CA2149025A1 - Humanized antibodies reactive with l-selectin - Google Patents

Abstract

Humanized immunoglobulins specifically reactive with L-selectin are prepared employing recombinant DNA technology for use in e.g., treatment of inflammatory disorders.

Description

2~15 2 ~ 1~ 9 ~ 2 ~ PCT/U593/11612 H~ANIZED ANTIBODIES REACTIVE WITH L-SELECTIN

Çross-Reference to Related Inventions This application is a continuation-in-part of USSN
07/983,946, filed l2/l/92, which is hereby incorporated by reference in its entirety for all purposes.

Field of the Invention The present invention relates generally to the combination of recombinant DNA and monoclonal antibody technologies for developing novel biologics and, more particularly, for example, to the production of non--immunogenic (in humans) immunoglobulins specific for the L-selectin protein and their uses in vitro and in vivo.

Back~round of the Invention The ability of cells to adhere to one another plays a critical role in development, normal physiology, and disease processes. This ability is mediated by adhesion molecules, generally glycoproteins, expressed on cell membranes. Often, an adhesion molecule on one cell type will bind to another adhesion molecule expressed on a different cell type, forming a receptor counter-receptor pair. Three very important classes of adhesion molecules are the integrins, selectins, and immunoglobulin (Ig) superfamily members (see Springer, Nature 346:425 (~9903; Osborn, Cell 62:3 (l990); Hynes, Cell 69:11 (1992), all of which are incorporated herein by reference in their entirety for all purposes). These molecules are especially vital to the interaction of leukocytes and platelets with themselves and with the extracellular matrix and vascular endothelium.
Integrins are heterodimeric transmembrane ~`
glycoproteins consisting of an ~ chain (120-lR0 kD) and a chain (90-ll0 ~D), generally having short cytoplasmi.c domains The ~ subunits all share sequence homology and motifs with each other, as do the ~ subunits. The three wog4/1221s PCT~S93/1161 21 ~ 9 025 2 known integrins containing the ~ subunit designated ~2 are important to the function of T cells, neutrophils and monocytes. LFA~ L~2 ) is widely distributed on lymphocytes, granulocytes and monocytes. Its counter-receptor is ~ICAM-l ;
(and perhaps of lesser importance, ICAM-2) an Ig family molecule which is expressed on many cells including leukocytes and is up-regulated on vascular endothelium by cytokines such as TNF and IL-l. Blocking LFA-l on T cells with antibodies to either the ~ or ~ subunit strongly ` inhibits adhesion-dependent functions such as CTL-mediated lysis of target cells. Mac-l (~M~2) is distributed on neutrophils and monocytes, and its counter-receptor is also ICAM-l (and possibly ICAM-2). Among other things, Mac-l is the type 3 complement receptor (CR3) and binds the C3bi lS fragment. The third ~2 integrin, Pl50,95 (~X~2), is also found on neutrophils and monocytes, but seems of less impor~ance. The ~ subunits of LFA-l, Mac~l and Pl50,95 are also given the respective CD designations CDlla, CDllb and CDllc, while ~2 is also denoted CDl8, so that LFA-l is CDlla/CDl8 and Mac-l is CDllb/CDl8.
There are three known selectins, which were previously known as LECCAMs, and are now designated L-selectin (also called LECAM-l, Mel-14 or LAM-l), E-selectin (also called ELAM-l) and P-selectin (also called GMPl40 or PADGEM). They have all been sequenced at the cDNA level and share sequence homology and motifs, including a lectin-like domain. L-selectin has a dual role: it is a homing receptor on T cells for the high endothelial venules of peripheral lymph nodes, and it is an adhesion molecule on neutrophils for endothelium (Hallmann et al-., Biochem. Biophys. Res.
Commun. 174:236 (l99l)j which is incorporated herein by reference in its entirety for all purposes). E-selectin and P-selectin are both induced on endothelium by cytokines, ';
although with different kinetics. L-selectin is a counter-receptor on neutrophils for both E-selectin and P-selectin (Picker et al., Cell 66:921 (l99l), which is incorporated herein by reference in its entirety for all purposes), although all three salectins probably have other counter-W094/12215 21~ 9 0 2 i PCT~S93/11612 !~

receptors as well. In particular, E-selectin binds the carbohydrate group sialyl Lewis x (sLex3 (Lowe et al., Cell 63:475 (1990)), whlch is incorporated herein by reference in its entirety for all purposes), and whlle this carboh~drate is prominently presented on L-selectin (Picker et al., Cell 66:921 (1991)), it may occur on other proteins as well. E-selectin is expressed especially in cutaneous sites of inflammation and also serves as an adhesion molecule for skin-homing T cells that may contribute to the inflammation (Picker et al., Nature 349 : 796 (l99l), ~hich is incorporated herein by reference in its entirety for all purposes).
In various assays, antibodies to CDlla, CDllb, CDl8, L-selectin and E-selectin all block binding of neutrophils to activated endothelial cells to a lessor or greater degree, but the most complete inhibition is generally achieved by the combination of an antibody to CDl8 and an antibody to L- or E selectin (see~ e . g ., Luscinskas, J.
Immunol . 142: 2257 (1989)), which is incorporated herein by reference in its entirety for all purposes~. A recent but now widely accepted model accounts for these facts with a three step process of adhesion (Butcher, Cell ~7:1033 (l99l), which is incorporated herein by reference in its entirety for all purposes). In the first step, neutrophils reversibly bind to inflamed vascular endothelium via the selectins, which bind well under conditions of flow, causing the neutrophils literally to roll along the vascular wall. The neutrophils are then activated by a variety of stimulants surrounding or released by the endothelium, including IL-8, PAF and C5a. The activated neutrophils shed L-selectin and - -up-regulate Mac-l. In thelfinal step, binding of Mac-l to ICAM-l and perhaps other counter-re~eptors on the endothelial cells allows stable adhesion and extravasation through the endothelium. `
In principle, antibodies or other antagonists of ~35 the integrin and selectin adhesion molecules could abort this process, by preventing neutrophils from binding to endothelium and from extravasating into tissues. Hence such antibodies could be used to treat a great many different WO94/1221~ PCT~JS93/11612 1/.

~ ~i 4 !~
disease conditions of which inflammation is an important component.
For example, in animal models anti-CDl8 antibodies, which bind to both LFA-l and Mac-l, have been useful in reducing ischemia-reperfusion injury (see, e.g., Vedder et al., J. Clin. Invest. 81:939 (1988); Vedder et al., Proc.
Natl . Acad . sci . USA 87:2643 (l990); U.S. Patent No.
4,797,277). They also reduce neutrophil-mediated damage in the lung in response to various insults (Doerschuk et al., J.
Immunol. 144:2327 (l990) and Mulligan et al., J. Immunol.
148:18~7 (1992)), including gram-negative sepsis (Walsh et al., Surgery 110:205 (l99l)). In a ra~bit model, anti-CDl8 antibodies also protect from lethality due to meningitis (Tuomanen et al., J. Exp. Med. 170:959 (l990)). They may also be useful in preventing or treating organ transplant rejection because they block T-cell function.
For example, injection of antibodies to L-selectin or E-selectin into rodents suppressed neutrophil accumulation within inflamed peritoneum ~Jutila et al., J. Immunol.
143:3318 (1989) and Mulligan et al., J. Clin . Invest. 88:1396 (l99l)). Intravital video microscopy revealed that an anti-L-selectin antibody strongly inhibits rolling of leukocytes along the vascular wall endothelium of mesenteric venules exteriori~ed from rabbits (von Andrian et al., Proc. Natl.
Acad. sci. USA 88:7538 (l99l)). An anti-E-selectin antibody greatl~ reduced vascular injury induced by immune complex deposition in the skin or lungs of rats, and substantially reduced neutrophil accumulation at those sites (Mulligen et al., J. Clin. Invest. 88:1396 (l99l)). Also, in a primate ,-~
model of extrinsic asthma, an anti-E-selectin antibody greatly reduced neutrophil influx into the lung and associated late-phase airway obstruction after antigen ";
inhalation (Gundel et al., J. Clin. Invest. 88:1407 (l99l)). '~
Several antibodies including mouse DREG-55, mouse DREG-56 and mouse DREG-200 have been developed that bind to ``
human L-selectin (Kishimoto et al., Proc. Natl. Acad. Sci.
USA 87:2244 (l990~, which is incorporated herein by reference in its entirety for all purposes). These antibodies Wo94/12215 1 ~ 9 0 2 3 PCT~S93/11612 ) ~ ~

partially or completely block the binding of human lymphocytes to peripheral lymph node high endothelial venules, and the binding of human neutrophils to stimulated human umbilical vein endothelial cells (Kishimoto et al., Blood 78:805 (1991), which is incorporated herein by reference in its entirety for all purposes). The capacity of these antibodies to block binding of neutrophils to endothelial cells indicates that the antigen to which they bind, L-selectin, may be an appropriate target for potential lo therapeutic agents.
Unfortunately, the use of non-human monoclonal antibodies such as mouse DREG-200 have certain drawbacks in human treatment, particularly in repeated therapeutic regimens as explained below. Mouse monoclonal antibodies, for example, have a relatively chort circulating half-life, and lack other important immunoglobulin functional characteristics when used in humans.
Perhaps more importantly, non-human monoclonal antibodies contain substantial stretches of amino acid sequences that will be immunogenic when injected into a human patient. Numerous studies have shown that, after injection of a foreign antibody, the immune response elicited by a patient against an antibody can be quite strong, essentially eliminating the antibody's therapeutic utility after an initial treatment. Moreover, as increasing numbers of different mouse or other antigenic tto humans) monoclonal antibodies can be expected to be developed to treat various diseases, after the first or several treatments with any different non-human antibodies, subsequent treatments even for unrelated therapies can~be ineffective or even dangerous in themselves, because~of cross-reactivity. While the production of so-called "chimeric antibodies" (e.g., mouse variable regions joined to human constant regions) has proven somewhat successful, a significant immunogenicity problem 3S remains.
To attempt to overcome immunogenicity problems several examples of humanized antibodies have been produced.
The transition from a murine to a humanized antibody involves WO94/12215 ~ PCT~S93/11612 21~902~

a compromise of competing considerations, the solution to which varies for different antibodies. To minimize immunogenicity, the immunoglobulin should retain as much of the human acceptor sequence as possible. However, to retain authentic binding properties, the immunoglobulin framework should contain sufficient substitutions of the human acceptor sequence to ensure a three-dimensional conformation of CDR
regions as close as possible to that in the mouse donor immunoglobulin. As a result of these competing considerations, many humanized antibodies produced to-date show significant loss of binding affinity compared with corresponding murine antibodies. See, e . g., Jones et al., Nature 321:522-525 (1986); Shearman et al., J. Immunol .
147:436~-4373 (l99l); Kettleborough Protein Engineering 4:773-783 (1991); Gorman et al., Proc. Natl. Acad. sci. USA
88:4l8l-4l85 (l99l); Tempest et al., Biotechnology 9:266-271 (l99l), Riechmann et al., Nature 332:323 (l988) and EPO
Publication No. 0239400) (each of which is hereby by reference in its entirety for all purposes).
Thus, there is a need for improved forms of humanized immunoglobulins specific for L-selectin antigen that are substantially non-immunogenic in humans, yet easily and economically produced in a manner suitable for therapeutic formulation and other uses. The present invention fulfills these and other needs~

Summary of the Invention The present invention provides novel compositions useful, for example, in the treatment of inflammatory human disorders, the compositions containing humanized immunoglobulins specifically capable of binding to L-selectin. The immunoglobulins can have two pairs of light chain/heavy chain complexes, at least one chain comprising one or more mouse complementarity determining regions functionally joined to human framework region segments. For example, mouse complementarity determining regions, with or without additional naturaliy-associated mouse amino acid residues, can be introduced into human framework regions to WO94/12215 2.~ PCT~S93/11612 .:., ~;

produce humanized immunoglobulins capable of binding to the L-selectin at affinity levels stronger than about 107 M-l.
These humanized immunoglobulins will also be capable of blocking the binding of the CDR-donating mouse monoclonal antibody to L-selectin.
The immunoglobulins, including binding fragments and other derivatives thereof, of the present invention may be produced readily by a variety of recombinant DNA
techniques, with ultimate expression in transfected cells, preferably immortalized eukaryotic cells, such as myeloma or hybridoma cells. Polynucleotides comprising a first sequence coding for humanized immunoglobulin framework regions and a second sequence set coding for the desired immunoglo~ulin complementarity determining regions can be produced synthetically or by combining appropriate cDNA and genomic -DNA segments.
The humanized immunoglobulins may be utilized alone in substantially pure form, or together with a chemotherapeutic agent such as a non-steroidal anti-inflammatory drug (e.g., aspirin), a corticosteroid, or an immunosuppressant. All of these compounds will be particularly useful in treating inflammatory disorders. The humanized immunoglobulins or their complexes can be prepared in a pharmaceutically acceptable dosage form, which will vary depending on the mode of administration.

