Superoxide dismutase mimetics

TECHNICAL FIELD

The present invention relates, in general, to a method of modulating physiological and pathological processes and, in particular, to a method of modulating intra- and extracellular levels of superoxide radicals and thereby processes in which such radicals are a participant.

BACKGROUND

Oxygen free radicals are produced as part of the normal metabolism of all cells but also are an important component of the pathogenesis of many disease processes. For example, oxygen free radicals are critical elements of the pathogenesis of diseases of the lung, the central nervous system and skeletal muscle. Oxygen free radicals also play a role in modulating the effects of nitric oxide (NO·). In this context, they contribute to the pathogenesis of vascular disorders, inflammatory diseases and the aging process.

A critical balance of defensive enzymes against oxygen radicals is required to maintain normal cell and organ function. Superoxide dismutases (SODs), a family of metalloenzymes which catalyze the intra- and extracellular conversion of O₂^- into H₂O₂ plus O₂, and represent the first line of defense against the detrimental effects of superoxide radicals. Mammals produce three distinct SODs. One is a dimeric copper- and zinc-containing enzyme (CuZn SOD) found in the cytosol of all cells. A second is a tetrameric manganese-containing SOD (Mn SOD) found within mitochondria, and the third is a tetrameric, glycosylated, copper- and zinc-containing enzyme (EC-SOD) found in the extracellular fluids and bound to the extracellular matrix. Several other important antioxidant enzymes are known to exist within cells, including catalase and glutathione peroxidase. While extracellular fluids and the extracellular matrix contain only small amounts of these enzymes, other extracellular antioxidants are known to exist, including radical scavengers and inhibitors of lipid peroxidation, such as ascorbic acid, uric acid, and α-tocopherol (Halliwell et al, Arch. Biochem. Biophys. 280:1 (1990)). The relative lack of extracellular antioxidant enzymes may reflect the possible function of extracellular reactive oxygen species as bioeffector molecules (Halliwell et al, Arch. Biochem. Biophys. 280:1 (1990)). The relative deficiency of such enzymes may also result in greater susceptibility to extracellular oxidant stresses.

The enzyme EC-SOD, in many extracellular locations, exists only at low concentrations. While its physiologic role <i>in vivo</i> is yet to be defined, in many extracellular locations, EC-SOD is not thought to function as a bulk scavenger of O₂^-. As indicated above, EC-SOD is a tetrameric Cu/Zn-containing glycoprotein with a subunit molecular weight of 30,000 (Marklund, Proc. Natl. Acad. Sci. USA 79:7634 (1982); Tibell et al, Proc. Natl. Acad. Sci. USA 84:6634 (1987); see also USP 5,130,245 and WO 91/04315). Biochemical data suggest that EC-SOD binds to heparan sulfate proteoglycans on endothelial cells, where it has been speculated to serve as a "protective coat" (Marklund, J. Clin. Invest. 74:1398 (1984); Karlsson et al, Biochem. J. 255:223 (1988)). Endothelial cells secrete both O₂^- (Halliwell, Free Radical Res. Commun. 5:315 (1989)) and endothelium-derived relaxing factor, putatively identified as nitric oxide (NO·) (Noak and Murphy, <i>in</i> Oxidative Stress Oxidants and Antioxidants, eds Sies, H. (Academic, San Diego), pp. 445-489 (1991)). NO· functions as a vasoregulator and as a regulator of neurotransmission (Schuman and Madison, Science 254:1503 (1991)). NO· can, however, be toxic to neurons in some situations (Dawson et al, Proc. Natl. Acad. Sci. USA 88:6368 (1991)). O₂^- is known to inactivate NO·-induced vasorelaxation (Gryglewski et al, Nature 320:454 (1986); Rubanyi and Vanhoutte, Am. J. Physiol. 250:H822 (1986); Rubanyi and Vanhoutte, Am. J. Physiol. 250:H815 (1986); Bull et al, Br. J. Pharmacol. 95:1308 (1988); Nucci et al, Proc. Natl. Acad. Sci. USA 85:2334 (1988)). Thus, a possible function for EC-SOD is to protect NO· released from cells from O₂^--mediated inactivation.

The reaction of O₂^- with NO· is also known to produce a potentially toxic intermediate in the form of the peroxynitrite anion (ONOO^-) (Beckman et al, Proc. Natl. Acad. Sci. USA 87:1620 (1990); Mulligan et al, Proc. Natl. Acad. Sci. USA 88:6338 (1991); Hogg et al, Biochem. J. 281:419 (1992); Matheis et al, Am. J. Physiol. 262:H616 (1992)). Thus EC-SOD may also function to prevent the formation of ONOO^-.

Surprisingly, it has been found that EC-SOD increases, rather than decreases, central nervous system O₂ toxicity and that this effect of EC-SOD occurs through modulation of NO·. This result implicates NO· as an important mediator in O₂ toxicity. The invention thus relates to methods of manipulating nitric oxide function that involve the use of extracellular antioxidants. These methods find application in various disease and non-disease states in which oxidative stress plays a role, including inflammation. In a broader sense, the invention relates generally to methods of modulating intra- and extracellular processes in which O₂^- is a participant.

SUMMARY OF THE INVENTION

The present invention relates to a method of modulating intra- or extracellular levels of superoxide radicals. More particularly, the invention relates to a method of modulating normal or pathological processes involving superoxide radicals using, for example, low molecular weight mimetics of SOD.

In one aspect, the invention provides use of a mimetic of superoxide dismutase of formula <chemistry id="chem0001" num="0001"><img file="EP0723398B1_D0001.tif" /></chemistry> or a pharmaceutically acceptable salt thereof, wherein: <ul id="ul0001" list-style="none"><li>R₁ is a bond, <chemistry id="chem0002" num="0002"><img file="EP0723398B1_D0002.tif" /></chemistry> wherein X is a halogen and Y is an alkyl group and wherein <chemistry id="chem0003" num="0003"><img file="EP0723398B1_D0003.tif" /></chemistry> indicates bonding to R₂ at any position and <chemistry id="chem0004" num="0004"><img file="EP0723398B1_D0004.tif" /></chemistry> indicates bonding to R₂ and the substituent at any position; and</li><li>R₂ is a bond, -(CY'₂)_n^-, -(CY'₂-CY'=CY')_n^-, -(CY'₂-CY'₂-CH=CH)_n^-, -(CY'=CY')_n^-, or <chemistry id="chem0005" num="0005"><img file="EP0723398B1_D0005.tif" /></chemistry> wherein Y' is hydrogen or an alkyl group and wherein n is 1 to 8; and</li><li>R₃ is -Y", -OH, -NH₂, -N⁺(Y")₃, -COOH, -COO-, -SO₃H, -SO₃-, -CH₂-PO₃H₂ or -CH₂-PO₃H-, wherein Y" is an alkyl group,</li></ul>    complexed with manganese;    in the preparation of a medicament for protecting cells from superoxide radical-induced toxicity in any one or more of the following applications <ul id="ul0002" list-style="none" compact="compact"><li>1. the protection against ischemic reperfusion injuries associated with myocardial infarction, stroke, acute head trauma, organ reperfusion following transplantation, bowel ischemia, pulmonary infarction, surgical occlusion of blood flow, or soft tissue injury;</li><li>2. the protection against skeletal reperfusion injuries;</li><li>3. the protection against damage to skin and eyes from sunlight;</li><li>4. the protection against damage to eyes from glaucoma or macular degeneration;</li><li>5. the protection against diseases of the bone;</li><li>6. the protection against connective tissue disorders associated with defects in collagen synthesis or degradation;</li><li>7. the treatment of diseases of the central nervous system;</li><li>8. the treatment of diseases of the musculature;</li><li>9. the treatment of neurologic disorders;</li><li>10. the treatment of arthritis, systemic hypertension, atherosclerosis, edema, septic shock, pulmonary hypertension, impotence, infertility, endometriosis, premature uterine contractions, memory disorders, microbial infections, and/or gout;</li><li>11. the treatment of inflammations; and</li><li>12. the treatment of chronic sinusitis, and/or autoimmune diseases.</li></ul>

In another aspect, the invention provides a method of protecting plant cells from superoxide radical-induced toxicity comprising contacting said cells with a non-toxic amount, sufficient to effect said protection, of a mimetic of superoxide dismutase of formula <chemistry id="chem0006" num="0006"><img file="EP0723398B1_D0006.tif" /></chemistry> or a pharmaceutically acceptable salt thereof, wherein: <ul id="ul0003" list-style="none" compact="compact"><li>R₁ is a bond, <chemistry id="chem0007" num="0007"><img file="EP0723398B1_D0007.tif" /></chemistry> wherein X is a halogen and Y is an alkyl group and wherein <chemistry id="chem0008" num="0008"><img file="EP0723398B1_D0008.tif" /></chemistry> indicates bonding to R₂ at any position and <chemistry id="chem0009" num="0009"><img file="EP0723398B1_D0009.tif" /></chemistry> indicates bonding to R₂ and the substituent at any position; and</li><li>R₂ is a bond, -(CY'₂)_n^-, -(CY'₂-CY'=CY')_n^-, -(CY'₂-CY'₂-CH=CH)_n^-, -(CY'=CY')_n^-, or <chemistry id="chem0010" num="0010"><img file="EP0723398B1_D0010.tif" /></chemistry> wherein Y' is hydrogen or an alkyl group and wherein n is 1 to 8; and</li><li>R₃ is -Y", -OH, -NH₂, -N⁺(Y")₃, -COOH, -COO-, -SO₃H, -SO₃-, -CH₂-PO₃H₂ or -CH₂-PO₃H-, wherein Y" is an alkyl group,</li></ul>    complexed with manganese.

Objects and advantages of the present invention will be clear from the description that follows.

