TW202229312A - Amidated peptides and their deamidated counterparts displayed by non-hla-a*02 for use in immunotherapy against different types of cancers - Google Patents

Amidated peptides and their deamidated counterparts displayed by non-hla-a*02 for use in immunotherapy against different types of cancers Download PDF

Info

Publication number
TW202229312A
TW202229312A TW110135775A TW110135775A TW202229312A TW 202229312 A TW202229312 A TW 202229312A TW 110135775 A TW110135775 A TW 110135775A TW 110135775 A TW110135775 A TW 110135775A TW 202229312 A TW202229312 A TW 202229312A
Authority
TW
Taiwan
Prior art keywords
peptide
cancer
hla
cells
peptides
Prior art date
Application number
TW110135775A
Other languages
Chinese (zh)
Inventor
詹思 胡凱爾門
海科 舒斯特
莉娜 伍爾科普夫
克里斯多佛 施雷德
金斯 弗里切
丹尼爾 柯華李維斯基
邁克爾 羅默
奧利佛 史古兒
Original Assignee
德商英麥提克生物技術股份有限公司
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from DE102020125465.2A external-priority patent/DE102020125465A1/en
Application filed by 德商英麥提克生物技術股份有限公司 filed Critical 德商英麥提克生物技術股份有限公司
Publication of TW202229312A publication Critical patent/TW202229312A/en

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/0005Vertebrate antigens
    • A61K39/0011Cancer antigens
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/46Cellular immunotherapy
    • A61K39/461Cellular immunotherapy characterised by the cell type used
    • A61K39/4611T-cells, e.g. tumor infiltrating lymphocytes [TIL], lymphokine-activated killer cells [LAK] or regulatory T cells [Treg]
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K14/00Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/435Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • C07K14/46Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates
    • C07K14/47Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates from mammals
    • C07K14/4701Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans from vertebrates from mammals not used
    • C07K14/4748Tumour specific antigens; Tumour rejection antigen precursors [TRAP], e.g. MAGE
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K14/00Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/435Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
    • C07K14/705Receptors; Cell surface antigens; Cell surface determinants
    • C07K14/70503Immunoglobulin superfamily
    • C07K14/70539MHC-molecules, e.g. HLA-molecules
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K7/00Peptides having 5 to 20 amino acids in a fully defined sequence; Derivatives thereof
    • C07K7/02Linear peptides containing at least one abnormal peptide link
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K7/00Peptides having 5 to 20 amino acids in a fully defined sequence; Derivatives thereof
    • C07K7/04Linear peptides containing only normal peptide links
    • C07K7/06Linear peptides containing only normal peptide links having 5 to 11 amino acids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/57Medicinal preparations containing antigens or antibodies characterised by the type of response, e.g. Th1, Th2
    • A61K2039/572Medicinal preparations containing antigens or antibodies characterised by the type of response, e.g. Th1, Th2 cytotoxic response
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/80Vaccine for a specifically defined cancer
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/80Vaccine for a specifically defined cancer
    • A61K2039/804Blood cells [leukemia, lymphoma]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/80Vaccine for a specifically defined cancer
    • A61K2039/812Breast
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/80Vaccine for a specifically defined cancer
    • A61K2039/82Colon
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/80Vaccine for a specifically defined cancer
    • A61K2039/828Stomach
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/80Vaccine for a specifically defined cancer
    • A61K2039/836Intestine
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/80Vaccine for a specifically defined cancer
    • A61K2039/844Liver
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/80Vaccine for a specifically defined cancer
    • A61K2039/852Pancreas
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/80Vaccine for a specifically defined cancer
    • A61K2039/86Lung
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/80Vaccine for a specifically defined cancer
    • A61K2039/868Vaccine for a specifically defined cancer kidney
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/80Vaccine for a specifically defined cancer
    • A61K2039/876Skin, melanoma
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/80Vaccine for a specifically defined cancer
    • A61K2039/884Vaccine for a specifically defined cancer prostate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/80Vaccine for a specifically defined cancer
    • A61K2039/892Reproductive system [uterus, ovaries, cervix, testes]

Abstract

The invention relates to a peptide comprising an amino acid sequence selected from the group consisting of (i) SEQ ID NO: 1 to SEQ ID NO: 113, and (ii) a variant sequence thereof which maintains capacity to bind to MHC molecule(s) and/or induce T cells cross-reacting with said variant peptide, or a pharmaceutically acceptable salt thereof.

Description

由非HLA-A*02顯露以用於不同類型癌症之免疫治療的醯胺化肽及其脫醯胺化對應物Aminated peptides and their deamidated counterparts revealed by non-HLA-A*02 for immunotherapy of different types of cancer

參考以順應式ASCII本文檔案(.txt)提交的序列表Refer to the Sequence Listing submitted as a compliant ASCII text file (.txt)

依照EFS-Web法律框架及37 CFR§§1.821-825(參見MPEP§2442.03(a))、規則30 EPC、及§11 PatV,與本申請案同時提交呈ASCII-順應式本文檔案(標題為「Sequence_listing_2912919-105001_ST25」,2021年7月19日創建,且大小為43,501位元組)的順應於WIPO標準ST.25的電子序列表,且序列表之全部內容係以引用方式併入本文。為避免疑問,若說明書及電子序列表中提及的序列之間存在差異,則說明書中的序列應被視為正確的序列。In accordance with the EFS-Web Legal Framework and 37 CFR §§1.821-825 (see MPEP §2442.03(a)), Rule 30 EPC, and §11 PatV, filed concurrently with this application in an ASCII-compliant document file (titled "" Sequence_listing_2912919-105001_ST25", created on July 19, 2021 and having a size of 43,501 bytes), an electronic sequence listing compliant with WIPO Standard ST.25, the entire contents of which are incorporated herein by reference. For the avoidance of doubt, if there is a discrepancy between the sequences mentioned in the specification and the electronic sequence listing, the sequence in the specification should be considered the correct sequence.

本發明係關於用於免疫治療方法的肽、蛋白質、核酸及細胞。詳言之,本發明係關於癌症之免疫治療。此外,本發明係關於單獨的腫瘤相關聯的T細胞肽抗原決定基或其與其他腫瘤相關聯的肽組合,該等肽可例如充當疫苗組合物之活性醫藥成分,該等活性醫藥成分刺激抗腫瘤免疫反應,或離體刺激T細胞及將其轉移至患者中。結合至主要組織相容性複合體(major histocompatibility complex; MHC)之分子的肽或此等肽亦可為抗體、可溶性T細胞受體、及其他結合分子之標靶。The present invention relates to peptides, proteins, nucleic acids and cells for use in immunotherapy methods. In particular, the present invention relates to immunotherapy of cancer. Furthermore, the present invention relates to tumor-associated T-cell peptide epitopes alone or in combination with other tumor-associated peptides, which peptides may, for example, serve as active pharmaceutical ingredients of vaccine compositions that stimulate anti-tumor Tumor immune response, or ex vivo stimulation of T cells and their transfer into patients. Peptides or such peptides that bind to molecules of the major histocompatibility complex (MHC) can also be targets for antibodies, soluble T cell receptors, and other binding molecules.

本發明係關於來源於人類腫瘤細胞之HLA I類分子的若干新穎的肽序列及其變異體,可用於疫苗組合物以用於引出抗腫瘤免疫反應,或用作用於開發醫藥活性/免疫活性化合物及細胞的標靶。The present invention relates to several novel peptide sequences of HLA class I molecules derived from human tumor cells and their variants, which can be used in vaccine compositions for eliciting anti-tumor immune responses, or for developing pharmaceutically active/immunoactive compounds and cellular targets.

根據世界衛生組織(World Health Organization; WHO),在2012年全世界範圍內的四種主要的非傳染性致死疾病涉及癌症。同一年,結腸直腸癌、乳癌及呼吸道癌被列入高收入國家的前10個死因中。According to the World Health Organization (WHO), in 2012 the four leading non-communicable diseases causing death worldwide involved cancer. In the same year, colorectal, breast and respiratory cancers were included in the top 10 causes of death in high-income countries.

考慮到與治療癌症相關聯的嚴重副作用及費用,需要鑑別出可用於治療癌症的因素。Considering the serious side effects and costs associated with treating cancer, there is a need to identify factors that can be used to treat cancer.

亦需要鑑別表示癌症之生物標誌、產生較好的癌症診斷、預後評估、及治療成功預測的因素。 癌症免疫治療 There is also a need to identify biomarkers indicative of cancer, factors that lead to better cancer diagnosis, prognostic assessment, and prediction of treatment success. Cancer Immunotherapy

癌症之免疫治療表示在最小化副作用的同時對癌細胞之特異性靶向的選擇。癌症免疫治療利用腫瘤相關抗原之存在。Immunotherapy of cancer represents an option for specific targeting of cancer cells while minimizing side effects. Cancer immunotherapy exploits the presence of tumor-associated antigens.

腫瘤相關抗原(tumor associated antigen; TAA)之當前分類包含以下主要群組:The current classification of tumor associated antigens (TAAs) includes the following main groups:

a)癌症-睾丸抗原:曾鑑別的可由T細胞識別的第一種TAA屬於此類別,其最初係稱為癌症-睾丸(cancer-testis; CT)抗原。因為睾丸之細胞不表現I類及II類HLA分子,所以該些抗原不可由正常組織中的T細胞識別且因此可被視為免疫上腫瘤特異性的。CT抗原的熟知實例為MAGE家族成員及NY-ESO-1。a) Cancer-testis antigens: The first TAAs ever identified that can be recognized by T cells belong to this category and were originally called cancer-testis (CT) antigens. Because cells of the testis do not express class I and class II HLA molecules, these antigens are not recognized by T cells in normal tissues and can therefore be considered immunologically tumor specific. Well-known examples of CT antigens are MAGE family members and NY-ESO-1.

b)分化抗原:該些TAA係在腫瘤與出現腫瘤的正常組織之間共用。大多數已知的分化抗原係在黑素瘤及正常黑色素細胞中發現。實例包括但不限於黑素瘤的酪胺酸酶及Melan-A/MART-1或前列腺癌的PSA。b) Differentiation antigens: These TAA lines are shared between the tumor and the normal tissue in which the tumor appears. Most of the known differentiation antigen lines are found in melanoma and normal melanocytes. Examples include, but are not limited to, tyrosinase for melanoma and Melan-A/MART-1 or PSA for prostate cancer.

c)過度表現的TAA:編碼經廣泛表現的TAA的基因已在組織學上不同類型之腫瘤中以及在許多正常組織中偵測到,其通常具有較低的表現位準。可能的是,藉由正常組織加工及可能呈現的許多抗原決定基處於針對T細胞識別的閾值位準以下,而其在腫瘤細胞中的過度表現可藉由破壞先前建立耐受性來觸發抗癌反應。此類別之TAA的突出實例為Her-2/neu、存活素(survivin)、端粒酶、或WT1。c) Overexpressed TAAs: Genes encoding widely expressed TAAs have been detected in histologically different types of tumors as well as in many normal tissues, often with lower expression levels. It is possible that, by normal tissue processing and possibly presenting many epitopes below threshold levels for T cell recognition, their overexpression in tumor cells can trigger anticancer by disrupting previously established tolerance reaction. Prominent examples of TAAs of this class are Her-2/neu, survivin, telomerase, or WT1.

d)腫瘤特異性抗原:該些獨特的TAA係由正常基因之突變產生(諸如β-連環蛋白、CDK4、等等)。該些分子改變中的一些與贅瘤性轉變及/或進展相關聯。腫瘤特異性抗原通常能夠誘導強的免疫反應而不承擔正常組織自體免疫反應的風險。另一方面,該些TAA在大多數情況下僅與鑑別出該些TAA的切確腫瘤有關且不在許多個別腫瘤之間共用。若在具有腫瘤特異性(相關聯)同功型之蛋白質的情況下,肽係起源於腫瘤特異性(相關聯)外顯子,則亦可出現肽之腫瘤特異性(或關聯)。d) Tumor specific antigens: These unique TAAs result from mutations in normal genes (such as beta-catenin, CDK4, etc.). Some of these molecular changes are associated with neoplastic transformation and/or progression. Tumor-specific antigens are often able to induce strong immune responses without the risk of normal tissue autoimmune responses. On the other hand, these TAAs are in most cases only associated with the exact tumor in which they were identified and are not shared among many individual tumors. Tumor specificity (or association) of a peptide may also occur if, in the case of a protein with a tumor-specific (association) isoform, the peptide is derived from a tumor-specific (association) exon.

e)致癌病毒蛋白質:該些TAA係病毒蛋白質,其可在致癌過程中起著關鍵作用,且因為其係外來的(不具有人類起源),所以其可喚起T細胞反應。此類蛋白質之實例為人類乳突狀瘤類型16病毒蛋白質、E6及E7,皆表現於宮頸癌瘤中。 人類內生性反轉錄病毒(human endogenous retrovirus; HERV)構成人類基因組之顯著部分(約8%)。該些病毒元件在數百萬年前整合至基因組中且自那時起世代垂直傳遞。極大多數的HERV經由突變或截斷已喪失功能活性,而諸如HERV-K演化支之成員的一些內生性反轉錄病毒仍編碼功能基因且已被證實形成類反轉錄病毒粒子。HERV原病毒之轉錄受表觀遺傳學控制且在正常生理條件下保持沉默。然而,已在某些疾病及尤其針對不同類型之癌症描述了導致病毒蛋白質之活性轉譯的再活化及過度表現。HERV衍生蛋白質之此種腫瘤特異性表現可經控制用於不同類型之癌症免疫治療。 e) Oncogenic viral proteins: These TAA-based viral proteins can play a key role in the carcinogenesis process and because they are foreign (not of human origin), they can evoke a T cell response. Examples of such proteins are the human papilloma type 16 virus proteins, E6 and E7, all expressed in cervical carcinomas. Human endogenous retroviruses (HERVs) make up a significant portion (about 8%) of the human genome. These viral elements were integrated into the genome millions of years ago and have been passed vertically through generations since then. The vast majority of HERVs have lost functional activity through mutation or truncation, while some endogenous retroviruses such as members of the HERV-K clade still encode functional genes and have been shown to form retroviral-like particles. Transcription of the HERV provirus is epigenetically controlled and silent under normal physiological conditions. However, reactivation and overexpression leading to active translation of viral proteins have been described in certain diseases and especially for different types of cancer. This tumor-specific expression of HERV-derived proteins can be manipulated for different types of cancer immunotherapy.

f)由異常轉譯後修飾產生的TAA:此類TAA可由腫瘤中既不為特異性又不被過度表現但藉由主要在腫瘤中為活性的轉譯後加工而變成腫瘤相關聯的蛋白質來產生。該類別的實例由改變的醣基化模式產生,其在腫瘤中導致針對MUC1或如同降解期間的蛋白質剪接的事件的新穎抗原決定基,其可或可不為腫瘤特異性的。f) TAAs produced by aberrant post-translational modifications: Such TAAs can be produced by proteins that are neither specific nor overexpressed in tumors, but become tumor-associated by post-translational processing that is primarily active in tumors. Examples of this class arise from altered glycosylation patterns that in tumors result in novel epitopes for MUCl or events like protein splicing during degradation, which may or may not be tumor specific.

基於T細胞的免疫治療靶向來源於腫瘤相關聯或腫瘤特異性蛋白質的肽抗原決定基,該等肽抗原決定基係藉由MHC分子呈現。由腫瘤特異性T淋巴細胞,亦即,其抗原決定基識別的抗原可為來源於所有蛋白質類別的分子,諸如酶、受體、轉錄因子等等,其係表現在相應腫瘤之細胞中且相較於相同起源的未改變細胞,通常在相應腫瘤之細胞中上調。T cell-based immunotherapy targets peptide epitopes derived from tumor-associated or tumor-specific proteins, which are presented by MHC molecules. Antigens recognized by tumor-specific T lymphocytes, i.e., their epitopes may be molecules derived from all protein classes, such as enzymes, receptors, transcription factors, etc., which are expressed in the cells of the corresponding tumor and are related to each other. Typically upregulated in cells of the corresponding tumor compared to unchanged cells of the same origin.

存在兩種類型之MHC分子,MHC I類及MHC II類。MHC I類分子由α重鏈及β-2-微球蛋白組成,MHC II類分子由α及β鏈組成。其三維構造導致用於與肽非共價相互作用的結合凹槽。There are two types of MHC molecules, MHC class I and MHC class II. MHC class I molecules consist of alpha heavy chains and beta-2-microglobulin, and MHC class II molecules consist of alpha and beta chains. Its three-dimensional configuration results in a binding groove for non-covalent interactions with the peptide.

MHC I類分子可在大多數有核細胞上發現。該等分子呈現由主要內原性蛋白質、缺陷性核糖體產物(defective ribosomal product; DRIP)及較大肽之蛋白質水解分解裂解產生的肽。然而,來源於胞內體分室或外源性來源的肽亦係頻繁地在MHC I類分子上發現。I類呈現的此種非經典方式在文獻中稱為交叉呈現(Brossart及Bevan, 1997;Rock等人, 1990)。MHC II類分子可主要在專門的抗原呈現細胞(antigen presenting cell; APC)上發現,且主要呈現外源性或跨膜蛋白質之肽,該等肽係例如在胞吞作用期間藉由APC吸收且隨後經加工。MHC class I molecules can be found on most nucleated cells. These molecules represent peptides resulting from proteolytic cleavage of major endogenous proteins, defective ribosomal products (DRIPs), and larger peptides. However, peptides derived from the endosome compartment or from exogenous sources are also frequently found on MHC class I molecules. This non-classical way of class I presentation is referred to in the literature as cross-presentation (Brossart and Bevan, 1997; Rock et al., 1990). MHC class II molecules can be found primarily on specialized antigen presenting cells (APCs) and present primarily peptides of exogenous or transmembrane proteins, such as those taken up by APCs during endocytosis and subsequently processed.

肽及MHC I類之複合物係由帶有適當T細胞受體(T cell receptor; TCR)的CD8陽性T細胞識別,而肽及MHC II類分子之複合物係由帶有適當TCR的CD4陽性輔助T細胞識別。熟知的是,TCR、肽及MHC藉此以1:1:1之化學計量的量存在。The complex of peptide and MHC class I is recognized by CD8 positive T cells with appropriate T cell receptor (TCR), while the complex of peptide and MHC class II molecule is recognized by CD4 positive with appropriate TCR Helper T cell recognition. It is well known that TCR, peptide and MHC are thereby present in stoichiometric amounts of 1:1:1.

CD4陽性輔助T細胞在藉由CD8陽性細胞毒性T細胞誘導反應及持續有效的反應方面起重要作用。來源於腫瘤相關抗原(tumor associated antigen; TAA)的CD4陽性T細胞抗原決定基之鑑別對於開發用於觸發抗腫瘤免疫反應之醫藥產品而言具有很大的重要性。在腫瘤位點處,T輔助細胞支援細胞毒性T細胞(cytotoxic T cell; CTL)友好的細胞介素環境,且吸引效應細胞,例如CTL、自然殺手(natural killer; NK)細胞、巨噬細胞、及顆粒性白血球。CD4-positive helper T cells play an important role in inducing and sustaining effective responses by CD8-positive cytotoxic T cells. The identification of CD4-positive T cell epitopes derived from tumor associated antigens (TAAs) is of great importance for the development of medicinal products for triggering anti-tumor immune responses. At tumor sites, T helper cells support a cytotoxic T cell (CTL)-friendly interferon environment and attract effector cells such as CTLs, natural killer (NK) cells, macrophages, and granular leukocytes.

在不存在炎症的情況下,MHC II類分子之表現主要受限於免疫系統之細胞,尤其是專門的抗原呈現細胞(antigen-presenting cell; APC),例如,單核細胞、單核細胞來源的細胞、巨噬細胞、樹突細胞。在癌症患者中,已發現腫瘤之細胞表現 MHC II類分子(Dengjel等人, 2006)。In the absence of inflammation, the expression of MHC class II molecules is primarily restricted to cells of the immune system, especially specialized antigen-presenting cells (APCs), e.g., monocytes, monocyte-derived cells, macrophages, dendritic cells. In cancer patients, tumor cells have been found to express MHC class II molecules (Dengjel et al., 2006).

本發明之伸長(較長)的肽可充當MHC II類活性抗原決定基。The elongated (longer) peptides of the invention can serve as MHC class II active epitopes.

藉由MHC II類抗原決定基活化的T輔助細胞在設置CTL於抗腫瘤免疫性中之效應物功能方面中起重要作用。觸發TH1類型之T輔助細胞反應的T輔助細胞抗原決定基支援CD8陽性殺手T細胞之效應物功能,包括針對在其細胞表面上顯露腫瘤相關聯肽-MHC複合物之腫瘤細胞的細胞毒性功能。以此方式,單獨的或與其他腫瘤相關聯肽組合的腫瘤相關聯T輔助細胞肽抗原決定基可充當刺激抗腫瘤免疫反應之疫苗組合物的活性醫藥成分。T helper cells activated by MHC class II epitopes play an important role in setting the effector function of CTLs in antitumor immunity. T helper epitopes that trigger TH1-type T helper cell responses support effector functions of CD8-positive killer T cells, including cytotoxic function against tumor cells that display tumor-associated peptide-MHC complexes on their cell surfaces. In this way, tumor-associated T helper peptide epitopes, alone or in combination with other tumor-associated peptides, can serve as active pharmaceutical ingredients of vaccine compositions that stimulate anti-tumor immune responses.

因為HLA II類分子之構成性表現通常限於免疫細胞,所以自原發腫瘤直接分離II類肽之可能性在先前係考慮為不可能的。然而,Dengjel等人成功地自腫瘤直接鑑別出大量MHC II類抗原決定基(WO 2007/028574、EP 1 760 088 B1、其內容係以全文引用方式併入本文)。Because the constitutive expression of HLA class II molecules is usually restricted to immune cells, the possibility of directly isolating class II peptides from primary tumors was previously considered impossible. However, Dengjel et al. succeeded in identifying a large number of MHC class II epitopes directly from tumors (WO 2007/028574, EP 1 760 088 B1, the contents of which are hereby incorporated by reference in their entirety).

對於觸發(引出)細胞免疫反應之MHC I類肽,其亦必須結合至MHC分子。此過程係取決於MHC分子之等位基因及肽之胺基酸序列之特定同質多晶形性。MHC I類結合肽通常為8-12個胺基酸殘基長度且通常在其序列中含有與MHC分子之相應結合凹槽相互作用的兩個保存的殘基(「錨定物」)。以此方式,每一MHC等位基因具有決定哪些肽可特異性結合至結合凹槽的「結合模體」。For an MHC class I peptide to trigger (elicit) a cellular immune response, it must also bind to an MHC molecule. This process depends on the alleles of the MHC molecule and the specific homopolymorphism of the amino acid sequence of the peptide. MHC class I binding peptides are typically 8-12 amino acid residues in length and typically contain two conserved residues ("anchors") in their sequence that interact with the corresponding binding grooves of the MHC molecule. In this way, each MHC allele has a "binding motif" that determines which peptides can specifically bind to the binding groove.

在MHC I類依賴性免疫反應中,肽不僅必須能夠結合至藉由腫瘤細胞表現的某些MHC I類分子,而且其隨後亦必須由帶有特異性TCR之T細胞識別。In an MHC class I-dependent immune response, not only must the peptide be able to bind to certain MHC class I molecules expressed by tumor cells, but it must also subsequently be recognized by T cells bearing specific TCRs.

對於將由T淋巴細胞識別為腫瘤特異性或相關聯抗原且將用於治療之蛋白質,必須滿足特定先決條件。抗原應主要藉由腫瘤細胞而非藉由正常健康組織表現,或藉由正常健康組織以相當小的量表現。可能有利的是,相較於正常健康組織,肽藉由腫瘤細胞過度呈現。此外合意的是,相應抗原不僅存在於一類腫瘤中,且係以高濃度存在。腫瘤特異性及腫瘤相關聯抗原常常來源於直接涉及正常細胞轉變至腫瘤細胞之蛋白質,該轉變係歸因於細胞之功能,例如在細胞週期中控制或抑制細胞凋亡。另外,直接由轉變引起的蛋白質之下游標靶可上調且因此可間接地為腫瘤相關聯的。此類間接腫瘤相關聯抗原亦可為疫苗接種方法之標靶(Singh-Jasuja等人, 2004,其內容係以全文引用方式併入本文)。必要的是,抗原決定基係存在於抗原之胺基酸序列中,以便確保來源於腫瘤相關抗原之此種肽(「免疫性肽」)導致體外或體內T細胞反應。For proteins to be recognized by T lymphocytes as tumor-specific or associated antigens and to be used in therapy, certain prerequisites must be met. Antigens should be expressed primarily by tumor cells rather than by normal healthy tissue, or by normal healthy tissue in relatively small amounts. It may be advantageous that the peptide is overrepresented by tumor cells compared to normal healthy tissue. Furthermore, it is desirable that the corresponding antigens are present not only in one type of tumor, but also in high concentrations. Tumor-specific and tumor-associated antigens are often derived from proteins that are directly involved in the transition of normal cells to tumor cells due to functions of the cells, such as the control or inhibition of apoptosis in the cell cycle. In addition, downstream targets of the protein directly caused by the transition can be up-regulated and thus can be tumor-associated indirectly. Such indirect tumor-associated antigens can also be targets for vaccination approaches (Singh-Jasuja et al., 2004, the contents of which are incorporated herein by reference in their entirety). Essentially, the epitope is present in the amino acid sequence of the antigen in order to ensure that such peptides ("immune peptides") derived from tumor-associated antigens elicit T cell responses in vitro or in vivo.

TAA可為開發基於T細胞之免疫治療的起始點。用於鑑別及表徵TAA之方法通常係基於使用可自患者或健康受試者分離的T細胞,或其係基於產生腫瘤與正常組織之間的差異轉錄分佈或差異肽表現模式。然而,鑑別在腫瘤組織或人類腫瘤細胞系中過度表現的或在此類組織或細胞系中選擇性表現的基因不會提供關於在免疫治療中使用自該些基因轉錄的抗原的精確資訊。這是因為該些抗原之抗原決定基的僅個別亞群適於此類應用,因為必須存在具有相應TCR之T細胞且此特定抗原決定基之免疫耐受性必須不存在或為最小程度。TAA can be a starting point for the development of T cell-based immunotherapy. Methods for identifying and characterizing TAAs are typically based on the use of T cells that can be isolated from patients or healthy subjects, or they are based on generating differential transcriptional profiles or differential peptide expression patterns between tumor and normal tissue. However, identifying genes that are overexpressed in tumor tissues or human tumor cell lines or selectively expressed in such tissues or cell lines will not provide precise information on the use of antigens transcribed from these genes in immunotherapy. This is because only individual subsets of epitopes of these antigens are suitable for such applications, since T cells with the corresponding TCR must be present and immune tolerance to this particular epitope must be absent or minimal.

在藉由根據本發明的特異性TCR(例如可溶行TCR)及抗體或其他結合分子(支架)靶向肽-MHC的情況下,基礎肽之免疫原性係次要的。在該些情況下,呈現係決定因素。 產生腫瘤相關聯肽之脫醣基化及後續脫醯胺化 In the case of targeting peptide-MHCs by specific TCRs (eg soluble TCRs) and antibodies or other binding molecules (scaffolds) according to the invention, the immunogenicity of the underlying peptide is secondary. In these cases, presentation is the determining factor. Deglycosylation and subsequent deamidation to produce tumor-associated peptides

TAA可能不僅係由對腫瘤為特異性的或過度表現的蛋白質產生。其亦可由在腫瘤中既不為特異性又不過度表現的蛋白質之異常轉譯後修飾(post-translational modification; PTM)產生:然而此類TAA可藉由主要在腫瘤中為活性的轉譯後加工而變成腫瘤相關聯的。TAA may not only be produced by proteins that are specific or overexpressed for tumors. It can also result from aberrant post-translational modification (PTM) of proteins that are neither specific nor overrepresented in tumors: however, such TAAs can be produced by post-translational processing that is primarily active in tumors. become tumor-associated.

雖然轉譯後修飾改變並延長免疫肽組之免疫圖譜,其具有多樣功能及後果。一些PTM阻礙經修飾的肽結合至HLA複合物(Andersen等人, 1999),其可貢獻於腫瘤細胞之免疫迴避策略。其他修飾導致較高的HLA親和力或增加的免疫原性,其已與自體免疫疾病相關聯(Arentz-Hansen等人, 2000;McGinty等人, 2015;Sidney等人, 2018;Raposo等人, 2018),但可開發用於惡性腫瘤中之免疫治療(Zarling等人, 2006;Purcell等人, 2007;Petersen等人, 2009;Cobbold等人, 2013;Marcilla等人, 2014;Lin等人, 2019;Brentville等人, 2020)。While post-translational modifications alter and prolong the immune profile of the immunopeptidome, they have diverse functions and consequences. Some PTMs hinder the binding of modified peptides to HLA complexes (Andersen et al., 1999), which may contribute to the immune avoidance strategy of tumor cells. Other modifications lead to higher HLA affinity or increased immunogenicity, which has been associated with autoimmune diseases (Arentz-Hansen et al, 2000; McGinty et al, 2015; Sidney et al, 2018; Raposo et al, 2018 ), but could be developed for immunotherapy in malignancies (Zarling et al., 2006; Purcell et al., 2007; Petersen et al., 2009; Cobbold et al., 2013; Marcilla et al., 2014; Lin et al., 2019; Brentville et al., 2020).

先前的PTM分析將脫醯胺化鑑別為HLA I呈現的免疫肽之相當普遍的修飾(Han等人, 2011;Mei等人, 2020)。此種化學反應導致自天冬醯胺酸(N)至天冬胺酸(D)的胺基酸轉化(Knorre, Kudryashova及Godovikova 2009;Mei等人, 2020)。Previous PTM analyses identified deamidation as a fairly common modification of HLA I-presented immune peptides (Han et al., 2011; Mei et al., 2020). This chemical reaction results in an amino acid conversion from aspartic acid (N) to aspartic acid (D) (Knorre, Kudryashova and Godovikova 2009; Mei et al., 2020).

N脫醯胺化係富集在來源於膜相關聯蛋白質的肽中且與序列模體N[X^P][ST]相關聯,其中X為除脯胺酸之外的任何胺基酸且繼之以絲胺酸(S)或蘇胺酸(T)(Han等人, 2011; Cao等人 2017;Mei等人, 2020)。此模體係N-醣基轉移酶之經確立識別模體(Yan及Lennarz 2005;Petersen, Purcell及Rossjohn 2009),其在內質網(endoplasmic reticulum; ER)中將N脫醯胺化連接至初期醣基化。機械地,蛋白質或多肽在其於ER中轉譯期間變得醣基化。在其輸出至細胞質之後,其藉由肽-N-聚糖酶(PNG酶)變成脫醣基化的。在此水解降解過程期間,N殘基亦脫醯胺化成D,從而導致胺基酸序列之末端變化。在蛋白質或多肽於蛋白酶體中進一步降解之後,肽被再次運送至ER中。此時,其結合至HLA複合物,易位至細胞膜且在細胞表面上呈現脫醯胺化肽(參見第1圖)(Misaghi等人, 2004;Petersen, Purcell及Rossjohn 2009;Mei等人, 2020)。此機制潛在地允許T細胞在感染期間識別並清除具有經擾動醣基化而且由改變的腫瘤細胞新陳代謝產生的細胞。N deamidation is enriched in peptides derived from membrane-associated proteins and is associated with the sequence motif N[X^P][ST], where X is any amino acid except proline and This is followed by serine (S) or threonine (T) (Han et al., 2011; Cao et al., 2017; Mei et al., 2020). This motif is an established recognition motif for N-glycosyltransferases (Yan and Lennarz 2005; Petersen, Purcell and Rossjohn 2009), which links N-deamidation to nascent in the endoplasmic reticulum (ER) Glycosylation. Mechanistically, a protein or polypeptide becomes glycosylated during its translation in the ER. After its export to the cytoplasm, it becomes deglycosylated by peptide-N-glycanase (PNGase). During this hydrolytic degradation process, the N residue is also deaminated to D, resulting in a terminal change in the amino acid sequence. After further degradation of the protein or polypeptide in the proteasome, the peptide is transported again to the ER. At this point, it binds to the HLA complex, translocates to the cell membrane and presents a deamidated peptide on the cell surface (see Figure 1) (Misaghi et al., 2004; Petersen, Purcell and Rossjohn 2009; Mei et al., 2020 ). This mechanism potentially allows T cells to recognize and eliminate cells with perturbed glycosylation and produced by altered tumor cell metabolism during infection.

先前的PTM分析將脫醯胺化鑑別為HLA I呈現的免疫肽之相當普遍的修飾(Han等人, 2011;Mei等人, 2020)。此種化學反應導致自天冬醯胺酸(N)至天冬胺酸(D)的胺基酸轉化(參見第2圖)(Knorre, Kudryashova, 及Godovikova 2009; Mei等人, 2020)。Previous PTM analyses identified deamidation as a fairly common modification of HLA I-presented immune peptides (Han et al., 2011; Mei et al., 2020). This chemical reaction results in an amino acid conversion from aspartic acid (N) to aspartic acid (D) (see Figure 2) (Knorre, Kudryashova, and Godovikova 2009; Mei et al., 2020).

雖然癌症中的異常醣基化最初與免疫抑制作用相關聯(Liu及Rabinovich 2005;Rodriguez等人, 2018;De Bousser等人, 2020),累積的證據表明其亦可開發用於基於T細胞之治療。因此,醣蛋白自身(Posey等人, 2016;Maher等人, 2016;RodrIguez, Schetters及van Kooyk 2018;De Bousser等人, 2020)或醣基化依賴性脫醯胺化肽充當新抗原且可被靶向。在研究以下各項的文獻中對脫醯胺化肽之免疫性作用存在一些充分描述的實例:病原體之人類免疫缺陷性病毒1型套膜醣蛋白(glycoprotein; GP)(Behrens等人, 2017;Ferris等人, 1999)、C型肝炎GP E1(Selby等人, 1999)及淋巴細胞性脈絡叢腦膜炎病毒GP 1(Hudrisier等人, 1999)肽,以及黑素瘤中之酪胺酸酶肽(Mosse等人, 1998;Schaed等人, 2002;Altrich-VanLith等人, 2006;Ostankovitch等人, 2009)。Although aberrant glycosylation in cancer was initially associated with immunosuppressive effects (Liu and Rabinovich 2005; Rodriguez et al, 2018; De Bousser et al, 2020), accumulating evidence suggests that it could also be developed for T cell-based therapy . Thus, glycoproteins themselves (Posey et al., 2016; Maher et al., 2016; RodrIguez, Schetters and van Kooyk 2018; De Bousser et al., 2020) or glycosylation-dependent deamidation peptides act as neoantigens and can be targeted by target. There are some well-described examples of the immunogenic role of deamidated peptides in the literature examining the pathogen human immunodeficiency virus type 1 envelope glycoprotein (GP) (Behrens et al., 2017; Ferris et al, 1999), hepatitis C GP E1 (Selby et al, 1999) and lymphocytic choriomeningitis virus GP 1 (Hudrisier et al, 1999) peptides, and tyrosinase peptides in melanoma (Mosse et al, 1998; Schaed et al, 2002; Altrich-VanLith et al, 2006; Ostankovitch et al, 2009).

因此,上文描述的脫醯胺化肽及抗原呈現的非典型路徑充當用於基於T細胞的腫瘤免疫治療之令人感興趣的標靶。Thus, the atypical pathways of deamidation peptides and antigen presentation described above serve as interesting targets for T cell-based tumor immunotherapy.

在第一態樣中,本發明係關於一種肽或其醫藥學上可接受的鹽,該肽包含選自由以下各項組成之群組的胺基酸序列:SEQ ID NO: 1至SEQ ID NO: 113;及其變異體序列,該等變異體序列係結合至MHC分子及/或誘導T細胞與該變異體肽交叉反應。In a first aspect, the present invention relates to a peptide, or a pharmaceutically acceptable salt thereof, comprising an amino acid sequence selected from the group consisting of: SEQ ID NO: 1 to SEQ ID NO : 113; and variant sequences thereof that bind to MHC molecules and/or induce T cells to cross-react with the variant peptide.

下表(表1A及表2)展示根據本發明之肽、其相應SEQ ID NO、及該些肽的預期來源(基本)基因。The following tables (Table 1A and Table 2) show the peptides according to the invention, their corresponding SEQ ID NOs, and the expected source (basic) genes of these peptides.

表1A:根據本發明之肽。應注意,每一行中的兩個相鄰肽為包含可能的N-醣基化模體的野生型序列(右側欄),及缺少該N-醣基化模體之突變版本(左側欄),其中N(Asn)殘基已由其脫醯胺化變異體D(Asp)置換。 SEQ ID NO 脫醯胺化序列 SEQ ID NO WT序列 1 VHDFTLPSW 114 VHNFTLPSW 2 FFQDSTFSF 115 FFQNSTFSF 3 IVRDLSCRK 116 IVRNLSCRK 4 YIDDVTLI 117 YIDNVTLI 5 GYIDDVTLI 118 GYIDNVTLI 6 ISDITEKNSGLY 119 ISNITEKNSGLY 7 VTRDDTASY 120 VTRNDTASY 8 AQDTTYLWW 121 AQNTTYLWW 9 IFDETGRF 122 IFNETGRF 10 QVDGSLLVI 123 QVNGSLLVI 11 NHITDTSLNLF 124 NHITNTSLNLF 12 ITDTSLNLF 125 ITNTSLNLF 13 TANYDTSHY 126 TANYNTSHY 14 WSDWSNPAY 127 WSNWSNPAY 15 TEGDFTKEASTY 128 TEGNFTKEASTY 16 VTQDDTGFY 129 VTQNDTGFY 17 DILDRTGHQL 130 DILNRTGHQL 18 GTDKQDSTLRY 131 GTDKQNSTLRY 19 MTDVDRDGTTAY 132 MTDVDRNGTTAY 20 TSDTSQYDTY 133 TSNTSQYDTY 21 APFKDVTEY 134 APFKNVTEY 22 NLYDWSASY 135 NLYNWSASY 23 SYDETKIKF 136 SYNETKIKF 24 FYDNSVIIF 137 FYNNSVIIF 25 FTDLITDESINY 138 FTDLITNESINY 26 IYPDASLLIQNI 139 IYPNASLLIQNI 27 DEAVRDITW 140 DEAVRNITW 28 PSDLSVFTSY 141 PSNLSVFTSY 29 RLWDFTMNAK 142 RLWNFTMNAK 30 IYNFRLWDF 143 IYNFRLWNF 31 VQPDSSYTY 144 VQPNSSYTY 32 RDATASLW 145 RNATASLW 33 ISDGMDSSAHY 146 ISDGMNSSAHY 34 LSDLSLADI 147 LSNLSLADI 35 VFHDHTYHL 148 VFHNHTYHL 36 YWDETLKEF 149 YWNETLKEF 37 RSLDCTVKTY 150 RSLNCTVKTY 38 KLTDNSNQF 151 KLTNNSNQF 39 LPFFTDKTLSF 152 LPFFTNKTLSF 40 LSDLTCNNY 153 LSNLTCNNY 41 NYLLYVSDF 154 NYLLYVSNF 42 AERDLDVTI 155 AERDLNVTI 43 FFTDKTLSF 156 FFTNKTLSF 44 KENQDHSYSL 157 KENQNHSYSL 45 YFVDVTTRI 158 YFVNVTTRI 46 KEVDDTLLVNEL 159 KEVNDTLLVNEL 47 RLPAADFTRY 160 RLPAANFTRY 48 FPYYLKIDY 161 FPYYLKINY 49 PSDGSMHNY 162 PSNGSMHNY 50 RSIDVTGQGF 163 RSINVTGQGF 51 RVDDITDQF 164 RVDNITDQF 52 LTEVEKDATALY 165 LTEVEKNATALY 53 SLIDITHGF 166 SLINITHGF 54 QYQDTTVSF 167 QYQNTTVSF 55 VYTDISHHF 168 VYTNISHHF 56 IYLDRTLLTTI 169 IYLNRTLLTTI 57 FYDLSIQSF 170 FYNLSIQSF 58 GTDQTGKGLEY 171 GTNQTGKGLEY 59 ILFSDSTRLSF 172 ILFSNSTRLSF 60 HVKDATMGY 173 HVKNATMGY 61 KAYDQTHLY 174 KAYNQTHLY 62 HPDLTSMTF 175 HPNLTSMTF 63 HLYYDVTEK 176 HLYYNVTEK 64 FHYDDTAGYF 177 FHYNDTAGYF 65 IYQFARLDY 178 IYQFARLNY 66 YHDQTISF 179 YHNQTISF 67 QAIDLSLNF 180 QAINLSLNF 68 VFDETKNLL 181 VFNETKNLL 69 KSYHDQTISF 182 KSYHNQTISF 70 HPFGYDLTL 183 HPFGYNLTL 71 VPRNQDESV 184 VPRNQNESV 72 DVSDKITFM 185 NVSDKITFM 73 DESKYTWSW 186 NESKYTWSW 74 LENMYDLTF 187 LENMYNLTF 75 QEVDISLHY 188 QEVNISLHY 76 TYLPTDASLSF 189 TYLPTNASLSF 77 KPREEQYDSTY 190 KPREEQYNSTY 78 DETIWYVRF 191 NETIWYVRF 79 FTDTSSYEY 192 FTNTSSYEY 80 LTNDQTLRL 193 LTNNQTLRL 81 VTETMGIDGSAY 194 VTETMGINGSAY 82 VTDVTEEHY 195 VTNVTEEHY 83 TFVDASRTLY 196 TFVNASRTLY 84 EVEGVIDGTYDY 197 EVEGVINGTYDY 85 EVQDHSTSSY 198 EVQNHSTSSY 86 ILPDITTTY 199 ILPNITTTY 87 ITDDTVQTY 200 ITNDTVQTY 88 WLDRSTILY 201 WLNRSTILY 89 HVSDVTVNY 202 HVSNVTVNY 90 HVDNSNLNY 203 HVNNSNLNY 91 GVDDTSLLY 204 GVNDTSLLY 92 GQYDDSLQAY 205 GQYNDSLQAY 93 HADLTTLTF 206 HANLTTLTF 94 YSIDVTNVM 207 YSINVTNVM 95 VYIDDSVEL 208 VYINDSVEL 96 IFVPTDRSL 209 IFVPTNRSL 97 RYVNDYTNSF 210 RYVNNYTNSF 98 AFDKTIVKL 211 AFNKTIVKL 99 VYVDTTELAL 212 VYVNTTELAL 100 EYQDFSTLF 213 EYQNFSTLF 101 VYLDASKVPGF 214 VYLNASKVPGF 102 IYPDGTLLI 215 IYPNGTLLI 103 RQDESYLNF 216 RQNESYLNF 104 HLFYDVTVF 217 HLFYNVTVF 105 NPADISVAL 218 NPANISVAL 106 SPKIFDSSW 219 SPKIFNSSW 107 GEPTSDITLL 220 GEPTSNITLL 108 DETHTLQF 221 NETHTLQF 109 DETAAYKIM 222 NETAAYKIM 110 AESLAVHDI 223 AESLAVHNI 111 GEYRCQTDL 224 GEYRCQTNL 112 AEFFDYTVRTL 225 AEFFNYTVRTL 113 TDFTKIASF 226 TNFTKIASF Table 1A: Peptides according to the invention. Note that the two adjacent peptides in each row are the wild-type sequence containing a possible N-glycosylation motif (right column), and the mutant version lacking this N-glycosylation motif (left column), where the N(Asn) residue has been replaced by its deamidated variant D(Asp). SEQ ID NO Deamidation sequence SEQ ID NO WT sequence 1 VHDFTLPSW 114 VHNFTLPSW 2 FFQDSTFSF 115 FFQNSTFSF 3 IVRDLSCRK 116 IVRNLSCRK 4 YIDDVTLI 117 YIDNVTLI 5 GYIDDVTLI 118 GYIDNVTLI 6 ISDITEKNSGLY 119 ISNITEKNSGLY 7 VTRDDTASY 120 VTRNDTASY 8 AQDTTYLWW 121 AQNTTYLWW 9 IFDETGRF 122 IFNETGRF 10 QVDGSLLVI 123 QVNGSLLVI 11 NHITDTSLNLF 124 NHITNTSLNLF 12 ITDTSLNLF 125 ITNTSLNLF 13 TANYDTSHY 126 TANYNTSHY 14 WSDWSNPAY 127 WSNWSNPAY 15 TEGDFTKEASTY 128 TEGNFTKEASTY 16 VTQDDTGFY 129 VTQNDTGFY 17 DILDRTGHQL 130 DILNRTGHQL 18 GTDKQDSTLRY 131 GTDKQNSTLRY 19 MTDVDRDGTTAY 132 MTDVDRNGTTAY 20 TSDTSQYDTY 133 TSNTSQYDTY twenty one APFKDVTEY 134 APFKNVTEY twenty two NLYDWSASY 135 NLYNWSASY twenty three SYDETKIKF 136 SYNETKIKF twenty four FYDNSVIIF 137 FYNNSVIIF 25 FTDLITDESINY 138 FTDLITNESINY 26 IYPDASLLIQNI 139 IYPNASLLIQNI 27 DEAVRDITW 140 DEAVRNITW 28 PSDLSVFTSY 141 PSNLSVFTSY 29 RLWDFTMNAK 142 RLWNFTMNAK 30 IYNFRLWDF 143 IYNFRLWNF 31 VQPDSSYTY 144 VQPNSSYTY 32 RDATASLW 145 RNATASLW 33 ISDGMDSSAHY 146 ISDGMNSSAHY 34 LSDLSLADI 147 LSNLSLADI 35 VFHDHTYHL 148 VFHNHTYHL 36 YWDETLKEF 149 YWNETLKEF 37 RSLDCTVKTY 150 RSLNCTVKTY 38 KLTDNSNQF 151 KLTNNSNQF 39 LPFFTDKTLSF 152 LPFFTNKTLSF 40 LSDLTCNNY 153 LSNLTCNNY 41 NYLLYVSDF 154 NYLLYVSNF 42 AERDLDVTI 155 AERDLNVTI 43 FFTDKTLSF 156 FFTNKTLSF 44 KENQDHSYSL 157 KENQNHSYSL 45 YFVDVTTRI 158 YFVNVTTRI 46 KEVDDTLLVNEL 159 KEVNDTLLVNEL 47 RLPAADFTRY 160 RLPAANFTRY 48 FPYYLKIDY 161 FPYYLKINY 49 PSDGSMHNY 162 PSNGSMHNY 50 RSIDVTGQGF 163 RSINVTGQGF 51 RVDDITDQF 164 RVDNITDQF 52 LTEVEKDATALY 165 LTEVEKNATALY 53 SLIDITHGF 166 SLNITHGF 54 QYQDTTVSF 167 QYQNTTVSF 55 VYTDISHHF 168 VYTNISHHF 56 IYLDRTLLTTI 169 IYLNRTLLTTI 57 FYDLSIQSF 170 FYNLSIQSF 58 GTDQTGKGLEY 171 GTNQTGKGLEY 59 ILFSDSTRLSF 172 ILFSNSTRLSF 60 HVKDATMGY 173 HVKNATMGY 61 KAYDQTHLY 174 KAYNQTHLY 62 HPDLTSMTF 175 HPNLTSMTF 63 HLYYDVTEK 176 HLYYNVTEK 64 FHYDDTAGYF 177 FHYNDTAGYF 65 IYQFARLDY 178 IYQFARLNY 66 YHDQTISF 179 YHNQTISF 67 QAIDLSLNF 180 QAINLSLNF 68 VFDETKNLL 181 VFNETKNLL 69 KSYHDQTISF 182 KSYHNQTISF 70 HPFGYDLTL 183 HPFGYNLTL 71 VPRNQDESV 184 VPRNQNESV 72 DVSDKITFM 185 NVSDKITFM 73 DESKYTWSW 186 NESKYTWSW 74 LENMYDLTF 187 LENMYNLTF 75 QEVDISLHY 188 QEVNISLHY 76 TYLPTDASLSF 189 TYLPTNASLSF 77 KPREEQYDSTY 190 KPREEQYNSTY 78 DETIWYVRF 191 NETIWYVRF 79 FTDTSSYEY 192 FTNTSSYEY 80 LTNDQTLRL 193 LTNNQTLRL 81 VTETMGIDGSAY 194 VTETMGINGSAY 82 VTDVTEEHY 195 VTNVTEEHY 83 TFVDASRTLY 196 TFVNASRTLY 84 EVEGVIDGTYDY 197 EVEGVINGTYDY 85 EVQDHSTSSY 198 EVQNHSTSSY 86 ILPDITTTY 199 ILPNITTTY 87 ITDDTVQTY 200 ITNDTVQTY 88 WLDRSTILY 201 WLNRSTILY 89 HVSDVTVNY 202 HVSNVTVNY 90 HVDNSNLNY 203 HVNNSNLNY 91 GVDDTSLLY 204 GVNDTSLLY 92 GQYDDSLQAY 205 GQYNDSLQAY 93 HADLTTLTF 206 HANLTTLTF 94 YSIDVTNVM 207 YSINVTNVM 95 VYIDDSVEL 208 VYINDSVEL 96 IFVPTDRSL 209 IFVPTNRSL 97 RYVNDYTNSF 210 RYVNNYTNSF 98 AFDKTIVKL 211 AFNKTIVKL 99 VYVDTTELAL 212 VYVNTTELAL 100 EYQDFSTLF 213 EYQNFSTLF 101 VYLDASKVPGF 214 VYLNASKVPGF 102 IYPDGTLLI 215 IYPNGTLLI 103 RQDESYLNF 216 RQNESYLNF 104 HLFYDVTVF 217 HLFYNVTVF 105 NPADISVAL 218 NPANISVAL 106 SPKIFDSSW 219 SPKIFNSSW 107 GEPTSDITLL 220 GEPTSNITLL 108 DETHTLQF 221 NETHTLQF 109 DETAAYKIM 222 NETAAYKIM 110 AESLAVHDI 223 AESLAVHNI 111 GEYRCQTDL 224 GEYRCQTNL 112 AEFFDYTVRTL 225 AEFFNYTVRTL 113 TDFTKIASF 226 TNFTKIASF

表1B:根據本發明之肽。 SEQ ID NO 序列 227 ELAGIGILTV 228 YLLPAIVHI Table IB: Peptides according to the invention. SEQ ID NO sequence 227 ELAGIGILTV 228 YLLPAIVHI

表2A:根據本發明之非脫醯胺化肽及該等肽所來源的一個示範性來源轉錄物ID(獲自系綜資料庫https://www.ensembl.org/的ENST ID),然而,肽可另外起源於本文未列出的其他另外的或替換的轉錄物。重要的是理解,雖然針對野生型變異體指示出來源,但其同樣地適用於如表1A之概要中所示的脫醯胺化對應物。 SEQ ID NO WT序列 轉錄物ID 114 VHNFTLPSW ENST00000336375p218 115 FFQNSTFSF ENST00000377028p339 116 IVRNLSCRK ENST00000357639p423 117 YIDNVTLI ENST00000264144p359 118 GYIDNVTLI ENST00000264144p358 119 ISNITEKNSGLY ENST00000221992p464 120 VTRNDTASY ENST00000221992p205 121 AQNTTYLWW ENST00000221992p527 122 IFNETGRF ENST00000261875p303 123 QVNGSLLVI ENST00000296980p169 124 NHITNTSLNLF ENST00000261465p119 125 ITNTSLNLF ENST00000261465p121 126 TANYNTSHY ENST00000282903p539 127 WSNWSNPAY ENST00000344610p622 128 TEGNFTKEASTY ENST00000397910p136 129 VTQNDTGFY ENST00000161559p112 130 DILNRTGHQL ENST00000347842p291 131 GTDKQNSTLRY ENST00000271588p688 132 MTDVDRNGTTAY ENST00000415148p301 133 TSNTSQYDTY ENST00000263398p108 134 APFKNVTEY ENST00000268035p530 135 NLYNWSASY ENST00000233242p1365 136 SYNETKIKF ENST00000233242p3222 137 FYNNSVIIF ENST00000328668p286 138 FTDLITNESINY ENST00000260128p191 139 IYPNASLLIQNI ENST00000221992p101 140 DEAVRNITW ENST00000328668p271 141 PSNLSVFTSY ENST00000266674p61 142 RLWNFTMNAK ENST00000230173p311 143 IYNFRLWNF ENST00000230173p307 144 VQPNSSYTY ENST00000367796p1705 145 RNATASLW ENST00000356082p603 146 ISDGMNSSAHY ENST00000056233p291 147 LSNLSLADI ENST00000456448p81 148 VFHNHTYHL ENST00000056233p494 149 YWNETLKEF ENST00000377905p88 150 RSLNCTVKTY ENST00000344644p68 151 KLTNNSNQF ENST00000302347p209 152 LPFFTNKTLSF ENST00000217939p1730 153 LSNLTCNNY ENST00000349496p424 154 NYLLYVSNF ENST00000296474p481 155 AERDLNVTI ENST00000259056p212 156 FFTNKTLSF ENST00000217939p1732 157 KENQNHSYSL ENST00000261023p941 158 YFVNVTTRI ENST00000296585p1071 159 KEVNDTLLVNEL ENST00000379742p596 160 RLPAANFTRY ENST00000296795p65 161 FPYYLKINY ENST00000312265p95 162 PSNGSMHNY ENST00000324300p60 163 RSINVTGQGF ENST00000359337p999 164 RVDNITDQF ENST00000269228p958 165 LTEVEKNATALY ENST00000371994p236 166 SLINITHGF ENST00000375001p804 167 QYQNTTVSF ENST00000343028p72 168 VYTNISHHF ENST00000005995p270 169 IYLNRTLLTTI ENST00000262738p1284 170 FYNLSIQSF ENST00000260118p114 171 GTNQTGKGLEY ENST00000295550p114 172 ILFSNSTRLSF ENST00000287097p114 173 HVKNATMGY ENST00000296641p79 174 KAYNQTHLY ENST00000265362p122 175 HPNLTSMTF ENST00000231368p182 176 HLYYNVTEK ENST00000236040p536 177 FHYNDTAGYF ENST00000264868p356 178 IYQFARLNY ENST00000269217p886 179 YHNQTISF ENST00000264868p345 180 QAINLSLNF ENST00000256447p198 181 VFNETKNLL ENST00000329608p152 182 KSYHNQTISF ENST00000264868p343 183 HPFGYNLTL ENST00000441802p328 184 VPRNQNESV ENST00000264868p487 185 NVSDKITFM ENST00000243611p98 186 NESKYTWSW ENST00000357637p128 187 LENMYNLTF ENST00000339381p427 188 QEVNISLHY ENST00000281834p111 189 TYLPTNASLSF ENST00000269571p63 190 KPREEQYNSTY ENST00000390548p173 191 NETIWYVRF ENST00000425642p70 192 FTNTSSYEY ENST00000264833p397 193 LTNNQTLRL ENST00000372838p150 194 VTETMGINGSAY ENST00000269228p1065 195 VTNVTEEHY ENST00000333617p261 196 TFVNASRTLY ENST00000278407p235 197 EVEGVINGTYDY ENST00000397676p77 198 EVQNHSTSSY ENST00000440542p86 199 ILPNITTTY ENST00000337233p205 200 ITNDTVQTY ENST00000323853p993 201 WLNRSTILY ENST00000331898p68 202 HVSNVTVNY ENST00000262304p1001 203 HVNNSNLNY ENST00000265993p181 204 GVNDTSLLY ENST00000366794p978 205 GQYNDSLQAY ENST00000280800p107 206 HANLTTLTF ENST00000296754p68 207 YSINVTNVM ENST00000369939p573 208 VYINDSVEL ENST00000310325p375 209 IFVPTNRSL ENST00000321725p1165 210 RYVNNYTNSF ENST00000341846p449 211 AFNKTIVKL ENST00000263688p953 212 VYVNTTELAL ENST00000233838p602 213 EYQNFSTLF ENST00000379442p5194 214 VYLNASKVPGF ENST00000393203p410 215 IYPNGTLLI ENST00000006724p102 216 RQNESYLNF ENST00000378588p147 217 HLFYNVTVF ENST00000251582p108 218 NPANISVAL ENST00000227880p353 219 SPKIFNSSW ENST00000449174p135 220 GEPTSNITLL ENST00000361127p116 221 NETHTLQF ENST00000263087p954 222 NETAAYKIM ENST00000295770p641 223 AESLAVHNI ENST00000378588p233 224 GEYRCQTNL ENST00000294800p85 225 AEFFNYTVRTL ENST00000223127p59 226 TNFTKIASF ENST00000240487p203 Table 2A: Non-deamidated peptides according to the invention and an exemplary source transcript ID from which the peptides were derived (ENST ID obtained from the ensemble database https://www.ensembl.org/), however , peptides may otherwise originate from other additional or alternative transcripts not listed herein. It is important to understand that while the source is indicated for the wild-type variant, it applies equally to the deaminated counterpart as shown in the summary of Table 1A. SEQ ID NO WT sequence Transcript ID 114 VHNFTLPSW ENST00000336375p218 115 FFQNSTFSF ENST00000377028p339 116 IVRNLSCRK ENST00000357639p423 117 YIDNVTLI ENST00000264144p359 118 GYIDNVTLI ENST00000264144p358 119 ISNITEKNSGLY ENST00000221992p464 120 VTRNDTASY ENST00000221992p205 121 AQNTTYLWW ENST00000221992p527 122 IFNETGRF ENST00000261875p303 123 QVNGSLLVI ENST00000296980p169 124 NHITNTSLNLF ENST00000261465p119 125 ITNTSLNLF ENST00000261465p121 126 TANYNTSHY ENST00000282903p539 127 WSNWSNPAY ENST00000344610p622 128 TEGNFTKEASTY ENST00000397910p136 129 VTQNDTGFY ENST00000161559p112 130 DILNRTGHQL ENST00000347842p291 131 GTDKQNSTLRY ENST00000271588p688 132 MTDVDRNGTTAY ENST00000415148p301 133 TSNTSQYDTY ENST00000263398p108 134 APFKNVTEY ENST00000268035p530 135 NLYNWSASY ENST00000233242p1365 136 SYNETKIKF ENST00000233242p3222 137 FYNNSVIIF ENST00000328668p286 138 FTDLITNESINY ENST00000260128p191 139 IYPNASLLIQNI ENST00000221992p101 140 DEAVRNITW ENST00000328668p271 141 PSNLSVFTSY ENST00000266674p61 142 RLWNFTMNAK ENST00000230173p311 143 IYNFRLWNF ENST00000230173p307 144 VQPNSSYTY ENST00000367796p1705 145 RNATASLW ENST00000356082p603 146 ISDGMNSSAHY ENST00000056233p291 147 LSNLSLADI ENST00000456448p81 148 VFHNHTYHL ENST00000056233p494 149 YWNETLKEF ENST00000377905p88 150 RSLNCTVKTY ENST00000344644p68 151 KLTNNSNQF ENST00000302347p209 152 LPFFTNKTLSF ENST00000217939p1730 153 LSNLTCNNY ENST00000349496p424 154 NYLLYVSNF ENST00000296474p481 155 AERDLNVTI ENST00000259056p212 156 FFTNKTLSF ENST00000217939p1732 157 KENQNHSYSL ENST00000261023p941 158 YFVNVTTRI ENST00000296585p1071 159 KEVNDTLLVNEL ENST00000379742p596 160 RLPAANFTRY ENST00000296795p65 161 FPYYLKINY ENST00000312265p95 162 PSNGSMHNY ENST00000324300p60 163 RSINVTGQGF ENST00000359337p999 164 RVDNITDQF ENST00000269228p958 165 LTEVEKNATALY ENST00000371994p236 166 SLNITHGF ENST00000375001p804 167 QYQNTTVSF ENST00000343028p72 168 VYTNISHHF ENST00000005995p270 169 IYLNRTLLTTI ENST00000262738p1284 170 FYNLSIQSF ENST00000260118p114 171 GTNQTGKGLEY ENST00000295550p114 172 ILFSNSTRLSF ENST00000287097p114 173 HVKNATMGY ENST00000296641p79 174 KAYNQTHLY ENST00000265362p122 175 HPNLTSMTF ENST00000231368p182 176 HLYYNVTEK ENST00000236040p536 177 FHYNDTAGYF ENST00000264868p356 178 IYQFARLNY ENST00000269217p886 179 YHNQTISF ENST00000264868p345 180 QAINLSLNF ENST00000256447p198 181 VFNETKNLL ENST00000329608p152 182 KSYHNQTISF ENST00000264868p343 183 HPFGYNLTL ENST00000441802p328 184 VPRNQNESV ENST00000264868p487 185 NVSDKITFM ENST00000243611p98 186 NESKYTWSW ENST00000357637p128 187 LENMYNLTF ENST00000339381p427 188 QEVNISLHY ENST00000281834p111 189 TYLPTNASLSF ENST00000269571p63 190 KPREEQYNSTY ENST00000390548p173 191 NETIWYVRF ENST00000425642p70 192 FTNTSSYEY ENST00000264833p397 193 LTNNQTLRL ENST00000372838p150 194 VTETMGINGSAY ENST00000269228p1065 195 VTNVTEEHY ENST00000333617p261 196 TFVNASRTLY ENST00000278407p235 197 EVEGVINGTYDY ENST00000397676p77 198 EVQNHSTSSY ENST00000440542p86 199 ILPNITTTY ENST00000337233p205 200 ITNDTVQTY ENST00000323853p993 201 WLNRSTILY ENST00000331898p68 202 HVSNVTVNY ENST00000262304p1001 203 HVNNSNLNY ENST00000265993p181 204 GVNDTSLLY ENST00000366794p978 205 GQYNDSLQAY ENST00000280800p107 206 HANLTTLTF ENST00000296754p68 207 YSINVTNVM ENST00000369939p573 208 VYINDSVEL ENST00000310325p375 209 IFVPTNRSL ENST00000321725p1165 210 RYVNNYTNSF ENST00000341846p449 211 AFNKTIVKL ENST00000263688p953 212 VYVNTTELAL ENST00000233838p602 213 EYQNFSTLF ENST00000379442p5194 214 VYLNASKVPGF ENST00000393203p410 215 IYPNGTLLI ENST00000006724p102 216 RQNESYLNF ENST00000378588p147 217 HLFYNVTVF ENST00000251582p108 218 NPANISVAL ENST00000227880p353 219 SPKIFNSSW ENST00000449174p135 220 GEPTSNITLL ENST00000361127p116 221 NETHTLQF ENST00000263087p954 222 NETAAYKIM ENST00000295770p641 223 AESLAVHNI ENST00000378588p233 224 GEYRCQTNL ENST00000294800p85 225 AEFFNYTVRTL ENST00000223127p59 226 TNFTKIASF ENST00000240487p203

表2B:根據本發明之肽及該等肽所來源的一個示範性來源轉錄物ID(獲自系綜資料庫https://www.ensembl.org/的ENST ID),然而,肽可另外起源於本文未列出的其他另外的或替換的轉錄物。 SEQ ID NO 序列 轉錄物ID 227 ELAGIGILTV ENST00000381471p26 228 YLLPAIVHI ENST00000225792p148 Table 2B: Peptides according to the invention and one exemplary source transcript ID from which the peptides are derived (ENST ID obtained from the ensemble database https://www.ensembl.org/), however, the peptides may be of additional origin Additional or alternative transcripts not listed herein. SEQ ID NO sequence Transcript ID 227 ELAGIGILTV ENST00000381471p26 228 YLLPAIVHI ENST00000225792p148

本發明此外大體上係關於用於治療增生性疾病的根據本發明之肽。上下文中的增生性疾病例如為急性骨髓性白血病、乳癌、膽管細胞癌、慢性淋巴球性白血病、結腸直腸癌、膽囊癌、神經膠質母細胞瘤、胃癌、胃-食管接合癌、肝細胞癌、頭及頸鱗狀細胞癌、黑素瘤、非霍奇金氏淋巴瘤、非小細胞肺癌、卵巢癌、食管癌、胰腺癌、前列腺癌、腎細胞癌、小細胞肺癌、膀胱癌、及子宮內膜癌。The present invention furthermore generally relates to the peptides according to the invention for use in the treatment of proliferative diseases. Proliferative diseases in this context are, for example, acute myeloid leukemia, breast cancer, cholangiocarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer, gastro-esophageal junction cancer, hepatocellular carcinoma, Head and neck squamous cell carcinoma, melanoma, non-Hodgkin's lymphoma, non-small cell lung cancer, ovarian cancer, esophageal cancer, pancreatic cancer, prostate cancer, renal cell cancer, small cell lung cancer, bladder cancer, and uterine cancer Endometrial cancer.

尤其較佳的為單獨或呈組合的肽,其係選自由SEQ ID NO: 1至SEQ ID NO: 113組成之群組。Especially preferred are peptides, alone or in combination, selected from the group consisting of SEQ ID NO: 1 to SEQ ID NO: 113.

因此,本發明之另一態樣係關於根據本發明之肽用於治療(較佳組合治療)增生性疾病的用途。Therefore, another aspect of the present invention relates to the use of the peptides according to the present invention for the treatment (preferably combined treatment) of proliferative diseases.

本發明此外係關於根據本發明之肽,其具有結合至MHC分子I類或—以伸長形式、諸如長度變異體—MHC II類的能力。The present invention furthermore relates to peptides according to the invention, which have the ability to bind to MHC molecule class I or - in elongated form, such as length variants - MHC class II.

本發明進一步係關於伸長肽,其在投予(例如作為疫苗投予)之後可經細胞內加工,從而產生較短的肽,其由或主要由根據SEQ ID NO: 1至SEQ ID NO: 113之胺基酸序列組成,該等較短肽隨後藉由細胞表面上之HLA呈現。The present invention further relates to elongated peptides which, after administration (eg, as a vaccine), can be processed intracellularly to produce shorter peptides, which consist or consist essentially of according to SEQ ID NO: 1 to SEQ ID NO: 113 Consisting of the amino acid sequences of these shorter peptides, these shorter peptides are then presented by HLA on the cell surface.

本發明進一步係關於根據本發明之肽,其中該等肽(各自)由或主要由根據SEQ ID NO: 1至SEQ ID NO: 113之胺基酸序列組成。The present invention further relates to peptides according to the invention, wherein the peptides (each) consist or consist essentially of the amino acid sequences according to SEQ ID NO: 1 to SEQ ID NO: 113.

本發明進一步係關於根據本發明之肽,其中該肽包括非肽鍵。The present invention further relates to a peptide according to the invention, wherein the peptide comprises a non-peptide bond.

本發明進一步係關於根據本發明之肽,其中該肽為融合蛋白質的部分,其尤其融合至HLA-DR抗原相關聯不變鏈(Ii)之N末端胺基酸或融合至抗體(或融合至抗體之序列中),該抗體諸如例如對樹突細胞為特異性的抗體。The invention further relates to a peptide according to the invention, wherein the peptide is part of a fusion protein, in particular fused to the N-terminal amino acid of the invariant chain (Ii) associated with the HLA-DR antigen or to an antibody (or to in the sequence of an antibody) such as, for example, an antibody specific for dendritic cells.

本發明進一步係關於編碼根據本發明之肽的核酸。本發明進一步係關於根據本發明之核酸,其為DNA、cDNA、PNA、RNA或其組合。The present invention further relates to nucleic acids encoding the peptides according to the invention. The present invention further relates to a nucleic acid according to the present invention, which is DNA, cDNA, PNA, RNA or a combination thereof.

本發明進一步係關於表現載體,其能夠表現及/或表現根據本發明之核酸。The present invention further relates to expression vectors capable of expressing and/or expressing nucleic acids according to the invention.

本發明進一步係關於根據本發明之肽、根據本發明之核酸或根據本發明之表現載體,其係用於治療疾病及用於藥物中、尤其用於治療癌症。The present invention further relates to peptides according to the invention, nucleic acids according to the invention or expression vectors according to the invention for use in the treatment of diseases and in medicine, in particular for the treatment of cancer.

本發明進一步係關於抗體及製造該些抗體之方法,該等抗體對根據本發明之肽或根據本發明之該等肽與MHC之複合物為特異性的。The present invention further relates to antibodies specific for peptides according to the invention or complexes of such peptides and MHC according to the invention and methods of making such antibodies.

