AP690A - Immunomodulators based on a polypeptide other than human interleukin 10. - Google Patents

Abstract

This invention relates to a polypeptide other than human interleukin (10) which has at least one of the following properties: a) induces inhibition of spontaneous IL-8 production by human monocytes, b) induces inhibition of IL-1/3 induced IL-8 production by human peripheral blood mononuclear cells (PBMC), c) induces production of interleukin-1 receptor antagonistic protein (IRAP) by human monocytes, d) induces chemotactic migration of CD8+ human T lymphocytes in vitro, e) desensitizes human CD8+ T cells resulting in an unresponsiveness towards inIL-10, f) suppresses the chemotactic response of CD4+ T human lymphocytes towards IL-8, g) suppresses the cbemotactic response of human monocytes towards MCAF/MCP-1, h) does not inhibit class n MHC molecule expression on human monocytes, in contrast to human IL-10, i) induces the production of IL-4 by cultured normal human CD4+ T cells, j) reduces the TNFa production in human mixed leukocyte reaction. In particular, the invention relates to the nonapeptide Ala-Tyr-Met-Thr-Met-Lys-IIe-Arg-Asn and analogues and variants thereof.

Description

IMMDNOMODUIiATORS

FIELD OF INVENTION · The present invention relates to the. pharmaceutical use of a substance which is an. interleukin 10. (IL-10) agonist, in par• 5 ticular the use of·a-substance of the invention for the manufacture of a pharmaceutical composition for prevention and/or treatment of diseases, the pathogenesis of which is related to the decreased production and/or function of immunoinhibitory mediators, especially cytokines, and/or is related to an increased production and/or function of certain immuno-inflammatory mediators, especially cytokines. In particular, the invention relates to the use of a substance of the invention for the manufacture of a pharmaceutical composition for prevention and/or treatment of auto-immune diseases (diabetes mellj-tus, type I; inflammatory diseases of the gastro-intestinal tract; rheumatoid arthritis), arthritis urica (gout), allergy of the skin; allergic reactions in the skin, lungs and respiratory tract (including asthma bronchiale); tissue damage as a result of hypoxia/ischemia (infarction; reperfu20 sion); atherosclerosis; psoriasis; granulomatous disease; · chronic myeloid leukaemia; acute myeloid leukaemia; cancer; graft vs. host reaction and conditions related to transplant rejection; fibrosis of the lung; fibrosis of the liver;

θ chronic non-infectious inflammation of the lung; glomerulo25 nephritis; pre-term labour; periodontitis; inflammatory reactions due to virus infections, osteoporosis, septic shock and/or for the manufacture of an anti-conceptive agent.

BACKGROUND OF THE INVENTION . Research from the last two decades has shown that the ini30 tiation, regulation and ending of inflammatory reactions, as well as the regulation of growth and differentiation within the mammalian organisms is under tight control by a special group of signal polypeptides generally called cytokines. Cytokines are polypeptides which can be produced by most nuAP/P/ 9 7 / 0 09 62

	cleated cells and which transmit regulatory signals between cells, thus forming a communication network between identical
5·	or different cell types of the organism/ The cytokines are extremely potent mediators and.active at concentrations down’ to TO*15 M. Cytokines are also key factors for the development of cellular immune reactions., which in turn form the
10	. basis for the clinical manifestations of inflammation due to infection, allergy, trauma, graft vs. host reactions and auto-immune diseases. The allergic and auto-immune diseases are explained by .abnormalities in the immune system, especially in the T lymphocyte-mediated immunity, but generally these diseases are of unknown etiology. In vitro studies,
© 15	animal, experiments and clinical experimental studies have shown that cytokines play important pathophysiological roles for the inflammatory reactions related to auto-immune dis-
	eases, allergy, ischemia, reperfusion injury, trauma, infections, and are important for the development of cancer, atherosclerosis, pregnancy and fetal development, bone homeostasis. Cytokines may be involved in other immunoinflammatory and proliferative diseases as will be described in further detail in the following.
	The said diseases are usually chronic and the treatment is palliative, i.e. most of the drugs prescribed in connection with the said diseases are directed at the allaying of symp-
25 0	toms and usually have no curative effect. Other treatments are so-called substitution therapies which involve life-long
30	supplying to the patient of substances, e.g. hormones, needed due to a reduced/insufficient internal production of said substance. Said treatments are often unsatisfactory, imply unwanted and often serious side-effects, and merely delay rather than prevent the progression of the disease. Thus, improved methods of treatments and improved pharmaceutical compositions are highly needed.
35	Interleukin-10 (IL-10) is a recently described natural endogenous immunosuppressive cytokine, identified in both the murine and human organism. Murine interleukin 10 (mIL-10) was

ΑΡ/Ρ/ 9 7 / 0 0 9 62

AP.00690 originally described as a cytokine synthesis· inhibitory factor released from TH₂ helper T-cell clones,but it also carries-proliferative effects upon various subsets of lymphocytes, including an enhancing effect, upon cloning efficacy of

CD4-,8⁺ murine · splenic T-cells (4) . Human interleukin 10 (hIL-10) has.recently been sequenced and revealed.to have . high homology with mIL-10 at DNA sequence -level as- well as on amino acid level. Furthermore, swine interleukin 10 has recently been sequenced and revealed to have high homology with human IL-10 at DNA sequence level as well as on amino acid level (88), see also Figure 2. Also, hIL-10 has high homology with an open reading frame in the Epstein-Barr virus genome,- BCRF1, and viral IL-10 does show some activity similar to hIL-10, cf. Fig. 1 (5) .

Human IL-10 is produced by activated T cell clones and immortalized B cells, and in addition to its cytokine synthesis inhibitory factor (CSIF) activity, inhibiting the production of several pro-inflammatory cytokines and colony-stimulating factors, it also induces the production of a natural inter20 leukin-1 receptor antagonist protein/peptide (IRAP) by mononuclear cells, thereby indirectly inhibiting IL-1 activity. IL-10 also downregulates its own production by monocytes and inhibits the expression of class II MHC expression (12). Further, hIL-10 reduces antigen-specific proliferation of human T cells and CD4⁺ T cell clones, when using monocytes as antigen-presenting cells. In vivo experiments in mice indicate that the outcome of Leishmania infection is dependent upon the cytokine profile from responding CD4⁺ T lymphocytes (13) . In C57BL/6 mice resistant to Leishmania infection, CD4⁺

T cells from draining lymph nodes show up-regulation of IFN-γ and IL-2 cytokines, whereas the sensitive BALB/c mice in their draining lymph nodes have CD4⁺ responding T cells releasing IL-4 and IL-10, which could be demonstrated to correlate with disease progression (13). Thus, IL-10 may exert potent regulatory effects on immunological responses both in vitro and in vivo. Further IL-10 strongly affects chemokine biology since human interleukin 10 is a specific chemotactic

AP/P/ 97/00962

AP.00690 factor towards. CD8+ T cells, while IL-10 suppresses the' ahi lity of CD4+, but not CD8 + , T cells to migrate in response to the T·cell chemotactic cytokine, IL-8 (14). IL-10 also inhibits the chemotactic effect of . other, chemokines MCP-i/MCAF and RAiNTES (75).. Since IL-10 is. a deacti'vatOr of monocyte/macrophag'e functions- and an inhibitor of Thl activity, drugs ·.

.· with full or partial lL-10-like adtivity may possess therapeutic effect in diseases characterized by imbalance in cytokine production and/or activities.

It has previously been proposed to prepare pharmaceutical compositions comprising hIL-10 or vIL-10, and the use of hlL10 or vIL-10 for the manufacture of a pharmaceutical composition for the treatment of various conditions such as septic or toxic shock, rheumatoid arthritis, graft-vs-host disease, tissue rejection, diabetes mellitus, autoimmune disorders, leukaemia and cancer has been disclosed in e.g. WO93/02693 and W094/04180. Moreover, IL-10 antagonists, e.g. antibodies specifically binding to IL-10, have been disclosed in e.g. EP 405 980 and WO94/06473, and it has been contemplated that such antibodies could be useful in the treatment of HIV infected patients.

SUMMARY OF THE INVENTION ©

AP/P/ 9 7 / 0 0 9 62

According to the present invention, it has been found that a substance other than human interleukin 10 which.has one or

25	more of the following properties:
	a)	induces inhibition of spontaneous IL-8 production by human monocytes,
	b)	induces inhibition of IL-1/3 induced IL-8 production by human peripheral blood mononuclear cells (PBMC),
30	c)	induces production of interleukin-1 receptor antagonistic protein (IRAP) by human monocytes,
	d)	induces chemotactic migration of CD8+ human T lymphocytes in vitro,

AP.θ Ο 6 9 Ο

e) desensitizes human; CD8+'· Τ cells resulting -in· an unresponsiveness towards rhIL-10,

f) suppresses the chemotactic response of CD4+ human τ lymphocytes towards’ IL-8/

5. g)- suppresses ’ the chemotactic · response of human monocytes towards MCAF/MCP-1,

h) does not inhibit’ class II MHC molecule expression on human monocytes, in contrast to human IL-10,

i) induces the production of IL-4 by cultured normal human

CD4+ T cellsy j ) reduces the TNFa production in human mixed leukocyte reaction, such as a polypeptide which comprises the amino acid sequence Ala-Tyr-Met-Thr-Met-Lys-Ile-Arg-Asn or an analogue or variant of said sequence (a nona-peptide with sequence homology to hIL-10, called IT9302), and derivatives thereof can be.used for the prevention and/or treatment of certain forms of inflammatory processes, especially forms related to the immune and/or hormone system. It is contemplated (as descri20 bed in detail in the following description of immunological mechanisms) that the action mechanism is via interference, with the action of mediators of the immune system, in particular cytokines such as monokines, lymphokines, chemokines and monokine-receptor antagonists, i.e. that the substance of the invention interferes with/suppresses the production and/or action of certain cytokines and thus inhibits pathological processes leading to tissue damage, and that the substance of the invention induces the production of natural monokine-receptor antagonists thus interfering with/suppres30 sing the action of certain cytokines and thereby inhibiting pathological processes which lead to tissue damage.

An important embodiment of the present invention thus relates to a pharmaceutical composition comprising, as the active ingredient, a substance of the invention. Other embodiments of the invention are a substance which is capable of neutralizing one or more of the activities a) to g) mentioned

AP/P/ 9 7 / 0 0 9 6 2 above, e.g. an antibody, and a pharmaceutical composition comprising such a substance.

In a further aspect, the present invention relates to the use . of . a; substance of the invention for the manufacture of a .

pharma.ceutical composition for substantially .inhibiting a.biological effect related to a cytokine, i.e. the use of a sub¹ stance of the invention as an IL-1 receptor antagonist protein/peptide, lymphokine, monokine, interleukin, interferon, chemokine or colony-stimulating factor. Another aspect rela10 tes to the use of a substance of the invention for the ma mi facture of a pharmaceutical composition for the prophylaxis or treatment of a condition related to the disturbance of a cytokine system, i.e. the IL-1 receptor antagonist protein/peptide, lymphokine, monokine, interleukin, interferon, chemokine or colony-stimulating factor system. In another aspect, the invention also relates to a method of treating a condition in a human related to a disturbance in a cytokine system which method comprises administering to the subject an effective amount of a'substance of the inventio?i.

The cellular immune system takes part in the development of such disorders as infectious, inflammatory and neoplastic diseases. Immunocompetent cells and their products may play important roles in the initiation, progression and possible chronic nature of development of inflammatory .conditions.

These disorders are often without known etiology and includes common diseases such as diabetes mellitus, rheumatoid arthritis, inflammatory diseases of the gastro-intestinal tract and of the skin. Apart from these examples, cell-mediated immunity or pro-inflammatory mediators, however, contribute to many other inflammatory and proliferative diseases (see Table 2).

AP/P/ 9 / 0 0 9 6 2

AP. Ο Ο 6 9 Ο

TABLE 2

Some diseases where macrophages/T-lymphocyte-mediated immune reactions are considered pathogenetically important

Skin diseases:

Psoriasis

Atopic dermatitis

Contact dermatitis

Cutaneous T cell‘lymphoma (CTCL)

Sezary syndrome

Pemphigus vulgaris Bullous pemphigoid Erythema nodosum Scleroderma

Auto-immune (including rheumatic) diseases:

Uveitis

Bechet's disease Sarcoidosis Boeck Sjogren's syndrome

Rheumatoid arthritis Juvenile arthritis Reiter's syndrome Gout

Osteoarthrosis

Systemic lupus erythematosis Polymyositis Myocarditis

Primary biliary cirrhosis Crohn's disease

Ulcerative colitis

Multiple sclerosis and other demyelinating diseases Aplastic anaemia

Idiopathic thrombocytopenic purpura Multiple myeloma and B cell lymphoma

Simmons' panhypopituitarism

Graves' disease and Graves' opthalmopathy z 9 6 0 0 li 6 'd/dV

AP. Ο Ο 6 9 ^θ

Subacute thyreoditis- and Hashimoto's disease ·'·

Addison's disease

Insulin-dependent diabetes mellitus (type 1)

Other·· diseases

Various clinical syndromes with vasculitis (e.,g. polyarteri- . tis nodosa, Wegener's'granulomatosis, Giant cell arteritis Fever, malaise

Anorexia (e.g. in acute and chronic inflammatory and infectious diseases)

Disseminated intravascular coagulation (DIC)

Arteriosclerosis (atherosclerosis)

Shock (e.g. in gram-negative sepsis)

Cachexia (e.g. in cancer, chronic infectious and chronic inflammatory diseases)

Transplant rejection and graft vs. host disease

Cytokines:

T-lymphocytes orchestrate the induction and regulation of cell-mediated immune reactions, and cytokine products (lym20 phokines) of the T cells initiate and control the immune response (1,2). The lymphocyte-activating mediators (lymphokines) produced by antigen-presenting cells belong to a group of polypeptides called cytokines. Cytokines are transmitters of cell-to-cell communication in both physiological and pathophysiological conditions, and may also function as hormones providing signals between the immune system and other tissues and organs. Cytokines may also be produced by cells outside the immune system and it is generally believed that all nucleated cells are capable of producing one or several cytokines. Thus, e.g. keratinocytes and fibroblasts are potent producers of cytokines and in this system cytokines may function as autocrine or paracrine hormones independent of the immune system (3).

AP/P/ 97 / 0 0 9 62

Interleukin-10:

AP.00690

Murine interleukin 10 (mIL-10) was originally described as a cytokine synthesis inhibitory factor (CSIF) released from TH₂ helper T-cell clones but it has also proliferative effects upon .various subsets of lymphocytes, including an enhancing effect upon cloning efficacy of 004-,8⁴ murine- splenic T cells (4) . Human interleukin 10 (hIL-10) has. recently been described (5) and has high homology with an open readingframe in the Epstein-Barr virus genome, BCRFl, and viral IL-10 does show some activity similar to hIL-10. in the folio lowing, the biochemical, biological, physiological and possible pathophysiological roles of IL-10 will be summarized..

IL-10 structure:

©

The primary structures of mouse (mIL-10) and human IL-10 (hIL-10) revealed a high degree of nucleotide sequence homo15 logy (>80%) throughout their entire length (4, 5). The only significant difference is the insertion of a human Alu repetitive sequence element in the 3'-untranslated region of the hIL-10 cDNA clone. The mIL-10 and hIL-10 cDNAs encode very similar open reading frames (ORF) of 178 amino acids, inclu20 ding hydrophobic leader sequences and corresponding to 73% amino acid homology. mIL-10, which is active on murine cells, does not cross-react significantly on human cells. hIL-10 is an 18 kDa polypeptide which lacks detectable carbohydrate, but mIL-10 is N-glycosylated at a site near its N-terminus which is missing from hIL-10. Both mIL-10 and recombinant hIL-10 (rhIL-10) are expressed as non-covalent homodimers.

The extent to which mIL-10 or hIL-10 monomers are biologically active is not yet certain. mIL-10 and hIL-10 with polypeptide tags of at least 8 amino acids at the N-terminus and

21 amino acids at the C-terminus showed no detectable loss of activity according to a publication from Moore et al. who were the first to sequence human IL-10 (6). Tagging C and N terminal ends of the whole IL-10 does not necessarily cause functional changes, since tagging is occasional or inciden35 tai. The high number of possible amino acid substitutions as described in further detail in the following might also

AP/P/ 9 7 / 0 0 9 6 2

AP.00690 explain while tagging failed to show missing'functions. Recombinant mIL-10 and hIL-10 have been expressed in: CDS7 cells, mouse myeloma cells, Chinese hamster ovary cells, a baculovirus expression system, and E. coii. The biological

5. activities of these rlL-10 proteins are so far indistinguishable (6) . . ·

The mIL-10 gene comprises five exons arrayed over approximately 5.1 kb of DNA. The genomic clone itself encodes an expressible mIL-10 protein. The mIL-10 and hIL-10 genes are on mouse and human chromosome 1(6,7).

mIL-10. and hIL-10 exhibit strong DNA and amino acid sequence θ homology to an open reading frame in the Epstein-Barr virus genome, BCRF1, and the homology is confined to the mature protein coding sequence and is not detected in the signal sequence or 5'- and 3'-untranslated sequences (5). Of the three sequences, mIL-10 and hIL-10 are the more closely related pair at the DNA sequence level (81%) , while the ,DNA sequences encoding the mature hIL-10 and BCRF1 proteins have 71% homology. The homology between hIL-10 and B CRF1 is 84% on the amino acid level. It is hypothesized that the mIL-10 and hIL-10 genes are evolved from a common ancestor, while BCRF1 represents an ancestral processed, captured cellular cytokine gene and that the BCFR1 protein has .been constrained ©to resemble hIL-10. BCFR1 is expressed during -the lytic cycle

of the EBV. The BCFR1 ORF encodes a 17 kDa secreted polypeptide which, like hIL-10, contains little or no glycosylation. BCFR1 displays some activities of IL-10 and has been called viral IL-10 (vIL-10), although its activity has been found to be 10% of hIL-10.

