroxy-phenylalanine, djenkolic acid, homoarginine, hydroxyproline, norleucine, norvaline, 3-phosphoserine, homoserine, 5-hydroxytryptophan, 1-methylhistidine, 3-methylhistidine, and ornithine.
Embodiments of methods and compositions of the present invention include NGAL proteins having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98% or 99% amino acid sequence identity to SEQ ID No. 1 or SEQ ID No.2.
To determine the percent identity of two amino acid sequences or of two nucleic acid sequences, the sequences are aligned for optimal comparison purposes (e.g., gaps can be introduced in the sequence of a first amino acid or nucleic acid sequence for optimal alignment with a second amino acid or nucleic acid sequence). The amino acid residues or nucleotides at corresponding amino acid positions or nucleotide positions are then compared. When a position in the first sequence is occupied by the same amino acid residue or nucleotide as the corresponding position in the second sequence, then the molecules are identical at that position. The percent identity between the two sequences is a function of the number of identical positions shared by the sequences (i.e., % identity=number of identical overlapping positions/total number of positions×100%). In one embodiment, the two sequences are the same length.
The determination of percent identity between two sequences can also be accomplished using a mathematical algorithm. A preferred, non limiting example of a mathematical algorithm utilized for the comparison of two sequences is the algorithm of Karlin and Altschul, 1990, PNAS 87:2264 2268, modified as in Karlin and Altschul, 1993, PNAS. 90:5873 5877. Such an algorithm is incorporated into the NBLAST and XBLAST programs of Altschul et al., 1990, J. Mol. Biol. 215:403. BLAST nucleotide searches are performed with the NBLAST nucleotide program parameters set, e.g., for score=100, wordlength=12 to obtain nucleotide sequences homologous to a nucleic acid molecules of the present invention. BLAST protein searches are performed with the XBLAST program parameters set, e.g., to score 50, wordlength=3 to obtain amino acid sequences homologous to a protein molecule of the present invention. To obtain gapped alignments for comparison purposes, Gapped BLAST are utilized as described in Altschul et al., 1997, Nucleic Acids Res. 25:3389 3402. Alternatively, PSI BLAST is used to perform an iterated search which detects distant relationships between molecules (Id.). When utilizing BLAST, Gapped BLAST, and PSI Blast programs, the default parameters of the respective programs (e.g., of XBLAST and NBLAST) are used (see, e.g., the NCBI website). Another preferred, non limiting example of a mathematical algorithm utilized for the comparison of sequences is the algorithm of Myers and Miller, 1988, CABIOS 4:11 17. Such an algorithm is incorporated in the ALIGN program (version 2.0) which is part of the GCG sequence alignment software package. When utilizing the ALIGN program for comparing amino acid sequences, a PAM120 weight residue table, a gap length penalty of 12 and a gap penalty of 4 is used.
The percent identity between two sequences is determined using techniques similar to those described above, with or without allowing gaps. In calculating percent identity, typically only exact matches are counted.
NGAL can be produced in recombinant host cells using well-known conventional techniques. Broadly described, a nucleic acid molecule encoding NGAL is operably linked to regulatory sequences that control transcriptional expression in an expression vector. The expression vector is introduced into a host cell where it is expressed and the NGAL can then be isolated.
An expression vector including a nucleic acid encoding NGAL is administered to a subject to treat a retinoic-acid responsive condition according to embodiments of the present invention.
NGAL of SEQ ID No. 1 is encoded by nucleotides 74-670 of the human NGAL mRNA of SEQ ID No. 3:








  1 actcgccacc tcctcttcca cecelgecag gcccagcagc caccacagcg cctgcttcct



 


 61 cggccctgaa atcatgcccc taggtctcct gtggctgggc ctagccctgt tgggggctct


 


121 gcatgcccag gcccaggact ccacctcaga cctgatccca gccccacctc tgagcaaggt


 


181 ccctctgcag cagaacttcc aggacaacca attccagggg aagtggtatg tggtaggcct


 


241 ggcagggaat gcaattctca gagaagacaa agacccgcaa aagatgtatg ccaccatcta


 


301 tgagctgaaa gaagacaaga gctacaatgt cacctccgtc ctgtttagga aaaagaagtg


 


361 tgactactgg atcaggactt ttgttccagg ttgccagccc ggcgagttca cgctgggcaa


 


421 cattaagagt taccctggat taacgagtta cctcgtccga gtggtgagca ccaactacaa


 


481 ccagcatgct atggtgttct tcaagaaagr ttctcaaaac agggagtact tcaagatcac


 


541 cctctacggg agaaccaagg agctgacttc ggaactaaag gagaacttca tccgcttctc


 


601 caaatctctg ggcctccctg aaaaccacat cgtcttccct gtcccaatcg accagtgtat


 


661 cgacggctga gtgcacaggt gccgccagct gccgcaccag cccgaacacc attgagggag


 


721 ctgggagacc ctccccacag tgccacccat gcagctgctc cccaggccac cccgctgatg


 


781 gagccccacc ttgtctgcta aataaacatg tgccctcagg ccaaaaaaaa aaaaaaaaaa






NGAL of SEQ ID No. 2 is encoded by nucleotides 23-625 of the mouse NGAL mRNA of SEQ ID No. 4:








  1 agacctagta gctgtggaaa ccatggccct gagtgtcatg tgtctgggcc ttgccctgct



 


 61 tggggtcctg cagagccagg cccaggactc aactcagaac ttgatccctg ccccatctct


 


121 gctcactgtc cccctgcagc cagacttccg gagcgatcag ttccggggca ggtggtacgt


 


181 tgtgggcctg gcaggcaatg cggtccagaa aaaaacagaa ggcagcttta cgatgtacag


 


241 caccatctat gagctacaag agaacaatag ctacaatgtc acctccatcc tggtcaggga


 


301 ccaggaccag ggctgtcgct actggatcag aacatttgtt ccaagctcca gggctggcca


 


361 gttcactctg ggaaatatgc acaggtatcc tcaggtacag agctacaatg tgcaagtggc


 


421 caccacggac tacaaccagt tcgccatggt atttttccga aagacttctg aaaacaagca


 


481 atacttcaaa attaccctgt atggaagaac caaggagctg tcccctgaac tgaaggaacg


 


541 tttcacccgc tttgccaagt ctctgggcct caaggacgac aacatcatct tctctgtccc


 


601 caccgaccaa tgcattgaca actgaatggg tggtgagtgt ggctgactgg gatgcgcaga


 


661 gacccaatgg ttcaggcgct gcctgtctgt ctgccactcc atctttcctg ttgccagaga


 


721 gccacctggc tgccccacca gecaccatac caaggagcat ctggagcctc ttcttatttg


 


781 gccagcactc cccatccacc tgtcttaaca ccaccaatgg cgtccccttt ctgctgaata


 


