# Patent

## Title
Inhibitor of vascular endothelial cell growth factor

## Abstract

The vascular endothelial cell growth factor (VEGF) inhibitors of the present invention are naturally occurring or recombinantly engineered soluble forms with or without a C-terminal transmembrane region of the receptor for VEGF, a very selective growth factor for endothelial cells. The soluble forms of the receptors will bind the growth factor with high affinity but do not result in signal transduction. These soluble forms of the receptor bind VEGF and inhibit its function.

## Background
RELATED APPLICATIONS
This application is a divisional of application Ser. No. 09/232,773 filed Jan. 15, 1999, now abandoned; which is a divisional of application Ser. No. 08/786,164 filed Jan. 21, 1997, now U.S. Pat. No. 5,861,484; which is a divisional of application Ser. No. 08/232,538, filed Apr. 21, 1994, now U.S. Pat. No. 5,712,380; which is a continuation-in-part of application Ser. No. 08/038,769 filed Mar. 25, 1993, now abandoned.


BACKGROUND OF THE DISCLOSURE
Recently a new class of cell-derived dimeric mitogens with selectivity for vascular endothelial cells has been identified and designated vascular endothelial cell growth factor (VEGF). VEGF has been purified from conditioned growth media of rat glioma cells [Conn et al., (1990), Proc. Natl. Acad. Sci. U.S.A., 87, pp 2628–2632]; and conditioned growth media of bovine pituitary folliculo stellate cells [Ferrara and Henzel, (1989), Biochem. Biophys. Res. Comm., 161, pp. 851–858; Gozpadorowicz et al., (1989), Proc. Natl. Acad. Sci. U.S.A., 86, pp. 7311–7315] and conditioned growth medium from human U937 cells [Connolly, D. T. et al. (1989), Science, 246, pp. 1309–1312]. VEGF is a dimer with an apparent molecular mass of about 46 kDa with each subunit having an apparent molecular mass of about 23 kDa. VEGF has some structural similarities to platelet derived growth factor (PDGF), which is a mitogen for connective tissue cells but not mitogenic for vascular endothelial cells from large vessels.
The membrane-bound tyrosine kinase receptor, known as FLT, was shown to be a VEGF receptor [DeVries, C. et al., (1992), Science, 255, pp.989–991]. The FLT receptor specifically binds VEGF which induces mitogenesis. Another form of the VEGF receptor, designated KDR, is also known to bind VEGF and induce mitogenesis. The partial cDNA sequence and nearly full length protein sequence of KDR is known as well [Terman, B. I. et al., (1991) Oncogene 6, pp. 1677–1683; Terman, B. I. et al., (1992) Biochem. Biophys. Res. Comm. 187, pp. 1579–1586].
Persistent angiogenesis may cause or exacerbate certain diseases such as psoriasis, rheumatoid arthritis, hemangiomas, angiofibromas, diabetic retinopathy and neovascular glaucoma. An inhibitor of VEGF activity would be useful as a treatment for such diseases and other VEGF-induced pathological angiogenesis and vascular permeability conditions, such as tumor vascularization.
SUMMARY OF THE DISCLOSURE
A naturally-occurring FLT messenger RNA (mRNA) was identified and cloned from vascular endothelial cells. This mRNA is shown to encode most of the extracellular, or soluble, portion of the VEGF receptor, FLT. Soluble receptor molecules including forms containing a C-terminal transmembrane region are also recombinantly engineered for this and other VEGF receptors. These soluble receptors, comprising truncated and modified forms are expressed in recombinant host cells and have VEGF binding properties. The soluble receptor proteins are useful as inhibitors of VEGF activity since they will bind available VEGF preventing it from activating its functional receptors on vascular endothelial cells and could form non-functional heterodimers with full-length membrane anchored VEGF receptors.



BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1—A schematic diagram of full length VEGF receptors (FLT and KDR), the soluble VEGF receptors (sVEGF-RI and sVEGF-RII) and the soluble receptors containing the C-terminal transmembrane region (VEGF-RTMI and VEGF-RTMII) are shown with the protein domains of each.
FIG. 2—The DNA sequence of the sVEGF-RI soluble VEGF receptor/VEGF inhibitor is shown.
FIG. 3—The amino acid sequence of the sVEGF-RI soluble VEGF receptor/VEGF inhibitor is shown.
FIG. 4—Demonstration that recombinant host cells express sVEGF-RI is shown by the formation of high molecular weight complexes of sVEGF-RI and [125I]VEGF and separated by size exclusion chromatography.
FIG. 5—A 12.5% polyacrylamide electrophoretic gel is shown which demonstrates the high degree of purity obtained for sVEGF-RI.
FIG. 6—Cross-linked products of sVEGF-RI and [125I]VEGF are shown at about 145 kDa, and at about 245 kDa.
FIGS. 7A and 7B—Analysis of VEGF binding to sVEGF-RI (A) and corresponding Scatchard plot (B).
FIG. 8—Inhibition of [125I]VEGF binding to HUVECs by sVEGF-RI is demonstrated.
FIG. 9—Inhibition of VEGF-mediated mitogenesis on HUVECs is shown using sVEGF-RI.
FIG. 10—The nucleotide sequence encoding sVEGF-RII is shown.
FIG. 11—The amino acid sequence for sVEGF-RII is shown.
FIG. 12—The nucleotide sequence encoding VEGF-RTMII is shown.
FIG. 13—The amino acid sequence forsVEGF-RTMII is shown.
FIG. 14—The nucleotide sequence encoding sVEGF-RTMI is shown.
FIG. 15—The amino acid sequence for sVEGF-RTMI is shown.
FIG. 16—A diagram of pmFLT is shown.
FIG. 17—A diagram of pKDRA is shown.



