SOMATIC GENE THERAPY TO SUPPRESS SECONDARY CATARACT FORMATION

Abstract: A replication-defective recombinant virus, preferably an adenovirus that lacks E1a, 1b and E4 ORF 6, capable of infecting an eye and containing an ORF encoding a protein that when expressed in lens epithelial cells of an eye, suppresses, at the level of the germinative epithelium of the lens of the eye, cellular proliferation which is stimulated by eye surgery and which would otherwise result in secondary cataract formation in the eye. The ORF, to be expressed, is under the control of a promoter sequence which is expressed exclusively in human lens epithelial cells. The preferred ORFs, to be expressed, include a non-phosphorylatable retinoblastoma ORF, a dominant negative mutant of a human RAS ORF and a Herpes thymidine kinase ORF. The preferred promoter sequences include: a) a promoter of a human Major Intrinsic Protein gene, particularly from -259nt to +34nt, b) a promoter of a human beta -crystallin gene, particularly from -345nt to +45nt, and especially c) the promoter of the Major Intrinsic Protein gene or beta -crystallin gene or portions thereof, in combination with elements of the promoter of the rat Early Growth Response-1 gene, from -518nt to -236nt. The recombinant virus can be used for the treatment of an eye, undergoing eye (e.g. cararact) surgery, in order to reduce the incidence of cellular proliferation in the eye following the surgery, and thereby to prevent the formation of secondary cataracts.

Description: SOMATIC GENE THERAPY TO SUPPRESS SECONDARY CATARACT FORMATION BACKGROUND OF THE INVENTION This invention relates to materials and methods for the construction of recombinant viral, particularly adenoviral, delivery systems that provide lens epithelial cell type specific regulation of expression of proteins which inhibit cellular proliferation. This invention also relates to the use of these recombinant viral delivery systems for inhibiting or preventing the formation of secondary cataracts following surgical intervention on the eye. Cataract operations are the second most frequent operation in the western world. The cataract is an affection characterised by an opacification of the crystalline lens of the eye which reduces the visual acuity of the patient. The surgical technique currently utilised for removing cataracts consists of removing the crystalline with a small aspirator. Access to the interior of the crystalline capsule is achieved by a circular opening at the anterior face of the lens capsule. This permits the surgeon to insert a new lens, which will restore the eye's ability to focus incoming light on the surface of the retina. Secondary cataracts constitute the most frequent complication following this operation, occurring in up to 50% of adult eyes and even more frequently following surgery of children with congenital cataracts (Nischi et al., 1986). (Surgical interventions on the eyes of rabbits also result in secondary cataract formation (100%) in the weeks following the operation (Blomstedt. et al., 1987)). Human secondary cataracts are characterised by a secondary opacification of the posterior capsule appearing in the months following surgery. They are the consequence of the stimulated proliferation at the level of the germinative epithelium of the lens, which are the only cells with division potential in the mature eye. Laser treatment, which is the accepted means of treating secondary cataracts, unfortunately risks additional complications, the most notable of which is detachment of the retina (Salvenson et al., 1991). SUMMARY OF THE INVENTION In accordance with this invention is provided a replication-defective recombinant virus that can infect an eye of a patient and that contains: an Open Reading Frame (ORF) which, when expressed in lens epithelial cells of the eye, suppresses, at the level of the germinative epithelium of the lens of the eye, cellular proliferation which is stimulated by eye surgery and which would otherwise result in secondary cataract formation in the eye; the ORF, to be expressed, being under the control of a promoter sequence which is active exclusively in human lens epithelial cells. The preferred replication-defective recombinant virus is a replication-defective recombinant adenovirus, especially an adenovirus lacking E1 a, 1 b and E4 ORF 6. The preferred ORF, to be expressed, is one of the following: a) an ORF encoding a protein that regulates the cell cycle, especially a non-phosphorylatable retinoblastoma (Rb) gene; b) a dominant negative mutant of an ORF encoding a protein involved in signal transduction, especially a dominant negative mutant of a RAS gene, particularly the codon 116 mutant of the human RAS gene; or c) an ORF encoding a protein which will severely disrupt DNA replication in human lens epithelial cells, especially a thymidine kinase gene of a Herpes virus, particularly the Herpes Simplex type 1 thymidine kinase (HSTK) gene (to be used in conjunction with a treatment of the patient with acyclovir or a nucleoside analogue thereof). The preferred promoter sequence is one of the following: a) a promoter of a human Major Intrinsic Protein (MIP) gene, preferably the portions of the MIP gene from -259nt to +34nt, or b) a promoter of a human β A3/A1-crystallin gene, preferably the portions of the β-crystallin gene from -345nt to +45nt, or preferably c) a composite promoter comprising either the MIP promoter or the β- crystallin promoter or portions thereof, in combination with elements of an early growth response gene promoter such as the rat Early Growth Response-1 (EGR-1 ) gene promoter from -518nt to -236nt of the EGR-1 gene. Also in accordance with this invention are provided: a) purified and isolated