WO1993006488A1 - Peptide based hepatitis c virus immunoassays - Google Patents

Peptide based hepatitis c virus immunoassays Download PDF

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Publication number
WO1993006488A1
WO1993006488A1 PCT/US1992/007865 US9207865W WO9306488A1 WO 1993006488 A1 WO1993006488 A1 WO 1993006488A1 US 9207865 W US9207865 W US 9207865W WO 9306488 A1 WO9306488 A1 WO 9306488A1
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hcv
antigen
seq
antibody
peptide
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PCT/US1992/007865
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French (fr)
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Gordon R. Dreesman
Kenneth H. Burk
Daniel Pauletti
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Genelabs Technologies, Inc.
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Publication of WO1993006488A1 publication Critical patent/WO1993006488A1/en

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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K14/00Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
    • C07K14/005Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from viruses
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor
    • G01N33/576Immunoassay; Biospecific binding assay; Materials therefor for hepatitis
    • G01N33/5767Immunoassay; Biospecific binding assay; Materials therefor for hepatitis non-A, non-B hepatitis
    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12NMICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA
    • C12N2770/00MICROORGANISMS OR ENZYMES; COMPOSITIONS THEREOF; PROPAGATING, PRESERVING, OR MAINTAINING MICROORGANISMS; MUTATION OR GENETIC ENGINEERING; CULTURE MEDIA ssRNA viruses positive-sense
    • C12N2770/00011Details
    • C12N2770/24011Flaviviridae
    • C12N2770/24211Hepacivirus, e.g. hepatitis C virus, hepatitis G virus
    • C12N2770/24222New viral proteins or individual genes, new structural or functional aspects of known viral proteins or genes

Definitions

  • the present invention relates to synthetic peptides which contain amino acid sequences of polypeptides encoded by the RNA genome of the etiologic agent of Non-A Non-B Hepatitis (NANBH) , herein referred to as Hepatitis C Virus (HCV) .
  • NANBH Non-A Non-B Hepatitis
  • HCV Hepatitis C Virus
  • Jacob, J.R. et al . J. Infect. Dis. 161:1121 (1990A) .
  • Jacob, J.R. et al., in VIRAL HEPATITIS AND LIVER DISEASE (Hollinger, F.B. , Lemon, S.M. and Margolis, H.S. eds., Williams and Wilkins, Maryland, pp. 387-392) (1991) . (1990B) .
  • Non-A Non-B hepatitis is a generic term used for cases of viral hepatitis in which Hepatitis A Virus (HAV) and Hepatitis B virus (HBV) have been excluded.
  • Other viruses that may play a role in viral hepatitis disease are Hepatitis Delta Virus (HDV) , Cytomegalovirus (CMV) , and Epstein Barr virus (EBV) (Hollinger, 1990) .
  • HDV Hepatitis Delta Virus
  • CMV Cytomegalovirus
  • EBV Epstein Barr virus
  • HCV Hepatitis C Virus
  • the resulting fusion protein was designated C-100 (Houghton et al. 1989) .
  • C-100 contains amino acids 1569-1931 relative to the HCV polyprotein sequence reported in Houghton et al. (1990) .
  • a HCV solid phase radioimmunoassay (RIA) was developed with the recombinant protein and was used to test a panel of human sera (Kuo et al. 1989) . Using this RIA, the peptide designated C-100 was found to react immuno- specifically with up to 80% of chronic NANBH samples, and about 15% of acute NANBH samples (Kuo et al.) .
  • HCV is a relative of the Flavivirdae or Togaviridae viruses.
  • nucleotide sequence derived from Hutchinson strain HCV has a nucleotide homology of 79.8% cind an amino acid homology of 93.8% as compared to the Jl sequence (determined by Kubo et al. 1990) , but a higher level of nucleotide sequence homology, 96.2%, observed with the PT strain (described by Kubo et al. 1990) .
  • These reports indicate that individual isolates of HCV may have marked sequence divergence.
  • HCV is the etiologic agent for 50-90% of transfusion associated non-A non-B hepatitis: particularly those cases which develop chronicity.
  • the antibody activity detected by the current anti-HCV assay (Kuo et al. 1989) is uniformly detected after acute infection following the peak elevation of ALT values (Alter et al. 1990; Figure 4).
  • a later blood sample should be tested since seroconversion may not be noted for periods of up to a year (Alter et al. 1990) .
  • Infection during the acute-phase window during which seroconversion, as detected by use of the C- 100 antigen, has not taken place may be detected using a recently developed HCV RNA-specific polymerase chain reaction (Weiner et al. 1990;
  • HCV RNA has been detected in acute phase liver tissue and blood samples which are either (i) antibody negative acute phase (based on reaction with C-100) or (ii) blood obtained during the chronic phase where antibody to C-100 is undetectable.
  • the antibody detected by the present C-100- based ELISA is directed to an epitope presumably encoded by the non-structural regions of the HCV genome (Choo et al. 1989) . Alter et al. (1990) established that serum positive for the anti-C-100 antibodies was infectious. Accordingly, antibodies directed against the epitope defined by C-100 would not appear to provide protection against re- infection by HCV. Analysis of sequential serum samples from prospectively-followed transfusion recipients indicates that the development of antibody to C100-3 is considerably delayed (Alter et al ., 1990) . In many infected individuals there is a 8 to 20 week period between ALT rises and development of antibody.
  • the present invention relates to a method for detecting the presence of viral antigens in a sample.
  • a sample is contacted with at least one antibody which is reactive with a viral HCV antigen.
  • the antibody is attached to a solid support such as the inside surface of the wells of a multiwell plastic plate or a protein binding membrane, like nitrocellulose.
  • the antibody is then examined for the presence of bound viral antigen. This can be accomplished by reacting the solid support with an antigen-reporter complex, where the viral antigen competes with the binding of the antigen-reporter complex to the antibody.
  • the level of antigen-reporter complex which is bound to the solid support is then evaluated.
  • the method of the present invention is described in detail for application to the detection of HCV antigens in a sample.
  • the method of the present invention permits the quantitation of viral antigen level based on the level of viral antigen inhibition of the binding of antigen-reporter complex to the antibody.
  • tissue culture medium e.g., tissue culture medium and serum samples (e.g., chimpanzee serum and human serum) .
  • serum samples e.g., chimpanzee serum and human serum
  • polypeptide antigens used to generate the antibodies useful in the method of the present invention may contain the following antigenic sequences: SEQ ID NO:3, SEQ ID NO:5, SEQ ID NO:6, SEQ ID NO:7, SEQ ID NO:24, SEQ ID NO:14 and SEQ ID NO:16.
  • the polypeptide antigen of the antigen-reporter complex typically contains the antigenic sequence used to generate the antibody used in the method.
  • the antigen of the first antigen-reporter complex may contain SEQ ID NO:7 and the antigen of the second antigen-reporter complex may contain SEQ ID NO:16.
  • reporter moieties can be used in the antigen-reporter complex including, enzymatic reporters, radioactive reporters, fluorescent reporters.
  • the enzymatic reporter horse radish peroxidase coupled with a colorametric substrate such as 2,2'-azino- bis(3-ethylbenzthiazoline-6-sulfonic acid (ABTS) .
  • ABTS 2,2'-azino- bis(3-ethylbenzthiazoline-6-sulfonic acid
  • the method is used for detecting the presence of hepatitis C virus (HCV) antigens in the presence of HCV antibodies in a sample obtained from an HCV- infected host.
  • HCV hepatitis C virus
  • at least one antibody is generated that is capable of binding an HCV antigen that is not normally immunoreactive with sera from the HCV-infected host.
  • the serum sample from the infected host is contacted, in a reaction mixture, with the antibody under conditions that promote the binding of the antibody and the HCV antigen that is not normally immunoreactive with sera from the HCV-infected host.
  • the antibody is attached to a solid support and a non- ionic surfactant, such as a polyoxyethylene sorbitan, is included in the reaction mixture.
  • the antibody is then examined, as described above, for the presence of bound HCV antigen by reacting the solid support with an antigen-reporter complex, where the antigen and the antigen-reporter complex compete for binding to the antibody.
  • the presence of the antigen-reporter complex on the solid support is then detected as described above.
  • One exemplary antigen for use in this method is the polypeptide presented as SEQ ID NO:16.
  • the invention also includes a diagnostic kit for use in screening samples for the presence of hepatitis C virus (HCV) antigens.
  • the kit contains at least one antibody which is reactive with an HCV antigen and an antigen-reporter complex, where the HCV antigen competes with binding of the antigen- reporter complex to the antibody.
  • the antibody can also be attached to a solid support.
  • antigens of the antigen-reporter complex examples include polypeptides containing the following antigenic sequences: SEQ ID NO:3, SEQ ID NO:5, SEQ ID NO:6, SEQ ID NO:7, SEQ ID NO:24, SEQ ID NO:14 and SEQ ID NO:16.
  • the reporter moieties can be selected to have a number of properties, as described above.
  • the invention includes an HCV polypeptide antigen characterized by: (a) an epitope formed by the sequence presented as SEQ ID NO:3; and
  • the region of overlap of the peptide antigen with the 362 amino acid HCV peptide may be substantially no greater than 23 amino acids; that is, the peptide antigen may terminate at its N- ter inus at the first of 23 overlapping amino acids, or may contain non-HCV sequences upstream (in the N- terminal direction) at the first of the 23 overlapping amino acid sequences.
  • the epitope may be formed by the peptide defined by the actual presented sequence.
  • the invention includes a polypeptide antigen consisting essentially of amino acid residues contained in one from the group consisting of SEQ ID NO:3, SEQ ID NO:5, SEQ ID NO:6 and SEQ ID NO:7.
  • kits for use in screening human blood containing antibodies specific against hepatitis C virus (HCV) infection.
  • the kit includes an HCV polypeptide antigen of the type identified above, and a system for detecting the binding of HCV- specific serum antibodies to the antigen.
  • the detecting system includes a solid support to which the antigen is attached and a reporter-labeled anti-human antibody, where binding of HCV-specific serum antibodies to the antigen is detected by binding of the reporter-labeled antibody to the solid surface.
  • the kit is used in practicing a diagnostic method which forms another part of the invention. In this method, serum from an individual suspected of infection by HCV is reacted with an HCV polypeptide antigen of the type identified above, forming an antigen-antibody complex. The reaction products are then examined for the presence of such complex.
  • the invention includes purified antibodies for use in the method and kits of the present invention, in particular, purified antibodies immunoreactive with a polypeptide containing the following antigenic sequences: SEQ ID N0:3, SEQ ID NO:5, SEQ ID N0:6, SEQ ID NO:7, SEQ ID NO:24, SEQ ID NO:14 and SEQ ID NO:16.
  • the antibodies of the present invention may be polyclonal or monoclonal.
  • Figure 1 illustrates the clinical course of NANBH followed after infection with HCV. There is an initial acute phase during which virus can be detected by passage into non-immune animals, liver damage diagnosed by elevation of a liver specific enzymes, alanine aminotransferase, in the blood stream and by symptomology in many patients.
  • stage 1 a method such as direct detection of virus antigen is required to diagnose infectivity.
  • 60-70% ' of HCV-infected patients develop a chronic phase where they remain infected with HCV, sometimes for life.
  • two assays are useful, (i) a test to detect non-protective antibody and (ii) a test that will detect circulating immune complexes containing the HCV virus, or viral subunits complexed to antibody.
  • a test to detect non-protective antibody a test that will detect circulating immune complexes containing the HCV virus, or viral subunits complexed to antibody.
  • An assay to detect protective "convalescence" antibody would be of value in the clinical management of these patients.
  • Figure 2 shows an acid sucrose gradient profile of an acidified immune complex prepared by mixing acute phase NANBH chimpanzee plasma with a convalescent phase NANBH-infected chimpanzee plasma.
  • Figure 3 presents an autoradiogra of a gel on which was separated radiolabeled, immune complexed purified material, derived from acute phase plasma, from chimpanzee 450 vs. chimpanzee 159 (lane 1) , and plasma from acute phase chimpanzee 450 vs. chimpanzee 92 (lanes 2 and 4) .
  • Pre-bleed plasma derived from chimpanzee 92 vs. chimpanzee 159 was also complexed and purified by the same procedure (lanes 3 and 5) .
  • the antibody positive plasma from chimpanzee 159 was convalescent plasma.
  • Figure 4 presents an autoradiogram of iodinated preparations purified by immune complexing.
  • Plasmas derived from pre-bleed and acute phase chimpanzee No. 341 were complexed with convalescent chimpanzee No. 92.
  • Pre-bleed sample (Lane 1) , acute phase plasma, day 67 (lane 2) day 135 (lane 3) and day 139 are shown.
  • Figure 5 presents an autoradiogram of iodinated immune complex purified preparations.
  • Materials analyzed on this gels were derived from chimpanzee 325 plasma obtained from pre-bleed (lane 1) , and the acute phase, day 57 (lane 2), day 106 (lane 3), day 112 (lane 4) , day 57 (lane 5) , pre-bleed (lane 6) , and from chimpanzee 92 pre-bleed (lane 7) , and day 21 (lane 8) .
  • Each was complexed to convalescent antibody positive plasma from chimpanzee 92.
  • Figure 6 presents an autoradiogram of pre-bleed (Pb) and acute (Ac) chimpanzee 450 plasma purified by salt precipitation and high salt elution from DEAE-52 Sepharose column.
  • the eluted material was iodinated using enzymobeads (lanes 1 and 5; Pb) (lanes 2 and 6; Ac) or chloramine T (lanes 3 and 7; Pb) (lanes 4 and 8; Ac). Lanes 5-8 were loaded with 50% fewer CPM of 1125.
  • Figure 7 shows a photograph of a silver stained gel of a high salt elution fraction from a DEAE column (lane 5) .
  • Control preparations included pre-bleed chimpanzee low salt (lane 2) and high salt fractions (lane 3) a normal human low salt fraction (lane 6) and normal chimpanzee high salt fraction (lane 7) , and high salt fraction derived from chimpanzee convalescent antibody positive fraction (lane 8) , and low salt fraction purified in a commercial IgG Isolation System (Protein A, Pierce Chemical) from chimpanzee 92 convalescent plasma (lane 9) .
  • the molecular weight markers are shown in the first lane.
  • Figure 8 shows a photograph of a silver stained gel of pre-bleed and acute phase plasma derived from chimpanzee 450.
  • the SDS-PAGE analysis shown in this Figure was performed on CsCl gradient fractions 15, . 16 and 17 of pre-bleed (lanes 2, 3, and 4) and acute phase plasma (lanes 5, 6 and 7) .
  • the density for each respective fraction 15, 16 and 17 was determined at 1.2658, 1.2984 and 1.3212 gm/cc, respectively.
  • Molecular weight standards were placed in lanes 1, 8 and 9.
  • Figure 9 shows an elution profile of complexed NANBH associated antigens from an affinity column linked to A3-1-A6 monoclonal antibody.
  • the eluting buffer contained 0.5 M diethyla ine, pH 11.5, and 0.5% sodium deoxycholate. Three pools (I, II and III) were made as indicated.
  • Figure 10 shows a photograph of a silver stained 14% SDS-PAGE on which affinity purified material, obtained from normal pre-bleed and NANBH acute phase plasma (chimpanzee 450) as described above, was fractionated.
  • the gel contained the following preparations: molecular weight markers (lane 1) , pre-bleed chimp 450 plasma pools I, II and III (lanes 2, 3 and 4) and pools I, II and III derived from NANBH acute phase chimp 450 plasma (lanes 5, 6 and 7) .
  • Lanes 8 and 9 were loaded with pre-bleed and acute material, respectively, derived from animal 450 by immune-complexing with convalescent antibody positive plasma from chimp 92.
  • Figure 11 presents an autoradiogram of a mixture of S35 methionine/cysteine labeled HCV infected chimpanzee hepatocyte proteins obtained from in vitro cell culture medium immunoprecipitated (IP) with pre-bleed or chronic phase antibody-positive chimpanzee plasma.
  • IP in vitro cell culture medium immunoprecipitated
  • Lane 2 day 8 media from chimpanzee X623 immunoprecipitated with X174 chimpanzee sera prior to infection. Lane 3, day 8 media IP with X174 anti-HCV antibody positive bleed reactive to all four RIBA II antigens. Lane 4, day 8 media IP with human anti-HCV antibody positive bleed reactive to all four RIBA II antigens (patient CP) . Lane 5, day 8 cell extract IP with pre-X174. Lane 6, day 8 cell extract IP with chronic X174. Lane 7, day 8 cell extract IP with CP. Lane 8, day 14 media IP with pre X174. Lane 9, day 14 media IP with chronic X174. Lane 10, day 14 media IP with CP. Lane 11, day 14 cell extract IP with pre X174. Lane 12, day 14 cell extract IP with chronic X174. Lane 13, day 14 cell extract IP with CP.
  • Figure 12 presents a representation of the computer graphical output of the amino sequences of HCV based on: (i) the hydrophilic values, shown in the top profile (Hopp) ; and (ii) the predicted hydropathic scale, illustrated in the bottom profile (Kyte) .
  • Figure 13 presents a representation of the predicted secondary structure of a number of selected amino acid sequences derived from HCV.
  • Figure 14 shows an autoradiogram of HCV proteins labeled with 1125 which were isolated using an affinity chromatographic column conjugated to affinity purified rabbit anti-DP3 antibody.
  • Lane 1 contains molecular weight markers (Std) .
  • Lanes 2-4 contain sequential fractions eluted from a column loaded with an HCV infected tissue culture media and lanes 5-7 contain fractions eluted from a HBV infected tissue culture media.
  • Figure 15 shows the results of Western Blot analysis of gels on which concentrated HCV infected tissue culture media was fractionated (lane 1) reacted with rabbit anti-DP3 antibody followed by Protein A-I 125 .
  • Lane 2 contains I 125 labeled molecular weight markers.
  • Figure 16 illustrates the reactivity of HCV infected chimpanzee 174 pre-and post serum with micro-wells coated DP-3 peptide. Post sera was fractionated by Sephadex G-200 gel chromatography and the void volume (IgM) as well as the IgG peak were also tested for anti-peptide activity by ELISA.
  • Figure 17 illustrates the reactivity of HCV infected chimpanzee pre- and post-HCV infection sera with micro-wells coated with DP-1 peptide.
  • Figure 18 presents a histogram representation of ELISA determination of five plasmas derived from the RL panel reacted with wells coated with peptide DP-3, DP-3A, DP-3B, and DP-3C.
  • Figure 19 presents the data from an epitope mapping experiment of peptide DP-3.
  • Antibody positive RL plasma were pre-incubated with the following peptides: DP-3, DP-3A, DP-3B and DP-3C. The mixtures were subsequently tested for residual binding activity by ELISA using wells coated with DP-3.
  • Figure 20 presents the data from further epitope mapping of peptide DP-3.
  • a dilution of HCV infected chimpanzee (No. 174) post-HCV infection serum was pre-incubated with increasing two-fold concentrations of DP-3A, DP-3B and DP-3C. The mixtures were subsequently tested for residual binding activity by ELISA using wells coated with DP-3.
  • Figure 21 presents the data from titration of DP-3 antibody binding reactivity by ELISA to establish an optimal concentration.
  • Wells were coated with increasing two-fold concentrations of DP-3, quantitated as nanogra s of peptide per well. After blocking, the wells were tested by ELISA with HCV infected chimpanzee pre-and post- HCV infected sera diluted 1:100 and 1:1000. The reactivity is plotted as the ratio of the OD values recorded with the post-infection sera divided by the OD values recorded on comparable wells with pre-serum (P/N values) .
  • Figure 22 presents histograms illustrating the optical density values of the antibody binding reactivity of each of 38 plasmas diluted 1:100 and tested by ELISA using wells coated with DP-3.
  • Figure 23 presents histograms illustrating the optical density values of the antibody binding reactivity of each of 82 plasmas diluted 1:100 and tested by ELISA using wells coated with DP-3.
  • Figure 24 presents the data from titration of antibody activity by ELISA using DP-3 coated wells. Plasmas yielding equivocal values in the 1:100 screen (see Figure 23) were diluted two-fold starting at a dilution of 1:20 and re-tested.
  • Figure 25 illustrates the results of experiments used to confirm, by peptide inhibition of anti-DP3 activity, the reactivity of plasma that was observed by ELISA.
  • Plasma derived from the ALT panel were pre-incubated at the dilutions shown with increasing two-fold concentrations of DP-3 peptide. The plasmas were subsequently tested by ELISA for residual antibody activity with wells coated with DP-3.
  • Figure 26 presents the data from titration of six human plasmas for antibody reactivity to HCV El associated peptide DP-6.
  • the plasma tested include 1) a normal uninfected individual 2) three individuals previously identified as HCV-convalescent (A115, Mayfield and Hart) and individuals from the ALT panel (ALT-1, anti-HCV negative; ALT-2, anti-HCV positive) .
  • Figure 27 presents the data from titration of six human plasmas, described in Figure 26, for antibody reactivity to HCV E2 associated peptide, DP-15.
  • Figure 28 presents the data from titration of six human plasmas, described in Figure 26, for antibody reactivity to HCV El associated peptide, DP-16.
  • Figure 29 illustrates the relationships of the various DP peptides to the HCV polyprotein sequence and to the C-100 HCV-derived sequence.
  • Figure 30 schematically presents the antigen- inhibition assay of the present invention.
  • Figure 31 presents a standard curve for the HCV NS4 antigen-inhibition assay utilizing purified rabbit anti-DP3D IgG as coating reagent.
  • Figure 32 illustrates the quantitation of NS4 antigen concentration in HCV-infected chimpanzee sera using the standard curve shown in Figure 31.
  • Figure 33 presents a serological profile of sequential sera isolated from an HCV-infected chimpanzee (animal No. 196) .
  • Figure 34 presents a serological profile of sequential sera isolated from an HCV-infected chimpanzee (animal No. 623) .
  • Figure 35A presents a serological profile of sequential sera isolated from an HCV-infected chimpanzee (animal No. 174) .
  • Figure 35B presents a confirmatory assay titration generated by pre-incubating 100 ng DP3D peptide panel in SFDM with increasing dilutions of an anti-HCV positive human plasma. The mixture is then tested for residual antigen reactivity measured by blocking the subsequent antigen inhibition reaction.
  • Figure 35C presents a standard curve for the HCV NS4 antigen inhibition assay utilizing affinity purified rabbit anti-DP3D antibody. For subsequent calculations the readings are corrected for background activity.
  • Figure 36 presents DP3D antigen-inhibition assay data for sequentially collected tissue culture media obtained from cultures of hepatocytes derived from an HCV-infected chimpanzee (animal No. 198) .
  • Figure 37 presents DP3D antigen-inhibition assay data for sequentially collected tissue culture media obtained from cultures of hepatocytes derived from an HCV-infected chimpanzee (animal No. 2246) .
  • Figure 38 presents a serological profile of sequential sera isolated from an HCV-infected human (donor No. 4811) , including antigen-inhibition data for the capsid antigen (38A and 38B) , ALT data (38A) and level of HCV-directed antibodies (38B) .
  • Figure 39 presents a serological profile of sequential sera isolated from an HCV-infected human (donor No. 4812) , including antigen-inhibition data for the capsid antigen (39A and 39B) , ALT data (39A) and level of HCV-directed antibodies (39B) .
  • Figure 40 presents a serological profile of sequential sera isolated from an HCV-infected human (donor No. 4813), including antigen-inhibition data for the capsid antigen (40A and 4OB) , ALT data (40A) and level of HCV-directed antibodies (4OB) .
  • Figure 41 presents a standard curve for an assay designed to detect combined NS4 and capsid antigens.
  • the wells are coated with a mixture of equal quantities of HRPO conjugated to DP3D and DP9B, respectively. For subsequent calculations the readings are corrected for background activity.
  • the chimpanzees whose hepatitis indicators had returned to essentially normal by 120 to 140 days post-infection were chosen for re-infection in order to generate high titer antibody to NANBH virus.
  • These animals were intravenously inoculated with homologous, i.e., their own, acute phase plasma. After inoculation of these animals with homologous acute phase plasma a small but definite enzyme elevation was observed.
  • pathologic studies of punch liver biopsy material revealed a new episode of viral hepatitis concurrent with the enzyme elevations (Burk et al. 1984 ) . The same result was seen after repeated inoculations of these animals.
  • Hepatitis B Virus HBV
  • these animals had antibody to HBV before the initial NANBH inoculation. After inoculation with HBV no HBV-associated pathology was noted. Therefore, the pathology noted at approximately 500 days following inoculation of the acute NANBH homologous plasma indicated either (i) that the animals were not immune to re-infection, or (ii) that the initial infection had not been resolved (Burk et al. 1984A) .
  • Electron microscopic examination during acute phase infection of the liver punch biopsies from the re-infected chimpanzees revealed both tubular cytoplasmic changes and the formation of intranuclear clusters of small particles measuring approximately 20 nm in diameter (Burk et al.
  • the ABC method employs an avidin-biotin complex (ABC) which presumably amplifies the sensitivity of immunologic tissue staining by a factor of 40- to 80-fold when compared to routine procedures such as indirect peroxidase, or Staph-A amplified peroxidase/anti-peroxidase methods.
  • ABSC avidin-biotin complex
  • specific cytoplasmic staining was observed in approximately 10% of hepatocytes obtained from liver sections derived from an acute-phase, NANBH virus-infected chimpanzee. No staining was seen when (i) using the same sera with normal, uninfected liver tissue or, (ii) using normal human sera as controls instead of the NANBH antibody-containing chimpanzee or human sera.
  • Burk et al. (1984B) investigated whether acute phase plasma contained an antigen similar or identical to the antigen detected in acute phase NANB virus-infected hepatocytes. This was accomplished by pre-incubating the above long-term convalescent anti-NANBH antibody-containing serum with acute phase chimpanzee plasma. After the incubation period the mixture was used to stain NANBH infected hepatocytes. An antigen was present in each of two acute phase chimpanzee plasma and in a chronic NANBH human sera: each of these sera blocked the staining reaction using the long-term convalescent anti-NANBH antibody-containing serum.
  • the first phase is an acute phase spanning the time between exposure to the virus and the period during which ALT elevations are observed.
  • the presence of virus and virus antigen was suggested by the following: a) plasma derived during this phase is infectious when inoculated into a non-immune chimpanzee, and b) a unique antigen is present in the blood stream, in that, acute phase plasma blocks anti-HCV antibodies from reacting with HCV infected cells (Burk et al., 1984B) .
  • the second phase is a long chronic phase. In 14 animals studied this phase can last in excess of three years or, more typically, in the majority of animals this phase is lifelong (Burk et al. 1984A) .
  • Example 1 the protocol described in Example 1 was designed to purify virus and/or virus sub-units from acute phase chimpanzee plasma.
  • a series of titrations were performed, as described in Example 1, mixing various quantities of acute phase chimpanzee plasma (i.e., the antigen source) with convalescent chimpanzee phase (as described above, antibody positive by tissue staining) .
  • Fused spleen cell/murine myeloma cells were selected and screened for the production of antibodies that reacted with an acute phase NANBH plasma fraction.
  • Two hybridomas specific to acute phase NANBH plasma were identified and designated Nil.9 and Al-3.
  • NANBH convalescent serum was identified that (i) was taken during a period when the chimpanzees were protected against challenge with homologous acute phase plasma, and (ii) contained antibodies which reacted specifically with a cytoplasmic antigen present in acute phase liver cell sections.
  • these antibodies also reacted specifically with a circulating acute phase antigen as was demonstrated by blocking of the . i muno-staining reaction when using infected hepatocytes.
  • Example 3 describes the use of the chimpanzee convalescent sera in generating immune complexes with the chimpanzee acute phase plasma described above.
  • Figures 3, 4 and 5 show autoradiograms of SDS polyacrylamide gels on which the iodinated immune complexes were resolved. A number of bands were observed in reactions with acute phase plasma which were not detected in reactions with pre-bleed chimpanzee plasma. These results suggest that there are antigens in the acute sera that are recognized by antibodies present in the convalescent sera. Since the convalescent sera is believed to contain neutralizing antibodies, which allow the infected animal to overcome chronic infection, the antibodies potentially identify HCV viral antigens capable of generating such neutralizing antibodies.
  • NANBH sera were fractionated and analyzed by a variety of procedures to identify HCV specific peptides or proteins.
  • Example 4 describes the partial purification of unique NANBH proteins using salt precipitation followed by ion exchange chromatography where the resulting proteins were radioactively labeled ( Figure 6) or detected by silver staining ( Figure 7) .
  • Example 4 also describes the fractionation of NANBH plasma by ultracentrifugation on CsCl gradients. The resulting proteins were examined by SDS-PAGE, the gel silver stained and a photograph of the gel is presented as Figure 8.
  • NANBH specific proteins were also isolated using affinity gel chromatography where the affinity reagent was above-described monoclonal antibody A1-3-A6 (Example 5) . A typical elution pattern from such an affinity column is presented in Figure 9. Pools resulting from the elution were then fractionated by SDS-PAGE and the proteins visualized by silver staining ( Figure 10) .
  • HCV specific polypeptides have been precipitated from in vitro cell culture of infected hepatocytes.
  • a serum free media (SFM) formulation has been developed which supports the long term growth of primate hepatocytes (Lanford et al. 1989, herein incorporated by reference; co-pending, co- owned US Patent Application Serial No. 07/222,569, filed 21 July 1988, herein incorporated by reference; and co-pending, co-owned US Patent Application Serial No. 07/504,171, filed 3 April 1990, herein incorporated by reference) .
  • the in vitro cell culture sustains primate hepatocytes in a serum-free medium comprising a basal cell culture medium (such as William's media E, Gibco BRL) , a hepatocyte proliferogen (such as liver growth factor. Collaborative Research) , serum albumin, a corticosteroid (such as hydrocortisone) , one or both of so atotropin or prolactin, a growth/releasing factor, cholera toxin and ethanolamine.
  • a basal cell culture medium such as William's media E, Gibco BRL
  • a hepatocyte proliferogen such as liver growth factor. Collaborative Research
  • serum albumin such as William's media E, Gibco BRL
  • corticosteroid such as hydrocortisone
  • HCV peptides specifically associated with the acute infection phase have been identified using a variety of methods: in particular, 12 HCV unique polypeptides, with molecular weights ranging from 16 KD to 170 KD were identified (Tables 1 and 2) . These polypeptides may prove useful in the development of effective anti-HCV vaccines and may also have applications in diagnostic systems, such as those described in the following sections.
  • Amino acid sequence information for an HCV encoding polyprotein was obtained from a number of sources.
  • the amino acid sequence data was analyzed by a variety of methods including hydrophilicity and hydropathy (Example 7) .
  • Figures 12A, 12B, and 12C show the results of the hydrophilicity and hydropathy analysis of the HCV polypeptide.
  • a number of peptides were chosen based on hydrophobic epitope (i.e., HOPP +, Kyte -)
  • the approximate locations of these peptides, relative to the HCV polyprotein sequence are illustrated in Figures 12A, 12B, and 12C by solid lines between the Hopp and Kyte plots: each peptide was designated as DP1- 6 and 8-18.
  • mice were also inoculated with DP-3 and the resulting sera reacted with free DP-3 at anti-serum dilutions of 1:10,000 or greater.
  • the DP-3 peptide was attached to.a solid support and rabbit anti-DP-3 antibodies were affinity purified using the immobilized DP-3 (Example 9) .
  • the isolated anti-DP-3 antibodies were then attached to a matrix.
  • Culture media from HCV infected hepatocyte cells was then absorbed to the antibody matrix.
  • the specifically absorbed material was then eluted from the column and radioactively labeled using I 125 .
  • the eluted material was then fractionated on a gel and the gel exposed to X-ray film.
  • the resulting autoradiogram ( Figure 14) showed a major band at approximately molecular weight 58 and two faint bands at approximately molecular weights 27 and 66.
  • the DP peptides listed in Table 6 were then screened against a panel of sera obtained from a set of 19 human patients where the sera had been defined serologically as NANBH-positive. As suggested by the above data, the data presented in Table 6 suggests that DP3 and the related peptide DP-3D contain a major immunodominant HCV epitope. In addition, a number of tested sera also reacted with the following core associated peptides: DP8, DP9A, DP9B, and DP10. Also, one patient responded to an NS5 epitope identified by peptide DP17.
  • DP-3A presented as SEQ ID NO:1922-1931
  • DP-3B presented as SEQ ID NO:1928-1935
  • DP-3C presented as SEQ ID NO:1933-1940.
  • Each of these three peptides was tested for direct binding with five human with NANBH antibody positive sera previously shown to react with DP-3.
  • the results of the direct binding study are presented in Figure 18.
  • the major DP-3 binding activity appeared to be associated with the peptide DP-3B.
  • FIG. 20 illustrates the results of testing the chimpanzee serum by performing the inhibition assay using increasing amounts of each short peptide.
  • the data show that increasing quantities of DP-3B and DP-3C both inhibit antibody binding with DP-3.
  • the peptide DP-3A showed only low level inhibition.
  • the double-blind Alter NANBH serum panel was screened using the DP-3 based anti-HCV assay of the present invention.
  • the screening results are presented in Table 7.
  • the data show perfect concordance of the assay results with the known HCV sera status of the samples in the serum panel.
  • Two sera tested with intermediate absorbency readings had been obtained from a patient shortly after resolution of an acute infection and were believed to represent an early stage of immune response.
  • the reaction conditions for the peptide based anti-HCV assay were optimized.
  • the optimal concentration of DP-3 was determined by serial dilution of a DP-3 solution in a variety of buffers (Example 13) .
  • Reactivity was calculated as a ratio (P/N) of the absorbency value of HCV-positive sera treated wells divided by the absorbency value of HCV-negative sera treated wells.
  • Figure 21 shows the results of one optimization experiment where the DP-3 peptide was diluted in bicarbonate buffer. Peak reactivity was observed at a well-coating concentration of 500 ng of the DP-3 peptide.
  • a number of other components involved in the assay were varied in order to increase the sensitivity of the assay.
  • One preferred well-washing buffer was phosphate buffered saline containing 0.5% "TWEEN” detergent (Example 13) .
