NZ583289A - Binding molecules for treatment and detection of cancer - Google Patents

Abstract

Disclosed is an immunoglobulin molecule or antigen-binding fragment thereof capable of specifically binding to leukocyte antigen-related receptor protein tyrosine phosphatase. The disclosed immunoglobulin molecule comprises a specific heavy chain variable region and a specific light chain variable region, as defined in the specification. Also encompassed is the use of said immunoglobulin molecule in the manufacture of a medicament for treating cancer, in particular, acute myeloid leukaemia.

Description

Received at IPONZ on 5 May 2011 NEW ZEALAND PATENTS ACT, 1953 No: Date: Divided out of New Zealand patent application 553409 dated 11 October 2005 COMPLETE SPECIFICATION BINDING MOLECULES FOR TREATMENT AND DETECTION OF CANCER We, CRUCELL HOLLAND B.V., Archimedesweg 4, NL-2333 CN Leiden, The Netherlands, do hereby declare the invention for which we pray that a patent may be granted to us, and the method by which it is to be performed, to be particularly described in and by the following statement: (followed by page la) ia TITLE OF THE INVENTION Binding molecules for treatment and detection of cancer This is a divisional of New Zealand patent application 553409.

FIELD OF THE INVENTION 5 The present invention relates to the field of medicine.

The invention in particular relates to binding molecules capable of specifically binding to cancer-associated antigens. The binding molecules are useful in the prevention, treatment and detection of cancer.

BACKGROUND OF THE INVENTION Cancer describes a class of diseases characterized by the uncontrolled growth of aberrant cells. It is the second leading cause of human death next to coronary disease. 15 Worldwide, millions of people die from cancer every year. In the United States alone, cancer causes the death of well over a half-million people each year, with some 1.4 million new cases diagnosed per year.

One form of cancer, accounting for about 3% of all 20 cancers in the United States of America, is leukemia. This malignant disease is characterised by an abnormal proliferation of white blood cells which can be detected in the peripheral blood and/or bone marrow. Leukemia can be broadly classified into acute and chronic leukemia. Acute 25 leukemia can be subclassified into myeloid and lymphoid leukemia in a variety of ways, including cell morphology and cytochemistry.

Acute myeloid leukemia (AML) is the most common form of leukemia accounting for about 50% of all leukemia cases and 30 even 85% of all acute leukemia cases involving adults.

The standard treatment regime for AML is chemotherapy, which often includes an anthracycline. This results in a 70% INTELLECTUAL PROPERTY OFFICE OF HZ 12 FEB 2010 RECEIVED Received at IPONZ on 5 May 2011 2 complete remission (CR) rate in AML patients. Anthracycline therapy, however, is associated with severe side effects, including myelosuppression and dose-limiting cardiotoxicity, as well as a significant incidence of relapse. Less than 20% 5 of CR patients survive in the long term. Relapsed AML disease exhibits multiple drug resistance (MDR), making the relapsed disease frequently refractory to further treatment with a variety of chemotherapeutic agents, including drugs.

In the light thereof novel therapies for AML have been 10 developed. Some therapies make use of antibodies capable of binding to AML-associated antigens such as CD33 or CD45 (see WO 2004/043344). Although AML-associated antigens have been described, there is still a great need for new AML antigens useful in antibody and other biological therapies. In 15 addition, there is a corresponding need for AML-associated antigens which may be useful as markers for antibody-based diagnostic and imaging methods, hopefully leading to the development of earlier diagnosis and greater prognostic precision.

It is an object of the present invention to address this need by providing new antigens useful in the prevention, treatment and diagnosis of tumors, in particular AML; to provide novel antibodies against these antigens and/or to provide the public with a useful choice.

DESCRIPTION OF THE FIGURES Figure 1 shows the binding intensity (depicted in mean fluorescence) of the phage antibody SC02-401 to AML in 30 relation to the binding intensity of the phage antibody to different cell populations in peripheral blood of a healthy donor. 3 Figure 2 shows the binding intensity (depicted in mean fluorescence) of the phage antibody SC02-361 to AML in relation to the binding intensity of the phage antibody to different cell populations in peripheral blood of a healthy 5 donor.

Figure 3 shows an immunoblot of a LS174T cell lysate immunoprecipitated with a negative control IgGl (CR2428; left lane), a positive control IgGl directed against CD46 (CR2300; 10 middle lane), or IgGl CR2401 (right lane). On the left side of the blot molecular weight markers are indicated.

Figure 4 shows an immunoblot of a NB4 cell lysate immunoprecipitated with a negative control IgGl (CR2428; left 15 lane), a positive control IgGl directed against CD4 6 (CR2300; middle lane), or IgGl CR2361 (right lane). On the left side of the blot molecular weight markers are indicated.

Figure 5 shows a silver staned SDS-PAGE gel of the proteins 20 eluting from an affinity column of CR2401. The arrow indicates the protein of interest (150 kDa) specifically released from the column in fraction 8-10. The asterix indicates two protein bands somewhat smaller than 150 kDa. On the left side of the blot molecular weight markers are indicated.

Figure 6 shows an immunoblot using a murine anti-LAR PTP antibody. On the left side the molecular weight markers are indicated. From left to right are shown, an immunoprecipitate of the negative control antibody CR2428, an immunoprecipitate 30 of the antibody CR2401, an immunoprecipitate of the positive control antibody CR2300, a purified fraction, a purified control fraction and a complete LS174T cell lysate. 4 Figure 7 shows a silver staned SDS-PAGE gel of the proteins eluting from an affinity column of CR2361. The arrows indicate the proteins of interest (30, 40, 75 and 150 kDa; E, F, G and 5 H, respectively) specifically released from the column in fraction 9-12. On the left side the molecular weight markers are indicated.

Figure 8 shows immunoblots of HEK93T cells transfected with 10 ATAD3A, mycATAD3A and ATAD3Amyc constructs (right, left and middle part of blot, respectively). Cells were lysed and cell lysates obtained were biotinylated and immunoprecipitated with the negative control antibody CR2428, the positive control antibody CR2300 and antibody CR2361. Immunoblots were 15 developed with anti-myc. On the left side the molecular weight markers are shown.

Figure 9 shows an immunoblot of a cell surface biotinylated NB4 cell lysate immunoprecipitated with CR2361 (left lane) and 20 a complete cell lysate of HEK293T cells transfected with ATAD3Amyc (right lane). On the left side of the blot molecular weight markers are indicated.

SUMMARY OF THE INVENTION 25 In the present invention new tumor target antigens for antibody based prophylaxis and therapies are provided. In particular, antigens associated with AML are provided. Furthermore, several binding molecules capable of binding to the tumor-associated antigens have been identified and 30 obtained by using phage display technology. Furthermore, methods of producing these binding molecules and the use of the binding molecules in diagnosis, prevention and treatment Received at IPONZ on 2 August 2011 of neoplastic disorders and diseases, in particular AML, have been described.

DETAILED DESCRIPTION OF THE INVENTION 5 The present invention encompasses binding molecules capable of binding to an antigen present on tumor cells such as AML cells. As used herein the term "acute myeloid leukemia (AML)" is characterized by an uncontrolled proliferation of progenitor cells of myeloid origin including, but not limited 10 to, myeloid progenitor cells, myelomonocytic progenitor cells, and immature megakaryoblasts. Subtypes of AML according to the FAB classification include FAB-MO, FAB-MI, FAB-M2, FAB-M3, FAB-M4, FAB-M5, FAB-M6 and FAB-M7.

Also described is a use of a leukocyte antigen-related 15 receptor protein tyrosine phosphatase (LAR PTP), a nucleic acid molecule encoding the LAR PTP, an immunoglobulin molecule or antigen-binding fragment thereof capable of binding to the LAR PTP, an immunoconjugate comprising at least the immunoglobulin molecule or antigen-binding fragment thereof, 20 or a pharmaceutical composition comprising at least the LAR PTP, the nucleic acid molecule or the immunoglobulin molecule or antigen-binding fragment thereof, for the preparation of a medicament for the detection, diagnosis, prevention, treatment, or combination thereof of acute myeloid leukaemia 25 (AML) .

Received at IPONZ on 2 August 2011 In a first aspect the invention provides an immunoglobulin molecule or antigen-binding fragment thereof capable of specifically binding to leukocyte antigen-related receptor protein tyrosine phosphatase, the binding molecule 5 comprising: a. a heavy chain variable region comprising the amino acid sequence of SEQ ID NO:3 and a light chain variable region comprising the amino acid sequence of SEQ ID NO:7, or 10 b. a functional variant of a) comprising a sequence having at least 70%, amino acid sequence homology to the immunoglobulin molecule or antigen-binding fragment thereof of a).

In a second aspect the invention provides an 15 iraraunoconjugate comprising an immunoglobulin molecule or antigen-binding fragment thereof according to the invention and a tag.

In a third aspect the invention provides a nucleic acid molecule encoding an immunoglobulin molecule or antigen-20 binding fragment thereof according to the invention.

In a fourth aspect the invention provides a vector comprising at least one nucleic acid molecule of the invention.

In a fifth aspect the invention provides an ex vivo host 25 cell, comprising at least one vector of the invention.

In a sixth aspect the invention provides a pharmaceutical composition comprising an immunoglobulin molecule or antigen-binding fragment thereof according to the invention or an immunoconjugate according to the invention and a 30 pharmaceutically acceptable carrier.

Received at IPONZ on 5 May 2011 The binding molecules according to the invention are preferably human binding molecules. They can be intact immunoglobulin molecules such as polyclonal or monoclonal antibodies, such as chimeric, humanized or in particular human 5 monoclonal antibodies, or the binding molecules can be antigen-binding fragments including, but not limited to, Fab, F(ab'), F(ab')2, Fv, dAb, Fd, complementarity determining region (CDR) fragments, single-chain antibodies (scFv), bivalent single-chain antibodies, diabodies, triabodies, 10 tetrabodies, and (poly)peptides that contain at least a fragment of an immunoglobulin that is sufficient to confer specific antigen binding to the (poly)peptides. The term "binding molecule", as used herein also includes the immunoglobulin classes and subclasses known in the art. 15 Depending on the amino acid sequence of the constant domain of their heavy chains, binding molecules can be divided into the five major classes of intact antibodies: IgA, IgD, IgE, IgG, and IgM, and several of these may be further divided into subclasses (isotypes), e.g., IgAl, IgA2, IgGl, IgG2, IgG3 and 6 IgG4. The methods of production of antibodies are well known in the art and are described, for example, in Antibodies: A Laboratory Manual, Edited by: E. Harlow and D, Lane (1988), Cold Spring Harbor Laboratory, Cold Spring Harbor, New York, 5 which is incorporated herein by reference. The binding molecules of the invention can be used in non-isolated or isolated form. Furthermore, the binding molecules of the invention can be used alone or in a mixture comprising at least one binding molecule (or variant or fragment thereof). 10 In other words, the binding molecules can be used in combination, e.g., as a pharmaceutical composition comprising two or more binding molecules or fragments thereof. For example, binding molecules having different, but complementary, activities can be combined in a single therapy 15 to achieve a desired therapeutic or diagnostic effect, but alternatively, binding molecules having identical activities can also be combined in a single therapy to achieve a desired therapeutic or diagnostic effect. The mixture may further comprise at least one other therapeutic agent. Typically, 20 binding molecules according to the invention can bind to their binding partners, i.e. the AML-associated antigens of the invention, with an affinity constant (Kd-value) that is lower than 0.2*10"4 M, 1.0*10"5M, 1.0*1CT6M, 1.0*10"7M, preferably lower than 1.0*10~8 M, more preferably lower than 1.0*10"9 M, 25 more preferably lower than 1.0*10-1° M, even more preferably lower than 1.0*10~u M, and in particular lower than 1.0*10~12 M. The affinity constants can vary for antibody isotypes. For example, affinity binding for an IgM isotype refers to a binding affinity of at least about 1.0*10"7 M. Affinity 30 constants can be measured using surface plasmon resonance, i.e. an optical phenomenon that allows for the analysis of real-time biospecific interactions by detection of alterations 7 in protein concentrations within a biosensor matrix, for example using the BIAcore system (Pharmacia Biosensor AB, Uppsala, Sweden).

The binding molecules according to the invention may bind 5 to the AML-associated antigens of the invention in soluble form or may bind to the AML-associated antigens of the invention bound or attached to a carrier or substrate, e.g., microtiter plates, membranes and beads, etc. Carriers or substrates may be made of glass, plastic (e.g., polystyrene), 10 polysaccharides, nylon, nitrocellulose, or teflon, etc. The surface of such supports may be solid or porous and of any convenient shape. Furthermore, the binding molecules may bind to the AML-associated antigens in purified or non-purified form and/or in isolated or non-isolated form. Preferably, the 15 binding molecules are capable of binding to the antigens when they are associated with cells, such as a human cells positive for the antigen, e.g. AML cells or cells transfected with the AML-associated antigens of the invention, or portions or parts of these cells comprising the AML-associated antigens or a 20 fragment thereof such as the extracellular part of the antigens. As the AML-associated antigens according to the invention are overexpressed by tumor cells as compared to normal cells of the same tissue type, the binding molecules according to the invention can be used to selectively target 25 the tumor cells. In particular, the AML-associated antigens according to the invention are overexpressed by AML cells as compared to normal blood cells.

The binding molecules of the invention which stay bound to the surface upon binding to the antigens present on the 30 surface of target cells, such as AML cells, may be used in the format of naked binding molecules to support possible effector functions of antibody-dependent cellular cytotoxicity (ADCC) Received at IPONZ on 5 May 2011 and/or complement-dependent cytotoxicity (CDC). Assays to distinguish ADCC or CDC are well-known to the person skilled in the art. Naked antibodies according to the invention may also induce apoptosis of target cells in another way than by 5 means of ADCC or CDC. Alternatively, they may internalise upon binding to the AML-associated antigens of the invention. Internalisation of binding molecules can be assayed by techniques known to the person skilled in the art.

In a preferred embodiment, the binding molecules comprise 10 at least a CDR3 region, preferably a heavy chain CDR3 region, comprising the amino acid sequence of SEQ ID N0:1 or SEQ ID NO: 2 .

In another embodiment, the binding molecules comprise a heavy chain variable region comprising the amino acid sequence 15 of SEQ ID NO:3 or SEQ ID N0:4.

In yet a further embodiment, the binding molecules comprise a heavy chain variable region comprising the amino acid sequence shown in SEQ ID NO:3 and a light chain variable region comprising the amino acid sequence of SEQ ID NO:7, or a 20 heavy chain variable region comprising the amino acid sequence shown in SEQ ID NO:4 and a light chain variable region comprising the amino acid sequence of SEQ ID NO: 8.

Also described are functional variants of binding molecules or fragments thereof as defined herein. Molecules 25 are considered to be functional variants of a binding molecule according to the invention, if the variants are capable of competing for specifically binding to the AML-associated antigens of the invention with the parent binding molecules. In other words, when the functional variants are still capable 30 of binding to the AML-associated antigens or a Received at IPONZ on 5 May 2011 portion thereof. Functional variants include, but are not limited to, derivatives that are substantially similar in primary structural sequence, but which contain e.g. in vitro or in vivo modifications, chemical and/or biochemical, that 5 are not found in the parent binding molecule. Such modifications are well known to the skilled artisan.

Alternatively, functional variants can be binding molecules as defined herein comprising an amino acid sequence containing substitutions, insertions, deletions or 10 combinations thereof of one or more amino acids compared to the amino acid sequences of the parent binding molecules. Furthermore, functional variants can comprise truncations of the amino acid sequence at either or both the amino or carboxy termini. Functional variants described herein may have the 15 same or different, either higher or lower, binding affinities compared to the parent binding molecule but are still capable of binding to the AML-associated antigens of the invention. For instance, functional variants may have increased or decreased binding affinities for the AML-associated antigens 20 of the invention compared to the parent binding molecules.

Preferably, the amino acid sequences of the variable regions, including, but not limited to, framework regions, hypervariable regions, in particular the CDR3 regions, are modified. Functional variants described herein have at least 25 about 50% to about 99%, preferably at least about 60% to about 99%, more preferably at least about 70% to about 99%, even more preferably at least about 80% to about 99%, most preferably at least about 90% to about 99%, in particular at least about 95% to about 99%, and in particluar particular at 30 least about 97% to about 99% amino acid sequence homology with the parent Received at IPONZ on 5 May 2011 binding molecules as defined herein. Computer algorithms such as inter alia Gap or Bestfit known to a person skilled in the art can be used to optimally align amino acid sequences to be compared and to define similar or identical amino acid 5 residues. Functional variants can be obtained by altering the parent binding molecules or parts thereof by general molecular biology methods known in the art including, but not limited to, error-prone PCR, oligonucleotide-directed mutagenesis and site-directed mutagenesis.

In an embodiment the AML-associated antigen is leukocyte antigen-related receptor protein tyrosine phosphatase (LAR PTP). LAR PTP is a prototype of a family of transmembrane phosphatases whose extracellular domains are composed of three Ig and several fibronectin type III domains (Streuli et al. 15 1988). LAR PTP is expressed in cells of many different lineages including epithelial cells, smooth muscle cells and cardiac myocytes and increased levels of LAR PTP expression and differential patterns of extracellular alternative splicing were found in breast cancer cell lines and pheochromocytoma 20 tumor tissue.

Also described is a human binding molecule as herein defined capable of specifically binding to LAR PTP or the extracellular part thereof. The amino acid sequence of LAR PTP is shown in SEQ ID NO: 40. The extracellular part of the 25 protein consists of amino acids 1 - 1259 (Streuli et al., 1992) . In a preferred embodiment the human binding molecule specifically binding to LAR PTP comprises at least a heavy chain CDR3 region comprising the amino acid sequence of SEQ ID NO:l. The binding molecule capable of specifically binding to 30 LAR PTP can be used in indications wherein LAR PTP has been suggested to play a role such as inter alia obesity, Type-II diabetes, and tumors. As Received at IPONZ on 5 May 2011 LAR PTP is overexpressed in AML cells the binding molecule capable of specifically binding to LAR PTP can be used as a medicament, in detection, prevention and/or treatment of AML. The binding molecules described herein have specific 5 immunoreactivity with AML subtypes MO, Ml/2 and M3 and can thus advantageously be used as a medicament, in detection, prevention and/or treatment of these specific AML subtypes. In another embodiment the AML-associated antigen is a polypeptide comprising the amino acid sequence of SEQ ID NO:6. 10 This protein has been called ATAD3A. It contains a potential ATP-ase region from amino acids 347-467 and potentially belongs to the AAA-superfamily of ATP-ases. In general, ATP-ases are associated with a wide variety of cellular activities, including membrane fusion, proteolysis, and DNA 15 replication. Also described is that the polypeptide is overexpressed in tumors, particularly in AML. The polypeptide is expressed by all AML subtypes.

Also described is a nucleic acid molecule encoding the polypeptide comprising the amino acid sequence of SEQ ID NO:6. 20 In a specific embodiment the nucleic acid molecule comprises the nucleotide sequence of SEQ ID NO:5.

Also described is a pharmaceutical composition comprising a polypeptide comprising the amino acid sequence of SEQ ID NO:6 or a nucleic acid molecule encoding the polypeptide. The 25 pharmaceutical composition further comprises a pharmaceutically acceptable carrier. Such a composition could be used as a vaccine.

Also described is a binding molecule as herein defined capable of specifically binding to a polypeptide comprising 30 the amino acid sequence of SEQ ID NO:6. The polypeptide comprising the amino acid Received at IPONZ on 5 May 2011 sequence of SEQ ID NO:6, a pharmaceutical composition comprising this polypeptide or nucleic acid molecule encoding this polypeptide or binding molecule specifically binding to this polypeptide can be used as a medicament for inter alia 5 the detection, prevention and/or treatment of cancer, in particular for the detection, prevention and/or treatment of AML.

Naturally-occurring truncated or secreted forms, naturally-occurring variant forms (e.g., alternatively spliced 10 forms) and naturally-occurring allelic variants of the AML-associated antigens of the invention are also a part of the present invention. Binding molecules may also be capable of specifically binding to non-naturally occuring variants or analogues of these antigens as long as the modifications do 15 not abolish the binding of the binding molecules to the antigens.

A nucleic acid molecule encoding the polypeptide as described above, preferably comprising the amino acid sequence of SEQ ID NO:6, preferably comprises the nucleotide sequence 20 as shown in SEQ ID NO:5. The nucleic acid molecule may be used as a vaccine or for making a vaccine.

Also described are immunoconjugates, i.e. molecules comprising at least one binding molecule as described above and further comprising at least one tag, such as a therapeutic 25 moiety that inhibits or prevents the function of cells and/or causes destruction of cells. Also contemplated are mixtures of immunoconjugates or mixtures of at least one immunoconjugates and another molecule, such as a therapeutic or diagnostic agent or another binding molecule or immunoconjugate. In a 30 further embodiment, the immunoconjugates described herein may comprise Received at IPONZ on 5 May 2011 13 more than one tag. These tags can be the same or distinct from each other and can be joined/conjugated non-covalently to the binding molecules. The tags can also be joined/conjugated directly to the binding molecules through covalent bonding.

Alternatively, the tags can be joined/conjugated to the binding molecules by means of one or more linking compounds. Techniques for conjugating tags to binding molecules, are well known, see, e.g., Arnon et al., Monoclonal Antibodies For Immunotargeting Of Drugs In Cancer Therapy, p. 243-256 in 10 Monoclonal Antibodies And Cancer Therapy (1985), Edited by: Reisfeld et al., A. R. Liss, Inc.; Hellstrom et al., Antibodies For Drug Delivery, p. 623-653 in Controlled Drug Delivery, 2nd edition (1987), Edited by: Robinson et al., Marcel Dekker, Inc.; Thorpe, Antibody Carriers Of Cytotoxic 15 Agents, p. 475-506 In Cancer Therapy: A Review, in Monoclonal Antibodies'84 : Biological And Clinical Applications (1985), Edited by: Pinchera et al.; Analysis, Results, And Future Prospective Of The Therapeutic Use Of Radiolabeled Antibody In Cancer Therapy, p. 303-316 in Monoclonal Antibodies For Cancer 20 Detection And Therapy (1985), Edited by: Baldwin et al., Academic Press.

Tags described herein include, but are not limited to, toxic substances, radioactive substances, liposomes, enzymes, polynucleotide sequences, plasmids, proteins, peptides or 25 combinations thereof. Toxic substances include, but are not limited to, cytotoxic agents, such as small molecule toxins or chemotherapeutic agents, or enzymatically active toxins of bacterial, fungal, plant or animal origin, or fragments thereof. In general, suitable chemotherapeutic agents are 30 described in Remington's Pharmaceutical Sciences, 18th edition (1990), Edited by: A.R. Gennaro, Mack Publishing Co., Philadelphia and in Goodman and Received at IPONZ on 5 May 2011 14 Gilman's The Pharmacological Basis of Therapeutics, 7th edition (1985), Edited by: A.G. Gilman, L.S. Goodman, T.W.

Rail and F. Murad. MacMillan Publishing Co., New York.

Suitable chemotherapeutic agents that are still in the 5 experimental phase are known to those of skill in the art and might also be used as toxic substances in the present invention.

Fusion proteins comprising enzymatically active toxins and binding molecules of the immunoconjugate of the invention 10 can be produced by methods known in the art such as, e.g., recombinantly by constructing nucleic acid molecules comprising nucleotide sequences encoding the binding molecules in frame with nucleotide sequences encoding the enzymatically active toxin and then expressing the nucleic acid molecules. 15 Alternatively, fusion proteins can be produced chemically by conjugating, directly or indirectly via for instance a linker, binding molecules as defined herein to enzymatically active toxins. Immunoconjugates comprising enzymes may be useful in antibody-directed enzyme-prodrug therapy (ADEPT).

Also contemplated are binding molecules of the immunoconjugate that are labeled with radionuclides. The skilled man knows suitable radionuclides. The choice of radionuclide will be dependent on many factors such as, e.g., the type of disease to be treated, the stage of the disease to 25 be treated, the patient to be treated and the like. Binding molecules can be attached to radionuclides directly or indirectly via a chelating agent by methods well known in the art.

In another embodiment, the binding molecules of the 30 immunoconjugate described herein can be conjugated to liposomes to produce so-called immunoliposomes. A liposome may be conjugated to one or more binding molecules, the binding Received at IPONZ on 5 May 2011 molecules being either the same or different. A variety of methods are available for preparing liposomes. These methods are well known in the art and include, but are not limited to, sonication, extrusion, high pressure/homogenization, 5 microfluidisation, detergent dialysis, calcium-induced fusion of small liposome vesicles, and ether-infusion methods. The liposomes may be multilamellar vesicles, but preferably the liposomes are unilamellar vesicles such as small unilamellar (200 - 500 A) or large unilamellar vesicles (500 - 5000 A). 10 The drugs that can be loaded into liposomes include, but are not limited to, the toxic substances mentioned above.

Liposomes having loaded different drugs and different liposomes, each liposome having loaded one kind of drug, may be alternative embodiments of liposomes that can be used and 15 these embodiments are therefore also contemplated herein. Binding molecules of the invention may be attached at the surface of the liposomes or to the terminus of polymers such as polyethylene glycol that are grafted at the surface of the liposomes using conventional chemical-coupling techniques. 20 In yet another embodiment, the binding molecules of the invention may be linked to water-soluble, biodegradable polymers, such as for instance polymers of hydroxypropylmethacrylamine (HPMA).

In another aspect the binding molecules of the invention 25 may be conjugated/attached to one or more antigens.

Preferably, these antigens are antigens which are recognised by the immune system of a subject to which the binding molecule-antigen conjugate is administered. The antigens may be identical but may also be different. Conjugation methods 30 for attaching the antigens and binding molecules are well Received at IPONZ on 5 May 2011 16 known in the art and include, but are not limited to, the use of cross-linking agents.

Alternatively, the binding molecules as described herein can be conjugated to tags and be used for detection and/or 5 analytical and/or diagnostic purposes. The tags used to label the binding molecules for those purposes depend on the specific detection/analysis/diagnosis techniques and/or methods used such as inter alia immunohistochemical staining of tissue samples, flow cytometric detection, scanning laser 10 cytometric detection, fluorescent immunoassays, enzyme-linked immunosorbent assays (ELISA's), radioimmunoassays (RIA's), bioassays (e.g., growth inhibition assays), Western blotting applications, etc. The binding molecules of the invention may also be conjugated to photoactive agents or dyes such as 15 fluorescent and other chromogens or dyes to use the so obtained immunoconjugates in photoradiation, phototherapy, or photodynamic therapy.

When the immunoconjugates are used for in vivo diagnostic use, the binding molecules can also be made detectable by 20 conjugation to e.g. magnetic resonance imaging (MRI) contrast agents, ultrasound contrast agents or to X-ray contrast agents, or by radioisotopic labeling.

Furthermore, the binding molecules or immunoconjugates of the invention can also be attached to solid supports, which 25 are particularly useful for immunoassays or purification of the binding partner. Such solid supports might be porous or nonporous, planar or nonplanar. The binding molecules can also for example usefully be conjugated to filtration media, such as NHS-activated Sepharose or CNBr-activated Sepharose for 30 purposes of immunoaffinity chromatography. They can also usefully be attached to paramagnetic microspheres, typically by biotin-streptavidin interaction. The microspheres can be Received at IPONZ on 5 May 2011 17 used for isolation of cells that express or display the AML-associated antigens or fragments thereof. As another example, the binding molecules of the present invention can usefully be attached to the surface of a microtiter plate for ELISA. It is 5 clear to the skilled artisan that any of the tags described above can also be conjugated to the new antigens of the invention.

Also described are nucleic acid molecules as defined herein encoding binding molecules of the present invention. In 10 yet another aspect, the invention provides nucleic acid molecules encoding at least the binding molecules specifically binding to the AML-associated antigens described above. In a preferred embodiment, the nucleic acid molecules are isolated or purified.

The skilled man will appreciate that functional variants of the nucleic acid molecules of the invention are also described. Functional variants are nucleic acid sequences that can be directly translated, using the standard genetic code, to provide an amino acid sequence identical to that translated 20 from the parent nucleic acid molecules. Preferably, the nucleic acid molecules encode binding molecules comprising a CDR3 region, preferably a heavy chain CDR3 region, comprising the amino acid sequence of SEQ ID N0:1 or SEQ ID NO:2. Even more preferably, the nucleic acid molecules encode binding 25 molecules comprising a heavy chain variable region comprising the amino acid sequence of SEQ ID NO:3 or SEQ ID NO:4. In yet another embodiment, the nucleic acid molecules encode binding molecules comprising a heavy chain variable region comprising the amino acid sequence of SEQ ID NO:3 and a light chain 30 variable region comprising the amino acid sequence of SEQ ID NO:7, or they encode a heavy chain variable region comprising Received at IPONZ on 5 May 2011 the amino acid sequence of SEQ ID NO:4 and a light chain variable region comprising the amino acid sequence of SEQ ID NO:8. In a specific embodiment the nucleic acid molecules encoding the binding molecules described herein comprise the 5 nucleotide sequence of SEQ ID NO:9 or SEQ ID NO:10.

Also described are vectors, i.e. nucleic acid constructs, comprising one or more nucleic acid molecules according to the present invention. Vectors can be derived from plasmids; cosmids; phages; plant viruses; or animal viruses. Vectors can 10 be used for cloning and/or for expression of the binding molecules of the invention and might even be used for gene therapy purposes. Vectors comprising one or more nucleic acid molecules according to the invention operably linked to one or more expression-regulating nucleic acid molecules are also 15 covered by the present invention. The choice of the vector is dependent on the recombinant procedures followed and the host used. Introduction of vectors in host cells can be effected by inter alia calcium phosphate transfection, virus infection, DEAE-dextran mediated transfection, lipofectamin transfection 20 or electroporation. Vectors may be autonomously replicating or may replicate together with the chromosome into which they have been integrated. Preferably, the vectors contain one or more selection markers. The choice of the markers may depend on the host cells of choice, although this is not critical to 25 the invention as is well known to persons skilled in the art. Vectors comprising one or more nucleic acid molecules encoding the binding molecules as described above operably linked to one or more nucleic acid molecules encoding proteins or peptides that can be used to isolate the binding molecules are 30 also described herein.

Received at IPONZ on 5 May 2011 19 Hosts containing one or more copies of the vectors mentioned above are also described herein. Preferably, the hosts are host cells. Host cells include, but are not limited to, cells of mammalian, plant, insect, fungal or bacterial 5 origin. Bacterial cells include, but are not limited to, cells from Gram positive bacteria such as several species of the genera Bacillus, Streptomyces and Staphylococcus or cells of Gram negative bacteria such as several species of the genera Escherichia and Pseudomonas. In the group of fungal cells 10 preferably yeast cells are used. Expression in yeast can be achieved by using yeast strains such as inter alia Pichia pastoris, Saccharomyces cerevisiae and Hansenula polymorpha. Furthermore, insect cells such as cells from Drosophila and Sf9 can be used as host cells. Besides that, the host cells 15 can be plant cells. Transformed (transgenic) plants or plant cells are produced by known methods. Expression systems using mammalian cells such as Chinese Hamster Ovary (CHO) cells, COS cells, BHK cells or Bowes melanoma cells are preferred in the present invention. Mammalian cells provide expressed proteins 20 with posttranslational modifications that are most similar to natural molecules of mammalian origin. Since the present invention deals with molecules that may have to be administered to humans, a completely human expression system would be particularly preferred. Therefore, even more 25 preferably, the host cells are human cells. Examples of human cells are inter alia HeLa, 911, AT1080, A549, 293 and HEK293T cells. In preferred embodiments, the human producer cells comprise at least a functional part of a nucleic acid sequence encoding an adenovirus El region in expressible format. In 30 even more preferred embodiments, said host cells are human retina cells and immortalised with nucleic acids comprising Received at IPONZ on 5 May 2011 adenoviral El sequences such as 911 cells or the cell line deposited at the European Collection of Cell Cultures (ECACC), CAMR, Salisbury, Wiltshire SP4 OJG, Great Britain on 29 February 1996 under number 96022940 and marketed under the 5 trademark PER.C6® (PER.C6 is a registered trademark of Crucell Holland B.V.). For the purposes of this application "PER.C6" refers to cells deposited under number 96022940 or ancestors, passages up-stream or downstream as well as descendants from ancestors of deposited cells, as well as derivatives of any of 10 the foregoing.

Production of recombinant proteins in host cells can be performed according to methods well known in the art. The use of the cells marketed under the trademark PER.C6® as a production platform for proteins of interest has been 15 described in WO 00/63403 the disclosure of which is incorporated herein by reference in its entirety.

Also described is a method of producing binding molecules or functional variants thereof, preferably human binding molecules or functional variants thereof according to the 20 present invention. The method comprises the steps of a) culturing a host as described above under conditions conducive to the expression of the binding molecules, and b) optionally, recovering the expressed binding molecules. The expressed binding molecules can be recovered from the cell free extract, 25 but preferably they are recovered from the culture medium.

Methods to recover proteins, such as binding molecules, from cell free extracts or culture medium are well known to the man skilled in the art. Binding molecules as obtainable by the above described method are also contemplated herein. 30 Alternatively, next to the expression in hosts, such as host cells, the binding molecules of the invention can be Received at IPONZ on 5 May 2011 21 produced synthetically by conventional peptide synthesizers or in cell-free translation systems using RNAs derived from DNA molecules according to the invention. Binding molecule as obtainable by the above described synthetic production methods 5 or cell-free translation systems are also described. In addition, the above-mentioned methods of producing binding molecules can also be used to produce the AML-associated antigens described herein.

In yet another alternative embodiment, binding molecules 10 according to the present invention may be generated by transgenic non-human mammals. Protocols for immunizing non-human mammals are well established in the art. See Using Antibodies: A Laboratory Manual, Edited by: E. Harlow, D. Lane (1998), Cold Spring Harbor Laboratory, Cold Spring Harbor, New 15 York and Current Protocols in Immunology, Edited by: J.E. Coligan, A.M. Kruisbeek, D.H. Margulies, E.M. Shevach, W. Strober (2001), John Wiley & Sons Inc., New York, the disclosures of which are incorporated herein by reference.

Also described is a method of identifying binding 20 molecules, preferably human binding molecules such as human monoclonal antibodies or fragments thereof, according to the invention or nucleic acid molecules according to the invention and comprises the steps of a) contacting a phage library of binding molecules, preferably human binding molecules, with 25 material comprising the AML-associated antigens described herein or fragments thereof, b) selecting at least once for a phage binding to the material comprising the AML-associated antigens described herein or fragments thereof, and c) separating and recovering the phage binding to the material 30 comprising the AML-associated antigens or fragments thereof. The selection step is preferably performed in Received at IPONZ on 5 May 2011 22 the presence of at least part of the AML-associated antigens of the invention, e.g. cells transfected with expression plasmids of the AML-associated antigens, isolated AML-associated antigens, the extracellular part thereof, fusion 5 proteins comprising such, and the like. In an embodiment the selection step is performed in the presence of AML cells.

Prior to or concurrent with this selection step the phage library of binding molecules can be contacted to normal blood cells and/or tumor cell lines expressing the AML-associated 10 antigens described herein. Phage display methods for identifying and obtaining binding molecules, e.g. antibodies, are by now well-established methods known by the person skilled in the art. They are e.g. described in US Patent Number 5,696,108; Burton and Barbas, 1994; and de Kruif et 15 al., 1995b. For the construction of phage display libraries, collections of human monoclonal antibody heavy and light chain variable region genes are expressed on the surface of bacteriophage, preferably filamentous bacteriophage, particles, in for example single chain Fv (scFv) or in Fab 20 format (see de Kruif et al., 1995b). Large libraries of antibody fragment-expressing phages typically contain more than 1.0*109 antibody specificities and may be assembled from the immunoglobulin V regions expressed in the B-lymphocytes of immunized- or non-immunized individuals. Alternatively, phage 25 display libraries may be constructed from immunoglobulin variable regions that have been partially assembled in vitro to introduce additional antibody diversity in the library (semi-synthetic libraries). For example, in vitro assembled variable regions contain stretches of synthetically produced, 30 randomized or partially randomized DNA in those regions of the molecules that are important for antibody specificity, e.g. CDR regions. Antigen specific phage antibodies can be selected 23 from the library by Immobilising target antigens on a solid phase and subsequently exposing the target antigens to a phage library to allow binding of phages expressing antibody fragments specific for the solid phase-bound antigen. Non-5 bound phages are removed by washing and bound phages eluted from the solid phase for infection of Escherichia coli (E. coli) bacteria and subsequent propagation. Multiple rounds of selection and propagation are usually required to sufficiently enrich for phages binding specifically to the target antigen. 10 Phages may also be selected for binding to complex antigens such as complex mixtures of proteins or whole cells such as cells transfected with antigen expression plasmids or cells naturally expressing the AML-associated antigens of the invention. Selection of antibodies on whole cells has the 15 advantage that target antigens are presented in their native configuration, i.e. unperturbed by possible conformational changes that might have been introduced in the case where an antigen is immobilized to a solid phase. Antigen specific phage antibodies can be selected from the library by 20 incubating a cell population of interest, expressing known and unknown antigens on their surface, with the phage antibody library to let for example the scFv or Fab part of the phage bind to the antigens on the cell surface. After incubation and several washes to remove unbound and loosely attached phages, 25 the cells of interest are stained with specific fluorescent labeled antibodies and separated on a Fluorescent Activated Cell Sorter (FACS). Phages that have bound with their scFv or Fab part to these cells are eluted and used to infect E. coli to allow amplification of the new specificity. Generally, one 30 or more selection rounds are required to separate the phages of interest from the large excess of non-binding phages. Monoclonal phage preparations can be analyzed for their Received at IPONZ on 5 May 2011 24 specific staining patterns and allowing identification of the antigen being recognized (De Kruif et al., 1995a). The phage display method can be extended and improved by subtracting non-relevant binders during screening by addition of an excess 5 of non-target molecules that are similar, but not identical, to the target, and thereby strongly enhance the chance of finding relevant binding molecules (This process is referred to as the Mabstract® process. Mabstract® is a registered trademark of Crucell Holland B.V., see also US Patent Number 10 6,265,150 which is incorporated herein by reference).

Also described is a method of obtaining a binding molecule or a nucleic acid molecule described herein, wherein the method comprises the steps of a) performing the above described method of identifying binding molecules, preferably 15 human binding molecules such as human monoclonal antibodies or fragments thereof described herein, or nucleic acid molecules described herein, and b) isolating from the recovered phage the human binding molecule and/or the nucleic acid encoding the human binding molecule. Once a new monoclonal phage 20 antibody has been established or identified with the above mentioned method of identifying binding molecules or nucleic acid molecules encoding the binding molecules, the DNA encoding the scFv or Fab can be isolated from the bacteria or phages and combined with standard molecular biological 25 techniques to make constructs encoding bivalent scFv's or complete human immunoglobulins of a desired specificity (e.g. IgG, IgA or IgM). These constructs can be transfected into suitable cell lines and complete human monoclonal antibodies can be produced (see Huls et al., 1999; Boel et al., 2000).

Received at IPONZ on 5 May 2011 Also described are compositions comprising at least one binding molecule, at least one functional variant or fragment thereof, at least one immunoconjugate described herein or a combination thereof. In another aspect, described are 5 compositions comprising the new AML-associated antigens of the invention. In addition to that, the compositions may comprise inter alia stabilising molecules, such as albumin or polyethylene glycol, or salts. If necessary, the binding molecules or antigens of the invention may be coated in or on 10 a material to protect them from the action of acids or other natural or non-natural conditions that may inactivate the binding molecules.

Also described are compositions comprising at least one nucleic acid molecule as defined herein. The compositions may 15 comprise aqueous solutions such as aqueous solutions containing salts (e.g., NaCl or salts as described above), detergents (e.g., SDS) and/or other suitable components.

Also described are pharmaceutical compositions comprising at least one binding molecule according to the invention, at 20 least one functional variant or fragment thereof, at least one immunoconjugate described herein, at least one composition described herein, or combinations thereof. Also described is a pharmaceutical composition comprising the AML-associated antigens described herein. The pharmaceutical composition 25 further comprises at least one pharmaceutically acceptable carrier/excipient. A pharmaceutical composition can further comprise at least one other therapeutic, prophylactic and/or diagnostic agent.

Received at IPONZ on 5 May 2011 26 Typically, pharmaceutical compositions must be sterile and stable under the conditions of manufacture and storage. The binding molecules, variant or fragments thereof, immunoconjugates, nucleic acid molecules, compositions or 5 antigens described herein can be in powder form for reconstitution in the appropriate pharmaceutically acceptable excipient before or at the time of delivery. In the case of sterile powders for the preparation of sterile injectable solutions, the preferred methods of preparation are vacuum 10 drying and freeze-drying (lyophilization) that yield a powder of the active ingredient plus any additional desired ingredient from a previously sterile-filtered solution thereof.

Alternatively, the binding molecules, variant or 15 fragments thereof, immunoconjugates, nucleic acid molecules or compositions described herein can be in solution and the appropriate pharmaceutically acceptable excipient can be added and/or mixed before or at the time of delivery to provide a unit dosage injectable form. Preferably, the pharmaceutically 20 acceptable excipient used in the present invention is suitable to high drug concentration, can maintain proper fluidity and, if necessary, can delay absorption.

The choice of the optimal route of administration of the pharmaceutical compositions will be influenced by several 25 factors including the physico-chemical properties of the active molecules within the compositions, the urgency of the clinical situation and the relationship of the plasma concentrations of the active molecules to the desired therapeutic effect. The routes of administration can be 30 divided into two main categories, oral and parenteral administration. The preferred administration route is intravenous.

Received at IPONZ on 5 May 2011 27 The binding molecules, preferably the human binding molecules such as human monoclonal antibodies, the variants or fragments thereof, the immunoconjugates, the nucleic acid molecules, the compositions or the pharmaceutical compositions 5 described herein can be used as medicaments. They can inter alia be used in the diagnosis, prevention, treatment, or combination thereof, of cancer. Preferably, the cancer is AML, however other tumors, preferably tumors wherein the new antigens described herein are overexpressed, can also be 10 prevented, treated and/or diagnosed. The binding molecules described herein are suitable for treatment of yet untreated patients suffering from cancer, patients who have been or are treated and are in remission or are not in remission, and patients with a recurrent/refractory cancer. The binding 15 molecules may even be used in the prophylaxis of cancer. In addition, the novel antigens or pharmaceutical compositions comprising such may be used in the diagnosis, prevention, treatment, or combination thereof, of cancer. Preferably, the cancer a tumor wherein the novel antigens are overexpressed 20 such as AML.

The above mentioned molecules or compositions may be employed in conjunction with other molecules useful in diagnosis, prevention and/or treatment. They can be used in vitro, ex vivo or in vivo. The molecules are typically 25 formulated in the compositions and pharmaceutical compositions in a prophylactically, therapeutically or diagnostically effective amount. Dosage regimens can be adjusted to provide the optimum desired response (e.g., a therapeutic response). The molecules and compositions described herein are preferably 30 sterile.

Received at IPONZ on 5 May 2011 28 Methods to render these molecules and compositions sterile are well known in the art. The other molecules useful in diagnosis, prevention and/or treatment can be administered in a similar dosage regimen as proposed for the binding molecules 5 of the invention. If the other molecules are administered separately, they may be administered to a subject with cancer prior (e.g., 2 minutes, 5 minutes, 10 minutes, 15 minutes, 30 minutes, 45 minutes, 60 minutes, 2 hours, 4 hours, 6 hours, 8 hours, 10 hours, 12 hours, 14 hours, 16 hours, 18 hours, 20 10 hours, 22 hours, 24 hours, 2 days, 3 days, 4 days, 5 days, 7 days, 2 weeks, 4 weeks or 6 weeks before) to, concomitantly with, or subsequent (e.g., 2 minutes, 5 minutes, 10 minutes, 15 minutes, 30 minutes, 45 minutes, 60 minutes, 2 hours, 4 hours, 6 hours, 8 hours, 10 hours, 12 hours, 14 hours, 16 15 hours, 18 hours, 20 hours, 22 hours, 24 hours, 2 days, 3 days, 4 days, 5 days, 7 days, 2 weeks, 4 weeks or 6 weeks after) to the administration of one or more of the binding molecules or pharmaceutical compositions. The dosing regimen is usually sorted out during clinical trials in human patients. 20 Human binding molecules and pharmaceutical compositions comprising the human binding molecules are particularly useful, and often preferred, when to be administered to human beings as in vivo diagnostic or therapeutic agents, since recipient immune response to the administered antibody will 25 often be substantially less than that occasioned by administration of a monoclonal murine, chimeric or humanized binding molecule.

Alternatively, cells that are genetically engineered to express the binding molecules of the invention are 30 administered to patients in vivo. Such cells may be obtained from an animal or patient or an MHC compatible donor and can Received at IPONZ on 5 May 2011 29 include, but are not limited to fibroblasts, bone marrow cells, blood cells (e.g., lymphocytes), adipocytes, muscle cells, endothelial cells, etc. The cells are genetically engineered in vitro using recombinant DNA techniques to 5 introduce the nucleic acid molecules of the invention into the cells. Preferably, the binding molecules are secreted from the cells. The engineered cells which express and preferably secrete the binding molecules as described herein can be introduced into the patient for example systemically, e.g., in 10 the circulation, or intraperitoneally. In other embodiments, the cells can be incorporated into a matrix or can be encapsulated and implanted in the body. In a gene therapy setting the binding molecules may be administered in the form of a vector capable of infecting cells of the host, coding for 15 a binding molecule as described herein.

Also described is the use of binding molecules, preferably human binding molecules such as human monoclonal antibodies, fragments or variants thereof, immunoconjugates, nucleic acid molecules, compositions or pharmaceutical 20 compositions as described herein in the preparation of a medicament for the diagnosis, prophylaxis, treatment, or combination thereof, of cancer such as AML.

Kits comprising at least one binding molecule, preferably human binding molecule such as human monoclonal antibody at 25 least one variant or fragment thereof, at least one immunoconjugate, at least one nucleic acid molecule, at least one composition, at least one pharmaceutical composition, at least one vector, at least one host or a combination thereof as described herein are also described. Optionally, the above 30 described kits also comprise an AML-associated antigen.

Optionally, the above described components of the kits are packed in suitable containers and labeled for diagnosis and/or Received at IPONZ on 5 May 2011 treatment of the indicated conditions. The above-mentioned components may be stored in unit or multi-dose containers. The kit may further comprise more containers comprising a pharmaceutically acceptable buffer. It may further include 5 other materials desirable from a commercial and user standpoint, including other buffers, diluents, filters, needles, syringes, culture medium for one or more of the suitable hosts. Associated with the kits can be instructions customarily included in commercial packages of therapeutic or 10 diagnostic products, that contain information about for example the indications, usage, dosage, manufacture, administration, contraindications and/or warnings concerning the use of such therapeutic or diagnostic products.

Also described is a method of screening a binding 15 molecule or a functional variant or fragment thereof for specific binding to the same epitope of an AML-associated antigens or fragment thereof, as the epitope bound by the binding molecule, wherein the method comprises the steps of (a) contacting a binding molecule (or a functional variant or 20 fragment thereof) to be screened, a binding molecule (or functional fragment or variant thereof) and an AML-associated antigen described herein (or a fragment thereof comprising the antigenic determinant), (b) measure if the binding molecule (or functional variant or fragment thereof) to be screened is 25 capable of competing for specifically binding to an AML-associated antigen (or fragment thereof comprising the antigenic determinant) with the binding molecule described herein. Binding molecules identified by these competition assays ("competitive binding molecules" or "cross-reactive 30 binding molecules") include, but are not limited to, antibodies, antibody fragments and other binding agents that bind to an epitope or binding site bound by the reference Received at IPONZ on 5 May 2011 31 binding molecule, i.e. a binding molecule of the invention, as well as antibodies, antibody fragments and other binding agents that bind to an epitope or binding site sufficiently proximal to an epitope bound by the reference binding molecule 5 for competitive binding between the binding molecules to be screened and the reference binding molecule to occur.

The term "comprising" as used in this specification means "consisting at least in part of". When interpreting each statement in this specification that includes the term 10 "comprising", features other than that or those prefaced by the term may also be present. Related terms such as "comprise" and "comprises" are to be interpreted in the same manner.

EXAMPLES To illustrate the invention, the following examples are provided. These examples are not intended to limit the scope of the invention.

Example 1 Selection of phages carrying single chain Fv fragments specifically recognizing human Acute Myeloid Leukemia cells Antibody fragments were selected using antibody phage display libraries, general phage display technology and 25 MAbstract® technology, essentially as described in US Patent Number 6,265,150 and in WO 98/15833 (both of which are incorporated by reference herein). Furthermore, the methods and helper phages as described in WO 02/103012 (incorporated by reference herein) were used in the present invention. For 30 identifying phage antibodies recognizing AML tumor cells phage selection experiments were performed using the erythroid 32 leukemia cell line K562 or the AML cell line called HL60 and primary AML tumor cells that were obtained from bone marrow aspirates of AML patients.

An aliquot of a phage library (500 \il, approximately 1013 5 cfu, amplified using CT helper phage (see WO 02/103012)) was blocked and presubtracted by mixing the library with 10 ml of RPMI 1640 medium with 10% FBS containing 230*106 peripheral blood leukocytes (PBL). The obtained mixture was rotated at 4°C for 1.5 hours. Hereafter, the cells were pelleted and the 10 supernatant containing the phage library was transferred to a new tube containing a fresh pellet of 230*106 PBL. The cells were resuspended in the phage library supernatant and the mixture was again rotated at 4°C for 1.5 hours. This procedure was repeated once more and eventually 10 ml of supernatant 15 containing the blocked phage library which was 3 times subtracted with PBL was transferred to a new tube and was kept overnight at 4°C. The next day 4*106 cells of the erythroid leukemia cell line called K562 or AML cell line called HL60 were pelleted in a separate 15 ml tube and the cells were 20 resuspended in 1 ml of RPMI 1640 medium with 10% FBS. To the tube 3.3 ml of the presubtracted blocked phage library and 5 ml of RPMI 1640 medium with 10% FBS was added and the mixture was rotated at 4°C for 2 hours. Hereafter, the obtained mixture was transferred to a 50 ml tube and washed 5 times with 30 ml 25 RPMI 1640 medium with 10% FBS. To the pelleted cells 0.8 ml of 50 mM glycine-HCl pH 2.2 was added, mixed well and left at room temperature for 10 minutes to elute the attached phages. After that, 0.4 ml of 1 M Tris-HCl pH 7.4 was added for neutralization. Then, the cells were pelleted again and the 30 supernatant was used to infect 5 ml of a XLl-Blue E. coli culture that had been grown at 37°C to an QD600nm of 33 approximately 0.3. The phages were allowed to infect the XL1-Blue bacteria for 30 minutes at 37°C. Subsequently, the mixture was centrifuged for 10 minutes, at 3200*g at room temperature and the bacterial pellet was resuspended in 1 ml 2-trypton 5 yeast extract (2TY) medium. The obtained bacterial suspension was divided over a 2TY agar plate supplemented with tetracyclin, ampicillin and glucose. After incubation overnight of the plates at 37°C, the colonies were scraped from the plates and used to prepare an enriched phage library, 10 essentially as described by De Kruif et al. (1995a) and WO 02/103012. Briefly, scraped bacteria were used to inoculate 2TY medium containing ampicillin, tetracycline and glucose and grown at a temperature of 37°C to an OD600nm of ~0.3. CT helper phages were added and allowed to infect the bacteria 15 after which the medium was changed to 2TY containing ampicillin, tetracycline and kanamycin. Incubation was continued overnight at 30°C. The next day, the bacteria were removed from the 2TY medium by centrifugation after which the phages in the medium were precipitated using polyethylene 20 glycol (PEG) 6000/NaCl. Finally, the phages were dissolved in 2 ml of phosphate buffered saline (PBS) with 1% bovine serum albumin (BSA), filter-sterilized and used for the next round of selection. To this purpose a 500 jjl aliquot of the K562-derived amplified sublibrary or HL-60-derived amplified 25 sublibrary was blocked with 2 ml of RPMI 1640 medium with 10% FBS for 30 minutes at 4°C. To the blocked sublibrary 5xl06 thawed primary AML blasts (90% CD33+ CD34+ blasts, FAB type M0) were added that previously had been stained with a PE-labelled anti-CD34 antibody (Becton Dickinson). The obtained 30 mixture rotated at 4°C for 2.5 hours. Hereafter, the mixture was transferred to a 50 ml tube, washed 3 times with 30 ml cold RPMI 1640 medium with 10% FBS. Subsequently, the mixture 34 was passed over a 70 micron cell strainer and was subjected to flow cytometry. Cell sorting was performed using a FACSVantage flow cytometer (Becton Dickinson). Cells were gated on the basis of low sideward scatter (SSC) combined with CD34-PE 5 staining. Approximately 9*105 cells were sorted. The sorted cells were spun down, the supernatant was saved and the bound phages were eluted from the cells by resuspending the cells in 800 pi 50 mM glycin-HCl pH 2.2 followed by incubation for 5 minutes at room temperature. The obtained mixture was 10 neutralized with 400 pi 1 M Tris-HCl pH 7.4 and added to the rescued supernatant. The eluted phages were used to re-infect XLl-Blue E. coli cells as described supra. After the second round of selection, individual E. coli colonies were used to prepare monoclonal phage antibodies. Essentially, individual 15 colonies were grown to log-phase in 96 well plate format and infected with CT helper phages after which phage antibody production was allowed to proceed overnight. The produced phage antibodies were PEG/NaCl-precipitated and filter-sterilized and tested using flow cytometry (FACSCalibur, 20 Becton Dickinson) for binding to both the K562 erythroid leukemia cell line or HL-60 acute myeloid leukemia cell line as well as to the primary AML blasts (that were used for the second round selection). Two of the selected phage antibodies, i.e. SC02-361 and SC02-401, bound well to both the primary AML 25 tumor blasts as well as to K562 erythroid leukemia cells or HL-60 cells and were analyzed in further detail (see examples below).

Example 2 Characterization of scFv SC02-401 and SC02-361 Plasmid DNA was obtained from the selected scFv clones SC02-401 and SC02-361 according to standard techniques known in the art. Thereafter, the nucleotide sequence of scFv clones SC02-401 and SC02-361 was determined according to standard techniques well known to a person skilled in the art. The nucleotide sequence of SC02-401 and SC02-361 are listed in 5 Table 1 and have SEQ ID NO:11 and SEQ ID NO:13, respectively. The amino acid translation of the nucleotide sequences is also listed in Table 1. They have SEQ ID NO:12 and SEQ ID NO:14, respectively. The VH and VL gene identity and amino acid sequence of the heavy chain CDR3 regions are also depicted in 10 Table 1.

Example 3 Expression of the antigen recognized by SC02-401 and SC02-361 on primary AML samples, tumor cell lines and normal 15 hematopoetic cells The distribution of the target antigens recognized by the phage antibodies SC02-401 and SC02-361 was analyzed by flow cytometry using primary AML samples, tumor cell lines and normal hematopoetic cells derived from peripheral blood. For 20 flow cytometry analysis, phage antibodies were first blocked in an equal volume of PBS containing 4% w/v milkprotein (MPBS) for 15 minutes at 4°C prior to the staining of the various cells. The binding of the phage antibodies to the cells was visualized using a biotinylated anti-M13 antibody (Santa Cruz 25 Biotechnology) followed by addition of streptavidin- allophycocyanin or streptavidin-phycoerythrin (Caltag). In addition to the phage antibody the following antibody combinations were used: CD45-PerCP, indirect labeling of SC02-401 and SC02-361 with myc biotin and streptavidin-PE and CD33-30 APC. The cells were washed twice with PBS containing 1% w/v BSA and resuspended in binding buffer for annexin V conjugates (Caltag) supplemented with annexin V-FITC for exclusion of 36 dead and apoptotic cells. Cells were analyzed on a FACS calibur (BD) using CellQuest software. For final analysis blasts cells were gated based on low side scatter versus CD45 expression. A sample was considered positive if more than 20% 5 of the cells expressed the antigen of interest (compared to staining with a control antibody CR2428.

The CD45 positive blast population of a set of different primary AML blasts (inter alia FAB subtypes: FAB-MO, FAB-MI, FAB-M2, FAB-M3, FAB-M4 and FAB-M5) was analyzed for binding of 10 the SC02-401 and SC02-361 phage antibody in a direct comparison with CD33 expression. Phage antibody SC02-401 showed strong binding to FAB-MO, FAB-M1/2 and FAB-M3 and binding to FAB-M5. SC02-401 did not show significant binding to primary AML blasts of the FAB-Ml, FAB-M2, FAB-M4, FAB-M5a 15 and FAB-M5b type as compared to a control phage antibody CR 2428 (see Table 2).

Phage antibody SC02-361 showed strong binding to FAB-MO, FAB-Ml, FAB-Ml/2, FAB-M2, FAB-M3, FAB-M4, FAB-M5, FAB-M5a and FAB-M5b type as compared to a control phage antibody CR2428 20 (see Table 3).

Analysis of a panel of tumor cell lines of both hematopoetic and non-hematopoetic origin revealed that expression of the antigen recognized by SC02-401 was not restricted to a subset of tumor cell lines of myeloid origin 25 (HL-60 and NB4), since it was also expressed by other tumor cell lines, namely U937, K562, 293T, LS174T and HEp-2 (see Table 4). The antigen recognised by SC02-361 was detectable on tumor cell lines of myeloid origin and additionally on the tumor cell lines U937, LS174T and HEp-2.

Flow cytometric analysis was performed by gating the lymphocyte-, monocyte- and granulocyte subpopulations on the basis of their forward- and side-scatter characteristics. The 37 lymphocytes were further divided in B-cells and T-cells by staining the sample with an APC-conjugated anti-CD19 antibody (Pharmingen) and a FITC-conjugated anti-CD3 antibody {Becton Dickinson). Within peripheral blood, subsets of leukocytes 5 were analyzed by staining with antibodies recognizing the cell surface antigens CD14 (FITC-labeled, Becton Dickinson), CD16 (FITC-labeled, Pharmingen) and CD33 (APC-labelled, Becton Dickinson). Within peripheral blood the SC02-401 phage antibody did not significantly bind to any of the subsets 10 analyzed (see Table 5). SC02-361 did recognize a subpopulation of monocytes and dendritic cells, but did not significantly bind to granulocytes, B- and T-cells, Natural Killer (NK) cells, erythrocytes or platelets (see Table 5).

In Figures 1 and 2 is shown that the binding intensity of 15 the phage antibody SC02-401 and SC02-361, respectively, to AML cells is much higher than the binding intensity of the phage antibody to different cell populations in peripheral blood of a healthy donor indicating overexpression of the antigens recognised by the antibodies in AML. The mean fluorescence of 20 SC02-401 and SC02-361 was calculated for AML and the different cell populations. Furthermore, the mean fluorescence of a control antibody (called SC02-006 and binding to thyroglobulin) was calculated for AML and the different cell populations (data not shown) and this value was deducted from 25 the mean fluorescence value of SC02-401 or SC02-361.

From these combined expression data it was concluded that the antigens recognized by SC02-401 and SC02-361 represent a good target antigen for diagnosis, prevention and/or treatment of cancer, in particular of AML. 38 Example 4 Generation of CR2401 and CR2361 IgGl molecules Heavy- and light chain variable regions of the scFvs SC02-401 and SC02-361 were PCR-amplified using 5 oligonucleotides to append restriction sites and/or sequences for expression in IgG expression vectors. The VL chains were amplified using the oligonucleotides 5K-C {SEQ ID NO:15) and 3K-C (SEQ ID NO:16). The PCR products were cloned into vector pcDNA3.1 and the nucleotide sequences were verified according 10 to standard techniques known to the skilled artisan. VH genes were amplified using oligonucleotides 5H-B (SEQ ID NO:17) and Sy3H-a reversed (SEQ ID NO:18). Thereafter, the PCR products were cloned into vector pSyn-C03-HCgl and nucleotide sequences were verified according to standard techniques known to the 15 skilled person in the art. 5H-B acctgtcttgaattctccatggccgaggtgcagctggtggagtctg Sy3H-a reversed 20 ggggccagggcaccctggtgaccgtctccagcgctagcaccaagggc 5K-C acctgtctcgagttttccatggctgacatccagatgacccagtctccatcctccc 25 3K-C caagggaccaaggtggagatcaaacgtaagtgcactttgcggccgctaaggaaaa The expression constructs of the heavy and ligth chains were transiently expressed in 293T cells and supernatants 30 containing IgGl antibodies were obtained. The nucleotide sequences of the heavy chain of CR2401 is shown in SEQ ID NO:19 and the amino acid sequences is shown in SEQ ID NO:20. 39 The nucleotide sequences of the light chain of CR2401 is shown in SEQ ID NO:23 and the amino acid sequences is shown in SEQ ID NO:24. The nucleotide sequences of the heavy chain of CR2361 is shown in SEQ ID NO:21 and the amino acid sequences 5 is shown in SEQ ID NO:22. The nucleotide sequences of the light chain of CR2361 is shown in SEQ ID NO:25 and the amino acid sequences is shown in SEQ ID NO:26.

The antibodies were purified on protein-A columns and size-exclusion columns using standard purification methods 10 used generally for immunoglobulins (see for instance WO 00/63403).

Example 5 Immunoprecipitation of membrane extractable antigen recognized 15 by CR2401 and membrane extractable antigen recognized by CR2361 To identify whether CR2401 reacted with a membrane extractable antigen, the cell surface of 108 LS174T cells were biotinylated during 1 hour at room temperature with a final 20 concentration of 2 mg sulfo-NHS-LC-LC-biotin in physiological buffer (0.2 M phosphate buffer containing 0.12 M NaCl, pH 7.4). Subsequently, the remaining free biotin was blocked during a 30 minute incubation at room temperature with 10 mM glycine in physiological buffer. After labeling, the cells 25 were washed with cold physiological buffer and solubilized for 30 minutes on ice at a concentration of 3xl07 cells/ml in TX-100 lysis buffer (1% Triton X-100, 150 mM NaCl, 50 mM Tris pH 7.4, protease inhibitors (Roche)). The unsoluble material was removed by centrifugation for 30 minutes at 4°C at 20,000*g. 30 Hereafter, the biotinylated solubilized lysate was pre-cleared with protein-A beads for 2 hours at 4°C. In the mean time, 4 pg of CR2401, control antibody CR2428 (negative control), and 40 control antibody CR2300 IgGl (positive control; antibody directed against CD46, present on every nucleated cell) were coupled to protein-A beads at room temperature. Next, the pre-cleared samples were incubated with the IgGs coupled to the 5 beads for 2 hours at 4°C. The protein-A beads were washed three times for 5 minutes with 1 ml of TX-100 lysis buffer and bound complexes were eluted by the addition of sample loading buffer. The samples were subjected to SDS-PAGE under non-reducing and reducing conditions. After blotting on PVDF 10 membranes, the biotinylated proteins were detected with streptavidin-HRP (Amersham) and enhanced chemoluminescence (Amersham).

Similar steps as above were followed to identify whether CR2361 reacted with a membrane extractable antigen, with the 15 proviso that 108 NB4 cells and a RIPA lysis buffer containing 1% v/v Triton X-100, 0.5 % w/v desoxycholate, 0.1% w/v SDS, 150 mM NaCl, 50 mM Tris pH 7.4, protease inhibitors (Roche) were used for immunoprecipitation purposes.

In the CR2401 immunoprecipitation of the LS174T cell 20 lysate a major band at approximately 150 kDa and one minor band at approximately 45 kDa was detected. None of these bands were present in immunoprecipitations performed with the negative control IgGl CR2428 or the positive control IgGl CR2300 directed against CD46 (see Figure 3). To establish wash 25 and elution conditions for the big scale purification of immune complexes of CR2401, immunoprecipitates were subjected to washes with different concentrations of NaCl 150 mM - 500 mM, and immune complexes were eluted off the protein-A beads using low (pH 2.7) or high (pH 11) pH buffers. The immune 30 complexes were still present after washes with 500 mM NaCl, whereas they became eluted at pH 11 (data not shown). 41 In the CR2361 immunoprecipitation of the NB4 cell lysate four clear distinct bands running at approximately 30, 40, 75 and 150 kDa were detected. None of these bands were present in immunoprecipitations performed with the negative control IgGl 5 CR2428 or the positive control IgG CR2300 directed against CD4 6 (see Figure 4). To establish wash and elution conditions for the big scale purification of immune complexes of CR2361, immunoprecipitates were subjected to washes with different concentrations of NaCl 150 mM - 500 mM, and immune complexes 10 were eluted off the protein-A beads using low (pH 2.7) or high (pH 11) buffers. The immune complexes were still present after washed with 500 mM NaCl, whereas they became eluted at pH 2.7 (data not shown).

Example 6 Purification of the immune complexes reacting with CR2401 or CR2361 For the purification of the target antigens of CR2401 and CR2361 affinity columns were prepared by coupling 1.5 mg 20 CR2401 or CR2361 to 1 ml CNBr activated Sepharose-4B beads according to standard techniques known to the skilled artisan. In advance the IgGls were passed over a 100 kDa ultracentrifugal device to remove incomplete small IgG fragments.

A cell lysate of 5*109 LS174T cells was prepared in TX-100 lysis buffer according to the method described in Example 5. Next, the cell lysate was passed through a 0.22 jim filter to remove aggregates. The cell lysate was pre-cleared for 4 hours at 4°C with 60 ml blocked CNBr activated Sepharose CL-4B 30 beads, followed by a pre-clearing step for 4 hours at 4°C with 5 ml of CNBr-activated beads to which human control IgGl was coupled (1 mg IgGl/ml Cappel) to clear the lysate from 42 proteins that interact aspecifically with IgG. Next, the lysate was passed through a 0.22 pm filter to remove insoluble material. Next, an affinity column of the negative control antibody CR2428 was prepared as described for CR2401 and 5 connected in series to the affinity column of antibody CR2401 and an AKTA FPLC 900. The system was equilibrated with TX-100 buffer (1% Triton X-100, 150 mM NaCl, 50 mM Tris pH 7.4, protease inhibitors (Roche)). The lysate was applied to the columns at 1 ml/min and columns were washed with 5 column 10 volumes TX-100 buffer followed by a salt gradient buffer from 150 mM NaCl to 500 mM NaCl, a wash with 5 column volumes TX-100 buffer and an elution with 5 column volumes lysine, pH 11, whereby after 1 column volume of elution buffer the flow through was put on hold for 10 minutes to enhance the release 15 of the immune complexes. Next, the column was washed again with 5 column volumes of TX-100 buffer. The eluted fractions of 0.5 ml were neutralized with 50 pi 0.1 M citric acid and 20 pi of the samples were run on a non-reducing SDS-PAGE Criterion gels and stained with Silver Stain according to 20 standard techniques known to the skilled artisan. The SDS-PAGE profile of the proteins eluting from the CR2401 column showed that a protein of 150 kDa (indicated by the arrow) was specifically released from the column in fraction 8-10 (see Figure 5). Fraction 8 contained in addition two protein bands 25 somewhat smaller than 150 kDa (indicated with an asterix).

Then, fraction 8 was 5 times concentrated using YM filters and loaded on a non-reducing SDS-PAGE gel. The 150 kDa band was cut out from the gels with a sharp razor and subjected to mass spectrometry analysis by MALDI-MS or nano-electrospray 30 ionization tandem MS (nanoESI-MS-MS). Using MALDI-MS twelve peptides were identified, i.e. FEVIEFDDGAGSVLR (SEQ ID NO.-27), AAGTEGPFQEVDGVATTRYSIGGLSPFSEYAFR (SEQ ID NO:28), TGEQAPSSPPR 43 (SEQ ID NO:29), IQLSWLLPPQER (SEQ ID NO:30), VSWVPPPADSR (SEQ ID NO:31) , AHTDVGPGPESSPVLVR (SEQ ID NO:32), IISYTWFR (SEQ ID NO:33), VAAAMKTSVLLSWEVPDSYK (SEQ ID NO:34), GSSAGGLQHLVSIR (SEQ ID NO: 35) , WFYIVWPIDR (SEQ ID NO:36), YANVIAYDHSR (SEQ 5 ID NO:37), and TGCFIVIDAMLERMKHEKTVDIYGHVTCMR (SEQ ID NO:38). One peptide, i.e. NVLELSNWR (SEQ ID NO:39), was identified by nanoESI-MS-MS. The peptides were identified by blast analysis as being part of the human protein LAR PTP (see accession number 4506311 in the NIH BLAST database). The amino acid 10 sequence of human LAR PTP is also depicted in SEQ ID NO:40.

To confirm the identification of LAR PTP as the target antigen recognised by CR2401, the purified fraction 8, a negative control fraction, a positive cell lysate and the immunoprecipitation lysates of CR2428, CR2300 and CR2401 were 15 analyzed for the presence of LAR PTP using a LAR PTP specific murine monoclonal antibody. The samples were subjected to SDS-PAGE under non-reducing conditions to prevent cross-reactivity with immunoglobulin bands that migrate around 55 and 25 kDa. After blotting on PVDF membranes, the membranes were placed in 20 TBST-buffer containing 4% non-fat milk powder and incubated with 1 the murine monoclonal antibody directed against LAR PTP (BD) (in TBST/milk) for 1 hour at room temperature followed by a 3 times wash of 5 minutes in TBST. Next, the membranes were incubated with horseradish conjugated 25 rabbit anti-mouse antibody (DAKO) (1 p.g/ml in TBST/milk) for one hour at room temperature. Finally, the membranes were washed extensively in TBST followed by a PBS washing step and reactive proteins were revealed by a chemofluorescence detection system (ECL). As demonstrated in Figure 6, LAR PTP 30 was detected in the CR2401 immunoprecipitate, whereas no reactive band was observed in the negative (CR2428) and positive control (CR2300) immunoprecipitates. Furthermore LAR 44 PTP was present in the cell lysate and eluted fraction, but absent in the control fraction. Two additional bands of a slightly lower molecular weight also reacted with the murine anti-LAR PTP antibody in the eluted fraction. These bands 5 might represent potential LAR PTP degradation products that were also observed on the silver stained gel of the eluted fractions as depicted by the asterix in Figure 5 supra.

For the purification of the target antigen of CR2361 an affinity column was prepared as described above for CR2401. A 10 cell lysate of 4*109 NB4 cell was prepared in RIPA buffer, according to the method described in Example 5. The cell lysate was treated essentially as described above and applied to the negative control affinity column that was connected in series to the CR2361 affinity column and an AKTA FPLC 900. The 15 system was equilibrated with RIPA buffer. The lysate was applied to the columns at 1 ml/min and the columns were washed with 5 column volumes of RIPA buffer, followed by a salt gradient from 150 mM NaCl to 500 mM NaCl, a wash with 5 column volumes TX-100 buffer (1% Triton X-100, 150 mM NaCl, 50 mM 20 Tris pH 7.4, protease inhibitors (Roche)) and an elution of 5 column volumes glycine, pH 2.7, whereby after 1 column volume of elution buffer the flow through was put for 10 minutes on hold to enhance the release of immune complexes. Next, the column was washed with 5 column volumes of TX-100 buffer. The 25 eluted fractions of 0.5 ml were neutralized with 20 pi 2 M Tris/HCl, pH 7.4, and 20 pi of the samples were run on a non-reducing SDS-PAGE Criterion gel and stained with silver stain according to standard techniques known to the skilled artisan. The SDS-PAGE profile of the proteins eluting from the CR2361 30 column shows that proteins with a molecular weight of 30, 40, 75 and 150 kDa (indicated by the arrows and the letters E, F, G and H in Figure 7) were released from the column. The four 45 bands were cut out from the gels with a sharp razor, destained, and digested in the gel using trypsin. The conditions used were according to Pappin et al. Briefly, destaining was performed using a freshly prepared 1/1 mixture 5 of 30 mM potassium ferricyanide (K3Fe(CN)6) and 100 mM sodium thiosulfate (Na2S03) . The gel bands were washed three times with 50 mM NH4HCO3 in 30% acetonitril and subsequently dried by incubation with pure acetonitril. The tryptic digest was performed overnight at 37°C (75 ng trypsin in 4,2 p.1 5 mM 10 Tris, pH 8). After digestion, the peptides were eluted with 60% acetonitril and 1% TFA. The samples were desalted using C18-ZipTips (Millipore) according to the manufacturer's instructions. The eluted peptides were mixed 1:1 with a solution of MALDI matrix (2,5-dihydroxybenzoic acid (DHB): 2-15 hydroxy-5-methoxybenzoic acid 9:1) and analyzed by MALDI-MS (Voyager STR, Applied Biosystems). The resulting peptide masses were used for database search against the NCBlnr database using the software ProFound (Genomic solutions).

Several peptides were identified from the 30, 40, and 75 20 kDa proteins. No peptides were identified from the 150 kDa protein. Peptides identified from the 30kDa band were MSWLFGINK (SEQ ID NO:41), TLSEETR (SEQ ID NO:42), QTVLESIRTAGTLFGEGFR (SEQ ID NO:43), and LGKPSLVR (SEQ ID NO:44). Peptides identified from the 40kDa band were 25 WSNFDPTGLER (SEQ ID NO:45), ITVLEALR (SEQ ID NO:46), and CSEVARLTEGMSGR (SEQ ID NO:47). Peptides identified from the 75 kDa band were AARELEHSR (SEQ ID NO:48), QRYEDQLK (SEQ ID NO:49), DIAIATR (SEQ ID N0:50), ATLNAFLYR (SEQ ID NO:51), MYFDKYVLKPATEGK (SEQ ID NO:52), LAQFDYGR (SEQ ID NO:53), and 30 VQDAVQQHQQKMCWLKAEGPGR (SEQ ID NO:54). Peptides identified from the 30 and 40 kDa bands were GLGDRPAPK (SEQ ID NO:55), ATVEREMELR (SEQ ID NO:56), AERENADIIR (SEQ ID NO:57), NATLVAGR 46 (SEQ ID NO:58), and NILMYGPPGTGK (SEQ ID NO:59). Finally, the peptides identified from the 30, 40 and 75 kDa band were GEGAGPPPPLPPAQPGAEGGGDR (SEQ ID NO:60) and QQQLLNEENLR (SEQ ID NO:61). The peptides were identified by blast analysis as 5 being part of a human protein having the amino acid sequence SEQ ID NO:6 (see accession number AAH63607 in the NIH BLAST database). This protein has been given the name ATAD3A, but no function has been assigned to the protein. The nucleotide sequence of ATAD3A has the nucleotide sequence of SEQ ID NO:5. 10 To confirm the identification of ATAD3A as the target antigen recognised by CR24361, mRNA was extracted from 2*107 NB4 cells using the nucleotrap mRNA mini purification kit (Beckton Dickinson) according to protocols provided by the manufacturer. Then, RT-PCR was performed on the mRNA isolated. 15 For the PCR, the following primers were designed: forward primer 5'-GTGCGAGCATGTCGTGGC-3' (SEQ ID NO:62) and reverse primer 5'-GGAGATCCACAGCTCACGG-3' (SEQ ID NO:63). PCR was performed with Pfu (Promega) in the presence of 5% DMSO and resulted in a 1800 bp product. The resulting fragment was 20 cloned in the pCR4TOPO vector (Invitrogen) and transformed into DH5a cells. The resulting clone was verified by sequence analysis and aligned with the sequence present in the database. The protein construct was subsequently digested with EcoRI and cloned in the corresponding sites of pcDNA3.1zeo, to 25 create construct ATAD3ApcDNA3.lzeo. To simplify the detection of the protein in the subsequent transfection experiments, the protein was fused with a myc tag at the 5'prime or 3'prime end by means of PCR (using the construct as a template). For the 5'myc construct the following primers were designed: forward 30 primer 5'- CGGGATCCAGCATGGAACAAAAACTTATTTCTGAAGAAGATCTGTCGTGGCTCTTCGGCATT AACAAG-3'(SEQ ID NO:64) and reversed primer 5'- 47 CGGAATTCGACTCAGGATGGGGAAGGC-3' (SEQ ID NO:65). For the 3'myc construct the primers were constructed in such a way that the protein became in frame with the myc tag in pcDNA3mycA. In that case the forward primer was 5'-CGGGATCCTGCGAGCATGTCGTGGC-5 3' (SEQ ID NO:66) and the reverse primer was 5'- GCTCTAGAGGATGGGGAAGGCTCG-3'(SEQ ID NO:67). PCR was performed using Pfu polymerase and the resulting fragment of the 5'myc tag was cloned BamHI/EcoRI in pcDNA3.1zeo vector (Invitrogen) resulting in the mycATAD3A construct, whereas the resulting 10 fragment for the 3'myc tag was cloned BamHI/Xbal in pcDNA3.1/hismycA (Invitrogen) resulting in the ATAD3Amyc construct. The constructs were verified by sequencing. All cloning procedures were performed according to standard molecular techniques known to a person skilled in the art. 15 2*107 HEK293T cells were transfected using the Fugene (Roche) reagent according to protocols provided by the manufacturer with the expression constructs described supra, i.e. ATAD3A, mycATAD3A, ATAD3Amyc and a positive control construct expressing the cell surface receptor CD38. 72 hours after 20 transfection, cells were harvested and stained for FACS analysis with the phage antibody SC02-361 as described in Example 3 supra. The stained cells were analyzed by flow cytometry, but SC02-361 did not stain any transfectants indicating that the protein was not expressed on the surface 25 of the cell. However, Western blot analysis on cell lysates of the transfected cells using an anti-myc antibody according to procedures known to a skilled person in the art revealed that the protein was expressed, probably inside the cell. Next, HEK93T cells transfected with ATAD3A, mycATAD3A and ATAD3Amyc 30 constructs were lysed in 1% Triton X-100 buffer followed by biotinylation of the cell lysate and immunoprecipitation with CR2361 and control antibodies CR2300 and CR2428 as described 48 supra. Immunoblots developed with anti-myc demonstrated that protein that was 3' or 5' myc-tagged and present in the cytoplasmic fraction was immunoprecipitated by CR2361 and not by the control antibodies (see Figure 8). Immunoprecipitations with biotinylated complete cell lysates of NB4 cells and HEK293T transfected cells revealed that the molecular weight of the cloned protein corresponded with a band present at 75 kDa (see Figure 9). 49 Table 1: Nucleotide and amino acid sequence of the scFvs and VH and VL gene identity.

Name scFv SEQ ID NO of nucleotide sequence SEQ ID NO of amino acid sequence CDR3 VH-germline VL-germline SC02-401 SEQ ID NO: 11 SEQ ID NO: 12 DDTPTSDYGFDS (SEQ ID NO: 1) 3-20 (DP-32) Vk I (012/02 - DPK9) SC02-361 SEQ ID NO: 13 SEQ ID NO: 14 WAPSHSFDY (SEQ ID NO: 2) 3-43 (DP-33) Vk I (012/02 - DPK9) Table 2: Flow cytometry analysis of binding of SC02-401 to various AML samples.

FAB Cases positive (%) CD33 M0 100 (1#/1*) 100 (1#/1*) Ml (1/4) 100 (4/4) Ml/2 100 (1/1) 100 (1/1) M2 0 (0/4) 100 (4/4) M3 100 (1/1) 100 (1/1) M4 (1/5) 100 (5/5) M5 50 (2/4) 75 (3/4) M5a 33 (1/3) 100 (3/3) M5b 0 (0/1) 100 (1/1) unclassified 0 (0/4) 75 (3/4) all 8/28 26/28 Percentage (%) 29 93 # number of positive cases; a sample was considered positive if more than 20% of the blast population stained with SC02-401 or anti-CD33 antibody. * number of cases tested. 50 Table 3: Flow cytometry analysis of binding of SC02-361 to various AML samples.

FAB % positive cases CD33 MO 100 (1#/1*) 100 (1#/1*) Ml 67 (2/3) 100 (3/3) Ml/2 100 (1/1) 100 (1/1) M2 75 (3/4) 100 (4/4) M3 100 (1/1) 100 (1/1) M4 60 (3/5) 100 (5/5) M5 75 (3/4) 75 (3/4) M5a 66 (2/3) 100 (3/3) M5b 100(1/1) 100 (1/1) unclassified 100 (3/3) 67 (2/3) all /26 24/26 Percentage (%) 77 92 # number of positive cases; a sample was considered positive if more than 20% of the blast population stained with the sc02-361 antibody or anti-CD33 antibody. * number of cases tested. 51 Table 4: Analysis of tumor cell lines of hematopoetic and non-hematopoetic origin for reactivity with SC02-401 and SC02-361.

Cell line Origin SC02-401 reactivity SC02-361 reactivity HL-60 Acute Myeloid Leukemia + +/- NB4 Acute Promyelocytic Leukemia + + U937 Histiocytic Lymphoma +/- +/- K562 Erythroid Leukemia + — 293T Embryonal Kidney + — LS174T Colon Adenocarcinoma + +/_ HEp-2 Cervix Epithelial cells + +/- Reactivity <5% = reactivity 5-25% = +/-; reactivity 25-75% = +; reactivity >75% = ++ 52 Table 5. Expression of antigens recognized by SC02-401 and SC02-361 on subsets of peripheral blood as analyzed by FACS.

SC02-401 reactivity SC02-361 reactivity monocytes - S1+ granulocytes - — B cells — — T cells — — Dendritic cells — s*+ Natural killer cells - erythrocytes - — platelets — — of the cells positive 53 REFERENCES Boel E, Verlaan S, Poppelier MJ, Westerdaal NA, Van Strijp JA and Logtenberg T (2000), Functional human monoclonal antibodies of all isotypes constructed from phage display 5 library-derived single-chain Fv antibody fragments. J.

Immunol. Methods 239:153-166.

Burton DR and Barbas CF (1994), Human antibodies from combinatorial libraries. Adv. Immunol. 57:191-280.

De Kruif J, Terstappen L, Boel E and Logtenberg T (1995a), Rapid selection of cell subpopulation-specific human monoclonal antibodies from a synthetic phage antibody library. Proc. Natl. Acad. Sci. USA 92:3938.

De Kruif J, Boel E and Logtenberg T (1995b), Selection and application of human single chain Fv antibody fragments from a semi-synthetic phage antibody display library with designed CDR3 regions. J. Mol. Biol. 248:97.

Huls G, Heijnen IJ, Cuomo E, van der Linden J, Boel E, van de Winkel J and Logtenberg T (1999), Antitumor immune effector mechanisms recruited by phage display-derived fully human IgGl and IgAl monoclonal antibodies. Cancer Res. 59: 5778-5784.

Pappin, DJC, Hojrup P and Bleasby A (1993), Rapid identification of proteins by peptide-mass fingerprinting. Curr. Biol. 3:327-332.

Streuli M, Krueger NX, Hall LR, Schlossman SF, and Saito H (1988) A new member of the immunoglobulin superfamily that has Received at IPONZ on 5 May 2011 54 a cytoplasmic region homologous to the leukocyte common antigen. J. Exp.Med. 168:1523-1530.

Streuli M, Krueger NX, Ariniello PD, Tang M, Munro JM, 5 Blattler WA, Adler DA, Disteche CM, Saito H (1992) Expression of the receptor-linked protein tyrosine phosphatase LAR: proteolytic cleavage and shedding of the CAM-like extracellular region. EMBO J. 11:897-907.

In this specification where reference has been made to patent specifications, other external documents, or other sources of information, this is generally for the purpose of providing a context for discussing the features of the invention. Unless specifically stated otherwise, reference to 15 such external documents is not to be construed as an admission that such documents, or such sources of information, in any jurisdiction, are prior art, or form part of the common general knowledge in the art.

In the description in this specification reference may 20 be made to subject matter which is not within the scope of the claims of the current application. That subject matter should be readily identifiable by a person skilled in the art and may assist in putting into practice the invention as defined in the claims of this application.

Received at IPONZ on 2 August 2011

Claims (18)

WHAT WE CLAIM IS:

1. An immunoglobulin molecule or antigen-binding fragment thereof capable of specifically binding to leukocyte antigen-related receptor protein tyrosine phosphatase, the binding molecule comprising: a. a heavy chain variable region comprising the amino acid sequence of SEQ ID NO:3 and a light chain variable region comprising the amino acid sequence of SEQ ID NO:7, or b. a functional variant of a) comprising a sequence having at least 70%, preferably at least 80%, preferably at least, 90%, preferably at least 95% amino acid sequence homology to the immunoglobulin molecule or antigen-binding fragment thereof of a).

2. An immunoglobulin molecule or antigen-binding fragment thereof according to claim 1, characterized in that the immunoglobulin molecule or antigen-binding fragment thereof is human.

3. An immunoconjugate comprising an immunoglobulin molecule, or antigen-binding fragment thereof, according to claim 1 or 2 and a tag.

4. A nucleic acid molecule encoding an immunoglobulin molecule or antigen-binding fragment thereof according to claim 1 or 2.

5. A vector comprising at least one nucleic acid molecule according to claim 4.

6. An ex vivo host cell, comprising at least one vector according to claim 5.

7. An ex vivo host according to claim 6, characterized in that the host is a cell derived from a human cell. 55 Received at IPONZ on 23 August 2011

8. A pharmaceutical composition comprising an immunoglobulin molecule or antigen-binding fragment thereof according to claim 1 or 2 or an immunoconjugate according to claim 3 and a pharmaceutically acceptable carrier.

9. An immunoglobulin molecule or antigen-binding fragment thereof according to claim 1 or 2, an immunoconjugate according to claim 3 or a pharmaceutical composition according to claim 8 for use as a medicament.

10. Use of an immunoglobulin molecule or antigen-binding fragment thereof according to claim 1 or 2, an immunoconjugate according to claim 3 or a pharmaceutical composition according to claim 8 for the preparation of a medicament for the detection, prevention, treatment or combination thereof of cancer.

11. Use according to claim 10, characterized in that the cancer is acute myeloid leukaemia (AML).

12. An immunoglobulin molecule or antigen-binding fragment thereof as claimed in claim 1 substantially as herein described with reference to any example thereof and/or the accompanying drawings.

13. An immunoconjugate as claimed in claim 3 substantially as herein described with reference to any example thereof and/or the accompanying drawings.

14. A nucleic acid molecule as claimed in claim 4 substantially as herein described with reference to any example thereof and/or the accompanying drawings.

15. A vector as claimed in claim 5 substantially as herein described with reference to any example thereof and/or the accompanying drawings.

16. An ex-vivo host cell as claimed in claim 6 substantially as herein described with reference to any example thereof and/or the accompanying drawings. 56 Received at IPONZ on 23 August 2011

17. A pharmaceutical composition as claimed in claim 8 substantially as herein described with reference to any example thereof and/or the accompanying drawings.

18. A use as claimed in claim 10 substantially as herein described with reference to any example thereof and/or the accompanying drawings. 57