AU2012202819A1 - Synthetic HLA binding peptide analogues and uses thereof - Google Patents

Abstract

The present invention provides synthetic peptides comprising at least analogues of a native peptide that specifically bind to HLA A0201 or HLA A0301 molecules on a cell characteristic of a pathophysiologic state, such as a cancer cell, in a mammal. Also 5 provided are pharmaceutical compositions and immunogenic compositions comprising at least the peptide analogue segments or a DNA encoding the same. Also provided are methods of using the synthetic peptides and immunogenic compositions to induce a heteroclitic immune response or to treat a cancer.

Description

AUSTRALIA Patents Act 1990 COMPLETE SPECIFICATION Standard Patent Applicant(s): SLOAN-KETTERING INSTITUTE FOR CANCER RESEARCH Invention Title: SYNTHETIC HLA BINDING PEPTIDE ANALOGUES AND USES THEREOF The following statement is a full description of this invention, including the best method for performing it known to us: SYNTHETIC BLA BINDING PEPTIDE ANALOGUES AND USES THEREOF 5 BACKGROUND OF THE INVENTION 10 Field of the Invention This invention relates to the fields of immunology and leukemia therapy. More specifically, this invention relates to the use of synthetic analogue peptides to induce heteroclitic human T cell responses against native peptides of the synthetic analogues. 15 Description of the Related Art Chronic myelogenous leukemia (CML) is a pluripotent stem cell disorder characterized by the presence of the Philadelphia chromosome (Ph). The Philadelphia chromosome represents a translocation in which the c-abl oncogene has 20 moved from chromosome 9 into the breakpoint cluster region (bcr) within the bcr gene on chromosome 22, resulting in a chimeric bcr-abl gene. The fused genes encode an 8.5 kb chimeric mRNA which is usually translated into a 210-kDa or 190-kDa protein. This bcr-abl protein is a tyrosine-kinase which is uniquely present in the leukemia cells of chronic myelogenous leukemia patients and is necessary and 25 sufficient for transformation. In chronic myelogenous leukemia, the breakpoint in the bcr gene occurs either between bcr exon 2 (b2) and 3 (b3) or between bcr exon 3(b3) and 4(b4).

