US2008050351A1PendingUtilityA1

Gene Therapy Approaches to Supply Apolipoprotein A-I Agonists and Their Use to Treat Dyslipidemic Disorder

Assignee: PFIZERPriority: Sep 29, 1997Filed: Jun 18, 2007Published: Feb 28, 2008
Est. expirySep 29, 2017(expired)· nominal 20-yr term from priority
A61P 43/00A61P 9/00A61P 9/10A61P 3/06A61P 37/00A61K 48/00A61P 3/00A61P 31/04A61K 38/00A61K 48/005C07K 14/775A61K 51/08
62
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Claims

Abstract

The invention relates to genetic approaches to supply nucleotide sequences encoding modified forms of the native forms of apolipoprotein A-I (ApoA-I): mature ApoA-I, reproApoA-I and proApoA-I; including native ApoA-I modified to contain ApoA-I agonists, peptides which mimic the activity of ApoA-I; ApoA-I superagonists, peptides which exceed the activity of native ApoA-I; and modified native ApoA-I having one or more amphipathic helices replaced by the nucleotide sequences of one or more ApoA-I agonists; for the treatment of disorders associated with dyslipoproteinemia, including cardiovascular disease, atherosclerosis, restenosis, hyperlipidemia, and other disorders such as septic shock.

Claims

exact text as granted — not AI-modified
1 . A nucleotide sequence encoding an ApoA-I agonist comprising: 
 (i) a 15 to 29-residue peptide or peptide analogue which forms an amphipathic α-helix in the presence of lipids and which comprises the structural formula (I):      X 1 —X 2 —X 3 —X 4 —X 5 —X 6 —X 7 —X 8 —X 9 —X 10 —X 11 —X 12 —X 13 —X 14 —X 15 —X 16 —X 17 —X 18 —X 19 —X 20 —X 21 —X 22 —X 23      or a pharmaceutically acceptable salt thereof, wherein: 
 X 1  is Pro (P), Ala (A), Gly (G), Gln (Q), Asn (N) or Asp (D);  
 X 2  is an aliphatic residue;  
 X 3  is Leu (L) or Phe (F);  
 X 4  is an acidic residue;  
 X 5  is Leu (L) or Phe (F);  
 X 6  is Leu (L) or Phe (F);  
 X 7  is a hydrophilic residue;  
 X 8  is an acidic or a basic residue;  
 X 9  is Leu (L) or Gly (G);  
 X 10  is Leu (L), Trp (W) or Gly (G);  
 X 11  is a hydrophilic residue;  
 X 12  is a hydrophilic residue;  
 X 13  is Gly (G) or an aliphatic residue;  
 X 14  is Leu (L), Trp (W) or Gly (G);  
 X 15  is a hydrophilic residue;  
 X 16  is a hydrophobic residue;  
 X 17  is a hydrophobic residue;  
 X 18  His Gln (Q), Asn (N) or a basic residue;  
 X 19  is Gln (Q), Asn (N) or a basic residue;  
 X 20  is a basic residue;  
 X 21  is an aliphatic residue;  
 X 22  is a basic residue;  
 X 23  is absent or a basic residue; or  
   (ii) a deleted form of structural formula (I) in which at least one and up to eight of residues X 1 , X 2 , X 3 , X 4 , X 5 , X 6 , X 71 , X 8 , X 9 , X 10 , X 11 , X 12 , X 13 , X 14 , X 15 , X 16 , X 17 , X 18 , X 19 , X 20 , X 21  and X 22  are deleted; or    (iii) an altered form of structural formula (I) in which at least one of residues X 1 , X 2 , X 3 , X 4 , X 5 , X 6 , X 7 , X 8 , X 9 , X 10 , X 11 , X 12 , X 13 , X 14 , X 15 , X 16 , X 17 , X 18 , X 19 , X 20 , X 21 , X 22  or X 23  is conservatively substituted with another residue.    
     
     
         2 . The ApoA-I agonist encoded by the nucleotide sequence of  claim 1  which exhibits at least about 38% LCAT-activation activity as compared with human ApoA-I.  
     
     
         3 . The ApoA-I agonist encoded by the nucleotide sequence of  claim 1  which is the altered form of structural formula (I).  
     
     
         4 . The ApoA-I agonist encoded by the nucleotide sequence of  claim 3  in which the hydrophobic residues are fixed according to structural formula (I) and at least one non-fixed residue is conservatively substituted with another residue.  
     
     
         5 . The ApoA-I agonist of  claim 4  in which: 
 X 1  is Pro (P), Gly (G) or Ala (A);    X 2  is Ala (A), Leu (L) or Val (V);    X 3  is Leu (L) or Phe (F);    X 5  is Leu (L) or Phe (F);    X 6  is Leu (L) or Phe (F);    X 9  is Leu (L) or Gly (G);    X 10  is Leu (L), Trp (W) or Gly (G);    X 13  is Leu (L) or Gly (G);    X 14  is Leu (L), Trp (W) or Gly (G);    X 16  is Ala (A), Trp (W), Gly (G), Leu (L) or Phe (F);    X 17  is Leu (L) or Gly (G);    X 21  is Leu (L); and    at least one of X 4 , X 7 , X 8 , X 11 , X 12 , X 15 , X 18 , X 19 , X 20 , X 22  and X 23  is conservatively substituted with another residue.    
     
