[0001] This application is a continuation-in-part of U.S. Ser. No. 662,276 entitled “A Human T Cell Reactive Cat Protein Isolated from House Dust and Uses Therefor,” filed Feb. 28, 1991, which is a continuation-in-part of U.S. Ser. No. 431,565 entitled “A Human T Cell Reactive Cat Protein Isolated from House Dust and Uses Therefor,” filed Nov. 3, 1989, the teachings of which are incorporated herein by reference.
[0002] T lymphocytes can mediate and regulate both the specific and non-specific effector mechanisms of immune responses. CD4+ T lymphocytes provide help for antibody production and secrete cytokines which modulate the growth of other T cells and the growth and differentiation of other immune cells such as monocytes and granulocytes. Functional and biochemical studies have demonstrated that the generation of cellular immune responses depends upon antigen receptors on T cells that recognize peptide fragments of foreign proteins associated with products of the major histocompatibility complex (MHC) that are expressed on antigen-presenting accessory cells. Recent advances in technology have made it possible to culture efficiently antigen-specific human and mouse T cell lines and clones in vitro. In addition, it is now possible to produce large amounts of protein antigens or their fragments using recombinant DNA technology or solid phase peptide synthesis. Thus, in the last few years, several research groups have begun to determine the linear amino acid sequences of antigenic proteins that are recognized by T cells in association with MHC (T cell epitopes).
[0003] Peptides derived from a variety of protein antigens, including bacterial and viral pathogens, autoantigens, allergens and other experimental antigens such as hen egg lysozyme (HEL), ovalbumin (OVA) and lambda repressor (cl) have been examined for the ability to stimulate antigen-specific T cells. A wide size spectrum of peptides has been reported to serve as T cell epitopes. For example, OVA amino acid residues 324-339 (Shimonkevitz, R. et al.,
[0004] T cell epitopes present in allergenic proteins have very recently been described (O'Hehir, R. et al.,
[0005] The present invention provides isolated peptides having T cell stimulating activity, termed recombitope peptides. Recombitope peptides of the invention preferably have human T cell stimulating activity. In addition, recombitope peptides of the invention preferably comprise at least two T cell epitopes derived from the same or from different protein antigens, and more preferably comprise at least two regions, each region comprising at least one T cell epitope derived from a protein antigen and each region preferably having human T cell stimulating activity. In some instances, recombitope peptides comprise three such regions derived from the same or from different protein antigens. As used herein, a region of a recombitope peptide comprises at least 5 and preferably at least 7 amino acid residues. Typically, recombitope peptides comprise regions which are arranged in a configuration different from a naturally-occurring configuration of the regions in a protein antigen in order to eliminate undesired properties associated with the secondary or tertiary structure of the protein antigen while maintaining the primary structure dependent human T cell stimulating activity. For example, the regions can be derived from the same protein antigen and arranged in a noncontiguous configuration or in a noncontiguous configuration and a nonsequential order.
[0006] Recombitope peptides of the invention can be derived from protein allergens. These recombitope peptides preferably have minimal immunoglobulin E stimulating activity and bind immunoglobulin E to a substantially lesser extent than protein allergens from which the recombitope peptides are derived bind immunoglobulin E More preferably, recombitope peptides derived from protein allergens do not bind immunoglobulin E specific for the protein allergens in a substantial percentage (at least about 75%) of the individuals sensitive to the protein allergens, or if such binding occurs, such binding does not result in mediator release, e.g. histamine, from mast cells or basophils. In addition, recombitope peptides can be derived from autoantigens, such as insulin, myelin basic protein and acetylcholine receptors. These recombitope peptides preferably do not bind immunoglobulin specific for the autoantigen in a substantial percentage (at least about 75%) of a population of individuals sensitive to the autoantigen. Further, recombitope peptides derived from protein allergens or other protein antigens can be designed such that an undesirable property of the native protein (e.g., enzymatic activity) can be eliminated for therapeutic purposes
[0007] The invention also provides methods of diagnosing sensitivity to a protein allergen or other protein antigen in an individual., methods to treat such sensitivity and therapeutic compositions comprising one or more recombitope peptides. For example, methods of detecting specific Delayed Type Hypersensitivity and/or specific Immediate Type Hypersensitivity in an individual to at least one protein allergen or other protein antigen are disclosed. According to one method, a specific Delayed Type Hypersensitivity test utilizing a recombitope peptide of the invention can be administered to an individual., and the extent to which a specific Delayed Type Hypersensitivity reaction occurs in the individual can be determined. In another method, the presence of immunoglobulin E specific for at least one protein allergen can be determined in an individual and the ability of T cells of the individual to respond to T cell epitope(s) of the protein allergen assessed. In this embodiment, a specific Immediate Type Hypersensitivity test utilizing a protein allergen or a portion thereof, or a modified form of a protein allergen or a portion thereof, each of which binds immunoglobulin E specific for the protein allergen is administered to individuals. Additionally, a specific Delayed Type Hypersensitivity test utilizing a modified form of the protein allergen or a portion thereof, or a protein allergen produced recombinantly, or a recombitope peptide derived, from a protein allergen, each of which has human T cell stimulating activity and each of which does not bind immunoglobulin E (IgE) specific for the protein allergen or if binding occurs, such binding does not result in release of mediators from mast cells or basophils in a substantial percentage of the population of individuals sensitive to the allergen (e.g., at least about 75%) is administered to the same individuals prior to, simultaneously with, or subsequent to administration of the Immediate Type Hypersensitivity test. Those individuals exhibiting both a specific Immediate Type Hypersensitivity reaction and a specific Delayed Type Hypersensitivity reaction are administered a therapeutically effective amount of a therapeutic composition comprising the modified form of the protein allergen or portion thereof, the recombinantly produced protein allergen, or the recombitope peptide derived from a protein allergen, and a pharmaceutically acceptable carrier or diluent, since it is believed that administering to an individual such a therapeutic composition will serve to desensitize the individual to the protein allergen.
