# Patent

## Title
Recombinant expression vector system for variants of coagulation factor VIII and von Willebrand factor

## Abstract

Disclosed is an expression vector system for variants of coagulation Factor VIII (FVIII) and von Willebrand Factor (vWF). In detail, mutant vWF the size of which is significantly reduced by deleting exons but which has remarkably increased FVIII stabilizing and activating efficiency, and an expression vector system useful for the treatment of hemophilia which is capable of expressing the same along with FVIII are disclosed. Use of the mutant vWF with a reduced size enables effective expression of FVIII in a viral vector and significantly enhanced FVIII activity. Further, the viral vector may be effectively used to treat hemophilia through gene therapy.

## Background
CROSS-REFERENCE TO RELATED APPLICATION
This application is a division of U.S. patent application Ser. No. 12/200,928 filed on Aug. 28, 2008. U.S. Ser. No. 12/200,928 claims the benefit of Korean Patent Application No. 10-20080019392, filed on Feb. 29, 2008, in the Korean Intellectual Property Office. The disclosures of which are incorporated herein in their entirety by reference.


SEQUENCE LISTING
The instant application contains a Sequence Listing which has been submitted in ASCII format via EFS-Web and is hereby incorporated by reference in its entirety. Said ASCII copy, created on May 30, 2014, is named 88315DIV50498_ST25.txt and is 84,678 bytes in size.
BACKGROUND OF THE INVENTION
1. Field of the Invention
The present invention relates to an expression vector system for variants of coagulation Factor VIII (FVIII) and von Willebrand Factor (vWF), more particularly to mutant vWF the size of which is significantly reduced by deleting exons but which has remarkably increased FVIII stabilizing and activating efficiency, and an expression vector system useful for the treatment of hemophilia which is capable of expressing the same along with FVIII.
2. Description of the Related Art
Hemophilia A is a hereditary, X chromosome-linked blood clotting disorder caused by a deficiency in FVIII. Symptoms include frequent bleeding in muscles, bones, digestive and urinary tracts, etc. accompanied by swelling and pain. Current treatment is based on regular supplementation of FVIII. This requires a lifelong treatment, giving troubles in daily lives and economic burdens. Further, there is a high risk of secondary infection during its administration.
FVIII is a large glycoprotein of 180 Kb, and consists of A1-A2-B-A3-C1-C2 domains. The FVIII gene is located on the X chromosome, and its synthesis is carried out mostly in the liver. Until now, there have been a lot of researches to transducer FVIII, but there were many difficulties because its size was too large, or the transduced FVIII gene was not expressed or secreted well. The B domain of FVIII consists of a large exon and its asparagine, serine and threonine residues are highly glycosylated. According to recent functional studies, the domain is not essential in procoagulant activity, and the deletion thereof does not affect the function of FVIII. When B-domain deleted FVIII (BDD-FVIII) was expressed in cells, the problems of unstable FVIII mRNA structure and interaction with ER chaperones were overcome and a lot of FVIII mRNA could be attained. Of the BDD-FVIII, a variant with 226 amino acids at the N-terminal with 6 consensus site for N-linked glycosylation exhibited significantly increased FVIII secretion.
In genetic treatment of hemophilia A, the target cell is bone marrow cells, especially stem cells or progenitor cells. Lentivirus-based vectors are used to transfer the gene. After infection into cells, these vectors insert the gene into the chromosome of the infected cell, thereby enabling stable and consistent expression. Other viruses such as Moloney murine leukemia virus could not be used to infect stem cells or progenitor cells, because they infect only dividing cells. And, although adenovirus produces a large amount of expressed proteins, a consistent expression was impossible because the gene is diluted as the differentiation continues.
Accordingly, a safe and consistent way of transducing FVIII is necessary, and the development thereof is needed. Lentiviral vectors can infect nearly all non-dividing cells, as well as dividing cells, and provide stable expression for a long period of time because they are inserted in the cell chromosome after the infection. Thus, lentivirus-based vectors for expression of FVIII may be useful for gene therapy.
vWF plays an important role in activating FVIII during blood coagulation. vWF is a blood glycoprotein which binds to FVIII thereby preventing it from being degraded in the blood. Besides, it plays a major role in blood coagulation by binding to collagen or platelet when endothelial cells are injured. vWF consists of D′-D3-A1-A2-A3-D4-B1-B2-B3-C1-C2 domains, and the D′-D3 domain binds to FVIII. vWF is a 250 kDa-sized protein and its gene is about 9 Kb in size. Accordingly, it is impossible to insert vWF in a lentiviral vector to help the function of FVIII. Through researches on the essential part in the vWF domains with respect to activation of FVIII, the inventors of the present invention found out that the portion of the vWF gene up to exon 32 functions most efficiently. Based on this finding, we inserted FVIII, an internal ribosome entry site (IRES) and vWF in a lentivirus-based vector. The resultant viral vector expresses the proteins gag-pol, env, tat and rev required for lentivirus, thereby expressing FVIII and vWF upon infection of cells. This attempt has never been made and is valued very highly for gene therapies and hemophilia researches in the future.
SUMMARY OF THE INVENTION
Accordingly, the present invention is directed to provide mutant von Willebrand Factor (vWF) the size of which is significantly reduced by deleting exons but which has remarkably increased coagulation Factor VIII (FVIII) stabilizing and activating efficiency.
The present invention is also directed to provide a vector which expresses FVIII and vWF consistently and stably in cells.
Through expression of the factors, the present invention aims at providing a successful gene therapy for hemophilia A. The present invention is distinguished from other existing inventions in that not only FVIII but also vWF, which is essential for the function thereof, is expressed together.
To prove the effect of the present invention, VSV-G pseudotyped lentivirus expressing FVIII and vWF was produced using a lentivirus-based vector and transfected into various cells. Then, the activity of FVIII expressed in the cells was measured. It was determined by quantitating the level of activation of Factor X by FVIII and activated Factor IX.
In an aspect, the present invention provides mutant vWF (vWF23) having an amino acid sequence of SEQ ID NO: 2 in which exons 24-46 of vWF are deleted.
