NO321454B1 - Defective, recombinant adenovirus containing a heterologous DNA sequence whose expression in a target cell allows at least partially to inhibit cell division, uses, and pharmaceutical preparation thereof. - Google Patents
Defective, recombinant adenovirus containing a heterologous DNA sequence whose expression in a target cell allows at least partially to inhibit cell division, uses, and pharmaceutical preparation thereof. Download PDFInfo
- Publication number
- NO321454B1 NO321454B1 NO19954132A NO954132A NO321454B1 NO 321454 B1 NO321454 B1 NO 321454B1 NO 19954132 A NO19954132 A NO 19954132A NO 954132 A NO954132 A NO 954132A NO 321454 B1 NO321454 B1 NO 321454B1
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- Prior art keywords
- defective
- sequence
- gene
- pharmaceutical preparation
- adenovirus
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Classifications
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- A61K38/17—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
- A61K38/1703—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates
- A61K38/1709—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates from mammals
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- A61K48/00—Medicinal preparations containing genetic material which is inserted into cells of the living body to treat genetic diseases; Gene therapy
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- C12N—MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
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- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
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- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
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Abstract
Description
Foreliggende oppfinnelse angår rekombinante vektorer av viral opprinnelse og deres anvendelse. Mer spesielt angår oppfinnelsen rekombinante adénoviruser som bærer en heterolog DNA-sekvens hvis ekspresjon i en celle, da den deler seg anormalt, tillater i det minste delvis å inhibere deling av cellen. Oppfinnelsen angår også preparater inneholdende disse. The present invention relates to recombinant vectors of viral origin and their use. More particularly, the invention relates to recombinant adenoviruses carrying a heterologous DNA sequence whose expression in a cell, as it divides abnormally, allows at least partially inhibiting the division of the cell. The invention also relates to preparations containing these.
Celleveksten reguleres på ekstremt subtil måte av to signaltyper. Visse favoriserer en multiplikasjon av cellen mens andre tvert imot gjør at de går inn i en hviletilstand eller differensieres, i henhold til organismens krav. Cell growth is regulated in an extremely subtle way by two types of signals. Some favor a multiplication of the cell while others, on the contrary, cause them to enter a state of rest or differentiate, according to the organism's requirements.
Cancere karakteriseres alle ved en deregulering av mekanismene som kontrollerer celledelingen og fører til en anormal proliferering. Som oftest implikerer utviklingen av en cancer således en aktivering av genene som favoriserer multiplisering av cellene (gener kalt proto-onco-gener som aktiveres til onco-gener) og til en forsvinnende eller inaktivering av genene som inhiberer den cellulære proliferering. Foreliggende oppfinnelse tilbyr muligheten til å behandle cancere ved genterapi ved, til de tumorale celler, å administrere ett eller flere av disse gener hvis ekspresjon tillater i det minste partielt å inhibere den cellulære proliferering. Cancers are all characterized by a deregulation of the mechanisms that control cell division and lead to abnormal proliferation. Most often, the development of a cancer thus implies an activation of the genes that favor the multiplication of cells (genes called proto-onco genes that are activated into onco genes) and a disappearance or inactivation of the genes that inhibit cellular proliferation. The present invention offers the possibility of treating cancer by gene therapy by, to the tumoral cells, administering one or more of these genes whose expression allows at least partially inhibiting the cellular proliferation.
Genterapi består i å korrigere en defekt eller en anormalitet (mutasjon, abnorm ekspresjon og så videre) ved å innføre en genetisk informasjon i cellen eller det påvirkede organ. Denne genetiske informasjon kan innføres enten in vitro i en celle som er trukket ut fra organet og der den modifiserte celle så gjeninnføres i organismen, eller direkte in vivo i det tilsiktede vev. I det andre tilfellet foreligger det forskjellige teknikker blant hvilke skal nevnes forskjellige teknikker for transfeksjon som implikerer komplekser av DNA og DEAE-dekstran (Pagano et al., "J.Virol." 1 (1967) 891), DNA og nukleære proteiner (Kaneda et al., "Science" 243 (1989) 375), DNA og lipider (Felgner et al., "PNAS" 84 (1987) 7413), anvendelsen av liposomer (Fraley et al., "LBiol.Chem." 255 (1980) 10431), og så videre. I den senere tid har anvendelsen av vimser som vektorer for overføring av gener dukket opp som et lovende alternativ ved disse fysiske transfeksjonsteknikker. I denne forbindelse er forskjellige vimser prøvet med henblikk på evnen til å infektere visse cellulære populasjoner. Særlig skal nevnes retrovirusene (RSV, HMS, MMS, og så videre), HSV-viruset, de adenoassosierte vimser og adenovimsene. Gene therapy consists in correcting a defect or an abnormality (mutation, abnormal expression and so on) by introducing a genetic information into the cell or the affected organ. This genetic information can be introduced either in vitro into a cell that has been extracted from the organ and where the modified cell is then reintroduced into the organism, or directly in vivo into the intended tissue. In the second case, there are different techniques, among which should be mentioned different techniques for transfection involving complexes of DNA and DEAE-dextran (Pagano et al., "J.Virol." 1 (1967) 891), DNA and nuclear proteins (Kaneda et al., "Science" 243 (1989) 375), DNA and lipids (Felgner et al., "PNAS" 84 (1987) 7413), the use of liposomes (Fraley et al., "LBiol.Chem." 255 ( 1980) 10431), and so on. Recently, the use of mice as vectors for the transfer of genes has emerged as a promising alternative to these physical transfection techniques. In this regard, various strains have been tested for their ability to infect certain cellular populations. Particular mention should be made of the retroviruses (RSV, HMS, MMS, and so on), the HSV virus, the adeno-associated viruses and the adenoviruses.
Muligheten for å benytte genterapi for behandling av cancere er allerede belyst i den internasjonale søknad WO91/15580. Denne søknad beskriver konstruksjonen av retroviruser inneholdende et gen som koder for et ribozym hvis ekspresjon i cellekultur kan tillate å ødelegge et mRNA av et onco-gen. The possibility of using gene therapy for the treatment of cancer has already been highlighted in the international application WO91/15580. This application describes the construction of retroviruses containing a gene encoding a ribozyme whose expression in cell culture can allow the destruction of an mRNA of an oncogene.