  • a serum panel was screened using the DP-3 based anti-HCV assay. The panel was 42 sera consisting of 21 paired serum samples where 19 samples had been obtained from a number of documented NANBH patients and 2 were normal serum samples ( Figure 22) . Approximately 84% of the NANBH sera scored as being antibody positive using the DP-3 assay. The four negative control sera scored as negative (Table 8) . The same serum panel was also screened using the Ortho anti-HCV assay. By the Ortho assay approximately 65% of the NANBH sera tested as positive (Table 8) . All the sera that tested as positive in the Ortho assay also tested as positive in the DP-3 based assay. These data suggest that the DP-3 assay is more sensitive than the commercially available first generation Ortho anti- HCV assay.
  • Another panel of sera used to test the DP-3 based anti-HCV assay of the present invention consisted of blood donor plasma that had been rejected on the basis of elevated ALT values
  • Example 15 The results of this panel of sera screened using the DP-3 based assay are presented in Figure 23. Eight of the 82 plasmas tested gave strong positive reactions. Another 10 plasmas were scored as positive. Each of these 10 plasmas were tested in DP-3 anti-HCV assays using a series of diluted plasma. Each of these 10 plasmas yielded the linear dilution curves shown in Figures 24A and 24B. In addition, each of these 10 plasmas was tested using a cold-peptide inhibition protocol (Example 16) . Dilutions of the plasma were pre- incubated with increasing amounts of the DP-3 peptide before testing for antibody binding using DP-3 coated wells. The data for the cold-peptide inhibition test are presented in Table 10.
  • the relative sensitivity and specificity of the DP-3 based and Ortho anti-HCV assays were compared using a panel of 362 donor blood plasmas obtained from the Southwest Regional Blood Bank (Example 18) . All plasmas that tested positive using the DP-3 based assay were confirmed with the above described peptide inhibition assay. All plasma that tested positive using the Ortho kit were re-tested using the commercially available RIBA test. The results of these screens and associated plasma information are presented in Table 12. Six plasmas were recorded as anti-HCV positive in the DP3 assay, five of which were confirmed by specific antigen inhibition.
  • FIG. 30 The basic design of the immunoassay is illustrated in Figure 30.
  • One example of the antigen detection assay is described in Example 20.
  • a rabbit anti-DP3D-coated well and a DP3D-horse radish peroxidase (HRPO) conjugate were used in the assay.
  • Microwells were coated with IgG derived by gel filtration from high titer rabbit anti-DP3D sera.
  • the antibody coated wells were then incubated with the test samples, such as, DP3D peptide, HCV infected tissue culture media, human sera and chimpanzee sera. After incubation, DP3D- HRPO conjugate was added to each well.
  • Combination of the conjugate to the solid phase antibody coat was detected by the addition of the substrate-2,2'- azino-bis(3-ethylbenzthiazoline-6-sulfonic acid (ABTS) .
  • An alternative substrate which can be used is 5-aminosalicylic acid (5AS) .
  • the presence of a DP3D associated viral antigen was identified by color diminution due to successful inhibition of binding DP3D-HRPO.
  • reporter labels other than HRPO can be used in the method of the present invention, including the following: enzymatic reporter systems, such as HRPO alkaline phosphatase, ⁇ - galactosidase, and glucose oxidase (Pierce, Rockford IL) ; fluorochrome reporters, such as fluorescein, R- phycoerythrin, rhodamine, rhodamine 600, and "TEXAS RED" (Pierce) ; biotin and avidin (Pierce) ; radioactive labelling, such as m I or synthesis of antigen polypeptides containing K or I C; light emitting reporters, such as luciferase (de Wet, et al.); and chromophor ⁇ , such as heme (Sigma, St. Louis MO) . Reporter labels are conjugated to antigen peptides by appropriate standard methods in the art.
  • fluorochrome reporters such as fluorescein, R- phycoeryth
  • the antigen detection assay of the present invention was tested by addition of increasing quantities of free DP3D peptide. As shown in Figure 31, the addition of the DP3D peptide at a concentration of 10 ⁇ g/ml inhibited reactivity with DP3D-HRP0 by 68%. A linear inhibition curve was observed over the range of 10 ⁇ g/ml to 0.001 ⁇ g/ml. One ng/ml DP3D inhibited the reaction by 8%.
  • Example 21 A method to confirm the specificity of the antigen detection reaction is described in Example 21.
  • This confirmation assay is based on blocking the inhibition of DP3D-HRPO binding to its cognate antibody, which usually occurs by binding of a DP3- based antigen to the same antibody.
  • the blocking of inhibition is accomplished by addition of anti-DP3D positive sera to the antigen positive plasma before testing in the antibody coated plates.
  • Prior addition of rabbit anti-DP3D or HCV antibody positive human or chimpanzee plasma to different concentrations of synthetic peptides showed an increase in DP3D-HRPO binding to its cognate antibody, which corresponds to a decrease in antigen mediated inhibition of the DP3D-HRPO binding.
  • HCV induces antigene ia in detectable quantities during the acute phase of the HCV infectious disease process was tested by incubating plasma derived from six chimpanzees during the period when they demonstrated an elevation in their ALT values (Example 22) .
  • Acute phase plasma from four of the six animals inhibited the DP3D-HRPO reaction.
  • the level of DP3 defined antigen ranged from 18-46 ng/ l ( Figure 32) .
  • Chimpanzee 174 (Figure 35) first developed ALT rises on day 69 and became anti-DP3D positive on day 280. Unlike the other animals, no antigen was detected in the plasma of the chimpanzee 174. Thus, chimpanzee 174 may have effectively resolved its HCV illness without experiencing the debilitation of the more usual course of events, i.e., chronic disease development. The absence of DP3D based antigen during acute illness might signify a more favorable clinical outcome in resolution of HCV infection. Chimpanzee 623 shows a delay in onset of anti-DP3D antibody response.
  • chimpanzee 623 remains chronically infected with HCV, some 18 months beyond his acute disease episode ( Figure 34) .
  • a panel containing 82 human plasma samples derived from individuals with elevated ALT values and a second panel containing 228 plasmas from normal blood donors were also screened for the presence of HCV antigen using the antigen detection assay of the present invention (Example 23) .
  • Six specimens in the ALT panels gave a positive inhibition, two high level inhibition (approximately 10 ng/ml) and four weak or borderline (Table 18, Example 23) .
  • two samples were detected yielding a high degree of inhibition.
  • the antigen detection method of the present invention was also used for the detection of HCV NS4 antigen in tissue culture (TC) media derived from hepatocytes infected with HCV. Hepatocyte cultures derived from acute or chronic stage HIV infected chimpanzees afforded the active replication of HCV (Jacob et al . , 1991).
  • TC tissue culture
  • This active replication was demonstrated by the following: 1) electron microscopy showing virions in infected hepatocyte media; 2) specific im unostaining of HCV infected hepatocytes with convalescent sera; 3) ability to infect normal chimpanzees with tissue culture derived virus; and 4) by demonstration of both positive and negative strand RNA in infected hepatocyte lysates and of positive strand RNA in infected media by PCR.
  • a TC pool derived from days 3-27 of media harvested at two day intervals from HCV infected hepatocytes, was tested for HCV DP3D associated NS4 antigen (Example 24) .
  • Media harvested from HCV infected hepatocytes inhibited the DP3D conjugate reaction by 54% (Table 20, Example 24). This equates to a level of approximately 1 ⁇ g/ml of NS4 viral protein associated with the DP3D epitope (quantified with reference to a DP3D synthetic peptide standard curve) , which is secreted by the infected cells into the media.
  • the putative virus present in the media was purified by centrifugation and cushioning onto a 60% sucrose gradient. Approximately 64% of the soluble antigen was lost during this purification step (Table 20) .
  • HCV NS4 antigen The temporal synthesis of HCV NS4 antigen was investigated by testing sequential TC media derived at two day intervals from in vivo infected hepatocytes derived from a chronic HCV infected chimpanzee (animal No. 198) . A biphasic synthesis of antigen was noted ( Figure 36) . Days 1-13 were positive, days 15-17 were negative with a second cycle of antigen noted on days 19-32 ( Figure 36) .
  • Sequential TC edias derived from HCV infected hepatocytes from chronic chimpanzee 2246, were screened for DP3D associated HCV antigen. The results are illustrated in the attached Figure 37. As noted previously in media from hepatocytes derived from a chronically HCV infected chimp, two cycles of antigen production were observed, day 1 through 5 and days 5 through 15. These experiments demonstrate the ability of the antigen detection assay of the present invention to detect HCV specific antigens from a number of sources.
  • Hepatocytes derived from Chronic HCV infected chimpanzee 2246 were treated with a number of drugs on day 3, including ribavirin and interferon (Table 21, Example 25) .
  • the cells were maintained on these drugs and the TC media tested for HCV antigen.
  • Ribavirin used at two different concentrations, failed to significantly alter production of DP3D associated HCV antigen.
  • interferon completely inhibited production of detectable levels of antigen, nine days after addition of the drug. In fact, addition of a 5-fold higher level of drug inhibited antigen production after two days exposure to the drug (Table 21) .
  • the immunoassay described above detects NS4, a non-structural HCV subunit.
  • NS4 protein The function of NS4 protein is undefined. Based on the flavivirus model it is assumed that NS4 is not part of the intact virion. Therefore, detection of an antigen associated with one of the major structural proteins of the virus could be advantageous for screening plasma or infected tissue culture media.
  • peptides DP9A, DP9B, DP10 and DP11 were tested (Example 26) in the antigen inhibition assay, essentially as described above: these peptides correspond to the putative capsid protein of HCV (Example 7, Table 3). Rabbit antisera was prepared for each peptide. Microtiter plate wells were coated with affinity purified antibody to each respective synthetic peptide (DP9A, DP9B, DP10 and DP11) .
  • DPll did not appear to be immunoreactive with plasma obtained from HCV- infected humans
  • Detergent treatment may strip envelope material from intact virions or cause a partial denaturation of protein, either of which may promote the detection of the capsid antigen in samples.
  • Chimpanzee sera which were scored as positive for capsid antigen in the DPll/anti-DPll assay were retested by dilution in 0.5% Tween 20/PBS. A level of inhibition of 23% was noted with undiluted plasma. Dilution in Tween 20/PBS yielded levels of 29% and 35% at plasma dilutions of 1:2 and 1:4, respectively.
  • Example 28 describes the development of an inhibition HCV antigen assay protocol that employs DPll antigen and which includes a detergent.
  • the detergent used in Example 28 is "TWEEN 20.”
  • Other detergents may be useful in the practice of the present invention including other polyoxyethylene sorbitans and non-ionic surfactants.
  • the efficacy of any given detergent and appropriate concentrations can be determined using the assay method described in Example 28.
  • HCV antigen assay protocol employing DPll antigen was used to screen three HCV seroconversion panels (4811, 4812, and 4813). These panels were derived from human donors infected with HCV via human RBC preparations. Sequential sera samples from these panels were analyzed (Example 29) for capsid antigen DPll, ALT values, and the presence of HCV antibodies as determined using a commercial kit. The results of these three determinations are presented in Figures 38, 39 and 40.
  • DP9B is a highly immunogenic synthetic peptide (Table 3, Table 4) associated with HCV capsid protein.
  • Table 3 The assay design was similar to that described above for the NS4 specific test.
  • Wells were coated with affinity purified rabbit anti-DP9B and the detection probe consisted of DP9B conjugated to HRPO.
  • HRPO affinity purified rabbit anti-DP9B
  • a number of different reporter systems can be conjugated to the capsid antigen. This analysis suggested that the capsid antigen is expressed at relatively high levels on Day 1, but disappears rapidly.
  • Example 30 An assay is described in Example 30 which combines the DP3D and DP9B reagents (coating antibody and HRPO - peptide ⁇ probes) to detect both NS4 and/or cap ⁇ id antigen simultaneously. A inhibition curve with a mixture of the two peptides is shown in Figure 41. The sensitivity of this combined assay is equal or greater than 100 pg/ml.
  • the antigen detection assay of the present invention is a more sensitive detector of infection than detection of anti-HCV antibodies alone.
  • the antigens obtained by the methods of the present invention are advantageous for use as diagnostic agents for anti-HCV antibodies present in HCV-infected sera; particularly, the DP-3 antigens (DP-3, DP-3B, DP-3C, DP-3D) and DPll.
  • DP-3 antigens DP-3, DP-3B, DP-3C, DP-3D
  • DPll DPll
  • the DP-3D antigen provides an advantage over known HCV antigen reagent C-100 in that it is immunoreactive with a wider range of NANBH infected sera, particularly acute-infection sera.
  • Epitope mapping of the DP3 defined epitope is described in Example 20*B.
  • test serum is reacted with a solid phase reagent having a surface-bound HCV antigen obtained by the methods of the present invention, e.g., the DP-3D antigen.
  • a solid phase reagent having a surface-bound HCV antigen obtained by the methods of the present invention e.g., the DP-3D antigen.
  • the reagent is reacted with reporter-labeled anti-human antibody to bind reporter to the reagent in proportion to the amount of bound anti-HCV antibody on the solid support.
  • the reagent is again washed to remove unbound labeled antibody, and the amount of reporter associated with the reagent is determined.
  • the reporter is an enzyme which i ⁇ detected by incubating the solid phase in the presence of a ⁇ uitable fluorometric or colorimetric substrate.
  • the solid surface reagent in the above assay is prepared by known techniques for attaching protein material to ⁇ olid support material, such as polymeric bead ⁇ , dip ⁇ tick ⁇ , 96-well plate or filter material. These attachment methods generally . include non-specific adsorption of the protein to the support or covalent attachment of the protein, typically through a free amine group, to a chemically reactive group on the ⁇ olid support, such as an activated carboxyl, hydroxyl, or aldehyde group.
  • a second diagnostic configuration known as a homogeneous assay, antibody binding to a solid support produces some change in the reaction medium which can be directly detected in the medium.
  • Known general types of homogeneous assays proposed heretofore include (a) spin-labeled reporters, where antibody binding to the antigen i ⁇ detected by a change in reported mobility (broadening of the spin splitting peaks), (b) fluorescent reporters, where binding is detected by a change in fluorescence efficiency, (c) enzyme reporters, where antibody binding effects enzyme/substrate interactions, and (d) lipo ⁇ ome-bound reporters, where binding leads to liposome lysis and release of encapsulated reporter.
  • spin-labeled reporters where antibody binding to the antigen i ⁇ detected by a change in reported mobility (broadening of the spin splitting peaks)
  • fluorescent reporters where binding is detected by a change in fluorescence efficiency
  • enzyme reporters where antibody binding effects enzyme/substrate interactions
  • lipo ⁇ ome-bound reporters where binding leads to liposome lysis and release of encapsulated reporter.
  • the assay method involves reacting the serum from a test individual with the protein antigen and examining the antigen for the presence of bound antibody.
  • the examining may involve attaching a labeled anti-human antibody to the antibody being examined (for example from acute, chronic or convalescent phase) and measuring the amount of reporter bound to the solid support, as in the first method, or may involve observing the effect of antibody binding on a homogeneous assay reagent, as in the second method.
  • an assay system or kit for carrying out the assay method just described is also forming part of the invention.
  • the kit generally includes a support with surface-bound recombinant HCV antigen (e.g., the DPD-3 antigen, as above) , and a reporter-labeled anti-human antibody for detecting ⁇ urface-bound anti-HCV-antigen antibody.
  • HCV antigen e.g., the DPD-3 antigen, as above
  • reporter-labeled anti-human antibody for detecting ⁇ urface-bound anti-HCV-antigen antibody.
  • antigens associated with acute phase sera have been identified. These antigen ⁇ may prove to be u ⁇ eful in detecting acute HCV infection in human ⁇ erum.
  • one or more peptide antigens that are immunoreactive with acute chimpanzee sera can be combined with the DP-3D antigen to provide a diagnostic composition capable of immunoreacting with a high percentage of both chronic and acute human HCV-positive sera.
  • peptides obtained from putative core regions of the HCV polyprotein (DP-8, DP-9A, DP-9B, and DP-10) and an NS5 epitope identified by DP-17 were shown to react with human HCV-positive sera. These peptides can be combined with each other and/or DP-3 or DP-3D for immunological detection of HCV infected sera.
  • HCV antigens capable of detecting HCV specific antigens.
  • the HCV antigens may be detected, for example, using an antigen capture assay where HCV antigens present in candidate serum sample ⁇ are reacted with an HCV ⁇ pecific monoclonal or polyclonal antibody.
  • the antibody is bound to a solid ⁇ ub ⁇ trate and the antigen i ⁇ then detected by a second, different labelled anti-HCV antibody.
  • Antibodies can be prepared by standard methods, utilizing the peptide ⁇ of the present invention, that are substantially free of ⁇ erum protein ⁇ that may affect reactivity (e.g., affinity purification (Harlow et al.)).
  • affinity purification Harlow et al.
  • the above described antigen competition as ⁇ ay (Example 20: DP- 3D-HRP0) can be u ⁇ ed to detect the binding of ⁇ pecific antigens to an antibody.
  • the above-described peptide antigens can al ⁇ o be employed in antigen inhibition a ⁇ says.
  • the DPll antigen provides the advantage that its use in the assay of the present invention excludes interference by capsid antibodies potentially present in human HCV-infected plasma or sera.
  • the solid phase is washed and then contacted with a reporter labeled antigen containing the epitope corresponding to the surface-bound anti-HCV-antigen antibody.
  • a reporter labeled antigen containing the epitope corresponding to the surface-bound anti-HCV-antigen antibody In the case of DPll, this contacting is conducted in the presence of a surfactant, such as "TWEEN.”
  • TWEEN a surfactant
  • the level of reporter is then quantitated and the serum-antigen levels are determined based on the percent inhibition of antigen-reporter binding obtained in the presence of the antigen-containing serum, typically by comparison to a standard curve.
  • the reporter is an enzyme which is detected by incubating the solid phase in the presence of a suitable fluorometric or colorimetric substrate.
  • the solid surface reagent in the antigen inhibition assay is prepared essentially as described above.
  • the assay method involve ⁇ reacting the serum from a test individual with a support bound anti-HCV antibody and examining the antibody for the presence of bound antigen.
  • kits for carrying out the as ⁇ ay method just described.
  • the kit generally includes a support with surface-bound anti-HCV antigen (e.g., the DP-3D NS-4 antigen or the DPll capsid antigen, as described above) , and a reporter-labeled cognate antigen (e.g., DP3D-HRPO and DP11-HRPO, respectively) for detecting antibody bound HCV- antigen.
  • a support with surface-bound anti-HCV antigen e.g., the DP-3D NS-4 antigen or the DPll capsid antigen, as described above
  • a reporter-labeled cognate antigen e.g., DP3D-HRPO and DP11-HRPO, respectively
  • Polyclonal and monoclonal antibodies for use in the present invention, can be prepared by standard methods (Harlow, et al.) utilizing the peptides of the present invention.
  • Antibodies can also be generated by recombinant techniques
  • antibody fragments retaining the immunological ⁇ pecificity of the whole antibody may also be used in the practice of the present invention (e.g., Fab and F(ab') 2 fragments of IgG (Pierce)) .
  • the antibodies can be purified by standard methods to provide antibody preparations which are substantially free of serum proteins that may affect reactivity (e.g., affinity purification (Harlow et al.)).
  • a number of the antigenic peptides of the present invention can be used singly or in combination in the antigen-inhibition as ⁇ ay of the present invention.
  • one or more peptide antigens that are immunoreactive with acute chimpanzee ⁇ era can be combined with the DP-3D antigen to provide a diagnostic composition capable of immunoreacting with a high percentage of both chronic and acute human HCV-po ⁇ itive sera.
  • peptide ⁇ obtained from putative cap ⁇ id regions of the HCV polyprotein (DP-8, DP-9A, DP-9B, DP-10 and DPll) and an NS5 epitope identified by DP-17 were shown to react with human HCV-positive sera.
  • Antibodies generated against these peptide ⁇ can be combined with each other and/or anti-DP-3D antibodies for im unological detection of HCV infected sera.
  • the multiple antigen-reporter molecules can be ⁇ imilarly or differentially labeled.
  • microtiter plate wells i.e., multiwell plates (Corning)
  • the probe is then a mixture of, for example, DP3D-HRP0 and DP9B-HRPO.
  • the results of this assay are then read as a single- ⁇ pecificity.
  • the two antigen-reporter molecule ⁇ can be differentially labeled by, for example, labeling one antigen with HRPO and the second antigen with alkaline phosphatase.
  • differential labeling is the use of two fluorescent reporters having different emission wavelengths: for example, phycoerythrin (PE) and fluorescein isothiocyanate (FITC) . Multi-well microtiter plates can then be scanned (Dynatech Corp., Cambridge MA) and the relative levels of antigens determined based on the emission spectra.
  • PE phycoerythrin
  • FITC fluorescein isothiocyanate
  • Multi-well microtiter plates can then be scanned (Dynatech Corp., Cambridge MA) and the relative levels of antigens determined based on the emission spectra.
  • the present invention also includes kits containing multiple antibodies and cognate antigen-reporter complexe ⁇ .
  • the HCV antigens identified by the methods of the present invention can be formulated for use in a HCV vaccine.
  • the vaccine can be formulated by standard methods, for example, in a suitable diluent such as water, saline, buffered salines, complete or incomplete adjuvants, and the like.
  • the immunogen is administered using standard techniques for antibody induction, such a ⁇ by subcutaneous administration of physiologically compatible, sterile ⁇ olution ⁇ containing inactivated or attenuated virus particles or antigen ⁇ .
  • An immune response producing amount of virus particles is typically administered per vaccinizing injection, typically in a volume of one milliliter or less.
  • the peptides that have been identified which react with convalescent sera are excellent candidates for vaccine compositions.
  • combining acute and chronic phase antigens identified by the present invention may provide an increased vaccine efficacy for boosting a broader range immunogenic response.
  • Vaccines are administered at periodic intervals until a significant titer of anti-HCV antibody is detected in the ⁇ erum.
  • the anti-HCV antibodies of the invention can be used a ⁇ a means of enhancing an anti-HCV immune re ⁇ pon ⁇ e ⁇ ince antibody-viru ⁇ complexes are recognized by acrophages and other effector cells.
  • the antibodies can be administered in amounts similar to those used for other therapeutic administration ⁇ of antibody. For example, pooled gamma globulin i ⁇ administered at 0.02-0.1 ml/lb body weight during the early incubation of other viral diseases such a ⁇ rabies, measle ⁇ and hepatitis B to interfere with viral entry into cells.
  • antibodies reactive with, for example, the DP-3D antigen can be pas ⁇ ively administered alone in a "cocktail" with other anti-viral antibodies (for example against the peptides described in Example 19) or in conjunction with another anti-viral agent to a host infected with an HCV virus to enhance the immune response and/or the effectiveness of an antiviral drug.
  • E. coli DNA polymerase I (Klenow fragment) was obtained from Boehringer Mannheim Biochemicals (BMB) (Indianapolis, IN) .
  • T4 DNA ligase and T4 DNA polymerase were obtained from New England Biolabs
  • Nitrocellulose filters were obtained from Schleicher and Schuell (Keene, NH) .
  • Synthetic oligonucleotide linkers and primers were prepared using commercially available automated oligonucleotide synthe ⁇ izer ⁇ . Alternatively, cu ⁇ tom designed synthetic oligonucleotides may be purchased, for example, from Synthetic Genetics (San Diego, CA) . cDNA synthesis kit and random priming labeling kits were obtained from Boehringer-Mannhei Biochemical (BMB, Indianapolis, IN) .
  • Oligonucleotide sequences encoding peptides can be either synthesized directly by standard methods of oligonucleotide synthe ⁇ is, or, in the case of large coding sequences, synthesized by a series of cloning steps involving a tandem array of multiple oligonucleotide fragments corre ⁇ ponding to the coding sequence (Crea; Yoshio et al.; Eaton et al.). Oligonucleotide coding sequence ⁇ can be expressed by standard recombinant procedures (Maniatis et al. ; Ausubel et al.)
  • peptides can be synthesized directly by standard in vitro techniques (Applied Biosystem ⁇ , Fo ⁇ ter City CA) .
  • PLC Polystyrene 96 well plates Immulon II
  • Plates are aspirated and blocked with 300 uL 10% NGS and incubated at 37°C for 1 hr.
  • the reagent consist ⁇ of 50 mL 0.05 M citric acid, pH 4.2, 0.078 mL 30% hydrogen peroxide ⁇ olution and 15 mg ABTS. 0.1 mL of the substrate wa ⁇ added to each well, then incubated for 30 min at room temperature. The reaction wa ⁇ ⁇ topped with the addition of 0.050 mL 5% SDS (w/v) . The relative ab ⁇ orbance i ⁇ determined at 410 nm.
  • the gradient was centrifuged for 18 hours (+5°C) at 21,500 RPM in a Beckman SW41 Ti rotor. At end of the centrifugation the gradient was collected in 1 ml. fractions. Each fraction was titrated with 0.1 N NaOH to a neutral pH (pH 6.8-7.2). A representative elution profile is shown in Figure 2.
  • the markers were prepared as followed: purified human IgG, IgM, and hepatitis B surface antigen were idinated by Chloramine-T oxidation were used to identify fractions: IgG was found in fractions 10 and II; IgM in fraction ⁇ 7 and 8; and HBsAg in fraction 1 and 2. Similar elution profiles were observed using immune complexes made with chimpanzee plasmas from NANBH acute phases and convalescent phases obtained from several individual animals.
  • NANBH MATERIAL Fibrin was removed from acute phase plasma by the addition of MgCl 2 .
  • the globulin portion of the above defibrinated plasma was precipitated by the addition of an equal volume of saturated (NH 4 ) 2 S0 4 at 4°C.
  • the resulting precipitate was washed with a 50% ⁇ olution of saturated (NH 4 ) 2 S0 4 and resu ⁇ pended in phosphate buffered saline, pH 7.2 (PBS).
  • PBS phosphate buffered saline
  • the resu ⁇ pended globulin fraction was dialyzed and fractionated by gel filtration using a "SEPHADEX G-200" matrix, equilibrated in PBS, pH 7.2.
  • the void volume wa ⁇ pooled and concentrated by ultra-filtration through an Amicon PM-10 membrane.
  • the concentrated void pooled material was used to immunize mice.
  • Example 1 Spleen cells from these mice were obtained three-four days after the IV booster inoculation. These spleen cells were fused with murine myeloma cells. The fused cell products were plated in HAT media as previou ⁇ ly de ⁇ cribed (Kohler et al. 1976; Kennedy et al. 1983).
  • Microfilter wells were coated with antigen as listed above, in carbonate/bicarbonate buffer, pH 9.5 and coated overnight at 4°C. Aspiration of wells was followed by post coating with 2% human serum in PBS, pH 7.5 for 30 minutes at room temperature. Supernatant fluid sample ⁇ were then incubated in the coated well ⁇ for 1 hour at 37°C, then a ⁇ pirated and the well ⁇ wa ⁇ hed three time ⁇ with dl water. A biotinylated anti-mou ⁇ e heavy chain IgG (Bector Labs, Burlingame, CA) in 2% human serum, PBS, pH 7.5 was incubated for 1 hour at 37°C. The wells were then aspirated and washed three times with dl water.
  • biotinylated anti-mou ⁇ e heavy chain IgG Bector Labs, Burlingame, CA
  • Example 1 An aliquot of chimpanzee acute phase plasma was immune complexed with convalescent antibody positive plasma a ⁇ described in Example 1 above.
  • the putative antigens were fractionated in acid ⁇ ucro ⁇ e gradient ultracentrifugation (Example 1, Figure 2) , iodinated with I 125 using a chloramine-T procedure (Greenwood et al.) ( 125 I through Amersham) .
  • the iodinated proteins were analyzed by SDS-polyacrylamide gel electrophoresis using 14% polyacrylamide gels. The gels were then exposed to "X-OMAT" X-ray film (Kodak, Rochester NY) .
  • the re ⁇ ulting autoradiogram revealed the presence of several unique protein bands in iodinated material derived from acute phase plasma obtained from two different chimpanzee ⁇ , No ⁇ . 450 and 92, that had been complexed with convalescent antibody (chimpanzee No. 159) .
  • the autoradiogram is shown in Figure 3. Seven bands were noted in the acute phase plasma, which were not detected in pre-bleed chimp 341 plasma that was complexed to the same convalescent antibody po ⁇ itive pla ⁇ ma.
  • the lanes are as follows: lane 1, 450 NANB vs. 159; lane 2, 92 NANB vs. 159; lane 3, 450 pre- bleed vs.
  • Figures 4 and 5 illustrate unique bands from NANB pla ⁇ ma from ⁇ everal acute pha ⁇ e chimpanzee ⁇ which were immune complexed purified with several different sources of convalescent antibody, both chimp and human in origin.
  • Several protein ⁇ were noted in at lea ⁇ t three of the ⁇ e five comparisons including p27, p29, p36, p40 and p45. Other proteins either were less abundant or did not iodinate as efficiently, including pl6, p20, p58, pl04 and pll6.
  • the protein ⁇ were placed on "DEAE-SEPHAROSE" columns, which were equilibrated in 0.01 M sodium phosphate, pH 6.4. After elution of a major peak (corresponding IgG) , the absorbed proteins (corresponding IgG) were eluted with a high salt buffer (1.0 M NaCl, 0.01 M sodium phosphate, pH 6.4). The resulting high salt fraction was radio-labelled with I 125 using two different methods: chloramine-T oxidation (Greenwood et al. 1963), or I 125 uptake in the presence of enzymobeads (Pierce Chemical, Rockford, IL) . This comparison was to insure than chemical damage to the protein was minimized. The resulting solubilized labeled material was fractionated using 14% polyacrylamide gel electrophoresi ⁇ under reducing conditions. The gel was then exposed to X-ray film.
  • Figure 6 illustrate ⁇ ⁇ uch an autoradiogram where the lane contents were as follows: lane 1, 450 pre-bleed, enzymobead-label; lane 2, 450 acute, enzymobead-label; lane 3, 450 pre-bleed, chloramine- T-label; lane 4, 450 acute, chloramine-T-label; lanes 5-8 correspond to lanes 1-4 loaded at half the cpms. Two unique bands were noted in material derived from acute phase 450 plasma with estimated molecular weights of 27KD and 45KD.
  • FIG. 7 Similar unlabeled material was fractionated by SDS-PAGE and silver stained ( Figure 7) .
  • the lane contents of Figure 7 are as follows: lane 1, molecular weight standards; lane 2, 450, pre-bleed, IgG; lane 3, 450, pre-bleed, IgM; lane 4, 450 NANB, IgG; lane 5, 450, NANB, IgM; lane 6, human IgM, purified as above as a negative human control; lane 7, purified as above as a negative human control; lane 8, chimp 92 IgG; and lane 9, chimp 92 IgM.
  • a number of unique bands were observed in the stained gel as indicated by dots next to lane 5 of Figure 7.
  • the lane content ⁇ are a ⁇ follows: lanes 2-4, 450 pre-bleed, fractions 15, 16, and 17, respectively; lanes 5-7, 450 NANB acute phase, fractions 15, 16, and 17, respectively; and lanes 1, 8 and 9 contained molecular weight standards..
  • One unique band was noted by ⁇ ilver staining (lane 7, Figure 8) which had a molecular weight of approximately 27K.
  • the density of this CsCl fraction was determined to be 1.3212 gm/cc.
  • Example 2 two monoclonal antibodies have been generated to NANBH chimpanzee plasma.
  • One of these monoclonal antibodies (A1-3-A6) was covalently linked to "SEPHAROSE 4B" (Pharmacia, Piscataway NJ) using CNBr for cros ⁇ -linking.
  • Two identical affinity columns were used to fractionate partially purified preparations from a pre-bleed and an acute phase plasma derived from chimpanzee 450.
  • the partial purification wa ⁇ carried out by 50% ⁇ alt (NH 4 ) 2 S0 4 precipitation followed by gel filtration chromatography on "SEPHADEX G-200" (Pharmacia, Pi ⁇ cataway NJ) (a ⁇ described in Example 2) .
  • the partially purified preparations were separately loaded on each of the two identical columns containing the monoclonal antibody (A1-3-A6) .
  • the columns were washed with 50 ml of each of the following: 1) 0.5 M NaCl, 0.05 M Tris-Hcl, pH 8.2, 0.001 M EDTA and 0.5% "NONIDET P-40" (Sigma, St. Loui ⁇ , MO);
  • the lane contents in Figure 10 are as follows: lane 1, molecular weight standards; lanes 2-4, affinity purified 450 pre ⁇ bleed, pools I, II and III, respectively; lanes 5-7, affinity purified 450 acute, pools I, II, and III, respectively; lane 8, 450 pre-bleed vs. 92 antibody; and lane 9 450 NANB vs. 92 antibody IgG.
  • a number of unique protein bands can be seen in the lanes corresponding to pools I and II derived from acute phase plasma that are not present in similar pools derived from pre-bleed normal chimpanzee 450 plasma. These unique proteins include bands with approximate molecular weights of 27 KD, 30 KD, 40 KD, 45 KD, 58 KD, 88 KD, 116 KD and 170 KD.
  • the antibody may combine to another antibody which complexes to intact virions;
  • Table 1 provides a summary of the unique NANBH polypeptides identified by the above-methods in acute phase plasma derived from HCV infected chimpanzees.
  • Table 2 provides a summary of the molecular weight ranges of the unique polypeptides detected in acute phase NANBH chimpanzee plasma.
  • HCV SPECIFIC POLYPEPTIDES FROM jy-yj_.RO CULTIVATED HEPATOCYTES Hepatocytes were isolated from an HCV infected chimpanzee (X623) , during the acute phase of HCV infection. The cells were isolated and grown in SFM using our standard methods (Jacob, et al., 1990A and B) . On days 8 and 14 post-seeding a 60 mm plate was labeled for 20 hr in 2.5 ml SFM containing 500 ⁇ Ci of 35 S methionine/cysteine mixture (New England Nuclear, "EXPRE S 35 S 35 ”) .
