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Title:
POLYNUCLEOTIDES FOR INHIBITING METASTASIS AND TUMOR CELL GROWTH
Document Type and Number:
WIPO Patent Application WO/2001/051503
Kind Code:
A1
Abstract:
Provided are one or more polynucleotides useful in a method for inhibiting tumor progression in an individual, wherein the method comprises administering to the individual a therapeutically effective amount of the one or more polynucleotides. The one or more polynucleotides comprise FasL sense polynucleotide, or FasL antisense, or a combination thereof.

Inventors:
BARBERA-GUILLEM EMILIO
Application Number:
PCT/US2001/000529
Publication Date:
July 19, 2001
Filing Date:
January 04, 2001
Export Citation:
Click for automatic bibliography generation   Help
Assignee:
BIOCRYSTAL LTD (US)
International Classes:
A61K38/17; A61P35/04; C12N15/113; A61K38/00; A61K48/00; (IPC1-7): C07H21/04; C12N15/63; A61K48/00
Foreign References:
US5858990A1999-01-12
Other References:
DROZDZIK M. ET AL.: "Antitumor effect of allogeneic fibroblasts engineered to express fas ligand (FasL)", GENE THERAPY, vol. 5, 1998, pages 1622 - 1630, XP002939409
HOFMANN A. ET AL.: "Death of solid tumor cells induced by Fas ligand expressing primary myoblasts", SOMATIC CELL & MOLECULAR GENETICS, vol. 23, no. 4, 1997, pages 249 - 257, XP002939408
See also references of EP 1248793A4
Attorney, Agent or Firm:
Nelson, Bud M. (OH, US)
Download PDF:
Claims:
1. One or more polynucleotides for use in the manufacture of a pharmaceutical composition for a method of inhibiting tumor progression in an individual, wherein the method comprises administering intratumorally into solid tumor of the individual a therapeutically effective amount of the composition, and wherein the one or more polynucleotides is selected from the group consisting of a FasL sense polynucleotide, an antisense FasL polynucleotide, and a combination thereof.
2. The one or more polynucleotides according to claim 1, wherein the composition further comprises a pharmaceutically acceptable carrier.
3. The one or more polynucleotides according to claim 1, wherein each polynucleotide of the one or more polynucleotides comprises an expression vector containing the polynucleotide operatively linked to a promoter for expression.
4. The one or more polynucleotides according to claim 1, wherein the composition comprises an antisense FasL polynucleotide operatively linked to a promoter in an expression vector for expression.
5. The one or more polynucleotides according to claim 1, wherein the composition comprises a combination of FasL sense polynucleotide and antisense FasL polynucleotide, wherein the FasL sense polynucleotide is operatively linked to a promoter in an expression vector for expression, and wherein the antisense FasL polynucleotide is operatively linked to a promoter in an expression vector for expression.
6. A composition comprising a combination of a FasL sense polynucleotide and an antisense FasL polynucleotide.
7. The composition according to claim 6, further comprising a pharmaceutically acceptable carrier.
8. The composition according to claim 6, wherein the FasL sense polynucleotide is operatively linked to a promoter in an expression vector for expression, and the antisense FasL polynucleotide is operatively linked to a promoter in an expression vector for expression.
9. Use of the composition according to claim 6 in the manufacture of a pharmaceutical composition for a method of inhibiting tumor progression in an individual, wherein the method comprises administering intratumorally into solid tumor of the individual a therapeutically effective amount of the composition.
Description:
POLYNUCLEOTIDES FOR INHIBITING METASTASIS AND TUMOR CELL GROWTH FIELD OF THE INVENTION The present invention is related to novel methods and compositions for anticancer therapy of certain tumor types in humans. More particularly, the present invention is related to compositions for use in methods for impairing or inhibiting metastasis and tumor cell growth with polynucleotides.

BACKGROUND OF THE INVENTION Apoptosis is a characteristic form of cell death involving activation of one or more internally controlled pathways leading to autodigestion. Apoptosis can be induced by the binding and cross-linking of a cell surface receptor known as Fas. Human Fas (also known as APO-1 and CD95) is a cell surface protein consisting of 325 amino acids with a signal sequence at the NH2-terminus and a membrane spanning region in the middle of the molecule. Fas appears to be constitutively expressed on cells of a varied, but limited, number of normal tissues, including skeletal muscle, liver, skin, heart, lung, kidney, reproductive tissues, neutrophils and macrophages. Some malignant cells of hematologic or non-hematologic origin have also been demonstrated to express ' Fas-mediated apoptosis (also known as Fas-mediated cytotoxicity) requires cross-linking of Fas with either agonistic anti-Fas antibody, with cell bound FasL (Fas- ligand), or with soluble FasL. FasL is a type II trans- membrane protein of the tumor necrosis factor family.

Depending on the tumor type, FasL cell surface expression is variable; e. g., detectable in some tumors and absent in others. For those tumors expressing FasL, it has been sug- gested that such expression provides a mechanism of immune privilege of the tumors; i. e., a means by which the tumor evades immune-induced tumor cell depletion. For example, FasL+ hepatocellular carcinomas were shown to kill Fas+ T

lymphocytic cells in coculture; FasL+ human colonic adeno- carcinoma cell lines induced apoptosis of Fas+ T lymphocytic cells in coculture; FasL+ human lung carcinoma cell lines killed Fas+ T lymphocytic cells in coculture; and FasL+ melanoma cells induced apoptosis of Fas+ target cells in coculture. These data suggest that FasL expression by tumor cells enhances tumorigenesis by killing Fas expressing immune effector cells (e. g., activated or tumor-reactive T cells), and surrounding Fas expressing tissue cells.

Further, cancer cells found to be FasL+ and Fas+ fail to undergo Fas-mediated apoptosis after treatment with agonis- tic anti-Fas antibody, suggesting that tumor-expressed Fas did not transmit an apoptotic signal. Resistance to Fas- mediated apoptosis after anti-Fas antibody treatment has also been observed in nonhematopoietic tumors, human hepatoma cells, and breast carcinoma. Thus, that some tumor cells expressing Fas appear to have lost their sensitivity to anti-Fas mediated cytotoxicity, suggests that these tumor cells escape the normal induction of apoptosis via Fas.

A need still exists for compositions to impair or inhibit tumor progression (one or more of metastasis, and tumor cell growth) and with less systemic toxicity than the current standard treatments comprising chemotherapy and/or radiation therapy.

