U.S. patent application number 11/978019 was filed with the patent office on 2009-10-22 for methods and compositions for transforming dendritic cells and activating cells.
This patent application is currently assigned to The Government of the United States of America as represented by the Secretary of the Dept.. Invention is credited to Patrick Hwu, Mark Reeves, Steven A. Rosenberg.
Application Number | 20090263365 11/978019 |
Document ID | / |
Family ID | 32232860 |
Filed Date | 2009-10-22 |
United States Patent
Application |
20090263365 |
Kind Code |
A1 |
Hwu; Patrick ; et
al. |
October 22, 2009 |
Methods and compositions for transforming dendritic cells and
activating cells
Abstract
Recombinant dendritic cells are made by transforming a stem cell
and differentiating the stem cell into a dendritic cell. The
resulting dendritic cell is an antigen presenting cell which
activates T cells against MHC class I-antigen targets. Kits, assays
and therapeutics are based upon the activation of T cells by the
recombinant dendritic cell. Cancer, viral infections and parasitic
infections are all ameliorated by the recombinant dendritic cells,
or corresponding activated T cells. Therapeutic compositions and
pharmaceutical compositions are provided.
Inventors: |
Hwu; Patrick; (Rockville,
MD) ; Reeves; Mark; (Grand Terrace, CA) ;
Rosenberg; Steven A.; (Potomac, MD) |
Correspondence
Address: |
TOWNSEND AND TOWNSEND AND CREW, LLP
TWO EMBARCADERO CENTER, 8TH FLOOR
SAN FRANCISCO
CA
94111
US
|
Assignee: |
The Government of the United States
of America as represented by the Secretary of the Dept.
Rockville
MD
of Health and Human Services Office of Technology
Transfer
|
Family ID: |
32232860 |
Appl. No.: |
11/978019 |
Filed: |
October 25, 2007 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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10607327 |
Jun 26, 2003 |
7378277 |
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11978019 |
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09117764 |
Jan 7, 1999 |
6734014 |
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PCT/US97/02063 |
Feb 7, 1997 |
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10607327 |
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60011433 |
Feb 8, 1996 |
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Current U.S.
Class: |
424/93.21 ;
435/455 |
Current CPC
Class: |
C12N 5/0639 20130101;
A61K 2039/5154 20130101; C12N 2501/23 20130101; C12N 2501/22
20130101; A61K 2039/5156 20130101 |
Class at
Publication: |
424/93.21 ;
435/455 |
International
Class: |
A61K 48/00 20060101
A61K048/00; C12N 5/08 20060101 C12N005/08 |
Claims
1-38. (canceled)
39. A method of killing a target cell, comprising: transforming a
hematopoietic stem cell in vitro with a recombinant expression
cassette comprising a nucleic acid encoding an antigenic peptide,
and differentiating the transformed stem cell into a transformed
dendritic cell; contacting a T cell with the transformed dendritic
cell, thereby providing an activated T cell, wherein the T cell and
the hematopoietic stem cell are from the same individual; and
contacting the target cell with the activated T cell, wherein the
target cell expresses a protein comprising the antigenic
peptide.
40. The method of claim 39, wherein the target cell is contacted by
the activated T cell in vivo.
41. The method of claim 39, wherein the target cell is contacted by
the activated T cell in vitro.
42. The method of claim 39, wherein the target cell is selected
from the group consisting of a cancer cell, a cell intracellularly
infected with a bacterial cell, and a virally-infected cell.
43-49. (canceled)
Description
CROSS REFERENCE TO RELATED APPLICATIONS
[0001] This application is a continuation-in-part of Provisional
U.S. application Ser. No. 60/011,433. This application claims
priority to U.S. Ser. No. 60/011,433, filed Feb. 8, 1996.
BACKGROUND OF THE INVENTION
[0002] T cells mediate most forms of cellular immunity, including
cell lympholysis, delayed type hypersensitivity (DTH),
transplantation rejection, and allograft rejection. An introduction
to T cells and cell mediated immunity is found in Paul (1993)
Fundamental Immunology, Third Edition Raven Press, New York, N.Y.
and the references cited therein.
[0003] Typical T cells do not respond to free antigenic peptides.
Instead, T cells interact with a specialized set of cell surface
proteins (the class I and class II major histocompatibility
complexes, or MHC) which present antigens on the surface of cells.
Cytotoxic T cells are induced to proliferate by specialized antigen
presenting cells such as macrophage and dendritic cells which
present antigenic peptides on their cellular surfaces in
conjunction with MHC molecules. T cells are induced by these
antigen presenting cells to recognize corresponding antigens
expressed on MHC antigens on the surface of target cells. T cells
destroy these target cells.
[0004] The T cell recognizes the antigen in the form of a
polypeptide fragment bound to the MHC class I molecules on target
cells, rather than the intact polypeptide itself. The polypeptide
is endogenously synthesized by the cell, and a portion of the
polypeptide is degraded into small peptide fragments in the
cytoplasm. Some of these small peptides translocate into a
pre-Golgi compartment and interact with class I heavy chains to
facilitate proper folding and association with the subunit .beta.2
microglobulin. The peptide-MHC class I complex is then routed to
the cell surface for expression and potential recognition by
specific T cells. Investigations of the crystal structure of the
human MHC class I molecule HLA-A2.1 indicate that a peptide binding
groove is created by the folding of the .alpha.1 and .alpha.2
domains of the class I heavy chain (Bjorkman et al., (1987) Nature
329:506. Falk et al., (1991) Nature 351:290 have developed an
approach to characterize naturally processed peptides bound to
class I molecules. Other investigators have successfully achieved
direct amino acid sequencing of the more abundant antigenic
peptides in various HPLC fractions by conventional automated
sequencing of peptides eluted from class I molecules (Jardetzky, et
al. (1991) Nature 353:326 and mass spectrometry Hunt, et al.,
Science 225:1261 (1992). A review of the characterization of
naturally processed peptides in MHC Class I is found in Rotzschke
and Falk (1991) Immunol. Today 12:447.
[0005] Target T cells recognizing antigenic peptides can be induced
to differentiate and proliferate in response to antigen presenting
cells bearing antigenic peptides in the context of MHC class I and
class II complexes. There are differences in the antigenic peptides
bound to MHC class I and class II molecules, but the two classes of
bound peptides share common epitopes within the same protein which
enable a T cell activated by an antigen presenting cell to
recognize a corresponding MHC class I epitope. MHC class I
molecules on target cells typically bind 9 amino acid antigenic
peptides, while corresponding MHC class II-peptide complexes have
greater heterogeneity in the size of the bound antigenic
peptide.
[0006] The generation of target T cells with a desired specificity
has been limited by the ability of investigators to discover
appropriate peptides for loading onto MHC molecules, and by
investigator's ability to load peptide antigens onto antigen
presenting cells used to induce proliferation of the T cells. In
the past, investigators have generated antigen presenting cells by
stripping the antigenic peptides normally found on antigen
presenting cells by chemical or thermal techniques, followed by a
reloading of the cells with a desired antigenic peptide. This
approach has had limited success, due to inefficiencies in antigen
presenting cell peptide loading, and due to the limited length of
time that the loaded antigenic peptides remain loaded on the
antigen presenting cells. In addition, only a single peptide
fragment of a protein is loaded onto the surface of the antigen
presenting cell using typical methods; thus, peptides important for
activation of T cells against a target cell can be overlooked. The
present invention overcomes these and other problems.
SUMMARY OF THE INVENTION
[0007] The invention provides new methods of making recombinant
antigen presenting dendritic cells (DCs), which have been very
difficult to transduce using existing methods. These new methods
are applicable to the transduction of DCs with any recombinant
nucleic acid. Also provided are new ways of expressing antigenic
peptides on MHC molecules on the surface of the dendritic cells. It
was surprisingly discovered that these expressed antigenic peptides
are processed and displayed on the surface of the dendritic cells
in the context of class I and class II MHC. These recombinant cells
expressing antigenic peptides were found to be competent to
activate T-cells against target cells expressing selected antigens
in vivo. This provides powerful new treatments for cancers and
cellular infections, as well as a variety of diagnostic and cell
screening assays.
[0008] Naturally occurring dendritic cells are antigen presenting
cells which activate T cell proliferation against target cells.
Target cells express antigenic peptides in the context of MHC class
I molecules on the surface of the target cell. Dendritic cells
express related antigenic peptides on class I and class II MHC
molecules. In a preferred use of the invention, dendritic cells are
transformed with a nucleic acid encoding a heterologous protein
which has a peptide subsequence corresponding to an antigenic
peptide expressed on the surface of a target cell (on an MHC class
I receptor). Preferably, a full-length protein is expressed, and
several processed subsequences subsequently presented by the
dendritic cell.
[0009] Surprisingly, heterologous proteins are expressed in the
dendritic cell, processed into fragments, and expressed on the
surface of the dendritic cell in the context of MHC class I and II
molecules, making the dendritic cells capable of activating T cell
proliferation against a target cell expressing the corresponding
antigen. It is further demonstrated herein that T-cells activated
by the dendritic cells of the invention by the methods of the
invention are effective against established tumors and metastasis,
in vivo. Thus, the present invention provides powerful new
anti-cancer therapies based upon immunizing a patient with a
recombinant dendritic cell, and/or T cell activated by a
recombinant dendritic cell.
[0010] The new methods of transforming dendritic cells and
expressing antigenic peptides on the surface of the cell to make
the dendritic cell competent for T cell activation, provide
significant advantages over prior art methods of loading peptides
onto dendritic cells, including broader antigen expression and more
efficient MHC class I and class II peptide loading, and the ability
to expand the population of desired DCs, e.g., in culture. The
invention has diagnostic, therapeutic and drug discovery assay
uses.
[0011] DCs can be transduced with essentially any nucleic acid
using the techniques provided. In one preferred embodiment, nucleic
acids encoding cytokines (e.g., GM-CSF, an interleukin (IL-1, IL-2,
IL-3, IL-4, IL-5, IL-6, IL-7, IL-8, IL-9, IL-10, IL-11, IL-12,
IL-13, etc.), or cell receptor ligands (e.g., transferrin, c-kit,
viral receptor ligands, cytokine receptors, and the like) are
transduced into stem cells to produce recombinant DC.
[0012] In one class of embodiments, the invention provides methods
of transducing dendritic cells with selected nucleic acids. In the
methods, a hematopoietic stem cell, e.g., a human CD34.sup.+ stem
cell, is transduced with a selected nucleic acid, and the stem cell
is then differentiated into a dendritic cell. Typically, the stem
cell is differentiated in vitro using appropriate cytokines. For
instance, mouse stem cells are differentiated into dendritic cells
by incubating the stem cells in culture with murine GM-CSF.
Typically, the concentration of GM-CSF in culture is at least about
0.2 ng/ml, and preferably at least about 1 ng/ml. Often the range
will be between about 20 ng/ml and 200 ng/ml. In many preferred
embodiments, the dose will be about 100 ng/ml. When human cells are
transduced, human GM-CSF is used in similar ranges, and TNF-.alpha.
is also added to facilitate differentiation. TNF-.alpha. is also
typically added in about the same ranges. Optionally, SCF is added
in similar dose ranges to make human DCs. Optionally, IL-4 is added
in similar ranges, particularly for making murine DCs.
[0013] Ordinarily, the differentiation process is performed in
vitro. Other cytokines such as IL-4 are optionally added to
facilitate cell culture and cell differentiation. In addition,
lipofectamine, or a similar transduction facilitating agent, is
optionally added for improving gene transfer to cultures for
producing recombinant DCs.
[0014] One preferred way of transducing a hematopoietic stem cell
with a selected nucleic acid is to incubate the stem cell with a
retroviral vector comprising the selected nucleic acid. Preferred
vectors for stem cells include murine leukemia virus vectors. For
human stem cells, murine leukemia virus vectors expressing Gibbon
Ape leukemia virus envelopes are also preferred. For transducing
murine stem cells, ecotropic envelopes are preferred.
[0015] Thus, the invention also provides recombinant dendritic
cells with expression cassettes. The expression cassettes express
proteins (or peptide fragments thereof) which are processed into
antigenic peptides expressed on the surface of the dendritic MHC
class I and II surface receptors. The expression cassettes
typically comprise a strong promoter such as a t-RNA pol III
promoter, or a pol II promoter with strong constitutive expression.
One preferred pol II promoter is the retroviral murine leukemia
virus LTR promoter. Example antigenic proteins expressed by the
expression cassette include HER-2, MART-1, gp-100 and CEA,
tyrosinase, MAGE, trp-1 and PSA.
[0016] In another preferred class of embodiments, the invention
provides methods for activating T cells. In the methods, the T cell
is contacted with a recombinant dendritic cell expressing a
recombinant protein which is processed into antigenic peptides on
the surface of the dendritic cell. The T cell is optionally
contacted with the dendritic cell in vitro or in vivo. Thus, in one
preferred embodiment, T cells are isolated from a mammal and
incubated with recombinant dendritic cells in vitro. After
incubation, the T cells can be used in assays, or re-introduced
into the mammal to target and kill cells with antigenic peptides
(bound to class I MHC molecules) corresponding to the peptides
expressed on the surface of the dendritic cell. In another
preferred embodiment, the recombinant dendritic cell is introduced
into a mammal to activate the T cell in vivo. Preferred target
cells are those expressing antigenic peptides in the context of MHC
class I molecules, including cancer cells (e.g., prostate, colon,
melanoma, and breast cancer cells), virally infected cells such as
cells infected with an HIV, hepatitis or herpes virus, and
parasitized cells including cells with intracellular bacterial
infections and cells infected with parasites such as stages of P.
falciparum (the primary causative agent for malaria).
[0017] The invention provides commercially valuable drug and cell
assays. For instance, methods for detecting T cell mediated
anti-cancer cell activity of a protein or peptide are provided. In
the assays, a dendritic-cell is transformed with a recombinant
expression cassette encoding a heterologous protein or fragment
thereof (e.g., an antigenic peptide) by the methods described
herein. The T cell is contacted with the dendritic cell in vivo or
in vitro, thereby activating the T cell against cells expressing a
peptide antigen (on a MHC class I molecule) corresponding to an
antigen expressed on the surface of the dendritic cell. To test
whether the T cell has anti-cancer cell activity, a selected cancer
cell (for instance a breast cancer, melanoma, prostate cancer, or
colon cancer cell) is incubated with the T-cell (in vitro or in
vivo) and inhibition of cancer cell replication, or T-cell mediated
cancer cell lysis, or specific cytokine release (e.g., GM-CSF,
IFN-.gamma. or TNF-.alpha.) is observed. The assay is optionally
performed in vitro, or optionally in vivo. By providing a way of
discriminating proteins which can be targeted on cancer cells, the
invention provides a commercially valuable assay. The same strategy
can be applied to detect antigens or virally or parasitically
infected cells by substitution of these cells for the cancer cells
in the assay.
