AU5337300A - Therapeutic compounds comprised of anti-Fc receptor antibodies - Google Patents

Description

-1-

AUSTRALIA

PATENTS ACT 1990 COMPLETE SPECIFICATION FOR A STANDARD PATENT

ORIGINAL

Name of Applicant: Actual Inventors: Address for Service: Invention Title: Medarex, Inc.

Yashwant M. Deo and Joel Goldstein and Robert Graziano and Chezian Somasundaram BALDWIN SHELSTON WATERS MARGARET STREET SYDNEY NSW 2000 'THERAPEUTIC COMPOUNDS COMPRISED OF ANTI-Fc RECEPTOR ANTIBODIES' Details of Original Application No. 63835/96 dated 07 Jun 1996 The following statement is a full description of this invention, including the best method of performing it known to me/us:- File: 29112AUP00 la Therapeutic Compounds Comprised of Anti-Fc Receptor Antibodies Background of the Invention Immunoglobulins (Igs) are composed of two heavy and two light chains, each of which contains an NH2-terminal antigen-binding variable domain and a COOH-terminal constant domain responsible for the effector functions of antibodies. T.he COOH-terminal domains of g heavy chains form the Fc region and are involved in triggering cellular activities through interaction with specific receptors known as Fc receptors (FcRs). Fc receptors for all Ig classes, or isotypes, IgG (FcyR), IgE (FceR), IgA (FcaR), IgM (FcpR) and IgD (Fc5R) have been identified. The different biological activities of antibodies of different isotypes are based in part on their ability to bind to different FcR expressed on different immune (effector) cells (Fridman, W.H. (Sept. 1991) The FASEB Journal Vol. 2684-2690). Murine antibodies, which are directed against FcRs have been made (See e.g.

15 U.S. Patent No. 4,954,617 entitled Monoclonal Antibodies To Fc Receptors for Immunoglobulin G on Human Mononuclear Phagocytes and International Patent Application Publication No. WO 91/05871 entitled Monoclonal Antibody Specific For IgA Receptor).

Murine monoclonal antibodies can be useful as human therapeutics and can be 20 produced free of contamination by human pathogens such as the hepatitis or human immunodeficiency virus. However, use of murine monoclonal antibodies in some human therapies, have resulted in the development of an immune response to the "foreign" murine proteins. This response has been termed a human anti-mouse antibody or HAMA response (Schroff, R. et al. (1985), Cancer Res., 45, 879-885) and is a condition which causes serum sickness in humans and results in rapid clearance of the murine antibodies from an individual's circulation. The immune response in humans has been shown to be against both the variable and the constant regions of murine immunoglobulins.

Recombinant DNA technology can be used to alter antibodies, for example, by substituting specific immunoglobulin regions from one species with immunoglobulin regions from another species. Neuberger et al. (Patent Cooperation Treaty Patent Application No.

PCT/GB85/00392) describes a process whereby the complementary heavy and light chain variable domains of an Ig molecule from one species may be combined with the complementary heavy and light chain Ig constant domains from another species. This process may be used to substitute the murine constant region domains to create a "chimeric" antibody which may be used for human therapy. A chimeric antibody produced as described by Neuberger et al. has a human Fc region for efficient stimulation of antibody mediated effector functions, such as complement fixation, but still has the potential to elicit an immune response in humans against the murine ("foreign") variable regions.

-2- Winter (British Patent Application Number GB2188538A) describes a process for altering antibodies by substituting the complementarity determining regions (CDRs) with those from another species. This process may be used to substitute the CDRs from the murine variable region domains of a monoclonal antibody with desirable binding properties (for instance to a human pathogen) into human heavy and light chain Ig variable region domains. These altered Ig variable regions may then be combined with human Ig constant regions to create antibodies which are totally human in composition except for the substituted murine CDRs. The "reshaped" or "humanized" antibodies described by Winter elicit a considerably reduced immune response in humans compared to chimeric antibodies because of the considerably less murine components. Further, the half life of the altered antibodies in circulation should approach that of natural human antibodies. However, as stated by Winter, merely replacing the CDRs with complementary CDRs from another antibody which is specific for an antigen such as a viral or bacterial protein, does not always result in an altered 15 antibody which retains the desired binding capacity. In practice, some amino acids in the framework of the antibody variable region interact with the amino acid residues that make up the CDRs so that amino acid substitutions into the human Ig variable regions are likely to be "required to restore antigen binding.

20 Bispecific molecules, heteroantibodies) comprising an anti-Fc receptor portion and an anti-target portion have been formulated and used therapeutically, for treating cancer breast or ovarian) or pathogenic infections HIV) (See, e.g., International Patent Application Publication No. WO 91/05871 entitled Bispecific ."Heteroantibodies With Dual Effector Functions; and International Patent Application Publication No. WO 91/00360 entitled Bispecific Reagents for AIDS Therapy). In addition, bispecific molecules, which recognize antigens and antigen presenting cells can be administered to a subject to stimulate an immune response (See, International Patent Application Publication No. WO 92/05793 entitled Targeted Immunostimulation With Bispecific Reagents).

Summary of the Invention In one aspect, the invention features multispecific, multivalent molecules, which minimally comprise an anti-Fc receptor portion, an anti-target portion and optionally an anti-enhancement factor (anti-EF) portion. In preferred embodiments, the anti-Fc receptor portion is an antibody fragment Fab or (Fab') 2 fragment), the anti-target portion is a ligand or antibody fragment and the anti-EF portion is an antibody directed against a surface protein involved in cytotoxic activity. In a particularly preferred embodiment, the recombinant anti-FcR antibodies, fragments or ligand are "humanized" have at least a portion of a complementarity determining region (CDR) derived from a non-human antibody murine) with the remaining portion(s) being human in origin).

In another aspect, the invention features methods for generating multispecific molecules. In one embodiment, both specificities are encoded in the same vector and are 15 expressed and assembled in a host cell. In another embodiment, each specificity is generated recombinantly and the resulting proteins or peptides are conjugated to one another via sulfhydryl bonding of the C-terminus hinge regions of the heavy chain. In a particularly preferred embodiment, the hinge region is modified to contain only one sulfhydryl residue, prior to conjugation.

Recombinant antibodies and multispecific molecules generated therefrom can be engineered to have increased affinity and specificity. Further, humanized antibodies are typically less immunogenic when administered to a human. Other features and advantages of the present invention will become better understood by reference to the following Detailed Description and Claims.

Brief Description of the Drawins Figure 1 is a diagram showing the nucleotide and amino acid residue sequences of a portion of the hinge region of a humanized Fcy RI antibody, H22. that was altered to produce a truncated single-sulfhydryl version and then altered further to engineer two unique cloning sites Underlined nucleotides indicate changes from the previous sequence. Overlined nucleotides are the recognition sequences for the indicated restriction sites.

Figure 2 is a schematic representation of the heavy chain-EGF fusion expression construct Figure 3 is a schematic representation of the generation of anti-Fc receptorligand bispecific molecules.

Figure 4 is a schematic representation of the flow cytometric assay used for testing the activity of the humanized Fc y receptor- epidermal growth factor fusion protein.

Figure 5 is a graph, which plots Mean Fluorescence Intensity (MFI) an indication of the binding of various concentrations of epidermal growth factor (EGF) fusion protein (H22-EGF fusion) and the fully humanized bispecific (BsAb) H447 to EGF receptor (EGFR) expressing 1483 cells.

Figure 6 is a graph, which plots the binding of various concentrations of the EGF fusion protein or the BsAb H447 to A431 cells in the presence and absence of murine antibody M425, which binds EGFR.

Figure 7 is a graph, which plots the antibody dependent cytotoxicity (ADCC) resulting from the binding of various concentrations of the EGF fusion protein, BsAb H447 or the H425 antibody to A431 cells.

Figure 8 is a a bar graph which plots the ADCC resulting from the binding of EGF fusion protein, BsAb H447 or the H425 antibody in the presence of media alone, media containing 25% human serum (HS) or media containing a fab fragment of the Fey receptor antibody m22.

Figure 9 is a schematic diagram representing the number of viable A431 cells cultured in the presence of various amounts of EGF, H22-EGF, the Fab fragment of H22 (H22 Fab), or the F(ab')2 fragment of H425 (H425 F(ab')2).

Figure 10 shows the amino acid sequence of the H22Fd-HRG fusion protein.

Figure 11 is a histogram indicating the percentage of specific PC-3 or SKBr-3 tumor cell killing resulting from incubation of these cells with interferon-y-treated monocytes and a 1:3 or 1:30 dilution of supernatant from myeloma cells expressing an H22-heregulin fusion protein.

Figure 12 is a diagram indicating the percentage of PC-3 tumor cell lysis in the presence of monocytes and in the presence of various concentrations of H22-bombesin fusion protein concentrations.

Figure 13 is a schematic representation of the flow cytometric assay used for testing the activity of BsAb 447 generated either by the o-PDM or the DTNB method.

Figure 14 is a graph, which plots the MFI of various concentrations of o-PDM and DTNB derived BsAb 447 to EGFR and FcyRI expressing A431 cells.

Figure 15 is a graph, which plots the antibody dependent cytotoxicity resulting from the binding of o-PDM and DTNB derived BsAb 447 to A431 cells.

Figure 16 is a flow chart that depicts the construction of trispecific antibodies.

Figure 17 depicts the transformation of a bivalent, bispecific antibody into a trivalent, bispecific antibody. The bivalent, bispecific conjugate is reduced and mixed with o-PDM-treated 520C9 Fab' resulting in the TsAb.

Figure 18 depicts a bifunctional fluorescence-activated cell sorting assay for HER2/neu (panel A) and EGFR (panel B).

*0.

15 Figure 19 is a graph which plots the binding of various concentrations of antibody, either BsAb or TsAb, to target cells. Mean Fluorescence Intensity (MFI) increases as Ab binding increases. It shows that the TsAb bound both HER2/neu on SKBr-3 cells and soluble FcyRI simultaneously in a dose-dependent fashion.

S Figure 20 is a graph that shows the TsAb bound both EGFR on A431 cells and soluble FcyRI simultaneously in a dose-dependent fashion. The assay is similar to that used in Figure 19.

Figure 21 is a graph that shows the TsAb, M22 x H425x 520C9, and the BsAb, M22 x 520C9 were capable of inducing ADCC of SKBR-3 cells but the BsAb, M22 x H425, was not. Various concentrations of antibodies were incubated with SKBR-3 cells and 25 pre-activated PMNs.

Figure 22 is a graph that shows the TsAb, M22 x H425x 520C9, and the BsAb, M22 x H425 were capable of inducing ADCC of A431 cells but the BsAb, M22 x 520C9, was not. The assay was performed in a similar manner as the assay in Fig. 21.

Figure 23 is a flow chart for a whole blood modulation assay (panel A) and the results from the assay (panel This trivalent antibody rapidly modulates Fc-RI from the surface of monocytes.

-6- Figure 24, panel A, shows the amino acid sequence of oligonucleotides encoding the wildtype (TT830) and mutant (TT833) tetanus toxin peptides. Panel B is a diagram of an H22Fd-TT fusion protein.

Figure 25 panels A, B, and C represent flow cytometry analysis results showing binding of MDXH210, Fab22-TT830, and H22-TT833S to Fc-yRI positive U937 cells, respectively. The dashed lines represent.negative controls, the solid lines denote staining with the fusion proteins, and the dotted lines respresent fusion protein binding blocked by murine mAb 22 F(ab') 2 Figure 26 is a schematic diagram showing the mean fluorescence intensity resulting from incubation of various amounts of the fusion proteins MDXH210, FAb22- TT830, and Fab22-TT833S to FcyRI positive U937 cells.

15 Figure 27 is a graphic representation of the proliferation ofT cells incubated with irradiated monocytes and various concentrations of TT830, Fab22-TT830, TT, or TT947, showing that the fusion protein Fab22-TT830 enhances the presentation of the Th epitope by about 1000 fold as compared to TT830.

Figure 28 represents a histogram showing the proliferation ofT cells incubated with TT830 at 1000 nM or FAb22-TT830 at 10 nM and monocytes, preincubated g or not with saturating amounts of mAb 22 F(ab')2 prior to addition of the T cells and the antigen.

25 Figure 29 represents a histogram showing the proliferation ofT cells incubated with monocytes and Fab22-TT830 at 5 nM or TT830 at 1000 nM in the absence (control) or presence of IgG.

Figure 30, panels A and B, are graphic representations showing the concentration of IFN-y (panel A) and IL-4 (panel B) in the supernatant ofT cells cultured for 2 days with monocytes and various concentrations of TT830 or Fab22-TT830.

Figure 31 is a graphic representation depicting the proliferation of T cells incubated with monocytes and various concentrations of TT833S, Fab22-TT833S, or TT830.

Figure 32 is a graphic representation of the proliferation of T cells incubated for 2 days with TT830 and monocytes, preincubed overnight with various concentrations of TT833S.

Figure 33 is a graphic representation of the percent inhibition of proliferation ofT cells incubated for 2 days with TT830 and monocytes, preincubated overnight with various concentrations of TT833S or FAb22-TT833S.

Figure 34 is a histogram representing the proliferation of T cells incubated for 2 days with monocytes, which were first incubated with TT830 for 4 hours (Pre-pulse) and then incubated overnight with 10M TT833S or 0.1pM Fab22-TT833S (Chase) prior to addition of the T cells.

Figure 35 is a histogram representing the concentration of interferon-y (IFN-y) and IL-4 in the supernatant ofT cells cultured with monocytes and TT830, FAb22-TT830, TT833S, and Fab22-TT833S.

Figure 36 is a graphic representation of the proliferation of T cells stimulated 15 for one day with monocytes in medium alone, with TT833S, or with Fab22-TT833S and then restimulated with monocytes and various concentrations of TT830 for two days, indicating S that TT833S and Fab22-TT833S do not lead to T cell anergy.

Figure 37 is a graphic representation of two expression constructs encoding single chain bispecific molecules having one binding specificity for an FcyRI (H22) and one binding specificity for a carcinoembryonic antigen (CEA) (constructs 321 adn 323) and one expression construct encoding a single chain antibody having one binding specificity for an FcyRI. The coding regions are under the control of the CMV promoter (CMV Pr). In addition to the variable regions from the heavy (VH) and light chains (VL) of the antibodies, 25 the proteins encoded by these constructs are fused to a peptide from c-myc (c-myc) and to a hexa-histidine peptide Figure 38 shows a histogram indicating the level of binding of the single chain bispecific molecules H22-anti-CEA encoded by the expression constructs 321 (321-A5 and 321-B4) and 323 (323-B2 and 323-C4) and the single chain H22 antibody encoded by the construct 225 (225-C2) as measured by bispecific ELISA.

Figure 39 shows the nucleic acid sequence of the single chain humanized anti- FcyRI antibody and the amino acid sequence encoded by the nucleic acid.

Figure 40 shows the nucleic acid sequence of the single chain bispecific molecule having one binding specificity for the FcyRI and one binding specificity for CEA and the amino acid sequence encoded by the nucleic acid.

-8- Detailed Description Multispecific molecules The instant invention relates to recombinant multispecific molecules.

Multispecific molecules can include bispecific molecules comprised of an anti-Fc receptor portion ar.. an anti-target portion, wherein at least one of said portions is constructed using recombinant DNA techniques. Multispecific molecules can also include molecules, which are comprised of more than one anti-Fc receptor portion or anti-target portion; or molecules comprised of at least one anti-Fc receptor, one anti-target portion and additionally a portion or portions that recognize another molecule, wherein at least one of said portions is constructed using recombinant DNA techniques.

An "anti-Fc receptor portion" refers to an antibody, a functional antibody 15 fragment Fab fragment) or a ligand that recognizes and binds an Fc receptor on an effector cell. Preferred antibodies for use in the subject invention bind the Fc receptor on an effector cell at a site which is not bound by endogenous immunoglobulin. Most preferably, the anti-Fc receptor portion binds a human FcyR FcyRI, FcyRII or FcyRIII). Preferred humanized anti-FcyR monoclonal antibodies are described in PCT application WO 94/10332 20 and U.S. Patent No. 4,954,617, the teachings of which are fully incorporated herein by reference).

An "effector cell", as used herein refers to an immune cell. Specific effector cells express specific Fc receptors and carry out specific immune functions. For example, 25 monocytes, macrophages, neutrophils and dendritic cells, which express FcyRI are involved in both specific killing of target cells and presenting antigens to other components of the immune system. The expression of a particular FcR on an effector cell can be regulated by humoral factors such as cytokines. For example, expression of FcyRI has been found to be up-regulated by interferon gamma (IFN-y). This enhanced expression increases the cytotoxic activity of FcyRI cells against targets.

The recombinant antibodies or antibody fragments, which specifically bind to an Fc receptor are preferably "humanized" i.e. derived from a human antibody, but having at least a portion of a complementarity determining region (CDR) derived from a non-human antibody. The portion being selected to provide specificity of the humanized antibody for a human Fc receptor. The humanized antibody has CDRs derived from a non-human antibody and the remaining portions of the antibody molecule are human.

The antibody may be whole, i.e. having heavy and light chains or any fragment thereof, Fab or (Fab') 2 fragment. The antibody further may be a light chain or heavy chain dimer, or any minimal fragment thereof such as a Fv or a single chain construct as described in Ladner et al. Patent No. 4,946,778, issued August 7, 1990), the contents of which is expressly incorporated by reference.

The hnanized antibody or fragment may be any human antibody capable of retaining non-human CDRs. The preferred human antibody is derived from known proteins NEWM and KOL for heavy chain variable regions (VHs) and REI for Ig kappa chain, variable regions (VKs).

