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Title: Human T cell reactive
feline protein (TRFP) isolated from house dust and uses therefor
United States Patent: 7,482,008
Issued: January 27, 2009
Inventors: Gefter;
Malcolm L. (Lincoln, MA), Garman; Richard D. (Arlington, MA), Greenstein;
Julia L. (West Newton, MA), Kuo; Mei-chang (Winchester, MA), Rogers; Bruce
L. (Belmont, MA), Griffith; Irwin J. (North Reading, MA), Morgenstern; Jay
P. (Boston, MA), Bond; Julian F. (Weymouth, MA), Brauer; Andrew W. (Salem,
MA), Morville; Malcolm (Shrewsbury, MA), Briner; Thomas J. (Arlington,
MA), Shaked; Ze'ev (Berkeley, CA)
Assignee: Merck Patent GmbH
(Darmstadt, DE)
Appl. No.: 09/662,784
Filed: September 15, 2000
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Outsourcing Guide
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Abstract
A substantially pure, covalently linked
human T cell reactive feline protein (TRFP) has been isolated from vacuum
bag extract obtained by affinity purification of house dust collected from
several homes with cats; DNA encoding all or a portion of the TRFP or
peptide; compositions containing such a protein or peptide or portions
thereof; and antibodies reactive with the TRFP or peptide are disclosed.
Also disclosed are recombinant TRFP or peptide; modified or mutated TRFP
peptides; their use for diagnostic or therapeutic purposes.
Description of the
Invention
As described herein, a cat
protein allergen, human T cell reactive feline protein (TRFP) has been
isolated and purified by affinity purification of vacuum cleaner bag house
dust collected from several homes with cats. As used herein, "isolated"
refers to the TRFP protein or peptides free of all other cat polypeptides or
contaminants. The work described herein has resulted in isolation and
purification of a TRFP protein; determination of the nucleotide sequence
encoding TRFP and the amino acid sequence of TRFP (FIGS. 1-7
(see Original Patent)); demonstration that TRFP is composed of two
covalently linked peptide chains (designated chain 1 and 2); identification
and isolation of T cell reactive peptides (i.e. peptides comprising at least
one T cell epitope) and amino acid sequences present in the TRFP protein;
and characterization of TRFP. It has also resulted in cloning and expression
of TRFP in E. coli and characterization of the resulting recombinant TRFP
proteins. Moreover, the work described herein has resulted in clinical
research confirming that the work described herein has provided a
therapeutic which has been shown to provide statistically significant
clinical benefit to humans allergic to cat allergen in Phase II Clinical
Trials. As described in Example 4, cDNA clones encoding all or part of TRFP
chain 1 or chain 2 have been expressed in E. coli as recombinant fusion
proteins. Of note is the finding that chain 1 of the two-chain TRFP protein
has two alternative leader sequences and that chain 2 has two major forms
(designated as long and short).
A monoclonal antibody reactive with Felis domesticus allergen I, known as
Fel d I, was used to isolate a single protein from a vacuum cleaner bag
preparation. The affinity purified T cell reactive protein isolated in this
manner is referred to as human T cell reactive feline protein (human TRFP).
TRFP has been shown to havebiological activity (human IgE binding ability)
and to possess cross reactivity with rabbit anti-Fel d I antisera. The terms
"antigenic" or "allergenic" as used interchangeably herein refers to those
peptides or proteins which have the ability to induce an immune response
(i.e. bind IgE and/or stimulate T-cells).
In addition to determining the amino acid sequence of chains 1 and 2 of the
TRFP, a Fel d I protein preparation provided by Martin Chapman was analyzed
and the protein was isolated and sequenced. Comparison of the amino acid
sequence of the affinity purified TRFP with that of the published Fel d I
protein sequence showed that there is a high degree of homology between the
first 33 amino acid sequences at the amino terminus of Fel d I and chain 1
of TRFP.
The following is a description of the methods by which a single protein
composed of two covalently linked chains was isolated from house dust, as
well as a description of approaches used to identify and isolate DNA
encoding the TRFP. Furthermore, a description of methods used to generate
recombinant TRFP chains 1 and 2 are also presented. Additionally, peptides
derived from the TRFP protein having T cell stimulating activity (i.e., the
peptide comprises at least one T cell epitope) have been identified and are
described herein.
Isolation of a Single Protein From a Vacuum Cleaner Bag Preparation
A protein preparation was extracted from the contents of vacuum cleaner bags
by a method based on that of M. D. Chapman and co-workers. Chapman, M. D. et
al., J. Immunol., 140(3): 812-818 (1988). Monoclonal antibody reactive with
Fel d I, produced by Chapman and co-workers, was used to identify a protein
in the preparation. de Groot, H. et al., J. Allergy Clin. Immunol.,
82:778-786 (1988). Selected monoclonal antibodies (designated 1G9 and 6F9)
that recognize Fel d I native protein were used to affinity purify a
protein, which is referred to as human T cell reactive feline protein (TRFP)
(also referred to as VCB or vacuum cleaner bag protein) from a house dust
sample. This was carried out, using known techniques, by producing the
desired monoclonal antibody, isolating it in large quantities from ascites
and immobilizing it on Sepharose 4B (Pharmacia). The protein preparation was
extracted from vacuum cleaner bags of house dust obtained from several homes
with cats. Aqueous vacuum cleaner bag extract was first subjected to gel
filtration and decolorization and, subsequently, affinity chromatography
purification. Aqueous vacuum cleaner bag extract was passed over the
monoclonal antibody-containing column and a protein species was eluted. The
protein isolated in this manner was shown, using both Western blot and ELISA
techniques, to bind human IgE, thus demonstrating that TRFP possesses
allergenic activity. The affinity purified TRFP was subjected to a number of
protein chemical procedures to derive primary amino sequence data. The
sequences derived from TRFP are illustrated in FIGS. 6 and 7
(see Original Patent). The methods used in the protein sequence analysis
are further described in Example 1. Under non-reducing conditions, Western
blot analysis demonstrated the existence of a 40 kD and a 20 kD species,
whereas a 10-18 kD and a 5 kD species was detected under reducing
conditions.
The 5 kD band interacts with affinity purified antipeptide antisera raised
against peptides derived from chain 1 protein sequence (anti-Fel 2 and anti-Fel
4), whereas the 10-18 kD band interacts with antipeptide antiserum raised
against peptide derived from chain 2 protein sequence (anti-Fel 18). Hence,
the 5 kD band and the 10-18 kD band are derived from the TRFP chain 1 and
the chain 2, respectively. TRFP can exist as an aggregated form, as
demonstrated by the approximately 40 kD molecular weight of the affinity
purified TRFP (may be a dimer of the chain 1 and chain 2 heterodimer) and
the approximately 130 kD species detected in gel filtration prior to
affinity purification.
Identification of Clones Containing DNA Inserts Encoding the Human T Cell
Reactive Feline Protein (TRFP)
Protein chemical analysis of affinity purified TRFP led to the determination
that TRFP is composed of two covalently linked peptide chains (designated
chain 1 and 2; see Example 1 and the materials and methods section and the
discussion section in Morgenstern et al., Proc. Natl. Acad. Sci., USA,
88:9690-9694 (1991) for details). Without this information, cloning the full
length TRFP protein was not possible. As described in the Examples and the
cited paper, chemical analysis of TRFP chemical analysis of TRFP and the
discovery that the protein was two covalently linked chains required elegant
and uniques experimentation. Furthermore, chain 1 and chain 2, peptide
sequence analysis led to the determination of considerable primary sequence
data for both chain 1 (70 amino acids; see FIG. 6
(see Original Patent)) and chain 2 (83 amino acids; see FIG. 7
(see Original Patent)). The amino acid sequence data was used to devise
various cloning strategies to enable the cloning and complete nucleotide
sequence determination of cDNAs and genomic clones encoding the TRFP chains
1 and 2 (details provided in Examples 2 and 3).
In order to determine the best tissue source(s) to isolate mRNA for the
cloning of TRFP, various cat tissues were examined by ELISA techniques using
monoclonal antibodies (directed against Fel d I). It was determined that the
several salivary glands and skin contain significant levels of TRFP, and
thus, provide a valuable source from which to clone cDNA sequences encoding
the TRFP (see Table 1
(see Original Patent), in which--indicates that an analysis was not done).
As a result of the work described herein, cDNAs and genomic clones encoding
chain 1 and chain 2 of TRFP have been cloned, isolated and sequenced; the
encoded amino acid sequences of the protein has been deduced; and peptides
derived from TRFP have been identified and isolated using known methods. The
complete nucleotide sequences encoding both TRFP chains are shown in FIGS.
