US20060024766A1

US20060024766A1 - Bifunctional molecules

Info

Publication number: US20060024766A1
Application number: US11/123,696
Authority: US
Inventors: John Atwell; Peter Devine; Gregory Coia; Alexander Kortt; Gillian Perry; Peter Bundesen
Original assignee: Individual
Current assignee: Individual
Priority date: 1997-12-24
Filing date: 2005-05-05
Publication date: 2006-02-02
Also published as: EP1042459A1; US7026446B1; EP1042459A4; WO1999033965A1; CA2315944A1; JP2002508933A

Abstract

A chimeric antibody conjugate comprising an antigen binding region of a non-human antibody and an immunoglobulin constant region which comprises at least one CH domain or epitope thereof, with the proviso that the constant region is not a naturally occurring FC fragment. A bifunctional molecule for use in labelling an antibody derived from a first species, the bifunctional molecule comprising a binding-region which binds to the antibody of the first species or to one or more groups provided thereon, and a constant region derived from an antibody of a second species, the constant region comprising at least one CH domain or an epitope thereof. The present invention relates to bifunctional molecules and complexes which are useful as positive control reagents in antibody based diagnostic tests. The present invention also relates to polynucleotides encoding these bifunctional molecules, and to diagnostic assays involving the use of these molecules.

Description

FIELD OF THE INVENTION

The present invention relates to bifunctional molecules and complexes which are useful as a positive control reagents in antibody based diagnostic tests. The present invention also relates to polynucleotides encoding these bifunctional molecules, and to diagnostic assays involving the use of these molecules.

BACKGROUND OF THE INVENTION

Infection of humans by many micro-organisms leads to the initiation of a humoral immune response that can be used in the diagnosis of the disease. In the early acute phase of the infection, specific IgM class antibodies are the first to appear in serum 1-4 weeks after the onset of symptoms and last for up to three months. IgG class antibodies appear later and remain elevated throughout the patient's life. Detection of an IgM response is indicative of a recent or current infection, while the presence of an elevated IgG response is a marker for past exposure to the causative agent. Specific IgM or IgG responses to a particular infectious agent can be measured by antibody based diagnostic tests such as ELISA, immiunochromatography, particle agglutination ELISA, biosensor or other similar assays.
These assays require the use of reactive human sera as a positive control. The positive control reagent is usually serum taken from a patient or animal which is known to have a positive reaction to the particular antigen under test. If the test is designed to distinguish between early and late infection (via the differentiation between immunoreactive IgM, for early infection and IgG, for late or previous infection), the positive control serum or reagent should contain immunoreactive antibody of the correct immunoglobulin class.
It is becoming increasingly difficult to source sufficient quantities of immune human sera or plasma, particularly as diagnostic tests for rarer diseases become available. Collection of blood for IgM controls from patients in early stages of infection when clinical symptoms are generally most severe poses significant ethical problems, particularly if the disease primarily affects juveniles. Other drawbacks include the requirement for consistent collections from remote locations, the need to standardise each batch and to check for contamination with infectious agents such as HIV, hepatitis B and hepatitis C. There are also problems in obtaining control sera for specific endemic diseases in communities where the donation of blood or blood products is socially unacceptable.
There is therefore a need for a source of positive control reagents which does not rely on being obtained from human donors.
Hybridoma technology provides a plentiful supply of monoclonal antibodies, but as these are generally of murine origin, they do react with binding reagents used to quantify human antibodies. Intact, functional mouse/human chimeric antibodies have been described in the literature for some time (Boulianne et al. 1984, Nlorrison et al., 1984; Winter et al. 1991). In these constructs the antigen binding function residing in a mouse Fab or Fv fragment has been grafted on to a human Ig backbone and expressed in hebridoma cells. In some cases these reshaped molecules have been designed for human therapy, utilising the effector functions of the human Fc for targeting (Reichmann et al., 1988). Others have been designed as positive control reagent substitutes (Hamilton, 1990, 1991), where V_Hand V_Lregions from a mouse monoclonal antibody of desired specificity have been grafted onto either a human IgG or IgM backbone.
Synthetic positive control reagents are available from a limited number of sources. U.S. Pat. No. 4,929,543 relates to chimeric antibody fragments where Fab or F(ab′)2 fragments of non human origin, with specificity for the desired antigen, are chemically coupled to human Fc fragments in order to confer upon the reactive non-human Fab fragments epitopes recognised by class specific anti human immunoglobulin antisera. This reference does not teach or suggest coupling non-human Fab or F(ab′)2 fragments to individual CH domains in order to provide epitopes for recognition by class specific anti human immunoglobulin antisera. Furthermore, production of the chimeric fragments is entirely by synthetic routes based upon digestion of antibodies, purification of fragments and chemical linking to create the chimera.
Labor Diagnostika GmbH of Heiden, Germany have produced synthetic positive control reagents which are formed by chemical attachments of non human Fab fragments and human Fc fragments onto a latex bead. These attachments confer upon the bead the twin properties required of a positive control reagent—specific antigen binding and human immunoglobulin class specific epitopes.
A process for producing positive control reagents which circumvents the requirement to manipulate full length Fc fragments, or to manipulate VH and V_Lsequences for each new control reagent specificity, is desirable.