[0018] The activated T cells of the invention are generally
cytotoxic against cells expressing antigenic peptides in the
context of MHC which correspond to antigens expressed on antigen
presenting cells. Thus, the invention provides a method for making
T cells cytotoxic to selected target cells. In the methods, T cells
are activated by contact with the recombinant dendritic cells of
the invention, in vitro or in vivo.
[0019] The transformation of dendritic cells with target proteins
changes the antigenic repertoire of the dendritic cell by causing
processed peptide fragments to be expressed on the MHC molecules of
the dendritic cell. Unlike untransformed dendritic cells, the
recombinant transformed dendritic cells have processed peptide
fragments derived from the target protein expressed on the surface
of the dendritic cell.
[0020] In one embodiment, diagnostic assays are provided. These
assays are used to determine whether a cell population (e.g., a
blood or cell sample from a patient) express a selected antigen. In
the assays, recombinant dendritic cells expressing the selected
antigen are used to activate T-cells against the antigen. The cell
population is then exposed to the activated T-cells, and lysis of
the cells is monitored (e.g., by Trypan blue exclusion). If the
observed lysis is higher than an appropriate control, the
population of cells comprises the antigen. This can be used, e.g.,
to assess whether tumor cells express a particular antigen. In
another class of diagnostic assays, the invention provides a way of
monitoring precursor frequency and/or T-cell reactivity by exposure
to recombinant DCs. This is an indicator of the effect of
immunization with DCs.
DESCRIPTION OF THE DRAWING
[0021] FIG. 1 shows the results of a mixed leukocyte reaction using
dendritic cells to activate T cells, with Splenocytes as a control.
The dendritic cells were generated with varying amounts of murine
GM-CSF.
[0022] FIG. 2 shows the results of a mixed lymphocyte reaction
using dendritic cells to activate T cells, with Splenocytes as a
control.
[0023] FIG. 3 shows the sequence of a MART-1 nucleic acid.
[0024] FIG. 4 shows an allogenic MLR with dendritic cells and
PBMC.
[0025] FIG. 5 shows an allogenic MLR with dendritic cells, MART
transformed dendritic cells and PBMC.
[0026] FIG. 6 is a bar graph showing that mice treated with
.beta.gal-transduced DC exhibited a significant reduction in
pulmonary metastases compared to the control group.
[0027] FIG. 7 shows Lysis of tumor and peptide-pulsed cells by
lymphocytes stimulated with MART-transduced DCs. Autologous
quiescent lymphocytes were stimulated with MART-transduced DCs ( )
or SAM-transduced DCs (.largecircle.). After two restimulations,
the lymphocytes, or the positive control 1235 TIL (.box-solid.),
were tested for their ability to lyse various cells. Results are
plotted as the mean percentage of lysis.+-.SEM.
DEFINITIONS
[0028] Unless defined otherwise, all technical and scientific terms
used herein have the same meaning as commonly understood by one of
ordinary skill in the art to which this invention belongs.
Singleton et al. (1994) Dictionary of Microbiology and Molecular
Biology, second edition, John Wiley and Sons (New York), and Hale
and Marham (1991) The Harper Collins Dictionary of Biology Harper
Perennial, NY provide one of skill with a general reference for
many of the terms used in this invention. Paul (1993) Fundamental
Immunology, Third Edition Raven Press, New York, N.Y. and the
references cited therein provide one of skill with a general
overview of the ordinary meaning of many of the immunologically
related terms herein. Although any methods and materials similar or
equivalent to those described herein can be used in the practice or
testing of the present invention, preferred methods and materials
are described. For purposes of the present invention, the following
terms are defined below.
[0029] A "dendritic cell" (DC) is an antigen presenting cell (APC)
which can be derived from a hematopoietic stem cell. DC can be
obtained from many lymphoid and non lymphoid tissues, as well as
peripheral blood and bone marrow. Hematopoietic stem cells such as
CD34.sup.+ cells in humans can be artificially differentiated into
DC in vitro. The dendritic cell has a characteristic morphology
with thin sheets (lamellipodia) extending from the dendritic cell
body in several directions. Several phenotypic criteria are also
typical, but can vary depending on the source of the dendritic
cell. These include high levels of MHC molecules and costimulatory
molecules (e.g., B7-1 and B7-2), a lack of markers specific for
granulocytes, NK cells, B cells, and T cells. In the mouse, some
(but not all) dendritic cells express 33D1 (DC from spleen and
Peyer's patch, but not skin or thymic medulla), NLDC145 (DC in skin
and T-dependent regions of several lymphoid organs and CD11C (Cd11c
also reacts with macrophage). Dendritic cells are able to initiate
primary T cell responses in vitro and in vivo. These responses are
antigen specific. Dendritic cells direct a strong mixed leukocyte
reaction (MLR) compared to peripheral blood leukocytes,
splenocytes, B cells and monocytes.
[0030] A "target cell" or a "T cell targeted cell" is a cell which
expresses an antigenic peptide on a MHC class I molecule on the
surface of the cell. T cells recognize the antigenic peptides bound
to the MHC molecule and kill the target cell, either by cell lysis,
or by recruiting other immune cells to the site of the target cell
by releasing cytokines. The T cells which recognize the antigenic
peptide-MHC molecule are induced to proliferate in response to
antigen presenting cells (e.g., dendritic cells) which express
corresponding antigenic peptides on their cell-surface MHC
molecules.
[0031] A "target protein" is a protein which comprises antigenic
peptide subsequences. These subsequences are expressed on target
cells in the context of MHC molecules. T cells recognize epitopes
formed by the binding of an MHC molecule to these peptide
subsequences and typically lyse the cell, or recruit other immune
cells (e.g., macrophage) to the site of the target cell, thereby
killing the target cell.
[0032] An "immunogenic peptide" or "antigenic peptide" is a peptide
which will bind an MHC allele to form an epitope recognized by a T
cell, thereby inducing a CTL response upon presentation to the T
cell. Thus, antigenic peptides are capable of binding to an
appropriate MHC molecule and inducing a cytotoxic T cell response,
e.g., cell lysis or specific cytokine release against the target
cell which binds or expresses the antigen. The antigenic peptide
can be bound in the context of a class I or class II MHC molecule,
on an antigen presenting cell, or on a target cell.
[0033] "Changing the antigenic repertoire" of an antigen presenting
cell such as a dendritic cell refers to the processing and
expression of a heterologous protein into heterologous antigenic
peptides on the surface of the antigen presenting dendritic cell
(i.e., due to transformation of the antigen presenting cell with a
recombinant expression cassette encoding an antigenic protein). The
antigen presenting cell expresses antigenic processed fragments of
the heterologous protein on the surface of the cell in the context
of class I and class II MHC molecules. The expression of these
heterologous processed fragments makes the antigen presenting cell
competent to induce quiescent T cells which recognize the
MHC-antigenic peptide epitope to proliferate against target cells
which have epitopes derived from the heterologous protein (i.e.,
antigenic peptides expressed on MHC class I molecules on the cell).
These T cells then lyse the target cells, or recruit other immune
cells to the site of the target cell (e.g., macrophage) which kill
the target cells.
[0034] A "hematopoietic stem cell" is a pluripotent cell found,
e.g., in bone marrow or peripheral blood which can be
differentiated into a given cell type by incubation in vitro or in
vivo with appropriate cytokines. For instance, hematopoietic stem
cells from mouse bone marrow can be differentiated into dendritic
cells by incubation with murine GM-CSF, and. optionally, other
cytokines as shown herein. One well-characterized class of
hematopoietic stem cells from humans is a class of cells which are
CD34.sup.+, which can be differentiated into dendritic cells by
incubation with human GM CSF and TNF-.alpha..
[0035] A cell is "transduced" with a selected nucleic acid when the
nucleic acid is translocated into the cell. A cell is "stably
transduced" with a selected nucleic acid when the selected nucleic
acid is replicated and passed on to progeny cells. A cell is
"transformed" with a selected nucleic acid when the selected
nucleic acid is integrated into the cell's genome.
[0036] CD34.sup.+ cells express CD34 receptor molecules on the
surface of the cell.
[0037] A cell is "negative" for a class of MHC molecules when the
level of expression of the class of MHC molecules on the surface of
the cell is less than 10% the level on a differentiated dendritic
cell. Alternatively, a cell is "negative" for a class of MHC
molecules when the cell cannot be isolated from a population of
cells by FACS using the MHC molecule as a marker, or when an
isotype matched antibody control binds to the cell with the same
intensity (.+-.about 5%) as an MHC antibody.
[0038] A "cell receptor ligand" is a biological molecule which
binds to a cell receptor (which is optionally an extracellular
receptor or an intracellular receptor), thereby activating the
receptor.
[0039] The terms "isolated" or "biologically pure" refer to
material which is substantially or essentially free from components
which normally accompany it as found in its naturally occurring
environment. The isolated material optionally comprises material
not found with the material in its natural environment.
[0040] The term "nucleic acid" refers to a deoxyribonucleotide or
ribonucleotide polymer in either single- or double-stranded form,
and unless otherwise limited, encompasses known analogues of
natural nucleotides that hybridize to nucleic acids in a manner
similar to naturally occurring nucleotides. Unless otherwise
indicated, a particular nucleic acid sequence optionally includes
the complementary sequence thereof. A nucleic acid "encodes"
another nucleic acid where it is the same as the specified nucleic
acid, or complementary to the specified nucleic acid.
[0041] The term "operably linked" refers to functional linkage
between a nucleic acid expression control sequence (such as a
promoter, or array of transcription factor binding sites) and a
second nucleic acid sequence (such as a nucleic acid for a
heterologous protein), wherein the expression control sequence
directs transcription of the nucleic acid corresponding to the
second sequence.
[0042] "Optimal differentiation" of a population of stem cells into
a population of dendritic cells in the context of a titration
experiment for a particular cytokine refers to achieving the
highest percentage of dendritic cells in the population after
incubation with the cytokine. Typically, titrations include
systematically varying cytokine concentration and/or incubation
time and comparing the results of the different concentrations or
incubations.
[0043] An "expression vector" includes a recombinant expression
cassette which has a nucleic acid which encodes a polypeptide
(i.e., a protein) that can be transcribed and translated by a cell.
A "recombinant expression cassette" is a nucleic acid construct,
generated recombinantly or synthetically, with a series of
specified nucleic acid elements which permit transcription of a
particular nucleic acid in a target cell. The expression vector can
be part of a plasmid, virus, or nucleic acid fragment. Typically,
the recombinant expression cassette portion of the expression
vector includes a nucleic acid to be transcribed, and a promoter.
In some embodiments, the expression cassette also includes, e.g.,
an origin of replication, and/or chromosome integration elements
such as retroviral LTRs. A "promoter" is an array of nucleic acid
control sequences which direct transcription of a nucleic acid. As
used herein, a promoter includes necessary nucleic acid sequences
near the start site of transcription, such as, in the case of a
polymerase II type promoter, a TATA element. The promoter also
optionally includes distal enhancer or repressor elements which can
be located as much as several thousand base pairs from the start
site of transcription. A "constitutive" promoter is a promoter
which is active under most environmental conditions and states of
development or cell differentiation. An "inducible" promoter
responds to an extracellular stimulus.
[0044] The term "recombinant" when used with reference to a cell
indicates that the cell replicates or expresses a nucleic acid, or
expresses a peptide or protein encoded by a nucleic acid whose
origin is exogenous to the cell. Recombinant cells can express
genes that are not found within the native (non-recombinant) form
of the cell. Recombinant cells can also express genes found in the
native form of the cell wherein the genes are re-introduced into
the cell by artificial means, for example under the control of a
heterologous promoter.
[0045] The term "heterologous" when used with reference to a
nucleic acid indicates that the nucleic acid comprises two or more
subsequences which are not found in the same relationship to each
other in nature. For instance, the nucleic acid is typically
recombinantly produced, having two or more sequences derived from
unrelated genes arranged to make a new functional nucleic acid. For
example, in one embodiment, the nucleic acid has a promoter from
one gene arranged to direct the expression of a coding sequence
from a different gene. When used with reference to a protein, the
term "heterologous" means that the protein is expressed in a cell
or location where it is not ordinarily expressed in nature, such as
in a recombinant dendritic cell which encodes the protein in an
expression cassette.
[0046] The term "subsequence" in the context of a particular
nucleic acid or polypeptide sequence refers to a region of the
nucleic acid or polypeptide equal to or smaller than the particular
nucleic acid or polypeptide.
[0047] A "primary" stem cell is a stem cell isolated from a
patient. A "primary dendritic cell" is a dendritic cell taken from
a patient, or derived by differentiation of a stem cell taken from
a patient. A primary dendritic cell in an established cell culture
which has undergone many serial passages in culture is not a
primary dendritic cell, but may be referred to as an established
dendritic cell. A "primary cultured dendritic cell" is a dendritic
cell differentiated from a culture of primary stem cells.
DETAILED DISCUSSION OF THE INVENTION
[0048] Dendritic cells (DC) are highly potent antigen presenting
cells that are capable of activating quiescent T-cells, and
stimulate effective anti-tumor immune responses. Dendritic cells
have been effective against established tumors. Dendritic cells
have several advantages over other forms of anti-tumor
immunization, such as recombinant viral vaccines, in that the
immunization method is entirely autologous, and therefore no
problems with pre-existing neutralizing antibodies are expected,
even with repeated dosing. In addition, dendritic cell
immunizations can be used in combination with other methods of
immunization.
[0049] The ability to constitutively express tumor antigen genes in
dendritic cells, as taught herein, is a powerful method to uncover
new tumor antigens in vitro and to actively immunize against cells
expressing the antigens in vivo and ex vivo. Methods allowing
efficient gene transfer into primary dendritic cells are useful for
several reasons.
