HORMONE AND GROWTH FACTOR PHOSPHOGLYCAN MIMETICS FROM MYCOBACTERIUM VACCAE

Abstract: A hormone or growth factor mimetic second messenger is derived from a microorganism of the genus Mycobacterium, suitably M. vaccae. The mimetic second messenger may mimic the action of insulin, ACTH, NGF, EGF, FGF, TGF beta or HGF.

Description: Hormone and growth factor phosphoglycan m1met1cs from Mycobacter.um vaccae The present invention relates to second messengers which mimic the action of insulin and other mammalian growth factors and hormones. Non insulin-dependent diabetes mellitus is one of the most common metabolic disorders in the industrial world. Associated with the disorder are dyslipidemias, atherosclerosis, hypertension, cardiovascular disorders and renal dysfunction. Obesity constitutes the greatest risk factor for the disease. Two physiological defects that lead to the development of diabetes are tissue resistance to the effects of insulin and altered secretion of insulin. In order for new treatments of this disorder to be developed it is necessary to understand the specifics of the insulin signalling pathways and other signalling pathways which may interfere with insulin action. It has recently been demonstrated that low molecular weight phosphorylated inositolglycans (IPGs) , are released upon insulin stimulation in a tissue-specific manner. These compounds are in the family of phosphoglycokines (PGK) , defined as biologically active low molecular weight compounds containing phosphorylated carbohydrates. The tissue-derived IPGs mediate some of the actions of insulin. Such insulin-mimetics have therapeutic potential in that they could: (i) substitute for insulin either as a parenteral or oral treatment in patients with diabetes where the primary pathology relates either to decreased synthesis (type I diabetes) or lack of bioavailable insulin (defects in conversion of proinsulin to insulin or in the formation of anti-insulin antibodies) . (ii) be used to treat patients with tissue insulin resistance, which is seen in many cases of adult onset or type II diabetes. (iii) be used to treat or prevent complications of diabetes including dyslipidemias, atherosclerosis, hypertension, cardiovascular disorders and renal dysfunction. It has further been found that the IPGs are able to cross the blood brain barrier and affect cerebral glucose and energy metabolism. Since insulin itself has limited ability to cross the blood brain barrier, release of the compounds into the circulation following insulin stimulation may be crucial in the control of energy metabolism in the brain. In clinical trials, tissue-derived IPGs have been shown to be effective in reversing age-associated memory loss and in providing a protective effect under cerebral hypoxic conditions. As detailed below, the inositolphosphoglycan second messenger signal transduction effect has also been shown to be functionally relevant for the signalling of other growth factors, including fibroblast growth factor (important in wound healing) , transforming growth factor β (important in autoimmunity) and hepatocyte growth factor (also known as scatter factor) , that together with other growth factors, is important for the regeneration of liver tissue following damage by infection, alcohol abuse, drug sensitivity, or autoimmunity. The present invention provides a valuable source of phosphoglycokines (PGK) which mimic the activity of the tissue-derived IPGs, which are otherwise not readily available. Only very small quantities of the IPGs can be isolated from mammalian tissues. Since the IPGs are non- protein in composition, they cannot be produced by recombinant DNA technology. Synthetic chemistry approaches are complicated by the current lack of structural details of the tissue-derived IPGs and the complications associated with oligosaccharide syntheses. Immunotherapy with M. Vaccae We have previously described the use of antigenic and/or immuno regulatory material derived from Mycobacterium vaccae in the treatment of tuberculosis (see, for example, British Patent No. 2156673 and United States Patent No. 4724144) . In our International Patent Application No. PCT/GB90/01169 (publication No. WO91/01751) , we have described the use of the same material for immunoprophylac ic treatment against AIDS, i.e. for increasing the period between infection by HIV and development of AIDS. Mycobacterium vaccae has also been shown to have therapeutic potential as a treatment for patients infected both with Human Immunodeficiency Virus (HIV) and tuberculosis as described by Stanford, J. L. in AIDS (1993) 7, pp 1275 - 1277. The mechanism of the immunotherapeutic effect is not fully established, but may relate to the ability of compounds within the organism to evoke a Thl pattern of T cell respon 3 e to proteins, rich in epitopes shared between mycobacterial species as described by Boyden, S. V. in J. Immunol. (1955) , 75, pp 15. Human homologues of several of these proteins are implicated in human autoimmune diseases such as rheumatoid arthritis and perhaps also in schizophrenia, and M. vaccae may also have relevant immunoregulatory