1-5
(see Original Patent). The hybridization pattern of individual genomic
clones verified that the chain 1 and chain 2 cDNAs are products of different
genes. Northern blot analysis of the cat salivary gland RNA also
demonstrated the presence of the two separate mRNAs. Sequencing of the
genomic clones confirmed the hybridization results. As described in Example
2, individual full-length PCR generated chain 1 clones were shown to have
two different sequences at their 5' ends, suggesting that chain 1 has two
alternative leader sequences. This was confirmed by the DNA sequence
analysis of the chain 1 genomic clone, which demonstrated that the single
chain 1 gene has both alternative leader sequences closely linked at the 5'
end of the structural gene (see FIGS. 1, 2 and 6
(see Original Patent)).
As described in Example 4, cDNA clones encoding all or a fragment of TRFP
chain 1 or chain 2 were subcloned into E. coli expression vectors and the
expressed recombinant TRFP proteins examined. Western blot analysis using
rabbit anti-peptide antisera directed against either chain 1 sequences or
chain 2 sequences demonstrated appropriate binding specificity.
Uses of the Subject Human T Cell Reactive Feline Protein (TRFP) and DNA
Encoding Same
The materials resulting from the work described herein, as well as
compositions containing these materials, can be used in methods of
diagnosing, treating and preventing cat allergy. In addition, the cDNA (or
the mRNA from which it was reverse transcribed) can be used to identify
similar sequences in other species and, thus, to identify or "pull out"
sequences that have sufficient homology to hybridize to the TRFP cDNA. Such
sequences from other species might encode proteins useful in treating
allergies to these animals in people. This can be carried out, for example,
under conditions of low stringency and those sequences having sufficient
homology (generally greater than 40%) can be selected for further assessment
using the method described herein. Alternatively, high stringency conditions
can be used. In this manner, DNA of the present invention can be used to
identify, in other types of mammals (e.g., dog, rabbit, sheep, goat, horse),
sequences encoding peptides having amino acid sequences similar to that of
the TRFP. This can be done by hybridization or PCR cloning methods. Thus,
the present invention includes not only the TRFP or peptide encoded by the
present DNA sequences, but also other TRFP-like proteins or peptides encoded
by DNA which hybridizes to DNA of the present invention.
Isolated purified native TRFP or a peptide derived therefrom encoded by the
cDNA of the present invention can be used, for example, as "purified" TRFP,
in a composition to treat cat-allergic individuals, in a method to diagnose
cat allergy, or in the standardization of allergen extracts which are key
reagents for the diagnosis and treatment of cat allergy. Through use of the
protein or peptides of the present invention, preparations of consistent,
well-defined composition and biological activity can be made and
administered for therapeutic purposes (e.g., to modify the allergic response
of a cat-sensitive individual to cat allergies). Such a protein or peptide
(or modified version thereof, such as is described below) may, for example,
modify B-cell response to cat-allergen, T-cell response to cat allergen or
both responses. Purified TRFP (including purified native TRFP) or a peptide
derived therefrom can also be used to study the mechanism of immunotherapy
of cat allergy and to design modified derivatives, analogues or functional
equivalents that are more useful in immunotherapy than are the unmodified
("naturally-occurring" or "native") protein or peptide.
As used herein, the functional equivalent of a peptide includes peptides
having the same or enhanced ability to bind MHC; peptides capable of
stimulating the same T cell subpopulations; peptides having the same or
increased ability to induce T cell responses such as stimulation
(proliferation or cytokine secretion), peptides having the same or increased
ability to induce T cell unresponsiveness or reduced responsiveness,
peptides having reduced IgE binding, and peptides which elicit minimal IgE
synthesis stimulating activity. Minimal IgE stimulating activity refers to
IgE synthesis stimulating activity that is less than the amount of IgE
production elicited by purified native TRFP.
Peptide fragments of TRFP may be obtained, for example, by screening
peptides recombinantly. produced from the corresponding fragment of the
nucleic acid sequence of the invention coding for such peptides or
synthesized chemically using techniques known in the art, or fragments may
be produced by chemical cleavage of the native allergen as is known in the
art. The allergen may be arbitrarily divided into fragments of a desired
length with no overlap of the peptides, or preferably divided into
overlapping fragments of a desired length. The fragments are tested to
determine their antigenicity (e.g. the ability of the fragment to induce an
immune response such as T cell proliferation, lymphokine secretion, or
histamine release). Additionally, antigenic fragments comprising "cryptic
epitopes" may be determined. Cryptic epitopes are those determinants in a
protein antigen which, due to processing and presentation of the native
protein antigen to the appropriate MHC molecule, are not normally revealed
to the immune system. However, when a subject is primed with a peptide
comprising a cryptic epitope, T cells obtained from the subject will
proliferate in vitro in response to the peptide or the protein antigen from
which the peptide is derived. Peptides which comprise at least one cryptic
epitope derived from a protein antigen are referred to herein as cryptic
peptides. To confirm the presence of cryptic epitopes in the above-described
assay, antigen-primed T cells are cultured in vitro in the presence of each
peptide separately to establish peptide-reactive T cell lines. A peptide is
considered to comprise at least one cryptic epitope if a T cell line can be
established with a given peptide and T cells are capable of proliferation
upon challenge with the peptide and the protein antigen from which the
peptide is derived.
If peptide fragments of TRFP are to be used for therapeutic purposes, then
the fragments of TRFP which are of inducing T cell non-responsiveness are
particularly desirable. As used herein, "T cell non-responsiveness", "T cell
anergy", and "T cell tolerance" are used interchangeably to refer to T cells
which have been down-regulated or rendered completely non-responsive to
challenge with a protein or peptide of the invention. While not being
limited to any theory, it is has been shown that peptides that are capable
of eliciting a T cell response such as stimulation (i.e. proliferation or
lymphokine secretion) when administered in non-immunogenic form (to an
individual primed with the offending protein or a peptide thereof) are then
capable of inducing T cell non-responsiveness when administered in
non-immunogenic form (Jenkins, M. K., and Schwartz, R. H. J. Exp. Med.
165:302-319 (1987)). Additionally, peptide fragment that have been modified
so that they no longer stimulate T cells but are capable of inducing T cell
non-responsiveness are desirable to be used in a therapeutic treatment.
Peptide fragments of TRFP which have minimal IgE stimulating activity are
also desirable. Additionally, for therapeutic purposes, it is preferable to
use TRFP or a fragment thereof which does not bind IgE specific for TRFP or
bind such IgE to a substantially-lesser extent (i.e., at least 100-fold less
binding and more preferably at least 1,000-fold less binding) than the
purified native TRFP protein allergen binds such IgE. If the isolated TRFP
or fragment thereof binds IgE, it is preferable that such binding does not
result in the release of mediators (e.g., histamines) from mast cells or
basophils.
Screening peptides of TRFP for the desired activity as described herein can
be accomplished using one or more of several different assays. For example,
in vitro, TRFP T cell stimulatory activity is assayed by contacting a
protein or peptide known or suspected to contain a TRFP T cell epitope with
an antigen presenting cell which presents appropriate MHC molecules in a T
cell culture. Presentation of a peptide of TRFP in association with
appropriate MHC molecules to T cells in conjunction with the necessary
costimulation has the effect of transmitting a signal to the T cell that
induces the production of increased levels of cytokines, particularly of
interleukin-2 and interleukin-4. The culture supernatant can be obtained and
assayed for interleukin-2 or other known cytokines. For example, any one of
several conventional assays for interleukin-2 can be employed, such as the
assay described in Proc. Natl. Acad. Sci. USA, 86:1333 (1989) the pertinent
portions of which are incorporated herein by reference. A kit for an assay
for the production of interferon is also available from Genzyme Corporation
(Cambridge, Mass.).
A common assay for T cell proliferation entails measuring tritiated
thymidine incorporation into the DNA of dividing cells. The proliferation of
T cells can be measured in vitro by determining the amount of
.sup.3H-labeled thymidine incorporated into the replicating DNA of cultured
cells. Therefore, the rate of DNA synthesis and, in turn, the rate of cell
division can be quantified.
In another embodiment, a TRFP peptide is screened for the ability to reduce
T cell responsiveness. The ability of a peptide known to stimulate T cells,
to inhibit or completely block the activity of a purified native TRFP
protein or portion thereof and induce a state of T cell non-responsiveness
or reduced T cell responsiveness, can be determined using subsequent
attempts at stimulation of the T cells with antigen presenting cells that
present native TRFP or portion thereof following exposure to a TRFP peptide.
If the T cells are unresponsive to the subsequent activation attempts as
determined by, for example, interleukin-2 synthesis and T cell
proliferation, a state of unresponsiveness has been induced. See, e.g.,
Gimmi, et al. (1993) Proc. Natl. Acad. Sci. USA, 90:6586-6590; and Schwartz
(1990) Science, 248:1349-1356, for assay systems that can be used as the
basis for an assay in accordance with the present invention.