[0008] Recombitope peptides derived from protein antigens and having human T cell stimulating activity can also be used in other methods of determining in individuals the presence of immunoglobulin specific for a protein antigen and the ability of T cells of the individuals to be stimulated by T cell epitope(s) of the protein antigen. One such method comprises combining a first blood sample obtained from an individual or at least one portion of the sample with the protein antigen, a modified form of the protein antigen, or a portion of either, each of which binds immunoglobulin specific for the protein-antigen. The sample and antigen are combined under conditions appropriate for binding of blood components, e.g., immunoglobulin, in the sample or portion thereof with the protein antigen, modified protein antigen or portion of either of the antigens. If binding occurs, a second blood sample obtained from the individual or a second portion of the original sample is combined with a recombitope peptide comprising at least two regions derived from the protein antigen, a modified form of the protein antigen or a portion thereof, or the protein antigen produced recombinantly, each of which has human T cell stimulating activity and each of which preferably does not bind immunoglobulin specific for the protein antigen in a substantial percentage of the population of individuals sensitive to the antigen (e.g. at least about 75%), in order to determine whether T cell stimulation occurs. If T cell stimulation occurs, the individual is preferably administered a therapeutically effective amount of a therapeutic composition comprising the modified form of the protein antigen or a portion thereof, the recombinantly produced protein antigen, or the recombitope peptide, and a pharmaceutically acceptable carrier or diluent, since it is believed that administering to an individual such a therapeutic composition will desensitize the individual to the protein antigen.
[0009] Methods for designing recombitope peptides of the invention are also provided where the protein antigen to which the individual is sensitive has unknown or ill-defined T cell epitopes (e.g., some or all of the peptide regions of the protein antigen which have human T cell stimulating activity to the protein antigen have not been defined by standard T cell biology techniques, e.g.,
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[0026] The present invention relates to isolated peptides, termed recombitope peptides, E having T cell stimulating activity, such as induction of T cell proliferation, lymphokine secretion and/or T cell anergy/tolerization. Recombitope peptides of the invention preferably have human T cell stimulating activity and are useful in diagnosing and treating sensitivity in an individual to a protein allergen, autoantigen or other protein antigen. In general., preferred recombitope peptides within the scope of the invention comprise at least two regions derived from the same or from different protein allergens or other protein antigens, each region preferably having human T cell stimulating activity as determined by standard T cell biology techniques, and thus comprising at least one T cell epitope. In order to determine precise T cell epitopes by, for example, fine mapping techniques, the peptide regions comprising at least one T cell epitope that have been defined by standard T cell biology techniques can be modified by addition or deletion of amino acid residues at either the amino or carboxy terminus of the peptide regions and tested to determine a change in T cell reactivity to the modified peptide. Furthermore, if two or more peptide regions which share an area of overlap are found to have human T cell stimulating activity, as determined be standard T cell biology techniques, additional peptides can be produced comprising all or a portion of such peptide regions and these additional peptides can be tested by the above fine mapping procedure. As a result of fine mapping, a set of human T cell epitopes comprising amino acid residues essential to T cell recognition can be produced.
[0027] Recombitope peptides of the invention can be produced by recombinant DNA techniques in a host cell transformed with a nucleic acid sequence coding for such recombitope peptide, or by chemical synthesis, or in certain limited situations by chemical cleavage of a protein allergen or other protein antigen. When produced by recombinant techniques, host cells transformed with nucleic acid encoding a recombitope peptide are cultured in a medium suitable for the cells and recombitope peptides can be purified from cell culture medium, host cells, or both using techniques known in the art for purifying peptides or proteins including ion-exchange chromatography, isoelectricfocusing, gel filtration chromatography, ultrafiltration, electrophoresis or immunopurification with antibodies specific for the recombitope peptide, the protein allergen or other antigen from which the recombitope peptide is derived, or a portion thereof. Thus, one aspect of this invention provides a recombitope peptide produced in a host cell transformed with a nucleic acid sequence coding for a recombitope peptide, or the functional equivalent of the nucleic acid sequence. Recombitope peptides of the invention are isolated such that the recombitope peptide is substantially free of cellular material or culture medium when produced by recombinant DNA techniques, or substantially free of chemical precursors or other chemicals when synthesized chemically, or obtained by chemical cleavage of a protein allergen or other protein antigen.
