The present invention relates to tumor necrosis factor receptor (TNF-R) related polypeptides (proteins) and their ligands, hereinafter referred to as TR1, TR2, TL2 and TL4. The invention also relates to inhibiting or activating the action of such polypeptides using agonists or antagonists by the screening methods described herein.
Many biological actions are a response to certain stimuli and natural biological processes, and are controlled by factors, such as cytokines. These cytokines act through target cell receptors by engaging the receptor and producing an intracellular response.
For example, tumor necrosis factors (TNF) alpha and beta are cytokines which act through TNF receptors to regulate numerous biological processes, including protection against infection and induction of shock and inflammatory disease. The TNF molecules belong to the xe2x80x9cTNF-ligandxe2x80x9d superfamily, and act together with their receptors or counter-ligands, the xe2x80x9cTNF-receptorxe2x80x9d superfamily. So far, ten members of the TNF ligand superfamily have been identified and thirteen members of the TNF-receptor superfamily have been characterized.
Among the ligands there are included TNF-a, lymphotoxin-a (LT-a, also known as TNF-b), LT-b (found in complex heterotrimer LT-a2-b), FasL, CD40L, CD27L, CD30L, 4-1BBL, OX40L and TRAIL ((Wiley et al.Immunity 3: 673-682 (1995)) All but one of these (LTa) are expressed as type II membrane proteins. The superfamily of TNF receptors includes the p55TNF receptor, p75TNF receptor, TNF receptor-related protein, FAS antigen or APO-1, CD40, CD27, CD30, 4-1BB, OX40, low affinity p75, NGF-receptor(Meager, A., Biologicals, 22:291-295 (1994)).
Many members of the TNF-ligand superfamily are expressed by activated T-cells, implying that they are necessary for T-cell interactions with other cell types which underlie cell ontogeny and functions. (Meager, A., supra).
Considerable insight into the essential functions of several members of the TNF receptor family has been gained from the identification and creation of mutants that abolish the expression of these proteins. For example, naturally occurring mutations in the FAS antigen and its ligand cause lymphoproliferative disease (Watanabe-Fukunaga, R., et al., Nature 356:314 (1992)), perhaps reflecting a failure of programmed cell death. Mutations of the CD40 ligand cause an X-linked immunodeficiency state characterized by high levels of immunoglubulin M and low levels of immunoglobulin G in plasma, indicating faulty T-cell-dependent B-cell activation (Allen, R. C. et al., Science 259:990 (1993)). Targeted mutations of the low affinity nerve growth factor receptor cause a disorder characterized by faulty sensory innovation of peripheral structures (Lee, K. F. et al, Cell 69:737 (1992)).
TNF and LT-a are capable of binding to two TNF receptors (the 55- and 75-kd TNF receptors). A large number of biological effects elicited by TNF and LT-a, acting through their receptors, include hemorrhagic necrosis of transplanted tumors, cytotoxicity, a role in endotoxic shock, inflammation, immunoregulation, proliferation and anti-viral responses, as well as protection against the deleterious effects of ionizing radiation. TNF and LT-a are involved in the pathogenesis of a wide range of diseases, including endotoxic shock, cerebral malaria, tumors, autoimmuine disease, AIDS and graft-host rejection (Beutler, B. and Von Huffel, C., Science 264:667-668 (1994)). Mutations in the p55 Receptor cause increased susceptibility to microbial infection.
Moreover, an about 80 amino acid domain near the C-terminus of TNFR1 (P55) and Fas was reported as the xe2x80x9cdeath domain,xe2x80x9d which is responsible for transducing signals for programmed cell death (Tartaglia et al., Cell 74:845 (1993)). Other regions of the TNF receptor intracellular domain are responsible for the activation of transcription through NF-kB (Cheng and Baltimore Genes and Development 10: 963-973 (1996)). More recent evidence has suggested that receptors may induce signals in cells expressing membrane bound TNF family ligand in a process known as xe2x80x9creverse signalingxe2x80x9d (Wiley et al., J. Immunol. 157:3635-3639.
