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Technology
Bone Targeting
Selective drug delivery to target tissues
can be advantageous as it can help reduce both drug dosage
and side effects in other tissues. This strategy has been
pioneered in cancer therapy where it has proven to be particularly
useful for the specific delivery of toxic drugs to tumors.
Bone diseases could also benefit from the
development of a general strategy for selectively targeting
drugs to bone. Hydroxyapatite (HA) is a major inorganic component
of hard tissues (such as bone), and it does not exist in soft
tissues. Thus targeting a drug onto HA could be a promising
way for selective drug delivery to bone.
Enobia’s bone-targeting strategy
for proteins and small molecules uses acidic peptide sequences
such as poly-aspartic or poly-glutamic acids conjugation.
This acidic bone-targeting motif is found in several proteins
such as osteopontin and bone sialoprotein, where their binding
to the bone matrix is required. Because repeated peptide sequences
of aspartic and glutamic acids are made of natural amino acid
sequences recombinant DNA technology is used to directly synthesize
bone targeted proteins such as enzymes.
Enobia has a range of
patents providing broad coverage for this bone-targeting technology.

Bone-targeting efficacy of this approach
was demonstrated with the enzyme gluthatione S-transferase
(GST) fused to a repetitive sequence of 10 aspartic acid residues
and produced in the E. coli bacterial system. This fusion
protein was called GST-D10 in reference to its C-terminal
extension of 10 aspartic acid residues. A sample of the purified
GST-D10 preparation was then incubated with a sample of reconstituted
bone mineral phase in suspension and the amount of protein
bound to the mineral phase was measured. Fusion of the D10
sequence to GST caused a 6 fold increase in binding to the
mineral phase of bone, compared to non modified GST.
The distribution of GST-D10 to bone compared to non-bone targeted
GST, was also assessed after a bolus administration to mice.
Results demonstrate that fusion of D10 to GST caused preferential
accumulation in bone while having not significant impact on
the distribution in serum.
This bone targeting technology was applied
to two enzymes that Enobia is using in the development of
enzyme replacement therapy for X-linked hypophosphatemia (PHEX)
and hypophosphatasia (alkaline phosphatase (ALP)).
 
D10 increases binding of recombinant
sPHEX and sALP to hydroxyapatite in vitro.
When bone targeted enzyme (alkaline phosphatase)
is administered to mice, the enzyme preferentially accumulates
in bone (tibia, femur, calvaria) compared to other tissue
such as serum and muscle.
When bone targeted enzyme (alkaline phosphatase) is administered
to mice, the enzyme preferentially accumulates in bone (tibia,
femur, calvaria) compared to other tissue such as serum and
muscle.

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