SUMMARY OF THE INVENTION Accordingly, it is a primary object of the present invention to provide a composition comprising one or more polynucleotides for treating individuals having solid, nonlymphoid tumor.

It is another primary object of the present inven- tion to provide a composition comprising a therapeutically effective amount of one or more polynucleotides useful in a method for treating individuals having solid, nonlymphoid tumor by administering.

It is another primary object of the present invention to provide compositions comprising polynucleotides

for treating individuals having solid, nonlymphoid tumor; wherein the compositions comprise antisense to FasL, or sense polynucleotide encoding FasL, or a combination there- of; and may further comprise a pharmaceutically acceptable carrier.

It is another primary object of the present invention to provide a composition useful in a method for treating individuals having solid, nonlymphoid tumor, wherein the method comprises administering a therapeutically effective amount of a composition comprising one or more polynucleotides; wherein the composition comprises an antisense to FasL, or one or more sense polynucleotides encoding FasL, or a combination thereof.

It is another object of the present invention to provide a composition useful in a method for treating an individual bearing solid, nonlymphoid tumor comprising FasL (+) tumors, wherein the method comprises administering a therapeutically effective amount of a composition comprising an antisense to FasL, or one or more sense polynucleotides encoding FasL, or a combination thereof.

It is another object of the present invention to provide a composition useful in a method for impairing tumor progression (one or more of tumor growth or metastasis) in individuals bearing FasL (-) tumors or FasL (+) tumors or a combination thereof, wherein the method comprises adminis- tering a therapeutically effective amount of a composition comprising an antisense to FasL, or one or more sense poly- nucleotides encoding FasL, or a combination thereof. Result- ant impairment of tumor progression is facilitated, at least in part, by Fas-mediated cytotoxicity of the tumor and by Fas-mediated cytotoxicity of tumor-promoting accessory cells (e. g., B cells) local or regional to the tumor.

It is another object of the present invention to provide a composition useful in a method for impairing tumor growth and/or metastasis in individuals having solid, nonlymphoid tumor, wherein the method is facilitated, at least in part, by inhibiting FasL expression in FasL-

expressing cells local or regional to the tumor. The composition comprises an antisense to FasL, or one or more sense polynucleotides encoding FasL, or a combination thereof.

The foregoing objects are based on the novel dis- covery that a composition, comprising polynucleotide compri- sing FasL antisense, may be administered to an individual in an area local or regional to a solid tumor in an amount which can effect inhibition of tumor growth and/or metastasis. Additionally, a composition, comprising a FasL sense polynucleotide and a FasL antisense polynucleotide, may be administered to an individual in an area local or regional to a solid tumor comprising FasL+ tumor cells in an amount which can effect inhibition of tumor growth and/or metastasis. Additionally, disclosed herein is the discovery that intratumoral administration of a therapeutically effective amount of a composition comprising one or more polynucleotides in an area local or regional to a tumor can effect an inhibition of tumor growth and/or metastasis.

Disclosed is the use of a composition comprising a poly- nucleotide encoding FasL in the manufacture of a pharma- ceutical for intratumoral administration in a method of inhibiting progression of tumors comprising FasL-tumor cells (e. g., Fas+/FasL-tumor cells, or Fas-/FasL-tumor cells, or a tumor comprised of both of Fas+/FasL-tumor cells and Fas-/FasL-tumor cells). Also disclosed is the use of a composition comprising a polynucleotide encoding antisense to FasL in the manufacture of a pharmaceutical for intratumoral administration in a method of inhibiting tumor progression of tumors comprising FasL+ tumor cells (e. g., Fas-/FasL+ tumor cells, or Fas+/FasL+ tumor cells, or a tumor comprised of both Fas+/FasL+ tumor cells and Fas- /FasL+ tumor cells). Also disclosed is a composition comprising a combination of one or more polynucleotides comprising antisense to FasL, and one or more sense polynucleotides encoding FasL; and the use of the composition in manufacture of a pharmaceutical for

intratumoral administration in a method of inhibiting tumor progression of tumors comprising FasL+ tumor cells (e. g., Fas-/FasL+ tumor cells, or Fas+/FasL+ tumor cells, or a tumor comprised of both Fas+/FasL+ tumor cells and Fas- /FasL+ tumor cells).

These and further features and advantages of the invention will be better understood from the description of the preferred embodiments when considered in relation to the figures in which: BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a bar graph illustrating tumor growth (as measured by spleen weight) in mice injected with B16F10 cells ("B16F10") ; or Fas+/FasL-B16 cells; or PBS injection; or Fas+/FasL+ B16 clones #3, #4, and #7.

FIG. 2 is a bar graph illustrating the number of lung metastases in mice receiving Fas+, FasL+ B16 cells as compared to the number of lung metastases in mice receiving Fas+, FasL-cells.

FIG. 3 is a bar graph illustrating tumor growth (as measured by spleen weight) in mice injected with 3LL cells ("3LL") ; or 3LL cells transfected with pCDNA3 only ("Fas- /FasL-3LL"); or PBS; or 3LL cells transfected with pCDNA3 containing FasL cDNA ("Fas-/FasL+ 3LL").

FIG. 4 is a bar graph illustrating the number of lung metastases in mice receiving 3LL cells or Fas-/FasL+ 3LL cells.

FIG. 5 are bar graphs illustrating, in mice injected with either B16F10 cells or Fas+/FasL+ B16 cells, relative populations of B cells (FIG. 5A), CD4 cells (FIG. 5B), and CD8 cells (FIG. 5C).

FIG. 6 is a bar graph illustrating metastasis inhibition by a control group, C57BL/6 mice, muMT/muMT C57BL/6 mice, and nu/nu mice.

FIG. 7 is a graph illustrating the effect of one or more polynucleotides on the rate of tumor growth (tumor size plotted against time).

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Definitions The term"metastases"or"metastatic tumor cell"is used herein, for purposes of the specification and claims, to mean a metastasis from a primary tumor wherein the primary tumor is a solid, non-lymphoid tumor, as will be more apparent from the following embodiments. In a preferred embodiment, the metastases are Fas+.

The terms"solid, non-lymphoid tumor"or"tumor"are used hereinafter, for purposes of the specification and claims, to mean any primary tumor of nonhematopoietic and ductal epithelial cell origin, including, but not limited to, tumors originating in the liver, lung, brain, lymph node, bone marrow, breast, colon, pancreas, stomach, prostate, or reproductive tract (cervix, ovaries, endometrium etc.). In a preferred embodiment, the tumor is Fas+.