  • the media were clarified, adjusted to contain 1% NP40, and the cell monolayer was wa ⁇ hed three times with PBS and extracted with EB (Tris HCl 50 mM, pH 9.0, 100 mM NaCl, 1% NP40) .
  • the media and cell extracts were divided into three equal aliquots and immunoprecipitated using antibodie ⁇ (Pharmacia, Pi ⁇ cataway, NJ) bound to protein A agarose.
  • the protein A agarose-antibody beads were incubated with the samples overnight with shaking at 4°C. No buffer in media cell extracts were in EB (TRIS HCl 50 M, pH 9, 100 mM NaCL, 1% NP 40). The beads were washed three times in EB and bound proteins were eluted with standard SDS-PAGE sample loading buffers.
  • FIG. 11 A photograph of the resulting autoradiogram is presented as Figure 11.
  • the lane contents in Figure 11 were as follows: lane 1, molecular weight standards; lane 2, pre 174, media S 35 , day 8; lane 3, acute 174, media S 35 , day 8; lane 4, HCV positive human, media S 35 , day 8; lane 5, pre 174, cell Lysate S 35 day; lane 6, acute 174, cell Ly ⁇ ate S 35 day; lane 7, HCV positive human, cell Ly ⁇ ate S 35 day; lane 8, pre 174, media S 35 , day 14; lane 9, acute 17, media S 35 , day 14; lane 10, HCV po ⁇ itive human, media S 35 , day 14; lane 11, pre 174, cell Ly ⁇ ate S 35 day 14; lane 12, acute 174, cell Ly ⁇ ate S 35 , day 14; lane 13, HCV po ⁇ itive human, media S 35 , day 14; lane 11, pre 174, cell Ly ⁇ ate S 35 day 14; lane 12, acute 174,
  • This band compares favorably to a band identified in infected chimpanzee pla ⁇ ma (Example 5, Table 2) .
  • Similar results were obtained using the hepatocytes from a chronically HCV-infected chimpanzee (Beula) and an anti-HCV sample from a human patient (Taffee) .
  • This example describes the computer analysi ⁇ of amino acid ⁇ equen ⁇ e ⁇ derived from HCV nucleic acid coding ⁇ equence ⁇ that examines, hydropathy, hydrophilic regions, and secondary structure.
  • the amino acid sequence ⁇ information was obtained from the following sources: published European Patent Applications Nos. 88/310922.5 and 90/302866.0 — for the 3' end of the HCV nucleotide sequence; Oka oto et al. (1990) — for the 5' end of the HCV nucleotide sequence; and the nucleotide sequence published by Jacob et al. (1990B) .
  • NS non- structural region
  • E envelope
  • C core
  • M matrix spanning
  • DP3A through DP3F are derived es ⁇ entially from the DP3 polypeptide.
  • DP7 i ⁇ a non- HCV control peptide, the sequence of which is derived from a conserved Flaviviru ⁇ epitope.
  • DP3E and DP3F were modified to contain N-terminal amino acid C and K re ⁇ idues to facilitate chemical manipulations.
  • the peptides DP-1 through DP-7 were synthesized by standard F-MOC procedures.
  • KLH keyhole limpet hemocyanin
  • a cy ⁇ teine re ⁇ idue or a ly ⁇ ine residue was added to the N-terminus of the peptide. Further, a tyrosine residue was added to those peptides lacking tyrosine in order to facilitate labeling the peptides with radioactive iodine (I 125 or I ) .
  • the peptides were linked to bovine serum albumin (BSA) using N-succinimidyl-3-(2-pyridyldithio) propionic (SPDP) as a disulfide cros ⁇ -linker (Pierce Chemical) .
  • BSA bovine serum albumin
  • SPDP N-succinimidyl-3-(2-pyridyldithio) propionic
  • the DP-8 to DP-18 peptide ⁇ and DP-3D peptide were prepared in a similar manner to that described above. Rabbits were boosted at the primary inoculation on days 14 and 28 and bled on day 38.
  • rabbit antisera were titrated by ELISA using microwell ⁇ coated with free peptide (Harlow et al.).
  • the end point titer ⁇ of rabbit antisera prepared to designated HCV synthetic peptides are shown in Table 4.
  • mice All antisera reacted specifically with each respective peptide at titers of 1:100,000 or greater on essentially all test bleed dates.
  • the only exception wa ⁇ peptide DP-2 which elicited only low levels of antibody in one of two rabbits immunized.
  • BALB/c mice were also immunized with DP-3 linked to KLH. After three inoculations, the mice anti-peptide sera were shown to reacted with wells coated with free DP-3 at anti-serum dilutions of 1:10,000 or greater.
  • Rabbit anti-DP-3 antibody was purified using DP-3 peptide affinity chromatography (Pierce AminoPure AgAb; Pierce Amino Link Gel Running Buffer, PBS elution, 0.1 M Lysine, pH 3.2).
  • the affinity purified antibody was used to construct an anti-DP-3 matrix (Pierce Amino Link Gel Running Buffer, PBS elution, 0.1 M Lysine, pH 3.2). Hepatocyte cells from chimpanzee No. 198 were isolated and grown in SFM by standard methods (Example 6) . Two ml. of the HCV infected tissue culture media pool derived from these in vitro cultured cells were harvested on days 3, 11, 22, 25, 27 and 29. Each sample of tissue culture medium was ab ⁇ orbed to the anti-DP-3 column, wa ⁇ hed with neutral buffer (0.01 M PBS) and eluted u ⁇ ing an HCl glycine buffer (0.1 M) , pH 3.2.
  • the resulting autoradiogram is presented as Figure 14.
  • the lane contents of Figure 14 are as follow ⁇ : lane 1, molecular weight ⁇ tandard ⁇ ; lane 2, HCV T.C., Fx 3; lane 3, HBV T.C., Fx 3; lane 4, HCV T.C., Fx 4; lane 5, HBV T.C., Fx 4; lane 6, HCV T.C., Fx 5; lane 7, HBV T.C., Fx 5.
  • lane 2 a major band at approximately molecular weight 58 (p58) is evident in addition to two faint bands at approximately molecular weights 27 (p27) and 66 (p66) .
  • the portion of the membrane corresponding to two lanes was incubated with 1:50 dilution of normal rabbit serum (pre-bleed from rabbit anti-DP3) and the remaining portion (two lanes) of the membrane was incubated with a 1:50 dilution of rabbit anti-DP3 serum.
  • the membrane ⁇ were incubated, wa ⁇ hed and subsequently incubated with I 15 -labeled protein-A (New England Nuclear) . Excess protein-A was removed from the membranes
  • Lane 15 The lane contents of Figure 15 are as follows: lane 1, Rabbit anti-DP3; lane 2, markers. Lane 1 shows a major p58 band with a minor activity with protein of a molecular weight of approximately 45 KD ( Figure 15) .
  • DP-3 which appears to be as ⁇ ociated with the putative NS4 HCV specified subunit, is as ⁇ ociated with at lea ⁇ t one polypeptide having a molecular weight of approximately 58 KD ⁇ imilar to a protein ob ⁇ erved in acute phase NANBH plasma (Example 5, Tables 1 and 2).
  • the post-174 serum was fractionated by gel chromatography on "SEPHADEX G-200." A significant level of activity was noted in the IgG containing fractions at a concentration of 1 ⁇ g/ml ( Figure 16) . Further, a low level of anti-HCV activity was also detected in the void volume from this fractionation: the void volume contained IgM fractions.
  • Chimpanzee 174 (post) also reacted at a serum dilution of 1:100 with DPI at an absorbance of 0.4. The re ⁇ ult ⁇ of a titration curve of po ⁇ t chimpanzee 174 with well ⁇ coated with DP-1 i ⁇ illu ⁇ trated in Figure 17 (absorbency at 410) .
  • a human pla ⁇ ma with a high level of reactivity for HCV was titrated using the DP-3 peptide ELISA as ⁇ ay de ⁇ cribed above. This plasma contained positive antibody reactivity at dilutions of 1:10,000 and 1:100,000.
  • DP-3A presented as SEQ ID NO:
  • DP-3B presented as SEQ ID NO:5
  • DP-3C presented as SEQ ID NO:6.
  • Each of these three peptides were tested for direct binding with NANBH antibody positive sera and also for their ability to inhibit binding of anti-HCV antibody with the original DP-3 peptide.
  • FIG. 19 presents the data showing percent inhibition generated with the five pla ⁇ ma and 4 peptides. All 5 plasma were inhibited by 50% to 70% by DP-3. Two of the plasma were inhibited to similar levels with DP-3B and about 17% by DP-3C. On the other hand, none of these plasma were inhibited by Dp-3A.
  • Post chimpanzee 174 serum was also tested for binding and inhibition using the 4 peptides and the above protocols. The pattern of reactivity was similar to that seen with human serum RL20. The chimpanzee serum was further te ⁇ ted by performing the inhibition assay protocol using increasing amounts of each short peptide.
  • PEPTIDE-BASED ANTI-HCV ASSAY The optimal concentration of the DP-3 peptide for microwell coating for use in ELISA assays wa ⁇ determined by coating wells using serial two-fold dilutions of DP-3 peptide in a series of different buffers. After coating, the well ⁇ were po ⁇ t-coated with a number of different standard agent ⁇ useful for blocking non-specific protein binding, including normal goat ⁇ erum (NGS) , bovine ⁇ erum albumin (BSA) or Blotto (50 g non-fat powdered milk in 1 L 0.05% (v/v) Tween-20/PBS) .
  • NGS normal goat ⁇ erum
  • BSA bovine ⁇ erum albumin
  • Blotto 50 g non-fat powdered milk in 1 L 0.05% (v/v) Tween-20/PBS
  • the coated well ⁇ were te ⁇ ted again ⁇ t pre- and po ⁇ t- NANBH infection chimpanzee 174 ⁇ era diluted 1:100 and 1:1000.
  • Optimal re ⁇ ult ⁇ were obtained with DP-3 diluted in bicarbonate buffer (10 mM Na 2 C03-__ 2 ⁇ , 30 mM NaHC0 3 ) , pH 9.5, and po ⁇ t-coated with 10% NGS.
  • Peak reactivity wa ⁇ determined based on the calculation of P/N ratios: the absorbency value of positive serum divided by absorbency value of negative serum te ⁇ ted at the ⁇ ame dilution.
  • Peak reactivity wa ⁇ ob ⁇ erved when the well ⁇ were coated with 500 ng of DP-3 peptide per well ( Figure 21) .
  • Purification (de ⁇ salting) of the peptide by HPLC reduced the background level (C18 column, .1% TFA + 5% Acetic Nitrile, 10.1% TFA + 50% Acetic Nitrate in 45 minutes) .
  • a preferred well-wash buffer was found to be PBS containing 0.5% "TWEEN"-20, (Sigma).
  • NGS and PBS were compared a ⁇ diluents and PBS gave a lower background than the NGS.
  • the above parameters of the assay can be easily modified to performed the assay at sera dilutions of 1:20 with low background using PBS/0.5% Triton X-100 (Sigma) as diluent.
  • EXAMPLE 14 SCREENING OF A KNOWN HCV DOUBLE-BLIND PANEL
  • a second sera panel consisting of 42 sera obtained from a number of documented NANBH patients and known normal sera were labelled in a double-blind fashion (designated the labelled RL Panel). The panel was tested at a 1:100 dilution of sera in the DP-3 ELISA and at a 1:10 dilution of sera when using the Ortho anti-HCV test kit.
  • EXAMPLE 15 SCREENING OF A DOUBLE-BLIND PANEL CONTAINING BLOOD DONOR PLASMA HAVING DETERMINED ALT VALUES
  • the ⁇ e pla ⁇ ma were screened for anti-HCV activity using 1) the fir ⁇ t generation Ortho a ⁇ ay testing at a plasma dilution of 1:10, and 2) the DP3 ba ⁇ ed a ⁇ say testing at a pla ⁇ ma dilutions of 1:20 and 1:100.
  • Antibody reactivity was inhibited from 50 to 95% by prior incubation in the presence of un ⁇ coupled DP-3 peptide.
  • both high and low reacting plasmas were pre-incubated, as above, at serum dilutions of 1:50 with an equal volume of DP-3 containing solution con ⁇ isting of increasing amounts of DP-3 peptide, re ⁇ ulting in a final pla ⁇ ma dilution of 1:100.
  • the results from these assay ⁇ are plotted in Figure ⁇ 25A and 25B (O.D.).
  • a high titer chimpanzee anti-HCV serum (post-174) along with the normal pre-bleed from the animal (pre-174) were included as controls.
  • EXAMPLE 18 COMPARISON OF THE RELATIVE SENSITIVITY AND SPECIFICITY OF THE DP3 AND THE ORTHO ANTI-HCV ASSAYS
  • a panel of donor blood plasma ⁇ was tested for anti-HCV at plasma dilutions of 1:10 by the Southwest Regional Blood Bank, San Antonio, Texas using the commercial first generation Ortho anti-HCV as ⁇ ay.
  • 'Score original reactivity scored as conf. pos. or non-specific by peptide inhibition.
  • Score original reactivity scored as conf. pos. or non-specific by testing with a Recombinant Immune Blot Assay (RIBA) developed by Chiron.
  • ALT 2 was identified in the high ALT plasma panel (Example 15) which reacted in a preliminary screening again ⁇ t DP6, an El a ⁇ ociated peptide.
  • the above plasmas, A1115, Hayfield, Hart and ALT2 were screened at a 1:20 dilution against the six synthetic peptides associated with HCV El (DP- 12, DP-13, DP-16) and E2 (DP-14, DP-15 and DP-6).
  • HCV El DP- 12, DP-13, DP-16
  • E2 DP-14, DP-15 and DP-6
  • This example describes the use of an HCV non- ⁇ tructural protein antigen to design an antigen- based detection sy ⁇ tem for HCV.
  • FIG. 30 The basic design of the immunoassay is illustrated in Figure 30.
  • Microwell ⁇ were coated with IgG derived by gel filtration from high titer rabbit anti-DP3D ⁇ era. Typically, ⁇ era are initially fractionated by addition of ammonium sulfate. The supernatant is then passed over a gel filtration column (Pierce) and the IgG containing fraction identified by absorbance (A ⁇ ) .
  • IgG molecules can be isolated by a number of standard procedures (Garvey, et al . ) , including affinity chromatography, or by the u ⁇ e of commercially available kit ⁇ (Pierce) .
  • the well ⁇ of microtiter plates were coated with the rabbit IgG antibody as follows (Harlow, et al . ) .
  • Approximately 50 ⁇ l of purified rabbit IgG (approximately 20 ⁇ g/ml) , in phosphate buffered saline (PBS) (Maniatis, et al . ) i ⁇ added to each well of polyvinylchloride plate ⁇ .
  • PBS phosphate buffered saline
  • PPC polystyrene 96 well plates "IMMULON II"
  • the antibody coated well ⁇ were then incubated with the te ⁇ t samples, such a ⁇ , DP3D peptide, HCV infected tis ⁇ ue culture media, human sera, or chimpanzee sera, for 1 hr. After incubation, DP3D- HRPO (horse radish peroxidase) conjugate was added to each well.
  • te ⁇ t samples such as a ⁇ , DP3D peptide, HCV infected tis ⁇ ue culture media, human sera, or chimpanzee sera
  • Peptide-HRPO conjugates were formed using commercially available activated HRPO (Pierce) .
  • HRPO is coupled to peptide ⁇ u ⁇ ing the techniques discussed in Example 8: (i) the glutaraldehyde technique that links through epsilon-amino acid groups on lysine residues, or other free amino groups (Pierce) ; or (ii) a two- ⁇ tep procedure u ⁇ ing m-maleimidobenzoyl ⁇ ulfo ⁇ uccinimide ester (sulfo-MBS) to link through free disulfide linkages (Pierce) .
  • a cysteine residue or a lysine residue was added to the N-terminus of the peptide.
  • Combination of the conjugate to the solid phase antibody coat was detected by the addition of the sub ⁇ trate-2,2'-azino-bis(3-ethylbenzthiazoline-6- ⁇ ulfonic acid (ABTS) (Pierce) , e ⁇ entially as described in Materials and Methods above.
  • ABTS sub ⁇ trate-2,2'-azino-bis(3-ethylbenzthiazoline-6- ⁇ ulfonic acid
  • the presence of a DP3D associated viral antigen was identified by color diminution due to ⁇ ucce ⁇ sful inhibition of binding DP3D-HRP0. A. DP3D.
  • the above protocol wa ⁇ fir ⁇ t te ⁇ ted by addition of increa ⁇ ing quantities of free DP3D peptide.
  • the addition of the DP3D peptide at a concentration of 10 ⁇ g/ml inhibited reactivity with DP3-HRPO by 68%.
  • a linear inhibition curve was observed over the range of 10 ⁇ g/ml to 0.001 ⁇ g/ml.
  • One ng/ml DP3D inhibited the reaction by 8%.
  • a confirmatory as ⁇ ay wa ⁇ designed and tested to confirm positive antigen reactive pla ⁇ ma The basic design i ⁇ a blocking of the DP3-HRPO inhibition a ⁇ ay (Blocking of Inhibition) by addition of anti- DP3D po ⁇ itive ⁇ era to antigen po ⁇ itive pla ⁇ ma before testing in the antibody coated plates. Feasibility of this design wa ⁇ demon ⁇ trated by prior addition of 1) rabbit anti-DP3D, and 2) antibody po ⁇ itive pla ⁇ ma, to different concentration ⁇ of ⁇ ynthetic peptide ⁇ . Fea ⁇ ibility for thi ⁇ protocol wa ⁇ ob ⁇ erved with both antisera.
  • the reagents for the confirmatory assay were evaluated by titration. Two HCV antibody positive sera were tested for their ability to block the inhibition reaction. The sera were human ALT 2 and X174. At a dilution of 1:1280 the chimpanzee ALT 2 serum blocked the inhibition of 100 ng of DP3D by 83% as shown in Figure 35B. The X174 serum was only titered to 1:80, due to the limitation of space in the assay. At 1:80 there was 99% blocking.
  • EXAMPLE 22 DETECTION OF HCV NS4 ANTIGEN IN PLASMA DERIVED FROM EXPERIMENTALLY HCV INFECTED CHIMPANZEES Plasma derived from six chimpanzees during the period when they demonstrated an elevation in their ALT values, that is, the acute phase, was used in the as ⁇ ay described in Example 20 to examine the effectiveness of the assay to detect the HCV antigen during the acute phase.
  • the six chimpanzees were infected a ⁇ follows. Chimpanzees 194 and X7 were each inoculated with 10 2 - 5 chimpanzee infectious dose ⁇ of human infectiou ⁇ inoculum, Hutchin ⁇ on.
  • Chimpanzee 268 was inoculated with 2 ml acute phase chimp 174 plasma.
  • Chimpanzee 196 was inoculated with the following materials; day 0 and 84 with a HCV infected TC media pool concentrated by ultrafiltration and on day 168 with 50 ml chimp xl74 acute phase plasma.
  • Chimpanzee 623 was injected with 1 ml of sucrose gradient purified TC propagated virus on day ⁇ 0 and 104. Thi ⁇ wa ⁇ followed by inoculation with 100 ml homologous acute phase plasma on day 177 with 50 ml of acute phase pla ⁇ ma derived from chimpanzee X7 on day 321.
  • HCV parameters were evaluated for sequential plasma derived from chimpanzee 196, who was experimentally infected with ti ⁇ sue culture propagated HCV. These parameters are summarized in Figure 33: open blocks - hi ⁇ togram, ALT u/ml (Hollinger, 1984) ; (+) , HCV DP3D antigen, percent inhibition (Example 20) ; open block ⁇ - plotted line, HCV Ab levels as determined by DP3D based ELISA and PCR (Mullis; Mulli ⁇ , et al . ) (+/-/nd, nd ⁇ not determined) , detection of HCV nucleic acid using polymerase chain reaction (Weiner et al. i990; Garson et al. 1990) .
  • a HCV solid phase radioimmunoas ⁇ ay was developed with the recombinant protein and wa ⁇ used to test a panel of human sera (Kuo et al., 1989). All samples positive for inhibition using the DP3 antigen detection as ⁇ ay were negative for antibody by both Chiron and DP3- antibody capture assays. To ascertain the specificity of these eight plasma samples each was te ⁇ ted in the blocking confirmatory a ⁇ say de ⁇ cribed above. The confirmatory a ⁇ ay wa ⁇ performed by prior incubation of the po ⁇ itive reactant pla ⁇ ma with a 1:500 final dilution of an anti-HCV po ⁇ itive human pla ⁇ ma.
  • the re ⁇ ults are shown in Table 19.
  • DSFM serum-free media
  • the in vitro cell culture ⁇ u ⁇ tain ⁇ primate hepatocytes in a serum-free medium comprising a basal cell culture medium (such a ⁇ William' ⁇ media E, Gibco BRL) , a hepatocyte proliferogen ( ⁇ uch a ⁇ liver growth factor. Collaborative Research) , serum albumin, a corticosteroid ( ⁇ uch a ⁇ hydrocortisone) , one or both of somatotropin or prolactin, a growth/relea ⁇ ing factor, cholera toxin and ethanola ine.
  • a basal cell culture medium such as a ⁇ William' ⁇ media E, Gibco BRL
  • a hepatocyte proliferogen ⁇ uch a ⁇ liver growth factor. Collaborative Research
  • serum albumin such as a corticosteroid ( ⁇ uch a ⁇ hydrocortisone)
  • somatotropin or prolactin a growth/relea ⁇ ing factor
  • cholera toxin ethanol
  • test cell supernatant fluids wa ⁇ ⁇ upported a ⁇ follows: 1) by infection of a normal chimpanzee using the test cell supernatant fluids; 2) by observation of enveloped 39-60nm virion particle ⁇ ; and 3) by ⁇ equencing of cloned viral RNA. Infected chimpanzee hepatocyte ⁇ were i ⁇ olated and grown in
  • a pool of media (designated TC in Table 19) derived from days 3-27 of ti ⁇ ue culture ⁇ upernatant ⁇ harve ⁇ ted at two day interval ⁇ from HCV infected hepatocytes wa ⁇ te ⁇ ted for HCV DP3D a ⁇ sociated NS4 antigen.
  • Media derived from HBV infected hepatocytes was used as a negative control (Jacob et al . , 1989).
  • the results of HCV antigen detection as ⁇ ay are pre ⁇ ented in Table 20.
  • HCV viru ⁇ present in the media was purified by recover from the interface between a 20% and a 68% sucrose layer (Jacob et al. , 1991). Approximately 64% of the soluble antigen was lost during thi ⁇ purification ⁇ tep (Table 20) .
  • the temporal ⁇ ynthe ⁇ i ⁇ of HCV NS4 antigen was investigated by testing sequential TC media derived at two day interval ⁇ from in vivo infected hepatocyte ⁇ derived from a chronic HCV infected chimpanzee (animal No. 198).
  • the re ⁇ ult ⁇ are shown in Figure 36.
  • One control was the use of media from un-infected hepatocyte cells; 18 samples were used to determine the baseline of the as ⁇ ay, i.e., 0% inhibition.
  • the value ⁇ pre ⁇ ented in Figure 36 are the average of triplicate value ⁇ .
  • Sequential TC media ⁇ derived from HCV infected hepatocyte ⁇ from chronic chimpanzee 2246, were screened for DP3D as ⁇ ociated HCV antigen. The result ⁇ are illu ⁇ trated in Figure 37. As noted previously in media from hepatocytes derived from a chronically HCV infected chimp, two cycles of antigen production were noted, day 1 through 5, and days 5 through 15.
  • HCV antigen detection as ⁇ ay of the pre ⁇ ent invention wa ⁇ u ⁇ ed to assay the effects of drugs on the production of viral antigen in vitro.
  • the temporal synthe ⁇ i ⁇ of HCV NS4 antigen was investigated by testing sequential pooled media derived at two day intervals from in vivo infected hepatocytes derived from a chronic HCV infected chimpanzee (animal No. 2246) .
  • the result ⁇ are shown in Figure 37.
  • the value ⁇ pre ⁇ ented in Figure 37 are the average of triplicate values.
  • EXAMPLE 26 DEVELOPMENT OF AN IMMUNOASSAY FOR HCV STRUCTURAL .CAPSID) ANTIGEN
  • the peptide ⁇ presented in Table 22 have been tested in the antigen inhibition assay, essentially as described in Example 20A, for use in an antigen detection assay targeted for the HCV capsid protein.
  • Rabbit antisera was prepared to each respective peptide in Teible 22.
  • the resulting antibodies were affinity purified on "SEPHAROSE 4B" matrixes (Pharmacia, Piscataway NJ) conjugated to each respective peptide.
  • Wells were coated with affinity purified rabbit anti-DPll (Example 8) .
  • the probe reagents were generated by conjugation of each respective peptide to horseradi ⁇ h peroxida ⁇ e (HRPO) u ⁇ ing a heterobifunctional cro ⁇ -linker (SPDP) , a ⁇ de ⁇ cribed above (Example 20) .
  • HRPO horseradi ⁇ h peroxida ⁇ e
  • SPDP heterobifunctional cro ⁇ -linker
  • HCV seroconversion panels 4811, 4812, and 4813, each derived from a single human donor who was inadvertently infected with HCV infected human RBC preparations (supplied by Serological ⁇ ,
  • the first ⁇ erum ⁇ ample was used as the negative control for each respective panel.
  • the first sample is indicated as day 0 in Figures 38, 39 and 40. Dr.
  • EXAMPLE 30 DETECTION OF NS4 AND CAPSID IN A SINGLE COMBINED IMMUNOASSAY
  • An immunoassay was developed for the ⁇ imultaneou ⁇ detection of both NS4 and cap ⁇ id antigen.
  • a 1:1 antibody mixture of rabbit anti-NS4 and anti-cap ⁇ id wa ⁇ used a ⁇ probe.
  • the ⁇ en ⁇ itivity of thi ⁇ a ⁇ ay was determined by testing a dilution memori ⁇ of a mixture of DP3D-DP9B peptide ⁇ .
  • the antigen-reporter complex wa ⁇ a mixture of DP3D-HRPO and DP9B-HRP0 (both de ⁇ cribed above) .
  • ORGANISM Hepatitis C Virus
  • ORGANISM Hepatitis C Virus
  • ORGANISM Hepatitis C Virus
  • C INDIVIDUAL ISOLATE: DP3, amino acids 1917 to 1940 of the HCV polyprotein
  • ORGANISM Hepatitis C Virus
  • ORGANISM Hepatitis C Virus
  • ORGANISM Hepatitis C Virus
  • ORGANISM Hepatitis C Virus
  • ORGANISM Hepatitis C Virus
  • ORGANISM Hepatitis C Virus
  • ORGANISM Hepatitis C Virus
  • ORGANISM Hepatitis C Virus
  • ORGANISM Hepatitis C Virus
  • ORGANISM Hepatitis C Virus
  • HCV polyprotein (xi) SEQUENCE DESCRIPTION: SEQ ID NO:16:
  • ORGANISM Hepatitis C Virus
  • ORGANISM Hepatitis C Virus
  • ORGANISM Hepatitis C Virus
  • ORGANISM Hepatitis C Virus
  • ORGANISM Hepatitis C Virus
  • ORGANISM Hepatitis C Virus
  • ORGANISM Hepatitis C Virus
  • ORGANISM Hepatitis C Virus

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Abstract

Peptide antigens which are immunoreactive with sera from individuals infected with hepatitis C virus (HCV) are disclosed. Several of the antigens are immunologically reactive with antibodies present in individuals identified as having chronic and acute HCV infection. The antigens are useful in generating antibodies for use in antigen-inhibition immunodiagnostic methods for detecting the presence of HCV antigens in test samples. The antigens are useful in diagnostic methods for detecting HCV infection in humans and for vaccine development.

Description

PEPTIDE BASED HEPATITIS C VIRUS IMMUNOASSAYS
Field of the Invention
The present invention relates to synthetic peptides which contain amino acid sequences of polypeptides encoded by the RNA genome of the etiologic agent of Non-A Non-B Hepatitis (NANBH) , herein referred to as Hepatitis C Virus (HCV) . The synthetic peptides of the present invention have applications in diagnostics and vaccine development.
References
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Yoshizawa, H., et al. , Gastroenterology ,81:107 (1981) . Background of the Invention
Non-A Non-B hepatitis is a generic term used for cases of viral hepatitis in which Hepatitis A Virus (HAV) and Hepatitis B virus (HBV) have been excluded. Other viruses that may play a role in viral hepatitis disease are Hepatitis Delta Virus (HDV) , Cytomegalovirus (CMV) , and Epstein Barr virus (EBV) (Hollinger, 1990) . NANBH accounts for 80-90% of the cases of transfusion-associated hepatitis recorded annually in the United States. In addition, as much as 20% of sporadic outbreaks of hepatitis may be caused by the Non-A Non-B viral agent(s) which are implicated in such disease outbreaks. Clinical and epidemiologic parameters of NANBH are similar to those noted for Hepatitis B except that chronic infections appear to occur more frequently with NANBH cases: it has been estimated that 10-70% (mean of 54%) of people diagnosed with NANBH develop a chronic infection (Dienstag, 1983) . Similar levels of chronicity have been noted in experimentally infected chimpanzees (Burk et al. 1984a) .
The blood derived from many of these chronically infected individuals and chimpanzees has been proven to be infectious even though the host remains asymptomatic (Burk et al., 1984a; reviewed in Hollinger, 1990). Tubules, cylindrical structures, undulating membranes and protein complexes are characteristically observed by electron microscopic observation of liver tissue derived from infected humans and chimpanzees (Burk et al., 1984; reviewed in Hollinger 1990). In the absence of specific serologic markers such unique cytoplasmic structures observed with the aid of electron microscopy have been accepted as a hallmark for NANBH. However, these changes may only represent a cellular reaction to the infectious process and thus may have little or no relationship to viral components. Diagnosis of NANBH until recently was based on biochemical evidence after serologic exclusion of HAV and HBV.
Before recent developments concerning the identification of an etiologic agent for NANBH the most meaningful predictor of potential infectivity for a given blood donor was the ALT value (Hollinger, 1984) . Transfusion of a donor unit with an ALT value exceeding 45 IV/liter is significantly associated with the risk of contracting NANBH. A second surrogate test is the anti-HBc assay (Alter, 1988) based on the assumption that this will identify individuals who are in high risk populations with a greater opportunity to be infected with either infectious agent, i.e., with HBV or Non-A Non-B. The identification of a Non-A Non-B Hepatitis infectious agent, now referred to as Hepatitis C Virus (HCV) , was made by two independent research teams, whose scientific finds were recently published (Choo et al., 1989a; Jacob et al., 1990a). Lanford et al., U.S. Patent Application Number 07/222,569, filed 21 July 1988, herein incorporated by reference, developed a defined serum-free media that sustains long-term in vitro cultures of differentiated primate hepatocytes. Using hepatocytes, obtained from an HCV acutely infected chimpanzee, cultured in this in vitro tissue culture system Jacob et al. (1990a) demonstrated replication of HCV in primary chimpanzee hepatocytes. The source of the infectious NANBH inoculum was the Hutchinson strain (Feinstone et al. 1981) . The presence of HCV in test cell supernatant fluids was supported as follows: 1) by infection of a normal chimpanzee using the test cell supernatant fluids; 2) by observation of enveloped 39-60nm virion particles; and 3) by sequencing of cloned viral RNA. This work is being extended (Jacob et al. (1990B) ) to demonstrate HCV replication in chimpanzee hepatocytes inoculated with an HCV stock derived from tissue culture media. Concurrent with the above investigations Chou et al. (1989) constructed recombinant cDNA libraries from chimpanzee plasma from animals infected with an infectious NANBH Factor VIII concentrate. A clone, referred to as 5-1-1, which reacted with a serum derived from a NANBH patient was identified in these libraries. Subsequent studies showed that clone 5-1-1 was derived from a positive single-stranded RNA molecule containing roughly 10,000 nucleotides (Chou et al., 1989). A recombinant protein, which included 5-1-1 coding sequences, was synthesized for expression in yeast. This fusion protein was constructed from coding sequences derived from 3 overlapping HCV clones and coding sequences for human super oxide dismutase (SOD) . The resulting fusion protein was designated C-100 (Houghton et al. 1989) . C-100 contains amino acids 1569-1931 relative to the HCV polyprotein sequence reported in Houghton et al. (1990) . A HCV solid phase radioimmunoassay (RIA) was developed with the recombinant protein and was used to test a panel of human sera (Kuo et al. 1989) . Using this RIA, the peptide designated C-100 was found to react immuno- specifically with up to 80% of chronic NANBH samples, and about 15% of acute NANBH samples (Kuo et al.) . Based on the morphology of infectious tissue culture derived virions (Jacob et al., 1990a, 1990b) and the nucleotide sequence of the assumed non-structural coding region of the single stranded RNA genome (Chou et al. 1989) , it appears that HCV is a relative of the Flavivirdae or Togaviridae viruses. These characteristics are consistent with earlier studies that (i) predicted HCV particle size by selective ultrafiltration (He et al., 1987) and (ii) demonstrated that HCV infectivity was sensitive to chloroform treatment (Bradley et al. 1983; Feinstone et al. 1983) .
A number of reports have compared sequence homologies of cDNA fragments of HCV derived from human plasma (Kubo et al. 1990) , from the Hutchinson strain propagated in primary chimpanzee hepatocytes (Jacob et al. 1990B) , and from the original Hutchinson inoculum (Miller et al., 1990). Kubo et al. (1990) reports that a cDNA fragment isolated from a Japanese blood donor showed 79.8% homology at the nucleotide level and 92.2% homology at the amino acid level to the prototype HCV cDNA as originally described by Choo et al. (1989) . Jacob et al. reports that the nucleotide sequence derived from Hutchinson strain HCV has a nucleotide homology of 79.8% cind an amino acid homology of 93.8% as compared to the Jl sequence (determined by Kubo et al. 1990) , but a higher level of nucleotide sequence homology, 96.2%, observed with the PT strain (described by Kubo et al. 1990) . These reports indicate that individual isolates of HCV may have marked sequence divergence.