BRIEF DESCRIPTION OF THE DRAWINGS

<ul id="ul0004" list-style="none"><li>Figure 1 shows the EC-SOD expression vector used to construct transgenic mice. Transgenic mice were</li><li>Figure 2 shows the Northern analysis of tissues from transgenic mice. Twenty µg of total RNA from the tissues of transgenic mice were denatured with gloxal and electrophoresed through a 1.2% agarose gel and blotted onto nitrocellulose. The filter was probed with the entire human EC-SOD cDNA. The 2.5 Kb band corresponds to mRNA of the human EC-SOD transgene containing the 1 Kb intervening sequence (see Figure 1). The 1.5 Kb band corresponds to the fully processed mRNA of the human EC-SOD transgene.</li><li>Figure 3 shows the percent survival of transgenic and nontransgenic mice exposed to 6 ATA oxygen for 25 minutes. Mice were injected with saline or given 20 mg/kg N-ω-nitro-L-arginine (LNNA) i.p. 10 minutes before compression. 400 mg/kg of diethyldithiocarbamate (DDC) in saline was injected i.p. 55 min before compression. *p&lt;0.017 tested by χ² with Bonferroni correction, compared to transgenic saline treated mice.</li><li>Figure 4 shows time to onset of first seizure in transgenic and nontransgenic mice exposed to 6 ATA oxygen. Mice were injected with saline or given 20 mg/kg N-ω-nitro-L-arginine (LNNA) i.p. 10 minutes before beginning compression. 400 mg/kg diethyldithiocarbamate (DDC) was injected i.p. 55 minutes prior to compression. Results are expressed as mean ± S.D. of time to first seizure with zero time taken once chamber reached 6 ATA. *p&lt;0.05 tested by analysis of variance with the Scheffe F-test compared to nontransgenic saline treated mice.</li><li>taken once chamber reached 6 ATA. *p&lt;0.05 tested by analysis of variance with the Scheffe F-test compared to nontransgenic saline treated mice.</li><li>Figure 5 shows the effect of diethyldithiocarbamate and β-mercaptoethanol on survival in 6 ATA oxygen for 30 minutes. (C57BL/6 X C3H)F1 mice were injected i.p. with saline, 180 mg/kg β-mercaptoethanol (2-ME), or 400 mg/kg diethyldithiocarbamate (DDC) in saline 55 min. before compression. *p&lt;0.025 tested by χ² with Bonferroni correction compared to saline treated mice.</li><li>Figure 6 shows the seizure latency in wild-type mice exposed to 6 ATA oxygen after being treated with saline or 20 mg/kg N-ω-nitro-L-arginine (LNNA) or 20 mg/kg N-ω-nitro-L-arginine plus 50 mg/kg L-arginine (LNNA + L-Arg). *p&lt;0.05 tested by analysis of variance with a paired Student's t-test compared to saline treated mice.</li><li>Figure 7 shows the percent survival in wild-type mice exposed to 6 ATA oxygen. Mice were given an i.p. injection of normal saline (0.008 cc/g) or 20 mg/kg N-ω-nitro-L-arginine (LNNA) (0.008 cc/g) 15 minutes prior to compression. The mice were exposed to 6 ATA of oxygen for 20 minutes (n=10, saline only), 25 minutes (n=10, both groups), 30 minutes (n=10, saline only), 50 minutes (n=6, LNNA only), 75 minutes (n=12, LNNA only), 90 minutes (n=14, LNNA only), 105 minutes (n=6 LNNA only) and 120 minutes (n=6, LNNA only) and percent survival was measured for each group.</li><li>Figure 8 shows the survival dose response curve for N-ω-nitro-L-arginine (LNNA). Wild-type mice were given an i.p. injection of normal saline (0.008 cc/g) or 0, 2, 10, 20, or 30 mg/kg LNNA (0.008 cc/g) 15 minutes prior to compression and then exposed to 75 minutes at 6 ATA oxygen. Percent survival was calculated for each treatment group.</li><li>Figure 9 shows the percent survival in wild-type mice pretreated with saline, 20 mg/kg N-ω-nitro-L-arginine (LNNA), or 20 mg/kg N-ω-nitro-L-argiaine plus 50 mg/kg L-arginine (LNNA + L-Arg) and then exposed to 75 minutes of 6 ATA oxygen. *p&lt;0.05 tested with a χ-square test with Bonferroni correction.</li><li>Figure 10 shows the percent survival in transgenic and nontransgenic mice exposed to 6 ATA oxygen for 75 minutes. Mice were injected with saline or given 20 mg/kg N-ω-nitro-L-arginine (LNNA) i.p. 10 minutes before compression. *p&lt;0.05 tested by χ² compared to nontransgenic saline treated mice. † p&lt;0.05 tested by χ² compared to transgenic saline treated mice.</li><li>Figure 11 shows the comparison of edema formation in EC-SOD transgenic mice to edema formation in nontransgenic littermates after cold-induced injury to the right cerebral hemisphere as well as in non-injured mice. Values are presented as mean ± standard error. *p&lt;0.05 compared to Edema Index of respective nontransgenic controls using a paired Student's t-test.</li><li>Figure 12 shows the effect of augmented levels of EC-SOD on vascular permeability changes after cold-induced brain injury. Vascular permeability is demonstrated as Evan's blue leakage in the injuried right cerebral hemispheres of nontransgenic (control) and EC-SOD transgenic mice.</li><li>Figure 13 shows a Western blot analysis of rh-EC-SOD and a human lung homogenate to demonstrate antibody specificity. Proteins were separated on a 10% 0.75 mm SDS-polyacrylamide gel and transferred to nitrocellulose. Proteins were hybridized with the antibody to recombinant human EC-SOD (4.3 µg/ml) and the antibody was detected by hybridization with ¹²⁵I-Protein-A followed by autoradiography. The EC-SOD lane contained 0.05 µg of pure recombinant human type C EC-SOD lane protein. The lung lane contained 10 µg of a 20,000 x g supernatant of a human lung homogenate.</li><li>Figures 14A-14C show the light microscopic immunohistochemical localization of BC-SOD in human lung. Tissues were labeled using the antibody to recombinant human BC-SOD (5.4 mg/ml; anti-EC-SOD) or the same antibody in which the anti-EC-SOD IgG was absorbed out using purified recombinant EC-SOD attached to CNBr-sepharose (EC-SOD absorbed). Antibody was detected using a biotin/streptavidin-hoseradish peroxidase labeling technique. A, Large elastic pulmonary artery labeled with anti-EC-SOD. Note labeling around smooth muscle cells beneath the endothelium and beneath the elastic layer of the vessel (short arrow), and the lack of labeling for EC-SOC on the surface of endothelial cells (open arrow) and on elastin (long arrow). B, Muscular pulmonary artery labeled with anti-EC-SOD. Note high amount of labeling in the connective tissue matrix surrounding the vessel and lymphatics (long arrow), in the matrix surrounding smooth muscle cells (short arrow), and the lack of labeling on the surface of endothelial cells (open arrow). C, Muscular pulmonary artery labeled with EC-SOD absorbed antisera. The absorption of anti-EC-SOD IgG abolished all labeling in the muscular vessel. (Bars = 50 µm).</li><li>Figures 15A-15C show the immunohistochemical localization of EC-SOD in human lung. Tissues were labeled using the antibody to recombinant human EC-SOD (5.4 mg/ml; anti-EC-SOD). Antibody was detected using a biotin/streptavidin-horseradish peroxidase labeling technique. A, Large cartilaginous airway labeled with anti-EC-SOD. Note the intense labeling for EC-SOD in the matrix around smooth muscle cells (short arrow), between the epithelial cells (long arrow), and the lack of labeling on the surface of the epithelial cells (open arrows), and in the matrix of cartilage (asterisk). B, Noncartilaginous airway labeled with anti-EC-SOD. Note the intense labeling for EC-SOD throughout the entire matrix beneath the epithelium (short arrow), and the lack of labeling on the surface of the epithelium (open arrow). C, Lung parenchyma labeled with anti-EC-SOD. EC-SOD labeling is primarily at alveolar septal tips (short arrow), and in the matrix surrounding small vessels (long arrow). No labeling for EC-SOD was seen on the surface of alveolar epithelial cells (open arrow). (Bars = 50 µm).</li><li>Figures 16A-16C show the electron microscopic immunolocalization of EC-SOD in vascular connective tissue. Tissues were labeled using the antibody to recombinant human EC-SOD (40 µg/ml; anti-EC-SOD) or the same antibody after the anti-EC-SOD IgG was absorbed out using purified recombinant EC-SOD attached to CNBr-sepharose (EC-SOD absorbed). Antibody was detected using 10 nm protein-A gold. A, Vascular collagen labeled with anti-EC-SOD, B, Vascular elastin labeled with anti-EC-SOD. C, Vascular collagen labeled with EC-SOD absorbed antisera. Note the intense labeling of EC-SOD in association with type I collagen and the lack of labeling in association with elastin (E). In addition, absorption of anti-EC-SOD antibody abolished all labeling for EC-SOD in association with type I collagen. (Bars = 200 nm).</li><li>Figure 17 shows the electron microscopic immunolocalization of EC-SOD around vascular smooth muscle. Tissues were labeled using the antibody to recombinant human EC-SOD (40 µg/ml). Antibody was detected using 10 nm protein-A gold. There is a high degree of labeling in the connective tissue matrix around the vascular smooth muscle cell (S) in association with type I collagen (short arrow), and other unidentified matrix elements (long arrow). (Bars = 200 nm).</li><li>Figures 18A-18B show the electron miscropic immunolocalization of EC-SOD on the surface of pulmonary endothelial cells. Tissues were labeled using the antibody to recombinant human EC-SOD (40 µg/ml). Antibody was detected using 10 nm protein-A gold. A, Endothelial cell from a small muscular pulmonary artery, B, Endothelial cell from a pulmonary capillary. No labeling for EC-SOD was on the surface of the endothelial cells (short arrows). EC-SOD is seen in the plasma (P) and is associated with extracellular matrix proteins beneath the endothelium (long arrows). (Bars = 200 nm).</li><li>Figure 19 shows the electron microscopic immunolocalization of EC-SOD around bronchial epithelial cells. Tissues were labeled using the antibody to recombinant human EC-SOD (40 µg/ml). Antibody was detected using 10 nm protein-A gold. EC-SOD was found in the junction between the epithelial cells (arrow) and was also seen to some extent inside the cells. (Bars = 200 nm).</li><li>Figures 20A-20D show a partial restriction map, sequencing strategy, genomic structure, and protein structure of human EC-SOD Clone #7. Fig. 20A, a partial restriction map of human EC-SOD genomic clone #7 is shown in the 5' to 3' orientation. A 1 kb size marker is indicated. B, BamH I; H, Hind III; P, Pst I; S, Sal I; K, Kpn I; E, EcoR I. In Fig. 20B, the subcloning and sequencing strategy is shown. Various size overlapping restriction fragments were subcloned into the plasmid vector pGEM3Zf(+) for subsequent DNA sequence analysis. All DNA was sequenced on both strands using Sequenase (USB) and double-stranded DNA template, except for ^~2 kb of the 3' 7K36 fragment in which only one orientation was sequenced. In Fig. 20C, the exon/intron structure of the human EC-SOD gene is shown. The position of the coding region for preEC-SOD in exon 3 is shown by the dashed lines. In Fig. 20D, the four structural domains of human EC-SOD protein are diagrammed. The signal peptide is indicated by an arrow. This is followed by the mature glycosylated (CHO) amino terminal peptide domain. A third region has very high amino acid sequence homology to human CuZn-SOD. The carboxy terminal domain has multiple charged basic residues (+) which are critical for binding heparin glycosaminoglycan.</li><li>Figures 21A-21B show human multiple tissue Northern blots of EC-SOD. Fig. 21A, two µg of poly A(+) mRNA from eight different human tissues were electrophoresed on a denaturing agarose gel, transferred to a charged nylon membrane, and probed with [³²P]-labeled antisense human EC-SOD cRNA. RNA molecular size markers (kilobases) are shown on the right. Quantitative transfer was monitored by ethidium bromide staining. The results demonstrate a unique 1.4 kb mRNA present in all eight tissues examined. Interestingly skeletal muscle demonstrates a second, larger mRNA of ^~4.2 kb, while brain shows a faint approximately 2.2 kb band. In Fig. 21B, bands corresponding to EC-SOD mRNA were quantitated by laser densitometric scanning, normalized to the 1.4 kb brain band, and expressed as relative absorbance units.</li><li>Figures 22A-22B show analysis of the transcription initiation site. The 5' rapid amplification of cDNA ends (5' RACE) technique was used to identify the site of transcription initiation for the human EC-SOD gene. In Fig. 22A, a schematic diagram illustrates the annealing sites for the various oligonucleotides. The dark line represents first-strand reverse transcribed cDNA of human heart poly A(+) mRNA which has been primed with EC7 (an EC-SOD gene specific primer) and poly C tailed using terminal deoxynucleotidyl transferase (TdT). HEC1, HEC2, EC4, and EC7 are 5' human EC-SOD gene specific primers. The anchor primer is supplied with the 5' RACE kit (GIBCO BRL) and hybridized to the poly C tail. In Fig. 22B, PCR was used to amplify segments of DNA using [anchor + EC4] or [HEC1 + EC7] as primers and either poly C tailed (+TdT, lanes 1 &amp; 4) or non-poly C tailed (-TdT, lanes 2 &amp; 5) cDNA as template. Lane 3 includes PCR amplified DNA using [HEC1 + EC7] as primers and a full-length human EC-SOD cDNA as template. The resulting amplified DNAs were electrophoresed on a 2% agarose gel, transferred to charged nylon membranes, and probed with [³²P]-labeled HEC2, a 5' nested gene specific EC-SOD primer. DNA molecular weight markers were run between lanes 2 and 3. The expected size of the PCR amplified region in lanes 3, 4 and 5 is 217 bp. Only a single band is seen in lane 1, with a molecular size of approximately 185 to 200 bp.</li><li>Figure 23 shows genomic Southern blot analysis of the human EC-SOD gene. Ten micrograms of human genomic DNA were completely digested with each of the restriction enzymes shown, electrophoresed on a 1% agarose gel and transferred to charged nylon membranes. The blots were proved with a [³²P]-labeled EC-SOD partial length cRNA which corresponds to the first approximate 1050 nucleotides and autoradiographed. The specific restriction endonuclease is shown at the top of each lane. DNA molecular size markers (in kilobases) are shown on the right.</li><li>Figure 24 shows the nucleotide sequence and deduced amino acid sequence of the human EC-SOD gene. The complete nucleotide sequence of the human gene is shown. The deduced amino acid sequence of the signal peptide and mature protein is indicated using the single letter amino acid code.</li><li>Figure 25 shows a Lineweaver-Burk plot demonstrating non-competitive inhibition of xanthine oxidase by MnTBAP.</li><li>Figure 26 shows the protection of pulmonary artery endothelial cells from xanthine oxidase-induced injury by MnTBAP. Control □; MnTBAP <img file="EP0723398B1_D0011.tif" />.</li><li>Figure 27 shows the protection of lung epithelial cells from paraquat-induced injury of SOD mimetics.</li><li>Figure 28 shows the protection of pulmonary artery endothelial cells from paraquat-induced injury by MnTBAP.</li><li>Figure 29 shows the lack of protection of pulmonary artery endothelial cells from paraquat-induced injury by ZnTBAP.</li><li>Figure 30 shows the protection of MnTBAP against paraquat-induced lung injury.</li></ul>

DETAILED DESCRIPTION OF THE INVENTION

The present invention relates to protecting against the deleterious effects of superoxide radicals and to preventing and treating disease states that involve or result from oxidant stress. The invention also relates to modulating biological processes involving superoxide radicals.

Mimetics of SOD appropriate for use in the present methods include manganic derivatives of methine substituted porphines, or pharmaceutically acceptable salts thereof. Preferred mimetics are of the formula: <chemistry id="chem0011" num="0011"><img file="EP0723398B1_D0012.tif" /></chemistry> wherein R₁, R₂ and R₃ are as defined above.

In a more specific embodiment, R₁ is a bond, <chemistry id="chem0012" num="0012"><img file="EP0723398B1_D0013.tif" /></chemistry> wherein X is Cl or Br and Y is a C_1-4 alkyl group;    R₂ is a bond, -(CY'₂)_n-, -(CY'₂-CY'=CY')_n^-, -(CY'₂-CY'₂-CH=CH)_n^-, -(CY'=CY')_n^-, or <chemistry id="chem0013" num="0013"><img file="EP0723398B1_D0014.tif" /></chemistry> wherein Y' is hydrogen or a C_1-4 alkyl group and wherein n is 1 to 4; and    R₃ is Y", -OH, -NH₂, -N⁺(Y")₃, -COO-, -COO^-, -SO₃-, -SO₃^-, -C-PO₃H- or -C-PO₃H^-, wherein Y" is a C_1-4 alkyl group.

In a further specific embodiment,    R₁ is a bond, <chemistry id="chem0014" num="0014"><img file="EP0723398B1_D0015.tif" /></chemistry> wherein X is Cl or Br and Y is methyl or ethyl, and    R₂ is a bond, -(CY'₂)_n^-, -(CY'₂-CY'=CY')_n^-, -(CY'₂-CY'₂-CH=CH)_n^-, -(CY'=CY')_n^-, or <chemistry id="chem0015" num="0015"><img file="EP0723398B1_D0016.tif" /></chemistry> wherein Y' is hydrogen or methyl or ethyl and wherein n is 1 or 2; and    R₃ is methyl, ethyl, -OH, -NH₂, -N⁺(CH₃)₃, -N⁺(CH₂CH₃)₃, -COO-, -COO^-, -SO₃-, -SO₃^-, -C-PO₃H- or -C-PO₃H^-.

In another specific embodiment,    R₁ is a bond, <chemistry id="chem0016" num="0016"><img file="EP0723398B1_D0017.tif" /></chemistry> wherein Y is alkyl, preferably, C_1-4 alkyl, more preferably methyl or ethyl,    R₂ is a bond, -(CY'₂)_n^-, -(CY'=CY')_n^-, or <chemistry id="chem0017" num="0017"><img file="EP0723398B1_D0018.tif" /></chemistry> wherein Y' is hydrogen or alkyl (preferably C_1-4 alkyl, more preferably methyl or ethyl) and wherein n is 1 to 4 (preferably 1 or 2); and    R₃ is C_1-4 alkyl (preferably methyl or ethyl), -OH, -NH-, -N⁺(CH₃)₃, -N⁺(CH₂CH₃)₃, -COO-, -COO^-, -SO₃-, -SO₃^-, -C-PO₃H- or -C-PO₃H^-.

In yet another specific embodiment,    R₁ is a bond, <chemistry id="chem0018" num="0018"><img file="EP0723398B1_D0019.tif" /></chemistry> or <chemistry id="chem0019" num="0019"><img file="EP0723398B1_D0020.tif" /></chemistry>    R₂ is a bond, -(CY'₂)_n^- or -(CY'=CY')_n^-, wherein Y' is hydrogen or alkyl (preferably C_1-4 alkyl, more preferably methyl or ethyl) and wherein n is 1 to 4 (preferably 1 or 2), and    R₃ is C_1-4 alkyl (preferably methyl or ethyl), -OH, -NH-, -N⁺(CH₃)₃, -N⁺(CH₂CH₃)₃, -COO-, -COO^-, -SO₃-, -SO₃^-, -C-PO₃H- or -C-PO₃H^-.

In addition to the substituents described above, one or more of the pyrrole rings of the porphyrin can be substituted with an electron withdrawing group, for example, a NO₂ group, a halogen (eg Cl), or a nitrite.

Specific mimetics suitable for use in the present methods include Mn(III) tetrakis (1-methy-4-pyridyl)porphyrin (MnTMPyP), Mn(III) tetrakis (4-trimethyl-aminophenyl)porphyrin (MnTMAP) and Mn(III) tetrakis (4-benzoic acid)porphyrin (MnTBAP).

Targeted forms of the mimetics can be produced by coupling directly or via a linker to a cell surface or extracellular matrix targeting moiety. The targeted mimetics can be used to mimic EC-SOD. Since the sequence of human EC-SOD is known (Hjalmarsson et al, Proc. Natl. Acad. Sci. USA 84:6340 (1987)), the C-terminal oligopeptide can prepared and attached to the "mimetic core" (eg, a Mn(III)-porphyrin) via, for example, a free amine or carboxy group with a 1-ethyl-3-(3-dimethylaminopropyl)carbodiimide (EDC) coupling reaction (Yamada et al, Biochemistry 20:4836 (1981); Davis and Preston, Anal. Biochem. 116:402 (1981)) (note the R' group in the structures set forth below). This simple coupling procedure makes it possible to attach a wide variety of different binding domains in order to target the EC-SOD mimetics. Heparin binding affinity of a mimetic can be assessed by passing the mimetic over a heparin-sepharose CL-6B column (Karlsson et al, Biochem. J. 256:29 (1988)).

Candidate targeting moieties suitable for attaching to SOD (eg EC-SOD) mimetics to confer GAG binding properties include the following: <ul id="ul0005" list-style="none" compact="compact"><li>i) the A+ helix of protein C inhibitor (Boissinot et al, Biochem. Biophys. Res. Commun. 190:250 (1993)) - NH₂ - His Arg His His Pro Arg Glu Met Lys Lys Arg Val Glu Asp Leu - COOH;</li><li>ii) the C-terminal end of human EC-SOD (heparin binding domain) (Karlsson et al, Biochem. J. 255:223 (1988)) - NH₂ - Arg Glu His Ser Glu Arg Lys Lys Arg Arg Arg Glu Ser Glu Cys Lys Ala Ala - COOH;</li><li>iii) variants of the C-terminal end of human EC-SOD having heparin binding affinity (Sandström et al, J. Biol. Chem. 267:18205 (1992)) - <ul id="ul0006" list-style="none" compact="compact"><li>a. NH₂ - Arg Glu His Ser Glu Arg Lys Lys Arg Arg Arg Glu - COOH;</li><li>b. NH₂ - Arg Glu His Ser Glu Arg Lys Lys Arg Arg Arg Ala - COOH;</li><li>c. NH₂ - Arg Glu His Ser Glu Arg Lys Lys Arg Arg Arg Ala Ser Glu Cys Lys Ala Ala - COOH;</li><li>d. NH₂ - Arg Glu His Ser Glu Arg Lys Lys Arg Arg Arg Glu Ser Glu Ala Lys Ala Ala - COOH;</li><li>e. NH₂ - Arg Glu His Ser Glu Arg Lys Lys Arg Arg Arg Glu Ser Glu Cys Ala Ala Ala - COOH;</li><li>f. NH₂ - Arg Glu His Ser Glu Arg Lys Lys Arg Arg Arg Ala Ser Ala Cys Lys Ala Ala - COOH;</li><li>g. NH₂ - Arg Glu His Ser Glu Arg Lys Lys Arg Arg Arg Ala Ser Glu Cys Ala Ala Ala - COOH;</li><li>h. NH₂ - Arg Glu His Ser Glu Arg Lys Lys Gly Arg Arg Ala Ser Glu Cys Ala Ala Ala - COOH;</li></ul></li><li>iv) any combination of repeating positively changed amino acids (ie poly (Arg)_n, poly (Lys)_n, poly (Arg)_n (Lys)_n or poly (Arg Lys)_n or poly (Lys Arg)_n, poly (Lys Lys Arg Arg)_n, wherein n is, preferably, in the range of 1 to 12, more preferably, 1 to 8, and, most preferably, 1 to 6, with or without a C-terminal Glu or Ala (Sandström et al, J. Biol. Chem. 267:18205 (1992)); and</li><li>v) polyethyleneimine, e.g. (NH-CH₂-CH₂-NH)nH, wherein n is 1 to 6.</li></ul>

In addition to the foregoing, targeting moieties also include heparin binding proteins generally and sugars, including mannose and oligosaccharides.