properties in these conditions. We have unexpectedly found that phosphoglycokines (PGK) which co-purify with insulin-mimetic inositolphosphoglycans (IPG) from rat or human liver can be obtained from cultures of Mycobacterium vaccae . The M. vaccae derived products are able to mimic the action of mammalian IPG second messengers in the following ways: (i) stimulation of EGF(Rc) transfected 3T3 cells, (ii) stimulation of pyruvate dehydrogenase phosphatase activity, (iii) inhibition of cAMP dependent protein kinase activity, and (iv) stimulation of lipogenesis in isolated adipocytes. It is also probable that the M. vaccae derived products modulate steroid metabolism in adrenal cells. It is clear that M. vaccae and related strains of mycobacteria are a source of PGKs which either mimic the activity of, or are very similar in structure to, the IPG type of PGK second messengers present in mammalian tissues. Previously, such second messengers could only be isolated in extremely small quantities from mammalian tissues, such as liver. We have surprisingly found that compounds extracted from Λf. vaccae mimic the action of the IPG second messengers. This provides advantages over material derived from liver tissue, in both ease of extraction and in the quantities of messenger which may be obtained. The present invention accordingly provides a hormone and growth factor mimetic second messenger derived from a mycobacterium, preferably from Mycobacterium vaccae . The mimetic second messenger may mimic the action of a number of hormones and growth factors. For example, the mimetic second messenger may mimic the action of insulin, adrenocorticotropic hormone (ACTH) , nerve growth factor (NGF) , epidermal growth factor (EGF) , fibroblast growth factor (FGF) , transforming growth factor β (TGFjS) , and hepatocyte growth factor (HGF) . The mimetic second messenger is a low molecular weight phosphoglycokine that is or that mimics a phosphorylated inositolglycan (IPG) of mammalian origin. The invention further provides a use of an insulin mimetic second messenger derived from a mycobacterium, preferably M coJbacteriiim vaccae, in the preparation of a medicament for the treatment of Type I or Type II diabetes mellitus, polycystic ovary syndrome, lipodystrophy, age- related memory loss, and post-ischaemic damage secondary to stroke or post-transplant complications. The invention further provides a use of a nerve or neurite growth factor mimetic second messenger derived from a mycobacterium, preferably ΛTycoJbacterium vaccae, in the preparation of a medicament for the treatment of nerve, spinal cord or central nervous system damage secondary to trauma, or autoimmune or metabolic damage, or post-ischaemic damage secondary to stroke or post-transplant complications. The invention also provides a use of a hepatocyte growth factor mimetic second messenger derived from a mycobacterium, preferably Mycobacterium vaccae, in the preparation of a medicament for the treatment of hepatic damage caused by infection, alcohol abuse, drug sensitivity, or autoimmunity. The invention also provides a use of a fibroblast growth factor mimetic second messenger and an epidermal growth factor mimetic second messenger derived from a mycobacterium, preferably Mycobacterium vaccae, in the preparation of a medicament for the promotion of wound healing following surgery or trauma or tissue damage induced by ischaemia or autoimmunity. The invention also provides a use of an adrenal cell growth factor mimetic second messenger and an ACTH mimetic second messenger derived from a mycobacterium, preferably Mycobacterium vaccae, in the preparation of a medicament for the treatment of disease states involving adrenal atrophy such as tuberculosis . The invention further provides a pharmaceutical composition comprising a hormone or growth factor mimetic second messenger as defined herein. The invention also provides methods of treatment of (i) type I or type II diabetes mellitus, polycystic ovary syndrome, lipodystrophy, age-related memory loss and post-ischemic damage secondary to stroke or post-transplant complications, which comprises administering an insulin mimetic second messenger derived from a microorganism of the genus Mycobacterium, preferably M. vaccae; (ii) nerve, spinal chord or central nervous system damage secondary to trauma, autoimmune or metabolic damage, or post-ischaemic damage secondary to stroke or post- transplant complications which comprises administering a nerve or neurite growth factor mimetic second messenger derived from a microorganism of the genus MycoJbacteriiun, preferably M. vaccae; (iii) hepatic damage caused by infection, alcohol abuse, drug sensitivity or autoimmunity which comprises administering a hepatocyte growth factor mimetic second messenger derived from a microorganism of the genus Mycobacterium, preferably M. vaccae; (iv) a disease state involving adrenal atrophy, such as tuberculosis, which comprises administering an adrenal cell growth factor mimetic second messenger and an ACTH mimetic second messenger derived from a microorganism of the genus Mycobacterium, preferably