WO2004076489A1 - Modified antibody - Google Patents

Abstract

The present invention relates to a novel type of human recombinant antibody-like molecules useful in the treatment of i.e. multiple myeloma. These molecules, called Vaccibodies, bind APC and are able to trigger both T cell and B cell immune response. Moreover, Vaccibodies bind divalently to APC to promote a more efficient initiation of an immune response. Hence, a major purpose of the present invention is to induce a strong immune response to render adjuvants redundant. Vaccibodies comprise a dimer of a monomeric unit that consists of a targeting unit with specificity for a surface molecule on APC, connected through a hinge region and a CϜ3 domain to a antigenic unit in the COOH-terminal end; the latter being of e.g. B cell lymphoma or myeloma origin (Fig 1), although any origin is possible due to the cassette cloning system in the expression vector. The said molecule is capable of inducing an immune response against multiple myeloma, but extension to a general vaccination strategy for any polypeptid should be feasible. The present invention also relates to a DNA sequence coding for this recombinant antibody based molecule, to expression vectors comprising these DNA sequences, cell lines comprising said expression vectors, to treatment of mammals preferentially by immunization by means of Vaccibody DNA, Vaccibody RNA, or Vaccibody protein, and finally to pharmaceuticals and a kit comprising the said molecules.

Description

MODIFIED ANTIBODY

REFERENCE

The present application claim priority back to US provisional application no. 60/450134, filed February 25, 2003. 0

FIELD OF THE INVENTION

The present invention relates to a recombinant human antibody-based molecule called s Vaccibodies, which are able to trigger both a T cell- and B cell immune response. More particularly, Naccibodies by themselves induce such strong in mune responses that adjuvants are not necessarily required. The present invention also relates to a method of treating e.g. multiple myeloma by means of the said Naccibodies.

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BACKGROUND OF THE INVENTION

Multiple myeloma (MM) is a bone marrow cancer hi which a single plasma cell clone has turned malignant and produces monoclonal immunoglobulin (Ig). MM patients have S a very poor prognosis. Although high response rates and increased survival can be achieved using high dose chemotherapy followed by autologous or allogeneic stem cell grafting, the majority of patients relapse and few, if any, are cured.

Myeloma cells produce monoclonal Ig that is unique for each tumor and thus for each individual patient. Ig is composed of two identical heavy (H) and two identical light 0 (L) chains. L and H chains have highly diversified variable (V) regions, V and V_H- V_L and V_H together form the Fv (fragment variable) that contains unique antigenic determinants called idiotopes (Id). Idiotopes collectively constitute the idiotype of the Fv (of the Ig in casu). Induction of an immune response against the idiotype, so called Id- vaccination is a promising strategy in treatment of B cell lymphomas and MM (Bendandi, Gocke et al. 1999) (Tao and Levy 1993) (Huang, Wu et al. 2004) (Hakim, Levy et al. 1996) (King, Spellerberg et al. 1998) (Biragyn, Tani et al. 1999; Biragyn, Ruffini et al. 2002), and both anti-idiotypic antibodies (Sirisinha and Eisen 1971; Hough, Eady et al. 1976) and Id-specific T cells (Lauritzsen, Weiss et al. 1994) may be of importance. However, Id is a weak self-Ag in its original context (as part of Ig). Therefore, for vaccine purposes, it is important to enhance the immunogenicity of Id.

T helper cells (CD4⁺ T cells) recognize their antigen (Ag) after it has been processed through engulfment of foreign proteins by APC, proteolytic breakdown into peptide fragments that are loaded onto MHC class II molecules and transported to the surface of the APC where the peptide-MHC complex is presented to T cell receptors (TCRs) of CD4 ⁺ T cells. Activated CD4⁺ T cells stimulate cytotoxic T cells (CD8⁺ T cells) and B cells with the corresponding Ag specificity, initiating a broad response against the original Ag. A major problem concerning Id-vaccination of MM patients is that Id-specific CD4 T cells in these patients, as extrapolated from experiments in mice [18], probably are tolerant to Id V-region determinants on the highly abundant myeloma protein. MM patients who have undergone autologous stem cell transplantation (ASCT) may be in an advantageous phase for Id- vaccination for the following two reasons: 1) relief from T cell tolerance to myeloma protein Id and 2) development of new T cells that can respond to Id- accination.