Appropriate linkers include <chemistry id="chem0020" num="0020"><img file="EP0723398B1_D0021.tif" /></chemistry> -SO₂-NH-, -PO₃-NH-, or <chemistry id="chem0021" num="0021"><img file="EP0723398B1_D0022.tif" /></chemistry>

Specific examples of suitable SOD (eg EC-SOD) mimetics are set forth below: <chemistry id="chem0022" num="0022"><img file="EP0723398B1_D0023.tif" /></chemistry>

Mimetics suitable for use in the present invention can be selected by assaying for SOD activity and stability. SOD activity can be monitored in the presence and absence of EDTA using the method of McCord and Fridovich (J. Biol. Chem. 244 (1969)). The efficacy of a mimetic can be determined by measuring the effect of the mimetic on the growth of a SOD null <i>E. coli</i> strain versus a wild type strain. Specifically, wild type <i>E. coli</i> (AB1157) and SOD null <i>E. coli</i>. (JI132) can be grown in M9 medium containing 0.2% casamino acids and 0.2% glucose at pH 7.0 and 37°C; growth can be monitored in terms of turbidity followed at 700 nm spectrophotometrically. Active mimetics can be tested for toxicity in mammalian cell culture by measuring lactate dehydrogenase (LDH) release. Specifically, rat L2 cells (a lung type II like cell; (Kaighn and Douglas, J. Cell Biol. 59:160a (1973)) can be grown in Ham's F-12 medium with 10% fetal calf serum supplement at pH 7.4 and 37°C; cells can be seeded at equal densities in 24 well culture dishes and grown to approximately 90% confluence; SOD mimetics can be added to the cells at log doses (eg micromolar doses in minimal essential medium (MEM)) and incubated for 24 hours. Toxicity can be assessed by morphology and by measuring the release of the cytosolic injury marker, LDH (eg on a thermokinetic plate reader), as described by vassault (In: Methods of Enzymatic Analysis, Bergmeyer (ed) pp. 118-26 (1983); oxidation of NADH is measured at 340 nm). Efficacy of active mimetics can be assessed by determining their ability to protect mammalian cells against methylviologen (paraquat)-induced toxicity. Specifically, rat L2 cells grown as described above and seeded into 24 well dishes can be pre-incubated with various concentrations of the SOD mimetic and then incubated with a concentration of methylviologen previously shown to produce an LC₇₅ in control L2 cells. Efficacy of the mimetic can be correlated with a decrease in the methylviologen-induced LDH release (St. Clair et al, FEBS Lett. 293:199 (1991)). The efficacy of SOD mimetics can be tested <i>in vivo</i> with mouse and/or rat models using both aerosol administration and parental injection. For example, male Balb/c mice can be randomized into 4 groups of 8 mice each to form a standard 2X2 contingency statistical model. Animals can be treated with either paraquat (40 mg/kg, ip) or saline and treated with SOD mimetic or vehicle control. Lung injury can be assessed 48 hours after paraquat treatment by analysis of bronchoalveolar lavage fluid (BALF) damage parameters (LDH, protein and % PMN) as previously described (Hampson et al, Tox. Appl. Pharm. 98:206 (1989); Day et al, J. Pharm. Methods 24:1 (1990)). Lungs from 2 mice of each group can be instillation fixed with 4% paraformaldehyde and processed for histopathology at the light microscopic level.

Synthesis of mimetics suitable for use in the present invention can be effected using art-recognized protocols. In the case of Mn(III)-porphyrin mimetics, porphyrin rings with various methine bridge carbon side groups can be purchased commercially and the Mn(III) metal ion inserted into the porphyrin ring by methods including the following: (1) admixture of Mn(II) acetate with porphyrin in the presence of oxygen, under which condition selective stabilization of Mn(III) by the porphyrin causes autooxidation of Mn(II); (2) preparation of Mn(III)(OH)₃ by a modification of the Winkler method (Sastry et al, Anal. Chem. 41:857 (1969)) followed by reaction with the porphyrin; (3) stirring MnO₂ with the porphyrin in the presence of NH₂OH, which serves to reduce the Mn(IV) to Mn(III), which is then trapped by the porphyrin; or (4) a method modified from Pasternack et al (Biochemistry 22:2406 (1983)) which refluxes excess MnCl₃ with the porphyrin. Mn(III)-porphyrin complexes can be precipitated from solution with sodium perchlorate, washed and residue perchlorate removed by strong anionic exchange resin. Formation of the Mn(III)-porphyrin can be followed spectrophotometrically by monitoring a characteristic Sorét band at 468 nm. Coupling of a binding domain to the "mimetic core" can be carried out as described above.

The present invention results, at least in part, from the realization that EC-SOD specifically regulates NO· function. In addition, the invention is based on the realization that EC-SOD is synthesized by epithelial cells and is primarily localized in the interstitium, on matrix elements and collagen and around smooth muscle cells (particularly lung airways and vasculature). NO· is an intercellular signal and, as such, NO· must traverse the extracellular matrix to exert its effects. NO·, however, is highly sensitive to inactivation mediated by O₂^- present in the extracellular spaces. EC-SOD is thus an enzyme ideally suited to increase the bioavailability of NO· by preventing its degradation by O₂-.

As indicated above, the invention also relates to mimetics of EC-SOD that can be targeted to strategic locations and to the use of such mimetics in manipulating extracellular levels of NO·. The invention, however, is not limited to NO· manipulation as the sole mechanism of action of the mimetics. Rather, the invention relates to oxygen radical scavenging generally.

The present invention relates, in a further specific aspect, to inhibiting production of superoxide radicals. In this aspect, the SOD mimetics are used to inhibit oxidases, such as xanthine oxidase, that are responsible for production of superoxide radicals (see Example VII). The ability of a mimetic to protect mammalian cells from xanthine/xanthine oxidase-induced injury can be assessed, for example, by growing rat L2 cells in 24-well dishes. Cells can be pre-incubated with various concentrations of an SOD mimetic and then xanthine oxidase (XO) can be added to the culture along with xanthine (X). The appropriate amount of XO/X used in the study can be pre-determined for each cell line by performing a dose-response curve for injury. X/XO can be used in an amount that produces approximately an LC₇₅ in the culture. Efficacy of the mimetic can be correlated with a decrease in XO/X-induced LDH release. The ability of the mimetics to inhibit the production of such radicals makes possible the use the mimetics as therapeutics for the treatment of gout and reperfusion injuries.

The mimetics can be used to scavenge hydrogen peroxide, as well as superoxide radicals. As scavengers of hydrogen peroxide, the mimetics serve as mimics of either catalase or peroxidase. Appropriate mimetic scavengers can be selected by following absorbance at 240 nm in the presence of hydrogen peroxide (see Beers and Sizer, J. Biol. Chem. 195:133 (1952)). Therapies based on this activity correspond with those noted below.

The mimetics can be used as catalytic scavengers of superoxide radicals to protect against ischemia reperfusion injuries associated with myocardial infarction, stroke, acute head trauma, organ reperfusion following transplantation, bowel ischemia, pulmonary infarction, surgical occlusion of blood flow, and soft tissue injury. The mimetics can further be used to protect against skeletal muscle reperfusion injuries. The mimetics can also be used to protect against damage to the eye due to sunlight (and to the skin) as well as glaucoma, and macular degeneration of the eye. Diseases of the bone are also amenable to treatment with the mimetics. Further, connective tissue disorders associated with defects in collagen synthesis or degradation can be expected to be susceptible to treatment with the present mimetics.

In addition to the above, the mimetics can be used as catalytic scavengers of superoxide radicals to increase the very limited storage viability of transplanted hearts, kidneys, skin and other organs and tissues.

The amount of mimetic to be used in a particular treatment or to be associated with a particular substance can be determined by one skilled in the art.

The availability of the mimetics also makes possible studies of O₂^- mediated processes.

Diagnostic protocols are made possible by the availability of the BC-SOD gene sequence (see Example V and Figure 24). A defect in the BC-SOD gene is more likely to occur than a defect in nitric oxide synthase due to the nature and number of physiological functions served by NO·. Detection of an EC-SOD gene defect would signal the need for measures to be undertaken to elevate levels of functional EC-SOD, or related superoxide scavenging compounds, at strategic locations to correct NO· imbalances and thus disorders involving oxidative stress.

To effect modulation of the efficacy of extracellular NO·, eg, in relaxing smooth muscle, molecules (agents) having EC-SOD activity are administered under conditions such that levels of extracellular O₂^- are altered. Molecules suitable for use include forms of SOD that bind heparin sulfate or other glycosaminoglycans (GAG), for example, by virtue of the fact that they contain positively charged amino acids near their carboxy terminal end. The general requirements of mimetics are that they: (a) be stable enough to retain the ligated metal (i.e. Mn) in the presence of the multiple chelating agents present in living systems, (b) be active enough that reasonable doses can serve to significantly augment the total SOD activity in the extracellular spaces, (c) be able to adhere to the surfaces of cells or extracellular matrix elements (eg collagen) when protection against extracellular sources of O₂^- is needed, and d) be of low toxicity. Examples of suitable mimetics include nitrogen-containing macro cyclic ligands effective as catalysts for dismutating superoxide, including Mn(III) complexes of porphyrins with bulky cationic substituents on the methine bridge carbons, such as those described above (eg MnTMAP and MnTMPyP). Such complexes are very active and are stable enough to retain full activity in the presence of excess EDTA or in the presence of tissue extracts.

The mimetics described above can be formulated into pharmaceutical compositions suitable for use in the present invention. Such compositions include the active agent together with a pharmaceutically acceptable carrier, excipient or diluent. The composition can be present in dosage unit form for example, tablets, capsules or suppositories. The composition can also be in the form of a sterile solution suitable for injection or inhalation. Compositions can also be in a form suitable for opthalmic use. The invention also includes the use of compositions formulated for topical administration, such compositions taking the form, for example, of a lotion, cream, gel or ointment. The concentration of active agent to be included in the composition can be selected based on the nature of the agent, the dosage regimen and the result sought.

The dosage of the composition to be administered can be determined without undue experimentation and will be dependent upon various factors including the nature of the active agent, the route of administration, the patient, and the result sought to be achieved. Suitable doses of mimetics will vary, for example, with the mimetic and with the result sought. The results of Faulkner et al (J. Biol. Chem. 269:23471 (1994)) indicate that the <i>in vivo</i> oxidoreductase activity of the mimetics is such that a pharmaceutically effective dose will be low enough to avoid problems of toxicity. Doses that can be used include those in the range of 1 to 50 mg/kg.

Further examples of diseases or disorders appropriate for treatment using the present invention include diseases of the central nervous system (including AIDS dementia, stroke, amyotrophic lateral sclerosis (ALS), Parkinson's disease and Huntington's disease) and diseases of the musculature (including diaphramic diseases (eg respiratory fatigue in emphysema, bronchitis and cystic fibrosis), cardiac fatigue of congestive heart failure, muscle weakness syndromes associated with myopathies, ALS and multiple sclerosis). Many neurologic disorders (including stroke, Huntington's disease, Parkinson's disease, ALS, Alzheimer's and AIDS dementia) are associated with an over stimulation of the major subtype of glutamate receptor, the NMDA (or N-methyl-D-aspartate) subtype. On stimulation of the NMDA receptor, excessive neuronal calcium concentrations contribute to a series of membrane and cytoplasmic events leading to production of oxygen free radicals and nitric oxide (NO·). Interactions between oxygen free radicals and NO· have been shown to contribute to neuronal cell death. Well-established neuronal cortical culture models of NMDA-toxicity have been developed and used as the basis for drug development. In these same systems the SOD mimetics of the invention inhibit NMDA induced injury.

The present invention also relates to treating arthritis, systemic hypertension, atherosclerosis, edema, septic shock, pulmonary hypertension, including primary pulmonary hypertension, impotence, infertility, endometriosis, premature uterine contractions, memory disorders, microbial infections and gout.

Therapeutic regimens, including mode of administration, appropriate for effecting treatment of the conditions described above can be readily determined by one skilled in the art.

Inflammations, particularly inflammations of the lung, are amenable to treatment using the present invention (note particularly the inflammatory based disorders of asthma, ARDS including oxygen toxicity, pneumonia (especially AIDS-related pneumonia), cystic fibrosis, chronic sinusitis and autoimmune diseases (such as rheumatoid arthritis)). EC-SOD is localized in the interstitial spaces surrounding airways and vasculature smooth muscle cells. EC-SOD and O₂^- mediate the antiinflammatory - proinflammatory balance in the alveolar septum. NO· released by alveolar septal cells acts to suppress inflammation unless it reacts with O₂^- to form ONOO^-. By scavenging O₂^-, EC-SOD tips the balance in the alveolar septum against inflammation. Significant amounts of ONOO- will form only when BC-SOD is deficient or when there is greatly increased O₂^- release. EC-SOD mimetics, such as those described herein, can be used to protect against destruction caused by hyperoxia. Appropriate therapeutic regimens can be readily established by one skilled in the art.

As indicated above, it is expected that defects in the EC-SOD gene, that are manifest in the protein itself, may in fact be the cause of pathologic problems related to NO· function, rather than defects in nitric oxide synthase. Thus, diagnostic protocols suitable for use in identifying EC-SOD gene defects are disclosed herein. This aspect is based on the availability of the EC-SOD gene sequence. Figure 24 presents a gene sequence as well as portions of non-coding regions of that sequence of at least 15 bases, preferably, at least 50 bases, more preferably, at least 100 bases and most preferably, at least 500 bases. Such portions, and the complements thereof can be used as probes or primers in protocols including those described in Example VI.

Screening of subjects for defects in the EC-SOD gene can be done using the approach used to identify mutations on the β-adrenergic receptor gene (Reihaus et al, Am. J. Respir. Cell. Mol. Biol. 8:334 (1993)). That approach is similar to the one used by Rosen et al (Nature 262:59 (1993)) (see Example VI).