Foreliggende oppfinnelse er basert på oppdagelsen at adenovirusene utgjør spesielt effektive vektorer for overføring og ekspresjon av terapeutiske gener i tumorer. Særlig oppviser adenovirusene fordel av ikke å integrere i genomet til cellene de infekterer, å holde seg der meget stabilt, noe som tillater å oppnå en varig terapeutisk effekt, og å ha et meget stort vertsspektrum, noe som tillater en applikasjon ved behandling av cancere som påvirker alle typer celler. Videre er oppfinnelsen også basert på oppdagelsen at virusene av adenovirus-typen er i stand til å overføre og å uttrykke gener som er i stand til i det minste partielt å inhibere celledelingen direkte på tumomivå. The present invention is based on the discovery that the adenoviruses constitute particularly effective vectors for the transfer and expression of therapeutic genes in tumors. In particular, the adenoviruses have the advantage of not integrating into the genome of the cells they infect, of staying there very stably, which allows to achieve a lasting therapeutic effect, and of having a very large host spectrum, which allows an application in the treatment of cancers such as affects all types of cells. Furthermore, the invention is also based on the discovery that the viruses of the adenovirus type are capable of transmitting and expressing genes capable of at least partially inhibiting cell division directly at the tumor level.
En første gjenstand for oppfinnelsen ligger således i en defektiv, rekombinant adenovirus som inneholder en heterolog DNA-sekvens hvis ekspresjon tillater i det minste partielt å inhibere celledeling. Mer spesifikt omfatter foreliggende oppfinnelse en defektiv, rekombinant adenovirus inneholdende en heterolog DNA-sekvens hvis ekpresjon i en målcelle tillater i det minste partielt å inhibere celledeling, kjennetegnet ved at sekvensen omfatter: A first object of the invention thus lies in a defective, recombinant adenovirus containing a heterologous DNA sequence whose expression allows at least partially inhibiting cell division. More specifically, the present invention comprises a defective, recombinant adenovirus containing a heterologous DNA sequence whose expression in a target cell allows at least partially inhibiting cell division, characterized in that the sequence comprises:
minst en gen som koder for p53-protein; og at least one gene encoding p53 protein; and
en promotersekvens som tillater ekspresjon, i den infiserte celle, av nevnte gen, idet promotersekvensen har en opprinnelse som er forskjellig fra den til genet. a promoter sequence allowing expression, in the infected cell, of said gene, the promoter sequence having an origin different from that of the gene.
Foreliggende oppfinnelse omfatter også anvendelse av en adenovirus ifølge et hvilket som helst av kravene 1 til 9 for fremstilling av et farmasøytisk preparat ment for terapi og/eller prevensjon av cancer ved innføring direkte i vevet som skal behandles. The present invention also includes the use of an adenovirus according to any one of claims 1 to 9 for the production of a pharmaceutical preparation intended for the therapy and/or prevention of cancer by introduction directly into the tissue to be treated.
Videre omfatter foreliggende oppfinnelse anvendelse av en adenovirus ifølge et at kravene 1 til 9 for fremstilling av et farmasøytisk preparat ment for fremstilling av et farmasøytisk preparat ment for terapi eller prevensjon av cancere ved administrering direkte til tumoren som skal behandles. Furthermore, the present invention comprises the use of an adenovirus according to claims 1 to 9 for the manufacture of a pharmaceutical preparation intended for the manufacture of a pharmaceutical preparation intended for the therapy or prevention of cancer by administration directly to the tumor to be treated.
Videre omfatter foreliggende oppfinnelse anvendelse av en adenovirus ifølge krav 2 for preparering av et farmasøytisk preparat ment for behandling og/eller prevensjon av cancere forbundet med nærvær av en mutert form av p53. Furthermore, the present invention comprises the use of an adenovirus according to claim 2 for the preparation of a pharmaceutical preparation intended for the treatment and/or prevention of cancers associated with the presence of a mutated form of p53.
Oppfinnelsen har likeledes til gjenstand en slik defektiv, rekombinant adenovirus for fremstilling av et farmasøytisk preparat ment for behandling eller prevensjon av cancere. The invention likewise has as its object such a defective, recombinant adenovirus for the production of a pharmaceutical preparation intended for the treatment or prevention of cancer.
Følgelig omfatter oppfinnelsen også et farmasøytisk preparat, kjennetegnet ved at det inneholder en eller flere defektive, rekombinante adénoviruser ifølge et av kravene 1 til 9. Accordingly, the invention also includes a pharmaceutical preparation, characterized in that it contains one or more defective, recombinant adenoviruses according to one of claims 1 to 9.
Innenfor oppfinnelsens ramme angir uttrykket "defektiv adenovirus" en adenovirus som ikke er i stand til replikering på autonom måte i målcellen. Generelt er således genomet av den defektive adenovirus som benyttes innenfor rammen av oppfinnelsen berøvet for i det minste de sekvenser som er nødvendige for replikering av cellen i den infekterte celle. Disse områder kan enten elimineres (helt eller delvis), gjøres ikke-funksjonelle, eller erstattes med andre sekvenser og særlig av det innskutte gen. Fortrinnsvis bevarer imidlertid den defektive virus ikke desto mindre sekvensene av sitt genom som er nødvendig for innkapsling av de virale partikler. Within the scope of the invention, the term "defective adenovirus" denotes an adenovirus that is not capable of replicating autonomously in the target cell. In general, therefore, the genome of the defective adenovirus used within the scope of the invention is deprived of at least the sequences that are necessary for the replication of the cell in the infected cell. These areas can either be eliminated (in whole or in part), made non-functional, or replaced with other sequences and in particular by the inserted gene. Preferably, however, the defective virus nevertheless preserves the sequences of its genome which are necessary for encapsulation of the viral particles.
Det foreligger forskjellige adenovirus-serotyper hvis struktur og egenskaper varierer noe. Ikke desto mindre er disse vimser ikke patogene for mennesker og særlig ikke immunodeprimerte personer. Blant disse serotyper foretrekker man innenfor rammen av oppfinnelsen å benytte adenovirusene av type 2 eller 5 (Ad 2 eller Ad 5), Når det gjelder adenovirusene Ad 5, er de sekvenser som er nødvendig for replikeringen, områdene ElAogElB. There are different adenovirus serotypes whose structure and properties vary somewhat. Nevertheless, these vims are not pathogenic for humans and especially not for immunocompromised persons. Among these serotypes, it is preferred within the scope of the invention to use the adenoviruses of type 2 or 5 (Ad 2 or Ad 5). In the case of the Ad 5 adenoviruses, the sequences necessary for replication are the areas ElA and ElB.