[0028] To obtain preferred recombitope peptides of the present invention comprising at least two T cell epitopes of a protein allergen or other protein antigen or at least two regions, each region comprising at least one T cell epitope of a protein allergen or other antigen, the T cell epitopes or regions containing T cell epitope(s) are arranged in a configuration different from a naturally-occurring configuration of the T cell epitopes or regions in the allergen or antigen. For example, the T cell epitopes or regions containing T cell epitope(s) can be arranged in a noncontiguous configuration and can preferably be derived from the same protein allergen or other antigen. Noncontiguous is defined as an arrangement of amino acids comprising T cell epitopes or regions containing T cell epitope(s) which is different than that of an amino acid sequence present in the protein allergen or other protein antigen from which the epitopes or regions are derived. Furthermore, the noncontiguous T cell epitopes or 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 protein allergen or other protein antigen from which the T cell epitopes or region containing T cell epitope(s) are derived in which amino acids are arranged from an amino terminus to a carboxy terminus.) A preferred recombitope peptide comprises at least 15%, more preferably at least 30%, even mote preferably at least 50% and most preferably up to 100% of the T cell epitopes of a protein allergen or other protein antigen.
[0029] In the situation where the T cell epitopes of a protein allergen or other protein antigen are unknown or ill-defined (e.g., some or all of the peptide regions of the protein antigen 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 the protein antigen have not been defined by fine mapping techniques), a recombitope peptide may be obtained by reviewing the known protein structure of an allergen or other antigen and theoretically dividing the allergen or antigen into at least two peptide regions of desired lengths. For example, the protein sequence of the allergen or other antigen 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 recombitope peptide in which the at least two regions are rearranged in a noncontiguous and preferably Consequential 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 the protein antigen known to comprise at least one T cell epitope.
[0030] When just a few of the peptide regions of the protein allergen or other protein antigen comprising at least one T cell epitope are known or when all the regions of the protein allergen or other protein antigens which have human T cell stimulating activity are unknown, preferably, at least 50% of the entire protein sequence of the protein allergen or other protein antigen and more preferably, the entire protein sequence of the protein allergen or other protein antigen is divided and arranged into one or more recombitope peptides The purpose behind using such a large percentage of the protein sequence of the protein antigen in forming the recombitope peptide is so that the resultant recombitope peptide comprises at least 15%, more preferably at least 30%, even more preferably at least 50%, and most preferably at least 100% of the T cell epitopes of the protein antigen. Of course, it the few peptide regions of the protein antigen each known to comprise at least one T cell epitope constitute the above-stated percentage of the T cell epitopes of the protein antigen and such peptide regions do not constitute at least 50% of the entire protein sequence of the protein antigen, it is not necessary to use such a large percentage of the entire protein sequence in forming the recombitope peptide.
[0031] According to this method, recombitope peptides can then be produced recombinantly or synthetically and the ability of the recombitope peptide to stimulate human T cells can be determined When the recombitope peptide comprises regions derived from a protein allergen, the individual peptide regions can be produced and tested to determine which regions bind immunoglobulin E specific for the allergen 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 recombitope peptides.
[0032] Constructing a recombitope peptide derived from phospholipase A
[0033] Recombitope peptides comprising at least two regions derived from an allergen, or other antigen are tested to determine those recombitope peptides having T cell stimulating activity (i.e., proliferation, lymphokine secretion and/or induction of T cell anergy/tolerization) and thus comprise at least one T cell epitope. For example, human T cell stimulating activity can be tested by culturing T cells obtained from an individual sensitive to a protein allergen or protein antigen (i.e., an individual who has an immune response to the protein allergen or protein antigen) with a recombitope peptide derived from the protein allergen or antigen and determining the presence of proliferation by the T cells in response to the recombitope peptide. As described in detail in the Examples, stimulation indices for responses by T cells to recombitope peptides can be calculated as the maximum CPM in response to recombitope peptide divided by the medium control CPM. As used throughout this application, human T cell stimulating activity is defined as a stimulation index of at least 2.0. A stimulation index of at least 2.0 is considered positive for purposes of defining recombitope peptides useful as immunotherapeutic agents. Preferred recombitope peptides have a stimulation index of at least 2.5, more preferably at least 3.5, and most preferably at least 5.0.
[0034] In addition, preferred recombitope peptides of the invention derived from protein allergens do not bind immunoglobulin E (IgE) or bind IgE to a substantially lesser extent than the protein allergen(s) from which the peptides are derived binds IgE. The major complications of standard immunotherapy are systemic responses such as anaphylaxis. Immunoglobutin 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 could be avoided by the use of a recombitope peptide which does not bind IgE, or if the recombitope peptide binds IgE, such binding does not result in the release of mediators (e.g., histamine, etc.) from mast cells or basophils. In addition, recombitope peptides which have minimal IgE stimulating activity are particularly desirable for therapeutic effectiveness. Minimal IgE stimulating activity refers to IgE production that is less than the amount of IgE production and/or IL-4 production stimulated by the whole protein allergen.