The following are predicted sites of important gene mutations: <u>Positions 1-558</u>: This represents a 5' flanking region which contains transcriptional regulatory elements. Mutations here can be expected to lead to deficient levels of EC-SOD or defective enhancement or reduction in EC-SOD levels under conditions which require manipulating the EC-SOD concentration. The following regions have been identified as putative regulatory regions. Mutations in these regions can be expected to result in deficient levels of EC-SOD: <tables id="tabl0001" num="0001"><table frame="all"><tgroup cols="2" colsep="1" rowsep="0"><colspec colnum="1" colname="col1" colwidth="78.75mm" /><colspec colnum="2" colname="col2" colwidth="78.75mm" /><tbody valign="top"><row><entry namest="col1" nameend="col1" align="left">89 - 95</entry><entry namest="col2" nameend="col2" align="left">metal regulatory response element</entry></row><row><entry namest="col1" nameend="col1" align="left">121 - 126</entry><entry namest="col2" nameend="col2" align="left">cyclic AMP responsive element</entry></row><row><entry namest="col1" nameend="col1" align="left">370 - 375</entry><entry namest="col2" nameend="col2" align="left">glucocorticoid response element</entry></row><row><entry namest="col1" nameend="col1" align="left">238 - 244</entry><entry namest="col2" nameend="col2" align="left">skeletal muscle trans-activating factor response element</entry></row><row><entry namest="col1" nameend="col1" align="left">251 - 256</entry><entry namest="col2" nameend="col2" align="left">cis responsive element in the induction of the c-fos proto-oncogene</entry></row><row><entry namest="col1" nameend="col1" align="left">162 - 168</entry><entry namest="col2" nameend="col2" align="left">TPA reponsive element</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" align="left">171 - 179</entry><entry namest="col2" nameend="col2" align="left">SV40 enhancer region</entry></row></tbody></tgroup></table></tables><u>Positions 560-570</u>: Mutations here can be expected to lead to an inability to splice out intron 1. This would result in no EC-SOD production (or much reduced) due to initiation of translation at multiple cryptic ATG sites located in intron 1 which are upstream of the EC-SOD ATG start codon. For example, base pair 653, 656, 720, 743, 748, etc, would potentially initiate translation. <u>Positions 564-1135</u>: Intron 1 contains DNA sequence unique to EC-SOD. In addition, there are potential transcription regulatory regions within this DNA stretch which are listed below; mutations in intron 1 would lead to deficient levels of EC-SOD or defective enhancement or reduction in EC-SOD levels under conditions that require manipulating the EC-SOD concentration: <tables id="tabl0002" num="0002"><table frame="all"><tgroup cols="2" colsep="1" rowsep="0"><colspec colnum="1" colname="col1" colwidth="78.75mm" /><colspec colnum="2" colname="col2" colwidth="78.75mm" /><tbody valign="top"><row><entry namest="col1" nameend="col1" align="left">1085 - 1095</entry><entry namest="col2" nameend="col2" align="left">Xenobiotic responsive region</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" align="left">650 - 661</entry><entry namest="col2" nameend="col2" align="left">Antioxidant responsive element</entry></row></tbody></tgroup></table></tables><u>Positions 71-95</u>: Mutations here can be expected to lead to an inability to splice out intron 1. This would result in no EC-SOD production (or much reduced) due to initiation of translation at multiple cryptic ATG sites located in intron 1 that are upstream of the EC-SOD ATG start codon. For example, base pair 653, 656, 720, 743, 748, etc, would potentially initiate translation. <u>Positions 1211-1230</u>: Mutations here can be expected to lead to an inability to splice out intron 2. This would result in no EC-SOD production (or much reduced) due to initiation of translation at multiple cryptic ATG sites located in intron 2 that are upstream of the EC-SOD ATG start codon. Examples of upstream ATG translation start sites can be found at 1339 and 1518. <u>Positions 5055-5080</u>: Mutations here would lead to an inability to splice out intron 2. This would result in no EC-SOD production (or much reduced) due to initiation of translation at multiple cryptic ATG sites located in intron 2 which are upstream of the EC-SOD ATG start codon. Examples of upstream ATG translation start sites can be found at 1339 and 1518. <u>Positions 5085-5138</u>: Mutations here would (1) interfere with efficiency of translation of EC-SOD resulting in deficient levels of the enzyme (2) interfere with targeting of EC-SOD to the endoplasmic reticulum which is required for secretion of EC-SOD, (3) interfere with co-translational signal peptide processing (ie, removal of the signal peptide) that may lead to deficient levels due to inability to proteolytically cleave the signal peptide from the mature protein which in turn would result in the protein being trapped in the endoplasmic reticulum, (4) interfere with post-translational processing (specifically glycosylation) which may result in defective levels due to the synthesis of poorly soluble protein. <u>Positions 5139-5150</u>: Mutations here may interfere with the signal peptidase cleavage site resulting in a mutant EC-SOD which would contain an altered amino terminus leading to defective EC-SOD function of deficient levels. <u>Positions 5403-5405</u>: Mutations here can be expected to result in loss of glycosylation which may result in defective levels due to the synthesis of poorly soluble protein. <u>Positions 5424-5720</u>: Mutations here can be expected to result in defective EC-SOD activity. This region is critical for binding to the substrate and catalyzing the dismutation of superoxide anion radical. In addition, this region would also affect any other activities of this enzyme including the reduction of other species such as nitric oxide, etc. <u>Positions 5721-5804</u>: Mutations in this region would cause defects in binding of EC-SOD to target tissues such as type I collagen in the extracellular matrix, and around smooth muscle cells in both vessels and bronchi. Such mutations here are highly likely to cause disease. <u>Positions 6385-6395</u>: Mutations here can be expected to result in defective polyadenylation that can lead to deficient levels of EC-SOD due to a decreased half-life of EC-SOD mRNA species.

Certain details of the present invention are described in greater detail in the non-limiting Examples that follow.

Example I

Preparation and Characterization of Transgenic Mice

Protocols

:

i) Construction of Transgenic Mice

<i><u>Construction of the human EC-SOD expression vector</u></i>: The EC-SOD expression vector (Figure 1) was constructed as follows: The entire human EC-SOD cDNA fragment (Hjalmarrson et al, Proc. Natl. Acad. Sci. USA 84:6340 (1987); Hendrickson et al, Genomics 8:736 (1990)) flanked by EcoRI restriction sites was converted with mung bean nuclease to form blunt-ends, ligated to SalI linkers, digested with SalI, and then inserted into the SalI site of the human β-actin expression vector pHβAPr-1. The EcoRI-HindIII fragment of the resultant plasmid containing the human β-actin promoter (provided by Dr. Larry Kedes of the University of Southern California, Los Angeles, California), intron, and EC-SOD cDNA was isolated. In addition, the HpaI site of SV40 at position 2666 in plasmid pMSG (Pharmacia LKB Biotechnology, Piscataway, New Jersey) was converted to a HindIII site by linker ligation and the HindIII-PstI fragment containing the polyadenylation site of the SV40 early region was isolated. These two DNA fragments were then ligated to an EcoRI plus PstI digested pKS vector (Stratogene, La Jolla, California). The EcoRI-XbaI fragment containing the entire expression construct free of plasmid sequences was isolated and used to establish transgenic mice. All of the recombinant DNA procedures were done according to established methods (Sambrook et al, Molecular Cloning: A Laboratory Manual 3, Cold Spring Harbor; Cold Spring Harbor Laboratory, 1989).

<i><u>Development of transgenic mice</u></i>: Purified DNA at 2.5 µg/ml in 5 mM Tris-HCl, pH 7.4, 0.1 mM EDTA was injected into the pronuclei of fertilized eggs isolated from mice ((C57BL/6 X C3H)F1 X (C57BL/6 X C3H)F1)((C57BL/6 X C3H)F1 mice were purchased from Charles River). Mouse eggs surviving microinjection were then implanted into the oviducts of pseudopregnant foster mothers (CD1) (CD1 mice were purchased from Charles River) following procedures described by Hogan et al (Hogan et al, Manipulating the Mouse Embryo, Cold Spring Harbor; Cold Spring Harbor Laboratory 1986, 32). Mice carrying the transgene were identified by Southern blot analysis of tail DNA probed with the entire human EC-SOD cDNA. Transgenic founders were found the first litter screened. These mice were bred with (C57BL/6 X C3H)FI to produce offspring for further studies. (In all of the following experiments with the EC-SOD transgenic mice, the nontransgenic mice refer to littermates of the transgenic mice that did not contain the transgene for the human EC-SOD. In experiments in which EC-SOD transgenic mice were not used, wild type (C57BL/6 X C3H)FI were used.)

<i><u>Production of homozygous EC-SOD transgenic mice</u></i>: Homozygous transgenic mice were produced by an F₁ cross of heterozygous transgenic mice. Tail DNA from F₂ mice were isolated and treated with RNAase. 10 µg of DNA from each mouse was cut with PstI and then electrophoresed through a 1.2% agarose gel. Southern blot analysis of tail DNA probed with the entire human EC-SOD cDNA was then done. The human EC-SOD cDNA did not cross-react with the mouse EC-SOD gene. Band intensity was compared visually to determine which mice were homozygous, heterozygous, or negative for the human EC-SOD transgene.

ii) Characterization of Transgenic Mice

<i><u>Northern analysis</u></i>: Transgenic mice and nontransgenic littermates were killed with an overdose of pentobarbital. Tissues were quickly excised and frozen in liquid nitrogen until ready for further processing. Total RNA was then isolated by the CsCl procedure was described (Sambrook et al, Molecular Cloning: A Laboratory Manual. 3. Cold Spring Harbor, Cold Spring Harbor Laboratory, 1989). Twenty µg of total RNA from the tissues of transgenic mice and nontransgenic littermates and an RNA ladder were then denatured with glyoxal, electrophoresed through a 1.2% agarose gel and blotted to nitrocellulose as described (Sambrook et al, Molecular Cloning: A Laboratory Manual. 3. Cold Spring Harbor, Cold Spring Harbor Laboratory, 1989). The blots were then probed with the entire human EC-SOD cDNA.

<i><u>Separation of SOD isoenzymes by concanavalin A sepharose chromatography</u></i>: Tissues taken from 3 mice were weighed, then combined and homogenized in 10 volumes of ice-cold 50 mM potassium phosphate, pH 7.4, with 0.3 M KBr, 3 mM diethylenetriaminepentaacetic acid, and 0.5 mM phenylmethylsulfonyl fluoride. Separation of EC-SOD from CuZn SOD and Mn SOD was accomplished by passing tissue homogenates over a concanavalin A sepharose column as described (Marklund et al, Clin. Chim. Acta 126:4 (1982)).

<i><u>SOD activity</u></i>: EC-SOD activity and total SOD activity (CuZn SOD and Mn SOD) remaining after EC-SOD extraction were measured by inhibition of cytochrome C reduction at pH 10, as previously described (Crapo et al, Methods Enzymol. 53:382 (1978)). Total protein was determined by the BCA protein assay (Pierce, Rockford, IL). The SOD activities were then expressed as units/mg total protein.

Results

:

i) EC-SOD Transgenic Mice

<i><u>Characterization of transgenic mice</u></i>: Mice carrying the human EC-SOD transgene were detected by Southern blot analysis. Northern analysis of various tissues from the F1 of one mouse found to carry the transgene is shown in Figure 2. High levels of message for human EC-SOD were detected in the heart, skeletal muscle, and brain of transgenic mice, with little or no message observed in the lung, liver, and spleen. No message was detectable in nontransgenic littermates.

Homozygous mice were generated by breeding two heterozygous F1 mice. Homozygous mice were detected by differential band intensities found using Southern blot analysis of equal amounts of PstI digested DNA from the offspring. EC-SOD activity in the mice was found to increase in response to the total copies of the EC-SOD transgene (Table I). <tables id="tabl0003" num="0003"><table frame="all"><title>TABLE I</title><tgroup cols="4" colsep="1" rowsep="0"><colspec colnum="1" colname="col1" colwidth="39.37mm" /><colspec colnum="2" colname="col2" colwidth="39.37mm" /><colspec colnum="3" colname="col3" colwidth="39.37mm" /><colspec colnum="4" colname="col4" colwidth="39.37mm" /><thead valign="top"><row rowsep="1"><entry namest="col1" nameend="col4" align="left">EC-SOD activity in tissues of nontransgenic, heterozygous transgenic, and homozygous transgenic mice. Tissues from 3 mice were combined for each measurement. Activity is expressed as Units/g tissue wet weight.</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" align="left">Tissue</entry><entry namest="col2" nameend="col2" align="center">Nontransgenic</entry><entry namest="col3" nameend="col3" align="center">Heterozygous</entry><entry namest="col4" nameend="col4" align="center">Homozygous</entry></row></thead><tbody valign="top"><row><entry namest="col1" nameend="col1" align="left">Brain</entry><entry namest="col2" nameend="col2" align="center">18</entry><entry namest="col3" nameend="col3" align="center">38</entry><entry namest="col4" nameend="col4" align="center">50</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" align="left">Heart</entry><entry namest="col2" nameend="col2" align="center">35</entry><entry namest="col3" nameend="col3" align="center">69</entry><entry namest="col4" nameend="col4" align="center">102</entry></row></tbody></tgroup></table></tables>

Example II

Central Nervous System Oxygen Toxicity

Protocols

:

<i><u>Oxygen exposures</u></i>: 7-8 week old mice were exposed to hyperbaric oxygen five at a time in a small-animal chamber (Bethlehem, Pennsylvania). After flushing the chamber with pure oxygen, compression to 50 meters (6 ATA) was performed within 5 minutes. The oxygen concentration in the chamber was monitored continuously with a Servomex oxygen analyzer (model 572, Sybron, Norwood, Massachusetts) and maintained at ≥99%. The carbon dioxide concentration was analyzed from intermittent samples of chamber gas with an IR detector (IR Industries, Santa Barbara, California) and was not allowed to rise above 0.1%. The chamber temperature was maintained at 25-26°C, but the compression of oxygen in the chamber raised the temperature to 30-32°C transiently, but an environmental control system restored the normal chamber temperature within 3 minutes. The exposures lasted 25 to 75 minutes and were followed by decompression for 5 minutes. The mice were observed continuously for signs of oxygen toxicity from the beginning of the exposure until 4 hours after removal from the chamber. The time to the first generalized convulsion (seizure latency) and the time to death were recorded. These exposure conditions are designed to cause CNS oxygen toxicity without appreciable evidence of pulmonary oxygen toxicity.

<i><u>Treatment with diethyldithiocarbamate</u></i>: One hour prior to exposure to 6 ATA oxygen, mice were given either i.p. injections of either 0.008 cc/g saline or 400 mg/kg diethyldithiocarbamate dissolved in normal saline (0.008 cc/g). The mice were then exposed to 6 ATA oxygen for 25 mintues as described above.

To determine the extent of EC-SOD and CuZn SOD inhibition by diethyldithiocarbamate, mice were given diethyldithiocarbamate and sacrificed one hour later. The brains were removed and assayed for EC-SOD and CuZn SOD activity as described above.

<i><u>Treatment with β-mercaptoethanol</u></i>: One hour prior to exposure to 6 ATA oxygen, mice were given either i.p. injections of 0.008 cc/g saline or 180 mg/kg β-mercaptoethanol (0.008 cc/g). This dose of β-mercaptoethanol was selected because it contains an equal number of reducing thiols as the dose of diethyldithiocarbamate. The mice were then exposed to 6 ATA oxygen for 30 minutes as described above.

<i><u>Treatment with N-ω-nitro-L-arginine, an inhibitor of nitric oxide synthase</u></i>: Ten minutes prior to beginning compression, 0.008 cc/g saline or 20 mg/kg (0.008 cc/g) N-ω-nitro-L-arginine dissolved in sterile water was given i.p to the transgenic and nontransgenic mice. Mice were then exposed at 6 ATA oxygen for 25 or 75 minutes as described above.

<i><u>Statistical analysis</u></i>: A paired Student's t-test was used to compare enzyme activities in transgenic and nontransgenic mice. A χ² test with Bonferroni correction was used to assess significance in survival differences to hyperbaric exposures. Analysis of variance with a Scheffe F-test was used to compare differences in seizure latency in the different groups of mice.

Results

:

<i><u>Hyperbaric oxygen exposures</u></i>: To test the effects of increased brain EC-SOD levels on CNS oxygen toxicity, both transgenic and nontransgenic mice (see Example I) were exposed to 6 ATA oxygen for 25 minutes. Transgenic mice were more susceptible (83% mortality) to CNS oxygen toxicity than nontransgenic mice (33% mortality) (Figure 3).

Transgenic and nontransgenic mice were subsequently treated with an inhibitor of CuZn SOD, diethyldithiocarbamate, to confirm that the increased sensitivity of transgenic mice to CNS oxygen toxicity was the result of increased SOD activity. In both transgenic and nontransgenic mice, treatment with 400 mg/kg diethyldithiocarbamate resulted in 80% inhibition of EC-SOD and 60% inhibition of CuZn SOD in the brain. This is consistent with previous findings (Frank et al, Biochem. Pharmacol. 27:251 (1978); Heikkila et al, J. Biol. Chem. 251:2182 (1976)). Treatment with diethyldithiocarbamate conferred increased resistance to CNS oxygen toxicity for both transgenic and nontransgenic mice. Survival increased to 100% in transgenic mice and 93% in nontransgenic mice (Figure 3). The onset of seizures was also delayed four-fold in mice treated with diethyldithiocarbamate (Figure 4) .

To evaluate whether or not diethyldithiocarbamate protects against CNS oxygen toxicity by acting as a reducing agent rather than as an inhibitor of SOD activity, mice were treated with an equimolar amount of reducing thiols in the form of β-mercaptoethanol and exposed to hyperbaric oxygen. Figure 5 shows that β-mercaptoethanol did not protect against CNS oxygen toxicity.

One possibility that might explain why EC-SOD exacerbates CNS oxygen toxicity would be that nitric oxide is a mediator of CNS oxygen toxicity and EC-SOD is protecting nitric oxide from superoxide mediated inactivation. To test the hypothesis that nitric oxide contributes to CNS oxygen toxicity, wild-type (C57BL/6 X C3H)F1 mice were treated with an inhibitor of nitric oxide synthase, N-ω-nitro-L-arginine. Figure 6 shows the effects of N-ω-nitro-L-arginine on seizure latency in mice. Pretreatment with N-ω-nitro-L-arginine resulted in a significant increase in seizure latency (13.50±5.6 min) when compared to saline treated mice (2.75±1 min). Figure 7 shows that nitric oxide synthase inhibition also significantly increased survival after exposure to hyperbaric oxygen. Mice given the inhibitor of nitric oxide synthase displayed 50% mortality after exposure to 90 minutes of 6 ATA oxygen and 100% mortality was not obtained until after 2 hours of this exposure. Saline treated mice, however, had a 50% mortality after only 25 minutes of exposure, with 100% mortality after only 30 minutes at 6 ATA of oxygen. Figure 8 shows that the percent survival in hyperbaric oxygen was dependent on the dose of the inhibitor given. The protection offered by this competitive inhibitor of nitric oxide synthase could be reversed when an excess of L-arginine was given (Figure 6 and Figure 9).