The effects of TNF family ligands and TNF family receptors are varied and influence numerous functions, both normal and abnormal, in the biological processes of the mammalian system. There is a clear need, therefore, for identification and characterization of such receptors and ligands that influence biological activity, both normally and in disease states. In particular, there is a need to isolate and characterize novel members of the TNF receptor family.
This indicates that these Tumor necrosis factor receptors (TNF-R) have an established, proven history as therapeutic targets. Clearly there is a need for identification and characterization of further members of Tumor necrosis factor receptor (TNF-R) family which can play a role in preventing, ameliorating or correcting dysfunctions or diseases, including, but not limited to, chronic and acute inflammation, arthritis, septicemia, autoimmune diseases (eg inflammatory bowel disease, psoriasis), transplant rejection, graft vs. host disease, infection, stroke, ischemia, acute respiratory disease syndrome, restenosis, brain injury, AIDS, Bone diseases, cancer (eg lymphoproliferative disorders), atheroschlerosis, and Alzheimers disease.
The present invention relates to tumor necrosis factor receptor (TNF-R) related polypeptides and their ligands, hereinafter referred to as TR1, TR2, TL2 and TL4. The invention also relates to methods to identify agonists and antagonists of TR1, TR2, TL2 and TL4. The agonists and antagonists thus identified can be used to treat chronic and acute inflammation, arthritis, septicemia, autoimmune diseases (eg inflammatory bowel disease, psoriasis), transplant rejection, graft vs. host disease, infection, stroke, ischemia, acute respiratory disease syndrome, restenosis, brain injury, AIDS, bone diseases, cancer (eg lymphoproliferative disorders), atheroschlerosis, and Alzheimers disease, among others, caused by imbalance of TR1, TR2, TL2 or TL4.
xe2x80x9cTR1 or TR1 polypeptide or TR1 proteinxe2x80x9d refers, among others, generally to a polypeptide having the amino acid sequence set forth in SEQ ID NO:1 as well as polypeptides comprising the amino acid sequence of SEQ ID NO: 1; and polypeptides comprising the amino acid sequence which have at least 70% identity to that of SEQ ID NO:1 over its entire length. Furthermore, TR1 also refers to a polypeptide which comprises a sequence which has 70% identity to a fragment of SEQ ID NO: 1. xe2x80x9cTR1 or TR1 polypeptide or TR1 proteinxe2x80x9d also includes derivatives, such as fusion proteins, of the above polypeptides, and some of these derivatives are further illustrated below.
xe2x80x9cTR2 or TR2 polypeptide or TR2 proteinxe2x80x9d refers, among others, generally to a polypeptide having the amino acid sequence set forth in SEQ ID NO:2 as well as polypeptides comprising the amino acid sequence of SEQ ID NO: 2; and polypeptides comprising the amino acid sequence which have at least 70% identity to that of SEQ ID NO:2 over its entire length. Furthermore, TR2 also refers to a polypeptide which comprises a sequence which has 70% identity to a fragment of SEQ ID NO: 2. xe2x80x9cTR2 or TR2 polypeptide or TR2 proteinxe2x80x9d also includes derivatives, such as fusion proteins, of the above polypeptides, and some of these derivatives are further illustrated below.
xe2x80x9cTL2 or TL2 polypeptide or TL2 proteinxe2x80x9d refers, among others, generally to a polypeptide having the amino acid sequence set forth in SEQ ID NO:3 as well as polypeptides comprising the amino acid sequence of SEQ ID NO: 3; and polypeptides comprising the amino acid sequence which have at least 70% identity to that of SEQ ID NO:3 over its entire length. Furthermore, TL2 also refers to a polypeptide which comprises a sequence which has 70% identity to a fragment of SEQ ID NO: 3. xe2x80x9cTL2 or TL2 polypeptide or TL2 proteinxe2x80x9d also includes derivatives, such as fusion proteins, of the above polypeptides, and some of these derivatives are further illustrated below.