Although aberrant bcr-abl fusion genes and bcr-abl mRNA splicing can occur, the majority of patients with chronic myelogenous leukemia therefore express p210-b3a2 or p210-b2a2; often both p210 and p190 proteins are expressed together with low levels of p190-ela2 bcr-abl proteins. In Phl positive acute lymphocytic leukemia 5 (ALL), the predominant breakpoint is at the e 1 a2 site. The chimeric fusion proteins are potential antigens. First, the proteins are uniquely expressed in chronic myelogenous leukemia cells in which the junctional regions contain a sequence of amino acids that is not expressed on any normal protein. Secondly, as a result of the codon split on the fused message, a new amino acid, lysine 10 in b3a2, and a conserved amino acid, glutamic acid in b2a2, is present at the exact fusion point in each of the proteins. Therefore, the unique amino acid sequences encompassing the b3a2 and b2a2 breakpoint region can be considered truly tumor specific antigens. Despite the intracellular location of these proteins, short peptides produced by cellular processing of the products of the fusion proteins can be 15 presented on the cell surface within the cleft of HLA molecules and in this form they can be recognized by T cells. Recent clinical trials demonstrated that a tumor specific, bcr-abl derived multivalent vaccine may be safely administered to patients with chronic phase chronic myelogenous leukemia. The vaccine reliably elicits a bcr-abl peptide-specific 20 CD4 immune response as measured by DTH in vivo, by CD4+ T cell proliferation c vivo and by gamma interferon secretion in an ELISPOT assay. However, no CD8 responses in HLA A0201 patients and only weak responses in HLA A0301 patients were detected using a sensitive gamma interferon ELISPOT assay. Wilms tumor protein 1 (WT1) is a zinc finger transcription factor 25 expressed during normal ontogenesis such as in fetal kidney, testis and ovary. In adults, WT1 expression is limited to low levels on hematopoietic stem cells, myoepithelial progenitor cells, renal podocytes and some cells in testis and ovary. 2 Recent demonstration that WT1 is overexpressed in several types of leukemia suggested that WT1 would be an attractive target for immunotherapy. Three peptide nonamers from WTl have been identified to generate a WTI specific cytotoxic response in the context of HLA 0201 and HLA 2402. However, as WT1 protein is a 5 self-antigen, breaking tolerance is a potential concern. For stimulation of responses the strength of CD8 responses depends upon the binding affinity of the target peptide to class I MHC molecules, the peptide HLA complex stability, and the avidity of the T cell receptor binding for the peptide complex. Killing of native CML cells also requires adequate processing and 10 presentation of the natural antigen. Therefore the lack of reproducible CD8 responses in these clinical trials could be the result of the biochemistry of these class I peptide HLA interactions, which results in their weak immunogenicity to cytotoxic CD8 cells. None of the native CML peptides reported to bind to human MHC bound the HLA pocket with high affinity. This may explain, in part, the lack of a detectable immune 15 response to ber-abl peptides as proteins seen in patients with chronic myelogenous leukemia despite the appearance of this antigen in the CML cells. In some antigenic systems peptide analogues are used to circumvent a poor immunogenic response. A high correlation has been found between overall analogue peptide affinities for MHC class I molecules and in vivo peptide 20 immunogenicity in HLA-A2Kb transgenic mice. A better correlation with a peptide's ability to form stable HLA-A0201 complexes and immunogenicity has been reported. Improved immunogenicity in HLA-A020 1/Kb transgenic mice also has been reported for analogues of a self-peptide, gp100154-162, displaying both higher affinity and more prolonged complex stability than the natural peptide. 25 To design peptide analogues several successful algorithms have been utilized in which large protein sequences are scanned for the presence of suitable binding motifs, leading to the identification of predicted antigens that have 3 subsequently been experimentally validated. Analogs of antigenic peptides have been formulated by direct modifications of MHC anchor positions, which are referred to as "MHC anchor-modified ligands", or modifications of TCR contact sites, which generally are termed "altered peptide ligands". The identification of peptide epitope 5 analogues that strengthen the stability of the MHC-peptide complex in vivo and in vitro is thought to enhance the potency of intrinsically weak immunogenic peptides for the activation and amplification of relevant T-cell subsets. This concept was originally described in a murine CD4+ T cell model using HIV peptides (1), and now has been extended to a variety of viral and tumor immunological systems. 10 Artificial variants of MHC class I-binding self-peptides have been designed (2). Since these variant peptides were foreign to the host immune system, a strong CTL response was induced. Unlike weak T cell responses to self-peptide MHC complexes, CTL responses to variant peptides can be sustained for a longer period without causing annihilation of the clones due to insufficient signals for cell 15 division or survival. Since a substantial fraction of such CTLs cross-react with non mutated self-peptides expressed in tumor cells in much smaller amounts, immunization with variant peptides may be a more efficient method to induce CTLs against tumors. The scoring system for MHC class I-binding peptides should provide a convenient method for design of cross-reactive self-mimicking peptides for 20 immunization. The improved immunogenicity in vivo and relevance of MHC anchor modified ligands was first shown formally in human neoplastic disease in a controlled study of patients with malignant melanoma using a melanoma-associated A0201 restricted peptide derived from gplOO. It has been shown recently with HLA 25 tetramer based detection methods that the parental Melan-A antigenic peptides are weak agonists which activate antigen-specific T cells suboptimally (3). In contrast, 4 melan A peptide analogues were identified that behaved as full agonists and induced full T cell activation leading to strong tumor antigen-specific CTL responses (4). Simple motifs and the statistical binding matrices can be used to perform a crude search for MHC-binding peptides. Unfortunately, the presence of a 5 simple sequence motif does not correlate well with binding. Therefore these simple motifs are not always necessary or sufficient for binding. Only 30% of the peptides that carry such simple motifs bind well when examined in a biochemical binding assay. Predictions of binding can be improved considerably when extended motifs are used, rather than the simple motifs. About 70% of the peptides carrying an extended motif 10 bind well. Assuming that each amino acid in each position contributes a certain binding energy independent of the neighboring residues and that the binding of a given peptide is the result of combining the contributions from the different residues, multiplying the relevant matrix values should give an indication of the binding of the 15 corresponding peptide. Such statistical matrix-driven predictions have been somewhat more successful, thereby suggesting that MHC binding is to some extent the result of a combinatorial specificity. The identification of analogues peptides based on these methods has been applied recently to the identification of CTL epitopes deduced from proteinase 3, melanoma antigen 3, mucin 1 and telomerase. 20 The weak immunogenicity of native bcr-abl fusion peptides, as demonstrated by poor lysis of the cells, or the problem of tolerance using native peptides from a self-antigen, such as WTl, has prevented use of these native peptides as an effective vaccine against CML. A need exists in the art to develop therapeutic strategies using vaccination against a truly tumor specific antigen that is also the 25 oncogenic protein required for neoplasia. There is a need for improved synthetic peptide analogues designed to elicit a greater immunogenic response. 5 The prior art is deficient in the lack of synthetic analogue peptides that could generate an immune response that not only recognizes the immunizing epitopes, but that also cross reacts with the original native peptides. Specifically, the prior art is deficient in synthetic peptide analogs with both improved HLA binding and 5 improved ability to elicit a greater immunogenic response against cancer cells. The present invention fulfills this longstanding need and desire in the art. SUMMARY OF THE INVENTION 10 The present invention is directed to a synthetic peptide comprising a sequence of amino acids containing at least a segment that is an analogue of a native peptide that specifically binds to HLA A0201 or HLA A0301 molecules on a cell characteristic of a pathophysiologic state in a mammal. The synthetic peptide may be 15 derived from native peptides comprising a breakpoint region of the bcr-abl fusion protein or of the WT1 protein. The present invention also is directed to a related synthetic peptide with an amino acid sequence selected from YLKALQRPV (SEQ ID NO: 2), KQSSKALQV (SEQ ID NO: 4), KLSSKALQV (SEQ ID NO: 5), KLLQRPVAV 20 (SEQ ID NO: 7), TLFKQSSKV (SEQ ID NO: 9), YLFKQSSKV (SEQ ID NO: 10), LLINKEEAL (SEQ ID NO: 12), LTINKVEAL (SEQ ID NO: 13), YLINKEEAL (SEQ ID NO: 14), YLINKEEAV (SEQ ID NO: 15), or YLINKVEAL (SEQ ID NO: 16), NMYQRNMTK (SEQ ID NO: 36), NMHQRVMTK (SEQ ID NO: 37), NMYQRVMTK (SEQ ID NO: 38), QMYLGATLK (SEQ ID NO: 40), 25 QMNLGVTLK (SEQ ID NO: 41), QMYLGVTLK (SEQ ID NO: 42), FMYAYPGCNK (SEQ ID NO: 44), FMCAYPFCNK (SEQ ID NO: 45), 6 FMYAYPFCNK (SEQ ID NO: 46), KLYHLQMHSR (SEQ ID NO: 48), KLSHLQMHSK (SEQ ID NO: 49), or KLYHLQMHSK (SEQ ID NO: 50). The present invention also is directed to pharmaceutical composition comprising a therapeutically effective amount of the synthetic peptides described 5 herein or a DNA encoding the synthetic peptide and a suitable carrier. The present invention is directed further to an immunogenic composition comprising an immunogenically effective amount of the synthetic peptide described herein and a pharmaceutically acceptable carrier, adjuvant or diluent or a combination thereof. 10 The present invention is directed further still to a method of treating a cancer in a human. The pharmaceutical compositions described herein are administered to the human. A heteroclitic response is induced by cytotoxic T-cells that recognize at least the analogue segment of the synthetic peptides described herein against cancer cells presenting a native peptide from which the analogue segment is 15 derived. Thus, the cytotoxic T-cells recognize or kill the cancer cells thereby treating the cancer. In a related method the present invention is directed to a method of treating leukemia in a human using the pharmaceutical compositions comprising the synthetic peptide containing at least the analogue segment derived from a native peptide of a WT1 protein or a DNA encoding the synthetic peptide. 20 The present invention is directed further still to a method of inducing formation and proliferation of human cytotoxic T cells that produce a heteroclitic immune response against cancer cells. Human immune cells are contacted with a synthetic peptide containing at least the analogue segment described herein. Thereby the formation and proliferation of human cytotoxic T cells reactive against the 25 activated cells presenting the analogue segment of the synthetic peptide is induced. The proliferating T cells will cross react with the cancer cells presenting a native peptide from which the analogue segment is derived such that the human cytotoxic T 7 cells are thereby produce a heteroclitic immune response against the cancer cells. The present invention also is directed further to a related method of inducing formation and proliferation of human cytotoxic T cells that produce a heteroclitic immune response against leukemic cells in a human as described in the niethod for inducing 5 formation and proliferation of cytotoxic T cells against a cancer cell. The present invention is directed to a related method of inducing a heteroclitic response in a human. The immunogenic compositions described herein are administered to a human to activate human immune cells. The formation and proliferation of cytotoxic T cells against the activated cells presenting the analogue 10 segment of the synthetic peptide described herein that comprises the immunogenic composition is induced thereby. The cytotoxic T cells will cross-react with a cancer cell presenting a native peptide from which the analogue segment is derived to induce the heteroclitic response. The present invention is directed further to a related method of inducing a heteroclitic response in a human against leukemic cells as 15 described in the method for inducing such heteroclitic response against a cancer cell. Other and further aspects, features, benefits, and advantages of the present invention will be apparent from the following description of the presently preferred embodiments of the invention given for the purpose of disclosure. 