The effects of the nitric oxide synthase inhibitor, N-ω-nitro-L-arginine, upon CNS oxygen toxicity was then studied in the transgenic mice. This treatment dramatically reduced CNS oxygen toxicity in both transgenic and nontransgenic mice. Survival after a 25 minute exposure to 6 ATA oxygen increased to 100% in both groups (Figure 3). Seizure latency was also significantly delayed (Figure 4). The exposure time was then increased to 75 minutes to investigate whether transgenic mice were still more sensitive than nontransgenic mice to hyperbaric oxygen. The results in Figure 10 indicate that treatment with N-ω-nitro-L-arginine abolished the difference in sensitivity that was observed between untreated transgenic and nontransgenic mice during the 25 minute exposure shown in Figure 3.

Example III

Cold-Induced Brain Edema

Protocols

:

<i><u>Injury model</u></i>: Young (6-7 week) mice (see Example I) were anesthetized with 60 mg/kg pentobarbital (Nembutal, Abbott Laboratories, Chicago, Illinois). An incision was then made in the scalp and a steel rod 20 cm long, 3 mm in diameter, equilibrated in liquid nitrogen with an 8 cm bath of liquid nitrogen 4 cm from the end of the rod, was placed on the skull over the right cerebral hemisphere for 30 seconds. The skin incision was then sutured.

Two hours after the injury the mouse was given an additional dose of pentobarbital. The chest cavity was opened, the lungs were excised, and the mouse was then perfused with 20 ml saline through the left ventricle of the heart. The brain was then removed and the cerebellum was excised. The right (R) and left (L) cerebral hemispheres were separated and immediately weighed (wet weight, W). Each hemisphere was then dried at 70°C for 2-3 days in a hot air oven until a constant weight was achieved (dry weight, D). An index of edema (I) was then calculated as shown in equation 13.<maths id="math0001" num="[13]"><math display="block"><mrow><mtext>I=(W/D R - W/D L)/(W/D L) X 100</mtext></mrow></math><img file="EP0723398B1_D0024.tif" /></maths> This calculation allowed the left hemisphere to serve as an internal control for the injured right hemisphere in each mouse.

<i><u>Chemical treatments</u></i>: Six groups of experiments were conducted to investigate the importance of extracellular superoxide, iron, and nitric oxide in cold-induced brain edema. In all groups, drugs were dissolved in saline and injected at 0.008 cc/g 15 minutes prior to cold injury. In Group 1, edema formation of EC-SOD transgenic mice was compared with that of nontransgenic littermates. Group 2 compared edema formation between wild-type (C57BL/6 X C3H)F1 mice treated with saline and (C57BL/6 X C3H)F1 mice treated with 0.33 mg/g deferoxamine (0.51 µmoles/g). Group 3 compared (C57BL/6 X C3H)F1 mice treated with saline to (C57BL/6 X C3H)F1 mice treated with 0.51 µmoles/g Fe³⁺-saturated deferoxamine. Group 4 consisted of (C57BL/6 X C3H)F1 mice treated with saline and (C57BL/6 X C3H)F1 mice treated with 0.02 mg/g N-ω-nitro-L-arginine methyl ester. Group 5 consisted of (C57BL/6 X C3H)F1 mice treated with saline and (C57BL/6 X C3H)F1 mice treated with 0.02 mg/g N-ω-nitro-L-arginine methyl ester plus 0.05 mg/g L-arginine. Group 6 compared edema formation between nontransgenic mice, EC-SOD transgenic mice treated with saline, and EC-SOD transgenic mice treated with 0.02 mg/g N-ω-nitro-L-arginine methyl ester.

Iron saturated deferoxamine was made by dissolving equimolar amounts of deferoxamine and then ferric chloride in saline. Saturation of deferoxamine with ferric iron was determined spectrophotometrically be measuring the absorbance at 425 nm (ε=2500 M^-1 cm^-1 for Fe³⁺-deferoxamine) (Monzyk and Crumbliss, J. Amer. Chem. Soc. 104:4921 (1982)).

<i><u>Evan's blue treatment</u></i>: One hour and 50 minutes after cold injury, 5 ml/kg of 1% Evan's Blue in saline was injected into the femoral artery of transgenic and nontransgenic mice. The mice were sacrificed 10 minutes later. The lungs were then excised and the mice were then perfused with normal saline through the left ventricle until there was no more blue color in the effluent. The brains were then removed and photographed.

<i><u>Statistical analysis</u></i>: A paired Student's t-test was used to compare significance of edema development compared to nontransgenic mice or saline treated mice for each of the groups examined. Analysis of variance with a Fisher PLSD test was used to compare significance in Group 6. P-value less than 0.05 were considered to be significant.

Results

:

<i><u>Cold-induced Brain Edema</u></i>: When transgenic mice and nontransgenic littermates were subjected to cold-induced injury to the right cerebral hemisphere it was found that the transgenic mice were significantly protected against edema formation compared to nontransgenic littermates (Figure 11). Percent edema was 44% less in transgenic mice then in nontransgenic littermates and Evan's blue dye extravasation was visibly less in transgenic mice compared to nontransgenic littermates (Figure 12).

To test the contribution of iron to edema formation in this model, mice were pretreated with i.p. injections of deferoxamine or saline prior to cold-induced injury. Table II shows that pretreatment with deferoxamine resulted in 43% less edema formation compared to mice only given saline. Mice were then pretreated with i.p. injections of iron-saturated deferoxamine or saline before cold-induced injury to see if the iron chelating properties of this compound were truly necessary for protection against edema formation. Table IV shows that, even when deferoxamine was saturated with iron, it was still capable of protecting against edema formation and resulted in 32-48% less edema than that found in saline treated controls. The absolute values for the edema index were found to quite variable, however, repeated experiments consistently show the same signficant trends in protection against edema formation in the various treatments examined. <tables id="tabl0004" num="0004"><table frame="all"><title>Table II</title><tgroup cols="4" colsep="1" rowsep="0"><colspec colnum="1" colname="col1" colwidth="39.37mm" /><colspec colnum="2" colname="col2" colwidth="39.37mm" /><colspec colnum="3" colname="col3" colwidth="39.37mm" /><colspec colnum="4" colname="col4" colwidth="39.37mm" /><thead valign="top"><row rowsep="1"><entry namest="col1" nameend="col4" align="left">Evaluation of the effect of the ferric iron chelator deferoxamine on edema formation after cold-induced brain injury. Wild-type (C57BL/6 X C3H)F1 mice were treated with deferoxamine to determine what effect the iron chelating properties of this compound had on edema formation. Values are presented as mean ± standard error.</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" /><entry namest="col2" nameend="col2" align="left"><b>Treatment</b></entry><entry namest="col3" nameend="col3" align="left"><b>n</b></entry><entry namest="col4" nameend="col4" align="left"><b>Edema Index</b></entry></row></thead><tbody valign="top"><row><entry namest="col1" nameend="col1" /><entry namest="col2" nameend="col2" align="left">Saline</entry><entry namest="col3" nameend="col3" align="left">7</entry><entry namest="col4" nameend="col4" align="left">5.92±0.62</entry></row><row><entry namest="col1" nameend="col1" /><entry namest="col2" nameend="col2" align="left">Deferoxamine</entry><entry namest="col3" nameend="col3" align="left">7</entry><entry namest="col4" nameend="col4" align="left">3.41±0.49*</entry></row><row><entry namest="col1" nameend="col1" align="left"><u><b>Run 1</b></u>:</entry><entry namest="col2" nameend="col2" /><entry namest="col3" nameend="col3" /><entry namest="col4" nameend="col4" /></row><row><entry namest="col1" nameend="col1" /><entry namest="col2" nameend="col2" align="left">Saline</entry><entry namest="col3" nameend="col3" align="left">6</entry><entry namest="col4" nameend="col4" align="left">8.24±0.53</entry></row><row><entry namest="col1" nameend="col1" /><entry namest="col2" nameend="col2" align="left">Fe-Deferoxamine</entry><entry namest="col3" nameend="col3" align="left">6</entry><entry namest="col4" nameend="col4" align="left">5.63±0.63*</entry></row><row><entry namest="col1" nameend="col1" align="left"><u><b>Run 2</b></u>:</entry><entry namest="col2" nameend="col2" /><entry namest="col3" nameend="col3" /><entry namest="col4" nameend="col4" /></row><row><entry namest="col1" nameend="col1" /><entry namest="col2" nameend="col2" align="left">Saline</entry><entry namest="col3" nameend="col3" align="left">5</entry><entry namest="col4" nameend="col4" align="left">7.65±1.30</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" /><entry namest="col2" nameend="col2" align="left">Fe-Deferoxamine</entry><entry namest="col3" nameend="col3" align="left">5</entry><entry namest="col4" nameend="col4" align="left">3.97±0.59*</entry></row></tbody></tgroup><tgroup cols="4" colsep="0" rowsep="0"><colspec colnum="1" colname="col1" colwidth="39.37mm" /><colspec colnum="2" colname="col2" colwidth="39.37mm" /><colspec colnum="3" colname="col3" colwidth="39.37mm" /><colspec colnum="4" colname="col4" colwidth="39.37mm" /><tbody valign="top"><row><entry namest="col1" nameend="col4" align="justify">*p&lt;0.05 compared to Edema Index of respective saline treated controls using a paired Student's t-test.</entry></row></tbody></tgroup></table></tables>

These results indicate that deferoxamine is capable of protecting against edema formation by a mechanism independent of its ability to scavenge iron. Because deferoxamine is capable of scavenging both the peroxynitrite anion (Radi et al, Arch. Biochem. Biophys. 288(2):481 (1991)) as well as the hydroxyl radical (Hoe et al, Chemico-Biological Interactions 41:75 (1982)), it was hypothesized that it is these properties of deferoxamine that enable it to protect against vasogenic edema.

To test this hypothesis, the synthesis of nitric oxide was inhibited with N-ω-nitro-L-arginine methyl ester, a competitive inhibitor of the enzyme nitric oxide synthase, to determine if this would result in protection against edema formation after a cold-induced injury. Table III shows that treatment with N-ω-nitro-L-arginine methyl ester significantly protected mice against edema formation resulting in 37% less edema formation than that occurring in saline treated controls. This protection by N-ω-nitro-L-arginine methyl ester was reversed by simultaneous administration of an excess of L-arginine to the mice (Table III). <tables id="tabl0005" num="0005"><table frame="all"><title>Table III</title><tgroup cols="3" colsep="1" rowsep="0"><colspec colnum="1" colname="col1" colwidth="52.50mm" /><colspec colnum="2" colname="col2" colwidth="52.50mm" /><colspec colnum="3" colname="col3" colwidth="52.50mm" /><thead valign="top"><row rowsep="1"><entry namest="col1" nameend="col3" align="left">The effect of inhibition of nitric oxide synthesis on edema formation after cold-induced brain injury. Wild-type (C57BL/6 X C3H)F1 mice were treated with the competitive inhibitor of nitric oxide synthase, N-ω-nitro-L-arginine methyl ester (LNAME) to determine what effect nitric oxide had on vasogenic edema. Mice were also given N-ω-nitro-L-arginine methyl ester plus an excess of L-arginine (LNAME + L-Arg) to see if the effects seen with LNAME alone could be reversed. Values are presented as mean ± standard error.</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" align="left"><b>Treatment</b></entry><entry namest="col2" nameend="col2" align="left"><b>n</b></entry><entry namest="col3" nameend="col3" align="left"><b>Edema Index</b></entry></row></thead><tbody valign="top"><row><entry namest="col1" nameend="col1" align="left">Saline</entry><entry namest="col2" nameend="col2" align="left">6</entry><entry namest="col3" nameend="col3" align="left">5.77±0.29</entry></row><row><entry namest="col1" nameend="col1" align="left">LNAME</entry><entry namest="col2" nameend="col2" align="left">6</entry><entry namest="col3" nameend="col3" align="left">3.65±0.51*</entry></row><row><entry namest="col1" nameend="col1" /></row><row><entry namest="col1" nameend="col1" align="left">Saline</entry><entry namest="col2" nameend="col2" align="left">6</entry><entry namest="col3" nameend="col3" align="left">6.56±0.21</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" align="left">LNAME + L-Arg</entry><entry namest="col2" nameend="col2" align="left">6</entry><entry namest="col3" nameend="col3" align="left">6.03±0.71</entry></row></tbody></tgroup><tgroup cols="3" colsep="0" rowsep="0"><colspec colnum="1" colname="col1" colwidth="52.50mm" /><colspec colnum="2" colname="col2" colwidth="52.50mm" /><colspec colnum="3" colname="col3" colwidth="52.50mm" /><tbody valign="top"><row><entry namest="col1" nameend="col3" align="justify">*p&lt;0.05 compared to Edema Index of respective saline treated controls using a paired Student's t-test.</entry></row></tbody></tgroup></table></tables>

In the final experiments, EC-SOD transgenic mice were treated with either saline or N-ω-nitro-L-arginine methyl ester to determine if there was an additive effect in preventing edema formation in mice which have both increased levels of EC-SOD as well as the inhibitor of nitric oxide synthase. Table IV shows that when EC-SOD transgenic mice were given the inhibitor of nitric oxide synthase, no added protection against edema formation was detected relative to transgenic mice protected only by increased levels of EC-SOD in the brain. <tables id="tabl0006" num="0006"><table frame="all"><title>Table IV</title><tgroup cols="3" colsep="1" rowsep="0"><colspec colnum="1" colname="col1" colwidth="52.50mm" /><colspec colnum="2" colname="col2" colwidth="52.50mm" /><colspec colnum="3" colname="col3" colwidth="52.50mm" /><thead valign="top"><row rowsep="1"><entry namest="col1" nameend="col3" align="left">Evaluation of the effect of inhibition of nitric oxide synthesis on edema formation in transgenic mice. Comparison of edema formation in nontransgenic mice to edema formation in transgenic mice with elevated levels of brain EC-SOD activity, and to edema formation in transgenic mice treated with an inhibitor of nitric oxide synthesis (20 mg/kg N-ω-nitro-L-arginine; Transgenic + LNAME) 15 minutes prior to cold-induced injury. Values are presented as mean ± standard error and were compared using analysis of variance with a Fisher PLSD test. No significant difference was seen between transgenic and transgenic + LNAME mice.</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" align="left"><b>Treatment</b></entry><entry namest="col2" nameend="col2" align="left"><b>n</b></entry><entry namest="col3" nameend="col3" align="left"><b>Edema Index</b></entry></row></thead><tbody valign="top"><row><entry namest="col1" nameend="col1" align="left">Nontransgenic</entry><entry namest="col2" nameend="col2" align="left">6</entry><entry namest="col3" nameend="col3" align="left">7.91±0.67</entry></row><row><entry namest="col1" nameend="col1" align="left">Transgenic</entry><entry namest="col2" nameend="col2" align="left">6</entry><entry namest="col3" nameend="col3" align="left">4.91±0.78*</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" align="left">Transgenic + LNAME</entry><entry namest="col2" nameend="col2" align="left">6</entry><entry namest="col3" nameend="col3" align="left">4.30±0.96*</entry></row></tbody></tgroup><tgroup cols="3" colsep="0" rowsep="0"><colspec colnum="1" colname="col1" colwidth="52.50mm" /><colspec colnum="2" colname="col2" colwidth="52.50mm" /><colspec colnum="3" colname="col3" colwidth="52.50mm" /><tbody valign="top"><row><entry namest="col1" nameend="col3" align="justify">*p&lt;0.05 compared to Edema Index of nontransgenic mice.</entry></row></tbody></tgroup></table></tables>

Example IV

Immunolocalization of EC-SOD

Protocols

:

<i><u>Human lung</u></i>: Five human lung samples were obtained to evaluate the distribution of EC-SOD in human lung tissue. One sample was obtained from a surgical pathology specimen of a right upper lobe resected from a 43 year old white female with a 50 pack year smoking history (equivalent to one pack per day for one year) and a solitary nodule found on chest X-ray. The patient was diagnosed with squamous cell carcinoma. Tissue from a region not involved in the carcinoma from this lobe was used in the studies presented here. A second lung was obtained from a right upper lobe surgical pathology specimen resected from a 51 year old white male with a 60 pack year smoking history found to have an isolated nodule on X-ray. The patient had no other illness and was diagnosed with squamous cell carcinoma. Lung tissue not involved in the carcinoma from this specimen was used for the localization of EC-SOD. A third lung was obtained from a rapid autopsy (tissue obtained 6 hours after death) of a 66 year old white male with dementia, but no history of smoking or lung disease. The fourth lung examined was obtained from excess lung tissue of a lung too large for the recipient of a lung transplant. The lung was donated from a 45 year old white female with no history of smoking or lung disease. The fifth lung examined in these studies was also from excess lung tissue used for lung transplantation from a 39 year old white male with no history of smoking or lung disease. Notably, no differences in labeling patterns were seen between the surgical pathology specimens, the autopsy tissues from donors for lung transplantation.