841 aatacatgcc ccc






Non-limiting examples of regulatory sequences that control transcriptional expression in an expression vector illustratively include a promoter, an enhancer, a splicing signal, a transcription start site, a transcription termination signal, a polyadenylation signal, an internal ribosome entry site (IRES) and combinations of these or other regulatory sequences. A secretory sequence encoding a secretion signal that directs an encoded heterologous protein into the secretory pathway of a host cell is optionally included. Additional sequences optionally included in an expression vector include one or more sequences encoding a marker suitable for selection of cells carrying the expression vector.
Viral expression vectors can be used to express a desired protein. Non-limiting examples of virus expression systems include adenovirus, adeno-associated virus, herpes virus, vaccinia virus and lentivirus.
A host cell for expression of NGAL can be prokaryotic or eukaryotic, such as bacterial, plant, insect, fungus, yeast, and mammalian cells.
An expression vector is introduced into a host cell using well-known techniques such as infection or transfection, including calcium phosphate transfection, liposome-mediated transfection, electroporation and sonoporation. Expression constructs and methods for their generation and use to express a desired protein are known in the art, as described, for example, in Sambrook et al., Molecular Cloning: A Laboratory Manual, Cold Spring Harbor Laboratory Press, 2001; Ausubel, F. et al., (Eds.), Short Protocols in Molecular Biology, Wiley, 2002; and S. J. Higgins and B. D. Hames (Eds.), Protein Expression: A Practical Approach, Oxford University Press, USA, 1999.
In addition to recombinant methodology, chemical synthetic techniques can be used to produce NGAL. For example, NGAL can be produced using solid phase synthesis, solution phase synthesis, partial solid phase synthesis or fragment condensation.
The term “isolated” as used herein refers to a substance that has been separated from contaminating cellular components associated with the substance in nature not intended to be associated with the substance and that would interfere with use of the substance in therapeutic, prophylactic, diagnostic or other uses. Generally, an isolated substance described herein is at least about 80% pure, at least about 90% pure, at least about 95% pure, or greater than about 99% pure. Purification is achieved using well-known standard methodology such as fractionation and/or chromatography, such as ammonium sulfate precipitation and elution chromatography such as size exclusion chromatography, displacement chromatography, ion exchange chromatography and bioaffinity chromatography. Exemplary purification methodology is described in S. Doonan, Protein Purification Protocols Humana Press, 1996.
In embodiments of the present invention, isolated NGAL, an isolated NGAL analog, an isolated NGAL stimulator and/or an isolated analog of an NGAL stimulator is administered to a subject and/or included in a composition of the present invention.
A substance effective to increase NGAL and/or produce a therapeutic effect of NGAL in a subject is administered to a subject having a retinoid-responsive condition according to embodiments of the present invention.
The term “NGAL stimulator” refers to substances effective to increase NGAL in a subject, illustratively including expression vectors encoding NGAL, Toll-like receptor 2 (TLR2) ligands, Toll-like receptor 3 (TLR3) ligands, activators of NFkB, leukotriene B4, cholesterol oleate, and IL-17. The term “analog of an NGAL stimulator” refers to structural variants of NGAL stimulators that are functional to increase NGAL in a subject.
A substance effective to produce a therapeutic effect of NGAL in a subject includes an NGAL receptor agonist. The term “NGAL receptor agonist” refers to a substance that interacts with a NGAL receptor and enhances or increases a function of the NGAL receptor. The term “NGAL receptor agonist” encompasses both full and partial NGAL receptor agonists.
The term “Toll-like receptor 2 ligand” refers to a substance that interacts with a Toll-like receptor 2 and enhances or increases a function of the Toll-like receptor 2. The term “Toll-like receptor 2 ligand” encompasses both full and partial Toll-like receptor 2 agonists.
The term “Toll-like receptor 3 ligand” refers to a substance that interacts with a Toll-like receptor 3 and enhances or increases a function of the Toll-like receptor 3. The term “Toll-like receptor 3 ligand” encompasses both full and partial Toll-like receptor 3 agonists.
The term “activator of NFκB” refers to a substance that increases activity of NFkB to stimulate transcription of NGAL. Non-limiting examples of substances that are activators of NFkB are IL1-beta and TNF-alpha.
In embodiments of methods and compositions of the present invention, a stimulator of NGAL expression is an NGAL ligand, a TLR2 ligand, TLR3 ligand, or NFkB activator. A combination of any two or more substances selected from a TLR2 ligand, a TLR3 ligand, and a NFkB activator can be used in embodiments of methods and compositions of the present invention.
In embodiments of methods and compositions of the present invention, an NGAL ligand, a TLR2 ligand, TLR3 ligand, or NFkB activator is a small molecule stimulator of NGAL expression. Small molecule stimulators of NGAL expression, such as NGAL ligands, TLR2 ligands, TLR3 ligands, and NFkB activators, are identified by screening of substances in an assay to determine an effect of a putative stimulator on NGAL expression. For example, naturally occurring or synthetic organic or inorganic substances having a molecular mass in the range of about 50-3000 Daltons, more preferably having a molecular mass in the range of about 100-2000 Daltons, and still more preferably having a molecular mass in the range of about 300-700 Daltons. Exemplary assays to identify small molecule stimulators of NGAL expression include contacting a cell which naturally or recombinantly expresses an NGAL receptor, TLR2, TLR3, and/or NFkB, with one or more putative small molecule stimulators and detecting a change in NGAL expression compared to untreated cells. Methods for detection of change in expression of a selected nucleic acid or protein are well-known in the art, illustratively including Northern blot, RNAse protection, RT-PCR and immunoassays. The term “stimulator of expression” refers to an increase in transcription and/or translation which increased levels and/or activity of NGAL.
The terms “treating” and “treatment” used to refer to treatment of a retinoid-responsive condition in a subject includes: preventing, inhibiting or ameliorating the retinoid-responsive condition in a subject, such as slowing progression of the condition and/or reducing or ameliorating a sign or symptom of the condition.
A subject treated according to methods and using compositions of the present invention can be mammalian or non-mammalian. Humans are preferred subjects treated according to methods and using compositions of the present invention, and a mammalian subject can be any mammal including, but not limited to, a non-human primate; a rodent such as a mouse, rat, or guinea pig; a domesticated pet such as a cat or dog; a horse, cow, pig, sheep, goat, or rabbit. A non-mammalian subject can be any non-mammal including, but not limited to, fish; and a bird such as a duck, goose, chicken, or turkey.
In a particular embodiment of the present invention a method of treating acne in a subject is provided which includes administering a therapeutically effective amount of NGAL, an NGAL analog, an NGAL stimulator or an analog of an NGAL stimulator to a subject having acne.
A therapeutically effective amount is an amount which produces a desired physiologic or pharmacologic effect in a subject, prevents or ameliorates a condition being treated in the subject. For example, a therapeutically effective amount is an amount which reduces or eliminates a sign or symptom of a retinoid-responsive condition being treated in the subject.
Suitable dosages ranges of NGAL, an NGAL analog, an NGAL stimulator or an analog of an NGAL stimulator depend on various factors such as the age of the subject, the severity and type of condition being treated in the subject, the general condition of the subject, the route and form of administration of the composition being administered and the particular composition administered. One of ordinary skill in the art will be able to ascertain a therapeutically effective amount without undue experimentation in view of the present disclosure and what is known in the art.
Administration of NGAL, an NGAL analog, an NGAL stimulator or an analog of an NGAL stimulator according to embodiments of a method of the present invention includes administration according to a dosage regimen to produce a desired response. For example, one or more dosage units of NGAL, an NGAL analog, an NGAL stimulator or an analog of an NGAL stimulator is administered to a subject at one time in particular embodiments. A suitable schedule for administration of doses depends on several factors including age, weight, gender, medical history and health status of the subject, type of composition used and route of administration, for example. One of skill in the art is able to readily determine a dose and schedule of administration for a particular subject.
Embodiments of the present invention optionally include administration of a pharmacologically active agent in addition to NGAL, an NGAL analog, an NGAL stimulator or an analog of an NGAL stimulator. Non-limiting examples of pharmacologically active agents administered in addition to NGAL, an NGAL analog, an NGAL stimulator or an analog of an NGAL stimulator, in combination or separately, according to embodiments of methods of the present invention include, antibiotics, antivirals, antineoplastic agents, analgesics, antipyretics, antidepressants, antipsychotics, anticancer agents, antihistamines, anti-osteoporosis agents, anti-osteonecrosis agents, antiinflammatory agents, anxiolytics, chemotherapeutic agents, diuretics, growth factors, hormones, non-steroidal anti-inflammatory agents and vasoactive agents.
A pharmaceutically acceptable carrier can be included in a composition including NGAL, an NGAL analog, an NGAL stimulator or an analog of an NGAL stimulator. A pharmaceutically acceptable carrier is substantially non-toxic to the subject in amounts administered and has substantially no deleterious effects on any active component of a composition in which it is included.
The NGAL, an NGAL analog, an NGAL stimulator or an analog of an NGAL stimulator is formulated for topical, local and/or systemic administration to the subject.
Methods according to embodiments of the present invention include administration of NGAL, an NGAL analog, an NGAL stimulator or an analog of an NGAL stimulator as pharmaceutical formulations, including those suitable for oral, rectal, nasal, pulmonary, epidural, ocular, otic, intraarterial, intracardiac, intracerebroventricular, intracranial, intradermal, intravenous, intramuscular, intraperitoneal, intraosseous, intrathecal, intravesical, subcutaneous, topical, transdermal, and transmucosal, such as by sublingual, buccal, vaginal, and inhalational routes of administration.
A pharmaceutical formulation of NGAL, an NGAL analog, an NGAL stimulator or an analog of an NGAL stimulator according to embodiments of the present invention is in any dosage form suitable for administration to a subject, illustratively including solid, semi-solid and liquid dosage forms such as tablets, capsules, powders, granules, suppositories, pills, solutions, suspensions, ointments, lotions, creams, gels, pastes, sprays and aerosols.
Liposomes and emulsions are well-known types of pharmaceutical formulations that can be used to deliver a pharmaceutical agent, particularly a hydrophobic pharmaceutical agent. In embodiments of the present invention, liposomes are particles typically produced as a unilammellar bilayer or a multilammellar bilayer of amphipathic molecules enclosing an aqueous interior. Liposomes can include any type of amphipathic materials compatible with a composition to be delivered, illustratively including naturally-occurring lipids, synthetic lipids and combinations thereof.
A pharmaceutical formulation of a composition of the present invention can include a pharmaceutically acceptable carrier. The term “pharmaceutically acceptable carrier” refers to a carrier which is suitable for use in a subject without undue toxicity or irritation to the subject and which is compatible with other ingredients included in a pharmaceutical composition. Pharmaceutically acceptable carriers, methods for making pharmaceutical compositions and various dosage forms, as well as modes of administration are well-known in the art, for example as detailed in Pharmaceutical Dosage Forms: Tablets, eds. H. A. Lieberman et al., New York: Marcel Dekker, Inc., 1989; and in L. V. Allen, Jr. et al., Ansel's Pharmaceutical Dosage Forms and Drug Delivery Systems, 8th Ed., Philadelphia, Pa.: Lippincott, Williams & Wilkins, 2004; A. R. Gennaro, Remington: The Science and Practice of Pharmacy, Lippincott Williams & Wilkins, 21st ed., 2005, particularly chapter 89; and J. G. Hardman et al., Goodman & Gilman's The Pharmacological Basis of Therapeutics, McGraw-Hill Professional, 10th ed., 2001.
