US20080221034A1

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Publication number: US20080221034A1
Application number: US12/061,676
Authority: US
Inventors: Ruxandra Draghia-Akli
Original assignee: VGX Pharmaceuticals Inc
Current assignee: VGX Pharmaceuticals Inc
Priority date: 2003-08-04
Filing date: 2008-04-03
Publication date: 2008-09-11
Also published as: US7361642B2; CA2575926A1; WO2005016964A2; EP1660530A2; US20050032737A1; WO2005016964A3; CA2575926C; TW200523361A

Abstract

A composition and a method of increasing growth hormone (“GH”) values in a canine or dog, and more specifically, a canine- or dog-specific growth hormone releasing hormone (“dGHRH”), or functional biological equivalent thereof. The dGHRH is an isolated composition or a nucleic acid molecule that encodes the dGHRH or functional biological equivalent. Also, a method for delivering the composition of this invention to a subject, wherein the dGHRH increases the level of growth hormone (“GH”) secretion in a recipient subject, such as a canine or dog.

Description

RELATED APPLICATIONS

This application claims priority to U.S. Provisional Patent Application Ser. No. 60/492,427, entitled “Canine Specific Growth Hormone Releasing Hormone,” filed on Aug. 4, 2003, having Draghia-Akli, listed as the inventor, the entire content of which is hereby incorporated by reference.

BACKGROUND

This invention pertains to an isolated composition and a method of increasing growth hormone (“GH”) values in a canine or dog. More specifically, the invention pertains to a canine- or dog-specific growth hormone releasing hormone (“dGHRH”), or functional biological equivalent thereof. The dGHRH is an isolated composition or a nucleic acid molecule that encodes the dGHRH or functional biological equivalent. Another aspect of the current invention includes a method for delivering the composition of this invention to a subject, wherein the dGHRH increases the level of growth hormone (“GH”) secretion in a recipient subject, such as a canine or dog.

In the United States, the companion canine population is about 60 million. Although not wanting to be bound by theory, the average lifespan for these canines has increased in recent decades due to better nutrition, and better health care options. Even though the average disease profile and lifespan of the canine population are generally breed specific, there are common disease related features and age related features that are present in most mammals. For example, as mammals age, the GHRH-GH-IGF-I axis undergoes considerable decrement, with reduced GH secretion and IGF-I production associated with a loss of skeletal muscle mass (sarcopenia), osteoporosis, increased fat deposition, decreased lean body mass, and other disorders. Studies in humans and other mammals have demonstrated that the development of these changes can be offset by recombinant growth hormone (“GH”) therapy. One benefit of the claimed invention is observed when a dog specific growth hormone releasing hormone (“dGHRH”) composition is delivered to a canine subject and the level of GH secretion in the canine subject is increased. Another aspect of the current invention is the dGHRH molecule or functional biological equivalent thereof. The composition may also be a nucleic acid molecule that encodes the dGHRH or functional biological equivalent thereof. The dGHRH can be defined as a biologically active polypeptide that has been engineered to contain a distinct amino acid sequence having similar or improved biologically activity when compared to a generic GHRH (“GHRH”) polypeptide. Other benefits from administering the dGHRH compound to the canine subject are outlined in preferred embodiments and include: increased insulin-like growth factor I (“IGF-I”), increased red blood cells production and hemoglobin concentration, and improved protein metabolism.

In humans and other mammals, regulated expression of the GH pathway is considered essential for optimal linear growth, as well as homeostasis of carbohydrate, protein, and fat metabolism. GH synthesis and its pulsatile secretion from the anterior pituitary is stimulated by GHRH and inhibited by somatostatin, both hypothalamic hormones (Frohman et al., 1992). GH increases production of insulin-like growth factor-I (“IGF-I”) primarily in the liver, as well as other target organs. IGF-I and GH feedback on the hypothalamus and pituitary to inhibit GHRH release and GH secretion. The endogenous rhythm of GH secretion becomes entrained to the imposed rhythm of exogenous GHRH (Caroni and Schneider, 1994).

Although not wanting to be bound by theory, the linear growth velocity and body composition of humans, farm animals, and companion animals appear to respond to GH or GHRH replacement therapies under a broad spectrum of conditions. Similarly, anemia associated with different diseases and conditions can be treated by physiologically stimulating the GHRH axis (Draghia-Akli et al., 2002a; Draghia-Akli et al., 2003a). However, the etiology of these conditions can vary significantly. For example, in 50% of human GH deficiencies the GHRH-GH-IGF-I axis is functionally intact, but does not elicit the appropriate biological responses in its target tissues. Similar phenotypes are produced by genetic defects at different points along the GH axis (Parks et al., 1995), as well as in non-GH-deficient short stature. In humans, these non-GH-deficiency causes of short stature, such as Turner syndrome (Butler et al., 1994), hypochondroplasia (Foncea et al., 1997), Crohn's disease (Parrizas and LeRoith, 1997), intrauterine growth retardation (Hoess and Abremski, 1985) or chronic renal insufficiency (Lowe, Jr. et al., 1989) can be efficiently treated with GHRH or GH therapy (Gesundheit and Alexander, 1995). In companion animals, such as dogs, there is little or no available therapy, and recombinant protein therapies have proved to be inefficient (Kooistra et al., 1998; Kooistra et al., 2000; Rijnberk et al., 1993).

In aging mammals, the GHRH-GH-IGF-I axis undergoes considerable decrement having reduced GH secretion and IGF-I production associated with a loss of skeletal muscle mass (sarcopenia), osteoporosis, increased fat deposition and decreased lean body mass (Caroni and Schneider, 1994; Veldhuis et al., 1997). It has been demonstrated that the development of these changes can be offset by recombinant GH therapy. GH replacement therapy both in children and the elderly is widely used clinically. Current GH therapy has several shortcomings, however, including frequent subcutaneous or intravenous injections, insulin resistance and impaired glucose tolerance (Rabinovsky et al., 1992); children are also vulnerable to premature epiphyseal closure and slippage of the capital femoral epiphysis (Liu and LeRoith, 1999). A “slow-release” form of GH (from Genentech) has been developed that only requires injections every 14 days. However, this GH product appears to perturb the normal physiological pulsatile GH profile, and is also associated with frequent side effects.