     
         6 . The ApoA-I agonist of  claim 3  in which the hydrophilic residues are fixed according to structural formula (I) and at least one non-fixed residue is conservatively substituted with another residue.  
     
     
         7 . The ApoA-I agonist of  claim 6  in which: 
 X 4  is Asp (D) or Glu (E);    X 7  is Lys (K) or Arg (R);    X 8  is Asp (D) or Glu (E);    X 11  is Asn (N) or Gln (Q);    X 12  is Glu (E) or Asp (D);    X 15  is Asp (D) or Glu (E);    X 18  is Gln (Q), Asn (N) or Lys (K);    X 19  is Gln (Q), Asn (N) or Lys (K);    X 20  is Lys (K);    X 22  is Lys (K);    X 23  is absent or Lys (K); and    at least one of X 1 , X 2 , X 3 , X 5 , X 6 , X 9 , X 10 , X 13 , X 14 , X 16 , X 17  and X 21  is conservatively substituted with another residue.    
     
     
         8 . The ApoA-I agonist of  claim 7  in which X 3  is Leu (L) or Phe (F), X 6  is Phe (F), X 9  is Leu (L) or Gly (G), X 10  is Leu (L) or Trp (W) or Gly (G) and at least one of X 1 , X 2 , X 5 , X 13 , X 14 , X 16 , X 17  and X 21  is conservatively substituted with another residue.  
     
     
         9 . The ApoA-I agonist of  claim 5  or  7  in which the substituting residue is classified within the same sub-category as the substituted residue.  
     
     
         10 . The ApoA-I agonist encoded by the nucleotide sequence of  claim 1  which is the deleted form of structural formula (I).  
     
     
         11 . The ApoA-I agonist of  claim 10  in which one helical turn of the peptide or peptide analogue is deleted.  
     
     
         12 . The ApoA-I agonist encoded by the nucleotide sequence of  claim 1  which is a 22-23 residue peptide or peptide analogue of structural formula (I).  
     
     
         13 . The ApoA-I agonist encoded by the nucleotide sequence of  claim 1 , in which: 
 X 1  is Pro (P), Ala (A), Gly (G), Asn (N), Gln (Q) or Asp (D);    X 2  is Ala (A), Val (V) or Leu (L);    X 3  is Leu (L) or Phe (F);    X 4  is Asp (D) or Glu (E);    X 5  is Leu (L) or Phe (F);    X 6  is Leu (L) or Phe (F);    X 7  is Lys (K) or Arg (R);    X 8  is Asp (D) or Glu (E);    X 9  is Leu (L) or Gly (G);    X 10  is Leu (L), Trp (W) or Gly (G);    X 11  is Asn (N) or Gln (Q);    X 12  is Glu (E) or Asp (D);    X 13  is Gly (G) or Leu (L);    X 14  is Leu (L) Trp (W) or Gly (G);    X 15  is Asp (D) or Glu (E);    X 16  is Ala (A), Trp (W), Leu (L), Phe (F) or Gly (G);    X 17  is Gly (G) or Leu (L);    X 18  is Gln (Q), Asn (N) or Lys (K);    X 19  is Gln (Q), Asn (N) or Lys (K);    X 20  is Lys (K);    X 21  is Leu (L);    X 22  is Lys (K); and    X 23  is absent or Lys (K).    
     
     
         14 . The ApoA-I agonist of  claim 13 , in which X 23  is absent.  
     
     
         15 . The ApoA-I agonist of  claim 13 , in which one of X 18  or X 19  is Gln (Q) or Asn (N) and the other of X 18  or X 19  is Lys (K).  
     
     
         16 . The ApoA-I agonist of  claim 13  in which each of X 9 , X 10 , X 13 , X 14 , X 15  and X 17  is other than Gly (G).  
     
     
         17 . The ApoA-I agonist of  claim 13  in which one of X 9 , X 10 , X 13 , X 14 , X 15  and X 17  is Gly (G) and the others are other than Gly (G).  
     