A solid dosage form for administration or for suspension in a liquid prior to administration illustratively includes capsules, tablets, powders, and granules. In such solid dosage forms, one or more active agents, is admixed with at least one carrier illustratively including a buffer such as, for example, sodium citrate or an alkali metal phosphate illustratively including sodium phosphates, potassium phosphates and calcium phosphates; a filler such as, for example, starch, lactose, sucrose, glucose, mannitol, and silicic acid; a binder such as, for example, carboxymethylcellulose, alignates, gelatin, polyvinylpyrrolidone, sucrose, and acacia; a humectant such as, for example, glycerol; a disintegrating agent such as, for example, agar-agar, calcium carbonate, plant starches such as potato or tapioca starch, alginic acid, certain complex silicates, and sodium carbonate; a solution retarder such as, for example, paraffin; an absorption accelerator such as, for example, a quaternary ammonium compound; a wetting agent such as, for example, cetyl alcohol, glycerol monostearate, and a glycol; an adsorbent such as, for example, kaolin and bentonite; a lubricant such as, for example, talc, calcium stearate, magnesium stearate, a solid polyethylene glycol or sodium lauryl sulfate; a preservative such as an antibacterial agent and an antifungal agent, including for example, sorbic acid, gentamycin and phenol; and a stabilizer such as, for example, sucrose, EDTA, EGTA, and an antioxidant.
Solid dosage forms optionally include a coating such as an enteric coating. The enteric coating is typically a polymeric material. Preferred enteric coating materials have the characteristics of being bioerodible, gradually hydrolyzable and/or gradually water-soluble polymers. The amount of coating material applied to a solid dosage generally dictates the time interval between ingestion and drug release. A coating is applied having a thickness such that the entire coating does not dissolve in the gastrointestinal fluids at pH below 3 associated with stomach acids, yet dissolves above pH 3 in the small intestine environment. It is expected that any anionic polymer exhibiting a pH-dependent solubility profile is readily used as an enteric coating in the practice of the present invention to achieve delivery of the active agent to the lower gastrointestinal tract. The selection of the specific enteric coating material depends on properties such as resistance to disintegration in the stomach; impermeability to gastric fluids and active agent diffusion while in the stomach; ability to dissipate at the target intestine site; physical and chemical stability during storage; non-toxicity; and ease of application.
Suitable enteric coating materials illustratively include cellulosic polymers such as hydroxypropyl cellulose, hydroxyethyl cellulose, hydroxypropyl methyl cellulose, methyl cellulose, ethyl cellulose, cellulose acetate, cellulose acetate phthalate, cellulose acetate trimellitate, hydroxypropylmethyl cellulose phthalate, hydroxypropylmethyl cellulose succinate and carboxymethylcellulose sodium; acrylic acid polymers and copolymers, preferably formed from acrylic acid, methacrylic acid, methyl acrylate, ammonium methylacrylate, ethyl acrylate, methyl methacrylate and/or ethyl; vinyl polymers and copolymers such as polyvinyl pyrrolidone, polyvinyl acetate, polyvinylacetate phthalate, vinylacetate crotonic acid copolymer, and ethylene-vinyl acetate copolymers; shellac; and combinations thereof. A particular enteric coating material includes acrylic acid polymers and copolymers described for example U.S. Pat. No. 6,136,345.
The enteric coating optionally contains a plasticizer to prevent the formation of pores and cracks that allow the penetration of the gastric fluids into the solid dosage form. Suitable plasticizers illustratively include, triethyl citrate (Citroflex 2), triacetin (glyceryl triacetate), acetyl triethyl citrate (Citroflec A2), Carbowax 400 (polyethylene glycol 400), diethyl phthalate, tributyl citrate, acetylated monoglycerides, glycerol, fatty acid esters, propylene glycol, and dibutyl phthalate. In particular, a coating composed of an anionic carboxylic acrylic polymer typically contains approximately 10% to 25% by weight of a plasticizer, particularly dibutyl phthalate, polyethylene glycol, triethyl citrate and triacetin. The coating can also contain other coating excipients such as detackifiers, antifoaming agents, lubricants (e.g., magnesium stearate), and stabilizers (e.g. hydroxypropylcellulose, acids or bases) to solubilize or disperse the coating material, and to improve coating performance and the coated product.
Liquid dosage forms for oral administration include one or more active agents and a pharmaceutically acceptable carrier formulated as an emulsion, solution, suspension, syrup, or elixir. A liquid dosage form of a composition of the present invention may include a colorant, a stabilizer, a wetting agent, an emulsifying agent, a suspending agent, a sweetener, a flavoring, or a perfuming agent.
For example, a composition for parenteral administration may be formulated as an injectable liquid. Examples of suitable aqueous and nonaqueous carriers include water, ethanol, polyols such as propylene glycol, polyethylene glycol, glycerol, and the like, suitable mixtures thereof; vegetable oils such as olive oil; and injectable organic esters such as ethyloleate. Proper fluidity can be maintained, for example, by the use of a coating such as lecithin, by the maintenance of a desirable particle size in the case of dispersions, and/or by the use of a surfactant, such as sodium lauryl sulfate. A stabilizer is optionally included such as, for example, sucrose, EDTA, EGTA, and an antioxidant.
For topical administration, a composition can be formulated for administration to the skin such as for local effect, and/or as a “patch” formulation for transdermal delivery. Pharmaceutical formulations suitable for topical administration include, for example, ointments, lotions, creams, gels, pastes, sprays and powders. Ointments, lotions, creams, gels and pastes can include, in addition to one or more active agents, a base such as an absorption base, water-removable base, water-soluble base or oleaginous base and excipients such as a thickening agent, a gelling agent, a colorant, a stabilizer, an emulsifying agent, a suspending agent, a sweetener, a flavoring, or a perfuming agent.
Transdermal formulations can include percutaneous absorption enhancers such as acetone, azone, dimethyl acetamide, dimethyl formamide, dimethyl sulfoxide, ethanol, oleic acid, polyethylene glycol, propylene glycol and sodium lauryl sulfate. Ionotophoresis and/or sonophoresis can be used to enhance transdermal delivery.
Powders and sprays for topical administration of one or more active agents can include excipients such as talc, lactose and one or more silicic acids. Sprays can include a pharmaceutical propellant such as a fluorinated hydrocarbon propellant, carbon dioxide, or a suitable gas. Alternatively, a spray can be delivered from a pump-style spray device which does not require a propellant. A spray device delivers a metered dose of a composition contained therein, for example, using a valve for regulation of a delivered amount.
Opthalmic formulations of one or more active agents can include ingredients such as a preservative, a buffer and a thickening agent.
In particular embodiments of the present invention, an NGAL analog is an NGAL receptor agonist.
Further embodiments of the present invention include a method of treating acne in a subject which includes stimulating NGAL expression in a subject having acne. For example, NGAL expression is stimulated by administration of a transcription factor which upregulates transcription of a gene encoding NGAL and/or by administration of a nucleic acid encoding NGAL to the subject. Stimulators of NGAL expression illustratively include leukotriene B4 and cholesterol oleate. IL-17 or activators of NFκB is a further example of a stimulator of NGAL expression. Toll-like receptor 2 (TLR2) ligands and Toll-like receptor 3 (TLR3) ligands are stimulators of NGAL expression and one or more TLR ligands and/or one or more TLR3 ligands are administered to treat acne in a subject according to embodiments of the present invention.
Methods of inhibiting Propionibacterium acnes are provided by embodiments of the present invention which include administering NGAL, an NGAL analog, an NGAL stimulator or an analog of an NGAL stimulator to a subject colonized with Propionibacterium acnes. In particular embodiments of the present invention, administration includes contacting a Propionibacterium acnes bacterium with NGAL and/or a functional analog of NGAL. The skilled artisan will recognize that detecting P. acnes colonization in a subject and detecting P. acnes inhibition by methods and compositions according to the present invention can be achieved using well-known assay methods.
In preferred embodiments, the Propionibacterium acnes bacterium is in or on a human subject. The NGAL, an NGAL analog, an NGAL stimulator or an analog of an NGAL stimulator is administered to the human subject by a topical, local and/or systemic route. Methods of inhibiting Propionibacterium acnes in a subject are useful in treatment of conditions associated with Propionibacterium acnes colonization, such as acne and/or rosacea, for example.
In further embodiments of the present invention, methods of treating a retinoid-responsive condition in a subject are described which include administering a therapeutically effective amount of NGAL, an NGAL analog, an NGAL stimulator or an analog of an NGAL stimulator to a subject having a retinoid-responsive condition. Retinoid-responsive conditions illustratively include acne, rosacea, psoriasis, promyelocytic leukemia and neuroblastoma.
In addition to NGAL, methods and compositions of the present invention optionally include methods and compositions relating to genes described herein as regulated by isotretinoin, such as those listed in Tables II and III.
A method of treating a retinoid-responsive condition in a subject is provided according to embodiments of the present invention which includes administering a therapeutically effective amount of a Toll-like receptor 2 ligand to a subject having a retinoid-responsive condition.
In particular embodiments, the therapeutically effective amount of a Toll-like receptor 2 ligand is sufficient to increase NGAL and/or to increase IL-8 in the subject.
In particular embodiments, the retinoid-responsive condition is acne. Optionally, the Toll-like receptor 2 ligand is administered to an area of the skin of the subject affected by, or at risk of being affected by, acne.
Pam3CSK4, i.e. N-Palmitoyl-S-[2,3-bis(palmitoyloxy)-(2RS)-propyl]-[R]-cysteinyl-[S]-seryl-[S]-lysyl-[S]-lysyl-[S]-lysyl-[S]-lysine×3HCl, is an example of a TLR2 agonist included in embodiments of methods and compositions of the present invention.
A pharmaceutically acceptable carrier can be included in a composition including a Toll-like receptor 2 ligand.
The Toll-like receptor 2 ligand is formulated for topical, local and/or systemic administration to the subject according to particular embodiments of methods and compositions of the present invention.
A method of treating a retinoid-responsive condition in a subject is provided according to embodiments of the present invention which includes administering a therapeutically effective amount of a Toll-like receptor 3 ligand to a subject having a retinoid-responsive condition.
In particular embodiments, the therapeutically effective amount of a Toll-like receptor 3 ligand is sufficient to increase NGAL in the subject.
In particular embodiments, the retinoid-responsive condition is acne. Optionally, the Toll-like receptor 3 ligand is administered to an area of the skin of the subject affected by, or at risk of being affected by, acne.
Polyinosinic:polycytidylic acid (Poly I:C) is an example of a TLR3 agonist included in embodiments of methods and compositions of the present invention.
A pharmaceutically acceptable carrier can be included in a composition including a Toll-like receptor 3 ligand.
The Toll-like receptor 3 ligand is formulated for topical, local and/or systemic administration to the subject according to particular embodiments of methods and compositions of the present invention.
Methods of identifying NGAL analogs are provided by embodiments of the present invention which include administering a test compound to a cell sensitive to 13-cis retinoic acid-induced apoptosis to produce a treated cell and assaying the treated cell for a marker of apoptosis and/or endogenous production of NGAL. A test compound which is a functional analog of NGAL is ineffective to induce the marker of apoptosis in absence of a functional NGAL receptor in the treated cell in particular embodiments of inventive methods.
Embodiments of inventive compositions and methods are illustrated in the following examples. These examples are provided for illustrative purposes and are not considered limitations on the scope of inventive compositions and methods.
EXAMPLES
Example 1
Patient Selection and Tissue Biopsies
Patients were recruited to have skin biopsies of their upper backs at baseline and after one week of treatment with 13-cis RA. A total of 7 patients that were prescribed isotretinoin by their dermatologist for their severe acne were enrolled in the study after signing informed consent forms. Information regarding patient age, sex, the time of biopsy, and the dose of isotretinoin that patients were receiving at the time of their second biopsy are presented in Table I.







