# Patent

## Title
Modulation of the immune response

## Abstract

Methods for increasing the numbers of regulatory T cells (Treg), e.g., in a population of T cells or in a patient.

## Background
CLAIM OF PRIORITY
This application is a continuation of U.S. patent application Ser. No. 13/745,416, filed on Jan. 18, 2013, which is a continuation of U.S. patent application Ser. No. 12/743,680, filed on Aug. 26, 2010, which is the national stage of International Application Number PCT/US2008/083016, filed on Nov. 10, 2008, and claims the benefit of U.S. Provisional Patent Application Ser. No. 60/989,309, filed on Nov. 20, 2007, and 61/070,410, filed on Mar. 21, 2008, the entire contents of which are hereby incorporated by reference.


FEDERALLY SPONSORED RESEARCH OR DEVELOPMENT
This invention was made with Government support under Grant Nos. AI435801, AI043458, and NS38037 awarded by the National Institutes of Health. The Government has certain rights in the invention.


TECHNICAL FIELD
This invention relates to methods and compositions for increasing the number and/or activity of regulatory T cells (Tregs) in vivo and in vitro.
BACKGROUND
Regulatory T cells (Treg) control the autoreactive components of the immune system. Consequently, Treg dysfunction is linked to severe autoimmunity, and compounds that increase Treg numbers or activity are expected to be useful in the treatment of autoimmune disorders such as multiple sclerosis.
Treg cells are a specialized subset of T cells involved in the control of pathogenic autoimmunity (Sakaguchi et al., Ann. Rev. Immunol., 22:531-562, 2004. The importance of Treg for immunoregulation is highlighted by the immune disorders that result from Treg depletion with antibodies (Sakaguchi et al., J. Immunol. 155, 1151-64 (1995)); as a result of the thymectomy of 3 day old newborns (Sakaguchi et al., J Exp Med. 156, 1565-76 (1982)); or treatment with diphtheria toxin in transgenic mice with a Treg-restricted expression of the diphtheria toxin receptor (Kim et al., Nat Immunol. 8, 191-7 (2007)). In addition, Treg deficiencies have been described in several autoimmune diseases such as multiple sclerosis (Viglietta et al., J. Exp. Med. 199, 971-9 (2004)), rheumatoid arthritis (Ehrenstein et al., J Exp Med. 200, 277-85 (2004)), diabetes (Brusko et al., Diabetes. 54, 1407-14 (2005); Lindley et al., Diabetes. 54, 92-9 (2005)), and lupus (Mudd et al., Scand. J. Immunol. 64(3):211-218 (2006)).
SUMMARY
The present invention is based, at least in part, on the discovery that transcription factors capable of modulating (e.g., increasing or decreasing) the expression and/or activity of the Foxp3 gene provide useful targets for therapeutic immunomodulation. Accordingly, the present invention provides, inter alia, compositions and methods for the prevention or treatment of diseases caused by an abnormal (e.g., autoimmune) or absent (e.g., including insufficient) immune response.
In one aspect, the present invention features compositions including a ligand that binds specifically to an aryl hydrocarbon receptor (AHR) transcription factor, linked to a biocompatible nanoparticle. The ligand can be, e.g., a small molecule that competes for binding to the AHR competitively with 2,3,7,8 tetrachlorodibenzo-p-dioxin (TCDD) and activates AHR-dependent signaling. In some embodiments, the ligand is 2,3,7,8 tetrachlorodibenzo-p-dioxin (TCDD), tryptamine (TA), 2-(1′H-indole-3′-carbonyl)-thiazole-4-carboxylic acid methyl ester (ITE), or 6-formylindolo[3,2-b]carbazole (FICZ).
In some embodiments, the composition also includes an inhibitor of degradation of the ligand, e.g., a monoamine oxidase inhibitor such as tranylcypromine. The inhibitor can be present on (i.e., linked to) the same nanoparticles, linked to different nanoparticles (of the same or different types) or free in solution. In some embodiments, the methods and compositions described herein include the use of a ligand that binds specifically to an aryl hydrocarbon receptor (AHR) transcription factor, and an inhibitor of degradation thereof, e.g., tryptamine and tranylcypromine, wherein neither is linked to a nanoparticle.
In some embodiments, the composition also includes an antibody that selectively binds to an antigen present on a T cell, a B cell, a dendritic cell, or a macrophage. The antibody can be present on (i.e., linked to) the same nanoparticles, linked to different nanoparticles (of the same or different types) or free in solution. In a further aspect, the invention features methods for increasing the number or activity of CD4/CD25/Foxp3-expressing T regulatory (Treg) cells in a population of T cells. The methods include contacting the population of cells with a sufficient amount of a composition comprising one or more AHR ligands selected from the group consisting of 2,3,7,8 tetrachlorodibenzo-p-dioxin (TCDD), tryptamine (TA), and 2-(1′H-indole-3′-carbonyl)-thiazole-4-carboxylic acid methyl ester (ITE), wherein the ligand is linked to a biocompatible nanoparticle, and optionally evaluating the presence and/or number of CD4/CD25/Foxp3-expressing cells in the population. The method results in an increase in the number and/or activity of regulatory T cells (Treg).
In some embodiments, the initial population of T cells includes one or both of naïve T cells or CD4+CD62 ligand+ T cells. The population of T cells can be isolated, i.e., in vitro, or in a living mammalian subject, e.g., a subject who has an autoimmune disorder, e.g., multiple sclerosis. In embodiments where the T cells are in a living subject, the methods can include administering the one or more ligands orally, mucosally, or intravenously.
In some embodiments, Treg cells generated or activated using a method described herein are administered to a subject suffering from an autoimmune disorder, in an amount sufficient to improve or ameliorate a symptom of the disorder.
Also provided herein are methods for identifying candidate compounds that increase generation or activity of regulatory T cells (Treg). The methods include providing a cell expressing a reporter construct comprising a binding sequence for the Aryl Hyrocarbon Receptor (AHR) in a mammalian Foxp3 promoter sequence, wherein said binding sequence is operably linked to a reporter gene, for example a reporter gene selected from the group consisting of luciferase, green fluorescent protein, and variants thereof; contacting the cell with a test compound; and evaluating an effect of the test compound on expression of the reporter gene. A test compound that increases or decreases expression of the reporter gene is a candidate compound that modulates generation of Treg.
The methods can optionally include measuring expression of the reporter construct in the presence of a known AHR ligand selected from the group consisting of TCDD, tryptamine, and (ITE), or a compound that binds to the AHR competitively therewith; determining whether the candidate compound competes for binding to the AHR with the known compound; and selecting the candidate compound if it binds the AHR competitively with the known compound.
In one aspect, the present invention provides methods of identifying candidate compounds that modulate the generation of regulatory T cells (Treg). These methods include providing a cell expressing a reporter construct containing a binding sequence for a transcription factor operably linked to a reporter gene. Suitable binding sequences for inclusion in the reporter construct include NKX22, AHR, EGR1, EGR2, EGR3, NGFIC, and Delta EF1. The cell is then contacted with a test compound, and the effect of the test compound on expression of the reporter gene is evaluated. A test compound that increases or decreases expression of the reporter gene is a candidate compound that modulates generation of Treg.
In another aspect, the present invention provides methods of identifying candidate compounds that modulate generation of regulatory T cells (Treg). These methods include providing a living zebrafish, e.g., a zebrafish embryo, e.g., 30 minutes after the egg is laid; contacting the zebrafish with a test compound, e.g., by putting the test compound in water in which the zebrafish is living or microinjecting the compound into an embryo; and evaluating an effect of the test compound on Foxp3 expression in the zebrafish, wherein a test compound that increases or decreases expression of Fox-3 in the zebrafish is a candidate compound that modulates generation of Treg.
In a further aspect, the present invention provides compositions comprising transcription factor ligands capable of promoting increased expression, activity, or both of a Foxp3 gene.
In yet another aspect, the present invention provides methods for increasing the numbers of Treg in a population of T cells. These methods include contacting the cell with one or more transcription factor ligands, e.g., selected from the group consisting of 2,3,7,8 tetrachlorodibenzo-p-dioxin (TCDD), tryptamine (TA), and 2-(l′H-indole-3′-carbonyl)-thiazole-4-carboxylic acid methyl ester (ITE), wherein the method results in an increase in the number and/or activity of regulatory T cells (Treg). In some embodiments, the methods include determining levels of Foxp3 expression in the cells.
In an additional aspect, the present invention provides methods for increasing the numbers of Treg in a patient. These methods include administering one or more transcription factor ligands to a patient selected for treatment, e.g., 2,3,7,8 tetrachlorodibenzo-p-dioxin (TCDD), tryptamine (TA), and/or 2-(1′H-indole-3′-carbonyl)-thiazole-4-carboxylic acid methyl ester (ITE), wherein the method results in an increase in the number and/or activity of regulatory T cells (Treg).
As used herein, “treatment” means any manner in which one or more of the symptoms of a disease or disorder are ameliorated or otherwise beneficially altered. As used herein, amelioration of the symptoms of a particular disorder refers to any lessening, whether permanent or temporary, lasting or transient of the symptoms, that can be attributed to or associated with treatment by the compositions and methods of the present invention.
The terms “effective amount” and “effective to treat,” as used herein, refer to an amount or a concentration of one or more of the compositions described herein utilized for a period of time (including acute or chronic administration and periodic or continuous administration) that is effective within the context of its administration for causing an intended effect or physiological outcome.
The term “patient” is used throughout the specification to describe an animal, human or non-human, rodent or non-rodent, to whom treatment according to the methods of the present invention is provided. Veterinary and non-veterinary applications are contemplated. The term includes, but is not limited to, mammals, e.g., humans, other primates, pigs, rodents such as mice and rats, rabbits, guinea pigs, hamsters, cows, horses, cats, dogs, sheep and goats. Typical patients include humans, farm animals, and domestic pets such as cats and dogs.
The term gene, as used herein refers to an isolated or purified gene. The terms “isolated” or “purified,” when applied to a nucleic acid molecule or gene, includes nucleic acid molecules that are separated from other materials, including other nucleic acids, which are present in the natural source of the nucleic acid molecule. An “isolated” nucleic acid molecule, such as an mRNA or cDNA molecule, can be substantially free of other cellular material, or culture medium when produced by recombinant techniques, or substantially free of chemical precursors or other chemicals when chemically synthesized.
An “isolated” or “purified” polypeptide, peptide, or protein is substantially free of cellular material or other contaminating proteins from the cell or tissue source from which the protein is derived, or substantially free from chemical precursors or other chemicals when chemically synthesized. “Substantially free” means that the preparation of a selected protein has less than about 30%, (e.g., less than 20%, 10%, or 5%) by dry weight, of non-selected protein or of chemical precursors. Such a non-selected protein is also referred to herein as “contaminating protein”. When the isolated therapeutic proteins, peptides, or polypeptides are recombinantly produced, it can be substantially free of culture medium, i.e., culture medium represents less than about 20%, (e.g., less than about 10% or 5%) of the volume of the protein preparation. The invention includes isolated or purified preparations of at least 0.01, 0.1, 1.0, and 10 milligrams in dry weight.
Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. Methods and materials are described herein for use in the present invention; other, suitable methods and materials known in the art can also be used. The materials, methods, and examples are illustrative only and not intended to be limiting. All publications, patent applications, patents, sequences, database entries, and other references mentioned herein are incorporated by reference in their entirety. In case of conflict, the present specification, including definitions, will control.
Other features and advantages of the invention will be apparent from the following detailed description and figures, and from the claims.