[0050] First, entire antigen genes can be introduced, allowing
presentation of the entire protein by the dendritic cell. Second,
by permanently and stably expressing the antigen gene in dendritic
cells, the antigen is constitutively expressed, compared to only
transient expression with more traditional peptide pulsing. Third,
introduction of the entire protein allows the presentation of
multiple, and even undefined, but important, epitopes. In addition,
both class I and class II epitopes can be presented. Fourth,
introduction of candidate tumor antigen genes or cDNA libraries
allows the identification of novel tumor antigens against common
cancers. Fifth, cytokine genes, such as GM-CSF can be introduced
into dendritic cells, to potentially enhance their survival,
immunogenicity or therapeutic effect. Sixth, Stimulatory ligands,
such as CD40L, can be introduced in dendritic cells, to enhance
their survival, immunogenicity or therapeutic effects. Seventh,
transcription factors and other molecules important for dendritic
cell differentiation are introduced to study the basic science of
primary dendritic cell development.
[0051] The invention provides new methods of transforming antigen
presenting dendritic cells. In a preferred use of the invention,
the dendritic cells are transformed with a nucleic acid encoding a
protein which has peptide subsequences expressed on the surface of
target cells in the context of MHC class I molecules. The protein
is expressed in the dendritic cell, processed into fragments, and
expressed on the surface of the dendritic cell in the context of
the MHC class I and class II receptors found on the surface of
dendritic cells. These dendritic cells are capable of activating T
cell proliferation of T cells cytotoxic to a target cell.
[0052] Typically, the dendritic cells of the invention are
transformed by transforming a hematopoietic stem cell with a
selected nucleic acid, followed by differentiation of the stem cell
into the dendritic cell. A primary advantage of this strategy is
that many known methods of transducing cells require the cell to be
actively dividing for stable integration of the selected nucleic
acid into the cellular genome. For instance, many retroviral gene
therapy vectors can only transform actively dividing cells. It is
now discovered that these methods of transducing and transforming
cells do not work with dendritic cells. Thus, stem cells are
transformed with selected nucleic acids in the methods of the
invention, and then differentiated into dendritic cells which then
stably express the selected nucleic acid.
[0053] The new methods of transforming dendritic cells and
expressing antigenic peptides on the surface of the cell to make
the dendritic cell competent for T cell activation provides
significant advantages over prior art methods of loading peptides
onto dendritic cells, including broader antigen expression and more
efficient MHC class I and class II peptide loading. Peptide loading
methods are of limited efficiency, and ordinarily only a single
peptide is loaded. In contrast, it is shown herein that endogenous
expression of a protein provides for efficient loading of MHC class
I and class II molecules, and that a whole range of peptides
derived from a selected target protein are presented on the surface
of the dendritic cell for antigen presentation. These fundamental
discoveries provide diagnostic, therapeutic and assay uses.
[0054] Epitopes from a variety of pathogens on a number of
potential target cells are known to mediate T cell cytotoxicity of
the target cells, and it is expected that one of skill is
thoroughly familiar with the identity of many such antigens. T
cells recognizing such epitopes are stimulated to proliferate in
response to antigen presenting cells such as dendritic cells.
Examples of MHC class I bound antigens include prostate specific
antigen (PSA), hepatitis B core and surface antigens (HBVc, HBVs)
hepatitis C antigens, Epstein-Barr virus antigens, melanoma
antigens (e.g., MAGE-1, MART-1 and gp 100), Colon cancer antigens
(e.g., CEA), breast cancer antigens (e.g., HER-2) human
immunodeficiency virus (HIV) antigens, herpes virus antigens,
hepatitis (e.g., A, B, or C) tyrosinase, trp-1, Malarial antigens,
or human papilloma virus (HPV) antigens. A nucleic acid encoding
MART-1 is provided in FIG. 3.
[0055] DC can be transduced with essentially any nucleic acid using
the techniques provided. In one preferred embodiment, nucleic acids
encoding cytokines (e.g., GM-CSF, an interleukin (IL-1, IL-2, IL-3,
IL-4, IL-5, IL-6, IL-7, IL-8, IL-9, IL-10, IL-11, IL-12, IL-13,
etc.), or cell receptor ligands (e.g., transferrin, c-kit, CD40
ligand, viral receptor ligands, cytokine receptors, and the like)
are transduced into stem cells to produce recombinant DC expressing
the encoded protein or peptide. Cytokines and cytokine receptors,
such as interleukins and interleukin receptors, c kit and the c kit
receptor (see, Schwartzenberger et al. (1996) Blood 87: 472-478),
as well as cell ligands (e.g., CD40), chemokines, as well as
recombinant antibodies and cell surface molecules, and the like are
known, and commercially available. Cytokines include, e.g., IL-1,
IL-2, IL-4, TNF.alpha., IL-6, interferons alpha, beta and gamma,
and GM/CSF. See also, Cao et al. (1995) Cancer Res Clin Oncol
121(12):721-8; Dalgleish, (1994) Gene Ther 1(2):83-7; Suminami et
al. (1995) J Immunother Emphasis Tumor Immunol 17(4):238-48; Abe et
al. (1995) J Cancer Res Clin Oncol 121(9-10):587-92; Garbe and
Krasagakis, (1993) Invest Dermatol 100(2 Suppl):239S-244S. For a
review of the chemokine family, see, e.g., Lodi et al. (1994)
Science 263: 1762-1767; Gronenborn and Clore (1991) Protein
Engineering 4: 263-269; Miller and Kranger (1992) Proc. Nat'l Acad.
Sci. USA 89: 2950-2954; Matsushima and Oppenheim (1989) Cytokine 1:
2-13; Stoeckle and Baker (1990) New Biol. 2: 313-323; Oppenheim et
al. (1991) Ann. Rev. Immunol. 9: 617-648; Schall (1991) Cytokine 3:
165-183; and The Cytokine Handbook Academic Press, NY.
[0056] Nucleic acids encoding cytokines, growth factors, cell
receptor ligands, etc., for increasing the survival,
differentiation, selection (e.g., by transducing the cells with a
selectable marker such as an antibiotic resistance gene),
immunogenicity, or therapeutic effect of the cells are all
preferably placed into a recombinant expression cassette and used
to transduce DCs. DCs are optionally made which express a peptide
on an MHC molecule, and simultaneously express a cytokine and/or
other gene.
[0057] In preferred embodiments, primary stem cells are
differentiated into dendritic cells. One of skill will appreciate
that many therapeutic applications are improved by administering
autologous cells to a patient, i.e., cells which were originally
isolated from the patient, or which are derived from a patient by
culturing isolated cells. These autologous cells are less likely to
cause immune complications upon reintroduction into the patient.
Moreover, primary isolates of dendritic cells are the most
refractory to transduction by heterologous nucleic acids. Because
the invention provides transformed dendritic cells derived from
primary cell culture of stem cells, the invention overcomes this
significant problem in the art.
Isolating Stem Cells
[0058] Stem cells are isolated for transduction and differentiation
into dendritic cells in the methods of the invention. Many ways of
isolating stem cells are known.
[0059] In mice, bone marrow cells are isolated, e.g., by
sacrificing the mouse and cutting the leg bones with a pair of
scissors. Stem cells are isolated from bone marrow cells by panning
the bone marrow cells with antibodies which bind unwanted cells,
such as CD4.sup.+ and CD8.sup.+ (T cells), CD45.sup.+ (panB cells),
GR-1 (granulocytes), and lad (differentiated antigen presenting
cells). For an example of this protocol see, Inaba et al. (1992) J.
Exp. Med. 176, 1693-1702.
[0060] Human CD34.sup.+ cells can be obtained from a variety of
sources, including cord blood, bone marrow, and mobilized
peripheral blood. Purification of CD34.sup.+ cells can be
accomplished by antibody affinity procedures. An affinity column
isolation procedure for isolating CD34.sup.+ cells is described by
Ho et al. (1995) Stem Cells 13 (suppl. 3): 100-105. See also,
Brenner (1993) Journal of Hematotherapy 2: 7-17. Yu et al. (1995)
PNAS 92: 699-703 describe a method of transducing CD34.sup.+ cells
from human fetal cord blood using retroviral vectors.
[0061] In humans, bone marrow aspirations from iliac crests are
optionally performed e.g., under general anesthesia in the
operating room. The bone marrow aspiration is approximately 1,000
ml in quantity and is collected from the posterior iliac bones and
crests. If the total number of cells collected is <about
2.times.10.sup.8/kg, a second aspiration is optionally performed,
e.g., using the sternum and/or anterior iliac crests in addition to
posterior crests. During the operation, two units of irradiated
packed red cells are administered to replace the volume of marrow
taken by the aspiration. Human hematopoietic progenitor and stem
cells are characterized by the presence of a CD34 surface membrane
antigen. This antigen is often used for purification. After the
bone marrow is harvested, the mononuclear cells are separated from
the other components by means of ficol gradient centrifugation.
This is performed by a semi-automated method using a cell separator
(e.g., a Baxter Fenwal CS3000+ or Terumo machine). The light
density cells, composed mostly of mononuclear cells are collected
and the cells are incubated in plastic flasks at 37.degree. C. for
1.5 hours. The adherent cells (monocytes, macrophages and B-Cells)
are discarded. The non-adherent cells are then collected and
incubated with a monoclonal anti-CD34 antibody (e.g., the murine
antibody 9C5) at 4.degree. C. for 30 minutes with gentle rotation.
The final concentration for the anti-CD34 antibody is 10 .mu.g/ml.
After two washes, paramagnetic microspheres (Dyna Beads, supplied
by Baxter Immunotherapy Group, Santa Ana, Calif.) coated with sheep
antimouse IgG (Fc) antibody are added to the cell suspension at a
ratio of 2 cells/bead. After a further incubation period of 30
minutes at 4.degree. C., the rosetted cells with magnetic beads are
collected with a magnet. Chymopapain (supplied by Baxter
Immunotherapy Group, Santa Ana, Calif.) at a final concentration of
200 U/ml is added to release the beads from the CD34+ cells.
Alternatively, and preferably, an affinity column isolation
procedure can be used which binds to CD34, or to antibodies bound
to CD34 (see, the examples below).
[0062] In another highly preferred embodiment, CD34.sup.+ cells are
isolated from peripheral blood leukapheresis after G-CSF
mobilization as described more fully in the examples below.
Transducing and Culturing Stem Cells
[0063] Several ways of transforming stem cells are known, including
calcium phosphate precipitation, fusion of the recipient cells with
bacterial protoplasts containing the DNA, treatment of the
recipient cells with liposomes containing the DNA, DEAE dextran,
receptor-mediated endocytosis, electroporation, micro-injection of
the DNA directly into the cells, incubating viral vectors
containing selected nucleic acids which encode polypeptides of
interest with cells within the host range of the vector, calcium
phosphate transfection, and many other techniques known to those of
skill. See, e.g., Methods in Enzymology, vol. 185, Academic Press,
Inc., San Diego, Calif. (D. V. Goeddel, ed.) (1990) or M. Krieger,
Gene Transfer and Expression--A Laboratory Manual, Stockton Press,
New York, N.Y., (1990) and the references cited therein, as well as
Berger and Kimmel, Guide to Molecular Cloning Techniques, Methods
in Enzymology volume 152 Academic Press, Inc., San Diego, Calif.
(Berger); Sambrook et al. (1989) Molecular Cloning--A Laboratory
Manual (2nd ed.) Vol. 1-3; and Current Protocols in Molecular
Biology, F. M. Ausubel et al., eds., Current Protocols, a joint
venture between Greene Publishing Associates, Inc. and John Wiley
& Sons, Inc., (1994 Supplement) (Ausubel). Product information
from manufacturers of biological reagents and experimental
equipment also provide information useful in known biological
methods.
[0064] Such manufacturers include the SIGMA chemical company (Saint
Louis, Mo.), R&D systems (Minneapolis, Minn.), Pharmacia LKB
Biotechnology (Piscataway, N.J.), CLONTECH Laboratories, Inc. (Palo
Alto, Calif.), Chem Genes Corp., Aldrich Chemical Company
(Milwaukee, Wis.), Glen Research, Inc., GIBCO BRL Life
Technologies, Inc. (Gaithersberg, Md.), Fluka Chemica-Biochemika
Analytika (Fluka Chemie AG, Buchs, Switzerland), Invitrogen, San
Diego, Calif., and Applied Biosystems (Foster City, Calif.), as
well as many other commercial sources known to one of skill.
[0065] Several approaches for introducing functional new genetic
material into cells in vivo and ex vivo have been used. These
include liposome based gene delivery (Debs and Zhu (1993) WO
93/24640; Mannino and Gould-Fogerite (1988) Biotechniques 6(7):
682-691; Rose U.S. Pat. No. 5,279,833; Brigham (1991) WO 91/06309;
and Felgner et al. (1987) Proc. Natl. Acad. Sci. USA 84: 7413-7414)
and replication-defective retroviral vectors harboring a
therapeutic polynucleotide sequence as part of the retroviral
genome (see, e.g., Miller et al. (1990) Mol. Cell. Biol. 10:4239
(1990); Kolberg (1992) J. NIH Res. 4:43, and Cornetta et al. Hum.
Gene Ther. 2:215 (1991)). Widely used retroviral vectors include
those based upon murine leukemia virus (MuLV), gibbon ape leukemia
virus (GaLV), ecotropic retroviruses, simian immuno deficiency
virus (SIV), human immuno deficiency virus (HIV), and combinations
thereof. See, e.g., Buchscher et al. (1992) J. Virol. 66(5)
2731-2739; Johann et al. (1992) J. Virol. 66 (5): 1635-1640 (1992);
Sommerfelt et al., (1990) Virol. 176:58-59; Wilson et al. (1989) J.
Virol. 63:2374-2378; Miller et al., J. Virol. 65:2220-2224 (1991),
and Rosenburg and Fauci (1993) in Fundamental Immunology, Third
Edition Paul (ed) Raven Press, Ltd., New York and the references
therein, and Yu et al., Gene Therapy (1994) supra).
[0066] Retroviral Vectors
[0067] The preferred method of transforming stem cells is to
incubate the cells with a viral vector, within the host range of
the virus. Many such viral vectors are known, including retroviral
vectors based on, e.g., HIV viruses, SIV viruses, murine
retroviruses, gibbon ape leukemia virus and other viruses such as
adeno associated viruses (AAVs) and adeno viruses.