In yet another embodiment, peptides of TRFP, are identified by IgE binding
activity. For therapeutic purposes, peptides of the invention preferably do
not bind IgE specific for TRFP, or bind such IgE to a substantially lesser
extent (e.g., at least 100 fold less and more preferably, at least 1000 fold
less binding) than the corresponding purified native TRFP binds IgE. If a
peptide of the invention is to be used as a diagnostic reagent, it is not
necessary that the peptide or protein have reduced IgE binding activity
compared to the native TRFP. IgE binding activity of peptides can be
determined by, for example, an enzyme linked immunosorbent assay (ELISA)
using, for example, sera obtained from a subject, (i.e., an allergic
subject) that has been previously exposed to the native TRFP or portion
thereof. Briefly, a peptide to be tested is coated onto wells of a
microtiter plate. After washing and blocking the wells, antibody solution
consisting of the plasma of an allergic subject who has been exposed to the
peptide being tested or the protein from which it was derived is incubated
in the wells. The plasma is generally depleted of IgG before incubation. A
labeled secondary antibody is added to the wells and incubated. The amount
of IgE binding is then quantified and compared to the amount of IgE bound by
a purified native TRFP. Alternatively, the binding activity of a peptide can
be determined by Western blot analysis. For example, a peptide to be tested
is run on a polyacrylamide gel using SDS-PAGE. The peptide is then
transferred to nitrocellulose and subsequently incubated with sera from an
allergic subject. After incubation with the labeled secondary antibody, the
amount of IgE bound is then determined and quantified.
Another assay which can be used to determine IgE binding activity of a
peptide is a competition ELISA assay. Briefly, an IgE antibody pool is
generated by combining plasma from TRFP allergic subjects that have been
shown by direct ELISA to have IgE reactive with native TRFP. This pool is
used in ELISA competition assays to compare IgE binding to native TRFP to
the peptide tested. IgE binding for the native TRFP and the peptide being
tested is determined and quantified.
If a peptide of TRFP binds IgE, and is to be used as a therapeutic agent, it
is preferable that such binding does not result in the release of mediators
(e.g., histamines) from mast cells or basophils. To determine whether a
peptide which binds IgE results in the release of mediators, a histamine
release assay can be performed using standard reagents and protocols
obtained for example, from Amac, Inc. (Westbrook, Me.). Briefly, a buffered
solution of a peptide to be tested is combined with an equal volume of whole
heparinized blood from an allergic subject. After mixing and incubation, the
cells are pelleted and the supernatants are processed and analyzed using a
radioimmunoassay to determine the amount of histamine released.
Isolated, purified TRFP or preferred fragments thereof, when administered to
a cat allergen-sensitive individual, or an individual allergic to an
allergen immunologically cross-reactive with TRFP are capable of modifying
the allergic response of the individual to a cat allergen or such
cross-reactive allergen of the individual, and preferably are capable of
modifying the B-cell response, T-cell response or both the B-cell and the
T-cell response of the individual to the allergen. As used herein,
modification of the allergic response of an individual sensitive to TRFP or
cross-reactive allergen can be defined as non-responsiveness or diminution
in symptoms to the allergen, as determined by standard clinical procedures
(See e.g. Varney et al, British Medical Journal, 302:265-269 (1990))
including diminution in cat allergen induced asthmatic symptoms. As referred
to herein, a diminution in symptoms includes any reduction in allergic
response of an individual to the allergen after the individual has completed
a treatment regimen with a peptide or protein of the invention. This
diminution may be subjective (i.e., the patient feels more comfortable in
the presence of the allergen). Diminution in symptoms can be determined
clinically as well, using standard skin tests as is known in the art.
Isolated TRFP or fragment thereof is preferably tested in mammalian models
of cat allergen sensitivity such as the mouse model disclosed in Tamura et
al. (1986) Microbiol. Immunol. 30: 883-896, or U.S. Pat. No. 4,939,239; or
the primate model disclosed in Chiba et al. (1990) Int. Arch. Allergy
Immunol. 93: 83-88. Initial screening for IgE binding to the protein or
fragments thereof may be performed by scratch tests or intradermal skin
tests on laboratory animals or human volunteers, or in in vitro systems such
as RAST (radioallergosorbent test), RAST inhibition, ELISA assay,
radioimmunoassay (RIA), or histamine release.
The work described herein has resulted in identification of peptides derived
from TRFP which have T cell stimulating activity (i.e., T cell proliferation
when administered to an individual primed with the peptide or entire TRFP,
lymphokine secretion and/or induction of T cell non-responsiveness) and,
thus, comprise at least one T cell epitope. Peptide fragments of TRFP
comprising at least one T cell epitope are particularly desirable. T cell
epitopes are believed to be involved in initiation and perpetuation of the
immune response to a protein allergen which is responsible for the clinical
symptoms of allergy. These T cell epitopes are thought to trigger early
events at the level of the T helper cell by binding to an appropriate HLA
molecule on the surface of an antigen presenting cell and stimulating the
relevant T cell subpopulation. These events lead to T cell proliferation,
lymphokine secretion, local inflammatory reactions, recruitment of
additional immune cells to the site, and activation of the B cell cascade
leading to production of antibodies. One isotype of these antibodies, IgE,
is fundamentally important to the development of allergic symptoms and its
production is influenced early in the cascade of events, at the level of the
T helper cell, by the nature of the lymphokines secreted. A T cell epitope
is the basic element or smallest unit of recognition by a T cell receptor,
where the epitope comprises amino acids essential to receptor recognition.
Amino acid sequences which mimic those of the T cell epitopes and which
modify the allergic response to protein allergens are within the scope of
this invention.
Exposure of cat sensitive patients to the isolated protein of the invention
or to the peptide fragments of the invention which comprise at least one T
cell epitope and are derived from protein allergens, in a non-immunogenic
form, may cause unresponsiveness of appropriate T cell subpopulations such
that they fail to respond or have a reduced response to the protein allergen
and do not participate in stimulating an immune response upon such exposure.
While not intending to be limited to any theory, it is believed that T cell
non-responsiveness (which includes reduced T cell responsiveness) is induced
as a result of not providing an appropriate costimulatory signal sometimes
referred to as a "second signal" Briefly, it is believed that stimulation of
T cells requires two types of signals, the first is the recognition by the T
cell via the T cell receptor of appropriate MHC-associated processed
antigens on antigen presenting cells (APCs) and the second type of signal is
referred to as a costimulatory signal(s) or "second signal" which may be
provided by certain competent APCs. When a composition of the invention is
administered without adjuvant, it is believed that competent APCs which are
capable of producing the second signal or costimulatory signal are not
engaged in the stimulation of appropriate T cells therefore resulting in T
cell nonresponsiveness or reduced T cell responsiveness. In addition, there
are a number of antibodies or other reagents capable of blocking the
delivery of costimulatory signals such as the "second signal" which include,
but are not limited to B7 (including B7-1, B7-2, and BB-1), CD28, CTLA4,
CD40 CD40L CD54 and CD11a/18 (Jenkins and Johnson, Current Opinion in
Immunology, 5:361-367 (1993), and Clark and Ledbetter, Nature, 367:425-428
(1994)) Thus, a peptide of the invention may be administered in
nonimmunogenic form as discussed above, in conjunction with a reagent
capable of blocking costimulatory signals such that the level of T cell
nonresponsiveness is enhanced.
In addition, administration of the TRFP of the invention or fragment thereof
which comprises at least one T cell epitope may modify the lymphokine
secretion profile as compared with exposure to the naturally-occurring
protein allergen or portion thereof (e.g. result in a decrease of IL-4
and/or an increase in IL-2). Furthermore, exposure to such protein allergen
or fragment of such protein allergen may influence T cell subpopulations
which normally participate in the response to the allergen such that these T
cells are drawn away from the site(s) of normal exposure to the allergen
(e.g., nasal mucosa, skin, and lung) towards the site(s) of therapeutic
administration of the fragment or protein allergen. This redistribution of T
cell subpopulations may ameliorate or reduce the ability of an individual's
immune system to stimulate the usual immune response at the site of normal
exposure to the allergen, resulting in a dimunution in allergic symptoms.
Peptides of varying sizes from within the structure of TRFP have been
synthesized and purified by conventional techniques and examined for their
ability to stimulate T cell lines and clones obtained from human cat
allergic individuals. The methodologies used are described in Examples 5, 6
and 7.
Peptides from within the structure of TRFP have been shown to stimulate a
proliferative response in TRFP primed T cell cultures. Indeed in certain
cases (FIG. 8
(see Original Patent)), the T cell proliferative response obtained with
the peptides can substantially exceed that obtainable with TRFP or cat skin
test allergen preparations. Such peptides comprise at least one T cell
epitope of the TRFP protein.
It is also apparent (Tables 2 and 3
(see Original Patent)) that certain areas of the TRFP sequence have weak T
cell stimulatory activity (e.g., Fel 4-3, Fel 28-1); certain other areas
have powerful activity (e.g., Fel 8-3, Fel 14). This range of activities may
derive from purely primary sequence differences or from physicochemical
differences induced by primary sequence changes. Key peptides from within
the structure of TRFP which are highly reactive with T cells from cat
allergic patients can be identified using the subject disclosure and known
techniques (see Example 5 part B and FIG. 23
(see Original Patent)).