IL-10 activity on cytokine production:

hIL-10 inhibits the production of a number of cytokines including interferon-γ (IFN-γ), Tumor Necrosis Factor-a (TNF-α), Granulocyte Macrophage Colony Stimulating Factor (GM-CSF), Granulocyte-CSF (G-CSF), IL-Ία, IL-10, IL-2, IL-6,

AP/P/ 9 7 / 0 0 9 62

AP.00690

IL-8 and Monocyte Chemotactic polypeptide-1 (MCP-l/MCAF) by monocytes/macrophages and/or T lymphocytes (4, 5) . IL-10 also inhibits the ability .of monocytes to migrate as a response to the chemokine MCP-l/MCAF (75) . Further, hIL-10 induces the production of an endogenous, natural interleukin-1 receptor antagonist (IRAP) (6), which inhibits IL-la and IL-1/3. by • .competing with receptor binding. Since IL-8 is- strongly inducible by IL-la and by IL-1/3, IL-10 exerts part of its inhibitory effect on IL-8 production by stimulating the production of the IL-l-receptor antagonist IRAP. This last mechanism is of considerable importance for the present in-, vent ion as described and exemplified in the following. IRAP has anti-inflammatory activities (9) , and its therapeutic θ effect in rheumatoid arthritis has been suggested (10). Also,

IRAP proved to be effective in the treatment of sepsis syndrome and a dose-dependent, 28-day survival benefit was associated with IRAP treatment (p = 0.015) in a study by Fisher et al. (11) . IRAP may exert parts of its anti-inflammatory effects by inhibiting chemokine-production such as the pro20 duction of IL-8.

IL-10 and antigen expression:

IL-10 inhibits the expression of class II MHC expression on human monocytes (8) . Constitutive and IL-4 or IFN-γ induced θ expression of HLA-DR/DP and DQ was inhibited by hIL-10 (12) .

In addition, monocytes pre-incubated with IL-10 are refractory to subsequent induction of class II MHC expression by IL-4 or IFN-γ. IL-10 inhibits class II expression by human monocytes following activation by LPS (12, 76). BALB/c mice given 1 to 10 mg of IL-10 concomitantly with a lethal dose of

LPS were protected from death (6).

IL-10 inhibits nitrogen intermediates and superoxide anions. IL-10 also inhibits reactive nitrogen intermediate (NO) as well as reactive oxygen intermediates (H₂O₂) by macrophages following activation by IFN-γ (13).

AP/P/ 9 7 / 0 0 9 62

AP.00690 , . 12 . IL-10 and T cell-activity: .....

IL-10 has also modulatory effects on T cell functions/activity·.. Thus, hIL-10 is a-potent chemotactic factor to CD8+ T .lymphocytes, while hIL-iO does not show'chemotaxis towards 5 CD4+ T cells (14). Additionally, IL-10 suppresses the capar.

city of CD.4.+ T cells to -respond, to the chemotactic signals of the β-chemokine RANTES as well as the a-chemokine IL-8. hIL-10 also directly inhibits the proliferation of human peripheral blood,T cells and CD4+ T cell clones (14) .

IL-10 and B lymphocytes:

hIL-10 co-stimulates B-lymphocyte proliferation induced by cross-linking surface lg with immobilized anti-IgM antibody, and this effect is enhanced when B-cells are stimulated by cross-linking of their CD40 antigen with anti-CD40 antibody

,..5 and mouse L cells expressing human FcyRII/CD32 (15) . The effect of IL-10 on proliferation and differentiation of activated human B cells suggests that this cytokine may account for much of the superior ability of T cells expressing hIL-10 to provide help for B cell responses.

ζύ IL-10 as a homeostatic factor for the immune system:

@

Tne physiological consequences of the functions of IL-10, men/*. 'iX tioned above, are believed to be a certain degree of homeostasis on the immune system. Thus, IL-10 clearly inhibits helper T cells functions and probably stimulates T cells with suppressor functions. Therefore, like IL-4, IL-10 is believed to regulate the balance between Thl and Th2 cytokine profiles of T cells. Especially, it is believed that IL-10 inhibits the differentiation of Thl cells. Since Thl cells are characterized by the production of cytokines (IFN-γ and IL-2) which favour cell-mediated immune responses while Th2 cells produce cytokines (IL-4, IL-5 and IL-10) which favour a humoral response and suppress a cell-mediated immune response, IL-10 is likely to suppress a T cell-mediated immune reaction such

AP/P/ 97 / 0 0 9 6 2

AP . Ο Ο 6 9 Ο .< 13

I as delayed type hypersensitivity reactions ,- while it favours humoral responses.

As a consequence of- the, features of IL-10 mentioned above, the -activity of .IL-10 has been described as an inhibitor of macrophage and Thl cytokine synthesis. Therefore it has been, studied whether lack of .IL-10 production and/or activity may play a role in diseases where an enhanced cell-mediated immunoreactivity is believed to play a role for the disease, such as in auto-immune diseases and inflammation. Anti-IL-10 antibody-treated mice show a stronger inflammatory response . to monokine-induced inflammation and are significantly more susceptible to death induced by LPS-induced septic shock, a monokine-mediated inflammatory reaction (16) . Also, IL-10 knock-out mice spontaneously develop inflammatory reactions of the gut similar to that of colitis ulcerosa (17) . Additionally, it has been investigated whether IL-10 plays a role in different parasite, mycobacterial or viral infections, and IL-10 has been shown to play a pathophysiological role in the immune-paresis related to the infection with Schistosoma mansoni (18) . Also a role in Mycobacterium leprae infections has been suggested. Recently, it has been found that AIDS patients with a poor prognosis have a higher level of IL-10 in plasma, and it has been suggested that this contributes to the immune paresis which is known from AIDS (19).

© ...

Therapeutic considerations:

These in vivo results/data strongly suggest a homeostatic role of IL-10 in controlling cell-mediated and monokineamplified immune inflammation and indicate the wide-ranged therapeutical applications of IL-10 or a drug with IL-10-like activity in the treatment of diseases which are characterized by a decreased/insufficient production and/or activity of IL-10. Since the substance of the present invention exemplified by IT9302 exerts IL-10-like activity by

AP/P/ 9 7 / 0 0 9 6 2

1) inducing IRAP production by human monocytes,

AP.00690 . ' · 14

2) . .inhibiting spontaneous IL-8 production by human monocytes,

3) inhibiting IL-10-stimulated IL-8 production by peripheral blood mononuclear cells (PBMC);

4) stimulating chemotactic migration, of CD8+,· but. not CD4+, human T lymphocytes, . 5) desensitizing human CD8+ T cells· towards rhIL-IQ-induced chemotactic migration,

6) inhibiting IL-8-mediated human. CD4+ T cell chemotaxis, and

7) inhibiting MCP-l/MCAF-mediated human monocyte chemotaxis,

8) inducing the production of IL-4 by cultured normal human

Q CD4+ T cells,

9) reducing the TNFa production in human mixed leucocyte reaction, this polypeptide and analogues thereof may thus possess the same therapeutic possibilities as hIL-10. Table 3 lists some diseases where an immune-modulator like IL-10 or an immune20 modulator with IL-10-like activity may have therapeutic importance:

TABLE 3 ©

Some diseases where an immune-modulator with IL-10-like (£) activity, due to its induction of IRAP production and/or inhibition of cytokine-production and/or activity may have therapeutic importance (ref. 20-74)

Pre-term labour caused by infection or other conditions Rheumatoid arthritis

Lyme's arthritis Gout

Sepsis syndrome Hyperthermia

Ulcerative colitis or enterocolitis 35 Osteoporosis

Cyt omega1ovirus Periodontal diseases

AP/P/ 9 7 / 0 0 9 6 2

AP. Ο Ο 6 9 Ο •Glomerulonephritis

Chronic, non-infectious inflammation of the lung (e.g. sarcoidosis and· smoker's lung)

Granuloma formation'

Fibrosis of the liver . Fibrosis of the lung

Transplant rejection .....

Graft vs. host disease Chronic myeloid leukaemia

Acute myeloid leukaemia Other neoplastic diseases Asthma bronchiale

Diabetes mellitus, type I (insulin dependent) Arteriosclerosis/atherosclerosis

Psoriasis

Chronic B lymphocyte leukaemia Common variable immunodeficiency

Side-effects using other biological response modifiers Disseminated intravascular coagulation

Systemic sclerosis Enc ephalomyelitis Lung inf lamination Hyper IgE syndrome Enterocolitis

Cancer metastasis and growth Adoptive immune therapy Acquired respiratory distress syndrome Sepsis

Reperfusion syndrome

Postsurgical inflammation Organ transplantation Alopecia

AP/P/ 9 7 / 0 09 62

DETAILED DESCRIPTION OF THE INVENTION

Development of an IL-10-homologous nonapeptide with IL-10like activity:

AP.00690

Partial sequences of hIL-10 having a length of 9 ami no acids’ was chosen according to the principle that the sequences should possess high homology between vIL-10 and hIL-10, but as low homology, to mIL-10 as'possible. This 'strategy was based on the fact’ that vIL-10 cross-reacts ..partly with hIL-10, while mIL-10 does not cross-react with hIL-10. (see above) .. Thvis, sequences of the hIL-10 responsible for certain activities in the human organism may be located at domains where there is high homology between h.IL-10 and vIL-10 but low in relation to mIL-10.

The signal polypeptide of hIL-10 is supposed to consist of the first 18 amino acids. The mature protein starts from amino acid No. 19 (No. 1 in the functional protein, which is a serine), and the total protein is containing 160 amino acids. By looking at the human and viral IL-10 COOH-terminal sequences and in particular position 157 and 159, containing lysine and arginine residues, this domain was found to be favourable' for being partly responsible for receptor binding. (Figs. 1 and 2).

After screening several candidates, obtained by chemical synthesis, for IL-10-like activity, it was found that a synthetic nonapeptide, IT9302, possessed some immuno-suppressive activities which mimic those of hIL-10 as described in further detail in the following examples. IT9302 corresponds to a nonapeptide sequence from the C-terminal end of hIL-10 with the following amino acid sequence:

NH₂-Ala-Tyr-Met-Thr-Met-Lys-Ile-Arg-Asn-COOH (SEQ ID NO:1)

IT9302 has 100% homology with a segment of hIL-10 corresponding to amino acids Nos. 152 to 160 at the C-terminal end.

Furthermore, this polypeptide sequence has 6 amino acids in common with the virus vIL-10 in the corresponding area, see Figs. 1 and 2, which means that 6 of 9 or 66% of the amino acids are homologous as defined herein, and 4 amino acids in common with mIL-10, i.e. 4 of 9 or 44%. This nonapeptide is

AP/P/ 9 7 / 0 0 9 62 more

a)

b)

c)

d)

e)

f)

g)

h)

i)

AP . « Ο 6 9 Ο the only sequence obtained or derived from hIL-10 and eyam-ined until now which has the special properties demonstrated in the examples. Until contemplated by the present inventors, no one has pointed to this sequence as a functional domain.

In its broadest aspect, the present invention thus relates to a substance which exhibits hIL-10 agonist, activity, i.e,. a substance other than human interleukin 10 which has one or of the following properties:

induces inhibition of spontaneous IL-8 production by human monocytes, induces inhibition of IL-1/? induced IL-8 production by human peripheral blood mononuclear cells (PBMC) , induces production of interleukin-1 receptor antagonistic protein (IRAP) by human monocytes, induces chemotactic migration of CD8+ human T lymphocytes in vitro, desensitizes human CD8+ T cells resulting in an unresponsiveness towards rhIL-10, suppresses the chemotactic response of CD4 + human T lymphocytes towards IL-8, suppresses the chemotactic response of human monocytes towards MCAF/MCP-1, does not inhibit class II MHC molecule expression on human monocytes, in contrast to human IL-10, induces the production of IL-4 by cultured normal human CD4+ T cells, reduces the TNFa production in human mixed leukocyte reaction.

Among these activities, d) to g) are considered the most 30 unique. One important embodiment of the invention is a substance which exhibits hIL-10 agonist activity as defined above and which comprises the amino acid sequence Ala-TyrMet-Thr-Met-Lys-Ile-Arg-Asn or an analogue or variant of said sequence. This sequence, and all other polypeptide sequences in the present specification and claims, are, also when not

AP/P/ 97 / 0 0 9 62

AP . Ο Ο 6 9 Ο .explicitly stated, written from the N-terminal to the C-terininal end in the conventional format.

The nonapeptide IT9302 is very potent to induce’different 'functions and is .very stable,, and·it is presumed that it ran5 not be incorrectly coupled to receptors., A nonapeptide has ' been , chosen because generally a 9 amino.acid polypeptidesequence is unique for a protein. However, it is to be noted that the 6 amino acids at the very end of hIL-10 seem to be ’ the most important ones. Within the scope of the present in10 vention is thus a substance or polypeptide comprising a subsequence of the amino acid sequence Ala-Tyr-Met-Thr-MetLys-Ile-Arg-Asn (SEQ ID NO:1).

It is considered likely that some amino acid substituti nns will not have adverse effects on the hIL-10 agonist activity as defined herein as long as the threonine, the lysine and the arginine are present and with one amino acid placed inbetween.

In its broadest aspect, t?~ present invention thus relates to a polypeptide having the formula

Thr-X₄-Lys-X₅-Arg-X₆ (SEQ ID NO:19) ,

AP/P/ 9 7 / 0 09 62 wherein

X₄ and X₅ are independently selected from the group consisting of Met, lie, Leu and Val; and

X₆ is selected from the group consisting of Asp, Gin and Glu.

In a further aspect, the invention relates to a polypeptide having the formula

X₃-Thr-X₄-Lys-X₅-Arg-X₆ (SEQ ID N0:20), wherein

AP .0 0 6 9 0

X₃, X₄ and X₅ are independently selected’ from the group consisting of Met, lie, Leu and .Val; and

X₆ is selected from the group consisting of .'Asp, Gin and Glu.

i In·yet a further aspect, the invention relates to polypepti'5 des having the formula

X₂-X₃-Thr-X₄-Lys-X₅-Arg-Xg (SEQ ID N0:21), wherein

X₂ is Tyr or Phe,

X₃, X₄ and X₅ are independently selected from the group 0 ' consisting of Met, lie, Leu and Val; and

X_e is selected from the group consisting of‘Asp, Gin and Glu.

Preferred embodiments of the invention are polypeptides having the formula

X₁-X₂-X₃-Thr-X₄-Lys-X₅-Arg-Xg (SEQ ID NO:22), wherein

£) X₂ is Ala or Gly,

X₂ is Tyr or Phe, θ ^x3' ^x4 ^an<^ ^xs ^are independently selected from the group consisting of Met, lie, Leu and Val; and

X₆ is selected from the group consisting of Asp, Gin and Glu.

Examples of specific polypeptides which are presumed to have hIL-10 agonist activity as defined above are as follows:

AP/P/ 97 / 0 0 9 6 2

1.	NH2 - Al a-Tyr-Met-Thr-lie-Lys-Met-Arg-Asn-COOH	(SEQ	ID	NO: 2)
2 .	NH2-Ala-Phe-Met-Thr-Leu-Lys-Leu-Arg-Asn-COOH	(SEQ	ID	NO: 3)
3 .	NH2-Ala-Tyr-Met-Thr-Met-Lys-Val-Arg-Glu-COOH	(SEQ	ID	NO: 4)
4 .	NH2-Gly-Tyr-Met-Thr-Met-Lys-lie-Arg-Asp-COOH	(SEQ	ID	NO :5)
5 .	NH2 - Ala - Phe - Me t - Thr -Met- Lys -He - Arg - Asp - COOH	(SEQ	ID	NO: 6)
6 .	NH2-Ala-Tyr-lie-Thr-Met-Lys - He-Arg-Asp - COOH	(SEQ	ID	NO: 7)
7 .	NH2-Ala-Tyr- Leu-Thr-Met-Lys-1le-Arg-Asp -COOH	(SEQ	ID	NO: 8)

AP.00690 .

.