     
         18 . The nucleotide sequence of  claim 1  which encodes an ApoA-I agonist having an amino acid sequence selected from the group consisting of:  
       
         
           
                 
                 
                 
                 
               
                     
                     
                 
                     
                   peptide 2 
                     
                     
                 
                     
                   GVLDLFRELLNELLEALKQKLKK; 
                   (SEQ ID NO:2) 
                 
                     
                     
                 
                     
                   peptide 3 
                 
                     
                   PVLDLFRELLNELLEWLKQKLK; 
                   (SEQ ID NO:3) 
                 
                     
                     
                 
                     
                   peptide 4 
                 
                     
                   PVLDLFRELLNELLEALKQKLK; 
                   (SEQ ID NO:4) 
                 
                     
                     
                 
                     
                   peptide 7 
                 
                     
                   PVLDLFKELLNELLEALKQKLK; 
                   (SEQ ID NO:7) 
                 
                     
                     
                 
                     
                   peptide 8 
                 
                     
                   PVLDLFRELLNEGLEALKQKLK; 
                   (SEQ ID NO:8) 
                 
                     
                     
                 
                     
                   peptide 9 
                 
                     
                   PVLDLFRELGNELLEALKQKLK; 
                   (SEQ ID NO:9) 
                 
                     
                     
                 
                     
                   peptide 11 
                 
                     
                   PVLDLFKELLQELLEALKQKLK; 
                   (SEQ ID NO:11) 
                 
                     
                     
                 
                     
                   peptide 12 
                 
                     
                   PVLDLFRELLNELLEAGKQKLK; 
                   (SEQ ID NO:12) 
                 
                     
                     
                 
                     
                   peptide 13 
                 
                     
                   GVLDLFRELLNEGLEALKQKLK; 
                   (SEQ ID NO:13) 
                 
                     
                     
                 
                     
                   peptide 15 
                 
                     
                   PVLDLFRELWNELLEALKQKLK; 
                   (SEQ ID NO:15) 
                 
                     
                     
                 
                     
                   peptide 16 
                 
                     
                   PVLDLLRELLNELLEALKQKLK; 
                   (SEQ ID NO:16) 
                 
                     
                     
                 
                     
                   peptide 17 
                 
                     
                   PVLELFKELLQELLEALKQKLK; 
                   (SEQ ID NO:17) 
                 
                     
                     
                 
                     
                   peptide 18 
                 
                     
                   GVLDLFRELLNELLEALKQKLK; 
                   (SEQ ID NO:16) 
                 
                     
                     
                 
                     
                   peptide 20 
                 
                     
                   PVLDLFREGLNELLEALKQKLK; 
                   (SEQ ID NO:20) 
                 
                     
                     
                 
                     
                   peptide 22 
                 
                     
                   PVLDLFRELLNELLEGLKQKLK; 
                   (SEQ ID NO:22) 
                 
                     
                     
                 
                     
                   peptide 23 
                 
                     
                   PLLELFKELLQELLEALKQKLK; 
                   (SEQ ID NO:23) 
                 
                     
                     
                 
                     
                   peptide 24 
                 
                     
                   PVLDLFRELLNELLEALQKKLK; 
                   (SEQ ID NO:24) 
                 
                     
                     
                 
                     
                   peptide 26 
                 
                     
                   PVLDLFRELLNELLELLKQKLK; 
                   (SEQ ID NO:26) 
                 
                     
                     
                 
                     
                   peptide 28 
                 
                     
                   PVLDLFRELLNELWEALKQKLK; 
                   (SEQ ID NO:28) 
                 
                     
                     
                 
                     
                   peptide 29 
                 
                     
                   AVLDLFRELLNELLEALKQKLK; 
                   (SEQ ID NO:29) 
                 
                     
                     
                 
                     
                   peptide 123 
                 
                     
                   QVLDLFRELLNELLEALKQKLK; 
                   (SEQ ID NO:123) 
                 
                     
                     
                 
                     
                   peptide 125 
                 
                     
                   NVLDLFRELLNELLEALKQKLK; 
                   (SEQ ID NO:125) 
                 
                     
                     
                 
                     
                   peptide 126 
                 
                     
                   PVLDLFRELLNELGEALKQKLK; 
                   (SEQ ID NO:126) 
                 
                     
                     
                 
                     
                   peptide 127 
                 
                     
                   PVLDLFRELLNELLELLKQKLK; 
                   (SEQ ID NO:127) 
                 
                     
                     
                 
                     
                   peptide 128 
                 
                     
                   PVLDLFRELLNELLEFLKQKLK; 
                   (SEQ ID NO:128) 
                 
                     
                     
                 
                     
                   peptide 129 
                 
                     
                   PVLELFNDLLRELLEALQKKLK; 
                   (SEQ ID NO:129) 
                 
                     
                     
                 
                     
                   peptide 130 
                 
                     
                   PVLELFNDLLRELLEALKQKLK; 
                   (SEQ ID NO:130) 
                 
                     
                     
                 
                     
                   peptide 131 
                 
                     
                   PVLELFKELLNELLDALRQKLK; 
                   (SEQ ID NO:131) 
                 
                     
                     
                 
                     
                   peptide 132 
                 
                     
                   PVLDLFRELLENLLEALQKKLK; 
                   (SEQ ID NO:132) 
                 
                     
                     
                 
                     
                   peptide 133 
                 
                     
                   PVLELFERLLEDLLQALNKKLK; 
                   (SEQ ID NO:133) 
                 