DNA sequences of the composite EGR-1/MIP and composite EGR-1/β-crystallin promoters and b) vectors for the formation of replication-defective recombinant viruses containing the gene, to be expressed, under the control of the promoter sequence which is expressed exclusively in human lens epithelial cells. Further in accordance with this invention is provided a method for the treatment of an eye, undergoing eye (e.g. cataract) surgery, in order to reduce the incidence of cellular proliferation in the eye following the eye surgery, and thereby prevent the formation of secondary cataracts, comprising the step of: treating the eye with the replication-defective recombinant virus, particularly adenovirus, of this invention, preferably during the eye surgery. BRIEF DESCRIPTION OF THE FIGURES Figure 1 is a schema of recombinant adenovirus production. It shows schematically the two-step process for the construction of a replication- defective recombinant adenovirus in accordance with this invention. Figure 2 is a restriction map of plasmid pad5ΔE4ORF6, used in the process shown in Figure 1 and described in Example 8, pad5ΔE4ORF6 plasmid is a plasmid containing the entire adenovirus Ad5 genome with a deletion of the E4 ORF6 region with 7.5Kb of pBelobac inserted into the E1a-1 b region. The right end is derived from H5dl1014. The Adenovirus sequences are indicated by the filled-in symbols while pBelobac sequences are indicated by the open symbols. Figure 3 is a restriction map of the plasmid pXC 15-18 used in the process shown in Figure 1 and described in Example 8. Figure 4 is the DNA sequence of the rat EGR-1 promoter of Example 1. It is the sequence of the rat Early Grouth Response 1(EGR1) gene promoter. The sequence starts 538 bp upstream of the transcription start site, which is indicated by an arrow. Figure 4A is a restriction enzyme map of plasmid, pxcEGR, of Example 1. Figure 5 is a restriction map of the GFP ORF of Example 1. Figure 5A is a restriction map of plasmid pxcEGR-GFP of Example 1. Figure 6 is a restriction map of the dominant negative human harvey RAS ORF of Example 1. Figure 6A is a restriction map of plasmid, pxcEGR-RAS, of Example 1. Figure 7 is a restriction map of the Rb ORF gene of Example 1. Figure 7A is a restriction map of plasmid, pxcEGR-Rb, of Example 1. Figure 8 is a restriction map of the HSTK ORF of Example 1. Figure 8A is a restriction map of plasmid, pxcEGR-HSTK, of Example 1. Figure 9 is the DNA sequence of the human MIP promoter of Example 2. The negative numbers refers to the position upstream of the transcription start site. An arrow indicates the start of transcription. Figure 9A is a restriction map of plasmid, pxcMIP, of Example 2. Figure 10 is a restriction map of plasmid, pxcMIP-GFP, of Example 2. Figure 11 is a restriction map of plasmid, pxcMIP-RAS, of Example 2. Figure 12 is a restriction map of plasmid, pxcMIP-Rb, of Example 2. Figure 13 is a restriction map of plasmid, pxcMIP-HSTK, of Example 2. Figure 14 is a restriction map of plasmid, pxcCompl , of Example 3. Figure 14A is the DNA sequence of the composite 1 promoter of pxcCompl of Example 3. The underlined portion of the sequence corresponds to -538 to -256 of the EGR1 promoter. The non underlined sequence corresponds to - 259 to +156 of the MIP promoter. The arrow indicates the transcription start site. Figure 15 is a restriction map of plasmid, pxcCompl -GFP, of Example 3. Figure 16 is a restriction map of plasmid, pxcComp1-RAS, of Example 3. Figure 17 is a restriction map of plasmid, pxcCompl -Rb, of Example 3. Figure 18 is a restriction map of plasmid, pxcCompl-HSTK, of Example 3. Figure 19 is the DNA sequence of the human β-crystallin promoter of Example 4. Figure 19A is a restriction map of the plasmid, pxcβCrysl , of Example 4. Figure 20 is a restriction map of plasmid, pxcComp2, of Example 5. Figure 20A is the DNA sequence of the composite 2 promoter of pxcComp2 of Example 5. The underlined portion of the sequence corresponds to -538 to -256 of the EGR1 promoter. The non underlined sequence corresponds to - 263 to +45 of the βcrystallin promoter. The arrow indicates the transcription start site. Figure 21 is a restriction map of the plasmid, pMT-E4 ORF6, of Example 7. DETAILED DESCRIPTION OF THE INVENTION This invention involves the use of a replication-defective recombinant virus, preferably an adenovirus, to reduce the incidence of cellular proliferation following surgical intervention on the eye of mammals, especially humans. In particular replication-defective recombinant adenoviral vectors are used to deliver ORF whose encoded proteins suppress, at the level of the germinative epithelium of the lens of the eye, cellular proliferation that is stimulated by the eye surgery and that would otherwise result in secondary cataract formation. The particularly preferred replication-defective recombinant virus is a recombinant adenovirus lacking E1a, b and E4 ORF 6. However equivalents of this virus can also be used, such as HIV-derived replication-defective retroviruses and Adeno-associated viruses (Kearns et al., 1996; Liu, ML. et al., 1996; Russ et al., 1996; Xiao and Samulski, 1996), as well as non-viral equivalents such as liposomes (Hangai et al., 1996). The preferred ORF, to be expressed, is one of the following: a) an ORF encoding a protein that regulates the cell cycle, especially a non-phosphorylatable retinoblastoma (Rb) gene; b) a dominant negative mutant of an ORF encoding a protein involved in signal transduction, especially a dominant negative mutant of a human RAS gene (Kaplan, 1994: Sung et al., 1996), particularly the codon 1 16 mutant of the human RAS ORF; other examples of such ORFs are the p16 and p21 genes (Kamb et al., 1994; Wu et al., 