DETAILED DESCRIPTION OF THE DISCLOSURE
The present invention relates to cDNA encoding a soluble VEGF receptor protein (sVEGF-R) which is isolated from VEGF receptor producing cells or is recombinantly engineered from VEGF receptor-encoding DNA. sVEGF-R, as used herein, refers to a protein which can specifically bind to a vascular endothelial cell growth factor without stimulating mitogenesis of vascular endothelial cells.
The amino acid sequence of FLT is known, [Shibuya, M. et al., (1990), Oncogene, 5, pp.519–524] and corresponds to the full length cell-associated VEGF tyrosine kinase receptor. Other VEGF receptors are known to exist. Other known VEGF receptors include, but are not limited to KDR [Terman (1991), supra., and Ternan (1992), supra.]. Mammalian cells capable of producing FLT, KDR and other VEGF receptors include, but are not limited to, vascular endothelial cells. Mammalian cell lines which produce FLT or KDR and other VEGF receptors include, but are not limited to, human endothelial cells. The preferred cells for the present invention include human umbilical vein endothelial cells (HUVEC).
Other cells and cell lines may also be suitable for use to isolate sVEGF-R cDNA. Selection of suitable cells may be done by screening for sVEGF-R binding activity on cell surfaces, in cell extracts or conditioned medium or by screening for gene expression by PCR or hybridization. Methods for detecting soluble receptor activity are well known in the art [Duan, D-S. R. et al., (1991) J.Biol.Chem., 266, pp.413–418] and measure the binding of labelled VEGF. Cells which possess VEGF binding activity in this assay may be suitable for the isolation of sVEGF-R cDNA.
Full length FLT producing cells such as human HUVEC cells (American Type Culture Collection, ATCC CRL 1730) [Hoshi, H. and McKeehan, W. L., Proc. Natl. Acad. Sci. U.S.A., (1984) 81, pp. 6413–6417] are grown according to the recommended culture conditions of the ATCC. Full length FLT, and KDR VEGF receptors as well as extracellular region (sVEGF-RI and sVEGF-RII) and extracellular region plus transmembrane region forms (VEGF-RTMI and VEGF-RTMII) are shown in FIG. 1. The full length receptor has an extracellular ligand binding region composed of about seven immunoglobulin-like domains, a membrane spanning sequence (transmembrane domain) and intracellular tyrosine kinase domains. The inhibitory forms of this receptor, which are the subject of the present invention, are also shown in FIG. 1 and lack the intracellular kinase domains, and for some inhibitors, the transmembrane sequence and the C-terminal most Ig-like extracellular domain.
Any of a variety of procedures may be used to molecularly clone sVEGF-R cDNA. These methods include, but are not limited to, direct functional expression of the sVEGF-R gene following the construction of an sVEGF-R-containing cDNA library in an appropriate expression vector system.
Another method is to screen a sVEGF-R-containing cDNA library constructed in a bacteriophage or plasmid shuttle vector with a labelled oligonucleotide probe designed from the predicted amino acid sequence of sVEGF-R. The preferred method consists of screening a sVEGF-R-containing cDNA library constructed in a bacteriophage or plasmid shuttle vector with a partial cDNA encoding at least part of the full length FLT protein. This partial cDNA is obtained by the specific PCR amplification of sVEGF-R DNA fragments through the design of oligonucleotide primers from the known sequence of the full length FLT-encoding DNA.
It is readily apparent to those skilled in the art that other types of libraries, as well as libraries constructed from other cells or cell types, may be useful for isolating sVEGF-R-encoding DNA. Other types of libraries include, but are not limited to, cDNA libraries derived from other cells or cell lines other than HUVECs and genomic DNA libraries.
It is readily apparent to those skilled in the art that suitable cDNA libraries may be prepared from cells or cell lines which have sVEGF-R activity. The selection of cells or cell lines for use in preparing a cDNA library to isolate sVEGF-R cDNA may be done by first measuring secreted sVEGF-R activity using the VEGF binding assay described fully herein.
Preparation of cDNA libraries can be performed by standard techniques well known in the art. Well known cDNA library construction techniques can be found for example, in Maniatis, T., Fritsch, E. F., Sambrook, J., Molecular Cloning: A Laboratory Manual (Cold Spring Harbor Laboratory, Cold Spring Harbor, N.Y., 1982).
It is also readily apparent to those skilled in the art that DNA encoding sVEGF-R may also be isolated from a suitable genomic DNA library. Construction of genomic DNA libraries can be performed by standard techniques well known in the art. Well known genomic DNA library construction techiques can be found in Maniatis, T., Fritsch, E. F., Sambrook, J. in Molecular Cloning: A Laboratory Manuel (Cold Spring Harbor Laboratory, Cold Spring Harbor, N.Y., 1982).
Another means of obtaining sVEGF-R molecules is to recombinantly engineer them from DNA encoding the partial or complete amino acid sequence of a VEGF receptor. Examples of other VEGF receptors include, but are not limited to, KDR. Using recombinant DNA techniques, DNA molecules are constructed which encode at least a portion of the VEGF receptor capable of binding VEGF without stimulating mitogenesis. Standard recombinant DNA techniques are used such as those found in Maniatis, et al., supra.
Using one of the preferred methods of the present invention, cDNA clones encoding sVEGF-R are isolated in a two-stage approach employing polymerase chain reaction (PCR) based technology and cDNA library screening. In the first stage, DNA oligonucleotides derived from the extracellular domain sequence information from the known full length FLT, KDR or other VEGF receptor is used to design degenerate oligonucleotide primers for the amplification of sVEGF-R-specific DNA fragments. In the second stage, these fragments are cloned to serve as probes for the isolation of complete sVEGF-R cDNA from a commercially available lambda gt10 cDNA library (Clontech) derived from HUVEC cells (ATCC CRL 1730).
These PCR derived products were used as hybridization probes for screening a lambda gt10 cDNA library derived from HUVECs (Clontech). Plating and plaque lifts of the library were performed by standard methods (T. Maniatis, E. F. Fritsch, J. Sambrook, Molecular Cloning: A Laboratory Manual (Cold Spring Harbor Laboratory, Cold Spring Harbor, N.Y., 1982). The probes were random-primed labelled with 32P-dCTP to high specific activity and a separate screening of the library (1×106 plaques per screen) was conducted with each probe. The probes were added to hybridization buffer (50% formamide, 5× Denhardts, 6×SSC (1×SSC=0.15 M NaCl, 0.015 M Na3citrate.2H2O, pH 7.0), 0.1% SDS, 100 mg/ml salmon sperm DNA) at 1×106 cpm/ml.
Four positively hybridizing phage were detected using the flt-specific probe. These positively hybridizing phage were observed to be less than full length fit.
Two fit cDNA clones of about 2.0 kb and 2.7 kb in length were subcloned into pGEM vectors (Promega) and bi-directionally sequenced in their entirety by the chain termination method (Sanger et al., (1977) P.N.A.S. USA, 74, pp. 5463–5467,) and shown to contain a single open reading frame of about 569 amino acids. Sequence analysis demonstrated that a portion of the 5′ fit coding region was missing from these clones. The remainder of the 5′ end was cloned using PCR and combined with the DNA of the clones lacking the 5′ end to yield a single open reading frame encoding about 687 amino acids.
The sequence for the cDNA encoding flt-derived sVEGF-RI is shown in Table 1, and was identified in clones 7 and 11. The deduced amino acid sequence of sVEGF-RI from the cloned cDNA is shown in Table 2. Inspection of the deduced amino acid sequence reveals the presence of a single, large open reading frame of 687 amino acids. By comparison with amino acid sequence of the full length FLT VEGF receptor, 31 amino acids are encoded at the C-terminal end of the cDNA which are different from those of FLT.