Furthermore, it has been demonstrated that exposure of T cells in vitro to
peptides comprising at least one T cell epitope can suppress a subsequent
response to the allergen (TRFP) to a greater extent than that obtained with
the allergen alone (Example 6, Table 4
(see Original Patent)). This data points to the clear opportunity of
selecting peptides identified by the current work and applying them in
treatment paradigms in cat allergic patients designed to suppress their
response to cat allergen exposure.
Peptides shown to have T cell stimulating activity and thus comprising at
least one T cell epitope can be administered to an individual in the form of
a therapeutic composition to reduce the individuals response to cat
allergen. Such a therapeutic composition can comprise one or more of such
peptides. A preferred composition comprises at least one peptide selected
from the group consisting of peptide X (amino acid residues 7-30 from chain
1 of TRFP (SEQ. ID. NO: 17); also referred to as Fel 8-3 and shown in FIG.
17
(see Original Patent)); peptide Y (amino acid residues 29-55 from chain 1
of TRFP (SEQ. ID. NO: 18); also referred to as Fel 30-4 and shown in FIG. 17
(see Original Patent)); peptide Z (amino acid residues 14-39 frog chain 2
of TRFP (SEQ. ID. NO: 19); also referred to as Fel 31-2 and shown in FIG. 17
(see Original Patent)); peptide A (amino acid residues 51-69 from chain 1
of TRFP (SEQ. ID. NO: 20) and shown in FIG. 17
(see Original Patent)); peptide B (amino acid residues 74-92 from chain 2
of TRFP (SEQ. ID. NO: 21); also referred to as Fel 29 and shown in FIG. 17);
peptide C (amino acid residues 51-66 from chain 1 of TRFP (SEQ. ID. NO: 22),
also referred to as Fel 23 and shown in FIG. 17); and peptide D (amino acid
residues 56-69 from chain 1 of TRFP (SEQ. ID. NO: 23); a modified form of
Fel 21 and shown in FIG. 17), more preferably comprises at least one peptide
selected from the group consisting of peptide X (SEQ. ID. NO: 17), peptide Y
(SEQ. ID. NO: 18), peptide Z (SEQ. ID. NO: 19), peptide A (SEQ. ID. NO: 20)
and peptide B (SEQ. ID. NO: 21) and most preferably comprises at least
peptide X (SEQ. ID. NO: 17), or peptide Y (SEQ. ID. NO: 18) or peptide X
(SEQ. ID. NO: 17) and peptide Y (SEQ ID NO:18). These therapeutic
compositions can be administered in a therapeutically effective amount to an
individual sensitive to Felis domesticus in order to reduce the allergic
symptoms of the individual, i.e. treat the sensitivity. Additionally, two or
more therapeutic compositions can be administered in a therapeutically
effective amount to such individual to treat such sensitivity. These two or
more therapeutic compositions can be administered simultaneously or
sequentially.
As described in detail in Examples 8-15, T cell unresponsiveness has been
induced in mice by subcutaneous or intravenous administration of peptide X
or peptide Y separately or in combination.
The induction of T cell nonresponsiveness in mice was evidenced by decreases
in peptide specific IL-2 production, IL-4 production, and antibody
production. Decreases in the T cell activities that are expected to be
associated with IgE production, T cell help for B cells and IL4 production
have been shown. In addition, T cells specific for recombinant chain 1 of
TRFP were tolerized by administering peptide X and peptide Y.
The invention further encompasses at least one therapeutic composition
useful in treating allergy to cat which involves an immune response to TRFP
comprising a sufficient percentage of the T-cell epitopes of the protein
allergen such that in a substantial percentage of a population of
individuals sensitive to the allergen, the response of such individuals to
the allergen is substantially diminished, with the proviso that the
therapeutic composition does not contain the entire protein antigen.
In addition, it has been shown in one experiment that exposure of T cells
from cat allergic individuals to different epitope peptides from TRPF can
produce distinctly different lymphokine secretion profiles (Example 7, Table
5
(see Original Patent)). It is thus possible using the current invention to
select for therapeutic application epitope peptides which drive a lymphokine
secretion profile consistent with a therapeutically beneficial response upon
treatment of cat allergic patients.
Administration of a TRFP protein or peptide of the present invention, such
as isolated purified native TRFP free from all other polypeptides or
contaminants, recombinant TRFP, modified TRFP, synthetically produced
peptides of TRFP, alone or in combination, to an individual to be
desensitized can be carried out using known techniques. The peptide or
combination of two or more different peptides can be administered to an
individual in a composition which also includes, for example, an appropriate
buffer, a carrier and/or excipient. Such compositions will generally be
administered by injection such as by subcutaneous injection, inhalation,
transdermal application, intranasal application, oral application or rectal
administration. For subcutaneous injection of peptides of the invention, it
is preferred that such peptides be administered in soluble form.
The protein, peptide or antibodies of the present invention can also be
used, in known methods, for detecting and diagnosing cat allergy. For
example, blood obtained from an individual to be assessed for sensitivity to
cat allergen is combined with an isolated peptide of TRFP or purified whole
TRFP protein, under conditions appropriate for binding of components (e.g.,
antibodies, T cells, B cells) in the blood with the peptide. Subsequently,
the extent to which such binding occurs is determined, using direct (e.g.,
ELISA assays) or indirect methods (e.g. determination of T cell activation).
It is also possible to modify epitopes of the TRFP, to combine epitopes, or
to do both, for such purposes as enhancing therapeutic or preventive
efficacy, stability (e.g., length of time for which they can be stored), and
resistance to degradation in the body of TRFP peptides. Two or more TRFP
epitopes can also be combined in order to enhance, for example, therapeutic
effectiveness. For example, the amino acid sequences of two T cell epitopes
present within the first 30 N-terminal amino acids can be produced and
joined. Optionally, a linker may be used to join the T cell epitopes. The
linker by which the epitopes are joined can be any non-epitope amino acid
sequence or other appropriate linking or joining agent. The epitopes joined
in this manner can be from the same chain of the TRFP or from different TRFP
chains (e.g., one from chain 1 and one from chain 2). The resulting two-epitope
construct can be used in treating cat-sensitive individuals. Alternatively,
an epitope (or epitopes) present in the first chain of the TRFP and one (or
more) present in the second chain can be joined to produce a construct which
has greater therapeutic effectiveness than a single epitope peptide.
Additionally, individual peptides can be physically mixed and administered
as a therapeutant.
Through use of the protein and peptides of the invention, preparations of
consistent, well-defined composition and biological activity can be made and
administered for therapeutic purposes (e.g., to modify the allergic response
of a cat allergen sensitive individual). Administration of such protein or
peptides may, for example, modify B-cell response to TRFP, T-cell response
to TRFP or both responses. Isolated peptides can also be used to study the
mechanism of immunotherapy of cat allergy and to design modified derivatives
or analogues useful in immunotherapy.
This invention enables the production of therapeutic treatments for cat
allergic individuals which will possess similar or improved efficacy to that
of current allergen immunotherapy without the adverse reactions normally
associated with this form of therapy. Improved therapy could derive from use
of purified and isolated TRFP or peptide expression products of the TRFP
genes identified herein or appropriate modifications (mutations) thereof, or
peptides derived from the structure of TRFP or modifications thereof.
For example, the purified isolated native TRFP or peptide can be modified
using the polyethylene glycol method of A. Sehon and co-workers or in other
ways which reduce the IgE reactivity of the native allergen and thereby
decrease its adverse reaction potential.
Alternatively, the TRFP cDNAs defined herein, or portions thereof, can be
expressed in appropriate systems to produce protein(s) or peptides with
strong therapeutic activity, but greatly reduced ability to bind to IgE and
thereby produce adverse reactions. To facilitate this, it is possible to add
reporter group(s) to the chain 1 and/or 2 polypeptide backbone as an aid to
efficient purification. One such reporter group is poly-histidine, which has
been effectively used to purify recombinant proteins on immobilized metal
ion affinity chromatography (Hochuli, E. et al., Bio/Technology, 6:1321-1325
(1988)). Specific cleavage sites can be introduced between the reporter
group and the chain 1 and 2 polypeptide sequences, and cleavage at these
sites can facilitate the isolation of TRFP chains or fragments free of
irrelevant sequences. Another example of the modification of the TRFP chains
1 and 2 is the substitution of cysteine residues with another amino acid
residue such as serine (or any other residue) to reduce disulfide complexes.
Site-directed mutagenesis of the TRFP cDNAs can also be used to modify the
chain 1 and 2 structures. Such methods may involve PCR (Ho et al., Gene
77:51-59 (1989)) or total synthesis of mutated genes (Hostomsky, Z., et al.,
Biochem. Biophys. Res. Comm. 161:1056-1063 (1989)) since the two chains are
each composed of coding sequences <400 bp. To enhance bacterial expression,
the aforementioned methods can be used in conjunction with other procedures
to change the mammalian codons in the constructs to ones preferentially used
in E. coli.