1996); or c) an ORF encoding a protein which will severely disrupt DNA replication in human lens epithelial cells, especially a thymidine kinase gene of the Herpes virus family, such as the Herpes Simplex type 1 virus or Varicella zoster, or the UL-97 gene of Cytomegalovirus which encodes a protein kinase (to be used in conjunction with a treatment of the patient with acyclovir or a nucleoside analogue thereof). The ORF, to be expressed, is placed under the control of a tissue-specific promoter so that the expression of the ORF occurs uniquely in lens epithelial cells. In this regard, precise expression of the desired ORF in lens epithelial cells is preferably achieved by the use of promoter elements of the human MIP gene (particularly from -259nt (nucleotide) to +34nt), promoter elements of the human beta-crystallin gene (particularly from -345nt to +45nt) or promoter elements of both genes. Other lens epithelial cell specific promoters can also be used, such as the promoters of the human alpha, gamma, delta or epsilon-crystallin genes (Chepelinsky et al., 1991 ; Piatigorsky, 1989; Kondoh et al., 1988). The promoters of the endogenous MIP and β-crystallin genes, like the other lens epithelial cell specific promoters, are methylated in all cell types except differentiated lens epithelial cells. This methylation renders the promoters inactive. The divisional event that precedes differentiation is accompanied by a de-methylation of the lens cell specific promoters. It has been demonstrated that non-methylated lens specific promoters are active in the germinal cells (Peek et al., 1991). Recombinant adenoviruses of this invention are therefore produced in the presence of 5-aza-2'-deocytidine to ensure that no methylation of the lens specific promoters takes place during production of the recombinant virus. It is particularly preferred that rapid ORF expression, following surgery, be achieved by the presence of elements of the promoter of an early growth response gene or an "immediate early gene" (Kiessling and Gass, 1993; Weichseibaum et al., 1994), preferably cis rat EGR-1 elements, in composite promoter constructs of this invention which also contain portions of the β- crystallin or MIP promoter Such composite promoter constructs of this invention are provided with: a) first elements intended to provide rapid expression of the ORFs, to be expressed, upon mitotic signalling, with subsequent decay of expression of the ORFs; these first elements are not believed to exhibit tissue specificity; and b) second elements comprising the promoter of the MIP gene and/or the promoter of the β-crystallin gene; these second elements ensure exquisite tissue specific expression yet are less rapidly induced to promote expression following entry into lens epithelial cells. The construction of a replication-defective recombinant adenovirus in accordance with this invention takes place in two steps as schematically shown in Figure 1. In the first step, the ORF, to be expressed, is cloned downstream of a particular promoter and of an intron and upstream of the poly A site into the polylinker of a pXC plasmid (Figure 3) which contains the left end of adenovirus (nucleotides 1-5788 with a 2700nt deletion of the E-1a-1b region between nucleotide positions 358 and 3328 in Genebank Accession no. M 73260). The resulting pXC plasmid (recombinant 1) is then co-transfected with a modified pJM17 plasmid, shown in Figure 2, into a modified 293 ceil line (Graham et al., 1977), which is a transformed human cell line that constitutively expresses Ad5 E1 proteins and can be induced to synthesise the E4 ORF 6 protein. Due to homologous recombination between the pXC plasmid with its adenovirus left-end construct, the pad5ΔE4ORF6 plasmid and the helper (complementing) function of the E1 and E4 ORF 6 proteins provided by the 293/MTE4ORF6 cells, a replication-defective recombinant adenovirus is produced and packaged. The packaged recombinant adenovirus produced by the transfected 293/MTE4ORF6 cells has a deleted E-1a-1b region that is replaced by the promoter and ORF, of interest, initially inserted into the recombinant 1 plasmid. Plaque purifications (three times) and analysis of resulting recombinant virus are carried out to verify the sequence of the resulting recombinant virus. The recombinant adenovirus is incapable of replicating in cells other than modified 293 cells and thus constitutes simply a delivery system for the protein encoded by the ORF, to be expressed. A rabbit model system, exhibiting essentially 100% secondary cataract formation in the 2-3 weeks following surgical intervention of the eye, can be used, as described below, to evaluate the efficiency of suppression of lens epithelial cell proliferation by the recombinant adenovirus vectors of this invention. The following three ORFs are independently expressed in replication- defective recombinant adenoviral vectors: 1. a non-phosphorylatable Rb ORF 2. a dominant negative mutant (at amino acid position 116) of the human RAS ORF and 3. a Herpes Simplex type 1 thymidine kinase ORF. Control of expression in the recombinant adenoviral vectors is with one of the following four promoter sequences: 1. a human Major Intrinsic Protein (MIP) gene promoter, 2. a first composite promoter containing elements of the rat Early Growth Response -1 (EGR-1) gene promoter (from -5l8nt to -236nt) and the human Major Intrinsic Protein (MIP) gene promoter (from -259nt to +34nt) 3. a human β A3/A1-crystallin promoter (-345nt to +45nt) and 4. a second composite promoter containing elements of the EGR-1 promoter (from -5l8nt to -236nt) and the β-crystallin promoter (-345nt to +45nt). Correct expression of recombinant adenoviruses containing lens epithelial