本揭示內容亦可係關於產生特異性結合至與包含、由或主要由根據SEQ ID NO: 1至SEQ ID NO: 113之胺基酸序列組成的肽複合的MHC I類分子之抗體的方法,該方法包括:利用與由或主要由根據SEQ ID NO: 1至SEQ ID NO: 113之胺基酸序列組成的肽複合的可溶形式之MHC I類分子使含有表現該MHC I類分子之細胞的經基因工程改造的非人類哺乳動物免疫;自該非人類哺乳動物之抗體產生細胞分離mRNA分子;產生顯露藉由該等mRNA分子編碼的蛋白質分子之噬菌體顯露庫;及自該噬菌體顯露庫分離至少一個噬菌體,其中該至少一個噬菌體顯露特異性結合至與包含、由或主要由根據SEQ ID NO: 1至SEQ ID NO: 113之胺基酸序列組成的肽複合的該MHC I類分子的該抗體。在另一態樣中,抗體可為單株抗體。The present disclosure may also relate to methods of producing antibodies that specifically bind to MHC class I molecules complexed with a peptide comprising, consisting of, or consisting essentially of the amino acid sequences according to SEQ ID NO: 1 to SEQ ID NO: 113, The method comprises: using a soluble form of the MHC class I molecule complexed with a peptide consisting of, or consisting essentially of, the amino acid sequences according to SEQ ID NO: 1 to SEQ ID NO: 113, causing cells containing the MHC class I molecule to express the MHC class I molecule immunization of a genetically engineered non-human mammal; isolation of mRNA molecules from antibody-producing cells of the non-human mammal; production of a phage-revealed library that exposes protein molecules encoded by the mRNA molecules; and isolation from the phage-revealed library of at least A bacteriophage, wherein the at least one bacteriophage exhibits the antibody that specifically binds to the MHC class I molecule complexed with, consisting of, or consisting essentially of a peptide according to the amino acid sequence of SEQ ID NO: 1 to SEQ ID NO: 113 . In another aspect, the antibody can be a monoclonal antibody.

在一態樣中,抗體可以<100 nM、更佳地<50 nM、更佳地<10 nM、更佳地<1 nM、更佳地<0.1 nM、更佳地<0.01 nM的結合親和力(K d)結合至與包含、由或主要由根據SEQ ID NO: 1至SEQ ID NO: 113之胺基酸序列組成的抗原複合的該MHC I類分子。 In one aspect, the antibody may have a binding affinity ( Kd ) Binds to the MHC class I molecule complexed with an antigen comprising, consisting of, or consisting essentially of the amino acid sequences according to SEQ ID NO: 1 to SEQ ID NO: 113.

在另一態樣中,產生抗體之方法可進一步包括將抗體人源化。在態樣中,產生抗體之方法可進一步包括將抗體與毒素接合。在另一態樣中,產生抗體之方法可進一步包括將抗體與免疫刺激域接合。In another aspect, the method of producing an antibody can further comprise humanizing the antibody. In aspects, the method of producing an antibody can further comprise conjugating the antibody to a toxin. In another aspect, the method of producing an antibody can further comprise conjugating the antibody to an immunostimulatory domain.

在一態樣中,產生抗體之方法可進一步包括修飾呈雙特異性抗體形式之抗體。在另一態樣中,產生抗體之方法可進一步包括修飾呈嵌合抗體形式之抗體。在另一態樣中,產生抗體之方法可進一步包括修飾呈Fv形式之抗體。在一態樣中,產生抗體之方法可進一步包括修飾呈Fab形式之抗體。在另一態樣中,產生抗體之方法可進一步包括修飾呈Fab'形式之抗體。在另一態樣中,產生抗體之方法可進一步包括用放射性核苷酸標記抗體,該放射性核苷酸可選自由以下各項組成之群組: 111In、 99Tc、 14C、 131I、 3H、 32P、及 35S。在另一態樣中,非人類哺乳動物可為小鼠。 In one aspect, the method of producing an antibody may further comprise modifying the antibody in the form of a bispecific antibody. In another aspect, the method of producing an antibody can further comprise modifying the antibody in the form of a chimeric antibody. In another aspect, the method of producing an antibody can further comprise modifying the antibody in Fv form. In one aspect, the method of producing an antibody can further comprise modifying the antibody in Fab form. In another aspect, the method of producing an antibody can further comprise modifying the antibody in Fab' form. In another aspect, the method of producing an antibody can further comprise labeling the antibody with a radionucleotide selected from the group consisting of: 111In , 99Tc , 14C , 131I , 3H , 32P , and 35S . In another aspect, the non-human mammal can be a mouse.

本發明進一步係關於工程改造至自體或同種異體T細胞中的TCR,尤其是可溶TCR及經選殖TCR,及製造該些TCR之方法,以及帶有該TCR或與該等TCR交叉反應的NK細胞或其他細胞。可溶TCR可具有<100 nM、更佳地<50 nM、更佳地<10 nM、更佳地<1 nM、更佳地<0.1 nM、更佳地<0.01 nM的結合親和力(K d)。而基於經選殖細胞的TCR可具有<50 μM、更佳地<25 μM、更佳地<10 μM、更佳地<1 μM、更佳地<0.1 μM的結合親和力(K d)。 The present invention further relates to TCRs engineered into autologous or allogeneic T cells, especially soluble TCRs and cloned TCRs, and methods of making these TCRs, and carrying or cross-reacting with the TCRs NK cells or other cells. The soluble TCR may have a binding affinity ( Kd ) of <100 nM, more preferably <50 nM, more preferably <10 nM, more preferably <1 nM, more preferably <0.1 nM, more preferably <0.01 nM . Whereas the colonized cell based TCR may have a binding affinity ( Kd ) of <50 μM, more preferably <25 μM, more preferably <10 μM, more preferably <1 μM, more preferably <0.1 μM.

抗體及TCR為當前的根據本發明之肽的免疫治療用途的另外實施例。Antibodies and TCRs are further examples of current immunotherapeutic uses of peptides according to the invention.

本發明進一步係關於包含根據本發明之核酸或如前文所述的表現載體之寄主細胞。本發明進一步係關於根據本發明之寄主細胞,其為抗原呈現細胞及較佳地為樹突細胞。The present invention further relates to host cells comprising a nucleic acid according to the invention or an expression vector as hereinbefore described. The invention further relates to host cells according to the invention, which are antigen presenting cells and preferably dendritic cells.

本發明進一步係關於根據本發明之該方法,其中抗原藉由使足夠量的抗原與抗原呈現細胞接觸來載入至適合的抗原呈現細胞或人工抗原呈現細胞之表面上表現的I類或II類MHC分子上。The invention further relates to the method according to the invention, wherein the antigen is loaded into class I or class II expressed on the surface of a suitable antigen-presenting cell or artificial antigen-presenting cell by contacting a sufficient amount of the antigen with the antigen-presenting cell on MHC molecules.

本發明進一步係關於根據本發明之方法,其中抗原呈現細胞包含能夠表現含有SEQ ID NO: 1至SEQ ID NO: 113之該肽的表現載體。The invention further relates to the method according to the invention, wherein the antigen presenting cell comprises an expression vector capable of expressing the peptide comprising SEQ ID NO: 1 to SEQ ID NO: 113.

本發明進一步係關於藉由根據本發明之方法產生的活化T細胞,其中該T細胞選擇性地識別表現包含根據本發明之胺基酸序列的多肽的細胞。The invention further relates to activated T cells produced by the method according to the invention, wherein the T cells selectively recognize cells expressing a polypeptide comprising an amino acid sequence according to the invention.

本發明進一步係關於殺傷患者中之靶細胞的方法,該患者之靶細胞異常地表現包含根據本發明之任何胺基酸序列的多肽,該方法包含將有效量的如根據本發明產生的T細胞投予至患者。The present invention further relates to a method of killing target cells in a patient that abnormally expresses a polypeptide comprising any amino acid sequence according to the present invention, the method comprising adding an effective amount of T cells as produced according to the present invention administered to the patient.

本發明進一步係關於如所描述的任何肽、根據本發明之核酸、根據本發明之表現載體、根據本發明之細胞、根據本發明之活化T淋巴細胞、TCR或抗體或其他肽及/或肽-MHC結合分子作為藥劑或在製造藥劑中之用途。較佳地,該藥劑對癌症為活性的。The invention further relates to any peptides as described, nucleic acids according to the invention, expression vectors according to the invention, cells according to the invention, activated T lymphocytes according to the invention, TCRs or antibodies or other peptides and/or peptides - Use of an MHC binding molecule as a medicament or in the manufacture of a medicament. Preferably, the agent is active against cancer.

較佳地,該藥劑為基於可溶TCR或抗體之細胞治療劑、疫苗或蛋白質。Preferably, the agent is a soluble TCR or antibody-based cell therapy, vaccine or protein.

本發明進一步係關於根據本發明之用途,其中該等癌症為急性骨髓性白血病、乳癌、膽管細胞癌、慢性淋巴球性白血病、結腸直腸癌、膽囊癌、神經膠質母細胞瘤、胃癌、胃-食管接合癌、肝細胞癌、頭及頸鱗狀細胞癌、黑素瘤、非霍奇金氏淋巴瘤、非小細胞肺癌、卵巢癌、食管癌、胰腺癌、前列腺癌、腎細胞癌、小細胞肺癌、膀胱癌、及子宮內膜癌,且較佳地為急性骨髓性白血病、乳癌、膽管細胞癌、慢性淋巴球性白血病、結腸直腸癌、膽囊癌、神經膠質母細胞瘤、胃癌、胃-食管接合癌、肝細胞癌、頭及頸鱗狀細胞癌、黑素瘤、非霍奇金氏淋巴瘤、非小細胞肺癌、卵巢癌、食管癌、胰腺癌、前列腺癌、腎細胞癌、小細胞肺癌、膀胱癌、及子宮內膜癌細胞。The invention further relates to the use according to the invention, wherein the cancers are acute myeloid leukemia, breast cancer, cholangiocarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer, gastric- Esophageal junctional carcinoma, hepatocellular carcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodgkin's lymphoma, non-small cell lung cancer, ovarian cancer, esophageal cancer, pancreatic cancer, prostate cancer, renal cell carcinoma, small Lung cancer, bladder cancer, and endometrial cancer, and preferably acute myeloid leukemia, breast cancer, cholangiocarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer, gastric cancer -Esophageal junctional carcinoma, hepatocellular carcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodgkin's lymphoma, non-small cell lung cancer, ovarian cancer, esophageal cancer, pancreatic cancer, prostate cancer, renal cell carcinoma, Small cell lung cancer, bladder cancer, and endometrial cancer cells.

本發明進一步係關於基於根據本發明之肽的生物標誌,本文稱為「標靶」,其可用於診斷癌症,較佳為急性骨髓性白血病、乳癌、膽管細胞癌、慢性淋巴球性白血病、結腸直腸癌、膽囊癌、神經膠質母細胞瘤、胃癌、胃-食管接合癌、肝細胞癌、頭及頸鱗狀細胞癌、黑素瘤、非霍奇金氏淋巴瘤、非小細胞肺癌、卵巢癌、食管癌、胰腺癌、前列腺癌、腎細胞癌、小細胞肺癌、膀胱癌、及子宮內膜癌。標誌可為肽自身的過度呈現,或相應基因的過度表現。標誌亦可用於預測治療、較佳地免疫治療、及最佳靶向藉由生物標誌鑑別的同一標靶的免疫治療之成功機率。例如,抗體或可溶TCR可用於染色腫瘤之切片以偵測具有MHC的複合物中所關注肽之存在。The present invention further relates to biomarkers based on the peptides according to the invention, referred to herein as "targets", which can be used to diagnose cancer, preferably acute myeloid leukemia, breast cancer, cholangiocarcinoma, chronic lymphocytic leukemia, colon Rectal cancer, gallbladder cancer, glioblastoma, gastric cancer, gastroesophageal junction cancer, hepatocellular carcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodgkin's lymphoma, non-small cell lung cancer, ovary cancer, esophageal cancer, pancreatic cancer, prostate cancer, renal cell cancer, small cell lung cancer, bladder cancer, and endometrial cancer. A marker can be over-representation of the peptide itself, or over-representation of the corresponding gene. Markers can also be used to predict the probability of success of treatment, preferably immunotherapy, and immunotherapy that optimally targets the same target identified by the biomarker. For example, antibodies or soluble TCRs can be used to stain sections of tumors to detect the presence of peptides of interest in complexes with MHC.

視情況,抗體攜帶諸如免疫刺激域或毒素之另一效應物功能。Optionally, the antibody carries another effector function such as an immunostimulatory domain or toxin.

本發明亦係關於該些新穎標靶在癌症治療情形中之用途。The present invention also relates to the use of these novel targets in the context of cancer therapy.

免疫反應之刺激係取決於藉由寄主免疫系統識別為外來的抗原之存在。發現腫瘤相關抗原之存在產生使用寄主之免疫系統來干涉腫瘤生長之可能性。現針對癌症免疫治療來探究控制免疫系統之體液臂及細胞臂兩者的各種機制。Stimulation of an immune response depends on the presence of antigens recognized as foreign by the host immune system. The discovery of the presence of tumor-associated antigens raises the possibility of using the host's immune system to interfere with tumor growth. Various mechanisms that control both the humoral and cellular arms of the immune system are now being explored for cancer immunotherapy.

細胞免疫反應之特異性元件能夠特異性地識別及破壞腫瘤細胞。自腫瘤浸潤細胞群體或自周邊血液分離T細胞暗示此類細胞在針對癌症的天然免疫防禦中起重要作用。CD8陽性T細胞尤其在此反應中起重要作用,該等CD8陽性T細胞識別MHC I類分子,其帶有來源於位於細胞溶質中的蛋白質或缺陷性核糖體產物(defect ribosomal products; DRIPS)的通常具有8至12個胺基酸殘基的肽。人類的MHC分子亦稱為人類白血球抗原(human leukocyte-antigen; HLA)。Specific elements of cellular immune responses can specifically recognize and destroy tumor cells. Isolation of T cells from tumor-infiltrating cell populations or from peripheral blood suggests that such cells play an important role in innate immune defense against cancer. In particular, CD8-positive T cells play an important role in this response, and these CD8-positive T cells recognize MHC class I molecules with proteins derived from proteins located in the cytosol or defective ribosomal products (DRIPS). Peptides typically have 8 to 12 amino acid residues. Human MHC molecules are also known as human leukocyte-antigen (human leukocyte-antigen; HLA).

如本文所使用且除非另外說明,否則所有術語如下文所給出的來定義。As used herein and unless otherwise stated, all terms are defined as given below.

術語「T細胞反應」意指藉由肽在體外或體內誘導的效應物功能之特異性增殖及活化。對於MHC I類限制的細胞毒性T細胞,效應物功能可為肽脈衝靶細胞、肽前驅物脈衝靶細胞或天然肽呈現靶細胞之溶解,藉由肽誘導的細胞介素(較佳為干擾素-γ、TNF-α、或IL-2)之分泌,藉由肽誘導的效應分子(較佳為顆粒酶或穿孔蛋白)之分泌,或去顆粒。The term "T cell response" means the specific proliferation and activation of effector functions induced by peptides in vitro or in vivo. For MHC class I-restricted cytotoxic T cells, the effector function can be peptide-pulsed target cells, peptide precursor-pulsed target cells, or lysis of native peptide-presenting target cells, by peptide-induced interferon (preferably interferon) - secretion of gamma, TNF-alpha, or IL-2), secretion by peptide-induced effector molecules (preferably granzyme or perforin), or degranulation.

術語「肽」在本文用以指定一系列胺基酸殘基,其典型地藉由相鄰胺基酸之α胺基與羧基之間的肽鍵將一個胺基酸連接至另一個胺基酸。The term "peptide" is used herein to designate a series of amino acid residues, typically one amino acid is linked to another by a peptide bond between the alpha amino group and the carboxyl group of adjacent amino acids .

此外,術語「肽」將包括一系列胺基酸殘基之鹽,該等胺基酸殘基典型地藉由相鄰胺基酸之α胺基與羧基之間的肽鍵將一個胺基酸連接至另一個胺基酸。較佳地,鹽為肽之醫藥學上可接受的鹽,諸如,例如氯化物或乙酸鹽(三氟乙酸鹽)。必須注意,根據本發明之肽的鹽實質上不同於在其體內狀態下的肽,因為肽在體內並非呈鹽的形式或與相對離子相關聯。In addition, the term "peptide" shall include salts of a series of amino acid residues, which are typically linked to one amino acid by a peptide bond between the alpha amino group and the carboxyl group of adjacent amino acids. linked to another amino acid. Preferably, the salt is a pharmaceutically acceptable salt of the peptide, such as, for example, the chloride or acetate (trifluoroacetate). It must be noted that the salts of the peptides according to the invention are substantially different from the peptides in their in vivo state, since the peptides are not in the form of salts or associated with relative ions in vivo.

術語「肽」亦將包括「寡肽」。術語「寡肽」在本文用以指定一系列胺基酸殘基,其典型地藉由相鄰胺基酸之α胺基與羧基之間的肽鍵將一個胺基酸連接至另一個胺基酸。寡肽之長度對本發明不是關鍵的,只要寡肽中維持正確的一或多個抗原決定基即可。The term "peptide" shall also include "oligopeptide". The term "oligopeptide" is used herein to designate a series of amino acid residues, typically one amino acid is linked to another by a peptide bond between the alpha amino group and the carboxyl group of adjacent amino acids acid. The length of the oligopeptide is not critical to the present invention as long as the correct epitope or epitopes are maintained in the oligopeptide.

術語「多肽」指定一系列胺基酸殘基,其典型地藉由相鄰胺基酸之α胺基與羧基之間的肽鍵將一個胺基酸連接至另一個胺基酸。多肽之長度對本發明不是關鍵的,只要維持正確的抗原決定基即可。與術語肽或寡肽相對比,術語多肽意味指代含有超過約30個胺基酸殘基的分子。The term "polypeptide" designates a series of amino acid residues, typically one amino acid is linked to another by a peptide bond between the alpha amino group and the carboxyl group of adjacent amino acids. The length of the polypeptide is not critical to the present invention as long as the correct epitope is maintained. In contrast to the terms peptide or oligopeptide, the term polypeptide is meant to refer to molecules containing more than about 30 amino acid residues.

若編碼此類分子的肽、寡肽、蛋白質或多核苷酸能夠誘導免疫反應,則其為「免疫性的」(且因此為本發明內的「免疫原」)。在本發明的情況下,免疫原性係更具體地定義為誘導T細胞反應之能力。因此,「免疫原」將為能夠誘導免疫反應的分子,且在本發明的情況下為能夠誘導T細胞反應的分子。在另一態樣中,免疫原可為用於產生針對其之特異性抗體或TCR的肽、肽與MHC之複合物、寡肽、及/或蛋白質。A peptide, oligopeptide, protein or polynucleotide encoding such a molecule is "immune" (and therefore "immunogen" within the present invention) if it is capable of inducing an immune response. In the context of the present invention, immunogenicity is more specifically defined as the ability to induce a T cell response. Thus, an "immunogen" will be a molecule capable of inducing an immune response, and in the context of the present invention, a molecule capable of inducing a T cell response. In another aspect, the immunogen can be a peptide, a complex of a peptide and MHC, an oligopeptide, and/or a protein used to generate antibodies or TCRs specific thereto.

I類T細胞「抗原決定基」需要短的肽,其結合至I類MHC分子,從而形成三元複合物(MHC I類α鏈、β-2-微球蛋白、及肽),該三元複合物可由帶有以適當的親和力結合至MHC-肽複合物的匹配T細胞受體的T細胞識別。結合至MHC I類分子之肽的長度典型地為8-12個胺基酸,且長度最典型地為9個胺基酸。Class I T cell "epitopes" require short peptides that bind to MHC class I molecules to form a ternary complex (MHC class I alpha chain, beta-2-microglobulin, and a peptide), which The complex can be recognized by T cells with a matched T cell receptor that binds to the MHC-peptide complex with appropriate affinity. Peptides bound to MHC class I molecules are typically 8-12 amino acids in length, and most typically 9 amino acids in length.

在人類體內,存在編碼MHC I類分子(人類的MHC分子亦稱為人類白細胞抗原(human leukocyte antigen; HLA))的三個不同的基因座:HLA-A、HLA-B、及HLA-C。HLA-A*01、HLA-A*02及HLA-B*07為可自該些基因座表現的不同MHC I類等位基因之實例。In humans, there are three distinct loci encoding MHC class I molecules (MHC molecules in humans are also known as human leukocyte antigen (HLA)): HLA-A, HLA-B, and HLA-C. HLA-A*01, HLA-A*02, and HLA-B*07 are examples of different MHC class I alleles that can be expressed from these loci.

本發明之肽,較佳地在包括至如本文描述的本發明之疫苗中時結合至選自由以下各項組成之群組的至少一者:HLA-A*01:01、HLA-A*03:01、HLA-A*24:02、HLA-B*07:02、HLA-B*08:01及HLA-B*44:02,外加視情況其他HLA異型。歸因於結合模式之相似性,諸如相關錨定位置之相似性,一些肽結合至超過一種等位基因,此種重疊很可能為但不限於亦結合至HLA-B*15之HLA-A*01結合肽、亦結合至HLA-A*11之HLA-A*03結合肽、亦結合至HLA-B*35及HLA-B*51之HLA-B*07結合肽。The peptides of the invention, preferably when included in the vaccines of the invention as described herein, bind to at least one selected from the group consisting of: HLA-A*01:01, HLA-A*03 :01, HLA-A*24:02, HLA-B*07:02, HLA-B*08:01 and HLA-B*44:02, plus other HLA atypia as appropriate. Due to similarities in binding patterns, such as similarity in relative anchoring positions, some peptides bind to more than one allele, and this overlap is likely, but not limited to, HLA-A* which also binds to HLA-B*15 01 binding peptide, HLA-A*03 binding peptide also bound to HLA-A*11, HLA-B*07 binding peptide also bound to HLA-B*35 and HLA-B*51.

疫苗亦可包括泛結合MHC II類肽。因此,本發明之疫苗可用於治療患者中的對相應HLA等位基因為陽性的癌症,而歸因於該些肽之泛結合特性,不需要針對MHC II類異型的選擇。Vaccines may also include pan-binding MHC class II peptides. Thus, the vaccines of the present invention can be used to treat cancers in patients that are positive for the corresponding HLA allele without the need for selection against MHC class II alleles due to the pan-binding properties of these peptides.

若本發明之肽係與結合至另一等位基因的肽組合,則相較於單獨針對任一種MHC I類等位基因,可治療較高百分比的任何患者群體。If the peptides of the invention are combined with a peptide that binds to another allele, a higher percentage of any patient population can be treated than if directed against either MHC class I allele alone.

在一較佳實施例中,術語「核苷酸序列」係指去氧核糖核苷酸之異聚物。In a preferred embodiment, the term "nucleotide sequence" refers to a heteropolymer of deoxyribonucleotides.

編碼特定肽、寡肽、或多肽的核苷酸序列可為天然存在的或其可經合成構築。通常,編碼本發明之肽、多肽、及蛋白質的DNA區段係自cDNA片段及短的寡核苷酸連接子裝配,或自一系列寡核苷酸裝配,以提供能夠在包含來源於微生物或病毒操縱子的調節元件之重組轉錄單元中表現的合成基因。Nucleotide sequences encoding particular peptides, oligopeptides, or polypeptides can be naturally occurring or they can be constructed synthetically. Typically, DNA segments encoding the peptides, polypeptides, and proteins of the invention are assembled from cDNA fragments and short oligonucleotide linkers, or from a series of oligonucleotides, to provide Synthetic genes expressed in recombinant transcription units of the regulatory elements of viral operons.

如本文所使用,術語「編碼(coding)(或編碼(encoding)肽的核苷酸)」係指包括對生物系統相容的人工(人造)起始密碼子及終止密碼子的編碼肽的核苷酸序列,該序列將藉由例如適用於產生TCR的樹突細胞或另一細胞系統表現。As used herein, the term "coding (or nucleotide encoding a peptide)" refers to a peptide-encoding core that includes an artificial (artificial) start codon and stop codon that are compatible with biological systems A nucleotide sequence that will be expressed by, for example, a dendritic cell or another cellular system suitable for TCR production.

如本文所使用,對核酸序列的提及包括單鏈核酸及雙鏈核酸兩者。因此,例如對DNA而言,除非上下文另外指示,否則特定序列係指此類序列之單鏈DNA、此類序列與其補體的雙鏈體(雙鏈DNA)及此類序列之補體。As used herein, reference to a nucleic acid sequence includes both single-stranded and double-stranded nucleic acids. Thus, for example, with respect to DNA, unless the context dictates otherwise, a particular sequence refers to single-stranded DNA of such sequences, duplexes of such sequences and their complements (double-stranded DNA), and complements of such sequences.

術語「編碼區」係指基因之部分,其天然地或正常地編碼彼基因在其天然基因體學環境中之表現產物,亦即,在體內編碼該基因之初始表現產物的區域。The term "coding region" refers to the portion of a gene that naturally or normally encodes the expressed product of that gene in its natural genomic environment, ie, the region that encodes the initially expressed product of the gene in vivo.

編碼區可來源於非突變(「正常」)基因、突變基因或經改變基因,或甚至可來源於使用DNA合成領域之技藝人士所熟知的方法在實驗室中整體合成的DNA序列或基因。The coding region can be derived from a non-mutated ("normal") gene, a mutated gene or an altered gene, or can even be derived from a DNA sequence or gene synthesized in its entirety in the laboratory using methods well known to those skilled in the art of DNA synthesis.

術語「表現產物」意指多肽或蛋白質,其為基因及由遺傳碼簡併產生並因此編碼相同胺基酸的任何核酸序列編碼等效物之天然轉譯產物。The term "expression product" means a polypeptide or protein that is the natural translation product of a gene and any nucleic acid sequence that results from the degeneracy of the genetic code and thus encodes equivalents of the same amino acid.

當提及編碼序列時,術語「片段」意指DNA之一部分,其包含小於完全的編碼區,其表現產物保持與完全編碼區之表現產物本質上相同的生物功能或活性。When referring to a coding sequence, the term "fragment" means a portion of DNA comprising a less than complete coding region, the expressed product of which retains substantially the same biological function or activity as the expressed product of the complete coding region.

術語「DNA區段」係指呈單獨片段形式或作為較大DNA構築體之組分的DNA聚合物,其已來源於以實質上純的形式,亦即,在不污染內生性物質的情況下經至少一次分離的DNA,且其數量或濃度賦能藉由標準生化方法,例如,藉由使用選殖載體來鑑別、操縱、及回收該區段及其組分。以不由典型地存在於真核基因中之內部非轉譯序列或內含子中斷的開放閱讀框架形式提供此類區段。非轉譯DNA之序列可存在於開放閱讀框架下游,其中該等序列不干擾編碼區之操縱或表現。The term "DNA segment" refers to a polymer of DNA in the form of individual fragments or as a component of a larger DNA construct, which has been derived in substantially pure form, that is, without contamination of endogenous material DNA isolated at least once and in an amount or concentration that enables the segment and its components to be identified, manipulated, and recovered by standard biochemical methods, eg, by use of a cloning vector. Such segments are provided in open reading frames not interrupted by internal non-translated sequences or introns typically found in eukaryotic genes. Sequences of non-translated DNA may be present downstream of the open reading frame, wherein the sequences do not interfere with the manipulation or representation of the coding region.

術語「醫藥學上可接受的鹽」係指所揭示肽之衍生物,其中肽係藉由製成試劑之酸式或鹼式鹽來修飾。例如,酸式鹽係自游離鹼(典型地其中藥物之中性形式具有中性-NH 2基團)製備,涉及與適合酸的反應。用於製備酸式鹽的適合酸包括:有機酸,例如,乙酸、丙酸、羥基乙酸、丙酮酸、草酸、蘋果酸、丙二酸、琥珀酸、順丁烯二酸、反丁烯二酸、酒石酸、檸檬酸、苯甲酸、肉桂酸、扁桃酸、甲烷磺酸、乙烷磺酸、對甲苯磺酸、水楊酸、及類似物;以及無機酸,例如,鹽酸、氫溴酸、硫酸、硝酸、磷酸、及類似物。相反地,可存在於肽上的酸部分之鹼式鹽的製備係使用諸如氫氧化鈉、氫氧化鉀、氫氧化銨、氫氧化鈣、三甲胺或類似物的醫藥學上可接受的鹼來製備。在一較佳實施例中,醫藥組合物包含作為乙酸之鹽(乙酸鹽)、三氟乙酸鹽或鹽酸之鹽(氯化物)的肽。 The term "pharmaceutically acceptable salts" refers to derivatives of the disclosed peptides wherein the peptides are modified by making acid or base salts of the reagents. For example, acid salts are prepared from the free base (typically wherein the neutral form of the drug has a neutral -NH2 group) involving reaction with a suitable acid. Suitable acids for preparing acid salts include: organic acids such as acetic acid, propionic acid, glycolic acid, pyruvic acid, oxalic acid, malic acid, malonic acid, succinic acid, maleic acid, fumaric acid , tartaric acid, citric acid, benzoic acid, cinnamic acid, mandelic acid, methanesulfonic acid, ethanesulfonic acid, p-toluenesulfonic acid, salicylic acid, and the like; and inorganic acids such as hydrochloric acid, hydrobromic acid, sulfuric acid , nitric acid, phosphoric acid, and the like. Conversely, base salts of acid moieties that may be present on peptides are prepared using pharmaceutically acceptable bases such as sodium hydroxide, potassium hydroxide, ammonium hydroxide, calcium hydroxide, trimethylamine, or the like preparation. In a preferred embodiment, the pharmaceutical composition comprises the peptide as a salt of acetic acid (acetate), trifluoroacetate or hydrochloric acid (chloride).

呈醫藥學上可接受的鹽形式的本揭示內容之肽不是天然發現的。本揭示內容之肽結合MHC分子。送至內質網(endoplasmic reticulum; ER)用於與MHC分子締合之MHC肽係最終肽之較長前驅物,該等最終肽係在結合至MHC分子時(肽-MHC複合物)運送至細胞表面。藉由MHC分子呈現的肽從不自由浮動且甚至在與MHC分子締合之後,將其自ER中之較長前驅物修正至適當大小。如天然所見,本揭示內容之肽(處於或不處於較長前驅物肽內)在任何時候皆不呈醫藥學上可接受的鹽形式。鹽形式之存在意指側基及/或N末端及/或C末端結合至鹽離子係顯著不同的結構/化學變化。本揭示內容之肽的醫藥學上可接受的鹽形式需要能夠以化學計量定義的莫耳濃度給予肽質子或接受肽之質子的酸及/或鹼,此種鹽僅在不為細胞質之受控環境中形成。The peptides of the present disclosure in the form of pharmaceutically acceptable salts are not found in nature. The peptides of the present disclosure bind to MHC molecules. MHC peptides sent to the endoplasmic reticulum (ER) for association with MHC molecules are longer precursors to final peptides that are transported to MHC molecules (peptide-MHC complexes) cell surface. The peptide presented by the MHC molecule never floats freely and is corrected to the appropriate size from the longer precursor in the ER even after association with the MHC molecule. At no time are the peptides of the present disclosure (with or without longer precursor peptides) in a pharmaceutically acceptable salt form, as seen in nature. The presence of the salt form means that the pendant and/or N-terminal and/or C-terminal binding to the salt ion is a significantly different structural/chemical change. Pharmaceutically acceptable salt forms of the peptides of the present disclosure require acids and/or bases that are capable of donating or accepting protons to the peptides at stoichiometrically defined molar concentrations, such salts only when not under cytoplasmic control formed in the environment.

術語「啟動子」意指涉及結合RNA聚合酶以起始轉錄的DNA區。The term "promoter" means a region of DNA involved in binding RNA polymerase to initiate transcription.

術語「分離」意指將物質自其原始環境(例如,天然環境,若其為天然存在的話)移除。例如,存在於活動物體內的天然存在的多核苷酸或多肽不是分離的,但與天然系統中的共存物質的一些或所有分離的相同多核苷酸或多肽是分離的。此類多核苷酸可為載體的部分及/或此類多核苷酸或多肽可為組合物的部分,且仍是分離的,原因在於此類載體或組合物並非其自然環境的部分。The term "isolated" means the removal of a substance from its original environment (eg, the natural environment if it occurs in nature). For example, a naturally occurring polynucleotide or polypeptide present in a living organism is not isolated, but is isolated from the same polynucleotide or polypeptide that is isolated from some or all of the coexisting species in the natural system. Such polynucleotides may be part of a vector and/or such polynucleotides or polypeptides may be part of a composition and still be isolated in that such a vector or composition is not part of its natural environment.

根據本發明揭示的多核苷酸及重組或免疫多肽亦可呈「純化」形式。術語「純化」不需要絕對純度,實情為,其意欲作為相對定義,且可包括高度純化的製劑或僅部分純化的製劑,因為彼等術語係相關技術中的技藝人士所理解的。例如,自cDNA庫分離的個別純系已習知地純化至電泳同質性。清楚地涵蓋將起始材料或天然材料純化至至少一個數量級、較佳地兩個或三個數量級、及更佳地四個或五個數量級。此外,清楚地涵蓋具有以重量計較佳99.999%或至少99.99%或99.9%;且甚至合需地99%或更大之純度的所主張多肽。The polynucleotides and recombinant or immune polypeptides disclosed in accordance with the present invention may also be in "purified" form. The term "purified" does not require absolute purity, rather, it is intended as a relative definition, and can include highly purified preparations or only partially purified preparations, as those terms are understood by those skilled in the relevant art. For example, individual clones isolated from cDNA libraries have been conventionally purified to electrophoretic homogeneity. Purification of the starting material or natural material to at least one order of magnitude, preferably two or three orders of magnitude, and more preferably four or five orders of magnitude is expressly contemplated. Furthermore, claimed polypeptides having a purity by weight of preferably 99.999% or at least 99.99% or 99.9%; and even desirably 99% or greater are expressly encompassed.

根據本發明揭示的核酸及多肽表現產物,以及含有此類核酸及/或此類多肽之表現載體可呈「富集形式」。如本文所使用,術語「富集」意指物質之濃度為(例如)其天然濃度的至少約2、5、10、100、或1000倍,有利地為以重量計0.01%、較佳地以重量計至少約0.1%。亦涵蓋以重量計約0.5%、1%、5%、10%、及20%之富集製劑。構成本發明的序列、構築體、載體、純系、及其他物質可有利地呈富集形式或分離形式。術語「活性片段」意指通常為肽、多肽或核酸序列之片段,其在單獨或視情況與適合佐劑一起或於載體中投予至動物時產生免疫反應(亦即,具有免疫活性),該動物諸如哺乳動物,例如,小鼠、大鼠、駱馬、綿羊、山羊、犬、或馬,以及包括人類,此類免疫反應呈現在諸如人類的受體動物內刺激T細胞反應的形式。替代地,「活性片段」亦可用於誘導體外T細胞反應。Nucleic acid and polypeptide expression products disclosed in accordance with the present invention, as well as expression vectors containing such nucleic acids and/or such polypeptides, may be in "enriched form." As used herein, the term "enriched" means that the concentration of a substance is, for example, at least about 2, 5, 10, 100, or 1000 times its natural concentration, advantageously 0.01% by weight, preferably at At least about 0.1% by weight. Also encompassed are enriched formulations of about 0.5%, 1%, 5%, 10%, and 20% by weight. The sequences, constructs, vectors, clones, and other materials comprising the present invention may advantageously be in enriched or isolated form. The term "active fragment" means a fragment, usually a peptide, polypeptide or nucleic acid sequence, which produces an immune response (ie, is immunologically active) when administered to an animal alone or, as appropriate, with a suitable adjuvant or in a carrier, In animals such as mammals, eg, mice, rats, llamas, sheep, goats, dogs, or horses, and including humans, such immune responses take the form of stimulating T cell responses in recipient animals such as humans. Alternatively, "active fragments" can also be used to induce T cell responses in vitro.

如本文所使用,術語「部分」、「區段」及「片段」在相關於多肽使用時,係指諸如胺基酸殘基的殘基之連續序列,該序列形成較大序列之子集。例如,若多肽經受用任何共同的內肽酶(諸如胰蛋白酶或胰凝乳蛋白酶)處理,則由此種處理產生的寡肽將表示起始多肽之部分、區段或片段。在相關於多核苷酸使用時,該些術語係指藉由用任何核酸內切酶處理該等多核苷酸所產生的產物。As used herein, the terms "portion," "segment," and "fragment," when used in relation to a polypeptide, refer to a contiguous sequence of residues, such as amino acid residues, that form a subset of a larger sequence. For example, if the polypeptide is subjected to treatment with any common endopeptidase, such as trypsin or chymotrypsin, the oligopeptides resulting from such treatment will represent a portion, segment or fragment of the starting polypeptide. When used in relation to polynucleotides, these terms refer to the products produced by treating such polynucleotides with any endonuclease.

根據本發明,在提及序列時,術語「一致性百分比」或「一致百分比」意指在待比較的序列(「比較序列」)與所描述或主張的序列(「參考序列」)之比對之後,將序列與所主張或描述的序列比較。隨後根據下式決定一致性百分比: 一致性百分比= 100[1-(C/R)] 其中C為在參考序列與比較序列之間的比對長度上,在參考序列與比較序列之間的差異數,其中 (i)參考序列中的每一鹼基或胺基酸,其不具有比較序列中的相應比對鹼基或胺基酸,及 (ii)參考序列中的每一間隙,及 (iii)參考序列中的每一比對鹼基或胺基酸構成差異,該比對鹼基或胺基酸不同於比較序列中的比對鹼基或胺基酸,及 (iiii)比對必須在比對序列之位置1處開始; 且R為在與比較序列的比對長度上,參考序列中的鹼基或胺基酸之數目,其中參考序列中產生之任何間隙亦作為鹼基或胺基酸計數。 According to the present invention, when referring to sequences, the term "percent identity" or "percent identity" means the alignment of the sequence to be compared ("compared sequence") with the sequence described or claimed ("reference sequence"). Thereafter, the sequences are compared to the claimed or described sequences. The percent agreement is then determined according to the following formula: % Concordance = 100[1-(C/R)] where C is the number of differences between the reference and comparison sequences over the length of the alignment between the reference and comparison sequences, where (i) each base or amino acid in the reference sequence that does not have a corresponding aligned base or amino acid in the compared sequence, and (ii) each gap in the reference sequence, and (iii) each aligned base or amino acid in the reference sequence constitutes a difference that differs from the aligned base or amino acid in the compared sequence, and (iii) the alignment must begin at position 1 of the aligned sequences; And R is the number of bases or amino acids in the reference sequence over the length of the alignment to the comparison sequence, where any gaps created in the reference sequence are also counted as bases or amino acids.

若在比較序列及參考序列之間存在比對,該比對的如上文計算的一致性百分比約等於或大於規定的最低一致性百分比,則比較序列與參考序列具有規定的最低一致性百分比,即使可存在上文計算的一致性百分比小於規定的一致性百分比的比對。If there is an alignment between the compared sequence and the reference sequence whose percent identity, as calculated above, is approximately equal to or greater than the specified minimum percent identity, then the compared sequence has the specified minimum percent identity to the reference sequence, even if There may be alignments where the above calculated percent identity is less than the specified percent identity.

如上文所提及,本發明因此提供一種肽,其包含選自由SEQ ID NO: 1至SEQ ID NO: 113或其變異體組成之群組的序列,該變異體將誘導T細胞與該肽交叉反應。本發明之肽具有結合至MHC分子I類或將該等肽之伸長版本結合至II類的能力。As mentioned above, the present invention thus provides a peptide comprising a sequence selected from the group consisting of SEQ ID NO: 1 to SEQ ID NO: 113 or a variant thereof, which variant will induce T cells to cross with the peptide reaction. The peptides of the invention have the ability to bind to class I of MHC molecules or to bind extended versions of these peptides to class II.

在本發明中,術語「同源」係指兩個胺基酸序列之序列(亦即,肽或多肽序列)之間的一致性程度(參見上文的一致性百分比)。上述「同源性」係藉由在最佳條件下,在待比較的序列上比較兩個比對序列來決定。此序列同源性可藉由使用例如ClustalW演算法產生比對來計算。通常可用的序列分析軟體,更具體而言,Vector NTI、GENETYX或其他工具係藉由公共資料庫提供。In the present invention, the term "homology" refers to the degree of identity between the sequences (ie, peptide or polypeptide sequences) of two amino acid sequences (see above for percent identity). The above "homology" is determined by comparing two aligned sequences under optimal conditions at the sequences to be compared. This sequence homology can be calculated by generating alignments using, for example, the ClustalW algorithm. Commonly available sequence analysis software, more specifically Vector NTI, GENETYX or other tools, are provided through public databases.

熟習此項技術者將能夠評定藉由特定肽之變異體誘導的T細胞是否將能夠與肽自身交叉反應(參見,例如,Appay等人, 2006;Colombetti等人, 2006;Fong等人, 2001;Zaremba等人, 1997,其內容係以全文引用方式併入本文)。Those skilled in the art will be able to assess whether T cells induced by variants of a particular peptide will be able to cross-react with the peptide itself (see, e.g., Appay et al., 2006; Colombetti et al., 2006; Fong et al., 2001; Zaremba et al., 1997, the contents of which are hereby incorporated by reference in their entirety).

就給定胺基酸序列之「變異體」而言,發明人意指胺基酸殘基中例如一或兩者之側鏈經改變(例如藉由用另一天然存在的胺基酸殘基之側鏈或一些其他側鏈將其置換)以使得肽仍能夠以實質上與由SEQ ID NO: 1至SEQ ID NO: 113中之給定胺基酸序列組成的肽相同的方式結合至HLA分子。例如,肽可經修飾以便其即使不改良亦至少維持與適合MHC分子之結合凹槽相互作用及結合至該結合凹槽之能力,及以彼方式,其即使不改良亦至少維持結合至活化T細胞之TCR的能力,該適合MHC分子諸如選自由以下各項組成之群組中的一者:HLA-A*01:01、HLA-A*03:01、HLA-A*24:02、HLA-B*07:02、HLA-B*08:01及HLA-B*44:02,外加視情況其他HLA異型。By "variant" of a given amino acid sequence, the inventors mean that the side chains of, for example, one or both of the amino acid residues have been altered (for example, by substitution with another naturally occurring amino acid residue). side chain or some other side chain to replace it) so that the peptide can still bind to the HLA molecule in substantially the same way as the peptide consisting of the given amino acid sequence in SEQ ID NO: 1 to SEQ ID NO: 113 . For example, a peptide can be modified so that it at least maintains, if not modified, at least the ability to interact with and bind to the binding groove of a suitable MHC molecule, and in that way, it at least maintains, if not modified, to bind to activated T The ability of a cell's TCR to be suitable for an MHC molecule such as one selected from the group consisting of: HLA-A*01:01, HLA-A*03:01, HLA-A*24:02, HLA -B*07:02, HLA-B*08:01 and HLA-B*44:02, plus other HLA isoforms as appropriate.

該些T細胞可隨後與細胞交叉反應且殺傷表現多肽之細胞,該多肽含有如本發明之態樣中所定義的同族肽之天然胺基酸序列。如可來源於科學文獻及資料庫的(Rammensee等人, 1999;Godkin等人, 1997,其以全文引用方式併入本文),HLA結合肽之某些位置典型地為形成裝配至HLA分子之結合模體的核心序列的錨定物殘基,該核心序列係藉由構成結合凹槽的多肽鏈之極性、電子物理學、疏水性及空間性質來定義。因此,熟習此項技術者將能夠藉由維持已知的錨定物殘基來修飾SEQ ID NO: 1至SEQ ID NO: 113中列明的胺基酸序列,且將能夠決定此類變異體是否維持結合MHC I類或II類分子之能力。本發明之變異體保持結合至活化T細胞之TCR的能力,該等活化T細胞隨後可與表現多肽之細胞交叉反應且殺傷細胞,該多肽含有如本發明之態樣中所定義的同族肽之天然胺基酸序列。These T cells can then cross-react with cells and kill cells expressing a polypeptide containing the native amino acid sequence of a cognate peptide as defined in aspects of the invention. As can be derived from scientific literature and databases (Rammensee et al., 1999; Godkin et al., 1997, which are incorporated herein by reference in their entirety), certain positions of HLA-binding peptides are typically used to form bindings that assemble into HLA molecules. Anchor residues of the motif's core sequence, which is defined by the polar, electrophysical, hydrophobic, and steric properties of the polypeptide chains that make up the binding groove. Thus, one skilled in the art will be able to modify the amino acid sequences set forth in SEQ ID NO: 1 to SEQ ID NO: 113 by maintaining known anchor residues, and will be able to determine such variants Whether the ability to bind MHC class I or class II molecules is maintained. The variants of the present invention retain the ability to bind to the TCR of activated T cells, which can then cross-react with and kill cells expressing polypeptides containing cognate peptides as defined in aspects of the present invention. Natural amino acid sequence.

若未另外說明,則如本文揭示的原始(未修飾)肽可藉由在肽鏈內的不同、可能的選擇性位點處取代一或多個殘基來修飾。較佳地,彼等取代係位於胺基酸鏈之端部處。此類取代可具有保守特性,例如,其中一個胺基酸藉由類似結構及特性的胺基酸置換,諸如其中疏水性胺基酸藉由另一疏水性胺基酸置換。甚至更保守的將是置換具有相同或相似大小或化學特性的胺基酸,諸如其中白胺酸藉由異白胺酸置換。在天然存在的同源蛋白質之家族中的序列變異研究中,某些胺基酸取代比其他取代常常更耐受,且該些取代常常展示在原始胺基酸與其置換物之間的大小、電荷、極性、及疏水性的相似性,且此等係用於定義「保守取代」之基礎。If not stated otherwise, the original (unmodified) peptides as disclosed herein can be modified by substituting one or more residues at different, possibly alternative sites within the peptide chain. Preferably, these substitutions are located at the ends of the amino acid chain. Such substitutions may have conservative properties, eg, where one amino acid is replaced by an amino acid of similar structure and properties, such as where a hydrophobic amino acid is replaced by another hydrophobic amino acid. Even more conservative would be to replace amino acids of the same or similar size or chemical properties, such as where leucine is replaced by isoleucine. In studies of sequence variation in naturally occurring families of homologous proteins, certain amino acid substitutions are often more tolerated than others, and these substitutions often exhibit size, charge, and size between the original amino acid and its replacement , polarity, and hydrophobicity, and these are the basis for the definition of "conservative substitutions."

保守取代在本文中係解釋為以下五個群組之一者內的互換:群組1-小的脂族非極性或稍有極性的殘基(Ala、Ser、Thr、Pro、Gly);群組2-極性的帶負電殘基及其醯胺(Asp、Asn、Glu、Gln);群組3-極性的帶正電殘基(His、Arg、Lys);群組4-大的脂族非極性殘基(Met、Leu、Ile、Val、Cys);及群組5-大的芳族殘基(Phe、Tyr、Trp)。Conservative substitutions are interpreted herein as interchanges within one of the following five groups: Group 1 - small aliphatic non-polar or slightly polar residues (Ala, Ser, Thr, Pro, Gly); Group 2 - Polar negatively charged residues and their amides (Asp, Asn, Glu, Gln); Group 3 - Polar positively charged residues (His, Arg, Lys); Group 4 - Large aliphatic Non-polar residues (Met, Leu, Ile, Val, Cys); and Group 5-large aromatic residues (Phe, Tyr, Trp).

在一態樣中,保守取代可包括藉由Dayhoff在「The Atlas of Protein Sequence and Structure. Vol. 5」, Natl. Biomedical Research中描述的彼等保守取代,其內容係以全文引用方式併入本文。例如,在一態樣中,屬於以下群組之一者的胺基酸可彼此互換,因此構成保守互換:群組1:丙胺酸(A)、脯胺酸(P)、甘胺酸(G)、天冬醯胺酸(N)、絲胺酸(S)、蘇胺酸(T);群組2:光胱胺酸(C)、絲胺酸(S)、酪胺酸(Y)、蘇胺酸(T);群組3:纈胺酸(V)、異白胺酸(I)、白胺酸(L)、甲硫胺酸(M)、丙胺酸(A)、苯丙胺酸(F);群組4:離胺酸(K)、精胺酸(R)、組胺酸(H);群組5:苯丙胺酸(F)、酪胺酸(Y)、色胺酸(W)、組胺酸(H);及群組6:天冬胺酸(D)、麩胺酸(E)。在一態樣中,保守胺基酸取代可選自以下:T→A、G→A、A→I、T→V、A→M、T→I、A→V、T→G、及/或T→S。 In one aspect, conservative substitutions may include those described by Dayhoff in "The Atlas of Protein Sequence and Structure. Vol. 5", Natl. Biomedical Research , the contents of which are incorporated herein by reference in their entirety . For example, in one aspect, amino acids belonging to one of the following groups are interchangeable with each other, thus constituting a conservative interchange: Group 1: Alanine (A), Proline (P), Glycine (G ), aspartic acid (N), serine (S), threonine (T); group 2: cysteine (C), serine (S), tyrosine (Y) , Threonine (T); Group 3: Valine (V), Isoleucine (I), Leucine (L), Methionine (M), Alanine (A), Phenylalanine (F); group 4: lysine (K), arginine (R), histidine (H); group 5: phenylalanine (F), tyrosine (Y), tryptophan ( W), histidine (H); and group 6: aspartic acid (D), glutamic acid (E). In one aspect, conservative amino acid substitutions may be selected from the following: T→A, G→A, A→I, T→V, A→M, T→I, A→V, T→G, and/or or T→S.

在一態樣中,保守胺基酸取代可包括胺基酸藉由相同類別的另一胺基酸取代,例如(1)非極性:Ala、Val、Leu、Ile、Pro、Met、Phe、Trp;(2)不帶電、極性:Gly、Ser、Thr、Cys、Tyr、Asn、Gln;(3)酸性:Asp、Glu;及(4)鹼性:Lys、Arg、His。其他保守胺基酸取代亦可如下製得:(1)芳族:Phe、Tyr、His;(2)質子供體:Asn、Gln、Lys、Arg、His、Trp;及(3)質子受體:Glu、Asp、Thr、Ser、Tyr、Asn、Gln(參見,例如,美國專利第10,106,805號,其內容係以全文引用方式併入本文)。In one aspect, conservative amino acid substitutions can include substitution of an amino acid by another amino acid of the same class, eg (1) Non-polar: Ala, Val, Leu, Ile, Pro, Met, Phe, Trp ; (2) Uncharged, polar: Gly, Ser, Thr, Cys, Tyr, Asn, Gln; (3) Acidic: Asp, Glu; and (4) Basic: Lys, Arg, His. Other conservative amino acid substitutions can also be made as follows: (1) Aromatics: Phe, Tyr, His; (2) Proton Donors: Asn, Gln, Lys, Arg, His, Trp; and (3) Proton Acceptors : Glu, Asp, Thr, Ser, Tyr, Asn, GIn (see, eg, US Pat. No. 10,106,805, the contents of which are incorporated herein by reference in their entirety).

在另一態樣中,保守取代可根據表3來製得。用於預測對蛋白質修飾之耐受性的方法可在文獻中找到(Guo等人, 2004,其內容係以全文引用方式併入本文)。In another aspect, conservative substitutions can be made according to Table 3. Methods for predicting resistance to protein modifications can be found in the literature (Guo et al., 2004, which is incorporated by reference in its entirety).

表3:保守胺基酸取代之列表。 原始殘基   保守取代(其他在本領域中已知) Ala   Ser, Gly, Cys Arg   Lys, Gln, His Asn   Gln, His, Glu, Asp Asp   Glu, Asn, Gln Cys   Ser, Met, Thr Gln   Asn, Lys, Glu, Asp, Arg Glu   Asp, Asn, Gln Gly   Pro, Ala, Ser His   Asn, Gln, Lys Ile   Leu, Val, Met, Ala Leu   Ile, Val, Met, Ala Lys   Arg, Gln, His Met   Leu, Ile, Val, Ala, Phe Phe   Met, Leu, Tyr, Trp, His Ser   Thr, Cys, Ala Thr   Ser, Val, Ala Trp   Tyr, Phe Tyr   Trp, Phe, His Val   Ile, Leu, Met, Ala, Thr Table 3: List of conservative amino acid substitutions. original residue Conservative substitutions (others are known in the art) Ala Ser, Gly, Cys Arg Lys, Gln, His Asn Gln, His, Glu, Asp Asp Glu, Asn, Gln Cys Ser, Met, Thr Gln Asn, Lys, Glu, Asp, Arg Glu Asp, Asn, Gln Gly Pro, Ala, Ser His Asn, Gln, Lys Ile Leu, Val, Met, Ala Leu Ile, Val, Met, Ala Lys Arg, Gln, His Met Leu, Ile, Val, Ala, Phe Phe Met, Leu, Tyr, Trp, His Ser Thr, Cys, Ala Thr Ser, Val, Ala Trp Tyr, Phe Tyr Trp, Phe, His Val Ile, Leu, Met, Ala, Thr

在另一態樣中,保守取代可為表4中標題「保守取代」之下展示的彼等取代。若此類取代導致生物活性之變化,則表4中命名為「示範性取代」的更實質的變化可被引入並在需要時篩選產物。In another aspect, conservative substitutions may be those shown in Table 4 under the heading "Conservative Substitutions." If such substitutions result in a change in biological activity, more substantial changes, designated "exemplary substitutions" in Table 4, can be introduced and products screened if desired.

表4:示範性胺基酸取代。 原始殘基 示範性取代(其他在本領域中已知) Ala Val, Leu, Ile Arg Lys, Gln, Asn Asn Gln, His, Asp, Lys, Arg Asp Glu, Asn Cys Ser, Ala Gln Asn, Glu Glu Asp, Gln Gly Ala His Asn, Gln, Lys, Arg Ile Leu, Val, Met, Ala, Phe, Norleucin Leu Norleucin, Ile, Val, Met, Ala, Phe Lys Arg, Gln, Asn Met Leu, Phe, Ile Phe Leu, Val, Ile, Ala, Tyr Pro Ala Ser Thr Thr Ser, Ala Trp Tyr, Phe Tyr Trp, Phe, Thr, Ser Val Ile, Leu, Met, Phe, Ala, Norleucin Table 4: Exemplary amino acid substitutions. original residue Exemplary substitutions (others are known in the art) Ala Val, Leu, Ile Arg Lys, Gln, Asn Asn Gln, His, Asp, Lys, Arg Asp Glu, Asn Cys Ser, Ala Gln Asn, Glu Glu Asp, Gln Gly Ala His Asn, Gln, Lys, Arg Ile Leu, Val, Met, Ala, Phe, Norleucin Leu Norleucin, Ile, Val, Met, Ala, Phe Lys Arg, Gln, Asn Met Leu, Phe, Ile Phe Leu, Val, Ile, Ala, Tyr Pro Ala Ser Thr Thr Ser, Ala Trp Tyr, Phe Tyr Trp, Phe, Thr, Ser Val Ile, Leu, Met, Phe, Ala, Norleucin

當然,此類取代可涉及不同於普遍的L-胺基酸之結構。因此,D-胺基酸可取代常見於本發明之抗原肽中的L-胺基酸,且仍藉由本文之揭示內容涵蓋。另外,非標準胺基酸(亦即,不同於普遍天然存在的蛋白原胺基酸)亦可用於取代目的以產生根據本發明之免疫原及免疫多肽。Of course, such substitutions may involve structures other than common L-amino acids. Thus, D-amino acids can replace L-amino acids commonly found in antigenic peptides of the present invention and still be encompassed by the disclosure herein. In addition, non-standard amino acids (ie, amino acids other than the ubiquitous naturally occurring proteinogenic amino acids) may also be used for substitution purposes to generate immunogens and immunogenic polypeptides according to the present invention.

若發現一個以上的位置處的取代導致具有如下文所定義的實質上等效或更大的抗原活性之肽,則彼等取代之組合將受測試以決定組合取代是否導致對肽之抗原性的相加或協同效應。If substitutions at more than one position are found to result in a peptide having substantially equivalent or greater antigenic activity as defined below, then combinations of those substitutions will be tested to determine whether the combined substitutions result in a reduction in the antigenicity of the peptides additive or synergistic effects.

主要由如本文指示的胺基酸序列組成的肽可使一或兩個非錨定物胺基酸(參見下文關於錨定物模體之內容)互換,而在與非修飾肽比較時其結合至MHC分子I類或II類之能力無實質變化或不受負面影響。在另一實施例中,在主要由如本文指示的胺基酸序列組成的肽中,一或兩個胺基酸可與其保守互換配偶體(參見下文)互換,而在與非修飾肽比較時其結合至MHC分子I類或II類之能力無實質變化或不受負面影響。Peptides consisting primarily of amino acid sequences as indicated herein may have one or two non-anchor amino acids (see below for anchor motifs) interchangeable, while binding when compared to non-modified peptides The ability to MHC molecule class I or class II is not substantially changed or negatively affected. In another example, in a peptide consisting essentially of an amino acid sequence as indicated herein, one or two amino acids can be interchanged with its conservative exchange partner (see below), while when compared to a non-modified peptide Its ability to bind to MHC class I or class II molecules is not substantially altered or negatively affected.

實質上不貢獻於與T細胞受體相互作用的胺基酸殘基可藉由用其他胺基酸置換來修飾,該等其他胺基酸之併入實質上不影響T細胞反應性且不消除與相關MHC的結合。因此,在不管給定附帶條件的情況下,本發明之肽可為任何肽(發明人藉以該術語來包括寡肽或多肽),其包括胺基酸序列或如所給出的其一部分或變異體。Amino acid residues that do not substantially contribute to interaction with T cell receptors can be modified by replacement with other amino acids whose incorporation does not substantially affect T cell reactivity and does not eliminate Binding to the relevant MHC. Thus, regardless of the conditions given, the peptides of the invention may be any peptide (by which the inventors use this term to include oligopeptides or polypeptides) including amino acid sequences or a portion or variation thereof as given body.

較長(伸長)肽亦可為適合的。可能的是,雖然MHC I類抗原決定基之長度通常為8個胺基酸與12個胺基酸之間,但其係藉由自包括實際抗原決定基之較長肽或蛋白質的肽加工來產生。較佳的是,側接實際抗原決定基的殘基為在加工期間實質上不影響暴露實際抗原決定基所必需的蛋白質水解分解的殘基。Longer (elongated) peptides may also be suitable. It is possible that, although MHC class I epitopes are typically between 8 and 12 amino acids in length, they are processed by peptides from longer peptides or proteins that include the actual epitope. produce. Preferably, the residues flanking the actual epitope are residues that do not substantially affect the proteolytic breakdown necessary to expose the actual epitope during processing.

本發明之肽可藉由多達四個胺基酸來伸長,亦即,可將1、2、3或4個胺基酸以4:0與0:4之間的任何組合添加至任一端部。根據本發明之伸長之組合可見於表5中。The peptides of the invention can be elongated by up to four amino acids, that is, 1, 2, 3 or 4 amino acids can be added to either end in any combination between 4:0 and 0:4 department. The combinations of elongations according to the invention can be found in Table 5.

表5:本發明之肽伸長之組合 C末端 N末端 4 0 3 0或1 2 0或1或2 1 0或1或2或3 0 0或1或2或3或4 N末端 C末端 4 0 3 0或1 2 0或1或2 1 0或1或2或3 0 0或1或2或3或4 Table 5: Combinations of peptide stretches of the invention C-terminal N-terminal 4 0 3 0 or 1 2 0 or 1 or 2 1 0 or 1 or 2 or 3 0 0 or 1 or 2 or 3 or 4 N-terminal C-terminal 4 0 3 0 or 1 2 0 or 1 or 2 1 0 or 1 or 2 or 3 0 0 or 1 or 2 or 3 or 4

用於伸長/延伸的胺基酸可為蛋白質或任何其他胺基酸之原始序列之肽。伸長可用於增強肽之穩定性或可溶性。The amino acid used for elongation/extension can be a peptide of the original sequence of a protein or any other amino acid. Elongation can be used to enhance peptide stability or solubility.

因此,本發明之抗原決定基可與天然存在的腫瘤相關抗原決定基或腫瘤特異性抗原決定基一致,或可包括與參考肽相差不超過四個殘基的抗原決定基,只要其具有實質上相同的抗原活性即可。Thus, epitopes of the invention may be identical to naturally occurring tumor-associated epitopes or tumor-specific epitopes, or may include epitopes that differ by no more than four residues from the reference peptide, so long as they have substantial The same antigenic activity is sufficient.

在一替代實施例中,肽係在任一側或兩側上藉由超過4個胺基酸伸長,較佳地達到多達30個胺基酸之總長度。此舉可導致MHC II類結合肽。對MHC II類之結合可藉由本領域中所知的方法來測試。In an alternative embodiment, the peptide is elongated by more than 4 amino acids on either or both sides, preferably up to a total length of up to 30 amino acids. This action results in MHC class II-binding peptides. Binding to MHC class II can be tested by methods known in the art.

因此,本發明提供MHC I類抗原決定基之肽及變異體,其中肽或變異體具有8個與100個之間,較佳地8個與30個之間,及最佳8個與12個之間,亦即8個、9個、10個、11個、12個胺基酸的總長度,在伸長II類結合肽的情況下,長度亦可為13個、14個、15個、16個、17個、18個、19個、20個、21個或22個胺基酸。Accordingly, the present invention provides peptides and variants of MHC class I epitopes, wherein the peptides or variants have between 8 and 100, preferably between 8 and 30, and most preferably between 8 and 12 between, that is, the total length of 8, 9, 10, 11, 12 amino acids, and in the case of elongated class II binding peptides, the length can also be 13, 14, 15, 16 17, 18, 19, 20, 21 or 22 amino acids.

當然,根據本發明之肽或變異體將具有結合至MHC分子I類或II類之能力。肽或變異體對MHC複合物之結合可藉由本領域中所知的方法來測試。Of course, the peptides or variants according to the invention will have the ability to bind to MHC class I or class II molecules. Binding of peptides or variants to MHC complexes can be tested by methods known in the art.

較佳地,當針對經取代的肽測試對根據本發明之肽為特異性的T細胞時,經取代的肽相對於背景達成最大溶解增加之一半時的肽濃度不超過約1 mM、較佳地不超過約1 μM、更佳地不超過約1 nM、及仍更佳地不超過約100 pM、及最佳地不超過約10 pM。亦較佳的是,經取代的肽係由來自超過一個個體、至少兩個個體、及更佳地三個個體的T細胞識別。Preferably, when T cells specific for a peptide according to the invention are tested against the substituted peptide, the peptide concentration at which the substituted peptide achieves a half-maximal increase in lysis relative to background does not exceed about 1 mM, preferably preferably no more than about 1 μM, more preferably no more than about 1 nM, and still more preferably no more than about 100 pM, and most preferably no more than about 10 pM. Also preferably, the substituted peptides are recognized by T cells from more than one individual, at least two individuals, and more preferably three individuals.

在本發明之一尤其較佳實施例中,肽由或主要由根據SEQ ID NO: 1至SEQ ID NO: 113之胺基酸序列組成。In a particularly preferred embodiment of the present invention, the peptide consists or consists essentially of the amino acid sequence according to SEQ ID NO: 1 to SEQ ID NO: 113.

「主要由......組成」將意指除根據SEQ ID NO: 1至SEQ ID NO: 113中任何者或其變異體的序列之外,根據本發明之肽含有另外的N末端及/或C末端定位的胺基酸伸展鏈,其未必形成起MHC分子之抗原決定基作用的肽之部分。"Consisting essentially of" shall mean that, in addition to the sequence according to any one of SEQ ID NO: 1 to SEQ ID NO: 113 or a variant thereof, the peptide according to the invention contains an additional N-terminus and /or C-terminally positioned stretches of amino acids that do not necessarily form part of the peptides that function as epitopes of the MHC molecule.

然而,該些伸展鏈對提供根據本發明之肽至細胞中的有效引入而言係重要的。在本發明之一個實施例中,肽為融合蛋白質的部分,該融合蛋白質包含例如來源於NCBI(GenBank登錄號X00497)的HLA-DR抗原相關聯不變鏈(p33,下文為「Ii」)之80個N末端胺基酸。在其他融合物中,本發明之肽可融合至如本文描述的抗體或其功能部分,尤其係融合至抗體之序列中,以便藉由該抗體特異地靶向,或例如融合至對如本文描述的樹突細胞為特異性的抗體中。However, these stretched chains are important to provide efficient introduction of the peptides according to the invention into cells. In one embodiment of the invention, the peptide is part of a fusion protein comprising, for example, an HLA-DR antigen-associated invariant chain (p33, hereinafter "Ii") derived from NCBI (GenBank Accession No. X00497) 80 N-terminal amino acids. In other fusions, the peptides of the invention may be fused to an antibody or a functional part thereof as described herein, in particular to a sequence of an antibody for specific targeting by the antibody, or eg to an antibody as described herein of dendritic cells for specific antibodies.

另外,肽或變異體可經進一步修飾以改良穩定性及/或對MHC分子之結合以便引出更強的免疫反應。用於肽序列之此種最佳化的方法在本領域中為熟知的且包括例如引入逆向肽鍵或非肽鍵。Additionally, the peptides or variants can be further modified to improve stability and/or binding to MHC molecules in order to elicit a stronger immune response. Methods for such optimization of peptide sequences are well known in the art and include, for example, the introduction of retro-peptide or non-peptide bonds.

在逆向肽鍵中,胺基酸殘基不藉由肽(-CO-NH-)鍵聯來聯接而是將肽鍵逆轉。此類逆反擬肽物可使用本領域中所知的方法製得,例如諸如藉由Meziere及同事(Meziere等人, 1997,其以引用方式併入本文)描述的彼等方法。此方法涉及製成偽肽,其含有涉及主鏈且不涉及側鏈之定向的變化。他們證實對於MHC結合及T輔助細胞反應而言,該些偽肽係有用的。含有NH-CO鍵而非CO-NH肽鍵的逆反肽對蛋白質水解的抗性大得多(Meziere等人, 1997)。In reverse peptide bonds, the amino acid residues are not linked by peptide (-CO-NH-) linkages but the peptide bonds are reversed. Such retro peptidomimetics can be prepared using methods known in the art, such as, for example, those described by Meziere and colleagues (Meziere et al., 1997, which are incorporated herein by reference). This method involves making pseudopeptides that contain changes involving the orientation of the main chain and not the side chains. They demonstrated that these pseudopeptides are useful for MHC binding and T helper cell responses. Retro-inverse peptides containing NH-CO bonds rather than CO-NH peptide bonds are much more resistant to proteolysis (Meziere et al., 1997).

非肽鍵例如為-CH 2-NH、-CH 2S-、-CH 2CH 2-、-CH=CH-、-COCH 2-、-CH(OH)CH 2-、及-CH 2SO-。US 4,897,445提供用於在多肽鏈中固相合成非肽鍵(-CH 2-NH)之方法,其涉及藉由標準程序合成的多肽及藉由使胺基醛及胺基酸在NaCNBH 3存在下反應而合成的非肽鍵。 Examples of non-peptide bonds are -CH2 - NH, -CH2S- , -CH2CH2- , -CH= CH- , -COCH2- , -CH(OH)CH2-, and -CH2SO- . US 4,897,445 provides a method for solid phase synthesis of non-peptide bonds ( -CH2 -NH) in polypeptide chains involving polypeptides synthesized by standard procedures and by subjecting aminoaldehydes and amino acids in the presence of NaCNBH3 Non-peptide bonds synthesized by reaction.

包含上文描述的鍵的肽可用存在於其胺基及/或羧基末端處的另外的化學基團來合成,以增強肽之穩定性、生物利用率、及/或親和力。例如,可將諸如苄氧羰基的疏水基、丹磺醯基、或第三丁氧基羰基添加至肽之胺基末端。同樣地,可將乙醯基或9-茀基甲氧基-羰基置於肽之胺基末端處。另外,可將疏水基、第三丁氧基羰基、或醯胺基添加至肽之羧基末端。Peptides comprising the linkages described above can be synthesized with additional chemical groups present at their amine and/or carboxyl termini to enhance peptide stability, bioavailability, and/or affinity. For example, a hydrophobic group such as benzyloxycarbonyl, dansyl, or tertiary butoxycarbonyl can be added to the amine terminus of the peptide. Likewise, an acetyl or 9-intenylmethoxy-carbonyl group can be placed at the amine terminus of the peptide. Additionally, a hydrophobic group, a tertiary butoxycarbonyl group, or an amido group can be added to the carboxy terminus of the peptide.

