Diabetes 54:2103-2108, 2005 © 2005 by the American Diabetes Association, Inc. Peptide-Mediated Targeting of the Islets of Langerhans
1 Center for Biomedical Inventions, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas
Strategies for restoring ß-cell function in diabetic patients would be greatly aided by the ability to target genes, proteins, or small molecules specifically to these cells. Furthermore, the ability to direct imaging agents specifically to ß-cells would facilitate diagnosis and monitoring of disease progression. To isolate ligands that can home to ß-cells in vivo, we have panned a random phage-displayed 20-mer peptide library on freshly isolated rat islets. We have isolated two 20-mer peptides that bind to islets ex vivo. One of these peptides preferentially homes to the islets of Langerhans in a normal rat with clear differentiation between the endocrine and exocrine cells of the pancreas. Furthermore, this peptide does not target ß-cells in a type 2 diabetes animal model, suggesting that the peptide can discriminate between glucose-stimulated insulin secretion–functional and -dysfunctional ß-cells.
Address correspondence and reprint requests to Kathlynn C. Brown, Center for Biomedical Inventions, Department of Internal Medicine, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390-9185. E-mail: kathlynn.brown{at}utsouthwestern.edu
Abbreviations: GSIS, glucose-stimulated insulin secretion; HBSS, Hanks balanced salt solution; RIP, rat islet peptide The ß-cells of the islets of Langerhans in normal mammals adjust their secretion of insulin in response to changes in the levels of metabolic fuels and insulinotropic hormones. Loss of ß-cell function is central to the development of both major forms of diabetes. Type 1 diabetes occurs when pancreatic islet ß-cells are destroyed by the host immune system. Type 2 diabetes involves loss of key ß-cell functions such as glucose-stimulated insulin secretion (GSIS) and a gradual loss of ß-cell mass by nonautoimmune mechanisms. Intensive research efforts are currently focused on identifying pathways by which insulin secretion can be increased or ß-cell growth and survival can be enhanced. However, the therapeutic relevance of such discoveries for enhancing islet function or preserving ß-cell mass in pre-diabetic or diabetic states may be limited by the inability to deliver new therapeutic drugs, genes, or proteins directly to islet ß-cells. The current study attempts to address this issue by the application of phage-display technology for the identification of peptides that target specifically to ß-cells in pancreatic islets of living animals.
Specific delivery of molecular cargo to pancreatic islets has been a long-standing goal of diabetes researchers. Recombinant adenovirus and adeno-associated virus vectors have been used for efficient delivery of genes and, more recently, small interfering RNA constructs to primary cultures of pancreatic islets (1–4). However, these vectors have traditionally not been useful for delivery of genes to pancreatic islets of living animals because of very efficient clearance of systemically injected virus by the liver and the need to traverse vascular barriers in islets. Recently, some limited success in gene transfer (an average of 20% of cells in 70% of islets) has been reported in studies involving systemic infusion of adenovirus into mice in which the hepatic circulation (portal vein, hepatic artery, and bile duct) had been surgically clamped for a period of 30 min (5). The major surgical intervention required in this approach and the potential for immune responses to adenoviral vectors may limit its applicability for human studies. Another recent study presented an alternative strategy for islet targeting involving infusion of a cationic peptide transduction domain (PTD-5) fused to peptide inhibitor of I M13 phage-display technology is a powerful approach for isolating peptides that bind to cell surface receptors (8). In vivo phage panning has been successfully used to isolate peptides that mediate targeting to the vasculature beds of specific organs (9,10), including the pancreas (11). However, no accumulation of these selected peptides has been observed in the islets. Targeting to islets is made challenging by the fact that these cells in aggregate represent only 2% by weight of the entire pancreas (12). We have previously demonstrated that phage panning can be carried out on cells in culture to obtain peptides that mediate specific binding to the target cells while not binding to undesired cell types (8,13–17). The high discriminating power of the selected phage suggests that peptides could be identified that specifically bind to ß-cells within the pancreas. Furthermore, since intact cells are used as the bait for peptide binding, no prior information about ß-cell–specific cell surface biomarkers is required. Toward the eventual goal of delivering molecular cargo to ß-cells in a specific fashion in vivo, we have panned a phage-displayed peptide library on isolated rat islets and have isolated a 20–amino acid peptide that homes to the islets of Langerhans within living rats.