In another aspect, the present invention provides a mutant vWF23 gene having a base sequence encoding for a protein having an amino acid sequence of SEQ ID NO: 2. Preferably, the gene may have a base sequence of SEQ ID NO: 1.
In another aspect, the present invention provides mutant vWF (vWF28) having an amino acid sequence of SEQ ID NO: 4 in which exons 29-46 of vWF are deleted.
In another aspect, the present invention provides a mutant vWF28 gene having a base sequence encoding for a protein having an amino acid sequence of SEQ ID NO: 4. Preferably, the gene may have a base sequence of SEQ ID NO: 3.
In another aspect, the present invention provides mutant vWF (vWF32) having an amino acid sequence of SEQ ID NO: 6 in which exons 33-48 of vWF are deleted.
In another aspect, the present invention provides a mutant vWF32 gene having a base sequence encoding for a protein having an amino acid sequence of SEQ ID NO: 6. Preferably, the gene may have a base sequence of SEQ ID NO: 5.
In another aspect, the present invention provides an animal cell expression vector comprising a gene encoding for the mutant vWF (vWF23, vWF28 or vWF32).
In the present invention, the animal cell expression vector may be any non-viral (plasmid or liposome) or viral vector capable of delivering and expressing the gene in an animal cell. Preferably, it may be a viral vector such as retroviral vector, lentiviral vector, adenoviral vector and adeno-associated viral vector. More preferably, it may be a lentiviral vector. In FIG. 12, lentiviral vectors pvEx23, pvEx28 and pvEx32, which express the vWF23, vWF28 and vWF32, respectively, are disclosed.
In the present invention, the animal cell expression vector may further comprise a gene encoding for B-domain-deleted human FVIII. In this case, the two effective ingredients for the treatment of hemophilia may be expressed using a single vector.
In the present invention, the B-domain-deleted human FVIII may preferably have an amino acid sequence of SEQ ID NO: 8, and its gene may have a base sequence of SEQ ID NO: 7.
In the present invention, the animal cell expression vector capable of expressing both the mutant vWF (vWF23, vWF28 or vWF32) and the B-domain-deleted human FVIII may be any non-viral (plasmid or liposome) or viral vector. Preferably, it may be a viral vector such as retroviral vector, lentiviral vector, adenoviral vector and adeno-associated viral vector. More preferably, it may be a lentiviral vector. In FIG. 13, a pvBDD.FVIII.ires.vWex32 lentiviral vector in which the two genes are linked by an internal ribosome entry site (IRES) is disclosed as a bicistronic expression system.
In another aspect, the present invention provides lentiviral particles packaged by transfecting the lentiviral vector capable of expressing the mutant vWF or B-domain-deleted human FVIII in a packaging cell.
In the present invention, the packaging cell may be any one capable of packaging the lentiviral vector to form lentiviral particles, such as 293T cells and HT1080 cells. Preferably, 293T cells may be used.
In the present invention, the lentiviral vector is cotransfected with pGag-pol, pRev, pTat and pVSV-G in order to form the lentiviral particles. In the example that follows, a split gene expression system was used for safe production of viruses. That is, only the factors gag-pol, tat, rev and VSV-G essential for the production of viruses were expressed, but they were delivered through different vectors in order to reduce the possibility of recombination.
In another aspect, the present invention provides a pharmaceutical composition for the treatment and prevention of hemophilia comprising the animal cell expression vector or the mutant vWF and B-domain-deleted human FVIII expressed therefrom as an active ingredient.
In another aspect, the present invention provides a pharmaceutical composition for the treatment and prevention of hemophilia comprising the lentiviral particles as an active ingredient.
Hereinafter, the present invention will be described in more detail.
The inventors of the present invention developed a lentiviral-based expression vector system which expresses coagulation Factor VIII (FVIII) and mutant von Willebrand factor (vWF) at the same time. Specifically, we confirmed the expression and activation of FVIII by the lentiviral-based system and elucidated the domain of vWF essential for the activation of FVIII.
The FVIII use in the present invention is a B-domain-deleted FVIII (BDD-FVIII) for increasing the secretion of FVIII. The B domain of FVIII consists of one large exon and its asparagine, serine and threonine residues are highly glycosylated. According to recent functional studies, the domain is not essential in procoagulant activity, and the deletion thereof does not affect the function of FVIII. When BDD-FVIII was expressed in cells, the problems of unstable FVIII mRNA structure and interaction with ER chaperones were overcome and a lot of FVIII mRNA could be attained.
Of the BDD-FVIII, a variant with 226 amino acids at the N-terminal with 6 consensus site for N-linked glycosylation exhibited significantly increased FVIII secretion. Lentiviral vectors can infect nearly all non-dividing cells, as well as dividing cells, and provide stable expression for a long period of time because they are inserted in the cell chromosome after the infection. Thus, lentivirus-based vectors for expression of FVIII may be useful for gene therapy.
The mutant vWF of the present invention has some of its entire exons deleted, and comprises only up to D1-D2-D′-D3 domains (vWF23), D1-D2-D′-D3-A1 domains (vWF28), or D1-D2-D′-D3-A1-A2 domains (vWF32). These domains bind to FVIII, to FVIII and platelet GP1 b, or to FVIII, platelet GP1 b and collagen, respectively.
In order to maximize the FVIII activity, expression of vWF is required. It protects FVIII from deactivating factors such as thrombin, and helps the FVIII to have a stable structure. However, when FVIII and full-length vWF are expressed together outside cells, they co-localize in the cells, thereby resulting in inhibited secretion of FVIII. Accordingly, a mutant vWF is desired which maximizes the function of FVIII and comprises only the portion not inhibiting FVIII secretion.
Different mammalian expression vectors may be used to deliver FVIII and vWF. But, lentiviral-based vectors are preferred for the cells to which the delivery of gene is not easy, for example, stem cells, hematopoietic progenitor cells, and the like. However, lentiviral-based vectors have a size limit for the expressed genes. BDD.FVIII has a size of 4.4 Kb, whereas vWF has a size of 5.6 Kb up to the A2 domain. Accordingly, the gene can be expressed with no significant loss in the viral titer. Further, in order to increase viral titer, it is possible to pseudotype the envelope protein of lentivirus with VSV-G and then concentrate the virus.