TABLE I







Isotretinoin Patient Demographic


Patient Demographics














Dose
Biopsy


Subject #
Age
Sex
mg/kg/d
(days)














1
15
M
0.5
7


2
17
M
0.5
7


3
17
M
0.5
7


4
21
F
0.67
7


5
17
M
0.67
7


6
20
F
0.67
7


7
23
M
0.5
7


Mean ± SD
18.5 ± 2.8

0.57 ± 0.09
7 ± 0









All protocols were approved by the Institutional Review Board of The Pennsylvania State University College of Medicine and were conducted according to the principles outlined in the Declaration of Helsinki. All subjects gave informed consent. Subjects included males and females ages 14 to 40 years who were scheduled by their dermatologist to receive treatment with 13-cis RA (isotretinoin, brand not noted) for severe acne. All aspects of the patients' treatment with 13-cis RA apart from the skin biopsies were standard of care and were not part of this research. Exclusion criteria included patients with underlying medical conditions requiring treatment with systemic medications that might interfere with the gene array analysis.
Seven patients had 5-mm punch biopsies of skin from the upper back taken at baseline and again at day 7 of treatment. Biopsies were taken from non-inflammed skin in areas apart from acne lesions. Biopsies were placed on ice and immediately transferred to the laboratory where they were trimmed of fat and a small section of each biopsy was taken and paraffin-embedded for histology and immunohistochemistry. The remaining portion of the biopsy was flash frozen in liquid nitrogen and used for total RNA isolation.
Example 2
Histology suggests decrease in sebaceous gland volume after one week of 13-cis RA treatment.
Hematoxylin and eosin staining was performed on sections of patient skin obtained from biopsies of skin from the upper back taken at baseline and at one week of treatment. A total of 17 sections at baseline and 19 sections at one week taken from 6 patients were analyzed using image analysis software.
Images were captured using a Spot digital camera (Diagnostic Instruments, Inc.) and measurements were obtained with Image Pro Plus Imaging Software version 3.0 after spatial calibration with a micrometer slide under the 10× objective. All areas of the sebaceous gland were circled using a free-hand measuring tool and the total area of the sebaceous gland was calculated in each section from the baseline and the one-week biopsies. The average area for each distinct sebaceous gland was calculated from sections analyzed. An ANOVA Single Factor statistical test (α=0.05) was performed to look for significant differences in sebaceous gland area before and after one week of treatment.
At baseline, sebaceous glands were characteristically large and multi-lobular. Although changes in architecture were not obvious at one week of isotretinoin treatment, an early decrease in the overall size of the sebaceous glands was suggested. The mean area of sebaceous glands in the baseline samples was 0.23±0.09 mm2 (mean±SEM) compared to 0.12±0.02 mm2 in the one week samples, which was not significant using a paired t-test (p=0.16) (data not shown).
Example 3
13-cis RA Induces Apoptosis in Patient's Sebaceous Glands at One Week
Skin sections were obtained from paraffin blocks of 7 patients sampled at baseline and one week of isotretinoin. A TUNEL-peroxidase assay followed by counter staining with hematoxylin was performed on skin biopsies obtained from patients at baseline and at one week of 13-cis RA therapy (n=6 pairs of samples).
In this procedure sections of baseline and post-treatment biopsies from 7 patients were subjected to deparaffinization, rehydration and permeabilization with 0.1% Triton-X, 0.1% sodium citrate in phosphate buffered saline. Sections were subjected to In Situ Cell Death Detection, Peroxidase kit (Roche Diagnostics, Indianapolis, Ind.) followed by counter staining with hematoxylin. DNase I treatment of positive and negative controls (without terminal transferase) were included as assay controls according to manufacturer's instructions. At least 2 baseline and one week skin sections were analyzed from every patient. Patient 7 was omitted from the analysis as no sebaceous glands were found in baseline biopsy sections. Results were quantified by counting positive stained cells/total cells in sebaceous glands. Data represents mean±SD, n=6 patients; paired t-test was used for statistical analysis and considered significant if p<0.05.
A 4-fold increase in the percentage of TUNEL positive cells was noted within the sebaceous gland at one week of therapy compared to baseline (45.9±11.9% vs. 13.9±6% TUNEL positive cells, p=0.005, paired t-test, α=0.05). FIG. 1 shows representative sections from Patient 4 taken at baseline and at one week of isotretinoin treatment. NC=negative control which consists of sections from a skin specimen treated with DNase I and processed without terminal transferase enzyme. PC=positive control which consists of sections from a skin specimen treated with DNase I and subjected to the full TUNEL assay. Total magnification 400×.
TUNEL staining was strongest in the nuclei of sebocytes in the basal layer of the sebaceous gland and in early differentiated sebocytes adjacent to the basal layer, arrows. Apoptosis was selective for the sebaceous gland as no apoptosis was detected within the epidermis.
Example 4
Gene array expression analysis was performed on patient skin biopsies at baseline and one week of isotretinoin therapy. Gene expression analysis of skin from patients treated with 13-cis RA revealed significant increases in genes encoding calcium binding proteins, retinoid signaling molecules, solute carriers and serine proteases.
In this procedure, total RNA was isolated from skin biopsies and DNase treated using the RNeasy Fibrous Tissue Kit (Qiagen Inc., Valencia, Calif.). Approximately 2 μg of total RNA from each sample was used to generate double stranded cDNA using a T7-oligo (dT) primer. Biotinylated cRNA, produced through in vitro transcription, was fragmented and hybridized to an Affymetrix human U133A 2.0 microarray for one week biopsies. The arrays were processed on a GeneChip Fluidics Station 450 and scanned on an Affymetrix GeneChip Scanner (Santa Clara, Calif.). Expression signals were normalized as previously described (47, 60, 61). Significant gene expression alterations were identified using Significance Analysis of Microarrays (SAM) computer software (62). SAM controls the false positives resulting from multiple comparisons through controlling the false discovery rate (FDR) (63). FUR is defined as the proportion of false positive genes among all genes that are considered significant. The results of these array analyses have been submitted to the National Center for Biotechnology Information Gene Expression Omnibus database under the accession number GSE10434. This is considered a super series and contains both the 1 week patient data and the cell culture model (SEB-1) data, described below. For the 1 week data alone the accession number is GSE10432. For the SEB-1 data alone: GSE10433.
Array data was not generated for patient 3 due to insufficient quantity of RNA. Using a false discovery rate (FDR) of 0.05 that corresponds to a 5% chance of false positive gene changes, 38 genes were significantly up-regulated and 5 genes were significantly down-regulated by 13-cis RA when compared to baseline. (Table II; and Tables V and VI for a full listing of significantly changed genes). LCN2 was among the most highly up-regulated genes.







TABLE II







Significantly changed genes in patient skin


after 1 week of isotretinoin therapy









Fold

Gene


Change
Gene Title
Symbol












7.03
lipocalin 2 (oncogene 24p3)
LCN2


6.2
S100 calcium binding protein A7 (psoriasin 1)
S100A7


4.53
S100 calcium binding protein A9 (calgranulin B)
S100A9


3.78
solute carrier family 12 (K/Cl transporters)
SLC12A8


3.32
cytochrome P450, family 2, subfamily B
CYP2B7P1


2.61
serine (or cysteine) proteinase inhibitor
SERPINA3


2.61
retinoic acid receptor responder (TIG 1)
RARRES1


2.35
transmembrane protease, serine 4
TMPRSS4


1.99
S100 calcium binding protein P
S100P


1.92
ATPase, H+/K+ transporting, nongastric, alpha
ATP12A


1.91
chemokine (C-C motif) ligand 2
CCL2


1.81
retinol binding protein 1, cellular
RBP1


1.69
solute carrier family 6 (amino acid transporter)
SLC6A14


1.67
E74-like factor 3 (ets domain transcription
ELF3



factor)


1.56
cellular retinoic acid binding protein 2
CRABP2


1.52
defensin, beta 1**
DEFB1


1.51
calbindin 2, 29 kDa (calretinin)
CALB2


1.5
S100 calcium binding protein A2
S100A2


1.49
involucrin
IVL


1.49
interleukin 27 receptor, alpha
IL27RA


−2.29
solute carrier family 26, member 3
SLC26A3


−2.27
phospholipase A2, group VII (PAF
PLA2G7



acetylhydrolase)