M. vaccae . The invention also further provides (v) a method for the promotion of wound healing following surgery or trauma or tissue damage induced by ischaemia or autoimmunity which comprises administering a fibroblast growth factor mimetic second messenger and an epidermal growth factor mimetic second messenger derived from a microorganism of the genus Mycobacterium, preferably M. vaccae . Cell Signalling A number of examples of cell-signalling arrangements have been described in the literature. At least three classes of cell surface receptors are involved in cellular regulation. A single transmembrane spanning domain and multiple membrane-spanning domains are described by Lowe, D. G. in E BO (1989) 8_, 1377 - 1384. Domains with GPI membrane anchors are described by Bamezai and Rock in Oncogene (1991) 6 , 1445 - 1451. The receptor tyrosine kinases (TRK) , including the insulin receptor require ligand-stimulated kinase activity for a biological response, according to Lammers in EMBO (1989) 8 . , 1369 - 1375. Protein-protein interactions which occur beyond kinase activation have been described in detail for a number of growth factor specific receptors. These can broadly be classified into pathways which result in the translocation of activated protein kinases into the nucleus where they phosphorylate and activate nuclear transcription factors such as described by Egan and Weinberg in Nature (1993) 365, 781 - 783, or those which involve phosphorylation and activation of transcription factor subunits in the cytoplasm which then translocate to the nucleus and induce transcription as described by e.g. Muller in Nature (1993) 366. 129 - 1.35. i) Inositolphosphoglycan second messengers are released from the cell and- are active when added extracellularlv None of the currently described signalling pathways can explain the community effect whereby a critical density of cells is required before a biological response can be supported. This common biological phenomenon suggests the existence of an extracellular loop involved in cell signalling. It has previously been reported that, upon growth factor stimulation, low molecular weight non-peptide factors are released into the medium. These factors are then able to mimic some of the actions of that growth factor when added to unstimulated cells. These can therefore be regarded as "second messengers". Preliminary structural analysis has suggested that these compounds contain inositol, carbohydrates and phosphate groups, and these compounds have recently been classified as A or P-type inositolphospho- glycans (as defined below) . These compounds are in the family of phosphoglycokines (PGK) , defined as biologically active low molecular weight compounds containing phosphorylated carbohydrates. It has been shown for example by Rademacher et al in Brazilian J. Med. Biol. Res. (1994) 27. 327 - 341, that the precursor forms of the IPGs are glycosylphosphatidylinositols (GPIs) . ii) Integration of growth factor and soluble mediator dependent signalling pathways Many cytokines and growth factors share common signal transduction pathways. It has been proposed that the specificity for each factor could be achieved through unique tyrosine-phosphorylated proteins triggered by individual factors. Alternatively a number of accessory signalling pathways have also been described which give rise to a number of soluble mediators such as cAMP, IP3, Ca+ 2 ,cGMP, diacylglcerol and cADPR. Growth factor and soluble mediator- dependent signalling pathways may converge to synergistically stimulate gene expression (e.g. FGF and cAMP) . It has recently been suggested by Tan et al in Mol . Cell Biol . (1994) ϋ, 7546 - 7556 that, in addition to the IPGs, cADPR is also released extracellularly. In the cases of both IPGs and cADPR, it is not yet known how they reach their intracellular targets. iii) Inositolphosphoglvcans are involved in the action of many different growth factors and hormones Inositolphosphoglycan second messengers (IPGs) are able to mimic the action of a large number of insulin-dependent biological effects such as placental steroidogenesis, insulin stimulation of adipocytes, hepatocytes, myocytes and T- ly phocytes, and insulin dependent progesterone synthesis in swine ovary granulosa cells. In addition, a number of other growth factors also appear to stimulate the production of IPGs including: transforming growth factor β , nerve growth factor, hepatocyte growth factor, insulinrlike growth factor I (IGF-1) , IgE-dependent activation of mast cells, ACTH signalling of adrenocortical cells, activation of human platelets, FSH and HCG stimulation of granulosa cells, thyrotropin stimulation of thyroid cells, cell proliferation in the early developing ear, rat mammary gland, control of human fibroblast proliferation, and IL-2 stimulation of T and B-lymphocytes. iv) A and P-type mediators related to the action of insulin The family of myo-inositol-containing IPGs (A-type) has the following properties or activities 1) stimulation of lipogenesis in adipocytes, 2) inhibition of cAMP-dependent protein kinase and modification of the