20 BRIEF DESCRIPTION OF THE DRAWINGS So that the matter in which the above-recited features, advantages and objects of the invention, as well as others which will become clear, are attained and can be understood in detail, more particular descriptions 25 of the invention are briefly summarized. Details of the above may be had by reference to certain embodiments thereof which are illustrated in the appended drawings. These drawings form a part of the specification. It is to be noted; however, that the 8 appended drawings illustrate preferred embodiments of the invention and therefore are not to be considered limiting in their scope. Figures 1A-1B show T2 stabilization assays using peptides derived from b3a2 translocation (Figure 1A) and b2a2 translocation (Figure IB). 5 Figures 2A-2B show the results of a CD8+ gamma interferon ELISPOT from a healthy HLA A0201 donor (Figure 2A) using p21 OC and p21 OF peptides and from a CML patient in chronic phase HLA A0201 (Figure 2B) using the p210C peptide. Figures 3A-3B show the results of a CD3+ gamma interferon 10 ELISPOT from a healthy HLA A0201 donor using the b2a2 A3-A5 peptides (Figure 3A) and from a chronic myelogenous leukemia patient in chronic phase HLA A0201 (Figure 3B) using the b2a2 A3 peptide. Figures 4A-4B show the results of cytotoxicity assays with T cells from a healthy HLA A0201 donor using p21OC, p2OF and p190B peptides (Figure 15 4A) and the b2a2 A3 peptide (Figures 4B). Figures 5A-5E show binding of native and synthetic WT-1 peptides to HLA A0201 cells (Figure 5A) and to HLA A0301 cells (Figures 5B-5E). Figures 6A-6B show the results of a CD3+ gamma interferon ELISPOT (Figure 6A) and cytotoxicity (Figure 6B) from a healthy HLA A0201 20 donor against native and synthetic peptide pulsed T2 cells. Figures 7A-7D show the results of a CD8+ (Figure 7A) and CD3+ (Figures 7B-7D) gamma interferon ELISPOT from healthy HLA A0201 donors using native and synthetic WT-1 peptides. Figures 8A-8B show the results of cytotoxicity assays using CD8+ T 25 cells stimulated with synthetic WT-1 Al peptides from a HLA A0201 donor against HLA matched CML blasts presenting native peptide sequences. 9 DETAILED DESCRIPTION OF THE INVENTION In one embodiment of the present invention, there is provided a synthetic peptide comprising a sequence of amino acids containing at least a segment 5 that is analogue of a native peptide that specifically binds HLA A0201 or IILA A0301 molecules on a cell characteristic of a pathophysiologic state in a mammal. In this embodiment the analogue segment may have a number of amino acids that is about 70% to about 130% of the number of amino acids in the native peptide. The number of amino acids may be about 8 to about 12. 10 In all aspects of this invention the pathophysiologic state may be a cancer. The cancer may be a leukemia such as a chronic myelogenous leukemic. Alternatively, the cancer may breast cancer, lymphoma, mesothelioma, lung cancer, testicular cancer, or ovarian cancer. Additionally, in all aspects the mammal may be a human. 15 Furthermore, in all aspects of this embodiment the synthetic peptide may comprise an immunogenic carrier linked thereto. Examples of carriers are a protein, a peptide or an antigen-presenting cell. Representative examples of a protein or peptide are keyhole limpet hemocyanin, an albumin or a polyamino acid. A representative example of an antigen-presenting cell is a dendritic cell. 20 In one aspect of this embodiment the amino acids comprise a precursor to the analogue segment which is a degradation product thereof. In this aspect the presursor may be a bor-abl fusion protein where the analogue segment spans the breakpoint region of the fusion protein. Alternatively, the precursor may be ~WT1 where the analogue segment replaces a native peptide of WTI. 25 In a related aspect, the analogue segment is derived from a native peptide comprising a breakpoint region of a bcr-abl fusion protein. The native peptide may be a native p190-31a2 peptide. The native peptide may be a native 10 p210-b3a2 peptide and the amino acid sequence of the analogue segment may be YLKALQRPV (SEQ ID NO: 2), KQSSKALQV (SEQ ID NO: 4), KLSSKALQV (SEQ ID NO: 5), KLLQRPVAV (SEQ ID NO: 7), TLFKQSSKV (SEQ ID NO: 9), or YLFKQSSKV (SEQ ID NO: 10). Preferably, the amino acid sequence is 5 YLKALQRPV (SEQ ID NO: 2), KLLQRPVAV (SEQ ID NO: 7) or YLFKQSSKV (SEQ ID NO: 10) Alternatively, the native peptide may be a native p210-b2a2 peptide and the amino acid sequence of the analogue segment may be LLINKEEAL (SEQ ID NO: 12), LTINKVEAL (SEQ ID NO: 13), YLINKEEAL (SEQ ID NO: 14), 10 YLINKEEAV (SEQ ID NO: 15), and YLINKVEAL (SEQ ID NO: 16). Preferably the amino acid sequence is YLINKEEAL (SEQ ID NO: 14). In another aspect of this embodiment, the analogue segment is derived from a native peptide comprising a WT1 protein. The amino acid sequence of the WT1 derived analogue segment may be YMFPNAPYL (SEQ ID NO: 18), 15 YLGEQQYSV (SEQ ID NO: 20), YLLPAVPSL (SEQ ID NO: 22), YLGATLKGV (SEQ ID NO: 24), YLNALLPAV (SEQ ID NO: 26), GLRRGIQDV (SEQ ID NO: 28), KLYFKLSHL (SEQ ID NO: 30), ALLLRTPYV (SEQ ID NO: 32), YMTWNQMNL (SEQ ID NO: 34), NMYQRNMTK (SEQ ID NO: 36), NMHQRVMTK (SEQ ID NO: 37), NMYQRVMTK (SEQ ID NO: 38), 20 QMYLGATLK (SEQ ID NO: 40), QMNLGVTLK (SEQ ID NO: 41), QMYLGVTLK (SEQ ID NO: 42), FMYAYPGCNK (SEQ ID NO: 44), FMCAYPFCNK (SEQ ID NO: 45), FMYAYPFCNK (SEQ ID NO: 46), KLYHLQMHSR (SEQ ID NO: 48), KLSHLQMHSK (SEQ ID NO: 49), and KLYHLQMHSK (SEQ ID NO: 50). 25 In a related embodiment of this invention there is provided a synthetic peptide with an amino acid sequence that may be one or more of YLKALQRPV (SEQ ID NO: 2), KQSSKALQV (SEQ ID NO: 4), KLSSKALQV (SEQ ID NO: 5), 11 KLLQRPVAV (SEQ ID NO: 7), TLFKQSSKV (SEQ ID NO: 9), YLFKQSSKV (SEQ ID NO: 10), LLINKEEAL (SEQ ID NO: 12), LTINKVEAL (SEQ ID NO: 13), YLINKEEAL (SEQ ID NO: 14), YLINKEEAV (SEQ ID NO: 15), or YLINKVEAL (SEQ ID NO: 16). Alternatively, a synthetic peptide is provided with an amino acid 5 sequence that may be one or more of NMYQRNMTK (SEQ ID NO: 36), NMHQRVMTK (SEQ ID NO: 37), NMYQRVMTK (SEQ ID NO: 38), QMYLGATLK (SEQ ID NO: 40), QMNLGVTLK (SEQ ID NO: 41), QMYLGVTLK (SEQ ID NO: 42), FMYAYPGCNK (SEQ ID NO: 44), FMCAYPFCNK (SEQ ID NO: 45), FMYAYPFCNK (SEQ ID NO: 46), 10 KLYHLQMHSR (SEQ ID NO: 48), KLSHLQMHSK (SEQ ID NO: 49), or KLYHLQMHSK (SEQ ID NO: 50). In another related embodiment there is provided a pharmaceutical composition comprising a therapeutically effective amount of the synthetic peptide of claim 1 or a DNA encoding the synthetic peptide; and a pharmaceutically acceptable 15 carrier. In aspects of this embodiment where the pharmaceutical composition comprises a DNA encoding the synthetic peptide, the DNA may be inserted into a vector or into an antigen-presenting cell. An example of an antigen presenting cell is a dendritic cell. In one aspect of this embodiment an analogue segment comprising the 20 synthetic peptide is derived from a native p210-b3a2 peptide, a native p210-b2a2 peptide or a native p190-ela2 peptide. The amino acid sequences for these analogue segments are as identified supra for p210-b3a2 and p210-b2a2 derived analogues. In a related aspect of this embodiment an analogue segment comprising the synthetic peptide is derived from a native peptide comprising the WT-1 protein. These amino 25 acid sequences for these WT1-derived analogue segments are as identified supra for WT-I derived analogues. 12 In still another related embodiment of the present invention, there is provided an immunogenic composition comprising an immunogenically effective amount of the synthetic peptides described supra and a pharmaceutically acceptable carrier, adjuvant or diluent or a combination thereof. The carrier may be a protein, a 5 peptide or an antigen-presenting cell linked to the synthetic peptide. Examples of a protein or peptide carrier are keyhole limpet hemocyanin, an albumin or a polyamino acid. An example of an antigen-presenting cell is a dendritic cell. The synthetic peptides and analogue segments comprising the synthetic peptides are as described supra. In aspects of this embodiment, the analogue segments may be derived from 10 those native peptides and the amino acid sequences may be those sequences described supra for a pharmaceutical composition. In another embodiment of the present invention, there is provided a method of inducing formation and proliferation of human cytotoxic T cells that produce a heteroclitic immune response against cancer cells, comprising contacting 15 human immune cells with the synthetic peptides described supra to activate the immune cells; and inducing formation and proliferation of human cytotoxic T cells reactive against the activated cells presenting at least the analogue segment of the synthetic peptide, where the proliferating T cells will cross react with the cancer cells presenting a native peptide from which said analogue segment is derived such that the 20 human cytotoxic T cells are capable of producing a heteroclitic immune response against the cancer cells. In this embodiment the method further comprises providing a DNA encoding the synthetic peptide and expressing the DNA. The DNA may be inserted into a suitable vector. Alternatively, the DNA may be inserted into an antigen 25 presenting cell. An example of an antigen-presenting cell is a dendritic cell. In one aspect of this embodiment the human immune cells are contacted in vivo in an individual having a cancer. In a related aspect the human 13 immune cells are contacted in vivo in a donor and the method further comprises obtaining the cytotoxic T cells from the donor and infusing the cytotoxic T cells into a recipient having a cancer. In another aspect the cells are contacted ex vivo and the method further 5 comprises obtaining the human immune cells from a donor prior to the contacting the human immune cells with the pharmaceutical composition and infusing the activated immune cells into an individual having a cancer prior to the inducing formation and proliferation of cytotoxic T cells. In a related aspect the cells are contacted ex vivo and the method further comprises obtaining human immune cells from a donor prior to 10 contacting the human immune cells. In this aspect, both contacting the human immune cells and formation and proliferation of the cytotoxic T-cells occurs er vivo, infusing the cytotoxic T-cells into an individual having a cancer. In all aspects of this embodiment, representative human immune cells may be peripheral blood mononuclear cells, bone marrow cells, dendritic cells, or 15 macrophages. The synthetic peptides and analogue segments comprising the synthetic peptides are as described supra. In aspects of this embodiment the analogue segments comprising the synthetic peptide may be derived from a native p210-b3a2 peptide, a native p210-b2a2 peptide, a native p190-ela2 peptide or from a native WT-1 peptide as described supra. Furthermore, the amino acid sequences of 20 these synthetic peptides or the analogue segments comprising the synthetic peptides may have an amino acid sequence as identified supra for p210-b3a2-, p210-b2a2- or WT- 1-derived analogues. In a related aspect WT- 1 analogue segments and p21 0-b3 a2 and p210 b2a2 derived analogue segments may induce a heteroclitic response against leukemic 25 cells. Representative leukemic cells are chronic myelogenous leukemic cells. In another related aspect WT-1 analogue segments may induce a heteroclitic response 14 against from breast cancer, lymphoma, mesothelioma, lung cancer, testicular cancer, or ovarian cancer. In yet another embodiment of the present invention there is provided a method of treating a cancer in a human, comprising administering the pharmaceutical 5 compositions described herein to the human; and inducing a heteroclitic response by cytotoxic T-cells that recognize at least the analogue segment of said synthetic peptide against cancer cells presenting a native peptide from which said analogue segment is derived, said cytotoxic T-cells recognizing or killing said cancer cells thereby treating the cancer. 