Targeting of T cell epitopes to surface molecules on APC with Troybodies (Lunde, Munthe et al. 1999), which are equipped with a T cell epitope incorporated in a loop in a constant Ig domain results in increased T cell stimulation by a factor of 100- 100000 (Lunde, Rasmussen et al. 2001). However, Troybodies do not include the Ag in its native conformation, such as Fv, and are therefore restricted to induction of T cell responses. Therefore, to induce an anti-Id B cell response and anti-Id Abs, it is necessary to include the complete Fv of the M component of the patient. As for induction of an anti-Id T cell response, an inclusion of the entire Fv will greatly increase the chance of including idiotope sequences binding the patient's HLA-molecules, which is a prerequisite for activation of Id-specific T cells. There have been several approaches for rendering idiotypes more immunogenic.

Protein vaccination with complete Id⁺ immunoglobulins (Ig) fused with granulocyte- macrophage colony-stimulating factor (GM-CSF) (Tao and Levy 1993), or CD40 ligand

(Huang, Wu et al. 2004) enhances the level of anti-Id antibodies and results in protection against B-cell lymphoma in mice. However, scFv-GM-CSF was effective only when injected as protein and not as a DNA vaccine (Hakim, Levy et al. 1996). On the other hand, DNA vaccination employing scFv fused to IL-lβ did induce tumor immunity (Hakim, Levy et al. 1996). In another approach, scFv has been genetically fused with fragment C from tetanus toxin and delivered as a DNA vaccine by intramuscular (i. .) injection. This strategy has resulted in increased levels of anti-Id antibodies, Id-specific CD4⁺ responses and protection against lymphoma a myelomas in mice. The mechanism of adjuvant activity of tetanus toxoid fragment C is unknown (King, Spellerberg et al. 1998). In a similar approach, scFv has been fused to chemokines like MCP3, IP 10 mDF2β (Biragyn, Tani et al. 1999; Biragyn, Ruffϊni et al. 2002) and has been used both as a DNA and as protein vaccine (Biragyn, Tani et al. 1999). In several of these studies, foreign T cell epitopes corresponding to TT fragment-C or unique fusion sequences could have contributed to responses. Heightened anti-Id antibody responses and tumor protection has been observed. The mechanism of action of scFv-chemokine is unknown. One possibility is that the chemokine moiety targets Fv to chemokine receptors on APC for enhanced delivery of scFv. Alternatively, chemokines attract APC to the site of injection. However, both the Fragment C and chemokine fusion strategies rely on monovalent binding to their target molecules (King, Spellerberg et al. 1998; Biragyn, Tani et al. 1999). This is of concern because crosslinking has been shown to be of importance for optimal stimulation of T cells, e.g. for Troybodies (Lunde, Munthe et al. 1999).

With these considerations in mind, the inventors have designed a novel type of recombinant antibody-like molecules called Vaccibodies, a divalent molecule comprising a flexible hinge, with no FcR binding and that contain the Ag in its native conformation, with the purpose of inducing both strong Id-specific Ab and T cell responses. Vaccibodies are large and complex macromolecules, but, surprisingly, cells were able to produce and export intact molecules. SUMMARY OF THE INVENTION

The present invention relates to a novel type of human recombinant antibody-like molecules useful in the treatment of i.e. multiple myeloma. These molecules, called Vaccibodies, bind APC and are able to trigger both T cell and B cell immune response. Moreover, Vaccibodies bind divalently to APC to promote a more efficient initiation of an immune response. Hence, a major purpose of the present invention is to induce a strong immune response to render adjuvants redundant. Vaccibodies comprise a dimer of a monomeric unit that consists of a targeting unit with specificity for a surface molecule on APC, connected through a hinge region and a Cγ3 domain to a antigenic unit in the COOH-terminal end; the latter being of e.g. B cell lymphoma or myeloma origin (Fig 1), although any origin is possible due to the cassette cloning system in the expression vector. The said molecule is capable of inducing an immune response against multiple myeloma, but extension to a general vaccination strategy for any polypeptid should be feasible. The present invention also relates to a DNA sequence coding for this recombinant antibody based molecule, to expression vectors comprising these DNA sequences, cell lines comprising said expression vectors, to treatment of mammals preferentially by immunization by means of Vaccibody DNA, Vaccibody RNA, or Vaccibody protein, and finally to pharmaceuticals and a kit comprising the said molecules.

