U.S. patent application number 11/787229 was filed with the patent office on 2008-06-19 for methods for designing and synthesizing directed sequence polymer compositions via the directed expansion of epitope permeability.
This patent application is currently assigned to Peptimmune, Inc.. Invention is credited to Dustan Bonnin.
Application Number | 20080146504 11/787229 |
Document ID | / |
Family ID | 38543680 |
Filed Date | 2008-06-19 |
United States Patent
Application |
20080146504 |
Kind Code |
A1 |
Bonnin; Dustan |
June 19, 2008 |
Methods for designing and synthesizing directed sequence polymer
compositions via the directed expansion of epitope permeability
Abstract
The instant invention comprises a process for the solid phase
synthesis of directed epitope peptide mixtures useful in the
modulation of unwanted immune responses, such process defined by a
set of rules regarding the identity and the frequency of occurrence
of amino acids that substitute a base or native amino acid of a
known epitope. The resulting composition is a mixture of related
peptides for therapeutic use.
Inventors: |
Bonnin; Dustan; (Belmont,
MA) |
Correspondence
Address: |
ROPES & GRAY LLP
PATENT DOCKETING 39/41, ONE INTERNATIONAL PLACE
BOSTON
MA
02110-2624
US
|
Assignee: |
Peptimmune, Inc.
Cambridge
MA
|
Family ID: |
38543680 |
Appl. No.: |
11/787229 |
Filed: |
April 13, 2007 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
|
|
60792085 |
Apr 13, 2006 |
|
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|
Current U.S.
Class: |
424/185.1 ;
514/16.6; 514/17.9; 514/20.9; 514/7.3; 530/334 |
Current CPC
Class: |
A61K 38/16 20130101;
A61P 17/00 20180101; C07K 5/1016 20130101; A61P 21/04 20180101;
C07K 5/06104 20130101; C07K 1/047 20130101; C07K 5/1008 20130101;
C07K 5/0821 20130101; C07K 5/0819 20130101; C07K 5/06086 20130101;
A61P 25/00 20180101; C07K 5/101 20130101; A61P 3/10 20180101; C07K
5/0806 20130101; A61P 3/00 20180101; C07K 5/06026 20130101; A61K
38/00 20130101; C07K 14/4713 20130101; A61P 37/00 20180101; C07K
5/1021 20130101; A61P 29/00 20180101 |
Class at
Publication: |
514/12 ;
530/334 |
International
Class: |
A61K 38/16 20060101
A61K038/16; C07K 1/04 20060101 C07K001/04; A61P 25/00 20060101
A61P025/00; A61P 3/00 20060101 A61P003/00 |
Claims
1. A process for manufacturing a composition comprising directed
sequence polymers (DSPs) useful for the amelioration of an unwanted
immune response, comprising the steps of: (1) selecting a first
base peptide sequence, wherein the sequence is an amino acid
sequence of an epitope of an antigen associated with the autoimmune
disease; (2) synthesizing by solid phase peptide synthesis a first
cassette of the DSPs, wherein, for each amino acid position of the
first cassette of the directed sequence polymers, an amino acid is
incorporated into a DSP, such amino acid randomly selected from a
mixture of amino acids consisting of: (i) an amino acid found at
the corresponding position in said first peptide sequence, such
amino acid present in the pool at a relative molar concentration of
a0; (ii) a primary replacement of the amino acid found at the said
position in said selected amino acid sequence, said primary
replacement defined according to amino acid similarity, such
primary replacement amino acid present in the mixture at a relative
molar concentration of a1; (iii) a secondary replacement, if
applicable, of the amino acid found at the said position in said
selected amino acid sequence, said secondary replacement defined
according to amino acid similarity, such secondary replacement
amino acid present in the mixture at a relative molar concentration
of a2; (iv) a tertiary replacement, if applicable, of the amino
acid found at the said position in said selected amino acid
sequence, said tertiary replacement defined according to tertiary
amino acid similarity, such tertiary replacement amino acid present
in the mixture at a relative molar concentration of a3; and (v) A:
alanine, present in the mixture at a fixed relative molar
concentration A, wherein the amino acids in the mixture are present
in a fixed molar input ratio relative to each other, determined
prior to starting synthesis, wherein the relative molar amount of A
is more than 50% of the total amino acid concentration of the DSPs,
and each of a0 and a1 is within the range of 0.05-50%, each of a2
and a3 is within the range of 0-50%, and wherein a0+a1+a2+a3=100-A;
(3) extending the length of the DSPs by (a) repeating step (2) for
2 to 15 cycles and elongating the DSP under the same condition; (b)
repeating step (2) for 2 to 15 cycles and elongating the DSP, for
each cycle, using a different input ratio of amino acids in the
mixture; (c) repeating steps (1) and (2) for 2 to 15 cycles and
elongating the DSP using cassettes based on more than one base
peptide; or (d) assembling 2 to 15 cassettes synthesized in a
single cycle of step (2); or (e) assembling 2 to 15 cassettes, the
first cassette synthesized under one condition of step (2), and
second and more cassettes synthesized under a second condition of
step (2); (4) optionally further elongating the DSPs by repeating
steps (2) and (3) for 2 to 15 cycles, wherein for each cycle a new
cassette of the DSP is designed independently from the any of the
previous cassettes designated by previous cycles of step (2);
wherein the number of cycles selected in steps (3) and (4) is
selected so that the final length of the DSP is about 25 to 300
amino acid residues.
2. The process according to claim 1, wherein the amino acid
sequence of the epitope is selected from a group consisting of SEQ
ID NO: 1 through 189 depicted in Table I.
3. The process according to claim 1, wherein the unwanted immune
response derives from a host's attempted rejection of a
transplanted organ.
4. The process according to claim 1, wherein the unwanted immune
response is an autoimmune disease.
5. The process according to claim 4, wherein the autoimmune disease
is selected from the group consisting of multiple sclerosis,
systemic lupus erythematosus, type I diabetes mellitus, myasthenia
gravis, rheumatoid arthritis, and pemphigus vulgaris.
6. The process according to claim 5, wherein the autoimmune disease
is multiple sclerosis.
7. The process according to claim 5, wherein the autoimmune disease
is systemic lupus erythematosus.
8. The process according to claim 5, wherein the autoimmune disease
is type I diabetes mellitus.
9. The process according to claim 5, wherein the autoimmune disease
is myasthenia gravis.
10. The process according to claim 5, wherein the autoimmune
disease is rheumatoid arthritis.
11. The process according to claim 5, wherein the autoimmune
disease is pemphigus vulgaris.
12. The process according to claim 6, wherein the amino acid
sequence of the epitope is a partial sequence of a protein selected
from the group consisting of osteopontin, an HLA protein, myelin
oligodendrite glycoprotein, myelin basic protein (MBP), proteolipid
protein, and myelin associated glycoproteins, S100Beta, heat shock
protein alpha, beta crystallin, myelin-associated oligodendrocytic
basic protein (MOBP), and 2',3' cyclic nucleotide
3'-phosphodiesterase.
13. The process according to claim 6, wherein the amino acid
sequence of the epitope is selected from the group consisting of
SEQ ID NO: 6-32.
14. The process according to claim 7, wherein the amino acid
sequence of the epitope is a partial sequence of a protein selected
from hsp60, hsp70, Ro60, La, SmD, and 70-kDa U I RNP.
15. The process according to claim 7, wherein the amino acid
sequence of the epitope is selected from the group consisting of
SEQ ID NO: 92-140.
16. The process according to claim 8, wherein the amino acid
sequence of the epitope is a partial sequence of a protein selected
from the group consisting of hsp60, glutamic acid decarboxylase
(GAD65), insulinoma-antigen 2 (IA-2), and insulin.
17. The process according to claim 8, wherein the amino acid
sequence of the amino acid sequence of the epitope is selected from
the group consisting of SEQ ID NO: 44-91.
18. The process according to claim 9, wherein the amino acid
sequence of the epitope is a partial sequence of a protein selected
from the group consisting of acetylcholine receptor (AChR)
.alpha.-subunit and muscle-specific receptor tyrosine kinase
(MuSK).
19. The process according to claim 9, wherein the amino acid
sequence of the epitope is selected from the group consisting of
SEQ ID NO: 1-2.
20. The process according to claim 10, wherein the amino acid
sequence of the epitope is a partial sequence of a protein selected
from the group consisting of type II collagen and hsp60.
21. The process according to claim 10, wherein the amino acid
sequence of the epitope is selected from the group consisting of
SEQ ID NO: 3-5.
22. The process according to claim 11, wherein the amino acid
sequence of the epitope is a partial sequence of a protein selected
from the group consisting of desmoglein 3 (Dsg3).
23. The process according to claim 11, wherein the amino acid
sequence of the epitope is selected from the group consisting of
SEQ ID NO: 33-43.
24. The process according to claim 1, wherein the amino acid
similarity is defined according to the similarity table shown in
FIG. 4.
25. A process for manufacturing a composition comprising directed
sequence polymers (DSPs) useful for the amelioration of an unwanted
immune response, comprising the steps of: (1) selecting a first
base peptide sequence, wherein the sequence is an amino acid
sequence of an epitope of an antigen associated with the autoimmune
disease; (2) synthesizing by solid phase peptide synthesis a first
cassette of the DSPs, wherein, for each amino acid position of the
first cassette of the directed sequence polymers, an amino acid is
incorporated into a DSP, such amino acid randomly selected from a
mixture of amino acids consisting of: (i) an amino acid found at
the corresponding position in said first peptide sequence, such
amino acid present in the pool at a relative molar concentration of
a0; (ii) a primary replacement of the amino acid found at the said
position in said selected amino acid sequence, said primary
replacement being the most prevalent conserved substitution, such
primary replacement amino acid present in the mixture at a relative
molar concentration of a1; (iii) a secondary replacement, if
applicable, of the amino acid found at the said position in said
selected amino acid sequence, said secondary replacement being the
second most prevalent conserved substitution, such secondary
replacement amino acid present in the mixture at a relative molar
concentration of a2; (iv) a tertiary replacement, if applicable, of
the amino acid found at the said position in said selected amino
acid sequence, said tertiary replacement being the third most
prevalent conserved substitution, such tertiary replacement amino
acid present in the mixture at a relative molar concentration of
a3; and (v) A: alanine, present in the mixture at a fixed relative
molar concentration A, wherein the amino acids in the mixture are
present in a fixed molar input ratio relative to each other,
determined prior to starting synthesis, wherein the relative molar
amount of A is more than 50% of the total amino acid concentration
of the DSPs, and each of a0 and a1 is within the range of 0.05-50%,
each of a2 and a3 is within the range of 0-50%, and wherein
a0+a1+a2+a3=100-A; (3) extending the length of the DSPs by (a)
repeating step (2) for 2 to 15 cycles and elongating the DSP under
the same condition; (b) repeating step (2) for 2 to 15 cycles and
elongating the DSP, for each cycle, using a different input ratio
of amino acids in the mixture; (c) repeating steps (1) and (2) for
2 to 15 cycles and elongating the DSP using cassettes based on more
than one base peptide; or (d) assembling 2 to 15 cassettes
synthesized in a single cycle of step (2); or (e) assembling 2 to
15 cassettes, the first cassette synthesized under one condition of
step (2), and second and more cassettes synthesized under a second
condition of step (2); (4) optionally further elongating the DSPs
by repeating steps (2) and (3) for 2 to 15 cycles, wherein for each
cycle a new cassette of the DSP is designed independently from the
any of the previous cassettes designated by previous cycles of step
(2); wherein the number of cycles selected in steps (3) and (4) is
selected so that the final length of the DSP is about 25 to 300
amino acid residues, and wherein the conserved substitution is
determined based on empirical data of known variants of the
epitope.
26. A composition comprising directed sequence polymers (DSPS)
manufactured by the process according to claim 1.
27. A composition comprising: directed sequence polymers (DSPs)
having a length of between about 25 to 300 amino acids, wherein
each of such DSPs comprises between 2-15 cassettes, each block
comprising between 8-30 amino acids; wherein each cassette is
derived from a first base peptide sequence, wherein the sequence is
an amino acid sequence of an epitope of an antigen associated with
an autoimmune disease and the amino acid at each position of the
cassette is selected from the group consisting of: (i) an amino
acid, a0, found at the corresponding position in a first base
peptide sequence; (ii) a primary replacement, if applicable, of the
amino acid, a1, found at the said position in said selected amino
acid sequence, said primary replacement defined according to amino
acid similarity; (iii) a secondary replacement, if applicable, of
the amino acid, a3, found at the said position in said selected
amino acid sequence, said secondary replacement defined according
to amino acid similarity; (iv) a tertiary replacement, if
applicable, of the amino acid, a4, found at the said position in
said selected amino acid sequence, said tertiary replacement
defined according to amino acid similarity; and (v) A: alanine;
wherein the amino acids in the mixture are present in a fixed molar
ratio relative to each other, wherein the relative molar amount of
A is at least 20% of the total amino acid comprising the DSPs.
28. The composition of claim 27, wherein said DSP comprises
cassettes, such cassettes comprising the amino acid sequences that
are derived from the first base peptide sequence.
29. The composition of claim 27, wherein said DSP comprises one or
more cassettes, such cassettes comprising one or more cassettes
having amino acid sequences that are derived from the first base
peptide sequence and one or more cassettes having amino acid
sequences that are derived from a second base peptide sequence of a
second epitope.
30. The composition of claim 27, wherein the first base peptide
sequence is selected from SEQ ID NO: 1-189.
31. The composition of claim 27, wherein the autoimmune disease is
selected from the group consisting of multiple sclerosis, systemic
lupus erythematosus, type I diabetes mellitus, myasthenia gravis,
rheumatoid arthritis, and pemphigus vulgaris.
32. The composition of claim 27, wherein the amino acid sequence of
the first base peptide sequence is a partial sequence of a protein
selected from the group consisting of: (a) osteopontin, an HLA
protein, myelin oligodendrite glycoprotein, myelin basic protein
(MBP), proteolipid protein, and myelin associated glycoproteins,
S100Beta, heat shock protein alpha, beta crystallin,
myelin-associated oligodendrocytic basic protein (MOBP), 2',3'
cyclic nucleotide 3'-phosphodiesterase; (b) hsp60, hsp70, Ro60, La,
SmD, and 70-kDa U1RNP; (c) glutamic acid decarboxylase (GAD65),
insulinoma-antigen 2 (IA-2), insulin; (d) acetylcholine receptor
(AChR) .alpha.-subunit and muscle-specific receptor tyrosine kinase
(MuSK); (e) type II collagen; and (f) desmoglein 3 (Dsg3)
33. The composition of claim 27, wherein the amino acid similarity
is defined according to the similarity table shown in FIG. 4.
34. The composition of claim 27, wherein the amino acid similarity
is determined based on empirical data of known variants of the
epitope.
35. A method of treating an autoimmune disease by administering a
directed sequence polymer (DSP) composition, comprising
administering to a subject in need thereof a dosing regimen of an
effective amount of a DSP composition for the amelioration of said
disease, wherein the DSP composition is selected from any one of
claims 24 to 30.
36. The method according to claim 35, wherein the autoimmune
disease is selected from the group consisting of multiple
sclerosis, systemic lupus erythematosus, type I diabetes mellitus,
myasthenia gravis, rheumatoid arthritis, and pemphigus
vulgaris.
37. Use of a composition according to any one of claims 26 to 34
for the manufacturer of a medicament for the treatment of an
autoimmune disease.
Description
RELATED APPLICATIONS
[0001] This application claims the benefit of U.S. Provisional
Application 60/792,085, filed Apr. 13, 2006.
FIELD OF INVENTION
[0002] This application provides methods of making improved
compositions of immunomodulatory peptide mixtures and provides
methods of modulating unwanted immune responses.
BACKGROUND OF THE INVENTION
[0003] Immunomodulation.
[0004] Many disease conditions are, at least in part, a result of
an unwanted or excessive immune response within an organism. The
rejection of a transplanted organ is axiomatic example of an
unwanted immune response. The rejection of the graft is emblematic
of a condition in which an organism's inability to control an
immune response results in a pathology. In organ transplantation,
the unwanted immune response that results in graft rejection is
triggered by: (1) "direct recognition," where the T cells of the
graft recipient recognize foreign major histocompatibility complex
("MHC") molecules on the graft tissue, already presenting some
peptides, via their T-cell receptor ("TCR") directly, or "indirect
recognition," where the recipient T cells recognize the antigenic
determinants derived from the graft after the determinants are
processed and presented by recipient MHC; (2) the generation of
antibodies directed against the graft, more specifically, the human
leukocyte antigens ("HLA") molecules present on the cells of the
graft tissue, caused by the exposure of the recipient to the graft;
and (3) binding of preformed anti-graft antibodies in the
circulation of the recipient to the graft. Studies have shown that
these immune responses are directed to three types of donor derived
antigens: MHC (through direct or indirect recognition), minor
histocompatibility antigens ("mH"), and organ derived antigens.
[0005] Successful transplantation depends on preventing the
unwanted immune responses, inducing sustained chimerism. Sustained
chimerism is a phenomenon in which the recipient develops tolerance
for a foreign graft, enabling the grafted tissue to survive in the
recipient without being subjected to immune responses. Under
experimental conditions, sustained chimerism can be induced by
peptides that are closely related to those that stimulate
graft-rejecting immune responses, albeit for short periods of time.
(B. Murphy et al., J. Am. Soc. Nephrol., 2003, 14:1053-1065; C.
LeGuem, Trends Immunol., 2003, 24:633-638). The difficulty lies
with the likelihood of the broadening of the offending epitopes via
the process of epitope spreading (N. Suciu-Foca et al., Immunol.
Rev., 1998, 164:241).
[0006] Transplant physicians have long recognized the need both to
inhibit the immune response generated by the presence of what the
recipient's immune system views as foreign, without also
compromising the patient's ability to fight opportunistic
infection. Currently, transplantation patients are often treated
with immunosuppressive therapies that depress the overall immune
response and reactivity in a patient. Immunosuppressive therapies
attempt to attenuate the reaction of the body to an
already-triggered immune response, and are accompanied by numerous
undesirable side effects. Because of the significant undesirable
side effects, a single immunosuppressant cannot be used
continuously to treat a transplant recipient, and a course of
treatment comprises using one immunosuppressant having one set of
side effect, changing to second immunosuppressant with a different
set of side effect, and to third, and so on, to limit the exposure
of the recipient to each immunosuppressant and its side effects.
For example, steroids such as prednisone or methylprednisone are
powerful immunosuppressants but can induce cataracts,
hyperglycemia, hirstutism, bruising, acne, bone growth suppression,
and ulcerative oesophagitis. Long term use of steroids has also
been associated with bone loss. Cyclosporin A (CsA), a widely used
immunosuppressant, is nephrotoxic, and often replaced with
tacrolimus (TAC) after a period of treatment. For the treatment of
non-acute rejection, azathioprine is used, the side effect of which
include leucopenia, anemia, fever, chills, nausea and vomiting.
Regardless of what immunosuppressant is used, one of the most
substantial side effects related to longer term treatment with
immunosuppressives in addition to the general compromise of the
immune system leaving the patient vulnerable to any type of
infections, is the generation of transplant related malignancies
such as Kaposi's sarcoma. There is a strong desire on the part of
physician and patient to decrease or cease the use of these current
front line therapies. (Pharmacotherapy: A pathophysiologic
Approach, Fifth Edition. 2002, McGraw Hill.) It would be difficult
to state that they have met the clinical goal of sustained
chimerism without ongoing immunosuppressive therapy.
[0007] Immunomodulation, in contrast to immunosuppression, targets
the cause of unwanted immune responses. Immunomodulation can be
attempted in an antigen/epitope non-specific fashion by targeting
the body's mechanism for immunity, or in an antigen/epitope
specific manner. As an example of antigen/epitope non-specific
treatment, therapies directly targeted at controlling T lymphocytes
or their functions have been developed using biotechnological
tools. The therapeutic agents useful for such treatment include
Muromonab-CD3 (OKT3), antilymphocyte globulin (ALG), antithymocyte
globulin (ATG), or interleukin-2 receptor monoclonal antibody
("mAb") daclizumab or basiliximab. Other agents include soluble
CTLA-4, an anti-CD154 mAb; anti-CD11a; a humanized mAb which
inhibits VLA-4; anti-CD2, 3, or 4 antibodies; and anti-CD152
antibodies (J. B. Matthews et al., Amer. J Transplantation, 2003,
3: 794-80). While all of these therapeutic agents may induce a
state of non-responsiveness of the recipient's immune system to the
transplanted tissue with a reduction in side effects, as compared
to e.g. prednisone, the therapies still do not meet the clinical
goal of sustained chimerism without ongoing immunosuppressive
therapy, except for limited reports, such as immunosuppressive
withdrawal after combination therapy of total lymphoid irradiation
followed by ATG administration (S. Strober et al., Transplantation,
2004 Mar. 27; 77(6): 932-936). Further, these therapies also suffer
from the unattractive side effects of compromised overall immune
function.
[0008] In contrast to the antigen non-specific immunomodulatory
approach, the immune system can also be retuned, or modulated in an
antigen/epitope specific manner. Such a type of immunomodulation is
the process of increasing or decreasing the immune system's ability
to mount a response against a particular antigenic determinant
through either the TCR's recognition of complexes formed by MHC and
antigens, or through the B cell receptor's ("BCR") recognition of
the epitope itself. Because of the specificity of the process
toward a particular antigenic determinant and not toward the immune
system as a whole, antigen specific immunomodulation has advantages
such as fewer undesirable side effects compared to current
treatment modalities such as immunosuppressive therapies, which
affects the overall immune system.
[0009] Antigenic determinant-specific immunomodulatory treatments
can help establish such sustained chimerism by inducing
donor-specific tolerance in host T lymphocytes. Immunomodulation of
the reaction toward any and all of these antigens help attenuate or
alleviate graft rejection and establish sustained chimerism.
Studies indicate that one mechanism of action of immunomodulation
by certain immunomodulatory peptides may be through their binding
to T cells that would otherwise bind to the donor-derived antigens
and resulting in differential activation of T cell functions. This
mechanism has been suggested to be centrally induced tolerance
involving the thymus (G. Benichou et al. Immunol. Today, 1997,
18(2):67-72). The demonstration of achieving sustained chimerism
without immunosuppressive treatment via induction of donor-specific
tolerance in host T lymphocytes through immunomodulation was
performed by a group of investigators who, using mice, induced
tolerance to the subsequent graft by intrathymic injection of a
series of determinants from 3M KCl-extracted donor MHC-- derived
peptides. Two doses of anti-T cell antibody were given first to
eliminate circulating T cells. Then eight peptide sequences
extracted from the donor MHC were delivered in combination. The
treated mice tolerated subsequent transplants. As a control, the
investigators performed thymectomy, which caused graft rejection.
The study is an example of importance of centrally-induced
tolerance (T. Hamashima et al., Transplantation, 1994 Jul. 15;
58(1):105-7). Thus, designing appropriate peptides similar to T
cell-stimulating antigens that bind to the T cells is beneficial to
achieving sustained chimerism.
[0010] However, the difficulty lies with the likelihood of the
broadening of the offending epitopes via the process of epitope
spreading. (N. Suciu-Foca et al., Immunol. Rev. 1998, 164:241).
Thus, in transplantation, the axiomatic example where certain
immune response is unwanted, it is clear that, in the absence of
the ability to modulate the relevant antigenic determinants over
time, the only alternatives are non-specific immunomodulatory, or
immunosuppressive therapies.
[0011] Other examples of unwanted immune responses are autoimmune
diseases. One important contextual difference between autoimmune
diseases and transplantation rejection is that the offending
antigenic determinant(s) is/are generally more restricted and
definable. While the trigger of an autoimmune disease is undefined
and may be dictated by pre-existing and/or environmental factors,
the direct causes of the pathological condition have been
identified in many autoimmune diseases. An autoimmune disease
results from an inappropriate immune response directed against a
self antigen (an autoantigen), which is a deviation from the normal
state of self-tolerance. Self-tolerance arises when the generation
of T cells and B cells capable of reacting against autoantigens has
been prevented or altered centrally by events that occur either in
their early development or after maturation in the periphery. The
cell surface proteins that play a central role in regulation of
immune responses through their ability to bind and present
processed peptides to T cells via the T cell receptor (TCR) are
class I and class II MHC (J. B. Rothbard et al., Annu. Rev.
Immunol., 1991, 9:527).
[0012] Thus, an attractive point of intervention for the
amelioration of an autoimmune response is via the set of lymphocyte
surface protein MHC molecules for example, HLA-DR, -DQ and -DP,
themselves or in combination with the peptides they present.
Different HLA alleles generate a diversity of responses via
antigenic-determinant specificities by variable affinities for
protein fragments found in the extra- and intra-cellular milieu
because of differences in the amino acids which are directly
involved in the binding of the peptides. There are large numbers of
alternative or allelic forms within a mammalian population, but
only a few of these allelic forms are associated with
disease-related antigenic determinants. It is well understood to
one with ordinary skill in the art the genomes of subjects affected
with certain autoimmune diseases, for example MS and RA, are more
likely to carry one or more such characteristic MHC class II
alleles, to which that disease is linked. For example, HLA-DR2
(DRB1*1501) is associated with multiple sclerosis and HLA-DR1
(DRBI*0101) or HLA-DR4 (DRB1*0401) are associated with rheumatoid
arthritis.
[0013] The disease-related antigenic determinants derive from
proteins which have been described as being simply associated with
an autoimmune response, or as being part of the pathogenesis of the
disease process itself. There are highly conserved sequences within
HLA that may play a role in either the generation or regulation of
immunologic tolerance when processed into peptides and presented by
intact HLA (reviewed in B. Murphy and A. M. Krensky, J. Am. Soc.
Nephrol., 1999, 10:1346-55). A. Snijders et al. discuss one
particular sequence (KDILEDERAAVDTYC) presented by HLA-DRB1 as
being protective against rheumatoid arthritis, with the most
relevant portion of the peptide being DERAA (J. Immunol., 2001,
166:4987-93), while others have promoted what is known as the
`shared epitope hypothesis` (P. K. Gregersen et al., Arthritis
Rheumatism 1987 November; 30(11):1205-13) where those individuals
that carry HLA-DRB1 alleles having the sequence QKRAA are
predisposed to rheumatoid arthritis. Other investigators have
demonstrated that heat shock proteins (hsp) and the peptides
derived from them can have immunomodulatory properties (S. M.
Anderton et al., J. Exp. Med., 1995, 181:943-952; J. A. van Roon et
al., J. Clin. Invest., 1997, 100:459-063). One peptide in
particular, dubbed p277, derives from hsp60,
VLGGGVALLRVIPALDSLTPANED, has demonstrated apparent activity in the
context of Type I diabetes (I. Raz et al., Lancet, 2001,
358:1749-52). Further sources of epitope sequence may be derived
from a pathogen-derived mimic of a sequence within mammalian MHC
proteins such as the DNAjP1 peptide, or related peptides
(QKRAAYDQYGHAAFE; Proc. Nat. Acad. Sci. USA, 101:4228-33; U.S. Pat.
No. 6,989,146). Other proteins and the peptides that derive from
them having disease association are: glutamate decarboxylase (GAD)
with diabetes (M. A. Atkinson et al. J. Clin. Invest., 1994,
94:2125-29; D. B. Wilson J. Autoimmun., 2003, 20:199-201); myelin
associated proteins such as myelin basic protein (MBP),
myelin-associated glycoprotein (MAG), proteolipid protein (PLP),
and myelin oligodendrite glycoprotein (MOG) with multiple sclerosis
(reviewed in P. Fontoura et al., Int. Rev. Immunol., 2005,
24:415-46); Ro60, SmD and other ribonucleoprotein antigens with
lupus (R. Pal, et al., J. Immunol., 2005, 175:7669-77; Seshmukh et
al., J. Immunol., 2000, 164:6655-61; R. R. Singh, Mol. Immunol.,
2004, 40:1137-45); or the acetylcholine receptor (AChR) with
myasthenia gravis (MG) (S. L. Kirshner, et al. Scand. J. Immunol.,
1996, 44:512-21); or desmoglein 3 (DsG3) with pemphigus vulgaris
(PV) (Wucherpfennig et al., Proc. Nat. Acad. Sci. USA, 1995,
92:11935-9; Lin et al., J. Clin. Invest., 1997, 99:31-40; Veldman
et al., J. Immunol., 2004 172:3883-92; Angelini et al., J.
Translational Med., 2006, 4:43; U.S. Pat. No. 5,874,531; U.S. Pat.
No. 7,084,247).
[0014] Despite the attraction of using HLA alleles and their
associated antigenic determinants that have been linked to many
autoimmune diseases as a point of intervention, therapeutic agents
based on this knowledge have not been developed fully. Instead, a
number of immunomodulatory therapeutic agents that are not specific
to any particular antigenic determinant have been developed and
being used to treat autoimmune diseases, including general
anti-inflammatory drugs such as cyclooxygenase-2 (COX-2) inhibitors
that can prevent formation of low molecular weight inflammatory
compounds; inhibitors of a protein mediator of inflammation such as
tumor necrosis factor (TNF), such as an anti-TNF specific
monoclonal antibody or antibody fragment, or a soluble form of the
TNF receptor that sequester TNF; and agents that target a protein
on the surface of a T cell and generally prevent interaction with
an antigen presenting cell (APC), for example by inhibiting the CD4
receptor or the cell adhesion receptor ICAM-1. However, these types
of antigenic-determinant non-specific immunomodulatory therapeutic
agents have residual immunosuppressive-like side-effects which
diminish their attractiveness as chronic first line therapies.
Additionally, compositions having natural folded proteins (such as
antibodies) as therapeutic agents can encounter problems in
production, formulation, storage, and delivery. Several of these
problems necessitate delivery to the patient in a hospital
setting.
[0015] Strategy for Creating Synthetic Therapeutic Peptides
[0016] Drug discovery can be generalized into two major elements,
lead generation and lead optimization. The development and
exploitation of combinatorial chemistry (CC) has seen the
divergence of the uses of rational design versus random generation
on a very fundamental level. On one side we find the use of CC to
assist a researcher in the rational design of molecules. An example
of which can be seen in the discovery of structure/activity
relationships (SAR) between two or more active molecules of
therapeutic interest. On the other side we find researchers using
CC to define for them the design of new molecules discovered based
on a specific activity. An example of which would be the generation
of random libraries used in lead generation, whereby the lead is
singled out and further optimized.
[0017] The level of expertise in the state of the art of
combinatorial chemistry as applied to the synthesis of peptide
libraries has risen, producing highly reliable and pure mixtures of
peptides of great diversity. The use of these diverse peptide
libraries has focused on lead generation and optimization. This
strategy entails screening the vast numbers of individual peptide
sequences in the library against a target of interest with the
intention of defining a single, or limited set of peptides which
demonstrate a particular activity. That single peptide, or the
limited set of peptides, then become candidates which are modified
to increase activity against the target. This process is
schematically represented in FIG. 1A.
[0018] The challenge for practitioners in this art has been to
deconvolute, or accurately define the single or limited set of
peptides that were responsible for the observed activity. The
difficulties associated with deconvolution have spawned great
efforts on the part of practitioners to create synthesis methods
which inherently increase the resolution of individual peptides, as
well as the identity of individual amino acids within peptides.
[0019] In order to efficiently identify the target peptide from
myriad of candidates presented by a library created by
combinatorial chemistry, a variety of synthesis methods and
approaches have been developed. These synthesis methods aim to
provide a large number of candidates, and yet when a positive
result is obtained, to quickly determine the identity of the
peptide without having to laboriously isolate the positive species
from the rest. The effort put forth by practitioners in this art in
this regard is an indication of the industry-wide vision of the
method's ultimate utility, which is to allow the random complexity
of these libraries perform the screening process for the desired
activity.