10 The synthetic peptides or DNAs encoding the synthetic peptides are as described supra. In aspects of this embodiment the analogue segment comprising the synthetic peptides may be derived from a native p190 ela2 peptide, a native p210-b3a2 peptide, a native p210-b2a2 peptide, or from a native WT-1 peptide as described supra. Furthermore, the amino acid sequences of these synthetic peptide or 15 the analogue segments comprising the synthetic peptides are as identified supra for p210-b3a2-, p210-b2a2- or WT-1-derived analogue segments. In one aspect WT-1 at least the analogue segments comprising the synthetic peptides and p210-b3a2 and p210-b2a2 derived synthetic peptides may treat a leukemia. A representative leukemia is chronic myelogenous leukemic. In 20 another aspect WT-1 at least the analogue segments comprising the synthetic peptides may treat breast cancer, lymphoma, mesothelioma, lung cancer, testicular cancer, or ovarian cancer. In a related embodiment, there is provided a method of inducing a heteroclitic immune response in a human, comprising administering to the human an 25 effective amount of the immunogenic compositions described supra; activating human immune cells with the immunogenic composition; and inducing formation and proliferation of human cytotoxic T cells against the activated cells presenting at least 15 the analogue segment of the synthetic peptide comprising the immunogenic composition. In this method, the human cytotoxic T cells will cross-react with a cell comprising a cancer presenting a native peptide from which said analogue segment is derived, thereby inducing the heteroclitic immune response. 5 In one aspect of this embodiment, the human may have an active cancer, may be in remission from cancer or may be at risk of developing a cancer. In an alternative aspect of this embodiment human donates the cytotoxic T-cells to an individual having an active cancer, is in remission from cancer or is at risk of developing a cancer. 10 In aspects of this embodiment, the immunogenic compositions, the human immune cells and the synthetic peptides and the analogue segments comprising the synthetic peptides are as described supra. In one aspect at least WT-1 analogue segments and p210-b3a2 and p210-b2a2 derived analogue segment comprising synthetic peptides may induce a heteroclitic response in the human against leukemia. 15 A representative leukemia is chronic myelogenous leukemic. In another aspect at least WT-1 analogue segments may induce a heteroclitic response in the human against breast cancer, lymphoma, mesothelioma, lung cancer, testicular cancer, or ovarian cancer. Provided herein are synthetic immunogenic peptides with an amino 20 acid sequence containing at least an analogue segment of a native peptide that demonstrates improved binding over the native peptides to HLA A0201 or to HLA A0301 complexes. These synthetic peptides or analogue segments can stimulate T cells to cross-react with the native peptides thus eliciting a heteroclitic immune response that will recognize or kill cells presenting the native peptides. Such cells are 25 characteristic of a pathophysiological state, for example, but not limited to, a cancer. At least the analogue segments comprising the synthetic peptides will bind with more 16 affinity to the HLA class I and class II molecules that are instrumental in presenting the analogue segments to the T-cells than the native peptide itself. The synthetic peptide analogue segments are designed by making one or two amino acid substitutions in anchor or auxiliary residues. Although the native 5 peptides particularly described herein are nonamers encompassing the anchor or auxiliary residues, analogues may be designed having about 70% to about 130% of the amino acids in the native peptide. In the instant invention the synthetic peptide analogues may have about 8-12 amino acids. Such substitutions are determined by a bioinformatic model system (BIMAS) which uses a matrix approach to predict 10 binding and ranks the peptides based on predicted binding to the HLA molecule. The amino acid sequences and predicted score for binding to HLA A0201 and LA A0301 are generated by online software BIMAS available at http://bimas.dcrt.nih.gov/cgi bin/molbio/ken parker comboform and SYFPEITI available at http://syfpeithi.bmi heidelberg.com/. 15 The synthetic peptide may be a precursor to the analogue segment which may be a degradation product of the synthetic peptide. Such precursor may be a bcr-able fusion protein such that the synthetic analogue spans the breakpoint region of the fusion protein. Alternatively, the precursor may be a WT1 protein such that the analogue segments replaces a native peptide sequence within WT1. 20 Additionally, the synthetic peptide is or comprises analogue segments that may be analogues of the breakpoint region of the bcr-abl fusion protein, which is the oncogenic protein required for neoplasia in chronic myelogenous leukemia. The synthetic peptides are or comprise analogue segments derived from the junctional sequences of p210-b3a2, p210-b2a2 and p190-ela2. More preferably, the synthetic 25 peptides or the analogue segments are derived from p210-b3a2 and p210-b2a2 in which single or double amino acid substitutions were introduced into the peptides at key HLA A0201 binding positions. These high affinity peptide analogues were able 17 to generate specific CD8+ T cells far more efficiently than the native peptides and are capable of stimulating human CD8+ CTL heteroclitic responses that cross-react with the native sequences presented on leukemic cells. Preferred synthetic peptides or analogue segments are the p210-b3a2 5 analogues p2lOC, p210D, p210E, and p210F, more preferably p2l0C, and the p210 b2a2 analogues b2a2 A3, b2a2 A4 and b2a2 A5, more preferably b2a2 A3. Table 1 shows the amino acid sequences and binding predictions of native and synthetic analogues. The underlined K in the b3a2 and underlined blue E in b2a2 are the amino acids in the breakpoint. Highlighted residues represent modifications from the native 10 sequence. TABLE 1 HLA 0201 native peptides of ber-abl fusion protein and synthetic peptide analogues Name Native sequence Analogue BIMAS sequence score CMLA2 SSKALQRPV 0.003 SEQ ID NO: 1 p21OF YLKALQRPV 2.240 SEQ ID NO: 2 CMLA3 KQSS-KALQR 0.005 SEQ ID NO: 3 p2lOA KQSSKALQV 24.681 SEQ ID NO: 4 p2lOB KLSSKALQVj 243.432 SEQ ID NO: 5 p21OCn KALQRPVAS 0.013 SEQ ID NO: 6 p2lOC KLjLQRPVAVj 900.689 SEQ ID NO: 7 p2lODn TGFKQSSKA 0.120 _______SEQ ID NO: 8 ______ ____ p210D ____EDNO:_8 TLFKQSSKV 257.342 18 SEQ ID NO: 9 p210E YLFKQSSK 1183.775 SEQ ID NO: 10 b3a2A LTINKEEAL 0.247 SEQ ID NO: 11 b3a2 Al IINKEEAL 17.795 SEQ ID NO: 12 b3a2 A2 LTINKVEAL 21.996 SEQ ID NO: 13 b3a2 A3 YIINKEEAL 48.151 SEQ ID NO: 14 b3a2 A4 RINKEV 156.770 SE Q ID N O : 15 _ _ .747 b3a2 A5 YLINKIYEAL 110.747 SEQ ID NO: 16 The synthetic immunogenic peptides may be analogue segments or comprise analogue segments derived from WT1 protein. Computer prediction analysis, as described herein, predicted synthetic peptides analogues derived from 5 nonamer sequences of the WT1 protein in which single amino-acid substitutions were introduced at HLA A0201 binding and single or double amino acid substitutions were introduced at A0301 binding positions. These synthetic peptide analogues or analogue segments were able to generate specific CD8+ or CD3+ T cells far more efficiently than the native peptides and are capable of stimulating human CD8+ or 10 CD3+ CTL heteroclitic responses that cross-react with the native sequences presented on leukemic cells or on other cells that present these native WT-1 peptides. Tables 2 and 3 show the amino acid sequences and binding predictions of native WT-1 and synthetic WT-I peptide analogues. Highlighted residues represent modifications from the native sequence. 15 19 TABLE 2 HLA 0201 na ive peptides from WT- 1 and synthetic analogues Name Native sequence Analogue sequence BIMAS score WT-1A RMFPNAPYL 313 SEQ ID NO: 17 WT-1 XMFPNAPYL 1444 Al SEQ ID NO: 18 WT-1 B SLGEQQYSV 285 SEQ ID NO: 19 WT-1 :YLGEQQYSV 1311 B1 SEQ ID NO: 20 WT-1 C ALLPAVPSL 181 SEQ ID NO: 21 WT-1 'TLLPAVPSL 836 C1 SEQ ID NO: 22 WT-1 D NLGATLKGV 159 SEQ ID NO: 23 WT-1 YGATLKGV 735 D1 SEQ ID NO: 24 WT-1 E DLNALLPAV 11 SEQ ID NO: 25 WT-1 El IYLNALLPAV SEQ ID NO: 26 735 WT-1 F GVFRGIQDV 51 SEQ ID NO: 27 WT-1 GIletGIQDV 591 F 1 SEQ ID NO: 28 WT-1 G KRYFKLSHL 1 SEQ ID NO: 29 WT-1 KIJYFKLSHL 550 G1 SEQ ID NO: 30 WT-1 H ALLLRTPYS 1 SEQ ID NO: 31 WT-1 ALLLRTPYjI/ 1415 HI SEQ ID NO: 32 WT-1 J CMTWNQMNL 15 SEQ ID NO: 33 WT-1 Ji iYMTWNQMNL SEQ ID 70 NO: 34 20 TABLE 3 HLA 0201 native peptides from WT-1 and synthetic analogues Name Native sequence Analogue BIMAS sequence score A3WT-1 NMHQRNMTK 40 A SEQ ID NO: 35 A3WT-1 NMYQRNMTK 200 Al SEQ ID NO: 36 A3WT-1 NMHQ1(MTK 120 A2 SEQ ID NO; 37 A3WT-1 NMYQRN/MTK 600 A3 SEQ ID NO: 38 A3WT-1 QMNLGATLK 20 B SEQ ID NO: 39 A3WT-1 QMYLGATLK 100 B1 SEQ ID NO: 40 A3WT-1 QMNLGVTLK 60 B2 SEQ ID NO: 41 A3WT-1 QMYLGVTLK 300 B3 SEQ IDNO: 42 A3WT-1 FMCAYPGCNK 30 C SEQ ID NO: 43 A3WT-1 FlYAYPGCNK 150 C1 SEQ ID NO: 44 A3WT-1 FMCAYP&CNK 90 C2 SEQ ID NO: 45 A3WT-1 F1YAYPCNK 450 C3 SEQ ID NO: 46 A3WT-1 KLSHLQMHSR 18 D SEQ ID NO: 47 A3WT-1 KLYHLQMHSR 90 D1 SEQ ID NO: 48 A3WT-1 KLSHLQMHSKi 90 D2 SEQ ID NO: 49 A3WT-1 KLYHLQMHS(.' 450 D3 SEQ ID NO: 50 21 The present invention also provides a pharmaceutical composition of a therapeutic amount of the synthetic peptides or analogue segments or a genetic sequence or DNA encoding the same and a pharmaceutical carrier, as is known in the art. The pharmaceutical composition may be formulated with the pharmaceutical 5 carrier for administration by any of the many techniques known to those of skill in the art. For example, the pharmaceutical composition may be administered parenterally, intravenously, subcutaneously, intradermally, intramucosally, topically, orally, or by inhalation. Therefore, it is contemplated that the synthetic peptides or analogue 10 segments or pharmaceutical compositions thereof may be used in the preparation of an immunogenic composition suitable to effect immunization of a subject. The immunogenic composition may comprise a carrier or a suitable adjuvant to boost immune response or a combination thereof, as are known in the art. The immunogenic composition further may comprise a diluent standard in the art as described herein. 15 The immunogenic composition may comprise a vaccine. A carrier may comprise one or more proteins or peptides. Examples of carriers are well known and may be, although not limited to keyhole limpet hemocyanin, an albumin, such as human serum albumin or a polyamino acid. Additionally, a carrier may comprise a live antigen-presenting cell, such as a dendritic 20 cell, which presents the synthetic peptides described herein. A suitable adjuvant may be Freund's adjuvant, aluminum phosphate, aluminum hydroxide, alum, QS21, BCG. These compositions further may comprise a physiologically acceptable diluent, e.g., water, phosphate buffered saline or saline. Additionally, a genetic sequence encoding a synthetic peptide or an 25 analogue segment thereof may be delivered as naked DNA to an individual via appropriate methods known in the art. Alternatively, the genetic sequence may be introduced or inserted into a suitable vector, such as for example, but not limited to, 22 attenuated viral or bacterial vectors, as are standard in the art. Furthermore, the naked DNA or vectors comprising the genetic sequence or DNA may be transduced into an antigen-presenting cell, e.g., a dendritic cell. The genetic sequence, DNA, vector or transduced antigen-presenting cell may be introduced into an individual in need of the 5 treatment or into a healthy donor whereupon the DNA encoding the genetic sequence expresses the synthetic peptide to elicit a cytotoxic T-cell response. Donor T-cells may then be infused into a patient in need thereof. The pharmaceutical or immunogenic compositions may be used to treat a disease or a condition such as cancer. Administration of the synthetic peptides or 10 analogue segments comprising the pharmaceutical compositions induces a heteroclitic response against native peptides expressed on the cancer cells thereby effecting a therapeutic result. Native peptides of the breakpoint region of bcr-abl proteins and native peptides of WT-1 protein are expressed on leukemic cells in chronic myelogenous leukemia. Native WT-1 peptides are expressed on other leukemic cells 15 and, additionally, on cancerous cells of different solid tumors. Such cancers may be, although not limited to, breast, lymphoma, mesothelioma, lung, testicular, or ovarian cancers. It is contemplated that the synthetic peptides or synthetic analogue segments thereof or genetic sequences encoding the same or the pharmaceutical or the 20 immunogenic compositions thereof can induce human cytotoxic T cells to produce a heteroclitic immune response against cancerous cells, for example, leukemic cells. Contacting human immune cells with at least the analogue segment that is or comprises the synthetic peptides activates the immune cells to induce formation and proliferation of human cytotoxic T cells that will recognize or react against a cell 25 presenting the synthetic peptide. Such cytotoxic T cells cross react with human cells presenting the native peptides from which the analogue segment is derived thereby producing a heteroclitic response. 