DESCRIPTION OF DRAWINGS
FIG. 1A is a bar graph of proliferative response to MT or ConA of splenocytes from six-month old zebrafish, 14 days after immunization with MT or PBS in IFA. Results are presented as the mean cpm+s.d. of triplicates.
FIG. 1B-1D are bar graphs of expression of CD3 (1B), IL-17 (1C) and IFNg (1D) in six month old zebrafish 14 or 28 days after immunization with zebrafish brain homogenate (zCNS) or PBS in CFA, as measured by real time PCR (mean+s.d. of triplicates).
FIG. 1E is a sequence comparison of putative FoxP3 genes of zebrafish, human and mouse. The stars indicate identity, dashes were introduced for optimal alignment. The zinc finger, leucine zipper and forkhead domains are highlighted with a blue, green or red box, respectively.
FIG. 1F is a bar graph of zFoxp3 expression in 293T cells cotransfected with constructs coding for His-labeled zFoxp3 and Renilla-labeled Foxp3. The results are normalized for the total amount of luciferase before precipitation (mean+s.d. of triplicates).
FIG. 1G is a radial gene tree showing the Foxp1, Foxp2, Foxp3 and Foxp4 proteins in mammals and fish, where the Ciona intestinalis Foxp sequence is the outgroup. The branch lengths are proportional to the distance between the sequences. Mm, Mus musculus; Hs, Homo sapiens; Dr, Danio rerio; Ga, Gasterosteus aculeatus (stickleback); Ci, Ciona intestinalis. 
FIG. 2A is a pair of bar graphs of 293T cells co-transfected with reporter constructs coding for luciferase under the control of a NF-kB or NFAT responsive promoters, and p65 NF-kB (top graph) or NFAT (bottom graph) in the presence of vectors coding for zFoxp3, Foxp3 or control (empty vector). Luciferase activity was normalized to the renilla activity of a co-transfected control (mean+s.d. of triplicates)
FIG. 2B is a pair of Western blots of 293T cells co-transfected with His-tagged zFoxp3, Foxp3 and NF-kB (top graph) or HA-flagged NFAT (bottom graph) and immunoprecipitated with antibodies to His antibodies. The precipitates were resolved by PAGE-SDS and detected by western blot with antibodies to NF-kB or HA antibodies.
FIG. 2C is a set of four graphs of MACS-purified CD4+CD25− T-cells that were transduced with a bicistronic retrovirus coding for GFP and zFoxp3 or an empty control retrovirus, and the GFP+ population was analyzed for the surface expression of (from left to right) CD25, GITR, CD152 and CD4.
FIGS. 2D(i)-(iii) and 2E(i)-(iii) are bar graphs of MACS-purified CD4+CD25− T-cells transduced with a bicistronic retrovirus coding for GFP and zFoxp3, Foxp3 or an empty control retrovirus. The GFP population was analyzed for its proliferation, IL-2 and IFNg secretion upon activation with plate bound antibodies to CD3 (mean cpm or pg/ml+s.d. in triplicate wells) and (e) its suppressive activity on the proliferation and IL-2 and IFNg secretion of mouse CD4+CD25− T-cells activated with plate-bound antibodies to CD3 (mean cpm or pg/ml+s.d. in triplicate wells).
FIG. 3A is a bar graph of expression of zFoxP3 determined by real time PCR in zebrafish monocytes, lymphocytes and erythrocytes sorted by FACS (mean+s.d. of triplicates).
FIG. 3B is a list of the conserved AHR binding site (CABS) on zebrafish, human and mouse Foxp3 sequence (SEQ ID NOs:4-6, respectively) indicated and highlighted in yellow.
FIG. 3C is a pair of bar graphs of FoxP3 (left) and AHR (right) expression in FACS sorted CD4+Foxp3:GFP+ and CD4+Foxp3:GFP− T cells as measured by real time PCR (mean+s.d. of triplicates normalized to GAPDH expression).
FIG. 3D is a bar graph of zFoxp3 expression 72 hours after TCDD was added to the water of three-day post-fertilization zebrafish embryos, as determined by real time PCR (mean+s.d. of triplicates normalized to GAPDH expression).
FIG. 3E is a bar graph of frequency of CD4+FoxP3+ T cells in the CD4+ T-cell population as determined in the draining lymph nodes by FACS from naïve C57BL/6J mice 11 days after administration of 1 mg/mouse TCDD or corn oil as control, and 10 days after the mice were immunized (or not) with 100 mg/mouse of MOG35-55/CFA (mean+s.d. of three mice).
FIG. 3F is a bar graph of proliferation of purified CD4+ T cells stimulated with plate bound antibodies to CD3 in the presence of different concentrations of TCDD for 72 hours. Cell proliferation is indicated as cpm+s.d. in triplicate wells (***P<0.0001, one-way ANOVA, n=3).
FIG. 3G is a set of three FACS plots of CD4+Foxp3:GFP T cells in the CD4+ T-cell population from Foxp3gfP knock in mice stimulated with plate bound antibodies to CD3 and CD28 for 5 days in the presence of normal media (control, left panel) TCDD (middle panel) or TGFb1 (right panel).
FIG. 3H is a bar graph of Foxp3:GFP CD4+ T-cells positive for the donor-specific marker CD90.2, isolated and analyzed by FACS from host mice that received FACS-purified CD4+Foxp3:GFP− 2D2 T cells from CD90.2 Foxp3gfp knock in donor mice treated with 1 mg/mouse of TCDD or corn oil as control and then immunized with 100 mg/mouse MOG35-55/CFA. The results are presented as the mean+s.d., five mice were included per group. *P<0.02, unpaired t-test.
FIG. 3I Sequences corresponding to non-evolutionary conserved AHR-binding sites (NCABS)-1, -2 and -3 (SEQ ID NOs:7-9, respectively).
FIG. 3J is a schematic representation of the foxp3 gene. Arrows indicate location of PCR primers used in ChIP assays, exons are depicted in red, with their number indicated below them.
FIG. 3K is a bar graph of activation of the transcription of Renilla luciferase-tagged foxp3 (BACFoxp3:Ren) by expression in EL-4 cells of mouse AHR or a constitutively activated TGFβ receptor II. Renilla activity was normalized to the luciferase activity of a co-transfected control (mean+s.d. of triplicates).
FIG. 3L is a bar graph of ChIP analysis of the interaction of AHR with NCABS and CABS in foxp3 and cyp1a1 in CD4+ T cells treated with TCDD. (c) AHR, CYP1A1 and Foxp3 expression measured by real time PCR on CD4+Foxp3:GFP− T cells (GFP−), CD4+Foxp3:GFP+ Treg (GFP+) and CD4+Foxp3:GFP+ Treg treated with resveratrol for 5 h (GFP++R) (mean+s.d. of triplicates normalized to GAPDH expression).
FIG. 3M is a bar graph of ChIP analysis of the interaction of AHR to the CABS and NCABS in foxp3 and cyp1a1 in thymic CD4+ T cells from TCDD− or control-treated mice.
FIGS. 3N(i)-(iii) are bar graphs of AHR (N(i)), CYP1A1 (N(ii)) and Foxp3 (N(iii)) expression measured by real time PCR on CD4+Foxp3:GFP− T cells (GFP−), CD4+Foxp3:GFP+ Treg (GFP+) and CD4+Foxp3:GFP+ Treg treated with resveratrol for 5 h (GFP++R) (mean+s.d. of triplicates normalized to GAPDH expression).
FIG. 3O is a bar graph of the effect of AHR-inactivation with resveratrol on the suppressive activity of CD4+Foxp3:GFP+ Treg that were FACS-sorted from naive Foxp3gfp mice, assayed using CD4+Foxp3:GFP− cells activated with antibodies to CD3 as effector T cells in the presence of resveratrol. Cell proliferation is indicated as cpm+s.d. in triplicate wells.
FIG. 3P is a bar graph of MOG35-55-specific suppressive activity of Treg purified from TCDD or control-treated mice, assayed using CD4+Foxp3:GFP− 2D2 T cells. Cell proliferation is indicated as cpm+s.d. in triplicate wells.
FIG. 3Q is a bar graph of suppressive activity of natural Treg, or Treg induced with TGFβ1 (TGFb1) or TCDD (TCDD). Cell proliferation is indicated as cpm+s.d. in triplicate wells.
FIG. 3R is a bar graph showing the effect of AHR activation with TCDD on the proliferation of CD4+Foxp3:GFP+ Treg and CD4+Foxp3:GFP− T cells that were FACS-sorted from naive Foxp3gfp mice. Cell proliferation is indicated as cpm+s.d. in triplicate wells.
FIG. 3S is a bar graph of the effect of AHR-activation with TCDD on the suppressive activity of CD4+Foxp3:GFP+ Treg that were FACS-sorted from naive Foxp3gfp mice, assayed using CD4+Foxp3:GFP− cells activated with antibodies to CD3 as effector T cells in the presence of resveratrol. Cell proliferation is indicated as cpm+s.d. in triplicate wells.
FIG. 4A is a line graph showing the effect on EAE of TCDD, or oil as control, administered ip to C57BL/6 mice. EAE was induced 24 hours later by immunization with MOG35-55/CFA. The course of EAE in these mice is shown as the mean EAE score+s.e.m. (P<0.001, two-way ANOVA, n=6).
FIG. 4B is a line graph showing the effect on EAE of TCDD, or oil as control, administered ip to C57BL/6 wild type or AHR-mt mice. EAE was induced 24 hours later by immunization with MOG35-55/CFA. The course of EAE in these mice is shown as the mean EAE score+s.e.m. (P<0.001, two-way ANOVA, n=10).
FIGS. 4C-D are bar graphs of the proliferative response to MOG35-55 (4C) or antibodies to CD3 (4D) of lymph node cells taken from TCDD or control treated animals 10 days after immunization with MOG35-55/CFA. Cell proliferation is indicated as cpm+s.d. in triplicate wells.
FIGS. 4E(i)-(iii) are bar graphs of cytokine secretion (expressed as pg/ml) triggered by MOG35-55 in lymph node cells taken from TCDD or control treated animals 10 days after immunization with MOG35-55/CFA.
FIGS. 4F(i)-(ii) are bar graphs showing the decreased frequency of CD4+IL17+ and CD4+IFNg+ T cells associated to the inhibition of EAE by AHR activation with TCDD. Draining lymph node cells were isolated from TCDD or control treated mice 10 days after immunization with MOG35-55/CFA, activated with MOG35-55, and stained for intracellular Foxp3, IL-17 or IFNg. Data represent the mean percentage of cytokine+ cells within the effector CD4+Foxp3− T cell population+s.d., five mice were included per group. *P<0.04, unpaired t-test.
FIGS. 4G-I are bar graphs showing that AHR activation by TCDD inhibits CNS inflammation, demyelination and axonal loss. Briefly, quantification of the cellular infiltrate, demyelination and axonal loss on the spinal cord of TCDD-treated and control mice. Spinal cords were taken on day 19 after EAE induction and stained with hematoxylin & eosin, luxol fast blue or silver stain to quantify the cellular infiltrate (g), demyelination (h) and axonal loss (i), respectively. The effect of TCDD-treatment was analyzed using Student's t-test.
FIG. 5A is a bar graph illustrating the effects on EAE of TCDD, or oil as control, administered ip to C57BL/6 mice. EAE was induced 24 hours later by immunization with MOG35-55/CFA. The frequency of CD4+FoxP3+ T cells in the spleen CD4+ T-cell population was determined 21 days after EAE induction by FACS (mean+s.d. of five mice). *P<0.02, unpaired t-test.
FIG. 5B is a bar graph illustrating the proliferative response to MOG35-55 of CD4+CD25− lymph node cells taken from TCDD or control treated animals 10 days after immunization with MOG35-55/CFA. Cell proliferation is indicated as cpm+s.d. in triplicate wells.
FIG. 5C is a line graph of EAE scores in mice treated with CD4+ or CD4+CD25− T cells (5×106) that were purified from TCDD or control treated mice 10 days after immunization with MOG35-55/CFA. After 1 day, EAE was induced in the recipient mice with MOG35-55/CFA. The course of EAE in these mice is shown as the mean EAE score+s.e.m. (P<0.001, two-way ANOVA, n=4).
FIG. 5D is a bar graph showing the proliferative response of lymph node cells taken from TCDD-treated animals 10 days after immunization with MOG35-55/CFA, activated in vitro with MOG35-55 in the presence of blocking antibodies to IL-4, IL-10, TGFb or isotype control. Cell proliferation is indicated as cpm+s.d. in triplicate wells.
FIG. 5E is a line graph of EAE in naïve wild type (WT) or dominant negative TGFbRII mice injected with CD4+ T cells (5×106) purified from TCDD or control treated mice 10 days after immunization with MOG35-55/CFA. After 1 day, EAE was induced in the recipient mice with MOG35-55/CFA. The course of EAE in these mice is shown as the mean EAE score+s.e.m. (P<0.001, two-way ANOVA, n=4).
FIG. 5F is a bar graph of proliferation to MOG35-55 of CD4+Foxp3:GFP− lymph node cells from TCDD− or control-treated Foxp3gfp mice, (cpm+s.d. in triplicate wells).
FIG. 5G is a bar graph of the recall cytokine response to MOG35-55 of CD4+Foxp3:GFP− lymph node cells taken from TCDD or control treated Foxp3gfp mice 10 days after immunization with MOG35-55/CFA. Cytokine secretion is expressed as pg/m in triplicate wells.
FIG. 5H is a line graph of clinical EAE scores. TCDD-treated mice showed a significant delay in the onset of EAE (P=0.03, Student's t-test, n=9).
FIG. 5I is a pair of FACS plots from draining lymph node cells recovered on day 18, stimulated with PMA/ionomycin and stained for CD4 and intracellular IL-17 and IFNγ. The numbers in the quadrants show percentages of cytokine positive cells in the CD4+Foxp3:GFP− T cell gate. Treatment with TCDD led to a significant decrease in the frequency of CD4+ IL-17+ T cells (P=0.03, Student's t-test, n=4).
FIGS. 6A-C are bar graphs showing that endogenous AHR ligands control EAE development. 6A, the frequency of CD4+Foxp3+ T cells in the CD4+ T-cell population was determined by FACS in the blood of wild type C57BL/6 and AHR-mt mice, and is presented as the mean+s.d. (n=5-11, P<0.03 t-test). 6B, EAE was induced in wild type C57BL/6J and AHR-mt mice by immunization with MOG35-55/CFA. The course of EAE is shown as the mean EAE score+s.e.m. (P<0.001, two-way ANOVA, n=6-8. 6C, ITE (100 mg/mouse), TA (100 mg/mouse) or PBS as a control were administered on daily basis to C57BL/6 mice. One day after the first administration, EAE was induced by immunization with MOG35-55/CFA. The course of EAE is shown as the mean EAE score+s.e.m. (P<0.001, two-way ANOVA, n=9).
FIGS. 7A-B show the results of phylogenetic footprinting for the identification of putative TFBS. The genomic sequences of human, mouse, rat, dog and zebrafish Foxp3 were analyzed by phylogenetic footprinting. 7A presents a phylogenetic tree; Tree distances are in # of substitutions per 1 kb. 7B is a graph illustrating the dynamic visualization of the location of putative TFBS conserved between human (SEQ ID NO: 1) and zebrafish (SEQ ID NO: 2).
FIGS. 8A-E and 9A-E are bar graphs showing expression levels of transcription factors in cells transfected with Foxp3. FIGS. 8A-E show an increase in FOXP3 (8A) and NKX2.2 (8B), and a decrease in EGR1 (8C), EGR2 (8D), and EGR3 (8E) in transfected cells. FIGS. 9A-D show an increase in NKX2.2, and a decrease in EGR1, EGR2, and EGR3 expression in Foxp3 transfected cells at days 3 and 6.
FIG. 10 is a list of the binding sites of NKX22, EGR1, EGR2, EGR3, NGFIC and Delta EF1 in the mouse Foxp3 gene, relative to the numbering of the gene as shown in GenBank Acc. No. NT 039700.6. (SEQ ID NOs:10-137).
FIGS. 11A-G are a list of all the AHR binding sites on the mouse Foxp3 gene, GenBank Acc. No. NT 039700.6; SEQ ID NO:138.
FIGS. 12A-F is the genomic sequence of the zebrafish Foxp3, NW_644989.1 (SEQ ID NO:139).
FIG. 13 is a bar graph showing the effect of the monoamine oxidase inhibitor Tranylcypromine on the suppression of EAE by TA. C57BL/6 mice (4-7/group) were treated with TA or TA and Tranylcypromine (INH), EAE was induced and the mice were monitored for the development of EAE.
FIG. 14 is a bar graph of the expression of a renilla-tagged mouse foxp3 locus on zebrafish embryos in the presence of increasing amounts of TCDD.
FIGS. 15A-B are bar graphs of IP- and oral-ITE suppression of EAE. EAE was induced in B6 mice (n=10), the mice were treated daily with ITE (200 μg/mouse) or vehicle administered orally or intraperitoneally, and the mice were scored for EAE development on daily basis.
FIGS. 16A-B and 17A-B are FACS plots (16A-B) and bar graphs (17A-B) showing the induction of FoxP3+ Treg by IP administration of ITE. EAE was induced in B6 mice (n=10), the mice were treated with ITE or vehicle, and Treg levels were analyzed by FACS on splenocytes at day 17 after EAE induction.
FIGS. 18A-B and 19A-B are FACS plots (18A-B) and bar graphs (19A-B) showing the induction of FoxP3+ Treg by oral administration of ITE. EAE was induced in B6 mice (n=10), the mice were treated with ITE or vehicle, and Treg levels were analyzed by FACS on splenocytes at day 17 after EAE induction.
FIGS. 20A and B are FACS plots (20A) and bar graphs (20B) showing the: induction of FoxP:GFP3+ Treg by IP administration of ITE to FoxP3gfp mice. B6 mice (n=3), the mice were treated with ITE or vehicle, immunized with CFA/MOG35-55 and Treg levels were analyzed by FACS on splenocytes 10 days after immunization.
FIGS. 21A and B are FACS plots (21A) and bar graphs (21B) showing the: induction of FoxP:GFP3+ Treg by IP administration of ITE to FoxP3gfP mice. B6 mice (n=3), the mice were treated with ITE or vehicle, immunized with CFA/MOG35-55 and Treg levels were analyzed by FACS on blood 10 days after immunization
FIGS. 22A and B are line graphs showing that IP-ITE suppresses the recall response to MOG. EAE was induced in 136 mice (n=3), the mice were treated with ITE or vehicle, and the recall response to MOG35-55 (22A) or αCD3 (22B) on splenocytes was analyzed at day 17 after EAE induction.
FIG. 22C is a set of six bar graphs of cytokine expression in the same cells as in 22A and B.
FIGS. 23A and B are a line graph (23A) and a set of six bar graphs (23B) showing that IP-ITE interferes with the generation of TH1 and TH17 cells. EAE was induced in B6 mice (n=3), the mice were treated with ITE or vehicle, and the induction of TH1 and TH17 cells was followed at day 17 after EAE induction by FACS and by ELISA.
FIGS. 24A and B are FACS plots (24A) and bar graphs (24B) showing that oral-ITE decreases the recall response to MOG. EAE was induced in B6 mice (n=3), the mice were treated with ITE or vehicle, and the recall response to MOG35-55 (left panels) or αCD3 (right panels) on splenocytes was analyzed at day 17 after EAE induction.
FIGS. 25A and B are FACS plots IP-ITE increases the Treg:Teff ratio of MOG35-55 specific T cells. FoxP3gfp mice (n=3) were immunized with MOG35-55 and treated with ITE (lower panels of 25A) or vehicle (upper panels of 25A), and the frequency of MOG35-55-specific Treg and Teff cells was followed by FACS at day 10 after immunization.
FIG. 26 is a set of four line graphs showing that IP-ITE suppresses the CD4+ T cell response to MOG35-55. FoxP3gfp mice (n=3) were immunized with MOG35-55 and treated with ITE or vehicle, and the recall response of sorted T cell populations was analyzed at day 10 after immunization.
FIGS. 27A and B are bar graphs showing that IP-ITE potentiates MOG35-55-specific Treg activity. FoxP3gfp mice (n=3) were immunized with MOG35-55 and treated with ITE or vehicle, FoxP3:GFP+ Treg were FACS-sorted 10 days after immunization and their suppressive activity was evaluated using 2D2 FoxP3:GFP− T cells as responders. FIG. 27C is a bar graph showing that this effect could be inhibited with antibodies blocking antibodies to TGFb1.
FIG. 28 is a pair of line graphs showing that CD4+ T cells can transfer the protection against EAE induced by IP and oral-ITE. T cells were sorted out from EAE B6 mice treated with vehicle or ITE on day 20 after disease induction, 3 million cells were transferred to naïve B6 mice (n=5) and EAE was induced in the recipients 2 days after the cell transfer.
FIG. 29 is a set of six FACS plots showing modulation of APC populations by IP-ITE. EAE was induced in B6 mice (n=3), the mice were treated with ITE or vehicle, and APC were analyzed by FACS on splenocytes at day 17 after EAE induction.
FIG. 30 is a line graph showing that weekly administration of ITE fails to suppress EAE development. EAE was induced in B6 mice (n=10) and the mice were treated daily or weekly with 200 μg/mouse of ITE or vehicle.
FIG. 31 is a schematic diagram of gold nanoparticles for AHR-ligand delivery.
FIG. 32 is a pair of graphs showing the functionality of gold nanoparticles containing AHR-ligands. Nanoparticles were evaluated for their ability to activate the luciferase activity of an AHR reporter cell line.
FIG. 33 is a bar graph showing modulation of EAE by AHR-ligand nanoparticles. EAE was induced in B6 mice (n=5), the mice were treated with nanoparticles weekly starting from day 0, and the animals were followed for signs of EAE.
FIG. 34 is a set of nine FACS plots showing induction of FoxP3+ Treg by nanoparticle-mediated delivery of ITE. EAE was induced in B6 mice (n=5), the mice were treated with nanoparticles weekly starting from day 0, and Treg levels were analyzed by FACS on splenocytes at day 22 after EAE induction.
FIGS. 35A and B show nanoparticle-mediated delivery of ITE suppresses the recall response to MOG. EAE was induced in B6 mice (n=5), the mice were treated with ITE or vehicle, and the recall response to MOG35-55 (35A, top) or αCD3 (35A, bottom) on splenocytes was analyzed at day 22 after EAE induction. FIG. 35B shows the cytokine response in the same cells.
FIG. 36 is a set of FACS plots showing induction of human CD4+ FoxP3+ T cells by TCDD. CD4+CD62L+CD45RO− T cells were isolated by FACS and differentiated in vitro for 5 days with antibodies to CD3 and CD28 in the presence of TCDD 100 nM or TGFβ1 2.5 ng/ml or both.
FIG. 37 is a set of four FACS plots demonstrating heterogeneity in the induction of human CD4+ FoxP3+ T cells by TCDD. CD4+ CD62L+ CD45RO− T cells were isolated by FACS and differentiated in vitro for 5 days with antibodies to CD3 and CD28 in the presence of TCDD 100 nM or TGFβ1 2.5 ng/ml or both.
FIG. 38 is a pair of bar graphs showing activation of human T cells in the presence of TCDD induces suppressive T cells. CD4+CD62L+CD45RO− T cells were isolated by FACS and differentiated in vitro for 5 days with antibodies to CD3 and CD28 in the presence of TCDD or TGFβ1 2.5 ng/ml or both, and after re-purification by FACS, CD4+ CD25High and CD4+CD25Low T cells were assayed for their suppressive activity on non-treated effector T cells activated with antibodies to CD28 and CD3.
FIG. 39 is a: FoxP3 expression by in vitro differentiated human T cells. CD4+ CD62L+ CD45RO− T cells were isolated by FACS and differentiated in vitro for 5 days with antibodies to CD3 and CD28 in the presence of TCDD 100 nM or TGFβ1 2.5 ng/ml or both, and FoxP3 expression was analyzed by real-time PCR on CD25High or CD25′° w sorted CD4 T cells.
FIG. 40 is a pair of bar graphs showing AHR expression by in vitro differentiated human T cells. CD4+CD62L+CD45RO− T cells were isolated by FACS and differentiated in vitro for 5 days with antibodies to CD3 and CD28 in the presence of TCDD 100 nM or TGFβ1 2.5 ng/ml or both, and AHR expression was analyzed by real-time PCR on CD25High or CD25Low sorted CD4 T cells.
FIG. 41 is a pair of bar graphs showing IL-10 production by in vitro differentiated human T cells. CD4+CD62L+CD45RO− T cells were isolated by FACS and differentiated in vitro for 5 days with antibodies to CD3 and CD28 in the presence of TCDD 100 nM or TGFβ1 2.5 ng/ml or both, and IL-10 production was analzyed by real-time PCR on CD25High or CD25Low sorted CD4 T cells.
FIG. 42 is a bar graph showing the suppressive activity of human CD4+ CD25High T cells induced with TCDD is dependent on IL-10. CD4+CD62L+ CD45RO− T cells were isolated by FACS and differentiated in vitro for 5 days with antibodies to CD3 and CD28 in the presence of TCDD or TGFβ1 2.5 ng/ml or both, and after re-purification by FACS, CD4+ CD25High T cells were assayed for their suppressive activity on non-treated effector T cells activated with antibodies to CD28 and CD3 in the presence of blocking antibodies to IL-10.



