WO1997010841A9

WO1997010841A9 - Antiangiogenic properties of endothelial-monocyte activating polypeptide ii

Info

Publication number: WO1997010841A9
Application number: PCT/US1996/015007
Authority: WO
Filing date: 1996-09-18
Publication date: 1997-06-12

Abstract

Tumors are treated by subcutaneously, intraperitoneally or intravenously administering endothelial monocyte activating polypeptide II (EMAP II) or an EMAP II-derived polypeptide. In addition, conditions involving the presence of excess blood vessels, for example retinopathy, are treated with EMAP II or an EMAP II-derived polypeptide.

Description

ANTIANGIOGENIC PROPERTIES OF ENDOTHELIAL-MONOCYTE ACTIVATING POLYPEPTIDE II This application claims the benefit of U.S Provisional No

60/003,898, filed September 18, 1995, the contents of which are hereby incorporated by reference into the present application

The invention disclosed herein was made with Government support under PHS Grant Nos HL42833, HL42507, PERC, from the Department of Health and Human Services Accordingly, the U.S Government has certain rights m this invention.

Throughout this application, various references are referred to within parenthesis Disclosures of these publications m their entireties are hereby incorporated by reference into this application to more fully describe the state of the art to which this invention pertains. Full bibliographic citation for these references may be found at the end of this application, preceding the sequence listing and the claims, or in the body of the text.

Background of the Invention Recent studies have focussed attention on tumor neovasculature as a critical regulator of the growth of both primary and metastatic neoplastic lesion (Fidler I , 1994, Folkman J., 1989, Folkman J , 1995) . Earlier studies emphasized the role of angiogemc factors, such as vascular endothelial growth factor (VEGF) (Plate K , 1992, Berkman,

R , Warren R. , 1995; Kim J. , 1993) , acidic fibroblast growth factor (Maciag T , 1984) , basic fibroblast growth factor

(bFGF) (Shing Y. , 1984) , and angiogenm (Fett J., 1985, King

T. , 1991; Olson K , 1994) , in promoting tumor growth and establishment of metastases For example, in a transgenic murine model, a switch m phenotype from pancreatic adenoma to malignancy was closely tied to expression of angiogemc mediators (Kandel J , 1991) , and blocking antibody to VEGF inhibited growth of explanted human tumors m athymic mice (Warren R , 1995, Kim J., 1993) Similar inhibition of experimental tumor growth has also been observed with antibodies to angiogenin (Olson K. , 1994) and bFGF (Hori A.,

1991) . Alternatively, recent work has delineated endogenous peptides with antiangiogenic activities, including angiostatin (O'Reilly M., 1994) , thrombospondin (Dameron K.,1994) and glioma-derived angiogenesis inhibitory factor

(Van Meir., 1994) . Their presence appears to negatively impact on tumor growth either at the primary tumor site

(thrombospondin) or at a site of distant metastases

(angiostatin) . Formation of the tumor vascular bed, as well as blood vessel formation in other situations, such as ischemia and atherosclerotic plaques (Shweiki, D., 1992;

Knighton D., 1983; Kuwabara K., 1995; Sharma H., 1992; Chia

M. 1991; Brogi E., 1993) , is presumably controlled by the interaction of such positive and negative stimuli on endothelium in diverse vascular beds.

Endothelial-Monocyte Activating Polypeptide II (EMAP II) is a =20kDa protein isolated from Meth A fibrosarcoma cells

(Kao J., 1992; Kao J., 1994) , whose tumors exhibit characteristic vascular insufficiency manifested by heterogeneous pattern of thrombohemorrhage and central necrosis (Old L., 1986; Old L. , 1961) . EMAP II has been described in PCT International Publication No. WO 95/09180, published April 6, 1995, the contents of which are hereby incorporated by reference. These studies show that EMAP II has anti-angiogenic properties and results in suppression of tumor growth, likely due to perivascular apoptotic tissue injury and targeting of EMAP II to proliferating endothelial cells. These results demonstrate that endogenous or exogenously administered EMAP II controls blood vessel formation in a range of pathophysiologically relevant situations .

International Publication No. WO 95/09180 discloses that EMAP II administered in one intratumoral dose followed by one intravenous dose reduces the size of a tumor. WO 95/09180 also discloses that EMAP II has inflammatory activity. On the basis of its inflammatory activity one would have expected that EMAP II would be toxic and therefore inappropriate for multiple administrations over a long period of time. Surprisingly, it has been found that multiple administrations of EMAP II decrease tumor size even without an intratumoral dose and without observed toxic effect. The ability to administer a therapeutically effective regimen of EMAP II without an intratumoral injection makes it possible to treat tumors whose small size makes it difficult or impossible to administer an intratumoral injection.

Retinal neovascularization is a major cause of blindness in the United States . Pathologic retinal angiogenesis is a common pathway leading to vision loss in disease processes such as retinopathy of prematurity, diabetic retinopathy, sickle cell retinopathy, and age related macular degeneration. Factors associated with retinopathy vascularization include hypoxia (cause of retinopathy of prematurity) , diabetes, and known angiogenic factors such as Vascular endothelial growth factor (VEGF) . The use of an established model of hypoxic induced retinopathy (Pierce, E. Jan. 1995; Smith, L., Jan. 1994) demonstrates that EMAP II, a protein associated with tumor antiangiogenesiε, inhibits the neovascularization associated with retinopathy.

Summary of the Invention

This invention provides a method of treating a tumor in a subject, comprising administering to the subject an amount of an agent, selected from endothelial monocyte activating polypeptide II and an endothelial monocyte activating polypeptide II-derived polypeptide, effective to treat the tumor, wherein the endothelial monocyte activating polypeptide II is administered subcutaneously, intraperitoneally, or intravenously.

This invention provides a method of inhibiting the growth of endothelial cells, comprising contacting the endothelial cells with an amount of an agent, selected from endothelial monocyte activating polypeptide II and an endothelial monocyte activating polypeptide II-derived polypeptide, effective to inhibit growth of the endothelial cells.

Description of the Figures

Figure 1. SDS-PAGE of recombinant EMAP II. E. coli homogenate and pools of fractions containing EMAP II (See Fig. 2, below) were subjected to reduced SDS-PAGE (10-20% Tricine gels; 1-2 μg/lane) and protein visualized by silver staining. Lane 1, E. coli cell homogenate after centrifugation (12,000xg) ; lane 2, polyethylene imine supernatant; lane 3, Heparin Sepharose pool; lane 4, SP Sepharose pool; lane 5, Phenyltoyopearl pool; and lane 6, EMAP II formulated into PBS.

Figures 2A, 2B and 2C. Chromatographic steps in the purification of recombinant EMAP II. Fig. 2A. Heparin Sepharose. The polyethylene imine supernatant was applied to Heparin Sepharose in Tris buffer, washed and eluted with an ascending salt gradient. Fractions were monitored for absorbance at 280 nm and analyzed on SDS-PAGE and/or immunoblotting to identify the EMAP II pool (designated by the arrow and labeled EMAP II) . (Fig. 2B) SP Sepharose. The Heparin Sepharose pool from (Fig. 2A) was concentrated, desalted and applied to SP Sepharose High Performance in MOPS buffer. After washing, EMAP II was eluted by an ascending salt gradient and pooled as above. Phenyl toyopearl . The SP Sepharose pool was adjusted to 2 M (NH₄)₂SO and applied to Phenyl toyopearl in phosphate buffer with salt, washed, and EMAP II eluted with a descending salt gradient. The salt gradients are shown as ( ) , 0-1 M in

NaCl (A-B) , and ( )0-2 M ( H₄)₂S0₄ (C) . Absorption at 280nm iε shown by the solid line in each figure.

Figures 3A, 3B, 3C , 3D and 3E. Matrigel angiogenesis model: effect of EMAP II on bFGF-induced neovascularization. Mice received subcutaneous Matrigel implants and were sacrificed after 14 days to analyze new vessel formation by histologic examination and hemoglobin assay. Fig. 3A and 3C implant containing bFGF (100 μg/ml) /heparin (40 U/ml) shown at low and high power, respectively; Fig. 3B and 3D, implant containing bFGF/heparin + EMAP II (100 ng/ml) shown at low and high power, respectively; Fig. 3E, results of hemoglobin (reported as percent of control, Matrigel with vehicle, arbitrarily defined as 100%) . Results were evaluated by student t-test and p<0.001 comparing hemoglobin levels in the presence of EMAP II with control and bFGF. Magnification in Figures 3A-3C, lOx.

Figures 4A, 4B and 4C. Disappearance of ¹²⁵I-EMAP II from mouse plasma after IV or IP injection (Fig. 4A) , precipitability of the tracer in trichloroacetic acid (Fig. 4B) , and tissue accumulation (Fig. 4C) . Fig. 4A. Mice received ²⁵I-EMAP II (0.26 μg) by either IV or IP injection and plasma was sampled at the indicated time points. The methods for data fitting and parameters of clearance are described in the text. Fig. 4B. Trichloroacetic acid precipitability of ¹²⁵I-EMAP II in spleen and B16 tumor harvested 12 hrs after IP injection as above. Tissue was homogenized, weighed, counted, and subjected to precipitation in trichloroacetic acid (20%) . The mean ±SD is shown (n=12) , and data were analyzed by student t-test; p<0.001. Fig. 4C. Deposition ¹²⁵I-EMAP II in tumor, spleen, brain and liver. Animals received IP ^{1 5}I-EMAP II, as above at time 0, and then 1 hr prior to harvest ⁵¹Cr-labeled microspheres were infused IV. At the 12 hr point, animals were sacrificed, the indicated organs were removed, dried, weighed and counted. The mean ±SE is shown (n=4) and data analyzed by Mann-Whitney showed a p<0.02 comparing tissue counts in the tumor to spleen and brain.

Figures 5A, 5B, 5C, 5D, 5E, 5F and 5G. Effect of EMAP II on Lewis Lung Carcinoma (LLC) . Mice were injected subcutaneously on day 1 with LLC cells, and then on days 3- 15 received every 12 hrs IP either: vehicle alone (control) , EMAP II (100 or 1000 ng) or heat-inactivated EMAP II (1000 ng) . Fig. 5A. Change in tumor volume in each of the four groups (mean ± SD) is shown (n=40) , and data analysis was performed as described in the text (p<0.034, Kruskal-Wallis; and p<0.003 Mann-Whitney) . Figs. 5B-5E. Histology of LLC tumors harvested from the indicated above groups on day 15: Figure 5B and 5C, vehicle alone, high and low power, respectively; Figure 50C and 5E, EMAP II (100 ng) high and low power, respectively; Figs. 5F-G. DNA fragmentation by in situ nick translation: Fig. 5F, vehicle alone and Fig. 5G, EMAP II (1000 ng) .

Figures 6A, 6B, 6C, 6D, 6E and 6F. Effect of EMAP II on cultured endothelial cells (ECs) . Figures 6A-6D. Effect on EC monolayer wound repair in vitro. A postconfluent monolayer of ECs was wounded (wound margin at upper right) , and then either vehicle (Figures 6A, 6C) or rEMAP II (10 ng/ml; Figures 16B, 16D) was added. After 24 hrs of incubation, cultures were stained with rhodamine phalloidin (Figures 6A-6B) to display the actin-based cytoskeleton or with DAP-1 (Figures 6C-6D) to demonstrate the presence of apoptotic bodies, noted by arrows in Figure 6D. Figures 6E-6F. DNA fragmentation by ELISA of subconfluent ECs in normoxia or hypoxia (p0₂ <=14 torr) , exposed to rEMAP .II as indicated. Data shown represent mean and, in each case, S.E. was less than 10%. These experiments were repeated a minimum of three times. Magnification: Figures 6A-6D, 128X.

Figures 7. PCR analysis of EMAP II transcripts in normal murine tissue. RNA was harvested from normal murine tissues aε indicated, and processed for PCR as described in the text. The bands corresponding to the amplicons for EMAP II

(400 bp) and β-actin (560 bp) are shown by the arrows. A

100 bp ladder was used as the standard in the far left lane.

Figures 8A, 8B, 8C, 8D and 8E. Lung metastasis model with LLC. Mice received LLC cells subcutaneously and were observed until tumors reached a volume of ≥l .5 cm³, at which time animals were treated with rEMAP II (1000 ng; IP every 12 hrs; N=8) or vehicle alone (control; N=6) for 72 hrs. Tumors were subsequently resected (there were no local recurrences) , and the same treatment regimen was continued for the duration of the study, an additional 15 days. India ink was instilled intratracheally to enhance visualization of metastases (pale areas) compared with normal tissue (dark areas) . Gross appearance of lungs demonstrated many surface macrometastases in controls (Figure 8A) versus their marked suppression in rEMAP II-treated mice (Figure 8B) . Histologic examination confirmed this impression (Figure 8C, vehicle-treated, and Figure 8D, EMAP II-treated; arrow in Figure 8D and Figure 8D inset indicate the presence of micrometastasis) . In Figure 8E, surface lung metastases/nodules data from all animals was analyzed using

Mann-Whitney (p<0.009) ; total surface metastases are shown in the Figure 8E (mean ± S.E.) and surface macrometastases

(>2mm; mean ± S.E. for control and EMAP II-treated groups were 80±12.5% and 20+13%, respectively) , counted using a calibrated ocular, are shown in Figure 8E (by student t-test p<0.002) . These experiments were repeated four times. Marker bar, 1 cm (Figures 8A-8B) ; magnification Figure 8C-8D, 12.8X; and Figure 8D inset, 32X.

Figures 9A, 9B, 9C, 9D, 9E and 9F. Effect of rEMAP II on C6 gliomas implanted intracranially into rats and subcutaneously into mice. Figures 9A-9D. Intracranial C6 gliomas in rats. Figure 9A. C6 glioma cells were implanted stereotactically as described, and rats were maintained for 10 days, at which time they were divided into eight treatment groups as indicated. Tumor volume was evaluated on day 26 (after 16 days of treatment) . ** and * indicate p<0.0001 and p<0.005, respectively, by Kruskal-Wallis . In Fig. 9A, the mean ±SE is shown. Figure 9B-9C. Intracranial tumors, derived from Cβ glioma cells, were harvested from animals treated with vehicle (Fig. 9B and 9D; IT/IP) alone or EMAP II (Fig. 9C and 9E; IT/IP) . Sections were stained with hematoxylin and eosin (9B, 9C) ) or subjected to the TUNEL procedure (9D, 9E) . Figure 9F. Subcutaneous C6 gliomas in nude mice. Tumor cells were implanted, animals were maintained for 3 days, and treatment with EMAP II was initiated for the next 24 days aε described. At the end of the experiment, tumor volume was measured and data shown represent the mean ± SE The intracranial tumor experiments were repeated three times and the subcutaneous tumor studies were repeated twice

Figures 10A, 10B, IOC, 10D and 10E. Effect of rEMAP II on vascular ingrowth into Matrigel implants impregnated with VEGF. Matrigel mixtures containing VEGF (100 ng/ml) were administered subcutaneously and, simultaneously, animals (N = 10 per group) received rEMAP II (1 μg, IP every 12 hrs) in vehicle or vehicle alone for the next 14 days. Implants were evaluated by hematoxylm and eosm staining (Figures

10A & 10C, treated with rEMAP II; Figures 10B & 10D, treated with vehicle) and quantitation of hemoglobin content

(Figures 10E, mean ± SE, * indicates P<0 01) . The experiments were repeated three times

Figures 11A, 11B, 11C, 11D and HE. Interaction of rEMAP II with cultured endothelial and C6 glioma cells. Figure 11A- 11B Human umbilical vein endothelial cells or C6 glioma cells m Medium 199 containing fetal calf serum (10%) were exposed to rEMAP II (10nM;A) or medium alone (B) for 24 hrs at 37 'C, samples were harvested and subjected to TUNEL analysis as described Figure 11C Quantitation of apoptotic endothelial nuclei as a ratio of labelled nuclei/cells counted m each of ten high power fields in the presence of the indicated concentration of rEMAPII. * denotes P<x. 11D Quantitation of labelled nuclei as m

(C) when C6 glimoa cells m Dulbecco's MEM were incubated with the indicated concentration of rEMAPII or medium alone. Figure HE. Radioligand binding study with ²⁵I-rEMAP II Human umbilical vein endothelial cell monolayers or C6 glioma cells were incubated with the indicated concentrations of ¹²⁵I-rEMAP II alone or in the presence of an 100-fold excesε of unlabelled rEMAP II. Specific binding is plotted and the curve indicates the best-fit using nonlinear least squares analysis. Parameters of binding on endothelial cells were- Kd= 1.9 nM and B=compared with C6 glioma cells. Similar radioligand binding experiments on C6 glioma cells showed no specific binding.