The animal cell expression vector of the present invention may include a promoter derived from eukaryotic or prokaryotic cells that can induce transcription of foreign genes in animal cells. The promoter may include control elements for enhancement or repression of transcription. Suitable promoters may include cytomegalovirus promoter (pCMV), Rous sarcoma virus long terminal repeat promoter (pRSV), and SP6, T3 or T7 promoters. Enhancer sequences upstream from the promoter or terminator sequences downstream of the coding region may be optionally included in the vector of the present invention in order to facilitate expression. The vector of the present invention may further contain additional nucleotide sequences such as a polyadenylation sequence, a localization sequence or a signal sequence, sufficient to permit a cell to efficiently and effectively process the protein expressed by the nucleic acid of the vector. Examples of preferred polyadenylation sequences are SV40 early region polyadenylation site [C. V. Hall et al., J. Molec. App. Genet. 2, 101(1983)] and SV40 late region polyadenylation site [S. Carswell and J. C. Alwine, Mol. Cell Biol. 9, 4248(1989)]. Such additional sequences are inserted into the vector such that they are operably linked with the promoter sequence, if transcription is desired, or additionally with the initiation and processing sequences, if translation and processing are desired. Alternatively, the inserted sequences may be placed at any position in the vector. The term “operably linked” is used to describe a linkage between a gene sequence and a promoter or other regulatory or processing sequence such that the transcription of the a gene sequence is directed by an operably linked promoter sequence, the translation of the gene sequence is directed by an operably linked translational regulatory sequence, and the post-translational processing of the gene sequence is directed by an operably linked processing sequence.
Standard techniques for the construction of the vector of the present invention are well-known to those skilled in the art and can be found in such references as Sambrook et al., Molecular Cloning: A Laboratory Manual 2nd Ed. (Cold Spring Harbor, N.Y., 1989). A variety of strategies are available for ligating DNA fragments, the choice of which depends on the nature of the terminal of the DNA fragments and can be readily made by those skilled in the art.
Examples of the lentivirus that can be used in the present invention may include HIV-1 and HIV-2, SIV, FIV, BLV, EIAV, CEV and visna viruses. Particularly, HIV and SIV are desired for gene therapy. HIV-1 (human immunodeficiency virus type 1) is a lentivirus belonging to the retrovirus family. Like other members of the family, HIV can infect non-dividing cells. This makes lentiviruses a good candidate vector for gene therapy.
HIV-1-based vectors are the most frequently used as gene delivery vehicles due to their ability to infect dividing and non-dividing cells with their cytoplasmic and nuclear entry proteins (Kohn, 2001, J. Intern. Med. 249, 379-390). This ability is frequently attributed to various features of the vectors, including the nuclear localization signals in multiple virion proteins and the central polypurine tract that generates a triple stranded DNA flap′ in the reverse-transcribed genome. As a consequence of these features, bioengineered HIV-1 is capable of infecting hematopoietic progenitor cells very efficiently at fairly low MOIs (Park and Choi, 2004, Mol. Cells 17, 297-303). The primary concern with regard to the use of lentiviral vectors as tools for gene therapy is that the transfer vector is derived from HIV-1. However, all of the viral components required for viral replication were deleted in the viral vectors utilized in the present study and the transfer vector ultimately harbored less than 5% of the HIV-1 genome. Another barrier encountered when using lentiviral vectors is restriction on the size of the transferred gene. vWF comprises 52 exons with a cDNA size of approximately 9 Kb, which exceeds the size limit of the majority of lentiviral vectors. In this report we successfully forced vWF cDNA into a lentiviral vector (FIGS. 1 and 2). In the preparation and production of the lentivirus, we substituted the env of HIV-1 with the VSV-G protein. VSV-G mediates viral entry into cells via membrane fusion rather than a specific cell surface receptor protein, resulting in a significant broadening of the host range (Hofmann et al., 1999, J. Virol. 12, 10010-10018). More importantly, it confers structural stability during ultracentrifugation, enabling concentration of the virus to high titers with no significant loss of infectivity (Burns et al., 1993; Hofmann et al., 1999). By exploiting these features of VSV-G, we successfully produced and concentrated vEx52, resulting in six fold higher transduction efficiency with only 1/100th of the volume of lentiviral supernatant (FIG. 3). These results were FACS (Fluorescence-activated cell sorting) analyzed and clearly observed under fluorescence light: significantly greater quantities of eGFP were observed in the cells transduced with the concentrated vEx52 than with the non-concentrated vEx52 (FIG. 4). Recent work by De Meyer et al. involved incorporation of a long vWF cDNA into a lentiviral vector and transduction of blood-outgrowth endothelial cells (BOECs) from von Willebrand disease type 3 dogs to develop gene therapy with type 3 VWD (De Meyer et al., 2006, Blood 107, 4728-4736). However, concentrating low titers of virus may not prove to be ideal for actual application in the treatment of hemophilia A as it requires additional time-consuming and laborious procedures. Therefore, we attempted to reduce the size of the vWF cDNA insert in the lentiviral vector. We deleted domains of vWF leaving only minimal regions for interactions between vWF and FVIII. The mature vWF consists of the D′-D3-A1-A2-A3-D4-B1-B2-B3-C1-C2 domains. FVIII binds to the D′-D3 domain, and the AI domain binds to platelet glycoprotein Ib, heparin, and collagen. This facilitates the aggregation of platelets and also aids in adhesion to sites of vascular injury. The vWF gene is located on chromosome 12 and comprises 52 exons with 178,000 bases. We deleted exons 24-46 to create pRex23 and pvEx23, thus retaining only the region that binds to FVIII. FVIII binds to vWF within the 272 amino acid residues located at its amino terminus (Sadler, 1998).