Various GH and GHRH regimens are also available for use in domestic livestock. For example, administration of GHRH and GH stimulate milk production, with an increase in feed to milk conversion. This therapy enhances growth primarily by increasing lean body mass (Lapierre et al., 1991; van Rooij et al., 2000) with overall improvement in feed efficiency. Hot and chilled carcass weights are increased and carcass lipid (percent of soft-tissue mass) is decrease by administration of GHRH and GH (Etherton et al., 1986).

Administering novel GHRH analog proteins (U.S. Pat. Nos. 5,847,066; 5,846,936; 5,792,747; 5,776,901; 5,696,089; 5,486,505; 5,137,872; 5,084,442, 5,036,045; 5,023,322; 4,839,344; 4,410,512, RE33,699), synthetic or naturally occurring peptide fragments of GHRH (U.S. Pat. Nos. 4,833,166; 4,228,158; 4,228,156; 4,226,857; 4,224,316; 4,223,021; 4,223,020; 4,223,019) for the purpose of increasing release of GH have been reported. A GHRH analog containing the following mutations has been reported (U.S. Pat. No. 5,846,936): Tyr atposition 1 to His; Ala at position 2 to Val, Leu, or others; Asn at position 8 to Gln, Ser, or Thr; Gly atposition 15 to Ala or Leu; Met at position 27 to Nle or Leu; and Ser at position 28 to Asn. The GHRH analog is the subject of U.S. Pat. No. 6,551,996 (“the '996 patent”), issued on Apr. 22, 2003 having Schwartz et al., listed as inventors. The '996 patent teaches application of a GHRH analog containing mutations that improve the ability to elicit the release of GH. In addition, the '996 patent relates to the treatment of growth deficiencies; the improvement of growth performance; the stimulation of production of GH in an animal at a greater level than that associated with normal growth; and the enhancement of growth utilizing the administration of GH releasing hormone analog and is herein incorporated by reference.

Studies in humans, sheep or pigs showed that continuous infusion with recombinant GHRH protein restores the normal GH pattern without desensitizing GHRH receptors or depleting GH supplies as this system is capable of feed-back regulation, which is abolished in the GH therapies (Dubreuil et al., 1990; Vance, 1990; Vance et al., 1985). Although GHRH protein therapy stimulates normal cyclical GH secretion with virtually no side effects (Corpas et al., 1993), the short half-life of the molecule in vivo requires frequent (e.g. one to three times per day) intravenous, subcutaneous or intranasal administrations at about a 300-fold higher dose. Thus, recombinant GHRH administration is not practical as a chronic therapy. However, extracranially secreted GHRH, as a mature or a truncated polypeptide, is often biologically active (Thorner et al., 1984) and a low level of serum GHRH (100 pg/ml) stimulates GH secretion (Corpas et al., 1993). These characteristics make GHRH an excellent candidate for plasmid mediated supplementation of a gene product.

Transgene Delivery and in vivo Expression: Although not wanting to be bound by theory, the delivery of specific transgenes to somatic tissue to correct inborn or acquired deficiencies and imbalances is possible. Such transgene-based drug delivery offers a number of advantages over the administration of recombinant proteins. These advantages include: the conservation of native protein structure; improved biological activity; avoidance of systemic toxicities; and avoidance of infectious and toxic impurities. Because the protein is synthesized and secreted continuously into the circulation, plasmid mediated therapy allows for prolonged production of the protein in a therapeutic range. In contrast, the primary limitation of using recombinant protein is the limited availability of protein after each administration.

In a plasmid-based expression system, a non-viral transgene vector may comprise of a synthetic transgene delivery system in addition to the nucleic acid encoding the therapeutic genetic product. In this way, the risks associated with the use of most viral vectors can be avoided, including the expression of viral proteins that can induce immune responses against target tissues and the possibility of DNA mutations or activations of oncogenes. The non-viral expression vector products generally have low toxicity due to the use of “species-specific” components for gene delivery, which minimizes the risks of immunogenicity generally associated with viral vectors. Additionally, no integration of plasmid sequences into host chromosomes has been reported in vivo to date, so that this type of nucleic acid vector therapy should neither activate oncogenes nor inactivate tumor suppressor genes. As episomal systems residing outside the chromosomes, plasmids have defined pharmacokinetics and elimination profiles, leading to a finite duration of gene expression in target tissues.

Direct plasmid DNA gene transfer is currently the basis of many emerging nucleic acid therapy strategies and does not require viral components or lipid particles (Aihara and Miyazaki, 1998; Muramatsu et al., 2001). Skeletal muscle is target tissue, because muscle fiber has a long life span and can be transduced by circular DNA plasmids that are expressed in immunocompetent hosts (Davis et al., 1993; Tripathy et al., 1996). Plasmid DNA constructs are attractive candidates for direct therapy into the subjects skeletal muscle because the constructs are well-defined entities that are biochemically stable and have been used successfully for many years (Acsadi et al., 1991; Wolff et al., 1990). The relatively low expression levels of an encoded product that are achieved after direct plasmid DNA injection are sometimes sufficient to indicate bio-activity of secreted peptides (Danko and Wolff, 1994; Tsurumi et al., 1996). Previous reports demonstrated that human GHRH cDNA could be delivered to muscle by an injectable myogenic expression vector in mice where it transiently stimulated GH secretion to a modest extent over a period of two weeks (Draghia-Akli et al., 1997).

Efforts have been made to enhance the delivery of plasmid DNA to cells by physical means including electroporation, sonoporation, and pressure. Although not wanting to be bound by theory, the administration of a nucleic acid construct by electroporation involves the application of a pulsed electric field to create transient pores in the cellular membrane without causing permanent damage to the cell, which allows exogenous molecules to enter the cell (Smith and Nordstrom, 2000). By adjusting the electrical pulse generated by an electroporetic system, nucleic acid molecules can travel through passageways or pores in the cell that are created during the procedure. U.S. Pat. No. 5,704,908 describes an electroporation apparatus for delivering molecules to cells at a selected location within a cavity in the body of a patient. Similar pulse voltage injection devices are also described in U.S. Pat. Nos. 5,439,440 and 5,702,304, and PCT WO 96/12520, 96/12006, 95/19805, and 97/07826, which are hereby incorporated by reference.