DETAILED DESCRIPTION
Because of the importance of the central role Tregs play in immunomodulation, characterization of the pathways and identification of compounds capable of modulating these pathways, e.g., to promote the generation (e.g., differentiation of cells to or towards) Treg cells or that promote increased activity of Tregs is important for the treatment of, e.g., autoimmunity, infections and cancer.
The present invention provides, inter alia, compositions and methods useful for therapeutic immunomodulation.
Accordingly, the present invention is based, at least in part, on the discovery that modulation of the AhR by compounds described herein can be used to modulate (e.g., increase or decrease the number and/or activity of) immunomodulatory cells in vitro and in vivo.
In some embodiments, the present invention is based on the identification of the ligand-activated transcription factor aryl hydrocarbon receptor (AHR) as a Foxp3 dependent regulator of Treg differentiation (e.g., generation) and/or activity in vitro and in vivo. Also described herein are ligands of a transcription factor (e.g., AHR) that cause increased Treg expression and/or activity. More specifically, the data presented herein demonstrates the use of AHR-specific ligands, e.g., the high affinity AHR ligand 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD), tryptamine (TA), and/or 2-(1′H-indole-3′-carbonyl)-thiazole-4-carboxylic acid methyl ester (ITE), to promote an increase in the number and/or activity of Treg immunomodulatory cells, which will be useful to suppress the immune response in the treatment of diseases or disorders caused by an abnormal (e.g., an excessive, elevated, or inappropriate) immune response, e.g., an autoimmune disease or disorder. Surprisingly, effective doses of TCDD can be administered intravenously or orally.
Other potentially useful AHR transcription factor ligands are described in Denison and Nagy, Ann. Rev. Pharmacol. Toxicol., 43:309-34, 2003, and references cited herein, all of which are incorporated herein in their entirety. Other such molecules include planar, hydrophobic HAHs (such as the polyhalogenated dibenzo-pdioxins, dibenzofurans, and biphenyls) and PAHs (such as 3-methylcholanthrene, benzo(a)pyrene, benzanthracenes, and benzoflavones), and related compounds. (Denison and Nagy, 2003, supra). Nagy et al., Toxicol. Sci. 65:200-10 (2002), described a high-throughput screen useful for identifying and confirming other ligands. See also Nagy et al., Biochem. 41:861-68 (2002). In some embodiments, those ligands useful in the present invention are those that bind competitively with TCDD, TA, and/or ITE.
In some embodiments, the present invention provides methods useful for identifying transcription factors (e.g., ligand-activated transcription factors) and/or ligands (e.g., ligands capable of promoting an increased association between a ligand-activated transcription factor and Foxp3) capable of modulating (e.g., increasing or decreasing) Foxp3 expression or activity.
Therapeutic Sequences
As stated above, the present invention includes the identification of specific transcription factor binding sites in the Foxp3 gene. These binding sites include, i.e., NKX22, AHR, EGR1, EGR2, EGR3, NGFIC, and Delta EF1. As described herein, manipulating activity and/or levels of those TFs can alter expression of Foxp3, and thus modulate (e.g., promote) generation and/or increased activity of Treg in vivo and in vitro. Compounds that modulate the activity and/or levels of those TFs to increase generation and/or activity of Treg are useful, e.g., in the treatment of disorders in which it is desirable to decrease an aberrant immune response, e.g., autoimmune diseases.
Sequences useful in the methods described herein include, but are not limited to, e.g., NKX22, AHR, EGR1, EGR2, EGR3, NGFIC and Delta EF1 sequences, and TF binding sequences therefore, all of which are known in the art. In some embodiments, the methods include the use of nucleic acids or polypeptides that are at least 80% identical to a human NKX22, AHR, EGR1, EGR2, EGR3, NGFIC, or Delta EF1 sequence, e.g., at least 80%, 85%, 90%, or 95% identical to a human sequence as described herein.
To determine the percent identity of two sequences, the sequences are aligned for optimal comparison purposes (e.g., gaps can be introduced in one or both of a first and a second amino acid or nucleic acid sequence for optimal alignment and non-homologous sequences can be disregarded for comparison purposes). The length of a reference sequence aligned for comparison purposes is at least 60%, e.g., at least 70%, 80%, 90%, 100% of the length of the reference 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, taking into account the number of gaps, and the length of each gap, which need to be introduced for optimal alignment of the two sequences.
The comparison of sequences and determination of percent identity between two sequences can be accomplished using a mathematical algorithm. In the present methods, the percent identity between two amino acid sequences is determined using the Needleman and Wunsch ((1970) J. Mol. Biol. 48:444-453) algorithm which has been incorporated into the GAP program in the GCG software package (available on the world wide web at gcg.com), using a Blossum 62 scoring matrix with a gap penalty of 12, a gap extend penalty of 4, and a frameshift gap penalty of 5.
Active fragments of TFs useful in the methods described herein are those fragments that bind to the same DNA sequence (e.g., promoter sequence) that the full-length TF binds to, and has at least 30% of the transcription initiating activity of the full-length TF, e.g., at least 40%, 50%, 60%, 70%, 80%, 90% or more of the activity of the full-length protein, on the same promoters and the same genes as the full-length protein.
Foxp3
At least in some species, Treg differentiation and function is driven by the transcription factor Foxp3 (Fontenot et al., Nat. Immunol., 4:330-336, 2003; Hori et al., Science, 299:1057-61, 2003). Foxp3 may also be important for human Treg; mutations in Foxp3 have been linked to various immunological conditions (e.g., autoimmune conditions), for example, autoimmune syndrome immune dysregulation, polyendocrinopathy, and enteropathy X-linked (IPEX) (Chatila et al., J. Clin. Invest., 106:R75-81 (2000); Gavin et al., Proc. Natl. Acad. Sci. U.S.A., 103: 6659-64 (2006)). In humans, Foxp3-negative Tregs have also been described, see, e.g., Roncarolo and Gregori, Eur J Immunol. 38, 925 (2008).
Exemplary human Foxp3 mRNA sequences are known in the art and include Genbank Acc. No. NM_014009.2; the amino acid sequence of the protein is Genbank Acc. No. NP_054728.2. The sequence of the human Foxp3 gene can be found at NC_000023.9; the mouse gene is at NT_039700.6. The Foxp3 promoter has been identified and sequenced, see, e.g., Mantel et al., J. Immunol. 176 (6): 3593 (2006). All of the binding sites for AHR in the mouse Foxp3 gene are highlighted, e.g., in FIGS. 11A-G; the binding sites for the other TFs are identified in FIGS. 10A-B.
Transcription Factors that Increase Transcription of Foxp3
As described herein, NKX22, AHR, and Delta EF1 increase transcription of Foxp3. Therefore, compounds that increase levels and/or activity of these TFs would increase the generation and/or activity of Treg. Conversely, compounds that decrease levels and/or activity of these TFs would be expected to decrease generation of Tregs, thereby increasing the immune response.
AHR
Exemplary human AhR mRNA sequences are known in the art and include Genbank Acc. No. NM_001621.3; the amino acid sequence of the protein is Genbank Acc. No. NP_001612.1. Active fragments of AhR are DNA binding fragments with transcription activity, and contain at least one PAS region, e.g., amino acids 122-224 or 282-381 of NP_001612.1. Consensus recognition sequences that bind AhR include the sequence TNGCGTG.
DeltaEF1
Exemplary human DeltaEF1 mRNA sequences are known in the art and include Genbank Acc. No. NM_030751.3; the amino acid sequence of the protein is Genbank Acc. No. NP_110378.2. Consensus recognition sequences that bind DeltaEF1 include the sequences CACCT and CACCTG (Sekido et al., Genes Cells 2:771-783 (1997)).
NKX2.2
Exemplary human NKX2.2 mRNA sequences are known in the art and include Genbank Acc. No. NM_002509.2; the amino acid sequence of the protein is Genbank Acc. No. NP_002500.1. Consensus recognition sequences that bind NKX2.2 include the sequences ACTTGAT and T(T/C)AAGT(A/G)(C/G)TT (SEQ ID NO:140)(Watada et al., Proc. Natl. Acad. Sci. U.S.A. 97(17):9443-9448 (2000))
Transcription Factors that Decrease Transcription of Foxp3
As described herein, EGR1, EGR2, EGR3, and NGFIC (EGR4) decrease transcription of Foxp3. Therefore, compounds that increase levels and/or activity of these TFs would decrease generation of Tregs, thereby increasing the immune response. Conversely, compounds that decrease levels and/or activity of these TFs would be expected to increase generation of Tregs, reducing the immune response.
EGR1
The sequence of human egr1 protein is available in the GenBank database at Accession No. NP_001955.1; the mRNA is at Accession No. NM 001964.2.
Additional information regarding egr1 can be found on the internet at ncbi.nlm.nih.gov, in the UniGene database at UniGene Hs.326035, and in the Entrez Gene database at GeneID: 1958. Consensus recognition sequences that bind EGR1 include the sequence 5′GCG(G/T)GGGCG3′ (SEQ ID NO:141) (Nakagama et al., Mol. Cell. Biol., 15 (3):1489-1498 (1995)).
Active fragments of egr1 include those portions of the protein that bind DNA, e.g., one or more of the two C2H2 type DNA-binding zinc fingers (see, e.g., Sukhatme et al., 1988, supra), e.g., amino acids 338-362 and/or 368-390 of GenBank Acc. No. NP_001955.1. Exemplary active fragments are described in Huang et al., Cancer Res. 1995; 55(21):5054-5062, and in Jain et al., J. Biol. Chem. 1996; 271(23):13530-6.
Inhibitors of egr-1 are described in WO2007/118157.
EGR2
The sequence of human egr2 protein is available in the GenBank database at Accession No. NP_000390.2; the mRNA is at Accession No. NM_000399.2. Consensus recognition sequences that bind EGR2 include the sequences GCGGGGGCG (SEQ ID NO:142) and T-G-C-G-T/g-G/A-G-G-C/a/t-G-G/T (SEQ ID NO:143)(lowercase letters indicate bases selected less frequently) (Swirnoff and Milbrandt, Mol. Cell. Biol. 15:2275-2287 (1995)).
EGR3
The sequence of human egr3 protein is available in the GenBank database at Accession No. NP_004421.2; the mRNA is at Accession No. NM_004430.2. The gen
Consensus recognition sequences that bind EGR3 include the sequences GCGGGGGCG (SEQ ID NO:142) and T-G-C-G-T/g-G/A-G-G-C/a/t-G-G/T (SEQ ID NO:143) (lowercase letters indicate bases selected less frequently) (Swirnoff and Milbrandt, Mol. Cell. Biol. 15:2275-2287 (1995)).
NGFIC (EGR4)
Exemplary human NGFIC mRNA sequences are known in the art and include Genbank Acc. No. NM_001965.2; the amino acid sequence of the protein is Genbank Acc. No. NP_001956.2. See Crosby et al., Mol Cell Biol. 11(8):3835-41 (1991).
Consensus recognition sequences that bind NGFIC include the sequences GCGGGGGCG (SEQ ID NO:142) and T-G-C-G-T/g-G/A-G-G-C/a/t-G-G/T (SEQ ID NO:143) (lowercase letters indicate bases selected less frequently) (Swirnoff and Milbrandt, Mol. Cell. Biol. 15:2275-2287 (1995)).
Methods of Identifying Compounds that Modulate Expression, Levels or Activity of One or More of NKX22, AHR, EGR1, EGR2, EGR3, NGFIC and Delta EF1
A number of methods are known in the art for evaluating whether a compound alters expression, levels or activity of one or more of NKX22, AHR, EGR1, EGR2, EGR3, NGFIC, and/or Delta EF1.
Methods of assessing expression are well known in the art and include, but are not limited to, Northern analysis, ribonuclease protection assay, reverse transcription-polymerase chain reaction (RT-PCR), real time PCR, and RNA in situ hybridization (see, e.g., Sambrook et al., Molecular Cloning: A Laboratory Manual, 3rd Ed., Cold Spring Harbor Laboratory Press (2001)). Levels of peptides can be monitored by, e.g., Western analysis, immunoassay, or in situ hybridization. Activity, e.g., altered promoter binding and/or transcription activity, can be determined by, e.g., electrophoretic mobility shift assay, DNA footprinting, reporter gene assay, or a serine, threonine, or tyrosine phosphorylation assay. In some embodiments, the effect of a test compound on expression, level or activity is observed as a change in glucose tolerance or insulin secretion of the cell, cell extract, co-culture, explant, or subject. In some embodiments, the effect of a test compound on expression, level, or activity of one or more of NKX22, AHR, EGR1, EGR2, EGR3, NGFIC, and/or Delta EF1, is evaluated in a transgenic cell or non-human animal, or explant, tissue, or cell derived therefrom, having altered glucose tolerance or insulin secretion, and can be compared to a control, e.g., wild-type animal, or explant or cell derived therefrom.
The effect of a test compound on expression, level, or activity can be evaluated in a cell, e.g., a cultured mammalian cell, a pancreatic beta cell, cell lysate, or subject, e.g., a non-human experimental mammal such as a rodent, e.g., a rat, mouse, or rabbit, or a cell, tissue, or organ explant, e.g., pancreas or pancreatic cells.
In some embodiments, the ability of a test compound to modulate level, expression or activity of one or more of NKX22, AHR, EGR1, EGR2, EGR3, NGFIC and/or Delta EF1 is evaluated in a knockout animal, or other animal having decreased expression, level, or activity of one or more of NKX22, AHR, EGR1, EGR2, EGR3, NGFIC and/or Delta EF1 conditional knockout transgenic animal.
In some embodiments, the ability of a test compound to modulate, e.g., increase or decrease, e.g., permanently or temporarily, expression from one or more of NKX22, AHR, EGR1, EGR2, EGR3, NGFIC, and/or Delta EF1 promoter can be evaluated by, e.g., a routine reporter (e.g., LacZ or GFP) transcription assay. For example, a cell or transgenic animal whose genome includes a reporter gene operably linked to an NKX22, AHR, EGR1, EGR2, EGR3, NGFIC and/or Delta EF1 promoter can be contacted with a test compound; the ability of the test compound to increase or decrease the activity of the reporter gene or gene product is indicative of the ability of the compound to modulate expression of the TF. In another example, a cell or transgenic animal whose genome includes a reporter gene operably linked to a promoter comprising a recognition sequence for one of those TFs, e.g., all or a portion of the Foxp3 promoter comprising recognition sequences for one of those TFs, can be contacted with a test compound; the ability of the test compound to increase or decrease the activity of the reporter gene or gene product is indicative of the ability of the compound to modulate activity of the TF.
The test compound can be administered to a cell, cell extract, explant, or subject (e.g., an experimental animal) expressing a transgene comprising an NKX22, AHR, EGR1, EGR2, EGR3, NGFIC, and/or Delta EF1 promoter or recognition sequence fused to a reporter such as GFP or LacZ (see, e.g., Nehls et al., Science, 272:886-889 (1996), and Lee et al., Dev. Biol., 208:362-374 (1999), describing placing the beta-galactosidase reporter gene under control of the whn promoter). Enhancement or inhibition of transcription of a transgene, e.g., a reporter such as LacZ or GFP, as a result of an effect of the test compound on the promoter or factors regulating transcription from the promoter, can be used to assay an effect of the test compound on transcription of one or more of the TFs identified herein. Reporter transcript levels, and thus promoter activity, can also be monitored by other known methods, e.g., Northern analysis, ribonuclease protection assay, reverse transcription-polymerase chain reaction (RT-PCR) or RNA in situ hybridization (see, e.g., Cuncliffe et al., Mamm. Genome, 13:245-252 (2002); Sambrook et al., Molecular Cloning: A Laboratory Manual, 3rd Ed., Cold Spring Harbor Laboratory Press (2001)). Test compounds can also be evaluated using a cell-free system, e.g., an environment including a promoter-reporter transgene (e.g., an ARNT promoter-LacZ transgene), transcription factors binding the promoter, a crude cell lysate or nuclear extract, and one or more test compounds (e.g., a test compound as described herein), wherein an effect of the compound on promoter activity is detected as a color change.
In one embodiment, the screening methods described herein include the use of a chromatin immunoprecipitation (ChIP) assay, in which cells, e.g., pancreatic beta cells, expressing one or more of the TFs identified herein, are exposed to a test compound. The cells are optionally subjected to crosslinking, e.g., using UV or formaldehyde, to form DNA-protein complexes, and the DNA is fragmented. The DNA-protein complexes are immunoprecipitated, e.g., using an antibody directed to one or more of the TFs identified herein. The protein is removed (e.g., by enzymatic digestion) and analyzed, e.g., using a microarray. In this way, changes in binding of the transcription factor to its target genes can be evaluated, thus providing a measure of activity of the TFs identified herein.
Test Compounds
Test compounds for use in the methods described herein are not limited and can include crude or partially or substantially purified extracts of organic sources, e.g., botanical (e.g., herbal) and algal extracts, inorganic elements or compounds, as well as partially or substantially purified or synthetic compounds, e.g., small molecules, polypeptides, antibodies, and polynucleotides, and libraries thereof.
A test compound that has been screened by a method described herein and determined to increase expression, levels, or activity of one or more of the TFs described herein can be considered a candidate compound for the treatment of a disorder treatable with immune therapy (i.e., by increasing or decreasing control of the immune response by increasing or decreasing levels of Treg), e.g., cancer, or an autoimmune disorder. A candidate compound that has been screened, e.g., in an in vivo model of a disorder treatable with immune therapy, e.g., cancer, or an autoimmune disorder, and determined to have a desirable effect on the disorder, e.g., on one or more symptoms of the disorder, can be considered a candidate therapeutic agent. Candidate therapeutic agents, once screened and verified in a clinical setting, are therapeutic agents. Candidate therapeutic agents and therapeutic agents can be optionally optimized and/or derivatized, and formulated with physiologically acceptable excipients to form pharmaceutical compositions.
Methods of Treatment
As described above, the present invention is based, at least in part, on the identification of useful targets for therapeutic immunomodulation. Accordingly, the present invention provides compositions and methods for treating a patient (e.g., a human) with an immunological condition. Immunological conditions that will benefit from treatment using the present invention include those diseases or disorders caused by an autoimmune response or an absent or insufficient immune response.
Autoimmunity
Autoimmunity is presently the most common cause of disease in the world and is the third most prevent disease in the U.S. Autoimmune conditions that may benefit from treatment using the compositions and methods described herein include, but are not limited to, for example, Addison's Disease, alopecia, ankylosing spondylitis, antiphospholipid syndrome, autoimmune hemolytic anemia, autoimmune hepatitis, autoimmune oophoritis, Bechet's disease, bullous pemphigoid, celiac disease, chronic fatigue immune dysfunction syndrome (CFIDS), chronic inflammatory demyelinating polyneuropathy, Churg-Strauss syndrome, cicatricial pemphigoid, cold agglutinin disease, CREST Syndrome, Crohn's disease, diabetes (e.g., type I), dysautonomia, endometriosis, eosinophilia-myalgia syndrome, essential mixed cryoglobulinemia, fibromyalgia, syndrome/fibromyositis, Graves' disease, Guillain Barré syndrome, Hashimoto's thyroiditis, idiopathic pulmonary fibrosis, idiopathic thrombocytopenia purpura (ITP), inflammatory bowel disease (IBD), lichen planus, lupus, Ménière's disease, mixed connective tissue disease (MCTD), multiple sclerosis, myasthenia gravis, pemphigus, pernicious anemia, polyarteritis nodosa, polychondritis, polymyalgia rheumatica, polymyositis and dermatomyositis, primary agammaglobulinemia, primary biliary cirrhosis, psoriasis, Raynaud's phenomenon, Reiter's syndrome, rheumatic fever, rheumatoid arthritis, sarcoidosis, scleroderma, Sjogren's syndrome, spondyloarthropathy, stiff-man syndrome, Takayasu arteritis, temporal arteritis/giant cell arteritis, thyroid disease, ulcerative colitis, uveitis, vasculitis, vitiligo, and Wegener's granulomatosis.
As described herein, a patient with one or more autoimmune conditions can be treated by increasing the number of Treg cells and/or the activity of Treg cells in the patient using, e.g., a therapeutically effective amount of one or more transcription factors (e.g., a ligand-activated transcription factor such as AHR) and/or one or more transcription factor ligands (e.g., TCDD, tryptamine (TA), and/or 2-(1′H-indole-3′-carbonyl)-thiazole-4-carboxylic acid methyl ester (ITE)) that are capable of promoting an increase in the expression and/or activity of Foxp3, and thereby promoting an increase in the number or activity of Treg cells in vitro and/or in vivo.
In some embodiments, the methods include administering (e.g., to a population of T cells or to a subject) a composition comprising a nucleic acid encoding a transcription factor as described herein, e.g., e.g., NKX22, AHR, EGR1, EGR2, EGR3, NGFIC and/or Delta EF1. The nucleic acid can be in an expression vector, e.g., a modified viral vector such as is known in the art, e.g., a lentivirus, retrovirus, or adenovirus. Methods for using these vectors in cell or gene therapy protocols are known in the art. For cell therapy methods, it is desirable to start with a population of T cells taken from the subject to be treated.
In some embodiments, the methods include administering a composition comprising a ligand that activates a transcription factor described herein, e.g., the AHR receptor. In some embodiments, the ligand is co-administered with one or more inhibitors of its degradation, e.g., tryptamine together with a monoamine oxidase inhibitor, e.g., tranylcypromine. The inhibitor can be administered in the same or in a separate composition. Thus the invention also includes compositions comprising tryptamine and an inhibitor of its degradation, e.g., a MAOI, e.g., tranylcypromine.
In some embodiments, a patient in need of treatment can be administered a pharmaceutically effective dose of one or more ligands capable of promoting an increase in the expression and/or activity of Foxp3 and thereby promoting an increase in the number or activity of Treg cells in vitro and/or in vivo (e.g., TCDD, tryptamine (TA), and/or 2-(1′H-indole-3′-carbonyl)-thiazole-4-carboxylic acid methyl ester (ITE)).
Alternatively or in addition, a population of cells capable of differentiation into Treg cells (e.g., naïve T cells and/or CD4+CD62 ligand+ T cells) can be contacted with a transcription factor ligand capable of promoting increase in Foxp3 expression and/or activity (e.g., TCDD, tryptamine (TA), and/or 2-(1′H-indole-3′-carbonyl)-thiazole-4-carboxylic acid methyl ester (ITE)) in vitro, thereby effectively promoting an increase in the number of Treg cells in the population. Alternatively or in addition, a population of cells containing Treg cells (e.g., isolated Treg cells (e.g., 100%) or a population of cells containing at least 20, 30, 40, 50, 60, 70, 80, 90, 95, or 99% Treg cells) can be contacted with a transcription factor ligand capable of promoting an increase in Foxp3 expression and/or activity (e.g., TCDD, tryptamine (TA), and/or 2-(1′H-indole-3′-carbonyl)-thiazole-4-carboxylic acid methyl ester (ITE)), thereby effectively promoting an increase in the activity of the Treg cells in the population. Alternatively or in addition, the cells can be contacted with an expression vector, e.g., a viral vector such as a lentivirus, retrovirus, or adenovirus, comprising a nucleic acid encoding a transcription factor described herein, e.g., NKX22, AHR, EGR1, EGR2, EGR3, NGFIC and Delta EF1. In some embodiments, the cells are also activated, e.g., by contacting them with an effective amount of a T cell activating agent, e.g., a composition of one or both of anti-CD3 antibodies and anti-CD28 antibodies. One or more cells from these populations can then be administered to the patient alone or in combination with one or more ligands capable of promoting an increase in the expression and/or activity of Foxp3 and thereby promoting an increase in the number or activity of Treg cells in vitro and/or in vivo (e.g., TCDD, tryptamine (TA), and/or 2-(l′H-indole-3′-carbonyl)-thiazole-4-carboxylic acid methyl ester (ITE).
