AU2004202633B2 - Antibodies and immunoglobulin fusion proteins having modified effector functions and uses therefor - Google Patents

Description

AUSTRALIA

Patents Act 1990 REPLIGEN CORPORATION COMPLETE SPECIFICATION STANDARD PATENT Invention Title: Antibodies and immunoglobulin fusion proteins having modified effector functions and uses therefor The following statement is a full description of this invention including the best method of performing it known to us:- ANTIBODIES AND IMMUNOGLOBULIN FUSION PROTEINS HAVING MODIFIED EFFECTOR FUNCTIONS AND USES THEREFOR This is a divisional of AU 773431, the entire contents of which are incorporated herein by reference.

Background of the Invention While antibody variable regions interact with foreign antigens, antibody constant regions mediate antibody effector functions. More specifically, the Fc portion of antibodies contain the majority of the surfaces that define the effector functions on immunoglobulins (see Paul ed., Fundamental Immunology, Raven Press, New York, 1989, pp. 283-314). One exemplary effector function is complement activation. In order to active complement by the classical pathway, the Fc must possess appropriate amino acids to bind Clq. Moreover, the hinge region must allow the Fab arms to move so that there is appropriate access to the site. Another antibody effector function involves the targeting of bound foreign antigens to phagocytes via Fc receptors.

Different classes of antibodies differ in their effector functions and mutations to key regions of antibody molecules can result in changes in antibody effector function.

To induce antigen-specific T cell activation and clonal expansion, two signals provided by antigen-presenting cells (APCs) must be delivered to the surface of resting T lymphocytes (Jenkins, M. and Schwartz, R. (1987) J. Exp. Med. 165:302-319; Mueller, et al. (1990) J. Immunol. 144:3701-3709; Williams, I.R. and Unanue, E.R. (1990) J. Immunol. 145:85-93). The first signal, which confers specificity to the immune response, is mediated via the T cell receptor (TCR) following recognition of foreign antigenic peptide presented in the context of the major histocompatibility complex (MHC). The second signal, termed costimulation, induces T cells to proliferate and become functional (Schwartz, R.H. (1990) Science 248:1349-1356).

Costimulation is neither antigen-specific, nor MHC restricted and is thought to be provided by one or more distinct cell surface molecules expressed by APCs (Jenkins, et al. (1988) J. Immunol. 140:3324-3330; Linsley, et al. (1991) J. Exp. Med.

173:721-730; Gimmi, et al. (1991) Proc. Natl. Acad. Sci. USA. 88:6575-6579; Young, et al. (1992) J. Clin. Invest. 90:229-237; Koulova, et al. (1991) J. Exp.

Med. 173:759-762; Reiser, et al. (1992) Proc. Natl. Acad. Sci. USA. 89:271-275; van-Seventer, et al. (1990) J Immunol. 144:4579-4586; LaSalle, et al., (1991) J. Immunol. 147:774-780; Dustin, et al. (1989) J. Exp. Med. 169:503; 1B Armitage, et al. (1992) Nature 357:80-82; Liu, et al. (1992) J. Exp. Med.

175:437-445).

Considerable evidence suggests that the B7-1 protein (CD80; originally termed B7), expressed on APCs, is one such critical costimulatory molecule (Linsley, et al. (1991) J. Exp. Med. 173:721-730; Gimmi, et al. (1991) Proc. Natl. Acad. Sci.

USA. 88:6575-6579; Koulova, et al. (1991) J. Exp. Med. 173:759-762; Reiser, et -2al. (1992) Proc. Nail. Acad. Sci. USA. 89:271-275; Linsley. P.S. et al. (1990) Proc. Nail.

Acad Sci. USA. 87: 5031-5035; Freeman, G.J. et al. (1991) J. Exp. Med. 174:625-631.).

Recent evidence suggests the presence of additional costimulatory molecules on the surface of activated B lymphocytes (Boussiotis et al. (1993) Proc. Natl. Acad. Sci.

USA, 90:11059-11063; Freeman et al. (1993) Science 262:907-909; Freeman G.J..

et al. (1993) Science 262:909-911; and Hathcock et al. (1993) Science 262:905- 907). The human B lymphocyte antigen B7-2 (CD86) has been cloned and is expressed by human B cells at about 24 hours following stimulation with either antiimmunoglobulin or anti-MHC class II monoclonal antibody (Freeman et al. (1993) Science 262:909-911). At about 48 to 72 hours post activation, human B cells express both B7-1 and a third CTLA4 counter-receptor which is identified by a monoclonal antibody BB-1, which also binds B7-1 (Yokochi, et al. (1982) J. Immunol. 128:823- 827). The BB-I antigen is also expressed on B7-1 negative activated B cells and can costimulate T cell proliferation without detectable IL-2 production, indicating that the B7-1 and BB-I molecules are distinct (Boussiotis et al. (1993) Proc. Natl. Acad.

Sci. USA 90:11059-11063). The presence of these costimulatory molecules on the surface of activated B lymphocytes indicates that T cell costimulation is regulated, in part, by the temporal expression of these molecules following B cell activation.

B7-1 is a counter-receptor for two ligands expressed on T lymphocytes. The first ligand, termed CD28, is constitutively expressed on resting T cells and increases after activation. After signaling through the T cell receptor, ligation of CD28 induces T cells to proliferate and secrete IL-2 (Linsley, et al. (1991)J. Exp. Med. 173: 721- 730; Gimmi, et al. (1991) Proc. Natl. Acad. Sci. USA. 88:6575-6579; Thompson.

et al. (1989) Proc. Natl. Acad. Sci. USA. 86:1333-1337; June, et al. (1990) Immunol. Today. 11:211-6; Harding, et al. (1992) Nature. 356:607-609.). The second ligand, termed CTLA4, is homologous to CD28, but is not expressed on resting T cells and.appears following T cell activation (Brunet, et al., (1987) Nature 328:267-270). Like B7-1, B7-2 is a counter-receptor for both CD28 and CTLA4 (Freeman et al. (1993) Science 262:909-911). CTLA4 was first identified as a mouse cDNA clone, in a library of cDNA from a cytotoxic T cell clone subtracted with RNA from a B cell lymphoma (Brunet, et al. (1987) supra). The mouse CTLA4 cDNA was then used as a probe to identify the human and mouse CTLA4 genes (Harper. et al. (1991)J. Immunol. 147:1037-1044; and Dariavich, et al. (1988) Eur.

J. Immunol. 18(12):1901-1905, sequence modified by Linsley, et al. (1991)J. Exp.

Med 174:561-569). A probe from the V domain of the human gene was used to detect 3 the human cDNA which allowed the identification of the CTLA4 leader sequence 0 (Harper. et al., (1991) supra).

Z Soluble derivatives of cell surface glycoproteins in the immunoglobulin gene superfamily have been made consisting of an extracellular domain of the cell surface glycoprotein fused to an immunoglobulin constant (Fc) region (see Capon, D.J. et al. (1989) Nature 337:525-531 and Capon U.S. Patents 5,116,964 and 5,428,130 [CD4- IgGI constructs]; Linsley, P.S. et al. (1991) J. Exp. Med 173:721-730 [a CD28-IgGl

C

construct and a B7-1-IgGI construct]; and Linsley, P.S. et al. (1991) J. Exp. Med.

CN 174:561-569 and U.S. Patent 5,434,131[a CTLA4-IgGl]). Such fusion proteins have 010 proven useful for studying receptor-ligand interactions. For example, a CTLA4-IgG immunoglobulin fusion protein was used to study interactions between CTLA4 and its natural ligands (Linsley, et al., (1991) J. Exp. Med. 174:561-569; International Application W093/00431; and Freeman et al. (1993) Science 262:909-911).

The importance of the B7:CD28/CTLA4 costimulatory pathway has been demonstrated in vitro and in several in vivo model systems. Blockade of this costimulatory pathway results in the development of antigen specific tolerance in murine and human systems (Harding, et al. (1992) Nature 356:607-609; Lenschow. et al. (1992) Science 257:789-792; Turka, et al. (1992) Proc.

Natl. Acad. Sci. USA 89:11102-11105; Gimmi, et al. (1993) Proc. Natl. Acad.

Sci. USA 90:6586-6590; Boussiotis, et al. (1993) J. Exp. Med. 178:1753-1763).

Conversely, transfection of a B7-1 gene into B7-1 negative murine tumor cells to thereby express B7-1 protein on the tumor cell surface induces T-cell mediated specific immunity accompanied by tumor rejection and long lasting protection to tumor challenge (Chen, et al. (1992) Cell 71:1093-1102; Townsend, S.E. and Allison, J.P.

(1993) Science 259:368-370; Baskar, et al. (1993) Proc. Natl. Acad Sci. USA 90:5687-5690.). Therefore, approaches which manipulate the B7:CD28/CTLA4 interaction to thereby stimulate or suppress immune responses would be beneficial therapeutically.

Summary of the Invention In one aspect, the present invention provides an isolated nucleic acid capable of expression in a bacterial host cell, the nucleic acid consisting of a nucleotide sequence encoding amino acid residues 1-125 of a CTLA4 extracellular domain.

14/01 '08 13:22 FAX 613 8618 4199 F.B. RICE Co. 0007 00 0 o 3A In another aspect, the present invention provides an isolated nucleic acid comprising a nucleotide sequence encoding a soluble CTLA4 protein capable of expression in a bacterial host cell, wherein the nucleic acid consists of a nucleotide sequence encoding a signal sequence and a nucleotide sequence encoding residues 1n125 of a CTLA4 extracellular domainc,1 Also provided is a recombinant expression vector comprising a nucleic acid of ci4 the invention.

oIn anther aspect, provided is a bacterial host cell transfected with an expression c,1 vector of the invention, and capable of directing the expression of a CTLA4 extracellular domain.

In another aspect, the present invention provides an isolated peptide consisting of a CTLA4 extracellular domain produced by a bacterial host cell of the invention.

In yet a further aspect, the present invention provides an isolated peptide consisting of a signal sequence and a CTLA4 extracellular domain produced by a bacterial host cell of the invention.

In another aspect, the present invention provides a method for producing a CTLA4 extracellular domain, comprising culturing a host cell of the invention in a medium to express the protein and purifying the protein from inclusion bodies.

On embodiment this invention pertains to modified antibody proteins which have been mutated to alter more than one antibody effector function. In another aspect, the invention pertains to the nucleic acids which encode the mutated antibody molecules. In a preferred embodiment the antibody molecules of the present invention have been mutated to reduce both complement activation and Fc receptor binding. Any class of antibody can be used to practice the present invention COMS ID No: ARCS-175062 Received by IP Australia: Time 14:23 Date 2008-01-14 -4- In one embodiment this invention pertains to immunoglobulin fusion proteins having modified immunoglobulin constant (IgC) region-mediated effector functions and to nucleic acids encoding the proteins. In a preferred embodiment the immunoglobulin fusion protein is a CTLA4-immunoglobulin fusion protein. In one embodiment, the fusion proteins of the present invention have been constructed by fusing a peptide having a CTLA4 activity and a second peptide comprising an immunoglobulin constant region to create a CTLA4Ig fusion protein. In another embodiment, the variable regions of immunoglobulin heavy and light chains have been replaced by the B7-binding extracellular domain of CTLA4 to create CTLA4-Ab fusion proteins. As used herein, the term "CTLA4-immunoglobulin fusion protein" refers to both the CTLA4Ig and CTLA4-Ab forms. In a preferred embodiment, the fusion proteins of the invention have been modified to reduce their ability to activate complement and/or bind to Fc receptors.

In one embodiment, an IgC region of an isotype other than Cyl is used in the fusion protein and the modified effector function(s) can be assessed relative to a Cylcontaining molecule an IgGI fusion protein). In another embodiment, a mutated IgC region (of any isotype) is used in the fusion protein and the modified effector function can be assessed relative to an antibody or Ig fusion protein containing the nonmutated form of the IgC region.

The mutated antibodies or fusion proteins of the invention are useful in any setting in which it is desirable to limit multiple antibody effector functions. The CTLA4-immunoglobulin fusion proteins of the invention are useful for inhibiting the interaction of CTLA4 ligands B7 family members such as B7-1 and B7-2) with receptors on T cells CD28 and/or CTLA4) to thereby inhibit delivery of a costimulatory signal in the T cells and thus downmodulate an immune response. Use of the mutated antibodies or fusion proteins of the invention, such as CTLA4immunoglobulin fusion proteins is applicable in a variety of situations, such as to inhibit transplant rejection or autoimmune reactions in a subject. In these situations, immunoglobulin constant region-mediated biological effector mechanisms, such as complement-mediated cell lysis, Fc receptor-mediated phagocytosis or antibodydependent cellular cytotoxicity, may induce detrimental side effects in the subject and are therefore undesirable. The CTLA4-immunoglobulin fusion proteins of the invention exhibit reduced IgC region-mediated effector functions compared to a CTLA4immunoglobulin fusion protein in which the IgGI constant region is used and. thus are likely to have improved immunoinhibitory properties. These compositions can also be used for immunomodulation, to produce anti-CTLA4 antibodies, to purify CTLA4 (1 ligands and in screening assays. The CTLA4-Ab fusion proteins are particularly useful when bivalent preparations are preferred, i.e. when crosslinking is desired.

One aspect of the invention pertains to isolated nucleic acid molecules encoding modified CTLA4-immunoglobulin fusion proteins. The nucleic acids of the invention comprise a nucleotide sequence encoding a first peptide having a CTLA4 activity and a nucleotide sequence encoding a second peptide comprising an immunoglobulin constant region which is modified to reduce at least one constant region-mediated biological effector function. A peptide having a CTLA4 activity is defined herein as a peptide having at least one biological activity of the CTLA4 protein, the ability to bind to the natural ligand(s) of the CTLA4 antigen on immune cells, such as B7-1 and/or B7-2 on B cells, or other known or as yet undefined ligands on immune cells, and inhibit block) or interfere with immune cell mediated responses. In one embodiment, the peptide having a CTLA4 activity binds B7-1 and/or B-2 and comprises an extracellular domain of the CTLA4 protein. Preferably, the extracellular domain includes amino acid residues 20-144 of the human CTLA4 protein (amino acid positions 20-144 of SEQ ID NO: 24, 26 and 28).

The present invention also contemplates forms of the extracellular domain of CTLA4 which are expressed without Ig constant regions and are expressed in E. coli.

These soluble forms of the CTLA4 extracellular domain, although not glycosylated, are fully functional and have similar uses as the CTLA4 immunoglobulin fusion proteins of the invention.

The nucleic acids of the invention further comprise a nucleotide sequence encoding a second peptide comprising an immunoglobulin constant region which is modified to reduce at least one Ig constant region-mediated biological effector function.

Preferably, the immunoglobulin constant region comprises a hinge region, a CH2 domain and a CH3 domain derived from Cyl, Cy2, Cy3 or Cy4. In one embodiment, the constant region segment is altered mutated at specific amino acid residues by substitution, deletion or addition of amino acid residues) to reduce at least one IgC region-mediated effector function. In another embodiment, a constant region other than Cyl that exhibits reduced IgC region-mediated effector functions relative to Cyl is used in the fusion protein. In a preferred embodiment, the CH2 domain is modified to reduce a biological effector function, such as complement activation, Fc receptor interaction, or both complement activation and Fc receptor interaction. For example, to reduce Fc receptor interaction, at least one amino acid residue selected from a hinge link region of the CH2 domain amino acid residues at positions 234-237 of an intact heavy chain protein) is modified by substitution, addition or deletion of amino acids. In another -6embodiment, to reduce complement activation ability, a constant region which lacks the ability to activate complement, such as Cy4 or Cy2 is used in the fusion protein (instead of a Cyl constant region which is capable of activating complement). In another embodiment the variable region of the heavy and light chain is replaced with a polypeptide having CTLA4 activity creating a CTLA4-Ab molecule. In a preferred embodiment the heavy chain constant region of the CTLA4-Ab molecule comprises a hinge region, a CH2 domain and a CH3 domain derived from Cyl, Cy2, Cy3 or Cy4. In a preferred embodiment the light chain constant region of the CTLA4-Ab molecule comprises an Ig signal sequence, the CTLA4 extracellular domain, and the light chain (kappa or lambda) constant domain.

The nucleic acids obtained in accordance with this invention can be inserted into various expression vectors, which in turn direct the synthesis of the corresponding protein in a variety of hosts, particularly eucaryotic cells, such as mammalian or insect cell culture and procaryotic cells, such as E. coli. Expression vectors within the scope of the invention comprise a nucleic acid as described herein and a promotor operably linked to the nucleic acid. Such expression vectors can be used to transfect host cells to thereby produce fusion proteins encoded by nucleic acids as described herein.

Another aspect of the invention pertains to isolated CTLA4-immunoglobulin fusion proteins comprising a first peptide having a CTLA4 activity and a second peptide comprising an immunoglobulin constant region which is modified to reduce at least one constant region-mediated biological effector function relative to a CTLA4-IgGl fusion protein. A preferred CTLA4-immunoglobulin fusion protein comprises an extracellular domain of the CTLA4 protein amino acid positions 20-144 of the human CTLA4immunoglobulin fusion protein shown in SEQ ID NO: 24, 26 and 28) linked to an immunoglobulin constant region comprising a hinge region, a CH2 domain and a CH3 domain derived from Cyl, Cy2, Cy3 or Cy4. A preferred constant domain used to reduce the complement activating ability of the fusion protein is Cy4. In one embodiment, the CH2 domain of the immunoglobulin constant region is modified to reduce at least one biological effector function, such as complement activation or Fc receptor interaction. In a particularly preferred embodiment, the mutated antibody or CTLA4-immunoglobulin fusion protein includes a CH2 domain which is modified by substitution of an amino acid residue at position 234, 235 and/or 237 of an intact heavy chain protein. One example of such a protein is a CTLA4-immunoglobulin fusion protein fused to IgG4 comprising an amino acid sequence shown in SEQ ID NO: 28 or a CTLA4-immunoglobulin fused to IgGI fusion protein comprising an amino acid sequence shown in SEQ ID NO: 24.

The mutated antibody or fusion proteins of the invention can be incorporated into pharmaceutical compositions and administered to a subject. In certain embodiments the subject proteins can be used to inhibit an interaction between a CTLA4 ligand B7-1 and/or B7-2) and a receptor therefor CD28 and/or CTLA4) on the surface of a T cell, to thereby suppress cell-mediated immune responses in vivo. Inhibition of the CTLA4 ligand/receptor interaction may be useful for both general immunosuppression and to induce antigen-specific T cell tolerance in a subject for use in preventing transplantation rejection (solid organ, skin and bone marrow) or graft versus host .disease, particularly in allogeneic bone marrow transplantation. The CTLA4-immunoglobulin fusion proteins can also be used therapeutically in the treatment of autoimmune diseases, allergy and allergic reactions, transplantation rejection and established graft versus host disease in a subject.