The term"nonadherent tumor cells"is used herein, for purposes of the specification and claims, to mean a metastatic tumor cell such as may be found moving through tissues of a body; a tumor cell circulating in blood, lymph or other body fluids; a tumor cell having a high potential to metastasize; or a solid, non-lymphoid tumor cell which is non-adherent as existing in non-anchorage conditions in a tissue environment. This includes tumor cells growing in clusters without visible intercellular connective matrix or desmoplastic or angiogenic processes, such as exhibited by metastatic growth in the lymphatic sinuses. Non-anchorage conditions, for example, exist during lung metastases forma- tion during cell arrest, and at some points in colony forma- tion. Such tumor cells are non-adherent at points when they circulate freely in the blood or lymph systems.

The term"individual"is used herein, for purposes of the specification and claims, to mean a mammal; and preferably a human, including an individual bearing a primary tumor comprising a solid, non-lymphoid tumor and/or

its metastases, or an individual who has been treated for a solid, nonlymphoid tumor and thereby inherently carries a risk of recurrence because of circulating tumor cells. In either case, the individual is at risk for developing, or has developed, a pro-tumor immune response.

The term"antisense"is used herein in reference to FasL, for purposes of the specification and claims, an to mean an oligonucleotide, modified oligonucleotide (e. g., containing one or more modified bases or synthetic nucleo- tides), nucleic acid molecule, other nucleotide-containing composition, or an oligomer large enough to be termed a polynucleotide, that binds in a sequence specific manner to a nucleic acid molecule encoding FasL in inhibiting or reducing the expression of FasL from that bound nucleic acid molecule. In a preferred embodiment, the antisense com- prises a nucleic acid sequence which comprises 10 or more contiguous nucleotides of SEQ ID NO : 7, and which functions to inhibit or reduce the expression of FasL. A preferred FasL antisense may be used to the exclusion of FasL antisense other than the preferred FasL antisense.

The term"FasL negative"or"FasL (-)" is used herein for purposes of the specification and claims, to mean solid, nonlymphoid tumor cells, and particularly nonadherent tumor cells thereof, which lack detectable expression of FasL either on the surface of the cell or at the mRNA level, as determined within the limits of detection by methods conventionally used by those skilled in the art to detect FasL expression including, but not limited to, RT-PCR, immunohistochemical staining, immunofluorescence flow cytometry, and functional bioassays, as will be more apparent from the following embodiments.

The term"FasL positive"or"FasL+"is used herein for purposes of the specification and claims, to mean solid, nonlymphoid tumor cells, particularly nonadherent tumor cells thereof, having detectable expression of FasL on the surface of the cell, as determined by methods conventionally used by those skilled in the art to detect FasL expression

including, but not limited to, RT-PCR, immunohistochemical staining, immunofluorescence flow cytometry, and functional bioassays, as will be more apparent from the following embodiments.

The term"polynucleotide"is used herein for purposes of the specification and claims, to mean a nucleic acid molecule which may be used by itself (e. g.,"naked"), or may further comprise a vector (e. g., for expression), as will be more apparent from the following embodiments. The nucleic acid molecule may comprise nucleotides, one or more nucleo- tides that contain modifications known to those skilled in the art (e. g., in one or more bases, one or more sugar moieties, one or more internucleotide linkages, one or more backbone modifications, and a combination thereof), or a combination thereof.

The term"vector"or"expression vector"is used herein for purposes of the specification and claims, to mean vectors used in accordance with the present invention as a vehicle for introducing into and expressing in a mammalian cell a gene encoding FasL (for the sense construct), or antisense to FasL. As known to those skilled in the art, such vectors can be selected from plasmids, viruses, and retroviruses. The features of a vector which make it useful in the compositions of the present invention include that it have a selection marker for identifying vector which has inserted therein the desired polynucleotide; restriction sites to facilitate cloning of the desired polynucleotide; and the ability to enter and/or replicate in mammalian cells. In one embodiment wherein inserted is a FasL encoding sequence, the vector may further comprise an activation-inducible cis-acting regulatory element for upregulating FasL expression (e. g., Egr-3; SEQ ID NO : 6), wherein the regulatory element is operatively linked to the gene encoding FasL in a manner permitting upregulation (for example, Egr-3 can be located approximately 200 bp upstream of initiation codon). Examples of a preferred vector for the in vivo introduction of a recombinant vector into mammalian

cells include, but are not limited to viral vectors. Virus- based vectors are one preferred vehicle as they infect cells in vivo, wherein during the infection process the viral genetic material is transferred into the cells. For example, the viral vector may comprise a retroviral vector, such as a plasmid containing AAV (Adeno-associated virus) sequences. In one embodiment, the AAV vector contains inverted terminal repeats (ITR) with a selection marker such as the gene encoding neomycin resistance, an SV40 promoter, a polylinker, and other plasmid sequences. A promoter in the ITR drives the expression of the neomycin phosphotrans- ferase gene, whereas the SV40 promoter drives expression of the operably linked FasL gene to be expressed. The inverted terminal repeats of the AAV vector provide a means for integrating the vector, and sequences inserted therein, into the chromosome as the repeats serve as a sequence which has been shown to insert site-specifically, rather than random- ly, into chromosomes. Examples of other known vectors for the in vitro or in vivo introduction into mammalian cells include, but are not limited to, retroviral vectors, papova- virus episomes, and adenovirus vectors. Such vectors can utilize tissue-specific promoters in targeting expression to tumor cells of particular tissue types. For example, the alpha-l-antitrypsin promoter and the albumin promoter are promoters activated primarily in liver tissue; and thus, may be used to target expression of the desired polynucleotide in tumor cells of hepatic origin. Similarly, the a- fetoprotein promoter may be used to target expression of the desired polynucleotide in hepatomas. The DF3/MUC-1 promoter may be used to target expression of the desired polynucleo- tide in breast cancer cells.

