METHOD OF USING TRANSDOMINANT NEGATIVE RETROVIRAL INTEGRASE IN THE TREATMENT OF RETROVIRAL INFECTION

Abstract: A method of using a transdominant negative integrase gene to make at least one cell resistant to a retroviral infection which includes retroviral infections resulting from HIV; a method for introducing a transdominant negative integrase gene into at least one mammalian cell to make said cell resistant to a retroviral infection as well as vectors, cells, and methods of constructing same useful in the aforementioned methods; a method of treating AIDS comprising administering to a patient an effective amount of a transdominant negative integrase gene alone or combined with agents useful for gene therapy inhibition of HIV, antiviral agents, or interleukin-2; and pharmaceutical delivery methods which include a transdominant negative integrase gene alone or combined with agents useful for gene therapy inhibition of HIV, antiviral agents, or interleukin-2.

Description: METHOD OF USING TRANSDOMINANT NEGATIVE RETROVIRAL INTEGRASE IN THE TREATMENT OF RETROVIRAL INFECTION BACKGROUND OF THE INVENTION The present invention relates to a medical method of treatment. In particular, the present invention concerns the use of a transdominant negative integrase gene to make at least one mammalian cell resistant to a retroviral infection, to methods for their production, to pharmaceutical delivery methods which include these genes, and to pharmaceutical methods of treatment. More particularly, the novel transdominant negative integrase gene alone or combined with another gene that confers protection from human immunedeficiency virus (HIV) such as, for example, a transdominant negative rev gene and/or a ribozyme that cleaves HIV ribonucleic acid (RNA) is useful in treating acquired immunedeficiency syndrome (AIDS) . AIDS results from HIV infection which depletes CD4 + T cells. Currently, there is no effective treatment for AIDS. One of the most attractive and least exploited targets for the therapy of AIDS is the viral integrase (Brown P.O., "Integration of Retroviral DNA" . In: Current Topics in Microbiology of Immunology. 157.19-48 (1990)). The life cycle of retroviruses is dependent on integration into the host chromosome. For HIV, integration is necessary for viral replication (LaFemina R.L., et al., Journal of Viroloσy. £6:7414-7419 (1992) and Sakai H., et al. , Journal of Virology. £7:1169-1174 (1993)). This process is mediated by integrase, a viral protein. One approach to inhibition of the essential integration process is to express some form of integrase that will block the integrase function of the incoming HIV. This is based on the concept of "pathogen-derived resistance" disclosed by Sanford J.C. and Johnston S.A., J. Theor. Biol.. 113:395-405 (1985). Pathogen-derived resistance is based on the strategy that expression of certain genes from pathogens inhibit replication of such pathogens. Various examples of this concept have been disclosed including: retroviral envelope genes (Robinson H.L., et al., Journal of Virology. 4J):745-751 (1981)); coat protein genes of plant viruses (Wilson T.M.A. , Proc. Natl. Acad. Sci. USA. _££:3134-3141 (1993)); envelope glycoprotein genes of herpes viruses (Petrovskis E.A. , et al., Journal of Virology. 61:2196-2199 (1988)); transdominant negative HIV rev (Malim M.H., et al., Cell. 5^:205-214 (1989)); over-expression of HIV tar sequences as "decoys" (Sullenger B.A., et al., Cell. £1:601-608 (1990)); and transdominant negative mutants of HIV gag. In the case of HIV, this concept of pathogen-derived resistance was later termed "intracellular immunization" (Baltimore D., Nature. 3_3_5_:395-396 (1988)). However, prior to the present invention, there was no suggestion that retroviral integrase could be made to exert a transdominant negative phenotype. In fact, since integrase enters a cell with the virion and is presumed to remain part of the preintegration complex, it was regarded by many as an unlikely candidate for being amenable to interference by a " transdominant negative mutan . In a recent review on gene therapy of AIDS (Yu M., et al., Gene Therapy. 1:13-26 (1994)), many possibilities were discussed with no mention of integrase as a target. Additionally, prior to the present invention, there was no good technology for exploring the possibility of a transdominant negative integrase. Retroviral integrases are made as part of polyprotein precursors (the "gag-pol precursor") in infected cells. There is no natural expression of a retroviral integrase in a mammalian cell without many other viral proteins that are part of the precursor. Although there is a report of expression of Rous sarcoma virus integrase alone (Mumm S.R., et al., Virology. 1£9 . :500-510 (1992)), expression of HIV integrase has been problematic. This problem has been attributed to a rev-responsive element within the integrase gene (Cochrane, et al., J. Virol.. £5_:5305-5313 (1991)). Holler T.P., et al. , Gene. 116.:323-328 (1993) reported the synthesis of genes coding for wild-type ("Ndel") and an inactive mutant ("D116N:) integrase for expression in E. coli . Thus, an object of the present invention is the expression of HIV integrase in mammalian cells. Efficient expression of HIV integrase was achieved in the present invention by employing a synthetic gene for expression in mammalian cells (Seq ID No. : 1) . That this was successful was an unpredictable and surprising result, since the synthetic gene used was synthesized to optimize codon usage for the bacterium E. coli . Bacterial genes could have sequences recognized by mammalian cells as splice sites or methylation sites for inactivation of the gene, making the successful expression of a bacterial gene in mammalian cells highly unpredictable. SUMMARY OF THE INVENTION Accordingly, the present invention is directed to a method of using a transdominant negative integrase gene to make at least one cell resistant to a retroviral infection. In a preferred embodiment of the first aspect of the invention, the retroviral infection is selected from the group consisting of: HIV; HTLV I; HTLV II; equine infections anemia virus; bovine leukemia virus; murine retrovirus; and avian leukosis virus, and the cell is selected from the group consisting of a mammalian cell and an avian cell. In a most preferred embodiment of the first aspect of the invention, the retroviral infection is HIV and the cell is a human cell. In a second aspect, the present invention is directed to a method for introducing a transdominant negative integrase gene into at least one mammalian cell to make said cell resistant to a retroviral infection, comprising introducing the DNA into at least one mammalian cell by a process of delivery selected from the group consisting of: a) use of calcium phosphate co-precipitation; b) in a complex of cationic liposomes: c) electroporation; d) receptor mediated endocytosis; e) naked DNA; f) transduction by a viral vector; and g) particle-mediated gene transfer (Cheng L., et al., Proc. Natl. Acad. Sci. USA. ££:4455-4459 (1993) and Yang N-S., Critical Reviews in Biotechnology. 