CRIPTO ANTAGONISM OF ACTIVIN AND TGF-B SIGNALING
Cripto, a developmental oncoprotein, antagonizes activin and TGF-b signaling by forming a complex with activin and TGF-b and their type II receptors. This complex precludes the formation of a functional activin/TGF-b•type II•type I complex, thereby blocking the signaling of activin and TGF-b. Cripto may be generally capable of blocking antiproliferative Smad2/3 signals and provides a novel mechanism of oncogenic action with multiple therapeutic implications. Inhibiting the formation of Cripto and activin/TGF-b complex may enhance antiproliferative effects of activin and TGF-b.
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This non-provisional patent application claims benefit of provisional patent application U.S. Ser. No. 60/503,046, filed Sep. 15, 2003, now abandoned.
BACKGROUND OF THE INVENTION1. Field of the Invention
The present invention relates generally to signaling of TGF-b superfamily. More specifically, the present invention relates to antagonism of signaling of TGF-b superfamily ligands.
2. Description of the Related Art
The transforming growth factor b (TGF-b) superfamily comprise over 30 secreted ligands in human that control cell growth, homeostasis, differentiation, tissue development, immune responses, angiogenesis, wound repair, endocrine function and many other physiologic processes. Members of this superfamily include TGF-b, activins, bone morphogenetic protein (BMP), Growth and Differentiation Factor (GDF) and nodal-related families. Disruption or dysregulation of activin and TGF-b signaling is associated with multiple pathological states including carcinogenesis.
TGF-b superfamily members share a distinct structural framework known as the cystine knot scaffold. Activin and TGF-b are each disulfide-linked dimmers. Activin consists of two b chains. Although there are several activin b subunit genes and an extensive array of possible b-b dimers, only bA-bA (activin-A), bA-bB (activin-AB) and bB-bB (activin-B) have been isolated as dimeric proteins and shown to be biologically active. Three TGF-b genes exist in mammals giving rise to the TGF-b1, TGF-b2 and TGF-b3 isoforms.
Activin and TGF-b Signaling Via Receptor Serine KinasesTGF-bs, activins and other members of the TGF-b superfamily exert their biological effects by interacting with two types of transmembrane receptors (type I and type II) with intrinsic serine/threonine kinase activities, called receptor serine kinases (RSKs). Type I receptor serine kinases are referred to as ALK1 to 7, for Activin receptor-Like Kinases. The receptor activation mechanism was first established for TGF-b which was shown to bind its type II receptor (TbRII) leading to the recruitment, phosphorylation and activation of its type I receptor (ALK5). A similar mechanism of ligand-mediated receptor assembly and type I receptor phosphorylation has been demonstrated for activin receptors involving initial binding of activin to ActRII or ActRIIB followed by recruitment, phosphorylation and activation of the type I receptor ALK4.
The ligand binding properties of the receptor extracellular domains (ECDs) have been extensively examined. The crystal structure of the ActRII-ECD provided detailed information regarding sites predicted to be involved in receptor:ligand interactions. The crystal structure of the ActRII-ECD bound to BMP-7 has recently been solved and it was shown that the amino acids on ActRII required for activin-A binding make up interfacial contacts between ActRII and BMP-7 and are required for BMP-7 binding. An allosteric conformational change was observed in BMP-7 in its predicted type I receptor binding site following binding to ActRII. This suggested a general model for cooperative type I/type II receptor assembly induced by BMPs (or activin) to form a hexameric complex containing the dimeric ligand, two type II receptors and two type I receptors.
The structure of activin-A bound to the ActRIIB-ECD was also solved recently and was generally consistent with previous findings regarding the activin-A binding site on the ActRIIA receptor. Using the crystal structure of BMP2 bound to the BMP type I receptor (ALK3-ECD) as a guide, an activin-A binding surface on the type I receptor ALK4-ECD was recently identified.
The structure of TGF-b3 bound to the TbRII-ECD has also been solved and indicated unexpectedly that the TGF-b binding interface with its type II receptor is very different from the corresponding interface of activin and BMP7 with ActRII. This suggests that although activin and TGF-b have a similar mechanism of receptor activation, they apparently have unrelated ligand-type II receptor interfaces.
Regardless of the precise mechanism of receptor assembly by TGF-b superfamily ligands, it has been generally established that following receptor assembly, type II receptors phosphorylate type I receptors within a juxtamembrane cytoplasmic glycine- and serine-rich region called the GS domain and this phosphorylation event activates the type I receptor kinase to initiate downstream signaling.
Regulation of Activin and TGF-b Receptor AccessActivins are secreted in their processed, biologically active form. However, the ability of activins to access and assemble signaling receptors can be inhibited in several distinct ways. Inhibins (a-b) share a b subunit with activins and are TGF-b superfamily members that act in conjunction with the membrane proteoglycan betaglycan to form high affinity complexes with activin type II receptors, thereby preventing these receptors from binding activin and initiating signaling. The soluble, extracellular activin binding follistatins bind activins with high-affinity and also block the ability of activin to bind its cell-surface receptors and initiate signaling. In addition, the pseudo (decoy) type I receptor BAMBI (BMP and Activin Membrane-Bound Inhibitor) can bind BMP or activin in non-functional complexes with activin and BMP receptors to block signaling.
Unlike activin, TGF-b isoforms are not secreted in an active form but rather are secreted as inactive “latent” complexes. These complexes comprise the inactive TGF-b dimer in non-covalent complexes with two prosegments to which one of several “latent TGF-b binding proteins” is often linked. Latent TGF-b complexes and their binding proteins associate with the extracellular matrix and await one of several possible activating stimuli to provide a rapidly available pool of releasable TGF-b that can respond to highly localized signals.
Smad SignalingBased upon genetic studies in Drosophila and Caenorhabditis elegans, a group of proteins now called Smads have been found to transduce signals from receptor serine kinases and mediate regulation of target gene transcription by activin, TGF-b and other TGF-b superfamily members. Structural and functional considerations allow subdivision of Smads into three subfamilies: pathway-specific, common mediator, and inhibitory Smads.
Ligand/receptor assembly and activin receptor-like kinase (ALK) phosphorylation triggers a transient ALK/pathway-specific Smad association during which the ALK phosphorylates the Smad on its last two serine residues in the C terminal SSXS motif. Activin and TGF-b signals are mediated by the pathway-specific Smads, Smad2 and Smad3 and these Smads are sequestered near their signaling receptors by Smad Anchor for Receptor Activation (SARA), a cytoplasmic membrane-associated protein that has been shown to facilitate Smad2/3 signaling.