Moreover, the CTLA4-immunoglobulin fusion proteins of the invention can be used as immunogens to produce anti-CTLA4 antibodies in a subject, to purify CTLA4 ligands and in screening assays to identify molecules which inhibit the interaction of CTLA4 with a CTLA4 ligand.

In another aspect, the present invention provides an isolated nucleic acid encoding a CTLA4-immunoglobulin fusion protein, the nucleic acid comprising a nucleotide sequence encoding a first peptide having a CTLA4 activity and a nucleotide sequence encoding a second peptide comprising an immunoglobulin constant region which is modified to reduce at least one constant region-mediated biological effector function, wherein the first peptide comprises amino acid residues 1-125 of the human CTLA4 protein.

In a further aspect, the present invention provides an isolated nucleic acid encoding a CTLA4-immunoglobulin fusion protein, the nucleic acid comprising a nucleotide sequence encoding a first peptide having a CTLA4 activity and a nucleotide sequence encoding a second peptide comprising an immunoglobulin constant region wherein the immunoglobulin constant region comprises a heavy chain CH1 domain, a hinge region, a CH2 domain and a CH3 domain.

In yet another aspect, the present invention provides an isolated nucleic acid encoding a CTLA4-immunoglobulin light chain fusion protein, wherein the nucleic acid comprises a nucleotide sequence encoding a first peptide comprising a CTLA4 extracellular domain and a nucleotide sequence encoding a second peptide comprising an immunoglobulin light chain constant domain.

In a further aspect, the present invention provides a CTLA4-immunoglobulin fusion protein comprising a first peptide having a CTLA4 activity and a second peptide 7A comprising an immunoglobulin constant region which is modified to reduce at least one constant region-mediated biological effector function relative to a CTLA4-IgG1 fusion protein, and wherein the first peptide comprises amino acid residues 1-125 of the human CTLA4 protein.

Also provided is a CTLA4-immunoglobulin fusion protein, comprising a first peptide having a CTLA4 activity and a second peptide comprising an immunoglobulin constant region wherein the immunoglobulin constant region comprises a heavy chain CH1 domain, a hinge region, a CH2 domain and a CH3 domain.

In another aspect, the present invention provides a CTLA4-immunoglobulin light chain fusion protein, wherein the first peptide comprises a CTLA4 extracellular domain and the second peptide comprises an immunoglobulin kappa light chain constant domain.

In another aspect, the present invention provides a composition suitable for pharmaceutical administration comprising a CTLA4-immunoglobulin fusion protein of the invention, and a pharmaceutically acceptable carrier.

In another aspect, the present invention provides a method for producing a CTLA4-immunoglobulin fusion protein, comprising culturing a host cell of the invention in a medium to express the protein and isolating the protein from the medium.

In another aspect, the present invention provides a method for inhibiting an interaction of a CTLA4 ligand on an antigen presenting cell with a receptor for the CTLA4 ligand on a T cell comprising contacting the antigen presenting cell with a CTLA4-immunoglobulin fusion protein according to the invention.

In another aspect, the present invention provides a method for treating an autoimmune disease in a subject mediated by interaction of a CTLA4 ligand on an antigen presenting cell with a receptor for the CTLA4 ligand on a T cell, comprising administering to the subject a CTLA4-immunoglobulin fusion protein according to the invention.

In another aspect, the present invention provides a method for treating allergy in a subject mediated by interaction of a CTLA4 ligand on an antigen presenting cell with a receptor for the CTLA4 ligand on a T cell, comprising administering to the subject a CTLA4-immunoglobulin fusion protein according to the invention.

In another aspect, the present invention provides a method for inhibiting graftversus-host disease (GVHD) in a bone marrow transplant recipient, comprising administering to the recipient a CTLA4-immunoglobulin fusion protein according to the invention.

In another aspect, the present invention provides a method for inhibiting rejection of transplanted cells in a transplant recipient, comprising administering to the recipient a CTLA4-immunoglobulin fusion protein according to the invention.

In another aspect, the present invention provides a method for identifying molecules which inhibit binding of CTLA4 to a CTLA4 ligand, comprising a) contacting the CTLA4-immunoglobulin fusion protein according to the invention with: i) a CTLA4 ligand, and ii) a molecule to be tested, wherein either the CTLA4-immunoglobulin fusion protein or the CTLA4 ligand is labeled with a detectable substance; b) removing either unbound CTLA4-immunoglobulin fusion protein or unbound CTLA4 ligand; and c) determining the amount of CTLA4-immunoglobulin fusion protein bound to the CTLA4 ligand, wherein a reduction in the amount of CTLA4-immunoglobulin fusion protein bound to the CTLA4 ligand in the presence of the molecule indicates that the molecule inhibits binding of CTLA4 to the CTLA4 ligand.

Any discussion of documents, acts, materials, devices, articles or the like which has been included in the present specification is solely for the purpose of providing a context for the present invention. It is not to be taken as an admission that any or all of these matters form part of the prior art base or were common general knowledge in the field relevant to the present invention as it existed before the priority date of each claim of this application.

Throughout this specification the word "comprise", or variations such as "comprises" or "comprising", will be understood to imply the inclusion of a stated element, integer or step, or group of elements, integers or steps, but not the exclusion of any other element, integer or step, or group of elements, integers or steps.

Brief Description of the Drawings Figure 1 is a schematic diagram of the "zip up" polymerase chain reaction (PCR) procedure used to contrust gene fusions.

Figure 2A-B show the amino acid mutations introduced into the hinge and CH2 domains of hCTLA4-IgGlm (panel A) and hCTLA4-IgG4m (panel Mutated amino acid residues are underlined.

Figure 3 is a schematic diagram of the expression vector pNRDSH.

Figure 4A-B are graphic representations of competition ELISAs depicting the ability of unlabeled hCTLA4-IgG1 or unlabeled hCTLA4-IgG4m to compete for the binding ofbiotinylated hCTLA4-IgGl to hB7-l-Ig (panel A) or hB7-2-Ig (panel B).

Figure 5A-B are graphic representations of Fc receptor binding assays depicting the ability of CTLA4-IgGl or CTLA4-IgG4 to bind to Fc receptors. In panel A, the ability to unlabeled CTLA4-IgGl or unlabeled CTLA4-IgG4 to compete for the binding of 1 25 I-labeled CTLA4-IgG1 to FcRI-positive U937 cells is depicted. In panel B, the percent specific activity of unlabeled CTLA4-IgGl, CTLA4-IgG4 or hIgGI used to compete itself for binding to U937 cells is depicted.

Figure 6A-C are graphic representations of complement activation assays depicting the ability of CTLA4-IgGl, CTLA4-IgG4m or anti-B7-l mAb (4B2) to activate complement-mediated lysis of CHO-B7-1 cells. In panel A, guinea pig complement is used as the complement source. In panel B, human serum is used as the -8complement source. In panel C, control untransfected CHO cells are used as the target for complement-mediated lysis.

Figure 7 is a graphic representation of the binding of CTLA4-IgGl CTLA4- IgG4m or anti-B7-1 mAb (4B2) to CHO-B7-1 cells, demonstrating that despite the inability of CTLA4-IgG4m to activate complement it can still bind to CHO-B7-1 cells.

Figure 8 is a graphic representation of a competition curve demonstrating that soluble CTLA4 expressed in E. coli is functional and competes with unlabeled CTLA4Ig for binding to plate-bound B7-1.

Detailed Description of the Invention In one embodiment this invention features mutated immunoglobulin molecules which have been modified to reduce more than one immunoglobulin constant (IgC) region-mediated effector function. This invention also features isolated CTLA4immunoglobulin fusion proteins which have been modified to reduce immunoglobulin constant (IgC) region-mediated effector functions. The invention also features isolated nucleic acids encoding the proteins, methods for producing the mutated antibody and CTLA4-immunoglobulin fusion proteins of the invention and methods for using the mutated antibody and CTLA4-immunoglobulin fusion proteins of the invention for immunomodulation. E. coli-expressed forms of CTLA4 are also disclosed. These and other aspects of the invention are described in further detail in the following subsections: I. Chimeric CTLA4-immunoglobulin Gene Fusions The invention provides isolated nucleic acids encoding CTLA4-immunoglobulin fusion proteins. The CTLA4-immunoglobulin fusion proteins are comprised of two components: a first peptide having a CTLA4 activity and a second peptide comprising an immunoglobulin constant region which, in certain embodiments is modified to reduce at least one constant region-mediated biological effector function. Accordingly, the isolated nucleic acids of the invention comprise a first nucleotide sequence encoding the first peptide having a CTLA4 activity and a second nucleotide sequence encoding the second peptide comprising an immunoglobulin constant region which, in a preferred embodiment, is modified to reduce at least one constant region-mediated biological effector function. In the case of CTLA4Ig forms, the first and second nucleotide sequences are linked in a 5' to 3' orientation by phosphodiester bonds) such that the translational frame of the CTLA4 and IgC coding segments are maintained the nucleotide sequences are joined together in-frame). Thus, expression transcription -9and translation) of the nucleotide sequences produces a functional CTLA4Ig fusion protein. In the case of the CTLA4-Ab fusion proteins, the heavy chain gene is constructed such that the CTLA4 extracellular binding domain is linked to a 5' signal sequence and a 3' immunoglobulin CH1, hinge, CH2, and CH3 domain. CTLA4-light chain constructs are prepared in which an Ig signal sequence, an intron, the CTLA4 extracellular domain, an intron, and the light chain constant domain are linked. The DNA encoding the heavy and light chains is then expressed using an appropriate expression vector as described in the Examples.

The term "nucleic acid" as used herein is intended to include fragments or equivalents thereof. The term "equivalent" is intended to include nucleotide sequences encoding functionally equivalent CTLA4-immunoglobulin fusion proteins, proteins which have the ability to bind to the natural ligand(s) of the CTLA4 antigen on immune cells, such as B7-1 and/or B7-2 on B cells, and inhibit block) or interfere with immune cell mediated responses.

The term "isolated" as used throughout this application refers to a nucleic acid or fusion protein substantially free of cellular material or culture medium when produced by recombinant DNA techniques, or chemical precursors or other chemicals when chemically synthesized. An isolated nucleic acid is also free of sequences which naturally flank the nucleic acid sequences located at the 5' and 3' ends of the nucleic acid) in the organism from which the nucleic acid is derived.

The nucleic acids of the invention can be prepared by standard recombinant DNA techniques. For example, a chimeric CTLA4-immunoglobulin gene fusion can be constructed using separate template DNAs encoding CTLA4 and an immunoglobulin constant region and a "zip up" polymerase chain reaction (PCR) procedure as described in Example 1 and illustrated schematically in Figure 1. Alternatively, a nucleic acid segment encoding CTLA4 can be ligated in-frame to a nucleic acid segment encoding an immunoglobulin constant region using standard techniques. A nucleic acid of the invention can also be chemically synthesized using standard techniques. Various methods of chemically synthesizing polydeoxynucleotides are known, including solidphase synthesis which has been automated in commercially available DNA synthesizers (See Itakura et al. U.S. Patent No. 4,598,049; Caruthers et al. U.S. Patent No.

4,458,066; and Itakura U.S. Patent Nos. 4,401,796 and 4,373,071, incorporated by reference herein).

The nucleic acid segments of the CTLA4-immunoglobulin gene fusions of the invention are described in further detail below: A. CTLA4 Gene Segment An isolated nucleic acid of the invention encodes a first peptide having a CTLA4 activity. The phrase "peptide having a CTLA4 activity" or "peptide having an activity of CTLA4" is used herein to refer to a peptide having at least one biological activity of the CTLA4 protein, the ability to bind to the natural ligand(s) of the CTLA4 antigen on immune cells, such as B7-1 and/or B7-2 on B cells, or other known or as yet undefined ligands on immune cells, and which, in soluble form, can inhibit block) or interfere with immune cell mediated responses. In one embodiment, the CTLA4 protein is a human CTLA4 protein, the nucleotide and amino acid sequences of which are disclosed in Harper, et al. (1991) J. Immunol. 147:1037-1044 and Dariavich. et al. (1988) Eur. J. Immunol. 18(12):1901-1905. In another embodiment, the peptide having a CTLA4 activity binds B7-1 and/or B7-2 and comprises at least a portion of an extracellular domain of the CTLA4 protein. Preferably, the extracellular domain includes amino acid residues 1-125 of the human CTLA4 protein (amino acid positions 20-144 of SEQ ID NO: 24, 26 and 28). CTLA4 proteins from other species mouse) are also encompassed by the invention. The nucleotide and amino acid sequences of mouse CTLA4 are disclosed in Brunet, et al., (1987) Nature 328:267- 270.

The nucleic acids of the invention can be DNA or RNA. For example, nucleic acid encoding a peptide having a CTLA4 activity may be obtained from mRNA present in activated T lymphocytes. It is also possible to obtain nucleic acid encoding CTLA4 from T cell genomic DNA. For example, the gene encoding CTLA4 can be cloned from either a cDNA or a genomic library in accordance with standard protocols. A cDNA encoding CTLA4 can be obtained by isolating total mRNA from an appropriate cell line.

Double stranded cDNAs can then prepared from the total mRNA. Subsequently, the cDNAs can be inserted into a suitable plasmid or bacteriophage vector using any one of a number of known techniques. Genes encoding CTLA4 can also be cloned using established polymerase chain reaction techniques in accordance with the nucleotide sequence information provided by the invention (see Example For example, a DNA vector containing a CTLA4 cDNA can be used as a template in PCR reactions using oligonucleotide primers designed to amplify a desired region of the CTLA4 cDNA, e.g., the extracellular domain, to obtain an isolated DNA fragment encompassing this region using standard techniques.

It will be appreciated by those skilled in the art that various modifications and equivalents of the nucleic acids encoding the CTLA4-immunoglobulin fusion proteins of the invention exist. For example, different cell lines can be expected to yield DNA 1 molecules having different sequences of bases. Additionally, variations may exist due to genetic polymorphisms or cell-mediated modifications of the genetic material.

Furthermore, the nucleotide sequence of a protein of the invention, such as aCTLA4immunoglobulin fusion protein, can be modified by genetic techniques to produce proteins with altered amino acid sequences that retain the functional properties of CTLA4 the ability to bind to B7-1 and/or B7-2). Such sequences are considered within the scope of the invention, wherein the expressed protein is capable of binding a natural ligand of CTLA4 and, when in the appropriate form soluble) can inhibit B7:CD28/CTLA4 interactions and modulate immune responses and immune function.

In addition, it will be appreciated by those of skill in the art that there are other B7binding ligands and the fusion of these alternative molecules (such as CD28) to form immuonglobulin fusion proteins or expressed in soluble form in E. coli is also contemplated by the present invention.

To express a protein, such as a CTLA4-immunoglobulin fusion protein of the invention, the chimeric gene fusion encoding the CTLA4-immunoglobulin fusion protein typically includes a nucleotide sequence encoding a signal sequence which, upon transcription and translation of the chimeric gene, directs secretion of the fusion protein.

A native CTLA4 signal sequence the human CTLA4 signal sequence disclosed in Harper, et al. (1991) J. Immunol. 147,1037-1044) can be used or alternatively, a heterologous signal sequence can be used. For example, the oncostatin-M signal sequence (Malik et al.(1989) Mol. Cell. Biol. 2847-2853) or an immunoglobulin signal sequence amino acid positions 1 to 19 of SEQ ID NO: 24.

26 and 28) can be used to direct secretion of a CTLA4-immunoglobulin fusion protein of the invention. A nucleotide sequence encoding a signal sequence can be incorporated into the chimeric gene fusion by standard recombinant DNA techniques, such as by "zip up" PCR (described further in Example 1) or by ligating a nucleic acid fragment encoding the signal sequence in-frame at the 5' end of a nucleic acid fragment encoding CTLA4.

B. Immunoglobulin Gene Segment The CTLA4-immunoglobulin fusion protein of the invention further comprises a second peptide linked to the peptide having a CTLA4 activity. In one embodiment the second peptide comprises a light chain constant region. In a preferred embodiment the light chain is a kappa light chain.

In another embodiment the second peptide comprises a heavy chain constant region. In a preferred embodiment the constant region comprises an immunoglobulin 12hinge region, a CH2 domain and a CH3 domain. In another embodiment the constant region also comprises a CHI domain. The constant region is preferably derived from Cy 1, Cy2, Cy3 or Cy4. In a preferred embodiment the heavy chain constant region is modified to reduce at least one constant region-mediated biological effector function. In one embodiment, the constant region segment (either Cyl or another isotype) is altered mutated from the wild-type sequence at specific amino acid residues by substitution, deletion or addition of amino acid residues) to reduce at least one IgC region-mediated effector function. The effector functions of this altered fusion protein can be assessed relative to an unaltered IgC region-containing molecule a whole antibody or Ig fusion protein). In another embodiment, a constant region other than Cyl that exhibits reduced IgC region-mediated effector functions is used in the fusion protein. The effector functions of this fusion protein can be assessed relative to a Cyl containing molecule an IgGI antibody or IgG1 fusion protein). In a particularly preferred embodiment, the fusion protein comprises a constant region other than Cyl that is also mutated to further reduce effector function. For example, a preferred IgC region is a mutated Cy4 region.

The term "immunoglobulin constant (IgC) region-mediated biological effector function" is intended to include biological responses which require or involve, at least in part, the constant region of an immunoglobulin molecule. Examples of such effector functions include complement activation, Fc receptor interactions, opsonization and phagocytosis, antibody-dependent cellular cytotoxicity (ADCC), release of reactive oxygen intermediates and placental transfer. While such effector functions are desirable in many immune responses, they are undesirable in situations where an immune response is to be downmodulated. The mutated immunoglobulins or fusion proteins of the invention exhibit reduced IgC region-mediated biological effector functions and thus are efficient agents for downregulating immune responses. Additionally, the mutated immunoglobulins or immunoglobulin fusion proteins of the invention display a long plasma half life in vivo. The long plasma half-life makes the proteins particularly useful as therapeutic agents.

All immunoglobulins have a common core structure of two identical light and heavy chains held together by disulfide bonds. Both the light chains and the heavy chains contain a series of repeating, homologous units, each about 110 amino acid residues in length, which fold independently in a common globular motif, called an immunoglobulin domain. In each chain, one domain has a variable amino acid sequence depending on the antibody specificity of the molecule. The other domains (C) have a constant sequence common among molecules of the same isotype. Heavy chains 13 are designated by the letter of the Greek alphabet corresponding to the overall isotype of the antibody: IgAl contains cal heavy chains; IgA2. a2; IgD. 6; IgE, e; IgG, yl; IgG2, y2; IgG3, y3; IgG4, y4; and IgM, p. Each heavy chain includes four domains; an amino terminal variable, or VH domain which displays the greatest sequence variation among heavy chains and three domains which form the constant region (CH CH2 and CH3) in order from the amino to the carboxy terminus of the heavy chain. In y, a and 6 heavy chains, there is a nonglobular region of amino acid sequence, known as the hinge, located between the first and second constant region domains (CHI and CH2) permitting motion between these two domains.