Blant tumor-supressor-gener kan man spesielt nevne de følgende gener: Among tumor suppressor genes, the following genes can be mentioned in particular:
- Genp53: - Genp53:
Genet p53 koder for et nukleærprotein på 53 kDa. Den muterte form ved delesjon og/eller mutasjon av dette gen er implikert i utviklingen av de fleste humane cancere (Baker et coil., "Science" 244 (1989) 217). Dets muterte former er likeledes i stand til å samarbeide med ras-oncogenet for å transformere murine fibroblaster. Villtype-genet som koder for nati v p53 inhiberer på sin side dannelse av transformasjonsseter i fibroblaster fra gnagere som er transfektert med forskjellige kombinasjoner av oncogener. Senere funn understreker at proteinet p53 i seg selv kan være en transkripsjonsfaktor og stimulere ekspresjonen av andre tumorsupressor-gener. The gene p53 codes for a nuclear protein of 53 kDa. The mutated form by deletion and/or mutation of this gene is implicated in the development of most human cancers (Baker et al., "Science" 244 (1989) 217). Its mutated forms are also able to cooperate with the ras oncogene to transform murine fibroblasts. The wild-type gene encoding native p53, in turn, inhibits formation of transformation sites in rodent fibroblasts transfected with different combinations of oncogenes. Later findings emphasize that the protein p53 itself can be a transcription factor and stimulate the expression of other tumor suppressor genes.
- Gen Rb: - Gene Rb:
Genet Rb bestemmer syntesen av et nukleærfosfoprotein på ca. 927 aminosyrer (Friend et coil., "Nature" 323 (1986) 643) hvis funksjon er å holde tilbake celledelingen og å bringe den til å gå inn i en hvilefase. De inaktive former av genet Rb er påvist i forskjellige tumorer og særlig i retinoblastomene eller i de mesenchymatiske cancere som osteosarcomer. Gjeninnføringen av dette gen i de tumorale celler der de har vært inaktivert, gir en tilbakevending til normaltilstand og et tap av tumorgenisiteten (Huang et coil., "Science" 242 (1988) 1563). I den senere tid er det vist at det normale proteinet Rb, men ikke i sine muterte former, holder tilbake ekspresjonen av proto-oncogenet c-fos, genet som er uunnværlig for celleproliferering. The gene Rb determines the synthesis of a nuclear phosphoprotein of approx. 927 amino acids (Friend et coil., "Nature" 323 (1986) 643) whose function is to arrest cell division and to cause it to enter a resting phase. The inactive forms of the gene Rb have been detected in various tumors and particularly in retinoblastomas or in mesenchymal cancers such as osteosarcomas. The reintroduction of this gene into the tumoral cells where they have been inactivated results in a return to normal state and a loss of tumorigenicity (Huang et al., "Science" 242 (1988) 1563). More recently, it has been shown that the normal protein Rb, but not in its mutated forms, restrains the expression of the proto-oncogene c-fos, the gene indispensable for cell proliferation.
Genet rap IA: Genet rap IA:
Genet rap IA (også kalt k-revl) koder for et protein på 21 kDa, forbundet med den indre flate av det cytoplasmiske membran. Dette protein er, på høyere nivåer, i stand til å revertere transformerte celler under ekspresjon av de muterte ras-oncogener (Kitayama et coil., "Cell" 56 (1989) 77). The gene rap IA (also called k-revl) codes for a protein of 21 kDa, associated with the inner surface of the cytoplasmic membrane. This protein is, at higher levels, capable of reverting transformed cells under expression of the mutated ras oncogenes (Kitayama et coil., "Cell" 56 (1989) 77).
- Genet DCC: - The gene DCC:
Genet DCC koder for et protein som er homologt med de cellulære adhesjonsproteiner av familien N-CAM. Dette gen er hyppig deletert i colon-carcinomer (Fearon et coil., "Science" 247 (1990)49). The gene DCC codes for a protein that is homologous to the cellular adhesion proteins of the N-CAM family. This gene is frequently deleted in colon carcinomas (Fearon et al., "Science" 247 (1990)49).
Genene k-rev2 og k-rev3: The genes k-rev2 and k-rev3:
Genet k-rev2 koder for et sekretert protein på 60 aminosyrer og genet k-rev3 koder for en avskåret versjon av et protein i den ekstracellulære matrise. Disse to gener er i stand til å revertere NIH 3T3-celler som er transformert av Ki-ras-oncogenet. The gene k-rev2 codes for a secreted protein of 60 amino acids and the gene k-rev3 codes for a truncated version of a protein in the extracellular matrix. These two genes are able to revert NIH 3T3 cells transformed by the Ki-ras oncogene.
Andre gener kan også tenkes benyttet for den anti-tumorale effekt, særlig andre tumor-supressor-gener som er beskrevet i litteraturen, eller et hvilket som helst annet gen hvis ekspresjonsprodukt kan indusere cellulær apoptose. Other genes can also be thought of as being used for the anti-tumoral effect, in particular other tumor suppressor genes described in the literature, or any other gene whose expression product can induce cellular apoptosis.
Som antydet ovenfor kan den heterologe DNA-sekvens bære det native tumor-supressor-gen eller et aktiv derivat av dette gen. Et slik derivat kan oppnås ved mutasjon, delesjon, substitusjon og/eller addisjon av et eller flere basepar i gensekvensen i henhold til klassiske molekylærbiologiske teknikker. Aktiviteten for det således oppnådde derivat kan deretter bekreftes in vitro på prøver som er kjent for fagmannen, for eksempel som de som er beskrevet i eksemplene. As indicated above, the heterologous DNA sequence may carry the native tumor suppressor gene or an active derivative of this gene. Such a derivative can be obtained by mutation, deletion, substitution and/or addition of one or more base pairs in the gene sequence according to classical molecular biological techniques. The activity of the derivative thus obtained can then be confirmed in vitro on samples known to the person skilled in the art, for example as those described in the examples.