Recently, significant progress to enhance plasmid delivery in vivo and subsequently to achieve physiological levels of a secreted protein was obtained using the electroporation technique. Electroporation has been used very successfully to transfect tumor cells after injection of plasmid (Lucas et al., 2002; Matsubara et al., 2001)) or to deliver the anti-tumor drug bleomycin to cutaneous and subcutaneous tumors in humans (Gehl et al., 1998; Heller et al., 1996). Electroporation also has been extensively used in mice (Lesbordes et al., 2002; Lucas et al., 2001; Vilquin et al., 2001), rats (Terada et al., 2001; Yasui et al., 2001), and dogs (Fewell et al., 2001) to deliver therapeutic genes that encode for a variety of hormones, cytokines or enzymes. Previous studies using GHRH showed that plasmid therapy with electroporation is scalable and represents a promising approach to induce production and regulated secretion of proteins in large animals and humans (Draghia-Akli et al., 1999; Draghia-Akli et al., 2002c). Electroporation also has been extensively used in rodents and other small animals (Bettan et al, 2000; Yin and Tang, 2001). It has been observed that the electrode configuration affects the electric field distribution, and subsequent results (Gehl et al., 1999; Miklavcic et al., 1998). Although not wanting to be bound by theory, needle electrodes give consistently better results than external caliper electrodes in a large animal model.

The ability of electroporation to enhance plasmid uptake into the skeletal muscle has been well documented. Similarly, plasmids formulated with poly-L-glutamate (“PLG”) or polyvinylpyrrolidone (“PVP”) were observed to have an increase in plasmid transfection, which consequently increased the expression of a desired transgene. For example, plasmids formulated with PLG or PVP were observed to increase gene expression to up to 10 fold in the skeletal muscle of mice, rats, and dogs (Fewell et al., 2001; Mumper et al., 1998). Although not wanting to be bound by theory, the anionic polymer sodium PLG enhances plasmid uptake at low plasmid concentrations and reduces any possible tissue damage caused by the procedure. PLG is a stable compound and it is resistant to relatively high temperatures (Dolnik et al., 1993). PLG has been used to increase stability of anti-cancer drugs (Li et al., 2000) and as “glue” to close wounds or to prevent bleeding from tissues during wound and tissue repair (Otani et al., 1996; Otani et al., 1998). PLG has been used to increase stability in vaccine preparations (Matsuo et al., 1994) without increasing their immunogenicity. PLG also has been used as an anti-toxin after antigen inhalation or exposure to ozone (Fryer and Jacoby, 1993).

Although not wanting to be bound by theory, PLG increases the transfection of the plasmid during the electroporation process, not only by stabilizing the plasmid DNA and facilitating the intracellular transport through the membrane pores, but also through an active mechanism. For example, positively charged surface proteins on the cells could complex the negatively charged PLG linked to plasmid DNA through protein-protein interactions. When an electric field is applied, the surface proteins reverse direction and actively internalize the DNA molecules, a process that substantially increases the transfection efficiency. Furthermore, PLG will prevent the muscle damage associated with in vivo plasmid delivery (Draghia-Akli et al., 2002b) and will increase plasmid stability in vitro prior to injection. There are studies directed to electroporation of eukaryotic cells with linear DNA (McNally et al., 1988; Neumann et al., 1982) (Toneguzzo et al., 1988) (Aratani et al., 1992; Nairn et al., 1993; Xie and Tsong, 1993; Yorifuji and Mikawa, 1990), but these examples illustrate transfection into cell suspensions, cell cultures, and the like, and such transfected cells are not present in a somatic tissue.

U.S. Pat. No. 4,956,288 is directed to methods for preparing recombinant host cells containing high copy number of a foreign DNA by electroporating a population of cells in the presence of the foreign DNA, culturing the cells, and killing the cells having a low copy number of the foreign DNA.

Although not wanting to be bound by theory, a GHRH cDNA can be delivered to muscle of mice and humans by an injectable myogenic expression vector where it can transiently stimulate GH secretion over a period of two weeks (Draghia-Akli et al., 1997). This injectable vector system was optimized by incorporating a powerful synthetic muscle promoter (Li et al., 1999) coupled with a novel protease-resistant GHRH molecule with a substantially longer half-life and greater GH secretory activity (pSP-HV-GHRH) (Draghia-Akli et al., 1999). Highly efficient electroporation technology was optimized to deliver the nucleic acid construct to the skeletal muscle of an animal (Draghia-Akli et al., 2002b). Using this combination of vector design and electric pulses plasmid delivery method, the inventors were able to show increased growth and favorably modified body composition in pigs (Draghia-Akli et al., 1999; Draghia-Akli et al., 2003b) and rodents (Draghia-Akli et al., 2002c). The modified GHRH nucleic acid constructs increased red blood cell production in companion animals with cancer and cancer treatment-associated anemia (Draghia-Akli et al., 2002a). In pigs, available data suggested that the modified porcine HV-GHRH was more potent in promoting growth and positive body composition changes than the wild-type porcine GHRH (Draghia-Akli et al., 1999). One aspect of the current invention describes a species-specific dGHRH expression vector that comprises a more efficient composition to increase red blood cell production in a canine subject than the protease resistant HV-GHRH molecule.

SUMMARY

Although the average disease profile and lifespan of the canine population are generally breed specific, there are common disease related features and age related features that are present in most mammals. Studies in mammals have demonstrated that the development of hematological changes can be offset by recombinant growth hormone (“GH”) therapy. The current invention comprises compositions and methods for increasing GH values in canines.

One aspect of the current invention comprises a canine or dog specific growth hormone releasing hormone (“dGHRH”) or functional biological equivalent thereof. In one specific embodiment, the dGHRH or functional biological equivalent increases growth hormone (“GH”) when delivered into a subject. The delivered dGHRH or functional biological equivalent thereof improves hematological parameters in the subject, wherein the hematological parameters comprise: red blood cell count, hemoglobin concentration, and mean corpuscular hemoglobin.

Another aspect of the current invention comprises a nucleic acid expression construct encoding the dGHRH or functional biological equivalent thereof. In a second specific embodiment, the dGHRH or functional biological equivalent increases GH when expressed in the subject. The expressed dGHRH or functional biological equivalent thereof improves hematological parameters in the subject, wherein the hematological parameters comprise: red blood cell count, hemoglobin concentration, and mean corpuscular hemoglobin. In a third specific embodiment, the nucleic acid expression construct further comprises: a synthetic or eukaryotic promoter; a poly-adenylation signal; a selectable marker gene promoter; a ribosomal binding site; a selectable marker gene sequence; and an origin of replication. In such an arrangement, the synthetic or eukaryotic promoter, the nucleic acid sequence encoding the dGHRH or functional biological equivalent thereof, and the poly adenylation signal comprise therapeutic elements of the nucleic acid expression construct. The therapeutic elements are operatively linked and located in a first operatively-linked arrangement. Similarly, the selectable marker gene promoter, the ribosomal binding site, the selectable marker gene sequence, and the origin of replication comprise the replication elements of the nucleic acid expression vector and are operatively linked and located in a second operatively-linked arrangement. The first-operatively-linked arrangement and the second-operatively-linked arrangement comprise a circular structure of the nucleic acid expression construct, which is utilized for plasmid mediated gene supplementation. Examples of dGHRH nucleic acid expression constructs of this invention include plasmids pAV0221 and pAV00215.

