EP0723458A1 - Immune modulation with class ii alpha-chain fragments - Google Patents

Immune modulation with class ii alpha-chain fragments

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Publication number
EP0723458A1
EP0723458A1 EP95922332A EP95922332A EP0723458A1 EP 0723458 A1 EP0723458 A1 EP 0723458A1 EP 95922332 A EP95922332 A EP 95922332A EP 95922332 A EP95922332 A EP 95922332A EP 0723458 A1 EP0723458 A1 EP 0723458A1
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EP
European Patent Office
Prior art keywords
polypeptide
amino acids
ctl
class
peptide
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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Application number
EP95922332A
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German (de)
French (fr)
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EP0723458A4 (en
Inventor
Carol Clayberger
Alan M. Krensky
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Leland Stanford Junior University
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Leland Stanford Junior University
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Publication of EP0723458A1 publication Critical patent/EP0723458A1/en
Publication of EP0723458A4 publication Critical patent/EP0723458A4/en
Withdrawn legal-status Critical Current

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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K14/00Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/435Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • C07K14/705Receptors; Cell surface antigens; Cell surface determinants
    • C07K14/70503Immunoglobulin superfamily
    • C07K14/70539MHC-molecules, e.g. HLA-molecules
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K14/00Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/435Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • C07K14/46Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates
    • C07K14/47Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates from mammals
    • C07K14/4701Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates from mammals not used
    • C07K14/4738Cell cycle regulated proteins, e.g. cyclin, CDC, INK-CCR
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00Medicinal preparations containing peptides

Definitions

  • TNT ODTICTTON Technical Field The field of this invention is immunomodulating therapies.
  • tolerization which may be associated with cell depletion, suppression, or anergy.
  • T cell proliferation and/or activation are of interest. These include autoimmunity, cancer, T cell mediated cytotoxicity, or the like. There would therefore be a substantial value to be able to enlist naturally occurring processes associated with tolerization to provide for acceptance of allogeneic implants.
  • Peptides corresponding to at least a portion of the ccj helix of the alpha chain of Class ⁇ major histocompatibility complex antigens are employed for immunomodulation.
  • the peptides, mutant derivatives thereof, and peptidomimetric agents are administered to a host where the immune response is to be modulated.
  • compounds, particularly oligopeptides having the same sequence, or being able to compete with a sequence, of at least 8 amino acids coming within the t helix of the alpha chain of a Class ⁇ major histocompatibility complex antigen, more particularly a human lymphocyte antigen (HLA).
  • HLA human lymphocyte antigen
  • the domain of the alpha chain comprising the amino acids from about amino acid 50 to amino acid 85, more usually from about amino acid 53 to 80, and particularly comprising the amino acids in the range from about71 to 80.
  • hile substantially longer amino acid sequences may be employed, these additional flanking amino acids groups will serve specific purposes, rather than providing the immunomodulation activity. substituted, particularly with conservative substitutions. Furthermore, the entire c ⁇ helix does not seem to be essential for binding, so that only conserved regions among the oligopeptides are required for the desired effect. Even in the conserved regions, various substitutions may be made, where polarity and size variations may be accommodated by the binding partner. Conveniently substitutions may be made with alanine and valine, or the alternative amino acid, among the acidic, basic and amio acids, i.e. N and Q.
  • the peptide compounds of this invention will include an oligopeptide of at least about 8 amino acids, coming within the following sequence:
  • Formula 1 aa 53 aa 54 aa 55 aa 56 F aa 58 aa 59 Q aa 61 aa 62 L aa 64 N I A aa 68 aa 69 aa 70 aa 71 N L aa 74 aa 75 aa 76 aa 77 aa 78 R aa 80 aa 81 aa 82 aa 83 wherein: aa 53 , aa 54 and aa 55 may be any amino acid, including neutral amino acids other than proline, both aliphatic and aromatic, acidic amino acids, or basic amino acids, more particularly V, I, L , D, E, K, R or F; aa 56 is K, R, S or T, particularly R or S; aa 58 is D or E; aaa 59 is G, A or P, particularly A or P; aa 61 is A, G or F, particularly G or F; aa 62 is A or
  • sequence having at least 8 amino acids coming within the sequence 71-79 where these amino acids in particular will be more subject to reduction in activity by replacement, although even in this region, some replacement will be permissible without total loss of activity.
  • the subject peptides may be modified in a wide variety of ways. As already indicated, the subject peptides may be mutagenized, by employing natural or unnatural amino acids, particularly the D-stereoisomer. While for substitutions and deletions, usually the restrictions indicated previously will apply, where the substitution involves the different stereoisomer, all of the amino acids may be substituted with the unnatural stereoisomer. Sites 74and 77permit modification with retention of activity. For example, replacement of I with a neutral amino acid having about the same chain length (including heteroatoms, in the range of about 5 to 8), e.g.
  • T leads to only a partial loss of activity, while replacement of neutral N at position 74had substantially no effect on activity, where an acidic amino acid, D, was used as the replacement. By contrast, replacement of N with D abrogated the activity.
  • the activity was inhibition of Conconavalin A induced T cell proliferation by the peptide.
  • the assays are straight forward and the peptides may be screened for activity, where conservative and non-conservative substitutions may be employed to detrmine whether an amino acid at a particular site is essential. Usually, the number of substitutions will not exceed 3, more usually not exceed 2, and generally not exceed 1.
  • the subject peptides may be obtained from any mammalian source: such as domestic or laboratory animals; e.g. murine, bovine, canine, feline, equine, lagomorpha, primate; and particularly human.
  • the peptides may be joined by covalent bonds at any convenient site along the peptide to a variety of other compounds for different purposes, particularly at the termini, where the N-amino group may be substituted and/or the C-carboxyl group may be substituted.
  • the peptides may be joined to: a) immunogens for administration to a host for immunization for production of antibodiesl; b) a non-adjacent MHC sequence of the particular MHC antigen by means of synthesis, expression of a synthetic gene, or the like; c) a lipid or polyalkyleneoxy group; d) a sugar; or e) a nucleic acid.
  • a) immunogens for administration to a host for immunization for production of antibodiesl b) a non-adjacent MHC sequence of the particular MHC antigen by means of synthesis, expression of a synthetic gene, or the like
  • c) a lipid or polyalkyleneoxy group d
  • a sugar or e) a nucleic acid.