Once activated, Smad2 and Smad3 form hetero-oligomeric complexes with the common mediator Smad, Smad4, that was first discovered in humans as the pancreatic tumor suppressor gene, DPC4. Smad2/3/4 complexes translocate to the nucleus and interact directly with DNA and/or with cell-type specific co-activator or co-repressor proteins leading to the activation or repression of target genes.
Two vertebrate inhibitory Smads have been identified, Smad6 and 7, which lack the C-terminal SSXS motif found in the pathway specific Smads. Smad6 and 7 are inhibitors of Smad signaling and bind to activin receptor-like kinases (ALKs) to prevent phosphorylation and activation of the pathway-specific Smads. In transfected cells, Smad7 inhibits transcriptional responses induced by activin or TFG-b or by a constitutively active ALK4. Smad7 may therefore provide an intracellular feedback signal to restrain the effects of activin and TFG-b.
Smad2/3 Signaling and Growth ControlTGF-b and activin are both well known for their ability to inhibit proliferation of multiple cell types including most epithelial cells, and gene expression profiling has indicated essential similarity of transcriptional responses to constitutively active activin or TGF-b type I receptors in cancer cells. Activation of the Smad2/3 signaling pathway leads to inhibition of cell cycle progression during G1 and in some cases terminal differentiation, or apoptosis. The growth inhibitory response to Smad2/3 signals has been divided into two major classes: gene responses that lead to inhibition of cyclin-dependent kinases (cdks) and down regulation of c-myc.
The retinoblastoma tumor suppressor protein (pRb) and its family members p107 and p130 control cell cycle progression and have activity that is regulated by cdk phosphorylation. TGF-b signals have been shown to induce cdk inhibitors including p15INK4B (p15) and p21CIP1/WAF1 (p21) and to down regulate the tyrosine phosphatase cdc25A. p15 binds and inactivates cdk4 and cdk6 causing displacement of p27 from cyclin D-cdk4/6, allowing it to bind and inhibit cyclin E-cdk2. p21 also binds and inhibits cyclin E-cdk2. cdc25A is an activator of cyclin D-cdk4 and its down regulation therefore reduces the activity of this cdk. Overall, decreased cdk activity in response to Smad2/3 signaling reduces pRb phosphorylation by these cdks, allowing pRb to prevent E2F function and block cell cycle progression.
Unlike cdk inhibition, which exhibits cell type dependent diversity, down regulation of c-Myc, a member of the basic helix-loop-helix leucine zipper (bHLH-LZ) family of transcription factors, is observed in most cell types that are growth inhibited by Smad2/3 signals. In addition, down regulation of c-Myc by Smad signals is required for the inactivation of cdks, and evidence also implicates c-Myc as a positive regulator of cdc25A expression. It was recently shown that E2F4/5 proteins and the Rb protein p107 form a pre-formed complex with Smad3 in the cytoplasm that awaits TGF-b receptor activation, Smad3 phosphorylation and Smad4 assembly leading to translocation of the complex to the nucleus to bind the c-myc promoter and repression of the c-myc gene.
The Id family of transcriptional regulators inhibit terminal differentiation, promote cell proliferation and have been implicated in cancer. Myc and Id proteins can form complexes that cooperate to override the tumor suppressor function of pRb. Interestingly, it was recently shown that TGF-b causes repression of Id gene expression via preassembled, cytoplasmic Smad3-ATF3 complexes that translocate to the nucleus with Smad4 and target Id promoters following TGF-b receptor activation. It was also recently demonstrated that key cellular responses to TGF-b signals, including induction of the cdk inhibitor p21, rely on direct interactions between Smad2 and the tumor suppressor and transcriptional regulator p53. In summary, these results indicate that Smad2 and Smad3 likely play essential but distinct roles in regulating cell proliferation.
Smad2/3 Pathway and CancerIt is not surprising that disruptions or alterations in the activin and TGF-b signaling pathways have been observed in several types of human cancer. Inactivating mutations in TbRII have been observed in colorectal and gastric carcinomas and inactivation of ActRII was recently observed in gastrointestinal cancers. An inactivating mutation in TbRI (ALK5) occurs in one third of ovarian cancers observed and ALK4 mutations have been described in pancreatic cancer leading to the designation of ALK4 as a tumor suppressor gene.
The activin/TGF-b signaling pathway is also disrupted by mutations in Smad4 and Smad2. As mentioned above, Smad4 was originally identified as DPC4 (deleted in pancreatic carcinoma locus 4) and this gene is functionally absent in half of all pancreatic cancers and one third of colon carcinomas. Smad2 is also inactivated in a small proportion of colorectal cancers and lung cancers. Although Smad3 mutations have not yet been observed in human cancers, Smad3−/− mice developed colorectal cancer.
Interestingly, despite its antiproliferative effects, Smad2/3 signaling can also exacerbate the cancer phenotype under conditions in which cells have become refractory to Smad2/3-induced growth inhibition. For example, increased production of TGF-b or activin by tumor cells that are no longer growth inhibited by Smad2/3 signals may lead to increased angiogenesis, decreased immune surveillance and/or an increase in the epithelial to mesenchymal transition (EMT) of tumor cells. Collectively, these effects can lead to increased tumor growth and metastasis.
Epidermal Growth Factor-Cripto, FRL-1, Cryptic (EGF-CFC) Protein FamilySimilar to activin, members of the nodal family and GDF-1/Vg1 have been shown to signal via the activin receptors ActRII/IIB and ALK4. Unlike activin, however, these TGF-b superfamily members require additional co-receptors from the Epidermal Growth Factor-Cripto, FRL-1, Cryptic (EGF-CFC) protein family to assemble type II and type I receptors and generate signals.
The EGF-CFC family consists of small, glycosylated, extracellular signaling proteins including human and mouse Cripto and Cryptic, Xenopus FRL-1 and zebrafish one-eyed pinhead (oep). EGF-CFC proteins are known to act as anchored cell surface co-receptors but they also have activity when expressed as soluble proteins or when they are secreted from the cell surface following enzymatic cleavage of their GPI anchor. Genetic studies in zebrafish and mice have shown that EGF-CFC proteins are required for mesoderm and endoderm formation, cardiogenesis, and the establishment of left/right asymmetry during embryonic development. Cripto knockout mouse embryos lack a primitive streak and fail to form embryonic mesoderm. This phenotype is very similar to that observed in ActRIIA−/−; ActRIIB−/− mice, ALK4−/− mice and Nodal−/− mice, consistent with a requirement for nodal signaling via activin receptors and a role for Cripto to initiate primitive streak elongation and mesoderm formation.