Still another aspect of the current invention is a method of increasing GH values in a subject. The method comprises delivering into the subject a recombinant dGHRH or functional biological equivalent thereof. The recombinant dGHRH comprises a biologically active polypeptide, and the recombinant functional biological equivalent of dGHRH comprises a polypeptide that has been engineered to contain a distinct amino acid sequence while simultaneously having similar or improved biologically activity when compared to the dGHRH polypeptide. The increasing GH values are related by increasing hematological parameters in the subject having the delivered recombinant dGHRH or functional biological equivalent thereof.

Yet another aspect of the current invention is a method of increasing GH values in a subject. The method comprises delivering into the cells of a subject a nucleic acid expression construct that expresses the dGHRH or functional biological equivalent thereof. In a fourth specific embodiment, the nucleic acid expression construct is delivered into the cells of the subject via an electroporation method. The cells receiving the nucleic acid expression construct comprise somatic cells, stem cells, or germ cells. The dGHRH or functional biological equivalent thereof is expressed in tissue specific cells of the subject (e.g. muscle cells). Examples of nucleic acid expression constructs used for this method include plasmids pAV0221 and pAV00215. In a fifth specific embodiment, the method for delivering the dGHRH nucleic acid expression further comprises using a transfection-facilitating polypeptide, wherein the transfection-facilitating polypeptide comprises a charged polypeptide (e.g. poly-L-glutamate). Increasing GH values are reflected by increasing hematological parameters in the subject having the delivered recombinant dGHRH or functional biological equivalent thereof.

BRIEF DESCRIPTION OF FIGURES

FIG. 1 shows the alignment of HV-GHRH and dGHRH coding sequences, and the consensus sequence;

FIG. 2 shows alignment of HV-GHRH and dGHRH amino acid sequences, and the consensus sequence; notice that the 5′ signal peptide contains 30 amino acids in the dog specific sequence, and it contains 31 amino acids in the HV-GHRH, a modified porcine GHRH with long serum half-life;

FIG. 3 shows the sequence of the pAV0221 plasmid vector containing the dGHRH sequence;

FIG. 4 shows the sequence of the pAV0215 plasmid vector containing the HV-GHRH sequence;

FIG. 5 shows the average red blood cell count in dogs treated with the species specific dGHRH versus controls and dogs treated with the modified porcine HV-GHRH (day 7, P<0.05 versus baseline in dogs treated with dGHRH);

FIG. 6 shows the average hemoglobin in dogs treated with the species specific dGHRH versus controls and dogs treated with the modified porcine HV-GHRH (day 14, P<0.05 versus baseline in dogs treated with dGHRH);

FIG. 7 shows the average mean corpuscular hemoglobin in dogs treated with the species specific dGHRH versus controls and dogs treated with the modified porcine HV-GHRH (day 14, P<0.01 versus baseline in dogs treated with dGHRH); and

FIG. 8 shows the average mean corpuscular hemoglobin concentration in dogs treated with the species specific dGHRH versus controls and dogs treated with the modified porcine HV-GHRH (day 14, P<0.002 versus baseline in dogs treated with dGHRH).

DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS

Terms:

The term “analog” as used herein includes any mutant of GHRH, or synthetic or naturally occurring peptide fragments of GHRH.

The terms “canine” and “dog” as used interchangeably herein.

The term “codon” as used herein refers to any group of three consecutive nucleotide bases in a given messenger RNA molecule, or coding strand of DNA that specifies a particular amino-acid, or a starting or stopping signal for translation. The term codon also refers to base triplets in a DNA strand.

The term “coding region” as used herein refers to any portion of the DNA sequence that is transcribed into messenger RNA (mRNA) and then translated into a sequence of amino acids characteristic of a specific polypeptide.

The term “delivery” as used herein is defined as a means of introducing a material into a subject, a cell or any recipient, by means of chemical or biological process, injection, mixing, electroporation, sonoporation, or combination thereof, either without or under pressure.

The term “encoded GHRH” as used herein is a biologically active polypeptide.

The term “functional biological equivalent” of GHRH as used herein is a polypeptide that has been engineered to contain a distinct amino acid sequence while simultaneously having similar or improved biological activity when compared to the GHRH polypeptide.

The term “growth hormone” (“GH”) as used herein is defined as a hormone that relates to growth and acts as a chemical messenger to exert its action on a target cell.

The term “growth hormone releasing hormone” (“GHRH”) as used herein is defined as a hormone that facilitates or stimulates release of GH, and to a lesser extent other pituitary hormones, such as prolactin.

The term “heterologous nucleic acid sequence” as used herein is defined as a DNA sequence consisting of differing regulatory and expression elements.

The term “isolated” as used herein refers to synthetic or recombinant preparation of molecules in a purified, or concentrated, or both, form, substantially free from undesirable properties.

The term “modified GHRH” as used herein is a polypeptide that has been engineered to contain an amino acid sequence that is distinct from the wild-type GHRH polypeptide while simultaneously having similar or improved biologically activity when compared to the wild-type GHRH polypeptide. The wild-type GHRH polypeptide is the naturally occurring species-specific GHRH polypeptide of a subject, a cell or any recipient of the modified GHRH.

The term “nucleic acid expression construct” as used herein refers to any type of genetic construct comprising a nucleic acid coding for a RNA capable of being transcribed. The transcribed RNA is then capable of being translated into a peptide, polypeptide, or protein. The term “expression vector” or “expression plasmid” can also be used interchangeably.

The term “recipient subject” as used herein refers to a subject that receives a treatment or composition.

The term “subject” as used herein refers to any species of the animal kingdom, including humans. In preferred embodiments it refers more specifically to canines.

The term “domesticated animal” as used herein refers to animals used for: pets (e.g. cats, dogs, etc.); work (e.g. horses, cows, etc.); food (chicken, fish, lambs, pigs, etc); and all others known in the art.

