阅读说明：本技术 去整合蛋白变异体及其用途 (Variants of disintegrin and uses thereof ) 是由 黄德富 郭育汝 庄伟哲 于 2017-08-09 设计创作，主要内容包括：在此揭示去整合蛋白变异体,以及用以抑制或抑止亟需此去整合蛋白变异体的个体体内血小板聚集的方法。所述方法包含对该个体施予一有效量的本发明去整合蛋白变异体,以减缓或改善与血小板聚集造成的疾病、病状及/或病症相关的病征。依据较佳实施方式,本发明去整合蛋白变异体是被涂覆于诸如支架或导管等植入式装置的表面上。(Variants of disintegrin are disclosed, as are methods for inhibiting or suppressing platelet aggregation in a subject in need thereof. The methods comprise administering to the subject an effective amount of a disintegrin variant of the invention to alleviate or ameliorate symptoms associated with diseases, conditions and/or disorders caused by platelet aggregation. According to a preferred embodiment, the inventive deitegrin variants are coated on the surface of an implantable device, such as a stent or catheter.)

1. A variant of a disintegrin comprising:

(a) a linker having a sequence number selected from the group consisting of: 1. 4, 7, 8 and 9;

(b) an RGD loop having a sequence selected from the group consisting of seq id no: 10. 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 24, and 25; and

(c) a C-terminus having a sequence selected from the group consisting of seq id no: 3. 6, 21, 22 and 23.

2. The disintegrin variant of claim 1, wherein the disintegrin is labrin, agkistrodon halys, mexican west coast antinocidin, major orifice aikensin, minor head aikensin, arizona black antinocidin, hornantinocidin, west shiitake back antinocidin, south mezzanin, warfarin, acustosin, yellow green bamboo leaf aikensin, yellow green bamboo leaf inhibin, white eyebrow viper, harzilin, American spearhead ampelin, pallas, phyllolin, leaf forest antinocidin, large basin aikensin, black tail antinocidin, malayamin, white eyebrow snake, harzilin, grass proauenin, yellow green bamboo leaf snake venom, protospearhead aidin, protospearhead agkistrodon halys enzyme, black head agkistrodon halys venom or red eyebrow.

3. The variant de-integrins of claim 1, wherein the variant de-integrins comprises:

(a) sequence number: 1;

(b) sequence number: 10-20 of any RGD loop; and

(c) sequence number: 3. 21, 22 and 23.

4. The variant de-integrin of claim 3, wherein the variant de-integrin comprises the amino acid sequence of seq id no: 1, sequence number: RGD loop of 14, and sequence number: 21C terminal.

5. The variant de-integrins of claim 1, wherein the variant de-integrins comprises:

(a) sequence number: 7;

(b) sequence number: the RGD loop of 13 or 18; and

(c) sequence number: 3. 21 or 22.

6. The variant de-integrin of claim 1, wherein the variant de-integrin comprises the amino acid sequence of seq id no: 8, sequence number: RGD loop of 14, and sequence number: 21C terminal.

7. The variant de-integrins of claim 1, wherein the variant de-integrins comprises:

(a) sequence number: 9, a linker;

(b) sequence number: the RGD loop of 14 or 20; and

(c) sequence number: 3. 21 or 23.

8. The variant de-integrin of claim 1, wherein the variant de-integrin comprises the amino acid sequence of seq id no: 4, sequence number: the RGD loop of 24 or 25, and sequence numbering: 6, C-terminal.

9. The variant deitegrin of claim 1 further comprising a polyethylene glycol chain having 2-20 ethylene glycol repeating units attached to the N-terminus of the variant deitegrin.

10. A pharmaceutical composition comprising the variant deitegrin of claim 1 and a pharmaceutically acceptable carrier.

11. The pharmaceutical composition of claim 10, wherein the variant disintegrin comprises the amino acid sequence of seq id no: 1, sequence number: RGD loop of 14, and sequence number: 21C terminal.

12. The pharmaceutical composition of claim 10, wherein the N-terminus of the variant deintegration protein further comprises a polyethylene glycol chain having 2-20 ethylene glycol repeating units attached thereto.

13. A method of treating a subject having or suspected of having a disease caused by platelet aggregation comprising administering to the subject an effective amount of the pharmaceutical composition of claim 10 to alleviate or alleviate symptoms associated with the disease.

14. The method of claim 13, wherein the disease is a thrombotic disease.

15. The method of claim 14, wherein the thrombotic disorder is selected from the group consisting of abrupt vessel closure (angioplasty) or stent placement, atherosclerotic thrombus, acute thrombotic stroke (acute thrombosis), myocardial infarction (myocardial infarction), peripheral vascular surgery-induced thrombus (thrombotic dependent vascular surgery), unstable angina (unstable angina), and venous thrombosis (venous thrombosis).

16. The method of claim 13, further comprising administering to the subject an anticoagulant.

17. The method of claim 16, wherein the anticoagulant is selected from the group consisting of abciximab (abciximab), apixaban (apixaban), aspirin (aspirin), clopidogrel (clopidogrel), dipyridamole (dipyridamole), edoxaban (edoxaban), eptifibatide (eptifibatide), rivaroxaban (rivaroxaban), tirofiban (tirofiban), ticlopidine (ticlopidine), warfarin (warfarin), and vitamin k (vitamin k).

18. The method of claim 13, wherein the deaggregate variant comprises the amino acid sequence set forth in seq id no: 1, sequence number: RGD loop of 14, and sequence number: 21C terminal.

19. The method of claim 18, wherein the N-terminus of the disintegrin variant further comprises a polyethylene glycol chain having 2-20 ethylene glycol repeat units.