23 One of ordinary skill in this art would recognize the word "contacting" in terms of activating target immune cells to elicit a subsequent immune response as referring to any suitable delivery method of bringing an immunogenic agent into contact with the target cells. In vitro or ex vivo this is achieved by exposing the target 5 cells to the agent in a suitable medium. For in vivo applications, any known method of administration is suitable as described herein. Thus, the synthetic peptides or analogue segments thereof described herein may be used to activate T-cells ex vivo or in vivo. In vivo, the synthetic peptides or analogue segments thereof or DNA encoding the same may be 10 administered to a patient or to a healthy donor to induce cytotoxic T-cells. If administered to a donor these cytotoxic T-cells are obtained from the donor and infused into an individual in need of them, such as an individual with an active cancer, in remission from a cancer or at risk for developing a cancer. Ex vivo, the T cells are obtained from a patient or from a healthy donor 15 and are incubated in the presence of antigen presenting cells and a synthetic peptide or at least an analogue segment thereof to activate the T-cells. The activated T-cells subsequently are infused back into the patient where they will recognize and/or destroy cells presenting the native peptide. Alternatively, human immune cells may be incubated with the synthetic peptide or at least an analogue segment thereof 20 whereupon the activated immune cells are infused back into the patient to induce T cell production against both the activated cells and cell presenting the native peptide. Examples of immune cells may be peripheral blood mononuclear monocytic cells, bone marrow cells, dendritic cells, or macrophages. It is contemplated further that administration of the synthetic peptide 25 or at least an analogue segment thereof or pharmaceutical compositions thereof induces an immune response in a subject, preferably, although not limited to, a CD8/HLA A or CD3/HLA A class I immune response. As such, the synthetic 24 peptides or at least an analogue segment thereof may be used in a method of immunizing a subject against a pathophysiologic condition or disease presenting HLA molecules, e.g., a leukemia, such as chronic myelogenous leukemia. Additionally, WT 1 synthetic peptides or at least analogue segments thereof may be used to induce an 5 immune response in a subject with other leukemias or cancers such as, although not limited to, breast, lymphoma, mesothelioma, lung, testicular, or ovarian cancers. As used herein, immunizing or immunization of a subject encompasses full and partial immunization whereby the subject becomes fully immune to the condition or partially immune to the condition. The subject may be a mammal, preferably a human. 10 The subject may have a condition or disease which may be active or in remission, prior to immunization. Alternatively, if at risk for developing the disease or condition, the subject may be immunized prior to such development. One of ordinary skill in the art would be able to assess the risk factors, such as environmental risk factors or personal risk factors, such as family history, genetic makeup or 15 behavior, to make a determination of risk in the subject. The pharmaceutical compositions and immunogenic compositions may be administered one or more times to achieve a therapeutic or an immunogenic effect. It is well within the skill of an artisan to determine dosage or whether a suitable dosage comprises a single administered dose or multiple administered doses. An 20 appropriate dosage depends on the subject's health, the progression or remission of the disease, the route of administration and the formulation used. The following examples are given for the purpose of illustrating various embodiments of the invention and are not meant to limit the present invention in any fashion. 25 25 EXAMPLE 1 Synthetic Peptides Each of the peptides utilized in this study was purchased and was synthesized by Genemed Synthesis Inc, CA using fluorenylmethoxycarbonyl 5 chemistry, solid phase synthesis and purified by high pressure liquid chromatography. The quality of the peptides was assessed by high-performance liquid chromatography analysis and the expected molecular weight was observed using matrix-assisted laser desorption mass spectrometry. Peptides were sterile and > 90% pure. The peptides were dissolved in DMSO and diluted in phosphate-buffered LO saline (PBS) at pH 7.4 or saline to give a concentration of 5 mg/ml and were stored at 80*C. For in vitro experiments an irrelevant control peptide, HLA A24 consensus, was used. EXAMPLE 2 15 Cell lines Cell lines were cultured in RPMI 1640 medium supplemented with 5% FCS, penicillin, streptomycin, 2mM glutamine and 2-mercaptoethanol at 37 *C in humidifier air containing 5% C02. SKLY-16 is a human B cell lymphoma expressing HLA A020 land T2 is a human cell line lacking TAPI and TAP2 and therefore unable 20 to present peptides derived from cytosolic proteins. EXAMPLE 3 T2 assay for peptide binding and stabilization of HLA A0201 molecules T2 cells (TAP -, HLA-A0201 +) were incubated overnight at 27 *C at 25 1 x 10E6 cells/ml in FCS-free RPMI medium supplemented with 5 Rg/ml human B2m (Sigma, St Louis, MO) in the absence, i.e., negative control, or presence of either a positive reference tyrosinase peptide or test peptides at various final concentrations 26 of 50, 10, 1, and 0.1pg/ml. Following a 4 h incubation with 5 gg/ml brefeldin A (Sigma), T2 cells were labeled for 30 min at 4 *C with a saturating concentration of anti-HLA-A2.1 (BB7.2) mAb, then washed twice. The cells then were incubated for 30 min at 4 *C with a saturating concentration of FITC-conjugated goat IgG F(ab')2 5 anti-mouse Ig (Caltag, South San Francisco, CA), washed twice, fixed in PBS/1 % paraformaldehyde and analyzed using a FACS Calibur cytofluorometer (Becton Dickinson, Immunocytometry systems, San Jose, CA). The mean intensity of fluorescence (MIF) observed for each peptide concentration, after subtraction of the MIF observed without peptide, was used as an 10 estimate of peptide binding. Stabilization assays were performed similarly. Following initial evaluation of peptide binding at time 0, cells were washed in RPMI complete medium to remove free peptides and incubated in the continuous presence of 0.5 pg/ml brefeldin-A for 2,4,6, and 8 hours. The amount of stable peptide-HLA A2.1 complexes was estimated as described above by indirect imimunofluorescence 15 analysis. The half time of complexes is an estimate of the time required for a 50% reduction of the time 0 mean intensity of fluorescence value. EXAMPLE 4 Competition Radioimmunoassay 20 Target cells were washed two times in PBS with 1% bovine serum albumin (Fisher Chemicals, Fairlawn, NJ). Cells were resuspended at 10 7 /ml on ice and the native cell surface bound peptides were stripped for 2 minutes at 0' C using citrate-phosphate buffer in the presence of beta 2 microglobulin 3 mg/ml. The pellet was resuspended at 5 to 10 x10 6 cells/ml in PBS/l% BSA in the presence of 3 mg/ml 25 beta 2 microglobulin and 30 mg/ml deoxyribonuclease and 200 ml aliquots were incubated with HLA-specific peptides for 10 min at 20*C. 27 Binding of 2 1-labeled peptide with or without competitive unlabeled peptide was done for 30 min at 20*C. Total bound "I was determined after two washes using PBS/2% BSA and one wash with PBS. Relative affinities were determined by comparison of escalating concentrations of the test peptide versus a 5 known binding peptide. Peptides of affinities < 500 nM were chosen for use. A specificity analysis of the binding of peptide to HLA on the live cell surface (SKLY-16) was conducted to confirm that the binding was to the appropriate HLA molecule and to characterize its restriction. This included competition with excess unlabeled peptides known to bind to the same or disparate HLA molecules and 10 use of target cells which expressed the same or disparate HLA types. This assay was performed on live fresh or 0.25% paraformaldehyde-fixed human peripheral blood mononuclear cells (PBMC), leukemia cell lines and EBV-transformed T-cell lines of specific HLA types. The relative avidity of the peptides found to bind MHC molecules on the specific cells were assayed by competition assays as described 15 above against I 25 1-labeled peptides of known high affinity for the relevant HLA molecule, e.g., tyrosinase or HBV peptide sequence. EXAMPLE 5 In vitro immunization and human T cell cultures 20 After informed consent, peripheral blood mononuclear cells from HLA-A0201 positive healthy donors and chronic myeloid leukemia patients were obtained by Ficoll-density centrifugation. Peripheral blood dendritic cells (DCs) were generated as follows: Monocyte-enriched peripheral blood mononuclear cell fractions were isolated, using a plastic adherence technique, from total peripheral blood 25 mononuclear cells. The plastic-adherent cells were cultured further in RPMI 1640 medium supplemented with 1-5% autologous plasma, 1000 U/mL recombinant human 28 interleukin (IL)-4 (Shering-Plough, NJ), and 1000 U/mL recombinant human granulocyte-macrophage colony-stimulating factor (GM-CSF) (Immunex, Seattle). On days 2 and 4 of incubation, part of the medium was exchanged for fresh culture medium supplemented with IL-4 and GM-CSF and culture was 5 continued. On day 6, half of the medium was exchanged for culture medium supplemented with IL-4, GM-CSF, and 10 ng/mL recombinant human tumor necrosis factor (TNF)-alpha (R&D system) and 500 ng/ml of trimeric soluble CD40L (Immunex, Seattle). On day 9, the cells were harvested and used as monocyte-derived dendritic cells for antigen stimulation. The cells generated expressed dendritic cell 10 associated antigens, such as CD80, CD83, CD86, and HLA class I and class II on their cell surfaces (data not shown). T lymphocytes were isolated from the same donors by use of negative selection by depletion with an anti-CD11b, anti-CD56 and CD19 monoclonal antibody (Miltenyi, CA). A total of lxlOE6 of pure T lymphocytes were cultured 15 with 1xOE5 autologous dendritic cells in RPMI 1640 medium supplemented with 5% heat-inactivated human autologous plasma with bcr-abl synthetic peptides at a concentration of 10 pg/mL and b2 microglobulin at 2gg/ml in a 24 well plates in the presence of 5-10 ng/mL recombinant human IL-7 (Genzyme) and 0.1 ng/ml of IL-12. After culture for 3 days 20 U/ml of IL-2 was added. After 10 days, 20 lxlOE6 cells were stimulated again by adding 2x10e5 autologous magnetically isolated CD14+ monocytes together with 10 ng/ml of 11-7 and 20U/ml of IL-2 and peptide at a concentration of 10 pg/mL. In some cases, after culture for another 7 days, the cells were stimulated a third time in the same manner. After the second or third stimulation, CD8 T cells were isolated magnetically and cytotoxicity and gamma-EFN 25 secretion of these cells were examined. 29 EXAMPLE 6 Gamma interferon ELISPOT HA-Multiscreen plates (Millipore, Burlington, MA) were coated with 100 pl of mouse-anti-human IFN-gamma antibody (10 jig/ml; clone 1-D1K, Mabtech, 5 Sweden) in PBS, incubated overnight at 4*C, washed with PBS to remove unbound antibody and blocked with RPMI/ autologous plasma for 1 h at 37 *C. Purified CD8+ T cells, more than 95% pure, were plated at a concentration of 1x10 5 /well. T cells were stimulated with lxlOE4 T2 cells per well, pulsed with 10 jig/ml of 82 microglobulin (Sigma, St. Louis) and either 50 jig/ml of test peptide, positive control 10 influenza matrix peptide, or irrelevant control peptide at a final volume of 100-200 pl/well. Control wells contained T2 cells with or without CD8+ cells. Additional controls included medium or CD8+ alone plus PBS/5% DMSO diluted according to the concentrations of peptides used for pulsing T2 cells. After incubation for 20 hours at 37 *C, plates were washed extensively 15 with PBS/0.05% Tween and 100 pl/well biotinylated detection antibody against human IFN-g at 2 jig/ml (clone 7-B6-1, Mabtech, Sweden) were added. Plates were incubated for an additional 2 hours at 37 *C and spot development was performed. Spot numbers were automatically determined with the use of a computer-assisted video image analyzer with KS ELISPOT 4.0 software (Carl Zeiss Vision, Germany). 20 EXAMPLE 7 Cytotoxicity assay The presence of specific CTLs was measured in a standard 4 h chromium release assay. 