Other modifications of the TRFP genes may include the construction of gene
chimeras, where chains 1 and 2, or parts thereof, may be linked to form a
single contiguous chain. For example, all or a portion of chain 1 may be
linked with all or a portion of chain 2 cDNA and the resulting chimera may
be produced as a recombinant hybrid (Horton et al., Gene 77:61-68 (1989)).
It is also possible to construct multiple joined genes to promote stability
of the expressed product or to enhance its therapeutic potential (Shen, et
al., Proc. Natl. Acad. Sci. USA 81:4627-4631 (1984)).
Work by others has shown that high doses of allergens generally produce the
best results (i.e., best symptom relief). However, many people are unable to
tolerate large doses of allergens because of allergic reactions to the
allergens. A peptide can be designed in such a manner to have the same or
enhanced therapeutic properties as the corresponding naturally-occurring
allergen but have reduced side effects (especially anaphylactic reactions)
can be produced. These can be, for example, a peptide of the invention
(e.g., one having all or a portion of the amino acid sequence of TRFP (SEQ.
ID. NO: 1-2)) or a modified peptide, or peptide analogue.
Accordingly, the structure of a peptide of the invention can be modified for
such purposes as increasing solubility, enhancing therapeutic or preventive
efficacy, or stability (e.g., shelf life ex vivo, and resistance to
proteolytic degradation in vivo). A modified peptide can be produced in
which the amino acid sequence has been altered, such as by amino acid
substitution, deletion, or addition, to modify immunogenicity and/or reduce
allergenicity, or to which a component has been added for the same purpose.
For example, a peptide can be modified so that it maintains the ability to
induce T cell unresponsiveness or reduced T cell responsiveness and bind MHC
proteins without the ability to induce a strong proliferative response or
possibly, any proliferative response when administered in immunogenic form.
Critical binding residues for the T cell receptor can be determined using
known techniques (e.g., substitution of each residue and determination of
the presence or absence of T cell reactivity). Those residues shown to be
essential to interact with the T cell receptor can be modified by replacing
the essential amino acid with another, preferably similar amino acid residue
(a conservative substitution) whose presence is shown to enhance, diminish
but not eliminate or not affect T cell activity, but does not eliminate
binding t the relevant MHC. In addition, those amino acid residues which are
not essential for T cell receptor interaction can be modified by being
replaced by another amino acid whose incorporation may enhance, diminish but
not eliminate or not affect T cell activity but does not eliminate binding
to relevant MHC. Many of the characteristics of peptides which bind to MHC
Class II molecules are known. See e.g., Jorgensen, J. L. et al. (1992) Annu.
Rev. Immunol. 10:835-873. For example, it is known that MHC Class II
molecules preferably bind peptides having lengths of between eight to eleven
amino acids, Ibid at 838, and contain amino acids at only about two or three
positions which appear to influence binding to MHC molecules. In addition,
peptide motifs shown to be involved in MHC Class II binding are taught by
U.S. Pat. No. 5,019,384 to Gefter et al.
Additionally, many characteristics of the interaction between a T cell
receptor and MHC molecules are known. For example, it is known that a core
of five to seven critical amino acid residues are characteristic of most T
cell determinants. Thus, peptides of the invention can be modified by
replacing an amino acid shown to be essential to interact with the MHC
protein complex with another, preferably similar amino acid residue
(conservative substitution) whose presence is shown to enhance, diminish but
not eliminate or not affect T cell activity. In addition; amino acid
residues which are not essential for interaction with the MHC protein
complex but which still bind the MHC protein complex can be modified by
being replaced by another amino acid whose incorporation may enhance, not
affect, or diminish but not eliminate T cell reactivity. Preferred amino
acid substitutions for non-essential amino acids include, but are not
limited to substitutions with alanine, glutamic acid, or a methyl amino
acid.
In order to enhance stability and/or reactivity, peptides of the invention
can also be modified to incorporate one or more polymorphisms in the amino
acid sequence of the protein allergen resulting from natural allelic
variation. Additionally, D-amino acids, non-natural amino acids or non-amino
acid analogues can be substituted or added to produce a modified protein or
peptide within the scope of this invention. Furthermore, peptides of the
present invention can be modified using the polyethylene glycol (PEG) method
of A. Sehon and co-workers (Wie et al. supra) to produce a protein or
peptide conjugated with PEG. In addition, PEG can be added during chemical
synthesis of a protein or peptide of the invention. Modifications of
proteins or peptides or portions thereof can also include reduction/alyklation
(Tarr in: Methods of Protein Microcharacterization, J. E. Silver ed. Humana
Press, Clifton, N. J., pp 155-194 (1986)); acylation (Tarr, supra); chemical
coupling to an appropriate carrier (Mishell and Shiigi, eds, Selected
Methods in Cellular Immunology, WH Freeman, San Francisco, Calif. (1980);
U.S. Pat. No. 4,939,239; or mild formalin treatment (Marsh International
Archives of Allergy and Applied Immunology, 41:199-215 (1971)).
To facilitate purification and potentially increase solubility of proteins
or peptides of the invention, it is possible to add reporter group(s) to the
peptide backbone. For example, poly-histidine can be added to a peptide to
purify the peptide on immobilized metal ion affinity chromatography (Hochuli,
E. et al., Bio/Technology, 6:1321-1325 (1988)). In addition, specific
endoprotease cleavage sites can be introduced, if desired, between a
reporter group and amino acid sequences of a peptide to facilitate isolation
of peptides free of irrelevant sequences.
In order to successfully desensitize an individual to a peptide, it may be
necessary to increase the solubility of a peptide for use in buffered
aqueous solutions, such as pharmaceutically acceptable carriers or diluents,
by adding functional groups to the peptide, terminal portions of the
peptide, or by not including hydrophobic T cell epitopes or regions
containing hydrophobic epitopes in the peptides or hydrophobic regions of
the protein or peptide. For example, to increase solubility, charged amino
acids or charged amino acid pairs or triplets may be added to the carboxy or
amino terminus of the peptide. Examples of charged amino acids include, but
are not limited to arginine (R), lysine (K), histidine (H), glutamic acid
(E), and aspartic acid (D).
To potentially aid proper antigen processing of T cell epitopes within a
peptide, canonical protease sensitive sites can be recombinantly or
synthetically engineered between regions, each comprising at least one T
cell epitope. For example, charged amino acid pairs, such as KK or RR, can
be introduced between regions within a peptide during recombinant
construction of the peptide. The resulting peptide can be rendered sensitive
to cathepsin and/or other trypsin-like enzymes cleavage to generate portions
of the peptide containing one or more T cell epitopes.
Site-directed mutagenesis of DNA encoding a peptide or protein of the
invention (e.g., TRFP or a fragment thereof) can be used to modify the
structure of the peptide or protein by methods known in the art. Such
methods may, among others, include PCR with degenerate oligonucleotides (Ho
et al., Gene, 77:51-59 (1989)) or total synthesis of mutated genes (Hostomsky,
Z. et al., Biochem. Biophys, Res. Comm., 161:1056-1063 (1989)). To enhance
bacterial expression, the aforementioned methods can be used in conjunction
with other procedures to change the eucaryotic codons in DNA constructs
encoding protein or peptides of the invention to ones preferentially used in
E. coli, yeast, mammalian cells, or other eukaryotic cells.
Using the structural information now available, it is possible to design
TRFP peptides which, when administered to a cat allergen sensitive
individual in sufficient quantities, will modify the individual's allergic
response to cats. This can be done, for example, by examining the structure
of TRFP, producing peptides (via a recombinant DNA expression system,
chemical synthesis, chemical cleavage of the native allergen or otherwise)
to be examined for their ability to influence B-cell and/or T-cell responses
in cat allergen sensitive individuals and selecting appropriate peptides
which contain epitopes recognized by the cells. In referring to an epitope,
the epitope will be the basic element or smallest unit of recognition by a
receptor, particularly immunoglobulins, histocompatibility antigens and T
cell receptors where the epitope comprises amino acids essential to receptor
recognition. Amino acid sequences which mimic those of the epitopes and
which are capable of down regulating allergic response to TRFP can also be
used.
It is now also possible to design an agent or a drug capable of blocking or
inhibiting the ability of TRFP to induce an allergic reaction in cat
sensitive individuals. Such agents could be designed, for example, in such a
manner that they would bind to relevant anti-TRFP IgEs, thus preventing IgE-allergen
binding and subsequent mast cell degranulation. Alternatively, such agents
could bind to cellular components of the immune system, resulting in
suppression or desensitization of the allergic response to cat allergens.
Peptides of the invention can also be used for detecting and diagnosing cat
allergy. For example, this can be done by combining blood or blood products
obtained from an individual to be assessed for sensitivity to cats with an
isolated TRFP protein or peptide under conditions appropriate for binding of
components in the blood (e.g., antibodies, T-cells, B-cells) with the
protein or peptide(s) and determining the extent to which such binding
occurs. Other diagnostic methods for allergic diseases which the protein or
peptides of the invention can be used include radio-allergergosorbent test (RAST),
paper radioimmunosorbent test (PRIST), enzyme linked immunosorbent assay
(ELISA), radioimmunoassays (RIA), immuno-radiometric assays (IRMA),
luminescence immunoassays (LIA), histamine release assays and IgE
immunoblots.