xe2x80x9cTL4 or TL4 polypeptide or TL4 proteinxe2x80x9d refers, among others, generally to a polypeptide having the amino acid sequence set forth in SEQ ID NO:4 as well as polypeptides comprising the amino acid sequence of SEQ ID NO: 4; and polypeptides comprising the amino acid sequence which have at least 70% identity to that of SEQ ID NO:4 over its entire length. Furthermore, TL4 also refers to a polypeptide which comprises a sequence which has 70% identity to a fragment of SEQ ID NO: 4. xe2x80x9cTL4 or TL4 polypeptide or TL4 proteinxe2x80x9d also includes derivatives, such as fusion proteins, of above polypeptides, and some of these derivatives are further illustrated below.
cDNA encoding polypeptide of SEQ ID NO:4 is contained in SEQ ID NO:5.
xe2x80x9cPolypeptidexe2x80x9d refers to any peptide or protein comprising two or more amino acids joined to each other by peptide bonds or modified peptide bonds, i.e., peptide isosteres. xe2x80x9cPolypeptidexe2x80x9d refers to both short chains, commonly referred to as peptides, oligopeptides or oligomers, and to longer chains, generally referred to as proteins. Polypeptides may contain amino acids other than the 20 gene-encoded amino acids. xe2x80x9cPolypeptidesxe2x80x9d include amino acid sequences modified either by natural processes, such as posttranslational processing, or by chemical modification techniques which are well known in the art. Such modifications are well described in basic texts and in more detailed monographs, as well as in a voluminous research literature. Modifications can occur anywhere in a polypeptide, including the peptide backbone, the amino acid side-chains and the amino or carboxyl termini. It will be appreciated that the same type of modification may be present in the same or varying degrees at several sites in a given polypeptide. Also, a given polypeptide may contain many types of modifications. Polypeptides may be branched as a result of ubiquitination, and they may be cyclic, with or without branching. Cyclic, branched and branched cyclic polypeptides may result from posttranslation natural processes or may be made by synthetic methods. Modifications include acetylation, acylation, ADP-ribosylation, amidation, covalent attachment of flavin, covalent attachment of a heme moiety, covalent attachment of a nucleotide or nucleotide derivative, covalent attachment of a lipid or lipid derivative, covalent attachment of phosphotidylinositol, cross-linking, cyclization, disulfide bond formation, demethylation, formation of covalent cross-links, formation of cystine, formation of pyroglutamate, formylation, gamma-carboxylation, glycosylation, GPI anchor formation, hydroxylation, iodination, methylation, myristoylation, oxidation, proteolytic processing, phosphorylation, prenylation, racemization, selenoylation, sulfation, transfer-RNA mediated addition of amino acids to proteins such as arginylation, and ubiquitination. See, for instance, PROTEINSxe2x80x94STRUCTURE AND MOLECULAR PROPERTIES, 2nd Ed., T. E. Creighton, W. H. Freeman and Company, New York, 1993 and Wold, F., Posttranslational Protein Modifications: Perspectives and Prospects, pgs. 1-12 in POSTTRANSLATIONAL COVALENT MODIFICATION OF PROTEINS, B. C. Johnson, Ed., Academic Press, New York, 1983; Seifter et al., xe2x80x9cAnalysis for protein modifications and nonprotein cofactorsxe2x80x9d, Meth Enzymol (1990) 182:626-646 and Rattan et al., xe2x80x9cProtein Synthesis: Posttranslational Modifications and Agingxe2x80x9d, Ann NY Acad Sci (1992) 663:48-62.