20. The method of claim 18, wherein the variant deintegration protein is coated on the surface of an implantable device.

21. The method of claim 20, wherein the implantable device is a stent or a catheter.

22. Use of a variant of disintegrin for the preparation of a medicament for the treatment of a disease caused by platelet aggregation, wherein the variant of disintegrin comprises:

(a) a linker having a sequence number selected from the group consisting of: 1. 4, 7, 8 and 9;

(b) an RGD loop having a sequence selected from the group consisting of seq id no: 10. 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 24, and 25; and

(c) a C-terminus having a sequence selected from the group consisting of seq id no: 3. 6, 21, 22 and 23.

23. The use of claim 22, wherein the disintegrin is labrin, agkistrodon japonicas, jalapine, maesalin, abamectin, arizona black abrotanin, hakusetin, cisatrasin, mauritin, maesamin, saxatilin, jalapine, jatroxin, saxatilin, jalapatin, saxatilin, jalapine, saxatilin, maxatilin, saxatilin, saxa.

24. The use of claim 22, wherein the variant de-integrin comprises:

(a) sequence number: 1;

(b) sequence number: 10-20 of any RGD loop; and

(c) sequence number: 3. 21, 22 or 23.

25. The use of claim 24, wherein the variant de-integrin comprises the amino acid sequence of seq id no: 1, sequence number: RGD loop of 14, and sequence number: 21C terminal.

26. The use of claim 22, wherein the variant de-integrin comprises:

(a) sequence number: 7;

(b) sequence number: the RGD loop of 13 or 18; and

(c) sequence number: 3. 21 or 22.

27. The use of claim 22, wherein the variant de-integrin comprises the amino acid sequence of seq id no: 8; sequence number: the RGD loop of 14; and sequence number: 21C terminal.

28. The use of claim 22, wherein the variant de-integrin comprises:

(a) sequence number: 9, a linker;

(b) sequence number: the RGD loop of 14 or 20; and

(c) sequence number: 3. 21 or 23.

29. The use of claim 22, wherein the variant de-integrin comprises the amino acid sequence of seq id no: 4; sequence number: the RGD loop of 24 or 25, and sequence numbering: 6, C-terminal.

30. The use of claim 22, further comprising a polyethylene glycol chain having 2-20 ethylene glycol repeat units attached to the N-terminus of the disintegrin variant.

31. A variant of disintegrin for use in treating a disease caused by platelet aggregation, wherein the variant of disintegrin comprises:

(a) a linker having a sequence number selected from the group consisting of: 1. 4, 7, 8 and 9;

(b) an RGD loop having a sequence selected from the group consisting of seq id no: 10. 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 24, and 25; and

(c) a C-terminus having a sequence selected from the group consisting of seq id no: 3. 6, 21, 22 and 23.

32. The disintegrin variant for use of claim 31, wherein the disintegrin is labrin, agkistrodon halys, mexican west coast antinocidin, major naja pallidum, major cephalad antinocidin, arizona black antinocidin, hornantinocidin, west shiitake back antinocidin, south mezzanin, hua-gang snake toxin, major nasal pallidum, yellow green bamboo leaf celastrin, yellow green bamboo leaf inhibin, white eyebrow pallidum, harrissin, American spearhead pallidum inhibin, snake toxin, leaf forest ventral, large basin bamboo leaf antinocidin, black tail snake, malaysia snake venom protein, white snake venom, harrissin, grass-head antinocidin, yellow green snake venom toxin, pro-head pallidum, spearhead pallidum, black tail snake venom, black head pallidum, black snake venom pallidum or skin snake venom.

33. The variant de-integrins for use according to claim 31, wherein the variant de-integrins comprises:

(a) sequence number: 1;

(b) sequence number: 10-20 of any RGD loop; and

(c) sequence number: 3. 21, 22 or 23.

34. The variant de-integrins for use according to claim 33, wherein the variant de-integrins comprises the amino acid sequence of seq id no: 1, sequence number: RGD loop of 14, and sequence number: 21C terminal.

35. The variant de-integrins for use according to claim 31, wherein the variant de-integrins comprises:

(a) sequence number: 7;

(b) sequence number: the RGD loop of 13 or 18; and

(c) sequence number: 3. 21 or 22.

36. The variant de-integrins for use according to claim 31, wherein the variant de-integrins comprises the amino acid sequence of seq id no: 8; sequence number: the RGD loop of 14; and sequence number: 21C terminal.

37. The variant de-integrins for use according to claim 31, wherein the variant de-integrins comprises:

(a) sequence number: 9, a linker;

(b) sequence number: the RGD loop of 14 or 20; and

(c) sequence number: 3. 21 or 23.

38. The variant de-integrins for use according to claim 31, wherein the variant de-integrins comprises the amino acid sequence of seq id no: 4; sequence number: the RGD loop of 24 or 25, and sequence numbering: 6, C-terminal.

39. The disintegrin variant for use according to claim 31, further comprising a polyethylene glycol chain having 2-20 ethylene glycol repeat units and attached to the N-terminus of the disintegrin variant.

Technical Field

The present invention relates to novel variants of disintegrin and their use in inhibiting platelet aggregation and platelet activation in a subject.

Background

Platelets are involved in a variety of physiological and pathological regulatory mechanisms in humans, such as atherosclerosis thrombosis (atherothrombosis), stem cell migration (stem cell migration), tumor metastasis (tumor metastasis), and arthritis (arthritis). Activation of platelets at inflamed endothelial cells contributes to vascular inflammation and vascular wall remodeling. Platelets can react with vascular endothelium, thereby affecting physiological/pathological responses such as inflammation, thrombosis, and atherosclerosis mediated by platelet and endothelial/leukocyte interactions. Platelets can cause an inflammatory response in cells such as monocytes, neutrophils, endothelial cells or endothelial progenitor cells to initiate major inflammatory mechanisms such as attachment, chemotaxis (chemotaxis), metastasis, thrombosis, or differentiation of monocytes into macrophages or foam cells (foam cells).