cell specific promoters is verified in in vitro cultures of lens capsular sacs of pig eyes which have been operated upon. The germinal epithelial cells of pig eyes capsular sacs, that have undergone cataract surgery, proliferate in a manner analogous to secondary cataract formation (Liu, C. et al., 1996; Wormstone et al., 1997). A replication-defective recombinant adenovirus for each promoter-ORF construct is made by co-transfection of first stage vectors with the modified pJM17 plasmid lacking E4 ORF 6 into the modified 293 cell line with metal inducible expression of E4 ORF 6 protein. In the next step, rabbit lens capsular sacs are infected at the time of surgical intervention with an adenovirus transformed with the coding sequence for the Green Fluorescent Protein (GFP), in order to determine the efficiency and specificity of ORF delivery and expression in accordance with the invention at different multiplicities of infection (MOIs). Infection of the eyes during surgery can be carried out in a conventional manner in accordance with this invention, but preferably, the eyes are infected by introducing the recombinant adenoviral vector at the final stage of the surgery, that is when the chamber is refilled with sterile physiological solution. Once appropriate MOIs have been determined, the duration of foreign ORF expression is evaluated. Subsequently, the efficiency of suppression of cellular proliferation is analysed in operated eyes, using the recombinant adenoviruses containing either the non-phosphorylatable Rb ORF, the dominant negative RAS ORF or the HSTK ORF (in conjunction with a treatment with acyclovir or a nucleoside analogue thereof). Green Fluorescent Protein (GFP) is an auto-fluorescing protein expressed in jelly fish. The advantage of this protein is that its expression can be easily detected without the addition of any other components, such as is necessary for many other marker ORF systems. A source of the GFP ORF (Figure 5) for the recombinant adenovirus construct of this invention is the pxcEGR-GFP plasmid shown in Figure 5A The protein encoding sequence is modified in two respects: i) the codon usage is modified to be translated optimally in mammalian cells and ii) the wavelength necessary to excite the protein to fluoresce is modified to be in the near visible, as opposed to the far ultraviolet, as is the case for the native jellyfish protein. A retinoblastoma (Rb) cDNA clone is obtainable from Dr. Hamel in the department of Medical Genetics at the University of Toronto (Hamel et al., 1992). The clone contains eight point mutations at both serine and threonine residues, thus rendering the encoded retinoblastoma protein non- phosphorylatable. (See Figure 7). Over-expression of this Rb protein is known to result in cell cycle arrest in the G1 phase of the cell cycle (Hamel et al., 1992: Chang et al., 1995). A Harvey RAS ORF construct (Figure 6), containing a dominant negative mutation at codon 116 (tyrosine replacing the wild-type asparagine at amino acid position 116), is obtainable from Dr. Kuzumaki of Hokkaido University, Japan. A ORF encoding Herpes Simplex type 1 thymidine kinase (HSTK), as shown in Figure 8, is known from Waldman et al. (1983). An evaluation of a stimulated immune response directed against adenovirus in infected rabbits is undertaken to determine whether it is possible to re-infect with recombinant virus without neutralisation by the immune system. In principle, the interior of the eye should be "protected" from the immune system, and multiple infections with replication-defective recombinant adenoviral vectors should render suppression of lens epithelial cell proliferation more efficient than a single infection at the time of the operation. The surgical technique used on the rabbits is identical to that used in the human cataract operation described above. This animal system thus constitutes an ideal model to demonstrate the effectiveness of somatic gene therapy in suppressing post-operative cellular proliferation, causing secondary cataract. Any immune reaction, engendered by infection with a recombinant adenoviral vector, is easily assessed by analysing "infected" rabbit sera for stimulated response to adenovirus capsid proteins. In the absence of an immune reaction, the relative efficiency of multiple infections of replication- defective recombinant adenovirus vectors is then evaluated. When the recombinant adenovirus of this invention contains a thymidine kinase ORF of a Herpes virus, particularly the Herpes Simplex type 1 thymidine kinase (HSTK) ORF, the patient is also treated with acyclovir or a nucleoside analogue structurally related to acyclovir, such as gancyclovir, famcyclovir and valacyclovir, preferably with acyclovir (Clive et al., 1983). Acyclovir and its nucleoside analogues are phosphorylated by the Herpes thymidine kinase and subsequently incorporated into host cell DNA. Once incorporated, they function as chain terminating nucleotides, and thus, cells expressing the viral thymidine kinase and incorporating the phosphorylated analogue are specifically targeted. There is no reported toxicity of acyclovir at the concentrations appropriate for this use, and it can be given orally or by eye drops to the patient before, during or after surgery. The Examples which follow illustrate the invention. EXAMPLE 1 Construction of an adenovirus first stage vector (recombinant 1) containing elements of the rat EGR-1 (Early Growth Response) gene promoter. Amplification of the rat EGR-1 gene promoter (shown in Figure 3) is accomplished by PCR. A 5' oligonucleotide corresponding to -538nt to -518nt of the transcription start site containing a synthetic Bgl II site is used in conjunction with a 3' oligonucleotide complementary to +136nt to +156nt with a synthetic Sac I site. The conditions of PCR are: 20 picomoles of each primer, 50 uM dNTPs, 200 ng rat DNA, 4% formamide (recrystalised), 1 ,5 mM MgCI in 100 μl. The initial cycle is 97° for 2 1/2 minutes, 72° for 5 minutes (add enzyme) 35 cycles of 95°C-30 seconds, 63°C-40 seconds, 72°C 60 seconds . 