Detailed Description

This invention provides a method of treating a tumor m a sub ect, comprising administering to the subject an amount of an agent, selected from endothelial monocyte activating polypeptide II and an endothelial monocyte activating polypeptide II-derιved polypeptide, effective to treat the tumor, wherein the endothelial monocyte activating polypeptide II is administered subcutaneously, mtraperitoneally, or intravenously. Many types of tumors can be treated according to this method. In a preferred embodiment the tumor is a carcinoma.

The term "EMAP II" refers to Endothelial Monocyte Activating Polypeptide II. The term "rEMAP II" refers to recombinant Endothelial Monocyte Activating Polypeptide II. EMAP II may also include variants of naturally occurring EMAP II. Such variants can differ from naturally occurring EMAP II m ammo acid sequence or in ways that do not involve sequence, or both. Variants m ammo acid sequence are produced when one or more amino acids in naturally occurring EMAP II is substituted with a different natural ammo acid, an ammo acid derivative or non-native ammo acid. Particularly preferred variants include naturally occurring EMAP II, or biologically active fragments of naturally occurring EMAP II, whose sequences differ from the wild type sequence by one or more conservative amino acid substitutions, which typically have minimal influence on the secondary structure and hydrophobic nature of the protein or peptide. Variants may also have sequences which differ by one or more non- conservative ammo acid substitutions, deletions or insertions which do not abolish the EMAP II biological activity. Conservative substitutions (substituents) typically include the substitution of one ammo acid for another with similar characteristics such as substitutions with the followmg groups: valine, glycine; glycine, alanine, valine, isoleucine; aspartic acid, glutamic acid; asparagine, glutamine; serine, threonine; lysine, arginine; and phenylalanme, tyrosine. The non-polar (hydrophobic) amino acids include alanine, leucine, isoleucine, valine, proline, phenylalanine, tryptophan and methionine. The polar neutral amino acids include glycine, serine, threonine, cysteine, tyrosine, asparagine and glutamine. The positively charged (basic) amino acids include arginine, lysine and histidine. The negatively charged (acidic) amino acids include aspartic acid and glutamic acid.

Other conservative substitutions can be taken from Table 1, and yet others are described by Dayhoff in the Atlas of Protein Sequence and Structure (1988) .

Table 1: Conservative Amino Acid Replacements

For Amino Acid Code Replace with any of

Alanine A D-Ala, Gly,beta-ALa, L-Cys,D- Cys

Arginine R D-Arg, Lys, homo-Arg, D-homo- Arg, Met,D-Met, He, D-Ile, Orn, D-Orn

Asparagine N D-Asn,Asp,D-Aεp, Glu,D-Glu, Gln,D-Gln

Aspartic Acid D D-Asp,D-Asn,Asn, Glu,D-Glu, Gin, D-Gln

Cysteine C D-Cys, S-Me-Cys,Met,D-Met,Thr, D-Thr

Glutamine Q D-Gln,Asn, D-Asn,Glu,D-Glu,Asp, D-Asp

Glutamic Acid E D-Glu,D-Aεp,Aεp, Asn, D-Asn, Gin, D-Gln

Glycine G Ala, D-Ala,Pro, D-Pro, Beta- Ala, Acp

Isoleucine I D-Ile, Val, D-Val, Leu, D-Leu, Met, D-Met

Leucine L D-Leu, Val, D-Val, Met, D-Met Lysine K D-Lys,Arg, D-Arg, homo-Arg, D- homo-Arg, Met, D-Met, He, D- Ile, Orn, D-Orn

Methionine M D-Met, S-Me-Cys, He, D-Ile, Leu, D-Leu, Val, D-Val, Norleu

Phenylalanine F D-Phe,Tyr, D-Thr, L-Dopa,His,D- His, Trp, D-Trp, Trans 3 , 4 or 5-phenylproline, cis 3,4 or 5 phenylproline

Proline P D-Pro, L-I-thioazolidine-4- carboxylic acid, D- or L-l- oxazolidine-4-carboxylic acid

Serine S D-Ser, Thr, D-Thr, allo-Thr, Met, D-Met, Met (0) , D-Met (0) , Val, D-Val

Threonine T D-Thr, Ser, D-Ser, allo-Thr, Met, D-Met, Met (0) D-Met (0) , Val, D-Val

Tyrosine Y D-Tyr,Phe, D-Phe, L-Dopa, His,D-His

Valine V D-Val, Leu,D-Leu, He, D-Ile, Met, D-Met

Other variants within the invention are those with modifications which increase peptide stability. Such variants may contain, for example, one or more non-peptide bonds (which replace the peptide bonds) in the peptide sequence. Also included are: variants that include residues other than naturally occurring L-amino acids, such as D- amino acids or non-naturally occurring or synthetic amino acids such as beta or gamma amino acids and cyclic variants. Incorporation of D- instead of L-amino acids into the polypeptide may increase itε resistance to proteases. See, e.g., U.S. Patent 5,219,990.

The peptides of this invention may also be modified by various changes such a,s insertions, deletions and substitutions, either conservative or nonconservative where such changes might provide for certain advantages their use .

In other embodiments, variants with amino acid substitutions which are less conservative may also result m desired derivatives, e.g , by causing changes in charge, conformation and other biological properties. Such substitutions would include for example, substitution of hydrophilic residue for a hydrophobic residue, substitution of a cysteine or proline for another residue, substitution of a residue having a small side cham for a residue havmg a bulky side chain or substitution of a residue having a net positive charge for a residue having a net negative charge When the result of a given substitution cannot be predicted with certainty, the derivatives may be readily assayed according to the methods disclosed herein to determine the presence or absence of the desired characteristics.

Variants withm the εcope of the invention include protems and peptides with ammo acid sequences having at least eighty percent homology with EMAP II. More preferably the sequence homology is at least ninety percent, or at least ninety-five percent.

Just as it is possible to replace substituents of the scaffold, it is also posεible to substitute functional groups which decorate the scaffold with groups characterized by similar features. These substitutions will initially be conservative, i.e., the replacement group will have approximately the same size, shape, hydrophobicity and charge as the original group. Non-sequence modifications may include, for example, in vivo or m vitro chemical derivatization of portions of naturally occurring EMAP II, as well as changes m acetylation, methylation, phosphorylation, carboxylation or glycosylation.

In a further embodiment the protein is modified by chemical modifications in which activity iε preserved. For example, the proteins may be amidated, sulfated, singly or multiply halogenated, alkylated, carboxylated, or phosphorylated. The protein may also be singly or multiply acylated, such as with an acetyl group, with a farnesyl moiety, or with a fatty acid, which may be saturated, monounsaturated or polyunsaturated. The fatty acid may also be singly or multiply fluorinated. The invention also includes methionine analogs of the protein, for example the methionine sulfone and methionine sulfoxide analogs. The invention also includes salts of the proteins, such as ammonium salts, including alkyl or aryl ammonium salts, sulfate, hydrogen sulfate, phosphate, hydrogen phosphate, dihydrogen phosphate, thiosulfate, carbonate, bicarbonate, benzoate, sulfonate, thiosulfonate, mesylate, ethyl sulfonate and benzensulfonate salts.

Variants of EMAP II may also include peptidomimetics of EMAP II. Such compounds are well known to those of skill in the art and are produced through the substitution of certain R groups or amino acids in the protein with non-physiological, non-natural replacements. Such substitutions may increase the stability of such compound beyond that of the naturally occurring compound.

In an embodiment of this invention the subject is a mammal. Examples of suitable mammalian subjects include, but are not limited to, murine animals such as mice and rats, hamsters, rabbits, goats, pigs, sheep, cats, dogs, cows, monkeys and humans. In a specific embodiment the agent is administered intraperitoneally.

By means of well-known techniques such as titration and by taking into account the observed pharmacokinetic characteristics of the agent in the individual subject, one of skill in the art can determine an appropriate dosing regimen. See, for example, Benet, et al . , "Clinical Pharmacokinetics" in ch. 1 (pp. 20-32) of Goodman and Gilman's The Pharmacological Basis of Therapeutics, 8th edition, A.G. Gilman, et al. edε. (Pergamon, New York 1990) . In an embodiment of this invention the agent is administered in at least twenty doses. In a specific embodiment the agent is administered in about twenty-four doses. In an embodiment the agent is administered over a period of at least ten days. In a specific embodiment, the agent is administered over a period of about twelve days. In an embodiment of this invention, the frequency of administration is at least about one dose every twelve hours. In an embodiment the effective amount is from about 2.4 micrograms to about 24 micrograms. In an embodiment the effective amount is from about 100 nanograms to 24 micrograms per dose. In a more specific embodiment the effective amount is from about 100 nanograms to about 1000 nanograms per dose.

In an embodiment of the method described herein, the endothelial monocyte activating polypeptide II-derived polypeptide is at least about ninety percent homologous to the sequence (S/M/G) KPIDASRLDLRIG

(C/R) IVTAKKHPDADSLYVEEVDVGEAAPRTWSGLVNHVPLEQMQNRMWLLCNLK

PAKMRGVLSQAMVMCASSPEKVEILAPPNGSVPGDRITFDAFPGEPDKELNPKKKIWE

QIQPDLHTNAECVATYKGAPFEVKGKGVCRAQTMANSGIK (SEQ I.D. No. ) , wherein the sequence is truncated by from zero to about three amino-terminal residues and from zero to about one hundred thirty-six carboxy-terminal residues. In a preferred embodiment the homology is at least about ninety- five percent.

In another embodiment of the method described herein the endothelial monocyte activating polypeptide II-derived polypeptide is at least about ninety percent homologous to the sequence (S/M/G) KPIDVSRLDLRIG ( C/R ) I ITARKHPDADSLYVEEVDVGEIAPRTWSGLVNHVPLEQMQNRMVILLCNLK

PAKMRGVLSQAMVMCASSPEKIEILAPPNGSVPGDRITFDAFPGEPDKELNPKKKIWE

QIQPDLHTNDECVATYKGVPFEVKGKGVCRAQTMSNSGIK (SEQ I . D . No . ) , wherein the sequence is truncated by f rom zero to about three ammo-termmal residues and from zero to about one hundred thirty-six carboxy-terminal residues. In a preferred embodiment the homology is at least about ninety- five percent.

In a preferred embodiment of the method described herein the agent is endothelial monocyte activating polypeptide II. In a more specific embodiment, the EMAP II is murine EMAP II or human EMAP II In an embodiment the endothelial monocyte activating polypeptide II is recombinant endothelial monocyte activating polypeptide II.

An advantage of the above-described method compared to treatment protocols involving mtratumor injection is that tumors that are too small for intratumoral injection can be treated before they grow to a larger size Accordingly, in an embodiment of this mvention the tumor is too small for intratumoral injection For example, m a specific embodiment, the diameter of the tumor is less than or equal to about two millimeters.

This invention provides a method of inhibiting the growth of endothelial cells, comprising contacting the endothelial cells with an amount of an agent, selected from endothelial monocyte activating polypeptide II and an endothelial monocyte activating polypeptide II-derιved polypeptide, effective to inhibit growth of the endothelial cells. In an embodiment, the endothelial cells are aortic endothelial cells, for example bovine aortic endothelial cells.

This invention provides a method of inhibiting the formation of blood vessels m a subject, comprising administering to the subject an effective amount of an agent, selected from endothelial monocyte activating polypeptide II and an endothelial monocyte activating polypeptide H-derived polypeptide, thereby inhibiting the formation of blood vessels m the subject. In an embodiment of this invention the subject is a mammal. Examples of suitable mammalian subjects include, but are not limited to, murine animals such as mice and rats, hamsters, rabbits, goats, pigs, εheep, cats, dogs, cows, monkeys and humans.

The agent may be administered according to techniques well known to those of skill in the art, including but not limited to subcutaneously, intravascularly, intraperitoneally, topically, or intramuscularly.

In an embodiment the effective amount is from about 10 nanograms to about 24 micrograms. In a specific embodiment the effective amount is from about 100 nanograms to about 1 microgram.

In an embodiment of the method described herein, the endothelial monocyte activating polypeptide Il-derived polypeptide is at least about ninety percent homologous to the sequence (S/M/G) KPIDASRLDLRIG

(C/R) IVTAKKHPDADSLYVEEVDVGEAAPRTWSGLVNHVPLEQMQNRMWLLCNLK PAKMRGVLSQAMVMCASSPEKVEILAPPNGSVPGDRITFDAFPGEPDKELNPKKKIWE

QIQPDLHTNAECVATYKGAPFEVKGKGVCRAQTMANSGIK (SEQ I.D. No. ) , wherein the sequence is truncated by from zero to about three amino-terminal residues and from zero to about one hundred thirty-six carboxy-terminal reεidueε. In a preferred embodiment the homology iε at least about ninety- five percent.

In another embodiment of the method described herein the endothelial monocyte activating polypeptide Il-derived polypeptide is at least about ninety percent homologous to the sequence (S/M/G) KPIDVSRLDLRIG

(C/R) IITARKHPDADSLYVEEVDVGEIAPRTWSGLVNHVPLEQMQNRMVILLCNLK PAKMRGVLSQAMVMCASSPEKIEILAPPNGSVPGDRITFDAFPGEPDKELNPKKKIWE

QIQPDLHTNDECVATYKGVPFEVKGKGVCRAQTMSNSGIK (SEQ I.D. No. ) , wherein the sequence is truncated by from zero to about three amino-terminal residues and from zero to about one hundred thirty-six carboxy-terminal residues. In a preferred embodiment the homology is at least about ninety- five percent.

In a preferred embodiment of the method described herein the agent is endothelial monocyte activating polypeptide II. In a more specific embodiment, the EMAP II is murine EMAP II or human EMAP II. In an embodiment the endothelial monocyte activating polypeptide II is recombinant endothelial monocyte activating polypeptide II.

This invention provides a method of treating a condition involving the presence of excess blood vessels in a subject, comprising administering to the subject an effective amount of an agent, selected from endothelial monocyte activating polypeptide II and an endothelial monocyte activating polypeptide H-derived polypeptide, thereby treating the condition involving the presence of excesε blood vessels.

In an embodiment, the condition involves the presence of excess blood vesselε in the eye. One such condition is retinopathy. In specific embodiments of the method the retinopathy is diabetic retinopathy, sickle cell retinopathy, retinopathy of prematurity, or age related macular degeneration.

The present invention provides for a method of treating a tumor in a subject, compriεing administering to the subject an amount of an agent, selected from endothelial monocyte activating polypeptide II and an endothelial monocyte activating polypeptide Il-derived polypeptide, effective to treat the tumor, wherein the endothelial monocyte activating polypeptide II is administered subcutaneously or intraperitoneally; and intravenously, intracranially, or intramorally. The tumor may be a glioblastoma . The agent may be administered intratumorally by positive pressure microinfusion. The present invention further provides for a method for evaluating the ability of an agent to inhibit growth of endothelial cells, which includes: (a) contacting the endothelial cells with an amount of the agent, selected from endothelial monocyte activating polypeptide II and an endothelial monocyte activating polypeptide II-derived polypeptide,- (b) determining the growth of the endothelial cells, and (c) comparing the amount of growth of the endothelial cells determined in step (b) with the amount determined in the absence of the agent, thus evaluating the ability of the agent to inhibit growth of endothelial cells.

The present invention provides for a method for evaluating the ability of an agent to inhibit the formation of blood vessels in a cellular environment, which comprises: (a) contacting the cellular environment with an amount of the agent, selected from endothelial monocyte activating polypeptide II and an endothelial monocyte activating polypeptide H-derived polypeptide; (b) determining whether or not blood vessels form in the cellular environment, and (c) comparing the amount of growth of blood vessels determined in step (b) with the amount determined in the absence of the agent, thus evaluating the ability of the agent to inhibit formation of blood vesεels is the cellular environment.

As used herein, a cellular environment includes but is not limited to a cell culture system, cells in vivo, cells in vitro, an organ culture, an animal model system. A cellular environment may include a cells growing in a subject, a tumor cell culture syεtem, an endothelial cell culture system, an embryonic cell culture system, an angiogenic cell culture system. A cellular environment may be either in vitro or in vivo. A cellular environment may include a hybridoma cell culture system.

The present invention provides for a pharmaceutical composition which comprises an agent capable of inhibiting blood vessel formation and a pharmaceutically acceptable carrier. The carrier may include but is not limited to a diluent, an aerosol, a topical carrier, an aquous solution, a nonaqueous solution or a solid carrier. This invention will be better understood from the Experimental Details which follow. However, one skilled in the art will readily appreciate that the specific methods and results discussed are merely illustrative of the invention as described more fully in the claims which follow thereafter.