The term “operatively linked” as used herein refers to elements or structures in a nucleic acid sequence that are linked by operative ability and not physical location. The elements or structures are capable of, or characterized by accomplishing a desired operation. It is recognized by one of ordinary skill in the art that it is not necessary for elements or structures in a nucleic acid sequence to be in a tandem or adjacent order to be operatively linked.

The term “promoter” as used herein refers to a sequence of DNA that directs the transcription of a gene. A promoter may direct the transcription of a prokaryotic or eukaryotic gene. A promoter may be “inducible”, initiating transcription in response to an inducing agent or, in contrast, a promoter may be “constitutive”, whereby an inducing agent does not regulate the rate of transcription. A promoter may be regulated in a tissue-specific or tissue-preferred manner, such that it is only active in transcribing the operable linked coding region in a specific tissue type or types.

The term “replication element” as used herein comprises nucleic acid sequences that will lead to replication of a plasmid in a specified host. One skilled in the art of molecular biology will recognize that the replication element may include, but is not limited to, a selectable marker gene promoter, a ribosomal binding site, a selectable marker gene sequence, and an origin of replication.

The term “therapeutic element” as used herein comprises nucleic acid sequences that will lead to an in vivo expression of an encoded gene product. One skilled in the art of molecular biology will recognize that the therapeutic element may include, but is not limited to a promoter sequence, a poly [A] sequence, or a 3′ or 5′ UTR.

The term “vector” as used herein refers to any vehicle that delivers a nucleic acid into a cell or organism. Examples include plasmid vectors, viral vectors, liposomes, or cationic lipids.

The standard one and three letter abbreviations for amino acids used herein

are as follows: Alanine, A ala; Arginine, R, arg; Asparagine, N, asn; Aspartic acid, D, asp; Cysteine, C, cys; Glutamine, Q, gln; Glutamic acid, E, glu; Glycine, G, gly; Histidine, H, his; Isoleucine, I, ile; Leucine, L, leu; Lysine, K, lys; Methionine, M, met; Phenylalanine, F, phe; Proline, P, pro; Serine, S, ser; Threonine, T, thr; Tryptophan, W, trp; Tyrosine, Y, tyr; Valine, V, val.

In a preferred embodiment, the nucleic acid construct or vector of the present invention is a plasmid that comprises a synthetic myogenic (muscle-specific) promoter, a synthetic nucleotide sequence encoding a dGHRH or its analog, and a 3′ untranslated region (3′UTR).

Promoters and Enhancers. A “promoter” is a control sequence that is a region of a nucleic acid sequence at which the initiation and rate of transcription are controlled. It may contain genetic elements where regulatory proteins and molecules may bind such as RNA polymerase and transcription factors. The phrases “operatively positioned,” “operatively linked,” “under control,” and “under transcriptional control” mean that a promoter is in a correct functional location and/or orientation in relation to a nucleic acid sequence to control transcriptional initiation and/or expression of that sequence. A promoter may or may not be used in conjunction with an “enhancer,” which refers to a cis-acting regulatory sequence involved in the transcriptional activation of a nucleic acid sequence.

A promoter may be one of naturally-coding sequences located upstream of the coding segment and/or exon. Such a promoter can be referred to as “endogenous.” Similarly, an enhancer may be one naturally associated with a nucleic acid sequence, located either downstream or upstream of that sequence. Alternatively, certain advantages will be gained by positioning the coding nucleic acid segment under the control of a recombinant or heterologous promoter, which refers to a promoter that is not normally associated with a nucleic acid sequence in its natural environment. A recombinant or heterologous enhancer refers also to an enhancer not normally associated with a nucleic acid sequence in its natural environment. Such promoters or enhancers may include promoters or enhancers of other genes, and promoters or enhancers isolated from any other prokaryotic, viral, or eukaryotic cell, and promoters or enhancers not “naturally occurring,” i.e., containing different elements of different transcriptional regulatory regions, and/or mutations that alter expression. In addition to producing nucleic acid sequences of promoters and enhancers synthetically, sequences may be produced using recombinant cloning and/or nucleic acid amplification technology, including PCR™. Furthermore, it is contemplated the control sequences that direct transcription and/or expression of sequences within non-nuclear organelles such as mitochondria, chloroplasts, and the like, can be employed as well.

Naturally, it will be important to employ a promoter and/or enhancer that effectively directs the expression of the DNA segment in the cell type, organelle, and organism chosen for expression. Those of skill in the art of molecular biology generally know the use of promoters, enhancers, and cell type combinations for protein expression. The promoters employed may be constitutive, tissue-specific, inducible, and/or useful under the appropriate conditions to direct high level expression of the introduced DNA segment, such as is advantageous in the large-scale production of recombinant proteins and/or peptides. The promoter may be heterologous or endogenous. In a specific embodiment the promoter is a synthetic myogenic promoter (Seq. ID No. 11).

The identity of tissue-specific promoters or elements, as well as assays to characterize their activity, is well known to those of skill in the art. Examples of such regions include the human LIMK2 gene, the somatostatin receptor 2 gene, murine epididymal retinoic acid-binding gene, human CD4, mouse alpha2 (XI) collagen, D1A dopamine receptor gene, insulin-like growth factor II, human platelet endothelial cell adhesion molecule-1.

Initiation Signals and Internal Ribosome Binding Sites. A specific initiation signal also may be required for efficient translation (synthesis of the encoded protein) of coding sequences. These signals include the ATG initiation codon or adjacent sequences. Exogenous translational control signals, including the ATG initiation codon, may need to be provided. One of ordinary skill in the art would readily be capable of determining this and providing the necessary signals. It is well known that the initiation codon must be “in-frame” with the reading frame of the desired coding sequence to ensure translation of the entire insert. The exogenous translational control signals and initiation codons can be either natural or synthetic. The efficiency of expression may be enhanced by the inclusion of appropriate transcription enhancer elements.

In certain embodiments of the invention, internal ribosome entry sites (“IRES”) elements are used to create multigene, or polycistronic messages. IRES elements are able to bypass the ribosome scanning model of 5′ methylated Cap-dependent translation and begin translation at internal sites. IRES elements from two members of the picornavirus family (polio and encephalomyocarditis) have been described, as well a IRES from a mammalian message. IRES elements can be linked to heterologous open reading frames. Multiple open reading frames can be transcribed together, each separated by a IRES, creating polycistronic messages. By virtue of the IRES element, each open reading frame is accessible to ribosomes for efficient translation. Multiple genes can be efficiently expressed using a single promoter/enhancer to transcribe a single message.