11:335-356 (1992)) . In a preferred embodiment of the second aspect of the invention, the transdominant negative integrase gene is HIV integrase and the mammalian cell is a human cell. In a most preferred embodiment of the second aspect of the invention, the human cell is selected from the group consisting of a CD4 + T lymphocyte, a monocyte, and a hematopoietic progenitor cell, and the viral vector is selected from the group consisting of: retrovirus; adenovirus; adeno-associated virus; and herpes virus. In a third aspect, the present invention is directed to a method for introducing a transdominant negative integrase gene into at least one mammalian cell to make said cell resistant to a retroviral infection comprising inserting said transdominant negative integrase gene into a vector and expressing transdominant negative integrase in said at least one mammalian cell. In a preferred embodiment of the third aspect of the invention, the transdominant negative integrase gene is HIV integrase; the vector is selected from the group consisting of: pRSV/IN-Ndel and pRSV/IN-D116N; and the mammalian cell is 293-CD4. In a more preferred embodiment of the third aspect of the invention, the transdominant negative integrase gene is HIV integrase; the vector is pRSV/IN-Ndel; and the mammalian cell is 293-CD4. In a most preferred embodiment of the third aspect of the invention, the transdominant negative integrase gene is HIV integrase; the vector is pRSV/IN-Ndel; and the mammalian cell is a human cell selected from the group consisting of a CD4 + T lymphocyte, a monocyte, and a hematopoietic progenitor cell. In a fourth aspect, the present invention is directed to a method of constructing the pRSV/IN-Ndel vector comprising inserting the HIV integrase gene into the pRcRSV vector to afford the pRSV/IN-Ndel vector. In a fifth aspect, the present invention is directed to a vector for production of HIV transdominant negative integrase comprising a DNA sequence encoding HIV integrase. In a preferred embodiment of the fifth aspect of the invention, the vector is selected from the group consisting of pRSV/IN-Ndel and pRSV/IN-D116N. In another preferred embodiment of the fifth aspect of the invention, the vector is pRSV/IN-Ndel. In a more preferred embodiment of the fifth aspect of the invention, the DNA sequence contains a substantial number of codons different from the natural codons, preferably 10 or more codons different from the natural codons. In a most preferred embodiment of the fifth aspect of the invention, the DNA sequence is Seq ID No. : 1 or a DNA sequence containing 10 or less codons different from Seq ID No. : 1 or a fragment thereof that encodes at least 150 amino acids; and expression is carried out in a eukaryotic cell, preferably a mammalian cell. In a sixth aspect, the present invention is directed to the synthetic gene of Seq ID No. : 1 or a synthetic gene having a DNA sequence containing 10 or less codons different from Seq. ID. No. : 1 or a fragment thereof that encodes at least 150 amino acids. In a seventh aspect, the present invention is directed to a highly transfectable cell line which is transduced to express human CD4. In a most preferred embodiment of the seventh aspect of the invention, the highly transfectable cell line is 293-CD4. In an eighth aspect, the present invention is directed to a method of constructing a 293-CD4 cell comprising inserting the CD4 coding sequence into a vector and transfecting the vector into 293 cells. In a most preferred embodiment of the eighth aspect of the invention, the vector is RSV-CD4. In a ninth aspect, the present invention is directed to a method of preparing a retroviral integrase comprising inserting a synthetic integrase gene into a vector and expressing said vector in a mammalian cell. In another preferred embodiment of the ninth aspect of the invention, the retroviral integrase is HIV integrase. In a more preferred embodiment of the ninth aspect of the invention, the synthetic integrase gene contains a substantial number of codons different from the natural codons, preferably 10 or more codons different from the natural codons. In a most preferred embodiment of the ninth aspect of the invention, the synthetic integrase gene is Seq ID No.: 1 or a DNA sequence containing 10 or less codons different from Seq ID No: 1 or fragment thereof that encodes at least 150 amino acids. A transdominant negative integrase gene could be delivered (by a retrovirus or other gene delivery method) to CD4 + T cells from an HIV-infected patient ex vivo, then re-introduced into the patient. This would give the patient a population of T cells that would be resistant to infection by HIV. Additionally, a transdominant negative integrase gene could be delivered (by a retrovirus or other gene delivery method) to hematopoietic progenitor cells. Such cells can be derived from bone marrow or from peripheral blood after stimulation by a cytokine such as, for example, G-CSF. These transduced cells are then reintroduced into the patient. This would give a population of hematopoietic cells, including CD4 + T cells that would be resistant to HIV. Use of a transdominant negative integrase gene as a method of treatment of AIDS is based on the following scientific rationale: 1. Integrase is an essential protein for HIV infection. Genetic analysis of HIV integrase mutations (LaFemina R.L., et al., Journal of Virology. ££:7414-7419 (1992) and Sakai H. , et al., Journal of Virology. £7:1169-1174 (1993)) shows that integrase is essential for HIV infection to proceed. Additional genetic analysis by Shin, C-G., et al. , Journal of Virology. £8:1633-1642 (1994) shows that changes in integrase can have pleiotropic effects on a variety of steps in the HIV life cycle. Although we do not yet know the step in the HIV life cycle where the dominant negative integrase is having its effect, it is clearly a vulnerable target for interfering with replication of virus. 2. Cell culture results where HIV replication is blocked is the accepted criterion by the AIDS research community and regulatory authorities for clinical testing. This includes cell culture effect of transdominant negative mutants of retroviral proteins, as exemplified by the approval of clinical testing of rev M10 (Nabel G. , et al., Human Gene Therapy. 