[0068] Murine retroviral vectors are known in the art. The majority
of the approved gene transfer trials in the United States rely on
replication-defective retroviral vectors derived from murine
retroviruses such as murine moloney retrovirus (referred to
alternately as MoLv MoMuLv or MuLV in the art). See Miller et al.
(1990) Mol. Cell. Biol. 10:4239; Kolberg R (1992) J. NIH Res. 4:43,
and Cornetta et al. (1991) Hum. Gene Ther. 2:215. The major
advantage of murine retroviral vectors for gene therapy are the
high efficiency of gene transfer into certain types of replicating
cells, the precise integration of the transferred genes into
cellular DNA, and the lack of further spread of the sequences after
gene transfer.
[0069] Murine vectors comprising Gibbon Ape Leukemia Virus
envelopes are more broadly infective than Murine retroviruses such
as Murine leukemia virus, and can be used to transduce many
mammalian stem cells, including human stem cells. Gibbon Ape
Leukemia Virus (GaLV) infects cells using the GaLV receptor, which
is found on many cell types in many species. See, Johann et al., J.
Virol. 66:1635-1640 (1992). GaLV can infect many mammalian species
with the notable exception of mouse cells. The same receptor is
used by simian sarcoma associated virus (SSAV), a strain of GaLV.
Sommerfelt et al., Virol. 176:58-59 (1990).
[0070] The construction of hybrid virions having GaLV envelope
proteins has been demonstrated. For instance, Wilson et al., J.
Virol. 63:2374-2378 (1989), describe preparation of infectious
hybrid virions with GaLV and human T-cell leukemia virus retroviral
env glycoproteins and the gag and pol proteins of the Moloney
murine leukemia virus (MoMLV). In addition, Miller et al., J.
Virol.-65:2220-2224 (1991), describe construction of hybrid
packaging cell lines that express GaLV envelope and MoMLV gag-pol
proteins. Any of these vectors and methods of making retroviral
clones can be applied to the present invention. GaLV Retroviral
packaging cell lines can be used to provide infectious
replication-defective hybrid virions for use in gene transfer in
humans, hamsters, cows, cats, dogs, monkeys, chimpanzees, macaques,
primates, and other species whose cells have host cell receptors
for GaLV envelope proteins.
[0071] HIV-based retroviral vectors are made competent to transduce
CD34.sup.+ cells by pseudotyping the vector. This is done, for
example, by transducing the packaging cell line used to package the
vector with a nucleic acid which encodes the vesicular stomatitis
virus (VSV) envelope protein, which is then expressed on the
surface of the HIV vector. VSV infects CD34.sup.+ cells, and
pseudotype vectors expressing VSV envelope proteins are competent
to transduce these cells (Naldini et al. (1996) Science
272:263).
[0072] Other HIV-based vector systems have been used. See, Akkina
et al. (1996) J Virol 70:2581; Poznansky et al. (1991) J Virol
65:532; Parolin et al. (1994) Journal of Virology 68:3888;
Richardson et al. (1995) Journal of General Virology 76:691;
Buchschacher et al. (1992) Journal of Virology 66:2731; and Marlink
et al. (1994) Science 265:1587.
[0073] A number of standard techniques are used to improve safety
of retroviral vectors. For instance, a defective retroviral genome
is introduced into the packaging cell separately from the genes
encoding the core and envelope components. In this way,
recombination between the genome and the core and envelope genes,
which would lead to the packaging of complete viral genomes, is
extremely unlikely. The resulting virions typically do not comprise
the gag, pol, and env genes and are thus replication-defective.
Homologous recombination, however, between the inserts can lead to
the production of infectious virions. Accordingly, the packaging
cells are produced by introducing the gag, pot, and env genes on at
least two separate plasmids. This scheme effectively prevents
homologous recombination leading to reconstruction of infectious
virus because the probability of multiple, independent homologous
recombination events occurring is extremely low.
[0074] Retroviral vectors can also be designed to prevent synthesis
of viral proteins by the integrated defective genome. For instance,
if a portion of the gag gene is included to increase packaging
efficiency, a stop codon can be introduced into the gene to prevent
synthesis of gag proteins. See, Miller et al., Biotechniques
7:982-988 (1989).
[0075] In addition, the cells used to make packaging cells do not
typically possess a cell receptor for the relevant vector, and are
thus not infectable by the vector. Thus, for instance, retroviral
vector virions having the GaLV envelope cannot reinfect the
packaging cells; thus, vector spread in the packaging cells is
greatly reduced. Suitable packaging cells also have limited or no
endogenous viral sequences. Cell lines for this purpose include the
Mus dunni tail fibroblast cell line. This strategy decreases the
potential for generation of recombinant vectors, which are often
transmitted with higher efficiency than the parental vector.
[0076] Alternatively, genes are expressed in dendritic cells using
recombinant adenoviral vectors, AAV vectors, pox viral vectors (B.
Moss, "Poxvirus Expression Vectors", Current Topics in Microbiology
and Immunology, Vol 158; 25-38, 1992) including vaccinia, fowl pox,
and canary pox, recombinant influenza viral vectors (Garcia-Sastre,
A., and P. Palese, "Influenza Virus Vectors", Biologicals,
23:171-178, 1995), or non-viral gene delivery techniques (F.
Ledley, "Non-viral gene therapy", Current Opinion in Biotechnology,
5:626-636, 1994). Because some of these vectors do not require
proliferating cells for gene transfer, dendritic cells are prepared
by one of several methods available to those skilled in the art,
such as preparation from peripheral blood over metrizamide
gradient, culture of peripheral blood cells in GM-CSF and IL-4, and
culture of CD34 cells in SCF, GM-CSF and TNF as described
above.
[0077] Adeno Associated Viral Vectors
[0078] Adeno associated viruses (AAVs) require helper viruses such
as adenovirus or herpes virus to achieve productive infection. In
the absence of helper virus functions, AAV integrates
(site-specifically) into a host cell's genome, but the integrated
AAV genome has no pathogenic effect. The integration step allows
the AAV genome to remain genetically intact until the host is
exposed to the appropriate environmental conditions (e.g., a lytic
helper virus), whereupon it re-enters the lytic life-cycle.
Samulski (1993) Current Opinion in Genetic and Development 3:74-80
and the references cited therein provides an overview of the AAV
life cycle. AAV-based vectors are used to transduce cells with
selected nucleic acids, e.g., in the in vitro production of nucleic
acids and peptides, and in in vivo and ex vivo gene therapy
procedures. See, West et al. (1987) Virology 160:38-47; Carter et
al. (1989) U.S. Pat. No. 4,797,368; Carter et al. WO 93/24641
(1993); Kotin (1994) Human Gene Therapy 5:793-801; Muzyczka (1994)
J. Clin. Invst. 94:1351 and Samulski (supra) for an overview of AAV
vectors.
[0079] The viral vectors above can be recombinantly combined with
expression cassettes comprising selected nucleic acids (i.e.
proteins or peptides to be expressed in dendritic cells) and
incubated with the stem cells to achieve transduction. Alternately,
expression cassettes comprising selected nucleic acids are packaged
into viral particles using packaging cell lines, which are
optionally incubated with the stem cell.
[0080] Adenoviruses (Ads) have many attractive properties for the
transfer of genes, including relatively simple production of high
titres of the virus and vectors based upon the virus, and low
pathogenicity. Ads are well-characterized viruses, and have been
widely used as nucleic acid vectors (reviewed in Haddada et al.
(1995) in Current Topics in Microbiology and Immunology Doerfler
and Bohm (eds) Springer-Verlag, Heidelberg Germany; and Yu et al.,
Gene Therapy (1994) 1:13-26. See also, Sharp and Wadell (1995) in
Principles and Practice of Clinical Virology, Third Edition
Zuckerman et al. (eds) John Wiley & Sons Ltd. and the
references cited therein and Randrianarison-Jewtoukoff and
Periicaudet (1995) Biologicals 23: 145-157 and the references cited
therein). One well-characterized Ad packaging cell line is the 293
cell line described in Haddada et al. (1995), supra. Ads are
extrachromosomal viruses which do not integrate into the genome of
cells transduced by the virus.
[0081] The culture of cells used in conjunction with the present
invention, including cell lines and cultured cells from tissue or
blood samples, including stem cells and dendritic cells is well
known in the art. Freshney (Culture of Animal Cells, a Manual of
Basic Technique, third edition Wiley-Liss, New York (1994)) and the
references cited therein provides a general guide to the culture of
cells. See also, Kuchler et al. (1977) Biochemical Methods in Cell
Culture and Virology, Kuchler, R. J., Dowden, Hutchinson and Ross,
Inc, and Inaba et al., supra.
Differentiating Stem Cells into Dendritic Cells
[0082] Transduced stem cells are differentiated into dendritic
cells by incubating the cells with the appropriate cytokines. Inaba
et al. described the in vitro differentiation of murine stem cells
into dendritic cells by incubating the stem cells with murine
GM-CSF. In brief, isolated stem cells are incubated with between 1
and 200 ng/ml murine GM-CSF, and preferably about 20 ng/ml GM-CSF
in standard RPMI growth medium. The media is changed with fresh
media about once every other day. After 7 days in culture, a large
percentage of cells are dendritic, as assessed by expression of
surface markers and morphology. Dendritic cells are isolated by
florescence activated cell sorting (FACS) or by other standard
methods.
[0083] Human cells CD34.sup.+ hematopoietic stem cells are
preferably differentiated in vitro by culturing the cells with
human GM-CSF and TNF-.alpha.. See, the examples and Szabolcs et al.
(1995) 154: 5851-5861.
[0084] For mouse DCs, murine stem cells are differentiated into
dendritic cells by incubating the stem cells in culture with murine
GM-CSF. Typically, the concentration of GM-CSF in culture is at
least about 0.2 ng/ml, and preferably at least about 1 ng/ml. Often
the range will be between about 20 ng/ml and 200 ng/ml. In many
preferred embodiments, the dose will be about 100 ng/ml. IL-4 is
optionally added in similar ranges for making murine DCs.
[0085] When human cells are transduced, human GM-CSF is used in
similar ranges, and TNF-.alpha. is also added to facilitate
differentiation. TNF-.alpha. is also typically added in about the
same ranges. Optionally, SCF or other proliferation ligand (e.g.,
Flt3) is added in similar dose ranges to make human DCs.
[0086] It will be appreciated that all of these dose ranges for
differentiating stem cells are approximate. Different suppliers and
different lots of cytokine from the same supplier vary in the
activity of the cytokine. One of skill can easily titrate each
cytokine which is used to determine the optimal dose for any
particular cytokine. An example titration is performed in the
Examples, supra.
Isolation of and Expansion of T Cells
[0087] T cells are isolated from mammals in some embodiments of the
invention where the T cell is activated in vitro by contact with a
dendritic cell of the invention. Several techniques are known. The
expression of surface markers facilitates identification and
purification of T cells. Methods of identification and isolation of
T cells include FACS, incubation in flasks with fixed antibodies
which bind the particular cell type and panning with magnetic
beads.
[0088] In one method, Ficoll-Hypaque density gradient
centrifugation is used to separate PBMC from red blood cells and
neutrophils according to established procedures. Cells are washed
with modified AIM-V (which consists or AIM-V (GIBCO) with 2 mM
glutamine, 10 .mu.g/ml gentamicin sulfate, 50 .mu.g/ml
streptomycin) supplemented with 1% fetal bovine serum (FBS).
Enrichment for T cells is performed by negative or positive
selection with appropriate monoclonal antibodies coupled to columns
or magnetic beads according to standard techniques. An aliquot of
cells is analyzed for cell surface phenotype including CD4, CD8,
CD3 and CD14.
[0089] Cells are washed and resuspended at a concentration of
5.times.10.sup.5 cells per ml of AIM-V modified as above and
containing 5% FBS and 100 U/ml recombinant IL-2 (rIL-2)
(supplemented AIM-V). Where the cells are isolated from and
HIV.sup.+ patient, 25 nM CD4-PE40 (a recombinant protein consisting
of the HIV-1-binding CD4 domain linked to the translocation and
ADP-ribosylation domains of Pseudomonas aeruginosa exotoxin A), or
other similar recombinant cytotoxic molecule which selectively
hybridizes to HIV is added to the cell cultures for the remainder
of the cell expansion to selectively remove HIV infected cells from
the culture. CD4-PE40 has been shown to inhibit p24 production in
HIV-1-infected cell cultures and to selectively kill HIV-1-infected
cells.
[0090] To stimulate proliferation, OKT3 monoclonal antibody (Ortho
Diagnostics) is added to a concentration of 10 ng/ml and the cells
are plated in 24 well plates with 0.5 ml per well. The cells are
cultured at 37.degree. C. in a humidified incubator with 5%
CO.sub.2 for 48 hours. Media is aspirated from the cells and 1 ml
of vector-containing supernatant (described below) supplemented
with 5 .mu.l/ml of protamine sulfate, 100 U/ml rIL-2, 100 U/ml
penicillin, 0.25 .mu.g/ml amphotericin B/ml and an additional 100
.mu.g/ml streptomycin (25 nM CD4-PE40 can be added as described
above).
Isolating Cells with Selectable Markers
[0091] A variety of cells are used in the methods of the invention,
including stem cells, T cells and dendritic cells. Each of these
cell types is characterized by expression of particular markers on
the surface of the cell, and lack of expression of other markers.
For instance, human stem cells typically express CD34 antigen.
dendritic cells express MHC molecules and costimulatory molecules
(e.g., B7-1 and B7-2), a lack of markers specific for granulocytes,
NK cells, B cells, and T cells. In the mouse, some (but not all)
dendritic cells express 33D1 (DC from spleen and Peyer's patch, but
not skin or thymic medulla), NLDC145 (DC in skin and T-dependent
regions of several lymphoid organs and CD11c (CD11c also reacts
with macrophage). T cells are positive for various markers
depending on the particular subtype, most notably CD4 and CD8.