To modify a immunoglobulin fusion protein, such as a CTLA4-Ig fusion protein or an antibody such that it exhibits reduced binding to the FcRI receptor, the immunoglobulin constant region segment of the CTLA4-immunoglobulin fusion protein or antibody can be mutated at particular regions necessary for Fc receptor (FcR) interactions (see Canfield, S.M. and S.L. Morrison (1991) J. Exp. Med. 173:1483-1491; and Lund, J. et al. (1991) J. oflmmunol. 147:2657-2662). Reduction in FcR binding ability of an antibody or immunoglobulin fusion protein will also reduce other effector functions which rely on FcR interactions, such as opsonization and phagocytosis and antigen-dependent cellular cytotoxicity. To reduce FcR binding, in one embodiment, the constant region is mutated within a region of the CH2 domain referred to as the "hinge link" or "lower hinge" region. This region encompasses amino acid residues 234-239 in a full-length native immunoglobulin heavy chain. It should be appreciated that all IgC region amino acid residue positions described herein refer to the position within the full-length intact native immunoglobulin heavy chain; it will be apparent to those skilled in the art that depending upon the length of the CTLA4 segment used in the CTLA4-immunoglobulin fusion protein, the positions of the corresponding IgC amino acid residues within the fusion protein will vary (Kabat, E.A, T.T. Wu, M. Reid- Miller, H.M. Perry, and K.S. Gottesman eds. (1987) "Sequences of Proteins of Immunological Interest" National Institutes of Health, Bethesda, MD). The hinge link region can be mutated by substitution, addition or deletion of amino acid residues. A preferred mutated antibody or immunoglobulin fusion protein of the invention is one in which the IgGI constant region has substitution mutations at positions 234, 235 and/or 237 of the Cyl segment. Preferably, Leu at 234 is substituted with Ala, Leu at 235 is substituted with Glu and Gly at 237 is substituted with Ala (see Example A preferred mutated antibody or CTLA4-immunoglobulin fusion protein of the invention is one in which IgG4 has substitution mutations at positions 235 and/or 237 of the Cy4 -14segment. Preferably, Leu at 235 is substituted with Glu and Gly at 237 is substituted with Ala (see Example 1).

In another embodiment, the Fc receptor binding capability of the antibody or immunoglobulin fusion protein is reduced by mutating a region of the CH2 domain referred to as the "hinge-proximal bend" region (amino acid residues at positions 328- 333 within a full-length intact heavy chain). This region can be mutated by substitution, addition or deletion of amino acid residues. In a preferred embodiment, position 331 of Cyl or Cy3 is mutated. A preferred mutation in Cyl or Cy3 is substitution of Pro with Ser.

To modify an antibody or immunoglobulin fusion protein such that it exhibits reduced complement activation ability, the immunoglobulin constant region segment of the antibody or fusion protein can be mutated at particular regions important for complement activation, such as regions involved in IgC region binding to the Clq component of complement. In one embodiment, one or more residues present within the CH2 domain of IgG subclasses that are involved in C q binding are altered. In a preferred embodiment, positions 318, 320 and/or 322 are mutated (see Duncan and Winter (1988) Nature 332, 738-740). Preferably, Glu at 318 is substituted with Ala or Val, Lys at 320 is substituted with Ala or Gin and/or Lys at 322 is substituted with Ala or Gln.

Alternatively, to reduce complement activation by the antibody or immunoglobulin fusion protein, a constant region which lacks the ability to activate complement can be used in the fusion protein. For example, it is known that both IgGI and IgG3, but not IgG2 and IgG4 activate the classical complement cascade in the presence of human complement. Accordingly, an antibody or immunoglobulin fusion protein utilizing a Cy4 constant region exhibits reduced complement activation ability relative to a immunoglobulin fusion protein comprising IgGI (as demonstrated in Example 2).

In yet another embodiment, the hinge region of the IgC segment is altered to inhibit complement activation ability. The hinge regions of the human IgG molecules vary in amino acid sequence and composition as well as length. For example, IgGI, IgG2 and IgG4 have hinge regions consisting of 12 to 15 amino acids, whereas IgG3 has an extended hinge region, consisting of 62 amino acids. The hinge region is believed to be essential for binding with the first component of complement, Clq (see Tan et al.

(1990) Proc. Natl. Acad. Sci. USA 87:162-166). A number of chimeric human IgG3 and IgG4 molecules with different hinge lengths and amino acid composition have been produced, confirming the role of the hinge region in Clq binding and complement activation. For example, to reduce or interfere with the ability of an IgG1 or IgG3 antibody or CTLA4-immunoglobulin (IgGI) or CTLA4-immunoglobulin (IgG3) construct to activate complement, it may be necessary to modify, by substitution, addition or deletion, at least one amino acid residue in the hinge region. In one embodiment, the hinge region of Cyl or Cy3 is substituted with a hinge region derived from Cy2 or Cy4, each of which lack the ability to activate complement.

In certain embodiments the modified antibodies or CTLA4-immunoglobulin fusion proteins of the invention contain multiple modifications, such that they exhibit reduced Fc receptor binding and reduced complement activation.

In addition to modifying the antibodies or immunoglobulin fusion proteins of the invention to reduce IgC region-mediated biological effector functions, the fusion proteins can be further modified for other purposes, to increase solubility, enhance therapeutic or prophylactic efficacy, or stability shelf life ex vivo and resistance to proteolytic degradation in vivo). Such modified proteins are considered functional equivalents of the antibodies or immunoglobulin fusion proteins as defined herein. For example, amino acid residues of the CTLA4 portion of the fusion protein which are not essential for CTLA4 ligand interaction can be modified by being replaced by another amino acid whose incorporation may enhance, diminish, or not affect reactivity of the fusion protein. Alternatively, a CTLA4-immunoglobulin fusion protein which binds only B7-1 or B7-2 but not both could be created by mutating residues involved in binding to one ligand or the other. Another example of a modification of a CTLA4immunoglobulin fusion protein is substitution of cysteine residues, preferably with alanine, serine, threonine, leucine or glutamic acid residues, to minimize dimerization via disulfide linkages. A particularly preferred modification is substitution of cysteine residues in the hinge region of the immunoglobulin constant region with serine. In addition, amino acid side chains of an antibody of immunoglobulin fusion protein can be chemically modified.

A particularly preferred embodiment of the invention features a nucleic acid encoding a CTLA4-immunoglobulin fusion protein comprising a nucleotide sequence encoding a first peptide having a CTLA4 activity and a nucleotide sequence encoding a second peptide comprising an IgG4 immunoglobulin constant region, Cy4. Preferably, the nucleic acid is a DNA and the first peptide comprises an extracellular region of CTLA4 which binds B7-1. Such a CTLA4-IgG4 construct can comprise a nucleotide sequence show in SEQ ID NO: 25 and an amino acid sequence shown in SEQ ID NO: 26. In an even more preferred embodiment, the CH2 domain of the Cy4 portion of this CTLA41gG4 fusion protein is modified to reduce Fc receptor interaction. For example, -16the CH2 domain can be modified by substitution of Leu at position 235 with Glu) and/or substitution of Gly at position 237 with Ala). A particularly preferred CTLA4-IgG4 fusion protein comprises the extracellular domain of human CTLA4 amino acid residues 1-125), has reduced Fc receptor interaction due to two substitutions in the CH2 domain substitution of Leu at position 235 with Glu and substitution of Gly at position 237 with Ala). Such a CTLA4-IgG4 fusion protein comprises an amino acid sequence shown in SEQ ID NO: 28 and a nucleotide sequence shown in SEQ ID NO: 27. This construct, referred to as CTLA4-IgG4m, exhibits markedly reduced complement activation ability and FcR binding activity relative to a wild-type CTLA4- IgGI construct (see Example 2).

Another preferred embodiment of the invention features a nucleic acid encoding a CTLA4-IgGl fusion protein comprising a nucleotide sequence encoding a first peptide having a CTLA4 activity and a nucleotide sequence encoding a second peptide comprising an immunoglobulin constant region, Cyl, which is modified to reduce at least one constant region-mediated biological effector functions. Preferably, the nucleic acid is a DNA and the first peptide comprises an extracellular region of CTLA4 which binds B7-1. To reduce Fc receptor interaction the CH2 domain of Cyl is modified by substitution of one or more of the following amino acid residues: Leu at position 235; Leu at position 234; and Gly at position 237. A particularly preferred CTLA4-lgGl fusion protein comprises the extracellular domain of human CTLA4 amino acid residues 1-125), has reduced Fc receptor interaction due to three substitutions in the CH2 domain substitution of Leu at position 234 with Ala, substitution of Leu at position 235 with Glu and substitution of Gly at position 237 with Ala). Such a CTLA4-IgG1 fusion protein, referred to herein as CTLA4-IgGlm, comprises an amino acid sequence shown in SEQ ID NO: 24 and a nucleotide sequence shown in SEQ ID NO: 23.

Nucleic acid encoding a peptide comprising an immunoglobulin constant region can be obtained from human immunoglobulin mRNA present in B lymphocytes. It is also possible to obtain nucleic acid encoding an immunoglobulin constant region from B cell genomic DNA. For example, DNA encoding Cyl or Cy4 can be cloned from either a cDNA or a genomic library or by polymerase chain reaction (PCR) amplification in accordance with protocols herein described. The nucleic acids of the invention can be DNA or RNA. A preferred nucleic acid encoding an immunoglobulin constant region comprises all or a portion of the following: the DNA encoding human Cyl (Takahashi, N.S. et al. (1982) Cell 29:671-679), the DNA encoding human Cy2 (Kabat, E.A, T.T.

Wu, M. Reid-Miller, H.M. Perry, and K.S. Gottesman eds. (1987) "Sequences of -17- Proteins of Immunological Interest" National Institutes of Health, Bethesda, MD): the DNA encoding human Cy3 (Huck, et al. (1986) Nucl. Acid Res. 14:1779): and the DNA encoding human Cy4 Kabat et al., supra).

A number of processes are known in the art for modifying a nucleotide or amino acid sequence to thereby mutate the IgC regions as described herein. For example, mutations can be introduced into a DNA by any one of a number of methods, including those for producing simple deletions or insertions, systematic deletions, insertions or substitutions of clusters of bases or substitutions of single bases, to generate mutated antibodies or CTLA4-immunoglobulin fusion proteins of the invention and equivalents thereof. Preferably, amino acid substitutions, deletions or additions, such as in the CH2 domain of the immunoglobulin constant region, are created by PCR mutagenesis as described in Example 1 or by standard site-directed mutagenesis. Site directed mutagenesis systems are well known in the art. For example, protocols and reagents can be obtained commercially from Amersham International PLC, Amersham, U.K.

II. Expression Vectors and Host Cells The mutated antibodies or immunoglobulin fusion proteins of the invention can be expressed by incorporating a gene, such as a chimeric CTLA4-immunoglobulin fusion gene described herein, into an expression vector and introducing the expression vector into an appropriate host cell. Accordingly, the invention further pertains to expression vectors containing a.nucleic acid encoding a mutated antibody gene, or portion thereof or a immunoglobulin fusion protein and to host cells into which such expression vectors have been introduced. An expression vector of the invention, as described herein, typically includes nucleotide sequences encoding the mutated antibody gene or immunoglobulin fusion protein operably linked to at least one regulatory sequence. "Operably linked" is intended to mean that the nucleotide sequence is linked to a regulatory sequence in a manner which allows expression of the nucleotide sequence in a host cell (or by a cell extract). Regulatory sequences are art-recognized and can be selected to direct expression of the desired protein in an appropriate host cell.

The term regulatory sequence is intended to include promoters, enhancers, polyadenylation signals and other expression control elements. Such regulatory sequences are known to those skilled in the art and are described in Goeddel, Gene Expression Technology: Methods in Enzymology 185, Academic Press, San Diego. CA (1990). It should be understood that the design of the expression vector may depend on such factors as the choice of the host cell to be transfected and/or the type and/or amount of protein desired to be expressed.

18- An expression vector of the invention can be used to transfect cells, either procaryotic or eucaryotic mammalian, insect or yeast cells) to thereby produce fusion proteins encoded by nucleotide sequences of the vector. Expression in procaryotes is most often carried out in E. coli with vectors containing constitutive or inducible promotors. Certain E. coli expression vectors (so called fusion-vectors) are designed to add a number of amino acid residues to the expressed recombinant protein.

usually to the amino terminus of the expressed protein. Such fusion vectors typically serve three purposes: 1) to increase expression of recombinant protein; 2) to increase the solubility of the target recombinant protein; and 3) to aid in the purification of the target recombinant protein by acting as a ligand in affinity purification. Examples of fusion expression vectors include pGEX (Amrad Corp., Melbourne, Australia) and pMAL (New England Biolabs, Beverly, MA) which fuse glutathione S-tranferase and maltose E binding protein, respectively, to the target recombinant protein. Accordingly, the subject gene or fusion gene, a chimeric CTLA4-immunoglobulin fusion gene, may be linked to additional coding sequences in a procaryotic fusion vector to aid in the expression, solubility or purification of the fusion protein. Often, in fusion expression vectors, a proteolytic cleavage site is introduced at the junction of the fusion moiety and the target recombinant protein to enable separation of the target recombinant protein from the fusion moiety subsequent to purification of the fusion protein. Such enzymes, and their cognate recognition sequences, include Factor Xa, thrombin and enterokinase.

Inducible non-fusion expression vectors include pTrc (Amann et al., (1988) Gene 69:301-315) and pET l d (Studier et al., Gene Expression Technology: Methods in Enzymology 185, Academic Press, San Diego, California (1990) 60-89). Target gene expression from the pTrc vector relies on host RNA polymerase transcription from the hybrid trp-lac fusion promoter. Target gene expression from the pET 1 ld vector relies on transcription from the T7 gnl0-lac 0 fusion promoter mediated by a coexpressed viral RNA polymerase (T7 gnl). This viral polymerase is supplied by host strains BL21(DE3) or HMSl74(DE3) from a resident k prophage harboring a T7 gnl under the transcriptional control of the lacUV 5 promoter.

One strategy to maximize expression of the subject recombinant protein in E.

coli is to express the protein in a host bacteria with an impaired capacity to proteolytically cleave the recombinant protein (Gottesman, Gene Expression Technology: Methods in Enzymology 185, Academic Press, San Diego. California (1990) 119-128). Another strategy would be to alter the nucleotide sequence of the antibody immunoglobulin fusion protein to be inserted into an expression vector so that the individual codons for each amino acid would be those preferentially utilized in -19highly expressed E. coli proteins (Wada et al., (1992) Nuc. Acids Res. 20:2111-2118).

Such alteration of nucleic acid sequences are encompassed by the invention and can be carried out by standard DNA synthesis techniques.

In another preferred embodiment a soluble CTLA4 extracellular domain is expressed in E coil using an appropriate expression vector. These forms, although not glycosylated, remain fully functional and represent an advantage because of the ease with which bacterial cells are grown.

Alternatively, a mutated antibody or immunoglobulin fusion protein can be expressed in a eucaryotic host cell, such as mammalian cells Chinese hamster ovary cells (CHO) or NSO cells), insect cells using a baculovirus vector) or yeast cells. Other suitable host cells may be found in Goeddel, (1990) supra or are known to those skilled in the art. Eucaryotic, rather than procaryotic, expression of the subject protein may be preferable since expression of eucaryotic proteins in eucaryotic cells can lead to partial or complete glycosylation and/or formation of relevant inter- or intrachain disulfide bonds of a recombinant protein. For expression in mammalian cells, the expression vector's control functions are often provided by viral material. For example, commonly used promoters are derived from polyoma, Adenovirus 2, cytomegalovirus and Simian Virus 40. To express a CTLA4-immunoglobulin fusion protein in mammalian cells, generally COS cells (Gluzman, (1981) Cell 23:175-182) are used in conjunction with such vectors as pCDM8 (Seed, (1987) Nature 329:840) for transient amplification/expression, while CHO (dhfr- Chinese Hamster Ovary) cells are used with vectors such as pMT2PC (Kaufman et al. (1987), EMBO J. 6:187-195) for stable amplification/expression in mammalian cells. A preferred cell line for production of recombinant protein is the NSO myeloma cell line available from the ECACC (catalog #85110503) and described in Galfre, G. and Milstein, C. ((1981) Methods in Enzymology 13(13):3-46; and Preparation ofMonoclonal Antibodies: Strategies and Procedures, Academic Press, Examples of vectors suitable for expression of recombinant proteins in yeast S. cerivisae) include pYepSecl (Baldari. et al..

(1987) Embo J. 6:229-234), pMFa (Kurjan and Herskowitz, (1982) Cell 30:933-943).

pJRY88 (Schultz et al., (1987) Gene 54:113-123), and pYES2 (Invitrogen Corporation, San Diego, CA). Baculovirus vectors available for expression of proteins in cultured insect cells (SF 9 cells) include the pAc series (Smith et al., (1983) Mol. Cell Biol.

3:2156-2165) and the pVL series (Lucklow, and Summers, (1989) Virology 170:31-39).

Vector DNA can be introduced into procaryotic or eucaryotic cells via conventional transformation or transfection techniques such as calcium phosphate or calcium choloride co-precipitation. DEAE-dextran-mediated transfection, lipofection, or electroporation. Suitable methods for transforming host cells can be found in Sambrook et al. (Molecular Cloning: A Laboratory Manual, 2nd Edition, Cold Spring Harbor Laboratory press (1989)), and other laboratory textbooks.

For stable transfection of mammalian cells, it is known that, depending upon the expression vector and transfection technique used, only a small faction of cells may integrate DNA into their genomes. In order to identify and select these integrants, a gene that encodes a selectable marker resistance to antibiotics) is generally introduced into the host cells along with the gene of interest. Preferred selectable markers include those which confer resistance to drugs, such as G418, hygromycin and methotrexate. Nucleic acid encoding a selectable marker may be introduced into a host cell on the same plasmid as the gene of interest or may be introduced on a separate plasmid. Cells containing the gene of interest can be identified by drug selection cells that have incorporated the selectable marker gene will survive, while the other cells die). The surviving cells can then be screened for production of the antibody of interest or CTLA4-immunoglobulin fusion proteins by, for example, immunoprecipitation from cell supernatant with an anti-CTLA4 monoclonal antibody.