Heterolog DNA-sekvens kan likeledes omfatte et anti-retningsgen hvis ekspresjon i målcellen tillater å kontrollere ekspresjonen av genet eller transkripsjon av cellulær mRNA som koder for proteinene som favoriserer den cellulære proliferering. Slike gener kan for eksempel i målcellene transkriberes til RNA som er komplementære til de cellulære mRNA og således blokkere deres traduksjon til protein. Heterologous DNA sequence may likewise comprise an anti-target gene whose expression in the target cell allows controlling the expression of the gene or transcription of cellular mRNA encoding the proteins favoring cellular proliferation. Such genes can, for example, be transcribed in the target cells into RNAs that are complementary to the cellular mRNAs and thus block their translation into protein.
Blant de anti-retningsgener som kan benyttes, kan mer spesielt nevnes en hvilken som helst anti-retningssekvens som tillater å redusere produksjonsnivået for onco-genene ras, mye, fos, c-erb B og så videre. Among the anti-targeting genes that can be used, more particularly any anti-targeting sequence can be mentioned which allows to reduce the production level of the oncogenes ras, much, fos, c-erb B and so on.
Generelt omfatter den heterologe DNA-sekvens også promotersekvenser som tillater ekspresjon av genet eller genene som er i stand til i det minte partielt å inhibere celledeling i målcellen. Det kan dreie seg om promotersekvenser som naturlig er ansvarlig for ekspresjonen av genet når disse sekvenser er i stand til å virke i den infekterte celle. Det kan likeledes dreie seg om promotersekvenser av en annen opprinnelse (ansvarlig for ekspresjonen av andre proteiner, eller også syntetiske). Særlig kan det dreie seg om promotersekvenser av eukaryote eller virale gener. For eksempel kan det dreie seg om promotersekvenser som stammer fra genomet til den celle man ønsker å infektere. På samme måte kan det dreie seg om promotersekvenser som stammer fra genomet av en virus, derunder det benyttede adenovirus. I denne forbindelse kan man for eksempel nevne promoterene av genene EIA, MLP, CM V, RSV, og så videre. Videre kan disse promotersekvenser modifiseres ved addisjon av aktiverings- eller reguleringssekvenser og så videre. Når videre den heterologe DNA-sekvens ikke omfatter ekspresjonssekvenser kan disse skytes inn i det defektive virus-genom nedstrøms en slik sekvens. Det er likeledes mulig å benytte induktible promotere. In general, the heterologous DNA sequence also includes promoter sequences which allow expression of the gene or genes which are capable of partially inhibiting cell division in the target cell. These may be promoter sequences which are naturally responsible for the expression of the gene when these sequences are able to function in the infected cell. It can also be promoter sequences of a different origin (responsible for the expression of other proteins, or also synthetic ones). In particular, this may concern promoter sequences of eukaryotic or viral genes. For example, it could be promoter sequences that originate from the genome of the cell you want to infect. In the same way, it can be about promoter sequences originating from the genome of a virus, including the adenovirus used. In this connection, one can for example mention the promoters of the genes EIA, MLP, CM V, RSV, and so on. Furthermore, these promoter sequences can be modified by the addition of activation or regulatory sequences and so on. Furthermore, when the heterologous DNA sequence does not include expression sequences, these can be inserted into the defective virus genome downstream of such a sequence. It is also possible to use inducible promoters.
Det kan også tenkes en heterlog DNA-sekvens i tillegg til tumor-supressorgenet eller anti-retningsgenet, et gen som koder for et anti-gen som er spesifikt for tumoren og/eller et gen som koder for et lymfokin. Kombinasjonen av disse gener tillater således (i) å stanse celledelingen i en tumor og derfor å føre til regress av denne tumor, og (ii) å øke immunresponsen hos organismen mot denne tumor. A heterologous DNA sequence is also conceivable in addition to the tumor suppressor gene or the anti-direction gene, a gene that codes for an antigen gene that is specific for the tumor and/or a gene that codes for a lymphokine. The combination of these genes thus allows (i) to stop cell division in a tumor and therefore to cause regression of this tumor, and (ii) to increase the immune response of the organism against this tumor.
Anti-genene som er spesifikke for tumoren er anti-gendeler som opptrer på overflaten av de tumorale celler men som ikke eksisterer på overflaten av ikke-tumorale slike celler. Slike anti-gener benyttes generelt for cancer-diagnose. I den senere tid er de beskrevet for fremstilling av anti-tumorvaksiner (EP 259 212). Imidlertid har de aldri vært kombinert med andre terapeutiske gener. The anti-genes specific to the tumor are anti-gene parts that appear on the surface of the tumoral cells but do not exist on the surface of non-tumoral such cells. Such anti-genes are generally used for cancer diagnosis. More recently, they have been described for the production of anti-tumour vaccines (EP 259 212). However, they have never been combined with other therapeutic genes.
Blant de gener som koder for lymfokinene, kan man mer spesielt nevne gener som koder for interleukinene (IL-2 til IL-13), interferonene, tumor-nekrose-faktorene, de kolonistimulerende faktorer (G-CSF, M-CSF, GM-CSF, og så videre), TGFB og så videre. Videre omfatter generelt genet som koder for lymfokin, oppstrøms den kodende sekvens, en ekspresjonssekvens og en signalsekvens som styrer det syntetiserte polypeptid inn i målcellens sekresjonsveier. Denne signalsekvens kan være den naturlige signalsekvens for lymfokinet men det kan også dreie seg om en hvilken som helst annen funksjonell signalsekvens, eller en kunstig signalsekvens. Slike konstruksjoner tillater særlig å øke mengden av lymfokin på meget lokalisert måte og også, i nærvær av et anti-gen som er spesifikt for tumoren, å forsterke immunresponsen mot en spesiell type tumor, noe som gir en spesielt fordelaktig effekt. Slike rekombinante adénoviruser er spesielt egnet for fremstilling av anti-tumor-vaksiner. Among the genes that code for the lymphokines, one can more particularly mention genes that code for the interleukins (IL-2 to IL-13), the interferons, the tumor necrosis factors, the colony-stimulating factors (G-CSF, M-CSF, GM- CSF, and so on), TGFB and so on. Furthermore, the gene that codes for lymphokine generally comprises, upstream of the coding sequence, an expression sequence and a signal sequence that directs the synthesized polypeptide into the secretory pathways of the target cell. This signal sequence can be the natural signal sequence for the lymphokine, but it can also be any other functional signal sequence, or an artificial signal sequence. Such constructions allow in particular to increase the amount of lymphokine in a very localized manner and also, in the presence of an antigen specific for the tumor, to enhance the immune response against a particular type of tumor, which gives a particularly beneficial effect. Such recombinant adenoviruses are particularly suitable for the production of anti-tumor vaccines.