Cell lines and reagents. A previously described random 20-mer peptide library, designated ON543.2, was used for the isolation of ß-cell–specific peptides (18). This library represents 108 different peptide sequences displayed on the NH2-terminus of the pIII protein of filamentous bacteriophage fd-tet. The INS-1–derived INS 832/13 cell line was maintained in culture as previously described (19). Female Sprague-Dawley rats were purchased from Harlan Industries (Indianapolis, IN). Male Zucker diabetic fatty (ZDF) rats were purchased from Charles River Laboratories (Wilmington, MA) and fed Purina Mills Formulab Diet 5008 (St. Louis, MO) to maintain their diabetic state (20,21). The experiments were performed with 12-week-old ZDF rats, at which time the animals were diabetic. All animal protocols were approved by the institutional animal care and research advisory committee at the University of Texas Southwestern Medical Center, Dallas, Texas.
Isolation of primary islets.
Ex vivo phage library panning on primary rat islets.
Sequence determination.
In vitro phage specificity panning.
In vivo phage delivery in Sprague-Dawley and ZDF rats.
Immunohistochemistry.
Isolation of an islet-binding peptide from a peptide library. To obtain peptides that recognize ß-cells in a biologically relevant system, freshly isolated pancreatic islets were used to pan a complex peptide phage library. This library contains 108 different 20-mer peptides fused to the NH2-terminus of the pIII coat protein of fd-tet bacteriophage. After six rounds of panning, a dramatic increase was observed in the output-to-input phage ratio, representing a 70-fold enrichment from the starting library (Fig. 1). Sequencing of 32 phage clones at round 6 of the panning revealed two major peptides. The first peptide, named rat islet peptide (RIP)-1, has the sequence LSGTPERSGQAVKVKLKAIP and was present in 15 of the 32 clones. The second peptide, RIP2, represented 25% of the phage clones and has the sequence GAWEAVRDRIAEWGSWGIPS. Sequencing of phage clones from earlier rounds of the panning process revealed that the RIP1 phage clone was present as early as round 4 of the panning protocol and was >20% of the phage pool at round 5. Surprisingly, the RIP2 sequence was not present until round 5 and then only as a single clone of the 28 sequenced. One other phage was present in duplicate in round 6, but because it represented <10% of the phage population and was not observed in earlier rounds of panning, this peptide was not retained for further analysis.
A BLAST (basic local assignment search tool) search of the National Center for Biotechnology Information sequence database for short, nearly exact matches of the RIP1 and RIP2 sequences encountered no significant homology with any known protein sequences (25).
RIP1 and RIP2 peptides mediate binding to islets.
Since islets represent a mixture of cells, the peptides were tested for binding to a ß-cell line in culture. Specifically, the output-to-input ratio of the two phage clones was determined for binding to cell line 832/13 (19), a cell line with robust GSIS derived from INS-1 rat insulinoma cells (26) (Table 1). Surprisingly, while the RIP2 clone has higher phage retention on the islets than RIP1, the converse is true for binding on the Ins832/13 ß-cell line; eight times greater phage capture is observed for the RIP1 clone compared with the RIP2 phage. These data suggest that the RIP1 phage is binding to ß-cells where the RIP2 phage may be binding to other cell types within the islets. It is important to note that both phage clones exhibit a significant decrease in the output-to-input phage ratio when studied on the ß-cell line compared with primary islets. This decrease in phage capture could be the result of the cells in culture not being an ideal representation of ß-cells in vivo, at least at the level of cell surface architecture. Alternatively, the discrepancy could arise from the difference in the total cell number of ß-cells per islet compared with the number of ß-cells in cultures that were used for panning.
