PROMOTERS
The present invention relates to transcription regulatory elements (TREs) based on the combination of a hAAT sequence element and an AMBP sequence element and which promote greater expression than HCR-hAAT. The invention further relates to compositions comprising the AAV vectors, as well as methods of gene therapy based on the use of such vectors and compositions.
1 . An adeno-associated virus (AAV) vector comprising a vector genome comprising a transcription regulatory element (TRE) that:
(a) comprises a human alpha-1-antitrypsin (hAAT) sequence element;
(b) comprises a human alpha-1-microglobulin/bikunin precursor (AMBP) sequence element; and
(c) promotes greater expression than hepatic control region-hAAT (HCR-hAAT), wherein the vector genome is between 2.2 and 5.0 kbp in length.
2 . The AAV vector of claim 1 , wherein the TRE promotes greater expression than FRE72.
3 . The AAV vector of claim 1 , wherein the TRE is greater than 800 nucleotides in length.
4 . The AAV vector of claim 1 , wherein the hAAT sequence element comprises a nucleotide sequence of SEQ ID NO: 29 or a variant of SEQ ID NO: 29 that differs by 1, 2, or 3 nucleotides.
5 . The AAV vector of claim 1 , wherein the AMBP sequence element comprises a nucleotide sequence of SEQ ID NO: 32 or a variant of SEQ ID NO: 32 that differs by 1, 2, or 3 nucleotides.
6 . The AAV vector of claim 1 , wherein the AMBP sequence element is 5′ of the hAAT sequence element.
7 . The AAV vector of claim 1 , wherein the TRE is liver specific.
8 . The AAV vector of claim 1 , wherein:
(a) the TRE comprises an apolipoprotein E-hepatic control region-1 (ApoE-HCR1) sequence element, or
(b) the TRE comprises an ApoE-HCR1 sequence element and wherein:
(i) the ApoE-HCR1 sequence element comprises a nucleotide sequence of SEQ ID NO: 27 or a variant of SEQ ID NO: 27 that differs by 1, 2, or 3 nucleotides; or
(ii) (I) the ApoE-HCR1 sequence element is 5′ of both the hAAT sequence element and the AMBP sequence element, or
(II) the ApoE-HCR1 sequence element is 5′ of the hAAT sequence element and 3′ of the AMBP sequence element.
9 . (canceled)
10 . (canceled)
11 . (canceled)
12 . The AAV vector of claim 1 , wherein:
(a) the TRE comprises an aldolase B (ALDOB) sequence element; or
(b) the TRE comprises an ALDOB sequence element, and wherein:
(i) the ALDOB sequence element comprises a nucleotide sequence of SEQ ID NO: 37 or a variant of SEQ ID NO: 37 that differs by 1, 2, or 3 nucleotides, or
(ii) the ALDOB sequence element is 5′ of both the hAAT sequence element and the AMBP sequence element.
13 . (canceled)
14 . (canceled)
15 . The AAV vector of claim 1 , wherein the TRE comprises:
(a) a nucleotide sequence having at least 80% sequence identity to SEQ ID NO: 9; or
(b) a nucleotide sequence of SEQ ID NO: 9.
16 . The AAV vector of claim 1 , wherein the TRE comprises:
(a) a nucleotide sequence having at least 80% sequence identity to SEQ ID NO: 5; or
(b) a nucleotide sequence of SEQ ID NO: 5.
17 . The AAV vector of claim 1 , wherein the TRE promotes gene expression in cells from at least one other organ or tissue at a level less than 40% of the level that the TRE promotes gene expression in liver cells, wherein:
(a) the cells from the at least one other organ or tissue are kidney cells, pancreatic cells, breast cells, neuroblastoma cells, lung cells, cardiomyocyte cells, early B cells, or any combination thereof;
(b) the cells from the least one other organ or tissue are:
(i) HEK293T cells;
(ii) 697 cells;
(iii) BxPC-3 cells;
(iv) MCF7 cells;
(v) 1643 cells;
(vi) MRC-9 cells;
(vii) AC-16 cells; or
(viii) any combination of (i)-(vii);
(c) the level of gene expression that is promoted is measured by transducing the liver cells and the cells from the at least one other organ or tissue with a polynucleotide comprising the TRE and GFP, and measuring the number of GFP positive cells, wherein the number of GFP positive cells is a measure of the level of gene expression; or
(d) the level of gene expression that is promoted is measured by transducing the liver cells and the cells from the at least one other organ or tissue with a polynucleotide comprising the TRE and GFP, and measuring the mean fluorescence intensity, wherein the mean fluorescence intensity is a measure of the level of gene expression.
18 . The AAV vector of claim 1 , wherein the TRE is comprised within an expression cassette.
19 . The AAV vector of claim 18 , wherein the expression cassette is 2.2 kbp-4.2 kbp in length.
20 . The AAV vector of claim 1 , wherein the vector genome is less than 4.9 kbp in length.
21 . The AAV vector of claim 1 , wherein the vector genome is 3 kbp-4.8 kbp in length.
22 . The AAV vector of claim 1 , wherein the transgene encodes a protein or a non-translated RNA which is associated with a genetic disorder.
23 . A pharmaceutical composition comprising the AAV vector of claim 1 and a pharmaceutically acceptable excipient.
24 . The AAV vector of claim 1 , for use in a method of treating a disease.
25 . (canceled)
26 . The AAV vector of claim 1 , wherein the TRE has greater expression compared to HCR-hAAT or FRE72 in liver cells.