[0092] The expression of surface markers facilitates identification
and purification of these cells. These methods of identification
and isolation include FACS, column chromatography, panning with
magnetic beads, western blots, radiography, electrophoresis,
capillary electrophoresis, high performance liquid chromatography
(HPLC), thin layer chromatography (TLC), hyperdiffusion
chromatography, and the like, and various immunological methods
such as fluid or gel precipitin reactions, immunodiffusion (single
or double), immunoelectrophoresis, radioimmunoassays (RIAs),
enzyme-linked immunosorbent assays (ELISAs), immunofluorescent
assays, and the like. For a review of immunological and immunoassay
procedures in general, see Stites and Terr (eds.) 1991 Basic and
Clinical Immunology (7th ed.) and Paul supra. For a discussion of
how to make antibodies to selected antigens see, e.g. Coligan
(1991) Current Protocols in Immunology Wiley/Greene, NY; and Harlow
and Lane (1989) Antibodies: A Laboratory Manual Cold Spring Harbor
Press, NY; Stites et al. (eds.) Basic and Clinical Immunology (4th
ed.)
[0093] Cell isolation or immunoassays for detection of cells during
cell purification can be performed in any of several
configurations, e.g., those reviewed in Maggio (ed.) (1980) Enzyme
Immunoassay CRC Press, Boca Raton, Fla.; Tijan (1985) "Practice and
Theory of Enzyme Immunoassays," Laboratory Techniques in
Biochemistry and Molecular Biology, Elsevier Science Publishers B.
V., Amsterdam; Harlow and Lane, supra; Chan (ed.) (1987)
Immunoassay: A Practical Guide Academic Press, Orlando, Fla.; Price
and Newman (eds.) (1991) Principles and Practice of Immunoassays
Stockton Press, NY; and Ngo (ed.) (1988) Non-isotopic Immunoassays
Plenum Press, NY.
[0094] Most preferably, cells are isolated and characterized by
flow cytometry methods such a FACS analysis. A wide variety of
flow-cytometry methods are known. For a general overview of
fluorescence activated flow cytometry see, for example, Abbas et
al. (1991) Cellular and Molecular immunology W.B. Saunders Company,
particularly chapter 3, and Kuby (1992) Immunology W.H. Freeman and
Company, particularly chapter 6. FACS machines are available, e.g.,
from Becton Dickinson.
[0095] Labeling agents which can be used to label cell antigen
include e.g., monoclonal antibodies, a polyclonal antibodies,
proteins, or other polymers such as affinity matrices,
carbohydrates or lipids. Detection proceeds by any known method,
such as immunoblotting, western blot analysis, tracking of
radioactive or bioluminescent markers, capillary electrophoresis,
or other methods which track a molecule based upon size, charge or
affinity. The particular label or detectable group used and the
particular assay are not critical aspects of the invention. The
detectable moiety can be any material having a detectable physical
or chemical property. Such detectable labels have been
well-developed in the field of gels, columns, solid substrates cell
cytometry and immunoassays and, in general, any label useful in
such methods can be applied to the present invention. Thus, a label
is any composition detectable by spectroscopic, photochemical,
biochemical, immunochemical, electrical, optical or chemical means.
Useful labels in the present invention include magnetic beads (e.g.
Dynabeads.TM.), fluorescent dyes (e.g., fluorescein isothiocyanate,
Texas red, rhodamine, and the like), radiolabels (e.g., 3H, 125I,
35S, 14C, or 32P), enzymes (e.g., LacZ, CAT, horse radish
peroxidase, alkaline phosphatase and others, commonly used as
detectable enzymes, either as marker gene products or in an ELISA),
nucleic acid intercalators (e.g., ethidium bromide) and
colorimetric labels such as colloidal gold or colored glass or
plastic (e.g. polystyrene, polypropylene, latex, etc.) beads.
[0096] The label is coupled directly or indirectly to the desired
component of the assay according to methods well known in the art.
As indicated above, a wide variety of labels are used, with the
choice of label depending on the sensitivity required, ease of
conjugation of the compound, stability requirements, available
instrumentation, and disposal provisions. Non radioactive labels
are often attached by indirect means. Generally, a ligand molecule
(e.g., biotin) is covalently bound to a polymer. The ligand then
binds to an anti-ligand (e.g., streptavidin) molecule which is
either inherently detectable or covalently bound to a signal
system, such as a detectable enzyme, a fluorescent compound, or a
chemiluminescent compound. A number of ligands and anti-ligands can
be used. Where a ligand has a natural anti-ligand, for example,
biotin, thyroxine, and cortisol, it can be used in conjunction with
labeled, anti-ligands. Alternatively, any haptenic or antigenic
compound can be used in combination with an antibody.
[0097] Labels can also be conjugated directly to signal generating
compounds, e.g., by conjugation with an enzyme or fluorophore.
Enzymes of interest as labels will primarily be hydrolases,
particularly phosphatases, esterases and glycosidases, or
oxidoreductases, particularly peroxidases. Fluorescent compounds
include fluorescein and its derivatives, rhodamine and its
derivatives, dansyl, umbelliferone, etc. Chemiluminescent compounds
include luciferin, and 2,3-dihydrophthalazinediones, e.g., luminol.
For a review of various labelling or signal producing systems which
are used, see, U.S. Pat. No. 4,391,904, which is incorporated
herein by reference.
[0098] Means of detecting labels are well known to those of skill
in the art. Thus, for example, where the label is a radioactive
label, means for detection include a scintillation counter or
photographic film as in autoradiography. Where the label is a
fluorescent label, it is optionally detected by exciting the
fluorochrome with the appropriate wavelength of light and detecting
the resulting fluorescence, e.g., by microscopy, visual inspection,
via photographic film, by the use of electronic detectors such as
charge coupled devices (CCDs) or photomultipliers and the like.
Similarly, enzymatic labels are detected by providing appropriate
substrates for the enzyme and detecting the resulting reaction
product.
[0099] Finally, simple colorimetric labels are often detected
simply by observing the color associated with the label. Thus, in
various dipstick assays, conjugated gold often appears pink, while
various conjugated beads appear the color of the bead.
[0100] Some assay formats do not require the use of labeled
components. For instance, agglutination assays can be used to
detect the presence of antibodies. In this case, cells are
agglutinated by samples comprising the antibodies bound to the
cells. In this format, none of the components need be labeled and
the presence of the target antibody is detected by simple visual
inspection.
[0101] Depending upon the assay, various components, including the
antibody, or anti-antibody, are typically bound to a solid surface.
For instance, in one preferred embodiment, unwanted cells are
panned out of bone marrow using appropriate antibodies bound to a
substrate over which the cells are passed. Many methods for
immobilizing biomolecules to a variety of solid surfaces are known
in the art. For instance, the solid surface is optionally a
membrane (e.g., nitrocellulose), a microtiter dish (e.g., PVC,
polypropylene, or polystyrene), a test tube (glass or plastic), a
dipstick (e.g. glass, PVC, polypropylene, polystyrene, latex, and
the like), a microcentrifuge tube, a flask, or a glass, silica,
plastic, metallic or polymer bead. The desired component is
optionally covalently bound, or noncovalently attached through
nonspecific bonding. A wide variety of organic and inorganic
polymers, both natural and synthetic are optionally employed as the
material for the solid surface. Illustrative polymers include
polyethylene, polypropylene, poly(4-methylbutene), polystyrene,
polymethacrylate, poly(ethylene terephthalate), rayon, nylon,
poly(vinyl butyrate), polyvinylidene difluoride (PVDF), silicones,
polyformaldehyde, cellulose, cellulose acetate, nitrocellulose, and
the like. Other materials which are appropriate depending on the
assay include paper, glasses, ceramics, metals, metalloids,
semiconductive materials, cements and the like. In addition,
substances that form gels, such as proteins (e.g., gelatins),
lipopolysaccharides, silicates, agarose and polyacrylamides can be
used. Polymers which form several aqueous phases, such as dextrans,
polyalkylene glycols or surfactants, such as phospholipids, long
chain (12-24 carbon atoms) alkyl ammonium salts and the like are
also suitable.
Diagnostic Assays
[0102] In one embodiment, diagnostic assays are provided. These
assays are used to determine whether a cell population (e.g., a
blood or cell sample from a patient) express a selected antigen. In
the assays, recombinant dendritic cells expressing the selected
antigen are used to activate T-cells against the antigen. The cell
population is then exposed to the activated T-cells, and lysis of
the cells is monitored (e.g., by trypan blue exclusion). If the
observed lysis is higher than an appropriate control, the
population of cells comprises the antigen. This can be used, e.g.,
to assess whether tumor cells express a particular antigen. If the
tumor is found to express a particular antigen, a clinician can use
the information to better select therapeutics against the
tumor.
[0103] These diagnostic assays can be used in conjunction with the
therapeutic aspects of the invention, i.e., a tumor sample can be
screened against a panel of activated T-cells to determine which
activated T-cells or recombinant DCs can be used to immunize
against the tumor.
[0104] Immunizations can also be monitored with recombinant DCs.
Precursor frequency and/or T-cell reactivity is monitored by
exposure to recombinant DCs, e.g., using DCs corresponding to the
DCs which were used for immunization or to stimulate T-cells.
Making Expression Cassettes
[0105] Many recombinant expression cassettes are known to persons
of skill. These can be made using standard recombinant or synthetic
techniques, and one of skill can construct a variety of clones
containing functionally equivalent nucleic acids, such as nucleic
acids which encode the same polypeptide. Cloning methodologies to
accomplish these ends, and sequencing methods to verify the
sequence of nucleic acids are well known in the art. Examples of
appropriate cloning and sequencing techniques, and instructions
sufficient to direct persons of skill through many cloning
exercises are found in Berger, Sambrook and Ausbel (all supra). The
nucleic acid compositions of this invention, whether RNA, DNA,
cDNA, genomic DNA, or a hybrid of the various combinations, are
isolated from biological sources or synthesized in vitro. The
nucleic acids of the invention are present in transformed or
transfected cells, in transformed or transfected cell lysates, or
in a partially purified or substantially pure form.
[0106] In vitro amplification techniques suitable for amplifying
sequences to be subcloned into an expression vector are known.
Examples of techniques sufficient to direct persons of skill
through such in vitro amplification methods, including the
polymerase chain reaction (PCR) the ligase chain reaction (LCR),
Q.beta.-replicase amplification and other RNA polymerase mediated
techniques (e.g., NASBA) are found in Berger, Sambrook et al.
(1989) Molecular Cloning--A Laboratory Manual (2nd Ed) Vol. 1-3;
and Ausubel, as well as Mullis et al., (1987) U.S. Pat. No.
4,683,202; PCR Protocols A Guide to Methods and Applications (Innis
et al. eds) Academic Press Inc. San Diego, Calif. (1990) (Innis);
Arnheim & Levinson (Oct. 1, 1990) C&EN 36-47; The Journal
Of NIH Research (1991) 3, 81-94; (Kwoh et al. (1989) Proc. Natl.
Acad. Sci. USA 86, 1173; Guatelli et al. (1990) Proc. Natl. Acad.
Sci. USA 87, 1874; Lomell et al. (1989) J. Clin. Chem. 35, 1826;
Landegren et al., (1988) Science 241, 1077-1080; Van Brunt (1990)
Biotechnology 8, 291-294; Wu and Wallace, (1989) Gene 4, 560;
Barringer et al. (1990) Gene 89, 117, and Sooknanan and Malek
(1995) Biotechnology 13: 563-564. Improved methods of cloning in
vitro amplified nucleic acids are described in Wallace et al., U.S.
Pat. No. 5,426,039.
[0107] Nucleic acid synthesis techniques are available, such as the
solid phase phosphoramidite triester method described by Beaucage
and Caruthers (1981), Tetrahedron Letts., 22(20):1859-1862, e.g.,
using an automated synthesizer, e.g., as described in
Needham-VanDevanter et al. (1984) Nucleic Acids Res., 12:6159-6168.
Nucleic acids can also be custom made and ordered from a variety of
commercial sources known to persons of skill. Purification of
oligonucleotides, where necessary, is typically performed by either
native acrylamide gel electrophoresis or by anion-exchange HPLC as
described in Pearson and Regnier (1983) J. Chrom. 255:137-149. The
sequence of the synthetic oligonucleotides can be verified using
the chemical degradation method of Maxam and Gilbert (1980) in
Grossman and Moldave (eds.) Academic Press, New York, Methods in
Enzymology 65:499-560.
[0108] One of skill will recognize many ways of generating
alterations in a given nucleic acid sequence such as a known cancer
marker. Such well-known methods include site-directed mutagenesis,
PCR amplification using degenerate oligonucleotides, exposure of
cells containing the nucleic acid to mutagenic agents or radiation,
chemical synthesis of a desired oligonucleotide (e.g., in
conjunction with ligation and/or cloning to generate large nucleic
acids) and other well-known techniques. See, Giliman and Smith
(1979) Gene 8:81-97; Roberts et al. (1987) Nature 328:731-734 and
Sambrook et al. (1989) Molecular Cloning--A Laboratory Manual (2nd
Ed) Vol. 1-3; Innis, Ausbel, Berger, Needham VanDevanter and Mullis
(all supra).
[0109] In addition to recombinant expression, polypeptides of the
invention can be synthetically prepared in a wide variety of
well-known ways. Polypeptides of relatively short size are
typically synthesized in solution or on a solid support in
accordance with conventional techniques. See, e.g., Merrifield
(1963) J. Am. Chem. Soc. 85:2149-2154. Various automatic
synthesizers and sequencers are commercially available and can be
used in accordance with known protocols. See, e.g., Stewart and
Young (1984) Solid Phase Peptide Synthesis, 2d. ed., Pierce
Chemical Co. Polypeptides are also produced by recombinant
expression of a nucleic acid encoding the polypeptide followed by
purification using standard techniques.
[0110] The Expression cassette used to transform the host cell
preferably contains DNA sequences to initiate transcription and
sequences to control the translation of any encoded antigenic
protein or peptide sequence. These sequences are referred to as
expression control sequences. When illustrative expression control
sequences active in mammalian cells are obtained from the SV-40
promoter (Science, 222:524-527, 1983), the CMV I.E. Promoter (Proc.
Natl. Acad. Sci. 81:659-663, 1984) and the metallothionein promoter
(Nature 296:39-42, 1982). Pol III promoters such as tRNA.sub.va1, a
house-keeping cellular gene promoter, and the adenovirus VA1, a
strong viral promoter are also desirable. The cloning vector
containing the expression control sequences is cleaved using
restriction enzymes and adjusted in size as necessary or desirable
and ligated with nucleic acid coding for the target polypeptides by
means well known in the art.