The presence in individuals of IgE specific for TRFP and the ability of T
cells of the individual to respond to T cell epitope(s) of the protein
allergen can be determined by administering to the individuals an Immediate
Type Hypersensitivity test and a Delayed Type Hypersensivity test. The
individuals are administered an Immediate Type Hypersensitivity test (see
e.g. Immunology (1985) Roitt, I. M., Brostoff, J., Male, D. K. (eds), C. V.
Mosby Co., Gower Medical Publishing, London, N.Y., pp. 19.2-19.18; pp.
22.1-22.10) utilizing purified native TRFP, a peptide of TRFP, or a modified
form of the peptide, each of which binds IgE specific for the allergen. The
same individuals are administered a Delayed Type Hypersensitivity test prior
to, simultaneously with, or subsequent to administration of the Immediate
Type Hypersensitivity test. Of course, if the Immediate Type
Hypersensitivity test is administered prior to the Delayed Type
Hypersensitivity test, the Delayed Type Hypersensitivity test would only be
given to those individuals exhibiting a specific Immediate Type
Hypersensitivity reaction. The Delayed Type Hypersensitivity test utilizes a
modified form of TRFP or a portion thereof, TRFP produced by recombinant DNA
techniques, or peptide derived from TRFP, each of which has the ability to
stimulate human T cells and each of which does not bind IgE specific for the
allergen in a substantial percentage of the population of individuals
sensitive to the allergen (e.g., at least about 75%). After administration
of the Delayed Type Hypersensitivity test, the extent to which a specific
Delayed Type Hypersensitivity reaction occurs in the individual to the
protein allergen or TRFP peptide indicating presence in the individual of T
cells specific to T cell epitope(s) of the protein allergen or TRFP peptide
is determined. Those individuals found to have both a specific Immediate
Type Hypersensitivity reaction and a specific Delayed Type Hypersensitivity
reaction are diagnosed as having sensitivity to a cat allergen and may, if
need be, administered a therapeutically effective amount of a therapeutic
composition comprising the modified form of TRFP or portion thereof, the
TRFP produced by recombinant DNA techniques, or peptide, each as used in the
Delayed Type Hypersensitivity test, and a pharmaceutically acceptable
carrier or diluent.
It has been found that recombinant chain 1 of TRFP in a dimeric form has
markedly reduced IgE binding, but maintains T cell reactivity (i.e.,
recombinant dimeric chain 1 contains peptides X and Y, both of which are
known to contain at least one T cell epitope) and that mild alkali treated
TRFP has markedly reduced IgE binding, but maintains T cell reactivity.
Accordingly, recombinant chain 1 of TRFP in dimeric form or alkali treated
TRFP can be used in the Delayed Type Hypersensitivity test described above,
or in other diagnostic assays to determine sensitivity in an individual to T
cell epitope(s) of TRFP and/or they can be used in therapeutic compositions
to desensitize individuals to TRFP.
Peptides comprising at least two regions, each region comprising at least
one T cell epitope of TRFP are also within the scope of the invention.
Isolated peptides or regions of isolated peptides, each comprising at least
two T cell epitopes of TRFP or use of more than one peptide having one T
cell epitope of TRFP may be desirable for increased therapeutic
effectiveness. Peptides which are immunologically related (e.g., by antibody
or T cell cross-reactivity) to peptides of the present invention are also
within the scope of the invention.
One aspect of this invention provides a method for selecting a peptide of
TRFP suitable for pharmaceutical administration to an individual to treat
cat allergy. To obtain isolated TRFP peptides, TRFP can be divided into
non-overlapping peptides of desired length or overlapping peptides of
desired lengths which can be produced by recombinant DNA techniques, or
chemical synthesis or by chemical cleavage of the allergen. For example, a
set of peptides having amino acid sequences which, when combined, encompass
the entire amino acid sequence of TRFP can be produced. To determine
peptides comprising at least one T cell epitope, isolated peptides are
tested by, for example, T cell biology techniques, to determine whether the
peptides elicit a T cell response or induce T cell non-responsiveness. Those
peptides found to elicit a T cell response or induce T cell
non-responsiveness are defined as having T cell stimulating activity. For
use in pharmaceutical compositions, there are selected peptides comprising
at least one T cell epitope, which peptides are capable of reducing T cell
responsiveness or inducing T cell non-responsiveness.
Human T cell stimulating activity can be tested by culturing T cells
obtained from a cat sensitive individual (i.e., an individual who has an IgE
mediated immune response to a cat protein allergen) with a peptide derived
from TRFP and determining whether proliferation of T cells occurs in
response to the peptide as measured, e.g., by cellular uptake of tritiated
thymidine. Stimulation indices for responses by T cells to peptides can be
calculated as the maximum counts per minute (CPM) in response to a peptide
divided by the control CPM. A stimulation index (S.I.) equal to or greater
than two times the background level is considered "positive". Positive
results are used to calculate the mean stimulation index for each peptide
for the group of patients tested. For therapeutic purposes, preferred
peptides of this invention comprise at least one T cell epitope and have a
mean T cell stimulation index of greater than or equal to 2.0. A peptide
having a mean T cell stimulation index of greater than or equal to 2.0 is
considered useful as a therapeutic agent. Preferred peptides have a mean T
cell stimulation index of at least 2.5, more preferably at least 3.5, more
preferably at least 4.0, more preferably at least 5, even more preferably at
least 7 and most preferably at least about 9. The experimental data
described in the Examples was generated based on a preferred mean T cell
stimulation index of at least 2.5.
For therapeutic purposes, preferred peptides are recognized by at least 10%,
more preferably at least 20%, more preferably at least 30% and even more
preferably at least 40% or more of individuals in a population of cat
sensitive individuals. In addition, preferred TRFP peptides have a
positivity index (P.I.) of at least about 100, more preferably at least
about 250 and most preferably at least about 350. The positivity index for a
peptide is determined by multiplying the mean T cell stimulation index by
the percent of individuals, in a population of individuals sensitive to cat
allergens (e.g., preferably at least 15 individuals more preferably at least
30 individuals or more), who have a T cell stimulation index to such peptide
of at least 2.0. Thus, the positivity index represents both the strength of
a T cell response to a peptide (S.I.) and the frequency of a T cell response
to a peptide in a population of individuals sensitive to a cat allergen
(see, for Example Table 2, infra
(see Original Patent)).
In order to determine precise T cell epitopes by, for example, fine mapping
techniques, a peptide having T cell stimulating activity and thus comprising
at least one T cell epitope as determined by T cell biology techniques is
modified by addition or deletion of amino acid residues at either the amino
or carboxy terminus of the peptide and tested to determine a change in T
cell reactivity to the modified peptide. If two or more peptides which share
an area of overlap in the native protein sequence are found to have human T
cell stimulating activity, as determined by T cell biology techniques,
additional peptides can be produced comprising all or a portion of such
peptides and these additional peptides can be tested by a similar procedure.
Following this technique, peptides are selected and produced recombinantly
or synthetically.
For therapeutic purposes, peptides are selected based on various factors,
including the strength of the T cell response to the peptide (e.g.,
stimulation index), the frequency of the T cell response to the peptide in a
population of cat sensitive individuals, and the potential cross-reactivity
of the peptide with other cat allergens. The physical and chemical
properties of these selected peptides (e.g., solubility, stability) are
examined to determine whether the peptides are suitable for use in
therapeutic compositions or whether the peptides require modification as
described herein.
To determine whether a peptide (candidate peptide) or a combination of
candidate peptides are likely contain a sufficient percentage of T cell
epitopes of TRFP to induce non-responsiveness in a substantial percentage of
a population of individuals sensitive to the protein antigen, an algorithm
can be used. In accordance with one such algorithm, a human T cell
stimulation index (discussed above) for the peptide(s) in an in vitro T cell
proliferation assay is calculated for each individual tested in a population
of individuals sensitive to TRFP. The remaining peptides in the in vitro T
cell proliferation assay are overlapping peptides (overlapping by between
about 5-10 amino acid residues) which cover the remainder of the protein not
covered by the candidate peptide(s), which peptides are at least 12 amino
acids long and which are preferably no longer than 30 and more preferably no
longer than 25 amino acid residues in length. A human T cell stimulation
index for each such remaining peptide in the set of peptides produced in the
in vitro T-cell proliferation assay with T-cells obtained from each
individual in the population of individuals tested is calculated and added
together. For each individual, the human T cell stimulation index for the
candidate peptide(s) is divided by the sum of the human T cell stimulation
indices of the remaining peptides in the set of peptides tested to determine
a percent. This percent is obtained for at least twenty (20) and preferably
at least thirty (30) individuals sensitive to the protein antigen of
interest and a mean percent is determined (the percentage of positive T cell
responses (S.I. greater than or equal to 2.0) in response to the candidate
peptide or combination of candidate peptides). A mean percent of about 10%
or greater for the candidate peptide(s) together with a percent positive of
at least about 60%, preferably about 75% and more preferably about 90%, or
most preferably 100%, indicates that the candidate peptide(s) selected is
likely to contain a sufficient percentage of T cell epitopes to induce T
cell non responsiveness in a substantial percentage of a population of
individuals sensitive to TRFP.
