Bi-specific fusion proteins
Bi-specific fusion proteins with therapeutic uses are provided, as well as pharmaceutical compositions comprising such fusion proteins, and methods for using such fusion proteins to repair or regenerate damaged or diseased tissue. The bi-specific fusion proteins generally comprise: (a) a targeting polypeptide domain that binds to a target molecule; and (b) an activator domain that detectably modulates tissue regeneration.
1 . A method for accumulating an IGF-1 fusion protein in cardiac tissue of a subject having myocardial infarction, the method comprising:
administering an effective amount of the IGF-1 fusion protein to the subject having myocardial infarction,
wherein the IGF-1 fusion protein comprises:
(i) a human IGF-1 having at least 98.5% identity with SEQ ID NO: 3;
(ii) a variant of human serum albumin having at least 95% identity with SEQ ID NO: 12, and comprising substitution of the cysteine residue corresponding to C34 to serine or alanine, and/or substitution of the asparagine residue corresponding to N503 to glutamine of SEQ ID NO: 12; and
(iii) optionally a connector polypeptide,
wherein the administering of the effective amount of the IGF-1 fusion protein to the subject results in accumulation of the IGF-1 fusion protein in the cardiac tissue, and
wherein the administering of the effective amount of the IGF-1 fusion protein to the subject results in reduction of the severity of the myocardial infarction.
2 . The method of claim 1 , wherein the IGF-1 is at the amino terminus of the fusion protein.
3 . The method of claim 1 , wherein the connector polypeptide is from 2 amino acids to 20 amino acids long.
4 . The method of claim 1 , wherein the connector polypeptide is a flexible or a structured polypeptide.
5 . A method for accumulating an IGF-1 fusion protein in cardiac tissue of a subject having myocardial infarction, the method comprising:
administering an effective amount of the IGF-1 fusion protein to the subject having myocardial infarction,
wherein the IGF-1 fusion protein comprises:
(i) a human IGF-1 having at least 98.5% identity with SEQ ID NO: 3;
(ii) a fragment of a human serum albumin comprising least at least 95% identity with Domain I comprising the amino acid sequence of SEQ ID NO: 27, Domain II comprising the amino acid sequence of SEQ ID NO: 25 or Domain III having the amino acid sequence of SEQ ID NO: 28; and
(iii) optionally a connector polypeptide,
wherein the administering of the effective amount of the IGF-1 fusion protein to the subject results in accumulation of the fusion protein in the cardiac tissue, and
wherein the administering of the effective amount of the IGF-1 fusion protein to the subject results in reduction of the severity of the myocardial infarction.
6 . The method of claim 5 wherein the fragment of human serum albumin comprises the amino acid sequence of SEQ ID NO: 24 or the amino acid sequence of SEQ ID NO: 26.