The tissues were fixed in 2% paraformaldehyde/0.2% gluteraldehyde in 0.01 M phosphate buffered saline (PBS; 1.2 g NaH₂PO₄, 8 g NaCl, 0.2 g KCl, in 1 liter pH 7.3) for 1 hour followed by overnight fixation in 4% paraformaldehyde at 4°C and then in O.C.T. compound. The tissues were frozen in liquid nitrogen chilled hexane and stored at -70°C until they were sectioned for light microscopic studies.

For electron microscopic studies, lung tissues were processed as in the light microscopic studies up to the equilibration in sucrose. After equilibration in sucrose, the lung tissues were infiltrated with 10% gelatin at 37°C for 10 minutes. The tissue slices, in gelatin, were then solidified on ice, cut into 2 mm/side cubes, and then cryoprotected in 4% polyvinyl alcohol containing 2 M sucrose overnight. These samples were then mounted onto stubs, flash frozen in liquid nitrogen, and then stored in liquid nitrogen until they were sectioned for electron microscopic studies.

<u>Characterization of antibody to human recombinant</u>

<i><u>EC-SOD</u></i>: Human recombinant EC-SOD (furnished by S.L. Marklund, Umeå, Sweden; Tibell et al Proc. Natl. Acad. Sci. USA 84:6634 (1987)) and the 20,000 x g supernatant of a human lung homogenate were denatured in the presence of β-mercaptoethanol and sodium dodecyl sulfate by boiling for 5 minutes and then electrophoresed through 12% polyacrylamide gel in the presence of sodium dodecyl sulfate. The protein was then electrophoretically transferred to nitrocellulose. The blot was then incubated with 4.3 µg/ml of an IgG purified fraction of rabbit anti-rh-EC-SOD (furnished by S.M. Marklund, Umeå University Hospital, Umeå, Sweden) affinity purified with rh-EC-SOD followed by incubation with ¹²⁵I-protein A and autoradiography.

<i><u>Absorption of anti-EC-SOD IgG</u></i>: CNBr activated sepharose was swollen in PBS. Swollen gel was mixed with PBS so that the settled gel occupied 50% of the volume. The gel was suspended and 100 µl was mixed with 100 µg pure rh-EC-SOD for 2 hours at room temperature while gently agitating. The gel was then washed 4 times with PBS + 1% bovine serum albumin (BSA) and made up 100 µl with PBS + 1% BSA. 100 µl of rabbit anti-rh-EC-SOD at two times the concentration used for immunolabeling was then added and mixed for 2 hours with gentle agitation at room temperature. Non-immune rabbit IgG was then added to the supernatant in a concentration equivalent to the predicted concentration of anti-rh-EC-SOD IgG removed by the procedure. This supernatant was then used for subsequent immunolabeling.

<i><u>Light microscopic immunohistochemistry</u></i>: 4 µm serial sections of O.C.T. embedded tissue were cut on a cryostat at -20°C and put on poly-L-lysine-coated slides (3 sections/slide). Sections were stored at -70°C until labeling was done. Sections were then labeled for EC-SOD using an indirect immunoperoxidase method (Milde et al, J. Histochem. Cytochem. 37:1609 (1989); Randell et al, Am. J. Respir. Cell. Mol. Biol. 4:544 (1991)) with a biotinylated goat anti-rabbit IgG and streptavidin-horseradish peroxidase (Jackson, ImmunoResearch Laboratoreis (West Grove, Pennsylvania)) (Table V). To reduce background staining, the sections were incubated in 1% H₂O₂ in methanol to inactivate endogenous peroxidases, 10 mM borohydride to block aldehydes, and nonspecific binding was blocked by incubation with 5% normal goat serum (NGS), 5% milk, and 1% BSA in PBS. The optimal primary and secondary antibody dilutions were determined empirically and made in PBS with 1% milk plus 1% BSA (milk was not included in the streptavidin solution). The slides were developed using diaminobenzidine (10 mg diaminobenzidine, 50 ml 0.05 M Tris-Cl, pH 7.6, 100 µl 3% H₂O₂) and counterstained with 1% methyl green. As a control, serial sections were separately labeled with either rabbit anti-rh-EC-SOD (EC-SOD), non-immune rabbit IgG, or rabbit anti-rh-BC-SOD from which EC-SOD binding IgG had been absorbed out (EC-SOD absorbed; see above). <tables id="tabl0007" num="0007"><table frame="all"><title>TABLE V</title><tgroup cols="3" colsep="1" rowsep="0"><colspec colnum="1" colname="col1" colwidth="52.50mm" /><colspec colnum="2" colname="col2" colwidth="52.50mm" /><colspec colnum="3" colname="col3" colwidth="52.50mm" /><thead valign="top"><row rowsep="1"><entry namest="col1" nameend="col3" align="left">Staining procedures for light microscopic immunohistochemistry. All incubations were performed in a humidified chamber at room temperature.</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" /><entry namest="col2" nameend="col2" align="left">Incubation</entry><entry namest="col3" nameend="col3" align="left">Time</entry></row></thead><tbody valign="top"><row><entry namest="col1" nameend="col1" align="left">Step 1</entry><entry namest="col2" nameend="col2" align="left">1% H₂O₂ in methanol</entry><entry namest="col3" nameend="col3" align="left">30 minutes</entry></row><row><entry namest="col1" nameend="col1" align="left">Step 2</entry><entry namest="col2" nameend="col2" align="left">10 mM borohydride in PBS (gluteraldehyde fixed tissue only)</entry><entry namest="col3" nameend="col3" align="left">30 minutes</entry></row><row><entry namest="col1" nameend="col1" align="left">Step 3</entry><entry namest="col2" nameend="col2" align="left">5% NGS, 5% milk, 1% BSA/PBS</entry><entry namest="col3" nameend="col3" align="left">30 minutes</entry></row><row><entry namest="col1" nameend="col1" align="left">Step 4</entry><entry namest="col2" nameend="col2" align="left">Primary antibody 1% milk, 1% BSA/PBS (various dilutions)</entry><entry namest="col3" nameend="col3" align="left">1 hour</entry></row><row><entry namest="col1" nameend="col1" align="left">Step 5</entry><entry namest="col2" nameend="col2" align="left">Biotin-labeled goat anti-rabbit IgG (1:6000 in 1% milk, 1% BSA/PBS)</entry><entry namest="col3" nameend="col3" align="left">1 hour</entry></row><row><entry namest="col1" nameend="col1" align="left">Step 6</entry><entry namest="col2" nameend="col2" align="left">Streptavidin-Horse radish peroxidase (1:2000 in 1% BSA/PBS)</entry><entry namest="col3" nameend="col3" align="left">1 hour</entry></row><row><entry namest="col1" nameend="col1" align="left">Step 7</entry><entry namest="col2" nameend="col2" align="left">Diaminobenzidine</entry><entry namest="col3" nameend="col3" align="left">15 minutes</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" align="left">Step 8</entry><entry namest="col2" nameend="col2" align="left">1% Methyl Green in water</entry><entry namest="col3" nameend="col3" align="left">15 minutes</entry></row></tbody></tgroup></table></tables>

<i><u>Electron microscopic immunocytochemistry</u></i>: Ultrathin cryo sections (70 nm) of human lung tissue were immunolabeled with rabbit anti rh-EC-SOD and 10-nm protein A-gold as prevsiously described (Crapo et al, Proc. Natl. Acad. Sci. USA 89:10405 (1992)) (Table VI). Briefly, sections were first incubated three times for five minutes at room temperature in 0.15% glycine in PBS to block aldehyde groups. Nonspecific binding was further blocked by incubation in 1% BSA in PBS for 10 minutes. Primary and secondary antibody dilutions were determined empirically and made in PBS containing 1% BSA. Sections were stained with uranyl oxalate and uranyl acetate in methyl cellulose as previously described (Crapo et al, Proc. Natl. Acad. Sci. USA 89:10405 (1992)). Control groups were as described for light microscopy above. <tables id="tabl0008" num="0008"><table frame="all"><title>TABLE VI</title><tgroup cols="3" colsep="1" rowsep="0"><colspec colnum="1" colname="col1" colwidth="52.50mm" /><colspec colnum="2" colname="col2" colwidth="52.50mm" /><colspec colnum="3" colname="col3" colwidth="52.50mm" /><thead valign="top"><row rowsep="1"><entry namest="col1" nameend="col3" align="left">Staining procedures for electron microscopic immunohistochemistry. All incubations were performed at room temperature.</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" /><entry namest="col2" nameend="col2" align="left">Incubation</entry><entry namest="col3" nameend="col3" align="left">Time</entry></row></thead><tbody valign="top"><row><entry namest="col1" nameend="col1" align="left">Step 1</entry><entry namest="col2" nameend="col2" align="left">PBS + 0.15% glycine</entry><entry namest="col3" nameend="col3" align="left">3 x 5 minutes</entry></row><row><entry namest="col1" nameend="col1" align="left">Step 2</entry><entry namest="col2" nameend="col2" align="left">1% BSA/PBS</entry><entry namest="col3" nameend="col3" align="left">5 minutes</entry></row><row><entry namest="col1" nameend="col1" align="left">Step 3</entry><entry namest="col2" nameend="col2" align="left">Primary antibody in 1% BSA/PBS</entry><entry namest="col3" nameend="col3" align="left">45 minutes</entry></row><row><entry namest="col1" nameend="col1" align="left">Step 4</entry><entry namest="col2" nameend="col2" align="left">Protein -A gold</entry><entry namest="col3" nameend="col3" align="left">30 minutes</entry></row><row><entry namest="col1" nameend="col1" align="left">Step 5</entry><entry namest="col2" nameend="col2" align="left">Uranyl oxalate</entry><entry namest="col3" nameend="col3" align="left">5 minutes</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" align="left">Step 6</entry><entry namest="col2" nameend="col2" align="left">Uranyl acetate/methyl cellulose</entry><entry namest="col3" nameend="col3" align="left">10 minutes</entry></row></tbody></tgroup></table></tables>

Results

:

<i><u>Characteristic of EC-SOD antibody</u></i>: The antibody to rh-EC-SOD was characterized by Western blot analysis of rh-EC-SOD and a human lung homogenate. Figure 13 shows that the antibody reacted with both the EC-SOD type C (top band) and the type A (bottom band) subunits (Sandström et al, Biochem. J. 267:18205 (1992) in a human lung homogenate. The type A subunit does not exist in the interstium of tissues <i>in vivo</i> (Sandström et al, Biochem. J. 290:623 (1993)). The antibody reacted with three bands in the lane containing purified type C rh-BC-SOD. The two lowest molecular weight species in Figure 13 are due to partial insufficient glycosylation of the rh-ECSOD in the heavily overproducing CHO-cells.

<i><u>Light microscopic immunohistochemistry</u></i>: Using an antibody to rh-EC-SOD, this protein was immunolocalized in human lungs. Light microscopic immunohistochemistry revealed with BC-SOD is mainly associated with the connective tissue matrix around vessels and airways in the lung (Figure 14a and b, Figure 15a, b, and c). EC-SOD was found in close proximity to vascular and airway smooth muscle (Figure 14a and b, and Figure 15a). EC-SOD was also seen in connective tissue of alveolar septal tips (Figure 15c) suggesting an affinity of BC-SOD for connective tissue matrix. No labeling was seen in association with vascular endothelial cells in large elastic arteries, medium-sized vessels, or capillaries, (Figure 14a and b). EC-SOD was notably absent from the epithelial cell surfaces of airways (Figure 15a and b) and was also not present in cartilage (Figure 15a).

The antibody to EC-SOD was an IgG polyclonal rabbit antibody which was affinity purified using rh-EC-SOD. To test the specificity of the labeling for EC-SOD, IgG specific for EC-SOD was absorbed out of the antisera using pure rh-EC-SOD bound to cyanogen bromide sepharose. Nonimmune rabbit IgG was then added to this absorbed antibody in a sufficient amount to replace the absorbed IgG. Labeling lung tissues with this preabsorbed antibody preparation resulted in the absence of labeling in all areas of the lung including the pulmonary vasculature (Figure 14c). Labeling lung tissue with nonimmune IgG alone also resulted in the absence of labeling in all areas of the lung. The controls indicate that the labeling observed with the primary antibody is specific for EC-SOD in the lung.

<i><u>Electron microscopic immunocytochemistry</u></i>: A summary of the labeling for EC-SOD in the lung found using electron microscopic immunocytochemistry is summarized in Table VII. EC-SOD was mainly associated with extracellular matrix proteins in all regions of the lung. In particular, a high degree of labeling was seen in areas rich in type I collagen (Figure 16) and in association with other unidentified proteoglycans in extracellular matrix (Figure 17). Notably, no labeling for EC-SOD was seen in elastin-rich areas (Figure 16). A high degree of labeling was observed near the surface of smooth muscle cells and in the connective tissue matrix surrounding smooth muscle cells in vessels (Figure 17) and airways. Labeling was notably absent from the surface of endothelial cells on small, medium and large vessels (Figures 18a and b). The lack of endothelial cell labeling found with the light microscopic immunohistochemistry support the electron microscopic findings. Labeling of EC-SOD was also seen in plasma within the lumen of blood vessels (Figure 18a). The localization of EC-SOD in plasma is expected as this protein was first discovered in plasma (Marklund, Acta Physiol. Scand., 5492:19 (1980)). Labeling for EC-SOD was observed in the intercellular junctions between bronchial epithelial cells (Figure 19), but was absent from the apical surface of these cells. Finally, EC-SOD labeling was absent from the surface of type I and type II cells. A moderate, but consistent amount of intracellular EC-SOD was found in type II epithelial cells and in bronchial epithelial cells (Figure 19). <tables id="tabl0009" num="0009"><table frame="all"><title>Table VII</title><tgroup cols="2" colsep="1" rowsep="0"><colspec colnum="1" colname="col1" colwidth="78.75mm" /><colspec colnum="2" colname="col2" colwidth="78.75mm" /><thead valign="top"><row rowsep="1"><entry namest="col1" nameend="col2" align="left">Distribution of EC-SOD in human lung. (+) indicates presence of labeling for EC-SOD and (-) indicates no labeling for EC-SOD. (±) represents areas where low low amounts of labeling for EC-SOD were inconsistently observed.</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" align="center">Location</entry><entry namest="col2" nameend="col2" align="center">EC-SOD</entry></row><row rowsep="1"><entry namest="col1" nameend="col2" align="left"><b>Cell Surfaces</b></entry></row></thead><tbody valign="top"><row><entry namest="col1" nameend="col1" align="left">Endothelial</entry><entry namest="col2" nameend="col2" align="center">-</entry></row><row><entry namest="col1" nameend="col1" align="left">Type I cell</entry><entry namest="col2" nameend="col2" align="center">-</entry></row><row><entry namest="col1" nameend="col1" align="left">Type II cell</entry><entry namest="col2" nameend="col2" align="center">-</entry></row><row><entry namest="col1" nameend="col1" align="left">Smooth muscle cell</entry><entry namest="col2" nameend="col2" align="center">+</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" align="left">Fibroblast</entry><entry namest="col2" nameend="col2" align="center">±</entry></row></tbody></tgroup><tgroup cols="2" colsep="1" rowsep="0"><colspec colnum="1" colname="col1" colwidth="78.75mm" /><colspec colnum="2" colname="col2" colwidth="78.75mm" /><thead valign="top"><row rowsep="1"><entry namest="col1" nameend="col2" align="left"><b>Extracellular Matrix</b></entry></row></thead><tbody valign="top"><row><entry namest="col1" nameend="col1" align="left">Type I collagen</entry><entry namest="col2" nameend="col2" align="center">+</entry></row><row><entry namest="col1" nameend="col1" align="left">Elastin</entry><entry namest="col2" nameend="col2" align="center">-</entry></row><row><entry namest="col1" nameend="col1" align="left">Cartilage</entry><entry namest="col2" nameend="col2" align="center">-</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" align="left">Unidentified matrix elements</entry><entry namest="col2" nameend="col2" align="center">+</entry></row></tbody></tgroup><tgroup cols="2" colsep="1" rowsep="0"><colspec colnum="1" colname="col1" colwidth="78.75mm" /><colspec colnum="2" colname="col2" colwidth="78.75mm" /><thead valign="top"><row rowsep="1"><entry namest="col1" nameend="col2" align="left"><b>Intracellular</b></entry></row></thead><tbody valign="top"><row><entry namest="col1" nameend="col1" align="left">Endothelial cell</entry><entry namest="col2" nameend="col2" align="center">±</entry></row><row><entry namest="col1" nameend="col1" align="left">Type I cell</entry><entry namest="col2" nameend="col2" align="center">-</entry></row><row><entry namest="col1" nameend="col1" align="left">Type II cell</entry><entry namest="col2" nameend="col2" align="center">+</entry></row><row><entry namest="col1" nameend="col1" align="left">Bronchial epithelial cell</entry><entry namest="col2" nameend="col2" align="center">+</entry></row><row><entry namest="col1" nameend="col1" align="left">Smooth muscle cell</entry><entry namest="col2" nameend="col2" align="center">-</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" align="left">Fibroblast</entry><entry namest="col2" nameend="col2" align="center">±</entry></row></tbody></tgroup><tgroup cols="2" colsep="1" rowsep="0"><colspec colnum="1" colname="col1" colwidth="78.75mm" /><colspec colnum="2" colname="col2" colwidth="78.75mm" /><thead valign="top"><row rowsep="1"><entry namest="col1" nameend="col2" align="left"><b>Blood</b></entry></row></thead><tbody valign="top"><row><entry namest="col1" nameend="col1" align="left">Plasma</entry><entry namest="col2" nameend="col2" align="center">+</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" align="left">Red Blood Cell</entry><entry namest="col2" nameend="col2" align="center">-</entry></row></tbody></tgroup></table></tables>

Controls done by absorbing EC-SOD specific antibody out of the primary antibody and replacing this absorbed antibody with nonimmune rabbit IgG resulted in the absence of labeling in all areas of the lung including areas rich in type I collagen as seen in Figure 16c. In addition, use of nonimmune rabbit IgG instead of the primary antisera also resulted in the absence of labeling in all areas of the lung. The lack of labeling with these controls indicates that the labeling observed with the primary antisera is specific for EC-SOD in the lung.

