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CN1173735C - Use of anti-gp 39 antibodies for treatment and/or reversal of lupus and associated kidney disease - Google Patents

Use of anti-gp 39 antibodies for treatment and/or reversal of lupus and associated kidney disease Download PDF

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CN1173735C
CN1173735C CNB998067563A CN99806756A CN1173735C CN 1173735 C CN1173735 C CN 1173735C CN B998067563 A CNB998067563 A CN B998067563A CN 99806756 A CN99806756 A CN 99806756A CN 1173735 C CN1173735 C CN 1173735C
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antibody
cd40cr
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R��J��ŵ��
R·J·诺伊勒
C·M·伯恩斯
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    • C07K16/2875Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants against the NGF/TNF superfamily, e.g. CD70, CD95L, CD153, CD154
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Abstract

A method of treating lupus using anti-gp39 antibodies or fragments is provided. Such treatment has been shown to reverse disease, and in particular lupus-associated kidney disease, the major killer of lupus subjects.

Description

Anti--gp39 antibody is in the treatment of lupus and associated kidney disease and/or the application in the reverse
Related application
The present invention relates to anti--receptor of B cell antigen CD40, selectivity is called CD40CR, gp39 or up-to-date CD154 in the document, and the soluble ligand of this receptoroid, comprises containing the proteic fusion molecule of some CD40 at least.This is based on, and is part at least based on can be by combine the activatory discovery that suppresses the B cell that helper T lymphocyte mediates with the protein receptor of new 39kD on the helper T lymphocyte film to the fusion rotein of solubility CD40/ immunoglobulin.The invention provides roughly pure CD40CR receptor; The soluble ligand of CD40CR is provided, comprises anti--gp39 antibody and fragment thereof and contain the proteic fusion molecule of some CD40 at least; And control B is provided the method for cell-stimulating, this method is particularly useful in treatment allergy or autoimmune disease.More precisely, the present invention relates to resist-application of gp39 antibody in the treatment of systemic lupus erythematosus (sle) (SLE) or drug-induced lupus.
Background of invention
The research of Mitchison, Benacerraf and Raff proposes T first hInteracting with the mutual physical property of B iuntercellular is the basis that humoral immunoresponse(HI) takes place.Subsequently studies confirm that T hForm physics conjugate (Vitetta etc., Immunol.Rev., 99:193-239 (1987)), B cell response T in these conjugates with II class major histocompatibility complex (MHC) compatibility antigen-offer B cell h(Barrett etc., J.Immunol., 143:1745-1754 (1989)).Because find T h-the lymphokine of deriving proposes activated T to the growth and the differentiation performance effective influence of B cell hNear the soluble factor that discharges mediates the activation of interactional B cell.Yet, without any a kind of lymphokine of molecular cloning, no matter be independent or combination, show the ability that enters the B cell cycle of inducing.Different with soluble factor, activation T hSerous coat part can induce the B cell cycle to enter (Hodgkin etc., J.Immunol., 145:2025-2034 (1990); Noelle etc., J.Immunol., 146:1118-1124 (1991)).Use activation T hThe research prompting of purification serous coat part, in activated T hFilm on a kind of albumen initiating humoral immunization (Noelle etc., J.Immunol., the 146:1118-1124 (1991) that express; Bartlett etc., J.Immunol., 145:3956-3962 (1990)).
To activate T hPurification serous coat (the PM of cell membrane ACT) be used to study character (Hodgkin etc., J.Immunol., the 145:2025-2034 (1990) of this effector function; Noelle etc., J.Immunol., 146:1118-1124 (1991)).Activation T hPM ACTRather than tranquillization T h(PM REST) show the activity of inducing the B cell cycle to enter with in antigen non-specific, the II class-non-limiting way.In addition, confirmation is this by PM ACTThe activity of expressing need activate 4-6 hour, from new synthetic RNA, and be protein (Bartlett etc., J.Immunol., 1145:3956-3962 (1990)) in itself.
Summary of the invention
The present invention relates to the anti--receptor of B cell antigen CD40 of called after CD40CR and the soluble ligand of this receptor, comprise containing the proteic fusion molecule of some CD40 at least.This is based on, at least be part based on can be by combine the activatory discovery of the B cell that suppresses the helper T lymphocyte mediation with the protein receptor (anti--receptor called after " CD40CR " of CD40) of new 39kD on the helper T lymphocyte film to the fusion rotein of solubility CD40/ immunoglobulin, and the activated discovery that can suppress the B cell that helper T lymphocyte mediates based on the direct monoclonal antibody at this 39kD receptor of called after MR1.
The invention provides CD40CR soluble ligand (comprising antibody) roughly pure CD40CR receptor and contain the proteic fusion molecule of some CD40 at least; And provide control B the method for cell-stimulating.
In specific embodiment of the present invention, contact the activation of the B cell that suppresses the experimenter with experimenter's helper T lymphocyte by treating effective dose soluble ligand or CD40CR.This inhibition to the B cell-stimulating is perhaps particularly useful in the treatment of allergy or autoimmune disease.
More particularly, the present invention is for needing the lupus experimenter of this treatment, as carrying out property systemic lupus erythematosus (sle) or drug induced lupus, even be in the patient of the late stage (this observes kidney damage often) of lysis, Therapeutic Method is provided, this Therapeutic Method is the anti--gp39 antibody for the treatment of effective dose, for example is disclosed in U.S.'s the 08/475th, No. 847 (application on June 7 nineteen ninety-five) of common transfer, present Anti-Human gp39 antibody or its fragment used of having allowed.
An advantage of the invention is that it can get involved an aspect of the immunne response of antigen non-specific.Allergic many therapies comprise the desensitization therapy to specific antigen at present, all need each patient is detected so that identify the antigen relevant with anaphylaxis.Practical problem is, in fact is impossible with the patient to each and every kind of potential allergic effect original work analyzing in detail.And, in most of autoimmune diseasees, even normally unknown the haveing nothing to do of cause of disease antigen with disease process.Relate to the interactional the present invention of antigen non-specific CD40/CD40CR and avoided needs the relevant antigenic characterized of allergy or autoimmunity.Therefore, the present invention's treatment unknown in those immunogens or that have lupus due to the immunogenic allergy of multicomponent and autoimmune disease such as pollinosis, the procainamide or systemic lupus erythematosus (sle) (SLE) has advantage in using especially.Also can be applied to the acute treatment immune activation, as anaphylactoid treatment.
Abbreviation
The Ig immunoglobulin
The Mab monoclonal antibody
PM ACTSerous coat by activatory helper T lymphocyte preparation
PM RESTSerous coat by the preparation of tranquillization helper T lymphocyte
The PAGE polyacrylamide gel electrophoresis
RIL4 recombinant interleukin-4
RIL5 recombinant interleukin-5
The SN supernatant
T hHelper T lymphocyte
T h1 refers to D1.6, is I-A d-restricted rabbit immunoglobulin specificity clone
Cut line
Fig. 1. monoclonal antibody and CD40-Ig pass through PM ACTTo the synthetic influence of guiding B cell RNA.
The A group. with tranquillization B cell and T h1 Pmtest or PM ACTCultivate together.To containing PM ACTEach hole in add 25 μ g/ml anti--complex (every kind 25 μ g/ml) of CD4, anti--LFA-1 or anti--ICAM-1 or these materials, and by [ 3H]-uridine to mix the RNA that measures the B cell synthetic.The RNA that cultivates assessment B cell after 42-48 hour is synthetic.Given result be three multiple hole cultures arithmetical average+/-standard deviation, and represent 5 such experiments.