Multiple Cloning Sites. Vectors can include a multiple cloning site (“MCS”), which is a nucleic acid region that contains multiple restriction enzyme sites, any of which can be used in conjunction with standard recombinant technology to digest the vector. “Restriction enzyme digestion” refers to catalytic cleavage of a nucleic acid molecule with an enzyme that functions only at specific locations in a nucleic acid molecule. Many of these restriction enzymes are commercially available. Use of such enzymes is widely understood by those of skill in the art. Frequently, a vector is linearized or fragmented using a restriction enzyme that cuts within the MCS to enable exogenous sequences to be ligated to the vector. “Ligation” refers to the process of forming phosphodiester bonds between two nucleic acid fragments, which may or may not be contiguous with each other. Techniques involving restriction enzymes and ligation reactions are well known to those of skill in the art of recombinant technology.

Splicing Sites. Most transcribed eukaryotic RNA molecules will undergo RNA splicing to remove introns from the primary transcripts. Vectors containing genomic eukaryotic sequences may require donor and/or acceptor splicing sites to ensure proper processing of the transcript for protein expression.

Polyadenylation Signals. In expression, one will typically include a polyadenylation signal to effect proper polyadenylation of the transcript. The nature of the polyadenylation signal is not believed to be crucial to the successful practice of the invention, and/or any such sequence may be employed. Preferred embodiments include the bovine or human GH polyadenylation signal, convenient and/or known to function well in various target cells. In a specific embodiment the polyadenylation signal is a fragment of the 3′UTR of human growth hormone (Seq. ID No. 12). Also contemplated as an element of the expression cassette is a transcriptional termination site. These elements can serve to enhance message levels and/or to minimize read through from the cassette into other sequences.

Origins of Replication. In order to propagate a vector in a host cell, it may contain one or more origins of replication sites (often termed “ori”), which is a specific nucleic acid sequence at which replication is initiated. In a specific embodiment the origin of replication is the pUC-18 origin of replication (Seq. ID No. 16). Alternatively an autonomously replicating sequence (“ARS”) can be employed if the host cell is yeast.

Selectable and Screenable Markers. In certain embodiments of the invention, the cells that contain the nucleic acid construct of the present invention may be identified in vitro or in vivo by including a marker in the expression vector. Such markers would confer an identifiable change to the cell permitting easy identification of cells containing the expression vector. Generally, a selectable marker is one that confers a property that allows for selection. A positive selectable marker is one in which the presence of the marker allows for its selection, while a negative selectable marker is one in which its presence prevents its selection. An example of a positive selectable marker is a drug resistance marker, such as the antibiotic resistance gene on the plasmid constructs (such as kanamycin, ampicylin, gentamycin, tetracycline, or chloramphenicol). initiated. In a specific embodiment the selectable marker is the kanamycin resistance marker (Seq. ID No. 15).

Usually the inclusion of a drug selection marker aids in the cloning and identification of transformants, for example, genes that confer resistance to neomycin, puromycin, hygromycin, DHFR, GPT, zeocin and histidinol are useful selectable markers. In addition to markers conferring a phenotype that allows for the discrimination of transformants based on the implementation of conditions, other types of markers including screenable markers such as GFP, whose basis is calorimetric analysis, are also contemplated. Alternatively, screenable enzymes may be utilized. One of skill in the art would also know how to employ immunologic markers, possibly in conjunction with FACS analysis. The marker used is not believed to be important, so long as it is capable of being expressed simultaneously with the nucleic acid encoding a gene product. Further examples of selectable and screenable markers are well known to one of skill in the art.

GHRH: GHRH has a short half-life in the circulatory system in mammals (Frohman et al., 1984). The HV-GHRH super-analog was presented in the U.S. patent application Ser. No. 10/021,403 filed on Dec. 12, 2001 and titled “Administration of nucleic acid sequence to female animal to enhance growth in offspring” with Schwartz, et al., listed as inventors and U.S. Pat. No. 6,551,996 (“the '996 patent”), issued on Apr. 22, 2003 having Schwartz et al., listed as inventors. The '996 patent teaches application of a GHRH analog containing mutations that improve the ability to elicit the release of GH. In addition, the '996 patent relates to the treatment of growth deficiencies; the improvement of growth performance; the stimulation of production of GH in an animal at a greater level than that associated with normal growth; and the enhancement of growth utilizing the administration of GH releasing hormone analog and is herein incorporated by reference. In order to clone the dGHRH, a dog hypothalamic library was generated and screened.

The invention may be better understood with reference to the following examples, which are representative of some of the embodiments of the invention, and are not intended to limit the invention.

Example 1

DNA/Plasmid constructs: GHRH cDNA constructs were introduced into the pAV plasmid backbone, as described in US patent application Ser. No. 60/396,247 filed on Jul. 16, 2002 and titled “Codon Optimized Synthetic Plasmids” with Draghia-Akli, et al., listed as inventors. Each of the expression vector elements were operatively linked and incorporated into the myogenic GHRH expression vectors. For example, the biological potency of the dGHRH was tested using the pAV plasmid vector that was engineered to direct high levels of skeletal muscle-specific gene expression with the use of a synthetic muscle promoter, SPc5-12 (Li et al., 1999) and a 225-bp fragment of dGHRH, which encodes the 30 amino acid signal peptide and a form of the mature peptide dGHRH (Tyr1-Gly40) followed by the 3′ untranslated region of the human GH (“hGH”). The sequence of the muscle specific synthetic promoter (Seq. ID No. 11) and the sequence of the fragment of 3′UTR of human growth hormone (Seq. ID No. 12) are included. Other constructs included the modified porcine HV-GHRH, which was used as a positive control, or another functional biological equivalent thereof. The wild type and mutated porcine GHRH cDNAs were generated by site directed mutagenesis of GHRH cDNA (Altered Sites II in vitro Mutagenesis System, Promega, Madison, Wis.), and cloned into the BamHI/Hind III sites of pSPc5-12, to generate pSP-wt-GHRH, or pSP-TI-GHRH respectively. The 3′ untranslated region (3′UTR) of GH was cloned downstream of GHRH cDNA. Each of the resultant plasmids contained a coding region for either a wild type or a mutated form of GHRH. Although not wanting to be bound by theory, some of the mutated resultant amino acid sequences were not naturally present in mammals.