                     
                     
                 
                     
                   peptide 134 
                 
                     
                   PVLELFERLLEDLLKALNQKLK; 
                   (SEQ ID NO:134) 
                 
                     
                     
                 
                     
                   peptide 135 
                 
                     
                   DVLDLFRELLNELLEALKQKLK; 
                   (SEQ ID NO:135) 
                 
                     
                     
                 
                     
                   peptide 136 
                 
                     
                   PALELFKDLLQELLEALKQKLK; 
                   (SEQ ID NO:136) 
                 
                     
                     
                 
                     
                   peptide 138 
                 
                     
                   PVLDLFRELLNEGLEWLKQKLK; 
                   (SEQ ID NO:138) 
                 
                     
                     
                 
                     
                   peptide 139 
                 
                     
                   PVLDLFRELWNEGLEALKQKLK; 
                   (SEQ ID NO:139) 
                 
                     
                     
                 
                     
                   peptide 141 
                 
                     
                   PVLDFFRELLNEGLEALKQKLK; 
                   (SEQ ID NO:141) 
                 
                     
                   or 
                 
                     
                     
                 
                     
                   peptide 142 
                 
                     
                   PVLELFRELLNEGLEALKQKLK. 
                   (SEQ ID NO:142) 
                 
                     
                     
                 
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
     
     
         19 . A nucleotide sequence encoding an ApoA-I agonist comprising: 
 (i) a 15 to 29-residue peptide or peptide analogue which forms an amphipathic α-helix in the presence of lipids and which comprises the structural formula (II):      X 1 —X 2 —X 3 —X 4 —X 5 —X 6 —X 7 —X 8 —X 9 —X 10 —X 11 —X 12 —X 13 —X 14 —X 15 —X 16 —X 17 —X 18 —X 19 —X 20 —X 21 —X 22 —X 23      or a pharmaceutically acceptable salt thereof, wherein: 
 X 1  is Pro (P), Ala (A), Gly (G), Gln (Q), Asn (N) or Asp (D);  
 X 2  is an aliphatic residue Val (v) or Len (L);  
 X 3  is Leu (L) or Phe (F);  
 X 4  is Glu (E);  
 X 5  is an aliphatic residue:  
 X 6  is Leu (L) or Phe (F);  
 X 7  is Glu (E) or Leu (L);  
 X 8  is Asn (N) or Gln (Q);  
 X 9  is Leu (L);  
 X 10  is Leu (L), Trp (W) or Gly (G);  
 X 11  is an acidic residue;  
 X 12  is Arg (R);  
 X 13  is Leu (L) or Gly (G);  
 X 14  is Leu (L), Phe (F) or Gly (G);  
 X 15  is Asp (D);  
 X 16  is Ala (A);  
 X 17  is Leu (L);  
 X 18  is Asn (N) or Gln (Q);  
 X 19  is a basic residue;  
 X 20  is a basic residue;  
 X 21  is Leu (L);  
 X 22  is a basic residue;  
 X 23  is absent or a basic residue; or  
   (ii) a deleted form of structural formula (II) in which at least one and up to eight of residues X 1 , X 2 , X 3 , X 4 , X 5 , X 6 , X 7 , X 8 , X 9 , X 10 , X 11 , X 12 , X 13 , X 14 , X 15 , X 16 , X 17 , X 18 , X 19 , X 20 , X 21  and X 22  are deleted; or    (iii) an altered form of structural formula (II) in which at least one of residues X, X 2 , X 3 , X 4 , X 5 , X 6 , X 7 , X 8 , X 9 , X 10 , X 11 , X 12 , X 13 , X 14 , X 15 , X 16 , X 17 , X 18 , X 19 , X 20 , X 21 , X 22  or X 23  is conservatively substituted with another residue.    
     
     
         20 . The ApoA-I agonist encoded by the nucleotide sequence of  claim 18  which exhibits at least about 38% LCAT-activation activity as compared with human ApoA-I.  
     
     
         21 . The ApoA-I agonist encoded by the nucleotide sequence of  claim 18  which is the altered form of structural formula (II).  
     
     
         22 . The ApoA-I agonist of  claim 20  in which the hydrophobic residues are fixed according to structural formula (II) and at least one non-fixed residue is conservatively substituted with another residue.  
     
     
         23 . The ApoA-I agonist of  claim 21  in which: 
 X 1  is Pro (P), Gly (G), Asn (N) or Ala (A);    X 2  is Ala (A), Leu (L) or Val (V);    X 3  is Leu (L) or Phe (F);    X 5  is Leu (L);    X 6  is Phe (F);    X 9  is Leu (L);    X 10  is Leu (L), Trp (W) or Gly (G);    X 13  is Leu (L) or Gly (G);    X 14  is Leu (L), Phe (F) or Gly (G);    X 16  is Ala (A);    X 17  is Leu (L);    X 21  is Leu (L); and    at least one of X 4 , X 7 , X 8 , X 11 , X 12 , X 15 , X 18 , X 19 , X 22  and X 23  is conservatively substituted with another residue.    
     