- BRIEF DESCRIPTION OF THE FIGURES
Figure l. Sèquences of the CDNA and translated amino acid sequer,ces of the light chain (A) and heavy chain (B) variable regions of the mouse DREG-200 antibody. The mature heavy chain begins with amino acid 20 E, and the mature light chain begins with amino acid 2l D, preceded by .-the respective signal sequences. ~-~
Figure 2. Amino acid sequences of the mature light chain tA) and heavy chain (B) variable regions of the mouse DREG-200 antibody (upper lines~ and humanized DREG-200 antibody (lower lines). The three CDRs in each chain are underlined. Residues in the framework that have been wo94ll22ls PCT~S93/11612 i~`i ` 2 ~9 02~ 8 replaced with mouse amino acids or typical human amino acids in the humanized antibody are double underlined.
Figure 3. Nucleotide sequences of the genes encoding the light chain (A) and heavy chain (B) varlable regions of the humanized ~REG-200 antibody, beginning and '-ending with the Xbal sites, and translated amino acid sequences, including signal sequences.
Figure 4. Competitive binding of mouse and humanized IgGl and IgG4 DREG-200 antibodies. The target cells were L2-l cells, a mouse pre-B cell line, that was transfected with a human L-selectin gene and thus expresses human L-selectin (Berg et al., Biochem~ Biophys. Res. Comm.
184:1048 (1992)). 5 x 105 cells were incubated with 3 ng of l25I-labeled tracer mouse antibody (2 ~Ci//~g), together with increasing amounts of mouse or humanized competitor antibody as indicated in 0.2 ml of binding buffer (PBS ~ 2~ FBS + 0.1%
azide) for l hr at 4C. Cells were washed and pelleted, and their bound radioactivity measured. The concentrations of bound and free tracer antibody were calculated.
Figure 5. Binding of human neutrophils to IL-l stimulated human umbilical cord endothelial cells (H W EC).
The neutrophils were first treated with irrelevant control antibody, mouse DREG-200 antibody, or humanized IgGl DREG-200 antibody, or left untreated, as indicated.
Figure 6. Protection of ischemic-reperfused heart tissue by humanized DREG-200. The Figure shows for cats treated with humanized DREG-200 or control antibody, from left to right: area at risk/total ventricular area; necrotic tissue area/area at risk; and necrotic tissue area/total left ventricle area. Brackets represent +/- SEM for six cats;
heights of bars are means.
!
DEFINITIONS
The term "substantial identity" or "substantial homology" means that two peptide sequences, when optimally aligned, such as by the programs GAP or BESTFIT using default gap weights, share at least 65 percent sequence identity, preferably at least 80 or 90 percent sequence identity, more WO94/12215 2 PCT~S93/11612 : 1~90 ~ ~
g preferably at least 95 percent sequence identity or more ~e.g., 99 percent sequence identity). Preferably, residue positions which are not identical differ by conservative amino acid substitutions.
For purposes of classifying amino acids substitutions as conservative or nonconservative, amino acids are grouped as follows: Group I (hydrophobic sidechains):
norleucine, met, ala, val, leu, ile; Group II (neutral hydrophilic side chains): cys, ser, thr; Group III (acidic side chains): asp, glu; Group IV (basic side rhains): asn, gln, his, lys, arg; Group V (residues influencing chain orientation): gly, pro; and Group VI (aromatic side chains):
trp, tyr, phe. Conservative substitutions involve substitutions between amino acids in the same class Non-conservative substitutions constitute exchanging a member of one of these classes for a member of another.
Amino acids from the variable regions of the mature heavy and light chains of immunoglobulins are designated Hx and Lx respectively, where x is a number designating the position of an amino acids according to the scheme of Kabat, Sequences of Proteins of Ilrununological Interest (National Institutes of Health, Bethesda, MD, 1987 and 1991). Kabat lists many amino acid sequences for antibodies for each subclass, and lists the most commonly occurring amino acid for each residue position in that subclass. Kabat uses a method for assigning a residue number to each amino acid in a listed sequence, and this method for assigning residue numbers has become standard in the field. Kabat's scheme is extendible to other antibodies not included in his compendium by aligning the antibody in question with one of the consensus sequences in Kabat. The use of the Kabat numbering system readily identifies amino acids at equivalent positions in different antibodies. For example, an amino acid at the j-L50 position of a human antibody occupies the equivalent position to an amino acid position L50 of a mouse antibody.
From N-terminal to C-terminal, both light and heavy chains comprise the domains FRl, CDRl, FR~, CDR2, FR3, CDR3 and FR4. The assignment of amino acids to each domain is in W094/1221~ PCT~S93/11612 ~!~
2 1 ~ 9 0 2 ~ ~ -accordance with the definitions of Kabat (1987) and (1991), supra, or Chothia & Lesk, J. Mol. Biol. 196:901-917 (1987);
Chothia et al., Nature 342:878-883 (1989).

DETAILED DESCRIPTION OF THE INVENTION
Generally, the nomenclature used hereafter and the laboratory procedures in cell culture, molecular genetics, and nucleic acid chemistry and hybridization described below are those well known and commonly employed in the art.
Standard techniques are used for recombinant nucleic acid methods, polynucleotide synthesis, cell culture, and transgene incorporation (e.g., electroporation, microinjection, lipofection). Generally enzymatic reactions, oligonucleotide synthesis, and purification steps are performed according to the manufacturer's specifications.
The techniques and procedures are generally performed according to conventional methods in the art and various general references which are provided throughout this document. The procedures therein are believed to be well known in the art and are provided for the convenience of the reader. All the information contained therein is incorporated herein by reference.

Humanized Antibodies Against L-Selectin In accordance with the present invention, humanized immunoglobulins specifically reactive with L-selectin related ~pitopes are provided. These immunoglobulins usually have binding affinities to L-selectin of at least about 107 M-l, and preferably Io8 M-1 to 109 M-l, 101 M-l or stronger and, are capable of, e.g., binding to neutrophils. The humanized :
immunoglobulins will have a human framework and will have one or more complementarity determining regions (CDRs) from an immunoglobulin, typically a mouse immunoglobulin, specifically reactive with L-selectin. In a preferred embodiment, one or more of the CDRs will come from the mouse DREG-200 antibody~ and the humanized immunoglobulin will be of the IgGI or IgG4 isotype. Thus, the immunoglobulins of the present invention, which can be produced economically in WO 94/12215 ~9 PCT i 593/1161;!

large quantities, find use, for example, in the treatment of inflammatory disorders in human patients by a variety of techniques.
The basic antibody structural unit is known to comprise a tetramer. Each tetramer is composed of two iden-tical pairs of polypeptide chains, each pair having one "li~ht" (about 25 kD) and one ~'heavy" chain (about 50-70 kD).
The NH2-terminus of each chain begins a variable region of about 100 to 110 or more amino acids primarily responsible for antigen recognition. The COOH part of each chain defines a constant region primarily résponsible for effector function.
Light chains are classified as either kappa or lambda. ~eavy chains are classified as gamma, mu, alpha, delta, or epsilon, and define the antibody's isotype as IgG, IgM, IgA, IgD and IgE, respectively. Within light and heavy chains, the variable and constant regions are joined by a "J"
region of about 12 or more amino acids, with the heavy chain also including a "D" region of about 10 more amino acids.
(Se~, generally, Fundamental Im~nunology, Paul, W., Ed., Chapter 7, pp. 131-166, Raven Press, N.Y. (1984), which is incorporated herein by reference in its entirety for all purposes.) The variable regions of each light/heavy chain pair form the antibody kinding site. The chains all exhibit the same general structure of relatively conserved framework regions joined by three hypervariable regions, also called Complementarity Determining Regions or CDRs ~see "Sequences of Proteins of I~munological Interest," Kabat, E., et al., U.S. Department of Health and Human Ser~ices (1987); and Chothia and Lesk, J. Mol. Biol., l96:gOl-9l7 (1987), which are incorporated herein by reference in their entirety for all purposes). The CDRs from the two chains of each pair are aligned by the framework regions, enabling binding to a specific epitope. "
As used herein, the term "immunoglobulin" refers to a protein consisting of one or more polypeptides~
substantially encoded by immunoglobulin genes. The .~,. ......... . . . . .

i,`j~
WO94/12215 PC~S93111612 ^
2~3~2J 12 recognized immunoglobulin genes include the kappa, lambda, alpha, gamma, delta, epsilon and mu constant region genes, as well as the myriad immunoglobulin variable region genes. The immunoglobulins may exist in a variety of forms besides antibodies; including, for example, Fv, Fab, and (Fab')2 as we'l as bifunctional antibodies (e.g., Lanzavecchia et al., Eur. J. Immunol. 17:105 (1987)) and in single chains (e.g., HustGn et al., Proc. Natl. Acad. sci. USA, 8S:5879-58$3 (1988) and Bird et al., Science, 242:423-426 (1988), which are incorporated herein by reference in their entirety for all purposes). (See, generally, Hood et al., Immunology (Benjamin, N.Y., 2nd ed., 1984), Harlow & Lane, Antibodies:
A Laboratory Manual (Cold Spring Harbor Laboratory, 1988) and Hunkapiller & Hood, ~ature, 323:15-16 (1986), each of which are incorporated herein by reference in their entirety for all purposes).
Chimeric antibodies ara antibodies whose light and heavy chain genes have been constructed, typically by genetic engineering, from immunoglobulin gene segments belonging to different species. For example, the variable (V) segments of the genes from a mouse monoclonal antibody may be joined to human constant (C) segments, such as ~1 and ~4. A typical therapeutic chimeric antibody is thus a hybrid protein consisting of the V or antigen-binding domain from a mouse antibody and the C or effector domain from a human antibody, although other mammalian species may be used.
As used herein, the term "framework region" refers to those portions of immunoglobulin light and heavy chain variable regions that are relatively conserved (i.e., other than the CDRs) among different immunoglobulins in a single species, as defined by~Kabat, et al., supr~. As used herein, a ''human framework region" is a framework region that is substantially identical (about 85~ or more) to the framework region of a naturally occurring human antibody or a consensus sequence of several such antibodies.
As used herein, the term "humanized immunoglobulin"
refers to an immunoglobulin comprising a human framework, at - least one CDR from a non-human antibody, and in which any WO94/12215 2 ~ ~ 9 0 2 ~ PCT~S93/1161~ ,~

constant region present is substantially identical to a human immunoglobulin constant region, i.e. at least about 85-90%, preferably at least 95% identical. Hence, all parts of a humanized immunoglobulin, except possibly the CDRs, are substantially identical to corresponding parts of one or more native human immunoglobulin sequences. For example, a humanized immunoglobulin would not encompass a chimeric mouse variable region/human constant region antibody.
Humani~ed antibodies have at least three potential advantages over mouse, and in some cases chimeric antibodies, for use in human therapy:
l) because the effector portion is human, it may interact better with the other parts of the human immune system (e.g., destroy the target cells more efficiently by complement-dependent cytotoxicity (CDC) or antibody-dependent cellular cytotoxicity (ADCC)).
2) The human immune system should not recognize the framework or C region of the humanized antibody as foreign, and therefore the antibody response against such an injected antibody should be less than against a totally foreign mouse antibody or a partially foreign chimeric antibody.