Kuo et al. (1989) reported that studies using the C-100 based immunoassay for detection of antibody in post-transfusion hepatitis patients indicated that HCV is the major cause of transfusion-associated NANBH throughout the world as well as community-acquired NANBH in which no parenteral exposure to the virus has been made. A number of studies have recently appeared confirming the efficacy of using the C-100 RIA test for screening sera suspected of HCV infection (Alter et al., 1990; Miyamura et al., 1990; Mosley et al. , 1990) . These studies suggest that HCV is the etiologic agent for 50-90% of transfusion associated non-A non-B hepatitis: particularly those cases which develop chronicity. The antibody activity detected by the current anti-HCV assay (Kuo et al. 1989) is uniformly detected after acute infection following the peak elevation of ALT values (Alter et al. 1990; Figure 4). To verify exposure to HCV using the C-100 based detection system, a later blood sample should be tested since seroconversion may not be noted for periods of up to a year (Alter et al. 1990) .
Infection during the acute-phase window during which seroconversion, as detected by use of the C- 100 antigen, has not taken place may be detected using a recently developed HCV RNA-specific polymerase chain reaction (Weiner et al. 1990;
Carson et al. 1990) . Using this polymerase chain reaction HCV RNA has been detected in acute phase liver tissue and blood samples which are either (i) antibody negative acute phase (based on reaction with C-100) or (ii) blood obtained during the chronic phase where antibody to C-100 is undetectable.
An epidemiologic survey by Stevens et al. (1990) indicates that anti-C-100 antibodies are present in 0.9 to 1.4% donors. The incidence rates were higher in Black and Hispanic donors than in white donors. The prevalence of anti-C-100 „ antibodies correlated with increasing age through the age of 40, but decreased thereafter. This observation indicates loss of detectable antibody with time.
The antibody detected by the present C-100- based ELISA is directed to an epitope presumably encoded by the non-structural regions of the HCV genome (Choo et al. 1989) . Alter et al. (1990) established that serum positive for the anti-C-100 antibodies was infectious. Accordingly, antibodies directed against the epitope defined by C-100 would not appear to provide protection against re- infection by HCV. Analysis of sequential serum samples from prospectively-followed transfusion recipients indicates that the development of antibody to C100-3 is considerably delayed (Alter et al ., 1990) . In many infected individuals there is a 8 to 20 week period between ALT rises and development of antibody.
First generation HCV assays used NS4 (termed C100-3) antigen fused to superoxide dimutase (SOD) as the capture solid phase antigen (Kuo et l., 1989) . Subsequently, a second generation along with confirmatory tests have been developed which include NS3 (C33c) and capsid (C22) proteins in addition to the C100-3 antigen (Van der Poel et al . , 1991).
Summary of the Invention
The present invention relates to a method for detecting the presence of viral antigens in a sample. In the method a sample is contacted with at least one antibody which is reactive with a viral HCV antigen. Typically, the antibody is attached to a solid support such as the inside surface of the wells of a multiwell plastic plate or a protein binding membrane, like nitrocellulose. The antibody is then examined for the presence of bound viral antigen. This can be accomplished by reacting the solid support with an antigen-reporter complex, where the viral antigen competes with the binding of the antigen-reporter complex to the antibody. The level of antigen-reporter complex which is bound to the solid support is then evaluated. The method of the present invention is described in detail for application to the detection of HCV antigens in a sample.
The method of the present invention permits the quantitation of viral antigen level based on the level of viral antigen inhibition of the binding of antigen-reporter complex to the antibody.
A number of sample types can be evaluated by the method of the present invention including tissue culture medium and serum samples (e.g., chimpanzee serum and human serum) .
In one embodiment of the present invention, a method for detecting the presence of hepatitis C virus (HCV) antigens in a sample, polypeptide antigens used to generate the antibodies useful in the method of the present invention may contain the following antigenic sequences: SEQ ID NO:3, SEQ ID NO:5, SEQ ID NO:6, SEQ ID NO:7, SEQ ID NO:24, SEQ ID NO:14 and SEQ ID NO:16. The polypeptide antigen of the antigen-reporter complex typically contains the antigenic sequence used to generate the antibody used in the method.
Two or more antibodies can be used in the method of the present invention. In a preferred embodiment where two antibodies are used. corresponding polypeptide antigens are used, for example, the antigen of the first antigen-reporter complex may contain SEQ ID NO:7 and the antigen of the second antigen-reporter complex may contain SEQ ID NO:16.
A number of reporter moieties can be used in the antigen-reporter complex including, enzymatic reporters, radioactive reporters, fluorescent reporters. In one embodiment of the invention the enzymatic reporter horse radish peroxidase coupled with a colorametric substrate such as 2,2'-azino- bis(3-ethylbenzthiazoline-6-sulfonic acid (ABTS) .
In one embodiment of the present invention, the method is used for detecting the presence of hepatitis C virus (HCV) antigens in the presence of HCV antibodies in a sample obtained from an HCV- infected host. In this method, at least one antibody is generated that is capable of binding an HCV antigen that is not normally immunoreactive with sera from the HCV-infected host. The serum sample from the infected host is contacted, in a reaction mixture, with the antibody under conditions that promote the binding of the antibody and the HCV antigen that is not normally immunoreactive with sera from the HCV-infected host. Typically, the antibody is attached to a solid support and a non- ionic surfactant, such as a polyoxyethylene sorbitan, is included in the reaction mixture. The antibody is then examined, as described above, for the presence of bound HCV antigen by reacting the solid support with an antigen-reporter complex, where the antigen and the antigen-reporter complex compete for binding to the antibody. The presence of the antigen-reporter complex on the solid support is then detected as described above. One exemplary antigen for use in this method is the polypeptide presented as SEQ ID NO:16.
The invention also includes a diagnostic kit for use in screening samples for the presence of hepatitis C virus (HCV) antigens. The kit contains at least one antibody which is reactive with an HCV antigen and an antigen-reporter complex, where the HCV antigen competes with binding of the antigen- reporter complex to the antibody. In the kit the antibody can also be attached to a solid support.
Examples of antigens of the antigen-reporter complex that are useful in the present invention are polypeptides containing the following antigenic sequences: SEQ ID NO:3, SEQ ID NO:5, SEQ ID NO:6, SEQ ID NO:7, SEQ ID NO:24, SEQ ID NO:14 and SEQ ID NO:16. The reporter moieties can be selected to have a number of properties, as described above.
In another aspect, the invention includes an HCV polypeptide antigen characterized by: (a) an epitope formed by the sequence presented as SEQ ID NO:3; and
(b) effective to recognize, by immunoreactivity with HCV-specific antibodies in human HCV anti-sera, a substantially broader range of HCV anti-sera than is recognized by a 362 amino acid HCV peptide having a 23 amino acid N-terminal region amino acid overlap with the SEQ ID NO:3.
The region of overlap of the peptide antigen with the 362 amino acid HCV peptide may be substantially no greater than 23 amino acids; that is, the peptide antigen may terminate at its N- ter inus at the first of 23 overlapping amino acids, or may contain non-HCV sequences upstream (in the N- terminal direction) at the first of the 23 overlapping amino acid sequences. The epitope may be formed by the peptide defined by the actual presented sequence.
In another aspect, the invention includes a polypeptide antigen consisting essentially of amino acid residues contained in one from the group consisting of SEQ ID NO:3, SEQ ID NO:5, SEQ ID NO:6 and SEQ ID NO:7.
Also forming part of the invention is a diagnostic kit for use in screening human blood containing antibodies specific against hepatitis C virus (HCV) infection. The kit includes an HCV polypeptide antigen of the type identified above, and a system for detecting the binding of HCV- specific serum antibodies to the antigen. In one embodiment of the kit, the detecting system includes a solid support to which the antigen is attached and a reporter-labeled anti-human antibody, where binding of HCV-specific serum antibodies to the antigen is detected by binding of the reporter-labeled antibody to the solid surface. The kit is used in practicing a diagnostic method which forms another part of the invention. In this method, serum from an individual suspected of infection by HCV is reacted with an HCV polypeptide antigen of the type identified above, forming an antigen-antibody complex. The reaction products are then examined for the presence of such complex.
In still another aspect, the invention includes purified antibodies for use in the method and kits of the present invention, in particular, purified antibodies immunoreactive with a polypeptide containing the following antigenic sequences: SEQ ID N0:3, SEQ ID NO:5, SEQ ID N0:6, SEQ ID NO:7, SEQ ID NO:24, SEQ ID NO:14 and SEQ ID NO:16. The antibodies of the present invention may be polyclonal or monoclonal.
These and other objects and features of the invention will become more fully apparent when the following detailed description of the invention is read in conjunction with the accompanying drawings.
Brief Description of the Figures
Figure 1 illustrates the clinical course of NANBH followed after infection with HCV. There is an initial acute phase during which virus can be detected by passage into non-immune animals, liver damage diagnosed by elevation of a liver specific enzymes, alanine aminotransferase, in the blood stream and by symptomology in many patients.
During stage 1, a method such as direct detection of virus antigen is required to diagnose infectivity. After this acute phase of HCV infection 60-70%' of HCV-infected patients develop a chronic phase where they remain infected with HCV, sometimes for life. During this period, two assays are useful, (i) a test to detect non-protective antibody and (ii) a test that will detect circulating immune complexes containing the HCV virus, or viral subunits complexed to antibody. After chronic infection some patients resolve the chronic infection and produce protective antibody. An assay to detect protective "convalescence" antibody would be of value in the clinical management of these patients.
Figure 2 shows an acid sucrose gradient profile of an acidified immune complex prepared by mixing acute phase NANBH chimpanzee plasma with a convalescent phase NANBH-infected chimpanzee plasma. Figure 3 presents an autoradiogra of a gel on which was separated radiolabeled, immune complexed purified material, derived from acute phase plasma, from chimpanzee 450 vs. chimpanzee 159 (lane 1) , and plasma from acute phase chimpanzee 450 vs. chimpanzee 92 (lanes 2 and 4) . Pre-bleed plasma derived from chimpanzee 92 vs. chimpanzee 159 was also complexed and purified by the same procedure (lanes 3 and 5) . The antibody positive plasma from chimpanzee 159 was convalescent plasma.
Figure 4 presents an autoradiogram of iodinated preparations purified by immune complexing. Plasmas derived from pre-bleed and acute phase chimpanzee No. 341 were complexed with convalescent chimpanzee No. 92. Pre-bleed sample (Lane 1) , acute phase plasma, day 67 (lane 2) day 135 (lane 3) and day 139 are shown.
Figure 5 presents an autoradiogram of iodinated immune complex purified preparations. Materials analyzed on this gels were derived from chimpanzee 325 plasma obtained from pre-bleed (lane 1) , and the acute phase, day 57 (lane 2), day 106 (lane 3), day 112 (lane 4) , day 57 (lane 5) , pre-bleed (lane 6) , and from chimpanzee 92 pre-bleed (lane 7) , and day 21 (lane 8) . Each was complexed to convalescent antibody positive plasma from chimpanzee 92.
Figure 6 presents an autoradiogram of pre-bleed (Pb) and acute (Ac) chimpanzee 450 plasma purified by salt precipitation and high salt elution from DEAE-52 Sepharose column. The eluted material was iodinated using enzymobeads (lanes 1 and 5; Pb) (lanes 2 and 6; Ac) or chloramine T (lanes 3 and 7; Pb) (lanes 4 and 8; Ac). Lanes 5-8 were loaded with 50% fewer CPM of 1125.
Figure 7 shows a photograph of a silver stained gel of a high salt elution fraction from a DEAE column (lane 5) . Control preparations included pre-bleed chimpanzee low salt (lane 2) and high salt fractions (lane 3) a normal human low salt fraction (lane 6) and normal chimpanzee high salt fraction (lane 7) , and high salt fraction derived from chimpanzee convalescent antibody positive fraction (lane 8) , and low salt fraction purified in a commercial IgG Isolation System (Protein A, Pierce Chemical) from chimpanzee 92 convalescent plasma (lane 9) . The molecular weight markers are shown in the first lane.
Figure 8 shows a photograph of a silver stained gel of pre-bleed and acute phase plasma derived from chimpanzee 450. The SDS-PAGE analysis shown in this Figure was performed on CsCl gradient fractions 15, . 16 and 17 of pre-bleed (lanes 2, 3, and 4) and acute phase plasma (lanes 5, 6 and 7) . The density for each respective fraction 15, 16 and 17 was determined at 1.2658, 1.2984 and 1.3212 gm/cc, respectively. Molecular weight standards were placed in lanes 1, 8 and 9.
Figure 9 shows an elution profile of complexed NANBH associated antigens from an affinity column linked to A3-1-A6 monoclonal antibody. The eluting buffer contained 0.5 M diethyla ine, pH 11.5, and 0.5% sodium deoxycholate. Three pools (I, II and III) were made as indicated. Figure 10 shows a photograph of a silver stained 14% SDS-PAGE on which affinity purified material, obtained from normal pre-bleed and NANBH acute phase plasma (chimpanzee 450) as described above, was fractionated. The gel contained the following preparations: molecular weight markers (lane 1) , pre-bleed chimp 450 plasma pools I, II and III (lanes 2, 3 and 4) and pools I, II and III derived from NANBH acute phase chimp 450 plasma (lanes 5, 6 and 7) . Lanes 8 and 9 were loaded with pre-bleed and acute material, respectively, derived from animal 450 by immune-complexing with convalescent antibody positive plasma from chimp 92.
Figure 11 presents an autoradiogram of a mixture of S35 methionine/cysteine labeled HCV infected chimpanzee hepatocyte proteins obtained from in vitro cell culture medium immunoprecipitated (IP) with pre-bleed or chronic phase antibody-positive chimpanzee plasma. Lane 1,
Molecular Weight Markers; 94, 67, 43, 30, 20 and 14 KD. Lane 2, day 8 media from chimpanzee X623 immunoprecipitated with X174 chimpanzee sera prior to infection. Lane 3, day 8 media IP with X174 anti-HCV antibody positive bleed reactive to all four RIBA II antigens. Lane 4, day 8 media IP with human anti-HCV antibody positive bleed reactive to all four RIBA II antigens (patient CP) . Lane 5, day 8 cell extract IP with pre-X174. Lane 6, day 8 cell extract IP with chronic X174. Lane 7, day 8 cell extract IP with CP. Lane 8, day 14 media IP with pre X174. Lane 9, day 14 media IP with chronic X174. Lane 10, day 14 media IP with CP. Lane 11, day 14 cell extract IP with pre X174. Lane 12, day 14 cell extract IP with chronic X174. Lane 13, day 14 cell extract IP with CP.
Figure 12 presents a representation of the computer graphical output of the amino sequences of HCV based on: (i) the hydrophilic values, shown in the top profile (Hopp) ; and (ii) the predicted hydropathic scale, illustrated in the bottom profile (Kyte) .
Figure 13 presents a representation of the predicted secondary structure of a number of selected amino acid sequences derived from HCV.
Figure 14 shows an autoradiogram of HCV proteins labeled with 1125 which were isolated using an affinity chromatographic column conjugated to affinity purified rabbit anti-DP3 antibody. Lane 1 contains molecular weight markers (Std) . Lanes 2-4 contain sequential fractions eluted from a column loaded with an HCV infected tissue culture media and lanes 5-7 contain fractions eluted from a HBV infected tissue culture media.
Figure 15 shows the results of Western Blot analysis of gels on which concentrated HCV infected tissue culture media was fractionated (lane 1) reacted with rabbit anti-DP3 antibody followed by Protein A-I125. Lane 2 contains I125 labeled molecular weight markers.
Figure 16 illustrates the reactivity of HCV infected chimpanzee 174 pre-and post serum with micro-wells coated DP-3 peptide. Post sera was fractionated by Sephadex G-200 gel chromatography and the void volume (IgM) as well as the IgG peak were also tested for anti-peptide activity by ELISA.
Figure 17 illustrates the reactivity of HCV infected chimpanzee pre- and post-HCV infection sera with micro-wells coated with DP-1 peptide.
Figure 18 presents a histogram representation of ELISA determination of five plasmas derived from the RL panel reacted with wells coated with peptide DP-3, DP-3A, DP-3B, and DP-3C.
Figure 19 presents the data from an epitope mapping experiment of peptide DP-3. Antibody positive RL plasma were pre-incubated with the following peptides: DP-3, DP-3A, DP-3B and DP-3C. The mixtures were subsequently tested for residual binding activity by ELISA using wells coated with DP-3.
Figure 20 presents the data from further epitope mapping of peptide DP-3. A dilution of HCV infected chimpanzee (No. 174) post-HCV infection serum was pre-incubated with increasing two-fold concentrations of DP-3A, DP-3B and DP-3C. The mixtures were subsequently tested for residual binding activity by ELISA using wells coated with DP-3.
Figure 21 presents the data from titration of DP-3 antibody binding reactivity by ELISA to establish an optimal concentration. Wells were coated with increasing two-fold concentrations of DP-3, quantitated as nanogra s of peptide per well. After blocking, the wells were tested by ELISA with HCV infected chimpanzee pre-and post- HCV infected sera diluted 1:100 and 1:1000. The reactivity is plotted as the ratio of the OD values recorded with the post-infection sera divided by the OD values recorded on comparable wells with pre-serum (P/N values) .
Figure 22 presents histograms illustrating the optical density values of the antibody binding reactivity of each of 38 plasmas diluted 1:100 and tested by ELISA using wells coated with DP-3.
Figure 23 presents histograms illustrating the optical density values of the antibody binding reactivity of each of 82 plasmas diluted 1:100 and tested by ELISA using wells coated with DP-3.
Figure 24 presents the data from titration of antibody activity by ELISA using DP-3 coated wells. Plasmas yielding equivocal values in the 1:100 screen (see Figure 23) were diluted two-fold starting at a dilution of 1:20 and re-tested.
Figure 25 illustrates the results of experiments used to confirm, by peptide inhibition of anti-DP3 activity, the reactivity of plasma that was observed by ELISA. Plasma derived from the ALT panel were pre-incubated at the dilutions shown with increasing two-fold concentrations of DP-3 peptide. The plasmas were subsequently tested by ELISA for residual antibody activity with wells coated with DP-3.
Figure 26 presents the data from titration of six human plasmas for antibody reactivity to HCV El associated peptide DP-6. The plasma tested include 1) a normal uninfected individual 2) three individuals previously identified as HCV-convalescent (A115, Mayfield and Hart) and individuals from the ALT panel (ALT-1, anti-HCV negative; ALT-2, anti-HCV positive) .
Figure 27 presents the data from titration of six human plasmas, described in Figure 26, for antibody reactivity to HCV E2 associated peptide, DP-15.
Figure 28 presents the data from titration of six human plasmas, described in Figure 26, for antibody reactivity to HCV El associated peptide, DP-16.
Figure 29 illustrates the relationships of the various DP peptides to the HCV polyprotein sequence and to the C-100 HCV-derived sequence.
Figure 30 schematically presents the antigen- inhibition assay of the present invention.
Figure 31 presents a standard curve for the HCV NS4 antigen-inhibition assay utilizing purified rabbit anti-DP3D IgG as coating reagent.
Figure 32 illustrates the quantitation of NS4 antigen concentration in HCV-infected chimpanzee sera using the standard curve shown in Figure 31.
Figure 33 presents a serological profile of sequential sera isolated from an HCV-infected chimpanzee (animal No. 196) . Figure 34 presents a serological profile of sequential sera isolated from an HCV-infected chimpanzee (animal No. 623) .
Figure 35A presents a serological profile of sequential sera isolated from an HCV-infected chimpanzee (animal No. 174) .
Figure 35B presents a confirmatory assay titration generated by pre-incubating 100 ng DP3D peptide panel in SFDM with increasing dilutions of an anti-HCV positive human plasma. The mixture is then tested for residual antigen reactivity measured by blocking the subsequent antigen inhibition reaction.
Figure 35C presents a standard curve for the HCV NS4 antigen inhibition assay utilizing affinity purified rabbit anti-DP3D antibody. For subsequent calculations the readings are corrected for background activity.
Figure 36 presents DP3D antigen-inhibition assay data for sequentially collected tissue culture media obtained from cultures of hepatocytes derived from an HCV-infected chimpanzee (animal No. 198) .
Figure 37 presents DP3D antigen-inhibition assay data for sequentially collected tissue culture media obtained from cultures of hepatocytes derived from an HCV-infected chimpanzee (animal No. 2246) .
Figure 38 presents a serological profile of sequential sera isolated from an HCV-infected human (donor No. 4811) , including antigen-inhibition data for the capsid antigen (38A and 38B) , ALT data (38A) and level of HCV-directed antibodies (38B) .
Figure 39 presents a serological profile of sequential sera isolated from an HCV-infected human (donor No. 4812) , including antigen-inhibition data for the capsid antigen (39A and 39B) , ALT data (39A) and level of HCV-directed antibodies (39B) .
Figure 40 presents a serological profile of sequential sera isolated from an HCV-infected human (donor No. 4813), including antigen-inhibition data for the capsid antigen (40A and 4OB) , ALT data (40A) and level of HCV-directed antibodies (4OB) .
Figure 41 presents a standard curve for an assay designed to detect combined NS4 and capsid antigens. The wells are coated with a mixture of equal quantities of HRPO conjugated to DP3D and DP9B, respectively. For subsequent calculations the readings are corrected for background activity.
Detailed Description of the Invention
I. The Pathology of Chimpanzees Experimentally Infected with Hepatitis C Virus.
Burk et al. (1984 ) infected a number of chimpanzees with human plasma that contained pedigreed NANBH virus: the non-immune (an animal which is susceptible to infection with NANBH) chimpanzee showed no indications of NANB. Liver enzymes were monitored in the serum of infected chimpanzees. Elevated liver enzyme, as indicated by alanine aminotransferase levels (ALT) , rose at approximately 70 days post-infection with peak values noted 80 days after inoculation of infectious material. At approximately 100 to 120 days the liver enzymes declined and remained relatively within the normal range. In addition, liver punch biopsies revealed liver pathology during this acute period of infection. The pathologic findings were essentially normal by 120 to 140 days post-infection.
Chimpanzee plasma, which had been obtained during the ascending limb of the above described ALT peak, was inoculated into another non-immune chimpanzee. With this second chimpanzee, essentially identical findings involving the latency period, pathology and enzyme elevations were observed (Burk et al. 1984A) . However, in a number of other NANBH (human infectious plasma) experimentally infected chimpanzees a distinctly different pattern of pathology was observed. In contrast to observations noted above in the original two chimpanzees, a long period of chronicity was observed in these other animals that lasted in excess of 600 days. This pattern included repeated ALT elevations and continued liver histopathologic changes consistent with viral hepatitis (Burk et al. 1984A) . These results suggested that some, but not all, experimentally infected chimpanzees develop long-term chronic infection.
Based on the above observations, the chimpanzees whose hepatitis indicators had returned to essentially normal by 120 to 140 days post-infection were chosen for re-infection in order to generate high titer antibody to NANBH virus. These animals were intravenously inoculated with homologous, i.e., their own, acute phase plasma. After inoculation of these animals with homologous acute phase plasma a small but definite enzyme elevation was observed. In addition, pathologic studies of punch liver biopsy material revealed a new episode of viral hepatitis concurrent with the enzyme elevations (Burk et al. 1984 ) . The same result was seen after repeated inoculations of these animals. The exacerbation of the disease state was seen in one animal that had been held without further challenge for 560 days beyond the acute phase infection. One animal which experienced no pathology for a period of 300 days was inoculated with acute phase homologous serum. Pathologic changes consistent with that of viral hepatitis were noted within ten days of infection. As a control, the same animals were inoculated with infectious
Hepatitis B Virus (HBV) : these animals had antibody to HBV before the initial NANBH inoculation. After inoculation with HBV no HBV-associated pathology was noted. Therefore, the pathology noted at approximately 500 days following inoculation of the acute NANBH homologous plasma indicated either (i) that the animals were not immune to re-infection, or (ii) that the initial infection had not been resolved (Burk et al. 1984A) . Electron microscopic examination during acute phase infection of the liver punch biopsies from the re-infected chimpanzees revealed both tubular cytoplasmic changes and the formation of intranuclear clusters of small particles measuring approximately 20 nm in diameter (Burk et al. 1981) . Of greater significance was the observation of rare crystalline clusters of particles in the cytoplasm of the infected hepatocytes. The particles in these clusters were highly uniform and measured approximately 37 nanometers in diameter (Burk et al. 1981) : similar particles were later observed in NANBH infected human liver tissues (Cabral et al.).
Burk et al. (1984B) observed that a select number of NANBH infected chimpanzees did not develop pathologic changes after homologous challenge with their own acute phase plasma during a late convalescent period: this late convalescent period was usually in excess of three years. It had also been observed that some NANBH human patients experienced a dramatic clinical improvement after a long-term period of chronicity: usually two to four years post-infection. These results suggested that an immune response had been mounted in the infected hosts and that a resulting antibody had eradicated the virus from their blood streams.
Based on the above observations, several sera were obtained from both long-term convalescent NANBH-infected chimpanzees and human patients. These sera were used to stain acute-phase, NANBH-infected chimpanzee liver sections. Routine staining methods, such as fluorescence, peroxidase and peroxidase/anti-peroxidase methodologies, all yielded negative results. However, distinct cytoplasmic staining was observed using the ABC staining method (Burk et al., 1984B) . The ABC method employs an avidin-biotin complex (ABC) which presumably amplifies the sensitivity of immunologic tissue staining by a factor of 40- to 80-fold when compared to routine procedures such as indirect peroxidase, or Staph-A amplified peroxidase/anti-peroxidase methods. Utilizing this method, specific cytoplasmic staining was observed in approximately 10% of hepatocytes obtained from liver sections derived from an acute-phase, NANBH virus-infected chimpanzee. No staining was seen when (i) using the same sera with normal, uninfected liver tissue or, (ii) using normal human sera as controls instead of the NANBH antibody-containing chimpanzee or human sera. Burk et al. (1984B) investigated whether acute phase plasma contained an antigen similar or identical to the antigen detected in acute phase NANB virus-infected hepatocytes. This was accomplished by pre-incubating the above long-term convalescent anti-NANBH antibody-containing serum with acute phase chimpanzee plasma. After the incubation period the mixture was used to stain NANBH infected hepatocytes. An antigen was present in each of two acute phase chimpanzee plasma and in a chronic NANBH human sera: each of these sera blocked the staining reaction using the long-term convalescent anti-NANBH antibody-containing serum. As controls, normal human serum, normal chimpanzee serum, juvenile chimpanzee serum and pre-inoculation chimpanzee serum did not block the staining reaction. These results suggest that there is a circulating antigen during the acute and early chronic phases of NANBH that is antigenically similar to the antigen present in the NANBH virus- infected liver cells (Burk et al. 1984B) .
In view of the above discussion it appears that the HCV infectious process undergoes three distinct phases as illustrated in Figure 1.
The first phase is an acute phase spanning the time between exposure to the virus and the period during which ALT elevations are observed. In the acute phase the presence of virus and virus antigen was suggested by the following: a) plasma derived during this phase is infectious when inoculated into a non-immune chimpanzee, and b) a unique antigen is present in the blood stream, in that, acute phase plasma blocks anti-HCV antibodies from reacting with HCV infected cells (Burk et al., 1984B) .
The second phase is a long chronic phase. In 14 animals studied this phase can last in excess of three years or, more typically, in the majority of animals this phase is lifelong (Burk et al. 1984A) .
In a few animals (3/14) the NANBH (HCV) infection is resolved in that the animals cannot be reinfected (Burk et al. 1984A) . This phase appears to represent a true convalescent phase.
II. Identification of HCV-Associated Peptides Present in Acute Phase Sera.
In view of the above data, the protocol described in Example 1 was designed to purify virus and/or virus sub-units from acute phase chimpanzee plasma. A series of titrations were performed, as described in Example 1, mixing various quantities of acute phase chimpanzee plasma (i.e., the antigen source) with convalescent chimpanzee phase (as described above, antibody positive by tissue staining) .
In order to begin to analyze the purified virus antigens monoclonal antibodies were generated using purified NANBH material from acute phase sera. A limiting factor in generating an immune response to the putative acid sucrose purified virus was the quantity of specific antigenic material (i.e., virus) which could be produced from 20 mis. of acute phase plasma for use in immunizing mice. To circumvent this limitation, a crude semi-purified NANBH preparation was used to induce the initial immune response in mice. This semi-purified material was obtained as described in Example 2. Mice were inoculated with the semi-purified material and then, four to six months after their third intramuscular inoculation, the mice were boosted with a single intravenous (IV) booster of affinity acid sucrose purified preparation (Example 1) . Fused spleen cell/murine myeloma cells were selected and screened for the production of antibodies that reacted with an acute phase NANBH plasma fraction. Two hybridomas specific to acute phase NANBH plasma were identified and designated Nil.9 and Al-3. As discussed above NANBH convalescent serum was identified that (i) was taken during a period when the chimpanzees were protected against challenge with homologous acute phase plasma, and (ii) contained antibodies which reacted specifically with a cytoplasmic antigen present in acute phase liver cell sections. In addition, these antibodies also reacted specifically with a circulating acute phase antigen as was demonstrated by blocking of the . i muno-staining reaction when using infected hepatocytes. Example 3 describes the use of the chimpanzee convalescent sera in generating immune complexes with the chimpanzee acute phase plasma described above. Figures 3, 4 and 5 show autoradiograms of SDS polyacrylamide gels on which the iodinated immune complexes were resolved. A number of bands were observed in reactions with acute phase plasma which were not detected in reactions with pre-bleed chimpanzee plasma. These results suggest that there are antigens in the acute sera that are recognized by antibodies present in the convalescent sera. Since the convalescent sera is believed to contain neutralizing antibodies, which allow the infected animal to overcome chronic infection, the antibodies potentially identify HCV viral antigens capable of generating such neutralizing antibodies.
NANBH sera were fractionated and analyzed by a variety of procedures to identify HCV specific peptides or proteins. Example 4 describes the partial purification of unique NANBH proteins using salt precipitation followed by ion exchange chromatography where the resulting proteins were radioactively labeled (Figure 6) or detected by silver staining (Figure 7) . Example 4 also describes the fractionation of NANBH plasma by ultracentrifugation on CsCl gradients. The resulting proteins were examined by SDS-PAGE, the gel silver stained and a photograph of the gel is presented as Figure 8. NANBH specific proteins were also isolated using affinity gel chromatography where the affinity reagent was above-described monoclonal antibody A1-3-A6 (Example 5) . A typical elution pattern from such an affinity column is presented in Figure 9. Pools resulting from the elution were then fractionated by SDS-PAGE and the proteins visualized by silver staining (Figure 10) .
A number of polypeptides were observed in purified fractions produced by the above described biochemical and immunochemical protocols from acute stage plasma as compared to normal prebleed plasma. These plasma were obtained from a number of experimental HCV infected chimpanzees. The results of representative experiments are summarized in Table 1. These studies indicate that as many as 12 NANBH unique polypeptides, with molecular weights ranging from 16 KD to 170 KD were identified (Tables 1 and 2) .
Further, HCV specific polypeptides have been precipitated from in vitro cell culture of infected hepatocytes. A serum free media (SFM) formulation has been developed which supports the long term growth of primate hepatocytes (Lanford et al. 1989, herein incorporated by reference; co-pending, co- owned US Patent Application Serial No. 07/222,569, filed 21 July 1988, herein incorporated by reference; and co-pending, co-owned US Patent Application Serial No. 07/504,171, filed 3 April 1990, herein incorporated by reference) . Briefly, the in vitro cell culture sustains primate hepatocytes in a serum-free medium comprising a basal cell culture medium (such as William's media E, Gibco BRL) , a hepatocyte proliferogen (such as liver growth factor. Collaborative Research) , serum albumin, a corticosteroid (such as hydrocortisone) , one or both of so atotropin or prolactin, a growth/releasing factor, cholera toxin and ethanolamine.
Using this in vitro hepatocyte cell culture system, an experiment was performed to identify HCV specific polypeptides using an immunoprecipitation protocol using media plus cell extract derived from radio-labelled cultured hepatocytes, which were derived from an HCV in vivo infected chimpanzee liver (Example 6) . After immunoprecipitation and protein fractionation on a gel, a prominent band was identified at approximately 27-28 KD which immunoprecipitated from the cell lysates on both days 8 and 14 using the human anti-HCV. This band compares favorably to a band identified in infected chimpanzee plasma (Example 5, Table 2) . Similar results were obtained using the hepatocytes from a chronically HCV-infected chimpanzee (Meula) and an anti-HCV sample from a human patient (Taffee) .
The above results indicate that HCV peptides specifically associated with the acute infection phase have been identified using a variety of methods: in particular, 12 HCV unique polypeptides, with molecular weights ranging from 16 KD to 170 KD were identified (Tables 1 and 2) . These polypeptides may prove useful in the development of effective anti-HCV vaccines and may also have applications in diagnostic systems, such as those described in the following sections.
III. Identification and Characterization of HCV Eoitopes.
Amino acid sequence information for an HCV encoding polyprotein was obtained from a number of sources. The amino acid sequence data was analyzed by a variety of methods including hydrophilicity and hydropathy (Example 7) . Figures 12A, 12B, and 12C show the results of the hydrophilicity and hydropathy analysis of the HCV polypeptide. A number of peptides were chosen based on hydrophobic epitope (i.e., HOPP +, Kyte -) The approximate locations of these peptides, relative to the HCV polyprotein sequence, are illustrated in Figures 12A, 12B, and 12C by solid lines between the Hopp and Kyte plots: each peptide was designated as DP1- 6 and 8-18. For each of these peptides the predicted secondary structures are shown in Figures 13A, 13B, and 13C. The peptides derive from a number of putative domains of the polyprotein including non-structural regions 3 and 5, envelope, core, and membrane associated (Chiron, EPO 9030 2866.0). The amino acid sequences of the peptides are presented in the Sequence Listing.
Each of the 19 DP peptides listed in Table 3 was synthesized by standard procedures (Example 8) . Each peptide was crosslinked to keyhole limpet hemocyanin and used to immunize rabbits to produce polyclonal antibodies. The endpoint titrations of the resulting antisera are presented in Table 4 (in Table 4, for example, 1E+5 = 1X105) . Generally, with the exception of DP2 in one rabbit, the antisera reacted with the homologous peptide at titers of 1:100,000 or greater.