[0020] Examples of the resulting evolution of subtypes of
combinatorial methods include: multiple synthesis, iterative
synthesis, positional scanning, and one-compound-one-bead post
assay identification design.
[0021] "Multiple synthesis" provides for any method whereby
distinct compounds are synthesized simultaneously to create a
library of isolated compounds. The identity of these compounds
would be known from the rules of the synthesis. H. M. Greysen et
al., Proc. Nat. Acad. Sci. USA, 1984, 81:3998, used the multiple
synthesis method to identify peptides that bound to an antibody
raised against VPI protein of foot-and-mouth disease virus. The
investigators identified GDLQVL as the epitope recognized by the
antibody. In this case the authors synthesized 108 overlapping
peptides representing the VPI sequence on pins in a 96-well
microplate array.
[0022] "Iterative synthesis/screening" involves methods of peptide
synthesis which allow for a determination of the identity of
individual residues within peptide sequences. An example of
iterative synthesis can be seen in R. A. Houghten et al., Nature,
1991, 354:84-86, also to determine antibody binding epitopes. These
investigators identified the sequence YPYDVPDYASLRS using an ELISA
type assay format. The first library consisted of 324 pools of
peptides with the first two residues fixed, which peptides can be
shown as O.sub.1O.sub.2XXXX, wherein O1 and O2 are the fixed
residues and X is randomly selected. The process identified DV as
the fix residues. The next step was to do the same for position
three, by synthesizing peptides that can be shown as DV O.sub.1XXX,
wherein O1 again is a fixed residue. When the process identified
which residue at the third position would elicit the desired
binding, that residue was adopted as the unchanging third residue,
and the fourth position was explored in a similar manner. The
process continued until the native sequence DVPDYA was
identified.
[0023] "Positional scanning" is a synthesis method producing
complex mixtures of peptides that allows for the determination of
the activity of each individual peptide. Based on the screening
results, the derived peptide can then be separately synthesized for
optimization. As seen in C. Pinilla et al., Biochem J., 1994,
301:847-853, positional scanning libraries were used to identify
decapeptides which bound the same YPYDVPDYASLRS-binding antibody.
In this case ten different libraries each containing 20 pools with
a defined amino acid at each of the ten positions in the peptide.
Fifteen peptides were identified.
[0024] Each of the above methods were also employed to identify
enzyme substrates (J. H. Till et al., J. Biol. Chem., 1994,
269:7423-7428, J. Wu et al, Biochemistry, 1994, 33:14825-14833, W.
Tegge et al., Biochemistry, 1995, 34:10569-10577), or enzyme
inhibitors (M. Bastos et al., Proc. Nat. Acad. Sci. USA, 1995,
92:6738-6742, Meldal et al., Proc. Nat. Acad. Sci. USA, 1994,
91:3314-3318), R. A. Owens et al., Biomed Biophys. Re.s Commun.,
1994, 181:402-408, J. Eichler. et al., Pept. Res., 1994, 7:300-7).
These powerful tools allow investigators to rationally design
combinatorial peptide libraries to identify a single species which
has a desired activity.
[0025] As powerful and clear cut the identification of a specific
peptide from a combinatorial library may be, it may only serve as a
starting point and identification of a lead peptide that is not
itself therapeutically useful. The identified epitope may be
ignored by the immune system if it resembles a self protein or
possibly exacerbate the very condition that the therapy aims to
relieve. Such peptide is not directly therapeutically useful.
However, one may create, based on such peptide, epitope reactive
analogs that would act as modifiers of the unwanted immune
response.
[0026] One such approach is creation of altered peptide ligands
(APL). This approach is schematically represented in FIG. 1B. An
APL is defined as an analog peptide which contains a small number
of amino acid changes from the native immunogenic peptide ligand.
Some of such APLs act as an antagonist to the T cell receptor,
blocking the stimulating binding by the antigens causing the
unwanted immune effect. Evabold et al., Proc. Nat. Acad. Sci. USA,
1994 Mar. 15; 91(6):2300-4. However, while recognition of the
native response may induce an angonist like reaction, an APL might
induce a partial agonist response, or induce a state of anergy in
the reactive T cell population. In discussing APL in the context of
allograft rejection therapy, Fairchild et al., Curr. Topics Peptide
Protein Res., 2004, 6:237-44, note that an APL acting as an
antagonist for one TCR, may become an agonist for another,
complicating the rational design of an APL. Compounding the
obstacle of the development of APL is the difficulty in translating
a response developed in an animal system into human.
[0027] Despite these challenges, MPB83-99 (ENPVVHEFKNIVTPRTP) was
made into an APL and placed into limited human trials by replacing
the bold and underlined amino acid residues "E", "N", "E" and "K,"
resulting in a single peptide sequence consisting of
AKPVVHLFANIVTPRTP, Kim et al. Clinical Immunology, 2002,
104:105-114. The authors describe the long term immune reactivity
against the peptide, but the treatment has been deemed clinically
ineffective by evaluation using MRI. Thus an APL, once identified,
can be used as a therapeutic agent; however, its effectiveness may
be limited in terms of clinical efficacy.
[0028] It has been observed for some time that in the course of
development of multiple sclerosis, the reactive epitope does not
stay constant. That is, the self recognition associated with the
development of MS is a developmental process characterized by
autoreactive diversity, plasticity, and instability, wherein the
target epitope changes over time, typically from one epitope on a
myelin proteolipid protein to one overlapping the amino acid
residues but shifting by one or few amino acids to either side of
the original epitope. The consequence of this phenomenon is that if
an immunotherapeutic drug was targeted at the original epitope,
over time, it becomes ineffective, not because of resistance to the
mechanism of the drug, but simply because the target is no longer
valid. J. Clin. Invest., 1997, 99:1682-1690.
[0029] A method conceived to make an investigational concept like a
mixture of peptides into a drug is peptide dendrimer structures.
Peptide dendrimers solve certain manufacturing issue of soluble
peptide mixtures, in part by the promise of delivering to a patient
a consistent ratio and quantity of each of the peptides in the
mixture. This approach is schematically represented in FIG. 1C.
[0030] Dendrimers are diverse. They can range in size from 2 kDa to
greater than 100 kDa. The design of dendrimers intends to mimic two
traits of naturally occurring biological structures: a globular
structure and polyvalency. As described in two comprehensive
reviews (P. Niederhafier et al., J Peptide Sci. 11:757-788; K.
Sadler and J. P. Tam, Rev. Mol. Biotechnol., 2002, 90:195-229),
they are complex compounds that contain highly branched components
organized in a radial or wedge-like fashion, and are intended to
have an extensive three-dimensional structure. They have three
distinct structural features: a central core surface
functionalities and branching units that link the two. Peptide
dendrimers are designed as vehicles for delivery of: RNA and DNA as
gene expression therapeutics, biosensor systems as diagnostics,
inhibitors of autoimmune diseases or cancer metastasis. The
strategy behind each of these applications is to use the globular,
polyvalent structure to amplify the ligand:substrate interaction
(D. Zanini and R. Roy, J. Org. Chem., 1998, 63:3468-3491; J.
Haensler and F. C. Szoka, Bioconjug Chem., 1993, 4:372-379).
[0031] Dendrimers have been made using amino, hydroxyl, carboxy,
poly(propylenimine), silicone and polyamino amine cores (G. M.
Dykes et al., J. Chem. Technol. Biotechnol., 2001, 76:903-918, P.
Sadler and J. Jezek, Rev. Mol. Biotechnol., 2002, 80:195-229, and
J. P. Tam, Methods Org. Chemistry, 2004, Vol E22d 129-168. Peptide
dendrimers can be divided into three types: grafted peptide
dendrimers, branching polyamino acids and multiple antigen peptides
(MAPs).
[0032] The branching strategies in MAPs vary widely. The majority
of first generation branches have used lysine. Second generation
solid phase synthesis of MAPs has seen an interest in proline. The
interest is said to come from both the properties of its secondary
amine which decreases the reactivity during production, as well as
its role in many cellular functions.
[0033] Simple MAPs have been synthesized using solid phase
chemistry, with this type of synthesis strategy called divergent.
Synthesis methods have been described which involves a two-step
iterative reaction sequence producing concentric shells of
dendritic beta-alanine units covalently linked in the second step
to various functional groups (Kojima et al., Bioconjugate Chem.,
2000, 11:910-17). These types of MAPs, which are synthesized using
the divergent strategy, by necessity have simple branching schemes
with few distinct members, as the purification and characterization
are untenable with more complex MAPs. The end-product needs to be
purified away from deletion compounds having similar
characteristics to the end-product. Purifications have been
described using gel filtration chromatography, reverse phase
high-performance liquid chromatography (HPLC), or electromigration
methods.
[0034] For complex MAPs, for example, those having a multiplicity
of branching moieties, convergent synthesis is the preferred
synthesis strategy. Convergent synthesis can be performed using
either fragment condensation or ligation of the pre-purified
fragments. There are many types of ligations: natural (true peptide
bond created), thiol, hydrazone, or other. MAPs prepared using
convergent synthesis strategies are easier to purify, as the
end-product will look distinctly different from the reaction
byproducts. HPLC was first used to purify convergent MAPs (J. C.
Spetzler et al., Int. J. Pept. Protein Res., 1995, 45:78-85).
[0035] However, a high cost of manufacturing and the subsequent
analytical development precludes this technology from being further
currently developed commercially.
[0036] All of the above strategies, while recognizing the advantage
of variations in the therapeutic peptide compositions, derive from
the concept that there is one or more defined peptide sequence
evoking a defined immunological response. These strategies have
attempted to multiply and diversify modulatory peptides via the
introduction of defined, single changes performed one at a
time.
[0037] An entirely different approach which has evolved alongside
the defined sequence peptide immunotherapy approach is the use of
limited amino acid diversity, random epitope polymers. Random
sequence polymers (RSP) can be described as a random order mixture
of amino acid copolymers comprising two or more amino acid residues
in various ratios, forming copolymers by random sequence bonding,
preferably through peptide bonds, of these amino acid residues,
which mixture is useful for invoking or attenuating certain
immunological reactions when administered to a mammal. Because of
the extensive diversity of the sequence mixture, a large number of
therapeutically effective peptide sequences are likely included in
the mixture. In addition, because of the additional peptides which
may at any given time not be therapeutically effective, but may
emerge as effective as the epitope shifting and spreading occurs,
the therapeutic composition may remain effective over a time of
dosing regimen. This approach is schematically represented in FIG.
1D.
[0038] Starting in 1959 (P. H. Maurer et al., J. Immunol., 1959,
83:193-7) to 1988, (J. L. Grun, and P. H. Maurer, Immunogenetics,
1988, 28(1): 61-3) Maurer and colleagues investigated the immune
responses to poly glutamic acid and other random sequence polymers
such as those consisting of tyrosine, glutamate and alanine (YEA),
phenylalanine, glutamate and alanine (FEA), and phenylalanine,
glutamate and lysine (FEK). Teitelbaum et al., Eur. J. Immunol.,
1971, 1:242-8 was the initial report of work on random copolymer
consisting of tyrosine, glutamate, alanine and lysine, that
eventually culminated in an FDA approved therapy for multiple
sclerosis using COP-1, described below. In 1978, Germain and
Benacerraf, J. Exp. Medicine 148:1324-37, investigated suppressor T
cell responses to YEA in what was to become Benacerrafs 1980 Nobel
winning work on the role of MHC in the immune system and its
relevance to alloreactivity
(http://nobelprize.org/nobel_prizes/medicine/laureates/1980/benacerraf-le-
cture.html).
[0039] Copolymer-1 (also known as Copaxone, glatiramer acetate,
COP-1, or YEAK random copolymer), is used for the treatment of
multiple sclerosis. Random copolymers are described in
International PCT Publication Nos. WO 00/05250, WO 00/05249; WO
02/59143, WO 0027417, WO 96/32119, WO/2005/085323, in U.S. Patent
Publication Nos. 2004/003888, 2002/005546, 2003/0004099,
2003/0064915 and 2002/0037848, in U.S. Pat. Nos. 6,514,938,
5,800,808 and 5,858,964.
SUMMARY OF THE INVENTION
[0040] The instant invention comprises a process for the solid
phase synthesis of directed epitope peptide mixtures useful in the
modulation of unwanted immune responses, such process defined by a
set of rules regarding the identity and the frequency of occurrence
of amino acids that substitute a base or native amino acid of a
known epitope. A method of the instant invention uses a sequence of
a known peptide epitope as a starting point. The amino acids that
make up the epitope are sequentially modified via the introduction
of different, related amino acids defined by a set of rules. The
result is a mixture of related peptides useful in and of itself as
a therapeutic, which is described herein as a composition
comprising "directed-sequence polymers" or "DSP". Such composition
is referred to as a "DSP composition." The method of synthesizing a
DSP composition utilizes and maintains the natural order of amino
acid residues of a defined peptide sequence of a specified length.
Each amino acid position is subjected to change based on a defined
set of rules. In a preferred embodiment the amino acids is
substituted according to the methods seen in Table X of Kosiol et
al., J Theoretical Biol., 2004, 228:97-106). Alternatively, amino
acids can be changed in accordance with the exemplary substitutions
described in PCT/US2004/032598, page 10-11. For the solid phase
synthesis procedure of the instant invention, the mixture of amino
acids for a given position in the peptide is defined by a ratio one
to another. Prior to starting the synthesis, such ratio is
determined for each position along the peptide. The resulting
directed order peptide mixture comprises a multiplicity of related
peptide sequences.
[0041] The length of a DSP can be one of the original defined
sequence peptide or 30 lengths of the original defined sequence
peptide. The length of the combined sequence can be between 25 and
300 amino acids.
[0042] The percentage of alanine as compared to all of the other
amino acids in the DSP combined will always be greater than 10%,
and will not exceed 90%. Preferably, the alanine percentage is
between 20% and 80%. More preferably the percentage of alanine is
between 40% and 75%. The complexity of the mixture is greater than
5.times.10.sup.2 different peptides. Preferably the complexity of
the mixture is greater than 1.times.10.sup.10 different peptides.
More preferably the complexity of the mixture is greater than
1.times.10.sup.15 different peptides.
[0043] In some embodiments, the base peptide sequence from which
the DSP sequences are derived is selected from a group consisting
of SEQ ID NO: 1 through _ depicted in Table I.
[0044] In other embodiments, such base peptide sequence is an
epitope relevant to the pathology of an autoimmune disease selected
from the group consisting of multiple sclerosis, systemic lupus
erythematosus, type I diabetes mellitus, myasthenia gravis,
rheumatoid arthritis, and pemphigus vulgaris. More particularly,
the base peptide sequence is a partial sequence of a protein
selected from the group consisting of: (a) osteopontin, an HLA
protein, myelin oligodendrite glycoprotein, myelin basic protein
(MBP), proteolipid protein, and myelin associated glycoproteins,
S100Beta, heat shock protein alpha, beta crystallin,
myelin-associated oligodendrocytic basic protein (MOBP), 2',3'
cyclic nucleotide 3'-phosphodiesterase; (b) hsp60, hsp70, Ro60, La,
SmD, and 70-kDa U1RNP; (c) glutamic acid decarboxylase (GAD65),
insulinoma-antigen 2 (IA-2), insulin; (d) acetylcholine receptor
(AChR) .alpha.-subunit and muscle-specific receptor tyrosine kinase
(MuSK); (e) type II collagen; and (f) desmoglein 3 (Dsg3)
[0045] One aspect of the present invention is a pharmaceutical
composition comprising a DSP composition, optionally as a
pharmaceutically acceptable salt. In a preferred embodiment, such
pharmaceutical composition comprising a DSP composition, when
administered to a subject, causes a favorable modification of an
unwanted immune response in the subject desirous of such an
effect.
[0046] Another aspect of the present invention is a method of
treating unwanted immune response by administering a DSP
composition to a subject in need thereof. In preferred embodiments,
the subject is in need of such administration because of acute
inflammation, rheumatoid arthritis, transplant rejection, asthma,
inflammatory bowel disease, uveitis, restenosis, multiple
sclerosis, psoriasis, wound healing, lupus erythematosus, pemphigus
vulgaris, and any other autoimmune or inflammatory disorder that
can be recognized by one of ordinary skill in the art. In other
embodiments, the subject is in need of such administration because
of Host versus Graft Disease (HVGD) or Graft versus Host Disease
(GVHD), in the case of organ transplantation.
BRIEF DESCRIPTION OF THE DRAWINGS
[0047] FIG. 1A-D is a schematic depicting methodologies for
designing synthetic peptide-based therapeutics. Panel A: how a
peptide library is used for epitope discovery; Panel B: conceptual
steps for generating Altered Peptide Ligand-based therapeutic;
Panel C: a schematic of a dendrimer for multi-valent peptide
presentation; Panel D: random sequence polymer generation.
[0048] FIG. 2 is a schematic for conceptual steps for generating
Directed Sequence Polymers.
[0049] FIG. 3 shows the steps for preparing Directed Sequence
Polymers.
[0050] FIG. 4 shows the preferred defined substitutive rules for
directed expansion of epitope permeability.
[0051] FIG. 5 shows a generic rule structure and ranges of
substitutions of DSP synthesis.
[0052] FIG. 6 shows an example of the application of the DSP
Synthesis Rules using a mock-source peptide.
[0053] FIG. 7A-B shows an example of the application of the DSP
Synthesis Rules using myelin basic protein (a.a. residues 83-99) as
a source peptide.
[0054] FIG. 8A-C shows examples of the application of the DSP
Synthesis Rules using an HLA-derived peptide and an HLA
mimic-derived peptide as source peptides.
[0055] FIG. 9A-B shows an example of the application of the DSP
Synthesis Rules using a GAD65-derived epitope peptide as a source
peptide and applying an emprirically determined substitution
rule.
DETAILED DESCRIPTION OF THE INVENTION
[0056] It has previously been shown that mixtures of related
peptides may be therapeutically more effective than a single
peptide. Lustgarten et al., J. Immunol. 2006, 176: 1796-1805;
Quandt et al., Molec. Immunol. 2003, 40: 1075-1087. The
effectiveness of a peptide mixture as opposed to a single peptide
is the likelihood of interaction with the broadening of the
offending epitopes via the process of epitope spreading. (Immunol.
Rev. 1998, 164:241) Therefore, to increase and maintain the
effectiveness, these previous treatment modalities have been
modified. For example, a therapeutic composition based on an APL
may include multiple peptides created by the APL method in
combination with the original peptide, or other APLs. Fairchild et
al., Curr. Topics Peptide & Protein Res. 6, 2004. Each APL
would have a defined sequence, but the therapeutic composition may
be a mixture of APLs with more than one sequence. A reverse example
involving conceptually similar altered peptide ligands involves an
inventor's attempt to reduce the amount of variation created by
pathogens to avoid immune recognition (viral alteration of
immunogenic eptitopes over time, eg the creation of altered peptide
ligands), by using the very changes created by the pathogen in an
epitope sequence to create a limited diversity pool of peptides
potentially useful in vaccinations (U.S. Pat. No. 7,118,874).
[0057] There have also been approaches to improving RSP, most
notably upon COP-1. One can be seen in the work originated by
Strominger et al. (WO/2003/029276) and developed further by
Rasmussen et al. (US 2006/0194725) using RSP consisting of the
amino acids Y,F,A, and K. Other than the change in amino acid
content, the differences between the composition reside in the
length (YFAK is shorter than COP-1), and alanine content (YFAK is
suggested to have between 60-80% alanine, compared to _% of COP-1),
which show as differences in the animal model data (YFAK has better
efficacy in EAE, the animal model of multiple sclerosis). Regarding
the alanine content, Maurer (Pinchuck and Maurer, J Exp Med 122(4),
673-9, 1965) described how an EAK polymer with higher alanine
content (10-60 mole percent) produced "better antigens", and
Rasumussen et al. demonstrated that a YFAK input ratio of 1:1:1:1
was not effective in eliciting a recall response as compared to a
YFAK preparation with an input ratio of 1:1:10:6.
[0058] Another attempt at improving upon COP-1 is described in
WO/2005/032482 (the '482 publication). One interpretation of the
'482 publication is that it is an attempt to make a more specific
COP-1 by limiting the amount of diversity via the generation of
`therapeutic ordered peptides` for the treatment of multiple
sclerosis. The '482 publication builds degenerate peptide sequences
based not on actual peptide sequences, but on motifs. A preferred
motif is [EYYK], which is quite similar to the amino acid
composition of COP-1 (YEAK). The rationale for this motif teaches
that the relative value placed on the inclusion of alanine as seen
in the Maurer publication and Rasmussen et al. application
discussed above is of a lesser importance The motifs are used as
is, or can be altered by amino acid substitutions (defined on page
10-11 of the '482 publication). Much of the invention hinges on the
presence of a D-amino acid at the amino terminal of the motif.
[0059] Yet another attempt at improving upon COP-1 is disclosed in
WO/2005/074579 (the '579 publication). The application describes
complex peptide mixtures containing A,E,K and Y of a length from
8-100 residues long. The disclosure contains preferred embodiments
where the mixture also comprises AEKY, FLMY, IMQV, KRILV, FILMV,
FWEF, EK, AEK, AKY, ANY, AINV, ASV, YEFW,Y, EFIVWY, EFKQ, AEKQ,
AKQY, ANQY, AGNSY, AGINSV, AIQSV, IKRSVY, KHRV, HKR, PI, A, E, K,
AE, AK, AY, EY, KY, AEY, EKY. The disclosure also contains
diversity constraining mechanisms of defining amino acids at
certain positions rather than being chosen by the random nature of
the synthesis rules. The disclosure provides for a ratio of amino
acids one to another for the AEKY mixture as being similar to COP-1
at 1:1:6:3 YEAK.
[0060] The drawback of the these approaches is the undefined nature
of what is effective in each motif, and quite possibly a large
proportion of the peptides in the mixture may be inactive, lowering
the concentration of the active components, or worse, adversely
stimulating the immune system. Additionally, these compounds are
difficult to manufacture and to obtain consistency from lot to
lot.
[0061] Still another attempt at improving upon COP-1 can be seen in
Strominger's efforts to design distinct, single 15mer peptide
sequences who's amino acid composition resembles that of COP-1 and
COP-1 related random sequence polymers. These single sequence fixed
peptides were designed to increase an ability to compete for
HLA-DR2 binding with the native myelin basic protein (MBP) peptide
85-99 (Stem et al., roc. Nat. Acad. Sci. USA, 102:1620-25). The
drawback of this technology lies in the very nature of the attempt
to determine discrete substitutes for the randomness that COP-1
encompasses.
[0062] The instant invention draws out the most useful properties
of the previous treatment modalities yet removes the limitations of
each. The instant invention utilizes: (1) the specific immunologic
relevance of a defined epitope peptide, (2) the modulatory
properties of an APL, (3) the multivalency of MAPs, (4) and the
alanine content from RSP to generate a directed expansion via
alteration and degeneration of epitope permeability that forms a
complex yet directed peptide library useful for delivery as a
therapeutic. The approach is schematically represented in FIG.
2.
[0063] The instant invention relates to a "Directed Sequence
Polymer" (DSP). A DSP is a peptide having a sequence derived from a
base peptide sequence, which may be but not limited to a native
epitope associated with an unwanted immune response. A DSP has one
or more amino acid residue that differs from that of the base
peptide sequence, the substitution of which is determined by a
defined rule. A DSP composition comprising multiple DSPs is
synthesized by applying a set of synthesis rules that define the
amino acid variations and the ratio of occurrence of introduction
of such amino acid residues at any given position of the sequence
to the base peptide sequence. Thus, a DSP is not synthesized as a
single peptide, but is always synthesized as part of a composition
comprising multiple related DSPs, the overall mixture of which is
reproducible and consistent with the rules of synthesis that were
applied. The schematic for the steps for creating a DSP
composition, starting from the choice of a base peptide, is shown
in FIG. 3.
I. Base Peptide Sequences
[0064] To create a meaningful DSP composition, one first needs to
define the base peptide sequence to derive the DSPs from. The base
peptide sequences can be derived in many ways. A peptide sequence
useful for this purpose is a peptide sequence related to immune
response in a mammal. These peptide sequences are, for example,
partial sequences of certain heat shock proteins as an epitope, HLA
derived peptide ligand sequences, organ-derived peptide sequences,
and empirically derived peptide sequences, such as through
screening of library created by a combinatory chemistry. Heat Shock
Protein-derived base peptide sequences.
[0065] A source of epitope sequence may be derived from heat shock
proteins of any source or with the pathogen-derived mimic of a
sequence within a mammalian heat shock protein (hsp). Mammalian
heat shock proteins such as HSP-60 (Swiss-Prot primary accession
number P10809), HSP-70 (Swiss-Prot primary accession number
P08107), HSP-90 alpha (Swiss-Prot accession number P07900), HSP-90
beta (Swiss-Prot accession number P08238), or any protein having
75% homology to each are examples. Bacterial homologues of
mammalian heat shock proteins include mycobacterial hsp65
(belonging to the hsp60 family)
[0066] Heat shock proteins as cellular chaperones that are known to
be upregulated in response to stress signals have a high degree of
potential pathophysiological disease mechanism involvement. Hsp,
the peptides that derive from them, and their cross-species mimics
have been implicated in central nervous system disease such as
schizophrenia and multiple sclerosis (Schwarz et al., Am. J.
Psychiatry, 1999, 156:1103-4; Battistine et al., Mol. Medicine,
1995, 1:554-62), atherosclerosis (Benagiano, et al., J. Immunol.,
2005, 174:6509-17), rheumatoid arthritis (Anderton et al., J. Exp.
Med., 1995, 181:943-52; van Roon et al., J. Clin. Invest., 1997,
100:459-63; Quintana et al., J. Immunol., 2003, 171:3533-41),
systemic lupus erythematosus (Minota et al., J. Exp. Med., 1988,
168:1475-80), and diabetes (Raz et al., Lancet 358:1749-53).
HLA Derived Base Peptide Sequences
[0067] Immunologically relevant in a transplantation setting, HLA
represent a large percentage of proteins to which recipient
antibodies are directed. The gene products of HLA are seen to
function as transplantation antigens. For example, studies
analyzing the occurrence of acute graft versus host disease (GVHD)
in relation to mismatched HLA alleles implicate the roles of
HLA-DRB1 and HLA-DQB1 disparity between the donor and the recipient
of a graft. Petersdorf et al., Proc. Nat. Acad. Sci. USA, 1996, 93:
15358-15363. Conversely, multiple examples of MHC-derived peptides
have been reported as useful for immunotherapy. A study indicates
that a large percentage of peptides bound to MHC on resting antigen
presenting cells are MHC derived, leading to postulation that,
other than functioning as stabilizers for the MHC heterodimers,
these peptides may have roles in immunomodulation by competing with
antigenic peptides, thereby increasing the threshold for antigenic
stimulation. Murphy et al., J. Am. Soc. Nephrol., 2003,
14:1053-1065. Peptides derived from Class II MHC are indeed
reported to act as T-cell regulatory factors. (LeGuem, Trends
Immunol., 2003, 24:633-638). Further, synthetic peptides from a
conserved region of class II MHC was able to mediate APC apoptosis
and T cell hyporesponsiveness. Murphy, ibid. Elsewhere, a peptide
derived from the predicted alpha helical domain of class II bound
to I-Ak and inhibited antigen-dependent T-cell activation. Williams
et al., Immunol. Res., 1992, 11:11-23. Peptides derived from Class
I MHC are reported to exert effects on the immune system through
various mechanisms, such as anergy, deletion, immune deviation,
cell cycle prevention, disruption of antigen presentation, and
inhibition of T cell activation. Murphy and Krensky, J. Am. Soc.
Nephrol., 1999, 10:1346-1355.
[0068] Therefore, attenuating the immunological response to MHC is
expected to reduce the severity and occurrence of GVHD. The above
examples in the art showed the immunomodulatory effects using
peptides having various contiguous amino acid sequences of HLA
molecules. DSP based on the amino acid composition of HLA are
expected to overcome such shortcomings and function as broadly
relevant immunomodulators.
[0069] In an embodiment of the present invention, one or more
epitopes comprising a mature HLA molecule are incorporated into the
DSP. In another embodiment, one or more epitopes comprising the
beta sheet of HLA are incorporated into the DSP. Synthetic peptides
derived from the beta sheet of HLA-B7 have been shown to be
immunodominant T-cell epitopes regulating alloresponses in GVHD.
Freese and Zavazava (2002) Blood 99:3286-3292. These HLA-B7 derived
allopeptides interfered with T cell mediated cytotoxicity targeted
to HLA-B7 in vitro, and HLA-A2 derived allopeptides interfered with
the cytotoxicity targeted to HLA-A2 in vitro, indicating
allospecificity of these peptides.
[0070] Examples of amino acid compositions of HLA are provided
herein. Known amino acid sequences of HLA proteins were obtained
from GenBank and Swiss-Prot/trEMBL and were analyzed by using the
ProtScale functions of ExPASy found at
http://ca.expasy.org/cgi-bin/protscale.pl. Exemplary HLA sequences
are GenBank Accession No. AAA36281, AAC02715, P01903 (alpha chain
precursor), AAA17992, AAA59622 (heavy chain precursor), and
AAA76608.
Organ Derived Base Peptide Sequences
[0071] A further category of derivation epitopes that may be useful
for inducing tolerance are antigens derived from an organ to be
transplanted itself. "Organ derived epitopes," as defined herein,
are: peptide epitopes comprising organ-specific proteins. These
proteins are potentially important as antigens in a context of
organ transplant. For example, it has been shown that donor
allopeptides are continuously shed from grafts, resulting in
indirect recognition of such donor allopeptides by the recipient T
cells. This results in chronic organ transplant rejection and
prevents sustained chimerism. For example, in cardiac allografts,
chronic rejection is manifested as a diffuse and accelerated form
of atherosclerosis, termed cardiac allograft vasculopathy. Lee et
al. Proc. Nat. Acad. Sci. USA, 2001, 98: 3276-3281. Perhaps
invoking the similar mechanism as that used by the MHC derived
peptides, peptides derived from the transplanted organ may induce
sustained chimerism by preventing the stimulation of immune
response by the transplantation. The suppression of immunologic
reaction to such allopeptide may contribute to preventing chronic
rejection and aid to achieve sustained chimerism.
[0072] Hence, in another embodiment of the present invention, one
or more epitopes comprising the organ-derived proteins of the organ
subject to transplantation.
[0073] Other relevant organ-derived DSP may include the epitopes of
proteins considered to be organ-specific. A DSP suitable for
alleviating the immune reaction to transplantation of an organ and
promoting sustained chimerism is designed based on the epitopes of
organ-specific proteins for the organ being transplanted.
[0074] Liver: Organ specific antigens for liver includes bile salt
export pump (GenBank accession number O95342), which is considered
to be predominantly expressed on liver cells.
[0075] Heart: An example of a protein found specifically in heart
is Atrial natriuteric peptide-converting enzyme (pro-ANP-converting
enzyme) (Corin) (Heart specific serine proteinase ATC2) (Swiss-Prot
Accession No. Q9Y5Q5).
[0076] Pancreas: An example of an organ-specific protein for human
pancreas is carboxypeptidase B1 (GenBank Accession No.
32880163).
[0077] Kidney: An example of an organ-specific protein for kidney
is chloride channel ClC-6c (GenBank Accession No. 1770380).
[0078] Spleen: An example of spleen specific protein is Spleen
tyrosine kinase (SYK) (Swiss-Prot Accession No. P43405).
[0079] Lung: An example of lung specific protein is Plunc (Palate
lung and nasal epithelium clone protein) (Lung specific X
protein)(GenBank Accession No. 9801236).