[0035] A recombitope peptide of the invention derived from a protein allergen, when administered to an individual sensitive to the protein allergen, is capable of modifying the allergic response of the individual to the allergen. Particularly, recombitope peptides comprising at least two T cell epitopes of a protein allergen or at least two regions derived from a protein allergen, each region preferably comprising at least one T cell epitope, when administered to an individual sensitive to the allergen are capable of modifying T cell response of the individual to the allergen. As used herein, modification of the allergic response of an individual sensitive to a protein 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.,
[0036] As a result of the work described herein, recombitope peptides derived from protein allergens or other protein antigens and having T cell stimulating activity or preferably comprising two regions each having at least one T cell epitope have been produced. T cell epitopes are believed to be involved in initiation and perpetuation of the immune response to a protein allergen or other protein antigen which is responsible respectively for the clinical symptoms of allergy or other diseases. 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 and may be contiguous and/or non-contiguous in the amino acid sequence of the protein. A T cell epitope, as used herein Ad has a stimulation index of at least 2.0, more preferably at least 2.5, even more preferably at least 3.5 and most preferably at least 5.0. 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.
[0037] Exposure of patients to recombitope peptides of the present invention derived from protein allergens or other protein antigens may tolerize or anergize appropriate T cell subpopulations such that they become unresponsive to the protein allergen or other antigen and do not participate in stimulating an immune response upon such exposure. In addition, administration of a recombitope peptide of the present invention derived from a protein allergen 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 the recombitope peptide 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 recombitope peptide. 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 diminution in allergic symptoms.
[0038] Recombitope peptides of the invention preferably comprise at least two T cell epitopes (e.g., the recombitope peptide comprises at least approximately eight amino acid residues, and preferably at least fifteen amino acid residues). Other recombitope peptides of the invention comprise at least two regions derived from the same or from different protein allergens or other protein antigens, said recombitope peptides having T cell stimulating activity and each region preferably having human T cell stimulating activity and accordingly comprising at least one T cell epitope of a protein allergen or other protein antigen. In general., each such region of a recombitope peptide comprises at least approximately seven amino acid residues of at least one protein allergen. Each such region of a recombitope peptide preferably comprise at least two T cell epitopes (e.g., the recombitope peptide comprises at least approximately eight amino acid residues and preferably at least fifteen amino acid residues). Recombitope peptides of the invention can comprise as many amino acid residues as desired and preferably comprise at least about 7, more preferably at least about 15, even more preferably at least about 30 and most preferably at least about 40 amino acid residues of a protein allergen or other protein antigen. A region of a recombitope peptide preferably comprises up to 45 amino acid residues in length, more preferably up to 40 amino acid residues in length, and most preferably up to 30 amino acid residues in length, as increases in length of a region of a recombitope peptide may result in difficulty in peptide synthesis as well as retention of an undesirable property (e.g., immunoglobulin binding or enzymatic activity) due to maintenance of conformational similarity between the region and the protein allergen or other protein antigen from which it is derived. If desired, the amino acid sequences of the regions can be produced and joined 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.
[0039] When recombitope peptides are derived from protein allergens, they can comprise at least two regions derived from different protein allergens from the same genus, such as; the genus Dermatophagoides; the genus Felis; the genus Ambrosia; the genus Lolium; the genus Cryptomeria; the genus Alternaria; the genus Alder; the genus Betula; the genus Ouercus; the genus Olea; the genus Artemisia; the genus Plantago; the genus Parictaria; the genus Canine; the genus Blattella, the genus Apis; and the genus Periplaneta. In addition, recombitope peptides can comprise at least two regions derived from cross-reactive species, for example one region derived from
[0040] Recombitope peptides of the invention can be derived from protein antigens other than protein allergens where enhancement or depression of an antigen specific immune response is desired. For example, regions having human T cell stimulating activity of a known autoantigen involved in the pathogenesis of an autoimmune disease or T cell epitopes of a known autoantigen can be identified and combined in a recombitope peptide to decrease the antibody response to the autoantigen, to interfere with efficacy and/or decrease immune complex related side effects. In order to preserve the T cell reactivity of the autoantigen, regions of the autoantigen having human T cell stimulating activity could be defined by standard T cell biology techniques, or if desired, precise T cell epitopes can be defined by fine mapping techniques and a recombitope peptide comprising at least two regions each having human T cell stimulating activity and comprising at least one T cell epitope produced. For example, if three regions having human T cell stimulating activity or three T cell epitopes were found in an autoantigen in a sequential and contiguous order 1, 2, 3 from an amino terminus to a carboxy terminus, six possible recombitope peptides utilizing each region or each T cell epitope once could be produced comprising the three regions or T cell epitopes in various orders (e.g., 213, 312, 132, 321, 123, 231). These six recombitope peptides could be tested for the ability to stimulate T cell activity and for the absence of an undesired property present in the autoantigen, e.g., the inability of the recombitope peptide(s) to bind autoantibodies. Alternatively, as described previously, recombitope peptides can be constructed from an autoantigen without knowing which regions have T cell stimulating activity or what the precise T cell epitopes are. The recombitope peptides which stimulate T cells and do not have undesired properties of the autoantigen (e.g., do not bind autoantibodies in a substantial percentage of individuals sensitive to the autoantigen) are selected for use as immunotherapeutics or diagnostic agents In the form of a therapeutic composition, the recombitope peptide would be delivered in a physiologically acceptable vehicle in the absence of adjuvant to allow the recombitope peptide to induce antigen specific tolerance to the autoantigen from which the recombitope is derived and regulate any potentially damaging immune response. Among autoantigens useful in producing, recombitope peptides are insulin, glutamic acid decarboxylase (64K), PM-1 and carboxypeptidase in diabetes; myelin basic protein in multiple sclerosis; rh factor in erythroblastosis fetalis; acetylcholine receptors in myasthenia gravis; thyroid receptors in Graves' Disease; basement membrane proteins in Good Pasture's syndrome; and thyroid proteins in thyroidit