De defektive, rekombinante adénoviruser ifølge oppfinnelsen kan fremstilles ved en hvilken som helst for fagmannen kjent teknikk (Levrero et al., "Gene" 101 (1991) 195, EP 185 573; Graham, "EMBO J." 3 (1984) 2917). Særlig kan de fremstilles ved homolog rekombinering mellom et adenovirus og et plasmid som blant annet bærer den heterologe DNA-sekvens. Den homologe rekombinering skjer etter ko-transfeksjon av adenoviruset og plasmidet i en egnet cellelinje. Den benyttede cellelinje må fortrinnsvis (i) være transformerbar med disse elementer, og (ii) bære sekvenser som er i stand til å komplementere delen av genomet av det defektive adenovirus, fortrinnsvis i integrert form for å unngå rekombineirngsrisiki. Som eksempel på en linje kan nevnes den humane embryonyre linje 293 (Graham et al.,"J.Gen.Virol." 36 (1977) 59) som særlig, integrert i sitt genom, inneholder den venstre del av genomet av et Ad5 adenovirus (12 <%>)<.>The defective, recombinant adenoviruses according to the invention can be produced by any technique known to those skilled in the art (Levrero et al., "Gene" 101 (1991) 195, EP 185 573; Graham, "EMBO J." 3 (1984) 2917) . In particular, they can be produced by homologous recombination between an adenovirus and a plasmid which, among other things, carries the heterologous DNA sequence. The homologous recombination occurs after co-transfection of the adenovirus and the plasmid in a suitable cell line. The cell line used must preferably (i) be transformable with these elements, and (ii) carry sequences capable of complementing the part of the genome of the defective adenovirus, preferably in integrated form to avoid risks of recombination. As an example of a line can be mentioned the human embryonic kidney line 293 (Graham et al.,"J.Gen.Virol." 36 (1977) 59) which in particular, integrated into its genome, contains the left part of the genome of an Ad5 adenovirus (12 <%>)<.>
Deretter blir adenovirusene som har multiplisert seg, gjenvunnet og renset i henhold til klassiske molekylær-biologi-teknikker som vist i eksemplene. Subsequently, the adenoviruses that have multiplied are recovered and purified according to classical molecular biology techniques as shown in the examples.
Foreliggende oppfinnelse angår likeledes et farmasøytisk preparat som omfatter en eller flere defektive, rekombinante adénoviruser som beskrevet ovenfor. Fortrinnsvis inneholder de farmasøytiske preparater ifølge oppfinnelsen en farmasøytisk akseptabel bærer for en formulering som er direkte injiserbar i tumoren som skal behandles. Det kan særlig dreie seg om sterile, isotoniske oppløsninger eller tørre preparater, særlig lyofiliserte, som ved tilsetning alt etter som av sterilisert vann eller et fysiologisk serum, tillater konstituering av injiserbare oppløste stoffer. Den direkte injeksjon i en tumor som skal behandles er fordelaktig fordi den tillater å konsentrere den terapeutiske virkning om det påvirkede vev. The present invention likewise relates to a pharmaceutical preparation comprising one or more defective, recombinant adenoviruses as described above. Preferably, the pharmaceutical preparations according to the invention contain a pharmaceutically acceptable carrier for a formulation that is directly injectable into the tumor to be treated. This may in particular be sterile, isotonic solutions or dry preparations, particularly lyophilized, which, when added as appropriate, to sterilized water or a physiological serum, allow the constitution of injectable dissolved substances. The direct injection into a tumor to be treated is advantageous because it allows concentrating the therapeutic effect on the affected tissue.
Dosene av de defektive, rekombinante adénoviruser som benyttes for injeksjon kan tilpasses som en funksjon av forskjellige parametere og særlig som funksjon av den benyttede administreringsmåte, den angjeldende patologi, genet som skal uttrykkes eller også den ønskede varighet av behandlingen. Rent generelt formuleres og administreres de rekombinante adénoviruser ifølge oppfinnelsen i form av doser på mellom IO<4> og IO<14> pfu/ml og fortrinnsvis 1()6 til lO1^ pfu/ml. Uttrykket pfu, "plaque forming unit", tilsvarer infeksjonskraften for en virusoppløsning og bestemmes ved infeksjon av en egnet cellekultur og måles, generelt etter 48 timer, med henblikk på antall kolonier av infekterte celler. Teknikkene for bestemmelse av pfu-verdien for en viral oppløsning er godt dokumentert i litteraturen. The doses of the defective, recombinant adenoviruses used for injection can be adapted as a function of various parameters and in particular as a function of the method of administration used, the relevant pathology, the gene to be expressed or also the desired duration of the treatment. In general, the recombinant adenoviruses according to the invention are formulated and administered in the form of doses of between 10<4> and 10<14> pfu/ml and preferably 1()6 to 101^ pfu/ml. The expression pfu, "plaque forming unit", corresponds to the infectivity of a virus solution and is determined by infection of a suitable cell culture and measured, generally after 48 hours, with a view to the number of colonies of infected cells. The techniques for determining the pfu value for a viral solution are well documented in the literature.
Foreliggende oppfinnelse muliggjør således et meget effektivt middel for behandling eller prevensjon av cancere. Videre kan behandlingen gjennomføres både på mennesker og dyr som sau og geit, fe, husdyr som hunder, katter og så videre, hester, fisk og så videre. The present invention thus enables a very effective agent for the treatment or prevention of cancer. Furthermore, the treatment can be carried out on both humans and animals such as sheep and goats, cattle, domestic animals such as dogs, cats and so on, horses, fish and so on.
Oppfinnelsen skal beskrives nærmere under henvisning til de følgende, illustrerende eksempler. The invention shall be described in more detail with reference to the following illustrative examples.