Using another of the preferred methods of the present invention, DNA encoding sVEGF-R is constructed from a DNA sequence encoding a VEGF receptor. For purposes of illustration, DNA encoding the VEGF receptor known as KDR was utilized. Using the receptor DNA sequence, a DNA molecule is constructed which encodes the extracellular domain of the receptor, or the VEGF binding domain only and is denoted sVEGF-RII. Restriction endonuclease cleavage sites are identified within the receptor DNA and can be utilized directly to excise the extracellular-encoding portion. In addition, PCR techniques as described above may be utilized to produce the desired portion of DNA. It is readily apparent to those skilled in the art that other techniques, which are standard in the art, may be utilized to produce sVEGF-R molecules in a manner analagous to those described above. Such techniques are found, for example, in Maniatis et al., supra.
Additional truncated forms of the VEGF receptor are constructed which contain the transmembrane region. Retention of the transmembrane may facilitate orientation of the inhibitor molecule at the target cell surface. Examples of transmembrane region containing inhibitor molecules include but are not limited to those shown in FIG. 1. VEGF-RTMI and VEGF-RTMII, as shown in FIG. 1, are FLT-related and KDR-related, respectively, transmembrane region containing receptor inhibitors. Construction of transmembrane region containing molecules, such as VEGF-RTMI and VEGF-RTMII, is done by standard techniques known in the art including but not limited to utilizing convenient restriction endonuclease cleavage sites or PCR techniques as described herein. It is readily understood by those skilled in the art that various forms of the inhibitors of a VEGF receptor, as disclosed herein, containing only the extracellular region or containing, in addition, the transmembrane region may be constructed which have substantially the same activity.
The cloned sVEGF-R cDNA obtained through the methods described above may be recombinantly expressed by molecular cloning into an expression vector containing a suitable promoter and other appropriate transcription regulatory elements, and transferred into prokaryotic or eukaryotic host cells to produce recombinant sVEGF-R. Techniques for such manipulations are fully described in Maniatis, T, et al., supra, and are well known in the art.
Expression vectors are defined herein as DNA sequences that are required for the transcription of cloned copies of genes and the translation of their mRNAs in an appropriate host. Such vectors can be used to express eukaryotic genes in a variety of hosts such as bacteria, bluegreen algae, fungal cells, yeast cells, plant cells, insect cells and animal cells.
Specifically designed vectors allow the shuttling of DNA between hosts such as bacteria-yeast or bacteria-animal or bacteria-insect cells. An appropriately constructed expression vector should contain: an origin of replication for autonomous replication in host cells, selectable markers, a limited number of useful restriction enzyme sites, a potential for high copy number, and active promoters. A promoter is defined as a DNA sequence that directs RNA polymerase to bind to DNA and initiate RNA synthesis. A strong promoter is one which causes mRNAs to be initiated at high frequency. Expression vectors may include, but are not limited to, cloning vectors, modified cloning vectors, specifically designed plasmids or viruses.
A variety of mammalian expression vectors may be used to express recombinant sVEGF-R in mammalian cells. Commercially available mammalian expression vectors which may be suitable for recombinant sVEGF-R expression, include but are not limited to, pMC1neo (Stratagene), pXT1 (Stratagene), pSG5 (Stratagene), EBO-pSV2-neo (ATCC 37593) pBPV-1(8-2) (ATCC 37110), pdBPV-MMTneo(342-12) (ATCC 37224), pRSVgpt (ATCC 37199), pRSVneo (ATCC 37198), pSV2-dhfr (ATCC 37146), pUCTag (ATCC 37460), and gZD35 (ATCC 37565).
DNA encoding sVEGF-R may also be cloned into an expression vector for expression in a recombinant host cell. Recombinant host cells may be prokaryotic or eukaryotic, including but not limited to bacteria, yeast, mammalian cells including but not limited to cell lines of human, bovine, porcine, monkey and rodent origin, and insect cells including but not limited to drosophila, moth, mosquito and armyworm derived cell lines. Cell lines derived from mammalian species which may be suitable and which are commercially available, include but are not limited to, CV-1 (ATCC CCL 70), COS-1 (ATCC CRL 1650), COS-7 (ATCC CRL 1651), CHO-K1 (ATCC CCL 61), 3T3 (ATCC CCL 92), NIH/3T3 (ATCC CRL 1658), HeLa (ATCC CCL 2), C127I (ATCC CRL 1616), BS-C-1 (ATCC CCL 26) and MRC-5 (ATCC CCL 171). Insect cell lines which may be suitable and are commercially available include but are not limited to 3M-S (ATCC CRL 8851) moth (ATCC CCL 80) mosquito (ATCC CCL 194 and 195; ATCC CRL 1660 and 1591) and armyworm (Sf9, ATCC CRL 1711).
The expression vector may be introduced into host cells via any one of a number of techniques including but not limited to transformation, transfection, liposome or protoplast fusion, and electroporation. The expression vector-containing cells are clonally propagated and individually analyzed to determine whether they produce sVEGF-R protein. Identification of sVEGF-R expressing host cell clones may be done by several means, including but not limited to immunological reactivity with anti-sVEGF-R antibodies, binding to radiolabelled VEGF, and the presence of host cell-secreted sVEGF-R activity.
Expression of sVEGF-R DNA may also be performed using in vitro produced synthetic mRNA. Synthetic mRNA can be efficiently translated in various cell-free systems, including but not limited to wheat germ extracts and reticulocyte extracts, as well as efficiently translated in cell based systems, including but not limited to microinjection into frog oocytes, with microinjection into frog oocytes being preferred.
Levels of sVEGF-R protein produced by host cells may be quantitated by immunoaffinity and/or ligand affinity techniques. sVEGF-R-specific affinity beads or sVEGF-R-specific antibodies are used to isolate 35S-methionine labelled or unlabelled sVEGF-R protein. Labelled sVEGF-R protein is analyzed by SDS-PAGE. Unlabelled sVEGF-R protein is detected by Western blotting, ELISA or RIA assays employing sVEGF-R specific antibodies, or by ligand blotting with labelled VEGF.
Following expression of sVEGF-R in a recombinant host cell, sVEGF-R protein may be recovered to provide sVEGF-R in active form, capable of binding VEGF without stimulating mitogenesis. Several sVEGF-R purification procedures are available and suitable for use. sVEGF-R may be purified from cell lysates and extracts, or from conditioned culture medium, by various combinations of, or individual application of salt fractionation, ion exchange chromatography, size exclusion chromatography, hydroxylapatite adsorption chromatography, reversed phase chromatography, heparin sepharose chromatography, VEGF ligand affinity chromatography, and hydrophobic interaction chromatography.
In addition, recombinant sVEGF-R can be separated from other cellular proteins by use of an immuno-affinity column made with monoclonal or polyclonal antibodies specific for full length sVEGF-R, or polypeptide fragments of sVEGF-R.
Identification of sVEGF-RI—In an attempt to clone the VEGF receptor cDNA (flt) a HUVEC lgt10 cDNA library was screened with a DNA probe derived from the extracellular domain of the membrane bound or full length form of this receptor as shown in FIG. 1. Four incomplete clones, all lacking various lengths of 5′ coding sequence, were isolated from screening a total of 1×106 plaques. Two of these isolates represent partial clones that were identical to full length flt, one of which contained the complete 3′ coding region of the form described by Shibuya et al., supra. The other two clones were identical to full length fit up to base pair number 2219 (Table 1 and FIG. 2) where they then diverged from full length flt. These clones (clone 7 and 11) coded for an additional unique 31 amino acids before the open reading frame is terminated by a TAA codon (Table 2 and FIG. 3).
Clone 7 and 11 coded for a protein with a predicted molecular mass of about 75 kDa containing 12 putative N-linked glycosylation sites. This version of the receptor was missing the transmembrane and intracellular kinase domains and thus coded for a natural soluble form of the VEGF receptor (sVEGF-RI). Further, the protein molecule predicted by sVEGF-RI has only the first six Ig-like domains, missing the one closest to the transmembrane sequence (FIG. 1). The 31 amino acids at the C-terminal end of sVEGF-RI contain two cysteine residues, but does not resemble an Ig domain.