Empirically Derived Base Peptide Sequences
[0080] As described in the above sections, peptide sequences with
some significance to a disease state or an adverse reaction may be
identified through experimental investigation of a relevant
epitope. These sequences may include non-naturally occurring
peptide sequences that proved to be useful in treating a disease or
a condition, an example found in the international patent
application publication WO 2006/031727, U.S. Pat. No. 6,930,168 and
the related scientific publication Stem et al., Proc. Nat. Acad.
Sci. USA, 2005, 102:1620-25.
[0081] Further, epitopes are empirically determined by identifying
candidate sequences by positional scanning of synthetic
combinatorial peptide libraries (see, for example, D. Wilson et
al., above; R. Houghten et al., above; Hernandez et al., Eur J.
Immunol., 2004, 34:2331-41), or by making overlapping peptide
sequences of the entire protein of interest, and testing those
peptides for immune reactivity (using, for example, any readout
assay useful for such purposes, described in Current Protocols in
Immunology Edited by John E Coligan, Ada M Kruisbeek, David H
Margulies, Ethan M Shevach, Warren Strober NIH, John Wiley &
Sons) in an in vitro or in vivo assay system appropriate for the
disease and species the epitope is sought for. For example, for the
design of a multiple sclerosis drug, an example of an appropriate
system uses cells that derive from human subjects with MS.
[0082] After identifying a candidate epitope, a probable set of
additional related epitopes are generated using modeling and
prediction algorithms described in readily available references,
for example WO 2000/042559, align and analyze the predicted binding
of these probable epitopes using available prediction methods
described in, for example, WO 2005/103679, WO 2002/073193 and WO
99/45954. Selecting from the peptides having the highest predicted
activity/binding, take 40% of the predicted sequences and acquire
the percentage of any given amino acid at each position. Use those
percentages to create the rules for amino acid incorporation into a
DSP synthesis.
Other Sources of Base Peptide Sequences
[0083] In addition to methodology and results described in the
above sections, epitope sequences may be used as base peptide
sequences, that are identified and included in the Immune Epitope
Database, (available at http://www.immuneepitope.org/home.do, led
by Alex Sette funded by the National Institute of Allergy and
Infectious Diseases of the National Institute of Health, USA) or
any sequences identified by processes performed and disclosed by
commercial entities such as Mixtures Sciences of San Diego, or by
Algonomics of Ghent Belgium.
[0084] Examples of epitopes identified as part of a naturally
occurring, full length protein or synthetic peptides that were
identified to have similar activities as such epitopes are shown in
the table below.
TABLE-US-00001 TABLE I Examples of epitopes Source/ Representative
Original SEQ ID Disease Peptide Sequence Protein Residue Number ref
NO: Myasthenia KSYCEIIVTHFPFDEQNCSMK AChR a125-163, a256-269 35 1
gravis LGTWTYDGSVVATNPESD MKSDQESNNAAAEWKYVAM AChR a386-411, h 35 2
VMDHILL Rheumatoid FKGEQGPK Type II 263-270 38 3 Arthritis Collagen
PKGQTGEBGIAGFKGEQGPK Type II 251-270 38 4 Collagen
GEBGIAGFKGEQGPKGEBGP Type II 256-276 38 5 A Collagen Multiple
EVGELSRGKLYSLGNGRWM CNPase 343-373 5 6 sclerosis LTLAKNMEVRAI
GNGRWMLTLAKNMEVRAIFT CNPase 356-388 5 7 GYYGKGKPVPTQG ASQKRPSQRH
MBP 1-10 8 LSRFSWGAEGQRPGFGYGG MBP 111-129 5 9 ASDYKSAHKGFKGVD MBP
131-145 10 ASDYKSAHKGLKGVDAQGTL MBP 131-155 5 11 SKIFK
KYLATASTMDHARHGFLPRH MBP 13-32 5 12 KGFKGVDAQGTLSKI MBP 139-153 49
13 AQGTLSKIFKLGGRDSRSGS MBP 146-170 5 14 P-MARR GTLSKIFKLGGRDSR MBP
148-162 49 15 SHGRTQDENPWHFFK MBP 76-91 49 16 YGRTQDENPVVHFFKNIVTP
MBP 80-103 49 17 RTPPP ENPVVHFFKNIVTPRTP MBP 83-99 5 18
DENPVVHFFKNIVTPRTPP MBP 84-102 49 19 ENPVVHFFKNIVTPR MBP 85-99 49
20 VVHFFKNIVTPRTPPPSQGK MBP 86-105 49 21 EKAKYEAYKAAAAAA Empirical
1 205 FSIHCCPPFTFNNSKKEIV MOBP 21-39 5 22 FLNSKKEIVDRKYSICKSG MOBP
31-49 5 23 CQFRVIGPRHPIRALVGDEV MOG 1-20 5 24 PIRALVGDEVELPCRISPGK
MOG 11-30 5 25 ELPCRISPGKNATGMEVGWY MOG 21-40 5 26
MEVGWYRPPFSRVVHLYRN MOG 35-55 5 27 GK HSLGKWLGHPDKF PLP 139-151 28
HCLGKWLGHPDKFVGI PLP 139-154 5 29 NTWTTCQSIAFPSKTSASIG PLP 178-197
5 30 SKTSASIGSLCADARMYGVL PLP 190-209 5 31 GFYTTGAVRQIFGDYKTT PLP
89-106 5 32 Penphigus REWVKFAKPCRE Dsg3 49-60 8 33 vulgaris
QATQKITYRISGVGIDQ Dsg3 78-94 45 34 PFGIFVVDKNTGDINIT Dsg3 96-112 45
35 HLNSKIAFKIVSQEPAG Dsg3 189-205 45 36 GTPMFLLSRNTGEVRTL Dsg3
205-221 45 37 QCECNIKVKDVNDNFPM Dsg3 250-266 45 38
SVKLSIAVKNKAEFHQS Dsg3 342-358 45 39 NVREGIAFRPASKTFTV Dsg3 376-392
45 40 RDSTFIVNKTITAEVLA Dsg3 483-499 45 41 SARTLNNRYTGPYTF Dsg3
512-526 48 42 QSGTMRTRHSTGGTN Dsg3 762-786 48 43 Insulin
AALGIGTDSVILIKCDERGK GAD65 10 44 Dependent Diabetes
AFTSEHSHFSLKKGAAALGI GAD65 10 45 ATHQDIDFLIEEIERLGQDL GAD65 10 46
AVRPLWVRME GAD65 46 47 AYVRPLWVRME GAD65 46 48 CGRHVDVFKLWLMWRAKGT
GAD65 10 49 TG DERGKMIPSDLERRILEAKQ GAD65 10 50
DICKKYKIWMHVDAAWGGGLL GAD65 10 51 MS DMVGLAADWLTSTANTNMFT GAD65 10
52 EEILMHCQTTLKYAIKTGHP GAD65 10 53 ELLQEYNWELADQPQNLEEIL GAD65 10
54 M ERANSVTWNPHKMMGVPLQ GAD65 10 55 C EYGTTMVSYQPLGDKVNFFR GAD65
10 56 EYLYNIIKNREGYEMVFDGK GAD65 10 57 EYVTLKKMREIIGWPGGSGD GAD65
10 58 GGSGDGIFSPGGAISNMYAM GAD65 10 59 GLLMSRKHKWKLSGVERANS GAD65
10 60 GSGDSENPGTARAWCQVAQK GAD65 10 61 FTG HATDLLPACDGERPTLAFLQ
GAD65 10 62 IPPSLRTLEDNEERMSRLSK GAD65 10 63 KGTTGFEAHVDKCLELAEYL
GAD65 10 64 YN KHYDLSYDTGDKALQCGRHV GAD65 10 65
KPCSCSKVDVNYAFLHATDL GAD65 10 66 KTGHPRYFNQLSTGLDMVGL GAD65 10 67
KVAPVIKARMME GAD65 46 68 KVAPVWVARMME GAD65 46 69 KVAPVWVRME GAD65
46 70 LAFLQDVMNILLQYVVKSFDR GAD65 10 71 S LEAKQKGFVPFLVSATAGTT
GAD65 10 72 LLYGDAEKPAESGGSQPPRA GAD65 10 73 LSKVAPVIKARMMEYG GAD65
526-541 46 74 MASPGSGFWSFGSEDGSGDS GAD65 10 75 NMYAMMIARFKMFPEVKEKG
GAD65 10 76 PEVKEKGMAALPRLIAFTSE GAD65 10 77 QHRPLWVRME GAD65 46 78
QKFTGGIGIGNKLCALLYGD GAD65 10 79 QNCNQMHASYLFQQDKHYD GAD65 10 80 L
QPPRAAARKAACACDQKPC GAD65 10 81 SC RTRPLWVRME GAD65 46 82
RVLPLWVRME GAD65 46 83 SFDRSTKVIDFHYPNELLQE GAD65 10 84
SRLSKVAPVIKARMMEYGTT GAD65 524-543 46 85 TAGTTVYGAFDPLLAVADICK K
GAD65 10 86 TNMFTYEIAPVFVLLEYVTL GAD65 10 87 VFDGKPQHTMVCKWYIPPSL
GAD65 10 88 VNFFRMVISMPAATHQDIDF GAD65 10 89 VPLQCSALLVREEGLMQNCNQ
GAD65 10 90 YTLPLWVRME GAD65 46 91 systemic lupus
QCSDISTKQMFKAVSEVCRI human 101-125 28 92 erythematosus PTHL Ro60
ETEKLLKYLEAVEKVKRTRDE human 221-245 28 93 LEVI Ro60
KARIHPFHILIALETYKTGH hRo60 316-335 15 94 FKTVEPTGKRFLLAVDVSAS human
361-385 28 95 MNQRV Ro60 MNQRVLGSILNASTVAAAMCI human 381-405 28 96
KALDA Ro60 PCPVTTDMTLQQVLMAMSQI human 421-445 28 97 PAGGT Ro60
PAGGTDCSLPMIWAQKTNTP hRo60 441-465 15 98 ADVFI KTNTPADVFIVFTDNETFAG
human 456-475 28 99 Ro60 MAALEAKICHQIEYYF La/SSB 10-25 20 100
DEYKNDVKNRSVYIKGFPTD La/SSB 102-127 20 101 ATLDDI RSVYIKGFPTDATLDD
La/SSB 111-126 20 102 TLDDIKEWLEDKGQVL La/SSB 123-138 20 103
WLEDKGQVLNIQMRRT La/SSB 130-145 20 104 KGQVLNIQMRRTLHKAFKGSI La/SSB
134-169 20 105 FVVFDSIESAKKFVE MRRTLHKAFKGSIFVV La/SSB 142-157 20
106 SIFVVFDSIESAKKFV La/SSB 153-168 20 107 VVFDSIESAKKFVETP La/SSB
156-171 20 108 SIESAKKFVETPGQKY La/SSB 160-175 20 109
TDLLILFKDDYFAKKNE La/SSB 178-194 20 110 ILFKDDYFAKKNEERK La/SSB
182-197 20 111 CHQIEYYFGDFNLPRDKFLK La/SSB 18-37 20 112
EEDAEMKSLEEKIGCL La/SSB 218-233 20 113 LEEKIGCLLKFSGDLD La/SSB
226-241 20 114 YYFGDFNLPRDKFLKE La/SSB 23-38 20 115
SNHGEIKWIDFVRGAK La/SSB 254-269 20 116 GEIKWIDFVRGAKEGI La/SSB
257-272 20 117 ALKGKAKDANNGLNQLR La/SSB 282-297 20 118
FNLPRDKFLKEQIKLD La/SSB 28-43 20 119 AKDANNGNLQLRNKEV La/SSB
286-301 20 120 LQLRNKEVTWELVEGE La/SSB 294-309 20 121
NKEVTWELVEGEVEKE La/SSB 298-313 20 122 EGEVEKEALKKIIEDQ La/SSB
307-322 20 123 EKEALKKIIEDQQESL La/SSB 311-326 20 124
RDKFLKEQIKLDEGWV La/SSB 32-47 20 125 GKGKGNKAAQPGSGKG La/SSB
338-353 20 126 GSKGKGKVQFQGKKTK La/SSB 349-363 20 127
FQGKKTKFASDDEHDE La/SSB 357-372 20 128 DENGATGPVKRAREET La/SSB
377-389 20 129 EETDKEEPASKQQKTE La/SSB 387-402 20 130
GWVPLEIMIKFNRLNRLTTDF La/SSB 45-67 20 131 NV PLEIMIKFNRLNRLTT
La/SSB 48-63 20 132 IMIKFNRLNRLTTDFN La/SSB 51-66 20 133
KFNRLNRLTTDFNVIV La/SSB 54-69 20 134 DFNVIVEALSKSKAEL La/SSB 64-79
20 135 LSKSKAELMEISEDKT La/SSB 72-87 20 136 SKAELMEISEDKTKIR La/SSB
75-90 20 137 RRSPSKPLPEVTDEY La/SSB 89-104 20 138 PSKPLPEVTDEYKNDV
La/SSB 93-108 20 139 KFGADARALMLQGVDLLADA human 31-50 34 140 HSP60
autoimmunity LKVGLQVVAVKAPGF human 291-305 12 141 in general HSP60
GGAVFGEEGLTLNLE human 321-335 12 142 HSP60 TLNLEDVQPHDLGKV human
331-345 12 143 HSP60 VGAATEIEMKEKKDR human 381-395 12 144 HSP60
VGGTSDVEVNEKKDR human 406-420 12 145 HSP60 IVLGGGCALLRCIPA human
436-450 12 146 HSP60 VLGGGVALLRVIPALDSLTPA human 437-460 36 147 NED
HSP60 GCALLRCIPALDSLT human 441-455 12 148 HSP60 RCIPALDSLTPANED
human 446-460 12 149 HSP60 EIIKRTLKIPAMTIA human 446-480 12 150
HSP60 VEKIMQSSSEVGYDA human 491-505 12 151 HSP60 MAGDFVNMVEKGIID
human 506-520 12 152 HSP60 VNMVEKGIIDPTKVV human 511-525 12 153
HSP60 VAVTMGPKGRTVIIE human 51-65 12 154 HSP60 KGIIDPTKVVRTALL
human 516-530 12 155 HSP60 PTKWRTALLDAAGV human 521-535 12 156
HSP60 ASLLTTAEWVTEIP human 536-550 12 157 HSP60 GETRKVKAH HLA-A2
62-70 18 158 RKVKAHSQTHRVDLG HLA-A2 65-79 18 159 RVDLGTLRGYYNQSE
HLA-A2 75-89 18 160 DGRLLRGHDQYAYDG HLA-B7 106-120 18 161
GPEYWDRNTQIYKA HLA-B7 56-69 18 162 WDRNTQIYKAQAQTDR HLA-B7 60-75 18
163 RNTQIYKAQ HLA-B7 62-70 18 164 RESLRNLRGYYNQSE HLA-B7 75-89 18
165 GSHTLQSMYGCDVGP HLA-B7 91-105 18 166 LNEDLRSWTAAD HLA-B7
150-161 19 167 LNEDLRSWTAABTAA HLA-B7 150-164 19 168 DKGQVLNIQ
HLA-DQ2 133-142 20 169 LEDKGQVLNIQMRR HLA-DQ2 131-144 20 170
AFKGSIFVVFDSIE HLA-DQ2 149-162 20 171 ESAKKFVET HLA-DQ2 162-170 20
172 IESAKKFVETPGQK HLA-DQ2 161-174 20 173 AKDANNGNLQLR HLA-DQ2
286-297 20 174 EALKKIIED HLA-DQ2 311-324 20 175 EQIKLDEGW HLA-DQ2
36-47 20 176 LKEQIKLDEGWV HLA-DQ2 36-47 20 177 AELMEISED HLA-DQ2
75-87 20 178 SKAELMEISEDKT HLA-DQ2 75-87 20 179 KGSIFWFD HLA-
149-162 20 180 DQ2, DQ7 AKDANNGNLQLRNK HLA 286-299 20 181 DQ2,
DQ7 DANNGNLQL HLA- 288-299 20 182 DQ2, DQ7 IVEALSKSKAEL HLA 66-80
20 183 DQ2, DQ7 AFKGSIFVVFDSI HLA-DQ7 149-161 20 184 GSIFVVFDSIESAK
HLA-DQ7 152-165 20 185 IFWFDSIESAKKF HLA-DQ7 154-167 20 186
WFDSIESA HLA-DQ7 154-167 20 187 ELMEISEDKTKIR HLA-DQ7 78-90 20 188
EALYLVCGE HLA-DQ8 35-47 20 189
II. Rules of Synthesis for Directed Sequence Polymers
[0085] Steps in the creation of a DSP sequentially encompass the
following
[0086] (a) Identify a protein having known or believed association
with a pathology.
[0087] (b) Select from within the protein a peptide or peptides,
each having a fixed sequence, that are associated with the
pathology and immunologically relevant. If no peptides have been
described, then peptides useful in the treatment of the pathology
of interest are created. One exemplary method is to create a
library of peptides that collectively span the entire length of the
protein of interest. This may be done by, for example, partial
endopeptidase digestion or by peptide synthesis. The library is
screened for immunologically relevant peptides using appropriate
detection methods such as binding affinity determination using
antibodies detected in the sera of patients with the target
pathology. The peptides may be further examined for immunogenicity
useful for the treatment of the pathology in an in vitro or in vivo
experimental system.
[0088] (c) the amino acid substitutions are decided based on either
of two sets of rules, defined or empirical and are set forth
below;
[0089] (d) Solid phase synthesis of DSP according to the rules is
performed, and pharmaceutically acceptable formulation the DSP is
delivered as a therapeutic.
[0090] The rules of synthesis for a composition comprising DSPs are
outlined below. Briefly, a DSP may be envisioned as a polypeptide
having a defined length that is either the same length as or
multiples of the length of the base peptide sequence. For each
residue position of the base peptide sequence, one or more
substitute residue is defined. The rule of synthesis defines the
ratio among the original base peptide residue for that position,
the first substitute residue, the second substitute residue, the
third substitute residue, and an alanine, to occupy any given
residue position.
[0091] The substitute residues are defined according either: (1) to
a rational comparison and finding of similarities of relevant
characteristics of the original residue with those of the
substitute residue or (2) to a comparison of reported experimental
results on the relative activities of actual peptides having slight
variations from the base sequence. The substitute residues defined
in either of these two approaches are termed "conserved
substitution" herein.
[0092] An example of a rational comparison and findings of
similarity is the methods described by Kosiol et al., J.
Theoretical Biol., 2004, 228:97-106. Amino acids are grouped
together in a matrix, referred therein as PAM replacement matrix.
FIG. 4 is a table showing the amino acid similarity and grouping,
according to Kosiol, based on the characteristics of the residues
such as size, charge, hydrophobicity, etc., as shown in Table X of
the reference. In FIG. 4, amino acids grouped together are
considered interchangeable, with high likelihood of retaining
characteristics common among the group,
[0093] A comparison of experimental results showing the relative
activities of peptides having slight variations from the base
sequence can also be used as a basis for the rule for substitution.
The sequences of the peptides responsible for observed changes are
aligned and the type and percent presence of the new amino acid are
noted. If there is more than one amino acid substitution at any
given position of the peptide, the frequency of occurrence of an
amino acid and the magnitude of activity change compared to the
original sequence are taken into account to determine the order of
prevalent substitution. Examples of the overall process leading up
to the rule generation for DSP synthesis can be found using
libraries (Molec. Immunol. 40:1047-1055; Molec. Immunol.
40:1063-74; J Autoimmunity 20:199-201; and J Immunol 163:6424-34),
by making altered peptide ligands of overlapping peptides
representing the entire protein of interest (Atkinson et al., J.
Clin. Invest. 94:2125-29; Meini et al., J. Clin. Invest.
92:2633-43) or de novo (U.S. Pat. Nos. 7,058,515; 6,376,246;
6,368,861; 7,024,312; 6,376,246; 7,024,312; 6,961,664; 6,917,882).
Briefly, a cellular material of interest is chosen as the assay
system to rank the immunoreactivity of the peptides to be
interrogated. Such an assay system can be either an in vitro or in
vivo system, and can comprise adaptive or innate immune reactivity.
Readouts for the assay system can be the up- or down-regulation of
the status of the activation state of a protein, a change in the
localization of a protein, the expression of the mRNA encoding for
the protein, the relative concentration of a protein, changes in
the generation of specific cell types, changes in cellular
phenotype, changes in cellular activation, changes in cell number,
changes in organ size or function, changes in animal behavior or
phenotype. Once the assay or assays are performed the results are
analyzed to determine the prevalence of any particular amino acid
as a conserved substitution. If more than three residues in a given
position within the peptide sequence are identified as generating a
change in immunologic function, the top three residues first by
frequency of representation in the interrogated peptides, and
second by the magnitude of changes elicited. Once chosen, the
relative amounts of the residues are defined. As depicted in FIG.
5, each cassette, "y", has a set of amino acid ratios one to
another that have a range of about 0-100 for the base (a), the
primary change (b), the secondary change (c), and the tertiary
change (d), whereas alanine (e) has a ratio of about 5-1000. The
rules for the DSP synthesis continue with the combination of the
cassettes in the order prescribed. The same block can be repeated
either sequentially or separated by another block. On either side
of the cassette sequence are N- and C-terminal modifiers. The
number of cassettes is dictated by the requirements of the end
length of the DSP which is required to be longer than 25 amino
acids and shorter than 300 amino acids.
[0094] As described in FIG. 6, the instant invention envisions
multiple epitopes to be defined as separate cassettes and
synthesized sequentially. Cassette ratios within the same DSP may
have different ratios of amino acids. Further, if there is less
than three non-alanine amino acid substitutions, the percentage of
the `missing` substitution is added to the base sequence. Further,
a cassette may be placed in any order with multiple appearances in
the overall DSP synthesis. The N- and C-terminal Modifications
reside prior to and after the entirety of the DSP cassettes
respectively. As seen in FIG. 7A, a single base peptide sequence
may have more than one ratio defined as a separate cassette in this
example y.sub.1, y.sub.2, and y.sub.3. The individual cassettes can
be placed in any order with multiple appearances in the overall DSP
synthesis as seen in FIG. 7B. The synthesis rules seen in FIGS. 8A
and 8B describe a DSP of the instant invention having portions of a
single base peptide sequence with more than one ratio defined as a
separate cassette.
[0095] FIG. 9 demonstrates how the instant invention envisions
empirically derived ratios of amino acids at a particular position.
The example uses data derived from a T cell activation assay using
diabetogenic T cells derived from transgenic NOD.BCD2.5 mice (J.
Immunol. 166:908-17; J Autoimmunity 20:199-201). The cells re
interrogated with a combinatorial decamer library which resulted in
a number of different peptides with inhibitory activity. The
peptides with the highest activity were used to generate the amino
acids at each position, as well as the ratio of different amino
acids one to another.
[0096] A cassette may be repeated more than once. After a desired
number of multiples of the cassette, if the desired length of the
DSP is not yet reached, the DSP sequence is further defined by
applying the same process, possibly using different ratio among the
original, substitute, second substitute, and alanine residues.
[0097] N or C-terminal DSP modifiers may be added to the synthesis
rules. The purpose of such modifiers include but are not limited to
enhancing binding to specific proteins as in the case of RDG-based
amino acid sequences (U.S. Pat. Nos. 5,773,412; 5,770,565) used as
targeting moieties, or peptides that are known to bind to a wide
array of HLA-DR species, such as AKAVAAWTLK AAA (U.S. App. Pub. No.
2006/0018915) as a DR-targeting moiety. Such modifiers may include
moieties which enhance complexation to delivery systems including
sustained release delivery systems. Modifiers can be resorbable
matrix constructs/synthesizable backbones such as PLGA. Modifiers
can be protease resistant moieties such as D-amino acids.
[0098] Thus, for any given base peptide sequence, a set of
synthesis rules is applied to yield a composition comprising
reproducible, consistent mixture of DSPs.
III. Peptide Synthesis Methods
[0099] Any known solid phase synthesis appropriate for peptide
synthesis may be used to synthesize a composition comprising DSPs,
for example as originally described by Merrifield (J. Am. Chem.
Soc., 1963, 85:2149) and any variation thereof. More specifically,
the synthesis is done in multiple steps by the Solid Phase Peptide
Synthesis (SPPS) approach using Fmoc protected amino acids. SPPS is
based on sequential addition of protected amino acid derivatives,
with side chain protection where appropriate, to a polymeric
support (bead). The base-labile Fmoc group is used for
N-protection. After removing the protecting group (via piperidine
hydrolysis) the next amino acid mixture is added using a coupling
reagent (TBTU). After the final amino acid is coupled, the
N-terminus is acetylated.
[0100] The resulting peptides (attached to the polymeric support
through its C-terminus) are cleaved with TFA to yield the crude
peptide. During this cleavage step, all of the side chains
protecting groups are also cleaved. After precipitation with
diisopropyl ether, the solid is filtered and dried. The resulting
peptides are analyzed and stored at 2-8.degree. C.
[0101] Additionally, any peptide synthesis method that allows
synthesis incorporating more than one amino acid species at a
controlled ratio in any given position of the peptide sequence is
suitable for use with this invention. Further, as described below,
DSPs may be peptidomimetics or include unnatural or modified amino
acid, necessitating the adaptation to allow addition of such
chemical species to the polymers synthesized up to that point.
[0102] The synthesis may include unnatural amino acids, or amino
acid analogs. In some embodiments, the DSPs are comprised of
naturally occurring and synthetic derivatives, for example,
selenocysteine. Amino acids further include amino acid analogs. An
amino acid "analog" is a chemically related form of the amino acid
having a different configuration, for example, an isomer, or a
D-configuration rather than an L-configuration, or an organic
molecule with the approximate size and shape of the amino acid, or
an amino acid with modification to the atoms that are involved in
the peptide bond, so as to be protease resistant when polymerized
in a polypeptide.
[0103] The DSPs for use in the present invention can be composed of
L- or D-amino acids or mixtures thereof. As is known by those of
skill in the art, L-amino acids occur in most natural proteins.
However, D-amino acids are commercially available and can be
substituted for some or all of the amino acids used to make DSPs of
the present invention. The present invention contemplates DSPs
containing both D- and L-amino acids, as well as DSPs consisting
essentially of either L- or D-amino acids.
[0104] In certain embodiments, the DSPs of the present invention
include such linear DSPs that are further modified by substituting
or appending different chemical moieties. In one embodiment, such
modification is at a residue location and in an amount sufficient
to inhibit proteolytic degradation of the DSPs in a subject. For
example, the amino acid modification may be the presence in the
sequence of at least one proline residue; the residue is present in
at least one of carboxy- and amino termini; further, the proline
can be present within four residues of at least one of the carboxy-
and amino-termini. Further, the amino acid modification may be the
presence of a D-amino acid.
[0105] In certain embodiments, the subject DSPs is a
peptidomimetic. Peptidomimetics are compounds based on, or derived
from, peptides and proteins. The DSP peptidomimetics of the present
invention typically can be obtained by structural modification of
one or more native amino acid residues, e.g., using one or more
unnatural amino acids, conformational restraints, isosteric
replacement, and the like. The subject peptidomimetics constitute
the continuum of structural space between peptides and non-peptide
synthetic structures.
[0106] Such peptidomimetics can have such attributes as being
non-hydrolyzable (e.g., increased stability against proteases or
other physiological conditions which degrade the corresponding
peptide DSPS), increased specificity and/or potency. For
illustrative purposes, peptide analogs of the present invention can
be generated using, for example, benzodiazepines (e.g., see
Freidinger et al. in "Peptides: Chemistry and Biology," G. R.
Marshall ed., ESCOM Publisher: Leiden, Netherlands, 1988),
substituted gamma lactam rings (Garvey et al. in "Peptides:
Chemistry and Biology," G. R. Marshall ed., ESCOM Publisher:
Leiden, Netherlands, 1988, p123), C-7 mimics (Huffman et al. in
"Peptides: Chemistry and Biology," G. R. Marshall ed., ESCOM
Publisher: Leiden, Netherlands, 1988, p. 105), keto-methylene
pseudopeptides (Ewenson et al. J. Med. Chem., 1986, 29:295; and
Ewenson et al. in "Peptides: Structure and Function (Proceedings of
the 9th American Peptide Symposium)," Pierce Chemical Co. Rockland,
Ill., 1985), .beta.-turn dipeptide cores (Nagai et al., Tetrahedron
Lett., 1985 26:647; and Sato et al. J. Chem. Soc. Perkin Trans.,
1986, 1:1231), .beta.-aminoalcohols (Gordon et al. Biochem.
Biophys. Res. Commun., 1985, 126:419; and Dann et al. Biochem.
Biophys. Res. Commun., 1986, 134:71), diaminoketones (Natarajan et
al. Biochem. Biophys. Res. Commun., 1984, 124:141), and
methyleneamino-modified (Roark et al. in "Peptides: Chemistry and
Biology," G. R. Marshall ed., ESCOM Publisher: Leiden, Netherlands,
1988, p134). Also, see generally, Session III: Analytic and
synthetic methods, in "Peptides: Chemistry and Biology," G. R.
Marshall ed., ESCOM Publisher: Leiden, Netherlands, 1988.
[0107] The molecular weight of a DSP composition can be adjusted
during polypeptide synthesis or after the DSPs have been
synthesized. To adjust the molecular weight during polypeptide
synthesis, the synthetic conditions or the amounts of amino acids
are adjusted so that synthesis stops when the polypeptide reaches
the approximate length which is desired. After synthesis,
polypeptides with the desired molecular weight can be obtained by
any available size selection procedure, such as chromatography of
the polypeptides on a molecular weight sizing column or gel, and
collection of the molecular weight ranges desired. The present
polypeptides can also be partially hydrolyzed to remove high
molecular weight species, for example, by acid or enzymatic
hydrolysis, and then purified to remove the acid or enzymes.
[0108] In one embodiment, the DSPs with a desired molecular weight
may be prepared by a process which includes reacting a protected
polypeptide with hydrobromic acid to form a
trifluoroacetyl-polypeptide having the desired molecular weight
profile. The reaction is performed for a time and at a temperature
which is predetermined by one or more test reactions. During the
test reaction, the time and temperature are varied and the
molecular weight range of a given batch of test polypeptides is
determined. The test conditions which provide the optimal molecular
weight range for that batch of polypeptides are used for the batch.
Thus, a trifluoroacetyl-polypeptide having the desired molecular
weight profile can be produced by a process which includes reacting
the protected polypeptide with hydrobromic acid for a time and at a
temperature predetermined by test reaction. The
trifluoroacetyl-polypeptide with the desired molecular weight
profile is then further treated with an aqueous piperidine solution
to form a low toxicity polypeptide having the desired molecular
weight.
[0109] In one preferred embodiment, a test sample of protected
polypeptide from a given batch is reacted with hydrobromic acid for
about 10-50 hours at a temperature of about 20-28.degree. C. The
best conditions for that batch are determined by running several
test reactions. For example, in one embodiment, the protected
polypeptide is reacted with hydrobromic acid for about 17 hours at
a temperature of about 26.degree. C.
IV. Pharmaceutical Composition
[0110] One aspect of the present invention is a pharmaceutical
composition comprising a DSP composition. As described below in the
method of treatment as an aspect of this invention, the DSP
composition produced by the process of the invention is useful in
treatment of unwanted immune response, such as autoimmune diseases
and transplantation rejection in a subject.
[0111] The DSPs of the present invention may be administered to the
subject as a composition which comprises a pharmaceutically
effective amount of DSPs and an acceptable carrier and/or
excipients. A pharmaceutically acceptable carrier includes any
solvents, dispersion media, or coatings that are physiologically
compatible. Preferably, the carrier is suitable for oral, rectal,
transmucosal (including by inhalation), parenteral, intravenous,
intramuscular, intraperitoneal, intradermal, transdermal, topical,
or subcutaneous administration. One exemplary pharmaceutically
acceptable carrier is physiological saline. Other pharmaceutically
acceptable carriers and their formulations are well-known and
generally described in, for example, Remington's Pharmaceutical
Science (18.sup.th Ed., ed. Gennaro, Mack Publishing Co., Easton,
Pa., 1990). Various pharmaceutically acceptable excipients are
well-known in the art and can be found in, for example, Handbook of
Pharmaceutical Excipients (4.sup.th ed., Ed. Rowe et al.