The portion of the non-human CDR inserted into the human antibody is selected to be sufficient for allowing binding of the humanized antibody to the Fc receptor.

A sufficient portion may be selected by inserting a portion of the CDR into the human 15 antibody and testing the binding capacity of the created humanized antibody using the enzyme linked immunosorbent assay (ELISA).

All of the CDRs of a particular human antibody may be replaced with at least a portion of a non-human CDR or only some of the CDRs may be replaced with non-human 20 CDRs. It is only necessary to replace the number of CDRs required for binding of the humanized antibody to the Fc receptor. A non-human CDR derived from a murine monoclonal antibody (mab), mab 22. is described in International Patent Application o' Publication No. WO 94/10332, the contents of which are fully incorporated herein by reference. The mab 22 antibody is specific to the Fc receptor and further is described in U.S.

25 Patent No. 4,954,617, issued September 4, 1988, the contents of which are also expressly incorporated by reference. The humanized mab 22 antibody producing cell line was deposited at the American Type Culture Collection on November 4, 1992 under the designation HA022CL1 and has the accession no. CRL 11177.

An antibody can be humanized by any method, which is capable of replacing at least a portion of a CDR of a human antibody with a CDR derived from a non-human antibody. Winter describes a method which may be used to prepare the humanized antibodies of the present invention (UK Patent Application GB 2 188638A, filed on March 26, 1987), the contents of which is expressly incorporated by reference. The human CDRs may be replaced with non-human CDRs using oligonucleotide site-directed mutagenesis as described in International Patent Application Publication Number: WO 94/10332 entitled.

Humanized Antibodies to Fc Receptorsfor Immunoglobulin G on Human Mononuclear Phagocytes.

In addition to an anti-Fc receptor portion, the claimed multispecific molecules can comprise an "anti-target portion", i.e. an antibody, a functional antibody fragment or a ligand that recognizes and binds a pathogen virus, bacteria, fungi), a pathogen infected cell, a cancer or tumor cell breast, ovarian, prostate, etc.) or other unwanted cell in a subject a human or animal) or an antigen or modified form thereof. Additionally, the target portion may comprise or be directed against an antigen. A preferred embodiment contains an antigen that can be used to stimulate the immune system, for example, in instances of chronic infection, to deplete antigen in the circulation, and to treat tumors. A particularly preferred embodiment has an antigen that is attached to a multivalent molecule containing an anti-FcR antibody.

In a specific embodiment of the invention, the multispecific molecule contains a ligand. The ligand can be any ligand that interacts with a molecule. In a preferred embodiment, the ligand binds a protein, a surface protein on a target cell, such as a 15 cancer cell. Preferred ligands include ligands to receptors, such as growth or differentiation factors. For example, a multivalent molecule can comprise an epidermal growth factor, or at least a portion or modified form that is capable of interacting with a receptor, an S epidermal growth factor receptor. In another preferred embodiment of the invention, the ligand is a small peptide, such as bombesin, gastrin-releasing peptide (GRP), litorin, 20 neuromedin B, or neuromedin C. The sequences of the peptides can be found, in U.S.

Patent No. 5,217,955, the content of which is incorporated herein by reference. The ligand can also be a modified form of any of these peptides. The modification can increase binding to the receptor, decrease binding, or not affect the binding to a receptor. The modification of the ligand can also transform an agonist into an antagonist, such that the ligand inhibit rather 25 than stimulate cell proliferation. The modification of the ligand can be an addition, a deletion, a substitution, or a modification of at least one amino acid.

In a specific embodiment of the invention, a multivalent or bispecific molecule comprises an antigen. As used herein, the term "antigen" means any natural or synthetic immunogenic substance, a fragment or portion of an immunogenic substance, a peptidic epitope, or a hapten.

In one embodiment of the invention, a bi- or multispecific molecule is employed to target an antigen to the cell to enhance the processes of intemalization and presentation by these cells, and utlimately, to stimulate an immune response therein. In a specific embodiment, the bispecific binding agent specifically binds the antigen (either directly, to an epitope of the antigen, or indirectly, to an epitope attached to the antigen) and.

at the same time, binds a surface receptor of an antigen-presenting cell which can internalize antigen for processing and presentation. In another embodiment, the antigen is linked to the -11 multi- or bispecific molecule and at the same time binds a surface receptor of an antigenpresenting cell. The receptor-binding component of these bi- or multispecific molecule (and thus the bi- or multispecific molecule, itself) binds the receptor of the antigen-presenting cell.

In some instances, binding of the molecule occurs without the molecule substantially being blocked by the natural ligand for the receptor. As a result, targeting of the antigen to the receptor will not be prevented by physiological levels of the ligand and the targeted receptor will remain capable of binding the ligand and functioning.

One type of antigen can be an allergen. An "allergen" refers to a substance that can induce an allergic or asthmatic response in a susceptible subject. The list of allergens is enormous and can include pollens, insect venoms, animal dander dust, fungal spores and drugs penicillin). Examples of natural, animal and plant allergens include proteins specific to the following genuses: Canine (Canisfamiliaris); Dermatophagoides (e.g.

Dermatophagoidesfarinae); Felis (Felis domesticus); Ambrosia (Ambrosia artemiisfolia; Lolium Lolium perenne or Lolium multiflorum); Cryptomeria (Cryptomeriajaponica); Alternaria (Alternaria alternata); Alder; Alnus (Alnus gultinosa); Betula (Berula verrucosa); Quercus (Quercus alba); Olea (Olea europa); Artemisia (Artemisia vulgaris); Plantago (e.g.

Plantago lanceolata); Parietaria Parietaria officinalis or Parietariajudaica); Blattella Blattella germanica); Apis Apis multiflorum); Cupressus Cupressus sempervirens, Cupressus arizonica and Cupressus macrocarpa); Juniperus Juniperus sabinoides, Juniperus virginiana, Juniperus communis and Juniperus ashei) Thuya (e.g.

Thuya orientalis); Chamaecyparis Chamaecyparis obtusa); Periplaneta (e.g.

Periplaneta americana); Agropyron Agropyron repens); Secale Secale cereale); Triticum Triticum aestivum); Dacrylis Dactylis glomerata); Festuca Fesruca 25 elatior); Poa Poo pratensis or Poa compressa); Avena Avena sativa); Holcus (e.g.

Holcus lanatus); Anthoxanthum Anthoxanthum odoratum); Arrhenatherum (e.g.

Arrhenatherum elatius); Agrostis Agrostis alba); Phleum Phleum pratense); Phalaris Phalaris arundinacea); Paspalum Paspalum notatum); Sorghum (e.g.

Sorghum halepensis); and Bromus Bromus inermis).

Many allergens are found in airborne pollens of ragweed, grasses, or trees, or in fungi, animals, house dust, or foods. As a class, they are relatively resistant to proteolytic digestion. Preferable allergens are those which bind to IgE on mast cells and basophils, thereby causing a type I anaphylaxis hypersensitivity reaction. When at least one specificity of the multivalent agent is for an epitope of the high affinity Fc receptor that is outside the ligand binding domain for IgG, this bispecific binding agent can decrease hypersensitivity in a subject. This is accomplished when the bispecific binding agent competes for an IgEbinding allergen before the allergen binds to IgE on a mast cell or basophil. thereby reducing the possibility of a type I hypersensitivity reaction. In addition, as a result of directir.e 12allergen to FcyR. a state ofT cell tolerance to the allergen may be induced which interferes with IgE-mediated type I reactions. Tolerance can be accomplished by inducing IgG which competes with IgE for binding to allergen using doses of allergen substantially lower than those currently used.

In some cases, it may be desirable to couple a substance which is weakly antigenic or nonantigenic in its own right (such as a hapten) to a carrer molecule, such as a large immunogenic protein a bacterial toxin) for administration. In these instances, the bispecific binding reagent can be made to bind an epitope of the carrier to which the substance is coupled, rather than an epitope of the substance itself.

The antigen that can be linked either directly, or indirectly, to a multi- or bispecific molecule of the invention can be soluble or particulate; it may carry B cell epitopes, T cell epitopes or both. The antigen can be bacterial, viral or parasitic in origin.

Often, the antigen will comprise a component of the surface structure of a pathogenic organism. For example, the antigen can comprise a viral surface structure such as an *envelope glycoprotein of human immunodeficiency virus (HIV) or the surface antigen of hepatitis virus. In addition, the antigen can be associated with a diseased cell, such as a tumor cell, against which an immune response may be raised for treatment of the disease.

20 The antigen can comprise a tumor-specific or tumor-associated antigen, such as the Her- 2/new proto-oncogene product which is expressed on human breast and ovarian cancer cells (Slamon et al. (1989) Science 244:707).

The cells of a subject can be exposed in vitro or in vivo to the multivalent 25 molecules of the invention. The multivalent molecule can be used to target an antigen to antigen-presenting cells in culture. Immunocompetent cells are separated and purified from patient blood. The cells are then exposed to a multivalent molecule comprising the antigen or the cells can be exposed to the antigen together with a multivalent molecule having a binding specificity for the antigen. Targeted antigen-presenting cells will process the antigen and 30 present fragments on their surface. After stimulation, the cells can be returned to the patient.

The method of this invention can be used to enhance or reinforce the immune response to an antigen. For example, the method is valuable for the treatment of chronic infections, such as hepatitis and AIDS, where the unaided immune system is unable to overcome the infection. It can also be used in the treatment of the acute stages of infection when reinforcement of immune response against the invading organism may be necessary.

The method can be used to reduce the dose of antigen required to obtain a protective or therapeutic immune response or in instances when the host does not respond or 13responds minimally to the antigen. Although generally desirable, the lowering of effective dose can be especially desirable when the antigen is toxic to the host such as is the case for allergies. Methods and uses for using bi- or multispecific molecules comprising an antigen or comprising an ligand, an antibody interacting with an antigen, are further described in the published PCT application PCT/US91/07283.

In another embodiment of the invention, a multispecific molecu', comprises an antigen that has been modified, such that its effect on T cell activation is modified upon presentation of the modified antigen to the T cell by an antigen presenting cell. Allan et al.

have in fact shown that substitution of one or more amino acids of a peptide that stimulates T cells, stimulates T cell proliferation, can result in an antigen which fails to stimulate the.

T cell or which induces anergy in the T cell. Such modified peptides are termed Altered Peptide Ligands (APL). Accordingly, such APLs can be linked to bispecific or multispecific molecules having at least one binding specificity for the FcyRI. Upon phagocytosis of these 15 molecules by antigen presenting cells and presentation to T cells, the proliferation of the T cells may be inhibited or anergized. Accordingly, administration to a subject of a multispecific molecule comprising at least one altered peptide of an antigen which normally stimulates T cells, but which upon modification induces anergy of the T cells, and S at least one anti-FcyRI antibody will result in induction of tolerance of the subject to the 20 antigen. Thus, such multi- or bispecific molecules can be used to tolerize a subject to a variety of antigens, auto-antigens. Thus, depending on the antigen used, the methods of the invention provide methods for increasing an immune response, by using an antigen which stimulates T cells, and the invention also provides methods for reducing an immune response, either by inhibiting T cell stimulation or by inducing anergy of the T cells.

S. The multispecific, multivalent molecules of the invention may also include an "anti-enhancement factor (anti-EF) portion". The "anti-enhancement factor portion" can be an antibody, functional antibody fragment or a ligand that binds to an antigen and thereby results in an enhancement of the effect of the anti-Fc receptor portion or the anti-target portion. The "anti-enhancement factor portion" can bind an Fc receptor or a target. A multivalent molecule comprising an anti-target portion that binds to one target cell antigen and an anti-enhancement factor portion that binds to a different target antigen is particularly useful where the target cell undergoes antigen modulation or antigenic variation as has been described for certain parasites (such as trypanosomes). Alternatively, the antienhancement factor portion can bind an entity that is different from the entity to which the anti-target or anti-Fc receptor portion binds. For example, the anti-enhancement factor portion can bind a cytotoxic T-cell via CD2, CD3, CD8, CD28, CD4, CD40. ICAM- or other immune cell that results in an increased immune response against the target).

14 Methods for Making Multispecific Molecules The multispecific molecules described above can be made by a number of methods. For example, both specificities can be encoded in the same vector and expressed and assembled in the same host cell. This method is particularly useful where the multispecific molecule is a ligand x fab fusion protein as described in the following Example 2. A bispecific molecule of the invention can also be a single chain bispecific molecule, such as a single chain bispecific antibody, a single chain bispecific molecule comprising one single chain antibody and a ligand, or a single chain bispecific molecule comprising two ligands.

Multivalent molecules can also be single chain molecules or may comprise at least two single chain molecules. Methods for preparing bi- or multivalent antibodies are for example described in U.S. Patent Number 5,260,203; U.S. Patent Number 5,455,030; U.S. Patent.

Number 4,881,175; U.S. Patent Number 5,132,405; U.S. Patent Number 5,091,513; U.S.

Patent Number 5,476,786; U.S. Patent Number 5,013,653; U.S. Patent Number 5,258,498; 15 and U.S. Patent Number 5,482,858.

Binding of the single chain molecules to their specific targets can be confirmed by bispecific ELISA as described in the Examples herein.

Alternatively, each specificity of a multispecific molecule can be generated separately and the resulting proteins or peptides conjugated to one another. For example, two humanized antibodies can be conjugated via sulfhydryl bonding of the C-terminus hinge regions of the two heavy chains. In a particularly preferred embodiment, the hinge region is modified to contain an odd number of sulfhydryl residues, preferably one, prior to 25 conjugation.

The bispecific molecules of the present invention can be prepared by .conjugating the anti-FcR and anti-target portions using methods described in the following Example or those well-known in the art. For example, a variety of coupling or cross-linking agents can be used for covalent conjugation. Examples of cross-linking agents include protein A, carbodiimide, N-succinimidyl-S-acetyl-thioacetate (SATA), N-succinimidyl-3-(2pyridyldithio)propionate (SPDP), and sulfosuccinimidyl 4-(N-maleimidomethyl) cyclohaxane-l-carboxylate (sulfo-SMCC) (see Karpovsky et al. (1984) J. Exp. Med.

160:1686; Liu, MA et al. (1985) Proc. Natl. Acad. Sci. USA 82:8648). Other methods include those described by Paulus (Behring Ins. Mitt. (1985) No. 78, 118-132); Brennan et al.

(Science (1985) 229:81-83), and Glennie et al. Immunol. (1987) 139: 2367-2375).

Preferred conjugating agents are SATA and sulfo-SMCC, both available from Pierce Chemical Co. (Rockford, IL).

15 Therapeutic Uses for Multispecific Molecules Based on their ability to bind FcR bearing immune cells and specific target cells, a specific multispecific molecule can be administered to a subject to treat or prevent a variety of diseases or conditions, including: cancer breast, ovarian, small cell carcinoma of the lung), pathogenic infections viral (such as HIV)), protozoan (such as Toxoplasma gondii), fungal (such as candidiasis); an autoimmunity immune thrombocytopenia purpura and systemic lupus). The multispecific multivalent can also be administered prophylactically to vaccinate a subject against infection by a target cell.

For use in therapy, an effective amount of an appropriate multispecific molecule can be administered to a subject by any mode that allows the molecules to exert their intended therapeutic effect. Preferred routes of administration include oral and transdermal via a patch). Examples of other routes of administration include injection 15 (subcutaneous, intravenous, parenteral, intraperitoneal, intrathecal, etc.). The injection can be in a bolus or a continuous infusion.

A multispecific molecule can be administered in conjunction with a pharmaceutically acceptable carrier. As used herein, the phrase "pharmaceutically acceptable 20 carrier" is intended to include substances that can be coadministered with a multispecific molecule and allows the molecule to perform its intended function. Examples of such carriers include solutions, solvents, dispersion media, delay agents, emulsions and the like.

The use of such media for pharmaceutically active substances are well known in the art. Any other conventional carrier suitable for use with the molecules falls within the scope of the 25 instant invention.

The language "effective amount" of a multispecific molecules refers to that amount necessary or sufficient to realize a desired biologic effect. For example, an effective amount of a multispecific molecule, in which the anti-target portion recognizes a pathogenic cell could be that amount necessary to eliminate a tumor, cancer, or bacterial, viral or fungal infection. The effective amount for any particular application can vary depending on such factors as the disease or condition being treated, the particular multispecific molecule being administered, the size of the subject, or the severity of the disease or condition. One of ordinary skill in the art can empirically determine the effective amount of a particular multispecific molecule without necessitating undue experimentation.

The following invention is further illustrated by the following examples, which should not be construed as further limiting. The contents of all references, pending -16patent applications and published patents, cited throughout this application are hereby expressly incorporated by reference.

Examples Example 1: Production of Bispecific Antibody Comprising Murine or Humanized Antibodies Specific for an Fc Receptor and an Anti-her 2 neu Antibody Monoclonal Antibodies The anti-FcyRI monoclonal antibodies (mAbs), M22, M32.2 and 197 were purified from hybridoma supernatant by ion exchange chromatography and DZ33, a human anti-HIV-1 IgGI mAb, was purified from hybridoma supernatant by protein A affinity chromatography (Pharmacia, Piscataway, NJ) and gel filtration. M32.2 was deposited at the 15 American Type Culture Collection, 12301 Parklawn Drive, Rockville, MD 20852, on July 1, 1987 and has been designated with ATCC Accession No. HB9469.

Cell Lines The murine myeloma NSO (ECACC 85110503) is a non-Ig synthesizing line and was used for the expression of recombinant mAbs. NSO cells were cultivated in DMEM plus 10% fetal bovine serum (FBS, Gibco, Paisley, SKBR-3 is a human breast carcinoma cell line which overexpresses the HER2/neu protooncogene (ATCC, Rockville, MD) and was cultivated in Iscove's Modified Dulbecco's Medium (IMDM, Gibco, Grand Island, NY). U937 is a monocytoid cell line that expresses FcyRI and was obtained from 25 ATCC and grown in RPM-1640 plus 10% FBS (Gibco, Grand Island, NY).