Expression of sVEGF-RI in Sf9 cells—To analyze the binding and biological properties of this form of the receptor, the protein was expressed using a baculovirus expression system. Clone 7 was missing about 350 base pairs of coding sequence at the 5′ end. This region was cloned by PCR using the primers described above and in Example 1. A clone containing the complete coding region of sVEGF-RI was constructed by combining the 5′ PCR fragment with sVEGF-RI clone 7 which overlapped at a SacI site. The 5′ EcoRI site was then changed to a BamHI site and the full length sVEGF-RI was cloned into pBluebac III (Invitrogen) as a BamHI/BamHI fragment. A recombinant baculovirus P-3 stock containing the sVEGF-RI gene 3′ in relation to the polyhedrin promoter was then prepared as described herein.
Culture media from small scale infections were tested for the ability to form high molecular weight complexes with [125I]VEGF. The labeled ligand and culture media from the baculovirus infected cells were combined and incubated. The reactions were then analyzed by size exclusion chromatography. When the wild-type infected culture medium was mixed with the radioactive ligand (FIG. 4) a single radioactive peak was observed. However, when the sVEGF-RI infected culture medium was used, a high molecular weight complex was formed, as evident by the appearance of a second peak in this reaction eluting near the void volume of the column. This experiment showed that the natural soluble form of the FLT VEGF receptor, sVEGF-RI, forms a high molecular weight complex with VEGF.
The recombinantly produced sVEGF-R is purified from the recombinant host cell extracts or cell culture fluid using heparin-sepharose column chromatography which specifically binds the sVEGF-R protein. The heparin-sepharose bound VEGF-R column is washed using a suitable buffer containing between b 0.1M and 0.6M NaCl which removes contaminating proteins without significant loss of sVEGF-R. The sVEGF-R is eluted from the heparin-sepharose column using a suitable buffer containing about 1M NaCl, yielding substantially purified sVEGF-R.
Binding of the sVEGF-RI to VEGF—The binding of 125I-labelled VEGF to sVEGF-RI was characterized by crosslinking, and by complex formation with sVEGF-RI absorbed to 96 well plates.
The crosslinked products are shown in FIG. 6. The sVEGF-RI was cross-linked to [125I]VEGF (lane 1); in the presence of unlabelled VEGF (lane 2) and unlabelled bFGF (lane 3). Two high molecular weight bands (about 145 kDa and 245 kDa) were formed in the sVEGF-RI and [125I]VEGF containing reaction, and in the sVEGF-RI and [125I]VEGF plus an excess of unlabelled bFGF reaction. The two high molecular weight bands were not present when sVEGF-RI was incubated with [125I]VEGF plus an excess of unlabelled VEGF, demonstrating the specificity of sVEGF-RI for VEGF, and the ability of sVEGF-RI to form a dimer. The 145 kDa band is presumably a crosslinked complex containing one receptor molecule (about 100 kDa) and a VEGF dimer (about 46 kDa). As shown in FIG. 6 complexes containing two receptor molecules (about 245 kDA) were also observed. This suggests that each VEGF dimer can bind one or two receptor molecules and that the soluble form of the VEGF receptor may undergo ligand-induced dimerization.
The affinity of sVEGF-RI for VEGF was evaluated by absorbing sVEGF-RI to the surface of a 96 well plate, followed by blocking the nonspecific sites with 0.5% gelatin. Variable amounts of labeled ligand were added to each well. These results demonstrate that sVEGF-RI binds VEGF with high affinity with an apparent Kd of about 20 pM (FIG. 7). Since the soluble form of the receptor is missing the Ig domain closest to the transmembrane spanning region, this domain is not required for ligand binding.
The sVEGF-RI is shown to inhibit binding of VEGF to HUVECs by incubating cultured HUVECs with [125I]VEGF and various amounts of sVEGF-RI. Following incubation, the cells are washed to remove unbound [125I]VEGF. The cells are then solubilized and the amount of cell-associated 125I is determined by gamma counter, which demonstrates the amount of [125I]VEGF which was capable of binding to the cellular VEGF receptor in the presence of sVEGF-RI. Using this method, it is demonstrated that sVEGF-RI was capable of inhibiting [125I]VEGF binding to HUVECs VEGF receptor (see FIG. 8).
Since sVEGF-RI was able to inhibit VEGF binding to cell receptors, it was then determined that sVEGF-RI could inhibit VEGF induced mitogenesis. Cells are preincubated with sVEGF-RI and then incubated with VEGF in the presence of [3H]thymidine. Following incubation, the amount of cellular DNA-incorporated [3H]thymidine is measured which indicates whether VEGF has induced mitogenesis and caused [3H]thymidine to be incorporated into cellular DNA. The presence of sVEGF-RI inhibits the ability of VEGF to stimulate mitogenesis as shown in FIG. 9.
The inhibitor of the present invention can be used for the inhibition of VEGF activity. The inhibitor can be used either topically or intravascularly. For topical applications the formulation would be applied directly at a rate of about 10 ng to about 1 mg/cm2/day. For intravaneous applications, the inhibitor is used at a rate of about 1 mg to about 10 mg/kg/day of body weight. For internal use, the formulation may be released directly into the region to be treated either from implanted slow release polymeric material or from slow release pumps or repeated injections. The release rate in either case is about 100 ng to about 100 mg/day/cm3.
For non-topical application the VEGF inhibitor is administered in combination with pharmaceutically acceptable carriers or diluents such as phosphate buffer, saline, phosphate buffered saline, Ringer's solution, and the like, in a pharmaceutical composition, according to standard pharmaceutical practice. For topical application, various pharmaceutical formulations are useful for the administration of the active compound of this invention. Such formulations include, but are not limited to, the following: ointments such as hydrophilic petrolatum or polyethylene glycol ointment; pastes which may contain gums such as xanthan gum; solutions such as alcoholic or aqueous solutions; gels such as aluminum hydroxide or sodium alginate gels; albumins such as human or animal albumins; collagens such as human or animal collagens; celluloses such as alkyl celluloses, hydroxy alkyl celluloses and alkylhydroxyalkyl celluloses, for example methylcellulose, hydroxyethyl cellulose, carboxymethyl cellulose, hydroxypropyl methylcellulose, and hydroxypropyl cellulose; polyoxamers such as Pluronic® Polyols exemplified by Pluronic® F-127; tetronics such as tetronic 1508; and alginates such as sodium alginate.
The following examples are provided as illustrative of the present invention without, however, limiting the same thereto.
EXAMPLE 1
Cloning flt-related sVEGF-RI—A 580 base pair DNA probe for flt was obtained by PCR of the HUVEC phage library using the primers 5′ GCACCTTGGTTGTGGCTGAC 3′ (SEQ. ID. No.: 1) and 5′ TGGAATTCGTGCTGCTTCCTGGTCC 3′(SEQ. ID. No.: 2). The resulting DNA fragment was cloned into pGEM3Z as a XbaI/EcoRI fragment. The probe was prepared by the random priming method [Feinberg, A. P. and Vogelstein, B., (1983) Anal.Biochem., 132, pp.6–13] using the megaprime kit (Amersham) at a specific activity of 1×107 cpm/ng. The HUVEC cDNA library was plated at a density of 5×104 plaques/150 cm plate then about 1×106 plaques were screened by hybridization as previously described [Maniatis, T. et al., supra]. Briefly, following prehybridization at 42° C. for 2 hours in 50% formamide, 5×SSC, 5× Denhardt's solution, 0.1% SDS, 100 mg/ml salmon sperm DNA (hybridization buffer) the filters were hybridized with the probe for 16 hours at 42° C. in hybridization buffer. The filters were washed one time for 15 min at room temperature in 2× SSC then three times at 55° C. in 0.1×SSC. Four positive plaques were identified and rescreened two additional times to obtain homogeneous isolates. Inserts were cloned into pGEM3Z for DNA sequence analysis. Two of these clones were identified which contained less than the full length flt coding region. DNA sequence analysis showed that these clones lacked the 5′ coding region of flt. The DNA sequence is shown in Table 1 and FIG. 2, and the deduced amino acid sequence is shown in Table 2 and FIG. 3. The 5′ end of flt was cloned by PCR using the primers 5′ GGAATTCCGCGCTCACCATGGTCAGC 3′ (SEQ.ID.NO.:3) and 5′ TTTGAATTCACCCGGCAGGGAATGACG 3′ (SEQ.ID.NO.:4). The PCR fragment generated with this set of primers was cloned into fit clone 7 as an EcoRI/SacI fragment.