另外,本發明之肽可經合成以改變其立體構型。例如,可使用肽的一或多個胺基酸殘基之D-異構物而非常見的L-異構物。另外,本發明之肽的至少一個胺基酸殘基可藉由熟知的非天然存在胺基酸殘基之一取代。諸如該些取代之改變可用以增加本發明之肽的穩定性、生物利用率及/或結合作用。Additionally, the peptides of the present invention can be synthesized to alter their stereoconfiguration. For example, the D-isomer of one or more amino acid residues of the peptide can be used instead of the common L-isomer. Additionally, at least one amino acid residue of the peptides of the invention can be substituted with one of the well-known non-naturally occurring amino acid residues. Changes such as these substitutions can be used to increase the stability, bioavailability and/or binding of the peptides of the invention.

類似地,本發明之肽或變異體可藉由在肽之合成之前或之後使特定胺基酸反應來化學修飾。此類修飾之實例在本領域中為熟知的(Lundblad, 2004,其係以引用方式併入本文)。胺基酸之化學修飾包括但不限於藉由以下各項的修飾:醯基化、脒基化、離胺酸之吡哆醇化、還原性烷基化、胺基由2,4,6-三硝基苯磺酸(TNBS)之三硝基苄基化、藉由將過氧甲酸氧化光胱胺酸至磺基丙胺酸達成的羧基之醯胺修飾及硫氫基修飾、形成汞劑衍生物、與其他硫醇化合物形成混合的二硫化物、與順丁烯二醯亞胺的反應、用碘乙酸或碘乙醯胺之羧甲基化及在鹼性pH下用氰酸鹽之胺基甲醯化,但不限於此等(Coligan等人, 1995,其內容係以全文引用方式併入本文)。Similarly, the peptides or variants of the invention can be chemically modified by reacting specific amino acids before or after synthesis of the peptide. Examples of such modifications are well known in the art (Lundblad, 2004, which is incorporated herein by reference). Chemical modification of amino acids includes, but is not limited to, modification by acylation, amidinoylation, pyridoxylation of lysine, reductive alkylation, amino group from 2,4,6-tris Trinitrobenzylation of Nitrobenzenesulfonic Acid (TNBS), Amide and Sulfhydryl Modification of Carboxyl by Peroxyformic Acid Oxidation of Cystine to Sulfalanine, Formation of Mercury Derivatives , formation of mixed disulfides with other thiol compounds, reaction with maleimide, carboxymethylation with iodoacetic acid or iodoacetamide, and amine groups with cyanate at alkaline pH Forsylation, but not limited to these (Coligan et al., 1995, the contents of which are incorporated herein by reference in their entirety).

簡言之,蛋白質中的例如精胺醯基殘基之修飾常常係基於諸如苯基乙二醛、2,3-丁二酮、及1,2-環己二酮的鄰近二羰基化合物之反應以形成加合物。另一實例係甲基乙二醛與精胺醯基殘基之反應。光胱胺酸可經修飾而無其他諸如離胺酸及組胺酸之親核位點的伴隨修飾。因此,大量試劑可用於光胱胺酸之修飾。諸如Sigma-Aldrich(www.sigma-aldrich.com)的公司之網站提供關於特定試劑之資訊。Briefly, modifications of eg sperminyl residues in proteins are often based on the reaction of adjacent dicarbonyl compounds such as phenylglyoxal, 2,3-butanedione, and 1,2-cyclohexanedione. to form adducts. Another example is the reaction of methylglyoxal with spermidine residues. Cystine can be modified without concomitant modification of other nucleophilic sites such as lysine and histidine. Therefore, a large number of reagents are available for the modification of cystine. The websites of companies such as Sigma-Aldrich (www.sigma-aldrich.com) provide information on specific reagents.

蛋白質中二硫鍵之選擇性還原亦係普遍的。二硫鍵可在生物醫藥劑之熱處理期間形成及氧化。Woodward之試劑K可用以修飾特定的麩胺酸殘基。N-(3-(二甲基胺基)丙基)-N’-乙基碳化二亞胺可用於形成離胺酸殘基與麩胺酸殘基之間的分子內交聯。例如,焦碳酸二乙酯為用於修飾蛋白質中的組胺醯基殘基的試劑。組胺酸亦可使用4-羥基-2-壬烯醛來修飾。離胺酸殘基及其他α-胺基之反應例如適用於將肽結合至表面或蛋白質/肽之交聯。離胺酸為聚(乙烯)二醇之連接位點及蛋白質之醣基化的主要修飾位點。蛋白質中的甲硫胺酸殘基可用例如碘乙醯胺、溴乙基胺、及氯胺T來修飾。Selective reduction of disulfide bonds in proteins is also common. Disulfide bonds can be formed and oxidized during thermal treatment of biopharmaceuticals. Woodward's reagent K can be used to modify specific glutamic acid residues. N-(3-(dimethylamino)propyl)-N'-ethylcarbodiimide can be used to form intramolecular crosslinks between lysine residues and glutamic acid residues. For example, diethylpyrocarbonate is an agent used to modify histamine residues in proteins. Histidine can also be modified with 4-hydroxy-2-nonenal. The reaction of lysine residues and other alpha-amine groups is suitable, for example, for binding peptides to surfaces or cross-linking of proteins/peptides. Lysine is the attachment site of poly(ethylene) glycol and the major modification site of protein glycosylation. Methionine residues in proteins can be modified with, for example, iodoacetamide, bromoethylamine, and chloramine T.

四硝基甲烷及N-乙醯基咪唑可用於修飾酪胺醯基殘基。經由形成二酪胺酸之交聯可用過氧化氫/銅離子來完成。Tetranitromethane and N-acetylimidazole can be used to modify tyrosinyl residues. Crosslinking via the formation of bistyrosine can be accomplished with hydrogen peroxide/copper ions.

對修飾色胺酸之近期研究已使用了N-溴琥珀醯亞胺、2-羥基-5-硝苄基溴化物或3-溴-3-甲基-2-(2-硝苯基巰基)-3H-吲哚(BPNS-糞臭素)。Recent studies on modified tryptophan have used N-bromosuccinimide, 2-hydroxy-5-nitrobenzyl bromide or 3-bromo-3-methyl-2-(2-nitrophenylmercapto) -3H-Indole (BPNS-skatole).

用PEG成功地修飾治療性蛋白質及肽常常係與循環半衰期之延長相關聯,而將蛋白質與戊二醛、聚乙二醇二丙烯酸酯及甲醛交聯係用於製備水凝膠。用於免疫治療的過敏原之化學修飾常常係藉由用氰酸鉀的胺基甲醯化來達成。Successful modification of therapeutic proteins and peptides with PEG is often associated with increased circulation half-life, while proteins are cross-linked with glutaraldehyde, polyethylene glycol diacrylate, and formaldehyde for the preparation of hydrogels. Chemical modification of allergens for immunotherapy is often accomplished by aminoformylation with potassium cyanate.

本發明之另一實施例係關於非天然存在的肽,其中該肽由或主要由根據SEQ ID NO: 1至SEQ ID NO: 113之胺基酸序列組成,且已作為醫藥學上可接受的鹽合成地產生(例如合成)。合成地產生肽之方法在本領域中為熟知的。根據本發明之肽的鹽實質上不同與在其體內狀態下之肽,因為體內產生的肽沒有鹽。肽之非天然鹽形式介導肽之可溶性,尤其在包含肽的醫藥組合物(例如,如本文揭示的肽疫苗)之情形中如此。需要肽的足夠及至少實質的可溶性以便有效地將肽提供至待治療的受試者。較佳地,鹽為肽之醫藥學上可接受的鹽。根據本發明之該些鹽包括鹼金屬鹽及鹼土金屬鹽,諸如郝夫麥士特離子序列之鹽,該郝夫麥士特離子序列包含陰離子PO 4 3、SO 4 2-、CH 3COO -、Cl -、Br -、NO 3 -、ClO 4 -、I -、SCN -及陽離子NH 4 +、Rb +、K +、Na +、Cs +、Li +、Zn 2+、Mg 2+、Ca 2+、Mn 2+、Cu 2+及Ba 2+。特定而言,鹽係選自(NH 4) 3PO 4、(NH 4) 2HPO 4、(NH 4)H 2PO 4、(NH 4) 2SO 4、NH 4CH 3COO、NH 4Cl、NH 4Br、NH 4NO 3、NH 4CIO 4、NH 4I、NH 4SCN、Rb 3PO 4、Rb 2HPO 4、RbH 2PO 4、Rb 2SO 4、Rb 4CH 3COO、Rb 4Cl、Rb 4Br、Rb 4NO 3、Rb 4CIO 4、Rb 4I、Rb 4SCN、K 3PO 4、K 2HPO 4、KH 2PO 4、K 2SO 4、KCH 3COO、KCl、KBr、KNO 3、KClO 4、KI、KSCN、Na 3PO 4、Na 2HPO 4、NaH 2PO 4、Na 2SO 4、NaCH 3COO、NaCl、NaBr、NaNO 3、NaCIO 4、NaI、NaSCN、ZnCI 2Cs 3PO 4、Cs 2HPO 4、CsH 2PO 4、Cs 2SO 4、CsCH 3COO、CsCl、CsBr、CsNO 3、CsCIO 4、CsI、CsSCN、Li 3PO 4、Li 2HPO 4、LiH 2PO 4、Li 2SO 4、LiCH 3COO、LiCl、LiBr、LiNO 3、LiClO 4、LiI、LiSCN、Cu 2SO 4、Mg 3(PO 4) 2、Mg 2HPO 4、Mg(H 2PO 4) 2、Mg 2SO 4、Mg(CH 3COO) 2、MgCl 2、MgBr 2、Mg(NO 3) 2、Mg(ClO 4) 2、MgI 2、Mg(SCN) 2、MnCl 2、Ca 3(PO 4),、Ca 2HPO 4、Ca(H 2PO 4) 2、CaSO 4、Ca(CH 3COO) 2、CaCl 2、CaBr 2、Ca(NO 3) 2、Ca(ClO 4) 2、CaI 2、Ca(SCN) 2、Ba 3(PO 4) 2、Ba 2HPO 4、Ba(H 2PO 4) 2、BaSO 4、Ba(CH 3COO) 2、BaCl 2、BaBr 2、Ba(NO 3) 2、Ba(ClO 4) 2、BaI 2、及Ba(SCN) 2。特定而言,較佳的為NH乙酸鹽、MgCl 2、KH 2PO 4、Na 2SO 4、KCl、NaCl、及CaCl 2,諸如,例如,氯化物或乙酸鹽(三氟乙酸鹽)(例如Berge等人, 1977,其內容係以全文引用方式併入本文)。 Another embodiment of the present invention relates to a non-naturally occurring peptide, wherein the peptide consists or consists essentially of the amino acid sequence according to SEQ ID NO: 1 to SEQ ID NO: 113, and has been treated as a pharmaceutically acceptable Salts are produced synthetically (eg, synthetically). Methods of synthetically producing peptides are well known in the art. The salts of the peptides according to the invention differ substantially from the peptides in their in vivo state, since the peptides produced in vivo are free of salts. The non-natural salt forms of the peptides mediate the solubility of the peptides, especially in the context of pharmaceutical compositions comprising the peptides (eg, peptide vaccines as disclosed herein). Sufficient and at least substantial solubility of the peptide is required in order to effectively deliver the peptide to the subject to be treated. Preferably, the salt is a pharmaceutically acceptable salt of the peptide. The salts according to the invention include alkali metal salts and alkaline earth metal salts, such as salts of the Hofmeister ionic sequence comprising the anions PO43 , SO42- , CH3COO- , Cl - , Br - , NO 3 - , ClO 4 - , I - , SCN - and cations NH 4 + , Rb + , K + , Na + , Cs + , Li + , Zn 2+ , Mg 2+ , Ca 2+ , Mn 2+ , Cu 2+ and Ba 2+ . In particular, the salt is selected from ( NH4 ) 3PO4 , ( NH4 ) 2HPO4 , ( NH4 ) H2PO4 , ( NH4 ) 2SO4 , NH4CH3COO , NH4Cl , NH 4 Br, NH 4 NO 3 , NH 4 CIO 4 , NH 4 I, NH 4 SCN, Rb 3 PO 4 , Rb 2 HPO 4 , RbH 2 PO 4 , Rb 2 SO 4 , Rb 4 CH 3 COO, Rb 4 Cl, Rb 4 Br, Rb 4 NO 3 , Rb 4 CIO 4 , Rb 4 I, Rb 4 SCN, K 3 PO 4 , K 2 HPO 4 , KH 2 PO 4 , K 2 SO 4 , KCH 3 COO, KCl , KBr, KNO 3 , KClO 4 , KI, KSCN, Na 3 PO 4 , Na 2 HPO 4 , NaH 2 PO 4 , Na 2 SO 4 , NaCH 3 COO, NaCl, NaBr, NaNO 3 , NaCIO 4 , NaI, NaSCN , ZnCI 2 Cs 3 PO 4 , Cs 2 HPO 4 , CsH 2 PO 4 , Cs 2 SO 4 , CsCH 3 COO, CsCl, CsBr, CsNO 3 , CsCIO 4 , CsI, CsSCN, Li 3 PO 4 , Li 2 HPO 4 , LiH 2 PO 4 , Li 2 SO 4 , LiCH 3 COO, LiCl, LiBr, LiNO 3 , LiClO 4 , LiI, LiSCN, Cu 2 SO 4 , Mg 3 (PO 4 ) 2 , Mg 2 HPO 4 , Mg(H 2 PO 4 ) 2 , Mg 2 SO 4 , Mg(CH 3 COO) 2 , MgCl 2 , MgBr 2 , Mg(NO 3 ) 2 , Mg(ClO 4 ) 2 , MgI 2 , Mg(SCN) 2 , MnCl 2 , Ca 3 (PO 4 ), Ca 2 HPO 4 , Ca(H 2 PO 4 ) 2 , CaSO 4 , Ca(CH 3 COO) 2 , CaCl 2 , CaBr 2 , Ca(NO 3 ) 2 , Ca(ClO 4 ) 2 , CaI 2 , Ca(SCN) 2 , Ba 3 (PO 4 ) 2 , Ba 2 HPO 4 , Ba(H 2 PO 4 ) 2 , BaSO 4 , Ba(CH 3 COO) 2 , BaCl 2 , BaBr 2. Ba(N O 3 ) 2 , Ba(ClO 4 ) 2 , BaI 2 , and Ba(SCN) 2 . In particular, preferred are NH acetate, MgCl 2 , KH 2 PO 4 , Na 2 SO 4 , KCl, NaCl, and CaCl 2 , such as, for example, chloride or acetate (trifluoroacetate) (eg Berge et al., 1977, the contents of which are hereby incorporated by reference in their entirety).

通常,肽及變異體(至少在胺基酸殘基之間含有肽鍵之彼等變異體)可藉由固相肽合成之Fmoc-聚醯胺模式來合成,如藉由Lukas等人(Lukas等人, 1981,其內容係以全文引用方式併入本文)及其中引用的參考文獻所揭示。臨時的N-胺基保護係藉由9-茀基甲氧基羰基(Fmoc)基團來提供。此高度鹼不穩定的保護基之重複分解係使用於N,N-二甲基甲醯胺中之20%哌啶來進行。側鏈官能性可作為以下形式來保護:其丁基醚(在絲胺酸、蘇胺酸及酪胺酸情況下)、丁酯(在麩胺酸及天冬胺酸情況下)、丁氧基羰基衍生物(在離胺酸及組胺酸情況下)、三苯甲基衍生物(在光胱胺酸情況下)及4-甲氧基-2,3,6-三甲基苯磺醯基衍生物(在精胺酸情況下)。在麩醯胺酸或天冬醯胺酸為C末端殘基的情況下,使用4,4'-二甲氧基二苯甲基來保護側鏈醯胺基官能性。固相支撐物係基於自三種單體二甲基丙烯醯胺(主鏈單體)、雙丙烯醯基乙二胺(交聯劑)及丙烯醯基肌胺酸甲酯(官能化劑)構成的聚二甲基-丙烯醯胺聚合物。所使用的肽至樹脂可分解連接劑為酸不穩定的4-羥甲基-苯氧基乙酸衍生物。所有的胺基酸衍生物係作為其預形成的對稱酐衍生物來添加,例外的是天冬醯胺酸及麩醯胺酸,其係使用逆向N,N-二環己基-碳化二亞胺/1羥基苯并三唑介導的偶合程序來添加。所有偶合及去保護反應係使用茚三酮、三硝基苯磺酸或異搏定(isotin)測試程序來監視。在完成合成之後,將肽自樹脂支撐物分解並藉由用含有50%淨化劑混合物的95%三氟乙酸進行處理來伴隨地移除側鏈保護基。常用的淨化劑包括乙二硫醇、苯酚、大茴香醚及水,確切的選擇取決於所合成的肽之構成胺基酸。此外,用於合成肽的固相及液相方法之組合係可能的(參見例如Bruckdorfer等人, 2004及其中引用的參考文獻,其內容係以全文引用方式併入本文)。In general, peptides and variants (at least those that contain peptide bonds between amino acid residues) can be synthesized by the Fmoc-polyamide mode of solid-phase peptide synthesis, such as by Lukas et al. (Lukas et al. et al., 1981, the contents of which are incorporated herein by reference in their entirety) and the references cited therein. Temporary N-amino protection is provided by a 9-intenylmethoxycarbonyl (Fmoc) group. Repeated decomposition of this highly base-labile protecting group was carried out using 20% piperidine in N,N-dimethylformamide. The pendant functionality can be protected as its butyl ether (in the case of serine, threonine and tyrosine), butyl ester (in the case of glutamic and aspartic acids), butoxy Carbonyl derivatives (in the case of lysine and histidine), trityl derivatives (in the case of cystine) and 4-methoxy-2,3,6-trimethylbenzenesulfonic acid Acyl derivatives (in the case of arginine). In the case of glutamic acid or aspartic acid as the C-terminal residue, a 4,4'-dimethoxybenzhydryl group was used to protect the side chain amido functionality. The solid support is based on three monomers dimethylacrylamide (main chain monomer), bisacryloylethylenediamine (crosslinking agent) and methylacryloyl sarcosinate (functionalizing agent) of polydimethyl-acrylamide polymers. The peptide-to-resin cleavable linker used was an acid labile 4-hydroxymethyl-phenoxyacetic acid derivative. All amino acid derivatives are added as their pre-formed symmetrical anhydride derivatives, with the exception of aspartic acid and glutamic acid, which use the reverse N,N-dicyclohexyl-carbodiimide /1 hydroxybenzotriazole-mediated coupling procedure to add. All coupling and deprotection reactions were monitored using ninhydrin, trinitrobenzenesulfonic acid or isotin test procedures. After the synthesis was complete, the peptide was cleaved from the resin support and side chain protecting groups were concomitantly removed by treatment with 95% trifluoroacetic acid containing a 50% scavenger mixture. Commonly used scavengers include ethanedithiol, phenol, anisole, and water, the exact choice depending on the constituent amino acids of the peptide being synthesized. In addition, a combination of solid-phase and liquid-phase methods for synthesizing peptides is possible (see, eg, Bruckdorfer et al., 2004 and references cited therein, the contents of which are incorporated herein by reference in their entirety).

三氟乙酸係藉由在真空中蒸發來移除,後續用二乙醚研磨以得到粗肽。存在的任何淨化劑係藉由簡單的萃取程序來移除,接著水相之冷凍乾燥得到不含淨化劑的粗肽。用於肽合成之試劑通常可購自例如Calbiochem-Novabiochem(Nottingham, UK)。Trifluoroacetic acid was removed by evaporation in vacuo, followed by trituration with diethyl ether to give the crude peptide. Any scavengers present were removed by a simple extraction procedure followed by lyophilization of the aqueous phase to yield the crude peptide free of scavengers. Reagents for peptide synthesis are generally available from eg Calbiochem-Novabiochem (Nottingham, UK).

純化可藉由任何一種技術或技術之組合來執行,諸如再結晶、粒徑排阻層析、離子交換層析、疏水性相互作用層析及(通常)使用例如乙腈/水梯度分離的逆相高效液相層析。Purification can be performed by any one technique or combination of techniques, such as recrystallization, size exclusion chromatography, ion exchange chromatography, hydrophobic interaction chromatography, and (usually) reversed phase separation using, for example, an acetonitrile/water gradient High performance liquid chromatography.

肽之分析可使用以下各項來進行:薄層層析、電泳、尤其是毛細管電泳、固相萃取(solid phase extraction; CSPE)、逆相高效液相層析、酸水解之後的胺基酸分析及快速原子轟擊(fast atom bombardment; FAB)質譜分析,以及MALDI及ESI-Q-TOF質譜分析。Analysis of peptides can be performed using thin layer chromatography, electrophoresis, especially capillary electrophoresis, solid phase extraction (CSPE), reverse phase high performance liquid chromatography, amino acid analysis after acid hydrolysis And fast atom bombardment (fast atom bombardment; FAB) mass spectrometry, and MALDI and ESI-Q-TOF mass spectrometry.

為選擇過度呈現的肽,計算呈現分佈,其展示中值樣品呈現以及複製物變異。該分佈將所關注腫瘤實體之樣品與正常組織樣品之基線並置。可隨後藉由計算線性混合效應模型之p-值(Pinheiro等人, 2015),藉由偽發現率(Benjamini及Hochberg, 1995,其內容係以全文引用方式併入本文)對多個測試進行調整來將該些分佈中之每一者合併成過度呈現記分。To select overrepresented peptides, a representation distribution was calculated, which showed median sample representation as well as replicate variation. This distribution juxtaposes samples of tumor entities of interest with a baseline of normal tissue samples. Multiple tests can then be adjusted by calculating p-values for linear mixed-effects models (Pinheiro et al., 2015), by false discovery rates (Benjamini and Hochberg, 1995, the contents of which are hereby incorporated by reference in their entirety) to combine each of these distributions into an over-presentation score.

對於藉由質譜分析法鑑別及相對定量HLA配位體而言,將來自震動-凍結組織樣品之HLA分子純化且分離HLA相關聯肽。將經分離的肽分離,且藉由線上奈米電噴灑-離子化(nano-electrospray-ionization; nanoESI)液相層析-質譜分析法(liquid chromatography-mass spectrometry; LC-MS)實驗來鑑別序列。藉由將自急性骨髓性白血病、乳癌、膽管細胞癌、慢性淋巴球性白血病、結腸直腸癌、膽囊癌、神經膠質母細胞瘤、胃癌、胃-食管接合癌、肝細胞癌、頭及頸鱗狀細胞癌、黑素瘤、非霍奇金氏淋巴瘤、非小細胞肺癌、卵巢癌、食管癌、胰腺癌、前列腺癌、腎細胞癌、小細胞肺癌、膀胱癌、及子宮內膜癌樣品記錄的天然腫瘤相關聯肽(natural tumor-associated peptide; TUMAP)之斷裂模式與一致序列的相應合成參考肽之斷裂模式比較來驗證所得的肽序列。因為肽係直接鑑別為原發腫瘤之HLA分子之配位體,所以該些結果提供針對自急性骨髓性白血病、乳癌、膽管細胞癌、慢性淋巴球性白血病、結腸直腸癌、膽囊癌、神經膠質母細胞瘤、胃癌、胃-食管接合癌、肝細胞癌、頭及頸鱗狀細胞癌、黑素瘤、非霍奇金氏淋巴瘤、非小細胞肺癌、卵巢癌、食管癌、胰腺癌、前列腺癌、腎細胞癌、小細胞肺癌、膀胱癌、及子宮內膜癌獲得的原發癌組織上的經鑑別肽之天然加工及呈現的直接證據(參考實例1,第3A圖至第3D圖)。For identification and relative quantification of HLA ligands by mass spectrometry, HLA molecules from shake-frozen tissue samples were purified and HLA-associated peptides isolated. The isolated peptides were isolated and sequences were identified by on-line nano-electrospray-ionization (nanoESI) liquid chromatography-mass spectrometry (LC-MS) experiments . By combining acute myeloid leukemia, breast cancer, cholangiocarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer, gastroesophageal junction cancer, hepatocellular carcinoma, head and neck squamous cell carcinoma Squamous cell carcinoma, melanoma, non-Hodgkin's lymphoma, non-small cell lung cancer, ovarian cancer, esophageal cancer, pancreatic cancer, prostate cancer, renal cell cancer, small cell lung cancer, bladder cancer, and endometrial cancer samples The resulting peptide sequences were validated by comparing the fragmentation pattern of the recorded natural tumor-associated peptide (TUMAP) with the fragmentation pattern of the corresponding synthetic reference peptide of the consensus sequence. Because peptides are directly identified as ligands for HLA molecules of the primary tumor, these results provide insights into acute myeloid leukemia, breast cancer, cholangiocarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer, glial cancer blastoma, gastric cancer, gastroesophageal junction cancer, hepatocellular carcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodgkin's lymphoma, non-small cell lung cancer, ovarian cancer, esophageal cancer, pancreatic cancer, Direct evidence of native processing and presentation of identified peptides on primary cancer tissues obtained from prostate, renal cell, small cell lung, bladder, and endometrial cancers (Reference Example 1, Figures 3A-3D ).

相較於若干不同的非癌性組織及器官,探索管線XPRESIDENT® v2.1允許基於直接相對定量癌症組織上之HLA限制肽位準來鑑別及選擇為用於免疫治療之潛在標靶的相關過度呈現的肽。參見例如美國專利申請公開案第2013/0096016號,其內容係以全文引用方式併入本文。此舉係藉由開發無標記差分定量,使用藉由專屬資料分析管線處理的所獲取LC-MS資料,將用於序列鑑別、光譜叢集化、離子計算、滯留時間校準、電荷狀態反摺積及正規化的演算法組合來達成。Exploratory pipeline XPRESIDENT® v2.1 allows identification and selection of relevant transitions as potential targets for immunotherapy based on direct relative quantification of HLA-restricted peptide levels on cancer tissues compared to several different non-cancerous tissues and organs Rendered peptides. See, eg, US Patent Application Publication No. 2013/0096016, the contents of which are incorporated herein by reference in their entirety. This was done by developing label-free differential quantification, using acquired LC-MS data processed through a dedicated data analysis pipeline, which will be used for sequence identification, spectral clustering, ion calculation, residence time calibration, charge state deconvolution and Regularized algorithm combination to achieve.

將來自公共資源(Olexiouk等人, 2016;Subramanian等人, 2011,其內容係以全文引用方式併入本文)的另外的序列資訊整合至XPRESIDENT®探索管線中以賦能鑑別來自非典型起源的TUMAP。建立針對每一肽及樣品的包括誤差估計的呈現位準。已鑑別出相對非癌性組織及器官專門呈現於腫瘤組織上的肽及在腫瘤中過度呈現的肽。Integration of additional sequence information from public sources (Olexiouk et al., 2016; Subramanian et al., 2011, the contents of which are incorporated by reference in their entirety) into the XPRESIDENT® discovery pipeline to enable identification of TUMAPs from atypical origins . A presentation level including error estimates is established for each peptide and sample. Peptides that are exclusively presented on tumor tissue relative to non-cancerous tissues and organs and peptides that are over-presented in tumors have been identified.

將來自急性骨髓性白血病、乳癌、膽管細胞癌、慢性淋巴球性白血病、結腸直腸癌、膽囊癌、神經膠質母細胞瘤、胃癌、胃-食管接合癌、肝細胞癌、頭及頸鱗狀細胞癌、黑素瘤、非霍奇金氏淋巴瘤、非小細胞肺癌、卵巢癌、食管癌、胰腺癌、前列腺癌、腎細胞癌、小細胞肺癌、膀胱癌、及子宮內膜癌組織樣品的HLA-肽複合物純化且藉由LC-MS分離並分析HLA相關聯肽(參見實例1)。本申請案中含有的所有TUMAP皆係利用此方法在急性骨髓性白血病、乳癌、膽管細胞癌、慢性淋巴球性白血病、結腸直腸癌、膽囊癌、神經膠質母細胞瘤、胃癌、胃-食管接合癌、肝細胞癌、頭及頸鱗狀細胞癌、黑素瘤、非霍奇金氏淋巴瘤、非小細胞肺癌、卵巢癌、食管癌、胰腺癌、前列腺癌、腎細胞癌、小細胞肺癌、膀胱癌、及子宮內膜癌樣品上鑑別,從而確認其在急性骨髓性白血病、乳癌、膽管細胞癌、慢性淋巴球性白血病、結腸直腸癌、膽囊癌、神經膠質母細胞瘤、胃癌、胃-食管接合癌、肝細胞癌、頭及頸鱗狀細胞癌、黑素瘤、非霍奇金氏淋巴瘤、非小細胞肺癌、卵巢癌、食管癌、胰腺癌、前列腺癌、腎細胞癌、小細胞肺癌、膀胱癌、子宮內膜癌、及其組合上的呈現。will be derived from acute myeloid leukemia, breast cancer, cholangiocarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer, gastroesophageal junction cancer, hepatocellular carcinoma, head and neck squamous cells Carcinoma, melanoma, non-Hodgkin's lymphoma, non-small cell lung cancer, ovarian cancer, esophageal cancer, pancreatic cancer, prostate cancer, renal cell cancer, small cell lung cancer, bladder cancer, and endometrial cancer tissue samples HLA-peptide complexes were purified and HLA-associated peptides were separated and analyzed by LC-MS (see Example 1). All TUMAPs contained in this application were developed using this method in acute myeloid leukemia, breast cancer, cholangiocarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer, gastroesophageal junction Cancer, Hepatocellular Carcinoma, Head and Neck Squamous Cell Carcinoma, Melanoma, Non-Hodgkin's Lymphoma, Non-Small Cell Lung Cancer, Ovarian Cancer, Esophageal Cancer, Pancreatic Cancer, Prostate Cancer, Renal Cell Carcinoma, Small Cell Lung Cancer , bladder cancer, and endometrial cancer samples, thereby confirming its role in acute myeloid leukemia, breast cancer, cholangiocarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer, gastric cancer -Esophageal junctional carcinoma, hepatocellular carcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodgkin's lymphoma, non-small cell lung cancer, ovarian cancer, esophageal cancer, pancreatic cancer, prostate cancer, renal cell carcinoma, Presentation on small cell lung cancer, bladder cancer, endometrial cancer, and combinations thereof.

使用無標記LC-MS資料之離子計數來定量在多個急性骨髓性白血病、乳癌、膽管細胞癌、慢性淋巴球性白血病、結腸直腸癌、膽囊癌、神經膠質母細胞瘤、胃癌、胃-食管接合癌、肝細胞癌、頭及頸鱗狀細胞癌、黑素瘤、非霍奇金氏淋巴瘤、非小細胞肺癌、卵巢癌、食管癌、胰腺癌、前列腺癌、腎細胞癌、小細胞肺癌、膀胱癌、及子宮內膜癌以及正常組織上鑑別的TUMAP。方法假定肽之LC-MS信號區域與其在樣品中之豐度相關。基於集中趨勢來正規化各種 LC-MS實驗中的肽之所有定量信號,根據樣品取平均值且將其合併成柱狀圖,此稱作呈現分佈。呈現分佈合併了如同蛋白質資料庫搜索、光譜叢集化、電荷狀態反摺積(去電荷)及滯留時間校準及正規化的不同分析方法。Quantification of ion counts using label-free LC-MS data in multiple acute myeloid leukemia, breast cancer, cholangiocarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer, gastro-esophageal cancer Junctional carcinoma, hepatocellular carcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodgkin's lymphoma, non-small cell lung cancer, ovarian cancer, esophageal cancer, pancreatic cancer, prostate cancer, renal cell carcinoma, small cell Lung, bladder, and endometrial cancers and TUMAPs identified on normal tissues. The method assumes that the LC-MS signal region of a peptide correlates with its abundance in the sample. All quantitative signals for peptides in various LC-MS experiments were normalized based on central tendency, averaged by sample and combined into a histogram, which is called a presentation distribution. The presented distribution incorporates different analytical methods such as protein database searching, spectral clustering, charge state deconvolution (de-charge), and residence time calibration and normalization.

除肽之過度呈現之外,測試隱伏基因之mRNA表現。mRNA資料係經由正常組織及癌症組織之RNASeq分析來獲得(參見實例2、第4A圖至第4D圖)。正常組織資料之另外來源為來自約3000個正常組織樣品的公共可用RNA表現資料之資料庫(Lonsdale, 2013,其內容係以全文引用方式併入本文)。本發明中較佳地包括來源於其編碼mRNA高度表現於癌症組織中但在極重要正常組織中表現極低或不存在的蛋白質之肽。In addition to overrepresentation of peptides, cryptic genes were tested for mRNA expression. mRNA data were obtained via RNASeq analysis of normal and cancer tissues (see Example 2, Figures 4A-4D). An additional source of normal tissue data is the database of publicly available RNA expression data from approximately 3000 normal tissue samples (Lonsdale, 2013, the contents of which are incorporated herein by reference in their entirety). Peptides derived from proteins whose mRNAs are highly expressed in cancer tissues but very low or absent in vital normal tissues are preferably included in the present invention.

本發明提供肽,其適用於治療過度或專門呈現本發明之肽的癌症/腫瘤,較佳地急性骨髓性白血病、乳癌、膽管細胞癌、慢性淋巴球性白血病、結腸直腸癌、膽囊癌、神經膠質母細胞瘤、胃癌、胃-食管接合癌、肝細胞癌、頭及頸鱗狀細胞癌、黑素瘤、非霍奇金氏淋巴瘤、非小細胞肺癌、卵巢癌、食管癌、胰腺癌、前列腺癌、腎細胞癌、小細胞肺癌、膀胱癌、及子宮內膜癌。該些肽藉由質譜分析法展示為藉由原發性人類急性骨髓性白血病、乳癌、膽管細胞癌、慢性淋巴球性白血病、結腸直腸癌、膽囊癌、神經膠質母細胞瘤、胃癌、胃-食管接合癌、肝細胞癌、頭及頸鱗狀細胞癌、黑素瘤、非霍奇金氏淋巴瘤、非小細胞肺癌、卵巢癌、食管癌、胰腺癌、前列腺癌、腎細胞癌、小細胞肺癌、膀胱癌、及子宮內膜癌樣品上之HLA分子天然呈現。The present invention provides peptides that are suitable for the treatment of cancers/tumors that over- or exclusively present the peptides of the invention, preferably acute myeloid leukemia, breast cancer, cholangiocarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer, nerve Glioblastoma, gastric cancer, gastroesophageal junction cancer, hepatocellular carcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodgkin's lymphoma, non-small cell lung cancer, ovarian cancer, esophageal cancer, pancreatic cancer , prostate cancer, renal cell carcinoma, small cell lung cancer, bladder cancer, and endometrial cancer. The peptides were shown by mass spectrometry to be detected by primary human acute myeloid leukemia, breast cancer, cholangiocarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer, gastric- Esophageal junctional carcinoma, hepatocellular carcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodgkin's lymphoma, non-small cell lung cancer, ovarian cancer, esophageal cancer, pancreatic cancer, prostate cancer, renal cell carcinoma, small HLA molecules are naturally present on lung, bladder, and endometrial cancer samples.

肽所來源於的許多來源基因/蛋白質(亦稱為「全長蛋白質」或「基本蛋白質」經證實相較於正常組織而言在癌症中高度地過度表現—關於本發明之「正常組織」將意指健康血液、腦、心臟、肝、肺、脂肪組織、腎上腺、膽管、膀胱、骨、骨髓、食管、眼睛、膽囊、頭及頸、大腸、小腸、腎、淋巴結、中樞神經、周邊神經、胰腺、副甲狀腺、腹膜、垂體、胸膜、骨骼肌、皮膚、脊髓、脾、胃、甲狀腺、氣管、及輸尿管細胞或其他正常組織細胞,諸如乳房、卵巢、胎盤、前列腺、睾丸、胸腺、子宮,其皆證明來源基因之高度腫瘤關聯(參見,實例2)。此外,肽自身係強烈地過度呈現在腫瘤組織上但非正常組織上—關於本發明之「腫瘤組織」將意指來自罹患以下各項之患者的樣品:急性骨髓性白血病、乳癌、膽管細胞癌、慢性淋巴球性白血病、結腸直腸癌、膽囊癌、神經膠質母細胞瘤、胃癌、胃-食管接合癌、肝細胞癌、頭及頸鱗狀細胞癌、黑素瘤、非霍奇金氏淋巴瘤、非小細胞肺癌、卵巢癌、食管癌、胰腺癌、前列腺癌、腎細胞癌、小細胞肺癌、膀胱癌、及子宮內膜癌(參見實例1)。Many source genes/proteins from which the peptides are derived (also known as "full-length proteins" or "essential proteins" have been shown to be highly overrepresented in cancer compared to normal tissue - "normal tissue" in relation to the present invention will mean Refers to healthy blood, brain, heart, liver, lung, adipose tissue, adrenal gland, bile duct, bladder, bone, bone marrow, esophagus, eye, gallbladder, head and neck, large intestine, small intestine, kidney, lymph nodes, central nervous system, peripheral nerves, pancreas , parathyroid, peritoneal, pituitary, pleura, skeletal muscle, skin, spinal cord, spleen, stomach, thyroid, trachea, and ureter cells or other normal tissue cells such as breast, ovary, placenta, prostate, testis, thymus, uterus, which Both demonstrated a high tumor association of the source gene (see, Example 2). In addition, the peptide itself was strongly over-presented on tumor tissue but not on normal tissue - "tumor tissue" with respect to the present invention shall mean derived from patients suffering from Samples from patients: acute myeloid leukemia, breast cancer, cholangiocarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer, gastroesophageal junction cancer, hepatocellular carcinoma, head and neck cancer Squamous cell carcinoma, melanoma, non-Hodgkin's lymphoma, non-small cell lung cancer, ovarian cancer, esophageal cancer, pancreatic cancer, prostate cancer, renal cell cancer, small cell lung cancer, bladder cancer, and endometrial cancer (See Example 1).

HLA結合肽可藉由免疫系統、具體而言T淋巴細胞識別。T細胞可破壞呈現所鑑別HLA-肽複合物之細胞,例如呈現衍生肽的急性骨髓性白血病、乳癌、膽管細胞癌、慢性淋巴球性白血病、結腸直腸癌、膽囊癌、神經膠質母細胞瘤、胃癌、胃-食管接合癌、肝細胞癌、頭及頸鱗狀細胞癌、黑素瘤、非霍奇金氏淋巴瘤、非小細胞肺癌、卵巢癌、食管癌、胰腺癌、前列腺癌、腎細胞癌、小細胞肺癌、膀胱癌、及子宮內膜癌細胞。HLA-binding peptides can be recognized by the immune system, in particular T lymphocytes. T cells can destroy cells presenting the identified HLA-peptide complexes, such as acute myeloid leukemia, breast cancer, cholangiocarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer, glioblastoma, Gastric cancer, gastroesophageal junction cancer, hepatocellular carcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodgkin's lymphoma, non-small cell lung cancer, ovarian cancer, esophageal cancer, pancreatic cancer, prostate cancer, kidney cancer cell carcinoma, small cell lung cancer, bladder cancer, and endometrial cancer cells.

相較於正常組織,本發明之肽過度呈現在癌症組織中且因此可用於產生根據本發明之抗體及/或TCR,諸如可溶TCR(參見表10)。此外,肽在與相應MHC複合時可亦用於產生根據本發明之抗體及/或TCR,尤其可溶TCR。相應方法係熟練技藝人士所熟知的且亦可見於相應文獻中(參見下文)。因此,本發明之肽適用於在患者中產生免疫反應,藉以可破壞腫瘤細胞。患者中之免疫反應可藉由向患者直接投予所描述肽或適合前驅物物質(例如編碼該些肽之伸長肽、蛋白質、或核酸)來誘導,理想地與增強免疫原性之藥劑(亦即,佐劑)組合投予來誘導。起源於此類治療性疫苗接種之免疫反應可預期對腫瘤細胞為高度特異性的,因為本發明之標靶肽不會以可比較量呈現在正常組織上,從而防止針對患者內的正常細胞的非所要自體免疫反應之風險。The peptides of the invention are overrepresented in cancer tissues compared to normal tissues and thus can be used to generate antibodies and/or TCRs according to the invention, such as soluble TCRs (see Table 10). Furthermore, the peptides can also be used to generate antibodies and/or TCRs, especially soluble TCRs, according to the invention when complexed with the corresponding MHCs. Corresponding methods are well known to the skilled person and can also be found in the corresponding literature (see below). Therefore, the peptides of the present invention are suitable for generating an immune response in a patient whereby tumor cells can be destroyed. An immune response in a patient can be induced by direct administration to the patient of the described peptides or suitable precursor substances, such as elongated peptides, proteins, or nucleic acids encoding these peptides, ideally with an agent that enhances immunogenicity (also That is, adjuvant) is administered in combination to induce induction. Immune responses derived from such therapeutic vaccinations can be expected to be highly specific to tumor cells, as the target peptides of the present invention are not present on normal tissues in comparable amounts, thereby preventing the targeting of normal cells in the patient. Risk of unwanted autoimmune reactions.

本說明書進一步係關於包含α鏈及β鏈之TCR(「α/β TCR」)。亦提供根據本發明之肽,其能夠在藉由MHC分子呈現時結合至TCR及抗體。The present specification further relates to TCRs comprising alpha chains and beta chains ("alpha/beta TCRs"). Also provided are peptides according to the invention which are capable of binding to TCRs and antibodies when presented by MHC molecules.

本說明書亦係關於根據本發明之TCR之片段,其能夠在藉由HLA分子呈現時結合至根據本發明之肽抗原。該術語尤其係關於可溶TCR片段,例如缺失跨膜部分及/或恆定區的TCR、單鏈TCR、及其例如與免疫球蛋白之融合物。The present specification also relates to fragments of TCRs according to the invention, which are capable of binding to peptide antigens according to the invention when presented by HLA molecules. The term refers in particular to soluble TCR fragments, such as TCRs lacking the transmembrane portion and/or constant region, single-chain TCRs, and fusions thereof, eg, with immunoglobulins.

本說明書亦係關於表現本說明書之TCR及肽的核酸、載體及寄主細胞;及其使用方法。This specification also pertains to nucleic acids, vectors, and host cells expressing the TCRs and peptides of this specification; and methods of use thereof.

術語「T細胞受體」(縮寫為TCR)係指包含α多肽鏈(α鏈)及β多肽鏈(β鏈)之異源二聚分子,其中異源二聚受體能夠結合至藉由HLA分子呈現的肽抗原。術語亦包括所謂的γ/δ TCR。The term "T cell receptor" (abbreviated as TCR) refers to a heterodimeric molecule comprising an alpha polypeptide chain (alpha chain) and a beta polypeptide chain (beta chain), wherein the heterodimeric receptor is capable of binding to HLA via HLA Molecularly presented peptide antigens. The term also includes so-called gamma/delta TCRs.

在一個實施例中,本說明書提供產生如本文描述的TCR之方法,該方法包含在適於促進TCR之表現的條件下培養能夠表現TCR之寄主細胞。In one embodiment, the present specification provides a method of producing a TCR as described herein, the method comprising culturing a host cell capable of expressing the TCR under conditions suitable for promoting the expression of the TCR.

在另一態樣中,本說明書係關於根據本說明書之方法,其中藉由將足夠量的抗原與抗原呈現細胞接觸來將抗原載入至適合的抗原呈現細胞或人工抗原呈現細胞之表面上表現的I類或II類MHC分子,或藉由將抗原/I類或II類MHC複合物單體四聚來將抗原載入至I類或II類MHC四聚物上。In another aspect, the specification relates to a method according to the specification, wherein the antigen is loaded onto the surface of a suitable antigen-presenting cell or artificial antigen-presenting cell for expression by contacting a sufficient amount of the antigen with the antigen-presenting cell. class I or class II MHC molecules, or loading antigen onto class I or class II MHC tetramers by tetramerizing antigen/class I or class II MHC complex monomers.

通常認為α/β TCR之α及β鏈及γ/δ TCR之γ及δ鏈各自具有兩個「域」,亦即可變域及恆定域。可變域由可變區(V)及聯接區(J)之序連(concatenation)組成。可變域亦可包括前導區(L)。β及δ鏈亦可包括多樣性區(D)。α及β恆定域亦可包括 C末端跨膜(transmembrane; TM)域,其將α及β鏈錨定至細胞膜。The alpha and beta chains of the alpha/beta TCR and the gamma and delta chains of the gamma/delta TCR are generally considered to each have two "domains", namely a variable domain and a constant domain. A variable domain consists of the concatenation of a variable region (V) and a linker region (J). Variable domains may also include a leader (L). Beta and delta chains may also include regions of diversity (D). The alpha and beta constant domains may also include a C-terminal transmembrane (TM) domain, which anchors the alpha and beta chains to the cell membrane.

關於γ/δ TCR,如本文所使用的術語「TCRγ可變域」係指不具有前導區(L)之TCRγV(TRGV)區及TCRγJ(TRGJ)區之序連,且術語TCRγ恆定域係指細胞外TRGC區,或C末端截斷TRGC序列。同樣地,術語「TCRδ可變域」係指不具有前導區(L)之TCRδV(TRDV)區及TCRδD/J(TRDD/TRDJ)區之序連,且術語「TCRδ恆定域」係指細胞外TRDC區,或C末端截斷TRDC序列。With respect to γ/δ TCRs, the term "TCRγ variable domain" as used herein refers to the concatenation of the TCRγV (TRGV) and TCRγJ (TRGJ) regions without a leader (L), and the term TCRγ constant domain refers to Extracellular TRGC region, or C-terminal truncated TRGC sequence. Likewise, the term "TCRδ variable domain" refers to the concatenation of the TCRδV (TRDV) and TCRδD/J (TRDD/TRDJ) regions without a leader (L), and the term "TCRδ constant domain" refers to the extracellular TRDC region, or C-terminal truncated TRDC sequence.

本說明書之α/β異源二聚TCR可具有在其恆定域之間引入的二硫鍵。此類型之較佳TCR包括具有TRAC恆定域序列及TRBC1或TRBC2恆定域序列之彼等TCR,只不過TRAC之Thr 48及TRBC1或TRBC2之Ser 57係藉由光胱胺酸殘基置換,該等光胱胺酸在TCR之TRAC恆定域序列與TRBC1或TRBC2恆定域序列之間形成二硫鍵。The alpha/beta heterodimeric TCRs of the present specification may have disulfide bonds introduced between their constant domains. Preferred TCRs of this type include those with a TRAC constant domain sequence and a TRBC1 or TRBC2 constant domain sequence, except that Thr 48 of TRAC and Ser 57 of TRBC1 or TRBC2 are replaced by cysteine residues, these Cystine forms a disulfide bond between the TRAC constant domain sequence of the TCR and the TRBC1 or TRBC2 constant domain sequence.

在具有或不具有上述所引入的鏈內鍵的情況下,本說明書之α/β異源二聚TCR可具有TRAC恆定域序列及TRBC1或TRBC2恆定域序列,且TCR之TRAC恆定域序列及TRBC1或TRBC2恆定域序列可藉由在TRAC之外顯子2之Cys4與TRBC1或TRBC2之外顯子2之Cys2之間的初始二硫鍵連接。An alpha/beta heterodimeric TCR of the present specification may have a TRAC constant domain sequence and a TRBC1 or TRBC2 constant domain sequence, with or without the above-introduced intrachain linkage, and the TRAC constant domain sequence and TRBC1 of the TCR Or the TRBC2 constant domain sequence can be linked by an initial disulfide bond between Cys4 of TRAC exon 2 and TRBC1 or Cys2 of TRBC2 exon 2.

本說明書之TCR可包含選自由放射性核種、螢光團及生物素組成之群組的可偵測標記。本說明書之TCR可接合至治療活化劑,諸如放射性核種、化學治療劑、或毒素。 可偵測標記 The TCR of this specification may comprise a detectable label selected from the group consisting of radionuclides, fluorophores and biotin. The TCRs of this specification can be conjugated to therapeutic activators, such as radionuclides, chemotherapeutic agents, or toxins. detectable marker

可偵測標記可例如螢光染料、酶、底物、生物發光物質、放射性物質、及化學發光標記。示範性酶標記包括但不限於山葵過氧化酶、乙醯膽鹼酶、鹼性磷酸酶、b-半乳糖苷酶及螢光素酶。示範性螢光團(螢光物質)包括但不限於玫瑰紅、螢光素、螢光異硫氰酸鹽、繖形酮、二氯三嗪基胺、藻紅素及丹磺醯氯。示範性化學發光標記包括但不限於發光胺。示範性生物發光物質包括但不限於螢光素及水母發光蛋白。示範性放射性物質包括但不限於鉍-213( 213Bs)、碳-14( 14C)、碳-11( 11C)、氯-18( 18Cl)、鉻-51( 51Cr)、鈷-57( 57Co)、鈷-60( 60Co)、銅-64( 64Cu)、銅-67( 67Cu)、鏑-165( 165Dy)、鉺-169( 169Er)、氟-18( 18F)、鎵-67( 67Ga)、鎵-68( 68Ga)、鍺-68( 68Ge)、鈥-166( 166Ho)、銦-111( 111In)、碘-123( 123I)、碘-124( 124I)、碘-125( 125I)、碘-131( 131I)、銥-192( 192Ir)、鐵-59( 59Fe)、氪-81( 81Kr)、鉛-212( 212Pb)、鎦-177( 177Lu)、鉬-99( 99Mo)、氮-13( 13N)、氧-15( 15O)、鈀-103( 103Pd)、磷-32( 32P)、鉀-42( 42K)、錸-186( 186Re)、錸-188( 188Re)、銣-81( 81Rb)、銣-82( 82Rb)、釤-153( 153Sm)、硒-75( 75Se)、鈉-24( 24Na)、鍶-82( 82Sr)、鍶-89( 89Sr)、硫 35( 35S)、鎝-99m( 99Tc)、鉈-201( 201Tl)、氚( 3H)、氙-133( 133Xe)、鐿-169( 169Yb)、鐿-177( 177Yb)、及釔-90( 90Y)。 放射性核種 Detectable labels can be, for example, fluorescent dyes, enzymes, substrates, bioluminescent substances, radioactive substances, and chemiluminescent labels. Exemplary enzyme labels include, but are not limited to, horseradish peroxidase, acetylcholinease, alkaline phosphatase, b-galactosidase, and luciferase. Exemplary fluorophores (fluorescent species) include, but are not limited to, rose bengal, luciferin, fluorescent isothiocyanate, umbelliferone, dichlorotriazinylamine, phycoerythrin, and dansyl chloride. Exemplary chemiluminescent labels include, but are not limited to, luminescent amines. Exemplary bioluminescent substances include, but are not limited to, luciferin and aequorin. Exemplary radioactive materials include, but are not limited to, bismuth-213 ( 213 Bs), carbon-14 ( 14 C), carbon-11 ( 11 C), chlorine-18 ( 18 Cl), chromium-51 ( 51 Cr), cobalt- 57 ( 57 Co), cobalt-60 ( 60 Co), copper-64 ( 64 Cu), copper-67 ( 67 Cu), dysprosium-165 ( 165 Dy), erbium-169 ( 169 Er), fluorine-18 ( 18 F), gallium-67 ( 67 Ga), gallium-68 ( 68 Ga), germanium-68 ( 68 Ge), -166 ( 166 Ho), indium-111 ( 111 In), iodine-123 ( 123 I ), iodine-124 ( 124 I), iodine-125 ( 125 I), iodine-131 ( 131 I), iridium-192 ( 192 Ir), iron-59 ( 59 Fe), krypton-81 ( 81 Kr), Lead-212 ( 212 Pb), Li-177 ( 177 Lu), Molybdenum-99 ( 99 Mo), Nitrogen-13 ( 13 N), Oxygen-15 ( 15 O), Palladium-103 ( 103 Pd), Phosphorus- 32 ( 32 P), potassium-42 ( 42 K), rhenium-186 ( 186 Re), rhenium-188 ( 188 Re), rubidium-81 ( 81 Rb), rubidium-82 ( 82 Rb), samarium-153 ( 153 Sm), selenium-75 ( 75 Se), sodium-24 ( 24 Na), strontium-82 ( 82 Sr), strontium-89 ( 89 Sr), sulfur 35 ( 35 S), strontium-99m ( 99 Tc) , thallium-201 ( 201 Tl), tritium ( 3 H), xenon-133 ( 133 Xe), ytterbium-169 ( 169 Yb), ytterbium-177 ( 177 Yb), and yttrium-90 ( 90 Y). radionuclide

放射性核種發射α或β粒子(例如放射性免疫接合物)。此類放射性同位素包括但不限於:β發射體,諸如磷-32( 32P)、鈧-47( 47Sc)、銅-67( 67Cu)、鎵-67( 67Ga)、釔-88( 88Y)、釔-90( 90Y)、碘-125( 125I)、碘-131( 131I)、釤-153( 153Sm)、鎦-177( 177Lu)、錸-186( 186Re)、錸-188( 188Re);及α發射體,諸如砹-211( 211At)、鉛-212( 212Pb)、鉍-212( 212Bi)、鉍-213( 213Bi)或錒-225( 225Ac)。 毒素 Radionuclides emit alpha or beta particles (eg, radioimmunoconjugates). Such radioisotopes include, but are not limited to: beta emitters such as phosphorus-32 ( 32 P), scandium-47 ( 47 Sc), copper-67 ( 67 Cu), gallium-67 ( 67 Ga), yttrium-88 ( 88 Y), yttrium-90 ( 90 Y), iodine-125 ( 125 I), iodine-131 ( 131 I), samarium-153 ( 153 Sm), ruthenium-177 ( 177 Lu), rhenium-186 ( 186 Re ), rhenium-188 ( 188 Re); and alpha emitters such as astatine-211 ( 211 At), lead-212 ( 212 Pb), bismuth-212 ( 212 Bi), bismuth-213 ( 213 Bi), or actinium- 225 (225Ac). toxin

毒素包括但不限於胺甲喋呤、胺喋呤、6-巰嘌呤、6-硫鳥嘌呤、阿糖胞苷、5-氟尿嘧啶達卡巴仁;烷基化劑,諸如甲基二(氯乙基)胺、噻替哌氮芥苯丁酸、美法侖、雙氯乙基亞硝脲(BSNU)、絲裂黴素C、洛莫司汀(CCNU)、1-甲基亞硝基脲、環磷醯胺、甲基二(氯乙基)胺、白消安、二溴甘露醇、鏈佐黴素、絲裂黴素C、順式二氯二胺鉑(II)(DDP)順鉑及卡鉑(paraplatin);蒽環類包括道諾黴素(以前稱為柔紅黴素)、阿黴素(阿德力黴素)、地托比星、洋紅黴素、伊達比星、表柔比星、米托蒽醌及比生群;抗生素包括放線菌素(放線菌黴素D)、博萊黴素、卡奇黴素、光輝黴素、及蒽黴素(AMC);及抗分裂劑,諸如長春花屬生物鹼類、長春新鹼及長春花鹼。其他細胞毒性劑包括紫杉醇(TAXOL®)、蓖麻毒蛋白、假單胞菌屬外毒素、吉西他濱、細胞遲緩素B、短桿菌素D、溴化乙錠、吐根素、依託泊苷、替尼泊苷、秋水仙鹼、二羥基炭疽菌素二酮、1-脫氫睪固酮、葡萄糖皮質素、普魯卡因、四卡因、利多卡因、心得安、嘌黴素、丙卡巴肼、羥基脲、天門冬素酶、皮質類固醇、米托坦(O,P'-(DDD))、干擾素、及該些細胞毒性劑之混合物。Toxins include, but are not limited to, methotrexate, aminopterin, 6-mercaptopurine, 6-thioguanine, cytarabine, 5-fluorouracil, dacarben; alkylating agents, such as methylbis(chloroethyl) ) amine, thietipazide, melphalan, bischloroethyl nitrosourea (BSNU), mitomycin C, lomustine (CCNU), 1-methylnitrosourea, Cyclophosphamide, Methyldi(chloroethyl)amine, Busulfan, Dibromomannitol, Streptozotocin, Mitomycin C, Cisdichlorodiamineplatinum (II) (DDP) Cisplatin and carboplatin (paraplatin); anthracyclines including daunorubicin (previously known as daunorubicin), doxorubicin (adreomycin), detorubicin, carcinomycin, idarubicin, rubicin, mitoxantrone, and bisantrene; antibiotics including actinomycin (actinomycin D), bleomycin, calicheamicin, fucomycin, and anthramycin (AMC); and Splitting agents such as vinca alkaloids, vincristine and vinblastine. Other cytotoxic agents include paclitaxel (TAXOL®), ricin, Pseudomonas exotoxin, gemcitabine, cytokinin B, gramicidin D, ethidium bromide, epecacin, etoposide, Paraside, colchicine, dihydroxyanthraxdione, 1-dehydrotestosterone, glucocorticoid, procaine, tetracaine, lidocaine, propranolol, puromycin, procarbazine, Hydroxyurea, asparaginase, corticosteroids, mitotane (O,P'-(DDD)), interferon, and mixtures of these cytotoxic agents.

治療劑包括但不限於卡鉑、順鉑、紫杉醇、吉西他濱、卡奇黴素、阿黴素、5-氟尿嘧啶、絲裂黴素C、放線菌黴素D、環磷醯胺、長春新鹼、博萊黴素、VEGF拮抗劑、EGFR拮抗劑、鉑類、紫杉酚、伊立替康、5-氟尿嘧啶、健擇他濱、亞葉酸、類固醇、環磷醯胺、美法侖、長春花屬生物鹼類、氮芥、酪胺酸激酶抑制劑、放射治療、性激素拮抗劑、選擇性雄性素受體調節劑、選擇性雌性素受體調節劑、PDGF拮抗劑、TNF拮抗劑、IL-1拮抗劑、介白素(例如IL-12或IL-2)、IL-12R拮抗劑、毒素接合的單株抗體、腫瘤抗原特異性單株抗體、Erbitux®、Avastin®、帕妥珠單抗、抗CD20抗體、Rituxan、RTM、奧克雷珠單抗、奧法木單抗、DXL625、Herceptin®、或其任何組合。來自植物及細菌的諸如蓖麻毒蛋白、白喉毒素及假單胞菌屬毒素之毒性酶可用以產生細胞類型特異性殺傷試劑(Youle等人, 1980,Gilliland等人, 1980,Krolick等人, 1980)。其他細胞毒性劑包括細胞毒性核糖核酸酶(參見美國專利第6,653,104號,每一參考文獻之內容係以全文引用方式併入本文)。Therapeutic agents include, but are not limited to, carboplatin, cisplatin, paclitaxel, gemcitabine, calicheamicin, doxorubicin, 5-fluorouracil, mitomycin C, actinomycin D, cyclophosphamide, vincristine, Bleomycin, VEGF antagonists, EGFR antagonists, platinums, paclitaxel, irinotecan, 5-fluorouracil, genzecitabine, leucovorin, steroids, cyclophosphamide, melphalan, periwinkle Alkaloids, nitrogen mustards, tyrosine kinase inhibitors, radiotherapy, sex hormone antagonists, selective androgen receptor modulators, selective estrogen receptor modulators, PDGF antagonists, TNF antagonists, IL-1 Antagonists, interleukins (eg IL-12 or IL-2), IL-12R antagonists, toxin-conjugated monoclonal antibodies, tumor antigen-specific monoclonal antibodies, Erbitux®, Avastin®, Pertuzumab, Anti-CD20 antibody, Rituxan, RTM, ocrelizumab, ofatumumab, DXL625, Herceptin®, or any combination thereof. Toxic enzymes from plants and bacteria such as ricin, diphtheria toxin, and Pseudomonas toxins can be used to generate cell-type specific killing agents (Youle et al., 1980, Gilliland et al., 1980, Krolick et al., 1980 ). Other cytotoxic agents include cytotoxic ribonucleases (see US Pat. No. 6,653,104, the contents of each reference incorporated herein by reference in its entirety).

在一實施例中,本說明書的在α鏈中具有至少一個突變及/或在β鏈中具有至少一個突變之TCR相較於未突變TCR具有經修飾的醣基化。In one embodiment, a TCR of the present specification having at least one mutation in the alpha chain and/or at least one mutation in the beta chain has modified glycosylation compared to an unmutated TCR.

在一實施例中,在TCRα鏈及/或TCRβ鏈中包含至少一個突變之TCR具有對肽-HLA分子複合物之結合親和力及/或結合半衰期,其為包含未突變TCRα鏈及/或未突變TCRβ鏈之TCR之結合親和力及/或結合半衰期的至少兩倍。腫瘤特異性TCR及其開發物之親和力增強依賴於存在最佳TCR親和力窗。此窗口的存在係基於以下觀察結果:當相較於對例如HLA-A*02-限制的腫瘤相關聯自身抗原為特異性的TCR時,對例如HLA-A*02-限制的病原體為特異性的TCR具有通常低約10倍的K d值。雖然腫瘤抗原具有為免疫性的潛力,但現在已知的是,因為腫瘤係由個體自身的細胞產生,所以僅突變蛋白質或利用經改變的轉譯加工的蛋白質將由免疫系統視為外來的。經上調或過度表現的抗原(所謂自身抗原)將不必誘導針對腫瘤的功能免疫反應:表現對該些抗原為高度反應性的TCR之T細胞將在稱為中心耐受性(central tolerance)之過程中在胸腺內陰性地選擇,意指僅保留對自身抗原具有低親和力TCR之T細胞。因此,本說明書之TCR或變異體對肽之親和力可藉由本領域中熟知的方法來增強。 In one embodiment, a TCR comprising at least one mutation in the TCR alpha chain and/or TCR beta chain has a binding affinity and/or binding half-life for the peptide-HLA molecule complex comprising an unmutated TCR alpha chain and/or an unmutated TCR alpha chain At least twice the binding affinity and/or binding half-life of the TCR of the TCR beta chain. Affinity enhancement of tumor-specific TCRs and their developments relies on the existence of an optimal TCR affinity window. The existence of this window is based on the observation that it is specific for eg HLA-A*02-restricted pathogens when compared to TCRs that are specific for eg HLA-A*02-restricted tumor-associated autoantigens The TCR has a K d value that is typically about 10 times lower. Although tumor antigens have the potential to be immunogenic, it is now known that because tumors are produced by an individual's own cells, only proteins that are mutated or processed using altered translation will be considered foreign by the immune system. Antigens that are upregulated or overexpressed (so-called self-antigens) will not necessarily induce a functional immune response against the tumor: T cells expressing TCRs that are highly reactive to these antigens will undergo a process called central tolerance Negative selection in the thymus means that only T cells with low affinity TCRs for self-antigens are retained. Thus, the affinity of a TCR or variant of the present specification for a peptide can be enhanced by methods well known in the art.

本說明書進一步係關於鑑別及分離根據本說明書之TCR的方法,該方法包含用來自健康供體的對相應HLA等位基因為陰性的PBMC孵育HLA-肽單體,用四聚物-藻紅素(phycoerythrin; PE)孵育PBMC,及藉由螢光活化細胞分選(fluorescence activated cell sorting; FACS) Calibur分析分離高結合力T細胞。The present specification is further directed to a method of identifying and isolating TCRs according to the present specification, the method comprising incubating HLA-peptide monomers with PBMCs from a healthy donor that are negative for the corresponding HLA allele, with tetramer-phycoerythrin (phycoerythrin; PE) was incubated with PBMC, and high-binding T cells were isolated by fluorescence activated cell sorting (FACS) Calibur analysis.

本說明書進一步係關於鑑別及分離根據本說明書之TCR的方法,該方法包含獲得具有全部人類TCRαβ基因座(1.1及 0.7 Mb)之基因轉殖小鼠,其T細胞表現補償小鼠TCR缺陷的多樣性人類TCR免疫圖譜,用肽使小鼠免疫,用四聚物-藻紅素(PE)孵育自基因轉殖小鼠獲得的PBMC,及藉由螢光活化細胞分選(FACS)Calibur分析分離高結合力T細胞。The present specification is further directed to a method of identifying and isolating TCRs according to the present specification, the method comprising obtaining transgenic mice with all human TCRαβ loci (1.1 and 0.7 Mb) whose T cells express a diversity of TCRs compensating for mouse TCR deficiency Sexual human TCR immunoprofiling, immunization of mice with peptides, incubation of PBMCs obtained from transgenic mice with tetramer-phycoerythrin (PE), and isolation by fluorescence-activated cell sorting (FACS) Calibur analysis High binding T cells.

在一個態樣中,為獲得表現本說明書之TCR的T細胞,將編碼本說明書之TCR-α及/或TCR-β鏈的核酸選殖至諸如γ反轉錄病毒或慢病毒的表現載體中。產生重組病毒且隨後測試其功能性,諸如抗原特異性及功能結合力。隨後將最終產物之等分試樣用於轉導標靶T細胞群體(通常自患者PBMC純化),使其在輸注至患者中之前擴增。In one aspect, to obtain T cells expressing the TCRs of the present disclosure, nucleic acids encoding the TCR-alpha and/or TCR-beta chains of the present disclosure are cloned into expression vectors such as gamma retroviruses or lentiviruses. Recombinant viruses are generated and then tested for functionality, such as antigen specificity and functional binding. An aliquot of the final product is then used to transduce the target T cell population (usually purified from patient PBMC), allowing it to expand prior to infusion into the patient.

在另一態樣中,為獲得表現本說明書之TCR的T細胞,藉由本領域中所知的例如體外轉錄系統之技術合成TCR RNA。隨後藉由電穿孔將體外合成的TCR RNA引入自健康供體獲得的初代CD8陽性T細胞中,以重新表現腫瘤特異性TCR-α及/或TCR-β鏈。In another aspect, to obtain T cells expressing the TCR of the present specification, TCR RNA is synthesized by techniques known in the art, such as in vitro transcription systems. The in vitro synthesized TCR RNA was subsequently introduced into primary CD8 positive T cells obtained from healthy donors by electroporation to re-express tumor-specific TCR-alpha and/or TCR-beta chains.

為增加表現,可將編碼本說明書之TCR的核酸可操作地連接至強的啟動子,諸如反轉錄病毒末端長重複序列(long terminal repeat; LTR)、巨細胞病毒(cytomegalovirus; CMV)、鼠類幹細胞病毒(murine stem cell virus; MSCV)U3、磷酸甘油酯激酶(phosphoglycerate kinase; PGK)、β-肌動蛋白、泛蛋白、及猴病毒40(SV40)/CD4複合啟動子、伸長因子(elongation factor; EF)-1a及脾灶形成病毒(spleen focus-forming virus; SFFV)啟動子。在一較佳實施例中,啟動子對所表現的核酸而言為異源的。To increase performance, the nucleic acid encoding the TCR of the present specification can be operably linked to a strong promoter, such as a retroviral long terminal repeat (LTR), cytomegalovirus (CMV), murine Murine stem cell virus (MSCV) U3, phosphoglycerate kinase (PGK), β-actin, ubiquitin, simian virus 40 (SV40)/CD4 composite promoter, elongation factor ; EF)-1a and the spleen focus-forming virus (SFFV) promoter. In a preferred embodiment, the promoter is heterologous to the expressed nucleic acid.

除強的啟動子之外,本說明書之TCR表現卡匣可含有可增強轉殖基因表現的另外元件,包括促進慢病毒構築體之核易位的中央多聚嘌呤區(central polypurine tract; cPPT)(Follenzi等人, 2000),及藉由增加RNA穩定性來增加轉殖基因表現之位準的土撥鼠肝炎病毒轉錄後調節元件(woodchuck hepatitis virus post-transcriptional regulatory element; wPRE)(Zufferey等人, 1999,其內容係以全文引用方式併入本文)。In addition to strong promoters, the TCR expression cassettes of this specification may contain additional elements that enhance expression of the transfected gene, including a central polypurine tract (cPPT) that facilitates nuclear translocation of lentiviral constructs (Follenzi et al., 2000), and woodchuck hepatitis virus post-transcriptional regulatory element (wPRE) that increases the level of expression of transgenic genes by increasing RNA stability (Zufferey et al. , 1999, the contents of which are incorporated herein by reference in their entirety).