The invention also features methods of producing mutated antibodies or immunoglobulin fusion proteins. For example, a host cell transfected with a nucleic acid vector directing expression of a nucleotide sequence encoding a CTLA4immunoglobulin fusion protein can be cultured in a medium under appropriate conditions to allow expression of the protein to occur. In one embodiment, a recombinant expression vector containing DNA encoding a CTLA4-IgGI fusion protein having modified constant region-mediated effector functions is produced. In another embodiment, a recombinant expression vector containing DNA encoding a CTLA4- IgG4 fusion protein having modified constant region-mediated effector functions is produced. In addition, one or more expression vectors containing DNA encoding, for example, a CTLA4-IgGl fusion protein and another fusion protein such as a CTLA4- IgG4 fusion protein can be used to transfect a host cell to coexpress these fusion proteins. Fusion proteins produced by recombinant technique may be secreted and isolated from a mixture of cells and medium containing the protein. Alternatively, the protein may be retained cytoplasmically and the cells harvested, lysed and the protein isolated. A cell culture typically includes host cells, media and other byproducts.

Suitable mediums for cell culture are well known in the art. Protein can be isolated from cell culture medium, host cells, or both using techniques known in the art for purifying proteins.

-21 III. Isolation and Characterization of Mutated antibodies or Immunoglobulin Fusion Proteins Another aspect of the invention pertains to mutated antibodies or fusion proteins having modified effector functions compared to the non-mutated form, for example, CTLA4-immunoglobulin fusion proteins having modified effector functions compared to a CTLA4-IgGI protein. Such proteins comprise a first peptide having a CTLA4 activity and a second peptide comprising an immunoglobulin constant region which is modified to reduce at least one constant region-mediated biological effector function relative to a CTLA4-IgGI fusion protein. A peptide having a CTLA4 activity has been previously defined herein. In a preferred embodiment, the first peptide comprises an extracellular domain of the human CTLA4 protein amino acid residues 20-144 of SEQ ID NO: 24, 26 and 28) and binds B7-1 and/or B7-2. The second peptide comprising an immunoglobulin constant region preferably includes a hinge region, a CH2 domain and a CH3 domain derived from Cyl, Cy2, Cy3, or Cy4. Typically, the CH2 domain is modified to reduce constant region-mediated biological effector functions, such as complement activation and/or Fc receptor interaction as previously described in detail herein.

Another embodiment of the invention provides a substantially pure preparation of a mutated antibody or immunoglobulin fusion protein as described herein. Such a preparation is substantially free of proteins and peptides with which the protein naturally occurs in a cell or with which it naturally occurs when secreted by a cell.

Such antibodies or immunoglobulin fusion proteins, expressed in mammalian cells or elsewhere, can be purified according to standard procedures of the art, including ammonium sulfate precipitation, fractionation column chromatography ion exchange, gel filtration, electrophoresis, affinity chromatography, etc.) and ultimately, crystallization (see generally, "Enzyme Purification and Related Techniques", Methods in Enzymology, 22:233-577 (1971)). Preferably, the antibodies or immunoglobulin fusion proteins are purified using an immobilized protein A column (Repligen Corporation, Cambridge, MA). Once purified, partially or to homogeneity, the recombinantly produced antibody or immunoglobulin fusion proteins or portions thereof can be utilized in compositions suitable for pharmaceutical administration as described in detail herein.

In one embodiment the CTLA4-immunoglobulin fusion protein is an antibody form in which the heavy and light chains have been replaced with the extracellular domain of CTLA4. This molecule has a different valency and higher affinity for -22- CTLA4 ligands, thus making it possible to obtain similar results while using less of the agent. The fact that this molecule has a true antibody tail which is fully glycosylated means that numerous cell lines for producing the CTLA4Ab fusion protein and data regarding the clinical use of antibodies may be relied on.

Screening of antibodies or immunoglobulin fusion proteins which have been modified to reduce at least one constant region-mediated biological effector function as described herein can be accomplished using one or more of several different assays which measure different effector functions. For example, to identify a CTLA4immunoglobulin fusion protein having reduced Fc receptor interaction, a monomeric IgG binding assay can be conducted (see Example A cell which expresses an Fc receptor, such as a mononuclear phagocyte or the U937 cell line (FcyRI expression), a hematopoietic cell (FcyRII expression; Rosenfeld, et al. (1985) J. Clin. Invest.

76:2317-2322) or a neutrophil (FcyRIII expression; Fleit, et al. (1982) Proc. Natl.

Acad. Sci. USA 79:3275-3279 and Petroni, et al. (1988) J. Immunol. 140:3467- 3472) is contacted with, for example, 12 5 1-labeled immunoglobulin of the IgGI isotype in the presence or absence of a modified CTLA4-immunoglobulin fusion protein of the invention and in the presence or absence of an appropriate control molecule an unlabeled IgGI antibody or a CTLA4-IgG1 fusion protein). The amount of 12 5 1-labeled IgG1 bound to the cells and/or the amount of free 12 5 1-labeled IgG in the supernatant is determined. A CTLA4-immunoglobulin fusion protein having reduced Fc receptor binding is identified by a reduced ability (or lack of ability) to inhibit binding of the 12 5 1-labeled IgGI to the cells (relative to the control molecule). Monomeric IgG binding assay are described further in Lund, et al. (1991) J Immunol. 147:2657-2662; and Woof, et al. (1986) Mol. Immunol. 23:319.

To identify a CTLA4-immunoglobulin fusion protein with a reduced ability to activate the complement cascade, a complement activation assay such as that described in Example 2 can be used. In this assay, a cell which expresses a CTLA4 ligand B7-1 or B7-2) on its surface is loaded with a detectable substance, a fluorescent dye, and then contacted with the CTLA4-immunoglobulin fusion protein and a complement source purified guinea pig complement or human serum as a source of human complement). Cell lysis, as determined by release of the fluorescent dye from the cells, is determined as an indication of activation of the complement cascade upon binding of CTLA4-immunoglobulin to the CTLA4 ligand on the cell surface. Cells which do not express a CTLA4 ligand on their surface are used as a negative control. A CTLA4-immunoglobulin fusion protein with reduced ability (or lack of the ability) to activate complement relative to an appropriate control molecule anti-B7-l -23antibody of the IgG I isotype or a CTLA4-lgGI fusion protein) is identified by a reduction in or absence of cell lysis of labeled. CTLA4 ligand positive cells when incubated in the presence of the CTLA4-immunoglobulin fusion protein of the invention and complement compared to cells incubated in the presence of the control molecule and complement.

In another complement activation assay, the ability of a CTLA4-immunoglobulin fusion protein to bind the first component of the complement cascade. Clq. is assessed.

For example, Clq binding can be determined using a solid phase assay in which 1251labeled human Clq is added to an amount of CTLA4-immunoglobulin fusion protein complexed with a CTLA4 ligand, such as B7-1 or B7-2, and the amount of bound 1251labeled human Clq quantitated. A CTLA4-immunoglobulin fusion protein having a reduced complement activation activity (or lack of complement activation activity) is identified by a reduction in or absence of the ability to bind the 12 5 1-labeled human Clq relative to an appropriate control molecule an IgGI antibody or a CTLA4-IgGl fusion protein). C q binding assays are described further in Tan. et al. (1990) Proc. Nail. Acad Sci. USA 87:162-166; and Duncan, A.R. and G. Winter (1988) Nature 332:738-740.

Additional assays for other immunoglobulin constant region-mediated effector functions, such as opsonization and phagocytosis, antibody-dependent cellular cytotoxicity and release of reactive oxygen intermediates, have been described in the art and are known to the skilled artisan.

Screening for CTLA4-immunoglobulin fusion proteins which have a CTLA4 activity as described herein can be accomplished using one or more of several different assays. For example, the fusion proteins can be screened for specific reactivity with an anti-CTLA4 antibody a monoclonal or polyclonal anti-CTLA4 antibody) or with a soluble form of a CTLA4 ligand, such as a B7-1 or B7-2 fusion protein B7-1 g or B7-2Ig). For example, appropriate cells, such as CHO or NSO cells, can be transfected with a DNA encoding a CTLA4-immunoglobulin fusion protein and the cell supernatant analyzed for expression of the resulting fusion protein using an anti-CTLA4 monoclonal antibody or B7-1Ig or B7-2Ig fusion protein in a standard immunoprecipitation assay.

Alternatively, the binding of a CTLA4-immunoglobulin fusion protein to a cell which expresses a CTLA4 ligand, such as a B7-1 or B7-2, on its surface can be assessed. For example, a cell expressing a CTLA4 ligand, such as a CHO cell transfected to express B7-1, is contacted with the CTLA4-immunoglobulin fusion protein and binding detected by indirect immunostaining using, for example, a FITC-conjugated reagent goat anti-mouse Ig serum for murine monoclonal antibodies or goat anti-human IgCy serum -24for fusion proteins) and fluorescence analyzed by FACS® analysis(Becton Dickinson Co., Mountain View, CA).

Other suitable assays take advantage of the functional characteristics of the CTLA4-immunoglobulin fusion protein. As previously set forth, the ability ofT cells to synthesize cytokines depends not only on occupancy or cross-linking of the T cell receptor for antigen ("the primary activation signal provided by, for example antigen bound to an MHC molecule, anti-CD3, or phorbol ester to produce an "activated T cell"), but also on the induction of a costimulatory signal, in this case, by interaction of a B7 family protein B7-1 or B7-2) with its ligand (CD28 and/or CTLA4) on the surface of T cells. The B7:CD28/CTLA4 interaction has the effect of transmitting a signal to the T cell that induces the production of increased levels of cytokines, particularly of interleukin-2, which in turn stimulates the proliferation of the T lymphocytes. In one embodiment, the CTLA4-immunoglobulin fusion proteins of the invention have the functional property of being able to inhibit the B7:CD28/CTLA4 interaction. Accordingly, other screening assays for identifying a functional CTLA4immunoglobulin fusion protein involve assaying for the ability of the fusion protein to inhibit synthesis of cytokines, such as interleukin-2, interleukin-4 or other known or unknown novel cytokines and/or the ability to inhibit T cell proliferation by T cells which have received a primary activation signal.

The ability of a CTLA4-immunoglobulin fusion protein of the invention to inhibit or block an interaction between a B7 family protein B7-1 or B7-2) with its receptor on T cells CD28 and/or CTLA4) can be assessed in an in vitro T cell culture system by stimulating T cells with a source of ligand cells expressing B7-1 and/or B7-2 or a secreted form of B7-1 and/or B7-2) and a primary activation signal such as antigen in association with Class II MHC (or alternatively, anti-CD3 antibodies or phorbol ester) in the presence or absence of the CTLA4-immunoglobulin fusion protein. The culture supernatant is then assayed for cytokine production, such as interleukin-2, gamma interferon, or other known or unknown cytokine. For example, any one of several conventional assays for interleukin-2 can be employed, such as the assay described in Proc. Natl. Acad. Sci. USA, 86:1333 (1989). An assay kit for interferon production is also available from Genzyme Corporation (Cambridge, MA.).

T cell proliferation can be measured in vitro by determining the amount of 3 H-labeled thymidine incorporated into the replicating DNA of cultured cells. The rate and amount of DNA synthesis and, in turn, the rate of cell division can thus be quantified. A lack of or reduction in the amount of cytokine production and/or T cell proliferation by stimulated T cells upon culture with a CTLA4-immunoglobulin fusion protein of the invention indicates that the fusion protein is capable of inhibiting the delivery of a costimulatory signal to the T cell by inhibiting an interaction between a CTLA4 ligand B7-1 and/or B7-2) and a receptor therefor CD28 and/or CTLA4).

The ability of the CTLAIg fusion protein to induce antigen-specific T cell unresponsiveness or anergy can also be assessed using the in vitro T cell culture system described above. Following stimulation of the T cells with a specific antigen bound to MHC molecules on an antigen presenting cell surface and CTLA4 ligand B7-1 on the antigen presenting cell surface) in the presence of CTLA4-immunoglobulin fusion protein, the T cells are subsequently restimulated with the antigen in the absence of CTLA4-immunoglobulin fusion protein. A lack of cytokine production and/or T cell proliferation upon antigenic restimulation by T cells previously treated with a CTLA4immunoglobulin fusion protein of the invention indicates that the fusion protein has induced a state of antigen-specific anergy or non-responsiveness in the T cells. See, Gimmi, C.D. et al. (1993) Proc. Natl. Acad. Sci. USA 90:6586-6590; and Schwartz (1990) Science 248:1349-1356, for assay systems that can used to examine T cell unresponsiveness in accordance with the present invention.

In yet another assay, the ability of a CTLA4-immunoglobulin fusion protein of the invention to inhibit T cell dependent immune responses in vitro is determined. The effect of a CTLA4-immunoglobulin fusion protein on Th-induced immunoglobulin production by B cells can be assessed by contacting antigen-specific CD4+ T cells with syngeneic antigen-specific B cells, antigen and the CTLA4-immunoglobulin fusion protein. The cell culture supernatant is assayed for the production of immunoglobulin.

such as IgG or IgM, using, for example, a solid phase ELISA or a standard plaque assay.

Inhibition of B cell immunoglobulin production by treatment of the culture with the CTLA4-immunoglobulin fusion protein indicates that the protein is capable inhibiting T helper cell responses and, consequently, T cell dependent B cell responses.

IV. Compositions of Antibodies or Immunoglobulin Fusion Proteins The mutated antibodies or CTLA4-immunoglobulin fusion proteins of the invention can be incorporated into compositions suitable for administration to subjects to thereby modulate immune responses or for other purposes antibody production).

The mutated antibody or CTLA4-immunoglobulin fusion protein in such compositions is in a biologically compatible form suitable for pharmaceutical administration in vivo By "biologically compatible form suitable for administration in vivo" is meant a form of the protein to be administered in which any toxic effects are outweighed by the therapeutic effects of the protein. The term subject is intended to include living -26organisms in which an immune response can be elicited, mammals. Examples of subjects include humans, monkeys, dogs, cats, mice, rats. and transgenic species thereof.

Administration of a CTLA4-immunoglobulin fusion protein as described herein can be in any pharmacological form including a therapeutically active amount of protein and a pharmaceutically acceptable carrier. Administration of a therapeutically active amount of the therapeutic compositions of the invention is defined as an amount effective, at dosages and for periods of time necessary to achieve the desired result. For example, a therapeutically active amount of a CTLA4-immunoglobulin fusion protein may vary according to factors such as the disease state, age, sex, and weight of the individual, and the ability of protein to elicit a desired response in the individual. Dosage regima may be adjusted to provide the optimum therapeutic response. For example, several divided doses may be administered daily or the dose may be proportionally reduced as indicated by the exigencies of the therapeutic situation.

The active compound CTLA4-immunoglobulin fusion protein) may be administered in a convenient manner such as by injection (subcutaneous, intravenous.

etc.). oral administration, inhalation, transdermal application, or rectal administration.

Depending on the route of administration, the active compound may be coated in a material to protect the compound from the action of enzymes, acids and other natural conditions which may inactivate the compound.

To administer an antibody or immunoglobulin fusion protein by other than parenteral administration, it may be necessary to coat the protein with, or co-administer the protein with, a material to prevent its inactivation. For example, a CTLA4immunoglobulin fusion protein may be administered to an individual in an appropriate carrier, diluent or adjuvant, co-administered with enzyme inhibitors or in an appropriate carrier such as liposomes. Pharmaceutically acceptable diluents include saline and aqueous buffer solutions. Adjuvant is used in its broadest sense and includes any immune stimulating compound, such as interferon. Adjuvants contemplated herein include resorcinols, non-ionic surfactants such as polyoxyethylene oleyl ether and nhexadecyl polyethylene ether. Enzyme inhibitors include pancreatic trypsin inhibitor, diisopropylfluorophosphate (DEP) and trasylol. Liposomes include water-in-oil-inwater emulsions as well as conventional liposomes (Strejan et al., (1984) J.

Neuroimmunol 7:27).

The active compound may also be administered parenterally or intraperitoneally.

Dispersions can also be prepared in glycerol, liquid polyethylene glycols, and mixtures thereof and in oils. Under ordinary conditions of storage and use, these preparations may contain a preservative to prevent the growth of microorganisms.

-27- Pharmaceutical compositions suitable for injectable use include sterile aqueous solutions (where water soluble) or dispersions and sterile powders for the extemporaneous preparation of sterile injectable solutions or dispersion. In all cases, the composition must be sterile and must be fluid to the extent that easy syringability exists.

It must be stable under the conditions of manufacture and storage and must be preserved against the contaminating action of microorganisms such as bacteria and fungi. The carrier can be a solvent or dispersion medium containing, for example, water, ethanol, polyol (for example, glycerol, propylene glycol, and liquid polyetheylene glycol, and the like), and suitable mixtures thereof. The proper fluidity can be maintained, for example, by the use of a coating such as lecithin, by the maintenance of the required particle size in the case of dispersion and by the use of surfactants. Prevention of the action of microorganisms can be achieved by various antibacterial and antifungal agents, for example, parabens, chlorobutanol, phenol, ascorbic acid, thimerosal, and the like. In many cases, it will be preferable to include isotonic agents, for example, sugars, polyalcohols such as manitol, sorbitol, sodium chloride in the composition. Prolonged absorption of the injectable compositions can be brought about by including in the composition an agent which delays absorption, for example, aluminum monostearate and gelatin.

Sterile injectable solutions can be prepared by incorporating the active compound CTLA4-immunoglobulin fusion protein) in the required amount in an appropriate solvent with one or a combination of ingredients enumerated above, as required, followed by filtered sterilization. Generally, dispersions are prepared by incorporating the active compound into a sterile vehicle which contains a basic dispersion medium and the required other ingredients from those enumerated above. In the case of sterile powders for the preparation of sterile injectable solutions, the preferred methods of preparation are vacuum drying and freeze-drying which yields a powder of the active ingredient peptide) plus any additional desired ingredient from a previously sterile-filtered solution thereof.

When the active compound is suitably protected, as described above, the protein may be orally administered, for example, with an inert diluent or an assimilable edible carrier. As used herein "pharmaceutically acceptable carrier" includes any and all solvents, dispersion media, coatings, antibacterial and antifungal agents, isotonic and absorption delaying agents, and the like. The use of such media and agents for pharmaceutically active substances is well known in the art. Except insofar as any conventional media or agent is incompatible with the active compound, use thereof in -28the therapeutic compositions is contemplated. Supplementary active compounds can also be incorporated into the compositions.