3) Injected mouse antibodies have been reported to have a half-life in the human circulation much shorter than the half-life of normal antibodies (Shaw, D. et al., J. Immunol.
138:4534-4538 (1987)). Injected humanized antibodies will presumably have a half-life more like that of naturally occurring human antibodies, allowing smaller and less frequent doses to be given.
In one aspect, the present invention is directed to recombinant DNA segments encoding the heavy and/or light chain CDRs from an immunoglobulin capable of binding to a desired epitope of L-selectin, such as monoclonal antibodies mouse DREG-200, mouse DREG-55 or mouse DREG-56 (Kishimoto et WO94/1221s PCT~S93/11612 ~ 3 14 al. (1990), supra, which is incorporated herein by reference in its entirety for all purposes). The DNA segments encoding these regions will typically be joined to DNA segments encoding appropriate human framework regions. Exemplary DNA
sequences, which on expression code for the polypeptide chains comprising the heavy and light chain CDRs of monoclonal antibody mouse DREG-200 are included in Fig. 1.
Due to codon degeneracy and non-critical amino-acid substitutions, other DNA sequences can be readily substituted for those sequences, as detailed below. For a detailed description of the design and production of humanized immunoglobulins, see commonly assigned serial nos. 07/290,975 and 07/310,25Z, filed December 28, 1988 and February 13, 1989, respectively, both of which are incorporated herein by reference in their entirety for all purposes.
The DNA segments will typically further include an expression control DNA sequence operably linked to the humanized immunoglobulin coding sequences, including naturally-associated or heterologous promoter regions.
Preferably, the expression control sequences will be eukaryotic promoter systems in vectors capable of transforming or transfecting eukaryotic host cells, but control sequences for prokaryotic hosts may also be used.
Once the vector has been incorporated into the appropriate host, the host is maintained under conditions suitable for high level expression of the nucleotide sequences, and, as desired, the collection and purification of the light chains, heavy chains, light/heavy chain dimers or intact antibodies, binding fragments or other immunoglobulin forms may follow.
The nucleic acid sequences of the present invention capable of ultimately expressing the desired humanized antibodies can be-formed from a variety of different polynucleotides (genomic or cDNA, RNA, synthetic oligonucleotides, etc.) and components te.g., V, J, D, and C
regions), as well as by a variety of different techniques.
Joining appropriate genomic and synthetic sequences is presently the most common method of production, blt cDNA
sequences may also be utilized (see European Patent ~ll9o23 ~.. ,. ~
WO94/12215 PCT~S93111612 Publication No. 0239400 and Riechmann, L. et al., Nature 332:323-327 (1988), both of which are incorporated herein by reference in their entirety for all purposes).
Human constant region DNA sequences can be isolated in accordance with well known procedures from a variety of human cells, but preferably immortalized B-cells (see Kabat, supra, and WP87/02671~. The CDRs for producing the immunoglobulins of the present invention will be similarly derived from monoclonal antibodies capable of binding to L-selectin and produced in any convenient mammalian source, including, mice, rats, rabbits, or other vertebrate capable of producing antibodies by well known methods. Suitable source cells for the DNA sequences and host cells for immunoglobulin expression and secretion can be obtained from a number of sources, such as the American Type Culture Collection (Catalogue of Cell Lines and ~ybridomas, Fifth edition (1985) Rockville, MD, which is incorporated herein by reference in its entirety for all purposes). In preferred embodiments, the CDRs have sequences corresponding to the CDR
sequences of mouse DREG-200, mouse DREG-55, or mouse DREG-56, respectively, and may include degenerate nucleotide sequences encoding the corresponding CDR amino acid sequence~s) of mouse DREG-200, mouse DREG-55, or mouse DREG-56.
In addition to the humanized immunoglobulins specifically described herein, other "substantially homologous" modified immunoglobulins can be readily designed and manufactured utilizing various recombinant DNA techniques well known to those skilled in the art. Other human antibodies than the Eu antibody discussed in Example 2 can be used as a source of framework sequence. These frameworX
sequences should exhibit a high degree of se~uence identity `
with the mouse DREG-200 variable framework domains from which t~
the CDRs were derived. The heavy and light chain variable framework regions can be derived from the same or different human antibody sequences. Indeed, the heavy and light chain framework regions can each be derived from more than one human antibody. The human antibody sequences can be the sequences of naturally occurring human antibodies or can be W094/1221s ~ ~ 9 ~ 2 - PCT~593/11612 consensus sequences of several human antibodies. See Carter f et al., Wo 92/22653 (1992).
The unnatural juxtaposition of murine CDR regions with human variable framework region can result in unnatural S conformational restraints, which, unless corrected by substitution of certain amino acid residues, 'ead to loss of binding affinity. The selection of amino acid residues for substitution is determined, in part, by computer modelling.
Computer hardware and software for producing three-dimensional images of immunoglobulin molecules are widely available. In general, molecular models are produced starting from solved structures for immunoglobulin chains or domains thereofO The chains to be modelled are compared for amino acid sequence similarity with chains or domains of solved three dimensional structures, and the chains or domains showing the greatest sequence similarity is/are selected as starting points for construction of the molecular model. The solved starting structures are modified to allow for difference between the actual amino acids in the immunoglobulin chains or domains being modelled, and those in the starting structure. The modified structures are then assembled into a composite immunoglobulin. Finally, the model is refined by energy minimization and by verifying that all atoms are within appropriate distances from one another and that bond lengths and angles are within chemically acceptable limits. Example 2 discusses in more detail the steps taken to produce a three dimensional computer model for the variable regions of the mouse DREG-200 antibody. This model can in turn serve as a starting point for predicting the three-dimensional structure of an antibody containing the mouse DREG-200 complementarity determining regions substituted in human fram~work structures. Additional models can be constructed representing the structure when further amino acid substitutions, to be discussed infra, are introduced.
In general, substitution of human amino acid residues with murine should be minimized, because~
introduction of murine residues increases the risk of the ~.: . ~ . . - , WO94/12215 21 I 9 0 2 ~ PCT~S93/11612 : . .. .

antibody eliciting a HAMA response in humans. Amino acids are selected for substitution based on their possible influence on CDR conformation and/or binding to antigen.
Investigation of such possible influences is by modelling, s examination of the characteristics of the amino acids at particular locations, or empirical observation of the effects of substitution or mutagenesis of particular amino acids.
When an amino acid differs between a mouse DREG-200 ~ariable framework region and an equivalent human variable framework region, the human framework amino acid should usually be substituted by the equivalent mouse amino acid if it is reasonably expected that the amino acid:
~l) noncovalently contacts antigen directly, or (2) is adjacent to a CDR region or otherwise interacts with a CDR region (e.g., is within about 4-6 A of a CDR region).
Other candidates for substitution are acceptor human framework amino acids that are unusual for a human immunoglobulin at that position (e . g., amino acid Hl13 of human Eu antibody). These amino acids can be substituted with amino acids from the equivalent position of more typical human immunoglobulins. Alternatively, amino acids from equivalent positions in the mouse DREG-200 can be introduced into the human framework regions when such amino acids are typical of human immunoglobulin at the equivalent positions.
In general, substitution of all or most of the amino acids fulfilling the above criteria is desirable.
Occasionally, however, there is some ambiguity about whether a particular amino acid meets the above criteria, and alternative variant~immunQglobulins are produced, one of which has that particular substitution, the other of which does not. The humanized antibodies of the present invention will usually contain a substitution with a mouse light chain framework residue with a corresponding mouse DREG-200 residue 3~ in at least l, 2, 3, 4 and more usually S, of the following positions: L87, L54, L66, L76 and L93. The humanized antibodies also usually contain a substitution with a mouse heavy chain framework residue in at least 1, 3, 5, 7, 9, l0, wo94/l2~ls PCT~S93/1161 1 ~ 9 02~ 18 ;-ll and, more usually 12 of the following positions: H93, H95, H98, Hlll, H112, H115, H30, H98, Hlll, H27, H48, and H72. In preferred embodiments when the human heavy chain r acceptor immunoglobulin is Eu, the heavy chain also contains a subst~tution at Hl13. This position is usually substituted with the amino acid from the equivalent position of a human immunoglobulin having a more typical amino acid residues.
Usually the CDR regions in humanized antibodies are substantially identical, and more usually, identical to the corresponding CDR regions in the mouse DREG-200 antibody.
Occasionally, however, it is desirable to change one of the residues in a CDR region, for example, to create a resemblance to the binding site of a ligand of L-selectin Although not usually desirable, it is sometimes possible to make one or more conservative amino acid substitutions of CDR
residues without appreciably affecting the binding affinity of the resulting humanized immunoglobulin.
Other than for the specific amino acid substitutions discussed above, the framework regions of humanized immunoglobulins are usually substantially identical, and more usually, identical to the framework regions of the human antibodies from which they were derived.
However, in some embodiments the framework regions can vary from the native sequences at the primary structure level by several amino acid substitutions, terminal and intermediate additions and deletions, and the like. Stereoisomers (e.g., D-amino acids) of the twenty conventional amino acids, unnatural amino acids such as ~ disubstituted amino acids, N-alkyl amino acids, lactic acid, and other unconventional amino acids may also be suitable components for polypeptides of the present invention. Of course, many of the amino acids in the framework region make little or no direct contribution to the specificity or affinity of an antibody. Thus, many r-`
individual conservative su~stitutions of framework residues can be tolerated without appreciable change of the specificity or affinity of the resulting humanized immunoglobulin. However, in general, such substitutions are undesirable. Modifications of the genes may be readily WO 94112215 1 ~ 9 0 2 j PCT~S93/11612 - r i '~' i lg accomplished by a variety of well-known techniques, such as site-directed mutagenesis (see Gillman & Smith, Gene 8:81-97 (1979) and Roberts et al., Nature 328:731-734 (1987), both of which are incorporated herein by reference in their entirety for all purposes).
Alternatively, polypeptide fragments comprising only a portion of the primary antibody structure may be produced, which fragments possess one or more immunoglobulin activities (e.g., binding activity). These polypeptide fragments may be produced by proteolytic cleavage of intact antibodies by methods well known in the art, or by inserting stop codons at the desired locations in the vectors pVX and pVgl-dhfr using site-directed mutagenesis, such as after CHl to produce Fab fragments or after the hinge region to produce (Fab')2 fragments. Single chain antibodies may be produced by joining VL and VH with a DNA linker (see Huston et al., supra, and Bird et 21., supra). As one example, Fv or Fab fragments may be produced in E. col i according to the methods of Buchner and Rudolph, Bio/Technology ~:157-162 t1991) and Skerra et al., Bio/Technology 9:273-277 ~1991), incorporated herein by reference in their entirety for all purposes. Fv and Fab may also be produced by expression of encoding polynucleotides in eukaryotic, preferably mammalian, cells.
Also because like many genes, the immunoglobulin-related genes contain separate functional regions, each having one or more distinct biological activities, the genes may be fused to functional regions from other genes (e.g., enzymes, see commonly assigned U.S.S.N. 132,387, filed Dec. 15, 1987, 3 which is incorporated herein by reference in its entirety for all purposes) to produce fusion proteins (e.g., immunotoxins) having novel properties.
Expression of the humanized immunoglobulin - sequences in bacterial hosts may be used to advantage to select higher affinity humanized immunoglobulin sequences by mutageni2ing the CDR regions and producing bacteriophage display libraries which may be screened for humanized immunoglobulin CDR variants which possess high affinity and/or high specificity binding to L-selectin. One potential WO 94/12215 2 1 ~ 9 0 2 a PCT I 593/11612 ! ~