     
         24 . The ApoA-I agonist encoded by the nucleotide sequence of  claim 20  in which the hydrophilic residues are fixed according to structural formula (II) and at least one non-fixed residue is conservatively substituted with another residue.  
     
     
         25 . The ApoA-I agonist of  claim 23  in which: 
 X 4  is Glu (E);    X 7  is Glu (E);    X 8  is Asn (N) or Gln (Q);    X 11  is Asp (D) or Glu (E);    X 12  is Arg (R);    X 15  is Asp (D);    X 18  is Asn (N) or Gln (Q);    X 19  is Lys (K);    X 20  is Lys (K);    X 22  is Lys (K);    X 23  is absent or Lys (K); and    at least one of X 1 , X 2 , X 3 , X 5 , X 6 , X 9 , X 10 , X 13 , X 14 , X 16 , X 17  and X 21  is conservatively substituted with another residue.    
     
     
         26 . The ApoA-I agonist of  claim 23  in which X 3  is Leu (L) or Phe (F), X 6  is Phe (F), X 9  is Leu (L), X 10  is Leu (L), Trp (W) or Gly (G) and at least one of X 1 , X 2 , X 5 , X 13 , X 14 , X 16 , X 17  and X 21  is conservatively substituted with another residue.  
     
     
         27 . The ApoA-I agonist of  claim 22  or  24  in which the substituting residue is classified within the same sub-category as the substituted residue.  
     
     
         28 . The ApoA-I agonist encoded by the nucleotide sequence of  claim 18  which is the deleted form of structural formula (II).  
     
     
         29 . The ApoA-I agonist of  claim 27  in which one helical turn of the peptide or peptide analogue is deleted.  
     
     
         30 . The ApoA-I agonist encoded by the nucleotide sequence of  claim 18  which is a 22-23 residue peptide or peptide analogue of structural formula (II).  
     
     
         31 . The ApoA-I agonist encoded by the nucleotide sequence of  claim 18 , in which: 
 X 1  is Pro (P), Ala (A), Gly (G) or Asn (N),    X 2  is Ala (A), Val (V) or Leu (L);    X 3  is Leu (L) or Phe (F);    X 4  is Glu (E);    X 5  is Leu (L);    X 6  is Phe (F);    X 7  is Leu (L) or Glu (E);    X 8  is Asn (N) or Gln (Q);    X 9  is Leu (L);    X 10  is Leu (L), Trp (W) or Gly (G);    X 11 , is Glu (E);    X 12  is Arg (R);    X 13  is Leu (L) or Gly (G);    X 14  is Leu (L) Phe (F) or Gly (G);    X 15  is Asp (D);    X 16  is Ala (A);    X 17  is Leu (L);    X 18  is Asn (N) or Gln (Q);    X 19  is Lys (K);    X 20  is Lys (K);    X 21  is Leu (L);    X 22  is Lys (K); and    X 23  is absent or Lys (K).    
     
     
         32 . The ApoA-I agonist of  claim 30 , in which X 23  is absent.  
     
     
         33 . The ApoA-I agonist of  claim 30 , in which each of X 10 , X 13  and X 14  is other than Gly (G).  
     
     
         34 . The ApoA-I agonist of  claim 31 , in which one of X 10 , X 13  or X 14  is Gly (G) and the others are other than Gly (G).  
     
     
         35 . The nucleotide sequence of  claim 18  which encodes an ApoA-I agonist having an amino acid sequence selected from the group consisting of:  
       
         
           
                 
                 
                 
                 
               
                     
                     
                 
                     
                   (SEQ ID NO:145) 
                   GVLELFENLLERLLDALQKKLK; 
                     
                 
                     
                     
                 
                     
                   (SEQ ID NO:146) 
                   PVLELFENLLERLLDALQKKLK; 
                 
                     
                     
                 
                     
                   (SEQ ID NO:147) 
                   PVLELFENLLERLFDALQKKLK; 
                 
                     
                     
                 
                     
                   (SEQ ID NO:148) 
                   PVLELFENLLERLGDALQKKLK; 
                 
                     
                     
                 
                     
                   (SEQ ID NO:149) 
                   PVLELFENLWERLLDALQKKLK; 
                 
                     
                     
                 
                     
                   (SEQ ID NO:150) 
                   PLLELFENLLERLLDALQKKLK; 
                 
                     
                     
                 
                     
                   (SEQ ID NO:151) 
                   PVLELFENLGERLLDALQKKLK; 
                 
                     
                     
                 
                     
                   (SEQ ID NO:152) 
                   PVFELFENLLERLLDALQKKLK; 
                 
                     
                     
                 
                     
                   (SEQ ID NO:153) 
                   AVLELFENLLERLLDALQKKLK; 
                 
                     
                     
                 
                     