Platelet activation plays an important role in the inflammatory response and in the initiation of atherosclerosis. Cardiovascular diseases (CVDs), such as development of atherosclerosis and thrombosis, are all associated with abnormal or excessive activation of platelets, which are often regarded as independent risk factors for CVD. Acetylsalicylic acid (also known as aspirin) is the first generation antiplatelet agent that irreversibly inhibits the action of the COX1 enzyme in the arachidonic acid (arachidonic acid) pathway by acetylating (acetylation) the activation site of the cyclooxygenase 1 (COX 1) enzyme. Patients with a porridge-like arteriosclerotic thrombus and a high risk of subsequent myocardial infarction, stroke, or vascular death are at a reduced risk of developing aspirin over a prolonged period of time (about 20% -25%, paterono et al, 2004Chest 126,234S-264S). However, the risk of bleeding still greatly limits the clinical application of antiplatelet therapies. Even though novel antiplatelet agents such as clopidogrel (clopidogrel) and ticagrelor (ticagrelor) have the potential to treat CVD, bleeding remains a clinical issue to be overcome. Researchers are still working on finding a balance between bleeding problems caused by antiplatelet agents and their therapeutic efficacy.

In view of the above, there is a need in the art for agents that inhibit (suppress) or inhibit (inhibit) platelet aggregation and/or activation without the risk of inducing bleeding, and for the development of drugs that can be used to treat diseases, conditions and/or disorders caused by platelet aggregation.

Disclosure of Invention

Drawings

The invention comprises at least one color graphic representation. Any person can pay a certain fee and apply to the competent organization to obtain the patent with color graphic representation or the disclosure thereof.

The foregoing and other objects, features, advantages and embodiments of the invention will be apparent from the following more particular description of the invention, as illustrated in the accompanying drawings. The invention may be further understood by reference to the following drawings, in which:

fig. 1A-1C inhibit collagen-induced platelet aggregation responses in vitro (a) and ex vivo (B-C) with saline (control), pro-spearhead complex T/KRRR variant (RR) or Ept (mean ± standard deviation, error bars, n-8, P <0.001 compared to control, as analyzed by Dunnett's test) according to one embodiment of the present invention.

FIGS. 1D-1E compare RR and saline (control) inhibition of FeCl in mice according to an embodiment of the present invention₃The efficacy of the induced carotid thrombosis. The results were that mice were FeCl-free₃Induce the generation of carotid thrombosis (E) and its typical arterial blood flow map (D). (mean ± standard deviation, error bars, compare to control,. times.p;)<0.001, analyzed by Dunnett's test).

FIG. 1F is a schematic view of an embodiment of the present inventionOne embodiment is via FeCl₃Treated tissue section of carotid artery

FIG. 1G compares the effect of normal saline (CTL), prospearhead complex T/KRRR variant (RR) or eptifibatide treatment on tail bleeding time in mice according to one embodiment of the present invention. Each symbol represents bleeding time of each mouse. (mean ± standard deviation, error bars, vs control,. P <0.001, analyzed by Dunnett's test; n.s, not significant).

Detailed Description

In order to make the description of the invention more complete and thorough, the following illustrative description is set forth in terms of embodiments and specific examples of the invention; it is not intended to be the only form in which the embodiments of the invention may be practiced or utilized. The embodiments are intended to cover the features of the various embodiments as well as the method steps and sequences for constructing and operating the embodiments. However, other embodiments may be utilized to achieve the same or equivalent functions and step sequences.

1. Definition of

The following are some of the words used in the present invention. Unless defined otherwise, all technical and scientific terms have the same meaning as commonly understood by one of ordinary skill in the art.

In the present invention, the position of a specific amino acid in a peptide is numbered from the N-terminus of the peptide. Unless the invention indicates a particular isomer, where an amino acid is not designated as a D-or L-amino acid, that amino acid may be an L-amino acid, or may be a D-or L-amino acid. "D-amino acid" (D-amino acid) and "L-amino acid" (L-amino acid) refer to the absolute configuration of amino acids, not to a specific rotation direction of a plane of polarization. The use of the present invention is consistent with standard usage by those skilled in the art. The invention uses standard single letter codes to specify amino acids, such as the single letter code specified in the standard ST.25 of the Handbook of Industrial Property Information and Documentation (Handbook of Industrial Property Information and document).

The present invention and inventive concepts also encompass minor variations in the amino acid sequence of a protein/peptide without affecting the physiological activity of the protein/peptide. For example, certain amino acids are altered and/or deleted without affecting the physiological activity of the peptide (i.e., the ability to treat diseases and/or disorders caused by platelet aggregation). In particular, conservative amino acid substitutions are also included. Conservative substitutions are substitutions between amino acids with similar/related side chains. In general, the amino acids encoded by a gene can be divided into four major classes: (1) acidic amino acids, i.e., aspartic acid (aspartate), glutamic acid (glutamate); (2) basic amino acids, i.e., lysine (lysine), arginine (arginine), histidine (histidine); (3) nonpolar amino acids, i.e., alanine (alanine), valine (valine), leucine (leucine), isoleucine (isoleucine), proline (proline), phenylalanine (phenylalanine), methionine (methionine), tryptophan (tryptophan); and (4) non-polar amino acids, i.e., glycine (glycine), asparagine (asparagine), glutamine (glutamine), cysteine (cysteine), serine (serine), threonine (threonine), tyrosine (tyrosine). The preferred classifications are: serine and threonine are aliphatic-hydroxy groups; asparaginic acid and glutamine are amides (amides-containing); alanine, valine, leucine and isoleucine are fats; phenylalanine, tryptophan and tyrosine belong to aromatic (aromatic) group. For example, it is expected that substitution of isoleucine or valine for leucine, glutamic for aspartic acids, serine for threonine, or a structurally similar amino acid for another does not result in significant changes in molecular binding or protein properties, particularly where the substitution is not in a framework region, and substitution between amino acids does not affect the properties. Whether an amino acid change results in a functional peptide can be determined by examining the specific activity of the peptide derivative.