It is especially advantageous to formulate parenteral compositions in dosage unit form for ease of administration and uniformity of dosage. Dosage unit form as used herein refers to physically discrete units suited as unitary dosages for the mammalian subjects to be treated; each unit containing a predetermined quantity of active compound calculated to produce the desired therapeutic effect in association with the required pharmaceutical carrier. The specification for the dosage unit forms of the invention are dictated by and directly dependent on the unique characteristics of the active compound and the particular therapeutic effect to be achieved, and the limitations inherent in the art of compounding such an active compound for the treatment of sensitivity in individuals.

V. Uses of CTLA4-immunoglobulin Fusion Proteins Having Reduced IgC Region- Mediated Biological Effector Functions A. Immunomodulation Given the role of CTLA4 ligands, such as B7-1 and B7-2, in T cell costimulation and the structure and function of the CTLA4-immunoglobulin fusion proteins disclosed herein, the invention provides methods for downregulating immune responses. The reduced IgC-region mediated biological effector functions exhibited by the mutated CTLA4-immunoglobulin fusion proteins of the invention compared to a CTLA4-IgGI fusion protein may result in more effective downregulation of immune responses in vivo without unwanted side effects complement activation, antibody-dependent cellular cytotoxicity, etc.) than if a CTLA4-IgGl fusion protein were used. For example, improvements in mutated forms of CTLA4-immunoglobulin fusion proteins can be assessed by a variety of assays known to those skilled in the art, including various animal organ (heart, liver, kidney, bone marrow) transplantation models and in animal autoimmune disease models including, but not limited to lupus, multiple sclerosis, diabetes, and arthritis models.

Downregulation of an immune :sponse by a CTLA4-immunoglobulin fusion protein of the invention may be in the form of inhibiting or blocking an immune response already in progress or may involve preventing the induction of an immune response. The functions of activated T cells, such as T cell proliferation and cytokine IL-2) secretion, may be inhibited by suppressing T cell responses or by inducing specific tolerance in T cells, or both. Immunosuppression ofT cell responses is -29generally an active process which requires continuous exposure of the T cells to the suppressive agent and is often not antigen-specific. Tolerance, which involves inducing non-responsiveness or anergy in T cells, is distinguishable from immunosuppression in that it is generally antigen-specific and persists after exposure to the tolerizing agent has ceased. Operationally, T cell unresponsiveness or anergy can be demonstrated by the lack ofa T cell response upon reexposure to specific antigen in the absence of the tolerizing agent. Immunosuppression and/or T cell unresponsiveness is achieved by blocking the interaction of a CTLA4 ligand on an antigen presenting cell with CTLA4 itself and/or with another receptor for the CTLA4 ligand CD28) on the surface of a T cell, blocking the interaction of a B7 family protein, such as B7-1 and/or B7-2, with a counter-receptor, such as CD28 or CTLA4, on the surface ofa T cell. The term "antigen presenting cell" is intended to include B lymphocytes, professional antigen presenting cells monocytes, dendritic cells, Langerhan cells) and others cells keratinocytes, endothelial cells, astrocytes, fibroblasts, oligodendrocytes) which can present antigen to T cells. The CTLA4-immunoglobulin fusion proteins of the invention can be used to inhibit CTLA4 ligand/receptor interactions in many clinical situations, as described further below.

1. Organ Transplantation/GVHD: Inhibition of T cell responses by a CTLA4-immunoglobulin fusion protein of the invention is useful in situations of cellular, tissue, skin and organ transplantation and in bone marrow transplantation to inhibit graft-versus-host disease (GVHD)). For example, inhibition of T cell proliferation and/or cytokine secretion may result in reduced tissue destruction in tissue transplantation and induction of antigen-specific T cell unresponsiveness may result in long-term graft acceptance without the need for generalized immunosuppression.

Typically, in tissue transplants, rejection of the graft is initiated through its recognition as foreign by T cells, followed by an immune reaction that destroys the graft.

Administration of a CTLA4-immunoglobulin fusion protein of the invention to a transplant recipient inhibits triggering of a costimulatory signal in alloantigen-specific

T

cells, thereby inhibiting T cell responses to alloantigens and, moreover, may induce graft-specific T cell unresponsiveness in the recipient. The transplant recipient can be treated with the CTLA4-immunoglobulin fusion protein alone or together with one or more additional agents that inhibit the generation of stimulatory signals in the T cells anti-B7-1 and/or anti-B7-2 antibodies, an anti-IL-2 receptor antibody) or induce general immunosuppression cyclosporin A or FK506).

Use of a CTLA4-immunoglobulin fusion protein to inhibit triggering of a costimulatory signal in T cells can similarly be applied to the situation of bone marrow transplantation to specifically inhibit the responses of alloreactive T cells present in donor bone marrow and thus inhibit GVHD. A CTLA4-immunoglobulin fusion protein can be administered to a bone marrow transplant recipient to inhibit the alloreactivity of donor T cells. Additionally or alternatively, donor T cells within the bone marrow graft can be tolerized to recipient alloantigens ex vivo prior to transplantation. For example, donor bone marrow can be cultured with cells from the recipient irradiated hematopoietic cells) in the presence of a CTLA4-immunoglobulin fusion protein of the invention prior to transplantation. Additional agents that inhibit the generation of stimulatory signals in the T cells anti-B7-1 and/or anti-B7-2 antibodies, an anti-IL- 2R antibody etc., as described above) can be included in the culture. After transplantation, the recipient may be further treated by in vivo administration of CTLA4immunoglobulin (alone or together with another agent(s) which inhibits the generation of a costimulatory signal in T cells in the recipient or inhibits the production or function of a T cell growth factor(s) IL-2) in the recipient).

The efficacy of a particular CTLA4-immunoglobulin fusion protein in inhibiting organ transplant rejection or GVHD can be assessed using animal models that may be predictive of efficacy in humans. Given the homology between CTLA4 molecules of different species, the functionally important aspects of CTLA4 are believed to be conserved structurally among species thus allowing animal systems to be used as models for efficacy in humans. Examples of appropriate systems which can be used include allogeneic cardiac grafts in rats and xenogeneic pancreatic islet cell grafts in mice, both of which have been used to examine the immunosuppressive effects of CTLA4-IgGI fusion proteins in vivo as described in Lenschow et al.. Science, 257: 789-792 (1992) and Turka et al., Proc. Natl. Acad Sci. USA, 89: 11102-11105 (1992). In addition, murine models of GVHD (see Paul ed., Fundamental Immunology, Raven Press, New York, 1989, pp. 846-847) can be used to determine the effect of treatment with a CTLA4-immunoglobulin fusion protein of the invention on the development of that disease.

As an illustrative embodiment, a CTLA4-immunoglobulin fusion protein of the invention can be used in a rat model of organ transplantation to ascertain the ability of the fusion protein to inhibit alloantigen responses in vivo. Recipient Lewis rats receive a Brown-Norway rat strain cardiac allograft which is anastamosed to vessels in the neck as described in Boiling, S.F. et al., Transplant. 453:283-286 (1992). Grafts are monitored for mechanical function by palpation and for electrophysiologic function by electrocardiogram. Graft rejection is said to occur on the last day of palpable contractile function. As an initial test. animals are treated with daily injections of a CTLA4- -31 immunoglobulin fusion protein of interest, an isotype-matched control Ig fusion protein and/or CTLA4-IgGI (for comparison purposes) for 7 days. Fusion proteins are administered at a dosage range between approximately 0.015 mg/day and 0.5 mg/day.

Untreated Lewis rats typically reject heterotopic Brown-Norway allografts in about 7 days. The rejection of allografts by fusion protein-treated animals is assessed in comparison to untreated controls.

An untreated animal and a fusion protein-treated animal are sacrificed for histological examination. Cardiac allografts are removed from the untreated animal and the treated animal four days after transplantation. Allografts are fixed in formalin, and tissue sections are stained with hematoxylin-eosin. The heart tissue of the untreated and treated animals is examined histologically for severe acute cellular rejection including a prominent interstitial mononuclear cell infiltrate with edema formation, myocyte destruction, and infiltration of arterlolar walls. The effectiveness of the fusion protein treatment in inhibiting graft rejection is supported by a lack of an acute cellular rejection in the heart tissue of the fusion protein treated animals.

To determine whether fusion protein therapy establishes long term graft acceptance that persists following treatment, animals treated for 7 days with daily injections of fusion protein are observed without additional therapy until cessation of graft function. Graft survival is assessed daily as described above. Allografts are examined histologically from animals in which the graft stops functioning as described above. Induction of graft tolerance by fusion protein treatment is indicated by the continued functioning of the graft following the cessation of treatment with the fusion protein.

After prolonged graft acceptance, a fusion protein-treated animal can be sacrificed and the lymphocytes from the recipient can be tested for their functional responses. These responses are compared with those of lymphocytes from a control (non-transplanted) Lewis rat, and results are normalized as a percentage of the control response. The T cell proliferative response to ConA and to cells from a Brown-Norway rat and a third party ACI rat can be examined. Additionally, the thymus and spleen from the untreated and treated animals can be compared in size, cell number and cell type by flow cytometic analyses of thymus, lymph nodes and spleen cells). Specific nonresponsiveness in the treated animals to alloantigens, as a result of specific clonal deletion of alloreactive cells, is indicated by the ability of the T cells to respond to ConA and third party stimulators ACI rat cells) but not to Brown-Norway rat cells.

Prolonged acceptance of allografts, including continued graft acceptance following CTLA4-immunoglobulin treatment, in this model system may be predictive of the -32therapeutic efficacy of the CTLA4-immunoglobulin fusion proteins of the invention in human transplant situations.

2. Autoimmune Diseases: Inhibition of T cell responses by a CTLA4immunoglobulin fusion protein of the invention may also be therapeutically useful for treating autoimmune diseases. Many autoimmune disorders are the result of inappropriate activation of T cells that are reactive against self tissue reactive against autoantigens) and which promote the production of cytokines and autoantibodies involved in the pathology of the diseases. Preventing the activation of autoreactive T cells thus may reduce or eliminate disease symptoms. Administration of a CTLA4immunoglobulin fusion protein of the invention to a subject suffering from or susceptible to an autoimmune disorder may inhibit autoantigen-specific T cell responses and induce autoantigen-specific T cell unresponsiveness, thereby inhibiting or preventing production of autoantibodies or T cell-derived cytokines which may be involved in the disease process.

To treat an autoimmune disorder, a CTLA4-immunoglobulin fusion protein of the invention is administered to a subject in need of treatment. For autoimmune disorders with a known autoantigen, it may be desirable to coadminister the autoantigen with the CTLA4-immunoglobulin to the subject. This method can be used to treat a variety of autoimmune diseases and disorders having an autoimmune component, including diabetes mellitus, arthritis (including rheumatoid arthritis, juvenile rheumatoid arthritis, osteoarthritis, psoriatic arthritis), multiple sclerosis, myasthenia gravis, systemic lupus erythematosis, autoimmune thyroiditis, dermatitis (including atopic dermatitis and eczematous dermatitis), psoriasis, Sjogren's Syndrome, including keratoconjunctivitis sicca secondary to Sj6gren's Syndrome, alopecia areata, allergic responses due to arthropod bite reactions, Crohn's disease, aphthous ulcer, iritis, conjunctivitis, keratoconjunctivitis, ulcerative colitis, asthma, allergic asthma, cutaneous lupus erythematosus, scleroderma, vaginitis, proctitis, drug eruptions, leprosy reversal reactions, erythema nodosum leprosum, autoimmune uveitis, allergic encephalomyelitis, acute necrotizing hemorrhagic encephalopathy, idiopathic bilateral progressive sensorineural hearing loss, aplastic anemia, pure red cell anemia, idiopathic thrombocytopenia, polychondritis. Wegener's granulomatosis, chronic active hepatitis, Stevens-Johnson syndrome, idiopathic sprue, lichen planus, Crohn's disease, Graves ophthalmopathy, sarcoidosis, primary biliary cirrhosis, uveitis posterior, and interstitial lung fibrosis.

-33- The efficacy of a CTLA4-immunoglobulin fusion protein of the invention in preventing or alleviating autoimmune disorders can be determined using a number of well-characterized animal models of human autoimmune diseases. Examples include murine experimental autoimmune encephalitis, systemic lupus erythmatosis in MRL/lpr/lpr mice or NZB hybrid mice, murine autoimmune collagen arthritis, diabetes mellitus in NOD mice and BB rats, and murine experimental myasthenia gravis (see Paul ed., Fundamental Immunology, Raven Press, New York, 1989. pp. 840-856).

Experimental Autoimmune Encephalomyelitis (EAE) is a rodent and primate model for multiple sclerosis. In an illustrative embodiment utilizing the passive EAE model, donor mice are immunized with 0.4 mg Myelin Basic Protein (MBP) in Complete Freund's Adjuvant (CFA), divided over four quadrants. The draining axillary and inguinal lymph nodes are removed eleven days later. Lymph node cells (4 x 6 /ml) are plated in 2 ml cultures in 24 well plates, in the presence of 25 pg/ml MBP.

After four days in culture, 30 x 106 of the treated cells are injected into the tail vein of each naive, syngeneic recipient mouse.

The recipient mice develop a remitting, relapsing disease and are evaluated utilizing the following criteria: 0 normal, healthy 1 limp tail, incontinence; occasionally the first sign of the disease is a "tilt" 2 hind limb weakness, clumsiness 3 mild paraparesis 4 severe paraparesis quadriplegia 6 death Using the passive model of EAE, the effect of CTLA4-immunoglobulin treatment of the donor cells on resulting disease severity in a recipient animal is tested in mice the PLSJLF1/J strain). Culture of lymph node cells in vitro with MBP is performed either in the presence or the absence of about 30 pg/ml of a CTLA4immunoglobulin fusion protein of the invention, an isotype matched control Ig fusion protein or CTLA4IgG (for comparison purposes). The treated cells are then introduced into a syngeneic recipient mouse. The effect of fusion protein treatment of donor cells on the severity of the recipient's first episode of disease as compared to mice receiving untreated cells can be determined using the above-described criteria to assess disease severity. In addition, ensuing relapses in the mice receiving fusion protein-treated cells versus untreated cells can be assessed using the above-described criteria.

-34- The effect of treating both the donor mice and the cultured donor cells with CTLA4-immunoglobulin on the clinical disease severity in the recipient can further be assessed. In these experiments, donor mice of the SJL/J strain) immunized with MBP are given either 100 pg of CTLA4-immunoglobulin fusion protein, an isotype matched control Ig fusion protein or CTLA4-IgGI (for comparison) intraperitoneally each day for eleven days. Cells are then isolated from lymph nodes of these donors and cultured with MBP in vitro in the presence of either 30 pg/ml of CTLA4immunoglobulin fusion protein or control fusion proteins. The treated cells are then introduced into a syngeneic recipient. The effect of fusion protein treatment on the severity of the ensuing disease in the recipient is then assessed using the abovedescribed criteria.

Studies using a direct (active) model of EAE can also conducted. In these experiments, a CTLA4-immunoglobulin fusion protein of the invention or control fusion protein is directly administered to mice immunized with MBP and treated with pertussis toxin Mice the PLSJLFI/J strain) are immunized with MBP on day 0, injected with PT intravenously on days 0 and 2, and given either a CTLA4immunoglobulin fusion protein of the invention or a control fusion protein on days 0 to 7. The effect of direct fusion protein treatment of the MBP-immunized mice on the severity of the ensuing disease is then assessed using the above-described criteria. A reduced severity in disease symptoms in the passive and/or active EAE model as a result of CTLA4-immunoglobulin treatment may be predictive of the therapeutic efficacy of the CTLA4-immunoglobulin fusion proteins of the invention in human autoimmune diseases.

3. Allergy: The IgE antibody response in atopic allergy is highly T cell dependent and, thus, inhibition of CTLA4 ligand/receptor induced T cell activation may be useful therapeutically in the treatment of allergy and allergic reactions. A CTLA4immunoglobulin fusion protein of the invention can be administered to an allergic subject to inhibit T cell mediated allergic responses in the subject. Inhibition of costimulation of T cells through inhibition of a CTLA4 ligand/receptor interaction may be accompanied by exposure to allergen in conjunction with appropriate MHC molecules. Exposure to the allergen may be environmental or may involve administering the allergen to the subject. Allergic reactions may be systemic or local in nature, depending on the route of entry of the allergen and the pattern of deposition of IgE on mast cells or basophils. Thus. it may be necessary to inhibit T cell mediated allergic responses locally or systemically by proper administration of a CTLA4immunoglobulin fusion protein of the invention. For example, in one embodiment, a CTLA4-immunoglobulin fusion protein of the invention and an allergen are coadminstered subcutaneously to an allergic subject.

4. Virally Infected or Malignant T Cells: Inhibition ofT cell activation through blockage of the interaction of a CTLA4 ligand with a receptor therefor on T cells may also be important therapeutically in viral infections ofT cells. For example, in the acquired immune deficiency syndrome (AIDS), viral replication is stimulated by T cell activation. Blocking a CTLA4 ligand/receptor interaction, such as the interaction of B7- 1 and/or B7-2 with CD28 and/or CTLA4 could lead to a lower level of viral replication and thereby ameliorate the course of AIDS. Surprisingly, HTLV-I infected T cells express B7-1 and B7-2. This expression may be important in the growth of HTLV-I infected T cells and the blockage of B7-1 function together with the function of B7-2 with a CTLA4-immunoglobulin fusion protein, possibly in conjunction with another blocking reagent (such as an anti-B7-2 blocking antibody or a CD28Ig fusion protein) may slow the growth of HTLV-I induced leukemias. In addition, some tumor cells are responsive to cytokines and the inhibition ofT cell activation and cytokine production could help to inhibit the growth of these types of cancer cells.

Antigen-Specific T Cell Unresponsiveness: The methods of the invention for inhibiting T cell responses can essentially be applied to any antigen protein) to clonally delete T cells responsive to that antigen in a subject. For example, in one study, administration of a CTLA4-IgGI fusion protein to mice in vivo suppressed primary and secondary T cell-dependent antibody responses to antigen (Linsley et al. (1992) Science 257, 792-795). Thus, a subject treated with a molecule capable of inducing a T cell response can be treated with CTLA4-immunoglobulin fusion protein to inhibit T cell responses to the molecule. This basic approach has widespread application as an adjunct to therapies which utilize a potentially immunogenic molecule for therapeutic purposes. For example, an increasing number of therapeutic approaches utilize a proteinaceous molecule, such as an antibody, fusion protein or the like, for treatment of a clinical disorder. A limitation to the use of such molecules therapeutically is that they can elicit an immune response directed against the therapeutic molecule in the subject being treated the efficacy of murine monoclonal antibodies in human subjects is hindered by the induction of an immune response against the antobodies in the human subject). Administration of a CTLA4-immunoglobulin fusion protein to inhibit antigen- -36specific T cell responses can be applied to these therapeutic situations to enable long term usage of the therapeutic molecule in the subject without elicitation of an immune response. For example, a therapeutic antibody murine mAb) is administered to a subject human), which typically activates T cells specific for the antibody in the subject. To inhibit the T cell response against the therapeutic antibody, the therapeutic antibody is administered to the subject together with a CTLA4-immunoglobulin fusion protein of the invention.