The B group. with tranquillization B cell and T h1 (●, ▲) or T hThe PM of 2 () ACTCultivate together.To containing T h1PM ACTThe hole of culture (●, ▲) in add the CD40-IG (▲) or the control protein CD7E-Ig (φ) of increment gradually.To containing culture T h2PM ACTAdd the CD40-Ig of increment gradually in the hole ().The RNA that cultivates assessment B cell after 42-48 hour is synthetic.Described result be three multiple hole cultures arithmetical average+/-standard deviation, and represent 3 such experiments.
The C group. with tranquillization B cell and LPS (50 μ g/ml) or PM ACTCultivate together.In the hole of culture, add CD40-Ig (25 μ g/ml; Hatch) or CD7E-Ig (25 μ g/ml; Solid).It is synthetic to press mensuration RNA described in the A group.Shown in the result be three multiple hole cultures arithmetical average+/-standard deviation, and represent 3 such experiments.
Fig. 2 .CD40-Ig suppresses the differentiation and the propagation of B cell
The A group. with tranquillization B cell and PM ACT, rIL4 (10ng/ml) and rIL5 (5ng/ml) cultivate together.When cultivating beginning or when cultivating beginning back first, second or the 3rd day, add CD40-Ig or CD7E-Ig (25 μ g/ml).When cultivating the 6th day, collect each hole SN and described, with anti--quantitative IgM of the specific ELISA of isotype (■) and IgG by (J.Immunol., 146:1118-1124 (1991)) such as Noelle 1(●).At PM ACT, IL4 and IL5 exist (not adding CD40-Ig) down, IgM and IgG 1Concentration be respectively that IgM is 4.6 μ g/ml and IgG 1Be 126ng/ml.When IL4 and IL5 shortage, do not measure IgM or IgG 1The result represents 3 such experiments.
The B group. with anti--CD3 tranquillization or activation T h116 hours, after the radiation in the presence of IL4 (10ng/ml), with 1 * 10 4/ hole and tranquillization B cell (4 * 10 4/ culture) cultivates together.In culture, add CD40-Ig (▲) or CD7E-Ig (●) from 0-25 μ g/ml.After cultivation 66-72 hour, with 1.0 μ Ci [ 3H]-thymidine imposes pulse and collects this culture each hole.Described dotted line represents that the B cell is to tranquillization T hReplying of cell.Shown in the result be three multiple hole cultures arithmetical average+/-standard deviation, and represent 2 such experiments.
Fig. 3 .CD40-Ig is determined at activation T hRather than tranquillization T hThe molecule of last expression.Results tranquillization and activation T h, and with fusion rotein one arise from 4 ℃ hatch 20 minutes after, add the goat-anti-hIgG (25 μ g/ml) of FITC-coupling.By analyzing at least 5000 cells/sample, measure percentage rate positive cell and MFI.The result represents 6 such experiments.CD40-Ig represents with solid scattergram.
Fig. 4 .CD40-Ig immunoprecipitation activation T hThe 39kD albumen of 1 solute.With insoluble resisting-CD3 tranquillization or activation T h116 hours.With antibody purification or fusion rotein (1-10 μ) immunoprecipitation tranquillization or activation T h[ 35S]-albumen of labelling.Described gel scattergram is represented 3 such experiments.
Fig. 5. inductive 39kD T hThe memebrane protein monoclonal antibody specific suppresses PM ACTInductive B cell RNA is synthetic.With tranquillization B cell and PM ACTRespectively with anti--α/β of each 10 μ g/ml anti--CD3, CD40-Ig or MR1 cultivate.It is synthetic to press the described mensuration of Fig. 1 RNA.The result with the arithmetical average of three multiple hole cultures+/-standard deviation represents, and represents 3 such experiments.
Fig. 6 .MR1 and CD40-Ig identification activation T hThe same molecular of last expression.
The A group. will activate T hWith MR1 or contrast Ig fluorescence staining.Whether competitive for assessing CD40-Ig and MR1 in conjunction with activation T h, the MR1 or the contrast hamster Ig (anti--α/β TCR) of variable concentrations gradient joined wherein with anti-CD 40 (20 μ g/ml).After 4 ℃ hatch 20 minutes, the washing sample product and with the human IgG FITC-coupling, anti- 1Monoclonal antibody hatch together.The result represents 3 such experiments.
The B group. usefulness MR1 (10 μ g/ sample) or CD40-Ig (10 μ g/ sample) immunoprecipitation [ 35S]-the activation T of methionine-labelling hAlbumen and separate this albumen with fluorography by PAGE.The result represents 2 such experiments.
Fig. 7 .CD40-Ig combines with the human cell line's.Various human T-cell line is exposed to the CD40-Ig of biotin-labelling, and assesses its combination by the fluidic cell method.
Fig. 8.
The nucleotide sequence (EMBO J., 8:1403-1410 (1989)) of the CD40 cDNA of A group .Stamenkovic etc.Underscore is for striding the film district.
The B group. can be used for expressing the plasmid sketch map of CD40-Ig.The aminoacid sequence of Δ CD40 position of fusion is shown in the proteic diagram part of following CD40.
Fig. 9.
That different treatment group NZB/NZW F1 mices are produced is anti--(ss) titre of dna antibody.The 4-10 monthly age mice that cavity ring (--zero---) representative is treated with MR-1; Hollow triangle (--△---) representative is taking place to accept the mice that MR-1 does not react behind the albuminuria; Closed square (--■---) representative is taking place to accept the mice that MR1 reacts behind the albuminuria, and solid torus (---●---) the representative mice of not receiving treatment.The numerical value that draws is the mean+/-SEM of every group of three titres.
Figure 10.
The survival rate of the NZB/NZW F1 mice of different treatment groups.The 4-10 monthly age mice that cavity ring (--zero---) representative is treated with MR1; Hollow triangle (--△---) representative is taking place to accept the mice that MR1 does not react behind the albuminuria; Closed square (--■---) representative is taking place to accept the mice that MR1 reacts behind the albuminuria, and solid torus (---●---) the representative mice of not receiving treatment.
                         Detailed Description Of The Invention
The invention provides roughly pure CD40CR acceptor; The soluble ligand of CD40CR is provided, comprises antibody and the fragment and the fusion molecule that contains CD40 of anti--gp39; And provide the using soluble part to control the method for B cell-stimulating.
For openly clear rather than restriction the present invention, detailed description of the present invention is divided into following part:
(i) in conjunction with the part of CD40CR;
(ii) for the identification of the method for CD40CR;
(iii) preparation of the CD40CR of purifying;
(iv) in conjunction with the purposes of the part of CD40CR; With
(v) purposes of CD40CR.
(iii) preparation of purifying CD40CR; (especially treating carrying out property lupus, such as systemic loupus erythematosus or drug-induced lupus).
The invention provides the soluble ligand of CD40CR, comprise (i) contain at least the fusion molecule of some CD40 albumen and (ii) with the antibody of CD40CR specific binding or the CD154 of antibody fragment or gp39 or known described antigen.
Term used herein " solubility " represents that part of the present invention is not always to be combined with the cell serous coat. Yet soluble ligand of the present invention can be fixed on the acellular solid support, comprises lipid, protein or carbohydrate molecule, ball, vesica, magnetic-particle, fiber etc., maybe can be embedded in implant or the vesica.
The ability of such part and CD40CR combination can confirm by the identical protein combination of the described part of proof and CD40-Ig (as follows) or MR1 (as follows) or in conjunction with the another kind of antibody of CD40CR (such as disclosed antibody in No. the 08/475th, 847, U.S. of common transfer).
Part of the present invention can form Pharmaceutical composition with suitable carrier.
The invention provides the solubility fusion molecule for the CD40CR part. This class fusion molecule contains at least a part of CD40 albumen with the second minute sub-connection. The preferred CD40 cross-film district that lacks of described CD40 part. The part of CD40 albumen that can be used according to the invention is defined as any part that can be combined with CD40CR, as showing the part of being combined with same protein such as MR1 or CD40-Ig.