5 . 12 . 13

NH₂-Ala-Tyr-Val -Thr-Met -Lys - He -Arg-Asp - COOH NH₂ - Ala - Tyr-Met - Thr - Il e - Lys -11 e - Arg - Asp - COOH NH₂- Al a - Tyr -Met - Thr - Leu - Lys -lie - Arg - Asp - COOH NH₂ - Ala - Tyr-Me t - Thr - Val - Lys - Il e - Arg r Asp - COOH NH₂-Ala-Tyr-Met-Thr-Met - Lys - He-Arg-Asp-COOH NH₂-Ala-Tyr-Met-Thr-Met-Lys-Met-Arg-A$p-COOH NH₂-Ala-Tyr-Met-Thr-Met ;Lys-Val-Arg-Asp - COOH NH₂-Aia-Tyr -Met -Thr-Met -Lys - He - Asp -Gin - COOH NH₂ - Ala - Tyr-Me t - Thr-Me t - Lys -11 e - Asp - Glu - COOH (SEQ ID NO:9) (SEQ ID NO:10) (SEQ ID NO:11) (SEQ ID NQ:12) (SEQ ID NO:13) (SEQ ID NO:14) (SEQ ID NO: 15) (SEQ ID NO:16). (SEQ ID NO:17)

For comparison, another nonapeptide called IT9301 with 100% homology to a sequence of hIL-10 was synthesized. This polypeptide, IT9301, corresponds to a nonapeptide sequence starting at the N-terminal end of hIL-10, (amino acids nos. 19 to 27, i.e. the first 9 amino acids of the mature protein) and has the following amino acid sequence:

NH₂-Ser-Pro-Gly-Gln-Gly-Thr-Gln-Ser-Glu-COOH (SEQ ID NO: 18)

This polypeptide showed no IL-10-like activity using the techniques described below and was only chosen because it is at the other end of hIL-10 and mostly served as a control for negative results. It does not have the characteristics of the C-terminal sequence with regard to sequence homology to vIL10, and favourable amino acids for receptor binding. IT9301 was tested in the IL-1/3 induced peripheral blood mononuclear cell system for IL-8 production, but did not induce any inhi25 bition at all of the IL-8 production from the cells.

In accordance with the present invention, the term a hIL-10 agonist substance of the invention comprises any pharmaceutically active and acceptable compound being identical or structurally similar to IT9302 and exhibiting relevant biolo30 gical actions similar to those of IT9302, including derivatives of IT9302, especially pharmaceutically acceptable salts, esters and solvates as well as conjugates of IT9302 or of the IT9302 derivatives including peptido-mimetics. Covalent coupling of IT9302 at the ΝΉ₂-terminal end to appropriate

AP/P/ 97 / 0 0 9 6 2

AP . Ο Ο 6 9 Ο carriers, e.g..polyethylene glycol or sugar might extend the half-life' of the polypeptide in vivo.

The following definitions are employed, in the present text: '

Cytokine is a general term for a proteinaceous mediator 5 . released primarily but not exclusively by a cell population of the immune system as a response to a specific stimulating agent, e.g. a specific antigen or an alloantigen; or a nonspecific, polyclonal activator, e.g. an endotoxin or other cell wall components of a gram-negative bacterium.

Lymphokine is a general term for a proteinaceous mediator released by sensitized lymphocytes as a response to a stimnlating agent, e.g. a specific antigen or an alloantigen; or by a lymphocyte challenged by a polyclonal activator, e.g. an endotoxin or other cell wall components of a gram-negative bacterium.

Interleukin is a general term for a proteinaceous mediator released primarily but not exclusively by a macrophage, T, B, or NK cell as a response to a stimulating agent, e.g. a specific antigen or an alloantigen; or by a lymphocyte chal20 lenged by a polyclonal activator, e.g. an endotoxin or other cell wall components of a gram-negative bacterium.

Monokine is a general term for a proteinaceous mediator released primarily but not exclusively by a mononuclear phagocyte (e.g. a monocyte or a macrophage or a Kupffer cell (liver) or a Langerhans' cell (skin) as a response to any stimulating agent.

Chemokine is a general term for a proteinaceous chemotactic and/or leukocyte-activating mediator released primarily but not exclusively by a cell population of the immune system as a response to a specific stimulating agent, e.g. a specific antigen or an alloantigen; or a non-specific, polyclonal activator, e.g. an endotoxin or other cell wall components of

AP/P/ 9 7 / 0 0 9 62

ΑΡ . Ο Ο 6 9 Ο a gram-negative bacterium and belonging to a particular gene family either the chemokine-a gene family or the chemokine-0 gene family. .

Interferon is a general term for a proteinaceous antiviral and/or monocyte-activating mediator .released primarily but not. exclusively by a cell population of the immune system as

a response to a virus or an interferon inducer such as a polynucleotide; in particular cells of the immune system as a response to a specific stimulating agent, e.g. a specific antigen or an alloantigen; or a non-specific, polyclonal activator, e.g. an endotoxin or other cell wall components of a gram-negative bacterium.

Colony-stimulating factor is a general term for a proteinaceous, haematopoietic colony-stimulating mediator released primarily but not exclusively by a cell population of the immune system as a response to a specific stimulating agent, e.g. a specific antigen or an alloantigen; or a non-specific, polyclonal activator, e.g. an endotoxin or other cell wall components of a gram-negative bacterium.

Ό Polypeptide as used herein means both short peptides with a length of at least two amino acid residues and at most 10 amino acid residues, oligopeptides (11-100 amino acid residues) , and longer peptides (the usual interpretation of polypeptide, i.e. more than 100 amino acid residues in length) as well as proteins (the functional entity comprising at least one peptide, oligopeptide, or polypeptide which may be chemically modified by being glycosylated, by being lipidated, or by comprising prosthetic groups). The definition of polypeptides also comprises native forms of peptides/proteins in humans as well as recombinant proteins or peptides in any type of expression vectors transforming any kind of host, and also chemically* synthesized peptides.

One embodiment of the present invention relates to a polypeptide comprising a subsequence of the sequence of human IL-10

AP/P/ 97/00962

AP . Ο Ο 6 9 Ο •and which has a degree of homology to vIL-10 which is 66% arid a degree of homology to mIL-10 which is 44%, in particular SEQ'ID N0:l. By the term homology is · meant the identity in sequences of amino acids in segments of' two or more anil no .5 acids when matched with respect to’.identity and position of the amino acids of the polypeptides.

Homology as the term is used herein is thus a measure of s-im-i larity between two amino acid (or nucleotide) sequences. Homology is expressed as the fraction or percentage of match10 ing amino acids (or bases) after two sequences (possibly of unequal length) have been aligned. The term alignment is used in the sense defined in (76) . Roughly, two sequences are aligned by maximizing the number of matching bases (or amipp acids) between the two sequences with the insertion of a minimal number of blank or null bases into either sequence to bring about the maximum overlap.

The term homologous is thus used here inter alia to illustrate the degree of identity between the amino acid sequence of a given polypeptide and the amino acid sequence of IT9302.

The amino acid sequence to be compared with the amino acid . sequence of IT9302 may be deduced from a nucleotide sequence such as a DNA or RNA sequence, e.g. obtained by hybridization as defined in the following, or may be obtained by conventional amino acid sequencing methods. The degree of homology is preferably determined on the amino acid sequence of a mature polypeptide, i.e. without taking any leader sequence into consideration. Generally, only coding regions are used when comparing nucleotide sequences in order to determine their internal homology.

Although it is contemplated that a substantial degree of homology to hIL-10 and vIL-10 is beneficial, it is not unlikely that subsequences of the subsequence of hIL-10 which show a lower degree of homology to vIL-10, say, e.g., 50%,

55% or 60%, may also show one or more beneficial hIL-10 agonist activities. Moreover, as discussed above, it is not

AP/P/ 97 / 00962

AP . Ο Ο 6 9 ο deemed absolutely necessary that the degree of homology to .hIL-10 is 100%. Within the .scope of the present invention are . also:polypeptides having a lower degree of. homology to hIL-10, such as 75%, 80%, .85%,/90% or 95%,'although 100% is • 5.' preferred.

Such polypeptides may be considered analogues of the nonapep-. tide. By the term an analogue or variant thereof is thus meant a polypeptide not having exactly the amino acid sequen¹ ce Ala-Tyr-Met-Thr-Met-Lys-Ile-Arg-Asn (SEQ ID N0:l) , but still having hIL-10 agonist activity as defined above.

Generally, such polypeptides will be polypeptides which vary e.g. to a certain extent in the amino acid composition, or the post-translational modifications e.g. glycosylation or phosphorylation, as compared to IT9302 described in the examples.

The term analogue or variant is thus used in the present context to indicate a protein or polypeptide having a somewhat different, but still similar, amino acid sequence to the amino acid sequence of IT9302, allowing for minor variations

Ό that alter the amino acid sequence, e.g. deletions, site directed mutations, insertions of extra amino acids, or combinations thereof, to generate polypeptide analogues of IT9302.

AP/P/ ¢7/00962

Site-directed mutagenesis provides one convenient way to effect conservative amino acid substitutions, and the like, in the native protein sequence. Alternatively, analogues may be prepared by the well known methods of liquid or solid phase polypeptide synthesis utilizing the successive coupling of the individual amino acids of the polypeptide sequence, or the polypeptide can be synthesized by the coupling of individual amino acids forming fragments of the polypeptide sequence which are later coupled so as to result in the desired polypeptide.

i. ..

.00690 . Conservative as used herein means (i) that the alterations are as conformationally neutral as possible, that is, designed to produce minimal. changes in the. tertiary structure, of . the. mutant polypeptides as compared to the native protein,

5' and (ii.) that the alteration's are as antigenically neutral as possible, that' is designed to produce· minimal changes in the antigenic determinants of the mutant polypeptides as compared to the native protein. Conformational neutrality is desirable for preserving biological activity, and antigenic neutrality is desirable for‘avoiding the triggering of immunogenic responses in patients or animals treated with the subst-anres of the invention. Although it is difficult to select with absolute certainty which alternatives will be conformational© ly and antigenically neutral, rules exist which can guide those skilled in the art to make alterations that have high probabilities of being conformationally and antigenically .neutral, see e.g. (77) and (78) . Some of the more important rules include (1) replacement of hydrophobic residues is less likely to produce changes in antigenicity because they are likely to be located in the protein’s interior, e.g. Berzofsky (cited above) and Bowie et al. (cited above) ; (2) replacement of physi co chemically similar, i.e. synonymous, residues is less likely to produce conformational changes because the replacing amino acid can play the same structural role as the replaced amino acid; and (3) alteration of evolutionarily θ conserved sequences is likely to produce deleterious conformational effects because evolutionary conservation suggests sequences may be functionally important. In addition to such basic rules for selecting mutein sequences, assays are avail3 0 able to confirm the biological activity and conformation of the engineered molecules. Biological assays for the substances of the invention are described more fully in the examples . Changes in conformation can be tested by at least two well known assays: the microcomplement fixation method, e.g.

(79) and (80) used widely in evolutionary studies of the tertiary structures of proteins; and affinities to sets of conformation-specific monoclonal antibodies, e.g. (81).

AP/P/ 97 / 0 0 9 62

AP.00690

An important embodiment of the present; invention thus relates to a polypeptide in which at least one amino acid residue has . been substituted with a different, amino acid residue· and/or in which at least one amino acid residue has been deleted or added so as to result in a polypeptide comprising an amino acid sequence being different from the amino acid sequence or a subsequence of said .amino acid sequence as. defined in the following, but essentially having hIL-10 agonist activity as defined above.

An interesting embodiment of the invention relates to a polypeptide which is an analogue and/or comprises at least part of the polypeptide of the invention amounting in total from 10 to 100 amino acids, e.g. at least 12 amino acids, at least 15 amino acids, at least 20 amino acids or at least 30 amino acids.

In a preferred embodiment of the invention, the substance or polypeptide is used in substantially pure form. To obtain this, purification of the polypeptide may be required. Examples of the procedures employed for the purification of poly20 peptides are: (i) immunoprecipitation or affinity chromatography with antibodies, (ii) affinity chromatography with a suitable ligand, (iii) other chromatography procedures such as gel filtration, ion exchange or high performance liquid chromatography or derivatives of any of the above, (iv) elecO 25 trophoretic procedures like polyacrylamide gel electrophoresis, denaturating polyacrylamide gel electrophoresis, agarose gel electrophoresis and isoelectric focusing, (v) any other specific solubilization and/or purification techniques.

Within the scope of the present invention is also a nucleo30 tide sequence encoding a polypeptide as defined above, in particular a nucleotide sequence encoding a polypeptide comprising or being the amino acid sequence SEQ ID N0:l, e.g. a nucleotide sequence comprising the sequence GCC TAC ATG ACA ATG AAG ATA CGA AAC (SEQ ID NO:23) or a nucleotide sequence encoding a polypeptide having a subsequence of said amino

AP/P/ 97/00962

AP . Ο Q 6 9 Ο acid sequence. Moreover, a modified nucleotide se^ience which ' differs from the nucleotide, sequence above in that at least one nucleotide has been deleted,, substituted or modified or at least one additional nucleotide has been inserted-so as to result in a nucleotide sequence which encodes a polypeptide having hIL-1'0 agonist activity is within the scope of the invention.

In the present specification and claims, the term subsequence designates a “sequence which preferably has a size of at least 18 nucleotides, more preferably at least 21 nucleotides, and most preferably at least 24 nucleotides. In a number of embodiments of the invention, the subsequence or analogue of the nucleotide sequence of the invention -will comprise at least 27 nucleotides, such as at least 30 nucleotides or at least 45 nucleotides. The polypeptide encoded by the subsequence should conform to at least one of the criteria a)-g) above and/or the nucleotide subsequence should hybridize with the nucleotide sequence comprising the sequence SEQ ID NO:23 under high stringency conditions.

The term highly stringent when used in conjunction with hybridization conditions is as defined in the art that is

5-10°C under the melting point T_m, cf. Sambrook et al, 1989, pages 11.45-11.49.

AP/P/ 97 7 0 0 9 6 2

The term analogue with regard to the DNA fragments of the invention includes a nucleotide sequence which encodes a polypeptide identical or substantially identical to the polypeptide encoded by the DNA referred to above. It is well known that the same amino acid may be encoded by various codons, the codon usage being related, inter alia, to the preference of the organisms in question expressing the nucleotide sequence. Thus, one or more nucleotides or codons of the DNA fragment of the invention may be exchanged by others which, when expressed, result in a polypeptide identical or substantially identical to the polypeptide encoded by the DNA frag35 ment shown above.

AP. 0 0,6^0

Furthermore, the terms analogue and subsequence are intended to allow for variations in the sequence such' as sub stitution, insertion (including introns), addition and rearrangement of one or more nucleotides, which variations do

5' not.have any substantial adverse effect on the hIL-io 'agonist activity of the polypeptide encoded by· the DNA fragment or a subsequence thereof. The· invention thus also includes a nucleotide sequence encoding a polypeptide having a subsequence of the amino acid sequence SEQ ID NO:1.

The polypeptides of the invention can be produced using recombinant DNA technology. An important embodiment of the present invention relates to an expression system comprising a nucleotide sequence of the invention. Within the scope of the invention is thus also an expression system comprising a nu15 cleotide sequence of the invention, such as a replicable expression vector which carries and is capable of mediating the expression of a nucleotide sequence as defined above.

The organism which is used for the production of the polypeptide of the invention may be a higher organism, e.g. an ani20 mal, or a lower organism, e.g. a microorganism such as Escherichia coli, a yeast, a protozoan, or cell derived from a multicellular organism such as a fungus, an insect cell, a plant cell, a mammalian cell or a cell line, which carries an expression system as defined above.

AP/P/ 97 / 0 0 9 62

Irrespective of the type of organism used, the DNA fragment of the invention is introduced into the organism either directly or by means of a suitable vector. Alternatively, the polypeptides may be produced in the mammalian cell lines by introducing the DNA fragment or an analogue or a subsequence thereof of the invention either directly or by means of an expression vector. The polypeptides of the invention may also be produced by chemical synthesis as discussed above.

The invention furthermore relates to a plasmid vector containing a DNA sequence coding for a polypeptide of the invenAP.OOffrO •tion or a fusion polypeptide as defined herein. In one particular important embodiment, the DNA fragment or an anal ague or subs.equence thereof of the invention or a fusion DNA fragment of the invention as defined herein may be carried by a replicable expression vector which is capable of replicating in a host organism or a cell line.

The vector may in particular be a plasmid, phage, cosmid, mini-chromosome or virus. In an interesting embodiment of the invention, the vector may be a vector which, when introduced in a host cell, is integrated in the host cell genome.

The polypeptide produced as described above may be subjected 'J/ to post-translational or post-synthetic modifications as a result of thermal treatment, chemical treatment (formaldehyde, glutaraldehyde etc.) or enzyme treatment (peptidases, proteinases and protein modification enzymes). The polypeptide may be processed in a different way when produced in an organism as compared to its natural production environment.

As an example, glycosylation is often achieved when the polypeptide is expressed by a cell of a higher organism such as yeast or preferably a mammal. Glycosylation is normally found in connection with amino acid residues Asn, Ser, Thr or hydroxylysine.

AP/PZ 97/00962

One embodiment of the invention thus relates to a method of producing a polypeptide as defined above comprising the following steps of:

(a) inserting a nucleotide sequence as defined above in an expression vector, (b) transforming a suitable host organism with the vector produced in step (a) , (c) culturing the host organism produced in step (b) under suitable conditions for expressing the polypeptide ,

AP.00180 (d) harvesting the polypeptide, and (e) optionally subjecting the polypeptide to post-translational modification.