5'-primer Bgl II GA AGATCT AGC CTC AGC TCT ACG CGC CT EGR 3'-primer Sac I GAA GAGCTC ACA CTG CGG GGA GTG TAG GT EGR The resulting 674nt product is cleaved with Bgl II and Sac I and cloned into the Bgl ll-Sac I sites of PSL 1180 (Pharmacia), and M13 forward and reverse primers are used to verify the sequence of the cloned rat EGR-1 promoter. The Bgl ll-Sac I fragment of the resulting plasmid, pSL1180-EGR, is then excised and cloned into the Bgl ll-Sac I sites of a CMV promoter deleted pCiNeo vector (Promega). This cloning is verified by digestion with Sma I and Nru I. The resulting plasmid, pEGRiNeo, is then cleaved with Bgl II and Fsp I. The resulting 1435nt fragment, containing the rat EGR-1 promoter, an intron, a multicloning site and a polyA addition site, is then cloned into the Bam Hl- Hpa I sites of pXC15-18 (Figure 3; Schaak, personal communication). The resulting clone, pxcEGR, is verified by digestion with numerous restriction enzymes. A restriction map of pxcEGR is given in Figure 4. The following four protein coding sequences are cloned into the pxcEGR vector to form different recombinant 1 adenoviral vectors: Green Fluorescent Protein (GFP), dominant negative RAS, a non-phosphorylatable retinoblastoma (Rb) and a Herpes Simplex type 1 thymidine kinase (HSTK) ORF. Described below are the steps by which the appropriate cloning is accomplished. GFP: A 716nt Nhe l-Sal I fragment encoding the Green Fluorescent Protein (GFP) is isolated from peGFP-C1 (Clontech) and cloned into the Nhe I, Sal I sites of pxcEGR. Sequencing of the cloning junctions and of the GFP DNA insert is accomplished with T3 and T 7 primers. Figure 5 is a restriction map of the GFP ORF, and Figure 5A is a restriction map of the resulting plasmid, pxcEGR-GFP. Dominant negative RAS: A Sac II (blunted by a Klenow fill-in reaction)-Xba I fragment of dominant negative ras cDNA, obtained from Dr. Kuzumaki, is cloned into the Nhe I (blunted by a Klenow fill-in reaction) -Xba I sites of pxcEGR. The correct clone is initially verified by restriction enzyme mapping. Sequencing of the cloning junctions and of the ras cDNA insert are performed with T3 and T 7 primers. Figure 6 is a restriction map of the dominant negative RAS ORF, and Figure 6A is a restriction map of the resulting plasmid, pxcEGR-RAS. 0 Rb: A 2768nt Eco Rl-Sau I (Klenow fill-in blunted) fragment from pECE34 is ligated into the Eco Rl-Not I (Klenow fill-in blunted) sites of pxcEGR.The correct clone is initially identified by Sac I digestion. Sequencing of the cloning 15 junctions and of the non-phosphorylatable Rb cDNA insert are performed with T3 and T7 primers. Figure 7 is a restriction map of the non-phosphorylated Rb ORF, and Figure 7A is a restriction map of the resulting plasmid, pxcEGR-Rb. HSTK: 0 A 1176nt fragment of the Herpes Simplex type I thymidine kinase ORF is amplified by PCR using primers containing synthetic restriction enzyme sites, a Eco Rl at the 5' end and a Hind III site at the 3' end. The ORF is amplified by PCR, using the following two primers: 25 5'-primer CTGAATTCCTTGTAGAAGCGCGTATGGC 3'-primer CGCAAGCTTCTCCTTCCGTGTTTCAGTT The thermal profile is 94°C, 5'; 58°C 2'30; 72°C, 2': 1 x; 94°C, 30"; 58°C, 1'30"; 72°C, 2': 30 x; 72°C, 6': 1 x. Standard PCR buffer conditions are employed. The amplified DNA fragment is cloned into the Eco Rl-Hind III sites of Bluescript vector (Stratagene). The sequence is verified with T3 and T7 primers. This fragment is cut with Hind III, rendered blunt by a Klenow fill-in reaction, and digested with Eco Rl. This fragment is then cloned into the Eco Rl-Not I (blunted) sites of pxcEGR. Figure 8 is a restriction map of the Herpes Simplex type 1 thymidine kinase ORF, and Figure 8A is a restriction map of the resulting plasmid, pxcEGR-HSTK. EXAMPLE 2 Construction of an adenovirus first stage vector (recombinant 1 ) containing elements of the MIP (Major Intrinsic Protein) gene promoter. Amplification of the human MIP gene promoter (shown in Figure 9) is accomplished by PCR. A 5' oligonucleotide corresponding to -259nt to -239nt of the transcription start site containing a synthetic Bgl II site at its 5' end is used in conjunction with a 3' oligonucleotide complementary to +14nt to +34nt with a synthetic Sac I site. The conditions of PCR are: MIP PCR, one cycle with a 63° C annealing and then a two step cycle of 94 and 70° C for 30 cycles. Standard PCR buffer conditions are employed. 5'-primer Bgl II GA AGATCT CTT CCA GTC CTG CTG TTC TT MIP 3'-primer Sac I GAA GAGCTC ATG GTC ACA GTG CCT GGG TC MIP The resulting 293nt product is cleaved with Bgl II and Sac I and cloned into the Bgl ll-Sac I sites of PSL 1180 (Pharmacia), and M13 forward and reverse primers are used to verify the sequence of the human MIP promoter. The Bgl ll-Sac I fragment of the resulting plasmid, pSL1180-MIP, is then excised and cloned into the Bgl ll-Sac I sites of a CMV promoter deleted pCiNeo vector (Promega). This cloning is verified by digestion with Alw I. The resulting plasmid, pMIPiNeo, is then cleaved with Bgl II and Fsp I. The resulting 1435nt fragment is then cloned into the Bam Hl-Hpa I sites of pXC15-18 (Figure 3). The resulting clone, pxcMIP, is verified by digestion with numerous restriction enzymes. A restriction map of this clone is given in Figure 9A. As described above for the pxcEGR clones of Example 1 , four ORFs (encoding GFP, dominant negative