When used therapeutically, a CTLA4-immunoglobulin fusion protein of the invention can be used alone or in conjunction with one or more other reagents that influence immune responses. A CTLA4-immunoglobulin fusion protein and another immunomodulating reagent can be combined as a single composition or administered separately (simultaneously or sequentially) to downregulate T cell mediated immune responses in a subject. Examples of other immunomodulating reagents include blocking antibodies, against B7-1, B7-2 or other B cell surface antigens or cytokines, other fusion proteins, CD28Ig, or immunosuppressive drugs, cyclosporine A or FK506.

The CTLA4-immunoglobulin fusion proteins of the invention may also be useful in the construction of therapeutic agents which block immune cell function by destruction of the cell. For example, by linking a CTLA4-immunoglobulin fusion protein to a toxin such as ricin or diptheria toxin, an agent capable of preventing immune cell activation would be made. Infusion of one or a combination of immunotoxins into a patient would result in the death of immune cells, particularly of activated B cells that express higher amounts of B7-1 and/or B7-2.

B. Screening Assays Another application of the CTLA4-immunoglobulin fusion proteins of the invention is the use the protein in screening assays to discover as yet undefined molecules which inhibit an interaction between CTLA4 and a CTLA4 ligand, such as B7-1 or B7-2. For example, the CTLA4-immunoglobulin fusion protein can be used in a solid-phase binding assay in which panels of molecules are tested. In one embodiment, the screening method of the invention involves contacting a CTLA4immunoglobulin fusion protein of the invention with a CTLA4 ligand and a molecule to be tested. Either the CTLA4-immunoglobulin fusion protein or the CTLA4 ligand is labeled with a detectable substance, such as a radiolabel or biotin, which allows for detection and quantitation of the amount of binding of CTLA4-immunoglobulin to the CTLA4 ligand. After allowing CTLA4-immunoglobulin and the CTLA4 ligand to -37interact in the presence of the molecule to be tested, unbound labeled CTLA4immunoglobulin fusion protein or unbound labeled CTLA4 ligand is removed and the amount of CTLA4-immunoglobulin fusion protein bound to the CTLA4 ligand is determined. A reduced amount of binding of CTLA4-immunoglobulin fusion protein to the CTLA4 ligand in the presence of the molecule tested relative to the amount of binding in the absence of the molecule is indicative of an ability of the molecule to inhibit binding of CTLA4 to the CTLA4 ligand. Suitable CTLA4 ligands for use in the screening assay include B7-1 or B7-2 B7-l1g or B7-2Ig fusion proteins can be used). Preferably, either the unlabeled CTLA4-immunoglobulin fusion protein or the unlabeled CTLA4 ligand is immobilized on a solid phase support, such as a polystyrene plate or bead, to facilitate removal of the unbound labeled protein from the bound labeled protein.

C. Antibody Production The CTLA4-immunoglobulin fusion proteins produced from the nucleic acid molecules of the invention can also be used to produce antibodies specifically reactive with the fusion protein and in particular with the CTLA4 moiety thereof anti- CTLA4 antibodies). For example, by immunization with a CTLA4-immunoglobulin fusion protein, anti-CTLA4 polyclonal antisera or monoclonal antibodies can be made using standard methods. A mammal, a mouse, hamster, or rabbit) can be immunized with an immunogenic form of the fusion protein which elicits an antibody response in the mammal. Techniques for conferring immunogenicity on a protein include conjugation to carriers or other techniques well known in the art. For example.

the protein can be administered in the presence of adjuvant. The progress of immunization can be monitored by detection of antibody titers in plasma or serum.

Standard ELISA or other immunoassay can be used with the immunogen as antigen to assess the levels of antibodies. An ELISA or other immunoassay which distinguishes antibodies reactive with the CTLA4 portion of the fusion protein from those which react with the IgC region are preferred the extracellular domain of CTLA4 alone can be used in a standard ELISA to detect anti-CTLA4 antibodies).

Following immunization, antisera can be obtained and, if desired, polyclonal antibodies isolated from the sera. To produce monoclonal antibodies, antibody producing cells (lymphocytes) can be harvested from an immunized animal and fused with myeloma cells by standard somatic cell fusion procedures thus immortalizing these cells and yielding hybridoma cells. Such techniques are well known in the art.

Examples include the hybridoma technique originally developed by Kohler and Milstein -38- (Nature (1975) 256:495-497) as well as other techniques such as the human B-cell hybridoma technique (Kozbar et al., Immunol. Today (1983) 4:72), the EBV-hybridoma technique to produce human monoclonal antibodies (Cole et al. Monoclonal Antibodies in Cancer Therapy (1985) (Allen R. Bliss, Inc., pages 77-96), and screening of combinatorial antibody libraries (Huse et al., Science (1989) 246:1275). Hybridoma cells can be screened immunochemically for production of antibodies specifically reactive with CTLA4 and monoclonal antibodies isolated.

The term antibody as used herein is intended to include fragments thereof which are also specifically reactive with a CTLA4-immunoglobulin fusion protein as described herein. Antibodies can be fragmented using conventional techniques and the fragments screened for utility in the same manner as described above for whole antibodies. For example, F(ab') 2 fragments can be generated by treating antibody with pepsin. The resulting F(ab') 2 fragment can be treated to reduce disulfide bridges to produce Fab' fragments. The term "antibody" is further intended to include bispecific and chimeric molecules having an anti-CTLA4-immunoglobulin fusion protein portion, chimeric antibody derivatives, antibody molecules that combine a non-human animal variable region and a human constant region, and humanized antibodies in which parts of the variable regions, especially the conserved framework regions of the antigen-binding domain, are of human origin and only the hypervariable regions are of non-human origin. Techniques for preparing chimeric or humanized antibodies are well known in the art (see Morrison et al., Proc. Natl. Acad. Sci. U.S.A. 81:6851 (1985); Takeda et al., Nature 314:452 (1985), Cabilly et al., U.S. Patent No. 4,816,567; Boss et al.. U.S.

Patent No. 4,816,397; Tanaguchi et al., European Patent Publication EP171496; European Patent Publication 0173494, United Kingdom Patent GB 2177096B, Teng et al., Proc. Nail. Acad. Sci. 80:7308-7312 (1983); Kozbor et al., Immunology Today, 4:7279 (1983); Olsson et al., Meth. Enzymol., 92:3-16 (1982); PCT Publication W092/06193 and EP 0239400). Another method of generating specific antibodies, or antibody fragments, reactive against a CTLA4-immunoglobulin fusion protein is to screen expression libraries encoding immunoglobulin genes, or portions thereof, expressed in bacteria with a fusion protein produced from the nucleic acid molecules of the invention. For example, complete Fab fragments, VH regions, Fv regions and single chain Fv regions can be expressed in bacteria using phage expression libraries. See for example Ward et al., Nature, 341: 544-546: (1989); Huse et al., Science, 246: 1275- 1281 (1989); and McCafferty et al., Nature, 348: 552-554 (1990). Screening such libraries with, for example, a CTLA4-immunoglobulin fusion protein can identify -39immunoglobin fragments reactive with the protein, in particular the CTLA4 portion thereof.

An anti-CTLA4 antibody generated using the CTLA4-immunoglobulin fusion proteins described herein can be used therapeutically to inhibit immune cell activation through blocking receptor:ligand interactions necessary for stimulation of the cell.

These so-called "blocking antibodies" can be identified by their ability to inhibit T cell proliferation and/or cytokine production when added to an in vitro costimulation assay as described herein. The ability of blocking antibodies to inhibit T cell functions may result in immunosuppression and/or tolerance when these antibodies are administered in vivo.

D. Protein Purification The CTLA4-immunoglobulin fusion proteins of the invention can be used to isolate CTLA4 ligands from cell extracts or other preparations. For example, a CTLA4immunoglobulin fusion protein can be used to immunoprecipitate B7-1, B7-2 or an as yet unknown CTLA4 ligand from a whole cell, cytosolic or membrane protein extract prepared from B cells or other antigen presenting cell using standard techniques.

Additionally, anti-CTLA4 polyclonal or monoclonal antibodies prepared as described herein using a CTLA4-immunoglobulin fusion protein as an immunogen can be used to isolate the native CTLA4 antigen from cells. For example, antibodies reactive with the CTLA4 portion of the CTLA4-immunoglobulin fusion protein can be used to isolate the naturally-occurring or native form of CTLA4 from activated T lymphocytes by immunoaffinity chromatography using standard techniques.

This invention is further illustrated by the following examples which should not be construed as limiting. The contents of all references and published patent applications cited throughout this application are hereby incorporated by reference.

EXAMPLE 1: Preparation of CTLA4-immunoglobulin Fusion Proteins with Reduced Effector Function The extracellular portion of the T cell surface receptor CTLA4 was prepared as a fusion protein coupled to an immunoglobulin constant region. The immunoglobulin constant region was genetically modified to reduce or eliminate effector activity inherent in the immunoglobulin structure. Briefly, DNA encoding the extracellular portion of CTLA4 was joined to DNA encoding the hinge, CH2 and CH3 regions of human IgCyl or IgCy4 modified by directed mutagenesis. This was accomplished as follows: f- Preparation of Gene Fusions DNA fragments corresponding to the DNA sequences of interest were prepared by polymerase chain reaction (PCR) using primer pairs described below. In general, PCR reactions were prepared in 100 pl final volume composed of Taq polymerase buffer (Gene Amp PCR Kit, Perkin-Elmer/Cetus, Norwalk, CT) containing primers (1 pM each), dNTPs (200 pM each), 1 ng of template DNA. and Taq polymerase (Saiki, et al. (1988)Science 239:487-491). PCR DNA amplifications were run on a thermocycler (Ericomp, San Diego, CA) for 25 to 30 cycles each composed of a denaturation step (1 minute at 94 OC), a renaturation step (30 seconds at 54 OC), and a chain elongation step (1 minute at 72 To create gene fusions encoding hybrid proteins, "zip up" PCR was used. This procedure is diagrammed schematically in Figure 1. A first set of forward and reverse primers was used to amplify the first gene segment of the gene fusion. A second set of forward and reverse primers was used to amplify the second gene segment of the gene fusion. Primers B and C were designed such that they contained complimentary sequences capable of annealing. The PCR products amplified by primers A C and B D are combined, annealed and extended ("zipped The fulllength gene fusion was then amplified in a third PCR reaction using the "zip up" fragment as the template and primers A and D as the forward and reverse primers, respectively.

The structure of each CTLA4 genetic fusion consisted of a signal sequence, to facilitate secretion, coupled to the extracellular domain of CTLA4 and the hinge. CH2 and CH3 domains of human IgCyl or IgCy4. The IgC y 1 and IgC y4 sequences were modified to contain nucleotide changes within the hinge region to replace cysteine residues available for disulfide bond formation and to contain nucleotide changes in the CH2 domain to replace amino acids thought to be required for IgC binding to Fc receptors and complement activation. The hinge region and CH2 domain amino acid mutations introduced into IgCyl and IgCy4 are illustrated in Figure 2A and 2B, respectively.

A. Construction of CTLA4-Ig Fusion Genes 1. Preparation of the Signal Sequence Gene Segment PCR amplification was used to generate an immunoglobulin signal sequence suitable for secretion of the CTLA4-Ig fusion protein from mammalian cells. The Ig signal sequence was prepared from a plasmid containing the murine IgG heavy chain -41gene (described in Orlandi, et al. (1989) Proc. Natl. Acad. Sci. USA 86:3833-3837) using the oligonucleotide TTCTCTCTAC-3' (SEQ ID NO: 1) as the forward primer and the oligonucleotide GCGGAGTGGACACCTGTGGAGAG-3' (SEQ ID NO: 2) as the reverse PCR primer. The forward PCR primer (SEQ ID NO: 1) contains recognition sequences for restriction enzymes XbaI and HindIII and is homologous to sequences 5' to the initiating methionine of the Ig signal sequence. The reverse PCR primer (SEQ ID NO: 2) is composed of sequences derived from the 5' end of the extracellular domain of CTLA4 and the 3' end of the Ig signal sequence. PCR amplification of the murine Ig signal template DNA using these primers resulted in a 233 bp product which is composed of XbaI and HindIII restriction sites followed by the sequence of the Ig signal region fused to the first 25 nt of the coding sequence of the extracellular domain of CTLA4. The junction between the signal sequence and CTLA4 is such that protein translation beginning at the signal sequence will continue into and through CTLA4 in the correct reading frame.

2. Preparation of the CTLA4 Gene Segment The extracellular domain of the CTLA4 gene was prepared by PCR amplification of plasmid phCTLA4. This plasmid contained the sequences corresponding to the human CTLA4 cDNA (see Darivach, et al., (1988) Eur. J. Immunol. 18:1901 1905; Harper. et al., (1991) J. Immunol. 147: 1047-1044) inserted into the multiple cloning site of vector pBluescript (Stratagene, La Jolla, CA) and served as the template for a PCR amplification using the oligonucleotide CCGCAATGCACGTGG CCCAGCCTGCTG-3' (SEQ ID NO: 3) as the forward PCR primer and the oligonucleotide ATCTGGGCACGGTTCTG-3' (SEQ ID NO: 4) as the reverse PCR primer. The forward PCR primer (SEQ ID NO: 3) was composed of sequences derived from the 3' end of the Ig signal sequence and the 5' end of the extracellular domain of CTLA4. This PCR primer is the complementary to murine Ig signal reverse PCR primer (SEQ ID NO: The reverse PCR primer (SEQ ID NO: 4) was homologous to the 3' end of the extracellular domain of CTLA4, added a BclI restriction site and an additional G nucleotide at the end of the extracellular domain. This created a unique BclI restriction site and added a glutamine codon to the C-terminus of the extracellular domain. The final PCR product was 413 bp.

-42- 3. Fusion of the Immunoglobulin Signal Sequence and CTLA4 Gene Segments The PCR fragments containing the signal and CTLA4 sequences were joined together via a third PCR reaction. Both PCR fragments (1 ng each) were mixed together along with the Ig signal forward PCR primer (SEQ ID NO: 1) and the CTLA4 reverse PCR primer (SEQ ID NO: 4) and PCR amplified as described. In this reaction, the 3' end of the Ig signal fragment hybridizes with the 5' end of the CTLA4 fragment and the two strands are extended to yield a full length 600 bp fragment. Subsequent PCR amplification of this fragment using forward (SEQ ID NO: 1) and reverse (SEQ ID NO: 4) yielded sufficient amounts of the signal-CTLA4 gene fusion fragment for cloning.

This fragment contains a 5' XbaI and a 3' BclI restriction sites flanking the Ig signal- CTLA4 gene fusion segment for subsequent cloning.

4. Cloning of Immunoglobulin Constant Domain Gene Segments Plasmid pSP721gG was prepared by cloning the 2000 bp segment of human IgGI heavy chain genomic DNA (Ellison, et al., (1982) Nucl. Acids. Res.

10:4071-4079) into the multiple cloning site of cloning vector pSP72 (Promega, Madison, WI). Plasmid pSP721gGl contained genomic DNA encoding the CH1, hinge, CH2 and CH3 domain of the heavy chain human IgCyl gene. PCR primers designed to amplify the hinge-CH2-CH3 portion of the heavy chain along with the intervening genomic DNA were prepared as follows. The forward PCR primer,

CAAATCTTCTGACAAAA-

CTCACACATCTCCACCGTCTCCAGGTAAGCC-3' (SEQ ID NO: contained HindIII and BclI restriction sites and was homologous to the hinge domain sequence except for five nucleotide substitutions which changed the three cysteine residues to serines. The reverse PCR primer, 5'-TAATACGACTCACTATAGGG-3' (SEQ ID NO: was identical to the commercially available T7 primer (Promega, Madison, WI). Amplification with these primers yielded a 1050 bp fragment bounded on the 5' end by HindII and BclI restriction sites and on the 3' end by BamHI, Smal, KpnI, Sacd. EcoRI. Clal, EcoR5 and BglII restriction sites. This fragment contained the IgCyl hinge domain in which the three cysteine codons had been replaced by serine codons followed by an intron, the CH2 domain, an intron, the CH3 domain and additional 3' sequences. After PCR amplification, the DNA fragment was digested with HindIII and EcoRI and cloned into expression vector pNRDSH (Repligen; Cambridge, MA (diagrammed in Figure digested with the same restriction enzymes. This created plasmid pNRDSH/IgG1.

43 A similar PCR based strategy was used to clone the hinge-CH2-CH3 domains of human IgCy4 constant regions. A plasmid, p428D (Medical Research Council, London, England) containing the complete IgCy4 heavy chain genomic sequence (Ellison, et al., (1981) DNA 1: 11-18) was used as a template for PCR amplification using oligonucleotide ACCCC ATCATCCCCAGGTAAGCCAACCC-3' (SEQ ID NO: 7) as the forward PCR primer and oligonucleotide CCAGTGTGGGGACAGTGGGACCCGCTCTGCCTCCC-3' (SEQ ID NO: 8) as the reverse PCR primer. The forward PCR primer (SEQ ID NO: 7) contains a Bc 1I restriction site followed by the coding sequence for the hinge domain of IgCy4.

Nucleotide substitutions have been made in the hinge region to replace the cysteines residues with serines. The reverse PCR primer (SEQ ID NO: 8) contains a PspAI restriction site. PCR amplification with these primers results in a 1179 bp DNA fragment. The PCR product was digested with BclI and PspAI and ligated to pNRDSH/IgGI digested with the same restriction enzymes to yield plasmid pNRDSH/IgG4. In this reaction, the IgCy4 domain replaced the IgCyl domain present in pNRDSH/IgG1.

Modification of Immunoglobulin Constant Domain Gene Segments Modification of the CH2 domain in IgC to replace amino acids thought to be involved in binding to Fc receptor was accomplished as follows. Plasmid pNRDSH/IgGI served as template for modifications of the IgCyl CH2 domain and plasmid pNRDSH/IgG4 served as template for modifications of the IgCy4 CH2 domain.