The localization of EC-SOD on the surface of smooth muscle cells and in the extracellular matrix around these cells in both blood vessels and airways indicates that EC-SOD may have an important function in this location. Superoxide is known to rapidly react with nitric oxide and inactivate its properties as a smooth muscle relaxant. Therefore, the presence of EC-SOD along the diffusion path of nitric oxide to smooth muscle cells should increase the half life of this short lived intercellular messenger in this particular region and thus increase its potency as a vasodilator. The high labeling for EC-SOD seen around vascular and airway smooth muscle cells indicates a function for EC-SOD as a mediator of nitric oxide activity in the maintenance of low pulmonary vascular pressures and airway resistence.

In addition to the labeling of EC-SOD in association with smooth muscle cells, EC-SOD also appears to strongly colocalize with type I collagen. Collagen has previously been demonstrated to be susceptible to attack by reactive oxygen species such as the superoxide anion. In addition, the superoxide anion may be capable of activating latent collagenases from polymorphonuclear leukocytes (PMN) which can lead to further collagen degradation. Because collagen fragments have been shown to chemoattract and activate PMN's, any increased produced of superoxide that results in collagen degradation may accelerate inflammatory reactions and tissue destruction through PMN recruitment and activation. Consequently, the association of EC-SOD with collagen may be important in preventing superoxide mediated degradation of collagen and therefore, represent a means of controlling inflammatory responses.

Example V

Human EC-SOD Gene

Protocols

:

<u>Materials and radiochemicals</u>

:

[α-³⁵S]dATP (^~1400 Ci/mmol), [γ-³²P]ATP (3000 Ci/mmol), and [α-³⁵P]CTP (800 Ci/mmol), were purchased from New England Nuclear. Human genomic DNA, T₇, T₃, and SP6 RNA polymerase, RNasin, and the pGEM3Zf(+) plasmid were obtained from Promega Biotec. Sequenase sequencing kit (V 2.0) was from United States Biochemicals Corporation. Human poly A+ RNA was acquired from Clontech. SeaPlaque GTG agarose was from FMC BioProducts. Restriction enzymes were from New England Biolabs. All other reagents used were molecular biology grade. Oligonucleotides were synthesized using an Applied Biosystems 380B or 392 by the Duke University, Department of Botany DNA synthesis facility. Charged nylon membranes (GeneScreen Plus) were from DuPont.

<u>Human Northern blot or analysis</u>

:

Two µg poly A+ RNA were purified from eight different human tissues. These mRNAs were electrophoresed on a denaturing formaldehyde 1.2% agarose gel and transferred to a charge-modified nylon membrane followed by UV irradiation fixation. The membrane was prehybridized in 50% formamide, 0.25 M NaPO₄ (pH 7.2), 0.25 M NaCl, 1 mM EDTA, 7% SDS, and 5% polyethylene glycol (molecular weight 8000). The blot was hybridized in the same buffer overnight at 60°C with 1 X 10⁶ cpm/ml of [³²P]-labeled human EC-SOD RNA generated by transcription of the full-length cDNA using T₃ RNA polymerase in the presence of [α-³²P]CTP. The blot was washed in 0.25 M NaPO₄ (pH 7.2), 1% SDS, and 1mM EDTA at 75°C followed by a second wash using 0.04 M NaPO₄ (pH 7.2), 1% SDS, and 1 mM EDTA at 75°C for 30 minutes. This was followed by exposure to XAR-5 film using a Lightening Plus intensifier screen at -70°C. The autoradiogram was scanned using an LKB Ultrascan XL laser densitomer, and the peaks were quantitated by integration using the internal digital integrator of the densitometer or by cutting out the peak from a printer tracing and weighing.

<u>5' Rapid amplifciation of cDNA ends</u>

:

0.5 µg of poly A+ mRNA from human heart was reversed transcribed using 2 pmoles of EC7, a 5' EC-SOD gene specific anti-sense oligonucleotide (5'-ATGACCTCCTGCCAGATCTCC-3'), following a protocol by GIBCO BRL (5' RACE System). The RNA template was degraded by the addition of RNase H at 55°C for 10 minutes. The resulting cDNA was isolated using a GlassMAX DNA (GIBCO BRL) isolation spin cartridge. The purified cDNA was dC-tailed using terminal deoxynucleotidyl transferase (TdT, 0.5 units/ul). 200 µM dCTP, 10 mM Tris-HCl (pH 8.4), 25 mM KCl, 1.25 mM MgCl₂ and 50 µg/ml bovine serum albumin for 10 minutes at 37°C. The TdT was heat inactivated for 10 minutes at 70°C.

Products of this reaction were next PCR amplified using the "anchor" primer (GIBCO BRL), which hybridizes to the homopolymeric tail, and EC4 (a nested internal 5' EC-SOD gene specific anti-sense oligonucleotide, 5'-AGGCAGGAACACAGTAGC-3'). Alternatively, the dC-tailed products were PCR amplified using BC7 and HECl (a sense-strand EC-SOD gene specific primer, 5'-TGGGTGCAGCTCTCTTTTCAGG-3'). The final composition of the reaction included 20 mM Tris-HCl (pH 8.4), 50 mM KCl, 2.5 mM MgCl₂, 100 µg/ml bovine serum albumin, 400 nM Anchor primer, 200 nM gene-specific primer, and 200 µM each of dATP, dCTP, dGTP, dTTP. After incubating the PCR reaction for 5 minutes at 94°C, amplitaq (Perkin Elmer Cetus) was added at a final concentration of 0.04 units/µl. PCR cycling was performed on a Perkin Elmer 9600 for 35 cycles with melting at 94°C for 45 seconds and annealing at 53°C for 15 seconds and extension at 72°C for 90 seconds. The full-length EC-SOD cDNA (6 ng) was used as a positive control in the PCR reaction. The PCR products were electrophoresed in a 2% SeaPlaque GTG agarose gel, transferred to charged nylon membranes by the method of Southern (Southern, J. Mol. Biol. 98:503 (1975)) using the alkaline transfer protocol (Reed et al, Nuc. Acids Res. 13:7207 (1985)). The DNA was fixed to the membrane by baking at 80°C in a vacuum oven for 2 hours. The subsequent blot was hybridized to [³²P] end-labeled HBC2 (an internal, nested EC-SOD specific primer, 5'-TCCAGCTCCTCCAAGAGAGC-3') overnight at 37°C. The blot was washed at increasing stringencies until background hybridization was removed. This was followed by exposure to XAR-5 film using a Lightening Plus intensifier screen at -70°C.

<u>Human genomic Southern blot analysis:</u>

Ten µg human genomic DNA were digested BamH I, EcoR I, Kpn I, and Pst I restriction endonuclease enzymes until completion. The DNA was then electrophoresed on 1% agarose gel and transferred to a charged nylon membrane by the Southern technique (Southern, J. Mol. Biol. 98:503 (1975)), after alkaline denaturation (Reed et al, Nuc. Acids Res. 13:7207 (1985)). The DNA was fixed to the membrane by heating to 80°C in a vacuum oven for 2 hours. [³²P]CTP-labeled human EC-SOD antisense strand cRNA was synthesized using the EC-SOD cDNA which had been linearized with Stu I. The blot was hybridized (500 X 10³ cpm/ml) in 50% formamide, 0.25 M NaPO₄ (pH 7.2), 0.25 M NaCl, 1 mM EDTA, 7% SDS, and 5% polyethylene glycol (molecular weight 8000), at 50°C. Following overnight hybridization, they were washed in 0.25 M NaPO₄ (pH 7.2), 2% SDS, and 1 mM EDTA followed by 0.04 M NaPO₄ (pH 7.2), 1% SDS, and 1 mM EDTA at increasing stringencies until background hybridization was minimized. The blot was exposed to XAR-5 film using a Lightening Plus intensifier screen at -70°C.

<u>Isolation of the human gene for EC-SOD</u>

:

A human adult female leukocyte genomic library constructed in the EMBL-3 vector was obtained from Clontech. Approximately 1 X 10⁶ pfu were screened at a density of ^~50,000 pfu/plate using [³²P]CTP-labeled human EC-SOD cRNA (1 X 10⁶ dpm/ml). The primary through tertiary screens identified approximately 7 unique putative positive plaques. Individual plaques were isolated and lambda DNA purified using LambdaSorb phage adsorbent (Promega Biotec). The size of the insert DNA from each clone was assessed by Sal I restriction endonuclease digestion followed by electrophoresis in 0.7% agarose. Selected clones underwent extensive restriction endonuclease mapping. Based on the restriction mapping results and asymmetric hybridization using 5' and 3' annealing EC-SOD oligonucleotides, Clone #7 was selected for all subsequent DNA sequence analysis. Clone #7 contains an approximate 18-20 kb fragment.

<u>DNA sequencing of the human EC-SOD gene</u>

:

The overall strategy used for sequencing clone #7 is illustrated in Figure 20. Various size restriction endonuclease DNA fragments from clone #7 were subcloned into the pGEM3Zf(+) vector DNA. The dideoxy sequencing method using double-stranded DNA (Ausubel et al, Current Protocols in Molecular Biology, Green Publishing Assoc. and Wiley Interscience, New York (1992)) as template and Sequenase enzyme (United States Biochemicals) were employed (Sanger et al, Proc. Natl. Acad. Sci. USA 74:5463 (1977)). Both the Universal and -40 M13 sequencing primers were used to initiate DNA sequencing for each subcloned fragment. Oligonucleotides derived from this initial sequencing data were synthesized approximately every 250 base pairs until the complete nucleotide sequence was obtained. Sequencing data were obtained from both strands as shown in Figure 20B except at the 3' portion of the gene where DNA sequence was obtained on one strand only.

<u>Computer-assisted sequence analysis and transcriptional database search</u>

:

The IntelliGenetics Geneworks program (Version 2.2) was used for organizing the DNA sequence data. Homology searching was performed at the NCBI using the BLAST (Altschul et al, J. Mol. Biol. 215:403 (1990)) network service and the non-redundant nucleotide sequence database (GenBank(77.0) + EMBL(35.0) + EMBLUpdate + GBUdate). Transcriptional factor database searching was performed using both the SIGNAL SCAN 3.0 algorithm (Prestridge et al, CABIOS 9:113 (1993)) as well as the FINDPATTERNS program of the GCG Package (V 7.2) using Release 6.3 of the Transcription Factor Database (Gosh, Nuc. Acids Res. 18:1749 (1990)). For a prediction of the site of signal peptide cleavage, the programs SIGSEQ1 (Folz et al, J. Biol. Chem. 261:14752 (1986)) and SIGSEQ2 were employed (Folz et al, Biochem. Biophys. Res. Commun. 146:870 (1987)).

Results

:

<u>Tissue specific expression of human EC-SOD</u>

:

To investigate the expression of human EC-SOD, poly A(+) mRNA from eight different human tissues was fractionated on a denaturing agarose gel and transferred to a charged nylon membrane. Because a previous paper reported long exposures times in order to identify EC-SOD specific bands during genomic Southern analysis (Hendrickson et al, Genomics 8:736 (1990)), a radiolabeled antisense cRNA probe derived from full-length human BC-SOD cDNA was used (Oury et al, Proc. Nat. Acad. Sci. USA 89:9715 (1992)). A discrete band of approximately 1.4 kb can be seen in all eight human tissues analyzed (Figure 21A). In addition, skeletal muscle contains an approximate 4.2 kb message, not detected in the other tissues. By densitometric scanning of the 4.2 and 1.4 kb bands, it can be calculated that larger message to make up about 32% of the total skeletal muscle EC-SOD message. In brain, a very faint band of 2.2 kb can be seen. This band was too weak for quantitation by laser densitometer. Quantitation of these bands was performed by laser densitometry and integration of peaks of autoradiograms obtained in the linear range of exposure (Figure 21B). After normalizing to the brain, the heart showed the most expression with 10.1 times brain. This was followed by the placenta, pancreas, and lung which gave 13.6, 10.2, and 7.5, respectively. Expression in skeletal muscle was 4.7 for the 1.4 kb band or 6.9 for both 1.4 kb and 4.2 kb message, while the kidney and liver gave 6.3 and 4.1 time expression over brain. These patterns of expression have been reproduced based on probing an additional independent multiple tissue Northern blot. The bands are specific based on the relatively high stringencies of washing and from data using a sense strand EC-SOD cRNA as a probe which showed no hybridization under the conditions given.

<u>Mapping the site transcription initiation</u>

:

Initially, mapping of the site of transcription initiation was attempted using the primer extension method. Using several different end-labeled 5' oligonucleotides and both human lung and human heart poly A+ mRNA as well as total RNA isolated from human foreskin fibroblasts, a positive signal was not obtained even after long exposure times. This did not seem to be due to technique since it was not possible to get positive signals using RNA generated by <i>in vitro</i> transcription of the EC-SOD cDNA. Whether lack of success using this technique was due to very low abundance of mRNA encoding EC-SOD or some other problem(s) is unclear. Working under the assumption of low abundance mRNA, the technique of rapid amplification of cDNA ends in order to PCR amplify this signal was attempted. The EC-SOD gene specific primer EC7 was used for hybridization and reverse transcription of human heart poly A+ mRNA as shown in Figure 22. Half of this reaction was 3' dC tailed using terminal deoxynucleotidyl transferase and the remaining half was not. These templates were then subjected to PCR amplification using the gene specific primers HEC1 + EC7 as well as the anchor primer + EC4. The products of these reactions were fractioned by agarose electrophoresis, transfered to nylon membranes, and probed with the interal nested gene specific primer HEC2. An autoradiogram of this experiment is shown in Figure 22A. Using EC-SOD cDNA as a control template and HEC1 + EC7, a band of 217 bp is expected (lane 3 of Figure 22A). Since the primers HEC1 and EC7 are expected to amplify independant of dC tailing, bands of equal intensity in lanes 4 and 5, which are also of the same size as the EC-SOD control, are seen. Using the anchor primer (which hybridizes to the dC tail) and EC4, only one band of ^~190 bp was seen (lane 1). Since the template was not poly C tailed, lane 2 shows no signal as expected. By subtracting 48 bp (the size of the anchor primer), the size of the reverse transcribed DNA would correspond to ^~136 bp 5' of the EC4 primer. This analysis would predict that there is approximately 6 base pairs of additional 5' sequence on the cDNA clone and that transcription initiation starts about 6 bp upstream of the first intron (indicated by a dashed box). Although eukaryotic transcription initiation usually begins at an adenosine residue, it is expected that it will begin at a G (Breathnach et al, Ann. Rev. Biochem. 50:349 (1981)).

<u>Genomic Southern blot analysis</u>

:

To begin to charcterize the human EC-SOD gene, 10 µg of the total human genomic DNA was restriction digested and the reaction products electrophoresed on an agarose gel followed by transfer to a nylon membrane. The blot was probed with a [³²P]-labeled partial EC-SOD cRNA. An autoradiogram of this blot is shown in Figure 23. As can be seen for each lane, there are unique bands associated with each restriction digest. No shadow bands which might suggest pseudogenes were seen. When a full-length cRNA probe was used for Kpn I digested DNA, an additional band of ^~4000 bp was seen which corresponds to the 3' end of the gene. In addition, the Kpn I lane shows a 0.5 kb band which was better seen on other blots. This banding pattern was similar to a restriction map of the human EC-SOD clone #7 (see Figure 20A).