5_:79-92 (1994)). 3. Transdominant negative genes active in cell culture provide pathogen-derived resistance at the level of an intact multicellular organism. Examples include retroviral envelope genes and plant virus coat protein genes (Robinson H.L., et al., Journal of Virology. 4^:745-751 (1981); Wilson T.M.A., Proc. Natl. Acad. Sci. USA. 9^:3134-3141 (1993)). Thus, in a tenth aspect, the present invention is directed to a method of treating AIDS in a patient comprising administering to said patient a therapeutically effective amount of a transdominant negative integrase gene. The transdominant negative integrase gene might advantageously be used in combination with any of a variety of other agents useful for gene therapy inhibition of HIV (Yu M. , et al., Gene Therapy. 1:13-26 (1994) and Yamada 0., et al., Gene Therapy. 1:38-45 (1994) ) . Thus, in a eleventh aspect, the present invention is directed to a method of treating AIDS in a patient comprising administering to said patient a therapeu¬ tically effective amount of a transdominant negative integrase gene in combination with one or more agents selected from the group consisting of: a) a transdominant negative gene such as, for example, a transdominant negative rev gene, a transdominant negative tat gene, a transdominant negative gag gene, a transdominant negative env gene, a transdominant negative vpx gene, and the like; b) a soluble(s) CD4 gene such as, for example, a sCD4 gene, a SCD4-KDEL gene, and the like; c) an intracellular antibody; d) an interferon-inducible gene such as, for example, a RBP9-27 gene and the like; e) a RNA decoy gene such as, for example, HIV-l TAR, HIV-l RRE, and the like; f) an antisense RNA; and g) a ribozyme such as, for example, a hammerhead ribozyme, a hairpin ribozyme, and the like. Preferably, the transdominant negative integrase gene might advantageously be used in combination with other transdominant negative HIV genes, for example, a rev gene (e.g., the rev M10 of Malim M.H., et al., Cell, 5_8_:205-214 (1989)) and/or ribozymes that cleave HIV RNAs (Yamada 0., et al., Gene Therapy. 1:38-45 (1994) ) . This would enable a greater degree of efficacy than would be achieved by any one gene. Thus, in a twelfth aspect, the present invention is directed to a method of treating AIDS in a patient comprising administering to said patient a therapeutically effective amount of a transdominant negative integrase gene in combination with a transdominant negative rev gene. In a most preferred embodiment of the twelfth aspect of the invention, the transdominant negative rev gene is rev M10. In a thirteenth aspect, the present invention is directed to a method of treating AIDS in a patient comprising administering to said patient a therapeutically effective amount of a transdominant negative integrase gene in combination with a ribozyme that cleaves HIV RNA. In a fourteenth aspect, the present invention is directed to a method of treating AIDS in a patient comprising administering to said patient a therapeutically effective amount of a transdominant negative integrase gene in combination with a transdominant negative rev gene and a ribozyme that cleaves HIV RNA. In a fifteenth aspect, the present invention is directed to a pharmaceutical delivery method adapted for administration to a patient in an effective amount of an agent for treating a retroviral infection comprising a transdominant negative integrase gene and a suitable viral or nonviral delivery system. In a preferred embodiment of the fifteenth aspect of the invention, the pharmaceutical delivery method is adapted for ex vivo or in vivo delivery. In a most preferred embodiment of the fifteenth aspect of the invention, the pharmaceutical delivery method is directed to therapeutic or prophylactic administration. In a sixteenth aspect, the present invention is directed to a method of treating AIDS in a patient comprising administering to said patient a therapeu- tically effective amount of a transdominant negative integrase gene in combination with an antiviral agent. In a preferred embodiment of the sixteenth aspect of the invention, the antiviral agent is selected from the group consisting of a nucleoside or a nonnucleoside reverse transcriptase inhibitor, a HIV protease inhibitor, and a tat inhibitor. In a most preferred embodiment of the sixteenth aspect of the invention, the reverse transcriptase inhibitor is selected from the group consisting of azidothymidine, dideoxyinosine, dideoxycytosine, and d4T. In a seventeenth aspect, the present invention is directed to a method of treating AIDS in a patient comprising administering to said patient a therapeu¬ tically effective amount of a transdominant negative integrase gene in combination with interleukin-2. BRIEF DESCRIPTION OF THE DRAWINGS The invention is further described by the following nonlimiting examples which refer to the accompanying Figure 1, short particulars of which are given below. Figure 1 shows the amino acid and nucleotide sequence of the synthetic gene which encodes the integrase protein reengineered with translation initiation sequences of mammalian cells (Seq ID No. : 1) . DETAILED DESCRIPTION OF THE INVENTION The term "transdominant" means that the effect of the gene is operational when the gene is expressed from some genetic element not necessarily linked to the virus. The term "negative" means that the gene reduces replication of the retrovirus. The term "transdominant negative" means a gene that can inhibit replication of a retrovirus without necessarily being genetically linked to the retrovirus. The term "transdominant negative integrase gene" includes an intact retroviral integrase gene, fragments thereof, and both active and catalytically inactive mutants thereof. The term "transfected gene" means a gene introduced into a cell by some exogenous means, such that a gene is added that the cell did not receive from the germ line of the animal from which it was derived. The term "transient expression" means the expression of a transfected gene that is temporary, usually lasting only a few days. The term "stable expression" means the expression of a transfected gene where the expression is sustained for weeks. The term "HIV" includes HIV-l and HIV-2. The term "inaiπmal" includes humans. The present invention includes 293-CD4 cells. Human cells expressing the CD4 gene are generally infectable with HIV, since CD4 is the receptor used by HIV for cell entry. The literature teaches that candidate transdominant negative genes are tested by expressing the transfected gene in a stable cell line, and then testing that stable cell line for its ability to resist infection by HIV (see Yu M. , et al., Gene Therapy. 