4xl0E6 targets were labeled with 300jiCi of Na 2 "CrO 4 25 (NEN Life Science Products, Inc. Boston, MA) for 1 hour at 37 *C. After washing, cells at 2x10E6/ml were incubated with or without synthetic peptides at a concentration of 10jig/ml for 2 hours at 20 *C in presence of B 2 microglobulin at 30 3gg/ml. After washing by centrifugation, target cells were resuspended in complete media at 5x10E4 cells per ml and plated in a 96 well U-bottom plate (Becton Dickinson*, NY) at 5x10E3 cells per well with effector cells at effector to target ratios (E/T) ranging from 100:1 to 10:1. Plates were incubated for 5 hours at 37C in 5% 5 CO 2 . Supernatant fluids were harvested and radioactivity was measured in a gamma counter. Percent specific lysis was determined from the following formula: 100x [(experimental release minus spontaneous release)/(maximum release minus spontaneous release)]. Maximum release was determined by lysis of targets in 2.5% 10 Triton X-100. EXAMPLE 8 Identification and generation of peptides with a high probability to bind to HLA 0201 Amino acid sequences of the human b3a2 and b2a2 fusion proteins 15 were scanned for peptides with potential binding capacity for ILA A0201, a subtype encompassing 95% of the HLA-A02 allele. HLA-A0201 is expressed in about 40% of the Caucasian population. No peptides with high or intermediate affinity were identified in the native b3a2 or b2a2 fusion proteins with > than 1 minute of predicted half life. One peptide that does not exhibit the consensus HLA 0201 binding motifs 20 has been described but it has weak avidity to MHC. Based on this information and by using the software of the Bioinformatics & Molecular Analysis Section (National Institutes of Health, Washington, DC) available at http://bimas.dcrt.nih.gov/cgi-bin/molbio/ken parker comboform. This software ranks 9-mer or 10-mer peptides on a predicted half-time 25 dissociation coefficient from HLA class I molecules (Pinilla, et al. Curr Opin Immunol, 11(2): p. 193-202 (1999)). Analogue peptides were designed by changing one or both anchor amino acids or additional amino acids adjacent to anchor amino 31 acids. Single or double amino acid substitutions were introduced at HLA A0201 preferred residues at positions 1, 2, 6 and 9 (Table 1) to yield sequences that had comparatively high binding scores predicted for HLA A0201 molecules. The predicted half life for binding to HLA A0201 was greater than 240 5 minutes in four synthetic peptides and less than 240 in seven. All the native peptides were predicted to have less than an hour of half life. Most of the substitutions affected the primary or secondary anchor motifs, i.e., leucine in position 2 or valine in position 9 or position 6, but in some cases, a tyrosine was substituted in position 1. This substitution has been shown to stabilize the binding of position 2 anchor residue. 10 EXAMPLE 9 Binding of HLA-A0201 by synthetic peptides analogues of b2a2 and b3a2 native peptides The immunogenicity of MHC class I-restricted peptides requires the 15 capacity to bind and stabilize MHC class I molecules on the live cell surface. Moreover the. computer prediction models above have only 60-80% predictive accuracy. Direct measurement of the strength of the interaction between the peptides and the HLA-A0201 molecule was made using a conventional binding and stabilization assay that uses the antigen-transporting deficient (TAP2-) HLA-A0201 20 human T2 cells. T2 cells lack TAP function and consequently are defective in properly loading class I molecules with antigenic peptides generated in the cytosol. The association of exogenously added peptides with thermolabile, empty HLA-A2 molecules stabilizes them and results in an increase in the level of surface HLA-A0201 recognizable by specific mAb such as BB7.2. 25 Seven out of the eleven peptides designed to have higher binding scores exhibited a relatively high binding affinity for HLA A0201 molecules as measured by the T2 assay (Figures 1A-IB). A rough correlation between binding scores and 32 binding affinity was established, thus indicating the partial utility of the computer generated binding scores for predicting peptides that will bind to MHC class I molecules on live cells. Some of these peptides demonstrated the same order of binding affinity as that of viral antigen such as influenza, which are among the most 5 potent known antigens for CTL induction. In four cases a good correlation between computer predicted half-life and T2 stabilization was not found. One of the peptides derived from b3a2, p210C, was mutated from a peptide that did not have a good prediction score. However, the native sequence is able to bind HLA A0201 weakly and at the same level that the previously described 10 CMLA2 peptide. To design p210C, a neutral alanine in position two was substituted by a leucine and a serine in position nine was substituted by a valine. p210C has a high BIMAS score that correlated with T2 binding assay data (Figure 1A). p2lOF is a peptide derived from the sequence previously described by Yotonda et al. CMLA2, shown to be a weak binder in the T2 assay. In p2OF the 15 two serines in position one and two were substituted by a tyrosine and a leucine. The BIMAS prediction showed a 700 fold improvement and the binding to T2 cell revealed an excellent avidity for HLA A0201 molecules (Figure 1A). Of the peptides derived from b2a2, all were generated from a peptide that not predict a good binding to HLA A0201. Three peptides, b2a2 A3-A5 (Table 20 1) bound well to HLA A0201 molecules (Figure 1B). These three peptides have a tyrosine-leucine sequence substitution at position 1 and 2 and also a valine substitution in position 6 or 9. EXAMPLE 10 25 Assessment of the dissociation time of b2a2 and b3a2 synthetic peptides analogues from HLA A0201 The immunogenicity of peptide antigens depends on a low dissociation rate of MHC/peptide complexes. The stability of complexes formed between HLA 33 A0201 and the b3a2 analogue peptides was assayed on T2 cells over time. Overnight incubation of T2 cells with saturating amounts of HLA-A0201 binding peptides and human p2 microglobulin resulted in increased surface expression of HLA-A0201 molecules. After peptide removal and addition of Brefeldin A to inhibit protein 5 synthesis, T2 cells were incubated at 37 *C and the amount of HLA-A0201 molecules remaining at the cell surface was determined after various incubation times. The stability of each peptide/HLA-A0201 complex was then normalized relative to that observed for the tyrosinase D peptide or HIV gag peptide which are peptides with known high affinity and half life. HLA-A0201 complexes 10 formed with peptides p2OA and p2 OB were unstable, reaching background levels in less than 1 h of incubation at 37"C. In contrast, peptides p2lOC, p21OD, p2lOE and p21 OF formed complexes that were relatively stable over 6-8 hours. EXAMPLE11 15 Induction of CD8 immune response against b2a2 and b3a2 synthetic peptide analogues While affinity for MHC molecules is necessary for peptide immunogenicity, there is also a requirement for presence of reactive precursor T cells with appropriate T cell receptors. Using an optimized T cell-expansion system, with 20 monocyte derived DC, CD14+ cells as APC, and purified T cells, the ability of the synthetic b3a2 and b2a2 analogues to stimulate peptide-specific CTLs is examined. Ten healthy HLA A0201 donors as well 5 patients with CML were studied. Five out of the ten individuals responded to immunization, generating T cells that secreted IFN gamma when challenged with different peptide-pulsed T2 25 cells as targets. p210D and p210E produced an immune response in some of the donors tested although p210C and p21OF generated a more consistent and higher 34 immune-responses (Figure 2A). Responses were observed after the second or third round of peptide stimulation after CD8+ isolation or in unpurified CD3+ T cells. The spot numbers were consistently higher with peptides that bound with higher affinity to HLA 0201 molecules as determined by T2 assay. More 5 importantly, T cells generated in the presence of the new synthetic analogues were able to recognize the native sequences. p21OC and p21 OF were able to stimulate T cells to recognize their respective native sequences (Figure 2A). CML A2, the native sequence from p2lOF is a natural weak binder and there is indirect evidence that it can be naturally expressed in the surface of chronic myelogenous leukemia blasts. No 10 immune response could be generated against the p2OA and p2 OB, despite attempts using different donors. This result is consistent with their reduced affinity for MHC. A chronic myelogenous leukemia patient in chronic phase HLA A0201 responded to p210C stimulation of T cells and demonstrated T-cell cross-reactivity with native p21Ocn peptide. Response was observed after the second round of T-cell 15 stimulation in vitro (Figure 2B). The peptides derived from b2a2 also generated a significant immune response as measured by gamma interferon secretion CD3+ T cells. Peptides b2a2A3, A4 and A5 generated an immune response in two healthy donors (Figure 3A). The response against b2a2 A3 was more consistent between donors. T cells 20 generated in the presence of b2a2 A3 were able to identify the original native sequence. This is of special relevance because the native sequence is a weak/intermediate binder to HLA. Again, a CML patient in chronic phase HLA A0201 responded to b2a2 A3 stimulation of T cells and demonstrated T-cell cross reactivity with native b2a2 A peptide (Figure 3B). 25 Gamma interferon ELISPOT is not always associated with functional killing. Therefore the T cell lines obtained after several stimulations with the analogue peptide were tested in a classic chromium-51 assay using peptide pulsed target cell 35 lines. T cells generated in vitro in the presence of p2OC (Figure 4A) and b2a2 A3 (Figure 4B) were able to kill T2 cell line pulsed with specific peptides but not without peptide or with control peptide. This experiment was also performed using HLA matched chronic myelogenous leukemia cell lines or CML blasts expressing the 5 respective translocation b3a2 or b2a2. Significant cytotoxicity was generated raising the possibility that the native peptides were not naturally processed and/or sufficiently expressed in the surface of the leukemic cells. EXAMPLE 12 10 Binding of HLA-A0201 and -A0301 by synthetic peptide analogues derived from the WT1 oncoprotein Thermostabilization assays using a TAP1/2 negative cell line (T2) and a modified protocol using Raji A0301 cells showed that several peptides that were predicted to be good binders to HLA A0201 or A0301 molecules, could stabilize 15 MHC class I A0201 or A0301 molecules (Table 2). The synthetic analogues WTl A1, -B 1, C1, and -D1 all predicted to bind HLA A0201 better than the respective native WT-1 peptides demonstrated similar or increased binding compared to WT1-A, -B, C, and D (Figure 5A). WT1-D1 demonstrated a significantly higher level of binding to HLA-A0201 over WTI-D which was similar to control. A comparison of 20 HLA A0301 binding of A3WT1-A, -B, -C, and -D with each of their respective three analogues demonstrated relatively similar binding (Figures 5B-5E). EXAMPLE 13 Induction of CD8 or CD3 immune response against synthetic peptide analogues 25 derived from the WT1 oncoprotein Cells were primarily stimulated with autologous monocyte-derived, peptide-pulsed dendritic cells generated in the presence of GM-CSF, IL-4, TNF 36 alpha, PGE2 and CD40L and re-stimulated with peptide-pulsed CD 14+ monocytes in the presence of IL-2 and IL-7. After two to four stimulations, the CD8+ CTL lines were assessed by either IFN alpha ELISPOT or a chromium release assay using pulsed, HLA-matched leukemic cell lines (Figures 6A-6B). Several analogue peptides 5 generated greater immune responses, i.e., increased CD8 T cell precursor frequency, in comparison with the native peptides (Figures 7A-7D). CD8+ T cells stimulated with the new synthetic peptides cross-reacted with the native WT1 peptide sequence and are able to kill HLA matched chronic myelogenous leukemia blasts (Figures 8A-8B). The following references are cited herein: 10 1. Kessler et al. J Exp Med, 185(4): p. 629-40 (1997). 2. Dyall et al. J Exp Med, 188(9): p. 1553-61 (1998). 3. Valmori et al. J Immunol, 165(1): p. 533-8 (2000). 4. Valmori et al. J Immunol, 164(2): p. 1125-31 (2000). Any patents or publications mentioned in this specification are 15 indicative of the levels of those skilled in the art to which the invention pertains. Further, these patents and publications are incorporated by reference herein to the same extent as if each individual publication was incorporated specifically and individually by reference. One skilled in the art will readily appreciate that the present invention 20 is well adapted to carry out the objects and obtain the ends and advantages mentioned, as well as those inherent therein. The present examples along with the methods, procedures, treatments, molecules, and specific compounds described herein are presently representative of preferred embodiments, are exemplary, and are not intended as limitations on the scope of the invention. Changes therein and other uses 25 will occur to those skilled in the art which are encompassed within the spirit of the invention as defined by the scope of the claims. 37