Plasmid pNRDSH/IgG was PCR amplified using a forward PCR primer (SEQ ID NO: 5) and oligonucleotide 5'-GGGTTTT GGGGGGAAGAGGAAGACTGACGGTGCC- CCC TCGGCTTCAGGTGCTGAGGAAG-3' (SEQ ID NO: 9) as the reverse PCR primer. The forward PCR primer (SEQ ID NO: 5) has been previously described and the reverse PCR primer (SEQ ID NO: 9) was homologous to the amino terminal portion of the CH2 domain of IgGI except for five nucleotide substitutions designed to change amino acids 234, 235, and 237 from Leu to Ala. Leu to Glu, and Gly to Ala, respectively (Canfield. S. M. and Morrison. S. L. (1991) J. Exp. Med.173: 1483-1491; see Figure 2A). Amplification with these PCR primers will yield a 239 bp DNA fragment consisting of a modified hinge domain, an intron and modified portion of the CH2 domain.

Plasmid pNRDSH/IgG I was also PCR amplified with the oligonucleotide

CATCTCTTCCTCAGCACCTGAAGCCGAGGGGGCACCGTCAGTCTTCCTCTTC

-44- CC CC-3' (SEQ ID NO: 10) as the forward primer and oligonucleotide (SEQ ID NO: 6) as the reverse PCR primer. The forward PCR primer (SEQ ID NO: 10) is complementary to primer (SEQ ID NO: 9) and contains the five complementary nucleotide changes necessary for the CH2 amino acid replacements. The reverse PCR primer (SEQ ID NO: 6) has been previously described. Amplification with these primers yields a 875 bp fragment consisting of the modified portion of the CH2 domain.

an intron, the CH3 domain, and 3' additional sequences.

The complete IgCyl segment consisting of modified hinge domain, modified CH2 domain and CH3 domain was prepared by an additional PCR reaction. The purified products of the two PCR reactions above were mixed, denatured (95 1 minute) and then renatured (54 OC, 30 seconds) to allow complementary ends of the two fragments to anneal. The strands were filled in using dNTP and Taq polymerase and the entire fragment amplified using forward PCR primer (SEQ ID NO: 5) and reverse PCR primer (SEQ ID NO: The resulting fragment of 1050 bp was purified, digested with HindIII and EcoRI and ligated to pNRDSH previously digested with the same restriction enzymes to yield plasmid pNRDSH/IgGlm.

Two amino acids at immunoglobulin positions 235 and 237 were changed from Leu to Glu and Gly to Ala, respectively, within the IgCy4 CH2 domain to eliminate Fc receptor binding (see Figure 2B). Plasmid pNRDSH/IgG4 was PCR amplified using the forward primer (SEQ ID NO: 7) and the oligonucleotide CAGGGGTCCGGG AGATCATGAGAGTGTCCTTGGGTTTTGGGGGGAAC- AGGAAGACTGATG GTGCCCCCTCGAACTCAGGTGCTGAGG-3' (SEQ ID NO: 11) as the reverse primer. The forward primer has been previously described and the reverse primer was homologous to the amino terminal portion of the CH2 domain, except for three nucleotide substitutions designed to replace the amino acids described above. This primer also contained a PmlI restriction site for subsequent cloning. Amplification with these primers yields a 265 bp fragment composed of the modified hinge region, and intron, and the modified 5' portion of the CH2 domain.

Plasmid pNRDSH/IgG4 was also PCR amplified with the oligonucleotide AAAACCCAAGGACACTCTCATGA- CTCCCGGACCCCTGAGGTCACGTGCG-3' (SEQ ID NO: 12) as the forward primer and oligonucleotide (SEQ ID NO: 8) as the reverse PCR primer. The forward PCR primer (SEQ ID NO: 12) is complementary to primer (SEQ ID NO: 11) and contains the three complementary nucleotide changes necessary for the CH2 amino acid replacements. The reverse PCR primer (SEQ ID NO: 8) has been previously described. Amplification with these primers yields a 1012 bp fragment consisting of the modified portion of the CH2 domain, an intron, the CH3 domain, and 3' additional sequences.

The complete IgCy4 segment consisting of modified hinge domain, modified CH2 domain and CH3 domain was prepared by an additional PCR reaction. The purified products of the two PCR reactions above were mixed, denatured (95 1 minute) and then renatured (54 OC, 30 seconds) to allow complementary ends of the two fragments to anneal. The strands were filled in using dNTP and Taq polymerase and the entire fragment amplified using forward PCR primer (SEQ ID NO: 7) and reverse PCR primer (SEQ ID NO: The resulting fragment of 1179 bp was purified, digested with BclI and PspAI and ligated to pNRDSH previously digested with the same restriction enzymes to yield plasmid pNRDSH/IgG4m.

6. Assembly of CTLA4-Immunoglobulin Fusion Genes The PCR fragment corresponding to the Ig signal-CTLA4 gene fusion prepared as described above (sections 1-3) was digested with HindIIl and BclI restriction enzymes and ligated to pNRDSH/IgGI, pNRDSH/IgGlm, pNRDSH/IgG4, and pNRDSH/IgG4m previously digested with the same restriction enzymes to create expression plasmids in which the signal-CTLA4-IgG gene fusion segment is placed under the control of the CMV promoter. The ligated plasmids were transformed into E.

coli JM109 using CaC1 2 competent cells and transformants were selected on L-agar containing ampicillin (50 pg/ml; as described in Molecular Cloning: A Laboratory Manual (1982) Eds. Maniatis. Fritsch, E. and Sambrook, J. Cold Spring Harbor Laboratory). Plasmids isolated from the transformed E. coli were analyzed by restriction enzyme digestion. Plasmids with the expected restriction pattern were sequenced to verify all portions of the signal-CTLA4-lgG gene fusion segments. The final plasmids were named pNRDSH/sigCTLA4-IgG 1, pNRDSH/sigCTLA4-IgG I m.

pNRDSH/sigCTLA4-IgG4 and pNRDSH/sigCTLA4-IgG4m. The signal-CTLA4-IgG gene fusion segments from each of these constructs were also transferred to the pEE12 expression vector (Biotechnology (1992) 10:169-175).

The nucleotide and predicted amino acid sequences of the signal-CTLA4-IgG gene fusion segments are shown in the Sequence Listing as follows: sigCTLA4-IgGm- SEQ ID NOS: 23 and 24, sigCTLA4-IgG4- SEQ ID NOS: 25 and 26 and sigCTLA4- IgG4m- SEQ ID NOS: 27 and 28.

-46- B. Construction of a CTLA4Ab Fusion Gene The extracellular domain of CTLA4 is an immunoglobulin superfamily member and is responsible for binding to its ligands B7-1 and B7-2. The replacement of the heavy and light chain variable domains of an antibody molecule with the extracellular domain of CTLA4 will result in an antibody-like protein which can bind specifically to B7-1, B7-2 and other CTLA4 ligands with high affinity. The construction of such a molecule using human IgGI antibody heavy and light chains is described below.

1. Construction of the Heavy Chain Gene The Ig signal sequence was prepared from template plasmid pSP72IgGI by PCR amplification using oligonucleotide AGTTCTCTCTAC-3' (SEQ ID NO: 13) as the forward PCR primer and oligonucleotide TGGAGAG-3' (SEQ ID NO: 14) as the reverse primer. The forward PCR primer (SEQ ID NO: 13) contains a HindIII restriction site and part of the 5' untranslated segment of the Ig signal domain. The reverse PCR primer (SEQ ID NO: 14) corresponds to the C-terminus of the natural Ig signal peptide. Amplification with these primers resulted in a 208 bp fragment encoding the entire Ig signal sequence.

The CTLA4 extracellular domain was prepared from plasmid phCTLA4, which contained the entire CTLA4 cDNA sequence, by PCR amplification using oligonucleotide 5'-CTCCACAGGTGTCCACTCCGCAATGCACGTGGCCCAGCC-3' (SEQ ID NO: 15) as the forward PCR primer and oligonucleotide GACTCACCTGAAA TCTGGGCTCCGTTGC-3' (SEQ ID NO: 16) as the reverse primer. The forward primer (SEQ ID NO: 15) contained sequences homologous to the 5' end of the CTLA4 extracellular domain and to the 3' end of the Ig signal domain. The reverse primer (SEQ ID NO: 16) contained the 3' end of the CTLA4 extracellular domain and intervening sequences, including a splice acceptor site. Amplification with these primers yielded a 379 bp fragment containing the CTLA4 extracellular domain.

An intervening sequence DNA fragment derived from the intron between the antibody variable and constant (CH 1) domains was prepared by PCR amplification using oligonucleotide S'GCAACGGAGCCCAGATTTCAGGTGAGTCCTTACA- ACCTC-3' (SEQ ID NO: 17) as the forward PCR primer and oligonucleotide ATAAATCTCTGGCCATGAAG-3' (SEQ ID NO: 18) as the reverse PCR primer. The forward PCR primer (SEQ ID NO: 17) contains intron sequence and is complementary to the 3' end of the extracellular domain of CTLA4 and is complimentary to the CTLA4 reverse PCR -47primer (SEQ ID NO: 16). The reverse primer (SEQ ID NO: 18) contains intron sequences and an additional Xbal restriction site. Amplification with these primers yields a 197 bp fragment.

The PCR fragments encoding the Ig signal, CTLA4 extracellular domain and the intervening sequence were mixed, denatured and renatured to allow hybridization of complementary ends. The strands were filled in and the product amplified using forward (SEQ ID NO: 13) and reverse (SEQ ID NO: 18) PCR primers. The product was a 764 bp fragment which encoded the Ig signal, the CTLA4 extracellular domain, an intron sequence flanked by HindIII and XbaI restriction sites. This DNA fragment was digested with HindIII and XbaI and ligated to pSP72IgG1, resulting in the CTLA4 extracellular domain being linked to a 5' Ig signal sequence and a 3' antibody CHI, hinge, CH2, and CH3 domains.

The nucleotide and predicted amino acid sequences of the assembled CTLA4-heavy chain are shown in SEQ ID NOS: 29 and 30, respectively.

2. Construction of the Light Chain Gene The replacement of a human immunoglobulin antibody light chain variable domain (Hieter, et al., (1980) Cell 22:197) with the CTLA4 extracellular domain proceeded as follows. The Ig signal fragment was prepared as for the heavy chain replacement, described above. The CTLA4 extracellular domain was prepared using a forward PCR primer (SEQ ID NO: 15) previously described and oligonucleotide GGCACTAGGTCGACTCTAGAAA

CTGAGGAAGCAAAGTTTAAATTCTACTC-

ACGTTTAATCTGGGCTCCGTTGC-3' (SEQ ID NO: 19) as the reverse primer. The reverse primer contained sequences of the 3' end of the CTLA4 extracellular domain, a splice receptor, and intervening sequence DNA containing an XbaI restriction site. The Ig signal fragment and the CTLA4 extracellular domain were joined by mixing the DNA fragment, denaturing, and renaturing to anneal their complementary ends. The strands were filled in and the fragment PCR amplified using forward (SEQ ID NO: 13) and reverse (SEQ ID NO: 19) PCR primers previously described. The resulting DNA fragment was digested with the HindIII and XbaI and ligated to immunoglobulin light chain vector paLYS 17 digested with the same enzymes. The resulting plasmid pCTLA4kappa contains an Ig signal sequence, an intron, the CTLA4 extracellular domain, an intron, and the light chain (kappa) constant domain.

The nucleotide and predicted amino acid sequences of the assembled CTLA4-light chain are shown in SEQ ID NOS: 31 and 32, respectively.

-48- The DNA segments encoding the recombinant heavy and light chains were transferred to the pEE12 vector or the pNRDSH vector and stable NSO or CHO expression cell lines established as described below. CHO and NSO supematants were assayed for the production of CTLA4 light chain and CTLA4 heavy chain fusion proteins by ELISA and binding to B7-1 was measured using CHO/hB7-l expressing cells and FACS (as described in Example It is also contemplated that the heavy and light chain constructs of the present invention be expressed in the same vector and host cells transfected in one step.

C. Expression of CTLA4 Fusion Proteins in CHO and NSO cells The various CTLA4-immunoglobulin fusion proteins were expressed in CHO cells as follows. Briefly, 5xl0 5 CHO-DG44 cells (subline of CHO-KI, available from ATCC) were transfected with 10 pig of the appropriate expression plasmid (pNRDSH series) by the calcium phosphate method (described in Molecular Cloning: A Laboratory Manual (1982) Eds. Maniatis, Fritsch, E. and Sambrook, J. Cold Spring Harbor Laboratory) using a commercially available kit (5 Prime to 3' Prime Inc., Boulder, CO) according to the manufacturer's instructions. The transfected cells were allowed to recover in nonselective media (alpha MEM medium containing 10 heat inactivate fetal bovine serum (FBS), Gibco/BRL, Gaithersburg, MD) for two days and then plated in selective media (alpha MEM minus nucleoside medium containing 10 FBS and 550 gg/ml G418; Gibco/BRL, Gaithersburg, MD). Individual subclones were obtained by dilution cloning in selective media. Culture media was assayed for the presence of secreted CTLA4-immunoglobulin by a standard ELISA designed to detect human IgG.

The various CTLA4-immunoglobulin and CTLA4Ab fusion proteins were expressed in NSO cells (Golfre, G. and Milstein C.P. (1981) Methods Enzymol. 73B: 3-46) as follows. Briefly, 107 NSO cells were transfected by electroporation (using a BioRad Gene Pulser, Hercules, CA) with 40 pg of the appropriate expression plasmid (pEE12 series) previously linearized by digestion with Sail restriction endonuclease. The transfected cells were selected using DMEM media deficient in glutamine (Gibco/BRL, Gaithersberg MD). Individual subclones were isolated by dilution cloning in selective media. Culture media assayed for the presence of secreted CTLA4-Ig or CTLA4Ab fusion protein by a standard ELISA assay designed to detect human IgG.

As a representative example, transfection of either the pNRDSH/sigCTLA4- IgG4m and pEE 12/sigCTLA4-IgG4m expression vector into CHO or NSO host cells f -49resulted in selected subclones that secreted hCTLA4IgG4m fusion protein into culture supernatants at a concentration of 75-100 p.g/ml.

D. Purification of CTLA4 Fusion Proteins The CTLA4-Ig and CTLA4Ab fusion proteins are purified from the culture medium of transfected CHO or NSO cells as follows. Culture medium was concentrated fold by ultra filtration (Ultrasette, Filtron Technology Corp., Northborough, MA) and batch bound overnight to immobilized protein A (IPA-300, Repligen Corp., Cambridge, MA). The protein-bound resin was poured into a chromatography column, washed with 10 column volumes of optimal binding buffer (1.5 M glycine, 3M NaCI, pH 8.9) and the bound CTLA4-Ig or CTLA4Ab was eluted by the addition of 0.1 M Na citrate, pH Fractions were collected and neutralized with the addition of 1 M Tris base to pH of The Abs280nm was monitored for each fraction and peak fractions were analyzed by SDS-PAGE, followed by Coomassie Blue staining and Western blot analysis using an anti-CTLA4 polyclonal antiserum (described in Lindsten, T. et al. (1993) J. Immunol.

151:3489-3499). Fractions containing CTLA4-Ig or CTLA4Ab were pooled and dialyzed against 200 volumes of 0.5 x PBS overnight at 4 The purified protein was assayed for binding to its ligand (B7-1 and/or B7-2) as described in Example 2.

EXAMPLE 2: Characterization of CTLA4 Fusion Proteins The ability of the various CTLA4-Ig forms and CTLA4Ab to bind to their counter receptors B7-1 (Freeman, et al. (1988) J. Immunol. 143:2714-2722) and B7-2 (Freeman, et al., (1993) Science 262: 909-911) was demonstrated using the following assays.

A. Fluorescence Activated Cell Staining (FACS).

Purified preparations of the various recombinant CTLA4 forms were tested for their ability to bind to transfected COS cell transiently expressing hB7-1 or hB7-2 or transfected CHO cells stably expressing hB7-1 or hB7-2. The recombinant CTLA4 protein (10 pg/ml) was incubated with B7 expressing cells (2 x 106 cells) for 1 hr on ice in FACS wash solution (1 bovine serum albumin in PBS). The cells were washed 3 times with FACS wash solution. The cell bound CTLA4 was detected by reaction with anti-human Ig-FITC (Dako Corporation, Carpintera, CA) or protein A-FITC (Dako) for mintues on ice in the dark. The cells were washed twice with FACS wash solution and then fixed in I paraformaldehyde in PBS. The cells were analyzed for fluorescence intensity using a Becton Dickinson (San Jose, CA) FACS analyzer.

Murine anti-human mAbs reactive with either hB7-1 or hB7-2 served as positive control reagents for the hB7-1 and hB7-2 receptor expressing cells. These mAbs were detected using goat anti-murine IgG-FITC (Dako corporation. Carpintera, CA) and analyzed as above. Untransfected COS and CHO cells served as negative controls for each cell line.

The results of this experiment demonstrated that CTLA4 immunoglobulin fusion proteins bind to CHO cells transfected to express CTLA4 ligands.

B. Competitive Binding ELISA The ability of the various recombinant CTLA4 forms to bind to hB7-1 or hB7-2 was assessed in a competitive binding ELISA assay. This assay was established as follows. Purified recombinant hB7-Ig (50 pl at 20 pg/ml in PBS) was bound to a Costar EIA/RIA 96 well microtiter dish (Costar Corp, Cambridge MA, USA) overnight at room temperature. The wells were washed three times with 200 pl of PBS and the unbound sites blocked by the addition of 1 BSA in PBS (200 pl/well) for 1 hour at room temperature. The wells were washed again as above. Biotinylated hCTLA4-IgGI (prepared according to manufacturers instructions (Pierce, Rockford, IL) at 10 pg/ml serially diluted in twofold steps to 15.6 ng/ml; 50 pl/well) was added to each well and incubated for 2.5 hours at room temperature. The wells were washed again as above.

The bound biotinylated hCTLA4IgGI was detected by the addition of 50 ll of a 1:2000 dilution of streptavidin-HRP (Pierce Chemical Co., Rockford, IL) for 30 minutes at room temperature. The wells were washed as above and 50 pl of ABTS (Zymed, California) added and the developing blue color monitored at 405 nm after 30 min.

The ability of the various forms of CTLA4 to compete with biotinylated CTLA4- IgGI was assessed by mixing varying amounts of the competing protein with a quantity of biotinylated CTLA4-IgGl shown to be non-saturating 70 ng/ml; 1.5nM) and performing the binding assays as described above. A reduction in the signal (Abs 4 0 5 nm) expected for biotinylated CTLA4-IgGI indicated a competition for binding to plate-bound hB7-1 or hB7-2. A graphic representation of a typical binding assay illustrating the competition of biotinylated hCTLA4-IgGI with hCTLA4-IgGI (itself) or hCTLA4-IgG4m is shown in Figure 4A for binding to hB7-1 and Figure 4B for binding to hB7-2. The competition curves show that the mutant IgG4 form competes with hCTLA4-IgGI for binding to B7-1 or B7-2 with the same binding kinetics as the unlabeled IgGI form itself. Accordingly, mutation of the hinge region and CH2 domain of IgCy4 in the CTLA4 fusion protein as described herein does not detrimentally affect the ligand binding activity of the CTLA4 fusion protein.