1:13-26 (1994) and references cited therein). Making such a stable cell line expressing the candidate gene is laborious, taking more than 1 month of selection and screening cells for expression. A faster method would be to use so-called "transient expression" of the candidate gene, where cells are tested within 24-48 hours after transfection. However, in most cell lines, transient expression is inefficient. Inefficiency refers to the percentage of cells in the population that take up and express the gene being introduced. In most cell lines, fewer than 10% and often around 1% of the cells in a population take up and express the transiently transfected gene. This would clearly be unacceptable for evaluating candidate transdominant negative genes, since if over 90% of a cell population remains untransfected and fully susceptible to HIV infection, a small percentage of resistant cells would not be experimentally detectable. The present invention solves this problem by introducing the gene for CD4 in an expression vector into the transformed human kidney cell line 293 (available from American Type Culture Collection) . This is exemplified in Example 1. The result is a cell line that can be transiently transfected at a frequency of greater than 50%, and by virtue of its CD4 expression, is infectable with HIV. This enables a test of candidate dominant negative genes by transfection and infection a day later. This is both surprising and unexpected since it could not be predicted that such a cell line would be useful for testing candidate dominant negative genes. Thus, prior to the present disclosure, it was not known that 293-CD4 cells would be infectable with HIV or that the 293-CD4 cells would retain the highly efficient transient expression capability of the 293 cell parent. Moreover, prior to the present disclosure, it was not known that the kinetics of transient expression (e.g., expression of the transfected gene declines after about 2 days) would allow significant protection from an HIV challenge or that protection of 293-CD4 cells from HIV challenge by transient expression would be predictive for protection of a naturally susceptible cell population. Therefore, the present invention affords a cell line and protocol that can be used to discover the transdominant negative effect of integrase genes; and that will be broadly useful in research on dominant negative mutants of HIV proteins, as well as other kinds of protective genes such as ribozy es. Also, the present invention incudes a vector for production of HIV transdominant negative integrase in a mammalian cell incorporating a synthetic integrase gene, e.g., a DNA sequence which contains a substantial number of codons different from the natural codons such as, for example, 10 or more codons different from the natural codons or a fragment thereof that encodes at least 150 amino acids. Preferably, the DNA sequence is Seq ID No.: 1 or a DNA sequence containing 10 or less codons different from Seq ID No. : 1, or a fragment thereof that encodes at least 150 amino acids. Additionally, the present invention includes transdominant negative retroviral integrase genes and methods to use these transdominant negative integrase genes to render cells resistant to retroviral infection. This would include making a population of cells in an HIV infected person resistant to HIV via delivery of such genes. The transdominant negative retroviral integrase gene can be introduced into cells by any of the many methods known for introducing DNA into cells, either transiently or permanently. The methods for introducing DNA into cells include calcium phosphate co-precipitation, cationic liposomes, electroporation, receptor mediated endocytosis, particle-mediated gene transfer, or for some cell types, naked DNA can be used. The transdominant negative integrase genes can also be introduced by any of the well-known viral vectors, including retroviruses, adenovirus, adeno- associated virus, and herpes viruses. For some applications, e.g., making an animal resistant to a retrovirus, the transdominant negative integrase might be introduced into the germ line of an animal by the methods for making transgenic animals (including pronuclear microinjection, embryonic stem cells, and other technologies known in the art) . Thus, the transdominant negative integrase gene of the present invention can be introduced into cells by conventional gene transfer technology known to those skilled in the art. In addition, the transdominant negative integrase gene could be combined with any of the variety of other approaches for gene therapy inhibition of HIV (Yu M. , et al., Gene Therapy. 1:0.3-26 (1994) and Yamada 0., et al., Gene Therapy:l:3fl-45 (1994)) . Thus, the transdominant negative integrase gene may be combined with one or more agents selected from the group consisting of: a) a transdominant negative gene such as, for example, a transdominant negative rev gene, a transdominant negative tat gene, a transdominant negative gag gene, a transdominant negative env gene, a transdominant negative vpx gene, and the like; b) a soluble (s) CD4 gene such as, for example, a sCD4 gene, a SCD4-KDEL gene, and the like; c) an intracellular antibody; d) an interferon-inducible gene such as, for example, a RBP9-27 gene and the like; e) a RNA decoy gene such as, for example, HIV-l TAR, HIV-l RRE, and the like; f) an antisense RNA; and g) a ribozyme such as, for example, a hammerhead ribozyme, a hairpin ribozyme, and the like. Preferably, a transdominant negative integrase gene of the present invention may be combined with a transdominant negative rev gene such as, for example, a transdominant negative rev M10 gene as described by Malim M.H., et al., Cell. ££:205-214 (1989) and/or a ribozyme that cleaves HIV RNAs. Ribozymes and methods for their preparation have been disclosed in United States Patent Numbers 4,987,071, 5,037,746, 5,116,742, 5,093,246, and 5,180,818 which are hereby incorporated by reference. Additionally, specific anti-HIV ribozy es have been disclosed in International Published Patent Applications WO 9401549-Al, WO 9324133-Al, WO 933569-A1, WO 9207065-A1, WO 9201806-A, WO 9110453-A, WO 9103162-A, WO 9013641-A; European Published Patent Application EP 360257-A, and United Stated Patent Number 5,144,019 which are hereby incorporated by reference. Optimal treatment of a patient receiving dominant negative integrase gene therapy will often involve coadministration with a chemical antiviral drug or interleukin-2. Currently approved drugs that can be combined with integrase gene therapy are azidothymidine, dideoxyinosine, dideoxycytosine, or d4T. The invention envisions combination with future antivirals in the classes of nucleoside and non- nucleoside reverse transcriptase inhibitors, HIV protease inhibitors, and tat inhibitors. A suitable pharmaceutical delivery method for the dominant negative integrase genes is either by ex vivo or in vivo delivery. In the case of ex vivo delivery, CD4 + T cells, monocytes, or hematopoietic progenitor cells, are removed by plasmapheresis from either the patient or a suitable donor. The dominant negative integrase gene is then introduced into these cells by transduction with a retroviral vector or by microprojectiles (Nabel G. , et al., Human Gene Therapy. 