−2.13
phosphodiesterase 6A, cGMP-specific, rod, alpha
PDE6A









Example 5
Gene expression in SEB-1 sebocytes treated with 13-cis RA is similar to profile the observed in human skin.
To identify sebocyte-specific gene changes induced by 13-cis RA, array analysis was performed in SEB-1 sebocytes on three samples treated with 0.1 micromolar 13-cis RA and three samples treated with vehicle.
The SEB-1 human sebocyte cell line was generated by transfection of secondary sebocytes with SV40 Large T antigen and was cultured in standard culture medium as previously described (59). 13-cis RA (R 3255) was purchased through SIGMA (St. Louis, Mo.). 10 mM Stock solutions of 13-cis RA dissolved in ethanol were handled under dimmed yellow light and stored under N2 gas at −20° C. until use. Purified recombinant human NGA-L protein (amino acids 21-198) was purchased from R&D Systems (Minneapolis, Minn.) ready-to-use and was stored at −20° C. until needed. Stock solutions were diluted to desired concentrations in standard sebocyte culture medium.
Total RNA was isolated from SEB-1 sebocytes treated with 0.1 μM 13-cis RA or vehicle alone (0.001% ethanol) in three independent samples using the RNeasy kit (Qiagen Inc., Valencia, Calif.). Approximately 2 μg of total RNA from each sample was used to generate double stranded cDNA using a T7-oligo (dT) primer. Biotinylated cRNA, produced through in vitro transcription, was fragmented and hybridized to an U95Av2 microarray for SEB-1 sebocytes. The arrays were processed on a GeneChip Fluidics Station 450 and scanned on an Affymetrix GeneChip Scanner (Santa Clara. Calif.). Expression signals were normalized as previously described (47, 60, 61). Significant gene expression alterations were identified using Significance Analysis of Microarrays (SAM) computer software (62). SAM controls the false positives resulting from multiple comparisons through controlling the false discovery rate (FUR) (63). FDR is defined as the proportion of false positive genes among all genes that are considered significant.
A total of 85 genes (78 different genes) were significantly influenced by 13-cis RA: 58 were upregulated and 27 were down-regulated. Select genes whose expression was significantly changed genes are listed in Table III. (See Tables V and VI for the full listing of significantly changed genes.) As in the patient samples, LCN2 and the tumor suppressor, TIG1, demonstrated the greatest changes in gene expression.







TABLE III







Selected significantly changed gene in SEB-1 sebocytes after 13-cis RA treatment









Fold

Gene


Change
Gene Title
Symbol












12.25
retinoic acid receptor responder (tazarotene induced) 1
RARRES1


7.04
lipocalin 2 (oncogene 24p3)
LCN2


5.95
tumor necrosis factor, alpha-induced protein 2
TNFAIP2


5.91
hydroxyprostaglandin dehydrogenase 15-(NAD)
HPGD


4.64
cytochrome P450, family 1, subfamily B, polypeptide 1
CYP1B1


4.18
tumor necrosis factor (ligand) superfamily, member 10
TNFSF10


3.70
serine (or cysteine) proteinase inhibitor,
SERPINB3


3.65
homeo box A5
HOXA5


3.43
insulin-like growth factor binding protein 3
IGFBP3


3.29
aldehyde dehydrogenase 1 family, member A3
ALDH1A3


3.22
retinoic acid receptor responder (tazarotene induced) 3
RARRES3


3.08
oxidised low density lipoprotein (lectin-like) receptor 1
OLR1


2.60
cyclin-dependent kinase inhibitor 1A (p21, Cip1)
CDKN1A


2.51
E74-like factor 3 (ets domain transcription factor, epithelial-specific)
ELF3


2.42
interferon regulatory factor 1
IRF1


2.42
interferon-induced protein with tetratricopeptide repeats 3
IFIT3


2.09
proteasome (prosome, macropain) subunit, beta type, 10
PSMB10


2.08
vascular cell adhesion molecule 1
VCAM1


2.07
annexin A9
ANXA9


2.07
2′,5′-oligoadenylate synthetase 1, 40/46 kDa
OAS1


1.85
GATA binding protein 3
GATA3


1.79
protein kinase C, alpha
PRKCA


1.70
nuclear factor of kappa light polypeptide gene enhancer in B-cells
NFKB2


1.69
Fas (TNF receptor superfamily, member 6)
FAS


−4.68
keratin 6A /// keratin 6C
KRT6A


−3.94
FK506 binding protein 5
FKBP5


−3.25
ELOVL family member 5, elongation of long chain fattyacids
ELOVL5









Example 6
QPCR Verification of Select Genes from Array Analyses
QPCR analyses showed that the direction and magnitude of the change in expression for the selected genes were similar to those observed with the gene array analyses and verified siRNA knockdown and immunoblotting experiments.
Applied Biosystems' Assays-on-Demand Taqman Universal PCR Master Mix, primer/probe sets, and ABI's 7900HT Fast Real-Time PCR System with 384-well plate block module were used according to manufacturer's instructions (Applied Biosystems, Foster City, Calif.). Integrity of isolated RNA was verified by agarose gel electrophoresis. cDNA was generated from 1 μg of total RNA, primed with oligo-dT, using the Superscript First-Strand Synthesis System for RT-PCR (Invitrogen, Carlsbad, Calif.). Diluted cDNA from the one week samples were run for the reference gene TATA binding protein (TBP) and genes of interest: lipocalin 2, (LCN2) RARRES1, S100A7, SERPINA3 and PLA2G7. For gene array verification, 8 independent samples of SEB-1 sebocytes treated with 0.1 μM 13-cis RA or vehicle alone for 72 hours were analyzed. Genes of interest included: LCN2, RARRES1, insulin-like growth factor binding protein 3 (IGFBP-3), GATA3, ZBTB16 and potential LCN2 cell surface receptor (SLC22A17). Expression of TBP, GAPDH and LCN2 was analyzed in 6 independent SEB-1 samples for the siRNA knockdown experiments. SEB-1 sebocytes treated with increasing concentrations of ATRA (n=5) were analyzed for the reference gene, TBP, and LCN2. In all experiments, assay controls included samples omitting reverse transcriptase enzyme as well as samples without cDNA. Data was analyzed using the Relative Expression Software Tool (REST-XL version 1) software program (64) with efficiency correction and a p-value <0.05 was considered significant.
Sufficient RNA was available from 5 of 7 patients (all but Patients 3 and 4) to verify gene expression changes by QPCR for LCN2, retinoic acid receptor responder 1 (RARRES1, TIG1), psoriasin (S100A7), serine protease inhibitor A3 (SERPINA3) and phospholipase A2 group 7 (platelet activating factor acetyl hydrolase, PLA2G7). FIG. 2A shows comparison of array analysis and QPCR on RNA obtained from patient skin biopsies at baseline and one week of 13-cis RA treatment. Data represent the mean±SEM of the fold-change in gene expression as determined by QPCR in 5 subjects compared to array analysis performed in 6 subjects.
For SEB-1 sebocytes, gene array expression changes were verified by QPCR for LCN2, TIG1, insulin-like growth factor binding protein 3 (IGFBP3), GATA transcription factor 3 (GATA3) and ZBTB16; zinc finger and BTB domain-containing 16. FIG. 2B shows comparison of array analysis and QPCR on RNA obtained from SEB-1 sebocytes incubated for 72 hours in the presence or absence of 13-cis RA. Data represent the mean±SEM of the fold change in gene expression as determined by QPCR in 8 samples compared to array analysis performed in 3 samples. QPCR results were analyzed by REST-XL software program and *p<0.05 was considered significant.
Example 7
13-cis RA Induces Expression of Neutrophil Gelatinase Associated Lipocalin (NGAL) in Patients' Sebaceous Glands
Patient skin biopsies that were taken at baseline and at one week of isotretinoin therapy were used to assess NGAL expression and localization using immunohistochemistry.
FIG. 3 shows that NGAL expression is increased in sebaceous glands in patients biopsied at one week of isotretinoin treatment. Immunohistochemistry using an antibody to NGAL was performed on skin sections taken at baseline and at one week of isotretinoin treatment. Sections were incubated overnight with a 1:50 dilution of mouse monoclonal lipocalin 2/NGAL antibody and developed using AEC chromagen (dark areas). All sections were counterstained with hematoxylin. Representative images at baseline and after 1 week isotretinoin from Patients 1 and 2 are shown. An image of the epidermis after isotretinoin treatment from Patient 2 is shown. NC-negative control, consists of a normal human skin incubated with normal mouse IgG1 antibody. Original magnification: 100×. NGAL was expressed in the sebaceous gland and duct of samples of skin taken at one week of isotretinoin therapy. NGAL was not expressed in the epidermis.
In each patient, NGAL expression was detected specifically within the basal layer of the sebaceous gland and upper sebaceous duct in sections from skin taken at one week of therapy as shown in FIG. 3. NGAL expression was not noted within the epidermis. This pattern of NGAL expression is comparable to the pattern of TUNEL positive cells after isotretinoin treatment. NGAL immunoreactivity and TUNEL positive cells are both present within the basal layer of the sebaceous gland and are absent from the epidermis.
In general, NGAL expression is increased after one week of isotretinoin treatment although, the amount of increase varied among the patients as shown in Table IV. Patient 7 was omitted from the analysis because no sebaceous glands were captured in the baseline biopsy sections. In 2 out of the 6 patients (Patients 4 and 6, the only females in the study), a minimal increase in NGAL staining was noted. Of the 6 patients examined, only one had NGAL expression in sebaceous glands at baseline, see Table IV.