  • Various peptides may be used, such as the immunoglobulin constant region IgG Fc.
  • the peptides may be linked to various labels, either directly or indirectly, for detection of binding of the peptides to a target molecule.
  • Labels include enzymes, fluorescers, chemiluminescers, radioisotopes, or the like.
  • the subject peptides may be bound to a solid substrate, such as particles, container walls, or the like, to serve for affinity separation of cells or cell fragments comprising molecules which have a specific affinity for the subject molecules.
  • mechansisms associated with T cell activation and anergy. The subvject peptides may be used toprevent activation of T cells to a particular stimulation, e.g. Concanavalin A, whereby the block in the pathway may be investigated.
  • the subject peptides may be used in screening compounds as to their ability to override the effects of the subject peptides, to augment the effect of the subject peptides or to direct the T cell into an alternative pathway.
  • Subsets of T cells can be classified by their binding affinity to the subject peptides, as well as their other phenotypic characteristics. For example, tumor infiltrating lymphocytes, natural killer cells, cells that home to synovia, mucosal tissue, subcutaneous tissue, lymphoid tissue, or the like, can be classified as to their binding to the subject peptides. In this way, the subject peptides may be used for specific applications associated with specific indications.
  • the subject peptides may be joined together to provide a single polypeptide, where the polypeptide is a multimer of the single peptide, or combination of different subject peptides.
  • the number of sequences will be at least 2 and not more than 20, usually not more than about 10 sequences or repeats.
  • the subject peptides may be combined in a mixture to provide for a broader spectrum of activities or synergistic activity.
  • the subject peptides may be prepared in a variety of ways. Conveniently they can be synthesized by conventional techniques employing automatic synthesizers, such as the Beckman, Applied Biosystem Inc., or other automatic apparatus, or may be synthesized manually. Alternatively, DNA sequences may be prepared which encode the particular peptide and may be cloned and expressed to provide the desired peptide. In this instance, methionine may be the first amino acid, or a signal sequence may be provided, whereby the expressed peptide is secreted with processing and removal of the signal peptide. Techniques for preparing synthesized DNA sequences are extensively described in the literature and Sambrook et al. , Cold Spring Harbor Laboratories, Cold Spring Harbor, NY 1989.
  • the peptides may be isolated from natural sources and purified by known techniques, including, for example, chromatography on ion exchange materials, separation by size, immunoaffinity chromatography and electrophoresis.
  • a substantially pure preparation of peptide compound means a preparation of the peptide which is usually greater than about 70% free of materials with which the polypeptide is naturally associated, normally the natural or production source of the peptide, preferably greater than about 80% free of these materials, more preferably greater than about 95% free of these materials. These materials, however, exclude materials with which the peptide may be mixed in the preparation of pharmaceutical compositions.
  • sequences may be modified in accordance with their intended purpose. Different N- or C-terminal groups may be introduced which allow for linking of the peptide to a solid substrate or other molecule.
  • any molecule may be introduced at an internal site or at a terminus, which may allow for subsequent reaction, depending upon the purpose for which the peptide is prepared.
  • labels may be linked to the terminus, which may provide, directly or indirectly, a detectable signal.
  • fluorescers may be introduced at the terminus or other molecules which provide a linkage to labels such as fluorescers, enzymes, particles, or the like, where the other molecules are haptenic or antigenic members of a specific binding pair or receptors, e.g. antibodies.
  • linkage may be introduced at the terminus, e.g. , biotin, which will bind to an avidin conjugate with enzymes or fluorescers.
  • various reactive sites may be introduced at the terminus for linking to particles, solid substrates, macromolecules, or the like.
  • an internal amino moiety of a growing chain bound to a solid substrate with the intermediate side groups protected may be conjugated with methyldithiobenzoic acid (MDTB).
  • MDTB methyldithiobenzoic acid
  • the free mercaptan group may then be used for conjugating with activated olefins.
  • proteins such as serum albumin, keyhole limpet hemocyanin, bovine ⁇ -globulin, or the like, may be conjugated to the peptide to provide for an affinity chromatography, or the like.
  • the peptide can be bonded to another polypeptide by preparing a DNA sequence which has the peptide at the N-terminus, C-terminus or internal to the protein, so as to provide a fused protein which includes the binding peptide of interest.
  • fused proteins may be produced which have enzymatic activity, which enzymatic activity may be modulated by macromolecules, e.g. , antibodies, binding to the peptide of interest.
  • macromolecules e.g. , antibodies
  • the peptides of the subject invention may be modified in a wide variety of ways for a variety of end purposes while still retaining biological activity.
  • lipid particularly a phospholipid
  • Phosphatidyl choline, phosphatidyl ethanolamine, or other lipid may be used with a bifunctional linking agent, such as MBSE,. glutaraldehyde, methyldithiobenzoic acid, or the like.
  • a coding sequence which joins the peptide to phosphatidyl inositol, farnesyl, geranylgeranyl, or myristoyl.
  • the modified peptide or protein is combined with the lipids in an aqueous medium and sonicated to provide the desired liposomes.
  • the liposomes may then be harvested and used in the ways indicated.
  • the subject peptides by themselves, or in combination with other peptides or proteins, may be used for diagnosing the presence of CTLs which bind to a subject peptide or the combination of a subject peptide and other peptide or protein.
  • Conjugates of the subject peptide and the other peptide or protein can be prepared by employing linking agents as described previously, where the other peptide or protein may be an enzyme to provide a detectable signal, an antigen for binding to an antibody for separation of binding CTLs.
  • the subject peptide and the or the like covalently or through antibody/antigen binding.
  • the subject peptide and antigenic peptide or protein may be conjugated to a particle or protein which is fluorescent. The binding of the particle or protein will allow for sorting and counting in a fluorescence activated cell sorter.
  • the subject peptides may also be used for modulating CTL activity in the mammalian host.
  • the modulation may be by inhibiting CTL activity or by sensitizing target cells. This can be achieved by employing apheresis, ex vivo, where the patient's blood is withdrawn from the patient and circulated through a device in which the peptide is present, either bound to the surface to remove CTLs active with the subject peptide or by adding the peptide in a physiologically acceptable medium to bind to the CTLs and inhibit their activity.