Spendable the second molecule comprises peptide class and protein, lipid and carbohydrate, in the preferred embodiment of the invention, can for immunoglobulin molecules or its part (such as Fv, Fab, F (ab ')2Or Fab ' fragment) or CD8 or other adhesion molecule such as B7. The second molecule can derive from non-human source or human origin, maybe can be chimera. The second molecule also can be a kind of enzyme, toxin, growth factor, lymphokine, antiproliferative, alkylating agent, antimetabolite, antibiotic, vinca alkaloids, platinum coordinate complex, radio isotope or fluorescent chemicals.
Can be by chemical synthesis or preferably produce fusion molecule of the present invention by the DNA recombinant technique.
For example, the nucleotide sequence of a part of CD40 albumen of encoding at least and the nucleotide sequence of second molecule of coding can be made up in suitable expression vector, then in protokaryon or preferred eukaryotic expression system such as yeast, baculoviral or mammalian expression systems (comprising transgenic animals), express.
Perhaps, at least a portion CD40 albumen can or be used with CD40 or second bonded part of molecule and do the affinity chromatograph expression by electrophoretic techniques.Include but is not limited to G28-5 (this hybridoma preserving number be HB9110 and be preserved in American type culture collection) and the CD40CR of anti-CD 40 antibodies with the bonded part of CD40, hereinafter will elaborate as producing by hybridoma.If second molecule is immunoglobulin or immunoglobulin fragment, can use the affinity column that contains anti--immune globulin antibody; If second molecule contains the Fc fragment, can use the protein A post.
According to the preferred embodiments of the invention, the nucleotide sequence of available code CD40 albumen (this albumen blocks from striding the diaphragm area upstream) is produced the part of CD40.Can prepare this nucleotide sequence by the plasmid that digestion contains coding CD40 antigenic cDNA, as it is described press Stamenkovic etc. (EMBO J., 8:1403-1410 (1989)), usefulness Pst I(P) and Sau 3A-(S3) Restriction Enzyme digestion.With resulting P/S3 fragment sub-clone go into P and Bam H I(B) in Xiao Hua the identical plasmid, with the CD40 gene (see figure 8) of production truncate.
In the non-sex-limited specific embodiments of the present invention, being used for producing the expression vector that contains at least a portion CD40 and immunoglobulin sequences can be preferably form from the isolating eukaryotic promoter of DNA sequence and the enhancer sequence of coding constant region for immunoglobulin by viral origin of replication, bacillary origin of replication, bacillary selected marker and by restriction endonuclease sites, after connect the polyadenylic acid signal sequence, described restriction endonuclease sites can allow the DNA sequence (seeing Fig. 8 .b) of sub-clone coding at least a portion CD40.
In particular of the present invention, can be in the fusion plasmid of immunoglobulin with the CD40 gene sub-clone of truncate, as (Cell, 61:1303-1313 (1990)) as described in the Aruffo etc., use MIu IWith B digestion, make up the pCD40-Ig plasmid, this plasmid-encoded fusion molecule CD40-Ig (see figure 8).Then can by with the pCD40-Ig plasmid transfection to the COS cell, form transient expression system and produce the CD40-Ig fusion rotein.Collect the CD40-Ig that is produced from COS cell conditioned medium liquid, and press Aruffo etc., Cell, 161:1303-1313 (1990) is described to carry out purification through the protein A column chromatography.
Soluble ligand of the present invention preferably includes antibody molecule, monoclonal antibody molecule or contains and the fragment of these antibody molecules of the bonded antigen binding site of CD40CR (gp39) (preferred people gp39).This class part also can contain second molecule, but this molecule protein, lipid, carbohydrate, enzyme, toxin, somatomedin, lymphokine, antiproliferative, alkylating agent, antimetabolite, antibiotic, vinca alkaloids, platinum coordinate complex, radiosiotope or fluorescent chemicals and can be connected with described antibody molecule or fragment.
When described part is monoclonal antibody or its fragment, can use any monoclonal antibody that can provide the technology that produces antibody molecule by the cell line continuous culture to prepare anti-CD40CR (gp39).For example, and the hybridoma technology of at first developing by Kohler and Milstein (1975, Nature, 256:495-497) and recent available other technology, as human B cell hybridoma technology (Kozbar etc., 1983, Immunology Today, 4:72) with the EBV-hybridoma technology (Cole etc. that produce human monoclonal antibodies, 1985, monoclonal antibody and treatment for cancer, Alan R.Liss, Inc., 77-96 page or leaf) all within the scope of the present invention.Usually preferred humanization or mosaic type resist-gp39 antibody, because they are difficult for causing immunogenic response (HAMA replys) after administration.
Can produce the antibody fragment that contains the described molecule of idiotype by known technology.For example, this class fragment is including, but not limited to: F (ab ') 2Fragment, it can produce by using the described antibody molecule of pepsin; Fab ' fragment, it can be by reduction F (ab ') 2Segmental disulfide bond produces; F (ab ') 2Fragment, it can handle described antibody molecule generation by using papain; And 2Fab or Fab fragment, they can be handled described antibody molecule by the Reducing agent of using papain and reduction disulfide bond and produce.
As mentioned above, the present invention also provides by the chimera of technology generation known in the art or people's antibody, as Morrison etc., Proc.Natl.Acad.Sci.U.S.A., technology described in No. the 85305604.2nd, 81:6851-6855 (1984) or european patent application, the announcement No. 0173494 (Morrison etc., announcement on March 5th, 1986).
The immunogen that is used to produce antibody can be any source that contains CD40CR.For example, activated T h, as can be with activatory people T hCell is as immunogen.In addition, can use roughly pure CD40CR by the described preparation of following 5.3 parts.If with activated T hAs immunogen, can test sero-fast anti-activation T hCell rather than tranquillization T hThe reactivity of cell.
Described immunogen also can comprise reorganization gp39 or its fragment.In this, clone and express the DNA of coding Mus and people gp39 with recombination method.These protein provide potential immunogen for anti--gp39 production of antibodies.
In a preferred embodiment of the invention, described soluble ligand is an Anti-Human gp39 monoclonal antibody, more preferably humanization or mosaic type Anti-Human gp39 antibody.Following method is used to produce the MR1 monoclonal antibody, and this antibody specificity ground combines with Mus gp39, and can be used to produce other antibody at CD40CR.
With 5-10 6 Activated T h1 cell (D1.6) is lumbar injection week about, continues 6 all immune hamsters.As anti-Mus T h1 serum titer is greater than 1: 10, and 000 o'clock, adopt splenocyte and the NSI of immune hamster, carry out cell fusion with Polyethylene Glycol.With flow cytometer tranquillization and the activation T hFrom the hole of the hybridoma that contains growth, screen supernatant on 1.Further a kind of generation selectivity identification of test activates T hThe concrete hybridoma of monoclonal antibody, and with its sub-clone to derive MR1.In ascites, produce MR1 also by ion exchange high pressure liquid chromatography (HPLC) purification.
In addition, more preferably according to the U.S. the 08/475th, No. 847 preparation Anti-Human gp39 antibody, document integral body by reference is attached to herein.
The present invention also provides and comprises monoclonal antibody or its segmental part, and this monoclonal antibody or its fragment can competitive inhibition MR1 and the combining of its target antigen or CD40-Ig and its receptor.
Can be by (i) CD40CR in conjunction with CD40, contain the fusion molecule of some CD40 and at least such as the ability of the antibody of MR1; (ii) CD40CR can stimulate the B cell to enter the functional characteristic of cell cycle, propagation and differentiation; And (iii) the cell distribution of CD40CR is identified CD40CR.
Can by CD40CR in conjunction with such as CD40, contain the fusion molecule of CD40 and identify CD40CR at the ability of the part of the antibody of CD40CR.