xe2x80x9cIdentityxe2x80x9d is a measure of the identity of nucleotide sequences or amino acid sequences. In general, the sequences are aligned so that the highest order match is obtained. xe2x80x9cIdentityxe2x80x9d per se has an art-recognized meaning and can be calculated using published techniques. See, e.g.: (COMPUTATIONAL MOLECULAR BIOLOGY, Lesk, A. M., ed., Oxford University Press, New York, 1988; BIOCOMPUTING: INFORMATICS AND GENOME PROJECTS, Smith, D. W., ed., Academic Press, New York, 1993; COMPUTER ANALYSIS OF SEQUENCE DATA, PART I, Griffin, A. M., and Griffin, H. G., eds., Humana Press, New Jersey, 1994; SEQUENCE ANALYSIS IN MOLECULAR BIOLOGY, von Heinje, G., Academic Press, 1987; and SEQUENCE ANALYSIS PRIMER, Gribskov, M. and Devereux, J., eds., M Stockton Press, New York, 1991). While there exist a number of methods to measure identity between two polynucleotide or polypeptide sequences, the term xe2x80x9cidentityxe2x80x9d is well known to skilled artisans (Carillo, H., and Lipton, D., SIAM J Applied Math (1988) 48:1073). Methods commonly employed to determine identity or similarity between two sequences include, but are not limited to, those disclosed in Guide to Huge Computers, Martin J. Bishop, ed., Academic Press, San Diego, 1994, and Carillo, H., and Lipton, D., SIAM J Applied Math (1988) 48:1073. Methods to determine identity and similarity are codified in computer programs. Preferred computer program methods to determine identity and similarity between two sequences include, but are not limited to, GCG program package (Devereux, J., et al., Nucleic Acids Research (1984) 12(1):387), BLASTP, BLASTN, FASTA (Atschul, S. F. et al., J Molec Biol (1990) 215:403).
As an illustration, by a polypeptide having an amino acid sequence having at least, for example, 70% xe2x80x9cidentityxe2x80x9d to a reference amino acid sequence of SEQ ID NO:2 is intended that the amino acid sequence of the polypeptide is identical to the reference sequence except that the polypeptide sequence may include up to thirty amino acid alterations per each 100 amino acids of the reference amino acid of SEQ ID NO: 2. In other words, to obtain a polypeptide having an amino acid sequence at least 70% identical to a reference amino acid sequence, up to 30% of the amino acid residues in the reference sequence may be deleted or substituted with another amino acid, or a number of amino acids up to 30% of the total amino acid residues in the reference sequence may be inserted into the reference sequence. These alterations of the reference sequence may occur at the amino or carboxy terminal positions of the reference amino acid sequence or anywhere between those terminal positions, interspersed either individually among residues in the reference sequence or in one or more contiguous groups within the reference sequence.
We have now discovered that TL2 of SEQ ID NO: 3 (otherwise known as TRAIL or Apo-2L, (Wiley S R, et al., Immunity (6):673-682 (1995); Pitt et al., J. Biol. Chem. 271: 12687-12690 (1996)) is a ligand of TR1 of SEQ ID NO:1 (otherwise known as osteoprotegerin (OPG), W. S. Simonet, et al., Cell, Vol 89, pp 309-319, 1997). Further, we also discovered that TL4 of SEQ ID NO: 4 is a ligand of TR2 of SEQ ID NO: 2 (described by R. I. Montgomery et al., Cell, Vol 87, pp427-436, 1996; Kwon et al., J. Biol. Chem. 272: 14272-14276 (1997); Hsu et al., J. Biol. Chem. 272:13471-13474 (1997))). Thus, the TR1 and TR2 polypeptides of the present invention, and their respective ligands, TL2 and TL4, can be employed in a screening process for compounds which bind to the receptors, or to their ligands, and which activate (agonists) or inhibit activation of (antagonists) TR1 and TR2 receptor polypeptides of the present invention, or their respective ligands TL2 and TL4. Thus, polypeptides of the invention may be used to assess the binding of small molecule substrates, receptors and ligands in, for example, cells, cell-free preparations, chemical libraries, and natural product mixtures. These substrates, receptors and ligands may be natural substrates and ligands, or may be structural or functional mimetics. See Coligan et al., Current Protocols in Immunology 1(2):Chapter 5 (1991).