5_:79-92 (1994)). Alternatively, the genes could be introduced via adeno-associated virus (e.g., Zhou S.Z., et al., J. Exp. Med.. 179_:1867-1875 (1994)) or liposomes. The transduced cells, either with or without selection for survival of transduced cells, are then administered to the patient to be treated. Usually a dose of 1 x 10 7 to 1 x 10 11 transduced T cells, or from 1 to 1 x 10 6 transduced hematopoietic progenitor cells are administered per course of treatment. The patient may be given repeat courses of treatment periodically as required to maintain a suitable level of transduced CD4 + T cells, usually with 3 months to 3 years between treatments. For in vivo delivery, a suitable viral or nonviral delivery system is used to administer the dominant negative integrase gene to the patient. This administration may be intravenous. The formulation could be, for example, using cationic liposomes (Philip R., et al., J. Biol. Chem.. 268:16087-16090 (1993)), where from 10 μg to 10 mg of a vector expressing the dominant negative integrase is delivered. For in vivo administration, it will usually be preferred to use a vector that will direct tissue- specific gene expression, e.g., the promoter of the human CD4 gene. The following nonlimiting examples illustrate the inventor's preferred methods for preparing a transdomi¬ nant negative integrase gene of the present invention. EXAMPLE 1 Const-ruction of 293-CD4 Cells 293 cells are a transformed human cell line (available from the American Type Culture Collection) that are particularly useful for efficient transient expression of transfected genes. The gene for human CD4 (the receptor for HIV) is introduced into these cells to make them susceptible to HIV infection. Step A Preparation of RSV CD4 Expression Vector A 3.0 kb fragment containing 1.8 kg of CD4 coding sequence is removed from the T4-pMV7 plasmid (Maddon P.J., et al., Cell. 47:333-348 (1986)) using EcoRI. The ends are made blunt by Klenow polymerase. The pRSV PAP plasmid (Lin, et al., Biotechnigues. 1:344-348, 350-351 (1991)) is cut with Hindlll and Xbal to remove the insert, and the ends made blunt with Klenow polymerase. The CD4 fragment is then ligated into the plasmid backbone. Step B Preparation of 293-CD4 Cells A calcium phosphate transfection is performed to introduce the RSV-CD4 vector into 293 cells, using the method described in Sambrook J., et al., Molecular Cloning. A Laboratory Manual. Cold Spring Harbor Laboratory Press, 1989, 16.30-16.40. The cells are transfected at 20% confluence, washed with Dulbecco's Modified Eagle's Medium (DMEM) plus 10% fetal calf serum 24 hours posttransfection, and selected in G418 at 0.5 mg/mL 48 hours posttransfection. Following G418 selection, individual clones are isolated and screened by fluorescence activated cell sourcing (FACS) for CD4 using a monoclonal antibody to CD4. EXAMPLE 2 Construction of a Vector Expressing HIV Integrase in Mammalian Cells Using a Synthetic Gene The synthetic genes coding for wild-type ("Ndel") and an inactive mutant ("D116N") integrase (IN) had previously been cloned into the E . coli expression vector pKK223 (Holler T.P. , et al., Gene. 136:323-328 (1993)). Constructs for the Ndel and D116N gene are done in parallel; all manipulations. described are done for both genes. The first unique restriction site in the synthetic gene is a Clal site at nucleotide 17 (relative to the ATG) . The plasmid pKK223/NY5IN-NdeI (or D116N) is digested with Clal and dephosphorylated using bacterial alkaline phosphatase (BRL) . Synthetic oligonucleotides ALM 1 (5'-CCAAGCT TGGGCCACC ATG GCC TTC CTG GAC GGT AT-3') and its complement ALM 2 (5'-CGAT ACC GTC CAG GAA GGC CAT GGT GGC CCA AGC TTGG-3') containing a Hindlll site at the 5' end, a Clal site at the 3' end, and a Kozak consensus (underlined) (Kozak M. , Journal of Biological Chemistry. 166:19867-19870 (1991)) for translation initiation are synthesized on an ABI oligonucleotide synthesizer. Following gel purification, the oligos are annealed and the ends of the fragment phosphorylated using T4 polynucleotide kinase (NEB) and ATP. The oligonucleotide pair ALM 1/2 was ligated to the linearized pKK223/NY5IN-NdeI (D116N) and the product of the ligation reaction digested with Hindlll, to expose the Hindlll site on the 5' end (from the oligos) , and to remove the entire IN coding sequence from the bacterial expression vector. The IN gene, optimized for mammalian translation, is isolated from the agarose gel. The sequence of the synthetic gene so modified for translation in mammalian cells (Seq ID No.: l) is shown in Figure 1. The mammalian expression vector pRcRSV is purchased from Invitrogen. Plasmid pRcRSV is digested with Hindlll and the ends dephosphorylated. Linearized plasmid is isolated from an agarose gel. The IN gene is ligated into the Hindlll site of pRcRSV to produce the plasmid pRSV/IN-Ndel (D116N) . Correct orientation of the insert is determined by restriction endonuclease digestion, and the sequence at the 5' end of the gene (through the Clal site) confirmed by DNA sequencing. EXAMPLE 3 Demonstration of Transdominant Negative Activity of Integrase Expression A vector expressing the synthetic gene of integrase is demonstrated to have dominant negative activity against HIV infection by the following experiment. The integrase gene is transiently expressed in 293-CD4 cells, which are subsequently infected by HIV. The cells expressing HIV integrase support HIV replication substantially less than cells with no integrase. The 293-CD4 cells are split into 6-well plates at a cell density of 2-4 x 10 5 per well. Cells are allowed to attach and grow for 6 hours prior to transfections with the expression vector DNAs. Following the protocol of Example 4 for 293 cell transfections, the