Experimental Details ANTI-TUMOR TREATMENT

Example 1: Endothelial-Monocyte Activating Polypeptide II, A Novel Antiangiogenic Protein, Suppresses Tumor Growth and Induces Apoptosis of Growing Endothelial Cells. Materials and Methods

Cell culture. Bovine aortic endothelial cells (ECs) were isolated from calf aortae, grown in culture and characterized, based on the presence of von Willebrand factor and thrombomodulm, as described previously (Nawroth P. , 1988) . Bovme vascular smooth muscle cells were prepared by additional scraping of the aortae followmg removal of the endothelium, and were characterized based on the preεence of smooth muscle cell actin (Gown A., 1985) . Lewis Lung carcinoma cells (LLC) , obtained from American Type Culture Collection (ATCC) , NIH 3T3 cells (ATCC) , and B16 (F10) cells were all maintained in high glucose defined minimal esεential medium (DMEM; Gibco) containing fetal bovine serum Meth A tumor cells were provided by Dr Lloyd Old (Center for Cancer Research, NY) , and grown as described (Old L., 1987; Old L., 1961) .

Preparation of recombinant murine EMAP II and EMAP II ELISA. Recombinant EMAP II was prepared from E. coli (host HMS174 [DE3] ) transformed with a plasmid containing the coding εequence for mature EMAP II, as described previously

(Kao J., 1994) . A procedure was developed for purification of recombinant EMAP II on a preparative scale. Frozen (-

80°C) E. coli cell paste waε mixed 1:10 (w/v) with Tπε-HCl (20mM; pH 7.4) containing octyl-β-glucoεide (0.1%) and an homogeneous suspension formed by agitation with a TURRAX^® for 20 mm (speed 60) at 4°C. The suspension was then disrupted by three passes through a TURRAX^® Microfluidizer

(Mode HOF) at 4°C. Polyethylene imine at pH 7 was then added to the homogenate to a concentration of 0.25%. The homogenate was left for 30 mm on ice to precipitate cell debris and DNA. Solids were removed from the homogenate by centrifugation (5000xg; 30 min) , the polyethylene imine εupernatant waε retained and filtered (0.2 μm) , and applied

(3 mlε εample ml of gel) to Heparin sepharose CL-4B

(Pharmacia, Piscataway NJ, 120 ml bed volume) equilibrated Tris-HCl (20 mM; pH 7.4) containing octyl-β-glucoside (0.1%) After washing the column with the same buffer (20 ml/mm) , a linear ascending NaCl gradient (0 to 0.5M) in the wash buffer was applied. Fractions were pooled on the basis of purity by silver stained SDS-PAGE and by immunoblott g with antibodies prepared to the N-terminus of mature EMAP II (Kao J , 1992) EMAP II biological activity was measured based on induction of tissue factor m cultural endothelial cell, as described (Kao J , 1992)

The Heparin Sepharose pool was concentrated using an Amicon Stirred Cell (Amicon) with an Amicon YM10 Diaflo Ultrafilter to less than 100 ml The retentate was desalted mto 3-

(Morphol o) -propane-sulfonic acid (MOPS; 25 mM; pH 6.9) on a Sephadex G25 (Medium Grade, Pharmacia) size exclusion column (480 ml bed volume) . The pool was then applied to an SP Sepharose High Performance (Pharmacia) cation exchange column (55ml bed volume) run at a flow rate of 10 ml/mm

After washing the column with MOPS buffer, EMAP II- conta ing fractions were eluted by application of a 0 to

0 5 M ascending linear salt gradient in MOPS. The pool was identified, asεayed for total protein an biological activity as above

EMAP II-containing fractionε from SP Sepharose chromatography were adjusted to 2 M (NH₄)₂S0₄ with solid (NH₄)₂S0₄ and applied to a Phenyl Toyopearl 650 M (Tosohaas) column (90 ml bed volume) equilibrated sodium phosphate (20 mM; pH 7) containing 1 M (NH ) ₂S0_ή After washing with the above buffer, a descending gradient of salt (2 to 0M) in sodium phosphate (20 mM) was applied EMAP H-contammg fractions were pool and characterized as above.

EMAP II from in the Phenyl Toyopearl column eluate was concentrated to 3-5 mg/ml, and formulated mto phosphate- buffered saline (PBS, pH 7.4) by buffer exchange on a Sephadex G25 column (as above) . Lipopolysaccharide (LPS) was removed using filtration through a Posidyne filter (Pall Corp.) , and LPS levels were estimated using the Endospecy chromogenic assay (limit of detection <10pg/ml) Purified EMAP II, as well as EMAP II in fractionε obtained during the purification procedure waε εub ected to N-termmal sequence analysis, mass εpectrometry and SDS-PAGE. Samples were mixed with 1:0.5 (v:v) of Tricine SDS sample buffer with the addition of 1/10 volume of 1 M dithiothreitol, boiled for 5 mm, and applied (1 μg/lane) to 10-20% Tricine gels (Novex) and eiectrophoresed SDS Tricine running buffer at constant voltage (100 V) for about 2 hrs at room temperature. Protein was visualized by silver staining, and molecular weight markers (Novex) were run simultaneously. Immunoblottmg was performed followmg SDS-PAGE by transferring prote to nitrocellulose in Tris-HCl (12 mM) , glycine (96 mM; final pH 8.3) containing methanol (20%) using the Novex Western Transfer Apparatus at constant voltage (30 V) for 2-4 hr (4°C) . Prestamed, low molecular weight markers (Bio-Rad) were uεed to follow the transfer. Immunoreactive protem was visualized using rabbit anti- mature EMAP II N-termmal peptide IgG (0.1 μg/ml) followed by the Amplified Alkaline Phosphatase Goat Anti-Rabbit Immuno-Blot Assay Kit (Bio-Rad)

Antibody to EMAP II was prepared by standard methods (30) , and was found to be monospecfic based on immunoblottmg of plasma and cell extracts. This antibody was used to develop an ELISA to detect EMAP II antigen; cells or tissues were homogenized m the presence of protese inhibitors (phenylmethylsulfonyl fluoride, 1 M; trasylol, 0.1%) , centrifuged to remove debris, and the supernatant waε diluted in carbonate/bicarbonate buffer (pH 9.6) and incubated Maxisorb microtiter plates (Nunc) overnight at 4°C. Wells were washed with phosphate-buffered saline, excess sites were blocked with bovme serum albumin (1%) in phosphate-buffered saline for 30 mm at room temperature, and then incubated for 1 hr at 37°C with monospecific polyconal rabbit immune IgG against EMAP II dissolved in phosphate-buffered salme containing bovine serum albumin (1%) . Primary antibody was revealed with peroxidase conjugated secondary antibody and o-phenylenediamine dihydrchloride as the chromogenic substrate. Concentrations of EMAP II were determined by comparison with a standard curve made with known amounts of recombinant murine EMAP II.

Matrigel model. Matrigel (Klem an H , 1986; Passaniti A.,

1992) (Collaborative Research) containing either EMAP II

(100 ng/ml) , bFGF (100 ng/ml) (Collaborative Research) and heparin (40 U/ml; Sigma) , EMAP II (100 ng) + bFGF/heparm, vehicle alone (1% BSA) , or heat- activated EMAP II (alone or with bFGF/heparm) were mixed at 4°C Matrigel mixtures were injected subcutaneously into C57BL6/J mice (0.25 ml/site) at two sites per animal. The angiogemc response was analyzed at 7 and 14 days post-moculation by routme histology and hemoglobin assay (Sigma) .

Murine clearance studies. Clearance of EMAP II in mice was assessed using ¹²⁵I-labelled EMAP II EMAP II waε radioiodmated by the Bolton and Hunter method (3.2 mol of ester/mol of protein) (Bolton A., 1973) , and the tracer was 99% precipitable m trichloroacetic acid (20%) , migrated as a single band with Mr =20 kDa on SDS-PAGE, and had a specific radioactivity of =8000 cpm/ng. Balb/c mice received ¹²⁵I-EMAP II (0.26 μg) either intravenously (IV) via the tail vein or intraperitoneally (IP) . Plasma samples were taken at the indicated times, and animals were sacrificed at 24 hours. Organε were then dried, weighed and radioactivity assessed. In addition, C57BL6/J mice bearing 14 day old subcutaneous B16 tumors received ¹²⁵I-EMAP II (0.26 μg/ammal; IP) , and 1 hour before sacrifice ⁵¹Cr- labelled microspheres (10 μ) in normal salme were infused (the latter to monitor residual blood in the tissue) . These studies were performed to define ^{1 5}I-EMAP II plasma clearance, volume of distribution, and accumulation n tumor tissue. In each case, tissue associated radioactivity was determined on weighed samples either after drying (for total radioactivity) , or followmg homogenization of tissue and trichloroacetic acid precipitation (20%) ¹²⁵I-EMAP II the tissue was corrected for residual blood based on the presence of ⁵¹Cr-labelled microsperes Plasma¹²⁵ I-EMAP II concentration data were fit to a two-compartment open model using nonlinear regression by extended leat squares analysis (Siphar, SIMED, Creteil, France) In order to asseεs the "goodness of fit," residual analysiε (an examination of the εtandard deviation) was performed. In addition to the Likelihood test, Akaike, Leonard and Schwarz criteria were teεted to select the most appropriate model (Yamoaka K , 1978) t_1/2Qt, t_1/2β, t_1/2r denote half-lives for distribution, elimination and reεorption half-lives, respectively.

Tumor models. LLC and B16 (F10) cells were rinsed with Hankε buffered saline solution, trypsinized, counted, resuspended m phosphate-buffered salme, and injected subcutaneously mto backs of C57BL6/J mice (2 x IO⁶ cells/animal) On the third day following administration of tumor cells, animals underwent IP injection of EMAP II every 12 hrs for 12 days of either vehicle alone (serum albumin, 1%) , vehicle + EMAP II (at 100 or 1000 ng) , or vehicle + heat-inactivated EMAP II (1000 ng) Tumor growth was assessed with calipers every third day (from days 3-15) , and tumor volume was calculated according to the formula for a εpehircal εegment (35) , V = πh (h+3a²)/6, where h= height of the εegment, a= (length+width) /2, and V= volume. Tumor volume data was analyzed using the Kruskal-Walliε one way ANOVA and a Mann-Whitney mean rank teεt Animals were sacrificed and tumors analyzed histologically at day 15

HistoloQic analysis was performed on formalin fixed, paraffin embedded tiεsue, using hematoxylm and eos staining. DNA nick translation was used in tumor tissue

(LLC an Meth A) to evaluate apoptosis. Paraffin embedded tumor slices were deparaffmized and digoxigenin-11-UTP was used to label fragmented DNA accordmg to the Genius 1 kit (Amersham, location) . In brief, tissue was treated with proteinase K (1 μg/ml) , and incubated with digoxigenin-11- UTP, klenow, and DNTP'ε overnight. Nitroblue tetrazolium and alkaline phoεphataεe were used to reveal the digoxigenin labelled DNA fragments. In addition, sequential sections of Meth A tumors underwent analysis for DNA fragmentation and EMAP II. Apoptosiε was analyzed m cultured cells exposed to EMAP II (10 and 100 ng) . Cultures were exposed to hypoxia (p0₂ =14 torr) using a specially conεtructed controlled environment chamber, aε deεcribed previously (Ogawa S., 1990) Cells were incubated with EMAP II, as indicated, and were then fixed m paraformaldahyde (2.5%) , rinsed with phosphate-buffered salme, incubated with 6- diamidmo-2 -phenylmdoledilactate (DAP-1; final concentration, 1 ng/ml) and mounted with glycerol (10%) . DNA laddering for apoptosis in cultured cells exposed to EMAP II was performed as deεcribed (Gorczyca W., 1993) Briefly, after 12 hourε of exposure to EMAP II, cultures were treated with lysiε buffer (Tris-borate buffer, 45 mM; EDTA, ImM; pH 8.0; NP-40, 0.25%) , digested with proteinase K (1 mg/ml) and RNAase A (0.1 mg/ml) , and then DNA was purified by phenol-chloroform extraction. DNA (10 μg/lane) was subjected to agarose gel (1.8%) electrophoresis at 40 volts using an 100 bp ladder as standard (Boehrmger Mannheim) . Gels were stained with ethidium bromide.

Results

Preparative scale purification of recombinant EMAP II. Previous studieε have employed FPLC Mono Q followed by preparative SDS-PAGE to prepare homogenous EMAP II (Kao J. , 1992; Kao J., 1994) , resulting microgram quantities of purified EMAP II. In order to obtain the larger amounts of polypeptide necessary for a range of studies to characterize properties of EMAP II, using in vitro and vivo syεtems, a larger scale approach was employed. E. coli paste, from bacteria transformed with the a plasmid expressing mature EMAP II, was disrupted using a microfluidizer, the latter method found to be 100% effective based on light microscopy. Addition of polyethylene imine to a final concentration of 0.25% removed many of the contaminating polypeptide bands (Fig. 1, compare lanes 1 and 2) from the homogenate. Application of the polyethylene imine supernatant (800 mg) to Heparin Sepharose followed by elution with an ascending salt gradient yielded a pool of protein (150 mg) significantly enriched m EMAP II (Fig. 2A) and containing only minor contammants by SDS-PAGE (Fig. 1, lane 3) The majority of contaminating prote eluted in the flow through of the column or at the beginning of the εalt gradient (Fig. 2A) . Protem yieldε of over 90% were obtained from the concentration and buffer exchange of the Heparin Sepharose pool .

SP Sepharose High Performance chromatography of the EMAP II- rich pool from Heparin Sepharose (130 mg) further removed contaminating protems (Fig. 2B) , shown to be principally the high molecular weight contaminants, as judged by SDS- PAGE (Fig. 1, lane 4) The latter more slowly migrating polypeptide bands were subjected to N-termmal sequence analysis and shown to be of bacterial origin and unrelated to EMAP II or the transformation procedure. EMAP II- contammg fraction eluted at approximately 0.15 M sodium chloride in the gradient, and protem yieldε of over 90% were obtained for this step. Final purification of the SP Sepharose pool (130 mg) was achieved by Phenyl Toyopearl Chromatography (Fig. 2C) which removed any residual contaminating non-EMAP II bands (Fig. 1, lane 5) . EMAP II- containing fractions eluted at approximately 1 M (NH₄)₂S0₄ and yields of nearly 100% were obtained.

Protem yields of over 98% were obtained by the concentration and formulation of EMAP II mto phosphate- buffered salme. Posidyne filtration cauεed no loss of protem and reduced endoxom levels to <10 pg/3-5 mg purified EMAP II protem. The final formulated pool was seen as an apparently diffuse band at 21 kDa by gel electrophoreεis (Fig. 1, lane 6) . The faint band at Mr =40 kDa was probably due to aggregation of EMAP II, as indicated by the characterization of the purified material below. Mass spectrometry gave measured mass of 18,006 which is close to the expected masε of 17,970. N-termmal sequence analysis showed a single sequence with an 100% match between purified murine EMAP II and the published sequence (Kao J., 1992, Kao J., 1994) The purified material was alεo recognized by anti-mature EMAP II ammo terminal peptide IgG by immunoblottmg, and in the endothelial cell tissue factor induction assay gave activities of 0.3-0.4 units/ng of protem. The latter is what has been observed with nonrecombmant EMAP II prepared from meth A-induced murine fibrosarcomas (Kao J , 1992) or recombinant EMAP II prepared by a non-preparative scale method (Kao J., 1994) The faint band at Mr =40kDa observed on SDS-PAGE of purified (r)EMAP II preparations (Fig. 1, lane 6) , was thuε moεt likely to repreεent aggregates (identical N-termmal sequence and immunoreactive with anti-mature EMAP II-N-termmal peptide IgG (Kao J., 1992) on immunoblottmg. Heat-treated EMAP II was boiled for 15 mm, and had no activity with respect to previously described effects of EMAP II on ECs or mononuclear phagocytes (Kao J. , 1992; Kao J. 1994) .

Effect of EMAP II on bFGF-induced angiogenesis. To evaluate the ability of EMAP II to regulate blood vessel formation in response to known growth factor, bFGF and herapin were mixed with a gel of basement membrane protems produced by Engelbreth-Holm-Swarm tumor cells (Matrigel) to serve as a model angiogemc stimulus (Kleinman H , 1986, Pasεamti A., 1992) Subcutaneous Matrigel implants m C57BL6/J mice were evaluated 14 days after inoculation for vesεel formation, cellular infiltration and hemoglobin content. Histologic analysis of the gel showed formation of vessel and white cell infiltration to be most pronounced m implants from animals treated w th bFGF and heparin (Fig. 3A) , which closely parallelled the appearance of implants from animals whose gel content either bFGF/herapm + vehicle (albumin) or bFGF/herapin + heat-treated EMAP II (Fig. 3B) . This induction of blood vessel formation is similar to that reported previously with bFGF in this model (Passaniti A. , 1992) . In contrast, implants from animals treated with bFGF/herapin + EMAP II displayed marked reduction in vessel ingrowth (Fig. 3C) ; little-to-no vessel formation and only a minimal cellular infiltrate was observed (n=36) . Consistent with these histologic results, there was a 76% reduction in hemoglobin content in implantε containing EMAP II, compared to vehicle alone (defined as 100%) , heat- inactivate EMAP II (89%) or bFGF/herapin (146%) (Fig. 3D) .