Claims (38)

1. A synthetic peptide, comprising: a sequence of amino acids containing at least a segment that is an analogue of a native peptide that specifically binds to HLA A0201 or HLA A0301 molecules on a cell characteristic of a pathophysiologic state in a 5 mammal, wherein the segment is selected from among YLGEQQYSV (SEQ ID NO: 20), YLLPAVPSL (SEQ ID NO: 22), YLGATLKGV (SEQ ID NO: 24), YLNALLPAV (SEQ ID NO: 26), GLRRGIQDV (SEQ ID NO:28),KLYFKLSHL (SEQ ID NO: 30), ALLLRTPYV (SEQ ID NO: 32), YMTWNQMNL (SEQ ID NO: 34), NMYQRNMTK (SEQ ID NO: 36), NMHQRVMTK (SEQ ID NO: 37), 10 NMYQRVMTK (SEQID NO: 38), QMYLGATLK (SEQ ID NO: 40), QMNLGVTLK (SEQ ID NO: 41), QMYLGVTLK (SEQID NO: 42), FMYAYPGCNK (SEQ ID NO: 44), FMCAYPFCNK (SEQ ID NO: 45), FMYAYPFCNK (SEQ ID NO: 46), KLYHLQMHSR (SEQ ID NO: 48), KLSHLQMHSK (SEQ ID NO: 49), and KLYHLQMHSK (SEQ ID NO: 50). 15