TABLE 1







GCGGACACTCCTCTCGGCTCCTCCCCGGCAGCGGCGGCGGCTCG
(SEQ ID NO.:5)



 


GAGCGGGCTCCGGGGCTCGGGTGCAGCGGCCAGCGGGCCTGGC


 


GGCGAGGATTACCCGGGGAAGTGGTTGTCTCCTGGCTGGAGCC


 


GCGAGACGGGCGCTCAGGGCGCGGGGCCGGCGGCGGCGAACG


 


AGAGGACGGACTCTGGCGGCCGGGTCGTTGGCCGGGGGAGCGC


 


GGGCACCGGGCGAGCAGGCCGCGTCGCGCTCACC ATG GTC


 


AGC TAC TGG GAC ACC GGG GTC CTG CTG TGC GCG CTG


 


CTC AGC TGT CTG CTT CTC ACA GGA TCT AGT TCA GGT TCA


 


AAA TTA AAA GAT CCT GAA CTG AGT TTA AAA GGC ACC


 


CAG CAC ATC ATG CAA GCA GGC CAG ACA CTG CAT CTC


 


CAA TGC AGG GGG GAA GCA GCC CAT AAA TGG TCT TTG


 


CCT GAA ATG GTG AGT AAG GAA AGG GAA AGG CTG AGC


 


ATA ACT AAA TCT GCC TGT GGA AGA AAT GGC AAA CAA


 


TTC TGC AGT ACT TTA ACC TTG AAC ACA GCT CAA GCA


 


AAC CAC ACT GGC TTC TAC AGC TGC AAA TAT CTA GCT


 


GTA CCT ACT TCA AAG AAG AAG GAA AGA GAA TCT GCA


 


ATC TAT ATA TTT ATT AGT GAT ACA GGT AGA CCT TTC


 


GTA GAG ATG TAC AGT GAA ATC CCC GAA ATT ATA CAC


 


ATG ACT GAA GGA AGG GAG CTC GTC ATT CCC TGC CGG


 


GTT ACG TCA CCT AAC ATC ACT GTT ACT TTA AAA AAG


 


TTT CCA CTT GAC ACT TTG ATC CCT GAT GGA AAA CGC


 


ATA ATC TGG GAC AGT AGA AAG GGC TTC ATC ATA TCA


 


AAT GCA ACG TAC AAA GAA ATA GGG CTT GTG ACC TGT


 


GAA GCA ACA GTC AAT GGG CAT TTG TAT AAG ACA AAC


 


TAT GTG ACA CAT CGA CAA ACC AAT ACA ATC ATA GAT


 


GTC CAA ATA AGC ACA CCA CGC CCA GTC AAA TTA CTT


 


AGA GGC CAT ACT CTT GTC CTC AAT TGT ACT GCT ACC ACT


 


CCC TTG AAC ACG AGA GTT CAA ATG ACC TGG AGT TAC


 


CCT GAT GAA AAA AAT AAG AGA GCT TCC GTA AGG CGA


 


CGAATT GAC CAA AGC AAT TCC CAT GCC AAC ATA TTC TAC


 


AGT GTT CTTACT ATT GAC AAA ATG CAG GAC AAA GAC


 


AAA GGA CTT TAT ACT TGTCGT GTA AGG AGT GGA CCA


 


TCA TTC AAA TCT GTT AAC ACC TCA GTGCAT ATA TAT GAT


 


AAA GCA TTC ATC ACT GTG AAA CAT CGA AAA CAGCAG


 


GTG CTT GAA ACC GTA GCT GGC AAG CGG TCT TAC CGG


 


CTC TCTATG AAA GTG AAG GCA TTT CCC TCG CCG GAA GTT


 


GTA TGG TTA AAAGAT GGG TTA CCT GCG ACT GAG AAA


 


TCT GCT CGC TAT TTG ACT CGT GGC TAC TCG TTA ATT ATC


 


AAG GAC GTA ACT GAA GAG GAT GCA GGG AAT TAT ACA


 


ATC TTG CTG AGC ATA AAA CAG TCA AAT GTG TTT AAA


 


AAC CTC ACT GCC ACT CTA ATT GTC AAT GTG AAA CCC


 


CAG ATT TAC GAA AAG GCC GTG TCA TCG TTT CCA GAC


 


CCG GCT CTC TAC CCA CTG GGC AGC AGA CAA ATC CTG


 


ACT TGT ACC GCA TAT GGT ATC CCT CAA CCT ACA ATC


 


AAG TGG TTC TGG CAC CCC TGT AAC CAT AAT CAT TCC


 


GAA GCA AGG TGT GAC TTT TGT TCC AAT AAT GAA GAG


 


TCC TTT ATC CTG GAT GCT GAC AGC AAC ATG GGA AAC


 


AGA ATT GAG AGC ATC ACT GAG GGG ATG GCA ATA ATA


 


GAA GGA AAG AAT AAG ATG GCT AGC ACC TTG GTT GTG


 


GCT GAC TGT AGA ATT TCT GGA ATC TAC ATT TGC ATA


 


GCT TCC AAT AAA GTT GGG ACT GTG GGA AGA AAC ATA


 


AGC TTT TAT ATC ACA GAT GTG CCA AAT GGG TTT CAT


 


GTT AAC TTG GAA AAA ATG CCG ACG GAA GGA GAG GAC


 


CTG AAA CTG TCT TGC ACA GTT AAC AAG TTC TTA TAC


 


AGA GAG GTT ACT TGG ATT TTA CTG CGG ACA GTT AAT


 


AAC AGA ACA ATG CAC TAC AGT ATT AGC AAG CAA AAA


 


ATG GCC ATC ACT AAG GAG CAC TCC ATC ACT CTT AAT


 


CTT ACC ATC ATG AAT GTT TCC CTG CAA GAT TCA GGC


 


ACC TAT GCC TGC AGA GCC AGG AAT GTA TAC ACA GGG


 


GAA GAA ATC CTC CAG AAG AAA GAA ATT ACA ATC AGA


 


GTT GAG CAC TGC AAC AAA AAG GCT GTT TTC TCT CGG


 


ATC TCC AAA TTT AAA AGC ACA AGG AAT GAT TGT ACC


 


ACACAAAGTAATGTAAAACATTAAAGGACTCATTAAAAAGTA


 


ACAGTTGTCTCATATCATCTTGATTTATTGTCACTGTTGCTAAC


 


TTTCAGGCTCGGAGGAGATGCTCCTCCCAAAATGAGTTCGGAG


 


ATGATAGCAGTAATAATGAGACCCCCGGGCTCCAGCTCTGGGC


 


CCCCCATTCAGGCCGAGGGGGCTGCTCCGGGGGGCCGACTTGG


 


TGCACGTTTGGATTTGGAGGATCCCTGCACTGCCTTCTCTGTGT


 


TTGTTGCTCTTGCTGTTTTCTCCTGCCTGATAAACAACAACTTG


 


GGATGATCCTTTCCATTTTGATGCCAACCTCTTTTTATTTTTAA


 


GCGGCGCCCTATAGT


















TABLE 2







Met Val Ser Tyr Trp Asp Thr Gly Val Leu Leu Cys Ala Leu Leu Ser
(SEQ ID NO.:6)



 


Cys Leu Leu Leu Thr Gly Ser Ser Ser Gly Ser Lys Leu Lys Asp Pro


 


Glu Leu Ser Leu Lys Gly Thr Gln His Ile Met Gln Ala Gly Gln Thr


 


Leu His Leu Gln Cys Arg Gly Glu Ala Ala His Lys Trp Ser Leu Pro


 


Glu Met Val Ser Lys Glu Ser Glu Arg Leu Ser Ile Thr Lys Ser Ala Cys


 


Gly Arg Asn Gly Lys Gln Phe Cys Ser Thr Leu Thr Len Asn Thr Ala


 


Gln Ala Asn His Thr Gly Phe Tyr Ser Cys Lys Tyr Len Ala Val Pro


 


Thr Ser Lys Lys Lys Glu Thr Gln Ser Ala Ile Tyr Ile Phe Ile Ser Asp


 


Thr Gly Arg Pro Phe Val Gln Met Tyr Ser Glu Ile Pro Gln Ile Ile His


 


Met Thr Gln Gly Arg Glu Leu Val Ile Pro Cys Arg Val Thr Ser Pro


 


Asn Ile Thr Val Thr Leu Lys Lys Phe Pro Leu Asp Thr Leu Ile Pro


 


Asp Gly Lys Arg Ile Ile Trp Asp Ser Arg Lys Gly Phe Ile Ile Ser Asn


 


Ala Thr Tyr Lys Glu Ile Gly Leu Leu Thr Cys Gln Ala Thr Val Asn


 


Gly His Leu Tyr Lys Thr Asn Tyr Leu Thr His Arg Gln Thr Asn Thr


 