Fi<g>urforklaring: Figure explanation:
Figur 1: Illustrasjon av vektoren mp53wtI-.CMV Figure 1: Illustration of the vector mp53wtI-.CMV
Figur 2: Illustrasjon av vektoren mp53pIX.CMV. Figure 2: Illustration of the vector mp53pIX.CMV.
Generelle molekvlærbiologi- teknikker. General molecular biology techniques.
De klassiske metoder som benyttes i molekylærbiologien, for eksempel preparativ ekstrahering av plasmidisk DNA, sentrifugering av plasmidisk DNA i cesiumkloridgradient, elektroforese på agarose- eller akrylamidgel, rensing av fragmenter av DNA ved elektroeluering, ekstrahering av proteiner med fenol eller fenolkloroform, presipitering av DNA i saltmedium med etanol eller isopropanol, transformering i Escherichia coli, og så videre, er godt kjent av fagmannen og rikelig beskrevet i litteraturen [Maniatisk T. et al., "Molecular Cloning, a Laboratory Manual", Cold Spring Harbor Laboratory, Cold Spring Harbor, N.Y., 1982; Ausubel F.M. et al., (eds.), "Current Protocols in Molecular Biology", John Wiley & Sons, New York, 1987]. Plasmidene av typen pBR322, pUC og fagene fra serie M13 er av kommersiell opprinnelse (Bethesda Research Laboratories). The classical methods used in molecular biology, for example preparative extraction of plasmid DNA, centrifugation of plasmid DNA in a cesium chloride gradient, electrophoresis on agarose or acrylamide gel, purification of fragments of DNA by electroelution, extraction of proteins with phenol or phenol chloroform, precipitation of DNA in saline medium with ethanol or isopropanol, transformation in Escherichia coli, and so on, are well known to those skilled in the art and abundantly described in the literature [Maniatisk T. et al., "Molecular Cloning, a Laboratory Manual", Cold Spring Harbor Laboratory, Cold Spring Harbor , N.Y., 1982; Ausubel F.M. et al., (eds.), "Current Protocols in Molecular Biology", John Wiley & Sons, New York, 1987]. The plasmids of the type pBR322, pUC and the phages from series M13 are of commercial origin (Bethesda Research Laboratories).
For ligeringene kan DNA-fragmentene separeres i henhold til størrelse ved elektroforese på agarose- eller akrylamid-gel, ekstrahering med fenokkloroform, presipitering i etanol og inkubering i nærvær av DNA-ligase av fagen T4 (Biolabs) i henhold til leverandørens anbefalinger. For the ligations, the DNA fragments can be separated according to size by electrophoresis on agarose or acrylamide gel, extraction with phenochloroform, precipitation in ethanol and incubation in the presence of DNA ligase by phage T4 (Biolabs) according to the supplier's recommendations.
Oppfyllingen av de fremstikkende 5'ender kan gjennomføres med Klenow-fragmentet av DNA-polymerase I av E.coli (Biolabs) i henhold til leverandørens spesifikasjoner. The filling of the overhanging 5' ends can be carried out with the Klenow fragment of DNA polymerase I of E.coli (Biolabs) according to the supplier's specifications.
Destrueringen av de fremstikkende 3' ender gjennomføres i nærvær av DNA-polymerase av fag T4 (Biolabs) som benyttes i henhold til fabrikkantens anbefalinger. Destrueringen av de fremstikkende 5' ender gjennomføres ved en behandling med nukleasen Sl. The destruction of the protruding 3' ends is carried out in the presence of DNA polymerase of phage T4 (Biolabs) which is used according to the manufacturer's recommendations. The destruction of the protruding 5' ends is carried out by treatment with the nuclease Sl.
Den styrte mutagenese in vitro med syntetiske oligo-deoksynukleotider kan gjennomføres i henhold til den metode som er utviklet av Taylor et al., ["Nucleic Acids Res." 13. (1985) 8749-8764] under anvendelse av det kit som kan oppnås fra Amersham. The in vitro directed mutagenesis with synthetic oligo-deoxynucleotides can be carried out according to the method developed by Taylor et al., ["Nucleic Acids Res." 13. (1985) 8749-8764] using the kit obtainable from Amersham.
Den enzymatiske forsterkning av DNA-fragmentene av den såkalte PCR-teknikk ["Polymérase-catalyzed Chain Reaction", Saiki R.K. et al., "Science" 230 (1985) 1350-1354; Mullis K.B. et Faloona F.A., "Meth.Enzym." 155 (1987) 335-350] kan gjennomføres ved å anvende en "DNA thermal cycler" (Perkin Eimer Cetus) i henhold til fabrikantens spesifikasjoner. The enzymatic amplification of the DNA fragments by the so-called PCR technique ["Polymérase-catalyzed Chain Reaction", Saiki R.K. et al., Science 230 (1985) 1350-1354; Mullis K.B. et Faloona F.A., "Meth. Enzyme." 155 (1987) 335-350] can be carried out by using a "DNA thermal cycler" (Perkin Eimer Cetus) according to the manufacturer's specifications.
Verifiseringen av nukleotid-sekvensene kan gjennomføres ved den metode som er utviklet av Sanger et al., ["ProcNatl. Acad.Sci." USA, 74 (1977) 5463-5467] under anvendelse av det kit som er tilgjengelig fra Amersham. The verification of the nucleotide sequences can be carried out by the method developed by Sanger et al., ["ProcNatl. Acad.Sci." USA, 74 (1977) 5463-5467] using the kit available from Amersham.
Eksempler Examples
El. Konstruksjon av vektoren mp53wtI-CMV som bærer genet p53 under kontroll av cytomegalovirus-promoteren (figur 1). El. Construction of the mp53wtI-CMV vector carrying the p53 gene under the control of the cytomegalovirus promoter (Figure 1).