cells are incubated with calcium phosphate precipitates for 24 hours. The medium on the cells is then changed immediately prior to infection with HIV-l. 4-8 x 10 4 Infectious HIV-IIIB particles are added per well. Infection is allowed to proceed for approximately 12 hours, and then the medium is changed. At various times after infection, samples of medium are removed for reverse transcriptase assay following the protocol of Example 5. The following data is an example of the counts per minute obtained in the reverse transcriptase assay from samples from such an assay: Day Postlnfection Vector pRSV/IN-Ndel Day 2 1054 1181 Day 3 1280 962 Day 4 2682 1802 Day 5 5607 2792 This, and other experiments, establishes that expression of integrase can substantially slow infection of HIV. It should be noted that absolute blockage of viral replication cannot be expected in a transient expression system, since not all of the cells are expressing integrase. EXAMPLE 4 Protocol for Transfection of 293 Cells The transfection protocol has been modified for use specifically on 293 and 293/CD4 "1" cell lines. The same protocol is used for the expression and transdominant experiments to introduce expression vectors. Transfection efficiencies as high as 85-90% are routinely observed. Solutions HBSS: Dextrose (6 mM) 1.19 g NaCl (137 mM) 8.01 g KC1 (5 mM) 0.37 g Na 2 HP0 4 (0.7 mM) 0.10 g Hepes Na+ (21 mM) 5.47 g dissolve in 1000 mL ddH 2 0 pH solution to 7.05 with NaOH 2M CaCl 2 : 29.4 g/100 mL ddH 2 0 Protocol 1. The 293 cell line is split out into appropriate tissue culture dishes. Transdominant assay: 6-well plates Expression study: 10 cm 2 dishes The cells are allowed to adhere and spread for 6 hours prior to transfection. 2. Place 5 μg of vector DNA into 250 μ of HBSS (sufficient for one 6-well or one 10 cm 2 dish) . Add 31 μ of 2M CaCl 2 and vortex gently for 1 to 2 minutes to thoroughly mix. 3. Incubate at room temperature for 45 minutes; precipitate more than likely will not be visible. 4. Add the CaP0 4 /DNA precipitate directly to a minimal amount of tissue culture media covering the cells. 6-well plate: 2 mL/well 10 cm 2 dish: 5 mL/dish 5. Incubate cells in the presence of precipitate overnight at 37°C. Do not glycerol shock or you will lose the majority of cells. 6. The next morning, aspirate off the old media and replace with new media. Then incubate for the necessary length of time for the experiment. EXAMPLE 5 Protocol for Reverse Transcriptase Assay The reverse transcriptase (RT) assay measures the expression of viral proteins in the cultures. RT reaction cocktail ■ 1.25 x RT reaction shock 50 mM Tris pH 8.3 10 mL 1M 75 mM KC1 15 mL 1M 10 mM MgCl 2 2 mL 1M 10 mM DTT 2 mL 1M 1 mM EGTA 76 mg. 0.5% NP-40 ' 1 mL 10% 100 μg/mL poly rA 2 mL 10 mg/mL 25 μg/mL oligo dT 128 mL dH 2 0 100 A^ o o units (1 bottle) 8 μCi/mL 32 P-dATP (400 Ci/mmol ) is added immediately before assay . Protocol 1. Place two GeNunc polypropylene modules (120 μL, Cat #2-32549) in a GeNunc frame (Cat #2-32042) for each assay plate. 2. Transfer 5 μL of culture media from each well of the assay plate to the corresponding well of the GeNunc module. Using a 12-channel pipettor, transfer row H, change tips, and complete the rest of the plate starting at row A and moving to row G. By moving from the lowest to highest RT activity, the rest of the plate can be transferred without changing tips. 3. Prepare 2.5 mL RT reaction cocktail for each plate by adding 2.5 μL 3 P-dATP (400 Ci/mmol, 10 μCi/μL) to 2.5 mL 1.25 x RT reaction stock. 4. Dispense 2.5 mL RT reaction cocktail into the trough of an 8-channel reagent reservoir for each assay plate. Use a P1,000 pipetman so that the radioactive tip can be discarded in the Ziplock waste bag. 5. Add 20 μL RT reaction cocktail to each well of the GeNunc module. Using a 12-channel pipettor, transfer row H, change tips, and finish the rest of the plate stating at row A and moving to row G. By moving from the lowest to highest RT activity, the rest of the plate can be filled from one trough of the reagent reservoir without changing tips. 6. Cover the wells with GeNunc adhesive tapes (Cat #232700) . 7. Incubate 2 hours, 37°C. 8. Mark a 96-well array on a sheet of Whatman DE81 anion exchange filter paper using the rubber stamp. 9. Spot 4 μL of the RT reaction from each well of the GeNunc module onto the corresponding mark of the DE81 filter. Using a 12-channel pipettor, transfer row H, change tips, and finish the rest of the module starting at row A and moving to row G. By moving from the lowest to highest RT activity, the rest of the module can be spotted without changing tips. 10. Wash the filter five times, 3 minutes each, in 2 x SSC (300 mM NaCl, 30 mM NaCitrate, pH 7) . 11. Rinse the filter twice in 95% ethanol. 12. Air dry the filter. 13. Quantitate the RT activity by counting the incorporated 3 P for each well using the Betagen Betascope 603 with the slot/dot blot analysis program as described in the applications manual. Data is collected for 30 minutes in the 32 P mode and reported as total counts per well. EXAMPLE 6 Construction of a CEM Cell Line Expressing HIV-l Integrase CEM cells are a line of CD4 + human lymphoblastoid cells (obtainable from American Type Culture Collection) . CEM cells were maintained in RPMI 1640 medium supplemented with 10% fetal calf serum, 50 U/mL penicillin, 50 U/mL streptomycin. All tissue culture reagents were obtained from Gibco BRL, Gaithersburg, MD. CEM cells were transfected by electroporation according to the method of Aldovini and Feinberg (pp. 147-159 in: Techniques in HIV Research, Stockton Press, New York, NY, 1990) . Twenty micrograms each of plasmid DNA (either pRc/RSV, pRSV/IN-Nde, or pRSV/IN-D116N) were added to a 0.4 mL suspension of 5 million CEM cells in serum free RPMI 1640 medium. The DNA-cell suspensions were incubated on ice for 10 minutes in a Gene Pulsar cuvette and then subjected to a single pulse of 960 μF at 300 volts using a Bio-Rad Gene Pulsar Electroporator (Bio-Rad, Richmond, CA) . Following electroporation, the cells were incubated on ice for 10 minutes and then diluted in 10 mL RPMI 1640 medium with 10% fetal calf serum. The cells were incubated in 75 cm 2 tissue culture flasks at 37°C in a 5% C0 2 incubator for 48 hours. The cells from each flask were centrifuged to pellet the cells and the supernatants removed. The cell pellets were diluted in RPMI 1640 medium supplemented with 10% fetal calf serum and 750 μg/mL G418 (Geneticin, Gibco BRL) at a density of 200,000 cells per mL. The diluted cells were transferred to 96 well plates, 100 μL/well, and incubated at 37°C for 7 days. The G418 selection