TABLE IV







Quantification of NGAL staining for individual patients


at baseline and after one week isotretinoin therapy.










Baseline
1-week



(% of sebaceous gland
(% of sebaceous gland


Patient
positive for NGAL)
positive for NGAL)












1
0.0
36.7


2
0.0
11.3


3
0.0
27.1


4
0.0
1.1


5
11.1
12.1


6
0.0
1.0


Average
1.9
14.9


SEM
1.9
5.9









Example 8
The expression of NGAL within SEB-1 sebocytes was verified by QPCR and western blotting showing that 13-cis RA and ATRA increase LCN2 mRNA and NGAL protein expression in SEB-1 sebocytes.
LCN2 mRNA expression was verified by QPCR after 48 hours of retinoid treatment. Data represent mean±SEM of the fold-change in gene expression as determined by QPCR of 5 independent samples. Statistical analysis was performed with REST-XL software program and considered significant if *p<0.05.
For Western blotting, mouse monoclonal antibody to lipocalin 2 (NGAL) was obtained from Abeam, Inc., (Cambridge, Mass.). The 24p3R(NGAL receptor) affinity purified antibody, positive (HEK 293 cell lysate) and negative (T47D cell lysate) controls were kindly provided by Dr. Michael Green (University of Massachusetts Medical School). GAPDH (#2118), Cleaved caspase 3 (#9664), β-actin (#4967) and anti-rabbit horseradish peroxidase (HRP) linked secondary antibodies (#7074) were purchased from Cell Signaling Technology (Beverly, Mass.). Secondary Anti-mouse HRP antibody was purchased from Santa Cruz Biotechnology Inc. (Santa Cruz, Calif.).
SEB-1 sebocytes (passages 22-28) were in standard culture medium until 50-75% confluent. Treatments of 13-cis RA (0.1 nM, 1 nM, 10 nM, 0.1 μM, or 1 μM) or ethanol vehicle (0.01% or less) were applied for 48 or 72 hours. In parallel studies, identical concentrations of all-trans retinoic acid (ATRA) were applied for 72 hours. In all experiments, each plate was considered an independent sample and total protein was collected. Blots were incubated with appropriate primary and secondary antibodies followed by densitometry. Each experiment was repeated a minimum of 3 independent times. Data was analyzed using a paired t-test and results were considered significant if p<0.05.
As shown in FIG. 4A, expression of LCN2 mRNA was detected after 48 hours of 13-cis RA treatment. 13-cis RA concentrations of 1 nM and greater significantly increased LCN2 mRNA levels to approximately 6-fold with micromolar concentrations when compared to control.
Protein expression was verified by western blot at 72 hours of retinoid treatment. Blots were incubated with primary antibody to NGAL as well as β-actin as a loading control. Blots were analyzed by densitometry and normalized to β-actin. The graph represents normalized fold-change values (mean±SEM) relative to control for a minimum of 3 independent blots. Statistical analysis was performed with paired t-test, *p<0.05. As shown in FIG. 4B, after 72 hours of treatment with concentrations ranging from 0.1 nM to 1 μM 13-cis RA, NGAL protein expression increased in a dose-dependent manner to a maximum of approximately 10-fold with micromolar concentrations in SEB-1 sebocytes when compared to control (p<0.05).
The first 1000 base pairs of the LCN2 promoter were scanned for retinoic acid response elements (RAREs) using the predefined consensus sequences within the Transfac database through the Transcription Element Search System (TESS) and reveals the presence of both RAR and RXR binding sites. Prior studies suggest that 13-cis RA acts as a reservoir of ATRA and that after isomerization to ATRA, acts via binding nuclear retinoic acid receptors (12). Although, in other studies, retinoid receptor-independent modulation of signaling pathways by ATRA, such as binding to PKC, have also been reported (13, 14).
To address this issue, SEB-1 sebocytes were treated with increasing concentrations of ATRA in parallel studies and examined for expression of LCN2 mRNA and NGAL protein. QPCR and immunoblotting show that NGAL expression also increased in a dose-dependent manner with ATRA when compared to control. The level of NGAL expression induced by ATRA is less than that with 13-cis RA (7-fold vs. 10-fold) but the difference between ATRA and 13-cis RA was not significant, see FIGS. 4A and 4B.
Example 9
Recombinant NGAL Protein Induces Apoptosis in SEB-1 Sebocytes
SEB-1 sebocytes were treated with increasing concentrations of purified recombinant human NGAL (rhNGAL) protein and a TUNEL assay was performed.
For the TUNEL assay, SEB-1 sebocytes (passage 22-28) were cultured in 12-well plates in standard medium until approximately 30-40% confluent. Wells were rinsed with phosphate buffered saline (PBS) and treated in duplicate with vehicle control, 1 pg/mL, 10 pg/mL, 100 pg/mL, 1 ng/mL, or 10 ng/mL of recombinant human NGAL (R&D Systems, Minneapolis, Minn.) or human actin (negative control; Cytoskeleton, Denver, Colo.) protein for 24 hours. In all experiments, each well was considered one sample Samples were prepared by manufacturer's instructions for In Situ Cell Death Detection Kit, Fluorescein (Roche Diagnostics, Indianapolis. Ind. DNase I treatment of positive and negative controls (without terminal transferase) were included as assay controls according to manufacturer's instructions. Results were analyzed and quantified by counting positive stained cells per total number of cells in 3 representative fields per well for each of the treatments done in duplicate. Four independent rhNGAL experiments were performed whereas treatment with actin was performed once. Statistical analyses were performed between control and each treatment concentration using ANOVA Two Factor with Replication and considered significant if p<0.05.
As noted above, SEB-1 sebocytes were treated with vehicle as a control, 1 pg/mL, 10 pg/mL, 100 pg/mL, 1 ng/mL or 10 ng/mL of purified recombinant human NGAL protein (R&D Systems) or the same concentrations of human actin protein for 24 hours. After 24 hours of treatment with NGAL, the percentage of TUNEL positive cells in SEB-1 sebocytes was significantly increased to a maximum of approximately 35% using 1 ng/mL rhNGAL as shown in FIGS. 5A and 5B.
FIG. 5A shows representative images of the TUNEL assay using rhNGAL are shown. Original magnification: 200×. FIG. 5B shows quantification of the percentage of TUNEL positive stained cells per treatment at 24 hours. Data represent mean±SEM, n=4-8. Parallel experiments to control for nonspecific effects of protein were performed using human actin protein (n=2). The percentage of TUNEL positive cells is less than 5% with all concentrations of actin, which is similar to control values. Statistical analyses were performed between vehicle control and each treatment concentration of rhNGAL using ANOVA Two Factor with Replication; * p<0.05. rhNGAL significantly increased TUNEL staining compared to control over a wide range of concentrations with maximal induction noted at 1 ng/mL.
Example 10
NGAL Mediates 13-cis RA-Induced Apoptosis in Human Sebocytes
To test the hypothesis that NGAL mediates the apoptotic effect of 13-cis RA on sebcoytes, siRNA to LCN2 is utilized in the presence of 13-cis RA and the effect on apoptosis using western blotting for cleaved caspase 3, the activated form of caspase 3 is examined.
Optimization of the appropriate nucleofection solution and program was carried out according to manufacturer's instructions using the Cell Line Optimization Nucleofector Kit with 2 μg of pgmaxGFP DNA in combination with the highest efficiency (GFP expression) and lowest mortality. Program T-20 with solution T was chosen for future experiments. Efficiency of nucleofection was determined by GFP expression quantified by flow cytometry with mock-nucleofected SEB-1 sebocyte controls. Very high levels of GFP expression (87%, 90%, 73%, and 57%) were detected at 24, 48, 72 and 96 hours post-nucleofection, respectively.
Using ON-TARGETplus Smartpool Human LCN2, Human GAPDH and siCONTROL siRNA duplex oligonucleotides (Dharmacon Research, Lafayette, Colo.), nucleofection was performed as suggested by Dharmacon and Amaxa Biosystems. SEB-1 sebocytes, 2×106 cells per 100 microliter reaction were nucleofected with 1 μg siCONTROL, GAPDH or LCN2 siRNA. 13-cis RA (0.1 μM) was added 24 hours post-nucleofection. Extent of siRNA knockdown of gene expression was verified by QPCR and western blotting for LCN2/NGAL and GAPDH at various time points after 13-cis RA treatment. Involvement of LCN2/NGAL in mediating 13-cis RA induced apoptosis was assessed by cleaved caspase 3 protein expression using western blotting.
QPCR results shows in FIG. 6A demonstrate that the expression of LCN2 mRNA was successfully decreased 15-fold (93%) by the siRNA compared to siCONTROL in SEB-1 cells that were treated for 48 hours with 13-cis RA. FIG. 6A shows QPCR analysis of LCN2 and GAPDH mRNA levels at 48 hours of 0.1 μM 13-cis RA treatment. The expression of LCN2 mRNA was successfully decreased 15-fold by the LCN2 siRNA compared to siCONTROL whereas expression of GAPDH was minimally affected by siRNA to LCN2. GAPDH mRNA expression was decreased 4-fold by the specific GAPDH siRNA when compared to siCONTROL whereas siRNA to GAPDH had minimal effects on expression of mRNA for LCN2. Data represent mean±SEM; n=6. * p<0.05 as determined by REST-XL program. As a control, the specificity of siRNA knockdown was verified using siRNA to GAPDH in parallel samples. GAPDH and LCN2 gene expression were successfully inhibited in their respective samples.
FIG. 6B shows that protein levels of NGAL were undetectable by western blotting after 48 and 72 hours of 13-cis RA treatment. FIG. 6B displays immunoblot analysis of GAPDH and NGAL protein levels: NGAL protein expression is decreased to undetectable levels by western blotting at 48 and 72 hours of 0.1 μM 13-cis RA treatment with LCN2 siRNA. Representative blots of 4 independent experiments are shown.
After confirming successful inhibition of LCN2 and NGAL expression by siRNA, the effect of LCN2 on apoptosis was determined.
Under siRNA conditions described for FIG. 6, immunoblotting revealed that siRNA to LCN2 decreases expression of cleaved caspase 3 by approximately 5-fold compared to siRNA control. siRNA to LCN2 in the presence of 13-cis RA decreased expression of cleaved caspase 3 to approximately 20% of control levels, corresponding to a 5-fold reduction, as indicated in FIG. 7.
Blots in FIG. 7 were incubated with primary antibodies to cleaved caspase 3 as well as β-actin as a loading control to normalize densitometry values. Three independent “scrambled siCONTROL (SCRAM)” and “LCN2” western blots are shown. p17 and p19 are the cleaved or “active” fragments of caspase 3. The graph in FIG. 7 represents the normalized expression of cleaved caspase 3 from 5 independent western blots; statistical analysis was performed with paired t-test, mean±SEM *p<0.05. These data indicate that NGAL mediates the apoptotic response of SEB-1 sebocytes to 13-cis RA.
Example 11
SEB-1 Sebocytes Express the Receptor for NGAL
A cell surface receptor for the murine homolog to NGAL, 24p3, was identified in murine pro-B lymphocytic FL5.12 cells. The presence of this receptor (24p3R) is believed to be responsible for cell-specific susceptibility to apoptosis (6). Based on sequence homology, the human homolog of 24p3R is predicted to be the solute carrier member, SLC22A17 (6). Expression of SLC22A17 mRNA was detected in SEB-1 sebocytes by QPCR analysis (data not shown).
24p3R (NGAL receptor) affinity purified antibody (6) was used. SEB-1 sebocytes were cultured and fixed according to standard procedures followed by overnight incubation with 24p3R antibody or normal rabbit IgG (negative control) and counterstaining with hematoxylin.
The 24p3/NGAL receptor was detected in SEB-1 sebocytes by immunohistochemistry and western blotting using an antibody to the mouse 24p3R(6).
FIGS. 8A and 8B show that SEB-1 sebocytes express the receptor for NGAL. FIG. 8A shows results of experiments in which SEB-1 sebocytes were grown under standard conditions and immunocytochemistry was performed using an antibody to the murine 24p3 receptor. Slides were counterstained with hematoxylin. Negative control (NC) was processed with normal rabbit IgG antibody in place of the primary antibody. Magnification bar indicates 50 μm. Immunoreactivity for the 24p3 receptor localizes to the cytoplasm of SEB-1 sebocytes.
Western analysis confirms presence of the receptor and indicates two receptor isoforms are present in SEB-1 sebocytes: high molecular weight (H.M.W.) and 24p3R long (24p3R-L). Positive ((+); HEK 293 cell lysate) and negative ((−); T47D cell lysate) controls are shown in FIG. 5B. All samples for this blot were run on the same gel but were noncontiguous. Blot shown is representative of 3 independent experiments.
Example 12
P. acnes induces NGAL expression through TLR2 signaling.
SEB-1 sebocytes are pretreated with TLR2 neutralizing antibody, or corresponding isotype control antibody (mIgG2b) for one hour prior to treatment with 30 μg/mL P. acnes, vehicle or with TLR2 antibody alone for 24 hours. An ELISA assay for NGAL is performed on culture medium and the cell lysates. Data is analyzed using a paired Student's t-test n=4 *p<0.05. FIG. 9 is a graph showing that, in the presence of P. acnes, NGAL expression is significantly increased in both the culture medium and within cells when compared to vehicle and that, in the presence of TLR2 neutralizing antibody, P. acnes induced NGAL expression decreases; close to vehicle levels.
Example 13
NGAL expression increases in response to poly (I:C) treatment in SEB-1 sebocytes. SEB-1 sebocytes are treated with 20 μg/mL Poly (I:C), commercially available from Invivogen, San Diego, Calif., for 48 hrs. Total cell lysate is examined for NGAL expression by immunoblotting. Samples are run on same gel. FIG. 10 shows immunoblots for NGAL and the control, beta-actin, indicating that NGAL expression increases in response to poly (I:C) treatment in SEB-1 sebocytes.
Example 14
P. acnes bacterium is treated with varying concentrations of recombinantly produced human NGAL (rhNGAL) produced in E. coli (1-25 μg/mL) for 4 hours. Dilutions are plated and the percent survival is calculated relative to vehicle. Both apo-NGAL (not bound to iron) and holo-NGAL (iron bound) are produced in E. coli and are easily distinguishable from one another due to the fact that holo-NGAL has pink hue when purified and apo-NGAL does not.