  • the subject peptides may be administered to a host intravascularly, in either an artery or vein, or at the site of the implant to provide for inhibition or stimulation of the CTL.
  • the subject peptide may be combined with a population of cells taken from a patient, where the cells are only a portion of the total cells in the periphery, or where the population is enriched for a particular cell type, e.g. CTLs, Class I T-cells, Class ⁇ T-cells, NK-cells and the like. Where the population is removed from the patient, the cells may be incubated for sufficient time for the cellular activity to be modulated. The cells may then be washed free of the peptide and restored to the host.
  • a population of cells taken from a patient, where the cells are only a portion of the total cells in the periphery, or where the population is enriched for a particular cell type, e.g. CTLs, Class I T-cells, Class ⁇ T-cells, NK-cells and the like.
  • the cells may be incubated for sufficient time for the cellular activity to be modulated. The cells may then be washed free of the peptide and restored to the
  • the subject peptides may be administered prior to the implantation, usually not exceeding about two weeks prior and repetitive treatment may be employed. At or about the time of implantation the subject compound may be administered during or immediately prior to the operation.
  • the subject peptides may be used to treat the organ, by bathing the organ in a medium containing the subject peptides. In this way CTLs present with the organ may be deactivated to prevent graft vs. host disease.
  • the peptide may be present at a concentration of 10 "3 to 10 " °M.
  • the organ may be washed free of the storage medium or the organ used with the peptide bound to the cells of the organ.
  • the subject peptides or compounds comprising the subject peptides can inhibit CTL activity, thus preventing the lysis of target cells.
  • the differentiation of inactive precursors into active mature CTLs may be used to reduce the mitogenic response of CTLs to mitogens or other activating compounds, e.g. Concanavalin A or anti-CD3 antibody.
  • the subject peptides are found to be active with CTLs having a wide variety of MHC antigens, rather than being specific for the particular HLA antigen from which the subject peptides are derived.
  • the subject peptides may be formulated in a variety of ways for administration to a host.
  • the subject peptides may be used by themselves or in combination with other immunosuppressant agents, such as cyclosporine A, FK506, immunotoxins, anti-OKT3 or the like.
  • immunosuppressant agents such as cyclosporine A, FK506, immunotoxins, anti-OKT3 or the like.
  • substantially reduced concentrations of the immunosuppressant may be used in the formulations, usually less than about 60%, more usually less than about 40% of the normal dosage employed in a particular situation, to provide sufficient inhibition of CTL activity. In this way, the substantial side effects of the immunosuppressant compositions may be ameliorated by virtue of the lower concentration.
  • the subject agents may be used with peptides derived from the a helix of the a chain of Class I MHC antigens. See particularly, PCT ⁇ US93.01758 and references cited therein. Of particular interest is the peptide B2702.75-84, which may be present in one or more copies, particularly where there is an inverted repeat, e.g. 84-75/75-84.
  • peptides may be used in the formulations comprising the subject peptides, by themselves or in conjunction with other drugs, such as deionized water, saline, phosphate buffered saline, aqueous ethanol, etc.
  • concentration of the peptide may vary widely, since for the most part, the peptides will be highly soluble in the media. Usually, the peptide will be not more than about 75 weight-percent, more usually not more than about 50 weight-percent, and usually greater than about 1 weight-percent.
  • the dosage will vary depending upon the purpose of the administration, the frequency of administration, the efficacy of the peptide, and the like.
  • the dosage will range from about 0.01 to 10 mg/kg of host, based on active sequence.
  • encapsulated, introduced into the lumen of liposomes, prepared as a colloid, or other techniques may be employed which extend the lifetime of the peptides.
  • the subject peptides may be used in assays to evaluate the activity of agents in mimicking the activity of the subject peptides.
  • compounds may be screened for their effectiveness in comparison with the subject peptides and related to the mode of action provided by the subject peptides.
  • the subject peptides may be used to standardize assay protocols for use in screening agents.
  • the subject peptides may also be used for detecting complementary compounds which bind to the subject peptides.
  • proteins which bind to the subject peptides may be isolated and purified, e.g. affinity chromatography.
  • Example 1 Preparation of peptides from Class H alpha chain.
  • peptides were prepared by conventional synthetic methods using standard solid-phase techniques. See Erickson and Merrifield in: The Proteins, Vol. 2, 3rd ed., eds. Neurath, H. and Hill, R.L., p. 255-527, Academic Press, N.Y. (1970), which is incorporated herein by reference. Three of the peptides had amino acids from the ⁇ x domain of amino acids 53-77, one had amino acids 56-80 of the ocj
  • Example 2 Peptides corresponding to residues 50-80 of the ⁇ chain of class II HLA block the differentiation of cytotoxic T lymphocytes (CTL) precursors into effector CTL.
  • CTL cytotoxic T lymphocytes
  • PBL from normal donors were isolated over Ficoll and cultured in 24 replicates at the indicated numbers in microtiter wells in RPMI 1640 supplemented with 10% fetal calf serum and L-glutamine.
  • the EBV transformed cell line JY was used as an allogeneic stimulator cell. To prevent cell division of the JY cells, they were irradiated at 10,000 rad prior to culture.
  • Peptides were dissolved at 50 mg/ml in DMSO and added where indicated at a final concentration of 100 ⁇ g/ ml. After 6 days, cultures were tested for lysis of 51 Cr-labeled HLA-A2 transfected C1R cells. Wells were considered positive if lysis was > 10% above spontaneous release.
  • Example 3 Effect of peptides on proliferation of human PBL to the mitogen Concanavalin A (Con A.. 4 x 10 5 PBL from normal donors were cultured in microtiter wells with 1 /ig/ml of the indicated peptide. After 24 h, wells were pulsed with 1 ⁇ Ci of 3 H- thymidine and harvested after an additional 24 h of culture. It was found that DQ.56-80 and DR.53-77 peptides strongly block proliferation of PBL to Con A. The DQ.71-80 peptide and the DP.53-77 did not block proliferation as strongly. Inhibition was not allele specific.