Patient Selection
The compositions and methods described herein are of particular use for treating a patient (e.g., a human) that would benefit from therapeutic immunomodulation (e.g., a patient in need of a suppressed immune response). The methods include selecting a patient in need of treatment and administering to the patient one or more of the compositions described herein. A subject in need of treatment can be identified, e.g., by their medical practitioner.
In some embodiments, the methods include determining presence and/or levels of autoantibodies to an autoantigen specific for the disease, e.g., the presence and/or levels of autoantibodies to an autoantigen listed in Table 1 or 2. The results can be used to determine a subject's likelihood or risk of developing the disease; subjects can be selected for treatment using a method described herein based on the presence and/or levels of autoantibodies.
Validation of Treatment/Monitoring Treatment Efficacy
During and/or following treatment, a patient can be assessed at one or more time points, for example, using methods known in the art for assessing severity of the specific autoimmune disease or its symptoms, to determine the effectiveness of the treatment. In some embodiments, levels of autoantibodies to an autoantigen specific for the disease can also be monitored, e.g., levels of autoantibodies to an autoantigen listed in Table 1 or 2; a decrease (e.g., a significant decrease) in levels of autoantibodies would indicate a positive response, i.e., indicating that the treatment is successful; see, e.g., Quintana et al., Proc. Natl. Acad. Sci. U.S.A., 101(suppl. 2):14615-14621 (2004). Treatment can then be continued without modification, modified to improve the progress or outcome (e.g., increase dosage levels, frequency of administration, the amount of the pharmaceutical composition, and/or change the mode of administration), or stopped.
Administration
A therapeutically effective amount of one or more of the compositions described herein can be administered by standard methods, for example, by one or more routes of administration, e.g., by one or more of the routes of administration currently approved by the United States Food and Drug Administration (FDA; see, for example world wide web address fda.gov/cder/dsm/DRG/drg00301.htm), e.g., orally, topically, mucosally, intravenously or intramuscularly.
In some embodiments, one or more of the ligands described herein can be administered orally with surprising effectiveness.
Pharmaceutical Formulations
A therapeutically effective amount of one or more of the compositions (e.g., including, but not limited to, one or more of the small molecule ligands, for example TCDD, tryptamine (TA), and/or 2-(1′H-indole-3′-carbonyl)-thiazole-4-carboxylic acid methyl ester (ITE)) described herein can be incorporated into pharmaceutical compositions suitable for administration to a subject, e.g., a human. Such compositions typically include the composition and a pharmaceutically acceptable carrier. As used herein the language “pharmaceutically acceptable carrier” is intended to include any and all solvents, dispersion media, coatings, antibacterial and antifungal agents, isotonic and absorption delaying agents, and the like, compatible with pharmaceutical administration. The use of such media and agents for pharmaceutically active substances are known. Except insofar as any conventional media or agent is incompatible with the active compound, such media can be used in the compositions of the invention. Supplementary active compounds can also be incorporated into the compositions, e.g., an inhibitor of degradation of the ligand.
In some embodiments, the composition can also include an autoantigen, e.g., an autoantigen listed in Table 1 or 2, or another autoantigen known in the art to be associated with an autoimmune disease.
A pharmaceutical composition can be formulated to be compatible with its intended route of administration. Solutions or suspensions used for parenteral, intradermal, or subcutaneous application can include the following components: a sterile diluent such as water for injection, saline solution, fixed oils, polyethylene glycols, glycerine, propylene glycol or other synthetic solvents; antibacterial agents such as benzyl alcohol or methyl parabens; antioxidants such as ascorbic acid or sodium bisulfite; chelating agents such as ethylenediaminetetraacetic acid; buffers such as acetates, citrates or phosphates and agents for the adjustment of tonicity such as sodium chloride or dextrose. pH can be adjusted with acids or bases, such as hydrochloric acid or sodium hydroxide. The parenteral preparation can be enclosed in ampoules, disposable syringes or multiple dose vials made of glass or plastic.
Pharmaceutical compositions suitable for injectable use include sterile aqueous solutions (where water soluble) or dispersions and sterile powders for the extemporaneous preparation of sterile injectable solutions or dispersion. For intravenous administration, suitable carriers include physiological saline, bacteriostatic water, Cremophor ELTM (BASF, Parsippany, N.J.) or phosphate buffered saline (PBS). In all cases, the composition must be sterile and should be fluid to the extent that easy syringability exists. It must be stable under the conditions of manufacture and storage and must be preserved against the contaminating action of microorganisms such as bacteria and fungi. The carrier can be a solvent or dispersion medium containing, for example, water, ethanol, polyol (for example, glycerol, propylene glycol, and liquid polyethylene glycol, and the like), and suitable mixtures thereof. The proper fluidity can be maintained, for example, by the use of a coating such as lecithin, by the maintenance of the required particle size in the case of dispersion and by the use of surfactants. Prevention of the action of microorganisms can be achieved by various antibacterial and antifungal agents, for example, parabens, chlorobutanol, phenol, ascorbic acid, thimerosal, and the like. In many cases, it will be preferable to include isotonic agents, for example, sugars, polyalcohols such as mannitol, sorbitol, sodium chloride in the composition. Prolonged absorption of the injectable compositions can be brought about by including in the composition an agent which delays absorption, for example, aluminum monostearate and gelatin.
Sterile injectable solutions can be prepared by incorporating the composition (e.g., an agent described herein) in the required amount in an appropriate solvent with one or a combination of ingredients enumerated above, as required, followed by filtered sterilization. Generally, dispersions are prepared by incorporating the active compound into a sterile vehicle which contains a basic dispersion medium and the required other ingredients from those enumerated above. In the case of sterile powders for the preparation of sterile injectable solutions, the preferred methods of preparation are vacuum drying and freeze-drying which yields a powder of the active ingredient plus any additional desired ingredient from a previously sterile-filtered solution thereof.
Oral compositions generally include an inert diluent or an edible carrier. They can be enclosed in gelatin capsules or compressed into tablets. For the purpose of oral therapeutic administration, the active compound can be incorporated with excipients and used in the form of tablets, troches, or capsules. Oral compositions can also be prepared using a fluid carrier for use as a mouthwash, wherein the compound in the fluid carrier is applied orally and swished and expectorated or swallowed. Pharmaceutically compatible binding agents, and/or adjuvant materials can be included as part of the composition. The tablets, pills, capsules, troches and the like can contain any of the following ingredients, or compounds of a similar nature: a binder such as microcrystalline cellulose, gum tragacanth or gelatin; an excipient such as starch or lactose, a disintegrating agent such as alginic acid, PRIMOGELTM (sodium carboxymethyl starch), or corn starch; a lubricant such as magnesium stearate or STEROTESTM; a glidant such as colloidal silicon dioxide; a sweetening agent such as sucrose or saccharin; or a flavoring agent such as peppermint, methyl salicylate, or orange flavoring.
Systemic administration can also be by transmucosal or transdermal means. For transmucosal or transdermal administration, penetrants appropriate to the barrier to be permeated are used in the formulation. Such penetrants are generally known, and include, for example, for transmucosal administration, detergents, bile salts, and fusidic acid derivatives. Transmucosal administration can be accomplished through the use of nasal sprays or suppositories. For transdermal administration, the active compounds are formulated into ointments, salves, gels, or creams as generally known in the art.
In one embodiment, the active compounds are prepared with carriers that will protect the compound against rapid elimination from the body, such as a controlled release formulation, including implants and microencapsulated delivery systems. Biodegradable, biocompatible polymers can be used, such as ethylene vinyl acetate, polyanhydrides, polyglycolic acid, collagen, polyorthoesters, and polylactic acid. Methods for preparation of such formulations will be apparent to those skilled in the art. The materials can also be obtained commercially from Alza Corporation and Nova Pharmaceuticals, Inc. Liposomal suspensions (including liposomes targeted to infected cells with monoclonal antibodies to viral antigens) can also be used as pharmaceutically acceptable carriers. These can be prepared according to methods known to those skilled in the art, for example, as described in U.S. Pat. No. 4,522,811.
Nucleic acid molecules can be inserted into vectors and used as gene therapy vectors. Gene therapy vectors can be delivered to a subject by, for example, intravenous injection, local administration (see U.S. Pat. No. 5,328,470) or by stereotactic injection (see e.g., Chen et al., PNAS 91:3054-3057, 1994). The pharmaceutical preparation of the gene therapy vector can include the gene therapy vector in an acceptable diluent, or can include a slow release matrix in which the gene delivery vehicle is imbedded. Alternatively, where the complete gene delivery vector can be produced intact from recombinant cells, e.g. retroviral vectors, the pharmaceutical preparation can include one or more cells which produce the gene delivery system.
The pharmaceutical compositions can be included in a container, pack, or dispenser together with instructions for administration. In one aspect, the pharmaceutical compositions can be included as a part of a kit.
Generally the dosage used to administer a pharmaceutical compositions facilitates an intended purpose for prophylaxis and/or treatment without undesirable side effects, such as toxicity, irritation or allergic response. Although individual needs may vary, the determination of optimal ranges for effective amounts of formulations is within the skill of the art. Human doses can readily be extrapolated from animal studies (Katocs et al., Chapter 27 In: “Remington's Pharmaceutical Sciences”, 18th Ed., Gennaro, ed., Mack Publishing Co., Easton, Pa., 1990). Generally, the dosage required to provide an effective amount of a formulation, which can be adjusted by one skilled in the art, will vary depending on several factors, including the age, health, physical condition, weight, type and extent of the disease or disorder of the recipient, frequency of treatment, the nature of concurrent therapy, if required, and the nature and scope of the desired effect(s) (Nies et al., Chapter 3, In: Goodman & Gilman's “The Pharmacological Basis of Therapeutics”, 9th Ed., Hardman et al., eds., McGraw-Hill, New York, N.Y., 1996).
AHR Ligand-Nanoparticles
As demonstrated herein, compositions comprising nanoparticles linked to AHR ligands are surprisingly effective in delivering the ligand, both orally and by injection, and in inducing the Treg response in living animals. Thus, the invention further includes compositions comprising AHR ligands linked to biocompatible nanoparticles, optionally with antibodies that target the nanoparticles to selected cells or tissues.
AHR Transcription Factor Ligands
AHR-specific ligands, e.g., the high affinity AHR ligand 2,3,7,8-tetrachloro-dibenzo-p-dioxin (TCDD), tryptamine (TA), and/or 2-(1′H-indole-3′-carbonyl)-thiazole-4-carboxylic acid methyl ester (ITE), promote an increase in the number and/or activity of Treg immunomodulatory cells, which will be useful to suppress the immune response in the treatment of diseases or disorders caused by an abnormal (e.g., an excessive, elevated, or inappropriate) immune response, e.g., an autoimmune disease or disorder.
Other potentially useful AHR transcription factor ligands are described in Denison and Nagy, Ann. Rev. Pharmacol. Toxicol., 43:309-34, 2003, and references cited herein, all of which are incorporated herein in their entirety. Other such molecules include planar, hydrophobic HAHs (such as the polyhalogenated dibenzo-pdioxins, dibenzofurans, and biphenyls) and PAHs (such as 3-methylcholanthrene, benzo(a)pyrene, benzanthracenes, and benzoflavones), and related compounds. (Denison and Nagy, 2003, supra). Nagy et al., Toxicol. Sci. 65:200-10 (2002), described a high-throughput screen useful for identifying and confirming other ligands. See also Nagy et al., Biochem. 41:861-68 (2002). In some embodiments, those ligands useful in the nanoparticle compositions are those that bind competitively with TCDD, TA, and/or ITE.
Biocompatible Nanoparticles
The nanoparticles useful in the methods and compositions described herein are made of materials that are (i) biocompatible, i.e., do not cause a significant adverse reaction in a living animal when used in pharmaceutically relevant amounts; (ii) feature functional groups to which the binding moiety can be covalently attached, (iii) exhibit low non-specific binding of interactive moieties to the nanoparticle, and (iv) are stable in solution, i.e., the nanoparticles do not precipitate. The nanoparticles can be monodisperse (a single crystal of a material, e.g., a metal, per nanoparticle) or polydisperse (a plurality of crystals, e.g., 2,3, or 4, per nanoparticle).
A number of biocompatible nanoparticles are known in the art, e.g., organic or inorganic nanoparticles. Liposomes, dendrimers, carbon nanomaterials and polymeric micelles are examples of organic nanoparticles. Quantum dots can also be used. Inorganic nanoparticles include metallic nanoparticle, e.g., Au, Ni, Pt and TiO2 nanoparticles. Magnetic nanoparticles can also be used, e.g., spherical nanocrystals of 10-20 nm with a Fe2+ and/or Fe3+ core surrounded by dextran or PEG molecules. In some embodiments, colloidal gold nanoparticles are used, e.g., as described in Qian et al., Nat. Biotechnol. 26(1):83-90 (2008); U.S. Pat. Nos. 7,060,121; 7,232,474; and U.S. P.G. Pub. No. 2008/0166706. Suitable nanoparticles, and methods for constructing and using multifunctional nanoparticles, are discussed in e.g., Sanvicens and Marco, Trends Biotech., 26(8): 425-433 (2008).
In all embodiments, the nanoparticles are attached (linked) to the AHR ligands described herein via a functional groups. In some embodiments, the nanoparticles are associated with a polymer that includes the functional groups, and also serves to keep the metal oxides dispersed from each other. The polymer can be a synthetic polymer, such as, but not limited to, polyethylene glycol or silane, natural polymers, or derivatives of either synthetic or natural polymers or a combination of these. Useful polymers are hydrophilic. In some embodiments, the polymer “coating” is not a continuous film around the magnetic metal oxide, but is a “mesh” or “cloud” of extended polymer chains attached to and surrounding the metal oxide. The polymer can comprise polysaccharides and derivatives, including dextran, pullanan, carboxydextran, carboxmethyl dextran, and/or reduced carboxymethyl dextran. The metal oxide can be a collection of one or more crystals that contact each other, or that are individually entrapped or surrounded by the polymer.
In other embodiments, the nanoparticles are associated with non-polymeric functional group compositions. Methods are known to synthesize stabilized, functionalized nanoparticles without associated polymers, which are also within the scope of this invention. Such methods are described, for example, in Halbreich et al., Biochimie, 80 (5-6):379-90, 1998.
In some embodiments, the nanoparticles have an overall size of less than about 1-100 nm, e.g., about 25-75 nm, e.g., about 40-60 nm, or about 50-60 nm in diameter. The polymer component in some embodiments can be in the form of a coating, e.g., about 5 to 20 nm thick or more. The overall size of the nanoparticles is about 15 to 200 nm, e.g., about 20 to 100 nm, about 40 to 60 nm; or about 60 nm.
Synthesis of Nanoparticles
There are varieties of ways that the nanoparticles can be prepared, but in all methods, the result must be a nanoparticle with functional groups that can be used to link the nanoparticle to the binding moiety.
For example, AHR ligands can be linked to the metal oxide through covalent attachment to a functionalized polymer or to non-polymeric surface-functionalized metal oxides. In the latter method, the nanoparticles can be synthesized according to a version of the method of Albrecht et al., Biochimie, 80 (5-6): 379-90, 1998. Dimercapto-succinic acid is coupled to the nanoparticle and provides a carboxyl functional group. By functionalized is meant the presence of amino or carboxyl or other reactive groups that can be used to attach desired moieties to the nanoparticles, e.g., the AHR ligands described herein or antibodies.
In another embodiment, the AHR ligands are attached to the nanoparticles via a functionalized polymer associated with the nanoparticle. In some embodiments, the polymer is hydrophilic. In a specific embodiment, the conjugates are made using oligonucleotides that have terminal amino, sulfhydryl, or phosphate groups, and superparamagnetic iron oxide nanoparticles bearing amino or carboxy groups on a hydrophilic polymer. There are several methods for synthesizing carboxy and amino derivatized-nanoparticles. Methods for synthesizing functionalized, coated nanoparticles are discussed in further detail below.
Carboxy functionalized nanoparticles can be made, for example, according to the method of Gorman (see WO 00/61191). Carboxy-functionalized nanoparticles can also be made from polysaccharide coated nanoparticles by reaction with bromo or chloroacetic acid in strong base to attach carboxyl groups. In addition, carboxy-functionalized particles can be made from amino-functionalized nanoparticles by converting amino to carboxy groups by the use of reagents such as succinic anhydride or maleic anhydride.
Nanoparticle size can be controlled by adjusting reaction conditions, for example, by varying temperature as described in U.S. Pat. No. 5,262,176. Uniform particle size materials can also be made by fractionating the particles using centrifugation, ultrafiltration, or gel filtration, as described, for example in U.S. Pat. No. 5,492,814.
Nanoparticles can also be treated with periodate to form aldehyde groups. The aldehyde-containing nanoparticles can then be reacted with a diamine (e.g., ethylene diamine or hexanediamine), which will form a Schiff base, followed by reduction with sodium borohydride or sodium cyanoborohydride.
Dextran-coated nanoparticles can also be made and cross-linked, e.g., with epichlorohydrin. The addition of ammonia will react with epoxy groups to generate amine groups, see Hogemann et al., Bioconjug. Chem. 2000. 11(6):941-6, and Josephson et al., Bioconjug. Chem., 1999, 10(2):186-91.
Carboxy-functionalized nanoparticles can be converted to amino-functionalized magnetic particles by the use of water-soluble carbodiimides and diamines such as ethylene diamine or hexane diamine.
Avidin or streptavidin can be attached to nanoparticles for use with a biotinylated binding moiety, such as an oligonucleotide or polypeptide. See e.g., Shen et al., Bioconjug. Chem., 1996, 7(3):311-6. Similarly, biotin can be attached to a nanoparticle for use with an avidin-labeled binding moiety.
In all of these methods, low molecular weight compounds can be separated from the nanoparticles by ultra-filtration, dialysis, magnetic separation, or other means. The unreacted AHR ligands can be separated from the ligand-nanoparticle conjugates, e.g., by size exclusion chromatography.
In some embodiments, colloidal gold nanoparticles are made using methods known in the art, e.g., as described in Qian et al., Nat. Biotechnol. 26(1):83-90 (2008); U.S. Pat. Nos. 7,060,121; 7,232,474; and U.S. P.G. Pub. No. 2008/0166706.
In some embodiments, the nanoparticles are pegylated, e.g., as described in U.S. Pat. Nos. 7,291,598; 5,145,684; 6,270,806; 7,348,030, and others.
Antibodies
In some embodiments, the nanoparticles also include antibodies to selectively target a cell. The term “antibody,” as used herein, refers to full-length, two-chain immunoglobulin molecules and antigen-binding portions and fragments thereof, including synthetic variants. A typical full-length antibody includes two heavy (H) chain variable regions (abbreviated herein as VH), and two light (L) chain variable regions (abbreviated herein as VL). The term “antigen-binding fragment” of an antibody, as used herein, refers to one or more fragments of a full-length antibody that retain the ability to specifically bind to a target. Examples of antigen-binding fragments include, but are not limited to: (i) a Fab fragment, a monovalent fragment consisting of the VL, VH, CL and CH1 domains; (ii) a F(ab′)2 fragment, a bivalent fragment comprising two Fab fragments linked by a disulfide bridge at the hinge region; (iii) a Fd fragment consisting of the VH and CH1 domains; (iv) a Fv fragment consisting of the VL and VH domains of a single arm of an antibody, (v) a dAb fragment (Ward et al., Nature 341:544-546 (1989)), which consists of a VH domain; and (vi) an isolated complementarity determining region (CDR). Furthermore, although the two domains of the Fv fragment, VL and VH, are coded for by separate genes, they can be joined, using recombinant methods, by a synthetic linker that enables them to be made as a single protein chain in which the VL and VH regions pair to form monovalent molecules (known as single chain Fv (scFv); see e.g., Bird et al. Science 242:423-426 (1988); and Huston et al. Proc. Natl. Acad. Sci. USA 85:5879-5883 (1988)). Such single chain antibodies are also encompassed within the term “antigen-binding fragment.”
Production of antibodies and antibody fragments is well documented in the field. See, e.g., Harlow and Lane, 1988. Antibodies, A Laboratory Manual. Cold Spring Harbor, N.Y.: Cold Spring Harbor Laboratory. For example, Jones et al., Nature 321: 522-525 (1986), which discloses replacing the CDRs of a human antibody with those from a mouse antibody. Marx, Science 229:455-456 (1985), discusses chimeric antibodies having mouse variable regions and human constant regions. Rodwell, Nature 342:99-100 (1989), discusses lower molecular weight recognition elements derived from antibody CDR information. Clackson, Br. J. Rheumatol. 3052: 36-39 (1991), discusses genetically engineered monoclonal antibodies, including Fv fragment derivatives, single chain antibodies, fusion proteins chimeric antibodies and humanized rodent antibodies. Reichman et al., Nature 332: 323-327 (1988) discloses a human antibody on which rat hypervariable regions have been grafted. Verhoeyen, et al., Science 239: 1534-1536 (1988), teaches grafting of a mouse antigen binding site onto a human antibody.
In the methods described herein, it would be desirable to target the compounds to T cells, B cells, dendritic cells, and/or macrophages, therefore antibodies selective for one or more of those cell types can be used. For example, for T cells, anti-CXCR4, anti-CD28, anti-CD8, anti-TTLA4, or anti-CD3 antibodies can be used; for B cells, antibodies to CD20, CD19, or to B-cell receptors can be used; for dendritic cell targeting, exemplary antibodies to CD11c, DEC205, MHC class I or class II, CD80, or CD86 can be used; for macrophages, exemplary antibodies to CD11b, MHC class I or class II, CD80, or CD86 can be used. Other suitable antibodies are known in the art.
Kits
The present invention also includes kits. In some embodiments the kit comprise one or more doses of a composition described herein. The composition, shape, and type of dosage form for the induction regimen and maintenance regimen may vary depending on a patients requirements. For example, dosage form may be a parenteral dosage form, an oral dosage form, a delayed or controlled release dosage form, a topical, and a mucosal dosage form, including any combination thereof.