Pharmaceutical Press, Washington, D.C.). The composition can be
formulated as a solution, microemulsion, liposome, capsule, tablet,
or other suitable forms. The active component which comprises the
copolymer may be coated in a material to protect it from
inactivation by the environment prior to reaching the target site
of action. The pharmaceutical compositions of the present invention
are preferably sterile and non-pyrogenic at the time of delivery,
and are preferably stable under the conditions of manufacture and
storage. When desirable, the composition further comprises
components to enhance stability, permeability, and/or
bioavailability, such as particulate forms protective coatings,
protease inhibitors or permeation enhancers for various routes of
administration, including parenteral, pulmonary, nasal and
oral.
[0112] For oral administration, the pharmaceutical preparation may
be in liquid form, for example, solutions, syrups or suspensions,
or may be presented as a drug product for reconstitution with water
or other suitable vehicle before use. Such liquid preparations may
be prepared by conventional means with pharmaceutically acceptable
additives such as suspending agents (e.g., sorbitol syrup,
cellulose derivatives or hydrogenated edible fats); emulsifying
agents (e.g., lecithin or acacia); non-aqueous vehicles (e.g.,
almond oil, oily esters, or fractionated vegetable oils); and
preservatives (e.g., methyl or propyl-p-hydroxybenzoates or sorbic
acid). The pharmaceutical compositions may take the form of, for
example, tablets or capsules prepared by conventional means with
pharmaceutically acceptable excipients such as binding agents
(e.g., pre-gelatinized maize starch, polyvinyl pyrrolidone or
hydroxypropyl methylcellulose); fillers (e.g., lactose,
microcrystalline cellulose or calcium hydrogen phosphate);
lubricants (e.g., magnesium stearate, talc or silica);
disintegrants (e.g., potato starch or sodium starch glycolate); or
wetting agents (e.g., sodium lauryl sulfate). The tablets may be
coated by methods well-known in the art.
[0113] In one embodiment, the oral composition is
enterically-coated. Use of enteric coatings is well known in the
art. For example, Lehman (1971) teaches enteric coatings such as
Eudragit S and Eudragit L. The Handbook of Pharmaceutical
Excipients, 2.sup.nd Ed., also teaches Eudragit S and Eudragit L
applications. One Eudragit which may be used in the present
invention is L30D55. Preparations for oral administration may be
suitably formulated to give controlled release of the active
compound.
[0114] The compositions may also be formulated in rectal
compositions such as suppositories or retention enemas, e.g.,
containing conventional suppository bases such as cocoa butter or
other glycerides.
[0115] For administration by inhalation, the compositions for use
according to the present invention are conveniently delivered in
the form of an aerosol spray presentation from pressurized packs or
a nebulizer, with the use of a suitable propellant, e.g.,
dichlorodifluoromethane, trichlorofluoromethane,
dichlorotetrafluoroethane, carbon dioxide or other suitable gas. In
the case of a pressurized aerosol the dosage unit may be determined
by providing a valve to deliver a metered amount. Capsules and
cartridges of, e.g., gelatin, for use in an inhaler or insufflator
may be formulated containing a powder mix of the compound and a
suitable powder base such as lactose or starch.
[0116] The compositions may be formulated for administration by
injection, e.g., by bolus injection or continuous infusion in a
parenteral, intravenous, intraperitoneal, intramuscular, or
subcutaneous manner. Formulations for injection may be presented in
unit dosage form, e.g., in ampoules or in multi-dose containers,
with an added preservative. The compositions may take such forms as
suspensions, solutions or emulsions in oily or aqueous vehicles,
and may contain formulatory agents such as suspending, stabilizing
and/or dispersing agents. Alternatively, the active ingredient may
be in powder form for reconstitution with a suitable vehicle, e.g.,
sterile pyrogen free water, before use.
[0117] In a preferred embodiment, compositions comprising DSP
compositions are formulated in accordance with routine procedures
as pharmaceutical compositions adapted for intravenous
administration to human beings. Typically, compositions for
intravenous administration are solutions in sterile isotonic
aqueous buffer. Where necessary, the composition may also include a
solubilizing agent and a local anesthetic such as lignocaine to
ease pain at the site of the injection. Generally, the ingredients
are supplied either separately or mixed together. Where the
composition is to be administered by infusion, it can be dispensed
with an infusion bottle containing sterile pharmaceutical grade
water or saline, with the intervals between administrations being
greater than 24 hours, 32 hours, or more preferably greater than 36
or 48 hours. Where the composition is administered by injection, an
ampoule of sterile water or saline for injection can be provided so
that the ingredients may be mixed prior to administration.
[0118] In other embodiments of the present invention, the
pharmaceutical compositions are regulated-release or sustained
release formulations. DSP compositions of the present invention may
be admixed with biologically compatible polymers or matrices which
control the release rate of the copolymers into the immediate
environment. Controlled or sustained release compositions include
formulation in lipophilic depots (e.g., fatty acids, waxes, oils).
One embodiment of sustained release formulations is transdermal
patches.
[0119] In some embodiments of the present invention, pharmaceutical
compositions comprise DSPs formulated with oil and emulsifier to
form water-in-oil microparticles and/or emulsions. The oil may be
any non-toxic hydrophobic material liquid at ambient temperature to
about body temperature, such as edible vegetable oils including
safflower oil, soybean oil, corn oil, and canola oil; or mineral
oil. Chemically defined oil substance such as lauryl glycol may
also be used. The emulsifier useful for this embodiment includes
Span 20 (sorbitan monolaurate) and phosphatidylcholine. In some
embodiments, a DSP composition is prepared as an aqueous solution
and is prepared into an water-in-oil emulsion dispersed in 95 to
65% oil such as mineral oil, and 5 to 35% emulsifier such as Span
20. In another embodiment of the invention, the emulsion is formed
with alum rather than with oil and emulsifier. These emulsions and
microparticles reduce the speed of uptake of DSPs, and achieve
controlled delivery.
[0120] In another embodiment, the controlled and/or sustained
delivery is achieved by implantable medical devices coated with
sustained-release formulations, or implantable pharmaceutical
formulation suitable for sustained-release of the active
components.
[0121] In some embodiments of the invention, pharmaceutical
compositions comprise a set of nucleic acid vectors encoding a DSP
composition, which is expressed as polypeptides within a subject.
The vectors may comprise transcription- and/or
translation-controlling elements such that the timing and level of
the DSPs composition produced may be regulated.
[0122] In some embodiments, the vectors also comprise one or more
additional coding sequences, which encodes a therapeutically
beneficial polypeptide or a second, different composition of DSPs
that is not a member of the first DSP composition. In alternative
embodiments, a pharmaceutical composition comprises one or more
vectors, each encoding either: the DNA sequences for the DSPs of a
first DSP composition, or the DNA sequences for the DSPs of a
second DSPs composition or a therapeutically beneficial
polypeptide, that is not a member of the first DSP composition.
Such therapeutically beneficial polypeptide may be, for example, an
immunomodulatory cytokine or a growth factor.
[0123] Some embodiments of the invention are pharmaceutical
compositions for targeted delivery of the DSP composition of the
invention. In such embodiments, a pharmaceutical composition
comprises a DSP composition that is complexed with a targeting
moiety. The targeting moiety allows localized delivery of the DSP
composition to a desired location or microenvironment within the
subject. A targeting moiety include, and may be selected from, the
group comprising a chemical group or functionality such as biotin
or simple sugars, a single or double stranded DNA sequence of
various lengths, a single or double stranded RNA sequence of
various lengths, a peptide of various lengths, an antibody
including single chain antibodies, Fab', or modified antibodies, a
lipid, or a glycolipid. More than one of such moiety may be used at
the same time in combination. For examples of targeting moieties,
see U.S. Pat. No. 6,268,488; U.S. Appl. Pub. No. 2003/0190676; and
see, for example, www.covx.com/tech_creating.html.
[0124] In one embodiment of the invention, the complex has
characteristics of a prodrug, causing the DSP composition to
exhibit no pharmaceutical activity of the present invention until
the dissolution of the complex in the subject. In another
embodiment, the complex does not affect the activity of the DSP
composition.
[0125] Any methods generally known to one skilled in the art may be
used to produce a complex of the instant invention and a targeting
moiety. The target moiety may be complexed to the DSPs by a
chemical bond, which may be covalent, ionic, hydrophobic, or van
der Waals force, directly or through another chemical entity.
Alternatively, the target moiety may be co-localized with the DSPs
through common medium such as a biocompatible resin within which
the DSP composition is included. The manner of forming a complex is
chosen also based on the active state of the instant invention
while existing in the combination and whether a permanent complex
or a transitory complex is desired.
[0126] In some embodiments, the pharmaceutical compositions also
include additional therapeutically active agents. Such additional
ingredient can be at least an additional DSP composition that binds
to a different target, an antibody which binds to an unwanted
inflammatory molecule or cytokine such as interleukin-6,
interleukin-8, granulocyte macrophage colony stimulating factor,
and tumor necrosis factor-.alpha.; an enzyme inhibitor such as a
protease inhibitor aprotinin or a cyclooxygenase inhibitor; an
antibiotic such as amoxicillin, rifampicin, erythromycin; an
antiviral agent such as acyclovir; a steroidal anti-inflammatory
such as a glucocorticoid; a non-steroidal anti-inflammatory such as
aspirin, ibuprofen, or acetaminophen; or a non-inflammatory
cytokine such as interleukin-4 or interleukin-10. Other cytokines
and growth factors such as interferon-.beta., tumor necrosis
factors, antiangiogenic factors, erythropoietins, thrombopoietins,
interleukins, maturation factors, chemotactic protein, and their
variants and derivatives that retain similar physiological
activities may also be used as an additional ingredient.
[0127] Further, a form of vitamin D that is or becomes biologically
active within the body of the subject receiving such form of
vitamin D may also be used as an additional ingredient. The two
main forms of vitamin D are: vitamin D3 or cholecalciferol, which
is formed in the skin after exposure to sunlight or ultraviolet
light, and ergocalciferol or vitamin D2 which is obtained by
irradiation of plants or plant materials or foods. The differences
are situated in the side chain. Vitamin D3 may be obtained from
natural sources such as fatty fish such as herring and mackerel. In
the body, two other forms of vitamin D3 can be found. Vitamin D3 is
hydroxylated in the liver into 25-hydroxyvitamin D3 (25(OH)D), and
subsequently in the kidney into 1,25-dihydroxyvitamin D3
(1,25(OH)2D), which is the active metabolite that stimulates the
calcium absorption from the gut (Feldman et al., 2005). When
1,25(OH)2D is sufficiently available, 24,25-dihydroxyvitamin D
(24,25(OH)2D) is formed in the kidney, which is further
catabolized.
[0128] Another class of therapeutically active agents useful as an
additional agent is immune boosters which increases the production
of common lymphoid precursors (CLPs) from the multilineage
potential cells. An example of such agent is PBI-1402 developed by
ProMetic in Quebec, Canada.
[0129] In some embodiments, the additional active therapeutically
active agent is selected from the group consisting of
anti-psoriasis creams, Sulfasalazine, glucocorticoids,
propylthiouracil, methimazole, I.sup.131, insulin, IFN-.beta.1a,
IFN-.beta.1b, glucocorticoids, ACTH, avonex, azathiopurine,
cyclophosphamide, UV-B, PUVA, methotrexate, calcipitriol,
cyclophosphamide, OKT3, FK-506, cyclosporin A, azathioprine, and
mycophenolate mofetil.
[0130] Another class of therapeutic agents that are useful to
combine with the DSP composition of the invention is anti-obesity
drugs, for example Lipitor. Anti-obesity drugs include P-3
agonists, CB-1 antagonists, appetite suppressants, such as, for
example, sibutramine (Meridia), and lipase inhibitors, such as, for
example, or list at (Xenical). The subject copolymers may also be
used in methods of the invention in combination with drugs commonly
used to treat lipid disorders in diabetic patients. Such drugs
include, but are not limited to, HMG-CoA reductase inhibitors,
nicotinic acid, bile acid sequestrants, and fibric acid
derivatives. Polypeptides of the invention may also be used in
combination with anti-hypertensive drugs, such as, for example,
.beta.-blockers, cathepsin S inhibitors and ACE inhibitors.
Examples of .beta.-blockers are: acebutolol, bisoprolol, esmolol,
propanolol, atenolol, labetalol, carvedilol, and metoprolol.
Examples of ACE inhibitors are: captopril, enalapril, lisinopril,
benazepril, fosinopril, ramipril, quinapril, perindopril,
trandolapril, and moexipril.
[0131] In a specific embodiment, the disease to be treated by
administration of the pharmaceutical composition of the invention
is selected from the group consisting of multiple sclerosis, type-I
diabetes, Hashimoto's thyroiditis, Crohn's disease, rheumatoid
arthritis, systemic lupus erythematosus (SLE), gastritis,
autoimmune hepatitis, hemolytic anemia, autoimmune hemophilia,
autoimmune lymphoproliferative syndrome (ALPS), autoimmune
uveoretinitis, glomerulonephritis, Guillain-Barre syndrome,
psoriasis, myasthenia gravis, autoimmune encephalomyelitis,
Goodpasture's syndrome, Grave's disease, paraneoplastic pemphigus,
autoimmune thrombocytopenic purpura, scleroderma with anti-collagen
antibodies, mixed connective tissue disease, pernicious anemia,
polymyositis, idiopathic Addison's disease, autoimmune-associated
infertility, bullous pemphigoid, Sjogren's syndrome, idiopathic
myxedema and colitis.
[0132] The invention further provides a kit comprising (i) a
composition comprising a DSP composition or DNA delivery vehicle
comprising DNA encoding DSPs and (ii) instructions for
administering the composition to a subject in need thereof at
intervals greater than 24 hours, more preferably greater than 36
hours, for the treatment of a disease, such as an autoimmune
disease. In one embodiment, the autoimmune disorder is multiple
sclerosis. In a preferred embodiment, the DSP composition is
formulated in dosages for administration of greater than about 24,
30, 36, 42, 48, 54, 60, 66, 72, 78, 84, 90, 96, 102, 108, 114, 120,
126, 132, 138, 144, 150, 156, 162, 168, 174, 180, 186, 192, 198,
204, 210, 216, 222, 228, 234, or 240 hours, or any intervening
interval thereof. In another embodiment of the kits described
herein, the instructions indicate that the DSP is to be
administered every about 24, 30, 36, 42, 48, 54, 60, 66, 72, 78,
84, 90, 96, 102, 108, 114, 120, 126, 132, 138, 144, 150, 156, 162,
168, 174, 180, 186, 192, 198, 204, 210, 216, 222, 228, 234, or 240
hours, or any interval in between. Kits may comprise additional
components, such as packaging, instructions, and one or more
apparatuses for the administration of the copolymer, such as a
hypodermic syringe
V. Methods of Treatment
[0133] The instant invention provides for a further improvement on
the need to improve the effectiveness of peptide immunotherapies.
The improvement takes form in an ability to dynamically administer
the compound based on the ability of the compound to achieve
sustained chimerism, or immune regulation--either active or
passive, while generating either a T.sub.H1 immune posture, or a
T.sub.H2 immune posture, and while producing anti-compound
antibodies at either a low or a high level. Dynamic administration
of random sequence copolymer is comprised of any combination of
dose, regimen, route of administration, and/or formulation. This
dynamic immunomodulation provides for increased effectiveness at
any of the multiple stages of a disease within a particular
patient, as well as the ability to treat multiple, pathogenic
antigenic-determinant unrelated diseases more effectively.
[0134] The invention provides methods for the treatment or
prevention of a disease in a subject, preferably in a human, which
subject is afflicted with or is suspected to be afflicted with the
disease. Another embodiment of the present invention is a method
for prophylactically treating a subject at risk of developing e.g.,
an autoimmune disease by administering a DSP composition. A subject
at risk is identified by, for example, determining the genetic
susceptibility to an autoimmune disease by testing for alleles of
HLA that are associated with such autoimmune disease, and/or based
on familial history, or other genetic markers that correlate with
such autoimmune disease. Alternatively, the subject at risk is a
subject that is scheduled to have or has had organ transplantation.
Such prophylactic treatment may additionally comprise a DSP
composition that binds to a second HLA molecule associated with the
disease or condition to be treated. The second HLA molecule may be
a HLA-DQ or HLA-DR molecule.
[0135] One aspect of the invention provides methods of treating or
preventing a disease, the method comprising administering to said
subject a dosing regimen of an effective amount of a DSP
composition for the amelioration of a disease treatable with the
DSP composition, said effective amount delivered to said subject at
time intervals greater than 24 hours, 36 hours, or more preferably
greater than 48 hours. A related aspect of the invention provides a
method for the treatment of a subject in need thereof, comprising
administering to said subject a dosing regimen of an effective
amount of a DSP composition for the amelioration of a disease
treatable with the DSP composition, said effective amount delivered
to the subject using a sustained-release formulation which
administers the DSP composition over a period of at least 2 days,
at least 4 days, or at least 6 days, wherein the effective amount
is an amount that is effective if delivered daily.
[0136] In a specific embodiment, the method of the invention is
effective in treating a disease selected from the group consisting
of multiple sclerosis, type-I diabetes, Hashimoto's thyroiditis,
Crohn's disease, rheumatoid arthritis, systemic lupus erythematosus
(SLE), gastritis, autoimmune hepatitis, hemolytic anemia,
autoimmune hemophilia, autoimmune lymphoproliferative syndrome
(ALPS), autoimmune uveoretinitis, glomerulonephritis,
Guillain-Barre syndrome, psoriasis, myasthenia gravis, autoimmune
encephalomyelitis, Goodpasture's syndrome, Grave's disease,
paraneoplastic pemphigus, autoimmune thrombocytopenic purpura,
scleroderma with anti-collagen antibodies, mixed connective tissue
disease, pernicious anemia, polymyositis, idiopathic Addison's
disease, autoimmune-associated infertility, bullous pemphigoid,
Sjogren's syndrome, idiopathic myxedema and colitis.
[0137] In some embodiments, the disease of the methods of the
present invention is mediated by T-cells, and in particular
T.sub.H1 cells or cells with T.sub.H1 immune posture, or is a
disease which is exacerbated by an excess of inflammatory
cytokines. In one aspect the application relates to methods of
modulating an immune response by administering a composition
comprising a DSP composition as described above. In some
embodiments, the disease include, without limitation, acute
inflammation, rheumatoid arthritis, transplant rejection, asthma,
inflammatory bowel disease, uveitis, restenosis, multiple
sclerosis, psoriasis, wound healing, lupus erythematosus,
allergies, atopic dermatitis, and neuroprotection and any other
autoimmune or inflammatory disorder that can be recognized by one
of ordinary skill in the art.
[0138] A preferred embodiment of the invention is a method for
treating a disease treatable by administering to a subject in need
thereof a composition comprising a DSP composition wherein the
disease is selected from the group consisting of allergies, asthma,
atopic dermatitis, and neuroprotection. The invention is not
limited to any particular DSP composition or mode of
administration.
[0139] One aspect of the invention provides methods of modulating
the immune response for preventing, treating, or attenuating, Host
versus Graft Disease (HVGD) or Graft versus Host Disease (GVHD), in
the case of organ transplantation, and in preventing, treating, or
attenuating autoimmune disorders, by administering a composition
comprising a DSP composition as described above. Thus, in another
aspect this application relates to methods of inducing sustained
chimerism in case of organ transplantation. Additionally, the
present application relates to methods of selectively inhibiting
T-cell response to a graft, consequently, increasing the chances of
survival of the graft.
[0140] Transplantation systems such as organ transplantations and
bone marrow reconstitution have become important and effective
therapies for many life threatening diseases. However, immune
rejection is still the major barrier for successful
transplantation. This is manifested in functional deterioration and
graft rejection in the case of organ transplantation
(host-versus-graft disease, or HVGD. Another manifestation of
pathological immune reactivity is GVHD that occurs in approximately
30% of bone marrow recipients. Up to half of those patients who
develop GVHD may succumb to this process. This high morbidity and
mortality has led to continuous interest in the possibility of
controlling or preventing GVHD. Clinicopathologically, two forms of
GVHD have been recognized. Acute GVHD develops within the first 3
months after bone marrow transplantation and features disorders of
skin, liver and gastrointestinal tract. Chronic GVHD is a
multi-organ autoimmune-like disease emerging from 3 months up to 3
years post-transplantation and shares features common to naturally
occurring autoimmune disorders, like systemic lupus erythematosus
(SLE) and scleroderma. The methods described herein may be used to
treat both acute and chronic GVHD.
[0141] In a specific embodiment of the methods described herein,
the DSP composition based on applicable organ-derived or
HLA-derived native peptide sequences may be used for prevention and
treatment of GVHD in all cases of organ transplantation that
develop GVHD. A particularly suitable application of the present
invention is in allogeneic bone marrow transplantation. A treatment
regimen may comprise administrations of the random copolymer at
intervals greater than 24, 30, 36, 42, or 48 hours, for up to 60
days, starting from 2 days prior to the graft. Other
immunosuppressive drugs, such as cyclosporine, methotrexate and
prednisone, may be administered with the DSP composition.
[0142] The method of the invention may also be applied to the
prevention and treatment of GVHD in the course of bone marrow
transplantation in patients suffering from diseases curable by bone
marrow transplantation, including leukemias, such as acute
lymphoblastic leukemia (ALL), acute nonlymphoblastic leukemia
(ANLL), acute myelocytic leukemia (AML) and chronic myelocytic
leukemia (CML), severe combined immunodeficiency syndromes (SCID),
osteopetrosis, aplastic anemia, Gaucher's disease, thalassemia and
other congenital or genetically-determined hematopoietic or
metabolic abnormalities.
[0143] One aspect of the invention is the administration of a DSP
composition to a subject in need there of, as described above, in
combination with other therapeutic agents that are effective in
treating the conditions that are treated by administration of the
DSP, or conditions that accompany or occur concurrently with the
conditions that are treated by administration of the DSP. The
additional therapeutically active agents may treat the same or
related disease as the DSP composition, or may be intended to treat
an undesirable side effect of administration of the DSP
composition, such as to reduce swelling at a site of intradermal
injection. Alternatively, the other therapeutic agents enhance the
activity of DSP compositions. Such additional therapeutic agents
are, by way of example, antibodies, cytokines, growth factors,
enzyme inhibitors, antibiotics, antiviral agents, anti-inflammatory
including steroids, immune boosters, antimetabolites, soluble
cytokine receptors, and vitamin D or agents that increase the level
of circulating vitamin D. Additional therapeutically active agents
also include copolymers which bind to a HLA molecule associated
with the disease such as Copolymer-1, or another DSP composition.
The HLA molecule may be an HLA-DQ molecule or an HLA-DR molecule.
The enzyme inhibitor may be a protease inhibitor or a
cyclooxygenase inhibitor. Examples of the therapeutically active
agents to be administered in conjunction with the DSP composition
are recited in Section IV, "Pharmaceutical Composition" section,
though the administration of these agents are not limited to
co-administration as a single composition. The additional
therapeutic agents may be administered before, concomitantly with,
or after the administration of the DSP composition, at such time
that the effect of the additional therapeutic agents and the effect
of the DSP composition overlap at some time point.
[0144] In particular, the method of present invention further
comprises administering to said subject an anti-lymphocyte
therapies. In such embodiments, the DSP composition of the present
invention are administered to a patient with an autoimmune disease
following an anti-lymphocyte therapy (e.g., anti-T cell or anti-B
cell). In one embodiment, anti-T cell therapies may use antibodies,
such as Campath-1H.RTM. (alemtuzumab; anti-CD52), OKT3 (anti-CD3),
thymoglobulin (anti-thymocytic globulins), or anti-IL2R antibodies
(e.g., daclizumab and basiliximab). Alternatively, anti-T cell
therapies may use chemotherapy agents such as fludarabine,
external-beam radiation therapy (XRT), and cyclophosphamide. In one
embodiment, the anti-lymphocyte therapy agent selected from the
group consisting of a polyclonal antibody or a monoclonal antibody.
In certain embodiments, the polyclonal antibody is antithymocyte
gamma globulin (ATGAM). In other embodiment, the antibody is a
monoclonal antibody selected from the group consisting of
alemtuzumab (Campath.RTM.), muromonab (OKT.RTM.3), daclizumab, and
basiliximab. In another embodiment, the method of the invention
comprises administering to said subject an anti B-cell therapy. In
one embodiment, the anti-B-cell therapy anti CD-20 antibody such as
the antibody Rituxan (Rituximab). The dosage of the above
additional treatments to be administered to a subject varies with
the precise nature of the condition being treated and the recipient
of the treatment. The scaling of dosages for human administration
can be performed according to art-accepted practices. For example,
the dose for Campath-1H.RTM. will generally be in the range 1 to
about 100 mg for an adult patient, usually administered daily for a
period between 1 and 30 days. The preferred daily dose is 1 to 10
mg per day although in some instances larger doses of up to 40 mg
per day may be used (see, e.g., U.S. Pat. No. 6,120,766). Although
not wishing to be bound by any particular mechanism or theory, it
is believed that such combination therapy can enhance the
therapeutic efficacy without any potential long-term toxicity. To
illustrate, Campath-1H.RTM. is introduced in a patient for initial
induction immunosuppression. Then, the patient is administered a
copolymer of the present invention in the absence of
Campath-1H.RTM.
[0145] In a preferred embodiment, the DSP composition of the
present invention can be administered with a form of vitamin D that
is or becomes biologically active within the body of the subject
receiving such form of vitamin D. The classical role of vitamin D
that of an involvement in the regulation of calcium homeostasis.
After the discovery of a vitamin D receptor (VDR) on peripheral
blood mononuclear cells, interest in its role in the
etiopathogenesis of certain autoimmune diseases increased. Vitamin
D deficiency has been shown in increase susceptibility to
experimental models of multiple sclerosis (MS), while vitamin D
treatment suppressed these experimental models of MS. Further
studies have shown that limiting the VDR signaling on T cells
increases Th1 effector cells, while augmenting VDR signaling
increases T regulatory cells. Thus, any increase in Vitamin D
during the course of immunomodulatory therapy, such as those
described herein, would have a potentially synergistic effect
leading to increased efficacy of treatment as the vitamin D will
assist in increasing the regulatory component of the treatment,
while the peptide based immunotherapy will provide an epitope
specific direction to the adaptive immune response
[0146] In particular, for the role vitamin D plays in immunological
phenomena, see M. T. Cantorna, Progress in Biophys. Molec. Biol.
2006 September; 92(1):60-4. Epub 2006 Feb. 28.) and Spach and
Hayes, J. Immunol. 2005, 175:4199-4126.
[0147] In one embodiment of the methods described herein, the route
of administration can be oral, intraperitoneal, transdermal,
subcutaneous, by intravenous or intramuscular injection, by
inhalation, topical, intralesional, or by infusion;
liposome-mediated delivery; intrathecal, gingival pocket, rectal,
intravaginal, intrabronchial, nasal, transmucosal, intestinal,
ocular or otic delivery, or any other methods known in the art as
one skilled in the art may easily perceive. Administration can be
systemic or local. In the event more than one DSP composition is
being administered to a subject during the same or overlapping time
period, such additional therapeutic agent may be administered by a
route different from that for the administration of the DSP
composition.
[0148] In general, an embodiment of the invention is to administer
a suitable dose of a therapeutic DSP composition that will be the
lowest effective dose to produce a therapeutic effect, for example,
mitigating symptoms. The therapeutic DSP compositions are
preferably administered at a dose per subject, which corresponds to
a dose per day of at least about 2 mg, at least about 5 mg, at
least about 10 mg, or at least about 20 mg as appropriate minimal
starting dosages, or about x mg, wherein x is an integer between 1
and 20. In one embodiment of the methods described herein, a dose
of about 0.01 to about 500 mg/kg can be administered. In general,
the effective dosage of the DSP composition of the present
invention is about 50 to about 400 micrograms of the composition
per kilogram of the subject per day. In one specific embodiment,
the equivalent dosage per day, regardless of the frequency with
which the doses are administered, is from about 5 to 100, or more
preferably, from about 10 to 40, or more preferably about 20
mg/day. In another specific embodiment, each individual dosage in
the treatment regimen is from about 5 to 100, or more preferably
from about 10 to 40, or more preferably about 20 mg/dose.
[0149] However, it is understood by one skilled in the art that the
dose of the DSP composition of the invention will vary depending on
the subject and upon the particular route of administration used.
It is routine in the art to adjust the dosage to suit the
individual subjects. Additionally, the effective amount may be
based upon, among other things, the size of the DSPs, the
biodegradability of the DSPs, the bioactivity of the DSPs and the
bioavailability of the DSPs. If the DSPs does not degrade quickly,
such as is expected when the DSPs comprise unnatural amino acids or
are peptidomimetics, is bioavailable and highly active, a smaller
amount will be required to be effective. The actual dosage suitable
for a subject can easily be determined as a routine practice by one
skilled in the art, for example a physician or a veterinarian given
a general starting point. For example, the physician or
veterinarian could start doses of the DSP composition of the
invention employed in the pharmaceutical composition at a level
lower than that required in order to achieve the desired
therapeutic effect, and increase the dosage with time until the
desired effect is achieved. The dosage of the DSP composition may
either be increased in the event the patient does not respond
significantly to current dosage levels, or the dose may be
decreased if an alleviation of the symptoms of the disorder or
disease state is observed, or if the disorder or disease state has
been ablated, or if an unacceptable side effects are seen with the
starting dosage.
[0150] In one embodiment, a therapeutically effective amount of the
DSP composition is administered to the subject in a treatment
regimen comprising intervals of at least 36 hours, or more
preferably 48 hours, between dosages. In another embodiment, the
DSP composition is administered at intervals of at least 54, 60,
66, 72, 78, 84, 90, 96, 102, 108, 114, 120, 126, 132, 138, 144,
150, 156, 162, 168, 174, 180, 186, 192, 198, 204, 210, 216, 222,
228, 234, or 240 hours, or the equivalent amount of days. In some
embodiments, the DSP composition is administered every other day,
while in other embodiments it is administered weekly. If two
different DSP compositions, or DSP composition with another
therapeutic agent, are administered to the subject, such
administration may take place at the same time, such as
simultaneously, or essentially at the same time, such as in
succession. Alternatively, their administration may be staggered.
For example, two DSP compositions which are each administered every
48 hours may both be administered on the same days, or one may be
administered one day and the other on the next day and so on in an
alternating fashion.
[0151] Treatment regimens with longer dosing intervals,
consequently often with lower total exposure of DSPs, are expected
to induce lower titers of antibodies against DSPs themselves, while
still inducing desired protective effects. Such reduction of
neutralizing antibodies are desirable because it is considered
likely to help DSP compositions to retain its effectiveness without
being neutralized, and it is associated with reduced risk of
anaphylactic shocks, providing safer treatments of diseases. Longer
interval regimens are also desirable in treatment of some of the
diseases, because they strengthen the bias for T.sub.H2 responses,
which is considered to be the mode of action for the treatment of
these diseases by DSPs.
[0152] In other embodiments, the DSP composition is administered in
a treatment regimen which comprises at least one uneven time
interval, wherein at least one of the time intervals is at least
24, 30, 36, 42, 48, 54, 60, 66, 72, 78, 84, 90, 96, 102, 108, 114,
120, 126, 132, 138, 144, 150, 156, 162, 168, 174, 180, 186, 192,
198, 204, 210, 216, 222, 228, 234, or 240 hours, or the equivalent
amount of days.