TABLE V







Significantly Changed genes after one-week Isotretinoin treatment.











Probe ID
Accession #
old Δ
Gene Title
Symbol














212531_at
NM_005564
.03
lipocalin 2 (oncogene 24p3)
LCN2


205916_at
NM_002963
.20
S100 calcium binding protein A7 (psoriasin 1)
S100A7


203535_at
NM_002965
.53
S100 calcium binding protein A9 (calgranulin B)
S100A9


219874_at
NM_024628
.78
solute carrier family 12 (K/Cl transporters)
SLC12A8


206754_s_at
NM_000767
.32
cytochrome P450, family 2, subfamily B
CYP2B7P1


202376_at
NM_001085
.61
serine (or cysteine) proteinase inhibitor
SERPINA3


206392_s_at
NM_002888
.61
retinoic acid receptor responder (TIG 1)
RARRES1


221872_at
AI669229
.45
retinoic acid receptor responder (TIG 1)
RARRES1


206391_at
NM_002888
.42
retinoic acid receptor responder (TIG 1)
RARRES1


218960_at
NM_016425
.35
transmembrane protease, serine 4
TMPRSS4


206478_at
NM_014792
.27
KIAA0125
KIAA0125


219014_at
NM_016619
.21
placenta-specific 8
PLAC8


219554_at
NM_016321
.08
Rhesus blood group, C glycoprotein
RHCG


221605_s_at
AF136970
.04
pipecolic acid oxidase
PIPOX


204351_at
NM_005980
.99
S100 calcium binding protein P
S100P


218498_s_at
NM_014584
.96
ERO1-like (S. cerevisiae)
ERO1L


207367_at
NM_001676
.92
ATPase, H+/K+ transporting, nongastric, alpha
ATP12A


216598_s_at
S69738
.91
chemokine (C-C motif) ligand 2
CCL2


203423_at
NM_002899
.81
retinol binding protein 1, cellular
RBP1


219795_at
NM_007231
.69
solute carrier family 6 (amino acid transporter)
SLC6A14


210827_s_at
U73844
.67
E74-like factor 3 (ets domain transcription factor)
ELF3


221701_s_at
AF352728
.62
stimulated by retinoic acid gene 6 homolog
STRA6


204541_at
NM_012429
.57
SEC14-like 2 (S. cerevisiae)
SEC14L2


202575_at
NM_001878
.56
cellular retinoic acid binding protein 2
CRABP2


210397_at
U73945
.52
defensin, beta 1
DEFB1


205428_s_at
NM_001740
.51
calbindin 2, 29 kDa (calretinin)
CALB2


204268_at
NM_005978
.50
S100 calcium binding protein A2
S100A2


214088_s_at
AW080549
.49
fucosyltransferase 3
FUT3


214599_at
NM_005547
.49
involucrin
IVL


205926_at
NM_004843
.49
interleukin 27 receptor, alpha
IL27RA


219578_s_at
AF329403
.48
cytoplasmic polyadenylation element BP 1
CPEB1


216379_x_at
AK000168
.43
CD24 antigen
CD24


221577_x_at
BC000529
.41
growth differentiation factor 15
GDF15


213316_at
AL050154
.40
KIAA1462
KIAA1462


205185_at
NM_006846
.39
serine protease inhibitor, Kazal type 5
SPINK5


219956_at
NM_007210
.38
UDP-N-acetyl-alpha-D-galactosamine
GALNT6


212715_s_at
AB020626
.27
microtubule associated monoxygenase
MICAL3


218963_s_at
NM_015515
.26
keratin 23 (histone deacetylase inducible)
KRT23


206143_at
NM_000111
2.29
solute carrier family 26, member 3
SLC26A3


206214_at
NM_005084
2.27
phospholipase A2, group VII (PAF acetylhydrolase)
PLA2G7


206623_at
NM_000440
2.13
phosphodiesterase 6A, cGMP-specific, rod, alpha
PDE6A


206100_at
NM_001874
1.55
carboxypeptidase M
CPM


207030_s_at
NM_001321
1.50
cysteine and glycine-rich protein 2
CSRP2
















TABLE VI







Significantly Changed genes in SEB-1 sebocytes after 72 hrs 13-cis RA











Probe ID
Accession #
Fold Δ
Gene Title
Symbol














1042_at
U27185
12.25
retinoic acid receptor responder
RARRES1





(tazarotene induced) 1


33505_at
AI887421
9.89
retinoic acid receptor responder
RARRES1





(tazarotene induced) 1


32821_at
AI762213
7.04
lipocalin 2 (oncogene 24p3)
LCN2


38631_at
M92357
5.95
tumor necrosis factor, alpha-induced
TNFAIP2





protein 2


32570_at
L76465
5.91
hydroxyprostaglandin dehydrogenase 15-
HPGD





(NAD)