                   (SEQ ID NO:154) 
                   PVLELFENLLERGLDALQKKLK; 
                 
                     
                     
                 
                     
                   (SEQ ID NO:155) 
                   PVLELFLNLWERLLDALQKKLK; 
                 
                     
                     
                 
                     
                   (SEQ ID NO:186) 
                   PVLELFEQLLERLLDALQKKLK; 
                 
                     
                     
                 
                     
                   (SEQ ID NO:187) 
                   PVLELFENLLERLLDALNKKLK; 
                 
                     
                     
                 
                     
                   (SEQ ID NO:188) 
                   PVLELFENLLDRLLDALQKKLK; 
                 
                     
                   or 
                 
                     
                     
                 
                     
                   (SEQ ID NO:189) 
                   DVLELFENLLERLLDALQKKLK. 
                 
                     
                     
                 
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
     
     
         36 . A nucleotide-sequence encoding an ApoA-I agonist comprising: 
 (i) a 14 to 22-residue peptide or peptide analogue which forms an amphipathic α-helix in the presence of lipids and which comprises the structural formula (III):      X 1 —X 2 —X 3 —X 4 —X 5 —X 6 —X 7 —X 8 —X 9 —X 10 —X 11 —X 12 —X 13 —X 14 —X 15 —X 16 —X 17 —X 18      X 1  is Pro (P), Ala (A), Gly (G), Asn (N) or Gln (Q);    X 2  is an aliphatic amino acid;    X 3  is Leu (L);    X 4  is an acidic amino acid;    X 5  is Leu (L) or Phe (F);    X 6  is Leu (L) or Phe (F);    X 7  is a basic amino acid;    X 8  is an acidic amino acid;    X 9  is Leu (L) or Trp (W);    X 10  is Leu (L) or Trp (W);    X 11  is an acidic amino acid or Asn (N);    X 12  is an acidic amino acid;    X 13  is Leu (L), Trp (W) or Phe (F);    X 14  is a basic amino acid or Leu (L);    X 15  is Gln (Q) or Asn (N);    X 16  is a basic amino acid;    X 17  is Leu (L);    X 18  is a basic amino acid;    (ii) a deleted form of structural formula (III) in which at least one and up to eight of residues X 1 , X 2 , X 3 , X 4 , X 5 , X 6 , X 7 , X 8 , X 9 , X 10 , X 11 , X 12 , X 13 , X 14 , X 15 , X 16 , X 17 , and X 18  are deleted; or    (iii) an altered form of structural formula (III) in which at least one of residues X 1 , X 2 , X 3 , X 4 , X 5 , X 6 , X 7 , X 8 , X 9 , X 10 , X 11 , X 12 , X 13 , X 14 , X 15 , X 16 , X 17  or X 18  is conservatively substituted with another residue.    
     
     
         37 . The ApoA-I agonist encoded by the nucleotide sequence of  claim 36  which exhibits at least about 38% LCAT-activation activity as compared with human ApoA-I.  
     
     
         38 . The ApoA-I agonist encoded by the nucleotide sequence of  claim 36  which is the altered form of structural formula (III).  
     
     
         39 . The ApoA-I agonist of  claim 38  in which the hydrophobic residues are fixed according to structural formula (III) and at least one non-fixed residue is conservatively substituted with another residue.  
     
     
         40 . The ApoA-I agonist of  claim 39  in which: 
 X 1  is Pro (P), Gly (G), Asn (N) or Ala (A);    X 2  is Ala (A), Leu (L) or Val (V);    X 3  is Leu (L);    X 5  is Leu (L) or Phe (F);    X 6  is Leu (L) or Phe (F);    X 9  is Leu (L) or Trp (W);    X 10  is Leu (L) or Trp (W);    X 13  is Leu (L), Trp (W) or Phe (F);    X 17  is Leu (L); and    at least one of X 4 , X 7 , X 8 , X 11 , X 12 , X 14 , X 15 , X 16  and X 18  is conservatively substituted with another residue.    
     
     
         41 . The ApoA-I agonist of  claim 38  in which the hydrophilic residues are fixed according to structural formula (III) and at least one non-fixed residue is conservatively substituted with another residue.  
     
     
         42 . The ApoA-I agonist of  claim 41  in which: 
 X 4  is Asp (D) or Glu (E);    X 7  is Arg (R) or Lys (K);    X 8  is Asp (D) or Glu (E);    X 11  is Asn (N) or Glu (E);    X 12  is Glu (E);    X 14  is Lys (K) or Arg (R);    X 15  is Gln (Q) or Asn (N);    X 16  is Lys (K) or Arg (R);    X 18  is Asn (N) or Gln (Q); and    at least one of X 1 , X 2 , X 3 , X 5 , X 6 , X 9 , X 10 , X 13  and X 17  is conservatively substituted with another residue.    
     
     
         43 . The ApoA-I agonist of  claim 41  in which X 3  is Leu (L), X 6  is Phe (F), X, is Leu (L) or Trp (W), X 10  is Leu (L) or Trp (W) and at least one of X 1 , X 2 , X 1 , X 13  and X 10  is conservatively substituted with another residue.  
     