It has been shown that Cripto independently binds nodal via its EGF-like domain and ALK4 via its CFC domain. Furthermore, selected point mutations in Cripto that block nodal binding or ALK4 binding disrupt nodal signaling. Substantial biochemical evidence indicates that nodal and Vg1/GDF1 form a complex with activin receptors only in the presence of EGF-CFC proteins.
Cripto is a Tumor Growth FactorCripto is an EGF-CFC protein that was first isolated as a putative oncogene from a human teratocarcinoma cell line and it was subsequently shown to be able to confer anchorage independent growth to NOG-8 mouse mammary epithelial cells. Cripto is expressed at high levels in human breast, colon, stomach, pancreas, lung, ovary, endometrial, testis, bladder and prostate tumors while being absent or expressed at low levels in their normal counterparts. The elucidation of the signals and transcriptional events underlying the high level of Cripto expression in these tumors remains an important area of future research.
With regard to Cripto's mechanism(s) of mitogenic action, it has been shown that recombinant, soluble Cripto and a synthetic 47 amino acid Cripto fragment spanning the EGF-like domain can activate both the mitogen activated protein kinase (MAPK) pathway and the phosphatidylinositol-3-kinase (PI3K) pathway. Treatment of HC-11 mammary epithelial cells with soluble Cripto or the 47-mer peptide resulted in tyrosine phosphorylation of the SH2-adaptor protein Shc, association of Shc with Grb2 and activation of the p42/44 Erk/MAPK pathway. It was also shown that soluble Cripto caused phosphorylation of the p85 regulatory subunit of PI3K leading to phosphorylation and activation of AKT in SiHa cervical carcinoma cells. Cripto does not bind to members of the EGF receptor family, although [125I]-Cripto specifically labeled breast cancer cell lines and formed crosslinked complexes with 60 kDa and 130 kDa membrane proteins. Although these proteins were not identified, the 60 kDa protein may have been ALK4.
It was recently shown that the cytoplasmic tyrosine kinase c-Src can be activated by soluble Cripto and that its activity is required for activation of the MAPK/PI3K pathways by Cripto. The GPI-anchored proteoglycan glypican was also reported to be important in facilitating these Cripto signals and glypican was also shown to bind Cripto in a manner dependent on glycanation of glypican. The ability of Cripto to activate the MAPK and PI3K pathways, which are frequently growth-stimulatory in nature, has generally been proposed to explain Cripto's oncogenic effects.
Smad Signaling, Cripto and CancerThe first demonstration of a physiologic role for TGF-b was its potent and reversible inhibition of developing mouse mammary gland in situ. TGF-b is now well established as an important inhibitor of mammary ductal growth and branching in vivo and over 90% of mammary carcinomas are ductal in nature. Loss of TbRII has been associated with increased risk of invasive breast cancer in women. Consistent with a role in regulating mammary ductal growth, TGF-b1 heterozygous null mice display accelerated mammary epithelial proliferation and ductal outgrowth. Furthermore, transgenic expression of a dominant negative TbRII construct in mammary gland diminishes responsiveness to TGF-b and caused increased incidence of tumors in response to carcinogen relative to control mice. Conversely, transgenic overexpression of TGF-b1 in mammary gland protects against chemical-induced tumors. These results provide direct evidence that TGF-b signaling can actively prevent tumorigenesis in mouse mammary gland. There is also evidence that activin inhibits proliferation of both primary and transformed mammary epithelial cells. Together, these results indicate the importance of the Smad2/3 pathway in inhibiting mammary epithelial cell proliferation and tumorigenesis.
Cripto is overexpressed in many types of human tumors, including ˜80% of breast carcinomas, while its expression is low or absent in their normal counterparts. In contrast to TGF-b, Cripto promotes growth in mammary cells and Cripto overexpression transforms mouse NOG-8 and CID-9 mammary epithelial cells. Cripto overexpression in these cell lines enabled them to grow in soft agar and each displayed an enhanced proliferation rate in monolayer culture. These cells were, however, unable to form tumors in nude mice.
It was also shown that targeted disruption of endogenous Cripto in CID-9 cells via a retroviral antisense construct led to a decreased rate of cellular proliferation. Both the soluble Cripto protein and the 47 amino acid EGF-like domain Cripto peptide have also been shown to facilitate ductal branching and cause mammary ductal hyperplasia. As discussed above, these effects have been explained as the result of the ability of Cripto to activate mitogenic signaling pathways including the MAPK and PI3K pathways. However, many of the growth-related effects of Cripto are also generally consistent with antagonism of the Smad2/3 pathway.
The prior art is lacking in evidence on whether Cripto can play a dual role as an oncogene, not only acts by activating mitogenic MAPK/PI3K pathways, but also antagonizes the antiproliferative Smad2/3 pathway. The present invention thus studies the oncogenic mechanism of Cripto protein in order to gain insight into its effects on activin/TGF-b signaling.
SUMMARY OF THE INVENTIONTGF-b and activin regulate tissue homeostasis by activating the Smad2/3 intracellular signaling pathway leading to potent inhibition of proliferation of multiple cell types including epithelial cells. Disruption of this signaling pathway is associated with oncogenesis and tumorigenesis. Cripto is a developmental oncoprotein that is highly expressed in human tumors but not their normal tissue counterparts. Overexpression of Cripto transforms mammary epithelial cells in vitro. The present invention shows that Cripto can antagonize activin and TGF-b signaling. These results suggest that Cripto may be generally capable of blocking antiproliferative Smad2/3 signals and provides a novel mechanism of oncogenic action with multiple therapeutic implications.
Based on the data presented below, a model for the mechanism of Cripto regulation of activin and TGF-b signaling is proposed (
In one embodiment of the present invention, there is provided a method of augmenting signaling of a ligand of receptor serine kinase in a cell. The method involves inhibiting the formation of complexes between Cripto and a ligand of receptor serine kinase on the surface of a cell.
In another embodiment, there is provided a method of using a mutant of a ligand of receptor serine kinase to augment Smad2/3 signaling in a cell.
The present invention also provides a method of using a Cripto mutant that lacks the EGF domain to selectively antagonize activin-B signaling.
In another embodiment, there is provided a method of inhibiting signaling of a ligand of receptor serine kinase in a cell. The method involves enhancing the formation of complexes between Cripto and a ligand of receptor serine kinase on the surface of a cell.
Other and further aspects, features, and advantages of the present invention will be apparent from the following description of the presently preferred embodiments of the invention. These embodiments are given for the purpose of disclosure.