TR1, TR2, TL2 and TL4 polypeptides are responsible for many biological functions, including many pathologies. Accordingly, it is desirous to find compounds and drugs which stimulate TR1, TR2, TL2 or TL4 on the one hand, and which can inhibit the function of TR1, TR2, TL2 or TL4 or remove TR1, TR2, TL2 or TL4 expressing cells on the other hand (also defined as antagonists). Antagonists for TR1, TR2, TL2, and TL4 (including agents which remove TR1, TR2, TL2 or TL4 expressing cells) may be employed for a variety of therapeutic and prophylactic purposes for such conditions as chronic and acute inflammation, arthritis, septicemia, autoimmune diseases (e.g. inflammatory bowel disease, psoriasis), transplant rejection, graft vs. host disease, infection, stroke, ischemia, acute respiratory disease syndrome, restenosis, brain injury, AIDS, Bone diseases, cancer (e.g. lymphoproliferative disorders), atheroschlerosis, and Alzheimers disease. Agonists can be employed for therapeutic and prophylactic purposes for such conditions responsive to activation of T cells and other components of the immune system, such as for treatment of cancer and AIDS. However, agonists can also be employed for inappropriate stimulation of T cells and other components of the immune system which leads to down modulation of immune activity with therapeutic or prophylactic application for conditions such, as chronic and acute inflammation, arthritis, septicemia, autoimmune diseases (e.g. inflammatory bowel disease, psoriasis), transplant rejection, graft vs. host disease, infection, stroke, ischemia, acute respiratory disease syndrome, restenosis, brain injury, bone diseases, atheroschlerosis, and Alzheimers disease.
Antagonists may be identified using assays to detect compounds which inhibit binding of TL2 to TR1 (or TL4 to TR2) in either cell-free or cell based assays. Suitable cell-free assays may be readily determined by one of skill in the art. For example, an ELISA format may be used in which purified TR1 (or TR2), or a purified derivative of TR1 (or TR2), such as a fusion protein, containing the extracellular domain of TR1 (or TR2), is immobilized on a suitable surface, either directly or indirectly (e.g., via an antibody to TR1 (or TR2) or to the fused epitope or protein domain) and candidate compounds are identified by their ability to block binding of purified soluble, extracellular domain of TL2 to TR1 (or soluble, extracellular domain of TL4 to TR2). The binding of TL2 to TR1 (or TL4 to TR2) could be detected by using a label directly or indirectly associated with TL2 (or TL4). Suitable detection systems include the streptavidin horseradish peroxidase conjugate, or direct conjugation by a tag, e.g., fluorescein. Conversely, purified, soluble TL2 (or TL4) may be immobilized on a suitable surface, and candidate compounds identified by their ability to block binding of purified TR1 to TL2 (or TR2 to TL4). The binding of TR1 to TL2 (or TR2 to TL4) could be detected by using a label directly or indirectly associated with TR1 (or TR2). Many other assay formats are possible that use the TR1 (or TR2) protein and its ligands.
Suitable cell based assays may be readily determined by one of skill in the art. In general, such screening procedures involve producing appropriate cells which express the receptor polypeptides (or ligands thereof) of the present invention on the surface thereof. Such cells include cells from mammals, yeast, Drosophila or E. coli. Cells expressing the receptor, such as TR1 or TR2, (or cell membrane containing the expressed receptor) are then contacted with a ligand, such as TL2 or TL4, or test compound to observe binding, or stimulation or inhibition of a functional response. The assays may simply test binding of a candidate compound wherein adherence to the cells bearing the receptor is detected by means of a label directly or indirectly associated with the candidate compound or in an assay involving competition with a labeled competitor, such as the ligands TL2 or TL4. Alternatively, cells expressing the ligand, such as TL2 or TL4, (or cell membrane containing the expressed ligand) are then contacted with a receptor, such as TR1 or TR2, or test compound to observe binding, or stimulation or inhibition of a functional response. Similarly, the assays may simply test binding of a candidate compound wherein adherence to the cells bearing the ligand is detected by means of a label directly or indirectly associated with the candidate compound or in an assay involving competition with a labeled competitor, such as the receptors TR1 and TR2. Further, these assays may test whether the candidate compound results in a signal generated by activation of the receptor (e.g TR1 or TR2) or its respective ligand (e.g. TL2 or TL4) using detection systems appropriate to the cells bearing the receptor or its ligand and fusion proteins thereof at their surfaces. Typical fusion partners include fusing the extracellular domain of the receptor or ligand with the intracellular tyrosine kinase domain of a second receptor. Inhibitors of activation are generally assayed in the presence of an agonist, such as the ligand TL2 or TL4 for cells expressing TR1 and TR2 receptors or receptor fusions respectively, or the receptor TR1 and TR2 with cells expressing TL2 and TL4 ligands and ligand fusions, and the effect on activation by the agonist by the presence of the candidate compound is observed. Standard methods for conducting such screening assays are well understood in the art.