SUMMARY OF THE INVENTION

The present inventors have now developed bifunctional molecules which may be used as positive control reagents in antibody based diagnostic tests.
In one aspect of the present invention, the bifunctional molecule is a chimeric antibody conjugate comprising a first region which binds a specific antigen and a second region comprising at least one constant domain sequence derived from a class specific immunoglobulin. This conjugate, which may be used directly as a positive control reagent, avoids the inconvenience of manipulating full length or naturally occurring Fc fragments. Furthermore, the conjugate may be readily produced by recombinant DNA technology.
Accordingly, in a first aspect the present invention provides a chimeric antibody conjugate comprising an antigen binding region derived from a non-human antibody and a constant region which comprises at least one C_Hdomain or epitope thereof, with the proviso that the constant region is not a naturally occurring Fc fragment.
When used herein, “naturally occurring Fc fragment” means a full length naturally occurring Fc fragment which may be derived by proteolytic digestion of an intact antibody molecule. For example, a naturally occurring Fc fragment of IgM will comprise domains C _H2, C _H3 and C_H4, whereas a naturally occurring IgG Fc fragment will comprise C _H2 and C _H3 domains.
By “chimeric” we mean that the constant region is derived from a different species than the antigen binding region.
In a preferred embodiment the non-human antigen binding region comprises or consists of a non-human Fab fragment or part thereof. The non-human antigen binding region may comprise or consist of an scFv fragment.
In a further preferred embodiment the non-human antigen binding region is derived from a mouse.
In a preferred embodiment the constant region is derived from a human antibody. It will be appreciated, however, that the constant region may be a non-human (such as bovine, canine, ovine, equine, feline or caprine) constant region in cases where the chimeric construct is to be used as a positive antibody control in assays involving sera derived from non-human species.
The constant region may consist of a non-naturally occurring combination of Cal domains or epitopes thereof. The constant region may consist of two C_Hdomains of the same type, for example, two C _H3 domains. Alternatively, the constant region may consist of two different domains. The two different domains, or epitopes thereof may be derived from antibodies of different classes. In a preferred embodiment, the constant region consists of a single C_Hdomain.
In a particularly preferred embodiment of the present invention the chimeric antibody conjugate is suitable as a positive IgM control and the constant region comprises one or more C_H3μ domains.
In a further preferred embodiment the non-human antigen binding region binds to an epitope derived from an infectious agent selected from but not limited to dengue virus, rubella virus, herpes virus, palivovirus, human glycophorin, Rickettsia sibirica, Burlkioleria pseudomallei, Salmonella typhi or paratyphi, Leptospira interrogans, Plasmodium falciparum/vivax, Japanese encephalitis virus, Yellow fever virus, Bordetella pertlussis/parapertussis, Candida albicans/kruzei, Varicella zoster virus, HIV, Hepatitis viruses, Human papilloina virus, Epstein-Barr virus, Ross River virus, Brucella aboltis, Human herpesvirus-6, Parvovirus B19, Coxiella burnettii, Herpes simplex viruses 1&2, Rickettsia rickettsii, Conori australis, Rickettsia tsutsugamuushi.
In a second aspect the present invention provides a recombinant polynucleotide molecule comprising a sequence encoding a non-human V_Hregion, a sequence encoding a non-human V_Lregion, a sequence encoding a flexible linker positioned between the V_Hregion sequence and the V_Lregion sequence, and a heterologous sequence encoding a C_Hdomain or epitope thereof.
By “heterologous sequence encoding a C_Hdomain” we mean sequence, encoding a C_Hdomain which is derived from a different species than the sequences encoding the V_Hand V_Lregions.
In a preferred embodiment of the second aspect the heterologous sequence encodes a human CH domain.
By ‘flexible linker’ we mean a region of amino acids of sufficient length and flexibility to allow the V_Hand V_Lpolypeptide regions to dock correctly with respect to each other to form an scFv fragment. The flexible linker may be a polypeptide of between 12 and 30 amino acids in length. Preferably the linker is a polypeptide of about 15 amino acids in length. The linker niav have the sequence GGGGSGGGGSGGGGS.
In a preferred embodiment, the C_Hdomain sequence is linked to the 3 end of the V_Lor V_Hsequence. In this preferred construct the chimeric antibody conjugate is synthesized as a single polypeptide chain which folds to produce two separate functional domains.
In a further preferred embodiment of the second aspect of the invention, the polynucleotide molecule includes a control sequence which directs the synthesis of both the V_Land V_Hpolypeptide regions. The control sequence is preferably an inducible promoter such as the lac promoter.
In a further preferred embodiment the polynucleotide molecule includes a sequence encoding a leader peptide which directs the synthesised polypeptide chains to the host cell periplasm. The leader sequence may be the pel B sequence.
In a third aspect the present invention provides a recombinant polynucleotide molecule comprising a sequence encoding a non-human V_Lregion, a sequence encoding a non-human CL region, a sequence encoding a non-human V_Hregion, a heterologous sequence encoding a C_Hdomain or epitope thereof and optionally a sequence encoding a non-human C _H1 region.
In a preferred embodiment of the third aspect the heterologous sequence encodes a human C_Hdomain.
In a further preferred embodiment of the third aspect of the present invention, the V_Land C_Lsequences are linked together so that the V_Land C_Lregions are expressed as a single polypeptide. In a more preferred embodiment, the V_Hand C _H1 sequences are also linked together so that the V_Hand C _H1 regions are expressed as a single polypeptide.
In a further preferred embodiment of the third aspect the polynucleotide molecule includes a control sequence which directs the synthesis of both the V_L-C_Land V_H-C_Lpolypeptide chains. The control sequence is preferably an inducible promoter such as the lac promoter.
In a further preferred embodiment of the third aspect the polynucleotide molecule includes a sequence encoding a leader peptide which directs the synthesised polypeptide chains to the host cell periplasm. The leader sequence may be the pel B sequence. Preferably, the V_L-C_Land V_H-C _H1 polypeptide chains associate in the host cell periplasm and are stabilised by one or more disulphide bonds between the chains.
In a further preferred embodiment of the third aspect the heterologous C_Hdomain sequence is linked to the V_L-C_Lsequences or the V_H-C_Hsequences so that the expressed heterologous C_Hdomain is attached to the V_L-C_Lpolypeptide or the V_H-C_Hpolypeptide.
In a further preferred embodiment of the third aspect the non-human C _H1 sequence is absent from the recombinant polynucleotide construct. The heterologous C_Hdomain sequence may be linked directly to the nonhuman V_Hsequence to give rise to a chimeric non human V_H-human C_Hpolypeptide chain. This chimeric polypeptide chain may associate with the non-human V_L-C_Lpolypeptide chain to form a chimeric Fab fragment. It will be appreciated that such a chimeric Fab fragment will possess a specific antigen binding region, and a human constant region which provides a recognition site for class specific anti immunoglobulin antibodies.
The polynucleotide molecules of the second or third aspects of the present invention may be incorporated into plasmids or expression vectors which may then be introduced into suitable bacterial, yeast, insect or mammalian host cells.
Accordingly, in a fourth aspect the present invention provides a vector comprising a polynucleotide according to the second or third aspects of the present invention.
In a fifth aspect the present invention provides a bacterial, yeast, insect or mammalian host cell transformed with a vector according to the fourth aspect of the present invention.
In a sixth aspect the present invention provides a method of producing a chimeric antibody conjugate which comprises culturing a host cell according to the fifth aspect of the present invention under conditions enabling the expression of the conjugate and optionally recovering the conjugate.
In a seventh aspect the present invention provides a chimeric antibody conjugate produced by a method according to the sixth aspect of the present invention.
In yet another aspect of the present invention the bifunctional molecule is able to bind to antibodies or antibody-like molecules and thereby label them with epitopes from immunoglobulin constant regions derived from different species. The complex thus formed has the properties of a specific positive antibody control: a ligand binding site with specificity for the antigen, hapten or drug in question and epitopes or domains which are recognised by immunoglobulin binding reagents. The bifunctional molecules of this aspect of the invention may be produced by recombinant DNA technology. Alternatively, recombinant fragments may be linked by conventional chemical coupling technologies.
Accordingly, in an eighth aspect the present invention provides a bifunctional molecule for use in labelling an antibody of a first species, the bifunctional molecule comprising a binding region which binds to the antibody of the first species or to one or more groups provided thereon, and a constant region derived from an antibody of a second species, the constant region comprising at least one CH₁domain or an epitope thereof.
The order of the binding and constant regions on the bifunctional polypeptide is not critical. The order may be either (N terminus)—binding region—constant region—(C terminus) or vice versa, ie (N terminus)—constant region—binding region—(C terminus).
In a ninth aspect the present invention provides a complex formed between (i) an antibody or biologically active fragment thereof derived from a first species and (ii) a bifunctional molecule, the bifunctional molecule comprising a binding region which binds to the antibody of the first species or to one or more groups provided thereon, and a constant region derived from an antibody of a second species, the constant region comprising at least one CH domain or an epitope thereof.
By “biologically active fragment” we mean a fragment which mimics the binding of the antibody derived from the first species to at least one antigenic determinant.
In a preferred embodiment of the eighth and ninth aspects, the binding and constant regions of the bifunctional molecule are separated by a linker molecule. The linker molecule may be a short peptide. Preferably, the linker molecule is a peptide of between 1 and 20 amino acids in length, more preferably between 1 and 10 amino acids in length, and more preferably between 2 and 5 amino acids in length.
In a further preferred embodiment of the eighth and ninth aspects, the binding region is not derived from an antibody. By this we mean that the binding region is preferably not (i) a Fab fragment, (ii) a portion of a Fab fragment, (iii) an ScFv fragment or (iv) a portion of an ScFv fragment.
In one embodiment of the eighth and ninth aspects, the binding region binds directly to the antibody derived from the first species.
In a further preferred embodiment of the eighth and ninth aspects, the binding region is derived from a protein selected from the group consisting of, Stieptococcal protein G (described in Bjorck and Kronvall (1984), and Boyle and Reis (1987), the entire contents of which are incorporated herein by reference) Staphlylococus aureus protein A (described in Uhlen et al. (1984), and Boyle and Reis (1987), the entire contents of which are incorporated herein by reference) and Peptostreptococcus magnus protein L (which is described in Åkerstrom and Björck (1989), the entire contents of which is incorporated herein by reference). In a further preferred emibodiment, the binding region comprises one of the immunoglobulin binding regions of Staphylococcus aureus protein A. The immunoglobulin binding region of Staphylococcus aureus protein A may be fragment B.
Iin a further preferred embodiment of the eighth and ninth aspects, the binding region comprises a mouse Fc γ receptor or fragment thereof. The mouse Fc γ receptor may be selected from the group consisting of FcγRI, which specifically binds monomeric mouse IgG2a; FcγRIII, which binds aggregated IgG1, IgG2a and IgG2b; and FcγRIII, which binds the minor subclass IgG3 (see Heusser et al., 1977; Segal et al., 1978; Unkeless et al., 1988; Hogarth et al., 1987; Kulczycki et al., 1990, the entire contents of which are incorporated herein by reference).
In another preferred embodiment of the eighth and ninth aspects, the binding region comprises a histidine rich glycoprotein (as described in Borza et al., 1996 and Gorgani et al., 1997, the entire contents of which are incorporated herein by reference).
In another embodiment of the eighth and ninth aspects, the binding region binds to one or more groups provided on the antibody of the first species. Preferably, the group(s) is a biotin molecule and the binding region comprises streptavidin (described in Argarafia et al. (1986), U.S. Pat. No. 5,672,691 and U.S. Pat. No. 5,489,528, the entire contents of which are incorporated herein by reference) or a fragment thereof.
In a further preferred embodiment of the eighth and ninth aspects of the present invention, the first species is a rat or a mouse.
In a further preferred embodiment of the eighth and ninth aspects, the antibody of the first species is a monoclonal antibody. In a further preferred embodiment, the antibody of the first species is an IgG antibody.
In a further preferred embodiment of the eighth and ninth aspects, the antibody constant region is not a naturally occurring Fc fragment.
In a further preferred embodiment of the eighth and ninth aspects, the antibody constant region comprises or consists of a non-naturally occurring combination of iminlunoglobulin C_Hdomains or epitopes thereof. The constant region may include or consist of two CH domains of the same type, for example, two C_Hdomains. Alternatively, the constant region may include or consist of two different domains. The two different domains, or epitopes thereof, may be derived from antibodies of different classes. In a preferred embodiment, the constant region consists of a single C_Hdomain.
In a further preferred embodiment of the eighth and ninth aspects, the second species is a human. It will be appreciated, however, that the second species may be non-human (for example, bovine, canine, ovine, equine, feline or caprine) in cases where the bifunctional molecule or complex is to be used as a positive control reagent in assays involving sera derived from non-human species.
In a particularly preferred embodiment of the ninth aspect of the present invention, the bifunctional molecule is suitable for combination with mouse IgG as a positive IgM control and the constant region comprises one or more C_H3μ domains.
In a particularly preferred embodiment of the ninth aspect of the present invention, the bifunctional molecule is bound to a location on the antibody (or fragment thereof) of the first species which does not sig ificantlyvhinder the binding between the antibody (or fragment thereof) and its specific antigen.
In a further preferred embodiment of the complex according to the ninth aspect, the affinity between the binding region and the antibody or biologically active fragment thereof derived from the first species is sufficient to form a stable complex in solution. Preferably, the binding region has a K_Dfor the antibody of less than 10⁻⁶M. Miore preferably, the K_Dis less than 10⁻⁸M and more preferably less than 10⁻⁹M.
In a further preferred embodiment of the eighth and ninth aspects, the antibody constant region is modified in order to facilitate the production of the molecule, or to reduce aggregation of individual bifunctional molecules, without substantially altering the characteristic epitopes of the domain. For example, a cysteine residue usually associated with the formation of an inter-chain disulphide bond may be mutated to serine. In another example, a bifunctional molecule which contains a fragment of Staphylococcal protein A linked to a human Cγ3 domain may aggregate because of the high affinity of the protein A fragment for human IgG constant domains. This aggregation may be circumvented by a substitution His to Arg at position 435. Evidence suggests that the lack of binding of protein A to human IgG subclass 3 is related to the substitution of Arg for His at position 435 (see Deiseilhofer, 1981, the entire contents of which are incorporated herein by reference).
It will be appreciated by persons skilled in the art that within the context of the present invention, the preferred C_Hdomains or epitopes will be dependent on the intended use of the bifunctional molecule. For example, if the bifunctional molecule or complex is to be used as a replacement for positive IgM control sera, the preferred C_Hdomains or epitopes will be C_Hdomains or epitopes. Alternatively, if the bifunctional molecule or complex is to be used as a replacement for positive IgG control sera, the preferred C_Hdomains or epitopes will be a C_Hγ domains or epitopes. If the bifunctional molecule or complex is to be used as a replacement for positive IgA control sera, the preferred C_Hdomains or epitopes will be a C_Hα domains or epitopes.
In a tenth aspect, the present invention provides an isolated polynucleotide encoding a bifunctional molecule according to the eighth aspect of the present invention.
The polynucleotide molecule of the tenth aspect of the present invention may be incorporated into plasmids or expression vectors which may then be introduced into suitable bacterial, yeast, insect or mammalian host cells.
Accordingly, in en eleventh aspect the present invention provides a vector comprising a polynucleotide according to the tenth aspect of the present invention.
In a twelfth aspect the present invention provides a bacterial, yeast, insect or mammalian host cell transformed with a vector according to the eleventh aspect of the present invention.
In a thirteenth aspect the present invention provides a method of producing a bifunctional molecule which comprises culturing a host cell according to the twelfth aspect of the present invention under conditions enabling the expression of the bifunctional molecule and optionally recovering the bifunctional molecule.
In a fourteenth aspect the present invention provides a bifunctional molecule produced by a method according to the thirteenth aspect of the present invention.
In a fifteenth aspect the present invention provides a method of producing a complex according to the ninth aspect which comprises admixing an antibody or biologically active fragment thereof derived from a first species with a bifunctional molecule according to the eighth aspect of the present invention.
Methods for detecting antibodies in biological samples are well known. In general, these methods involve incubation of the sample with (i) a antigenic determinant characteristic of a particular disease, and (ii) an anti human Ig antibody. The antibody measurement is generally compared to a control measurement obtained by incubating the antigenic determinant characteristic of the disease and the anti human Ig antibody with a positive control serum obtained from an individual with the disease. The present inventors have found that the chimeric antibody conjugates of the present invention react in diagnostic tests in a manner similar to class specific positive control serum.
Accordingly, in a sixteenth aspect the present invention provides a method for detecting an antibody in a biological sample which involves comparing the level of detection obtained with the biological sample to the level of detection obtained with a positive control, wherein the positive control comprises a chimeric antibody conjugate according to the first aspect, or a complex according to the ninth aspect.
In a preferred embodiment of the sixteenth aspect of the present invention, the biological sample is a human biological sample.
In a further preferred embodiment of the sixteenth aspect of the present invention the antibodies to be detected are antibodies characteristic of a disease selected from but not limited to dengue fever, Japanese encephalitis, rubella, spotted fever, herpes infection, parvovirus infections, melioidosis, typhoid, leptospirosis, malaria, yellow fever, whooping cough, systemic candidiasis/thrush, chicken pox, shingles, AIDS, hepatitis, liver cancer, cervical cancer, infectious mononucleosis, nasopharvngeal carcinoma, Ross River fever, brucella, exanthum subitum (Sixth disease/Roseola infantum), erythema ingfectiosuin (Fifth disease), Q Fever, cold sores, genital herpes, spotted fever, scrub typhus.
The antibody to be detected in the biological sample may be an antibody of any class. In a preferred embodiment, however, the antibody is an IgM antibody.
The terms “comprise”, “comprises” and “comprising” as used throughout the specification are intended to refer to the inclusion of a stated component or feature or group of components or features with or without the inclusion of a further component or feature or group of components or features.
The invention will now be described in detail by reference to the following non-limiting Figures and Examples.