Plasma clearance and tissue deposition of infused EMAP II. In order to perform in vivo studieε with EMAP II, its plasma clearance and tissue deposition was evaluated (Fig. 4A) . Clearance studieε were performed uεing ¹²⁵I-EMAP II administered either IV or IP. The fall in plasma concentration of)I-EMAP II after IV injection fit best to a bi-exponential function; the distribution and elimination half-lives were 0.47+0.17 and 103±5 min, respectively. Following IP injection, ¹²⁵I-EMAP II was detected in plasma after 1 min, and the maximum concentration was reached by 35±10min. The resorption phase of EMAP II handling in vivo was best described as a first-order process. The elimination phase following IP administration fit to a monoexponential decline, and the resorption and elimination half-lives were 50.1+0.10 and 102±6 min, respectively.

Animals bearing B16 tumors were analyzed for tumor- associated radioactivity after receiving an IP injection of ¹²⁵I-EMAP II; at 1, 6, and 12 hours radioactivity accumulated in the tumor (56±20 cpm/mg tumor tisεue; 63+8.9% precipitable in 20% trichloroacetic acid) was 2.5-fold greater than in the spleen (22.7+10 cpm/mg; 39.7+16.7% precipitable in 20 trichloroacetic acid) (Fig. 4B-C; the figure shows data from the 12 hour time point that is consistent with that observed at earlier times) . Other normal tissues, such as liver and brain, also showed a lower amount of radioactivity compared with that present the tumor (Fig. 4C)

Effect of EMAP II on growth of primary tumors. Mice implanted subcutaneously with LLC cells developed tumors which showed a marked reduction m size when animals received EMAP II, versus controls with vehicle alone or vehicle + heat-treated EMAP II (Fig. 5A) These differences were statistically significant using either the Kruskal- Wallis one way ANOVA analysis (p<0.034) or by Mann-Whitney analysis (p<0.003) (Fig. 5A) . Histologic study of LLC tumorε allowed to grow for 15 days and injected every 12 hrs with vehicle (albumin 1%) demonstrated a densely packed and uniform cell population (Fig. 5B) . Heat-inactivated EMAP II (at 1000 ng) was without effect on tumor histologic appearance (Fig. 5C) . After administration of active EMAP II at 100 ng or 1000 ng twice daily for 12 days, a dose- dependent appearance of pyknotic bodies was observed (Fig. 5D-E) , consiεtent with apoptosis, which appeared to parallel the course of capillaries. This was confirmed by assessing DNA fragmentation on sequential sectionε by end-labelling with digoxigenin-11-dUTP; compared with control tumorε treated with vehicle alone, positive staining, characteristic of apoptosis, was observed tumors treated with EMAP II (Fig. 5F-G) . There waε a dose-dependent increase m apoptotic areas present m the tumorε with 100 and 1000 ng of EMAP II Similar inhibition of tumor growth waε observed when EMAP II was administered to mice with bl6 melanomas.

These resultε led to an assessment of whether apparent necrosis in the peπvascular areas of Meth A sarcomas, which produce EMAP II endogenously (as asεessed by ELISA of meth A and tumor tissue) , might be asεociated with apoptoεi . DNA fragmentation was demonstrated by m situ nick translation meth A, and appeared to parallel the vasculature in a pattern reεemblmg that obεerved in LLC tumorε in animalε that received EMAP II Pilot εtudieε have suggested that EMAP II was also present at these perivascular sites m the meth A tumor

Effect of EMAP II on endothelium EMAP II was initially isolated from Meth A tumors, due to their known thrombohemorrhage, resulting in spontaneously occurring areas of apparent necrosis/apoptosis (Old L., 1986) . These data, along with examination of multiple LLC and B16 melanomas followmg treatment with EMAP II (in which apoptosis followed a perivascular pattern) , suggested that EMAP II might modulate endothelial cell growth

When confluent ECs were wounded and EMAP II was administered, cells at the wound edge failed to effectively migrate/proliferate and fill the wound area (Fig. 6B) compared to untreated controls (Fig 6A) Staining with DAP-1, to visualize the chromatm, revealed the presence of apoptotic bodies, suggesting that EMAP II induced programmed cell death (Fig. 6D) versus their absence m controls (Fig 6C) . Thiε effect was selective for rapidly growing ECs, as exposure of cultureε approaching confluence to EMAP II had a small effect; there was a decreaεe m the mitotic rate and, at most, a 3-4 fold increase in apoptotic bodies (Fig 6D) compared with untreated controls. EMAP II-induced apoptosis of rapidly growing ECs was further analyzed by electrophoresiε for DNA fragmentation, characteπεtic ladder formation waε observed in growing ECs exposed to EMAP II, whereas vascular smooth muscle cell DNA was unaffected.

As tumor tissue is also known for the presence of areas of local tissue hypoxia/hypoxemia (Olive P , 1992, Kalra R. , 1994) , whether EMAP II displayε enhanced activity under oxygen deprivation waε investigated When ECs were exposed to hypoxia (p0₂ =14 torr) for 12 hrs, there was a decreaεe m mitotic rate (Fanburg B., 1987, Shreeniwaε R., 1991) and a slight increase in apoptosis, which was magnified 50-fold in the presence of EMAP II Discussion

Formation of tumor vaεculature iε eεεential for growth and development of the neoplasm, but also provides an opportunity for therapy at the level of interrupting vascular integrity or the delivery of cytotoxic agents. Vasculature in tumors is known for its prothrombotic diathesis, increased permeability, exaggerated response to cytokines, and increased number of growing/migrating endothelial cells (Folkman, J., 1995; Old L., 1986; Asher A., 1987; Conεtantinidiε I., 1989; Watanable N. , 1988; Senger D., 1983) . Theεe propertieε, which diεtinguish vessels in the tumor bed from these in normal tissues, suggest parameters to be exploited in defining agents to selectively target tumor neovasculature.

Studies to identify EMAP II began with a characterization of mediators produced by Meth A tumor cells which perturbed properties of the endothelium (Kao J. , 1992; Kao J., 1994; Nawroth P., 1988) . Thus EMAP II was firεt studied based on its modulation of endothelial properties, such as induction of leukocyte adherence molecules and the procoagulant cofactor tissue factor. Further studieε on mononuclear phagocyteε and polymorphonuclear leukocyteε confirmed itε ability to induce cell migration and activation. Theεe data suggested that EMAP II had properties of an inflammatory cytokine, at least based on in vitro findingε. This was consistent with the capacity of EMAP II to enhance tumor thrombohemorrhage in response to TNF (Kao J., 1992; Kao J., 1994) . However, the results of other in vivo experiments were not conεistent with an important role for EMAP II as an inflammatory cytokine; in the footpad model, EMAP II induced only transient, mild swelling and leukocyte infiltration, and, following IV infusion, EMAP II elicited transient pulmonary leukostasis and expression of other cytokines (Interleukins 1 and 6, and tumor necrosis factor, TNF) (Kao J. , 1992; Kao J., 1994) . Furthermore, at the highest doses of EMAP II infused (10-50 μg/animal) , there was no evidence of severe toxicity and there were no fatalities (Kao J. , 1994) . This contrasts with the more potent effects of TNF under similar conditions (Beutler B. , 1986) . These data aroused suspicion that EMAP II might have properties distinct from proinflammatory cytokines. This supposition is supported by the finding reported herein that EMAP II had anti-angiogenic properties in vivo, in contrast to the angiogenic effects of TNF (Frater-Schroder M., 1987; Leibovich S. , 1987) .

In the current experiments EMAP II's anti-proliferative propertieε in vitro and antiangiogenic activity in vivo have been explored. Studieε in the Matrigel model demonstrated reduction neovascularization, consistent with endothelium comprising a cellular target of EMAP II. The diminished sized of tumors in the presence of EMAP II could result both from diminished neovascularization, as well as destruction of vessels already present in the tumor bed. The perivascular location of areas of apoptosis both in LLC, receiving exogenous EMAP II, and in Meth A tumorε, producing

EMAP II endogenously, suggests that vasculature was a target of the cytokine. The effect of EMAP II iε less likely to be mediated by direct action on the tumor cells, as EMAP II does not impact adversely on tumor cell growth and viability in vitro. In contrast, experiments with cultured endothelium demonstrated induction of apoptosis of rapidly growing cultures, whereas there was a less pronounced effect on cultures approaching confluence. Although mitoses in just-confluent endothelium were markedly diminished, induction of programmed cell death was minimal, possibly to a cell cycle-dependence of EMAP II-induced cellular effects. As hypoxia is an important stimulus for angiogenesis, it was of intereεt to note that EMAP II had an exaggerated apoptotic effect in endothelial cultures subjected to oxygen deprivation. This was not observed in either smooth muscle cells or fibroblastε under εimilar hypoxic conditions. Data, εhowing high affinity endothelial binding sites for EMAP II, contrasted to the absence of such sites on tumor cells, would be consiεtent with differential expression of EMAP II receptors on these cell types. Although the basis for this apparent specificity of EMAP II at the cellular level is at present unclear, this might reflect differenceε receptor expression or post-receptor signalling. Such specificity is clearly critical for guiding future work directed at mechanisms underlying actions of EMAP II on the cellular and molecular levels.

RETINOPATHY

A hypoxia induced retinal neovascularization model has been well established by the "Association for Research m Vision and Ophthalmology Statement for the use of Animals in Ophthalmic and Vision Research," is followed. To produce retinal neovascularization, litters of 7 day old (postnatal day seven -P7) C57BL/6J mice with nursing mothers are exposed to 75% oxygen for 5 days and returned to room air at age P12 (room air will mimic hypoxia m the mouse) . Animals receive IP vehicle (mouse serum albumin) - control, EMAP II 100-lOOOng or heat inactivated EMAP II (lOOOng) every twelve hours beginning on P7 and continuing until evaluation of retina. Mice of the same age kept in room air are uεed aε controls. The eyes of the mice are evaluated on days P13-18 in room air for the development of retinopathy. This is accomplished by humane euthanasia of the mice, the infusion of a fluorescein-dextran solution and the use of fluorescence microscopy for the viewing of the eye vasculature. By assessing the amount of new vascularization, inhibition of retinal angiogenesis is demonstrated. Example 2 Endothelia -monocyte Activating Polypeptide II, a Novel Anti-tumor Cytokine That Suppresses Primary and Metastatic Tumor Growth, and Induces Apoptosis in Growing Endothelial Cells

Neovascularization is essential for growth and spread of primary and metastatic tumors . From murine methylcholanthrene A-induced fibrosarcomas, well-known for their spontaneous vascular insufficiency, a novel cytokine has been identified and purified, Endothelial-Monocyte Activating Polypeptide (EMAP) II, that potently inhibits tumor growth in vivo, and appears to have anti-angiogenic activity in vivo and in vitro. Mice implanted with a matrix containing basic fibroblast growth factor showed an intense local angiogenic response which EMAP II blocked by 76% (p<0.001) . Intraperitoneally administered recombinant EMAP II suppressed the growth of primary Lewis Lung Carcinomas, with a reduction in tumor volume of 65% compared with controls (p<0.003 by Mann-Whitney) . In a lung metastasis model, EMAP II blocked outgrowth of Lewis lung carcinoma macrometastases; total surface metastases were suppressed by 65%, and of the 35% metastases present, about 80% of these were inhibited with maximum diameter <2 mm (p<0.002 compared with controls) . In growing capillary endothelial cultures, EMAP II induced apoptoεiε in a time- and doεe-dependent manner; an effect enhanced by concomitant hypoxia, whereas other cell types, such as Lewis Lung carcinoma cells, were unaffected. These data suggest that EMAP II is a tumor suppressive mediator with anti-angiogenic properties allowing it to target growing endothelium and limit establishment of neovasculature .

The following abbreviationε are used herein below: meth A, methylcholanthrene A-induced fibrosarcoma; EMAP, Endothelial-Monocyte Activating Polypeptide; TNF, Tumor Necrosis Factor; EC, endothelial cell; SMC, smooth muscle cell; LPS, lipopolysaccharide; r, recombinant; BFGF, basis fibroblast growth factor; LLC, Lewis Lung Carcinoma; IV, intraperitoneal; IP, intraperitoneal; DAP-1, 6-diamidino- 2phenylindoledilactate; TUNEL, terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick end labeling; VEGF, Vascular Endothelial Growth Factor.

Murine methylcholanthrene A-induced (meth A) fibrosarcomas, which exhibit spontaneouε vaεcular inεufficiency manifeεted by a heterogeneous pattern of thrombohemorrhage and central necrosiε, as well as their failure to form metastatic lesions (Old, L., 1986; Old, L., 1961) , provide an ideal starting point for isolation of tumor-derived mediators which perturb the vasculature (Clauss, M. , 1990; Clauss, M. , 1990; Kao, J., 1992; Kao, J., 1994) . A novel cytokine-like molecule waε purified, Endothelial-Monocyte Activating Polypeptide (EMAP) II, from meth A-conditioned medium based on its capacity to induce activation of endothelial cells and mononuclear phagocytes (Kao, J. , 1992; Kao, J., 1994) . Thiε εingle chain polypeptide, devoid of a εignal sequence, is initially synthesized aε a =34 kDa intracellular precurεor, which is processed to the mature =20 kDa form and released extracellularly by a yet to be identified pathway. EMAP II showed no significant homology to other known proteins, such aε cytokines or growth factors. However, an aspartic acid residue is present in the P-l position in both murine and human EMAP II, suggesting a cysteine protease in the Interleukin lβ-converting enzyme family might be responsible for producing mature EMAP II from its pro-form. Our initial characterization of EMAP II suggested that its properties resembled those of proinflammatory mediators. For example, EMAP II induced endothelial release of von Willebrand factor, translocation of P-selectin to the cell surface, synthesis and expression of E-selectin and procoagulant tissue factor (Kao, J. , 1992; Kao, J., 1994) ; theεe, and EMAP II-mediated activation of cultured monocytes, resulting in production of cytokines and stimulation of cell migration, suggested phlogogenic properties. However, EMAP II administered in vivo, locally or syεtemically, gave rise to, at most, mild and transient inflammation (Kao, J., 1994) , suggesting that its effects were quite different from those of tumor necrosis factor (TNF) or Interleukin 1 (Old, L., 1961; Sherry, B. , 1988; Dinarello, C. , 1993) .

EMAP II has anti-angiogenic properties preventing blood vessel ingrowth in an experimental angiogenesis model, and suppressing the growth of primary and metastatic tumors without toxicity in normal organs. Consistent with this hypothesis, EMAP II appears to target growing endothelial cells; exposure of growing cultured capillary endothelium to EMAP II induces apoptosis, which is magnified by concomitant hypoxia. These data suggest that EMAP II is a polypeptide with anti-angiogenic properties which targetε rapidly growing vascular beds, and εuggeεtε that, in addition to its effects on tumor neovessels, it may contribute to phases of normal development and wound repair in which cessation of blood vessel growth and tissue resorption are critical.

METHODS Cell culture and in vitro assays. Bovine aortic and capillary endothelial cells (ECs) were isolated from calf aortae and adrenal, respectively, grown in culture and characterized, based on the presence of vonWillebrand factor and thrombomodulin, as described previously (Gerlach, H., 1989) . Bovine vascular smooth muscle cells (SMCs) were prepared by additional εcraping of the aortae following removal of the endothelium, and were characterized based on the presence of smooth muscle cell actin (Gown, A., 1985) .

Lewis Lung Carcinoma (LLC) and B16(F10) melanoma cells, obtained from American Type Culture Collection (ATCC) , were maintained in high glucose-defined Minimal Essential Medium

(DMEM; Gibco) containing fetal bovine serum (10%) . Meth A tumor cells (Center for Cancer Research, NY) were grown as described (Old, L., 1986) . EMAP H-induced apoptosis was studied in subconfluent endothelial cultures (Gerlach, H., 1989) . DNA fragmentation waε quantified using a 5-bromodeoxyuridine (Brdu) incorporation kit from Boehringer-Mannheim according to the manufacturer's instructions. In brief, cells were incubated for 12 hrs with BrdU, were plated for 24 hrs on 96-well plates, and were then treated with either vehicle (fetal bovine serum, 10%) alone or vehicle + rEMAP II, as indicated. After 12 or 24 hrs at 37°C, cells were lysed, centrifuged (250xg) for 10 min, and then the top 0.1 ml was aspirated and applied to an ELISA plate with pre-adsorbed anti-DNA antibody. Site of primary antibody binding were identified using peroxidase-conjugated anti-BrdU antibody. Where indicated, ECs were incubated with rEMAP II and/or exposed to hypoxia (p0₂ =14 torr) uεing a specially constructed controlled environment chamber, as described previously (Shreeniwas, R., 1991) . After the incubation period, cellε were fixed in paraformaldahyde (2.5%) , rinsed with phosphate-buffered saline, incubated with 6-diamidino-2-phenylindoledilactate (DAP-1; final concentration, 1 ng/ml) and mounted with glycerol (10%) . F-actin was visualized in cultured cells by incubation with rhodamine-conjugated phalloidin (Molecular Probeε) . Wounding of endothelial monolayerε was performed using a 2-mm cork borer (Selden, S., 1981) .