     
         44 . The ApoA-I agonist of  claim 40  or  42  in which the substituting residue is classified within the same sub-category as the substituted residue.  
     
     
         45 . The ApoA-I agonist of  claim 36  which is the deleted form of structural formula (III).  
     
     
         46 . The ApoA-I agonist of  claim 45  in which one helical turn of the peptide or peptide analogue is deleted.  
     
     
         47 . The ApoA-I agonist of  claim 36  which is an 18-residue peptide or peptide analogue of structural formula (III).  
     
     
         48 . The ApoA-I agonist encoded by the nucleotide sequence of  claim 36 , in which: 
 X 1  is Pro (P), Ala (A), Gly (G) or Asn (N);    X 2  is Ala (A), Val (V) or Leu (L);    X 3  is Leu (L);    X 4  is Asp (D) or Glu (E);    X 5  is Leu (L) or Phe (F);    X 6  is Leu (L) or Phe (F);    X 7  is Arg (R) or Lys (K);    X 8  is Asp (D) or Glu (E);    X 9  is Leu (L) or Trp (W);    X 10  is Leu (L) or Trp (W);    X 11  is Glu (E) or Asn (N);    X 12  is Glu (E);    X 13  is Leu (L), Trp (W) or Phe (F);    X 14  is Arg (R) or Lys (K);    X 15  is Gln (Q) or Asn (N);    X 16  is Arg (R) or Lys (K);    X 17  is Leu (L); and    X 18  is Arg (R) or Lys (K).    
     
     
         49 . The nucleotide sequence of  claim 36  which encodes an ApoA-I agonist having an amino acid sequence selected from the group consisting of:  
       
         
           
                 
                 
                 
                 
               
                     
                     
                 
                     
                   peptide 191 
                     
                     
                 
                     
                   PVLDLLRELLEELKQKLK*; 
                   (SEQ ID NO:191) 
                 
                     
                     
                 
                     
                   peptide 192 
                 
                     
                   PVLDLFKELLEELKQKLK*; 
                   (SEQ ID NO:192) 
                 
                     
                     
                 
                     
                   peptide 193 
                 
                     
                   PVLDLFRELLEELKQKLK*; 
                   (SEQ ID NO:193) 
                 
                     
                     
                 
                     
                   peptide 194 
                 
                     
                   PVLELFRELLEELKQKLK*; 
                   (SEQ ID NO:194) 
                 
                     
                     
                 
                     
                   peptide 195 
                 
                     
                   PVLELFKELLEELKQKLK*; 
                   (SEQ ID NO:195) 
                 
                     
                     
                 
                     
                   peptide 196 
                 
                     
                   PVLDLFRELLEELKNKLK*; 
                   (SEQ ID NO:196) 
                 
                     
                     
                 
                     
                   peptide 197 
                 
                     
                   PLLDLFRELLEELKQKLK*; 
                   (SEQ ID NO:197) 
                 
                     
                     
                 
                     
                   peptide 198 
                 
                     
                   GVLDLFRELLEELKQKLK*; 
                   (SEQ ID NO:198) 
                 
                     
                     
                 
                     
                   peptide 199 
                 
                     
                   PVLDLFRELWEELKQKLK*; 
                   (SEQ ID NO:199) 
                 
                     
                     
                 
                     
                   peptide 200 
                 
                     
                   NVLDLFRELLEELKQKLK*; 
                   (SEQ ID NO:200) 
                 
                     
                     
                 
                     
                   peptide 201 
                 
                     
                   PLLDLFKELLEELKQKLK*; 
                   (SEQ ID NO:201) 
                 
                     
                     
                 
                     
                   peptide 202 
                 
                     
                   PALELFKDLLEELRQKLR*; 
                   (SEQ ID NO:202) 
                 
                     
                     
                 
                     
                   peptide 203 
                 
                     
                   AVLDLFRELLEELKQKLK*; 
                   (SEQ ID NO:203) 
                 
                     
                     
                 
                     
                   peptide 204 
                 
                     
                   PVLDFFRELLEELKQKLK*; 
                   (SEQ ID NO:204) 
                 
                     
                     
                 
                     
                   peptide 205 
                 
                     
                   PVLDLFREWLEELKQKLK*; 
                   (SEQ ID NO:205) 
                 
                     
                     
                 
                     
                   peptide 206 
                 
                     
                   PLLELLKELLEELKQKLK*; 
                   (SEQ ID NO:206) 
                 
                     
                     
                 
                     
                   peptide 207 
                 
                     
                   PVLELLKELLEELKQKLK*; 
                   (SEQ ID NO:207) 
                 
                     
                     
                 
                     
                   peptide 208 
                 
                     
                   PALELFKDLLEELRQRLK*; 
                   (SEQ ID NO:208) 
                 
                     
                     