Ile Ile Asp Val Gln Ile Ser Thr Pro Arg Pro Val Lys Leu Leu Arg Gly


 


His Thr Leu Val Leu Asn Cys Thr Ala Thr Thr Pro Leu Asn Thr Arg


 


Val Gln Met Thr Trp Ser Tyr Pro Asp Gln Lys Asn Lys Arg Ala Ser


 


Val Arg Arg Arg Ile Asp Gln Ser Asn Ser His Ala Asn Ile Phe Tyr Ser


 


Val Leu Thr Ile Asp Lys Met Gln Asn Lys Asp Lys Gly Leu Tyr Thr


 


Cys Arg Val Arg Ser Gly Pro Ser Phe Lys Ser Val Asn Thr Ser Val His


 


Ile Tyr Asp Lys Ala Phe Ile Thr Val Lys His Arg Lys Gln Gln Val Leu


 


Gln Thr Val Ala Gly Lys Arg Ser Tyr Arg Leu Ser Met Lys Val Lys


 


Ala Phe Pro Ser Pro Glu Val Val Trp Leu Lys Asp Gly Leu Pro Ala


 


Thr Glu Lys Ser Ala Arg Tyr Leu Thr Arg Gly Tyr Ser Leu Ile Ile Lys


 


Asp Val Thr Glu Glu Asp Ala Gly Asn Tyr Thr Ile Leu Leu Ser Ile Lys


 


Gln Ser Asn Val Phe Lys Asn Leu Thr Ala Thr Leu Ile Val Asn Val


 


Lys Pro Gln Ile Tyr Glu Lys Ala Val Ser Ser Phe Pro Asp Pro Ala Leu


 


Tyr Pro Leu Gly Ser Arg Gln Ile Leu Thr Cys Thr Ala Tyr Gly Ile Pro


 


Gln Pro Thr Ile Lys Trp Phe Trp His Pro Cys Asn His Asn His Ser Glu


 


Ala Arg Cys Asp Phe Cys Ser Asn Asn Glu Glu Ser Phe Ile Leu Asp


 


Ala Asp Ser Asn Met Gly Asn Arg Ile Glu Ser Ile Thr Gln Arg Met Ala


 


Ile Ile Glu Gly Lys Asn Lys Met Ala Ser Thr Leu Val Val Ala Asp Ser


 


Arg Ile Ser Gly Ile Tyr Ile Cys Ile Ala Ser Asn Lys Val Gly Thr Val


 


Gly Arg Asn Ile Ser Phe Tyr Ile Thr Asp Val Pro Asn Gly Phe His Val


 


Asn Leu Glu Lys Met Pro Thr Glu Gly Gln Asp Leu Lys Leu Ser Cys


 


Thr Val Asn Lys Phe Leu Tyr Arg Asp Val Thr Trp Ile Leu Leu Arg


 


Thr Val Asn Asn Arg Thr Met His Tyr Ser Ile Ser Lys Gln Lys Met


 


Ala Ile Thr Lys Glu His Ser Ile Thr Leu Asn Leu Thr Ile Met Asn Val


 


Ser Leu Gln Asp Ser Gly Thr Tyr Ala Cys Arg Ala Arg Asn Val Tyr


 


Thr Gly Glu Glu Ile Leu Gln Lys Lys Glu Ile Thr Ile Arg Gly Glu His


 


Cys Asn Lys Lys Ala Val Phe Ser Arg Ile Ser Lys Phe Lys Ser Thr Arg


 


Asn Asp Cys Thr Thr Gln Ser Asn Val Lys His . . .









EXAMPLE 2
Expression of sVEGF-RI in Sf9 insect cells—The full length sequence encoding sVEGF-RI was cloned as an EcoRI/BamHI fragment into pGEM3Z. The EcoRI site was then modified to a BamHI site and cloned into pBlueBac III 3′ of the polyhedrin promoter (psFLTblue). This plasmid was transfected into Sf9 armyworm cells using liposomes. After 48 hours the medium from the transfected cells which contains recombinant polyhedrin virus particles, was harvested. Dilutions (103–104 fold) of the virus were prepared and plaque purified in soft agar containing 150 mg/ml 5-bromo-4-chloro-3-indolyl-β-D-galactoside. Recombinant plaques were identified by blue color and used to infect Sf9 cells (5×105 cells/well) in 12 well plates. Medium (100 ml) from polyhedrin minus infections was used to prepare P-2 viral stocks by infecting 2.5×106 cells in a T-25 flask. Large scale high titer P-3 viral stocks were then prepared by infecting Sf9 cells (500 ml at 2×106 cells/ml) with 5 ml of the P-2 stock then incubating at 27° C. for 5–6 days and the medium was harvested by centrifugation. Protein expression was accomplished by infecting cells at a density of 2–2.5×106 cells/ml with a multiplicity of infection of 5–10. Twenty four hours after infection the cells were changed to a serum free medium (SF900II, Gibco BRL), incubated for an additional 48 hours and the medium was collected. This conditioned medium contains the recombinantly expressed sVEGF-RI protein.
EXAMPLE 3
Iodination of VEGF and PIGF—125I-labeled human recombinant VEGF was prepared by the chloramine T method (Hunter, W. M. and Greenwood, F. C., (1962) Nature (London), 194, pp. 495–496). Briefly, 1 mg of VEGF in 30% acetonitrile/0.1% trifluroacetic acid was adjusted to pH 7.1 by the addition of 1⁄3 volume of 0.4 M sodium phosphate buffer, pH 7.1. Freshly dissolved chloramine T (4 ml of a 2 mg/ml stock in 0.1 M sodium phosphate buffer, pH 7.1) was added to the VEGF solution and reacted for 45 seconds at room temperature (total volume of 150 ml). The reaction was stopped by the addition of 50 ml of 10 mM KI and 50 ml of 2 mg/ml meta bisufite. The labeled ligand was separated from the free 125I by gel filtration on a 0.7×15 cm Sephadex G-25 column equilibrated in PBS with 1 mg/ml gelatin. Fractions were counted in a Packard g counter, aliquoted and stored at −70° C. VEGF was labeled to a specific activity of 5×105 to 1×106 cpm/ng. Recombinant human PlGF was iodinated by the chloramine-T method as described herein, to specific activity between approximately 3×105-9×105 cpm/ng. After iodination, PlGF was stored at 4° C. in PBS containing 1 mg/ml gelatin.

Gel Filtration Chromatography—Receptor-ligand complex was formed by incubating 10 ml of 125I-labeled VEGF (105 cpm) with 100 ml of either wild-type or baculovirus sVEGF-RI-containing, infected Sf9 cell culture medium overnight at room temperature. The reaction products were separated on a Sephacryl S200 gel filtration column (0.7×25 cm) equilibrated in PBS, 1 mg/ml gelatin, at a flow rate of 15 ml/hr. Fractions (0.75 ml) were collected and analyzed in a g counter. Receptor-ligand complexes pass quickly through the column while the free labelled VEGF passes through more slowly. The results of this experiment shown in FIG. 4 demonstrate the formation of a high molecular weight complex between labelled VEGF and sVEGF-RI protein. This shows that sVEGF-RI binds VEGF.

Crosslinking—Purified sVEGF-RI (1–10 ng) was added to 25 ml of binding buffer (Dulbecco's Modified Eagle's medium (DME), 25 mM HEPES, pH 7.5, 0.3% gelatin), and 1×105 cpm of [125I]-VEGF was added (FIG. 6, lane 1) with either 200 ng of unlabelled VEGF (lane 2) or bFGF (lane 3), then incubated 2 to 16 hours at room temperature. Bis(sulfosuccinimidyl)suberate (Pierce) crosslinker was added to a final concentration of 1 mM. The reaction was stopped after 15 min by the addition of boiling SDS PAGE sample buffer. The crosslinked products were separated by SDS PAGE on a 7.5% acrylamide gel and analyzed either by autoradiography or a phosphoimager. The results are shown in FIG. 6 and demonstrate that sVEGF-RI binds labelled VEGF by the appearance of two bands of about 145 kDa and 245 kDa. The 145 kDa band consists of one sVEGF-RI molecule and one VEGF molecule (Monomer, M.). The 245 kDa band apparently consists of two sVEGF-RI molecules and one VEGF dimer (D). Free VEGF ligand (L) dimers migrated at about 45 kDA.