[0153] In one embodiment, the DSP composition is administered to be
subject at least three times during a treatment regimen, such that
there are at least two time intervals between administrations.
These intervals may be denoted I.sub.1 and I.sub.2. If the DSP
composition is administered four times, then there would be an
additional interval between the third and fourth administrations,
I.sub.3, such that the number of intervals for a given number "n"
of administrations is n-1. Accordingly, in one embodiment, at least
one of the time intervals between administrations is greater than
about 24, 30, 36, 42, 48, 54, 60, 66, 72, 78, 84, 90, 96, 102, 108,
114, 120, 126, 132, 138, 144, 150, 156, 162, 168, 174, 180, 186,
192, 198, 204, 210, 216, 222, 228, 234, or 240 hours. In another
embodiment, at least 1%, 2%, 3%, 4%, 5%, 10%, 15%, 20%, 25%, 30%,
40%, 50%, 60%, 70%, 80%, 90% or 95% of the total number n-1 of time
intervals are at least about 24, 30, 36, 42, 48, 54, 60, 66, 72,
78, 84, 90, 96, 102, 108, 114, 120, 126, 132, 138, 144, 150, 156,
162, 168, 174, 180, 186, 192, 198, 204, 210, 216, 222, 228, 234, or
240 hours.
[0154] In yet another embodiment, the average time interval between
administrations ((I.sub.1+I.sub.2+ . . . +I.sub.n-1)/n-1) is at
least 24, 30, 36, 42, 48, 54, 60, 66, 72, 78, 84, 90, 96, 102, 108,
114, 120, 126, 132, 138, 144, 150, 156, 162, 168, 174, 180, 186,
192, 198, 204, 210, 216, 222, 228, 234, or 240 hours, or at least
two weeks.
[0155] In another embodiment, the dosage regimen consists of two or
more different interval sets. For example, a first part of the
dosage regimen is administered to a subject daily, every other day,
or every third day, for example, at about 22 mg copolymer/m.sup.2
body surface area of the subject, wherein the subject is a human.
In some embodiment of the invention, the dosing regimen starts with
dosing the subject every other day, every third day, weekly,
biweekly, or monthly. The dosage for administration every other day
or every third day may be up to about 65 mg/m.sup.2 and 110
mg/m.sup.2 respectively. For a dosing regimen comprising dosing of
the random copolymer every week, the dose comprises up to about 500
mg/m.sup.2, and for a dosing regimen comprising dosing of the
random copolymer every two weeks or every month, up to 1.5
g/m.sup.2 may be administered. The first part of the dosing regimen
may be administered for up to 30 days, for example, 7, 14, 21, or
30 days. A subsequent second part of the dosing regimen with a
different, longer interval administration with usually lower
exposure (step-down dosage), administered weekly, every 14 days, or
monthly may optionally follow, for example, at 500 mg/m.sup.2 body
surface area weekly, up to maximum of about 1.5 g/m.sup.2 body
surface area, continuing for 4 weeks up to two years, for example,
4, 6, 8, 12, 16, 26, 32, 40, 52, 63, 68, 78, or 104 weeks.
Alternatively, if the disease goes into remission or generally
improves, the dosage may be maintained or kept at lower than
maximum amount, for example, at 140 mg/m.sup.2 body surface area
weekly. If, during the step-down dosage regimen, the disease
condition relapses, the first dosage regimen may be resumed until
effect is seen, and the second dosing regimen may be implemented.
This cycle may be repeated multiple times as necessary.
[0156] In other embodiments of the invention, any of the methods of
the invention may be practiced using sustained release formulation
comprising a DSP composition. When administering a DSP composition
of the invention using a sustained release formula, the overall
exposure to the DSP is generally lower than in bolus
administration. For example, a first part of the dosage regimen is
administered to a subject daily, every other day, or every third
day, for example, at about 22 mg DSP/m.sup.2 body surface area of
the subject, wherein the subject is a human. In some embodiment of
the invention, the dosing regimen uses sustained release formula,
dosing the subject every other day, every third day, weekly,
biweekly, or monthly so that the copolymer is released during the
interval. The dosage for administration every other day or every
third day may be up to about 35 mg/m.sup.2 and 65 mg/m.sup.2
respectively. For a dosing regimen comprising dosing of the DSP
composition every week, the dose comprises up to about 140
mg/m.sup.2, and for a dosing regimen comprising dosing of the DSP
composition every two weeks or every month, up to 750 mg/m.sup.2
may be administered. The first part of the dosing regimen may be
administered for up to 30 days, for example, 7, 14, 21, or 30 days.
A subsequent second part of the dosing regimen with a different,
longer interval administration with usually lower exposure
(step-down dosage), administered weekly, every 14 days, or monthly
may optionally follow, for example, at 140 mg/m.sup.2 body surface
area weekly, up to maximum of about 1.5 g/m.sup.2 body surface
area, continuing for 4 weeks up to two years, for example, 4, 6, 8,
12, 16, 26, 32, 40, 52, 63, 68, 78, or 104 weeks. Alternatively, if
the disease goes into remission or generally improves, the dosage
may be maintained or kept at lower than maximum amount, for
example, at 140 mg/m.sup.2 body surface area weekly. If, during the
step-down dosage regimen, the disease condition relapses, the first
dosage regimen may be resumed until effect is seen, and the second
dosing regimen may be implemented. This cycle may be repeated
multiple times as necessary.
[0157] For such sustained release administration, such method
comprises applying a sustained-release transdermal patch or
implanting a sustained-release capsule or a coated implantable
medical device so that a therapeutically effective dose of the
copolymer of the present invention is delivered at defined time
intervals to a subject of such a method. The DSP composition of the
subject invention may be delivered via a capsule which allows
regulated-release of the DSPs over a period of time. Controlled or
sustained-release compositions include formulation in lipophilic
depots (e.g., fatty acids, waxes, oils). Also comprehended by the
invention are particulate compositions coated with polymers (e.g.,
poloxamers or poloxamines). In certain embodiments, a source of a
DSP composition is stereotactically provided within or proximate to
the area of autoimmune attack, for example, near the pancreas for
the treatment of IDDM.
[0158] An improvement in the symptoms of a subject afflicted with a
disease as a result of administration of the DSP composition may be
noted by a decrease in frequency of recurrences of episodes of the
disease symptoms, by decrease in severity of symptoms, and by
elimination of recurrent episodes for a period of time after the
start of administration. A therapeutically effective dosage
preferably reduces symptoms and frequency of recurrences by at
least about 20%, for example, by at least about 40%, by at least
about 60%, and by at least about 80%, or by about 100% elimination
of one or more symptoms, or elimination of recurrences of the
autoimmune disease, relative to untreated subjects. The period of
time can be at least about one month, at least about six months, or
at least about one year.
[0159] For example, an improvement in the symptoms of a subject
afflicted with arthritis or any other autoimmune disorder which
results in inflammation of the joints may be noted by a reduction
in edema of one or more joints, by a reduction in inflammation in
one or more joints, or by an increase in mobility in one or more
joints. A therapeutically effective dosage preferably reduces joint
inflammation and edema and improves mobility by at least about 20%,
more preferably by at least about 40%, even more preferably by at
least about 60%, and even still more preferably by at least about
80%, relative to untreated subjects.
DEFINITIONS
[0160] The term "associated with" means "coexistent with" or "in
correlation with." The term does not necessarily indicate causal
relationship, though such relationship may exist.
[0161] The term "binding" refers to a direct association between
two molecules, due to, for example, covalent, electrostatic,
hydrophobic, ionic and/or hydrogen-bond interactions under
physiological conditions, and including interactions such as salt
bridges and water bridges.
[0162] The term "HLA molecule" means any class II major
histocompatibility complex glycoproteins.
[0163] The term "immunomodulation" means the process of increasing
or decreasing the immune system's ability to mount a response
against a particular antigenic determinant through the T-cell
receptor ("TCR")'s recognition of complexes formed by major
histocompatibility complex ("MHC") and antigens.
[0164] The term "immunosuppression" means the depression of immune
response and reactivity in recipients of organ or bone marrow
allotransplants.
[0165] The term "MHC activity" refers to the ability of an MHC
molecule to stimulate an immune response, e.g., by activating T
cells. An inhibitor of MHC activity is capable of suppressing this
activity, and thus inhibits the activation of T cells by MHC. In
preferred embodiments, a subject inhibitor selectively inhibits
activation by a particular class II MHC isotype or allotype. Such
inhibitors may be capable of suppressing a particular undesirable
MHC activity without interfering with all MHC activity in an
organism, thereby selectively treating an unwanted immune response
in an animal, such as a mammal, preferably a human, without
compromising the animal's immune response in general.
[0166] The term "organ-specific protein" or "organ-specific
antigen" means proteins that are expressed predominantly or
exclusively by cells comprising a certain organ.
[0167] The term "patient" refers to an animal, preferably a mammal,
including humans as well as livestock and other veterinary
subjects.
[0168] The terms "peptide", "polypeptide" and "protein" are used
interchangeably herein. These terms refer to unmodified amino acid
chains, and also include minor modifications, such as
phosphorylations, glycosylations and lipid modifications. The terms
"peptide" and "peptidomimetic" are not mutually exclusive and
include substantial overlap.
[0169] A "peptidomimetic" includes any modified form of an amino
acid chain, such as a phosphorylation, capping, fatty acid
modification and including unnatural backbone and/or side chain
structures. As described below, a peptidomimetic comprises the
structural continuum between an amino acid chain and a non-peptide
small molecule. Peptidomimetics generally retain a recognizable
peptide-like polymer unit structure. Thus, a peptidomimetic may
retain the function of binding to a HLA protein forming a complex
which activates autoreactive T cells in a patient suffering from an
autoimmune disease.
[0170] The term "amino acid residue" is known in the art. In
general the abbreviations used herein for designating the amino
acids and the protective groups are based on recommendations of the
IUPAC-IUB Commission on Biochemical Nomenclature (see Biochemistry
(1972) 11:1726-1732). In certain embodiments, the amino acids used
in the application of this invention are those naturally occurring
amino acids found in proteins, or the naturally occurring anabolic
or catabolic products of such amino acids which contain amino and
carboxyl groups. Particularly suitable amino acid side chains
include side chains selected from those of the following amino
acids: glycine, alanine, valine, cysteine, leucine, isoleucine,
serine, threonine, methionine, glutamic acid, aspartic acid,
glutamine, asparagine, lysine, arginine, proline, histidine,
phenylalanine, tyrosine, and tryptophan.
[0171] The term "amino acid residue" further includes analogs,
derivatives and congeners of any specific amino acid referred to
herein, as well as C-terminal or N-terminal protected amino acid
derivatives (e.g. modified with an N-terminal or C-terminal
protecting group). For example, the present invention contemplates
the use of amino acid analogs wherein a side chain is lengthened or
shortened while still providing a carboxyl, amino or other reactive
precursor functional group for cyclization, as well as amino acid
analogs having variant side chains with appropriate functional
groups). For instance, the subject compound can include an amino
acid analog such as, for example, cyanoalanine, canavanine,
djenkolic acid, norleucine, 3-phosphoserine, homoserine,
dihydroxy-phenylalanine, 5-hydroxytryptophan, 1-methylhistidine,
3-methylhistidine, diaminopimelic acid, ornithine, or
diaminobutyric acid. Other naturally occurring amino acid
metabolites or precursors having side chains which are suitable
herein will be recognized by those skilled in the art and are
included in the scope of the present invention.
[0172] Most of the amino acids used in the DSPs of the present
invention may exist in particular geometric or stereoisomeric
forms. In preferred embodiments, the amino acids used to form the
subject DSPs are (L)-isomers, although (D)-isomers may be included
in the DSPs such as at non-anchor positions or in the case of
peptidomimetic versions of the DSPs.
[0173] "Prevent", as used herein, means to delay or preclude the
onset of, for example, one or more symptoms, of a disorder or
condition.
[0174] "Treat", as used herein, means at least lessening the
severity or ameliorating the effects of, for example, one or more
symptoms, of a disorder or condition.
[0175] "Treatment regimen" as used herein, encompasses therapeutic,
palliative and prophylactic modalities of administration of one or
more compositions comprising one or more DSP compositions. A
particular treatment regimen may last for a period of time at a
particular dosing pattern, which will vary depending upon the
nature of the particular disease or disorder, its severity and the
overall condition of the patient, and may extend from once daily,
or more preferably once every 36 hours or 48 hours or longer, to
once every month or several months.
[0176] The terms "structure-activity relationship" or "SAR" refer
to the way in which altering the molecular structure of drugs
alters their interaction with a receptor, enzyme, etc.
[0177] The practice of the present invention will employ, where
appropriate and unless otherwise indicated, conventional techniques
of cell biology, cell culture, molecular biology, transgenic
biology, microbiology, virology, recombinant DNA, and immunology,
which are within the skill of the art. Such techniques are
described in the literature. See, for example, Molecular Cloning: A
Laboratory Manual, 3rd Ed., ed. by Sambrook and Russell (Cold
Spring Harbor Laboratory Press: 2001); the treatise, Methods In
Enzymology (Academic Press, Inc., N.Y.); Using Antibodies, Second
Edition by Harlow and Lane, Cold Spring Harbor Press, New York,
1999; Current Protocols in Cell Biology, ed. by Bonifacino, Dasso,
Lippincott-Schwartz, Harford, and Yamada, John Wiley and Sons,
Inc., New York, 1999; and PCR Protocols, ed. by Bartlett et al.,
Humana Press, 2003; PHARMACOLOGY A Pathophysiologic Approach Edited
by Josehp T. DiPiro, Robert Talbert, Gary, Yee, Gary Matzke,
Barbara Wells, and L. Michael Posey. 5th edition 2002 McGraw Hill;
Pathologic Basis of Disease. Ramzi Cotran, Vinay Kumar, Tucker
Collins. 6th Edition 1999. Saunders.
EXAMPLE 1
Preparation of a DSP Composition from Fictitious Base Peptides
[0178] For ease of understanding, as an illustration, preparation
of a DSP composition deriving from two fictitious peptide
sequences, representing a known epitope, is described and shown in
the table depicted in FIG. 6. In this illustration, the cassettes
consist of five amino acids each, (x1, x2, x3, x4, x5=THMCE in
y.sub.1 and PWKNA in y.sub.2). THMCE is defined as having an input
ratio of a=7, b=1, c=1, d=1, e=10. PWKNA is defined as having an
input ratio of a=1, b=3, c=3, d=3, e=20. For synthesis, the
identity of group of amino acids occupying each amino acid position
for each peptide is determined using the preferred method of amino
acid substitution described by Kosiol et al., J Theoretical Biol.
228:97-106, 2004, as shown in FIG. 4 (or less preferably an
equivalent means of systematically altering amino acids), and the
overall ratio of amino acids that occupy each of such positions in
the resulting collective DSP composition is given above. Each
cassette, y.sub.1 and y.sub.2, will twice be repeated two times,
generating an order of y.sub.1 y.sub.1 y.sub.2 y.sub.2 y.sub.1
y.sub.1 y.sub.2 y.sub.2. N.sub.n are the number of times the
sequence within the cassette is to be repeated, and in our
fictitious example N=2. MN can be any type of modifying moiety. MN
must be amenable to solid phase synthesis methods. For this
fictitious example, a modifying moiety of amino acids that would
target the DSP to a certain location within a subject is chosen,
such as an RGD-based sequence motif on a particular integrin such
as alphaVbeta3. In this example the C-terminal modifier will also
be an RGD-based motif, but comprised of D-amino acids.
[0179] The DSP composition as described above is prepared using a
solid phase peptide synthesis method as described elsewhere in this
disclosure.
EXAMPLE 2
Preparation of a DSP Composition from MBP(83-99)
[0180] Myelin basic protein is implicated in the pathology of
multiple sclerosis, and several epitopes have been identified and
proven to be relevant in the disease symptoms and progression. One
such epitope spans amino acid residues 83 to 99 of myelin basic
protein (MBP(83-99). COP-1 is thought to target the same binding
pocket of HLA as MBP(83-99) does. A DSP composition is defined and
prepared using MBP (83-99) as the base peptide sequence.
[0181] The methods and rules to define the identity of amino acids
for each position of the resulting peptides are described above in
Example 1. The actual application of such rules are illustrated in
the tables of FIG. 8A-B. As with Example 1, the DSP composition is
synthesized using a solid phase peptide synthesis method.
[0182] The following references are exemplary sources of epitopes
useful as base peptide sequences. Numbers to the left are the
reference numbers of Table I. [0183] 1 U.S. Pat. No.
6,930,168--issued Aug. 16, 2005 to Strominger et al. [0184] 2 U.S.
Pat. No. 7,118,874--issued Oct. 10, 2006 to Torres [0185] 3 U.S.
Publ. No.: 2006/0045888A1--published Mar. 2, 2006 to Punnonen et
al. [0186] 4 WO 2005/032482--published Apr. 14, 2005 in the name of
Bayhill Therapeutics, Inc. [0187] 5 WO 2005/074579--published Aug.
18, 2005 in the name of Mixture Sciences, Inc. [0188] 6 WO
2006/031727--published Mar. 23, 2006 in the name of President and
Fellows of Harvard College [0189] 7 ANDERTON, S., et al.,
"Activation of T Cells Recognizing Self 60-kD Heat Shock Protein
Can Protect Against Experimental Arthritis", J. Exp. Med. Vol. 181,
943-952 (1995). [0190] 8 ANGELINI, G., et al. "Preliminary Data on
Pemphigus Vulgaris Treatment by a Proteomics-defined peptide: a
case report", Journal of Translational Medicine", 4:43, 1-7 (2006).
[0191] 9 ATASSI, M Z, et al., "On the initial trigger of myasthenia
gravis and suppression of the disease by antibodies against the MHC
peptide region involved in the presentation of a pathogenic T-cell
epitope", Crit. Rev Immunol. 21(1-3): 1-27 (2001) (Abstract).
[0192] 10 ATKINSON, M., et al., "Cellular immunity to a determinant
common to glutamate decarboxylase and coxsackie virus in insulin
dependent diabetes", J Clin Invest., Vol. 94, 2125-2129 (1994).
[0193] 11 BENACERRAF, B., "The role of MHC gene products in immune
regulation and its relevance to alloreactivity", Nobel Lecture,
Harvard Medical School, 597-623 (1980). [0194] 12 BENAGIANO, M., et
al., "Human 60-kDa heat shock protein is a target autoantigen of T
cells derived form atherosclerotic plaques", The Journal of
Immunology, 174: 6509-6517, (2005). [0195] 13 BIAN, H., etl al.,
"The use of bioinformatics for identifying class II-restricted
T-cell epitopes", Methods 29, 299-309, (2003) [0196] 14 BOOG, C.,
et al., "Two monoclonal antibodies generated against human hsp60
show reactivity with synovial membranes of patients with juvenile
chronic arthritis", J. Exp. Med., Vol. 175, 1805-1810, (1992).
[0197] 15 DESHMUKH, U., et al., "Ro60 peptides induce antibodies to
similar epitopes shared among lupus-related autoantigens", The
Journal of Immunology, 164: 6655-6661 (2000). [0198] 16 EREZ-ALON,
N., et al., Immunity to p53 induced by an idiotypic network of
anti-p53 antibodies: generation of sequence-specific anti-DNA
antibodies and protection form tumor metastasis", Cancer Research,
58, 5447-5452 (1998). [0199] 17 FRANCIS, J., et al., "Peptide-based
vaccination: where do we stand", Curr Opin Allergy Clin Immunol
5:537-543 (2005). [0200] 18 FREESE, A., et al., "HLA-B7 B-pleated
sheet-derived synthetic peptides are immunodominant T-cell epitopes
regulating alloresponces", Blood, Vol. 99, No. 9, 3286-3292 (2002).
[0201] 19 GODKINS, A., et al., "Use of eluted peptide sequence data
to identify the binding characteristics of peptides to the
insulin-dependent diabetes susceptibility allele HLA-DQ8 (DQ 3.2)",
International Immunology, Vol. 9, No. 6, pp 905-911, (1997) [0202]
20 KOSMOPOULOU, A., "T-cell Epitopes of the La/SSB Autoantigen:
Prediction Based on the Homology Modeling of HLA-DQ2/DQ7 with the
Insulin-B Peptide/HLA-DQ8 Complex", Journal of Computational
Chemistry, Vol 27, No. 9, pp 1033-1044, (2006) [0203] 21 LIN, M.,
et al., "Development and Characterization of Desmoglein-3 Specific
T Cells from Patients and Pemphigus Vulgaris", J. Clin. Invest.,
Vol. 99, No. 1, 31-40 (1997). [0204] 22 LIN, Q., et al., "Genetic
dissection of the effects of stimulatory and inhibitory IgG Fc
receptors on murine lupus", The Journal of Immunology, 177:
1646-1655 (2006). [0205] 23 LU, Y., et al., "Identification of
Kinectin as a Novel Behcet's Disease Autoantigen", Arthritis Res.
Ther. 2005; 7(5):R1133-R1139, (2005), [0206] 24 MAYNARD, J., et
al., "Structure of an Autoimmune T Cell Receptor Complexed with
Class II Peptide-MHC: Insights into MHC Bias and Antigen
Specificity", Immunity, Vol. 22, 81-92 (2005). [0207] 25 MEINL, E.,
et al., "Genetic dissection of the effects of stimulatory and
inhibitory IgG Fc receptors on murine lupus", J. Clin. Invest.,
Vol. 92, 2633-2643 (1993). [0208] 26 MINOTA, S., et al.,
"Autoantibodies to the constitutive 73-kD member of the hsp70
family of heat shock proteins in systemic lupus erythematosus", J.
Exp. Med., Vol. 168, 1475-1480 (1988). [0209] 27 MULLER, R., et al.
"IgG reactivity against non-conformational NH.sub.2-terminal
epitopes of the desmoglein 3 ectodomain relates to clinical
activity and phenotype of pemphigus vularis", Experimental
Dermatology, 15: pp. 606-614, (2006) [0210] 28 PAL, R., et al.,
"Evidence for multiple shared antigenic determinants within Ro60
and other Lupus-related ribonucleoprotein autoantigens in human
autoimmune responses", The Journal of Immunology, 175: 7669-7677
(2005). [0211] 29 PAPASSAVAS, A. C., "HLA peptide-mediated
strategies for 29 modulation of cellular and humoral immune
responses in transplantation", Current Pharmacogenomics, Vol. 1,
No. 1, 17-36 (2003). [0212] 30 PEDOTTI, R., et al., "Severe
anaphylactic reactions to glutamic acid 30 decarboxylase (GAD) self
peptides in NOD mice that spontaneously develop autoimmune type 1
diabetes mellitus", BMC Immunology, 4:2 (2003). [0213] 31 PINCHUK,
P., et al., "Antigenicity of polypeptides (poly alpha amino
acids)", Microbiology Department, New Jersey College of Medicine
and Dentistry, 673-679 (1965). [0214] 32 PINILLA, C., et al.,
"Advances in the use of synthetic combinatorial chemistry:
Mixture-based libraries", Nature Medicine, Vol. 9, No. 1, pp.
118-126, (2003). [0215] 33 QUANDT, J. S. et al., "Peptidic complex
mistures as therapeutic agents in CNS autoimmunity", Molecular
Immunology, 40:1075-1087, (2004). [0216] 34 QUINTANA, F., et al.,
"DNA fragments of the human 60-kDa heat shock protein (HSP60)
vaccinate against adjuvant arthritis: identification of a
regulatory HSP60 peptide", The Journal of Immunology, 171:
3533-3541 (2003). [0217] 35 RAGJEB, et. al., "Myasthenia gravis
patients, but not healthy subjects, recognize epitopes that are
unique to the epsilon-subunit of the acetylcholine receptor." J.
Neuroimmunol. 2005 February; 159(1-2): 137-45. Epub 2004 Nov. 23
[0218] 36 RAZ, R., et al., "B-cell function in new-onset type
diabetes and immunomodulation with heat-shock protein peptide
(DiaPep27): a randomised, double-blind, phase II trial", The
Lancet, Vol. 358, 1749-1753 (2001). [0219] 37 ROSLONIEC, E., et
al., "HLA-DR1 (DRB1*0101) and DR4 (DRB1*0401) Use the Same Anchor
Residues for Binding an Immunodominant Peptide Derived from Human
Type II Collagen", The Journal of Immunology, 168:253-259, (2002)
[0220] 38 SAKURAI, Y. et al., "Analog Peptides of type II collagen
can suppress arthritis in HLA-DR4 (DRB1*0401) transgenic mice",
Arthritis Research & Therapy, 8:R150, (2006) [0221] 39 SCHWARZ,
M., et al., "Antibodies to heat shock proteins in schizophrenic
patients: Implications for the mechanism of the disease", Am J
Psychiatry 156:7, 1103-1104 (1999). [0222] 40 SEKIGUCHI, M., et
al., "Dominant Autoimmune Epitopes Recognized by Pemphigus
Antibodies Map to the N-Terminal.Adhesive Region of Desmogleins",
The Journal of Immunology, 167:5439-5448 (2001). [0223] 41 STERN,
Joel N. H., et al., "Peptide 15-mers of defined sequence that
substitute for random amino acid copolymers in amelioration of
experimental autoimmune encephalomyelitis", PNAS, 102:5, (2005)
[0224] 42 ULMANSKY, R., et al., "Resistance to adjuvant arthritis
is due to protective antibodies against heat shock protein surface
epitopes and the induction of IL-10 secretion", The Journal of
Immunology, 168: 6463-6469 (2002). [0225] 43 VAN ROON, J., et al.,
"Stimulation of suppressive T cell responses by human but not
bacterial 60-kD heat-shock protein in synovial fluid of patients
with rheumatoid arthritis", J. Clin. Invest., Vol. 1100, No. 2,
459-463 (1997). [0226] 44 VELDMAN, C., et al., "Detection of Low
Avidity Desmoglein 3-reactive T cells in pemphigus vulgaris using
HLA-DR-beta*0402 tetramers", Clinical Immunology, 1-8 (2006) [0227]
45 VELDMAN, C., et al., "T Cell Recognition of Desmoglein 3
peptides in Patients with Pemphigus Vulgaris and Healthy
Individuals", The Journal of Immunology, 172: 3883-3892 (2004).
[0228] 46 WILSON, D., "GAD-about BDC2.5: Peptides that stimulate
BDC2.5 T cells and inhibit IDDM", Journal of Autoimmunity 20,
199-201 (2003). [0229] 47 WILSON, D. et al, "Specificity and
degeneracy of T cells", Molecular Immunology 40:1047-1055, (2004)
[0230] 48 WUCHERPFENNIG, K., et al., "Structural basis for major
histocompatibility complex (MHC)-- linked susceptibility to
autoimmunity: Charged residues of a single MHC binding pocket
confer selective presentation of self-peptides in pemphigus
vulgaris", Proc. Natl. Acad. Sci. USA, Vol. 92, 11935-11939 (1995).
[0231] 49 WUCHERPFENNIG, K., et al., "Structural requirements for
binding of an immunodominant myelin basic protein peptide to DR2
isotypes and for its recognition by human T cell clones" J. Exp.
Med., Vol. 179, 279-290 (1994). [0232] 50 YURASOV, S., et al.,
"Persistent expression of autoantibodies in SLE patients in
remission", The Journal of Experimental Medicine", Vol. 203, No.
10, 2255-2261 (2006).
[0233] The contents of any patents, patent applications, patent
publications, or scientific articles referenced anywhere in this
application are herein incorporated in their entirety.