We also constructed pRex28 and pvEx28, in which exons 29-46 are deleted, thereby leaving the platelet binding sites in addition to the FVIII binding region. The platelet binding site on vWF is located within the A1 domain (Sadler, 1998). When pvEx23, pvEx28 and pvEx52 were packaged into lentiviruses, virus production from pvEx23 and pvEx28 was significantly greater than from pvEx52. Generally, the viral titer of non-concentrated vEx52 was 2×104 to 4×104 particles/ml (FIG. 3), whereas the titers of vEx23 and vEx28 were between 1×105 and 3×105 particles/ml (FIG. 5). The transduction efficiencies of the three viruses can be compared from the histograms in FIGS. 3 and 5. When 500 μl of vEx23, vEx28, and vEx52 was used to transduce Jurkat cells, 35.02%, 26.30% and 4.64% of the cells, respectively, were positive for eGFP. Therefore, we were able to improve viral titers and transduction efficiencies by deleting the domains within vWF that are less important for the interaction with FVIII, thus reducing the packaging size. When pRex23, pRex28 and pRex52 were transfected into 293T cells and functional FVIII was measured in the supernatants, pRex23 and pRex28 had lower FVIII activity than observed with the full-length vWF, pRex52. However, using the viral system, the supernatants from the cells transduced with vEx28 had higher secreted BDD.FVIII activity than those from vEx52 (FIG. 6). This may be because the large size of the full-length vWF limits the efficiency its packaging and expression. While we cannot decide whether the expression of FVIII was altered by vWF, vEx28 increased the secreted level of expressed FVIII in the supernatants, and this effect is most likely attributable to protection of the conformation of BDD.FVIII. This is consistent with the observation that more FVIII activity was detected in cells when vWF was present (Kaufman et al., 1997, Blood 8, S3-14). Another indication that vWF stabilizes FVIII is the fact that the FVIII was degraded rapidly in the absence of vWF (Over et al., 1978, J. Clin. Invest. 62, 223234), whereas it was cleared more slowly in the presence of vWF (Tuddenham et al., 1982, Br. J. Haematol. 52, 259-267). With greater insight into the nature of vWF and FVIII, the two proteins may be engineered to provide a powerful genetic tool for correcting FVIII-deficient cells.
Pharmaceutical formulations of the present invention include those suitable for parenteral (e.g., subcutaneous, intradermal, intramuscular, intravenous and intra-arterial), oral or inhalation administration. Alternatively, pharmaceutical formulations of the present invention may be suitable for administration to the mucous membranes of a subject (e.g., intranasal administration). The formulations may be conventionally prepared in unit dosage form and may be prepared by any of the methods well known in the art.
The dosage of the pharmaceutical formulations of the present invention may vary depending on the formulation type, administration method, age, body weight and sex of the subject, severity of disease, diet, administration time, administration route, rate of excretion, response sensitivity, or the like. A skilled physician will readily determine a dosage effective for the desired treatment. In general, the pharmaceutical composition of the present invention is administered with a unit dosage of 103-107 viral particles or 0.001-100 mg/kg of protein.



BRIEF DESCRIPTION OF THE DRAWINGS
The above and other features and advantages of the present invention will become more apparent by describing in detail exemplary embodiments thereof with reference to the attached drawings in:
FIG. 1 schematically represents the packaging constructs comprising a mutant von Willebrand Factor (vWF) gene according to an embodiment of the present invention;
FIG. 2A-2B illustrate integration (gDNA, FIG. 2A) and transcription (cDNA, FIG. 2B) of vWF from transduced COS-1 cells gene according to an embodiment of the present invention;
FIG. 3 concentration of vWF-expressing HIV-1 according to an embodiment of the present invention;
FIG. 4A-4E illustrate transduction of pseudotyped HIV-1 expressing vWF according to an embodiment of the present invention. Transfection of the vectors resulted in lentivirus production, as indirectly confirmed by expression of eGFP (FIG. 4A). The transduction and expression of both the non-concentrated and the concentrated vEx52 were also visualized with fluorescence light from the eGFP expression (FIG. 4B-D). In order to verify vWF expression from vEx52, COS-1 cells were transduced with vEx52 at a MOI of 0.5 and labeled with human vWF antibody, followed by TRITC staining (FIG. 4E).;
FIG. 5A-B schematically represent the deletion constructs of vWF according to an embodiment of the present invention. pRex23 and pRex28 were generated from pREP7-vWF (generously provided by Dr. Subrata Banerjee) by deleting exons 24-46 and 29-46, respectively, and pvEx23 and pvEx28 were generated in the same way from pvEx52 (FIG. 5A). The sequences were deleted by PCR using the forward primer 5′-CGTGATGAGACGCTCCAG-3′ (SEQ ID NO.: 17), and the reverse primer of Ex23PR 5′-TTTTCTGGTGTCAGCACACTG-3′ (SEQ ID NO.: 18) for pRex23 and pvEx23, and Ex28PR 5′-CAGGTGCAGGGGAGAGG-3′ (SEQ ID NO.: 19) for pRex28 and pvEx28. pvEx23 and pvEx28 were then used to generate VSV-G pseudotyped HIV-1 with packaging vectors, and titrated in Jurkat cells. 35.02% and 26.30% of the cells proved to be positive for eGFP when 500 μI of the viral supernatants of vEx23 and vEx28, respectively, were employed for transduction (FIG. 5B).;
FIG. 6A-C illustrate detection of the activity of secreted functional coagulation Factor VIII (FVIII) according to an embodiment of the present invention. Levels of FVIII activity of 28.89±18.86, 107.22±30.64, and 199.44±58.93 were obtained from transfection with pRex23, pRex28, and pRex52, respectively (FIG. 6A). FVIII activity in the supernatants of the transduced cells was 28.33±5.50 for the vEx52-transduced cells, and 33.89±3.93 and 53.33±9.43, respectively for the vEx23- and vEx28-transduced cells (FIG. 6B). K562 cells were co-transduced with vBDD.FVIII, the BDD-FVIII expressing HIV-1, along with vEx23, vEx28, or vEx52 at a MO1 of 1.5. RT-PCR with RNA from the transduced cells confirmed expression of the transduced FVIII (FIG. 6C);
FIG. 7 illustrates expression of eGFP tested to confirm the expression of FVIII according to an embodiment of the present invention;
FIG. 8 illustrates activation of FVIII by different mutant vWFs determined by chromogenic assay according to an embodiment of the present invention (FIG. 8A represents activities of FVIII in normal state (without damage) and FIG. 8B represents activities of FVIII treated with PMA (phorbol ester) in damaged state);
FIG. 9 illustrates a process of manufacturing a lentiviral vector comprising a B-domain-deleted FVIII gene according to an embodiment of the present invention;
FIG. 10 illustrates a process of manufacturing a lentiviral vector comprising a vWF gene according to an embodiment of the present invention;
FIG. 11 illustrates a process of manufacturing vectors comprising pRex23, pRex28 and pRex32 comprising variants of vWF according to an embodiment of the present invention;
FIG. 12 illustrates a process of manufacturing lentiviral vectors pvEx23, pvEx28 and pvEx32 comprising variants of vWF according to an embodiment of the present invention; and
FIG. 13 illustrates a process of manufacturing a pvBDD.FVIII.vWEx32 lentiviral vector comprising BDD.FVIII and vWF variant genes.