  • Peptides prepared as in Example 1 were preincubated for 30 min with CTLs before addition of 10 3 cpm of 51 Cr-labelled A2+ target cells at effecto ⁇ target ratios of 1:1, 2.5:1, 5:1, and 10:1.
  • the cytotoxicity assay was then performed as described by Clayberger et al. , J. Exp. Med. (1984) 162: 1709-1714; Rice et al. , Proc Natl. Acad. Sci. USA (1980) 77:5432-5436.
  • Peptides were added at 100 ⁇ g/ml and the plates were harvested after 4 h. Lysis was blocked by the DQ.56-80 peptide, but not by peptides DQ.68-77, DR.53-77 and DP.53-77.
  • Example 4 Determination of critical residues in DQ.56-80 for blocking lysis by CD8+ CTL.
  • a series of overlapping 15 amino acid peptides were prepared and tested for effects on lysis as described above.
  • the peptides employed were DQ.53-67, 56-80, 65-79, and 71-85.
  • the DQ.65-79 and 71-85 were most effective in blocking lysis. Similar results were obtained with CTL specific for other alleles.
  • the DQ.71-85 was difficult to synthesize, so the 65-79 was chosen for further testing.
  • Example 5 Effect of single amino acid changes in inhibitory effects of DO.65-79 f__I__i___. Single amino acid substitutions were introduced into the DQ.65-79 peptide.
  • Blocks Reporter Gene Assay ND + (Rantes Promoter) It is evident from the above results, that the subject peptides provide for therapeutic opportunities to inhibit CTL attack, particularly in association with implantation of allogeneic cells or tissue, particularly solid organs. The peptides do not kill the cells, so that the immune response is readily renewed, once the administration of the peptides is terminated.
  • the subject peptides may be used in conjunction with other immunosuppressive agents, which have undesirable deleterious effects, so that lower concentrations of the agents may be employed to reduce their undesired side effects.

Abstract

Peptides of the alpha subunit of Class II MHC antigens are employed for modulation of T-cell activity. The peptides can be used in therapies, particularly associated with transplantation, by themselves or in conjunction with other agents.

Description

IMMUNE MODULATION WITH CLASS H ALPHA-CHAIN FRAGMENTS
TNT ODTICTTON Technical Field The field of this invention is immunomodulating therapies.
Background
Despite advances in immunosuppressive therapy, the major barrier to successful transplant engraftment is the allogeneic immune response which results in graft rejection or graft vs. host disease. Currently available non-specific immunosuppressive therapies are accompanied by increased risks of infection and a variety of deleterious side effects, including nephrotoxicity, hypertension, hyperlipidemia and bone disease. Even with the current armamentarium of immunosuppressive agents, acute graft rejection and failure to achieve long-lasting graft survival persists. The humoral and cellular lymphoid responses are slowly being elucidated.
However, despite the substantial progress which has been achieved, there still remains numerous aspects of the immune response which have eluded explanation. One aspect which has substantial significance for successful transplanting is tolerization, which may be associated with cell depletion, suppression, or anergy. Besides transplants, there are other indications where suppression of T cell proliferation and/or activation would be of interest. These include autoimmunity, cancer, T cell mediated cytotoxicity, or the like. There would therefore be a substantial value to be able to enlist naturally occurring processes associated with tolerization to provide for acceptance of allogeneic implants. Sayegh et al., Induction of Immunity and Oral Tolerance with Polymorphic Class π Major Histocompatibility Complex Allopeptides in the Rat, Proc Natl. Acad Sci. USA, 89:7762-7766 (1992). Sayegh et al. , Thymic Recognition of Class II Major Histocompatibility Complex Allopeptides Induces Donor Specific Unresponsiveness to Renal Allografts, Transplantation 56:461 (1993). Sayegh et al., Induction of Immunity and Oral Tolerance to Alloantigen by Polymorphic Class II Major Histocompatibility Complex Allopeptides in the Rat, Transplantation Proc 25:357 (1993). Beuichon et al. , Donor MHC Peptides Are Presented by Recepient MHC Molecules during Graft Rejection, J. Exp. Med. 175:305 (1992). Wachtsinger et ah, Mechanisms of Allo-Recognition, Transplantation 57:572-576 (1994).
SUMMARY OF THE INVENTION Peptides corresponding to at least a portion of the ccj helix of the alpha chain of Class π major histocompatibility complex antigens are employed for immunomodulation. The peptides, mutant derivatives thereof, and peptidomimetric agents are administered to a host where the immune response is to be modulated.
DESCRIPTION OF SPECIFIC EMBODIMENTS
In accordance with the subject invention, compounds, particularly oligopeptides are provided having the same sequence, or being able to compete with a sequence, of at least 8 amino acids coming within the t helix of the alpha chain of a Class π major histocompatibility complex antigen, more particularly a human lymphocyte antigen (HLA). The Class π HLAs associated with human MHC antigens, or their equivalents in other species, include DP, DQ and DR. Of particular interest is the domain of the alpha chain comprising the amino acids from about amino acid 50 to amino acid 85, more usually from about amino acid 53 to 80, and particularly comprising the amino acids in the range from about71 to 80. hile substantially longer amino acid sequences may be employed, these additional flanking amino acids groups will serve specific purposes, rather than providing the immunomodulation activity. substituted, particularly with conservative substitutions. Furthermore, the entire c^ helix does not seem to be essential for binding, so that only conserved regions among the oligopeptides are required for the desired effect. Even in the conserved regions, various substitutions may be made, where polarity and size variations may be accommodated by the binding partner. Conveniently substitutions may be made with alanine and valine, or the alternative amino acid, among the acidic, basic and amio acids, i.e. N and Q.