Preparation of recombinant murine EMAP II , and detection of EMAP II transcripts and antigen. Recombinant EMAP II was prepared from E. coli (host HMS174 [DE3] ) transformed with a plasmid containing the coding sequence for mature EMAP II, as described previously (Kao, J., 1994) . Frozen (-80'C) E. coli cell paεte was mixed 1:10 (w/v) with Tris-HCl (20 mM; pH 7.4) containing octyl-β-glucoside (0.1%) and an homogeneouε suspension waε formed by agitation uεing a microfluidizer for 20 min (speed 60) at 4°C. Polyethylene imine at pH 7 was then added to the homogenate to a concentration of 0.25%, solids were removed by centrifugation (5000xg; 30 min) , and the supernatant was retained. After filtration (0.2 μm) , the εample waε applied (3 mis sample/ml of gel) to Heparin Sepharose CL-4B

(Pharmacia; 120 ml bed volume) equilibrated in Tris-HCl (20 mM; pH 7.4) containing octyl-β-glucoεide (0.1%) , and the column was eluted with a linear ascending NaCl gradient . Fractions were pooled on the basis of purity by silver stained SDS-PAGE, by immunoblottmg with antibodies prepared to the N-terminus of mature EMAP II, and by biological activity meaεured a tissue factor induction assay (Kao, J., 1994) . The Heparin Sepharose pool was concentrated using an Amicon Stirred Cell (Amicon) , the retentate waε desalted mto 3- (Morpholino) -propane-sulfonic acid (MOPS, 25 mM; pH 6.9) , and was then applied to an SP Sepharose High Performance (Pharmacia) cation exchange column (55 ml bed volume) . The column was eluted by application of a 0 to 0.5 M ascending linear salt gradient m MOPS, and EMAP Il-contammg fractions were adjusted to 2 M in (NH₄)₂S0₄, applied to a Phenyl Toyopearl 650 M (Tosohaas) column (90 ml bed volume) , equilibrated in sodium phosphate (20 mM; pH 7) containing 1 M (NH₄)₂S0₄- The column was eluted with a descending salt gradient (2 to 0 M) m sodium phosphate (20 mM) , and EMAP II in the Phenyl Toyopearl column eluate was concentrated to 3-5 mg/ml, and formulated mto phosphate-buffered salme (PBS; pH 7.4) by buffer exchange on a Sephadex G25 column (as above) Lipopolysaccharide

(LPS) was removed using filtration through a Poεidyne filter

(Pall Corp.) , and LPS levels were estimated using the

Endospecy chromogenic assay (limit of detection <10 pg/ml)

Purified EMAP II was subjected to N-termmal sequence analysis, mass spectrometry and SDS-PAGE; the current material was found to be homogeneous according to these criteria. The phenyl-toyopearl column and Posidyne filtration steps appeared to remove certain toxic contaminant (s) associated with rEMAP II prepared by preparative electrophoresis m previous studieε (Kao, J., 1994) .

Antibody to rEMAP II was prepared by standard methods m rabbits (Vaitukatis, J., 1981) and was found to be monospecific, based on immunoblottmg of plasma and cell extracts, and anti-EMAP II IgG blocked the activity of rEMAP II in cell culture assays (Kao, J. , 1994) . This antibody was used to develop an ELISA to detect EMAP II antigen by the general protocol described previously (Kao, J., 1994) .

PCR analysis for EMAP II transcripts employed RNA extracted from murine tissues (Balb/c mice) using the RNA Stat-60 kit (Teltest) according to the manufacturer's instructions, and reverse transcribed (1 μg) using Taq polymerase (Perkm-Elmer-Cetus) . Primers were used for EMAP II (#1: GCATCGCGTCTGGATCTTCGAATT ; and, #2 :

GTATGTGGCCACACACTCAGCATT) and β-actm (Gibco) . Thermocycl g parameterε for the experiment shown in Fig. 7 were: 94 " C for 30 sec; 55 ' C for 30 sec; and, 72 " C for 30 sec for a total of 35 cycles. Samples were subjected to agarose gel (1%) electrophoresis and bands were visualized by ethidium bromide staining. Identity of amplicons waε confirmed by Southern blotting with the appropriate cDNA probes .

Matrigel model. Matrigel (Klemman, H., 1986, Pasεaniti, A. , 1992) (Collaborative Research) containing either vehicle (1% BSA) , rEMAP II (100 ng/ml) + vehicle; basic Fibroblast Growth Factor (bFGF; 100 ng/ml; Collaborative Research) + heparin (40 U/ml; Sigma) + vehicle; rEMAP II (100 ng/ml) + bFGF/heparm + vehicle, or heat-mactivated rEMAP II (100 ng/ml; alone or with bFGF/heparm) + vehicle was mixed at 4° C. Matrigel mixtures were injected subcutaneously mto C57BL6/J mice (0.25 ml/site) at two sites per animal. The angiogemc response was analyzed at 7 and 14 days post-inoculation by routine histology and hemoglobin assay (Sigma) .

Murine clearance studies. Clearance of EMAP II in mice was assessed using ¹²⁵I-labelled rEMAP II. rEMAP II was radioiodmated by the Bolton and Hunter method (3.2 mol of ester/mol of protem; 16) , and the tracer was 99% precipitable m trichloroacetic acid (20%) , migrated as a single band with Mr =20 kDa on SDS-PAGE, and had a specific radioactivity of =8000 cpm/ng. Balb/c mice received ¹²⁵I-rEMAP II (0.26 μg) either intravenously (IV) via the tail vein or intraperitoneally (IP) . Plasma samples were taken, and animals were εacrificed at 24 hours. Organs were then dried, weighed and radioactivity assessed. In addition, C57BL6/J mice bearing 14 day old subcutaneouε B16 tumorε received ¹²⁵I-rEMAP II (0.26 μg/animal; IP) , and, 1 hour before sacrifice, were infused with ⁵¹Cr-labelled microspheres (10 μ) in normal sal e (the latter to monitor residual blood m the tissue) . These studies were performed to define ¹²⁵I-rEMAP II plasma clearance, volume of distribution, and accumulation in tumor tissue. In each case, tisεue associated radioactivity was determined on weighed samples either after drying (for total radioactivity) , or following homogenization of tissue and trichloroacetic acid precipitation (20%) . ¹²⁵I-rEMAP II in the tissue was corrected for residual blood based on the presence of ⁵¹Cr-labelled microspheres. Plasma ¹²⁵I-rEMAP II concentration data were fit to a two-compartment open model using nonlinear regression by extended least squares analysis (Siphar, SIMED, Creteil, France) . In order to asseεε the "goodneεs of fit," residual analysis (an examination of the standard deviation) was performed (Yamoaka, K. , 1978) .

Murine tumor models. To test the effect of anti -EMAP II IgG on apoptosis in meth A tumors , mice were subcutaneously injected with meth A cells and on day 9 started on a course of IP injections every third day of either nonimmune rabbit IgG (400 μg/dose) or rabbit anti-murme EMAP II IgG (200 or 400 μg/dose) . This regimen of IgG administration was based on pilot εtudies in which ¹²⁵I-rabbit anti-EMAP II IgG infused mto mice demonstrated a half-life of elimination of 29.4±2.67 hrs. Animals were sacrificed at day 14 and tissue was analyzed for evidence of apoptosis as described below.

For producing primary tumors to tes t the effects of EMAP II treatment, LLC and B16(F10) melanoma cells were rinsed with Hanks buffered salme solution, trypsinized, counted, resuspended in phosphate-buffered saline, and injected subcutaneously into backs of C57BL6/J mice (2xl0⁶ cells/animal) . On the third day following administration of tumor cells, the tumor was reproducibly measurable, and this tumor volume was taken for comparison with later measurements of that tumor. Animals then underwent IP injection every 12 hrs for 12 days of either vehicle alone (serum albumin, 1%) , vehicle + rEMAP II (at 100 or 1000 ng) , or vehicle + heat-inactivated rEMAP II (1000 ng) . Tumor growth waε aεsessed with calipers every third day (from days 3-15) , and tumor volume waε calculated according to the formula for a spherical segment (18) , V= πh (h²+3a²) /6, where h= height of the segment, a= (length+width) /2, and V= volume (each tumor was compared with itself over multiple measurements and change in volume was noted) . Tumor volume data were analyzed using the Kruskal-Wallis one way ANOVA and a Mann-Whitney mean rank test . Data is expressed as a dimensionless ratio of observed tumor volume divided by initial (day 3) tumor volume. Animals were sacrificed and tumors analyzed histologically at day 15.

For the metas tatic tumor model (O'Reilly, M., 1994; Holmgren, L., 1995) , C57BL6/J mice received LLC cells subcutaneouεly and were observed until tumor volume reached ≥l .5 cm³. Animals then received rEMAP II (1000 ng/dose) in vehicle or vehicle alone IP every 12 hrs for 72 hrs prior to resection of the primary tumor. Following complete resection of the tumor (with no recurrence) , mice were observed for an additional 15 days, during which time they received rEMAP II (1000 ng IP every 12 hrs) in vehicle or vehicle alone (same schedule) . On day 15, lungs were injected intratracheally with India ink (15%) to visualize lung surface nodules, and tissue was fixed in Fekete's solution (70% alcohol; 5% glacial acetic acid; 3.7% formaldehyde) . Surface metastatic leεionε were counted by gross inspection of the tissue under 4X-magnification, and macrometastases were defined based on a smallest surface nodule diameter >2 mm. Tissue analysis: histology, apoptosis, immunohistology.

Histologic analysis was performed on formalin fixed, paraffin-embedded tissue, using hematoxylin and eosin staining. The terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick end labeling (TUNED assay was used to evaluate apoptosis; paraffin embedded tumor sliceε were deparaffinized and digoxigenin-11-dUTP was used to label fragmented DNA according to the Genius 1 kit (Amersham) . In brief, tissue was treated with proteinase K (1 μg/ml) , and incubated with digoxigenin-lld-UTP, klenow, and dNTP's overnight. Nitroblue tetrazolium and alkaline phosphatase were used to reveal the digoxigenin labelled DNA fragments. Where indicated, sections for the TUNEL assay were counterstained with eosin. For immunolocalization of EMAP II and thrombomodulin antigens, rabbit anti-rEMAP II IgG was employed (5 μg/ml) and rabbit anti-murine thrombomodulin IgG (2.5 μg/ml) . Tissues, fixed as above, were incubated with primary antibody for 2 hr at 37'C or 1 hr at room temperature, respectively; sites of primary antibody binding were visualized using the ABC Elite kit (Vector) , and revealed by reaction with 3 , 3'-diaminobenzidine.

RESULTS Effect of anti-EMAP II IgG on meth A tumors. A heterogeneous picture of vascular insufficiency is commonly observed in meth A tumors shortly after the primary tumor becomes established (Old, L., 1986; Old, L., 1961) . Prior to gross loss of tumor cell viability, pyknotic changes are evident in a perivascular distribution. At higher magnification, such pyknotic areas showed evidence of DNA fragmentation, based on TUNEL assay, and their general association with vasculature was confirmed by colocalization with the endothelial marker thrombomodulin (though regions of pyknosis/apoptosis extended beyond that in proximity to the blood vessel) . Immunohistologic localization of EMAP II in meth A tumors showed it be associated with the vessel wall, possibly reflecting interaction with extracellular matrix due to its hepar -bmdmg properties. Furthermore, it appeared that expression of EMAP II protem in the tumor was evident by day 9 and continued to increase thereafter, which corresponds to the appearance of apoptotic changes in the tumor bed. Consistent with an association of EMAP II with meth A-associated apoptosis, the presence of such lesions was markedly diminished in mice treated with a high dose of anti-EMAP II IgG.

Distribution of EMAP II in normal mice. These data suggested that EMAP II could impact on tumor viability, which led to an examination of its sequestration in normal tisεues. EMAP II transcripts were demonstrated a range of organs (brain, liver, lung, spleen, heart, kidney, smooth muscle; Fig. 7) , though their levels appeared to be quite low, requiring at least 35 cycles of PCR amplification to visualize the appropriate εize amplicon. This impression was confirmed by Northern analysis, which showed a low intensity band at =1.1 kb m meth A cell RNA (corresponding to the size of the murine EMAP II mRNA; Kao, J., 1992) , not observed m the normal organs. Expression of EMAP II transcripts was unaffected by infusion of lipopolysaccharide

(LPS; 100 μg/animal) or induction of hind limb ischemia.

ELISA for EMAP II antigen showed virtually undetectable levels in the above normal tissues (limit of detection <250 pg/ml) and no peak of EMAP II in the plasma after LPS administration or hind limb ischemia. These data indicated that EMAP II is expressed only at the lowest levels in normal mice, and that it is unlikely to be an early mediator of the host response to acute stimuli, such as LPS or ischemia This clearly contrasts with the rapid production and significant roles for promflammatory cytokineε such as Interleukin 1 and TNF in the acute response to tissue injury (Old, L., 1961; Sherry, B., 1988; Dmarello, C, 1993) .

Preparative scale purification of recombinant EMAP II. In order to further study the effects of EMAP II in vitro and in vivo, it was important to develop a preparative scale purification procedure. Previouεly, material eluted from SDS-PAGE corresponding to Mr =20 kDa was employed. Although this material was highly purified, it was difficulat to scale-up such a method and the biologic properties of the resulting EMAP II were somewhat variable, probably due to differing degrees of denaturation/renaturaton during SDS-PAGE and gel elution. This led to development of an alternate purification strategy. Recombinant (r) EMAP II was expressed in E. coli, and purified by polyethylene imine precipitation followed by sequential application to Heparin Sepharose, SP Sepharose, and Phenyl Toyopearl. Posidyne filtration waε then performed to remove LPS (levels were <10 pg at rEMAP II concentrations of 3-5 mg/ml) . Details of chromatographic εtepε are deεcribed under Methods . The final formulated material was homogeneous on SDS-PAGE, migrating as a diffuse band at =21 kDa. Mass spectrometry gave a measured mass of 18,006 which is close to the expected mass of 17,970. N-terminal sequence analysis showed a single sequence with an 100% match between purified murine EMAP II and the published sequence (Kao, J. , 1992; Kao, J. , 1994) .

Effect of EMAP II on bFGF-induced angiogenesis. To evaluate the ability of EMAP II to regulate blood vessel formation in response to known growth factors, bFGF and heparin were mixed with a gel of basement membrane proteins produced by Engelbreth-Holm-Swarm tumor cells (Matrigel) to serve as a model angiogenic stimulus (Kleinman, H., 1986; Pasεaniti, A., 1992) . Subcutaneouε Matrigel implantε in C57BL6/J mice were evaluated 14 days after inoculation for vessel formation, cellular infiltration and hemoglobin content. Histologic analysiε of the gel εhowed formation of vessels to be most pronounced and comparable in implants from animals treated with either bFGF/heparin + vehicle (albumin) or bFGF/heparin + heat-inactivated rEMAP II + vehicle; higher magnification confirmed the presence of neovessels in these implants. This induction of blood vessel formation is similar to that reported previously with bFGF in this model (Passaniti, A , 1992) . In contrast, in implants from animals treated with bFGF/heparm + active rEMAP II, there was marked reduction of vessel ingrowth; little-to-no vessel formation (n=40, this experiment was repeated seven times with similar results) . Consistent with these histologic findings, there was a 76% reduction in hemoglobin content in corresponding implants containing bFGF/heparm + rEMAP II, compared to bFGF/heparm + vehicle or heat-inactivated EMAP II + bFGF/heparm +vehιcle (see Figs. 3 A-E) .

Plasma clearance and tissue deposition of infused rEMAP II.

In order to perform m vivo studies with rEMAP II, its plasma clearance and tiεεue deposition were evaluated. Clearance studies were performed using either intravenously (IV) or intraperitoneally (IP) administered ^{1 5}I-rEMAP II (Fig. 4A-C) . The fall plasma concentration of ¹²⁵I-rEMAP II after IV injection fit best to a bi-exponential function (Yamoaka et al . , 1978) ; the distribution and elimination half-lives were 0.47+0.17 and 103±5 mm, respectively. Following IP injection, ^{1 5}I-EMAP II was detected in plasma after 1 mm, and the maximum concentration was reached by 35±10 mm. The resorption phase of rEMAP II handling m vivo waε best described as a first order procesε. The elimination phaεe following IP administration fit to a monoexponential decline, and the reεorption and elimination half-lives were 50.1±0.1 and 102±6 mm, respectively. Animals bearing B16 tumors were analyzed for tumor-associated radioactivity after receiving an IP injection of ^{1 5}I-rEMAP II; at 1, 6, and 12 hours radioactivity accumulated in the tumor was =7-fold greater than in the liver, and tumor selectivity was even more pronounced in other organs. Furthermore, the precipitability of the tracer in trichloroacetic acid (20%) was greater in the tumor compared with other tissues, consistent with a relative accumulation of apparently intact rEMAP II in tumor tissue.