[0111] Polyadenlyation or transcription terminator sequences from
known mammalian genes are typically incorporated into the vector.
Pol III termination sequences are outlined in Geiduschek, E. P.,
Ann. Rev. Biochem. 57:873-914 (1988). An example of a terminator
sequence is the polyadenylation sequence from the bovine growth
hormone gene. Sequences for accurate splicing of the transcript are
also be included. An example of a splicing sequence is the VP1
intron from SV40 (Sprague, J. et al., 1983, J. Virol. 45:
773-781).
[0112] Additionally, sequences to control replication in the host
cell is optionally incorporated into the vector such as those found
in bovine papilloma virus type-vectors. Saveria-Campo, M., 1985,
"Bovine Papilloma virus DNA a Eukaryotic Cloning Vector" in DNA
Cloning Vol. II a Practical Approach Ed. D. M. Glover, IRL Press,
Arlington, Va. pp. 213-238.
[0113] Where a retroviral packaging vector is used, a packaging
site containing the nucleic acids responsible for packaging viral
RNA into the retroviral particle is included with the expression
cassette. Typically, this includes nucleic acids corresponding to
those from a retrovirus located between the LTR of the retrovirus
and the gag initiation codon.
MLR Assays
[0114] In order to determine the antigen presenting cell activity
of antigen presenting cells such as DC, the proliferative effect of
these antigen presenting cells on T cells is tested in an MLR
assay. MLR assays or "mixed lymphocyte response" assays are the
standard in vitro assay of antigen presenting function in cellular
immunity. The assay measures the proliferation of T cells after
stimulation by a selected cell type. The number of T cells produced
are typically characterized by measuring T cell proliferation based
on incorporation of .sup.3H-thymidine in culture. Similar methods
are used in vivo in nude or SCID mouse models. See also, Paul
(supra) at chapter 31.
Ex Vivo Therapy
[0115] Ex vivo therapeutic methods for making transformed dendritic
cells and activated T cells are provided. In the methods, dendritic
cells are transformed in vitro. These transformed dendritic cells
are used to activate T cells in vitro, or the dendritic cells are
introduced into a mammal to activate the T cell in vivo. T cells
such as CD8.sup.+ CTLs activated in vitro are introduced into a
mammal where they are cytotoxic against target cells bearing
antigenic peptides corresponding to those the T cells are activated
to recognize on class I MHC molecules. These target cells are
typically cancer cells, or infected cells which express unique
antigenic peptides on their MHC class I surfaces. It is shown
herein that dendritic cells expressing cancer antigens activate
T-cells against corresponding cancers.
[0116] Similarly, helper T-cells (e.g., CD4.sup.+ T cells), which
recognize antigenic peptides in the context of MHC class II, are
also stimulated by the recombinant DCs, which comprise antigenic
peptides both in the context of class I and class II MHC. These
helper T-cells also stimulate an immune response against a target
cell. As with cytotoxic T-cells, helper T-cells are stimulated with
the recombinant DCs in vitro or in vivo.
[0117] The dendritic cells and T cells are preferably isolated from
the mammal into which the activated T cells are to be active
("autologous" therapy). Alternatively, the cells can be those from
a donor or stored in a cell bank (e.g., a blood bank).
[0118] Thus, a patient infected with a virus such as HIV-1 or
suffering from a cancer such as a melanoma can be treated by
administering recombinant dendritic cells, or by using recombinant
dendritic cells to activate a population of the patient's T cells
against the infection or cancer, and introducing the T cells back
into the patient as described herein. Thus, the present invention
provides a method of producing cytotoxic T cells in vitro, ex vivo
or in vivo.
In Vivo Therapy
[0119] T cells or dendritic cells can be administered directly to
the organism to produce T cells active against a selected cancerous
or infected cell type. Administration of these is by any of the
routes normally used for introducing a cell into ultimate contact
with a mammal's blood or tissue cells.
[0120] The cells are administered in any suitable manner, often
with pharmaceutically acceptable carriers. Suitable methods of
administering cells in the context of the present invention to a
patient are available, and, although more than one route can be
used to administer a particular cell composition, a particular
route can often provide a more immediate and more effective
reaction than another route.
[0121] Pharmaceutically acceptable carriers are determined in part
by the particular composition being administered, as well as by the
particular method used to administer the composition. Accordingly,
there is a wide variety of suitable formulations of pharmaceutical
compositions of the present invention. Most typically, quality
controls (microbiology, clonogenic assays, viability tests), are
performed and the cells are reinfused back to the patient, preceded
by the administration of diphenhydramine and hydrocortisone. See,
for example, Korbling, M. et al. (1986) Blood, 67:529-532 and Haas
et al. (1990) Exp. Hematol. 18:94-98.
[0122] Formulations suitable for parenteral administration, such
as, for example, by intraarticular (in the joints), intravenous,
intramuscular, intradermal, intraperitoneal, and subcutaneous
routes, and carriers include aqueous isotonic sterile injection
solutions, which can contain antioxidants, buffers, bacteriostats,
and solutes that render the formulation isotonic with the blood of
the intended recipient, and aqueous and non-aqueous sterile
suspensions that can include suspending agents, solubilizers,
thickening agents, stabilizers, and preservatives. Intravenous or
intraperitoneal administration are the preferred method of
administration for dendritic or T cells of the invention.
[0123] The dose of cells (e.g., activated T cells, or dendritic
cells) administered to a patient, in the context of the present
invention should be sufficient to effect a beneficial therapeutic
response in the patient over time, or to inhibit growth of cancer
cells, or to inhibit infection. Thus, cells are administered to a
patient in an amount sufficient to elicit an effective CTL response
to the virus or tumor antigen and/or to alleviate, reduce, cure or
at least partially arrest symptoms and/or complications from the
disease or infection. An amount adequate to accomplish this is
defined as a "therapeutically effective dose." The dose will be
determined by the activity of the T cell or dendritic cell produced
and the condition of the patient, as well as the body weight or
surface area of the patient to be treated. The size of the dose
also will be determined by the existence, nature, and extent of any
adverse side-effects that accompany the administration of a
particular cell in a particular patient. In determining the
effective amount of the cell to be administered in the treatment or
prophylaxis of diseases such as AIDS or cancer (e.g., metastatic
melanoma, prostate cancer, etc.), the physician needs to evaluate
circulating plasma levels, CTL toxicity, progression of the
disease, and the production of immune response against any
introduced cell type.
[0124] Prior to infusion, blood samples are obtained and saved for
analysis. Generally at least about 10.sup.4 to 10.sup.6 and
typically, between 1.times.10.sup.8 and 1.times.10.sup.10 cells are
infused intravenously or intraperitoneally into a 70 kg patient
over roughly 60-120 minutes. Intravenous infusion is preferred.
Vital signs and oxygen saturation by pulse oximetry are closely
monitored. Blood samples are obtained 5 minutes and 1 hour
following infusion and saved for analysis. Cell reinfusion are
repeated roughly every month for a total of 10-12 treatments in a
one year period. After the first treatment, infusions can be
performed on a outpatient basis at the discretion of the clinician.
If the reinfusion is given as an outpatient, the participant is
monitored for at least 4 hours following the therapy.
[0125] For administration, cells of the present invention can be
administered at a rate determined by the LD-50 (or other measure of
toxicity) of the cell type, and the side-effects of the cell type
at various concentrations, as applied to the mass and overall
health of the patient. Administration can be accomplished via
single or divided doses. The cells of this invention can supplement
other treatments for a condition by known conventional therapy,
including cytotoxic agents, nucleotide analogues and biologic
response modifiers. Similarly, biological response modifiers are
optionally added for treatment by the DCs or activated T cells of
the invention. For example, the cells are optionally administered
with an adjuvant, or cytokine such as GM-CSF, IL-12 or IL-2.
[0126] The studies presented herein demonstrate that tumor antigen
genes are expressed by dendritic cells using retroviral
transduction, and that these dendritic cells (and T cells activated
by the dendritic cells) can be used as anti-tumor therapeutics.
Transduced dendritic cells are valuable reagents for active
immunization strategies against cancer and infectious diseases, and
are useful in vitro to uncover unique tumor epitopes and antigens,
and as a tool to study the basic biology of primary dendritic
cells. Accordingly, in one specific example of the administration
methods shown above, metastatic melanoma patients are immunized
with autologous dendritic cells transduced with the MART-1 or GP100
tumor antigen genes to inhibit melanoma metastasis and disease
progression, or, alternatively, melanoma patients are immunized
with activated T cells (or both activated T-cells and dendritic
cells) transduced with the MART-1 or GP100 tumor antigen genes to
inhibit melanoma metastasis and disease progression, using the
dosing and administration methods set forth above.
In Vitro Assays and Kits
[0127] The present invention provides commercially valuable assays
and kits to practice the assays. In the assays of the invention,
dendritic cells are transformed with a nucleic acid encoding a
putative T cell MHC class I associated antigen. The dendritic cell
is used to activate the T cell, which is then tested for cytotoxic
activity against a class of target cells thought to comprise the
putative antigen. Cytotoxicity indicates that the target cells
comprise the antigen, and that the antigen is sufficient to mediate
a T cell recognition of the target cell. This assay provides
investigators with a lead molecule for use in gene therapy or
vaccination therapies. Because the transformed dendritic cells can
be established in culture, or made in batches, several potential
target cell populations can be screened. Thus, libraries of
potential tumor antigens can be screened by cloning into dendritic
cells. The ability to screen and identify tumor antigens is of
considerable commercial value to pharmaceutical and other drug
discovery companies.
[0128] Kits based on the assay are also provided. The kits
typically include a container, and stem cells or dendritic cells.
The kits optionally comprise directions for performing the assays,
stem cell transformation vectors, cytokines, or instructions in the
use of any of these components, or the like.
EXAMPLES
[0129] The following examples are provided by way of illustration
only and not by way of limitation. Those of skill will readily
recognize a variety of noncritical parameters which can be changed
or modified to yield essentially similar results.
Example 1
Differentiation of Bone Marrow Cells into Dendritic Cells In
Vitro
[0130] Freshly isolated dendritic cells from peripheral blood are
difficult to transduce, particularly with common retroviral
vectors, because they are non-dividing. Accordingly, a novel
approach to transforming dendritic cells was derived. Stem cells
were transduced, and then differentiated into dendritic cells. The
following procedure was used to differentiate bone marrow cells
isolated from mice into dendritic cells in vitro.
[0131] Bone marrow was harvested from 5 BALB-C mice. To remove B
cells, T cells, granulocytes, and Ia.sup.+ cells, the bone marrow
cells were incubated with an antibody cocktail against CD8, CD4,
CD45R (pan B cell), GR-1 (granulocyte), and Ia.sup.d (all
antibodies were of rat origin except anti-Ia from mouse). All
antibodies were obtained from Cedar Lane (Canada). The bone marrow
cells were then incubated on a mouse anti-rat flask to remove rat
antibody-bound cells, followed by an incubation of the non-adherent
cells in a goat anti-mouse flask to remove cells labeled with
anti-mouse antibodies. As an alternative method to remove unwanted
cells, rabbit complement was added at a 1:10 ratio at 37.degree. C.
following incubation with the antibodies. Non-adherent cells were
then cultured in RPMI with 5% fetal calf serum containing 3.3 to 20
ng/ml mGM-CSF. Every two days, the medium was changed with fresh
medium containing fresh GM-CSF, and non-adherent cells (typically
granulocytes) were removed. At day 6, moderately adherent cells
(dendritic cells) were removed by gentle pipetting, and replated.
Adherent cells (macrophage) were left on the plate. On day 7, the
dendritic cells were phenotyped by FACS analysis and microscopy,
which confirmed a dendritic phenotype, and that B7-1.sup.+,
B7-2.sup.+ and Cd11c.sup.+ dendritic cells were present. Typically,
5.times.10.sup.6 dendritic cells were obtained by day 7.
[0132] In one variation, GM-CSF was titrated over a range of 200,
20, 2, and 0.2 ng/ml, and the contaminating granulocytes (which are
completely non adherent, as opposed to lightly adherent dendritic
clumps) were removed during differentiation by performing extra
washes. In addition, a procedure which substituted rat
anti-Ia.sup.d antibody was used, so that only a single mouse
anti-rat flask was needed.
[0133] The percent of cells in the final cultures that were
dendritic cells by morphology was also affected by the level of
GM-CSF, with 62% appearing dendritic at 200 ng/ml, 60% appearing
dendritic at 20 ng/ml; 44% appearing dendritic at 2 ng/ml, and 6%
appearing dendritic at 0.2 ng/ml. Thus, typically, at least 2 ng
GM-CSF is used in culture, and preferably, at least about 20 ng/ml.
The percent which showed dendritic markers by FACS were
similar:
TABLE-US-00001 TABLE 1 Phenotypic Analysis by FACS Antibody
DC.sup.1: DC: 20 DC: 2 DC: .2 200 ng/ml ng/ml ng/ml ng/ml Spleno-
GM-CSF GM-CSF GM-CSF GM-CSF cytes Total B7-2 67% 65% 44% 7% 51%
Total Ia.sup.d 60% 55% 41% 7% 38% Thy 1.2 51% 49% 35% 5% 10% B7-2
and Ia.sup.d 25% 20% 10% 4% 48% Gr-1 16% 21% 24% 89% 17%
(granulocyte) B220 (B-cell) 18% 15% 13% 11% 38% Total MAC-1 76% 84%
83% 82% 8% Total B7-1 54% 48% 29% 8% 1% B7-1 pos/MAC 8% 5% 3% 0% 1%
neg .sup.1DC = dendritic cells. .degree.high background with IgG
control on splenocytes
[0134] In this experiment, an MLR assay was performed as described
above for each GM-CSF titration. The results are shown in FIG. 1.
As seen from the results, 0.2 ng/ml GM-CSF promotes inefficient
differentiation into functional dendritic cells. Thus, about 2
ng/ml or more is preferred.
[0135] To show that the dendritic cells were functional, the
activity of the cells was tested in a standard mixed leukocyte
reaction (MLR) assay as in Inaba et al. (1992) supra. Stimulator
cells in the MLR were day 7 BALB dendritic cells vs BALB
splenocytes (1500 rads). Responders were C57B1/6 splenocytes
purified for T cells on an R&D systems negative selection
column (MTCC-1000) using the manufacturer's directions. The column
contained antibodies to remove B cells, granulocytes and
macrophage. Thus, T cells pass through the column. The stimulators
and responders were plated in standard 96 well plates at ratios of
1:5, 1:20, 1:80 and 1:320 using 3.times.10.sup.5 responders/well.