For the most part, the peptide compounds of this invention will include an oligopeptide of at least about 8 amino acids, coming within the following sequence:
Formula 1: aa53 aa54 aa55 aa56 F aa58 aa59 Q aa61 aa62 L aa64 N I A aa68 aa69 aa70 aa71 N L aa74 aa75 aa76 aa77 aa78 R aa80 aa81 aa82 aa83 wherein: aa53 , aa54 and aa55 may be any amino acid, including neutral amino acids other than proline, both aliphatic and aromatic, acidic amino acids, or basic amino acids, more particularly V, I, L , D, E, K, R or F; aa56 is K, R, S or T, particularly R or S; aa58 is D or E; aa59 is G, A or P, particularly A or P; aa61 is A, G or F, particularly G or F; aa62 is A or G; aa64 is G, A, S or T, particularly A or T; aa68 is I, L or V, particularly I or V; aa69 is D, E, I, L or V, particularly D or L; aa70 is K, N, Q or R, particularly K or N; aa71 is H, N, Q, S or T, particularly H, N or S; aa74 is D, E, N or Q, particularly E or N; aa75 is I, L, S, T or V, particularly I or T; aa76 is I, L, N, or V, particularly L, M or V; aa77 is I, L, S, T or V, particularly I or T; aa80 is S, T or Y, particularly S or Y; aa81 is N, Q, V, A or Y; aa82 is S, T, or C; and aa83 is S, T, K or R
Of particular interest is a sequence having at least 8 amino acids coming within the sequence 71-79, where these amino acids in particular will be more subject to reduction in activity by replacement, although even in this region, some replacement will be permissible without total loss of activity.
There will generally be fewer than 20%, more usually fewer than 10% of the amino acids substituted or deleted, the number of substitutions usually not exceeding three, more usually not exceeding two. For the most part, these substitutions will be conservative substitutions, where the following table indicates that amino acids on the same line may be substituted for one another. la ls L:
Aliphatic non-polar
A, G (P) I, L, V polar (neutral) S, T, M N, Q polar (charged) D, E
K, R Aromatic
F, H, W, Y where P will usually not be used as a substitute for G or A, while I, L, M, N, Q and V may be substituted one for the other. __ah_____:
DQ 03011 (53-55) R F R (56-80) R F D P Q F A L T N I A V L K H N L N I V I K R S
DP 0101 (53-77) S - E A - G G - A I - N N T L - Q
DR 0101 (53-77) S - E A - G A D - S E - M T
DQ 010101 (71-80) M — y
The subject peptides may be modified in a wide variety of ways. As already indicated, the subject peptides may be mutagenized, by employing natural or unnatural amino acids, particularly the D-stereoisomer. While for substitutions and deletions, usually the restrictions indicated previously will apply, where the substitution involves the different stereoisomer, all of the amino acids may be substituted with the unnatural stereoisomer. Sites 74and 77permit modification with retention of activity. For example, replacement of I with a neutral amino acid having about the same chain length (including heteroatoms, in the range of about 5 to 8), e.g. T, leads to only a partial loss of activity, while replacement of neutral N at position 74had substantially no effect on activity, where an acidic amino acid, D, was used as the replacement. By contrast, replacement of N with D abrogated the activity. The activity was inhibition of Conconavalin A induced T cell proliferation by the peptide. In order to determine whether a particular site is amenable to combinatorial approaches, where the different peptides may be screened for their' activity in the indicated assay. The assays are straight forward and the peptides may be screened for activity, where conservative and non-conservative substitutions may be employed to detrmine whether an amino acid at a particular site is essential. Usually, the number of substitutions will not exceed 3, more usually not exceed 2, and generally not exceed 1. When a particular site has been has determined not essential for activity, that site may be substituted, while substituting other sites to determine the effect of double substitution involving one non-essential site. The subject peptides may be obtained from any mammalian source: such as domestic or laboratory animals; e.g. murine, bovine, canine, feline, equine, lagomorpha, primate; and particularly human. One may use allogeneic or xenogeneic sequences, since the subject sequences have activity across a wide range of different MHC antigen alleles. In addition, the peptides may be joined by covalent bonds at any convenient site along the peptide to a variety of other compounds for different purposes, particularly at the termini, where the N-amino group may be substituted and/or the C-carboxyl group may be substituted.
The peptides may be joined to: a) immunogens for administration to a host for immunization for production of antibodiesl; b) a non-adjacent MHC sequence of the particular MHC antigen by means of synthesis, expression of a synthetic gene, or the like; c) a lipid or polyalkyleneoxy group; d) a sugar; or e) a nucleic acid. Of particular interest is joining the subject peptides to another peptide by synthesis or expression of a synthetic gene, where the other peptide provides for enhanced stability of the subject peptides when administered to a host. Various peptides may be used, such as the immunoglobulin constant region IgG Fc. The peptides may be linked to various labels, either directly or indirectly, for detection of binding of the peptides to a target molecule. Labels include enzymes, fluorescers, chemiluminescers, radioisotopes, or the like. In addition, the subject peptides may be bound to a solid substrate, such as particles, container walls, or the like, to serve for affinity separation of cells or cell fragments comprising molecules which have a specific affinity for the subject molecules. mechansisms associated with T cell activation and anergy.The subvject peptides may be used toprevent activation of T cells to a particular stimulation, e.g. Concanavalin A, whereby the block in the pathway may be investigated. By using different agents, either intracellular or extracellular in conjunctionwith the subject peptides, one can isolate the pathway associated with the activation of T cells as influenced by the presence of the subject peptides. The subject peptides may be used in screening compounds as to their ability to override the effects of the subject peptides, to augment the effect of the subject peptides or to direct the T cell into an alternative pathway.
Subsets of T cells can be classified by their binding affinity to the subject peptides, as well as their other phenotypic characteristics. For example, tumor infiltrating lymphocytes, natural killer cells, cells that home to synovia, mucosal tissue, subcutaneous tissue, lymphoid tissue, or the like, can be classified as to their binding to the subject peptides. In this way, the subject peptides may be used for specific applications associated with specific indications.
The subject peptides may be joined together to provide a single polypeptide, where the polypeptide is a multimer of the single peptide, or combination of different subject peptides. Usually the number of sequences will be at least 2 and not more than 20, usually not more than about 10 sequences or repeats.
Alternatively, the subject peptides may be combined in a mixture to provide for a broader spectrum of activities or synergistic activity.