Therapeutically effective amounts of sense poly- nucleotides have been administered as naked DNA or as part of a vector in successfully effecting expression of a gene in vivo with the intended therapeutic result. Several clinical trials are ongoing in which sense polynucleotides

are being applied for therapeutic purposes for a wide spectrum of human diseases. Successful therapy in humans includes treating individuals having adenosine deaminase deficiency, and individuals with with ischemia. Likewise, antisense has been successfully employed to decrease gene expression (e. g., by sequence-specific base pairing with mRNA in preventing translation, or by sequence-specific base pairing with DNA in preventing transcription) in vivo for the intended therapeutic purposes. Several clinical trials are ongoing in which antisense polynucleotides are being applied for therapeutic purposes for a wide spectrum of human diseases. Successful antisense therapy in humans includes treatment of HIV infection, cytomegalovirus retinitis, myelogenous leukemia, and genital warts. Sense and antisense therapies may be applied in a site-directed manner, rather than systemically. A drawback to systemic therapies is the lack of selectively delivering the therapy to its intended target, diseased tissue, rather than to normal tissue. In that regard, activation-induced cell death of tumors has been complicated by the apparent resistance of Fas+ tumor cells to Fas-mediated cytotoxicity.

In one embodiment of the present invention, provided is a composition comprising one or more polynucleo- tides, wherein the composition comprises a polynucleotide comprising sense FasL, or a polynucleotide comprising antisense FasL, or a combination of polynucleotides thereof (a polynucleotide comprising sense FasL and a polynucleotide comprising antisense FasL). In another embodiment of the present invention, provided is the use of one or more polynucleotides comprising sense FasL, or antisense FasL, or a combination thereof, in the manufacture of a pharmaceu- tical composition for use in a method of inhibiting tumor progression (one or more of tumor growth or metastasis) in an individual; wherein the method comprises administering a therapeutically effective amount of the composition to an individual (e. g., an individual having solid, nonlymphoid tumor or suspected of having solid, nonlymphoid tumor)

intratumorally.

In one embodiment of using the composition accord- ing to the present invention, the composition comprising a polynucleotide encoding FasL is introduced into tumor comprising FasL (-) tumor cells in inducing FasL expression in the FasL (-) tumor cells. The polynucleotide may further comprise a vector which serves as a vehicle for introducing into, and expressing in, the FasL (-) tumor cells a gene encoding FasL. The polynucleotide, upon entry into such tumor cells, upregulates or induces the cell-surface expression of FasL, thereby making the treated tumor cells FasL+. Thus, those Fas+ and FasL+ tumor cells in non- anchorage conditions in the treated site, or that metastasize from the treated site, may participate in the fratricidal Fas/FasL mediated apoptosis, and may also contact and induce Fas-mediated cytotoxicity of Fas+ B cells involved in a pro-tumor immune response. In another embodi- ment of using the composition according to the present invention, the composition comprising a polynucleotide encoding antisense FasL is introduced (e. g., intratumorally) into tumor comprising FasL (+) tumor cells in reducing FasL expression in the tumor cells, as well as reducing FasL expression of FasL+ cells in the tumor environment (local- ized in or directly adjacent to the tumor). The poly- nucleotide may further comprise a vector which serves as a vehicle for introducing into, and expressing in, the FasL (+) tumor cells a polynucleotide encoding antisense FasL.

In another illustration of this embodiment, the composition further comprises an affinity ligand (e. g., antibody, antigen-binding fragment thereof (Fab, Fv, Fab2 or the like), lectin, aptamer, and the like) linked to the vector using conjugation methods known in the art (e. g., hetero-bifunctional linker, or photo-activated linker), in forming a FasL-inducing conjugate (e. g., a vector encoding FasL) or in forming a FasL-suppressing conjugate (e. g., a vector encoding antisense FasL). The affinity ligand has binding specificity for a tumor-associated molecule prefer-

entially expressed by a tumor cell, particularly by a nonadherent tumor cell. Thus, the affinity ligand facili- tates selectively delivery of the vector to its intended target tumor cells. In this and other embodiments accord- ing to the present invention, the composition may further comprise a pharmaceutically acceptable carrier. Such pharmaceutically acceptable carriers are known in the art to include, but are not limited to, physiological solutions (e. g., water, salt-containing solution, buffered solution), liposomes, other delivery vehicles, and compositions which facilitate infection or transfection of the tumor cell by the vector (e. g., microparticles which permit or enhance uptake or introduction of vector into the target cells).

For purposes of the description, the present invention will be illustrated in the following examples.

In the following examples used to illustrate the invention, it is important to note that mice have been validated as a model for the evaluation of compositions comprising anti- tumor agents (including sense or antisense therapeutics) by those skilled in the art. Mouse models of human cancer have been shown to reflect the clinical effectiveness of antitumor agents in original patients treated with these agents; and reflects antitumor effects from the agents, such as tumor regression or inhibition of tumor growth, as consistent with the activity against the corresponding types of clinical cancer.

EXAMPLE 1 This Example illustrates a composition according to the present invention. Provided herein as SEQ ID NO : 1 is the nucleotide sequence of the human FasL gene which may be used as a polynucleotide in the manufacture of a composi- tion for administering to a human. In this illustration, B16F10 melanoma cells (Fas+/FasL-) were transfected with a mammalian expression vector containing FasL cDNA. Other mammalian FasL nucleotide sequences are also known to those skilled in the art (SEQ ID NO : 2) or may be derived from an

amino acid sequence comprising FasL (e. g., SEQ ID NO : 3).

For purposes of illustration, and not limitation, a poly- nucleotide comprising FasL (SEQ ID NO : 2) was subcloned into pCDNA3 (commercially available) downstream and operably linked to the cytomegalovirus (CMV) promoter using a restriction enzyme (XbaI). Restriction enzyme digestion of plasmid DNA from individual clones with PstI distinguished clones in the positive orientation (the FasL gene operative- ly linked to the promoter for expression) versus clones in the reverse orientation. B16F10 cells were transfected with plasmid DNA containing the FasL gene in a positive orienta- tion, using a transfection reagent (lipofectin). Selection for transfected cells was performed by the addition of G418 (neomycin) to the culture. Following cell selection, the transfected cells were cloned by limiting dilution in the presence of neomycin. Expression of FasL by the transfected B16F10 clones was then confirmed by RT-PCR (mRNA level) and cDNA amplification (e. g., with SEQ ID NO : 4 as the sense primer and SEQ ID NO : 5 as the antisense primer), and by flow cytometry (protein level). As a control, the same process of transfection and cloning was performed using pCDNA3 alone (e. g., without the FasL cDNA insert).