advantage of such affinity sharpening is the generation of humanized immunoglobulin CDR variants which have improved binding affinity and/or reduced cross-reactivity with molecules other than L-selectins. Methods for produclng phage display libraries having immunoglobulin variable region sequences are provided in the art, for example, see Cesareni, FEBS ~ett 307:66-70 (1992); Swimmer et al., Proc. Natl. Acad.
sci. USA ~9:3756-60 (1992); Gram et al., Proc. Natl. Acad.
Sci. USA 89:3576-80 (1992); Clackson et al., Nature 352:624-8 (1991); Scott & Smith, Science 249:386-90 (1990); Garrard et al., Bio/Techniques 9:1373-1377 (lssl), which are incorporated herein by reference in their entirety for all purposes. The resultant affinity sharpened C~R variant humanized immunoglobulin sequences are subsequently expressed in a suitable host for efficient expression.
As stated previously, the DNA sequences will be expressed in hosts after the sequences have been operably linked to (i.e., positioned to ensure the functioning of) an expression control sequence. These expression vectors are typically replicable in the host organisms either as episomes or as an integral part of the host chromosomal DNA.
Commonly, expression vectors will contain selection markers, e.g., ~etracycline-resistance (tetR), G418-resistance (neoR), mycophenolic acid-resistance (gpt), or HSV-tk, to permit detection of those cells transformed with the desired DNA
sequences (see, e.g., U.S. Patent 4,704,362, which is incorporated herein by reference in its entirety for all purposes).
E. coli is one prokaryotic host useful particularly for cloning the DNA sequences of the present invention.
Other microbial hosts s~itable for use include bacilli, such as Bacillus subtilis, and other enterobacteriaceae, such as Salmonella, Serratia, and various Pseudomonas species. In `
these prokaryotic hosts, one can also make expression vectors, which will typically contain expression control sequences compatible with the host cell (e.g., an origin of replication). In addition, any number of a variety of well-known promoters will be present, such as the lactose promoter ,,~,.. . . .

rN.:
WO94/12215 ~1 4 9 0 2 ~ PCT~S93/11612 system, a tryptophan (trp) promoter system, a beta-lactamase promoter system, Ol a promoter system from phage lambda. The ¦ ;
promoters will typically control expression, optionally with an operator sequence, and have ribosome binding site sequences and the like, for initiating and completing transcription and translation.
Other microbes, such as yeast, may also be used for expression. Saccharomyces is a preferred host, with suitable vectors having expression control sequences, such as promoters, including 3-phosphoglycerate kinase or other glycolytic enzymes, and an origin of replication, termination sequences and the like as desired. `~
Plants and plant cell cultures may be used for expression of the humanized immunoglobulins of the invention.
(Larrick & Fry, Hum. Antibodies Hybridomas 2(4):172-89 (1991); Benvenuto et al., Plant Mol. Biol. }7(4):865-74 :
(1991); Durin et al., Plant Mol. Biol. 15(2):281-93 (1990);
Hiatt et al., Nature 342:76-8 (1989~, incorporated herein by reference in their entirety for all purposes). Preferable ~-~20 pl~ant-hosts~ include, for example: Arabidopsis, Nicotiana -~ ~ tabacum, Nicotiana rustica, and Solanum tuberosum. A
preferred expression cassette for expressing polynucleotide sequences encoding the humanized anti-L-selectin antibodies of the invention is the plasmid pMOG18 in which the inserted polynucleotide sequence encoding the humanized immunoglobulin ; chain is operably linked to a CaMV 35S promoter with a duplicated enhancer; pMOG18 is used according to the method of Sijmons et al., Bio/Technology 8:217-221 (l990), incorporated herein by reference in its entirety for all purposes. Alternatively, a preferred embodiment for the expression of humanized immunoglobulins in plants follows the methods of Hiatt et al., supra, with the substitution of i~
polynucleotide sequences encoding the humanized anti-L-selectin antibodies of the invention for the immunoglobulin sequences used by.Hiatt et al., supra. Agrobacterium ;~ tumifaciens T-DNA-based vectors may also be used for ~, ~ expressing humanized immunoglobulin sequences, preferably ~'~

wo94ll22ls ~l q 9 G .~ ~ PCT~S93/11612 ~-such vectors include a marker gene encoding spectinomycin-resistance or othe~ selectable marker.
Insect cell culture may also be used to produce the humanized immunoglobulins of the invention, typically using a baculovirus-based expression system. The humanized immunoglobulins may be produced by expressing polynucleotide sequences encoding the humanized immunoglobulins according to the m~thods of Putlitz et al., Bio/Technology 8: 651-654 (l990), incorporated herein by reference in its entirety for all purposes. The method of Putlitz et al. can be followed with the modification that polynucleotide sequences encoding the humanized anti-L-selectin antibodies of the invention are inserted in place of the mouse monoclonal Ab 6A4 heavy chain and light chain cDNA sequences of Putlitz et al.
In addition to microorganisms and plants, mammalian tissue cell culture may also be used to express and produce the polypeptides of the present invention (see Winnacker, From Genes to Clones (VCH Publishers, NY, 1987), which is incorpor~ted herein by reference in its entirety for all purposes). Mammalian cells are actually preferred, because a number of suitable host cell lines capable of secreting intact immunoglobulins have been developed in the art, and include the CHO cell lines, various COS cell lines, HeLa cells, preferably myeloma cell lines, etc, or transformed B-2S cells or hybridomas. Expression vectors for these cells can include expression control sequences, such as an origin of replication, a promoter, an enhancer (Queen et al., Immunol.
Rev. 89 : 49-68 (1986), which is incorporated herein by `
reference in its entirety for all purposes), and necessary processing information sites, such as ribosome binding sites, RNA splice sites, polyadenylation sites, and transcriptional terminator sequences. Preferred expression control sequences are promoters derived from immunoglobulin genes, SV40, ~`
Adenovirus, Bovine Papilloma Virus, cytomegalovirus and the like. Generally, a selectable marker, such as a neoR
expression cassette, is included in the expression vector.
Transgenes encoding a humanized immunoglobulin of the invention may be used to generate transgenic nonhuman WO94/12215 214 9 0 2 ~ PCT~S93/11612 ~
. ;
` 23 animals which express the desired humanized immunoglobulin, typically in a recoverable body fluid such as milk or serum.
Such transgenes comprise a polynucleotide sequence encoding the humanized immunoglobulin(s) operably linked to a~
promoter, usually with a linked enhancer, such as a rodent immunoglobulin enhancer or a casein gene promoter/enhancer (Buhler et al., Bio/Technology 8:140-143 (1990); Meade et al ., Bio/Technology 8:443-446 (l990), incorporated herein by reference in its entirety for all purposes). Transgenes may be transferred into cells and embryos according to the methods described in the art and, infra, for homologous recombination constructs. Preferred nonhuman anima]s include: mice, rats, sheep, cows, and goats; with e~ression in bovine milk being particularly preferred. See WOgl/08216 (1991) (which is ~ncorporated in its entirety for all purposes). Purification of the humanized antibodies is accomplished by art-known purification methods for immunoglobulin purification.
The vectors containing the DNA segments of interest (e.g., the heavy and light chain encoding sequences and expression control sequences) can be transferred into the host cell by well-known methods, which vary depending on the type of cellular host. For example, calcium chloride transfection is commonly utilized for prokaryotic cells, whereas calcium phosphate treatment, lipofection, biolistics, viral-based transduction, or electroporation may be used for other cellular hosts. Tungsten particle ballistic transgenesis is preferred for plant cells and tissues. (See, generally, Maniatis et al., Molecular Cloning: A Laboratory Manual (Cold Spring Harbor Press, 1982), which is incorporated herein by~reference in its entirety for all `
purposes.) Once expressed, the whole antibodies`, their dimers, individual light and heavy chains, or other immunoglobulin forms of the present invention can be purified according to standard procedures of the art, including ammonium sulfate precipitation, affinity columns, column chromatography, gel electrophoresis and the like (see, generally, Scopes, R., WOg4/12215 2~1 4 9 ~ 2 ~ PCT1593/11612 Protein Purification (Springer-Verlag, N.Y., 1982), which is incorporated herein by reference in its entirety for all purposes). Substantially pure immunoglobulins of at least about 90 to 95% homogeneity are preferred, and 98 to 99~ or more homogeneity most preferred, for pharmaceutical uses.
Once purifled, partially or to ho~ogeneity as desired, the polypeptides may then be used therapeutically (including extracorporeally) or in developing and performing assay procedures, immunofluorescent stainings, and the like. (See, generally, Immunological Methods, Vols. I and II (Lefkovits and Pernis, eds., Academic Press, NY, 1979 and 1981).
In a preferred embodiment, humanized immunoglobulins are produced which bind to L-selectin with a binding affinity of at least l x 107 M-l in standard binding conditions (e.g., phosphate-buffered saline with 2 percent fetal bovine serum at 25C); one example of such humanized i~munoglo~ulins is the humanized DREG-200 antibody comprising the amino acid sequences shown in Figure 2. (Hereinafter, the humanized DREG-200 antibody is sometimes referred to as "hu DREG-200.) Humanized immunoglobulins comprising the CDRs from mouse DREG-55 or from mouse DREG-56 also can bind to L-selectin with an affinity of at least l x 107 M-l. The humanized antibodies of the invention preferably bind, in standard binding conditions, to human L-selectin with an affinity of at least l x l08 M~l, more preferably with an affinity of at least l x l09 M-l, and advantageously with an affinity of at least l x l0l M-l or stronger. Usually, the binding affinity of a humanized immunoglobulin is within a factor of three of the mouse immunoglobulin from which it was deri~ed. For, example the affinity of the mouse DREG-200 antibody is about l08 M-l.

Computers '`
In another aspect of the invention, computers programmed to display three dimensional images of antibodies on a monitor are provided. For example, a Silicon Graphics IRIS 4D workstation running under the UNIX operating system and using the molecular modelling package QUANTA (Polygen WO 94/12215 2 1 4 9 0 2 ., PCT I 593/1161.!