In a particular embodiment, a kit can contain one or more of the following in a package or container: (1) one or more doses of a composition described herein; (2) one or more pharmaceutically acceptable adjuvants or excipients (e.g., a pharmaceutically acceptable salt, solvate, hydrate, stereoisomer, and clathrate); (3) one or more vehicles for administration of the dose; (5) instructions for administration. Embodiments in which two or more, including all, of the components (1)-(5), are found in the same container can also be used.
When a kit is supplied, the different components of the compositions included can be packaged in separate containers and admixed immediately before use. Such packaging of the components separately can permit long term storage without loosing the active components' functions. When more than one bioactive agent is included in a particular kit, the bioactive agents may be (1) packaged separately and admixed separately with appropriate (similar of different, but compatible) adjuvants or excipients immediately before use, (2) packaged together and admixed together immediately before use, or (3) packaged separately and admixed together immediately before use. If the chosen compounds will remain stable after admixing, the compounds may be admixed at a time before use other than immediately before use, including, for example, minutes, hours, days, months, years, and at the time of manufacture.
The compositions included in particular kits of the present invention can be supplied in containers of any sort such that the life of the different components are optimally preserved and are not adsorbed or altered by the materials of the container. Suitable materials for these containers may include, for example, glass, organic polymers (e.g., polycarbonate and polystyrene), ceramic, metal (e.g., aluminum), an alloy, or any other material typically employed to hold similar reagents. Exemplary containers may include, without limitation, test tubes, vials, flasks, bottles, syringes, and the like.
As stated above, the kits can also be supplied with instructional materials. These instructions may be printed and/or may be supplied, without limitation, as an electronic-readable medium, such as a floppy disc, a CD-ROM, a DVD, a Zip disc, a video cassette, an audiotape, and a flash memory device. Alternatively, instructions may be published on a internet web site or may be distributed to the user as an electronic mail.
EXAMPLES
The invention is further described in the following examples, which do not limit the scope of the invention described in the claims.
Example 1: Cloning and Characterization of Zebrafish Foxp3
The zebrafish is an experimental model of vertebrate development; as described herein, it can also be used as an immunogenic model. This example describes the cloning and characterize of the zebrafish (Danio rerio) functional homologue of mammalian Foxp3 (herein termed zFoxp3).
Identification of zFoxp3
To investigate whether Foxp3-dependent immunoregulatory mechanisms operate in the zebrafish, we searched the zebrafish genome for a Foxp3 homologue, which we termed zFoxp3 (FIG. 1E). A phylogenetic analysis placed zFoxp3 in a sub-tree together with mammalian and other fish orthologous predictions, suggesting that zFoxp3 is the zebrafish ortholog for mammalian Foxp3 (FIG. 1F). In mammals Foxp3 is located in a well-conserved synteny block. Indeed, we found several orthologous genes between mammalian chromosome X and zebrafish chromosome 8 in the region where zFoxp3 is located (suv39h1, cacna1s, tspyl2, wasp), strengthening the likehood of zFoxp3 being the fish ortholog of Foxp3.
The accession numbers for the amino acid sequences used in the gene tree analysis are as follows: Danio rerio Foxp1a Q08BX8 BC124513; Foxp1b Q2LE08 NM_001039637; Foxp2 Q4JNX5 NM_001030082; Foxp3 annotated (EST CK028390); Foxp4 annotated. Homo sapiens: Foxp1 Q9H334 NM_001012505, Foxp2 O15409 NM_148899, Foxp3 Q9BZS1 NM_014009, Foxp4 Q8IVH2 NM_138457; Mus musculus: Foxp1 P58462 NM_053202, Foxp2 P58463 NM_053242, Foxp3 Q99JB6 NM_054039, Foxp4 Q9DBY0 NM_028767; Ciona intestinalis Foxp Q4H3H6. The amino acid sequence of the apparent stickleback orthologues of Foxp1, Foxp2, Foxp3 and Foxp4 were obtained from Ensembl.
Cloning zFoxp3
zFoxp3 was cloned from cDNA prepared from zebrafish kidney by using a TOPO® PCR cloning kit (Invitrogen, CA, USA) according to the manufacturer's instructions.
Characterization of Foxp3
The amino acids (aa) predicted to mediate the interaction of the forkhead domain with DNA (Stroud et al., Structure. 14, 159-66 (2006)) or the transcription factor NFAT (Wu et al., Cell 126, 375-87 (2006)) in mammalian Foxp3 are conserved in zFoxp3, as well as aa found to be mutated in humans with impaired Foxp3 activity (Ziegler, Annu Rev Immunol. 24, 209-26 (2006)) (FIG. 1E). The zinc finger/leucine zipper domain is important for the homodimerization of Foxp3 and its transcriptional regulatory activities (Chae et al., Proc Natl Acad Sci USA 103, 9631-6 (2006)). To study the ability of zFoxp3 to dimerize, we designed a pull-down assay using His-tagged zFoxp3 and a renilla luciferase-tagged Foxp3 (Foxp3-Ren). 293 cells were transfected as described (Bettelli et al., Proc Natl Acad Sci USA 102, 5138-43 (2005)) and the cells were analyzed after 24 or 48 hours with the dual luciferase assay kit (New England Biolabs, Ipswich, Mass.) (cells were lysed, and zFoxp3 was pulled-down with Ni-Agarose and the renilla luciferase activity in the pellet was quantified). Tk-Renilla was used for standardization. Alternatively, the transfected cells were lysed and immuno-precipitation was carried out as described (Bettelli et al., Proc Natl Acad Sci USA 102, 5138-43 (2005)); hemagglutinin (HA) labeled NFAT and NF-kB were detected with anti-HA and anti-P65 antibodies obtained from Santa Cruz Biotechnology (Santa Cruz, Calif., USA).
As shown in FIG. 1G, zFoxp3 pulled-down Foxp3-Ren indicating that zFoxp3 can homodimerize. Hence, zFoxp3 has structural features common to mammalian Foxp3.
Foxp3 can physically interact with NF-kB and NFAT to down-regulate their transcriptional activities (Wu et al., (2006), supra; Bettelli et al., (2005), supra). As shown in FIG. 2a, zFoxp3 interfered with the activation of NFAT and NF-κB responsive promoters. This effect was stronger for NF-κB. Co-immunoprecipitation experiments showed that zFoxp3 interacts both with NF-κB and NFAT. In agreement with the reduced inhibitory effect of Foxp3 on NFAT-driven reporters (see FIG. 2a), the zFoxp3-NFAT interaction was weaker (see FIG. 2b). These results suggest that zFoxp3 can directly interact with NFAT and NF-κB to interfere with their transcriptional activities.
MSCV GFP-RV retroviral DNA plasmids were transfected into the Phoenix packaging cell line and 72 hours later the retrovirus-containing supernatants were collected. MACS-purified CD4+ T cells were activated 24 hours later with plate-bound antibodies to CD3 and CD28, and infected by centrifugation (45 minutes at 2000 rpm) with retrovirus-containing supernatant supplemented with 8 μg/ml Polybrene (Sigma-Aldrich) and recombinant human IL-2 (25 units/ml).
Cells were cultured in serum-free X-VIVO 20TM media (BioWhittaker, Walkersville, Md., USA) for 72 hours. During the last 16 hours, cells were pulsed with 1 μCi of [3H]thymidine (PerkinElmer, Waltham, Mass., USA) followed by harvesting on glass fiber filters and analysis of incorporated [3H]thymidine in a beta-counter (1450 Microbeta, Trilux, PerkinElmer). Alternatively, culture supernatants were collected 48 after activation and the cytokine concentration was determined by ELISA using antibodies for IFN-γ, IL-17, IL-4, IL-10 from BD Biosciences and antibodies to TGF-β from R&D Systems. For suppression assays, MACS purified CD4+CD25− T cells from naïve C57BL/6 mice (1-5×104 cells/well) were stimulated with antibodies to CD3 and C57BL/6 irradiated spleen cells (0.3-1.5×104 cells/well) for 3 days in the presence of different ratios of CD4+GFP+ retrovirus-transduced T cells.
Retroviral transduction of zFoxp3 into mouse T cells led to the up-regulation of surface molecules associated with Treg function such as CD25, CTLA-4 and GITR (see FIG. 2c). Moreover, ectopic expression of zFoxp3 in mouse T cells led to a significant decrease in their proliferation and cytokine secretion upon activation with antibodies to CD3 (see FIG. 2d). Moreover, zFoxp3 transduced T cells could inhibit the activation of other T cells, both in terms of T cell proliferation and of cytokine secretion, in a dose dependent manner (see FIG. 2e). In summary, expression of zFoxp3 in mouse T cells induced a Treg-like phenotype. These data suggest that zFoxp3 is a functional homologue of mammalian Foxp3, and that Foxp3 is capable of promoting a Treg like phenotype.
Western blot studies of zebrafish tissues identified a Foxp3 cross-reactive protein in thymus, kidney and spleen compatible with the predicted size of zFoxp3. The expression of zFoxp3 was then analyzed by real-time PCR on FACS-sorted lymphocytes, myelomonocytes and erythrocytes (Traver et al., Nat Immunol 4, 1238-46 (2003)). RNA was extracted from cells using RNAeasy columns (Qiagen, Valencia, Calif., USA), complementary DNA was prepared as recommended (Bio-Rad Laboratories, Hercules, Calif., USA) and used as template for real time PCR. The expression of Foxp3 was quantified with specific primers and probes (Applied Biosystems, Foster City, Calif., USA) on the GeneAmp 5500 Sequence Detection System (Applied Biosystems). Expression was normalized to the expression of the housekeeping gene, GAPDH.
As shown in FIG. 3a, zFoxp3 expression was restricted to the lymphocyte fraction. This observation is consistent with the expression pattern of mammalian Foxp3 and supports the conservation of the regulatory mechanisms of gene expression that control tissue specificity.
Example 2: Identification of Transcription Factor Binding Sites in Foxp3
The elements regulating gene expression in genomic DNA are under selective pressure, and therefore are more conserved than the surrounding nonfunctional sequences. Phylogenetic footprinting is a method based on the analysis of sequence conservation between orthologous genes from different species to identify regions of DNA involved in the regulation of gene expression. Once identified, these conserved regions can be analyzed with TFBS detection algorithms to generate a list of putative TFBS.
We performed a phylogenetic footprinting analysis aimed at identifying regulatory regions within the zebrafish, mouse and human Foxp3 gene (Ovcharenko et al., Genome Res 15, 184-94 (2005)). The inclusion of distant species like the zebrafish is highly informative because it facilitates the identification of conserved regulatory sequences amidst DNA regions that were not subjected to any selective pressure (Ovcharenko et al., Genome Res 15, 184-94 (2005)).
The Mulan server (mulan.dcode.org) was used to perform a phylogenetic footprinting analysis of Foxp3. Mulan brings together different algorithms in a web-based user-friendly interface: programs for the rapid identification of local sequence conservation connected to the multiTF/TRANSFAC database for the detection of evolutionarily conserved TFBS in multiple alignments. FIGS. 7A-B show the results obtained using the sequences of Foxp3 in rat, mouse, dog, human and zebrafish: Putative TFBS were found for 6 transcription factors, all of them known to be expressed and functional in T cells: NKX22, AHR, EGR1, EGR2, EGR3, NGFIC and Delta EF1. These TF identified by phylogenetic footprinting are other potential regulators of Foxp3 expression and Treg development.
Example 3: Adaptive Cellular Immunity and Foxp3-Dependent Immunoregulation in Zebrafish
The adaptive cellular immune response of 6 month old zebrafish immunized intraperitoneally (ip) with heat killed M. tuberculosis (MT) or PBS in incomplete Freund's adjuvant (IFA) was studied.
As shown in FIG. 1A, spleen cells prepared 14 days after immunization with MT or PBS proliferated in response to stimulation with Concanavalin A (ConA), but only cells taken from MT-immunized fish proliferated upon activation with MT.
Another group of six month old zebrafish were anesthetized with 0.02% tricaine (Sigma-Aldrich) and immunized i.p. with 10 μl/fish of zebrafish brain homogenate (zCNS) emulsified in complete Freund's adjuvant (CFA). As shown in FIGS. 1b-d, this resulted in the accumulation of CD3, IFNg and IL-17 expressing cells in the brain.
These results demonstrated that zebrafish can mount adaptive antigen-specific cell-mediated immune and autoimmune responses.
C. elegans and D. melanogaster have been extremely useful for the identification of the genes governing innate immunity (Lemaitre et al., Nat Rev Immunol 4, 521-7 (2004)). These experimental models, however, lack an adaptive immune system and therefore cannot be used to study vertebrate-specific immune processes. The zebrafish harbors both innate and adaptive immune systems with functional macrophages (Davis et al., Immunity 17, 693-702 (2002)), B cells (Danilova et al., Proc Natl Acad Sci USA 99, 13711-6 (2002)) and T cells (Danilova et al., Dev Comp Immunol 28, 755-67 (2004); Langenau et al., Proc Natl Acad Sci USA 101, 7369-74 (2004)). Taking together the presence of basic components of the adaptive immune system (Langenau et al., Nat Rev Immunol. 5, 307-17 (2005)) with the experimental advantages offered by the zebrafish for the realization of large scale genetic and chemical screens (Lieschke et al., Nat Rev Genet. 8, 353-67 (2007)), the zebrafish can serve as an experimental model for the study of pathways controlling adaptive immune processes such as Treg development.
Example 4: AHR Controls Foxp3 Expression and Treg Generation
Using the methods described above, a conserved binding site for the aryl hydrocarbon receptor (AHR) was identified in the genomic sequence of Foxp3 (see FIGS. 3b and 3j), which was termed the conserved AHR binding site (CABS). A similarly located regulatory sequence controls the expression of the AHR-regulated cytochrome P4501A2 (CYP1A2). In addition, three non-evolutionary conserved AHR-binding sites (NCABS) were identified in the zFoxp3 promoter (termed NCABS-1, -2, and -3) (see FIGS. 3i and 3j).
First, Foxp3 expression was measured in mouse Treg isolated from Foxp3gpf knock in mice. Foxp3gpf knock in mice have a GFP reporter inserted in the Foxp3 gene, producing GFP in Foxp3+ Treg, which facilitates the identification and FACS sorting of GFP:Foxp3+ Treg (Bettelli et al., Nature 441, 235-8 (2006)).
CD4+ T cells were purified from Foxp3gfp knock in mice using anti-CD4 beads (Miltenyi, Auburn, Calif., USA) and sorted (FACSAriaTM cell sorter, BD Biosciences) into naive CD4+Foxp3:GFP− or CD4+Foxp3:GFP+ T cells. CD4+Foxp3:GFP− T cells were stimulated with plate bound 1 μg/ml of anti-CD3 (145-2C11, eBioscience) and 2 μg/ml of anti-CD28 (37.51, eBioscience) for 5 days, supplemented with recombinant IL-2 (50 U/ml) at day 2 and 4, and analyzed by FACS at day 5 for their differentiation into CD4+Foxp3:GFP+ Treg. TGFβ1 (2.5 ng/ml) was used as a positive control.
Higher levels of AHR expression were detected on FACS-sorted CD4+GFP:Foxp3+ Treg than in CD4+GFP:Foxp3− T cells (see FIG. 3c), highlighting a possible link between AHR and Foxp3 expression. The relationship between AHR and Foxp3 was then further analyzed using RT-PCR.
Briefly, CD4+ T cells were purified from Foxp3gfp knock in mice as described above. RNA was then extracted using RNAeasy columns (Qiagen, Valencia, Calif., USA). Complementary DNA was prepared as recommended (Bio-Rad Laboratories, Hercules, Calif., USA) and used as template for real time PCR. The expression of Foxp3 was quantified with specific primers and probes (Applied Biosystems, Foster City, Calif., USA) on the GeneAmp 5500 Sequence Detection System (Applied Biosystems). Expression was normalized to the expression of the housekeeping genes, GAPDH or actin.
Data generated using RT-PCR corroborated the observed association between AHR and Foxp3. In addition, CYP1A1 expression, a AHR responsive gene, was also observed in CD4+GFP:Foxp3+ Treg cells. Furthermore, as shown in FIG. 3n, treatment of the cells with the AHR antagonist resveratol resulted in a significant decrease in both Foxp3 and CYP1A1 expression levels (P<0.0023 and P<0.0235, respectively). Decreases in the suppressive activity was also noted in resveratol treated cells (FIG. 3o). Together, these results strongly suggest that the detected AHR is functional.
To investigate whether AHR directly controls Foxp3 expression, we used a bacterial artificial chromosome that contained the entire foxp3 locus tagged with a Renilla luciferase reporter after the ATG start codon. More specifically, we used the RP23-267C15 BAC clone, which contains 200 kb of mouse genomic DNA, including the entire locus of the Foxp3 gene. A Renilla cDNA cassette was the cloned immediately after the ATG start codon of Foxp3 gene by homologous recombination using the Red recombineering system contained in the DY 380 bacteria strain. The final construct was designated BACFoxp3:Ren.
As shown in FIG. 3k, cotransfection of BACFoxp3:Ren with a construct coding for mouse AHR resulted in a significant up-regulation of Renilla activity (P<0.01), similar to that achieved with a constitutively activated TGFβ receptor II. This observation demonstrates that AHR is capable of directly controlling Foxp3 expression.
Chromatin immunoprecipitation (ChIP) was then applied to analyze the interaction of AHR with the CABS and NCABS shown in FIGS. 3b and 3i, respectively.
Briefly, cells were treated for 90′ with TCDD, fixed with 1% formaldehyde for 15 minutes and quenched with 0.125 M glycine. Chromatin was isolated and sheared to an average length of 300-500 bp by sonication. Genomic DNA (input) was prepared by treating aliquots of chromatin with RNase, proteinase K and heat for de-crosslinking, followed by ethanol precipitation. AHR-bound DNA sequences were immuno-precipitated with an AHR-specific antibody (Biomol SA-210). Crosslinks were reversed by incubation overnight at 65° C., and ChIP DNA was purified by phenol-chloroform extraction and ethanol precipitation. Quantitative PCR reactions were then performed using the following primer pairs:
Cyp1a1-845 F: aggctcttctcacgcaactc (SEQ ID NO:144) and Cyp1a1-845 R: ctggggctacaaagggtgat (SEQ ID NO: 145);
Foxp3 (NCAB-1)-2269 F: agctgcccattacctgttag (SEQ ID NO: 146) and Foxp3 (NCAB-1)-2269 R: ggaggtctgcatggatcttag (SEQ ID NO:147);
Foxp3 (NCAB-2)-1596 F: gccttgtcaggaaaaactctg (SEQ ID NO: 148) and Foxp3 (NCAB-2)-1596 R: gtcctcgatttggcacagac (SEQ ID NO:149);
Foxp3 (NCAB-3)-800 F: cttgcccttcttggtgatg (SEQ ID NO:150) and Foxp3 (NCAB-3)-800 R: ttgtgctgagtgccctgac (SEQ ID NO:151);
Foxp3 (CAB)+13343 F: gctttgtgcgagtggagag (SEQ ID NO:152) and Foxp3 (CAB)+13343 R: agggattggagcacttgttg (SEQ ID NO:153).
The Untr6 region in chromosome 6 located at chr6:120,258,582-120,258,797 was amplified as a control using Untr6 F: tcaggcatgaaccaccatac (SEQ ID NO:154) and Untr6 R: aacatccacacgtccagtga (SEQ ID NO:155).
Experimental Ct values were converted to copy numbers detected by comparison with a DNA standard curve run on the same PCR plates. Copy number values were then normalized for primer efficiency by dividing by the values obtained using Input DNA and the same primer pairs. Error bars represent standard deviations calculated from the triplicate determinations.
ChIP analysis of the interaction of AHR with CABS and NCABS in Foxp3 and CYP1A1 was then performed in control and 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD; a high affinity AHR ligand) treated CD4+ T cells and T cells isolated from mice.
As shown in FIG. 31, treatment of CD4+ T cells with TCDD increased AHR binding to the CABS and NCABS-2 (p<0.05). This up-regulation was comparable to that detected in the promoter of the AHR-regulated gene cytochrome P4501A1 (CYP1A1) gene. No significant increase in AHR binding was seen in NCABS-1, NCABS-3 or the control sequence UTR6. As shown in FIG. 3m, similar results were obtained when CD4 T cells were purified from TCDD treated mice. These data suggest that AHR controls Foxp3 expression.
TCDD was also used to characterize the functional relationship between AHR and Foxp3. Treatment of 3-day post-fertilization zebrafish embryos with TCDD led to a dose-dependent increase in zFoxp3 expression, suggesting that the conserved AHR binding site in the zFoxp3 sequence is functional (see FIG. 3D).
We then studied the effect of AHR activation on mouse Treg numbers. Naïve C57BL/6 mice were treated with TCDD (1 mg/mouse, ip) and immunized 24 hours later with MOG35-55 in CFA. Draining lymph nodes were prepared 10 days later and CD4+Foxp3+ Treg were quantified by FACS. Administration of TCDD led to a small increase in the number of CD4+Foxp3+ Treg (see FIG. 3E). Moreover, a single administration of TCDD followed by immunization with MOG35-55 led to a significant increase in the number of the CD4+Foxp3+ T cells (see FIG. 3E). Furthermore, the CD4+Foxp3:GFP+ T cells expanded in vivo by TCDD administration and MOG35-55 immunization were functional and showed increased MOG35-55-specific suppressive activity (see FIG. 3P).
To rule out any direct cytotoxic or pro-apoptotic effect of TCDD on effector T cells, purified mouse CD4+CD25− T cells were activated in vitro with antibodies to CD3 in the presence of TCDD. Incubation with TCDD did not increase T cell apoptosis as measured by annexin-FITC staining and did not decrease the proliferative response (see FIG. 3F). Taken together, these data suggest that AHR controls Foxp3 expression and Treg expansion both in zebrafish and in mice.
To establish if TCDD triggered the conversion of CD4+Foxp3− T cells into new Foxp3+ Treg cells, FACS sorted CD4+Foxp3:GFP− T cells were activated in vitro with antibodies to CD3 and CD28 in the presence of TCDD, and the generation of CD4+Foxp3:GFP+ Treg was followed by FACS. TGFb1 was used as a positive control. As shown in FIG. 3G, TCDD triggered the conversion of approximately 13% of the cells in culture into CD4+Foxp3:GFP+ Treg. Additionally, as shown in FIG. 3, CD4+Foxp3:GFP+ Treg induced by TCDD showed a suppressive activity similar to that of Treg induced in vitro with TGFβ1 or CD4+Foxp3:GFP+ Treg sorted from naïve Foxp3gpf mice.
Thus, AHR activation by the high affinity AHR ligand TCDD can trigger the conversion of CD4+Foxp3− T cells into functional CD4+GFP+ Treg.
As shown in FIGS. 3r and 3s, treatment with the AHR antagonist resveratrol (50 μM) interfered with the induction of Treg by TGFβ1 and TCDD, but had a stronger effect on the Treg conversion triggered by TCDD (P=0.0053, FIG. 1h). CD4+Foxp3:GFP+ Treg purified from naïve mice did not proliferate and did not show increased suppressive activity upon stimulation with antibodies to CD3 and CD28 and TCDD. These observations suggest that AHR is more important for the differentiation of new Treg than for the activity of established Treg.
To investigate if new Treg could also be generated in vivo following TCDD administration, we transferred CD4+Foxp3:GFP− 2D2 T cells from CD90.2 donors into wild type CD90.1 recipients. CD4+Foxp3:GFP− 2D2 T cells express a MOG35-55-specific T cell receptor. The recipients were administered 1 μg/mouse TCDD and were immunized 2 days later with MOG35-55. CD4+Foxp3:GFP+ CD90.2 T cells (donor cells that underwent conversion into Treg upon treatment with TCDD) were then quantified by FACS. As shown in FIG. 3h, TCDD promoted a significant (P<0.02, unpaired t-test, n=5) conversion of CD4+Foxp3:GFP− CD90.2 donor T cells into Treg cells.
Thus, the increase in the frequency of Treg that follows activation of AHR with TCDD is due, at least in part, to the conversion of CD4+Foxp3:GFP− T cells into CD4+Foxp3:GFP+ Treg.
Example 5: AHR Activation by TCDD Suppresses EAE
To analyze the functionality of the Treg cells induced by AHR activation, we studied the effect of TCDD on EAE development.
C57BL/6 mice were given a single intraperitoneal (ip) dose of TCCD, and one day later EAE was induced by immunization with MOG35-55 in CFA. TCDD was also administered orally (1 μg/mouse) to determined whether an effective dose of this ligand can be delivered via oral administration and whether this dose is capable of reducing EAE development. EAE was induced by injecting the mice subcutaneously with 100 ml of the MOG35-55 peptide (MEVGWYRSPFSRVVHLYRNGK (SEQ ID NO: 156)) in complete Freund adjuvant oil. In addition, the mice received 150 ng of pertussis toxin (Sigma-Aldrich) ip on days 0 and 2. Clinical signs of EAE were assessed according to the following score: 0, no signs of disease; 1, loss of tone in the tail; 2, hind limb paresis; 3, hind limb paralysis; 4, tetraplegia; 5, moribund.
As shown in FIG. 4a and Table 3, ip administered TCDD had a dose-dependent effect on the clinical signs of EAE. 1 μg/mouse markedly inhibited the clinical signs of EAE (P<0.001; n=6).