                 
                     
                   peptide 209 
                 
                     
                   PVLDLFRELLNELLQKLK; 
                   (SEQ ID NO:209) 
                 
                     
                     
                 
                     
                   peptide 210 
                 
                     
                   PVLDLFRELLEELKQKLK; 
                   (SEQ ID NO:210) 
                 
                     
                     
                 
                     
                   peptide 213 
                 
                     
                   PALELFKDLLEEFRQRLK*; 
                   (SEQ ID NO:213) 
                 
                     
                     
                 
                     
                   peptide 215 
                 
                     
                   PVLDLFRELLEEWKQKLK*; 
                   (SEQ ID NO:215) 
                 
                     
                     
                 
                     
                   peptide 229 
                 
                     
                   PVLELFERLLEDLQKKLK; 
                   (SEQ ID NO:229) 
                 
                     
                     
                 
                     
                   peptide 230 
                 
                     
                   PVLDLFRELLEKLEQKLK; 
                   (SEQ ID NO:230) 
                 
                     
                     
                 
                     
                   peptide 231 
                 
                     
                   PLLELFKELLEELKQKLK*. 
                   (SEQ ID NO:231) 
                 
                     
                     
                 
             
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
           
         
       
     
     
         50 . A nucleotide sequence encoding a multimeric ApoA-I agonist which exhibits at least about 38% LCAT activation activity as compared with human ApoA-I and which has the structural formula (IV):  
         HH LL m -HH   n LL m -HH  (IV)  or a pharmaceutically acceptable salt thereof, wherein: 
 each m is independently an integer from 0 to 1;  
 n is an integer from 0 to 10;  
 each “HH” is independently a peptide or peptide  
   analogue according to  claim 1  or  18  or  36 ; and; 
 each “LL” is independently a bifunctional linker.  
   
     
     
         51 . A host cell expressing a peptide encoded by the nucleotide sequence of  claim 1 ,  18  or  36 .  
     
     
         52 . A host cell expressing a peptide encoded by the nucleotide sequence of  claim 17 ,  35  or  49 .  
     
     
         53 . A host cell expressing a peptide encoded by the nucleotide sequence of  claim 50 .  
     
     
         54 . A pharmaceutical composition comprising nucleotide sequences encoding an ApoA-I agonist and a pharmaceutically acceptable carrier, excipient or diluent, wherein the ApoA-I agonist is encoded by the nucleotide sequences of  claim 1 ,  18  or  36 .  
     
     
         55 . A pharmaceutical composition comprising nucleotide sequences encoding an ApoA-I agonist and a pharmaceutically acceptable carrier, excipient or diluent, wherein the ApoA-I agonist is encoded by the nucleotide sequences of  claim 17 ,  35  or  49 .  
     
     
         56 . A pharmaceutical composition comprising nucleotide sequences encoding an ApoA-I agonist and a pharmaceutically acceptable carrier, excipient or diluent, wherein the ApoA-I agonist is encoded by the nucleotide sequences of  claim 50 .  
     
     
         57 . A pharmaceutical composition of  claim 54 , in which the nucleotide sequence is in the form of a nucleotide lipid complex, said complex comprising the nucleotide sequences encoding an ApoA-I agonist and a lipid.  
     
     
         58 . A method of treating a subject suffering from a disorder associated with dyslipidemia, said method comprising the step of administrating to the subject an effective amount of a nucleotide sequence or a host cell expressing the nucleotide sequence of claims  1 ,  18  or  36 .  
     
     
         59 . The method of  claim 59  in which the ApoA-I agonist is in the form of an ApoA-I agonist-lipid complex, said complex comprising the ApoA-I agonist and a lipid.  
     
     
         60 . The method of  claim 58  in which the ApoA-I agonist is in the form of a pharmaceutical composition, said composition comprising the ApoA-I agonist and a pharmaceutically acceptable carrier, excipient or diluent.  
     
     
         61 . The method of  claim 58  in which the disorder associated with dyslipidemia is hypercholesterol.  
     
     
         62 . The method of  claim 58  in which the disorder associated with dyslipidemia is cardiovascular disease.  
     
     
         63 . The method of  claim 58  in which the disorder associated with dyslipidemia is atherosclerosis.  
     
     
         64 . The method of  claim 58  in which the disorder associated with dyslipidemia is restenosis.  
     
     
         65 . The method of  claim 58  in which the disorder associated with dyslipidemia is an HDL or ApoA-I deficiency.  
     
     
         66 . The method of  claim 58  in which the disorder associated with dyslipidemia is hypertriglyceridemia.  
     
     
         67 . The method of  claim 58  in which the disorder associated with dyslipidemia is a metabolic syndrome.  
     
     
         68 . The method of treating a subject suffering from a disorder associated with endotoxemia septic shock, said method comprising the step of administering to the subject an effective amount of a nucleotide sequence or a host cell expressing the nucleotide sequence of claims  1 ,  18  or  36 .

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