The present invention provides methods of augmenting signaling induced by a ligand of receptor serine kinase in a cell by inhibiting the formation of complexes between Cripto and the receptor serine kinase ligand on the surface of the cell. Ligands of receptor serine kinase include, but are not limited to, activin and TGF-b, whereas examples of receptor serine kinase include type I activin receptor-like kinases-4 (ALK-4) or activin receptor-like kinases-5 (ALK-5). In general, the cells are derived from breast, colon, stomach, pancreas, lung, ovary, endometrial, testis, bladder or prostate. Augmentation of signaling mediated by receptor serine kinase would increase phosphorylation and activation of Smad2 and Smad3, resulting in decreased cellular proliferation.
In one embodiment, formation of complexes between Cripto and ligand of receptor serine kinase is inhibited by an anti-Cripto antibody directed against an epitope of Cripto. For example, the anti-Cripto antibody is directed against an epitope in the EGF-like domain of Cripto. Alternatively, formation of complexes between Cripto and receptor serine kinase ligand can be inhibited by a soluble receptor serine kinase extracellular domain that binds Cripto but not ligand of receptor serine kinase. In one embodiment, the soluble extracellular domain is an activin receptor-like kinases-4 (ALK-4) extracellular domain. Preferably, the ALK-4 extracellular domain comprises a mutation at one or more positions such as amino acid position 70, 75 and/or 77. For example, the ALK-4 extracellular domain comprises an alanine at amino acid position 70, 75 and/or 77.
In another embodiment, formation of complexes between Cripto and ligand of receptor serine kinase is inhibited by inhibiting the expression of Cripto in the cell. Cripto expression can be inhibited by antisense transcript of Cripto, small inhibitory RNA (siRNA) directed against Cripto or by mutating at least one allele of Cripto by homologous recombination.
In yet another embodiment, there is provided a method of using a mutant of a ligand of receptor serine kinase to augment Smad2/3 signaling in a cell. The mutant ligand retains signaling activity but is unable to bind to Cripto, thereby bypassing antagonism by Cripto. In general, ligands of receptor serine kinase include, but are not limited to, activin and TGF-b.
The present invention also provides a method of using a Cripto mutant that lacks the EGF domain to selectively antagonize activin-B signaling. In general, the Cripto mutant can be soluble or cell surface-bound. Results disclosed herein show that the EGF-like domain of Cripto is required to antagonize activin-A, activin-B and TGF-b while the CFC domain is sufficient to block activin-B but not activin-A or TGF-b. Therefore Cripto mutant that lacks the EGF domain will be a useful research tool to distinguish the relative importance of activin-A as opposed to activin-B signaling in various biological contexts. For example, it has also been previously demonstrated that release of FSH from rat anterior pituitary gonadotropes is mediated by activin-B. Therefore, a Cripto mutant such as DEGF is predicted to block FSH release without affecting activin-A or TGF-b signaling. By blocking FSH release, spermatogenesis will be disrupted potentially causing reversible infertility. Therefore, cell attached or soluble Cripto constructs in which the EGF-like domain has been deleted may have utility as male contraceptives.
The present invention further provides a method of inhibiting signaling induced by a ligand of receptor serine kinase in a cell by enhancing the formation of complexes between Cripto and the receptor serine kinase ligand on the surface of the cell. Ligands of receptor serine kinase include, but are not limited to, activin and TGF-b, whereas examples of receptor serine kinase include type I activin receptor-like kinases-4 (ALK-4) or activin receptor-like kinases-5 (ALK-5). In general, the cells are derived from breast, colon, stomach, pancreas, lung, ovary, endometrial, testis, bladder or prostate. In one embodiment, formation of complexes between Cripto and ligand of receptor serine kinase is enhanced by increasing the expression of Cripto in the cell. For example, Cripto expression can be increased by administering to the cell viral or plasmid vectors that encodes Cripto protein. Alternatively, formation of complexes between Cripto and receptor serine kinase ligand can be enhanced by administering soluble Cripto or cell surface-bound Cripto to the cell.
The following examples are given for the purpose of illustrating various embodiments of the invention and are not meant to limit the present invention in any fashion. The present examples, along with the methods, procedures, treatments, molecules, and specific compounds described herein are presently representative of preferred embodiments. One skilled in the art will appreciate readily that the present invention is well adapted to carry out the objects and obtain the ends and advantages mentioned, as well as those objects, ends and advantages inherent herein. Changes therein and other uses which are encompassed within the spirit of the invention as defined by the scope of the claims will occur to those skilled in the art.
Example 1Cripto Binds Activin in the Presence of ActRII and Competes with ALK4 for Activin•ActRII Binding
The ability of [125I]-activin-A to form crosslinked complexes with Cripto was tested in the presence or absence of activin receptors.
Co-transfection of ActRII with ALK4 (
The presence of [125I]-activin-A•Cripto bands indicates the formation of stable activin•ActRII•Cripto complexes since an antibody directed against ActRII was used in the immunoprecipitation. Activin•ActRII and activin•Cripto crosslinked bands were also evident when 293T cells were co-transfected with ActRII and Cripto and then subjected to immunoprecipitation using an antibody directed against Cripto (
The effects of co-transfecting 293T cells with Cripto, ActRII and ALK4 were further tested. When Cripto was transfected with ActRII and ALK4 (
The effects of Cripto on activin•ActRII•ALK4 complex formation as assessed following immunoprecipitation with an antibody directed against ALK4.
Co-transfection of Cripto with ActRII and ALK4 substantially blocked the appearance of these bands (
Cripto blocks labeling and crosslinking of [125I]-activin-A to ALK4 in a dose dependent manner.
Similar to activin-A, TGF-b1 binds Cripto in the presence of its type II receptor TbRII.
The effects of Cripto on the ability of [125I]-TGF-b1 to crosslink to its type I receptor ALK5 were examined.
HepG2 cells do not express Cripto and require transfected Cripto to respond to nodal signals. Therefore, the effects of transfected Cripto on activin-A and TGF-b1 signaling were tested in this cell line. Cripto and the activin/TGF-b responsive luciferase reporter construct 3TP-lux were transfected into HepG2 cells and the effect of Cripto on activin-A and TGF-b1-induced luciferase expression was measured. As shown in
The domain structure of mouse Cripto is illustrated in
Five Cripto constructs were evaluated in this study: wild type Cripto; Cripto (T72A), which is unable to be fucosylated and does not facilitate nodal signaling; Cripto DEGF, in which the EGF-like domain has been deleted; Cripto mCFC, which does not facilitate nodal signaling and has two mutations in the CFC domain that block ALK4 binding (H104G, W107G); and Cripto DCFC, in which the CFC domain has been deleted.