TABLE-US-00002 Sequence Listings in addition to Table I SEQ ID NO:
190 HSP-60 (human): MLRLPTVFRQ MRPVSRVLAP HLTRAYAKDV KFGADARALM
LQGVDLLADA VAVTMGPKGR TVIIEQSWGS PKVTKDGVTV AKSIDLKDKY KNIGAKLVQD
VANNTNEEAG DGTTTATVLA RSIAKEGFEK ISKGANPVEI RRGVMLAVDA VIAELKKQSK
PVTTPEEIAQ VATISANGDK EIGNIISDAM KKVGRKGVIT VKDGKTLNDE LEIIEGMKFD
RGYISPYFIN TSKGQKCEFQ DAYVLLSEKK ISSIQSIVPA LEIANAHRKP LVIIAEDVDG
EALSTLVLNR LKVGLQVVAV KAPGFGDNRK NQLKDMAIAT GGAVFGEEGL TLNLEDVQPH
DLGKVGEVIV TKDDANLLKG KGDKAQIEKR IQEIIEQLDV TTSEYEKEKL NERLAKLSDG
VAVLKVGGTS DVEVNEKKDR VTDALNATRA AVEEGIVLGG GCALLRCIPA LDSLTPANED
QKIGIEIIKR TLKIPAMTIA KNAGVEGSLI VEKIMQSSSE VGYDAMAGDF VNMVEKGIID
PTKVVRTALL DAAGVASLLT TAEVVVTEIP KEEKDPGMGA MGGMGGGMGG GMF SEQ ID
NO: 191 HSP-70 (human): MAKAAAIGID LGTTYSCVGV FQHGKVEIIA NDQGNRTTPS
YVAFTDTERL IGDAAKNQVA LNPQNTVFDA KRLIGRKFGD PVVQSDMKHW PFQVINDGDK
PKVQVSYKGE TKAFYPEEIS SMVLTKMKEI AEAYLGYPVT NAVITVPAYF NDSQRQATKD
AGVIAGLNVL RIINEPTAAA IAYGLDRTGK GERNVLIFDL GGGTFDVSIL TIDDGIFEVK
ATAGDTHLGG EDFDNRLVNH FVEEFKRKHK KDISQNKRAV RRLRTACERA KRTLSSSTQA
SLEIDSLFEG IDFYTSITRA RFEELCSDLF RSTLEPVEKA LRDAKLDKAQ IHDLVLVGGS
TRIPKVQKLL QDFFNGRDLN KSINPDEAVA YGAAVQAAIL MGDKSENVQD LLLLDVAPLS
LGLETAGGVM TALIKRNSTI PTKQTQIFTT YSDNQPGVLI QVYEGERAMT KDNNLLGRFE
LSGIPPAPRG VPQIEVTFDI DANGILNVTA TDKSTGKANK ITITNDKGRL SKEEIERMVQ
EAEKYKAEDE VQRERVSAKN ALESYAFNMK SAVEDEGLKG KISEADKKKV LDKCQEVISW
LDANTLAEKD EFEHKRKELE QVCNPIISGL YQGAGGPGPG GFGAQGPKGG SGSGPTIEEV D
SEQ ID NO: 192 HSP-90 alpha (human): PEETQTQDQP MEEEEVETFA
FQAEIAQLMS LIINTFYSNK EIFLRELISN SSDALDKIRY ESLTDPSKLD SGKELHINLI
PNKQDRTLTI VDTGIGMTKA DLINNLGTIA KSGTKAFMEA LQAGADISMI GQFGVGFYSA
YLVAEKVTVI TKHNDDEQYA WESSAGGSFT VRTDTGEPMG RGTKVILHLK EDQTEYLEER
RIKEIVKKHS QFIGYPITLF VEKERDKEVS DDEAEEKEDK EEEKEKEEKE SEDKPEIEDV
GSDEEEEKKD GDKKKKKKIK EKYIDQEELN KTKPIWTRNP DDITNEEYGE FYKSLTNDWE
DHLAVKHFSV EGQLEFRALL FVPRRAPFDL FENRKKKNNI KLYVRRVFIM DNCEELIPEY
LNFIRGVVDS EDLPLNISRE MLQQSKILKV IRKNLVKKCL ELFTELAEDK ENYKKFYEQF
SKNIKLGIHE DSQNRKKLSE LLRYYTSASG DEMVSLKDYC TRMKENQKHI YYITGETKDQ
VANSAFVERL RKHGLEVIYM IEPIDEYCVQ QLKEFEGKTL VSVTKEGLEL PEDEEEKKKQ
EEKKTKFENL CKIMKDILEK KVEKVVVSNR LVTSPCCIVT STYGWTANME RIMKAQALRD
NSTMGYMAAK KHLEINPDHS IIETLRQKAE ADKNDKSVKD LVILLYETAL LSSGFSLEDP
QTHANRIYRM IKLGLGIDED DPTADDTSAA VTEEMPPLEG DDDTSRMEEV D SEQ ID NO:
193 HSP-90 beta (human): PEEVHHGEEE VETFAFQAEI AQLMSLIINT
FYSNKEIFLR ELISNASDAL DKIRYESLTD PSKLDSGKEL KIDIIPNPQE RTLTLVDTGI
GMTKADLINN LGTIAKSGTK AFMEALQAGA DISMIGQFGV GFYSAYLVAE KVVVITKHND
DEQYAWESSA GGSFTVRADH GEPIGRGTKV ILHLKEDQTE YLEERRVKEV VKKHSQFIGY
PITLYLEKER EKEISDDEAE EEKGEKEEED KDDEEKPKIE DVGSDEEDDS GKDKKKKTKK
IKEKYIDQEE LNKTKPIWTR NPDDITQEEY GEFYKSLTND WEDHLAVKHF SVEGQLEFRA
LLFIPRRAPF DLFENKKKKN NIKLYVRRVF IMDSCDELIP EYLNFIRGVV DSEDLPLNIS
REMLQQSKIL KVIRKNIVKK CLELFSELAE DKENYKKFYE AFSKNLKLGI HEDSTNRRRL
SELLRYHTSQ SGDEMTSLSE YVSRMKETQK SIYYITGESK EQVANSAFVE RVRKRGFEVV
YMTEPIDEYC VQQLKEFDGK SLVSVTKEGL ELPEDEEEKK KMEESKAKFE NLCKLMKEIL
DKKVEKVTIS NRLVSSPCCI VTSTYGWTAN MERIMKAQAL RDNSTMGYMM AKKHLEINPD
HPIVETLRQK AEADKNDKAV KDLVVLLFET ALLSSGFSLE DPQTHSNRIY RMIKLGLGID
EDEVAAEEPN AAVPDEIPPL EGDEDASRME EVD SEQ ID NO: 194 GAD65 (human)
MASPGSGFWS FGSEDGSGDS ENPGTARAWC QVAQKFTGGI GNKLCALLYG DAEKPAESGG
SQPPRAAARK AACACDQKPC SCSKVDVNYA FLHATDLLPA CDGERPTLAF LQDVMNILLQ
YVVKSFDRST KVIDFHYPNE LLQEYNWELA DQPQNLEEIL MHCQTTLKYA IKTGHPRYFN
QLSTGLDMVG LAADWLTSTA NTNMFTYEIA PVFVLLEYVT LKKMRETTGW PGGSGDGIFS
PGGAISNMYA MMIARFKMFP EVKEKGMAAL PRLIAFTSEH SHFSLKKGAA ALGIGTDSVI
LIKCDERGKM IPSDLERRIL EAKQKGFVPF LVSATAGTTV YGAFDPLLAV ADICKKYKIW
MHVDAAWGGG LLMSRKHKWK LSGVERANSV TWNPHKMMGV PLQCSALLVR EEGLMQNCNQ
MHASYLFQQD KHYDLSYDTG DKALQCGRHV DVFKLWLMWR AKGTTGFEAH VDKCLELAEY
LYNIIKNREG YEMVFDGKPQ HTNVCFWYIP PSLRTLEDNE ERMSRLSKVA PVIKARNMEY
GTTMVSYQPL GDKVNFFRMV ISNPAATHQD IDELIEEIER LGQDL SEQ ID NO: 195
Ro60 (human) MEESVNQMQP LNEKQIANSQ DGYVWQVTDM NRLHRFLCFG SEGGTYYIKE
QKLGLENAEA LIRLIEDGRG CEVIQEIKSF SQEGRTTKQE PMLFALAICS QCSDISTKQA
AFKAVSEVCR IPTHLFTFIQ FKKDLKESMK CGMWGRALRK AIADWYNEKG GMALALAVTK
YKQRNGWSHK DLLRLSHLKP SSEGLAIVTK YITKGWKEVH ELYKEKALSV ETEKLLKYLE
AVEKVKRTRD ELEVIHLIEE HRLVREHLLT NHLKSKEVWK ALLQEMPLTA LLRNLGKMTA
NSVLEPGNSE VSLVCEKLCN EKLLKKARIH PFHILTALET YKTGHGLRGK LKWRPDEEIL
KALDAAFYKT FKTVEPTGKR FLLAVDVSAS MNQRVLGSIL NASTVAAAMC MVVTRTEKDS
YVVAFSDEMV PCPVTTDMTL QQVLMAMSQI PAGGTDCSLP MIWAQKTNTP ADVFIVFTDN
ETFAGGVHPA IALREYRKKM DIPAKLIVCG MTSNGFTIAD PDDRALQNTL LNKSF SEQ ID
NO: 196 HLA DQ2 ALPHA CHAIN VADHVASYGV NLYQSYGPSG QYTHEFDGDE
QFYVDLGRKE TVWCLPELRQ FRGFDPQFAL TNIAVLKHNL NSLIKRSNST AATNEVPEVT
VFSKSPVTLG QPNTLICLVD NIFPPVVNIT WLTNGHSVTE GVSETTFLSK SDHSFFKISY
LTLLPSAEES YDCKVEHWGL DKPLLKHWEP E SEQ ID NO: 197 HLA DQ2 BETA
CHAIN SPEDEVYQFK GMCYFTNGTE RVRLVSRSIY NREEIVRFDS DVGEFRAVTL
LGLPAAEYWN SQKDILERKR AAVDRVCRHN YQLELRTTLQ RRVEPTVTIS PSRTEALNHH
NLLVCSVTDF YPAQIKVRWF RKDQEETAGV VSTPLIRNGD WTFQILVMLE MTPQRGDVYT
CHVEHPSLQS PITVEWRAQS SEQ ID NO: 198 HLA DQ7 ALPHA CHAIN VADHVASYGV
NLYQSYGPSG QYTHEFDGDE QFYVDLGRKE TVWCLPELRQ FRGFDPQFAL TNIAVLKHNL
NSLIKRSNST AATNEVPEVT VFSKSPVTLG QPNTLICLVD NIFPPVVNIT WLTNGHSVTE
GVSETTFLSK SDHSFFKISY LTLLPSAEES YDCKVEHWGL DKPLLKHWEP E SEQ ID NO:
199 HLA DQ7 BETA CHAIN SPEDFVYQFK AMCYFTNGTE RVYVTRYIYN REEYARFDSD
VEVYRAVTPL GPPDAEYWNS QKEVLERTRA ELDTVCRHNY QLELRTTLQR RVEPTVTISP
SRTEALNHHN LLVCSVTDFY PAQIKVRWFR NDQEETTGVV STPLIRNGDW TFQILVMLEM
TPQHGDVYTC HVEHPSLQNP ITVEWRAQS SEQ ID NO: 200 HLA DQS ALPHA CHAIN
VADHVASYGV NLYQSYGPSG QYSHEFDGDE EFYVDLERKE TVWQLPLFRR FRRFDPQFAL
TNIAVLKHNL NIVIKRSNST AATNEVPEVT VFSKSPVTLG QPNTLICLVD NIFPPVVNIT
WLSNGHSVTE GVSETSFLSK SDHSFFKISY LTFLPSDDEI YDCKVEHWGL DEPLLKHWEP E
SEQ ID NO: 201 HLA DQ8 BETA CHAIN SPEDFVYQFK GMCYFTNGTE RVRLVTRYIY
NREEYARFDS DVGVYRAVTP LGPPAAEYWN SQKEVLERTR AELDTVCRHN YQLELRTTLQ
RRVEPTVTIS PSRTEALNHH NLLVCSVTDF YPAQIKVRWF RNDQEETTAG VVSTPLIRNG
DWTFQILVML EMTPQRGDVY TCHVEHPSLQ NPIIVEWRAQ S SEQ ID NO: 202 Human
myelin oligodendrocyte glycoprotein (MOG) QFRVIGPRHP IRALVGDEVE
LPCRISPGKN ATGMEVGWYR PPFSRVVHLY RNGKDQDGDQ APEYRGRTEL LKDAIGEGKV
TLRIRNVRFS DEGGFTCFFR DHSYQEEAAM ELKVEDPFYW VSPGVLVLLA VLPVLLLQIT
VGLVFLCLQY RLRGKLRAEI ENLHRTFGQF LEELRNPF SEQ ID NO: 203 Human
Myelin-associated oligodendrocyte basic protein MSQKPAKEGP
RLSKNQKYSE HFSIHCCPPF TFLNSKKEIV DRKYSICKSG CFYQKKEEDW ICCACQKTRL
KRKIRPTPKK K SEQ ID NO: 204 HUMAN DESMOGLEIN 3 PREPROPROTEIN
MMGLFPRTTG ALAIFVVVIL VHGELRIETK GQYDEEEMTM QQAKRRQKRE WVKFAKPCRE
GEDNSKRNPI AKITSDYQAT QKITYRISGV GIDQPPFGIF VVDKNTGDIN ITAIVDREET
PSFLITCRAL NAQGLDVEKP LILTVKILDI NDNPPVFSQQ IFMGEIEENS ASNSLVMILN
ATDADEPNHL NSKIAFKIVS QEPAGTPMFL LSRNTGEVRT LTNSLDREQA SSYRLVVSGA
DKDGEGLSTQ CECNIKVKDV NDNFPMFRDS QYSARIEENI LSSELLRFQV TDLDEEYTDN
WLAVYFFTSG NEGNWFEIQT DPRTNEGILK VVKALDYEQL QSVKLSIAVK NKAEFHQSVI
SRYRVQSTPV TIQVINVREG IAFRPASKTF TVQKGISSKK LVDYILGTYQ AIDEDTNKAA
SNVKYVMGRN DGGYLMIDSK TAEIKFVKNM NRDSTFIVNK TITAEVLAID EYTGKTSTGT
VYVRVPDFND NCPTAVLEKD AVCSSSPSVV VSARTLNNRY TGPYTFALED QPVKLPAVWS
ITTLNATSAL LRAQEQIPPG VYHISLVLTD SQNNRCEMPR SLTLEVCQCD NRGICGTSYP
TTSPGTRYGR PHSGRLGPAA IGLLLLGLLL LLLAPLLLLT CDCGAGSTGG VTGGFIPVPD
GSEGTIHQWG IEGAHPEDKE ITNICVPPVT ANGADFMESS EVCTNTYARG TAVEGTSGME
MTTKLGAATE SGGAAGFATG TVSGAASGFG AATGVGICSS GQSGTMRTRH STGGTNKDYA
DGAISMNFLD SYFSQKAFAC AEEDDGQEAN DCLLIYDNEG ADATGSPVGS VGCCSFIADD
LDDSFLDSLG PKFKKLAEIS LGVDGEGKEV QPPSKDSGYG IESCGHPIEV QQTGFVKCQT
LSGSQGASAL STSGSVQPAV SIPDPLQHGN YLVTETYSAS GSLVQPSTAG FDPLLTQNVI
VTERVICPIS SVPGNLAGPT QLRGSHTMLC TEDPCSRLI
Sequence CWU 1
1
240139PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 1Lys Ser Tyr Cys Glu Ile Ile Val Thr His Phe Pro
Phe Asp Glu Gln1 5 10 15Asn Cys Ser Met Lys Leu Gly Thr Trp Thr Tyr
Asp Gly Ser Val Val20 25 30Ala Thr Asn Pro Glu Ser
Asp35226PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 2Met Lys Ser Asp Gln Glu Ser Asn Asn Ala Ala Ala
Glu Trp Lys Tyr1 5 10 15Val Ala Met Val Met Asp His Ile Leu Leu20
2538PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 3Phe Lys Gly Glu Gln Gly Pro Lys1
5420PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 4Pro Lys Gly Gln Thr Gly Glu Asx Gly Ile Ala Gly
Phe Lys Gly Glu1 5 10 15Gln Gly Pro Lys20521PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 5Gly
Glu Asx Gly Ile Ala Gly Phe Lys Gly Glu Gln Gly Pro Lys Gly1 5 10
15Glu Asx Gly Pro Ala20631PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 6Glu Val Gly Glu Leu Ser Arg
Gly Lys Leu Tyr Ser Leu Gly Asn Gly1 5 10 15Arg Trp Met Leu Thr Leu
Ala Lys Asn Met Glu Val Arg Ala Ile20 25 30733PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 7Gly
Asn Gly Arg Trp Met Leu Thr Leu Ala Lys Asn Met Glu Val Arg1 5 10
15Ala Ile Phe Thr Gly Tyr Tyr Gly Lys Gly Lys Pro Val Pro Thr Gln20
25 30Gly810PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 8Ala Ser Gln Lys Arg Pro Ser Gln Arg His1 5
10919PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 9Leu Ser Arg Phe Ser Trp Gly Ala Glu Gly Gln Arg
Pro Gly Phe Gly1 5 10 15Tyr Gly Gly1015PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 10Ala
Ser Asp Tyr Lys Ser Ala His Lys Gly Phe Lys Gly Val Asp1 5 10
151125PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 11Ala Ser Asp Tyr Lys Ser Ala His Lys Gly Leu Lys
Gly Val Asp Ala1 5 10 15Gln Gly Thr Leu Ser Lys Ile Phe Lys20
251220PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 12Lys Tyr Leu Ala Thr Ala Ser Thr Met Asp His Ala
Arg His Gly Phe1 5 10 15Leu Pro Arg His201315PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 13Lys
Gly Phe Lys Gly Val Asp Ala Gln Gly Thr Leu Ser Lys Ile1 5 10
151425PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 14Ala Gln Gly Thr Leu Ser Lys Ile Phe Lys Leu Gly
Gly Arg Asp Ser1 5 10 15Arg Ser Gly Ser Pro Met Ala Arg Arg20
251515PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 15Gly Thr Leu Ser Lys Ile Phe Lys Leu Gly Gly Arg
Asp Ser Arg1 5 10 151616PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 16Ser His Gly Arg Thr Gln Asp
Glu Asn Pro Val Val His Phe Phe Lys1 5 10 151725PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 17Tyr
Gly Arg Thr Gln Asp Glu Asn Pro Val Val His Phe Phe Lys Asn1 5 10
15Ile Val Thr Pro Arg Thr Pro Pro Pro20 251817PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 18Glu
Asn Pro Val Val His Phe Phe Lys Asn Ile Val Thr Pro Arg Thr1 5 10
15Pro1919PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 19Asp Glu Asn Pro Val Val His Phe Phe Lys Asn Ile
Val Thr Pro Arg1 5 10 15Thr Pro Pro2015PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 20Glu
Asn Pro Val Val His Phe Phe Lys Asn Ile Val Thr Pro Arg1 5 10
152120PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 21Val Val His Phe Phe Lys Asn Ile Val Thr Pro Arg
Thr Pro Pro Pro1 5 10 15Ser Gln Gly Lys202219PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 22Phe
Ser Ile His Cys Cys Pro Pro Phe Thr Phe Asn Asn Ser Lys Lys1 5 10
15Glu Ile Val2319PRTArtificial SequenceDescription of Artificial
Sequence Synthetic peptide 23Phe Leu Asn Ser Lys Lys Glu Ile Val
Asp Arg Lys Tyr Ser Ile Cys1 5 10 15Lys Ser Gly2420PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 24Cys
Gln Phe Arg Val Ile Gly Pro Arg His Pro Ile Arg Ala Leu Val1 5 10
15Gly Asp Glu Val202520PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 25Pro Ile Arg Ala Leu Val Gly
Asp Glu Val Glu Leu Pro Cys Arg Ile1 5 10 15Ser Pro Gly
Lys202620PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 26Glu Leu Pro Cys Arg Ile Ser Pro Gly Lys Asn Ala
Thr Gly Met Glu1 5 10 15Val Gly Trp Tyr202721PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 27Met
Glu Val Gly Trp Tyr Arg Pro Pro Phe Ser Arg Val Val His Leu1 5 10
15Tyr Arg Asn Gly Lys202813PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 28His Ser Leu Gly Lys Trp Leu
Gly His Pro Asp Lys Phe1 5 102916PRTArtificial SequenceDescription
of Artificial Sequence Synthetic peptide 29His Cys Leu Gly Lys Trp
Leu Gly His Pro Asp Lys Phe Val Gly Ile1 5 10 153020PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 30Asn
Thr Trp Thr Thr Cys Gln Ser Ile Ala Phe Pro Ser Lys Thr Ser1 5 10
15Ala Ser Ile Gly203120PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 31Ser Lys Thr Ser Ala Ser Ile
Gly Ser Leu Cys Ala Asp Ala Arg Met1 5 10 15Tyr Gly Val
Leu203218PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 32Gly Phe Tyr Thr Thr Gly Ala Val Arg Gln Ile Phe
Gly Asp Tyr Lys1 5 10 15Thr Thr3312PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 33Arg
Glu Trp Val Lys Phe Ala Lys Pro Cys Arg Glu1 5 103417PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 34Gln
Ala Thr Gln Lys Ile Thr Tyr Arg Ile Ser Gly Val Gly Ile Asp1 5 10
15Gln3517PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 35Pro Phe Gly Ile Phe Val Val Asp Lys Asn Thr Gly
Asp Ile Asn Ile1 5 10 15Thr3617PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 36His Leu Asn Ser Lys Ile Ala
Phe Lys Ile Val Ser Gln Glu Pro Ala1 5 10 15Gly3717PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 37Gly
Thr Pro Met Phe Leu Leu Ser Arg Asn Thr Gly Glu Val Arg Thr1 5 10
15Leu3817PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 38Gln Cys Glu Cys Asn Ile Lys Val Lys Asp Val Asn
Asp Asn Phe Pro1 5 10 15Met3917PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 39Ser Val Lys Leu Ser Ile Ala
Val Lys Asn Lys Ala Glu Phe His Gln1 5 10 15Ser4017PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 40Asn
Val Arg Glu Gly Ile Ala Phe Arg Pro Ala Ser Lys Thr Phe Thr1 5 10
15Val4117PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 41Arg Asp Ser Thr Phe Ile Val Asn Lys Thr Ile Thr
Ala Glu Val Leu1 5 10 15Ala4215PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 42Ser Ala Arg Thr Leu Asn Asn
Arg Tyr Thr Gly Pro Tyr Thr Phe1 5 10 154315PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 43Gln
Ser Gly Thr Met Arg Thr Arg His Ser Thr Gly Gly Thr Asn1 5 10
154420PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 44Ala Ala Leu Gly Ile Gly Thr Asp Ser Val Ile Leu
Ile Lys Cys Asp1 5 10 15Glu Arg Gly Lys204520PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 45Ala
Phe Thr Ser Glu His Ser His Phe Ser Leu Lys Lys Gly Ala Ala1 5 10
15Ala Leu Gly Ile204620PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 46Ala Thr His Gln Asp Ile Asp
Phe Leu Ile Glu Glu Ile Glu Arg Leu1 5 10 15Gly Gln Asp
Leu204710PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 47Ala Val Arg Pro Leu Trp Val Arg Met Glu1 5
104811PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 48Ala Tyr Val Arg Pro Leu Trp Val Arg Met Glu1 5
104921PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 49Cys Gly Arg His Val Asp Val Phe Lys Leu Trp Leu
Met Trp Arg Ala1 5 10 15Lys Gly Thr Thr Gly205020PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 50Asp
Glu Arg Gly Lys Met Ile Pro Ser Asp Leu Glu Arg Arg Ile Leu1 5 10
15Glu Ala Lys Gln205123PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 51Asp Ile Cys Lys Lys Tyr Lys
Ile Trp Met His Val Asp Ala Ala Trp1 5 10 15Gly Gly Gly Leu Leu Met
Ser205220PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 52Asp Met Val Gly Leu Ala Ala Asp Trp Leu Thr Ser
Thr Ala Asn Thr1 5 10 15Asn Met Phe Thr205320PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 53Glu
Glu Ile Leu Met His Cys Gln Thr Thr Leu Lys Tyr Ala Ile Lys1 5 10
15Thr Gly His Pro205422PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 54Glu Leu Leu Gln Glu Tyr Asn
Trp Glu Leu Ala Asp Gln Pro Gln Asn1 5 10 15Leu Glu Glu Ile Leu
Met205520PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 55Glu Arg Ala Asn Ser Val Thr Trp Asn Pro His Lys
Met Met Gly Val1 5 10 15Pro Leu Gln Cys205620PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 56Glu
Tyr Gly Thr Thr Met Val Ser Tyr Gln Pro Leu Gly Asp Lys Val1 5 10
15Asn Phe Phe Arg205720PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 57Glu Tyr Leu Tyr Asn Ile Ile
Lys Asn Arg Glu Gly Tyr Glu Met Val1 5 10 15Phe Asp Gly
Lys205820PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 58Glu Tyr Val Thr Leu Lys Lys Met Arg Glu Ile Ile
Gly Trp Pro Gly1 5 10 15Gly Ser Gly Asp205920PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 59Gly
Gly Ser Gly Asp Gly Ile Phe Ser Pro Gly Gly Ala Ile Ser Asn1 5 10
15Met Tyr Ala Met206020PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 60Gly Leu Leu Met Ser Arg Lys
His Lys Trp Lys Leu Ser Gly Val Glu1 5 10 15Arg Ala Asn
Ser206123PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 61Gly Ser Gly Asp Ser Glu Asn Pro Gly Thr Ala Arg
Ala Trp Cys Gln1 5 10 15Val Ala Gln Lys Phe Thr
Gly206220PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 62His Ala Thr Asp Leu Leu Pro Ala Cys Asp Gly Glu
Arg Pro Thr Leu1 5 10 15Ala Phe Leu Gln206320PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 63Ile
Pro Pro Ser Leu Arg Thr Leu Glu Asp Asn Glu Glu Arg Met Ser1 5 10
15Arg Leu Ser Lys206422PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 64Lys Gly Thr Thr Gly Phe Glu
Ala His Val Asp Lys Cys Leu Glu Leu1 5 10 15Ala Glu Tyr Leu Tyr
Asn206520PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 65Lys His Tyr Asp Leu Ser Tyr Asp Thr Gly Asp Lys
Ala Leu Gln Cys1 5 10 15Gly Arg His Val206620PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 66Lys
Pro Cys Ser Cys Ser Lys Val Asp Val Asn Tyr Ala Phe Leu His1 5 10
15Ala Thr Asp Leu206720PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 67Lys Thr Gly His Pro Arg Tyr
Phe Asn Gln Leu Ser Thr Gly Leu Asp1 5 10 15Met Val Gly
Leu206812PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 68Lys Val Ala Pro Val Ile Lys Ala Arg Met Met
Glu1 5 106912PRTArtificial SequenceDescription of Artificial
Sequence Synthetic peptide 69Lys Val Ala Pro Val Trp Val Ala Arg
Met Met Glu1 5 107010PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 70Lys Val Ala Pro Val Trp Val
Arg Met Glu1 5 107122PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 71Leu Ala Phe Leu Gln Asp Val
Met Asn Ile Leu Leu Gln Tyr Val Val1 5 10 15Lys Ser Phe Asp Arg
Ser207220PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 72Leu Glu Ala Lys Gln Lys Gly Phe Val Pro Phe Leu
Val Ser Ala Thr1 5 10 15Ala Gly Thr Thr207320PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 73Leu
Leu Tyr Gly Asp Ala Glu Lys Pro Ala Glu Ser Gly Gly Ser Gln1 5 10
15Pro Pro Arg Ala207416PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 74Leu Ser Lys Val Ala Pro Val
Ile Lys Ala Arg Met Met Glu Tyr Gly1 5 10 157520PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 75Met
Ala Ser Pro Gly Ser Gly Phe Trp Ser Phe Gly Ser Glu Asp Gly1 5 10
15Ser Gly Asp Ser207620PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 76Asn Met Tyr Ala Met Met Ile
Ala Arg Phe Lys Met Phe Pro Glu Val1 5 10 15Lys Glu Lys
Gly207720PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 77Pro Glu Val Lys Glu Lys Gly Met Ala Ala Leu Pro
Arg Leu Ile Ala1 5 10 15Phe Thr Ser Glu207810PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 78Gln
His Arg Pro Leu Trp Val Arg Met Glu1 5 107920PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 79Gln
Lys Phe Thr Gly Gly Ile Gly Ile Gly Asn Lys Leu Cys Ala Leu1 5 10
15Leu Tyr Gly Asp208020PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 80Gln Asn Cys Asn Gln Met His
Ala Ser Tyr Leu Phe Gln Gln Asp Lys1 5 10 15His Tyr Asp
Leu208121PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 81Gln Pro Pro Arg Ala Ala Ala Arg Lys Ala Ala Cys
Ala Cys Asp Gln1 5 10 15Lys Pro Cys Ser Cys208210PRTArtificial
SequenceDescription of
Artificial Sequence Synthetic peptide 82Arg Thr Arg Pro Leu Trp Val
Arg Met Glu1 5 108310PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 83Arg Val Leu Pro Leu Trp Val
Arg Met Glu1 5 108420PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 84Ser Phe Asp Arg Ser Thr Lys
Val Ile Asp Phe His Tyr Pro Asn Glu1 5 10 15Leu Leu Gln
Glu208520PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 85Ser Arg Leu Ser Lys Val Ala Pro Val Ile Lys Ala
Arg Met Met Glu1 5 10 15Tyr Gly Thr Thr208622PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 86Thr
Ala Gly Thr Thr Val Tyr Gly Ala Phe Asp Pro Leu Leu Ala Val1 5 10
15Ala Asp Ile Cys Lys Lys208720PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 87Thr Asn Met Phe Thr Tyr Glu
Ile Ala Pro Val Phe Val Leu Leu Glu1 5 10 15Tyr Val Thr
Leu208820PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 88Val Phe Asp Gly Lys Pro Gln His Thr Met Val Cys
Lys Trp Tyr Ile1 5 10 15Pro Pro Ser Leu208920PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 89Val
Asn Phe Phe Arg Met Val Ile Ser Met Pro Ala Ala Thr His Gln1 5 10
15Asp Ile Asp Phe209021PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 90Val Pro Leu Gln Cys Ser Ala
Leu Leu Val Arg Glu Glu Gly Leu Met1 5 10 15Gln Asn Cys Asn
Gln209110PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 91Tyr Thr Leu Pro Leu Trp Val Arg Met Glu1 5
109225PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 92Gln Cys Ser Asp Ile Ser Thr Lys Gln Ala Ala Phe
Lys Ala Val Ser1 5 10 15Glu Val Cys Arg Ile Pro Thr His Leu20
259325PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 93Glu Thr Glu Lys Leu Leu Lys Tyr Leu Glu Ala Val
Glu Lys Val Lys1 5 10 15Arg Thr Arg Asp Glu Leu Glu Val Ile20
259420PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 94Lys Ala Arg Ile His Pro Phe His Ile Leu Ile Ala
Leu Glu Thr Tyr1 5 10 15Lys Thr Gly His209525PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 95Phe
Lys Thr Val Glu Pro Thr Gly Lys Arg Phe Leu Leu Ala Val Asp1 5 10
15Val Ser Ala Ser Met Asn Gln Arg Val20 259626PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 96Met
Asn Gln Arg Val Leu Gly Ser Ile Leu Asn Ala Ser Thr Val Ala1 5 10
15Ala Ala Met Cys Ile Lys Ala Leu Asp Ala20 259725PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 97Pro
Cys Pro Val Thr Thr Asp Met Thr Leu Gln Gln Val Leu Met Ala1 5 10
15Met Ser Gln Ile Pro Ala Gly Gly Thr20 259825PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 98Pro
Ala Gly Gly Thr Asp Cys Ser Leu Pro Met Ile Trp Ala Gln Lys1 5 10
15Thr Asn Thr Pro Ala Asp Val Phe Ile20 259920PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 99Lys
Thr Asn Thr Pro Ala Asp Val Phe Ile Val Phe Thr Asp Asn Glu1 5 10
15Thr Phe Ala Gly2010016PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 100Met Ala Ala Leu Glu Ala
Lys Ile Cys His Gln Ile Glu Tyr Tyr Phe1 5 10 1510126PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 101Asp