TABLE 3







TCDD Treatment Suppresses EAE












Mean day of onset
Mean maximum


Treatment
Incidence
(Mean ± standard
score


(μg per mouse)
(positive/total)
deviation (SD))
(mean ± SD)





Control
42/49 (87%) 
13.6 ± 2.8
2.4 ± 1.4


TCDD 1 μg
4/40 (10%)
 21.8 ± 1.5*
 0.2 ± 0.6*


TCDD 0.1 μg
 5/5 (100%)
17.0 ± 1.2
3.1 ± 0.5


TCDD 0.01 μg
7/7
14.1 ± 2.9
2.7 ± 0.6





Mice treated with corn oil (control) or TCDD (ip) were immunized with MOG35-55 peptide in CFA and monitored for EAE development. Statistical analysis was performed by comparing groups using one-way analysis of variance.


*P < 0.0001.






As shown in FIGS. 4G-4I, IP administered TCDD also reduced the histopathological signs of EAE.
In addition, orally administered of 1 μg/mouse of TCDD, one day before EAE induction, also prevented EAE development (P<0.001, two-way ANOVA, n=10). This observation suggests that an effective does of TCDD can be administered orally.
To confirm that the effects on EAE were mediated by the activation of AHR, we used C57BL/6 mice carrying the d allele of the ahr gene (AHR-d mice). This allele codes for a mutant AHR with a 10 fold reduction in its affinity for TCDD and other ligands (Okey et al., Mol Pharmacol. 35, 823-30 (1989)) due to mutations in its ligand binding sites. The administration of TCDD (1 μg/mouse) to AHR-d mice did not increase the levels of CD4+Foxp3+ Treg in AHR-mt mice, and did not inhibit the progression of EAE, as shown in FIG. 4B and Table 4.







TABLE 4







TCDD Treatment of AHR-d Mice













Mean maximum



Incidence
Mean day of onset
score


Treatment
(positive/total)
(Mean ± SD)
(mean ± SD)





WT control
12/14 (86%) 
13.9 ± 1.9 
2.4 ± 1.4


AHR-d +
9/11 (82%)
17.3 ± 3.0†
2.2 ± 1.4


TCDD


WT + TCDD
 1/10 (10%)#
21
 0.2 ± 0.6*





C57BL/6 (WT) and AHR-d mice treated with corn oil (control) or TCDD (1 μg/mouse) were immunized with MOG35-55 peptide in CFA and monitored for EAE development. Statistical analysis was performed by comparing groups using one-way analysis of variance.


*P < 0.001 vs WT control group and P < 0.01 vs AHR-d TCDD group;


†P = 0.0046 vs WT control group;


#P = 0.0005 vs WT control group, P = 0.0019 vs AHR-d TCDD group.






Taken together, these results show that TCDD-dependent AHR activation can inhibit or suppress the development and/or progression of EAE. The data presented in Example 3 indicate that this effect is due to the TCDD-dependent AHR activation that promotes the induction of functional Treg.
Antigen microarrays were then used to study the antibody response to myelin in mice that did not develop EAE as consequence of AHR activation by TCDD. The antigens listed in Table 1 were spotted onto Epoxy slides (TeleChem, Sunnyvale, Calif., USA) as described (Quintana et al., Proc Natl Acad Sci USA 101 Suppl 2, 14615-21 (2004)). Antigens were spotted in replicates of 6, the microarrays were blocked for 1h at 37° C. with 1% bovine serum albumin, and incubated for 2 hours at 37° C. with a 1:100 dilution of the test serum in blocking buffer. The arrays were then washed and incubated for 45 min at 37° C. with goat anti-mouse IgG Cy3-conjugated detection antibodies (Jackson ImmunoResearch Labs, West Grove, Pa., USA). The arrays were scanned with a ScanArray 4000X scanner (GSI Luminomics, Billerica, Mass., USA). Antigen reactivity was defined by the mean intensity of binding to the replicates of that antigen on the microarray. Raw data were normalized and analyzed using the GeneSpring software (Silicon Genetics, Redwood City, Calif., USA) with the non-parametric Wilcoxon-Mann-Whitney test, using the Benjamini and Hochberg method with a false discovery rate (FDR) of 0.05 to determine significance. The samples were clustered using a pairwise average linkage algorithm based on Spearman's rank correlation as a distance measure.
The microarrays consisted of a collection of 362 CNS-related autoantigens including tissue lysates, recombinant proteins, peptide libraries spanning the whole sequence of myelin proteins and lipids found in the central and peripheral nervous system a complete list of the antigens used is provided in Table 1.







TABLE 1





362 CNS-Related Autoantigens
















Heat Shock Proteins (HSP)
27 kDa Heat Shock Protein



32 kDa Heat Shock Protein



40 kDa Heat Shock Protein



47 kDa Heat Shock Protein



60 kDa Heat Shock Protein



60 kDa Heat Shock Protein peptide: aa 106-125; aa 1-20;



aa 121-140; aa 136-155; aa 151-170; aa 16-35; aa 166-185;



aa 181-199; aa 195-214; aa 210-229; aa 225-244; aa



240-259; aa 255-275; aa 271-290; aa 286-305; aa 301-320;



aa 31-50; aa 316-335; aa 331-350; aa 346-365; aa



361-380; aa 376-395; aa 391-410; aa 406-425; aa 421-440;



aa 436-455; aa 451-470; aa 466-485; aa 46-65; aa



481-500; aa 496-515; aa 511-530; aa 526-545; aa 541-560;



aa 556-573; aa 61-80; aa 76-95; or aa 91-110



65 kDa Heat Shock Protein M. tuberculosis



70 kDa Heat Shock Protein



70 kDa Heat Shock Protein peptide aa 106-125; aa 1-20; aa



121-140; aa 136-155; aa 151-170; aa 16-35; aa 166-185;



aa 181-199; aa 195-214; aa 210-229; aa 225-244; aa 240-259;



aa 255-275; aa 271-290; aa 286-305; aa 301-320; aa



31-50; aa 316-335; aa 331-350; aa 346-365; aa 361-380;



aa 376-395; aa 391-410; aa 406-425; aa 421-440; aa 436-455;



aa 451-470; aa 466-485; aa 46-65; aa 481-500; aa



496-515; aa 511-530; aa 526-545; aa 541-560; aa 556-575;



aa 571-590; aa 586-605; aa 601-620; aa 616-635; aa



61-80; aa 631-640; aa 76-95; or aa 91-110



71 kDa Heat Shock Protein M. tuberculosis



90 kDa Heat Shock Protein



GroEL


CNS
2′,3′-cyclic nucleotide 3′-phosphodiesterase peptide aa 106-125;



aa 1-20; aa 121-140; aa 136-155; aa 151-170; aa 16-35;



aa 166-185; aa 181-200; aa 196-215; aa 211-230; aa 226-245;



aa 241-260; aa 256-275; aa 271-290; aa 286-305; aa



301-320; aa 31-50; aa 316-335; aa 331-350; aa 346-365; aa



361-380; aa 376-395; aa 391-410; aa 406-421; aa 46-65; aa



61-80; aa 76-95; or aa 91-110



Acetyl Cholinesterase



ADAM-10



alpha-Cristallin



beta-Cristallin



bovine Myelin Basic Protein



Brain Extract I



Brain Extract II



Brain Extract III



Glial Filament Acidic Protein Research Diagnostic



guinea pig Myelin Basic Protein



human Myelin Basic Protein



Myelin-Associated Oligodendrocytic Basic Protein peptide



aa 106-125; aa 1-20; aa 121-140; aa 136-155; aa 151-170;



aa 16-35; aa 166-185; aa 181-200; aa 31-50; aa 46-65; aa



61-80; aa 76-95; aa 91-110; aa 106-125; aa 1-20; aa 121-140;



aa 136-155; or aa 151-170



Myelin/oligodendrocyte glycoprotein peptide aa 16-35; aa



166-185; aa 181-200; aa 196-215; aa 211-230; aa 226-247;



aa 31-50; aa 35-55; aa 46-65; aa 61-80; aa 76-95; or aa 91-110



murine Myelin Basic Protein



Myelin Associated Glycoprotein



Myelin Basic Protein peptide aa 104-123; aa 11-30; aa 113-132;



aa 1-20; aa 121-138; aa 124-142; aa 138-147; aa 141-161;



aa 143-168; aa 155-178; aa 26-35; aa 31-50; aa 41-60;



aa 51-70; aa 61-80; aa 71-92; aa 84-94; aa 89-101; aa 173-186;



or aa 93-112



Myelin Protein 2 peptide aa 106-125; aa 1-20; aa 121-132;



aa 16-35; aa 31-50; aa 46-65; aa 61-80; aa 76-95; or aa 91-110



Neurofilament 160 kd



Neurofilament 200 kd



Neurofilament 68 kd



Neuronal Enolase



Nicastrin



NMDA receptor



NOGO



Olygodendrocyte-Specific Protein peptide aa 106-125; aa



1-20; aa 121-140; aa 136-155; aa 151-170; aa 16-35; aa



166-185; aa 181-199; aa 195-217; aa 31-50; aa 46-65; aa



61-80; aa 76-95; or aa 91-110



Proteolipid Protein



Proteolipid Protein peptide aa 100-119; aa 10-29; aa 110-129;



aa 1-19; aa 125-141; aa 137-150; aa 137-154; aa 150-163;



aa 151-173; aa 158-166; aa 161-180; aa 178-191; aa



180-199; aa 190-209; aa 20-39; aa 205-220; aa 215-232; aa



220-239; aa 220-249; aa 248-259; aa 250-269; aa 265-277;



aa 35-50; aa 40-59; aa 50-69; aa 65-84; aa 80-99; or aa 91-110



Retinol Binding Protein



S100beta protein Assay Designs



Super Oxide Dismutase



Synuclein, beta



Synuclein, gamma


Tissue
Amydgala



Amydgala AD



Brain lysate



Brain Tissue Membrane



Cerebellar pedunculus



Cerebral meninges



Corpus Callosum



Corpus Callosum AD



Diencephalon



Fetal brain



Frontal lobe



Frontal lobe AD



Hippocampus



Hippocampus AD



Insula



Occipital lobe



Occipital lobe AD



Olfactory region



Optic Nerve



Parietal lobe



Parietal lobe AD



Pons



Pons AD



Postcentral gyrus



Postcentral gyrus AD



Precentral gyrus



Precentral gyrus AD



Spinal cord



Temporal lobe



Temporal lobe AD



Thalamus



Thalamus AD



Amyloid beta



AD related Amyloid beta 10-20



Amyloid beta peptide 1-12; 12-28; 1-23; 1-38; beta 17-40;



25-35; or 34-42



Amyloid bri protein precursor 227



Amyloid DAN Protein Fragment 1-34



Amyloid Precursor Protein



Amyloid protein no AB component



Secreted amyloid precursor protein (SAP) beta



Tau isoform variant 0N3R



Tau isoform variant 1N3R



Tau isoform variant 0N4R



Tau isoform variant 2N3R



Tau phospho Ser412



Tau phospho Ser441



Tau phospho Thr181



Tau Protein human


Lipids
(±)9-HODE Cayman Chemical



1 Palmitoyl-2-(5′oxo-Valeroyl)-sn-Glycero-3-



Phosphocholine



15a-hydroxycholestene



15-ketocholestane



15-ketocholestene



1-Palmitoil-2-(9′oxo-Nonanoyl)-sn-Glycero-3-



Phosphocholine



1-Palmitoil-2-Azelaoyl-sn-Glycero-3-Phosphocholine



1-Palmitoil-2-Glutaroyl-sn-Glycero-3-Phosphocholine



5 α-cholestane-3 β,15 α-diol



9(S)-HODE Cayman Chemical



Asialoganglioside-GM1



Asialoganglioside-GM2



Brain ceramides



Brain D-erythrosphingosine



Brain lysophosphatidylethanolamine



Brain L-α-lysophosphatidylserine



Brain L-α-phosphatidylcholine



Brain L-α-phosphatidyl-ethanolamine



Brain L-α-phosphatidylserine



Brain polar lipid extract



Brain sphingomyelin



Brain sulfatide



Brain total lipid extract



Cardiolipin



Ceramide



Ceramide 1-phosphate



Cholesterol



Disialogaglioside-GD1B



Disialogaglioside-GD2



Disialoganglioside GD1a



Disialoganglioside GD3



Fucosyl-GM1



Galactocerebrosides



Ganglioside Mixture



Ganglioside-GM4



Gangliotetraosylceramide asialo-GM1



HDL



Hexacosanoic acid (26)



Hydroxy fatty acid ceramide



Isoprostane F2 I



Lactocerebrosides



Lactosylceramide



LDL



Lipid A, diphosphoryl from Salmonella enterica



Lipopolysaccharides from Escherichia coli



Lipopolysaccharides from Pseudomona aeruginosa



Lipopolysaccharides from Salmonella enterica



Lyso-GM1



Monosialoganglioside GM1



Monosialoganglioside GM2



Monosialoganglioside GM3



N-Hexanoyl-D-sphingosin



Non-hydroxy fatty acid ceramide



Phosphatidylinositol-4 phosphate



Squalene



Sulfatides



Tetracosanoic acid (24)



Tetrasialoganglioside-GQ1B



TNPAL Galactocerebroside



Total brain gangliosides



Total cerebroside



Trisialoganglioside GT1a



Trisialoganglioside-GT1B









The control of EAE by AHR activation correlated with a significant decrease in IgG serum antibodies to 97 myelin antigens, which are listed in Table 2.