Cell surface expression levels of wild type Cripto and these four Cripto mutants are shown in
As shown in
Like other Epidermal Growth Factor-Cripto, FRL-1, Cryptic (EGF-CFC) protein family members, Cripto has two conserved cysteine-rich domains, an N-terminal EGF-like domain and a C-terminal CFC domain. Each of these modular domains can have activity in the absence of the other and both have been implicated in specific protein-protein interactions and signaling functions. To determine the roles of the Cripto EGF-like and CFC domains in blocking TGF-b signaling, we compared the ability of wild type Cripto to inhibit TGF-b with that of Cripto mutants in which either the EGF-like or CFC domain was mutated or deleted.
Luciferase assays were carried out essentially as previously described (Gray et al., 2003). HepG2 cells were plated at 150,000 cells per well in 24-well plates and transfected in triplicate approximately 24 h later with 1 mg DNA per well with a ratio of 800 ng Cripto/100 ng 3TP-lux/100 ng cytomegalovirus (CMV)-b-galactosidase (CMV-b-galactosidase). Cells were treated with TGF-b1 approximately 30 h after transfection and harvested 16 h following treatment. Cells were incubated in solubilization buffer (1% Triton X-100, 25 mM glycylglycine (pH 7.8), 15 mM MgSO4, 4 mM EGTA and 1 mM DTT) for 30 min on ice and luciferase reporter activity was measured and normalized relative to CMV-b-gal activities. 293T cells were plated on 24-well plates treated with polylysine at 100,000 cells per well and transfected in triplicate approximately 24 h later with 0.5 mg DNA per well using 400 ng Cripto/50 ng FAST2 (FoxH1)/25 ng A3-lux/25 ng CMV-b-galactosidase per well. Cells were treated approximately 24 h following transfection and then harvested approximately 16 h following treatment. Luciferase assays were performed as described for HepG2 cells described above.
In another experiment, activin-A treatment caused a 30 to 40-fold and TGF-b1 treatment caused an ˜25 fold induction of luciferase expression in 293T cells which were blocked by wild type Cripto (
Having demonstrated that the Cripto DCFC mutant can block TGF-b1 signaling, we next tested whether this mutant can bind and crosslink to TGF-b1. 293T cells were transfected with wild type Cripto (
For covalent crosslinking studies, 293T cells were plated on six-well plates coated with polylysine at a density of 400,000 cells per well and then transfected approximately 24 h later. Cells were transfected with 4 mg DNA per well with ratios of 0.5 mg TbRII/0.5 mg ALK513 mg Cripto unless otherwise indicated for [125I]-TGF-b1 crosslinking or 2 mg ActRII/1 mg Cripto/1 mg vector for [125I]-activin-A crosslinking. As necessary, empty vector was used to keep the amount of DNA transfected constant at 4 mg. Covalent crosslinking was performed approximately 48 h after transfection by first washing cells in Hepes Dissociation Buffer (HDB) and then incubating them with [125I]-TGF-b1 or [125I]-activin-A in binding buffer (HDB containing 0.1% BSA, 5 mM MgSO4 and 1.5 mM CaCl2) at room temperature for approximately 4 h. Cells were then rinsed in HDB, incubated in HDB containing 0.5 mM disuccinylsuberate (DSS) for 30 min on ice, rinsed in HDB and then solubilized in lysis buffer (TBS containing 1% NP-40, 0.5% deoxycholate and 2 mM EDTA) for 1 h on ice. Solubilized, crosslinked complexes were incubated for approximately 24 h at 4° C. with 2 mg of either anti-FLAG (M2), anti-His or anti-myc antibodies. Immune complexes were precipitated using protein-G agarose and analyzed using SDS-PAGE and autoradiography.
As expected, anti-His antibody targeting TbRII did not precipitate labeled complexes from cells transfected with Cripto alone (
We also precipitated labeled complexes with anti-FLAG antibody targeting Cripto and Cripto DCFC. When 293T cells were transfected with Cripto alone (
It has previously been shown that Cripto is modified by O-fucosylation on a conserved threonine residue (Thr 72 in mouse Cripto, Thr 88 in human Cripto) within its EGF-like domain and that mutation of this threonine to an alanine blocks the ability of Cripto to bind nodal and facilitate nodal signaling. The EGF-like domain of Cripto plays an important role in facilitating nodal signaling, and results presented above indicate that it also plays an important role in blocking both TGF-b1 and activin-A signaling. Therefore, we tested whether mutation of Thr 72 to Ala, which prevents fucosylation within this domain and blocks nodal signaling, might similarly interfere with Cripto's ability to block TGF-b and activin signaling.
Similarly, when cells were treated with 300 pM activin-A, luciferase induction was blocked by wild type Cripto (
In an attempt to clarify the functional importance of the EGF-like and CFC domains on Cripto antagonism of activin-A and activin-B signaling, 293T cells were transfected with empty vector, the Cripto DEGF mutant or the Cripto DCFC mutant together with FAST2/A3-luciferase and luciferase induction was measured in response to treatment with activin-A or activin-B. Consistent with previous observations, Cripto DEGF mutant did not block activin-A signaling (
Having demonstrated that the CFC domain of Cripto is not required for inhibition of activin-A signaling, we next tested whether this domain is required for Cripto to bind activin-A and activin-B. 293T cells were transfected with Cripto (
As predicted, transfection of Cripto alone (
We also precipitated [125I]-activin-A labeled complexes with anti-FLAG antibody targeting Cripto and Cripto DCFC. When 293T cells were transfected with Cripto alone or Cripto DCFC alone, crosslinked with [125I]-activin-A and then subjected to immunoprecipitation with anti-FLAG antibody, no bands were observed (
The effects of Cripto on activin-A and TGF-b1 signaling as opposed to nodal signaling were compared. It has previously been shown that transfection of nodal and Cripto into 293T cells resulted in secretion of processed nodal protein that generates signals in the cells producing it. Thus 293T cells were transfected with FAST2, the A3-luciferase reporter plasmid and various amounts of Cripto DNA. The cells were then treated with activin-A or TGF-b1 or co-transfected with a mouse nodal expression vector.