DETAILED DESCRIPTION OF THE INVENTION
Hereinafter, the present invention will be described in more detail through examples. However, the following examples are only for the illustration of the present invention and the scope of the present invention is not to be construed as limited by them.
Example 1
Construction of Vectors
Plasmid pRF8 was obtained by cloning full length FVIII cDNA (ATCC® Accession No. 40086) into Not1 site of a modified pREP7 vector (InvitrogenTM, USA) using a linker. Then, in order to delete most of B-domain, the upstream 5′ region of B-domain was amplified by PCR using primers, 5′-GAACCGAAGCTGGTACCT-3′ (SEQ ID NO.: 9) and 5′-GACAGGAGGGGCATTAAATTGCTTTTGCCT-3′ (SEQ ID NO.: 10), and the downstream 3′ region was amplifiedusing primers, 5′-TTTAATGCCCCACCAGTCTTGAAACGCCAT-3′ (SEQ ID NO.: 11) and 5′-ATGCTCGCCAATAAGGCATTCCA-3′ (SEQ ID NO.: 12). Then, the amplified products were denatured with heat and renatured to obtain the product. The resulting product was cleaved by Kpn1 and Bgl1 and sub-cloned into Kpn1-Bgll of pRF8 plasmid to produce pREP7-BDD.FVIII in which B-domain-deleted (BDD) FVIII cDNA was inserted under the RSV 3′ LTR control of pREP7 (InvitrogenTM, USA) (see The Journal of Gene Medicine, Volume 6, Issue 7, Pages 760-768). We used the pREP7-BDD.FVII from Subrata Banerjee, an author of the thesis. Besides, pRex52 plasmid was obtained by cloning full length vWF cDNA (ATCC® #59126) into Not1 site of a modified pREP7 vector (InvitrogenTM, USA) using a linker as described above.
pHIvec2.GFP obtained from Joseph Sodroski, an author of Journal of Virology, December 1999, p. 10020-10028, was used as a Lentivirus backbone (transfer vector) in the invention. The pHIvec2.GFP was prepared by deleting env and vpu sequences from v653 rtatpC virus, maintaining Rev-responsive element, and inserting eGFP gene (Clontech, USA) after IRES. The vector map of pHIvec2.GFP is the same with a vWF gene-deleted form of FIG. 1.
To manufacture a Lentivirus vector comprising B-domain-deleted FVIII gene, cDNA of BDD.FVIII (B-Domain-Deleted Coagulation Factor VIII) was obtain from the pREP7-BDD.FVIII using Not1. The cDNA was inserted into the lentivirus backbone using the same enzyme to produce pvBDD.FVIII. This process of manufacturing is represented in FIG. 9. In detail, pRep7-BDD.FVIII and lentivirus backbone were digested by Not1 and the BDD.FVIII fragments from pREP7-BDD.FVIII were ligated in Not1 site of lentivirus backbone.
To manufacture Lentivirus vector comprising vWF (von Willebrand Factor) gene, the pRex52 and lentivirus backbone were digested by Not1, vWF fragments were ligated in Not1 site of lentivirus backbone, and pvEx52 was manufactured. This process of manufacturing was represented in FIG. 10. A particular map of pvEx52 as a result of FIG. 10 is shown in FIG. 1. vWF gene is located between long terminal repeats (LTRs) and fused into IRES-eGFP of a viral vector. vWF variants were manufactured from the pRex52 using PCR (polymerase chain reaction). The PCR was performed using dNTP 25 mM, phosphorylated primers 10 μg, 2 mM Mg2+, DNA template, and pfuUltraTMII FusionTM HS DNA Polymerase (Agilent Technologies, USA). The PCR had 50 μg of Total volume and was performed under following conditions: 5 min at 95° C.; 18 cycles of 30 sec at 95° C., 30 sec at 52° C. and 30 sec at 72° C. per 1 Kb; and 10 min at 72° C. For manufacturing the vWF variants, a forward primer sequence was 5′-CGT GATGAGACGCTCCAG-3′ (SEQ ID NO.: 13), and reverse primer sequences were 5′-TTTTCTGGTGTCAGCACACTG-3′ (SEQ ID NO.: 14; pRex23), 5′-AGGTGCAGGGGAGAGGGT-3′ (SEQ ID NO.: 15; pRex28) and 5′-AGAGCACAGTTTGTGGAG-3′ (SEQ ID NO.: 16; pRex32), respectively. After PCR, amplified products were isolated by using PCR removal kit (Qiagen, USA) and ligated with ligase (Takara, JAPAN) at 15° C. for approximately 24 hour to manufacture pRex23, pRex28 and pRex32. This process of manufacturing is shown in FIG. 11. The ligated mixture was transformed into TOP10.
To manufacture Lentivirus vector comprising vWF variants gene, the pRex23, pRex28 or pRex32 and lentivirus backbone were digested by Not1, the vWf fragments from the pRex23, pRex28 or pRex32 were ligated into Not1 site of lentivirus backbone, and pvEx23, pvEx28 and pvEx32 were manufactured. This process of manufacturing is shown in FIG. 12.
pvBDD.FVIII has a form that IRES-eGFP is located after the BDD.FVIII. Only the eGFP was deleted from the pvBDD.FVIII by PCR and thereinto vWF variant was inserted to produce pvBDD.FVIII.vWEx32. This process of manufacturing is shown FIG. 13.