TABLE 2







Specificity of IgG Antibodies Showing a Significant


(FDR < 0.05) Downregulation in TCDD-Treated Mice








Antigen
FDR





70 kDa. Heat Shock Protein peptide aa 331-350
1.78E−05


60 kDa. Heat Shock Protein peptide aa 255-275
0.00547


60 kDa. Heat Shock Protein peptide aa 13-35
0.00547


32 kDa. Heat Shock protein
0.00547


Myelin Basic Protein peptide aa 138-147
0.00547


Proteolipid Protein peptide aa 1-19
0.00547


Proteolipid Protein peptide aa 161-180
0.00547


Proteolipid Protein peptide aa 10-29
0.00547


60 kDa. Heat Shock Protein peptide aa 1-20
0.0055


70 kDa. Heat Shock Protein peptide aa 61-80
0.0055


Ceramide
0.0055


Myelin-Associated Oligodendrocytic Basic Protein peptide aa 91-110
0.0055


Proteolipid Protein peptide aa 137-150
0.0055


NOGO
0.00557


Olygodendrocyte-Specific Protein peptide aa 76-95
0.00557


b-Cristallin
0.0058


Myelin-Associated Oligodendrocytic Basic Protein peptide aa 121-140
0.00703


60 kDa. Heat Shock Protein peptide aa 225-244
0.00708


Myelin Basic Protein peptide aa 113-132
0.00925


Olygodendrocyte-Specific Protein peptide aa 46-65
0.00925


Myelin Protein 2 peptide aa 91-110
0.00925


Myelin-Associated Oligodendrocytic Basic Protein peptide aa 151-170
0.0093


Myelin/oligodendrocyte glycoprotein peptide aa 31-50
0.0093


NT-3
0.0093


Proteolipid Protein peptide aa 40-59
0.0116


70 kDa. Heat Shock Protein peptide aa 421-440
0.0118


Myelin Basic Protein peptide aa 173-186
0.0125


70 kDa. Heat Shock Protein peptide aa 121-140
0.0132


2′,3′-cyclic nucleotide 3′-phosphodiesterase peptide aa 391-410
0.0132


Olygodendrocyte-Specific Protein peptide aa 136-155
0.0132


Olygodendrocyte-Specific Protein peptide aa 106-125
0.0134


70 kDa. Heat Shock Protein peptide aa 136-155
0.0141


2′,3′-cyclic nucleotide 3′-phosphodiesterase peptide aa 406-421
0.0141


Myelin-Associated Oligodendrocytic Basic Protein peptide aa 166-185
0.0143


Myelin Protein 2 peptide aa 1-20
0.0143


Myelin Protein 2 peptide aa 76-95
0.0144


Proteolipid Protein peptide aa 125-141
0.0144


Proteolipid Protein peptide aa 178-191
0.0144


40 kDa. Heat Shock Protein
0.0145


2′,3′-cyclic nucleotide 3′-phosphodiesterase peptide aa 106-125
0.0158


Olygodendrocyte-Specific Protein peptide aa 195-217
0.0174


2′,3′-cyclic nucleotide 3′-phosphodiesterase peptide aa 240-259
0.0187


70 kDa. Heat Shock Protein peptide aa 76-95
0.0194


Proteolipid Protein peptide aa 265-277
0.0194


Myelin Basic Protein peptide aa 89-101
0.0199


Myelin Basic Protein peptide aa 71-92
0.0199


Myelin-Associated Oligodendrocytic Basic Protein peptide aa 16-35
0.0199


Proteolipid Protein peptide aa 265-277
0.0199


60 kDa. Heat Shock Protein peptide aa 46-65
0.0241


70 kDa. Heat Shock Protein peptide aa 166-185
0.0241


2′,3′-cyclic nucleotide 3′-phosphodiesterase peptide aa 151-170
0.0241


2′,3′-cyclic nucleotide 3′-phosphodiesterase peptide aa 376-395
0.0241


Myelin Basic Protein peptide aa 11-30
0.0241


Myelin/oligodendrocyte glycoprotein peptide aa 211-230
0.0241


Proteolipid Protein peptide aa 265-277
0.0241


70 kDa. Heat Shock Protein peptide aa 181-199
0.0242


Olygodendrocyte-Specific Protein peptide aa 31-50
0.0242


Proteolipid Protein peptide aa 265-277
0.0242


Myelin/oligodendrocyte glycoprotein peptide aa 91-110
0.0249


Optic Nerve lysate
0.0249


2′,3′-cyclic nucleotide 3′-phosphodiesterase peptide aa 361-380
0.0258


Lactosylceramide
0.0258


Myelin Protein 2 peptide aa 31-50
0.0258


Myelin Basic Protein peptide aa 1-20
0.028


NMDA receptor
0.0285


CNF
0.0289


2′,3′-cyclic nucleotide 3′-phosphodiesterase peptide aa 136-155
0.0292


Myelin Basic Protein peptide aa 141-161
0.0298


70 kDa. Heat Shock Protein peptide aa 406-425
0.0307


2′,3′-cyclic nucleotide 3′-phosphodiesterase peptide aa 210-229
0.0307


Galactocerebrosides
0.0307


Myelin/oligodendrocyte glycoprotein peptide aa 46-65
0.0307


Proteolipid Protein peptide aa 150-163
0.0307


Proteolipid Protein peptide aa 265-277
0.0307


Proteolipid Protein peptide aa 80-99
0.0307


60 kDa. Heat Shock Protein peptide aa 210-229
0.0323


Proteolipid Protein peptide aa 137-154
0.0324


2′,3′-cyclic nucleotide 3′-phosphodiesterase peptide aa 1-20
0.0337


2′,3′-cyclic nucleotide 3′-phosphodiesterase peptide aa 225-244
0.0337


Myelin-Associated Oligodendrocytic Basic Protein peptide aa 61-80
0.0337


Proteolipid Protein peptide aa 158-166
0.0337


Ceramide 1 phosphate
0.0346


Myelin-Associated Oligodendrocytic Basic Protein peptide aa 136-155
0.0369


Myelin Basic Protein peptide aa 155-178
0.0379


Myelin/oligodendrocyte glycoprotein peptide aa 106-125
0.0392


Proteolipid Protein peptide aa 180-199
0.0408


Myelin Protein 2 peptide aa 121-132
0.0413


Myelin Basic Protein peptide aa 104-123
0.0419


70 kDa. Heat Shock Protein
0.0421


Non h fatty acid ceramide
0.0421


Myelin-Associated Glycoprotein
0.0452


Myelin Basic Protein peptide aa 143-168
0.0452


2′,3′-cyclic nucleotide 3′-phosphodiesterase peptide aa 91-110
0.047


2′,3′-cyclic nucleotide 3′-phosphodiesterase peptide aa 181-199
0.0476


70 kDa. Heat Shock Protein peptide aa 255-275
0.0486


Brain ceramides
0.0486


Myelin Protein 2 peptide aa 46-65
0.0496









To further characterize the suppression of EAE by AHR activation we studied the activity of myelin specific T cells induced by vaccination with MOG35-55/CFA in TCDD-treated mice. TCDD-treated mice showed a suppressed recall proliferative response to the MOG35-55 peptide, however no differences were seen upon activation with antibodies to CD3 (see FIGS. 4c-d).
In addition, cells were stimulated in culture medium containing 100 μg/ml MOG35-55 for 2 days or with PMA (50 ng/ml) (Sigma-Aldrich) and ionomycin (1 nM) (Calbiochem, San Diego, Calif., USA) for 4 hours, Golgistop (BD Biosciences) was added to the culture during the last 4 hours. After staining of surface markers, cells were fixed and permeabilized using Cytofix/Cytoperm and Perm/Wash buffer from BD Biosciences according to the manufacturer's instructions. All antibodies to cytokines (IFN-gamma, IL-17, IL-10) including the corresponding isotype controls were obtained from BD Biosciences. Cells were incubated (1:100) at 25° C. for 20 min and washed twice in Perm/Wash before analysis. Data were acquired on a FACSCalibur (BD Biosciences) and analyzed with FlowJo software (Tree Star, Ashland, Oreg., USA). When compared to the draining lymph node cells from control animals, cells from TCDD-treated mice secreted higher amounts of TGFb1 and lower amounts of IFNg and IL-17 upon activation with MOG35-55 (see FIG. 4e); we did not detect significant amounts of IL-4 or IL-10. Moreover, AHR activation with TCDD led to a decrease in the frequency of CD4+IL-17+ and CD4+IFNg+ T cells in the draining lymph nodes (see FIG. 4F).
These data suggest that AHR activation interferes with the generation of the encephalitogenic T cell response.
Example 6: Treg Induced by AHR Activation Suppress EAE by a TGFb1-Dependent Mechanism
The inhibition of the development of EAE by AHR activation with TCDD was associated with a significant increase in the frequency of CD4+Foxp3+ T cells (see FIG. 5A). To identify the mechanism responsible for the decreased proliferation to MOG35-55 in TCDD-treated animals shown in FIG. 4D, the CD4+CD25+ Treg population was depleted with magnetic beads. Treg depletion recovered the recall response to MOG35-55 in immunized mice treated with TCDD (see FIG. 5B), suggesting that the suppression observed in FIG. 4D resulted from the activity of the TCDD-induced Treg (see FIG. 5A). Moreover, protection from EAE could be transferred to wild type naïve animals by the transfer of 5×106 CD4+ T cells from TCDD-treated mice, but not with cells isolated from vehicle-treated mice (P<0.001, two-way ANOVA, n=4; FIG. 5C). The control of the pathogenic T cell response was mediated by CD4+CD25+ Treg, their depletion abrogated the protective effect of the transferred cells (P<0.001, two-way ANOVA, n=4; FIG. 5C).
Further characterization revealed that effector CD4+Foxp3:GFP− T cells purified from TCDD-treated mice showed normal proliferation (FIG. 5F), but significantly decreased secretion of IL-17 and IFNγ upon activation with MOG35-55 (see FIG. 5G).
To confirm that the protective effect of TCDD on EAE was Treg mediated we depleted the natural Treg with antibodies to CD25 prior to TCDD treatment. The difference between undepleted and depleted cell populations are shown in FIG. 5H. TCDD-treated mice showed a faster rebound in their Treg numbers (P<0.04 at day 7) (see FIG. 5H), concomitant with a significant delay in the onset of EAE (P<0.03) and a significant reduction in IL-17+CD4+ T cells in the draining lymph nodes (P<0.03; see FIGS. 5I and 5J). Moreover, the transfer of 5×106 CD4+ T cells from TCDD-treated mice significantly inhibited the development of EAE, as shown in FIG. 5h and Table 5. This protective effect was lost when CD4+CD25+ T cells were depleted, see FIG. 5h and Table 5. Together, these data suggest that AHR activation by TCDD results in the generation of CD4+ Foxp3+ Treg that control the encephalitogenic response.







TABLE 5







EAE Suppression in Treg Depleted Cell Populations













Mean maximum



Incidence
Mean day of onset
score


Treatment
(positive/total)
(Mean ± SD)
(mean ± SD)





CD4+ control
 7/7 (100%)
12.3 ± 1.9
2.7 ± 1.0


CD4+ TCDD
3/6 (57%)
13.3 ± 0.6
 0.7 ± 0.8*


CD4+CD25−
3/4 (75%)
11.0 ± 0.0
2.6 ± 1.8


TCDD





Naïve C57BL/6 mice received CD4+ or CD4+CD25− T cells (5 × 106) purified from TCDD or control treated mice 10 days after immunization with MOG35-55/CFA. 24 hours later EAE was induced in the recipient mice with MOG35-55/CFA, and the mice were monitored for EAE development. Statistical analysis was performed by comparing groups using one-way analysis of variance.


*P < 0.05 vs CD4+ control group.






TGFb1 has been linked to the suppressive activity of Treg in vitro and in vivo (Li et al., Annu Rev Immunol. 24, 99-146 (2006)). To assess the role played by TGFb1 in the inhibition of the recall response to MOG35-55 by Treg (see FIGS. 4d and 5b), we activated lymph node cells from TCDD treated mice in the presence of blocking antibodies to IL-4, IL-10, TGFb1, or an isotype-matched control. FIG. 5d shows that incubation with antibodies to TGFb1, but not to IL-4 or IL-10 could recover the recall response to MOG35-55.
To analyze the role played by TFGb1 in vivo in the control of EAE, we transferred CD4+ T cells from TCDD treated mice into naïve mice expressing a dominant negative variant of the TGFb receptor II on their T cells; T cells from these mice are unresponsive to the immunosuppressive effects of TGFb1 (Gorelik et al., Immunity. 12, 171-81 (2000)). As shown in FIG. 5E, transferred Treg cells could control EAE in wild type mice but not in mice harboring T cells unresponsive to TGFb1 (P<0.001, two-way ANOVA, n=4). Thus, Treg induced by the activation of AHR with TCDD inhibit the progression of EAE by a TGFb1-dependent mechanism.
Example 7: Endogenous AHR Ligands Control Treg Development In Vivo
The observations described herein regarding the control of Treg development by AHR activation suggest that endogenous AHR ligands participate in immune regulation. In support of this, we have demonstrated that naïve AHR-d mice harbor lower levels of CD4+Foxp3+ T cells (P<0.03, t-test; see FIG. 6A), and higher levels of CD4+CD25+Foxp3− T cells. In addition, we have demonstrated that these cells develop a significantly stronger EAE, which is characterized by an earlier disease onset and a higher clinical score (P<0.001, two-way ANOVA, n=6-8; see FIG. 6B).
Several endogenous AHR ligands are described in the art28. Based on our results, AHR ligands such as TCDD could be useful in the control of Treg development. Our data additionally demonstrate that AHR ligands such as TCDD can be used to suppress the development and/or progression of EAE. Clearly, such technology would also be useful in the modulation of other immunological disorders such as autoimmune disorders. Two additional endogenous high affinity ligands for AHR are tryptamine (TA) (Heath-Pagliuso et al., Biochemistry. 37, 11508-15 (1998)), a derivative of tryptophan (Trp) catabolism and 2-(1′H-indole-3′-carbonyl)-thiazole-4-carboxylic acid methyl ester (ITE) (Song et al., Proc Natl Acad Sci USA. 99, 14694-9 Epub 2002 Oct. 30 (2002)), a molecule isolated from the lung. Interestingly, no toxicity has been reported for these AHR ligands in vivo, probably as a result of their short half-life (Henry et al., Arch Biochem Biophys. 450, 67-77 Epub 2006 Mar. 3 (2006)). To confirm the physiologic relevance of AHR activation for the control of Treg activity, we tested the effect of TA and ITE on EAE. Based on the short half-life of these molecules we administered them on a daily basis. The administration of ITE, but not TA, led to a significant reduction on EAE severity (P<0.001, two-way ANOVA, n=9; see FIG. 6c), likely due to rapid degradation of TA. This observation suggests that endogenous AHR ligands participate in the control of inflammation under physiological conditions.
Together, these results indicate that modulation of Foxp3 expression by modulating activity of a transcription factor that binds to Foxp3 can be used to affect Treg and control of the immune response in vivo.
Example 8: Expression Levels of Transcription Factors in Foxp3 Knock-in Mice
Mouse Treg and non-Treg were isolated from Foxp3gpf knock in mice, mRNA was prepared and Foxp3 (see FIG. 8A), NKX2.2 (see FIG. 8B), EGR1 (see FIG. 8C), EGR2 (see FIG. 8D) and EGR3 (see FIG. 8E) expression was quantified by real time PCR. Foxp3gpf knock in mice have a GFP reporter inserted in the Foxp3 gene, producing GFP in Foxp3+ Treg and therefore facilitating the identification and FACS sorting of GFP:Foxp3+ Treg.
GFP− CD4+ T cells were isolated from Foxp3gpf knock in mice, and then were activated in vitro with antibodies to CD3 and CD28 in the presence of TGFβ1 to induce Treg differentiation in vitro. mRNA was prepared at the beginning of the experiment and after 3 or 6 days in culture, and the expression of Foxp3 (see FIG. 9A), NKX2.2 (see FIG. 9B), EGR1 (see FIG. 9C), EGR2 (see FIG. 9D) and EGR3 (see FIG. 9E) expression was quantified in the Foxp3:GFP+CD4+ T cells by real time PCR.
These results indicate that expression of Foxp3 and the transcription factors EGR1, EGR2, EGR3 and NKX2.2 is correlated. Taken together, the reported effects that these TFs exert on the regulation of gene expression, the identification of TF binding sites on the Foxp3 gene, and the correlation between the expression of these TF and Fox3, suggest that EGR1, EGR2, EGR3 and NKX2.2 play a role in the regulation of Foxp3 expression and the generation of Treg.
Example 9: Combination Treatment Using Tryptamine (TA)
As shown above, TA is rapidly degraded in vivo by monoamine oxidase inhibitors. As shown in FIG. 13, when combined with the monoamine oxidase inhibitor trans-2-Phenylcyclopropylamine hydrochloride (Tranylcypromine), TA effectively suppresses EAE suppression.
This observation suggests that TA is a TCDD-like ligand that, when used in combination with a monoamine oxidase inhibitor, can be used as a transcription factor ligand for promoting an increase in the number and/or activity of Treg.
Example 10: Modified Screening Assays
A modified zebrafish based screening assay was established by microinjecting fertilized zebrafish eggs with a BAC construct encoding the complete mouse Foxp3 locus, with a renilla reporter inserted after the Foxp3 methionine start codon (ATG). Six days after microinjection, renilla activity was determined in total zebrafish lysates. As shown in FIG. 14, murine Foxp3 was expressed in the microinjected fish as determined by renilla luciferase activity. The activity increased in the presence of TCDD in a dose-dependent manner.
These data suggest that zebrafish lines encoding murine Foxp3 can be used to screen for small molecules that increase or decrease Foxp3 expression levels.
Example 11: AHR Activation with its Non-Toxic Ligand ITE Induces Functional Treg
The ligand-activated transcription factor aryl hydrocarbon receptor (AHR) is a regulator of zebrafish, mouse and human Foxp3 expression and Treg differentiation (Quintana et al., Nature 23, 23 (2008)). AHR activation by its ligand 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) induced Treg that suppressed experimental autoimmune encephalomyelitis (EAE) by a TGFb1-dependent mechanism. These findings identify AHR as a therapeutic target of interest for the management of autoimmune disorders, but its therapeutic exploitation is limited by the well-characterized toxic features of TCDD (Baccarelli et al., Environ Health Perspect. 110, 1169 (2002)).
Several endogenous AHR ligands have been isolated, among them tryptophan derivatives like tryptamine (TA) (Heath-Pagliuso et al., Biochemistry. 37, 11508 (1998)) and the mucosal associated 2-(1′H-indole-3′-carbonyl)-thiazole-4-carboxylic acid methyl ester (ITE) depicted in FIG. 1 (Song et al., Proc Natl Acad Sci USA. 99, 14694 (Nov. 12, 2002)). Notably, although ITE and TA have been shown to be high affinity AHR ligands, they do not display the toxic effects reported by TCDD (Heath-Pagliuso et al., (1998), supra; Henry et al., Arch Biochem Biophys. 450, 67 (2006)). As demonstrated herein, the non-toxic AHR ligand ITE administered intraperitoneally, orally or with pegylated gold nanoparticles can be used to induce functional Treg.
To analyze the feasibility of using ITE to activate AHR in vivo in a therapeutic setup, we studied the effect of ITE on EAE development. EAE was induced on naïve C57BL/6 mice and ITE (200 mg/mice) was administered orally or intraperitoneally on daily basis. ITE administration, either orally or intraperitoneally, resulted in a significant delay on EAE development and a significant reduction of EAE clinical score (FIGS. 15A-B). Thus, AHR activation by ITE induces functional Treg that can control EAE.
To study the mechanism by which the ITE-induced Treg control EAE we studied the ability of AHR activation by ITE to induce Treg. We treated naïve C57BL/6 mice with ITE (200 mg/mouse administered ip, daily) and immunized them with 100 mg/mouse of MOG35-55 in CFA. Spleens were prepared 10 days later and CD4+FoxP3+ Treg were quantified by FACS. Administration of ITE led to a significant increase in the number of CD4+FoxP3+ Treg (FIGS. 16A-B and 17A-B). Notably, this increase resulted from the expansion of both CD25+ and CD25− CD4+FoxP3+ Treg, but did lead to significant alterations in the levels of LAP+ regulatory T cells (FIGS. 16A-B and 17A-B). Thus AHR activation by ITE results in the expansion of the CD4+FoxP3+ Treg compartment.
To confirm the lack of toxicity of ITE, we administered it intraperitoneally for 14 days, 200 mg/mouse and studied the blood levels of biochemical indicators of liver function induction. Hepatocites are known to express high levels of AHR, thus toxic effects of AHR activation are manifested in the liver. Table 6 shows that at day 14 we did not detect any significant difference in the biochemical indicators of liver function, confirming the lack of toxicity in ITE.