BRIEF DESCRIPTION OF THE FIGURES

FIG. 1 shows the structure of intact IgG antibody (a) along with the two sub fragments capable of being produced in prokaryotic or lower eukaryotic cells, Fab (b) and scFv (c). The antigen binding region, the location of the CDR loops are indicated.
FIG. 2 illustrates one embodiment of the invention. The single polypeptide chain protein folds into two domains. The scFv region derived from mouse DNA sequences folds to form the specific antigen binding site. The C-domain derived from human DNA sequences of immunoglobulin constant regions folds to provide binding epitopes for heterologous, class specific anti human immunoglobulin sera.
FIG. 3 shows in cartoon form the two region s of the bifunctional binding molecule and illustrates one embodiment of the invention. Also shown is the complex formed between the bifunctional molecule and intact mouse IgG in which the mouse IgG is decorated with antibody C domains, preferably from human immunoglobulin heavy chains.
FIG. 4 shows a further embodiment of the invention in which a complex is formed between the bifunctional molecule and one or more groups introduced onto the antibody of species A. In the embodiment illustrated, the group is biotin, the first region which binds to the group is streptavidin or a fragment thereof and the antibody is mouse IgG.
FIG. 5 illustrates in cartoon form the structure of the bacterial expression plasinid containing the sequence of one embodiment of the invention. The expression cassette contains a chemically inducible promoter, lac, followed by sequence encoding the components of the chimeric protein. The pel B sequence directs the synthesised protein to the cell periplasm, the V_Hand V_Lregions joined by linker sequence are the mouse scFv antibody, and C_His the human immunoglobulin constant domain sequence inserted between the Not I and Sac II sites. FLAG is an octapeptide recognition sequence recognised by the antibody anti FLAG® N12 (Eastman Kodak Co., New Haven, Conn.) used for monitoring expression; stop designates a stop codon and TT designates a transcription terminator. The remainder of the vector is derived from vector pUC19 (Yaniisch-Perron et al., 1985). The entire vector minus the specific inserts is denoted pGC (Coia et al., 1996)
FIG. 6 illustrates the reactivity in ELISA of the 4 different human IgM C_Hdomain constructs linked to the scFv 1C3 (anti-glycophorin). With glycophorin bound to the ELISA well, samples containing the gene product were introduced and incubated for 1 hour at RT. After extensive washing, wells were probed with polyclonal anti human IgM antiserum raised in sheep and labelled with horseradish peroxidase. After 1 hour incubation at RT and extensive washing, ABTS was added for colour development which was read at 405 nm after 20 mins.
FIG. 7 illustrates the reactivity in a dengue IgM capture ELISA of unfractionated periplasm taken from an expression culture of the 13C11 (anti dengue) scFv-C_H3μ domain construct. Positive, negative and calibrator controls were supplied with the test kit (see text) and used as directed: (100 μl per assay) at a dilution of 1/100 in serum diluent. Other reagents were as supplied with the kit. Periplasm was diluted ⅕, 1/10, 1/50 and 1/100. 100 μl of each dilution including undiluted periplasm were added to test wells on the ELISA plate, covered and incubated for 1 hour at 370C. After 4 washes with diluted wash buffer, 100 μl of a combined mixture of stablized dengue virus antigens with peroxidase labelled anti-denigue monoclonal antibody were added and the plate further incubated for 1 hour at 37° C. After 6 washes with diluted wash buffer, 100 μl TMB solution was added and colour development proceeded for 10 mins. 100 μl Stop solution was then added and the colour read at 450 nm.
Negative, Calibrator and Positive refer to serum controls supplied with the test. Peri, peri ⅕-peri 1/100 refer to test samples c6 ntaining the 13C11 (anti dengue) scFv-C_H3μ domain construct. Peri neg control is derived from a culture of 1C3(antiglycophorin)-C_H3μ domain chimera (Example 1).
FIG. 8 shows the DNA sequence of the expression cassette (from pGC vector) containing fragment B from Staphylococcus aureus Protein A joined via a short linker to the human IgM heavy chain C_H3μ domain, together with a terminal FLAG® tag sequence, pel B leader and trp A terminator.
FIG. 9 shows in cartoon form the constituents of the ELISA used to demonstrate the binding of various mouse IgG subclasses to the bifunctional linking reagent described in Example 1 which has bound to iminobilised polyclonal anti human IgM antibody, raised in sheep.
FIG. 10 shows the verified sequence of an expression cassette in pGC comprising the pel B leader sequence, core streptavidin, human IgM C _H3 domain and FLAG® tag.
FIG. 11 shows results from size exclusion chromatography on Superdex200 of a sample containing refolded Streptavidin-C_H3μ in phosphate buffered saline. Flow rate was 0.5 ml/min.