Cloning Murine Immunoglobulin V Region Genes Cytoplasmic RNA from the murine hybridoma 22 was prepared as described in Favaloro et al. (Favaloro, R. Treisman and R. Kamen (1982) Transcription maps of polyoma-specific RNA: analysis by two-dimensional S1 gel mapping. Meth. Enzvmol.

65:718). The Ig V region cDNAs were made from RNA via reverse transcription initiated from primers CG1 FOR and CK2FOR as described in International Patent Application Publication Number WO 94/10332 entitled, Humanized Antibodies to Fc Receptorsfor Immunoglobulin G on Human Mononuclear Phagocytes. The cDNA synthesis was performed under standard conditions using 100 U MMLV reverse transcriptase (Life Technologies, Paisley, UK). The VH and VK cDNAs were amplified by PCR, (Orlandi. R..

D.H. Gissow, P.T. Jones and G. Winter (1989) (Cloning immunoglobulin variable domains for expression by the polymerase chain reaction), Proc. Nat., Acad. Sci. USA 86:3833). using the cDNA primers in concert with SH2BACK and VK7BACK as described in International -17- Patent Application Publication Number WO 94/10332. Amplified VH and VK DNA were purified, cloned into M 13, and sequenced by the dideoxy method using T7 DNA polymerase (Pharmacia, Piscataway, NJ).

Construction of Chimeric Antibody Genes To facilitate cloning of murine V region DNA into expression vectors, restriction sites were placed in close proximity to the termini of both M22 V region genes.

For VH, a 5' PstI site and a 3' BstEII site were introduced into a cloned murine VH gene by PCR using VH1BACK and VH1FOR For VK a 5' PvuII site and a 3' Bgl II site were introduced into a cloned murine VK gene by PCR using primers VK1BACK and VK1FOR In some instances, these primers changed one or more amino acids from those naturally occurring. These V region genes (ChVH and ChVK) were cut with the appropriate restriction enzymes and cloned into M13VHPCR1 and M13VKPCRI which contain an Ig promoter, signal sequence and splice sites. The DNA were excised from M13 as HindIIl- 15 BamHI fragments and cloned into the expression vectors pSVgpt and pSVhyg containing human IgGI, (Takahashi, N. et al., (1982), Structure of human immunoglobulin gamma genes: implications for evolution of a gene family, Cell, 29:671), and human kappa constant, (Hieter, R.A. et al., (1980) Cloned human and mouse kappa immunoglobulin constant and J region genes conserve homology in functional segments, Cell 22:197), region genomic DNA.

Construction of Humanized Antibody Genes Two humanized heavy chains were constructed and were based on human VHS ofNEWM, (Poljak, R.J. et al., Amino acid sequence of the VH region of a human mycloma immunoglobulin, (IgG New), Biochemistry, 16:3412), and KOL,(Marquat, M. et al., (1980) Crystallographic refinement and atomic models of the intact immunoglobulin molecule Kol and its antigen-binding fragment at 3.0A and 1.9A resolution, J. Mol. Biol.

141:369. The humanized light chain was derived from the human Bence-Jones protein REI, (Epp, O. et al, (1974) Crystal and molecular structure of a dimer composed of the vandible portion of the Bence-Jones protein REI, Eur. J. Biochem. 45:513), with some framework region (FR) changes. The modifications were made to make the VK domain more typical of human subgroup I, and included replacement of Thr39, Leul04, Glnl05 and Thr107 with Lys39, Vall04, Glul05 and Lysl07. In addition, Met4 was changed to Leu4 to accommodate a PvuII restriction site.

DNA containing the NEWM VH and REI VK FRs with irrelevant CDRs were cloned into the vectors M13VHPCRI and M13VKPCRI (Favaloro et al. Supra). DNA encoding the KOL VH was constructed by a series of sequential PCRs. using oligodeoxyribonucleotides encoding KOL FR amino acids and irrelevant CDRs. The constructs were then cloned into M13VHPCRI.

-18- Oligodeoxyribonucleotides were synthesized to encode the mAB M22 CDRs which were flanked by nucleotides corresponding to the human FRs. For the humanized VH based on NEWM, the primers included murine FR amino acids Phe27, Iie28 and Arg71 since these were likely to influence antigen binding, (Chothia, C. and A.M. Lesk (1987), Canonical structures for the hypervariable regions ofimmunoglobulins, J. Mol. Biol., 196:901; Tramontano, A. et al., (1990), Framework residue 71 is a major determinant of the position and conformation of the second hypervariable region in VH domains of immunoglobulins, J.

Mol. Biol., 215:175). For the humanized VK, murine amino acid Phe71 was similarly included as a residue capable of affecting affinity, (Foote, J. and G. Winter, (1992), Antibody framework residues affecting the conformation of the hypervariable loops, J. Mol. Biol.

224:487. No murine FR residues were included in the KOL VH. Oligodeoxyribonucleotides were 5' phosphorylated and with the M13 universal forward primer annealed to the human V region genes cloned in M13 in reactions containing M13 ssDNA template. The DNA was 15 extended and ligated with 2.5 U T7 DNA polymerase (United States Biochemicals, Cleveland, OH) and 0.5 U T4 DNA ligase (Gibco BRL, Grand Island, NY). The mutated strand was preferentially amplified from the extension/ligation mixture using M13 reverse sequencing primer with 1 U Vent DNA polymerase (New England Biolabs, Beverly, MA) and was then amplified by PCR using both M13 forward and reverse primers. Product DNA was cut with BamH1 and HindIII, cloned into M13 and triple CDR-grafted mutants identified by DNA sequencing.

M13 clones containing the humanized V regions were sequenced-in their entirety to ensure the absence of spurious mutations. RF DNA from the confirmed clones 25 was digested with HindIII and BamHI, cloned into pSVgpt or pSVhyg and human IgGI or human kappa constant regions added exactly as described for the construction of the chimeric antibody genes.

Expression and Purification of Recombinant mAbs Heavy (5 jg) and light (10 gg) chain expression vectors were digested with PvuI, ethanol precipitated and dissolved in 50 pl water. NSO cells (1-2 x 107) were harvested by centrifugation, resuspended in 0.5 ml DMEM and mixed with the DNA in a 0.4 cm electroporation cuvette. After 5 min. on ice the cells were given a single pulse of 170 V, 960 pF (GenePulser, Bio-Rad, Melville, NY) and incubated further for 15 min. on ice. The cells were allowed to recover in DMEM for 24-48 hours. The medium was then made selective by the addition of mycophenolic acid (0.8 ug/ml) and xanthine (250 Lg/ml).

Aliquots of 200 pl were distributed into 96-well plates. After a further 10-12 days, cells from the wells containing the highest levels of antibody measured by ELISA were selected and cloned by limiting dilution.

-19- Antibodies were purified from overgrown cultures by protein A affinity chromatography (Boehringer Mannheim, Lewes, Concentrations were determined by measuring A280nm and confirmed by ELISA and SDS-PAGE.

ELISA for Measurement ofAntibody Binding The wells of a microtiter plate were coat:d with goat anti-human IgM antibodies (Sera-Lab, Crawley Down, in 50 mM bicarbonate buffer, pH 9.6. The plate was blocked with 1% BSA and followed by the addition of a soluble fusion protein consisting of the extracellular domain of human FcyRI and human IgM heavy chain (sFcyRI-p) obtained from transiently transfected COS cells (the expression vector was kindly provided by Dr.

Brian Seed, Massachusetts General Hospital, Boston, MA). Recombinant 22 or control mAbs were then added in the presence of excess (2.2 pg/well) human IgGI antibodies (Sigma, St. Louis, MO) that contained X light chains to block the non-specific binding of the 15 test mAbs via their Fc portion. Bound 22 mAbs were detected with peroxidase-labeled goat anti-human kappa chain antibodies (Sera-Lab, Crawley Down, and ophenylenediamine.

Fluoresceination ofAntibodies 20 The pH of mAb solution was adjusted to 9.3 by the addition of 0.1M Na 2

CO

3 Fluorescein iso-thiocyanate (FITC) (Sigma, St. Louis, MO) was dissolved in DMSO at a concentration of 2mg/ml. Forty pg of FITC was added for each milligram of mAb and incubated for two hours at room temperature. The fluoresceinated mAb was separated from the free FITC by G-25 chromatography.

Preparation ofBlood Cells Buffy coats were prepared from heparinized whole venous blood. Whole blood was diluted with RPMI containing 5% dextran at a.ratio of 2.5:1 The erythrocytes were allowed to sediment for 45 minutes on ice, then the cells in the supernatant were transferred to a new tube and pelleted by centrifugation. The residual erythrocytes were removed by hypotonic lysis. The remaining lymphocytes, monocytes and neutrophils were kept on ice until use in binding assays. For some experiments, neutrophils were separated from mononuclear cells by ficoll hypaque (Pharmacia, Piscataway, NJ) gradient separation.

To up-regulate FcyRI, neutrophils and mononuclear cells were treated with cytokines.

Cultures of mononuclear cells were incubated at 37 0 C, 5% CO 2 for 48 hours in teflon dishes at 4 x 106 cells/ml of RPMI containing 2.5% normal human serum type AB (Sigma, St.

Louis, MO) and 500 IRU/ml IFN-y (R&D Systems, Minneapolis, MN). Neutrophils were cultured for 48 hours (37 0 C, 5% CO2) in AIM V media (Gibco, Grand Island. NY) with ng/ml G-CSF (Kindly provided by R. Repp, U. of Erlanger, Germany) and 500 IRU'rr.i IFN-y.

Flow Cvtometrv Cell binding assays were performed using 96-well microtiter plates as previously described, (Guyre, P.M. et al., Monoclonal antibodies that bind to distinct epitopes on FcyR are able to trigger receptor function. J. Immunol., 143:1650). Briefly, cells were washed in PBS, pH 7.4 containing 2mg/ml BSA and 0.05% NaN 3 (PBA), and adjusted to x 107 cells/ml with PBA. FITC-labeled and unconjugated antibodies were prepared in PBA.

Cells (25 pl), antibody (25 pl) and human serum (25 or human IgG (10 mg/ml, Sigma, St. Louis, MO) (25 pl), or PBA (25 pl) were added to the microtiter plate, and left on ice for 45-60 minutes. Unbound antibody was removed from the wells by washing the cells 3 times with PBA. The cells were fixed with 1% paraformaldehyde. Cell associated fluorescence was analyzed on a Becton Dickinson FACScan.

15 BsAb Coupling Procedure BsAb were constructed using the method ofGlennie et al, (Glennie, M.J. et al., (1987), Preparation and performance of bispecific F(ab' gamma) 2 antibody containing thioether-linked Fab' gamma fragments, J. Immunol., 139:2367). mAbs 22 (both murine and humanized) and 520C9 (anti-HER2/neu) antibodies were produced by in vitro cultivation of the respective hybridoma cells. The antibodies were separately digested with pepsin to F(ab') 2 and subsequently reduced to Fab' by addition of 10 mM mercaptoethanolamine (MEA) for 30 minutes at 30 0 C. The Fab' fragments were applied to a Sephadex G-25 column equilibrated in 50mM Na Acetate, 0.5mM EDTA, pH 5.3 (4 0 Orthophenylenedimaleimide (o-PDM, 12mM) dissolved in dimethyl formamide and chilled in a methanol/ice bath was added (one half volume) to the murine 22 Fab' in the case of M 22 x 520C9, and to 520C9 Fab' in the case of H 22 x 520C9 and incubated for 30 minutes on ice.

The Fab'-maleimide was then separated from free o-PDM on Sephadex G-25 equilibrated in 50mM Na Acetate, 0.5mM EDTA, pH 5.3 For preparation of.the BsAbs, the M22 Fab'-maleimide was added to the 520C9 Fab' or the 520C9 Fab'-maleimide was added to H22 Fab' at a 1:1 molar ratio. The reactants were concentrated under nitrogen to the starting volume using a Diaflo membrane in an Amicon chamber (all at After 18 hours the pH was adjusted to 8.0 with IM Tris-HCl, pH 8.0. The mixture was then reduced with MEA (30 minutes, 30°C) and alkylated with 25 mM iodoacetamide. The bispecific F(ab')2 was separated from unreacted Fab's and other products by a Superdex 200 (Pharmacia, Piscataway, NJ) column equilibrated in PBS.

Antibody Dependent Cellular Cvtotoxicitv (A DCC) The HER2/neu over-expressing human breast carcinoma cells, SKBR-3. were used as targets for lysis by cytokine activated neutrophils (see preparation of blood cells:.

-21 Targets were labeled with 100 pCi of 5 1 Cr for 1 hour prior to combining with neutrophils and antibodies in a U-bottom microtiter plate. After incubation for 5 hours at 37°C supematants were collected and analyzed for radioactivity. Cytotoxicity was calculated by the formula: lysis (experimental CPM target leak CPM/detergent lysis CPM target leak CPM) x 100%. Specific lysis lysis with antibody lysis without antibody.

Assays were performed in triplicate.

Superoxide Induction U937 cells were used for measuring the ability of H22 to trigger a superoxide burst via FcyRI, (Pfefferkorn, L.C. and G.R. Yeaman (1994), Association of IgA-Fc receptors (Fc x R) with Fee RIy 2 subunits in U937 cells, J. Immunol. 153:3228; Hallet, H.B. and A.K.

Campbell (1983). Two distinct mechanisms for stimulating of oxygen radical production in polymorphonuclear leucocytes, Biochem J. 216:459). U937 cells were cultured for five days in RPMI-1640 (Gibco, Grand Island, NY) with 10% FBS (Hyclone, Logan, UT) in the 15 presence of 100 U/ml IFN-y (Genentech, S. San Francisco, CA) to induce differentiation and increased expression of FcyRI. On the day of the experiment, these differentiated cells were incubated for 20 minutes in fresh RPMI-1640 with 10% FBS at 37 0 C. The cells were then pelleted and resuspended at a concentration of 3 x 106 cells/ml in PBS supplemented with ImM CaC1, ImM MgCI 2 1 mM glucose, and 100ag/ml BSA (Sigma, St. Louis, MO). To trigger the release of superoxide, 100pl of cells were added to 100p of a reaction solution containing 0.1mM luminol (Sigma, St. Louis, MO), 0.5mM sodium vanadate (Sigma, St.

Louis, MO), and either mAb M22, H22, or 197 and placed in the luminometer at 22* C.

Measurements of the spontaneous production of superoxide were made every 30 to seconds starting immediately following the addition of the cells to the reaction solution in the luminometer. To compare the superoxide triggered by crosslinking FcyRI with M22, H22 or 197, each mAb was used at a concentration of 10pg/ml. The production of superoxide in mV/sec was monitored for 20 minutes. MAb M22, M32.2 and 197 were added at various concentrations to establish the dose-responsiveness of superoxide production.

Results Murine Ig V Region Genes Ig V region cDNAs were prepared from M22 hybridoma RNA using primers specific for murine heavy and kappa constant regions and were amplified by PCR with the additional use of a series of primers based on sequences of known signal and/or 5' sequences of mature V regions. PCR products of the expected sizes for VH and V, were obtained using the SH2BACK/CG1FOR and VK7BACK/CK2FOR primer combinations. Amplified DNA was digested with appropriate restriction enzymes, cloned into M13 and the sequence in both directions determined from at least 24 independent clones. The deduced amino acid 22 sequences are shown in SEQ. ID Nos. 29 and 30. The 4 N-terminal residues of V are encoded by the VKBACK primer.

The M22 VH and V, are members of murine heavy chain subgroup IIID and kappa subgroup I, (Kabat, E.A. et al., (1991), Sequences of Proteins of Immunological Interest, 5th Ed., U.S. Department of Health and Human Services), respectively. Apart from the residue at L97, the amino acid sequence of the M22 VK is identical to that from the murine anti-IgG mAb A17 (Shlomchik, M. et al., Variable region sequences of murine IgM anti-IgG monoclonal autoantibodies (rheumatoid factors). II Comparison of hybridonias derived bylipopolysaccharide stimulation and secondary protein immunization, J. Exp. Med.

165:970).

Humanized mAbs and Initial Characterization of their Binding M22 VH FR showed greater homology to KOL (human subgroup III) than to NEWM (human subgroup II). To see how this difference might affect binding, heavy chains were constructed based either on NEWM VH including the murine residues Phe27, Ile28 and Arg71, or on KOL VH with no murine FR amino acids. Both humanized VH were partnered with the same REI-derived humanized light chain.

The affinity of the humanized mAbs was initially assessed by ELISA measuring the binding to FcyRI/IgM heavy chain fusion protein. The data showed that the KOL VH/REI VK mAb had the same binding as the chimeric mAb whereas the NEWM VH/REI VK mAb exhibited an approximate 5- fold lower affinity. The low binding of a nonspecific human IgGI mAb showed that >95% of binding of the humanized mAbs was via 25 the Fv portion rather than through the Fc domain.

While additional changes to the NEWM FR would be expected to restore binding affinity these could create.novel epitopes which might provoke an unwanted immunological response. The KOL VH/REI VK mAb, designated H22, was therefore chosen for further examination of its binding characteristics.