Four days after plating, the cells were pulsed with
.sup.3H-thymidine at 1 .mu.Ci/well. Proliferation was then measured
by monitoring thymidine uptake. The results are shown in FIG. 2 (T
cell alone and dendritic cell alone values were subtracted). As the
results show, the dendritic cells dramatically stimulated
proliferation, while the splenocytes have no proliferative effect.
Thus, the dendritic cells were functional, i.e., they induced
proliferation in T-cells.
[0136] Thus, dendritic cells were cultured from murine bone marrow
using GM-CSF (see also, Inaba, 1992, supra). Bone marrow-derived
cells express B7-1, B7-2, Ia and Cd11c, and have characteristic
dendritic morphology. Bone marrow derived dendritic cells act as
antigen presenting cells, with high levels of T cell activation as
measured in a standard MLR assay.
Example 2
Transduction of Bone-Marrow Derived Dendritic Cells
[0137] Primary, mature dendritic cells are difficult to gene modify
using existing techniques. Accordingly, the present invention
provides a new strategy for genetic modification of dendritic
cells. In the methods of the invention, hematopoietic stem cells
are gene modified, and differentiated into dendritic cells. It is
demonstrated herein that this novel technique generated dendritic
cells expressing foreign genes. MART-1 and GP100 melanoma antigens
were expressed by dendritic cells, and these cells stimulated
MART-1- and GP100-specific T-cells, and generated specific T-cells
from resting lymphocytes. In murine tumor models, dendritic cells,
gene modified with a model tumor antigen, effectively immunized
against established tumors. This technique allowed the generation
of specific T-cells against common tumors and provides a novel
method to actively immunize patients against known tumor antigens,
i.e., by utilizing dendritic cells transduced with antigen or
cytokine genes, or ex vivo activated T-cells.
[0138] Murine Dendritic Cell Studies: Murine bone marrow cells were
successfully transduced with a retroviral vector encoding the
.beta.-galactosidase model tumor antigen. Following in vitro
differentiation into dendritic cells using GM-CSF, supplemented by
IL-4, 30-40% of dendritic cells were positive for
.beta.-galactosidase expression. In addition, T-cells specific for
.beta.-galactosidase expressed large amounts of cytokines such as
IFN-.gamma. when co-cultured with the transduced but not the
non-transduced dendritic cells. These studies indicated that
dendritic cells were transduced using these methods to express
foreign genes.
[0139] In one series of experiments, 50 BALB/c mice were injected
intraperitoneally with 5-fluorouracil (5FU, Sigma Chemical CO. St.
Louis, Mo.) at 3 mg/mouse (150 mg/kg) (the 5FU injection is
optional). After two days, bone marrow was harvested.
7.times.10.sup.6 cells per mouse were obtained. Cells were
co-cultured on irradiated ecotropic LZSN packaging cells (LZSN
contains the .beta.-gal gene) for two days. The vector was
introduced into the GP+E86 ecotropic packaging cell line. See,
Miller (1989) Biotechniques 7: 980; Miller (1986) Mol. Cell. Biol.
6:2895; Markowitz (1988) J. Virol. 62: 420, and Wang et al. (1995)
J. Immunol. Each day, fresh ecotropic supernatant was added,
followed by centrifugation for 1 hour at 1000 g. The supernatant
was supplemented with polybrene and 20 ng/ml GM-CSF. On day 2,
cells were harvested, and dead cells were removed with Ficoll. The
live cells were replated at 20 ng/ml GM-CSF.
TABLE-US-00002 TABLE 2 Cytokine Release from .beta.-gal specific
T-cell Clone in Response to Murine Dendritic Cells Transduced with
the .beta.-gal Gene Responder [mIFN-.gamma. production; U/ml 1
.times. 10.sup.5 T-cells/18 Hours] Stimulator None Beta-gal
specific T-cell clone None 0 5 DC NV 0 67 DC; .beta.-gal 0 64,600
transduced
[0140] In another series of experiments, bone marrow was harvested
from femur and tibia as described, supra. Lymphocytes and Ia+ cells
were removed. Bone marrow cells were co-cultured on irradiated
ecotropic bgal producer cells for 2 days, in the presence of murine
GM-CSF, murine IL-4 and lipofectamine. Cells were harvested and
replated with fresh mGM-CSF and mIL-4. On day 6, cells were
harvested, pelleted, and replated in fresh media. Cells were
assayed and used for therapy on day 7.
[0141] On day 7, the resulting dendritic cells were stained with
X-gal. Cells that were morphologically dendritic were positive for
X gal as examined by light microscopy. 38% of the cells were
positive. Thus, the dendritic cells were transformed with the
foreign X-gal gene which had been used to transform the
hematopoietic stem cells. As shown in Table 3, co-culturing
provided better transformation than supernatant transduction
alone.
TABLE-US-00003 TABLE 3 Percent of Murine Dendritic Cells Transduced
with .beta.-gal Retrovirus .beta.-gal transduced Experiment
Nontransduced Supernatant Co-cultured #1 0 8 28 #2 0 N.D. 38 N.D. =
Not Done
[0142] To demonstrate that transduced dendritic cells presented
antigen, 1.times.10.sup.5 dendritic cells were co-cultured with
1.times.10.sup.5 H-2.sup.d T cells specific for beta gal. After 24
hours of co-culture, the supernatants were assayed for murine
IFN-.gamma.. A large amount of IFN-.gamma. was present in the
supernatant (34,650 pg/ml) upon co-culture with T cells, as
compared to controls (controls had 3,561 and 6,761 pg/ml; see,
Table 4).
TABLE-US-00004 TABLE 4 Cytokine Release from .beta.-gal specific T
cell Clone in Response to Murine Dendritic Cells Transduced with
the .beta.-gal gene Responder (mIFN-.gamma. production; pg/ml/1
.times. 10.sup.8 T cells/17 hours) Stimulator None .beta.-gal
specific T cell Clone none 0 3561 DC NV 1 6671 DC; .beta.-gal 1
34,650 transduced CT26; .beta.-gal 0 75,550 transduced
[0143] To study the ability of transduced dendritic cells to
immunize in vivo, mice were immunized on day 0 with PBS,
untransduced dendritic cells (3.times.10.sup.5 per mouse), beta
gal-transduced dendritic cells (3.times.10.sup.5 per mouse), or
irradiated lac Z (LZSN) producer cells (3.times.10.sup.5 per mouse,
to show that any producer cells which were transferred from the
dendritic cell co-culture were not responsible for immunization).
On day 21, mice were challenged by IV with 10.sup.5 beta gal CT26
mouse tumor line cells (Wang et al. (1995) Journal of Immunology).
These CT26 cells were beta gal positive; thus, T cells activated
against CT26 tumor cells will destroy the cells.
[0144] On day 33, mice were sacrificed and lung metastases were
counted. Mice immunized with beta-gal transduced dendritic cells
had statistically lower numbers of metastases compared to the PBS
and LZSN producer cell lines (Table 5).
TABLE-US-00005 TABLE 5 Immunization Followed by Challenge 21 Days
Later Immunized with Challenged with mean # lung (day 0) (day 21) n
metastases PBS .beta.-gal transduced CT26 6 175 Dendritic Cells NV
5 61 .beta.-gal transduced DC 6 1 Irradiated LZSN 7 158 Producer
Line
Example 3
Treatment of Established Pulmonary Metastases with Transduced
Dendritic Cells
[0145] Dendritic cells were retrovirally transduced with the model
tumor antigen .beta.-galactosidase, or with a control retrovirus
expressing the rat Neu gene. BALB/c mice were injected i.v. with
3.times.10.sup.5 .beta.gal-transduced CT26 tumor cells (C-25).
Three and 6 days following tumor injection, mice were immunized
with .beta.gal- or neu-transduced dendritic cells. Twelve days
following tumor injection, mice were sacrificed and pulmonary
metastases were counted. Mice treated with .beta.gal-transduced DC
exhibited a significant reduction in pulmonary metastases compared
to the control group (FIG. 6). In addition, .beta.gal-specific
T-cells were isolated from the spleens of mice immunized with
.beta.gal-transduced DC.
3-Day Lung Met Model Summary:
[0146] D-0: BALB/c mice given 3.times.10.sup.5 C25 (CT26/bgal) IV
D-3: Mice treated with 4.times.10.sup.5 DC/mouse IV D-6: Mice again
treated with 4.times.10.sup.5 DC/mouse IV D-12: Lung mets
counted
Methods
[0147] Cell Lines. CT6.CL25 (C-25) is a subclone of the CT26.WT, a
BALB/c (H-2d) undifferentiated colon carcinoma stably transduced
with a retrovirus encoding the lacZ gene. Cell lines were
maintained in RPMI 1640 supplemented with 10% heat-inactivated
fetal bovine serum, 2 mmol/L glutamine, 100 U/ml penicillin, 100
mg/ml streptomycin (all from Biofluids, Rockville Md.), 1.25 mg/ml
amphotericin B (Fungizone; Life Technologies, Inc., Grand Island,
N.Y.), and 50 mg/ml gentamicin sulfate (Life Technologies, Inc.)
(CM). CT26.CL25 were maintained in the presence of 400 mg/ml G418
(Geneticin; Life Technologies, Inc.).
[0148] Bone Marrow-Derived Dendritic Cell Isolation. DC were
prepared from bone marrow as described by Inaba et al., with some
modifications. Briefly, bone marrow was flushed out from the long
bones of the hind limbs and depleted of red cells with ACK lysing
buffer (Biofluids). Bone marrow cells were depleted of lymphocytes
and Ia+ cells using a mixture of rabbit anti-mouse lymphocyte serum
and anti-mouse Iak alloantiserum, and rabbit complement (both from
Accurate Chemical and Scientific Corp., Westbury, N.Y.). Cells were
cultured in RPMI 1640 supplemented with 5% heat-inactivated fetal
bovine serum, 2 mmol/L glutamine, 100 U/ml penicillin, 100 mg/ml
streptomycin, 1.25 mg/ml amphotericin B, 50 mg/ml gentamicin
sulfate, and 5.times.10-5 mM 2-mercaptoethanol (2-ME; Life
Technologies, Inc.) supplemented with 20 ng/ml recombinant murine
granulocyte-macrophage colony stimulating factor (rmGM-CSF) and 100
ng/ml recombinant murine interleukin 4 (rmIL-4) (both from
Peprotech, Rocky Hill, N.J.). Cells were plated at 7.times.10.sup.5
cells/ml with 5 ml/well in 6 well tissue culture plates containing
the irradiated producer cells (see, below).
[0149] On day 2, cells were gently harvested to remove them from
the adherent producer cells, pelleted, and replated in fresh medium
containing IL-4 and GM-CSF, at 7.times.10.sup.5 cells/ml with 5
ml/well in 6 well tissue culture plates. On day 4, 10 ng rmGM-CSF
and 50 ng rmIL-4 were added to each well. On day 6, cells were
harvested with gentle pipetting and replated in 100 mm tissue
culture dishes 7.times.10.sup.5 cell/ml with 10 ml/plate of DC CM
supplemented with 20 ng/ml rmGM-CSF and 100 ng/ml rmIL-4. This
method consistently yielded a cell population that was 30-50% by
morphology and phenotype. On day 7, transduction and function of
dendritic cells was confirmed using X-gal staining for
.beta.-galactosidase, mixed leukocyte reaction, and specific
cytokine release using a .beta.-gal-specific CTL clone.
[0150] Producer cells: Ecotropic producer cells were used
containing the bgal gene or, as a control, the rat Neu gene under
the transcriptional control of the LTR from Moloney murine leukemia
virus (MMLV), using an MMLV backbone. Producer cells were
irradiated with 5000 rads and plated at 5.times.105 cells per well
in 6 well plates 24 hours prior to addition of murine bone marrow
cells for co-cultivation. Producer cells were grown in DMEM/10%
bovine calf serum.
[0151] In Vivo Treatment Studies: On day 0, 3.times.10.sup.5
CT26.CL25 cells were injected i.v. into BALB/c mice to establish
pulmonary metastases. On days 3 and 6, mice were immunized with
transduced bone marrow-derived DC (4.times.105 IV). Mice were
sacrificed on day 12 and metastatic lung nodules were enumerated in
a randomized and blinded manner.
[0152] Statistical Analysis: The Wilcoxon-Mann-Whitney U test was
used to examine the null hypothesis of identity of ranks between
two sets of data.
Example 4
Gene Transfer into Human Dendritic Cells
[0153] Dendritic cells are highly potent antigen presenting cells
that are capable of activating quiescent T cells, and which
stimulate anti-tumor immune responses. Therefore, the ability
constitutively to express tumor antigen genes in DC is a powerful
method for characterizing new tumor antigens in vitro and to
actively immunize in vivo. However, the growth of large numbers of
DC has been difficult, and such cells have not been receptive to
gene transfer. Since CD34.sup.+ hematopoietic progenitor cells
(HPC) can be differentiated into DC, human CD34.sup.+ HPC were
retrovirally transduced with tumor antigen genes, followed by in
vitro differentiation into dendritic cells.
[0154] Human CD34+ HPC were retrovirally transduced with the marker
gene murine B7-1 by four different methods, followed by
differentiation in vitro into DC using GM-CSF, TNF-.alpha., and SCF
(see, supra). The four transduction methods were: 1) transduction
with supernatant only (no co-culture), and amphotropic retrovirus
(PA317); 2) transduction with co-culture with producer line, and
amphotropic retrovirus (PA317); 3) transduction with supernatant
only (no co-culture), and GALV retrovirus (PG13); and, 4)
transduction with co-culture, and GALV retrovirus (PG13).