DETAILED DISCLOSURE OF THE INVENTION

In one aspect the present invention relates to a recombinant chimeric antibody molecule. One region of this chimeric molecule comprises an antigen binding region derived from an antibody.
Fragments of antibody molecules containing predominantly antigen binding regions have been synthesized using prokaryote or lower eukaryote expression systems (eg bacterial or yeast cells) (see, for example, PCT/AU93/00491, the entire disclosure of which is incorporated herein by reference). The antigen binding site is composed of amino acid residues formed in up to six surface loops at the extremity of the molecule. The loops on the outer domain are termed complementarity determining regions (CDRs) and provide the specificity of binding of the antibody to the antigenic target, by variation in the amino acid composition of these surface loops. The antigen binding regions of both intact IgG and sub-fragments are illustrated in FIG. 1.
In order to stabilise the paired associations of the V_Hand V_Lregions produced by such cultures, these regions may be expressed as one continuous polypeptide chain where there is a region of amino acids of sufficient length and flexibility interspersed between the C-terminus of one domain and the N-terminus of the other to allow the two domains to dock correctly with each other to correctly position the CDR loops. Methods of manufacture of covalently linked single chain Fv fragments are disclosed in U.S. Pat. No. 4,946,778. U.S. Pat. No. 5,132,405 and WO 94/07921 the entire contents of which are incorporated herein by reference.
Alternatively, the antigen binding domains can be produced as Fab fragments where two polypeptide chains Vet —C _H1 and V_L-C_Lare synthesised separately froni mouse gene sequences and the subsequent formation of heavy and light chain fragment pairs are stabilised by a disulphide bond between the two chains. (See, for example, Better et al., 1988, Skerra, 1993, Dolezal et al., 1995, the entire contents of which are incorporated herein by reference). A preferred source of paired V_Hand V_Lgenes for the formation of antigen binding domains is cDNA prepared from mRNA isolated from mouse monoclonal antibody cell lines.
In one preferred embodiment the chimeric antibody conjugate is a polypeptide chain which, when expressed in E. coli, yeast or mammalian cells from a single gene construction, folds to produce two separate functional domains, as shown in FIG. 2. The first domain binds a specific antigen, and the second domain contains a specific immunoglobulin constant domain sequence (epitope) which may be recognised and bound by antibodies, prepared in rabbits, sheep or other such animal, by imniunisation with class specific human immunoglobulins.
The first functional domain may consist of an antigen binding domain, formed by paired antibody V_Hand V_Lregions either a) linked in active conformation via a flexible peptide linker as in a scFv molecule or b) linked to mouse Cl₁and CL domains as in a Fab antibody fragment. The flexible linker used to link the V_Hand V_Lregions as in a scFv molecule may be a polypeptide of between 12 and 30 amino acids in length (Hustonet al., 1991). The V_Hand V_Lgene sequences which code for the antibody V_Hand V_Lregions may be amplified via PCR from cDNA of non-human origin (usually prepared from a mouse monoclonal antibody cell line producing antibody with binding specificity for the antigen being assayed in the diagnostic test in question). Any antigen binding specificity may be incorporated in this domain in either the Fab or scFv conformation. Preferably, a mouse monoclonal antibody cell line exists with that specificity or a V_H/V_Lpair has been selected from an antibody phage library with binding specificity for that particular antigen.
The second functional domain may consist of either a single heavy chain constant domain or several in tandem which display binding sites (epitopes) for class specific polyclonal anti: immuunoglobtilin antisera, also known as capture antibodies. The C_Hregion gene sequences may be amplified via PCR from cDNA prepared from mRNA isolated from peripheral blood lymphocytes. The C_Hregions can be from any of the immunoglobulin heavy chain genes, (those for IgM, IgG, IgA, IgD, IgE) and the gene product from the particular C_Hregion is bound by the class specific anti immunoglobulin antiserum.
It will be appreciated that chimeric antibody conjugates of the present invention are capable of reacting in diagnostic tests in a manner similar to a class specific positive control serum. The chimeric conjugate will bind to a specific antigen, and will in turn be bound by the class specific capture antibodies which determine its immunoglobulin. An advantage of the conjugates of the present invention is that they may be produced in large quantities, free of contaminants, by recombinant DNA technology.
In yet another aspect the present invention relates to a bifunctional molecule which is able to bind to antibodies or antibody-like molecules and thereby label them with epitopes from immunoglobulin constant regions derived from different species. Preferably, the bifunctional molecule is a single polypeptide chain which when expressed in E. coli, yeast or mammalian cells folds to produce two separate functional domains, as shown in FIG. 3. The first domain preferably binds to a specific region of an antibody, for example, mouse IgG, and the second domain contains a specific immunoglobulin constant domain sequence (epitope) which may be recognised and bound by antibodies, prepared in rabbits, sheep or other such animal, by immunisatioin with class specific human immunoglobulins.
The affinity of binding between the binding region and antibody is preferably sufficient to form a stable complex in solution between mouse IgG and the bifunctional molecule. The region on the antibody to which the bifunctional molecule binds is preferably in a location which will not sterically hinder the binding between the mouse IgG antibody binding site and its specific antigen.
In one embodiment, the binding region binds to a group provided on the antibody. This particular embodiment is illustrated in FIG. 4, in which the binding region comprises streptavidin or a fragment thereof and the antibody is mouse IgG.
The invention will be described in detail by reference to the followinig non-limiting examples.

EXAMPLE 1

Production of a C-Domain (IgM) Extended scFv
The gene sequences of the four constant domains (C domains) of human IgM heavy chain were separately amplified from cDNA prepared from mRNA isolated from human peripheral blood lymphocytes using polymerase chain reaction techniques. The design of the oligonucleotide primers used in the amplifications was based upon the 5′ and 3′ base sequence of each of the four IgM heavy chain exons, obtained through GENBANK accession X14940 (Dorai and Gillies, 1989).
In the primers, specific restriction enzyme recognition sequences were added (NotI at the 5′ end and SacII at the 3′ end) to each exon sequence to facilitate the introduction of the C domain sequence at a specific site in a previously constructed plasmid expression vector. The expression cassette of this E. coli plasmid vector (pGC; Coia et al., 1996) contained V_Hand V_Lsequences from the mouse monoclonal antibody cell line 1C3, (Rylatt et al., 1990, WO91/04492) with binding specificity for human glycophorin. These were arrayed in the scFv format, with the 3′ end of the V_Hsequence linked to the V_Lsequence via a 45 bp sequence which coded for the protein sequence GGGGSGGGGSGGGGS. In the synthesized protein, this flexible linker region allows the correct docking of V_Hwith V_L. The site for the introduction of the heavy chain exon was at the 3′ end of the mouse V_Lsequence without any intervening sequence, save that for the restriction sites, as shown in FIG. 5. Fragments were ligated together using the normal protocols and the ligation mix used to transform E. coli strain XL1-Blue by electroporation.
Recombinant protein was produced from positively transformed colonies of the four different constructions (each with a different IgM C-domain sequence) by induction of the plasmid lac promoter with 0.5 mM IPTG in log phase cultures grown at 30° C. After a further 4 hours incubation at 25° C., the cell pellet was harvested by centrifugation, and the contents of the cell periplasin isolated using the protocol of Minsky et al. (1986).
The periplasmic fraction was assayed by ELISA for the presence of protein molecules with the following properties —1) the ability to bind to immobilised glvcophorin on the ELISA plate and 2) a target for the binding of horseradish peroxidase-labelled polyclonal anti human IgM serum (prepared in sheep. Silenus Laboratories. Melbourne Australia). The results in FIG. 6 show that the construction with IgNI constant domain 3 (C_H3μ) gave the strongest reaction with the labelled polyclonal antiserum to human IgNi. This was followed by domain C_H2μ, with domains C_H4μ and C_H1μ showing the weakest reactions. It was a surprising observation that the majority of the reactivity of the polyclonal antiserum was directed to one domain of the IgM heavy chain. Thus, for this particular polyclonal antiserum directed against human IgM, the construct scFv-C_H3μ is a molecule with the preferred properties of a substitute for a positive human serum control.
A scFv with binding specificity for human glycophorin was solely used to demonstrate the present invention. As will be appreciated by persons skilled in this field, the antigen binding portion of the conjugate may be replaced with binding specificities to other antigenic entities which are the focus of a wide range of diagnostic test applications.

EXAMPLE 2

Construction of Extended scFv (13C11 Antidengue) Linked to a Human IgM C Domain

The reagent was produced from a DNA construct in which the coding region for a mouse scFv directed against dengue virus was genetically linked to that of the third constant domain of human IgM heavy chain (C_H3μ), cDNA was prepared from mRNA isolated from the mouse monoclonal antibody cell line 13C11, which specificity for Dengue virus surface antigens (Queensland University of Technology and PanBio Pty Ltd.). Immunoglobulin V_Hand V_Ldomain DNA sequences were amplified from the cDNA using polymerase chain reaction and oligonucleotide primer sets according to Zhou et al. (1994). These were linked in the scFv format V_H-linker-V_L, where the linker was a 45 bp nucleic acid sequence coding for the protein sequence GGGGSGGGGSGGGGSGGGGS. The resultant fragment was digested with restriction endonucleases Nco I and Not I and purified by agarose gel electrophoresis. The expression vector as described in Example 1 which contained the 1C3 (antiglycophorin) scFv-C_H3μ domain sequence was also digested with Nco I and Not I to excise the coding sequence for the 1C3 scFv. The remainder of the vector (plus C domain coding sequence) was purified and ligated with the digested 13C11 (anti dengue) scFv coding region uising standard protocols. This ligated DNA was then used to transform E. coli strain XL1-Blue by electroporation. Positive colonies were verified both by DNA sequencing and small scale protein expression.
E. coli strain TOPP6 (Stratagene. La Jolla, Calif.) was transformed with purified plasmid DNA from a verified clone and used for protein expression. 500 ml of 2×YT medium (1.0% Yeast extract, 1.6% Bacto Tryptone. 1.0% NaCl) supplemented with ampicillin at 200-Lg/ml was inoculated with an overnight culture of the transformed TOPP6 cells and incubated at 370C with agitation until the A₆₀₀had reached 1.0. IPTG (isopropylthiogalactoside) was added to a concentration of 0.5 mM to induce the expression of the chimeric gene construct. The culture was shaken for a further 4 hours at a 25° C. Cells were harvested by centrifugation and the periplasmic contents isolated using the protocol of Minsky et al. (1986).
Dilutions of the unfractionated periplasm were analysed in the Dengue IgM Capture ELISA kit (PanBio Ltd, Windsor, QLD, Australia: Sang et al., 1998) using positive, negative and calibrator serum controls as supplied in the kit. In the assay, human IgM antibodies are captured by surface bound polyclonal anti human IgM antiserum (Silenus), and incubated with soluble dengue antigens plus a peroxidase labelled, dengue antigen-specific monoclonal antibody, to reveal the presence of dengue specific antibodies.
The results are shown in FIG. 7. The periplasm fractions reacted positively, with the neat, ⅕ and 1/10 dilutions giving higher absorbance readings at 450 nm than the normal control. At 1/50, the periplasm still gave an absorbance reading greater than the calibrator control, which marks the cut-off between positive and negative reactions. It was calculated that an absorbance reading equivalent to the positive control would have been obtained from a periplasnm dilution of 1/30. Periplasm from a culture of an unrelated chimera (1C3-C_H3μ, anti-glycophorin, see Example 1) showed no positive reaction in this test.

