AU2014202667B2 - Antibodies with immune effector activity and that internalize in folate receptor alpha-positive cells - Google Patents

Abstract

A method for treating fodate receptoriapha-positive ovarian cancer irn a subject in need of treatment of said cancer includes administering to the subject a therapeuticaly effective amount of an antibody that specifically binds folate receptor-alpha, wherein said antibody is produced by ces having American Type CAlture Colection accession number PTA-7552,

Description

Regulation 3.2 Revised 2/98 AUSTRALIA Patents Act, 1990 ORIGINAL COMPLETE SPECIFICATION APPLICANT/S: Morphotek, Inc, INVENTORS: GRASSO, Luigi NICOLAIDES, Nicholas C SASS, Phillip M ADDRESS FOR SERVICE: Peter Maxwell and Associates Level 6 60 Pitt Street SYDNEY NSW 2000 INVENTION TITLE: ANTIBODIES WFTH IMMUNE EFFECTOR ACTIITY AND THAT INTERNALIZE IN FOLATE RECEPTOR ALPHA-POSITIVE CELLS DETAILS OF ASSOCIATED APPLICATION NO(S): Divisional of Australian Patent Application No. 2012 205 242 filed on 19 July 2012 The following statement is a full description of this invention including the best method of performing it known to us: 1 m:\docs\20061 252\322583.doc ANTIBODIES WITH IMNE EFFECTOR ACTIVTY AND THAT INTERNAL IN FOLATE RECEPTOR ALPHA-POSITIVE CELLS CROSS-REFERENCE TO RELATED APPLICATION [0001] This claims benefit of U.S. Provisional Application 60/674,185, filed April 22, 2005, which is incorporated herein by reference in its entirety. FIELD OF THE INVENTION [0002] This invention relates to the use of monoclonal and polyclonal antibodies that specifically bind to and alternatively become internalized by cells expressing or bearing folate receptor alpha (ERA) ("FRApositive cells") and induce an immune effector activity such as antibody dependent cellular cytotoxicity. The antibodies are useful in specific delivery of pharmacologic agents to FRA-positive cells as well as in eliciting an immune-effector activity particularly on tumor and dysplastic cells. The invention is also related to cells expressing the monoclonal antibodies, polyclonal antibodies, antibody derivatives, such as chimeric and humanized monoclonal antibodies, antibody fragments, methods of detecting FRA-positive cells, and methods of treating cancer using the antibodies of the invention. BACKGROUND OF THE INVENTION [0003] There are three major isoforms of the human membrane folate binding proteins, a, P, and y The a and 0 isoforms have about 70% amino acid sequence homology and differ dramatically in their stereospecificity for some folates. Both isoforms are expressed in both fetal and adult tissue, although normal tissue generally expresses low to moderate amounts of FR-p. FR-a, however, is expressed in a subset of normal epithelial cells, and is frequently striingly elevated I a vanevyar o camomas (Ross etal (1994) Cancer 73(9):2432-2443; Rettig et al. (1988) Proc, Natl Acad Sci. USA 85:3110-3114; Campbel etaL (1991) Cancer Res. 51:5329 5338; Coney et al (1991) Cancer Res. 51:6125-6132; Weitman et al (1992) Cancer Res. 52:3396-3401; Garin-Chesa et at (1993) Am, J Pathtol 142:557-567; Hlhn et at (1994)APMIS 102:413-419; Franldin et aL (1994) Int. . Cancer 8 (Suppl.):89-95; Miotti et aL (1987) Int. J Cancer 39:297-303; and Vegglan etat (1989) Tunori 75:510-513). FR-a is overexpressed in greater than 90% of ovarian carcinomas (Sudiinack and Lee (2000) Adv. Drug Deitv. Rev. 41(2):147-62). In addition, it is also over-expressed in a number of other cancers such as but not limited to breast, colorectal, renal, and lung cancer. [0004] In 1987, Miotti etal. described three new monoclonal antibodies that recognized antigens on human ovarian carcinoma cells (Miotti et at (1987) Int. J Cancer 39(3):297-303). One of these was designated MOvi 8, which recognizes a 38 kDa protein on the surface of choriocarcinoma cells. MOvi8 is a. murine, IgGl, kappa antibody and mediates specific cell lysis of the ovarian carcinoma cell line, IGROVI. Alberti et a. ((1990) Blochem. Biophys. Res. Commzm, 171(3):1051-1055) showed that the antigen recognized byMOvI8 was a GPI-linked protein. This was subsequently identified as the human folate binding protein (Coney et at. (1991) Cancer Res. 51(22):6125-6132). Tomassetti eta! showed that MOv18 recognizes a soluble form and a OPI-anchored ton of the folate binding protein in IGROVI cells (Tomassetti etaL (1993) FEBSLet, 3i7(1-2):143-l46. Subsequent work combined the variable regions of the mouse MOvI 8 with human IgGl (kappa) constant region to create a chimerized MOvI 8 antibody. The chimerized antibody mediated higher and more specific lysis of IGROV1 cells at 10-100 fold lower antibody concentrations (Coney et at (1994) Cancer Res. 54(9):2448-2455). [00051 U.S. Patent No. 5,952,484 describes a humanized antibody that binds to a 38 kDa protein (FR-a). The antibody was named LK26, afer the antigen by the same name. The original mouse monoclonal antibody was described by Rettig in European Patent Application No. 86104170.5 (published as EP0197435 and issued in the U.S. as U.S. Patent No. 4,851,332). [0006] Ovarian cancer is the major cause of death due to gynecological malignancy. Although chemotherapy is the recommended treatment and has enjoyed some success, the 5-year survival term is stilt less than 40%. [0007] A difficult problem in treating ovarian cancer as well as other cancers with cytotoxic drugs is that often the cytotoxin causes toxicity to normal tissues as well as cancerous tissues. An approach to get better specificity to treat cancer is the use of antibodies that can target specific antigens expressed in cancer cells that are not expressed or are expressed at a lower level on normal cells. These targets can be exploited using antibodies to kill antigen -2bdaingftUlMTby Tafibitig the biological activity of the antigen, eliciting an immune effector function by complement dependent cytotoxicity (CDC) and/or antibody dependent cellular cytotoxicity (ADCC); or by delivering immuno- or radio-conjugates that when delivered to the antigen-bearing cells, specifically kill the target cell, Finding antibodies that can specifically bind to and effectively kill antigen-bearing tumor cells has proven difficult for many cancers. This has been due in part to the inability to obtain robust killing due to lack of immune-effector function or to lack of efficient internalization of antibodies carrying immunotoxi FRA offers an opportunity to get tumor-specific targeting for several cancer types including ovarian, renal, colorectal and lung cancer. [00081 Provided herein are in-out anti-FRA antibodies that can in the alternative (i.e., have the ability to do both but only one at a time) eHcit a robust immune-effector function on and internalize in FRA-positive cells, for example, for delivering toxic conjugates to FRA-positive cells. The antibodies of the invention are effective therapies for cancers that bear FRA such as but not limited to ovarian, renal, colorectal, breast and lung cancers. SUMMARY OF THE INVENTION [0009] Provided herein are FRA-specific antibodies that alteratively elicit a robust immnune-effector function yet are able to internalize in FRA-positive cells, referred to here as in out anti-FRA antibodies. As used herein, "in-out antibodies" ("in-out Abs") refer to antibodies that can alternatively elicit an immune effector activity and internalize within an antigen presenting cell by binding to target antigen. Without wishing to be bound by any particular theory, it is believed that in-out Abs bind to the cell surface of an antigen-bearing cell and internalize after a period of time unless engaged by immune-effector cells or biochemicals that are recruited to the antigen-antibody-bearing cell. Antibodies that arc able to elicit an une effector effect such ADCC or CDC and intern aize have been previously described (Wolff et a. Monoclonal antibody homodimers: enhanced antitumor activity in nude mice, Cancer Res. 1993 Jun 1;53:2560-5), however, it is not obvious that in-out antibodies can be developed against any antigen or epitope (Kusano et al .nuncytochemical study on internalization of anti carbohydrate monoclonal antibodies, Anticancer Res. 1993 Nov-Dec;13(6A):2207-12). In-out antibodies that can target FRA have not been described previously. ERA-specific antibodies have been previously described but such antibodies are not known to intemalize upon binding to the antigen (Cogliati et at. Preparation and biological characterization of conjugates consisting of ricin and a tumor-specific non-intemalizing MAb. Anticancer Res, 11:417-21, 1991). Antibodies that can target cell surface antigens do not always elicit an immune effector function upon binding to the cell surface antigen (Niwa et al. Defucosyated chimeric anti-CC chemokine -3- 'ede'ptd 4 IgGI witlhdinl~ined antibody-dependent cellular cytotoxicity shows potent therapeutic activity to T-celi leukemia and lymphoma. Cancer Res. 64:2127-33, 2004; Kikuchi et al. Apoptosis inducing bivalent single-chain antibody fragments against CD47 showed antitumor potency for multiple myeloma, Leuk Res. 29:445-50, 2005 Scott at al. Immunological effects of chimeric anti-GD3 monoclonal antibody KM871 in patients with metastatic melanoma. Cancer Immun. Feb 22;5:3, 2005). Provided herein are antibodies that bind to the cell surface antigen FRA and, in the alternative, elicit an immune effector activity (such as ADCC or CDC) and internalize within antigen-positive cells. These antibodies and derivatives thereof are usem for cancer therapy. [00101 The invention provides in-out antibodies that specifically bind to FRA. In some embodiments, the antibodies bind antigen with greater affinity and/or avidity than LK26 and MOv 18. In some embodiments the in-out antibodies of the invention bind the same epitope, for example a conformational epitope, as that bound by LK26 or MOv18. In other embodiments, the in-out antibodies of the invention bind a different epitope as that bound by LK26 or MOvI 8. [0011] The antibodies of the invention may be chimeric, including, but not limited to a human-mouse chimeric antibodies. The antibodies of the invention may also be humanized. The antibodies of the invention may also be fully human. The invention also provides: hybridoma cells that express the antibodies of the invention; polynucleotides that encode the antibodies of the invention; vectors comprising the polynucleotides that encode the antibodies of the invention; and expression cells comprising the polynucleotides of the invention, referred to as transfectomas. [0012J The invention also provides methods producing in-out antibodies of the invention. Some methods comprise the step of culturing the trnfectoma or hybridoma cell that expresses an antibody of the invention. The antibyproducing cels of the invention may be bacterial, yeast, insect cels, and aimal cells, preferably, mammalian cels. [0013] The invention father provides methods of inhibiting the growth ofFRA positive cells such as dysplastic or tumor cells associated with increased expression ofFIRA. In some embodimenta, such methods comprise administering to a patient with PRA-positive cells a composition comprising an in-out antibody of the invention. The methods may be used for the treatment of various dysplastic conditions, such as, but not limited to ovarian, breast, colorectal, renal and lung cancer. In preferred embodents, the patients are human patients. In some embodiments, the antibodies are conjugated to one or more chemoterapeutic agents such as, but not limited to radionuclides, toxins, and cytotoxi or cytostatic agents. In other embodiments the antibodies are used in combination with one or more chemotherapeutic agents or biomolecules, -4 ret mn oteremoom merne-autmoes are used in combination with an antifolate compound. Tn-out antibodies can be administered as a single agent, as a conjugated or unconjugated antibody, or in combination with the conjugated or unconjugated forms or another therapeutic agent. [0014] Previous attempts to develop therapeutic antibodies that specifically target FRA have been performed with little success due to poor internalization and/or affmity such as the MOvlS antibody (Cogliati et aL Preparation and biological characterization of conjugates consisting of ricin and a tumor-specific non-internalizing MAb. Anticancer Res. 11:417-21, 1991). This lack of internalization could be due to low affinity or poor internalization due to antibody composition and/or epitope binding. In addition, the MOvl8 antibody was attempted as an immunoconjugate because the unconjugated form was not cytotoxic itself. Provided herein are in-out antibodies that alternatively internalize in FRA-positive cells and elicit a cytotoxic effect via an immune effector activity. [0015] Other features and advantages of the invention will be apparent from the detailed description and examples that follow. BRIEF DESCRIPTION OF THE DRAWINGS [0016] Figure 1 shows a FRA-specific binding antibody ML-l by ELISA and FACS. Figure 1A demonstrates FRA-specific antibodies that have in-out activity (ML-l. Shown is an ELISA identifying antibody that can specifically bind to various amounts ofrecombinant FRA antigen. ELISAs also can be formatted using purified, semi-purified, membrane preps or whole cells expressing FRA. Figure 1B shows the results of FACS ysis of ML-l binding to FRA expressing cells (IGROV-1) while no binding is observed on FRA-null H226 cells. These data were confimed by western blot analysis. [0017] Figure 2 demonstrates that ML-l elicits a robust antibody-dependent cellular cytotoxicity (ADCC) activity. Tumor cell line OVCAR3 (referred to as target) which expresses FRA was incubated with human peripheral blood mononuclear cells (P1ld4s) alone (no Ab lane); with avL-l; or control Ig (normal IgG). Cell cultures were assayed for killing by monitoring for lactate dehydrogenase (LDH) release that occurs upon cell lysis. M-LI has ADCC activity on FRA-expressing cells. [0018] Figure 3 demonstrates that ML-1 internalizes in FRA-expressing cells. Figure 3 shows the ability of ML- linked to saporin (diamond) to kill cells in contrast to ML-1 unconjugated (square) while an isotype control antibody MORAb-A92 did not kill el in conjugated or unconjugated toxin form (triangle and X, respectively). As control, cells not -5exrsilgRjvd" jif found that ML-1 has no toxic effect in toxin-conjugated or unconjugated fonn (not shown). These data support the finding that ML-I internalizes in FRA bearing cells. Data is evaluated by comparing treated and untreated wells and results are .expressed as percent of control. DETAILED DESCRIPTION OF ILLUSTRATIVE EMBOD IENTS [0019] The reference works, patents, patent applications, and scientific literature, including accession munbers to Geniank database sequences that are referred to herein establish the knowledge of those with skill in the art and are hereby incorporated by reference in their entirety to the same extent as if each was specificallytand individually indicated to be incorporated by reference. Any conflict between any reference cited herein and the specific teachings of this specification shall be resolved in fas/or of the latter. Likewise, any convict between an art-understood definition of a word or phrase and a definition of the word or phrase as specifically taught in this specification shall be resolved in favor of the latter. [0020] Standard reference works setting forth the general principles of recombint DNA technology known to those of skill in the art include Ausubel et al. CURRNT PROTOCOLS IN MOLECULAR BIOLOGY, John Wiley & Sons, New York (1998); Sambrook et al MOLECULAR CLONING: A LABORATORY NAL, 2D ED,, Cold Spring Harbor Laboratory Press, Plainview, New York (1989); Kaufiman et aL, Eds, HANDBOOK OF MOLECULAR AND CELLULAR METHODS IN BIOLOGY AND MEDICINE, CRC Press, Boca Raton (1995); McPherson, Ed, DIRECT MUTAGENESIS: A PRACTICAL APPROACH, IRL Press, Oxford (1991). [0021] It is to be understood that this invention is not limited to particular methods, reagents, compounds, compositions or biological systems, which can, of course, vary. It is also to be understood that the rminology used herein is for the purpose of describing particular embodiments only, and is not intended to be limiting. As used in this specification and the appended claims, the &igular forms "a", "an" and "the" include plural referents unless the content clearly dictates othew . Thus, for example, reference to "a cell" includes a combination of two or more cells, and the like. [0022] Each range recited herein includes all combinations and sub-combinations of ranges, as well as specific numerals contained therein. [0023] The term "about" as used herein when refeing to a measurable value such as an amount, a temporal duration, and the like, is meant to encompass variations of *20% or &10%, more preferably i-5%, even more preferably I%, and still more preferably *0.1% from the specified value, as such variations are appropriate to perform the disclosed methods, -6 j0024j 1nmvcrncprovicles a method for inhibiting the growth of FRA-positive cells, such as but not limited to cancer cells. Such a method may be used to inhibit the progression of neoplastic disease using in-cut antibodies that specifically bind to FRA, preferably mammalian FRA, more preferably human FRA (SEQ ID NOs:1 (nucleotide) and 2 (amino acid) The methods of the invention may be used to modulate the growth of FRA positive ells, for example, to treat cancer in mammals, including humans. The cancer cells that may be inhibited include all cancer cells that have an increased expression of FRA in rlation to normal human tissues, particularly ovarian, breast, colorectal and lung cancer cells, [0025] Without wishing to be bound by any particular theory of operation, it is believed that the increased expression of FRA in cancer cells results in an increased cell surface expression of the membrane bound form on the surface of the cells. Therefore, some cancer cells have an increased expression of FRA relative to normal tissues. Thus, the membrane bound FRA is an ideal target for antibody therapy in cancer. [0026] As used herein, the term "epitope" refers to the portion of an antigen to which an antibody specifically binds. [00271 As used herein, the term "conformational epitope" refers to a discontinuous epitope formed by a spatial relationship between amino acids of an antigen other than an unbroken series of amino acids. [0028] As used herein, the terms "iumune effector activity," "immune effector effect," and "immune effector function" refer to the ability of an antibody to kill cells by antibody dependent cellular cytotoxicity (ADCC) or complement-dependent cytotoxicity (CDC). [0029} As used herein, the term "iout antibody" refers to an antibody that can internalize within an antigen-presenting cell and, if not intemalzed, elicits an immune-effector activity. [0030] As used herein, the phrase "in the alternative" when referring to the ability of an antibody to internalize or elicit an immune effector activity means that the antibody has the ability to both internalize and elicit an immune effector activity but cannot do both simultaneously. [0031] As used herein, the term "inhibition of growth of dysplastic cells in vitro" means a decrease in the number of cells, in culture, by about 5%, preferably about 10%,.more preferably about 20%, more preferably about 30%, more preferably about 40%, more preferably about 50%, more preferably about 60%, more preferably about 70%, more preferably about 80%, more preferably about 90%, and most preferably about 100%. In viro inhibition of tumor cel growth may be measured by assays known in the art. 7 - -{U031' ATiisemierein, the term "inhibition of growth of dysplastic cells in vivo" means a decrease in the number of cells in an organism by about 5%, preferably about 10%, more preferably about 20%, more preferably about 30%, more preferably about 40%, more preferably about 50-%, more preferably about 60%, more preferably about 70%, more preferably about 80%, more preferably about 90%, and most preferably about 100%. In vivo modulation of cell growth may be measured by assays known in the art. [00331 As used herein, "dysplastic cels" refer to cells that exhibit abnormal growth. Examples of abnormal growth propertes include but are not baited to growth in soft agar, lack of contact inhibition, failure to undergo cel cycle arrest in the absence of serum, and formation of tumors-when injected into immuno-compromised mice Dysplastic cells include, but are not limited to tumors, hyperplasia, and the like 100341 The term "preventing" refers to decreasing the probability that an organism contracts or develops an abnormal condition such as dysplasia [0035] The term "treating" refers to having a therapeutic effect and at least partially alleviating or abrogating an abnormal condition in the organism, Treating includes maintenance of inhibited tumor growth and induction of remission, [0036 "Therapeutic effect" refers to the reduction, elimination, or prevention of a disease or abnormal condition, symptoms thereof, or side effects thereof in the subject. "Effective amount" xefers to an amount necessary to produce a desired effect. A "therapeutically effective amount" means the amount that, when admstered to a subject for treating a disease, condition or disorder, is sufficient to effect treatment for that disease. A therapeutic effect relieves to some extent one or more of the symptoms of the abnormal condition. In reference to the treatment of abnornal conditions, a therapeutic effect can refer to one or more of the foliowig: (a) an increase or decrease in the proliferation, growth, and/or differentiation of cells; (b) inhibition (Le, slowing or stopping) of growth of tumor cells in vivo (C) pr option of cell death; () inhibition of degeneration; (e) relieving to some extent one or more of the symptoms associated with the abnormal condition; and (f) enhancing the fan'tion of a population of cells. The antibodies and derivatives thereof described herein effectuate the therapeutic effect alone or in combination with conjugates or additional components of the compositions of the invention. [0037 As used herein, the te "inhibits the progression of cancer or neoplastic disease" refers to an activity of a treatment that slows the modulation of neoplastic disease toward end-stage cancer in relation to the modulation toward end-stage disease of untreated cancer cells. -8- [0038] As used herein, the term "neoplastic disease" refers to a condition marked by abnormal proliferation of cells of a tissue. [0039] As used herein the term "biomolecule" refers to any molecule that can be conjugated to, coadministered with, administered before or after administering the antibody, or otherwise used in association with the antibody of the invention. Biomolecule include, but are not limited to, enzymes, proteins, peptides, amino acids, nucleic acids, lipids, carbohydrates, and fragments, homologs, analogs, or derivatives, and combinations thereof. Examples of biomolecules include but are not limited to interleukin-2, interferon alpha, interferon beta, interferon gamma, rituxan, zevain, herceptin, erbitux, and avastin The biomolecules can be native, recombinant, or synthesized, and may be modified from their native form with, for example, glycosylations, acetylations, phosphorylation, myristylations, and the like. The term biomolecule as it is used herein is not limited to naturally occurring molecules, and includes synthetic molecules having no biological origin. [0040] As used herein, the term "cytoxic" or "cytostatic" agent refers to an agent that reduces the viability or proliferative potential of a cell. Cytotoxic or cytostatic agents can function in a variety of ways to reduce cell viability or proliferation, for example, but not by way of imitation, by inducing DNA damage, inducing cell cycle arrest, inhibiting DNA synthesis, inhibiting transcription, inhibiting translation or protein synthesis, inhibiting cell division, or inducing apoptosis. As used herein, the term chemotherapeuticc agent" refers to cytotoxic, cytostatic, and antineoplastic agents that preferentially kill, inhibit the growth of, or inhibit the metastasis of neoplastic cells or disrupt the ce! cycle of rapidly proliferating cells, Specific examples of chemotherapeutic agents include, but are not limited to, radionuclides, pokeweed antiviral protein, abrin, ricin and each of their A chains, altretamine, actinomycin D, plicamycin, puromycin, gramicidin D, doxorubicin, colchicine, cytochalasin B, cyclophosphamide, emetine, maytansine, amsacrine, cisplastin, etoposide, etoposide orthoquinone, teniposide, daunorubicin, gemcitabine, doxorubicin, mitoxantraone, bisanthrene, Bleomycin, methotrexate, vindesine, adriamycin, vincristine, vinblastine, BCNU, Taxol@ (paclitaxel); tarceva, avastin, mitomycin, modified Pseudomonas enterotoxin A, calicheamicin, 5 fluorouracil, cyclophosphamide and certain cytokines such as TNF-alpha and TNF-beta. [0041] "Conservatively modified variants" applies to both amino acid and nucleic acid sequences. With respect to particular nucleic acid sequences, conservatively modified variants refers to those nucleic acids which encode identical or essentially identical amino acid sequences, or where the nucleic acid does not encode an amino acid sequence, to essentially identical sequences, Because of the degeneracy of the genetic code, a large number of 9 ncnonany mo~ennem4 nncleac acms encore any given protein. For instance, the codons OCA, GCC, OCO and GCUJ all encode the amino acid alanine. Thus, at every position where an alanine is specified by a codon, the codon can be altered to any ofthe corresponding codons described without altering the encoded polypeptide. Such nuclei acid variations are "silent variations," which axe one species of conservatively modifed variations Every nuclei acid sequence herein which encodes a polypeptide also describes every possible silent variation of the nucleic acid. One of skill will recognize that each codon in a nucleic acid (except AUG, which is ordinarily the only codon for methionine, and TOG which is ordinarily the only codon for tryptophan) can be modified to yield a functionally identical molecule. Accordingly, each silent variation of a nucleic acid which encodes a polypeptide is implicit in each described sequence with respect to the expression product, but not with respect to actual probe sequences. [00421 "Recombinant" when used with reference, 0'g" to a cell, or nucleic acid, protein, or vector, indicates that the cell, nuceic acid, protein or vector, has been modified by the introduction of a heterologous nuclei acid or protein or the alteration of a native nucleic acid or protein, or that the cell is derived from a cel so modified. Thus, for example, recombinant cells express genes that are not found within the native (non-recombinant) form of the cell or express native genes that are otherwise abnormally expressed, under expressed or not expressed at all. [0043] The phrase nucleicc acid" or "polynuclectide sequence" refers to a single or double-stranded polymer of deoxyribonucleotide or ribonucleotide bases read from the T to the 3' end. Nucleic acids can also include modified nucleotides that permit correct read through by a polymerase and do not alter expression of a polypeptide encoded by that nucleic acid, including, for example, conservatively modifed variants. [0044j "Tolypeptide," "peptide' and "protein" are used interchangeably herein to refer to a polymer of amino acid residues. The terms apply to amino acid polymers in which one or more amino acid residue is an artifical chemical mimetic of a corresponding naturally occurring mE acid, as wel as to naturally occurring amino acid polymers and non-naturally occurring amino acid polymers. Polypeptides of the invention, including antibodies of the invention, include conservatively modified variants. One of skill will recognize that substitutions, deletions or additions to a nucleic acid, peptide, polypeptide, or protein sequence which alter, add or delete a single amino acid or a small percentage of oino acids in the encoded sequence is a "conservatively modifed variant" where the alteration results in the substitution of an amino acid with a chemically similar amino acid, Conservative substitution tables providing functionally similar amino acids are well known in the art. Such conservatively modifed variants are in addition to and do not exclude polymorphic variants, interspecies homologs, and alleles of - 10 - Cne rmvenuon. rnon tug'eigtt groups eani contain amino acids that are conservative substitutions for one another: 1) Alanine (A), Glycine (G); 2) Aspartic acid (D), Glutaiic acid (E); 3) Asparagine (N) Glutamine (Q); 4) Arg e (R), Lysine (K); 5) Isoleuine (), Leucine (L), Methionine (M), Valine (V); 6) Phenylalanine (F), Tyrosine (Y); Tryptophan (W); 7) Serine (5), Threonine (T); and 8) Cysteine (C) Methionine (M) (33). The term "conservative substitution" also includes the use of a substituted amino acid in place of an unsubstituted parent amino acid provided that such a polypeptide also displays the requisite binding activity. [00451 "Amino acid" refers to naturally occurring and synthetic amino acids, as well as amino acid analogs and amino acid metics that function in a manner similar to the naturahy occurring amno acids. Naturaly occurring amino acids are those encoded by the genetic cod, as wel as those amino acids that are later modified, e g, hydroxyprolineearboxyglutamate, and 0-phosphoserine. "Amino acid analog" refers to compounds that have the same basic chemical stmcture as a natural ocurig amino acid, ia, an a carbon that is bound to a hydrogen, a carboxyl group, an amino group, and an R group, e'g homoserinenorleucine, methionine sulfoxide, metionine methyl sulfonium. Such analogs have modified R groups (e.g., norleucine) or modified peptide backbones but retain the same basic chemical structure as a natural occurring amino acid, "A ino acid mimetic" refers to a chemical compound having a stmcture that is different from the general chemical struture of an amino acid but that functions in a manner similar to a naturally occurring amino acid. [0046] Amino acids can be referred to herein by either their commonly known three letter symbols or by the one-letter symbols recommended by the IUPAC-lUB Biochemical Nomenclature Commission (see Table I below) Nucleotides, likewise, can be referred to by their commonly accepted single-letter codes. TABLE I SYMBOL 1 -Letter 3 -Letter AMINO ACID Y Tyr L-tyrosine 0 Gly L-glycine F Phe L-phenylaanine MI Met L-methionine A AMa L-alanine S Ser L-serine I Ile L-isoleucine :lli t Leu LIleucine T Tir L-threonine V Val L-valine P Pro L-proine K Lys Liysine. H His L-histidine Q Gin L-glutamine E Gir L-glutamic acid W Trp L-tryptophan R Arg L-arginine D Asp L-aspartic acid N Asn L-asparagine C Cys L-cysteine [0047] It should be noted that all amino acid sequences are represented herein by formulae whose left to right orientation is in the conventional direction of amino-terminus to carboxy-terminus. [00481 As used herein, the term "in vitro" or "ex vivo" refers to an artificial environment and to processes or reactions that occur within an artificial environment, for example, but not limited to, test tubes and cell cultures. The term "in vivo" refers to a natural environment (e.g., an animal or a cell) and to processes or reactions that occur within a natural environment. [00491 "Pharmaceutically acceptable," physiologicallyy tolerable" and grammatical variations thereof, as they refer to compositions, carriers, diluents and reagents, are used interchangeably and represent that the materials are capable of administration to or upon a human without the production of undesirable physiological effects to a degree that would prohibit administration of the composition. [0050] The term "phamaceutically acceptable carrier" refers to reagents, excipients, cells, compounds, materials, compositions, and/or 4osage forms which are, within the scope of sound medical judgment, suitable for use in contact with the tissues of human beings and animals without excessive toxicity, irritation, allergic response, or other complication commensurate with a reasonable benefit/risk ratio. As described in greater detail herein, pharmaceutically acceptable carriers suitable for use in the present invention include gases, liquids, and semi-solid and solid materials. -12- -[W51T ' eWpterfnoted, "subject" or "patient" are used interchangeably and refer to mammals such as human patients and non-human primates, as well as experimental animals such as rabbits, dogs, cats, rats, mice, and other animals. Accordingly, "subject" or "patient" as used herein means any mammalian patient or subject to which the compositions of the invention can be administered. In some embodiments of the present invention, the patient will be suffering from an infectious or inflammatory disease. In some embodiments ofthe present invention, the patient will have been diagnosed with cancer. In an exemplary embodiment of the present invention, to identify candidate patients for treatment according to the invention, accepted screening methods are employed to determine the status of an existing disease or condition in a subject or risk factors associated with a targeted or suspected disease or condition, These screening methods include, for example, examinations to determined whether a subject is suffering from an infectious disease, an inaflmatory disease, or cancer. These and other routine methods allow the clinician to select subjects in need of therapy. [0052] "Therapeutic compound'as used herein refers toa compound useful in the prophylaxis or treatment of a disease or condition such as cancer. [00531 "Concomitant admirdstration," concurrent administration," or "co administration" as used herein includes administration of the active agents (etg., MAbs, chemotherapeutic agents, biomolecules), in conjunction or combination, together, or before or after each other. The multiple agents) may be administered by the same or by different routes, simultaneously or sequentially, as long as they are given in a manner sufficient to allow all agents to achieve effective concentrations at the site of action. A person of ordinary skill in the art would have no difficulty determining the appropriate ti, sequence, and dosages of administration for particular drugs and compositions of the present invention, [0054] "munoglobulin" or "antibody" is used broadly to refer to both antibody molecules and a variety of antibody-derived molecules and includes any member of a group of glycoproteins occurring in higher mammals that are major components of the immune system. The term "antibody" is used in the broadest sense and specificaly covers monoclonal antibodies, antibody compositions with polyepitopic specificity, bispecific antibodies, diabodies, and single chain molecules, as well as antibody fragments (e.g., Fab, F(ab') 2 , and F,), so long as they exhibit the desired biological activity, An immunoglobulin molecule includes antigen ending domns,, which each include the light chains and the end-tmi al portion of the heavy chain, and the Fe region, which is necessary for a variety of functions, such as complement fixation. There are five classes of immunoglobulin wherein the primary structure of the heavy cha in the Fe region, determines the immunoglobulin class. Specifically, the alpha, delta, epsilon, - 13 gamm a, -tn d rimfa curs-UorteSpona to ±g, igD, IgE, IgG and IgM, respectively. As used herein "immunoglobulin" or "antibody"includes all subclasses of alpha delta, epsilon, gamma, and mu and also refers to any naturl(eg, IgA and IgM) or synthetic multimers of the four-chain inmunoglobulin structure. Antibodies non-covalently, specifically, and reversibly bind an antigen. The term monoclonall antibody" as used herein refers to an antibody obtained from a population of substantially homogeneous antibodies, L., the individual antibodies comprising the population are identical except for possible naturally occurring mutations that can be present in minor amounts. For example nmonoclona antibodies may be produced by a single Clone of antibody-producing cells. Unlike polyclonal antibodies, monoelond antibodies are monospecific (e.g., specific for a single epitope of a single antigen). The modifier monoclonall" indicates the character of the antibody as being obtained from a substantially homogeneous population of antibodies, and is not to be construed as requirng production of the antibody by any particular method. For example, the monoclonal antibodies to be used in accordance with the present invention can be made by the hybridoma method first described by Kohler et at, Nature, 256: 495, 1975, or can be made by recombinant DNA methods. The "mnonoconal antibodies" can also be isolated from phage antibody libraries using the techniques described in Marks at at, J Mol. BioL, 222: 581-597, 1991, for example. 10055] Antibody-derived molecules comprise portions of intact antibodies that retain antigen-binding specificity, and comprise, for example, at least one variable region (either a heavy chain or light chain variable region). Antibody-derived molecules, for example, include molecules such as Fab fragments, Fab' fragments, F(abh fragments, Fd fragments, F(v) fragments, Fabc fragents, Fd fragments, Fabc fragments, Sc antibodies (single chain antibodies), diabodies, individual antibody light chains, individual antibody heavy chains, chimeric fusions between antibody chains and other molecules, heavy chain monomers or dimers, light chain monomers or diners, diners consisting of one heavy and one light chai and the like. All classes of immunoglobulins (e.g., IgA, IgD, IgE, IgO and 1gM) and subclasses thereof are included. 10056] Antibodies can be labeled or conjugated to toxic or non-toxic moieties.Toxic moieties include, for example, bacterial toxins, viral toxins, radioisotopes, and the like. Antibodies can be labeled for use in biological assays (e.g., radioisotope labels, fluorescent labels) to aid in detection of the antibody, Antibodies can also be labeled/conjugated for diagnostic or therapeutic purposes, e.g., with radioactive isotopes that deliver mdiation directly to a desired site for applications such as radioimmunotherapy (Garmestai et at, Nuci, Med. BIlo, 28: 409, 2001), imaging techniques and radioimunoguided surgery or labels that allow - 14 tot inio mitnfohdition of specific antibody/antigen complexes. Antibodies may also be conjugated with toxins to provide an immunotoxin (see, Kreitman, RJ. Adv. Drug Del Rev., 31: 53, 1998). [00571. With respect to antibodies, the term, "immunologically specific" refers to antibodies that bind to one or more epitopes of a protein of interest, but which do not substantially recognize and bind other molecules in a sample containing a mixed population of antigenic biological molecules. [0058] "Chimeric" or "chimerized" antibodies (immunoglobulins) refer to antibodies in which a portion of the heavy and/or light chain is identical with or homologous to corresponding sequences in antibodies derived from. a particular species or belonging to a particular antibody class or subclass, while the remainder ofthe chains) is identical with or homologous to corresponding sequences in antibodies derived from another species or belonging to another antibody class or subclass, as well as fragments of such antibodies, so long as they exhibit the desired biological activity (Morrison et aL, Proc. Nati Acad. Sci. USA,, 81: 6851-6855, 1984). [0059] "Humanized" foans of non-human (e.g., murine) antibodies are chimeric immunoglobulin, immunoglobulin chains or fragments thereof (such as Fv, Fab, Fab', F(ab') or other antigen-binding subsequences of antibodies) which contain minimal sequence derived from non-human immunoglobulin. For the most part, humanized antibodies are human immunoglobulins (recipient antibody) in which residues from a complementary-determining region (CDR) of the recipient are replaced by residues from a CDR of a non-human species (donor antibody) such as mouse, rat or rabbit having the desired specificity, affinity, and capacity. in some instances, FI framework region (FR) residues of the human immunoglobulin are replaced by corresponding non-human residues. Furthermore, humanized antibodies can comprise residues which are found neither in the recipient antibody nor in the imported CDR or framework sequences. These modifications are made to further refine and optimize antibody performance. In general, the humanized antibody will comprise substantially all of at least one, and typically two, variable domains, in which all or substantially all of the CDR regions correspond to those of a non-human immunoglobulin and all or substantially all of the FR regions are those of a human immunoglobulin sequence. The humanized antibody optimally also will comprise at least a portion of an imunoglobulin constant region (Fe), typically that of a human immunoglobulin. For furher details, see Jones at, Nature, 321: 522-525, 1986; Reichmann et at, Nature, 332: 323-329, 1988; Presta, Curr. Op. Strict. Biot, 2: 593-596, 1992. S15 - [069 1 TlfffYIndn" refers to an immunoglobulin, such as an antibody, where the whole molecule is of human origin or consists of an amino acid sequence identical to a human form of the antibody. [0061] "Hybridoma" refers to the-product of a cell-fusion between a cultured neoplastic lymphocyte and a primed B- or T-lymphocyte which expresses the specific immune potential of the parent cell, [0062] Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which the invention pertains. Although any methods and materials similar or equivalent to those described herein can be used in the practice for testing of the present invention, the preferred materials and methods are described herein. In describing and claiming the present invention, the following terminology will be used [0063] Various patents and other publications are cited herein and throughout the specification, each of which is incorporated by reference herein in its. entirety. Antibodies [0064] The antibodies of the invention specifically bind FRA and exhibit in-out activity (i.e., in the alternative, the ability to induce an immune effector activity and the ability to internalize in endosialin-positive cells). In some embodiments, the antibodies bind to the same epitope as LK26 or MOv18. In other embodiments, the antibodies bind to an epitope other than that bound by LK26 or MOvI 8. FRA to which the antibodies of the invention bind is preferably mammalian, more preferably human. Human FRA is encoded by SEQ ID NO:1 and comprises an amino acid sequence of SEQ ID NO:2: SEQ ID NO 1: cDNA of human mature folate receptor alpha I attgcatggg coaggactga gcttctcaat gtctgcatga acgccaagca ccacaaggaa 61 aagccaggcc ccgaggacaa gttgcatgag cagtgtcgac cctggaggaa gaatgcctgc 121 tgttctacca acaccagcca ggaagccat aaggatgttt cctacctata tagattcaac 181 tggaaccact gtggagagat ggcacctgcc tgcaaacggc atttcatcca ggacacctgc 241 ctctacgagt gctccccaa ctggggccc tggatccagc aggtggatca gagctg-cgc 301 aaagagcggg tactgaacgt gcccctgtgc aaagaggact gtgagcaatg gtgggaagat 361 tgtcgcact cctacacctg caagagcaac tggcacaagg gtggaactg gaattcaggg 421 tttaacaagt gcgcagtggg agctgcctg caactttcc atttctactt occacaccc 8I actgttctgt gcaatgaaat ctggactoac trctacaagg tcagcaacta cagccgagg 541 agtggccgct goatecagat gtggttcgac coagcccagg gcaaccccaa tgaggaggtg 601 gcgaggttct atgctgcagc catgagtggg gotgggccot gggcagcctg gcctttcctg 661 cttagcctgg ccctaatgct qctgtggctg otcago SEQ ID NO 2: polypeptide sequence of human mature folate receptor alpha I iawartelln vcmnakhhke kpgpedklhe qcrpwrknac catntsqeah Kdvsylyrfn -16- M tEi h yecsnigp wiqqvdgawr kervinvple kedceqwwed 121 cr tkn whkgwnwtsg fnkoavgaac qpfhfyfptp tvlcnejwth sykrsnysrg 161 sgrcigmwfd paqgnpneev arfyaaamisg agpwaawpfl islalmilwi is [0065] Preferred antibodies, and antibodies suitable for use in the methods of the invention, include, for example, fully human antibodies, human antibody homologs, single chain antibodies, humanized antibody homnologs, chimeric antibodies, chineric antibody homologs, and monomers or diners of antibody heavy or light chains or mixtures thereof, [0066] The antibodies of the invention my include intact immunoglobulins of any isotype including types IgA, IgG, IgE, IgD, 1gM (as well as subtypes thereof). The light chains of the immunoglobulin may be kappa or lambda. [0067] The antibodies of the invention include portions of intact antibodies that retain antigen-binding specificity, for example, Fab fragments, Fab' fragments, F(ab') 2 fragments, F(v) fragments, heavy chain monomers or diners, light chain monomers or dimers, diners consisting of one heavy and one lightochain, and the like. Thus, antigen-binding fragments, as well as fll length dimeric or trimeric polypeptides derived from the above-described antibodies are themselves useful for exhibiting in-ut activity. [0068] It was found that the direct use of rodent monoclonal antibodies as human therapeutic agents led to human anti-rodent antibody ("HARA.") responses which occurred in a significant number of patients treated with the rodent-derived antibody (Khaeli, et al. (1994) Immunother. 15:42-52). Chimeric antibodies containing less rodent amino acid sequence were thought to circumvent the problem of eliciting an immune response in humans. [0069] Chimeric antibodies may be produced by recombinant DNA technology in which all or part of the hinge and constant regions of an immunoglobulin light chain, heavy chain, or both, have been substituted for the corresponding regions from another aas immunoglobulin light chain or heavy chain, In this way, the antigen-binding portion of the parent monoclonal antibody is graftd onto the backbone of another species' antibody. One approach, described in EP 0239400 to Winter et aL describes the substitution of one species, complementarity deteininregions (CDRs) for those of another species, such as substi the CDRs from human heavy and light chain immunoglobulin variable region domains with CDRs frommouse variable region domains, These altered bodies may subsequently be combined with human immunoglobulin constant regions to form antibodies that are h1nan except for the substituted murine CDRs which are specific for the antigen, Methods for grating CDR regions of antibodies may be ftond, for example in Riechma et al (1988) Nature 332:323-327 and Verhoeyen at al. (1988) Science 239:1534-1536. - 17- ~1U7VV "Arrtamn g example, a menod of performing CDR grafting may be performed by sequencing the mouse heavy and light chains of the antibody of interest that binds to the target antigen (e.g., FRA) and genetically engineering the CDR DNA sequences and imposing those amin6 acid sequences to coesponing human V regions by site-directed mutagenesis. Human constant region gene segments ofthe desired isotype are added, and the chimeric heavy and light chain genes are co-expressed in mammalian cells to produce soluble antibody. A typical expression cell is a Chinese Hamster Ovary (CHO) cell Other expression cells include HEK293 and myeloma cells. Suitable methods for creating the chimeric antibodies may be found, for example, in Jones at al (1986)Nature 321:522-525; Riechmann (1988) Nature 332:323-327; Queen et at (1989) Proc, Nat Acad. Sei. USA 86:10029; and Orlandi et at (1989) Proc. Nat. Acad Sci. USA 86:3833. [0071] Further refmement of antibodies to avoid the problem of HARA responses led to the development of "humanized antibodies." Humanized antibodies are produced by recombinant DNA technology, in which atleast one of the amio acids of a human immunoglobudin light or heavy chain that is not required for antigen binding has been substituted for the corresponding amino acid from a nonhman ma malian immunoglobulin light or heavy chain. For example, if the munoglobuln is a mouse monoclonal antibody, at least one amino acid that is not required for antigen binding is substituted using the amino acid that is present on a corresponding human antibody in that position. Without wishing to be bound by any particular theory of operation, it is believed that the "humanization" of the monoclonal antibody inhibits human immunologied reactivity against the foreign immunoglobulin molecule. [00721 Queen et a (989)Proc Nat Acad S6, USA 86:10029-10033 and WO 90/07861 describe the preparation of a humanized antibody. Human and mouse variable framework regions were chosen for optimal protein sequence homology. The tertiary structure of the muraie variable region was computer-modeled and superimposed on the homologous human framework to show optimal interaction of amino acid residues with the mouse CDRs. This led to the development of antibodies with proved binding affinity for antigen (which is typical decreased upon rmakng CDR grate d chimeric antibodies). Alternative approaches to making humanized antibodies are known in the art and are described, for example, in Tempest (1991) Biotechnology 9:266-271. [0073] The antibodies of the invention include derivatives that are modified, eg, by the covalent attachment of any type of molecule to the antibody such that covalent attacumnt does not prevent the antibody from binding to its epitope. Examples of suitable derivatives include, but are not limited to glycosylated antibodies and fragments, acetylated antibodies and - 18 - ~frgtfli t, gyitar an~tro s ana rragmems, phosphorylated antibodies and fragments, and anidated antibodies and fragments. The antibodies and derivatives thereof of the invention may themselves be derivatized by known protecting/blocking groups, proteolytic cleavage, linkage to a cellular ligand or other proteins, and the like. Further, the antibodies and derivatives thereof of the inventioU may contain one or more non-classical amino acids. [0074 The antibodies of the invention include variants having single or multiple amino acid substitutions, deletions, additions, or replacements that retain the biological properties (e.g., internalization, binding affinity or avidity, or immune effector activity) of the antibodies of the inventio, The skied person can produce variants having single or multiple amino acid substitutions, deletions, additions or replacements. These variants may include, inter alia: (a) variants in which one or more amino acid residues are substituted with conservative or nonconservative amino acids, (b) variants in which one or more amino acids are added to or deleted from the polypeptide, (c) variants in which one or more amino acids include a substituent group, and (d) variants in which the polypeptide is fused with another peptide or polypeptide such as a fusion partner, a protein tag or other chemical moiety, that may confer useful properties to the polypeptide, such as, for example, an epitope for an antibody, a polyhistidine sequence, a biotin moiety and the like. Antibodies of the invention may include variants in which amino acid residues from one species are substituted for the corresponding residue in another species, either at the conserved or nonconserved positions. In another embodiment, amino acid residues at nonconserved positions are substituted with conservative or nonconservative residues. The techniques for obtaining these variants, including genetic (suppressions, deletions, mutations, etc.), chemical, and enzymatic techniques, are known to the person having ordinary skill in the art, Antibodies of the invention also include antibody fragments. A "fragment" refers to polypeptide sequences which are preferably at least about 40, more preferably at least to about 50, more preferably at least about 60, more preferably at least about 70, more preferably at least about 80, more preferably at least about 90, and more preferably at least about 100 amino acids in length, and which retain some biological activity or immunological acqvity of the full-length sequence, for example, FRA binding affinity or avidity, the ability to internale, and immune effector activity. [0075] The invention also encompasses fully human antibodies such as those derived from peripheral blood mononuclear cels of FRA-linked cancer patients. Such cells may be fused with myeloma cells, for example to form hybridoma cells producing fully human antibodies against FRA. -19- U j'y "TheRli'tWdW s and derivatives thereof of the invention have binding affnities that include a dissociation constant (KQ) of less than I x 10-2. In some embodiments, the K& is less than I x 10-. In other embodiments, the K is less than I x I1T4. In some embodiments, the Kd is less than I x 105. In still other embodiments, the Ka is less than I x 106 In other embodiments, the K4 is less than I x 10. In other embodiments, the Ka is less than I x 10's, In other embodiments, the Rd is less than I x I 0q In other embodiments, the Kd is less than I x 10~ . In still other embodiments, the Ka is less than I x 10'. I some embodiments, the Kd is less than 1 x 10-'2. In other embodiments, the K is less than 1 x 10-' 3 . In other embodiments, the Kd is less than I x 10' In still other embodiments, the K 4 is less than I x 1 . [0077] Without wishing to be bound by any particular theory of operation, it is believed that the antibodies of the invention are particularly useful to bind FRA due to an increased avidity of the antibody as both "arms" of the antibody (Fb fragments) bind to separate FRA molecules. This leads to a decrease in the dissociation (K4) of the antibody and an overall increase in the observed affinity (Ko). In addition, antibodies of this invention must bind to epitopes that allow for the interalization of the antibody-antigen complex. These are especially good features for targeting tumors as the antibodies of the invention wil bind more tightly to tumor tissue than normal tissue to attract immune cells for cytotoxicity and be capable of internalizing for delivery of conjugated agents for added therapeutic effects, [0078) The antibodies of the invention may be used alone or with one or more biomolecules or chemotherapeutic agents such as a cytotoxic or cytostatic agent. in some embodiments, the chemotherapeutic agent is a radioisotope, including, but not limited to Lead 212, Bismuth-212, Astatine-211, Iodine-131, Scandiun-47, Rhenium-18, Rhenium188, Yttrium-90, Iodine-123, Iodine-125, Bromine7, Indium-111, and fissionable nuclides such as Boron-10 or an Actinide. In other embodiments, the chemotherapeutic agent is a toxn or cytotoxic drug, including but not limited to ricin, modified Pseudomonas enterotoxin A, calicheamicin, adriamycin, 5-fluorouracil, and the like. Methods of conjiugation of antibodies and antibody fragments to such agents are known in the literature. [0079] Also inclided in the invention are ceUs producing the in-out antibodies of the invention. The antibody-producing ceUs of the invention may be bacterial, yeast, insect, and animal cells, preferably, mammalian cells. For example, the antibody-producing cells of' the invention include insect cells, such as for example, Spodopterafrugsperda cels; yeast cells, such as, for example, Saccharomyces cere-isiae and Schizosaccharomycespombe cells; and mammalian cells such as, for example Chinese Hamster Ovary, baby hamster kidney cells, human embryonic kidney line 293, normal dog kidney cell lines, normal cat kidney cell lines, -20monkey~~Mro kine edie, Aolo. feen monOkdny cgO -nAs W&d nrtmig 0n i muse nyAat',z4.'.' Otis, f1inI 4 , cell nesU .ty ! cens se AIsTK tls nouse serti cQns humanei cvcal carcinoma cels, budelo rat liverens an inng censth nano iver e Souse tmR c , MRC 5 cells, and FS AeCis Antibody-produimg celV ve been placed with the Amer. Ty9e 9 A CAL (10801 University Blvd. anassas, g rv " 20 9 ) oApch 42006 nd haven assigned AccessK NoeM cells. h<000 'tenention also includes nce acids encoding the heavy chain and/or lght chain of the antiRAantbodies of the inention Nucleic acd" ora ucleic acid molecules used herenreers to any NA o RNA molecule eiter singl& or double-stranded and, if sing stranded, the molecule of its complementary sequencen eiter lear or cicular form in usng n imolecules, a sequence or strcture of a particular nuclic acid molecule may be described herein according to the normal convention of providing the sequencing the 5' to direction I some embodinents ofthe inventionueic acidsacsolated This term, when applied to a nucleic acid moleculerefers to a nucleic acid molecule tha is separediom sequences with which it is immediately cond guous in thenatallyoccurring genome ofthe organism inwhich originated. For examp can isolatedd nudeic acid may comprise a DNA molecule inserted into avectonch as a piasOd or vins vector or itegrated intothe genomic DNA ofa prokaryotic or eukaryotccel or host organism. When applid to RNA. the emw "a nuclei aci" refers prinmarily to an RNA molecule encoded by an isolated DNA molecule as defined above Aternatively, the tern may refer to an RNA molecule that has been sufficiently separated from other nucle acids with which it would be associated in its natural state (men cells or tissues) An isolated nuclei acid(eiher ONA or RNA)may further represerna molecule produced direcdy by biological or synthetic means and separated from. oter components present during its production. Nuclei acids of the invention incAde nucic ac ds having at least 0% more preferably at least about 90%, more preferably at least about 95% and most preferbly at least about 98% homoogvtnucleic acids of the invention Theterms "percent similarity percent and "percent homology' when reering to a particular sequence are used as set forth in the University of WiscoMnsin CG software program. Nucleic ads of the invention also inelude 21 ~mismacnesj waerraugnear m omer msiuces, there may be up to about a 20% mismatch in the sequences. [0082] Nucleic acids of the invention also include fragments of the nucleic acids of the invention. A "fragment" refers to a nucleic acid sequence that is preferably at east about 1( nucleic acids in length, more preferably about 40 nucleic acids, and most preferably about 100 nuclei acids in length A "fragment" can also mean a stretch of at least about 100 consecutive nucleotides that contains one or more deletions, insertions, or substitutions. A "fragment' can also mean the whole coding sequence of a gene and may include 5' and 3' untranslated regions. [0083] Nucleic acids of the invention can be cloned into a vector A vectorr is a replicon, such as a plasmid, cosmid, bacmid, phage, artificial chromosome (BAC, YAC) or virus, into which another genetic sequence or element (either DNA or RNA) may be inserted so as to bring about the replication of the attached sequence or element. A "replicon" is any genetic element, for example, a plasmid, cosmic, bacmid, phage, artificial chromosome (BAC, YAC) or virus, that is capable of replication largely under its own control, A replicon maybe either RNA or DNA and may be single- or double-stranded. In some embodiments, the expression vector contains a constitutively active promoter segment (such as but not limited to CMV, 8V40, Elongation Factor or LTR sequences) or an inducible promoter sequence such as the steroid inducible pIN) vector (Invitrogen), where the expression of the nucleic acid can be'regulated, -Expression vectors of the invention may further comprise regulatory sequences, for example, an internal ribosomal entry site. The expression vector can be introduced into a ceHl by transfection, for example. [0084] Nucleic acids encoding antibodies of the invention may be recombinantly expressed. The expression cells of the invention include any insect expression cell lne known, such as for example, Spodopterafrugiperda cells The expression el lines may also be yeast cell lines, such as, for example, Saccharornyces cerevisiae and Schizosaccharomycespombe cells. The expression cells may also be mammalian cells such as, for example Chinese Hamster Ovary, baby hamster kidney cells, human embryonic kidney line 293, normal dog kidney cell lines, normal cat kidney cell lines, monkey kidney cells, African green monkey kidney cells, COS cells, and non-tumorigenic mouse myoblast 08 cels fibroblast cell lines, mycloma cell lines, mouse NIH/3T3 cells, LMK cells, mouse sertoli cells, human cervical carcinoma Cells, buffalo rat liver cells, human lung m cells, human liver cels, mouse mammary tumor cells, TRI cells, MRC 5 cells, and FS4 cels Nucleic acids of the invention may be introduced into a cell by transfection, for example. Recombinantly expressed antibodies may be recovered from the growth medium of the cels, for example. - 22- Methods of producing in-out antibodies to FRA Immunizing animals [0085] The invention also provides methods of producing in-out monoclonal antibodies that specifically bind to FRA.. ERA may be purified froT cells or nom recombinant systems using a variety of well-known techniques for isolating and purifying proteins. For example, but not by way of limitation, FRA may be isolated based on the apparent molecular weight of the protein by running the protein on an SDS-PAGE gel and blotting the proteins onto a membrane. Thereafter, the appropriate size band corresponding to FRA may be cut from the membrane and used as an immunogen in animals directly, or by first extracting or eluting the protein from the membrane. As an alternative example, the protein may be isolated by size-exclusion chromatography alone or in combination with other means of isolation and purification. Other means of purification are available in such standard reference texts as Zola, MONOCLONAL ANTIBODIES: PREPAATION AND USE OF MONOCLONAL ANTIBODIES AND ENGINEERED ANTIBODY DERIVATIVES (BASICS; FROM BACKGROUND TO BENCH) Springer-Verlag Ltd., New York, 2000; BASIC IETHODS IN ANTIBODY PRODUCTION AND CHARACTERIZATION, Chapter 11, "Antibody Purification Methods," Howard and Bethell, Eds, CRC Press, 2000; ANTIBODY ENGINEERING (SPRINGER LAB MANUAL,), Kontermann and Dubel, Eds, Springer-Verlag, 200 L [0086] One strategy for generating in-out antibodies against FRA involves immunizing animals with cells expressing FRA, als so immunized will produce antibodies against the protein. Standard methods are known for creating monoclonal antibodies including, but are not limited to, the hybridoma technique (see Kohler & Milstein, (1975) Nature 256:495-497); the trioma technique; the human B-cell hybridoma technique (see Kozbor at al. (1983) Inmunol. Today 4:72) and the EBV hybridoma technique to produce human monoclonal antibodies (see Cole, et aL in MONOCLONAL ANTIBODIES AND CANCER THERAPY, Alan R. Lisa, Inc., 1985, pp. 77-96). [0087] Antibodies of the invention may be produced in vivo or in vitro. For in vivo antibody production, animals are geneally immunized with an immunogenic portion of FRA. The antigen or antigen-positive cell is generally combined with an adjuvant to promote immunogenicity. Adjuvants vary according to the species used for immunizaton. Examples of adjuvants include, but are not limited to: Freund's complete adjuvant ("PCA"), Freud's incomplete adjuvant ("FIA"), mineral gels (e.g., aluminum hydroxide), surface active substances (e.g., lysolecithin, pluronic polyols, polyanions), peptides, oil emulsions, keyhole limpet -23 - "(L" firohenol ("DNP"), and potentially useful human adjuvants such as Bacille Calmette-Guerin ("BCG") and corynebacterfumparvufm Such adjuvants are also well known in the art [0088] Immunization may be accomplished using well-known procedures; The dose and immunization regimen will depend on the species of mammal immunized, its immune status, body weight, and/or calculated surface area, etc. Typicaly, blood serum is sampled from the immunized mammals and assayed for anti-FRA antibodies using appropriate screening assays as described below, for example. [00891 Splenocytes from immunnized als may be immortalized by fusing the splenocytes (containing the antibody-producing B cells) with an immortal cell line such as a myeloma lne, Typically, myeloma cell line is fronI the sare species as the splenocyte donor. In one embodiment the immortal cell line is sensitive to culture medium containing hypoxanthine, aminnopterin and thymaidine ("HAT medium"). I some embodiments, the myeloma cells are negative for Epstein-Barr virus (EBY) infection. I referred embodiments, the myeloma cells are HAT-sensitive, EBY negative and Ig expression negative, Any suitable myeloma may be used. Murine hybridomas may be generated using mouse myeloma cell lines (e.g, the P3 NSIUl-Ag4-I, P3-x63~Ag8&653 or Sp2/Q-AgI4 myeloma lines). These murine myeloma lines are available from the ATCC. These myeloma cells are fused to the donor splenocytes polyethylene glycol ("EG'), preferably 1500 molecular weight polyethylene glycol ("PEG 1500"). Hybridoma cells resulting from the fusion are selected in HAT medium which kills infused and unproductively fused anyoloma cells, Ijnfusedsplenocytes die over a short period of time in culture. In some embodiments, the myeloma cels do not express immunoglobulin genes. [00901 Hybridomas producing a desired antibody which are detected by screening assays such as those described below, may be used to produce antibodies in culture or in animals. For example, the hybridoma cells may be cultured in a nutrient medium under conditions and for a time sufficient to allow the hybridoma ceUs to secrete the monoclonal antibodies into the culture medium. These techniques and culture medie are well known by those skilled in the art. Alternatively, the hybridona cells may be injected into the peritoneum of an unimmunized animal. The cells proliferate in the peritoneal cavity and secrete the antibody, which accumulates as ascites fluid. The ascites fluid may be withdrawn from the peritoneal cavity with a syringe as a rich source of the monoclonal antibody. [0091] Another non-'nlin g method for producing human antibodies is described in U.S. Patent No. 5789,650 which describes transgenic mammals that produce antibodies of -24a~nomer specite :;rutnumns) with their own endogenous immunoglobulin genes being activated. The genes for the heterologous antibodies are encoded by human inmunoglobulin gene The transgenes containing the unrearranged immunoglobulin encoding regions are introduced into a non-human animal. The resulting transgenic animals are capable of functionally reaanging the transgenic irmnunoglobulin sequences and producing a repertoire of antibodies of various isotypes encoded by human immunoglobulin genes. The B-cells from the transgenic animals are subsequently immortalized by any of a variety of methods, including fusion with an inmortalizing cell line (eg., a mycloma cell). [0092] In-out antibodies against FRA may also be prepared in vitro using a variety of techniques known in the art. For example, but not by way of limitation, fully human monoclonal antibodies against FRA may be prepared by using in vitro-p imed human splenocytes (Boerner et al. (1991)] ImmunoL 147:86-95). [0093] Altematively, for example, the antibodies of the invention may be prepared by "repertoire cloning" (Persson et al (1991) Proc. Nat Acad Sci, USA 88:2432-2436; and Huang and Stollar (1991) J Immunol. Methods 141:227-236). Further, U.S. Patent No. 5,798,230 describes preparation of human monoclonal antibodies from human B antibody-producing B cells that are immortalized by infection with an Epstein-Barr virus that expresses Epstein-Barr virus nuclear antigen 2 (EBNA2), EBNA2, required for immortalization, is then inactivated resulting in increased antibody titers. [0094] In another embodiment in-out antibodies against FRA are formed by in vitro immunization of peripheral blood mononuclear cells "PBMCs"). This may be accomplished by any means known in the art, suh as, for example, using methods described in the literature (Zafiropoulos et al. (1997) J Imr unological Methods 200:181-190). (0095] Another strategy for generating in-out antibodies against FRA involves immunizing animals with peptides corresponding to regions of the membrane bound form of FRA that allow for internalization of antibodies that retain robust immune effector activity. Animals so immunized will produce antibodies against the protein. Standard methods are known for creating monoclonal antibdes inclngbut are not limited to, the hybridoma technique (see Kohler & Milstein, (1975) Nat'ure 256:495-497); the trioma technique; the human B-cell hybridoma technique (see Kozbor et ai. (1983) Immunot Today 4:72) and the EBV hybridoma technique to produce human monoclonal antibodies (see Cole, et al. in MONOCLONAL ANTIBODIES AND CANCER THERAPY, Ala R. Liss, Inc, 1985, pp. 77-96). [0096] In one embodiment of the invention, the procedure for in vitro immunization is supplemented with directed evolution of the hybridoma cells in which a dominant negative allele -25 - 'ofardni'she a Tpdr eht%ih as PMS 1,PM$2, PMS2-134, PMSR2, PMSR3, MLHI, MLH2, MLH3,MLH4 MLH5s, MLH6, PMSL9, MSHI, and MSH2 is introduced into the hybridoma cells after fusion of the splenocytes, or to the myeloma cels before fusion. Cells containing the dominant negative mutant will become hypenutable and accumulate mutations at a higher rate than untransfected control cels. A pool of the mutating cells may be screened for clones that produce higher affinity antibodies, or that produce higher titers of antibodies, or that simply grow faster or better under certain conditions. The technique for generating hypennutable cells using dominant negative alheles of mismatch repair genes is described in U.S. Patent No. 6,146,894, issued November 14,2000. Alternatively, mismatch repair may be inhibited using the chemical inhibitors of mismatch repair described by Nicolaides et al. in WO 02/054856 "Chemical Inhibitors of Mismatch Repair" published July 18, 2002. The technique for enhancing antibodies using the doininant negative aheles ofmismatch repair genes or chemical inhibitors of mismatch repair may be applied to marmxalian expression cells expressing cloned immunoglobulin genes as wel. Cells expressing the dominant negative aleles can be "cured"in that the dominant negative alele can be turned off, if inducible, linaated from the cell and the like such thtthe cels become genetically stable once more and no longer accumulate mutations at the abnormally high rate, Screening for in-out antibodies [0097] Screening for in-out antibodies that specifically bind to FRA may be accomplished using an enzyme-linked inmunosorbent assay (ELISA), by screening antibodies for immune effector activity, and/or by assaying for intemization. Antibodies exhibiting immnune effector activity may be identified using a standard immune effector assay to monitor antibody-dependent cellular cytotoxicity (ADCC) or complement-dependent cytotoxicity (CDC). Antibodies that can be internalized can be identified by conjugating the antibody with a detectable label, such as a fluorohme or prodiug, to monitor ability to internalize by visualization or toxicity. One or more of these assays (ELISA, immune effector assay, and internalization assay) may be performedin any order to ideti in-out antibodies of the invention. [0098] For example, the ELISA may comprise coating microtiter plates with immunizing antigen (whole protein or peptides). Antibodies from positively reacting clones can be screened for reactivity in an ELISA-based assay to FRA, Antibodies specific to the alpha form of folate receptor can be identified by ELISA employing one or more other isotypes of folate receptor. Clones that produce antibodies that are reactive to FRA are selected for further -26 expanoI anS. ideveprent. Counmation of FRA-reactive antibodies exhibiting in-out activity may be accomplished, for example, using a standard immune effector assay to monitor antibody dependent cellular cytotoxicity (ADCC) or complement-dependent cytotoxicity (CDC) FRA specific antibodies exhibiting immune effector activity can then be conjugated with a fluorochrome or prodrug to monitor ability to internalize by visualization or toxicity that occurs when prodrug is internalized and liberated from the antibody leading to the presence of the toxin. Pharmaceutical Compositions of Antibodies (00991 Another aspect of' the invention features a pharmaceutical composition of anti FRA antibodies of the invention. The pharmaceutical compositions may be used to inhibit or reduce growth of FRA-positive cells in a patient In certain embodiments, the pharmaceutical composition is formulated for administration by ipjection or infision. [01001 Pharmaceutica compositions of the invention may tther comprise one or more biomolecule, chemotherapeutic agent, or antifolrie compound. Examples of antifolate compounds include but are not limited to 5-41uorg-2-deoxy-uridine-5'monophosphate (FdUMP), 5-fluorouracil, leucovorin, ZD1649, MTA, GW1843U89, ZD9331, AG337, and PT523. In some embodiments, the antibody is conjugated to the biomolecule, antifolate compound, or chemotherapeutic agent, Suitable chemotherapeutic agents id but are not limited to a radioisotope, including, but not limited to Lead-212, Bisnmth-212, Astatine-211, lodine-131, Scandium-47, Rhenium-186, Rhenium-i88, Yttdum-90,odine-123, Iodine425, Bromine-77, Indiumd- ii, and fissionable nuclides such as Boron-0 or an Actinide. in other embodiments, the agent is a toxin or cytotoxic dug, including but not limited to ricin, modified Peadononas enterotoxin A, calicheamicinadanycin, 5-fluorouracil and the like. 101011 Pharmaceutical compositions of the invention may be formulated with a pharmaceutically acceptable carrier or medium, Suitable pharaceutically acceptable carriers include water, PBS, salt solution (such as Ringers solution), alcohols, oils, gelatins, and carbohydrates, such as lactose, amylose, or starh, fatty acid esters, hydroxymethylcellulose, and polyvinyl pyrolidine. Such preparations can be terilized, and if desired, mixed with aWliary agents such as lubricants, preservatives/stabilizars, wetting agents emulsifiers, salts for influencing osmotic pressure, buffers, and coloring Pharmaceutical carriers suitable for use in the present invention are known in the art and a e described for example, in Ph aeutical Sciences ( 1 7'h Ed., Mack Pub. Co., Baston, PA) Kits - 27- {UIU21 'Ad~totto yet another aspect of the invention, a kit is provided for inhibiting or reducing growth of ERA-positive cells in vitro or in vivo. lo provided are kits for identifying the presence of ERA-positive cells in vitro or in vivo. [01031 The kits of the invention comprise antibody or an antibody composition of the invention and instructions for using the-kit in a method for inhibiting or reducing growth of FRA-positive cells, preferably dysplastic cells, in vitro or in vivo or in a method for identifying the presence of FRA-positive cells, prefeably dysplastic cells, in a biological sample. The kit may comprise at least one biomolecule, antifolate compound, or chemotherapeutic agent. The kit may comprise at least one diagnostic reagent. An example of a diagnostic reagent is a detectable label, for example but not limited to a radioative, fluorescent, or chromophoric agent (e.g, "'In-DOTA). The detectable label may comprise an enzyme. The kit may comprise instructions and/or means for administering the antibody or antibody composition, for example, by injection or infusion. Methods of Detecting a FRA-positive Cell [01041 The methods of the invention include methods of detecting cells, such as dysplastic cells, presenting FRA on the surface, including but not limited to ovarian, pancreatic, prostate, or lung cancer cells. The method may be performed in vitro on a biological sample or in vivo. Methods of detecting FRA-positive cells according to the invention comprise contacting anti-FRA antibody of the invention with a biological simple or administering anti-FRA antibody of the invention to a patient, wherein the antibody is labeled with a detectable label, for example but not limited to a radioactive, fluorescent, or chromophoric agent (e.g., "fn-DOTA), and determining binding of the antibody to cells. The detectable label may be an enzyme. Methods of Reducing the Growth of FRA-Positive Cells [0105] The in-out anti-FRA antibodies oftheinvention are suitable for use in reducing the growth of FRA-positive cells in vitro or in vivo. The methods of the invention are suitable for use in humans and non-h nan aimals identified as having a neoplastic condition associated with an increased expression of FRA. Non-human als which benefit from the invention include pets, exotic (e.g., zoo animals) and domestic livestock. Preferably the non-human animals are mammals [0106] The invention is suitable for use in a human or animal patient thatis identified as having a dysplastic disorder that is marked by increased expression of FRA in the neoplasm in -28reianon to nornai tssue Unte sun a patent is identified as in need of treatment for such a condition, the method of the invention may be applied to effect treatment of the condition. Dysplastic tissues that may be treated include, but are not limited to ovary, hmg, pancreas, and prostate. [0107] The antibodies and derivatives thereof for use in the invention maybe administered orally in any acceptable dosage form such as capsules, tablets, aqueous suspensions, solutions or the like. The antibodies and derivatives thereof may also be administered parenterally. That is via the following routes of administration: subcutaneous, intravenous, intramuscular, intra-articular, intra-synovial, intrastemal, intranasal, topically, intrathecal, intrahepatic, intralesional, and intracranial injection or infusion techniques. Generally, the antibodies and derivatives will be provided as an intramuscular or orintravenous injection. [0108] The antibodies and derivatives of the invention nay be administered alone or with a pharmaceutically acceptable carrier, including acceptable adjuvants, vehicles and excipients. [0109] The antibodies and derivatives of the invention may also be administered with one or more antifolate compounds. The antifolate compounds include, but are not limited to 5 fluoro-2'-deoxy-uridine-5 '-monophosphate (FdUMP); 5-fluorouracil (5-FU); L-5 fornyltetrahydrofolate ("leucovorin"); N-[5-(N-( 3