Corp. USA) is suitable. computers are useful for generating variants of humanized antibodies. In general, the antibodies of the invention already provide satisfactory binding affinity. However, it is likely that antibodies with even stronger binding affinity could be identified by further variation ef cer~ain amino acid residues. The three dimensional image will also identify many noncritical amino acids, which could be the subject of conservative substitutions without appreciable affecting the binding affinity of the antibody. Collectively even conservative substitutions can have a significant effect on the properties of an immunoglobulin. However, it is likely many individual conservative substitutions will not significantly impair the properties of the immunoglobulins.
Human Antibodies A~ainst L-Selectin In another aspect of the invention, human antibodies against L-selPctin are provided. These antibodies are produced by a variety of techniques described below.
Some human antibodies are selected by competitive binding experiments, or otherwise, to have the same epitope specificity as a particular mouse antibody, such as mouse DREG-200 or a humanized version thereof. Such antibodies are particularly likely to share the useful therapeutic properties demonstrated for humanized DREG-200.
Antibodies having the required epitope specificity can also be identified by screening for the capacity to block neutrophil-endothelial cell interaction. A simple visual assay for detecting such interaction has been described by Rishimoto et al. (l991), supra. Briefly, monolayers of human umbilical vein cells are stimulated with IL-1. Neutrophils, with or without pretreatment with the antibody under test, t-;
are added to the monolayer under defined conditions, and the number of adhering neutrophils is determined microscopically.
In one method, the neutrophils are obtained from human leukocyte adhesion deficient patients. See Anderson et al., Ann. Rev. Med. 38:175 (1987). The neutrophils from such patients lack integrin receptors, whose binding to WO94/12215 ~ 1 1 9 U 2 5 PCT1593/11612 neutrophils might obscure the effects of blocking L-selectin binding.
a. Trioma MethodoloqY
The basic approach and an exemplary cell fusion ' partner, SPAZ-4, for use in this approach have been described by Oestberg et al., ~ybridoma 2:361-367 (1983); Oestberg, U.S. Patent No. 4,634,664; and Engleman et al., US Patent 4,634,666 (each of which is incorporated by reference in its entirety for all purposes). The antibody-producing cell lines ob~ained by this method are called triomas, because they are descended from three cells--two human and one mouse.
Initially, a mouse myeloma line is fused with a human B-lymphocyte to obtain a non-antibody-producing xenogeneic hybrid cell, such as the SPAZ-4 cell line described by Oestberg, supra. The xenogeneic cell is then fused with an immunized human B-lymphocyte to obtain an antibody-producing trioma cell line. Triomas have been found to produce antibody more stably than ordinary hybridomas made from human cells.
The immunized B-lymphocytes are obtained from the blood, spleen, lymph nodes or bone marrow of a human donor.
In vivo immunization of a living human with L-selectin is usually undesirable because of the risk of initiating a - harmful response. Thus, B-lymphocytes are usually immunized in vltro with an L-selectin polypeptide, an antigenic fragment thereof or a cell bearing either of these. If antibodies against a specific antigen or epitope are desired, it is preferable to use that antigen or epitope thereof for in vitro immunization. B-lymphocytes are typically exposed to antigen for a period o$ 7-14 days in a media such as RPMI-1640 (see Engleman, supra) supplemented with 10% human plasma.
The immunized B-lymphocytes ara fused to a xenogeneic hybrid cell such as SPAZ-4 by well known methods~
For example, the cells are treated with 40-50% polyethylene glycol of MW lQ00-4000, at about 37 degrees, for about 5-l0 min. Cells are separated from the fusion mixture and propagated in media selective for the desired hybrids (e.g., ;~

WO94/l22ls 21 ~ ~ 0 2, PCT~593/1161~ ~

HAT or AH). Clones secreting antibodies having the required binding specificity are identified by assaying the trioma culture medium for the ability to bind to L-selectin or a fragment thereof. Triomas producing human antibodies having the decired specificity are subcloned by the limiting ;"
dilution technique and grown in vitro in culture medium. The trioma cell lines obtained are then tested for the ability to bind L-selectin or a fragment thereof.
Although triomas are genetically stable they do not lo produce antibodies at very high levels. Expression levels can be increased by cloning antibody genes from the trioma into one or more expression vectors, and transforming the vector into a cell line such as the cell lines discussed supra for expression of recombinant or humanized immunoglobulins.
b. Transqenic Non-Human Mammals Human antibodies against L-selectin can also be produced from non-human transgenic mammals having transgenes encoding at least a segment of the human immunoglobulin locus. Usually, the endogenous immunoglobulin locus of such transgenic mammals is functionally inactivated. Preferably, the segment of the human immunoglobulin locus includes unrearranged se~uences of heavy and light chain components.
Both inactivation of endogenous immunoglobulin genes and introduction of exogenous immunoglobulin genes can be achieved by targeted homologous recombination, or by introduction of YAC chromosomes. The transgenic mammals resulting from this process are capable of functionally rearranging the immunoglobulin component sequences, and expressing a repertoire of antibodies of vari~us isotypes encoded by human immunoglobulin genes, without expressing endogenous immunoglobulin genes. The production and propertiss of mammals having these properties are described in detail by, e.g., Lonberg et al., WO93112227 (1993);
Kucherlapati, WO 91/10741 (~991) (each of which is incorporated by reference in its entirety for all purposes).
Transgenic mice are particularly suitable. Anti-L-selectin antibodies are obtained by immunizing a transgenic nonhuman !:,..`

5 ~ PCT~S93/11612 ~, mammal, such as described by Lonberg or Kucherlapati, supra, with L-selectin or a fragment thereof. Monoclonal antibodies are prepared by, e.g., fusing B-cells from such mammals to suitable myeloma cell lines using conventional Kohler-Milstein technology.
c Phaqe Display Methods A further approach for obtaining human anti-L-selectin antibodies is to screen a DNA library from human B
- cells according to the general protocol ou~lined by Huse et al., Science 246:1275-1281 (1989). Antibodies binding to L-selectin or a fragme'nt thereof are selected. Sequences encoding such antibodies (or a binding fragments) are then cloned and amplified. The protocol described by Huse is rendered more efficient in combination with phage-display l~ technology. See, e.g., Dower et al., WO 9l/17271 and McCafferty et al., Wo 92/01047 (each of which is incorporated by reference in its entirety for all purposes). In these methods,'libraries of phage are produced in which members "
display different antibodies on their outersurfaces.
Antibodies are usually displayed as Fv or Fab fragments.
Phage displaying antibodies with a desired specificity are selected by affinity enrichment to an L-selectin polypeptide '~
or fragment thereof.
In a variation of the phage-display method, human antibodies ha~ing the binding specificity of a selected murine antibody can be produced. See Winter, WO 92/20791.
In this method, either the heavy or light chain variable region of the selected murine antibody (e.g., mouse DREG-200) is used as a starting material. If, for example, a light `~
chain variable region is,selected as the starting material, a phage library is constructed in which members displays the same light chain variable region (i.e., the murine starting material) and a different heavy chain variable region. The heavy chain variable regions are obtained from a library of rearranged human heavy chain variable regions. A phage showing strong specific binding for L-selectin (e.g., at least 108 and preferably at least lO9 M-l) is selected. The human heavy chain,variable region from this phage then serves WOg~/12215 Xl 1 9 02.~ PCT~S93/11612 as a starting material for constructing a further phage library. In this library, each phage displays the same heavy chain variable region (i.e., the region identified fro~ the first display library) and a different light chain variable region. The light chain variable regions are obtained from a library of rearranged human variable light chain regions.
Again, phage showing strong specific binding for L-selectin are selected. These phage display the variable regions of completely human anti-L-selectin antibodies. These antibodies usually have the same or similar epitope sperificity as the murine starting material (e.g., mouse DREG-200).

Methods of Use The antibodies of the present invention will typically find use in the treatment of disease conditions with an inflam~atory component, especially those which are mediated by neutrophils or T cells. A preferred application is the therapeutic and prophylactic treatment of ischemia-reperfusion injury caused by myocardial infarction, cerebral ischemic event (e.g., stroke), renal, hepatic or splenal infarction, brain surgery, shock, cardiac surgery (e.g., coronary artery bypass), elective angioplasty, and the like.
OthPr preferred applications are the treatment of sepsis, adult respiratory distress syndrome, and multiple organ failure. The antibodies will find use in treating injury due to trauma, burns, frostbite or damage to the spinal cord.
They will also find use in treating autoimmune diseases including by way of example and not limitation, rheumatoid arthritis, systemic~lupusierythematosus, multiple sclerosis, type I diabetes and uveitis, in treating inflammatory diseases of the skin such as psoriasis, and in treating meningitis and encephalitis. Other typical applications are the prevention and treatment of organ transplant rejection and graft-versus-host disease.
Any immunoglobulin of the present invention may also be used in ombination with other antibodies particularly humanized or human antibodies reactive with i~
W094/1221~ PCT~S93/11612 ^-~ 1 4 ~ 5 ~ ~ ~

different adhesion molecules. For example, suitable immunoglobulins include those specific for CDlla, CDllb, ~Dl8, E-selectin, P selectin and ICAM-l. Other suitable antibodies are those specific for lymphokines, such as IL-l, IL-2 and IFN-~, and their receptors.
The antibodies of the invention can also be used as separately administered compositions given in conjunction with chemotherapeutic agents. Typically, the agents may include non-steroidal anti-inflammatory drugs and corticosteroids, but numerous additional agents (e.g., cyclosporin) well-known to those skilled in the art of medicine may also be utilized. Indeed, the immunoglobins of the present invention will typically be used in combination with drugs currently used by those skilled in the art to treat particular diseases.
In some therapeutic methods, for example, anti-L-selectin antibodies are used in combination with thrombolytic agents. In previous methods, patients with acute myocardial infarction are often treated by opening the occluded coronary artery. Reopening of the obstructed coronary artery can be achieved by administration of thrombolytic agents which lyse - the clot causing the obstruction, and which, thereby, restore coronary blood flow. Reperfusion of the vessel can also be achieved by acute percutaneous transluminal coronary angioplasty (PTCA~ by means of balloon dilation of the obstructed and narrowed segment of the coronary artery.
However, restoration of coronary blood flow leads to ischemia-reperfusion injury in prior methods.
In the present methods, ischemia-reperfusion injury is r~duced or prevented by combination of a thrombolytic agent or of PTCA with humanized or human anti-L-selectin antibodies. Antibodies are usually administered prophylactically before, or at the same time as, administration of thrombolytic agents or initiation of PTCA.
Further doses of antibody are then often administered during and after thrombolytic or angioplastic treatment. The interval between prophylactic administration of the antibodies and initiation of thrombolytic or angioplastic WO94/12215 1~902S PC1/US93/1~612 treatment is usually 5 - 30 mins, preferably 5 - 20 min, and most preferably 5 - l0 min. The antibodies are administered paren~ally, preferably by intravenous injection, in doses of , -0.0l - l0 mg/kg body weight, preferably of 0.14 - 5 mg/kg and most preferably of 0.3 - 3 mg/kg. The antibodies can be given as an intravenous bolus injection, e.g., over l - 5 min., as repeated injections of smaller doses, or as an intravenous infusion. The bolus injection is especially useful for the prophylactic dose or in an emergency. Further doses of antibodies can be repeated (e.g., every 4 - 6 h) during and after thrombolytic or angioplastic treatment of acute myocardial infarction at the same proportions as described above to achieve optimal plasma levels of the antibody.
Throm~olytic agents are drugs having the capacity, directly or indirectly, to stimulate dissolution of thrombi i~ vivo. Thrombolytic agents include tissue plasminogen activator (see EP-B 0 093 619), activase, alteplase, duteplase, silteplase, streptokinase, anistreplase, urokinase, heparin, warfarin and coumarin. Additional thromboIytic agents include saruplase and vampire bat plasminogen activator. See Harris, Protein Engineering 6:449-458 (1987); PCT/EP 90/00194; US Patent 4,970,159).
Thrombolytic agents are administered to a patient in an amount sufficient to partially disperse, or prevent the formation of, thrombi and their complications. An amount - adequate to accomplish this is defined as a "therapeutically effective dose" or "efficacious dose." Amounts effective for this use will depend upon the severity of the condition, the general state of thq patientj the route of ad~inistration and combination with other drugs. Often, therapeutically ef~ective doses of thrombolytic agents and administration '`
regimens for such agents are those approved by the FDA, for independent uses of thrombolytic agents, e.g., l00 mg of alteplase or l.5 million IU of streptokinase.
A preferred pharmaceutical composition of the present invention comprises the use of the subject immunoglobulins in immunotoxins to kill L-selectin expressing WO 94/12215 PCT/US93/11612 .~ ~
2 ~ 0 2 a ~ ~ - r:

cells. Immunotoxins are characterized by two components and are particularly useful for killing selected cells in vltro or in vivo. One component is a cytotoxic agent which is usually fatal to a cell when attached or absorbed. The second component, known as the "delivery vehicle," provides a means for delivering the toxic agent to a particular cell type, such as cells expressing a L-selectin epitope. The two components are commonly chemically bonded together by any of a variety of well-known chemical procedures. For example, when the cytotoxic agent is a protein and the second component is an intact immunoglobulin, the linkage may be by way of heterobifunctional cross-linkers, e.g., SPDP, carbodiimide, glutaraldehyde, or the like. Production of various immunotoxins is well-known with the art, and can be round, for example in "Monoclonal Antibody~Toxin Conjugates:
Aiming the Magic Bullet," Thorpe et al., Monoclonal Antibodies in Clinical Medicine, ~cademic Press, pp. 168-190 (1982), which is incorporated herein by reference in its entirety for all purposes. The components may also be linked genetically tsee Chaudhary et al., Nature 339:394 (1989), incorporated herein by reference in its entirety for all p~rposes).
A variety of cytotoxic agents are suitable for use in immunotoxins. Cytotoxic agents can include radionuclides, such as Iodine-131 or other isotopes of iodine, Yttrium-90, Rhenium-188, and Bismuth-212 or other alpha emitters; a number of chemotherapeutic drugs, such as ~indesine, methotrexate, adriamycin, and cisplatin; and cytotoxic proteins sUch as ribosomal inhibiting proteins like pokeweed antiviral protein, Pseudomonas exotoxin A, ricin, diphtheria toxin, ricin A chain, etc., or an agent active at the cell surface, such as the phospholipase enzymes (e.
phospholipase C). (See, generally, commonly assigned U.S.S.N. 07/290,968, "Chimeric Toxins," Olsnes and Phil, Pharmac. There., 25:355-381 (1982), and ~onoclonal Antibodies for Cancer Detection and Therapy ( eds. Baldwin and Byers, Academic Press, 1985), pp. 159-179, 224-266, all of which are W09411221~ 9 2J PCT~S93111612 incorporated herein by reference in their entirety for all purposes.) The delivery component of the immunotoxin will includei the immunoglobulins of the present invention. Intact s immunoglobulins or their binding fragments, such as Fab or Fv, are preferably used. Typically, the antibodies in the immunctoxins will be of the human IgM or IgG isotype, but other mammalian constant regions may be utilized as desired.
The antibodies and pharmaceutical compositions thereof of this invention are particularly useful for parenteral administration, i.e., subcutaneously, intramuscularly or intravenously. The antibodies of the invention may also be administered, typically for local application, by gavage or lavage, intraperitoneal injection, ophthalmic ointment, topical ointment, intracranial injection (typically into a brain ventricle), intrapericardiac injection, or intrabursal injection. The compositions for parenteral administration will commonly comprise a solution - of the immunoglobulin or a cocktail thereof dissolved in an acceptaible carrier, preferably an aqueous carrierr A variety of aqueous carriers can be used, e.g., water, buffered water, phosphate buffered saline (PBS), 0.4% saline, 0.3% glycine, human albumin solution and the like. These solutions are sterile and generally free of particulate matter. These compositions may be sterilized by conventional, well-known steriilzation techniques. The compositions may contain pharmaceutically acceptable auxiliary substances as required to approximate physiological conditions such as pH adjusting and buffering agents, toxicity adjusting agents and the like, for example sodium~aqetate, sodium chloride, potassium chloride, calcium chloride and sodium lactate. The c~ncentration of antibody in these formulations can vary widely, i.e., from less than about 0.005%, usually at least about 1% to as much as 15 or 20% by weight and will be selected primarily based on fluid volumes, viscosities, etc., in accordance with the particular mode of administration selected.

WO94/12~15 2 1 4 9 0 2 S PCT~S93/11612 1 ~

Thus, a typical pharmaceutical composition for injection could be made up to contain l ml sterile buffered water, and 1-70 mg of immunoglobulin. A typical composition for intravenous infusion could be made up to contain 250 ml of sterile Ringer's solution, and 150 mg of antibody. Actual method~ for preparing parenterally admini~trable compositions will be known or ~pparent to those skilled in the art and are described in more detail in, for example, Remington's Pharmaceutical Science (15th ed., Mack Publishing Company, Easton, Pennsylvania, 1980), which is incorporated herein by reference in its entirety for all purposes. Compositions suitable for lavage or other routes will be selected according to the particular use intended. Some pharmaceutical compositions comprise both anti-L-selectin antibodies and thrombolytic agents.
The antibodies of this invention can be frozen or lyophilized for storage and reconstituted in a suitable carrier prior to use. This technique has been shown to be effective with conventional immune globulins and art-known lyophilization and reconstitution techniques can be employed.
It will be appreciated by those skilled in the art that lyophilization and reconstitution can lead to varying degrees -~ of antibody activity loss (e.g., with conventianal immune globulins, IgM antibodies tend to have greater activity loss ~5 than IgG antibodies) ànd that use le~els may have to be ad-justed to compensate.
The compositions containing the present antibodies or a cocktail thereof can be administered for prophylactic and/or therapeuti~ treatments. In therapeutic applications, compositions are administered to a patient already suffering from an inflammatory disease, in an amount sufficien~ to cure or at least partially arrest the disease and its complica- 1 `
tions. An amount adequate to accomplish this is defined as a "therapeutically effective dose~" Amounts effective for this use will depend upon the severity of the disease and the general state of the patient's own immune system, but generally range from about l to about 200 mg of antibody per dose, with dosages of from 5 to 70 mg per patient being more WO94112215 21 q 9 o 2 ~ PCT~593/11612 co~monly used. Dosing schedules will vary with the disease state and status of the patient, and will typically range from a single bolus dosage or continuous infusion to multiple administrations per day (e.g., every 4-6 hours), or as indicated by the treating physician and the patient's condition. It must be kept in mind that the materials of this invention may generally be employed in serious disease states, that is life-threatening or potentially life-threatening situations. In such cases, in view of the minimization of extraneous substances and the lower probability of "foreign substance" rejections which are achieved by the immunoglobulins of this invention, it is possible and may be felt desirable by the treating physician to administer substantial excesses of these antibodies.
In prophylactic applications, compositions containing the present antibodies or a cocktail thereof are administered to a patient not already suffering from a particular disease to enhance the patient's resistance. Such an amount is defined to be a "prophylactically effective dose." In this use, the precise amounts again depend upon the patient's state of health and general level of immunity, but generally range from l to 70 mg per dose. Preferred prophylactic uses are for the prevention of adult respiratory distress syndrome in patients already suffering from sepsis or trauma; prevention of organ transplant rejection; and prevention of reperfusion injury in patients suffering from ischemia. In seriously ill patients, dosages of about 50 to 150 mg of humanized or human immunoglobulin per administration a~e frequently used, and larger dosages may be indicated.
Single or multiple administrations of the compositions can be carried out with dose levels and patteirn being selected by the treating physi~ian. In any event, the pharmaceutical formulations should provide a quantity of the antibody(ies) of this invention sufficient to effectively treat the patient.
Antibodies of the present invention can further find a wide variety of utilities in vitro. By way of WO94/l22l5 ~ ~ 4 9 0 ~ ~ PCT~593/11612 example, the antibodies can be utilized for detection of L-selectin antigens, for isolating specific leukocytes, or the like. For example, but not for limitation, a humanized DREG- ~ ;
200 immunoglobulin can be immobilized and contacted with blood extravasated from a patient to remove blood cells bearing L selectin antigens, and the remaining blood, depleted of L-selectin-bearing cells, may be reintroduced into the patient. Any residual humanized antibody present in the depleted blood reintroduced into the patient (e.g., as a consequence of detachment from the immobilization support) would have reduced or negligible antigenicity as compared to a murine antibody.
For diagnostic purposes, the antibodies may either be labeled or unlabeled. Unlabeled antibodies can be used in combination with other labeled antibodies (second antibodies) that are reactive with the humanized or human antibody, such as antibodies specific ~or human immunoglobulin constant regions. Alternatively, the antibodies can be directly labeled. A wide variety of labels may be employed, such as radionuclides, fluors, enzymes, enzyme substrates, enzyme co-factors, enzyme inhibitors, ligands (particularly haptens), etc. Numerous types of immunoassays are available and are well known to those skilled in the art.
The following examples are offered by way of illustration, not by limitation. It will be understood that although the examples pertain to the mouse DREG-200 antibody, producing humanized antibodies with high binding affinity for L-selectin may also be performed using CDRs from mouse DREG-55, mouse DREG-5~, or other monoclonal antibodies that bind to an epitope of L~selectin.
EXAMPLES
Example 1: C1Oninq~ yy-hain and Light 5~2in c~
cDNAs for the heavy chain and light chain variable domain genes of mouse DREG-200 were cloned using anchored polym2rase chain reactions as described (see Co et al., J.
Immunol. 148:1149 (1992) and commonly assigned U.S.S.N.
07/~34,~78), using ~' primers that hybridized to the constant regions and contained HindIII sites, and 5' primers that WO94/12215 ~9 ~ ' PCT~593/11612 hybridized to the dG tails and contained EcoRI sites. The PCR amplified fragments were digested with EcoRI and HindIII
and cloned into the pUCl8 vector for sequencing. For mouse DREG-200, at least two gamma-l specific and two kappa specific clones were sequenced. The gamma-l clones and the kappa clones are respectively identical in sequence. The cDNA variable domain sequences and the deduced amino acid sequences are shown in Fig. l.