The TOP10 was used as a host in the transformation. To co-express BDD.FVIII and vWF21, IRES (internal ribosomal entry site) sequence was inserted after BDD.FVIII and thereafter vWF32 was inserted. Therefore, co-expression of two proteins under one promoter is possible, and the vWF32 expressed after BDD.FVIII plays a role in helping an activity and function of BDD.FVIII.
Example 2
Production of Virus
Vesicular stomatitis G protein (VSV-G) pseudotyped HIV-1 was produced by cotransfecting 293T cells with gag-pol, tat, rev, VSV-G and transfer vector using quinquepartite plasmid transient transfection method (Park and Choi, 2004 Mol. Cells 17, 297-303). 293T cells were subcultured at a density of 4.5×106 cells on 100 mm plates 24 hours prior to transfection. The supernatant was replaced with culture medium comprising 10% FCS and 25 mM HEPES 4 hours prior to transfection. For transfection, packaging plasmid with Gag and Pol 10 μg, VSV-G plasmid 2 μg, Tat plasmid 1 μg, Rev plasmid 1 μg and transfer vector 10 μg were used. These DNAs were added in 62 μl of 2.5 M CaCl2, the volume was set to 500 μl with water, and vortexed. This mixture was added with 500 11R of 2×HBS (281 mM NaCl, 100 mM HEPES, 1.5 mM Na2HPO4 pH 7.12), left for 30 min at room temperature, and then spread on 293T cells. 16 hours after transfection, the supernatant was replaced with RPMI of 10 mM HEPES buffer. After 48 hours, viruses produced and flowed to supernatant were harvested by using 0.45 μm filter.
Example 3
Titration of Virus
3×105 cells of NIH3T3 cells were placed on 60 cm2 dishes, and after 20 hours serial dilutions of viral stocks were added in the cells. Total volume was set to 2 ml and 2 μg/ml of polybrene (Sigma-Aldrich, USA) was added. After 6 hours, the virus was removed, the cells were washed with DMEM comprising 2% FCS to remove the virus completely, and the cells were put into an incubator. After 2 days, the cells were separated with 0.25% trypsin, washed with 1×PBS, and fixed with 3.7% formaldehyde. Percent of eGFP+ radiating in the infected cells was determined using FACScanTM (Becton Dickinson, USA Immunocytometry System) and CellQuest program (Becton Dickinson, USA), and then the titer of virus was calculated using the following formula: (2× a number of cells×Percent of eGFP+ cells)+quantity of virus.
Example 4
Concentration of Virus
The filtered virus was transferred to polyallomer tubes and ultracentrifuged at 50,000×g in SW28 rotor for 1.5 hour at 4° C. The pellet was resuspended in a small volume of medium. Then, the tube was covered with Parafilm®, and left to stand at 4° C. for 24 hours. For extended storage, the viral stocks were stored at −80° C. FIG. 3 represents concentration of vWF-expressing HIV-1 according to an embodiment of the prevent invention. 500 μl of non-concentrated (middle) and 5 μl of concentrated (right) of vWF-expressing lentivirus supernatants were used to transduce Jurkat cells. The fraction of eGFP+ cells among the transduced cells was determined by flow cytometry.
Example 5
Transduction of Cells
The cells were counted by hemocytometer and plated in 24-well or 6-well plates at the desired cell number. Viral supernatants were added to the cells at the desired multiplicity of infection (MOI). At this time, the total volume was adjusted to the desired volume with the culture medium, and polybrene was added at a concentration of 2 μg/ml. The infection was performed in the presence of 5% CO2 for 6 hours at 37° C. After infection, the cells were washed with the medium. FIG. 5 is a schematic showing deleted constructs of vWF according to an embodiment of the prevent invention. (A) pRex23 and pvEx23 were constructed by deleting exons 24-46, and pRex28 and pvEx28 were generated by deleting exams 29-46, from pRex52 and the lentiviral vector, respectively. (B) vEx23 and vEx28 were generated from pvEx23 and pvEx28, respectively, and 500 μl of viral supernatants were used to transduce Jurkat cells. The percentages of cells transduced were analyzed by FACS (Fluorescence-activated cell sorting).
Example 6
Isolation of DNA and RNA
Genomic DNA was prepared with 500 μl of lysis buffer (0.1 M Tris HCl, pH 8.5, 5 mM EDTA, 0.2% SDS, 200 mM NaCl and 100 μg/ml protease K). It was precipitated with isopropanol and washed with 75% ethanol. RNA was prepared with Trizol® reagent (InvitrogenTM, USA) and cDNA was synthesized using ImPromIITM (Promega, USA). PCR was carried out with Pfu (SolGent, Republic of Korea) in a total volume of 50 μl containing 1× reaction buffer, 25 mM each dNTP, 10 μM each primers, 2 mM Mg2+, and DNA template. FIG. 2 represents integration and transcription of vWF from transduced COS-1 cells according to an embodiment of the prevent invention. The COS-1 cells were transduced with lentivirus expressing vWF. (A) Integration of the transduced vWF gene was detected in the genomic DNA of transduced COS-1 cells by PCR for 421-bp of vWF and 227-bp of LTR. (B) cDNA was prepared from the transduced cells and amplified with primers specific for 421-, 227- and 187-bp of vWF, LTR, and GAPDH, respectively. vEx52: transduced with vEx52, eGFP: transduced with eGFP-expressing lentivirus.
Example 7
Plasmid Transfection
DNAs (pRex23, pRex28 and pRex32) for transfection were added into 50 μl of 150 mM NaCl on 12-well plate, vortexed and spun down. This mixture was added with PEI in 3 times volume of DNA, vortexed and spin down again. This mixture was left for 10 min at room temperature, and was dropped on the cells carefully.