Den eukaryote ekspresjonsvektor mp53wtI-CMV er konstruert fra plamid pUC19 ved innskyting: av et promoterområde av viral opprinnelse som tilsvarer den tidlige cytomegalovirus (CMV)-promoter. Dette området omgis i vektoren av unike restriksjonsseter EcoRI-SphI i forbindelsen CMV/pUC og BamHI ved forbindelsen CMV/p53. Nærværet av unike seter som flankerer promoterområdet tillater å erstatte CMV-området med en hvilken som helst annen promoter. En andre serie vektorer oppnås så der genet p53 anbringes under kontroll av en induktiv promoter: The eukaryotic expression vector mp53wtI-CMV is constructed from plasmid pUC19 by inserting: of a promoter region of viral origin corresponding to the early cytomegalovirus (CMV) promoter. This region is surrounded in the vector by unique restriction sites EcoRI-SphI in the connection CMV/pUC and BamHI in the connection CMV/p53. The presence of unique sites flanking the promoter region allows the replacement of the CMV region with any other promoter. A second series of vectors is then obtained in which the gene p53 is placed under the control of an inducible promoter:
promoteren av metallotionin, indukterbar av tungmetaller (kadmium og sink); the promoter of metallothionein, inducible by heavy metals (cadmium and zinc);
av en sekvens på 1173 pb tilsvarende cDNA som koder for proteinet p53 fra mus i sin ville form (Zakut-Houri et al., "Nature" 36 (1983) 594). I denne konstruksjon er supressor-genet i form av cDNA, det vil si berøvet for introner. Dette tilsvarer særlig å redusere vektorens størrelse. Videre er det verifisert at de oppnådde of a sequence of 1173 bp corresponding to the cDNA encoding the protein p53 from mouse in its wild form (Zakut-Houri et al., "Nature" 36 (1983) 594). In this construction, the suppressor gene is in the form of cDNA, that is, deprived of introns. This corresponds in particular to reducing the size of the vector. Furthermore, it has been verified that they achieved
ekspresjonsnivåer er sammenlignbare i nærvær av eller i fravær av introner; expression levels are comparable in the presence or absence of introns;
av et polyadenyleringssignal for de sene virus-SV-40-gener som tilsvarer et meget effektivt polyadenyleringssignal. To unike restriksjonsseter Sali og Hindlll befinner seg nedstrøms polyadenyleringssignalet. Disse seter har tillatt innskylling av plX-områder av adenovirus (jfr. E3). of a polyadenylation signal for the late virus SV-40 genes corresponding to a highly efficient polyadenylation signal. Two unique restriction sites SalI and HindIII are located downstream of the polyadenylation signal. These sites have allowed insertion of plX regions by adenoviruses (cf. E3).
E2. Aktivitet in vitro av vektoren mp53wtI-CMV. E2. Activity in vitro of the vector mp53wtI-CMV.
Funksjonaliteten for vektoren mp53wtI-CMV er bekreftet in vitro ved transitorisk ekspresjon i HeLa-celler. For dette formål er vektoren innført i cellene ved transfeksjon og, 40 timer senere, er protein p53 dosert ved immunofluorescens og immunopresipitering. De oppnådde resultater viser at mer enn 50 % av de transfekterte celler induserer vesentlige mengder protein p53. The functionality of the vector mp53wtI-CMV has been confirmed in vitro by transient expression in HeLa cells. For this purpose, the vector is introduced into the cells by transfection and, 40 hours later, protein p53 is dosed by immunofluorescence and immunoprecipitation. The results obtained show that more than 50% of the transfected cells induce substantial amounts of protein p53.
E3. Konstruksjon av vektoren mp53pIX.CMV. E3. Construction of vector mp53pIX.CMV.
Plasmidene som benyttes for ved homolog rekombinering å danne de rekombinante adénoviruser som uttrykker gen p53 er konstruert som følger: Den eukaryote ekspresjonsvektor mp53pIX.CMV konstrueres ved innskyting av sekvensen pDC fra genomet av adenovirusene mello setene Sali og EcoRI av mpl3wtl-.CMV. Sekvensen pIX isoleres fra det rekombinante plasmid pLTR-figal pIX (Stratford-Perricaudet et al., "J.Clin.Invest." 90 (1992) 626) ved fermentering ved hjelp av enzymene EcoRV og Hindlll. The plasmids used to form the recombinant adenoviruses that express gene p53 by homologous recombination are constructed as follows: The eukaryotic expression vector mp53pIX.CMV is constructed by inserting the sequence pDC from the genome of the adenoviruses between the Sali and EcoRI sites of mpl3wtl-.CMV. The sequence pIX is isolated from the recombinant plasmid pLTR-figal pIX (Stratford-Perricaudet et al., "J.Clin.Invest." 90 (1992) 626) by fermentation with the enzymes EcoRV and HindIII.
Ekspresjonsvektoren mp53pIX.CMV som oppnås på denne måte (figur 2) har et unikt Hindlll-sete nedstrøms innskuddet pIX som tillater en linearisering av konstruksjonen The expression vector mp53pIX.CMV obtained in this way (Figure 2) has a unique HindIII site downstream of the insert pIX that allows a linearization of the construct
Ofr. E4). Ofr. E4).
E4. Konstruksjon av en defektiv, rekombinant adenovirus som bærer genet p53 under kontroll av promoteren CMV. E4. Construction of a defective, recombinant adenovirus carrying the p53 gene under the control of the CMV promoter.
Vektoren mp53pIX.CMV lineariseres og ko-transfekteres med en defekt adenoviralvektor i hjelperceller (linje 293) som i trans bærer funksjonene som kodes av områdene El (El A og El IB) av adenovirusen. The mp53pIX.CMV vector is linearized and co-transfected with a defective adenoviral vector into helper cells (line 293) that carries in trans the functions encoded by the E1 (E1 A and E1 IB) regions of the adenovirus.
Man oppnår adenovirus Ad.p53 ved homolog rekombinering in vivo mellom det mutante adenovirus Ad-dl324 (Thimmappaya et al., "Cell" 31 (1982) 543) og vektoren mp53pIX.CMV, i henhold til følgende protokoll: etter linearisering med enzymet Hindlll blir plasmidet mp53pDC.CMV og adenovirusen dl 324 ko-transfektert i linje 293 i nærvær av kalsiumfosfat for derved å tillate homolog rekombinering. De således dannede rekombinante adénoviruser selekteres ved rensing på plater. Etter isolering blir det rekombinante adenovirus DNA forsterket i cellelinjen 293, noe som fører til en kultur-supernatant inneholdende ikke-renset, rekombinant, defektivt adenovirus med en titer på ca. IO10 pfu/ml. Adenovirus Ad.p53 is obtained by homologous recombination in vivo between the mutant adenovirus Ad-dl324 (Thimmappaya et al., "Cell" 31 (1982) 543) and the vector mp53pIX.CMV, according to the following protocol: after linearization with the enzyme HindIII plasmid mp53pDC.CMV and adenovirus dl 324 are co-transfected into line 293 in the presence of calcium phosphate thereby allowing homologous recombination. The recombinant adenoviruses thus formed are selected by purification on plates. After isolation, the recombinant adenovirus DNA is amplified in the 293 cell line, leading to a culture supernatant containing unpurified, recombinant, defective adenovirus with a titer of approx. 1010 pfu/ml.