Glu Tyr Lys Asn Asp Val Lys Asn Arg Ser Val Tyr Ile Lys Gly1 5 10
15Phe Pro Thr Asp Ala Thr Leu Asp Asp Ile20 2510216PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 102Arg
Ser Val Tyr Ile Lys Gly Phe Pro Thr Asp Ala Thr Leu Asp Asp1 5 10
1510316PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 103Thr Leu Asp Asp Ile Lys Glu Trp Leu Glu Asp
Lys Gly Gln Val Leu1 5 10 1510416PRTArtificial SequenceDescription
of Artificial Sequence Synthetic peptide 104Trp Leu Glu Asp Lys Gly
Gln Val Leu Asn Ile Gln Met Arg Arg Thr1 5 10 1510536PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 105Lys
Gly Gln Val Leu Asn Ile Gln Met Arg Arg Thr Leu His Lys Ala1 5 10
15Phe Lys Gly Ser Ile Phe Val Val Phe Asp Ser Ile Glu Ser Ala Lys20
25 30Lys Phe Val Glu3510616PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 106Met Arg Arg Thr Leu His
Lys Ala Phe Lys Gly Ser Ile Phe Val Val1 5 10 1510716PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 107Ser
Ile Phe Val Val Phe Asp Ser Ile Glu Ser Ala Lys Lys Phe Val1 5 10
1510816PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 108Val Val Phe Asp Ser Ile Glu Ser Ala Lys Lys
Phe Val Glu Thr Pro1 5 10 1510916PRTArtificial SequenceDescription
of Artificial Sequence Synthetic peptide 109Ser Ile Glu Ser Ala Lys
Lys Phe Val Glu Thr Pro Gly Gln Lys Tyr1 5 10 1511017PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 110Thr
Asp Leu Leu Ile Leu Phe Lys Asp Asp Tyr Phe Ala Lys Lys Asn1 5 10
15Glu11116PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 111Ile Leu Phe Lys Asp Asp Tyr Phe Ala Lys Lys
Asn Glu Glu Arg Lys1 5 10 1511220PRTArtificial SequenceDescription
of Artificial Sequence Synthetic peptide 112Cys His Gln Ile Glu Tyr
Tyr Phe Gly Asp Phe Asn Leu Pro Arg Asp1 5 10 15Lys Phe Leu
Lys2011316PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 113Glu Glu Asp Ala Glu Met Lys Ser Leu Glu Glu
Lys Ile Gly Cys Leu1 5 10 1511416PRTArtificial SequenceDescription
of Artificial Sequence Synthetic peptide 114Leu Glu Glu Lys Ile Gly
Cys Leu Leu Lys Phe Ser Gly Asp Leu Asp1 5 10 1511516PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 115Tyr
Tyr Phe Gly Asp Phe Asn Leu Pro Arg Asp Lys Phe Leu Lys Glu1 5 10
1511616PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 116Ser Asn His Gly Glu Ile Lys Trp Ile Asp Phe
Val Arg Gly Ala Lys1 5 10 1511716PRTArtificial SequenceDescription
of Artificial Sequence Synthetic peptide 117Gly Glu Ile Lys Trp Ile
Asp Phe Val Arg Gly Ala Lys Glu Gly Ile1 5 10 1511817PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 118Ala
Leu Lys Gly Lys Ala Lys Asp Ala Asn Asn Gly Leu Asn Gln Leu1 5 10
15Arg11916PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 119Phe Asn Leu Pro Arg Asp Lys Phe Leu Lys Glu
Gln Ile Lys Leu Asp1 5 10 1512016PRTArtificial SequenceDescription
of Artificial Sequence Synthetic peptide 120Ala Lys Asp Ala Asn Asn
Gly Asn Leu Gln Leu Arg Asn Lys Glu Val1 5 10 1512116PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 121Leu
Gln Leu Arg Asn Lys Glu Val Thr Trp Glu Leu Val Glu Gly Glu1 5 10
1512216PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 122Asn Lys Glu Val Thr Trp Glu Leu Val Glu Gly
Glu Val Glu Lys Glu1 5 10 1512316PRTArtificial SequenceDescription
of Artificial Sequence Synthetic peptide 123Glu Gly Glu Val Glu Lys
Glu Ala Leu Lys Lys Ile Ile Glu Asp Gln1 5 10 1512416PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 124Glu
Lys Glu Ala Leu Lys Lys Ile Ile Glu Asp Gln Gln Glu Ser Leu1 5 10
1512516PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 125Arg Asp Lys Phe Leu Lys Glu Gln Ile Lys Leu
Asp Glu Gly Trp Val1 5 10 1512616PRTArtificial SequenceDescription
of Artificial Sequence Synthetic peptide 126Gly Lys Gly Lys Gly Asn
Lys Ala Ala Gln Pro Gly Ser Gly Lys Gly1 5 10 1512716PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 127Gly
Ser Lys Gly Lys Gly Lys Val Gln Phe Gln Gly Lys Lys Thr Lys1 5 10
1512816PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 128Phe Gln Gly Lys Lys Thr Lys Phe Ala Ser Asp
Asp Glu His Asp Glu1 5 10 1512916PRTArtificial SequenceDescription
of Artificial Sequence Synthetic peptide 129Asp Glu Asn Gly Ala Thr
Gly Pro Val Lys Arg Ala Arg Glu Glu Thr1 5 10 1513016PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 130Glu
Glu Thr Asp Lys Glu Glu Pro Ala Ser Lys Gln Gln Lys Thr Glu1 5 10
1513123PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 131Gly Trp Val Pro Leu Glu Ile Met Ile Lys Phe
Asn Arg Leu Asn Arg1 5 10 15Leu Thr Thr Asp Phe Asn
Val2013216PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 132Pro Leu Glu Ile Met Ile Lys Phe Asn Arg Leu
Asn Arg Leu Thr Thr1 5 10 1513316PRTArtificial SequenceDescription
of Artificial Sequence Synthetic peptide 133Ile Met Ile Lys Phe Asn
Arg Leu Asn Arg Leu Thr Thr Asp Phe Asn1 5 10 1513416PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 134Lys
Phe Asn Arg Leu Asn Arg Leu Thr Thr Asp Phe Asn Val Ile Val1 5 10
1513516PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 135Asp Phe Asn Val Ile Val Glu Ala Leu Ser Lys
Ser Lys Ala Glu Leu1 5 10 1513616PRTArtificial SequenceDescription
of Artificial Sequence Synthetic peptide 136Leu Ser Lys Ser Lys Ala
Glu Leu Met Glu Ile Ser Glu Asp Lys Thr1 5 10 1513716PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 137Ser
Lys Ala Glu Leu Met Glu Ile Ser Glu Asp Lys Thr Lys Ile Arg1 5 10
1513815PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 138Arg Arg Ser Pro Ser Lys Pro Leu Pro Glu Val
Thr Asp Glu Tyr1 5 10 1513916PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 139Pro Ser Lys Pro Leu Pro
Glu Val Thr Asp Glu Tyr Lys Asn Asp Val1 5 10 1514020PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 140Lys
Phe Gly Ala Asp Ala Arg Ala Leu Met Leu Gln Gly Val Asp Leu1 5 10
15Leu Ala Asp Ala2014115PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 141Leu Lys Val Gly Leu Gln
Val Val Ala Val Lys Ala Pro Gly Phe1 5 10 1514215PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 142Gly
Gly Ala Val Phe Gly Glu Glu Gly Leu Thr Leu Asn Leu Glu1 5 10
1514315PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 143Thr Leu Asn Leu Glu Asp Val Gln Pro His Asp
Leu Gly Lys Val1 5 10 1514415PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 144Val Gly Ala Ala Thr Glu
Ile Glu Met Lys Glu Lys Lys Asp Arg1 5 10 1514515PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 145Val
Gly Gly Thr Ser Asp Val Glu Val Asn Glu Lys Lys Asp Arg1 5 10
1514615PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 146Ile Val Leu Gly Gly Gly Cys Ala Leu Leu Arg
Cys Ile Pro Ala1 5 10 1514724PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 147Val Leu Gly Gly Gly Val
Ala Leu Leu Arg Val Ile Pro Ala Leu Asp1 5 10 15Ser Leu Thr Pro Ala
Asn Glu Asp2014815PRTArtificial SequenceDescription of Artificial
Sequence Synthetic peptide 148Gly Cys Ala Leu Leu Arg Cys Ile Pro
Ala Leu Asp Ser Leu Thr1 5 10 1514915PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 149Arg
Cys Ile Pro Ala Leu Asp Ser Leu Thr Pro Ala Asn Glu Asp1 5 10
1515015PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 150Glu Ile Ile Lys Arg Thr Leu Lys Ile Pro Ala
Met Thr Ile Ala1 5 10 1515115PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 151Val Glu Lys Ile Met Gln
Ser Ser Ser Glu Val Gly Tyr Asp Ala1 5 10 1515215PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 152Met
Ala Gly Asp Phe Val Asn Met Val Glu Lys Gly Ile Ile Asp1 5 10
1515315PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 153Val Asn Met Val Glu Lys Gly Ile Ile Asp Pro
Thr Lys Val Val1 5 10 1515415PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 154Val Ala Val Thr Met Gly
Pro Lys Gly Arg Thr Val Ile Ile Glu1 5 10 1515515PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 155Lys
Gly Ile Ile Asp Pro Thr Lys Val Val Arg Thr Ala Leu Leu1 5 10
1515615PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 156Pro Thr Lys Val Val Arg Thr Ala Leu Leu Asp
Ala Ala Gly Val1 5 10 1515715PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 157Ala Ser Leu Leu Thr Thr
Ala Glu Val Val Val Thr Glu Ile Pro1 5 10 151589PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 158Gly
Glu Thr Arg Lys Val Lys Ala His1 515915PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 159Arg
Lys Val Lys Ala His Ser Gln Thr His Arg Val Asp Leu Gly1 5 10
1516015PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 160Arg Val Asp Leu Gly Thr Leu Arg Gly Tyr Tyr
Asn Gln Ser Glu1 5 10 1516115PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 161Asp Gly Arg Leu Leu Arg
Gly His Asp Gln Tyr Ala Tyr Asp Gly1 5 10 1516214PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 162Gly
Pro Glu Tyr Trp Asp Arg Asn Thr Gln Ile Tyr Lys Ala1 5
1016316PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 163Trp Asp Arg Asn Thr Gln Ile Tyr Lys Ala Gln
Ala Gln Thr Asp Arg1 5 10 151649PRTArtificial SequenceDescription
of Artificial Sequence Synthetic peptide 164Arg Asn Thr Gln Ile Tyr
Lys
Ala Gln1 516515PRTArtificial SequenceDescription of Artificial
Sequence Synthetic peptide 165Arg Glu Ser Leu Arg Asn Leu Arg Gly
Tyr Tyr Asn Gln Ser Glu1 5 10 1516615PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 166Gly
Ser His Thr Leu Gln Ser Met Tyr Gly Cys Asp Val Gly Pro1 5 10
1516712PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 167Leu Asn Glu Asp Leu Arg Ser Trp Thr Ala Ala
Asp1 5 1016815PRTArtificial SequenceDescription of Artificial
Sequence Synthetic peptide 168Leu Asn Glu Asp Leu Arg Ser Trp Thr
Ala Ala Asx Thr Ala Ala1 5 10 151699PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 169Asp
Lys Gly Gln Val Leu Asn Ile Gln1 517014PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 170Leu
Glu Asp Lys Gly Gln Val Leu Asn Ile Gln Met Arg Arg1 5
1017114PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 171Ala Phe Lys Gly Ser Ile Phe Val Val Phe Asp
Ser Ile Glu1 5 101729PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 172Glu Ser Ala Lys Lys Phe
Val Glu Thr1 517314PRTArtificial SequenceDescription of Artificial
Sequence Synthetic peptide 173Ile Glu Ser Ala Lys Lys Phe Val Glu
Thr Pro Gly Gln Lys1 5 1017412PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 174Ala Lys Asp Ala Asn Asn
Gly Asn Leu Gln Leu Arg1 5 101759PRTArtificial SequenceDescription
of Artificial Sequence Synthetic peptide 175Glu Ala Leu Lys Lys Ile
Ile Glu Asp1 51769PRTArtificial SequenceDescription of Artificial
Sequence Synthetic peptide 176Glu Gln Ile Lys Leu Asp Glu Gly Trp1
517712PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 177Leu Lys Glu Gln Ile Lys Leu Asp Glu Gly Trp
Val1 5 101789PRTArtificial SequenceDescription of Artificial
Sequence Synthetic peptide 178Ala Glu Leu Met Glu Ile Ser Glu Asp1
517913PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 179Ser Lys Ala Glu Leu Met Glu Ile Ser Glu Asp
Lys Thr1 5 101809PRTArtificial SequenceDescription of Artificial
Sequence Synthetic peptide 180Lys Gly Ser Ile Phe Val Val Phe Asp1
518114PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 181Ala Lys Asp Ala Asn Asn Gly Asn Leu Gln Leu
Arg Asn Lys1 5 101829PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 182Asp Ala Asn Asn Gly Asn
Leu Gln Leu1 518312PRTArtificial SequenceDescription of Artificial
Sequence Synthetic peptide 183Ile Val Glu Ala Leu Ser Lys Ser Lys
Ala Glu Leu1 5 1018413PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 184Ala Phe Lys Gly Ser Ile
Phe Val Val Phe Asp Ser Ile1 5 1018514PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 185Gly
Ser Ile Phe Val Val Phe Asp Ser Ile Glu Ser Ala Lys1 5
1018614PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 186Ile Phe Val Val Phe Asp Ser Ile Glu Ser Ala
Lys Lys Phe1 5 101879PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 187Val Val Phe Asp Ser Ile
Glu Ser Ala1 518813PRTArtificial SequenceDescription of Artificial
Sequence Synthetic peptide 188Glu Leu Met Glu Ile Ser Glu Asp Lys
Thr Lys Ile Arg1 5 101899PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 189Glu Ala Leu Tyr Leu Val
Cys Gly Glu1 5190573PRTHomo sapiens 190Met Leu Arg Leu Pro Thr Val
Phe Arg Gln Met Arg Pro Val Ser Arg1 5 10 15Val Leu Ala Pro His Leu
Thr Arg Ala Tyr Ala Lys Asp Val Lys Phe20 25 30Gly Ala Asp Ala Arg
Ala Leu Met Leu Gln Gly Val Asp Leu Leu Ala35 40 45Asp Ala Val Ala
Val Thr Met Gly Pro Lys Gly Arg Thr Val Ile Ile50 55 60Glu Gln Ser
Trp Gly Ser Pro Lys Val Thr Lys Asp Gly Val Thr Val65 70 75 80Ala
Lys Ser Ile Asp Leu Lys Asp Lys Tyr Lys Asn Ile Gly Ala Lys85 90
95Leu Val Gln Asp Val Ala Asn Asn Thr Asn Glu Glu Ala Gly Asp
Gly100 105 110Thr Thr Thr Ala Thr Val Leu Ala Arg Ser Ile Ala Lys
Glu Gly Phe115 120 125Glu Lys Ile Ser Lys Gly Ala Asn Pro Val Glu
Ile Arg Arg Gly Val130 135 140Met Leu Ala Val Asp Ala Val Ile Ala
Glu Leu Lys Lys Gln Ser Lys145 150 155 160Pro Val Thr Thr Pro Glu
Glu Ile Ala Gln Val Ala Thr Ile Ser Ala165 170 175Asn Gly Asp Lys
Glu Ile Gly Asn Ile Ile Ser Asp Ala Met Lys Lys180 185 190Val Gly
Arg Lys Gly Val Ile Thr Val Lys Asp Gly Lys Thr Leu Asn195 200
205Asp Glu Leu Glu Ile Ile Glu Gly Met Lys Phe Asp Arg Gly Tyr
Ile210 215 220Ser Pro Tyr Phe Ile Asn Thr Ser Lys Gly Gln Lys Cys
Glu Phe Gln225 230 235 240Asp Ala Tyr Val Leu Leu Ser Glu Lys Lys
Ile Ser Ser Ile Gln Ser245 250 255Ile Val Pro Ala Leu Glu Ile Ala
Asn Ala His Arg Lys Pro Leu Val260 265 270Ile Ile Ala Glu Asp Val
Asp Gly Glu Ala Leu Ser Thr Leu Val Leu275 280 285Asn Arg Leu Lys
Val Gly Leu Gln Val Val Ala Val Lys Ala Pro Gly290 295 300Phe Gly
Asp Asn Arg Lys Asn Gln Leu Lys Asp Met Ala Ile Ala Thr305 310 315
320Gly Gly Ala Val Phe Gly Glu Glu Gly Leu Thr Leu Asn Leu Glu
Asp325 330 335Val Gln Pro His Asp Leu Gly Lys Val Gly Glu Val Ile
Val Thr Lys340 345 350Asp Asp Ala Met Leu Leu Lys Gly Lys Gly Asp
Lys Ala Gln Ile Glu355 360 365Lys Arg Ile Gln Glu Ile Ile Glu Gln
Leu Asp Val Thr Thr Ser Glu370 375 380Tyr Glu Lys Glu Lys Leu Asn
Glu Arg Leu Ala Lys Leu Ser Asp Gly385 390 395 400Val Ala Val Leu
Lys Val Gly Gly Thr Ser Asp Val Glu Val Asn Glu405 410 415Lys Lys
Asp Arg Val Thr Asp Ala Leu Asn Ala Thr Arg Ala Ala Val420 425
430Glu Glu Gly Ile Val Leu Gly Gly Gly Cys Ala Leu Leu Arg Cys
Ile435 440 445Pro Ala Leu Asp Ser Leu Thr Pro Ala Asn Glu Asp Gln
Lys Ile Gly450 455 460Ile Glu Ile Ile Lys Arg Thr Leu Lys Ile Pro
Ala Met Thr Ile Ala465 470 475 480Lys Asn Ala Gly Val Glu Gly Ser
Leu Ile Val Glu Lys Ile Met Gln485 490 495Ser Ser Ser Glu Val Gly
Tyr Asp Ala Met Ala Gly Asp Phe Val Asn500 505 510Met Val Glu Lys
Gly Ile Ile Asp Pro Thr Lys Val Val Arg Thr Ala515 520 525Leu Leu
Asp Ala Ala Gly Val Ala Ser Leu Leu Thr Thr Ala Glu Val530 535
540Val Val Thr Glu Ile Pro Lys Glu Glu Lys Asp Pro Gly Met Gly
Ala545 550 555 560Met Gly Gly Met Gly Gly Gly Met Gly Gly Gly Met
Phe565 570191641PRTHomo sapiens 191Met Ala Lys Ala Ala Ala Ile Gly
Ile Asp Leu Gly Thr Thr Tyr Ser1 5 10 15Cys Val Gly Val Phe Gln His
Gly Lys Val Glu Ile Ile Ala Asn Asp20 25 30Gln Gly Asn Arg Thr Thr
Pro Ser Tyr Val Ala Phe Thr Asp Thr Glu35 40 45Arg Leu Ile Gly Asp
Ala Ala Lys Asn Gln Val Ala Leu Asn Pro Gln50 55 60Asn Thr Val Phe
Asp Ala Lys Arg Leu Ile Gly Arg Lys Phe Gly Asp65 70 75 80Pro Val
Val Gln Ser Asp Met Lys His Trp Pro Phe Gln Val Ile Asn85 90 95Asp
Gly Asp Lys Pro Lys Val Gln Val Ser Tyr Lys Gly Glu Thr Lys100 105
110Ala Phe Tyr Pro Glu Glu Ile Ser Ser Met Val Leu Thr Lys Met
Lys115 120 125Glu Ile Ala Glu Ala Tyr Leu Gly Tyr Pro Val Thr Asn
Ala Val Ile130 135 140Thr Val Pro Ala Tyr Phe Asn Asp Ser Gln Arg
Gln Ala Thr Lys Asp145 150 155 160Ala Gly Val Ile Ala Gly Leu Asn
Val Leu Arg Ile Ile Asn Glu Pro165 170 175Thr Ala Ala Ala Ile Ala
Tyr Gly Leu Asp Arg Thr Gly Lys Gly Glu180 185 190Arg Asn Val Leu
Ile Phe Asp Leu Gly Gly Gly Thr Phe Asp Val Ser195 200 205Ile Leu
Thr Ile Asp Asp Gly Ile Phe Glu Val Lys Ala Thr Ala Gly210 215
220Asp Thr His Leu Gly Gly Glu Asp Phe Asp Asn Arg Leu Val Asn
His225 230 235 240Phe Val Glu Glu Phe Lys Arg Lys His Lys Lys Asp
Ile Ser Gln Asn245 250 255Lys Arg Ala Val Arg Arg Leu Arg Thr Ala
Cys Glu Arg Ala Lys Arg260 265 270Thr Leu Ser Ser Ser Thr Gln Ala
Ser Leu Glu Ile Asp Ser Leu Phe275 280 285Glu Gly Ile Asp Phe Tyr
Thr Ser Ile Thr Arg Ala Arg Phe Glu Glu290 295 300Leu Cys Ser Asp
Leu Phe Arg Ser Thr Leu Glu Pro Val Glu Lys Ala305 310 315 320Leu
Arg Asp Ala Lys Leu Asp Lys Ala Gln Ile His Asp Leu Val Leu325 330
335Val Gly Gly Ser Thr Arg Ile Pro Lys Val Gln Lys Leu Leu Gln
Asp340 345 350Phe Phe Asn Gly Arg Asp Leu Asn Lys Ser Ile Asn Pro
Asp Glu Ala355 360 365Val Ala Tyr Gly Ala Ala Val Gln Ala Ala Ile
Leu Met Gly Asp Lys370 375 380Ser Glu Asn Val Gln Asp Leu Leu Leu
Leu Asp Val Ala Pro Leu Ser385 390 395 400Leu Gly Leu Glu Thr Ala
Gly Gly Val Met Thr Ala Leu Ile Lys Arg405 410 415Asn Ser Thr Ile
Pro Thr Lys Gln Thr Gln Ile Phe Thr Thr Tyr Ser420 425 430Asp Asn
Gln Pro Gly Val Leu Ile Gln Val Tyr Glu Gly Glu Arg Ala435 440
445Met Thr Lys Asp Asn Asn Leu Leu Gly Arg Phe Glu Leu Ser Gly
Ile450 455 460Pro Pro Ala Pro Arg Gly Val Pro Gln Ile Glu Val Thr
Phe Asp Ile465 470 475 480Asp Ala Asn Gly Ile Leu Asn Val Thr Ala
Thr Asp Lys Ser Thr Gly485 490 495Lys Ala Asn Lys Ile Thr Ile Thr
Asn Asp Lys Gly Arg Leu Ser Lys500 505 510Glu Glu Ile Glu Arg Met
Val Gln Glu Ala Glu Lys Tyr Lys Ala Glu515 520 525Asp Glu Val Gln
Arg Glu Arg Val Ser Ala Lys Asn Ala Leu Glu Ser530 535 540Tyr Ala
Phe Asn Met Lys Ser Ala Val Glu Asp Glu Gly Leu Lys Gly545 550 555
560Lys Ile Ser Glu Ala Asp Lys Lys Lys Val Leu Asp Lys Cys Gln
Glu565 570 575Val Ile Ser Trp Leu Asp Ala Asn Thr Leu Ala Glu Lys
Asp Glu Phe580 585 590Glu His Lys Arg Lys Glu Leu Glu Gln Val Cys
Asn Pro Ile Ile Ser595 600 605Gly Leu Tyr Gln Gly Ala Gly Gly Pro
Gly Pro Gly Gly Phe Gly Ala610 615 620Gln Gly Pro Lys Gly Gly Ser
Gly Ser Gly Pro Thr Ile Glu Glu Val625 630 635 640Asp192731PRTHomo
sapiens 192Pro Glu Glu Thr Gln Thr Gln Asp Gln Pro Met Glu Glu Glu
Glu Val1 5 10 15Glu Thr Phe Ala Phe Gln Ala Glu Ile Ala Gln Leu Met
Ser Leu Ile20 25 30Ile Asn Thr Phe Tyr Ser Asn Lys Glu Ile Phe Leu
Arg Glu Leu Ile35 40 45Ser Asn Ser Ser Asp Ala Leu Asp Lys Ile Arg
Tyr Glu Ser Leu Thr50 55 60Asp Pro Ser Lys Leu Asp Ser Gly Lys Glu
Leu His Ile Asn Leu Ile65 70 75 80Pro Asn Lys Gln Asp Arg Thr Leu
Thr Ile Val Asp Thr Gly Ile Gly85 90 95Met Thr Lys Ala Asp Leu Ile
Asn Asn Leu Gly Thr Ile Ala Lys Ser100 105 110Gly Thr Lys Ala Phe
Met Glu Ala Leu Gln Ala Gly Ala Asp Ile Ser115 120 125Met Ile Gly
Gln Phe Gly Val Gly Phe Tyr Ser Ala Tyr Leu Val Ala130 135 140Glu
Lys Val Thr Val Ile Thr Lys His Asn Asp Asp Glu Gln Tyr Ala145 150
155 160Trp Glu Ser Ser Ala Gly Gly Ser Phe Thr Val Arg Thr Asp Thr
Gly165 170 175Glu Pro Met Gly Arg Gly Thr Lys Val Ile Leu His Leu
Lys Glu Asp180 185 190Gln Thr Glu Tyr Leu Glu Glu Arg Arg Ile Lys
Glu Ile Val Lys Lys195 200 205His Ser Gln Phe Ile Gly Tyr Pro Ile
Thr Leu Phe Val Glu Lys Glu210 215 220Arg Asp Lys Glu Val Ser Asp
Asp Glu Ala Glu Glu Lys Glu Asp Lys225 230 235 240Glu Glu Glu Lys
Glu Lys Glu Glu Lys Glu Ser Glu Asp Lys Pro Glu245 250 255Ile Glu
Asp Val Gly Ser Asp Glu Glu Glu Glu Lys Lys Asp Gly Asp260 265
270Lys Lys Lys Lys Lys Lys Ile Lys Glu Lys Tyr Ile Asp Gln Glu
Glu275 280 285Leu Asn Lys Thr Lys Pro Ile Trp Thr Arg Asn Pro Asp
Asp Ile Thr290 295 300Asn Glu Glu Tyr Gly Glu Phe Tyr Lys Ser Leu
Thr Asn Asp Trp Glu305 310 315 320Asp His Leu Ala Val Lys His Phe
Ser Val Glu Gly Gln Leu Glu Phe325 330 335Arg Ala Leu Leu Phe Val
Pro Arg Arg Ala Pro Phe Asp Leu Phe Glu340 345 350Asn Arg Lys Lys
Lys Asn Asn Ile Lys Leu Tyr Val Arg Arg Val Phe355 360 365Ile Met
Asp Asn Cys Glu Glu Leu Ile Pro Glu Tyr Leu Asn Phe Ile370 375
380Arg Gly Val Val Asp Ser Glu Asp Leu Pro Leu Asn Ile Ser Arg
Glu385 390 395 400Met Leu Gln Gln Ser Lys Ile Leu Lys Val Ile Arg
Lys Asn Leu Val405 410 415Lys Lys Cys Leu Glu Leu Phe Thr Glu Leu
Ala Glu Asp Lys Glu Asn420 425 430Tyr Lys Lys Phe Tyr Glu Gln Phe
Ser Lys Asn Ile Lys Leu Gly Ile435 440 445His Glu Asp Ser Gln Asn
Arg Lys Lys Leu Ser Glu Leu Leu Arg Tyr450 455 460Tyr Thr Ser Ala
Ser Gly Asp Glu Met Val Ser Leu Lys Asp Tyr Cys465 470 475 480Thr
Arg Met Lys Glu Asn Gln Lys His Ile Tyr Tyr Ile Thr Gly Glu485 490
495Thr Lys Asp Gln Val Ala Asn Ser Ala Phe Val Glu Arg Leu Arg
Lys500 505 510His Gly Leu Glu Val Ile Tyr Met Ile Glu Pro Ile Asp
Glu Tyr Cys515 520 525Val Gln Gln Leu Lys Glu Phe Glu Gly Lys Thr
Leu Val Ser Val Thr530 535 540Lys Glu Gly Leu Glu Leu Pro Glu Asp
Glu Glu Glu Lys Lys Lys Gln545 550 555 560Glu Glu Lys Lys Thr Lys
Phe Glu Asn Leu Cys Lys Ile Met Lys Asp565 570 575Ile Leu Glu Lys
Lys Val Glu Lys Val Val Val Ser Asn Arg Leu Val580 585 590Thr Ser
Pro Cys Cys Ile Val Thr Ser Thr Tyr Gly Trp Thr Ala Asn595 600
605Met Glu Arg Ile Met Lys Ala Gln Ala Leu Arg Asp Asn Ser Thr
Met610 615 620Gly Tyr Met Ala Ala Lys Lys His Leu Glu Ile Asn Pro
Asp His Ser625 630 635 640Ile Ile Glu Thr Leu Arg Gln Lys Ala Glu
Ala Asp Lys Asn Asp Lys645 650 655Ser Val Lys Asp Leu Val Ile Leu
Leu Tyr Glu Thr Ala Leu Leu Ser660 665 670Ser Gly Phe Ser Leu Glu
Asp Pro Gln Thr His Ala Asn Arg Ile Tyr675 680 685Arg Met Ile Lys
Leu Gly Leu Gly Ile Asp Glu Asp Asp Pro Thr Ala690 695 700Asp Asp
Thr Ser Ala Ala Val Thr Glu Glu Met Pro Pro Leu Glu Gly705 710 715
720Asp Asp Asp Thr Ser Arg Met Glu Glu Val Asp725 730193723PRTHomo
sapiens 193Pro Glu Glu Val His His Gly Glu Glu Glu Val Glu Thr Phe
Ala Phe1 5 10 15Gln Ala Glu Ile Ala Gln Leu Met Ser Leu Ile Ile Asn
Thr Phe Tyr20 25 30Ser Asn Lys Glu Ile Phe Leu Arg Glu Leu Ile Ser
Asn Ala Ser Asp35 40 45Ala Leu Asp Lys Ile Arg Tyr Glu Ser Leu Thr
Asp Pro Ser Lys Leu50 55 60Asp Ser Gly Lys Glu
Leu Lys Ile Asp Ile Ile Pro Asn Pro Gln Glu65 70 75 80Arg Thr Leu
Thr Leu Val Asp Thr Gly Ile Gly Met Thr Lys Ala Asp85 90 95Leu Ile
Asn Asn Leu Gly Thr Ile Ala Lys Ser Gly Thr Lys Ala Phe100 105
110Met Glu Ala Leu Gln Ala Gly Ala Asp Ile Ser Met Ile Gly Gln
Phe115 120 125Gly Val Gly Phe Tyr Ser Ala Tyr Leu Val Ala Glu Lys
Val Val Val130 135 140Ile Thr Lys His Asn Asp Asp Glu Gln Tyr Ala
Trp Glu Ser Ser Ala145 150 155 160Gly Gly Ser Phe Thr Val Arg Ala
Asp His Gly Glu Pro Ile Gly Arg165 170 175Gly Thr Lys Val Ile Leu
His Leu Lys Glu Asp Gln Thr Glu Tyr Leu180 185 190Glu Glu Arg Arg
Val Lys Glu Val Val Lys Lys His Ser Gln Phe Ile195 200 205Gly Tyr
Pro Ile Thr Leu Tyr Leu Glu Lys Glu Arg Glu Lys Glu Ile210 215