activity of adenylate cyclase and cAMP- phosphodiesterases in order to regulate the level of cAMP in cells, thus contributing to the control of cAMP and cAMP- regulated intracellular processes, and 3) support in the growth of neurons from the chick embryo statoacoustic ganglia. The family of chiro-inositol-containing IPGs (P-type) has the following properties or activities: 1) activation of pyruvate dehydrogenase phosphatase (PDH P'ase), glycogen synthase and other enzymes, and 2) support in the growth and differentiation (neurite outgrowth) of the neurons present in the chick statoacoustic ganglion neurons. Both the A and P type mediators can also support the growth and proliferation of EGF(Rc) transfected NIH 3T3 cells. v) Role of mediators in insulin signalling and type II diabetes These compounds are important in insulin signalling. Experiments have shown that addition of antibody with anti- IPG specificity is able to block both the metabolic and mitogenic actions of insulin. Furthermore, mutant cells which are unable to synthesize IPGs respond to insulin as determined by tyrosine phosphorylation, but are not stimulated to elicit the metabolic effects of the hormone. These compounds are also important in the pathogenesis of insulin-resistant type II diabetes. It has been recognised that diabetic GK rats have a defect in the synthesis or release of functional IPGs and that decreased urinary secretion rate of chiro-inositol is directly associated with insulin resistance in both human patients with type II diabetes and spontaneously diabetic rhesus monkeys. Furthermore, infusion of chiro-inositol into normal rats given a glucose load or streptozotocin-treated rats results in decreased plasma glucose and enhanced activity of glycogen synthase I. The preferred mycobacterium is a strain of M. vaccae, most preferably that denoted by R877R isolated from mud samples from the Lango district of Central Uganda (J.L. Stanford and R.C. Paul, Ann. Soc. Beige Med, Trop. 1973, 53 , 141-389) . The strain is a stable rough variant and belongs to the auruπv sub-species. It can be identified as belonging to M. vaccae by biochemical and antigenic criteria (R. Bonicke, S.E. Juhasz., Zentr albl . Bakteriol . Parasitenkd. Infection skr. Hyg. Abt . 1, Orig., 1964, 192. 133) . The strain denoted R877R has been deposited at the National Collection of Type Cultures (NCTC) Central Public Health Laboratory, Colindale Avenue, London NW9 5HT, United Kingdom on February 13th, 1984 under the number NCTC 11659. The following Figures are included: Figure 1. EGF(Rc) transfected 3T3 cells were incubated with culture medium (control) , medium plus FCS or medium plus various dilutions of liver A and P-type IPGs. Both the A and P-type IPGs were able to stimulate proliferation of the fibroblasts in serum free medium. See notes to Table 1 below for the wet weight of tissue to which these dilutions correspond. Figure 2. EGF(Rc) transfected 3T3 cells were incubated with culture medium (control) , medium plus FCS or medium plus various dilutions of M. vaccae derived PGK second messengers which co-purify with liver derived A-type IPGs. The M. vaccae derived PGK (VSB-A) at a dilution of 1/160 was as potent as a 1/40 dilution of rat liver derived IPG. See notes to Table 1 below for the wet weight of tissue to which these dilutions correspond. Figure 3. EGF(Rc) transfected 3T3 cells were incubated with culture medium (control) , medium plus FCS or medium plus various dilutions of M. vaccae derived PGK second messengers which co-purify with liver derived A-type IPGs. The M. vaccae derived PGK (VBS-A) at a dilution of 1/60 was as potent as a 1/40 dilution of rat liver derived IPG. See notes to Table 1 below for the wet weight of tissue to which these dilutions correspond. Figure 4. EGF(Rc) transfected 3T3 cells were incubated with culture medium (control) , medium plus FCS or medium plus various dilutions of M. vaccae derived PGK second messengers which co-purify with liver derived P-type IPGs. The M. vaccae derived PGK (VBS-P) at a maximal stimulation dilution of 1/80 was not potent as 10% FCS alone. See notes to Table 1 below for the wet weight of tissue to which these dilutions correspond. Figure 5. EGF(Rc) transfected 3T3 cells were incubated with culture medium (control) , medium plus FCS or medium plus various dilutions of M. vaccae derived PGK second messengers which co-purify with liver derived P-type IPGs. The M. vaccae derived PGK (VSB-P) at a dilution of 1/40 was not as potent as 10% FCS. See notes to Table 1 below for the wet weight of tissue to which these dilutions correspond. Figure 6, A and B. Yl adrenal cells were incubated with culture medium (RPMI only), culture medium plus 7% FCS, or medium plus various dilutions of M. vaccae derived PGK second messengers which co-purify with liver derived A-type IPGs. At high concentrations (1/40) -both preparations (VSB-A and VBS-A) stimulated some cell proliferation. At lower concentrations (1/80-1/1280) proliferation was inhibited. Similar patterns are seen for ACTH stimulation of the Yl cells where the inhibition of proliferation is accompanied by