本發明之TCR的α及β鏈可藉由位於單獨載體中的核酸編碼,或可藉由位於同一載體中的多核苷酸編碼。The alpha and beta chains of the TCRs of the present invention may be encoded by nucleic acids located in separate vectors, or may be encoded by polynucleotides located in the same vector.

達成高位準TCR表面表現需要所引入TCR之TCR-α及TCR-β鏈以高位準轉錄。為達成此舉,可將本說明書之TCR-α及TCR-β鏈選殖至單一載體的雙順反構築體中,該單一載體已被證實能夠克服此障礙。在TCR-α鏈與TCR-β鏈之間使用病毒內部核糖體進入位點(internal ribosomal entry site; IRES)產生兩個鏈之協同表現,因為TCR-α鏈及TCR-β鏈係自單一轉錄物產生,該單一轉錄物在轉譯期間分成兩個蛋白質,從而保證產生等莫耳比率之TCR-α鏈及TCR-β鏈(Schmitt等人, 2009,其內容係以全文引用方式併入本文)。Achieving high-level TCR surface representation requires high-level transcription of the TCR-α and TCR-β chains of the introduced TCR. To do this, the TCR-alpha and TCR-beta chains of this specification can be cloned into bicis-trans constructs of a single vector that has been shown to overcome this obstacle. The use of an internal ribosomal entry site (IRES) between the TCR-α chain and the TCR-β chain results in a synergistic representation of the two chains since the TCR-α and TCR-β chains are transcribed from a single is produced from a single transcript that splits into two proteins during translation, ensuring the production of equimolar ratios of TCR-alpha and TCR-beta chains (Schmitt et al., 2009, the contents of which are incorporated by reference in their entirety) .

編碼本說明書之TCR的核酸可經密碼子最佳化以增加自寄主細胞的表現。遺傳碼之冗餘性允許一些胺基酸藉由超過一種密碼子編碼,但某些密碼子由於匹配tRNA之相對可用性以及其他因素而相比其他密碼子為次「最佳的」(Gustafsson等人, 2004)。修飾TCR-α及TCR-β基因序列以使得每一胺基酸藉由用於哺乳動物基因表現的最佳密碼子編碼,以及消除mRNA不穩定性模體或隱藏剪接位點已被證實顯著地增強TCR-α及TCR-β基因表現(Scholten等人,2006,該些參考文獻之內容係以全文引用方式併入本文)。Nucleic acids encoding the TCRs of the present specification can be codon-optimized to increase expression from host cells. The redundancy of the genetic code allows some amino acids to be encoded by more than one codon, but some codons are sub-optimal compared to others due to the relative availability of matching tRNAs and other factors (Gustafsson et al. , 2004). Modifying the TCR-alpha and TCR-beta gene sequences so that each amino acid is encoded by optimal codons for mammalian gene expression, as well as eliminating mRNA instability motifs or cryptic splice sites has been shown to be significantly Enhancement of TCR-alpha and TCR-beta gene expression (Scholten et al., 2006, the contents of these references are incorporated herein by reference in their entirety).

此外,所引入TCR鏈與內生性TCR鏈之間的錯誤配對可導致特異性之獲取,其為自體免疫性帶來顯著風險。例如,混合TCR二聚物之形成可減少可用於形成適當配對TCR複合物之CD3分子的數目,且因此可顯著地減小表現所引入TCR的細胞之功能結合力(Kuball等人, 2007,其內容係以全文引用方式併入本文)。Furthermore, mispairing between the introduced TCR chains and the endogenous TCR chains can lead to the acquisition of specificity, which poses a significant risk for autoimmunity. For example, the formation of mixed TCR dimers can reduce the number of CD3 molecules available to form properly paired TCR complexes, and thus can significantly reduce the functional binding capacity of cells expressing the introduced TCR (Kuball et al., 2007, cit. The contents are incorporated herein by reference in their entirety).

為減少錯誤配對,本說明書之所引入TCR鏈的C末端域可經修飾以便促進鏈間親和力,同時減小所引入鏈與內生性TCR配對之能力。該些策略可包括用鼠類對應物(鼠源化C末端域)置換人類TCR-α及TCR-β C末端域;藉由將第二光胱胺酸殘基引入所引入TCR之TCR-α鏈及TCR-β鏈兩者中在C末端域中產生第二鏈間二硫鍵(光胱胺酸修飾);調換TCR-α及TCR-β鏈C末端域中之相互作用殘基(「杵-進-臼(knob-in-hole)」;及將TCR-α鏈及 TCR-β鏈之可變域直接融合至CD3ζ(CD3ζ融合物)(Schmitt等人, 2009)。To reduce mispairing, the C-terminal domains of the introduced TCR chains of this specification can be modified to promote interchain affinity while reducing the ability of the introduced chains to pair with endogenous TCRs. These strategies may include replacement of the human TCR-alpha and TCR-beta C-terminal domains with their murine counterparts (murinized C-terminal domains); TCR-alpha by introducing a second cystine residue into the introduced TCR A second interchain disulfide bond is created in the C-terminal domain of both the TCR-α and TCR-β chains (cystine modification); the interacting residues in the C-terminal domains of the TCR-α and TCR-β chains are exchanged (“ "knob-in-hole"; and the variable domains of the TCR-alpha and TCR-beta chains were fused directly to CD3ζ (CD3ζ fusions) (Schmitt et al., 2009).

在一實施例中,寄主細胞經工程改造以表現本說明書之TCR。在較佳實施例中,寄主細胞為人類T細胞或T細胞前驅細胞。在一些實施例中,T細胞或T細胞前驅細胞係自癌症患者獲得。在其他實施例中,T細胞或T細胞前驅細胞係自健康供體獲得。關於待治療的患者,本說明書之寄主細胞可為同種異體或自體的。在一個實施例中,寄主為經轉變以表現α/β TCR的γ/δ T細胞。In one embodiment, the host cell is engineered to express the TCR of the present specification. In preferred embodiments, the host cells are human T cells or T cell precursor cells. In some embodiments, T cells or T cell precursor cell lines are obtained from cancer patients. In other embodiments, T cells or T cell precursor cell lines are obtained from healthy donors. With respect to the patient to be treated, the host cells of this specification may be allogeneic or autologous. In one embodiment, the host is a gamma/delta T cell transformed to express an alpha/beta TCR.

「醫藥組合物」為適於在醫學環境中投予至人類的組合物。較佳地,醫藥組合物為無菌的且係根據GMP準則來產生。A "pharmaceutical composition" is a composition suitable for administration to humans in a medical setting. Preferably, the pharmaceutical composition is sterile and produced according to GMP guidelines.

醫藥組合物包含呈遊離形式或呈醫藥學上可接受的鹽形式的肽(參見上文)。如本文所使用,「醫藥學上可接受的鹽」係指所揭示肽之衍生物,其中肽係藉由製成試劑之酸式或鹼式鹽來修飾。例如,酸式鹽係自游離鹼(典型地其中藥物之中性形式具有中性-NH 2基團)製備,涉及與適合酸的反應。用於製備酸式鹽的適合酸包括:有機酸,例如,乙酸、丙酸、羥基乙酸、丙酮酸、草酸、蘋果酸、丙二酸、琥珀酸、順丁烯二酸、反丁烯二酸、酒石酸、檸檬酸、苯甲酸、肉桂酸、扁桃酸、甲烷磺酸、乙烷磺酸、對甲苯磺酸、水楊酸、及類似物;以及無機酸,例如,鹽酸、氫溴酸、硫酸、硝酸、磷酸、及類似物。相反地,可存在於肽上的酸部分之鹼式鹽的製備係使用諸如氫氧化鈉、氫氧化鉀、氫氧化銨、氫氧化鈣、三甲胺或類似物的醫藥學上可接受的鹼來製備。 The pharmaceutical composition comprises the peptide in free form or in the form of a pharmaceutically acceptable salt (see above). As used herein, "pharmaceutically acceptable salts" refer to derivatives of the disclosed peptides wherein the peptides are modified by making acid or base salts of the reagents. For example, acid salts are prepared from the free base (typically wherein the neutral form of the drug has a neutral -NH2 group) involving reaction with a suitable acid. Suitable acids for preparing acid salts include: organic acids such as acetic acid, propionic acid, glycolic acid, pyruvic acid, oxalic acid, malic acid, malonic acid, succinic acid, maleic acid, fumaric acid , tartaric acid, citric acid, benzoic acid, cinnamic acid, mandelic acid, methanesulfonic acid, ethanesulfonic acid, p-toluenesulfonic acid, salicylic acid, and the like; and inorganic acids such as hydrochloric acid, hydrobromic acid, sulfuric acid , nitric acid, phosphoric acid, and the like. Conversely, base salts of acid moieties that may be present on peptides are prepared using pharmaceutically acceptable bases such as sodium hydroxide, potassium hydroxide, ammonium hydroxide, calcium hydroxide, trimethylamine, or the like preparation.

在一尤其較佳實施例中,醫藥組合物包含作為乙酸之鹽(乙酸鹽)、三氟乙酸鹽或鹽酸之鹽(氯化物)的肽。In a particularly preferred embodiment, the pharmaceutical composition comprises the peptide as a salt of acetic acid (acetate), trifluoroacetate or hydrochloric acid (chloride).

較佳地,本發明之藥劑為諸如疫苗之免疫治療劑。該藥劑可直接投予至患者中,投予至受影響器官中,或全身性靜脈內(i.v.)、皮膚下(s.c.)、真皮內(i.d.)、腹膜內(i.p.)、肌肉內(i.m.)投予或離體施加至來源於患者或人類細胞系的細胞,隨後將其投予至患者,或體外用於選擇來源於患者的免疫細胞之亞群,隨後再投予至患者。若核酸係體外投予至細胞,則其可適用於待轉染的細胞以便共同表現免疫刺激細胞介素,諸如介白素-2。肽可實質上為純的或與免疫刺激佐劑(參見下文)組合或使用與免疫刺激細胞介素的組合,或用例如脂質體的適合遞送系統投予。肽亦可接合至適合載體,諸如匙孔笠貝血氰蛋白(keyhole limpet hemocyanin; KLH)或甘露聚糖(參見WO 95/18145及Longenecker等人, 1993,兩者皆以全文引用方式併入本文)。肽亦可經標記,可為融合蛋白質,或可為雜合分子。預期其序列在本發明中給出的肽刺激CD4或CD8 T細胞。然而,CD8 T細胞之刺激在藉由CD4 T輔助細胞提供的幫助存在下為更有效的。因此,對於刺激CD8 T細胞之MHC I類抗原決定基而言,雜合分子之融合配偶體或切片適合提供刺激CD4陽性T細胞的抗原決定基。CD4及CD8刺激抗原決定基在本領域中為熟知的且包括本發明中所鑑別的彼等抗原決定基。Preferably, the agent of the present invention is an immunotherapeutic agent such as a vaccine. The agent can be administered directly into the patient, into the affected organ, or systemically intravenous (i.v.), subcutaneous (s.c.), intradermal (i.d.), intraperitoneal (i.p.), intramuscular (i.m.) Administered or administered ex vivo to cells derived from a patient or human cell line and subsequently administered to the patient, or used in vitro to select a subset of patient-derived immune cells prior to administration to the patient. If the nucleic acid line is administered to cells in vitro, it can be applied to the cells to be transfected to co-express an immunostimulatory interleukin, such as interleukin-2. The peptides can be substantially pure or in combination with immunostimulatory adjuvants (see below) or used in combination with immunostimulatory interferons, or administered with a suitable delivery system such as liposomes. The peptides may also be conjugated to suitable carriers such as keyhole limpet hemocyanin (KLH) or mannan (see WO 95/18145 and Longenecker et al., 1993, both incorporated herein by reference in their entirety). Peptides can also be labeled, can be fusion proteins, or can be hybrid molecules. Peptides whose sequences are given in the present invention are expected to stimulate CD4 or CD8 T cells. However, stimulation of CD8 T cells is more effective in the presence of help provided by CD4 T helper cells. Thus, for MHC class I epitopes that stimulate CD8 T cells, fusion partners or slices of hybrid molecules are suitable to provide epitopes that stimulate CD4 positive T cells. CD4 and CD8 stimulating epitopes are well known in the art and include those epitopes identified in the present invention.

在一個態樣中,疫苗包含具有SEQ ID NO: 1至SEQ ID NO: 113列明的胺基酸序列之至少一個肽,及至少一個另外的肽,較佳地兩個至50個、更佳地兩個至25個、甚至更佳地兩個至20個及最佳地兩個、三個、四個、五個、六個、七個、八個、九個、十個、十一個、十二個、十三個、十四個、十五個、十六個、十七個或十八個肽。肽可來源於一或多個特異性TAA且可結合至MHC I類分子。In one aspect, the vaccine comprises at least one peptide having the amino acid sequence set forth in SEQ ID NO: 1 to SEQ ID NO: 113, and at least one additional peptide, preferably two to 50, more preferably two to 25, even better two to 20 and most preferably two, three, four, five, six, seven, eight, nine, ten, eleven , twelve, thirteen, fourteen, fifteen, sixteen, seventeen or eighteen peptides. Peptides can be derived from one or more specific TAAs and can bind to MHC class I molecules.

本發明之另一態樣提供編碼本發明之肽或肽變異體的核酸(例如多核苷酸)。多核苷酸可例如為DNA、cDNA、PNA、RNA或其組合,其為單鏈及/或雙鏈的,或為多核苷酸(諸如,例如,具有硫代磷酸酯主鏈之多核苷酸)之初始或穩定化形式,且其可含有或可不含有內含子,只要其編碼肽即可。當然,僅含有藉由天然存在肽鍵聯接的天然存在胺基酸殘基之肽可藉由多核苷酸編碼。本發明之又一態樣提供能夠表現根據本發明之多肽的表現載體。Another aspect of the invention provides nucleic acids (eg, polynucleotides) encoding the peptides or peptide variants of the invention. The polynucleotide can be, for example, DNA, cDNA, PNA, RNA, or a combination thereof, single- and/or double-stranded, or a polynucleotide (such as, for example, a polynucleotide having a phosphorothioate backbone) in its original or stabilized form, and it may or may not contain introns, so long as it encodes a peptide. Of course, only peptides containing naturally-occurring amino acid residues linked by naturally-occurring peptide bonds can be encoded by polynucleotides. Yet another aspect of the present invention provides an expression vector capable of expressing a polypeptide according to the present invention.

已開發各種方法來將多核苷酸、尤其DNA連接至載體,例如經由互補黏性末端來連接。例如,可將互補均聚物區添加至待插入載體DNA中的DNA區段。載體及DNA區段隨後藉由互補均聚物尾部之間的氫鍵合來聯接以形成重組DNA分子。Various methods have been developed to ligate polynucleotides, especially DNA, to vectors, eg, via complementary sticky ends. For example, complementary homopolymer regions can be added to the DNA segment to be inserted into the vector DNA. The vector and DNA segments are then linked by hydrogen bonding between complementary homopolymer tails to form recombinant DNA molecules.

含有一或多個限制位點之合成連接子提供將DNA區段聯接至載體的替代方法。含有各種限制內切酶之合成連接子可商購自大量來源,包括International Biotechnologies Inc. New Haven, CN, USA。Synthetic linkers containing one or more restriction sites provide an alternative method of linking DNA segments to vectors. Synthetic linkers containing various restriction enzymes are commercially available from a number of sources, including International Biotechnologies Inc. New Haven, CN, USA.

修飾編碼本發明之多肽的DNA的合需方法使用如藉由Saiki等人揭示的聚合酶鏈反應(Saiki等人, 1988,其內容係以全文引用方式併入本文)。此方法可用於例如藉由在適合限制位點中的工程改造來將DNA引入適合載體中,或可用於以如本領域中所知的其他有用方式來修飾DNA。若使用病毒載體,則痘病毒或腺病毒載體係較佳的。A desirable method of modifying DNA encoding the polypeptides of the invention uses the polymerase chain reaction as disclosed by Saiki et al. (Saiki et al., 1988, the contents of which are incorporated herein by reference in their entirety). This method can be used to introduce DNA into a suitable vector, eg, by engineering in suitable restriction sites, or can be used to modify DNA in other useful ways as known in the art. If a viral vector is used, a poxvirus or adenovirus vector system is preferred.

DNA(或在反轉錄病毒載體的情況下,RNA)可隨後在適合寄主中表現以產生包含本發明之肽或變異體的多肽。因此,編碼本發明之肽或變異體的DNA可根據已知技術來使用,鑒於本文含有的教示內容來適當地修飾,以構築表現載體,隨後將表現載體用於轉變適當的寄主細胞以用於表現及產生本發明之多肽。此類技術包括例如US 4,440,859、4,530,901、4,582,800、4,677,063、4,678,751、4,704,362、4,710,463、4,757,006、4,766,075、及4,810,648 中揭示的彼等技術,其每一者之內容係以全文引用方式併入本文。DNA (or RNA in the case of retroviral vectors) can then be expressed in a suitable host to produce polypeptides comprising the peptides or variants of the invention. Thus, DNA encoding the peptides or variants of the invention can be used according to known techniques, suitably modified in view of the teachings contained herein, to construct expression vectors which are then used to transform appropriate host cells for use in Expression and production of the polypeptides of the invention. Such techniques include, for example, those disclosed in US Pat.

編碼構成本發明之化合物的多肽的DNA(或在反轉錄病毒載體的情況下,RNA)可聯接至多種其他DNA序列以用於引入至適當寄主中。伴生DNA將取決於寄主之特性、將DNA引入寄主中之方式、及是否需要游離基因體維持或整合。DNA (or RNA, in the case of retroviral vectors) encoding the polypeptides constituting the compounds of the present invention can be linked to a variety of other DNA sequences for introduction into appropriate hosts. The companion DNA will depend on the identity of the host, the manner in which the DNA was introduced into the host, and whether episomal maintenance or integration is required.

通常,以用於表現的適當定向及正確閱讀框架將DNA插入諸如質粒之表現載體中。必要時,DNA可連接至由所要寄主識別的適當的轉錄及轉譯調節控制核苷酸序列,儘管此類控制序列普遍可用於表現載體中。隨後經由標準技術將載體引入寄主中。通常,並非所有寄主將藉由載體轉變。因此,將必需針對所轉變寄主細胞進行選擇。一種選擇技術涉及利用任何必需的控制元件將DNA序列併入表現載體中,該等控制元件編碼經轉變細胞中的可選擇特質,諸如抗生素抵抗性。Typically, the DNA is inserted into an expression vector, such as a plasmid, in the proper orientation and correct reading frame for expression. If necessary, the DNA can be linked to appropriate transcriptional and translational regulatory control nucleotide sequences recognized by the desired host, although such control sequences are commonly used in expression vectors. The vector is then introduced into the host via standard techniques. Typically, not all hosts will be converted by the vector. Therefore, selection will have to be made against the transformed host cells. One selection technique involves incorporating DNA sequences into an expression vector using any necessary control elements encoding selectable traits in transformed cells, such as antibiotic resistance.

替代地,用於此類可選擇特質之基因可在另一載體上,該載體係與所要寄主細胞共同轉變。Alternatively, the genes for such selectable traits can be on another vector that is co-transformed with the desired host cell.

隨後鑒於本文揭示的教室內容將已藉由本發明之重組DNA轉變的寄主細胞在熟習此項技術者所知的適當條件下培養足夠時間,以允許多肽之表現,可隨後將多肽回收。The polypeptides can then be recovered in view of the classroom teachings disclosed herein by culturing host cells transformed with the recombinant DNA of the present invention under appropriate conditions known to those skilled in the art for a period of time sufficient to allow expression of the polypeptides.

許多表現系統係已知的,包括細菌(例如大腸桿菌( E. coli)及枯草桿菌( Bacillus subtilis))、酵母(例如釀酒酵母( Saccharomyces cerevisiae))、絲狀真菌(例如麴菌屬( Aspergillus spec.))、植物細胞、動物細胞及昆蟲細胞。較佳地,系統可為可購自ATCC Cell Biology Collection的諸如CHO細胞之哺乳動物細胞。 Many expression systems are known, including bacteria (eg E. coli and Bacillus subtilis ), yeast (eg Saccharomyces cerevisiae ), filamentous fungi (eg Aspergillus spec . )), plant cells, animal cells and insect cells. Preferably, the system may be a mammalian cell such as CHO cells commercially available from the ATCC Cell Biology Collection.

用於構成性表現的典型哺乳動物細胞載體質粒包含具有適合polyA尾部及抗性標誌(諸如新黴素)的CMV或SV40啟動子。一個實例為可購自Pharmacia, Piscataway, NJ, USA的pSVL。可誘導哺乳動物表現載體之實例為pMSG,亦可購自Pharmacia。有用的酵母質體載體為pRS403-406及pRS413-416且通常可購自Stratagene Cloning Systems, La Jolla, 92037, USA。質粒pRS403、pRS404、pRS405及pRS406為酵母整合質粒(YIps)且整合了酵母可選擇標誌HIS3、TRP1、LEU2及URA3。質粒pRS413-416為酵母中節質粒(Yeast Centromere plasmid; Ycp)。基於CMV啟動子之載體(例如來自Sigma-Aldrich)提供FLAG、3xFLAG、c-myc或MAT之各種組合中的短暫或穩定表現、胞質表現或分泌、及N末端或C末端標記。該些融合蛋白質允許偵測、純化及分析重組蛋白質。雙重標記的融合物提供偵測靈活性。Typical mammalian cell vector plasmids for constitutive expression contain a CMV or SV40 promoter with a suitable polyA tail and a resistance marker such as neomycin. An example is pSVL available from Pharmacia, Piscataway, NJ, USA. An example of an inducible mammalian expression vector is pMSG, also available from Pharmacia. Useful yeast plastid vectors are pRS403-406 and pRS413-416 and are commonly available from Stratagene Cloning Systems, La Jolla, 92037, USA. Plasmids pRS403, pRS404, pRS405 and pRS406 are yeast integrating plasmids (YIps) and integrate the yeast selectable markers HIS3, TRP1, LEU2 and URA3. Plasmids pRS413-416 are Yeast Centromere plasmids (Ycp). CMV promoter-based vectors (eg, from Sigma-Aldrich) provide transient or stable expression, cytoplasmic expression or secretion, and N-terminal or C-terminal labeling in various combinations of FLAG, 3xFLAG, c-myc, or MAT. These fusion proteins allow the detection, purification and analysis of recombinant proteins. Double labeled fusions provide detection flexibility.

強的人類巨細胞病毒(CMV)啟動子調節區驅使在COS細胞中高達1 mg/L的構成蛋白質表現位準。對於較小強度細胞系,蛋白質位準典型地為約0.1 mg/L。SV40複製起點之存在將導致在允許SV40複製的COS細胞中的高位準DNA複製。CMV載體例如可含有用於在細菌細胞中複製的pMB1(pBR322之衍生物)起點、用於細菌中的安比西林抗性選擇的b-內醯胺酶、hGH polyA、及f1起點。含有前原胰蛋白酶(pre-pro-trypsin; PPT)前導序列之載體可導引FLAG融合蛋白質分泌至培養基中以用於使用ANTI-FLAG抗體、樹脂、及培養板純化。其他載體及表現系統在本領域中熟知為與各種寄主細胞一起使用。Strong human cytomegalovirus (CMV) promoter regulatory regions drive constitutive protein expression levels up to 1 mg/L in COS cells. For less intense cell lines, the protein level is typically about 0.1 mg/L. The presence of the SV40 origin of replication will result in high-level DNA replication in COS cells that allow SV40 replication. A CMV vector may contain, for example, a pMB1 (a derivative of pBR322) origin for replication in bacterial cells, b-lactamase, hGH polyA, and fl origin for ampicillin resistance selection in bacteria. Vectors containing the pre-pro-trypsin (PPT) leader sequence can direct secretion of FLAG fusion proteins into culture medium for purification using ANTI-FLAG antibodies, resins, and plates. Other vectors and expression systems are well known in the art for use with various host cells.

在另一實施例中,本發明之兩種或更多種肽或肽變異體係以連續次序編碼及因此表現(類似於「串珠」構築體)。為進行此舉,肽或肽變異體可藉由連接子胺基酸之伸展鏈(例如實例LLLLLL(SEQ ID NO: 229))來連接或融合在一起,或可在肽或肽變異體之間不使用任何另外的肽的情況下連接。該些構築體亦可用於癌症治療且可誘導涉及MHC I及MHC II兩者的免疫反應。In another embodiment, two or more peptides or peptide variants of the invention are encoded in sequential order and behave accordingly (similar to a "beaded" construct). To do so, peptides or peptide variants can be linked or fused together by extending chains of linker amino acids, such as for example LLLLLL (SEQ ID NO: 229), or can be between peptides or peptide variants Linked without using any additional peptides. These constructs can also be used in cancer therapy and can induce immune responses involving both MHC I and MHC II.

本發明亦係關於用本發明之多核苷酸載體構築體轉變的寄主細胞。寄主細胞可為原核或真核的。在一些情況下細菌細胞可較佳為原核寄主細胞且典型地為大腸桿菌之菌株,例如,可購自Bethesda Research Laboratories Inc., Bethesda, MD, USA的大腸桿菌菌株DH5,及可購自Rockville, MD, USA之美國典型培養物保藏中心(American Type Culture Collection; ATCC)的RR1(編號ATCC 31343)。較佳真核寄主細胞包括酵母、昆蟲及哺乳動物哺乳動物細胞,較佳地脊椎動物細胞,諸如來自小鼠、大鼠、猴或人類纖維母細胞及結腸細胞系。酵母寄主細胞包括YPH499、YPH500及YPH501,其通常可購自Stratagene Cloning Systems, La Jolla, CA 92037, USA。較佳哺乳動物寄主細胞包括可以CCL61購自ATCC的中國倉鼠卵巢(chinese hamster ovary; CHO)細胞、可以CRL 1658購自ATCC的NIH瑞士小鼠胚胎細胞NIH/3T3、可以CRL 1650購自ATCC的猴腎來源的COS-1細胞及為人類胚腎細胞之293細胞。較佳昆蟲細胞為Sf9細胞,其可用桿狀病毒表現載體轉染。關於選擇用於表現的適合寄主細胞的概述可見於文獻中(Balbás及Lorence, 2004)。The present invention also relates to host cells transformed with the polynucleotide vector constructs of the present invention. Host cells can be prokaryotic or eukaryotic. In some cases the bacterial cell may preferably be a prokaryotic host cell and is typically a strain of E. coli, eg, E. coli strain DH5 available from Bethesda Research Laboratories Inc., Bethesda, MD, USA, and commercially available from Rockville, RR1 (Accession ATCC 31343) of the American Type Culture Collection (ATCC), MD, USA. Preferred eukaryotic host cells include yeast, insect and mammalian mammalian cells, preferably vertebrate cells such as fibroblasts and colon cell lines from mouse, rat, monkey or human. Yeast host cells include YPH499, YPH500 and YPH501, which are commonly available from Stratagene Cloning Systems, La Jolla, CA 92037, USA. Preferred mammalian host cells include Chinese hamster ovary (CHO) cells which can be purchased from ATCC as CCL61, NIH Swiss mouse embryo cells NIH/3T3 which can be purchased from ATCC as CRL 1658, monkeys which can be purchased from ATCC as CRL 1650. Kidney-derived COS-1 cells and 293 cells, which are human embryonic kidney cells. Preferred insect cells are Sf9 cells, which can be transfected with a baculovirus expression vector. An overview of the selection of suitable host cells for expression can be found in the literature (Balbás and Lorence, 2004).

用本發明之DNA構築體轉變適當細胞寄主係藉由熟知方法完成,該等方法典型地取決於所使用的載體類型。關於原核寄主細胞之轉變,參見例如Cohen等人或Green及Sambrook(Cohen等人, 1972;Green及Sambrook, 2012)。酵母細胞之轉變係描述於Sherman等人(Sherman等人, 1986)中。Beggs之方法(Beggs, 1978)亦係有用的。關於脊椎動物細胞,適用於轉染此類細胞之試劑,例如磷酸鈣及DEAE-聚葡糖或脂質體製劑可購自Stratagene Cloning Systems,或Life Technologies Inc., Gaithersburg, MD 20877, USA。電穿孔亦適用於轉變及/或轉染細胞且在本領域中熟知用於轉變酵母細胞、細菌細胞、昆蟲細胞及脊椎動物細胞。該些參考文獻中之每一者的內容係以全文引用方式併入本文。Transformation of an appropriate cellular host with the DNA constructs of the invention is accomplished by well-known methods, which typically depend on the type of vector used. For transformation of prokaryotic host cells, see, eg, Cohen et al. or Green and Sambrook (Cohen et al., 1972; Green and Sambrook, 2012). The transformation of yeast cells is described in Sherman et al. (Sherman et al., 1986). Beggs' method (Beggs, 1978) is also useful. With regard to vertebrate cells, reagents suitable for transfection of such cells, such as calcium phosphate and DEAE-polydextrose or liposomal preparations, are commercially available from Stratagene Cloning Systems, or Life Technologies Inc., Gaithersburg, MD 20877, USA. Electroporation is also suitable for transforming and/or transfecting cells and is well known in the art for transforming yeast cells, bacterial cells, insect cells and vertebrate cells. The contents of each of these references are incorporated herein by reference in their entirety.

可藉由諸如PCR之熟知技術來鑑別成功轉變的細胞,亦即,含有本發明之DNA構築體的細胞。替代地,可使用抗體偵測上清液中蛋白質之存在。Successfully transformed cells, ie, cells containing the DNA constructs of the invention, can be identified by well-known techniques such as PCR. Alternatively, antibodies can be used to detect the presence of protein in the supernatant.

將瞭解本發明之某些寄主細胞(例如細菌、酵母及昆蟲細胞)適用於製備本發明之肽。然而,其他寄主細胞可適用於某些治療性方法。例如,諸如樹突細胞之抗原呈現細胞可適用於表現本發明之肽以使得其可載入至適當MHC分子。因此,本發明提供包含根據本發明之核酸或表現載體之寄主細胞。It will be appreciated that certain host cells of the present invention (eg, bacterial, yeast and insect cells) are suitable for use in preparing the peptides of the present invention. However, other host cells may be suitable for certain therapeutic approaches. For example, antigen presenting cells such as dendritic cells can be adapted to express the peptides of the invention so that they can be loaded into appropriate MHC molecules. Accordingly, the present invention provides host cells comprising a nucleic acid or expression vector according to the present invention.

在一較佳實施例中,寄主細胞為抗原呈現細胞,尤其樹突細胞或抗原呈現細胞。載有含有前列腺酸性磷酸酶(prostatic acid phosphatase; PAP)的重組融合蛋白質之APC由美國食品藥物管理局(Food and Drug Administration; FDA)於2010年4月29日批准用於治療無征狀或症狀最少的新陳代謝HRPC(Sipuleucel-T)(Rini等人, 2006; Small等人, 2006,其內容係以全文引用方式併入本文)。In a preferred embodiment, the host cells are antigen-presenting cells, especially dendritic cells or antigen-presenting cells. APC containing a recombinant fusion protein containing prostatic acid phosphatase (PAP) was approved by the U.S. Food and Drug Administration (FDA) on April 29, 2010 for the treatment of asymptomatic or symptomatic Minimal metabolic HRPC (Sipuleucel-T) (Rini et al., 2006; Small et al., 2006, the contents of which are hereby incorporated by reference in their entirety).

本發明之另一態樣提供產生肽或其變異體之方法,該方法包含培養寄主細胞且將肽自寄主細胞或其培養基分離。Another aspect of the present invention provides a method of producing a peptide or variant thereof, the method comprising culturing a host cell and isolating the peptide from the host cell or its culture medium.

在另一實施例中,本發明之肽、核酸或表現載體係用於藥物。例如,肽或其變異體可製備用於i.v.、s.c.、i.d.、i.p.、i.m.注射。肽注射之較佳方法包括s.c.、i.d.、i.p.、i.m.、及i.v。DNA注射之較佳方法包括i.d.、i.m.、s.c.、i.p.及i.v。可給與例如劑量在50 µg與 1.5 mg之間、較佳地為125 µg至500 µg之肽或DNA且該等劑量將取決於相應的肽或DNA。此範圍之劑量成功地用於先前試驗(Walter等人, 2012)。In another embodiment, the peptide, nucleic acid or expression vector of the invention is used in medicine. For example, peptides or variants thereof can be prepared for i.v., s.c., i.d., i.p., i.m. injection. Preferred methods of peptide injection include s.c., i.d., i.p., i.m., and i.v. Preferred methods of DNA injection include i.d., i.m., s.c., i.p., and i.v. Peptide or DNA can be administered, for example, in doses between 50 μg and 1.5 mg, preferably 125 μg to 500 μg and the dose will depend on the corresponding peptide or DNA. Doses in this range were successfully used in previous trials (Walter et al., 2012).

用於活性疫苗接種的多核苷酸可實質上為純或含在適合載體或遞送系統中。核酸可為DNA、cDNA、PNA、RNA或其組合。用於設計及引入此類核酸之方法在本領域中為熟知的。概述藉由Teufel等人(Teufel等人, 2005,其內容係以全文引用方式併入本文)提供。多核苷酸疫苗易於製備,但並未完全理解該些載體在誘導免疫反應中之作用模式。適合載體及遞送系統包括病毒DNA及/或RNA,諸如基於腺病毒、痘瘡病毒、反轉錄病毒、皰疹病毒、腺病毒相關病毒或含有超過一種病毒之元件的雜合體的系統。非病毒遞送系統包括陽離子脂質及陽離子聚合物且在DNA遞送技術中為熟知的。亦可使用諸如經由「基因槍」的物理遞送。藉由核酸編碼的一或多種肽可為融合蛋白質,例如具有如上文所述刺激相應相反CDR之T細胞的抗原決定基。The polynucleotides used for live vaccination can be substantially pure or contained in a suitable carrier or delivery system. The nucleic acid can be DNA, cDNA, PNA, RNA, or a combination thereof. Methods for designing and introducing such nucleic acids are well known in the art. An overview is provided by Teufel et al. (Teufel et al., 2005, the contents of which are incorporated herein by reference in their entirety). Polynucleotide vaccines are easy to prepare, but the mode of action of these vectors in inducing immune responses is not fully understood. Suitable vectors and delivery systems include viral DNA and/or RNA, such as systems based on adenovirus, pox virus, retrovirus, herpes virus, adeno-associated virus, or hybrids containing elements of more than one virus. Non-viral delivery systems include cationic lipids and cationic polymers and are well known in DNA delivery technology. Physical delivery such as via a "gene gun" may also be used. The one or more peptides encoded by the nucleic acid can be a fusion protein, eg, having an epitope that stimulates T cells with corresponding opposite CDRs as described above.

本發明之藥劑亦可包括一或多種佐劑。佐劑為非特異性地增強或加強免疫反應,例如藉由CD8陽性T細胞及輔助T(TH)細胞介導的對抗原之免疫反應的物質,且因此該等佐劑係考慮為適用於本發明之藥劑。The agents of the present invention may also include one or more adjuvants. Adjuvants are substances that non-specifically enhance or potentiate immune responses, such as those mediated by CD8-positive T cells and helper T (TH) cells, to antigens, and are therefore considered suitable for use in this study. The drug of invention.

適合佐劑包括但不限於1018 ISS、鋁鹽、AMPLIVAX®、AS15、BCG、CP-870,893、CpG7909、CyaA、dSLIM、鞭毛蛋白或來源於鞭毛蛋白之TLR5配位體、FLT3配位體、GM-CSF、IC30、IC31、咪喹莫特(ALDARA®)、瑞喹莫德、ImuFact IMP321、介白素如IL-2、IL-13、IL-21、干擾素-α或-β、或其聚乙二醇化衍生物、IS Patch、ISS、ISCOMATRIX、ISCOMs、JuvImmune®、LipoVac、MALP2、MF59、單磷醯基脂質A、蒙塔尼IMS 1312、蒙塔尼ISA 206、蒙塔尼ISA 50V、蒙塔尼ISA-51、油包水及水包油乳液、OK-432、OM-174、OM-197-MP-EC、ONTAK、OspA、PepTel®載體系統、基於聚(乳酸共聚乙醇酸)[PLG]及聚葡糖微粒、牛乳鐵蛋白素SRL172、類病毒體及其他類病毒粒子、YF-17D、VEGF阱、R848、β-葡聚糖 、Pam3Cys、Aquila之QS21刺激子(其來源於皂素)、分枝桿菌感提取物及合成細菌細胞壁模擬物、及其他專屬佐劑,諸如Ribi's Detox、Quil、或Superfos。諸如弗氏佐劑的GM-CSF之佐劑為較佳的。先前已描述專用於樹突細胞及其製劑之若干免疫佐劑(例如MF59)(Allison及Krummel, 1995,其內容係以全文引用方式併入本文)。Suitable adjuvants include, but are not limited to, 1018 ISS, aluminum salts, AMPLIVAX®, AS15, BCG, CP-870,893, CpG7909, CyaA, dSLIM, flagellin or TLR5 ligand derived from flagellin, FLT3 ligand, GM- CSF, IC30, IC31, Imiquimod (ALDARA®), Resiquimod, ImuFact IMP321, Interleukins such as IL-2, IL-13, IL-21, Interferon-alpha or -beta, or polyethylene glycol thereof Alcoholated Derivatives, IS Patch, ISS, ISCOMATRIX, ISCOMs, JuvImmune®, LipoVac, MALP2, MF59, Monophosphoryl Lipid A, Montagnier IMS 1312, Montagnier ISA 206, Montagny ISA 50V, Montagny ISA-51, water-in-oil and oil-in-water emulsions, OK-432, OM-174, OM-197-MP-EC, ONTAK, OspA, PepTel® carrier systems, based on poly(lactic acid copolyglycolic acid) [PLG] and Polyglucose microparticles, bovine lactoferrin SRL172, viroids and other viroids, YF-17D, VEGF trap, R848, β-glucan, Pam3Cys, Aquila's QS21 stimulator (derived from saponin), Mycobacterial sense extracts and synthetic bacterial cell wall mimics, and other proprietary adjuvants such as Ribi's Detox, Quil, or Superfos. Adjuvants such as Freund's adjuvant GM-CSF are preferred. Several immune adjuvants (eg, MF59) specific to dendritic cells and their preparations have been described previously (Allison and Krummel, 1995, the contents of which are incorporated herein by reference in their entirety).

亦可使用細胞介素。若干細胞介素已被直接聯繫於影響樹突細胞遷移至淋巴組織(例如,TNF),促進樹突細胞熟化成用於T淋巴細胞之有效抗原呈現細胞(美國專利第5,849,589號,其係以全文引用方式併入本文)(例如,GM-CSF、IL-1及IL-4)及充當免疫佐劑(例如,IL-2、IL-7、IL-12、IL-15、IL-21、IL-23、IFN-α、IFN-β)(Gabrilovich等人, 1996,其內容係以全文引用方式併入本文)。在一態樣中,可體外使用細胞介素及免疫佐劑,諸如用於T細胞之擴增或活化,或供離體使用。Cytokines can also be used. Several interferons have been implicated directly in affecting the migration of dendritic cells to lymphoid tissues (eg, TNF), promoting the maturation of dendritic cells into efficient antigen-presenting cells for T lymphocytes (US Pat. No. 5,849,589, which is incorporated in its entirety). incorporated herein by reference) (eg, GM-CSF, IL-1, and IL-4) and act as immune adjuvants (eg, IL-2, IL-7, IL-12, IL-15, IL-21, IL-4) -23, IFN-alpha, IFN-beta) (Gabrilovich et al., 1996, the contents of which are incorporated herein by reference in their entirety). In one aspect, interleukins and immune adjuvants can be used in vitro, such as for expansion or activation of T cells, or for ex vivo use.

亦已報道CpG免疫刺激寡核苷酸增強佐劑在疫苗環境中之效應。在不受理論約束的情況下,CpG寡核苷酸藉由經由類鐸受體(Toll-like receptor; TLR)、主要為TLR9來活化先天性(非適應性)免疫系統。CpG觸發的TLR9活化增強了在預防法性疫苗及治療性疫苗兩者中對多種抗原的抗原特異性體液及細胞反應,該等抗原包括肽或蛋白抗原、活或已殺傷病毒、樹突細胞疫苗、自體細胞疫苗及多糖接合物。更重要地,其增強了樹突細胞熟化及分化,從而導致TH1細胞之增強活化及強的細胞毒性T淋巴細胞(cytotoxic T-lymphocyte; CTL)傳代,甚至在不存在CD4 T細胞輔助的情況下如此。藉由TLR9刺激誘導的TH1偏置甚至在正常地促進TH2偏置的諸如明礬或不完全弗氏佐劑(incomplete Freund's adjuvant; IFA)的疫苗佐劑之存在下得以維持。在利用其他佐劑或在諸如微粒、奈米粒子、脂質乳液或類似製劑的製劑中配製或共同投予時,CpG寡核苷酸展示甚至更大的佐劑活性,此尤其在抗原相對弱時係誘導強反應所必需的。其亦促進免疫反應且賦能抗原劑量減少達大約兩個數量級,同時在一些實驗中相對不具有CpG的全劑量疫苗具有可比較抗體反應(Krieg, 2006)。以全文引用方式併入本文的US 6,406,705 B1描述將CpG寡核苷酸、非核酸佐劑及抗原聯合使用以誘導抗原特異性免疫反應。CpG TLR9拮抗劑為Mologen(Berlin, Germany)的dSLIM(雙主幹-環圈免疫調節劑),其係本發明之醫藥組合物的較佳組分。亦可使用其他TLR結合分子,諸如RNA結合TLR 7、TLR 8及/或TLR 9。CpG immunostimulatory oligonucleotides have also been reported to enhance the effect of adjuvants in a vaccine setting. Without being bound by theory, CpG oligonucleotides activate the innate (non-adaptive) immune system by passing through Toll-like receptors (TLRs), primarily TLR9. CpG-triggered TLR9 activation enhances antigen-specific humoral and cellular responses to a variety of antigens, including peptide or protein antigens, live or killed viruses, dendritic cell vaccines, in both prophylactic and therapeutic vaccines , Autologous cell vaccines and polysaccharide conjugates. More importantly, it enhances dendritic cell maturation and differentiation, resulting in enhanced activation of TH1 cells and strong cytotoxic T-lymphocyte (CTL) passage, even in the absence of CD4 T cell help so below. TH1 bias induced by TLR9 stimulation is maintained even in the presence of vaccine adjuvants such as alum or incomplete Freund's adjuvant (IFA) that normally promote TH2 bias. CpG oligonucleotides exhibit even greater adjuvant activity when formulated or co-administered with other adjuvants or in formulations such as microparticles, nanoparticles, lipid emulsions, or similar formulations, especially when the antigen is relatively weak necessary to induce a strong response. It also boosted immune responses and enabled antigen dose reductions by about two orders of magnitude, while in some experiments had comparable antibody responses to full-dose vaccines without CpG (Krieg, 2006). US 6,406,705 B1, incorporated herein by reference in its entirety, describes the combined use of CpG oligonucleotides, non-nucleic acid adjuvants, and antigens to induce antigen-specific immune responses. The CpG TLR9 antagonist is dSLIM (dual stem-loop immunomodulator) from Mologen (Berlin, Germany), which is a preferred component of the pharmaceutical composition of the present invention. Other TLR binding molecules can also be used, such as RNA binding TLR 7, TLR 8 and/or TLR 9.

有用佐劑之其他實例包括但不限於化學修飾的CpG(例如,CpR, Idera),諸如聚(I:C)及其衍生物的dsRNA類似物(例如,AmpliGen®、Hiltonol®、聚(ICLC)、聚(IC-R)、聚(I:C12U)),非CpG細菌DNA或RNA以及免疫活性小分子及抗體,諸如環磷醯胺、舒尼替尼、免疫查核點抑制劑,包括伊匹單抗、納武單抗、帕博利珠單抗、阿替利珠單抗、阿維魯單抗、度伐利尤單抗、及米普利單抗、貝伐珠單抗®、Celebrex、NCX-4016、西地那非、他達那非、伐地那非、索拉非尼、替莫唑洛胺、替西羅莫司、XL-999、CP-547632、帕唑帕尼、VEGF阱、ZD2171、AZD2171、抗CTLA4、靶向免疫系統之關鍵結構的其他抗體(例如抗CD40、抗TGF-β、抗TNF-α受體)及SC58175,其可在治療上起作用或充當佐劑。適用於本發明之情形中的佐劑及添加劑之量及濃度可容易地藉由熟練技藝人士在沒有不當實驗的情況下決定。Other examples of useful adjuvants include, but are not limited to, chemically modified CpGs (eg, CpR, Idera), such as dsRNA analogs of poly(I:C) and derivatives thereof (eg, AmpliGen®, Hiltonol®, poly(ICLC) , poly(IC-R), poly(I:C12U)), non-CpG bacterial DNA or RNA, and immunologically active small molecules and antibodies such as cyclophosphamide, sunitinib, immune checkpoint inhibitors including ipil mAb, nivolumab, pembrolizumab, atezolizumab, avelumab, durvalumab, and mipilimumab, bevacizumab®, Celebrex, NCX-4016, sildenafil, tadalafil, vardenafil, sorafenib, temozolomide, temsirolimus, XL-999, CP-547632, pazopanib, VEGF Trap, ZD2171, AZD2171, anti-CTLA4, other antibodies targeting key structures of the immune system (eg, anti-CD40, anti-TGF-beta, anti-TNF-alpha receptors) and SC58175, which may act therapeutically or act as adjuvants . The amounts and concentrations of adjuvants and additives suitable for use in the context of the present invention can be readily determined by the skilled artisan without undue experimentation.

較佳佐劑為抗CD40、咪喹莫特、瑞喹莫德、GM-CSF、環磷醯胺、舒尼替尼、貝伐珠單抗、干擾素-α、CpG寡核苷酸及衍生物、聚(I:C)及衍生物、RNA、西地那非、及具有PLG或類病毒體之微粒製劑。Preferred adjuvants are anti-CD40, imiquimod, requimod, GM-CSF, cyclophosphamide, sunitinib, bevacizumab, interferon-alpha, CpG oligonucleotides and derivatives compounds, poly(I:C) and derivatives, RNA, sildenafil, and microparticle formulations with PLG or viroids.

在根據本發明之醫藥組合物的較佳實施例中,佐劑係選自由以下各項組成之群組:諸如顆粒性白血球巨噬細胞菌落刺激因子(Granulocyte Macrophage Colony Stimulating Factor; GM-CSF,沙格司亭)之菌落刺激因子、環磷醯胺、咪喹莫特、瑞喹莫德、干擾素-α、或其混合物。In a preferred embodiment of the pharmaceutical composition according to the present invention, the adjuvant is selected from the group consisting of: such as Granulocyte Macrophage Colony Stimulating Factor; GM-CSF, sand glostim), cyclophosphamide, imiquimod, resiquimod, interferon-alpha, or a mixture thereof.

在根據本發明之醫藥組合物的較佳實施例中,佐劑為環磷醯胺、咪喹莫特或瑞喹莫德。甚至更佳佐劑為蒙塔尼IMS 1312、蒙塔尼ISA 206、蒙塔尼ISA 50V、蒙塔尼ISA-51、聚ICLC(Hiltonol®)及抗CD40 mAb、或其組合。In a preferred embodiment of the pharmaceutical composition according to the present invention, the adjuvant is cyclophosphamide, imiquimod or requimod. Even better adjuvants are Montagnier IMS 1312, Montagnier ISA 206, Montagny ISA 50V, Montagny ISA-51, poly ICLC (Hiltonol®) and anti-CD40 mAbs, or combinations thereof.

此組合物係用於不經腸投予,諸如皮下、真皮內、肌肉內或經口投予。組合物可經由皮下、肌肉內、靜脈內、腹膜內、胸膜內、囊泡內、鞘內、局部、經口投予或組合途徑來投予。為此,將肽及視情況其他分子溶解或懸浮在醫藥學上可接受的、較佳水性載體中。另外,組合物可含有諸如緩衝液之賦形劑、黏合劑、爆破劑、稀釋劑、風味劑、潤滑劑等等。醫藥學上可接受的載劑包括但不限於賦形劑、潤滑劑、乳化劑、穩定劑、溶劑、稀釋劑、緩衝液、媒劑、或其組合。識別具有MHC分子之複合物中的本揭示內容之肽的肽或T細胞亦可連同諸如表6中所示的細胞介素的免疫刺激性物質一起投予。This composition is for parenteral administration, such as subcutaneous, intradermal, intramuscular or oral administration. The compositions can be administered via subcutaneous, intramuscular, intravenous, intraperitoneal, intrapleural, intravesicular, intrathecal, topical, oral administration, or a combination route. For this purpose, the peptide and optionally other molecules are dissolved or suspended in a pharmaceutically acceptable, preferably aqueous carrier. Additionally, the compositions may contain excipients such as buffers, binders, blasting agents, diluents, flavors, lubricants, and the like. Pharmaceutically acceptable carriers include, but are not limited to, excipients, lubricants, emulsifiers, stabilizers, solvents, diluents, buffers, vehicles, or combinations thereof. Peptides or T cells that recognize the peptides of the present disclosure in complexes with MHC molecules can also be administered in conjunction with immunostimulatory substances such as the cytokines shown in Table 6.

表6:免疫刺激細胞介素 細胞介素 EOTAXIN IL-15 G-CSF IL-17 GM-CSF IP-10 INF-γ MIP-2 IL-1α KC M-CSF LIF IL-1β LIX IL-2 MCP-1 IL-3 MIP-1α IL-4 MIP-1β IL-5 MIG IL-6 RANTES IL-7 TNFα IL-10 IL-12(P70) IL-12(p40) VEGF IL-123 IL-9 IL-18 IL-21 Table 6: Immune Stimulatory Interleukins interleukin EOTAXIN IL-15 G-CSF IL-17 GM-CSF IP-10 INF-γ MIP-2 IL-1α KC M-CSF LIF IL-1β LIX IL-2 MCP-1 IL-3 MIP-1α IL-4 MIP-1β IL-5 MIG IL-6 RANTES IL-7 TNFα IL-10 IL-12(P70) IL-12(p40) VEGF IL-123 IL-9 IL-18 IL-21

細胞介素,例如IL-2、IL-7、IL-12、IL-15、IL-21、IFN-α、及IFN-β亦可用於活化及/或擴增T細胞,諸如識別在具有MHC分子之複合物中的本揭示內容之肽的T細胞。Interkinins, such as IL-2, IL-7, IL-12, IL-15, IL-21, IFN-α, and IFN-β can also be used to activate and/or expand T cells, such as T cells of the peptides of the present disclosure in complexes of molecules.

可用於此類組合物的賦形劑之廣泛清單可例如獲自A. Kibbe, Handbook of Pharmaceutical Excipients(Kibbe, 2000)。適合醫藥載劑之其他實例係描述於Remington's Pharmaceutical Sciences(Gennaro, 1997;Banker及Rhodes, 2002,其內容係以全文引用方式併入本文)。組合物可用於防止、預防及/或治療腺瘤疾病或癌性疾病。示範性製劑可例如見於EP2112253中。An extensive list of excipients that can be used in such compositions can be obtained, for example, from A. Kibbe, Handbook of Pharmaceutical Excipients (Kibbe, 2000). Additional examples of suitable pharmaceutical carriers are described in Remington's Pharmaceutical Sciences (Gennaro, 1997; Banker and Rhodes, 2002, the contents of which are incorporated by reference in their entirety). The compositions can be used to prevent, prevent and/or treat adenomatous disease or cancerous disease. Exemplary formulations can be found, for example, in EP2112253.

重要的是實現:藉由根據本發明之疫苗觸發的免疫反應在不同細胞階段及不同發育階段攻擊癌症。此外,攻擊不同的癌症相關聯傳訊路徑。此為超越僅針對一個或少數標靶的疫苗之優點,疫苗會引起腫瘤輕易地適應攻擊(腫瘤逃逸)。此外,並非所有個別腫瘤表現相同模式的抗原。因此,若干腫瘤相關聯肽之組合確保每一單個腫瘤帶有至少一些標靶。以如下方式設計組合物:預期每一腫瘤表現若干抗原且覆蓋腫瘤生長與維持所必需的若干獨立路徑。因此,疫苗可容易地以「現貨供應」用於較大的患者群體。此意指預選擇待用疫苗治療的患者可限於HLA類型,不需要用於抗原表現的任何另外的生物標誌,但仍確保若干標靶同時地藉由所誘導的免疫反應攻擊,從對於效力而言很重要(Banchereau等人, 2001;Walter等人, 2012,其內容係以全文引用方式併入本文)。It is important to achieve that the immune response triggered by the vaccine according to the invention attacks the cancer at different cellular stages and at different developmental stages. In addition, attacking different cancer-associated signaling pathways. This is an advantage over vaccines targeting only one or a few targets, which cause tumors to readily adapt to challenge (tumor escape). Furthermore, not all individual tumors exhibit the same pattern of antigens. Thus, the combination of several tumor-associated peptides ensures that each individual tumor carries at least some targets. The compositions were designed in such a way that each tumor was expected to express several antigens and cover several independent pathways necessary for tumor growth and maintenance. Thus, vaccines can easily be used "off the shelf" for larger patient populations. This means that the pre-selected patients to be treated with the vaccine can be limited to HLA types, without any additional biomarkers for antigen presentation, but still ensure that several targets are simultaneously attacked by the induced immune response, from which effects on efficacy Language is important (Banchereau et al., 2001; Walter et al., 2012, the contents of which are hereby incorporated by reference in their entirety).

如本文所使用,術語「支架」係指特異性結合至(例如抗原)決定因子的分子。在一個實施例中,支架能夠將連接有(例如(第二)抗原結合部分)的實體導引至標靶位點,例如導引至特定類型的腫瘤細胞或帶有抗原決定因子之腫瘤基質(例如肽與MHC之複合物,根據本申請案)。在另一實施例中,支架能夠活化經由其標靶抗原(例如T細胞受體複合抗原)之傳訊。支架包括但不限於抗體及其片段、抗體之抗原結合域(包含抗體重鏈可變區及抗體輕鏈可變區)、包含至少一個錨蛋白重複模體及單域抗原結合(single domain antigen binding; SDAB)分子的結合蛋白、適體、(可溶)TCR及諸如同種異體或自體 T細胞之(經修飾)細胞。為評定分子是否為結合至標靶之支架,可執行結合檢定。As used herein, the term "scaffold" refers to a molecule that specifically binds to, eg, an antigenic determinant. In one embodiment, the scaffold is capable of directing an entity to which a (eg, a second) antigen binding moiety is attached to a target site, such as to a specific type of tumor cell or tumor stroma bearing an antigenic determinant ( For example complexes of peptides and MHC, according to the present application). In another embodiment, the scaffold is capable of activating signaling through its target antigen (eg, T cell receptor complex antigen). Scaffolds include, but are not limited to, antibodies and fragments thereof, antigen binding domains of antibodies (including antibody heavy chain variable regions and antibody light chain variable regions), including at least one ankyrin repeat motif, and single domain antigen binding ; SDAB) molecules binding proteins, aptamers, (soluble) TCRs and (modified) cells such as allogeneic or autologous T cells. To assess whether a molecule is a scaffold that binds to a target, a binding assay can be performed.

「特異性」結合意指支架比其他天然存在的肽-MHC複合物更好地結合所關注的肽-MHC複合物,達到如下程度:裝備有能夠殺傷帶有特定標靶的細胞的活性分子之支架不殺傷不能具有特定標靶的另一細胞,但呈現其他肽MHC複合物。若交叉反應性肽-MHC之肽不是天然存在的,亦即,不來源於人類HLA肽組學,則結合至其他肽-MHC複合物為不相關的。評定靶細胞殺傷之測試在本領域中係熟知的。該等測試應使用具有未改變肽-MHC呈現的靶細胞(初級細胞或細胞系),或載入有肽以使得達到天然存在的肽-MHC位準的細胞來執行。"Specific" binding means that the scaffold binds the peptide-MHC complex of interest better than other naturally occurring peptide-MHC complexes to the extent that it is equipped with an active molecule capable of killing cells with a specific target The scaffold did not kill another cell that could not have a specific target, but presented other peptide MHC complexes. Binding to other peptide-MHC complexes is irrelevant if the cross-reactive peptide-MHC peptide is not naturally occurring, ie, is not derived from human HLA peptidomics. Assays to assess target cell killing are well known in the art. Such tests should be performed using target cells (primary cells or cell lines) with unaltered peptide-MHC presentation, or cells loaded with peptides such that naturally occurring peptide-MHC levels are reached.

每一支架可包含標記,其提供:經結合支架可藉由決定藉由該標記提供的訊號的存在或不存在來偵測。例如,支架可用螢光染料或任何其他可適用的細胞標誌分子來標記。此類標誌分子在本領域中係熟知的。例如,藉由例如螢光染料提供的螢光標記可藉由螢光或雷射掃描顯微術或流式細胞術提供經結合適體的視覺化。Each scaffold can include a marker that provides: The bound scaffold can be detected by determining the presence or absence of the signal provided by the marker. For example, scaffolds can be labeled with fluorescent dyes or any other applicable cell marker molecules. Such marker molecules are well known in the art. For example, fluorescent labels provided by, for example, fluorescent dyes can provide visualization of bound aptamers by fluorescence or laser scanning microscopy or flow cytometry.

每一支架可例如與諸如IL-21、抗CD3、及抗CD28的第二活性分子接合。Each scaffold can, for example, be associated with a second active molecule such as IL-21, anti-CD3, and anti-CD28.

就關於多肽支架的其他資訊而言,參見例如WO 2014/071978A1之背景部分及其中引用的參考文獻,其內容係以全文引用方式併入本文。For additional information on polypeptide scaffolds, see, eg, the Background section of WO 2014/071978 A1 and the references cited therein, the contents of which are incorporated herein by reference in their entirety.

本發明之肽可用於產生及開發針對MHC-肽複合物之特異性抗體。該些抗體可用於治療,將毒素或放射性物質靶向至患病組織。該些抗體之另一用途可為將放射性核種靶向至患病組織以用於諸如PET之成像目的。此用途可有助於偵測小的轉移或決定患病組織之大小及精確定位。The peptides of the present invention can be used to generate and develop specific antibodies against MHC-peptide complexes. These antibodies can be used in therapy, targeting toxins or radioactive substances to diseased tissue. Another use of these antibodies may be to target radionuclides to diseased tissue for imaging purposes such as PET. This use can help detect small metastases or determine the size and precise location of diseased tissue.

因此,本發明之另一態樣係提供用於產生特異性結合至與HLA限制抗原(較佳地根據本發明之肽)複合的MHCI類或II分子之重組抗體的方法,該方法包含:利用與該HLA限制抗原複合的可溶形式之MHCI類或II分子使包含表現該人類MHCI類或II分子之細胞的經基因工程改造的非人類哺乳動物免疫;自該非人類哺乳動物之抗體產生細胞分離mRNA分子;產生顯露藉由該等mRNA分子編碼的蛋白質分子之噬菌體顯露庫;及自該噬菌體顯露庫分離至少一個噬菌體,該至少一個噬菌體顯露特異性結合至與該HLA限制抗原複合的該MHCI類或II分子之該抗體。Accordingly, another aspect of the present invention provides a method for producing recombinant antibodies that specifically bind to MHC class I or II molecules complexed with an HLA-restricted antigen, preferably a peptide according to the invention, the method comprising: utilizing A soluble form of the MHC class I or II molecule complexed with the HLA-restricted antigen immunizes a genetically engineered non-human mammal comprising cells expressing the human MHC class I or II molecule; isolation from antibody producing cells of the non-human mammal mRNA molecules; generating a phage display library that exposes protein molecules encoded by the mRNA molecules; and isolating at least one bacteriophage from the phage display library, the at least one phage display specifically binding to the MHC class I complexed with the HLA-restricted antigen or the antibody of the II molecule.

因此本發明之另一態樣係提供特異性結合至與HLA限制抗原複合的MHCI類或II分子之抗體,其中該抗體較佳地為多株抗體、單株抗體、雙特異性抗體、嵌合抗體、其抗體片段、或其組合。 雙特異性抗體 Another aspect of the present invention therefore provides antibodies that specifically bind to MHC class I or II molecules complexed with HLA-restricted antigens, wherein the antibodies are preferably polyclonal, monoclonal, bispecific, chimeric An antibody, an antibody fragment thereof, or a combination thereof. bispecific antibody

在一態樣中,雙特異性抗體包括能夠選擇性地結合兩個或更多個抗原決定基的抗體。雙特異性抗體可以各種方式製造(Holliger & Winter, 1993,其內容係以全文引用方式併入本文),例如,以化學方式製備或自雜合融合瘤製備,或可如上文所述為任何雙特異性抗體片段。可使用scfv二聚物或雙抗體而不使用完整抗體。雙抗體及scFv可不用Fc區,僅使用可變域(通常包括來自來源抗體之輕鏈及重鏈的可變域組分)來構築,其潛在地減少抗遺傳型反應之效應。其他形式之雙特異性抗體包括Traunecker及同事描述的單鏈「Janusins」(Traunecker等人, 1991,其內容係以全文引用方式併入本文)。In one aspect, bispecific antibodies include antibodies capable of selectively binding two or more epitopes. Bispecific antibodies can be made in various ways (Holliger & Winter, 1993, the contents of which are incorporated by reference in their entirety), for example, chemically or from hybrid fusion tumors, or can be any bispecific antibody as described above. specific antibody fragments. Instead of whole antibodies, scfv dimers or diabodies can be used. Diabodies and scFvs can be constructed without Fc regions, using only variable domains (usually including variable domain components from the light and heavy chains of the source antibody), potentially reducing the effects of anti-genotypic responses. Other forms of bispecific antibodies include the single-chain "Janusins" described by Traunecker and colleagues (Traunecker et al., 1991, the contents of which are incorporated herein by reference in their entirety).

雙特異性抗體通常包括兩個不同的結合域,其中每一結合域特異性結合兩個不同抗原上或同一抗原上的不同抗原決定基。若雙特異性抗體能夠選擇性地結合兩個不同的抗原決定基(第一抗原決定基及第二抗原決定基),則第一結合域對第一抗原決定基之親和力將通常低於第一結合域對第二抗原決定基之親和力的至少一個至兩個或三個或四個數量級,且反之亦然。藉由雙特異性抗體識別的抗原決定基可在同一或不同標靶上(例如,同一或不同蛋白質上)。雙特異性抗體可藉由將識別同一抗原之不同抗原決定基的結合域組合來製得。Bispecific antibodies typically comprise two distinct binding domains, wherein each binding domain specifically binds to two different antigens or to different epitopes on the same antigen. If the bispecific antibody is capable of selectively binding two different epitopes (a first epitope and a second epitope), the first binding domain will generally have a lower affinity for the first epitope than the first At least one to two or three or four orders of magnitude of the binding domain's affinity for the second epitope, and vice versa. The epitopes recognized by the bispecific antibodies can be on the same or different targets (eg, on the same or different proteins). Bispecific antibodies can be made by combining binding domains that recognize different epitopes of the same antigen.

一些示例性雙特異性抗體具有兩個重鏈(每一者具有三個重鏈CDR,繼之以(N末端至C末端)CH1域、鉸鏈、CH2域、及CH3域),及兩個免疫球蛋白輕鏈,其經由與每一重鏈締合而賦予抗原結合特異性。然而,可設想另外的架構,包括雙特異性抗體,其中輕鏈與每一重鏈締合但不(或最少地)貢獻於抗原結合特異性,或輕鏈可結合藉由重鏈抗原結合區結合的抗原決定基中的一或多個,或輕鏈可與每一重鏈締合且賦能重鏈之一或兩者結合至一或兩個抗原決定基。Some exemplary bispecific antibodies have two heavy chains (each with three heavy chain CDRs, followed by (N-terminal to C-terminal) CH1 domain, hinge, CH2 domain, and CH3 domain), and two immune A globulin light chain that confers antigen-binding specificity through association with each heavy chain. However, alternative architectures are envisaged, including bispecific antibodies, in which a light chain is associated with each heavy chain but does not (or minimally) contribute to antigen-binding specificity, or the light chain can bind through the heavy chain antigen-binding region One or more of the epitopes, or light chains, can be associated with each heavy chain and enable one or both of the heavy chains to bind to one or both epitopes.

在特定實施例中,雙特異性抗體可包括抗體臂,其與結合至白血球上之觸發分子的臂組合,以便將細胞防禦機制聚焦且定位至所靶向的疾病細胞,該觸發分子諸如T細胞受體分子(例如,CD3),或IgG之Fc受體(FcγR),諸如FcγRI(CD64)、Fcγ RII(CD32)及FcγRIII(CD 16)。雙特異性抗體亦可用於將細胞毒性劑定位至所靶向的疾病細胞。In certain embodiments, bispecific antibodies may include antibody arms that combine with arms that bind to trigger molecules, such as T cells, on leukocytes in order to focus and localize cellular defense mechanisms to targeted disease cells Receptor molecules (eg, CD3), or Fc receptors for IgG (FcyRs), such as FcyRI (CD64), FcyRII (CD32), and FcyRIII (CD 16). Bispecific antibodies can also be used to localize cytotoxic agents to targeted disease cells.

雙特異性抗體可製備成全長抗體或抗體片段(例如,F(ab') 2雙特異性抗體)。參見,例如,WO 1996/016673;美國專利第5,837,234號;WO 1998/002463;美國專利第5,821,337號,其內容係以全文引用方式併入本文。 Bispecific antibodies can be prepared as full-length antibodies or antibody fragments (eg, F(ab') 2 bispecific antibodies). See, eg, WO 1996/016673; US Patent No. 5,837,234; WO 1998/002463; US Patent No. 5,821,337, the contents of which are incorporated herein by reference in their entirety.

雙特異性抗體可具有延長的半衰期。在特定實施例中,雙特異性抗體之半衰期延遲可藉由以下方式達成:藉由偶合至諸如聚乙二醇或其他擬晶親水聚合物的惰性聚合物來增加抗體之流體力學體積;融合或接合至大的無序肽;或將抗體融合或偶合至配位體。該些變化形式及大量其他變化形式係描述於其他地方(美國專利第7,083,784號、美國專利第7,670,600號、美國專利申請公開案第2010/0234575號,及Zwolak等人, 2017,其內容係以全文引用方式併入本文)。具有延長半衰期之雙特異性抗體係描述於例如美國專利第8,921,528號及美國專利申請公開案第2014/0308285號中,其內容係以全文引用方式併入本文。Bispecific antibodies can have extended half-lives. In particular embodiments, half-life delay of bispecific antibodies can be achieved by increasing the hydrodynamic bulk of the antibody by coupling to an inert polymer such as polyethylene glycol or other pseudomorphic hydrophilic polymers; fusion or Conjugation to large disordered peptides; or fusion or coupling of antibodies to ligands. These and numerous other variations are described elsewhere (US Patent No. 7,083,784, US Patent No. 7,670,600, US Patent Application Publication No. 2010/0234575, and Zwolak et al., 2017, the contents of which are in their entirety incorporated herein by reference). Bispecific antibodies with extended half-life are described, for example, in US Patent No. 8,921,528 and US Patent Application Publication No. 2014/0308285, the contents of which are incorporated herein by reference in their entirety.