As hereinafter discussing in more detail, several technology are used to identify CD40CR.For example, confirm that CD40-Ig and MR1 can discern same 39kD molecule.The two all can be from radiolabeled T to find CD40-Ig and MR1 hImmunoprecipitation 39kD protein (Fig. 5 b) in the solute.In addition, the immunoprecipitation of 39kD protein and CD40-Ig has been removed by MR1 from T hThe antigen of discerning in the solute.
Also available CD40CR stimulates B to enter cell cycle, propagation and differentiation capability evaluation CD40CR.
For example, find activatory (PM ACT) rather than (PM of tranquillization REST) T hCell serous coat (PM) can be induced the RNA of B cell, and synthetic (Fig. 1 a); Activatory this inducing action of indication B cell is not subjected to the influence of antibody as anti--LFA-1, anti--CD4, anti--ICAM-1.Yet,, find that CD40-Ig or MR1 can suppress PM as Fig. 1 b and shown in Figure 6 ACT-inductive B cell activation.
Can by such as [ 3H]-uridine mix RNA (as the B cell differentiation, RNA synthetic increase) or by [ 3H]-inducing action of the mixing of thymidine (it is synthetic to measure the DNA relevant with cell proliferation) technical measurement B cell activation.For obtaining the optimum determining of CD40CR, can interleukin 4 (IL4) be joined in the culture medium about 10ng/ml concentration the influence of B cell proliferation.
In addition, can be according to the activation of the functional examination B cell of immunoglobulin secretion.For example, CD40CR (roughly pure form, or exist among the PM, otherwise or) can be joined in the tranquillization B cell with IL4 (10ng/ml) and IL5 (5ng/ml).Cultivate after 3 days, can add the culture medium of additional volumes.When the 6th day of cultivating, collect the supernatant (SN) of each culture and measure IgM and Ig according to described (J.Immunol., 146:1118-1124 (1991)) such as Noelle 1Amount.
Also can identify CD40CR by the cell distribution of CD40CR.For example, according to cells were tested by flow cytometry, observe CD40-Ig and activation but not tranquillization T h1 in conjunction with (Fig. 3).And, observe combining of activating T cell in CD40-Ig and Jurkat cell, HSB2 cell and the human peripheral, but do not show significantly and the combining of cem cell, HPBALL cell or Mus thyoma cell.
For example, be not restriction, can be following be present in CD40CR on the particular cell types (" test cell ") by the flow cytometer evaluation.Available tranquillization (negative control) and activation (positive control) T hCell parallel testing subject cell.All cells is with about 1 * 10 5The concentration of cell/50 μ l and part (as CD40-Ig or MR1) were cultivated 20 minutes at 4 ℃, added the antibody of the anti--part of FITC-coupling then.Can add final concentration in all samples is iodate third ingot of 2 μ g/ml.For example carrying out flow cytometry analysis on the BD FACSCAN then.After cell forward scattering of forward gate and lateral scattering, red negative (because iodate third ingot exclusion) can determine the green fluorescence logarithm of living cells.
The invention provides roughly pure CD40CR.Can be by following method, by the cell that carries CD40CR such as activatory helper T lymphocyte, Jurkat and this CD40CR of HSB2 cell preparation.
Can be according to described (J.Immunol., 146:1118-1124 (1991)) such as Noelle, by the settlement action of discontinuous sucrose gradient, from suitable cell such as activated T h1 cell, preparation cell serous coat.Separation of C D40CR by the following method then: take out the diffusion barrier crude extract with gentle detergent, carry out size exclusion chromatography afterwards, affinity chromatograph, immunoprecipitation (as with CD40-Ig or MR1) and/or gel electrophoresis are carried out with being attached to suitable ligand on the solid support (as MR1 or CD40-Ig) in the back again.
Can expect that the proteinic molecular weight that is produced is about 39kD.
The invention provides solubility CD40CR (promptly acellular), this solubility CD40CR can be included in the Pharmaceutical composition that suitable carriers is formed.It further provides and second bonded CD40CR of molecule, and described second molecule can be peptide, protein, lipid, carbohydrate, enzyme, toxin, somatomedin, lymphokine, antiproliferative, alkylating agent, antimetabolite, antibiotic, vinca alkaloids, platinum coordinate complex, radiosiotope or fluorescent chemicals.
The present invention further provides roughly pure CD40CR by chemosynthesis or the preparation of DNA recombinant technique.For example, can be by being inserted into the λ gt10 expression system from the cDNA of activatory helper T lymphocyte preparation, then with MR1 or CD40-Ig in conjunction with screening, identifying the CD40CR-expression cloning, thereby isolate the gene of CD40CR.Perhaps, can with from the cDNA transfection of activatory helper T lymphocyte preparation to the COS cell, with the supernatant of MR1 or CD40-Ig screening transfectional cell, identify the CD40CR product.Can use expression system known in the art then the gene of CD40CR is used to express CD40CR.
The invention provides the method for utilizing with the bonded part control of CD40CR B cell-stimulating.Specifically, it provides the method that suppresses the B cell-stimulating, comprises B cell and T hThe mixture of cell is exposed to the bonded valid density part with CD40CR.5.1 parts are to the existing explanation of applicable part in front.Can in external or body, implement method of the present invention.Valid density refers to suppress the concentration of the part of B cell-stimulating, and available any technology known in the art (comprising the described technology of aforementioned 5.2 parts) is measured, at least about 30%, and preferred about 75%.Preferred, specific non--restricted embodiment according to the present invention can be with CD40-Ig as part, and valid density can be about 10 μ g/ml at least in the case.In another concrete non--restricted embodiment of the present invention, can use the MR1 monoclonal antibody, valid density can be about 10 μ g/ml at least in this case.If implement described method in vivo, the plasma concentration or the local concentration of the valid density assignment body of part.For example, preferably suppress the activation of B cell, so that restriction is to whole immune influence at regional area.
In specific embodiment, the invention provides curee's the method that treatment suffers from the illness relevant with the B cell-stimulating, comprise give therapeutic dose to the experimenter with the bonded part of CD40CR.The experimenter can not be human or preferred human.
The illness relevant with the B cell-stimulating is including, but not limited to allergy (comprising anaphylaxis); Autoimmune disease comprises drug induced lupus, systemic lupus erythematosus (sle), adult's rheumatoid arthritis, juvenile rheumatoid arthritis, scleroderma, Sjogren Cotard etc.; And the viral disease that relates to the B cell, comprise that Epstein-Barr virus (Epstein-Barr) infects and comprise the retroviral infection of HIV (human immunodeficiency virus) infection.
Owing to proposed the B cell-stimulating and to bring out the incubation period human immunodeficiency virus replication relevant, preferably described part of the present invention given HIV (human immunodeficiency virus) (HIV) positive individuals that those also do not develop into acquired immune deficiency syndrome (AIDS) (AIDS) or ARC.
As mentioned above, and in the following embodiments, especially preferably use anti--gp39 antibody or its fragment, comprise its application in drug induced lupus or systemic lupus erythematosus (sle).As the master data of following embodiment and confirmations of experiment institute, found that the treatment of described resisting-gp39 antibody has reduced the generation of autoantibody and alleviated nephropathy, and made the prolongation of NZB/NZW (animal model of generally acknowledged human SLE) survival period.
In addition, in the mice (activeness lupus state) of albuminuria 2-3+, further confirm, resist-gp39 antibody reverse disease (evidence is to give behind the antibody to prolong life cycle and not have albuminuria) unexpectedly.Therefore, after the animal model generation nephropathy of people's lupoid of generally acknowledging, show, reverse the lupus process with anti--gp39 Antybody therapy.This confirms that in treatment lupus and other autoimmune disease, anti--gp39 antibody is used for the probability of human therapeutic use.Particularly it has confirmed the patient that this antibody-like can be used for the treatment of the activeness PD even be in stage terminal stage of a disease.Disease process such as the common renal damage of lupus patient will be treated even may be reversed to this treatment effectively.