EXAMPLE 3

Construction of Extended scFv (13C11 Anti Dengue) Linked to a Human IgG C-Domain

The gene sequences of human IgG constant domains 2 and 3 were separately amplified from cDNA from mRNA isolated from human peripheral blood lymphocytes using polymerase chain reaction techniques. The design of the oligonucleotide primers used in the amplifications were based upon the 5′ and 3′ sequences for each of the heavy chain exons obtained through Genbank accession no E06998.
Sequences coding for NotI and SacII restriction sites were added to the 5′ and 3′ end respectively of the C_H2γ and C_H3γ sequences to enable the insertion into pGC 13C11-C_H3μ from which the C_H3μ sequence had been removed as a NotI-SacIh fragment.
Expression in E. coli and purification of product was performed as described in Example 2. The presence of product in the periplasmic fraction was confirmed by analysis of samples by polyacrylamide gel electrophoresis and Western blotting, probing the FLAG® tag using mouse anti FLAG® M2 antibody (Hopp et al., 1988) The products were denoted 13C11q2y and 13C11C_H3γ respectively.
PanBio Indirect Dengue ELISA using 13C11C_H2γ and 13C11CH3γ

Periplasmic samples containing 13C11C_H2γ and 13C11C_H3γ were diluted 1/10 in PBS/0.05% Tween 20 and 100 μl loaded in duplicate on an ELISA plate coated with dengue antigens (PanBio Dengue Indirect ELISA Kit Cat DET500) and incubated for 1 hour at 37° C. Controls included PBS/Tween 20 as negative control and positive IgG control serum which was probed with both anti human IgM and IgG antibodies. After 6 washes with PBS/0.05% Tween20, samples and controls were then probed with either sheep anti human IgM or IgG labelled with horseradish peroxidase (Silenus/AMRAD, Melbourne) at 1:1000 dilution in PBS/0.05% Tween20. The plate was incubated at 37° C. for 1 hour then washed 6 times as previously. 100 μl TMB reagent, supplied with the kit, was added to each well, the plate incubated at room temperature for 10 min. then the reaction was stopped by the addition of 100 μl 1M phosphoric acid. Colour intensity was read at 450 nm. The results are shown in Table 1.

	TABLE 1


	Absorbance 450 nm

	HRP-anti	HRP-anti Human
	Human IgG	IgM

13C11 CH3γ Periplasm 1/10	1.684, 1.670	0.111, 0.109
13C11 CH2γ Periplasm 1/10	0.500, 0.586	0.133, 0.113
Human IgG (Dengue Positive) 1/100	0.971, 0.940	0.202, 0.361
PBS/0.05% Tween 20	0.308, 0.261	0.112, 0.275

Both 13C11C_H3γ and 13C11C_H2γ extended scFvs show a positive reaction above background in this ELISA, the results with the 13C11 C_H3γ periplasin being comparable or better than the Human IgG dengue positive control. The reaction with the construct containing the human IgG C_H3γ domain gave a stronger response than with the C_H2γ domain indicating that extended scFvs with a C_H3γ domain would be the preferred construct for use as a replacement IgG positive control.

EXAMPLE 4

Production of a Bifunctional Molecule Containing the B Fragment of Staphylococcal Protein A Linked to a Human IgM C-Domain (FB-C_H3μ)

The gene sequence for fragment B of Protein A (FB) from Staphylococcus aureus was amplified from chromosomal DNA prepared from strain ATCC 2592.3 using polymerase chain reaction techniques. The design of the oligonucleotide primers used in the amplification was based upon the 5′ and 3′ base sequences as reported by Uhlen et al. (1984), also GENBANK accession J01786. In the primers specific restriction enzyme recognition sites were added NcoI at the 5′ end and NotI at the 3′ end to facilitate the introduction at a specific site in a previously constructed plasmid expression vector (pGC; Coia et al., 1996).
In this vector the sequence encoding a human IgNI C domain (C_H3μ) had previously been inserted as a NotI-SacII fragment. A short sequence encoding the three, amino acids Ser, Asp, Pro was included downstream of the FB fragment and before the Not I site to introduce some flexibility between the FB domain and the human C_H3μ domain. The Human C_H3μdomain had previously been amplified from cDNA prepared from mRNA isolated from human peripheral blood lymphocytes using polymerase chain reaction techniques, using oligonucleotides based upon the 5′ and 3′ sequences of the domain obtained through GENBANK accession X14940 (Dorai and Gillies, 1989). We have demonstrated herein that human IgM C domain 3 (C_H3μ) contains the major reactive epitopes which are bound by several polyclonal and monoclonal anti human Iglo antisera capture reagents. Fragments were ligated together using standard ligation protocols and the ligation mix then used to transformi E. coli strain XL1 Blue by electroporation. The complete DNA sequence of the expression cassette comprising the pel B leader sequence, fragment B of S. aureus Priotein A, human C_H3μ domain, and FLAG® (a tag recognition sequence, Hopp et al., 1988) was verified by using automatic DNA sequencing methods and is shown in SEQ ID NO: 2 and FIG. 8.
Recombinant protein was produced from positively transformed E. coli colonies by induction of the lac promoter with 0.2 mM IPTG (isopropyl β-d-thio galactoside) in log phase cultures grown at 37° C. Cultures were induced at a A₆₀₀of 1.5-2 and incubated for a further 16 hours at 18° C. The cell pellet was then harvested by centrifugation and the contents of the cell periplasm isolated using the protocol of Minsky et al. (1986).
Analysis of the periplasmic fraction by polyacrylamide gel electrophoresis and Western blot probed with mouse anti FLAG® N12 antibody revealed the presence of a FLAG-tagged component in the periplasm with an approximate molecular weight (NIr) of 20 ktD. The periplasmic fraction was then assayed by ELISA to reveal the presence of protein molecules with the following properties:
1. The ability to bind to polyclonal anti human IgM antibody prepared in sheep and immobilised on the ELISA.
2. The ability to bind to intact mouse IgG as detected by the addition of goat anti mouse IgG antibody, labelled with horseradish peroxidase which reacts with TNB (3′,3′,5′,5′,-tetramethylbenzidine) to produce a coloured product measured at 450 nm.

Property 1 was demonstrated by an ELISA in which crude periplasm was reacted with immobilised polyclonal anti human IgM capture antibody, then probed with mouse anti FLAG® antibody together with goat anti mouse IgG labelled with horseradish peroxidase to detect the C terminal FLAG tag. ELISA plate wells were coated with polyclonal sheep anti human IgM antiserum (Sang et al., 1998), blocked with 5% Skim milk powder in PBS at 37° C. for 1.5 hours. Between each addition step, the wells were washed 10 times with PBS-0.05% Tween 20. Each addition (100 μl) was incubated for 20 min at room temperature. NIouse anti FLAG® (Eastman Kodak Co. New Haven. CT) was used at 1 μg/ml in PBS-0.05% Tween 20. Goat anti mouse IgG Fc-HRP was used at 0.16 μg/irn in PBS-0.05% Tween 20. Colour was developed by the addition of 100 μl TNFB reagent (3′,3′,5′,5′,-tetramethylbenzidine plus H₂O₂), incubation at room temperature for 10 mins followed by the addition of 100 μM Phosphoric acid, and incubation at room temperature for 10 mins. Wells were then read at 450 nm in an ELISA micro plate reader. The results are shown in Table 2.

TABLE 2


1st addition	2nd addition	3rd addition	A450

Periplasm	mouse anti	Goat anti-mouse Ig	>3.000 (4 wells)
	FLAG ®	HRP
PBS	mouse anti	Goat anti-mouse Ig	0.124 ± 0.008 (3
	FLAG ®	HRP	wells)
PBS	PBS	Goat anti-mouse Ig	0.094
		HRP

The positive result could arise from a combination of the binding of anti FLAG via the FLAG epitope, or the binding of the mouse IgG with the FB domain on the bifunctional molecule. Regardless of the proportional contributions from either of these reactions, the result demonstrates that the bifunctional molecule can be captured by anti human IgM capture antibodies.