RAS, non-phosphorylatable RB and Herpes Simplex type 1 thymidine kinase) are cloned into pxcMIP to form different recombinant 1 adenoviral vectors. The necessary enzymatic digestions for the pxcMIP clones and the sequencing of the junctions and ORF inserts of these clones are as described above for the pxcEGR clones. GFP: A 716nt Nhe l-Sal I fragment containing the Enhanced Green Fluorescent Protein (GFP) is isolated from peGFP-C1 (Clontech) and cloned into the Nhe l-Sal I sites of pxcMIP. See restriction map of resulting plasmid, pxcMI P-GFP, in Figure 10. Dominant negative RAS: The Sac II (blunted)-Xba I fragment of dominant negative RAS cDNA is cloned into the Eco Rl (blunted)-Xba I sites of pxcMIP. The correct clone is initially verified by restriction enzyme mapping. Sequencing of the junctions and the RAS cDNA insert are performed with T3 and T 7 primers (See Map). See restriction map of resulting plasmid, pxcMIPRAS, in Figure 11. Rb: A 2768nt Eco Rl-Sau I (Klenow fill-in blunted) fragment from pECE34 is ligated into the Eco Rl -Not I (Klenow fill-in blunted) sites of pxcMIP. The correct clone is initially identified by Sac I digestion. See restriction map of resulting plasmid, pxcMIP-Rb, in Figure12. HSTK: A 1176nt fragment of the Herpes Simplex type 1 thymidine kinase ORF is cut with Hind III (rendered blunt by a Klenow fill-in reaction) and Eco Rl. This fragment is then cloned into the Eco Rl-Not I (blunted) site of pxcEGR. Sac I digestion is initially used to verify this clone. See restriction map of resulting plasmid, pxcMIP-HSTK, in Figure 13. EXAMPLE 3 Construction of an adenovirus first stage vector (recombinant 1) containing a composite 1 promoter with elements from both the rat EGR- 1 (Early Growth Response) gene and Major Intrinsic Protein (MIP) gene promoter elements. Plasmid pSL1180-MIP of Example 2 is cleaved with Bgl II, followed by a Klenow fill-in reaction. Both enzymes are heat inactivated, and then the plasmid is further digested with Sac I. The resulting 293nts fragment is isolated from an agarose gel. Plasmid pSL1180-EGR of Example 1 is digested with Sma I and Bgl II, and the resulting 282nt fragment is isolated. The two DNA fragments are then ligated overnight at room temperature. A small aliquot (1/100 of a microliter) is then used as a template in a PCR, using the 5' EGR oligonucleotide of Example 1 and the 3' MIP oligonucleotide of Example 2. The resulting 585nt composite promoter fragment is digested with Bgl II and Sac I and isolated from an agarose gel. This fragment is then ligated into the Bgl II Sac I sites of PSL 1180. Restriction enzyme digestion is used to initially confirm the cloned PCR product. After confirmation by sequencing of the composite promoter, the Bgl ll-Sac I fragment is isolated and ligated into the Bgl ll-Sac I sites of Bgl ll-Sac I digested pCiNeo, thus replacing the CMV promoter with the composite promoter. This plasmid pCompiNeo is then digested with Bgl II and Fsp I. The resulting 1318nt fragment is then ligated into the Bam Hl-Hpa I sites of pXC15-18 (Figure 3), resulting in the plasmid pxcCompl . A restriction map of pxcCompl is given in Figure 14 , and the DNA sequence of its composite 1 promoter is shown in Figure 14A. As described above for the pxcEGR clones of Example 1 , four ORFs (encoding GFP, dominant negative RAS, non-phosphorylatable RB and Herpes Simplex type 1 thymidine kinase) are cloned into pXCompl to form different recombinant 1 adenoviral vectors. The necessary enzymatic digestions for the pXCompl clones and the sequencing of the junctions and ORF inserts of these clones are as described above for the pxcEGR clones. GFP: A 716nt Nhe l-Sal I fragment containing the Enhanced Green Fluorescent Protein (GFP) is isolated from PeGGFP-C1 (Clontech) and cloned into the Nhe l-Sal I sites of pxCompH . See restriction map of resulting plasmid, pxcCompl -GFP, in Figure 15. Dominant negative RAS: The Sac II (blunted)-Xba I fragment of dominant negative RAS cDNA of Example 1 is cloned into the Eco Rl (blunted)-Xba I sites of pxcCompl . The correct clone is initially verified by restriction enzyme mapping. Sequencing of the junctions and the ras cDNA insert are performed with T3 and T7 primers. See restriction map of resulting plasmid, pxcCompl -RAS, in Figure 16. Rb: A 2768nt Eco Rl-Sau I (Klenow fill-in blunted) fragment from pECE34 is ligated into the Eco Rl-Not I (Klenow fill-in blunted) sites of pxCompl. The correct clone is initially identified by Sac I digestion. See restriction map of resulting plasmid, pxcComp1-Rb, in Figure 17. HSTK: A 1176nt fragment of the Herpes Simplex type 1 thymidine kinase ORF is cut with Hind III (rendered blunt by a Klenow fill-in reaction) and Eco Rl. This fragment is then cloned into the Eco Rl-Not I (blunted) site of pxcCompl. Sac I digestion is initially used to verify this clone. See restriction map of resulting plasmid, pxcCompl -HSTK, in Figure 18. EXAMPLE 4 Construction of an adenovirus first stage vector (recombinant 1 ) containing the human β-crystallin A3/A1 gene promoter. Amplification of the human β-crystallin A 3/A1 gene promoter (shown in Figure 19) is accomplished by PCR. A 5' oligonucleotide corresponding to -330nt to - 311 nt of the transcription start site containing a synthetic Bgl II site at its 5' end is used in conjunction with a 3' oligonucleotide complementary to +26nt to +45 nt with a synthetic Sac I site. 5'-primer Bgl II GAAGA TCTCCCAGGGTCTTAAGGT 3'-primer Sac I GAAGAGCTCT TACTCACCCAGCTCCTGC The resulting 375nt product is cleaved with Bgl II and Sac I and cloned into the Bgl ll-Sac I sites of PSL 1180 (Pharmacia), and M13 forward and reverse primer are used to verify the sequence of the human β-crystallin A 3/A1 gene promoter. The Bgl ll-Sac