[0041] Recombitope peptides within the scope of the invention can be used in methods of treating and diagnosing sensitivity in an individual to a protein allergen or other protein antigen. Thus, one aspect of the invention provides therapeutic compositions comprising a recombitope peptide and a pharmaceutically acceptable carrier or diluent. Administration of the therapeutic compositions of the present invention to desensitize an individual to a protein allergen or other protein antigen can be carried out using known techniques For example, a recombitope peptide can be administered in combination with an appropriate diluent, a carrier, and/or an adjuvant, where appropriate. Pharmaceutically acceptable diluents include saline and aqueous buffer solutions. Pharmaceutically acceptable carriers include polyethylene glycol (Wie et al.,
[0042] The present invention also provides methods of detecting sensitivity in individuals to a protein antigen and methods of determining the presence of immunoglobulin specific for a protein antigen and the ability of T cells of individuals to respond to the antigen. In order to detect sensitivity, a blood sample obtained from the individual or at least one portion of the sample is combined with a protein antigen, modified form of the protein antigen, or a portion of either antigen, each of which binds immunoglobulin specific for the antigen, under conditions appropriate for binding of blood components with the antigen, modified antigen or portion thereof. A second blood sample obtained from an individual found to have binding of blood components with the protein antigen, modified antigen or portion thereof, or a second portion of the first blood sample from an individual found to have binding of blood components with the protein antigen, modified antigen or portion thereof, is combined with a recombitope peptide comprising at least two regions derived from a protein antigen, said recombitope peptide having T cell stimulating activity; or a recombitope peptide comprising at least two regions derived from a protein antigen, each region which has human T cell stimulating activity; or a modified form of the protein antigen or a portion thereof; or the protein antigen produced recombinantly, each of which does not bind immunoglobulin specific for the protein antigen in a substantial percentage of the population of individuals sensitive to the protein antigen (e.g., at least about 75%), in order to determine whether T cell stimulation occurs. If the protein antigen is a protein allergen, then the modified form of the protein allergen or a portion thereof, the recombinantly produced protein allergen, or the recombitope peptide derived from the protein allergen does not bind IgE specific for the protein allergen, or if binding of IgE occurs, such binding does not result in release of mediators from mast cells or basophils in a substantial percentage of a population of individuals sensitive to the allergen. If the individual is found to have binding of blood components to the antigen, modified antigen or portion thereof and T cell stimulation in response to the recombitope peptide, modified protein antigen, or portion thereof or recombinantly produced protein antigen, then the individual can be administered a therapeutically effective amount of a therapeutic composition comprising the recombitope peptide, recombinantly produced protein antigen, or the modified form of the protein antigen or portion thereof, and a pharmaceutically acceptable carrier or diluent to desensitize the individual to the protein antigen.
[0043] The present invention also provides methods for detecting specific Delayed Type Hypersensitivity in an individual to at least one protein allergen. According to the method, an individual is administered a Delayed Type Hypersensitivity test (See e.g.,
[0044] The present invention further provides methods of detecting and treating sensitivity in an individual to at least one protein allergen. The presence in individuals of IgE specific for at least one protein allergen and the ability of T cells of the individuals 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 Hypersensitivity test. The individuals are administered an Immediate Type Hypersensitivity test (See e.g.,
[0045] It is also possible to modify the structure of recombitope peptides 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 recombitope 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, the amino acid residues essential to T cell epitope function can be determined using known techniques (e.g., substitution of each residue and determination of presence or absence of T cell reactivity). Those residues shown to be essential can be modified (e.g., replaced by another amino acid whose presence is shown to enhance T cell reactivity), as can those which are not required for T cell reactivity (e.g., by being replaced by another amino acid whose incorporation enhances T cell reactivity but does not diminish binding to relevant MHC). Another example of a modification of recombitope peptides is substitution of cysteine residues preferably with alanine, or glutamic acid, or alternatively with serine or threonine to minimize dimerization via disulfide linkages. In order to enhance stability and/or reactivity, recombitope peptides can also be modified to incorporate one or more polymorphisms in the amino acid sequence of a 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 peptide within the scope of this invention. Furthermore, recombitope peptides can be modified using the polyethylene glycol (PEG) method of A. Sehon and co-workers (Wie et al. supra) to produce a peptide conjugated with PEG. Modifications of recombitope peptides can also include reduction/alkylation (Tarr in:
[0046] To facilitate purification and potentially increase solubility of recombitope peptides, it is possible to ad(; reporter group(s) to the peptide backbone. For example, poly-histidine can be added to a recombitope peptide to purify the recombitope peptide on immobilized metal ion affinity chromatography (Hochuli, E. et al.,
[0047] To potentially aid proper antigen processing of T cell epitopes within a recombitope 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 recombitope peptide during recombinant construction of the recombitope peptide. The resulting recombitope peptide can be rendered sensitive to cathepsin and/or other trypsin-like enzymes cleavage to generate portions of the recombitope peptide containing one or more T cell epitopes. In addition, such charged amino acid residues can result in an increase in solubility of a recombitope peptide.