-51- C. SDS-PAGE and Western Blotting The various CTLA4 forms were analyzed by SDS-PAGE followed by detection using Coomassie Blue staining or Western blotting. The CTLA4 proteins were separated on both reducing and non-reducing SDS-PAGE gels 12, or 15 gels with 5 stacking gel) and stained with Coomassie Blue using standard methods. Protein size was estimated from comparison to commercial size standards (BioRad, Hercules, CA). Western blots were performed using standard procedures and Immobilon blotting membranes (Millipore, New Bedford, MA). The CTLA4 was detected using a polyclonal antisera raised in rabbit immunized with the extracellular domain of CTLA4 produced in E. coli (described in Lindsten, T. et al. (1993) J Immunol. 151:3489-3499).

The CTLA4 was visualized using [1 2 5 I]-protein A (Dupont NEN, Boston, MA) followed by autoradiography or using protein A-HRP. The results indicated the presence of an immunoreactive band at approximately 50 kD.

D. Measurement of Fc Receptor Binding The binding of the various CTLA4-Ig forms and CTLA4Ab to Fc receptors was assessed by using a competitive binding assay as described in Alegre, et al.,.

(1992) J Immunol. 148:3461 3468. Human cell line U937 was used as a source of the FcRI and FcRII receptors (Looney, et al., (1986) J. Immunol. 136:1641). U937 cells were grown with 500 U/ml IFN-y to upregulate expression of FcRl. The U937 cells were used at a concentration of 6.25 x 106 cells/ml. Preparations of unlabeled CTLA4-IgGl, CTLA4-IgG4 and human IgGI were serially diluted to a concentration of 2 x 10-10 M. To each serial dilution, a fixed amount of 125I-labeled protein CTLA4-IgGI, CTLA4-IgG4 or human IgGl) was added. The U937 cells were then added to the mixture and incubated for three hours. The cells were separated from unbound labeled and unlabeled protein by centrifugation through silicone oil for one minute at 14000 x g. The tips of the tubes with the pelleted cells were then cut off and analyzed in a gamma counter. Maximal binding of labeled protein to U937 cells was determined in the absence of unlabeled competitor protein. Percent specific activity represents the percentage of labeled protein bound in the presence of unlabeled competitor protein relative to maximal binding. Figure 5A graphically illustrates the amount of labeled CTLA4-IgGI bound to U937 cells (expressed in counts per minute) in the presence of unlabeled CTLA4-IgGI or CTLA4-IgG4. Unlabeled CTLA4-IgG I was able to compete with labeled CTLA4-IgG for binding to FcRI on U937 cells the amount of bound labeled protein was reduced), whereas unlabeled CTLA4-IgG4 did not compete for binding. Figure 5B graphically illustrates the percent specific activity 52 of labeled human IgGI, CTLA4-IgGI and CTLA4-IgG4 being competed with themselves (unlabeled). The IC 5 0 for human IgGI was approximately 7.5 x 10- 8

M.

The IC 5 0 for CTLA4-IgGl was approximately 7 x 10-8 M. An IC 5 0 for CTLA4-lgG4 could not be determined because this protein did not bind to the FcRI. These results demonstrate that use of an IgCy4 constant region in a CTLA4-Ig fusion protein essentially eliminates the ability of the fusion protein to bind to Fc receptors.

E. Measurement of Complement Activation CTLA4-immunoglobulin forms were tested in a ligand-specific assay for complement activation. CHO cells expressing hB7-1 on their surface were grown to confluence in tissue culture dishes. After washing away serum and medium, the cells were exposed to BCECF/AM 2 7 -bis-(carboxyethyl)-5,(6')-carboxylfluorescein acetoxymethyl)-ester] Calbiochem, La Jolla, CA) a fluorescent dye that irreversibly loads into the cells. The cells (5 x 105) were then incubated with hCTLA4immunoglobulin fusion proteins or a monoclonal antibody specific for hB7-1 (4B2).

Unbound protein was washed away and a complement source was added and allowed to react with the cells for 30 minutes. Complement sources tested included guinea pig complement and human serum (as a source of human complement). After incubation with the complement source, lysis was measured by monitoring the release of the fluorescent dye from the cells using a fluorometer. Controls included parallel experiments with hB7-l negative CHO cells. Identical cultures were also tested for their ability to bind the hCTLA4 forms under similar assay conditions. Additionally, to distinguish a lack of an ability to activate complement from a lack of an ability to bind B7-1, an ELISA-type assay of CTLA4 binding to CHO-B7-1 cells was performed as a control (described further below).

The results of typical complement activation assays are shown in Figures 6A-C.

Figure 6A graphically illustrates guinea pig complement-mediated lysis of CHO-B7-1 cells by CTLA4-IgGl. CTLA4-IgG4m and the anti-B7-l monoclonal antibody 4B2.

hCTLA4-IgGI reproducibly activated guinea pig complement as well or better than the 4B2 mAb. The hCTLA4-IgG4m did not activate complement in this assay, even at concentration 100-fold higher than that needed for CTLA4-IgG The results were confirmed by repeating the work with human serum as the complement source, shown in Figure 6B. Human complement produced a higher percentage lysis than the guinea pig complement, however, otherwise the results were the same, with the hCTLA4-IgG4m exhibiting a markedly reduced ability to activate complement in comparison to CTLA4- IgG1. The effect of the CTLA4 fusion proteins on complement activation is specific for -53 the B7-1 ligand. as untransfected CHO cells were not substrates for complement activation by any of the proteins tested, illustrated in Figure 6C (using guinea pig complement as the complement source).

In order to verify that the hCTLA4-IgG4m form was still able to bind to membrane bound hB7-1, an experiment was performed by a similar method as for the complement activation study. Antibody or hCTLA4 forms were bound to washed CHO- B7-1 cells under conditions identical to those used in the complement activation studies except that instead of adding complement in the final step, an HRP-conjugated anti-Ig Fc (Calbiochem, La Jolla,CA) was used. Bound HRP was detected by washing the cells, adding ABTS substrate and measuring absorbence at 405 nm (as described above for the competition ELISA assay). The results are shown graphically in Figure 7. All three B7-1 specific proteins (mAb 4B2, hCTLA4-IgGl and hCTLA4-IgG4m) bound to the cells. The corresponding experiment using untransfected CHO cells showed no binding of the proteins to the cells. The difference in the maximal O.D. signals for the different proteins is likely due to the different affinities of the forms of Fc regions for the HRPconjugated secondary antibodies.

F. Inhibition of T Cell Proliferation The ability of the CTLA4-Ig forms and CTLA4Ab to inhibit the proliferation of T cells in a costimulation proliferation assay was measured. CD4 T cells are prepared from human blood by density gradient centrifugation on Ficoll-Hypaque (Sigma, St.

Louis, MO). Monocytes were removed by adherence to plastic and the CD4+ cells further enriched by removal of residual monocytes, B cells, NK cells and CD8+ T cells by lysis with complement and mAbs (anti-CD14, antiCDl Ib, anti-CD20, anti-CD16 and anti-CD8) or by negative selection using the same immunomagnetic beads (Advanced Magnetics, Cambridge, MA) (as described in Boussioutis, et (1993) J. Exp.

Med. 178:1758-1763). CD4 T cells (105) were cultured in the presence of immobilized anti-CD3 mAb (coated at 1 ug/well, overnight) and CHO cells expressing hB7-1 or hB7-2 (2xl04) in a microtiter plate with or without one of the CTLA4 forms and incubated for 3 days. Thymidine incorporation as a measure ofmitogenic activity was assessed after overnight incubation in the presence of [3H] thymidine (Gimmi, et al., (1991) Proc. Natl. Acad. Sci USA 88:6575-6579). Inhibition was calculated as a percent of proliferation in control cultures. The data show that both the CTLA4IgGl and CTLA4Ig4m performed well, inhibiting T cell proliferation to the same extent when used in equivalent amounts, i.e. the two compounds were indistinguishable in potentcy.

-54- G. Pharmacokinetic Studies The effect of mutating the IgG4 heavy chain, as described herein, on the pharmacokinetics of a CTLA4Ig in rats was examined. Pharmacokinetics were performed on two CTLA4If differing only in their heavy chain constant domains, where one form contained the wild type human IgG 1 Ig (referred to as hCTLA4IgG 1) and the second antibody contained the mutated version of human IgG4 (referred to as hCTLA41gG4m). Two Sprague-Dawley male rats weighing 0.3-0.4 kg were used for each protein. The CTLA4Ig forms were infused at a dose of 2 mg/kg via a Teflon angiocath which was placed in the marginal ear vein. Two control animals received an infusion of PBS free) in the same manner. Blood samples were drawn at 0, 30, 60, 90, 360, 480 minutes, 24, 36, 48 hours, 7, 14 and 28 days. The concentration of free antibody in heparinized plasma was determined by a standard ELISA. Antibody clearance rates were determined, a and P tl/2 values were calculated using the P-Fit subroutine of the BIOSOFT Fig-p figure processor/parameter fitter. The results are shown below: hCTLA4IgG 1 a tl/2 4.2 min p tl/ 2 288 min hCTLA4IgG4m a tl/2 16.6 min P t 1/2 214.2 min Both CTLA4IgGl and CTLA4IgG4m have similar clearance rates, with a rapid (4-16 min) a phase and a more prolonged (214-288 min) P phase indicating a serum half life of approximately 4 hours.

EXAMPLE 3: Preparation of E. coli-Expressed Human CTLA4 A. Intracellular Expression of CTLA4 in E. coli 1. Cloning and Expression of CTLA4 Extracellular Domain The extracellular domain of CTLA4 was expressed in E. coli after cloning into expression vector pETCml la. This vector was derived from expression vector pET-1 la (Novagen Inc., Madison WI) by cloning a chloramphenicol resistance gene cassette into the Scal restriction site within the ampicillin resistance gene. The extracellular domain of CTLA4 was prepared from plasmid phCTLA4 by PCR amplification using oligonucleotide 5'GCAGAGAGACAT

ATGGCAATGCACGTGGCCCAGCCTG-

CTGTGG-3' (SEQ ID NO: 20) as forward primer and oligonucleotide AGAGGATCCTCAGTCAGTTAGT CAGAATCTGGGCACGGTTCTGG-3' (SEQID NO: 21) as reverse primer. The forward PCR primer (SEQ ID NO: contains an NdeI restriction site in which the ATG sequence in the Ndel restriction site is followed immediately by the codon for the first amino acid of mature CTLA4 (Dariavach, et al. (1988) Eur. J. Immunol. 18:1901). The reverse PCR primer (SEQ ID NO: 21) contains a BamHI restriction site preceded by translation stop codons in all three reading frames preceded by the last amino acid just prior to the CTLA4 transmembrane domain. PCR amplification with these primer yields a 416 bp fragment bounded by Ndel and BamHI restriction sites which contains DNA sequences encoding the extracellular domain of CTLA4 preceded by a methionine codon. The PCR product was digested with NdeI plus BamHI and ligated to expression vector pETCml la digested with the same restriction enzymes.

The ligated DNA was transfected into E. coli strains BL21, HMS174, RGN714 and RGN715 containing the lambda DE3 helper phage by standard techniques.

Transformants were selected in L-agar containing chloramphenicol at 50 ug/ml.

Individual transformants were selected and tested for CTLA4 expression after induction by treatment of cells with 0.5 mM IPTG. Whole cell extracts were analyzed on SDS-PAGE gel followed by Coomassie Blue staining and Western blot analysis. The majority of the CTLA4 protein in these cells was found in inclusion bodies.

2. Purification of CTLA4 from Inclusion Bodies Recombinant CTLA4 was recovered from cell pellets by treating the washed cells in lysis buffer (50 mM Tris-HCI pH 8.0, 1 mM PMSF, 5 mM EDTA, 0.5% Triton X-100, and lysozyme at 0.3 mg/ml) followed by sonication. The inclusion bodies were recovered by centrifugation at 20,000 x g and solubilized by treatment with solubilization buffer (50 mM Tris-HiC pH8.0, 8 M urea, 50 mM 2-mercaptoethanol The solubilization was assisted by mixing for two hours at room temperature.

The soluble fraction contained CTLA4. The CTLA4 was purified by chromatography on S-sepharose (Pharmacia. Piscataway, NJ) as follows. The CTLA4 containing supernatant was adjusted to pH 3.4 by the addition of glacial acetic and applied to a S-sepharose column equilibrated in column buffer (100 mM Na-acetate, pH6.5, 8 M urea, 50 mM 2-ME, and 5 mM EDTA). The column was washed with column buffer -56and the bound CTLA4 eluted with a linear salt gradient (NaCI, 0 to 1 M) prepared in column buffer. Peak fractions exhibiting high Abs280nm values were pooled and dialyzed against dialysis buffer (100 mM Tris-HCl. pH8.0, 8 M urea. 50 mM 2-ME, mM EDTA). Remaining contaminating proteins were eliminated by chromatography on a Sephacryl S-100 (Pharmacia, Piscataway, NJ) sizing column. The resulting preparation was greater than 95 pure CTLA4 as estimated by SDS-PAGE followed by Coomassie Blue staining and Western blot analysis. Since the estimated size of monomeric recombinant CTLA4 produced in E. coli was approximately 15 kDa, all steps of the purification protocol were tested for the presence of a 15 kDa protein by SDS-PAGE and the presence of CTLA4 verified by Western blotting.

3 Refolding of Denatured CTLA4 The CTLA4 protein purified from inclusion bodies is fully reduced and denatured and must be properly refolded in a physiological buffer, with intact disulfide bridges, to be in "active" form able to bind hB7-1). To avoid solubility problems a step gradient dialysis procedure was used to remove urea, detergents and reductants.

The most successful refolding was obtained when the secondary and tertiary protein structure was encouraged first, by gradient dialysis, removing all urea and detergent while in the presence of the reductant DTT. Subsequent slow removal of the DTT appeared to reduce the number of random intradisulfide bonds. As a control, a sample of CTLA4 was dialyzed directly from gel filtration buffer to PBS.

The success of refolding was estimated by immunoprecipitation. 5pg of hB7- Ig, bound to protein A resin, was used to pull down active CTLA4 from a 10 .tg aliquot of each refolding trial. Precipitated protein was run on a reducing SDS-PAGE.

transferred to an Immobilon membrane (Millipore, New Bedford, MA) and probed with polyclonal antisera to CTLA4 (antisera 1438, described in Lindsten, T. et al. (1993) J.

Immunol. 151:3489-3499). The relative amount of protein detected at 15 kDa was indicative of the success of the refolding process. Refolding was also evaluated by assaying CTLA4 binding activity in a competition ELISA as described in Example 2. A successful refolding consisted of approximately 5 active protein, or about 2 mg of active protein from a 1 L bacterial culture.

B. Preparation of Secreted CTLA4 from E. coli A secreted form of CTLA4 was prepared from E. coli as follows. The extracellular domain of CTLA4 was joined to the pelB signal sequence (Lei. et al., -57- (1987) J. Bacteriol. 169: 4379-4383) by PCR using plasmid phCTLA4 as template and oligonucleotide GGATTGTTATTACT

CGCTGCCCAACCAGCGATGGCCGCAGCAATGCA-

CGTGGCCCAGCCTGCTGTGG3' (SEQ ID NO: 20) as the forward primer and a reverse primer (SEQ ID NO: 21) previously described. The forward PCR primer

ACGGCAGCCGCTGG-

ATTGTTATTACTCGCTGCCCAACCAGCGATGGCCGCAGCAATGCACGTGGC-

CCAGCCTGCTGTGG-3' (SEQ ID NO: 22) contains a unique BspHI restriction site, the complete pelB signal sequence and the 5' end of the extracellular domain of CTLA4.

The reverse PCR primer (SEQ ID NO: 21) contains a unique BamHI restriction site preceded by translational stop codons in all three reading frames preceded by the last amino acid before the transmembrane domain of CTLA4. PCR amplification with these primers yielded a 480 by fragment bounded by unique BspHI and BamHI restriction sites encoding the pelB signal sequence joined to the CTLA4 extracellular domain.

After PCR amplification, the DNA fragment was digested with BspHI and BamHI and ligated to expression vector pTrc99A (Pharmacia, Piscataway, New Jersey) previously digested with NcoI and BamHI. This resulted in a plasmid in which the expression of the pelB-CTLA4 protein was driven by the pTrc promoter present in the pTrc99A expression vector. E. coli host strains transformed with the ligated DNA were selected on L-agar containing ampicillin (50 plg/ml) and individual clones isolated. The expression of CTLA4 in these strains was induced by the treatment of exponentially growing cultures with IPTG (0.5 mM) overnight. Extracts were prepared from the culture medium after concentration or by release from periplasm. To prepare periplasmic extracts, cells were incubated in 20 sucrose, 10 mM Tris-HCl pH7.5 for 15 minutes at room temperature, collected by centrifugation, and resuspended in 4 °C water and held on ice for 10 min. Extracts were assayed for the presence of CTLA4 by SDS-PAGE. Western blotting and competitive B7-1binding ELISA (as described in Example As shown in Figure 8, soluble CTLA4 prepared from periplasmic extracts of E. coli or from the media of these cultures was able to compete for binding to B7-1 with unlabelled CTLA4Ig. In contrast, periplasmic extracts from E coli transfected with the vector alone or media from these cultures was not able to compete for binding to B7-1.

-58-

EQUIVALENTS

Those skilled in the art will recognize, or be able to ascertain using no more than routine experimentation, many equivalents to the specific embodiments of the invention described herein. Such equivalents are intended to be encompassed by the following claims.

File Note: The claims (page 81) follow from here.

The sequence listing (pages 59-80) can be found following drawings pages 1/13- 13/13.

Claims (4)

1. 3. A recombinant expression vector comprising a nucleic acid of any one of claims 1 or 2.
2. 4. A bacterial host cell transfected with an expression vector of claim 3, and capable of directing the expression of a CTLA4 extracellular domain. An isolated peptide consisting of a CTLA4 extracellular domain produced by a bacterial host cell of claim 4.
3. 6. An isolated peptide consisting of a signal sequence and a CTLA4 extracellular domain produced by a bacterial host cell of claim 4.
4. 7. A method for producing a CTLA4 extracellular domain, comprising culturing a host cell of claim 4 in a medium to express the protein and purifying the protein from inclusion bodies. COMS ID No: ARCS-175062 Received by IP Australia: Time 14:23 Date 2008-01-14