I fragment of the resulting plasmid, pSL1180-βCrys is then excised and cloned into the Bgl ll-Sac I sites of a CMV promoter deleted pCiNeo vector (Promega). This cloning is verified by restriction enzyme digestion. The resulting plasmid, pcrystiNeo, is then cleaved with Bgl II and Fsp I. The resulting 1335nt fragment is then cloned into the Bam Hl- Hpa I sites of pXC15-18 (Figure 3). The resulting clone, pxcβ Crysl , is verified by digestion with numerous restriction enzymes. A restriction map of this clone is given in Figure 19A. As described above for the pxcEGR clones of Example 1 , four ORFs (encoding GFP, dominant negative RAS, non-phosphorylatable RB and Herpes Simplex type 1 thymidine kinase) are cloned into pxcβCrysl to form different recombinant 1 adenoviral vectors. The necessary enzymatic digestions for the pxcβCrys clones and the sequencing of the junctions and ORF inserts of these clones are as described above for the pxcEGR clones. EXAMPLE 5 Construction of an adenovirus first stage vector (recombinant 1) containing a composite 2 promoter with elements from both the Rat EGR-1 (Early Growth Response) gene and human β-crystallin gene promoter elements. Plasmid pSL118O-βCrys of Example 4 is cleaved with Sea I and Sac I. The resulting 305nt fragment is isolated from an agarose gel. Plasmid pSL1180-EGR of Example 1 is digested with Sma I and Bgl II, and the resulting 282nt is isolated. The two DNA fragments are then ligated overnight at room temperature. A small aliquot (1/100 of a microliter) is then used as a template in a PCR, using the 5' EGR oligonucleotide of Example 1 and the 3' β-crys oligonucleotide of Example 4. The resulting 587nt composite promoter fragment is digested with Bgl II and Sac I, isolated from an agarose gel and ligated into the Bgl II Sac I sites of PSL 1180. Restriction enzyme digestion is used to confirm initially the cloned PCR product. After confirmation by sequencing of the composite promoter, the Bgl ll-Sac I fragment is isolated and ligated into the Bgl ll-Sac I sites of Bgl II, Sac 1 digested pCiNeo, thus replacing the CMV promoter with the composite promoter. This plasmid pComp2iNeo is then digested with Bgl II and Fsp I. The resulting 1318nt fragment is then ligated into the Bam Hl- Hpa I sites of pXC15-18 (Figure 3), resulting in the plasmid pxcComp2. A restriction map of pxcComp2 is given in Figure 20, and the DNA sequence of its composite 2 promoter is shown in Figure 20A. As described above for the pxcEGR clones of Example 1 , four ORFs (encoding GFP, dominant negative RAS, non-phosphorylatable RB and Herpes Simplex type 1 thymidine kinase) are cloned into pxcComp2 to form different recombinant 1 adenoviral vectors. The necessary enzymatic digestions for the pxCOMP2 clones and the sequencing of the junctions and ORF inserts of these clones are as described above for the pxcEGR clones. EXAMPLE 6 Evaluation of promoter constructs of Examples 1-5. The proper functioning of the EGR-1 elements in the simple EGR-1 promoter construct, as well as in the composite promoter constructs, is tested by serum deprivation-refeeding of transiently transfected cell lines. Refeeding of serum rapidly induces expression of ORFs downstream of this promoter. The correct functioning of MIP elements in both the simple MIP promoter construct and in its composite promoter constructs is tested by expression following infection of in vitro cultures of lens capsular sacs of pig eyes which have undergone cataract surgery (Liu, C. et al., 1996; Wormstone et al., 1997). Likewise, the correct functioning of β-crystallin elements in both the simple β- crystallin promoter construct and in its composite promoter constructs is tested by expression following infection of in vitro cultures of lens capsular sacs of pig eyes which have undergone cataract surgery. Confirmation of the proper functioning of each portion of the composite promoters is achieved by analysis of GFP expression following: 1. Transient transfection of EB cells (human colon cell line) for the EGR elements and 2. recombinant adenovirus infection of in vitro cultures of lens capsular sacs of pig eyes which have undergone cataract surgery. An intact MIP promoter construct and an intact β-crystallin promoter construct serve as controls. As a test of GFP detection and expression, a CMV promoter construct is also tested in parallel to assess transfection efficiency in the two cell types. EXAMPLE 7 Creation of a sub-line of the 293 cell line with metal inducible expression of the adenovirus E4 ORF 6. The 884nt Bam HI fragment of CMV-ORF 6 obtained from Goran Akusjarvi (Uppsala, Sweden) is cloned into the Bam HI site of a metallothionein promoter vector pMT, giving rise to the clone pMT-E4 ORF6 (Shaw et al., 1992)(Figure 21). Correct orientation of the ORF 6 is evaluated with the restriction enzyme Kpn I. The MT-E4 ORF6 is then co-transfected with the PCI-neo plasmid (Promega) into the 293 cell line (Graham et al., 1977). After three weeks of selection, G418-resistant clones are isolated and characterised for inducible ORF6 expression by Northern analysis. EXAMPLE 8 Recombinant adenovirus production, purification and characterisation To produce different replication-defective recombinant adenoviruses of this invention, 293/MT-E4 ORF6 cells are plated at 70-80% confluence, then co- transfected with each one of the pxc (recombinant 1) adenoviral vectors of Examples I-5 and a modified pJM17 plasmid lacking E4 ORF 6 (Bett et al., 1994), using calcium phosphate (Chen and Okayama, 1987). After 10 days, the cells are frozen and thawed three times in 1 ml of culture media and centrifuged to remove cellular debris. This freeze-thaw extract is then titered according to standard procedures on 293 