Additionally, for therapeutic purposes, preferred T cell epitope-containing
peptides of the invention do not bind immunoglobulin E (IgE) or bind IgE to
a substantially lesser extent (i.e., preferably at least 100-fold less or
more preferably at least 1,000-fold less) than the protein allergen from
which the peptide is derived binds IgE. The major complications of standard
immunotherapy are IgE-mediated responses such as anaphylaxis. Immunoglobulin
E is a mediator of anaphylactic reactions which result from the binding and
cross-linking of antigen to IgE on mast cells or basophils and the release
of mediators (e.g., histamine, serotonin, eosinophil chemotactic factors).
Thus, anaphylaxis in a substantial percentage of a population of individuals
sensitive to TRFP could be avoided by the use in immunotherapy of a peptide
or peptides which do not bind IgE in a substantial percentage (e.g., at
least about 75%) of a population of individuals sensitive to TRFP, or if the
peptide binds IgE, such binding does not result in the release of mediators
from mast cells or basophils. The risk of anaphylaxis could be reduced by
the use in immunotherapy of a peptide or peptides which have reduced IgE
binding. Moreover, peptides which have minimal IgE stimulating activity are
desirable for therapeutic effectiveness.
A preferred isolated peptide of the invention comprises at least one T cell
epitope of TRFP and accordingly the peptide comprises at least approximately
seven amino acid residues. For purposes of therapeutic effectiveness,
therapeutic compositions of the invention may comprise peptides having at
least two T cell epitopes of TRFP, and accordingly, the peptide comprises at
least approximately eight amino acid residues and preferably at least twelve
amino acid residues. Alternatively, the individual sensitive to TRFP may be
administered more than one peptide of the invention comprising at least one
T cell epitope. Additionally, therapeutic compositions comprising preferred
isolated peptides of the invention preferably comprise a sufficient
percentage of the T cell epitopes of the entire protein allergen such that a
therapeutic regimen of administration of the composition to an individual
sensitive to cats, results in T cells of the individual being rendered
non-responsive to the protein allergen. Peptides of the invention produced
by chemical synthesis comprising up to approximately forty-five amino acid
residues in length, and most preferably up to approximately thirty amino
acid residues in length are particularly desirable as increases in length
may result in difficulty in peptide synthesis. Peptides of the invention may
also be produced by recombinant DNA techniques as described above or by
chemical cleavage of the native allergen.
Another embodiment of the invention provides peptides comprising at least
two regions, each region comprising at least one T cell epitope of TRFP and
accordingly each region comprises at least approximately seven amino acid
residues. These peptides comprising at least two regions can comprise as
many amino acid residues as desired and preferably comprise 14 amino acid
residues of TRFP, or if recombinantly produced preferably about 30 amino
acid residues and most preferably at least about 40 amino acid residues of
TRFP. If desired, the amino acid sequences of the regions can be produced
and joined directly (or optionally by a linker) to increase sensitivity to
processing by antigen-presenting cells. Such linker can be any non-epitope
amino acid sequence or other appropriate linking or joining agent. To obtain
preferred therapeutic peptides comprising at least two regions, each
comprising at least one T cell epitope, the regions are arranged in a
configuration different from a naturally-occurring configuration of the
regions in TRFP, to reduce the possibility of IgE binding. For example, the
regions containing T cell epitope(s) can be arranged in a noncontiguous
configuration. Noncontiguous is defined as an arrangement of regions
containing T cell epitope(s) which is different than that of an amino acid
sequence present in TRFP from which the regions are derived. Furthermore,
the noncontiguous regions containing T cell epitopes can be arranged in a
nonsequential order (e.g., in an order different from the order of the amino
acids of the native TRFP from which the region containing T cell epitope(s)
are derived in which amino acids are arranged from an amino terminus to a
carboxy terminus). A peptide comprising at least two ligands for use as a
therapeutic can comprise at least about 15%, at least about 30%, at least
about 50% or up to about 100% of the T cell epitopes of TRFP.
The individual peptide regions can be produced and tested to determine which
regions bind immunoglobulin E specific for TRFP and which of such regions
would cause the release of mediators (e.g., histamine) from mast cells or
basophils. Those peptide regions found to bind immunoglobulin E and cause
the release of mediators from mast cells or basophils in greater than
approximately 10-15% of the allergic sera tested are preferably not included
in the peptide regions arranged to form preferred peptides of the invention.
In the situation where the T cell epitopes of TRFP are unknown or
ill-defined (e.g., some or all of the peptide regions of TRFP which have
human T cell stimulating activity have not been defined by standard T cell
biology techniques or the precise human T cell epitopes of TRFP have not
been defined by fine mapping techniques), a peptide comprising two or more
regions can be obtained by reviewing the known protein structure of TRFP and
theoretically dividing the allergen into at least two peptide regions of
desired lengths. For example, the protein sequence of TRFP can be
systematically divided into at least two non-overlapping peptide regions of
desired lengths, or at least two overlapping peptide regions of desired
lengths and theoretically arranged to form at least one peptide in which the
at least two regions are rearranged in a noncontiguous and preferably
nonsequential order. This division into peptide regions can be arbitrary,
can be made according to an algorithm, or can be wholly or partially based
on regions of TRFP known to comprise at least one T cell epitope.
According to this method, peptides comprising two or more regions of TRFP
can then be produced by recombinant DNA techniques or by chemical synthesis
and the ability of the peptide to stimulate human T cells determined. The
individual peptide regions can also be produced separately and tested to
determine which regions bind immunoglobulin E specific for TRFP and which of
such regions would cause the release of mediators (e.g. histamine) from mast
cells or basophils.
Particularly preferred peptides comprising two or more regions of T cell
reactivity of TRFP for use in treating sensitivity to Felis domesticus are
selected from peptides X (SEQ. ID. NO: 17), Y (SEQ. ID. NO: 18), Z (SEQ. ID.
NO: 19), A (SEQ. ID. NO: 20), B (SEQ. ID. NO: 21) and C (SEQ. ID. NO: 22),
and modifications thereof. Preferred peptides comprise peptide YZX and
peptide A YZXB. Throughout this application, the letters X, Y, Z, A, B, and
C refer respectively to peptide X, peptide Y, peptide Z, peptide A, peptide
B, and peptide C. When the letters are used together (e.g., YZX), a peptide
comprising peptide Y, peptide Z and peptide X linked by peptide bonds from
amino to carboxy terminus in the sequential order specified is meant (i.e.,
YZX refers to a peptide comprising the amino acid sequence of peptide Y
linked, without any intervening amino acid residues, to the amino acid
sequence of peptide Z linked, without any intervening amino acid residues,
to the amino acid sequence of peptide X). The peptides of the invention,
e.g., YZX, can comprise additional amino acid residues at either the amino
or carboxy terminus of the peptide. Preferably, additional amino acid
residues which may be added to either the amino or carboxy terminus of the
peptide do not exceed 30 amino acid residues and more preferably, do not
exceed 5 amino acid residues. Amino acids which may be added to either the
carboxy or amino terminus of the peptide include charged amino acids, i.e.
arginine (R), lysine (K), histidine (H), glutamic acid (E) or aspartic acid
(D), or amino acids with reactive side chains, i.g., cysteine (C),
asparagine (N), or glutamine (Q), or amino acids with sterically small side
chains, e.g., alanine (A) or glycine (G).
As described in the Examples which follow, chains 1 and 2 of the human. T
cell Reactive Feline Protein (TRFP) (FIGS. 1 and 2
(see Original Patent)) have been recombinantly expressed in E. coli and
purified. T cell epitope studies using overlapping peptide regions derived
from the TRFP amino acid sequence were used to identify multiple T cell
epitopes in each chain of TRFP. As also described in the Examples, DNA
constructs were assembled in which three regions (designated peptide X,
peptide Y and peptide Z), each containing at least one major human T cell
epitope of TRFP were linked in six possible combinations to produce six DNA
constructs encoding peptides comprising the three regions in six different
configurations. Since peptide X shares 5 amino acids at its carboxy terminus
with 5 amino acids at the amino terminus of peptide Y, peptides XYZ and ZXY
could have been constructed with or without duplication of the 5 amino
acids. In the following Examples, the peptides were assembled contiguously,
without duplication of the 5 amino acid sequence. In addition to the three
regions X, Y and Z, other regions; each containing at least one human T cell
epitope, could also be included in the peptides and DNA constructs having
four or more regions (of N! configurations, where N=the number of regions)
produced. Alternatively, one or more regions can be substituted for peptide
X, peptide Y, or peptide Z, such as peptide A, B or C, to produce for
example peptide AXY.
Another aspect of this invention pertains to a multipeptide formulation
suitable for pharmaceutical administration to cat sensitive individuals. The
multipeptide formulation includes at least two or more peptides of TRFP
having human T cell stimulating activity in an in vitro T cell proliferation
assay (i.e., comprising at least one T cell epitope). Special considerations
when preparing a multipeptide formulation include maintaining the solubility
and stability of all peptides in the formulation at a physiologically
acceptable pH. This requires choosing one or more pharmaceutically
acceptable carriers such as excipients which are compatible with all the
peptides in the multipeptide formulation. For example, suitable excipients
include sterile water, sodium phosphate, mannitol or both sodium phosphate
and mannitol or any combination thereof. Additionally due to the potential
for dimerization of the peptides in a multipeptide formulation, there may
also be included an agent such as EDTA to prevent dimerization.
Alternatively, any material or procedures known in the art to prevent
dimerization may be used. A preferred multipeptide formulation includes at
least one first peptide and at least one second peptide of TRFP each having
human T cell stimulating activity and soluble at a physiologically
acceptable pH and selected from the group of peptides X (SEQ. ID. NO: 17), Y
(SEQ. ID. NO: 18), Z (SEQ. ID. NO: 19), A (SEQ. ID. NO: 20), B (SEQ. ID. NO:
21) and C (SEQ. ID. NO: 22), and modifications thereof. In a preferred
embodiment, the multipeptide formulation includes Peptide X (SEQ. ID. NO:
17), Peptide Y (SEQ. ID. NO: 18) and modifications thereof, and sodium
phosphate and mannitol. In this embodiment, it is preferred that Peptide X
(SEQ. ID. NO: 17) and Peptide Y (SEQ. ID. NO: 18) are in the form of a
lyophilized powder which is reconstituted in a physiologically acceptable
carrier, such as sterile water, prior to use. As an illustrative example, a
multipeptide formulation comprising two active peptides, peptide X and
peptide Y was produced and used in Phase II human clinical trials. Peptide X
and Peptide Y were combined during manufacturing to produce a vial
containing a sterile, pyrogen free, lyophilized powder having the following
composition
-- see Original Patent.
Preparation of this Multipeptide Formulation Required Reconstitution of the
Vials with sterile water for injection. In another embodiment, the
multipeptide formulation further includes at least one third peptide of TRFP,
such as Peptide A (SEQ. ID. NO: 20) or Peptide C (SEQ. ID. NO: 22), having
human T cell stimulating activity and soluble at a physiologically
acceptable pH. The multipeptide formulation of the invention can be provided
in the form of a kit, including instructions for use.
DNA to be used in any embodiment of this invention can be cDNA obtained as
described herein or, alternatively, can be any oligodeoxynucleotide sequence
that codes for all or a portion of the amino acid sequence represented in
FIGS. 1-7, 17 and 18
(see Original Patent), or the functional equivalent thereof. Such
oligodeoxynucleotide sequences can be produced chemically or mechanically,
using known techniques. A functional equivalent of an oligonucleotide
sequence is one that is capable of hybridizing to a complementary
oligonucleotide sequence to which the sequence (or corresponding sequence
portions) of FIGS. 1-7, 17 and 18, hybridizes and/or that encodes a product
(e.g., a polypeptide or peptide) having the same functional characteristics
of the product encoded by the sequence (or corresponding sequence portion)
of FIGS. 1-7, 17 and 18. Whether a functional equivalent must meet one or
both criteria will depend on its use (e.g., if it is to be used only as an
oligoprobe, it need meet only the first criterion and if it is to be used to
produce an allergen, it need meet only the second criterion).
The structural information that is available or can be deduced from the
amino acid sequences of FIGS. 1-7, 17 and 18 (e.g., DNA, protein/peptide
sequences), can also be used to identify or define T cell epitope peptides
and/or B cell epitope peptides which are of importance in cat allergic
reactions and to elucidate the mediators or mechanisms (e.g., interleukin-2,
interleukin-4, gamma interferon) by which these reactions occur. This
knowledge should make it possible to design peptide-based cat allergen
therapeutic agents or drugs which can be used to modulate these responses.
Another aspect of the invention pertains to an antibody specifically
reactive with TRFP, or a fragment thereof. The antibodies of this invention
can be used to standardize allergen extracts or to isolate the
naturally-occurring or native form of TRFP. For example, by using proteins
or fragments thereof based on the cDNA sequence of TRFP,
anti-protein/anti-peptide antisera or monoclonal antibodies can be made
using standard methods. A mammal such as a mouse, a hamster or rabbit can be
immunized with an immunogenic form of such protein or an antigenic fragment
which is capable of eliciting an antibody response. Techniques for
conferring immunogenicity on a protein or peptide include conjugation to
carriers or other techniques well known in the art. TRFP or fragment thereof
can be administered in the presence of adjuvant. The progress of
immunization can be monitored by detection of antibody titers in plasma or
serum. Standard ELISA or other immunoassays can be used with the immunogen
as antigen to assess the levels of antibodies.
Following immunization, anti-TRFP antisera can be obtained and, if desired,
polyclonal anti-TRFP antibodies isolated from the serum. To produce
monoclonal antibodies, antibody-producing cells (lymphocytes) can be
harvested from an immunized animal and fused by standard somatic cell fusion
procedures with immortalizing cells such as myeloma cells to yield hybridoma
cells. Such techniques are well known in the art, for example the hybridoma
technique originally developed by Kohler and Milstein, (Nature (1975)
256:495-497) as well as other techniques such as the human B cell hybridoma
technique (Kozbar et al., Immunology Today (1983) 4:72) and the
EBV-hybridoma technique to produce human monoclonal antibodies (Cole et al.,
Monoclonal Antibodies and Cancer Therapy (1985) Alan R. Liss, Inc. pp.
77-96). Hybridoma cells can be screened immunochemically for production of
antibodies specifically reactive with TRFP and the monoclonal antibodies
isolated.
The term antibody as used herein is intended to include fragments thereof
which are also specifically reactive with TRFP. Antibodies can be fragmented
using conventional techniques and the fragments screened for utility in the
same manner as described above for whole antibodies. For example, F(ab').sub.2
fragments can be generated by treating antibody with pepsin. The resulting
F(ab').sub.2 fragment can be treated to reduce disulfide bridges to produce
Fab' fragments. The antibody of the present invention is further intended to
include bispecific and chimeric molecules having an anti-TRFP portion.
Another aspect of this invention provides T cell clones and soluble T cell
receptors specifically reactive with TRFP or a fragment thereof. Monoclonal
T cell populations (i.e., T cells genetically identical to one another and
expressing identical T cell receptors) can be derived from an individual
sensitive to TRFP, followed by repetitive in vitro stimulation with TRFP or
portion thereof in the presence of MHC-matched antigen-presenting cells.
Single TRFP MHC responsive cells can then be cloned by limiting dilution and
permanent lines expanded and maintained by periodic in vitro restimulation.
Alternatively, TRFP specific T-T hybridomas can be produced by a technique
similar to B cell hybridoma production. For example, a mammal, such as a
mouse can be immunized with TRFP or fragment thereof, T cells from the
mammal can be purified and fused with an autonomously growing T cell tumor
line. From the resulting hybridomas, cells responding to TRFP or fragment
thereof are selected and cloned. Procedures for propagating monoclonal T
cell populations are described in Cellular and Molecular Immunology (Abul K.
Abbas et al. ed.), W. B. Saunders Company, Philadelphia, Pa. (1991) page
139. Soluble T cell receptors specifically reactive with TRFP or fragment
thereof can be obtained by immunoprecipitation using an antibody against the
T cell receptor as described in Immunology: A Synthesis (Second Edition),
Edward S. Golub et al., ed., Sinauer Associates, Inc., Sunderland, Mass.
(1991) pages 366-269.
T cell clones specifically reactive with TRFP or fragment thereof can be
used to isolate and molecularly clone the gene encoding the relevant T cell
receptor. In addition, a soluble T cell receptor specifically reactive with
TRFP or fragment thereof can be used to interfere with or inhibit
antigen-dependent activation of the relevant T cell subpopulation, for
example, by administration to an individual sensitive to a cat allergen.
Antibodies specifically reactive with such a T cell receptor can be produced
according to the techniques described herein. Such antibodies can be used to
block or interfere with the T cell interaction with peptides presented by
MHC.
Claim 1 of 10 Claims
1. A therapeutic composition, comprising
a mixture of the following isolated polypeptides: (a) an isolated
polypeptide comprising the amino acid sequence set forth in SEQ ID NO:6;
and (b) an isolated polypeptide consisting of residues 14-39 of SEQ ID
NO:6, or an epitope-containing portion thereof; wherein said composition
is capable of reducing an allergic response to a cat antigen in an
individual sensitive to said antigen. ____________________________________________
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