In addition to these rabbit polyclonal antibodies, BALB/c mice were also inoculated with DP-3 and the resulting sera reacted with free DP-3 at anti-serum dilutions of 1:10,000 or greater.
The DP-3 peptide was attached to.a solid support and rabbit anti-DP-3 antibodies were affinity purified using the immobilized DP-3 (Example 9) . The isolated anti-DP-3 antibodies were then attached to a matrix. Culture media from HCV infected hepatocyte cells was then absorbed to the antibody matrix. The specifically absorbed material was then eluted from the column and radioactively labeled using I125. The eluted material was then fractionated on a gel and the gel exposed to X-ray film. The resulting autoradiogram (Figure 14) showed a major band at approximately molecular weight 58 and two faint bands at approximately molecular weights 27 and 66.
Western blot analysis (Ausubel et al.) was also performed on the above culture media using the anti- DP-3 rabbit sera. Results of the Western analysis showed a major band at approximately molecular weight 58 and a minor protein at a molecular weight of approximately 45 KD (Figure 15) .
The above results suggest that DP-3, derived from the putative NS4 HCV specified subunit, is associated with at least one polypeptide having a molecular weight of approximately 58 KD. A protein of similar molecular weight was observed in acute phase NANBH plasma (Example 5, Tables 1 and 2).
The free DP peptides DP-1 to DP-7 were screened for reactivity with a pre- and post-NANBH infection chimpanzee plasma and with a number of human plasma (Example 10) . The sera were also tested for their reactivity using the commercially available Ortho anti-HCV assay which utilizes the C-100 protein described above. The locations of the antigens relative to the HCV polyprotein coding sequence are presented in Figures 29A-29F. In particular. Figure 29B shows the region of overlap between the DP-3, DP-3D, and C-100 peptides. The results of this screening are presented in Table 5. The known positive post-infection chimpanzee serum reacted strongly with DP-3 but did not appear to react with any of the other six peptides. All of the human sera that reacted strongly with DP-3 at a dilution of 1:100 also scored as positive at a dilution of 1:10 in the commercial (Ortho) assay. One serum reacted weakly with DP-1, DP-4 and DP-5. In addition, three sera, which scored as negative in the Ortho assay, reacted with DP-3. These data suggest that an immunodo inant HCV epitope is associated with DP-3.
The DP peptides listed in Table 6 were then screened against a panel of sera obtained from a set of 19 human patients where the sera had been defined serologically as NANBH-positive. As suggested by the above data, the data presented in Table 6 suggests that DP3 and the related peptide DP-3D contain a major immunodominant HCV epitope. In addition, a number of tested sera also reacted with the following core associated peptides: DP8, DP9A, DP9B, and DP10. Also, one patient responded to an NS5 epitope identified by peptide DP17.
The sensitivity of the ELISA'ε based on the peptides DP-3 and DP-1 was tested by titration of infected chimpanzee sera (Figures 16 and 17, respectively) . A clear positive reaction was attained for DP-3 with serum dilutions down to 1:1,000 with a borderline positive noted at dilution 1:10,000. The chimpanzee serum appeared to be 10- fold more reactive toward DP-3 than DP-1.
In view of the data suggesting that DP-3 defines a strong HCV epitope, epitope mapping of the DP-3 peptide was performed (Example 11) . The above data also indicated that antibody activity was detected in serum panels tested with DP-2. The peptides DP-2 and DP-3 contain six overlapping amino acid residues. Since no reactivity was observed with the DP-2 peptide, it was assumed that the six N-terminal residues of DP-3 were not associated with the immunodominant DP-3 HCV epitope. Three overlapping peptides encompassing the 18 carboxy- terminal residues of DP-3 were synthesized: DP-3A, presented as SEQ ID NO:1922-1931; DP-3B, presented as SEQ ID NO:1928-1935, and DP-3C, presented as SEQ ID NO:1933-1940. Each of these three peptides was tested for direct binding with five human with NANBH antibody positive sera previously shown to react with DP-3. The results of the direct binding study are presented in Figure 18. The major DP-3 binding activity appeared to be associated with the peptide DP-3B.
To rule out that the differences in binding activity between the three overlapping peptides were associated with the physical interactions of each of these three preparations with the solid matrix, a series of inhibition experiments were performed. The results of inhibition studies are presented in Figure 19. All 5 plasma were inhibited by DP-3. Two of the plasma were inhibited to similar levels with DP-3B and about 17% by DP-3G. However, none of the plasmas were inhibited by DP-3A. The inability to inhibit one of these five plasma (RL19) with any of these three short peptides, may indicate that the binding activity of this antibody may at least in part be directed by the conformation associated with the large DP-3 peptide, which is not present with the shorter sequences.
HCV infected chimpanzee serum, tested for binding and inhibition using the above 4 peptides, showed a pattern of reactivity similar to human serum RL20. Figure 20 illustrates the results of testing the chimpanzee serum by performing the inhibition assay using increasing amounts of each short peptide. The data show that increasing quantities of DP-3B and DP-3C both inhibit antibody binding with DP-3. The peptide DP-3A showed only low level inhibition. These results suggest either that antibody against both DP-3B and DP-3C can be identified but that DP-3B binds antibody with higher avidity than DP-3C, or that there are different populations of antibodies present in the polyclonal chimpanzee anti-DP-3 serum which recognizes overlapping DP-3 epitopes. IV. Examination of the DP-3-based Anti-HCV ELISA Assay.
The double-blind Alter NANBH serum panel was screened using the DP-3 based anti-HCV assay of the present invention. The screening results are presented in Table 7. The data show perfect concordance of the assay results with the known HCV sera status of the samples in the serum panel. Two sera tested with intermediate absorbency readings had been obtained from a patient shortly after resolution of an acute infection and were believed to represent an early stage of immune response.
The reaction conditions for the peptide based anti-HCV assay were optimized. The optimal concentration of DP-3 was determined by serial dilution of a DP-3 solution in a variety of buffers (Example 13) . Reactivity was calculated as a ratio (P/N) of the absorbency value of HCV-positive sera treated wells divided by the absorbency value of HCV-negative sera treated wells. Figure 21 shows the results of one optimization experiment where the DP-3 peptide was diluted in bicarbonate buffer. Peak reactivity was observed at a well-coating concentration of 500 ng of the DP-3 peptide. A number of other components involved in the assay were varied in order to increase the sensitivity of the assay. One preferred well-washing buffer was phosphate buffered saline containing 0.5% "TWEEN" detergent (Example 13) . A serum panel was screened using the DP-3 based anti-HCV assay. The panel was 42 sera consisting of 21 paired serum samples where 19 samples had been obtained from a number of documented NANBH patients and 2 were normal serum samples (Figure 22) . Approximately 84% of the NANBH sera scored as being antibody positive using the DP-3 assay. The four negative control sera scored as negative (Table 8) . The same serum panel was also screened using the Ortho anti-HCV assay. By the Ortho assay approximately 65% of the NANBH sera tested as positive (Table 8) . All the sera that tested as positive in the Ortho assay also tested as positive in the DP-3 based assay. These data suggest that the DP-3 assay is more sensitive than the commercially available first generation Ortho anti- HCV assay.
Another panel of sera used to test the DP-3 based anti-HCV assay of the present invention consisted of blood donor plasma that had been rejected on the basis of elevated ALT values
(Example 15) . The results of this panel of sera screened using the DP-3 based assay are presented in Figure 23. Eight of the 82 plasmas tested gave strong positive reactions. Another 10 plasmas were scored as positive. Each of these 10 plasmas were tested in DP-3 anti-HCV assays using a series of diluted plasma. Each of these 10 plasmas yielded the linear dilution curves shown in Figures 24A and 24B. In addition, each of these 10 plasmas was tested using a cold-peptide inhibition protocol (Example 16) . Dilutions of the plasma were pre- incubated with increasing amounts of the DP-3 peptide before testing for antibody binding using DP-3 coated wells. The data for the cold-peptide inhibition test are presented in Table 10. As can be seen from the data, antibody reactivity was inhibited from 50 to 95% by prior incubation in the presence of un-coupled DP-3 peptide. Next, both high and low reacting plasma (1:100) were pre-incubated with DP-3 free peptide. The data from these assays are presented in Figures 25A and 25B. All plasmas were derived from the High ALT Panel; those which were strongly positive, were inhibited more than 50% by addition of 20 μg peptide (Figure 25A) . Low reacting plasmas 435 and 553 were also inhibited by more than 50%: plasma 850 appeared to be a non-specific anti-HCV negative plasma having high background activity. These results confirm that plasmas which tested positive in the DP-3 based anti-HCV assay at low levels (0.2-0.5) are true positives.
When the same panel of sera having elevated ALT values was tested at a plasma dilution of 1:10, 18 (22%) antibody positive plasma were detected using the DP-3 based assay and 8 (9.8%) antibody plasma samples were detected using the Ortho anti-HCV test. All plasma detected as positive using the Ortho kit were strongly positive in the DP-3 based assay (Table 9) . The performance of the DP-3 based assay was further compared with that of the Ortho assay using serial dilutions of the serum panel described in Example 14 to determine relative antibody titers. These results are presented in Table 11. From these data the DP-3 assay is in excess of ten-fold more sensitive than the Ortho assay for HCV detection.
The relative sensitivity and specificity of the DP-3 based and Ortho anti-HCV assays were compared using a panel of 362 donor blood plasmas obtained from the Southwest Regional Blood Bank (Example 18) . All plasmas that tested positive using the DP-3 based assay were confirmed with the above described peptide inhibition assay. All plasma that tested positive using the Ortho kit were re-tested using the commercially available RIBA test. The results of these screens and associated plasma information are presented in Table 12. Six plasmas were recorded as anti-HCV positive in the DP3 assay, five of which were confirmed by specific antigen inhibition. Three positives were noted when tested by the Ortho assay, one of which was scored as non-specific because it did not react in a positive pattern with the RIBA confirmatory strip (Table 13) . The DP-3 assay produced a positive test result of 1.4%, with one non-specific positive. The Ortho assay produced a positive test result of 0.6%, with one non-specific positive (Table 14) . Accordingly, it appears that the DP-3 assay has increased sensitivity and comparable specificity relative to the Ortho assay.
V. Development of an Timnunoassav for Detection of HCV NS4 Antiσen.
The basic design of the immunoassay is illustrated in Figure 30. One example of the antigen detection assay is described in Example 20. In this example, a rabbit anti-DP3D-coated well and a DP3D-horse radish peroxidase (HRPO) conjugate were used in the assay. Microwells were coated with IgG derived by gel filtration from high titer rabbit anti-DP3D sera. The antibody coated wells were then incubated with the test samples, such as, DP3D peptide, HCV infected tissue culture media, human sera and chimpanzee sera. After incubation, DP3D- HRPO conjugate was added to each well. Combination of the conjugate to the solid phase antibody coat was detected by the addition of the substrate-2,2'- azino-bis(3-ethylbenzthiazoline-6-sulfonic acid (ABTS) . An alternative substrate which can be used is 5-aminosalicylic acid (5AS) . The presence of a DP3D associated viral antigen was identified by color diminution due to successful inhibition of binding DP3D-HRPO.
A number of reporter labels, other than HRPO can be used in the method of the present invention, including the following: enzymatic reporter systems, such as HRPO alkaline phosphatase, β- galactosidase, and glucose oxidase (Pierce, Rockford IL) ; fluorochrome reporters, such as fluorescein, R- phycoerythrin, rhodamine, rhodamine 600, and "TEXAS RED" (Pierce) ; biotin and avidin (Pierce) ; radioactive labelling, such as mI or synthesis of antigen polypeptides containing K or IC; light emitting reporters, such as luciferase (de Wet, et al.); and chromophorε, such as heme (Sigma, St. Louis MO) . Reporter labels are conjugated to antigen peptides by appropriate standard methods in the art.
The antigen detection assay of the present invention was tested by addition of increasing quantities of free DP3D peptide. As shown in Figure 31, the addition of the DP3D peptide at a concentration of 10 μg/ml inhibited reactivity with DP3D-HRP0 by 68%. A linear inhibition curve was observed over the range of 10 μg/ml to 0.001 μg/ml. One ng/ml DP3D inhibited the reaction by 8%.
A method to confirm the specificity of the antigen detection reaction is described in Example 21. This confirmation assay is based on blocking the inhibition of DP3D-HRPO binding to its cognate antibody, which usually occurs by binding of a DP3- based antigen to the same antibody. The blocking of inhibition is accomplished by addition of anti-DP3D positive sera to the antigen positive plasma before testing in the antibody coated plates. Prior addition of rabbit anti-DP3D or HCV antibody positive human or chimpanzee plasma to different concentrations of synthetic peptides showed an increase in DP3D-HRPO binding to its cognate antibody, which corresponds to a decrease in antigen mediated inhibition of the DP3D-HRPO binding.
The concept that HCV induces antigene ia in detectable quantities during the acute phase of the HCV infectious disease process was tested by incubating plasma derived from six chimpanzees during the period when they demonstrated an elevation in their ALT values (Example 22) . Acute phase plasma from four of the six animals inhibited the DP3D-HRPO reaction. Using the DP3D inhibition curve as a standard, the level of DP3 defined antigen ranged from 18-46 ng/ l (Figure 32) . These values can be adjusted to reflect true antigen concentration using the molecular weight of the intact HCV protein associated with the DP3 defined epitope. Preliminary observations, discussed above, indicated that the DP3D epitope is associated with a protein with a molecular weight of 58 KD. Therefore, 100 pg/ml of DP3D would equate to approximately 5 ng/ml of P58. A number of HCV parameters were evaluated for sequential plasma derived from chimpanzee 196, who was experimentally infected with tissue culture propagated HCV (Example 22) . In this animal the first significant ALT elevation was observed on day 115 (Figure 33) . Circulating HCV antigen was detectable, using the DP3D-antigen based detection assay as early as day 28 with peak levels detected on day 115. It was observed that antigen was not detectable when this animal began to mount an immune response to the DP3D associated virus subunit (day 178) , as detected by use of a DP3D-peptide based anti-HCV ELISA (Materials and Methods) . In this animal a positive PCR signal was first noted on day 115. Refinements of the PCR protocol yielded increased levels of detection: viral RNA can be detected on day 91 in the above chimpanzee.
To more fully illustrate the utility of this assay, sequential plasmas derived from two additional chimpanzees (animal Nos. 623 and 174) were also tested for ALT values, DP3D antigen and anti-DP3D. These profiles are shown in Figures 34 and 35. Chimpanzee 623 (Figure 34) , also infected with tissue culture derived HCV, had detectable levels of antigen on day 301 through day 431. The first ALT elevation was noted on day 389. Once again the DP3D based HCV antigen assay was demonstrated as being capable of detecting one HCV marker prior to the occurrence of a significant ALT elevation. Chimpanzee 174 (Figure 35) first developed ALT rises on day 69 and became anti-DP3D positive on day 280. Unlike the other animals, no antigen was detected in the plasma of the chimpanzee 174. Thus, chimpanzee 174 may have effectively resolved its HCV illness without experiencing the debilitation of the more usual course of events, i.e., chronic disease development. The absence of DP3D based antigen during acute illness might signify a more favorable clinical outcome in resolution of HCV infection. Chimpanzee 623 shows a delay in onset of anti-DP3D antibody response. Unlike chimpanzee 174, it is clear that chimpanzee 623 remains chronically infected with HCV, some 18 months beyond his acute disease episode (Figure 34) . A panel containing 82 human plasma samples derived from individuals with elevated ALT values and a second panel containing 228 plasmas from normal blood donors were also screened for the presence of HCV antigen using the antigen detection assay of the present invention (Example 23) . Six specimens in the ALT panels gave a positive inhibition, two high level inhibition (approximately 10 ng/ml) and four weak or borderline (Table 18, Example 23) . In the panel containing 228 blood donor specimens, two samples were detected yielding a high degree of inhibition.
To ascertain the specificity of these eight plasma samples each was tested using the blocking confirmatory assay described above. The confirmatory assay was performed by prior incubation of the positive reactant plasma with a 1:500 final dilution of an anti-HCV positive human plasma (see Figure 35B) . A final dilution of anti-HCV positive plasma of 1:500 was used in subsequent testing. The mixture is then tested in the antigen assay and a positive is confirmed by blocking of the ability of the sample to inhibit the DP3D anti-DP3D reaction (Table 19) . Of all of the strongly inhibiting samples, ALT 5, ALT 64 and the two reactive blood donor specimens were inhibited by greater than 80%. In addition, 100% inhibition was noted with one weak reacting plasma (ALT 4) . The remaining three border line reactors were not blocked by the prior addition of anti-HCV antibody. Based on these results 3/82 plasma (3.7%) in the high ALT panel and 2/228 blood donor specimens (0.9%) contained HCV specific antigen. None of the sera that tested positive by the antigen detection assay of the present invention gave a positive test result with either a commercially available HCV-antibody detection kit or an anti-DP3 antibody detection ELISA (Materials and Methods) .
To increase the sensitivity of this assay, wells were coated with rabbit anti-DP3D purified by affinity chromatography utilizing "SEPHAROSE 4B" (Pharmacia, Piscataway, NJ) conjugated to DP3D. The standard curve is shown in Figure 35C. The reaction of DP3D-HRPO conjugate with affinity purified anti- DP3D coated wells can be inhibited 100% by incubation of 10 μg/ml DP3D. The end sensitivity of this assay using DP3D is 100 pg/ml.
The antigen detection method of the present invention was also used for the detection of HCV NS4 antigen in tissue culture (TC) media derived from hepatocytes infected with HCV. Hepatocyte cultures derived from acute or chronic stage HIV infected chimpanzees afforded the active replication of HCV (Jacob et al . , 1991). This active replication was demonstrated by the following: 1) electron microscopy showing virions in infected hepatocyte media; 2) specific im unostaining of HCV infected hepatocytes with convalescent sera; 3) ability to infect normal chimpanzees with tissue culture derived virus; and 4) by demonstration of both positive and negative strand RNA in infected hepatocyte lysates and of positive strand RNA in infected media by PCR.
A TC pool, derived from days 3-27 of media harvested at two day intervals from HCV infected hepatocytes, was tested for HCV DP3D associated NS4 antigen (Example 24) . Media harvested from HCV infected hepatocytes inhibited the DP3D conjugate reaction by 54% (Table 20, Example 24). This equates to a level of approximately 1 μg/ml of NS4 viral protein associated with the DP3D epitope (quantified with reference to a DP3D synthetic peptide standard curve) , which is secreted by the infected cells into the media. The putative virus present in the media was purified by centrifugation and cushioning onto a 60% sucrose gradient. Approximately 64% of the soluble antigen was lost during this purification step (Table 20) .
The temporal synthesis of HCV NS4 antigen was investigated by testing sequential TC media derived at two day intervals from in vivo infected hepatocytes derived from a chronic HCV infected chimpanzee (animal No. 198) . A biphasic synthesis of antigen was noted (Figure 36) . Days 1-13 were positive, days 15-17 were negative with a second cycle of antigen noted on days 19-32 (Figure 36) .
Sequential TC edias, derived from HCV infected hepatocytes from chronic chimpanzee 2246, were screened for DP3D associated HCV antigen. The results are illustrated in the attached Figure 37. As noted previously in media from hepatocytes derived from a chronically HCV infected chimp, two cycles of antigen production were observed, day 1 through 5 and days 5 through 15. These experiments demonstrate the ability of the antigen detection assay of the present invention to detect HCV specific antigens from a number of sources.
VI. Utilization of Antigen Assay for Drug Screening for HCV.
Hepatocytes derived from Chronic HCV infected chimpanzee 2246 were treated with a number of drugs on day 3, including ribavirin and interferon (Table 21, Example 25) . The cells were maintained on these drugs and the TC media tested for HCV antigen. Ribavirin, used at two different concentrations, failed to significantly alter production of DP3D associated HCV antigen. On the other hand, interferon completely inhibited production of detectable levels of antigen, nine days after addition of the drug. In fact, addition of a 5-fold higher level of drug inhibited antigen production after two days exposure to the drug (Table 21) . These results demonstrate the usefulness of the present invention to evaluate the effects of drug treatment on HCV antigen production.
VII. Development of An Immunoassay for HCV Structural fCapsid) Antigen.
The immunoassay described above detects NS4, a non-structural HCV subunit. The function of NS4 protein is undefined. Based on the flavivirus model it is assumed that NS4 is not part of the intact virion. Therefore, detection of an antigen associated with one of the major structural proteins of the virus could be advantageous for screening plasma or infected tissue culture media.
The peptides DP9A, DP9B, DP10 and DP11 were tested (Example 26) in the antigen inhibition assay, essentially as described above: these peptides correspond to the putative capsid protein of HCV (Example 7, Table 3). Rabbit antisera was prepared for each peptide. Microtiter plate wells were coated with affinity purified antibody to each respective synthetic peptide (DP9A, DP9B, DP10 and DP11) .
Sequential plasma samples derived from an HCV infected chimpanzee (No. 196) were tested for presence of detectable capsid antigen as described above for the DP3 antigen (Example 20) . The results of these inhibition assays (Table 23) demonstrated that antigen was detected with each respective peptide assay following the first significant elevation in ALT values and at least one later date. When the assays were performed with peptide DPll the capsid antigen was detected substantially throughout the test period (Table 23) .
In addition, all of the synthetic peptides presented in Table 3, excluding DP3A through DP3F, were screened against a panel of plasmas derived from blood donors who had been excluded due to elevated ALT values (Example 27). DP8, DP9A, DP9B and DP10 all reacted to at least one of eight individual plasma; none of these eight plasma reacted to DPll. This result suggests that the epitope associated with DPll is not normally immunogenic in humans infected with HCV. Employing, in the present assay method, an antigen not immunoreactive with sera obtained from HCV-infected humans would exclude interference by capsid antibodies potentially present in a given HCV- infected human sera sample.
Rabbits immunized with DPll produce a vigorous immune response to DPll. In view of (i) the strong immunoreactivity of DPll in the sequential plasma samples derived from an HCV infected chimpanzee, (ii) the lack of immunoreactivity with the above- described human hepatitis panel, and (iii) the ability to generate a strong immune response against DPll in rabbits, DPll was pursued as a candidate for the development of a HCV capsid specific antigen immunoassay.
Given that DPll did not appear to be immunoreactive with plasma obtained from HCV- infected humans, the ability of detergent to facilitate detection of the DPll antigen was investigated. Detergent treatment may strip envelope material from intact virions or cause a partial denaturation of protein, either of which may promote the detection of the capsid antigen in samples. Chimpanzee sera which were scored as positive for capsid antigen in the DPll/anti-DPll assay were retested by dilution in 0.5% Tween 20/PBS. A level of inhibition of 23% was noted with undiluted plasma. Dilution in Tween 20/PBS yielded levels of 29% and 35% at plasma dilutions of 1:2 and 1:4, respectively. These results indicated that the addition of detergent was not detrimental to the assay method and further seemed to enhance detection of DPll. These conditions, i.e., including the addition of a surfactant, appear to promote the binding of the anti-DPll antibody to the HCV antigen DPll derived from the HCV-infected human samples where it is not normally immunoreactive.
Example 28 describes the development of an inhibition HCV antigen assay protocol that employs DPll antigen and which includes a detergent. The detergent used in Example 28 is "TWEEN 20." Other detergents may be useful in the practice of the present invention including other polyoxyethylene sorbitans and non-ionic surfactants. The efficacy of any given detergent and appropriate concentrations can be determined using the assay method described in Example 28.
The inhibition HCV antigen assay protocol employing DPll antigen was used to screen three HCV seroconversion panels (4811, 4812, and 4813). These panels were derived from human donors infected with HCV via human RBC preparations. Sequential sera samples from these panels were analyzed (Example 29) for capsid antigen DPll, ALT values, and the presence of HCV antibodies as determined using a commercial kit. The results of these three determinations are presented in Figures 38, 39 and 40.
In all three individuals low levels of DPll associated antigen were detected early in the course of infection. In all the panels, at the time point approximately corresponding to the elevation of the ALT values, DPll antigen became undetectable. Upon resolution of the pathology, as noted by decline of the ALT values, all three individuals again developed positive antigen reactivity. The above results suggest that DPll provides a useful marker for early and sustained detection of infection by HCV.
The time course for the appearance of DP9B has also been investigated. DP9B is a highly immunogenic synthetic peptide (Table 3, Table 4) associated with HCV capsid protein. DP9B was used in screens against sequential tissue culture media samples harvested from hepatocytes derived from a chronic HCV infected chimpanzee. The assay design was similar to that described above for the NS4 specific test. Wells were coated with affinity purified rabbit anti-DP9B and the detection probe consisted of DP9B conjugated to HRPO. As noted above, a number of different reporter systems can be conjugated to the capsid antigen. This analysis suggested that the capsid antigen is expressed at relatively high levels on Day 1, but disappears rapidly. Using the sample samples and a DP3D probe, a biphasic pattern for production of NS4 protein was observed. These results suggest that the expression of the two viral εubunits are not dependent on each other, i.e., one antigen may be produced while the second subunit is not expressed in detectable levels. Further, experiments performed in support of the present invention suggest that the immune response to these two antigens, the structural (capsid) DP9B and non-structural (NS4) DP3D, can also be independent. Accordingly, for the detection of HCV infection, the use of combinations of peptide antigens provides another screening approach. An assay is described in Example 30 which combines the DP3D and DP9B reagents (coating antibody and HRPO - peptideε probes) to detect both NS4 and/or capεid antigen simultaneously. A inhibition curve with a mixture of the two peptides is shown in Figure 41. The sensitivity of this combined assay is equal or greater than 100 pg/ml.
The above results suggest that the antigen detection assay of the present invention is a more sensitive detector of infection than detection of anti-HCV antibodies alone.
VIII. Utility
A. Diagnostic Method and Kit The antigens obtained by the methods of the present invention are advantageous for use as diagnostic agents for anti-HCV antibodies present in HCV-infected sera; particularly, the DP-3 antigens (DP-3, DP-3B, DP-3C, DP-3D) and DPll. 1. Antibody Capture Assays.
As noted above, the DP-3D antigen provides an advantage over known HCV antigen reagent C-100 in that it is immunoreactive with a wider range of NANBH infected sera, particularly acute-infection sera. Epitope mapping of the DP3 defined epitope is described in Example 20*B.
In one preferred diagnostic configuration, test serum is reacted with a solid phase reagent having a surface-bound HCV antigen obtained by the methods of the present invention, e.g., the DP-3D antigen. After binding anti-HCV antibody to the reagent and removing unbound serum components by washing, the reagent is reacted with reporter-labeled anti-human antibody to bind reporter to the reagent in proportion to the amount of bound anti-HCV antibody on the solid support. The reagent is again washed to remove unbound labeled antibody, and the amount of reporter associated with the reagent is determined. Typically, the reporter is an enzyme which iε detected by incubating the solid phase in the presence of a εuitable fluorometric or colorimetric substrate.
The solid surface reagent in the above assay is prepared by known techniques for attaching protein material to εolid support material, such as polymeric beadε, dip εtickε, 96-well plate or filter material. These attachment methods generally . include non-specific adsorption of the protein to the support or covalent attachment of the protein, typically through a free amine group, to a chemically reactive group on the εolid support, such as an activated carboxyl, hydroxyl, or aldehyde group. In a second diagnostic configuration, known as a homogeneous assay, antibody binding to a solid support produces some change in the reaction medium which can be directly detected in the medium. Known general types of homogeneous assays proposed heretofore include (a) spin-labeled reporters, where antibody binding to the antigen iε detected by a change in reported mobility (broadening of the spin splitting peaks), (b) fluorescent reporters, where binding is detected by a change in fluorescence efficiency, (c) enzyme reporters, where antibody binding effects enzyme/substrate interactions, and (d) lipoεome-bound reporters, where binding leads to liposome lysis and release of encapsulated reporter. The adaptation of these methodε to the protein antigen of the present invention follows conventional methods for preparing ho ogeneouε assay reagents.
In each of the assays described above, the assay method involves reacting the serum from a test individual with the protein antigen and examining the antigen for the presence of bound antibody. The examining may involve attaching a labeled anti-human antibody to the antibody being examined (for example from acute, chronic or convalescent phase) and measuring the amount of reporter bound to the solid support, as in the first method, or may involve observing the effect of antibody binding on a homogeneous assay reagent, as in the second method. Also forming part of the invention is an assay system or kit for carrying out the assay method just described. The kit generally includes a support with surface-bound recombinant HCV antigen (e.g., the DPD-3 antigen, as above) , and a reporter-labeled anti-human antibody for detecting εurface-bound anti-HCV-antigen antibody.
Aε discuεsed in Section II above, several antigens associated with acute phase sera have been identified. These antigenε may prove to be uεeful in detecting acute HCV infection in human εerum. In particular, one or more peptide antigens that are immunoreactive with acute chimpanzee sera can be combined with the DP-3D antigen to provide a diagnostic composition capable of immunoreacting with a high percentage of both chronic and acute human HCV-positive sera. Further, peptides obtained from putative core regions of the HCV polyprotein (DP-8, DP-9A, DP-9B, and DP-10) and an NS5 epitope identified by DP-17 were shown to react with human HCV-positive sera. These peptides can be combined with each other and/or DP-3 or DP-3D for immunological detection of HCV infected sera.
2. Antigen Capture Assays.
Another diagnostic configuration involves use of the anti-HCV antibodies capable of detecting HCV specific antigens. The HCV antigens may be detected, for example, using an antigen capture assay where HCV antigens present in candidate serum sampleε are reacted with an HCV εpecific monoclonal or polyclonal antibody. The antibody is bound to a solid εubεtrate and the antigen iε then detected by a second, different labelled anti-HCV antibody. Antibodies can be prepared by standard methods, utilizing the peptideε of the present invention, that are substantially free of εerum proteinε that may affect reactivity (e.g., affinity purification (Harlow et al.)). Alternatively, the above described antigen competition asεay (Example 20: DP- 3D-HRP0) can be uεed to detect the binding of εpecific antigens to an antibody.
3. Antigen Inhibition Assay.
The above-described peptide antigens can alεo be employed in antigen inhibition aεsays. For this method, the DPll antigen provides the advantage that its use in the assay of the present invention excludes interference by capsid antibodies potentially present in human HCV-infected plasma or sera. In one preferred diagnostic configuration, test serum iε reacted with a εolid phase reagent having a εurface-bound anti-HCV-antigen antibody, either polyclonal or monoclonal, obtained by the methods of the present invention: for example, an anti-DPll- antigen antibody. After exposure to the teεt εerum, the solid phase is washed and then contacted with a reporter labeled antigen containing the epitope corresponding to the surface-bound anti-HCV-antigen antibody. In the case of DPll, this contacting is conducted in the presence of a surfactant, such as "TWEEN." The level of reporter is then quantitated and the serum-antigen levels are determined based on the percent inhibition of antigen-reporter binding obtained in the presence of the antigen-containing serum, typically by comparison to a standard curve. A number of alternative-reporter syεtems have been described above. In one embodiment, the reporter is an enzyme which is detected by incubating the solid phase in the presence of a suitable fluorometric or colorimetric substrate. The solid surface reagent in the antigen inhibition assay is prepared essentially as described above.
In each of the antigen inhibition asεays described above, the assay method involveε reacting the serum from a test individual with a support bound anti-HCV antibody and examining the antibody for the presence of bound antigen.
Also forming part of the invention is an assay system or kit for carrying out the asεay method just described. The kit generally includes a support with surface-bound anti-HCV antigen (e.g., the DP-3D NS-4 antigen or the DPll capsid antigen, as described above) , and a reporter-labeled cognate antigen (e.g., DP3D-HRPO and DP11-HRPO, respectively) for detecting antibody bound HCV- antigen. The more antigen, from a test sample, bound to the antibody the more inhibition of reporter-antigen binding: accordingly, lower levels of detectable reporter.
Polyclonal and monoclonal antibodies, for use in the present invention, can be prepared by standard methods (Harlow, et al.) utilizing the peptides of the present invention. Antibodies can also be generated by recombinant techniques
(Cabilly, et al . j Better, et al.; Skerra, et al . ) . In addition to whole antibody molecules, antibody fragments retaining the immunological εpecificity of the whole antibody may also be used in the practice of the present invention (e.g., Fab and F(ab')2 fragments of IgG (Pierce)) . The antibodies can be purified by standard methods to provide antibody preparations which are substantially free of serum proteins that may affect reactivity (e.g., affinity purification (Harlow et al.)).
4. Combined Antigen-Inhibition Immunoasεayε. A number of the antigenic peptides of the present invention can be used singly or in combination in the antigen-inhibition asεay of the present invention. In particular, one or more peptide antigens that are immunoreactive with acute chimpanzee εera can be combined with the DP-3D antigen to provide a diagnostic composition capable of immunoreacting with a high percentage of both chronic and acute human HCV-poεitive sera. Further, peptideε obtained from putative capεid regions of the HCV polyprotein (DP-8, DP-9A, DP-9B, DP-10 and DPll) and an NS5 epitope identified by DP-17 were shown to react with human HCV-positive sera.
Antibodies generated against these peptideε can be combined with each other and/or anti-DP-3D antibodies for im unological detection of HCV infected sera. When multiple anti-HCV antibodies are used the multiple antigen-reporter molecules can be εimilarly or differentially labeled. For example, microtiter plate wells (i.e., multiwell plates (Corning)) can be coated with a mixture of antibodies containing equal quantities of anti-DP3D-antigen and anti-DP9B- antigen antibodies. The probe is then a mixture of, for example, DP3D-HRP0 and DP9B-HRPO. The results of this assay are then read as a single-εpecificity. Alternatively, the two antigen-reporter moleculeε can be differentially labeled by, for example, labeling one antigen with HRPO and the second antigen with alkaline phosphatase. Another embodiment of differential labeling is the use of two fluorescent reporters having different emission wavelengths: for example, phycoerythrin (PE) and fluorescein isothiocyanate (FITC) . Multi-well microtiter plates can then be scanned (Dynatech Corp., Cambridge MA) and the relative levels of antigens determined based on the emission spectra. Aε above, the present invention also includes kits containing multiple antibodies and cognate antigen-reporter complexeε. B. Peptide Vaccine.