It is contemplated that antagonists effect to hIL-10 or vIL5 10 can be achieved inter alia by using antibodies binding specifically to the nonapeptide IT9302, and that these can be used in therapy for neutralizing high concentration of IL-10.

In another aspect, the present invention thus relates to an antibody which<binds to the polypeptide of the invention.

The term antibody refers to a substance which is produced by a mammal or more precisely a cell of mammalian origin belonging to the immune system as a response to exposure to a polypeptide antigen of the invention. In the present specification and claims an antibody is defined as consisting essentially of the specifically binding basic unit which consists of two heavy chains and two light chains. In its broadest aspect, however, the concept of an antibody should also include e.g. a dimer or pentamer of the basic unit.

The variant domain of an antibody is composed of variable and

0 constant sequences. The variant part of the domain is called the idiotype of the antibody. This part of the -antibody is ® responsible for the interaction with the antigen, the antigen binding. In the present context, the term antibody is understood as the whole antibody molecule or any fragments there25 of. An antibody can be fragmented during and/or after the production. It can also be made in the fragmented form to begin with and used as such or used after joining different fragments. Especially interesting fragments are binding fragments of the antibodies of the invention, e.g. Fab or

Fab' fragments.

The idiotypic (antigen binding) structure of the antibody is antigenic and can thus give rise to specific antibodies

AP/P/ 9 7 / 0 0 9 62 j >·'· ftp.00690 directed against the idiotypic structure. The antibodies raised against the idiotype are called the anti-idiotypic antibodies. Such antibodies may mimic the structure of the original antigen and therefore .may function as the original antigen. Such antibodies may be able to substitute the original antigen for a part or all of the functions, usability and properties of the original polypeptide of the invention.

The antibodies of the invention comprise polyclonal anti bodies as well as¹ monoclonal antibodies.

The antibody or fragments thereof may be of a monospecific (polyclonal) kind. The monospecific antibody may be prepared by injecting a suitable animal with a substantially pure preparation of the polypeptide of the invention. This can be followed by one or more booster injections at suitable intervals before the first bleeding. The animals are bled about 5-7 days after each immunization. Antibodies may optionally be isolated from the serum using standard antibody purification techniques.

The animal used for the preparation of antibodies binding to the polypeptide of the invention is preferably selected from the group consisting of rabbit, monkey, sheep, goat, mouse, rat, pig, horse and guinea pigs. The cells producing the antibodies may be spleen cells or peripheral blood lymphocytes .

AP/P/ 9 7 / 0 0 9 6 2

A monoclonal antibody or fragments thereof may be raised against an essential component of the polypeptide, i.e. an epitope. The monoclonal antibody may be produced using conventional techniques (Kohler and Milstein, 1975) by use of a hybridoma cell line, or by clones or subclones thereof or by cells carrying genetic information from the hybridoma cell line producing said monoclonal antibody. The monoclonal antibody may be produced by fusing cells producing said monoclonal antibody with cells of a suitable cell line, and cloning the resulting hybridoma cells producing said monoclonal anti.=, V .00690 body. Alternatively, the monoclonal antibody may be produced by immortalizing an unfused cell line-producing said monoclonal antibody. The monoclonal antibodies are u3 t-iirately harvested from the cell growth medium. Hybridoma cells used to· make' monoclonal antibody may be grown in vitro or in the body cavity of an animal. The monoclonal antibody or fragments thereof may also be made using the recombinant DNA techniques (Huse et al. 1989).

Monoclonal antibodies may also be made by immunizing the 10 suitable animals with a unpurified preparation of the polypeptide of the invention. The resulting hybridoma clones secreting monoclonal antibodies should be screened for their ability to binding to polypeptide(s) or its analogue.

For purposes not requiring a high specificity, the antibody may be a polyclonal antibody. Polyclonal antibodies may be obtained, e.g. as described in Harboe and Ingild, see above. More specifically, when polyclonal antibodies are to be obtained, the polypeptide of the invention or an analogue thereof is, preferably after addition of a suitable adjuvant, veh as Freund's incomplete or complete adjuvant, injected Into an animal. The animals are bled regularly, for instance at weekly intervals, and the blood obtained is separated into an antibody containing serum fraction, and optionally said fraction is subjected to further conventional procedures for antibody purification, and/or procedures involving use of the purified polypeptide or an analogue thereof.

The antibody may also be an anti-anti-idiotypic antibody directed against an anti-idiotypic antibody which is an antibody directed against the site of an antibody which is reac30 tive with the epitope on the antigen. The anti-idiotypic antibody may be prepared by a similar method to that outlined above for the monoclonal or polyclonal antibody.

Within the scope of the invention is an antibody which binds to a substance or polypeptide as defined above, in particular

AP/P/ 97 / 0 0 9 6 2

AP. Ο Ο 6 9 Ο an antibody which binds specifically to a polypeptide having the amino acid sequence Ala-Tyr-Met-Thr-Met-Lys-Ile-Arg-Asn.

In a broad aspect, the invention thus relates to a substance which is capable of neutralizing one or more of the hIL-10 activities a) to j) , i.e. having hIL-10 antagonist activity, such as an antibody having these properties. A monoclonal antibody 19Fl (82) which is capable of specifically binding to IL-10 is known and can block endogenous IL-10 produced by LPS stimulated monocytes, see Table 1 (82) . This antibody recognizes the natively folded'IL-10, but not necessarily a whole functional domain; however, this antibody does not specifically bind IT9302.

Within the scope of the present invention is also a pharmaceutical composition comprising a such. substance as well as a pharmaceutical composition comprising a substance or polypeptide of the invention.

A very important aspect of the invention relates to a pharmaceutical composition comprising a substance having hIL-10 agonist activity or hIL-10 antagonist activity as defined .

above and a pharmaceutically acceptable excipient. The composition may comprise e.g. purified synthesized protein or a purified recombinant polypeptide, a monoclonal or polyclonal antibody or any other substance fulfilling the criteria a)-j) or, if having hIL-10 antagonist activity, being capable of neutralizing one or more of the hIL-10 activities a) to j) .

The IL-10 agonist or antagonist used in this invention may be prepared as formulations in pharmaceutically acceptable media, for example, saline, phosphate buffered saline (PBS),

Ringer's solution, dextrose/saline, Hank's solution, and glucose. The compositions may contain pharmaceutically acceptable auxiliary substances as required to approximate physiological conditions, such as buffering agents, tonicity adjusting agents, wetting agents, detergents, and the like.

Additives may also include additional active ingredients,

AP/P/ 9 7/ 00962

P? . Ο Ο 6 9 ⁰

e.g. bactericidal agents, or stabilizers. The amount administered to the patient will vary depending upon what is being administered, the purpose of the administration, such as prophylaxis or therapy, the state of the host, the manner of administration, and the like.

The pharmaceutical compositions are typically intended for transdermal or parenteral administration, e.g. intravenously, subcutaneously, or intramuscularly. Orally administrative forms are also desired and can be provided by modifying the composition to bypass the stomach environment. The composition can be used for prophylactic and/or therapeutic treatment. Preferably, the pharmaceutical compositions are adm-in-i stered intravenously. Thus, the invention provides compositions which comprise an IL-10 agonist or antagonist substance dissolved or suspended in an acceptable carrier, preferably an aqueous carrier. These compositions may be sterilized by conventional sterilization techniques, or may be sterile filtered.

The resulting aqueous solutions may be packaged for use as is, or lyophilized, the lyophilized preparation being combined with a sterile aqueous carrier prior to administration. The IL-10 agonist or antagonist may also be administered with a second biologically active agent, such as a standard chemotherapeutic agent. Such agents include but are.not limited to vincristine, daunorubicin, L-asparaginase, mitoxantrone and amsacrine.

In therapeutic applications, the pharmaceutical compositions are administered to a patient in an amount sufficient to produce the desired effect, defined as a therapeutically effective dose. The therapeutically effective dose of a IL-10 agonist or antagonist will vary according to, for example, the particular use for which the treatment is made, the manner of administration, the health and condition of the patient, and the judgment of the prescribing physician. For example, the dose for continuous infusion will typically be

AP/P/ 97/00962

AP . 0 Ο 6 9 Ο in the range of about 500 ng to about 800 pig per day for a 70 kg patient, preferably between about 10 μg and about 300 pg. The dose will typically be between 700 ng/kg/day and 16 gg/kg/day.

The concentration of IL-10 agonist or antagonist in the pharmaceutical formulations can vary widely, i.e. from about 10 pig to about 5 mg/ml, preferably between about 100 pig and about 2 mg/ml. The concentration will usually be selected primarily by fluid volumes, viscosities, etc., in accordance with the particular mode of administration selected. Thus, a typical pharmaceutical composition for intravenous infusion could be made up to contain 250 ml of dextrose/saline solution and 2.5 mg of IL-10 agonist or antagonist.

For solid compositions, conventional non-toxic solid carriers may be used which include, for example, pharmaceutical grades of mannitol, lactose, starch, magnesium stearate, sodium saccharin, talcum, cellulose, glucose, sucrose, magnesium carbonate, and the like. For oral administration, a pharmaceutically acceptable non-toxic composition is formed by incorporating normally employed excipients, such as those carriers previously listed, and generally 10-95% of active ingredient, that is, an IL-10 agonist or antagonist substance, preferably 25-75%.

Z9600/Z6 /d/dV

For aerosol administration, the IL-10 agonist or antagonist is preferably supplied in finely divided form along with a surfactant and propellant. Typical percentages of IL-10 agonist or antagonists are 0.01-20% by weight, preferably 1-10%. The surfactant must, of course, be non-toxic, and preferably soluble in the propellant. Representative of such agents are the esters or partial esters of fatty acids containing from 6 to 22 carbon atoms, such as caproic, octanoic, lauric, palmitic, stearic, linoleic, linolenic, olesteric and oleic acids with an aliphatic polyhydric alcohol or its cyclic anhydride such as, for example, ethylene glycol, glycerol, erythritol, arbitol, mannitol, sorbitol, the hexitol anhydrides derived

AP. Ο Ο 6 9 Ο from sorbitol, and the polyoxyethylene and polyoxypropylene derivatives of these esters. Mixed esters, such as miypd or natural glycerides may be employed.

The surfactant may constitute 0.1-20¾ by weight of the compo5 sition, preferably 0.25-5%. The balance of the composition is ordinarily propellant. Liquified propellants are typically gases at ambient conditions, and are condensed under pressure. Among suitable liquified propellants are the lower alkanes containing jip to 5 carbons, such as butane and propane;

and preferably fluorinated or fluorochlorinated'alkanes. Mixtures of the above may also be employed. In producing the aerosol, a container equipped with a suitable valve is filled with the appropriate propellant, containing the finely divided polypeptide(s) and surfactant. The ingredients are thus maintained at an elevated pressure until released by action of the valve.

To enhance the serum half-life, the IL-10'agonist or antagonist may be encapsulated, introduced into the lumen of liposomes, prepared as a colloid, or other conventional tecL.^i•0 ques may be employed which provide an extended lifetime of the polypeptides. Thus, in certain embodiments, the IL-10 agonist or antagonist may be encapsulated in a liposome. A variety of methods are available for preparing liposomes, as described in, e.g., (83), (84), (85) and (86)..

One important embodiment of the invention thus relates to the use of a substance for diminishing or neutralizing high concentration of hIL-10 and/or vIL-10, such as the use of a substance having hIL-10 antagonistic properties for the manufacture of a pharmaceutical composition for the treatment or prophylaxis of ovary cancer and/or AIDS (87, 19).

Within the scope of the invention is also a method of treating and/or preventing ovary cancer and/or AIDS, the method comprising administering, to a patient in need thereof, a therapeutically or prophylactically effective amount of a

AP/P'97 / 0 0 9 62

AP. Ο Ο 6 9 Ο hIL-10 antagonist substance as well as use of a compound which has an hIL-10 antagonist activity for the manufacture of a pharmaceutical composition for treatment or prophylaxis of ovary cancer and/or AIDS.

Use of the substance according to the present invention

In accordance with the present invention, it has as described above been found that IT9302 and analogues and variants thereof are useful for preventing effects of cytokines known to be pathogenetically involved in the previously described pathological conditions.

Therefore, the potentials of therapy by using the polypeptide of the invention or analogues or derivatives thereof is contemplated and should be investigated in all diseases where a therapeutic effect of hIL-10 and/or IRAP is expected (see above, Table 3).

Very important embodiments of the invention relate to use of a substance or polypeptide of the invention for the treatment or prophylaxis of one or more of the diseases mentioned in Table 3, to the use of a substance or polypeptide according to the invention for the manufacture of a pharmaceutical composition for the treatment or prophylaxis of one or more of the diseases mentioned in Table 3, as well as to a method of treating and/or preventing one or more of the diseases mentioned in Table 3, the method comprising administering to a patient in need thereof a therapeutically or prophylactically effective amount of a substance or polypeptide according to the invention.

One important aspect of the invention is thus the use of IT9302 or a functional derivative thereof for the manufacture of a pharmaceutical composition for substantially inhibiting a biological effect in a human related to a cytokine, such as a lymphokine, interleukin, monokine, chemokine, interferon, colony-stimulating factor, prostaglandin and/or leukotriene,

AP/P/9 7 / 0 09 62

AP.00690 for the prophylaxis or treatment of a condition related to a disturbance of a cytokine system such as the lymphokine, interleukin, monokine, chemokine, interferon or colony-stimulating factor system and/or a disturbance in the prostaglan5 din and/or leukotriene system. As used herein, the term pharmaceutical composition comprises any composition suitable for human use as described in detail above.

The invention particularly relates to the use of IT9302 or a functional derivative thereof

- for substantially inhibiting- a biological effect in a human related to a cytokine for the prophylaxis or treatment of a condition related to a disturbance of a cytokine system; and/or

- for substantially inhibiting a biological effect in a human related to a lymphokine for the prophylaxis or treatment of a condition related to a disturbance of a lymphokine system; and/or

- for substantially inhibiting a biological effect in a human related to a interleukin for the prophylaxis or treatment of a condition related to a disturbance of a interleukin system; and/or

- for substantially inhibiting a biological effect in a human related to a monokine for the prophylaxis or treatment of a condition related to a disturbance of a monokine system;

and/or

- for substantially inhibiting a biological effect in a human related to a chemokine for the prophylaxis or treatment of a condition related to a disturbance of a chemokine system;

and/or

- for substantially inhibiting a biological effect in a human related to a lymphokine for the prophylaxis or treatment of

AP/P/ 97 / 0 09 62

AP.00690 a condition related to a disturbance of a lymphokine system; and/or

- for substantially inhibiting a biological effect in a human related to an interferon for the prophylaxis or treatment of a condition related to a disturbance of an interferon system; and/or

- for substantially inhibiting a biological effect in a human &

related to a colony-stimulating factor for the prophylaxis or treatment of a condition related to a disturbance of a colony-stimulating factor system; and/or

- for substantially inhibiting a biological effect in a human related to a prostaglandin for the prophylaxis or treatment of a condition related to a disturbance of a prostaglandin system; and/or

- for substantially inhibiting a biological effect in a human related to a leukotriene for the prophylaxis or treatment of a condition related to a disturbance of a leukotriene system.

LEGENDS TO FIGURES

AP/P/ 9 7 / 0 09 62

Fig. 1 shows a comparison of the predicted amino acid sequences of mIL-10, hIL-10, and BCRFI. Amino acid sequence identities are indicated by vertical lines.

Fig. 2 shows the COOH terminal polypeptide sequences of IL-10 including 9 amino acids and comparing porcine, human, BCRFI and mouse proteins.

Fig. 3 is a diagram showing that IT9302 inhibits spontaneous IL-8 production by purified cultured human monocytes.

AP. Ο Ο 6 9 Ο

Fig. 4 is a diagram showing that IT9302 inhibits IL-i induced (1 ng/ml) IL-8 production by human peripheral blood mononuclear cells.

Fig. 5 illustrates IRAP production by IT9302-stimulated human 5 monocytes.

Fig. 6 illustrates IRAP production by IL-10-stimulated human monocytes.

Fig. 7 illustrates the chemotactic activity of IT9302 on CD8+ T cells

Fig. 8 illustrates the desensitization of DC8+ T cells by

IT93Q2, resulting in unresponsiveness of CD8+ T cells towards IL-10 (10 ng/ml) induced chemotaxis.

Fig. 9 illustrates the suppression of IL-8 activity by . IT9302.

5 Fig. 10 is a diagram showing that IT9302 inhibits MCAF/MCP-1 induced monocyte chemotaxis.

Fig. 11 shows IL-4 production in CD4+ T cell cytosolic fractions by ECL - Western Blotting.

Fig. 12 shows TNF-a production in human mixed lymphocyte 20 culture cytosolic fractions by ECL - Western Blotting. TNF-a

Western Blotting was carried out as the IL-4 described in Materials and Methods, but using a rabbit anti-human TNF-a antibody (Pepro Tech. Inc., London, England) and a horseradish peroxidase-labelled secondary antibody (Cat.no. P 217,

Dako, Denmark).

Fig. 13 shows that .LPS induced shock and leukopenia are modulated by IT9302, shown by total leukocyte counting.

AP/P/ 9 7 / 0 0 9 62

AP. Ο Ο 6 9 Ο

EXAMPLES

Materials and Methods

Cytokines and chemoattractants

Recombinant hIL-10 was obtained from Pepro Tech Inc., NJ.