steroid production. Figure 7A and 7B. Yl adrenal cells were incubated with culture medium (RPMI only) , culture medium plus 7% FCS, or medium plus various dilutions of M. vaccae derived PGK second messengers which co-purify with liver derived P-type IPGs. At all concentrations tested, both preparations (VSB-P and VBS-P) inhibited cell proliferation secondary to stimulation of steroid production. Cells were viable at all concentrations tested. The invention is further illustrated by the following Examples. EXAMPLES Growth of A. vaccae Mycobacterium vaccae NCTC11659 was grown by spreading on the surface of modified Sauton's medium, solidified with 1.5% agar. The cultures were maintained at 32°C for 3 weeks. Example 1 Isolation of second messengers from M. vaccae The bacterial growth was scraped off the surface of the modified Sauton's medium with a spatula, and weighed. Bacteria were suspended in 50mM formic acid, containing ImM EDTA and ImM S-mercaptoethanol (3ml of buffer per gram of organisms) . Then either of the following procedures was adopted : - (i) the organisms in buffer were ultrasonically disrupted for 30 mins in a cooled glass container with the wave peak to peak distance set at 8μ. Then the sonicate was boiled for 3 mins and cooled on ice. When cool it was centrifuged at 29,500g for 90 mins at 4°C. (ii) the organisms in buffer were boiled for 3 mins and cooled on ice. When cool the suspension was ultrasonically disrupted for 30 mins in a cooled glass container with the wave peak to peak distance set at 8μ. Then the sonicate was centrifuged at 29,500g for 90 mins at 4°C. The clear supernatant from either procedure was then recovered and treated exactly as for extracts of rat or human tissues as described below. Example 2 Isolation of second messengers from mammalian tissues and M. vaccae A. Isolation of IPGs from rat or human tissues following insulin stimulation Adult male Wistar rats are starved overnight . The rats are then anaesthetised by injection of Hypnome and 20 min later are injected via the tail vein with either 0.1ml saline or 0.1ml saline solution containing 50mU of insulin. After 120 seconds the animals are sacrificed by cervical dislocation, and tissues are removed in the following order: liver, heart, adipose tissue, kidney and muscle. All tissues are immediately freeze-clamped (liquid nitrogen) and stored frozen at -80°C. The rats are still normoglycemic at the time of tissue removal. In order to extract the IPGs released following insulin stimulation, the frozen tissue is powdered under liquid nitrogen and- the tissue placed directly into boiling 50mM formic acid containing ImM EDTA, ImM S-mercaptoethanol (3ml of buffer per gram (wet weight) of tissue) , and homogenised with an Ultra-Turrex for 30 sec and then boiled for 5 minutes. The solution is then cooled on ice and centrifuged at 29,500xg for 90 minutes at 4°C. The supernatant fraction is recovered and lOmg/ml of activated charcoal added for 10 min with stirring at 4°C. The charcoal is removed by centrifugation at 29,500xg for 30 min. at 4°C and the clear supernatant recovered. The solution was then diluted with 10 volumes of water and the pH adjusted to 6.0 with 10% NH 4 OH solution and then gently shaken overnight with AG1X8 (20-50 mesh, formate form) resin (0.3ml resin/ml solution). The resin is then poured into a chromatography column and washed with 2 bed volumes of water followed by 2 bed volumes of ImM HCI. The column is then eluted with lOmM HCI (5 bed volumes) to obtain P-type IPGs, and then 50mM HCI (5 bed volumes) to obtain A-type IPGs. Both fractions are adjusted to pH 4.0 with 10% NH 4 OH solution and then dried in a rotary evaporator (37°C) . The dried material is redissolved with water and then freeze-dried and this is repeated twice. Material from two rats is normally combined and subjected to descending paper chromatography (butanol/ethanol/water 4:1:1, Whatman 3MM) for 9 hours and the material in fractions -1 to 7cm from the origin is eluted from the paper with water. After evaporation by freeze-drying, the material is dissolved in 200μl of Hanks solution and the pH adjusted to 7 with 1 M KOH. For the case of adipose tissue, after powderizing and boiling, the solution is cooled on ice and the same volume of chloroform is added. The suspension is then stirred for 10 min and then is centrifuged. After centrifugation, the chloroform phase is removed and discarded and the aqueous phase treated as in the case of the other tissues. B. Isolation of second messengers from M. vaccae M. vaccae was heat treated and then sonicated or vice versa. The extract was then placed directly into boiling 500mM formic acid containing ImM EDTA, ImM β-mercaptoethanol (3ml of buffer per gram (wet weight) of tissue) , and homogenised with an Ultra-Turrex for 30 sec and then boiled for 5 minutes. The solution was then cooled on ice and centrifuged at 29,500xg for 90 minutes at 4°C. The supernatant fraction was recovered and lOmg/ml of activated charcoal added for 10 min with stirring at 4°C. The charcoal was removed by centrifugation at 29,500xg for 30 min at 4°C and the clear supernatant