[0048] Site-directed mutagenesis of DNA encoding a recombitope peptide can be used to modify the structure of the recombitope peptide. Such methods may involve PCR (Ho et al.,
[0049] The present invention also provides nucleic acid sequences coding for recombitope peptides of the invention. Nucleic acid sequences used in any embodiment of this invention can be cDNA as described herein, or alternatively, can be any oligodeoxynucleotide sequence having all or a portion of a sequence represented herein, or their functional equivalents. Such oligodeoxynucleotide sequences can be produced chemically or mechanically, using known techniques. A functional equivalent of an oligonucleotide sequence is one which is 1) a sequence capable of hybridizing to a complementary oligonucleotide to which the oligonucleotide sequence (or corresponding sequence portions) or fragments thereof hybridizes, or 2) the sequence (or corresponding sequence portion) complementary to the oligonucleotide sequence and/or 3) a sequence which encodes a product (e.g., a protein, a polypeptide or a peptide) having the same functional characteristics of the product encoded by the oligonucleotide sequence (or corresponding sequence portion). Whether a functional equivalent must meet one or more criteria will depend on its use (e.g., if it is to be used only as a probe for hybridization, it need meet only the first or second criteria and if it is to be used to produce a peptide of the present invention, it need only meet the third criterion).
[0050] As described in the Examples which follow, chains 1 and 2 of the human T cell Reactive Feline Protein (TRFP) (
[0051] Detailed protocols are described for the cleavage and removal of extraneous sequences added to recombitope peptides as an aid to purification. Purified recombitope peptides have been examined for the binding of human cat-allergic patients' IgE on Western blots and compared to IgE binding of recombinant chains 1 and 2 of TRFP. An ELISA was performed to examine allergic IgE binding to recombitope peptides relative to native TRFP, recombinant chain 1, and recombinant chain 2 The work described herein demonstrates that recombitope peptides of the present invention have T cell stimulating activity even though their epitope configuration generally differs from that found in the native TRFP protein sequence. Furthermore, use of the recombitope peptides as prophylactic agents has been shown to render mice unresponsive upon antigen challenge with native TRFP, recombinant chain 1, or chain 2 of TRFP, or the recombitope peptide used.
[0052] This invention is further illustrated by the following non-limiting examples.
[0053] Peripheral blood mononuclear cells (PBMC) were purified by Ficoll-Hypaque centrifugation of 60 ml of heparinized peripheral blood from cat-allergic patients, who exhibited clinical symptoms of cat allergy and who were skin test positive with cat extract. Ten million PBMC from an individual patient were cultured in 10 ml RPMI-1640 (Gibco) containing 5% pooled human AB serum and supplemented with glutamine, penicillin, streptomycin and HEPES buffer (complete RPMI-1640) in the presence of 20 μg native affinity-purified TRFP/ml of culture at 37° C. for 7 days. Viable cells were then purified by Ficoll-Hvpaque centrifugation and cultured for 2 additional weeks in complete RPMI-1640 containing 5 units recombinant human IL, 2/ml and 5 units recombinant human IL-4/mL. The resting T cells resulting from the culture were then tested in a secondary proliferation assay using a 96 well microtiter plate to assess T cell responses to the various TRFP peptides or proteins (TRFP antigens) as shown in
[0054] PCR methods (Polymerase Chain Reaction) using synthetic oligonucleotides were used to construct DNAs encoding the sequences of peptides X, Y, and Z With the aim of enhancing expression in
[0055] Oligonucleotides were designed with STEP# TEMPERATURE TIME 1 94° C. 1 MINUTE 2 50° C. 1.5 MINUTES 3 75° C. 2 MINUTES 4 REPEAT STEPS 1-3 (4 TIMES) 5 94° C. 1 MINUTE 6 60° C. 1.5 MINUTE 7 75° C. 2 MINUTES 8 REPEAT STEPS 5-7 (20 TIMES) 9 HOLD AT 4° C.
[0056] After completion of the PCR#1 and PCR#2 reactions in the construction of the YZX structure aliquots from each (100 p moles of the 10 μg total reaction mixture; 1/100 volume) were added to a third PCR reaction mixture containing a set of 5′ and 3′ primers (100 p mole of primers C and I). A third PCR reaction (PCR #3) was performed utilizing this third PCR reaction mixture as previously described for PCR reactions #1 and 2 except that the annealing temperature in Step 6 was raised to 65° C. The completion of PCR#3 produced the DNA encoding recombitope peptide YZX. The PCR#3 reaction method is similar to that described in Horton, R. M., et al.