Dog GHRH cloning—A custom cDNA library was constructed by Clontech Laboratories, Inc., Palo Alto, Calif. The starting tissue for the library was dog hypothalamus (4.7 gm) which had been collected from dogs kept in a closed, experimental facility (NIH Regulations) from birth to death and stored at −80° C. The cDNA library was screened by PCR using a 5′ primer selected from the Bam/Hind III fragment of HV-GHRH and a 3′ primer selected from sequence in Exon 5 of bovine GHRH.

Seq ID No. 07

Bam/Hind III	5′ Primer:	ATG GTG CTC TGG GTG TTC TT

Seq ID No. 08

Exon 5

3′ Primer:

TTC ATC CTT GGG AGT TCC TG

PCR conditions were as following: DNA (library) 3 μl, 10× Accutaq buffer 5 μl,DMSO 1 μl, dNTP's (10 mM) 1 μl, Exon3-5′ primer (50 ng) 1 μl, Exon 5-3′primer (50 ng) 1 μl, water 37.5 μl, Accutaq 0.5 μl, with the following cycling parameters: 94° C. 10 min, 94° C. 30 sec, 55° C. 30 sec, 68° C. 30 sec for 35 cycles, followed by a cycle at 68° C. for 5 min.

The PCR fragment generated, approx. 200 bp, was subcloned using the TOPO cloning kit and sent for sequencing. Clone # 13 was found to be complete and aligned and compared with other GHRH sequences, as that of human GHRH.

Primers were designed with specific mutations to incorporate a restriction sites to facilitate sub-cloning into expression vectors: NcoI, Hind III sites and 2 stop codons in clone #13 for insertion into the new pAV backbone. The newly generated expected band size is approx. 240 bp.

Seq ID No. 09

dogHindIII B	5′Primer	CGGCCGAAAGCTTACTATGCTCCT

Seq ID No. 10

dogNcoI B

3′Primer

ATTCGCCCCCATGGTGCTCTGGG

PCR Conditions were as following: DNA (clone #13) 10 ng, 10× Accutaq buffer 5 μl,DMSO 1 μl, dNTP's (10 mM) 1 μl, 5′ primer (50 ng) 1 μl, 3′primer (50 ng) 1 μl, water 40.5 μl, Accutaq 0.5 μl. The cycling parameters were as following: 95° C. for 3′ min, 94° C. 30 sec, 52° C. 30 sec, 68° C. 30 sec, for 30 cycles, followed by on extension at 68° C. for 5 min.

PCR reaction mix digested with NcoI and HindIII and ligated into the new backbone using Takara ligase; clones were then sequenced to confirm that restriction sites and stop codons had been incorporated. Muscle cells (Sol 8's) were transfected with the resulting vector and a Northern blot confirmed presence of species specific RNA.

An alignment of the HV-GHRH and dGHRH coding sequences is shown inFIG. 1, and an alignment of the corresponding amino acid sequences is shown inFIG. 2. As shown below, the encoded GHRH amino acid sequences are different:

Porcine (pGHRH):

SEQ ID NO. 01

	YADAIFTNSYRKVLGQLSARKLLQDIMSRQQGERNQEQGA-OH

	Mutated porcine (HV-GHRH):

SEQ ID NO. 02

	HVDAIFTNSYRKVLAQLSARKLLQDILNRQQGERNQEQGA-OH

	Canine or Dog specific (dGHRH):

SEQ ID NO. 03

YADAIFTNSYRKVLGQLSARKLLQDIMSRQQGERNREQGA-OH

Although not wanting to be bound by theory, the effects of treating a GH deficient diseases or anemia is determined ultimately by the circulating levels of needed hormones. In general, the encoded dGHRH or functional biological equivalent thereof is of formula:

SEQ ID NO. 04

X₁X₂DAIFTNSYRKVLX₃QLSARKLLQDIX₄X₅RQQGERNREQGA

wherein: X₁is a D- or L-isomer of an amino acid selected from the group consisting of tyrosine (“Y”), or histidine (“H”); X₂is a D- or L-isomer of an amino acid selected from the group consisting of alanine (“A”), valine (“V”), or isoleucine (“I”); X₃is a D- or L-isomer of an amino acid selected from the group consisting of alanine (“A”) or glycine (“G”); X₄is a D- or L-isomer of an amino acid selected from the group consisting of methionine (“M”), or leucine (“L”); X₅is a D- or L-isomer of an amino acid selected from the group consisting of serine (“S”) or asparagines (“N”).

The pAV0221 plasmid shown inFIG. 3 and Seq ID No. 05 comprises a coding region for the dGHRH. The pAV0215 plasmid shown inFIG. 4 and Seq ID No. 06 comprises a coding region for the mutated HV-GHRH. The plasmids described above do not contain polylinker, IGF-I gene, a skeletal alpha-actin promoter or a skeletal alpha actin 3′ UTR/NCR. Furthermore, these plasmids were introduced by muscle injection, followed by in vivo electroporation, as described below.

In terms of “functional biological equivalents”, it is well understood by the skilled artisan that, inherent in the definition of a “biologically functional equivalent” protein and/or polynucleotide, is the concept that there is a limit to the number of changes that may be made within a defined portion of the molecule while retaining a molecule with an acceptable level of equivalent biological activity. Functional biological equivalents are further defined herein as those proteins (and polynucleotides) in selected amino acids (or codons) may be substituted. A peptide comprising a functional biological equivalent of a species specific GHRH is a polypeptide that has been engineered to contain distinct amino acid sequences while simultaneously having similar or improved biologically activity when compared to GHRH. For example one biological activity of GHRH is to facilitate GH secretion in the subject. Another example of a functional biological equivalent is a biologically active peptide or nucleic acid sequence having at least 95% identity to any of the corresponding Seq ID No's.: 1-10.