was recovered. The solution was then diluted with 10 volumes of water and the pH adjusted to 6.0 with 10% NH 4 OH solution and was then gently shaken overnight with AG1X8 (formate form) resin (0.3ml resin/ml solution) . The resin was then poured into a chromatography column and washed with 2 bed volumes of water followed by 2 bed volumes of ImM HCI. The column was then eluted with lOmM HCI (5 bed volumes) to obtain PGK eluting under the same conditions as mammalian P-type IPGs and then 50mM HCI (5 bed volumes) to obtain PGK eluting under the same conditions as mammalian A-type IPGs. Both fractions were adjusted to pH 4.0 10% NH 4 OH solution and dried in a rotary evaporator (37°C) . The dried material was redissolved in water and was then freeze-dried, this was repeated twice. The extracts were then subjected to descending paper chromatography (butanol/ethanol/water 4:1:1, Whatman 3MM) for 9 hours and the material in fractions -1 to 7cm from the origin were eluted from the paper with water. After evaporation by freeze-drying, the material was dissolved in 200μl of Hanks solution and pH was adjusted to 7 with 1 M KOH. Example 3 In vi tro effects of M. vaccae derived second messengers on phosphatase and kinase activities and lipogenesis and comparison with liver-derived IPGs. (a) pyruvate dehvdrogenase phosphatase assay The activation is followed spectrophotometrically as described by Lilley et al. in Arch. Biochem. Biophys. Res. Commun. (1992) 166. 765 - 771. (b) cAMP-dependent protein kinase assay The inhibition of cAMP-PK is measured by following the phosphorylation of histone II by 32 P-ATP. (c) lipogenesis assay The activation of lipogenesis is monitored by measuring the incorporation of uniformly labelled glucose into lipids of isolated adipocytes as described by Rodbell in J. Biol . Chem. (1964) 23_9, 375 - 380. RESULTS Table 1 summarises the action of the M. vaccae derived IPG second messengers and compares the qualitative and quantitative pattern of activities to that of the rat liver derived IPGs. Two preparations of Λf. vaccae-derived PGK were used for the experiments, and similar results were obtained for both preparations. Table 1 clearly demonstrates that the M. vaccae derived PGK second messengers which co-purify with liver derived P-type IPGs are able to inhibit cAMP dependent protein kinase, stimulate pyruvate dehydrogenase phosphatase and stimulate proliferation of EGF(Rc) transfected 3T3 cells. Similarly, the M. vaccae derived PGK second messengers which co-purify with the liver derived A-type IPGs are able to inhibit cAMP dependent protein kinase, stimulate lipogenesis of rat adipocytes and stimulate proliferation of EGF (Re) 3T3 cells. Example 4 Stimulation of EGF receptor transfected 3T3 cells bv M. vaccae derived second messengers in serum free medium and comparison with liver-derived IPGs Stock cells are grown in flasks with DMEM containing 10% FCS plus 100 units/ml penicillin, lOOμg/ml streptomycin and 2mM glutamine until the cells approach 80-90% confluence. The cells are released from the plate using trypsin (0.25%) and 10" cells are added to each well of 96 well microtiter plates in lOOμl medium. The cells are allowed to adhere for 24 hours in full medium. The medium is then removed and cells washed twice with lOOμl of Hanks solution. The cells are then incubated in DMEM without FCS for 24 hours. After 24 hours the medium is removed and DMEM containing no FCS, plus FCS, or PGK alone is added. After lδ hours, 3 H-thymidine is added per well and incubation continued for 4-6 hours. The medium is then removed, cells washed and harvested following trypsinization. Incorporation of radioactive 3 H- thymidine into DNA is determined by transferring cell suspensions to Whatman GF/C filter disks using a cell harvester. Radioactivity is measured by scintillation counting. RESULTS Figure 1 shows the response of EGF(Re) transfected 3T3 fibroblasts to rat liver derived A and P-type IPGs. Both mediators at maximal concentration are more potent than 10% FCS in stimulating cell proliferation. Figures 2 and 3 show the effect of the M. vaccae derived PGK second messengers which co-purify with liver A-type IPG on cell proliferation. Liver A-type IPG showed stimulation greater than that for FCS alone. Two separate preparations of M. vaccae-derived PGK gave similar results. Figures 4 and 5 show the effect of the M. vaccae derived second messengers which co-purify with liver P-type IPG on cell proliferation. While both M. vaccae preparations were able to stimulate cell proliferation they were not as effective as FCS alone. These results suggest that M. vaccae predominantly releases PGKs that mimic A-type second messengers, and releases lesser amounts of PGKs that mimic P-type second messengers. This pattern is .found for IPG release in adipose and heart tissue following insulin stimulation (data not shown) , in contrast to kidney and liver which release equal amounts of A and P-type mediators. Example 5 Effect of M. vaccae derived second messengers on proliferation of Yl adrenal cells in serum free medium The Yl cell line is derived from a murine