[0057] A polylinker encoding six sequential histidines, (CAC)
[0058] A similar procedure to that described above to construct DNA encoding the recombitope peptide YZX was used to construct DNA encoding the recombitope—peptides XYZ and ZYX. In addition, other peptides containing T cell epitopes can be added to an existing recombitope backbone structure such as YZX (as produced above) as was the case with the construction of recombitope peptide AYZXB (see
[0059] An alternative procedure was used to construct the DNA encoding recombitope peptides XZY, YXZ, and ZXY. Each of the DNA constructs encoding recombitope peptides XZY, YXZ and ZXY were ligated at the codon encoding the most N-terminal amino acid of the recombitope peptide with DNA encoding the leader sequence MG HHEF (where amino acids EF are encoded by the Eco RI restriction site GAATTC). DNA segments encoding the three recombitope peptides were assembled via consecutive PCR essentially as described by Horton et at., (1989) Gene 17: 61-68. The DNA segments encoding peptides X, Y, and Z (shown in
[0060] Because of the restriction sites present in the expression vector, pET11d (Studier et al. 1990), all extreme 5′ primers had EcoR I encoding sites [GAATTC] in frame with the DNA encoding the NH2-terminal amino acids of the particular recombitope, while the ends of the extreme 3′ primers had BamH I encoding sites [GGATCC]. DNA constructs encoding recombitope peptides XZY, YXZ, and ZXY produced from the secondary PCR were EcoR I/BamH I digested and electrophoresed through a 0.5 (wt./vol.) SeaPlaque (FMC) dgarose gel. Gel slices containing the DNA constructs were melted at 70° C. and added to a ligation reaction with EcoR I/BamH I digested Bluescript KS plasmid (Stratagene). The ligation was transformed into competent XL-1 Blue bacteria (Stratagene), and recombinant plasmids with inserts identified by diagnostic restriction digests after isolation using Qiatop kit (Diagen GmbH). The sequence of inserts was verified by dideoxy chain-termination sequence analysis using a Sequenase II kit (United States Biochemicals) Bluescript KS plasmids harboring DNA constructs encoding recombitope peptides XZY, YXZ and ZXY inserts with correct nucleotide sequence were EcoR I/BamH I digested and the DNA constructs isolated from a 0.6% SeaPlaque gel for subcloning into the expression vector pET11d in frame with the DNA encoding the NH
[0061] PCR-derived DNA fragments encoding (H
[0062] The recombinant peptide chains 1 and 2 of TRFP as well as the recombitope peptides XYZ, XZY, YZX, ZYX, ZXY and YXZ were expressed in
[0063] Bacteria were harvested by centrifugation at 10,000×g for 15 minutes, and resuspended in {fraction (1/50)}
[0064] The recombinant peptides (TRFP chain 1, TRFP chain 2, XYZ, YZX and ZYX) outlined above all possess an N-terminal sequence added as an aid to purification and expression (e.g, MGHHHHHHLVPRGS-). This irrelevant N-terminal sequence can be removed by proteolytic digestion since the sequence contains a thrombin recognition site (LVPRGS) inserted between the polyhistidine sequence and the recombitope sequence. (See
[0065] 1) recombitope peptide MGHHHLVPRGS-YZX
[0066] 2) Dialyze into PBS. pH 8.0
[0067] 3) Thrombin cleavage
[0068] peptide: thrombin=1000:1
[0069] 25° C. 2 hours
[0070] 4) Reduction with 100 mM dithiothreitol
[0071] in 5M guanidine HCl
[0072] 37° C., 30 minutes
[0073] 5) C
[0074] 6) Lyophiliion
[0075] Analytical reverse-phase HPLC was performed on a VYDAC 214 TP54 column with a 42 ml bed volume. The column was loaded with 340 μg of recombitope peptide YZX. Semi-preparative HPLC was performed using a VYDAC 214 TP 1022 column with a 95 ml bed volume loaded with 90 mg of protein. The gradient started with 0% to 30% acetonitrile containing 0.1% trifluoroacetic acid over the first 10 minutes followed by 30% to 43% acetonitrile over 15 minutes. The mobile phase was then held at 43% acetonitile for 10 minutes The purified recombitope peptide YZX eluted at 43% acetonitrile. The cleavage and purification were monitored by SDS-PAGE. The identification and purity of the recombitope peptide YZX was determined by protein sequence analysis using an Applied Biosystem Inc. Protein Sequenator Model 477A
[0076] Western immunoblot analysis of the recombitope peptides produced in Example 2 was performed. The concentration of all protein samples (e.g. TRFP, recombinant chain 1 of TRFP, recombinant chain 2 of TRFP, recombitope peptide XYZ, recombitope peptide XZY, recombitope peptide YXZ, recombitope peptide YZX, recombitope peptide ZXY and recombitope peptide ZYX) for gel electrophoresis was determined by the BCA method (Pierce Co.). All protein samples were loaded on the gel at 5 μg/lane except TRFP at 10 μg/lane. Protein separation was carried out on a 15% acrylamide gel, and transfer was performed by electroblotting at 1.5 Amps for 1.5 hours onto nitrocellulose paper (Schleicher and Schuell, 0.1 microns) in a Hoeffer apparatus according to the protocol of Towbin, H., T. Stachlin, and J. Gordon,
[0077] Specific binding of IgE to recombitope peptides was also demonstrated in ELISA assays Corning assay plates (#25882-96) were coated with 10 μg/ml of each coating antigen (i.e., TRFP, chain 1 (recombinant chain 1 of TRFP), chain 2 (recombinant chain 2 of TRFP), recombitope peptide XYZ, recombitope peptide XZY, recombitope peptide YXZ, recombitope peptide YZX, recombitope peptide ZXY and recombitope peptide ZYX) listed in
[0078] The results of the ELISA shown in