Functional Characterization of mAbH22 A series of binding experiments were performed to establish the specificity and isotype of the H22 antibody. Peripheral blood leukocytes stained with fluoresceinconjugated M22 or H22 demonstrated specific binding to monocytes with approximately 104 binding sites per cell. In contrast, lymphocytes or unstimulated neutrophils had little or no specific binding (Table 1): -23- Table 1: Specific Binding of H22 to Monocytes Antibody Monocytes Lymphocytes PMNs M22 10,000a <1000 <1000 H22 10.500 <1000 <1000 aAntibody sites per cell, average of duplicates To demonstrate that the H22 binds to FcyRI at the same site as M22 and that it also binds as a ligand at the Fc binding domain, competition experiments with two anti-FcyRI murine mAb (M22 and M32.2) and a human IgGI mAb were performed. Unconjugated H22 and M22 competed equivalently for either the binding of fluoresceinated M22 or fluoresceinated H22 in the presence of excess human IgG which saturated the Fc binding sites on FcyRI. As expected, the anti-FcyRI antibody M32.2 which binds to a different site on FcyRI than M22 (Guyre, P.M. et al., J. Immunol. 143:1650) was also unable to compete with the M22-FITC.

In addition, the inhibition of H22-FITC by H22 and not by an irrelevant human IgGI mAb confirmed the specificity of FcyRI binding via the V regions of H22.

H22, but not M22, was able to compete for Fc mediated binding to FcyRI by a fluorosceinated human IgG 1. This experiment demonstrated that the Fc portion of H22 but not M22 bound to the Fc binding domain of FcyRI. This is consistent with the ability of the Fc portion of human IgGI antibodies, but not murine IgGI, to bind FcyRJ with high affinity.

Since the humanization of M22 was primarily to increase its immunotherapeutic potential, the binding activity of H22 to monocytes and cytokineactivated neutrophlils was determined in the presence of human serum. H22-FITC bound with similar affinity to FcyRI on monocytes in the presence or absence of human serum. In 25 contrast, the Fc-mediated binding of an irrelevant human IgG-FITC was completely inhibited by human serum. Likewise, H22-FITC bound with similar affinity to IFN-y-treated neutrophils in the absence and in the presence of human serum. Collectively, the data demonstrated that H22 binds both via its V regions to a site distinct from the Fc binding domain and via its Fc region to the ligand binding domain of FcyRI. The former binding activity effectively overcomes antibody blockade of human IgGl.

Functional Activity of H22 BsAb The foremost application of anti-FcyRI antibodies for immunotherapy is the development of BsAbs which link FcyRI-bearing effector cells to a tumor cell, a virus, or a virally-infected cell. Such BsAb have been developed with M22; therefore, a comparison was made of the ability of the M22 anti-tumor BsAb (520C9xM22) and a corresponding H22 -24 BsAb (520C9xH22) to mediate cytotoxicity. These BsAbs consisted of H22 or M22 Fab' chemically conjugated to the Fab' of an anti-HER2/neu antibody (520C9), and thus were specific for the effector cell trigger molecule FcyRI and the tumor antigen.

Comparison of M22-derived and H22-derived BsAbs was done by ADCC assays. M22- and H22-derived BsAbs mediated the killing of HER2/neu overexpressing SKBR-3 cells. Both the murine and humanized BsAbs exhibited similar levels of lysis of antigen bearing target cells. In addition, both BsAb retained ADCC activity in the presence of human serum, while excess M22 F(ab')2 resulted in complete inhibition of killing. Taken together these results show that the H22 BsAb-induced lysis is mediated through the M22 epitope and that the ADCC is FcyRI specific.

Finally, the ability of H22 and M22 to stimulate superoxide production by the monocyte-like cell line U937 was evaluated. M22, which binds to the FcyRI only by its V 15 regions, induced a very low level oxygen burst, presumably because it is unable to cross-link *the receptor efficiently. However, H22, which can cross-link FcyRI by binding as a ligand via its Fc domain and, additionally, as an antibody via its Fv, induced a more substantial release of superoxide.

Example 2: Generation of a Functional H22-Epidermal Growth Factor Fusion Protein Materials and Methods Expression vectors and cloning 25 Expression vectors for the genomic clones of the heavy (pSVgpt) and light (pSVhyg) chains of H22 are as described in International Patent Application Publication Number: WO 94/10332 entitled, Humanized Antibodies to Fc Receptorsfor Immunoglobulin G on Human Mononuclear Phagocytes. For the Fab-ligand fusion construct, it was unnecessary to alter the light chain. For the heavy chain, however, the CH2 and CH3 domains had to be removed and replaced with the coding sequences of the ligands. The heavy chain vector contains two BamHI sites, one in the intron between VH and CH1, and the other just downstream of CH3. Using the BamHI restriction sites, DNA encoding the constant domains were replaced by a truncated version encoding only CH1 and most of the hinge. To do this, the polymerase chain reaction (PCR) was utilized to engineer the new Cterminus of the heavy chain fragment with the alterations shown in Figure 1.

The construct shown in Figure 1 consisting of a translation termination codon downstream of the cloning restriction sites, XhoI and NotI, and upstream of a BamHI site which was used to clone the new PCR generated CHI fragment downstream of VH. was used to generate the fusion protein constructs. The cloning sites, which are located downstream of most of the hinge in order to retain flexibility between the Fd and ligand domains, was used to insert DNA encoding EGF or other ligands. Also, the single Cys residue has been retained from the previous construct to allow conjugation for the formation of dimeric molecules.

DNA encoding the ligands were amplified by PCR to have a X'hol site on the N-terminus and a NotI site on the C-terminus of the coding region, and then inserted in the proper reading frame into the same sites of the newly engineered H22 heavy chain truncated fragment described above. cDNA encoding epidermal growth factor (EGF) was obtained from the ATCC (#59957). Only DNA encoding the 53 amino acid residues of mature EGF out of the approximately 1200 residue precursor was cloned beginning with Asn 971 and ending with Arg 1023 (Bell, Fong, Stempien, Wormsted, MA., Caput, D., Ku. Urdea, Rall, L.B. Sanchez-Pescador, R. Human Epidermal Growth Factor 15 Precurser: cDNA Sequence, Expression In Vitro and Gene Organization. Nucl. Acids Res.

14: 8427-8446,1986.).

Expression o" The murine myeloma NSO (ECACC 85110503) is a non-Ig synthesizing line and was used for expression of the fusion proteins. The final expression vector, a pSVgpt *o construct with DNA encoding H22 Fd fused in frame to EGF (shown in Figure 2) was transfected by electroporation using a BioRad Gene Pulser to NSO which had been previously transfected with the pSVhyg construct containing DNA encoding H22 light chain. These polypeptides were expressed by an Ig promoter and Ig enhancer present in the vectors, and S .25 secreted by the mAb 22 heavy chain signal peptide located on the N-terminus of the constructs. One or two days after transfection, mycophenolic acid and xanthine were added to the media to select for cells that took up the DNA. Individual growing colonies were isolated and subcloned after binding activity was demonstrated by ELISA.

Purification Cells expressing the H22-EGF fusion protein were subcloned and expanded.

The fusion protein-expressing clone was expanded and grown in spinner cultures and the supernatant was clarified and concentrated. Small scale purification was performed by affinity chromatography on an anti-human kappa chain affinity column (Sterogene. Carlsbad, CA). The purified protein was analyzed by SDS-PAGE on a 5-15% acrylamide gradient gel under nonreducing conditions. Figure 3 is a schematic representation of the generation of anti-Fc receptor-ligand fusion proteins.

-26- Bispecific flow cvtometry To show that the fusion protein is capable of binding both FcyRI and EGFR simultaneously, a flow cytometric assay has been developed (Figure In this assay different concentrations of H22-EGF fusion protein or the bispecific antibody, BsAb H447 (H22 X H425, a humanized version of the murine monoclonal antibody M425, which binds EGFR at the ligand binding site Merck) was incubated with A431 cells, a cell line which expresses the EGF receptor (EGFR) (ATCC, Rockville, MD). After washing, a supernatant containing a fusion protein consisting of the extracellular domain of FcyRI and the Fc portion of human IgM was added. Finally, a Phycoerythrin (PE)-labeled mAb that binds Fcy RI at a site that is distinct from that bound by mAb 22, was added. The cells were then analyzed by FACSCAN. Alternatively, binding to EGFR was blocked by excess (100 pg/ml) whole murine mAb 425 Merck), and binding of bsAb or fusion protein was detected by PE-labeled anti-human IgG.

r

ADCC

ADCC mediated by the fusion protein was determined using a 5 1 Cr killing assay. The EGFR overexpressing cell line, A431, was used as targets for lysis by human t o o.

monocytes cultured in y-interferon (IFN-y) for 24 hours. Targets were labeled with 100 PCi of 51Cr for 1 hour prior to combining with effector cells and antibodies in a U-bottom microtiter plate. After incubation for 5 hours at 37 0 C supematants were collected and analyzed for radioactivity. Cytotoxicity was calculated by the formula: lysis (experimental CPM target leak CPM/detergent lysis CPM target leak CPM) X 100%.

Specific lysis lysis with antibody lysis without antibody. The ability of the fusion 25 protein to mediate ADCC was compared with that of the respective BsAb. The assay was also performed in the presence of 25% human serum to demonstrate that IgG or other factors found in human serum will not inhibit fusion protein-mediated ADCC.

O* Results Purification NSO cells expressing the H22 kappa chain were transfected with the H22-EGF heavy chain construct and clones selected for resistance to mycophenolic acid and xanthine were expanded and the fusion protein was affinity-purified from the supernatant on an antihuman kappa column (Sterogene, Carlsbad, CA). The purified protein was analysed by SDS- PAGE. The purified protein migrated at an apparent molecular weight of 50-55 kDa, indicating that the fusion protein is expressed as a monomer, not a disulfide-linked dimer. In addition, a band was seen at an apparent molecular weight of 25kDa and is probably free light chain.

-27- Binding specificity To demonstrate that the fusion protein could bind FcyRI and EGFR simultaneously a bispecific FACS assay was devised. Figure 5 shows that both the chemically-linked, fully-humanized BsAb H447 (H22 (anti-FcyRI) x H425), which was made as described in the following Example 3, and the H22-EGF fusion protein bound EGFR on A431 cells and soluble FcyRI simultaneously in a dose-dependent fashion.

The EGFR-specificity of the fusion protein was demonstrated by the ability of the murine mAb, M425, which binds EGFR at the ligand binding site, to inhibit fusion protein or H22 x H425 binding. Various concentrations of either the BsAb H447, or of the H22-EGF fusion protein were incubated with A431 cells in either the presence or absence of an excess of M425. Figure 6 shows that binding of both the BsAb and the fusion protein were inhibited by M425, demonstrating the specificity of the fusion protein for EGFR.

ADCC

The ability of the fusion protein to mediate ADCC was analyzed using A431 cells as targets. Human monocytes cultured for 24 hours in the presence of IFN-y were used as effector cells. Figure 7 demonstrates the whole antibody, H425, the BsAb H447 (H22 x H425) and the fusion protein mediated dose-dependent lysis of A431 cells. Figure 8 ~demonstrates that while ADCC mediated by the whole antibody is inhibited by 25% human serum (25%HS), ADCC mediated by the fusion protein was not inhibited by human serum and, in this particular experiment, fusion protein-mediated ADCC was enhanced by human serum. These results support the clinical utility of these molecules by demonstrating that the 25 fusion protein was capable of killing EGFR-overexpressing cells, even in the presence of F7e o •g RI-expressing effector cells as would be present in vivo.

Growth inhibitory properties of H22-EGF fusion proteins Although EGF acts to stimulate growth of normal cells that express receptors for it, EGF also can act to inhibit growth of tumor cells that over-express EGF-R (Barnes, D.W. (1982) J. Cell Biol. 93:1, MacLeod, C.L. et al. (1986) J. Cell. Phvsiol. 127:175). The ability of EGF and the H22-EGF fusion protein to inhibit the growth of A431 cells was examined as follows.

2 x 104 A431 cells were added to six well plates in complete media alone or in media containing various concentration of either EGF, H22-EGF, the Fab fragment of H22.

or the F(ab') 2 fragment of H425. Viable cells were counted after seven days using a hemocytometer. The analyses were performed in duplicate and reported as means standard deviations.

28- The results are presented in Figure 9. These results indicate that EGF and H22-EGF significantly inhibited cell growth in a dose dependent fashion. On the contrary, the F(ab')2 fragment of H425 which had some inhibitory activity only at high concentrations and the Fab fragment of H22 had no growth inhibiting activity.

Thus, H22-EGF is able to bind to both FcyRI and EGF simultaneously, indicating that the molecule had folded properly and had maintained the flexibility required to bind both receptors at the same time. Furthermore, H22-EGF inhibited proliferation of the EGF-R expressing tumor cell line, A431, indicating that, similar to EGF, the H22-EGF fusion protein is capable of signaling through the EGF-R. H22-EGF also mediates potent killing of A431 cells in the presence of FcyRI expressing effector cells. Thus, H22-EGF mediates both cytotoxic and cytostatic effects on EGF-R expressing cells. Administration of H22-EGF to a subject having a tumor will. result in recruitment of the body's natural cytotoxic effector cells to mediate killing of the tumor cells by potentially three different modes 15 cytotoxicity, growth inhibition, and phagocytosis. Furthermore, in addition to cell mediated cytotoxicity of the tumor cells, the effector cells recruited by H22-EGF may also further augment anti-tumor immunity by secreting inflammatory cytokines and/or by processing and presenting tumor antigens to tumor specific T cells.

20 Example 3: H22-Heregulin (H22-gp30) Fusion Protein Mediates Tumor Cell Killing Heregulin (HRG) is a ligand for the HER3 and HER4 molecules. Both of S"these receptors may form heterodimers with HER2, a molecule which is overexpressed in some breast cancer cells. The affinity of HRG for HER3 and HER4 increases significantly when these molecules from heterodimers with HER2. This example demonstrates that a 25 bispecific molecule, comprising heregulin and a binding specificity for the FcyRI inhibits growth of a tumor cell line and mediates fusion protein dependent cytotoxicity of these cells in the presence of FcyRI-bearing cytotoxic effector cells.

The H22-heregulin fusion protein was constructed in the same manner as the H22-EGF fusion protein described in Example 2. Briefly, genomic DNA encoding the Fd fragment of humanized anti-FcyRI mAb, H22, was fused to cDNA encoding the EGF domain of the B2 form of HRG. The amino acid sequence of the H22-HRG fusion protein (SEQ ID NO: 4) is shown in Figure 10. This fusion protein comprises amino acids 171-239 of the heregulin 12 shown in U.S. Patent Number 5,367,060. Other portions of heregulin 12, as well as portions of other heregulin molecules, such as those disclosed in U.S. Patent Number 5,367,060 can also be used. The resulting H22Fd-HRG expressing vector was transfected into a myeloma cell line previously transfected with a vector containing DNA encoding the H22 kappa light chain. The resultant fusion protein was expressed predominantly as a monomer, even though the protein contains a free Cys residue in the hinge region of the H22 29- Fab component. Flow cytometry showed that this fusion protein was able to bind to the HER2 overexpressing tumor cell line, SKBR-3, as well as to FcyR-expressing cells.

To test the biological activity of the H22Fd-HRG fusion protein, supernatant from the myeloma cells expressing this fusion protein was diluted three fold or thirty fold and added to PC-3 cells or SKBR-3 tumor cells expressing HER2, HER3, and HER4 in the presence ofIFN-treated monocvtes at a ratio of 100:1 monocytes to target tumor cells. The monocytes were treated with IFN-y and the target cells were labeled with 5 1 Cr as described in Example 2. The ofspecicific lysis was calculated as indicated in Example 2. The results are presented in Figure 11. The results indicate that about 45% of SKBR3 cells and up to about 49% of PC-3 cells are lysed upon incubation of the cells with the supernatant diluted 3 fold.

This fusion protein inhibits growth of SKBR-3 tumor cells and mediates fusion protein dependent cytotoxicity of these cells in the presence of FcyRI-bearing 15 cytotoxic effector cells. Thus, the results of this example show that an anti-FcyRI-heregulin fusion protein can mediate anti-tumor cytotoxic activities under physiologic conditions and indicate that such a fusion protein will have therapeutic utility in the treatment of various cancers.

Example 4: H22-Bombesin Fusion Protein Mediates Tumor Cell Killing The H22-bombesin fusion protein was constructed similarly to the H22-EGF fusion protein described above. However, since bombesin is a short peptide (14 amino acid ;residues), instead of amplifying cDNA encoding bombesin using PCR technology, DNA oligomers encoding the sense and anti-sense strands of bombesin were hybridized to create the coding region. The amino acid sequence of the bombesin peptide fused to the carboxyl end of the heavy chain of the H22 antibody is the following: -Gln-Arg-Leu-Gly-Asn-Gln-Trp-Ala-Val-Gly-His-Leu-Met-Gly (SEQ ID NO: which corresponds to amino acids 2-14 of bombesin (Anastasi et al. (1971) Experientia 27:166) and contains an additional glycine residue at the carboxyl end of the peptide.

The oligomers had overlapping ends that did not hybridize but instead created sticky ends for a Xhol site on the N-terminus and a NotI site on the C-terminus such that it could be cloned into the H22 heavy chain expression vector described above.

The biological activity of the H22-bombesin fusion protein on tumor cell killing was investigated as described above for the H22-EGF and H22-heregulin fusion proteins. Briefly, PC-3 tumor cells bearing bombesin receptors were labeled with 5 1 Cr and incubated with monocytes and various concentrations of H22-fusion protein, and fusion protein dependent lysis was determined as described above. The results, shown in Figure 12, indicate that the target cells are lysed and that the level of target cell lysis increases proportionally with the amount of fusion protein added to the assay.

Fusion proteins having H22 as one binding entity and CD4 (AIDS Repository) or gpl20 (AIDS Repository) as a second binding entity were also produced.