In contrast to its effects on nodal signaling, Cripto binds activin-A in the presence of its type II receptors and antagonizes activin signaling. Cripto also inhibits activin-B signaling, although the mechanism of this antagonism appears to differ from that of activin-A. Cripto also binds TGF-b1 in the presence of TbRII and blocks TGF-b1 signaling, demonstrating a mechanism of antagonism similar to that on activin-A signaling (
It is hypothesized that antagonism of activin and TGF-b signaling by Cripto can be disrupted using antibodies directed against Cripto. Binding of these antibodies to Cripto is predicted to disrupt the ability of Cripto to bind to activin or TGF-b, thereby reversing the antagonism of activin and TGF-b signaling by Cripto.
Cripto has two highly conserved domains, the EGF-like domain and the CFC domain, that have been shown to be functionally important and are involved in protein-protein interactions. The EGF-like domain of Cripto binds directly to the TGF-b superfamily member nodal and related ligands Vg1 and GDF1 to facilitate signaling via activin receptors ActRII/IIB and ALK4. The EGF-like domain of Cripto is required for antagonism of activin and TGF-b signaling. Deletion of the EGF-like domain (DEGF) resulted in a Cripto mutant with undetectable activin binding in crosslinking assays and an inability to block activin or TGF-b signaling. Therefore, it is proposed that, similar to nodal, activin and TGF-b bind to the EGF-like domain of Cripto and this domain represents a primary target for antibody blockade of Cripto antagonism of activin and TGF-b.
It has also been shown that the CFC domain of Cripto binds directly to ALK4 and, similar to the EGF-like domain, this domain is required for nodal signaling. We have tested a Cripto mutant with two point mutations in the CFC domain that was previously shown to be defective in ALK4 binding and nodal signaling. This mutant, called mCFC, bound activin in crosslinking assays when co-expressed with activin type II receptors (ActRII/IIB) and blocked activin signaling when transiently transfected into 293T cells. This is consistent with activin binding to the EGF-like domain of Cripto. Consequently, antibodies that can disrupt Cripto binding to ALK4 may have effects on Cripto antagonism of activin and TGF-b. Recently it was shown that monoclonal antibodies targeting either the CFC domain (Adkins et al., 2003) or EGF-like domain (Xing et al., 2004) of Cripto can inhibit tumor growth in vivo.
Antibodies can be generated against recombinant soluble Cripto protein (containing both the EGF-like and CFC domains) purified from mammalian cells or a synthetic peptide spanning the EGF-like domain of Cripto. Raising antibodies against the full-length soluble Cripto protein will enable us to test the effects of antibodies targeting both the EGF-like and CFC domains.
Soluble Cripto with a C-terminal. FLAG epitope tag can be expressed in mammalian cells (293T cells or CHO cells) following transient transfection. Cells stably expressing soluble Cripto-FLAG can be generated by selection in G418 for larger-scale production of protein. Medium containing soluble Cripto-FLAG can be enriched using FLAG-agarose immunoaffinity chromatography and purified by reverse-phase HPLC. The Cripto EGF-like domain can also be generated as a synthetic peptide to be used as an antigen to generate anti-Cripto antibodies. Peptide spanning the human Cripto EGF-like domain has previously been synthesized, refolded and shown to have biological activity. A similar polypeptide spanning the mouse Cripto EGF-like domain can be generated using mouse Cripto sequence generally available in the art.
Initially, potential neutralizing anti-Cripto antibodies can be tested at various doses for their ability to disrupt Cripto antagonism of activin-A, activin-B and TGF-b1 signaling in 293T cells. The ability of activin-A, activin-B and TGF-b1 to induce luciferase can be measured in cells transfected with Cripto, FAST2 and A3-luciferase constructs. The effects of the anti-Cripto antibodies can be compared to normal rabbit serum (NRS). If antibodies directed against full-length Cripto or peptide containing the EGF-like domain are found to block Cripto effects on activin and TGF-b signaling in 293T cells, further testing can be performed using other cells including breast epithelial and breast cancer cell lines.
Alternatively, antagonistic activities of Cripto may be inhibited by molecules that bind to Cripto, thereby disrupting the ability of Cripto to bind to activin or TGF-b. For example, Lefty and Tomoregulin have each been shown to bind directly to Cripto and have been shown to block nodal signaling (nodal signaling requires Cripto). The prediction is that by binding to Cripto they might interfere with Cripto's ability to bind to TGF-b/activin thereby blocking Cripto's effects on these ligands.
Example 13 Inhibition of Activin•Cripto or TGF-b•Cripto Complexes Formation by Soluble Mutated Activin Receptor-Like Kinases-4 (ALK-4)The aim here is to generate a soluble version of the ALK4-extracellular domains (ECD) that is capable of binding Cripto but not a TGF-b superfamily ligand such as activin. It is hypothesized that such a protein will not bind directly to a TGF-b superfamily ligand and interfere with signaling, but rather will have the ability to bind Cripto and disrupt the ability of Cripto to block activin or TGF-b binding and signaling.
The functional binding site for activin on ALK4 has been identified recently (Harrison et al., 2003). It was demonstrated that I70A, L75A and P77A ALK4-ECD mutants were unable to bind activin or mediate activate signaling. It was concluded that I70, L75 and P77 are central to the activin binding site on the ALK4-ECD. Although mutating one of these residues is sufficient to disrupt activin•ALK4 binding, soluble versions of ALK4-ECD incorporating these mutations individually, in pairs or incorporating all three mutations can also be generated.
The soluble ALK4 ECD proteins incorporating the I70A, L75A and/or P77A mutations and a C-terminal FLAG epitope tag can be expressed in mammalian cells (293T cells or CHO cells) following transient transfection. Cells stably expressing soluble ALK4-ECD-FLAG proteins will be generated by selection in G418 for larger-scale production of protein. Medium containing soluble ALK4-ECD-FLAG proteins can be enriched using FLAG-agarose immunoaffinity chromatography and purified by reverse-phase HPLC.
Initially, soluble ALK4 ECD proteins incorporating the I70A, L75A and/or P77A mutations can be tested at various doses for their ability to disrupt Cripto antagonism of activin-A, activin-B and TGF-b1 signaling in 293T cells. The ability of activin-A, activin-B and TGF-b1 to induce luciferase will be measured in cells transfected with Cripto, FAST2 and A3-luciferase constructs. The mutant ALK4-ECD proteins will be compared to wild type soluble ALK4-ECD. The effects of these ALK4-ECD proteins on activin signaling in the absence of Cripto will also be tested to determine if they interfere with activin signaling. In addition to 293T cells, other cells including breast epithelial and breast cancer cell lines can also be used.