Example 8
Immunocytochemistry
Transduced cells were grown on glycogen-coated coverslips in 6-well tissue culture plates. The cells were fixed in cooled 100% methanol, washed with TBS [50 mM Tris-HCl (pH 7.4), 150 mM NaCl], quenched in fresh 0.1% sodium borohydride in TBS for 5 min and washed three times with TBS for 5 min. The cells were blocked with blocking buffer (10% horse serum, 1% bovine serum albumin, 0.02% NaN3 in 1×PBS) for 60 min and washed for 5 min with TBS. Primary vWF antibody (Abcam®, USA) was diluted in 1% BSA in TBS and incubated overnight with the cells at 4° C. After washing the cells three times for 5 min with TBS, they were labeled with secondary goat-antimouse IgG TRITC antibody (Santa Cruz Biotechnology, USA) in 1% BSA in TBS for 30 min at room temperature covered with aluminum foil. They were then washed 3 times with TBS for 5 min and mounted on slides using a ProLong® Antifade Kit (Cell Signaling, USA).
FIG. 4 represents transduction by pseudotyped HIV-1 expressing vWF according to an embodiment of the prevent invention. (A) 293T cells were cotransfected with plasmids harboring viral components for virus production including a transfer vector that harbored vWF-IRES-eGFP. eGFP from the transfer vector was visualized under a fluorescence microscope at 10× magnifications. (B) Jurkat cells were visualized under a microscope with bright and fluorescence light. (C) Jurkat cells were transduced with 500 μl of non-concentrated vWF-expressing pseudotyped HIV-1 and visualized under a microscope. (D) Jurkat cells were transduced with 5 μl of 160-fold concentrated vWF-expressing pseudotyped HIV-1 and visualized under the white and fluorescence light. (E) COS-1 cells were transduced with vWF-pseudotyped HIV-1 at a MOI of 0.5. eGFP was visualized under a fluorescence microscope (left). vWF was visualized by staining vWF with antibody and TRITC (middle). The detected vWF was not from the COS-1 cells but from the transferred gene (right).
BDD.FVIII deleting B domain from sequence of FVIII was prepared and inserted into lentivirus vector. For expression of lentivirus, the BDD.FVIII was expressed together with gag, pol, VSV-G, tat, and rev in 293T cells to produce lentivirus expressing BDD.FVIII. The transfected cells may express BDD.FVIII. Conclusively, the expression was confirmed by measuring activity of FVIII. Production and infection of virus were confirmed indirectly by expression of eGFP in the vector. FIG. 7 is a photograph representing result of eGFP expression in order to confirm expression of FVIII according to an embodiment of the prevent invention (correspond to FIG. 4 (a)). Production and infection of virus were confirmed indirectly by expression of eGFP.
Example 9
Measurement of Factor VIII Activity
Activated FVIII activity (FVIII:C) was measured by Coatest® VIII:C/4 kit (DiaPharm, Italy). One volume of phospholipids and 100 mg/l ciprofloxacin was mixed with 5 volumes of Factor IXa and Factor X. The mixture 50 μl was placed in 96-well microtiter plates, added with 25 μl of cell culture supernatant, incubated for 5 min at 37° C. And then, the mixture was added with 25 μl of 0.025 mol/L CaCl2, incubated for 5 min at 37° C., added with 50 μl of S-2765 and 1-2581, and incubated for 10 min at 37° C. The incubation was stopped by 20% acetic acid, and the activity of FVIII was measured at 405 nm. A standard curve was made with each experiment using known amounts of recombinant human FVIII.
FIG. 6 represents detection of the activity of secreted functional FVIII. (A) 293T cells were co-transfected with pREP7-BDD.FVIII and pRex23, pRex28, or pRex52. The supernatants of the transfected cells were collected and quantitated for FVIII activity. (B) K562 cells were co-transduced with HIV-1-BDD.FVIII and vEx23, vEx28 or vEx52 at a MOI of 1.5. The supernatants of the transduced cells were collected and screened for FVIII activity. The data are expressed as the means±S.E. of at least three independent experiments. (C) RT-PCR was performed with RNAs from the transduced cells. B-domain-deleted FVIII yields a product of 1.1 Kb. vEx23: transduced with vEx23, vEx28: transduced with vEx28, vEx52: transduced with vEx52.
Example 10
Measurement of Factor VIII Activity after PMA Treatment
pRex23, pRex28 and pRex32 are named for Von Willebrand Factors deleting C-terminal domains from exon 23, exon 28 and exon 32, respectively. pRex52 is named for full length of vWF. They were co-expressed with pREP7-BF carrying a von Willebrand factor vector and the activity of secreted FVIII was determined. As a result, pREP7-BF and pRex32 had the greatest activity of secreted FVIII (FIG. 8). FIG. 8 represents the results of measuring the activity of FVIII for each vWF variant by Chromatography Assay. HeLa cells were transfected with pREP7; pREP7-BF and pRex23; pREP7-BF and pRex28; pREP7-BF and pRex32; and pREP7-BF and pRex52, and then functional activities of FVIII secreted out in supernatant were measured. FIG. 8A represents the results of measuring the activities of FVIII in normal state (without damage). The activities of all FVIIIs were increased as compared with a basal level, and the 32 (pREP7-BF and pRex32) was the greatest. FIG. 8B represents the activities of FVIII treated with PMA (phorbol ester) in damaged state. The secretion of all FVIIIs was induced at least 3 times and marked a remarkable difference as compared with basal level. The result means that FVIII secretion is induced greatly in damaged state, but not in normal state, which give a very useful advantage in real clinics of hemophilia.
Result 1: Lentivirus Production
8.8 Kb of von Willebrand Factor cDNA was cloned into the HIV-1-based lentivirus between the two long terminal repeats to create pvEx52 (LTRs) (FIG. 1). The vWF cDNA was excised from vW-8 (ATCC® #59126) using EcoR1 and Sac1 and cloned into the lentiviral vector. The vWF gene was fused with IRES-eGFP, thus permitting the use of enhanced green fluorescence protein (eGFP) as an indirect indicator of virus production after transfection into 293T cells together with the other viral genes required for packaging viral particles (Parolin et al., 1996; Yee et al., 1994). The packaging vector harbored gag and pol under the control of the CMV promoter, and the tat and rev of HIV-1 were expressed separately under the control of the CMV promoter. We used the vesicular stomatitis virus G protein (VSV-G) instead of HIV-1 env (Hofmann et al., 1999).