Example 5: Production ofBispecific Antibodies From Modified Humanized Antibody Fragments Materials and Methods Expression vectors and cloning Expression vectors for the genomic clones of the heavy (pSVgpt) and light 15 (pSVhyg) chains of H22 were as described in International Patent Application Publication Number: WO 94/10332 entitled, Humanized Antibodies to Fc Receptors for Immunogiobulin G on Human Mononuclear Phagocytes. For the Fab' construct, it was unnecessary to alter the light chain. For the heavy chain, however, the CH2 and CH3 domains had to be removed S and replaced with a termination codon. The heavy chain vector contains two BamHI sites, 20 one in the intron between VH and CHI, and the other just downstream of CH3. Using the BamHI restriction sites, DNA encoding the constant domains were replaced by a truncated version encoding only CH1 and most of the hinge. To do this, The polymerase chain reaction *00• (PCR) was utilized to engineer the new C-terminus of the heavy chain fragment with the alterations shown in Figure 1. Figure 1 shows the alterations for generation of a 25 truncated single-sulfhydryl version.

Expression The murine myeloma NSO (ECACC 85110503) is a non-Ig synthesizing line and was used for expression of the modified H22 antibody. The final expression vector, a pSVgpt construct with DNA encoding H22 Fd was cotransfected with the pSVhyg construct containing DNA encoding H22 light chain by electroporation using a BioRad Gene Pulser.

These polypeptides were expressed by an Ig promoter and Ig enhancer present in the vectors, and secreted by the mAb 22 heavy chain signal peptide located on the N-terminus of the constructs. One or two days after transfection, mycophenolic acid and xanthine were added to the media to select for cells that took up the DNA. Individual growing colonies were isolated and subcloned after FcyRI binding activity was demonstrated.

-31 Purification The single sulfhydryl form of the H22 antibody and the whole H425 (anti- EGFR) antibody were produced by in vitro cultivation of the respective transfected NSO cells. The H425 was purified by protein A affinity chromatography. The single sulfydryl form of the antibody H22 was purified by ion exchange chromatography using Q-Sepharose followed by SP-Sepharose (Pharmacia, Piscataway, NJ). The purity of the single sulfhydryl form of the H22 antibody was assessed by SDS-PAGE.

Generation ofbispecific antibody (BsAb) BsAb was constructed using the method of Glennie et al. (Glennie, M.J. et al., (1987), Preparation and performance of bispecific F(ab' gamma) 2 antibody containing thioether-linked Fab' gamma fragments, J. Immunol., 139:2367). The F(ab') 2 of H425 was generated by limited pepsin proteolysis in 0.1M citrate buffer, pH 3.5 and the F(ab') 2 purified by ion exchange chromatography. The mAbs were reduced by addition of 20 mM 15 mercaptoethanolamine (MEA) for 30 minutes at 30 0 C. The Fab' fragments were applied to a Sephadex G-25 column equilibrated in 50mM sodium acetate, 0.5mM EDTA, pH 5.3 Ortho-phenylenedimaleimide (o-PDM, 12mM) dissolved in dimethyl formamide and chilled in a methanol/ice bath was added (one half volume) to the H22 Fab' and incubated for minutes on ice. The Fab'-maleimide was then separated from free o-PDM on Sephadex equilibrated in 50mM Na Acetate, 0.5mM EDTA, pH 5.3 For preparation of the BsAbs, the H22 Fab'-maleimide was added to the H425 Fab' at a 1.2:1 molar ratio. The reactants were concentrated under nitrogen to the starting volume using a Diaflo membrane in an Amicon chamber (all at 4 0 After 18 hours the pH was adjusted to 8.0 with 1M Tris- HCI, pH 8.0. The mixture was then reduced with 10mM MEA (30 minutes, 30 0 C) and 25 alkylated with 25 mM iodoacetamide. The bispecific F(ab')2 was separated from unreacted Fab's and other products by a Superdex 200 (Pharmacia, Piscataway, NJ) column equilibrated in PBS.

Bispecific flow cvtometry To show that BsAb generated by the o-PDM method as well as that generated by the DTNB method are capable of binding both FcyRI and EGFR simultaneously, a flow cytometric assay has been developed (Figure 13). In this assay different concentrations of the two BsAbs were incubated with A431 cells, a cell line which expresses the EGF receptor (EGFR). After washing, a supernatant containing a fusion protein consisting of the extracellular domain of FcyRI and the Fc portion of human IgM was incubated with the cells.

Finally, the cells were incubated with a FITC-labeled anti-human IgM-specific antibody. The cells were then analyzed by FACSCAN.

-32-

ADCC

BsAb-mediated ADCC was determined using a 5 1 Cr killing assay. The EGFR overexpressing cell line, A431, was used as targets for lysis by human monocytes cultured in y-interferon for 24 hours. Targets were labeled with 100 pCi of 1 Cr for 1 hour prior to combining with effector cells and antibody in a flat-bottomed microtier plate. After incubation for 16 hours at 37 0 C supernatants were collected and analyzed for radioactivity.

Cytotoxicity was calculated by the formula: lysis (experimental CPM target leak CPM/detergent lysis CPM target leak CPM) X 100%. Ab-dependent lysis lysis with antibody lysis without antibody.

Results Purification NSO cells were cotransfected with the truncated H22 heavy chain construct 15 and the intact kappa chain construct. Clones selected for resistance to mycophenolic acid and xanthine were expanded and the protein was purified from the supernatant by Q-Sepharose followed by SP-Sepharose ion exchange chromatography. The purified protein was analyzed by SDS-PAGE. The purified protein migrated at an apparent molecular weight of indicating that the protein is expressed as a monomer, not a disulfide-linked dimer.

Construction and characterization of a BsA b composed ofsingle sulfhvdrvl H22 linked to Fab' ofH425 (anti-EGFR) A BsAb was constructed where the single sulfhydryl form of H22 was linked to the Fab' fragment of H425, a humanized anti-EGFR mAb. The BsAb was generated using 0 25 o-PDM as a linker by the method of Glennie et al. (Glennie, M.J. et al., (1987), Preparation and performance of bispecific F(ab' gamma) 2 antibody containing thioether-linked Fab' gamma fragments, J. Immunol., 139:2367). The activity of this BsAb was compared to one generated by the DTNB method using Fab' fragments made from pepsin digestion and reduction of whole H22. To demonstrate that these BsAbs could bind FcyRI and EGFR simultaneously a bispecific FACS assay was devised. Figure 14 shows that both the o-PDMlinked BsAb and the BsAb made by the DTNB method bound EGFR on A431 cells and soluble FcyRI simultaneously in a dose-dependent fashion.

The ability of the two BsAbs to mediate ADCC was analyzed using A431 cells as targets. Human monocytes cultured for 24 hours in the presence of IFN-y were used as effector cells. Figure 15 demonstrates the two BsAbs mediated dose-dependent lysis of A431 cells in a comparable fashion. These results demonstrated that BsAb generated from the truncated, single sulfhydryl form of H22 was capable of killing EGFR-overexpressing cells in the presence of FcyRI-expressing effector cells.

33 Example 6: Production of Trivalent Antibodies Materials and Methods Cell lines and antibodies. M22. 520C9. H425. SKBR3 andA431 M22 and 520C9 were purified from hybridoma supernatant by ion exchange chromatography (Pharmacia, Piscataway, NJ) and 520C9 was further purified by protein A affinity chromatography (Pharmacia, Piscataway, NJ). H425 was purified from hybridoma supernatant by protein A affinity chromatography (Pharmacia, Piscataway, NJ). The M22and 520C9- producing murine hybridoma were described previously (Guyre et al., (1989) Monoclonal antibodies that bind to distinct epitopes on FcgRI are able to trigger receptor function, J. Immunol. 143:5, 1650-1655; Frankel et al., (1985) Tissue distribution of breast cancer-associated antigens defined by monoclonal antibodies, J. Biol. Response Modifiers, 15 4:273-286). The murine myeloma NSO (ECACC 85110503) is a non-lg synthesizing line and was used for the expression of the humanized mAb, H425 (Kettleborough et al., (1991) Humanization of a mouse monoclonal antibody by CDR-grafting: the importance of framework residues on loop conformation, Protein Eng., 4:773). SKBR-3, (ATCC, SRockville, MD) a human breast carcinoma cell line that overexpresses the HER2/neu protooncogene, and A431 (ATCC, Rockville, MD), a human squamous carcinoma cell line that overexpresses EGFR (ATCC, Rockville, MD) were cultivated in Iscove's Modified Dulbecco's Medium (IMDM, Gibco, Grand Island, NY).

Neutrophil preparation 25 Neutrophils are separated from mononuclear cells by ficoll hypaque (Pharmacia, Piscataway, NJ) gradient separation. To up-regulate FcyRI, neutrophils are treated with cytokines. Neutrophils are cultured for 24-48hrs (37 0 C, 5% C0 2 in AIM V media (Gibco, .Grand Island, NY) containing 2.5% normal human serum type AB (Sigma, St.

Louis, MO), 50 ng/ml G-CSF (Kindly provided br R. Repp, U. of Erlanger, Germany) and 100 IRU/ml IFN-y.

Conjugation method BsAb were constructed using the method of Glennie et al (Glennie, M.J. et al., (1987), Preparation and performance of bispecific F(ab' gamma) 2 antibody containing thioether-linked Fab' gamma fragments, J. Immunol., 139:2367). mAbs M22, 520C9 (anti- HER2/neu, 33), and H425 (anti-EGFR) antibodies were produced by in vitro cultivation of the respective hybridoma cells. The F(ab')2 of each antibody were generated by limited pepsin proteolysis in 0.1M citrate buffer, pH 3.5 and the F(ab')2 purified by ion exchange chromatography. mAbs M22 and H425 were reduced to Fab' by addition of 20 mM -34 mercaptoethanolamine (MEA) for 30 minutes at 30 0 C. The Fab' fragments were applied to a Sephadex G-25 column equilibrated in 50mM Na Acetate. 0.5mM EDTA, pH 5.3 Ortho-phenylenedimaleimide (o-PDM, 12mM) dissolved in dimethyl formamide and chilled in a methanol/ice bath was added (one half volume) to the murine 22 Fab' and incubated for 30 minutes on ice. The Fab'-maleimide was then separated from free o-PDM on Sephadex Gequilibrated in 50mM Na Acetate, 0.5mM EDTA, pH 5.3 For preparation of the BsAbs, the M22 Fab'-maleimide was added to the H425 Fab' at a 1:1 molar ratio. The reactants were concentrated under nitrogen to the starting volume using a Diaflo membrane in an Amicon chamber (all at After 18 hours the pH was adjusted to 8.0 with 1M Tris- HCI, pH 8.0. The mixture was then reduced with 10mM MEA (30 minutes, 30 0 C) and alkylated with 25 mM iodoacetamide. The bispecific F(ab')2 as separated from unreacted Fab's and other products by a Superdex 200 (Pharmacia, Piscataway, NJ) column equilibrated in phosphate buffered saline (PBS). The BsAb M22 x 520C9 was made in a similar fashion except that 520C9 was used instead of H425.

Trispecific antibody composed of M22 x H425 x 520C9 was made in two stages (Figure 16). In the first stage, M22 was linked to H425 as described above to create the M22 x H425 BsAb except that rather than a final reduction and alkylation, the reactants were treated with DTNB to block the remaining free sulfhydryl groups. The bivalent BsAb was purified by gel filtration on a Superdex 200 column, reduced to F(ab') 2 (SH) and mixed in a 1:1 molar ratio with o-PDM-treated 520C9. The resulting trispecific F(ab)3 was purified on a Superdex 200 column. The TsAb was analyzed by HPLC size exclusion chromatography using a TSK 3000 column (ToJo Haas, Japan). Using the same procedure as above another TsAb comprising m22 Fab' x 32.2 Fab' x m22 Fab' has been constructed.

Bispecific flow cvometry The TsAb can bind to EGFR and FcyRI simultaneously or to HER2/neu and FYRI simultaneously. Either A431 cells (high EGFR-expressing cells) or SKBR-3 cells (high HER2/neu-expressing cells) were incubated with various concentrations of BsAbs (M22 x 520C9 or M22 x H425) or with the TsAb, M22 x H425 x 520C9. The cells were washed and then incubated with the soluble FcyRI. Soluble FcyRI binding was detected with mAb 32.2-FITC which binds FcyRI at a site that is distinct from the 22 binding site. The cells were then analyzed by FACSCAN.

ADCC

Either SKBR-3 cells or A431 cells were used as targets for lysis by cytokine activated neutrophils. Targets were labeled with 1 00Ci of 51Cr for 1 hour prior to combining with neutrophils and antibodies in a U-bottom microtiter plate. After incubation for 16 hours at 37 0 C supernatants were collected and analyzed for radioactivity. Cytotoxicity was calculated by the formula: lysis (experimental CPM target leak CPM/detergent lysis CPM target leak CPM) X 100%. Specific lysis lysis with antibody lysis without antibody. Assays were performed in triplicate.

FcyRI Modulation Assay The M22 x 32.2 x M22 BsAb was used for modulation of FcyRI on monocytes in whole blood. The assay procedure is shown in the enclosed flow chart (see Figure 23A). Figure 23B shows that treatment with 10ig/mL of this BsAb decreased the FcyRI expression on monocytes to approximately 50% of the level prior to BsAb treatment.

Results Construction and biochemical characterization of the TsAb TsAb was made according to the flow chart depicted in Figure 16. In the first stage of the procedure, M22 was coupled to H425, treated with DTNB. and the resulting bispecific F(ab') 2 purified by gel filtration. In the second stage, this bispecific F(ab') 2 was reduced and mixed with o-PDM-treated 520C9 Fab' resulting in the TsAb, M22 x H425 x 520C9. This TsAb is depicted schematically in Figure 17. In this figure, Fab'-A represents M22, Fab'-B represents H425, and Fab'-C represents 520C9.

Binding (Bs FACS) To demonstrate that the TsAb, M22 x H425 x 520C9, could bind FcyRI and HER2/neu simultaneously a bispecific FACS assay was devised. This assay is depicted schematically in Figure 18A. Figure 19 shows that both the TsAb bound HER2/neu on SKBR-3 cells and soluble FcyRI simultaneously in a dose-dependent fashion. The BsAb, M22 x H425, generated negligible signal in this assay over a wide range of concentrations.

To demonstrate that the TsAb, M22 x H425 x 520C9, could bind FcyRI and EGFR simultaneously a similar assay was devised using the EGFR-overexpressing cell line, A431, in the case. This assay is depicted schematically in Figure 18B. Figure 20 shows that both the TsAb and the BsAb, M22 x H425, bound EGFR on A431 cells and soluble FcyRI simultaneously in a dose-dependent fashion. The BsAb, M22 x 520C9, generated negligible signal in this assay over a wide range of concentrations.

ADCC

The ability of the TsAb to mediate ADCC was analyzed using either SKBR-3 or A431 cells as targets. Human neutrophils cultured for 24-48 hours in the presence of IFNy and G-SF were used as effector cells. Figure 21 demonstrates the both the BsAb. M22 x 520C9, and the TsAb, M22 x H425 x 520C9, mediated Ivsis of SKBR-3 cells. whereas the -36- BsAb, M22 x H425, did not. On the other hand, Figure 22 demonstrates the BsAb, M22 x H425, and the TsAb, mediated lysis of SKBR-3 cells, whereas the BsAb, M22 x 520C9, did not. These results demonstrated that the TsAb was capable of killing both HER2/neu and EGFR-overexpressing cells in the presence of FcyRI-expressing effector cells.

The trispecific antibody described above included M22, the murine version of the anti-FcyRI mAb. Such a trispecific antibody could be constructed using the singlesulfhydryl form of the humanized anti-FcyRI mAb, H22. The only difference being that single-sulfhydryl form is secreted as a F(ab')2 fragment of this antibody. The singlesulfhydryl form is purified from culture supematants utilizing ion exchange chromatography using Q-Sepharose followed by SP-Sepharose (Pharmacia, Piscataway, NJ). Once the singlesulfhydryl form of H22 is purified, the creation of a trispecific antibody using this reagent would be identical to that described above using the F(ab') 2 fragment of M22.

15 Example 7: Enhanced Antigen Presentation with H22-antigen Fusion Proteins This example demonstrates that antigenic peptides genetically grafted onto S. the constant region of an anti-FcyRI antibody are significantly more efficient in antigen presentation of the antigen and T cell stimulation compared to the antigen alone, and that a 20 antagonistic peptides genetically grafted onto the constant region of an anti-FcyRI are significantly more efficient in inhibiting T cell stimulation compared to the antagonistic peptide alone. Thus, such fusion proteins will effectively increase the delivery of peptides to antigen presenting cells (APCs) in vivo and will be useful in various therapeutic methods.

25 Materials and Methods Reagents AIM V (GIBCO, Grand Island, NY) was used as culture medium. Tetanus Toxoid (TT) was purchased from ACCURACTE CHEMICAL CO. (Westbury, NY). Sterile and low-endotoxin F(ab') 2 fragment of mouse anti-FcyRI mAb 22 and the bispecific Ab, MDXH210 (consisting of Fab' of humanized Ab 22 chemically linked to Fab' of anti- Her2/neu tumor Ag mAb 520C9) were provided by MEDAREX, INC. (Annandale, NJ). The universal Th epitope of TT, TT830-844 (QYIKANSKFIGITEL (SEQ ID NO: termed as TT830 hereafter) (Valmori D. et al. (1994) J. Immunol. 152:2921-29) and the mutant form of this epitope, TT833S (QYISANSKFIGITEL (SEQ ID NO: lysine at position 833 changed into serine) were synthesized and purified to >95% by PEPTIDOGENIC CO. (Livermore, CA). Another universal Th epitope of TT, TT947-967 (FNNFTVSF WLRVPKVSASHLE (SEQ ID NO: 12), referred to as TT947 hereafter), pure) (Valmori D. supra) was used 37 as a control peptide in ths study. Commercially available human IgG for intravenous injection (IVI) was used in blocking experiments.