"polypeptide" and "protein" are words of interchangeable use in the present specification and refer to proteins produced by natural and non-recombinant cells, genetically engineered or recombinant cells, or by chemical synthesis and include molecules in which one or more amino acids have been substituted, deleted and/or inserted in the natural sequence. According to embodiments of the invention, a disintegrin variant is a polypeptide or protein comprising a modified TMV-7 and a modified Rho, or a fragment thereof, that inhibits the activity of integrin α IIb β 3(integrin α IIb β 3).

The term "disintegrin" refers to a snake venom purified protein that structurally comprises at least a linker region, an arginine-glycine-aspartic acid (RGD) domain at the top of the flexible loop of the integrin binding domain, and a C-terminus. All deintegrates purified from snake venom selectively bind to fibrinogen receptors (fibrinogen receptors), such as α IIb β 3 integrin, to inhibit fibrinogen-associated platelet aggregation and other fibrinogen receptor mediated biological activities. The disintegrin thus blocks fibrinogen-related reactions and acts as a platelet aggregation inhibitor.

A "disintegrin variant" refers to a functionally active protein, polypeptide or derivative thereof comprising an amino acid sequence modified or mutated by a wild-type disintegrin (e.g., Rho or TMV-7). According to embodiments of the invention, a functionally active disintegrin variant specifically binds to and inhibits the activity of integrin α IIb β 3. The inventive variants of the disintegrin may be constructed by methods known to those skilled in the art, such as site-directed mutagenesis or Polymerase Chain Reaction (PCR). Variants may comprise insertions, additions, deletions or substitutions compared to the reference peptide. Variants of the polypeptide sequence include biologically active polytypes of variants.

In certain embodiments of the invention, a disintegrin variant comprises a modified TMV-7 protein, wherein the modified TMV-7 protein comprises at least one amino acid substitution, insertion, or deletion as compared to native TMV-7 (or wild-type TMV-7). In other embodiments of the invention, the deintegration variant comprises a modified Rho protein comprising at least one amino acid substitution, insertion, or deletion compared to the native Rho (or wild-type Rho).

"one linker region" (a link)er region) refers to the region of the disintegrin immediately adjacent to the N-terminus of the RGD loop. For example, the linker region of TMV-7 includes the sequence number: 1(⁴¹KKKRT), and the linker region of Rho comprises the amino acid sequence of SEQ ID NO: 4(³⁹SRAGK). According to a preferred embodiment of the present invention, the variant deintegration protein comprises a mutated linker region, which is represented by seq id no: 1(⁴¹KKKRT) amino acid sequence comprising at least one mutation in residue positions 1 to 5. Preferably, the variant disintegrin comprises a mutant linker comprising the sequence of seq id no: 7. 8 or 9. Alternatively, the inventive disintegrin variants include a native linker region of TMV-7 or Rho, rather than a mutant linker.

The term "RGD loop" (RGD loop) refers to an RGD domain of a disintegrin. For example, the RGD loop of TMV-7 includes the sequence number: 2(⁵⁰Arggdnp), and the RGD loop of Rho comprises the amino acid sequence of seq id no: 5(⁴⁸PRGDMP). According to some embodiments of the invention, the variant disintegrin comprises a mutated RGD loop from TMV-7, numbered: 2(⁵⁰Arggdnp) comprises at least one mutation in residue positions 1 to 6 of the amino acid sequence; more preferably, the variant disintegrin comprises an amino acid sequence selected from the group consisting of seq id no: 11. 12, 13, 14, 15, 16, 17, 18, 19 and 20. According to another embodiment of the present invention, the variant disintegrin comprises a mutated RGD loop from Rho, numbered: 5(⁴⁸PRGDMP) amino acid sequence comprising at least one mutation in residue positions 1 to 6; more preferably, the variant disintegrin comprises the sequence of seq id no: 24 or 25.

The term "C-terminal" (C-term) refers to the C-terminal amino acid sequence of a disintegrin. For example, the C-terminus of TMV-7 includes the sequence number: 3(⁶⁷PRNGLYG), and the C-terminus of Rho comprises the sequence of seq id no: 6(⁶⁵PRYH) in a sequence listing. According to some embodiments of the invention, the variant disintegrin comprises a mutant C-terminus derived from TMV-7, which is represented by seq id no: 3(⁶⁷PRNGLYG) comprises at least one mutation in residue positions 1 to 7 of the amino acid sequence; more preferably, the variant disintegrin comprises an amino acid sequence selected from the group consisting of seq id no: 6. 21, 22 and 23. Alternatively, the disintegrin variant includes a native C-terminus of TMV-7 (SEQ ID NO: 3) or a native C-terminus of Rho (SEQ ID NO: 6), rather than a mutated C-terminus.

According to a preferred embodiment of the present invention, the variant of the disintegrin of the present invention comprises a mutant RGD. Additionally or alternatively, the inventive disintegrin variants further comprise a mutant linker and/or a mutant C-terminus of the disintegrin.

“IC₅₀The term "refers to the concentration of the disintegrin or variant thereof which inhibits 50% of biological responses such as platelet aggregation or cell attachment activity.

In the present specification, the term "treatment" refers to obtaining a desired medical and/or physiological effect, e.g., delaying or inhibiting platelet aggregation and/or platelet activation. The effect may be prophylactic, i.e. the complete or partial prevention of a disease or a sign thereof; and/or is a therapeutic, i.e., a partial or complete cure for a disease and/or the discomfort it causes. The term "treatment" as used herein includes preventing, treating or ameliorating a disease in a mammal, particularly a human; the treatment comprises: (1) preventing, treating, or ameliorating the risk of a disease or disorder (e.g., a disease or disorder associated with platelet aggregation) in a subject who is at high risk for the disease or who has suffered from the disease and has not yet been diagnosed; (2) inhibiting a disease (e.g., inhibiting its occurrence); or (3) alleviating a disease (e.g., alleviating symptoms associated with the disease).