Property 2 was tested using an ELISA sandwich as shown in FIG. 9. Four mouse IgG subclasses were each individually tested for their ability to bind to the bifunctional molecule. Reagents were from AlvA, Melbourne, Australia (Mouse IgG1: 12CONT01 batch WD12A; IgG2a: 12CONT02 batch UI17A; IgG2b: 121LA01 batch UK18A; IgG3 Rota Ser4 batch UKO7-B1). Each was diluted to 1 μg/ml with PBS/0.05% Tween20 before use. The control linker reagent FB-C_H3μ was diluted serially from 1/20 to 1/320 and 100 μl loaded into ELISA wells coated with stabilised sheep anti-human IgM (PanBio Pty Ltd) and incubated for 1 hour at 37° C. After 6 washes with PBS/0.05% Tween20 100 μl of each diluted mouse IgG subclass was added and the plate incubated a further hour at 37° C. After 6 washes in PBS/0.05% Tween20, 100 μl HRP-labelled goat anti mouse IgG Fc (Pierce Chemical Co. Rockford, Ill.) was added at 0.16 μg/ml, the plate then incubated for 1 hour and washed 6 times. The reaction was developed with 100 μl TNIB solution for 10 min. stopped by adding 100 μl 1M phosphoric acid and the absorbance read at 450 nm. The results are shown in Table 3.

TABLE 3


Dilution of
Control linker	Mouse	Mouse	Mouse	Mouse
reagent	IgG1	IgG 2a	IgG 2b	IgG3
FBCH3μ
	1 μg/ml	1 μg/ml	1 μg/ml	1 μg/ml

1/20	2.425	1.134	0.762	0.599
1/40	2.007	0.555	0.787	0.489
1/80	2.010	0.776	0.578	0.289
1/160	1.429	0.581	0.399	0.373
1/320	1.123	0.320	0.309	0.302
PBS	0.260
	(av of 3)

These results show that under the conditions of the reaction, the binding of mouse IgG subclasses to the control linker reagent is ranked in the following order: IgG1, IgG2a, IgG2b, IgG3, from highest to lowest. Control reagents formed using a Staphylococcus protein A fragment B-C domain linker would be most successful if mouse IgG1 is used to form the complex. It will be appreciated by those skilled in the art that if the subclass of the mouse monoclonal antibody is IgG3, a front end domain other than protein A would preferably be used to produce the bifunctional molecule. Suitable alternatives are described in the “Summary of the Invention” section of this specification.
The bifunctional molecule was separated from other periplasmic components by affinity chromatography on matrix bound mouse anti FLAG® antibody. The fraction which bound to the column was eluted with 0.1 M Glycine HCl pH 3.0 then adjusted to neutrality with saturated Tris. The bifunctional molecule (denoted FB-C_H31) was concentrated to a final concentration of approx 1.2 mg/mil and used in an indirect ELISA test.
Human Herpes Virus 6 (HHV6) Indirect ELISA

Tissue culture supernatant containing mouse monoclonal antibody to HHV6 was diluted 1/50 in PBS-0.05% Tween 20 and added to ELISA plates previously coated with HBV6 antigen and incubated at 37° C. for 30 min. After. 4 washes with PBS-Tween, FB-C_H3μ was added to subsequent wells in doubling dilutions from 1/20 to 1/1280 in similar diluent and incubated a further 30 mins at 37° C. After 4 washes with diluent, polyclonal sheep anti human Iglvi labelled with horseradish peroxidase (AvIAD, Mielbourne, 1/1500) was added and incubated 20 min at 37C. Wells were washed 6 times with PBS and the peroxidase reaction was developed using 100 μl TDIB solution (3′,3′,5′,5′-Tetramethylbenzidine; BioChem ImmunoSystems Italia SPA) for 10 mills and the reaction stopped by the addition of 100 μl 1M Phosphoric acid. Results are presented in Table 4. The results demonstrate an effective positive reaction to dilutions as great as 1/80.

	TABLE 4


	Dilution of FB-C_H3μ	A₄₅₀

	No FB-C_H3μ (zero)	0.050
	1/20	0.771
	1/40	0.512
	1/80	0.384
	1/160	0.197
	1/320	0.139
	1/640	0.087
	1/1280	0.079

Use of FB-C _H3 μl Control Linker in AMRAD Hepatitis E Antibody Indirect ELISA

The control linker FB-C_H3μ was mixed with mouse IgG1 monoclonal antibody to the conformational epitope of Hepatitis E virus (Ref code 2E2) and used in an indirect ELISA test, comnparing the response to positive and negative serum controls provided with the test kit (AMRAD, Melbourne, Vic). The control linker sample was partially purified and concentrated from material located in the periplasmic fraction. The control linker and mouse HEV antibody were mixed prior to the assay such that there was a dilution series of mouse monoclonal antibody from 0 to 50 μg/ml at control reagent dilutions of 1:10 and 1:50. The human positive control was seriallv diluted from 1/200 and the negative control diluted 1/200 with serum diluent supplied with the kit. Samples were added to an ELISA plate (A1NRAD hepatitis E virus coated plates batch #1401H037) and incubated at room temperature for 30 min. After 3 washes with PBS/0.05% Tween20, 100 μl anti-human IgM-HRP conjugate (Silenus; 1:10,000) was added, incubated a further 30 min at room temperature, washed 3 times and TNIB substrate added. After 10 min incubation, the reaction was stopped with 1M sulphuric acid and the plate read at 450 nm. The results are shown in Table 5.

TABLE 5


	Control reagent	Positive Control
2E2 Mab	Dilution	Dilution Series

conc (μg/ml)	1:10	1:50	Dilution	A450

50	2.92	1.828	1/200	2.745
25	2.931	1.795	1/400	2.135
10	2.880	1.772	1/800	1.525
5	2.900	1.703	1/1600	0.799
2	2.378	1.312	1/3200	0.505
1	2.112	0.792	1/6400	0.296
0	0.025	0.023	1/12800	0.168
			Negative Control	0.103
			1/200

These results show that Premixed FB-C_H3μ control linker/mouse monoclonal antibody can serve as a suitable positive IgM1 control in the AMRAD HEV ELISA assay.
Levels which give comparable A450 to serum controls are:

- Control Linker 1/10+Mab 2 μg/ml
- Control Linker 1/50+Mab 50 μg/ml.

No significant background problems are observed indicating that this is a viable option to serum controls in the HEV assay.

EXAMPLE 5

Production of a Bifunctional Molecule Containing the B Fragment of Staphylococcal Protein A linked to a Human IgG C-Domain

The gene sequences of human IgG constant domains 2 and 3 were separately amplified from cDNA prepared from imNA isolated from human peripheral blood lymphocytes using polymerase chain reaction techniques. The design of the oligonucleotide primers used in the amplifications was based upon the 5′ and 3′ sequences for each of the heavy chain exons, obtained through Genibank accessioni no E06998.
Whereas Staphylococcal protein A (SPA) exhibits a stronger affinity for human IgG1, 2 and 4 than for mouse IgG subclasses, binding to human IgG3 is negligible (Reis et al, 1984). It has been suggested that the substitution of histidine with arginine at position 435 in IgG3 prevents the binding to Protein A (Deisenhofer, 1981). Therefore in order to minimise any self aggregation of a bifunctional construct between Fragment B of SPA and human IgG C domains, it would be preferable to have any C3γ domain sequence contain the IgG3 mutation, Ar. It is not possible to selectively amplify IgG3 constant region sequences from cDNA because of the close homology of the 5′ and 3′ terminal sequences between all human IgG subclasses. Consequently the mutation was performed subsequent to the amplification and cloning using the QuikChange™ Site Directed mutagenesis kit (Stratagene, La Jolla, Calif.).
Sequences coding for NotI and SacI sites were added to the 5′ and 3′ end respectively of C_H2γ and C_H3γ sequences to enable insertion into the expression vector pGC FB-C_H3μ, shown in FIG. 8, from which the C_H3μ sequence was removed as a NotI-SaclI fragment.
Expression in E. coli and purification of product was performed as described in Example 4.
PanBio IgG Indirect Dengue ELISA using FB-C_H2γ and FB-C_H3γ Control Linkers
Test samples were unfractionated periplasmic fractions containing FB-C_H2γ and FB-C_H3γ control linkers from 500 ml expression cultures. Samples were used neat or diluted 1:10 in PBS/0.05% Tween 20.
Mouse anti dengue monoclonal antibody was clone 13C11 (IgG2a) obtained from PanBio Ltd (Windsor, Qld) at 1.6 mg/ml and used at a final concentration of 1.6 μg/ml diluted in PBS/0.05% Tween 20.
The human positive serum control containing anti dengue IgG antibodies was obtained from PanBio Ltd and is identical to what is supplied in their commercial dengue ELISA test. It was used at a dilution of 1:100 in PBS/0.05% Tween 20.
HRP-labelled sheep anti human IgG (lot TJ19B) was from Silenus/AMv1RAD (Melbourne) and used at a dilution of 1:1000 in PBS/0.05% Tween 20.
The ELISA plate coated with dengue antigens was as supplied by PanBio in their commercial Dengue ELISA test. It was used without further blocking. All incubations were for 1 hour at 37° C. followed by 3×2 min washes with PBS/0.05% Tween 20.

The first layer of the ELISA contained 100 μl 13C11 mouse anti dengue monoclonal antibody; control wells contained PBS/0.05% Tween 20. Following incubation and washing as described the samples containing FB-C_H2μ and FB-C_H3γ were added. Controls contained either human anti dengue IgG serum 1:100 or PBS/0.05% Tween 20. Following incubation and washing, HRP-labelled sheep anti human IgG 1:1000 was added. After incubation and washing, 100 μl TMB solution (containing H₂O₂) was added and incubated for 10 min at room temperature to develop the colour reaction. 100 μl M phosphoric acid was added to stop the reaction and the plate read in a micro plate reader at 450 nm. Results are shown in Table 6.