Cells The monocytic cell line, U937, which expresses FcyRI, was obtained from the ATCC. The method of generating CD4 peptide TT830-specific T cells was modified from a previously described protocol for TT-specific T cell lines (Gosselin E.J. (1992) J. Immunol.

149:3477-81). Briefly, mononuclear cells were isolated from peripheral blood using Ficoll Hypaque. 150 x 106 mononuclear cells were stimulated in 50 ml of AIM V medium with pM TT830. After three days' incubation at 37 0 C in a 5% CO 2 incubator, non-attached (mostly non-specific cells) were removed by washing the flask IX with 10 ml of HEPESbuffered RPMI 1640; specific T cell colonies together with adherent monocytes remained in the flask. Fifty ml of AIM V plus 20 U/ml of human IL-2 (IMMUNEX, Seattle WA), and 1 ml final concentration) pooled human serum were added back to the flask. After 10-14 15 days of total incubation time, T cells were harvested and dead cells were pelleted through Ficoll Hypaque, yielding a highly enriched population (95-98%) of viable CD4 Ag-specific T cells. The T cells were confirmed to be specific for TT830 peptide as shown in Fig. 3.

Large quantities of monocytes were purified from leukophoresis packs using the cold aggregation method (Mentzer S.J. et al. (1986) Cell. Immunol. 101:132) which resulted in 20 80-90% purity. Both monocytes and T cells were frozen in aliquots for future use and were shown to function normally after being thawed.

A presentation assay In proliferation assays, T cells (5 x 104), irradiated monocytes (3000 rad, 25 10 5 /well), and various concentrations of peptide TT830 fusion protein Fab22-TT830 were incubated together in a final volume of 200 pl/well in flat-bottom 96-well tissue culture plates for 2 days. 10l (1 pCi/well) 3 H-thymidine was then added to each well. After incubating overnight, plates were harvested and counted in a liquid scintillation counter. T cell proliferation was expressed as the mean counts/min (CPM) of three replicates SD.

Background CPM (T cells and monocytes without Ag) was subtracted from all the data points. Experiments with APL were done according to similar protocols reported by Sette et al. (De Magistris (1992) Cell 68:625). Briefly, for inhibition assays, irradiated monocytes were treated with various concentrations of TT 833S or Fab22-TT833S overnight. TT830 and T cells were then added. After a further 2 days incubation, T cell proliferation was measured as described above. In "pre-pulsing" experiments, irradiated monocytes were pulsed with 20 nM TT830 4 h prior to the addition of 10 pM TT 833S or 0.1 M Fab22- TT833S. After overnight incubation, T cells were then added. After a further 2 days incubation, T cells were stimulated with irradiated monocytes and TT833S or Fab22-TT833S for 1 day, recovered after centrifugation over Ficoll Hypaque. and restimulated with -38monocytes and various concentrations of TT830 for 2 days. T cell proliferation was then measured by the incorporation of 3 H-thymidine and the average CPM of three replicates was plotted. In some cases, the percentage of inhibition was calculated by the formula: inhibition (CPMno inhibitor-CPMinhibitor)/CPMno inhibitorX 100. All experiments were repeated at least three times.

Staining and Flow Cvtometry Staining procedures were adapted from those previously described (Gosselin E.J. et al. (1990) J. Immunol. 144-1817-22). Briefly, to individual wells of a 96-well plate at 4°C, 30 pl of RPMI+ Img/ml BSA containing one of the proteins Fab22-TT830, Fab22- TT833S, or the BsAb MDXH210 at varying concentrations. After I h incubation at 4°C, plates were centrifuged, the supernatants discarded, and the cells washed three times with PBS/BSA at 4°C. Cells were then incubated for 1 h with 40 pl /well of FITC-labeled F(ab')2 goat anti-human IgG (JACKSON IMMUNORESEARCH LABORATORIES, INC. West 15 Grove, PA) followed by three washes with PBS/BSA and resuspended in PBS/BSA containing 1% paraformaldehyde (KODAK, Rochester, NY). Cells were then examined by FACScan (BECTON DICKINSON CO., Mountain View, CA), and mean fluorescence intensity (MFI) was measured.

Cvtokine measurement *Supernatants were collected from the 96-well plates of Ag presentation assays after 2 days stimulation and frozen until used. The levels ofIFN-y and IL-4 from these samples were measured by specific ELISA. Ab pairs for the IFN-y and IL-4-specific ELISA were purchased from PHARMINGEN (San Diego, CA). ELISA assays were performed S 25 according to the protocol provided by the manufacturer.

Generation ofH22-TT eptide fusion proteins In order to generate fusion proteins Fab22-TT830 and Fab22-TT833.S, synthetic oligonucleotides encoding each peptide were separately engineered into the hinge region in the heavy chain of humanized anti-FcyRI mAb 22 (H22) according to the method set forth below.

Expression and clonine vectors mAb 22 has been humanized by grafting its CDR regions into a human IgG 1 framework (see above and Graziano R. F. et al. (1995) J. Immunol. 155:4996-5002). The expression vector for the genomic clone of the heavy chain (pSVgpt) of H22 was modified to allow incorporation of the coding sequence for other molecules, in this case, the TT peptides.

The BamHI fragment of this vector containing CHI, hinge, and newly engineered XhoI and Notl cloning sites (see Figure 2) was inserted into the BamHI site of pUC19 to generate the -39vector pUC 19/H22CH I This vector was used to clone oligonucleotide sequences encoding TT peptides, as described below.

The oligonucleotide sequences encoding the tetanus toxin (TT) peptides were designed to have a Xhol site on the N-terminus and a Notl site on the C-terminus of the coding region (Figure 24A). These oligonucleotides were synthesized and purified by GENOSYS Biotechnologies (The Woodlands, TX). The synthetic oligonucleotides were then annealed and ligated into the cloning vector pUC 9,/H22CH1(X+N). Clones which had incorporated the coding sequences for TT peptides were screened by restriction mapping.

The BamHI fragment containing CHI, hinge, and TT830 or TT833S was then cut out of pUC19 and inserted into the expression vector which already contained VH. The final expression construct of H22 heavy chain fused with TT peptides is shown in Figure 24B.

Expression of the H22-TT fusion proteins 15 The murine myeloma NSO (ECACC 85110503) is a non-Ig synthesizing line and was used for expression of the H22-TT fusion proteins. First, NSO cells were transfected .with the pSVhyg vector containing the H22 light chain coding sequence. The H22 light chain expressing NSO cells were then transfected with the expression vector construct containing the H22 H-chain Fd sequence fused in frame to the TT coding sequences (Figure 24B). A BioRad Gene Pulser electroporation apparatus was used to carry out the transfection employing 200 v and 960 p.Farad. One or two days after transfection, mycophenolic acid (0.8 .g/ml; SIGMA) and xanthine (2.5 jg/ml; SIGMA) were added to the media to select transfectants which had successfully taken up the expression vectors. Individual colonies were isolated based on the binding activity of the culture supernatants to FcyRI on U937 cells 25 as demonstrated by flow cytometry. The positive colonies were subcloned by limiting dilution.

Purification ofthe Fab22-TT fision proteins Clone pW5 expressing the Fab22-TT830 fusion protein and clone pM4 expressing the Fab22-TT833S fusion protein were expanded in roller bottle cultures. The supernatants were clarified and concentrated. Small scale purification was performed by affinity chromatography on an anti-H22 affinity column. SDS-PAGE analysis of a 5-10% acrylamide gradient gel under non-reducing conditions showed that fusion proteins were pure and had a molecular weight of 50 kDa as expected. Protein concentration was determined by absorbance at 280 nm using the extinction coefficient of IG Fab' 1.53.

Results H22Fd-TT fusion proteins bind to U93 7 cells The ability of the H22 fusion proteins, Fab22-TT830 and Fab22-TT833S, to bind to FcyRI was examined first. A previously described bispecific Ab, MDXH210, which contains the same FcyRI-binding component (Fab' of humanized mAb 22) (Valone F. H. et al. (1995) J. Clin. Oncol. 13:2281-92), was used as a positive control. Binding of fusion proteins and MDXH210 to U937 cells, which constitutively express FcyRI, was measured by staining with FITC-labeled goat Ab specific for human IgG and flow cytometry. As indicated in Figures 24A and 24B, fusion proteins Fab22-TT830 and Fab22-TT833S bound to U937 cells in a dose-dependent manner similar to MDXH210. The binding of fusion proteins was completely blocked by murine anti-human FcyRI mAb 22 F(ab') 2 demonstrating the specificity of fusion proteins for FcyR.

15 H22Fd-TT fusion protein enhances presentation of TT peptide by 100- 1000 fold.

The fusion protein, Fab22-TT830 was used in Ag presentation assays to Sdetermine whether the Th epitope, TT830, when expressed in the constant region of H22, S* could be effectively presented by monocytes to autologous T cells. As shown in Figure 26, about 1,000-fold less Fab22-TT830 was required than TT830 peptide alone to achieve the same level of T cell proliferation. In addition, Figure 26 shows that the presentation of Fab22-TT830 was about 10,000-fold more efficient than the presentation of the intact TT, suggesting that the enhanced presentation of Fab22-TT830 did not merely result from higher molecular weight nor increased stability of Fab22-TT830 as opposed to TT830 peptide.

25 Another antigenic TT epitope, TT947, failed to stimulate the T cells, confirming that the T cells were specific for TT830 peptide. These results thus provide clear evidence that Th epitopes expressed in the constant region of H22 can be effectively and specifically presented.

Blockade of FcyRI on monocvtes abrogates the enhancement of A presentation by the H22Fd-TT fusion protein To directly determine whether the enhancement of peptide presentation through the use of the fusion protein is FcyRI-mediated, binding of Fab22-TT830 to FcyRI on Ag-presenting monocytes was blocked by treating monocytes with mAb 22 F(ab') 2 for 1 h prior to the addition of Fab22-TT830 or TT830 peptides. Enhancement of peptide presentation by the fusion protein was abrogated by mAb 22 F(ab') 2 whereas presentation of TT830 was unaffected (Figure 27). The fact that the binding of mAb 22 F(ab') 2 to FcyRI did not lead to an enhancement of the presentation of free peptides implies that binding of mAb 22 to FcyRI alone did not alter the functional state of monocytes in a way that enhanced Ag -41presentation. Therefore, linkage of the peptide to anti-Fc-yR Ab 22 appears to be necessary for the observed enhancing effects on Ag presentation, suggesting that the enhanced presentation is probably a result of efficient Ag capture through FcyRI.

Enhancement of peptide presentation by H22 is not affected by the presence of human IeG Under physiological conditions, the ligand-binding domain of FcyRI is saturated by IgG which blocks efficient targeting of AgAb to this receptor. A unique advantage for using derivatives of mAb 22 to trigger FcyRI function is that Ab 22 binds to an epitope outside the ligand binding domain. Therefore, functions triggered by mAb 22, such as ADCC, phagocytosis and Ag presentation are not inhibited by physiological levels of IgG (Gosselin E. supra, Guyre P. M. (1989) J. Immunol. 143-1650-55). Similarly, the enhanced presentation of the TT830 peptide using the fusion protein Fab22-TT830 was not inhibited by IgG (Figure 28), suggesting that H22-based fusion proteins is also an effective 15 way to target peptide Ags to FcyRI in vivo.

IFN-y and IL-4 production is increased following H22Fd-TT fusion protein-enhanced Ag presentation Upon activation, T cells not only undergo clonal expansion through proliferation, but also produce cytokines such as IFN-y and IL-4 to exert their effector function of B cell differentiation and monocyte activation (Paul W. E. and Seder, R. A.

(1994) Cell 76:241-251). Therefore, the production of IFN-y and IL-4 following H22 fusion protein-enhanced Ag presentation was examined. As shown in Figures 28A and 28B, both IFN-y and IL-4 production levels were enhanced by Fab22-TT830, especially at suboptimal Ag concentrations. However, in these experiments, the enhancement for cytokine production (about 20-fold) was less than that for T cell proliferation (about 600-fold).

0* Thus, Th epitopes expressed in the constant region of anti-FcyRI mAb H22 can be effectively processed and presented by human monocytes, leading to enhanced T cell activation and cytokine production.

Presentation ofAPL. TT833S and Fab22- TT833S fails to stimulate T cell proliferation Peptides containing one or two amino acid changes from native T cell epitopes, termed Altered Peptide Ligands (APL) by Allen and coworkers, have been shown to be agonists, partial agonists, or antagonists for T cell activation (Sette et al. (1994) Ann.

Rev. Immunol. 12:413 and Evavold et al. (1993) Immunol. Today 14:602). Recognition of APL by specific T cells through TCR in some cases triggered partial signal transduction and resulted in inhibition ofT cell stimulation by superantigen (Evavlold et al. (1994) Proc -42- Natl. Acad. Sci. U.S.A. 91:2300), T cell anergy (Sloan-Lancaster et al. (1993) Nature 363:156 and Sloan-Lancaster et al. (1994) J. Exp. Med. 185:1195), or (iii) modulation of Thl/Th2 differentiation (Nicholson et al. (1995) Immunity 3:397; Pfeiffer et al. (1995) Exp. Med. 181:1569; and Windhagen et al. (1995) Immunity 2:373). Partial agonists have been shown to stimulate some T cell functions such as IL-4 production by T cells, but not others such as T cell proliferation (Evabold et al. (1991) Science 252:1308). Partial agonists also can induce anergy. Certain APL do not trigger any detectable signaling events upon interaction with TCR, but can function as TCR antagonists to inhibit T cell proliferation in response to wild-type peptide antigen and are thus called TCR antagonists (De Magistris et al. (1992) Cell 68:625 and Ruppert et al. (1993) Proc. Natl. Acad. Sci. USA 90:2671.

This example demonstrates that the peptide TT833S, an antagonist peptide for T cell epitope TT830 of tetanus toxin and Fab22-TT833S fail to stimulate T cell proliferation.

As shown in Figure 30, even at doses as high as 100 pM for TT833S and 1 pM for Fab22- 15 TT833S, no significant proliferation ofTT830-specific T cells was observed. This indicates that changing lysine to serine at position 833 of the TT830 peptide eliminated T cell reactivity of this T cell epitope. Additionally, when peptides TT830 and TT833S were simultaneously presented to TT830-specific T cells, T cell proliferation in response to TT830 was inhibited by TT833S in a dose-dependent fashion, showing that TT833S can function as an antagonist for TT830-specific T cells (Figure 31).

Fab22-TT833S is at least 100 times more effective than TT833S in inhibiting T cell activation This example compares the relative efficiency of TT833S and Fab22-TT833S in inhibiting T cell proliferation in response to TT830. As shown in Figure 32, Fab22- TT833S was about 100 times more effective than TT833S in inhibiting TT830-stimulated T i" cell proliferation. This suggests that the APL, TT833S, when expressed in the constant region of mAb H22, can be correctly and effectively presented by APC. The increased antagonistic efficacy of fusion protein Fab22-TT833S on T cell proliferation probably reflects more efficient Ag capture mediated by FcyRI as compared to free peptides.

Inhibition of T cell activation is mediated by competition for T cell receptor binding rather than for MHC Class II binding.

The antagonist effects of APL TT833S and fusion protein Fab22-TT833S might be through competition at the level of MHC-binding or TCR-binding, or both. To gain insight into the mechanisms involved, "pre-pulsing" experiments, first described by Serte and co-workers (DeMagistris, M.T. et al. (1992) Cell 68:625-634), were performed. This experimental setting allows agonist (TT830) to bind to MHC Class II in the absence of competition from the inhibitor (TT833S) and thus, only TCR antagonists but not pure MHC -43blockers would be effective in inhibiting agonist-stimulated T cell proliferation. Agpresenting monocytes were pulsed with suboptimal (20 nM) TT830 for 4 h to allow TT830 to bind with MHC Class II in the absence of competition from TT833S. The APL, TT833S or Fab22-TT833S, was then incubated with the pre-pulsed monocytes for an additional 16 h.

Responding T cells were added and their proliferation was measured as described above.

Even under such conditions where MHC blockade plays a minimal role, T cell proliferation was still inhibited (Figure 33). Thus, the inhibition appears to be a result of competition for T cell receptor rather than for MHC Class II binding.

Presentation of TT833S and Fab22-TT833S fails to stimulate the production of IL-4 and IFN-y by T cells In some circumstances, APL can stimulate T cell cytokine production but not proliferation (Evavold B.D. and Allen P. M. (1991) Science 252:1308-1310). To determine if presentation of TT833S simulates the production of cytokines, the level of IL-4 and IFN-y in 15 supematants obtained from Ag presentation assays was determined. As shown in Figure 34, both TT833S and Fab22-TT833S were ineffective in stimulating IFN-y and IL-4 production by T cells.

*Presentation of TT833S and Fab22-TT833S does not lead to T cell anergv 20 Allen and co-workers reported that interaction of TCR with some APL-MHC Class II complexes led to T cell anergy (Sloan-Lancaster J. et al. (1993) Nature 363:156-159, Sloan-Lancaster J. et al. (1994) J. Exp. Med. 180:1195-1205). An experimental scheme similar to theirs was used to determine whether presentation of TT833S could also cause T cell anergy. As shown in Figure 35, when T cells were recovered after incubation with APC 25 and TT833S or Fab22-TT833S for I day, 2 days, or 4 days, they responded to subsequent antigenic challenge as well as T cells which had been incubated with APC alone. Therefore, the antagonist, presented via the use of either peptide alone or Fab22-TT833S, did not cause T cell anergy. Furthermore, the same percentage of viable T cells (about 50%) was recovered from cultures with no peptides, TT833S or Fab22-TT833S, suggesting that presentation of TT833S also did not increase T cell death.