The term "administering" in this specification refers to a mode of delivery, including but not limited to intravenous, intramuscular, intraperitoneal, intraarterial, or subcutaneous administration of an agent (e.g., a compound or composition). In certain embodiments, the present disintegrin variants are formulated as a powder that can be mixed with a suitable carrier (e.g., buffer solution) prior to use (e.g., prior to intravenous injection). In other embodiments, the inventive disintegrin variants are applied directly or coated onto an angioplasty stent (e.g., a coronary vascular stent or a vascular stent) or stent graft used in vascular surgery.

The term "effective amount" as used herein refers to an amount of a compound that produces a desired response over a specified period of time to treat a disease caused by platelet aggregation. For example, in the treatment of a thrombotic disorder, an agent that reduces, prevents, delays or inhibits any of the signs associated with thrombotic disease (i.e., a disintegrin variant of the invention) is an effective amount of the agent. An effective amount of an agent does not necessarily cure a disease or condition, but can treat a disease or condition to delay, prevent or prevent the occurrence of the disease or condition, or to slow the symptoms of the disease or condition. The specific effective amount will depend upon a variety of factors such as the particular condition being treated, the physiological condition of the patient (e.g., the patient's weight, age or sex), the type of mammal or animal being treated, the duration of treatment, the nature of current therapy (if any), and the specific formulation employed and the structure of the compound or derivative thereof. An effective amount may be expressed as the total weight of the drug (e.g., in grams, milligrams, or micrograms) or as the ratio of the weight of the drug to the body weight in milligrams per kilogram (mg/kg)). An effective amount may be formulated as a dosage for 1, 2 or more administrations in a suitable form, and 1, 2 or more administrations at specific time intervals.

An "individual" (subject) or "patient" (patient) refers to an animal, including a human, that is amenable to treatment with the compositions and/or methods of the present invention. Unless a single sex is specifically indicated, "individual" (subject) or "patient" (patient) means both male and female. Thus, "subject" or "patient" includes any mammal that is amenable to treatment. An "individual" (subject) or "patient" (patient) includes, but is not limited to, humans, rats, mice, guinea pigs, monkeys, pigs, sheep, cattle, horses, dogs, cats, birds, and poultry. In an embodiment of the present invention, the patient is a human.

The term "pharmaceutically acceptable" refers to molecules and compositions that, when administered to a subject (e.g., a human), do not produce an adverse or undesired response (e.g., a toxic or allergic response).

"excipient" (excipient) and "carrier" (carrier) are words of art which are interchangeable herein and refer to any inert substance (e.g., powder or liquid) which forms a carrier for a living pharmaceutical agent. Excipients are generally safe, non-toxic substances and, in a broad sense, may comprise any of the substances known in the pharmaceutical industry for the preparation of pharmaceutical compositions, such as fillers, diluents, aggregates, binding agents, lubricants, glidants, stabilizers, colorants, wetting agents, disintegrants and the like.

Although numerical ranges and parameters setting forth the broad scope of the invention are approximate, the values set forth in the specific examples are presented as precisely as possible. Any numerical value, however, inherently contains certain standard deviations found in their respective testing measurements. As used herein, "about" generally means that the actual value is within plus or minus 10%, 5%, 1%, or 0.5% of a particular value or range. Alternatively, the term "about" means that the actual value falls within the acceptable standard error of the mean, as considered by those skilled in the art. Except in the experimental examples, or where otherwise expressly indicated, it is to be understood that all ranges, amounts, values and percentages herein used (e.g., to describe amounts of materials, length of time, temperature, operating conditions, quantitative ratios, and the like) are to be modified by the word "about". Accordingly, unless indicated to the contrary, the numerical parameters set forth in the specification and attached claims are approximations that may vary depending upon the desired properties sought to be obtained. At the very least, these numerical parameters are to be understood as meaning the number of significant digits recited and the number resulting from applying ordinary carry notation. Here, the numerical ranges are indicated from one end point to another or between two end points; unless otherwise indicated, all numerical ranges recited herein are inclusive of the endpoints.

As used herein, the singular noun ("a," "an" or "the") encompasses the plural form of that noun without conflict with the context; the use of plural nouns also covers the singular form of such nouns.

2. Detailed description of the preferred embodiments

2.1 disintegrin variants

The present invention is at least in part the unexpected discovery by the gene inventors that variants of disintegrin derived from TMV-7 or Rho inhibit or inhibit platelet aggregation without affecting physiological hemostasis. Accordingly, the inventive variants of disintegrin may be potential candidates for developing drugs that may be used to treat diseases, conditions and/or disorders caused by platelet aggregation.

The invention thus encompasses a variant of a disintegrin, a pharmaceutical composition comprising the variant of a disintegrin, the manufacture of a medicament for the prevention or treatment of thrombosis or a disease caused by thrombosis in a subject or patient. The results of the present study show that the inventive disintegrin variants inhibit platelet aggregation or activation and inhibit thrombosis in a living body without affecting bleeding time.

A first aspect of the invention relates to disintegrin variants derived from snake venom (e.g., Rho and TMV-7) that target integrin α IIb β 3, respectively. The present invention relates to a variant of disintegrin capable of binding to integrin α IIb β 3, which is prepared by mutating at least one amino acid residue in the linker region, RGD loop and/or C-terminus of disintegrin.