(Cat.No. 200 10) . Recombinant hIL-lfi and recombinant hIL-8 were a kind gift from Dainippon Pharmaceutical Company,

Osaka, Japan. The culture medium was RPMI 1640 GIBCO, LPSfree according to the Limulus Amoebocyte Lysate assay (Sigma E-TOXATE Kit Cat.No. 210-Al) . rhMCAF/MCP-1 was a kind gift from professor Kouji Matsushima, Kanazawa, Japan.

Leukocyte chemotaxis assay

T cell chemotaxis

CD4+ and CD8+ T lymphocyte subsets characterized by expressing either CD4 or CD8 antigens were purified from hepari15 nized blood of normal donors. Thus, peripheral blood mononuclear cells (PBMC) were purified from the heparinized blood by diluting 100 ml of the blood with Hanks balanced salt solution (HBSS) 1:1 and then separated by layering the cells on Lymphopac™ (Nycomed Pharma, Oslo, Norway) followed by gra20 dient centrifugation at 2000 rpm for 20 minutes. The mononuclear cells were washed '3 times in HBSS and the cell pellet was diluted in 4 ml of HBSS containing 1% fetal calf serum and sorted at 4°C by using Dynabeads coated with monoclonal antibody towards CD4 or CD8 antigen (Dynabeads M-450 CD4

Cat.No. 111.16, Dynabeads M-450 CD8 Cat.No. 111.08,

DETACHaBEAD Cat.No. 125.04). The bead:cell ratio was 10:1 and the incubation time 1 hour. The beads were detached by adding polyclonal anti-mouse antibody according to the manufacturer's instructions.

The chemotaxis assay was a 48-well micro chamber technique (Neuroprobe, Rockville, MD) as previously described (74; see

Z960Q/16 /d/dV

AP.0 0 690 ref. 3 and ref. 14) . Chemoattractants were diluted in RPMI 1640 (GIBCO Cat.No. 61870-010) with 1% sterile filtered fetal calf serum and placed in the lower 25 μΐ chamber. In the case of determining T cell chemotaxis, T cells (5 x 10⁶/ml) were suspended in medium and 50 μΐ was placed in the upper chamber separated from the lower chamber by a 5 μπι pore-size polycarbonate, polyvinylpyrrolidone-free filter (Nucleopore Corp., Pleasanton, CA) coated with type IV collagen (Sigma · Cat.No. C 0543) . Cells were allowed to migrate for 2 hours at

37°C at 5% CO₂. The filters were then carefully.-removed, fixed in 70% methanol, and stained for 5 minutes/ in Coomassie's Brilliant Blue. Cells attached to the lower surface of the filter were counted by measuring their area using a video camera on the microscope connected to a computer system for digital analysis and supported by software for objective determination of chemotactic migration. Approximately 5% of the T cells will migrate spontaneously corresponding to between 12,000 and 13,000 cells; this may vary from day. to day, but very little in the same day's experiments. As/has been described earlier (ref. 3 and ref. 14) , it was therefore chosen to report the results as a ratio between number of cells migrating in the sample and in the negative control, which reflects spontaneous migration. This ratio is referred to as the chemotactic index (CI) . All samples were analyzed in triplicates and cell migration in each well was measured in three fields before the median value of area was estimated. In some experiments' the chemotaxis membrane-was not coated with collagen, and in the present assay system migrating cells will therefore drop to the bottom of the lower well of the chemotaxis chamber.

In one experiment, the chemotactic activity of IT9302 on CD8+ T cells was performed by testing serial dilutions of IT9302 added to the lower chamber and evaluating chemotaxis as described above.

In a second experiment, the ability of IT9302 to desensitize the migration of CD8+ T cells as a response to rHIL-10

9 6 0 0 //6 /d/dV

(10 ng/ml) was studied by adding IT9302 to the target cells minutes before chemotaxis. IT9302 was added in serial concentrations and the chemotactic response of rhIL-10 was evaluated as described above.

In a third experiment, the ability of IT9302 to suppress the chemotactic response of CD4+ T cells towards rhIL-8 (10 ng/ml) was studied by adding IT9302 to the target cells 30 minutes before performing chemotaxis. IT9302 was added in serial concentrations and the chemotactic response of rhIL-8 was evaluated as described above.

Monocyte chemotaxis

Monocyte chemotaxis was measured using the same Boyden chamber equipment as described for T cells above. The chemoattractant MCAF/MCP-1 was diluted in RPMI 1640 medium with

0.5¾ BSA and added to the lower chamber at a concentration of ng/ml. Monocytes, purified by the standard plastic adherence technique, from normal human PBMC, obtained as described above were suspended in RPMI 1640 medium with 0.5¾ BSA and then incubated for 30 minutes in the presence of IT9302 © 20 at different concentrations. Subsequently, the cells were added to the upper chemotaxis chambers at a concentration of «' © 10⁶ cells/ml. The upper and lower chambers were separated by an 8 /zm pore size polyvinyl pyrrolidone-free polycarbonate filter (Nucleopore, Pleasanton, CA). The chamber was incuba25 ted at 37°C for 90 minutes. The membranes containing migrating cells were treated as described above and a chemotactic index calculated according to the technique described above.

Production of IL-8 by normal human peripheral mononuclear cells (PBMC)

0 PBMC was purified from heparinized blood of normal human donors. Following gradient centrifugation with Lymphoprep™ (Nycomed Pharma, Oslo, Norway), the mononuclear cells were

Z9600/Z6 /d/dV

AP.006·0 diluted to 2 x 10^s cells/ml in LPS-free RPMI 1640 medium (Gibco Cat.No. 6187-010) containing 1% sterile filtered heatinactivated fetal calf serum and penicillin (10,000 IE/ml), streptomycin (10 mg/ml) and gentamycin (2.5 mg/ml). Cells were cultured in 24 wells Nunc Micro Plates (Nunc, Denmark) and in the presence of different concentration of IT9302 (0, jig, 100 _:ng,. 10 ng, 1 ng, 0.1 ng, 0.01 ng/ml) for 24 hours. Following.24 hours of incubation, another dose of IT9302 was added once more, ^and .1 hour later r-hIL-Ιβ (l ng/ml) was added to the cell cultures. Supernatants were collected after a total of 48 hours of incubation, and the concentration of the secreted IL-8 was measured by IL-8 ELISA by using an il-8 ELISA Kit (Dainippon Pharmaceutical Co. Ltd, Osaka, Japan) . Briefly, standards and cell supernatants were incubated for one hour and in duplicates at 20 °C on a micro-plate shaker. Then after washing, a second antibody was added for one hour, followed by one hour of incubation with peroxidase-labelled goat anti-rabbit IgG. After washing, the reaction was developed with 0-phenyl enediamine. Thirty minutes later thex reaction was stopped with 1.6 N sulphuric acid . Optical density (OD) was measured in an ELISA reader at 490 nm. IL-8 concentration was calculated by a calibration curve of absorbance of unknown vs concentrations of IL-8 standards.

Determination of IRAP concentration ©

PBMC was purified as described above. PBMC was cultured in RMPI 1640, 10% sterile heat-inactivated fetal calf serum (including penicillin 10,000 IE/ml, streptomycin 10 mg/ml, gentamycin 2.5 mg/ml) and the cell concentration was 5 x 10⁶ cells/ml. The monocytes were then purified by standard plast30 ic adherence technique. Monocytes were then cultured in RPMI 1640 with 2% FCS (2.5 x 10⁶ cells/ml) and with different dilutions of rhIL-10 or IT9302. The cells were stimulated for 24 hours and the supernatants were collected for IRAP determination. IRAP ELISA was carried out by using Human IL-Ira

Quantikin Immunoassay Kit from R&D Systems Europe Ltd.

(Cat.No. DRA 00, Abingdon, Oxon, UK).

Z 9 6 0 0 ! L ·ύ /d/dV

A?. Ο Ο69 0

Determination of class II MHC antigen expression on monocytes

PBMC was purified as described above and monocytes isolated by plastic adherence technique. Monocytes were then cultured in RPMI 1640 with 2% FCS including penicillin 10,000 IE/ml, streptomycin 10 mg/ml, gentamycin 2.5 mg/ml at a cell concentration of 3 x l0⁶/ml·. Cells were stimulated for 40 hours in microwells (Nunc, Denmark) with 100 ng/ml rhIL-10, or IT9302 1 /ig/ml, 100 ng/ml, 10 ng/ml. At the end of stimulation, the supernatants were removed and the cells were detached from the plastic by freezing at -20°C for 20 minutes. The cells were collected in 1 ml of cold HBSS with 1% FCS and sorted at 20°C by using 50 μΐ/ml Dynabeads M 450 coated with monoclonal antibody for HLA class II β chain (Cat. No. 210.03). After 20 minutes of incubation, the cells were washed 3 times with cold HBSS with 1% FCS and collected on a magnetic separation device. The cells were diluted in the above buffer and stained with methylene blue, and the rosetting cells (cells carrying Dynabeads with HLA class II mAb) were counted.

Determination of IL-4 production by CD4+ T lymphocytes

Cell cultures

CD4+ T lymphocytes were purified from heparinized normal human blood. Following Lymphoprep™ (Nycomed Pharma, Oslo, Norway) gradient centrifugation, the mononuclear cells were further sorted at 4°C using Dynabeads (Dynal AS, Norway) coated with monoclonal anti-CD4 antibodies. The beads were detached by adding polyclonal anti-mouse antibody (Dynal AS, Norway). The purity of the positively selected cells were higher than 99% as judged by FACS analysis. When examining the de novo production of IL-4 by IL-8-stimulated T cells, T cells were cultures, 5 χ 10⁶ cells/ml in LPS-free RPMI 1640 (Gibco Cat.no. 61870-010) containing 1% sterile-filtered, heat-inactivated fetal calf serum (FCS), penicillin (10,000

IU/ml), streptomycin (10 mg/ml) and gentamycin (2.5 mg/ml.

AP/P/ 97/00962 fiF. Ο Ο 6 9 Ο

Τ cells were stimulated for 3 days using rIL-8 (100 ng/ml) , rIL-10 (100 ng/ml), IT9302 (10 ng/ml) and IFN-γ (10 ng/ml) Recombinant human IL-8 (rh IL-8) was a kind gift from Dainippon Pharmaceuticals Co. Ltd., Osaka, Japan), and IFN-γ was purchased from Boehringer Ingelheim Am Rhein, Germany. To obtain specific inhibition of IL-8 stimulation, a neutralizing monoclonal anti-IL-8 antibody (WS.4) was used (a kind gift from Dr. K. Matsushima, Japan). Recombinant IL-10 was purchased from Pepro Tech. Inc. (London, England).

Preparation of cell material, and culture supernatant for gel electrophoresi s

Cultured T cells and culture media were separated by centrifugation at 2000 rpm for 5 minutes. The supernatants were freeze-dried and then dissolved in 100 μΐ of lysis buffer.

IJ The cells were resuspended directly in 100 μΐ of gel lysis buffer (9) . The material was kept at -80 °C until furtherexamination. . rt...

ECL-Westem blotting of CD4+ T cell derived proteins

Cells or freeze-dried cell culture supernatants were used for

IL-4 protein content determination. Proteins from one-dimensional 15% SDS-PAGE gels were transferred by blotting onto Hybond-ECL nitrocellulose membranes (Amersham RPN 2020D, UK) and blocked with 5% bovine serum albumin (Sigma), in Tris buffer saline pH 7.8 containing 0.1% Tween-20. The blots were then incubated with a polyclonal goat anti-human IL-4 antibody (R&D Systems, UK) followed by a horseradish peroxidaselabelled secondary antibody (Cat.no. RPN 2106 ECL, Amersham, UK) , and the immunostaining was detected by exposing a film (Kodak X-OMAT-S, USA) for 90 seconds.

0 Specificity of IT9302 amino acid sequence

Searching for possible homology of the IT9302 sequence with other known proteins was carried out by searching on the EMBO

AP/P/ 9 7 / 0 0 9 62

AP.ο Ο β 9 Ο protein database kindly assisted by Dr. Henrik Leffers, Institute for Medical Biochemistry, University of Aarhus, Denmark.

Amino acid, sequence specificity of IT93 02

According to information from the EMBO protein database {Heidelberg) performed on 10 June 1994, IT9302 has 100% homology with a sequence of the human IL-10 and 75% with a sequence of an Epstein-Barr virus derived protein identical with vIL-10. Other virus proteins as phage T7 and tomato yellow leaf curl virus revealed 75% and 85% identity, respectively.

Results

The conception of the invention took place in October and November 1992, when a nonapeptide designated IT9302 was dels signed according to the strategy outlined above, and the chemical synthesis of the first prototype (IT9302) was decided and ordered on 27 November 1992. It was expected that this nonapeptide should exert immunomodulatory activities of which some would mimic IL-10-like activity, and the following con20 trol experiments (examples) were planned during this period as well. The chemical synthesis of IT9302 was carried out by using an automatic polypeptide synthesizer performed by Carlbiotech Ltd. A/S, Denmark as a payed order by the inventors. Afterwards the protein was purified on HPLC and the purity confirmed to exceed 95% by HPLC. This confirmed that the synthesized product was identical with the IT9302 designed by the inventors in October and November 1992.

AP/P/ 9,7 / 0 09 62

EXAMPLE 1

IT9302 induced inhibition of spontaneous IL-8 production by human monocytes

The test was performed as described in Production of IL-8 by normal human peripheral mononuclear cells (PBMC). Monocytes were purified by plastic adherence technique and 3.0 x io⁶ cells/ml were stimulated for 40 hours. As shown in Fig. 3, IT9302 inhibited the production of IL-8 by monocytes, and at 0.1 ng/ml of IT9302 the IL-8 production was suppressed to 35% of the spontaneous production in vitro. The viability of cells always exceeded 80% after 1 day in culture and the addition of IT9302 did not in this or in the following examples affect viability at any concentration of IT9302 between 0.1 and 1000 ng/ml (IT9302 MW: 1,127 dalton, rhIL-10 predicted MW: 18,400 dalton).

EXAMPLE 2

IT9302 induced inhibition of IL-Ιβ induced IL-8 production by human peripheral blood mononuclear cells (PBMC)

The test was performed as described in Production of IL-8 by 20 normal human peripheral blood mononuclear cells (PBMC). As shown in Fig. 4, IT9302, in a dose dependent manner, inhibited the IL-1)3 induced production of IL-8 by human peripheral blood mononuclear cells in vitro. The suppression of IL-8 production plateaued at IT9302 concentrations between 0.01 and 100 ng/ml.

AP/P/ *7/00962

EXAMPLE 3

IT9302 induced production of interleukin-1 receptor antagonist protein (IRAP) by human monocytes

The test was performed as described in Determination of IRAP concentration. As shown in Fig. 5, IT9302 dose-dependently

AP.00690 induced the production of IRAP by human monocytes. The production drastically increased when using concentrations of IT9302 above 10 ng/ml. Fig. 6 shows the induction of IRAP by rhIL-10 and since hIL-10 is approximately 20 times larger than IT9302, 10 ng/ml of IT9302 equals 200 ng/ml of IL-10 in molarity. Therefore the potencies of IT9302 and rhIL-io are comparable and approximately equal with respect to the induction of IRAP at lower. concentrations. At IT9302 concentrations exceeding 10 ng/ml, the induction of IRAP drastically increased and reached levels of approximately 700 ng/ml.

EXAMPLE 4

The chemotactic effect of IT9302 on human CD8+ T lymphocytes

The experiment was carried out as described in Leukocyte chemotaxis assay. As shown in Fig. 7, IT9302 induced the chemotactic migration of CD8+ human T lymphocytes in' vitro, while there was no effect on CD4+ T cells (data not shown). Again, the potency of IT9302 shown in this experiment is comparable with that of rhIL-10 shown previously (ref. 14) .

EXAMPLE 5

AP/P/ 9 7 / 0 0 9 62

IT9302 desensitizes human CD8+ T cells resulting in an unresponsiveness towards rhIL-10

The experiment was carried out as described in Leukocyte chemotaxis assay. IT9302 was added to a suspension of CD8+ T cells 30 minutes before these cells were tested towards their chemotactic response to rhIL-10. As shown in Fig. 8, the preincubation of cells with IT9302 results in a suppressed responsiveness of the CDS- T cells towards hrIL-10. This indicates that IT9302 may affect the binding of rhIL-10 to the IL-10 receptor.

.00690

EXAMPLE 6

IT9302 suppresses the chemotactic response of CD4+ T lymphocytes towards IL-8

The experiment was carried out as described in Leukocyte 5 chemotaxis assay. As shown in Fig. 9, IT9302, in a dosedependent manner and added to a suspension of human CD4+ τ lymphocytes, inhibits the response of the CD4+ T cells towards IL- 8.

EXAMPLE 7

IT9302. suppresses the chemotactic response of human monocytes towards MCAF/MCP-1

The experiment was carried out as described in Monocyte chemotaxis. As shown in Fig. 10, IT9302, in a dose-dependent manner and added to a suspension of human monocytes, inhibits '5 the chemotactic response of the monocytes towards MCAF/MCP-1.