製成雙特異性抗體之方法在本領域中係已知的。全長雙特異性抗體之產生係基於兩個免疫球蛋白重鏈-輕鏈對之共表現,其中兩個鏈具有不同的特異性(Millstein等人, 1983, WO 1993/008829, Traunecker等人, 1991;其內容係以引用方式全文併入本文)。 多株抗體 Methods for making bispecific antibodies are known in the art. The production of full-length bispecific antibodies is based on the co-expression of two immunoglobulin heavy chain-light chain pairs, where the two chains have different specificities (Millstein et al., 1983, WO 1993/008829, Traunecker et al., 1991 ; the contents of which are incorporated herein by reference in their entirety). polyclonal antibody

製成多株抗體之方法在本領域中係已知的。多株抗體為來源於用抗原免疫的動物之血清的抗體分子之異源群體。選擇性地結合根據SEQ ID NO: 1至SEQ ID NO: 113或其變異體或片段之肽的多株抗體可藉由本領域中熟知的方法製成(參見,例如,Howard & Kaser (2007),其係以全文引用方式併入本文)。 嵌合抗體 Methods for making polyclonal antibodies are known in the art. A polyclonal antibody is a heterogeneous population of antibody molecules derived from the serum of an animal immunized with an antigen. Polyclonal antibodies that selectively bind to peptides according to SEQ ID NO: 1 to SEQ ID NO: 113 or variants or fragments thereof can be made by methods well known in the art (see, e.g., Howard & Kaser (2007), It is hereby incorporated by reference in its entirety). Chimeric antibody

嵌合抗體為其不同部分係來源於不同動物物種的分子,諸如,彼等具有來源於鼠類抗體之可變區及人類免疫球蛋白恆定區的彼等者,其主要用於減少在應用時的免疫原性且增加生產產率,例如其中鼠類單株抗體具有自融合瘤之較高產率但在人類中具有較高免疫原性,以使得人類鼠類嵌合單株抗體得以使用。嵌合抗體及其產生方法在本領域中係已知的(Cabilly等人, 1984;Morrison等人, 1984;Boulianne等人, 1984;歐洲專利申請案173494(1986);WO 86/01533(1986);歐洲專利申請案184187(1986);Sahagan等人, 1986;Liu等人, 1987;Sun等人, 1987;Better等人, 1988;Harlow & Lane, 1998;美國專利第5,624,659號,其內容係以全文引用方式併入本文)。 抗體片段 Chimeric antibodies are molecules whose different parts are derived from different animal species, such as those with variable regions derived from murine antibodies and human immunoglobulin constant regions, which are primarily used to reduce immunogenicity and increased production yields, eg, where murine monoclonal antibodies have higher yields from fusion tumors but are more immunogenic in humans, allowing the use of human murine chimeric monoclonal antibodies. Chimeric antibodies and methods for their production are known in the art (Cabilly et al, 1984; Morrison et al, 1984; Boulianne et al, 1984; European Patent Application 173494 (1986); WO 86/01533 (1986) European Patent Application 184187 (1986); Sahagan et al, 1986; Liu et al, 1987; Sun et al, 1987; Better et al, 1988; Harlow & Lane, 1998; is incorporated herein by reference in its entirety). Antibody fragment

除完整免疫球蛋白(或其重組對應物)之外,可合成包含抗原決定基結合位點(例如,Fab、F(ab') 2、或其他片段)之免疫球蛋白。「片段」或最小免疫球蛋白可利用重組免疫球蛋白技術來設計。例如,用於本發明之「Fv」免疫球蛋白可藉由合成融合可變輕鏈區及可變重鏈區來產生。亦關注抗體之組合,例如,雙抗體,其包含兩個相異Fv特異性。免疫球蛋白之抗原結合片段包括但不限於SMIP(小分子免疫醫藥劑)、駱駝抗體、奈米抗體、及IgNAR。 In addition to intact immunoglobulins (or their recombinant counterparts), immunoglobulins that contain epitope binding sites (eg, Fab, F(ab') 2 , or other fragments) can be synthesized. "Fragments" or minimal immunoglobulins can be designed using recombinant immunoglobulin technology. For example, "Fv" immunoglobulins for use in the present invention can be produced by synthetically fusing variable light and variable heavy chain regions. Combinations of antibodies are also of interest, eg, diabodies, comprising two distinct Fv specificities. Antigen-binding fragments of immunoglobulins include, but are not limited to, SMIPs (small molecule immunopharmaceuticals), camelid antibodies, nanobodies, and IgNARs.

用於產生此類抗體及單鏈MHC I類複合物之相應方法,以及用於產生該些抗體之工具揭示於WO 03/068201、WO 2004/084798、WO 01/72768、WO 03/070752中,及出版物中(Cohen等人, 2003a;Cohen等人, 2003b;Denkberg等人, 2003,其出於本發明之目的以全文引用方式併入本文)。Corresponding methods for producing such antibodies and single-chain MHC class I complexes, as well as tools for producing such antibodies, are disclosed in WO 03/068201, WO 2004/084798, WO 01/72768, WO 03/070752, and publications (Cohen et al., 2003a; Cohen et al., 2003b; Denkberg et al., 2003, which are hereby incorporated by reference in their entirety for purposes of the present invention).

較佳地,抗體係以<100 nM、更佳地<50 nM、更佳地<10 nM、更佳地<1 nM、更佳地<0.1 nM、更佳地<0.01 nM之結合親和力結合至複合物,其亦在本發明之情形中視為「特異性」的。Preferably, the antibody binds with a binding affinity of <100 nM, more preferably <50 nM, more preferably <10 nM, more preferably <1 nM, more preferably <0.1 nM, more preferably <0.01 nM complexes, which are also considered "specific" in the context of the present invention.

本發明係關於包含選自由以下各項組成之群組的胺基酸序列之肽 ●  SEQ ID NO: 1至SEQ ID NO: 113, ●  及其變異體序列,其維持結合至MHC分子之能力及/或誘導T細胞與該變異體肽之交叉反應, 或其醫藥學上可接受的鹽。 The present invention relates to peptides comprising amino acid sequences selected from the group consisting of ● SEQ ID NO: 1 to SEQ ID NO: 113, ● and variant sequences thereof, which maintain the ability to bind to MHC molecules and/or induce cross-reactivity of T cells with the variant peptide, or a pharmaceutically acceptable salt thereof.

所揭示的肽結合至以下至少一者:HLA-A*01:01、HLA-A*03:01、HLA-A*24:02、HLA-B*07:02、HLA-B*08:01及HLA-B*44:02,外加視情況其他HLA異型。同樣地,肽變異體結合至主要組織相容性複合物(major histocompatibility complex; MHC)之分子的能力係關於HLA-A*01:01、HLA-A*03:01、HLA-A*24:02、HLA-B*07:02、HLA-B*08:01及HLA-B*44:02,外加視情況其他HLA異型。The disclosed peptides bind to at least one of: HLA-A*01:01, HLA-A*03:01, HLA-A*24:02, HLA-B*07:02, HLA-B*08:01 and HLA-B*44:02, plus other HLA atypia as appropriate. Likewise, the ability of peptide variants to bind to molecules of the major histocompatibility complex (MHC) is described for HLA-A*01:01, HLA-A*03:01, HLA-A*24: 02, HLA-B*07:02, HLA-B*08:01, and HLA-B*44:02, plus other HLA atypia as appropriate.

在一個實施例中,上文所主張肽之變異體序列意指在其所謂的「錨定位置」中具有取代的序列。In one embodiment, variant sequences of the above claimed peptides are meant to have substitutions in their so-called "anchor positions".

應注意,MHC限制肽中之該些錨定位置包含介導肽結合至MHC中之肽結合凹槽的胺基酸殘基。It should be noted that these anchor positions in the MHC restricted peptide comprise amino acid residues that mediate the binding of the peptide to the peptide binding groove in the MHC.

其僅在結合多肽與肽-MHC複合物之間的結合反應中起小的作用,意指該些位置中之取代不顯著地影響以此方式修飾的肽之免疫原性TCR/抗體結合。It only plays a small role in the binding reaction between the binding polypeptide and the peptide-MHC complex, meaning that substitutions in these positions do not significantly affect the immunogenic TCR/antibody binding of peptides modified in this way.

下表(表7)展示肽之錨定位置及該些位置中結合HLA-A*01:01、HLA-A*03:01、HLA-A*24:02、HLA-B*07:02、HLA-B*08:01及HLA-B*44:02的較佳/所接受的胺基酸殘基。The following table (Table 7) shows the anchoring positions of the peptides and binding HLA-A*01:01, HLA-A*03:01, HLA-A*24:02, HLA-B*07:02, Preferred/accepted amino acid residues for HLA-B*08:01 and HLA-B*44:02.

表7:錨定位置及該些位置中用於上述HLA等位基因之較佳胺基酸。 HLA亞型 錨定位置1 所接受的胺基酸殘基 錨定位置2 所接受的胺基酸殘基 錨定位置3 所接受的胺基酸殘基 HLA-A*01:01 位置2 蘇胺酸 (T) 絲胺酸 (S) 位置3 天冬胺酸  (D) 麩胺酸 (E) C末端 酪胺酸 (Y) HLA-A*03:01 位置2 白胺酸 (L) 纈胺酸 (V) 不適用 不適用 C末端 離胺酸 (K) HLA-A*24:02 位置2 酪胺酸 (Y) 不適用 不適用 C末端 苯丙胺酸 (F) HLA-B*07:02 位置2 脯胺酸 (P) 不適用 不適用 C末端 白胺酸 (L) HLA-B*08:01 位置3 離胺酸 (K) 位置5 離胺酸 (K) 精胺酸 (R) C末端 白胺酸 (L) HLA-B*44:02 位置2 麩胺酸  (E) 不適用 不適用 C末端 色胺酸 (W) 苯丙胺酸 (F) 酪胺酸 (Y) Table 7: Anchor positions and preferred amino acids in these positions for the above HLA alleles. HLA subtypes Anchor position 1 Accepted amino acid residues Anchor position 2 Accepted amino acid residues Anchor position 3 Accepted amino acid residues HLA-A*01:01 position 2 Threonine (T) Serine (S) position 3 Aspartic acid (D) Glutamic acid (E) C-terminal Tyrosine (Y) HLA-A*03:01 position 2 Leucine (L) Valine (V) Not applicable Not applicable C-terminal Lysine (K) HLA-A*24:02 position 2 Tyrosine (Y) Not applicable Not applicable C-terminal Phenylalanine (F) HLA-B*07:02 position 2 Proline (P) Not applicable Not applicable C-terminal Leucine (L) HLA-B*08:01 position 3 Lysine (K) position 5 Lysine (K) Arginine (R) C-terminal Leucine (L) HLA-B*44:02 position 2 Glutamic acid (E) Not applicable Not applicable C-terminal Tryptophan (W) Phenylalanine (F) Tyrosine (Y)

歸因於結合模式之相似性,諸如相關錨定位置之相似性,一些肽結合至超過一種等位基因,此種重疊很可能為但不限於亦結合至HLA-B*15之HLA-A*01結合肽、亦結合至HLA-A*11之HLA-A*03結合肽、亦結合至HLA-B*35及HLA-B*51之HLA-B*07結合肽。Due to similarities in binding patterns, such as similarity in relative anchoring positions, some peptides bind to more than one allele, and this overlap is likely, but not limited to, HLA-A* which also binds to HLA-B*15 01 binding peptide, HLA-A*03 binding peptide also bound to HLA-A*11, HLA-B*07 binding peptide also bound to HLA-B*35 and HLA-B*51.

此外,本發明係關於其與SEQ ID NO: 1至SEQ ID NO: 113至少88%同源的變異體,前提是,其結合至MHC分子及/或誘導T細胞與該變異體肽交叉反應。Furthermore, the present invention relates to variants thereof that are at least 88% homologous to SEQ ID NO: 1 to SEQ ID NO: 113, provided that they bind to MHC molecules and/or induce T cells to cross-react with the variant peptide.

在一個實施例中,上文所主張肽之變異體序列意指藉由至少一個保守胺基酸取代修飾的序列。術語「保守胺基酸取代」之定義及範疇係揭示在表3及4以及與其相關的描述中。In one embodiment, variant sequences of peptides claimed above mean sequences modified by at least one conservative amino acid substitution. The definition and scope of the term "conservative amino acid substitutions" are disclosed in Tables 3 and 4 and the descriptions associated therewith.

在一個實施例中,該肽具有結合至MHC l類分子之能力,且在結合至該MHC時,能夠藉由CD4及/或CD8 T細胞識別。In one embodiment, the peptide has the ability to bind to MHC class 1 molecules and, when bound to the MHC, is capable of being recognized by CD4 and/or CD8 T cells.

在一個實施例中,MHC I類分子為選自由以下各項組成之群組的至少一者:HLA-A*01:01、HLA-A*03:01、HLA-A*24:02、HLA-B*07:02、HLA-B*08:01及HLA-B*44:02,外加視情況其他HLA異型。In one embodiment, the MHC class I molecule is at least one selected from the group consisting of: HLA-A*01:01, HLA-A*03:01, HLA-A*24:02, HLA -B*07:02, HLA-B*08:01 and HLA-B*44:02, plus other HLA isoforms as appropriate.

本發明進一步係關於包含序列之肽,該序列選自由SEQ ID NO: 1至SEQ ID NO: 113或其變異體組成之群組,其與SEQ ID NO: 1至SEQ ID NO: 113至少88%同源(較佳為一致的),其中該肽或變異體具有在8個與30個之間的胺基酸,及較佳在8個與12個之間的胺基酸,或若所選肽具有9個胺基酸之長度,則在9個與30個之間的胺基酸,及較佳在9個與12個之間的胺基酸,或若所選肽具有10個胺基酸之長度,則在10個與30個之間,及較佳在10個與12個之間的胺基酸。The present invention further relates to peptides comprising sequences selected from the group consisting of SEQ ID NO: 1 to SEQ ID NO: 113 or variants thereof, which are at least 88% different from SEQ ID NO: 1 to SEQ ID NO: 113 Homologous (preferably identical), wherein the peptide or variant has between 8 and 30 amino acids, and preferably between 8 and 12 amino acids, or if selected The peptide has a length of 9 amino acids, then between 9 and 30 amino acids, and preferably between 9 and 12 amino acids, or if the selected peptide has 10 amino acids The length of the acid is then between 10 and 30, and preferably between 10 and 12 amino acids.

在一個實施例中,該肽或其變異體包含在相應序列的C末端及/或N末端處的1至4個另外的胺基酸。參見表5獲得其他詳情。In one embodiment, the peptide or variant thereof comprises 1 to 4 additional amino acids at the C-terminus and/or the N-terminus of the corresponding sequence. See Table 5 for additional details.

在一個實施例中,該肽或其變異體具有多至30個胺基酸之長度。在一個實施例中,該肽或其變異體具有多至16個胺基酸之長度。在一個實施例中,該肽或其變異體具有多至12個胺基酸之長度。In one embodiment, the peptide or variant thereof is up to 30 amino acids in length. In one embodiment, the peptide or variant thereof is up to 16 amino acids in length. In one embodiment, the peptide or variant thereof is up to 12 amino acids in length.

在一個實施例中,該肽或其變異體具有8至30個胺基酸之總長度。在一個實施例中,該肽或其變異體具有8至16個胺基酸之總長度。在一個實施例中,該肽或其變異體具有8至12個胺基酸之總長度。In one embodiment, the peptide or variant thereof has a total length of 8 to 30 amino acids. In one embodiment, the peptide or variant thereof has a total length of 8 to 16 amino acids. In one embodiment, the peptide or variant thereof has a total length of 8 to 12 amino acids.

在一個實施例中,該肽或其變異體具有9至30個胺基酸之總長度。在一個實施例中,該肽或其變異體具有9至16個胺基酸之總長度。在一個實施例中,該肽或其變異體具有9至12個胺基酸之總長度。In one embodiment, the peptide or variant thereof has a total length of 9 to 30 amino acids. In one embodiment, the peptide or variant thereof has a total length of 9 to 16 amino acids. In one embodiment, the peptide or variant thereof has a total length of 9 to 12 amino acids.

在一個實施例中,該肽或其變異體具有10至30個胺基酸之總長度。在一個實施例中,該肽或其變異體具有10至16個胺基酸之總長度。在一個實施例中,該肽或其變異體具有10至12個胺基酸之總長度。In one embodiment, the peptide or variant thereof has a total length of 10 to 30 amino acids. In one embodiment, the peptide or variant thereof has a total length of 10 to 16 amino acids. In one embodiment, the peptide or variant thereof has a total length of 10 to 12 amino acids.

在一個實施例中,該肽或其變異體具有根據相應SEQ ID NO: 1至SEQ ID NO: 113之長度。在一個實施例中,肽由或主要由根據SEQ ID NO: 1至SEQ ID NO: 113之胺基酸序列組成。In one embodiment, the peptide or variant thereof has a length according to corresponding SEQ ID NO: 1 to SEQ ID NO: 113. In one embodiment, the peptide consists or consists essentially of the amino acid sequence according to SEQ ID NO: 1 to SEQ ID NO: 113.

本發明進一步係關於根據本發明之肽,其中該肽包括非肽鍵。The present invention further relates to a peptide according to the invention, wherein the peptide comprises a non-peptide bond.

本發明進一步係關於根據本發明之肽,其中該肽為融合蛋白質的部分,其尤其包含HLA-DR抗原相關聯不變鏈(Ii)之N末端胺基酸,或其中肽係融合至抗體(或融合至抗體中),該抗體諸如例如對樹突細胞為特異性的抗體。The invention further relates to a peptide according to the invention, wherein the peptide is part of a fusion protein, which in particular comprises the N-terminal amino acid of the invariant chain (Ii) associated with the HLA-DR antigen, or wherein the peptide is fused to an antibody ( or fused into an antibody) such as, for example, an antibody specific for dendritic cells.

本發明進一步係關於抗體或其功能片段,其特異性地識別或結合至根據本發明之肽或其變異體,或在結合至MHC分子時結合至根據本發明之肽或其變異體。The present invention further relates to antibodies or functional fragments thereof, which specifically recognize or bind to a peptide according to the invention or a variant thereof, or when bound to an MHC molecule, to a peptide according to the invention or a variant thereof.

在一個實施例中,MHC分子為選自由以下各項組成之群組的至少一者:HLA-A*01:01、HLA-A*03:01、HLA-A*24:02、HLA-B*07:02、HLA-B*08:01及HLA-B*44:02異型MHC分子,外加視情況其他HLA異型。In one embodiment, the MHC molecule is at least one selected from the group consisting of: HLA-A*01:01, HLA-A*03:01, HLA-A*24:02, HLA-B *07:02, HLA-B*08:01 and HLA-B*44:02 isotype MHC molecules, plus other HLA isotypes as appropriate.

在其他實施例中,此抗體為可溶或膜結合的。在其他實施例中,此抗體為單株抗體或其片段。在其他實施例中,此抗體攜帶諸如免疫刺激域或毒素之另一效應物功能。In other embodiments, the antibody is soluble or membrane bound. In other embodiments, the antibody is a monoclonal antibody or fragment thereof. In other embodiments, the antibody carries another effector function such as an immunostimulatory domain or a toxin.

本發明進一步係關於T細胞受體或其功能片段,其與MHC配位體反應或結合至MHC配位體,其中該配位體為根據本發明之肽或其變異體,或在結合至MHC分子時為根據本發明之肽或其變異體。The present invention further relates to a T cell receptor or a functional fragment thereof, which reacts with or binds to an MHC ligand, wherein the ligand is a peptide according to the invention or a variant thereof, or is bound to an MHC ligand The molecule is a peptide according to the invention or a variant thereof.

在一個實施例中,MHC分子為選自由以下各項組成之群組的至少一者:HLA-A*01:01、HLA-A*03:01、HLA-A*24:02、HLA-B*07:02、HLA-B*08:01及HLA-B*44:02,外加視情況其他HLA異型。In one embodiment, the MHC molecule is at least one selected from the group consisting of: HLA-A*01:01, HLA-A*03:01, HLA-A*24:02, HLA-B *07:02, HLA-B*08:01 and HLA-B*44:02, plus other HLA isoforms as appropriate.

在其他實施例中,該T細胞受體係提供為可溶分子。在其他實施例中,該T細胞受體攜帶諸如免疫刺激域或毒素之另一效應物功能。In other embodiments, the T cell receptor system is provided as a soluble molecule. In other embodiments, the T cell receptor carries another effector function such as an immunostimulatory domain or toxin.

本發明進一步係關於核酸,其編碼根據本發明之肽或其變異體、根據本發明之抗體或其片段、或根據本發明之T細胞受體或其片段。The present invention further relates to nucleic acids encoding peptides or variants thereof according to the invention, antibodies or fragments thereof according to the invention, or T cell receptors or fragments thereof according to the invention.

本發明進一步係關於根據本發明之核酸,其為DNA、cDNA、PNA、RNA或其組合。The present invention further relates to a nucleic acid according to the present invention, which is DNA, cDNA, PNA, RNA or a combination thereof.

在一個實施例中,該核酸係連接至異源啟動子序列。在一個實施例中,該核酸係提供為表現及/或包含該核酸之表現載體。In one embodiment, the nucleic acid is linked to a heterologous promoter sequence. In one embodiment, the nucleic acid is provided as an expression vector that expresses and/or comprises the nucleic acid.

本發明進一步係關於重組寄主細胞,其包含根據本發明之肽或其變異體、根據本發明之抗體或其片段、根據本發明之T細胞受體或其片段、或根據本發明之核酸或表現載體。The invention further relates to recombinant host cells comprising a peptide according to the invention or a variant thereof, an antibody or fragment thereof according to the invention, a T cell receptor or a fragment thereof according to the invention, or a nucleic acid or expression according to the invention vector.

本發明進一步係關於用於產生活化T淋巴細胞之體外方法,該方法包含將T細胞與適合抗原呈現細胞或模擬抗原呈現細胞之人工構築體之表面上表現的載入抗原的人類I類或II類MHC分子體外接觸達足以以抗原特異性方式活化該T細胞的一段時間,其中該抗原為根據相應描述的肽或其變異體。The invention further relates to an in vitro method for generating activated T lymphocytes, the method comprising combining T cells with antigen-loaded human class I or II expressed on the surface of an artificial construct suitable for antigen-presenting cells or mimicking antigen-presenting cells The MHC-like molecules are contacted in vitro for a period of time sufficient to activate the T cells in an antigen-specific manner, wherein the antigen is a peptide or a variant thereof according to the corresponding description.

在一個實施例中,抗原呈現細胞包含表現載體,其能夠表現含有SEQ ID NO: 1至SEQ ID NO: 113或該變異體胺基酸序列之該肽。In one embodiment, the antigen presenting cell comprises an expression vector capable of expressing the peptide comprising the amino acid sequence of SEQ ID NO: 1 to SEQ ID NO: 113 or the variant.

本發明進一步係關於產生根據本發明之肽的體外方法,該方法包含培養根據本發明之寄主細胞,及自該寄主細胞或其培養基分離肽。The present invention further relates to an in vitro method for producing a peptide according to the present invention, the method comprising culturing a host cell according to the present invention, and isolating the peptide from the host cell or its culture medium.

本發明進一步係關於藉由根據本發明之方法產生的活化T淋巴細胞,其中該T淋巴細胞選擇性地識別呈現根據本發明之肽或其變異體的細胞。該呈現可為異常呈現或異常表現。The present invention further relates to activated T lymphocytes produced by the method according to the present invention, wherein the T lymphocytes selectively recognize cells presenting the peptides according to the present invention or variants thereof. The presentation may be abnormal presentation or abnormal performance.

本發明進一步係關於包含至少一個活性成分之醫藥組合物,該活性成分選自由以下各項組成之群組 ●  根據本發明之肽或其變異體, ●  根據本發明之抗體或其片段, ●  根據本發明之T細胞受體或其片段, ●  根據本發明之核酸或表現載體, ●  根據本發明之寄主細胞, ●  或根據本發明之活化T淋巴細胞, 及醫藥學上可接受的載劑。 The present invention further relates to pharmaceutical compositions comprising at least one active ingredient selected from the group consisting of ● a peptide according to the invention or a variant thereof, ● an antibody or fragment thereof according to the invention, ● a T cell receptor according to the invention or a fragment thereof, ● a nucleic acid or expression vector according to the invention, ● a host cell according to the invention, ● or activated T lymphocytes according to the invention, and a pharmaceutically acceptable carrier.

在一個實施例中,此醫藥組合物係用於個別患者的個性化醫藥組合物。在一個實施例中,醫藥組合物為疫苗。方法亦可適於產生用於下游應用的T細胞純系,該等下游應用諸如TCR分離、或可溶抗體、及其他治療選擇。In one embodiment, the pharmaceutical composition is a personalized pharmaceutical composition for an individual patient. In one embodiment, the pharmaceutical composition is a vaccine. The methods may also be adapted to generate T cell clones for downstream applications such as TCR isolation, or soluble antibodies, and other therapeutic options.

「個性化醫藥劑」將意指針對一個個別患者特定定製的治療,其將僅用於此個別患者之治療,包括主動個性化的癌症疫苗及使用自體患者組織的授受性細胞治療。"Personalized Pharmacy" will mean therapy specifically tailored to an individual patient, which will be used only for that individual patient's treatment, including actively personalized cancer vaccines and donor-receptor cell therapy using autologous patient tissue.

本發明進一步係關於用於產生根據本發明之肽或其變異體、根據本發明之抗體或其片段、或根據本發明之T細胞受體或其片段及自該寄主細胞及/或其培養基分離肽或其變異體、抗體或其片段或T細胞受體或其片段的方法。The present invention further relates to the production of peptides according to the invention or variants thereof, antibodies or fragments thereof according to the invention, or T cell receptors or fragments thereof according to the invention and isolation from the host cells and/or their culture medium Methods of peptides or variants thereof, antibodies or fragments thereof, or T cell receptors or fragments thereof.

本發明進一步係關於根據本發明之肽或其變異體、根據本發明之抗體或其片段、根據本發明之T細胞受體或其片段、根據本發明之核酸或表現載體、根據本發明之寄主細胞、或根據本發明之活化T淋巴細胞,其係用於藥物或用於藥物之製造。The present invention further relates to peptides according to the invention or variants thereof, antibodies or fragments thereof according to the invention, T cell receptors or fragments thereof according to the invention, nucleic acids or expression vectors according to the invention, hosts according to the invention Cells, or activated T lymphocytes according to the present invention, which are used for medicaments or for the manufacture of medicaments.

本發明進一步係關於殺傷患者中的靶細胞之方法,該等靶細胞異常地表現包含根據本發明之任何胺基酸序列的多肽。該方法包含向患者投予有效量的如根據本發明之活化T淋巴細胞。The present invention further relates to a method of killing target cells in a patient which abnormally express a polypeptide comprising any amino acid sequence according to the present invention. The method comprises administering to the patient an effective amount of activated T lymphocytes as in accordance with the present invention.

同樣地,本發明係關於根據本發明之活化T淋巴細胞,其係用於殺傷患者之靶細胞,該等靶細胞呈現包含根據本發明之任何胺基酸序列的多肽,或用於製造用於殺傷此類靶細胞之藥劑。Likewise, the present invention relates to activated T lymphocytes according to the present invention, which are used to kill target cells of a patient, which target cells present a polypeptide comprising any amino acid sequence according to the present invention, or for the manufacture of Agents that kill such target cells.

本發明進一步係關於治療患者之方法,該患者 ●  被診斷為患癌症, ●  罹患癌症,或 ●  有患上癌症之風險, 該方法包含向患者投予有效量的根據本發明之肽或其變異體、根據本發明之抗體或其片段、根據本發明之T細胞受體或其片段、根據本發明之核酸或表現載體、根據本發明之寄主細胞、或根據本發明之活化T淋巴細胞。 The present invention further relates to a method of treating a patient, the patient ● diagnosed with cancer, ● have cancer, or ● risk of developing cancer, The method comprises administering to a patient an effective amount of a peptide according to the invention or a variant thereof, an antibody or fragment thereof according to the invention, a T cell receptor or fragment thereof according to the invention, a nucleic acid or expression vector according to the invention, Host cells according to the invention, or activated T lymphocytes according to the invention.

同樣地,本發明進一步係關於根據本發明之肽或其變異體、根據本發明之抗體或其片段、根據本發明之T細胞受體或其片段、根據本發明之核酸或表現載體、根據本發明之寄主細胞、或根據本發明之活化T淋巴細胞,其係用於治療患者,該患者 ●  被診斷為患癌症, ●  罹患癌症,或 ●  有患上癌症之風險, 或用於製造用於治療此患者之藥劑。 Likewise, the present invention further relates to peptides according to the invention or variants thereof, antibodies or fragments thereof according to the invention, T cell receptors or fragments thereof according to the invention, nucleic acids or expression vectors according to the invention, Host cells of the invention, or activated T lymphocytes according to the invention, for use in the treatment of a patient, the patient ● diagnosed with cancer, ● have cancer, or ● risk of developing cancer, or for the manufacture of a medicament for the treatment of such a patient.

本發明進一步係關於根據本發明之用途,其中藥劑為疫苗。The present invention further relates to the use according to the invention, wherein the medicament is a vaccine.

本發明進一步係關於用於根據本發明之用途的方法或肽、抗體、T細胞受體、核酸、寄主細胞或活化T淋巴細胞,其中該癌症係選自由以下各項組成之群組:急性骨髓性白血病、乳癌、膽管細胞癌、慢性淋巴球性白血病、結腸直腸癌、膽囊癌、神經膠質母細胞瘤、胃癌、胃-食管接合癌、肝細胞癌、頭及頸鱗狀細胞癌、黑素瘤、非霍奇金氏淋巴瘤、非小細胞肺癌、卵巢癌、食管癌、胰腺癌、前列腺癌、腎細胞癌、小細胞肺癌、膀胱癌、及子宮內膜癌。The present invention further relates to methods or peptides, antibodies, T cell receptors, nucleic acids, host cells or activated T lymphocytes for use according to the present invention, wherein the cancer is selected from the group consisting of acute myeloid leukemia, breast cancer, cholangiocarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer, gastroesophageal junction cancer, hepatocellular carcinoma, head and neck squamous cell carcinoma, melanoma tumor, non-Hodgkin's lymphoma, non-small cell lung cancer, ovarian cancer, esophageal cancer, pancreatic cancer, prostate cancer, renal cell cancer, small cell lung cancer, bladder cancer, and endometrial cancer.

本發明進一步係關於套組,其包含: (a)容器,該容器包含醫藥組合物,該醫藥組合物含有根據本發明之呈溶液或呈凍乾形式的醫藥組合物; (b)視情況,第二容器,該第二容器含有用於凍乾製劑的稀釋劑或重構溶液; (c)視情況,至少一或多種選自由SEQ ID NO: 1至SEQ ID NO: 113組成之群組的肽。 The present invention further relates to a kit comprising: (a) a container containing a pharmaceutical composition containing the pharmaceutical composition according to the invention in solution or in lyophilized form; (b) optionally, a second container containing a diluent or reconstitution solution for the lyophilized formulation; (c) Optionally, at least one or more peptides selected from the group consisting of SEQ ID NO: 1 to SEQ ID NO: 113.

在其他實施例中,套組包含緩衝液、稀釋劑、過濾器、針、或注射器中之一或多者。In other embodiments, the kit includes one or more of buffers, diluents, filters, needles, or syringes.

本發明進一步係關於基於根據本發明之肽的在本文中成為「標靶」的特定標誌蛋白質及生物標誌,其可用於診斷及/或預後以下至少一者:急性骨髓性白血病、乳癌、膽管細胞癌、慢性淋巴球性白血病、結腸直腸癌、膽囊癌、神經膠質母細胞瘤、胃癌、胃-食管接合癌、肝細胞癌、頭及頸鱗狀細胞癌、黑素瘤、非霍奇金氏淋巴瘤、非小細胞肺癌、卵巢癌、食管癌、胰腺癌、前列腺癌、腎細胞癌、小細胞肺癌、膀胱癌、及子宮內膜癌。The present invention further relates to specific marker proteins and biomarkers based on the peptides according to the present invention which are herein "targeted", which can be used for the diagnosis and/or prognosis of at least one of the following: acute myeloid leukemia, breast cancer, cholangiocytes Carcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer, gastroesophageal junction cancer, hepatocellular carcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodgkin's Lymphoma, non-small cell lung cancer, ovarian cancer, esophageal cancer, pancreatic cancer, prostate cancer, renal cell cancer, small cell lung cancer, bladder cancer, and endometrial cancer.

術語「抗體(antibody)」或「「抗體(antibodies)」在本文中以廣義使用且包括多株抗體及單株抗體兩者。除完整或「完全」免疫球蛋白分子之外,術語「抗體」中亦包括彼等免疫球蛋白分子之片段(例如CDR、Fv、Fab及Fc片段)或聚合物及免疫球蛋白分子之人源化版本,只要其展現根據本發明之任何所要性質即可(例如,特異性結合急性骨髓性白血病、乳癌、膽管細胞癌、慢性淋巴球性白血病、結腸直腸癌、膽囊癌、神經膠質母細胞瘤、胃癌、胃-食管接合癌、肝細胞癌、頭及頸鱗狀細胞癌、黑素瘤、非霍奇金氏淋巴瘤、非小細胞肺癌、卵巢癌、食管癌、胰腺癌、前列腺癌、腎細胞癌、小細胞肺癌、膀胱癌、及子宮內膜癌標誌多肽)。The terms "antibody" or "antibodies" are used broadly herein and include both polyclonal and monoclonal antibodies. In addition to intact or "complete" immunoglobulin molecules, the term "antibody" also includes fragments of such immunoglobulin molecules (eg, CDR, Fv, Fab and Fc fragments) or polymers and human origins of immunoglobulin molecules A modified version, so long as it exhibits any desired property according to the invention (eg, specific binding to acute myeloid leukemia, breast cancer, cholangiocarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer, glioblastoma , gastric cancer, gastroesophageal junction cancer, hepatocellular carcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodgkin's lymphoma, non-small cell lung cancer, ovarian cancer, esophageal cancer, pancreatic cancer, prostate cancer, Renal cell carcinoma, small cell lung cancer, bladder cancer, and endometrial cancer marker polypeptide).

任何可能的情況下,本發明之抗體可自商業來源購買。本發明之抗體亦可使用熟知方法產生。熟練技藝人士將理解全長的急性骨髓性白血病、乳癌、膽管細胞癌、慢性淋巴球性白血病、結腸直腸癌、膽囊癌、神經膠質母細胞瘤、胃癌、胃-食管接合癌、肝細胞癌、頭及頸鱗狀細胞癌、黑素瘤、非霍奇金氏淋巴瘤、非小細胞肺癌、卵巢癌、食管癌、胰腺癌、前列腺癌、腎細胞癌、小細胞肺癌、膀胱癌、及子宮內膜癌標誌多肽或其片段可用以產生本發明之抗體。用於產生本發明之抗體的多肽可部分地或完全地自天然來源純化或可使用重組DNA技術產生。Wherever possible, antibodies of the invention can be purchased from commercial sources. Antibodies of the present invention can also be produced using well-known methods. Skilled artisans will understand full-length acute myeloid leukemia, breast cancer, cholangiocarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer, gastroesophageal junction cancer, hepatocellular carcinoma, head and cervical squamous cell carcinoma, melanoma, non-Hodgkin's lymphoma, non-small cell lung cancer, ovarian cancer, esophageal cancer, pancreatic cancer, prostate cancer, renal cell cancer, small cell lung cancer, bladder cancer, and intrauterine cancer Membrane cancer marker polypeptides or fragments thereof can be used to generate the antibodies of the present invention. The polypeptides used to generate the antibodies of the invention can be partially or completely purified from natural sources or can be produced using recombinant DNA techniques.

例如,編碼根據本發明之肽,諸如根據SEQ ID NO: 1至SEQ ID NO: 113多肽或其變異體或片段的肽的cDNA可在原核細胞(例如,細菌)或真核細胞(例如,酵母、昆蟲、或哺乳動物細胞)中表現,之後,重組蛋白質可經純化並用於產生單株或多株抗體製劑,其特異性結合至用於產生根據本發明之抗體的急性骨髓性白血病、乳癌、膽管細胞癌、慢性淋巴球性白血病、結腸直腸癌、膽囊癌、神經膠質母細胞瘤、胃癌、胃-食管接合癌、肝細胞癌、頭及頸鱗狀細胞癌、黑素瘤、非霍奇金氏淋巴瘤、非小細胞肺癌、卵巢癌、食管癌、胰腺癌、前列腺癌、腎細胞癌、小細胞肺癌、膀胱癌、及子宮內膜癌標誌多肽。For example, a cDNA encoding a peptide according to the invention, such as a peptide according to a polypeptide of SEQ ID NO: 1 to SEQ ID NO: 113 or a variant or fragment thereof, can be expressed in prokaryotic cells (eg, bacteria) or eukaryotic cells (eg, yeast , insect, or mammalian cells), after which the recombinant protein can be purified and used to generate monoclonal or polyclonal antibody preparations that specifically bind to acute myeloid leukemia, breast cancer, Cholangiocarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer, gastroesophageal junction cancer, hepatocellular carcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodge King's lymphoma, non-small cell lung cancer, ovarian cancer, esophageal cancer, pancreatic cancer, prostate cancer, renal cell carcinoma, small cell lung cancer, bladder cancer, and endometrial cancer marker polypeptides.

熟習此項技術者將實現:兩組或更多組不同的單株或多株抗體之傳代最大化獲得具有對其所欲用途(例如,ELISA、免疫組織化學、體內成像、免疫毒素治療)所需的特異性及親和力之抗體的可能性。根據意欲使用抗體的目的(例如,ELISA、免疫組織化學、免疫治療等等(Greenfield, 2014,其內容係以全文引用方式併入本文),藉由已知方法測試抗體的所要活性。例如,抗體可在ELISA檢定或西方墨點、福馬林固定癌症或凍結組織切片之免疫組織化學染色中測試。在其初始體外表徵之後,根據已知臨床測試方法測試意欲用於治療性或體內診斷用途的抗體。Those skilled in the art will achieve: maximizing the passage of two or more distinct sets of monoclonal or polyclonal antibodies for their intended use (eg, ELISA, immunohistochemistry, in vivo imaging, immunotoxin therapy) Possibility of antibodies with desired specificity and affinity. Antibodies are tested for the desired activity by known methods, depending on the purpose for which they are intended to be used (eg, ELISA, immunohistochemistry, immunotherapy, etc. (Greenfield, 2014, the contents of which are incorporated by reference in their entirety). For example, antibodies Can be tested in ELISA assay or Western blot, immunohistochemical staining of formalin-fixed cancer or frozen tissue sections. Following its initial in vitro characterization, antibodies intended for therapeutic or in vivo diagnostic use are tested according to known clinical test methods .

如本文所使用的術語「單株抗體」係指自抗體之實質上均質群體獲得的抗體,亦即,除可以小量存在的可能天然存在的突變之外,包含該群體之個別抗體係一致的。本文的單株抗體特定地包括「嵌合」抗體,其中重鏈及/或輕鏈之一部分係與來源於特定物種或屬於特定抗體類別或子類的抗體中之相應序列一致或同源,而該等鏈之剩餘部分係與來源於另一物種或屬於另一抗體類別或子類的抗體以及此類抗體之片段中之相應序列一致或同源,只要其展現所要拮抗活性即可(US 4,816,567,其係以全文引用方式併入本文)。The term "monoclonal antibody" as used herein refers to an antibody obtained from a substantially homogeneous population of antibodies, that is, comprising the individual antibodies of the population that are identical except for possible naturally occurring mutations that may be present in small amounts . Monoclonal antibodies herein specifically include "chimeric" antibodies in which a portion of the heavy and/or light chain is identical or homologous to corresponding sequences in antibodies derived from a particular species or belonging to a particular antibody class or subclass, and The remainder of the chains are identical or homologous to corresponding sequences in antibodies derived from another species or belonging to another antibody class or subclass, and fragments of such antibodies, so long as they exhibit the desired antagonistic activity (US 4,816,567 , which is incorporated herein by reference in its entirety).

本發明之單株抗體可使用融合瘤方法製備。在融合瘤方法中,典型地用免疫劑使小鼠或其他適當的寄主動物免疫以引出淋巴細胞,其產生或能夠產生將特異性結合至免疫劑之抗體。替代地,淋巴細胞可體外免疫。Monoclonal antibodies of the present invention can be prepared using the fusion tumor method. In the fusionoma approach, a mouse or other suitable host animal is typically immunized with an immunizing agent to elicit lymphocytes that produce or are capable of producing antibodies that will specifically bind to the immunizing agent. Alternatively, lymphocytes can be immunized in vitro.

單株抗體亦可藉由重組DNA方法製成,該等方法諸如US 4,816,567中描述的彼等方法。本發明之編碼單株抗體的DNA可使用習知程序(例如,藉由使用寡核苷酸探針,其能夠特異性結合至編碼鼠類抗體之重鏈及輕鏈的基因)容易地分離及測序。Monoclonal antibodies can also be made by recombinant DNA methods such as those described in US 4,816,567. The DNA encoding the monoclonal antibody of the present invention can be easily isolated using conventional procedures (eg, by using oligonucleotide probes that are capable of specifically binding to genes encoding the heavy and light chains of murine antibodies) and Sequencing.

體外方法亦適於製備單價抗體。消化抗體以產生其片段、尤其是Fab片段可使用本領域中所知的常規技術來完成。例如,消化可使用木瓜蛋白酶來執行。木瓜蛋白酶消化之實例係描述於WO 94/29348及US 4,342,566中,其內容係以全文引用方式併入本文。抗體之木瓜蛋白酶消化典型地產生兩個一致的抗原結合分段,稱為Fab片段,每一者具有單一抗原結合位點及殘餘Fc片段。胃蛋白酶處理產生F(ab') 2片段及pFc'片段。 In vitro methods are also suitable for preparing monovalent antibodies. Digestion of antibodies to produce fragments thereof, particularly Fab fragments, can be accomplished using conventional techniques known in the art. For example, digestion can be performed using papain. Examples of papain digestion are described in WO 94/29348 and US 4,342,566, the contents of which are incorporated herein by reference in their entirety. Papain digestion of an antibody typically yields two identical antigen-binding fragments, called Fab fragments, each with a single antigen-binding site and residual Fc fragment. Pepsin treatment produces F(ab') 2 fragments and pFc' fragments.

抗體片段無論是否連接至其他序列亦可包括特定區或特異性胺基酸殘基之插入、缺失、取代、或其他經選擇的修飾,前提是片段之活性相較於非修飾抗體或抗體片段並未顯著地改變或受損。該些修飾可提供一些額外的性質,以便移除/添加能夠二硫鍵合的胺基酸,增加其生物壽命,改變其分泌特性等等。在任何情況下,抗體片段必須擁有生物活性性質,諸如結合活性、調節在結合域處的結合等等。抗體之功能區或活性區可藉由蛋白質之特定區的突變誘發來鑑別,繼之以表現並測試所表現的多肽。此類方法對本領域中之熟練行醫者顯而易見,且可包括編碼抗體片段之核酸的位點特異性突變誘發。Antibody fragments, whether or not linked to other sequences, may also include insertions, deletions, substitutions, or other selected modifications of specific regions or specific amino acid residues, provided that the activity of the fragment is not comparable to that of the unmodified antibody or antibody fragment. Not significantly altered or impaired. These modifications may provide some additional properties to remove/add disulfide capable amino acids, increase their biological longevity, alter their secretory properties, and the like. In any event, the antibody fragment must possess biologically active properties, such as binding activity, modulation of binding at the binding domain, and the like. Functional or active regions of antibodies can be identified by mutagenesis of specific regions of the protein, followed by expression and testing of the expressed polypeptide. Such methods will be apparent to those skilled in the art and may include site-specific mutagenesis of nucleic acids encoding antibody fragments.

本發明之抗體可進一步包含人源化抗體或人類抗體。非人類(例如,鼠類)抗體之人源化形式為嵌合免疫球蛋白、免疫球蛋白鏈或其片段(諸如Fv、Fab、Fab'或抗體之其他抗原結合子序列),其含有來源於非人類免疫球蛋白之最小序列。人源化抗體包括人類免疫球蛋白(受體抗體),其中來自受體之互補決定區(complementary determining region; CDR)之殘基由來自非人類物種(供體抗體)之CDR的具有所要特異性、親和力及能力之殘基置換,該等非人類物種諸如小鼠、大鼠或兔。在一些情況下,人類免疫球蛋白之Fv框架(framework; FR)殘基係藉由相應非人類殘基置換。人源化抗體亦可包含既不在受體抗體又不在引入的CDR或框架序列中發現的殘基。大體而言,人源化抗體將包含至少一個及典型地兩個可變域的實質上全部,其中CDR區之全部或實質上全部相應於非人類免疫球蛋白之彼等CDR區,且FR區之全部或實質上全部為人類免疫球蛋白共通序列之彼等FR區。人源化抗體最佳地亦將包含免疫球蛋白恆定區(Fc)之至少一部分,其典型地為人類免疫球蛋白之彼者。The antibodies of the present invention may further comprise humanized antibodies or human antibodies. Humanized forms of non-human (eg, murine) antibodies are chimeric immunoglobulins, immunoglobulin chains or fragments thereof (such as Fv, Fab, Fab' or other antigen-binding subsequences of antibodies) that contain Minimal sequence of non-human immunoglobulins. Humanized antibodies include human immunoglobulins (acceptor antibodies) in which residues from a complementary determining region (CDR) of the acceptor are determined by CDRs from a non-human species (donor antibody) with the desired specificity , affinity, and ability to replace residues in non-human species such as mouse, rat or rabbit. In some instances, Fv framework (FR) residues of the human immunoglobulin are replaced by corresponding non-human residues. Humanized antibodies may also contain residues found neither in the recipient antibody nor in the introduced CDR or framework sequences. In general, a humanized antibody will comprise substantially all of at least one and typically both variable domains, wherein all or substantially all of the CDR regions correspond to those CDR regions of a non-human immunoglobulin, and the FR regions All or substantially all of them are those FR regions of human immunoglobulin consensus sequences. A humanized antibody will also optimally comprise at least a portion of an immunoglobulin constant region (Fc), which is typically that of a human immunoglobulin.

用於人源化非人類抗體之方法在本領域中為熟知的。通常,人源化抗體具有一或多個自非人類來源引入其中的胺基酸殘基。該些非人類胺基酸殘基常常稱為「引入」殘基,其典型地獲自「引入」可變域。人源化可基本上藉由將齧齒動物CDR或CDR序列取代人類抗體之相應序列來執行。因此,此類「人源化」抗體為嵌合抗體(US 4,816,567,其內容係以全文引用方式併入本文),其中實質上小於完整的人類可變域已藉由來自非人類物種的相應序列取代。實際上,人源化抗體係典型地為人類抗體,其中一些CDR殘基及可能地一些FR殘基藉由來自齧齒動物抗體中的類似位點的殘基取代。Methods for humanizing non-human antibodies are well known in the art. Typically, a humanized antibody has one or more amino acid residues introduced into it from a non-human source. These non-human amino acid residues are often referred to as "introduced" residues, which are typically obtained from an "introduced" variable domain. Humanization can be performed essentially by substituting rodent CDRs or CDR sequences for the corresponding sequences of a human antibody. Thus, such "humanized" antibodies are chimeric antibodies (US 4,816,567, the contents of which are incorporated herein by reference in their entirety) in which substantially less than complete human variable domains have been identified by corresponding sequences from non-human species replace. In practice, humanized antibodies are typically human antibodies in which some CDR residues and possibly some FR residues are replaced by residues from analogous sites in rodent antibodies.

可使用基因轉殖動物(例如,小鼠),其在免疫之後能夠在不存在內生性免疫球蛋白產生的情況下產生人類抗體之完全免疫圖譜。例如,已描述:嵌合及生殖系突變小鼠中之抗體重鏈聯接區之同型組合缺失導致內生性抗體產生之完全抑制。將人類生殖系免疫球蛋白基因陣列轉移至此生殖系突變小鼠中將導致在抗原攻毒後產生人類抗體。人類抗體亦可在噬菌體顯露庫中產生。Genetically transgenic animals (eg, mice) can be used which, after immunization, are capable of producing a complete immune profile of human antibodies in the absence of endogenous immunoglobulin production. For example, it has been described that isotype combined deletion of antibody heavy chain linking regions in chimeric and germline mutant mice results in complete inhibition of endogenous antibody production. Transfer of human germline immunoglobulin gene arrays into this germline mutant mouse will result in the production of human antibodies following antigen challenge. Human antibodies can also be produced in phage-displayed libraries.

在一態樣中,本揭示內容之抗體亦可經由噬菌體顯露、或核糖體顯露、或酵母顯露、或細菌顯露、或桿狀病毒顯露、或哺乳動物細胞顯露、或mRNA顯露來獲得。該些方法全部為本領域中之習知技術,其具體操作可參見相應教科書或操作手冊(Mondon等人, 2008;其內容係以全文引用方式併入本文)。使用例如噬菌體顯露,單獨的抗體基因可被插入噬菌體之DNA中,以便抗體分子上可結合抗原之可變區可偶合至噬菌體之殼蛋白。在噬菌體感染大腸桿菌之後,可在大腸桿菌中複製單鏈DNA,且噬菌體可重裝配並分泌至培養基中,而大腸桿菌可不被溶解。噬菌體可利用標靶抗原共同孵育;且在將結合噬菌體分離之後,可隨後進行擴增及純化以便可篩選大量純系。噬菌體顯露技術可鑒於文獻中(Liu等人, 2004,及US20100021477;其內容係以全文引用方式併入本文)。In one aspect, antibodies of the present disclosure may also be obtained via phage exposure, or ribosome exposure, or yeast exposure, or bacterial exposure, or baculovirus exposure, or mammalian cell exposure, or mRNA exposure. These methods are all known techniques in the art, and the specific operations can be found in corresponding textbooks or operation manuals (Mondon et al., 2008; the content of which is incorporated herein by reference in its entirety). Using, for example, phage display, individual antibody genes can be inserted into the phage's DNA so that the antigen-binding variable regions of the antibody molecule can be coupled to the phage coat protein. After phage infection of E. coli, single-stranded DNA can be replicated in E. coli, and the phage can be reassembled and secreted into the medium without E. coli being lysed. Phage can be co-incubated with the target antigen; and after isolation of binding phage, amplification and purification can then be performed so that large numbers of clones can be screened. Phage exposure techniques are available in the literature (Liu et al., 2004, and US20100021477; the contents of which are incorporated herein by reference in their entirety).

在另一態樣中,本揭示內容可包括用於使用噬菌體顯露方法產生單株抗體之方法。具體而言,mRNA可自藉由用於使動物免疫的方法免疫的動物製備,該等動物例如兔、大鼠、小鼠、天竺鼠、倉鼠、山羊、馬、雞、綿羊、及駱駝(例如,駱馬),在使動物免疫之後,可使用mRNA作為模板來製備cDNA以便可製備僅編碼抗體可變區之單鏈抗體(scFv)基因。基因可選殖至噬菌粒載體。將噬菌粒載體轉導於其中的大腸桿菌用噬菌體感染,以便在噬菌體殼上表現scFV抗體。針對抗原蛋白質或針對肽-MHC複合物篩選以此方式表現的scFv可製備對抗原蛋白質或肽-MHC複合物為特異性的單株scFV抗體。在本文中,mRNA之製備、cDNA之製備、次選殖至噬菌粒或轉導至大腸桿菌、噬菌體感染、及篩選對抗原蛋白質或肽-MHC複合物為特異性的單株scFV抗體各自可藉由已知方法執行。例如,將scFV基因次選殖至含有由編碼前導序列(訊號序列)之基因片段及噬菌體殼蛋白III組成的兩個元件及M13之複製起點的噬菌粒載體及使用M13噬菌體作為噬菌體可在M13噬菌體上表現scFV抗體。另外,藉由篩選獲得的噬菌體可感染至特定細菌且經培養,以便亦可自培養物大數量地收集對抗原蛋白質為特異性的單株抗體。根據用於產生本揭示內容之單株抗體的方法,不僅可製備scFV抗體而且可製備不具有恆定區之抗體片段,諸如Fab抗體片段。In another aspect, the present disclosure can include methods for producing monoclonal antibodies using phage display methods. Specifically, mRNA can be prepared from animals immunized by the methods used to immunize animals, such as rabbits, rats, mice, guinea pigs, hamsters, goats, horses, chickens, sheep, and camels (eg, llama), after immunizing the animal, mRNA can be used as a template to prepare cDNA so that single-chain antibody (scFv) genes encoding only antibody variable regions can be prepared. The gene can be cloned into a phagemid vector. E. coli into which the phagemid vector was transduced was infected with phage to express the scFV antibody on the phage capsid. Screening of scFvs expressed in this manner against antigenic proteins or against peptide-MHC complexes can generate monoclonal scFV antibodies specific for the antigenic proteins or peptide-MHC complexes. In this context, mRNA preparation, cDNA preparation, sub-colonization into phagemid or transduction into E. coli, phage infection, and screening for monoclonal scFV antibodies specific for antigenic protein or peptide-MHC complexes can each be performed by known methods. For example, sub-cloning of the scFV gene into a phagemid vector containing two elements consisting of a gene fragment encoding a leader sequence (signal sequence) and phage coat protein III and an origin of replication for M13 and using M13 phage as phage can be used in M13 scFV antibodies are expressed on phage. In addition, phages obtained by screening can be infected with specific bacteria and cultured so that monoclonal antibodies specific to antigenic proteins can also be collected in large quantities from the culture. According to the methods used to generate the monoclonal antibodies of the present disclosure, not only scFV antibodies but also antibody fragments without constant regions, such as Fab antibody fragments, can be prepared.

在另一態樣中,本揭示內容可包括噬菌體顯露庫,其中抗體之重鏈及輕鏈可變區可經合成以使得其包括幾乎所有的可能特異性。In another aspect, the present disclosure can include phage-displayed repertoires in which the heavy and light chain variable regions of antibodies can be synthesized such that they include nearly all possible specificities.

在另一態樣中,本揭示內容可包括含有除M13之外的噬菌體之噬菌體顯露庫的傳代。諸如λ噬菌體之其他噬菌體亦可用於本揭示內容之方法中。已產生λ噬菌體顯露庫,其顯露藉由在其表面上之異源DNA編碼的肽(Sternberg等人,1995;其內容係以全文引用方式併入本文)。此外,本揭示內容之方法可延伸以包括不同於噬菌體之病毒,諸如真核病毒。可產生真核病毒,其編碼適於遞送至哺乳動物之基因且編碼並顯露能夠靶向特定細胞類型或組織之抗體,基因將遞送至該特定細胞類型或組織。例如,已產生反轉錄病毒載體,其顯露功能抗體片段(Russell等人, 1993;其內容係以全文引用方式併入本文)。In another aspect, the present disclosure can include passage of phage-revealed pools containing phage other than M13. Other phages such as lambda phage can also be used in the methods of the present disclosure. A library of lambda phage exposures has been generated that exposes peptides encoded by heterologous DNA on their surface (Sternberg et al., 1995; the contents of which are incorporated herein by reference in their entirety). Furthermore, the methods of the present disclosure can be extended to include viruses other than bacteriophage, such as eukaryotic viruses. Eukaryotic viruses can be produced which encode genes suitable for delivery to mammals and which encode and display antibodies capable of targeting a specific cell type or tissue to which the gene is to be delivered. For example, retroviral vectors have been generated that reveal functional antibody fragments (Russell et al., 1993; the contents of which are incorporated herein by reference in their entirety).

在另一態樣中,本揭示內容提供用於產生特異性結合至與HLA限制抗原(較佳地由或主要由根據SEQ ID NO: 1至SEQ ID NO: 113之胺基酸序列組成的肽)複合的MHCI類或II分子之重組抗體的方法,該方法可包括:利用與該HLA限制抗原複合的可溶形式之MHCI類或II類分子使包含表現該MHCI類或II類分子之細胞的經基因工程改造的非人類哺乳動物免疫;自該非人類哺乳動物之抗體產生細胞分離mRNA分子;產生顯露藉由該等mRNA分子編碼的蛋白質分子之噬菌體顯露庫;及自該噬菌體顯露庫分離至少一個噬菌體,該至少一個噬菌體顯露特異性結合至與該HLA限制抗原複合的該MHCI類或II類之該抗體。In another aspect, the present disclosure provides methods for generating peptides that specifically bind to HLA-restricted antigens (preferably consisting or consisting essentially of the amino acid sequences according to SEQ ID NO: 1 to SEQ ID NO: 113) ) A method for a recombinant antibody to a complexed MHC class I or II molecule, the method may comprise: using a soluble form of the MHC class I or class II molecule complexed with the HLA-restricted antigen to elicit cells comprising cells expressing the MHC class I or class II molecule immunizing a genetically engineered non-human mammal; isolating mRNA molecules from antibody-producing cells of the non-human mammal; producing a phage-revealed library that exposes protein molecules encoded by the mRNA molecules; and isolating at least one phage-revealed library from the phage-revealed library A bacteriophage, the at least one bacteriophage exhibiting specific binding to the antibody of the MHC class CI or class II complexed with the HLA-restricted antigen.

本發明之抗體較佳地係於醫藥學上可接受的載劑中投予至受試者。典型地,適當量的醫藥學上可接受的鹽係用於製劑中以賦予該製劑等張性。醫藥學上可接受的載劑之實例包括鹽水、Ringer氏溶液及葡萄糖溶液。溶液之pH較佳地為約5至約8,及更佳地約7至約7.5。其他載體包括持續釋放製劑,諸如含有抗體的實體疏水性聚合物之半滲透基質,該基質係呈成形物件形式,例如,膜、脂質體或微粒。熟習此項技術者將明白某些載體可更佳地取決於例如所投予抗體的投予途徑及濃度。The antibodies of the present invention are preferably administered to a subject in a pharmaceutically acceptable carrier. Typically, an appropriate amount of a pharmaceutically acceptable salt is used in the formulation to impart isotonicity to the formulation. Examples of pharmaceutically acceptable carriers include saline, Ringer's solution and dextrose solution. The pH of the solution is preferably from about 5 to about 8, and more preferably from about 7 to about 7.5. Other carriers include sustained release formulations such as semipermeable matrices of solid hydrophobic polymers containing the antibody in the form of shaped objects, eg, membranes, liposomes, or microparticles. Those skilled in the art will appreciate that certain carriers may be better depending on, for example, the route of administration and concentration of the antibody being administered.

可藉由注射(例如,靜脈內、腹膜內、皮下、肌肉內)或藉由諸如輸注之其他方法將抗體投予至受試者、患者、或細胞,該等其他方法確保抗體以有效形式遞送至血流。抗體亦可藉由腫瘤內或腫瘤周圍途徑投予,以發揮局部以及全身性治療效果。局部或靜脈內注射係較佳的。Antibodies can be administered to a subject, patient, or cell by injection (e.g., intravenous, intraperitoneal, subcutaneous, intramuscular) or by other methods such as infusion that ensure delivery of the antibody in an effective form to blood flow. Antibodies can also be administered by intratumoral or peritumoral routes for local as well as systemic therapeutic effects. Topical or intravenous injections are preferred.

用於投予抗體之有效劑量及時程可憑經驗決定,且做出此類決定係在次項技術中的技藝水準內。熟習此項技術者將理解必須投予的抗體之劑量將取決於例如將接受抗體之受試者、投予途徑、所使用抗體之特定類型及所投予的其他藥物而變化。單獨使用的抗體之典型日劑量可取決於如上文所述的因素在每日1 µg/kg體重至多至100 mg/kg體重或更大的範圍。在投予抗體之後,較佳地用於治療急性骨髓性白血病、乳癌、膽管細胞癌、慢性淋巴球性白血病、結腸直腸癌、膽囊癌、神經膠質母細胞瘤、胃癌、胃-食管接合癌、肝細胞癌、頭及頸鱗狀細胞癌、黑素瘤、非霍奇金氏淋巴瘤、非小細胞肺癌、卵巢癌、食管癌、胰腺癌、前列腺癌、腎細胞癌、小細胞肺癌、膀胱癌、及子宮內膜癌之後,治療抗體之效力可以熟練行醫者所熟知的各種方式來評定。例如,接受治療的受試者中癌症之大小、數量、及/或分佈可使用標準腫瘤成像技術來監視。相較於將在不存在抗體投予時發生的疾病過程,阻止腫瘤生長、導致腫瘤收縮、及/或防止新腫瘤發育的經治療投予的抗體係用於治療癌症之有效抗體。Effective doses and schedules for administration of the antibody can be determined empirically, and making such determinations is within the skill of the art. Those skilled in the art will understand that the dose of antibody that must be administered will vary depending on, for example, the subject to which the antibody will be administered, the route of administration, the particular type of antibody used, and other drugs being administered. Typical daily doses of antibodies used alone may range from 1 μg/kg body weight per day up to 100 mg/kg body weight or more, depending on factors such as those described above. After administration of the antibody, it is preferably used for the treatment of acute myeloid leukemia, breast cancer, cholangiocarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer, gastroesophageal junction cancer, Hepatocellular carcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodgkin's lymphoma, non-small cell lung cancer, ovarian cancer, esophageal cancer, pancreatic cancer, prostate cancer, renal cell cancer, small cell lung cancer, bladder cancer After cancer, and endometrial cancer, the efficacy of therapeutic antibodies can be assessed in a variety of ways well known to the skilled practitioner. For example, the size, number, and/or distribution of cancer in a subject receiving treatment can be monitored using standard tumor imaging techniques. A therapeutically administered antibody system that prevents tumor growth, causes tumor shrinkage, and/or prevents the development of new tumors is an effective antibody for the treatment of cancer compared to the disease process that would occur in the absence of antibody administration.

本發明之另一態樣係提供用於產生識別特異性肽-MHC複合物之可溶T細胞受體的方法。此類可溶T細胞受體可自特異性T細胞純系產生,且其親和力可藉由靶向互補決定區之突變誘發來增加。為達T細胞受體選擇之目的,可使用噬菌體顯露(US 2010/0113300,Liddy等人, 2012,其內容係以全文引用方式併入本文)。為達在噬菌體顯露期間及在作為藥物的實際使用情況下T細胞受體之穩定,可例如藉由非初始二硫鍵、其他共價鍵(單鏈T細胞受體)、或藉由二聚域來連接α鏈及β鏈(Boulter等人, 2003;Card等人, 2004;Willcox等人, 1999,其內容以全文引用方式併入本文)。T細胞受體可連接至毒素、藥物、細胞介素(參見例如US 2013/0115191,其內容係以全文引用方式併入本文)、及招募效應細胞的諸如抗CD3域等等的域,以便對靶細胞執行特定功能。此外,其係在用於授受性轉移的T細胞中表現。其他資訊可見於WO 2004/033685A1及WO 2004/074322A1。可溶TCR之組合係描述於WO 2012/056407A1中。用於產生之其他方法係揭示於WO 2013/057586A1中,其內容係以全文引用方式併入本文。Another aspect of the present invention provides methods for generating soluble T cell receptors that recognize specific peptide-MHC complexes. Such soluble T cell receptors can be generated from specific T cell clones, and their affinity can be increased by targeted mutagenesis of the complementarity determining region. For the purpose of T cell receptor selection, phage exposure can be used (US 2010/0113300, Liddy et al., 2012, the contents of which are incorporated herein by reference in their entirety). Stabilization of T cell receptors during phage exposure and in practical use as drugs can be achieved, for example, by non-initial disulfide bonds, other covalent bonds (single-chain T cell receptors), or by dimerization domain to link the alpha and beta chains (Boulter et al., 2003; Card et al., 2004; Willcox et al., 1999, the contents of which are hereby incorporated by reference in their entirety). T-cell receptors can be linked to toxins, drugs, cytokines (see, eg, US 2013/0115191, the contents of which are incorporated herein by reference in their entirety), and domains such as anti-CD3 domains that recruit effector cells, in order to respond to Target cells perform specific functions. Furthermore, it is expressed in T cells used for donor-receptor transfer. Further information can be found in WO 2004/033685A1 and WO 2004/074322A1. Combinations of soluble TCRs are described in WO 2012/056407A1. Additional methods for production are disclosed in WO 2013/057586A1, the contents of which are incorporated herein by reference in their entirety.

另外,本發明之肽及/或TCR或抗體或其他結合分子可用於基於生檢樣品來驗證病理學家對癌症之診斷。Additionally, the peptides and/or TCRs or antibodies or other binding molecules of the invention can be used to validate a pathologist's diagnosis of cancer based on a biopsy sample.

抗體或TCR亦可用於體內診斷檢定。通常,用放射性核苷酸(諸如 111In、 99Tc、 14C、 131I、 3H、 32P、及 35S)標記抗體以便腫瘤可使用免疫閃爍攝影來定位。在一個實施例中,抗體或其片段結合至選自由上文所述蛋白質組成之群組的蛋白質之兩個或更多個標靶之細胞外域,且結合親和力(K d)為<100 nM、更佳地<50 nM、更佳地<10 nM、更佳地<1 nM、更佳地<0.1 nM、更佳地<0.01 nM。 Antibodies or TCRs can also be used in in vivo diagnostic assays. Typically, antibodies are labeled with radionucleotides such as111In , 99Tc , 14C , 131I , 3H , 32P , and35S so that tumors can be localized using immunoscintigraphy. In one embodiment, the antibody or fragment thereof binds to the extracellular domain of two or more targets of a protein selected from the group consisting of the proteins described above with a binding affinity (Kd) of &lt; 100 nM, More preferably <50 nM, more preferably <10 nM, more preferably <1 nM, more preferably <0.1 nM, more preferably <0.01 nM.

用於診斷用途的抗體可用適於藉由各種成像方法偵測的探針來標記。用於偵測探針之方法包括但不限於螢光、光、共焦及電子顯微術;磁共振成像及光譜學;螢光鏡檢查、電腦斷層攝影術及正電子發射斷層攝影術。適合的探針包括但不限於螢光素、玫瑰紅、曙紅及其他螢光團、放射性同位素、金、釓及其他鑭系元素、順磁鐵、氟-18及其他發射正電子之放射性核種。另外,探針可雙官能或多官能的且可藉由所列方法中的超過一種方法偵測。該些抗體可用該等探針直接或間接標記。探針與抗體之連接包括探針之共價連接,探針於抗體中之併入,及用於結合探針的螯合化合物之共價連接,以及本領域中充分確認的其他連接。對於免疫組織化學,疾病組織樣品可為新鮮的或凍結的或可嵌入石蠟中且用諸如福馬林之防腐劑固定。固定或嵌入的切片含有與經標記的初級抗體及二級抗體接觸的樣品,其中抗體係用於原位偵測蛋白質之表現。Antibodies for diagnostic use can be labeled with probes suitable for detection by various imaging methods. Methods for detecting probes include, but are not limited to, fluorescence, light, confocal and electron microscopy; magnetic resonance imaging and spectroscopy; fluorescence microscopy, computed tomography, and positron emission tomography. Suitable probes include, but are not limited to, luciferin, rose bengal, eosin and other fluorophores, radioisotopes, gold, gadolinium and other lanthanides, paramagnets, fluorine-18 and other positron emitting radionuclides. Additionally, probes can be bifunctional or polyfunctional and can be detected by more than one of the methods listed. The antibodies can be labeled directly or indirectly with the probes. Attachment of probes to antibodies includes covalent attachment of probes, incorporation of probes into antibodies, and covalent attachment of chelating compounds used to bind probes, as well as others well established in the art. For immunohistochemistry, disease tissue samples can be fresh or frozen or can be embedded in paraffin and fixed with a preservative such as formalin. Fixed or embedded sections contain the sample in contact with labeled primary and secondary antibodies, where the antibodies are used to detect protein expression in situ.

本發明之另一態樣包括用於產生活化T淋巴細胞之體外方法,該方法包含將T細胞與適合抗原呈現細胞之表面上表現的載入肽的人類MHC分子體外接觸達足以以抗原特異性方式活化該T細胞的一段時間,其中該抗原為根據本發明之肽。較佳地,足夠量的抗原係與抗原呈現細胞一起使用。Another aspect of the invention includes an in vitro method for generating activated T lymphocytes, the method comprising contacting T cells in vitro with a peptide-loaded human MHC molecule suitable for expression on the surface of an antigen presenting cell for a sufficient amount of antigen specificity A period of time that activates the T cells in a manner wherein the antigen is a peptide according to the invention. Preferably, a sufficient amount of antigenic line is used with antigen presenting cells.

較佳地,哺乳動物細胞缺乏或具有減少位準或功能之TAP肽運輸蛋白。缺乏TAP肽運輸蛋白之適合細胞包括T2、RMA-S及果蠅細胞。TAP為與抗原加工相關聯的運輸蛋白。Preferably, the mammalian cell lacks or has a reduced level or function of the TAP peptide transport protein. Suitable cells lacking the TAP peptide transporter include T2, RMA-S and Drosophila cells. TAP is a transport protein associated with antigen processing.

載有缺陷性細胞系T2之人類肽可以目錄號CRL 1992購自12301 Parklawn Drive, Rockville, Maryland 20852, USA之美國典型培養物保藏中心;果蠅細胞系Schneider系2可以目錄號CRL 19863購自ATCC;小鼠RMA-S細胞系係描述於Ljunggren等人(Ljunggren及Karre, 1985,其內容係以全文引用方式併入本文)中。Human peptides carrying the defective cell line T2 are available from the American Type Culture Collection, 12301 Parklawn Drive, Rockville, Maryland 20852, USA under Catalog No. CRL 1992; Drosophila cell line Schneider Line 2 is available from ATCC under Catalog No. CRL 19863 The mouse RMA-S cell line is described in Ljunggren et al. (Ljunggren and Karre, 1985, the contents of which are incorporated herein by reference in their entirety).