36105_at
M18728
4.98
carcinoembryonic antigen-related cell
CEACAM6





adhesion molecule 6 (non-specific cross





reacting antigen)


40071_at
U03688
4.64
cytochrome P450, family 1, subfamily B,
CYP1B1





polypeptide 1


859_at
U03688
4.30
cytochrome P450, family 1, subfamily B,
CYP1B1





polypeptide 1


37322_s_at
X82460
4.25
hydroxyprostaglandin dehydrogenase 15-
HPGD





(NAD)


1715_at
U37518
4.18
tumor necrosis factor (ligand) superfamily,
TNFSF10





member 10


1343_s_at
S66896
3.70
serine (or cysteine) proteinase inhibitor,
SERPINB3





clade B (ovalbumin), member 3


873_at
M26679
3.65
homeo box A5
HOXA5


988_at
X16354
3.52
carcinoembryonic antigen-related cell
CEACAM1





adhesion molecule 1 (biliary glycoprotein)


1586_at
M35878
3.43
insulin-like growth factor binding protein 3
IGFBP3


36686_at
U07919
3.29
aldehyde dehydrogenase 1 family,
ALDH1A3





member A3


33236_at
AF060228
3.22
retinoic acid receptor responder
RARRES3





(tazarotene induced) 3


37233_at
AF079167
3.08
oxidised low density lipoprotein (lectin-like)
OLR1





receptor 1


36609_at
D26443
3.06
solute carrier family 1 (glial high affinity
SLC1A3





glutamate transporter), member 3


1890_at
AB000584
3.00
growth differentiation factor 15
GDF15


33131_at
X70683
2.98
SRY (sex determining region Y)-box 4
SOX4


35064_at
X81006
2.74
tripartite motif-containing 31
TRIM31


2031_s_at
U03106
2.60
cyclin-dependent kinase inhibitor 1A (p21,
CDKN1A





Cip1)


40445_at
AF017307
2.51
E74-like factor 3 (ets domain transcription
ELF3





factor, epithelial-specific)


37821_at
AF041260
2.48
breast carcinoma amplified sequence 1
BCAS1


37533_r_at
D86980
2.46
tetratricopeptide repeat domain 9
TTC9


669_s_at
L05072
2.42
interferon regulatory factor 1
IRF1


38584_at
AF026939
2.42
interferon-induced protein with
IFIT3





tetratricopeptide repeats 3


35029_at
Y07828
2.35
tripartite motif-containing 31
TRIM31


41814_at
M29877
2.29
fucosidase, alpha-L- 1, tissue
FUCA1


909_g_at
M14660
2.23
interferon-induced protein with
IFIT2





tetratricopeptide repeats 2


36634_at
U72649
2.20
BTG family, member 2
BTG2


908_at
M14660
2.20
interferon-induced protein with
IFIT2





tetratricopeptide repeats 2


1582_at
M29540
2.18
carcinoembryonic antigen-related cell
CEACAM5





adhesion molecule 5


384_at
X71874
2.09
proteasome (prosome, macropain)
PSMB10





subunit, beta type, 10


41433_at
M73255
2.08
vascular cell adhesion molecule 1
VCAM1


39669_at
AJ009985
2.07
annexin A9
ANXA9


38389_at
X04371
2.07
2′,5′-oligoadenylate synthetase 1,
OAS1





40/46 kDa


1882_g_at
HG4058-HT4328
2.06
—
—


33559_at
U61412
1.94
PTK6 protein tyrosine kinase 6
PTK6


40511_at
X58072
1.85
GATA binding protein 3
GATA3


38388_at
M11810
1.82
2′,5′-oligoadenylate synthetase 1,
OAS1





40/46 kDa


38042_at
X03674
1.79
protein kinase C, alpha
PRKCA


902_at
L41939
1.78
EPH receptor B2
EPHB2


34162_at
D84111
1.78
RNA binding protein with multiple splicing
RBPMS


38269_at
AL050147
1.77
protein kinase D2
PRKD2


38242_at
AF068180
1.76
B-cell linker
BLNK


37383_f_at
X58536
1.71
major histocompatibility complex, class I, B
HLA-B /// HLA-C





/// major histocompatibility complex, class





I, C


39665_at
U33267
1.71
glycine receptor, beta
GLRB


881_at
M35198
1.71
integrin, beta 6
ITGB6


544_at
576638
1.70
nuclear factor of kappa light polypeptide
NFKB2





gene enhancer in B-cells 2 (p49/p100)


37643_at
X63717
1.69
Fas (TNF receptor superfamily, member 6)
FAS


33267_at
AF035315
1.66
ATPase, aminophospholipid transporter
ATP8A1





(APLT), Class I, type 8A, member 1


1562_g_at
U27193
1.66
dual specificity phosphatase 8
DUSP8


37451_at
AL109695
1.62
solute carrier organic anion transporter
SLCO3A1





family, member 3A1


35194_at
X53463
1.60
glutathione peroxidase 2 (gastrointestinal)
GPX2


34213_at
AB020676
1.59
KIBRA protein
KIBRA


40898_at
U46751
1.56
sequestosome 1
SQSTM1


322_at
D88532
1.47
phosphoinositide-3-kinase, regulatory
PIK3R3





subunit 3 (p55, gamma)


39015_f_at
L42611
−4.76
keratin 6A /// keratin 6C
KRT6A KRT6C


34721_at
U42031
−4.00
FK506 binding protein 5
FKBP5


39016_r_at
L42611
−3.85
keratin 6A /// keratin 6C
KRT6A KRT6C


33821_at
AL034374
−3.23
ELOVL family member 5, elongation of
ELOVL5





long chain fatty acids (FEN1/Elo2,





SUR4/Elo3-like, yeast)


1610_s_at
J00139
−3.12
dihydrofolate reductase
DHFR


32005_at
M57703
−2.78
pro-melanin-concentrating hormone
PMCH


39681_at
AF060568
−2.70
zinc finger and BTB domain containing 16
ZBTB16


36739_at
U54617
−2.56
pyruvate dehydrogenase kinase,
PDK4





isoenzyme 4


31691_g_at
U08997
−2.50
glutamate dehydrogenase 1
GLUD1


36922_at
X59618
−2.27
ribonucleotide reductase M2 polypeptide
RRM2


32251_at
AA149307
−2.27
transcription elongation factor A (SII)-like 4
TCEAL4


36270_at
U04343
−2.13
CD86 antigen (CD28 antigen ligand 2, B7-
CDB6





2 antigen)


39677_at
D80008
−2.04
DNA replication complex GINS protein
PSF1





PSF1


40137_at
M31724
−2.04
protein tyrosine phosphatase, non-receptor
PTPN1





type 1


34944_at
U51704
−2.04
—
—


39153_r_at
U06632
−1.96
coilin
COIL


779_at
D21337
−1.92
collagen, type IV, alpha 6
COL4A6


37062_at
S62907
−1.92
gamma-aminobutyric acid (GABA) A
GABRA2





receptor, alpha 2


32283_at
AI239869
−1.89
Iduronate 2-sulfatase
MPS2


39338_at
AI201310
−1.82
S100 calcium binding protein A10 (annexin
S100A10





II ligand, calpactin I, light polypeptide





(p11))


115_at
X14787
−1.79
thrombospondin 1
THBS1


36104_at
AA526497
−1.79
ubiquinol-cytochrome c reductase hinge
UQCRH





protein


35938_at
M72393
−1.79
phospholipase A2, group IVA (cytosolic,
PLA2G4A





calcium-dependent)


35342_at
AF052159
−1.72
protein tyrosine phosphatase-like (proline
PTPLB





instead of catalytic arginine), member b


1536_at
U77949
−1.64
CDC6 cell division cycle 6 homolog
CDC6





(S. cerevisiae)


41547_at
AF047472
−1.59
BUB3 budding uninhibited by
BUB3





benzimidazoles 3 homolog (yeast)


41529_g_at
W72239
−1.49
hypothetical protein LOC130074
LOC130074









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Any patents or publications mentioned in this specification are incorporated herein by reference to the same extent as if each individual publication is specifically and individually indicated to be incorporated by reference.
The compositions and methods described herein are presently representative of preferred embodiments, exemplary, and not intended as limitations on the scope of the invention. Changes therein and other uses will occur to those skilled in the art. Such changes and other uses can be made without departing from the scope of the invention as set forth in the claims.

## Claims

1. A method of treating acne in a subject, comprising:
administering a therapeutically effective amount of an NGAL stimulator, wherein the NGAL stimulator is selected from the group consisting of: a Toll-like receptor 2 ligand, a Toll-like receptor 3 ligand, an activator of NFκB, leukotriene B4, cholesterol oleate and interleukin-17 (IL-17), to a subject having acne.

2. The method of claim 1, wherein the activator of NFκB is selected from the group consisting of: interleukin 1-beta (IL1-beta) and tumor necrosis factor-alpha (TNF-alpha).

3. The method of claim 1, wherein the Toll-like receptor 2 ligand is N-Palmitoyl-S-[2,3-bis(palmitoyloxy)-(2RS)-propyl]-[R]-cysteinyl-[S]-seryl-[S]-lysyl-N-lysyl-[S]-lysyl-[S]-lysine.

4. The method of claim 1, wherein the Toll-like receptor 3 ligand is polyinosinic:polycytidylic acid.

5. The method of claim 1, wherein the NGAL stimulator is administered to skin affected by acne in the subject.