	TABLE 6


	A450

13C11mAb + FB-C_H3γ periplasm	1.475	1.220
PBS-Tween + FB-C_H3γ periplasm (control)	0.564
13C11mAb + FB-C_H3γ periplasm 1:10	0.901	0.825
PBS-Tween + FB-C_H3γ periplasm 1:10 (control)	0.268
13C11mAb + FB-C_H2γ periplasm	0.856	0.814
PBS-Tween + FB-C_H2γ periplasm (control)	0.411
13C11mAb + FB-C_H2γ periplasm 1:10	0.545	0.521
PBS-Tween + FB-C_H2γ periplasm 1:10 (control)	0.279
PBS-Tween + human anti dengue IgG positive	0.930	0.922
control 1:100
PBS-Tween + PBS-Tween	0.276	0.265

Both periplasmic fractions containing FB-C_H2γ and FB-C_H3γ provide positive reactions in this ELISA when linked with the mouse anti dengue mAb, 13C11, compared to controls. The linker containing the C_H3γ domain is the preferred construct to mix with a specific mouse monoclonal antibody to use as a replacement IgG positive control reagent.

EXAMPLE 6

Bifunctional Construct Using Core Streptavidin as the Ig Binding Domain

The protein streptavidin produced by Streptomyces sp. has an affinity (K_D) for biotin of the order of 10⁻¹⁵M (Green, 1975; Paihler et al., 1987) Commercially produced streptavidin consists of a N- and C-terminally shortened form, called core streptavidin (Argarana et al., 1986) comprising the sequence from Ala¹³or Glu¹⁴to Ala¹³⁸to Ser¹³⁹of the mature polypeptide. Core streptavidin is more soluble than the full length protein aand its binding activity for biotinylated proteins is significantly enhanced (Bayer et al., 1989).
The nucleotide sequence for the intact streptavidin gene from Streptomyces avidinii was obtained from Genbank accession no. X03591 (Argaraña et al., 1986).
The structural gene encoding core streptavidin was amplified from chromosomal DNA of S. avidinii (ATCC27419) using Pfu DNA polymerase and oligonucleotides able to recognise the 5′ and 3′ sequences of the core streptavidin (codons from Ala¹³to Ser¹³⁹). The oligonucleotide primers also contained sequences flanking the 5′ and 3′ streptavidin sequences for restriction sites (in particular NcoI at the 5′ end and NotI at the 3′ end to enable the core streptavidin gene to be inserted into the vector pGC (Coia et al., 1996) which already contains the sequence for the human IgNI C _H3 domain, in the configuration streptavidin-C domain. The sequence coding for the FLAG® tag epitope (Hopp et al., 1998) lies 3′ to the C domain to enable the FLAG® tag to be expressed as a C-terminal peptide on the molecule.
The amplified core streptavidin gene was inserted into the PCR-Script™ SK(+) plasmid using the PCR-Script™ Cloning Kit obtained from Stratagene, La Jolla. Calif. (Cat no. 211190-5). After the DNA sequence was confirmed in positive transformants, the core streptavidin sequence was excised from the plasmid by double digestion with NcoI and NotI, and ligated into a likewise digested pGC vector containing the DNA sequence for human IgM C _H3 domain.
The verified sequence of the expression cassette in pGC comprising the pel B leader sequence, core streptavidin, human IgM C _H3 domain and FLAGS tag is shown in SEQ ID NO: 4 and FIG. 10.
Expression in E. coli was performed as described in Example 4. Cells from a 500 ml culture were fractionated into periplasmic fraction, cytoplasmic and membrane fraction. The periplasmic fraction was prepared using the protocol of Minsky et al. (1986). The cell pellet remaining after centrifugation to obtain the periplasmic supernatant was resuspended in TE buffer (10 mM Tris HCl pH 7.4, 1 mM EDTA) sonicated and centrifuged at 20,000×g to obtain the soluble cytoplasmic fraction and the membrane pellet. Western blot analysis of each of the three fractions using the FLAGS tag as a probe indicated that while the expressed product was present in all three fractions, the membrane pellet contained the highest levels.
The membrane fraction was dissolved in 10 ml 6M guanidinium HCl, pH 1.5 (Schmidt and Skerra, 1994), dialysed twice against 200 ml 6N1 guanidinium HCl, pH 1.5, then twice against 2L PBS at 4° C. After centrifugation to remove insoluble aggregate, the supernatant was fractionated on a Superdex 200 (HR 10/30, Pharmacia LKB Biotechnology) column run in PBS at 0.5 ml/niin. The elution profile is shown in FIG. 11. All three peaks probed with FLAG® indicating the presence of the product. The first peak is high molecular weight aggregate eluting at the void volume of the column. The second and third peaks were collected separately and labelled preparation B (0.10 mg/ml) and preparation A (0.17 mg/ml) respectively. Both preparations showed bands on Western blot of identical size, and so the size difference between the two preparations is related to the multimerisation state of the product. Both preparations were used in tests as described below.
Use of Control Reagent Streptavidin-C_H3μ in PanBio Dengue Indirect ELISA
In this test, a complex is formed between biotinylated monoclonal mouse IgG to dengue antigens (13C11-B) and streptavidin linked to human IgM C _H3 domain (strep-C_1-3p) to mimic positive human IgM antibody to dengue, and used as a pseudo positive control in commercial IgM capture Dengue ELISA and indirect IgM Dengue ELISA kits where the response is compared to positive and negative controls provided in the kit. Biotinylation of mouse monoclonal anti dengue IgG (Clone 13C11) 2.56 mg of 13C11 Monoclonal antibody (IgG fraction) to dengue antigen (PanBio Ltd, Windsor, Qld; product 13C7001) was equilibrated in iml 50 mM sodium bicarbonate buffer, pH 8.0. To this was added 7511 freshly prepared EZ-Link™ Sulfo-NHS-LC-Biotin solution (1 mg/ml in water) (Pierce Chemical Company, Rockford, Ill.; product code 21335), and incubated at room temperature for 1 hour. After the sample had undergone extensive dialysis against PBS (phosphate buffered saline, final sample volume 1.2 ml), the protein concentration was estimated by absorbance at 280 nm to be 1.6 mg/ml.
The success of the biotinylation reaction was confirmed by ELISAin which dilutions of the biotinylated 13C11 antibody was added to wells containing immobilised-dengue antigen. Non biotinylated 13C11 was used as a negative control. A streptavidin-horse radish peroxidase conjugate was used to visualise the presence of the biotinylated 13C11 antibody.
Dengue IgM Indirect EHSA
The reagents used in this assay were as follows:
ELISA plate coated with dengue 2 antigen (PanBio Pty Ltd, Windsor Old)

- IgNI Positive Control Serum, IgM Cult-off Calibrator Serum, Negative Control Serum for IgM (PanBio Pty Ltd provided in the kit)
- Biotinylated mouse anti dengue IgG (clone 13C11), concentration=1.6 mg/mil (biotinylation was performed as described above).
- Non biotinylated mouse anti dengue IgG (clone 13C11), concentration=1.6 mg/ml
- Control Linker Reagent: Strep-C_H3μ Preparation-A, concentration 0.17 mg/ml.

Control linker reagent was mixed with biotinylated and non-biotinylated 13C11 Nlab prior to the assay in the following proportions:

1. 13C11-Biotin ( 1/10,000)+Control Linker Prep A 1/10
2. 13C11-Biotin ( 1/10,000)+Control Linker Prep A 1/100
3. 13C11-Biotini ( 1/10,000)+Control Linker Prep A 1/1000
4. 13C11 ( 1/10,000) [nonbiotinylated]+Control Linker Prep A 1/10
5. 13C11 ( 1/10,000) [nonbiotinylated]+Control Linker Prep A 1/100
6. 13C11 ( 1/10,000) [nonbiotinylated]+Control Linker Prep A 1/1000

Dilution was in serum diluent (Tris buffered saline with preservatives and additives) as supplied in the kit. Mixing took place at room temperature for 10 min with rotation.
Additions to ELISA plate were in the following order:
1. Samples as above, blank, positive, negative and cut-off serum controls (100 μl) incubated at 37° C. for 1 hour, followed by 6 washes with diluted wash buffer.
2. HRP-labelled sheep anti Human IgM (Silenus/AvRAD; Code MAH) 100 μl of 1/1000 dilution; incubated for 1 hour at 37° C. followed by 6 washes with diluted wash buffer.
3. Reaction was developed with 100 μl TNB reagent 10 min at room temperature, followed by the addition of 100 μl 1M phosphoric acid. Samples were read at 450 nm.

The results obtained from this indirect assay are shown in Table 7.