cells overlaid with soft agar. Individual plaques (3 per desired recombinant adenovirus) are picked and eluted in 1 ml of culture media. The individual plaques are then again titered on 293/MT-E4 ORF6 cells, and the virus purification is repeated a total of three times. Recombinant adenovirus stocks are then twice purified on CsCI2 gradients to remove contaminating cellular proteins. The individual titters of recombinant adenovirus preparations are determined on 293 cells as described for the isolation of individual plaques, namely on soft agar-overlaid cultures of infected 293 cells. DNA isolated from each virus is analysed by diagnostic restriction enzyme mapping. References : Bett, AJ., Prevec, L. and Graham, FL. (1993) Packaging capacity and stability of human adenovirus type 5 vectors. J Virol 67: 5911-21. Bett, AJ., Haddara, W., Prevec, L, and Graham, FL. 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Claims: CLAIMS 1 . A replication-defective recombinant virus capable of infecting an eye and containing a ORF encoding a protein that when expressed in lens epithelial cells of an eye, suppresses, at the level of the germinative epithelium of the lens of the eye, cellular proliferation which is stimulated by eye surgery and which would otherwise result in secondary cataract formation in the eye, the ORF, to be expressed, being under the control of a promoter sequence which is active exclusively in human lens epithelial cells. 2. The replication-defective recombinant virus of claim 1 which is an adenovirus. 3. The replication-defective recombinant adenovirus of claim 2 which lacks E1 a, 1 b and E4 ORF 6. 4. The replication-defective recombinant virus of any one of claims 1 -3 wherein the ORF, to be expressed, is one of the following: a) a ORF encoding a protein that regulates the cell cycle; b) a dominant negative mutant of a ORF encoding a protein involved in signal transduction; or c) a ORF encoding a protein which will severely disrupt DNA replication in human lens epithelial cells. 5. The replication-defective recombinant virus of claim 4 wherein the ORF, to be expressed, is one of the following: a) a non-phosphorylatable retinoblastoma ORF or b) a dominant negative mutant of a RAS ORF or c) a thymidine kinase ORF of a Herpes virus. 6. The replication-defective recombinant virus of claim 5 wherein the ORF, to be expressed, is the codon 1 16 mutant of the human RAS ORF, the Heψes Simplex Type 1 thymidine kinase ORF or a mutated non- phosphorylatable retinoblastoma ORF. 7. The replication-defective recombinant virus of any one of claims 1-6 5 wherein the promoter sequence is one of the following: a) a promoter of a human Major Intrinsic Protein gene or b) a promoter of a human β A3/A1-crystallin gene or c) a composite promoter comprising the MIP promoter or the β-crystallin promoter, in combination with elements of an early growth response 10 gene promoter. 8. The replication-defective recombinant virus of claim 7 wherein the promoter sequence is one of the following: a) a promoter comprising portions of the human Major Intrinsic Protein 15 gene from -259nt to +34nt, or b) a promoter comprising portions of the human β A3/A1-crystallin gene from -345nt to +45nt, or c) a composite promoter comprising: i) the promoter of the human Major Intrinsic Protein gene, portions 20 of the promoter of the human Major Intrinsic Protein gene from - 259nt to +34nt, the β-crystallin promoter or portions of the human β-crystallin gene from -345nt to +45nt, ii) in combination with portions of promoter of the rat Early Growth Response-1 gene from -518nt to -236nt. O S 9. The replication-defective recombinant virus of claim 7 or 8 wherein the promoter sequence is non-methylated. 10. A purified and isolated DNA sequence comprising the composite 30 promoter of claim 8 or 9. 11. A purified and isolated DNA sequence comprising the ORF, to be expressed, of any one of claims 4-6 under the control of a promoter of any one of claims 7-9. 12. A vector for the formation of a replication-defective recombinant virus, comprising the ORFs, to be expressed, and the promoter sequence of any one of claims 1-9. 13. A method for the treatment of an eye of a patient, undergoing eye surgery, in order to reduce the incidence of cellular proliferation in the eye following the eye surgery, and thereby prevent the formation of secondary cataracts, comprising the step of treating the eye with a replication-defective recombinant virus of any one of claims 1-9. 14. The method of claim 13 wherein the eye is treated during the eye surgery with the recombinant virus. 15. The method of claim 14, comprising the additional step of treating the eye at least one more time with the recombinant virus after the surgery. 16. The method of any one of claims 13-15, comprising the additional step of treating the patient with acyclovir or a nucleoside analogue structurally related to acyclovir when the recombinant virus contains a thymidine kinase ORF of a Herpes virus or the UL97 ORF of a Cytomegalovirus. 17. A therapeutic composition for the treatment of an eye, undergoing eye surgery, in order to reduce the incidence of cellular proliferation in the eye following surgery and thereby prevent secondary cataracts, comprising the replication-defective recombinant virus of any one of claims 1-9.

Inventors: MUNIER FRANCIS, SAHLI ROLAND, SHAW PHILLIP HERBERT, SICKENBERG MICHEL, MUNIER, FRANCIS, SAHLI, ROLAND, SHAW, PHILLIP, HERBERT, SICKENBERG, MICHEL
Applicants: MUNIER FRANCIS, SAHLI ROLAND, SHAW PHILLIP HERBERT, SICKENBERG MICHEL, MUNIER, FRANCIS, SAHLI, ROLAND, SHAW, PHILLIP, HERBERT, SICKENBERG, MICHEL
Application year: 1998
Main classification: C12N15
IPC codes: A61K35, A61K48, A61P27, C07K14, C12N7, C12N15