adrenal carcinoma and expresses many of the enzymes involved in steroid biosynthesis, as well as functional adrenocorticotropin (ACTH) receptors. There is evidence that adrenal cells contain inositol phosphoglycans and that ACTH stimulates breakdown. This is followed by synthesis of phosphatidylinositolglycans in these cells. Thus it is likely that inositolphosphoglycans can act as second messengers for this receptor. The line is maintained in RPMI 1640 tissue culture medium, supplemented with glutamine (2mM) and 7% foetal calf serum. The cells adhere to the plastic, and before growth becomes confluent (2-4 days) , the cells are harvested using 0.02% w/v EDTA and trypsin (0.025%) in phosphate-buffered saline, washed, resuspended in complete tissue culture medium and divided between 2 or 3 tissue culture flasks. For assay of PGK extracts of mycobacteria (whether of the type that elute under the same conditions as A-type or P-type mammalian IPG) , cells are harvested as described above and are then plated into the wells of 96 well microtiter tissue culture plates, 10" cells in lOOμl of RPMI 1640 plus glutamine and FCS. After incubation for 24 hours to allow attachment of the cells to the plate, the wells are washed thoroughly with unsupplemented RPMI 1640 plus glutamine only. The medium is withdrawn and replaced with: (i) RPMI 1640 with glutamine but no serum or serum substitute (negative control) (ii) RPMI 1640 with glutamine and 7% FCS (positive control) (iii) RPMI 1640 with glutamine and final dilutions of M. vaccae-derived PGK second messengers (for example from 1/40 to 1/320 dilution of stock solution) . After incubation for a further 18-24 hours, 0.2μCi of 3 H- thymidine is added to each well in unsupplemented RPMI 1640. Incubation is continued for 8-16 hours and then the medium is withdrawn, cells are released from the plastic with EDTA/trypsin as described above,and are harvested for determination of incorporation of 3 H thymidine into DNA by liquid scintillation counting, according to standard protocols. RESULTS Yl cells proliferate at a slow rate in serum-free medium. This is enhanced by the addition of 7% FCS as shown in Figure 7. The addition of P-type PGK from mycobacteria causes a progressive decrease in the proliferation of Yl cells in the absence of serum (Figure 7) . This result is the reverse of that seen with NIH-3T3 cells transfected with the EGF receptor (see Figures 4 and 5) . The addition of A-type PGK from mycobacteria to Yl cells in RPMI 1640. without serum also causes inhibition of proliferation as shown in Figure 6, but this effect is maximal at an intermediate dilution, with less inhibition when the PGK is very concentrated or very dilute. This dose/response curve is again the reverse of that seen when the same PGK preparation is tested on the transfected NIH-3T3 cells (see Figures 2 and 3) . The results are summarised in the following Table: TABLE 1 Source of PKA PDH Lipogensis EGF(Rc)3T3 Second (% (% (% (growth) Messenger inhibition) stimulation) stimulation) VB-P 53% 120% __* n.d. VBS-P n.d. 23% * + VSB-P n.d. 42% __* + VB-A 43% 12% (n.s.) 22% n.d. VBS-A n.d. __* 95% +++ VSB-A n.d. + 100% +++ -A 85% * 100% +++ -P 76% 38% __* +++ 10% FCS n.d. n.d. n.d. +++ Insulin n.d. n.d. 273% + EGF n.d. n.d. n.d. + VBS-P : M. vaccae-derived PGK, organism boiled then sonicated (mimics the action of mammalian P-type second messenger) . VSB-P : M. vaccae-derived PGK, organism sonicated then boiled (mimics the action of mammalian P-type second messenger) . VBS-A : JV. vaccae-derived PGK, organism boiled then sonicated (mimics the action of mammalian A-type second messenger) . VSB-A : M. vaccae-derived PGK, organism sonicated then boiled (mimics the action of mammalian A-type second messenger) . VB-P : M. vaccae-derived PGK, organism boiled (mimics the action of mammalian P-type second messenger) . VB-A : M. vaccae-derived PGK, organism boiled (mimics the action of mammalian A-type second messenger) , L-A : Liver A-type IPG. L-P : Liver P-type IPG. NOTES: * A-type is not active in PDH assay; P-type is not active in lipogenesis assay, n.d. Not determined. +++ Proliferative data reported in Figures 1 to 5. All data were obtained in the absence of 10% FCS unless indicated otherwise, n.s. Not significant. For rat liver tissue, the material extraced from 16g (wet weight) is dissolved in 0.2ml of Hanks buffer (stock) , Therefore, lOμl of stock represents the amount of mediator recovered from 800mg of starting tissue (wet weight) . For the lipogenesis assay, lOμl of the stock solution is added to a final volume of 1.25ml. For the PDH assay, lOμl of the stock solution is added to a final volume of 0.27ml. For the PKA assay, lOμl of the stock solution is added to a final volume of 0.1ml. For the cell proliferation assays, the dilutions quoted are final dilutions. For example, 2.5μl of the stock solution is added to a final volume of 0.1ml, or 1/40 final dilution. For M. vaccae, lOμl of stock solution represents the amount of mediator recovered from 800mg wet weight of bacteria. The amounts used in the assays are as described above for the rat liver tissues.