2. The synthetic peptide of claim 1, wherein said amino acids comprise a precursor to said analogue segment which is a degradation product thereof.

3. The synthetic peptide of claim 1, wherein said precursor is WTI, said analogue segment replacing a native peptide sequence therein.

4. The synthetic peptide of claim 1, further comprising: an immunogenic carrier 20 linked thereto.

5. The synthetic peptide of claim 4, wherein said immunogenic carrier is a protein, a peptide or an antigen-presenting cell.

6. The synthetic peptide of claim 5, wherein said protein or peptide is keyhole limpet hemocyanin, an albumin or a polyamino acid. 25

7. The synthetic peptide of claim 5, wherein said antigen presenting cell is a dendritic cell.

8. The synthetic peptide of claim 1, wherein a total number of amino acids in said analogue segment is about 70% to about 130% of a total number of amino acids in said native peptide. 38

9. The synthetic peptide of claim 8, wherein said analogue segment has about 8 to about 12 amino acids.

10. The synthetic peptide of claim 1, wherein said pathophysiologic state is a cancer selected from the group consisting of leukemia, breast cancer, lymphoma, 5 mesothelioma, lung cancer, testicular cancer, and ovarian cancer.

11. The synthetic peptide of claim 10, wherein said leukemia is a chronic myelogenous leukemic cell.

12. The synthetic peptide of claim], wherein said mammal is a human.

13. A method of inducing formation and proliferation of human cytotoxic T cells 10 that produce a heteroclitic immune response against cancer cells, comprising: contacting human immune cells with the synthetic peptide of claim I to activate said immune cells; and inducing formation and proliferation of said human cytotoxic T cells reactive against the activated cells presenting at least the analogue segment of said synthetic peptide, wherein said proliferating T cells will cross react with the cancer 15 cells presenting a native peptide from which said analogue segment is derived, said human cytotoxic T cells thereby capable of producing a heteroclitic immune response against cancer cells.

14. The method of claim 13, wherein said human immune cells are contacted in vivo in an individual having a cancer. 20

15. The method of claim 13, wherein said human immune cells are contacted in vivo in a donor, the method further comprising: obtaining said cytotoxic T cells from the donor; and infusing said cytotoxic T cells into an individual having a cancer.

16. The method of claim 13, wherein said human immune cells are contacted ex vivo, the method further comprising: obtaining human immune cells from a donor prior 25 to said contacting step; and infusing said activated immune cells into an individual having a cancer prior to said inducing step.

17. The method of claim 13, wherein said human immune cells are contacted ex vivo, the method further comprising: obtaining human immune cells from a donor prior to said contacting step, wherein after said contacting step formation and proliferation of 39 the cytotoxic T-cells occurs ex vivo ; and infusing said cytotoxic T-cells into an individual having a cancer.

18. The method of claim 13, further comprising: providing a DNA encoding the synthetic peptide; and expressing said DNA. 5

19. The method of claim 18, wherein said DNA is inserted into a vector or into an antigen presenting cell.

20. The method of claim 13, wherein the human immune cells are peripheral blood mononuclear cells, bone marrow cells, dendritic cells, or macrophages.

21. The method of claim 13, wherein said cancer cells are from a cancer selected 10 from the group consisting of leukemia, breast cancer, lymphoma, mesothelioma, lung cancer, testicular cancer, and ovarian cancer.

22. The method of claim 21, wherein said leukemia is chronic myelogenous leukemic cell.

23. A pharmaceutical composition, comprising: a therapeutically effective amount 15 of the synthetic peptide of claim I or a DNA encoding said synthetic peptide; and a pharmaceutically acceptable carrier.

24. The pharmaceutical composition of claim 23, wherein said DNA is inserted into a vector or into an antigen presenting cell.

25. A method of treating a cancer in a human, comprising: administering the 20 pharmaceutical composition of claim 23 to said human; and inducing a heteroclitic response by cytotoxic T-cells that recognize at least the analogue segment of said synthetic peptide against cancer cells presenting a native peptide from which said analogue segment is derived, said cytotoxic T-cells recognizing or killing said cancer cells thereby treating the cancer. 25

26. The method of claim 25, wherein said cancer is selected from the group consisting of leukemia, breast cancer, lymphoma, mesothelioma, lung cancer, testicular cancer, and ovarian cancer. 40

27. The method of claim 26, wherein said leukemia is chronic myelogenous leukemia.

28. An immunogenic composition comprising an immunogenically effective amount of the synthetic peptide of claim I and a pharmaceutically acceptable carrier, 5 adjuvant or diluent or a combination thereof.

29. The immunogenic composition of claim 28, wherein said immunogenic carrier is a protein, a peptide or an antigen presenting cell linked to said synthetic peptide.

30. The immunogenic composition of claim 29, wherein said protein or peptide is keyhole limpet hemocyanin, an albumin or a polyamino acid. 10

31. The immunogenic composition of claim 29, wherein said antigen presenting cell is a dendritic cell.

32. A method of inducing a heteroclitic immune response in a human, comprising: administering to said human an effective amount of the immunogenic composition of claim 28; activating human immune cells with said immunogenic composition; and 15 inducing formation and proliferation of human cytotoxic T cells against the activated cells presenting at least the analogue segment of the synthetic peptide comprising said immunogenic composition, wherein said human cytotoxic T cells will cross-react with a cell comprising a cancer presenting a native peptide from which said analogue segment is derived, thereby inducing said heteroclitic immune response. 20

33. The method of claim 32, wherein said human has an active cancer, is in remission from cancer or is at risk of developing a cancer.

34. The method of claim 32, wherein said human donates said cytotoxic T-cells to an individual having an active cancer, is in remission from cancer or is at risk of developing a cancer. 25

35. The method of claim 32, wherein the human immune cells are peripheral blood mononuclear cells, bone marrow cells, dendritic cells, or macrophages.

36. The method of claim 32, wherein said cancer is selected from the group consisting of leukemia, breast cancer, lymphoma, mesothelioma, lung cancer, testicular cancer, and ovarian cancer. 41

37. The method of claim 36, wherein said leukemic is a chronic myelogenous leukemia.

38. A synthetic peptide having an amino acid sequence selected from the group consisting of NMYQRNMTK (SEQ ID NO: 36), NMHQRVMTK (SEQ ID NO : 37), 5 NMYQRVMTK (SEQ ID NO: 38), QMYLGATLK (SEQ ID NO: 40), QMNLGVTLK (SEQ ID NO : 41), QMYLGVTLK (SEQ ID NO : 42), FMYAYPGCNK (SEQ ID NO : 44), FMCAYPFCNK (SEQ ID NO: 45), FMYAYPFCNK (SEQ ID NO: 46), KLYHLQMHSR (SEQ ID NO: 48), KLSHLQMHSK (SEQ ID NO : 49), or KLYHLQMHSK (SEQ ID NO : 50) or a 10 composition comprising combinations thereof. 42