Effect of rEMAP II on growth of primary and metastatic tumors. Mice implanted subcutaneously with LLC cells developed tumors (the latter do not express detectable EMAP

11 prote ) , which were first measured when they achieved a volume of about 9-10 mm³, =3 days followmg inoculation of cells The volume of each tumor was then measured every third day, and compared with the initial volume of that tumor on day 3. Compared with tumor-bearmg animals treated with vehicle alone or vehicle + heat-inactivated EMAP II, mice receiving active rEMAP II showed a striking reduction tumor volume (Fig. 5A-G) Differenceε between tumor volume m control and EMAP II-treated animals were statistically significant using either the Kruskal-Wallis one way ANOVA analysis (p<0.034) or comparing control versuε high dose rEMAP II by Mann-Whitney analysis (p<0.003) Histologic study of LLC tumors allowed to grow for 15 days and injected IP every 12 hrs with vehicle (albumin, 1%) demonstrated a densely packed and uniform cell population. Heat- activated rEMAP II (at 1000 ng/dose) was similar m appearance to the latter vehicle controls After administration of rEMAP II at 1000 ng/dose twice daily for

12 days, areas of pyknosiε were obεerved At higher magnification, rEMAP H-mduced areaε of pyknoεis had a general perivascular distribution, though pyknotic cells often extended beyond the vasculature. In Fig %F-G, a site with several microvessels is visualized by staining for thrombomodulin, and evaluation of an adjacent section demonstrates DNA fragmentation using the TUNEL assay. There were no such apoptotic areas in control tumors treated with vehicle alone. There was a dose-dependent increase m apoptotic areas present m the tumors with 100 and 1000 ng of EMAP II. Similar inhibition of tumor growth was observed when EMAP II was administered to mice with primary B16 melanomas. Mice treated with rEMAP II were normally active, continued food/water consumption, and maintained their weights comparably to control mice.

As established metastatic foci require blood vessel ingrowth to expand beyond 1-2 mm (Fidler, I., 1994; Folkman, J., 1989; Folkman, J., 1995; Murray, C. , 1995), we reasoned that rEMAP II might suppreεε growth of metastatic lesions. The LLC model was employed by allowing primary tumors to grow to a volume of ≥1.5 cm³, at which time metastases are present (but suppressed by the primary the primary tumor; O'Reilly, M., 1994; Holmgren, L. , 1995) . Then the primary lesion was resected (with no recurrence at the site of resection) , and analysis of surface lung nodules was undertaken 15 days later. rEMAP II treatment was begun 72 hr prior to resection of the primary tumor and was continued through the end of the experiment (See Figε. 8A-E) . Animals receiving rEMAP II (1000 ng IP every 12 hrs) showed significantly fewer and smaller surface nodules, compared with vehicle by gross inspection and histologic study. Consistent with these data, rEMAP II-treated animals demonstrated 65% suppression (p<0.009 by Mann Whitney) in outgrowth of the total number of surface metastases, compared with mice receiving vehicle alone (Fig. 8E) . Of the 35% of metastases present in rEMAP II-treated animals, =80% of these metastases were inhibited, such that the maximum diameter was <2 mm (i.e., predominately micrometastases were present) , compared with controls, (p<0.002 by student t-test; Fig. 8E; inset) .

Effect of rEMAP II on endothelium. The data thus far demonstrated an association of EMAP II with spontaneous vascular insufficiency (meth A tumors) and with induction of apoptosis in tumors, the latter, at least in part in a perivascular distribution. These data suggested the possibility that tumor vasculature might be a target of EMAP II. To begin to assess whether rEMAP II selectively affects growing/migratory endothelium, confluent cultures were wounded and rEMAP II was added; cells at the wound edge failed to effectively migrate/proliferate and fill the wound area (Fig. 6B) compared to untreated controls (Fig. 6A) . Staining with DAP-1, to visualize the chromatin, revealed the presence of apoptotic bodies localized to the wound edge (i.e., growing/migratory endothelium) in rEMAP II-treated cultures, suggesting that rEMAP II induced programmed cell death only in this cell population, whereas confluent endothelium distal from the wound edge showed no significant effect of rEMAP II (Fig. 6D; arrows denote apoptotic bodies) . Control cultures showed no such apoptotic areas (Fig. 6C) . ELISA for DNA fragmentation was performed to more precisely delineate apoptotic effects of rEMAP II on endothelium: there was a dose-dependent increase in DNA fragmentation in cultured capillary endothelium, reaching 250% over that observed in controls within 24 hrs (Fig. 6E) . As tumor tissue is also known for the presence of areas of local tiεεue hypoxia/hypoxemia (Olive, P., 1992; Kalra, R., 1994) , it waε assessed whether rEMAP II might display enhanced activity under oxygen deprivation. When cultured subconfluent endothelial cells were exposed to hypoxia (p0₂ =14 torr) , DNA fragmentation was accelerated, reaching a level of 250% above that observed with vehicle alone within 12 hrs (rather than the 24 hrε required for an effect of this magnitude in normoxia) . This was consistent with the accelerated appearance of apoptotic bodies by DAP-1 staining of hypoxic endothelial cultures exposed to rEMAP II. In contrast, cultured meth A fibrosarcoma, Lewis Lung carcinoma, and nontransformed vascular smooth muscle cells demonstrated no increase in DNA fragmentation after exposure to rEMAP II under the conditions above by ELISA (Fig. 6F) or DAP-1 staining.

DISCUSSION

Neovascularization is a critical regulator of the growth of both primary and metastatic neoplasmε (Fidler, I., 1994; Folkman, J., 1989; Folkman, J., 1995; Murray, C, 1995) . Earlier studies called attention to the role of angiogenic factors, such as vascular endothelial growth factor (VEGF; Plate, K. , 1992; Warren, R., 1995; Kim, J., 1993) , acidic fibroblast growth factor (Maciag, T. , 1984) , basic fibroblast growth factor (bFGF; Shing, Y., 1984) , and angiogenin (Fett, J., 1985; King, T., 1991, Olson, K. , 1994) , in promoting tumor growth and establishing metastases. For example, in a transgenic murine model, a switch in phenotype from pancreatic adenoma to malignancy was closely tied to expression of angiogenic mediators

(Kandel, J., 1991) , and antibody to VEGF inhibited growth of explanted human tumorε in athymic mice (Warren, R., 1995;

Kim, J., 1993) . Similar inhibition of experimental tumor growth has also been observed with antibodies to angiogenin

(Olson, K., 1994) and bFGF (Hori, A., 1991) . Alternatively, recent work has identified endogenous peptides with anti-angiogenic activities, including angiostatin (O'Reilly, M., 1994) , thrombospondin (Dameron, K. , 1994) and glioma-derived angiogenesis inhibitory factor (Van Meir, E., 1994) . They can inhibit tumor growth either at the primary tumor site (thrombospondin; Dameron, K., 1994) or at a site of distant metastases (angiostatin; O'Reilly, M., 1994; O'Reilly, M. , 1996) . Formation of the tumor vascular bed, as well as blood vessel formation in other situations, such as in ischemia, wound healing and atherosclerosis (Shweiki, D., 1992; Knighton, D., 1983; Kuwabara, K. , 1995; Brogi, E., 1993) , is presumably also controlled by the interaction of such positive and negative stimuli on endothelium in diverse vascular beds.

Carcinogen-induced murine meth A and similar tumors (Old, L., 1986; Old, L., 1961) are ideally suited to the analysis of host-tumor interactions because short-term vascular insufficiency (exaggerated by concomitant adminiεtration of an agent εuch as TNF) , and longer-term immunologic mechanisms limit local tumor growth (Old, L., 1986; Old, L., 1961; Nawroth, P., 1988; Watanabe, N., 1988; Freudenberg,

N. , 1984; North, R., 1988) . In fact, acute local

(intratumor) administration of EMAP II to meth A tumors resulted in thrombohemorrhage in the tumor bed (Kao, J.,

1994) , a finding quite distinct from what we observed in the current study in which EMAP II was administered systemically at lower doses over longer times. The association of meth

A-derived EMAP II with apoptosis in the tumor bed (the latter suppressed by anti-EMAP II IgG) and immunolocalization of the polypeptide to vascular and perivascular areas of the tumor, suggested a role for this cytokine in vascular dysfunction associated with meth A tumors. Consistent with the ability of EMAP II to modulate vessel growth and/or integrity was the observation that neovessel formation mto bFGF-contammg implants was blocked by rEMAP II. In contrast to these reεults with rEMAP II, other cytokines such as transforming growth factor-β or TNF-a have been found to induce vascular ingrowth in angiogenesis models (Leibovich, S., 1987; Fraker-Schroder, M , 1987; Madπ, J., 1992) .

In the LLC and B16 melanoma models, rEMAP II attenuated growth of primary tumorε and resulted a histologic picture of apoptotic tissue injury, at leaεt in part m a perivascular distribution (similar to that seen with Meth A tumors) , which progreεsed to nonviable tumor, probably as a result of severe ischemia These data suggested that EMAP II was initially targeting the vasculature, leading to speculation that its tumor-suppressive effects might extend to a range of neoplasms. In support of this hypothesis, studies have shown rEMAP II to markedly attenuate growth of a human breast carcinoma line (MDA-MB 468) grown in nude mice and also to suppress C6 gliomas m rats The observation that EMAP II diminished lung surface metastases, and, especially, macrometastases, is alεo consiεtent with the concept that neovaεculature feeding the tumor, aε well as in the tumor, are targets of EMAP II It is notable that despite a prolonged course of rEMAP II treatment, =2 wks, no untoward effects on general health of the animals was observed, and pathologic analysis of normal organs revealed no lesions. This suggested that actions of EMAP II were localized, under these conditions, to the tumor. The data, however, do not rule out the possbility that EMAP II may have other effects on the tumor beyond that on the vasculature. For example, the action of EMAP II on endothelium or other elements in the tumor microenviromment might release diffusible mediators toxic for tumor cells, thuε cauεing tumor injury initially cloεe to the vaεculature, but then extending deeper into the tumor.

A salient feature of tumor vasculature, which distinguishes vessels in the tumor stroma from those in normal tisεue, iε the increased fraction of growing/migrating endothelial cells (Fidler, I., 1994; Folkman, J. , 1989; Folkman, J., 1995) . Studies in cell culture suggested a selective effect of rEMAP II on growing/migratory endothelium; cells at the leading edge of a wound in the monolayer failed to effectively fill the gap and cell proliferation was suppresεed. The predominate affect appeared to be induction of apoptosis, especially in the actively dividing cell population. In contrast, poεtconfluent endothelium at a distance from the wound was not affected by rEMAP II. Furthermore, addition of the cytokine to cultures of growing tumor cells (LLC, B16 melanoma or meth A) showed no change in cell proliferation or induction of apoptosis, though rEMAP II suppresεed these tumors in vivo. Enhanced EMAP II-induced apoptosis in hypoxic endothelial cultures provided further support for the relevance of our finding to tumor biology, as the presence of hypoxic areas in tumors is well-established (Olive, P., 1992; Kalra, R. , 1994) . On a cellular level, hypoxia could potentially sensitize endothelium to EMAP II by εeveral mechanisms, including arrest of cells at the Gl/S mterface (Shreeniwas, R., 1991) or increased sensitivity to subsequent encounters with oxidizing εtimuli. In εupport of the latter hypothesis, pilot studies suggeεt that EMAP II has an important effect on cellular redox status as addition of N-acetylcysteine blocks EMAP H-mediated endothelial apoptosis. Analysis of mechanisms through which EMAP II induces possible cellular oxidant stress, as well as elucidation of the cell surface receptor for EMAP II, will provide more definitive answers to questions concerning the specificity and selectivity of its cellular effects.

The striking feature of the in vivo studies is the suppressive effect of rEMAP II on tumors without, apparently, an adverse affect on the function of normal organs This may be due to EMAP II's effect on the endothelium; EMAP II could perturb endothelium in vivo not only by direct effects on endothelial apoptosiε, but alεo by other means. For example, EMAP II-mediated induction of endothelial tissue factor could trigger local activation of clotting in the tumor bed, thereby diminishing blood flow and enlarging the volume of tumor at risk for ischemia EMAP II might also modulate the expression of other mediators which control the local angiogenic balance, including enhanced activity of pathways regulating production of angioεtatic peptides, such as angiostatin or thrombospondin, and/or might suppress expression of pro-angiogenic factors in the tumor bed Furthermore, EMAP II might elicit endothelial production of mediators which directly impair tumor cell viability (as mentioned above) . Though there are many mechanistic, physiologic and practical questions to be explored in future studieε (Will EMAP II affect well-established vessels m human tumors which grow over much longer times than the accelerated murine models⁷ Will an optimal anti-tumor regimen of EMAP II induce tumor regression or will it just be static⁷ etc.) , the data support the potential of EMAP II, a cytokine with apparent anti-angiogenic properties, to suppress primary and metastatic tumor growth, and to induce apoptosis in the tumor without apparent adverse affects on normal organs.

Example 3 : ENDOTHELIAL-MONOCYTE ACTIVATING POLYPEPTIDE II SUPPRESSES GROWTH OF C6 GLIOMAS BY TARGETING THE VASCULATURE

Endothelial-Monocyte Activating Polypeptide (EMAP) II is a novel mediator initially purified from methylcholanthrene A-induced fibrosarcomas, well-known for spontaneous vascular insufficiency and thrombohemorrhage Testing the effect of EMAP II on C6 gliomas which elicit a characteristic angiogenic response, largely due to expression of Vascular Endothelial Growth Factor (VEGF) was therefore carried out. Recombinant (r) EMAP II suppressed intracranial growth of C6 glioma cells implanted in rat frontal lobes by 65% (p<0.003) , with residual tumor volume composed predominately of apoptotic cells (=80%) . Similarly, rEMAP II had a striking effect on C6 gliomas grown subcutaneouεly in nude mice, cauεing a εix-fold decrease in tumor volume, without evidence of systemic toxicity. rEMAP II blocked the angiogenic response to locally administered VEGF, demonstrating a direct effect of EMAP II on VEGF-driven vascular ingrowth. Ultrastructural study of tumor vasculature from animalε treated with rEMAP II showed intravascular accumulation of platelets and fibrin, as well aε findingε consistent with apoptosis of the endothelium. Consistent with the ability of EMAP II to target the vasculature, rEMAP II induced apoptosis and bound specifically (K_d =xx nM) to growing cultureε of human umbilical vein endothelial cells, whereas it had no affect and displayed no specific binding to C6 glioma cells. These studies demonstrate that EMAP II has anti-tumor activity on C6 gliomas, at leaεt in part, through itε affect on the vaεculature, and suggest its posεible application to a range of solid tumorε.

The following abbreviation are used herein below: VEGF, Vascular Endothelial Growth Factor; EMAP, Endothelial Monocyte Activating Polypeptide II; r, recombinant; IP, Intraperitoneal; IT, Intratumoral; TUNEL, Deoxynucleotidyl Transferase-mediated DUTP-biotin nick end labelling.

Vascularization of solid tumors is critical for their growth beyond a small collection of neoplastic cells (Fidler, I., 1994; Folkman, J. , 1989; Folkman, J. , 1995) . In the central nervous system, in which vasculature is insulated from the neuronal compartment by the blood-brain barrier, effective mechanisms for induction of neovasculature have evolved to support tumor growth. Glioblastoma, the most frequently occurring intracranial neoplasm, displays characteristic vascularization with evidence of endothelial proliferation and a complex vascular network, thereby providing an especially relevant example of ongoing angiogenesis (San Galli, F., 1989; Plate, K. , 1992; Wesselmg, P., 1994; Plate, K. , 1995) . Although induction of vascular ingrowth by glioblastomas is likely to involve multiple mediators, studies with patient-derived glioblastoma multiforme and rat gliomas have emphasized the contribution of Vascular Endothelial Growth Factor (VEGF) (Plate, K., 1992, Shweiki, D 1992; Wemdel, K., 1994; Plate, K , 1994; Samoto, K , 1994) . The secreted isoform of VEGF (residues 1-165) is produced by glioblastoma/glioma at the tumor margin, especially at siteε of local necrosis (and presumably, hypoxia) , enhancing neovesεel formation by attracting endothelium which haε been shown to selectively express the VEGF receptor Flk-1 (Plate, K , 1992; Shweiki, D. 1992; Wemdel, K. , 1994, Plate, K. , 1994; Samoto, K , 1995) . Direct evidence of a role for VEGF in glioma growth derives from experiments demonstrating that antibodies to VEGF (Kim, K., 1993) , a dominant negative mutant of Flk-l/VEGF (Millauer, B., 1994) , and VEGF antisense introduced mto gliomas suppresses the tumors (Saleh, M , 1996) .