In suitable pharmaceutical carrier, can pass through any method afford part known in the art, comprise intravenous injection, lumbar injection, subcutaneous injection, intrathecal injection, intra-articular injection or intramuscular injection, and oral cavity, intranasal, ophthalmic and rectally, but and in its microsphere, liposome and/or the slow release implant.
The therapeutic dose of part is defined as the amount of the clinical adverse effect that can significantly alleviate B cell-stimulating or T cell activation, and can with used part and treat and change.If use CD40-Ig, no matter be that system's (plasma concentration) or topical therapeutic concentration can be about 10 μ g/ml then.If use MR1 or other anti--gp39 antibody,, no matter be that system's (plasma concentration) or topical therapeutic concentration can be about 10 μ g/ml then as humanization or mosaic type Anti-Human gp39 antibody or its fragment.
In further embodiment of the present invention, said method can utilize the part that contains toxin or antimetabolite, will kill T like this hCell or make it impaired is because destroy T hCell makes increases the B cell-stimulating.
Also available part of the present invention comes labelling activated T cell, is a kind of technology of diagnosis of the T of can be used for cell disease.For this reason, can be with the part that contains enzyme, radiosiotope, fluorescent chemicals or other detectable label be exposed to the T cell in the external or body, measure described binding capacity.
Also part of the present invention can be used to transmit the material such as the somatomedin of activating T cell.
The invention provides the method for the molecular Control B cell-stimulating that utilizes CD40CR or contain CD40CR, described CD40CR or the molecule that contains CD40CR are to prepare according to preceding method.Specifically, provide the method that promotes the B cell-stimulating, comprise the CD40CR of B cellular exposure in valid density.Can be in vivo or this method of external enforcement.Valid density refers to induce the concentration of the receptor of B cell-stimulating, can pass through any technical measurement known in the art, at least about 30%.The present invention specific, in the non-limiting embodiments, the CD40CR concentration of part or system can be about 10 μ g/ml.
In specific embodiment, the present invention provides Therapeutic Method for the experimenter suffer from humoral immunization weakens relevant immune deficiency disorder, comprises the CD40CR that gives experimenter's therapeutic dose.The experimenter can not be human, but preferred human.
Weaken relevant immune deficiency disorder with humoral immunization and comprise acquired immunodeficiency, as causing by chemotherapy or radiotherapy, and the hereditary that relates to humoral immunization.
In suitable pharmaceutical carrier, can pass through any method afford CD40CR known in the art, comprise intravenous injection, lumbar injection, subcutaneous injection, intrathecal injection, intra-articular injection or intramuscular injection, and oral cavity, intranasal, ophthalmic and rectally, and it can be included in microsphere, liposome and/or the slow release implant.
The CD40CR therapeutic dose of CD40 is defined as can increase the amount that produces about 30% immunoglobulin at least.
In further embodiment, CD40CR can be coupled on the toxin, be in preferred destruction and express experimenter under the situation of B cell of CD40.The example of this situation comprises to be accepted organ transplantation or suffers from multiple myeloma or the patient of other B cell malignancies or autoimmune disease.
Also CD40CR can be used for the B cell of marker expression CD40, be a kind of technology that can be used for the diagnosis of B cell disease.For this reason, will be with enzyme, radiosiotope, fluorescent chemicals or the bonded receptor of other detectable label be exposed to the B cell in the external or body, and measure described bonded amount.
Also available CD40CR passes to the B cell with molecule bonded with it.
Embodiment 1
New receptor CD40CR on the activatory helper T lymphocyte is thin in conjunction with the CD40 and the B that transduces
Born of the same parents' relatedness activation signal
Material and method
Animal
(Jackson Laboratories, Bar Harbor ME) are used to prepare filler cell (filler cell) to support T with female DBA/2J mice hClone's growth, and be used to prepare tranquillization B cell.
D 1.6 is a kind of I-A d-restrictive rabbit immunoglobulin-specificity T h1 clone (Kurt-Jones etc., J.Exp.Med., 166:1774-1787 (1987)), derive from David doctor Parker (University of Massachusetts, Worcester).D 1.6 is referred to herein as T h1.
Described according to (J.Immuno., 146:1118-1124 (1991)) such as Noelle, with T h1 (8 * 10 6/ hole) (6 orifice plates, Corning cultivate in NY), and wrap by 16 hours with anti--CD340 μ g/4ml PBS in each hole of this plate in a bunch collection hole.
Described according to (the same) such as Noelle, prepare the cell serous coat by the discontinuous sucrose gradient sedimentation.
Described according to (J.Exp.Med., 155:1523 (1982)) such as Defranco, by preparing tranquillization spleen B cell in discontinuous Percoll (Percoll) gradient sedimentation.From the cell of the interfacial separation of 70-75% (density is 1.087-1.097) Percoll usually>95%mIg +, have evenly, lowly do not reply near the light scattering of forward direction and to Con A.
With ion exchange HPLC following monoclonal antibody of purification from mice (this mice was rebuild already through overshoot and bone marrow) ascites: anti--CD3:145-2C11 (Leo etc., Proc.Natl.Acad.Sci.USA, 84:1374-1378 (1987)); Anti--α, β: H57-597; Anti--CD4:GK1.5 (Wilde etc., J.Immunol., 131:2178-2183 (1983)); Anti--ICAM:YN1/1.7.4 (Prieto etc., Eur.J.Immunol., 19:1551-1557 (1989)); Anti--LFA-1:FD441.8 (Sarmiento etc., Immunol.Rev., 68:135 (1982)); And anti--rat/hamster κ chain: RG-7 (Springer, Hybrid., 1:257-273 (1982)).
By using Restriction Enzyme Pst I(P) and Sau3A (S3) digested plasmid prepares the fusion rotein of CD40, and this plasmid contains the coding antigenic cDNA of CD40 (Stamenkovic Seed, EMBO J., 8:1403-1410 (1989)).With this P/S3 fragment sub-clone in same plasmid, this plasmid with P and Bam H1(B) digestion.The proteinic CD40 Δ of CD40 that allows the preparation coding to block from the membrane spaning domain upstream.To encode the then dna fragmentation sub-clone (Aruffo etc., Cell, 61:1303-1313 (1990)) in this immunoglobulin fusion plasmid of CD40 Δ is used MIu IDigest with B.According to described (Cell, 61:1303-1313 (1990)) such as Aruffo, produce described CD40-Ig fusion rotein in the COS cell and with its purification on the protein A post by transient transfection.
Interleukin-4 (IL4): reorganization Mus IL4 by C.Maliszewski and doctor's K.Grabstein generosity provide (Immunex Corporation, Seattle, WA.).
T cell growth factor (IL5): reorganization Mus IL5 is available from R﹠amp; The D institute (Sarrento, CA.).
With 3 * 10 4(Costar, Cambridge are incubated among the 50 μ l cRPMI in MA) tranquillization B cell in the A/2 micro titer plate well.In these holes, add 0.5 μ g T h1 or T h2 memebrane proteins.At 42-48 hour, each hole was with 2.5 μ Ci 3(New England Nuclear, Boston MA) imposes pulse to the H-uridine, collects each hole, and measures radioactivity by the liquid scintillation spectroscopy.Described result with the cpm/ culture+/-standard deviation represents.
Cultivate tranquillization B cell as mentioned above.In culture hole, add 0.5 μ g T h1 memebrane protein, IL4 (10ng/ml) and IL5 (5ng/ml).Cultivated the 3rd day, and added 50 other μ l cRPMI.Cultivated the 6th day, and collected the supernatant in each hole and described, measure IgM and IgG by (J.Immunol., 146:1118-1124 (1991)) such as Noelle 1Amount.