The subject peptides may be prepared in a variety of ways. Conveniently they can be synthesized by conventional techniques employing automatic synthesizers, such as the Beckman, Applied Biosystem Inc., or other automatic apparatus, or may be synthesized manually. Alternatively, DNA sequences may be prepared which encode the particular peptide and may be cloned and expressed to provide the desired peptide. In this instance, methionine may be the first amino acid, or a signal sequence may be provided, whereby the expressed peptide is secreted with processing and removal of the signal peptide. Techniques for preparing synthesized DNA sequences are extensively described in the literature and Sambrook et al. , Cold Spring Harbor Laboratories, Cold Spring Harbor, NY 1989. Alternatively, the peptides may be isolated from natural sources and purified by known techniques, including, for example, chromatography on ion exchange materials, separation by size, immunoaffinity chromatography and electrophoresis. As used herein, the term "a substantially pure preparation of peptide compound" means a preparation of the peptide which is usually greater than about 70% free of materials with which the polypeptide is naturally associated, normally the natural or production source of the peptide, preferably greater than about 80% free of these materials, more preferably greater than about 95% free of these materials. These materials, however, exclude materials with which the peptide may be mixed in the preparation of pharmaceutical compositions.
The sequences may be modified in accordance with their intended purpose. Different N- or C-terminal groups may be introduced which allow for linking of the peptide to a solid substrate or other molecule. In a synthetic procedure for producing the peptides, any molecule may be introduced at an internal site or at a terminus, which may allow for subsequent reaction, depending upon the purpose for which the peptide is prepared.
For diagnostic purposes, a wide variety of labels may be linked to the terminus, which may provide, directly or indirectly, a detectable signal. For example, fluorescers may be introduced at the terminus or other molecules which provide a linkage to labels such as fluorescers, enzymes, particles, or the like, where the other molecules are haptenic or antigenic members of a specific binding pair or receptors, e.g. antibodies. For example, linkage may be introduced at the terminus, e.g. , biotin, which will bind to an avidin conjugate with enzymes or fluorescers. Alternatively, various reactive sites may be introduced at the terminus for linking to particles, solid substrates, macromolecules, or the like. For example, an internal amino moiety of a growing chain bound to a solid substrate with the intermediate side groups protected, may be conjugated with methyldithiobenzoic acid (MDTB). The free mercaptan group may then be used for conjugating with activated olefins. Thus, proteins, such as serum albumin, keyhole limpet hemocyanin, bovine β-globulin, or the like, may be conjugated to the peptide to provide for an affinity chromatography, or the like. Alternatively, the peptide can be bonded to another polypeptide by preparing a DNA sequence which has the peptide at the N-terminus, C-terminus or internal to the protein, so as to provide a fused protein which includes the binding peptide of interest. In this manner, fused proteins may be produced which have enzymatic activity, which enzymatic activity may be modulated by macromolecules, e.g. , antibodies, binding to the peptide of interest. Thus, the peptides of the subject invention may be modified in a wide variety of ways for a variety of end purposes while still retaining biological activity. By identifying T cells which bind to the subject peptides, whose activity is modulated by the subject peptides, one may determine whether one can contrl rejection in the case of transplants. By screening the recipient's T cells for binding and response to the subject peptides, one can define a course of therapy for preventing rejection. Various techniques are available for joining a peptide or protein to a lipid, particularly a phospholipid to provide for the presence of the peptide or protein on a liposome or membrane surface. Phosphatidyl choline, phosphatidyl ethanolamine, or other lipid may be used with a bifunctional linking agent, such as MBSE,. glutaraldehyde, methyldithiobenzoic acid, or the like. The formation of liposomes with conjugated proteins finds ample support in the literature, See, U.S. Patent Nos. 3,887,698; 4,261,975 and 4,193,983. Alternatively, one may provide for a coding sequence which joins the peptide to phosphatidyl inositol, farnesyl, geranylgeranyl, or myristoyl. The modified peptide or protein is combined with the lipids in an aqueous medium and sonicated to provide the desired liposomes. The liposomes may then be harvested and used in the ways indicated.
The subject peptides, by themselves, or in combination with other peptides or proteins, may be used for diagnosing the presence of CTLs which bind to a subject peptide or the combination of a subject peptide and other peptide or protein. Conjugates of the subject peptide and the other peptide or protein can be prepared by employing linking agents as described previously, where the other peptide or protein may be an enzyme to provide a detectable signal, an antigen for binding to an antibody for separation of binding CTLs. Alternatively, the subject peptide and the or the like, covalently or through antibody/antigen binding. If desired, the subject peptide and antigenic peptide or protein may be conjugated to a particle or protein which is fluorescent. The binding of the particle or protein will allow for sorting and counting in a fluorescence activated cell sorter.
The subject peptides may also be used for modulating CTL activity in the mammalian host. The modulation may be by inhibiting CTL activity or by sensitizing target cells. This can be achieved by employing apheresis, ex vivo, where the patient's blood is withdrawn from the patient and circulated through a device in which the peptide is present, either bound to the surface to remove CTLs active with the subject peptide or by adding the peptide in a physiologically acceptable medium to bind to the CTLs and inhibit their activity. Alternatively, the subject peptides may be administered to a host intravascularly, in either an artery or vein, or at the site of the implant to provide for inhibition or stimulation of the CTL. The subject peptide may be combined with a population of cells taken from a patient, where the cells are only a portion of the total cells in the periphery, or where the population is enriched for a particular cell type, e.g. CTLs, Class I T-cells, Class π T-cells, NK-cells and the like. Where the population is removed from the patient, the cells may be incubated for sufficient time for the cellular activity to be modulated. The cells may then be washed free of the peptide and restored to the host.
In the case of an organ implant the subject peptides may be administered prior to the implantation, usually not exceeding about two weeks prior and repetitive treatment may be employed. At or about the time of implantation the subject compound may be administered during or immediately prior to the operation. The subject peptides may be used to treat the organ, by bathing the organ in a medium containing the subject peptides. In this way CTLs present with the organ may be deactivated to prevent graft vs. host disease. The peptide may be present at a concentration of 10"3 to 10"°M. The organ may be washed free of the storage medium or the organ used with the peptide bound to the cells of the organ.
The subject peptides or compounds comprising the subject peptides can inhibit CTL activity, thus preventing the lysis of target cells. In addition, the differentiation of inactive precursors into active mature CTLs. Also, the subject peptides may be used to reduce the mitogenic response of CTLs to mitogens or other activating compounds, e.g. Concanavalin A or anti-CD3 antibody. The subject peptides are found to be active with CTLs having a wide variety of MHC antigens, rather than being specific for the particular HLA antigen from which the subject peptides are derived.
The subject peptides may be formulated in a variety of ways for administration to a host. The subject peptides may be used by themselves or in combination with other immunosuppressant agents, such as cyclosporine A, FK506, immunotoxins, anti-OKT3 or the like. By employing the subject peptides in conjunction with known immunosuppressants, substantially reduced concentrations of the immunosuppressant may be used in the formulations, usually less than about 60%, more usually less than about 40% of the normal dosage employed in a particular situation, to provide sufficient inhibition of CTL activity. In this way, the substantial side effects of the immunosuppressant compositions may be ameliorated by virtue of the lower concentration. The subject agents may be used with peptides derived from the a helix of the a chain of Class I MHC antigens. See particularly, PCTΛUS93.01758 and references cited therein. Of particular interest is the peptide B2702.75-84, which may be present in one or more copies, particularly where there is an inverted repeat, e.g. 84-75/75-84.
Various physiologically acceptable media may be used in the formulations comprising the subject peptides, by themselves or in conjunction with other drugs, such as deionized water, saline, phosphate buffered saline, aqueous ethanol, etc. The concentration of the peptide may vary widely, since for the most part, the peptides will be highly soluble in the media. Usually, the peptide will be not more than about 75 weight-percent, more usually not more than about 50 weight-percent, and usually greater than about 1 weight-percent. The dosage will vary depending upon the purpose of the administration, the frequency of administration, the efficacy of the peptide, and the like. Generally, the dosage will range from about 0.01 to 10 mg/kg of host, based on active sequence. encapsulated, introduced into the lumen of liposomes, prepared as a colloid, or other techniques may be employed which extend the lifetime of the peptides.
The subject peptides may be used in assays to evaluate the activity of agents in mimicking the activity of the subject peptides. One can use labeled peptides under binding conditions in competition with the agent in binding assays, with CTLs, microsomes, antibodies binding to the peptides, and the like. Thus, compounds may be screened for their effectiveness in comparison with the subject peptides and related to the mode of action provided by the subject peptides. The subject peptides may be used to standardize assay protocols for use in screening agents.
The subject peptides may also be used for detecting complementary compounds which bind to the subject peptides. In this way proteins which bind to the subject peptides may be isolated and purified, e.g. affinity chromatography.
The following examples are offered by way of illustration and not by way of limitation.
EXPERIMENTAL
Example 1: Preparation of peptides from Class H alpha chain.
Four peptides were prepared by conventional synthetic methods using standard solid-phase techniques. See Erickson and Merrifield in: The Proteins, Vol. 2, 3rd ed., eds. Neurath, H. and Hill, R.L., p. 255-527, Academic Press, N.Y. (1970), which is incorporated herein by reference. Three of the peptides had amino acids from the αx domain of amino acids 53-77, one had amino acids 56-80 of the ocj
the following compositions and designations: DQ 03011 56-80
R F D P Q F A L T N I A V L K H N L N I V I K R S
DP 0101 53-77
S - E A - G G - A I - N N T L - Q
DR 0101 53-77 S - E A - G A D - S E - M T
DQ 010101 71-80 M — y
Example 2: Peptides corresponding to residues 50-80 of the α chain of class II HLA block the differentiation of cytotoxic T lymphocytes (CTL) precursors into effector CTL. PBL from normal donors were isolated over Ficoll and cultured in 24 replicates at the indicated numbers in microtiter wells in RPMI 1640 supplemented with 10% fetal calf serum and L-glutamine. The EBV transformed cell line JY was used as an allogeneic stimulator cell. To prevent cell division of the JY cells, they were irradiated at 10,000 rad prior to culture. Peptides were dissolved at 50 mg/ml in DMSO and added where indicated at a final concentration of 100 μg/ ml. After 6 days, cultures were tested for lysis of 51Cr-labeled HLA-A2 transfected C1R cells. Wells were considered positive if lysis was > 10% above spontaneous release.
Example 3: Effect of peptides on proliferation of human PBL to the mitogen Concanavalin A (Con A.. 4 x 105 PBL from normal donors were cultured in microtiter wells with 1 /ig/ml of the indicated peptide. After 24 h, wells were pulsed with 1 μCi of 3H- thymidine and harvested after an additional 24 h of culture. It was found that DQ.56-80 and DR.53-77 peptides strongly block proliferation of PBL to Con A. The DQ.71-80 peptide and the DP.53-77 did not block proliferation as strongly. Inhibition was not allele specific. Peptides prepared as in Example 1 were preincubated for 30 min with CTLs before addition of 103 cpm of 51Cr-labelled A2+ target cells at effectoπtarget ratios of 1:1, 2.5:1, 5:1, and 10:1. The cytotoxicity assay was then performed as described by Clayberger et al. , J. Exp. Med. (1984) 162: 1709-1714; Rice et al. , Proc Natl. Acad. Sci. USA (1980) 77:5432-5436. Peptides were added at 100 μg/ml and the plates were harvested after 4 h. Lysis was blocked by the DQ.56-80 peptide, but not by peptides DQ.68-77, DR.53-77 and DP.53-77.
Example 4: Determination of critical residues in DQ.56-80 for blocking lysis by CD8+ CTL. A series of overlapping 15 amino acid peptides were prepared and tested for effects on lysis as described above. The peptides employed were DQ.53-67, 56-80, 65-79, and 71-85. The DQ.65-79 and 71-85 were most effective in blocking lysis. Similar results were obtained with CTL specific for other alleles. The DQ.71-85 was difficult to synthesize, so the 65-79 was chosen for further testing.
Example 5: Effect of single amino acid changes in inhibitory effects of DO.65-79 f__I__i___. Single amino acid substitutions were introduced into the DQ.65-79 peptide.
PBL were tested for proliferation of Con A as described above. Replacement of the N with D at residue 72 abrogated the inhibitory effect on proliferation of PBL to Con A. Replacement of the V at position 76 with a T led to partial loss of activity. Replacement of the N with a D at residue 74 had no effect on inhibition.
A comparison was made of the similarities and differences observed between the activity of the Class I B2702.84-75/75-84 peptide and the Class π peptide DQ.65-79. Inhibition of: Class I peptide Class II peptide
CTL differentiation + +
CTL lysis + +
PBL proliferation _ +
T cell proliferation + +
Rat splenocyte proliferation + +
Characteristics of peptide:
Requires dimerization + _
Induces Ca+ + influx + _
Immunoprecipitation + _.
Inhibits EL-2 production + ND
Blocks Reporter Gene Assay ND + (Rantes Promoter) It is evident from the above results, that the subject peptides provide for therapeutic opportunities to inhibit CTL attack, particularly in association with implantation of allogeneic cells or tissue, particularly solid organs. The peptides do not kill the cells, so that the immune response is readily renewed, once the administration of the peptides is terminated. In addition, the subject peptides may be used in conjunction with other immunosuppressive agents, which have undesirable deleterious effects, so that lower concentrations of the agents may be employed to reduce their undesired side effects.
All publications and patent applications cited in this specification are herein incorporated by reference as if each individual publication or patent application were specifically and individually indicated to be incorporated by reference.
Although the foregoing invention has been described in some detail by way of illustration and example for purposes of clarity of understanding, it will be readily apparent to those of ordinary skill in the art in light of the teachings of this invention that certain changes and modifications may be made thereto without departing from the spirit or scope of the appended claims.

Claims

CLAIMS:
1. A method for the modulation of CTL activity, said method comprising: contacting a cell population comprising CTLs from a host with a polypeptide other than an intact Class π major histocompatibility complex antigen and comprising at least 8 amino acids of the αj-domain, D-stereoisomer analogs thereof or mutated derivative thereof having fewer than 3 substitutions or deletions, said polypeptide being present in an amount sufficient to modulate the CTL activity against allogeneic cells; whereby said CTL activity is modulated.
2. A method according to Claim 1, wherein said cell population is present in blood.
3. A method according to Claim 1, wherein said cell population is associated with a solid organ.
4. A method according to Claim 1, wherein said contacting is ex vivo.
5. A method for the modulation of CTL activity, said method comprising: contacting a cell population comprising CTLs from a host with a polypeptide other than an intact Class π major histocompatibility complex antigen and comprising at least 8 amino acids of amino acids 71-80 of the αrdomain, D- stereoisomer analogs thereof or mutated derivatives thereof having fewer than 3 substitutions, said polypeptide being present in an amount sufficient to modulate the CTL activity against allogeneic cells.
6. A method according to Claim 5, wherein said Class π major histocompatibility complex antigen is HLA DP 0101, DQ 03011, or DR 0101.
7. A method according to Claim 5, wherein said cell population is present in blood. associated with a solid organ.
9. A method according to Claim 5, wherein said contacting is ex vivo.
10. A method according to Claim 5, wherein said contacting is in combination with an immunosuppressing drug.
11. A method according to Claim 10, wherein said immunosuppressing drug is a peptide having a sequence from an αrhelix of a class I MHC antigen.
12. A method according to Claim 11, wherein said drug comprises at least one copy of B2702.75-84 peptide.
13. A polypeptide capable of modulating the activity of CTLs, said polypeptide being other than an intact Class II major histocompatibility complex antigen and comprising at least 8 amino acids of amino acids 71-80 of the α domain, D-stereoisomer analogs thereof or mutated derivative thereof having fewer than 3 conservative substitutions or deletions.
14. A polypeptide according to Claim 13, joined to an immunogen.
15. A polypeptide according to Claim 13, joined to a label capable of providing a detectable signal.
16. A polypeptide according to Claim 15, wherein said label is an enzyme, fluorescer, radioisotope, chemiluminescer, an haptenic member of a specific binding pair, an antigenic member of a specific binding pair, a receptor, or a solid support.
17. Antibodies prepared in response to a polypeptide according to Claim 13 and specifically binding to said at least 8 amino acids. monoclonal antibodies.
19. A method for evaluating the activity of agents in immunomodulating CTLs, said method comprising: combining under binding conditions said agent with a polypeptide according to Claim 15 and the CTL reciprocal binding member or monoclonal antibody for said polypeptide and determining the amount of binding of said polypeptide to said CTL reciprocal binding member or anti-polypeptide monoclonal antibody as compared to the binding of said polypeptide under the same conditions in the absence of said agent.
20. A method of inhibiting lysis of target cells by CTL in a mixture of cells comprising said target cells and said CTL cells, where in the absence of an inhibitor said CTL lyse said target cells, said method comprising:
adding to said mixture a lysis inhibiting amount of a polypeptide comprising at least 8 amino acids of the amino acids 71-80 of the Class U major histocompatibility complex antigen HLA DP 0101, DQ 03011, or DR 0101.
EP95922332A 1994-06-16 1995-06-16 Immune modulation with class ii alpha-chain fragments Withdrawn EP0723458A4 (en)

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US6436903B1 (en) * 1996-05-22 2002-08-20 Stanford University (Board Of Trustees Of The Leland Standford Junior University) Immunomodulating compounds comprising d-isomers of amino acids
AU7298398A (en) * 1996-11-19 1998-06-10 Sangstat Medical Corporation Enhanced effects for hapten conjugated therapeutics
AU4454700A (en) * 1999-04-12 2000-11-14 Stanford University Interaction of mhc class ii proteins with members of the pcna family of proteins
CZ304942B6 (en) 2000-03-31 2015-02-04 Purdue Research Foundation Medicament for increasing specific elimination of tumor cell population and pharmaceutical composition containing phosphate-FITC conjugate or phosphate-dinitrophenyl
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WO1994013320A1 (en) * 1992-12-17 1994-06-23 Subramaniam Sriram Vaccination with peptide of mhc class ii molecules for treatment of autoimmune disease

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WO1994013320A1 (en) * 1992-12-17 1994-06-23 Subramaniam Sriram Vaccination with peptide of mhc class ii molecules for treatment of autoimmune disease

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B. COHEN ET AL.: "Cytotoxic T cell recognition of an endogenous class I HLA peptide presented by a class II HLA molecule." THE JOURNAL OF EXPERIMENTAL MEDICINE, vol. 172, no. 3, 1 September 1990, NEW YORK, NY, USA, pages 779-788, XP002050665 *
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