The HCV antigens identified by the methods of the present invention can be formulated for use in a HCV vaccine. The vaccine can be formulated by standard methods, for example, in a suitable diluent such as water, saline, buffered salines, complete or incomplete adjuvants, and the like. The immunogen is administered using standard techniques for antibody induction, such aε by subcutaneous administration of physiologically compatible, sterile εolutionε containing inactivated or attenuated virus particles or antigenε. An immune response producing amount of virus particles is typically administered per vaccinizing injection, typically in a volume of one milliliter or less. In particular, the peptides that have been identified which react with convalescent sera (Example 19) are excellent candidates for vaccine compositions. Further, combining acute and chronic phase antigens identified by the present invention may provide an increased vaccine efficacy for boosting a broader range immunogenic response. Vaccines are administered at periodic intervals until a significant titer of anti-HCV antibody is detected in the εerum.
C. Passive Immunoprophylaxis.
The anti-HCV antibodies of the invention can be used aε a means of enhancing an anti-HCV immune reεponεe εince antibody-viruε complexes are recognized by acrophages and other effector cells. The antibodies can be administered in amounts similar to those used for other therapeutic administrationε of antibody. For example, pooled gamma globulin iε administered at 0.02-0.1 ml/lb body weight during the early incubation of other viral diseases such aε rabies, measleε and hepatitis B to interfere with viral entry into cells. Thus, antibodies reactive with, for example, the DP-3D antigen can be pasεively administered alone in a "cocktail" with other anti-viral antibodies (for example against the peptides described in Example 19) or in conjunction with another anti-viral agent to a host infected with an HCV virus to enhance the immune response and/or the effectiveness of an antiviral drug.
The following examples illustrate, but in no way are intended to limit the present invention.
Materials and Methods E. coli DNA polymerase I (Klenow fragment) was obtained from Boehringer Mannheim Biochemicals (BMB) (Indianapolis, IN) . T4 DNA ligase and T4 DNA polymerase were obtained from New England Biolabs
(Beverly, MA) ; Nitrocellulose filters were obtained from Schleicher and Schuell (Keene, NH) .
Synthetic oligonucleotide linkers and primers were prepared using commercially available automated oligonucleotide syntheεizerε. Alternatively, cuεtom designed synthetic oligonucleotides may be purchased, for example, from Synthetic Genetics (San Diego, CA) . cDNA synthesis kit and random priming labeling kits were obtained from Boehringer-Mannhei Biochemical (BMB, Indianapolis, IN) .
Oligonucleotide sequences encoding peptides can be either synthesized directly by standard methods of oligonucleotide syntheεis, or, in the case of large coding sequences, synthesized by a series of cloning steps involving a tandem array of multiple oligonucleotide fragments correεponding to the coding sequence (Crea; Yoshio et al.; Eaton et al.). Oligonucleotide coding sequenceε can be expressed by standard recombinant procedures (Maniatis et al. ; Ausubel et al.)
Alternatively, peptides can be synthesized directly by standard in vitro techniques (Applied Biosystemε, Foεter City CA) .
Common manipulationε involved in polyclonal and monoclonal antibody work, including antibody purification from εera, were performed by εtandard procedures (Harlow et al.). Pierce was a source of many antibody reagents.
General ELISA Protocol for Detection of Antibodies.
Polystyrene 96 well plates Immulon II (PGC) were coated with 5 ug/mL (100 μL per well) peptide in 0.1 M carb/bicarbonate buffer, pH 9.5. Plates are sealed with parafil and stored at 4°C overnight.
Plates are aspirated and blocked with 300 uL 10% NGS and incubated at 37°C for 1 hr.
Plates were washed 5 times with PBS 0.5% "TWEEN-20". Rabbit antisera were diluted in 0.1 M PBS, pH 7.2. The desired dilution(s) of antisera (0.1 mL) were added to each well and the plate incubated 1 hours at 37°C. The plates was then washed 5 times with PBS 0.5% "TWEEN-20". Horseradiεh peroxidaεe (HRP) conjugated goat anti-rabbit antiεerum (Cappel or other commercial εource) was diluted 1/5,000 in PBS. 0.1 mL of this εolution waε added to each well. The plate waε incubated 30 min at 37°C, then washed 5 timeε with PBS. Sigma ABTS (substrate) waε prepared juεt prior to addition to the plate.
The reagent consistε of 50 mL 0.05 M citric acid, pH 4.2, 0.078 mL 30% hydrogen peroxide εolution and 15 mg ABTS. 0.1 mL of the substrate waε added to each well, then incubated for 30 min at room temperature. The reaction waε εtopped with the addition of 0.050 mL 5% SDS (w/v) . The relative abεorbance iε determined at 410 nm.
EXAMPLE 1 PURIFICATION OF NANBH ANTIGEN.S) IMMUNE COMPLEXES AND FRACTIONATION USING ACID SUCROSE GRADIENTS Thiε example describes a typical immune- complexing experiment.
Twenty mis. of convalescent antibody positive heat inactivated serum (obtained from chimpanzee 92) were mixed with 40 mis. of acute phase heat inactivated serum (chimpanzee 450) . The mixture was incubated with shaking at 37°C for two hours. The mixture was then incubated for eight days at 4°C. The mixture was then centrifuged at 5000 RPM for 30 minutes and the pellet washed in cold 0.15 M NaCl using a similar centrifugation step. The resulting pellet was resuspended in 1 ml cold 1.0 M acetic acid, pH 2.3, and the acidified mixture was brought to a sucroεe concentration of 5% by addition of 50 mg of εucrose. This solution was subsequently incubated for three hours at 4°C with stirring. The pH was then adjusted to 3.2 uεing 0.1 N NaOH. The mixture waε centrifuged again at 5,000 RPM at 4°C for 30 minuteε and the precipitate diεcarded. The resulting supernatant was layered onto a 9 mlε. continuouε 10% to 50% sucrose gradient: the sucrose in the gradient was formulated in 0.1 M acetic acid, pH 3.2.
The gradient was centrifuged for 18 hours (+5°C) at 21,500 RPM in a Beckman SW41 Ti rotor. At end of the centrifugation the gradient was collected in 1 ml. fractions. Each fraction was titrated with 0.1 N NaOH to a neutral pH (pH 6.8-7.2). A representative elution profile is shown in Figure 2. The markers were prepared as followed: purified human IgG, IgM, and hepatitis B surface antigen were idinated by Chloramine-T oxidation were used to identify fractions: IgG was found in fractions 10 and II; IgM in fractionε 7 and 8; and HBsAg in fraction 1 and 2. Similar elution profiles were observed using immune complexes made with chimpanzee plasmas from NANBH acute phases and convalescent phases obtained from several individual animals.
EXAMPLE 2 MONOCLONAL ANTIBODY PRODUCTION USING PURIFIED
NANBH MATERIAL Fibrin was removed from acute phase plasma by the addition of MgCl2. The globulin portion of the above defibrinated plasma was precipitated by the addition of an equal volume of saturated (NH4)2S04 at 4°C. The resulting precipitate was washed with a 50% εolution of saturated (NH4)2S04 and resuεpended in phosphate buffered saline, pH 7.2 (PBS). The resuεpended globulin fraction was dialyzed and fractionated by gel filtration using a "SEPHADEX G-200" matrix, equilibrated in PBS, pH 7.2. The void volume waε pooled and concentrated by ultra-filtration through an Amicon PM-10 membrane. The concentrated void pooled material was used to immunize mice. Four to six months after their third intramuscular inoculation of the "SEPHADEX G-200" purified material, the mice were boosted with a single intravenouε (IV) booster of affinity acid sucrose purified preparation (fractions 1-5)
(Example 1) . Spleen cells from these mice were obtained three-four days after the IV booster inoculation. These spleen cells were fused with murine myeloma cells. The fused cell products were plated in HAT media as previouεly deεcribed (Kohler et al. 1976; Kennedy et al. 1983).
All wellε which replicated hybrid cellε were εcreened againεt the following antigens:
1) "SEPHADEX G-200" purified salt-precipitated material derived from acute phase NANBH chimpanzee plasma;
2) "SEPHADEX G-200" purified material from pre-plas a obtained from the same chimpanzee before experimental inoculation of the animal with known human NANBH plasma;
3) normal human serum albumin; and
4) normal human immunoglobulin G.
Microfilter wells were coated with antigen as listed above, in carbonate/bicarbonate buffer, pH 9.5 and coated overnight at 4°C. Aspiration of wells was followed by post coating with 2% human serum in PBS, pH 7.5 for 30 minutes at room temperature. Supernatant fluid sampleε were then incubated in the coated wellε for 1 hour at 37°C, then aεpirated and the wellε waεhed three timeε with dl water. A biotinylated anti-mouεe heavy chain IgG (Bector Labs, Burlingame, CA) in 2% human serum, PBS, pH 7.5 was incubated for 1 hour at 37°C. The wells were then aspirated and washed three times with dl water. An avidin-biotin-alkaline phosphatase conjugate in PBS-"TWEEN" waε incubated for 15 minutes at room temperature, followed by a 5X wash with PBS, addition of substrate (P-nitrophenyl phosphate, DNPP) for 30 min at 45°C, inactivation of the reaction with IN NaOH, and final reading on a microtiter plate reader (Dynatech 600, Alexandria, VA) at 405 nm wavelength.
Wells that showed a positive reaction with the preparation derived from acute phase NANBH plasma fraction and failed to react with the other three materials were subcloned and expanded. Two hybridomas with this specificity were identified and designated Nil.9 and Al-3.
EXAMPLE 3
FRACTIONATION OF NANBH SPECIFIC PROTEINS BY IMMUNE COMPLEXING OF NANBH PLASMA AND EVALUATION
BY SDS-PAGE
An aliquot of chimpanzee acute phase plasma was immune complexed with convalescent antibody positive plasma aε described in Example 1 above. The putative antigens were fractionated in acid εucroεe gradient ultracentrifugation (Example 1, Figure 2) , iodinated with I125 using a chloramine-T procedure (Greenwood et al.) (125I through Amersham) . The iodinated proteins were analyzed by SDS-polyacrylamide gel electrophoresis using 14% polyacrylamide gels. The gels were then exposed to "X-OMAT" X-ray film (Kodak, Rochester NY) . The reεulting autoradiogram revealed the presence of several unique protein bands in iodinated material derived from acute phase plasma obtained from two different chimpanzeeε, Noε. 450 and 92, that had been complexed with convalescent antibody (chimpanzee No. 159) . The autoradiogram is shown in Figure 3. Seven bands were noted in the acute phase plasma, which were not detected in pre-bleed chimp 341 plasma that was complexed to the same convalescent antibody poεitive plaεma. In Figure 3 the lanes are as follows: lane 1, 450 NANB vs. 159; lane 2, 92 NANB vs. 159; lane 3, 450 pre- bleed vs. 92; lane 4, same as lane 2; and lane 5, same as lane 3. These bands suggest proteins of 16 kilodaltonε (KD) , 20 KD, 27 KD, 29 KD, 40 KD, 48 KD, 58 KD and 104 KD.
Similar experiments were performed with acute phase plasma derived from a number of animals complexed to chimpanzee 92 antibody. In addition to the bands formed from the acute phase plasma of chimpanzee 450 and 92 (above) similar unique bands were also identified for animals 341 (Figure 4) and 325 (Figure 5) , using chimp 92 convalescent antibody (Figs 4 and 5) or a human convalescent antibody (Fig 5, Milton) . In Figure 4 the lane contents are aε followε: lane l, 341 pre-bleed vε. 92 antibody; lane 2, 341 NANB (day 63) vε. 92 antibody; 341 NANB (day 135) vs. 92 antibody; and 341 NANB (day 139) vs. 92 antibody. In Figure 5 the lane contents are as follows: lane 1, 325 pre-bleed vs. 92 antibody; lane 2, 325 NANB (day 57) vs. 92 antibody; lane 3,
325 NANB (day 106) vε. 92 antibody; lane 4, 325 NANB (day 112) vs. 92 antibody; lane 5, 325 NANB (day 57) vs. Minton, a human convalescent antibody; lane 6, 325 NANB pre-bleed vs. 92 antibody. Thus, Figures 4 and 5 illustrate unique bands from NANB plaεma from εeveral acute phaεe chimpanzeeε which were immune complexed purified with several different sources of convalescent antibody, both chimp and human in origin. Several proteinε were noted in at leaεt three of theεe five comparisons including p27, p29, p36, p40 and p45. Other proteins either were less abundant or did not iodinate as efficiently, including pl6, p20, p58, pl04 and pll6.
EXAMPLE 4
SDS-PAGE ANALYSIS OF NANBH PREPARATIONS FRACTIONATED
BY ALTERNATE PROTOCOLS Partial purification of NANBH unique proteins was accompliεhed using a salt precipitation followed by ion exchange chromatography. The globulin fraction of both pre-bleed and acute phase plasmaε were precipitated by the addition of equal volumes of εaturated (NH4)2S04 at 4°C. Precipitated proteinε were waεhed by reεuspension in 50% saturated (NH4)2S04 at 4°C and repelleted by slow speed centrifugation. The precipitate was resuspended in 0.01 M sodium phoεphate buffer, pH 6.4, and dialyzed against the εame buffer overnight.
The proteinε were placed on "DEAE-SEPHAROSE" columns, which were equilibrated in 0.01 M sodium phosphate, pH 6.4. After elution of a major peak (corresponding IgG) , the absorbed proteins (corresponding IgG) were eluted with a high salt buffer (1.0 M NaCl, 0.01 M sodium phosphate, pH 6.4). The resulting high salt fraction was radio-labelled with I125 using two different methods: chloramine-T oxidation (Greenwood et al. 1963), or I125 uptake in the presence of enzymobeads (Pierce Chemical, Rockford, IL) . This comparison was to insure than chemical damage to the protein was minimized. The resulting solubilized labeled material was fractionated using 14% polyacrylamide gel electrophoresiε under reducing conditions. The gel was then exposed to X-ray film.
Figure 6 illustrateε εuch an autoradiogram where the lane contents were as follows: lane 1, 450 pre-bleed, enzymobead-label; lane 2, 450 acute, enzymobead-label; lane 3, 450 pre-bleed, chloramine- T-label; lane 4, 450 acute, chloramine-T-label; lanes 5-8 correspond to lanes 1-4 loaded at half the cpms. Two unique bands were noted in material derived from acute phase 450 plasma with estimated molecular weights of 27KD and 45KD.
Similar unlabeled material was fractionated by SDS-PAGE and silver stained (Figure 7) . The lane contents of Figure 7 are as follows: lane 1, molecular weight standards; lane 2, 450, pre-bleed, IgG; lane 3, 450, pre-bleed, IgM; lane 4, 450 NANB, IgG; lane 5, 450, NANB, IgM; lane 6, human IgM, purified as above as a negative human control; lane 7, purified as above as a negative human control; lane 8, chimp 92 IgG; and lane 9, chimp 92 IgM. A number of unique bands were observed in the stained gel as indicated by dots next to lane 5 of Figure 7. The molecular weights of these unique bands were estimated as 21 KD, 27 KD, 40 KD, 44 KD and 116 KD. These bands were not observed in a number of control preparations which were also separated on this gel, including low and high salt eluted fractions obtained from normal chimpanzee and human serum (see lanes 6-9, Figure 7). Chimpanzee 450 pre-bleed and acute phase plasma were next fractionated by isopycnic banding via ultracentrifugation on 20-40% CεCl gradients. 0.5 ml fractions were collected from the top of the gradient. Fractions 15, 16, and 17 obtained from prebleed and acute plasma were εeparated by SDS-PAGE on a 14% gel. The gel waε then εilver stained and a photo of the gel iε presented aε Figure 8. The lane contentε are aε follows: lanes 2-4, 450 pre-bleed, fractions 15, 16, and 17, respectively; lanes 5-7, 450 NANB acute phase, fractions 15, 16, and 17, respectively; and lanes 1, 8 and 9 contained molecular weight standards.. One unique band was noted by εilver staining (lane 7, Figure 8) which had a molecular weight of approximately 27K. The density of this CsCl fraction was determined to be 1.3212 gm/cc.
EXAMPLE 5 SDS-PAGE ANALYSIS OF NANBH PREPARATIONS ISOLATED BY AFFINITY GEL CHROMATOGRAPHY
Aε described above (Example 2) , two monoclonal antibodies have been generated to NANBH chimpanzee plasma. One of these monoclonal antibodies (A1-3-A6) was covalently linked to "SEPHAROSE 4B" (Pharmacia, Piscataway NJ) using CNBr for crosε-linking. Two identical affinity columns were used to fractionate partially purified preparations from a pre-bleed and an acute phase plasma derived from chimpanzee 450. The partial purification waε carried out by 50% εalt (NH4)2S04 precipitation followed by gel filtration chromatography on "SEPHADEX G-200" (Pharmacia, Piεcataway NJ) (aε described in Example 2) . The partially purified preparations were separately loaded on each of the two identical columns containing the monoclonal antibody (A1-3-A6) . The columns were washed with 50 ml of each of the following: 1) 0.5 M NaCl, 0.05 M Tris-Hcl, pH 8.2, 0.001 M EDTA and 0.5% "NONIDET P-40" (Sigma, St. Louiε, MO);
2) 0.15 M NaCl, 0.05 M Tris-HCI, pH 8.2, 0.5%, "NONIDET P40" and 0.1% SDS.
The columns were then washed with 100 mis. of 0.15 M NaCl and 0.5% sodium deoxycholate.
After the majority of non-specific protein had been washed through the column and the ^ OD readings approached baseline, complexed antigen was eluted from the columns using a buffer containing 0.5 M diethylamine, pH 11.5, and 0.5% sodium deoxycholate. A typical elution pattern is shown in Figure 9. Three pools were formed from the collected fractions (illustrated in Figure 9) . Each pool was then fractionated by SDS-PAGE on 14% gels. The proteins were visualized by silver staining. The silver staining pattern is shown in the photograph presented as Figure 10. The lane contents in Figure 10 are as follows: lane 1, molecular weight standards; lanes 2-4, affinity purified 450 pre¬ bleed, pools I, II and III, respectively; lanes 5-7, affinity purified 450 acute, pools I, II, and III, respectively; lane 8, 450 pre-bleed vs. 92 antibody; and lane 9 450 NANB vs. 92 antibody IgG. A number of unique protein bands can be seen in the lanes corresponding to pools I and II derived from acute phase plasma that are not present in similar pools derived from pre-bleed normal chimpanzee 450 plasma. These unique proteins include bands with approximate molecular weights of 27 KD, 30 KD, 40 KD, 45 KD, 58 KD, 88 KD, 116 KD and 170 KD.
These above results suggest that: 1) monoclonal antibody A3-1-A6 may not be monoclonal;
2) that the antibody may combine to another antibody which complexes to intact virions; or
3) that the A3-1-A6 antibody has specificity for a conformation-dependent virus epitope which is cryptic unless the virus has complexed to anti-viral antibody. Recent data indicate that one of the latter two explanations is the most tenable.
Table 1 provides a summary of the unique NANBH polypeptides identified by the above-methods in acute phase plasma derived from HCV infected chimpanzees.
Table 1
Figure imgf000073_0001
"Proteins labeled with 1-125 and viεualized by autoradiogramε.
"Chimpanzee designations.
'"Proteins visualized by silver (Ag) staining. Table 2 provides a summary of the molecular weight ranges of the unique polypeptides detected in acute phase NANBH chimpanzee plasma.
Table 2
Figure imgf000074_0001
EXAMPLE 6
IMMUNOPRECIPITATION OF HCV SPECIFIC POLYPEPTIDES FROM jy-yj_.RO CULTIVATED HEPATOCYTES Hepatocytes were isolated from an HCV infected chimpanzee (X623) , during the acute phase of HCV infection. The cells were isolated and grown in SFM using our standard methods (Jacob, et al., 1990A and B) . On days 8 and 14 post-seeding a 60 mm plate was labeled for 20 hr in 2.5 ml SFM containing 500 μCi of 35S methionine/cysteine mixture (New England Nuclear, "EXPRE S35S35") .
The media were clarified, adjusted to contain 1% NP40, and the cell monolayer was waεhed three times with PBS and extracted with EB (Tris HCl 50 mM, pH 9.0, 100 mM NaCl, 1% NP40) . The media and cell extracts were divided into three equal aliquots and immunoprecipitated using antibodieε (Pharmacia, Piεcataway, NJ) bound to protein A agarose. The protein A agarose-antibody beads were incubated with the samples overnight with shaking at 4°C. No buffer in media cell extracts were in EB (TRIS HCl 50 M, pH 9, 100 mM NaCL, 1% NP 40). The beads were washed three times in EB and bound proteins were eluted with standard SDS-PAGE sample loading buffers.
The resulting immunoprecipitated proteins were separated by electrophoreεiε on a 12% SDS- polyacrylamide gel. The gelε were then exposed to X-ray film. A photograph of the resulting autoradiogram is presented as Figure 11. The lane contents in Figure 11 were as follows: lane 1, molecular weight standards; lane 2, pre 174, media S35, day 8; lane 3, acute 174, media S35, day 8; lane 4, HCV positive human, media S35, day 8; lane 5, pre 174, cell Lysate S35 day; lane 6, acute 174, cell Lyεate S35 day; lane 7, HCV positive human, cell Lyεate S35 day; lane 8, pre 174, media S35, day 14; lane 9, acute 17, media S35, day 14; lane 10, HCV poεitive human, media S35, day 14; lane 11, pre 174, cell Lyεate S35 day 14; lane 12, acute 174, cell Lyεate S35, day 14; lane 13, HCV poεitive human, cell Lysate S35, day 14. The prominent band at approximately 27-28 KD immunoprecipitated from the cell lysates on both dayε 8 and 14 using the human anti-HCV. This band compares favorably to a band identified in infected chimpanzee plaεma (Example 5, Table 2) . Similar results were obtained using the hepatocytes from a chronically HCV-infected chimpanzee (Beula) and an anti-HCV sample from a human patient (Taffee) .
EXAMPLE 7 COMPUTER ANALYSIS OF AMINO ACID SEQUENCES DERIVED
FROM THE HCV CODING SEQUENCE This example describes the computer analysiε of amino acid εequenσeε derived from HCV nucleic acid coding εequenceε that examines, hydropathy, hydrophilic regions, and secondary structure. The amino acid sequenceε information was obtained from the following sources: published European Patent Applications Nos. 88/310922.5 and 90/302866.0 — for the 3' end of the HCV nucleotide sequence; Oka oto et al. (1990) — for the 5' end of the HCV nucleotide sequence; and the nucleotide sequence published by Jacob et al. (1990B) . These sequences were analyzed as follows: for prediction of hydrophilicity uεing the algorithms of Pauletti et al (1985) and Hopp-Woddε (1981) ; for prediction of hydropathy, the Kyte-Doolittle (1982) algorithm; to predict secondary εtructure the Chou-Faεman (1974) algorithm.
The hydrophilicity (Hopp) and hydropathy (Kyte) profiles for the 5' and 3' sequences are shown in Figures 12A, 12B, and 12C. From these analyses 17 peptide sequences were selected for further analysis. The predicted secondary structure of these 17 peptide sequenceε were analyzed for secondary structure by the Chou-Fasman algorithm.
The resulting secondary structure profiles are shown in Figures 13A, 13B, and 13C.
Based on the putative virus protein domains of the encoded HCV polyprotein the amino acid designations relative to the polyprotein sequence and the corresponding putative domains are also presented in Table 3. The following abbreviations are used for the polyprotein designations: NS, non- structural region; E, envelope; C, core; and M, matrix spanning.
Table 3
Figure imgf000077_0001
The amino acid sequences (SEQ ID NO:) corresponding to the 25 peptides are presented in the Sequence Listing. DP3A through DP3F are derived esεentially from the DP3 polypeptide. DP7 iε a non- HCV control peptide, the sequence of which is derived from a conserved Flaviviruε epitope. DP3E and DP3F were modified to contain N-terminal amino acid C and K reεidues to facilitate chemical manipulations.
EXAMPLE 8
SYNTHESIS OF SYNTHETIC HCV PEPTIDES This example describes the synthesis of synthetic peptideε corresponding to DP-1 through DP- 7 and production of rabbit antibodies against the synthetic peptides.
The peptides DP-1 through DP-7 were synthesized by standard F-MOC procedures.
Each peptide was conjugated to keyhole limpet hemocyanin (KLH) (Pierce, Rockford IL) by two different methods: (i) the glutaraldehyde technique that links through epsilon-amino acid groups on lysine residues, or other free amino groups (Pierce) ; and (ii) a two-step procedure using m- maleimidobenzoyl sulfoεuccinimide ester (sulfo-MBS) to link through free diεulfide linkageε (Pierce) . For peptideε that lacked any free epsilon-amino groups or εulfhydryl groupε, a cyεteine reεidue or a lyεine residue was added to the N-terminus of the peptide. Further, a tyrosine residue was added to those peptides lacking tyrosine in order to facilitate labeling the peptides with radioactive iodine (I125 or I ) .
For testing of polyclonal and/or monoclonal antibodies raised against these peptides, the peptides were linked to bovine serum albumin (BSA) using N-succinimidyl-3-(2-pyridyldithio) propionic (SPDP) as a disulfide crosε-linker (Pierce Chemical) .
For each peptide a mixture of cross-linked KLH forms (sulfo-MBS and glutaraldehyde cross-linked) waε emulsified with Freund's complete adjuvant (CFA) (Sigma) . Each mixture was then used immunize rabbits. The rabbits were εubsequently boosted with the same immunogen peptide/protein carrier mixture on day 0, the immunogen mixture in CFA at 3 weeks, and with immunogen in Incomplete Freund's Adjuvant (Sigma) at 6 weeks: each booster was via intramuscular injection. Bleedings were obtained at week 9 for each immunogen DP-1 to DP-7.
The DP-8 to DP-18 peptideε and DP-3D peptide were prepared in a similar manner to that described above. Rabbits were boosted at the primary inoculation on days 14 and 28 and bled on day 38.
The resulting rabbit antisera were titrated by ELISA using microwellε coated with free peptide (Harlow et al.). The end point titerε of rabbit antisera prepared to designated HCV synthetic peptides are shown in Table 4.
Table 4
Figure imgf000079_0001
Figure imgf000080_0001
'Each anti-sera tested in 10-fold dilutions by ELISA against unconjugated homologous synthetic peptide.
All antisera reacted specifically with each respective peptide at titers of 1:100,000 or greater on essentially all test bleed dates. The only exception waε peptide DP-2 which elicited only low levels of antibody in one of two rabbits immunized. BALB/c mice were also immunized with DP-3 linked to KLH. After three inoculations, the mice anti-peptide sera were shown to reacted with wells coated with free DP-3 at anti-serum dilutions of 1:10,000 or greater.
EXAMPLE 9
IDENTIFICATION OF POLYPEPTIDES IN HCV INFECTED HEPATOCYTE TISSUE CULTURE MEDIA The following experiments were performed to determine the size of the HCV polypeptide associated with the epitope defined by the DP-3 synthetic peptide.
A. Affinity Purification. Rabbit anti-DP-3 antibody was purified using DP-3 peptide affinity chromatography (Pierce AminoPure AgAb; Pierce Amino Link Gel Running Buffer, PBS elution, 0.1 M Lysine, pH 3.2).
The affinity purified antibody was used to construct an anti-DP-3 matrix (Pierce Amino Link Gel Running Buffer, PBS elution, 0.1 M Lysine, pH 3.2). Hepatocyte cells from chimpanzee No. 198 were isolated and grown in SFM by standard methods (Example 6) . Two ml. of the HCV infected tissue culture media pool derived from these in vitro cultured cells were harvested on days 3, 11, 22, 25, 27 and 29. Each sample of tissue culture medium was abεorbed to the anti-DP-3 column, waεhed with neutral buffer (0.01 M PBS) and eluted uεing an HCl glycine buffer (0.1 M) , pH 3.2.
The eluted material waε labeled with I125 uεing chloramine-T and fractionated by SDS-PAGE on a 12% gel. The gel waε exposed to X-ray film. The resulting autoradiogram is presented as Figure 14. The lane contents of Figure 14 are as followε: lane 1, molecular weight εtandardε; lane 2, HCV T.C., Fx 3; lane 3, HBV T.C., Fx 3; lane 4, HCV T.C., Fx 4; lane 5, HBV T.C., Fx 4; lane 6, HCV T.C., Fx 5; lane 7, HBV T.C., Fx 5. In lane 2 a major band at approximately molecular weight 58 (p58) is evident in addition to two faint bands at approximately molecular weights 27 (p27) and 66 (p66) . B. Western Blot Analysis.
Six ml. of the above culture media (day 25) , derived from in vitro culturing of HCV infected hepatocytes derived from chimpanzee 198, waε concentrated to 50 ml. uεing a "CENTRICON-10" micro-concentrator (Amicon) . The concentrated media was brought to a total volume of 400 μl by addition of SDS-ME disruption buffer and 100 μl was loaded into each of four lanes of a 12% reducing acrylamide gel (Ausubel et al.). Protein waε transferred (Ausubel et al.) from the gel to nitrocellulose membrane (Schleicher & Schuell) . The portion of the membrane corresponding to two lanes was incubated with 1:50 dilution of normal rabbit serum (pre-bleed from rabbit anti-DP3) and the remaining portion (two lanes) of the membrane was incubated with a 1:50 dilution of rabbit anti-DP3 serum. The membraneε were incubated, waεhed and subsequently incubated with I15-labeled protein-A (New England Nuclear) . Excess protein-A was removed from the membranes
(Ausubel et al.; Harlow et al.) and the membranes exposed to X-ray film.
The autoradiogram of the pre-bleed treated membrane showed no bands. The autoradiogram of the rabbit anti-DP-3 serum iε presented as Figure 15.
The lane contents of Figure 15 are as follows: lane 1, Rabbit anti-DP3; lane 2, markers. Lane 1 shows a major p58 band with a minor activity with protein of a molecular weight of approximately 45 KD (Figure 15) .
The above observations suggest that DP-3, which appears to be asεociated with the putative NS4 HCV specified subunit, is asεociated with at leaεt one polypeptide having a molecular weight of approximately 58 KD εimilar to a protein obεerved in acute phase NANBH plasma (Example 5, Tables 1 and 2).
EXAMPLE 10 SCREENING OF A PANEL OF SYNTHETIC PEPTIDES WITH SERA OBTAINED FROM AN HCV INFECTED CHIMPANZEE The reactivity of free peptides DP-1, DP-2, DP-3, DP-4, DP-5, DP-6 and DP-7 with anti-HCV sera was tested by ELISA using pre-immune chimpanzee serum (Chimp 174) and serum obtained 280 days after experimental infection of chimpanzee 174 (post) with a known human derived NANBH (Hutchinson) plasma. In addition, 10 human plasma, which had been pretested by the Ortho anti-HCV assay (Raritan, NJ) , were tested against this panel of peptides.
Each sera was tested at 1:10 and 1:100 dilutions. The results of 1:100 serum dilutions for screening chimpanzee and human εera against the panel of DP εynthetic peptideε are summarized in Table 5: for comparison, the reεultε of the same sera tested at a dilution of 1:10 with the Ortho anti-HCV asεay are included.
Table 5 Serum Reactivity* (teεted at 1:100)
Figure imgf000084_0001
of: <0.2 -; 0.21-0.4 +; 0.41-1.0 ++; 1.OI¬ LS +++; and >1.501 ++++ "Serum tested at a dilution of 1:10 ""These three sera tested as +, + and ++ reεpectively when tested at a dilution of 1:20.
The data presented in Table 5 suggeεt that an immunodominant HCV epitope iε associated with DP-3. The known positive post-chimpanzee serum reacted strongly with DP-3 but failed to react with any of the other six peptides. All human sera which reacted strongly with DP-3 at a dilution of 1:100 also scored aε positive at a dilution of 1:10 in the commercial (Ortho) asεay. Only one εerum. Number 2 , reacted weakly with DP-1, DP-4 and DP-5. In addition, three sera, which scored as negative in the Ortho asεay, reacted with DP-3 at a dilution of 1:20.
In a second series of experiments a panel containing duplicate plasma sample obtained from a set of 19 patientε defined εerologically aε NANBH- positive were tested. This set of 42 samples also contained two duplicate samples derived from two normal non-infected individuals. This panel was tested for antibody reactivity in wells coated with each individual synthetic peptide, DP-1 to DP6 and DP-8 to DP-18. The resultε are εummarized in Table 6.
Table 6
Figure imgf000085_0001
Figure imgf000086_0001
Again it appears from the data that DP3, and in this case also DP-3D, contain a major immunodominant HCV epitope. Further, a number of the εera teεted also react with core associated peptides DP8, DP9A, DP9B, and DP10. One patient (duplicate RL 19 and RP42) responded to an NS5 epitope identified by peptide DP17.
The sensitivity of the ELISA asεay, developed by coating wellε with the DP-3 peptide, waε analyzed by testing εerial 10-fold dilutionε of pre- and poεt-NANBH infection chimpanzee 174 εera. The reεultε of thiε analyεiε are presented in Figure 16 (410 - m) . A clear positive reaction was observed when post-chimpanzee 174 sera (post 174) was tested at a dilution of 1:1,000 with borderline activity noted at a dilution of 1:10,000. Pre-174 serum background gave only negligible absorbency reading. The post-174 serum was fractionated by gel chromatography on "SEPHADEX G-200." A significant level of activity was noted in the IgG containing fractions at a concentration of 1 μg/ml (Figure 16) . Further, a low level of anti-HCV activity was also detected in the void volume from this fractionation: the void volume contained IgM fractions. Chimpanzee 174 (post) also reacted at a serum dilution of 1:100 with DPI at an absorbance of 0.4. The reεultε of a titration curve of poεt chimpanzee 174 with wellε coated with DP-1 iε illuεtrated in Figure 17 (absorbency at 410) . In Figure 17 the (+) designates post infection εerum and the (X) deεignateε pre-NANBH infection εerum. Chimpanzee 174 εerum is more than 10-fold more reactive with DP-3 as compared to reaction with DP- 1.