較佳地,在轉染之前,寄主細胞實質上不表現MHC I類分子。亦較佳的是,刺激物細胞表現對提供用於T細胞之共刺激訊號為重要的分子,諸如B7.1、B7.2、ICAM-1及LFA3。眾多MHC I類分子及共刺激物分子之核酸序列可公告地自GenBank及EMBL資料庫獲得。Preferably, the host cells are substantially free of MHC class I molecules prior to transfection. It is also preferred that the stimulator cells express molecules such as B7.1, B7.2, ICAM-1 and LFA3 that are important for providing co-stimulatory signals for T cells. Nucleic acid sequences for numerous MHC class I molecules and co-stimulatory molecules are publicly available from GenBank and EMBL databases.

在MHC I類抗原決定基用作抗原的情況下,T細胞為CD8陽性T細胞。In the case where MHC class I epitopes are used as antigens, the T cells are CD8 positive T cells.

若抗原呈現細胞經轉染以表現此抗原決定基,則較佳地細胞包含能夠表現含有SEQ ID NO: 1至SEQ ID NO: 113或其變異體胺基酸序列之肽的表現載體。If an antigen-presenting cell is transfected to express this epitope, preferably the cell comprises an expression vector capable of expressing a peptide comprising the amino acid sequence of SEQ ID NO: 1 to SEQ ID NO: 113 or a variant thereof.

大量其他方法可用於體外產生T細胞。例如,自體腫瘤浸潤的淋巴細胞可用於CTL之傳代。Plebanski等人(Plebanski等人, 1995)在T細胞之製備中利用自體周邊血液淋巴細胞(peripheral blood lymphocyte; PLB)。此外,藉由用肽或多肽脈衝樹突細胞或經由用重組病毒感染來產生自體T細胞係可能的。此外,B細胞可用於產生自體T細胞。另外,用肽或多肽脈衝或用重組病毒感染的巨噬細胞可用於製備自體T細胞。S. Walter等人(Walter等人, 2003,其內容係以全文引用方式併入本文)描述藉由使用人工抗原呈現細胞(artificial antigen presenting cell; aAPC)來體外致敏細胞,其亦為針對所選肽產生T細胞之適合方式。在本發明中,aAPC係藉由經由生物素:鏈親和素生物化學將預形成的MHC-肽複合物偶合至聚苯乙烯粒子(微珠)之表面來產生。此系統允許準確控制aAPC上之MHC密度,其允許自血液樣品以高效率選擇性地引出高或低更結合力抗原特異性T細胞反應。除MHC-肽複合物外,aAPC應載有具有共刺激活性之其他蛋白質,如偶合至其表面之抗CD28抗體。此外,此類基於aAPC之系統常常需要添加適當的可溶性因子,例如細胞介素,如介白素-12。Numerous other methods are available for generating T cells in vitro. For example, autologous tumor-infiltrating lymphocytes can be used for CTL passaging. Plebanski et al. (Plebanski et al., 1995) utilized autologous peripheral blood lymphocytes (PLB) in the preparation of T cells. Furthermore, it is possible to generate autologous T cell lines by pulsing dendritic cells with peptides or polypeptides or by infection with recombinant viruses. In addition, B cells can be used to generate autologous T cells. Additionally, macrophages pulsed with peptides or polypeptides or infected with recombinant viruses can be used to generate autologous T cells. S. Walter et al. (Walter et al., 2003, the contents of which are hereby incorporated by reference in their entirety) describe the in vitro sensitization of cells by the use of artificial antigen presenting cells (aAPCs), which are also directed against all Appropriate ways to select peptides to generate T cells. In the present invention, aAPCs are generated by coupling preformed MHC-peptide complexes to the surface of polystyrene particles (microbeads) via biotin:streptavidin biochemistry. This system allows accurate control of MHC density on aAPCs, which allows selective elicitation of high or low binding antigen-specific T cell responses from blood samples with high efficiency. In addition to the MHC-peptide complex, the aAPC should be loaded with other proteins with costimulatory activity, such as an anti-CD28 antibody coupled to its surface. In addition, such aAPC-based systems often require the addition of appropriate soluble factors such as interleukins, such as interleukin-12.

同種異體細胞亦可用於製備T細胞且方法在以全文引用方式併入本文的WO 97/26328中詳細描述。例如,除果蠅細胞及T2細胞之外,其他細胞可用以呈現抗原,該等細胞諸如CHO細胞、桿狀病毒感染的昆蟲細胞、細菌、酵母、及痘瘡感染的靶細胞。另外,可使用植物病毒,參見例如Porta等人(Porta等人, 1994,其內容係以全文引用方式併入本文),其描述將豇豆嵌紋病毒開發作為用於呈現外來肽的高產率系統。Allogeneic cells can also be used to generate T cells and the methods are described in detail in WO 97/26328, which is incorporated herein by reference in its entirety. For example, in addition to Drosophila cells and T2 cells, other cells such as CHO cells, baculovirus-infected insect cells, bacteria, yeast, and pox-infected target cells can be used to present antigens. Additionally, plant viruses can be used, see eg Porta et al. (Porta et al., 1994, the contents of which are incorporated herein by reference in their entirety), which describe the development of cowpea mosaic virus as a high yield system for the presentation of foreign peptides.

針對本發明之肽的活化T細胞適用於治療。因此,本發明之另一態樣提供可藉由本發明之前述方法獲得的活化T細胞。Activated T cells directed against the peptides of the present invention are suitable for therapy. Accordingly, another aspect of the present invention provides activated T cells obtainable by the aforementioned method of the present invention.

藉由上文方法產生的活化T細胞將選擇性地識別異常地表現多肽之細胞,該多肽包含SEQ ID NO: 1至SEQ ID NO: 113之胺基酸序列。Activated T cells generated by the above method will selectively recognize cells aberrantly expressing a polypeptide comprising the amino acid sequence of SEQ ID NO: 1 to SEQ ID NO: 113.

較佳地,T細胞藉由經由其TCR與HLA-肽複合物之相互作用(例如,結合)來識別細胞。T細胞適用於殺傷患者中之靶細胞的方法,該患者之靶細胞異常地表現包含本發明之胺基酸序列的多肽,其中投予該患者有效量的活化T細胞。投予至患者的T細胞可來源於患者且如上文描述來活化(亦即,其為自體T細胞)。替代地,T細胞不是來自患者而是來自另一個體。當然,若個體為健康個體,則係較佳的。就「健康個體」而言,發明人意指個體通常為健康良好的,較佳地具有健全的免疫系統且更佳地未罹患任何可容易測試及偵測的疾病。Preferably, T cells recognize cells by interacting (eg, binding) with the HLA-peptide complex via their TCR. T cells are useful in a method of killing target cells in a patient that abnormally expresses a polypeptide comprising an amino acid sequence of the invention, wherein an effective amount of activated T cells is administered to the patient. T cells administered to a patient can be derived from the patient and activated as described above (ie, they are autologous T cells). Alternatively, the T cells are not from the patient but from another individual. Of course, it is preferred if the individual is a healthy individual. By "healthy individual" the inventors mean that the individual is generally in good health, preferably has a healthy immune system and more preferably is free of any disease that can be easily tested and detected.

在體內,用於根據本發明之CD8陽性T細胞的靶細胞可為腫瘤之細胞(其有時表現MHC II類)及/或腫瘤圍繞的基質細胞(其有時亦表現MHC II類)(Dengjel等人, 2006)。In vivo, target cells for CD8-positive T cells according to the present invention may be cells of a tumor (which sometimes express MHC class II) and/or tumor-surrounding stromal cells (which sometimes also express MHC class II) (Dengjel et al., 2006).

本發明之T細胞可用作治療組合物之活性成分。因此,本發明亦提供殺傷患者中之靶細胞的方法,該患者之靶細胞異常地表現包含本發明之胺基酸序列的多肽,該方法包含向該患者投予有效量的如上文定義的T細胞。The T cells of the present invention can be used as active ingredients in therapeutic compositions. Accordingly, the present invention also provides a method of killing target cells in a patient, the target cells of which abnormally express a polypeptide comprising an amino acid sequence of the present invention, the method comprising administering to the patient an effective amount of T as defined above cell.

就「異常地表現」而言,發明人亦意指多肽相較於正常組織中的表現位準過度表現,或基因在腫瘤所來源的組織中為緘默的但在腫瘤中得以表現。就「過度表現」而言,發明人意指多肽以在正常組織中存在的位準的至少1.2倍;較佳地至少2倍、及更佳地在正常組織中存在的位準的至少5倍或10倍之位準存在。By "abnormally expressed", the inventors also mean that the polypeptide is overexpressed compared to the level of expression in normal tissue, or that the gene is silent in the tissue from which the tumor is derived but is expressed in the tumor. By "overrepresented", the inventors mean that the polypeptide is at least 1.2-fold; preferably at least 2-fold, and more preferably at least 5-fold the level found in normal tissue or 10 times the level exists.

T細胞可藉由本領域中所知的方法,例如上文描述的彼等方法獲得。T cells can be obtained by methods known in the art, such as those described above.

用於T細胞之此所謂授受性轉移的協定在本領域中為熟知的。可找到若干概述(Gattinoni等人, 2006;Morgan等人, 2006,其內容係以全文引用方式併入本文)。Protocols for this so-called give-and-take transfer of T cells are well known in the art. Several summaries can be found (Gattinoni et al., 2006; Morgan et al., 2006, the contents of which are hereby incorporated by reference in their entirety).

本發明之另一態樣包括與MHC複合的肽用以產生T細胞受體之用途,該T細胞受體之核酸經選殖且引入寄主細胞、較佳地T細胞中。此工程改造的T細胞可隨後轉移至患者用於癌症之治療。Another aspect of the invention includes the use of peptides complexed with MHC to generate T cell receptors whose nucleic acids are cloned and introduced into host cells, preferably T cells. The engineered T cells can then be transferred to patients for cancer treatment.

本發明之任何分子,亦即,肽、核酸、抗體、表現載體、細胞、活化T細胞、T細胞受體或編碼其之核酸係適用於治療特徵為逃避免疫反應之細胞的病症。因此,本發明之任何分子可用作藥劑或用於製造藥劑。分子可自身使用或與本發明之其他分子或(a)已知分子組合。Any molecule of the invention, ie, peptide, nucleic acid, antibody, expression vector, cell, activated T cell, T cell receptor, or nucleic acid encoding the same, is useful in the treatment of disorders characterized by cells that evade immune responses. Accordingly, any molecule of the present invention can be used as a medicament or for the manufacture of a medicament. Molecules can be used by themselves or in combination with other molecules of the invention or (a) known molecules.

本發明之套組較佳地包含本發明之於適合容器中的凍乾製劑及用於其重構及/或使用之指令。適合的容器包括例如瓶、小瓶(例如雙腔室小瓶)、注射器(諸如雙腔室注射器)及試管。容器可由諸如玻璃或塑膠之各種材料形成。較佳地,套組及/或容器含有關於或相關聯於容器的指示用於重構及/或使用之指導的說明書。例如,標籤可指示凍乾製劑將重構至如上文描述的肽濃度。標籤可進一步指示製劑係適用於或意欲用於皮下投予。The kit of the present invention preferably comprises a lyophilized formulation of the present invention in a suitable container and instructions for its reconstitution and/or use. Suitable containers include, for example, bottles, vials (eg, dual-chamber vials), syringes (such as dual-chamber syringes), and test tubes. The container can be formed from various materials such as glass or plastic. Preferably, the kit and/or container contains instructions on or associated with the container indicating instructions for reconstitution and/or use. For example, the label may indicate that the lyophilized formulation will be reconstituted to the peptide concentration as described above. The label may further indicate that the formulation is suitable or intended for subcutaneous administration.

保持有製劑的容器可為多次使用小瓶,允許重構製劑之重複投予(例如,2-6次投予)。套組可進一步包含第二容器,其包含適合的稀釋劑(例如,碳酸氫鈉溶液)。The container holding the formulation can be a multiple-use vial, allowing repeated administrations (eg, 2-6 administrations) of the reconstituted formulation. The kit may further comprise a second container comprising a suitable diluent (eg, sodium bicarbonate solution).

在稀釋劑及凍乾製劑之混合之後,重構製劑中的最終肽濃度較佳地為至少0.15 mg/mL/肽(= 75 µg)及較佳地不超過3 mg/mL/肽(= 1500 µg)。套組可進一步包括自商業及使用者立場而言為合需的其他材料,包括其他緩衝液、稀釋劑、過濾器、針、注射器及帶有使用說明書之包裝插頁。After mixing of the diluent and lyophilized formulation, the final peptide concentration in the reconstituted formulation is preferably at least 0.15 mg/mL/peptide (= 75 µg) and preferably not more than 3 mg/mL/peptide (= 1500 µg). The kit may further include other materials desirable from a commercial and user standpoint, including other buffers, diluents, filters, needles, syringes, and package inserts with instructions for use.

本發明之套組可具有單一容器,其含有根據本發明之醫藥組合物之製劑,具有或不具有其他組分(例如,其他化合物或該些其他化合物之醫藥組合物),或可具有用於每一組分之相異容器。The kits of the present invention may have a single container containing a formulation of a pharmaceutical composition according to the present invention, with or without other components (eg, other compounds or pharmaceutical compositions of those other compounds), or may have for Distinct containers for each component.

較佳地,本發明之套組包括本發明之製劑,其經包裝用於與第二化合物(諸如佐劑(例如GM-CSF)、化學治療劑、天然產物、激素或拮抗劑、抗血管新生劑或抑制劑、細胞凋亡誘導劑或螯合劑)或其醫藥組合物之共同投予組合。套組之組分可預複合或每一組分可在投予至患者之前處於分離的相異容器中。套組之組分可以一或多種液體溶液、較佳地水溶液、更佳地無菌水溶液來提供。套組之組分亦可提供為實體,其可藉由添加適合溶劑轉化成液體,該等溶劑係較佳地提供於另一相異容器中。Preferably, the kit of the present invention includes the formulation of the present invention packaged for use with a second compound such as an adjuvant (eg, GM-CSF), a chemotherapeutic agent, a natural product, a hormone or antagonist, an anti-angiogenic agent agent or inhibitor, apoptosis inducer or chelator) or a co-administration combination of a pharmaceutical composition thereof. The components of the kit can be pre-compounded or each component can be in separate distinct containers prior to administration to the patient. The components of the kit can be provided in one or more liquid solutions, preferably aqueous solutions, more preferably sterile aqueous solutions. The components of the kit can also be provided as entities which can be converted into liquids by adding suitable solvents, which are preferably provided in another distinct container.

治療性套組之容器可為小瓶、試管、燒瓶、瓶、注射器、或封裝實體或液體之任何其他手段。通常,在存在超過一種組分時,套組將含有第二小瓶或其他容器,其允許單獨配料。套組亦可含有用於醫藥學上可接受的液體之另一容器。較佳地,治療性套組將含有裝置(例如,一或多個針、注射器、滴管、移液管等等),其賦能本發明之藥劑的投予,該等藥劑為當前套組之組分。The container of the therapeutic kit can be a vial, test tube, flask, bottle, syringe, or any other means of encapsulating a solid or liquid. Typically, where more than one component is present, the kit will contain a second vial or other container that allows for separate dosing. The kit may also contain another container for a pharmaceutically acceptable liquid. Preferably, the therapeutic kit will contain a device (e.g., one or more needles, syringes, droppers, pipettes, etc.) that enables the administration of the agents of the present invention, such agents being the current kit the components.

當前製劑為適於藉由任何可接受的途徑投予肽之製劑,該等途徑諸如經口(腸內)、經鼻、經眼、皮下、真皮內、肌肉內、靜脈內或經皮。較佳地,投予係s.c.投予,且最佳地藉由輸注泵之i.d.投予。Current formulations are those suitable for administration of the peptide by any acceptable route, such as oral (enteral), nasal, ocular, subcutaneous, intradermal, intramuscular, intravenous or transdermal. Preferably, the administration is s.c., and optimally i.d. by means of an infusion pump.

因為本發明之肽係自急性骨髓性白血病、乳癌、膽管細胞癌、慢性淋巴球性白血病、結腸直腸癌、膽囊癌、神經膠質母細胞瘤、胃癌、胃-食管接合癌、肝細胞癌、頭及頸鱗狀細胞癌、黑素瘤、非霍奇金氏淋巴瘤、非小細胞肺癌、卵巢癌、食管癌、胰腺癌、前列腺癌、腎細胞癌、小細胞肺癌、膀胱癌、及子宮內膜癌分離,所以本發明之藥劑較佳地用於治療急性骨髓性白血病、乳癌、膽管細胞癌、慢性淋巴球性白血病、結腸直腸癌、膽囊癌、神經膠質母細胞瘤、胃癌、胃-食管接合癌、肝細胞癌、頭及頸鱗狀細胞癌、黑素瘤、非霍奇金氏淋巴瘤、非小細胞肺癌、卵巢癌、食管癌、胰腺癌、前列腺癌、腎細胞癌、小細胞肺癌、膀胱癌、及子宮內膜癌。Because the peptides of the present invention are derived from acute myeloid leukemia, breast cancer, cholangiocarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer, gastroesophageal junction cancer, hepatocellular carcinoma, head and cervical squamous cell carcinoma, melanoma, non-Hodgkin's lymphoma, non-small cell lung cancer, ovarian cancer, esophageal cancer, pancreatic cancer, prostate cancer, renal cell cancer, small cell lung cancer, bladder cancer, and intrauterine cancer Membrane cancer is separated, so the medicament of the present invention is preferably used for the treatment of acute myeloid leukemia, breast cancer, cholangiocarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer, gastro-esophagus Junctional carcinoma, hepatocellular carcinoma, head and neck squamous cell carcinoma, melanoma, non-Hodgkin's lymphoma, non-small cell lung cancer, ovarian cancer, esophageal cancer, pancreatic cancer, prostate cancer, renal cell carcinoma, small cell Lung cancer, bladder cancer, and endometrial cancer.

在一個示範性實施例中,包括在疫苗中的肽係藉由以下鑑別:(a)鑑別藉由來自個別患者之腫瘤樣品呈現的腫瘤相關聯肽(tumor-associated peptide; TUMAP);及(b)選擇在(a)中重新鑑別的至少一個肽且確認其免疫原性。In an exemplary embodiment, the peptides included in the vaccine are identified by: (a) identifying tumor-associated peptides (TUMAPs) presented by tumor samples from individual patients; and (b) ) Select at least one peptide re-identified in (a) and confirm its immunogenicity.

一旦選擇用於基於個性化肽之疫苗的肽,即生產該疫苗。疫苗較佳地為由溶於20-40%之間的DMSO、較佳地約30-35%之間的DMSO(諸如約33% DMSO)中的個別肽組成的液體製劑。Once the peptides are selected for use in the personalized peptide-based vaccine, the vaccine is produced. The vaccine is preferably a liquid formulation consisting of the individual peptides dissolved in between 20-40% DMSO, preferably between about 30-35% DMSO, such as about 33% DMSO.

包括於產物中的每一肽係溶於DMSO中。單一肽溶液之濃度必須取決於待包括於產品中的肽之數目來選擇。將單一肽-DMSO溶液以相等份數混合以達成含有待包括於產品中的所有肽的溶液,濃度為約2.5 mg/mL/肽。隨後將混合溶液用注射用水1:3稀釋以達成於33% DMSO中的0.826 mg/mL/肽之濃度。將稀釋溶液經由0.22 μM無菌過濾器過濾。獲得最終本體溶液。Each peptide included in the product was dissolved in DMSO. The concentration of the single peptide solution must be chosen depending on the number of peptides to be included in the product. The single peptide-DMSO solution was mixed in equal parts to achieve a solution containing all peptides to be included in the product at a concentration of about 2.5 mg/mL/peptide. The mixed solution was then diluted 1:3 with water for injection to achieve a concentration of 0.826 mg/mL/peptide in 33% DMSO. The diluted solution was filtered through a 0.22 μM sterile filter. The final bulk solution is obtained.

將最終本體溶液填充於小瓶中且在-20℃下儲存直至使用。一個小瓶含有700 µL溶液,含有0.578 mg之每一種肽。其中,500 μL(大致每肽400 μg)將應用於真皮內注射。The final bulk solution was filled in vials and stored at -20°C until use. One vial contains 700 µL of solution containing 0.578 mg of each peptide. Of these, 500 μL (approximately 400 μg per peptide) will be used for intradermal injection.

除適用於治療癌症之外,本發明之肽亦適於作為診斷劑。因為肽係自急性骨髓性白血病、乳癌、膽管細胞癌、慢性淋巴球性白血病、結腸直腸癌、膽囊癌、神經膠質母細胞瘤、胃癌、胃-食管接合癌、肝細胞癌、頭及頸鱗狀細胞癌、黑素瘤、非霍奇金氏淋巴瘤、非小細胞肺癌、卵巢癌、食管癌、胰腺癌、前列腺癌、腎細胞癌、小細胞肺癌、膀胱癌、及子宮內膜癌細胞產生,且因為已測定該些肽不存在於或以較低位準存在於正常組織中,所以該些肽可用於診斷癌症之存在。In addition to being suitable for use in the treatment of cancer, the peptides of the present invention are also suitable as diagnostic agents. Because peptides are derived from acute myeloid leukemia, breast cancer, cholangiocarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer, gastroesophageal junction cancer, hepatocellular carcinoma, head and neck squamous cell carcinoma squamous cell carcinoma, melanoma, non-Hodgkin's lymphoma, non-small cell lung cancer, ovarian cancer, esophageal cancer, pancreatic cancer, prostate cancer, renal cell cancer, small cell lung cancer, bladder cancer, and endometrial cancer produced, and since these peptides have been determined to be absent or present at lower levels in normal tissue, these peptides are useful in diagnosing the presence of cancer.

所主張肽於血液樣品中之組織生檢上的存在可輔助病理學家診斷癌症。藉助於抗體、質譜分析法或本領域中所知的其他方法偵測到某些肽可暗示病理學家該組織樣品係惡性的或發炎的或大體上為患病的,或可用作急性骨髓性白血病、乳癌、膽管細胞癌、慢性淋巴球性白血病、結腸直腸癌、膽囊癌、神經膠質母細胞瘤、胃癌、胃-食管接合癌、肝細胞癌、頭及頸鱗狀細胞癌、黑素瘤、非霍奇金氏淋巴瘤、非小細胞肺癌、卵巢癌、食管癌、胰腺癌、前列腺癌、腎細胞癌、小細胞肺癌、膀胱癌、及子宮內膜癌之生物標誌。成群的肽之存在可賦能對患病組織之分類或子分類。The presence of the claimed peptide on tissue biopsies in blood samples can assist pathologists in diagnosing cancer. Detection of certain peptides by means of antibodies, mass spectrometry, or other methods known in the art may suggest to the pathologist that the tissue sample is malignant or inflamed or substantially diseased, or may be used as acute myeloid leukemia, breast cancer, cholangiocarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer, gastroesophageal junction cancer, hepatocellular carcinoma, head and neck squamous cell carcinoma, melanoma Biomarkers for tumor, non-Hodgkin's lymphoma, non-small cell lung cancer, ovarian cancer, esophageal cancer, pancreatic cancer, prostate cancer, renal cell cancer, small cell lung cancer, bladder cancer, and endometrial cancer. The presence of groups of peptides can enable classification or sub-classification of diseased tissue.

在患病組織試樣上偵測到肽可賦能關於涉及免疫系統之治療的益處,尤其在已知T淋巴細胞或預期T淋巴細胞涉及作用機制的情況下如此。MHC表現之損失係已充分描述的機制,受感染或惡性細胞藉由該機制逃避免疫監視。因此,肽之存在證實此機制未藉由所分析細胞利用。Detection of peptides on diseased tissue samples may confer benefit with respect to treatments involving the immune system, especially where T lymphocytes are known or expected to be involved in the mechanism of action. Loss of MHC expression is a well-described mechanism by which infected or malignant cells evade immune surveillance. Thus, the presence of the peptide confirms that this mechanism is not utilized by the cells analyzed.

本發明之肽可用以分析針對彼等肽的諸如T細胞反應之淋巴細胞反應或針對肽或複合至MHC分子之肽的抗體反應。該些淋巴細胞反應可用作用於決定進一步治療步驟的預後標誌。該些反應亦可用作免疫治療方法中的替代反應標誌,目標係藉由不同手段誘導淋巴細胞反應,例如疫苗接種蛋白質、核酸、自體材料、淋巴細胞之授受性轉移。在基因治療環境中,針對肽之淋巴細胞反應可在評估副作用中予以考慮。監視淋巴細胞反應亦可為用於移植治療之跟蹤檢查的有價值工具,例如用於偵測移植物對寄主及寄主對移植物疾病。The peptides of the present invention can be used to analyze lymphocyte responses, such as T cell responses, or antibody responses to the peptides or peptides complexed to MHC molecules, to the peptides. These lymphocyte responses can be used as prognostic markers for deciding further treatment steps. These responses can also be used as surrogate response markers in immunotherapy approaches, targeting the induction of lymphocyte responses by various means, such as vaccination proteins, nucleic acids, autologous materials, and recipient transfer of lymphocytes. In a gene therapy setting, lymphocyte responses to peptides can be considered in assessing side effects. Monitoring lymphocyte responses can also be a valuable tool for follow-up examinations of transplantation therapy, such as for the detection of graft-to-host and host-to-graft disease.

現將在以下描述本發明之較佳實施例的實例中且參考隨附圖式來描述本發明,然而,本發明不限於此。出於本發明之目的,本文引用的所有參考文獻係以全文引用方式併入本文。The invention will now be described in the following examples describing preferred embodiments of the invention and with reference to the accompanying drawings, however, the invention is not limited thereto. For the purposes of this disclosure, all references cited herein are incorporated by reference in their entirety.

另外,應注意,實驗資料及圖式可在本文中僅揭示用於如所主張的所選擇的肽集合。雖然對於本文揭示及主張的所有肽而言,已產生完全的資料集且可根據請求獲得,但申請人決定在本文中不併入所有該些完全的資料集,因為此將超出本申請案正文之可管控範疇。 實例實例1 細胞表面上呈現的腫瘤相關聯肽之鑑別及定量 組織樣品 Additionally, it should be noted that experimental data and schemas may be disclosed herein for only selected peptide collections as claimed. Although complete datasets have been generated and are available upon request for all peptides disclosed and claimed herein, Applicants have decided not to incorporate all such complete datasets herein as this would be beyond the body of this application the controllable area. EXAMPLES Example 1 Identification and Quantification of Tumor-Associated Peptides Presented on the Cell Surface Tissue Samples

患者之組織係自以下獲得: BioIVT(Detroit, MI, USA & Royston, Herts, UK);Bio-Options Inc.(Brea, CA, USA);BioServe(Beltsville, MD, USA);Capital BioScience Inc.(Rockville, MD, USA);Conversant Bio(Huntsville, AL, USA);Cureline Inc.(Brisbane, CA, USA);DxBiosamples(San Diego, CA, USA);Geneticist Inc.(Glendale, CA, USA);Indivumed GmbH(Hamburg, Germany);京都府立醫科大學(KPUM)(Kyoto, Japan);大阪市立大學(OCU)(Osaka, Japan);ProteoGenex Inc.(Culver City, CA, USA);Tissue Solutions Ltd(Glasgow, UK);Universität Bonn(Bonn, Germany);Asklepios Clinic St. Georg(Hamburg, Germany);瓦爾德西布倫大學醫院(Barcelona, Spain);癌症免疫治療中心(CCIT);海萊烏醫院(Herlev, Denmark);萊登大學醫療中心(LUMC)(Leiden, Netherlands);Istituto Nazionale Tumori「Pascale」,分子生物學及病毒腫瘤學單位(Naples, Italy);斯坦福癌症中心(Palo Alto, CA, USA);日內瓦大學醫院(Geneva, Switzerland);海德堡大學醫院(Heidelberg, Germany);慕尼黑大學醫院(Munich, Germany);蒂賓根大學醫院(Tuebingen, Germany)。 The patient's tissue was obtained from: BioIVT (Detroit, MI, USA & Royston, Herts, UK); Bio-Options Inc. (Brea, CA, USA); BioServe (Beltsville, MD, USA); Capital BioScience Inc. (Rockville, MD, USA); Conversant Bio (Huntsville, AL, USA); Cureline Inc. (Brisbane, CA, USA); DxBiosamples (San Diego, CA, USA); Geneticist Inc. (Glendale, CA, USA); Indivumed GmbH (Hamburg, Germany); Kyoto Prefectural University of Medicine (KPUM) (Kyoto, Japan); Osaka City University (OCU) (Osaka, Japan); ProteoGenex Inc. (Culver City, CA, USA); Tissue Solutions Ltd (Glasgow, UK); Universität Bonn (Bonn, Germany); Asklepios Clinic St. Georg (Hamburg, Germany); Wald Westbrunn University Hospital (Barcelona, Spain); Cancer Immunotherapy Center (CCIT); Herlev, Denmark; Leiden University Medical Center (LUMC) (Leiden, Netherlands); Istituto Nazionale Tumori "Pascale", Molecular Biology and Viral Oncology Unit (Naples, Italy); Stanford Cancer Center (Palo Alto, CA, USA); Geneva University Hospital (Geneva, Switzerland) ; Heidelberg University Hospital (Heidelberg, Germany); Munich University Hospital (Munich, Germany); Tübingen University Hospital (Tuebingen, Germany).

已在外科手術或屍體解剖之前給與所有患者書面知情同意書。組織在切除之後立即震動-凍結且在-70℃或以下儲存直至TUMAP之分離。 自組織樣品分離 HLA Written informed consent was given to all patients prior to surgery or autopsy. Tissue was shake-frozen immediately after excision and stored at -70°C or below until dissociation of TUMAP. Isolation of HLA peptides from tissue samples

來自震動-凍結組織樣品之HLA肽池係根據稍微修改的協定(Falk等人, 1991;Seeger等人, 1999),使用HLA-A*02特異性抗體BB7.2、HLA-A、HLA-B、HLA-C特異性抗體W6/32、HLA-DR特異性抗體L243及HLA-DP特異性抗體B7/21、CNBr活化的瓊脂糖凝膠、酸處理、及超濾,藉由自實體組織之免疫沉澱來獲得。HLA peptide pools from shake-frozen tissue samples were prepared according to slightly modified protocols (Falk et al., 1991; Seeger et al., 1999) using HLA-A*02 specific antibodies BB7.2, HLA-A, HLA-B , HLA-C-specific antibody W6/32, HLA-DR-specific antibody L243, and HLA-DP-specific antibody B7/21, CNBr-activated agarose gel, acid treatment, and ultrafiltration by obtained by immunoprecipitation.

表8展示肽及其結合至的HLA異型,該等HLA異型係來自由HLA-A*01:01、HLA-A*03:01、HLA-A*24:02、HLA-B*07:02、HLA-B*08:01及HLA-B*44:02組成之群組。然而,歸因於結合模式之相似性,諸如相關錨定位置之相似性,一些肽結合至超過一種等位基因,此種重疊很可能為但不限於亦結合至HLA-B*15之HLA-A*01結合肽、亦結合至HLA-A*11之HLA-A*03結合肽、亦結合至HLA-B*35及HLA-B*51之HLA-B*07結合肽。Table 8 shows the peptides and the HLA isoforms to which they bind, derived from HLA-A*01:01, HLA-A*03:01, HLA-A*24:02, HLA-B*07:02 , HLA-B*08:01 and HLA-B*44:02. However, due to similarities in binding patterns, such as similarity in relative anchoring positions, some peptides bind to more than one allele, and this overlap is likely to be, but not limited to, HLA-B*15 that also binds A*01 binding peptide, HLA-A*03 binding peptide also bound to HLA-A*11, HLA-B*07 binding peptide also bound to HLA-B*35 and HLA-B*51.

表8:根據本發明之脫醯胺化肽及其結合至的HLA等位基因。 SEQ ID NO 序列 總結合物 1 VHDFTLPSW HLA-A*24:02 2 FFQDSTFSF HLA-A*01:01, HLA-A*24:02 3 IVRDLSCRK HLA-A*03:01 4 YIDDVTLI HLA-A*01:01, HLA-A*24:02 5 GYIDDVTLI HLA-A*24:02 6 ISDITEKNSGLY HLA-A*01:01 7 VTRDDTASY HLA-A*01:01, HLA-A*03:01 8 AQDTTYLWW HLA-A*24:02, HLA-B*44:02 9 IFDETGRF HLA-A*24:02 10 QVDGSLLVI HLA-A*01:01 11 NHITDTSLNLF HLA-A*01:01 12 ITDTSLNLF HLA-A*01:01, HLA-A*24:02 13 TANYDTSHY HLA-A*01:01 14 WSDWSNPAY HLA-A*01:01 15 TEGDFTKEASTY HLA-B*44:02 16 VTQDDTGFY HLA-A*01:01 17 DILDRTGHQL HLA-B*08:01 18 GTDKQDSTLRY HLA-A*01:01 19 MTDVDRDGTTAY HLA-A*01:01 20 TSDTSQYDTY HLA-A*01:01 21 APFKDVTEY HLA-B*07:02, HLA-B*44:02 22 NLYDWSASY HLA-A*01:01, HLA-A*03:01, HLA-B*44:02 23 SYDETKIKF HLA-A*24:02 24 FYDNSVIIF HLA-A*01:01, HLA-A*24:02 25 FTDLITDESINY HLA-A*01:01 26 IYPDASLLIQNI HLA-A*24:02 27 DEAVRDITW HLA-B*44:02 28 PSDLSVFTSY HLA-A*01:01 29 RLWDFTMNAK HLA-A*03:01 30 IYNFRLWDF HLA-A*24:02 31 VQPDSSYTY HLA-A*01:01, HLA-A*24:02, HLA-B*44:02 32 RDATASLW HLA-B*44:02 33 ISDGMDSSAHY HLA-A*01:01 34 LSDLSLADI HLA-A*01:01 35 VFHDHTYHL HLA-A*24:02, HLA-B*08:01 36 YWDETLKEF HLA-A*24:02 37 RSLDCTVKTY HLA-A*01:01 38 KLTDNSNQF HLA-A*24:02 39 LPFFTDKTLSF HLA-A*24:02, HLA-B*07:02 40 LSDLTCNNY HLA-A*01:01 41 NYLLYVSDF HLA-A*24:02 42 AERDLDVTI HLA-B*44:02 43 FFTDKTLSF HLA-A*24:02, HLA-B*08:01 44 KENQDHSYSL HLA-B*44:02 45 YFVDVTTRI HLA-A*24:02 46 KEVDDTLLVNEL HLA-B*44:02 47 RLPAADFTRY HLA-A*01:01, HLA-A*03:01, HLA-B*07:02 48 FPYYLKIDY HLA-B*07:02 49 PSDGSMHNY HLA-A*01:01 50 RSIDVTGQGF HLA-A*01:01 51 RVDDITDQF HLA-A*01:01, HLA-A*24:02, HLA-B*07:02 52 LTEVEKDATALY HLA-A*01:01, HLA-B*44:02 53 SLIDITHGF HLA-A*02:01, HLA-A*24:02, HLA-B*44:02 54 QYQDTTVSF HLA-A*24:02 55 VYTDISHHF HLA-A*24:02 56 IYLDRTLLTTI HLA-A*24:02 57 FYDLSIQSF HLA-A*01:01, HLA-A*24:02 58 GTDQTGKGLEY HLA-A*01:01 59 ILFSDSTRLSF HLA-A*01:01 60 HVKDATMGY HLA-A*01:01, HLA-A*03:01 61 KAYDQTHLY HLA-A*01:01, HLA-A*03:01, HLA-B*44:02 62 HPDLTSMTF HLA-A*01:01, HLA-B*07:02, HLA-B*08:01 63 HLYYDVTEK HLA-A*03:01 64 FHYDDTAGYF HLA-A*24:02 65 IYQFARLDY HLA-A*24:02 66 YHDQTISF HLA-A*24:02 67 QAIDLSLNF HLA-A*24:02 68 VFDETKNLL HLA-A*24:02 69 KSYHDQTISF HLA-A*24:02 70 HPFGYDLTL HLA-B*07:02, HLA-B*08:01 71 VPRNQDESV HLA-B*07:02, HLA-B*08:01 72 DVSDKITFM HLA-B*08:01 73 DESKYTWSW HLA-B*44:02 74 LENMYDLTF HLA-B*44:02 75 QEVDISLHY HLA-A*01:01, HLA-B*44:02 76 TYLPTDASLSF HLA-A*24:02, HLA-B*07:02 77 KPREEQYDSTY HLA-B*07:02, HLA-B*44:02 78 DETIWYVRF HLA-B*44:02 79 FTDTSSYEY HLA-A*01:01 80 LTNDQTLRL HLA-A*01:01 81 VTETMGIDGSAY HLA-A*01:01 82 VTDVTEEHY HLA-A*01:01 83 TFVDASRTLY HLA-A*01:01 84 EVEGVIDGTYDY HLA-A*01:01 85 EVQDHSTSSY HLA-A*01:01 86 ILPDITTTY HLA-A*01:01, HLA-A*03:01, HLA-A*24:02 87 ITDDTVQTY HLA-A*01:01, HLA-A*03:01 88 WLDRSTILY HLA-A*01:01, HLA-A*03:01 89 HVSDVTVNY HLA-A*01:01, HLA-A*03:01 90 HVDNSNLNY HLA-A*01:01, HLA-A*03:01 91 GVDDTSLLY HLA-A*01:01, HLA-A*03:01 92 GQYDDSLQAY HLA-A*01:01, HLA-A*03:01, HLA-B*44:02 93 HADLTTLTF HLA-A*01:01, HLA-A*24:02, HLA-B*07:02 94 YSIDVTNVM HLA-A*01:01, HLA-B*07:02 95 VYIDDSVEL HLA-A*24:02 96 IFVPTDRSL HLA-A*24:02 97 RYVNDYTNSF HLA-A*24:02 98 AFDKTIVKL HLA-A*24:02 99 VYVDTTELAL HLA-A*24:02 100 EYQDFSTLF HLA-A*24:02 101 VYLDASKVPGF HLA-A*24:02 102 IYPDGTLLI HLA-A*24:02 103 RQDESYLNF HLA-A*01:01, HLA-A*24:02, HLA-B*44:02 104 HLFYDVTVF HLA-A*24:02, HLA-B*08:01 105 NPADISVAL HLA-B*07:02, HLA-B*08:01 106 SPKIFDSSW HLA-B*07:02, HLA-B*08:01 107 GEPTSDITLL HLA-B*07:02, HLA-B*44:02 108 DETHTLQF HLA-B*44:02 109 DETAAYKIM HLA-B*44:02 110 AESLAVHDI HLA-B*44:02 111 GEYRCQTDL HLA-B*44:02 112 AEFFDYTVRTL HLA-B*44:02 113 TDFTKIASF HLA-B*08:01, HLA-B*44:02 質譜學分析 Table 8: Deamidated peptides according to the invention and the HLA alleles to which they bind. SEQ ID NO sequence total compound 1 VHDFTLPSW HLA-A*24:02 2 FFQDSTFSF HLA-A*01:01, HLA-A*24:02 3 IVRDLSCRK HLA-A*03:01 4 YIDDVTLI HLA-A*01:01, HLA-A*24:02 5 GYIDDVTLI HLA-A*24:02 6 ISDITEKNSGLY HLA-A*01:01 7 VTRDDTASY HLA-A*01:01, HLA-A*03:01 8 AQDTTYLWW HLA-A*24:02, HLA-B*44:02 9 IFDETGRF HLA-A*24:02 10 QVDGSLLVI HLA-A*01:01 11 NHITDTSLNLF HLA-A*01:01 12 ITDTSLNLF HLA-A*01:01, HLA-A*24:02 13 TANYDTSHY HLA-A*01:01 14 WSDWSNPAY HLA-A*01:01 15 TEGDFTKEASTY HLA-B*44:02 16 VTQDDTGFY HLA-A*01:01 17 DILDRTGHQL HLA-B*08:01 18 GTDKQDSTLRY HLA-A*01:01 19 MTDVDRDGTTAY HLA-A*01:01 20 TSDTSQYDTY HLA-A*01:01 twenty one APFKDVTEY HLA-B*07:02, HLA-B*44:02 twenty two NLYDWSASY HLA-A*01:01, HLA-A*03:01, HLA-B*44:02 twenty three SYDETKIKF HLA-A*24:02 twenty four FYDNSVIIF HLA-A*01:01, HLA-A*24:02 25 FTDLITDESINY HLA-A*01:01 26 IYPDASLLIQNI HLA-A*24:02 27 DEAVRDITW HLA-B*44:02 28 PSDLSVFTSY HLA-A*01:01 29 RLWDFTMNAK HLA-A*03:01 30 IYNFRLWDF HLA-A*24:02 31 VQPDSSYTY HLA-A*01:01, HLA-A*24:02, HLA-B*44:02 32 RDATASLW HLA-B*44:02 33 ISDGMDSSAHY HLA-A*01:01 34 LSDLSLADI HLA-A*01:01 35 VFHDHTYHL HLA-A*24:02, HLA-B*08:01 36 YWDETLKEF HLA-A*24:02 37 RSLDCTVKTY HLA-A*01:01 38 KLTDNSNQF HLA-A*24:02 39 LPFFTDKTLSF HLA-A*24:02, HLA-B*07:02 40 LSDLTCNNY HLA-A*01:01 41 NYLLYVSDF HLA-A*24:02 42 AERDLDVTI HLA-B*44:02 43 FFTDKTLSF HLA-A*24:02, HLA-B*08:01 44 KENQDHSYSL HLA-B*44:02 45 YFVDVTTRI HLA-A*24:02 46 KEVDDTLLVNEL HLA-B*44:02 47 RLPAADFTRY HLA-A*01:01, HLA-A*03:01, HLA-B*07:02 48 FPYYLKIDY HLA-B*07:02 49 PSDGSMHNY HLA-A*01:01 50 RSIDVTGQGF HLA-A*01:01 51 RVDDITDQF HLA-A*01:01, HLA-A*24:02, HLA-B*07:02 52 LTEVEKDATALY HLA-A*01:01, HLA-B*44:02 53 SLIDITHGF HLA-A*02:01, HLA-A*24:02, HLA-B*44:02 54 QYQDTTVSF HLA-A*24:02 55 VYTDISHHF HLA-A*24:02 56 IYLDRTLLTTI HLA-A*24:02 57 FYDLSIQSF HLA-A*01:01, HLA-A*24:02 58 GTDQTGKGLEY HLA-A*01:01 59 ILFSDSTRLSF HLA-A*01:01 60 HVKDATMGY HLA-A*01:01, HLA-A*03:01 61 KAYDQTHLY HLA-A*01:01, HLA-A*03:01, HLA-B*44:02 62 HPDLTSMTF HLA-A*01:01, HLA-B*07:02, HLA-B*08:01 63 HLYYDVTEK HLA-A*03:01 64 FHYDDTAGYF HLA-A*24:02 65 IYQFARLDY HLA-A*24:02 66 YHDQTISF HLA-A*24:02 67 QAIDLSLNF HLA-A*24:02 68 VFDETKNLL HLA-A*24:02 69 KSYHDQTISF HLA-A*24:02 70 HPFGYDLTL HLA-B*07:02, HLA-B*08:01 71 VPRNQDESV HLA-B*07:02, HLA-B*08:01 72 DVSDKITFM HLA-B*08:01 73 DESKYTWSW HLA-B*44:02 74 LENMYDLTF HLA-B*44:02 75 QEVDISLHY HLA-A*01:01, HLA-B*44:02 76 TYLPTDASLSF HLA-A*24:02, HLA-B*07:02 77 KPREEQYDSTY HLA-B*07:02, HLA-B*44:02 78 DETIWYVRF HLA-B*44:02 79 FTDTSSYEY HLA-A*01:01 80 LTNDQTLRL HLA-A*01:01 81 VTETMGIDGSAY HLA-A*01:01 82 VTDVTEEHY HLA-A*01:01 83 TFVDASRTLY HLA-A*01:01 84 EVEGVIDGTYDY HLA-A*01:01 85 EVQDHSTSSY HLA-A*01:01 86 ILPDITTTY HLA-A*01:01, HLA-A*03:01, HLA-A*24:02 87 ITDDTVQTY HLA-A*01:01, HLA-A*03:01 88 WLDRSTILY HLA-A*01:01, HLA-A*03:01 89 HVSDVTVNY HLA-A*01:01, HLA-A*03:01 90 HVDNSNLNY HLA-A*01:01, HLA-A*03:01 91 GVDDTSLLY HLA-A*01:01, HLA-A*03:01 92 GQYDDSLQAY HLA-A*01:01, HLA-A*03:01, HLA-B*44:02 93 HADLTTLTF HLA-A*01:01, HLA-A*24:02, HLA-B*07:02 94 YSIDVTNVM HLA-A*01:01, HLA-B*07:02 95 VYIDDSVEL HLA-A*24:02 96 IFVPTDRSL HLA-A*24:02 97 RYVNDYTNSF HLA-A*24:02 98 AFDKTIVKL HLA-A*24:02 99 VYVDTTELAL HLA-A*24:02 100 EYQDFSTLF HLA-A*24:02 101 VYLDASKVPGF HLA-A*24:02 102 IYPDGTLLI HLA-A*24:02 103 RQDESYLNF HLA-A*01:01, HLA-A*24:02, HLA-B*44:02 104 HLFYDVTVF HLA-A*24:02, HLA-B*08:01 105 NPADISVAL HLA-B*07:02, HLA-B*08:01 106 SPKIFDSSW HLA-B*07:02, HLA-B*08:01 107 GEPTSDITLL HLA-B*07:02, HLA-B*44:02 108 DETHTLQF HLA-B*44:02 109 DETAAYKIM HLA-B*44:02 110 AESLAVHDI HLA-B*44:02 111 GEYRCQTDL HLA-B*44:02 112 AEFFDYTVRTL HLA-B*44:02 113 TDFTKIASF HLA-B*08:01, HLA-B*44:02 Mass spectrometry

所獲得的HLA肽池係根據其疏水性,藉由逆相層析法(nanoAcquity UPLC系統,Waters)來分離,且在配備ESI源之LTQ velos及融合雜合體質譜儀(ThermoElectron)中分析溶析肽。將肽池直接裝載至裝填有1.7 µm C18逆相材料(Waters)之分析熔融矽石微毛細管柱(75 µm i.d. x 250 mm)上,施加400 nL每分鐘之流動速率。隨後,使用兩步180分鐘二元梯度,自10%至33% B,以300 nL每分鐘之流動速率來分離肽。梯度係由溶劑A(於水中之0.1%甲酸)及溶劑B(於乙腈中之0.1%甲酸)構成。塗覆金的玻璃毛細管(PicoTip, New Objective)係用於引入nanoESI源中。LTQ-Orbitrap質譜儀係使用TOP5策略在資料依賴性模式中操作。簡言之,掃描循環係在orbitrap(R = 30000)中以高質量準確度之全掃描起始,繼之以亦在orbitrap(R = 7500)中對5個最大豐度前驅物離子之MS/MS掃描,同時動力學排除先前選擇的離子。串聯質譜係藉由處於固定偽發現率(q≤0.05)及另外的人工控制的SEQUEST來解釋。在其中所鑑別肽序列不確定的情況下,其係另外藉由所產生的天然肽斷裂模式與合成的序列一致性參考肽之斷裂模式的比較來驗證。The obtained HLA peptide pools were separated according to their hydrophobicity by reverse phase chromatography (nanoAcquity UPLC system, Waters) and elution was analyzed in an LTQ velos equipped with an ESI source and a fusion hybrid mass spectrometer (ThermoElectron). peptides. The peptide cell was loaded directly onto an analytical fused silica microcapillary column (75 µm i.d. x 250 mm) packed with 1.7 µm C18 reverse phase material (Waters) with a flow rate of 400 nL per minute applied. Subsequently, peptides were separated using a two-step 180-minute binary gradient from 10% to 33% B at a flow rate of 300 nL per minute. The gradient consisted of solvent A (0.1% formic acid in water) and solvent B (0.1% formic acid in acetonitrile). Gold-coated glass capillaries (PicoTip, New Objective) were used for introduction into the nanoESI source. The LTQ-Orbitrap mass spectrometer was operated in a data-dependent mode using the TOP5 strategy. Briefly, scan cycles were initiated with full scans with mass accuracy in orbitrap (R = 30000), followed by MS//MS/MS of the 5 most abundant precursor ions also in orbitrap (R = 7500). MS scans with kinetic exclusion of previously selected ions. Tandem mass spectra were interpreted by SEQUEST at a fixed false discovery rate (q≤0.05) and additional manual control. In cases where the sequence of the identified peptide was uncertain, it was additionally verified by comparison of the fragmentation pattern of the native peptide generated to that of a synthetic reference peptide of sequence identity.

無標記相對LC-MS定量係藉由離子計數,亦即藉由LC-MS特徵之提取及分析來執行(Mueller等人, 2007)。該方法假定:肽之LC-MS訊號面積與其在樣品中之豐度相關。所提取特徵係進一步藉由電荷狀態反摺積及滯留時間校準來處理(Mueller等人, 2008;Sturm等人, 2008)。最終,所有LC-MS特徵係與序列鑑別結果交互參照以組合不同樣品及組織之定量資料來獲得肽呈現分佈。將定量資料以根據說明技術及生物學重複測試內的差異的集中趨勢之二階方式正規化。因此,每一鑑別的肽可與定量資料相關聯,從而允許樣品與組織之間的相對定量。另外,對肽候選者獲得的所有定量資料係手動檢查來確保資料一致性並檢驗自動分析之準確度。對於每一肽,計算呈現分佈,其展示平均樣品呈現以及重複測試差異。該等分佈將AML(急性骨髓性白血病);BRCA(乳癌);CCC(膽管細胞癌);CLL(慢性淋巴球性白血病);CRC(結腸直腸癌);GBC(膽囊癌);GBM(神經膠質母細胞瘤);GC(胃癌);GEJC(胃-食管接合癌);HCC(肝細胞癌);HNSCC(頭及頸鱗狀細胞癌);MEL(黑素瘤);NHL(非霍奇金氏淋巴瘤);NSCLCadeno(非小細胞肺癌);NSCLCother(無法明確指派至NSCLCadeno或NSCLCsquam的NSCLC樣品);NSCLCsquam(鱗狀細胞非小細胞肺癌);OC(卵巢癌);OSCAR(食管癌);PACA(胰腺癌);PRCA(前列腺癌);RCC(腎細胞癌);SCLC(小細胞肺癌);UBC(膀胱癌);UEC(子宮內膜癌)樣品與正常組織樣品之基線並置。示範性過度表現的肽之呈現分佈係展示於第3A圖-第3D圖中。圖中僅將肽之彼等鑑別結果展示為點,其係在對所指示HLA等位基因為陽性且係用對相應異型為特異性的抗體來加工的組織樣品上得到。Label-free relative LC-MS quantification is performed by ion counting, ie by extraction and analysis of LC-MS features (Mueller et al., 2007). This method assumes that the LC-MS signal area of a peptide is related to its abundance in the sample. The extracted features were further processed by charge state deconvolution and residence time calibration (Mueller et al., 2008; Sturm et al., 2008). Ultimately, all LC-MS features were cross-referenced with sequence identification results to combine quantitative data from different samples and tissues to obtain peptide presentation profiles. Quantitative data were normalized in a second-order manner according to central tendency to account for differences within technical and biological replicates. Thus, each identified peptide can be associated with quantitative data, allowing relative quantification between sample and tissue. Additionally, all quantitative data obtained for peptide candidates were manually checked to ensure data consistency and to verify the accuracy of the automated analysis. For each peptide, a presentation distribution was calculated showing the average sample presentation as well as the repeat test variation. These distributions would be AML (acute myeloid leukemia); BRCA (breast cancer); CCC (cholangiocarcinoma); CLL (chronic lymphocytic leukemia); CRC (colorectal cancer); GBC (gallbladder cancer); GBM (glial carcinoma) blastoma); GC (gastric cancer); GEJC (gastric-esophageal junction carcinoma); HCC (hepatocellular carcinoma); HNSCC (head and neck squamous cell carcinoma); MEL (melanoma); NHL (non-Hodgkin's carcinoma) NSCLC); NSCLCadeno (non-small cell lung cancer); NSCLCother (NSCLC samples that cannot be clearly assigned to NSCLCadeno or NSCLCsquam); NSCLCsquam (squamous cell non-small cell lung cancer); OC (ovarian cancer); OSCAR (esophageal cancer); PACA (pancreatic cancer); PRCA (prostate cancer); RCC (renal cell carcinoma); SCLC (small cell lung cancer); UBC (bladder cancer); UEC (endometrial cancer) samples were juxtaposed with baselines of normal tissue samples. Presentation profiles of exemplary overrepresented peptides are shown in panels 3A-3D. The figures show only their identification of peptides as dots, obtained on tissue samples that were positive for the indicated HLA alleles and processed with antibodies specific for the corresponding allotype.

對所有肽(SEQ ID NO: 1至SEQ ID NO: 113)而言,各種適應症之肽呈現係展示於表9中。此表列出所有適應症,對該等適應症鑑別相應肽至少一次,其獨立於樣品之HLA類型或用於加工該樣品之抗體。Peptide presentations for various indications are shown in Table 9 for all peptides (SEQ ID NO: 1 to SEQ ID NO: 113). This table lists all indications for which the corresponding peptide was identified at least once, independent of the HLA type of the sample or the antibody used to process the sample.

表9:在各種癌症實體上的根據本發明之肽的呈現,及因此如所提及的肽用於診斷及/或治療如所指示的癌症之特定相關性。癌症類型:AML(急性骨髓性白血病);BRCA(乳癌);CCC(膽管細胞癌);CLL(慢性淋巴球性白血病);CRC(結腸直腸癌);GBC(膽囊癌);GBM(神經膠質母細胞瘤);GC(胃癌);GEJC(胃-食管接合癌);HCC(肝細胞癌);HNSCC(頭及頸鱗狀細胞癌);MEL(黑素瘤);NHL(非霍奇金氏淋巴瘤);NSCLCadeno(非小細胞肺癌);NSCLCother(無法明確指派至NSCLCadeno或NSCLCsquam的NSCLC樣品);NSCLCsquam(鱗狀細胞非小細胞肺癌);OC(卵巢癌);OSCAR(食管癌);PACA(胰腺癌);PRCA(前列腺癌);RCC(腎細胞癌);SCLC(小細胞肺癌);UBC(膀胱癌);UEC(子宮內膜癌)。 SEQ ID NO 序列 關於癌症類型之肽呈現 1 VHDFTLPSW PRCA 2 FFQDSTFSF MEL, SCLC 3 IVRDLSCRK RCC 4 YIDDVTLI PACA, UEC 5 GYIDDVTLI NSCLCsquam, GBC 6 ISDITEKNSGLY GC, NSCLCadeno, NSCLCother, HNSCC, GBC, CRC 7 VTRDDTASY GC, CRC 8 AQDTTYLWW NSCLCadeno, GC 9 IFDETGRF UBC, PRCA 10 QVDGSLLVI OSCAR, NHL 11 NHITDTSLNLF HCC, GBC, PRCA, OC, NSCLCsquam, GEJC, BRCA 12 ITDTSLNLF RCC, PACA, NHL, CCC 13 TANYDTSHY OC, NSCLCsquam, UEC, RCC, NSCLCother, NSCLCadeno, GC, GBC 14 WSDWSNPAY HCC 15 TEGDFTKEASTY OC, NSCLCadeno, UEC, HNSCC 16 VTQDDTGFY NSCLCadeno, PACA, GC 17 DILDRTGHQL GBM 18 GTDKQDSTLRY MEL, OC, NSCLCadeno 19 MTDVDRDGTTAY NSCLCsquam, HNSCC, OSCAR, NSCLCadeno, UBC, GBC, GC, BRCA 20 TSDTSQYDTY NSCLCadeno, OSCAR, NHL, GC, AML 21 APFKDVTEY RCC, NSCLCadeno, GC 22 NLYDWSASY HCC, NSCLCsquam 23 SYDETKIKF HCC, GBC 24 FYDNSVIIF NSCLCsquam, OSCAR, NSCLCadeno, HNSCC, MEL, CRC, UEC, RCC, PACA, NSCLCother, GC, GBC, CCC 25 FTDLITDESINY HNSCC, NSCLCadeno 26 IYPDASLLIQNI GC, CRC 27 DEAVRDITW NSCLCsquam, CRC 28 PSDLSVFTSY NSCLCadeno, GC, BRCA, UEC 29 RLWDFTMNAK CCC, RCC, OC, NSCLCadeno, HNSCC, HCC, GBC, CRC 30 IYNFRLWDF GC, UBC 31 VQPDSSYTY PRCA, HCC 32 RDATASLW UBC, HNSCC, CCC, BRCA 33 ISDGMDSSAHY NSCLCother, NSCLCadeno, GC, NSCLCsquam, NHL, HNSCC, GEJC 34 LSDLSLADI HNSCC, OSCAR, NSCLCsquam, MEL, GBC 35 VFHDHTYHL NSCLCadeno, NSCLCsquam, NHL, GC, GBC, UEC, NSCLCother, UBC, RCC, PRCA, PACA, MEL, HCC, CRC, CCC, BRCA 36 YWDETLKEF HCC, RCC, CRC 37 RSLDCTVKTY RCC 38 KLTDNSNQF NSCLCsquam, MEL, HCC, GBM, BRCA, AML 39 LPFFTDKTLSF NSCLCsquam, OSCAR, UEC, OC, NSCLCadeno, GC, CRC, BRCA, NSCLCother, NHL, HNSCC, GBC 40 LSDLTCNNY NSCLCadeno, MEL, NSCLCsquam, NSCLCother, NHL, HNSCC, GC 41 NYLLYVSDF NSCLCadeno, GC, UEC, HNSCC, CRC 42 AERDLDVTI PACA, NSCLCadeno 43 FFTDKTLSF OSCAR, GC, HNSCC, BRCA 44 KENQDHSYSL NSCLCsquam, NHL, HNSCC, GC, CRC 45 YFVDVTTRI OSCAR, NSCLCother, NSCLCadeno, HNSCC, GBC 46 KEVDDTLLVNEL NSCLCsquam, OSCAR, OC, BRCA 47 RLPAADFTRY RCC, OSCAR, NSCLCsquam 48 FPYYLKIDY PRCA, OC 49 PSDGSMHNY NSCLCadeno, HNSCC, OSCAR, NSCLCsquam, SCLC, OC, MEL, GBC, BRCA, UEC, PRCA, PACA, NSCLCother, NHL, HCC, GEJC, GC, GBM, CRC 50 RSIDVTGQGF NSCLCadeno, GBM, PRCA, PACA, UBC, RCC, GC, GBC, BRCA, UEC, OSCAR, NSCLCsquam, NHL, MEL, HCC, CCC, AML 51 RVDDITDQF GBC, GC, PACA, RCC, BRCA, OSCAR, OC, MEL, HCC, AML 52 LTEVEKDATALY NSCLCadeno, NSCLCsquam, NSCLCother, NHL, GC, BRCA, SCLC, OC, HNSCC, HCC, GBC, OSCAR, MEL, GEJC, CCC 53 SLIDITHGF GC, PACA, RCC, NSCLCadeno, BRCA, UEC, OSCAR, OC, HNSCC, HCC, GEJC, CRC, CCC 54 QYQDTTVSF NSCLCadeno, NSCLCsquam, GC, PRCA, NSCLCother, OC, GBM, GBC, UBC, SCLC, RCC, OSCAR, MEL, HCC, CCC, BRCA 55 VYTDISHHF NSCLCsquam, NSCLCadeno, OC, UEC, GC, PRCA, OSCAR, NSCLCother, HNSCC, GBC, BRCA 56 IYLDRTLLTTI NSCLCadeno, NSCLCsquam, HNSCC, GBC, RCC, NSCLCother, OSCAR, GC, UEC, SCLC, MEL, HCC, CCC 57 FYDLSIQSF HCC, CRC, NSCLCother, NSCLCadeno, MEL, HNSCC, UEC, UBC, SCLC, OSCAR, OC, GC, GBC, AML 58 GTDQTGKGLEY NSCLCsquam, NSCLCadeno, UBC, HNSCC, GBC 59 ILFSDSTRLSF HNSCC, OSCAR, MEL 60 HVKDATMGY GC, HNSCC, OSCAR, PACA, NHL, UEC, MEL, HCC, GBC, CRC, CCC, BRCA 61 KAYDQTHLY NSCLCother, NSCLCadeno, PACA, OC, NSCLCsquam, HCC, CRC, BRCA 62 HPDLTSMTF RCC, NSCLCsquam, AML 63 HLYYDVTEK AML, GBM, GBC, CRC 64 FHYDDTAGYF NSCLCsquam, NHL, OSCAR, NSCLCother, HCC, GBC 65 IYQFARLDY GC 66 YHDQTISF NHL, PRCA, NSCLCsquam, NSCLCadeno 67 QAIDLSLNF OSCAR, NSCLCadeno, NHL 68 VFDETKNLL UEC, NSCLCsquam 69 KSYHDQTISF PACA, CCC 70 HPFGYDLTL RCC, PRCA, GC, CRC, UBC, SCLC, OSCAR, NSCLCother, NSCLCadeno, HNSCC 71 VPRNQDESV CLL 72 DVSDKITFM GC, CRC 73 DESKYTWSW OC, NSCLCsquam, NHL, HNSCC, GBM, GBC 74 LENMYDLTF NSCLCsquam, NHL 75 QEVDISLHY OSCAR, OC, HNSCC, BRCA, AML 76 TYLPTDASLSF NSCLCadeno, GC, GBC, NSCLCother, NSCLCsquam, MEL, CRC, UEC, PRCA, OC, HCC 77 KPREEQYDSTY NSCLCsquam, NSCLCadeno, PACA, UEC, OSCAR, HNSCC, GC, NSCLCother, CCC, BRCA 78 DETIWYVRF NHL, GBM, HCC, UEC, PRCA, OSCAR, NSCLCsquam, CRC, CLL, OC, NSCLCadeno, GC, GBC, CCC, BRCA 79 FTDTSSYEY GBM, BRCA, HCC, UEC, SCLC, NSCLCsquam, NSCLCadeno, HNSCC, GC, GBC 80 LTNDQTLRL HCC, UEC, CCC, BRCA, AML, NSCLCsquam, NHL 81 VTETMGIDGSAY NSCLCadeno, RCC, OSCAR, OC, NSCLCother, NHL, MEL, HNSCC, GEJC, GC, BRCA 82 VTDVTEEHY GBM, HNSCC, PRCA, NSCLCsquam, NSCLCother, GC 83 TFVDASRTLY NHL, MEL, GBC, RCC, OSCAR, NSCLCsquam, HCC, GC 84 EVEGVIDGTYDY NSCLCadeno, AML, NSCLCother, MEL, HNSCC, HCC, GEJC, GC, BRCA 85 EVQDHSTSSY OC, HNSCC, UEC, SCLC, PACA, OSCAR, NSCLCsquam, GBC 86 ILPDITTTY NSCLCadeno, MEL, GBC, UEC, SCLC, RCC, OSCAR, OC, NSCLCsquam, CCC 87 ITDDTVQTY NSCLCadeno, OSCAR, NSCLCsquam, NSCLCother, NHL, GC, AML, OC 88 WLDRSTILY NSCLCsquam, NSCLCadeno, GBM, GBC, SCLC, OSCAR, OC, MEL, GC, BRCA, AML 89 HVSDVTVNY UEC, NSCLCsquam, PRCA, PACA, OSCAR, OC, NSCLCadeno, MEL, HNSCC, GC, GBC, BRCA 90 HVDNSNLNY NSCLCadeno, RCC, NSCLCsquam, HNSCC, HCC, GBC, CRC, BRCA, AML 91 GVDDTSLLY NSCLCadeno, MEL, AML, NSCLCsquam, NHL, HCC, GBC 92 GQYDDSLQAY NSCLCadeno, NSCLCsquam, BRCA, RCC, PRCA, NSCLCother, MEL, HNSCC, GC, GBM 93 HADLTTLTF NSCLCsquam, OC, RCC, NSCLCadeno, NHL, UBC, PACA, HNSCC, GC, CRC 94 YSIDVTNVM GC, UEC, BRCA, OC, GBC, CRC 95 VYIDDSVEL PRCA, NSCLCadeno, HCC, PACA, GC 96 IFVPTDRSL NSCLCsquam, MEL, HNSCC, HCC, GC, GBC, RCC, PACA, OSCAR, GEJC, BRCA 97 RYVNDYTNSF NSCLCsquam, HNSCC, OSCAR, UBC, PRCA, NSCLCadeno, GBC 98 AFDKTIVKL UEC, NSCLCsquam, CRC, UBC, PACA, NSCLCadeno, HCC, CCC, BRCA 99 VYVDTTELAL HCC, GBC, PRCA, NSCLCadeno, CRC, NSCLCother 100 EYQDFSTLF CRC, PRCA, GC, GBC 101 VYLDASKVPGF NSCLCother, NSCLCadeno, GBC, OC, NSCLCsquam, HNSCC, HCC, BRCA 102 IYPDGTLLI CRC, GBC, HCC, GC, CCC 103 RQDESYLNF GC, HCC, RCC, UBC, OSCAR, OC, NSCLCother, NSCLCadeno, NHL, GEJC 104 HLFYDVTVF NHL, HCC, MEL, GEJC, GC 105 NPADISVAL NSCLCadeno, NSCLCsquam, OC, HNSCC, PRCA, OSCAR, NHL, CCC 106 SPKIFDSSW SCLC, BRCA, UEC, RCC, MEL, GC, GBM, CLL, CCC 107 GEPTSDITLL BRCA, NSCLCsquam, NSCLCadeno, MEL, UEC, NHL, HNSCC, HCC, CRC, AML 108 DETHTLQF OSCAR, NSCLCsquam, PACA, OC, NSCLCadeno, SCLC, PRCA, NSCLCother, NHL, GBC, BRCA, AML 109 DETAAYKIM NHL, OC, NSCLCsquam, OSCAR, HNSCC, UEC, PRCA, NSCLCadeno 110 AESLAVHDI HCC, UEC, UBC, PACA, NSCLCsquam, NSCLCadeno, NHL, HNSCC, CRC, AML 111 GEYRCQTDL OSCAR, RCC, PACA, OC, NSCLCsquam, NSCLCother, NSCLCadeno, HNSCC, HCC, GBM, BRCA 112 AEFFDYTVRTL NSCLCsquam, MEL, BRCA, RCC, OC, NHL, HNSCC 113 TDFTKIASF SCLC, OSCAR, RCC, NSCLCother, NSCLCadeno, MEL, HNSCC, GC, GBM, BRCA 實例2 編碼本發明之肽的基因之表現分佈 Table 9: Presentation of peptides according to the invention on various cancer entities, and thus specific relevance of peptides as mentioned for diagnosis and/or treatment of cancer as indicated. Cancer types: AML (acute myeloid leukemia); BRCA (breast cancer); CCC (cholangiocarcinoma); CLL (chronic lymphocytic leukemia); CRC (colorectal cancer); GBC (gallbladder cancer); GBM (glioblastoma) cell tumor); GC (gastric cancer); GEJC (gastric-esophageal junction carcinoma); HCC (hepatocellular carcinoma); HNSCC (head and neck squamous cell carcinoma); MEL (melanoma); NHL (non-Hodgkin's) lymphoma); NSCLCadeno (non-small cell lung cancer); NSCLCother (NSCLC samples that could not be clearly assigned to NSCLCadeno or NSCLCsquam); NSCLCsquam (squamous cell non-small cell lung cancer); OC (ovarian cancer); OSCAR (esophageal cancer); PACA (pancreatic cancer); PRCA (prostate cancer); RCC (renal cell carcinoma); SCLC (small cell lung cancer); UBC (bladder cancer); UEC (endometrial cancer). SEQ ID NO sequence About Peptide Presentation of Cancer Types 1 VHDFTLPSW PRCA 2 FFQDSTFSF MEL, SCLC 3 IVRDLSCRK RCC 4 YIDDVTLI PACA, UEC 5 GYIDDVTLI NSCLCsquam, GBC 6 ISDITEKNSGLY GC, NSCLCadeno, NSCLCother, HNSCC, GBC, CRC 7 VTRDDTASY GC, CRC 8 AQDTTYLWW NSCLCadeno, GC 9 IFDETGRF UBC, PRCA 10 QVDGSLLVI OSCAR, NHL 11 NHITDTSLNLF HCC, GBC, PRCA, OC, NSCLCsquam, GEJC, BRCA 12 ITDTSLNLF RCC, PACA, NHL, CCC 13 TANYDTSHY OC, NSCLCsquam, UEC, RCC, NSCLCother, NSCLCadeno, GC, GBC 14 WSDWSNPAY HCC 15 TEGDFTKEASTY OC, NSCLCadeno, UEC, HNSCC 16 VTQDDTGFY NSCLCadeno, PACA, GC 17 DILDRTGHQL GBM 18 GTDKQDSTLRY MEL, OC, NSCLCadeno 19 MTDVDRDGTTAY NSCLCsquam, HNSCC, OSCAR, NSCLCadeno, UBC, GBC, GC, BRCA 20 TSDTSQYDTY NSCLCadeno, OSCAR, NHL, GC, AML twenty one APFKDVTEY RCC, NSCLCadeno, GC twenty two NLYDWSASY HCC, NSCLCsquam twenty three SYDETKIKF HCC, GBC twenty four FYDNSVIIF NSCLCsquam, OSCAR, NSCLCadeno, HNSCC, MEL, CRC, UEC, RCC, PACA, NSCLCother, GC, GBC, CCC 25 FTDLITDESINY HNSCC, NSCLCadeno 26 IYPDASLLIQNI GC, CRC 27 DEAVRDITW NSCLCsquam, CRC 28 PSDLSVFTSY NSCLCadeno, GC, BRCA, UEC 29 RLWDFTMNAK CCC, RCC, OC, NSCLCadeno, HNSCC, HCC, GBC, CRC 30 IYNFRLWDF GC, UBC 31 VQPDSSYTY PRCA, HCC 32 RDATASLW UBC, HNSCC, CCC, BRCA 33 ISDGMDSSAHY NSCLCother, NSCLCadeno, GC, NSCLCsquam, NHL, HNSCC, GEJC 34 LSDLSLADI HNSCC, OSCAR, NSCLCsquam, MEL, GBC 35 VFHDHTYHL NSCLCadeno, NSCLCsquam, NHL, GC, GBC, UEC, NSCLCother, UBC, RCC, PRCA, PACA, MEL, HCC, CRC, CCC, BRCA 36 YWDETLKEF HCC, RCC, CRC 37 RSLDCTVKTY RCC 38 KLTDNSNQF NSCLCsquam, MEL, HCC, GBM, BRCA, AML 39 LPFFTDKTLSF NSCLCsquam, OSCAR, UEC, OC, NSCLCadeno, GC, CRC, BRCA, NSCLCother, NHL, HNSCC, GBC 40 LSDLTCNNY NSCLCadeno, MEL, NSCLCsquam, NSCLCother, NHL, HNSCC, GC 41 NYLLYVSDF NSCLCadeno, GC, UEC, HNSCC, CRC 42 AERDLDVTI PACA, NSCLCadeno 43 FFTDKTLSF OSCAR, GC, HNSCC, BRCA 44 KENQDHSYSL NSCLCsquam, NHL, HNSCC, GC, CRC 45 YFVDVTTRI OSCAR, NSCLCother, NSCLCadeno, HNSCC, GBC 46 KEVDDTLLVNEL NSCLCsquam, OSCAR, OC, BRCA 47 RLPAADFTRY RCC, OSCAR, NSCLCsquam 48 FPYYLKIDY PRCA, OC 49 PSDGSMHNY NSCLCadeno, HNSCC, OSCAR, NSCLCsquam, SCLC, OC, MEL, GBC, BRCA, UEC, PRCA, PACA, NSCLCother, NHL, HCC, GEJC, GC, GBM, CRC 50 RSIDVTGQGF NSCLCadeno, GBM, PRCA, PACA, UBC, RCC, GC, GBC, BRCA, UEC, OSCAR, NSCLCsquam, NHL, MEL, HCC, CCC, AML 51 RVDDITDQF GBC, GC, PACA, RCC, BRCA, OSCAR, OC, MEL, HCC, AML 52 LTEVEKDATALY NSCLCadeno, NSCLCsquam, NSCLCother, NHL, GC, BRCA, SCLC, OC, HNSCC, HCC, GBC, OSCAR, MEL, GEJC, CCC 53 SLIDITHGF GC, PACA, RCC, NSCLCadeno, BRCA, UEC, OSCAR, OC, HNSCC, HCC, GEJC, CRC, CCC 54 QYQDTTVSF NSCLCadeno, NSCLCsquam, GC, PRCA, NSCLCother, OC, GBM, GBC, UBC, SCLC, RCC, OSCAR, MEL, HCC, CCC, BRCA 55 VYTDISHHF NSCLCsquam, NSCLCadeno, OC, UEC, GC, PRCA, OSCAR, NSCLCother, HNSCC, GBC, BRCA 56 IYLDRTLLTTI NSCLCadeno, NSCLCsquam, HNSCC, GBC, RCC, NSCLCother, OSCAR, GC, UEC, SCLC, MEL, HCC, CCC 57 FYDLSIQSF HCC, CRC, NSCLCother, NSCLCadeno, MEL, HNSCC, UEC, UBC, SCLC, OSCAR, OC, GC, GBC, AML 58 GTDQTGKGLEY NSCLCsquam, NSCLCadeno, UBC, HNSCC, GBC 59 ILFSDSTRLSF HNSCC, OSCAR, MEL 60 HVKDATMGY GC, HNSCC, OSCAR, PACA, NHL, UEC, MEL, HCC, GBC, CRC, CCC, BRCA 61 KAYDQTHLY NSCLCother, NSCLCadeno, PACA, OC, NSCLCsquam, HCC, CRC, BRCA 62 HPDLTSMTF RCC, NSCLCsquam, AML 63 HLYYDVTEK AML, GBM, GBC, CRC 64 FHYDDTAGYF NSCLCsquam, NHL, OSCAR, NSCLCother, HCC, GBC 65 IYQFARLDY GC 66 YHDQTISF NHL, PRCA, NSCLCsquam, NSCLCadeno 67 QAIDLSLNF OSCAR, NSCLCadeno, NHL 68 VFDETKNLL UEC, NSCLCsquam 69 KSYHDQTISF PACA, CCC 70 HPFGYDLTL RCC, PRCA, GC, CRC, UBC, SCLC, OSCAR, NSCLCother, NSCLCadeno, HNSCC 71 VPRNQDESV CLL 72 DVSDKITFM GC, CRC 73 DESKYTWSW OC, NSCLCsquam, NHL, HNSCC, GBM, GBC 74 LENMYDLTF NSCLCsquam, NHL 75 QEVDISLHY OSCAR, OC, HNSCC, BRCA, AML 76 TYLPTDASLSF NSCLCadeno, GC, GBC, NSCLCother, NSCLCsquam, MEL, CRC, UEC, PRCA, OC, HCC 77 KPREEQYDSTY NSCLCsquam, NSCLCadeno, PACA, UEC, OSCAR, HNSCC, GC, NSCLCother, CCC, BRCA 78 DETIWYVRF NHL, GBM, HCC, UEC, PRCA, OSCAR, NSCLCsquam, CRC, CLL, OC, NSCLCadeno, GC, GBC, CCC, BRCA 79 FTDTSSYEY GBM, BRCA, HCC, UEC, SCLC, NSCLCsquam, NSCLCadeno, HNSCC, GC, GBC 80 LTNDQTLRL HCC, UEC, CCC, BRCA, AML, NSCLCsquam, NHL 81 VTETMGIDGSAY NSCLCadeno, RCC, OSCAR, OC, NSCLCother, NHL, MEL, HNSCC, GEJC, GC, BRCA 82 VTDVTEEHY GBM, HNSCC, PRCA, NSCLCsquam, NSCLCother, GC 83 TFVDASRTLY NHL, MEL, GBC, RCC, OSCAR, NSCLCsquam, HCC, GC 84 EVEGVIDGTYDY NSCLCadeno, AML, NSCLCother, MEL, HNSCC, HCC, GEJC, GC, BRCA 85 EVQDHSTSSY OC, HNSCC, UEC, SCLC, PACA, OSCAR, NSCLCsquam, GBC 86 ILPDITTTY NSCLCadeno, MEL, GBC, UEC, SCLC, RCC, OSCAR, OC, NSCLCsquam, CCC 87 ITDDTVQTY NSCLCadeno, OSCAR, NSCLCsquam, NSCLCother, NHL, GC, AML, OC 88 WLDRSTILY NSCLCsquam, NSCLCadeno, GBM, GBC, SCLC, OSCAR, OC, MEL, GC, BRCA, AML 89 HVSDVTVNY UEC, NSCLCsquam, PRCA, PACA, OSCAR, OC, NSCLCadeno, MEL, HNSCC, GC, GBC, BRCA 90 HVDNSNLNY NSCLCadeno, RCC, NSCLCsquam, HNSCC, HCC, GBC, CRC, BRCA, AML 91 GVDDTSLLY NSCLCadeno, MEL, AML, NSCLCsquam, NHL, HCC, GBC 92 GQYDDSLQAY NSCLCadeno, NSCLCsquam, BRCA, RCC, PRCA, NSCLCother, MEL, HNSCC, GC, GBM 93 HADLTTLTF NSCLCsquam, OC, RCC, NSCLCadeno, NHL, UBC, PACA, HNSCC, GC, CRC 94 YSIDVTNVM GC, UEC, BRCA, OC, GBC, CRC 95 VYIDDSVEL PRCA, NSCLCadeno, HCC, PACA, GC 96 IFVPTDRSL NSCLCsquam, MEL, HNSCC, HCC, GC, GBC, RCC, PACA, OSCAR, GEJC, BRCA 97 RYVNDYTNSF NSCLCsquam, HNSCC, OSCAR, UBC, PRCA, NSCLCadeno, GBC 98 AFDKTIVKL UEC, NSCLCsquam, CRC, UBC, PACA, NSCLCadeno, HCC, CCC, BRCA 99 VYVDTTELAL HCC, GBC, PRCA, NSCLCadeno, CRC, NSCLCother 100 EYQDFSTLF CRC, PRCA, GC, GBC 101 VYLDASKVPGF NSCLCother, NSCLCadeno, GBC, OC, NSCLCsquam, HNSCC, HCC, BRCA 102 IYPDGTLLI CRC, GBC, HCC, GC, CCC 103 RQDESYLNF GC, HCC, RCC, UBC, OSCAR, OC, NSCLCother, NSCLCadeno, NHL, GEJC 104 HLFYDVTVF NHL, HCC, MEL, GEJC, GC 105 NPADISVAL NSCLCadeno, NSCLCsquam, OC, HNSCC, PRCA, OSCAR, NHL, CCC 106 SPKIFDSSW SCLC, BRCA, UEC, RCC, MEL, GC, GBM, CLL, CCC 107 GEPTSDITLL BRCA, NSCLCsquam, NSCLCadeno, MEL, UEC, NHL, HNSCC, HCC, CRC, AML 108 DETHTLQF OSCAR, NSCLCsquam, PACA, OC, NSCLCadeno, SCLC, PRCA, NSCLCother, NHL, GBC, BRCA, AML 109 DETAAYKIM NHL, OC, NSCLCsquam, OSCAR, HNSCC, UEC, PRCA, NSCLCadeno 110 AESLAVHDI HCC, UEC, UBC, PACA, NSCLCsquam, NSCLCadeno, NHL, HNSCC, CRC, AML 111 GEYRCQTDL OSCAR, RCC, PACA, OC, NSCLCsquam, NSCLCother, NSCLCadeno, HNSCC, HCC, GBM, BRCA 112 AEFFDYTVRTL NSCLCsquam, MEL, BRCA, RCC, OC, NHL, HNSCC 113 TDFTKIASF SCLC, OSCAR, RCC, NSCLCother, NSCLCadeno, MEL, HNSCC, GC, GBM, BRCA Example 2 Expression distribution of genes encoding peptides of the present invention