The RIP1 phage homes to the islets of Langerhans in living rats.
In order for the ß-cell–targeting phage to be useful for further research, the peptides must localize within the islets but avoid uptake by nontargeted tissues. The binding of the RIP1 and RIP2 phage clones to other organs was characterized by performing immunohistochemistry using an anti-phage antibody (Fig. 3). The RIP2 phage clone demonstrates nonspecific accumulation throughout the animal, with especially strong accumulation occurring in the spleen, heart, and skeletal muscle (online appendix). However, no specific binding of RIP1 phage was observed to heart, muscle, lung, or spleen tissue. Whereas some diffuse staining is observed in the liver of rats infused with RIP1, similar staining is seen with the control phage containing a random peptide sequence (online appendix) consistent with nonspecific clearance of the phage by the reticuloendothelial system. Similar results have been observed by our laboratory (15) and others (9,11). Interestingly, animals infused with the RIP1 phage exhibit significant staining in the kidney tubules. This is surprising because the size of the phage should prevent clearance through the kidneys. We suspect that the staining is a result of the clearance of degraded phage coat proteins that are still recognized by the anti-phage antibodies. Similar intensity and staining patterns are observed in the kidneys from rats injected with all phage clones tested, indicating that the finding is unlikely to be explained by peptide-mediated binding in the kidneys. Overall, these data indicate that the RIP1 peptide is accumulating preferentially within the islets, although at this time, we cannot rule out the possibility that the peptide has some affinity for cells in the liver and kidney.
A valuable feature of ß-cell–targeting reagents would be the ability to distinguish between normal, functional ß-cells and those beginning to exhibit defective function, e.g., loss of GSIS. For this reason, we assessed the ability of the RIP1 phage to target ß-cells in 12-week-old ZDF rats, an animal model of type 2 diabetes in which GSIS is dramatically impaired (20,21). As in the previous experiments, the phage was injected intravenously into the jugular vein of the rat. The phage was allowed to circulate for 2 h, after which the animal was killed and organs harvested. The presence of the phage was determined by immunohistochemistry using an anti-phage antibody. As shown in Fig. 2, the RIP1 phage has a very different staining pattern in the ZDF rats compared with the Sprague-Dawley rats. No specific accumulation of phage is observed in the islets and the intensity of phage staining is comparable to a control phage (online appendix). Taken together, these data suggest that the isolated RIP1 phage binds with specificity to fully functional pancreatic islets and loses its ability to target structurally disorganized and dysfunctional islets of ZDF rats.