With 4 * 10 4(Costar, Cambridge are incubated among the 50 μ l cRPMI in MA) tranquillization B cell in the A/2 micro titer plate well.In these holes, add 1 * 10 4Tranquillization or activation, radiating (500 rads (rad)) T h1 and IL4 (10ng/ml).Cultivated the 3rd day, according to Noelle etc. at J.Immunol., 146: described in the 1118-1124 (1991), each hole is with 1 μ Ci 3H-thymidine burst process.
With 5-10 * 10 4Activated T h1 (D1.6) be lumbar injection every other week, continues immune 6 weeks of hamster.As anti-Mus T h1 serum titer is greater than 1: 10, and 000 o'clock, adopt splenocyte and the NSI of immune hamster, carry out cell fusion with Polyethylene Glycol.With flow cytometer tranquillization and the activation T hScreen the supernatant in the hole of the hybridoma that contains growth on 1.Further test is a kind of can produce selectivity identification activation T hThe specific cross tumor of monoclonal antibody, and with its sub-clone with the MR1 that derives.In ascites, produce MR1 also by ion exchange HPLC purification.
Collect tranquillization and activation T h(with anti--CD3 16 hours) and with 1 * 10 5Cell/50 μ l and fusion rotein were cultivated 20 minutes at 4 ℃, added goat-anti-people (h) IgG (25 μ g/ml of FITC-coupling then; Southern Biotechnology, Birmingham, AL).Adding iodate third ingot to final concentration in all samples is 2 μ g/ml.On BD FACSCAN, carry out flow cytometry.After cell forward scattering of forward gate and lateral scattering, red negative (because iodate third ingot exclusion) can determine the green fluorescence logarithm of living cells.
The mensuration of positive percentage and MFI will be analyzed 5,000 survivaling cells at least.Utilize the RG7 of FITC-coupling with MR1 dyeing, be the monoclonal antibody of mouse anti-rat/hamster κ chain.
With insoluble resisting-CD3 tranquillization or activation T h1 16 hours.Use 1mCi[ 35S]-methionine/cysteine labelling tranquillization and activation T h(20 * 10 6/ ml) protein 1 hour, this moment as described (Noelle etc., (1986) J.Immunol., 137: 1718-1726), its usefulness is contained the RPMI washed twice of 10% hyclone and the described cell precipitation of dissolving in extraction buffer.Solute to 500 μ l (is equivalent to 5 * 10 6Cell) adds antibody purified or fusion rotein (1-10 μ g) in 4 ℃ of effects 16 hours.At this moment, solute is moved in the test tube that contains 50 μ l filling protein A-agarose.Protein precipitation A-agarose is suspended again and test tube was hatched 1 hour in 4 ℃ of vibrations.Use 3 * high stringency lavation buffer solution washing sample then.Sedimentary protein A-agarose is suspended in again in the SDS sample buffer of 30 μ l, and carries out electrophoresis in 10% polyacrylamide gel.Behind running gel, fixing described gel also carries out fluorography.
For determining described cell surface molecule, this is numerator mediated by PM ACTInduce to enter the B cell cycle, to PM ACTWith add at T in the culture of B cell hThe monoclonal antibody of memebrane protein.PM ACTInducing the RNA of B cell synthetic is to use PM REST(Fig. 1 a) for 8 times of observation.Add anti--LFA-1, anti--CD4, anti--ICAM-1 separately or with combining form, all can not suppress by PM ACTThe B cell RNA that causes is synthetic.
In human system, confirmed that the monoclonal antibody of anti-CD 40 is induced B cell proliferation (Clark and Lane, (1991) Ann.Rev.Immunol.9:97-127), therefore hint that CD40 is the important triggering molecule of B cell.Whether participate in for measuring CD40 by PM ACTSynthesizing of the B cell RNA that causes is with extracellular domain and the human IgG of people CD40 1The soluble fusion protein of Fc domain (CD40-Ig) joins PM ACTIn the culture of B cell.Preparation is from T h1 and T h2 deutero-PM ACTAnd use it for and stimulate the synthetic of B cell RNA.CD40-Ig adding culture causes the inhibition to the synthetic dose dependent of B cell RNA, by T h1 and T h2 deutero-PM ACTCause, and CD40-Ig is about 5 μ g/ml.And CD7E-Ig fusion rotein (Damle and Aruffo, Proc.Natl.Acad.Sci.USA 88: 6403-6407 (1991)) even when using 25 μ g/ml, still do not have an effect.
For whether research CD40-Ig suppresses the activation of the B cell that caused by T-dependent/non-dependent activator, cultivation B cell in the presence of LPS and the CD40-Ig is being arranged.Second day, evaluation RNA synthetic (Fig. 1 c).The B cell-stimulating unrestraint effect of CD40-Ig to causing by LPS, but suppress the B cell to PM ACTReply.
At PM ACT, when IL4 and IL5 exist, the differentiation of B cell polyclone produces Ig (Hodgkin etc., (1990) J.Immunol. 145: 2025-2034; Noelle etc., (1991) J.Immunol. 146: 1118-1124).For estimating in this process needs, cultivating initial or adding CD40-Ig in a couple of days subsequently of cultivating to the CD40 signal.(control level of Fig. 2 during a) with its shortage compared, and it is to producing polyclone IgM and IgG cultivating the adding of initial CD40-Ig 1Inhibition greater than 95%.In contrast, show then that in first day of cultivation and the adding of second day CD40-Ig it is to IgM and IgG 1Generation inhibitory action if any, also be atomic little.After these data showed 24 hours, the signal that sends by CD40 no longer was essential for the differentiation secretion Ig of B cell.
Therefore, data have further pointed out CD40 to participate in PM ACTThe activation of the B cell that causes.For confirming that CD40 is also with by complete, survival, activated T hThe activation of the B cell that causes is relevant, studies.Activate T with insoluble resisting-CD3 h1 16 hours, collect and the described T of radiation h1.In the presence of IL4, with the T of this radiation h1 cultivates and is cultivating the propagation that detected the B cell on the 3rd day with the B cell.Use T h1 needs ectogenic IL4 when reaching B cell proliferation, because T h1 does not produce IL4 (Noelle etc., (1989) J.Immunol. 143: 1807-1814).With use PM ACTObservation identical, CD40-Ig suppresses T by radiation in the dose dependent mode hThe propagation of the B cell that causes (Fig. 2 b).Its negative control, CD7E-Ig do not show obvious effect.
For observing activated T hWhether 1 express conjugated protein to CD40, with tranquillization and activated T h1 (16 hours) resist-HigG with FITC-subsequently with CD40-Ig or CD7E-Ig dyeing.Combination (Fig. 3) by flow cytometer method assessment CD40-Ig.To activate 16 hours T with anti--CD3 h1, but not tranquillization T h1, the CD7E-Ig dyeing that need not contrast, positive rate 56% with CD40-Ig.Conjugated protein for identifying this CD40-Ig, with T h1 protein usefulness [ 35S]-methionine/cysteine biosynthesis labelling and with CD40-Ig or CD7E-Ig immunoprecipitation protein.The protein of this immunoprecipitation is separated and fluorography (Fig. 4) with SDS-PAGE.Article one, significantly the apparent molecular weight of band is that 39kD and a low-molecular-weight band are β2Wei Qiudanbais.When lacking monoclonal antibody, then can't see significant band.Also can be from using 125The activation T of I vector (vectorially) labelling hMiddle immunoprecipitation 39kD band confirms that described 39kD protein is memebrane protein.