To determine whether Fas/FasL coexpression in tumor cells could influence growth of the tumors in vitro, compared was the ability to grow these cells in nonadherent (non-anchorage) conditions. One thousand transfected B16F10 cells (pCDNA3 with FasL cDNA insert; Fas+/FasL+) were cul- tured in 1.5% agarose per well in 24 well plates. As con- trols, either one thousand B16F10 cells (untransfected) or one thousand B16F10 cells transfected with pCDNA3 only (Fas+/FasL (-)) were cultured in 1.5% agarose per well in 24 well plates. B16F10 cells (untransfected), and B16F10 cells transfected with pCDNA3 only showed the same efficiency in forming colonies in non-anchorage conditions; e. g., after 5 days, cells develop an average of about 150 colonies. Each colony is a compact cluster of several hundreds of cells.

However, three separate clones of B16F10 cells transfected

with pCDNA3 with FasL cDNA insert failed to develop a significant number of colonies. When a colony did develop from these transfected cells, the colony comprised a small cell cluster of about 5 to about 20 loosely associated cells. A conclusion from these results is that in non- adherent (e. g., non-anchorage) conditions, Fas/FasL coexpressing tumor cells develop fratricidal Fas/FasL mediated apoptosis. Thus, a composition comprising a polynucleotide encoding FasL ("FasL sense polynucleotide") may induce activation-induced cell death in nonadherent FasL (-) Fas+ tumors. The resultant Fas+/FasL+ tumor cells may then be susceptible to Fas-dependent apoptosis by interaction with Fas+/FasL+ cells from the same tumor ("fratricidal Fas/FasL mediated apoptosis").

To further evaluate the effect that FasL expression has on non-adherent tumor cells in vivo, a model for metastatic growth was used. Direct intrasplenic implan- tation of melanoma cells (e. g. B16F10) yield large splenic tumors. For example, injection of 105 B16F10 melanoma cells intrasplenically yields large splenic tumors in 14 days.

For 5 days after the injection, the B16F10 cells grow in the spleen forming clusters without visible intercellular con- nective matrix, thereby mimicking metastatic growth in the lymphatic sinuses (i. e., non-anchorage conditions). After this early period, desmoplastic and angiogenic reactions complete the structure of the tumor tissue. If a mechanism of action is Fas-dependent apoptosis of Fas+ tumor cells, then in vivo, intrasplenic tumor formation should also be impaired irrespective of the influence of lymphocyte deletion. In this in vivo standard experimental model, five groups of C57BL/6 mice were injected intrasplenically with 104 tumor cells; and a sixth group did not receive tumor cells (control). One group received B16F10 cells; a second group received B16F10 cells transfected with pCDNA3 only (Fas+, FasL (-)); and groups three, four, and five received B16F10 cells transfected with a FasL sense polynucleotide comprising pCDNA3 containing FasL cDNA (Fas+, FasL+; either

one of clones 3,4, and 7). Fourteen days postinjection, spleens from the three groups of mice were evaluated for tumor growth by measuring spleen weight, by visual observa- tion, and by histological evaluation. For spleen weight determinations, the spleens were removed; dried by immersion in 100% ethanol for seven days during which period the ethanol evaporated; and the dried spleens were weighed and an average for the group reported. As shown in FIG. 1, spleen weight was significantly increased, and macroscopic tumor growth was observed, in mice injected with B16F10 cells ("B16F10") or B16F10 cells transfected with pCDNA3 only ("Fas+/FasL-B16"), as compared to the spleen of a control group of mice receiving only a PBS injection. How- ever, the spleens of mice receiving B16F10 cells transfected with a FasL sense polynucleotide did not show a significant increase in weight. Visually and histologically, the spleens of the Fas+/FasL+ B16 injected mice showed a normal structure with numerous isolated tumor cells with apoptotic nuclei. These analyses are indicative of a failure of tumor progression. This is an unexpected result because it has been reported that FasL+ expression by tumor cells repre- sents a significant advantage for tumor survival and tumor growth (e. g., via immune privilege). In contrast, the results of this standard animal model indicate that FasL+ expression by tumor cells, at least in nonadherent condi- tions, represents a mechanism by which tumor cell growth is inhibited or impaired. These results in vivo confirm the results obtained in vitro, and further support use of a composition comprising a FasL sense polynucleotide in the manufacture of a pharmaceutical composition for use in inhibiting tumor progression in individuals having FasL (-) Fas+ tumors. As demonstrated herein, the method is facili- tated, at least in part, by Fas-mediated cytotoxicity of the tumor (fratricidal Fas/FasL mediated apoptosis).

It is known by those skilled in the art that B16F10 melanoma cells have a characteristic ability, common among melanomas, to develop lung metastases. Lung metastases

formation involves cell arrest (non-anchorage conditions), extravasation (anchorage condition), and colony formation (anchorage/non-anchorage conditions). To evaluate the effect of FasL expression by tumors on lung metastasis, this experimental animal model for in vivo metastatic growth was used. One group of C57BL/6 mice was injected via the tail vein with 105 B16F10 cells transfected with pCDNA3 only ("Fas+/FasL-B16"). A second group of C57BL/6 mice was injected via the tail vein with 105 B16F10 cells transfected with a FasL sense polynucleotide comprising pCDNA3 con- taining FasL cDNA ("Fas+/FasL+ B16"). Lungs from the two groups of mice were evaluated for tumor growth by visual observation. Fourteen days postinjection, the lungs from mice receiving B16F10 cells developed numerous macroscopic lung metastases, whereas macroscopic lung metastases were few or absent in mice receiving Fas+/FasL+ B16 cells. The experiment was repeated using an inoculum of either 104 or 105 B6F10 or Fas+, FasL+ B16 clones. Three weeks post- injection, the lungs were removed, fixed in ethanol, and sliced (approximately 0. 5 mm thick) for histological examination. The number of metastases per mouse was counted on lung slices using a lOx microscope, and the average count of metastases per mouse for each test group was calculated.

As shown in FIG. 2, there is a significant reduction in the number of lung metastases in mice receiving Fas+, FasL+ B16 cells as compared to the number of lung metastases in mice receiving B6F10 cells (Fas+, FasL-). Using the same experimental animal model for in vivo metastatic growth, two groups of mice were monitored for an extended period of time. One group was injected via the tail vein with B16F10 cells, whereas the other group was injected with Fas+, FasL+ B16 cells. After 30 days postinjection, all mice in the group injected with B16F10 cells died. Postmortem analysis of the lungs disclosed sufficient metastatic growth consistent with being the cause of death of this group of mice. However, all mice in the group injected with Fas+, FasL+ B16 cells survived the 30 day period.