TABLE 6







ITE Administration Does Not Result in Liver Toxicity











TEST
Units
Control
ITE
Reference Range





ALT/GPT
U/L
16 ± 2 
19 ± 4 
 0-54


AST/GOT
U/L
79 ± 29
94 ± 17
 9-74


Alkaline Phosphatase
U/L
75 ± 8 
55 ± 11
 36-300


Total Bilirubin
mg/dL
0 ± 0
0 ± 0
0.1-1.2


Direct Bilirubin
mg/dL
0 ± 0
0 ± 0
0.0-0.8


Total Protein
g/dL
6 ± 0
5 ± 0
4.4-8.0


Albumin
g/dL
2 ± 0
3 ± 0
2.9-5.4


Globulin
g/dL
3 ± 0
3 ± 0
2.0-4.0









To study the feasibility of administering ITE orally to activate AHR and induce functional Treg we treated naïve C57BL/6 mice with ITE (200 mg/mouse administered orally, daily) and immunized them with 100 mg/mouse of MOG35-55 in CFA. Spleens were prepared 10 days later and CD4+FoxP3+ Treg were quantified by FACS. Administration of ITE led to a significant increase in the number of CD4+FoxP3+ Treg (FIGS. 18A-B and 19A-B). Notably, this increase resulted from the expansion of both CD25+ and CD25− CD4+FoxP3+ Treg, but did lead to significant alterations in the levels of LAP+ regulatory T cells (FIGS. 18A-B and 19A-B). Thus ITE can be administered orally to activate AHR and expand the CD4+FoxP3+ Treg compartment.
To confirm the ability of AHR activation by ITE to expand the Treg compartment we used Foxp3gpf knock in mice. Foxp3gpf knock in mice have a GFP reporter inserted in the Foxp3 gene, producing a GFP:Foxp3 fusion protein that facilitates the identification and FACS sorting of GFP:FoxP3+ Treg (Bettelli et al., Nature 441, 235 (2006)). Foxp3gpf knock in mice were treated with ITE (200 mg/mouse administered ip, daily) and immunized with 100 mg/mouse of MOG35-55 in CFA. Ten days later and CD4+FoxP3:GFP+ Treg were quantified by FACS. Administration of ITE led to a significant increase in the number of CD4+FoxP3:GFP+ Treg in blood and spleen (FIGS. 20A-B and 21A-B). Thus AHR activation by ITE results in the expansion of the CD4+FoxP3+ Treg compartment.
We then studied the effect of ITE administration on the encephalitogenic response against myelin. EAE was induced on naïve C57BL/6 mice and ITE (200 mg/mice) was administered orally or intraperitoneally on daily basis. Ten days after vaccination with MOG35-55/CFA, ITE-treated mice showed a suppressed recall proliferative response to the MOG35-55 peptide (FIG. 22); no differences were seen upon activation with antibodies to CD3 (FIG. 22). When compared to the splenocytes from control animals, CD4+ T cells from ITE-treated mice secreted higher amounts of TGFb1 and IL-10 and lower amounts of IL2, IL6, IFNg and IL17 upon activation with MOG35-55 (FIG. 22). Similar results were observed on the recall response to MOG35-55 of mice treated with orally administered ITE (FIG. 23).
To confirm the suppressive effects of AHR activation on the generation of T cells secreting IFNg and IL17, IFNg+ and IL17+CD4+ T cells were quantified by FACS in the draining lymph nodes ten days after footpad immunization and intraperitoneal administration of ITE (200 mg/mice). AHR activation with ITE led to a decrease in the frequency of CD4+IL17+ and CD4+IFNg+ T cells (FIG. 24). In accordance with these results, we found a significant reduction in the secretion of IL-17 and IFNg by lymph node cells from ITE-treated mice activated with MOG35-55 or aCD3.
To investigate the effect of AHR activation by ITE on the frequency of MOG35-55 specific Treg and effector T cells (Ten), Foxp3gpf knock in mice were immunized with MOG35-55/CFA, treated daily with intreaperitoneal ITE (200 mg/mice) and MOG35-55-specific Treg (CD4+FoxP3:GFP+) and Teff (CD4+FoxP3:GFP−) were analyzed by FACS using recombinant MHC class II tetramers containing MBP35-55 or the control peptide TMEV70-86. AHR activation with ITE led to a decrease in the frequency of MOG35-55-specific Teff and to a concomitant increase in the frequency of MOG35-55-specific Treg, reducing the MOG35-55-specific Teff/Treg ratio by half (FIG. 25).
To investigate the active suppression of MOG35-55-specific Teff by Treg, Foxp3gpf knock in mice were immunized with MOG35-55/CFA, treated daily with intreaperitoneal ITE (200 mg/mice) and the recall response to MOG35-55 and a mitogenic antibody to CD3 antibody was studied on FACS-sorted CD4+ T cells and CD4+FoxP3:GFP− Teff. Purified CD4+ T cells from ITE-treated mice showed a suppressed response to MOG35-55 but not to anti-CD3 (FIG. 26). This suppressed response to MOG35-55 was lost upon removal of the CD4+FoxP3:GFP+ Treg (FIG. 26). To further analyze the MOG35-55-specific suppressive activity of the CD4+FoxP3:GFP+ Treg, they were cocultured at different ratios and assayed for the suppression of MOG35-55 or anti-CD3-triggered proliferation of CD4+FoxP3:GFP− Teff form 2D2 mice, which harbor a TCR specific for MOG35-55. CD4+FoxP3:GFP+ Treg, from ITE-treated mice displayed an increased MOG35-55-specific suppressive activity, which could be inhibited with antibodies blocking antibodies to TGFb1 (FIGS. 27A-C). All in all, these data suggests that, similarly to what we have described for TCDD, AHR activation by ITE results in the expansion of antigen-specific CD4+FoxP3+ Treg that suppress the encephalitogenic response in a TGFb1-dependent manner.
To demonstrate that the effect of ITE on EAE was mediated by Treg, we purified CD4+ T cells from mice protected from EAE by oral or intraperitoneal administration of ITE 14 days after EAE induction. Protection from EAE could be transferred to wild type naïve animals by the transfer of 5 106 CD4+ T cells ITE-treated mice, but not with cells isolated from vehicle-treated mice (FIG. 28). The control of the pathogenic T cell response was mediated by CD4+CD25+ Treg, their depletion from the transferred population abrogated the protective effect of the transferred cells. Thus, the Treg induced by the activation of AHR with ITE inhibit the progression of EAE.
AHR is known to be expressed by antigen presenting cells (APC) such as dendritic cells (CD11c+) and macrophages (CD11b+) (Vorderstrasse and Kerkvliet, Toxicol Appl Pharmacol. 171, 117 (2001); Laupeze et al., J Immunol. 168, 2652 (2002); Hayashi et al., Carcinogenesis. 16, 1403 (1995); Komura et al., Mol Cell Biochem. 226, 107 (2001)). To analyze the effects that AHR activation by ITE might have on different APC populations, which can potentially influence the generation of Teff and Treg cells, we studied the effect of ITE and TCDD treatment on MHC class II expression by as dendritic cells (CD11c+) and macrophages (CD11b+). C57BL/6 mice were treated with ITE (200 mg/mouse administered ip, daily) or TCDD (1 mg/mouse administered ip on day 0) and immunized them with 100 mg/mouse of MOG35-55 in CFA. Spleens were prepared 10 days later and MCH class I expression was investigated on CD11b+ and CD11c+ cells by FACS. Administration of ITE or TCDD resulted in a significant decrease in CD11c+ MHC class II expression, which was concomitant with a significant increase in CD11b+ MHC class II expression (FIG. 29). Since CD11c+ MHC-II+ and CD11 MHC-II+ have been recently linked to the induction of Teff and Treg, respectively, these results suggest that changes in the different APC populations might contribute to the immunomodulatory effects of AHR activation by ITE.
Example 12: Administration of ITE-Loaded Nanoparticles Induces Functional Treg
As noted above, administration of a single dose of 1 mg/mouse of the AHR ligand TCDD could prevent the development of EAE. To achieve similar effects on disease progression, 200 mg/mouse of ITE have to be administered daily throughout the experiment. ITE is a tryptophan derivative which is thought to have a short half-life in vivo as a result of the activity of specific enzymes. Indeed, administration of ITE at weekly intervals, instead of daily, results in a complete loss of this protective effects on EAE (FIG. 30).
Gold colloid has been in use for over 50 years in the treatment of rheumatoid arthritis, these gold colloid nanoparticles have been shown to have little to no long-term toxicity or adverse effects (Paciotti et al., Drug Deliv. 11, 169 (2004)). Due to their small size (10-100 nm diameter), gold colloid nanoparticles have large surface areas on which multiple small proteins or other molecules can be conjugated (Paciotti et al., Drug Deliv. 11, 169 (2004)). The PEGylation of gold colloid nanoparticles greatly enhances the overall stability of the molecule to which it is covalently bonded (Qian et al., Nat Biotechnol. 26, 83 (2008)). Moreover, recently it has been shown that PEGylated) gold colloid nanoparticles can be linked to specific antibodies to target them to specific cell types (Qian et al., Nat Biotechnol. 26, 83 (2008)). Thus, to increase the half-life of ITE and to facilitate its targeting to specific cell types, we constructed polyethylene glycol coated (PEGylated) gold colloid nanoparticles loaded with AHR ligands (FIG. 31).
PEGylated gold colloid nanoparticles carrying the AHR ligands FICZ, ITE or TCDD showed a typical spectrum of optical absorption (FIG. 32). Moreover, FICZ, ITE or TCDD-loaded nanoparticles activated luciferase expression on an AHR-reporter cell line to levels similar to those achieved by 10 nM TCDD.
To investigate the in vivo functionality of AHR-ligand loaded nanoparticles we induced EAE on naïve C57BL/6 mice and treated them, starting at day 0, weekly with 45 femtomoles of nanoparticles. Similarly to what we have described in our previous experiments, treatment with TCDD resulted in a complete suppression of EAE, while the AHR ligand FICZ worsened the disease (FIG. 33). Weekly administration of ITE-loaded nanoparticles resulted in a significant inhibition of EAE development (FIG. 34). Thus, the administration of ITE using nanoparticles augments its suppressive effect on EAE (compare FIGS. 31 and 33)
To study the effect of ITE-loaded nanoparticles on the Treg compartment we induced EAE on naïve C57BL/6 mice and treated them, starting at day 0, weekly with 45 femtomoles of nanoparticles. Spleens were prepared 21 days after EAE induction and CD4+FoxP3+ Treg were quantified by FACS. Administration of ITE-loaded nanoparticles led to a significant increase in the number of CD4+FoxP3+ Treg (FIG. 34); this increase resulted from the expansion of both CD25+ and CD25− CD4+FoxP3+ Treg (FIG. 34). Thus ITE-loaded nanoparticles can be used to activate AHR and expand the Treg compartment.
To study the mechanism by which the ITE-loaded nanoparticles control EAE we studied the activity of myelin specific T cells. We induced EAE on naïve C57BL/6 mice and treated them, starting at day 0, weekly with 45 femtomoles of nanoparticles. Spleens were prepared 21 days after EAE was induced and analyzed for their recall response to MOG35-55 and anti-CD3. Mice treated with ITE-loaded nanoparticles showed a suppressed recall proliferative response to the MOG35-55 peptide (FIG. 35); no differences were seen upon activation with antibodies to CD3 (FIG. 35). When compared to the splenocytes from control animals, CD4+ T cells from mice treated with ITE-loaded nanoparticles secreted higher amounts of TGFb1 and IL-10 and lower amounts of IL2, IL6, IFNg and IL17 upon activation with MOG35-55 (FIG. 35).
Example 13: Induction of Functional Human Regulatory T Cells by AHR Activation
To investigate the potential of AHR targeting for the induction of human Treg we activated purified naïve CD4+ CD62L+ CD45RO− T cells for healthy donors for 5 days with antibodies to CD3 and CD28 in the presence of TCDD 100 nM or TGFb1 2.5 ng/ml or both. T cell activation in the presence of TCDD resulted in the induction of CD4+ FoxP3+ T cells in some (FIG. 36) but not all human samples (FIG. 37).
To study the functionality of the putative human Treg induced in the presence of TCDD we studied their suppressive activity of CD4+CD25High and CD4+CD25Low T cells following 5 days of activation in the of TCDD or TGFb1 2.5 ng/ml or both. Activation in the presence of TGFb1 did not result in the induction of suppressive T cells (FIG. 38). However, activation in the presence of TCDD led to the generation of both CD4+CD25High and CD4+CD25Low functional human regulatory T cells, as shown by their ability to inhibit the proliferation of responder T cells (FIG. 38). This effect of TCDD was amplified in the presence of TGFb1, as shown by the increased suppressive activity of the T cells generated under these conditions (FIG. 38).
To investigate the mechanism mediating the suppressive activity of the TCDD-induced Treg, we analyzed them by real time PCR for the expression of several genes that have been previously linked to the suppressive function of Treg. FoxP3 expression was significantly up-regulated upon activation in the presence of TCDD and TGFb1 (FIG. 39), however it was also induced buy TGFb1 alone, suggesting that FoxP3 expression does not correlate with the induction of suppressive function via AHR activation. This is confirmed by the marginal induction of FoxP3 expression triggered by AHR activation with TCDD in the absence of TGFb1 (FIG. 39), although these cells expressed low levels of FoxP3 were suppressive in co-culture assays (FIG. 38). TGFb1 also up-regulated AHR expression levels several fold over the basal levels observed on T cells, however the AHR expression levels also did not correlate with the induction of suppressive activity as shown in co-culture assays (FIG. 40). Strikingly, TCDD treated expressed increased levels of IL-10, which where complete inhibited by TGFb1 (FIG. 41). Accordingly, IL-10-specific blocking antibodies could interfere with the suppressive activity of Treg induced with TCDD, but not the of those induced with TGFb1 and TCDD (FIG. 42). Thus, TCDD-induced CD4+CD25HIgh T cells are FoxP3− regulatory cells whose suppressive activity is mediated, at least partially, via IL-10, resembling the phenotype of type 1 Treg (Roncarolo et al., Immunol Rev. 212, 28 (2006); Roncarolo and Gregori, Eur J Immunol. 38, 925 (2008)).
OTHER EMBODIMENTS
It is to be understood that while the invention has been described in conjunction with the detailed description thereof, the foregoing description is intended to illustrate and not limit the scope of the invention, which is defined by the scope of the appended claims. Other aspects, advantages, and modifications are within the scope of the following claims.

## Claims

1. A method for increasing the number of CD4/CD25/Foxp3-expressing T regulatory (Treg) cells in a population of T cells, the method comprising contacting the population of T cells with a sufficient amount of a composition comprising a ligand that binds specifically to an aryl hydrocarbon receptor (AHR) transcription factor, and an antibody that selectively binds to an antigen present on a T cell, a B cell, a dendritic cell, or a macrophage, wherein the antibody and the ligand are linked to a biocompatible gold nanoparticle, wherein the method results in an increase in the number and/or activity of regulatory Treg cells.

2. The method of claim 1, wherein the ligand is a small molecule that competes for binding to the AHR competitively with 2,3,7,8 tetrachlorodibenzo-p-dioxin (TCDD) and activates AHR-dependent signaling.

3. The method of claim 1, wherein the ligand is 2,3,7,8 tetrachlorodibenzo-p-dioxin (TCDD).

4. The method of claim 1, wherein the ligand is tryptamine (TA).

5. The method of claim 1, wherein the composition further comprises a monoamine oxidase inhibitor.

6. The method of claim 5, wherein the monoamine oxidase inhibitor is tranylcypromine.

7. The method of claim 1, wherein the ligand is 2-(1′H-indole-3′-carbonyl)-thiazole-4-carboxylic acid methyl ester (ITE).

8. The method of claim 1, wherein the ligand is 6 formylindolo[3,2 b]carbazole (FICZ).

9. The method of claim 1, wherein the biocompatible gold nanoparticle is pegylated.

10. The method of claim 1, wherein the population of T cells comprises naïve T cells or CD4+CD62 ligand+ T cells.

11. The method of claim 1, further comprising administering the Treg cells to a subject suffering from an autoimmune disorder, in an amount sufficient to improve or ameliorate a symptom of the disorder.

12. The method of claim 1, wherein the population of T cells is in a living mammalian subject, and the method comprises administering the composition to the subject.

13. The method of claim 12, wherein the subject has multiple sclerosis.

14. The method of claim 12, comprising administering the composition orally.

15. The method of claim 12, comprising administering the composition intravenously.