EXAMPLE 8

IT9302 does not inhibit class II MHC molecule expression on human monocytes f

\

The experiment was carried out as described in Materials and 20 Methods and show that rhIL-10 inhibits class II MHC expression but IT9302 does not, as shown below in Table 4.

AP/P/ 57 / 0 0 9 6 2 '

AP.00690

TABLE 4

Stimulation

Number of rosetting monocytes

0			12.0	±	1.0	X	10
100	ng/ml	rhIL-10	4.6	+	1.4	X	10
1	Mg/ml	IT9302	11.0	±	3.0	X	10
100	ng/ml	IT9302	14.4	±	2.4	X	10
10	ng/ml	IT9302	11.2	±	3.2	X	10

Discussion related to the experiments

The present data demonstrate a dose-dependent inhibitory effect of the synthetic nonapeptide, IT9302, on processes which reflect pro-inflammatory activity, including IL-8 production and monocyte and/or T cell migration. Thus, IT9302 was able to suppress the spontaneous production of IL-8 by human monocytes- cultured overnight . This could be explained by a direct inhibitory effect on IL-8 mRNA production and/or subsequent protein production and or release. Another mecha- . nism could be explained by the fact that monocytes cultured in vitro will express and produce IL-1, which then in turn 0 induces the production of IL-8. This is supported by the fact that it has been demonstrated that IT9302 potently induces I© the production of IRAP from monocytes. IT9302 may therefore also inhibit spontaneous IL-8 production by interfering with the activity of IL-1. The observed IRAP induction by IT9302 appears to induce a biologically active IRAP, since IT9302 added to the cultures counteracts IL-l-induced IL-8 production, but only when added at least 16 hours before adding IL-1 to the cultures. This could mean that IT9302 inhibits

IL-l-induced IL-8 production by inducing the production of IRAP, which then in turn blocks the activity of IL-1 through its receptor. If IT9302 directly inhibited IL-8 production, it would have been expected that addition of IT9302 to the cultures 1 hour before adding IL-1 should inhibit IL-8 pro35 duction, which was not the case (data not shown). Therefore,

9 6 0 0 / L 6 /d/dV

AP.0 0 6 9 0 the observed inhibition of IL-8 production of IT9302 is likely to be due to an induction of IRAP production rather than a direct inhibition of IL-8 production. These functions of IT9302 can also be found for hIL-10 indicating that IT9302 possesses IL-10-like activities. IT9302 also mimics IL-10 activity by suppressing the ability of CD4+ T cells to migrate as a response to IL-8. Since IL-8 is related to many different states of inflammation and since CD4+ T cells appear early in the infiltrate of T cell-mediated immune inflammation such as allergy of the skin, this feature may prove to have significant therapeutic value for the control of T cell-mediated immune inflammation.

The demonstrated CD8+ T cell chemotactic activity of IT9302 is also parallel to that of IL-10, and IT9302 may thus activate T cell populations with suppressor activity contributing to the ending of T cell-mediated immune inflammation. Therefore IT9302 according to the examples which are demonstrated above, possesses therapeutic value in diseases where .IL±10 and/or IRAP may also have therapeutic value. Additionally, IT9302 may have therapeutic value in diseases where IL-8 and/or MCAF and/or IL-l are believed to have pathogenetic roles.

EXAMPLE 9

IT9302 and IL-10 induce the production of IL-4 in CD4+ T lymphocytes

Background

Like IL-10, IL-4 is a product of CD4+ T cells of T_H2 type. It was observed that recombinant human IL-10 induces the production of IL-4 by cultured human CD4+ T cells. This means that IL-10, in addition to its own immunosuppressive functions, also induces the production of another immunosuppressive cytokine, IL-4. It was therefore tested whether IT9302 also induces the production of IL-4 by CD4+ T cells.

AP/P/ 9 7 / 0 0 9 62

0 6 9 0

-11153

Thus, CD4+ T cells, purified as described in Methods for T cell chemotaxis, and cultured as described in the section Determination of IL-4 production by CD4+ T lymphocytes, were stimulated for 3 days with IT9 3 02 (10 ng/ml) or IL-10 (100 ng/ml). Cytosolic fractions were collected and analyzed for their IL-4 content using Western blotting (Fig. li) and a goat anti-human IL-4 polyclonal antibody.

As demonstrated in Fig. 11, it was observed that IL-10 as well as IT9302 induce the production of IL-4 by cultured normal human CD4+ T cells.

EXAMPLE 10 f T9 3 02 inhibits the production of TNF-a during a mixed leukocyte reaction (MLR)

It has been demonstrated that the mixed leukocyte reaction is 15 partly dependent: on :.the production of TNF-α during the reaction. It has been shown that IT9302 does not significantly reduce the MLR, but it was found that there is a significant

Ci. i.i.i' - c uc.——ng tne χϋή.

AP/P/ 9 7 / 0 0 9 62

Thus, MLR was performed by purifying human leukocytes and 20 then culturing 1 million cells/ml from allogeneic donors for days. Before establishing the cultures, one group of cells was irradiated for 2 minutes using beta irradiation. Cytosolic protein fractions were purified as described in the section Determination of IL-4 production by CD4+ T lymphocy25 tes, and Western blotting was performed using a rabbit anti,human TNF-α antibody.

As demonstrated in Fig. 12, a significant reduction in the production of TNF-α was observed during a human .mixed leukocyte reaction.

AP.00690

EXAMPLE 11

The modulation of the LPS induced shock and leukopenia -in swine using IT93O2

Since it was found, that IT9302 modulates cytokine production, 5 including TNF-α and IL-8, and supported by the published sequence of porcine IL-10 (Blancho et al., 1995) (see Fig. 2· for homology to the COOH-terminal peptide) , it was tested whether IT93 02 was able to modulate the course of LPS induced leukopenia in swine (Fig. 13).

In a preliminary experiment, it was tested how the intra venous injection of IT9302 0.1 mg/kg modulated the effect of -intravenous injection of 2 /xg/kg LPS in swine (N = 3) . IT9302 was injected 30 minutes before injection of LPS, and blood samples were drawn as described in Fig. 13. Total leukocyte count as well as differential cell count were determined, and the total number of neutrophilic leukocytes was calculated on the basis of these results.

As demonstrated, it was observed that injection of LPS caused a transient leukopenia. Injection of IT9302, however, prevenίΙ 20 ted leukopenia as demonstrated in the figure.

© EXAMPLE 12

Antibody against the synthetic polypeptide IT9302

Synthetic polypeptide IT9302 was purchased from Kem-En-Tec A/S, Copenhagen, Denmark, with higher purity than 95%. This polypeptide was also conjugated to Keyhole Limpet Hemocyanin (KLH) by the producer. The soluble IT9302/KLH is more immunogenic than the polypeptide alone, and it may also be used as control protein for ELISA or Western Blotting.

AP/P/ 97/00962

0 6 9 0

Immunization of rabbits

250 pg of IT9302 coupled to KLH, and as an emulsion with com plete Freund's adjuvant, is used for intradermal or subcutaneous injections. The injections are repeated 4 times with two-week intervals and the rabbits are bled 8 and 12 fays thereafter. Later booster injections of 250 gg of IT9302/KLH in incomplete Freund's adjuvant are administered with onemonth intervals using subcutaneous injections. The formation of IT9302 antibody is tested by dot-blot immunoassay or

TO Western Blotting.

AP/P/ 97 / 0 0 9 62

AP. Ο Ο 6 9 Ο

..ι,,:. »

REFERENCES

1. Bendtzen Κ. Lymphokines in inf lamination. Inflammation Basic Mechanisms Tissue Injuring Principles and Clinical Models (P Venge & A Lindbom eds) 1985; Almqvist & Wiksell

International. Stockholm: 187-217.

2. Bendtzen K. Interleukin-1, Interleukin-6, and tumor necrosis factor in infection, inflammation and immunity. Immunol Lett Ί988;19:183-192.

3. Larsen C.G. Leukocyte activating and chemotactic cytokines in cell-mediated immune reactions of the human skin. Acta

Dermatovenerol. 1991; Suppl. 160:1-48

4. Fiorentino D. F., M. W. Bond, and T. R. Mosmann. 1989. Two types of mouse helper T cell. IV. Th2 clones secrete a factor that inhibits cytokine production by Thl clones. J.

Exp. Med., 170:2081.

5. Viera P., R. de Wall-Malefyt, M.-N. Dang, K. E. Johnson, R. Kastelein, D. F. Fiorentiono, J. E. de Vries, M.-G. Roncarolo, T. R. Mosmann, and K. W. Moore. 1991. Isolation and expression of human cytokine synthesis inhibitory zu factor (CSIF/IL-10) cDNA clones: homology to Epstein-Barr virus open reading frame BCRFI. Proc. Natl. Acad. Sci. (USA), 88:1172.

6. Moore, K.W., O’Garra A., de Waal Malefyt R., Vieira, Mosmann T.R. 1993. Interleukin-10, Annu Rev. Immunol,

11:165-907. Kim, J.M., Brannan,' C.I. Copeland N.G., Jenkins, N.A., Khan, T.A., Moore, K.W. 1992. Structure of the mouse interleukin-10 gene and chromosomal localization of the mouse and human genes. J. Immunol 148:3618-23.

8. Carter, D.B., Deibel, M.R-Jr, Dunn, C.J. et al. 1990.

Purification, cloning,, expression and biological characterization of an interleukin-1 receptor antagonist protein. NATURE 344:633-638.

9. Hannum, C.H., Wilcox, C.J., Arend, W.P. et al. 1990.

Interleukin-1 receptor antagonist activity of a human interleukin-1 inhibitor. Nature 343:336-40.

9 6 0 β / L 6 /d/dV , AP.00690 . * \ *

10. Firestein, G.S., Boyle, D.L., Yu, C., et al. 1994. Synovial interleukin-1 receptor antagonist and interleukin-1 balance in rheumatoid arthritis. Arthritis Rheum 37:644-652.

11. Fisher, C. J.-Jr.,Slotman, G.J., Opal, S.M., Pribble, J.P.

et al. 1994. Initial evaluation of recombinant interleukin-1 receptor antagonist in the treatment of sepsis syndrome: a randomized, open-label, placebo-controlled multicenter trial. The IL-IRA Sepsis Syndrome Study Group.

Crit-Care-Med. 22:12-21.

12. de’Waal-Malefyt, R., Haanen J., Spits, H., et al. 1991. IL-10 and viral IL-10 strongly reduce antigen-specific human T cell proliferation by diminishing the antigen'' presenting capacity of monocytes via down-regulation of class II MHC expression. J. Exp. Med. 174:915-24.

13. Gazzinelli, R.T., Oswald, I.P., James, S.L., Sher, A.,

1992. IL-10 inhibits parasite killing and nitric oxide production by IFN-\-activated macrophages. J. Immunol. 148:1792-96.

14. Jinquan, T., Larsen, C.G., Gesser, B., Matsushima, K.,

Thestrup-Pedersen, K. 1993. Human IL-10 is a chemoattractant for CD8+ T lymphocytes and an inhibitor of IL-8- induced CD4+ T lymphocyte Migration. Journal of Immunology, 151:4545-4551.

15. Rousset F., E. Garcia, T. Defrance, C. Peronne, D.-H. Hsu, (O R. Kastelein, K. W. Moore, and J. Banchereau. 1992. IL-10 is a potent growth and differentiation factor for activated human B lymphocytes. Proc. Natl. Acad. Sci. USA,

175:671.

16. Howard, M., O’Garra, A., Ishida, H. , de Waal Malefyt, R., de Vries, J. 1992. Biological properties of Interleukin10. J. Clin. Immunol 12:239-47.

17. Kuhn, R., Lohler, J., Rennick, D., Rajewsky, K., Muller,

W. 1993. Interleukin-10-deficient mice develop chronic enterocolitis. Cell 75: 263-74.

18. Sher, A., Fiorentino, D.F., Caspar, P., Pearce, E., Mosmann, T. 1991. Production of IL-10 by CD4+ lymphocytes correlates with down-regulation of Thl cytokine

AP/P/ 97 /6 0 9 62

20

21.

22

23.

25,

26.

27.

. Ο 0*6 9 Ο synthesis in helminth infection. J. Immunol. 147:271316.

Clerici, Μ., Shearer, G.M. 1993 Immunology Today. 14:107-111.

Bry, Κ., Lappalainen, U. 1994. Interleukin-4 and transforming growth factor-beta 1 modulate the production of interleukin-1 receptor antagonist and prostaglandin E2 by decidual cells. Am-J-obstet-Gynecol 170 (4): 11941198, . .

Firestein, G., S., Boyle, D. L., Yu, C., Paine, Μ. Μ., Whisenand, T. D., Zvaifler, N. J., Arend, W. P. 1994. Synovial interleukin-1 receptor antagonist and interleukin-1 balance in rheumatoid arthritis. ArthritisRheum, 37/5: 644-652

Roberge, C. J., De-Medicis, R., Dayer, J. Μ., RolaPleszcyczynski, Μ., Naccahe, Ρ. H., Poubelle, Ρ. E.

1994. Crystal-induced neutrophil activation: V. Differential production of biologically active IL-1 receptor antagonist. J. Immunol 152/11: 5485-5494

McCall, R. D., Haskill, S., Zimmermann, Ε. Μ., Lund, P. K., Thompson, R. C., Sartor, R. B. 1994. Tissue interleukin 1 and interkeukin-1 receptor antagonist expression in entercolitis in resistant and susceptible rats. Gastroenterology (4): 960-72

Kimble, R. B., Vannice, J. L, Bloedow, D. C., Thompson, R. C., Hopfer, W., Kung, V. Τ., Brownfield, C., Pacific!, R. 1994. Interleukin-1 receptor antagonist decreases bone loss and bone resorption in ovariectomized rats. J. Clin Invest. 93/5: 1959-1967

Kline, J. N., Geist, L. J., Monick, Μ. Μ., Stinski, M. F., Hunninghake, G. W., 1994. J. Immunol. 152 (5):

2351-7

Tompkins, R. G. 1994. Human recombinant interleukin-1 receptor antagonist in the treatment of sepsis syndrome (editorial; comment). Crit-Care-Med. 22 (1): 3, 22 (1):12-21

AP/P/ 97 / 0 0 9 62

•r<,

AP.00690

28. Everaerdt, B., Brouckaert, P., Fiers, W. 1994. Recombination IL-l receptor antagonist protects against TNFinduced lethality in mice. J. Immunol. 152/10: 5041-5049

29. Fischer, C. J. Jr., Slotman, G. J., Opal, S. M.,

Pribble, J. P., Bone, R. C., Emmanuel, G., Ng, D., Bloedow, D. C., Catalano, M. A. 1994. Initial evalutaion of human recombination interleukin-1 receptor antagonist in the treatment of sepsis syndrome: a randomized, open^: label, placebo-controlled 'multicenter trial. The IL-IRA Sepsis Syndrome Study Group (see comments) . Crit-CareMed. 22(1): 12-21, 22(1): 3

30. Gomez-Reino-Camoto, J. J. 1994. New terapies in rheumatoid arthritis. Med-Clin 543-545.

32. Nishihara, T., Ohsaki, Y., Ueda, N., Saito, N., Mundy,

G. R. 1994. Mouse interleukin-1 receptor antagonist induced by actinobacillus actinomycetemcomitans lipopolysaccharide blocks the effects of interleukin-l om bone resorption and osteoclast-like cell formation. Infect-Immun. 62(2): 390-7

33. Simon, C., Frances,- A., -Piquette, G. N., el-Danasouri, I., Zurawski, G., Dang, W., Polan, M. L. 1994. Embryonic implantation in mice is blocked by interleukin-1 receptor antagonist (see comments). Endocrinology. 134(2): 521-8, 134(2): 519-20

34. Baergen, R., Benirschke, K., Ulich, T. R., 1994. Cytokine expression in the placenta. The role of interleukin 1 and interleukin 1 receptor antagonist expression in chorioamnionitis and parturition. Arch-Pathol-Lab-Med. 118(1): 52-5

35. Tang, W.W., Feng, L., Vannice, J. L., Wilson, C. B.

1994. Interleukin-1 receptor antagonist ameliorates experimental antiglomerular basement membrane antibodyassociated flomeulonephritis. J. Clin-Invest. 93(1): 279-9.

36. Cassatella, M. A., Meda, L., Gasperini, S., Calzetti,

F., Bonara, S. 1994.

37. Interleukin 10 (IL-10) upregulates IL-1 receptor antagonist production from lipopolysaccharide-stimulated human

Z9 6 0 0 /Z6/d/dV

AP. Ο Ο 6 9 Ο

polymorphonuclear leukocytes by delaying mRNA degradation. J. Exp-Med. 179/5: 1695-1699

38. Mancini, R., Bendetti, A., Jezequel, A. M. 1994. An interleukin-1 receptor antagonist decreases fibrosis induced by dimethylnitrorsamine in rat liver. VirchowsArch. 424/1: 25-31

39.. Lukacs, N. W., Kunkel, S. L., Burdick, M. D., Lincoln,

Ρ. M., Strieter, R. M. 1993.

40. Interleukin-1 receptor antagonist blocks chemokine production in the mixed lymphocyte reaction.- Blood.

(12) : 3668-74

41. Bandara, G., Mueller, G. M., Galea-Lauri, J., Tindal, M. H., Georgescu, Η. I., Suchanek, Μ. K., Hung, G. L., Gloriso, J. C., Robbins, P. D., Evans, C. H. 1993.