It can be concluded from this experimental animal model of metastatic growth in vivo that FasL+ expression by Fas+ tumor cells, at least in nonadherent conditions, represents a mechanism by which metastases are inhibited or impaired, rather than being a significant advantage for tumor survival and tumor growth. These results further support a composition for use in a method for inhibiting tumor progression in individuals having FasL (-) Fas+ tumors, wherein the method comprises administering in vivo a therapeutic of a composition comprising a FasL sense polynucleotide.

EXAMPLE 2 This Example further illustrates that the metastasis inhibitory effect of FasL expressing Fas+ tumor cells in non-anchorage conditions is, at least in substantial part, Fas/FasL mediated. That is, that fratricidal apoptosis comprises a substantial portion of such observed metastasis inhibitory effect, and that Fas+ coexpression is necessary for the fratricidal activity. In this illustration, used were methods, experimental animal model, and compositions described in Example 1 herein.

However, in this example, the tumor cells used were Lewis lung carcinoma cells (3LL). The 3LL cells used were shown to be Fas-by both flow cytometry, by RT-PCR, and by a lack of induction of apoptosis when reacted with agonist anti-Fas antibody, Jo2. The 3LL cells were transfected with a FasL sense polynucleotide (e. g., pCDNA3 containing a FasL cDNA insert operaively linked thereto for expression of FasL).

3LL clones expressing FasL were identified by RT-PCR. When Fas-/FasL+ 3LL clones were cultured in vitro in non- anchorage conditions, they were able to produce colonies comparable to those produced by 3LL cells and by 3LL cells transfected with pCDNA3 only (Fas-/FasL (-)). A conclusion from these results is that in the absence of Fas expression, the expression of FasL alone does not induce the fratricidal effect.

In the experimental animal model for metastatic growth, 3LL cells or transfected 3LL cells were directly implanted in the spleen. After fourteen days, the spleens were harvested, dried, and weighed as described above. As shown in FIG. 3, spleen weight was significantly increased, and macroscopic tumor growth, was observed in mice injected with 3LL cells ("3LL") or 3LL cells transfected with pCDNA3 only ("Fas-/FasL-3LL"), as compared to the spleen of a control group of mice receiving only a PBS injection.

Spleens of mice receiving 3LL cells transfected with pCDNA3 containing FasL cDNA ("Fas-/FasL+ 3LL") showed a significant increase in weight as compared to the controls, and macro- scopic tumor growth was evident. While the Fas-/FasL+ 3LL cells produced tumor of smaller size than 3LL, Fas-/FasL+ 3LL cells produced significantly more tumor growth in the spleen than that observed for Fas+/FasL+ B16 cell implantation.

In the experimental animal model for lung metas- tases, 3LL cells or transfected 3LL cells were injected into mice via the tail vein. After fourteen days, the lungs were analyzed for the presence of metastases by drying, and weighing the lungs as described above for the spleen. As shown in FIG. 4, lung weight and the number of metastases was significantly increased in mice injected with 3LL cells as compared to the lungs of a control group of mice receiv- ing only a PBS injection. Lungs of mice receiving 3LL cells transfected with pCDNA3 containing FasL cDNA ("Fas-/FasL+ 3LL") produced a significantly lower number of lung metastases as compared to mice receiving 3LL cells.

Taken together, the studies using 3LL cells and 3LL transfected cells indicate that there is another mechanism, in addition to the Fas-mediated cytotoxicity of the tumor (fratricidal Fas/FasL mediated apoptosis), involved in inhibiting tumor progression. One possibility is that expression of FasL by circulating tumor cells induces changes in the cellular microenvironment which counter the progression of metastases. To further

characterize this possibility, assessed were alterations in lymphocyte populations.

Three groups of C57BL/6 mice were injected subcutaneously. One group received 105 B16F10 cells; and another group received 105 Fas+/FasL+ B16 transfected cells.

A third group received saline only, as a control. Three weeks postinjection, the spleens of each group of mice were removed, dispersed, and mononuclear cells selected by density gradient. The mononuclear cells were stained with fluorescent labeled monoclonal antibodies to detect CD3 (pan T lymphocyte), CD4 (T helper cells), CD8 (T suppressor cells), and CD19 (pan B lymphocytes) surface markers as detected and quantitated by flow cytometry. The relative frequency of each cell type is expressed as a percentage of total positively stained cells + standard deviation. As shown in FIG. 5, the spleens of mice receiving Fas+/FasL+ B16 cells had a significant increase of the T cell to B cell ratio, and an increased CD4 to CD8 ratio, as compared to the spleens of mice receiving either B16F10 cells, or saline control. These results indicate that expression of FasL on tumor cells induces certain systemic changes in lymphocyte populations, with a relative increase in T cell numbers (primarily CD4+), and a relative reduction in B lymphocyte populations. This is an unexpected result because it has been reported that FasL+ expression by tumor cells confers immune privilege to the tumor cells by mediating apoptosis of activated T cells. In contrast, the results of this standard animal model indicate that FasL+ expression by tumor cells, at least in non-anchorage conditions, represents a mechanism by which systemically T cells are either directly or indirectly activated to mediate inhibition or impairment of metastasis, or a mechanism by which B cells are reduced thereby mediating inhibition or impairment of metastasis, or a combination thereof.

To assess which of these altered lymphocyte populations (T or B cells) are effector cells of, at least part of, the metastasis inhibitory effect observed with FasL

expressing tumor cells, specific immunodeficient mice were used. One group of athymic (T cell deficient) nude ("nu/nu") mice was injected intra-splenically with 5 x 105 Fas+/FasL+ B16 cells. One group of muMT/muMT ("B cell deficient" ; i. e., do not develop competent B cell system) mice was injected intrasplenically with 5 x 105 Fas+/FasL+ B16 cells. One group of C57BL/6 (immunocompetent) mice was injected intrasplenically with 5 x 105 Fas+/FasL+ B16 cells.

One group (control) received PBS only. One week post- injection, all groups were injected via the tail vein with 105 B16F10 cells suspended in PBS. Two weeks after injection of B16F10 cells, lung metastases were counted under phase contrast microscopy. The metastasis inhibitory effect of the tumor cells was calculated using the formula: [100 x (number of metastases in control-number of metastases in the test)/number of metastases in the controls.