The observation that immunogenicity is increased by about 1000 fold by targeting antigenic peptides to FcyRI using an anti-FcyRI mAb 22-based fusion protein indicates that such fusion proteins will be useful for peptide-based vaccines for, e.g., infectious diseases and cancer. Engineering peptides into the constant domains of human mAb that are specific for particular APC surface molecules represent a general approach to increase the antigenic potency for peptide-based vaccines.

-44 Moreover, the observation that the FcyRl-targeted antagonistic peptide inhibited proliferation of TT830-specific T cells even when APCs were first pulsed with native peptide, a situation comparable to that which would be encountered in vivo when attempting to ameliorate an autoimmune response show that targeted presentation of antagonistic peptides can be used as Ag-specific therapies for disorders, T cell-mediated autoimmune diseases. APL-based treatment will provide an antigen-specific immunotherapy for T cell mediated autoimmune diseases such as rheumatoid arthritis and multiple sclerosis.

Furthermore, the use of a fusion protein having one binding specificity to an FcyRI and a peptide which is a partial agonist of an antigen involved in immune disorders characterized by excessive immune responses will be useful in treating such immune disorders by inducing antigen-specific anergy. Thus, the invention provides methods for treating various immunological disorders, by providing a method allowing for increased antigen presentation of antigens, which either stimulate T cells, block T cell proliferation and/or cytokine secretion, or which induce anergy in the T cells.

4 Example 8: Functional Single Chain anti-FcyRI-anti-CEA Bispecific Molecules This example demonstrates that a recombinant bispecific single chain molecule comprising a humanized anti-FcyRI antibody fused to an anti-carcinoembryonic ,o (anti-CEA) antibody is capable of binding to FcyRI and to CEA.

o Figure 37 is a schematic representation of mammalian expression constructs encoding bispecific single chain molecules (constructs 321 and 323) having one binding 25 specificity for the FcyRI and one binding specificity for carcinoembryonic antigen (CEA) that were prepared. The amino acid sequence of the bispecific single chain molecule H22-anti- CEA encoded by construct 321 (SEQ ID NO: 16) and the nucleic acid encoding this fusion protein (SEQ ID NO: 15) are shown in Figure 40. The bispecific single chain molecule H22anti-CEA encoded by construct 323 differs from the fusion protein encoded by construct 321 only in that the VH and VL chains of H22 were switched.

A mammalian expression construct encoding a single chain antibody having one binding specificity for the FcyRI (construct 225) was also prepared. The amino acid sequence of the single chain antibody H22 encoded by construct 225 (SEQ ID NO: 14) and the nucleic acid encoding this single chain antibody (SEQ ID NO: 13) are shown in Figure 39.

Each of these constructs were cloned into the Hind III and Xbal sites of pcDNA3 (InVitrogen), from which expression is driven from the CMV promoter. Each o: these constructs also contain a nucleic acid sequence encoding a peptide from c-myc and a hexa-histidine peptide, which were used for purification of the recombinant protein from the cell culture. The c-myc tag corresponds to amino acids 410 to 420 of human c-myc (Evan et al. (1985) Mol. Cell. Biol. 5:3610). The anti-CEA single chain antibody, termed MFE-23, is further described in Casey et al. (1994) J. Immunol. Methods 179:105 and Chester et al.

(1994) Lancet 343:455.

The single chain bispecific molecules H22-anti-CEA and the single chain H22 antibody were used in binding assays, performed as follows. ELISA plates are coated with CEA and the blocked with 5% PBA. Supernatants of the cells transfected with the constructs encoding the single chain molecules (transfectomas) were added to the plates, soluble Fcy RI/IgM-p (supernatant from COS transfected cells, described above) was added and binding was detected by incubation of the plates with alkaline-phosphatase (AP) conjugated goat antihuman IgM, development with PNPP, and reading of the plate at 405-650 nm.

SThe results are presented in Figure 38. The results indicate that the single chain bispecific H22-anti-CEA molecules encoded by constructs 321 and 323 bind both Fcy RI and CEA. On the other hand, the single chain H22 antibody (encoded by construct 225) does not bind both Fcyrl and CEA, as expected.

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.

-46- SEQUENCE LISTING GENERAL INFORMATION:

APPLICANT:

NAME: Medarex, Inc.

STREET: 1545 Route 22 East CITY: Annandale STATE: New Jersey COUNTRY: USA POSTAL CODE (ZIP): 08801-0953 (ii) TITLE OF INVENTION: THERAPEUTIC COMPOUNDS COMPRISED OF ANTI-Fc RECEPTOR ANTIBODIES (iii) NUMBER OF SEQUENCES: 16 (iv) COMPUTER READABLE FORM: 20 MEDIUM TYPE: Floppy disk COMPUTER: IBM PC compatible OPERATING SYSTEM: PC-DOS/MS-DOS SOFTWARE: PatentIn Release version #1.30 (EPO) 25 CURRENT APPLICATION DATA: S(vi) PRIOR APPLICATION DATA: APPLICATION NUMBER: US 08/484,172 FILING DATE: 07-JUNE-1995 (vii) CORRESPONDENCE ADDRESS: ADDRESSEE: LAHIVE COCKFIELD STREET: 60 State Street, Suite 510 CITY: Boston- 35 STATE: Massachusetts COUNTRY: USA ZIP: 02109-1875 (viii) ATTORNEY/AGENT INFORMATION: 40 NAME: Arnold, Beth E.

REGISTRATION NUMBER: 35,430 REFERENCE/DOCKET NUMBER: MXI-043CPPC INFORMATION FOR SEQ ID NO:1: SEQUENCE CHARACTERISTICS: LENGTH: 24 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: linear (ii) MOLECULE TYPE: cDNA (ix) FEATURE: NAME/KEY: CDS LOCATION: 1..24 -47- (xi) SEQUENCE DESCRIPTION: SEQ ID NO:1: ACT CAC ACA TGC CCA CCG TGC CCA 24 Thr His Thr Cys Pro Pro Cys Pro 1 INFORMATION FOR SEQ ID NO:2: SEQUENCE CHARACTERISTICS: LENGTH: 27 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: linear (ii) MOLECULE TYPE: cDNA (ix) FEATURE: NAME/KEY: CDS 20 LOCATION: 1..19 (xi) SEQUENCE DESCRIPTION: SEQ ID NO:2: ACT CAC ACA TGC CCA CCG T GAGGATCC 27 Thr His Thr Cys Pro Pro 1 INFORMATION FOR SEQ ID NO:3: SEQUENCE CHARACTERISTICS: LENGTH: 42 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: linear (ii) MOLECULE TYPE: cDNA 40 (ix) FEATURE: NAME/KEY: CDS LOCATION: 1..34.

(xi) SEQUENCE DESCRIPTION: SEQ ID NO:3: ACT CAC ACA TGC TCG AGC CTT CAC GGC GGC CGC T GAGGATCC 42 Thr His Thr Cys Ser Ser Leu His Gly Gly Arg 1 5 INFORMATION FOR SEQ ID NO:4: SEQUENCE CHARACTERISTICS: LENGTH: 300 amino acids TYPE: amino acid TOPOLOGY: linear (ii) MOLECULE TYPE: peptide 48- FRAGMENT TYPE: internal (xi) SEQUENCE DESCRIPTION: SEQ ID NO:4: Glu Val Gin Leu Val Glu Ser Gly Gly Gly Val Val Gin Pro Gly Arg

S.

-49- Ser Phe Tyr Lys Ala Glu Glu Leu Tyr Gin Lys Arg 290 295 300 INFORMATION FOR SEQ ID SEQUENCE CHARACTERISTICS: LENGTH: 14 amino acids TYPE: amino acid TOPOLOGY: linear (ii) MOLECULE TYPE: peptide FRAGMENT TYPE: internal (xi) SEQUENCE DESCRIPTION: SEQ ID 20 Gin Arg Leu Gly Asn Gin Trp Ala Val Gly His Leu Met Gly 1 5 INFORMATION FOR SEQ ID NO:6: 25 SEQUENCE CHARACTERISTICS: LENGTH: 15 amino acids TYPE: amino acid TOPOLOGY: linear 30 (ii) MOLECULE TYPE: peptide FRAGMENT TYPE: internal (xi) SEQUENCE DESCRIPTION: SEQ ID NO:6: Gin Tyr Ile Lys Ala Asn Ser Lys Phe Ile Gly Ile Thr Glu Leu 1 5 10 INFORMATION FOR SEQ ID NO:7: SEQUENCE CHARACTERISTICS: LENGTH: 54 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: linear (ii) MOLECULE TYPE: cDNA (xi) SEQUENCE DESCRIPTION: SEQ ID NO:7: TCGAGCCAGT ACATCAAGGC GAATTCCAAG TTCATCGGCA TCACCGAGCT CTGA INFORMATION FOR SEQ ID NO:8: SEQUENCE CHARACTERISTICS: LENGTH: 53 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: linear (ii) MOLECULE TYPE: cDNA (xi) SEQUENCE DESCRIPTION: SEQ ID NO:8: CGGTCATGTA GTTCCGCTTA AGGTTCAAGT AGCCGTAGTG GCTCGAGACT CCG 53 INFORMATION FOR SEQ ID NO:9: SEQUENCE CHARACTERISTICS: LENGTH: 15 amino acids TYPE: amino acid TOPOLOGY: linear (ii) MOLECULE TYPE: peptide FRAGMENT TYPE: internal (xi) SEQUENCE DESCRIPTION: SEQ ID NO:9: Gln Tyr Ile Ser Ala Asn Ser Lys Phe Ile Gly Ile Thr Glu Leu 30 1 5 10 INFORMATION FOR SEQ ID SEQUENCE CHARACTERISTICS: 35 LENGTH: 54 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: linear S 40 (ii) MOLECULE TYPE: cDNA (xi) SEQUENCE DESCRIPTION: SEQ ID TCGAGCCAGT ACATCAGCGC GAATTCCAAG TTCATCGGCA TCACCGAGCT CTGA 54 INFORMATION FOR SEQ ID NO:11: SEQUENCE CHARACTERISTICS: LENGTH: 53 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: linear (ii) MOLECULE TYPE: cDNA -51 (xi) SEQUENCE DESCRIPTION: SEQ ID NO:11: CGGTCATGTA GTCGCGCTTA. AGC-TCAAGT AGCCGTAGTG GCTCGAGACT CCG 53 INFORMATION FOR SEQ ID NO:12: SEQUENCE CHARACTERISTICS: LENGTH: 21 amino acids TYPE: amino acid TOPOLOGY: linear (ii) MOLECULE TYPE: peptide FRAGMENT TYPE: internal (xi) SEQUENCE DESCRIPTION: SEQ ID NO:12: 20 Phe Asm Asn Phe Thr Val Ser Phe Trp Leu Arg Val Pro Lys Val e 5 10 .Ala Ser His Leu Glu 2 2) INFORMATION FOR SEQ ID NO:13: SEQUENCE CHARACTERISTICS: LENGTH: 913 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: linear (ii) MOLECULE TYPE: cDNA (ix) FEATURE: NAME/KEY: CDS LOCATION: 11. .911 (xi) SEQUENCE DESCRIPTION: SEQ ID NO:13: AAGCTTCACC ATG GGA TGG AGC TGT ATC ATC CTC TTC TTG GTG GCC ACA 49 Met Gly Trp Ser Cys Ile Ile Leu Phe Leu Val Ala Thr 1 5 GCT ACC GGT GTC CAC TCC GAT ATC CAA CTG GTG GAG AGC GOT GGA GGT 97 Ala Thr Gly Val His Ser Asp Ile Gin Leu Val Glu Ser Gly Gly Gly 15 20 OTT GTG CAA CCT GGC CGG TCC CTG CCC CTG TCC TGC TCC TCG TCT GGC 145 Val Val Gin Pro Oly Arg Ser Leu Arg Leu Ser Cys Ser Ser Ser Gly 35 40 4 TTC AGT TTC AGT CAC AAT TAC ATO TAT TGG GTG AGA CAG GCA CCT GGA 13'- Phe Ile Phe Ser Asp Asn Tyr Met Tyr Trp Val Arg Gln Ala Pro 55 AAA GGT CTT GAG TGG GTT Lys Gly Leu Giu Trp Val GCA ACC ATT Ala Thr Ile 70 AGT GAT GGT GGT Ser Asp Gly Gly AGT TAC ACC Ser Tyr Thr AGA GAC AAC Arg Asp Asn TAC TAT CCA GAC AGT GTG AAG Tyr Tyr Pro Asp Ser Val Lys so GGA AGA Gly Arg TTT ACA ATA Phe Thr Ile AGC AAG Ser Lys AAC ACA TTG TTC Asn Thr Leu Phe CA.A ATG GAC AGC CTG AGA CCC GAA GAC Gin Met Asp Ser Leu Arg Pro Glu Asp 105

ACC

Thr 10 GGG GTC TAT TTT Gly Val Tyr Phe GCA AGA GGC TAC Ala Arg Gly Tyr AGG TAC GAG GGG Arg Tyr Giu Gly ATG GAC TAC TGG GGC CAA GGG ACC CCG Met Asp Tyr Trp Gly Gin Gly Thr Pro ACC GTG AGC TCA Thr Vai Ser Ser GGA GGT Gly Gly 140 see 9 9 9 0099 00 .9 GGC GGC TCC Gly Gly Ser 2 5 CTG ACC CAG Leu Thr Gin 160

GGA

Giy 145 GGT GGA GGC AGC Gly Giy Gly Ser GGG GGC GGA TCC Gly Gly Giy Ser GAC ATC CAG Asp Ile Gin 155 GAC AGA GTG Asp Arg Val AGC CCA AGC AGC Ser Pro Ser Ser AGC GCC AGC GTG Ser Ala Ser Val ACC ATC 30 Thr Ile 175 ACC TGT AAG TCC Thr Cys Lys Ser CAA AGT GTT TTA TAC AGT TCA AAT CAG Gin Ser Val Leu Tyr Ser Ser Asn Gin 185 577

AAG

Lys 190 AAC TAC TTG GCC TGG TAC CAG CAG AAG Asn Tyr Leu Ala Trp Tyr Gin Gin Lys GGT AAG GCT CCA Gly Lys Ala Pro CTG CTG ATC TAC Leu Leu Ile Tyr GCA TCC ACT AGG Ala Ser Thr Arg TCT GGT GTG CCA 5cr Gly Val Pro AGC AGA Ser Arg 220 TTC AGC GGT Phe Ser Gly GGT AGC GGT ACC Giy Scr Gly Thr TTC ACC TTC ACC Phe Thr Phe Thr ATC AGC AGC Ile Ser Ser 235 CTC CAG CCA Leu Gin Pro 240 TCG TGG ACG Ser Trp Thr 255 GAG GAC ATC GCC Giu Asp Ile Ala TAC TAC TGC CAT Tyr Tyr Cys His CAA TAC CTC TCC Gin Tyr Leu Ser 250 AAA TCT AGC TGC Lys Ser Ser Cys TTC GGC CAA Phe Gly Gin ACC AAG GTG GAA Thr Lys Val Glu

TCG

Ser 270 AGC GGA GGC GGG GGT AGC GAT ATC GCG Ser Gly Gly Giy Gly Ser Asp Ile Ala 275 GCA GAA CAG AAA Ala Giu Gin Lys ATC TCA GAA GAG Ile Scr Giu Giu GAT CTG Asp Leu 290 AAT GGC GCC Asn Gly Ala CAT CAC CAT CAT CAC CAT His His His His His His 3C 53 INFORMATION FOR SEQ ID NO:14: SEQUENCE CHARACTERISTICS: LENGTH: 301 amino acids TYPE: amino acid TOPOLOGY: linear 00 @0 S S

S

00 0 00 00

S

0 .0 *0 0 0 0 0S 0@ 0 000 S 0S0@

S

S

@0S5 55 5 0 0S 5.55

S

*OOt 055000

S

Met 1 Val1 Pro 20 Ser 25 Giu 65 Asp Thr Tyr 35 Trp Gly 145 Ser Cys Leu Tyr Ser 225 (ii) MOLECULE (xi) SEQUENCE Gly Trp Ser Cys 5 His Ser Asp Ile Gly Arg Ser Leu 35 Asp Asn Tyr Met Trp Val Ala Thr Ser Val Lys Gly 85 Leu Phe Leu Gin 100 Phe Cys Ala Arg 115 Gly Gin Gly Thr 130 Gly Gly Gly Ser Pro Ser Ser Leu 165 Lys Ser Ser Gin 180 Ala Trp Tyr Gin 195 Trp Ala Ser Thr 210 Gly Ser Gly Thr Giu Cys Arg Gly Ile Leu 105 Arg Val Gly Val Tyr 185 Gly Gly Phe Ser Gly Ser Ser Gin Ala Gly Ser Ser Arg Arg Pro Tyr Giu Ser Ser Ser Asp 155 Gly Asp 170 Ser Ser Lys Al a Val Pro Thr Ilie 235 Giy Gly Gly Thr Asn Asp Ala 125 Gly Gin Val Gin Lys 205 Arg Ser TYPE: protein DESCRIPTION: SEQ ID NO:14: Ile Ile Leu Phe Leu Val Ala Thr Ala Thr Gly Giu Asp Ile Ala Thr Tyr Tyr Cys His Gin Tyr Leu Ser Ser Trp Thr 245 250 255 54 Phe Gly Gin Gly Thr Lys Val Glu Ile Lys 260 265 Ser Ser Cys Ser Ser Gly 270 Ile Ser Glu Gly Gly Gly Ser Asp Ile Ala Ala Ala Glu Gin Lys Leu 275 280 285 Giu Asp Leu Asn Giy Ala Ala His His His 290 295 His His His 300 INFORMATION FOR SEQ ID Wi SEQUENCE CHARACTERISTICS: LENGTH: 1679 base pairs TYPE: nucleic acid STRANflEDNESS: single TOPOLOGY: linear (ii) MOLECULE TYPE: cDNA (ix) FEATURE: NAME/KEY: CDS LOCATION: 11- 1667 (xi) SEQUENCE DESCRIPTION: SEQ ID NO;1S: AAGCTTCACC ATG GGA TGG AGC TGT ATC ATC CTC TTC TTG GTG GCC ACA Met Gly Trp Ser Cys Ile Ile Leu Phe Leu Val Ala Thr GCT ACC Ala Thr is GGT GTC CAC TCC Giy Val His Ser ATC CAA CTG GTG Ile Gin Leu Val AGC GGT GGA GGT Ser Gly Gly Gly