De virale partikler renses deretter ved sentrifugering over cesiumkloridgradient i henhold til kjente teknikker (se særlig Graham et al., "Virology" 52 (1973) 456). Adenoviruset Adp53 kan bevares ved -80°C i 20 % glycerol. The viral particles are then purified by centrifugation over a cesium chloride gradient according to known techniques (see especially Graham et al., "Virology" 52 (1973) 456). Adenovirus Adp53 can be preserved at -80°C in 20% glycerol.
Evnen hos adenovirus Adp53 til å infektere celler i kultur og i kulturmediet å uttrykke en biologisk aktiv form av vill-p53 er påvist ved infeksjon av celler av human-lmjen 293. Nærværet av p53 i kultur-supernatanten påvises deretter ved hjelp av et monoklonalt antistoff som er spesifikt for p53. The ability of adenovirus Adp53 to infect cells in culture and to express a biologically active form of wild-type p53 in the culture medium has been demonstrated by infection of human lmjen 293 cells. The presence of p53 in the culture supernatant is then detected using a monoclonal antibody which is specific for p53.
Disse studier tillater å vise at adenoviruset godt uttrykker en biologisk aktiv form av GAD67 i cellekultur. These studies allow us to show that the adenovirus well expresses a biologically active form of GAD67 in cell culture.
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US6410010B1 (en) * | 1992-10-13 | 2002-06-25 | Board Of Regents, The University Of Texas System | Recombinant P53 adenovirus compositions |
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FR2705686B1 (en) * | 1993-05-28 | 1995-08-18 | Transgene Sa | New defective adenoviruses and corresponding complementation lines. |
US6682728B1 (en) * | 1993-10-13 | 2004-01-27 | The United States Of America As Represented By The Department Of Health And Human Services | Efficient and selective adenoviral-mediated gene transfer into vascular neointima |
US6210939B1 (en) | 1993-10-25 | 2001-04-03 | Canji, Inc. | Recombinant adenoviral vector and methods of use |
ATE314482T1 (en) * | 1993-10-25 | 2006-01-15 | Canji Inc | RECOMBINANT ADENOVIRUS VECTOR AND METHOD OF USE |
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US7252989B1 (en) | 1994-04-04 | 2007-08-07 | Board Of Regents, The University Of Texas System | Adenovirus supervector system |
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US6783980B2 (en) | 1995-06-15 | 2004-08-31 | Crucell Holland B.V. | Packaging systems for human recombinant adenovirus to be used in gene therapy |
US6482803B1 (en) | 1995-09-01 | 2002-11-19 | Board Of Regents, The University Of Texas System | Modification of mutated P53 gene in tumors by retroviral delivery of ribozyme A |
US7087582B1 (en) | 1995-09-26 | 2006-08-08 | Regents Of The University Of Michigan | Combination for site-specifically transforming cells in vivo comprising a double-balloon catheter and nucleic acid comprising a gene encoding P21 |
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US6113913A (en) | 1998-06-26 | 2000-09-05 | Genvec, Inc. | Recombinant adenovirus |
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- 1994-04-15 DE DE69434781T patent/DE69434781T2/en not_active Expired - Lifetime
- 1994-04-15 AT AT94913649T patent/ATE332386T1/en active
- 1994-04-15 NZ NZ265306A patent/NZ265306A/en not_active IP Right Cessation
- 1994-04-15 WO PCT/FR1994/000421 patent/WO1994024297A1/en active IP Right Grant
- 1994-04-15 DK DK94913649T patent/DK0695360T3/en active
- 1994-04-15 PT PT94913649T patent/PT695360E/en unknown
- 1994-04-15 ES ES94913649T patent/ES2264123T3/en not_active Expired - Lifetime
- 1994-04-15 AU AU65721/94A patent/AU696245B2/en not_active Expired
- 1994-04-15 EP EP94913649A patent/EP0695360B1/en not_active Expired - Lifetime
- 1994-04-15 HU HU9503035A patent/HU220346B/en unknown
- 1994-04-15 JP JP6522838A patent/JPH08508879A/en active Pending
- 1994-04-21 ZA ZA942778A patent/ZA942778B/en unknown
-
1995
- 1995-10-17 NO NO19954132A patent/NO321454B1/en not_active IP Right Cessation
- 1995-10-18 FI FI954966A patent/FI118011B/en not_active IP Right Cessation
Also Published As
Publication number | Publication date |
---|---|
DE69434781T2 (en) | 2007-06-14 |
PT695360E (en) | 2006-09-29 |
ES2264123T3 (en) | 2006-12-16 |
FR2704234B1 (en) | 1995-07-21 |
EP0695360B1 (en) | 2006-07-05 |
DE69434781D1 (en) | 2006-08-17 |
FI118011B (en) | 2007-05-31 |
HU220346B (en) | 2001-12-28 |
HUT73464A (en) | 1996-08-28 |
JPH08508879A (en) | 1996-09-24 |
NZ265306A (en) | 1997-10-24 |
AU696245B2 (en) | 1998-09-03 |
HU9503035D0 (en) | 1995-12-28 |
FI954966A0 (en) | 1995-10-18 |
EP0695360A1 (en) | 1996-02-07 |
FR2704234A1 (en) | 1994-10-28 |
WO1994024297A1 (en) | 1994-10-27 |
EP1652931A3 (en) | 2006-05-17 |
DK0695360T3 (en) | 2006-11-13 |
FI954966A (en) | 1995-10-18 |
AU6572194A (en) | 1994-11-08 |
ZA942778B (en) | 1995-01-09 |
ATE332386T1 (en) | 2006-07-15 |
EP1652931A2 (en) | 2006-05-03 |
NO954132L (en) | 1995-10-17 |
NO954132D0 (en) | 1995-10-17 |
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MK1K | Patent expired |