Methods and compositions for treatment of hunter syndrome
The present invention provides, among other things, improved methods for purifying I2S protein produced recombinantly for enzyme replacement therapy. The present invention is, in part, based on the surprising discovery that recombinant I2S protein can be purified from unprocessed biological materials, such as, I2S-containing cell culture medium, using a process involving as few as four chromatography columns.
1. A method of treating Hunter syndrome comprising administering to a patient a pharmaceutical composition comprising purified recombinant iduronate-2-sulfatase (I2S) having an amino acid sequence with at least 90% sequence identity to SEQ ID NO: 1 and a carrier, wherein the purified recombinant I2S comprises at least 70% conversion of the cysteine residue corresponding to Cys59 of SEQ ID NO:1 to Ca-formylglycine (FGly), and wherein the purified recombinant I2S contains less than 150 ng Host Cell Protein (HCP)/mg I2S.
2. The method of claim 1 , wherein the purified recombinant I2S comprises at least 75% conversion of the cysteine residue corresponding to Cys59 of SEQ ID NO:1 to Ca-formylglycine (FGly).
3. The method of claim 1 , wherein the purified recombinant I2S comprises at least 85% conversion of the cysteine residue corresponding to Cys59 of SEQ ID NO:1 to Ca-formylglycine (FGly).
4. The method of claim 1 , wherein the pharmaceutical composition is administered by intrathecal or intravenous injection.
5. The method of claim 4 , wherein the pharmaceutical composition is administered by intravenous infusion.
6. The method of claim 1 , wherein the pharmaceutical composition is administered once weekly.
7. The method of claim 1 , wherein the pharmaceutical composition is administered biweekly.
8. The method of claim 1 , wherein the pharmaceutical composition is administered once monthly.
9. The method of claim 1 , wherein administration of the pharmaceutical composition results in a reduction of zebra bodies in the patient.
10. The method of claim 1 , wherein administration of the pharmaceutical composition results in a reduction in the amount of glucosaminoglycans within lysosomes of the patient.
11. A method of treating Hunter syndrome comprising administering to a patient a pharmaceutical composition comprising purified recombinant iduronate-2-sulfatase (I2S) having an amino acid sequence with at least 90% sequence identity to SEQ ID NO: 1 and a carrier, wherein the purified recombinant I2S comprises at least 70% conversion of the cysteine residue corresponding to Cys59 of SEQ ID NO:1 to Ca-formylglycine (FGly), and wherein the purified recombinant I2S contains at least 10% bis-phosphorylated oligosaccharides per molecule.
12. The method of claim 11 , wherein the purified recombinant I2S contains at least 20% bis-phosphorylated oligosaccharides per molecule.
13. The method of claim 11 , wherein the pharmaceutical composition is administered by intrathecal or intravenous injection.
14. The method of claim 13 , wherein the pharmaceutical composition is administered by intravenous infusion.
15. The method of claim 11 , wherein administration of the pharmaceutical composition results in a reduction of zebra bodies in the patient.
16. The method of claim 11 , wherein administration of the pharmaceutical composition results in a reduction in the amount of glucosaminoglycans within lysosomes of the patient.
17. A method of treating Hunter syndrome comprising administering to a patient a pharmaceutical composition comprising purified recombinant iduronate-2-sulfatase (I2S) having an amino acid sequence with at least 90% sequence identity to SEQ ID NO: 1 and a carrier, wherein the purified recombinant I2S comprises at least 70% conversion of the cysteine residue corresponding to Cys59 of SEQ ID NO:1 to Ca-formylglycine (FGly), and wherein the purified recombinant I2S protein has specific activity of at least 40 U/mg as determined by an in vitro sulfate release activity assay using heparin disaccharide as substrate.
18. A method of treating Hunter syndrome comprising administering to a patient a pharmaceutical composition comprising purified recombinant iduronate-2-sulfatase (I2S) having an amino acid sequence with at least 90% sequence identity to SEQ ID NO: 1 and a carrier, wherein the purified recombinant I2S comprises at least 70% conversion of the cysteine residue corresponding to Cys59 of SEQ ID NO:1 to Ca-formylglycine (FGly), and wherein the purified recombinant I2S protein has specific activity of at least 20 U/mg as determined by an in vitro 4-MUF-S04 to 4-MUF conversion assay.
19. A method of treating Hunter syndrome comprising administering to a patient a pharmaceutical composition comprising purified recombinant iduronate-2-sulfatase (I2S) having an amino acid sequence with at least 90% sequence identity to SEQ ID NO: 1 and a carrier, wherein the purified recombinant I2S comprises:
(i) at least about 70% conversion of the cysteine residue corresponding to Cys59 of SEQ ID NO:1 to Ca-formylglycine (FGly), and
(ii) on average at least 16 sialic acids per molecule.
20. A method of treating Hunter syndrome comprising administering to a patient a pharmaceutical composition comprising purified recombinant iduronate-2-sulfatase (I2S) having an amino acid sequence with at least 90% sequence identity to SEQ ID NO: 1 and a carrier, wherein the purified recombinant I2S comprises at least 70% conversion of the cysteine residue corresponding to Cys59 of SEQ ID NO:1 to Ca-formylglycine (FGly), and wherein the purified I2S is characterized with a glycan map comprising seven or fewer peak groups selected from the peak groups indicative of neutral (peak group 1), mono-sialylated (peak group 2), di-sialylated (peak group 3), monophosphorylated (peak group 4), tri-sialylated (peak group 5), tetra-sialylated (peak group 6), or diphosphorylated (peak group 7) I2S protein.