Example 2: Computer Modelinq of Humanized Antibodies.
In order to retain high binding affinity in the humanized antibodies, the general procedures of Queen et al.
were followed (see Queen et al., Proc. Natl. Ac~d. Sci. USA
8Ç:10029 (1989) and W0 90/07861, which are incorporated herein by reference in their entirety for all purpose~s). The more homologous an acceptor human antibody is to the original murine donor antibody, the less likely will combining the murine CDRs with the human framework be to introd~ce distortions into the CDRs that could reduce affinity.
Homology (that is, percent sequence identity) of at least 65%
between the humanized immunoglobulin heavy chain variable region framework and the donor immunoglobulin heavy chain variable region framework is preferred. Normally the heavy chain and light chain from the same human antibody are chosen to provide the framework sequences, so as to reduce the possibility of incompatibility in the assembling of the two chains. Based on sequence homology search against the NBRF
protein sequence database (performed with the MicroGenie Sequence Analysis Software (Beckman)), the antibody Eu was chosen to provide t~e framework sequences for humanization of mouse DREG-200.
The computer program ENCAD (Levitt, J. Mol. Biol.
168:595 (1983), which is incorporated herein by reference in its entirety for all purposes) was used to construct a model of the mouse DREG-200 variable region. The model was used to determine the amino acids in the mouse DREG-200 framework that were close enough to the CDRs to potentially interact with them (category 4 below). To design the humanized light WO94/1~15 2 1 4 9 0 2 ~ PCT/US93/11612 and heavy chain DREG-200 variable regions, at each position the amino acid was chosen to be the same as in the Eu antibody, unless that position fell in one or more of five categories:
(l) The position fell within a CDR, (2) The Eu amino acid was unusual for human antibodies at that position, whereas the mouse DREG-200 amino acid was typical for human antibodies at that position, (3) The position was immediately adjacent to a CDR, ~4) The model described above suggested that the amino acid may be physically close to the antigen binding region (CDRs).
For positions in these categories, the amino acid from the mouse DREG-200 antibody was used.
In additiont a position was in the fifth category if (5) The Eu amino acid was highly unusual for human antibodies at that position, and the mouse DREG-200 amino acid was different but also unusual. Then an amino acid typical for human antibodies at that position was used.
The amino acids in each category are shown in Table l. Some amino acids may be in more than one category.
The final sequences of the humanized DREG-200 light and heavy chain variable domains are shown in Fig. 2, compared with the murinc DREG-200 sequences.

1'-,' , wo94ll22ls ~ PCT~S93/11612 ~-~ 31 ~9 ~S
TABLE l Category Liaht Chain Heavy Chain l 24-40, 56-62, 95-103 31-35, 50-66,~99-llO
2 87 93, 95, 98, lll, 112, 3 -- 30, 98, lll 4 54, 66, 76, 93 27, 30, ~8, 72 For the construction of genes for the humanized ~ntibodies, nucleotide sequences were selected that encode the protein sequences of the humanized heavy and light chains, including signal peptides, generally utilizing codons found in the mouse sequence. Several degenerate codons were changed to create restriction sites or to remove undesirable ones. The nucleotide sequences of the genes also included splice donor 2S signals and an XbaI site at each end. The nucleotide sequences and encoded humanized light and heavy chain variable domains are shown in Fig. 3. Each gene was constructed from four overlapping synthetic oligonucleotides, as described (see Co et al., J. Immunol. 148:1149 tl992), and commonly assigned U.S.S.N~ 07/634,278, which are incorporated herein by reference in their entirety for all purposes.) The heavy and light chain variable region genes were then respectively ligated into the XbaI sites of the pVgl-dhfr or pVk expression vectors (see commonly assigned U.S.S.N 07/634,278) in the appropriate orientations to produce the complete heavy and ~, light chain genes~ ~Reactiansiwere carried out under -conditions well-known ln the art (Maniatis et al ., supra ) The heavy chain and light chain plasmids were transfected into Sp2/0 mouse myeloma c~lls by electroporation and cells were selected for gpt expression. Clones were screened by assaying human antibody production in the culture `
supernatant by ELISA, and antibody was purified from the best- -producing clones. Humanized DREG-200 IgGl antibody was then purified by passing tissue culture supernatant over a column W094/12215 PC~'~S93/1161~ ~:
;~149~2~

of staphylococcal protein A-Sepharose CL-4B (Pharmacla). The bound antibody was eluted with 0.2 M Glycine-HC1, pH3.0 and neutralized with l M Tris PH8Ø The buffer was exchanged into PBS by passing over a PD10 column (Pharmacia), or by dialysis. To obtain cells producing higher levels of antibody, the transfected clones may be cultured in increasing concentrations of methotrexate.
To produce a humanized DREG-200 antibody of the IgG4 isotype, another vector pVg4-dhfr was first constructed. To do so, the XbaI-BamHI fragment of pVgl-dhfr containing the ~1 constant region was replaced with an approximately 2000 bp fragment of the human ~4 constant region gene (Ellison and Hood, Proc. Natl . Acad. Sci. USA 79:1984 (1982) ) that extended from the HindIII site preceding the CH1 exon of the ~4 gene to 270 bp after the NsiI site following the CH4 exon of the gene, using methods well-known to those skilled in the art, including polymerase chain reaction. The humanized DREG-200 heavy chain variable region gene was then cloned into th~ XbaI
site of pVg4-dhfr. This heavy chain plasmid was then transfected together with the above light chain plasmid into Sp2/o cells, clones selected, and humanized DREG-200 IgG4 antibody purified as described above for the IgGl antibody.

Example 3: _Properti s f Humanized Antibodies.
The affinity of the humanized DREG-200 antibodies for L-selectin were determined by competition with the radio-iodinated mouse DREG-200 antibody (Fi~. 4). The binding affinities were calculated according to the methods of Berzofsky (J.A. Berzofsky and I.J. Berkower, in Fundamental Immunology (ed. W.E. Paul),~ Raven Press (New York), 595 (1984), which is incorporated herein by reference in its entirety for all purpos~s). The humanized DREG-200 antibodies had an affinity within about 2-fold of the mouse DREG-200 antibody. A similar result will be found when the affinity for L-selectin on.human neutrophils is measured.
The ability of the mouse and humanized DREG-200 antibodies to block the adhesion of human neutrophils to endothelial cells was determined using a modification of the WO94/1Zt15 21 4 9 0 2 i PCT/US93/11612 . ' '' assay method of Hallmann et al., Biochem. Biophys. Res. Comm.
174:236 (l99l). apecifically, human umbilical cord endothelial cells (H WEC; from Clonetics, San Diego) were grown to confluence in EGM medium (Clonetics) in La~-Tek 8-chamber slides (Nunc, Naperville, IL). The H W EC cells were stimulated with 20 ng/ml IL-l~ (R&D Systems, Minneapolis, MN) for 4 hr before use. Neutrophils were isolated by density gradient centrifugation from buffy coats that had been cleared of erythrocytes by dextran sedimentation, and then adjusted to 107 per ml. The neutrophils (lO0 ~l) were pre-incubated for 20 minutes on ice with varying concentrations of antibody (in lO0 ~l RPMI). The HWEC slides were washed free of IL-l~ and placed on a rotary shaker (lO0 rpm) at 4C. The untreated or antibody treated neutrophils were added to the chambers, and the slide was incubated at 4C on the shaker for 30 min. The slides were then washed by dipping ten times into a beaker of RPMI, fixed in 1% glutaraldehyde in RPMI, and allowed to air dry. Neutrophil adherence was quantified by counting the neutrophils attached to a defined area of the endothelial cell monolayer with a microsc~pe. As shown in Fig. 5, the humanized IgGl and mouse DREG-200 antibodies both effectively blocked the binding of neutrophils to the H W EC, while an irrelevant control antibody did not. The humanized DREG-200 IgG4 antibody will similarly block binding of neutrophils to endothelial cells;

Example 4: Effect of hu DREG-200 on Myocardial Iniury Following Reperfusion. `
The effect of humanized DREG-200 of the IgG4 isotype (hu DREG-200) on the degree of actual salvage of myocardial ischemic tissue following reperfusion was investigated. Adult male cats 12.8-4.2 kg) were anesthetized with sodium pentobarbital (30 mg/kg, i.v.). An intratracheal cannula was r inserted through a midline incision, and the cats were placed on intermittent positive-pressure ventilation (Harvard small animal respirator, Dover, MA). A polyethylene catheter was inserted into the right external jugular vein for additional pentobarbital infusion in order to maintain a surgical plane 0 2 ~

of anesthesia and for administration of antibodies. Another polyethylene cath~ter was inserted through the left femoral artery and positioned in the abdominal aorta for the measurement of mean arterial blood pressure (MABP) via a pressure transducer (Cobe Instruments, Lakewood, CO). After a midst~rnal thoracotomy, the anterior pericardium was incised, and a 3-0 silk suture was placed around the left anterior descending (LAD) coronary artery 8 to 10 mm from its origin.
A high-fidelity catheter tip pressure transducer (Model MPC
lo 500, with transducer control unit - Model TCB 500, Millar Instruments Inc., Houston, TX) was introduced into the left ventricle through the apical dimple. The catheter was positioned via observation of the ~V pressure and dP/dt wave forms and then secured in place by a silk suture. Standard lead II of the scalar electrocardiogram (ECG) was used to determine heart rate (HR) and ST-segment elevation. ST-segment elevations were determined by analysis of the ECG
recording at 50 mm/sec every 20 min. The ECG, MABP, LVP and dP~dt werP continuously monitored on a Hewlett-Packard 78304 A
unit (Hewlett-Packard, Palo Alto, CA) and recorded on a Gould oscillographic recorder (Gould Inc., Cleveland, OH) every 20 min. The pressure-rate index ~PRI), an approximation of myocardial oxygen demand, was calculated as the product of MABP and HR divided by 1000.
~5 After completing all surgical procedures, the catswere allowed to stabilize for 30 minutes, at which time baseline readings of ECG, MABP, LVP and dP/dt were recorded.
Myocardial ischemia (MI) was induced by tightening the initially placed reversible ligaturP around the LAD so that the vessel was completely occluded. This was designated as time point zero. 2 mglkg body weight of hu DREG-200 (IgG4 isotype) or a control MAb hu ABL-364 (i.e., isotype-matched humanized control IgG4 MAb) was given intravenously as a bolus 80 min after coronary occlusion (i.e., 10 min prior to reperfusion, R). 10 min later (i.e., after a total of 90 min ischemia, I) the LAD ligature was untied and the ischemic myocardium was reperfused for 4.5 h.