Claims: CLAIMS 1. A hormone or growth factor mimetic second messenger derived from a microorganism of the genus Mycoba cterium. 2. A mimetic second messenger according to claim 1, which mimics the action of insulin, adrenocorticotrophic hormone (ACTH) , nerve growth factor (NGF) , epidermal growth factor (EGF) , fibroblast growth factor (FGF) , transforming growth factor β (TGFβ) or hepatocyte growth factor (HGF) . 3. A mimetic second messenger according to any of claims 1 to 3, which is a phosphoglycokine. 4. A mimetic second messenger according to any of claims 1 to 3 wherein the mycobacterium is Mycobacterium vaccae . 5. Use of an insulin mimetic second messenger derived from a microorganism of the genus MycoJacteriiun, in the preparation of a medicament for the treatment of type I or type II diabetes mellitus, polycystic ovary syndrome, lipodystrophy, age-related memory loss and post-ischemic damage secondary to stroke or post-transplant complications. 6. Use of a nerve or neurite growth factor mimetic second messenger derived from a microorganism of the genus Mycoba cterium, in the preparation of a medicament for the treatment of nerve, spinal chord or central nervous system damage secondary to trauma, autoimmune or metabolic damage, or post-ischaemic damage secondary to stroke or post- transplant complications. 7. Use of a hepatocyte growth factor mimetic second messenger derived from a microorganism of the genus Mycobacterium, in the preparation of a medicament for the treatment of hepatic damage caused by infection, alcohol abuse, drug sensitivity or autoimmunity. 8. Use of a fibroblast growth factor mimetic second messenger and an epidermal growth factor mimetic second messenger derived from a microorganism of the genus Mycobacterium, in the preparation of a medicament for the promotion of wound healing following surgery or trauma or tissue damage induced by ischaemia or autoimmunity. 9. Use of an adrenal cell growth factor mimetic second messenger and an ACTH mimetic second messenger derived from a microorganism of the genus Mycobacterium, in the preparation of a medicament for the treatment of a disease state involving adrenal atrophy, such as tuberculosis. 10. A use according to any one of claims 5 to 9 wherein the second messenger is a phosphoglyokine. 11. A pharmaceutical composition comprising a hormone or growth factor mimetic second messenger according to any of claims 1 to 4. 12. A method of treating type I or type II diabetes mellitus, polycystic ovary syndrome, lipodystrophy, age- related memory loss, post-ischemic damage secondary to stroke or post-transplant complications; nerve, spinal chord or central nervous system damage secondary to trauma, autoimmune or metabolic damage, post-ischaemic damage secondary to stroke or post-transplant complications; hepatic damage caused by infection, alcohol abuse, drug sensitivity or autoimmunity; a disease state involving adrenal atrophy, such as tuberculosis or a method for the promotion of wound healing following surgery or trauma or tissue damage induced by ischaemia or autoimmunity, which comprises administering a hormone or growth factor mimetic second messenger according to any of claims 1 to 4.

Inventors: CARO HUGO NORBERTO, RADEMACHER THOMAS WILLIAM, ROOK GRAHAM ARTHUR WILLIAM, CARO, HUGO, NORBERTO, RADEMACHER, THOMAS, WILLIAM, ROOK, GRAHAM, ARTHUR, WILLIAM
Applicants: CARO HUGO NORBERTO, RADEMACHER THOMAS WILLIAM, ROOK GRAHAM ARTHUR WILLIAM, UNIV LONDON, CARO, HUGO, NORBERTO, RADEMACHER, THOMAS, WILLIAM, ROOK, GRAHAM, ARTHUR, WILLIAM, UNIVERSITY COLLEGE LONDON
Application year: 1996
Main classification: C12P19
IPC codes: A61K38, A61K39, A61P3, A61P9, A61P13, A61P15, A61P25, A61P31, A61P37, A61P43, C07H11, C07K14, C12P19, C12R1