Thus, the inventive deaggregate variants structurally comprise at least one mutated RGD loop derived from TMV-7 or Rho. For example, a disintegrin variant of the invention may comprise a mutated RGD loop relative to a native RGD domain (e.g., the RGD domain of TMV-7: (a)⁵⁰Arggdnp, sequence No.: 2) and RGD domain of Rho (RGD)⁴⁸PRGDMP, sequence number: 5) the amino acid sequence of the mutated RGD loop comprises at least one substituted and/or deleted amino acid. Exemplary such variants include, but are not limited to, variants of the invention having a mutated RGD loop, wherein the amino acid sequence of the mutated RGD loop is selected from the group consisting of seq id no: 10. 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 24 and 25。

Additionally or alternatively, the inventive deintegration variants may further comprise a mutant linker and/or a mutant C-terminus of the deintegration protein. For example, in addition to the mutated RGD loop described above, a disintegrin variant may include a mutated linker region, where the linker region is compared to the native linker region (e.g., the linker region of TMV-7: (a)⁴¹KKKRT, sequence No.: 1) and a linking region of Rho: (³⁹SRAGK, sequence number: 4) the amino acid sequence of the mutant linker comprises at least one substituted and/or deleted amino acid. Exemplary such variants include, but are not limited to, those having the mutated RGD loop described above and a mutated linker wherein the amino acid sequence of the mutated linker is selected from the group consisting of seq id no: 7. 8 and 9.

In other embodiments, in addition to the mutated RGD loop described above, the deitegrin variant further includes a mutated C-terminus, wherein the C-terminus is (e.g., C-terminus of TMV-7) compared to the native C-terminus⁶⁷PRNGLYG, sequence number: 3) and the C-terminus of Rho: (⁶⁵PRYH, sequence No.: 6) the amino acid sequence of the mutant C-terminal comprises at least one substituted and/or deleted amino acid. Exemplary such variants include, but are not limited to, those having the mutated RGD loop described above and a mutated C-terminus, wherein the mutated C-terminus amino acid sequence is selected from the group consisting of seq id no: 21. 22 and 23.

Furthermore, in any of the variants described above, in addition to the mutated RGD loop, a native linker region (i.e., SEQ ID NO: 1 or 4) and/or a native C-terminus (i.e., SEQ ID NO: 3 or 6) of the particular disintegrin may be included.

According to some embodiments, the inventive deaggregate variants comprise in structure a sequence number: 7, a sequence number: 13 or 18, and a sequence numbered: 3. 21 or 22.

According to other embodiments, the inventive deaggregate variant structurally comprises a sequence number: 8, a sequence number: 14, and a sequence numbering: 21, mutant C-terminus.

According to some embodiments, the inventive deaggregate variants comprise in structure a sequence number: 9, a mutated linker of seq id no: 14 or 20, and a sequence numbered: 3. 21 or 22.

According to other embodiments, the inventive deaggregate variant structurally comprises a sequence number: 4, a sequence number: 24 or 25, and a sequence numbered: 6, C-terminal.

According to a preferred embodiment, the deintegration variant of the present invention structurally comprises a sequence of seq id no: 1, an amino acid sequence selected from the group consisting of seq id nos: 10 to 20, and a sequence number: 21. 22 or 23. Alternatively, the deintegration variants of these embodiments comprise in structure a sequence number: 1, an amino acid sequence selected from the group consisting of seq id no: 10 to 20, and a sequence number: 3, natural C-terminus. Preferably, the variant disintegrin structurally comprises a sequence of seq id no: 1, a native linker having the sequence number: 14, and a sequence numbering: 21, mutant C-terminus.

According to other embodiments, the inventive deaggregate variant structurally comprises a sequence number: 4, a native linker having the sequence number: 24 or 25, and a sequence number: 6, natural C-terminus.

Any method known to those skilled in the art can be used to prepare the inventive variants of disintegrin. For example, site mutations can be used to prepare the inventive disintegrin variants. Alternatively, the disintegrin variants of the present invention may be prepared by any cloning and expression technique known to those skilled in the art, by transforming a nucleic acid vector into a host cell such as E.coli, culturing the host cell in an environment suitable for expression, and then collecting the expressed protein directly from the culture broth or the host cell. The inventive variant disintegrin may be encoded and expressed by a modified disintegrin nucleic acid, wherein the modified disintegrin nucleic acid may be used to encode a modified disintegrin having at least one substituted and/or deleted amino acid residue in the amino acid sequence compared to the native sequence. The coding sequence for a particular disintegrin derived from snake venom can be modified to prepare coding sequences for a variant of the disintegrin. Exemplary disintegrin proteins of the invention include, but are not limited to, labyrinthin, agkistrodon halys pallas, jalappaconitine, jalapenon, abamectin, amazon black antinocidin, ancocidin, cissin, majus antinocidin, warriotoxin, abamectin, luteolin, majolin, harzilin, japonatin, harrissin, jaboulenin, jatrovain, haleistoxin, jatrovain, harledin, harlejaponin, majoranin, majorana venom, majorana snake venom, majorana black-tail antinocidin, malayain, white-snake, harledin, prairia-tussoclinin, majoranotoxin, maoenopharledin, enzyme, and agkistrodon halys. In certain preferred embodiments, the inventive deintegration variant is a TMV-7 variant. In other embodiments, the disintegrin variant of the invention is a Rho variant.

Alternatively, the variant disintegrin may be chemically synthesized using techniques known to those skilled in the art, such as peptide synthesis techniques or solid state synthesis.

The deintegrated protein variants of the invention may be recovered or purified from recombinant cell culture by methods such as ammonium sulfate or ethanol precipitation, acid extraction, anion or cation exchange chromatography, affinity chromatography, and lectin chromatography. In certain embodiments, purification is performed by High Performance Liquid Chromatography (HPLC).