肽於腫瘤細胞上相較於正常細胞之過度呈現或特異性呈現足以使其適用於免疫治療,且一些肽係腫瘤特異性的,而不管其來源蛋白質亦係存在於正常組織中。又,mRNA表現分佈增加了在選擇用於免疫治療之肽標靶中的另外的安全性位準。尤其對於具有高安全性風險的治療選擇,諸如親和力成熟的TCR,理想的標靶肽將來源於對腫瘤為唯一且不見於正常組織上的蛋白質。 RNA 來源及製備 The over- or specific presentation of peptides on tumor cells compared to normal cells is sufficient to make them suitable for immunotherapy, and some peptides are tumor-specific regardless of the protein of origin that is also present in normal tissues. Again, the mRNA expression profile adds an additional level of safety in the selection of peptide targets for immunotherapy. Especially for therapeutic options with high safety risks, such as affinity matured TCRs, ideal target peptides would be derived from proteins that are unique to the tumor and not found on normal tissues. RNA source and preparation

在已自每一患者獲得書面知情同意書之後,如上文所指示來提供外科手術移除的組織試樣(參見實例1)。在外科手術之後立即將腫瘤組織試樣快速凍結且稍後在液氮下用研缽及研杵均質化。總體RNA係使用TRI試劑(Ambion, Darmstadt, Germany)自該些樣品製備,繼之以用RNeasy(QIAGEN, Hilden, Germany)清除;兩種方法皆係根據製造商之協定來執行。After written informed consent had been obtained from each patient, surgically removed tissue samples were provided as indicated above (see Example 1). Tumor tissue samples were snap frozen immediately after surgery and later homogenized with a mortar and pestle under liquid nitrogen. Total RNA was prepared from these samples using TRI reagent (Ambion, Darmstadt, Germany) followed by clearing with RNeasy (QIAGEN, Hilden, Germany); both methods were performed according to the manufacturer's protocol.

來自健康人類組織的用於RNASeq實驗之總體RNA係自以下獲得:Asterand(Detroit, MI, USA & Royston, Herts, UK);Bio-Options Inc.(Brea, CA, USA);Geneticist Inc.(Glendale, CA, USA);ProteoGenex Inc.(Culver City, CA, USA);Tissue Solutions Ltd(Glasgow, UK)。Total RNA from healthy human tissue for RNASeq experiments was obtained from: Asterand (Detroit, MI, USA & Royston, Herts, UK); Bio-Options Inc. (Brea, CA, USA); Geneticist Inc. (Glendale) , CA, USA); ProteoGenex Inc. (Culver City, CA, USA); Tissue Solutions Ltd (Glasgow, UK).

來自腫瘤組織的用於RNASeq實驗之總體RNA係自以下獲得:Asterand(Detroit, MI, USA & Royston, Herts, UK);BioCat GmbH(Heidelberg, Germany);BioServe(Beltsville, MD, USA);Geneticist Inc.(Glendale, CA, USA);Istituto Nazionale Tumori 「Pascale」(Naples, Italy);ProteoGenex Inc.(Culver City, CA, USA);海德堡大學醫院(Heidelberg, Germany)。Total RNA from tumor tissue for RNASeq experiments was obtained from: Asterand (Detroit, MI, USA & Royston, Herts, UK); BioCat GmbH (Heidelberg, Germany); BioServe (Beltsville, MD, USA); Geneticist Inc (Glendale, CA, USA); Istituto Nazionale Tumori “Pascale” (Naples, Italy); ProteoGenex Inc. (Culver City, CA, USA); Heidelberg University Hospital (Heidelberg, Germany).

所有RNA樣品之品質及數量係在Agilent 2100生物分析儀(Agilent, Waldbronn, Germany)上使用RNA 6000 Pico LabChip套組(Agilent)來評定。 RNAseq 實驗 The quality and quantity of all RNA samples were assessed on an Agilent 2100 Bioanalyzer (Agilent, Waldbronn, Germany) using the RNA 6000 Pico LabChip Kit (Agilent). RNAseq experiments

腫瘤及正常組織RNA樣品之基因表現分析係藉由CeGaT(Tübingen, Germany)之下一代測序(RNAseq)來執行。簡言之,測序庫係使用Illumina HiSeq v4試劑套組,根據提供商之協定(Illumina Inc., San Diego, CA, USA)來製備,該協定包括RNA斷裂、cDNA轉化及添加測序轉接蛋白。將來源於多個樣品之庫等莫耳混合且在Illumina HiSeq 2500定序器上,根據製造商之說明來測序,從而產生50個bp單端讀數。將經處理的讀數使用STAR軟體映射至人類基因組(GRCh38)。基於ensembl序列資料庫(Ensembl77)之註解,表現資料係在轉錄物位準作為RPKM(每千鹼基每百萬映射讀數之讀數,藉由軟體Cufflinks產生)提供及在外顯子位準(總讀數,藉由軟體Bedtools產生)提供。將外顯子讀數針對外顯子長度及比對大小來正規化以獲得RPKM值。Gene expression analysis of tumor and normal tissue RNA samples was performed by next-generation sequencing (RNAseq) with CeGaT (Tübingen, Germany). Briefly, sequencing libraries were prepared using the Illumina HiSeq v4 reagent kit according to the provider's protocol (Illumina Inc., San Diego, CA, USA), which included RNA fragmentation, cDNA transformation, and addition of sequencing adapter proteins. Pools derived from multiple samples were equimolar pooled and sequenced on an Illumina HiSeq 2500 sequencer according to the manufacturer's instructions, resulting in 50 bp single-end reads. The processed reads were mapped to the human genome (GRCh38) using STAR software. Based on annotations in the ensembl sequence database (Ensembl77), performance data are provided at the transcript level as RPKM (reads per kilobase per million mapped reads, generated by the software Cufflinks) and at the exon level (total reads). , produced by the software Bedtools). Exon reads were normalized to exon length and alignment size to obtain RPKM values.

第4A圖至第4D圖中展示本發明之來源基因之示範性表現分佈,該等來源基因高度過度表現或專門表現於AML(急性骨髓性白血病);BRCA(乳癌);CCC(膽管細胞癌);CLL(慢性淋巴球性白血病);CRC(結腸直腸癌);GBC(膽囊癌);GBM(神經膠質母細胞瘤);GC(胃癌);GEJC(胃-食管接合癌);HCC(肝細胞癌);HNSCC(頭及頸鱗狀細胞癌);MEL(黑素瘤);NHL(非霍奇金氏淋巴瘤);NSCLCadeno(非小細胞肺癌);NSCLCother(無法明確指派至NSCLCadeno或NSCLCsquam的NSCLC樣品);NSCLCsquam(扁平細胞非小細胞肺癌);OC(卵巢癌);OSCAR(食管癌);PACA(胰腺癌);PRCA(前列腺癌);RCC(腎細胞癌);SCLC(小細胞肺癌);UBC(膀胱癌);UEC(子宮內膜癌)中。其他示範性基因之表現記分展示於表9中。Figures 4A to 4D show exemplary expression profiles of the source genes of the invention that are highly overexpressed or exclusively expressed in AML (acute myeloid leukemia); BRCA (breast cancer); CCC (cholangiocellular carcinoma) ; CLL (chronic lymphocytic leukemia); CRC (colorectal cancer); GBC (gallbladder cancer); GBM (glioblastoma); GC (gastric cancer); cancer); HNSCC (head and neck squamous cell carcinoma); MEL (melanoma); NHL (non-Hodgkin's lymphoma); NSCLCadeno (non-small cell lung cancer); NSCLC samples); NSCLCsquam (squamous cell non-small cell lung cancer); OC (ovarian cancer); OSCAR (esophageal cancer); PACA (pancreatic cancer); PRCA (prostate cancer); RCC (renal cell carcinoma); SCLC (small cell lung cancer) ); UBC (bladder cancer); UEC (endometrial cancer). Performance scores for other exemplary genes are shown in Table 9.

表10:表現記分。該表列出來自在腫瘤中相較於一組正常組織高度過度表現(++)或在腫瘤中相較於一組正常組織過度表現(+)的基因的肽。此記分之基線係自對以下相關正常組織之量測來計算:脂肪組織;腎上腺;膽管;膀胱;血細胞;血管;骨髓;腦;乳房;食管;眼睛;膽囊;頭及頸;心臟;大腸;小腸;腎;肝;肺;淋巴結;周邊神經;卵巢;胰腺;副甲狀腺;腹膜;垂體;胎盤;胸膜;前列腺;骨骼肌;皮膚;脊髓;脾;胃;睾丸;胸腺;甲狀腺;氣管;輸尿管;子宮。在同一組織類型之若干樣品的表現資料係可用的情況下,將所有相應樣品之算術平均值用於計算。 SEQ ID NO 序列 腫瘤中之基因表現 過度表現  (+) 高度過度表現  (++) 114 VHNFTLPSW PRCA 178 IYQFARLNY HNSCC, OSCAR 117 YIDNVTLI CRC, GC, NSCLCadeno, NSCLCother, PACA, UBC CCC, HNSCC, NSCLCsquam, OC 143 IYNFRLWNF CCC 120 VTRNDTASY CRC 121 AQNTTYLWW CRC 119 ISNITEKNSGLY CRC 123 QVNGSLLVI CCC, NHL, NSCLCadeno, NSCLCsquam, PACA NSCLCother 135 NLYNWSASY HCC 115 FFQNSTFSF MEL 134 APFKNVTEY BRCA 136 SYNETKIKF HCC 171 GTNQTGKGLEY BRCA, GBC 159 KEVNDTLLVNEL BRCA, GBC, HNSCC, PACA 140 DEAVRNITW CCC, HNSCC, OSCAR 141 PSNLSVFTSY CRC, OC, UEC 145 RNATASLW CCC, NHL, NSCLCadeno, NSCLCsquam, OSCAR, PACA 144 VQPNSSYTY HCC 160 RLPAANFTRY RCC 154 NYLLYVSNF GBC, GC, PACA 155 AERDLNVTI CRC, GC, NSCLCother, NSCLCadeno, PACA 170 FYNLSIQSF HCC 187 LENMYNLTF NHL 158 YFVNVTTRI CCC, PACA, UBC 152 LPFFTNKTLSF GC, PACA 142 RLWNFTMNAK CCC 220 GEPTSNITLL CLL 168 VYTNISHHF AML 174 KAYNQTHLY NSCLCother 131 GTDKQNSTLRY MEL 137 FYNNSVIIF CCC, HNSCC, OSCAR 180 QAINLSLNF AML NHL 148 VFHNHTYHL CCC, CRC, GBC 156 FFTNKTLSF GC, PACA 188 QEVNISLHY BRCA, CCC, HNSCC, NHL, NSCLCadeno, NSCLCsquam, OSCAR, PACA AML, MEL 189 TYLPTNASLSF BRCA 116 IVRNLSCRK RCC 139 IYPNASLLIQNI CRC 146 ISDGMNSSAHY CCC, CRC, GBC, NSCLCother 183 HPFGYNLTL CCC, CRC, PACA 138 FTDLITNESINY PACA 198 EVQNHSTSSY OSCAR 118 GYIDNVTLI CRC, GC, NSCLCadeno, NSCLCother, PACA, UBC CCC, HNSCC, NSCLCsquam, OSCAR 225 AEFFNYTVRTL MEL 128 TEGNFTKEASTY OC 實例3 藉由 IdentControl CoElution 驗證肽 Table 10: Performance Scores. The table lists peptides from genes that are highly overrepresented (++) in tumors compared to a panel of normal tissues or overrepresented (+) in tumors compared to a panel of normal tissues. The baseline for this score is calculated from measurements of the following relevant normal tissues: adipose tissue; adrenal gland; bile duct; bladder; blood cells; blood vessels; bone marrow; brain; breast; esophagus; eye; gallbladder; head and neck; heart; large intestine ; Small Intestine; Kidney; Liver; Lung; Lymph Node; Peripheral Nerve; Ovary; Pancreas; Parathyroid; Peritoneum; Pituitary; Placenta; Pleura; Prostate; Skeletal Muscle; Skin; Spinal Cord; Spleen; Stomach; Testis; Thymus; Thyroid; Trachea; ureter; uterus. Where performance data for several samples of the same tissue type were available, the arithmetic mean of all corresponding samples was used for the calculations. SEQ ID NO sequence Gene expression in tumors over performance (+) High over performance (++) 114 VHNFTLPSW PRCA 178 IYQFARLNY HNSCC, OSCAR 117 YIDNVTLI CRC, GC, NSCLCadeno, NSCLCother, PACA, UBC CCC, HNSCC, NSCLCsquam, OC 143 IYNFRLWNF CCC 120 VTRNDTASY CRC 121 AQNTTYLWW CRC 119 ISNITEKNSGLY CRC 123 QVNGSLLVI CCC, NHL, NSCLCadeno, NSCLCsquam, PACA NSCLCother 135 NLYNWSASY HCC 115 FFQNSTFSF MEL 134 APFKNVTEY BRCA 136 SYNETKIKF HCC 171 GTNQTGKGLEY BRCA, GBC 159 KEVNDTLLVNEL BRCA, GBC, HNSCC, PACA 140 DEAVRNITW CCC, HNSCC, OSCAR 141 PSNLSVFTSY CRC, OC, UEC 145 RNATASLW CCC, NHL, NSCLCadeno, NSCLCsquam, OSCAR, PACA 144 VQPNSSYTY HCC 160 RLPAANFTRY RCC 154 NYLLYVSNF GBC, GC, PACA 155 AERDLNVTI CRC, GC, NSCLCother, NSCLCadeno, PACA 170 FYNLSIQSF HCC 187 LENMYNLTF NHL 158 YFVNVTTRI CCC, PACA, UBC 152 LPFFTNKTLSF GC, PACA 142 RLWNFTMNAK CCC 220 GEPTSNITLL CLL 168 VYTNISHHF AML 174 KAYNQTHLY NSCLCother 131 GTDKQNSTLRY MEL 137 FYNNSVIIF CCC, HNSCC, OSCAR 180 QAINLSLNF AML NHL 148 VFHNHTYHL CCC, CRC, GBC 156 FFTNKTLSF GC, PACA 188 QEVNISLHY BRCA, CCC, HNSCC, NHL, NSCLCadeno, NSCLCsquam, OSCAR, PACA AML, MEL 189 TYLPTNASLSF BRCA 116 IVRNLSCRK RCC 139 IYPNASLLIQNI CRC 146 ISDGMNSSAHY CCC, CRC, GBC, NSCLCother 183 HPFGYNLTL CCC, CRC, PACA 138 FTDLITNESINY PACA 198 EVQNHSTSSY OSCAR 118 GYIDNVTLI CRC, GC, NSCLCadeno, NSCLCother, PACA, UBC CCC, HNSCC, NSCLCsquam, OSCAR 225 AEFFNYTVRTL MEL 128 TEGNFTKEASTY OC Example 3 Validation of peptides by IdentControl and CoElution

為驗證根據本發明之肽,所有肽係使用標準及充分確立的使用Fmoc策略的固相肽合成來合成。必要時,使用穩定同位素標記(stable isotope labeled; SIL-)的胺基酸來引入區別的質量偏移且允許使用該些標記肽作為內標(例如,若肽係選用於CoElution實驗中之身份確認)。每一個別肽之身份及純度係藉由質譜學及分析RP-HPLC來決定。肽係以>50%之純度獲得為白色至灰白色凍乾物(三氟乙酸鹽)。所有TUMAP係較佳地作為三氟乙酸鹽或乙酸鹽來投予,其他鹽形式亦係可能的。To validate the peptides according to the invention, all peptides were synthesized using standard and well established solid phase peptide synthesis using the Fmoc strategy. When necessary, stable isotope labeled (SIL-) amino acids are used to introduce differential mass shifts and allow the use of these labeled peptides as internal standards (e.g., if the peptides are selected for identity confirmation in CoElution experiments). ). The identity and purity of each individual peptide was determined by mass spectrometry and analytical RP-HPLC. The peptide was obtained as a white to off-white lyophilisate (trifluoroacetate salt) in >50% purity. All TUMAPs are preferably administered as trifluoroacetate or acetate salts, other salt forms are also possible.

肽之初始驗證係藉由IdentControl,經由光譜比較來達成。為此,藉由使用如用於獲得天然光譜的匹配斷裂模式及碰撞能量獲得高解析度參考MS2光譜將合成肽用於驗證肽鑑別結果。自動化光譜比較係使用光譜相關性之敏感度量與截止記分來執行,該截止記分經測定在<1% FDR下,基於包含>10,000個手動驗證光譜之基準資料集產生90%靈敏度。模糊的鑑別結果係進一步在CoElution實驗中經受驗證。Initial validation of the peptides was achieved by spectral comparison by IdentControl. To this end, synthetic peptides were used to verify peptide identification results by obtaining high resolution reference MS2 spectra using matching fragmentation modes and collision energies as used to obtain native spectra. Automated spectral comparisons were performed using a sensitivity measure of spectral correlation and a cutoff score determined to yield 90% sensitivity at <1% FDR based on a benchmark dataset containing >10,000 manually validated spectra. The fuzzy identification results were further verified in the CoElution experiment.

表11:IdentControl結果。光譜相關性指示來自內生性偵測肽的MS/MS光譜相較於合成肽之相似性,值越高,光譜約類似。肽在滿足0.75之閾值時得以驗證,或光譜係根據手冊核查考慮為一致的。 SEQ ID NO 序列 光譜相關性  1 VHDFTLPSW 0.957 2 FFQDSTFSF 0.953 3 IVRDLSCRK 0.977 4 YIDDVTLI 0.957 5 GYIDDVTLI 0.871 6 ISDITEKNSGLY 0.918 7 VTRDDTASY 0.957 8 AQDTTYLWW 0.791 9 IFDETGRF 0.953 10 QVDGSLLVI 0.800 11 NHITDTSLNLF 0.955 12 ITDTSLNLF 0.961 13 TANYDTSHY 0.887 14 WSDWSNPAY 0.968 15 TEGDFTKEASTY 0.921 16 VTQDDTGFY 0.917 17 DILDRTGHQL 0.961 18 GTDKQDSTLRY 0.851 19 MTDVDRDGTTAY 0.898 20 TSDTSQYDTY 0.895 21 APFKDVTEY 0.769 22 NLYDWSASY 0.943 23 SYDETKIKF 0.955 24 FYDNSVIIF 0.963 25 FTDLITDESINY 0.930 26 IYPDASLLIQNI 0.971 27 DEAVRDITW 0.904 28 PSDLSVFTSY 0.870 29 RLWDFTMNAK 0.962 30 IYNFRLWDF 0.931 31 VQPDSSYTY 0.860 32 RDATASLW 0.952 33 ISDGMDSSAHY 0.920 34 LSDLSLADI 0.811 35 VFHDHTYHL 0.862 36 YWDETLKEF 0.921 37 RSLDCTVKTY 0.816 38 KLTDNSNQF 0.898 39 LPFFTDKTLSF 0.907 40 LSDLTCNNY 0.855 41 NYLLYVSDF 0.994 42 AERDLDVTI 0.961 43 FFTDKTLSF 0.899 44 KENQDHSYSL 0.949 45 YFVDVTTRI 0.962 46 KEVDDTLLVNEL 0.981 47 RLPAADFTRY 0.943 48 FPYYLKIDY 0.84 49 PSDGSMHNY 0.946 50 RSIDVTGQGF 0.910 51 RVDDITDQF 0.965 52 LTEVEKDATALY 0.947 53 SLIDITHGF 0.968 54 QYQDTTVSF 0.959 55 VYTDISHHF 0.998 56 IYLDRTLLTTI 0.889 57 FYDLSIQSF 0.950 58 GTDQTGKGLEY 0.940 59 ILFSDSTRLSF 0.916 60 HVKDATMGY 0.922 61 KAYDQTHLY 0.890 62 HPDLTSMTF 0.873 63 HLYYDVTEK 0.863 64 FHYDDTAGYF 0.970 65 IYQFARLDY 0.944 66 YHDQTISF 0.966 67 QAIDLSLNF 0.941 68 VFDETKNLL 0.903 69 KSYHDQTISF 0.888 70 HPFGYDLTL 0.895 71 VPRNQDESV 0.927 72 DVSDKITFM 0.815 73 DESKYTWSW 0.784 74 LENMYDLTF 0.949 75 QEVDISLHY 0.895 76 TYLPTDASLSF 0.963 77 KPREEQYDSTY 0.897 78 DETIWYVRF 0.953 79 FTDTSSYEY 0.932 80 LTNDQTLRL 0.916 81 VTETMGIDGSAY 0.890 82 VTDVTEEHY 0.899 83 TFVDASRTLY 0.968 84 EVEGVIDGTYDY 0.948 85 EVQDHSTSSY 0.764 86 ILPDITTTY 0.947 87 ITDDTVQTY 0.768 88 WLDRSTILY 0.993 89 HVSDVTVNY 0.889 90 HVDNSNLNY 0.908 91 GVDDTSLLY 0.935 92 GQYDDSLQAY 0.961 93 HADLTTLTF 0.843 94 YSIDVTNVM 0.974 95 VYIDDSVEL 0.985 96 IFVPTDRSL 0.984 97 RYVNDYTNSF 0.853 98 AFDKTIVKL 0.871 99 VYVDTTELAL 0.948 100 EYQDFSTLF 0.946 101 VYLDASKVPGF 0.861 102 IYPDGTLLI 0.968 103 RQDESYLNF 0.941 104 HLFYDVTVF 0.913 105 NPADISVAL 0.945 106 SPKIFDSSW 0.758 107 GEPTSDITLL 0.948 108 DETHTLQF 0.942 109 DETAAYKIM 0.919 110 AESLAVHDI 0.950 111 GEYRCQTDL 0.957 112 AEFFDYTVRTL 0.890 113 TDFTKIASF 0.855 Table 11: IdentControl results. Spectral correlation indicates the similarity of MS/MS spectra from endogenous detection peptides compared to synthetic peptides, with higher values indicating approximately similar spectra. Peptides were validated when they met a threshold of 0.75, or spectra were considered consistent according to manual checks. SEQ ID NO sequence Spectral correlation 1 VHDFTLPSW 0.957 2 FFQDSTFSF 0.953 3 IVRDLSCRK 0.977 4 YIDDVTLI 0.957 5 GYIDDVTLI 0.871 6 ISDITEKNSGLY 0.918 7 VTRDDTASY 0.957 8 AQDTTYLWW 0.791 9 IFDETGRF 0.953 10 QVDGSLLVI 0.800 11 NHITDTSLNLF 0.955 12 ITDTSLNLF 0.961 13 TANYDTSHY 0.887 14 WSDWSNPAY 0.968 15 TEGDFTKEASTY 0.921 16 VTQDDTGFY 0.917 17 DILDRTGHQL 0.961 18 GTDKQDSTLRY 0.851 19 MTDVDRDGTTAY 0.898 20 TSDTSQYDTY 0.895 twenty one APFKDVTEY 0.769 twenty two NLYDWSASY 0.943 twenty three SYDETKIKF 0.955 twenty four FYDNSVIIF 0.963 25 FTDLITDESINY 0.930 26 IYPDASLLIQNI 0.971 27 DEAVRDITW 0.904 28 PSDLSVFTSY 0.870 29 RLWDFTMNAK 0.962 30 IYNFRLWDF 0.931 31 VQPDSSYTY 0.860 32 RDATASLW 0.952 33 ISDGMDSSAHY 0.920 34 LSDLSLADI 0.811 35 VFHDHTYHL 0.862 36 YWDETLKEF 0.921 37 RSLDCTVKTY 0.816 38 KLTDNSNQF 0.898 39 LPFFTDKTLSF 0.907 40 LSDLTCNNY 0.855 41 NYLLYVSDF 0.994 42 AERDLDVTI 0.961 43 FFTDKTLSF 0.899 44 KENQDHSYSL 0.949 45 YFVDVTTRI 0.962 46 KEVDDTLLVNEL 0.981 47 RLPAADFTRY 0.943 48 FPYYLKIDY 0.84 49 PSDGSMHNY 0.946 50 RSIDVTGQGF 0.910 51 RVDDITDQF 0.965 52 LTEVEKDATALY 0.947 53 SLIDITHGF 0.968 54 QYQDTTVSF 0.959 55 VYTDISHHF 0.998 56 IYLDRTLLTTI 0.889 57 FYDLSIQSF 0.950 58 GTDQTGKGLEY 0.940 59 ILFSDSTRLSF 0.916 60 HVKDATMGY 0.922 61 KAYDQTHLY 0.890 62 HPDLTSMTF 0.873 63 HLYYDVTEK 0.863 64 FHYDDTAGYF 0.970 65 IYQFARLDY 0.944 66 YHDQTISF 0.966 67 QAIDLSLNF 0.941 68 VFDETKNLL 0.903 69 KSYHDQTISF 0.888 70 HPFGYDLTL 0.895 71 VPRNQDESV 0.927 72 DVSDKITFM 0.815 73 DESKYTWSW 0.784 74 LENMYDLTF 0.949 75 QEVDISLHY 0.895 76 TYLPTDASLSF 0.963 77 KPREEQYDSTY 0.897 78 DETIWYVRF 0.953 79 FTDTSSYEY 0.932 80 LTNDQTLRL 0.916 81 VTETMGIDGSAY 0.890 82 VTDVTEEHY 0.899 83 TFVDASRTLY 0.968 84 EVEGVIDGTYDY 0.948 85 EVQDHSTSSY 0.764 86 ILPDITTTY 0.947 87 ITDDTVQTY 0.768 88 WLDRSTILY 0.993 89 HVSDVTVNY 0.889 90 HVDNSNLNY 0.908 91 GVDDTSLLY 0.935 92 GQYDDSLQAY 0.961 93 HADLTTLTF 0.843 94 YSIDVTNVM 0.974 95 VYIDDSVEL 0.985 96 IFVPTDRSL 0.984 97 RYVNDYTNSF 0.853 98 AFDKTIVKL 0.871 99 VYVDTTELAL 0.948 100 EYQDFSTLF 0.946 101 VYLDASKVPGF 0.861 102 IYPDGTLLI 0.968 103 RQDESYLNF 0.941 104 HLFYDVTVF 0.913 105 NPADISVAL 0.945 106 SPKIFDSSW 0.758 107 GEPTSDITLL 0.948 108 DETHTLQF 0.942 109 DETAAYKIM 0.919 110 AESLAVHDI 0.950 111 GEYRCQTDL 0.957 112 AEFFDYTVRTL 0.890 113 TDFTKIASF 0.855

為進一步驗證,使肽經受使用SIL內標肽之CoElution實驗。為此,將SIL肽摻入來自樣品之HLA肽組學提取物中,且使其經受液相層析靶向的質譜學(liquid chromatography-targeted mass spectrometry; LC-MS)以基於光譜相似性以及在滯留時間維度中的CoElution來確認肽身份。必要時,調節所摻入的SIL-肽量至肽比電離因子(在校準曲線中測定)。使用預定義的經靶向MS2掃描事件來執行LC-MS,其利用對SIL-肽及天然肽物種而言不重疊的分離窗以避免共同斷裂。為確認同位素純度及不存在SIL-肽及天然肽之共同斷裂,在含有胰蛋白酶基質之非HLA肽中執行對照實驗,必須確認該基質不存在任何未標記的訊號。藉由CoElution之肽偵測及驗證係藉由基於多個預定義客觀標準進行專家手動核查來測定,該等標準包括SIL肽相較於未標記肽MS2跡線的點積(dot product; dotP)、在多次連續掃描中存在最強烈躍遷及對準的峰頂點。藉由CoElution驗證的肽之列表可見於表12中。For further validation, the peptides were subjected to CoElution experiments using SIL internal standard peptides. To this end, SIL peptides were spiked into HLA peptidomics extracts from samples and subjected to liquid chromatography-targeted mass spectrometry (LC-MS) based on spectral similarity and CoElution in the residence time dimension to confirm peptide identity. If necessary, the amount of SIL-peptide incorporated was adjusted to the peptide ratio ionization factor (determined in the calibration curve). LC-MS was performed using predefined targeted MS2 scan events that utilized non-overlapping separation windows for SIL-peptide and native peptide species to avoid co-fragmentation. To confirm isotopic purity and the absence of co-fragmentation of the SIL-peptide and native peptide, a control experiment was performed in a non-HLA peptide containing a trypsin matrix, which must be confirmed to be free of any unlabeled signal. Peptide detection and validation by CoElution is determined by expert manual verification based on a number of predefined objective criteria, including the dot product (dot product; dotP) of SIL peptides compared to unlabeled peptide MS2 traces , The peak apex with the strongest transition and alignment exists in multiple consecutive scans. A list of peptides validated by CoElution can be found in Table 12.

表12:陽性CoElution實驗之肽 SEQ ID NO 序列   SEQ ID NO 序列 3 IVRDLSCRK   63 HLYYDVTEK 4 YIDDVTLI   68 VFDETKNLL 5 GYIDDVTLI   70 HPFGYDLTL 6 ISDITEKNSGLY   73 DESKYTWSW 13 TANYDTSHY   75 QEVDISLHY 14 WSDWSNPAY   77 KPREEQYDSTY 15 TEGDFTKEASTY   79 FTDTSSYEY 16 VTQDDTGFY   80 LTNDQTLRL 18 GTDKQDSTLRY   82 VTDVTEEHY 20 TSDTSQYDTY   83 TFVDASRTLY 21 APFKDVTEY   84 EVEGVIDGTYDY 22 NLYDWSASY   85 EVQDHSTSSY 25 FTDLITDESINY   86 ILPDITTTY 27 DEAVRDITW   87 ITDDTVQTY 28 PSDLSVFTSY   88 WLDRSTILY 31 VQPDSSYTY   90 HVDNSNLNY 32 RDATASLW   91 GVDDTSLLY 35 VFHDHTYHL   92 GQYDDSLQAY 40 LSDLTCNNY   95 VYIDDSVEL 42 AERDLDVTI   96 IFVPTDRSL 44 KENQDHSYSL   98 AFDKTIVKL 45 YFVDVTTRI   99 VYVDTTELAL 46 KEVDDTLLVNEL   102 IYPDGTLLI 47 RLPAADFTRY   105 NPADISVAL 48 FPYYLKIDY   107 GEPTSDITLL 52 LTEVEKDATALY   110 AESLAVHDI 56 IYLDRTLLTTI   111 GEYRCQTDL 58 GTDQTGKGLEY   112 AEFFDYTVRTL 61 KAYDQTHLY       實例4 MHC I 類呈現肽之體外免疫原性 Table 12: Peptides for positive CoElution experiments SEQ ID NO sequence SEQ ID NO sequence 3 IVRDLSCRK 63 HLYYDVTEK 4 YIDDVTLI 68 VFDETKNLL 5 GYIDDVTLI 70 HPFGYDLTL 6 ISDITEKNSGLY 73 DESKYTWSW 13 TANYDTSHY 75 QEVDISLHY 14 WSDWSNPAY 77 KPREEQYDSTY 15 TEGDFTKEASTY 79 FTDTSSYEY 16 VTQDDTGFY 80 LTNDQTLRL 18 GTDKQDSTLRY 82 VTDVTEEHY 20 TSDTSQYDTY 83 TFVDASRTLY twenty one APFKDVTEY 84 EVEGVIDGTYDY twenty two NLYDWSASY 85 EVQDHSTSSY 25 FTDLITDESINY 86 ILPDITTTY 27 DEAVRDITW 87 ITDDTVQTY 28 PSDLSVFTSY 88 WLDRSTILY 31 VQPDSSYTY 90 HVDNSNLNY 32 RDATASLW 91 GVDDTSLLY 35 VFHDHTYHL 92 GQYDDSLQAY 40 LSDLTCNNY 95 VYIDDSVEL 42 AERDLDVTI 96 IFVPTDRSL 44 KENQDHSYSL 98 AFDKTIVKL 45 YFVDVTTRI 99 VYVDTTELAL 46 KEVDDTLLVNEL 102 IYPDGTLLI 47 RLPAADFTRY 105 NPADISVAL 48 FPYYLKIDY 107 GEPTSDITLL 52 LTEVEKDATALY 110 AESLAVHDI 56 IYLDRTLLTTI 111 GEYRCQTDL 58 GTDQTGKGLEY 112 AEFFDYTVRTL 61 KAYDQTHLY Example 4 In vitro immunogenicity of MHC class I presenting peptides

為獲得關於本發明之TUMAP的免疫原性的資訊,發明人使用基於用載有肽/MHC複合物及抗CD28抗體之人工抗原呈現細胞(artificial antigen presenting cell; aAPC)重複刺激CD8+ T細胞之體外T細胞致敏檢定來執行研究。因此,發明人可展示本發明之MHC I類限制的TUMAP之免疫原性,從而證明該些肽為T細胞抗原決定基,針對其之CD8+前驅T細胞係存在於人類中(表13A至13D)。 CD8+ T 細胞之體外致敏 To obtain information on the immunogenicity of the TUMAPs of the present invention, the inventors used in vitro experiments based on repeated stimulation of CD8+ T cells with artificial antigen presenting cells (aAPCs) loaded with peptide/MHC complexes and anti-CD28 antibodies. T cell sensitization assays to perform studies. Thus, the inventors can demonstrate the immunogenicity of the MHC class I-restricted TUMAPs of the invention, thereby demonstrating that these peptides are T cell epitopes against which CD8+ precursor T cell lines exist in humans (Tables 13A-13D) . In vitro sensitization of CD8+ T cells

為藉由載有肽-MHC複合物(peptide-MHC complex; pMHC)及抗CD28抗體之人工抗原呈現細胞執行體外刺激,發明人首先在知情同意之後,使用自德國曼海姆大學診所獲得的健康供體之CD8微珠(Miltenyi Biotec, Bergisch-Gladbach, Germany),經由陽性選擇來自新鮮的HLA-A*01、HLA-A*24、HLA-B*08或HLA-B*44白血球分離術產品分離CD8+ T細胞。To perform in vitro stimulation by artificial antigen-presenting cells loaded with peptide-MHC complex (pMHC) and anti-CD28 antibody, the inventors first used healthy samples obtained from the University Clinic of Mannheim, Germany, after informed consent. Donor CD8 beads (Miltenyi Biotec, Bergisch-Gladbach, Germany), via positive selection from fresh HLA-A*01, HLA-A*24, HLA-B*08 or HLA-B*44 leukapheresis products CD8+ T cells were isolated.

將PBMC及分離的CD8+淋巴細胞在T細胞培養基(T cell medium; TCM)中孵育直至使用,該T細胞培養基由補充有以下各項的RPMI-Glutamax(Invitrogen, Karlsruhe, Germany)組成:10%熱鈍化人類AB血清(PAN-Biotech, Aidenbach, Germany)、100 U/ml盤尼西林/100 μg/ml鏈黴素(Cambrex, Cologne, Germany)、1mM丙酮酸鈉(CC Pro, Oberdorla, Germany)、20 μg/ml健他黴素(Cambrex)。亦在此步驟將2.5 ng/mL IL-7(PromoCell, Heidelberg, Germany)及10 U/ml IL-2(Novartis Pharma, Nürnberg, Germany)添加至TCM。PBMCs and isolated CD8+ lymphocytes were incubated until use in T cell medium (TCM) consisting of RPMI-Glutamax (Invitrogen, Karlsruhe, Germany) supplemented with 10% heat Passivated human AB serum (PAN-Biotech, Aidenbach, Germany), 100 U/ml penicillin/100 μg/ml streptomycin (Cambrex, Cologne, Germany), 1 mM sodium pyruvate (CC Pro, Oberdorla, Germany), 20 μg /ml Gentamycin (Cambrex). 2.5 ng/mL IL-7 (PromoCell, Heidelberg, Germany) and 10 U/ml IL-2 (Novartis Pharma, Nürnberg, Germany) were also added to the TCM at this step.

在良好限定的體外系統中,每個刺激條件使用四種不同的pMHC分子及每個讀出條件使用8種不同的pMHC分子來執行pMHC/抗CD28塗覆珠粒之產生、T細胞刺激及讀出。Generation of pMHC/anti-CD28-coated beads, T cell stimulation and readout were performed in a well-defined in vitro system using four different pMHC molecules per stimulation condition and eight different pMHC molecules per readout condition out.

如製造商(Perbio, Bonn, Germany)所推薦,使用磺酸基N-羥基琥珀醯亞胺基生物素將純化的共刺激小鼠IgG2a抗人類CD28 Ab 9.3(Jung等人, 1987)以化學方式生物素化。所使用的珠粒為直徑5.6 μM的鏈親和素塗覆的聚苯乙烯粒子(Bangs實驗室,Illinois, USA)。Purified co-stimulatory mouse IgG2a anti-human CD28 Ab 9.3 (Jung et al., 1987) was chemically treated with sulfonated N-hydroxysuccinimidyl biotin as recommended by the manufacturer (Perbio, Bonn, Germany) Biotinylated. The beads used were 5.6 μM diameter streptavidin-coated polystyrene particles (Bangs Laboratories, Illinois, USA).

用於陽性及陰性對照刺激的pMHC分別為A * 02:01/MLA-001(來自經修飾Melan-A/MART-1之肽ELAGIGILTV(SEQ ID NO: 227))及A*02:01/DDX5-001(來自DDX5之YLLPAIVHI,SEQ ID NO: 228)。The pMHCs used for positive and negative control stimulation were A*02:01/MLA-001 (peptide ELAGIGILTV (SEQ ID NO:227) from modified Melan-A/MART-1) and A*02:01/DDX5, respectively -001 (YLLPAIVHI from DDX5, SEQ ID NO: 228).

在4 x 12.5 ng不同的生物素-pMHC存在下,將800.000個珠粒/200 µl塗於96孔板中,洗滌且隨後以200 µl之體積添加600 ng生物素抗CD28。藉由在37℃下,將1x10 6個CD8+ T細胞與2x10 5個經洗滌經塗覆珠粒在補充有5 ng/mL IL-12(PromoCell)之200 µl TCM中共同孵育來在96孔板中起始刺激。隨後將培養基的一半藉由補充有80 U/ml IL-2之新鮮TCM更換且在37℃下繼續孵育4天。執行此刺激循環總共三次。對於每個條件使用8種不同pMHC分子的pMHC多聚物讀出而言,如先前所描述(Andersen等人, 2012)使用二維組合編碼方法,其中次要修飾涵蓋偶合至5種不同的螢光染料。最終,藉由將細胞用活/死的近IR染料(Invitrogen, Karlsruhe, Germany)、CD8-FITC抗體純系SK1(BD, Heidelberg, Germany)及螢光pMHC多聚物染色來執行多聚物分析。為分析,使用配備適當雷射器及過濾器的BD LSRII SORP血細胞計數器。肽特異性細胞係以總CD8+細胞之百分比來計算。使用FlowJo軟體(Tree Star, Oregon, USA)進行多聚物分析之評估。特異性多聚物+ CD8+淋巴細胞之體外致敏係藉由比較陰性對照刺激來偵測。若發現一個健康供體之至少一個可評估體外刺激孔在體外刺激之後含有特異性CD8+ T細胞系(亦即,此孔含有CD8+ T細胞之中的至少1%之特異性多聚物+,且特異性多聚物+細胞之百分比為陰性對照刺激之中值的至少10倍),則對於給定抗原偵測出免疫原性。 癌症肽之體外免疫原性 800.000 beads/200 μl were plated in 96 well plates in the presence of 4 x 12.5 ng different biotin-pMHC, washed and then 600 ng biotin anti-CD28 was added in a volume of 200 μl. in 96-well plates by co-incubating 1x106 CD8+ T cells with 2x105 washed coated beads in 200 μl TCM supplemented with 5 ng/mL IL-12 (PromoCell) at 37°C medium initial stimulus. Half of the medium was then replaced by fresh TCM supplemented with 80 U/ml IL-2 and incubation was continued for 4 days at 37°C. Perform this stimulation cycle a total of three times. For pMHC multimer readouts using 8 different pMHC molecules per condition, a two-dimensional combinatorial encoding approach was used as previously described (Andersen et al., 2012), with minor modifications encompassing coupling to 5 different fluorophores. light dyes. Finally, multimer analysis was performed by staining cells with live/dead near-IR dye (Invitrogen, Karlsruhe, Germany), CD8-FITC antibody clone SK1 (BD, Heidelberg, Germany) and fluorescent pMHC multimers. For analysis, a BD LSRII SORP hemocytometer equipped with appropriate lasers and filters was used. Peptide-specific cell lines were calculated as a percentage of total CD8+ cells. Evaluation of polymer analysis was performed using FlowJo software (Tree Star, Oregon, USA). In vitro sensitization of specific polymer+CD8+ lymphocytes was detected by comparison to negative control stimulation. If at least one evaluable in vitro stimulation well of a healthy donor is found to contain a specific CD8+ T cell line after in vitro stimulation (i.e., this well contains at least 1% of the CD8+ T cells specific multimer+, and Immunogenicity is detected for a given antigen if the percentage of specific polymer+cells is at least 10 times the median value of the negative control stimulation). In vitro immunogenicity of cancer peptides

對於所測試的HLA I類肽而言,體外免疫原性可藉由肽特異性T細胞系之傳代來證明。在對本發明之5種肽的TUMAP特異性多聚物染色之後的示範性流式細胞術結果連同相應陰性對照係展示於第7圖中。來自本發明之12種肽的結果係概述於表13A至13D中。For the HLA class I peptides tested, in vitro immunogenicity was demonstrated by passage of peptide-specific T cell lines. Exemplary flow cytometry results following staining for TUMAP-specific polymers of the five peptides of the invention are shown in Figure 7 along with the corresponding negative controls. Results from the 12 peptides of the present invention are summarized in Tables 13A to 13D.

表13A:本發明之HLA-A*01肽之體外免疫原性Table 13A: In vitro immunogenicity of HLA-A*01 peptides of the invention

藉由申請人對本發明之HLA-A*01限制肽進行的體外免疫原性實驗之示範性結果。指示了體外免疫原性實驗之結果。陽性孔及供體(可評估者之中)的百分比係如所指示的<20 % = +;20 %-49 % = ++;50 %-69 %= +++;>= 70 % = ++++ 來概述。 SEQ ID NO 序列 陽性孔 [%] 14 WSDWSNPAY "+++" 28 PSDLSVFTSY "++" 40 LSDLTCNNY "+" Exemplary results of in vitro immunogenicity experiments performed by applicants on HLA-A*01 restricted peptides of the invention. The results of in vitro immunogenicity experiments are indicated. Percentages of positive wells and donors (among evaluable persons) were as indicated <20%=+;20%-49%=++;50%-69%=+++;>=70%=+ +++ for an overview. SEQ ID NO sequence Positive holes [%] 14 WSDWSNPAY "+++" 28 PSDLSVFTSY "++" 40 LSDLTCNNY "+"

表13B:本發明之HLA-A*24肽之體外免疫原性Table 13B: In vitro immunogenicity of HLA-A*24 peptides of the invention

藉由申請人對本發明之HLA-A*24限制肽進行的體外免疫原性實驗之示範性結果。指示體外免疫原性實驗之結果。陽性孔及供體(可評估者之中)的百分比係如所指示的<20 % = +;20 %-49 % = ++;50 %-69 %= +++;>= 70 % = ++++來概述。 SEQ ID NO 序列 陽性孔[%] 30 IYNFRLWDF + 35 VFHDHTYHL + 41 NYLLYVSDF + 56 IYLDRTLLTTI + Exemplary results of in vitro immunogenicity experiments performed by applicants on HLA-A*24 restricted peptides of the invention. Results of in vitro immunogenicity experiments are indicated. Percentages of positive wells and donors (among evaluable persons) were as indicated <20%=+;20%-49%=++;50%-69%=+++;>=70%=+ +++ to overview. SEQ ID NO sequence Positive holes [%] 30 IYNFRLWDF + 35 VFHDHTYHL + 41 NYLLYVSDF + 56 IYLDRTLLTTI +

表13C:本發明之HLA-B*08肽之體外免疫原性Table 13C: In vitro immunogenicity of HLA-B*08 peptides of the invention

藉由申請人對本發明之HLA-B*08限制肽進行的體外免疫原性實驗之示範性結果。指示體外免疫原性實驗之結果。陽性孔及供體(可評估者之中)的百分比係如所指示的 <20 % = +;20 %-49 % = ++;50 %-69 %= +++;>= 70 % = ++++來概述。 SEQ ID NO 序列 陽性孔[%] 17 DILDRTGHQL + Exemplary results of in vitro immunogenicity experiments performed by applicants on HLA-B*08 restricted peptides of the invention. Results of in vitro immunogenicity experiments are indicated. Percentages of positive wells and donors (among evaluable persons) were as indicated <20%=+;20%-49%=++;50%-69%=+++;>=70%=+ +++ to overview. SEQ ID NO sequence Positive holes [%] 17 DILDRTGHQL +

表13D:本發明之HLA-B*44肽之體外免疫原性Table 13D: In vitro immunogenicity of HLA-B*44 peptides of the invention

藉由申請人對本發明之HLA-B*44限制肽進行的體外免疫原性實驗之示範性結果。指示體外免疫原性實驗之結果。陽性孔及供體(可評估者之中)的百分比係如所指示的<20 % = +;20 %-49 % = ++;50 %-69 %= +++;>= 70 % = ++++來概述。 SEQ ID NO 序列 陽性孔[%] 8 AQDTTYLWW + 27 DEAVRDITW + 32 RDATASLW + 42 AERDLDVTI + 實例5 MHC 結合檢定 Exemplary results of in vitro immunogenicity experiments performed by applicants on HLA-B*44 restricted peptides of the invention. Results of in vitro immunogenicity experiments are indicated. Percentages of positive wells and donors (among evaluable persons) were as indicated <20%=+;20%-49%=++;50%-69%=+++;>=70%=+ +++ to overview. SEQ ID NO sequence Positive holes [%] 8 AQDTTYLWW + 27 DEAVRDITW + 32 RDATASLW + 42 AERDLDVTI + Example 5 MHC binding assay

進一步測試用於根據本發明之基於T細胞的治療的候選肽之MHC結合能力(親和力)。藉由UV-配位體交換來產生個別肽-MHC複合物,其中UV敏感性肽係在UV照射之後分解且由如分析的所關注肽交換。僅可有效地結合且穩定化肽接納性MHC分子的肽候選物防止MHC複合物之解離。為測定交換反應之產率,執行基於穩定化的MHC複合物之輕鏈(β2m)之偵測的ELISA。如Rodenko等人(Rodenko等人, 2006)大體上描述的來執行檢定。Candidate peptides for T cell based therapy according to the invention were further tested for their MHC binding capacity (affinity). Individual peptide-MHC complexes are generated by UV-ligand exchange, wherein UV-sensitive peptides are cleaved after UV irradiation and exchanged for peptides of interest as analyzed. Only peptide candidates that effectively bind and stabilize peptide-accepting MHC molecules prevent dissociation of the MHC complex. To determine the yield of the exchange reaction, an ELISA based on the detection of the light chain (β2m) of the stabilized MHC complex was performed. Assays were performed as generally described by Rodenko et al. (Rodenko et al., 2006).

在室溫下,用PBS中之2 μg/ml鏈親和素塗覆96孔MAXISorp板(NUNC)隔夜,洗滌4次且在37℃下在含有2% BSA之阻斷緩衝液中阻斷1h。將再折疊HLA-A*02:01/MLA-001單體用作標準,其覆蓋15-500 ng/mL之範圍。在阻斷緩衝液中將UV交換反應之肽-MHC單體稀釋100倍。在37℃下降樣品孵育1h,洗滌4次,在37℃下用2 μg/ml HRP接合的抗β2m孵育1h,再次洗滌且用TMB溶液偵測,該TMB溶液係用NH 2SO 4終止。在450 nm處量測吸收。展示高交換產率(較佳地高於50%、最佳地高於75%)之候選肽通常對於抗體或其片段及/或T細胞受體或其片段之傳代及產生而言係較佳的,因為其展示對MHC分子之足夠結合力且防止MHC複合物之解離。 96-well MAXISorp plates (NUNC) were coated with 2 μg/ml streptavidin in PBS overnight at room temperature, washed 4 times and blocked in blocking buffer containing 2% BSA for 1 h at 37°C. The refolded HLA-A*02:01/MLA-001 monomer was used as a standard, which covers the range of 15-500 ng/mL. The peptide-MHC monomer of the UV exchange reaction was diluted 100-fold in blocking buffer. Samples were incubated at 37°C for 1 h, washed 4 times, incubated with 2 μg/ml HRP-conjugated anti-β2m for 1 h at 37°C, washed again and probed with TMB solution quenched with NH2SO4 . Absorption was measured at 450 nm. Candidate peptides exhibiting high exchange yields (preferably higher than 50%, optimally higher than 75%) are generally better for passage and production of antibodies or fragments thereof and/or T cell receptors or fragments thereof. Preferred because it exhibits sufficient binding to MHC molecules and prevents dissociation of MHC complexes.

對於來自本發明之112種肽的MHC-肽結合結果係概述於表14A至G中。The MHC-peptide binding results for the 112 peptides from the invention are summarized in Tables 14A-G.