GTT

Val1 GTG CAA CCT GGC Val Gin Pro Gly TCC CTG CGC CTG TCC TGC TCC TCG TCT Ser Leu Arg Leu Ser Cys Ser Ser Ser TTC ATT TTC AGT Phe Ile Phe Ser AAA GGT CTT GAG Lys Gly Leu Glu AAT TAC ATG TAT Asn Tyr Met Tyr GTG AGA CAG GCA Val Arg Gin Ala CCT GGA Pro Gly TGG GTT GCA ACC Trp Vai Ala Thr AGT GAT GGT GGT Ser Asp Gly Gly AGT TAC ACC Ser Tyr Thr AGA GAC AAC Arg Asp Asn TAC TAT CCA GAC Tyr Tyr Pro Asp ACT GTG AAG GGA AGA TIT ACA AT' Ser Val Lys Gly Arg Phe Thr Ile AGC AAG Ser Lys AAC ACA TTG TTC CTG CAA ATG GAC AGC Asn Thr Leu Phe Leu Gin Met Asp Ser 100 AGA CCC GAA GAC Arg Pro Giu Asp GGG GTC TAT TTT Gly Val Ty-r Phe GCA AGA CCC TAC Ala Arg Gly Ty-- AGC TAC GAG GGG GCT Arg Tyr Glu Giy Ala 55 ATG GAC TAC TGG GGC CA-A GGG A-CC CCG GTC Met Asp Tyr Trp Gly Gin Gly Thr Pro Val A-CC GTG AGC TCA GGA GGT Thr Val Ser Ser Gly Gly GGC GGC TCC GGA GGT GGA GGC A-GC Gly Gly Ser Gly Gly Gly Gly Ser 145 GGG GGC GGA Gly Gly Gly GCC AGC GTG Ala Ser Val TCC GA-C A-TC CAG Ser Asp Ile Gin 155 CTG A-CC CAG AGC Leu Thr Gin Ser 160 CCA AGC AGC Pro Ser Ser CTG AGC Leu Ser 165 GAC AGA GTG Asp Arg Val A-CC ATC Thr Ilie 175 A-CC TGT A-AG TCC Thr Cys Lys Ser CAA AGT GTT TTA TAC AGT TCA A-AT CAG Gin Ser Val Leu Tyr Ser Ser Asn Gin 185 57-7

A-AG

Lys 190 A-AC TAC TTG GCC Asn Tyr Leu A-ia TA-C CAG CAG A-AG Tyr Gin Gin Lys GGT A-AG GCT Gly Lys A-ia CCA A-AG Pro Lys 205 A-GC A-GA Ser A-rg 220 CTG CTG ATC TAC Leu Leu Ile Tyr GCA TCC ACT AGG A-la Ser Thr A-rg TCT GGT GTG CCA Ser Giy Val Pro TTC AGC GGT Phe Ser Gly CTC CAG CCA Leu Gin Pro 240 GGT A-GC GGT ACC Giy Ser Gly Thr TTC ACC TTC A-CC Phe Thr Phe Thr ATC AGC A-GC Ile Ser Ser 235 TAC CTC TCC Tyr Leu Ser GAG GAC ATC GCC Giu Asp Ile A-ia TA-C TA-C TGC CAT Tyr Tyr Cys His TCG TGG 35 Ser Trp 255 ACG TTC GGC CA-A Thr Phe Gly Gin A-CC A-AG GTG GAA Thr Lys Vai Giu

A-TC

Ile 265 A-AA TCT A-GC TGC Lys Ser Ser Cys 817

TCG

Ser 270 A-GC GGA GGC GGG Ser Giy Gly Giy A-GC GA-T ATC A-AA Ser Asp Ile Lys CAG CAG TCT GGG Gin Gin Ser Gly GA-A CTT GTG AGG Giu Leu Val A-rg

TCA

Se: 290 GGG A-CC TCA GTC Giy Thr Ser Val TTG TCC TGC A-CA Leu Ser Cys Thr GCT TCT A-ia Ser 300 GGC TTC A-AC Gly Phe Asn A-A-A GA-C 7CC TAT Lys Asp Ser Tyr CA-C TGG TTG AGG His Trp Leu A-rg CAG GGG CCT Gin Gly Pro 315 A-AT GGT GAT A-sn Giy Asp GAA CAG GGC Giu Gin Gly 320 ACT GA-A TAT Thr Giu Tyr 335 CTG GAG TGG A-TT Leu Giu Trp Ile

GGA

Gly 325 TGG A-TT GAT CCT Trp Ile Asp Pro 1009 GCC CCG A-AG Ala Pro Lys CAG GGC A-AG GCC Gin Gly Lys Ala TTT ACT A-CA GAC Phe Thr Thr Asp A-CA 7CC 7CC A-A-C A-CA GCC TA-C CTG CAG CTG AGC .AGC CTG A-CA TCT GA-- Thr Ser Ser Asn Thr A-ia Tyr Leu Gin Le,- Ser Ser Le-- Thr Se: w 56 GAC ACT GCC GTC TAT TAT TGT AAT GAG Asp Thr Ala Val Tyr Tyr Cys Asn Glu 370

GGG

Giy 375 ACT CCG ACT GGG Thr Pro Thr Gly CCG TAC Pro Tyr 380 1153 TAC TTT GAC Tyr Phe Asp GGA GGC GGT Gly Gly Gly 400 TGG GGC CAA GGG Trp, Gly Gin Gly ACG GTC ACC GTC Thr Val Thr Val TCC TCA GGT Ser Ser Gly 395 TCA GAA AAT Ser Giu Asn 1201 1249 TCA GGC GGA GGT Ser Gly Gly Gly TCT GGC GGT GGC Ser Gly Gly Gly GTG CTC ACC CAG TCT CCA Val Leu Thr Gin Ser Pro 415 ATC ATG TCT GCA Ile Met Ser Ala CCA GGG GAG AAG Pro Gly Giu Lys 1297 a.

a a a.

a

GTC

20 Val 430 ACC ATA ACC TGC Thr Ile Thr Cys GCC AGC TCA AGT Ala Ser Ser Ser ACT TAC ATG CAC Ser Tyr Met His TTC CAG CAG AAG Phe Gin Gin Lys GGC ACT TCT CCC Giy Thr Ser Pro CTC TGG ATT TAT AGC ACA Leu Trp Ile Tyr Ser Thr 1345 1393 1441 1489 TCC AAC CTG Ser Asn Leu GGG ACC TCT Gly Thr Ser 480 TCT GGA GTC CCT Ser Gly Val Pro CGC TTC ACT GGC Arg Phe Ser Gly AGT GGA TCT Ser Gly Ser 475 GAA GAT GCT Glu Asp Aia TAC TCT CTC ACA Tyr Ser Leu Thr AGC CGA ATG GAG Ser Arg Met Glu CCC ACT Aia Thr 495 TAT TAC TGC GAG Tyr Tyr Cys Gin CGG AGT AGT TAG Arg Ser Ser Tyr CTC ACG TTC GGT Leu Thr Phe Gly 1537

GCT

Ala 510 GGC ACC AAG CTG GAG CTG AAA CGG GCG Gly Thr Lys Leu Giu Leu Lys Arg Ala CCC TCG AGC GGA Gly Ser Ser Gly 1585 1633 GGG GGT AGC GAT Giy Giy Ser Asp GCG GCC GCA GAA GAG AAA CTC ATC TCA Ala Ala Ala Glu Gin Lys Leu Ile Ser 535 GAA GAG Giu Glu 540 GAT CTG AAT Asp Leu Asn GCC GCA CAT CAC Ala Ala His His CAT CAC CAT His His His TGATTCTAGA 1679 INFORMATION FOR SEQ ID NO:16: Ci) SEQUENCE CHARACTERISTICS: LENGTH: 553 amino acids CB) TYPE: amino acid TOPOLOGY: linear (ii) MOLECULE TYPE: protein 57 (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 16:- Met Gly Trp Ser Cys Ile Ile Leu Phe Val Pro Ser Giu Asp Thr Tyr 25 Trp Gly 145 Ser Cys Leu Tyr Ser 225 Glu Phe Gly His Gly Asp Trp, Ser Leu Phe Gly 130 Gly Pro Lys Al a Trp 210 Gly Asp Giy Gly Ser Arg 35 Asn Val Val Phe Cys 115 Gin Gly Ser Ser Trp, 195 Aia Ser Ile Gin Giy 275 Asp Ser Tyr Al a Lys Leu 100 Al a Giy Gly Ser Ser 180 Tyr Sex Gly Al a Gly 260 Ser Ile Leu Met Thr Gly Gin Arg Thr Ser Leu 165 Gin Gin Thr Thr Thr 245 Thr Asp Gin Arg Tyr Ile 70 Arg Met Gly Pro Gly 150 Ser Ser Gin Arg Asp 230 Tyr Lys Ile Leu Leu Trp 55 Ser Phe Asp Tyr Val1 135 Gly Al a Val1 Lys Glu 215 Phe Tyr Val Lys Val Ser 40 Val Asp Thr Ser Tyr 120 Thr Gly Ser Leu Pro 200 Ser Thr Cys Giu Leu 280 Glu 25 Cys Arg Gly Ile Leu 105 Arg Val Gly Val Tyr 185 Giy Gly Phe His Ile 265 Gin Leu Val Ser Gly Ser Ser Gin Ala Gly Ser .75 Ser Arg 90 Arg Pro Tyr Glu Ser Ser Ser Asp 155 Gly Asp 170 Ser Ser Lys Ala Val Pro Thr Ile 235 Gin Tyr 250 Lys ser Gin Ser Ala Gly Ser Pro TIyr Asp Giu Gly Giy 140 Ile Arg Asn Pro Ser 220 Ser Leu Ser Gly Thr Gly .,iy Gly Thr Asn Asp Ala 125 Giy Gin Val Gin Lys 205 Arg Ser Ser Cys Ala 285 Aila Val Phe Lys Tyr Ser Thr 110 Met Gly Leu Thr Lys 190 Leu Phe Leu Ser Se2 27( Ghi ThrC Val Ile Giy Tyr Lys Gly Aso Giy Thr Ile 175 Asn Leu Ser.

Gin Trp 255 Ser iLeu ;ly .ln Phe Leu Pro Val1 Tyr Ser Gin 160 Thr Tyr Ile Gly Pro 240 Thr Gly Val1 Arg Ser Gly Thr Ser Val Lys Leu Ser Cys Thr Ala Ser Gly Phe Asn 290 295 200 Ile Lys Asp Ser Tyr Met His Trp Leu Arg Gin Gly Pro Giu Gin Gly 305 310 315 320 Leu Giu Trp Ile Gly Trp Ile Asp Pro Giu Asn Gly Asp Thr Giu Tyr 325 330 335 Ala Pro Lys Phe Gin Gly Lys Ala Thr Phe Thr Thr Asp Thr Ser Ser 340 345 350 Asn Thr Ala Tyr Leu Gin Leu Ser Ser Leu Thr Ser Glu Asp Thr Ala 355 360 365 Val Tyr Tyr Cys Asn Giu Gly Thr Pro Thr Gly Pro Tyr Tyr Phe Asp 370 375 380 Tyr Trp Gly Gin Gly Thr Thr Val Thr Val Ser Ser Gly Gly Gly Gly 385 390 395 400 Ser Giy Gly Gly Giy Ser Gly Gly Gly Gly Ser Giu Asn Val Leu Thr 405 410 415 *Gin Ser Pro Ala Ile Met Ser Aia Ser Pro Gly Glu Lys Val Thr Ile ***420 425 430 Thr Cys Ser Ala Ser Ser Ser Val Ser Tyr Met His Trp Phe Gin Gin *435 440 445 Lys Pro Gly Thr Ser Pro Lys Leu Trp Ile Tyr Ser Thr Ser Asn Leu 450 455 460 Ala Ser Gly Val Pro Ala Arg Phe Ser Gly Ser Giy Ser Gly Thr Ser 465 470 475 480 Tyr Ser Leu Thr Ile Ser Arg Met Giu Aia Glu Asp Ala Ala Thr Tyr 485 490 495 Tyr Cys Gin Gin Arg Ser Ser Tyr Pro Leu Thr Phe Gly Ala Gly Thr 500 505 510 Lys Leu Giu Leu Lys Arg Ala Ala Gly Ser Ser Gly Gly Gly Gly Ser 515 520 525 Asp Ile Ala Ala Ala Giu Gin Lys Leu Ile Ser Glu Glu Asp Leu Asn 530 535 540 Gly Ala Ala His His His His His His 545 550

Claims (30)

1. A recombinant multispecific molecule comprising an anti-Fc receptor portion and an anti-target portion.

2. A recombinant multispecific molecule of claim 1, wherein at least one of the anti-Fc receptor portion or the anti-target portion is humanized.

3. A recombinant multispecific molecule of claim 2, wherein the anti-Fc receptor portion is an antibody fragment.

4. A recombinant multispecific molecule of claim 2, wherein the anti-target '.portion is an antibody fragment or a ligand..

5. A recombinant multispecific molecule of claim 2, wherein the anti-Fc S receptor portion binds an Fc receptor on an effector cell at a site which is not bound by endogenous immunoglobulin. 20 6. A recombinant multispecific molecule of claim 2, wherein the anti-Fc receptor portion binds an Fcy receptor.

7. A recombinant multispecific molecule of claim 6, wherein the Fcy receptor is a Fcy RI receptor.

8. A recombinant multispecific molecule of claim 4, wherein the target is a cancer cell.

9. A recombinant multispecific molecule of claim 4, wherein the target is an infectious agent. A recombinant multispecific molecule of claim 4, wherein the target is an antibody-producing cell.

11. A recombinant multispecific molecule of claim 8, wherein the target is a breast or ovarian cancer cell.

12. A recombinant multispecific molecule of claim 11, wherein the target is a HER 2/neu expressing cell.

13. A recombinant multispecific molecule of claim 12, wherein the anti- target portion is antibody 520C9.

14. A recombinant multispecific molecule of 4, wherein the ligand is epidermal growth factor A multivalent molecule comprising 1) at least one anti-Fc receptor portion, and 2) at least one anti-target portion.

16. A multispecific molecule having one anti-FcR, one anti-target portion and one anti-enhancement factor portion.

17. The multivalent molecule of claim 15 or 16, wherein the anti-target 15 portion binds a cancer cell.

18. The multivalent molecule of claim 15 or 16, wherein the anti-target *portion binds a carcinoma.

19. The multivalent molecule of claim 15 or 16, wherein the anti-target portion binds a sarcoma.

20. The multivalent molecule of claim 15 or 16, wherein the anti-target portion binds a pathogen.

21. The multivalent molecule of claim 15 or 16, wherein the anti-target portion binds an FcR at an epitope different and distinct from the first FcR monoclonal antibody.

22. The multivalent molecule of claim 15 or 16, wherein the anti-target portion binds a soluble protein/peptide.

23. The multivalent molecule of claim 15 or 16, wherein the anti-target portion binds any molecule capable of generating an immune response or monoclonal antibody.

24. The multivalent molecule of claim 15 or 16, wherein the binding of the anti-FcR portion to the Fc receptor is not blocked by human immunoglobulin G -61 A multivalent molecule of claim 15 or 16 wherein the anti-FcR portion binds specifically to FcR.

26. The multivalent molecule of claim 16, wherein the anti-EF portion binds specifically to a T cell surface antigen.

27. The multivalent molecule of claim 16, wherein the anti-EF portion binds CD3.

28. The multivalent molecule of claim 16, wherein the anti-EF portion binds a second epitope on FcR.

29. The multivalent molecule of claim 16, wherein the anti-EF portion binds a i" target cell.

30. The multivalent molecule of claim 16, wherein the anti-EF portion binds a second FcR.

31. A multispecific molecule of claim 16, wherein the anti-EF portion binds 20 specifically to a myeloid-associated cytotoxic trigger molecule.

32. A multispecific molecule having one portion that binds specifically to FcyRI, one portion that binds specifically to one epitope of the target antigen and one portion .*that binds specifically to a second site on the same targe.t cell.

33. A method of treating cancer comprising administration of a therapeutically effective amount of a multivalent, multispecific molecule.

34. A method of treating autoimmune disease comprising administration of a therapeutically effective amount of a multivalent, multispecific molecule. A method of treating removing unwanted pathogens comprising administration of a therapeutically effective amount of a multivalent, multispecific molecule. DATED this 14th Day of August, 2000 MEDAREX, INC. Fellow Institute of Patent and Trade Mark Attorneys of Australia of BALDWIN SHELSTON WATERS