Example 2

Experimental animals: Nine dogs were divided into three groups of 3 animals. All dogs were of approximately the same age (±1-2 months), at least 1 year-old, and weight within 5% of each other. Group I received water for injection onday 1 and constitute the negative control group. Group II received 1 mg dog-GHRH plasmid onday 1 and constitute the test group. Group III received 1 mg HV-GHRH plasmid onday 1 and constitute the positive control group. Plasmid formulation or water for injection was administered by intramuscular injection followed by electroporation onDay 1. Blood samples for measurement of hematology, serum chemistry and hormone parameters were collected during physical exams on Day −6 and onDay 1 prior to dosing. Additional blood collections were done every following week to the end of the study. Urine was collected and urinalysis performed onDay 1 prior to dosing and at termination of the study for each animal. Injection sites (medial thigh) were examined for signs of erythema and edema during physical examinations, at dosing onDay 1, Day 2 and every week thereafter. The following hematological parameters were measured at the indicated time points: erythrocyte counts (“RBC”), hematocrit, hemoglobin, total leukocyte count (“WBC”), and differential leukocyte counts (neutrophils, lymphocytes, monocytes, eosinophils, and basophils), platelet count, MCV, MCH, MCHC.

Red blood cell production. As shown inFIG. 5, the dog group that was treated with the plasmid encoding the dGHRH (□) showed an increase (P<0.05) in red blood cell count as soon asday 7 post-injection when compared to baseline values. By comparison, the dogs treated with the plasmid encoding the modified porcine HV-GHRH (Δ) molecule, which was proved to stimulate hematopoiesis long-term post-injection, did not show any improvement in theirday 7 hematological parameters.

Hemoglobin production. As shown inFIG. 6, the Beagle dogs that were injected with the plasmid encoding the dGHRH (□) showed an increase in the production of hemoglobin (P<0.05) at 14 days post-injection. Additionally, the mean corpuscular hemoglobin for the Beagle dogs that were injection with the plasmid encoding the dGHRH (□) was also increased (P<0.01), as shown inFIG. 7. The mean corpuscular hemoglobin concentration increased when compared to baseline values in the dog group treated with the plasmid encoding dGHRH (P<0.002), as shown inFIG. 8. In contrast, the dogs treated with the plasmid encoding the modified porcine HV-GHRH (Δ) molecule, which was proved to stimulate hematopoiesis long-term post-injection, did not show any improvement in their hematological parameters.

Although not wanting to be bound by theory, regulatory hormones (e.g. GHRH and GH) often contain a complex feedback-regulated pathway, which are further complicated by chronic conditions (e.g. cancer, immunodeficiency syndromes, and others). Without direct experimentation of the GHRH or biological equivalents that are used in plasmid mediated supplementation, a beneficial therapy could not be predicted by one skilled in the art to determine what modifications to the encoded GHRH or it's functional biological equitant will yield a desired result. For example, previous experiments have indicated that the modified mammalian HV-GHRH produced desired affects faster than the porcine wild-type GHRH (Draghia-Akli et al., 1999). As shown in the example described above, the dGHRH improved canine hematological parameters faster and more efficiently than the modified mammalian HV-GHRH. The invention described herein contains the compositions, descriptions, and results of essential experimentation that explored species specific of distinctive nucleic acid sequences that encoded for a dGHRH or biological equivalent thereof, which was not obvious based upon prior art.

One skilled in the art readily appreciates that the disclosed invention is well adapted to carry out the mentioned and inherent objectives. GH, GHRH, modified growth hormone releasing hormone or functional biological equivalents, plasmids, vectors, pharmaceutical compositions, treatments, methods, procedures and techniques described herein are presented as representative of the preferred embodiments and are not intended as limitations of the scope of the invention. Thus, other uses will occur to those skilled in the art that are encompassed within the spirit and scope of the described invention.

The entire content of each of the following documents and publications are hereby incorporated by reference.

U.S. PATENT DOCUMENTS

No.	Number	Date	Inventor

1	U.S. Pat. No. 60/396,247	Jul. 16, 2002	Draghia-Akli
2	U.S. Pat. No. 6,551,996	Apr. 22, 2003	Schwartz
3	U.S. Pat. No. 5,872,127	Feb. 16, 1999	Cincotta
4	U.S. Pat. No. 5,847,066	Dec. 08, 1998	Coy
5	U.S. Pat. No. 5,846,936	Dec. 08, 1998	Felix
6	U.S. Pat. No. 5,792,747	Aug. 11, 1998	Schally
7	U.S. Pat. No. 5,776,901	Jul. 07, 1998	Bowers
8	U.S. Pat. No. 5,756,264	May 26, 1998	Schwartz
9	U.S. Pat. No. 5,704,908	Jan. 06, 1998	Hoffman
10	U.S. Pat. No. 5,702,304	Dec. 30, 1997	Acres, et al.
11	U.S. Pat. No. 5,696,089	Dec. 09, 1997	Felix
12	U.S. Pat. No. 5,605,885	Feb. 25, 1997	Bernton
13	U.S. Pat. No. 5,486,505	Jan. 23, 1996	Bowers
14	U.S. Pat. No. 5,439,440	Aug. 08, 1995	Hoffman
15	U.S. Pat. No. 5,292,721	Mar. 08, 1994	Boyd
16	U.S. Pat. No. 5,137,872	Aug. 11, 1992	Seely
17	U.S. Pat. No. 5,134,120	Jul. 28, 1992	Boyd
18	U.S. Pat. No. 5,084,442	Jan. 28, 1992	Felix
19	U.S. Pat. No. 5,061,690	Oct. 29, 1991	Kann
20	U.S. Pat. No. 5,036,045	Jul. 30, 1991	Thorner
21	U.S. Pat. No. 5,023,322	Jun. 11, 1991	Kovacs
22	U.S. Pat. No. 4,956,288	Sep. 11, 1990	Barsoum
23	U.S. Pat. No. 4,839,344	Jun. 13, 1989	Bowers
24	U.S. Pat. No. 4,410,512	Oct. 18, 1983	Bowers
25	US-RE33,699	Sep. 24, 1991	Drengler
26	U.S. Pat. No. 4,833,166	May 23, 1989	Grosvenor
27	U.S. Pat. No. 4,228,158	Oct. 14, 1980	Momany
28	U.S. Pat. No. 4,228,156	Oct. 14, 1980	Momany
29	U.S. Pat. No. 4,226,857	Oct. 07, 1980	Momany
30	U.S. Pat. No. 4,224,316	Sep. 23, 1980	Momany
31	U.S. Pat. No. 4,223,021	Sep. 16, 1980	Momany
32	U.S. Pat. No. 4,223,020	Sep. 16, 1980	Momany
33	U.S. Pat. No. 4,223,019	Sep. 16, 1980	Momany

OTHER LITERATURE


34	PCT WO 96/12520
35	PCT WO 96/12006
36	PCT WO 95/19805
37	PCT WO 97/07826

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