<u>Isolation and characterization of the human EC-SOD by DNA sequencing</u>

:

Multiple independent positive clones were identified from a human adult leukocyte genomic library constructed in BMBL-3. These clones underwent extensive restriction endonuclease mapping and were probed with EC-SOD specific 5' and 3' oligonucleotides in order to determine the relative orientation of the inserts. Based on these results, clone #7 was picked for further analysis. Clone #7 is about 18 to 20 kb and contains at least 5000 bp of 5' flanking DNA and at least 4000 bp of 3' flanking DNA. Restriction mapping of clone #7 is shown in Figure 20A. This map is similar to the results obtained with genomic Southern blot analysis data indicating that clone #7 contains the EC-SOD gene. The strategy for sublconing and sequencing clone #7 is shown in Figure 20B. Various size continguous and overlapping restriction fragments were subcloned into the plasmid vector pGEM32f(+) (Figure 20B). The DNA inserts were sequenced on both strands using a combination of primer walking and vector specific, universal sequencing primers. The 3' half of 7K36 insert was sequenced on one strand only. Published sequence data for the human EC-SOD cDNA (Rjalmarsson et al, Proc. Natl. Acad. Sci. USA 84:6340 (1987)) as well as DNA sequence information obtained from an independant cDNA clone which contained additional 5' untranslated data (Hendrickson et al, Genomics 8:736 (1990)) were used to determine the genomic intron/exon structure. Based on a comparison of these data with the genomic sequence information, the human EC-SOD gene was determined to contain three exons and two introns (Figure 20C). Exon 1 contains at least 5 base pairs and is probably larger (by about 6 base paris), since the exact start of transcription initiation was not determined (note below). Exon 2 contains 84 bp and is separated from exon 1 by a 572 bp intervening sequence marked as intron 1. Exon 3 is separated from exon 2 by intron 2, a 3849 bp segment. Exon 3 contains a total of 1336 bp and at 17 bp into this exon starts the beginning of the complete coding sequence for preEC-SOD (Figure 20D). This includes an 18 amino acid signal peptide that precedes the 222 amino acid mature protein sequence. There are no introns separating the various structural domains of EC-SOD. These domains are shown schematically in Figure 20D and include amino acids 1-95 which contain a glycosylated Asn-89 and show no sequence homology with other proteins. Resides 96-193 show strong homology with CuZn-SOD protein sequences with preservation of critical amino acids important in enzyme catalysis and structure. Amino acids 194-222 contain multiple charged resides which have been shown to be important in binding to sulfated proteoglycans. 558 bp of the 5'-flanking region containing putative regulatory elements and 3675 bp of the 3'-flanking region were also sequenced. The exonic DNA sequence data are in agreement with the published cDNA sequence (Hjalmarsson et al, Proc. Natl. Acad. Sci. USA 84:6340 (1987)). The intron-exon boundries are shown in Table VIII and conform to the eukaryotic consensus splice sequence (Senapathy et al, Methods Enzymol. 183:252 (1990)). Both introns split sequences in the 5'-nontranslated region of the EC-SOD gene. <tables id="tabl0010" num="0010"><img file="EP0723398B1_D0025.tif" /></tables>

Figure 24 shows the entire sequence for the human EC-SOD gene. Exonic sequences are shown in boxed uppercase letters while intronic, 5'- and 3'-flanking sequence are shown in lowercase. Exon 3 contains the entire uninterrupted coding region for EC-SOD and the protein sequence is shown using the single letter amino acid code. The 18 amino acid signal peptide and 222 amino acid mature protein sequence are highlighted. The identification of the signal peptide cleavage site is consistent with computer algorithms which predict the site of eukaryotic signal peptide cleavage (Folz et al, Biochem. Biophys. Res. Comm. 146:870 (1987)); Von Heijne, Eur. J. Biochem. 133:17 (1983)).

Transcriptional factor database searching was used to putatively identify transcriptional regulatory elements. Although almost all eukaryotic promoters utilize a TATA box element to fix the position of transcription initiation, an obvious TATA box cannot be discerned for the EC-SOD gene. Two CAAT box elements were identified. One is in the reverse orientation and located about 20 bp upstream of the first exon, while the second can be found about 335 bp upstream. The putative signal for polyadenylation is shown and the site of poly A adenylation is indicated. Transcriptional factor database searching of the 5'-nontranslated region and first intron identified several potential regulatory elements. A cAMP responsive element (CREB) (TGACGT) which is similar to the adenovirus transcription virus (ATF) element can be found starting at 121 bp (Fink et al, Proc. Natl. Acad. Sci. USA 85:6662 (1988); Sassone-Corsi Proc. Natl. Acad. Sci. USA 85:7192 (1988)). A half site for the glucocorticoid response element (GRE) (TGTCCT) is located at 370 bp (Karin et al, Nature 308:513 (1984)). A skeletal muscle specific trans-activating factor response element (M-CAT) (CATTCCT) is found in the reverse orientation beginning at position 238 (Mar et al, Mol. Cell. Biol. 10:4271 (1990)). A xenobiotic responsive element (XRE) (CACGCW) is found within the first intron at position 1085 bp (Rushmore et al, J. Biol. Chem. 265:14648 (1990)). A metal regulatory element (MRE) (TGCRCYC) is found at position 89 (Culotta et al, Mol. Cell. Biol. 9:1376 (1989)). Two putative antioxidant response elements (ARE) (RGTGACNNNGC) are found at position 650 and 5022 (Rushmore et al, J. Biol. Chem. 266:11632 (1991)). A sis responsive element (SIF) (CCCGTC) important in the induction of the c-fos proto-oncogene is found in the reverse orientation at position 251 (Wagner et al, EMBO J. 9:4477 (1990)). There is an AP1 binding site or TPA responsive element (TRE) (TGACTCA) found at position 162 (Risse et al, EMBO J. 8:3825 (1989)). The SV40 enhancer region AP4 (CAGCTGTGG) can be found at position 171 (Jones et al, Genes Dev. 2:267 (1988)).

Example VI

Screening Patients for Gene Defects in EC-SOD

<u>Preparation of leukocyte derived genomic DNA from patients</u>: Normal healthy control patients and patients with asthma, primary pulmonary hypertension, and secondary pulmonary hypertension will be identified. Genomic DNA will be purified utilizing a Qiagen Blood PCR Kit. One ml of blood containing ^-10⁷ leukocytes/ml will be collected in sodium citrate from each patient or control subject. The blood is placed into a QIAGEN-spin column and the leukocytes are entrapped in the resin by brief centrifugation, while erythrocytes and hemoglobin are washed through. The leukocytes are lysed by the addition of 0.7 ml of lysis buffer and incubated at room temperature for 30 minutes. DNA that is released, binds to the resin in the tube. Remaining cellular debris is washed away by multiple wash/spin cycles. The DNA is eluted by the addition of 1.2 M KCl, 50 mM MOPS, 15% ethanol, pH 8.3. This typically yields ^~10 µg of genomic DNA (Reihsaus et al, Am. J. Respir. Cell. Mol. Biol. 8:334 (1993)).

<u>Primer design and PCR amplification of EC-SOD exonic sequences</u>: Sense and antisense oligonucleotide primers (or use primers already obtained from sequencing the genomic DNA) will be designed containing a 3'GC clamp (Sheffeld et al, Proc. Natl., Acad. Sci. USA 86:232 (1989)). These primers will encode the intronless coding region of the EC-SOD gene. A 172 bp region in the 3' untranslated region has been amplified using DNA sequencing primers and human genomic DNA. PCR conditions are as described (Reihause et al, Am. J. Respir. Cell. Mol. Biol. 8:334 (1993); Innis et al (eds) Academic Press San Diego pp. 1-12 (1990)) using Taq polymerase, with temperature cycling as follows: initial denaturation at 95°C for 5 min followed by 35 cycles of 94°C denaturing for 20 sec, 57°C annealing for 15 sec, and 72°C elongation for 45 sec. Because of the GC composition and actual primer sequence, it will be necessary to experimentally optimize conditions for PCR amplification using each set of primers. Three sets of primers will be used to encompass the entire coding region.

<u>Identification of mutations with single-strand conformational polymorphism (SSCP) analysis</u>: SSCP analysis has been used to detect single base pair mismatch (Orita et al, Genomics 5:874 (1989)). Temperature-gradient gel electrophoresis (TGGE) will be used to detect differences in mobility (Wartell et al, Nuc. Acids Res. 18:2699 (1990)). Samples for TGGE will be prepared by heat denaturing the PCR product at 98°C for 5 min, then renaturing at 50°C for 15 min with the corresponding wild-type DNA derived from PCR of the cloned gene. Electrophoresis will be carried out on a 5% acrylamide, 8 M urea gel over a temperature gradient. The temperature gradient will be optimized for each of the EC-SOD DNA segments. Typical gradients for the detection of β₂-adrenergic receptor mutations were between 35°C to 60°C, and required 4 to 6 hours of run time (Rosen, Nature 262:59 (1993)).

All PCR samples found to be positive for mutations by TGGE will be sequenced directly using the dideoxy technique (Sanger et al, Proc. Natl. Acad. Sci. USA 74:5463 (1977)).

Example VII

Inhibition of Xanthine Oxidase

In a first study, assays were performed in a 1 ml quartz cuvette containing 50 mM carbonate buffer, pH 10, 0.1 mM EDTA, 1 nM xanthine oxidase (Boehringer Mannheim) at 25°C. Xanthine oxidase activity was measured spectrophotometrically by following the loss of xanthine over time at 295 nm. Four concentrations of xanthine (25, 50, 250, 500 µM) and 2 concentrations of MnTBAP (5, 10 µM) were used. Two inhibition constants were then derived from the curve's intercepts (Kii=5.5 µM) and slopes (Kis=15 µM). The results presented in Figure 25 show that MnTBAP inhibits xanthine oxidase in a non-competitive manner.

In a second study, calf pulmonary artery endothelial cell cultures (CPA-47 (Tissue and Cell 10:535 (1978)) were grown to confluence in Ham's F-12K medium with 10% fetal bovine serum at pH 7.4 and 37°C. Cells were then trypsinized and seeded at equal densities in 24 well plates and grown to 90% confluence. Cells were washed and pre-incubated for 1 hour with 50 µM of MnTBAP in minimum essential medium (MEM) or MEM only. Varing amounts of xanthine oxidase (XO) plus 200 µM xanthine (X) were added and allowed to incubate for 24 hours. Cell injury was quantitiated by measuring the release of cellular lactate dehydrogenase (LDH) into the medium. The efficacy of MnTBAP is shown in Figure 26 by the decrease in XO/X-induced LDH release.

Example VIII

SOD Mimetic Affords Cellular Protection From Paraquat-Induced Injury

Rat pulmonary epithelial cell cultures (L2 (Kaighn and Douglas J. Cell Biol. 59:160a (1973)) were grown to confluence in Ham's F-12K medium with 10% fetal bovine serum at pH 7.4 and 37°C. Cells were then trypsinized and seeded at equal densities in 24 well plates and grown to 90% confluence. Cells were washed and pre-incubated for 1 hour with 100 µM of MnTBAP or MnTMPyP in MEM or MEM only. Paraquat (2.5 mM) was added and allowed to incubate for 48 hours. Cell injury was quantitiated by measuring the release of cellular lactate dehydrogenase (LDH) into the medium. Figure 27 shows that MnTPyP (hatched bars) and MnTBAP (grey bars) decrease paraquat-induced LDH release.

In a further study, calf pulmonary artery endothelial cell cultures (CPA-47 (Tissue and Cell 10:535 (1987)) were grown to confluence in Ham's F-12K medium with 10% fetal bovine serum at pH 7.4 and 37°C. Cells were then trypsinized and seeded at equal densities in 24 well plates and grown to 90% confluence. Cells were washed and pre-incubated for 1 hour with varing concentrations of MnTBAP in MEM or MEM only. Paraquat (2 mM) was added and allowed to incubate for 24 hours. Cell injury was quantitiated by measuring the release of cellular lactate dehydrogenase (LDH) into the medium. MnTBAP decreases paraquat-induced LDH release in a dose-dependent manner (see Figure 28).

In contrast to MnTBAP, ZnTBAP does not protect against paraquat-induced injury. Calf pulmonary artery endothelial cell cultures (CPA-47) were grown to confluence in Ham's F-12K medium with 10% fetal bovine serum at pH 7.4 and 37°C. Cells were then trypsinized and seeded at equal densities in 24 well plates and grown to 90% confluence. Cells were washed and pre-incubated for 1 hour with varing concentrations of ZnTBAP in MEM or MEM only. Paraquat (2 mM) was added and allowed to incubate for 24 hours. Cell injury was quantitiated by measuring the release of cellular lactate dehydrogenase (LDH) into the medium. The results presented in Figure 29 demonstrate that ZnTBAP does not possess SOD-like activity. ZnTBAP can be used as a negative control to show that the redox metal is important in the protection against paraquat toxicity.

Example IX

Protection by MnTBAP Against Paraquat-Induced Lung Injury

Mice were treated with either paraquat (PQ, 45 mg/kg, ip) or saline (10 ml/kg, ip) and exposed to MnTBAP (2.5 mg/ml, nebulized into a 2 L chamber at 2 L/min for 30 minutes twice daily for 2 days) or room air. Mice were killed 48 hours after start of treatment and lung injury was assessed by analysis of bronchoalveolar lavage fluid (BALF). BALF damage markers used were lactate dehydrogenase (LDH, as units/L), protein concentration (as mg/dl), and percent of polymorphonuclear leukocytes (PMN). MnTBAP treatment provided partial protection against paraquat-induced lung injury (see Figure 30).

All documents cited above are hereby incorporated in their entirety by reference.

One skilled in the art will appreciate from a reading of this disclosure that various changes in form and detail can be made without departing from the true scope of the invention.

SEQUENCE LISTING

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linear</li></ul></li><li>(ii) MOLECULE TYPE: DNA (genomic)</li><li>(xi) SEQUENCE DESCRIPTION: SEQ ID NO:19:<img file="EP0723398B1_D0044.tif" /></li></ul></li><li>(2) INFORMATION FOR SEQ ID NO:20: <ul id="ul0052" list-style="none"><li>(i) SEQUENCE CHARACTERISTICS: <ul id="ul0053" list-style="none" compact="compact"><li>(A) LENGTH: 10079 base pairs</li><li>(B) TYPE: nucleic acid</li><li>(C) STRANDEDNESS: single</li><li>(D) TOPOLOGY: linear</li></ul></li><li>(ii) MOLECULE TYPE: DNA (genomic)</li><li>(v) FRAGMENT TYPE: linear</li><li>(ix) FEATURE: <ul id="ul0054" list-style="none" compact="compact"><li>(A) NAME/KEY: CDS</li><li>(B) LOCATION: 5085..5804</li></ul></li><li>(xi) SEQUENCE DESCRIPTION: SEQ ID NO:20:<img file="EP0723398B1_D0045.tif" /><img file="EP0723398B1_D0046.tif" /><img file="EP0723398B1_D0047.tif" /><img file="EP0723398B1_D0048.tif" /><img file="EP0723398B1_D0049.tif" /><img file="EP0723398B1_D0050.tif" /><img file="EP0723398B1_D0051.tif" /><img file="EP0723398B1_D0052.tif" /></li></ul></li><li>(2) INFORMATION FOR SEQ ID NO:21: <ul id="ul0055" list-style="none"><li>(i) SEQUENCE CHARACTERISTICS: <ul id="ul0056" list-style="none" compact="compact"><li>(A) LENGTH: 240 amino acids</li><li>(B) TYPE: amino acid</li><li>(D) TOPOLOGY: linear</li></ul></li><li>(ii) MOLECULE TYPE: protein</li><li>(xi) SEQUENCE DESCRIPTION: SEQ ID NO:21:<img file="EP0723398B1_D0053.tif" /><img file="EP0723398B1_D0054.tif" /></li></ul></li><li>(2) INFORMATION FOR SEQ ID NO:22: <ul id="ul0057" list-style="none"><li>(i) SEQUENCE CHARACTERISTICS: <ul id="ul0058" list-style="none" compact="compact"><li>(A) LENGTH: 18 amino acids</li><li>(B) TYPE: amino acid</li><li>(D) TOPOLOGY: linear</li></ul></li><li>(ii) MOLECULE TYPE: protein</li><li>(xi) SEQUENCE DESCRIPTION: SEQ ID NO:22:<img file="EP0723398B1_D0055.tif" /></li></ul></li></ul>