表14A:MHC I類結合記分。HLA I類限制肽與HLA-A*01:01之結合係藉由肽交換產率來劃定範圍:≧10% = +;≧20% = ++;≧50% = +++; ≧75% = ++++ SEQ ID NO 序列 肽交換 4 YIDDVTLI ++ 6 ISDITEKNSGLY ++++ 7 VTRDDTASY ++ 10 QVDGSLLVI ++ 11 NHITDTSLNLF ++ 12 ITDTSLNLF ++++ 13 TANYDTSHY ++ 14 WSDWSNPAY ++++ 16 VTQDDTGFY ++++ 18 GTDKQDSTLRY ++++ 19 MTDVDRDGTTAY ++++ 20 TSDTSQYDTY +++ 25 FTDLITDESINY ++++ 28 PSDLSVFTSY ++++ 33 ISDGMDSSAHY ++++ 34 LSDLSLADI ++ 37 RSLDCTVKTY +++ 40 LSDLTCNNY ++++ 49 PSDGSMHNY ++++ 50 RSIDVTGQGF ++ 51 RVDDITDQF ++ 52 LTEVEKDATALY ++++ 58 GTDQTGKGLEY +++ 59 ILFSDSTRLSF +++ 60 HVKDATMGY +++ 79 FTDTSSYEY ++++ 80 LTNDQTLRL +++ 81 VTETMGIDGSAY ++++ 82 VTDVTEEHY ++++ 83 TFVDASRTLY ++++ 84 EVEGVIDGTYDY ++++ 85 EVQDHSTSSY ++ 86 ILPDITTTY ++ 87 ITDDTVQTY ++++ 88 WLDRSTILY ++++ 89 HVSDVTVNY ++ 90 HVDNSNLNY ++++ 91 GVDDTSLLY ++++ 92 GQYDDSLQAY ++ 93 HADLTTLTF ++ 94 YSIDVTNVM +++ Table 14A: MHC class I binding scores. Binding of HLA class I restricted peptides to HLA-A*01:01 was delineated by peptide exchange yields: ≧10% = +; ≧20% = ++; ≧50% = +++; ≧75 % = ++++ SEQ ID NO sequence Peptide exchange 4 YIDDVTLI ++ 6 ISDITEKNSGLY ++++ 7 VTRDDTASY ++ 10 QVDGSLLVI ++ 11 NHITDTSLNLF ++ 12 ITDTSLNLF ++++ 13 TANYDTSHY ++ 14 WSDWSNPAY ++++ 16 VTQDDTGFY ++++ 18 GTDKQDSTLRY ++++ 19 MTDVDRDGTTAY ++++ 20 TSDTSQYDTY +++ 25 FTDLITDESINY ++++ 28 PSDLSVFTSY ++++ 33 ISDGMDSSAHY ++++ 34 LSDLSLADI ++ 37 RSLDCTVKTY +++ 40 LSDLTCNNY ++++ 49 PSDGSMHNY ++++ 50 RSIDVTGQGF ++ 51 RVDDITDQF ++ 52 LTEVEKDATALY ++++ 58 GTDQTGKGLEY +++ 59 ILFSDSTRLSF +++ 60 HVKDATMGY +++ 79 FTDTSSYEY ++++ 80 LTNDQTLRL +++ 81 VTETMGIDGSAY ++++ 82 VTDVTEEHY ++++ 83 TFVDASRTLY ++++ 84 EVEGVIDGTYDY ++++ 85 EVQDHSTSSY ++ 86 ILPDITTTY ++ 87 ITDDTVQTY ++++ 88 WLDRSTILY ++++ 89 HVSDVTVNY ++ 90 HVDNSNLNY ++++ 91 GVDDTSLLY ++++ 92 GQYDDSLQAY ++ 93 HADLTTLTF ++ 94 YSIDVTNVM +++

表14B:MHC I類結合記分。HLA I類限制肽與HLA-A*02:01之結合係藉由肽交換產率來劃定範圍:≧10% = +;≧20% = ++;≧50% = +++; ≧75% = ++++ SEQ ID NO 序列 肽交換 53 SLIDITHGF ++++ Table 14B: MHC class I binding scores. Binding of HLA class I restricted peptides to HLA-A*02:01 was delineated by peptide exchange yields: ≧10% = +; ≧20% = ++; ≧50% = +++; ≧75 % = ++++ SEQ ID NO sequence Peptide exchange 53 SLIDITHGF ++++

表14C:MHC I類結合記分。HLA I類限制肽與HLA-A*03:01之結合係藉由肽交換產率來劃定範圍:≧10% = +;≧20% = ++;≧50% = +++;≧75% = ++++ SEQ ID NO 序列 肽交換 3 IVRDLSCRK +++ 22 NLYDWSASY ++ 29 RLWDFTMNAK +++ 47 RLPAADFTRY ++ 61 KAYDQTHLY ++++ 63 HLYYDVTEK +++ Table 14C: MHC class I binding scores. Binding of HLA class I restricted peptides to HLA-A*03:01 was delineated by peptide exchange yields: ≧10% = +; ≧20% = ++; ≧50% = +++; ≧75 % = ++++ SEQ ID NO sequence Peptide exchange 3 IVRDLSCRK +++ twenty two NLYDWSASY ++ 29 RLWDFTMNAK +++ 47 RLPAADFTRY ++ 61 KAYDQTHLY ++++ 63 HLYYDVTEK +++

表14D:MHC I類結合記分。HLA I類限制肽與HLA-A*24:02之結合係藉由肽交換產率來劃定範圍:≧10% = +;≧20% = ++;≧50% = +++;≧75% = ++++ SEQ ID NO 序列 肽交換 1 VHDFTLPSW ++ 2 FFQDSTFSF ++++ 5 GYIDDVTLI +++ 9 IFDETGRF ++ 23 SYDETKIKF + 24 FYDNSVIIF ++ 26 IYPDASLLIQNI ++++ 30 IYNFRLWDF ++++ 35 VFHDHTYHL ++++ 36 YWDETLKEF +++ 38 KLTDNSNQF ++ 41 NYLLYVSDF ++++ 43 FFTDKTLSF ++++ 45 YFVDVTTRI +++ 54 QYQDTTVSF +++ 55 VYTDISHHF ++++ 56 IYLDRTLLTTI ++++ 57 FYDLSIQSF ++++ 64 FHYDDTAGYF + 65 IYQFARLDY ++ 66 YHDQTISF + 67 QAIDLSLNF ++ 68 VFDETKNLL ++ 69 KSYHDQTISF ++++ 76 TYLPTDASLSF ++++ 95 VYIDDSVEL ++++ 96 IFVPTDRSL ++ 97 RYVNDYTNSF ++++ 98 AFDKTIVKL ++ 99 VYVDTTELAL ++++ 100 EYQDFSTLF ++++ 101 VYLDASKVPGF ++++ 102 IYPDGTLLI ++++ 103 RQDESYLNF ++ 104 HLFYDVTVF ++ Table 14D: MHC class I binding scores. Binding of HLA class I restricted peptides to HLA-A*24:02 was delineated by peptide exchange yields: ≧10% = +; ≧20% = ++; ≧50% = +++; ≧75 % = ++++ SEQ ID NO sequence Peptide exchange 1 VHDFTLPSW ++ 2 FFQDSTFSF ++++ 5 GYIDDVTLI +++ 9 IFDETGRF ++ twenty three SYDETKIKF + twenty four FYDNSVIIF ++ 26 IYPDASLLIQNI ++++ 30 IYNFRLWDF ++++ 35 VFHDHTYHL ++++ 36 YWDETLKEF +++ 38 KLTDNSNQF ++ 41 NYLLYVSDF ++++ 43 FFTDKTLSF ++++ 45 YFVDVTTRI +++ 54 QYQDTTVSF +++ 55 VYTDISHHF ++++ 56 IYLDRTLLTTI ++++ 57 FYDLSIQSF ++++ 64 FHYDDTAGYF + 65 IYQFARLDY ++ 66 YHDQTISF + 67 QAIDLSLNF ++ 68 VFDETKNLL ++ 69 KSYHDQTISF ++++ 76 TYLPTDASLSF ++++ 95 VYIDDSVEL ++++ 96 IFVPTDRSL ++ 97 RYVNDYTNSF ++++ 98 AFDKTIVKL ++ 99 VYVDTTELAL ++++ 100 EYQDFSTLF ++++ 101 VYLDASKVPGF ++++ 102 IYPDGTLLI ++++ 103 RQDESYLNF ++ 104 HLFYDVTVF ++

表14E:MHC I類結合記分。HLA I類限制肽與HLA-B*07:02之結合係藉由肽交換產率來劃定範圍:≧10% = +;≧20% = ++;≧50% = +++;≧75% = ++++ SEQ ID NO 序列 肽交換 21 APFKDVTEY +++ 39 LPFFTDKTLSF ++++ 48 FPYYLKIDY +++ 62 HPDLTSMTF ++++ 70 HPFGYDLTL ++++ 71 VPRNQDESV ++++ 105 NPADISVAL ++++ 106 SPKIFDSSW +++ 107 GEPTSDITLL +++ Table 14E: MHC class I binding scores. Binding of HLA class I restricted peptides to HLA-B*07:02 was ranged by peptide exchange yields: ≧10% = +; ≧20% = ++; ≧50% = +++; ≧75 % = ++++ SEQ ID NO sequence Peptide exchange twenty one APFKDVTEY +++ 39 LPFFTDKTLSF ++++ 48 FPYYLKIDY +++ 62 HPDLTSMTF ++++ 70 HPFGYDLTL ++++ 71 VPRNQDESV ++++ 105 NPADISVAL ++++ 106 SPKIFDSSW +++ 107 GEPTSDITLL +++

表14F:MHC I類結合記分。HLA I類限制肽與HLA-B*08:01之結合係藉由肽交換產率來劃定範圍:≧10% = +;≧20% = ++;≧50% = +++;≧75% = ++++ SEQ ID NO 序列 肽交換 17 DILDRTGHQL +++ 72 DVSDKITFM +++ Table 14F: MHC class I binding scores. Binding of HLA class I restricted peptides to HLA-B*08:01 was ranged by peptide exchange yields: ≧10% = +; ≧20% = ++; ≧50% = +++; ≧75 % = ++++ SEQ ID NO sequence Peptide exchange 17 DILDRTGHQL +++ 72 DVSDKITFM +++

表14G:MHC I類結合記分。HLA I類限制肽與HLA-B*44:05之結合係藉由肽交換產率來劃定範圍:≧10% = +;≧20% = ++;≧50% = +++;≧75% = ++++ SEQ ID NO 序列 肽交換 8 AQDTTYLWW ++++ 15 TEGDFTKEASTY +++ 27 DEAVRDITW ++++ 32 RDATASLW ++++ 42 AERDLDVTI ++++ 44 KENQDHSYSL ++++ 46 KEVDDTLLVNEL ++++ 73 DESKYTWSW ++++ 74 LENMYDLTF ++++ 75 QEVDISLHY ++++ 77 KPREEQYDSTY ++++ 78 DETIWYVRF ++++ 108 DETHTLQF ++++ 109 DETAAYKIM +++ 110 AESLAVHDI +++ 111 GEYRCQTDL ++++ 112 AEFFDYTVRTL ++++ 113 TDFTKIASF ++++ 參考文獻清單 Y.等人, BMC.Biotechnol. 11(2011): 124。 Allison, J. P.等人, Science 270(1995): 932-933。 Altrich-VanLith, M. L.等人, J Immunol, 177(2006): 5440-50。 Andersen, M.H.等人, J Immunol, 163(1999): 3812-18。 Anderson, N. L.等人, J Proteome.Res 11(2012): 1868-1878。 Andersen, R. S.等人, Nat Protoc. 7(2012): 891-902。 Appay, V.等人, Eur.J Immunol. 36(2006): 1805-1814。 Arentz-Hansen, H.等人, J Exp Med, 191: 603-12。 Balbás R及Lorence A. 「Methods in Molecular Biology Recombinant Gene Expression, Reviews and Protocols」(2004)。 Banchereau, J.等人, Cell 106(2001): 271-274。 Banker, G. and Rhodes, C. 「Modern Pharmaceutics」, CRC Press(2002)。 Beggs, J. D.等人, Nature 275(1978): 104-109。 Behrens, A. J.等人, Expert Rev Proteomics, 14(2017): 881-90。 Benjamini, Y.等人, Journal of the Royal Statistical Society.Series B(Methodological), Vol.57(1995): 289-300。 Berge, S. M.等人, Journal of Pharmaceutical Science 66(1977):1-19。 Better, M.等人, Science 240(1988): 1041-1043。 Boulianne, G. L.等人 Nature 312(1984):643-646。 Boulter, J. M.等人, Protein Eng 16(2003): 707-711。 Brentville, V. A.等人, Semin Immunol, 47(2020): 101393。 Brossart, P.等人, Blood 90(1997): 1594-1599。 Bruckdorfer, T.等人, Curr.Pharm.Biotechnol. 5(2004): 29-43。 Cabilly, S.等人 Proc Natl Acad Sci 81(1984): 3273-3277。 Cao, L.等人, Nat Commun, 8(2017): 14954。 Card, K. F.等人, Cancer Immunol.Immunother. 53(2004): 345-357。 Cobbold, M.等人, Sci Transl Med, 5(2013): 203ra125。 Cohen, C. J.等人, J Immunol. 170(2003b): 4349-4361。 Cohen, C. J.等人, J Mol.Recognit. 16(2003a): 324-332。 Cohen, S. N.等人, Proc.Natl.Acad.Sci.U.S.A 69(1972): 2110-2114。 Coligan, J. E.等人, Current Protocols in Protein Science(1995)。 Colombetti, S.等人, J Immunol. 176(2006): 2730-2738 Dayhoff, M. O.等人, 「The Atlas of Protein Sequence and Structure」 Natl Biomedical Research(1965)。 De Bousser, E.等人, Hum Vaccin Immunother(2020): 1-15。 Dengjel, J.等人, Clin Cancer Res 12(2006): 4163-4170。 Denkberg, G.等人, J Immunol. 171(2003): 2197-2207。 Falk, K.等人, Nature 351(1991): 290-296。 Ferris, R. L.等人, J Immunol, 162(1999): 1324-32。 Follenzi, A.等人, Nat Genet. 25(2000): 217-222。 Fong, L.等人, Proc.Natl.Acad.Sci.U.S.A 98(2001): 8809-8814。 Forsey, R. W.等人, Biotechnol.Lett. 31(2009): 819-823。 Gabrilovich, D. I.等人, Nat.Med 2(1996): 1096-1103。 Gattinoni, L.等人, Nat.Rev.Immunol. 6(2006): 383-393。 Gennaro, A. 「Remington’s: The Science and Practice of Pharmacy」, Lippincott Williams & Wilkins(1997)。 Gilliland, D. G.等人, Proc Natl Acad Sci 77(1980): 4539 Green, M. R.等人, Molecular Cloning, A Laboratory Manual 4th(2012)。 Greenfield, E. A., Antibodies: A Laboratory Manual 2nd(2014)。 Guo, H. H.等人, Proc Natl Acad Sci 101(25): 9205-9210(2004)。 Gustafsson, C.等人, Trends Biotechnol. 22(2004): 346-353。 Han, X.等人, J Proteome Res, 10(2011): 2930-6。 Harlow, E. & Lane, D. 「Using Antibodies-A laboratory manual」, Cold Spring Harbor Laboratory,(1989)。 Holliger, P.等人 Proc Natl Acad Sci, 90(1993): 6444-6448。 Howard, G. C. & Kaser, M. R. 「Making and Using antibodies: A practical handbook」, CRC Press(2007) Hudrisier, D.等人, J Biol Chem, 274(1999): 36274-80。 Jung, G.等人, Proc Natl Acad Sci U S A. 84(1987): 4611-4615。 Kibbe, A. H., Handbook of Pharmaceutical Excipients rd(2000)。 Knorre, D. G.等人, Acta Naturae, 1(2009): 29-51。 Krieg, A. M., Nat.Rev.Drug Discov. 5(2006): 471-484。 Krolick, K. A.等人, Proc Nat’l Acad Sci 77(1980): 5419。 Kuball, J.等人, Blood 109(2007): 2331-2338。 Liddy, N.等人, Nat.Med. 18(2012): 980-987。 Lin, M. H.等人,Vaccine X, 1(2019): 100017。 Liu,等人, Proc Natl Acad Sci 84(1987):3439-3443 Liu, F. T.等人, Nat Rev Cancer, 5: 29-41。 Ljunggren, H. G.等人, J Exp.Med 162(1985): 1745-1759。 Longenecker, B. M.等人, Ann N.Y.Acad.Sci. 690(1993): 276-291 Lonsdale, J., Nat.Genet. 45(2013): 580-585 Lukas, T. J.等人, Proc.Natl.Acad.Sci.U.S.A 78(1981): 2791-2795 Lundblad, R. L., Chemical Reagents for Protein Modification 3rd(2004) Maher, J.等人, Immunity, 45: 945-46。 Marcilla, M.等人, Mol Cell Proteomics, 13: 462-74。 McGinty, J. W.等人, Curr Diab Rep, 15(2015): 90。 Mei, S., R等人, Mol Cell Proteomics(2020)。 Meziere, C.等人, J Immunol 159(1997): 3230-3237。 Misaghi, S.等人, Chem Biol, 11(2004): 1677-87。 Mondon R等人, Front BioSci 13(2008):1117-1129, 1008。 Morgan, R. A.等人, Science 314(2006): 126-129。 Morrison S. L.等人, Proc Natl Acad Sci(1984): 6851-6855。 Mosse, C. A.等人,J Exp Med, 187(1998): 37-48。 Mueller, L. N.等人, J Proteome.Res. 7(2008): 51-61。 Mueller, L. N.等人, Proteomics. 7(2007): 3470-3480。 Olexiouk, V.等人, Nucleic Acids Res 44(2016): D324-D329。 Ostankovitch, M.等人, J Immunol, 182(2009): 4830-5。 Petersen, J.等人, J Mol Med(Berl), 87(2009): 1045-51。 Pinheiro, J.等人, nlme: Linear and Nonlinear Mixed Effects Models(CRAN.R-project.org/packe=nlme)(2015) Plebanski, M.等人, Eur.J Immunol 25(1995): 1783-1787。 Porta, C.等人, Virology 202(1994): 949-955。 Posey, A. D.等人, Immunity, 44(2016): 1444-54。 Purcell, A.W.等人, Nat. Rev. Drug Discov, 6(2009): 404-14。 Rammensee, H. G.等人, Immunogenetics 50(1999): 213-219 Raposo, B.等人, Nat Commun, 9(2018): 353。 Rini, B. I.等人, Cancer 107(2006): 67-74。 Rock, K. L.等人, Science 249(1990): 918-921。 Rodenko, B.等人, Nat Protoc. 1(2006): 1120-1132。 Rodriguez, E.等人, Nat Rev Immunol, 18(2018): 204-11。 Russell, S. J.等人, Nucl Acids Res 21(1993):1081-1085。 Saiki, R. K.等人, Science 239(1988): 487-491 Schaed, S.G.等人, Clin. Cancer Res, 8: 967-72。 Schmitt, T. M.等人, Hum.Gene Ther. 20(2009): 1240-1248。 Scholten, K. B.等人, Clin Immunol. 119(2006): 135-145。 Seeger, F. H.等人, Immunogenetics 49(1999): 571-576。 Selby, M.等人, J Immunol, 162(1999): 669-76。 Sherman, F.等人, Laboratory Course Manual for Methods in Yeast Genetics(1986)。 Sidney, J.等人, BMC Immunol, 19(2018): 12。 Silva, L. P.等人, Anal.Chem. 85(2013): 9536-9542。 Singh-Jasuja, H.等人, Cancer Immunol.Immunother. 53(2004): 187-195。 Small, E. J.等人, J Clin Oncol. 24(2006): 3089-3094。 Sternberg, N.等人 Proc Natl Acad Sci 92(1995): 1609-1613。 Sturm, M.等人, BMC.Bioinformatics. 9(2008): 163。 Subramanian, R. P.等人, Retrovirology. 8(2011): 90。 Sun, L. K.等人, Proc Natl Acad Sci 84(1987): 214-218。 Teufel, R.等人, Cell Mol.Life Sci. 62(2005): 1755-1762。 Traunecker, A.等人, EMBO 10(1991): 3655-3659。 Walter, S.等人, J.Immunol. 171(2003): 4974-4978。 Walter, S.等人, Nat Med. 18(2012): 1254-1261。 Willcox, B. E.等人, Protein Sci. 8(1999): 2418-2423。 Yan, A., and W. J. Lennarz, J Biol Chem, 280(2005): 3121-4。 Youle, R. J.等人, Proc Natl Acad Sci 77(1980): 5483-5486。 Zaremba, S.等人, Cancer Res. 57(1997): 4570-4577。 Zarling, A.L.等人, Proc. Natl. Acad. Sci. U. S. A, 103(2006): 14889-94。 Zufferey, R.等人, J Virol. 73(1999): 2886-2892。 Table 14G: MHC class I binding scores. Binding of HLA class I restricted peptides to HLA-B*44:05 was ranged by peptide exchange yields: ≧10% = +; ≧20% = ++; ≧50% = +++; ≧75 % = ++++ SEQ ID NO sequence Peptide exchange 8 AQDTTYLWW ++++ 15 TEGDFTKEASTY +++ 27 DEAVRDITW ++++ 32 RDATASLW ++++ 42 AERDLDVTI ++++ 44 KENQDHSYSL ++++ 46 KEVDDTLLVNEL ++++ 73 DESKYTWSW ++++ 74 LENMYDLTF ++++ 75 QEVDISLHY ++++ 77 KPREEQYDSTY ++++ 78 DETIWYVRF ++++ 108 DETHTLQF ++++ 109 DETAAYKIM +++ 110 AESLAVHDI +++ 111 GEYRCQTDL ++++ 112 AEFFDYTVRTL ++++ 113 TDFTKIASF ++++ List of references Y. et al, BMC. Biotechnol. 11(2011): 124. Allison, JP et al., Science 270(1995): 932-933. Altrich-VanLith, ML et al, J Immunol, 177(2006): 5440-50. Andersen, MH et al, J Immunol, 163(1999): 3812-18. Anderson, NL et al, J Proteome. Res 11(2012): 1868-1878. Andersen, RS et al., Nat Protoc. 7(2012): 891-902. Appay, V. et al, Eur. J Immunol. 36(2006): 1805-1814. Arentz-Hansen, H. et al, J Exp Med, 191: 603-12. Balbás R and Lorence A. "Methods in Molecular Biology Recombinant Gene Expression, Reviews and Protocols" (2004). Banchereau, J. et al, Cell 106(2001): 271-274. Banker, G. and Rhodes, C. "Modern Pharmaceutics", CRC Press (2002). Beggs, JD et al., Nature 275(1978): 104-109. Behrens, AJ et al., Expert Rev Proteomics, 14(2017): 881-90. Benjamini, Y. et al., Journal of the Royal Statistical Society. Series B (Methodological), Vol. 57 (1995): 289-300. Berge, SM et al, Journal of Pharmaceutical Science 66(1977): 1-19. Better, M. et al, Science 240(1988): 1041-1043. Boulianne, GL et al. Nature 312(1984):643-646. Boulter, JM et al., Protein Eng 16 (2003): 707-711. Brentville, VA et al, Semin Immunol, 47(2020): 101393. Brossart, P. et al., Blood 90 (1997): 1594-1599. Bruckdorfer, T. et al., Curr. Pharm. Biotechnol. 5(2004): 29-43. Cabilly, S. et al. Proc Natl Acad Sci 81 (1984): 3273-3277. Cao, L. et al, Nat Commun, 8(2017): 14954. Card, KF et al., Cancer Immunol. Immunother. 53 (2004): 345-357. Cobbold, M. et al, Sci Transl Med, 5(2013): 203ra125. Cohen, CJ et al, J Immunol. 170(2003b): 4349-4361. Cohen, CJ et al, J Mol. Recognit. 16(2003a): 324-332. Cohen, SN et al., Proc. Natl. Acad. Sci. USA 69(1972): 2110-2114. Coligan, JE et al., Current Protocols in Protein Science (1995). Colombetti, S. et al, J Immunol. 176(2006): 2730-2738 Dayhoff, MO et al, "The Atlas of Protein Sequence and Structure" Natl Biomedical Research (1965). De Bousser, E. et al, Hum Vaccin Immunother (2020): 1-15. Dengjel, J. et al, Clin Cancer Res 12 (2006): 4163-4170. Denkberg, G. et al, J Immunol. 171 (2003): 2197-2207. Falk, K. et al., Nature 351(1991): 290-296. Ferris, RL et al, J Immunol, 162(1999): 1324-32. Follenzi, A. et al, Nat Genet. 25(2000): 217-222. Fong, L. et al., Proc. Natl. Acad. Sci. USA 98 (2001): 8809-8814. Forsey, RW et al., Biotechnol. Lett. 31 (2009): 819-823. Gabrilovich, DI et al., Nat. Med 2(1996): 1096-1103. Gattinoni, L. et al., Nat. Rev. Immunol. 6(2006): 383-393. Gennaro, A. "Remington's: The Science and Practice of Pharmacy", Lippincott Williams & Wilkins (1997). Gilliland, DG et al, Proc Natl Acad Sci 77 (1980): 4539 Green, MR et al, Molecular Cloning, A Laboratory Manual 4th (2012). Greenfield, EA, Antibodies: A Laboratory Manual 2nd (2014). Guo, HH et al., Proc Natl Acad Sci 101(25): 9205-9210 (2004). Gustafsson, C. et al, Trends Biotechnol. 22(2004): 346-353. Han, X. et al, J Proteome Res, 10(2011): 2930-6. Harlow, E. & Lane, D. “Using Antibodies-A laboratory manual”, Cold Spring Harbor Laboratory, (1989). Holliger, P. et al. Proc Natl Acad Sci, 90 (1993): 6444-6448. Howard, GC & Kaser, MR "Making and Using antibodies: A practical handbook", CRC Press (2007) Hudrisier, D. et al, J Biol Chem, 274(1999): 36274-80. Jung, G. et al, Proc Natl Acad Sci US A. 84(1987): 4611-4615. Kibbe, AH, Handbook of Pharmaceutical Excipients rd (2000). Knorre, DG et al., Acta Naturae, 1(2009): 29-51. Krieg, AM, Nat. Rev. Drug Discov. 5(2006): 471-484. Krolick, KA et al, Proc Nat'l Acad Sci 77(1980): 5419. Kuball, J. et al, Blood 109 (2007): 2331-2338. Liddy, N. et al., Nat. Med. 18(2012): 980-987. Lin, MH et al, Vaccine X, 1(2019): 100017. Liu, et al, Proc Natl Acad Sci 84(1987):3439-3443 Liu, FT et al, Nat Rev Cancer, 5: 29-41. Ljunggren, HG et al, J Exp. Med 162(1985): 1745-1759. Longenecker, BM et al, Ann NY Acad. Sci. 690(1993): 276-291 Lonsdale, J., Nat. Genet. 45(2013): 580-585 Lukas, TJ et al, Proc. Natl. Acad. Sci. USA 78 (1981): 2791-2795 Lundblad, RL, Chemical Reagents for Protein Modification 3rd (2004) Maher, J. et al, Immunity, 45: 945-46. Marcilla, M. et al., Mol Cell Proteomics, 13: 462-74. McGinty, JW et al, Curr Diab Rep, 15(2015): 90. Mei, S., R et al., Mol Cell Proteomics (2020). Meziere, C. et al, J Immunol 159(1997): 3230-3237. Misaghi, S. et al, Chem Biol, 11(2004): 1677-87. Mondon R et al, Front BioSci 13 (2008): 1117-1129, 1008. Morgan, RA et al, Science 314(2006): 126-129. Morrison SL et al, Proc Natl Acad Sci (1984): 6851-6855. Mosse, CA et al, J Exp Med, 187(1998): 37-48. Mueller, LN et al, J Proteome. Res. 7(2008): 51-61. Mueller, LN et al., Proteomics. 7(2007): 3470-3480. Olexiouk, V. et al, Nucleic Acids Res 44 (2016): D324-D329. Ostankovitch, M. et al, J Immunol, 182(2009): 4830-5. Petersen, J. et al, J Mol Med (Berl), 87(2009): 1045-51. Pinheiro, J. et al, nlme: Linear and Nonlinear Mixed Effects Models (CRAN.R-project.org/packe=nlme) (2015) Plebanski, M. et al, Eur. J Immunol 25(1995): 1783-1787 . Porta, C. et al, Virology 202 (1994): 949-955. Posey, AD et al, Immunity, 44(2016): 1444-54. Purcell, AW et al., Nat. Rev. Drug Discov, 6(2009): 404-14. Rammensee, HG et al, Immunogenetics 50(1999): 213-219 Raposo, B. et al, Nat Commun, 9(2018): 353. Rini, BI et al, Cancer 107(2006): 67-74. Rock, KL et al, Science 249(1990): 918-921. Rodenko, B. et al, Nat Protoc. 1(2006): 1120-1132. Rodriguez, E. et al, Nat Rev Immunol, 18(2018): 204-11. Russell, SJ et al, Nucl Acids Res 21 (1993): 1081-1085. Saiki, RK et al, Science 239(1988): 487-491 Schaed, SG et al, Clin. Cancer Res, 8: 967-72. Schmitt, TM et al., Hum. Gene Ther. 20 (2009): 1240-1248. Scholten, KB et al., Clin Immunol. 119 (2006): 135-145. Seeger, FH et al., Immunogenetics 49(1999): 571-576. Selby, M. et al, J Immunol, 162(1999): 669-76. Sherman, F. et al., Laboratory Course Manual for Methods in Yeast Genetics (1986). Sidney, J. et al, BMC Immunol, 19(2018): 12. Silva, LP et al., Anal. Chem. 85(2013): 9536-9542. Singh-Jasuja, H. et al, Cancer Immunol. Immunother. 53 (2004): 187-195. Small, EJ et al, J Clin Oncol. 24(2006): 3089-3094. Sternberg, N. et al. Proc Natl Acad Sci 92 (1995): 1609-1613. Sturm, M. et al., BMC. Bioinformatics. 9(2008): 163. Subramanian, RP et al, Retrovirology. 8(2011): 90. Sun, LK et al., Proc Natl Acad Sci 84(1987): 214-218. Teufel, R. et al., Cell Mol. Life Sci. 62 (2005): 1755-1762. Traunecker, A. et al., EMBO 10 (1991): 3655-3659. Walter, S. et al, J. Immunol. 171 (2003): 4974-4978. Walter, S. et al, Nat Med. 18(2012): 1254-1261. Willcox, BE et al, Protein Sci. 8 (1999): 2418-2423. Yan, A., and WJ Lennarz, J Biol Chem, 280(2005): 3121-4. Youle, RJ et al., Proc Natl Acad Sci 77 (1980): 5483-5486. Zaremba, S. et al, Cancer Res. 57 (1997): 4570-4577. Zarling, AL et al, Proc. Natl. Acad. Sci. US A, 103(2006): 14889-94. Zufferey, R. et al, J Virol. 73(1999): 2886-2892.

none

第1圖展示脫醯胺化肽之抗原加工路徑及其藉由HLA I類之呈現。在轉譯期間,具有醣基化模體N[X^P][ST]之蛋白質在其於ER中之N殘基處變成醣基化的(1)。在其輸出之後,細胞溶質醯胺酶PNG酶移除N-連接寡醣,從而導致脫醯胺化成天冬胺酸鹽(D)(2)。在蛋白酶體中之進一步降解(3)且將肽再次運送至ER中(4)之後,其結合至HLA I複合物(5)。肽-HLA I複合物隨後遵循經典的抗原呈現路徑,易位至細胞膜且在細胞表面上呈現脫醯胺化肽(6)。Figure 1 shows the antigen processing pathway of deamidated peptides and their presentation by HLA class I. During translation, proteins with the glycosylation motif N[X^P][ST] become glycosylated at their N residues in the ER (1). Following its export, the cytosolic amidase PNGase removes N-linked oligosaccharides, resulting in deamidation to aspartate (D) (2). After further degradation in the proteasome (3) and re-delivery of the peptide into the ER (4), it binds to the HLA I complex (5). The peptide-HLA I complex then follows the classical antigen presentation pathway, translocating to the cell membrane and presenting the deamidated peptide on the cell surface (6).

第2圖展示自天冬醯胺酸(N)至天冬胺酸(D)之脫醯胺化反應(第2圖)。Figure 2 shows the deamidation reaction from aspartic acid (N) to aspartic acid (D) (Figure 2).

第3A圖至第3D圖展示各種肽在不同癌症組織相較於正常組織之過度呈現。上方部分:將來自技術性重複量測的中值MS訊號強度針對正常樣品(灰色點,圖式左方部分)及偵測到肽的腫瘤樣品(黑色點,圖式右方部分)繪製為點。方框顯示中值,正規化訊號強度之第25百分位數及第75百分位數,而框鬚(whisker)延伸至仍在下四分位數之1.5四分位距(interquartile range; IQR)內的最低資料點,及仍在上四分位數之1.5 IQR內的最高資料點。下方部分:將每種器官中的相對肽偵測頻率展示為直方圖(spine plot)。圖面下方之數字指示自針對每一器官(對HLA-A*01陽性正常樣品,N > 200;對HLA-A*03陽性正常樣品,N > 210;對HLA-A*24正常樣品,N > 180;對HLA-B*07正常樣品,N > 200;對HLA-B*08陽性正常樣品,N > 90及對HLA-B*44正常樣品,N > 210)或腫瘤適應症(對HLA-A*01陽性癌症樣品,N > 190;對HLA-A*03陽性癌症樣品,N > 180;對HLA-A*24陽性癌症樣品,N > 330;對HLA-B*07陽性癌症樣品,N > 190;對HLA-B*08陽性癌症樣品,N > 100及對HLA-B*44陽性癌症樣品,N > 210)分析的樣品總數中偵測出肽的樣品數目。若在樣品上已偵測到肽但由於技術原因無法定量,則樣品包括此偵測頻率表示中,但在圖式之上方部分中不展示點。組織(從左至右):正常樣品:脂肪(脂肪組織);腎上腺gl(腎上腺);膽管;膀胱;血細胞;血管(bloodvess)(血管(blood vessel));骨髓;腦;乳房;esoph(食管);眼睛;膽bl(膽囊);頭及頸;心臟;intest. la(大腸);intest. sm(小腸);腎;肝;肺;淋巴結;神經cent(中樞神經);神經periph(周邊神經);卵巢;胰腺;parathyr(副甲狀腺);perit(腹膜);pituit(垂體);胎盤;胸膜;前列腺;skel. mus(骨骼肌);皮膚;脊髓;脾;胃;睾丸;胸腺;甲狀腺;氣管;輸尿管;子宮。腫瘤樣品:AML(急性骨髓性白血病);BRCA(乳癌);CCC(膽管細胞癌);CLL(慢性淋巴球性白血病);CRC(結腸直腸癌);GBC(膽囊癌);GBM(神經膠質母細胞瘤);GC(胃癌);GEJC(胃-食管接合癌);HCC(肝細胞癌);HNSCC(頭及頸鱗狀細胞癌);MEL(黑素瘤);NHL(非霍奇金氏淋巴瘤);NSCLCadeno(非小細胞肺癌);NSCLCother(無法明確指派至NSCLCadeno或NSCLCsquam的NSCLC樣品);NSCLCsquam(鱗狀細胞非小細胞肺癌);OC(卵巢癌);OSCAR(食管癌);PACA(胰腺癌);PRCA(前列腺癌);RCC(腎細胞癌);SCLC(小細胞肺癌);UBC(膀胱癌);UEC(子宮內膜癌)。第3A圖)肽:ISDITEKNSGLY (SEQ ID NO: 6)、第3B圖)肽:MTDVDRDGTTAY (SEQ ID NO: 19)、第3C圖)肽:IYLDRTLLTTI (SEQ ID NO: 56)、第3D圖)肽:TYLPTDASLSF (SEQ ID NO: 76)。Figures 3A-3D show the overrepresentation of various peptides in different cancer tissues compared to normal tissues. Upper panel: median MS signal intensity from technical replicate measurements is plotted as dots for normal samples (grey dots, left panel of the graph) and tumor samples with peptide detected (black dots, right panel of the graph) . Boxes show median, 25th percentile and 75th percentile of normalized signal strength, and whiskers extend to 1.5 interquartile range (interquartile range; IQR) still in the lower quartile ), and the highest data point still within 1.5 IQR of the upper quartile. Bottom part: The relative peptide detection frequency in each organ is shown as a spine plot. Numbers at the bottom of the graph indicate from N > 200 for HLA-A*01 positive normal samples; N > 210 for HLA-A*03 positive normal samples; N > 210 for HLA-A*24 normal samples > 180; for HLA-B*07 normal samples, N > 200; for HLA-B*08 positive normal samples, N > 90 and for HLA-B*44 normal samples, N > 210) or tumor indications (for HLA-B*44 normal samples) -A*01 positive cancer samples, N > 190; for HLA-A*03 positive cancer samples, N > 180; for HLA-A*24 positive cancer samples, N > 330; for HLA-B*07 positive cancer samples, N > 190; N > 100 for HLA-B*08 positive cancer samples and N > 210 for HLA-B*44 positive cancer samples) the number of samples with detected peptides in the total number of samples analyzed. If a peptide has been detected on a sample but cannot be quantified for technical reasons, the sample is included in this detection frequency representation, but no points are shown in the upper part of the figure. Tissues (left to right): normal samples: fat (adipose tissue); adrenal gland gl (adrenal gland); bile duct; bladder; blood cells; bloodvess (blood vessel); bone marrow; brain; breast; esoph (esophagus) ); eye; gallbladder bl (gall bladder); head and neck; heart; intest. la (large intestine); intest. sm (small intestine); kidney; liver; lung; ); ovary; pancreas; parathyr (parathyroid); perit (peritoneum); pituit (pituitary); placenta; pleura; prostate; skel. mus (skeletal muscle); skin; spinal cord; spleen; stomach; testis; thymus; thyroid; trachea; ureter; uterus. Tumor samples: AML (acute myeloid leukemia); BRCA (breast cancer); CCC (cholangiocarcinoma); CLL (chronic lymphocytic leukemia); CRC (colorectal cancer); GBC (gallbladder cancer); GBM (glioblastoma) cell tumor); GC (gastric cancer); GEJC (gastric-esophageal junction carcinoma); HCC (hepatocellular carcinoma); HNSCC (head and neck squamous cell carcinoma); MEL (melanoma); NHL (non-Hodgkin's) lymphoma); NSCLCadeno (non-small cell lung cancer); NSCLCother (NSCLC samples that could not be clearly assigned to NSCLCadeno or NSCLCsquam); NSCLCsquam (squamous cell non-small cell lung cancer); OC (ovarian cancer); OSCAR (esophageal cancer); PACA (pancreatic cancer); PRCA (prostate cancer); RCC (renal cell carcinoma); SCLC (small cell lung cancer); UBC (bladder cancer); UEC (endometrial cancer). Panel 3A) Peptide: ISDITEKNSGLY (SEQ ID NO: 6), Panel 3B) Peptide: MTDVDRDGTTAY (SEQ ID NO: 19), Panel 3C) Peptide: IYLDRTLLTTI (SEQ ID NO: 56), Panel 3D) Peptide : TYLPTDASLSF (SEQ ID NO: 76).

第4A圖至第4D圖展示本發明之來源基因之示範性表現分佈,該等來源基因係過度表現於不同癌症樣品中。腫瘤(黑色點)及正常(灰色點)樣品係根據器官起源來分組。方框及框鬚圖表示中值FPKM值,亦即第25百分位數及第75百分位數(方框)加框鬚,該等框鬚延伸至仍在下四分位數之1.5四分位距(interquartile range; IQR)內的最低資料點,及仍在上四分位數之1.5 IQR內的最高資料點。FPKM:每千鹼基每百萬映射度數之片段數。組織(從左至右):正常樣品:脂肪(脂肪組織);腎上腺gl(腎上腺);膽管;膀胱;血細胞;血管(bloodvess)(血管(blood vessel));骨髓;腦;乳房;esoph(食管);眼睛;膽bl(膽囊);頭及頸;心臟;intest. la(大腸);intest. sm(小腸);腎;肝;肺;淋巴結;神經periph(周邊神經);卵巢;胰腺;parathyr(副甲狀腺);perit(腹膜);pituit(垂體);胎盤;胸膜;前列腺;skel. mus(骨骼肌);皮膚;脊髓;脾;胃;睾丸;胸腺;甲狀腺;氣管;輸尿管;子宮。腫瘤樣品:AML(急性骨髓性白血病);BRCA(乳癌);CCC(膽管細胞癌);CLL(慢性淋巴球性白血病);CRC(結腸直腸癌);GBC(膽囊癌);GBM(神經膠質母細胞瘤);GC(胃癌);GEJC(胃-食管接合癌);HCC(肝細胞癌);HNSCC(頭及頸鱗狀細胞癌);MEL(黑素瘤);NHL(非霍奇金氏淋巴瘤);NSCLCadeno(非小細胞肺癌);NSCLCother(無法明確指派至NSCLCadeno或NSCLCsquam的NSCLC樣品);NSCLCsquam(扁平細胞非小細胞肺癌);OC(卵巢癌);OSCAR(食管癌);PACA(胰腺癌);PRCA(前列腺癌);RCC(腎細胞癌);SCLC(小細胞肺癌);UBC(膀胱癌);UEC(子宮內膜癌)。第4A圖) Ensembl ID:ENST00000336375p218,肽:VHNFTLPSW (SEQ ID NO: 114);第4B圖) Ensembl ID:ENST00000264144p359,肽:FFQNSTFSF (SEQ ID NO: 115);第4C圖) Ensembl ID:ENST00000254508p924,肽:IVRNLSCRK (SEQ ID NO: 116);第4D圖) Ensembl ID:ENST00000314191p3305,肽:YIDNVTLI (SEQ ID NO: 117)。Figures 4A-4D show exemplary expression profiles of the source genes of the present invention, which are overexpressed in different cancer samples. Tumor (black dots) and normal (grey dots) samples were grouped according to organ origin. The box and box-whisker plot represents the median FPKM value, i.e. the 25th percentile and the 75th percentile (box) plus box-whiskers that extend to still 1.5% of the lower quartile The lowest data point within the interquartile range (IQR) and the highest data point still within 1.5 IQR of the upper quartile. FPKM: Fragments per kilobase per million degrees of mapping. Tissues (left to right): normal samples: fat (adipose tissue); adrenal gland gl (adrenal gland); bile duct; bladder; blood cells; bloodvess (blood vessel); bone marrow; brain; breast; esoph (esophagus) ); eyes; gallbladder bl (gall bladder); head and neck; heart; intest. la (large intestine); intest. sm (small intestine); kidneys; liver; lungs; lymph nodes; (parathyroid); perit (peritoneum); pituit (pituitary); placenta; pleura; prostate; skel. mus (skeletal muscle); skin; spinal cord; spleen; stomach; testes; thymus; thyroid; trachea; ureter; uterus. Tumor samples: AML (acute myeloid leukemia); BRCA (breast cancer); CCC (cholangiocarcinoma); CLL (chronic lymphocytic leukemia); CRC (colorectal cancer); GBC (gallbladder cancer); GBM (glioblastoma) cell tumor); GC (gastric cancer); GEJC (gastric-esophageal junction carcinoma); HCC (hepatocellular carcinoma); HNSCC (head and neck squamous cell carcinoma); MEL (melanoma); NHL (non-Hodgkin's) lymphoma); NSCLCadeno (non-small cell lung cancer); NSCLCother (NSCLC samples that could not be clearly assigned to NSCLCadeno or NSCLCsquam); NSCLCsquam (squamous cell non-small cell lung cancer); OC (ovarian cancer); OSCAR (esophageal cancer); PACA ( pancreatic cancer); PRCA (prostate cancer); RCC (renal cell carcinoma); SCLC (small cell lung cancer); UBC (bladder cancer); UEC (endometrial cancer). Figure 4A) Ensembl ID: ENST00000336375p218, Peptide: VHNFTLPSW (SEQ ID NO: 114); Figure 4B) Ensembl ID: ENST00000264144p359, Peptide: FFQNSTFSF (SEQ ID NO: 115); Figure 4C) Ensembl ID: ENST00000254508p924, Peptide : IVRNLSCRK (SEQ ID NO: 116); Figure 4D) Ensembl ID: ENST00000314191p3305, Peptide: YIDNVTLI (SEQ ID NO: 117).

第5圖展示對一個示範性肽VYTDISHHF (SEQ ID NO: 55)之IdentControl實驗之結果。肽係藉由在資料依賴獲取(data-dependent acquisition; DDA)模式中比較穩定同位素標記(stable isotope labeled; SIL)的標準之斷裂物的IdentControl確認。身份(Identity)係使用室內測定光譜相關性閾值來確認。Figure 5 shows the results of an IdentControl experiment on an exemplary peptide, VYTDISHHF (SEQ ID NO: 55). Peptides were identified by IdentControl in data-dependent acquisition (DDA) mode comparing stable isotope labeled (SIL) standard fragments. Identity was confirmed using an indoor measured spectral correlation threshold.

第6圖展示用於肽ISDITEKNSGLY (SEQ ID NO: 6)的CoElution實驗之一個示範性結果。肽係藉由使用穩定同位素標記(stable isotope labeled; SIL)的內標及標靶MS(sPRM或IS-PRM)的CoElution確認。使用SIL-肽及天然肽之非重疊MS2分離窗。執行使用非HLA肽組學樣品(例如,胰蛋白酶消化或5% FA)作為基質之對照實驗來確認SIL內標之同位素純度。肽身份係在專家手動核查中基於客觀、預定義的標準來確認。Figure 6 shows an exemplary result of one of the CoElution experiments for the peptide ISDITEKNSGLY (SEQ ID NO: 6). Peptides were confirmed by CoElution using stable isotope labeled (SIL) internal standard and target MS (sPRM or IS-PRM). Non-overlapping MS2 separation windows using SIL-peptides and native peptides. Control experiments using non-HLA peptidomics samples (eg, trypsin digestion or 5% FA) as matrix were performed to confirm the isotopic purity of the SIL internal standard. Peptide identities are confirmed based on objective, predefined criteria in expert manual verification.

第7A圖至第7E圖展示健康HLA-A*01+、A*24+或B*44+供體的肽特異性體外CD8+ T細胞反應之示範性結果。使用塗覆有抗CD28 mAb的人工APC及HLA-A*01、A*24、或B*44與SEQ ID NO: 56 (A,左方圖面)、SEQ ID NO: 28(B,左方圖面)、SEQ ID NO: 30(C,左方圖面)、SEQ ID NO: 32(D,左方圖面)或SEQ ID NO: 14(E,左方圖面)之複合物來致敏CD8+ T細胞。在三個刺激循環之後,藉由用A * 24/SEQ ID NO: 56 (A)、A * 01/SEQ ID NO: 28 (B)、A * 24/SEQ ID NO: 30 (C)、B * 44/SEQ ID NO: 32 (D)或A * 01/SEQ ID NO: 14 (E)進行2D多聚物染色來執行肽反應性細胞之偵測。右方圖面(A、B、C、D及E)展示用與所關注複合物相同異型的不相關HLA/肽複合物刺激的細胞之對照染色。活的單細胞針對CD8+淋巴細胞閘控。布林閘幫助排除用對不同肽為特異性的多聚物所偵測的假陽性事件。指示CD8+淋巴細胞中的特異性多聚物+細胞之頻率。Figures 7A-7E show exemplary results of peptide-specific in vitro CD8+ T cell responses of healthy HLA-A*01+, A*24+ or B*44+ donors. Using artificial APCs coated with anti-CD28 mAb and HLA-A*01, A*24, or B*44 with SEQ ID NO: 56 (A, left panel), SEQ ID NO: 28 (B, left panel) panel), SEQ ID NO: 30 (C, left panel), SEQ ID NO: 32 (D, left panel) or complexes of SEQ ID NO: 14 (E, left panel) sensitive CD8+ T cells. After three stimulation cycles, by using A*24/SEQ ID NO:56(A), A*01/SEQ ID NO:28(B), A*24/SEQ ID NO:30(C),B *44/SEQ ID NO: 32 (D) or A*01/SEQ ID NO: 14 (E) 2D multimer staining was performed to perform detection of peptide reactive cells. The right panels (A, B, C, D and E) show control staining of cells stimulated with unrelated HLA/peptide complexes of the same isotype as the complex of interest. Live single cells are gated against CD8+ lymphocytes. The Brin gate helps exclude false positive events detected with polymers specific for different peptides. The frequency of specific polymer+ cells in CD8+ lymphocytes is indicated.

國內寄存資訊(請依寄存機構、日期、號碼順序註記) 無 國外寄存資訊(請依寄存國家、機構、日期、號碼順序註記) 無 Domestic storage information (please note in the order of storage institution, date and number) none Foreign deposit information (please note in the order of deposit country, institution, date and number) none

Figure 12_A0101_SEQ_0001
Figure 12_A0101_SEQ_0001

Figure 12_A0101_SEQ_0002
Figure 12_A0101_SEQ_0002

Figure 12_A0101_SEQ_0003
Figure 12_A0101_SEQ_0003

Figure 12_A0101_SEQ_0004
Figure 12_A0101_SEQ_0004

Figure 12_A0101_SEQ_0005
Figure 12_A0101_SEQ_0005

Figure 12_A0101_SEQ_0006
Figure 12_A0101_SEQ_0006

Figure 12_A0101_SEQ_0007
Figure 12_A0101_SEQ_0007

Figure 12_A0101_SEQ_0008
Figure 12_A0101_SEQ_0008

Figure 12_A0101_SEQ_0009
Figure 12_A0101_SEQ_0009

Figure 12_A0101_SEQ_0010
Figure 12_A0101_SEQ_0010

Figure 12_A0101_SEQ_0011
Figure 12_A0101_SEQ_0011

Figure 12_A0101_SEQ_0012
Figure 12_A0101_SEQ_0012

Figure 12_A0101_SEQ_0013
Figure 12_A0101_SEQ_0013

Figure 12_A0101_SEQ_0014
Figure 12_A0101_SEQ_0014

Figure 12_A0101_SEQ_0015
Figure 12_A0101_SEQ_0015

Figure 12_A0101_SEQ_0016
Figure 12_A0101_SEQ_0016

Figure 12_A0101_SEQ_0017
Figure 12_A0101_SEQ_0017

Figure 12_A0101_SEQ_0018
Figure 12_A0101_SEQ_0018

Figure 12_A0101_SEQ_0019
Figure 12_A0101_SEQ_0019

Figure 12_A0101_SEQ_0020
Figure 12_A0101_SEQ_0020

Figure 12_A0101_SEQ_0021
Figure 12_A0101_SEQ_0021

Figure 12_A0101_SEQ_0022
Figure 12_A0101_SEQ_0022

Figure 12_A0101_SEQ_0023
Figure 12_A0101_SEQ_0023

Figure 12_A0101_SEQ_0024
Figure 12_A0101_SEQ_0024

Figure 12_A0101_SEQ_0025
Figure 12_A0101_SEQ_0025

Figure 12_A0101_SEQ_0026
Figure 12_A0101_SEQ_0026

Figure 12_A0101_SEQ_0027
Figure 12_A0101_SEQ_0027

Figure 12_A0101_SEQ_0028
Figure 12_A0101_SEQ_0028

Figure 12_A0101_SEQ_0029
Figure 12_A0101_SEQ_0029

Figure 12_A0101_SEQ_0030
Figure 12_A0101_SEQ_0030

Figure 12_A0101_SEQ_0031
Figure 12_A0101_SEQ_0031

Figure 12_A0101_SEQ_0032
Figure 12_A0101_SEQ_0032

Figure 12_A0101_SEQ_0033
Figure 12_A0101_SEQ_0033

Figure 12_A0101_SEQ_0034
Figure 12_A0101_SEQ_0034

Figure 12_A0101_SEQ_0035
Figure 12_A0101_SEQ_0035

Figure 12_A0101_SEQ_0036
Figure 12_A0101_SEQ_0036

Figure 12_A0101_SEQ_0037
Figure 12_A0101_SEQ_0037

Figure 12_A0101_SEQ_0038
Figure 12_A0101_SEQ_0038

Figure 12_A0101_SEQ_0039
Figure 12_A0101_SEQ_0039

Figure 12_A0101_SEQ_0040
Figure 12_A0101_SEQ_0040

Figure 12_A0101_SEQ_0041
Figure 12_A0101_SEQ_0041

Figure 12_A0101_SEQ_0042
Figure 12_A0101_SEQ_0042

Figure 12_A0101_SEQ_0043
Figure 12_A0101_SEQ_0043

Figure 12_A0101_SEQ_0044
Figure 12_A0101_SEQ_0044

Figure 12_A0101_SEQ_0045
Figure 12_A0101_SEQ_0045

Figure 12_A0101_SEQ_0046
Figure 12_A0101_SEQ_0046

Figure 12_A0101_SEQ_0047
Figure 12_A0101_SEQ_0047

Figure 12_A0101_SEQ_0048
Figure 12_A0101_SEQ_0048

Figure 12_A0101_SEQ_0049
Figure 12_A0101_SEQ_0049

Figure 12_A0101_SEQ_0050
Figure 12_A0101_SEQ_0050

Figure 12_A0101_SEQ_0051
Figure 12_A0101_SEQ_0051

Figure 12_A0101_SEQ_0052
Figure 12_A0101_SEQ_0052

Figure 12_A0101_SEQ_0053
Figure 12_A0101_SEQ_0053

Figure 12_A0101_SEQ_0054
Figure 12_A0101_SEQ_0054

Figure 12_A0101_SEQ_0055
Figure 12_A0101_SEQ_0055

Figure 12_A0101_SEQ_0056
Figure 12_A0101_SEQ_0056

Figure 12_A0101_SEQ_0057
Figure 12_A0101_SEQ_0057

Claims (21)

一種肽,包含選自由以下各項組成之群組的胺基酸序列: ●   SEQ ID NO: 1至SEQ ID NO: 113, ●   及其變異體序列,其維持結合至MHC分子之能力及/或誘導T細胞與該變異體肽之交叉反應, 或其醫藥學上可接受的鹽。 A peptide comprising an amino acid sequence selected from the group consisting of: ● SEQ ID NO: 1 to SEQ ID NO: 113, ● and variant sequences thereof, which maintain the ability to bind to MHC molecules and/or induce cross-reactivity of T cells with the variant peptide, or a pharmaceutically acceptable salt thereof. 如請求項1所述之肽,其中 ●   該肽具有結合至MHC I類別分子之能力,及/或 ●   其中該肽在結合至該MHC時能夠藉由CD4及/或CD8 T細胞識別。 The peptide of claim 1, wherein ● The peptide has the ability to bind to MHC class I molecules, and/or ● wherein the peptide can be recognized by CD4 and/or CD8 T cells when bound to the MHC. 如請求項1至2中任一項所述之肽或其變異體,其中該肽或其變異體具有8至30個胺基酸之總長度。The peptide or variant thereof of any one of claims 1 to 2, wherein the peptide or variant thereof has a total length of 8 to 30 amino acids. 如請求項1至3中任一項所述之肽或其變異體,其中該肽包括非肽鍵。The peptide or variant thereof of any one of claims 1 to 3, wherein the peptide comprises a non-peptide bond. 如請求項1至4中任一項所述之肽或其變異體,其中該肽係融合蛋白質的部分。The peptide or variant thereof of any one of claims 1 to 4, wherein the peptide is part of a fusion protein. 一種抗體或其功能片段,其特異性地識別或結合至如請求項1至5中任一項所述之肽或其變異體,或在結合至MHC分子時結合至如請求項1至5中任一項所述之肽或其變異體。An antibody or a functional fragment thereof that specifically recognizes or binds to a peptide or variant thereof as claimed in any one of claims 1 to 5, or when bound to an MHC molecule as in claims 1 to 5 Any one of the peptides or variants thereof. 一種T細胞受體或其功能片段,其與MHC配位體反應或結合至MHC配位體,其中該配位體為如請求項1至5中任一項所述之肽或其變異體,或在結合至MHC分子時為如請求項1至5中任一項所述之肽或其變異體。A T cell receptor or a functional fragment thereof that reacts with or binds to an MHC ligand, wherein the ligand is a peptide or a variant thereof as claimed in any one of claims 1 to 5, or a peptide as claimed in any one of claims 1 to 5 or a variant thereof when bound to an MHC molecule. 一種核酸,其編碼如請求項1至5中任一項所述之肽或其變異體、如請求項6所述之抗體或其片段、或如請求項7所述之T細胞受體或其片段。A nucleic acid encoding the peptide or its variant according to any one of claims 1 to 5, the antibody or its fragment according to claim 6, or the T cell receptor according to claim 7 or its Fragment. 一種重組寄主細胞,其包含如請求項1至5中任一項所述之肽或其變異體、如請求項6所述之抗體或其片段、如請求項7所述之T細胞受體或其片段或如請求項8所述之核酸或表現載體。A recombinant host cell comprising the peptide or variant thereof according to any one of claims 1 to 5, the antibody or fragment thereof according to claim 6, the T cell receptor according to claim 7 or A fragment thereof or a nucleic acid or expression vector as claimed in claim 8. 一種用於產生活化T淋巴細胞之體外方法,該方法包含將T細胞與適合抗原呈現細胞或模擬抗原呈現細胞之人工構築體之表面上表現的載入抗原的人類I類或II類MHC分子體外接觸達足以以抗原特異性方式活化該T細胞的一段時間,其中該抗原為如請求項1至5中任一項所述之肽或其變異體。An in vitro method for the generation of activated T lymphocytes, the method comprising in vitro combining T cells with antigen-loaded human class I or class II MHC molecules expressed on the surface suitable for antigen-presenting cells or artificial constructs that mimic antigen-presenting cells is contacted for a period of time sufficient to activate the T cells in an antigen-specific manner, wherein the antigen is a peptide as claimed in any one of claims 1 to 5 or a variant thereof. 一種藉由如請求項11所述之方法產生的活化T淋巴細胞,其選擇性地識別呈現如請求項1至5中任一項所述之肽或其變異體的細胞。An activated T lymphocyte produced by the method according to claim 11, which selectively recognizes cells presenting the peptide according to any one of claims 1 to 5 or a variant thereof. 一種醫藥組合物,其包含選自由以下各項組成之群組的至少一種活性成分: ●   如請求項1至5中任一項所述之肽或其變異體, ●   如請求項6所述之抗體或其片段, ●   如請求項7所述之T細胞受體或其片段, ●   如請求項8所述之核酸或表現載體, ●   如請求項9所述之寄主細胞, ●   或如請求項10所述之活化T淋巴細胞, 及醫藥學上可接受的載劑。 A pharmaceutical composition comprising at least one active ingredient selected from the group consisting of: ● A peptide or variant thereof as claimed in any one of claims 1 to 5, ● An antibody or fragment thereof as described in claim 6, ● a T cell receptor or fragment thereof as claimed in claim 7, ● The nucleic acid or expression vector as described in claim 8, ● a host cell as claimed in claim 9, ● or activated T lymphocytes as described in claim 10, and a pharmaceutically acceptable carrier. 一種用於產生如請求項1至5中任一項所述之肽或其變異體、如請求項6所述之抗體或其片段、或如請求項7所述之T細胞受體或其片段的方法,該方法包含培養如請求項9所述之寄主細胞,且自該寄主細胞及/或其培養基分離該肽或其變異體、該抗體或其片段或該T細胞受體或其片段。A method for producing a peptide or a variant thereof according to any one of claims 1 to 5, an antibody or a fragment thereof according to claim 6, or a T cell receptor or a fragment thereof according to claim 7 The method of , the method comprising culturing the host cell as claimed in claim 9, and isolating the peptide or variant thereof, the antibody or fragment thereof or the T cell receptor or fragment thereof from the host cell and/or its culture medium. 如請求項1至5中任一項所述之肽或其變異體、如請求項6所述之抗體或其片段、如請求項7所述之T細胞受體或其片段、如請求項8所述之核酸或表現載體、如請求項9所述之寄主細胞、或如請求項11所述之活化T淋巴細胞,其係用於藥物或用於製造藥物。The peptide or its variant as claimed in any one of claims 1 to 5, the antibody or its fragment as claimed in claim 6, the T cell receptor or its fragment as claimed in claim 7, or as claimed in claim 8 The nucleic acid or expression vector, the host cell according to claim 9, or the activated T lymphocyte according to claim 11, are used for medicine or for manufacturing medicine. 一種殺傷一患者中之靶細胞的方法,該等靶細胞呈現包含如請求項1至5中任一項所給出之胺基酸序列的多肽,該方法包含向該患者投予有效量的如請求項11所述之活化T淋巴細胞。A method of killing target cells in a patient, the target cells presenting a polypeptide comprising an amino acid sequence as given in any one of claims 1 to 5, the method comprising administering to the patient an effective amount of The activated T lymphocyte according to claim 11. 如請求項11所述之活化T淋巴細胞,其係 a)用於該殺傷一患者中之靶細胞,該等靶細胞呈現包含如請求項1至5中任一項所給出之胺基酸序列的多肽,或 b)用於製造用於該殺傷此類靶細胞之藥劑。 The activated T lymphocyte according to claim 11, which is a) for use in the killing of target cells in a patient, the target cells presenting a polypeptide comprising an amino acid sequence as given in any one of claims 1 to 5, or b) Use in the manufacture of the agent for killing such target cells. 一種治療一患者之方法,該患者 ●   被診斷為患癌症, ●   罹患癌症,或 ●   有患上癌症之風險, 該方法包含向該患者投予有效量的如請求項1至5中任一項所述之肽或其變異體、如請求項6所述之抗體或其片段、如請求項7所述之T細胞受體或其片段、如請求項8所述之核酸或表現載體、如請求項9所述之寄主細胞、或如請求項11所述之活化T淋巴細胞。 A method of treating a patient, the patient ● Diagnosed with cancer, ● have cancer, or ● risk of developing cancer, The method comprises administering to the patient an effective amount of a peptide or variant thereof as claimed in any one of claims 1 to 5, an antibody or fragment thereof as claimed in claim 6, T as claimed in claim 7 A cell receptor or a fragment thereof, a nucleic acid or expression vector as claimed in claim 8, a host cell as claimed in claim 9, or an activated T lymphocyte as claimed in claim 11. 如請求項1至5中任一項所述之肽或其變異體、如請求項6所述之抗體或其片段、如請求項7所述之T細胞受體或其片段、如請求項8所述之核酸或表現載體、如請求項9所述之寄主細胞、或如請求項11所述之活化T淋巴細胞,其係用於治療一患者,該患者 ●   被診斷為患癌症, ●   罹患癌症,或 ●   有患上癌症之風險, 或用於製造用於該治療此患者之藥劑。 The peptide or its variant as claimed in any one of claims 1 to 5, the antibody or its fragment as claimed in claim 6, the T cell receptor or its fragment as claimed in claim 7, or as claimed in claim 8 The nucleic acid or expression vector, the host cell as claimed in claim 9, or the activated T lymphocyte as claimed in claim 11 are used to treat a patient, the patient ● Diagnosed with cancer, ● have cancer, or ● risk of developing cancer, or for the manufacture of a medicament for the treatment of the patient. 如請求項17所述之方法或如請求項18所述之用於使用的肽、抗體、T細胞受體、核酸、寄主細胞或活化T淋巴細胞,其中該癌症係選自由以下各項組成之群組:急性骨髓性白血病、乳癌、膽管細胞癌、慢性淋巴球性白血病、結腸直腸癌、膽囊癌、神經膠質母細胞瘤、胃癌、胃-食管接合癌、肝細胞癌、頭及頸鱗狀細胞癌、黑素瘤、非霍奇金氏淋巴瘤、非小細胞肺癌、卵巢癌、食管癌、胰腺癌、前列腺癌、腎細胞癌、小細胞肺癌、膀胱癌、及子宮內膜癌。The method of claim 17 or the peptide, antibody, T cell receptor, nucleic acid, host cell or activated T lymphocyte for use as claimed in claim 18, wherein the cancer is selected from the group consisting of Cohorts: acute myeloid leukemia, breast cancer, cholangiocarcinoma, chronic lymphocytic leukemia, colorectal cancer, gallbladder cancer, glioblastoma, gastric cancer, gastroesophageal junction cancer, hepatocellular carcinoma, head and neck squamous cell carcinoma cell carcinoma, melanoma, non-Hodgkin's lymphoma, non-small cell lung cancer, ovarian cancer, esophageal cancer, pancreatic cancer, prostate cancer, renal cell cancer, small cell lung cancer, bladder cancer, and endometrial cancer. 一種套組,其包含: (a)一容器,該容器包含一醫藥組合物,該醫藥組合物含有如請求項12所述之呈溶液或呈凍乾形式的醫藥組合物; (b)視情況,一第二容器,該第二容器含有用於該凍乾製劑的一稀釋劑或重構溶液; (c)視情況,至少一或多種選自由SEQ ID NO: 1至SEQ ID NO: 113組成之群組的肽。 A kit comprising: (a) a container containing a pharmaceutical composition containing the pharmaceutical composition as described in claim 12 in solution or in lyophilized form; (b) optionally, a second container containing a diluent or reconstitution solution for the lyophilized formulation; (c) Optionally, at least one or more peptides selected from the group consisting of SEQ ID NO: 1 to SEQ ID NO: 113. 如請求項20所述之套組,其進一步包含一緩衝液、一稀釋劑、一過濾器、一針、或一注射器中之一或多者。The kit of claim 20, further comprising one or more of a buffer, a diluent, a filter, a needle, or a syringe.
TW110135775A 2020-09-29 2021-09-27 Amidated peptides and their deamidated counterparts displayed by non-hla-a*02 for use in immunotherapy against different types of cancers TW202229312A (en)

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
US202063084919P 2020-09-29 2020-09-29
DE102020125465.2A DE102020125465A1 (en) 2020-09-29 2020-09-29 Amidated peptides and their deamidated counterparts presented by non-HLA-A*02 molecules for use in immunotherapy against various types of cancer
US63/084,919 2020-09-29
DE102020125465.2 2020-09-29
US202163223291P 2021-07-19 2021-07-19
US63/223,291 2021-07-19

Publications (1)

Publication Number Publication Date
TW202229312A true TW202229312A (en) 2022-08-01

Family

ID=78049255

Family Applications (1)

Application Number Title Priority Date Filing Date
TW110135775A TW202229312A (en) 2020-09-29 2021-09-27 Amidated peptides and their deamidated counterparts displayed by non-hla-a*02 for use in immunotherapy against different types of cancers

Country Status (8)

Country Link
EP (1) EP4221741A2 (en)
JP (1) JP2023542998A (en)
KR (1) KR20230079121A (en)
AU (1) AU2021352111A1 (en)
CA (1) CA3193567A1 (en)
IL (1) IL301444A (en)
TW (1) TW202229312A (en)
WO (1) WO2022069579A2 (en)

Family Cites Families (48)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4440859A (en) 1977-05-27 1984-04-03 The Regents Of The University Of California Method for producing recombinant bacterial plasmids containing the coding sequences of higher organisms
US4704362A (en) 1977-11-08 1987-11-03 Genentech, Inc. Recombinant cloning vehicle microbial polypeptide expression
FI86437C (en) 1978-12-22 1992-08-25 Biogen Inc A FRUIT PROCEDURE FOR THE PREPARATION OF A POLYPEPTIDIDE WITH ANTIGENA EGENSKAPERNA HOS ETT HEPATITIS B- VIRUSANTIGEN.
US4530901A (en) 1980-01-08 1985-07-23 Biogen N.V. Recombinant DNA molecules and their use in producing human interferon-like polypeptides
US4342566A (en) 1980-02-22 1982-08-03 Scripps Clinic & Research Foundation Solid phase anti-C3 assay for detection of immune complexes
US4678751A (en) 1981-09-25 1987-07-07 Genentech, Inc. Hybrid human leukocyte interferons
US4766075A (en) 1982-07-14 1988-08-23 Genentech, Inc. Human tissue plasminogen activator
US4582800A (en) 1982-07-12 1986-04-15 Hoffmann-La Roche Inc. Novel vectors and method for controlling interferon expression
US4757006A (en) 1983-10-28 1988-07-12 Genetics Institute, Inc. Human factor VIII:C gene and recombinant methods for production
EP0173494A3 (en) 1984-08-27 1987-11-25 The Board Of Trustees Of The Leland Stanford Junior University Chimeric receptors by dna splicing and expression
GB8422238D0 (en) 1984-09-03 1984-10-10 Neuberger M S Chimeric proteins
US4677063A (en) 1985-05-02 1987-06-30 Cetus Corporation Human tumor necrosis factor
JPS61134325A (en) 1984-12-04 1986-06-21 Teijin Ltd Expression of hybrid antibody gene
US4810648A (en) 1986-01-08 1989-03-07 Rhone Poulenc Agrochimie Haloarylnitrile degrading gene, its use, and cells containing the gene
US4897445A (en) 1986-06-27 1990-01-30 The Administrators Of The Tulane Educational Fund Method for synthesizing a peptide containing a non-peptide bond
EP0590058B1 (en) 1991-06-14 2003-11-26 Genentech, Inc. HUMANIZED Heregulin ANTIBODy
WO1993008829A1 (en) 1991-11-04 1993-05-13 The Regents Of The University Of California Compositions that mediate killing of hiv-infected cells
WO1994021293A1 (en) 1993-03-19 1994-09-29 Duke University Method of treatment of tumors with an antibody binding to tenascin
ES2138662T3 (en) 1993-06-03 2000-01-16 Therapeutic Antibodies Inc PRODUCTION OF ANTIBODY FRAGMENTS.
AUPM322393A0 (en) 1993-12-24 1994-01-27 Austin Research Institute, The Mucin carbohydrate compounds and their use in immunotherapy
EP1241264A1 (en) 1994-12-02 2002-09-18 Chiron Corporation Monoclonal antibodies to colon cancer antigen
US5837234A (en) 1995-06-07 1998-11-17 Cytotherapeutics, Inc. Bioartificial organ containing cells encapsulated in a permselective polyether suflfone membrane
US6805861B2 (en) 1996-01-17 2004-10-19 Imperial College Innovations Limited Immunotherapy using cytotoxic T lymphocytes (CTL)
US5849589A (en) 1996-03-11 1998-12-15 Duke University Culturing monocytes with IL-4, TNF-α and GM-CSF TO induce differentiation to dendric cells
US5922845A (en) 1996-07-11 1999-07-13 Medarex, Inc. Therapeutic multispecific compounds comprised of anti-Fcα receptor antibodies
US6653104B2 (en) 1996-10-17 2003-11-25 Immunomedics, Inc. Immunotoxins, comprising an internalizing antibody, directed against malignant and normal cells
US6406705B1 (en) 1997-03-10 2002-06-18 University Of Iowa Research Foundation Use of nucleic acids containing unmethylated CpG dinucleotide as an adjuvant
US20070020327A1 (en) * 1998-11-10 2007-01-25 John Fikes Inducing cellular immune responses to prostate cancer antigens using peptide and nucleic acid compositions
JP2004503213A (en) 2000-03-27 2004-02-05 テクニオン リサーチ アンド ディベロップメント ファウンデーション リミテッド Single-stranded class I major histocompatibility complex, construct encoding the same and method of producing the same
US20040191260A1 (en) 2003-03-26 2004-09-30 Technion Research & Development Foundation Ltd. Compositions capable of specifically binding particular human antigen presenting molecule/pathogen-derived antigen complexes and uses thereof
CN101712721A (en) 2000-06-05 2010-05-26 阿尔托生物科学有限公司 T cell receptor fusions and conjugates and methods of use thereof
EP2357187A1 (en) 2000-12-12 2011-08-17 MedImmune, LLC Molecules with extended half-lives, compositions and uses thereof
US6992176B2 (en) 2002-02-13 2006-01-31 Technion Research & Development Foundation Ltd. Antibody having a T-cell receptor-like specificity, yet higher affinity, and the use of same in the detection and treatment of cancer, viral infection and autoimmune disease
AU2003216341A1 (en) 2002-02-20 2003-09-09 Dyax Corporation Mhc-peptide complex binding ligands
AU2003271904B2 (en) 2002-10-09 2009-03-05 Adaptimmune Limited Single chain recombinant T cell receptors
WO2004044004A2 (en) 2002-11-09 2004-05-27 Avidex Limited T cell receptor display
GB0304068D0 (en) 2003-02-22 2003-03-26 Avidex Ltd Substances
TW200607523A (en) 2004-06-01 2006-03-01 Domantis Ltd Drug compositions, fusions and conjugates
US8367805B2 (en) 2004-11-12 2013-02-05 Xencor, Inc. Fc variants with altered binding to FcRn
WO2009085462A1 (en) 2007-12-19 2009-07-09 Centocor, Inc. Design and generation of human de novo pix phage display libraries via fusion to pix or pvii, vectors, antibodies and methods
US20090263574A1 (en) 2008-04-21 2009-10-22 Quinn Daniel E Method of restoring an article
US20110318380A1 (en) * 2008-10-01 2011-12-29 Dako Denmark A/S MHC Multimers in Cancer Vaccines and Immune Monitoring
US9840695B2 (en) 2009-04-28 2017-12-12 Agriculture Victoria Services Pty Ltd Plant technology
GB201006360D0 (en) 2010-04-16 2010-06-02 Immatics Biotechnologies Gmbh Method for differentially quantifying naturally processed HLA-restricted peptides for cancer, autoimmune and infectious diseases immunotherapy development
BR112013010213A2 (en) 2010-10-26 2019-09-24 Technion Research & Development Foundation Ltd antibodies that bind soluble t-cell receptor ligands
WO2013057586A1 (en) 2011-10-19 2013-04-25 Oslo Universitetssykehus Hf Compositions and methods for producing soluble t - cell receptors
WO2014071978A1 (en) 2012-11-08 2014-05-15 Roche Diagnostics Gmbh Nucleic acids encoding chimeric polypeptides for library screening
US20140308285A1 (en) 2013-03-15 2014-10-16 Amgen Inc. Heterodimeric bispecific antibodies

Also Published As

Publication number Publication date
JP2023542998A (en) 2023-10-12
CA3193567A1 (en) 2022-04-07
AU2021352111A1 (en) 2023-05-04
IL301444A (en) 2023-05-01
KR20230079121A (en) 2023-06-05
WO2022069579A3 (en) 2022-07-07
WO2022069579A2 (en) 2022-04-07
EP4221741A2 (en) 2023-08-09

Similar Documents

Publication Publication Date Title
US11891427B2 (en) Amidated peptides and their deamidated counterparts displayed by non-HLA-a*02 for use in immunotherapy against different types of cancers
US11833195B2 (en) Amidated peptides and their deamidated counterparts displayed by HLA-A*02 for use in immunotherapy against different types of cancers
US20240132570A1 (en) Amidated peptides and their deamidated counterparts displayed by non-hla-a*02 for use in immunotherapy against different types of cancers
US11957716B2 (en) Peptides displayed by HLA for use in immunotherapy against different types of cancers
TW202229312A (en) Amidated peptides and their deamidated counterparts displayed by non-hla-a*02 for use in immunotherapy against different types of cancers
US20240131131A1 (en) Amidated peptides and their deamidated counterparts displayed by hla-a*02 for use in immunotherapy against different types of cancers
US20220226376A1 (en) Peptides displayed by hla for use in immunotherapy against different types of cancers
CN116724048A (en) Amidated peptides displayed by non-HLA-A-02 for immunotherapy of different types of cancers and deamidated counterparts thereof