42. Intraarticular expression of biologically active interleukin 1-receptor-antagonist protein by ex vivo transfer. Proc-Natl-Acad-Sci-U-S-A. 90(22): 10764-8

43. Dinarello, C. A. 1994. Anti-interleukin-1 strategies in the treatment of the septic shock syndrome. Can-J-in2 .fect-Dis. 5(suppl. A): 9A-16A

44. - Oelmann, Ε., Topp, M. S., Reufi, B., Papadimitriiou, C.,

Koeningsmann, M., Oberberg, D., Thiel, E., Berdel, W. E. 1994. Int-J-Oncol. 4/3: 555-558

45. Estrov, Z. 1993. Interruption of autocrine and paracrine growth-stimolatory mechaisms: a new therapeutic stratefy for chronic myelogenous leukemia. Semin-Hematol. 30(3 suppl 3): 35-6

46. Wooley, P.H., Whalen, J.D., Chapman, D.L., Berger, A.E., Richard, K.A., Aspar, D.G., Staite, N.D. 1993. The effect of an interleukin-1 receptor antagonist protein on type II collagen-induced arthritis and antigen-induced arthritis in mice. Arthritis Rheum. 36 (3): 13051314

47. Peterson, C.M., Hales, H.A., Hatasaka, H.H., Mitchell,

M.D., Rittenhouse, L., Jones, K.P. 1993. Interleukin-1 beta (IL-1 beta) modulates prostaglandin production and the natural IL-1 receptor antagonist inhibits ovulation

AP/P/ 9 7 / 0 0 9 62

AP. Ο Ο 6 9 Ο in the optimally stimulated rat ovarian perfusion model. Endocrinology 133 (5): 2301-2306

48. Estrov, Z., Kurzrock, R., Talpaz, M. 1993. Role of interleukin-1 inhibitory molecules in therapy of acute and chronic myelogenous leukemia. Leuk. Lymphoma 10 (6) :

407-418

49. Chensue, S.W., Bienkowski, M., Eessalu, T.E., Warming ton, K.S., Hershey, S.D., Lukacs, N.W., Kunkel, S.L.

1993. nous IL-1 receptor antagonist protein (IRAP) regulates schistosome egg granuloma formation and the regional lymphoid response. J. Immunol. 151 (7): 36543662

50. Bowyer, J.F., Davies, D.L., Schmued, L., Broening, H.W., Newport, G.D., Slikker, W Jr., Holson, R.R. 1994. Fur15 ther studies of the role f hyperthermia in methamphetamine neurotoxicity. J. Pharmacol. Exp. Ther. 268/3: 1571-1580

51. Cole, O.F., Sullivan, M.H.F., Elder, M.G. 1993. The ' interleukin-1-receptor antagonist' is a partial agonist of prostaglandin synthesis by human decidual cells.

Prostaglandins 46/6: 493-498

52. Jenkins, J.K., Arend, W.P. 1993. Interleukin 1 receptor antagonist production in human monocytes is induced by IL-lalpha, IL-3, and IL-4 and GM-CSF. Cytokine 5/5: 40725 415

53. Coceani, F., Lees, J., Redford, J., Bishai, 1.,1992. Interleukin-1 receptor antagonist: effectiveness against interleukin-1 fever. Can. J. Pharmacol. 70 (12): 15901596

54. Schiro, R., Longoni, D., Rossi, V., Maglia, 0., Doni,

A., Arsura, M., Carrara, G., Masera, G., Vannier, E., Dinarello, C.A., Rambaldi, A., Biondi, A. 1994. Suppression of juvenile chronic myelogenous leukemia colony growth by interleukin-1 receptor antagonist. Blood 83/2:

460-465

55. Watson, M.L., Smith, D., Bourne, A.D., Thompson, R.C.,

Westwick, J. 1993. Cytokines contribute to airway dysfunction hyperreactivity, pulmonary eosinophil accumulaAP/P/ 97/00962

AP. Ο Ο 6 9 Ο

59.

tion and tumor necrosis factor generation by pre-treatment with an interleukin-1 receptor antagonist. Am. J. Respir. Cell Mol. Biol. 8 (4): 365-369

56. Abhyankar, S., Gilliland, D.G., Ferrara, J.L.M. 1993.

Interleukin-1 is a critical effector molecule during cytokine dysregulation in graft-versus-host disease to minor histocompatibility antigens. Transplantation 56/6:

... 1518-1523

57. Lan, H.Y., Nikolic Paterson, D.J. , Zarama, M., Vannirg,

J.L., Atkins, R.C.-1993. Suppression of experimental crescentic glomerulonephitis by the interleukin-1 receptor antagonist. Kidney Int. 43 (2): 479-485 Herve, P. 1993. Prevention and treatment of acute GvHD New modalities. Nouv. Rev. Fr. Hematol. 35/3: 295-297 Conti, P., Panara, M.R., Barbacane, R.C., Placido, F.C., Bongrazio, M., Reale, M., Dempsey, R.A., Fiore, S. 1992. Blocking the interleukin-1 receptor inhibits leukotriene B4 and prostaglandin E2 generation in human monocyte cultures. Cell Immunol. 145 (1): 199-209 zz:

- 0 60. Kristensen, M., Deleuran, B., Eedy, D.J., Feldmanny M.,

Breathnach, S.M., Brennan, F.M. 1992. Distribution of interleukin-1 receptor antagonist protein (IRAP), interleukin-1 receptor, and interleukin-1 alpha in normal and psoriatic skin, Decreased expression of IRAP in psoria25 tic lesional epidermis. Br. J. Dermatol. 127 (4): 305311

6.1 Romero, R., Sepulveda, W., Mazor, M., Brandt, F., Cotton, D.B., Dinarello, C.A:, Mitchell, M.D. 1992. The natural interleukin-1 receptor antagonist in term and pre-term parturition. Am. J. Obstet. Gynecol. 167 (4 Pt

1): 863-872

62. Dinarello, C.A. 1992. Reduction of inflammation by decreasing production of interleukin-1 or by specific receptor antagonism. Int. J. Tissue. React. 14 (2): 6535 75

63. Conti, P., Panara, M.R., Barbacane, R.C., Bongrazio, M:, Dempsey, R.A., Reale, M. 1993. Human recombinant IL.l receptor antagonist (IL-IRa) inhibits leukotriene B4

AP/P/ 9 7 / 0 0 9 62

L ·

AP . Ο Ο 6 9 Ο generation from human monocyte suspensions stimulated by lipopolysaccharide (LPS). Clin. Exp. Immunol. 91/3: 526531

64. DeForge, L.E., Tracey, D.E., Kenney, J.S., Remick, D.G.

1992. Interleukin-1 receptor antagonist protein inhibits interleukin-8 expression in lipopolysaccharide-stimuled human whole blood. Am. J. Pathol. 140 (5): 1045-1054

65. Porat, R., Poutsiaka, D.D., Miller, L.C., Granowitz,

E.V., Dinarello, C.A. 1992. Interleukin-l (IL-l) recep10 tor blockade reduces endotoxin and Borrealia burgdorferi -stimulated IL-8 synthesis in human monoclear cells. Faseb. J. 6 (7): 2482-2486

66. Boermeester, M.A., van Leeuwen, P.A.M., Schneider, A. J., Houdijk, A.P.J., Ferwerda, C.C., Wesdorp, R.I.C. 1993.

Interleukin-1 receptor antagonist: A new therapeutic agent in the treatment of septic syndrome. Ned. Tijdschr. Geneesks. 137/7: 337-342

67. Smith, R.J., Chin, J.E., Sam, L.M., Justen, J.M. 1991. Biologic effects of an interleukin-1 receptor antagonist protein on interleukin-1-stimulated cartilage erosion and chondrocyte responsiveness. Arthsitis Rheum. 34 (l) : 78-83

68. Conti, P. Barbacane, R.C., Panara, M.R., Reale, M., Placido, F.C., Fridas, S., Bongrazio, M., Dempsey, R.A.

1992. Human recombinant interleukin-1 receptor antagonist (hrlL-lra) enhances the stimulatory effect of interleukin-2 on natural killer cell activity against MOLT-4 target cells. Int. J. Immunopharm. 14/6: 987-993

69. Selig, W., Tocker, J. 1992. Effect of interleukin-1 receptor antagonist on antigen-induced pulmonary responses in guinea pigs. Eur. J. Pharmacol. 213/3: 331-336

70. McCarthy, P.L. Jr., Abhyankar, S., Neben, S., Newman,

G., Sieff, C., Thompson, R.C., Burakoff, S.J., Ferrara, J.L.M. 1991. Inhibition of interleukin-1 by an inter35 leukin-1 receptor antagonist prevents graft-versus-host diseases.Blood 78/8: 1915-1918

71. Estrov, Z, Kurzrock, R., Wetzler, M., Kancrrjian. H., Blake, M. , Harris, D., Gutterman, J.U., Talpaz, M. 1991.

AP/P/ 97/00962

AP .00690

Suppression of chronic myelongenous leukemia colony growth by interleukin-1 (IL-1) receptor antagonist and soluble IL-l receptors: A novel application for inhibitors Of IL-l activity. Blood 78/6: 1476-1484

72. Thomas, T.K., Will, P.C., Srivastava, A., Wilson, C.L., Harbison, M., Little, J., Chesonis, R.S., Pignatello,

M., Schmolze, D., Symington, J., Kilin, P.L., Thompson, r R.C. 1991. Evaluation of an interleukin-1 receptor ant-agonist in the rat acetic acid-induced colitis model.

. . . Agents Actions. 34/1-2: 187-190

73. Carter, D.B., Deibel, M.R. Jr., Dunn, C.J., Tomich, C.S.C., Laborde, A.L., Slightom, J.L., Berger, A.E., Bienkowski, M.J., Sun, F.F., McEwan, R.N., Harris,

P.K.W., Yem, A.W., Waszak, G.A., Chosay, J.G., Sieu, L.C., Hardee, M.M., Zurcher Neely, H.A., Reardon, I.M., Heinrikson, R.L. et al. 1990. Purification, cloning expression and biological characterization of an interleukin-1 receptor antagonist protein. Nature 344/6267: 633-638

74. Larsen C.G, Anderson A.O, Apella E., Oppenheim J.J., Matsushima K., 1989. Science 243:1464;

75. Larsen C.G., Jinquan T., Deleurant B., Thestrup-Pedersen K. 1993, IL-10 is a potent regulator of the chemotactic response of mononuclear cells, but not of granulocytes. J. Invest. Dermatol. Vol 100, No 6

76. Sankoff and Kruskal in chapter 1 of Time Warps, String Edits, and Macromolecules: The Theory and Practice of Sequence Comparison (Addison-Wesley, Reading, Mass. 1983).

77. Berzofsky, Science 229, (1985) 932-940

78. Bowie et al., Science 247, (1990) 1306-1310

79. Wasserman et al., J. Immunol. 87, 1961, 290-295

80. Levine et al., Methods in Enzymology 11, 1967, 928-936

81. Lewis et al., BiocL^i-j^y 22, 1983, 948-954

82. Rene de Waal Maletyt, John Abrahams, Bruce Bennet, Carl G. Figdor and Jan E. de Vries (1991), Interleukin 10 (IL-10) Inhibits Cytokine Synthesis by Human Monocytes:

AP/P/ 97/0096235 .0 0 6 9 0

An Autoregulatory Role of IL-10 Produced by Monocytes. J. Exp. Med. 174, 1209-1220

83 .	Szoka et al., Ann.	Rev. Biophys. Bioeng. 9, 1980, 467
84 .	US Patent No. 4,235	,871
85 .	US 4,501,728
86.	US 4,837,028.
87.	Walter H. Gotlieb,	John S. Abrams, Joanna M. Watson,

Thierry J. Velu, Jonathan S. Berek, Otoniel MartinezMeza (1992) , Presence of interleukin 10 (IL-10) in the ascites of patients with ovarian and other intra-abdominal cancers. Cytokine 4, No.5,385-390

88. Blancho G., P. Gianello, Sh. Germana, M. Baetscher, D.H. Sachs and Chr. LeGuern (1995) , Molecular identification of porcine interleukin 10: Regulation of expression in kidney allograf model. Proc. Natl. Acad. Sci. USA 92,

2800-2804

AP/P/ 9 7 / 0 0 9 62

AP.00690 j

SEQUENCE LISTING (1) GENERAL INFORMATION:

(i) APPLICANT:

(A) NAME: Nycorned DAK A/S (B) STREET: P.O. Box 1911, Lergraversvej 59 (C) CITY: Copenhagen S (E) COUNTRY: Denmark (F) POSTAL CODE (ZIP): 2300 (ii) TITLE OF INVENTION: Immunomodulators (iii) NUMBER OF SEQUENCES: 23 (iv) COMPUTER READABLE FORM:

. (A) MEDIUM TYPE: Floppy disk (B) COMPUTER: IBM PC compatible ' (C) OPERATING SYSTEM: PC-DOS/MS-DOS (D) SOFTWARE: Patentln Release #1.0, Version #1.30 (EPO) (2) INFORMATION FOR SEQ ID NO: 1:

(i) SEQUENCE CHARACTERISTICS:

(A) LENGTH: 9 amino acids (B) TYPE: amino acid (C) STRANDEDNESS:

(D) TOPOLOGY: linear (ii) MOLECULE TYPE: peptide (iii) HYPOTHETICAL: NO

Z 9 6 0 0 / L 6 /d/dV (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 1:

Ala Tyr Met Thr Met Lys lie Arg Asn 1 5 (2) INFORMATION FOR SEQ ID NO: 2:

(i) SEQUENCE CHARACTERISTICS:

(A) LENGTH: 9 amino acids (B) TYPE: amino acid (C) STRANDEDNESS:

(D) TOPOLOGY: linear (ii) MOLECULE TYPE: peptide (iii) HYPOTHETICAL: NO (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 2:

Ala Tyr Met Thr lie Lys Met Arg Asn 1 5

AP.00690 (2) INFORMATION FOR SEQ ID NO: 3:

(i) SEQUENCE CHARACTERISTICS:

(A) LENGTH: 9 amino acids (B) TYPE: amino acid (C) STRANDEDNESS:

(D) TOPOLOGY: linear (ii) MOLECULE TYPE: peptide (iii) HYPOTHETICAL: NO (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 3:

Ala Phe Met Thr Leu Lys Leu Arg Asn 1 5 (2) INFORMATION FOR SEQ ID NO: 4:

(i) SEQUENCE CHARACTERISTICS:

(A) LENGTH: 9 amino acids (B) TYPE: amino acid (C) STRANDEDNESS:

(D) TOPOLOGY: linear (ii) MOLECULE TYPE: peptide (iii) HYPOTHETICAL: NO (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 4:

Ala Tyr Met Thr Met Lys Val Arg Glu 1 5

AP/P/ 97/00962 (2) INFORMATION FOR SEQ ID NO: 5:

(i) SEQUENCE CHARACTERISTICS:

(A) LENGTH: 9 amino acids (B) TYPE: amino acid (C) STRANDEDNESS:

(D) TOPOLOGY: linear (ii) MOLECULE TYPE: peptide (iii) HYPOTHETICAL: NO (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 5:

Gly Tyr Met Thr Met Lys Ile Arg Asp 1 5 (2) INFORMATION FOR SEQ ID NO: 6:

(i) SEQUENCE CHARACTERISTICS:

(A) LENGTH: 9 amino acids

AP . Ο Ο 6 9 Ο (Β) TYPE: amino acid (C) STRANDEDNESS:

(D) TOPOLOGY: linear (ii) MOLECULE TYPE: peptide (iii) HYPOTHETICAL: NO (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 6:

Ala Phe Met Thr Met Lys lie Arg Asp 1 5 (2) INFORMATION FOR SEQ ID NO: 7:

(i) SEQUENCE CHARACTERISTICS:

(A) LENGTH: 9 amino acids (B) TYPE: amino acid (C) STRANDEDNESS:

(D) TOPOLOGY: linear (ii) MOLECULE TYPE: peptide (iii) HYPOTHETICAL: NO

WP/ 9 7 / 0 0 9 6 2(xi) SEQUENCE DESCRIPTION: SEQ ID NO: 7:

Ala Tyr lie Thr Met Lys lie Arg Asp 1 S (2) INFORMATION FOR SEQ ID NO: 8:

(i) SEQUENCE CHARACTERISTICS:

(A) LENGTH: 9 amino acids (B) TYPE: amino acid (C) STRANDEDNESS:

(D) TOPOLOGY: linear 1 «3» (ii) MOLECULE TYPE: peptide (iii) HYPOTHETICAL: NO (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 8:

Ala. Tyr Leu Thr Met Lys lie Arg Asp 1 5 (2) INFORMATION FOR SEQ ID NO: 9:

(i) SEQUENCE CHARACTERISTICS:

(A) LENGTH: 9 amino acids (3) ΤΥΡϋ: ammo acre (C) STRANDEDNESS :

(D) TOPOLOGY: linear

AP. Ο Ο 6 9 Ο (ii) MOLECULE TYPE: peptide (iii) HYPOTHETICAL: NO

(xi) SEQUENCE DESCRIPTION: SEQ ID NO: 9:

Ala Tyr Val Thr Met Lys lie Arg Asp 1 5 (2) INFORMATION FOR SEQ ID NO: 10:

(i) SEQUENCE CHARACTERISTICS:

(A) LENGTH: 9 amino acids (B) TYPE: amino acid (C) STRANDEDNESS:

(D) TOPOLOGY: linear (ii) MOLECULE TYPE: peptide (iii) HYPOTHETICAL: NO (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 10:

Ala Tyr Met Thr lie Lys lie Arg Asp 1 5 (2) INFORMATION FOR SEQ ID NO: 11:

(i) SEQUENCE CHARACTERISTICS:

(A) LENGTH: 9 amino acids (B) TYPE: amino acid (C) STRANDEDNESS:

_Λ (D) TOPOLOGY: linear ©

(ii) MOLECULE TYPE: peptide (iii) HYPOTHETICAL: NO

AP/P/ 97 / 0 0 9 62 (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 11:

Ala Tyr Met Thr Leu Lys lie Arg Asp 1 5 (2) INFORMATION FOR SEQ ID NO: 12:

(i) SEQUENCE CHARACTERISTICS:

(A) LENGTH: 9 amino acids (B) TYPE: amino acid (C) STRANDEDNESS:

(D) TOPOLOGY: linear (ii) MOLECULE TYPE: peptide (iii) HYPOTHETICAL: NO

AP. Ο Ο 6 9 Ο (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 12:

Ala Tyr Met Thr Val Lys lie Arg Asp l 5 (2) INFORMATION FOR SEQ ID NO: 13:

(i) SEQUENCE CHARACTERISTICS:

(A) LENGTH: 9 ainino acids (B) TYPE: amino acid (C) STRANDEDNESS:

(D) TOPOLOGY: linear (ii) MOLECULE TYPE: peptide (iii) HYPOTHETICAL: NO (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 13:

Ala Tyr Met Thr Met Lys lie Arg Asp 1 5 (2) INFORMATION FOR SEQ ID NO: 14:

(i) SEQUENCE CHARACTERISTICS:

(A) LENGTH: 9 ainino acids (B) TYPE: amino acid (C) STRANDEDNESS:

(D) TOPOLOGY: linear (ii) MOLECULE TYPE: peptide (iii) HYPOTHETICAL: NO c

CM <O σ>

GL <

(xi) SEQUENCE DESCRIPTION: SEQ ID NO: 14:

Ala Tyr Met Thr Met Lys Met Arg Asp 1 5 (2) INFORMATION FOR SEQ ID NO: 15:

(i) SEQUENCE CHARACTERISTICS:

(A) LENGTH: 9 amino acids (B) TYPE: amino acid (C) STRANDEDNESS:

(D) TOPOLOGY: linear (ii) MOLECULE TYPE: p=.p-ziii (iii) HYPOTHETICAL: NO (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 15:

Ala Tyr Met Thr Met Lys Val Arg Asp 1 5

AP . Ο Ο 6 9 Ο (2) INFORMATION FOR SEQ ID NO: 16:

(i) SEQUENCE CHARACTERISTICS:

(A) LENGTH: 9 amino acids (B) TYPE: amino acid (C) STRANDEDNESS:

(D) TOPOLOGY: linear (ii) MOLECULE TYPE: peptide (iii) HYPOTHETICAL: NO (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 16:

Ala Tyr Met Thr Met Lys lie Asp Gin 1 5 (2) INFORMATION FOR SEQ ID NO: 17:

(i) SEQUENCE CHARACTERISTICS:

(A) LENGTH: 9 amino acids (B) TYPE: amino acid (C) STRANDEDNESS:

(D) TOPOLOGY: linear (ii) MOLECULE TYPE: peptide (iii) HYPOTHETICAL: NO (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 17:

Ala Tyr Met Thr Met Lys lie Asp Glu 1 5 (2) INFORMATION FOR SEQ ID NO: 18:

(i) SEQUENCE CHARACTERISTICS :

(A) LENGTH: 9 amino acids (B) TYPE: amino acid (C) STRANDEDNESS:

(D) TOPOLOGY: linear (ii) MOLECULE TYPE: peptide (iii) HYPOTHETICAL: NO

AP/P/ 9 7 / 0 0 9 62 (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 18:

Ser Pro Gly Gin Gly Thr Gin Ser Glu 1 5 (2) INFORMATION FOR SEQ ID NO: 19:

(i) SEQUENCE CHARACTERISTICS:

(A) LENGTH: 6 amino acids

AP.00690 (B) TYPE: amino acid (C) STRANDEDNESS:

(D) TOPOLOGY: linear (ii) MOLECULE TYPE: peptide (iii) HYPOTHETICAL: NO (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 19:

Thr Xaa Lys Xaa Arg Xaa ^{1 5} (2) INFORMATION FOR SEQ ID NO: 20:

ii) SEQUENCE CHARACTERISTICS:

(A) LENGTH: 7 amino acids (Bj TYPE: amino acid CC) STRANDEDNESS:

(D) TOPOLOGY: linear (ii) MOLECULE TYPE: peptide (iii) HYPOTHETICAL: NO (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 20:

Xaa Thr Xaa Lys Xaa Arg Xaa 1 5 (2) INFORMATION FOR SEQ ID NO: 21:

(i) SEQUENCE CHARACTERISTICS:

© (A) lESSl-: 2 ;.;i(B) TYPE: amino acid (C) STRANDEDNESS:

(D) TOPOLOGY: linear (ii) MOLECULE TYPE: peptide (iii) HYPOTHETICAL: NO

Z 9 6 0 0 / Z 6 /d/dV (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 21:

Xaa Xaa Thr Xaa Lys Xaa Arg Xaa 1 5 (2) INFORMATION FOR SEQ ID NO: 22:-(i) SEQUENCE CHARACTERISTICS:

(A) LENGTH: 9 amino acids (B) TYPE: amino acid (C) STRANDEDNESS^-:

(D) TOPOLOGY: linear

AP. Ο Ο 6 9 Ο

(ii) MOLECULE TYPE: peptide (iii) HYPOTHETICAL: NO (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 22:

Xaa Xaa Xaa Thr Xaa Lys Xaa Arg Xaa 1 5 (2) INFORMATION FOR SEQ ID NO: 23:

.......(i) SEQUENCE CHARACTERISTICS:

(A) LENGTH: 27. base pairs (B) TYPE: nucleic acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (ii) MOLECULE TYPE: DNA (genomic) (iii) HYPOTHETICAL: NO (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 23:

GCCTACATGA CAATGAAGAT ACGAAAC 27

Claims (45)

1. A polypeptide amounting in total from 7 to 20 amino acids which comprises the following sequence

Thr-X₄-Lys-X₅-Arg-X₆ (SEQ ID NO:19),

5 wherein

X₄ and X₅ are independently selected from the group consisting of Met, lie, Leu and Val; and

X₆ is selected from the group consisting of Asn, Asp, Gin and 10 Glu, and which has one or more of the following properties:

a) induces inhibition of spontaneous IL-8 production by human monocytes,

b) induces inhibition of IL-1/3 induced IL-8 production by

15 human peripheral blood mononuclear cells (PBMC),

c) induces production of interleukin-1 receptor antagonistic protein (IRAP) by human monocytes,

d) induces chemotactic migration of CD8+ human T lymphocytes in vitro,

20 e) desensitizes human CD8+ T cells resulting in an unresponsiveness towards rhIL-10,

f) suppresses the chemotactic response of CD4+ human T lymphocytes towards IL-8,

g) suppresses the chemotactic response of human monocytes

25 towards MCAF/MCP-1,

h) does not inhibit class II MHC molecule expression on human monocytes, in contrast to human IL-10,

i) induces the production of IL-4 by cultured normal human CD4+ T cells,

30 j) reduces the TNFa production in human mixed leukocyte reaction.

13153AP1.C02/AS/KPJ/199711 05

AP. Ο Ο 6 9 Ο

2. A polypeptide according to claim 1, which comprises the following sequence

X₃-Thr-X₄-Lys-X₅-Arg-X₆ (SEQ ID NQ:20), wherein

X₃, X₄ and X₅ are independently selected from the group consisting of Met, Ile, Leu and Val; and

X₆ is selected from the group consisting of Asn, Asp, Gin and Glu.

10

3. A polypeptide according to claim 1, which comprises the '··* following sequence

X₂-X₃-Thr-X₄-Lys-X₅-Arg-X₆ (SEQ ID NO :21), wherein

X₂ is Tyr or Phe,

15 X₃, X₄ and X₅ are independently selected from the group consisting of Met, Ile, Leu and Val; and

X₆ is selected from the group consisting of Asn, Asp, Gin and Glu.

©

4. A polypeptide according to claim 1, which comprises the 20 following sequence

X₁-X₂-X₃-Thr-X₄-Lys-X₅-Arg-X₆ (SEQ IDNO:22), wherein

X-j_ is Ala or Gly,

X₂ is Tyr or Phe,

25 X₃, X₄ and X₅ are independently selected from the group consisting of Met, Ile, Leu and Val; and

X₆ is selected from the group consisting of Asn, Asp, Gin and Glu.

13153AP1.C02/AS/KPJ/199711 05

5. A polypeptide according to any one of claims 1-4 comprising at least 12 amino acids.

6. A polypeptide according to any one of claims 1-4 comprising at least 15 amino acids.

5

7. A polypeptide according to any one of claims 1-4 comprising 11 amino acids.

8. A polypeptide according to any one of claims 1-4 comprising 10 amino acids.

9. A polypeptide having the formula

X₁-X₂-X₃-Thr-X₄-Lys-X₅-Arg-X₆ (SEQ ID NO:22), wherein

Χ_τ is Ala or Gly,

X₂ is Tyr or Phe,

X₃, X₄ and X₅ are independently selected from the group 15 consisting of Met, lie, Leu and Val; and

X₆ is selected from the group consisting of Asn, Asp, Gin and Glu.

10. A polypeptide having the formula

X₂-X₃-Thr-X₄-Lys-X₅-Arg-X₅ (SEQ ID NO:21),

20 wherein

X₂ is Tyr or Phe,

X₃, X₄ and X₅ are independently selected from the group consisting of Met, lie, Leu and Val; and

X_s is selected from the group consisting of Asn, Asp, Gin and 25 Glu.

11. A polypeptide having the formula

13153AP1.C02/AS/KPJ/199711 05

AP. Ο Ο 6 9 Ο

X₃-Thr-X₄-Lys-Χ₅-Arg-Xg (SEQ ID NO:20), wherein

X₃, X₄ and X₅ are independently selected from the group con5 sisting of Met, lie, Leu and Val; and

X₆ is selected from the group consisting of Asn, Asp, Gin and Glu.

12. A polypeptide having the formula

Thr-X₄-Lys-X₅-Arg-Xg (SEQ ID N0:19),

10 wherein

X₄ and X₅ are independently selected from the group consisting of Met, lie, Leu and Val; and

X₆ is selected from the group consisting of Asn, Asp, Gin and 15 Glu, with the proviso that said polypeptide is not

Thr-Met-Lys-Ile-Arg-Asn.

13. A polypeptide according to any one of claims 1-12, wherein Χ_χ is Ala.

14. A polypeptide according to any one of claims 1-12, where20 in X_x is Gly.

15. A polypeptide according to any one of claims 1-14, wherein X₂ is Tyr.

16. A polypeptide according to any one of claims 1-14, wherein X₂ is Phe.

25

17. A polypeptide according to any one of claims 1-16, wherein X₃ is Met.

18. A polypeptide according to any one of claims 1-16, wherein X₃ is lie.

13153AP1.C02/AS/KPJ/199711 05

AP.00690

19. A polypeptide according to any one of claims 1-16, in X₃ is Leu.

20. A polypeptide according to any one of claims 1-16, in X₃ is Val.

5

21. A polypeptide according to any one of claims 1-20, in X₄ is Met.

22. A polypeptide according to any one of claims 1-20, in X₄ is lie.

23. A polypeptide according to any one of claims 1-20, 10 in X₄ is Leu.

24. A polypeptide according to any one of claims 1-20, in X₄ is Val.

25. A polypeptide according to any one of claims 1-24, in X₅ is Met.

15

26. A polypeptide according to any one of claims 1-24, in X₅ is lie.

27. A polypeptide according to any one of claims 1-24, in X₅ is Leu.

28. A polypeptide according to any one of claims 1-24, 20 in X₅ is Val.

29. A polypeptide according to any one of claims 1-28, in X₆ is Asp.

30. A polypeptide according to any one of claims 1-28, in X₆ is Gin.

25

31. A polypeptide according to any one of claims 1-28, in X₆ is Glu.

where where where where where where where where where where where where where

13153AP1.C02/AS/KPJ/199711 05

AP. Ο Ο 6 9 Ο

32. A polypeptide according to any one of claims 1-28, wherein X₆ is Asn.

33 . Ala-Tyr-Met-Thr-Met-Lys-Ile-Arg-Asn.

34. A polypeptide selected from the group consisting of

5 Ala-Tyr-Met-Thr-Ile-Lys-Met-Arg-Asn (SEQ ID NO:2), Ala-Phe-Met-Thr-Leu-Lys-Leu-Arg-Asn (SEQ ID NO:3), Ala-Tyr-Met-Thr-Met-Lys-Val-Arg-Glu (SEQ ID NO:4), Gly-Tyr-Met-Thr-Met-Lys-Ile-Arg-Asp (SEQ ID NO:5), Ala-Phe-Met-Thr-Met-Lys-Ile-Arg-Asp (SEQ ID NO:6),

10 Ala-Tyr-Ile-Thr-Met-Lys-Ile-Arg-Asp (SEQ ID NO:7), Ala-Tyr-Leu-Thr-Met-Lys-Ile-Arg-Asp (SEQ ID NO:8), Ala-Tyr-Val-Thr-Met-Lys-Ile-Arg-Asp (SEQ ID NO:9), Ala-Tyr-Met-Thr-Ile-Lys-Ile-Arg-Asp (SEQ ID NO:10), Ala-Tyr-Met-Thr-Leu-Lys-Ile-Arg-Asp (SEQ ID NO:11),

15 · Ala-Tyr-Met-Thr-Val-Lys-Ile-Arg-Asp (SEQ ID NO:12), Ala-Tyr-Met-Thr-Met-Lys-Ile-Arg-Asp (SEQ ID NO:13),

Ala-Tyr-Met-Thr-Met-Lys-Met-Arg-Asp (SEQ ID NO:14), Ala-Tyr-Met-Thr-Met-Lys-Val-Arg-Asp (SEQ ID NO:15), Ala-Tyr-Met-Thr-Met-Lys-Ile-Arg-Gln (SEQ ID NO:16), and

20 Ala-Tyr-Met-Thr-Met-Lys-Ile-Arg-Glu (SEQ ID NO:17).

35. A substance or polypeptide according to any one of claims

1-34 in substantially pure form.

36. A substance or polypeptide which comprises an amino acid sequence as defined in any one of claims 1-34 with the pro25 viso that the substance or polypeptide is not human IL-10.

37. A nucleotide sequence encoding a polypeptide according to any one of claims 1-34.

38. An antibody which specifically binds to a substance or polypeptide according to any one of claims 1-34.

13153AP1.C02/AS/KPJ/199711 05

AP.00690

39. Tin antibody which binds specifically to a polypeptide having the amino acid sequence SEQ ID NO:1.

40. An antibody according to claim 38 or 39 which is a polyclonal antibody.

41. An antibody according to claim 38 or 39 which is a monoclonal antibody.

42. A pharmaceutical composition comprising a substance or polypeptide according to any one of claims 1-36.

43. Use of a substance or polypeptide according to any one of claims 1-36 for the treatment or prophylaxis of a disease selected from the group consisting of pre-term labour caused by infection or other conditions, rheumatoid arthritis,

Lyme's arthritis, gout, sepsis syndrome, hyperthermia, ulcerative colitis or enterocolitis, osteoporosis, cytomegalovirus, periodontal diseases, glomerulonephritis, chronic, non-infectious inflammation of the lung (e.g. sarcoidosis and smoker's lung), granuloma formation, fibrosis of the liver, fibrosis of the lung, transplant rejection, graft vs. host disease, chronic myeloid leukemia, acute myeloid leukemia, other neoplastic diseases, asthma bronchiale, diabetes mellitus, type I (insulin dependent), arteriosclerosis/atherosclerosis, psoriasis, chronic B lymphocyte leukemia, common variable immunodeficiency, side-effects using other biological response modifiers, disseminated intravascular coagulation, systemic sclerosis, encephalomyelitis, lung inflammation, hyper IgE syndrome, enterocolitis, cancer metastasis and growth, adoptive immune therapy, acquired respiratory distress syndrome, sepsis, reperfusion syndrome, postsurgical inflammation, organ transplantation and alopecia.

44. Use of a substance or polypeptide according to any one of claims 1-36 for the manufacture of a pharmaceutical composition for the treatment or prophylaxis of one or more of the diseases mentioned in claim 43.

13153AP1.C02/AS/KPJ/199711 05

AP.00690 * ·«

45. A method of treating and/or preventing one or more of the diseases mentioned in claim 43, the method comprising administering to a patient in need thereof a therapeutically or prophylactically effective amount of a substance or polypep5 tide according to any one of claims 1-36.