220Ser Asp Asp Glu Ala Glu Glu Glu Lys Gly Glu Lys Glu Glu Glu
Asp225 230 235 240Lys Asp Asp Glu Glu Lys Pro Lys Ile Glu Asp Val
Gly Ser Asp Glu245 250 255Glu Asp Asp Ser Gly Lys Asp Lys Lys Lys
Lys Thr Lys Lys Ile Lys260 265 270Glu Lys Tyr Ile Asp Gln Glu Glu
Leu Asn Lys Thr Lys Pro Ile Trp275 280 285Thr Arg Asn Pro Asp Asp
Ile Thr Gln Glu Glu Tyr Gly Glu Phe Tyr290 295 300Lys Ser Leu Thr
Asn Asp Trp Glu Asp His Leu Ala Val Lys His Phe305 310 315 320Ser
Val Glu Gly Gln Leu Glu Phe Arg Ala Leu Leu Phe Ile Pro Arg325 330
335Arg Ala Pro Phe Asp Leu Phe Glu Asn Lys Lys Lys Lys Asn Asn
Ile340 345 350Lys Leu Tyr Val Arg Arg Val Phe Ile Met Asp Ser Cys
Asp Glu Leu355 360 365Ile Pro Glu Tyr Leu Asn Phe Ile Arg Gly Val
Val Asp Ser Glu Asp370 375 380Leu Pro Leu Asn Ile Ser Arg Glu Met
Leu Gln Gln Ser Lys Ile Leu385 390 395 400Lys Val Ile Arg Lys Asn
Ile Val Lys Lys Cys Leu Glu Leu Phe Ser405 410 415Glu Leu Ala Glu
Asp Lys Glu Asn Tyr Lys Lys Phe Tyr Glu Ala Phe420 425 430Ser Lys
Asn Leu Lys Leu Gly Ile His Glu Asp Ser Thr Asn Arg Arg435 440
445Arg Leu Ser Glu Leu Leu Arg Tyr His Thr Ser Gln Ser Gly Asp
Glu450 455 460Met Thr Ser Leu Ser Glu Tyr Val Ser Arg Met Lys Glu
Thr Gln Lys465 470 475 480Ser Ile Tyr Tyr Ile Thr Gly Glu Ser Lys
Glu Gln Val Ala Asn Ser485 490 495Ala Phe Val Glu Arg Val Arg Lys
Arg Gly Phe Glu Val Val Tyr Met500 505 510Thr Glu Pro Ile Asp Glu
Tyr Cys Val Gln Gln Leu Lys Glu Phe Asp515 520 525Gly Lys Ser Leu
Val Ser Val Thr Lys Glu Gly Leu Glu Leu Pro Glu530 535 540Asp Glu
Glu Glu Lys Lys Lys Met Glu Glu Ser Lys Ala Lys Phe Glu545 550 555
560Asn Leu Cys Lys Leu Met Lys Glu Ile Leu Asp Lys Lys Val Glu
Lys565 570 575Val Thr Ile Ser Asn Arg Leu Val Ser Ser Pro Cys Cys
Ile Val Thr580 585 590Ser Thr Tyr Gly Trp Thr Ala Asn Met Glu Arg
Ile Met Lys Ala Gln595 600 605Ala Leu Arg Asp Asn Ser Thr Met Gly
Tyr Met Met Ala Lys Lys His610 615 620Leu Glu Ile Asn Pro Asp His
Pro Ile Val Glu Thr Leu Arg Gln Lys625 630 635 640Ala Glu Ala Asp
Lys Asn Asp Lys Ala Val Lys Asp Leu Val Val Leu645 650 655Leu Phe
Glu Thr Ala Leu Leu Ser Ser Gly Phe Ser Leu Glu Asp Pro660 665
670Gln Thr His Ser Asn Arg Ile Tyr Arg Met Ile Lys Leu Gly Leu
Gly675 680 685Ile Asp Glu Asp Glu Val Ala Ala Glu Glu Pro Asn Ala
Ala Val Pro690 695 700Asp Glu Ile Pro Pro Leu Glu Gly Asp Glu Asp
Ala Ser Arg Met Glu705 710 715 720Glu Val Asp194585PRTHomo sapiens
194Met Ala Ser Pro Gly Ser Gly Phe Trp Ser Phe Gly Ser Glu Asp Gly1
5 10 15Ser Gly Asp Ser Glu Asn Pro Gly Thr Ala Arg Ala Trp Cys Gln
Val20 25 30Ala Gln Lys Phe Thr Gly Gly Ile Gly Asn Lys Leu Cys Ala
Leu Leu35 40 45Tyr Gly Asp Ala Glu Lys Pro Ala Glu Ser Gly Gly Ser
Gln Pro Pro50 55 60Arg Ala Ala Ala Arg Lys Ala Ala Cys Ala Cys Asp
Gln Lys Pro Cys65 70 75 80Ser Cys Ser Lys Val Asp Val Asn Tyr Ala
Phe Leu His Ala Thr Asp85 90 95Leu Leu Pro Ala Cys Asp Gly Glu Arg
Pro Thr Leu Ala Phe Leu Gln100 105 110Asp Val Met Asn Ile Leu Leu
Gln Tyr Val Val Lys Ser Phe Asp Arg115 120 125Ser Thr Lys Val Ile
Asp Phe His Tyr Pro Asn Glu Leu Leu Gln Glu130 135 140Tyr Asn Trp
Glu Leu Ala Asp Gln Pro Gln Asn Leu Glu Glu Ile Leu145 150 155
160Met His Cys Gln Thr Thr Leu Lys Tyr Ala Ile Lys Thr Gly His
Pro165 170 175Arg Tyr Phe Asn Gln Leu Ser Thr Gly Leu Asp Met Val
Gly Leu Ala180 185 190Ala Asp Trp Leu Thr Ser Thr Ala Asn Thr Asn
Met Phe Thr Tyr Glu195 200 205Ile Ala Pro Val Phe Val Leu Leu Glu
Tyr Val Thr Leu Lys Lys Met210 215 220Arg Glu Ile Ile Gly Trp Pro
Gly Gly Ser Gly Asp Gly Ile Phe Ser225 230 235 240Pro Gly Gly Ala
Ile Ser Asn Met Tyr Ala Met Met Ile Ala Arg Phe245 250 255Lys Met
Phe Pro Glu Val Lys Glu Lys Gly Met Ala Ala Leu Pro Arg260 265
270Leu Ile Ala Phe Thr Ser Glu His Ser His Phe Ser Leu Lys Lys
Gly275 280 285Ala Ala Ala Leu Gly Ile Gly Thr Asp Ser Val Ile Leu
Ile Lys Cys290 295 300Asp Glu Arg Gly Lys Met Ile Pro Ser Asp Leu
Glu Arg Arg Ile Leu305 310 315 320Glu Ala Lys Gln Lys Gly Phe Val
Pro Phe Leu Val Ser Ala Thr Ala325 330 335Gly Thr Thr Val Tyr Gly
Ala Phe Asp Pro Leu Leu Ala Val Ala Asp340 345 350Ile Cys Lys Lys
Tyr Lys Ile Trp Met His Val Asp Ala Ala Trp Gly355 360 365Gly Gly
Leu Leu Met Ser Arg Lys His Lys Trp Lys Leu Ser Gly Val370 375
380Glu Arg Ala Asn Ser Val Thr Trp Asn Pro His Lys Met Met Gly
Val385 390 395 400Pro Leu Gln Cys Ser Ala Leu Leu Val Arg Glu Glu
Gly Leu Met Gln405 410 415Asn Cys Asn Gln Met His Ala Ser Tyr Leu
Phe Gln Gln Asp Lys His420 425 430Tyr Asp Leu Ser Tyr Asp Thr Gly
Asp Lys Ala Leu Gln Cys Gly Arg435 440 445His Val Asp Val Phe Lys
Leu Trp Leu Met Trp Arg Ala Lys Gly Thr450 455 460Thr Gly Phe Glu
Ala His Val Asp Lys Cys Leu Glu Leu Ala Glu Tyr465 470 475 480Leu
Tyr Asn Ile Ile Lys Asn Arg Glu Gly Tyr Glu Met Val Phe Asp485 490
495Gly Lys Pro Gln His Thr Asn Val Cys Phe Trp Tyr Ile Pro Pro
Ser500 505 510Leu Arg Thr Leu Glu Asp Asn Glu Glu Arg Met Ser Arg
Leu Ser Lys515 520 525Val Ala Pro Val Ile Lys Ala Arg Met Met Glu
Tyr Gly Thr Thr Met530 535 540Val Ser Tyr Gln Pro Leu Gly Asp Lys
Val Asn Phe Phe Arg Met Val545 550 555 560Ile Ser Asn Pro Ala Ala
Thr His Gln Asp Ile Asp Phe Leu Ile Glu565 570 575Glu Ile Glu Arg
Leu Gly Gln Asp Leu580 585195525PRTHomo sapiens 195Met Glu Glu Ser
Val Asn Gln Met Gln Pro Leu Asn Glu Lys Gln Ile1 5 10 15Ala Asn Ser
Gln Asp Gly Tyr Val Trp Gln Val Thr Asp Met Asn Arg20 25 30Leu His
Arg Phe Leu Cys Phe Gly Ser Glu Gly Gly Thr Tyr Tyr Ile35 40 45Lys
Glu Gln Lys Leu Gly Leu Glu Asn Ala Glu Ala Leu Ile Arg Leu50 55
60Ile Glu Asp Gly Arg Gly Cys Glu Val Ile Gln Glu Ile Lys Ser Phe65
70 75 80Ser Gln Glu Gly Arg Thr Thr Lys Gln Glu Pro Met Leu Phe Ala
Leu85 90 95Ala Ile Cys Ser Gln Cys Ser Asp Ile Ser Thr Lys Gln Ala
Ala Phe100 105 110Lys Ala Val Ser Glu Val Cys Arg Ile Pro Thr His
Leu Phe Thr Phe115 120 125Ile Gln Phe Lys Lys Asp Leu Lys Glu Ser
Met Lys Cys Gly Met Trp130 135 140Gly Arg Ala Leu Arg Lys Ala Ile
Ala Asp Trp Tyr Asn Glu Lys Gly145 150 155 160Gly Met Ala Leu Ala
Leu Ala Val Thr Lys Tyr Lys Gln Arg Asn Gly165 170 175Trp Ser His
Lys Asp Leu Leu Arg Leu Ser His Leu Lys Pro Ser Ser180 185 190Glu
Gly Leu Ala Ile Val Thr Lys Tyr Ile Thr Lys Gly Trp Lys Glu195 200
205Val His Glu Leu Tyr Lys Glu Lys Ala Leu Ser Val Glu Thr Glu
Lys210 215 220Leu Leu Lys Tyr Leu Glu Ala Val Glu Lys Val Lys Arg
Thr Arg Asp225 230 235 240Glu Leu Glu Val Ile His Leu Ile Glu Glu
His Arg Leu Val Arg Glu245 250 255His Leu Leu Thr Asn His Leu Lys
Ser Lys Glu Val Trp Lys Ala Leu260 265 270Leu Gln Glu Met Pro Leu
Thr Ala Leu Leu Arg Asn Leu Gly Lys Met275 280 285Thr Ala Asn Ser
Val Leu Glu Pro Gly Asn Ser Glu Val Ser Leu Val290 295 300Cys Glu
Lys Leu Cys Asn Glu Lys Leu Leu Lys Lys Ala Arg Ile His305 310 315
320Pro Phe His Ile Leu Ile Ala Leu Glu Thr Tyr Lys Thr Gly His
Gly325 330 335Leu Arg Gly Lys Leu Lys Trp Arg Pro Asp Glu Glu Ile
Leu Lys Ala340 345 350Leu Asp Ala Ala Phe Tyr Lys Thr Phe Lys Thr
Val Glu Pro Thr Gly355 360 365Lys Arg Phe Leu Leu Ala Val Asp Val
Ser Ala Ser Met Asn Gln Arg370 375 380Val Leu Gly Ser Ile Leu Asn
Ala Ser Thr Val Ala Ala Ala Met Cys385 390 395 400Met Val Val Thr
Arg Thr Glu Lys Asp Ser Tyr Val Val Ala Phe Ser405 410 415Asp Glu
Met Val Pro Cys Pro Val Thr Thr Asp Met Thr Leu Gln Gln420 425
430Val Leu Met Ala Met Ser Gln Ile Pro Ala Gly Gly Thr Asp Cys
Ser435 440 445Leu Pro Met Ile Trp Ala Gln Lys Thr Asn Thr Pro Ala
Asp Val Phe450 455 460Ile Val Phe Thr Asp Asn Glu Thr Phe Ala Gly
Gly Val His Pro Ala465 470 475 480Ile Ala Leu Arg Glu Tyr Arg Lys
Lys Met Asp Ile Pro Ala Lys Leu485 490 495Ile Val Cys Gly Met Thr
Ser Asn Gly Phe Thr Ile Ala Asp Pro Asp500 505 510Asp Arg Ala Leu
Gln Asn Thr Leu Leu Asn Lys Ser Phe515 520 525196181PRTHomo sapiens
196Val Ala Asp His Val Ala Ser Tyr Gly Val Asn Leu Tyr Gln Ser Tyr1
5 10 15Gly Pro Ser Gly Gln Tyr Thr His Glu Phe Asp Gly Asp Glu Gln
Phe20 25 30Tyr Val Asp Leu Gly Arg Lys Glu Thr Val Trp Cys Leu Pro
Glu Leu35 40 45Arg Gln Phe Arg Gly Phe Asp Pro Gln Phe Ala Leu Thr
Asn Ile Ala50 55 60Val Leu Lys His Asn Leu Asn Ser Leu Ile Lys Arg
Ser Asn Ser Thr65 70 75 80Ala Ala Thr Asn Glu Val Pro Glu Val Thr
Val Phe Ser Lys Ser Pro85 90 95Val Thr Leu Gly Gln Pro Asn Thr Leu
Ile Cys Leu Val Asp Asn Ile100 105 110Phe Pro Pro Val Val Asn Ile
Thr Trp Leu Thr Asn Gly His Ser Val115 120 125Thr Glu Gly Val Ser
Glu Thr Thr Phe Leu Ser Lys Ser Asp His Ser130 135 140Phe Phe Lys
Ile Ser Tyr Leu Thr Leu Leu Pro Ser Ala Glu Glu Ser145 150 155
160Tyr Asp Cys Lys Val Glu His Trp Gly Leu Asp Lys Pro Leu Leu
Lys165 170 175His Trp Glu Pro Glu180197190PRTHomo sapiens 197Ser
Pro Glu Asp Phe Val Tyr Gln Phe Lys Gly Met Cys Tyr Phe Thr1 5 10
15Asn Gly Thr Glu Arg Val Arg Leu Val Ser Arg Ser Ile Tyr Asn Arg20
25 30Glu Glu Ile Val Arg Phe Asp Ser Asp Val Gly Glu Phe Arg Ala
Val35 40 45Thr Leu Leu Gly Leu Pro Ala Ala Glu Tyr Trp Asn Ser Gln
Lys Asp50 55 60Ile Leu Glu Arg Lys Arg Ala Ala Val Asp Arg Val Cys
Arg His Asn65 70 75 80Tyr Gln Leu Glu Leu Arg Thr Thr Leu Gln Arg
Arg Val Glu Pro Thr85 90 95Val Thr Ile Ser Pro Ser Arg Thr Glu Ala
Leu Asn His His Asn Leu100 105 110Leu Val Cys Ser Val Thr Asp Phe
Tyr Pro Ala Gln Ile Lys Val Arg115 120 125Trp Phe Arg Asn Asp Gln
Glu Glu Thr Ala Gly Val Val Ser Thr Pro130 135 140Leu Ile Arg Asn
Gly Asp Trp Thr Phe Gln Ile Leu Val Met Leu Glu145 150 155 160Met
Thr Pro Gln Arg Gly Asp Val Tyr Thr Cys His Val Glu His Pro165 170
175Ser Leu Gln Ser Pro Ile Thr Val Glu Trp Arg Ala Gln Ser180 185
190198181PRTHomo sapiens 198Val Ala Asp His Val Ala Ser Tyr Gly Val
Asn Leu Tyr Gln Ser Tyr1 5 10 15Gly Pro Ser Gly Gln Tyr Thr His Glu
Phe Asp Gly Asp Glu Gln Phe20 25 30Tyr Val Asp Leu Gly Arg Lys Glu
Thr Val Trp Cys Leu Pro Glu Leu35 40 45Arg Gln Phe Arg Gly Phe Asp
Pro Gln Phe Ala Leu Thr Asn Ile Ala50 55 60Val Leu Lys His Asn Leu
Asn Ser Leu Ile Lys Arg Ser Asn Ser Thr65 70 75 80Ala Ala Thr Asn
Glu Val Pro Glu Val Thr Val Phe Ser Lys Ser Pro85 90 95Val Thr Leu
Gly Gln Pro Asn Thr Leu Ile Cys Leu Val Asp Asn Ile100 105 110Phe
Pro Pro Val Val Asn Ile Thr Trp Leu Thr Asn Gly His Ser Val115 120
125Thr Glu Gly Val Ser Glu Thr Thr Phe Leu Ser Lys Ser Asp His
Ser130 135 140Phe Phe Lys Ile Ser Tyr Leu Thr Leu Leu Pro Ser Ala
Glu Glu Ser145 150 155 160Tyr Asp Cys Lys Val Glu His Trp Gly Leu
Asp Lys Pro Leu Leu Lys165 170 175His Trp Glu Pro
Glu180199189PRTHomo sapiens 199Ser Pro Glu Asp Phe Val Tyr Gln Phe
Lys Ala Met Cys Tyr Phe Thr1 5 10 15Asn Gly Thr Glu Arg Val Tyr Val
Thr Arg Tyr Ile Tyr Asn Arg Glu20 25 30Glu Tyr Ala Arg Phe Asp Ser
Asp Val Glu Val Tyr Arg Ala Val Thr35 40 45Pro Leu Gly Pro Pro Asp
Ala Glu Tyr Trp Asn Ser Gln Lys Glu Val50 55 60Leu Glu Arg Thr Arg
Ala Glu Leu Asp Thr Val Cys Arg His Asn Tyr65 70 75 80Gln Leu Glu
Leu Arg Thr Thr Leu Gln Arg Arg Val Glu Pro Thr Val85 90 95Thr Ile
Ser Pro Ser Arg Thr Glu Ala Leu Asn His His Asn Leu Leu100 105
110Val Cys Ser Val Thr Asp Phe Tyr Pro Ala Gln Ile Lys Val Arg
Trp115 120 125Phe Arg Asn Asp Gln Glu Glu Thr Thr Gly Val Val Ser
Thr Pro Leu130 135 140Ile Arg Asn Gly Asp Trp Thr Phe Gln Ile Leu
Val Met Leu Glu Met145 150 155 160Thr Pro Gln His Gly Asp Val Tyr
Thr Cys His Val Glu His Pro Ser165 170 175Leu Gln Asn Pro Ile Thr
Val Glu Trp Arg Ala Gln Ser180 185200181PRTHomo sapiens 200Val Ala
Asp His Val Ala Ser Tyr Gly Val Asn Leu Tyr Gln Ser Tyr1 5 10 15Gly
Pro Ser Gly Gln Tyr Ser His Glu Phe Asp Gly Asp Glu Glu Phe20 25
30Tyr Val Asp Leu Glu Arg Lys Glu Thr Val Trp Gln Leu Pro Leu Phe35
40 45Arg Arg Phe Arg Arg Phe Asp Pro Gln Phe Ala Leu Thr Asn Ile
Ala50 55 60Val Leu Lys His Asn Leu Asn Ile Val Ile Lys Arg Ser Asn
Ser Thr65 70 75 80Ala Ala Thr Asn Glu Val Pro Glu Val Thr Val Phe
Ser Lys Ser Pro85 90 95Val Thr Leu Gly Gln Pro Asn Thr Leu Ile Cys
Leu Val Asp Asn Ile100 105 110Phe Pro Pro Val Val Asn Ile Thr Trp
Leu Ser Asn Gly His Ser Val115 120 125Thr Glu Gly Val
Ser Glu Thr Ser Phe Leu Ser Lys Ser Asp His Ser130 135 140Phe Phe
Lys Ile Ser Tyr Leu Thr Phe Leu Pro Ser Asp Asp Glu Ile145 150 155
160Tyr Asp Cys Lys Val Glu His Trp Gly Leu Asp Glu Pro Leu Leu
Lys165 170 175His Trp Glu Pro Glu180201191PRTHomo sapiens 201Ser
Pro Glu Asp Phe Val Tyr Gln Phe Lys Gly Met Cys Tyr Phe Thr1 5 10
15Asn Gly Thr Glu Arg Val Arg Leu Val Thr Arg Tyr Ile Tyr Asn Arg20
25 30Glu Glu Tyr Ala Arg Phe Asp Ser Asp Val Gly Val Tyr Arg Ala
Val35 40 45Thr Pro Leu Gly Pro Pro Ala Ala Glu Tyr Trp Asn Ser Gln
Lys Glu50 55 60Val Leu Glu Arg Thr Arg Ala Glu Leu Asp Thr Val Cys
Arg His Asn65 70 75 80Tyr Gln Leu Glu Leu Arg Thr Thr Leu Gln Arg
Arg Val Glu Pro Thr85 90 95Val Thr Ile Ser Pro Ser Arg Thr Glu Ala
Leu Asn His His Asn Leu100 105 110Leu Val Cys Ser Val Thr Asp Phe
Tyr Pro Ala Gln Ile Lys Val Arg115 120 125Trp Phe Arg Asn Asp Gln
Glu Glu Thr Thr Ala Gly Val Val Ser Thr130 135 140Pro Leu Ile Arg
Asn Gly Asp Trp Thr Phe Gln Ile Leu Val Met Leu145 150 155 160Glu
Met Thr Pro Gln Arg Gly Asp Val Tyr Thr Cys His Val Glu His165 170
175Pro Ser Leu Gln Asn Pro Ile Ile Val Glu Trp Arg Ala Gln Ser180
185 190202178PRTHomo sapiens 202Gln Phe Arg Val Ile Gly Pro Arg His
Pro Ile Arg Ala Leu Val Gly1 5 10 15Asp Glu Val Glu Leu Pro Cys Arg
Ile Ser Pro Gly Lys Asn Ala Thr20 25 30Gly Met Glu Val Gly Trp Tyr
Arg Pro Pro Phe Ser Arg Val Val His35 40 45Leu Tyr Arg Asn Gly Lys
Asp Gln Asp Gly Asp Gln Ala Pro Glu Tyr50 55 60Arg Gly Arg Thr Glu
Leu Leu Lys Asp Ala Ile Gly Glu Gly Lys Val65 70 75 80Thr Leu Arg
Ile Arg Asn Val Arg Phe Ser Asp Glu Gly Gly Phe Thr85 90 95Cys Phe
Phe Arg Asp His Ser Tyr Gln Glu Glu Ala Ala Met Glu Leu100 105
110Lys Val Glu Asp Pro Phe Tyr Trp Val Ser Pro Gly Val Leu Val
Leu115 120 125Leu Ala Val Leu Pro Val Leu Leu Leu Gln Ile Thr Val
Gly Leu Val130 135 140Phe Leu Cys Leu Gln Tyr Arg Leu Arg Gly Lys
Leu Arg Ala Glu Ile145 150 155 160Glu Asn Leu His Arg Thr Phe Gly
Gln Phe Leu Glu Glu Leu Arg Asn165 170 175Pro Phe20381PRTHomo
sapiens 203Met Ser Gln Lys Pro Ala Lys Glu Gly Pro Arg Leu Ser Lys
Asn Gln1 5 10 15Lys Tyr Ser Glu His Phe Ser Ile His Cys Cys Pro Pro
Phe Thr Phe20 25 30Leu Asn Ser Lys Lys Glu Ile Val Asp Arg Lys Tyr
Ser Ile Cys Lys35 40 45Ser Gly Cys Phe Tyr Gln Lys Lys Glu Glu Asp
Trp Ile Cys Cys Ala50 55 60Cys Gln Lys Thr Arg Leu Lys Arg Lys Ile
Arg Pro Thr Pro Lys Lys65 70 75 80Lys204999PRTHomo sapiens 204Met
Met Gly Leu Phe Pro Arg Thr Thr Gly Ala Leu Ala Ile Phe Val1 5 10
15Val Val Ile Leu Val His Gly Glu Leu Arg Ile Glu Thr Lys Gly Gln20
25 30Tyr Asp Glu Glu Glu Met Thr Met Gln Gln Ala Lys Arg Arg Gln
Lys35 40 45Arg Glu Trp Val Lys Phe Ala Lys Pro Cys Arg Glu Gly Glu
Asp Asn50 55 60Ser Lys Arg Asn Pro Ile Ala Lys Ile Thr Ser Asp Tyr
Gln Ala Thr65 70 75 80Gln Lys Ile Thr Tyr Arg Ile Ser Gly Val Gly
Ile Asp Gln Pro Pro85 90 95Phe Gly Ile Phe Val Val Asp Lys Asn Thr
Gly Asp Ile Asn Ile Thr100 105 110Ala Ile Val Asp Arg Glu Glu Thr
Pro Ser Phe Leu Ile Thr Cys Arg115 120 125Ala Leu Asn Ala Gln Gly
Leu Asp Val Glu Lys Pro Leu Ile Leu Thr130 135 140Val Lys Ile Leu
Asp Ile Asn Asp Asn Pro Pro Val Phe Ser Gln Gln145 150 155 160Ile
Phe Met Gly Glu Ile Glu Glu Asn Ser Ala Ser Asn Ser Leu Val165 170
175Met Ile Leu Asn Ala Thr Asp Ala Asp Glu Pro Asn His Leu Asn
Ser180 185 190Lys Ile Ala Phe Lys Ile Val Ser Gln Glu Pro Ala Gly
Thr Pro Met195 200 205Phe Leu Leu Ser Arg Asn Thr Gly Glu Val Arg
Thr Leu Thr Asn Ser210 215 220Leu Asp Arg Glu Gln Ala Ser Ser Tyr
Arg Leu Val Val Ser Gly Ala225 230 235 240Asp Lys Asp Gly Glu Gly
Leu Ser Thr Gln Cys Glu Cys Asn Ile Lys245 250 255Val Lys Asp Val
Asn Asp Asn Phe Pro Met Phe Arg Asp Ser Gln Tyr260 265 270Ser Ala
Arg Ile Glu Glu Asn Ile Leu Ser Ser Glu Leu Leu Arg Phe275 280
285Gln Val Thr Asp Leu Asp Glu Glu Tyr Thr Asp Asn Trp Leu Ala
Val290 295 300Tyr Phe Phe Thr Ser Gly Asn Glu Gly Asn Trp Phe Glu
Ile Gln Thr305 310 315 320Asp Pro Arg Thr Asn Glu Gly Ile Leu Lys
Val Val Lys Ala Leu Asp325 330 335Tyr Glu Gln Leu Gln Ser Val Lys
Leu Ser Ile Ala Val Lys Asn Lys340 345 350Ala Glu Phe His Gln Ser
Val Ile Ser Arg Tyr Arg Val Gln Ser Thr355 360 365Pro Val Thr Ile
Gln Val Ile Asn Val Arg Glu Gly Ile Ala Phe Arg370 375 380Pro Ala
Ser Lys Thr Phe Thr Val Gln Lys Gly Ile Ser Ser Lys Lys385 390 395
400Leu Val Asp Tyr Ile Leu Gly Thr Tyr Gln Ala Ile Asp Glu Asp
Thr405 410 415Asn Lys Ala Ala Ser Asn Val Lys Tyr Val Met Gly Arg
Asn Asp Gly420 425 430Gly Tyr Leu Met Ile Asp Ser Lys Thr Ala Glu
Ile Lys Phe Val Lys435 440 445Asn Met Asn Arg Asp Ser Thr Phe Ile
Val Asn Lys Thr Ile Thr Ala450 455 460Glu Val Leu Ala Ile Asp Glu
Tyr Thr Gly Lys Thr Ser Thr Gly Thr465 470 475 480Val Tyr Val Arg
Val Pro Asp Phe Asn Asp Asn Cys Pro Thr Ala Val485 490 495Leu Glu
Lys Asp Ala Val Cys Ser Ser Ser Pro Ser Val Val Val Ser500 505
510Ala Arg Thr Leu Asn Asn Arg Tyr Thr Gly Pro Tyr Thr Phe Ala
Leu515 520 525Glu Asp Gln Pro Val Lys Leu Pro Ala Val Trp Ser Ile
Thr Thr Leu530 535 540Asn Ala Thr Ser Ala Leu Leu Arg Ala Gln Glu
Gln Ile Pro Pro Gly545 550 555 560Val Tyr His Ile Ser Leu Val Leu
Thr Asp Ser Gln Asn Asn Arg Cys565 570 575Glu Met Pro Arg Ser Leu
Thr Leu Glu Val Cys Gln Cys Asp Asn Arg580 585 590Gly Ile Cys Gly
Thr Ser Tyr Pro Thr Thr Ser Pro Gly Thr Arg Tyr595 600 605Gly Arg
Pro His Ser Gly Arg Leu Gly Pro Ala Ala Ile Gly Leu Leu610 615
620Leu Leu Gly Leu Leu Leu Leu Leu Leu Ala Pro Leu Leu Leu Leu
Thr625 630 635 640Cys Asp Cys Gly Ala Gly Ser Thr Gly Gly Val Thr
Gly Gly Phe Ile645 650 655Pro Val Pro Asp Gly Ser Glu Gly Thr Ile
His Gln Trp Gly Ile Glu660 665 670Gly Ala His Pro Glu Asp Lys Glu
Ile Thr Asn Ile Cys Val Pro Pro675 680 685Val Thr Ala Asn Gly Ala
Asp Phe Met Glu Ser Ser Glu Val Cys Thr690 695 700Asn Thr Tyr Ala
Arg Gly Thr Ala Val Glu Gly Thr Ser Gly Met Glu705 710 715 720Met
Thr Thr Lys Leu Gly Ala Ala Thr Glu Ser Gly Gly Ala Ala Gly725 730
735Phe Ala Thr Gly Thr Val Ser Gly Ala Ala Ser Gly Phe Gly Ala
Ala740 745 750Thr Gly Val Gly Ile Cys Ser Ser Gly Gln Ser Gly Thr
Met Arg Thr755 760 765Arg His Ser Thr Gly Gly Thr Asn Lys Asp Tyr
Ala Asp Gly Ala Ile770 775 780Ser Met Asn Phe Leu Asp Ser Tyr Phe
Ser Gln Lys Ala Phe Ala Cys785 790 795 800Ala Glu Glu Asp Asp Gly
Gln Glu Ala Asn Asp Cys Leu Leu Ile Tyr805 810 815Asp Asn Glu Gly
Ala Asp Ala Thr Gly Ser Pro Val Gly Ser Val Gly820 825 830Cys Cys
Ser Phe Ile Ala Asp Asp Leu Asp Asp Ser Phe Leu Asp Ser835 840
845Leu Gly Pro Lys Phe Lys Lys Leu Ala Glu Ile Ser Leu Gly Val
Asp850 855 860Gly Glu Gly Lys Glu Val Gln Pro Pro Ser Lys Asp Ser
Gly Tyr Gly865 870 875 880Ile Glu Ser Cys Gly His Pro Ile Glu Val
Gln Gln Thr Gly Phe Val885 890 895Lys Cys Gln Thr Leu Ser Gly Ser
Gln Gly Ala Ser Ala Leu Ser Thr900 905 910Ser Gly Ser Val Gln Pro
Ala Val Ser Ile Pro Asp Pro Leu Gln His915 920 925Gly Asn Tyr Leu
Val Thr Glu Thr Tyr Ser Ala Ser Gly Ser Leu Val930 935 940Gln Pro
Ser Thr Ala Gly Phe Asp Pro Leu Leu Thr Gln Asn Val Ile945 950 955
960Val Thr Glu Arg Val Ile Cys Pro Ile Ser Ser Val Pro Gly Asn
Leu965 970 975Ala Gly Pro Thr Gln Leu Arg Gly Ser His Thr Met Leu
Cys Thr Glu980 985 990Asp Pro Cys Ser Arg Leu
Ile99520515PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 205Glu Lys Ala Lys Tyr Glu Ala Tyr Lys Ala Ala
Ala Ala Ala Ala1 5 10 1520615PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 206Lys Asp Ile Leu Glu Asp
Glu Arg Ala Ala Val Asp Thr Tyr Cys1 5 10 152075PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 207Asp
Glu Arg Ala Ala1 52085PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 208Gln Lys Arg Ala Ala1
520915PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 209Gln Lys Arg Ala Ala Tyr Asp Gln Tyr Gly His
Ala Ala Phe Glu1 5 10 152106PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 210Gly Asp Leu Gln Val Leu1
521113PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 211Tyr Pro Tyr Asp Val Pro Asp Tyr Ala Ser Leu
Arg Ser1 5 102126PRTArtificial SequenceDescription of Artificial
Sequence Synthetic peptide 212Asp Val Pro Asp Tyr Ala1
521317PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 213Glu Asn Pro Val Val His Glu Phe Lys Asn Ile
Val Thr Pro Arg Thr1 5 10 15Pro21417PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 214Ala
Lys Pro Val Val His Leu Phe Ala Asn Ile Val Thr Pro Arg Thr1 5 10
15Pro2154PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 215Tyr Phe Ala Lys12164PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 216Glu
Tyr Tyr Lys12174PRTArtificial SequenceDescription of Artificial
Sequence Synthetic peptide 217Tyr Glu Ala Lys12184PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 218Ala
Glu Lys Tyr12194PRTArtificial SequenceDescription of Artificial
Sequence Synthetic peptide 219Phe Leu Met Tyr12204PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 220Ile
Met Gln Val12215PRTArtificial SequenceDescription of Artificial
Sequence Synthetic peptide 221Lys Arg Ile Leu Val1
52225PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 222Phe Ile Leu Met Val1 52234PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 223Phe
Trp Glu Phe12244PRTArtificial SequenceDescription of Artificial
Sequence Synthetic peptide 224Ala Ile Asn Val12254PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 225Tyr
Glu Phe Trp12266PRTArtificial SequenceDescription of Artificial
Sequence Synthetic peptide 226Glu Phe Ile Val Trp Tyr1
52274PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 227Glu Phe Lys Gln12284PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 228Ala
Glu Lys Gln12294PRTArtificial SequenceDescription of Artificial
Sequence Synthetic peptide 229Ala Lys Gln Tyr12304PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 230Ala
Asn Gln Tyr12315PRTArtificial SequenceDescription of Artificial
Sequence Synthetic peptide 231Ala Gly Asn Ser Tyr1
52326PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 232Ala Gly Ile Asn Ser Val1 52335PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 233Ala
Ile Gln Ser Val1 52346PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 234Ile Lys Arg Ser Val Tyr1
52354PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 235Lys His Arg Val123613PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 236Ala
Lys Ala Val Ala Ala Trp Thr Leu Lys Ala Ala Ala1 5
102375PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 237Thr His Met Cys Glu1 52385PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 238Pro
Trp Lys Asn Ala1 52394PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 239Arg Gly Asp
Ser124010PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 240Tyr Val Arg Pro Leu Trp Val Arg Met Glu1 5
10
* * * * *
References