A human plaεma with a high level of reactivity for HCV was titrated using the DP-3 peptide ELISA asεay deεcribed above. This plasma contained positive antibody reactivity at dilutions of 1:10,000 and 1:100,000.
EXAMPLE 11 EPITOPE MAPPING OF AN IMMUNODOMINANT EPITOPE
ASSOCIATED WITH PEPTIDE DP-3 As described above in Example 10, Tables 4 and 5, an immunodominant epitope was identified within the DP-3 peptide as a result of εcreening of a number of NANBH human εera and experimental HCV infected chimpanzee εera. Further, the antibody activity waε not detected in this εerum panel when tested with DP-2: DP-2 and DP-3 contain six overlapping amino acid residues, 1917-1922 Since no reactivity was observed with the DP-2 peptide, it was assumed that the six N-terminal residues of DP-3 were not asεociated with thiε epitope. In order to more preciεely identify the DP-3 epitope reaction εite, the following three overlapping peptideε which encompaεε the 18 carboxy- ter inal residues of DP-3 were synthesized: DP-3A, presented as SEQ ID NO: ; DP-3B, presented as SEQ ID NO:5, and DP-3C, presented as SEQ ID NO:6. Each of these three peptides were tested for direct binding with NANBH antibody positive sera and also for their ability to inhibit binding of anti-HCV antibody with the original DP-3 peptide.
Five human sera, RL1, RL7, RL13, RL19, and RL20, previously shown to react with DP-3, were tested (as described above) in wells coated with peptides D-3, DP-3A, DP-3B and DP-3C. The patterns of anti-peptide reactivity are illustrated in Figure 18 (absorbency at 410) . The major DP-3 binding activity iε aεsociated with DP-3B. Next a series of inhibition experiments were performed using the above peptides. Briefly, a final plasma dilution of 1:100, for each of the five plasma RL plasma listed above, was incubated with 20 μg/ml of each of the respective peptides.
Subsequently, this mixture was tested for residual antibody reactivity in wells coated with DP-3. Figure 19 presents the data showing percent inhibition generated with the five plaεma and 4 peptides. All 5 plasma were inhibited by 50% to 70% by DP-3. Two of the plasma were inhibited to similar levels with DP-3B and about 17% by DP-3C. On the other hand, none of these plasma were inhibited by Dp-3A. Post chimpanzee 174 serum was also tested for binding and inhibition using the 4 peptides and the above protocols. The pattern of reactivity was similar to that seen with human serum RL20. The chimpanzee serum was further teεted by performing the inhibition assay protocol using increasing amounts of each short peptide. The results of this assay are shown in Figure 20. The data show that increasing quantities of DP-3B (+) and DP-3C (*) both inhibit antibody binding with DP-3: DP-3A (closed rectangles) showε only low level inhibition. These reεultε suggest two possibilities: (i) that antibody for both peptides DP-3B and PC-3C can be identified but that DP-3B binds antibody with higher avidity than DP-3C; or (ii) that two populations of antibodies may be present in this polyclonal chimpanzee anti-DP-3 serum, which recognizes overlapping Dp-3 epitopes. EXAMPLE 12 SENSITIVITY AND SPECIFICITY OF THE DP-3 BASED ANTI-HCV ELISA ASSAY Dr. Harvey Alter, at the Department of Transfusion Medicine clinical Center, National Instituteε of Health, Betheεda, MD, aεεembled a double blind εerum panel which contained a number of documented NANBH patient εera. Thiε panel of 26 εera waε obtained from Dr. Alter and screened uεing the DP-3 based anti-HCV ELISA assay. Briefly, the DP-3 peptide was fixed into wells of microtiter plates, the sera was diluted 1:100, added to the wellε and incubated for 1 hr at 37°C. The sera were then withdrawn from the wellε and the wellε waεhed. Anti-human IgG labelled with HRPO waε added to each well. The preεence of bound antibody waε detected by ABTS-30 min. develop read absorbency at 410 nm. The results of the above screening are summarized in Table 7.
Table 7
Figure imgf000090_0001
(2) Negative by Original Chiron Antibody Assay —No False Positives
—No False Negatives As can be seen from the data presented in Table 7 a perfect concordance was observed when the double blind code was broken by Dr. Alter. All 12 sera that were obtained from NANBH patientε teεted poεitive using the DP-3 based asεay and the 14 additional εera derived from patientε with a variety of ailmentε other than NANBH teεted negative. The two εera that tested with intermediate absorbency readingε (0.527 - 0.648) had been obtained from a patient shortly after resolution of an acute infection. Therefore, Dr. Alter presumed that the patient was in an early stage of immune responεe.
EXAMPLE 13
ESTABLISHMENT OF OPTIMAL PARAMETERS FOR
PEPTIDE-BASED ANTI-HCV ASSAY The optimal concentration of the DP-3 peptide for microwell coating for use in ELISA assays waε determined by coating wells using serial two-fold dilutions of DP-3 peptide in a series of different buffers. After coating, the wellε were poεt-coated with a number of different standard agentε useful for blocking non-specific protein binding, including normal goat εerum (NGS) , bovine εerum albumin (BSA) or Blotto (50 g non-fat powdered milk in 1 L 0.05% (v/v) Tween-20/PBS) . The coated wellε were teεted againεt pre- and poεt- NANBH infection chimpanzee 174 εera diluted 1:100 and 1:1000. Optimal reεultε were obtained with DP-3 diluted in bicarbonate buffer (10 mM Na2C03-__2θ, 30 mM NaHC03) , pH 9.5, and poεt-coated with 10% NGS. Peak reactivity waε determined based on the calculation of P/N ratios: the absorbency value of positive serum divided by absorbency value of negative serum teεted at the εame dilution. Peak reactivity waε obεerved when the wellε were coated with 500 ng of DP-3 peptide per well (Figure 21) . In order to further increase the senεitivity of the aεεay the effects of several other parameters on the assay where examined: for example, diluent, wash buffer, purity of the peptide, and concentration of the sera. Purification (de¬ salting) of the peptide by HPLC reduced the background level (C18 column, .1% TFA + 5% Acetic Nitrile, 10.1% TFA + 50% Acetic Nitrate in 45 minutes) . A preferred well-wash buffer was found to be PBS containing 0.5% "TWEEN"-20, (Sigma). NGS and PBS were compared aε diluents and PBS gave a lower background than the NGS. The above parameters of the assay can be easily modified to performed the assay at sera dilutions of 1:20 with low background using PBS/0.5% Triton X-100 (Sigma) as diluent.
EXAMPLE 14 SCREENING OF A KNOWN HCV DOUBLE-BLIND PANEL A second sera panel consisting of 42 sera obtained from a number of documented NANBH patients and known normal sera were labelled in a double-blind fashion (designated the labelled RL Panel). The panel was tested at a 1:100 dilution of sera in the DP-3 ELISA and at a 1:10 dilution of sera when using the Ortho anti-HCV test kit.
The absorbance values for each individual serum are illustrated in Figure 22. Upon breaking the double-blind code the panel was seen to contain 21 serum samples, each present in duplicate. Nineteen pairε of the εera were derived from pedigreed NANBH patientε and two pairε were obtained from normal individualε. The four normal εera were εcored aε negativeε in the DP-3 aεεay. Thirty-two of the 38 NANBH sera (84.2%) were scored aε being antibody poεitive in the DP-3 aεεay uεing a εerum dilution of 1:100 (Table 8) .
The same serum panel was screened at a dilution of 1:10 using the Ortho anti-HCV asεay. Using the Ortho assay, 26 of the 38 (65.4%) NANBH sera were scored as poεitive (Table 8) . All Ortho assay positive sera scored as positive using the DP3 assay. The above data suggestε that the DP-3 assay is more εensitive than the commercially available first generation Ortho anti-HCV asεay.
Table 8
Anti-HCV Number Positive Percent Serologic Assay* Number Treated Positive
Ortho Antibody 26/38 65.4%
DP-3 Antibody 32/38 84.2%
'Plasma screened at a dilution of 1:10 in the Ortho aεεay and at a dilution of 1:100 in the DP3 assay.
"4 of these 32 reactive plasma samples were recorded aε positive when tested at a dilution of 1:10 in the DP3 asεay.
EXAMPLE 15 SCREENING OF A DOUBLE-BLIND PANEL CONTAINING BLOOD DONOR PLASMA HAVING DETERMINED ALT VALUES A panel of blood donor plaεma waε aεεembled from a total of 82 unite that had been rejected unite on the baεiε of elevated ALT valueε. Theεe plaεma were screened for anti-HCV activity using 1) the firεt generation Ortho aεεay testing at a plasma dilution of 1:10, and 2) the DP3 baεed aεsay testing at a plaεma dilutions of 1:20 and 1:100.
The reεultε of the assays were plotted as histograms. Histograms of the DP3 tested plasma at 1:100 dilution are illustrated in Figure 23 (OD = absorbency at 410 nM) . Eight of 82 plasmaε tested gave strong poεitive reactionε. Another ten were εcored aε poεitive with OD readings ranging between 0.2 to 0.5. Each of the plaεma which reacted at reduced levelε were teεted in two-fold dilutions with a starting dilution of 1:20. Each yielded a linear dilution curve as shown in Figures 24A and 24B (OD = absorbency at 410 nM) . In addition, each low reactive plasma was inhibited by prior incubation with the soluble peptide DP3 (see Example 16 below) .
Eighteen antibody positive plasmaε were detected when the plaεmaε were teεted at a dilution of 1:10. All plaεma detected with the Ortho aεεay were εtrongly positive in wellε coated with the DP3 peptide (Table 9) .
Table 9
Figure imgf000094_0001
'All strongly positive in the DP-3 assay. Accordingly, 9.8% and 22.0% of the panel were scored as anti-HCV positive as teεted with the Ortho aεsay and the DP3 based assays, reεpectively. EXAMPLE 16
DEVELOPMENT OF A CONFIRMATORY ASSAY USING
COLD-PEPTIDE INHIBITION
The following protocol was developed to confirm that plasmaε which reacted with the DP-3 baεed ELISA assay at low levels (0.2 - 0.5) are true positiveε.
Dilutions of plasma were pre-incubated with increasing quantitieε of DP3 peptide and then the plaεma were teεted in wellε coated with DP3. For example, poεitive plaεma were εelected from the double blind RL panel and diluted 1:50. Equal volumes of buffer, or quantities of DP3 peptide to give a final concentration of l or 10 μg/ml were added to each respective plasma dilution and incubated for one hour at 37βC. Theεe mixtures were then tested in DP3 coated wells: representative results are shown in Table 10.
Figure imgf000095_0001
Antibody reactivity was inhibited from 50 to 95% by prior incubation in the presence of un¬ coupled DP-3 peptide.
Next, both high and low reacting plasmas were pre-incubated, as above, at serum dilutions of 1:50 with an equal volume of DP-3 containing solution conεisting of increasing amounts of DP-3 peptide, reεulting in a final plaεma dilution of 1:100. The results from these assayε are plotted in Figureε 25A and 25B (O.D.). In these assayε a high titer chimpanzee anti-HCV serum (post-174) along with the normal pre-bleed from the animal (pre-174) were included as controls. All plasmaε derived from the High ALT Panel (447, 552 1.901, and 767 1.058; Example 15) were inhibited more than 50% by addition of 20 μg peptide (Figure 25A) . In addition, low reacting plasmas 435 and 553 were also inhibited by more than 50%. However, the reactivity of plasma 850 was not significantly changed by prior incubation with the DP3 peptide (Figure 25B) . Therefore, this plasma was recorded as a non-specific anti-HCV negative plasma with high background activity.
EXAMPLE 17 COMPARATIVE PERFORMANCE LEVELS OF THE DP-3 PEPTIDE BASED ASSAY WITH THE FIRST GENERATION ORTHO DISTRIBUTED ANTI-HCV ASSAY Each of the plasmaε contained in the RL double-blind panel (Example 14) were diluted in ten-fold dilutionε, εtarting at a dilution of 1:10. The dilutionε were then teεted with the two anti-HCV assays, DP3-based and the first generation Ortho asεay. The comparative reεultε are shown in Table 11. Table 11
Figure imgf000097_0002
Figure imgf000097_0001
As discussed above in Example 14, duplicates of each of 21 plasma were placed in this panel. Each asεay had good reproducability between each of the duplicate sampleε teεted. Baεed on thiε data, the DP3 based assay is in excess of ten-fold more sensitive than the Ortho asεay for the detection of anti-HCV.
A second observation suggested by the comparative data shown in Table 11 is that the DP-3- aεεociated epitope elicitε a highly εpecific antibody response: note paired patient plasmas 10/17 and 12/38. Reactivity was noted at dilutions of 1:1000 and 1:100, respectively, when tested with DP3, but no reactivity was noted with the Ortho assay.
EXAMPLE 18 COMPARISON OF THE RELATIVE SENSITIVITY AND SPECIFICITY OF THE DP3 AND THE ORTHO ANTI-HCV ASSAYS A panel of donor blood plasmaε was tested for anti-HCV at plasma dilutions of 1:10 by the Southwest Regional Blood Bank, San Antonio, Texas using the commercial first generation Ortho anti-HCV asεay. The same panel of 362 plaεma waε teεted at a plaεma dilution of 1:100 uεing the DP3 baεed assay. The resultε of thiε teεt were εent to the Southweεt Regional Blood Bank where all the reεultε were compiled along with surrogate markers, such as, ALT, anti-HBc and HBsAg. Theεe reεultε are preεented in Table 12.
All of the positives recorded with DP3 assay were tested with the peptide inhibition assay. All of the Ortho positive plasmas were tested with the commercial RIBA test (used to detect antibodies to recombinant proteins and fusion proteins, Ortho) . All the plaεma that gave a poεitive εignal by either aεεay iε shown in Table 12.
Figure imgf000099_0001
"Blood Donor Panel - 362 sera.
"Total percent positive in the panel of 362 sera.
'"Shown to be negative when tested with the Recombinant Immune Blot
Assay (RIBA) recently developed by Chiron. Of the six plasmas recorded as anti-HCV positive in the DP3 assay, five were confirmed by specific antigen inhibition. One DP3 reactive plasma (750) waε shown to a non-specific positive by DP3 inhibition and also did not react in the Ortho asεay. Three positives were noted when tested by Ortho, one of which was scored as non-εpecific becauεe it did not react in a poεitive pattern with the RIBA confirmatory strip. A summary of the results is presented in Table 13. Table 13
Figure imgf000100_0001
'Score = original reactivity scored as conf. pos. or non-specific by peptide inhibition.
"Score = original reactivity scored as conf. pos. or non-specific by testing with a Recombinant Immune Blot Assay (RIBA) developed by Chiron.
A positive rate of 1.4% was observed with the DP3 assay whereas 0.6% of the panel was recorded as antibody positive in the Ortho test. Both assays recorded one non-specific positive (Table 14) .
Table 14
5 Confiπnβd .Positive with DP3 Aβsay (1.4%) 2 Confirmed Positive with ORTHO Assay (0.6%)
DP3 Positive; ORTHO Positive = 2 samples
DP3 Positive; ORTHO Negative = 3 samples
DP3 Positive; ORTHO Negative = 1 (DP-3 non-specific)
DP3 Negative; ORTHO Positive = 1 (ORTHO non-specific) EXAMPLE 19 IDENTIFICATION OF HCV ENVELOPE AMINO ACID SEQUENCES THAT REACT WITH CONVALESCENT SERA As discussed in Example 1, the majority of HCV infected chimpanzees and humans (Burk et al. 1984A) develop a long lasting chronic infectious stage. Many of these chronic infections are life-long. This is substantiated by the fact the report of Burk et al (1984B) that asymptomatic chimpanzees can be reinfected by challenge with acute stage homologous sera challenge. This result indicates that most HCV infected hosts (man or chimpanzee) fail to produce a protective antibody. Researchers who have studied the specificity of protective (neutralizing) antibody members of the Flavivirus or Pestiviruε familieε have reported neutralizing antibody produced to the envelope viral glycoproteinε (reviewed in Fields et al. 1990) .
Experiments performed in support of the preεent invention showed that antibody was not detected to any of the six envelope glycoproteins teεted againεt NANBH-implicated plasma (Example 10, Table 6): although more than half produced antibody to HCV core or non-structural proteins. Based on previous observations (Burk et al, 1984B) three human patients (A1115, Mayfield and Hart) appeared to have developed convalescence based on 1) their clinical history and 2) the fact that they produced antibody after a prolonged period of chronicity, which reacted with a cytoplasmic antigen within acute stage HCV infected chimpanzee hepatocytes. Further, one plasma (ALT 2) was identified in the high ALT plasma panel (Example 15) which reacted in a preliminary screening againεt DP6, an El aεεociated peptide. The above plasmas, A1115, Hayfield, Hart and ALT2, were screened at a 1:20 dilution against the six synthetic peptides associated with HCV El (DP- 12, DP-13, DP-16) and E2 (DP-14, DP-15 and DP-6). A summary of the reactivity of these peptideε towardε the above plasmas is presented in Table 16.
Table 16
Figure imgf000102_0001
Peptide DP-16 (El) and peptides DP-15 and DP-6 (E2) reacted with each of the four sera. Three of these sera had the properties consistent with a convalescent stage of HCV disease based on the observations summarized in Figure 1. Each of these four plasmas, in addition to an HCV antibody negative plasma derived from the High ALT panel and a normal human plasma, were titrated in two-fold dilutions to the three reactive peptides, DP-6, DP- 15 and DP-16. The results of these titration experiments axe illustrated in Figures 26, 27 and 28. In general, each of the four plasma have an end point titer of approximately 1:160.
If these four plasmas are truly convalescent and, therefore, contain neutralizing antibody, it follows that one or more of these three peptides contain an asεociated neutralizing epitope which will be uεeful in vaccine production. EXAMPLE 20 DEVELOPMENT OF AN IMMUNOASSAY FOR DETECTION OF
HCV NS4 ANTIGEN
This example describes the use of an HCV non- εtructural protein antigen to design an antigen- based detection syεtem for HCV.
The basic design of the immunoassay is illustrated in Figure 30. Microwellε were coated with IgG derived by gel filtration from high titer rabbit anti-DP3D εera. Typically, εera are initially fractionated by addition of ammonium sulfate. The supernatant is then passed over a gel filtration column (Pierce) and the IgG containing fraction identified by absorbance (A^) . IgG molecules can be isolated by a number of standard procedures (Garvey, et al . ) , including affinity chromatography, or by the uεe of commercially available kitε (Pierce) . The wellε of microtiter plates (Dynatech) were coated with the rabbit IgG antibody as follows (Harlow, et al . ) . Approximately 50 μl of purified rabbit IgG (approximately 20 μg/ml) , in phosphate buffered saline (PBS) (Maniatis, et al . ) iε added to each well of polyvinylchloride plateε. The plateε are sealed and incubated for either 4 hours at room temperature or overnight at 4°C. Alternatively, polystyrene 96 well plates "IMMULON II" (PGC) (or suitable plastic plateε. Corning Biotechnology, Corning NY) were coated with 5 ug/mL (100 μL per well) rabbit IgG in 0.1 M carb/bicarbonate buffer, pH 9.5, the plateε εealed with parafilm and εtored at 4°C overnight. The wellε can alεo be coated with an anti-rabbit IgG antibody, followed by addition of the rabbit IgG. After incubation the wells are washed twice with binding buffer (PBS or carb/bicarbonate buffer) . To each well is added approximately 200 μl of 3% bovine serum albumin (BSA) in PBS, containing 0.02% sodium azide. The plateε were then incubated for approximately 2 hours at room temperature and the liquid removed.
The antibody coated wellε were then incubated with the teεt samples, such aε, DP3D peptide, HCV infected tisεue culture media, human sera, or chimpanzee sera, for 1 hr. After incubation, DP3D- HRPO (horse radish peroxidase) conjugate was added to each well.
Peptide-HRPO conjugates were formed using commercially available activated HRPO (Pierce) . Alternatively, HRPO is coupled to peptideε uεing the techniques discussed in Example 8: (i) the glutaraldehyde technique that links through epsilon-amino acid groups on lysine residues, or other free amino groups (Pierce) ; or (ii) a two-εtep procedure uεing m-maleimidobenzoyl εulfoεuccinimide ester (sulfo-MBS) to link through free disulfide linkages (Pierce) . As also noted above, for peptideε that lacked any free epsilon-amino groups or sulfhydryl groups, a cysteine residue or a lysine residue was added to the N-terminus of the peptide. Combination of the conjugate to the solid phase antibody coat was detected by the addition of the subεtrate-2,2'-azino-bis(3-ethylbenzthiazoline-6- εulfonic acid (ABTS) (Pierce) , eεεentially as described in Materials and Methods above. The presence of a DP3D associated viral antigen was identified by color diminution due to εucceεsful inhibition of binding DP3D-HRP0. A. DP3D.
The above protocol waε firεt teεted by addition of increaεing quantities of free DP3D peptide. As shown in Figure 31, the addition of the DP3D peptide at a concentration of 10 μg/ml inhibited reactivity with DP3-HRPO by 68%. A linear inhibition curve was observed over the range of 10 μg/ml to 0.001 μg/ml. One ng/ml DP3D inhibited the reaction by 8%.
B. Epitope Mapping of DP3 Defined Epitope.
A number of overlapping peptideε have been made and teεted for their reactivity with anti-HCV antibody and three, DP3D, DP3E and DP3F have been tested for their utility as probes in the inhibition antigen asεay. The reεultε are summarized in Table 17.
Table 17
Figure imgf000105_0001
*Car oxy erminus o C-100 ιε 1931 Pro ine) **Peptide insoluble at neutral pH.
EXAMPLE 21 ANTIGEN CONFIRMATORY ASSAY
A confirmatory asεay waε designed and tested to confirm positive antigen reactive plaεma. The basic design iε a blocking of the DP3-HRPO inhibition aεεay (Blocking of Inhibition) by addition of anti- DP3D poεitive εera to antigen poεitive plaεma before testing in the antibody coated plates. Feasibility of this design waε demonεtrated by prior addition of 1) rabbit anti-DP3D, and 2) antibody poεitive plaεma, to different concentrationε of εynthetic peptideε. Feaεibility for thiε protocol waε obεerved with both antisera.
The reagents for the confirmatory assay were evaluated by titration. Two HCV antibody positive sera were tested for their ability to block the inhibition reaction. The sera were human ALT 2 and X174. At a dilution of 1:1280 the chimpanzee ALT 2 serum blocked the inhibition of 100 ng of DP3D by 83% as shown in Figure 35B. The X174 serum was only titered to 1:80, due to the limitation of space in the assay. At 1:80 there was 99% blocking.
EXAMPLE 22 DETECTION OF HCV NS4 ANTIGEN IN PLASMA DERIVED FROM EXPERIMENTALLY HCV INFECTED CHIMPANZEES Plasma derived from six chimpanzees during the period when they demonstrated an elevation in their ALT values, that is, the acute phase, was used in the asεay described in Example 20 to examine the effectiveness of the assay to detect the HCV antigen during the acute phase. The six chimpanzees were infected aε follows. Chimpanzees 194 and X7 were each inoculated with 102-5 chimpanzee infectious doseε of human infectiouε inoculum, Hutchinεon. Chimpanzee 174 waε inoculated with 10 ml acute phaεe plaεma derived from chimpanzee X7. Chimpanzee 268 was inoculated with 2 ml acute phase chimp 174 plasma. Chimpanzee 198 waε inoculated with 50 ml of chimp 268 acute phaεe plaεma. Chimpanzee 196 was inoculated with the following materials; day 0 and 84 with a HCV infected TC media pool concentrated by ultrafiltration and on day 168 with 50 ml chimp xl74 acute phase plasma. Chimpanzee 623 was injected with 1 ml of sucrose gradient purified TC propagated virus on dayε 0 and 104. Thiε waε followed by inoculation with 100 ml homologous acute phase plasma on day 177 with 50 ml of acute phase plaεma derived from chimpanzee X7 on day 321.
Plaεma from four of the εix animalε inhibited the DP3D-HRPO reaction (Example 20) . Uεing the DP3D inhibition curve aε a εtandard, the level of DP3 defined antigen ranged from 18-46 ng/ml (Figure 32) .
A number of HCV parameters were evaluated for sequential plasma derived from chimpanzee 196, who was experimentally infected with tiεsue culture propagated HCV. These parameters are summarized in Figure 33: open blocks - hiεtogram, ALT u/ml (Hollinger, 1984) ; (+) , HCV DP3D antigen, percent inhibition (Example 20) ; open blockε - plotted line, HCV Ab levels as determined by DP3D based ELISA and PCR (Mullis; Mulliε, et al . ) (+/-/nd, nd ■ not determined) , detection of HCV nucleic acid using polymerase chain reaction (Weiner et al. i990; Garson et al. 1990) .
To further illuεtrate the utility of the antigen-based detection asεay, εequential plaεmas derived from two additional animals (623 and 174) were alεo teεted for ALT valueε, DP3D antigen and anti-DP3D. Theεe profiles are shown in Figureε 34 and 35. Figure 34, Chimpanzee 623, shows the resultε of antibody teεtε on the εequential εera, the ALT values, and the HCV Ag percent inhibition: these valueε were all determined aε described above. Figure 35 showε a εimilar analyεis of sequential obtained sera for Chimpanzee 174. EXAMPLE 23 DETECTION OF HCV ANTIGEN IN HUMAN PLASMA A panel containing 82 human plasma samples derived from individuals with elevated ALT values and a second panel containing 228 plasmas from normal blood donors were screened for the presence of HCV antigen (Example 20) . The resultε of the screens are presented in Table 18.
T- le 19
Figure imgf000108_0001
All the sampleε in Table 18 that teεted poεitive for inhibition uεing the HCV antigen detection assay were also tested for their reactivity using (i) a DP3-based antibody capture asεay and (ii) the commercially available Ortho anti-HCV asεay which utilizeε the C-100 protein. The C-100 protein iε a fusion protein which waε conεtructed from coding sequences derived from 3 overlapping HCV cloneε and coding sequences for human super oxide dismutaεe (SOD) (Houghton et al. 1989) . C-100 contains amino acids 1569-1931 relative to the HCV polyprotein sequence reported in Houghton et al. (1990) . A HCV solid phase radioimmunoasεay (RIA) was developed with the recombinant protein and waε used to test a panel of human sera (Kuo et al., 1989). All samples positive for inhibition using the DP3 antigen detection asεay were negative for antibody by both Chiron and DP3- antibody capture assays. To ascertain the specificity of these eight plasma samples each was teεted in the blocking confirmatory aεsay deεcribed above. The confirmatory aεεay waε performed by prior incubation of the poεitive reactant plaεma with a 1:500 final dilution of an anti-HCV poεitive human plaεma. The mixture waε then teεted in the antigen aεεay and a poεitive waε confirmed by blocking of the ability of the εample to inhibit the DP3D anti-DP3D reaction. The reεults are shown in Table 19.
Table 19
High ALT Panel/Donor Panel Screened by Antigen Asεay
Figure imgf000110_0001
For each εample a εtandard curve for antigen concentration (Example 20) and controlε were performed.
EXAMPLE 24 DETECTION OF HCV NS4 ANTIGEN IN TISSUE CULTURE fTC) MEDIA DERIVED FROM HEPATOCYTES INFECTED WITH HCV To increase the sensitivity of this assay, wells were coated with rabbit anti-DP3D purified by affinity chromatography utilizing "SEPHAROSE 4B" (Pharmacia) conjugated to DP3D (as per manufacturer's instructions) . The standard curve is shown in Figure 35C. It is noted that the reaction of DP3D-HRP0 conjugate with affinity purified anti- DP3D coated wells can be inhibited 100% by incubation of 100 μg/ml DP3D. The end εenεitivity of thiε assay using DP3D is 100 pg/ml.
A defined serum-free media (DSFM) , which facilitated the in vitro long-term cultivation of normal marmoset, cynomolgus, baboon, chimpanzee, and human hepatocytes, has been previously described (Lanford et al. 1989, herein incorporated by reference; Patent Application Serial No. 07/222,569, filed 21 July 1988, herein incorporated by reference; and co-pending, co-owned US Patent
Application Serial No. 07/504,171, filed 3 April 1990, herein incorporated by reference; Jacob et al. (1990, 1991)).
Briefly, the in vitro cell culture εuεtainε primate hepatocytes in a serum-free medium comprising a basal cell culture medium (such aε William'ε media E, Gibco BRL) , a hepatocyte proliferogen (εuch aε liver growth factor. Collaborative Research) , serum albumin, a corticosteroid (εuch aε hydrocortisone) , one or both of somatotropin or prolactin, a growth/releaεing factor, cholera toxin and ethanola ine. The εource of the infectiouε NANBH inoculum waε the Hutchinson εtrain (Feinstone et al. 1981) . The presence of HCV in test cell supernatant fluids waε εupported aε follows: 1) by infection of a normal chimpanzee using the test cell supernatant fluids; 2) by observation of enveloped 39-60nm virion particleε; and 3) by εequencing of cloned viral RNA. Infected chimpanzee hepatocyteε were iεolated and grown in
DSFM uεing our standard methods (Jacob, et al., 1990 and 1991) .
A pool of media (designated TC in Table 19) derived from days 3-27 of tiεεue culture εupernatantε harveεted at two day intervalε from HCV infected hepatocytes waε teεted for HCV DP3D aεsociated NS4 antigen. Media derived from HBV infected hepatocytes was used as a negative control (Jacob et al . , 1989). The results of HCV antigen detection asεay are preεented in Table 20.
Table 20
Figure imgf000112_0001
The HCV viruε present in the media was purified by recover from the interface between a 20% and a 68% sucrose layer (Jacob et al. , 1991). Approximately 64% of the soluble antigen was lost during thiε purification εtep (Table 20) .
The temporal εyntheεiε of HCV NS4 antigen was investigated by testing sequential TC media derived at two day intervalε from in vivo infected hepatocyteε derived from a chronic HCV infected chimpanzee (animal No. 198). The reεultε are shown in Figure 36. One control was the use of media from un-infected hepatocyte cells; 18 samples were used to determine the baseline of the asεay, i.e., 0% inhibition. The valueε preεented in Figure 36 are the average of triplicate valueε.
Sequential TC mediaε, derived from HCV infected hepatocyteε from chronic chimpanzee 2246, were screened for DP3D asεociated HCV antigen. The resultε are illuεtrated in Figure 37. As noted previously in media from hepatocytes derived from a chronically HCV infected chimp, two cycles of antigen production were noted, day 1 through 5, and days 5 through 15.
EXAMPLE 25 UTILIZATION OF ANTIGEN ASSAY FOR DRUG SCREENING
FOR HCV The HCV antigen detection asεay of the preεent invention waε uεed to assay the effects of drugs on the production of viral antigen in vitro.
Cultured hepatocytes derived from a chronic HCV infected chimpanzee (animal No. 2246) were treated with a number of drugs on day 3, including ribavirin and interferon (Table 20) . The cells were maintained on these drugs thereafter, and media, harveεted on dayε 5 and 12, were tested for HCV antigen (Example 20) . The resultε of the antigen detection aεεay are preεented in Table 21.
Table 21
HCV Ag Production in Abεence or Presence of Drugs
Figure imgf000113_0001
The temporal syntheεiε of HCV NS4 antigen was investigated by testing sequential pooled media derived at two day intervals from in vivo infected hepatocytes derived from a chronic HCV infected chimpanzee (animal No. 2246) . The resultε are shown in Figure 37. Aε above, one control waε the uεe of media from un-infected hepatocyte cells; 18 samples were used to determine the baseline of the asεay, i.e., 0% inhibition. The valueε preεented in Figure 37 are the average of triplicate values.
EXAMPLE 26 DEVELOPMENT OF AN IMMUNOASSAY FOR HCV STRUCTURAL .CAPSID) ANTIGEN The peptideε presented in Table 22 have been tested in the antigen inhibition assay, essentially as described in Example 20A, for use in an antigen detection assay targeted for the HCV capsid protein.
Table 22
Figure imgf000114_0001
Rabbit antisera was prepared to each respective peptide in Teible 22. The resulting antibodies were affinity purified on "SEPHAROSE 4B" matrixes (Pharmacia, Piscataway NJ) conjugated to each respective peptide. Wells were coated with affinity purified rabbit anti-DPll (Example 8) . The probe reagents were generated by conjugation of each respective peptide to horseradiεh peroxidaεe (HRPO) uεing a heterobifunctional croεε-linker (SPDP) , aε deεcribed above (Example 20) . The asεay design was similar to that deεcribed above for the NS4 εpecific antigen detection test (Example 20) .
Sequential plasma samples derived from an HCV infected chimpanzee (No. 196) were tested for preεence of detectable capsid antigen as described above for the DP3 antigen (Example 20) . The resultε of these inhibition assayε are εhown in Table 23.
Table 23
Figure imgf000115_0001
It is of note that antigen was detected with each reεpective peptide aεεay following the firεt εignificant elevation in ALT valueε (11/15/88) and at one later date (09/18/89) . However, the moεt εtriking obεervationε were noted with peptide DPll where capsid antigen was detected initially on day 11/16/88, and throughout the test period (in excesε of 700 dayε) with one exception (05/21/90) .