Examples of potential TR1 or TR2 antagonists include antibodies or, in some cases, proteins which are closely related to the ligand of the TR1 or TR2, e.g., a fragment of the respective ligand TL2 or TL4, or small molecules which bind to the receptor, or its ligand, but do not elicit a response, so that the activity of the receptor is prevented. Examples of potential TR1 or TR2 agonists include antibodies that bind to TR1 or TR2, its respective ligand, such as TL2 or TL4, or derivatives thereof, and small molecules that bind to TR1 or TR2. These agonists will elicit a response mimicking all or part of the response induced by contacting the native ligand.
Since receptors may also invoke signals in cells expressing the membrane TL2 and TL4, these screens may also yield agonists which mimic the agonist activity of TR1 with membrane TL2 and TR2 with membrane TL4. Examples of potential TL2 or TL4 agonists include antibodies that bind to TL2 or TL4, its respective receptor, such as TR1 or TR2, or derivatives thereof, and small molecules that bind to TL2 or TL4. These agonists will elicit a response mimicking all or part of the response induced by contacting the native ligand. Alternatively, TR1 or TR2 may be expressed as a soluble protein, including versions which fuse all or part of TR1 or TR2 with a convenient partner peptide for which detection reagents are available, eg TR1-IgG or TR2-IgG fusions, and used in a solid state or solution phase binding assay. For example, the soluble TR1 or TR2 can be used to detect agonist or antagonist binding directly through changes that can be detected experimentally, eg surface plasmon resonance, nuclear magnetic resonance spectrometry, sedimentation, calorimetry. The soluble TR1 or TR2 can be used to detect agonist or antagonist binding indirectly by looking for competition of the candidate agonist or antagonist with a ligand, such as TL2 or TL4, whose binding can be detected. Ligand detection methods include antibody recognition, modification of the ligand via radioactive labeling, chemical modification (eg biotinylation), fusion to an epitope tag. Methods include ELISA based assays, immunoprecipitation and scintillation proximity.
Assays similar to those described above using soluble or membrane bound TR1 or TR2 may also be used to identify and purify additional natural ligand(s) of TR1 or TR2. These ligands may be agonists or antagonists of the receptor.
Thus the invention relates to:
I. A method for identifying agonists or antagonists to TR1 or TR2 comprising:
(a) contacting a candidate compound with TR1 or TR2 in the presence of labeled or unlabeled ligand TL2 or TL4 respectively; and
(b) assessing the ability of said candidate compound to compete with TL2 or TL4 binding to TR1 or TR2 respectively;
II. The method of I in which TR1 or TR2 is on the surface of a host cell, on a cell membrane or on a solid support;
III. The method of II for identifying agonists which further includes determining whether the candidate compound affects a signal generated by TR1 or TR2 polypeptide at the surface of the cell, wherein a candidate compound which increases production of said signal is identified as an agonist;
IV. An agonist identified by the method of I, II or III;
V. The method of II for identifying antagonists which further includes determining whether the candidate compound affects a signal generated by TR1 or TR2 polypeptide at the surface of the cell, wherein a candidate compound which diminishes production of said signal is identified as an antagonist;
VI. An antagonist identified by the method of I, II or V;
VII. A method for identifying agonists or antagonists to TL2 or TL4 comprising:
(a) contacting a candidate compound with TL2 or TL4 in the presence of labeled or unlabeled TR1 or TR2 respectively; and
(b) assessing the ability of said candidate compound to compete with TR1 or TR2 binding to TL2 or TL4 respectively;
VIII. The method of VII in which TL2 or TL4 is on the surface of a host cell, on a cell membrane or on a solid support;
IX. The method of VIII for identifying agonists to TL2 or TL4 which includes determining whether the candidate compound affects a signal generated by TL2 or TL4 polypeptide at the surface of the cell, wherein a candidate compound which increases production of said signal is identified as an agonist;
X. An agonist identified by the method of IX;
XI. The method of VIII for identifying antagonists which further includes determining whether the candidate compound affects a signal generated by TL2 or TL4 polypeptide at the surface of the cell, wherein a candidate compound which diminishes production of said signal is identified as an antagonist; and