Developed at activating T hGo up and not at tranquillization T hLast selective expression's antigenic monoclonal antibody specific causes T in order to evaluation hActive T of effective stage hMolecule.A kind of such monoclonal antibody MR1 is identified in activation T hSelective expression's antigen on 1.Whether MR1 discerns identical molecule with CD40-Ig for research, has carried out fluidic cell and has learned and block research.The T of activatory rather than tranquillization hCell, the dyeing of its CD40-Ig and MR1 are approximately 56% and 61% respectively, and (Fig. 5 a).MR1, but be not that another hamster resists-the anti-α of T cell monoclonal antibody/β TCR, block activation T in the dose dependent mode hThe dyeing of cell and CD40-Ig.These Notes of Key Datas CD40-Ig and MR1 identification 39kDT hOverlapping or same epi-position on the albumen.Be further to confirm the identical molecule of CD40-Ig and MR1 identification, by from radiolabeled T hImmunoprecipitation protein in the solute is identified the described antigen in conjunction with MR1.The protein of the equal immunoprecipitation 39kD of CD40-Ig and MR1 (Fig. 1 .5b).At last, the immunoprecipitation of 39kD protein and CD40-Ig has been removed origin self-activation T hRadiolabeled solute in the antigen of MR1 identification, support that described MR1 antigen and CD40 conjugated protein are this identical principles.
Carry out functional study with MR1, whether neutralize by PM to illustrate this monoclonal antibody ACTThe activity of expressing.With PM ACTCultivate separately or in the presence of hamster monoclonal antibody or CD40-Ig with the B cell.Two kinds of hamster monoclonal antibodies, anti-α/β TCR and α-CD3 can not suppress by PM ACTThe activation of the tranquillization B cell that causes.In contrast, MR1 or CD40-Ig suppress B cell-stimulating (Fig. 6).
The T that described data show is given prominence to the monoclonal antibody blocking-up hSurface molecular (LFA-1, CD4, ICAM-1, CD3, α/β TCR) does not hinder activation T hInduce the ability that enters the B cell cycle.In contrast, specificity is blocked the activation of T-dependency B cell at protein-bonded CD40-Ig of CD40 or monoclonal antibody in the dose dependent mode.And conjugated protein being accredited as of described CD40 is in activation but not the T of tranquillization hThe protein of selective expression's 39kD on the film.The two all blocks by PM specificity at the protein-bonded CD40-Ig of described 39kD CD40 and monoclonal antibody ACTThe activation of the B cell that causes.
Although many memebrane proteins and T hIt is relevant that-dependency B cell sends signal, but evidence provided herein has been got rid of the effect of some molecule (LFA-1, CD4, CD3, α/β TCR, ICAM-1), and hint CD40 is used for by T as B-cell receptor hThe related signal that sends.The data show specificity suppresses T at protein-bonded CD40-Ig of CD40 and monoclonal antibody hThe activation of-dependency B cell.
The part of CD40 is to be expressed in T activatory but not tranquillization hOn the protein of 39kD.Biochemical Research points out that this 39kD protein is a single chain molecule, because electrophoretic migration is not subjected to the influence of Reducing agent.According to the functional study that in this research, provides, activated T h1 and T h2 the two all to express described 39kD CD40 conjugated protein.This is consistent with described functional study, the described T that studies show that h1 and T h2 the two all induce B to enter cell cycle.When attempting further to identify the proteinic feature of described 39kD, be that the cDNA transient transfection of CD protein (Cd53, CD27 and CD69) of 39kD is in the COS cell and test the combination of the CD40-Ig of described cell with the coding molecule weight range.The neither one transfectional cell is expressed the protein in conjunction with CD40-Ig.Therefore guess that this 39kD protein is not a kind of in this class CD protein.
At T hWith the biochemical basis of B iuntercellular conducted signal be to make us unintelligible.Discriminating to as the CD40 of the molecule of helper T lymphocyte conducted signal causes the concern of known coupling in the specificity biochemical route of CD40 molecule.By means of 4 existence of being rich in the primitive of cysteine in its extracellular region territory, CD40 becomes a member of trk C (NGFR) family.Shown that monoclonal antibody sends signal (Uckun etc. by CD40, J.Biol.Chem.266:17478-17485 (1991)) participate in the activation of tyrosine kinase, the result has increased the activation of the serine/threonine kinase of the generation of inositoltriphosphoric acid and at least 4 uniquenesses.Based on sending the information that obtains the signal from described other member of NGF receptor family, expection activation T hWith the intercellular interaction of B will generation effect in the many links of same biochemical process.
In conjunction with research, use biotin-butanimide (Sigma) about immunofluorescence with CD40 Ig fusion rotein and biotin coupling.Carrying out the fluidic cell credit by two step stainings and Coulter Epics C instruments with phycoerythrin (PE)-Streptavidin (Becton-Dickinson) then analyses.The representative result who screens a plurality of T cell lines offers below.Find Jurkat and the combination specifically of HSB2 cell line, other T cell line comprises that CEM, HPBALL and mice thyoma then do not combine (Fig. 7) with CD40 Ig fusion rotein.
Embodiment 2
Be used for the treatment of or prevent the application of the anti-gp39 antibody of lupus
Systemic lupus erythematosus (sle) (SLE) is a kind of disease that produces multiple pathogenic autoantibody (Boumpas, Ann Int Med, 1995) that is characterized as.These antibody directly by identification on the normal cell antigenic determinant or indirectly the formation by immune complex cause infringement, described immune complex can be deposited in the normal structure and the activating complement cascade system.
As normal antibody response, from research, check at present the SLE of inbrde mouse species and class-lupus, the generation of lupus B cell autoantibody depends on CD4 +Complementary T (T h) synergism of cell.Embodiment comes from the research of traditional SLE mouse model, and this model is the female descendant disease Mus of the NZB/NZW that (to comprise the generation of autoantibody and the generation of ICG) in many aspects similar to people SLE.Also reversed nephritis really with the Therapeutic Method prevention that reduces anti-CD 4 antibodies to mice.Unfortunately, the angle from treatment to the transience therapeutic test of mankind itself's immune disease or even anti-CD 4 antibodies, also can cause the long-term depletion of the lymphocytic subgroup that this is important in some case.And anti-CD 4 antibodies is disappointing such as the effect in the small-scale clinical trial in the disease of rheumatoid arthritis.
More specific immunosuppressant is practicable, because identified participation T hAuxiliary several interactions of molecules of cell, feasible only targeting provide and play an active part in the Th cell of offering help for the antibody generation.An example is to pass through T hSecondary signal is transmitted in interaction between the B7.1/B7.2 on CD28/CTLA4 on the cell and the B cell.Any one participant's of the two blocking antibody can hang down at the external T of making cell and reply at this.When giving NZB/NZW mice even terminal stage of a disease during sick Mus, the fusion rotein that contains mouse cell external structure territory CTLA-4 and mice Ig Cg2a chain combination at present demonstrates the generation of autoantibody capable of blocking, is to play a role with combining of endogenous CTLA-4 by competitive inhibition B7.2 in the treatment mice by inference.
Experimental result
We have studied in the NZB/NZW Mus and have given the effect of anti-CD 40 L antibody to 4 to 10 monthly age SLE mices.The treatment of anti-CD 40 L antibody has significantly reduced the generation of the Anti-DNA autoantibody of these mices, has alleviated nephropathy and has prolonged life cycle, does not cause that anti-antibody is replied in the mice or causes the infringement of tangible immunity system easily in treatment.These packets are contained among Fig. 6.When 11 monthly ages, the mice of 60% anti-CD 40 L Antybody therapy still survives, rather than the mice (Fig. 9) of treatment or Hig treatment not.The inspection of the nephridial tissue of long-term survivors behind the antagonism-CD40L Antybody therapy shows inappreciable pathological change and does not have significantly immunity deposition at glomerule.