EXAMPLE 27
EXCLUSION OF ANTI-CAPSID ANTIBODY INTERFERENCE FOR DETECTION OF CAPSID ANTIGEN
A panel of plasmaε derived from blood donorε, excluded due to elevated ALT valueε (82 samples) , were screened against all of the synthetic peptides preεented in Table 3, including DP3 but not DP3A through DP3F. Among the capsid asεociated synthetic peptideε (Table 3, "C") , the following antibody activity waε noted: DP8, 7/82; DP9A, 5/82; DP9B,
5/82; and DP10, 2/82. None of the eight individual plaεma which contained detectable antibodieε to one or more of theεe peptideε reacted to DPll. Thiε result suggeεtε that the epitope aεεociated with DPll (HCV, amino acid reεidueε 146- 169) iε not immunogenic in humanε infected with HCV. However, rabbitε immunized with immunogen prepared by conjugating DPll to keyhole limpet hemocyanin, produce a vigorouε immune response to DPll. Based on the above observationε, DPll waε pursued as a candidate for the development of a HCV capsid specific antigen immunoasεay. EXAMPLE 28 INHIBITION HCV ANTIGEN ASSAY PROTOCOL USING DPll Microtiter plateε ("IMMUNOLON II," Dynatech Laboratorieε, Inc.) were coated with affinity purified rabbit anti-DPll at a protein concentration of 0.4 μg/ml, 50 μl per well. Rabbit anti-DPll waε purified by affinity chromatography uεing DPll coupled to Sepharose by sodium σyanoborohydride (Pharmacia) . The plates were covered and incubated overnight at 4°C.
The wells were then emptied by aspiration and blocked with 10% normal goat serum in 0.01 M phoεphate buffered εaline pH 7.2 (PBS), 350 μl per well. The plateε were incubated at 37°C for 1 hour then washed five times with PBS/Tween-20 (PBS containing 0.5% Tween-20) .
Samples were diluted 1:2 with PBS/Tween-20. Fifty μl per well of positive control standards were added; unknown samples were performed in triplicate. Synthetic peptide DPll was purified by HPLC (Multiple Peptide Systems) . A standard curve waε generated from 10-fold dilutionε of a stock 1.0 μg/ml solution of DPll in neat, heat-inactivated, normal human serum plus 0.01% thimerosal: positive standardε contained 0.001 to 1.0 μg/ml DPll. The negative control was heat inactivated serum + 0.01% thimerosal.
The plate was covered and incubated at 37°C for 1 hour then washed five times with PBS/Tween-20. To each well 100 μl of DPll/HRPO probe diluted 1:500 in PBS was added. The DPll/HRPO probe waε DPll conjugated to HRPO with SPDP (Pierce) . The reaction waε incubated at room temperature for 30 minuteε. The plate waε washed five times with PBS/Tween-20. To each well 100 μl of ABTS was added. The plate was incubated for 30 minuteε at room temperature. The reaction waε εtopped after 30 minutes with 5% lauryl sulfate sodium, salt in distilled water. The reactions were then quantitated by measuring the optical density for each well at 410 nm using a reference filter of 490 nm. Results were calculated using following formula: (Corrected* Exper Mean OD)
1- X100
(Corrected Blank Mean OD)
"Correction = subtraction of mean OD of 1 ng positive control.
EXAMPLE 29
ANALYSIS OF HCV INFECTED HUMAN SERA
USING THE DP11-BASED INHIBITION ASSAY
Three HCV seroconversion panels (4811, 4812, and 4813) , each derived from a single human donor who was inadvertently infected with HCV infected human RBC preparations (supplied by Serologicalε,
Clarkston, GE) , were analyzed for capsid antigen using the above-described DPll based inhibition assay.
The first εerum εample was used as the negative control for each respective panel. The first sample is indicated as day 0 in Figures 38, 39 and 40. Dr.
Richard Newhouεe (Serologicalε) confirmed that vial 1 in each panel contained plaεma obtained before inoculation with the HCV contaminated red blood cellε (i.e., they repreεent pre-bleed samples) .
The results of the DPll inhibition values are presented in Figures 38 (donor 4811) , 39 (donor 4812) and 40 (donor 4813) . The inhibition data is plotted along with ALT and anti-HCV data (Ortho Kit) . Aε can be seen from the results, in all three individuals low levels of DPll asεociated antigen waε detected in εample 2. In two panels the signal disappeared (Figures 38, dayε 6 and 10; Figure 40, dayε 13 and 16) and then became positive again (Figure 38, day 13; Figure 40, day 23). Individual No. 4812 (Figure 39) remained positive from day 4 through day 34. At the time corresponding roughly with the elevation of the ALT valueε in each person (Figure 38, day 46; Figure 39, day 41; and Figure 40, day 34) , antigen became undetectable. Upon resolution of the pathology, as noted by decline of the ALT values, all three individuals again developed poεitive antigen reactivity which waε noted through the laεt εample provided for each individual (Figure 38, day 363; Figure 39, day 321, and Figure 40, day 397) .
EXAMPLE 30 DETECTION OF NS4 AND CAPSID IN A SINGLE COMBINED IMMUNOASSAY An immunoassay was developed for the εimultaneouε detection of both NS4 and capεid antigen. A 1:1 antibody mixture of rabbit anti-NS4 and anti-capεid waε used aε probe. The εenεitivity of thiε aεεay was determined by testing a dilution serieε of a mixture of DP3D-DP9B peptideε. The antigen-reporter complex waε a mixture of DP3D-HRPO and DP9B-HRP0 (both deεcribed above) . The standard curve, shown in Figure 41, indicateε that thiε aεεay haε a εenεitivity of leεε than 100 pg/ml. It should be noted that the peptide mixture was diluted in neat normal human plaεma. While the invention has been deεcribed with reference to εpecific methodε and embodimentε, it will be appreciated that variouε modificationε and changes may be made without departing from the invention.
SEQUENCE LISTING
(1) GENERAL INFORMATION:
(i) APPLICANT: Dreesman, Gordan R. Burk, Kenneth H. Pauletti, Daniel
(ii) TITLE OF INVENTION: Peptide-Based Hepatitis C Virus
Immunoassayβ
(iii) NUMBER OF SEQUENCES: 25
(iv) CORRESPONDENCE ADDRESS:
(A) ADDRESSEE: Law Offices of Peter Dehlinger
(B) STREET: 350 Cambridge Avenue, Suite 300
(C) CITY: Palo Alto
(D) STATE: CA
(E) COUNTRY: USA
(F) ZIP: 94306
(v) COMPUTER READABLE FORM:
(A) MEDIUM TYPE: Floppy disk
(B) COMPUTER: IBM PC compatible
(C) OPERATING SYSTEM: PC-DOS/MS-DOS
(D) SOFTWARE: Patentln Release #1.0, Version #1.25
(vi) CURRENT APPLICATION DATA:
(A) APPLICATION NUMBER:
(B) FILING DATE:
(C) CLASSIFICATION:
(vii) PRIOR APPLICATION DATA:
(A) APPLICATION NO: 07/762,135
(B) FILING DATE: 16-SEP-1991
(A) APPLICATION NO: 07/835,717
(B) FILING DATE: 12-FEB-1992
(viii) ATTORNEY/AGENT INFORMATION:
(A) NAME: Fabian, Gary R.
(B) REGISTRATION NUMBER: 33,875 (C) REFERENCE/DOCKET NUMBER: 1600-0086.41
(ix) TELECOMMUNICATION INFORMATION:
(A) TELEPHONE: (415) 324-0880
(B) TELEFAX: (415) 324-0960
(2) INFORMATION FOR SEQ ID NO:l:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 24 amino acids
(B) TYPE: amino acid (D) TOPOLOGY: linear
(ii) MOLECULE TYPE: peptide
(iii) HYPOTHETICAL: NO
(iv) ANTI-SENSE: NO
(v) FRAGMENT TYPE: internal
(vi) ORIGINAL SOURCE:
(A) ORGANISM: Hepatitis C Virus
(C) INDIVIDUAL ISOLATE: DPI, amino acids 1694 to 1717 of HCV polyprotein
(xi) SEQUENCE DESCRIPTION: SEQ ID NOtl:
He He Pro Asp Arg Glu Val Leu Trp Arg Glu Phe Asp Glu Met Glu 1 5 10 15
Glu Cys Ser Gin His Leu Pro Trp 20
(2) INFORMATION FOR SEQ ID NO:2:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 21 amino acids
(B) TYPE: amino acid (D) TOPOLOGY: linear
(ii) MOLECULE TYPE: peptide
(iii) HYPOTHETICAL: NO
(iv) ANTI-SENSE: NO
(v) FRAGMENT TYPE: internal
(vi) ORIGINAL SOURCE:
(A) ORGANISM: Hepatitis C Virus
(C) INDIVIDUAL ISOLATE: DP2, amino acids 1902 to 1922 of HCV polyprotein
(xi) SEQUENCE DESCRIPTION: SEQ 10 NO:2:
Leu Arg Arg His Val Gly Pro Gly Glu Gly Ala Val Gin Trp Met Asn 1 5 10 15
Arg Leu He Ala Phe 20
(2) INFORMATION FOR SEQ ID NO:3:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 24 amino acids
(B) TYPE: amino acid (D) TOPOLOGY: linear
(ii) MOLECULE TYPE: peptide
(iii) HYPOTHETICAL: NO
(iv) ANTI-SENSE: NO
(v) FRAGMENT TYPE: internal
(vi) ORIGINAL SOURCE:
(A) ORGANISM: Hepatitis C Virus (C) INDIVIDUAL ISOLATE: DP3, amino acids 1917 to 1940 of the HCV polyprotein
(xi) SEQUENCE DESCRIPTION: SEQ ID NO:3:
Asn Arg Leu He Ala Phe Ala Ser Arg Gly Asn His Val Ser Pro Thr 1 5 10 15
His Tyr Val Pro Glu Ser Asp Ala 20
(2) INFORMATION FOR SEQ ID NO:4:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 9 amino acids
(B) TYPE: amino acid (D) TOPOLOGY: linear
(ii) MOLECULE TYPE: peptide
(iii) HYPOTHETICAL: NO
(iv) ANTI-SENSE: NO
(v) FRAGMENT TYPE: internal
(vi) ORIGINAL SOURCE:
(A) ORGANISM: Hepatitis C Virus
(C) INDIVIDUAL ISOLATE: DP3A, amino acids 1922 to 1937 of the HCV polyprotein
( i) SEQUENCE DESCRIPTION: SEQ ID NO:4:
Ala Ser Arg Gly Asn His Val Ser Pro 1 5
(2) INFORMATION FOR SEQ ID NO:5:
(i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 9 amino acids
(B) TYPE: amino acid (D) TOPOLOGY: linear
(ii) MOLECULE TYPE: peptide
(iii) HYPOTHETICAL: NO
(iv) ANTI-SENSE: NO
(v) FRAGMENT TYPE: internal
(vi) ORIGINAL SOURCE:
(A) ORGANISM: Hepatitis C Virus
(C) INDIVIDUAL ISOLATE: DP3B, amino acids 1928 to 1935 of the HCV polyprotein
(xi) SEQUENCE DESCRIPTION: SEQ ID NO:5:
Asn His Val Ser Pro Thr His Tyr Val 1 5
(2) INFORMATION FOR SEQ ID NO:6:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 8 amino acids
(B) TYPE: amino acid
(D) TOPOLOGY: linear
(ii) MOLECULE TYPE: peptide
(iii) HYPOTHETICAL: NO
(iv) ANTI-SENSE: NO
(v) FRAGMENT TYPE: internal
(vi) ORIGINAL SOURCE:
(A) ORGANISM: Hepatitis C Virus
(C) INDIVIDUAL ISOLATE: DP3C, amino acids 1933 to 1940 of the HCV polyprotein
(xi) SEQUENCE DESCRIPTION: SEQ ID NO: 6 :
His Tyr Val Pro Glu Ser Asp Ala
1 5
(2) INFORMATION FOR SEQ ID NO:7:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 24 amino acids
(B) TYPE: amino acid (D) TOPOLOGY: linear
(ii) MOLECULE TYPE: peptide
(iii) HYPOTHETICAL: NO
(iv) ANTI-SENSE: NO
(v) FRAGMENT TYPE: internal
(vi) ORIGINAL SOURCE:
(A) ORGANISM: Hepatitis C Virus
(C) INDIVIDUAL ISOLATE: DP3D, amino acids 1922 to 1946 of the HCV polyprotein
(xi) SEQUENCE DESCRIPTION: SEQ ID NO:7:
Phe Ala Ser Arg Gly Asn His Val Ser Pro Thr His Tyr Val Pro Glu 1 5 10 15
. Ser Asp Ala Ala Ala Arg Val Thr 20
(2) INFORMATION FOR SEQ ID NO:8:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 18 amino acids (B) TYPE: amino acid (D) TOPOLOGY: linear
(ii) MOLECULE TYPE: peptide
(iii) HYPOTHETICAL: NO
(iv) ANTI-SENSE: NO
(v) FRAGMENT TYPE: internal
(vi) ORIGINAL SOURCE:
(A) ORGANISM: Hepatitiε C Virus
(C) INDIVIDUAL ISOLATE: DP4, amino acids 1476 to 1493 of the
HCV polyprotein
(xi) SEQUENCE DESCRIPTION: SEQ ID NO:8:
Thr Leu Pro Gin Asp Ala Val Ser Arg Thr Gin Arg Arg Gly Arg Thr 1 5 10 15
Gly Arg
(2) INFORMATION FOR SEQ ID NO:9:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 19 amino acids
(B) TYPE: amino acid
(D) TOPOLOGY: linear
(ii) MOLECULE TYPE: peptide
(iii) HYPOTHETICAL: NO
(iv) ANTI-SENSE: NO
(v) FRAGMENT TYPE: internal
(vi) ORIGINAL SOURCE: (A) ORGANISM: Hepatitis C Virus
(C) INDIVIDUAL ISOLATE: DP5, amino acids 1488 to 1506 of the HCV polyprotein
(xi) SEQUENCE DESCRIPTION: SEQ ID NO:9:
Arg Gly Arg Thr Gly Arg Gly Lys Pro Gly He Tyr Arg Phe Val Ala 1 5 10 15
Pro Gly Glu
(2) INFORMATION FOR SEQ ID NO:10:
' (i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 20 amino acids
(B) TYPE: amino acid (D) TOPOLOGY: linear
(ii) MOLECULE TYPE: peptide
(iii) HYPOTHETICAL: NO
(iv) ANTI-SENSE: NO
(v) FRAGMENT TYPE: internal
(vi) ORIGINAL SOURCE:
(A) ORGANISM: Hepatitis C Virus
(C) INDIVIDUAL ISOLATE: DP6, amino acidβ 641-660 of the HCV polyprotein
(xi) SEQUENCE DESCRIPTION: SEQ ID NO:10:
Glu Ala Ala Cys Asn Trp Thr Arg Gly Glu Arg Cys Asp Leu Glu Asp 1 5 10 15 Arg Asp Arg Ser 20
(2) INFORMATION FOR SEQ ID NO:11:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 10 amino acidβ
(B) TYPE: amino acid (D) TOPOLOGY: linear
(ii) MOLECULE TYPE: peptide
(iii) HYPOTHETICAL: NO
(iv) ANTI-SENSE: NO
(v) FRAGMENT TYPE: internal
(vi) ORIGINAL SOURCE:
(A) ORGANISM: Flavivirus
(C) INDIVIDUAL ISOLATE: DP7, conserved Flavivirus sequence,
HCV unrelated
(xi) SEQUENCE DESCRIPTION: SEQ ID NO:11:
Cys Lys Pro Pro Phe Gly Asp Ser Tyr He 1 5 10
(2) INFORMATION FOR SEQ ID NO:12:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 21 amino acidβ
(B) TYPE: amino acid
(D) TOPOLOGY: linear
(ii) MOLECULE TYPE: peptide
(iii) HYPOTHETICAL: NO
(iv) ANTI-SENSE: NO (v) FRAGMENT TYPE: internal
(vi) ORIGINAL SOURCE:
(A) ORGANISM: Hepatitis C Virus
(C) INDIVIDUAL ISOLATE: DP8, amino acids 1-21 of the HCV polyprotein
(xi) SEQUENCE DESCRIPTION: SEQ ID NO:12:
Met Ser Thr Asn Pro Lys Pro Gin Arg Lys Thr Lys Arg Asn Thr Asn 1 5 10 15
Arg Arg Pro Gin Asp 20
(2) INFORMATION FOR SEQ ID NO:13:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 21 amino acids
(B) TYPE: amino acid (D) TOPOLOGY: linear
(ii) MOLECULE TYPE: peptide
(iii) HYPOTHETICAL: NO
(iv) ANTI-SENSE: NO
(v) FRAGMENT TYPE: internal
(vi) ORIGINAL SOURCE:
(A) ORGANISM: Hepatitis C Virus
(C) INDIVIDUAL ISOLATE: DP9A, amino acids 35-55 of the HCV polyprotein
(xi) SEQUENCE DESCRIPTION: SEQ ID NO:13:
Tyr Leu Leu Pro Arg Arg Gly Pro Arg Leu Gly Val Arg Ala Thr Arg 1 5 10 15 Lys Thr Ser Glu Arg 20
(2) INFORMATION FOR SEQ ID NO:14:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 26 amino acids
(B) TYPE: amino acid (D) TOPOLOGY: linear
(ii) MOLECULE TYPE: peptide
(iii) HYPOTHETICAL: NO
(iv) ANTI-SENSE: NO
(v) FRAGMENT TYPE: internal
(vi) ORIGINAL SOURCE:
(A) ORGANISM: Hepatitis C Virus
(C) INDIVIDUAL ISOLATE: DP9B, amino acidB 51-75 of the HCV polyprotein
(xi) SEQUENCE DESCRIPTION: SEQ ID NO:14:
Arg Lys Thr Ser Glu Arg Ser Gin Pro Arg Gly Arg Arg Gin Pro He 1 5 10 15
Pro Lys Ala Arg Arg Pro Glu Gly Arg Thr 20 25
(2) INFORMATION FOR SEQ ID NO:15:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 24 amino acids
(B) TYPE: amino acid
(D) TOPOLOGY: linear
(ii) MOLECULE TYPE: peptide (iii) HYPOTHETICAL: NO
(iv) ANTI-SENSE: NO
(v) FRAGMENT TYPE: internal
(vi) ORIGINAL SOURCE:
(A) ORGANISM: Hepatitis C Virus
(C) INDIVIDUAL ISOLATE: DP10, amino acids 98-121 of the HCV polyprotein
(xi) SEQUENCE DESCRIPTION: SEQ ID NO:15:
Leu Ser Pro Arg Gly Ser Arg Pro Ser Trp Gly Pro Thr Asp Pro Arg 1 5 10 15
Arg Arg Ser Arg Asn Leu Gly Lys 20
(2) INFORMATION FOR SEQ ID NO:16:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 24 amino acids
(B) TYPE: amino acid (D) TOPOLOGY: linear
(ii) MOLECULE TYPE: peptide
(iii) HYPOTHETICAL: NO
(iv) ANTI-SENSE: NO
(v) FRAGMENT TYPE: internal
(vi) ORIGINAL SOURCE:
(A) ORGANISM: Hepatitis C Virus
(C) INDIVIDUAL ISOLATE: DPll, amino acids 146 to 169 of the
HCV polyprotein (xi) SEQUENCE DESCRIPTION: SEQ ID NO:16:
Gly Ala Ala Arg Ala Leu Ala His Gly Val Arg Val Leu Glu Asp Gly 1 5 10 15
Val Asn Tyr Ala Thr Gly Asn Leu 20
(2) INFORMATION FOR SEQ ID NO:17:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 19 amino acids
(B) TYPE: amino acid (D) TOPOLOGY: linear
(ii) MOLECULE TYPE: peptide
(iii) HYPOTHETICAL: NO
(iv) ANTI-SENSE: NO
(v) FRAGMENT TYPE: internal
(vi) ORIGINAL SOURCE:
(A) ORGANISM: Hepatitis C Virus
(C) INDIVIDUAL ISOLATE: DP12, amino acids 233 to 251 of the
HCV polyprotein
(xi) SEQUENCE DESCRIPTION: SEQ ID NO:17:
Gly Asn Ala Ser Arg Cys Trp Val Ala Met Thr Pro Thr Val Ala Thr 1 5 10 15
Arg Asp Gly
(2) INFORMATION FOR SEQ ID NO:18:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 27 amino acids (B) TYPE: amino acid (D) TOPOLOGY: linear
(ii) MOLECULE TYPE: peptide
(iii) HYPOTHETICAL: NO
(iv) ANTI-SENSE: NO
(v) FRAGMENT TYPE: internal
(vi) ORIGINAL SOURCE:
(A) ORGANISM: Hepatitis C Virus
(C) INDIVIDUAL ISOLATE: DP13, amino acids 291 to 317 of the HCV polyprotein
(xi) SEQUENCE DESCRIPTION: SEQ ID NO:18:
Phe- hr Phe Ser Pro Arg Arg His Trp Thr Thr Gin Gly Cys Asn Cys 1 5 10 . 15
Ser He Tyr Pro Gly His He Thr Gly His Arg 20 25
(2) INFORMATION FOR SEQ ID NO:19:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 28 amino acids
(B) TYPE: amino acid (D) TOPOLOGY: linear
(ii) MOLECULE TYPE: peptide
(iii) HYPOTHETICAL: NO
(iv) ANTI-SENSE: NO
(v) FRAGMENT TYPE: internal
(vi) ORIGINAL SOURCE: (A) ORGANISM: Hepatitis C Virus
(C) INDIVIDUAL ISOLATE: DP14, amino acidβ 439 to 466 of the HCV polyprotein
(xi) SEQUENCE DESCRIPTION: SEQ ID NO:19:
Ala Gly Leu Phe Tyr His His Lys Phe Asn Ser Ser Gly Cys Pro Glu 1 5 10 15
Arg Leu Ala Ser Cys Arg Pro Leu Thr Asp Phe Asp 20 25
(2) INFORMATION FOR SEQ ID NO:20:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 27 amino acidβ
(B) TYPE: amino acid (D) TOPOLOGY: linear
(ii) MOLECULE TYPE: peptide
(iii) HYPOTHETICAL: NO
(iv) ANTI-SENSE: NO
(v) FRAGMENT TYPE: internal
(vi) ORIGINAL SOURCE:
(A) ORGANISM: Hepatitis C Virus
(C) INDIVIDUAL ISOLATE: DP15, amino acidβ 467 to 493 of the
HCV polyprotein
(xi) SEQUENCE DESCRIPTION: SEQ ID NO:20:
Gin Gly Trp Gly Pro He Ser Tyr Ala Asn Gly Ser Gly Pro Asp Gin 1 5 10 15
Arg Pro Tyr Cys Trp His Tyr Pro Pro Lys Pro 20 25 (2) INFORMATION FOR SEQ ID NO:21:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 26 amino acids
(B) TYPE: amino acid (D) TOPOLOGY: linear
(ii) MOLECULE TYPE: peptide
(iii) HYPOTHETICAL: NO
(iv) ANTI-SENSE: NO
(v) FRAGMENT TYPE: internal
(vi) ORIGINAL SOURCE:
(A) ORGANISM: Hepatitis C Virus
(C) INDIVIDUAL ISOLATE: DP16, amino acids 185 to 210 of the HCV polyprotein
(xi) SEQUENCE DESCRIPTION: SEQ ID NO:21:
Leu Thr Val Pro Ala Ser Ala Tyr Gin Val Arg Asn Ser Thr Gly Leu 1 5 10 15
Tyr His Val Thr Asn Asp Cys Pro Asn Ser 20 25
(2) INFORMATION FOR SEQ ID NO:22:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 21 amino acids
(B) TYPE: amino acid (D) TOPOLOGY: linear
(ii) MOLECULE TYPE: peptide
(iii) HYPOTHETICAL: NO
(iv) ANTI-SENSE: NO (v) FRAGMENT TYPE: internal
(vi) ORIGINAL SOURCE:
(A) ORGANISM: Hepatitis C Virus
(C) INDIVIDUAL ISOLATE: DP17, amino acids 2255-2275 of the HCV polyprotein
(xi) SEQUENCE DESCRIPTION: SEQ ID NO:22:
Ser Phe Asp Pro Leu Val Ala Glu Glu Asp Glu Arg Glu He Ser Val 1 5 10 15
Pro Ala Glu He Leu 20
(2) INFORMATION FOR SEQ ID NO:23:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 23 amino acids
(B) TYPE: amino acid (D) TOPOLOGY: linear
(ii) MOLECULE TYPE: peptide
(iii) HYPOTHETICAL: NO
(iv) ANTI-SENSE: NO
(v) FRAGMENT TYPE: internal
(vi) ORIGINAL SOURCE:
(A) ORGANISM: Hepatitis C Virus
(C) INDIVIDUAL ISOLATE: DP18, amino acids 2232 to 2255 of the HCV polyprotein
(xi) SEQUENCE DESCRIPTION: SEQ ID NO:23:
Leu Trp Arg Gin Glu Met Gly Gly Asn He Thr Arg Val Glu Ser Glu 1 5 10 15 Asn Lys Val Val He Leu Asp 20
(2) INFORMATION FOR SEQ ID NO:24:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 24 amino acids
(B) TYPE: amino acid (D) TOPOLOGY: linear
(ii) MOLECULE TYPE: peptide
(iii) HYPOTHETICAL: NO
(v) FRAGMENT TYPE: internal
(vi) ORIGINAL SOURCE:
(A) ORGANISM: Hepatitis C Virus
(C) INDIVIDUAL ISOLATE: DP3E, amino acids 1928-1951 of HCV polyprotein
(xi) SEQUENCE DESCRIPTION: SEQ ID NO:24:
His Val Ser Pro Thr His Tyr Val Pro Glu Ser Asp Ala Ala Ala Arg 1 5 10 15
Val Thr Ala He Leu Ser Ser Leu 20
(2) INFORMATION FOR SEQ ID NO:25:
(i) SEQUENCE CHARACTERISTICS:
(A) LENGTH: 24 amino acids
(B) TYPE: amino acid (D) TOPOLOGY: linear
(ii) MOLECULE TYPE: peptide
(iii) HYPOTHETICAL: NO (v) FRAGMENT TYPE: internal
(vi) ORIGINAL SOURCE:
(A) ORGANISM: Hepatitis C Virus
(C) INDIVIDUAL ISOLATE: DP3F, amino acids 1932-1955 of the HCV polyprotein
(xi) SEQUENCE DESCRIPTION: SEQ ID NO:25:
Thr His Tyr Val Pro Glu Ser Asp Ala Ala Ala Arg Val Thr Ala He 1 5 10 15
Leu Ser Ser Leu Thr Val Thr Gin 20

Claims

IT IS CLAIMED:
1. A method for detecting the preεence of hepatitiε C viruε (HCV) antigens in a sample, comprising contacting the sample with at least one antibody that iε reactive with an HCV antigen, where the antibody iε attached to a solid support, examining the antibody for the presence of bound HCV antigen, where said examining involves reacting the solid support with an antigen-reporter complex, where the HCV antigen competes with binding of the antigen-reporter complex to the antibody, and detecting antigen-reporter complex that is bound to the εolid support.
2. The method of claim 1, where said detecting includes quantitation of the level of reporter that remains bound to the solid support.
3. The method of claim 1, where the εample is selected from the group consiεting of tiεsue culture medium, chimpanzee serum, and human serum.
4. The method of claim 1, where the solid support is the well of a microtiter plate.
5. The method of claim 1, where the antigen used to generate the antibody comprises a polypeptide antigen selected from the group of sequences presented as SEQ ID NO:3, SEQ ID NO:5, SEQ ID NO:6, SEQ ID NO:7, SEQ ID NO:14, and SEQ ID NO:16.
6. The method of claim 1, where the antigen of the antigen-reporter complex compriεes a polypeptide antigen selected from the group consisting of SEQ ID NO:3, SEQ ID NO:5, SEQ ID NO:6, SEQ ID NO:7, SEQ ID NO:14, and SEQ ID NO:16.
7. The method of claim 6, where the antigen of the antigen-reporter complex compriseε the polypeptide preεented aε SEQ ID NO:7.
8. The method of claim 6, where two antibodieε are uεed and the antigen of the firεt antigen- reporter complex comprises SEQ ID NO:7 and the antigen of the second antigen-reporter complex compriseε SEQ ID NO:14.
9. The method of claim 1, where εaid contacting iε conducted in the presence of a non- ionic surfactant.
10. The method of claim 9, where the antigen of the antigen-reporter complex comprises the polypeptide presented as SEQ ID NO:16.
11. The method of claim 1, where the reporter of the antigen-reporter complex is selected from the group consiεting of enzymatic reporterε, radioactive reporterε, and fluorescent reporters.
12. The method of claim 11, where the reporter is the enzymatic reporter horse radish peroxidase.
13. A method for detecting the presence of hepatitis C virus (HCV) antigens in a εample, compriεing contacting the sample with at least one antibody that is reactive with the polypeptide presented as SEQ ID NO:16, where the antibody is attached to a solid support, and said contacting takes place in the preεence of a polyoxyethylene sorbitan, examining the antibody for the presence of bound HCV antigen, where said examining involves reacting the solid support with a SEQ ID NO:16 polypeptide-reporter complex, and detecting SEQ ID NO:16 polypeptide-reporter complex that is bound to the solid support.
14. A diagnostic kit for use in screening samples for the presence of hepatitis C virus (HCV) antigens comprising at least one antibody that is reactive with an HCV antigen, and an antigen-reporter complex, where the HCV antigen competes with binding of the antigen- reporter complex to the antibody.
15. The kit of claim 14, where said antibody is attached to a εolid support.
16. The kit of claim 14, where the antigen of the antigen-reporter complex comprises a polypeptide antigen selected from the group consisting of SEQ ID NO:3, SEQ ID N0:5, SEQ ID N0:6, SEQ ID N0:7, SEQ ID NO:14 and SEQ ID NO:16.
17. The kit of claim 16, where the antigen of said antigen-reporter compriεeε SEQ ID NO:7.
18. The kit of claim 16, where the antigen of said antigen-reporter complex compriseε SEQ ID
NO:14.
19. The kit of claim 16, where the antigen of said antigen-reporter complex compriεeε SEQ ID NO:16.
20. The kit of claim 14, where the reporter of the antigen-reporter complex iε selected from the group consisting of enzymatic reporters, radioactive reporters, and fluorescent reporters.
21. Purified antibodieε that are immunoreactive with a polypeptide consisting essentially of a sequence selected from the group consiεting of SEQ ID NO:3, SEQ ID NO:5, SEQ ID NO:6, SEQ ID NO:7, SEQ ID NO:14 and SEQ ID NO:16.
22. The antibodieε of claim 21, which are polyclonal antibodieε.
23. The antibodieε of claim 21, which are monoclonal antibodieε.
24. A purified HCV polypeptide antigen characterized by:
(a) an epitope formed by the sequence preεented aε SEQ ID NO:3; and
(b) effective to recognize, by immunoreactivity with HCV-specific antibodies in human HCV anti-sera, a substantially broader range of HCV anti-sera than is recognized by a 362 amino acid HCV peptide having a 14 amino acid N-terminal region amino acid overlap with the SEQ ID NO:3.
25. The antigen of claim 24, whoεe N-terminal amino acid region of overlap with εaid 362 amino acid HCV peptide iε εubstantially no greater than 14 amino acids.
26. The antigen of claim 24, which includes the amino acid sequence of SEQ ID NO:3.
27. A purified polypeptide antigen consisting essentially of amino acid residueε contained in one from the group consisting of SEQ ID NO:3, SEQ ID N0:5, SEQ ID N0:6, SEQ ID N0:7, SEQ ID NO:14 and SEQ ID NO:16.
28. A diagnostic kit for use in screening human blood containing antibodies specific against hepatitis C virus (HCV) infection comprising an HCV polypeptide antigen characterized by (a) an epitope formed by the sequence presented as SEQ ID NO:3; and (b) effective to recognize, by immunoreactivity with HCV-εpecific antibodieε in human HCV anti-εera, a substantially broader range of HCV anti-sera than is recognized by a 362 amino acid HCV peptide having a 14 amino acid N-terminal region amino acid overlap with the SEQ ID NO:3; .and means for detecting the binding of said antibodies to the antigen.
29. The kit of claim 28, wherein the N- terminal amino acid region of overlap between said antigen and said 362 amino acid HCV peptide iε substantially no greater than 14 amino acids.
30. The kit of claim 28, wherein said detecting means includes a solid support to which said antigen iε attached, and a reporter-labeled anti-human antibody effective to bind to human HCV- εpecific antibodieε, with εuch bound to said antigen.
31. A method of detecting hepatitis C virus (HCV) infection in an individual comprising reacting serum from an HCV-infected test individual with an HCV polypeptide antigen characterized by (a) an epitope formed by the sequence presented as SEQ ID NO:3; and (b) effective to recognize, by immunoreactivity with HCV-specific antibodieε in human HCV anti-εera, a substantially broader range of HCV anti-sera than is recognized by a 362 amino acid HCV peptide having a 14 amino acid N-terminal region amino acid overlap with the SEQ ID NO:3; and examining the antigen for the preεence of bound antibody.
32. The method of claim 31, wherein the peptide antigen iε attached to a solid support, said reacting includes reacting the peptide antigen with the support, and subsequently reacting the support with a reporter-labeled anti-human antibody, and said examining includes detecting the presence of reporter-labeled antibody on the εolid support.
33. A method for detecting the presence of hepatitis C virus (HCV) antigens in the presence of HCV antibodies in a sample obtained from an HCV- infected host, comprising generating at least one antibody capabable of binding an HCV antigen that is not normally immunoreactive with sera from the HCV-infected host, contacting the sample with said antibody under conditions that promote the binding of the antibody and the HCV antigen that iε not normally immunoreactive with εera from the HCV-infected hoεt, where the antibody iε attached to a εolid support, examining the antibody for the presence of bound HCV antigen, where said examining involves reacting the solid support with an antigen-reporter complex, where said HCV antigen competes with binding of the antigen-reporter complex to the antibody, and detecting antigen-reporter complex that is bound to the solid support.
34. The method of claim 33, wherein said conditions that promote the binding of the antibody and the HCV antigen that iε not normally immunoreactive with sera from the HCV-infected host include the addition of a non-ionic surfactant.
35. The method of claim 34, wherein said surfactant iε a polyoxyethylene sorbitan.
36. The method of claim 34, where said HCV antigen that is not normally immunoreactive with sera from the HCV-infected host contains the polypeptide sequence presented as SEQ ID NO:16.
PCT/US1992/007865 1991-09-16 1992-09-16 Peptide based hepatitis c virus immunoassays WO1993006488A1 (en)

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