VEGF has emerged as an angioge c factor involved in physiologic and pathophysiologic vascular responseε (Houck, K., 1991; Keck, P., 1989) . This polypeptide was initially characterized based on its ability to increase vascular permeability when injected subcutaneouεly into guinea pigε

(Keck, P., 1989) . In thiε context, VEGF haε been show to have other properties associated with inflammatory mediators vitro, including induction of the procoagulant tisεue factor on endothelial cells and mononuclear phagocytes (Clauss, M. , 1990) . Although the relevance of these findings to the biology of VEGF m vivo haε not been clarified, it haε been εpeculated that thiε could account for pathologic findings the vasculature of gliomas, including evidence of vascular leakage and local thrombi. The role of VEGF aε a central angiogemc mediator has been demonstrated more directly. Deletion of the VEGF gene results in an embryonic lethal, with failure of vasculogenesiε (Harpal, K., 1996) . In pathophyεiologic situations, VEGF has been implicated in neovascularization associated with diabetic retinopathy, ischemic events, and tumor growth (Shweiki, D. 1992; Weindel, K., 1994; Plate, K. , 1994; Samoto, K. , 1994; Miller, J. , 1994; Aiello, L., 1994) .

Endothelial-Monocyte Activating Polypeptide (EMAP) II is a novel mediator initially identified in meth A tumors, well-known for their spontaneous vascular insufficiency

(Kao, J., 1992; Kao, J. , 1994) . Acute administration of

EMAP II directly into tumorε elicited thrombohemorrhage and sensitized tumor vasculature to subsequent systemic infusion of tumor necrosis factor. Treatment of mice bearing Lewis Lung Carcinomas or B16 melanomas with low concentrations of EMAP II administered systemically for several weeks resulted in tumor regression and a pathologic picture of patchy apoptosis apparently radiating from tumor vasculature (Schwarz, M. , 1995) . These findings, along with the ability of EMAP II to inhibit vascular ingrowth elicited by implants impregnated with basic fibroblast growth factor and its lack of a direct cytotoxic/cytoεtatic effect on tumorε cells, suggested that EMAP II might target tumor vasculature. The goal of the studies was to determine if EMAP II could antagonize the angiogenic effects of glioma-derived angiogenic factorε, eεpecially VEGF, thereby implying itε potential to block pathologic vaεcular ingrowth. The reεults herein indicate that systemically administered EMAP II blocks neoveεεel formation in response to VEGF in a Matrigel model, and that it potently suppreεses growth of C6 gliomas. Ultrastructural εtudies revealed that EMAP II induced early changes in the vasculature including intravascular fibrin formation, deposition of platelets, and findings consistent with endothelial apoptosiε. This was consistent with the results of in vitro functional and binding studies which indicated that endothelial cells, rather than C6 glioma cells, were the target of EMAP II. MATERIALS AND METHODS

Cell culture and preparation of recombinant (r) EMAP II. C6 glioma cells (Benda, P., 1971) were obtained from ATCC and were grown in Dulbecco's Modified Eagle Medium containing fetal bovine serum (10%; Gemini, Gibco, Grand Island NY) . Mouse brain endothelial cells were characterized and grown as deεcribed (Gumkowεki, F., 1987) . Human umbilical vein endothelial cells were grown and characterized as described (Kao, J., 1992) . DNA fragmentation was evaluated by agarose gel electrophoresis (xBorczyca et al . , 1993- ask dave p.) . Radioligand binding studies employed ¹²⁵I-rEMAP II and cultured C6 glioma or endothelial cells. rEMAP II was radiolabelled by the Bolton and Hunter method (Bolton, A. , 1973) ; the tracer was >95% precipitable in trichloroacetic acid (20%) and migrated as a single band with Mr =20 kDa on SDS-PAGE. rEMAP II was prepared from E. coli transformed with a plasmid containing the coding sequece for mature murine EMAP II, and was purified by a modification of our previous procedure (Kao, J. , 1994) using sequential chromatography on Heparin Sepharose, SP Sepharose, and Phenyl Toyopearl chromatography, followed by filtration through a Posidyne filter to remove lipopoysaccharide . The final material was migrated as a single band on SDS-PAGE (reduced and nonreduced) with Mr =20 kDa, had a single N-terminal sequence by mass spectrometry, and had a lipopolysaccharide content of <10 pg/ml (at a protein concentration of 3-5 mg/ml based on the Endospecy chromogenic asεay; Seigaku) . The protocol for binding included washing cultured endothelium (2xl0 cells/well) in Hanks' balanced salt solution, and then adding Minimal Essential Medium containing fetal bovine serum (10%) at 4°C containing ¹²⁵I-rEMAP II alone or in the presence of an 100-fold molar excesε of unlabelled rEMAP II. Wellε were incubated for 2 hrε at 4^°C, unbound material waε removed by εix rapid washes (for a total of 6 sec/well) with phoεphate-buffered saline, and cell-associated radioactivity was eluted with phosphate-buffered saline containing Nonidet P-40 (1%) . Specific binding (total binding observed in wells incubated with ¹²⁵I-rEMAP II alone minus nonspecific binding observed in wells incubated with ¹²⁵I-rEMAP II + excess unlabelled rEMAP II) is shown in the figures, and was analyzed by the method of Klotz and Hunston (Klotz, I., 1984) .

Matrigel model. Matrigel (Collaborative Research) (Kleinman, H. , 1986; Passaniti, A., 1992) containing either vehicle (1% bovine serum albumin) , VEGF (100 ng/ml; Collaborative Research) + vehicle, or heat-inactivated VEGF (15 min at 100 ^*C) + vehicle (mouse serum albumin, 1 mg/ml) was mixed at 4°C. Matrigel mixtures (0.25 ml/site; two sites per animal) were injected subcutaneously into C57BL6/J mice (0.25 ml/site) at two sites per animal. Animals were treated with rEMAP II (1 μg/12 hrs; IP) starting on the day that Matrigel was implanted, and for the next 14 days, at which time Matrigel was harvested. Vascular ingrowth waε analyzed by routine hiεtology and hemoglobin assay (Sigma) . Each experiment employed five animals per group.

Tumor models. All protocols were approved by the Columbia IACUC. C6 glioma cells were implanted into the frontal lobe of Wistar rats (250-300 gramε; Charleε River) by a modification of methodε deεcribed in the literature (San- Galli, F., 1989; Bernstein, J., 1990) . In brief, following aneεtheεia with ketamine (90 mg/kg; IP Parke-Davis, NJ) and xylazine (10 mg/kg; IP; American Health Co., Kansas) , animals were placed in the sterotactic head frame, a 2-3 mm hole was made in the skull, the dura was opened, and the stereotactic apparatus was used to place a rod (23 gauge εtainless needle) 4.5 mm into the deep white matter of the right frontal lobe (coordinates for the burr hole were 1 mm anterior to the coronal suture and 3 mm lateral to the sagittal suture) . Rats were allowed to recover for 48 hrs, and then, following anesthesia, C6 glioma cells were administered (4xl0⁴ cells in 5 μl of Hanks balanced salt solution) at an infusion rate of 1 μl/min. After an additional 10 dayε, tumor-bearing ratε were divided eight different treatment groupε (N=9 per group for a total of 72 animalε/experiment) : (1) rEMAP II (100 ng) administered intratumorally (IT) every 48 hrs (40 μl over 133 min) in vehicle (rat serum albumin, 1 mg/ml) + rEMAP II (10 μg) administered intraperitoneally (IP) every 12 hrs in vehicle; (2) rEMAP II (100 ng) IT in vehicle; (3) rEMAP II (10 ng) IT in vehicle + rEMAP II (1 μg) IP in vehicle; (4) rEMAP II (10 μg) IP in vehicle; (6) vehicle IT every 48 hrs + vehicle IP every 12 hrs; (7) vehicle IP every 12 hrs; (8) vehicle IT every 48 hrs; and, (9) heat-inactivated rEMAP II (100 ng) IT in vehicle every 48 hrs + heat-inactivated rEMAP II (10 μg) IP in vehicle every 12 hrs. Intratumoral administration involved positive preεsure microinfuεion through the implanted rod at a volume of 40 μl infused over 133 min. Once the treatment regimen including rEMAP II was begun, it was continued for a total of either 7 or 14 days. There were 8 eight animals in each treatment group. At the end of the experiment, animalε were εacrificed by humane euthanaεia, the cranium was opened, the brain removed, incubated in formalin (4%) at 4°C for 72 hrs, and placed in a brain matrix to make serial 1 mm coronal slices. The latter were paraffin-embedded, sectioned coronally (4 μm) , and underwent routine histology (hematoxylin/eosin) and TUNEL assay (see below) . Tumor volume was calculated according to the formula for a spherical segment (see below; Weast R., 1966) based on the largest cross-sectional tumor diameter, and serial images were evaluated by NIH image .

Tumors were grown subcutaneously in nude mice (Taconic) by administering C6 glioma cells (2xl0⁶ suspended in phosphate-buffered saline; Kim, K., 1993; Millauer, B., 1994) , and on the third day animals were divided into thre groups (N=10-15/group) : (1) vehicle (mouse serum albumin, 1%) given IP every 12 hrs; (2) rEMAP II (1 μg) in vehicle given IP every 12 hrs; and, Folkman, J., 1995) heat-inactivated rEMAP II (1 μg) in vehicle given IP every 12 hrs. Initial tumor size (i.e., prior to treatment on day 3) each of the groups was 12-14 mm³. This treatment regimen was continued for up to 31 days. Tumor dimensions were measured every fourth day, and these data were used to calculate tumor volume according to the formula for a εpheπcal segment (Weast R. , 1966) , V= 7rh(h²+3a²) /6, where h= height of the segment, a= (length+width) /2, and V= volume

(each tumor was compared with itself over multiple measurements and change in volume was noted) Tumor volume data were analyzed using the Kruskal-Wallis one way ANOVA and a Mann-Whitney mean rank test. Data is expressed as a dimensionless ratio of observed tumor volume divided by initial (day 3) tumor volume. Animals were sacrificed and tumors analyzed histologically at the indicated times.

Histologic studies were performed on formalm-flxed, paraffin-embedded tiεsue, using hematoxylin and eosin staining. The terminal deoxynucleotidyl transferaεe-mediated dUTP-biotin nick end labelling (TUNEL) assay was used to evaluate apoptosiε, paraffn embedded tumor slices were deparaffmized and digoxigenin-11-dUTP was used to label fragmented DNA according to the Gemuε 1 kit (Amerεham) . In brief, tissue was treated with proteinase K (1 μg/ml) , and incubated with dιgoxιgenm-11-dUTP, klenow, and dNTPs overnight Nitroblue tetrazolium and alkaline phosphatase were used to reveal the digoxigenin labelled DNA fragments.

Ultrastruetural studies. Glioblastomas were raised subcutaneously in nude mice, and tumors were removed and processed for electron microscopy on days 3, 6 and 9 (Roberts, W. , 1995) . In brief, tumor specimens were cut mto small pieces and immediately fixed by immersion in glutaraldehyde (1.5%) in sodium cacodylate-HCl (0.1 M; pH 7 4) with sucrose (5%) for 1 hr. Followmg washes cacodylate buffer (0.1 M) with sucorse (7.5%) , specimens were post-fixed m cacodylate-buffered (pH 7.4) osmium tetroxide (1%) for 1 hr, en-bloc staine with uranyl acetate overnight, dehydrated, embedded in EPON 812, and cured for 18-24 hrs at 60 "C. Thin (50-55 nm) sctions were cut (Reichert-Jung Ultracut E, Austria) piked up on copper grids, stained with uranyl acetate and lead citrate before examination and photographing on a Phillips CM10 electron microscope at 80 kV.

RESULTS

Effect of rEMAP II on growth of C6 gliomas in vivo. C6 glioma cells were implanted stereotactically in the right frontal lobe of Wistar rats. This model was selected based on previous studies demonstrating that histologic features of these tumors closely resemble findings in tumors of patientε (San-Galli, F. , 1989; Bernstein, J., 1990) . Tumor growth occurred steadily up to about 28 days, when death resulted from increased intracranial pressure. For this reason, experiments were terminated at day 24; there were no fatalities at this time. To assess the effect of rEMAP II on growth of C6 gliomas, three different treatment regimens were employed: intra-tumoral (IT) administration via indwelling cannula, intraperitoneal (IP) administration, and both IT + IP (IT/IP) administration. IT treatment, via indwelling cannula according to our protocol, has been shown to effectively deliver therapeutic agents within the central nervous syεtem without elevating intracranial preεεure. Animals receiving rEMAP II by the IT/IP routes showed the greatest suppression of tumor growth; at a dose of 100 ng

(IT)/10 μg (IP) , tumor volume was diminiεhed by =3-fold compared with tumors treated according to the same protocol with vehicle alone (IT/IP, IP or IT) (P<0.002) . The effect of rEMAP II was dose-dependent, being diminished at 10 ng (IT)/1 μg (IP) , in which case tumor volume was diminished, but did not achieve statistical significance compared with controls. Rats treated with rEMAP II (10 μg) by the IP route alone showed little change in tumor growth, whereas rEMAP II (100 ng) given only IT had a striking effect, though it was somewhat less effective than combined IP/IT administration. Controls in which heat-inactivated rEMAP II replaced active rEMAP II demonstrated no reduction in tumor size compared with vehicle-treated controls. Histologic analysis of control tumors (either no treatment or IP/IT vehicle alone) showed a relatively homogeneous central region of the tumor (Fig. 9B-9C) with areas of palisading tumor cells and necrosis at the periphery. In the central region of the tumor from control animals, where necrosis was minimal, there was also little evidence of DNA fragmentation, based on the TUNEL assay (Fig.9D-9E) . In contrast, tumors from animals receiving rEMAP II (IP/IT) demonstrated marked inhomogeneity with pyknotic areas (Fig. 9C-9D) in which DNA fragmentation was ubiquitous. Quantitative analysis using NIH image indicated that C6 gliomas treated with rEMAP II (IP/IT) had =80% of the residual volume accounted for by apoptotic cells. As the treatment regimen with rEMAP II was modified from 100 ng

(IP)/10 μg (IT) to lower concentrations, either 10 ng (IT) /l μg (IP) , or 1 μg (IP) or 100 ng (IT) alone, resulting in leεε effective εuppreεεion of tumor growth, histologic evidence of pyknosiε and apoptosis decreased. In contrast to the effect of rEMAP II (IP/IT) on tumors, there waε no evidence of toxicity even after 14 dayε of treatment . There were no deaths in the treatment group; animals displayed normal activity, behavior (no seizures or other untoward events were observed) , and food intake.

To further examine the effect of rEMAP II on C6 gliomas, experiments were performed with tumor cells inoculated subcutaneously in nude mice. Tumor cells were implanted into immunocompromised mice, and growth was allowed to occur for three days, at which time palpable tumors were reproducibly evident (approximate volume prior to treatment was 12-14 mm³, in each group) . rEMAP II was then administered starting on day 3 , and tumor volume was measured every four days thereafter; data are reported at each time point as fold-change in tumor volume (a dimensionless ratio comparing tumor volume on the indicated day with that on day 3) ; thiε method allowed a comparison of each animal with itself. Tumors in rEMAP II-treated animals displayed =6-fold reduction in volume compared with tumors in mice receiving vehicle alone by day 31 (Fig. 9E) . Histologic appearance of rEMAP II-treated C6 gliomas showed small tumors with evidence of pyknotic changes and apoptosis throughout the lesions, compared with larger tumors in vehicle-treated controls which diεplayed homogeneouε central areas and apoptotic/necrotic changes limited to the periphery.

VEGF- ediated vascular ingrowth into Matrigel implants: effect of rEMAP II. Matrigel is a complex mixture of basement membrane proteins, aε well aε other cell products, from Engelbreth-Holm-Swarm (EHS) tumor cells (Kleinman, H. , 1986; Pasεaniti, A., 1992) . Addition of an exogenouε growth factor, such as basic fibroblast growth factor, to Matrigel has been shown to provide a model for assessment of vessel ingrowth (Kleinman, H., 1986; Passaniti, A., 1992) . This model was employed by mixing Matrigel with recombinant human VEGF and subcutaneously implanting the mixture into mice. Animals were then treated with either rEMAP II (1 μg) in vehicle, heat-inactivated rEMAP II (1 μg) in vehicle or vehicle alone every 12 hrs for 14 days. Implants containing VEGF in animals not receiving active rEMAP II (i.e., vehicle controls or heat-inactivated rEMAP II) showed numerous vascular εtructures (Figs. 10A-B show the reεultε with vehicle alone administered IP and VEGF in the Matrigel implant) . Vascular ingrowth was markedly inhibited in the presence of active rEMAP II administered IP (Fig. 10C-D) . Consistent with theεe results, hemoglobin assays on Matrigel implants, as an estimate of vascularization, showed reduced hemoglobin content in samples from animals treated with rEMAP II (Fig. 10E) . Controls in which VEGF was heat-inactivated demonstrated suppression of the angiogenic response, whereas heat-inactivation of rEMAP II in implants containing active VEGF did not diminish neovesεel formation. Theεe data εuggeεted that the vasculature was a target of EMAP II, and led us to re-assess normal organs in animals treated with rEMAP II. No change was observed in micro- or macro-vesselε from the organs, such as heart, lung, spleen, or kidney) , suggesting that the effects of EMAP II were focussed on the tumor bed.