The data that obtain are also pointed out, anti-CD 40 L antibody therapy can avoid two main uses anti--the immunotherapy misgivings of the antibody of lymphocytic cell surface molecule: anti-antibody takes place reply and treat the back permanent immunity and suppress.In our one group of experiment (cohort), antagonism-CD40L Antybody therapy effectively, the mice of survival anti-antibody does not take place is replied in the time of 11 months, almost is a fixing phenomenon in the animal of accepting another kind source antibody.We infer that this is because anti-CD 40 L antibody has prevented the production of antibodies at self.In the normal mouse research of handling with identical anti-CD 40 L antibody MR-1, do not observe replying of anti--MR-1, point out us observed replying on the NZB/NZW mice and may represent a kind of special allergy that is confined to the autoimmunity mice.In a word, this observes for the therapeutic application of Anti-Human CD40L antibody significant, because particularly use " humanization " type Antybody therapy to avoid the severe complication of Antybody therapy with anti-CD 40 L antibody.In our research, the mice that anti--anti-CD 40 L antibody response takes place is good unlike control mice aspect its Anti-DNA production of antibodies or existence, in any case prompting, anti-CD 40 L antibody can not prevent that the generation antibody of such mice is anti-.Anti--anti-CD 40 L antibody that anti-CD 40 L production of antibodies can cause quick removing to give subsequently, and therefore lose the treatment curative effect.For supporting this viewpoint, when handling mice, identify in the glomerule of the reactionless mice subgroup of anti-CD 40 L antibody treatment and find hamster antibody deposition that anti-CD 40 L antibody responder does not then have this phenomenon with non-specific hamster IgG.This observation with anti--formation and the deposition of anti-CD 40 L antibody mediated immunity complex in the kidney that gives anti-CD 40 L antibody continuously is consistent, this may make glomerulonephritis worsen but not prevention.
At last, confirmation is along with stopping with anti-CD 40 L Antybody therapy, anti-after 4 months-KLH antibody response ability is recovered at the most, and establishing described antibody is potential reversible to the immunosuppressive action of immunity system, so the therapy of anti-CD 40 L antibody is applicable to human treatment's application.
In these experiments, with the MR-1 of 200 μ g weekly twice lumbar injection give 4-10 monthly age NZB/NZW mice.Equally, by MR-1 dosage being increased to 250 μ g, on every Wendesdays time, 4 to 10 monthly age of lumbar injection mice therapeutic scheme, realize treatment.This dosage is used for the rheumatoid arthritis model of collagen protein-cause, causes treating mice 100% survival (Durie, Science, 1993).Use this scheme, present described NZB/NZW mice is all 100% survivals (Figure 10) when 11 monthly ages, and two matched groups of mice are all dead when 10 monthly ages.
Determine the lupus treatment of diseases
Although purpose is to prevent the SLE of NZB/NXW F1 mice with anti--gp39 antibody, indication can not be used to this antibody to get involved activeness progressivity morbid state.Whether the available antibodies treatment reverses the disease of being established in order to measure, and one group of mice is developed into urine dipstick mensuration 2-3+ albuminuria (suitable and 100mg/ days to 500mg/ days).At this moment, the mice random packet is not treated group or accepted MR1 (100 μ g/ days) group for continuing.Do not treat mice all death when 10 monthly ages for described 10.In contrast, 5 survival to 11 monthly ages in 10 MR-1 treatment mice.Wherein 3 mices are healthy and do not have an albuminuria.Yet, what is interesting is that 1 Anti-DNA antibody (table 1) that height-titre do not occur is arranged in these mices.In 5 survival Mus 2 Anti-DNA antibody and 4+ albuminuria that show illness and the high titre of tool are arranged.
Therefore, find that in nephropathy the back taking place treats the disease that mice is divided in reversible transfer part with MR1.Reply in the mice at 1 and to find to have reversed albuminuria, but do not reverse the Anti-DNA production of antibodies, further increased MR1 and brought into play and be different from the probability of eliminating other mechanism that T-dependency antibody produces with the MR1 treatment.
Equally, also show development (Jacob, Science, 1988 that can significantly delay nephritis with tumor necrosis factor (TNF-α) treatment NZB/NZW mice; Gordon, 1989).Interesting is, observed heavy nephritis in NZB/NZW F1 mice, part are owing to be positioned dominant gene on the H-2 complex from what the NZW parental generation obtained.Described NZW mice has the TNF-alpha levels of reduction, and this level is relevant with the polymorphism of the TNF-α gene that is arranged in the H-2 complex.Described NZB/NZW F1 mice also has the level of significantly reduced TNF-α.In addition, the NZB/NZW F1 mice with anti--IL-10 Antybody therapy has postponed the generation of nephritis basically and has prolonged survival period.When with anti-TNF-Alpha antibodies therapeutic alliance, the beneficial effect of mediation appears being raised by the inductive TNF-alpha levels of IL-10-in the treatment mice, and eliminated anti--IL-10 and replied.
In preliminary experiment, we have also measured the level of mice TNF-α with ELISA, this mice be respectively give before and give the back MR-1 4 treatment groups.Described level is shown in table 2.According to the reduction of albuminuria and the generation of Anti-DNA antibody, only there is pair mice that the MR-1 treatment is replied to confirm that TNF-α is from treating the 35.01pg/ml after preceding 2.16pg/ml is increased to treatment.The described MR-1 effect of these Notes of Key Datas can partly be passed through the increase mediation of the TNF-α of NZB/NZW F1 mice at least.
In addition, all to confirm to utilize anti--gp39 antibody and its active fragment to be used for the treatment of human lupus be systemic lupus erythematosus (sle) or drug-induced lupus to these results.Particularly, these antibody can be used for the activeness that feature often shows as nephritis, the treatment of carrying out property lupus gets involved.This antibody-like should suppress the process of described disease, even the probability that reverses the course of disease is arranged.
Table 1
After age MR1 treatment treatment back alleviation was treated with the MR1 persistent period
(moon) (week) albuminuria (week) is treated (week) albuminuria again
7 13 +4 N/A N/A - -
9600 nothings--
660 12 nothings--
560 11 have 6 (0) 0
81 death----
6 18 death----
6609 have 3 (+4)+4
66 death----
75 death---
62 death---
Table 2.
Mice * The age (mos.) of institute's sample thief TNF-α(pg/ml)#
Not treatment 2 5.5
9 3.1
The MR-1 survival 2 2.2
9 35.0
MR-1 death 2 0.0
8 4.3
*1 mice of each treatment group.
# value representation TNF-α ELISA test kit (Genzyme, Cambridge, MA) meansigma methods of the duplication of Ce Dinging.
The multiple public publication of this paper citation integral body by reference is attached to herein.

Claims (10)

1. at least a specificity of effective dose is used for making the purposes of suffering from the medicine that the albuminuria that shows as albuminuretic lupus patient alleviates in conjunction with the antibody of CD40L or its fragment in production.
2. the purposes of claim 1, wherein said medicine also are used to make nephritis to alleviate.
3. the purposes of claim 2, wherein said medicine also is used to reverse nephropathy.
4. the purposes of claim 1, wherein said antibody or its segmental dosage range are 10 μ g/ml-1000 μ g/ml.
5. the purposes of claim 1, wherein said patient is in the lupus late stage that shows as kidney damage.
6. the purposes of claim 1, wherein said antibody or its fragment are in conjunction with human CD 40 L.
7. the purposes of claim 1, wherein said medicine and solubility CD40 or solubility CD40 fusion rotein give jointly.
8. the purposes of claim 1, wherein said antibody is anti-human CD 40 L antibody.
9. the purposes of claim 1, wherein said medicine is used to alleviate or alleviate the nephropathy relevant with lupus, but can not block the generation of anti-DNA antibody.
10. the purposes of claim 1, wherein said medicine are used to make TNF-α to produce to be increased.
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