094/1~15 9 ~S PCT~593/11612 The cats were randomly divided into three major groups. Six sham MI + R cats received hu DREG-200 (2 mg/kg), six MI + R cats received the control MAb hu ABL-364 (2 mg/kg), and six MI + R cats received hu DREG-200 (2 mg/kg). Sham MI +
R cats were subjected to the same surgical procedures as MI +
R cats except that the LAD coronary artery was not occluded.
At the end of the 4.5 h reperfusion period, the ligature around the LAD was again tightened. 20 ml of o.5 Evans blue was rapidly injected into the left ventricle to stain the area of myocardium which was perfused by the patent coronary arteries. The area-at-risk was determined by negative staining. Immediately following this injection, the heart was rapidly excised and placed in warmed, oxygenated K-H
solution. The left circumflex (LCX) and the LAD coronary arteries were isolated and removed for subsequent study of coronary ring vasoactivity and PMN adherence. The right ventricle, great vessels, and fat tissue were carefully removed, and the left ventricle was sliced parallel to the atrioventricular groove in 3 mm thick sections. The unstained portion of the myocardium (i.e., the total area-at-risk or ischemic area) was separated from the Evans blue stained portion of the myocardium (i.e., the area-not-at-risk or nonischemic area). The area-at-risk was sectioned into small cubes and incubated in 0.1% nitroblue tetrazolium in phosphate solution at pH 7.4 and 37C for 15 min. The tetrazolium dye forms a blue formazan complex in the presence of myocardial cells containing active dehydrogenases and their cofactors.
The irreversibly injured or necrotic portion of the myocardium-at-risk, which did not stain, was separated from the stained portion of the myocardium (i.e., the ischemic but non-necrotic area). The three portions of the myocardium (i.e., non-ischemic, ischemic non-necrotic, and ischemic necrotic tissue) were subsequently weighed. Results were expressed as necrotic cardiac tissue area as a percentage of either the area-at-risk or of total left ventricular mass.
According to both of these criteria, cardiac tissue damage was significantly attenuated (pCO.OOl) in cats treated with hu DREG-200. Whereas about 30% of the WO94/12215 c PCT~Ss3/11612 jeopardized myocardium developed into necrotic tissue in the group treated with the control antibody, the amount of necrotic tissue was less than lS% (p<O.Ol) in the hu DREG-200 treated group, a decrease of 50-60~. See Fig. 6. There was no significant difference in the wet weights of the areas-at-risk expressed as a percentage of total left ventricle between the two ischemic groups, indicating that a comparable area of myocardial ischemia occurred in both groups. TAerefore, hu DREG-200 significantly protects against reperfusion injury.
The remarkable preservation of ischemic tissue by hu DREG-200 is further illustrated from measurements of plasma creatine kinase activity, a biochemical marker of myocardial injury. Arterial blood samples (2 ml) were drawn i~nediately before ligation and hourly thereafter. The blood was collec~ed in polyethylene tubes containing 200 IU of heparin sodium. Samples were centrifuged at 2000 x g and 4C for 20 min and the pl~sma was decanted for biochemical analysis.
P~asma protein concentration was assayed using the biuret method of Gornall et al., J. Biol . Chem . 177:751-766 (1949).
Plasma creatine kinase (CK) activity was measured using the method of Rosalki, J. Lab. Clin Med. 69:696-705 (1967), and expressed as IU/~g protein.
In sham MI/R cats receiving hu DREG-200, the plasma CK activity increased slightly throughout the 6 hour ~5 observation period reaching a final value of 3.8 + 0.9 IU/~g protein. In the two ischemic groups, plasma CK activity increased slightly during the period of myocardial ischemia.
In cats receiving hu ABL-364, CK activity in circula,ing blood increased markedly within the first 30 min follow reperfusion and further increased~during the remaining four hours of reperfusion. By contrast, ischemic cats treated with hu DREG-200 developed significantly lower plasma CK activities ~ ;
compared with ischemic cats receiving the hu ABL-364 (p~0.05).
The effect was sustained over the entire reperfusion period, further evidencing the substantial protection conferred by hu DREG-200 against myocardial reperfusion injury.

W~94/1221; 21 ~ 9 0 2 a PCT~593/11612 Example 5 Effect of hu DREG-?OO on Cardiac Function.
The effect of hu DREG-200 (IgG4 isotype) on cardiac function was determined by measurement of left ventricular pressure (LVP), and the first derivative of LVP, dP/dt max, an index of myocardial contractility. Data were obtained from a catheter tip manometer inserted in the left ventricular cavity. The three groups of cats discussed in the previous example all showed comparable initial values for these cardiac variables. In the sham MI group there were no significant changes in dP/dt max over the entire six hour experimental period. However, in both MI/R groups, dP/dt max decreased upon occlusion of the LAD to about 65%. In cats given hu ABL-364, contractility did not significantly recover. However, in hu DREG-200 treat~d MI-R cats, dP/dt max recovered t:o control values three hours following reperfusion. Hence, after 4.5 hours of reperfusion, dP/dt max was significantly lower in hu ABL-364 treated cats than in hu DREG-200 treated cats (p<O.Ol). These results indicate that hu ~REG-200 not only reduced myocardial necrosis following reperfusion of the ischemic myocardium, but this myocardial salvage was also translated into an improvement in mechanical performance of the heart.

From the foregoing, it will be appreciated that the immunoglobulins of the present invention offer numerous advantages over other L-selectin specific antibodies. In comparison to mouse monoclonal antibodies, the present immunoglobulins can be more economically produced and contain ~ubstantially less foreign amino acid sequences. This reduced lik2lihood of antigenicity after injection into a human patient represents a significant therapeutic improvement.
All publications and patent applications cited above ~;~
are herein incorporated by reference in their entirety for all -purposes to the same extent as if each individual publication or patent applicàtion were specifically and individually ind~cated to be so incorporated by reference. Although the present in~ention has been described in some detail by way of illustration and example for purposes of clarity and W094/12215 . PCT~S93/11612 2'~4~ 02~ 46 i - t~
understanding, it will be apparent that certain changes and modifications may be practiced within the scope of the appended claims.

. .

i~ ~

'.

Claims (29)

WE CLAIM:

1. A humanized immunoglobulin having complementarity determining regions (CDRs) corresponding to CDRs from a donor immunoglobulin and heavy and light chain variable region frameworks corresponding to human acceptor immunoglobulin heavy and light chain frameworks, which humanized immunoglobulin specifically binds to human L-selectin with an affinity constant of at least 107 M-1, wherein the sequence of the humanized immunoglobulin heavy chain variable region framework is 65% or more identical to the sequence of the donor immunoglobulin heavy chain variable region framework.

2. A humanized immunoglobulin according to claim 1 which is an antibody comprising two light chain/heavy chain dimers.

3. A humanized immunoglobulin of claim 2, wherein said antibody is of the IgG1 or IgG4 isotype.

4. A humanized immunoglobulin according to claim l, which specifically binds to human L-selectin with an affinity of at least 108 M-1.

5. A humanized immunoglobulin according to claim l, wherein said donor immunoglobulin is the mouse DREG-200 antibody.

6. A humanized immunoglobulin according to claim 1, wherein said acceptor immunoglobulin heavy and light chain frameworks are from the same human antibody.

7. A humanized immunoglobulin according to claim 6, wherein said human antibody is the Eu human antibody.

8. A humanized immunoglobulin having complementarity determining regions (CDRs) corresponding to CDRs from a donor immunoglobulin and heavy and light chain variable region frameworks corresponding to acceptor immunoglobulin heavy and light chain frameworks, which humanized immunoglobulin specifically binds to human L-selectin with an affinity constant of at least 107 M-1, wherein the sequence of the acceptor immunoglobulin heavy chain variable region is among the 5 sequences in a representative collection of sequences of human immunoglobulin heavy chain variable regions most homologous to the sequence of the donor immunoglobulin heavy chain variable region.

9. A humanized immunoglobulin having complementarity determining regions (CDRs) corresponding to CDRs from a donor immunoglobulin and heavy and light chain variable region frameworks corresponding to acceptor immunoglobulin heavy and light chain frameworks, which humanized immunoglobulin specifically binds to human L-selectin with an affinity constant of at least 107 M-1, wherein said humanized immunoglobulin comprises amino acids from the donor immunoglobulin framework replacing the corresponding amino acids in the acceptor immunoglobulin heavy or light chain frameworks, said amino acids not in positions 26-30 of the heavy chain, and each of said amino acids:
(i) is adjacent to a CDR in the donor immunoglobulin sequence, or (ii) contains an atom within a distance of 5 angstroms of a CDR in said humanized immunoglobulin.

10. A humanized immunoglobulin having complementarity determining regions (CDRs) corresponding to CDRs from a donor immunoglobulin and heavy and light chain variable region frameworks corresponding to acceptor immunoglobulin heavy and light chain frameworks, which humanized immunoglobulin specifically binds to human L-selectin with an affinity constant of at least 107 M-1, wherein said humanized immunoglobulin comprises amino acids from the donor immunoglobulin framework replacing the corresponding amino acids in the acceptor immunoglobulin heavy or light chain frameworks, said amino acids not in positions 26-30 of the heavy chain, and each of said amino acids:
(i) is adjacent to a CDR in the donor immunoglobulin sequence, or (ii) contains an atom within a distance of 4 angstroms of a CDR in said humanized immunoglobulin.

11. A humanized immunoglobulin according to claims 9 or 10 wherein the distance from said atom to said CDR is determined from a computer-generated model of an immunoglobulin.

12. A humanized immunoglobulin according to claims 9 or 10, wherein said donor immunoglobulin is the mouse DREG-200 antibody.

13. A humanized immunoglobulin according to claim 9 which is an antibody comprising two light chain/heavy chain dimers.

14. A humanized immunoglobulin of claim 13, wherein said antibody is of the IgG1 or IgG4 isotype.

15. A humanized immunoglobulin according to claim 9, wherein said acceptor immunoglobulin heavy and light chain frameworks are both from the Eu human antibody.

16. A humanized immunoglobulin according to claims 1 or 9 which is substantially pure.

17. A humanized immunoglobulin according to claims 1 or 9 that inhibits the binding of human neutrophils to human endothelial cells.

18. A composition comprising a humanized immunoglobulin according to claims 1 or 9.

19. A recombinant immunoglobulin which specifically binds to human L-selectin, wherein the amino acid sequence of the mature light chain variable region is as shown in the lower lines of Fig. 2A.

20. A recombinant immunoglobulin which specifically binds to human L-selectin, wherein the amino acid sequence of the mature heavy chain variable region is as shown in the lower lines of Fig. 2B.

21. A method of treating an inflammatory disease or condition, comprising administering to a human patient a therapeutically-effective dose of a humanized immunoglobulin which specifically binds to human L-selectin.

22. A method according to claim 21, wherein the inflammatory disease or condition is selected from the group consisting of: ischemia-reperfusion injury, adult respiratory distress syndrome, sepsis, and autoimmune disease.

23. A method according to claim 21, wherein the humanized immunoglobulin comprises the amino acid sequence of the mature light chain variable region as shown in the lower lines of Fig. 2A and the amino acid sequence of the mature heavy chain variable region as shown in the lower lines of Fig. 2B.

24. A method according to claim 21, wherein the humanized immunoglobulin binds to human L-selectin with an affinity of at least 1 x 107 M-1.

25. A method according to claim 24, wherein at least about 10 mg of the humanized immunoglobulin is administered by a parenteral route.

26. A method according to claim 22, wherein the inflammatory disease or condition is ischemia-reperfusion injury.

27. A method according to claim 26, further comprising the step of administering a therapeutically effective dose of a thrombolytic agent.

28. A method according to claim 27, wherein the ischemia-reperfusion injury is due to myocardial infarction or balloon angioplasty.

29. A humanized immunoglobulin of claim 1 comprising a humanized heavy chain and a humanized light chain:
(1) the humanized light chain comprising three complementarity determining regions (CDR1, CDR2 and CDR3) having amino acid sequences from the corresponding complementarity determining regions of a mouse DREG-200 immunoglobulin light chain, and having a variable region framework from a human light chain variable region framework sequence except in at least one position selected from a first group consisting of L87, L54, L66, L76 and L93, wherein said amino acid position is occupied by the same amino acid present in the equivalent position of the mouse DREG-200 immunoglobulin light chain variable region framework; and (2) the humanized heavy chain comprising three complementarity determining regions (CDR1, CDR2 and CDR3) having amino acid seguences from the corresponding complementarity determining regions of a mouse DREG-200 immunoglobulin heavy chain, and having a variable region framework from a human heavy chain variable region framework sequence except in at least one position selected from a group consisting of H93, H95, H98, H111, H112, H115, H30, H98, H111, H27, H30, H48 and H72, wherein said amino acid position is occupied by the same amino acid present in the equivalent position of the mouse DREG-200 immunoglobulin heavy chain variable region framework;
wherein the immunoglobulin binds to a L-selectin ligand with a binding affinity that is within three-fold of the binding affinity of the mouse DREG-200 immunoglobulin.