Ultrastruetural properties of tumor vasculature: effect of rEMAP II. Tumors harvested after 3, 6 or 9 days of EMAP II treatment were noticeably different from controls. Macroscopically, reddish pinpoint areas were observed, presumably the result of red blood cell stasis, extravsation and thrombus formation. This impression was confirmed by microscopic studies showing platelet thrombi and red cell stasis, especiallly in large (40 μm dimabeter) venular vessels. Consistent with the presence of fibrin, ultrastructural εtudieε showed a 21 nm periodicity of the fibrin strandε . Vasculature in both control and EMAP

II-treated tumors displayed attentuated endothelium, often with fenestrations and open interendothelial junctions

(Roberts, W. , 1995) . However, platelet thrombi and fibrin clots were noticed only in EMAP II-treated tumors.

Interaction of rEMAP II with cultured endothelial cells. These data suggested that EMAP II selectively interacted with vascular elements in the tumor bed. In support of this concept, human umbilical vein endothelial cells exposed to rEMAP II εhowed increased DNA fragmentation by agarose gel electrophoresis, compared with untreated controls (Fig. HA) . Also, ¹²⁵I-rEMAP II bound to cultured endothelium in a dose-dependent manner, demonstrating K_d = 1.9 nM (Fig. HB) . In contrast to these results with endothelial cells, rEMAP II had no affect on C6 glioma cells with respect to apoptosiε (or changeε in cell number) . Also, there was no specific binding of ¹²⁵I-rEMAP II to cultured C6 glioma cells. These data suggeεt the exiεtence of functional rEMAP II binding sites/receptorε on endothelium.

DISCUSSION

Recent studies on glioblastoma multiforme have focussed attention on tumor vasculature as a model system for analysis of angioge c mechanisms and for examination of potential future therapeutic modalities (San-Galli, F., 1989; Plate, K. , 1992; Wesεel g, P., 1994; Plate, K., 1995; Shweiki, D., 1992; Wemdel, K., 1994; Plate, K., 1994; Samoto, K. , 1995; Kim, K. , 1993; Millauer, B. , 1994; Saleh, M. , 1996) . Areaε of necrosis at the tumor margin, along with the presence of palisading tumor cells which expresε VEGF, have emphaεized the possibility that induction of vascular ingrowth is a limiting factor for growth of the neoplasm, and that VEGF may have a central role in tumor survival . This concept is εupported by the reεultε of studies demonstrating that antagonism of VEGF with specific antibodies, at the level of the endothelial receptor Flk-1, or with antiεenεe technology εupreεεes tumor formation (Kim, K. , 1993; Millauer, B., 1994; Saleh, M., 1996) . The current data add to and extend the concept that a mediator with properties which impact negatively on vascular integrity might inhibit growth of glioblastomas . Further εupport for the value of such an approach to therapy of glioblastomas is also provided by recent studies outlining anti-angiogenic εtrategies for glioma therapy (Johnson, J. , 1996) .

EMAP II has several properties which are consiεtent with the hypothesis that it εpecifically affects tumor vasculature. First, experiments in tissue culture demonstrate εpecific, high affinity binding to endothelium, but not to C6 glioma cells. Second, EMAP II induction of endothelial apoptosiε appears limited to growing endothelium, a situation particularly relevant to tumor vasculature (Fidler, I. , 1994; Folkman, J. , 1989; Folkman, J., 1995; O'Reilly, M. , 1994; Holmgren, L , 1995) . Theεe observations m tisεue culture provide εupport for the reεults of our m vivo εtudies m which animals receiving EMAP II demonstrated suppresεion of tumor growth, but did not diεplay toxic effects m the vascular bed of normal organs. Third, EMAP II administered systemically antagonizes VEGF-induced neovessel formation in the Matrigl model, whereaε no untoward reactions occurred in established vasculature outside the implant. In addition to antagonism of VEGF,

EMAP II may provide a broader spectrum of activities which impact negatively on tumor survival in the host, including inhibition of other angiogenic activities in the tumor, such as basic fibroblast growth factor (Stan, A. , 1995) .

Further, EMAP II induction of endothelial tissue factor

(Kao, J., 1992; Kao, J., 1994) potentially underlies vaεcular fibrin formation, ultimately leading to occlusive thrombosis and cessation of blood flow. Ultrastructural analysis of tumor vasculature from EMAP II-treated animals confirmed the presence of both fibrin and findings consistent with apoptosiε of the endothelium.

Although it is difficult to diεεect with certainty the exact mechanism through which EMAP II exerts its affects on tumors from the pathologic picture in treated tumors bed of tumors treated with EMAP II, a mechamsm other than direct tumor cell cytotoxicity seems likely. If this proves to be true, the most effective therapy might be to combine EMAP II with agents directly targetting neoplastic cells, such as cytotoxic agents or anti-sense to Insulin-like Growth Factor, the latter having been shown to suppress glioma growth (Res coff, M., 1994) . One possible insight into the complexity of EMAP Il's actions in the tumor bed is εuggeεted by the greatly enhanced anti-tumor effect followmg intratumor injection. The observation herein that EMAP II administered only via the systemic route (IP) had little effect on tumor growth suggeεts that adequate access to the central nervous system was not possible following syεtemic delivery. Delivery of anti-tumoral compoundε to brain tumors is compromised by systemic methods which limit effective drug concentrations due to limitationε imposed by the blood brain barrier (as with EMAP II which is a polypeptide of 22 kDa) and/or εystemic degradation/clearance of compounds (To ita, T., 1991) . These limitations can be safely circumvented by local delivery methods utilizing high flow positive pressure microinfusion directly into the tumor through the interstitial spaces by bulk flow. The drug concentration drops off rapidly at the edge of the infusion front (i.e., high local concentrations of drug can be achieved) and adjuεtmentε can be made m the rate and volume of the infusion to achieve deεired constant tissue concentrations Bulk flow is less dependent on the physical characteriεtics of the substance being infused and is therefore uniquely suitable for complex macromolecues which do not diffuse well and are difficult to deliver systemically. Efficacy of this delivery system, without complications, using EMAP II demonstrates the potential for clinical development of other novel compound for anti-tumoral therapeutics that would otherwise be impractical if delivered systemically

Delivering therapeutic agentε to the central nervous system poses special difficulties because of the presence of the blood-bram barrier. Although neovasculature m glioblaεtomas displayε histologic features which suggest increased permeability, the likelihood of gross breakdown of the blood-bram barrier is low The ability to deliver EMAP II via an indwelling catheter m the region of the tumor, whithout raising intracranial pressure or causing other untoward effects the central nervous system, introduces the therapeutic agent m proximity to glioma cells, the primary source of angiogenic stimuli Combmed therapy, both systemic and local, was most efficacious, poεεibly by maximizing delivery of EMAP II to both tumor vessels, mterstitium and the neoplaεtic cellε These data emphasize a role for local delivery of therapeutic agents to intracranial tumorε, and suggest the importance of developing and testing such εystems which can be ultimately applied to clinical practice. References

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Claims

What is claimed is:

1. A method of treating a tumor m a subject, comprising administering to the subject an amount of an agent, εelected from endothelial monocyte activating polypeptide II and an endothelial monocyte activating polypeptide Il-derived polypeptide, effective to treat the tumor, wherein the endothelial monocyte activating polypeptide II is administered subcutaneously, intraperitoneally, or intravenously.

2 The method of claim 1, wherem the tumor is a carcinoma.

3. The method of claim 1, wherein the subject is a mouse.

4 The method of claim 1, wherem the agent is administered intraperitoneally.

5 The method of claim 1, wherein the agent is administered m at least twenty doses

6. The method of claim 5, wherein the agent is administered in about twenty-four doseε

7. The method of claim 1, wherein the agent is administered over a period of at least ten days.

8. The method of claim 7, wherein the agent is administered over a period of about twelve days

9. The method of claim 1, wherein the frequency of administration is at least about one dose every twelve hours .

10 The method of claim 1, wherein the effective amount is from about 2.4 micrograms to about 24 micrograms.

11 The method of claim 1, wherein the effective amount is from about 100 nanograms to 24 micrograms per dose.

12 The method of claim 11, wherein the effective amount is from about 100 nanograms to about 1000 nanograms per dose .

13. The method of claim 1, wherein the endothelial monocyte activating polypeptide H-derived polypeptide is at least about ninety percent homologous to the sequence

(S/M/G) KPIDASRLDLRIG (C/R) IVTAKKHPDADSLYVEEVDVGEAAPRTWSGLVNHVPLEQMQNRMWL LCNLKPAKMRGVLSQAMVMCASSPEKVEILAPPNGSVPGDRITFDAFPGEPDK ELNPKKKIWEQIQPDLHTNAECVATYKGAPFEVKGKGVCRAQTMANSGIK, wherein the sequence is truncated by from zero to about three ammo-termmal reεidues and from zero to about one hundred thirty-six carboxy-terminal residueε .

14. The method of claim 13 , wherein the homology is at least about ninety-five percent.

15. The method of claim 1, wherein the endothelial monocyte activating polypeptide Il-derived polypeptide is at least about ninety percent homologous to the sequence (S/M/G) KPIDVSRLDLRIG

(C/R) HTARKHPDADSLYVEEVDVGEIAPRTWSGLVNHVPLEQMQNRMVIL LCNLKPAKMRGVLSQAMVMCASSPEKIEILAPPNGSVPGDRITFDAFPGEPDK ELNPKKKIWEQIQPDLHTNDECVATYKGVPFEVKGKGVCRAQTMSNSGIK, wherein the εequence is truncated by from zero to about three ammo-termmal residueε and from zero to about one hundred thirty-εix carboxy-terminal residueε.

16. The method of claim 15, wherein the homology is at leaεt about ninety-five percent.

17. The method of claim 1, wherein the agent is endothelial monocyte activating polypeptide II.

18. The method of claim 17, wherein the endothelial monocyte activating polypeptide II is murine endothelial monocyte activating polypeptide II.

19. The method of claim 17, wherein the endothelial monocyte activating polypeptide II is human endothelial monocyte activating polypeptide II.

20. The method of claim 17, wherein the endothelial monocyte activating polypeptide II is recombinant endothelial monocyte activating polypeptide II.

21. The method of claim 1, wherein the tumor is too small for intratumoral injection.

22. The method of claim 21, wherein the diameter of the tumor is less than or equal to about two millimeters.

23. A method of inhibiting the growth of endothelial cells, comprising contacting the endothelial cells with an amount of an agent, selected from endothelial monocyte activating polypeptide II and an endothelial monocyte activating polypeptide H-derived polypeptide, effective to inhibit growth of the endothelial cells.

24. The method of claim 23, wherein the endochelial cells are aortic endothelial cells.

25. A method of inhibiting the formation of blood vessels in a subject, comprising administering to the subject an effective amount of an agent, selected from endothelial monocyte activating polypeptide II and an endothelial monocyte activating polypeptide H-derived polypeptide, thereby inhibiting the formation of blood vessels in the subject.

26. The method of claim 25, wherein the subject is a mouse.

27 The method of claim 25, wherein the agent is administered subcutaneouεly, travaεcularly, intraperitoneally, topically, or intramuscularly.

28. The method of claim 25, wherein the effective amount is from about 10 nanograms to about 24 micrograms.

29. The method of claim 28, wherein the effective amount is from about 100 nanograms to about 1 microgram.

30. The method of claim 25, wherein the endothelial monocyte activating polypeptide II-derived polypeptide is at least about ninety percent homologous to the sequence (S/M/G) KPIDASRLDLRIG (C/R) IVTAKKHPDADSLYVEEVDVGEAAPRTWSGLVNHVPLEQMQNRMWL

LCNLKPAKMRGVLSQAMVMCASSPEKVEILAPPNGSVPGDRITFDAFPGEPDK ELNPKKKIWEQIQPDLHTNAECVATYKGAPFEVKGKGVCRAQTMANSGIK, wherein the sequence is truncated by from zero to about three ammo-termmal residues and from zero to about one hundred thirty-six carboxy-terminal residues.

31 The method of claim 30, wherein the homology is about ninety-five percent.

32. The method of claim 25, wherein the endothelial monocyte activating polypeptide II-derived polypeptide is at least about ninety percent homologous to the sequence (S/M/G) KPIDVSRLDLRIG

(C/R) IITARKHPDADSLYVEEVDVGEIAPRTWSGLVNHVPLEQMQNRMVIL LCNLKPAKMRGVLSQAMVMCASSPEKIEILAPPNGSVPGDRITFDAFPGEPDK

ELNPKKKIWEQIQPDLHTNDECVATYKGVPFEVKGKGVCRAQTMSNSGIK, wherein the sequence is truncated by from zero to about three ammo-termmal residues and from zero to about one hundred thirty-six carboxy-terminal residues

33. The method of claim 32, wherem the homology is at least about ninety-five percent.

34. The method of claim 25, wherein the agent is endothelial monocyte activating polypeptide II

35 The method of claim 25, wherein the endothelial monocyte activating polypeptide II is murine endothelial monocyte activating polypeptide II

36 The method of claim 25, wherein the endothelial monocyte activating polypeptide II is human endothelial monocyte activating polypeptide II.

37 The method of claim 25, wherein the endothelial monocyte activating polypeptide II is recombinant endothelial monocyte activating polypeptide II

38 A method of treating a condition involving the presence of excess blood vessels m a subject, comprising the method of claim 25

39. The method of claim 25, wherem the condition involves the preεence of excess blood vessels m the eye

40. The method of claim 39, wherein the condition is a retinopathy

41 The method of claim 40, wherem the retinopathy is diabetic retinopathy.

42. The method of claim 40, wherein the retinopathy is εickle cell retinopathy.

43 The method of claim 40, wherein the retinopathy lε retinopathy of prematurity.

44 The method of claim 40, wherein the retinopathy is age related macular degeneration.

45 A method of treating a tumor m a subject, comprising administering to the subject an amount of an agent, selected from endothelial monocyte activating polypeptide II and an endothelial monocyte activating polypeptide Il-derived polypeptide, effective to treat the tumor, wherein the endothelial monocyte activating polypeptide II is administered subcutaneously or intraperitoneally; and intravenously, mtracra ally, or mtramorally

46 The method of claim 45, wherem the tumor is a glioblastoma

47 The method of claim 45, wherein the agent is administered mtratumorally by positive pressure micromfusion

48 The method of claim 45, wherein the endothelial monocyte activating polypeptide H-derived polypeptide is at least about ninety percent homologous to the sequence (S/M/G) KPIDASRLDLRIG

(C/R) IVTAKKHPDADSLYVEEVDVGEAAPRTWSGLVNHVPLEQMQNRMWL

LCNLKPAKMRGVLSQAMVMCASSPEKVEILAPPNGSVPGDRITFDAFPGEPDK

ELNPKKKIWEQIQPDLHTNAECVATYKGAPFEVKGKGVCRAQTMANSGIK, wherein the sequence is truncated by from zero to about three ammo-termmal residues and from zero to about one hundred thirty-six carboxy-terminal residues

49. A method for evaluating the ability of an agent to inhibit growth of endothelial cells, which comprises-

(a) contacting the endothelial cells with an amount of the agent, selected from endothelial monocyte activating polypeptide II and an endothelial monocyte activating polypeptide II-derived polypeptide;

(b) determining the growth of the endothelial cells, and (c) comparing the amount of growth of the endothelial cells determined in step (b) with the amount determined m the absence of the agent, thus evaluating the ability of the agent to inhibit growth of endothelial cells

0 A method for evaluating the ability of an agent to inhibit the formation of a blood vesεel m a cellular environment, which comprises.

(a) contacting the cellular environment with an amount of the agent, selected from endothelial monocyte activating polypeptide II and an endothelial monocyte activating polypeptide II-derived polypeptide,

(b) determining whether or not a blood vessel has formed m the cellular environment, and

(c) comparing the amount of blood vessel growth determined in step (b) with the amount determined the absence of the agent m the cellular environment, thus evaluating the ability of the agent to inhibit blood vessel formation in the cellular environment.

51. A pharmaceutical composition which comprises an agent capable of inhibiting blood vessel formation and a pharmaceutically acceptable carrier.

52 The pharmaceutical composition of claim 51, wherein the carrier is a diluent, an aerosol, a topical carrier, an aquous solution, a nonaqueous solution or a solid carrier