The inventive disintegrin variants may be further bonded to hydrophilic polymers to increase their water solubility or circulating half-life. Suitable water-soluble polymers for binding to the disintegrin of the present invention include, but are not limited to, polyalkyl ethers such as polyethylene glycol, polypropylene glycol, polylactic acid, polyglycolic acid, and polyvinyl alcohol; cellulose and its derivatives (e.g. polyglucose or its derivatives). Preferably, the inventive variant of disintegrin further comprises a PEG chain having 2-20 EG repeat units and linked to the N-terminus of the variant of disintegrin.

2.2 pharmaceutical compositions

Another aspect of the invention relates to pharmaceutical compositions comprising an effective amount of any of the above-described disintegrin variants, and a pharmaceutically acceptable carrier.

Generally, the present disintegrin variants are included in the pharmaceutical composition in a weight percentage (relative to the total weight of the pharmaceutical composition) of 0.01% to 99.9%. In certain embodiments, the present disintegrin variants are present in an amount of 0.1% by weight (relative to the total weight of the pharmaceutical composition). In certain embodiments, the present disintegrin variants are present in an amount of 5% by weight (relative to the total weight of the pharmaceutical composition). In other embodiments, the present disintegrin variant is present in an amount of 10% by weight (relative to the total weight of the pharmaceutical composition). In certain embodiments, the present disintegrin variants are present in an amount of about 25% by weight (relative to the total weight of the pharmaceutical composition).

In certain embodiments, the pharmaceutical compositions of the present invention further comprise an agent (e.g., an anticoagulant agent) that reduces or ameliorates a condition associated with a disease and/or disorder caused by platelet aggregation. Exemplary agents include, but are not limited to, glycoprotein IIb/IIIa antagonists (glycoprotin IIb/IIIa antaconist), heparin (heparin), histoplasmogen activators (tissue plasma activator), Factor Xa inhibitors (Factor Xa inhibitors), thrombin inhibitors (thrombin inhibitors), phosphodiesterase inhibitors (phosphodiesterases inhibitors), cyclooxygenase inhibitors (cyclooxygenase inhibitors), and the like. Suitable anticoagulants may be selected from the group consisting of abciximab, apixaban, aspirin, clopidogrel, dipyridamole, edoxaban, eptifibatide, rivaroxaban, tirofiban, ticlopidine, warfarin, and vitamin K.

A pharmaceutically acceptable excipient or carrier may be compatible with the other ingredients of the formulation and is a biologically acceptable substance.

Depending on the route of administration, the pharmaceutical compositions of the present invention may further comprise different types of excipients or carriers. The pharmaceutical composition of the present invention can be administered intravenously, intradermally, intraarterially, intraperitoneally, intralesionally (intramurally), intracranially, intranasally, intrapleurally, intratracheally, intrarectally, topically, intramuscularly, subcutaneously, intravascularly, intrapericardially, intraocularly, intraorally, locally (locally) by injection, inhalation, infusion, local infusion, etc., and can be formulated as a powder, emulsion, liquid, spray, etc.

The clinical care provider can determine the actual dosage of the drug or pharmaceutical composition according to the physiological factors of the individual, including but not limited to age, sex, weight, disease type, severity of disease, history of disease, whether other drugs are used and the route of administration. According to a non-limiting embodiment of the invention, each single administration may yield 0.01-100 mg/kg body weight of the inventive variant disintegrin. Preferably, each single dose results in 0.1-50 mg/kg body weight of the inventive variant disintegrin.

Pharmaceutical compositions comprising the present disintegrin variants may be formulated in a form suitable for oral use, for example, as tablets (tablets), lozenges (losenges), aqueous or oily suspensions (aqueous or oily suspensions), dispersible powders or granules (dispersible powders), emulsions (emulsions), hard or soft capsules (hard or soft capsules), syrups (syreps) or elixirs (elixirs). Orally administrable compositions may be prepared according to any method known to the art for formulating pharmaceutical compositions, and may comprise one or more ingredients selected from the group consisting of sweetening agents (sweetening agents), flavoring agents (flavoring agents), coloring agents (coloring agents), and preserving agents (preserving agents) which provide a pharmaceutically elegant and palatable appearance. The tablets comprise a variant of the present disintegrin in admixture with a non-toxic pharmaceutically acceptable excipient suitable for use in the preparation of tablets. For example, the excipients may be inert diluents (e.g. calcium carbonate, sodium carbonate, lactose, calcium phosphate or sodium phosphate), granulating and disintegrating agents (e.g. corn starch or alginic acid), binding agents (e.g. starch, gelatin or acacia) and lubricating agents (e.g. magnesium stearate, stearic acid or talc).

The tablets may be uncoated or they may be coated by known techniques to delay disintegration and absorption in the gastrointestinal tract and thereby provide a sustained action. For example, a sustained release material such as glyceryl monostearate or glyceryl distearate may be employed. It can also be coated to form a controlled release osmotic therapeutic tablet.

Dosage forms for oral use may also be formulated as hard gelatin capsules (hard gelatin capsules) in which the active ingredient is mixed with an inert solid diluent, for example calcium carbonate, calcium phosphate or kaolin (kaolin), or as soft gelatin capsules (hard gelatin capsules) in which the active ingredient is mixed with a water-miscible solvent, for example propylene glycol (propylene glycol), PEG and ethanol, or an oily medium comprising peanut oil, liquid paraffin and olive oil.

For example, a solid oral composition (e.g., a tablet or capsule) may comprise 1 to 99% (w/w) of a disintegrin variant of the present invention; 0 to 99% (w/w) diluent or filler (filler); 0 to 20% (w/w) of a disintegrant; 0 to 5% (w/w) of a lubricant; 0 to 5% (w/w) flow aid; 0 to 50% (w/w) granulating or binding agent; 0 to 5% (w/w) of antioxidants (antioxidants); and 0 to 5% (weight/weight) of a pigment (pigment). In addition, a controlled release tablet may also contain 0 to 90% (w/w) of a controlled release polymer.