was then increased to l mg/mL. Colonies appeared in 2-3 weeks. These colonies were transfered to 6 well plates and were diluted in 3 mL RPMI 1640 medium plus 1 mg/mL G418. After the cells had reached a density of 1,000,000 cells per mL, they were screened by western blot techniques for expression of HIV-l integrase, using a polyclonal rabbit antiserum prepared against integrase produced in E. coli (Holler T.P., et al., Gene. 136:323-328 (1993)). The procedure used for this western blot is described. One million cells were suspended in Laemmli buffer, and loaded onto a 12% polyacrylamide gel. The separated protein bands were transferred to nitrocellulose paper by electroblotting. The blots were blocked with 10% nonfat dry milk in phosphate buffered saline (PBS) plus 0.3% tween 80 for 1 hour. The blocked blots were then incubated for 2 hours with a 1/1000 dilution of the rabbit antiserum. The blots were then washed 3 times in PBS/tween, then incubated for 1 hour with a 1/2000 dilution of goat antirabbit IgG conjugated with horseradish peroxidase. After 4 washes in PBS-tween, the integrase expression was detected with an enhanced chemiluminescence (ECL) kit (Amersham, Arlington Heights, IL) . Of 50 wells which grew under G418 expression, two each expressing wild type integrase or D116N were obtained. EXAMPLE 7 Demonstration of Protection Against HIV Infection in CEM Cells Expressing a Dominant Negative Integrase Gene CEM cell lines prepared in Example 6 were grown in the presence of 1 mg/mL G418, and density adjusted to 4 x 10 6 cells/mL. Fifty microliters of suspended cells was combined with 40 μL HIV stock virus (2 x 10 3 pfu/mL) and 10 μL medium. Cells and virus were coincubated at 37°C for 2 hours, then washed once in l mL medium. Each washed pellet was resuspended in 3 mL medium, then l mL aliquots were plated in triplicate wells of a 24 well plate. Fifty microliter samples were taken from each well of infected cells on days 1-5 and 7 postinfection. Cell cultures were split 1:3 on days 3 and 5 after sampling, by adding 2 mL medium, mixing the culture, then removing 2 mL of medium and infected cells. The data is not corrected for these splits. The samples were assayed using the reverse transcriptase assay described in Example 5. The counts per minute from the triplicate samples at each time point were averaged. Day Control Vector Nde D116N 1 598 2325 2035 2 1177 1701 1905 3 1947 1806 2260 4 6776 3102 3396 5 6815 2768 2935 7 22922 9820 7542 This experiment shows that expression of either the wild type integrase (Nde) or the D116N mutant retards the growth of HIV-l in a human lymphoblastoid cell line, as predicted by the results in the 293-CD4 cells. It should be noted that since these cells were not cloned before testing, even though all were G418 resistant, not all of them were expressing integrase. Therefore, the level of protection observed is a minimal level to be expected in a population expressing the dominant negative integrase genes. SEQUENCE LISTING (1) GENERAL INFORMATION: (i) APPLICANT: Holler, Tod Paul Meyer, Annette Nabel, Gary Jan Post, Leonard (ii) TITLE OF INVENTION: Method of Using Transdominant Negative Retroviral Integrase in the Treatment of Retroviral Infection (iii) NUMBER OF SEQUENCES: 1 (iv) CORRESPONDENCE ADDRESS: (A) ADDRESSEE: Warner-Lambert Company (B) STREET: 2800 Plymouth Road (C) CITY: Ann Arbor (D) STATE: MI (E) COUNTRY: US (F) ZIP: 48105 (v) COMPUTER READABLE FORM: (A) MEDIUM TYPE: Floppy disk (B) COMPUTER: IBM PC compatible (C) OPERATING SYSTEM: PC-DOS/MS-DOS (D) SOFTWARE: Patentln Release #1.0, Ver #1.25 (vi) CURRENT APPLICATION DATA: (A) APPLICATION NUMBER: US (B) FILING DATE: (C) CLASSIFICATION: (viii) ATTORNEY/AGENT INFORMATION: (A) NAME: Tinney, Francis J. (B) REGISTRATION NUMBER: 33069 (C) REFERENCE/DOCKET NUMBER: PD-5082 (ix) TELECOMMUNICATION INFORMATION: (A) TELEPHONE: 313 996-7295 (B) TELEFAX: 313 996-1553 (2) INFORMATION FOR SEQ ID NO:l: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 900 base pairs (B) TYPE: nucleic acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (ii) MOLECULE TYPE: DNA (genomic) (xi) SEQUENCE DESCRIPTION: SEQ ID NO:l: CCAAGCTTGG GCCACCATGG CCTTCCTGGA CGGTATCGAT AAAGCTCAGG AAGAACACGA 60 AAAATACCAC TCTAACTGGC GCGCCATGGC TTCTGACTTC AACCTGCCGC CGGTTGTTGC 120 CAAGGAAATC GTGGCTTCTT GCGACAAATG CCAATTGAAA GGTGAAGCTA TGCATGGTCA 180 GGTCGACTGC TCTCCAGGTA TCTGGCAGCT GGACTGCACT CATCTCGAGG GTAAAGTTAT 240 CCTGGTTGCT GTTCACGTGG CTTCCGGATA CATCGAAGCT GAAGTTATCC CGGCTGAAAC 300 CGGTCAGGAA ACTGCTTACT TCCTGCTTAA GCTGGCCGGC CGTTGGCCGG TTAAAACTGT 360 TCACACTGAC AACGGTTCTA ACTTCACTAG TACTACTGTT AAAGCTGCAT GCTGGTGGGC 420 CGGCATCAAA CAGGAGTTCG GGATCCCGTA CAACCCGCAG TCTCAGGGCG TTATCGAATC 480 TATGAACAAA GAGCTCAAAA AAATCATTGG CCAGGTACGT GATCAGGCTG AGCACCTGAA 540 AACCGCGGTG CAGATGGCTG TTTTCATCCA CAACTTCAAA CGTAAAGGTG GTATCGGTGG 600 TTACAGCGCT GGTGAACGTA TCGTTGACAT CATCGCTACT GATATCCAGA CTAAAGAACT 660 GCAGAAACAG ATCACTAAAA TCCAGAACTT CCGTGTATAC TACCGTGACT CTAGAGACCC 720 GGTTTGGAAA GGTCCTGCTA AACTCCTGTG GAAGGGTGAA GGTGCTGTTG TTATCCAGGA 780 CAACTCTGAC ATCAAAGTGG TACCGCGTCG TAAAGCTAAA ATCATTCGCG ACTACGGCAA 840 ACAGATGGCT GGTGACGACT GCGTTGCTAG CCGTCAGGAC GAAGACTAAA AGCTTCAGGC 900

Claims: CLAIMS 1. A method of using a transdominant negative integrase gene to make at least one cell resistant to a retroviral infection. 2. The method of Claim 1 wherein the cell is selected from the group consisting of a mammalian cell and an avian cell. 3. The method of Claim 2 wherein the mammalian cell is a human cell. 4. The method of Claim 1 wherein the retroviral infection is selected from the group consisting of: HIV; HTLV I; HTLV II; equine infectious anemia virus; bovine leukemia virus; murine retrovirus; and avian leukosis virus. 5. The method of Claim 4 wherein the retroviral infection is HIV. 6. A method for introducing a transdominant negative integrase gene into at least one mammalian cell to make said cell resistant to a retroviral infection, comprising introducing the DNA into at least one mammalian cell by a process of delivery selected from the group consisting of: a) use of calcium phosphate co-precipitation; b) in a complex of cationic liposomes; c) electroporation; d) receptor mediated endocytosis; e) naked DNA; f) transduction by a viral vector; and g) particle-mediated gene transfer. 7. The method of Claim 6 wherein the transdominant negative integrase gene is HIV integrase. 8. The method of Claim 6 wherein the mammalian cell is a human cell. 9. The method of Claim 8 wherein the human cell is a CD4 + T lymphocyte or a monocyte. 