Synthetic membrane-receiver complexes
Compositions comprising synthetic membrane-receiver complexes, methods of generating synthetic membrane-receiver complexes, and methods of treating or preventing diseases, disorders or conditions therewith.
1. A method of treating a subject having PKU comprising:
a) obtaining an isolated population of functional erythroid cells comprising a receiver polypeptide, wherein said receiver polypeptide comprises phenylalanine ammonia lyase (PAL), wherein the functional erythroid cells of said isolated population comprising said receiver polypeptide are not hypotonically loaded cells, and
b) administering to a subject in need thereof a pharmaceutical composition comprising said functional erythroid cells,
wherein said isolated population of functional erythroid cells comprising said receiver polypeptide must be made by a method comprising the following steps:
i introducing into a population of cultured or freshly isolated erythroid cell precursors an exogenous nucleic acid encoding said receiver polypeptide, wherein said receiver polypeptide comprises PAL; and
ii culturing the population of erythroid cell precursors that contain said receiver polypeptide to provide the isolated population of functional erythroid cells comprising said receiver polypeptide.
2. The method of claim 1 , wherein the functional erythroid cells reside in circulation for longer than any one of 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10 days.
3. The method of claim 1 , wherein the functional erythroid cell resides in circulation for longer than 21 days.
4. The method of claim 1 , wherein the receiver polypeptide resides in circulation for substantially the duration of the functional erythroid cell in circulation.
5. The method of claim 1 , wherein the receiver polypeptide does not substantially diffuse out of the erythroid cell.
6. The method of claim 1 , wherein the receiver polypeptide is glycosylated.
7. The method of claim 1 , wherein the functional erythroid cell exhibits substantially the same osmotic membrane fragility as an isolated, unmodified, cultured or uncultured erythroid cell.
8. The method of claim 1 , wherein the receiver polypeptide has a size from 500 amino acids to 3000 amino acids.
9. The method of claim 1 , wherein the pharmaceutical composition further comprises a pharmaceutically-acceptable excipient or carrier.
10. The method of claim 1 further comprising administering the pharmaceutical composition at least twice over a treatment period such that the PKU is treated, or a symptom thereof is decreased.
11. The method of claim 1 , wherein the circulatory concentration of phenylalanine is decreased by at least about 5% during part or the entirety of a treatment period.
12. The method of claim 1 , wherein the half-life in circulation of the receiver polypeptide is increased by at least 1.5-fold compared to a pegylated PAL polypeptide.
13. The method of claim 1 , wherein the functional erythroid cell comprises at least 50,000 copies of the receiver polypeptide.
14. The method of claim 1 , wherein the functional erythroid cell is a reticulocyte or mature erythrocyte.
15. The method of claim 1 , wherein the functional erythroid cell lacks the A and B antigen.
16. The method of claim 1 , wherein the functional erythroid cell further comprises a CD47, CD55, or CD59 polypeptide in an amount effective for the functional erythroid cell to reside in the circulatory system for longer than any one of 1, 2, 3, 4, 5, 6, 7, 8, 9, and 10 days.
17. The method of claim 16 , wherein the effective amount of CD47, CD55, or CD59 polypeptide is any one of 10 3 , 10 4 , 10 5 , and 10 6 polypeptides per erythroid cell.
18. The method of claim 1 , wherein the pharmaceutical composition is administered in an amount effective to reduce the concentration of phenylalanine in the blood.
19. The method of claim 1 , wherein the subject is deficient in phenylalanine ammonia hydroxylase (PAH) activity.
20. The method of claim 19 , wherein the PAH activity deficiency is associated with a PAH enzyme mutation.
21. The method of claim 1 , wherein the pharmaceutical composition further comprises one or more of: an antibacterial compound, an antioxidant, a chelating compound, and an anticoagulant preservative.