Purified Ex-KDR and sFLT were each allowed to bind either [125I]VEGF or [125I]PlGF at 25° C. for 1 hr in a final volume of 25 μl in binding buffer (10 mM Hepes, pH 7.4, 0.01% BSA, 100 mM NaCl) with or without an excess of the appropriate unlabeled ligand. Competition binding was accomplished by incubation in the presence of various concentrations of unlabeled VEGF (0.1–400 nM). The reactions were then crosslinked with 1 mM BS3 at 25° C. for 15 min followed by the addition of boiling Laemmli sample buffer (10). The crosslinked products were analyzed by SDS/7.5% PAGE and the complexes were visualized using a Phosphohnager (Molecular Dynamics, Sunnyvale, Calif.). In the competition crosslinking experiments the amount of radioactivity contained in the Ex-KDR/[125I]VEGF complex as well as the uncomplexed [125I]VEGF were quantified using the PhosphoImager.
Binding assay—The binding of sVEGF-RI to VEGF was analyzed using a 96 well plate assay as described by Duan, D-S. R. et al., supra. Briefly, sVEGF-RI, 50 to 200 ml partially purified by Mono Q chromatography (Pharmacia), was diluted to 10 ml in 25 mM TRIS, pH 7.4, 100 mM NaCl, 20 mM NH4HCO3. Aliquots (100 ml) were absorbed to the surface of a 96 well plate for 18 hours at 4° C., the plates were then washed twice with blocking buffer (DME, 25 mM HEPES, pH 7.5, 0.5% gelatin) and the nonspecific sites were blocked in the same buffer for 6 hours at 4° C. The plate was then washed twice in binding buffer. Various amounts of [125I]VEGF were added to the wells in a final volume of 100 ml/well and incubated for 2 hours at room temperature. The wells were washed three times with 100 ml of binding buffer, the bound protein was solubilized with 100 ml of 1% SDS, 0.5% BSA and counted in a g counter. The results, shown in FIG. 7, were analyzed by the method of Scatchard [Scatchard, G., (1949) Ann. N.Y. Acad. Sci., 51, pp. 660–672]. The analysis demonstrates that sVEGF-RI retains high affinity binding for VEGF with a Kd value of about 20 pM. This clearly demonstrates that sVEGF-RI, lacking the transmembrane region and adjacent Ig-like domain, binds VEGF with high affinity and that these regions are not required for VEGF binding.
Purified Ex-KDR and sFLT were each allowed to bind either [125I]VEGF or [125I]PlGF at 25° C. for 1 hour in a final volume of 25 μl in binding buffer (10 mM Hepes, pH 7.4, 0.01% BSA, 100 mM NaCl) with or without an excess of the appropriate unlabeled ligand. Competition binding was accomplished by incubation in the presence of various concentrations of unlabeled VEGF (0.1–400 nM). The reactions were then crosslinked with 1 mM BS3 at 25° C. for 15 min followed by the addition of boiling Laemmli sample buffer. The crosslinked products were analyzed by SDS/7.5% PAGE and the complexes were visualized using a Phosphohnager (Molecular Dynamics, Sunnyvale, Calif.). In the competition crosslinking experiments the amount of radioactivity contained in the Ex-KDR/[125I]VEGF complex as well as the uncomplexed [125I]VEGF were quantified using the PhosphoImager.
To determine if sFLT and Ex-KDR bind VEGF and PlGF with high affinity, purified sFLT and Ex-KDR were each incubated with either [125I]VEGF or [125I]PlGF, covalently crosslinked and high molecular mass complexes were resolved by SDS/PAGE. sFLT formed high molecular mass complexes with both VEGF and PlGF whereas Ex-KDR formed complexes with VEGF but not with PlGF. The positions of the monomer (one VEGF dimer bound to one receptor molecule) and dimer (one VEGF dimer bound to two receptor molecules) were as expected. These radiolabeled complexes were competed by an excess of the same unlabeled VEGF or PlGF and thus are specific. PlGF was able to compete for VEGF binding to the sFLT receptor and VEGF competes for PlGF binding to this receptor. PlGF was not able to compete for [125I]VEGF binding to Ex-KDR.
The affinity of VEGF for Ex-KDR was determined by a crosslinking competition binding assay since the Ex-KDR receptor binds poorly to 96 well plates. A constant amount of [125I]VEGF was bound to Ex-KDR in the presence of increasing concentrations of unlabeled VEGF. The concentration of unlabeled VEGF required to displace 50% of the total [125I]VEGF binding is approximately 1 nM, which is similar to the apparent Kd for the membrane form of KDR.
Competition Between PIGF and VEGF for Binding to sFLT
Competitive binding of VEGF and PIGF to sFLT was analyzed by the 96 well plate binding assay. A constant amount of either [125I]VEGF or [125I]PlGF was bound to immobilized sFLT in the presence of increasing amounts of either unlabeled VEGF or PlGF. In comparison, 50% of the binding of [125I]PlGF to sFLT was displaced by only 10 pM of VEGF. Approximately 110 pM of unlabeled PlGF displaced 50% of [125I]PlGF binding to sFLT in agreement with saturation binding experiments. However, an approximately 5-fold higher concentration of PIGF ( ̃550 pM) was required to displace 50% of the [125I]VEGF binding to sFLT. These data indicate that VEGF and PlGF compete for the same site on sFLT at which VEGF binds with  ̃4-fold higher affinity than PlGF. Crosslinking competition experiments with sFLT gave similar results.
Here we show that VEGF binds to the extracellular domains of both FLT and KDR with high affinity. PlGF, however, only binds to the extracellular domain of FLT with high affinity and does not bind to the equivalent extracellular region of KDR. VEGF is able to compete efficiently for PlGF binding to sFLT whereas PlGF competes less efficiently for VEGF binding. These binding data demonstrate that VEGF complexes with sFLT somewhat tighter than does PlGF. Competitive binding infers that the VEGF and PlGF sites on sFLT are probably either overlapping or identical. Thus, sFLT will inhibit both PIGF and VEGF function.
EXAMPLE 4
Inhibition of VEGF binding by sVEGF-RI—The ability of sVEGF-RI to inhibit VEGF binding to HUVECs was tested. HUVECs were plated at 50,000 cells/well in 24 well plates precoated with gelatin, and allowed to grow to confluence. A constant amount of [125I]VEGF (100,000 cpm) was mixed with various amounts of partially purified sVEGF-RI in binding buffer, in a total volume of 200 μl and preincubated at room temperature for 1 hour. Samples were added to the cells and incubated for 4 hours at 4° C. with shaking. The medium was then aspirated and the cells were washed three times with binding buffer. The bound radioactivity was solubilized with 50 mM TRIS-HCl, pH 8.0, 150 mM NaCl, 1% NP40, 1% BSA and counted in a γ counter.

The results are shown in FIG. 8. At the highest concentration of sVEGF-RI, VEGF binding to HUVECs was reduced by 70%. It may, however, be difficult to completely inhibit binding to the cellular membrane bound receptor since one molecule of sVEGF-R bound to a VEGF dimer may be able to bind to cell associated receptor to form an inactive (sVEGF-RI)-VEGF-(membrane spanning VEGF receptor) complex.