As illustrated in FIG. 6, the control group, by definition, showed no metastasis inhibitory effect; and the immunocompetent mice ("C57BL/6") and B cell deficient mice ("muMT/muMT C57BL/6") showed very high inhibitory effects on development of metastases related to the subsequent B16F10 cell injections. In contrast, T cell deficient, B cell competent mice did not show significant metastasis inhibi- tory effects. These results show that in this model, Fas+/FasL+ B16 cells produce statistically and significantly less metastases in muMT/muMT (B cell deficient) mice than in C57BL/6 (B cell competent) mice. This is evidence that (a) B cells can promote tumor progression and metastasis, and (b) a reduction of B cells, such as by Fas-mediated cyto- toxicity induced by contact with FasL (+) tumors, is a mechanism for increasing the metastasis inhibitory effect (i. e., for inhibiting tumor progression). It is noted that such interactions between Fas+ B cells and FasL (+) tumor may primarily take place in tumor tissue (infiltrating B cells), and in lymphoid tissues either regional or distal to the site of primary tumor. Such B cells, or a subpopulation

thereof, may promote tumor progression.

The metastasis inhibitory effect (e. g., inhibition of tumor progression) observed of FasL expressing circulat- ing tumor cells is systemic, rather than local. In this illustration, five groups of C57BL/6 were injected intra- splenically. One group received normal saline (control); one group received 105 B16F10 cells; one group received 105 irradiated B16F10 cells; one group received 105 Fas+/FasL+ B16 cells; and one group received 105 irradiated Fas+/FasL+ B16 cells. Seven days postinjection, all groups were injected, via the tail vein, with 105 B16F10 cells. Two weeks after the challenge with 105 B16F10 cells, the spleens and lungs of the mice were analyzed for tumor burden by weight, and macroscopically. The control group had develop- ed extensive lung metastases, while lacking development of splenic tumor. In contrast, the group of mice receiving the splenic injection of B16F10 cells had well developed splenic tumor (averaging between 1500 to 2000 mg/spleen), but less extensive lung metastases when compared to the control group. These results suggest that the well-developed splenic tumor (Fas+/FasL (-)) inhibited the growth of lung metastases through a systemic mechanism.

Further, the group of mice receiving irradiated B16F10 cells had levels of splenic tumor (very low) and lung metastases (extensive) comparable to the control group. The group of mice injected with Fas+/FasL+ B16 cells did not develop splenic tumors; however, the number of lung metastases was significantly reduced when compared to the controls. When comparing the number of lung metastases, mice injected with Fas+/FasL+ B16 cells (not developing splenic tumors) and mice injected with B16F10 cells (Fas+/ FasL (-); having well developed splenic tumor) were similar in efficacy in inhibiting the growth of lung metastases through a systemic mechanism. Thus, while Fas+/FasL+ B16 cells tumor cells did not develop splenic tumors, these tumor cells had similar efficacy in exerting or inducing a distant inhibitory effect, as compared to well developed

splenic tumor (Fas+, FasL (-) cells), on lung metastases.

It is important to note that (a) Fas+, FasL+ B16 cells injected intrasplenically are effective in signify- cantly reducing the number of lung metastases formed from Fas+, FasL+ B16 cells; and that (b) Fas+, FasL+ B16 cells injected intrasplenically are effective in significantly reducing the number of lung metastases formed from Fas+, FasL (-) B16F10 cells. These results indicate that through a process reaching systemically, FasL+ Fas+ tumors can directly and/or indirectly mediate a metastasis inhibitory effect (e. g., such as by fratricidal apoptosis) of either FasL+ or FasL (-) tumor cells that express Fas, and/or of Fas expressing B cells involved in a pro-tumor immune response (e. g., such as by Fas mediated cytotoxicity). As can be further concluded from these results, this FasL+ mediated metastasis inhibitory effect requires tumor cell prolifera- tion/turnover, as irradiated Fas+, FasL+ B16 cells appeared ineffective in inhibiting metastasis.

EXAMPLE 3 This Example illustrates one embodiment of a composition, or the use of the composition in the manu- facture of a pharmaceutical composition, for a method of inhibiting tumor progression (tumor growth and/or metastasis). Provided is a composition for inducing FasL expression in FasL (-) Fas+ tumor cells, wherein the FasL (-) Fas+ tumor cells become FasL+ and can be used to contact and induce Fas mediated cytotoxicity of Fas expressing cells selected from the group consisting of tumor cells, B cells (primarily, but not limited to, those involved in a tumor promoting immune response), and a combination thereof. In one embodiment, the compositionn comprises a FasL sense polynucleotide. The polynucleotide may further comprise an expression vector; wherein the vector is a vehicle for introducing into, and expressing in, the tumor cells, parti- cularly nonadherent tumor cells, a polynucleotide encoding FasL. Methods for making such a vector are previously

described herein in more detail. The polynucleotide, upon entry into such tumor cells, upregulates or induces the cell-surface expression of FasL, thereby making the treated Fas+ tumor cells FasL+. In another illustration of this embodiment, the polynucleotide further comprises an affinity ligand linked to the expression vector, in forming a FasL- inducing conjugate. The affinity ligand of the FasL inducing conjugate has binding specificity for a tumor- associated molecule preferentially expressed by a tumor cell, and particularly by a nonadherent tumor cell. Thus, the affinity ligand facilitates selectively delivery of the expression vector to its intended target tumor cells. In this embodiment, the polynucleotide further comprises a pharmaceutically acceptable carrier. Such pharmaceutically acceptable carriers are known in the art to include, but are not limited to, physiological solutions, liposomes, other delivery vehicles, and compositions which facilitate intro- duction, or infection or transfection of the tumor cells by the polynucleotide (e. g., microparticles which permit or enhance uptake or introduction of vector into the target cells).

Using methods known in the art of molecular biology, including methods described above, various promoters and enhancers (see, e. g., SEQ ID NO : 6) may be operably linked to the polynucleotide encoding FasL to increase the expression of FasL. The selection of. the promoter will depend on the such factors as the composition of the polynucleotide (e. g., sequence composition, if a vector used), and if tissue specific expression is desired.

The promoter is operably linked to the polynucleotide encoding FasL, and may be part of the vector sequence or introduced as part of the DNA insert containing the FasL encoding sequence. The vector may include other control elements for efficient gene transcription or message translation, including enhancers, and regulatory signals.