Co-culture and GALV retrovirus improved transduction efficiency, as
measured by expression of marker gene by FACS, more than 10 fold in
the DC population compared to traditional supernatant and
amphotropic transduction
[0155] Human Dendritic Cell Studies: Hematopoietic progenitor cells
were obtained from melanoma patients pretreated with G-CSF,
followed by leukapheresis and isolation of CD34+ cells by positive
selection on an antibody affinity column. These cells were
successfully transduced with a marker gene as well as the MART-1
and GP100 tumor antigen genes. Following in vitro differentiation
of the transduced cells into dendritic cells using GM-CSF and
TNF.alpha., 25-30% of B7-2+ dendritic cells expressed the marker
gene on FACS analysis. Optimal dendritic cell transduction was
obtained using co-cultivation with retroviral producer cells which
utilize the gibbon ape leukemia virus (GALV) envelope (Table 6), as
described supra.
TABLE-US-00006 TABLE 6 % Transduction of CD34+ Cells Differentiated
to Dendritic Cells % of cells % of hB7-2+ cells Retroviral Method
of expressing expressing Envelope Transduction marker gene marker
gene Amphotropic Supernatant 3 2 (PA317) Co-culture 12 8 GALV
(PG13) Supernatant 6 1 Co-culture 38 28
Example 5
Transduction of Human Dendritic Cells with the Mart-1 Melanoma
Antigen Gene
[0156] Dendritic cells transduced with the MART-1 tumor antigen
were recognized by MART-reactive tumor infiltrating lymphocytes
(TIL), suggesting that the DC were capable of processing and
presenting the foreign gene product (Table 7).
TABLE-US-00007 TABLE 7 Cytokine Release from MART-Reactive TIL in
Response to Dendritic Cells Transduced with MART-1 (Tumor Antigen)
Gene Effectors [H IFN.gamma.; pg/ml/24 hrs] TIL 1235 (MART-
Stimulators None reactive T-cells) None 1 155 Dendritic Cells 3 230
Dendritic Cells, transduced with control gene 2 263 Dendritic
Cells, transduced with MART-1 4 1,855 .alpha.CD3 (positive control)
2 1,674
TABLE-US-00008 TABLE 8 Cytokine Release from Lymphocytes Stimulated
with MART-Transduced Dendritic Cells (hIFN.gamma.; pg/ml/24 hours)
Responders Lymphocytes stimulated with: Stimulators Control DC MART
DC Media only 22 16 T2 + MART 41 4395 T2 + FLU 48 20
Example 6
Transduction of Human Dendritic Cells with the GP100 Human Melanoma
Antigen Gene
[0157] GP100 transduced dendritic cells stimulated the production
of tumor-specific T-cells from resting lymphocytes. GP100-specific
T-cells were generated from resting lymphocytes using
GP100-transduced dendritic cells (Table 9). Significant amounts of
IFN.gamma. were released when T-cells generated from GP100
transduced DC were co-cultured with T2 cells pulsed with
A2-restricted GP100 peptide epitopes or with A2+ melanoma cells
(624.38 mel and SK23 mel), but not with A2- melanoma cells (583
mel), or an A2.sup.+, GP100 breast tumor cell line (MDA 231).
TABLE-US-00009 TABLE 9 Cytokine Release from Lymphocytes Stimulated
with GP100- Transduced Dendritic Cells (hIFN.gamma.; pg/ml/24/hrs)
Responders Lymphocytes stimulated with: Stimulators A2 Control
(Neo) DC GP100 DC Media only N/A 99 168 T2 + FLU + 128 234 T2 +
M9-27 + 140 415 T2 + G9-154 + 133 2980 T2 + G9-209 + 160 228 T2 +
G9-280 + 124 2352 624.38 mel + 65 2414 SK23 MEL + 36 797 583 MEL -
41 41 MDA231 (breast cancer line) + 24 42
[0158] These studies (demonstrates that tumor antigen genes were
expressed by dendritic cells using retroviral transduction.
Transduced dendritic cells are, therefore, valuable reagents for
active immunization strategies against cancer and infectious
diseases, and are useful in vitro to uncover unique tumor epitopes
and antigens, and as a tool to study the basic biology of primary
dendritic cells. Accordingly, metastatic melanoma patients are
immunized with autologous dendritic cells transduced with the
MART-1 or GP100 tumor antigen genes to inhibit melanoma metastasis
and disease progression.
Example 7
Transduction of Human CD34+ HPC and Differentiation into DC
[0159] Human CD34.sup.+ HPC were retrovirally transduced with the
melanoma tumor antigen gene MART-1 and differentiated in vitro into
DC using GM-CSF, TNFa, and SCF (see, protocols). The MART-1
transduced DC have the same phenotypic and morphological
characteristics and they have the same ability to stimulate
allogeneic MLR as untransduced DC. In addition, the MART-1
transduced DC stimulated high levels of cytokine release by MART-1
specific tumor infiltrating lymphocytes (see, Table 10). This
indicates that they were able to express, process, and present a
MART-1 epitope on MHC class I molecules. This expression and
presentation was stable, persisting beyond two weeks without
selection.
TABLE-US-00010 TABLE 10 Cytokine Release from MART-reactive TIL in
response to Dendritic Cells Transduced with PG-SAM-MART-EN
hIFN-.gamma.(pg/ml/24 hr) Effectors Targets 0 TIL 1235 0 2 130 JDC
0 226 J p12-DC 0 184 J MART-DC 4 2,604 W p12-DC 1 200 W MART-DC 0
1,237 M p12 DC 0 193 M MART DC 3 2,816 SK23 0 19,670 .alpha.CD3 0
4,301 J W and M represent 3 different patients; p12 is control DC
transduced with unrelated gene
Example 8
Stimulation of Autologous Peripheral Blood Lymphocytes with
MART-1-transduced DCs
[0160] Because the CD34.sup.+ HPCs that were transduced with MART-1
and differentiated to DCs were strongly recognized by MART-specific
lymphocytes, it was of interest to determine whether the transduced
DCs could stimulate quiescent autologous lymphocytes to raise a
specific anti-MART CTL response. DCs were transduced with either
the MART-1 or control SAM retrovirus, irradiated, and incubated
with autologous quiescent T lymphocytes at a 1:10
stimulator:effector ratio. The T cells were restimulated with
freshly transduced DCs every two weeks and were tested for MART-1
reactivity one week after each stimulation. Specific cytokine
release by lymphocytes against MART-1-expressing targets was not
evident after the first restimulation. However, after two
restimulations, the lymphocytes stimulated with MART-1-transduced
DCs but not SAM-transduced DCs were highly MART-specific in one of
three patients tested. Furthermore, they also released cytokine in
response to HLA-A2.sup.+ melanoma cells that express MART-1, but
not in response to HLA-A2.sup.- melanoma cells or HLA-A2.sup.+
non-melanoma tumor cells that do not express MART-1. The
lymphocytes stimulated with MART-DC also exhibited strong and
specific lysis of HLA-A2.sup.+ cells expressing MART-1 (FIG. 7).
Both the MART-DC- and SAM-DC-stimulated lymphocytes proliferated
well, expanding approximately 10-fold each week. These results
indicate that CD34.sup.+ HPCs that are transduced with MART-1 and
differentiated into DCs can stimulate the generation of specific
anti-MART CTLs from autologous quiescent lymphocytes that are
highly lytic and release large amounts of cytokine in response to
HLA-matched MART peptide-pulsed cells and melanoma cells.
[0161] DCs were transduced with either the MART-1 or control SAM
retrovirus as described supra, irradiated (1500 cGy), and incubated
with autologous quiescent T lymphocytes at a 1:10
stimulator:effector ratio. IL-2 (300 IU/ml) was added on day 2. The
T cells were restimulated with freshly transduced DCs in this
manner every two weeks and were tested for MART-1 reactivity one
week after each stimulation. After two restimulations, the
lymphocytes were tested for their ability to recognize various
cells. These cells included T2 cells pulsed either with the
MART.sub.27-35 or irrelevant influenza M1 peptide, the HLA-A2.sup.+
melanoma lines 624.38 mel and SK23 mel, the HLA-A2.sup.- melanoma
line 586 mel, and the HLA-A2.sup.+ breast cancer line MDA231, which
does not express MART-1. OKT3 is a positive control in which the
plate is coated with antibody against the T-cell receptor complex.
Results are expressed as the mean.+-.SEM.
TABLE-US-00011 TABLE 11 Cytokine Release from Lymphocytes
Stimulated With Mart-Transduced DCs. Responders SAM-DC MART-DC
Stimulators None PBL PBL 1235 TIL 0 .sup. 0 .+-. 0.05.sup.a 22 .+-.
2 16 .+-. 1 94 .+-. 4 T2 + MART 0 .+-. 0.06 41 .+-. 1 4400 .+-. 300
2800 .+-. 100 T2 + FLU 3 .+-. 0.1 48 .+-. 2 20 .+-. 2 45 .+-. 0.4
624.38 mel 0 .+-. 0.01 9 .+-. 0.2 702 .+-. 2 2500 .+-. 200 SK23 mel
0 .+-. 0.06 6 .+-. 0.3 1400 .+-. 100 5400 .+-. 200 586 mel 1 .+-.
0.1 10 .+-. 0.8 18 .+-. 1 29 .+-. 3 MDA231 0 .+-. 0.04 5 .+-. 0.1 7
.+-. 0.1 104 .+-. 7 OKT3 0 .+-. 0.09 1200 .+-. 100 660 .+-. 30 2000
.+-. 200 .sup.aHuman INF-.tau. (pg/ml/24 h).
Protocols
Retroviruses and Packaging Lines
[0162] All retroviral constructs are based on the SAM-EN construct
(Blood (1995) 85:139-145). In brief, the gene of interest (murine
B7-1, beta-galactosidase, MART-1) was cloned into the multiple
cloning site of the retroviral plasmid pSAMEN. The amphotropic
retroviral producer lines were constructed by a micro-ping-pong
technique involving transfection of the retroviral plasmid into a
mixture of PA317 (amphotropic) (Mol. Cell. Biol. (1986)
6:2895-2902) and GP+E86 (ecotropic) (J. Virol (1988) 62:1120)
packaging cell lines, followed by overgrowth of the amphotropic
line. The Gibbon Ape leukemia virus (GALV) retroviral producer
lines were constructed by transduction of the PG13 (Gibbon Ape) (J.
Virol. (1991) 65:2220-2224) packaging line with supernatant from
the appropriate amphotropic producer cells.
Isolation of Human CD34+ HPC
[0163] Patients were treated with G-CSF for 5 days, followed by
leukapheresis. CD34+ cells were selected using an immunoaffinity
column from CellPro (Bothell, Wash.) according to the
manufacturer's directions. CD34+ cells were washed with PBS and
cryopreserved in 90% human male AB serum (Sigma, St. Louis) and 10%
DMSO.
Transduction of Human CD34+ HPC and Differentiation into Dendritic
Cells 1. Thaw CD34.sup.+ cells: On day 0, CD34.sup.+ cells thawed
into 20 ml CM, counted, centrifuged (2000 rpm, RT), resuspended in
5 ml DC CM in 6 well plates at 5.times.10.sup.5 cells/well. 2.
Transduction: On day 1, cells transduced for 6 hrs by resuspending
cells (2000 rpm, RT) in 2.5 ml CM containing 2.times. DC cytokines
and polybrene (1.times. polybrene=8 mg/ml). 2.5 ml of retroviral
supernatant (see b below) combined with cell suspension in 6 well
plate that has irradiated producer line monolayer (see a below).
Plates centrifuged (2500 rpm, 32.degree. C., 1 hr), and incubated
for 5 hrs in CO2 incubator at 37.degree. C. Transduction stopped by
resuspending cells (2000 rpm, RT) in 5 ml DC CM, and incubating 18
hrs in CO.sub.2 incubator at 37.degree. C. This completes one
transduction cycle.
[0164] a. Production of Co-Culture Monolayer: Producer cell line
(PA317 or PG13-based) harvested by trypsinization, irradiated to
3000 rads. Irradiated cells plated at 7.times.10.sup.5 cells/well
in supernatant CM in 6 well plates the night before transduction.
If the irradiated producer cells look ragged, fresh monolayers of
irradiated producer cells were made in new wells for each cycle of
transduction. Typically, one monolayer was used for the first two
transduction cycles, and a new monolayer was used for the third
cycle (to balance cell loss from transferring to new monolayers
with the monolayer being in good shape).
[0165] b. Production of Supernatant: Retroviral producer lines
grown to near-confluency in T-175 flasks. Medium removed, and 30 ml
supernatant CM replaced. Flasks were then incubated for 12-16 hrs
in CO.sub.2 incubator at 32.degree. C. Medium removed and filtered
through 0.45 mm filter, and then either used directly or
refrigerated (never more than 3 days) until use.
3. Retransduction: On days 2 and 3, cells transduced a second and
third time by repeating the transduction cycle outlined in #2
above. 4. Cell Growth: Cells grown in 5 ml/well DC CM (in 6 well
plate) until day 12 when they are used. 1/2 medium changed, and
nonadherent cells transferred to new plates on day 8. Notes: 1.
CM=[Iscove's medium+10% hu AB, abx, gln], except during the six
hours of transduction in the three cycles--then 10% FCS is used in
place of 10% hu AB. 2. DC CM=CM with GM-CSF (100 ng/ml),
TNF-.alpha. (100 ng/ml), and SCF (20 ng/ml; activity: ED50=2.5
ng/ml) 3. Supernatant CM DM EM+10% FBS, abx, gln.
MLR Assay
[0166] Allogeneic T cells were prepared from PBMC by negative
selection on an TCC-1000 immunoaffinity column according to the
manufacturer's instructions (R&D, Minneapolis, Minn.).
Allogeneic PBMC or DC from the same donor were irradiated to 1500
rad. T cells (1.5.times.10.sup.5) were added to flat bottom 96 well
plates, along with varying numbers of irradiated PBMC or DC. Four
days later, the cells were pulsed with 1 mCi [.sup.3H]thymidine,
and cell proliferation was estimated 8 hours later by measuring the
incorporation of radioactivity into DNA (Betaplate, Pharmacia LKB,
Gaithersburg, Md.).
[0167] All publications and patent applications cited in this
specification are herein incorporated by reference as if each
individual publication or patent application were specifically and
individually indicated to be incorporated by reference in its
entirety for all purposes. Although the foregoing invention has
been described in some detail by way of illustration and example
for purposes of clarity of understanding, it will be readily
apparent to those of ordinary skill in the art in light of the
teachings of this invention that certain changes and modifications
are made thereto without departing from the spirit or scope of the
appended claims.
Sequence CWU 1
1
* * * * *