EXAMPLE 5
Inhibition of VEGF mediated mitogenesis by sVEGF-RI
Mitogenic inhibition—Since sVEGF-RI was able to inhibit VEGF binding to endothelial cells, it was then determined that the soluble receptor could inhibit VEGF induced mitogenesis in HUVECs. HUVECs were plated in gelatin coated 96 well plates at a density of 4000 cells/well in 100 ml of DME supplemented with 10% heat inactivated fetal calf serum plus antibiotics (penicillin G, 100 units/ml; streptomycin sulfate, 100 mg/ml). After 16 hours the medium was changed and test samples were added, cells were preincubated with a variable amount of purified sVEGF-RI for 15 minutes at 37° C. before growth factor (10 ng/ml) was added. The cells were incubated for 24 hours then [methyl-3H]thymidine (0.8 mCi/well; 20 Ci/mmol:1 Ci=37 GBq, final specific activity of 0.8 mCi/nmole) was added followed by incubated for an additional 72 hours at 37° C. under 5% CO2. The cells were then washed twice with Hank's balanced salt solution adjusted to pH 7.5 with 25 mM Hepes, 0.1% BSA. The cells were then lysed, the DNA was solubilized with 0.2 M Na2CO3, 0.1 M NaOH, and [3H]thymidine incorporation was quantified by scintillation counting. The results are shown in FIG. 9. sVEGF-RI was able to completely inhibit VEGF induced [3H]thymidine incorporation in HUVECs.
EXAMPLE 6
Purification of baculovirus expressed sVEGF-RI from Sf9 cells—Culture medium from Sf9 cells infected with a baculovirus construct designed to express sVEGF-RI (Example 2) was chromatographed through a heparin Sepharose CL-6B (Pharmacia) column (0.7×4 cm). The column was washed with 5 volumes of 10 mM Na-phosphate buffer, pH 6.2, 0.1 M NaCl, followed by 6 ml of 10 mM Na-phosphate buffer, pH 6.2, 0.6 M NaCl. The sVEGF-RI was eluted with 10 mM Na-phosphate buffer, pH 6.2, 1.0 M NaCl. Polyacrylamide gel electrophoresis was performed which demonstrated greater than 90% purity (as judged by coomassie blue staining) of the recombinantly produced sVEGF-R (FIG. 5). The identity of the protein was confirmed by N-terminal protein sequence analysis. The actual N-terminus (Ser Lys Leu . . . ) of the recombinant protein differs by two amino acids from that predicted by Shibuya et al., supra. (Ser-Ser-Ser . . . ). The peptidase cleavage site in sVEGF-RI produced in Sf9 cells was between residues gly-26 and ser-27.
EXAMPLE 7
Construction of KDR-related sVEGF-R—Soluble forms of KDR (a known VEGF receptor) [Terman, B. I. et al., (1991) Oncogene 6, pp. 1677–1683; Terman, B. I. et al., (1992) Biochem. Biophys. Res. Comm. 187, pp. 1579–1586] may exist naturally but have not yet been identified. A soluble form of KDR is recombinantly constructed by modifying its coding sequence by PCR using the primers 1) 5′ TTTTGGATCCCTGCAGACAGATCTACGTTTGAGAACC 3′ (SEQ. ID. NO.: 7) and 2) 5′ TTTTGGATCCTTAACGCTCTAGGACTGTGAGC 3′ (SEQ. ID. NO.: 8), and pKDRA (the Xhol/EcoRl fragment coding for the extracellular and transmembrane domain of KDR cloned into the EcoRI site of pGEM 7Z obtained from Promega) as a template (FIG. 17). This generated a translation stop codon after amino acid residue number 663 of KDR which corresponds to the extracellular domain of full length KDR. This modified fragment is then used to replace the Pstl/BamHl fragment of pKDRA generating a truncated form of the KDR gene (FIG. 10) which codes for a soluble receptor denoted sVEGF-RII (FIG. 11). The Xhol site at base pair number 257 is then changed to a BamHl site by standard cloning techniques. Another truncated form of the KDR receptor is created with primer 1 shown above, and primer 3) 5′ TTTTGGATCCAACGGTCCCTAGGATGATGAC 3′, (SEQ. ID. NO.: 9) (FIG. 12). This form of KDR, denoted VEGF-RTMII, is truncated at the C-terminal side of the transmembrane domain and therefore retains the transmembrane region (FIG. 13). A similar form of the FLT receptor is generated by PCR using the primers 4) 5′ AGCACCTTGGTTGTGGCTGACTC 3′ (SEQ. ID. NO.: 10) and 5) 5′ TTTTGGATCCTTAGATAAGGAGGGTTAATAGG 3′ (SEQ. ID. NO.: 11) and plasmid pmFLT (full length flt cloned into the EcoRI site of pGEM3Z obtained from Promega) as a template (FIG. 16). The 780 base pair PCR fragment can then be cloned together with the EcoRI/Xbal fragment from pmFLT to produce an EcoRl/BAMHl fragment (FIG. 14) encoding a truncated form of FLT (denoted sVEGF-RTMI) which retains the transmembrane domain but lacks the cytoplasmic domain (FIG. 15). The EcoRl site at the 5′ end of the gene is then modified to a BamHl site. The resulting truncated forms of KDR and FLT are then cloned into pBluebaclll (Stratagene) for expression in Sf9 insect cells. Characterization of these constructed truncated forms of VEGF receptors is accomplished by the techniques used to characterize sVEGF-RI as in Examples 2, 3, 4, 5, and 6.
EXAMPLE 8
Identification and Partial Purification of a Soluble VEGF Binding Protein
A mRNA encoding a soluble version of Flt was expressed in HUVECs. The recombinant sFlt protein, when expressed in Sf9 insect cells (BVsFlt), was found to bind tightly to heparin Sepharose. To determine if sFlt protein was expressed by HUVECs, conditioned medium from cultured HUVECs was filtered through a 0.22 μm membrane and passed over a heparin sepharose column. The heparin column was eluted with a step gradient and fractions were tested for binding to [125I] VEGF by covalent crosslinking. VEGF binding activity eluted at similar NaCl concentrations as the BVsFlt protein and was found in the 0.6–1.2 M NaCl step fraction. An equal volume of EndoUV medium (endothelial cell growth medium) not conditioned was chromatographed and had no VEGF binding activity in the 0.6–1.2 M NaCl fraction. The VEGF binding activity from HUVECs when crosslinked to labeled VEGF formed complexes which migrate slower on SDS/PAGE than VEGF complexes formed with BVsFlt. VEGF binding fractions were pooled and further separated by cation exchange chromatography with a linear NaCl gradient. Again, VEGF binding activity from the endothelial cell conditioned medium elutes at a similar position as BVsFlt.
The chromatography data shows that the partially purified HUVEC VEGF binding protein behaves similar to BVsFlt. To determine if this VEGF binding protein is related to Flt, antibodies against peptides based on the N-terminus and third immunoglobulin-like domain in the extracellular region of Flt were prepared. Fractions from the mono S column that produced high molecular weight complexes when covalently crosslinked to [125I] VEGF were analyzed by Western blot analysis. These data show that a 116 kDa protein band which co-elutes with VEGF binding activity was detected by both antibodies, thus the binding activity isolated from human endothelial cells is a soluble form of Flt.

## Claims

1. A method for inhibiting angiogenesis comprising the administration of a VEGF inhibitor protein in isolated form which comprises the amino acid sequence as set forth in SEQ ID NO:6.

2. A method for inhibiting angiogenesis comprising the administration of a VEGE inhibitor protein in isolated form which consists of the amino acid sequence as set forth in SEQ ID NO:6.

3. The method of claim 1 which further comprises administration of said VEGF inhibitor with a pharmaceutically acceptable carrier.

4. The method of claim 2 which further comprises administration of said VEGF inhibitor with a pharmaceutically acceptable carrier.