Accordingly, a polynucleotide encoding FasL be ligated into an expression vector at a specific site in relation to the

vector's promoter, control, and regulatory elements so that when the recombinant vector is introduced into the target tumor cell, the FasL DNA sequences can be expressed.

There are several means by which to administer intratumorally to an individual the composition comprising one or more polynucleotides according to the present invention. In the situation in which a primary solid, nonlymphoid tumor in a specific organ is detected, a catheter may be inserted into one or more of the major vessels (blood or lymphatic) that enter or exit from that organ using standard methods for inserting the catheter into such vessels, as known to those skilled in the art. This "site-directed"treatment may comprise either a single infusion, or multiple infusions over time, of a thera- peutically effective amount of the composition, as monitored by treatment response and by indicia of any possible local toxicity in the treated organ. It is appreciated by those skilled in the art that a composition comprising a vector comprising the polynucleotide may be linked to an affinity ligand, and the resultant conjugate may bind to the nonadherent tumor cells, and may be endocytosed by the tumor cell.

In another example, the tumor cells, removed from an individual, can be transfected or electroporated by standard procedures known in the art, resulting in the introduction of the composition comprising the one or more polynucleotides into the cells. The resultant tumor cells may then be selected for using methods known in the art (e. g., a selection marker of the expression vector), and the selected cells may then be used as a vehicle for intro- duction of the polynucleotide into a heterologous indivi- dual. In a preferred embodiment, the composition may be administered to the individual by intratumoral injection.

EXAMPLE 4 This Example illustrates a polynucleotide comprising FasL antisense, a composition comprising the

polynucleotide, the composition used in the manufacture of a pharmaceutical composition, and the ability of FasL anti- sense to reduce tumor growth. A nucleotide sequence of which antisense FasL may be comprised or derived therefrom is provided herein as SEQ ID NO : 7 and may be used in produc- ing a composition for administering to a human. Other mammalian antisense FasL nucleotide sequences may be derived from the various FasL sequences known to those skilled in the art (see, e. g., SEQ ID NO : 8). As an illustrative non- limiting example, an antisens. e FasL polynucleotide was produced by cloning antisense FasL (SEQ ID NO : 8) into pCDNA3 downstream and operably linked to the cytomegalovirus (CMV) promoter using a restriction enzyme (XbaI). Restriction enzyme digestion of plasmid DNA from individual clones with Pstl distinguished clones in the antisense orientation from those in a positive orientation. The antisense FasL polynucleotide was then used to transfect tumor cells in vivo. In this experiment, human colorectal carcinoma cell line SW620 was used. Generally, these cells are Fas-/FasL+ but can also comprise mixtures of Fas-/FasL+ cells and Fas+/ FasL+ cells. SW620 (105) cells were injected subcutaneously into each of a group of nu/nu mice. When the tumor reached 5mm in diameter, the anti-sense FasL polynucleotide (in a pharmaceutically acceptable carrier in forming a pharma- ceutical composition) was injected intratumorally at 5 day increments for a total of 3 injections (50 pg of vector in 100 pg of saline). Twenty five days after the first injection, tumor was harvested and analyzed for the presence of the antisense FasL polynucleotide by polymerase chain reaction and agarose gel electrophoresis. The results of the analysis show that the antisense FasL polynucleotide remains available for translation in the tumor for at least 25 days after injection. Using an enzyme-linked immuno- assay, the sera from the group of treated mice was analyzed for soluble FasL. The analysis showed that mammals which received a therapeutically effective amount of the antisense FasL polynucleotide demonstrated a significant (group

average of about 40%) decrease in the serum concentration of soluble FasL as compared to control mice not receiving antisense FasL. It may be concluded from these results that FasL antisense polynucleotide, when administered in a therapeutically effective amount to an individual, can result in a biological effect in vivo.

To determine whether administering a therapeutic- ally effective amount of a composition according to the present invention into the tumor environment of an indi- vidual can inhibit tumor growth, nu/nu mice were injected subcutaneously with 105 SW620 tumor cells. When the tumors reached 5mm in diameter, the mice were divided into four groups. A first group ("control") received intratumoral injections at 5 day increments for a total of 3 injections of plasmid DNA without any inserted antisense polynucleotide (50 pg of vector in 100 g of saline). A second group received intra-tumoral injections at 5 day increments for a total of 3 injections of a polynucleotide comprising an expression vector with antisense FasL operatively inserted therein for expression (50 jug of antisense FasL vector in 100 pg of saline). A third group received intratumoral injections at 5 day increments for a total of 3 injections of a polynucleotide comprising an expression vector with sense FasL operatively inserted therein for expression (50 pg of sense FasL vector in 100 g of saline). A fourth group received intra-tumoral injections at 5 day increments for a'total of 3 injections of a composition comprising a combination of polynucleotides comprising the antisense FasL polynucleotide (50 pg of antisense FasL vector in 100 ig of saline), and the sense FasL polynucleotide (50 jug of sense FasL vector in 100 pg of saline). Tumor growth was then monitored daily, and the daily rate of tumor growth was determined by the number of days it took for the average tumor diameter of each group to reach 15 mm. As shown in FIG. 7, it took approximately 18 days for the control group (-+-) to reach an average tumor diameter of 15 mm. In

comparison to the control group, the groups receiving a therapeutically effective amount of either a composition comprising polynucleotide comprising sense FasL (-e), a composition comprising a polynucleotide comprising antisense FasL (-A-), or a composition comprising a polynucleotide comprising sense FasL and a polynucleotide comprising antisense FasL showed a statistically significant inhibition in the rate of tumor growth. Unexpectedly, the composition comprising the combination of a polynucleotide comprising sense FasL and a polynucleotide comprising antisense FasL showed the strongest inhibitory effect on tumor progression.

It may be concluded from these results that a composition comprising one or more polynucleotides according to the present invention, may be administered in an amount effective to inhibit tumor progression, such as by intra- tumoral administration to an individual.

The foregoing description of the specific embodiments of the present invention have been described in detail for purposes of illustration. In view of the descriptions and illustrations, others skilled in the art can, by applying, current knowledge, readily modify and/or adapt the present invention for various applications without departing from the basic concept, and therefore such modifications and/or adaptations are intended to be within the meaning and scope of the appended claims.

What is claimed is: