AU2735097A - Immunoassay method employing monoclonal antibody reactive to human inos - Google Patents

Description

WO 98/45710 PCT/US97/06500 IMMUNOASSAY METHOD EMPLOYING MONOCLONAL ANTIBODY REACTIVE TO HUMAN iNOS CROSS-REFERENCES TO RELATED APPLICATIONS The present application is a continuation-in-part of my prior application, Serial No. 08/634,332, filed 12 April 1996.

WO 98/45710 PCT/US97/06500 BACKGROUND OF THE INVENTION The present invention relates to a novel and useful panel of monoclonal antibodies which may be employed in immunoassays and other procedures for detection and/or quantitation of human iNOS. Nitric oxide (NO) has recently been recognized as an effector and/or regulator molecule. For example, a recent field of investigation focused on the activity of NO upon the activation of soluble guanylate cyclase, which is responsible for endothelial dependent relaxation in the vasculature. An article entitled "Immunohistochemical Demonstration of a Paracrine Role of Nitric Oxide in Bronchial Function" by Rangassmy et al., American Physiological Society (1994) recognizes this effect with respect to bronchial blood vessels. Concurrently, investigators have discovered that NO acts as a new neurotransmitter in the central and peripheral nervous system. In addition, activated macrophage cytotoxicity was found to be activated in host defense mechanisms based on the presence of NO. NO is now considered the smallest biosynthetically derived effector molecule secreted in mammalian systems. Reference is made to an article entitled "The Molecule of the Year", Science Magazine, Volume 258 (December 1992), by Koshland, which elaborates on the physiological importance of NO. An article entitled "Increased Production of Nitric Oxide By Neutrophils and Monocytes From Cirrhotic Patients With Ascites and Hyperdynamic Circulation", by 2 WO 98/45710 PCT/US97/06500 Laffi et. al., Hepatology, Volume 22, No. 6, (1995) and an article entitled "Molecular Cloning and Expression of Inducible Nitric Oxide Synthase from Human Hepatocytes" by Geller et al., Proc. Natl. Acad. Sci. USA, Volume 90 (April 1993) describes activity of nitric oxide synthase (NOS) and of nitric oxide in the liver. The latter reference includes an amino acid sequence describing human inducible NOS. In general, these articles associate cirrhosis with its concomitant activation of hepatocytes due to the inflammation and destruction of the liver, with the induction of iNOS and the subsequent overproduction of NO. Rejection of transplanted organs is proposed to be mediated by host defense mechanisms in which activated monocytes, macrophages, and/or neutrophils are active, and through the actions of iNOS leads to the inevitable production of NO. Others have attempted to develop drugs which specifically inhibit iNOS, thus stopping the production of NO, without simultaneously inhibiting either neuronal NOS (nNOS) or endothelial (eNOS), the other two isofroms of this enzyme. An article entitled "Increased Nitric Oxide Synthase Activity Despite Lack of Response to Endothelium dependent Vasodilators in Postischemic Acute Renal Failure in Rats", by Conger et al., The Journal of Clinical Investigations, Inc., Volume 96 (July 1995) recognizes nitric oxide activity in the failure of rat kidneys. An article entitled "Immunohistochemistry in the 3 WO 98/45710 PCT/US97/06500 Identification of Nitric Oxide Synthase Isoenzymes in Myocardial Infarction", by Wildhirt et al., Cardiovascular Research, Volume 29 (1995) recognizes the conversion of L arginine to citrulline and nitric oxide in infarcted rabbit myocardium, which leads to damage of the heart. The NO biosynthetic pathway has been extensively examined recently. It is now recognized that there is a family of isozymes which produce NO. An article entitled "The Nitric Oxide Synthase Family of Proteins", by Sessa, J. Vasc. Res. (1994) recognizes the trio of NOS isozymes. All three NOS isozymes catalyze the conversion of L arginine and oxygen to citrulline and NO. In addition, five co-factors have also been found to be required for this catalytic conversion. These are calmodulin, NADPH, FAD, FMN, and tetrahydrobiopterin. Generally, the three isoforms of NO synthase (NOS) have been labeled type 1 (nNOS), the neuronal isoform; type 2 (iNOS), the inducible isoform; and type 3 (eNOS), the endothelial isoform. nNOS and eNOS are constitutively expressed in the cells in which they are found. iNOS is not constitutively expressed, but rather is induced by a number of cytokines and lypopolysaccarides (LPS). It has been further discovered that nNOS serves as a neurotransmitter. iNOS, further, concerns host defense and cellular immunity. Also, vascular tone and hemodynamic control has been linked to eNOS. The three (3) isoforms of the NOS enzyme fall in the category of true isozymes since they share approximately 60% sequence homology. 4 WO 98/45710 PCTIUS97/06500 iNOS has been specifically implicated in certain pathological diseased states. An article entitled "Expression and Preferential Inhibition of Inducible Nitric Oxide Synthase in Aortas of Endotoxemic Rats", by Weigert et al., Journal of the American Society of Nephrology, Volume 5, No. 12 (1995) discusses the functional importance of iNOS with respect to septic shock. Specifically, where sepsis and septic shock occurs, numerous cytokines and LPS from gram negative bacteria potentially can induce the expression of iNOS in monocytes, macrophages, neutrophils, hepatocytes, or other cell types, which leads to the overproduction of NO. This in turn leads to the deleterious effects associated with sepsis and septic shock due to extensive systemic vasodilation. Various groups of researchers have reported on the development of monoclonal antibodies to NOS and on the utilization of such antibodies for biomedical experimentation. An article entitled "Stabilization of Inducible Nitric Oxide Synthase by Monoclonal Antibodies" by Hattori et al., Hybridoma, Volume 12, No. 6 (1993) states that a panel of monoclonal antibodies to rat iNOS was derived from activated rat peritoneal macrophages. It was reported therein that none of the monoclonal antibodies neutralized the enzymatic activity of rat iNOS, but some of the monoclonal antibodies stabilized the enzyme. An article entitled "Transient Expression of Calcium-Independent Nitric Oxide Synthase in Blood Vessels During Brain Development" by Galea et al., FASEB Journal, 5 WO 98/45710 PCT/US97/06500 Volume 9, (December 1995), describes a protein band which was detected with a monoclonal antibody raised against rat iNOS. Moreover, the Rengasamy article, prior identified, describes the development and characterization of a monoclonal antibody developed to bovine nNOS. Through western immunoblots, this monoclonal antibody was found to recognize bovine nNOS, bovine eNOS, and mouse iNOS. The same monoclonal antibody was found to recognize rat nNOS, rat eNOS, and rat iNOS, by immunohistochemical techniques. An article entitled "Inducible Nitric Oxide Synthase In A Human Glioblastoma Cell Line" by Fujisawa et al., Journal of Neurochemistry, Vol. 64 (1995) describes iNOS induction in A-172 cells, which is a human glioblastoma cell line. An article entitled "Immunochemical Detection of Inducible NO Synthase in Human Lung" by Tracey et al., American Physiological Society, Rapid Communication (1994) describes iNOS induction in RAW 264.7 macrophages. Polyclonal antibodies raised against mouse iNOS derived from induced RAW 264.7 cells and were used to investigate the expression of iNOS in human lung tissue. An article entitled "Characterization and Localization of Endothelial Nitric Oxide Synthase Using Specific Monoclonal Antibodies" by Pollock et al., American Physiological Society (1993) describes the development and characterization of a panel of monoclonal antibodies developed to bovine eNOS, which do not cross react with either nNOS or iNOS. 6 WO 98/45710 PCT/US97/06500 U.S. Patents 4,376,110 and 4,879,219 describe immunoassays utilizing monoclonal antibodies to detect antigenic substances. A brochure from Transduction Laboratories, Lexington, Kentucky, offers a number of mouse monoclonal antibodies raised to recombinant fragments of various rat isoforms of NOS. A company called Santa Cruz Biotechnology in a brochure entitled "Signaling Intermediates - NOS" offers a number of polyclonal anti-peptide antibodies specific for the various isoforms of NOS. A brochure entitled "Isostrip" by Boehringer Mannheim Corporation illustrates a simplified mouse monoclonal antibody isotyping kit which uses treated strips to detect mouse immunoglobulin subclasses, and kappa or lambda light chains. The development of a panel of monoclonal antibodies to human iNOS for immunoassays specific for human iNOS would be a notable advance in the bio-medical field. 7 WO 98/45710 PCT/US97/06500 SUMMARY OF THE INVENTION In accordance with the present invention a novel and useful panel of monoclonal antibodies specific to human iNOS have been developed and have been demonstrated to be useful in immunoassays that are specific for human iNOS. These monoclonal antibodies have been characterized by a number of different standard techniques. In addition, a number of assays have been developed using the monoclonal antibodies which are reactive to human iNOS, that also bind to specific linear synthetic peptide analogues of the protein. For example, assays of the competitive binding ELISA, immunofluorescent assay (IFA) types have been developed. In addition, Western blot, dip stick, fluorescent polarization, enzyme capture, and radioimmunoassay (RIA) may also be employed in this regard. The assays were employed with mouse models of human septic shock and human samples of septic shock, and validated under controlled circumstances. A number of specific regions of human iNOS were employed in the present invention. Namely, the A3, A4, A3+A4, F6, Gll and/or the Hl loci of human iNOS were targeted. Specific binding pairs and specific binding reagent molecules were also developed in conjunction with these loci. For example, the monoclonal antibodies, above mentioned, served as specific binding entities. Of course, polyclonal antibodies, oligonucleotides, polymers imprinted as artificial antibodies, phage display binding sites, and the like may also be used in this regard. Further, 8 WO 98/45710 PCT/US97/06500 combinations of peptides may be incorporated into the assays of the present invention. Peptide and peptide analogues at the iNOS regions above identified, can be used with specific binding pair partners or with specific binding reagent molecules for direct, indirect, captured, competitive binding, displacement, and other types of assays and assay kits. Any one of such assays or assay kits may be used to detect or measure iNOS quantitatively or qualitatively. Such assays may be of the clinical diagnostic type. Further, the peptide and peptide analogues, identified hereinafter, also include an active region or active portion which will produce satisfactory results. Specifically, epitope mapping was performed for the clones identified as 21C10-1D10, 2D2-B2, and 5B3-E6. It should be noted however, that synthetic peptides, recombinant peptides, recombinant proteins, fusion proteins, fusion peptides, phage displayed proteins, phage displayed peptides, peptide libraries, peptide analog libraries, and the like may be employed, where the active component is a mimic to A3, A4, A3+A4, F6, G11, and/or HI1 loci of human iNOS. In addition, regions of human iNOS may be combined in whole or in part in the present assay. For example, region F6 may be combined with a small portion of region H1 of human iNOS in an assay regent. The assays of the present invention may detect or measure human iNOS in cells and tissues for various pathophysiological conditions such as sepsis, septic shock 9 WO 98/45710 PCT/US97/06500 in humans and in mouse models, myocardial infarction, rejection of tissue in organs following transplantation, monitoring "flare ups" in certain autoimmune diseases such as lupus, psoriasis, multiple sclerosis, and the like. Specifically, IFA and competitive binding ELISA assays tested several of such tissues. However, as noted above, other assay methods may also be employed using the binding entities of the present invention. In addition, the sensitivity of certain assays, such as competitive binding ELISA, were increased by using combination of peptides. For example, the peptide to A3+A4 was deemed to increase the sensitivity of the assay to A4 alone, by 4 times. Amplification with avidin-biotin complex increased the assay sensitivity 12 to 15 times. The two combined increased sensitivity 48 to 60 times. It may be apparent that a novel and useful method for immunoassay and immunoassay components have been described. An object of the present invention is the development of immunoassays which can be used as clinical tests for hiNOS utilizing monoclonal antibodies specific to hiNOS. Another object of the present invention is to develop a separate panel of polyclonal rabbit anti-peptide antibodies, which are specific for the three (3) isoforms of hiNOS. Yet another object of the present invention is to produce peptide sequences which mimic regions of hiNOS, and 10 WO 98/45710 PCTIUS97/06500 that bind to the monoclonal antibodies of the present invention. A further object of the present invention is to provide a method to carry out immunoassays which utiliz specific binding entities which are reactive to human iNOS protein and which reveal the presence of the same by any number of immunoassay formats. Another object of the present invention is to provide immunoassay method which utilizes a specific binding entity reactive to mimics of human iNOS protein to reveal the presence of human iNOS protein in a sample. A further object of the present invention is to provide truncated peptide sequences which mimic regions of hiNOS and that bind to the monoclonal antibodies of the present invention. Another object of the present invention is to provide homolog peptides from proteins other than human iNOS to test the specificity characteristics of the monoclonal antibodies. Yet another object of the present invention is to characterize the panel of monoclonal antibodies of the present invention to ascertain their individual utility in various assays and procedures. The invention possesses other objects and advantages especially as concerns particular characteristics and features thereof which will become apparent as the specification continues. 11 WO 98/45710 PCT/US97/06500 BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a listing of five amino acid sequences representing regions of hiNOS to which various monoclonal antibodies, from the overall panel of monoclonal antibodies, of the present invention have bound. FIGS. 2-6 are photos of positively tested microtiter plates using the monoclonal antibodies of the present invention, as described in Example 3. FIGS. 7A-D are a listing of the peptide sequences usable for epitope mapping of the monoclonal antibodies of the present invention. FIG. 8 is a listing of the peptide sequences usable to determine specificity characterization of the monoclonal antibodies of the present invention. FIG. 9 is a graph representing a sandwich ELISA that measures hiNOS using polyclonal rabbit anti-peptide antibodies and four mouse monoclonal antibodies. FIG. 10 is a graph representing a sandwich ELISA that measures hiNOS using mouse IgG2b monoclonal antibody 21C10-1D10 and two mouse IgG I monoclonal antibodies. FIG. 11 is a graph representing a sandwich ELISA that measures hiNOS using mouse IgM monoclonal antibody 7D8-B3 and three mouse IgG monoclonal antibodies. FIG. 12 is a photograph of a western immunoblot of hiNOS using four different primary monoclonal antibodies and HRP-conjugated goat anti-mouse IgG secondary antibody. FIG. 13 is a graph representing a sandwich ELISA 12 WO 98/45710 PCTIUS97/06500 that measures hiNOS in non-induced and induced A-172 cell lysates using a mouse IgM monoclonal catch antibody, 7D8 B3, and a mouse IgG I monoclonal detection antibody, 1E8-B8. FIG. 14 is a graph representing a sandwich ELISA that measures iNOS in non-induced and induced RAW 264.7 cell lysates using mouse IgM monoclonal catch antibody, 7D8-B3, and mouse IgG I monoclonal detection antibody, 1E8 B8. FIG. 15 is a photograph showing the indirect immunofluorescent staining of induced A-172 cells with mouse IgG I monoclonal antibody 1E8-B8 magnified 1600 x. FIG. 16 is a photograph showing the indirect immunofluorescent staining of induced A-172 cells with mouse IgG I monoclonal antibody 2A12-A4 magnified 1600 x. FIG. 17 is a photograph showing the indirect immunofluorescent staining of induced A-172 cells with mouse IgM monoclonal antibody 2H11-D11 magnified 1600 x. FIG. 18 is a photograph showing the indirect immunofluorescent staining of induced RAW 264.7 cells with mouse IgG i monoclonal antibody 1E8-B8 magnified 1600 x. FIG. 19 is a photograph showing the indirect immunofluorescent staining of induced RAW 264.7 cells with mouse IgG I monoclonal antibody 2A12-A4 magnified 1600 x. FIG. 20 is a photograph showing the indirect immunofluorescent staining of induced human monocytes with mouse IgG I monoclonal antibody 1E8-B8 magnified 1600 x. FIG. 21 is a photograph showing the indirect immunofluorescent staining of induced human monocytes with 13 WO 98/45710 PCT/US97/06500 mouse IgG 1 monoclonal antibody 2A12-A4 magnified 1600 x. Fig. 22 is a photograph of mouse peritoneal cavity lavage cells 16 hrs. after induction with lipopolysaccharide showing indirect immunofluorescent staining of iNOS with mouse IgG I kappa monoclonal antibodies 5B3-E6 magnified 800 x. Fig. 23 is a photograph of mouse peritoneal cavity lavage cells 16 hrs. after induction with lipopolysaccharide showing indirect immunofluorescent staining of iNOS with mouse IgG I kappa monoclonal antibodies 2D2-B2 magnified 800 x. Fig. 24 is a photograph of mouse buffy coat cells 12 hours after induction with lipopolysaccharide showing indirect immunofluorescent staining of iNOS with mouse IgG 1 kappa monoclonal antibodies 5B3-E6 magnified 800 x. Fig. 25 is a photograph of mouse buffy coat cells 12 hours after induction with lipopolysaccharide showing indirect immunofluorescent staining of iNOS with mouse IgG I kappa monoclonal antibodies 2D2-B2 magnified 800 x. Fig. 26 is a photograph of human A-172 cells 40 hours after induction with CM/LPS showing indirect immunofluorescent staining of hiNOS with mouse IgG I kappa monoclonal antibodies 5B3-E6 magnified 1600 x. Fig. 27 is a photograph of human A-172 cells 40 hours after induction with CM/LPS showing indirect immunofluorescent staining of hiNOS with mouse IgG i kappa monoclonal antibodies 2D2-B2 magnified 1600 x. Fig. 28 is a photograph of mouse RAW 264.7 cells 14 WO 98/45710 PCT/US97/06500 40 hours after induction with CM/LPS showing indirect immunofluorescent staining of iNOS with mouse IgG I kappa monoclonal antibody 2D2-B2 magnified 1600 x. Fig. 29 is a photograph of buffy coat cells obtained from a human septic patient (No. 2) showing indirect immunofluorescent staining of hiNOS with mouse IgG kappa monoclonal antibody 2D2-B2 magnified 800 x. Fig. 30 is a graph representing a competitive binding ELISA that measures the quantity of iNOS using mouse IgG I monoclonal antibody 21C10-1D10 in cell lysates obtained from A-172 and RAW 264.7 cells 40 hours after induction with CM/LPS. Fig. 31 is a graph representing a competitive binding ELISA that measures the quantity of hiNOS using mouse IgG i monoclonal antibody 21C10-1D10 in cells lysates obtained from the buffy coat cells of whole blood from three different human septic shock patients. Fig. 32 is a panel of four graphs depicting the increased sensitivity in the competitive binding ELISA for hiNOS using mouse IgG i monoclonal antibody 21C10-1D10 and the 30 amino acid long A3 + A4 peptide, PS-5251, as compared to the 18 amino acid A4 peptide, PS-5104, at four different dilutions of ascites fluid. Fig 33 is a graph representing a competitive binding ELISA using mouse IgG 1 monoclonal antibody 21C10 1D10, the A4 peptide (PS-5104), and the carboxyl terminal truncation peptides (PS-5265 to PS-5268) of Table V which locates the antibodies epitope to the amino terminal region 15 WO 98/45710 PCT/US97/06500 of the A4 locus. Fig. 34 is a graph depicting the competitive binding ELISA using mouse IgG 1 monoclonal antibody 21C10 1D10, the standard A4 peptide (PS-5104), and amino terminal elongation series (PS-5211 to PS-5216) of Table VII which locates the antibodies epitope to PS-5213, VTQDDLQ. Fig. 35 is a graph depicting the competitive binding ELISA using mouse monoclonal antibody 2D2-B2, the standard F6 peptide (PS-5166), and peptides from the three mid-region elongation series of Table X which locates the antibody's epitope to PS-5294, VQGILERV. Fig. 36 is a graph depicting the competitive binding ELISA using mouse monoclonal antibody 5B3-E6, the standard F6 peptide (PS-5166), and peptides from the three mid-region elongation series of Table X which locates the antibody's epitope to PS-5294, VQGILERV. 16 WO 98/45710 PCT/US97/06500 DESCRIPTION OF THE PREFERRED EMBODIMENTS Various aspects of the present invention will evolve from the following detailed disclosure of the preferred embodiments thereof which should be referenced to the prior described drawings. A panel of mouse monoclonal antibodies specific for the inducible form of human NOS (hiNOS) has been developed. The monoclonal antibodies were characterized by a number of different techniques including enzyme-linked immunosorbent assay (ELISA), western immunoblots, immunoprecipitation of 125 I-hiNOS, and indirect immunofluorescent staining of cells. All the monoclonals were initially detected by ELISA, and all perform well in ELISA based assays. However, in all the other assay formats tested, some of the anti-hiNOS monoclonal antibodies worked well and others did not. Only one monoclonal antibody, 1E8-B8, has been found to perform well in all the assay formats tested. Others of the panel, such as 2A12-A4, 2D2-B2, 5B3-E6, 2H11-D11, 7D8-B3, and 21C10 1D10, perform well in most but not all of the assay formats examined. Thus, it will be necessary to test each of the monoclonal antibodies of the panel for suitability in any specific assay format or for any specific purpose. Such monoclonal antibodies have been used in immunoassays to determine the presence and quantity of hiNOS. These monoclonal antibodies were elicited using whole hiNOS as immunogen. However, many, if not all, of these monoclonal antibodies could be developed using 17 WO 98/45710 PCT/US97/06500 fragments or peptide analogues of hiNOS to elicit the initial immune response in mice. In addition, a separate panel of polyclonal rabbit anti-peptide antibodies were developed. Such polyclonal antibodies were specific to the three isoforms of NOS (nNOS, iNOS, eNOS). The polyclonal antibodies were raised in rabbits to peptides of defined amino acid sequences, which mimicked either the amino terminal or the carboxyl terminal of each of the isoforms of human NOS. The peptides used in the polyclonal antibody production were synthesized according to known techniques. In addition, purified human iNOS was employed to immunize mice and to develop a panel of monoclonal antibodies. The monoclonal antibodies could have been developed using protein fragments, fusion peptides and proteins, or peptide analogues of hiNOS to immunize mice and elicit an immune response to regions of hiNOS. Standard techniques were used to produce the hybridomas, clone the cells, and produce the monoclonal antibodies. The hybridomas and clones were screened by ELISA and western immunoblot and used in the production of monoclonal antibodies as culture supernatant and as ascites fluid from mice. The monoclonal antibodies were characterized by standard techniques and were also isotyped. The monoclonal antibodies were then tested for their ability to inhibit the enzymatic activity of hiNOS. In order to determine which region of the protein each monoclonal antibody was recognizing, 96 overlapping peptides, each 18 amino acids 18 WO 98/45710 PCT/US97/06500 long, were synthesized to cover the entire 1153 amino acid length structure of the hiNOS. Each peptide had a six amino acid long overlap with its nearest neighbors, except the carboxyl terminal peptide which had an 11 amino acid overlap with the prior peptide. The peptides were used to sensitize a specific well on microtiter plates, and culture supernatant or ascites fluid from each clone was applied individually to the wells. The presence of bound monoclonal antibody was then determined. Specific regions of the iNOS protein were identified as being bound by the monoclonal antibodies. Fig. 1 represents peptide sequences which represent the specific regions of human iNOS which were determined to bind to some of the monoclonal antibodies of the present invention. Once the region to which a specific monoclonal antibody was determined to bind, a computer search of the known protein databases was performed to find similar sequences of other proteins. This service is provided by the National Center for Biotechnology Information at the National Institutes of Health. A program named Basic Logistic Alignments Statistical Tool (BLAST) was employed in this search. The use of such tool is described in an article entitled "Basic Local Alignment Search Tool" by Altschul et al., Journal of Molecular Biology, Vol. 215 (1990). The following table represents the results of the computer search: Table I Sequence Homologies of Peptides to Regions of Proteins 19 WO 98/45710 PCT/US97/06500 Peptide Region Sequence P Value A3 human iNOS(25-42) Asn Asn Asn Val Glu < 2x10 -6 5 Lys Ala Pro Cys Ala 10 Thr Ser Ser Pro Val 15 Thr Gln Asp mouse iNOS(25-42) Asn Asn Asn Val Lys < 0.02 5 Lys Thr Pro Cys Ala 15 Val Leu Ser Pro Thr 20 Ile Gln Asp rat iNOS(25-42) Asn Asn Asn Val Glu < 0.03 5 Lys Thr Pro Gly Ala 10 Ile Pro Ser Pro Thr 15 Thr Gln Asp A4 human iNOS(37-54) Ser Pro Val Thr Gln < 2x10 6 5 Asp Asp Leu Gln Tyr 10 His Asn Leu Ser Lys 15 Gln Gln Asn F6 human iNOS(781-798) Pro Ala Leu Val Gln < ix0 -6 5 Gly Ile Leu Glu Arg 10 Val Val Asp Gly Pro 15 Thr Pro His mouse iNOS(776-792) Xxx Ala Leu Val Gln < 0.001 5 Gly Ile Leu Glu Arg 10 Val Val Asp Cys Pro 15 Thr Pro His rat iNOS(780-794) Xxx Xxx Leu Val Gln < 0.1 5 Gly Ile Leu Glu Arg 10 Val Val Asp Cys Ser 15 Ser Pro Xxx 20 WO 98/45710 PCT/US97/06500 G11 human iNOS(985-1002) Gly Ile Val Pro Phe < 2x10 8 5 Arg Ser Phe Trp Gln 10 Gln Arg Leu His Asp 15 Ser Gln His mouse iNOS(978-995) Gly Ile Ala Pro Phe < ix0 - 7 5 Arg Ser Phe Trp Gln 10 Gln Arg Leu His Asp 15 Ser Gln His rat iNOS(982-998) Gly Ile Ala Pro Phe < 1x10 -7 5 Arg Ser Phe Trp Gln 10 Gln Arg Leu His Asp 15 Ser Gln His human nNOS(1256-1273) Gly Ile Ala Pro Phe < 1x10 -4 5 Arg Ser Phe Trp Gln 10 Gln Arg Gln Phe Asp 15 Ile Gln His human eNOS(1017-1031) Gly Ile Ala Pro Phe < 0.001 5 Arg Gly Phe Trp Gln 10 Glu Arg Leu His Asp 15 Xxx Xxx Xxx bovine eNOS(1019- Gly Ile Ala Pro Phe < 0.001 1033) 5 Arg Gly Phe Trp Gln 10 Glu Arg Leu His Asp 15 Xxx Xxx Xxx H1 human iNOS(1009-1026) Arg Met Thr Leu Val < ix0-6 5 Phe Gly Cys Arg Arg 10 Pro Asp Glu Asp His 15 Ile Tyr Gln 21 WO 98/45710 PCT/US97/06500 rat iNOS(1006-1023) Arg Met Thr Leu Val < 1x10 5 Phe Gly Cys Arg His 10 Pro Glu Glu Asp His 15 Leu Tyr Gln mouse iNOS(1002-1019) Arg Met Ser Leu Val < 2x10 4 5 Phe Gly Cys Arg His 10 Pro Glu Glu Asp His 15 Leu Tyr Gln Where "Xxx" represents mismatched amino acids which were not used in the BLAST calculations. "P Value" represents the probability of dissimilarity. In other words, the smaller the value, the more likely the probability of there being a match. For example, the results of the BLAST calculations for peptide A3 in Table I found complete sequence homology with hiNOS (25-42). This was expected since this is the region of hiNOS that this peptide was built to mimic. The computer search only found sequence homology with two other proteins. One sequence homology concern mouse iNOS (25-42) with a P Value of less than 0.02. The other sequence homology was rat iNOS (25-42) with a P Value of less than 0.03. No sequence homology was found to any other proteins in the databases with a P Value of less than 0.1. The search of the protein database for sequence homology with peptide A4 found homology only with human iNOS (37-54) which is the region mimicked by the peptide. No region of any other protein in the databases was determined to match this sequence with a P Value of less than 0.1 (i.e., the 22 WO 98/45710 PCT/US97/06500 probability that there is a difference is greater than 99.9%). The search for sequence homology to peptide F6 which is hiNOS (781-798) found sequence homology with human iNOS and with mouse and rat iNOS. No homology was found during this search to any other protein with a P Value of less than 0.1. However, the search for sequence homology with peptide GilI, which is hiNOS (985-1002), found homology to a number of proteins in Table I. These included mouse and rat iNOS, human nNOS (1256-1273), human eNOS (1017 1031), and bovine eNOS (1019-1033). The computer search for sequence homology to peptide Hl, which is hiNOS (1009 1026), found homology only with rat and mouse iNOS. No other sequence homology was found with a P Value less than 0.5. It should be noted that a small amount of homology was found with human eNOS and human nNOS, but the P Values are greater than 0.5. The sequences from each of the 18-mers to which monoclonal antibodies are found to bind, i.e., peptides A3 (PS-5103), A4 (PS-5104), F6 (PS-5166), Gil (PS-5183), and HI (PS-5185), Table I, were used to design and make a series of epitope mapping peptides for these regions. A series of four truncation peptides from the amino acid terminal end of the 18-mers, as well as a series of four truncations from the carboxyl terminal of each of the 18 mers were fashioned. Various degrees of truncation were used to determine the minimum lengths of amino acids to which some of binding to the monoclonal antibodies of the present invention could bind. Fig. 7 represents amino acid 23 WO 98/45710 PCT/US97/06500 sequences showing such truncated peptides which were bound by some of the monoclonal antibodies of the present invention. In addition, a number of peptide homologue were designed and synthesized based on the BLAST search. These peptide homologue were used to characterize the specificity of the monoclonal antibodies to proteins other than hiNOS. For example, such other proteins included hNOS, heNOS, mouse iNOS, and rat iNOS. An immunoassay was set-up to determine the presence and quantity of hiNOS in samples. Purified goat anti-rabbit IgG was used to sensitize microtiter plates. The plates were blocked with bovine serum albumin (BSA). Rabbit polyclonal anti-peptide antibody was added and allowed to bind as the "catch" antibody in order to bind hiNOS in samples. Various mouse monoclonal antibodies from the panel of Table III were tested for their ability to detect and quantitate hiNOS. Clones 1E8-B8, 21C10-1D10, 2A12-A4, and others of Table III were found to work in this format. It is believed that other formats such as the formation of strips for rapid detection of iNOS may be applicable to the assay of the present invention. In addition to use in sandwich ELISAs, the panel of monoclonal antibodies of Table III were tested for their ability to detect hiNOS in samples by western immunoblot techniques. In this technique, cells in culture were induced with a cytokine/LPS mix. The latter technique induced the production of iNOS by the cells which was 24 WO 98/45710 PCT/US97/06500 detectable in western immunoblots by the monoclonal antibodies of the present invention. In addition to use in sandwich ELISAs and western immunoblots, each of the monoclonal antibodies in the panel of Table III was tested for its ability of immunoprecipitate hiNOS. This was tested by radioimmunoassay (RIA) techniques using 125 I-labeled hiNOS. Ten of the 20 different monoclonal antibodies in the panel were determined to immunoprecipitate hiNOS by this method. Of the ten positives found, monoclonal antibodies 2H11-Dll, 5B3-E6, and 21C10-1D10 were found to be the best at immunoprecipitating the radiolabeled protein. The ability of the monoclonal antibodies in Table III to recognize and bind to iNOS in fixed cells was also investigated. Induction of iNOS production was examined in three very different types of cultured cells by indirect immunofluorescent staining of the induced cells using the anti-hiNOS monoclonal antibodies as the primary antibody. The three types of induced cultured cells tested were A-172 (a human glioblastoma cell line), RAW 264.7 (a mouse macrophage cell line), and normal human monocytes isolated from blood. Five monoclonal antibodies, 1E8-B8, 2D2-B2, 5B3-E6, 2A12-A4, and 2H11-Dll, were found to perform particularly well in this assay format: other monoclonals from the panel performed less well or did not stain the cells. While in the foregoing, embodiments of the present invention have been set forth in considerable 25 WO 98/45710 PCT/US97/06500 detail for the purposes of making a complete disclosure of the invention, it may be apparent to those of skill in the art that numerous changes may be made in such detail without departing from the spirit and principles of the invention. The following examples are presented as being illustrative of the invention, but are not intended to be limiting of the invention or any embodiment thereof, unless specified hereinafter. EXAMPLE 1 PRODUCTION OF POLYCLONAL ANTIBODIES Peptides of defined amino acid sequences were prepared, which mimicked either the amino terminal or the carboxyl terminal of each of the isoforms of human NOS. Each peptide was synthesized by solid phase peptide synthesis utilizing the fmoc protecting strategy. The synthetic peptides were cleaved from the solid support resin, isolated, and purified by standard procedures including preparative HPLC. They were analyzed for purity by analytical HPLC. 1. Each synthetic peptide was conjugated onto a carrier protein, keyhole limpet hemocyanin (KHL), using either the EDAC or sulfo-MBS chemistries to construct the immunogens for the elicitation of antibodies. 2. Each peptide/protein conjugate was used as an immunogen in rabbits. The different immunogens were employed to immunize groups of 2-4 rabbits each. The rabbits were immunized, boosted, and bled following a standard protocol developed for the production of anti 26 WO 98/45710 PCT/US97/06500 peptide antibodies in rabbits. 3. The antiserum obtained from each bleed of each rabbit was tested by ELISA for the production of antibodies specific for the synthetic peptide analogue. Those antisera found positive for production of antibodies specific for the peptide portion of the immunogen were then assessed for their ability to recognize the whole protein. Table II represents a summary of such synthetic peptides. Table II Synthetic Peptides Used as Immunogens Batch # & segment Sequence Location Amino Acid Sequence PS-1656 hnNOS[2-16, human nNOS: amino Glu Asp His Met Phe Cys 17 ] terminal 5 Gly Val Gln Gln Ile 10 Gln Pro Asn Val Ile 15 Cys PS-1653 hnNOS human nNOS: Cys Arg Leu Arg Ser [Cys 1410 -1411-1433] carboxyl terminal 5 Glu Ser Ile Ala Phe 10 Ile Glu Glu Ser Lys 15 Lys Asp Thr Asp Glu 20 Val Phe Ser Ser PS-1673B hiNOS [2- human iNOS: amino Ala Ser Pro Trp Lys 21, Ser 2 ] terminal 5 Phe Leu Phe Lys Thr 10 Lys Phe His Gln Tyr 15 Ala Met Asn Gly Glu 20 27 WO 98/45710 PCT/US97/06500 PS-1643 hiNOS human iNOS: Cys Lys Lys Asp Arg [Cys 1136 -137-1153] carboxyl terminal 5 Val Ala Val Gln Pro 10 Ser Ser Leu Glu Met 15 Ser Ala Leu PS-1686 heNOS[Cap- human eNOS: amino Cap-Gly Asn Leu Lys 2-12, Cys 13 ] terminal with caproic acid Ser Val Ala Gln Glu attached 5 Pro Gly Cys 10 PS-1687 heNOS[2- human eNOS: amino Gly Asn Leu Lys Ser 12, Cys 3 ] terminal without 5 caproic acid Val Ala Gln Glu Pro attached 10 Gly Cys PS-1648 heNOS human eNOS: Cys Glu Arg Gln Leu [Cys 1-1182-1203] carboxyl terminal 5 Arg Glu Ala Val Pro 10 Trp Ala Phe Asp Pro 15 Pro Gly Ser Asp Thr 20 Asn Ser Pro EXAMPLE 2 PRODUCTION OF MONOCLONAL ANTIBODIES Purified human iNOS was used to immunize mice and develop a panel of monoclonal antibodies. Standard techniques were used to produce the hybridomas, clone the cells, and produce the monoclonal antibodies. Such techniques are described in a protocol entitled "Production of Monoclonal Antibodies", Current Protocols in Immunology (1991). Briefly, spleens from immunized mice were aseptically removed, splenocytes were isolated and were fused with SP2/0 - Ag 14 myeloma cells with polyethylene glycol. Hybridomas were screened by ELISA for production of mouse IgG or IgM antibodies to hiNOS. Positive hybrids 28 WO 98/45710 PCT/US97/06500 were expanded and cloned via limiting dilution. The clones were screened by ELISA and western immunoblot techniques. Positive clones were expanded, frozen down in liquid nitrogen for cryopreservation, and used for the production of monoclonal antibodies as culture supernatant, as well as ascites fluid from Balb/C female mice. The monoclonal antibodies produced by the various clones were characterized by a number of different techniques. These include ELISA, western immunoblot, immunoprecipitation of ' 25 I-hiNOS (I.P.), and indirect immunofluorescent staining of cells (I.F.A.). The monoclonal antibodies were also isotyped. Table III represents these results: Table III Characteristics of hiNOS Monoclonal Antibodies Clone Isotype ELISA Western I.P. I.F.A. Immuno Blot 1All-F7 Mouse + - + ND IgGl kappa 1E8-B8 Mouse + + + + IgGl kappa 2A1-F8 Mouse + + + ND IgG2a kappa 2A12-A4 Mouse + + - + IgGl kappa 2D2-B2 Mouse + - - weak IgGl kappa 2D10-F12 Mouse + - IgG2A kappa 29 WO 98/45710 PCTIUS97/06500 2H11-D11 Mouse IgM + - + + kappa 4E8-G9 Mouse + - - ND IgG2B kappa 5B3-E6 Mouse + - + weak IgG1 kappa 5D5-H10 Mouse + + - ND IgG1 kappa 6A12-A12 Mouse + - + ND IgG2a kappa 6G12-H7 Mouse + + - ND IgG1 kappa 7D8-B3 Mouse IgM + - + + 21C10- Mouse + + + 1D10 IgG2B kappa 21D4-2A8 Mouse IgM + - + + 21H11- Mouse IgG + - + ND 2D2 22E3-2F5 Mouse + + IgG1 kappa 23G6- Mouse + + 2A12 IgG1 kappa 24B10- Mouse + - 2C7 IgG1 kappa 24H9-1F3 Mouse + + IgG1 Skappa Where "ND" indicates "not determined"; "+" is "positive"; "-" is "negative"; and "weak" represents binding at only very high monoclonal antibody concentrations. 30 WO 98/45710 PCT/US97/06500 EXAMPLE 3 EPITOPE MAPPING OF MONOCLONAL ANTIBODIES In order to determine which region of the protein each monoclonal antibody of Example 2 was recognizing, 96 overlapping peptides were synthesized to cover the entire 1153 amino acid length structure of hiNOS. All peptides were 18 amino acids long (18-mers) and were synthesized as carboxyl terminal amides. Serine was substituted for all the naturally occurring cysteine residues in the structure, and each peptide had a six amino acid long overlap with its nearest neighbors, except the carboxyl terminal peptide which had an 11 amino acid overlap with the prior peptide. The peptides were used to epitope map the panel of monoclonal antibodies by ELISA techniques. Each peptide was used to sensitize a specific well on a series of microtiter plates. The culture supernatant or ascites from each monoclonal antibody was then applied individually to all the wells of a sensitized plate. The wells were then tested for the presence of bound mouse monoclonal antibody. Representative results that were obtained for this series of experiments are shown in Figs. 2-6 and are summarized in Table IV, below: Table IV Epitope Mappinq of Monoclonal Antibodies to hiNOS Monoclonal Binds to Sequence Region Antibody 31 WO 98/45710 PCT/US97/06500 1E8-B8 G11 = PS-5183 Gly Ile Val Pro Phe 985-1002 5 Arg Ser Phe Trp Gln i0 Gln Arg Leu His Asp 15 Ser Gln His 2AI2-A4 G11 = PS-5183 Gly Ile Val Pro Phe 985-1002 5 Arg Ser Phe Trp Gln 10 Gln Arg Leu His Asp 15 Ser Gln His 6G12-H7 A4 = PS-5104 Ser Pro Val Thr Gln 37-54 5 Asp Asp Leu Gln Tyr 10 His Asn Leu Ser Lys 15 Gln Gln Asn 2D2-B2 F6 = PS-5166 Pro Ala Leu Val Gln 781-798 5 Gly Ile Leu Glu Arg 10 Val Val Asp Gly Pro 15 Thr Pro His 5B3-E6 F6=PS-5166 Pro Ala Leu Val Gln 781-798 5 Gly Ile Leu Glu Arg 10 Val Val Asp Gly Pro 15 Thr Pro His 21C10-1D10 A3 = PS-5103 & Asn Asn Asn Val Glu 25-42 5 Lys Ala Pro Ser Ala 10 Thr Ser Ser Pro Val 15 Thr Gln Asp A4 = PS-5104 Ser Pro Val Thr Gln 37-54 5 Asp Asp Leu Gln Tyr 10 His Asn Leu Ser Lys 15 Gln Gln Asn 32 WO 98/45710 PCTIUS97/06500 22E3-2F5 F6 = PS-5166 Pro Ala Leu Val Gln 781-798 5 Gly Ile Leu Glu Arg 10 Val Val Asp Gly Pro 15 Thr Pro His 24B10-2C7 H1 = PS-5185 Arg Met Thr Leu Val 1009-1026 5 Phe Gly Ser Arg Arg 10 Pro Asp Glu Asp His 15 Ile Tyr Gln EXAMPLE 4 Epitope Mapping and Specificity Characterization With Synthetic Peptides The sequence from each of the 18-mers to which monoclonal antibodies were found to bind (peptides A3, A4, F6, G11 and H1, Table IV) were used to design and make a series of epitope mapping peptides for these regions. Also, homologs to iNOS found by the BLAST search were employed to characterize the specificity of the iNOS monoclonal antibodies. A series of four truncation peptides from the amino terminal end of each of the 18-mers as well as a series of four truncations from the carboxyl terminal of each of the 18-mers were made. Each series deleted three amino acids in turn from either the carboxyl or amino terminal of the 18-mers. This resulted in two series of truncation peptides for each 18-mers which were successively shorter by three amino acids from each end. Table V and Figs. 7A-7D and Fig. 8 list the truncation peptides and peptide homologs to hINOS that were built, the latter were from regions of human nNOS, mouse and rat iNOS, and human eNOS, if any sequence homology was found to these 33 WO 98/45710 PCTIUS97/06500 regions by the BLAST computer search, hereinbefore discussed: Table V Truncated and Homolog Epitope Mapping Peptides Peptide AA Secrment Sequence Monoclonal Binding PS-5103 (A3) locus Asn Asn Asn Val Glu 21CI0-1DlO human iNOS(25-42) 5 Lys Ala Pro Ser Ala 10 Thr Ser Ser Pro Val 15 Thr Gln Asp-amide + PS-5241 mouse iNOS(25-42) Asn Asn Asn Val Lys 5 Lys Thr Pro Ser Ala 10 Val Leu Ser Pro Thr 15 Ile Gln Asp-amide weak PS-5242 rat iNOS(25-42) Asn Asn Asn Val Glu 5 Lys Thr Pro Gly Ala 10 Ile Pro Ser Pro Thr 15 Thr Gln Asp-amide PS-5243 human iNOS(28-42) Val Glu Lys Ala Pro 5 Ser Ala Thr Ser Ser 10 Pro Val Thr Gln Asp 15 -amide PS-5244 human iNOS(31-42) Ala Pro Ser Ala Thr 5 Ser Ser Pro Val Thr 10 Gln Asp-amide PS-5245 human iNOS(34-42) Ala Thr Ser Ser Pro 5 Val Thr Gln Asp -amide PS-5246 human iNOS(37-42) Ser Pro Val Thr Gln 5 Asp-amide 34 WO 98/45710 PCTIUS97/06500 PS-5247 human iNOS(25-39) Asn Asn Asn Val Glu 5 Lys Ala Pro Ser Ala 10 Thr Ser Ser Pro Val 15 -amide PS-5248 human iNOS(25-36) Asn Asn Asn Val Glu 5 Lys Ala Pro Ser Ala 10 Thr Ser-amide PS-5249 human iNOS(25-33) Asn Asn Asn Val Glu 5 Lys Ala Pro Ser -amide PS-5250 human iNOS(25-30) Asn Asn Asn Val Glu 5 Lys-amide PS-5104 (A4) locus Ser Pro Val Thr Gln 6G12 21C human iNOS (37-54) 5 -H7 10 Asp Asp Leu Gln Tyr 1D10 10 His Asn Leu Ser Lys 15 Gln Gln Asn-amide + + PS-5261 human iNOS(40-54) Thr Gln Asp Asp Leu 5 Gln Tyr His Asn Leu 10 Ser Lys Gln Gln Asn -amide + PS-5262 human iNOS(43-54) Asp Leu Gln Tyr His 5 Asn Leu Ser Lys Gln 10 Gln Asn-amide weak PS-5263 human iNOS(46-54) Tyr His Asn Leu Ser 5 Lys Gln Gln Asn amide PS-5264 human iNOS(49-54) Leu Ser Lys Gln Gln 5 Asn-amide - 35 WO 98/45710 PCT/US97/06500 PS-5265 human iNOS(37-51) Ser Pro Val Thr Gln 5 Asp Asp Leu Gln Tyr 10 His Asn Leu Ser Lys 15 -amide + + PS-5266 human iNOS(37-48) Ser Pro Val Thr Gln 5 Asp Asp Leu Gln Tyr 10 His Asn-amide PS-5267 human iNOS(37-45) Ser Pro Val Thr Gln 5 Asp Asp Leu Gln amide PS-5268 human iNOS(37-42) Ser Pro Val Thr Gln 5 Asp-amide PS-5166 (F6) locus Pro Ala Leu Val Gln 2D2-B2 human iNOS (781- 5 798) Gly Ile Leu Glu Arg 10 Val Val Asp Gly Pro 15 Thr Pro His-amid + PS-5221 human eNOS(806-824) Pro Gly Leu Val Glu 5 Ala Leu Leu Ser Arg 10 Val Glu Asp Pro Pro 15 Ala Pro Thr Glu amide PS-5222 human iNOS (784- Val Gln Gly Ile Leu 798) 5 Glu Arg Val Val Asp 10 Gly Pro Thr Pro His 15 -amide + PS-5223 human iNOS (787- Ile Leu Glu Arg Val 798) 5 Val Asp Gly Pro Thr 10 Pro His-amide 36 WO 98/45710 PCT/US97/06500 PS-5224 human iNOS (790- Arg Val Val Asp Gly 798) 5 Pro Thr Pro His -amide PS-5225 human iNOS (793- Asp Gly Pro Thr Pro 798) 5 His-amide PS-5226 human iNOS (781- Pro Ala Leu Val Gln 794) 5 Gly Ile Leu Glu Arg 10 Val Val Asp Gly amide + PS-5227 human iNOS (781- Pro Ala Leu Val Gln 792) 5 Gly Ile Leu Glu Arg 10 Val Val-amide + PS-5228 human iNOS (781- Pro Ala Leu Val Gln 789) 5 Gly Ile Leu Glu amide weak PS-5229 human iNOS (781- Pro Ala Leu Val Gln 786) 5 Gly-amide PS-5183 (G11) locus Gly Ile Val Pro Phe 1E8 2A12 human iNOS(985- 5 -B8 -A4 1002) Arg Ser Phe Trp Gln 10 Gln Arg Leu His Asp 15 Ser Gln His-amide + + PS-5201 human nNOS(1256- Gly Ile Ala Pro Phe 1273) 5 Arg Ser Phe Trp Gln 10 Gln Arg Gln Phe Asp 15 Ile Gln His-amide + + PS-5202 human eNOS(1017- Gly Ile Ala Pro Phe 1031) 5 Arg Gly Phe Trp Gln 10 Glu Arg Leu His Asp 15 -amide - 37 WO 98/45710 PCT/US97/06500 PS-5203 human iNOS(988- Pro Phe Arg Ser Phe 1002) 5 Trp Gln Gln Arg Leu 10 His Asp Ser Gln His-amide 15 weak + PS-5204 human iNOS(991- Ser Phe Trp Gln Gln 1002) 5 Arg Leu His Asp Ser 10 Gln His-amide PS-5205 human iNOS(994- Gln Gln Arg Leu His 1002) 5 Asp Ser Gln His amide PS-5206 human iNOS(997- His Asp Ser Gln 1002) His-amide 5 PS-5207 human iNOS(985-998) Gly Ile Val Pro Phe 5 Arg Ser Phe Trp Gln 10 Gln Arg Leu His Asp-amide 15 PS-5208 human iNOS(985-996) Gly Ile Val Pro Phe 5 Arg Ser Phe Trp Gln 10 Gln Arg-amide PS-5209 human iNOS(985-993) Gly Ile Val Pro Phe 5 Arg Ser Phe Trp amide PS-5210 human iNOS(985-990) Gly Ile Val Pro Phe 5 Arg-amide 38 WO 98/45710 PCT/US97/06500 PS-5185 (H1I) locus Arg Met Thr Leu Val 24B10-2C7 human iNOS(1009- 5 1026) Phe Gly Ser Arg Arg 10 Pro Asp Glu Asp His 15 Ile Tyr Gln-amide + PS-5281 human eNOS(1041- Met Thr Leu Val Phe 1057) 5 Gly Ser Arg Ser Ser 10 Gln Leu Asp His Leu 15 Tyr Arg-amide PS-5282 human nNOS(1281- Met Val Leu Val Phe 1297) 5 Gly Ser Arg Gln Ser 10 Lys Ile Asp His Ile 15 Tyr Arg-amide PS-5283 human iNOS(1012- Leu Val Phe Gly Ser 1026) 5 Arg Arg Pro Asp Glu 10 Asp His Ile Tyr Gln 15 -amide + PS-5284 human iNOS(1015- Gly Ser Arg Arg Pro 1026) 5 Asp Glu Asp His Ile 10 Tyr Gln-amide + PS-5285 human iNOS(1018- Arg Pro Asp Glu Asp 1026) 5 His Ile Tyr Gln amide weak PS-5286 human iNOS(1021- Glu Asp His Ile Tyr 1026) 5 Gln-amide PS-5287 human iNOS(1009- Arg Met Thr Leu Val 1023) 5 Phe Gly Ser Arg Arg 10 Pro Asp Glu Asp His 15 __I-amide 39 WO 98/45710 PCT/US97/06500 PS-5288 human iNOS(1009- Arg Met Thr Leu Val 1020) 5 Phe Gly Ser Arg Arg 10 Pro-amide PS-5289 human iNOS(1009- Arg Met Thr Leu Val 1017) 5 Phe Gly Ser Arg amide PS-5290 human iNOS(1009- Arg Met Thr Leu Val 1014) 5 Phe-amide Where "+" represents positive binding, "-" represents no binding, and "weak" represents binding at only very high monoclonal antibody concentrations. The ability of the monoclonal antibodies to bind to the various truncation analogues or to the nNOS and eNOS analogues were tested by ELISA in a similar format to that which was used to screen the original ninety-six 18-mers. At the A-3 locus, monoclonal antibody 21C10-1D10 would only bind strongly to peptide A-3 (PS-5103) and weakly to the mouse homolog miNOS (25-42), (PS-5241). 21C10-1D10 would not bind to any of the truncated peptides nor to the rat homolog riNOS (25-42), (PS-5242). At the A4 locus, two monoclonal antibodies were determined to bind during the initial screening (6G12-H7 and 21C10-1D10). These showed differing specificities to the truncated peptides. Monoclonal antibody 6G12-H7 was found to bind strongly to A4 (PS-5104), and two truncated analogues, PS-5261 and PS-5265: it also bound weakly to PS 5262. This shows that the original 18-mers should be able to be shortened to at least a 12-mers with the sequence Thr 40 WO 98/45710 PCTIUS97/06500 Gln Asp Asp Leu Gln Tyr His Asn Leu Ser Lys and still be able to bind to this peptide analogue of the whole protein. In contrast, monoclonal antibody 21C10-1D10 bound only to the original 18-mer A4 (PS-5104) and to the hiNOS (37-51) peptide sequence (PS-5265), which is truncated three residues on the carboxyl terminus. At the F6 locus, monoclonal antibody 2D2-B2 was found to bind strongly peptide F6 (PS-5166) and three of its truncated analogues, PS-5222, PS-5226, and PS-5227. It bound PS5228 weakly and to the human eNOS (806-824), PS 5221, not at all. However, from the results obtained with the truncation peptides, the epitope should be contained in the sequence Val Gln Gly Ile Leu Glu Arg Val Val. At the G-11 locus, two monoclonal antibodies were found to bind during the initial screening, 1E8-B8 and 2A12-A4. When these two were tested for binding to the truncation series and two homologs, a similar pattern of recognition was found for both monoclonals. Both bound strongly to peptide G-11 (PS-5183), as expected, and both recognized the homolog human nNOS (1256-1273), PS-5201, though the binding was much less than for G-11. Each recognized PS-5203, the first of the amino terminal truncation series peptides, but the binding of 1E8-B8 was much weaker than that observed for 2A12-A4. Finally, at the H1 locus, monoclonal antibody 24B10-2C7 was found to bind to H1 (PS-5185). This monoclonal did not recognize either the human eNOS or nNOS homologs, PS-5281 and PS-5282, respectively, but it did 41 WO 98/45710 PCT/US97/06500 bind strongly to the first two amino terminal truncation series peptides, PS-5283 and PS-5284. Monoclonal 24B10-2C7 also bound weakly to the next shorter amino terminal truncation peptide, PS-5285. These results indicate that this monoclonal antibody recognized a sequence located in the carboxyl terminal region of peptide H-1 (PS-5185). EXAMPLE 5 Sandwich ELISA To Determine quantity Of hiNOS In Samples Polyclonal rabbit anti peptide iNOS antisera was used as a "catch" antibody in the initial attempt to develop a sandwich ELISA for hiNOS. In this format affinity purified goat anti-rabbit IgG at 1 ggm per well in 100 gl was used to sensitize microliter plates. Following this the plates were blocked with bovine serum albumin (BSA). Rabbit polyclonal anti-peptide antibody (specific for the carboxyl terminal of hiNOS) was added and allowed to bind. This was used as "catch" antibody to bind hiNOS in samples. Various mouse monoclonal from the panel of Table III were tested for their ability to detect and/or quantitate hiNOS in samples, illustrated in Fig. 9. The results shows that clones 1E8-B8, 21C10-1D10, 2A1-A4, and 7D8-B3 were found to work in this assay format. However, in order to eliminate the necessity of repeatedly producing polyclonal rabbit anti-peptide antibody, which needs extensive characterization, a sandwich ELISA was designed using monoclonal antibodies from the panel developed to hiNOS, Table III, as both the "catch" and detection antibodies. In this assay format affinity purified goat anti-mouse IgG2A, IgG 2 s, or IgM was used to sensitize the 42 WO 98/45710 PCT/US97/06500 microtiter plates. The "catch" monoclonal antibody was then added; either 2Al-F8, 6A12-Al2, 21C10-1D10, or one of IgM class monoclonals. The plate was then blocked with BSA. Samples known to contain hiNOS were then applied to the microtiter plates. Following this, they were then thoroughly washed. The detection monoclonal antibody used was one from a different immunoglobulin class. In the case of monoclonal antibody 21C10-1D10, which is an IgG2b, mouse IgG I monoclonal antibodies were used as detection antibodies, for example 1E8-B8 and 2D2-B2, shown in Fig. 10. In the case of the "catch" monoclonal antibody being an IgM class antibody, any of the mouse IgG clones could be used as detection antibody; this includes 1E8-B8 (IgG 1 ), 2D2-B2 (IgG 1 ), and 21C10-1D10 (IgG 2 B), per Fig. 11. As is evident, a monoclonal based antibody sandwich ELISA can be produced using the panel of monoclonal antibodies of Table III. The necessity for using a polyclonal "catch" antibody can be eliminated by employing different immunoglobulin class monoclonal antibodies from the panel of mouse monoclonal antibodies developed to hiNOS. EXAMPLE 6 Western Immunoblots In addition to use in sandwich ELISAs, the panel of monoclonal antibodies of Table III was tested for their ability to detect hiNOS in samples by western immunoblot techniques. Samples were electrophoresed on 7.5% SDS-PAGE gels which separates the proteins by molecular weight. The proteins were transferred onto PVDF membranes, and the membranes were blocked with evaporated goats milk diluted 43 WO 98/45710 PCTIUS97/06500 1:4 with PBS/Tween 20 buffer. The primary anti-hiNOS monoclonal antibodies were bound, and then the membranes were developed using HRP-conjugated goat anti-mouse IgG antibody, shown in Fig. 12. The monoclonal antibodies have also been tested in western blots using cell lysates obtained from cells which have been reported to contain iNOS following induction with cytokine/LPS mix. Cell lines A-172 and RAW 264.7 were purchased from American Type Culture Collection of Rockville, Maryland (ATCC), were expanded, and cells were harvested before and after induction with a cytokine/LPS mix, Figs. 13 and 14. Such cytotoxic mix is described in the Geller et al., article, hereinbefore noted, as a cytokine/LPS mixture. The cell pellets were thoroughly washed after harvesting with PBS to remove extraneous proteins. The cells were lysed by two freeze-thaw cycles and sonification. The cell lysates were diluted 1:2 with SDS-PAGE sample buffer and boiled for ten minutes. The samples were electrophoresed on 7.5% gels as described above. The uninduced cells did not contain iNOS whereas, after induction with the cytokine/LPS mix, a band at 130kd was present. This shows that the cytokine/LPS mix had induced iNOS and that the monoclonal antibodies of Table III can detect iNOS in unknown samples in the western blot format. In addition to examining these induced cell lysates by western immunoblots, they were tested by the sandwich ELISA procedure of Example 5 to determine if iNOS could be detected and/or quantitated. The results of such 44 WO 98/45710 PCT/US97/06500 ELISA tests as illustrated in Figs. 13 and 14 clearly indicated no iNOS was present in the uninduced cells, whereas after induction with the cytokine/LPS mix a substantial amount of iNOS was present. EXAMPLE 7 IMMUNOFLUORESCENT STAINING OF INDUCED CELLS The ability of the various monoclonal antibodies to bind to iNOS in cells that have been induced to produce iNOS was examined in three different cell types, A-172 a human glioblastoma cell line, RAW 264.7 a mouse macrophage cell line, and normal human monocytes. The cells were cultured for two (2) days in normal medium and then induced to produce iNOS by treatment for 40 hours with a cytokine/LPS mixture (CM). Following the treatment, the cells were processed in one of two ways, either for lysis or for immunostaining. The cells that were to be lysed were detached from the culture flask, washed five (5) times, and frozen in a small volume of PBS to lyse. These were used for western immunoblots and to test the sandwich ELISA described in Examples 5 and 6 hereinbefore. The cells for immunostaining were washed four (4) times, and fixed in either 70% or 100% acetone. They were reacted for 60 minutes with the primary mouse anti-hiNOS monoclonal antibody, and then with FITC-conjugated goat anti-mouse IgG or IgM. They were observed and photographed by epifluorescence microscopy. Figures 15-17 illustrate the indirect immunofluorescent staining pattern observed on induced A-172 cells with three (3) different mouse anti hiNOS monoclonal antibodies, 1E8-B8, 2A12-A4, and 2H11-D11 45 WO 98/45710 PCT/US97/06500 of Table IV, respectively. Figures 18 and 19 illustrate the indirect immunofluorescent staining observed on the fixed RAW 264.7 cells with anti-hiNOS monoclonal antibodies, 1E8-B8 and 2A12-A4 of Table IV, respectively. This shows that these two monoclones will also recognize and bind to mouse iNOS. This is similar to the results found by western immunoblotting. That is to say, these two (2) monoclonals can cross react with mouse iNOS. Figures 20 and 21 show the indirect immunostaining achieved using two (2) mouse anti-hiNOS monoclonal antibodies, 1E8-B8 and 2A12-A4 of Table IV, respectively, on induced normal human monocytes. The monocytes were isolated from normal human blood by density gradient centrifugation using Optiprep obtained from Accurate Chemical and Scientific Corp, Westbury, New York, following the manufacturer's direction as delineated in Application Sheet 2.3. These results show that these mouse anti-hiNOS monoclonal antibodies can recognize and bind to hiNOS which has been induced in normal human cells and tissues. EXAMPLE 8 Test of Monoclonal Antibodies Ability to Inhibit The Enzymatic Activity of hiNOS The enzymatic activity of hiNOS was determined by measuring the amount of nitrite produced in the presence of the substrates and co-factors. We tested 13 different anti-hiNOS monoclonal antibodies for their ability to inhibit the activity of hiNOS. None of the monoclonal antibodies tested was found to inhibit the activity of the enzyme as determined by the Greise calorimetric assay 46 WO 98/45710 PCT/US97/06500 described in an article entitled "Macrophage Deactivity Factor and Transforming Growth Factors - betal, beta2, and beta3 Inhibit Induction of Macrophage Nitrogen Oxide Synthesis by IFN-gammal" by Ding et al., Journal of Immunology, Vol. 145 (1990), and in an article entitled "Cloned Human Brain Nitric Oxide Synthase is Highly Expressed in Skeletal Muscle" by Nakane et al., FEBS Letters, Vol. 316 (1993). EXAMPLE 9 PREPARATION OF REAGENTS FOR ASSAYS The procedure of Example 2 was followed by the de novo preparation of ascites fluid from the cryopreserved cells of Example 1. This procedure was followed approximately 12 months following the initial preparation of Example 2. The hereinafter results of Table VI were found to enhance the data of Example 2. TABLE VI Clone Isotype ELISA Specificity Specific in Western in IFA Imoblots E8-B8 Mouse Ig + + (iNOS, + (iNOS, G1 Kappa eNOS) eNOS) 2D2-B2 Mouse Ig + + (Only + (Only G1 Kappa iNOS) iNOS) 5B3-E6 Mouse Ig + + (Only + (Only G1 Kappa iNOS) iNOS) 21C10-1D10 Mouse Ig + + (Weak) + (Only G2 Kappa (Only iNOS) iNOS) The competitive binding ELISA in Table VI is based upon the competition for antibody binding between a synthetic peptide which is coated onto microtighter ELISA 47 WO 98/45710 PCT/US97/06500 plates and iNOS in standards or unknowns which are in solution. It may be apparent a number of monoclonal antibodies of the present invention were found to bind to specific linear synthetic peptide analogues of protein. Most of the monoclonal antibodies were not sensitive enough two measure iNOS in physiological samples. However, one monoclonal antibody, 21C10-1D10 was found to be usable for measuring iNOS in physiological samples. By "tweaking" the ELISA with a longer synthetic peptide to coat the plates, and through ABC amplification, a fifty to sixty fold increase in sensitivity was achieved. The assay can be placed in any of a number of formats acceptable by clinical lab technicians. The competitive binding ELISA as depicted in Table VI has a minimum sensitivity of 20 fmole and takes three hours to complete. It is theorized that the addition of pre-incubation will further increase the sensitivity by a factor of two to three and provide an ELISA with a minimum sensitivity in the 6-10 fmole range. EXAMPLE 10 Immunofluorescent Assay An indirect immunofluorescent staining of cells was conducted according to the following procedures and in reference to Heimer and Taylor, J. Clin. Path., 27 (1974) page 254 and Johnson, et. al., J. Immunol., Meth. 55 (1982) P. 231. Cells were washed for one minute each with three changes of phosphate buffer saline (PBS) followed by a quick rinse in water. The water was drained well. Cells grown on glass were fixed in 100 percent acetone. Cells grown on plastic were fixed in 80 percent acetone and 20 48 WO 98/45710 PCT/US97/06500 percent water. Fixing took place for 10 to 15 minutes at room temperature, samples are air dried and stored at 20 degrees centigrade. Monoclonal antibodies were applied as cultured supernatants which were diluted 1:10/1:20/1:40 with PBS. Also, monoclonal antibodies were applied as ascites fluid and were diluted 1:500/1:2,500/1:12,500. The supernatants or ascites fluid were added directly to fixed cells at room temperature and incubated for one hour at 37 degrees centigrade, or two hours at room temperature. Each sample was then washed four times in PBS for one minute each and drained. FITC conjugated goat anti-mouse secondary antibodies were then added with Hyclone at 1:120 dilution in PBS. The samples were incubated 30 minutes at 37 degrees centigrade or 45 minutes at room temperature. Again, they were washed three times in PBS for one minute each and then rinsed in water to remove salts. After draining, a cover slip was mounted using glycerine based mounting medium which contains DABCO to reduce fading. The immunofluorescent staining was observed using an epi fluorescent microscope equipped with excitation and emission wave length set for FITC. The immunofluorescent assay utilized the 5B3-E6 and 2D2-B2 monoclonal antibodies. Staining was specifically blocked with the F6 peptide (PS-5166). iNOS was induced in many cell types and was detected by monoclonal antibodies 5B3-E6 and 2D2-B2. The induction process resulted in cells that immunofluoresce intensely. It is also discovered that fixed tissue sections were 49 WO 98/45710 PCT/US97/06500 specifically immuno stained (using DAB rather than fluorescence) with the monoclonal antibodies 2D2-B2 and 5B3-E6 after iNOS induction in rats. This immuno staining could only be blocked with the appropriate peptide (F6=PS 5166). As currently formatted, this assay takes 90 minutes using an indirect immunofluorescent procedure. Using a direct procedure would probably reduce the time to 30 minutes or less. Figs. 22-29 represent the indirect immunofluorescent staining of samples using the reagents of Example 9. The assay was validated using A-172 cell lysates (a human glioblastoma cell line) which do not produce hiNOS, enzyme, except under specific culture conditions. By immunofluorescent staining, Western Blotting, polyclonal antibody based RIA, and monoclonal antibody and peptide based competitive binding ELISA, show that no hiNOS was present in these controls. Also it was determined that hiNOS was induced by a mixture of cytokines and LPS. EXAMPLE 11 Competitive Binding ELISA Competitive binding ELISA assays were performed for samples in which plates were sensitized overnight. Washing was achieved four times and the plates blocked for three hours in PBS with two percent normal horse serum (NHS) to produce a block solution. Two times the concentration of the sample was added to each plate with 15 microliters of block solution. Two times the concentration of the 21C10-1D10 ascites in 15 microliter volumes of PBS 50 WO 98/45710 PCT/US97/06500 were added in 2% NHS with 0.1% Tween 20. Samples were incubated at room temperature for 30 minutes. The preincubation period for ABC complex at a concentration of 1:120 in PBS with 0.1% Tween 20 took place for one hour at room temperature. After 30 minutes, the plates were washed four times and again two times with PBS. 100 microliters of Biot-HMIgG was added at 1:480 dilution in PBS and 2% NHS and 0.1% crystalline BSA for 30 minutes at room temperature. The plates were again washed four times. The ABC complex was diluted with and equal volume of PBS and 0.1 percent Tween 20. 2% NHS and 0.1 percent crystalline BSA were added to the ABC mixture. 100 microliters per well of the pre-incubated ABC solution were added at room temperature and allowed to rest for 30 minutes. The samples were washed eight times. A color reaction was executed in 10X phosphate citrate buffer at pH 5.0 with 0.5 mg/ml of OPD and 0.08% hydrogen peroxide for 55 minutes at 370 C. A number of the monoclonal antibodies of the present invention bound to specific linear synthetic peptide analogues of the protein. After examination of a number of monoclonal antibody and synthetic peptide pairs, one monoclonal antibody, 21C10-1D10 was found to be usable for measuring human iNOS. The ELISA was "tweaked" with a longer synthetic peptide to coat the plates and effect ABC amplification. A fifty to sixty fold increase was achieved in sensitivity. The ELISA was determined to take three hours to complete. It is believed that the addition of a 51 WO 98/45710 PCTIUS97/06500 pre-incubation step will further increase the sensitivity by a factor of two to three and will result in an ELISA with a minimum sensitivity in the 6-10 fmole range. Figs.30 and 31 represent the ELISA assay of this Example for quantifying iNOS and hiNOS. Fig. 32 shows the increased sensitivity of the assay of this Example using the A3 + A4 peptide instead of the A4 peptide. The assay was validated using A-172 cell lysates (glioblastoma cell line) which do not produce hiNOS, enzyme, except under specific culture conditions. By immunofluorescent staining, Western Blotting, polyclonal antibody based RIA, and monoclonal antibody and peptide based competitive binding ELISA, show that no hiNOS was present in these controls. Also it was determined that hiNOS was induced by a mixture of cytokines and LPS. EXAMPLE 12 EPITOPE MAPPING OF 21C10-1D10 AT THE A4 LOCUS Further epitope mapping of monoclonal antibody 21C10-1D10 was achieved at the amino terminal of the A4 locus of hiNOS Table VII represents these results. TABLE VII Peptide AA Segment Sequence Result PS-5104 hiNOS(37-54) SPVTQDDLQYHNLSKQQN-amide ++++ PS-5211 hiNOS(41-45) QDDLQ-amide - PS-5212 hiNOS(40-45) TQDDLQ-amide - 52 WO 98/45710 PCT/US97/06500 PS-5213 hiNOS(39-45) VTQDDLQ-amide ++ PS-5214 hiNOS(38-45) PVTQDDLQ-amide +++ PS-5215 hiNOS(37-45) SPVTQDDLQ-amide +++ PS-5232 hiNOS(40-44) TQDDL-amide - PS-5233 hiNOS(39-44) VTQDDL-amide + PS-5234 hiNOS(38-44) PVTQDDL-amide + PS-5235 hiNOS(37-44) SPVTQDDL-amide + PS-5236 hiNOS(36-44) SSPVTQDDL-amide + PS-5253 hiNOS(39-43) VTQDD-amide - PS-5254 hiNOS(38-43) PVTQDD-amide - PS-5255 hiNOS(37-43) SPVTQDD-amide - PS-5256 hiNOS(36-43) SSPVTQDD-amide - PS-5257 hiNOS(35-43) TSSPVTQDD-amide - 21C10-1D10 EPITOPE = VTQDDLQ Fig. 33 represents the "2nd step" competitive binding ELISA using mouse IgG I monoclonal antibody 21C10 1D10, the A4 peptide (PS-5104), and the carboxyl terminal truncation peptides (PS-5265 to PS-5268) of Table V of Example 4. Table VIII represents epitope mapping of peptides PS-5261 to PS-5269 which highlighted the PS-5265 to PS-5268 peptides mapped in Fig. 33. TABLE VIII Peptide AA Segment Sequence Result 53 WO 98/45710 PCT/US97/06500 PS-5104 hiNOS(37-54) SPVTQDDLQYHNLSKQQN-amide ++++ PS-5261 hiNOS(40-54) TQDDLQYHNLSKQQN-amide

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PS-5262 hiNOS(43-54) DLQYHNLSKQQN-amide - PS-5263 hiNOS(46-54) YHNLSKQQN-amide - PS-5264 hiNOS(49-54) LSKQQN-amide - PS-5265 hiNOS(37-51) SPVTQDDLQYHNLSK-amide ++++ PS-5266 hiNOS(37-48) SPVTQDDLQYHN-amide ++++ PS-5267 hiNOS(37-45) SPVTQDDLQ-amide ++ PS-5268 hiNOS(37-42) SPVTQD-amide

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PS-5269 hiNOS(35-44) TSSPVTQDDL-amide + Using the standard A-4 peptide (PS-5104) and amino acid terminal elongation series (PS-5211 to PS-5257) of the Table VII, in combination with mouse IgG 1 the antibodies epitope was determined to be PS-5213 VTQDDLQ. This "3rd step" epitope mapping is represented in the graph of Fig. 34. EXAMPLE 13 EPITOPE MAPPING OF 2D2-B2, AND 5B3-E6 OF F6 LOCUS Further epitope mapping of monoclonal anitbodies 2D2-B2 and 5B3-E6 were undertaken at the mid region of the F6 locus (3rd step). Table IX represents these results and lists the peptides used, displays the results obtained in the competitive binding ELISA using mouse monoclonal antibodies 2D2-B2 and 5B3-E6 with the series of peptides 54 WO 98/45710 PCTIUS97/06500 that map the mid-region of the F6 locus. Table IX also identifies both of these antibodies' epitope as the sequence VQGILERV (hiNOS 784-791). TABLE IX Peptide AA Segment Sequence Result Result 2D2-B2 5B3-E6 PS-5166 hiNOS(781-798) PALVQGILERVVDGPTPH- +++++ +++++ amide PS-5271 hiNOS(788-792) LERVV-amide -- - PS-5272 hiNOS(787-792) ILERVV-amide + + PS-5273 hiNOS(786-792) GILERVV-amide +++ +++ PS-5274 hiNOS(785-792) QGILERVV-amide +++ +++ PS-5275 hiNOS(784-792) VQGILERVV-amide +++++ +++++ PS-5291 hiNOS(787-791) ILERV-amide + + PS-5292 hiNOS(786-791) GILERV-amide ++ ++ PS-5293 hiNOS(785-791) QGILERV-amide +++ +++ PS-5294 hiNOS(784-791) VQGILERV-amide +++++ +++++ PS-5295 hiNOS(783-791) LVQGILERV-amide +++++ +++++ PS-5276 hiNOS(786-790) GILER-amide + + PS-5277 hiNOS(785-790) QGILER-amide ++ ++ PS-5278 hiNOS(784-790) VQGILER-amide ++ ++ PS-5279 hiNOS(783-790) LVQGILER-amide ++ ++ 55 WO 98/45710 PCT/US97/06500 2D2-B2 EPITOPE = VQGILERV 5B3-E6 EPITOPE = VQGILERV 56

Claims (21)

1. A immunoassay method for a sample comprising the steps of: a. contacting the sample with a specific binding entity reactive to human iNOS; and b. revealing the presences of human iNOS protein in said sample, said specific binding entity recognizing a region of human iNOS protein.

2. The method of claim 1 in which said specific binding entity is selected from the group consisting of: monoclonal antibodies, oligonucleotides, polymers as artificial antibodies, and phage display binding sites.

3. The method of claim 1 in which said region of human iNOS protein is selected from the group consisting of the loci: A-3, A-4, A3 & A4, F6, G11, and H1.

4. The method of claim 1 in which said immunoassay is selected from the group comprising: direct, indirect, capture, competitive binding, and displacement.

5. The method of claim 1 in which said immunoassay is a clinical diagnostic assay.

6. The method of claim 1 in which said step of revealing the presence of human iNOS protein is a qualitative analysis.

7. The method of claim 1 in which said step of revealing the presence of human iNOS is a quantitative analysis.

8. An immunoassay method for a sample comprising the steps of: 57 WO 98/45710 PCT/US97/06500 a. contacting the sample with a specific binding entity reactive to mimics of human iNOS protein; b. revealing the presence of human iNOS protein in said sample, said specific binding entity being reactive to mimics of a region of human iNOS protein.

9. The method of claim 8 in which said specific binding entity is selected from the groups consisting of: peptides, recombinant peptides, fusion proteins, fusion peptides, phage displayed proteins, phage displayed peptides, peptide libraries, and peptide analogue libraries.

10. The method of claim 8 in which said region of human iNOS protein is selected from the group consisting of the loci: A-3, A-4, A3 & A4, F6, G11, and H1.

11. The method of claim 8 in which said immunoassay is selected from the group comprising: direct, indirect, capture, competitive binding, and displacement.

12. The method of claim 1 in which said immunoassay is a clinical diagnostic assay.

13. The method of claim 8 in which said step of revealing the presence of human iNOS protein is a qualitative analysis.

14. The method of claim 8 in which said step of revealing the presence of human iNOS is a quantitative analysis.

15. The method of claim 8 in which said specific binding entity is any one of the peptide analogues of Table VII. 58 WO 98/45710 PCT/US97/06500

16. The method of claim 8 in which said specific binding entity is any one of the peptide analogues of Table IX.

17. The assay of claim 8 which is of the type selected from the group consisting of: IFA, linear or radial flow, Western Blot, ELISA, dip stick, fluorescent polarization, enzyme capture, and RIA.

18. The assay of claim 1 which is of the type selected from the group consisting of: IFA, linear or ) radial flow, Western Blot, ELISA, dip stick, fluorescent polarization, enzyme capture, and RIA.

19. The method of claim 15 in which said specific binding entity is a peptide analogue having the sequence: 5 VTQDDLQ.

20. The method of claim 16 in which said specific binding entity is a peptide analogue having the sequence: VQGILERV.

) 21. A immunoassay for a sample comprising; a. a specific binding entity reactive to human iNOS; and b. a vehicle for revealing the presence of human iNOS according to said specific binding entity recognizing a 5 region of human iNOS protein. 59