,

4 -dihydro-2-mehyl4oxoquioin-6-yl-. methyl)amino)-2-thenyl)Lglutmc acid ("ZD1649"; also known as "Tomudex") (Jackman et al 991) Cancer Res. 51:5579-5586); N((2-(2-amino-4,7-dihydro-4-oxo-3H-pol[23 Dpyrimidi-5-yl)-ethyl)-benzoyl]L-glutmic acid ("multi-targeted antifolate" (MTA) also known as "LY231514," "ALIMTA," and "Pemetrexed")(Taylor et a? (1992) J Med, Chen 35:4450-4454; Shih et al. (1997) Cancer Res. 57:1116-1123); (S)-2-(5)-(((1,2-dihydro-3-methyl 1-xbnofqiaoi--l-ehl-mn)oo2ionoiy)guai acid ("GW1843U89") (Hianlon and Ferone (1996) Cancer Res. 56:3301-3306);

(

2

S)-

2 -{O-fluoro-p [ N, -(2 ,7 -d im e th y -- i- , -ihdpq i a o i -6 y - e h l - - ro p -2 ynyl)amino]benzamido}-4(tetrazol-y)-bu c acid ("ZD933 1 (Jackian et aL (1997) ClIM Cancer Res. 3:911-921); 3

,

4 -dihydro-amino-6-methy4-oxo5-4pyidy1thio)qinazolin ("AG337" also known as "Thymitaq") (Webber et a, (1996) Cancer Chenother. Pharmacot 37:509-517; Rafi etat (1998) , Cl/n Oncol 16:1331-1341), and NU( 4 -amino-4-deoxypteroyl) N-(hemiphthaloyl-L-ornithin) ("PT523") (Rhee etal (1994) Mci Pharmacol 45:783-791; Rowowsky (1999) Curr. Med ChAem. 6:329-352). The antifolate compounds may be administered before, after, or simultaneously with the anti-FR-; antibodies of the invention. The -29 - U111uuas ui anuiroate compounds to De administered may be the dosages currently used, or may be increased or decreased, as can readily be determined by a physician based on achieving decreased tumor growth or tumor elimination without causing any untoward effects on the patient t0110] The antibodies of the invention may be administered before, after, or simultaneously with another therapeutic or diagnostic agent. For example, the inout antibodies of the invention may be administered alone or 'with a cytotoxi agent such as but not limited to adriamycin, doxorubicin, genoitabine, or 5-finoromacii.The in-out antibodies of the invention may be administered alone or with a cytostatic agent such as but not limited to tarceva and avastin. The in-out antibodies and derivatives of the invention may be administered alone or with a vaccine agent.The in-out antibodies and derivatives of the invention may be administered alone or with another biomolecule such as but not limited to interleukin-2, interferon alpha, interferon beta, interferon gamma, rituxan, zevaln, herceptin, erbitux, avastin. [0111] The in-out antibodies and derivatives of the invention may be administered as a homogeneous mixture of unconjugated or conjugated antibody or as a heterogeneous mixture of unconjugated and conjugated in-out antibody, [0112] The effective dosage will depend on a variety of factors and it is wel within the purview of a sailed physician to adjust the dosage for a given patient according to various parameters such as body weight, the goal of treatment, the highest tolerated dose, the specific formulation used, the route of administration and the like. Generaly, dosage levels of between about 0.001 and about 100 mg/kg body weight per day of the antibody or derivative thereof are suitable, in some embodiments, the dose will be about 01 to about 50 mg/kg body weight per day of the antibody or derivative thereof In other embodiments, the dose will be about 0.1 mg/kg body weight/day to about 20 mg/kg body weight/day, In still other embodiments, the dose will be about 0,1 mg/kg body weight/day to about 10 mg/kg body weight/day. Dosing may be as a bolus or an infusion. Dosages may be given once a day or multiple timin a day. Furthr, dosages may be given multiple times of a period of time. In some embodimets, the doses are given every 1-14 days. In some embodiments, the antibodies or derivatives thereof are given as a dose of about. 3 to 1 mgkg !.p. In other embodiments, the antibodies of'derivatives thereof are provided at about 5 to 12.5 ng/g Lv. In still other embodiments, the antibodies or derivatives thereof are provided such that a plasma level of at least about 1 ug/ml is maintained. [0113] Effective treatment may be assessed in a variety of ways. In one embodiment, effective treatment is determined by a slowed progression of tumor growth. In other embodiments, effective treatment is marked by shrinkage of tme or (;e., decrease in the size -30 of the tumor). In other embodiments, effective treatment is marked by inhibition of metastasis of the tunor. In still other embodiments, effective terapy is measured by increased well-being of the patient including such signs as weight gain, regained strength, decreased pain, thriving, and subjective indications from the patient of better healt [0114] The flowing Examples are provided to illustrate the present invention, and should not be construed as hmiting thereof. E XA M PLES Example I In-out antibodies that can bind to FRA [01151 The monoclonal antibody MIl was developed by grafting the CDRs of the variable domain of a murite antibody specific to FRA onto a human IgG1l constant region. The antibody was shown to bind specifically to FRA prtein and cancer cells expressing FRA and was found to have a binding constant of about 5nM using Biacore@ To demonstrate FRA specific binding, antigen-pecific ELISA were perfored using recombiant FRA in a 96-well format following methods used by those skilled in the art (Figure IA). Antibodies found to react by ELISA were further analyzed for FRA binding using FACS analysis following the manufacturers protocol Shown in Figure lB are representative data of the FACS analysis whereby FRA-expressing ovarian tumor cells were positive for ML-I binding in contrast to nul cells. Antigen-specific ELISA can be also formatted using whole cells expressing FRA, membrane preparations obtained from such FRA expressing cells, or synthetic, overlapping peptides encompassing the entire FRA amino acid sequence. Example 2 [0116] Activity of ML-I antibody for ini-,me effector activity was assessed by standard antibody-dependent cellular cytotoxicity (ADCC) assays on the FRA-expressing OVCAR-3 ceH line. Briefly, OVCAR-3 target cels are seeded in flat-bottom 96-well iicroplates in complete growth medium -4640 conaig 10% FBS, 2mM L-glutamin) The following day, the complete medium is replaced with 100 ul of CHO-CD serum-free medium (Sigma) and 50 ul of antibody-contining conditioned medium is added to target cells and incubated for 20 minutes at 376C. Subsequently, 100 ul of serum-free medium containing 2 x 105 effector cells are added to each well and cells are incubated for 5-6 hours at 37C, 5% C02, Effector cells are derived from human peripheral blood mononuclear cells (PBMCs), isolated from healthy donors (purchased from Interstate Blood Bank). Prior to use in ADCC, PBMCs are activated by seeding PBMCs at 2.5 x 10 6 /ml in complete RPMI containg about 10 ng/ml -31 k ecommant mterleuuf2 (R&D Systems) for 3 days at 37C, 5%/ CO 2 . Activated PDMCs are then added to OVCAR-3 cells at an effector:target cell ratio of 5:1 and cultures are incubated for 5-6 hours at 3TC, 5% CO 2 . Supermatant is then collected from each wel and transferred into EISA platen and analyzed for ADCC as follows. ADCC is monitored by lactate dehydrogenase (LDI) release, an endogenous enzyme used to measure ADCC in standard assays. LDH is monitored by adding 100 ul of LDH substrate (Roche), a chemical that when converted by LDH is spectrophotometrically detectable at OD 490 , to supernatant and incubated for 10 minutes at ambient temperature. LDH activity is proportional to the extent ofthe LDH enzyme released from lysed target cells. Optical density at 490 n (OD 490 ) is obtained specrophotometrically. 2% Triton X is added to effector cels alone as a "max" positive control, whil target cells with PBMC and no antibody serve as the "spontaneous" negative controL LDfvalues are obtained and percent of cytotoxicity is determined with the formula: (sample val- spontaneous) /(max - spontaneous) x 100%, where 'spontaneous' target cell lysis in absence of effector cells, and 'max" = target cell lysis in the presence of 2% Triton. Cytotoxicity elicited by 100 ng/il of MORAb-A92 (protein A purified) will be used as positive control. Non specc cytotoxicity will be monitored using 100 ng/m of normal human IgG1 antibody. The ratio obtained by dividing the % cytotoxicity by the concentration of the antibody for each well/clone (ie ratio =5(%)/100(ng/ml)= 0.5) will be set as the criterion for selecting lead clones with potentially enhanced effector function. [0117] Analysis of ML-I shows the ability to enhance ADCC activity (p=0.018) over els incubated with control Ig or no antibody (Figure 2). Figure 2 demonstrates that ML-1 elicit a robust antibody-dependent cellular cytotoxicity (ADCC) activity. Tumor cell line OVCAR3(referred to as target) which expresses FRA was incubated with human PBMCs alone (no Ab lane); with ML-1; or control g (normal IgG), Cell cultures were assayed for bkii y monitoring for lactate dehydrogenase (LD) release that occurs upon cell lysis. ML-I has ADCC activity on FRA-expressing cells. These data support the finding that ML-I has cytotoxic effects via immune effector function. Example 3 [0118] MvlL-l internalizes when bound to FRA-expressing cells. This finding is shown in Figoire 3 using the Hum-ZAP assay. Second immunotoxins are conjugations of a secondary antibody to the ribosome inactivating protein saporin. If the primary antibody being tested is internalized, the saporin is transported into the cell via its binding to the secondary antibody. Once internalized saporin separates from its IgG conjugate, it inhabits protein synthesis and -32uinmaxeiy causes ueu aeacn tuni-nr grevanlced Targeting Systems, cat#t IT-22) is a secondary chemical conjugate of afEnity purified goat anti-human IgG, (mw 2I0kDa) that recognizes human monoclonal antibodies. The control molecule, Goat IgGC-SAP (Advanced Targeting Systems cat#IT-19) is a conjugate of normal goat IgG and saporin. Briefly, cels are plated into flat-bottom 96-well tissue culture plates at 2500/well in 80ul of RPMI 1640 with 10% FCS, 2,0mM glutanine, li0mM sodium pyrvate, and 0.1mMMEM non-essential amino acids. Twenty-four hours later, l0ul of primary antibodies ML-1 or MORAb-A92 are added along with I0ul of Hum-ZAP or Goat IgO-SAP to bring the total volume to 1OuL0 Experiments are set up with antibody titrations and include primary and secondary antibodies alone as control. Four days later, cel viability is evaluated using Promega Celliite i Cytotoxicity Assay (cat# G3581) which reads viable cell number by spectrophotometry. Al tests are performed in triplicate. Data is evaluated by comparing treated and untreated wells and results are expressed as percent of control. As shown in Figure 3, ML-I interaalizes in OVCAR-3 cells which overexpress A Cels die upon treatment with Mt- linked to saporin (diamond) in contrast to MLi unconjugated (square) while an isotype control antibody MORAb-A92 did not kill cells in conjugated or unconjugated toxin form (triangle and X, respectively). As control, cels not expressing FRA were used and it was shown that Mt-I has no toxic effect in toxin-conjugated or u njugateld for. These data support theC. finding that MtI internalizes in ERA-bearing Cells -33-

Claims (7)

1. A method for treating folate receptor-alpha-positive ovarian cancer in a subject in need of treatment of said cancer, said method comprising administering to said subject a therapeutically effective amount of an antibody that specifically binds folate receptor-alpha, wherein said antibody is produced by cells having American Type Culture Collection accession number PTA-7552.

2. The method of claim 1 wherein said antibody is capable of both eliciting an immune effector activity and internalizing within folate receptor alpha bearing cells.

3. The method of claim 2 wherein said immune effector activity is antibody dependent cellular cytotoxicity.

4. The method of claim 1, wherein said administering of said antibody comprises injecting or infusing said antibody.

5. The method of claim 1, wherein said antibody is conjugated to a carbohydrate.

6. The method of claim 1, wherein said antibody is conjugated to a chemotherapeutic agent. 35

7. The method of claim 1, wherein said subject is a human. Dated this 16 h day of May 2014 Morphotek, Inc. Patent Attorneys for the Applicant PETER MAXWELL AND ASSOCIATES