	TABLE 7


	Sample	A450

	Blank (Serum diluent only)	0.058
	Negative serum Control 1/100	0.063
	Positive Serum Control 1/100	1.419
	Positive Cut-Off 1/100	0.522
	Positive Cut-Off 1/100 (duplicate)	0.580
	Control Linker 1/10 + 13C11-biotin	1.186
	Control Linker 1/10 + 13C11-biotin (dup)	1.109
	Control Linker 1/100 + 13C11-biotin	1.070
	Control Linker 1/100 + 13C11-biotin (dup)	1.076
	Control Linker 1/1000 + 13C11-biotin	0.212
	Control Linker 1/1000 + 13C11-biotin (dup)	0.183
	Control Linker 1/10 + 13C11	0.151
	Control Linker 1/100 + 13C11	0.059
	Control Linker 1/1000 + 13C11	0.074

These results show tha the complex formed between the Strep-C_H3μ linker reagent and the biotinylated mouse anti dengue IgG (13C11) acted as a human positive control up to a dilution of at least a/100. No reaction was observed if the mouse monoclonal IgG was not biotinylated, or if there was insufficient control linker reagent to capture the biotinylated mouse Nlab.
Use of Control Reagent Streptavidin-C_H3μ in PanBio Dengue IgM Capture ELISA
The Dengue IgM capture ELISA test kit from PanBio Ltd (Windsor, Qld; Cat No DEMF-200) was used for this demonstration. The positive and cut-off control sera provided contain human IgM antibodies to dengue. The negative control serum contains human IgM antibodies, but with no specificity for dengue antigens.
Two test samples of the Streptavidin-Human C_H3μ domain linker reagent were used:

- a) Preparation A, 0.17 mg/ml
- b) Preparation B, 0.10 mg/ml

These preparations were mixed with biotinylated and non-biotinylated 13C11 Mab as described below.
The following samples were prepared for ELISA:

1. Blank—100 μl serum diluent only, provided in PanBio kit
2. Negative Control Seruin-fromi PanBio kit; 100 μl, diluted 1/100 in serum diluent.
3. IgNI Positive Cdontrol Seruin from PanBio kit; 100 μl, diluted 1/100 in serum diluent.
4. Cut-off Calibrator from PanBio kit; 100 μl, diluted 1/100 in serum diluent.
5. Strep-C_H3μ Preparation A+13C11-Biotin: 10 μl of prepA diluted to 1 ml with serum diluent to which 1 μl 13C11-Biotin ( 1/1000 dilution) was added (Final concentration of PrepA protein=1.7 μg/ml; 13C11-Biotin=1.6 μg/ml).
6. StreP-C_H3μ Preparation B+13C11-Biotin: 10 μl of prepB diluted to 1 ml with serum diluent to which 1 μl 13C11-Biotin ( 1/1000 dilution) was added (Final concentration of PrepB protein=1.0 μg/ml; 13C11-Biotin=1.6 μg/ml).
7. Blank+13C11-Biotin (negative control) 1 μl 13C11-Biotin was added to 1 ml serum diluent (Final concentration of 13C11 biotin=1.6
8. Strep-C_H3μ Preparation A+13C11(non biotinylated) (negative control): 10 μl of prepA diluted to 1 ml with serum diluent to which 1 μl 13C11 ( 1/1000 dilution) was added (Final concentration of PrepA protein=1.7 μg/ml; 13C11=1.6 μg/ml).
9. Strep-C_H3μ Preparation B+13C11 (non biotinylated) (negative control): 10 μl of prepB diluted to 1 ml with serum diluent to which 1 μl 13C11 ( 1/1000 dilution) was added (Final concentration of PrepB protein=1.0 μg/ml; 13C11=1.6 μg/ml).
10. Blank+13C11 (negative control) 1 μl 13C11-Biotin was added to 1 ml serum diluent (Final concentration of 13C11 biotin=1.6 μg/ml).

Each sample was mixed on a rotating wheel for 10 min at room temperature, then 100 μl of each (some in duplicate) were added to ELISA strips from the test kit which were pie-coated with polyclonal sheep anti human IgM. The strips were covered and incubated at 37° C. for 60 min. then washed three times for 2 min with PBS containing 0.05% Tween 20. At the same time as the above incubation, 2 ml conjugated monoclonal antibody tracer (PanBio: anti dengue-HRP) was added to one vial of lyophilised dengue anti-en (serogroups 1-4) and rocked gently at room temperature to aid in the dissolution of the dengue antigen. After the above washes, 100 μl of the HRP conjugate was added to each well, incubated for 60 nun at 37° C. then washed three times for 2 min with PBS-0.05% Tween 20. 100 μl of TMIB reagent (3′,3′,5′,5′ tetramethylbenzidine/hydrogen peroxide; supplied with the kit) was then added to each well and the strips incubated at room temperature for 10 mins. The reaction was stopped by the addition of 100 μl 1M phosphoric acid and the colour intensity read at 450 nm. Results of this assay are shown in Table 8.

	TABLE 8


	Sample	A450

	Blank (serum diluent only)	0.115
	Negative serum control	0.121
	IgM positive serum control	2.678
	Positive Cut-off Calibrator	1.198
	Positive Cut-off Calibrator (duplicate)	1.235
	Preparation A + 13C11-biotin	1.914
	Preparation A + 13C11-biotin (duplicate)	1.850
	Preparation B + 13C11-biotin	1.200
	Preparation B + 13C11-biotin (duplicate)	1.344
	Blank + 13C11-biotin	0.115
	Blank + 13C11-biotin (duplicate)	0.128
	Preparation A + 13C11(non biotinylated)	0.142
	Preparation A + 13C11(non biotinylated)	0.126
	Preparation B + 13C11(non biotinylated)	0.113
	Preparation B + 13C11(non biotinylated)	0.124
	Blank + 13C11(non biotinylated)	0.106

Both preparations of Strep-C_H3μ gave positive reactions in the ELISA at levels sufficient for the complex with mouse IgG to be used as a replacement for the positive control serum. The lower reading with preparation B can be partly attributed to the lower concentration of the product. Results with the controls indicated that there were no significant background problems.
It will be appreciated by persons skilled in the art that numerous variations and/or modifications may be made to the invention as shown in the specific embodiments without departing from the spirit or scope of the invention as broadly described. The present embodiments are, therefore, to be considered in all respects as illustrative and not restrictive.

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Claims

1-90. (canceled)

91. A method for detecting presence of an antibody in a biological sample obtained from a test species, the method comprising:

a) performing an antibody based diagnostic test on the biological sample;

b) performing the antibody based diagnostic test on a positive control, wherein the positive control shows a positive reaction; and

c) comparing results of step a) with results of step b), whereby the presence of an antibody in the biological sample is detected by a positive reaction in step a);

wherein the positive control comprises a complex formed between (i) an antibody or biologically active fragment thereof from a first species, wherein the first species is different from the test species and (ii) a bifunctional molecule, the bifunctional molecule comprising a binding region that binds to the antibody of the first species, and a constant region from an antibody of the test species, the constant region comprising at least one CH domain or an epitope thereof.

92. The method according to claim 91, wherein the bifunctional molecule binds to the constant region of the antibody of the first species.

93. The method according to claim 91, wherein the binding region of the bifunctional molecule is of non-antibody origin.

94. The method according to claim 93, wherein the binding region is a protein selected from the group consisting of Streptococcal protein G, Staphylococcal aureus protein A, and Peptostreptococcus magnus protein L, or a fragment thereof.

95. The method according to claim 93, wherein the binding region comprises fragment B of Staphylococcus aureus protein A.

96. The method according to claim 93, wherein the binding region comprises a mouse Fc y receptor or fragment thereof.

97. The method according to claim 93, wherein the binding region comprises histidine rich glycoprotein.

98. The method according to claim 91, wherein the binding region has a K_Dfor the antibody of the first species of less than 10⁻⁶M.

99. The method according to claim 91, wherein the binding region has a K_Dfor the antibody of the first species of less than 10⁻⁸M.

100. The method according to claim 91, wherein the binding region binds to one or more non-naturally occurring group(s) provided on the constant region of the antibody of the first species.

101. The method according to claim 100, wherein the group(s) is a biotin molecule and the binding region comprises streptavidin or a fragment thereof.

102. The method according to claim 91, wherein the constant region from the antibody of the test species comprises one or more constant domains from an IgM antibody.

103. The method according to claim 102, wherein the constant region from the antibody of the test species comprises one or more C_H3μ domains.

104. The method according to claim 91, wherein the constant region from the antibody of the test species comprises one or more constant domains from an IgG antibody.

105. The method according to claim 104, wherein the constant region from the antibody of the test species comprises one or more C_H3γ domains.

106. The method according to claim 91, wherein the constant region from the antibody of the test species comprises one or more constant domains from an IgA antibody.

107. The method according to claim 91, wherein the constant region from the antibody of the test species comprises or consists of a non-naturally occurring combination of immunoglobulin C_Hdomains or epitopes thereof.

108. The method according to claim 91, wherein the constant region from an antibody of the test species consists of a single C_Hdomain.

109. The method according to claim 91, wherein the binding region and the constant region from the antibody of the test species are linked directly or are separated by a linker molecule of between 1 and 20 amino acids in length.

110. The method according to claim 91, wherein the first species is a rat or mouse.

111. The method according to claim 91, wherein the test species is a human.

112. The method according to claim 91, wherein the antibodies to be detected are antibodies characteristic of a disease selected from the group consisting of dengue fever, Japanese encephalitis, rubella, spotted fever, herpes infection, parvovirus infection, melioidosis, typohid, leptospirosis, malaria, yellow fever, whooping cough, systemic candidiasis/thrush, chicken pox, shingles, ADS, hepatitis, liver cancer, cervical cancer, infectious mononucleosis, nasopharyngeal carcinoma, Ross River fever, brucella, exanthum subitum (sixth disease/roseola infantum), erythema infectiosum (fifth disease), Q fever, cold sores, genital herpes, spotted fever and scrub typhus.

113. The method according to claim 91, wherein the antibody based diagnostic test is selected from the group consisting of ELISA, immunochromatography, particle agglutination ELISA and biosensor assays.