When the inventive disintegrin variants are formulated for intravenous, cutaneous or subcutaneous injection, the polypeptides may be prepared as sterile, non-orally acceptable aqueous solutions. One skilled in the art will recognize methods for preparing such non-orally acceptable polypeptide solutions having a particular pH, isotonicity, and stability. In addition to the inventive disintegrin variants, a preferred pharmaceutical composition for intravenous, cutaneous or subcutaneous injection will comprise an isotonic vehicle such as sodium chloride injection, ringer's injection, dextrose and sodium chloride injection, lactated ringer's injection or other vehicles commonly used in the art to which the invention pertains. The pharmaceutical compositions of the present invention may also contain stabilizers, preservatives, buffers, antioxidants and other additives conventional in the art to which the present invention pertains. The duration of action of the intravenous therapy of the pharmaceutical composition of the invention may be adjusted depending on the severity of the disease to be treated and the physiological condition and potential specific responses of the individual. It will be appreciated that the duration of action for each administration of the present disintegrin variant should be between 12 and 24 hours for intravenous administration. The medical personnel will ultimately decide the appropriate intravenous treatment duration.

A non-oral preparation may comprise 1 to 50% (w/w) of a disintegrin variant of the invention; and 50% (w/w) to 99% (w/w) of a liquid or semisolid vehicle (e.g., a solvent such as water); and 0-20% (w/w) of one or more other excipients, such as buffers, antioxidants, suspension stabilizers, tonicity adjusting agents and preservatives.

The inventive disintegrin variants may also be formulated in a physiologically acceptable form suitable for topical, systemic or local administration. For example, the present disintegrin can be coated on the surface of a graft or device. In addition, the composition may be coated or injected into a viscous form for delivery to the site tissue injury. As noted above, the compositions of the present invention may optionally comprise other agents, or may optionally be administered to the subject simultaneously or sequentially with other agents.

The present disintegrin variants may also be prepared as suppositories (supositories) and administered to the subject by rectal administration. These compositions can be prepared by mixing the drug with a suitable non-irritating excipient which is solid at room temperature and liquid at the rectal temperature and will therefore dissolve in the rectum and release the drug. These materials are cocoa butter (cocoa butter) and polyethylene glycol.

For topical use, emulsions, ointments, gels, solutions or suspensions, etc., containing the inventive disintegrin variants may be administered. For purposes of this application, topical administration shall include oral rinsing and gargling. Topical formulations may generally consist of a pharmaceutical carrier, a co-solvent, an emulsifier, a penetration enhancer, a preservative system and an emollient.

2.3 methods of use

The invention also provides a method for treating a subject suffering from or at risk of suffering from a disease, condition and/or disorder caused by platelet aggregation. The method comprises administering to a subject in need of treatment a pharmaceutical composition of the invention comprising an effective amount of a disintegrin variant of the invention to alleviate or ameliorate symptoms associated with diseases, conditions and/or disorders caused by platelet aggregation.

In certain embodiments, the inventive disintegrin variants inhibit activation of integrin α IIb β 3, thereby inhibiting platelet aggregation. Activation of integrin α IIb β 3 causes platelet aggregation, particularly in individuals suffering from acute vascular diseases, including, but not limited to, atherosclerosis thrombus, deep vein thrombosis (deep vein thrombosis), myocardial infarction, pulmonary embolism (pulmonary embolism), peripheral arterial occlusion (perivascular occlusion), stroke (stroke), unstable angina, and other vascular system emboli.

In other embodiments, the pharmaceutical compositions of the invention can inhibit or inhibit platelet aggregation that is not expected in a variety of medical procedures, such as inhibiting platelet aggregation following vascular surgery (e.g., angioplasty or stent placement).

According to certain embodiments of the invention, the pharmaceutical composition of the invention is administered to the subject intravenously, subcutaneously, or orally to produce 0.01 to 100 mg/kg of the disintegrin variant of the invention; preferably, 0.1-50 mg/kg of the inventive disintegrin variant.

According to other embodiments, the pharmaceutical composition comprising the inventive disintegrin variant is applied to the surface of an implantable device (e.g., a stent or a catheter) and the implantable device is implanted in a blood vessel, urethra or other difficult to access location to prevent restenosis, support or strengthen the blood vessel or vessel wall. In this section, the pharmaceutical compositions of the invention are preferably formulated in the form of a solution or suspension having the deaggregate variant of the invention homogeneously dispersed therein. Preferably, a plurality of thin layers are applied rapidly in sequence, and preferably to the stent in a radially expanded state. The coating can be carried out by dipping or spraying with a relatively high vapor pressure of the evaporated solvent material to produce the desired viscosity and quickly build up the thickness of the coating. The coating procedure allows the inventive disintegrin variant to adhere to and cover the entire surface of the open structure of the stent or catheter.

According to alternative embodiments, the inventive deaggregate variants may be co-administered to a subject with an additional anticoagulant to treat a disease, condition, and/or disorder caused by platelet activation or aggregation. Anticoagulants or platelet inhibitors suitable for use with the disintegrin variants of the invention are, for example, glycoprotein IIb/IIIa antagonists, heparin, tissue plasminogen activator, factor Xa inhibitors, thrombin inhibitors, phosphodiesterase inhibitors, cyclooxygenase inhibitors, and the like. Suitable anticoagulants may be selected from the group consisting of abciximab, apixaban, aspirin, clopidogrel, dipyridamole, edoxaban, eptifibatide, rivaroxaban, tirofiban, ticlopidine, warfarin, and vitamin K.

The following examples are set forth to illustrate certain aspects of the present invention to facilitate those skilled in the art in practicing the invention, and should not be construed as limiting the scope of the invention. It is believed that one skilled in the art can, after reading the description set forth herein, utilize and practice the present invention to its fullest extent without undue interpretation. All publications cited herein are incorporated in their entirety into this specification.