Example 14 Inhibition of Cripto ExpressionMultiple strategies can be pursued to prevent Cripto antagonism of activin and TGF-b signaling in a defined in vitro system. Useful strategies include, but are not limited to, disruption of Cripto expression by homologous recombination, the previously validated Cripto antisense vector approach, and Cripto RNA interference.
Homologous RecombinationDisruption of Cripto expression by homologous recombination in mouse embryonic stem cells has been previously described (Ding et al., 1998). It was shown that mice lacking both alleles of Cripto died very early during embryogenesis probably due to a loss of nodal signaling which requires Cripto. However, the effects of deleting one Cripto allele or of disrupting both alleles in the adult in specific tissues (i.e. conditional knockout) remains to be evaluated in terms of effects on cancer susceptibility.
Antisense OligonucleotidesThe use of antisense oligonucleotides to disrupt Cripto expression has also been described (Niemeyer et al., 1998). Retroviral vector was used to deliver Cripto antisense RNA to mouse mammary CID-9 cells. Reduction of endogenous Cripto expression in these cells via expression of an antisense Cripto vector construct decreased cell proliferation while overexpression of Cripto led to increased cell growth. Antisense inhibitors of Cripto also led to loss of transformed phenotype in colon carcinoma cells (Ciardiello et al., 1994).
Niemeyer et al. (1998) used the retroviral vector pGCEN containing the antisense Cripto sequence to infect CID-9 cells and generated cells stably expressing the antisense construct. Similar approach can be performed with the retroviral pCLNC vector, which was used previously to infect cells and generate stable lines (Gray and Vale, unpublished data). One of ordinary skill in the art would recognize that other vectors besides retroviral vectors can also be used according to standard procedures in the art. In one example, mouse Cripto sequence can be subcloned into the pCLNC vector in the antisense or the sense orientation. These constructs or empty pCLNC vector are used to generate virus, infect CID-9 cells and obtain G418 resistant cells. The effectiveness of this approach in increasing or decreasing Cripto can be measured directly by examining Cripto expression in the resulting G418 resistant cells by Western blot with anti-Cripto antibodies.
The effects of activin and TGF-b and their antagonists on the proliferation of CID-9 cell (or other target cells well-known in the art) can be measured using protocols generally available to one of ordinary skill in the art. For example, the CyQUANT® cell proliferation assay kit (Invitrogen) can be used according to manufacturer's instructions. The sensitivity of a target cell line to growth inhibition by activin and TGF-b and their antagonists can be established by treating a range of cells with a range of doses of each ligand, antagonist or vehicle and testing the effects on proliferation over time. Once the effects of activin, TGF-b or antagonist on the parental cells are established, these experiments can be repeated on cells stably expressing the retroviral vector, Cripto-sense or Cripto-antisense retroviral DNA and compare the resulting effects of various doses of activin and TGF-b on cell proliferation. It has been shown that Cripto overexpression conferred anchorage independent growth capability on CID-9 cells. Therefore, in addition to measuring the proliferation rate of Cripto over- and under-expressing cells in monolayer culture, the ability of these cells to grow in soft agar will also be measured. Similar experiments can be performed on cells stably overexpressing RNAi vectors (as described below).
RNA InterferenceThe principle of RNA interference is the abrogation of target gene expression initiated by small interfering RNA (siRNA) homologous in sequence to the gene to be silenced (Elbashir et al., 2001). Recently, it was shown that transfection of a synthetic 21-nucleotide siRNA duplexes could specifically suppress expression of endogenous and heterologous genes in different mammalian cell lines. Viral infection of target cells such as CID-9 cells to express a 21-nucleotide siRNAs targeted against Cripto can be performed using the U6 promoter system based on the pSilencer vector (Ambion) and/or the polymerase III HI-RNA promoter (pSUPER) (Brummelkamp et al., 2002). These RNAs require a 5′ UU overhang to bind their target genes. Therefore, target sequences for siRNAs will be identified by scanning the Cripto gene for sequences containing AA targets complementary to the siRNA UU overhang. The AA and downstream 19 nucleotides will be compared to an appropriate genome database to eliminate sequences with significant homology to other genes. Sequences that are specific to the mouse Cripto gene and are common between mouse, rat, and human Cripto will be initial siRNA targets.
Retroviral and/or lentivirus vectors (provided by Dr. Inder Verma, The Salk Institute) will be used for the infection and stable expression of siRNAs in CID-9 cells. These vectors can be designed to contain either a polymerase III HI-RNA promoter or a U6 small nuclear RNA promoter to continuously drive high levels of siRNA expression in target cells. Cripto-specific inserts can be designed such that the specified 19-nucleotide sequence of Cripto is separated by a short spacer from the reverse complement of the same 19-nucleotide sequence. The resulting transcript is predicted to fold back on itself to form a 19 base pair hairpin-loop structure necessary for siRNA function. Expression of Cripto siRNAs using these two vector systems will allow for efficient Cripto disruption.
In addition to validating this approach in cultured mouse CID-9 cells, deliverance of siRNA or antisense RNA targeting Cripto expression by retroviral or lentiviral vectors represents a potential gene therapy approach to treat human cancer.
Example 15 Augmenting Smad2/3 Signaling Using Mutant ActivinAnother method of overcoming the antagonistic effects of Cripto on activin and TGF-b signaling (i.e. Smad2/3 signaling) is to design a mutant form of activin (or possibly TGF-b) that retains signaling activity but is unable to bind Cripto. Such a mutant ligand may have therapeutic value since it will be capable of activating Smad2/3 signaling in tissues in which signaling by wild type activin and TGF-b is otherwise suppressed by Cripto.
Cripto-Resistant ActivinIn an effort to identify receptor-binding residues on activin-A, a rapid functional screen for expressing and characterizing activin-A and activin-A mutants has been established using 293T cells. This system incorporates FAST2 and A3-luciferase and is based on a system originally developed to characterize nodal and Cripto signaling. Full-length activin bA cDNA has been expressed in 293T cells and dimeric, processed activin-A was secreted into the medium. When conditioned medium from these cells was used to treat separate 293T cells transfected with A3-luciferase and FAST2, luciferase reporter expression was induced, indicating the secreted activin-A was fully active.
Using the above system, several activin-A mutants were generated and quantitated from conditioned medium by Western blot analysis. We have confirmed previous results indicating that mutation of Lys 102 to Glu (K102E) disrupts activin-A activity. However, most of the mutants we have generated appear to retain full activity. We now propose to compare the ability of transfected Cripto to antagonize wild type activin-A signaling in 293T cells with its ability to antagonize these activin-A mutants. The goal is to identify activin-A mutants that are resistant to Cripto antagonism relative to wild type activin-A. Additional activin-A alanine substitution point mutants can be generated with the aim of identifying activin-A mutants with Cripto full signaling activity and Cripto resistance.