XII. An antagonist identified by the method XI.
Thus in another aspect, the present invention relates to a screening kit for identifying agonists, antagonists, ligands, receptors, substrates, enzymes, etc. for TR1, TR2, TL2 or TL4 polypeptides; which comprises:
(a) a TR1, TR2, TL2 or TL4 polypeptide, preferably that of SEQ ID NO:1, 2, 3 or 4;
(b) a recombinant cell expressing a TR1, TR2, TL2 or TL4 polypeptide, preferably that of SEQ ID NO: 1, 2, 3or 4;
(c) a cell membrane expressing a TR1, TR2, TL2 or TL4 polypeptide; preferably that of SEQ ID NO: 1,2,3 or4; or
(d) antibody to a TR1, TR2, TL2 or TL4 polypeptide, preferably that of SEQ ID NO: 1, 2, 3 or 4. It will be appreciated that in any such kit, (a), (b), (c) or (d) may comprise a substantial component.
Prophylactic and Therapeutic Methods
This invention provides methods of treating an abnormal conditions related to both an excess of and insufficient amounts of TR1, TR2, TL2 or TL4 polypeptide activity.
If the activity of TR1, TR2, TL2 or TL4 polypeptide is in excess, several approaches are available. One approach comprises administering to a subject an inhibitor compound (antagonist) as hereinabove described along with a pharmaceutically acceptable carrier in an amount effective to inhibit activation by blocking binding of ligands to the TR1 or TR2 polypeptide, or by inhibiting a second signal, and thereby alleviating the abnormal condition.
In another approach, soluble forms of TR1 or TR2 polypeptides still capable of binding the ligand in competition with endogenous TR1 or TR2 polypeptide may be administered. Typical embodiments of such competitors comprise fragments of the TR1 or TR2 polypeptide.
For treating abnormal conditions related to an under-expression of TR1, TR2, TL2 or TL4 and its activity, several approaches are also available. One approach comprises administering to a subject a therapeutically effective amount of a compound which activates TR1, TR2, TL2 or TL4 polypeptide, i.e., an agonist as described above, in combination with a pharmaceutically acceptable carrier, to thereby alleviate the abnormal condition.
Formulation and Administration
Agonists and antagonist of TR1, TR2, TL2 or TL4 may be formulated in combination with a suitable pharmaceutical carrier. Such formulations comprise a therapeutically effective amount of the polypeptide or compound, and a pharmaceutically acceptable carrier or excipient. Such carriers include but are not limited to, saline, buffered saline, dextrose, water, glycerol, ethanol, and combinations thereof. Formulation should suit the mode of administration, and is well within the skill of the art. The invention further relates to pharmaceutical packs and kits comprising one or more containers filled with one or more of the ingredients of the aforementioned compositions of the invention.
Polypeptides and other compounds of the present invention may be employed alone or in conjunction with other compounds, such as therapeutic compounds.
Preferred forms of systemic administration of the pharmaceutical compositions include injection, typically by intravenous injection. Other injection routes, such as subcutaneous, intramuscular, or intraperitoneal, can be used. Alternative means for systemic administration include transmucosal and transdermal administration using penetrants such as bile salts or fusidic acids or other detergents. In addition, if properly formulated in enteric or encapsulated formulations, oral administration may also be possible. Administration of these compounds may also be topical and/or localized, in the form of salves, pastes, gels and the like.
The dosage range required depends on the choice of peptide or compound, the route of administration, the nature of the formulation, the nature of the subject""s condition, and the judgment of the attending practitioner. Suitable dosages, however, are in the range of 0.1-100 xcexcg/kg of subject. Wide variations in the needed dosage, however, are to be expected in view of the variety of compounds available and the differing efficiencies of various routes of administration. For example, oral administration would be expected to require higher dosages than administration by intravenous injection. Variations in these dosage levels can be adjusted using standard empirical routines for optimization, as is well understood in the art.