Result 2: Transduction of VSV-G Pseudotyped HIV-1
COS-1 cells were transduced with vEx52, the lentivirus carrying the complete vWF, or HIV-1-eGFP, the eGFP-expressing lentivirus. Genomic DNA was isolated from the transduced COS-1 cells, and PCR was conducted using primers specific for the human vWF gene and HIV-1 LTR. vWF could be amplified only from the vEx52-transduced cells, whereas LTR could be amplified from both vEx52 and HIV-1-eGFP-transduced cells (FIG. 2A). In addition, RNA was prepared from the transduced cells, with which cDNA was synthesized and PCR for vWF and LTR was conducted (FIG. 2B). The result of RT-PCR accorded with the amplifications from the PCR of the genomic DNA. vWF was amplified only from the vEx52-transduced cells, and LTR was detected from both vEx52 and HIV-1-eGFP-transduced cells.
Result 3: Expression of vWF from Transduced Lymphoblast Cells and Concentration of vEx52
Jurkat cells were plated at 2×105 and transduced with 500 μl of non-concentrated vEx52 virus. FACS analysis showed that 5.55% of the cells were positive for GFP expression (FIG. 3). After the virus suspension was concentrated by a factor of 160 by ultracentrifugation at 50,000×g, 5 μl of concentrated virus was employed to transduce an equal number of Jurkat cells, resulting in a yield of 29.51% eGFP+ (FIG. 3). By concentrating the vEx52 virus, the titer increased from 2.8×104 particles/ml to 2.3×107 particles/ml. Transfection of the vectors resulted in lentivirus production, as indirectly confirmed by expression of eGFP (FIG. 4A). The transduction and expression of both the non-concentrated and the concentrated vEx52 were also visualized with fluorescence light from the eGFP expression (FIG. 4B-D). In order to verify vWF expression from vEx52, COS-1 cells were transduced with vEx52 at a MOI of 0.5 and labeled with human vWF antibody, followed by TRITC staining (FIG. 4E). In addition, in order to determine whether the transduced constructs were maintained for an extended period of time, 1×105 Jurkat cells were transduced at a MOI of 0.5. After 4 days, 38.27% of the cells were shown by FACS analysis to be positive for eGFP. When analyzed on days 9, 15, 35, 50 and 90 post-transduction, 33.01%, 11.99%, 11.32%, 6.13%, and 5.56%, respectively of the cells were eGFP+(data not shown).
Result 4: Construction of Domain-Deleted vWF
pRex23 and pRex28 were generated from pREP7-vWF (generously provided by Dr. Subrata Banerjee) by deleting exons 24-46 and 29-46, respectively, and pvEx23 and pvEx28 were generated in the same way from pvEx52 (FIG. 5A). The sequences were deleted by PCR using the forward primer 5′-CGTGATGAGACGCTCCAG-3′ (SEQ ID NO.: 17), and the reverse primer of Ex23PR 5′-TTTTCTGGTGTCAGCACACTG-3′ (SEQ ID NO.: 18) for pRex23 and pvEx23, and Ex28PR 5′-CAGGTGCAGGGGAGAGG-3′ (SEQ ID NO.: 19) for pRex28 and pvEx28. pvEx23 and pvEx28 were then used to generate VSV-G pseudotyped HIV-1 with packaging vectors, and titrated in Jurkat cells. 35.02% and 26.30% of the cells proved to be positive for eGFP when 500 μl of the viral supernatants of vEx23 and vEx28, respectively, were employed for transduction (FIG. 5B).
Result 5: Functional Activity of the Secreted FVIII
In order to examine the effects of domain-deleted vWF on the secretion of FVIII, 293T cells were transfected with pREP7-BDD.FVIII along with one pRex23, pRex28, or pRex52. After 48 h of transfection, the supernatants were collected and screened for functional FVIII activity in chromogenic assays. Levels of FVIII activity of 28.89±18.86, 107.22±30.64, and 199.44±58.93 were obtained from transfection with pRex23, pRex28, and pRex52, respectively (FIG. 6). Therefore, the functional activity of the secreted FVIII declined as more of vWF was deleted. Next, we assessed the effects of domain-deleted vWF when it was transduced as a component of vWF lentivirus. K562 cells were co-transduced with vBDD.FVIII, the BDD-FVIII expressing HIV-1, along with vEx23, vEx28, or vEx52 at a MO1 of 1.5. RT-PCR with RNA from the transduced cells confirmed expression of the transduced FVIII (FIG. 6). FVIII activity in the supernatants of the transduced cells was 28.33±5.50 for the vEx52-transduced cells, and 33.89±3.93 and 53.33±9.43, respectively for the vEx23- and vEx28-transduced cells (FIG. 6). These data suggest that the deleted form of vWF, vEx28, is the most efficient at promoting secretion of FVIII via interaction of its minimal essential domains with FVIII.
As described, in accordance with the present invention, coagulation Factor VIII (FVIII) can be effectively expressed in a viral vector and the FVIII activity can be significantly enhanced using mutant von Willebrand Factor (vWF) with a reduced size. Further, the viral vector of the present invention may be effectively used to treat hemophilia through gene therapy. The coexpression of FVIII and vWF may be very useful in clinical applications such as gene therapy for hemophilia A treatment.
While the present invention has been particularly shown and described with reference to exemplary embodiments thereof, it will be understood by those skilled in the art that various changes in form and details may be made therein without departing from the spirit and scope of the present invention as defined by appended claims.

## Claims

1. A mutant von Willebrand factor (vWF32) having the amino acid sequence of SEQ ID NO: 6 in which exons 33-48 of vWF are deleted.

2. A mutant vWF32 gene having a base sequence encoding for a protein having the amino acid sequence of SEQ ID NO: 6.

3. The mutant vWF32 gene as set forth in claim 2, wherein the mutant vWF32 gene has the base sequence of SEQ ID NO: 5.