Example 16 Constructs and Uses of Soluble and Membrane-Bound CriptoCripto is expressed at high levels in tumors and has been shown to promote tumorigenesis, whereas TGF-b and activin are tumor suppressors and potently inhibit cell proliferation. Paradoxically, TGF-b/activin can also promote tumorigenesis at later stages of tumor progression when tumor cell proliferation is no longer inhibited by TGF-b/activin signaling. At these later stages, TGF-b and activin are produced at high levels by tumor cells and signaling of these ligands causes angiogenesis, immunosuppression and epithelial to mesenchymal transition which favor tumor growth and spread. Therefore, it may be of therapeutic value to either facilitate TGF-b/activin signaling or to block TGF-b/activin signaling depending on the context (i.e. stage of tumor progression).
Blocking TGF-b/activin signaling may have therapeutic benefit in several contexts including, but are not limited to, cancer, wound healing and liver regeneration. As mentioned above, during later stages of tumorigenesis tumor cells secrete TGF-b and activin that cause effects favoring further tumor growth and metastasis due to their effects on blood vessels, cells of the immune system and organs which are targets for metastasis. Directing Cripto expression or administering soluble forms of Cripto to these sites may help to slow tumor progression.
TGF-b and activin accelerate wound healing but they also can cause excessive extracellular matrix deposition and unwanted scarring. Cripto may therefore have utility as a modulator of TGF-b/activin in this context. With regard to liver regeneration, TGF-b and activin are potent antiproliferative agents in liver and therefore blocking their signaling with Cripto may prove useful in facilitating liver regeneration.
Design of Cripto MutantsExamples of Cripto constructs are indicated in
Cell-attached Cripto constructs can incorporate Cripto signal peptide with an in-frame epitope tag sequence (e.g. FLAG or His) immediately downstream of the signal peptide followed by the indicated Cripto sequences (
The EGF-like domain of mouse Cripto spans residues 60-95 (
The functional role of individual amino acid in the Cripto EGF-like and CFC domains for activin-A and TGF-b1 binding can be determined as follows. Mutants such as Cripto mCFC(H104G, W107G), which has two point mutations within the CFC domain and does not bind ALK4, and Cripto DEGF, which has the entire EGF-like domain deleted and is unable to bind the TGF-b/activin-related ligand nodal, have been described above. Mutant Cripto EGF1•2mCFC, which blocks Cripto binding to activin and prevents Cripto antagonism of activin and TGF-b signaling, incorporates mEGF1, mEGF2 and mCFC tandem point mutations (N69G, T72A, R88G, E91G, H104G, W107G) (see
Furthermore, there are 14 highly conserved residues in the EGF-like domain and 9 highly conserved residues in the CFC domain (
It has been previously shown that Cripto can facilitate nodal signaling and activate mitogenic MAPK and PI3K pathways when present as a soluble protein, raising the possibility that Cripto may act both cell autonomously and as a secreted, soluble factor. Thus it is of interest to test the ability of several soluble Cripto constructs to bind activin and TGF-b and antagonize their signaling. Examples of soluble Cripto constructs are illustrated in
The following references are cited herein:
- Adkins et al., Antibody blockade of the Cripto CFC domain suppresses tumor cell growth in vivo. J. Clin. Invest. 112:575-87 (2003).
- Brummelkamp et al., A system for stable expression of short interfering RNAs in mammalian cells. Science 296:550-3 (2002).
- Ciardiello et al., Inhibition of CRIPTO expression and tumorigenicity in human colon cancer cells by antisense RNA and oligodeoxynucleotides. Oncogene 9:291-8 (1994).
- Ding et al., Cripto is required for correct orientation of the anterior-posterior axis in the mouse embryo. Nature 395:702-7 (1998).
- Elbashir et al., Duplexes of 21-nucleotide RNAs mediate RNA interference in cultured mammalian cells. Nature 411:494-8 (2001).
- Gray et al., Cripto forms a complex with activin and type II activin receptors and can block activin signaling. Proc. Natl. Acad. Sci. USA. 100:5193-8 (2003).
- Harrison et al., Identification of a functional binding site for activin on the type I receptor ALK4. J. Biol. Chem. 278:21129-35 (2003).
- Minchiotti et al., Development 128:4501-10 (2001).
- Niemeyer et al., Cripto: roles in mammary cell growth, survival, differentiation and transformation. Cell Death Differ. 5:440-9 (1998).
- Xing et al., Cancer Res. 64:4018-23 (2004).
- Yeo and Whitman, Mol. Cell. 7:949-57 (2001).
Any patents or publications mentioned in this specification are indicative of the levels of those skilled in the art to which the invention pertains. Further, these patents and publications are incorporated by reference herein to the same extent as if each individual publication was specifically and individually indicated to be incorporated by reference.
Claims
1.-27. (canceled)
28. A method of antagonizing Cripto signaling in a cell to reduce the cell's proliferation comprising contacting the cell with an amount of an antibody that targets the Epidermal Growth Factor (EGF)-like domain of Cripto and the Cripto, FRL-1, Cryptic (CFC) domain of Cripto, wherein the antibody is effective to antagonize Cripto signaling to thereby reduce the cell's proliferation.
29. The method of claim 28, wherein the antibody is a human or humanized antibody.
30. The method of claim 29, wherein the antibody is comprised in a pharmaceutical composition.
31. The method of claim 28, wherein the cell is a breast, colon, stomach, pancreas, lung, ovary, endometrial, testis, bladder, or prostate cell.
32. The method of claim 31, wherein the cell is a cancer cell.
33. A method of antagonizing Cripto signaling in a cell to reduce the cell's proliferation comprising contacting the cell with an amount of a molecule that binds to Cripto and is effective to antagonize Cripto signaling to thereby reduce the cell's proliferation, wherein the molecule is selected from Lefty and Tomoregulin.
Type: Application
Filed: Oct 19, 2011
Publication Date: Jun 7, 2012
Applicant: RESEARCH DEVELOPMENT FOUNDATION (Carson City, NV)
Inventors: Wylie Vale (La Jolla, CA), Craig A. Harrison (Nunswading), Peter C. Gray (San Diego, CA)
Application Number: 13/276,858
International Classification: A61K 39/395 (20060101); A61P 35/00 (20060101); C12N 5/09 (20100101);