10. The method of Claim 8 wherein the human cell is a hematopoietic progenitor cell. 11. The method of Claim 6 wherein the viral vector is selected from the group consisting of: retrovirus; adenovirus; adeno-associated virus; and herpes virus. 12. A method for introducing a transdominant negative integrase gene into at least one mammalian cell to make said cell resistant to a retroviral infection comprising inserting said transdominant negative integrase gene into a vector and expressing transdominant negative integrase in said at least one mammalian cell. 13. The method of Claim 12 wherein the transdominant negative integrase gene is HIV integrase. 14. The method of Claim 12 wherein the mammalian cell is a human cell. 15. The method of Claim 14 wherein the human cell is a CD4 + T lymphocyte or a monocyte. 16. The method of Claim 14 wherein the human cell is a hematopoietic progenitor cell. 17. The method of Claim 12 wherein the vector is selected from the group consisting of: pRSV/IN-Ndel and pRSV/IN-D116N. 18. The method of Claim 17 wherein the vector is pRSV/IN-Ndel. 19. The method of Claim 12 wherein the mammalian cell is 293-CD4. 20. A method of constructing the pRSV/IN-Ndel vector comprising inserting the HIV integrase gene into the pRcRSV vector to afford the pRSV/IN-Ndel vector. 21. A vector for production of HIV transdominant negative integrase comprising a DNA sequence encoding HIV integrase. 22. A vector according to Claim 21 selected from the group consisting of pRSV/IN-Ndel and pRSV/ IN-D116N. 23. A vector according to Claim 22 which is pRSV/IN-Ndel. 24. The vector of Claim 21 wherein the DNA sequence contains a substantial number of codons different from the natural codons. 25. The vector of Claim 24 wherein the DNA sequence contains 10 or more codons different from the natural codons. 26. The vector of Claim 21 wherein the DNA sequence is Seq ID No. : 1. 27. The vector of Claim 21 wherein the DNA sequence contains 10 or less codons different from Seq ID No. : 1, or a fragment thereof that encodes at least 150 amino acids. 28. The vector of Claim 21 for production of HIV transdominant negative integrase in a eukaryotic cell. 29. The vector of Claim 28 for production of HIV transdominant negative integrase in a mammalian cell. 30. The synthetic gene having Seq ID No. : 1. 31. A synthetic gene having a DNA sequence containing 10 or less codons different from Seq ID No. : 1 or a fragment thereof that encodes at least 150 amino acids. 32. A highly transfectable cell line which is transduced to express human CD4. 33. A cell line according to Claim 32 which is 293-CD4. 34. A method of constructing a 293-CD4 cell comprising inserting the CD4 coding sequence into a vector and transfecting the vector into 293 cells. 35. The method of Claim 34 wherein the vector is RSV-CD4. 36. A method of preparing a retroviral integrase comprising inserting a synthetic integrase gene into a vector and expressing said vector in a mammalian cell. 37. The method of Claim 36 wherein the retroviral integrase is HIV integrase. 38. The method of Claim 36 wherein the synthetic integrase gene contains a substantial number of codons different from the natural codons. 39. The method of Claim 38 wherein the DNA sequence contains 10 or more codons different from the natural codons. 40. The method of Claim 36 wherein the DNA sequence is Seq ID No. : 1. 41. The method of Claim 36 wherein the DNA sequence contains 10 or less codons different from Seq ID No. : 1, or a fragment thereof that encodes at least 150 amino acids. 42. A method of treating AIDS in a patient comprising administering to said patient a therapeutically effective amount of a transdominant negative integrase gene. 43. A method of treating AIDS in a patient comprising administering to said patient a therapeutically effective amount of a transdominant negative integrase gene in combination with one or more agents selected from the group consisting of: a) as transdominant negative rev gene; b) as transdominant negative tat gene; c) a transdominant negative gag gene; d) a transdominant negative env gene; e) a transdominant negative vpx gene; f) a sCD4 gene; g) a SCD4-KDEL gene; h) an intracellular antibody; i) a RBP9-27 gene; j) a HIV-l TAR gene; k) a HIV-l RRE gene; 1) an antisense RNA; m) a hammerhead ribozyme; and n) a hairpin ribozyme. 44. A method of treating AIDS in a patient comprising administering to said patient a therapeutically effective amount of a transdominant negative integrase gene in combination with a transdominant negative rev gene. 45. The method of Claim 44 wherein the transdominant negative rev gene is rev M10. 46. A method of treating AIDS in a patient comprising administering to said patient a therapeutically effective amount of a transdominant negative integrase gene in combination with a ribozyme that cleaves HIV RNA. 47. A method of treating AIDS in a patient comprising administering to said patient a therapeutically effective amount of a transdominant negative integrase gene in combination with a transdominant negative rev gene and a ribozyme that cleaves HIV RNA. 48. A pharmaceutical delivery method adapted for administration to a patient in an effective amount of an agent for treating a retroviral infection comprising a transdominant negative integrase gene and a suitable viral or nonviral delivery system. 49. A pharmaceutical delivery method according to Claim 48 adapted for ex vivo or in vivo delivery. 50. A pharmaceutical delivery method according to Claim 48 directed to therapeutic or prophylactic administration. 51. A method of treating AIDS in a patient comprising administering to said patient a therapeutically effective amount of a transdominant negative integrase gene in combination with an antiviral agent. 52. The method according to Claim 51 wherein the antiviral agent is selected from the group consisting of a nucleoside or a nonnucleoside reverse transcriptase inhibitor, a HIV protease inhibitor, and a tat inhibitor. 53. The method according to Claim 52 wherein the reverse transcriptase inhibitor is selected from the group consisting of azidothymidine, dideoxyinosine, dideoxycytosine, and d4T. 54. A method of treating AIDS in a patient comprising administering to said patient a therapeutically effective amount of a transdominant negative integrase gene in combination with interleukin-2.

Inventors: HOLLER TOD PAUL, MEYER ANNETTE, NABEL GARY JAN, POST LEONARD, HOLLER, TOD, PAUL, MEYER, ANNETTE, NABEL, GARY, JAN, POST, LEONARD
Applicants: WARNER LAMBERT CO, WARNER-LAMBERT COMPANY
Application year: 1995
Main classification: C12N15
IPC codes: A61K31, A61K35, A61K38, A61K45, A61K48, A61P31, A61P37, A61P43, C07K14, C12N5, C12N7, C12N9, C12N15, C12R1