[0079] The human cat allergic T cell response to recombitope peptides was examined. Peripheral blood mononuclear cells (PBMC) were purified by Ficoll-Hypaque centrifugation of 60 ml of heparinized peripheral blood from cat-allergic patients, who exhibited clinical symptoms of cat allergy and who were skin test positive with cat extract. Ten million PBMC from an individual patient were cultured in 10 ml RPMI-1640 containing 5% pooled human AB serum and supplemented with glutamine, penicillin, streptomycin and HEPES buffer in the presence of 10 μg native affinity-purified TRFP/ml of culture or with 25 μg purified uncleaved recombitope peptide YXZ/ml of culture or with 25 μg purified cleaved recombitope peptide YZX/ml of culture at 37° C. for 7 days. Recombitope peptide YZX was cleaved with thrombin as described in Example 2. Viable cells were then purified by Ficoll-Hypaque centrifugation and cultured for 2 additional weeks in RPMI-1640/5% AB serum containing 5 units recombinant human IL-2/ml and 5 units recombinant human IL-4/ml. The resting T cells were then tested in a secondary proliferation assay using a 96 well microtiter plate to assess T cell responses to various TRFP proteins or peptides TRFP antigens). For assay, 2×10
[0080] The results indicate that T cells from patient 522 primed with native TRFP positively respond to native TRFP, recombitope peptide YXZ, peptide Y, Fel-14.2 and Fel-17. In contrast, T cells primed with recombitope YXZ respond less well to native TRFP, but respond at a similar level or better to a number of synthetic peptides corresponding to portions of the TRFP molecule, including peptide X, peptide Y, peptide Z, Fel-4, Fel-3.1, Fel-2, Fel-14.2, Fel-17and Fel-18. Similar results of an experiment with T cells from patient 519 are shown in
[0081] Mice were immunized with recombitope peptide YZX to determine whether T cell epitopes contained in the recombitope peptide derived from TRFP are capable of stimulating a T cell response. The assay determined the ability of lymph node cells to respond to the individual recombitope peptides as well as the immunizing antigen.
[0082] 10 B6CBAFI mice were immunized subcutaneously at the base of the tail and in the thigh region with 100 μg of recombitope peptide YZX in complete Freund's adjuvant. After 10 days, the inguinal, paraaortic, and popliteal nodes of the immunized mice were removed and pooled. The lymph node cells were suspended in cold RPMI 1640 with 1% fetal bovine serum (FBS) by passage through stainless steel mesh. The cells were washed 2 times with cold RPMI-1640 containing 1% FBS and maintained at 4° C.
[0083] The lymph node cells were plated at 4×10
[0084] The pooled lymph node cells respond well in vitro in response to culture with recombitope peptide YZX, as measured by IL-2 production (
[0085] The recombitope peptides can be useful as a new form of diagnosis of sensitivity to a protein allergen or a protein antigen. For example, although preferred recombitope peptides of the invention do not bind IgE, certain recombitope peptides derived from protein allergens may be capable of binding allergic patient IgE. These recombitope peptides could be used in skin testing as an accurate assay for specific Immediate Type Hypersensitivity (TTH) in an individual to the protein allergen from which the recombitope peptide is derived. The allergens for eliciting the TTH response could also be recombinant produced allergens, biochemically purified allergens from natural sources in addition to recombitope peptides with the only requirement being a high degree of specific IgE reactivity. Recombitope peptides which show no, or very low, reactivity with human IgE but comprise T cell epitopes reactive with a protein allergen can be used to elicit a Delayed Type Hypersensitivity (DTH) reaction in an individual sensitive to the allergen from which the epitopes are derived. The allergen forms for generating the DTH response can be isolated recombitope peptides, recombinant allergens or chemically modified natural or recombinant allergens (e.g., KOH treated TRFP). Again, a major requirement of the DTH provoking allergen/antigen is lack of IgE binding reactivity, or if such binding occurs, lack of mediator release from mast cells or basophils and the ability to stimulate T cells in an individual upon administration. A positive DTH is indicative of T cells of the individual specific for the epitopes within the recombitope peptide. In general, recombitope peptides are larger molecules than peptides which comprise an individual T cell epitope and are thus advantageous for DTH testing. Since the recombitope peptides are larger molecules, it is believed that they should reside in the skin (site of injection) allowing for the influx of T lymphocytes and other cells that contribute to the DTH skin response.
[0086] The ITH reaction, which occurs within 15 to 30 minutes of skin testing, can be used in combination with a DTH reaction, with the DTH reaction appearing 48-72 hours later. It is the combination of these assays, for two different types of allergic disease related reactivities, that represents a novel diagnostic formulation. The application to the skin during skin testing with a recombitope peptide may require a different format for eliciting one response versus another (ITH vs DTH). For example, the ITH reaction may be elicited in an individual by prick testing with a very small quantity of a therapeutic composition comprising a recombitope peptide (in this case the an IgE reactive recombitope peptide), and a pharmaceutically acceptable carrier or diluent. To elicit a DTH reaction, a large amount of a therapeutic composition comprising a recombitope peptide (in this case a non-IgE reactive recombitope peptide) and a pharmaceutically acceptable carrier or diluent is applied by an intradermal injection or tine test form (both are used for TB testing by DTH). See