The ability to target genes and therapeutics specifically to ß-cells would facilitate diabetes treatment. Furthermore, determination of ß-cell mass and function in vivo has been hampered by the inability to direct imaging agents to ß-cells within the pancreas. Typically, cell-specific delivery is achieved by attaching the desired biomolecule to a ligand for a well-characterized cell surface molecule that is preferentially expressed in the targeted cell type. Using antibodies as the homing agent, this approach has been used for tumor-specific delivery of chemotherapeutics (27,28), and several immunotherapies are currently in the clinic (29). However, little is known about the cell surface profile of ß-cells, and currently, the IC2 antibody is the only ligand used for delivery to ß-cells in animals (30,31). To circumvent the need for a defined biomarker, we used biopanning to isolate peptides that bind to islets of Langerhans from normal Sprague-Dawley rats. After six rounds of reiterative panning, the output-to-input phage ratio increased 70-fold. From a phage-displayed peptide library representing 108 different members, we isolated two 20–amino acid peptides, RIP1 and RIP2, that bind to islets ex vivo as determined by phage retention. It is important to note that little similarity is observed between the RIP1 and RIP2 peptide sequences, suggesting that they are most likely binding to different cellular receptors or different binding pockets within the same receptor. Furthermore, neither of these peptides show significant sequence similarity to previously isolated peptides that home to the pancreas vasculature (11). A BLAST analysis for short peptides of similar sequence revealed no significant homologies to known proteins in the NCBI database (25). The major goal of this study was to identify peptides that mediate binding to ß-cells within a living animal. Realization of this goal requires that the identified peptides have a significantly higher affinity for ß-cells than for other cell types, the phage clones can escape the vasculature to reach the appropriate cells, and the peptide is stable in vivo. To address this, the isolated RIP1 and RIP2 phage clones were injected into normal Sprague-Dawley rats, followed by harvesting of tissue and immunohistochemical analysis with anti-phage antibodies to determine the phage localization. The RIP1 phage preferentially homes to the islets of Langerhans in a normal rat with differentiation between the endocrine and exocrine cells of the pancreas. The immunohistochemical signal is observed throughout the islet and colocalizes with staining obtained with anti-insulin antibodies, indicating that the phage clone is binding to the ß-cells within the islets. The RIP1 phage is not enriched in other tissues, although a nonspecific signal is observed in liver and kidney that is equal in intensity to that observed following injection of a control phage containing a random peptide sequence. We suspect that this signal is due to nonspecific clearance of the phage, but at this time, we cannot rule out that the peptide has some affinity for these cells as well. The RIP2 phage also accumulates in the islets, but the preferential localization to endocrine cells is less pronounced than observed with the RIP1 phage, even though the RIP2 displayed higher phage retention on islets in vitro. Furthermore, this phage showed significant accumulation in tissues and organs, indicating that this peptide binds nonspecifically to different cell types. Because the RIP1 phage was selected on islets from healthy Sprague-Dawley rats, we sought to determine whether this phage clone could also target to ß-cells in ZDF rats at 12 weeks of age, at which time the animals are severely diabetic and exhibit defective GSIS. We found that the RIP1 phage does not target ß-cells in diabetic ZDF rats. This suggests that this peptide is recognizing a cell surface feature on normal, fully functional ß-cells that is lost or obscured during disease progression. This cell surface feature might be related to the loss of GSIS, or alternatively, may be influenced by the increased infiltration of fibrotic tissue or the increased rate of cell death that occurs in ZDF islets in concert with progression to diabetes (32,33). Further studies will be required to determine whether RIP1 phage are able to target ZDF islets before onset of diabetes and conversely whether peptides can be identified that bind specifically to islets in diabetic animals. In summary, we have isolated a peptide that is able to home to normal ß-cells in the islets of Langerhans without prior knowledge of a ß-cell biomarker. We anticipate that this peptide will be of utility for ß-cell–specific delivery of molecular cargo, possibly including plasmids that contain specific therapeutic/protective genes, bioactive peptides or proteins, small molecules, or imaging agents. Use of the RIP1 peptide for these purposes will require demonstration of the ability of the isolated peptide, removed from the context of phages, to target islets in a manner similar to what has been observed for the phage clone. The peptide will then be utilized to deliver active biomolecules to the target cells. While these are significant hurdles, the current study provides promise for the use of selected peptides for islet-specific targeting applications in the near future.
This work was supported by a Program Project Grant from the National Institutes of Health (5PO1 DK-05839805). We thank Kimberly Jones-Ross for helpful experimental suggestions for islet isolation and Shuyuan Chen for technical expertise in establishing the in vivo delivery experiments. We also thank James A. Richardson, John M. Shelton, and the Molecular Pathology Core for their contribution to the processing of tissue samples and slide preparation. Ya-Ching Chang and Chun Man Lee contributed technical assistance.
Additional information for this article can be found in an online appendix at http://diabetes.diabetesjournals.org. Received for publication January 24, 2005 and accepted in revised form April 11, 2005
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