DESCRIPTION OF THE FIGURES

Fig 1 The structure of the Vaccibody. The two scFvs in white target the Vaccibody to surface molecules on APC. They may be replaced by other targeting molecules, e.g. chemokine receptors. The hinge provides flexibility of the relative orientation of the two NH₂-terminal scFvs and disulfide bridges the monomers. The C_H3 domains (light grey) act as a spacer between the NH -and COOH terminal scFvs and participate in the dimerization through hydrophobic interactions. These dimerization motifs may be replaced by other dimerization or multimerization domains. The two scFvs shown in dark grey are the antigenic moiety of the Vaccibody. These scFvs are derived from the M component, thus harboring idiotypic sequences (black). The antigenic scFv may be replaced by any polypeptide derived from an antigenic source, conferring vaccine strategies towards any antigen.

Fig 2 Principle. The Vaccibody is targeted to surface molecules on APC, the complex is taken up by receptor-mediated endocytosis, processed and Id-peptides are presented to CD4⁺ T cells on MHC class II. Simultaneously, the Id may stimulate B cells with an anti-Id BCR. These B cells will also serve as APC for the CD4⁺T cells. Thus, T and B cells will cooperate to enhance the response, as indicated. Anti-Id B cells will as a consequence develop into plasma cells that produce anti-Id antibodies.

Fig 3 The MHC class Il-specific Vaccibodies bind CD19⁺ splenocytes (white). The NTP-specific Vaccibodies (negative controls - grey), do not bind to the splenocytes. Binding was detected with streptavidinPE and 9A8bio which is a rat mAb that binds the antigenic Fv of M315 origin (Vλl/2).

Fig 4 The NIP-specific control Naccibodies exhibits binding to the hapten NIP. Supernatant from cells transfected with genes encoding NIP-specific Naccibodies was added to ELISA plates coated with ΝIP-BSA. 9A8 bio (antiNλl/2) was used as the secondary Ab. Similar results were obtained with a biotinylated anti IdAb (Ab2.1-4 bio). Fig 5 The Vaccibodies exhibit binding to DNP, hence the antigenic scFv is correctly folded. The M315 Ab, from which the antigenic scFv is derived, is specific for the hapten DNP. ELISA plates were coated with DNP-BSA. Supernatants from cells transfected with genes encoding various Vaccibodies were added. Binding was detected with 9A8 bio.

Fig 6 APC pulsed with titrated amounts of MHC class II specific Vaccibodies stimulated polarized M315-specific T cells from TCR-transgenic SCTD mice >100-1000 fold better than the NIP-specific, untargeted control Vaccibodies. There were no significant differences between the Vaccibodies with a long sequence prior to the first disulfide bridge in the hinge (hl+h4) compared to the Vaccibodies with a short hinge sequence above the first disulfide bridge (h4).

Fig 7 The MHC class II-specific Vaccibodies induce a strong anti-Id Ab response in the absence of adjuvant. BALB/c mice were injected with Vaccibodies, 20μg and 200μg, respectively. Blood samples were taken on different time points for sera analysis. Shown is data from sera taken on day 28, 14 days after the second immunization of Vaccibodies. The MHC class II-specific Vaccibodies induced a strong anti-Id Ab response. The Vaccibodies with the longest hinge (hl+h4) induced the strongest anti-Id Ab response reaching 3-4μg/ml in sera.

Fig 8 Construction of the two hinge-Cγ3 variants derived from hIgG3 by PCR. The templates were from pUC19 containing modified hIgG3 constant regions were the h4 exon were connected to the CH3 domain (A) or the hi exon were connected to the h4 exon further connected to the CH3 domain (B) (Olafsen T et al, 1998). The primers inserted Hindlll (5') and Sfil (3') restriction enzyme sites. The hinge and CH3 domain are connected by a triplicate of the amino acids GlyGlyGlySerSer.

Fig 9 Construction of the hinge-Cγ3 segments derived from mIgG2b. The hinge and the CH3 genes were amplified from a pUC18 vector containing the constant region of mIgG2b by PCR with two primers encoding a Hindlll (5') and a Sfil (3') restriction enzyme site. The two PCR fragments were joined by PCR SOEing. In this reaction, the hinge and C_H3 domain were connected by a triplication of the aniino acids Gly-Gly-Gly- Ser-Ser.

Fig 10 Construction of the scFv derived from the myeloma protein M315. The cDNA that functioned as a template in the PCR reactions were derived from RNA extracted from MOPC315.4 cells. The V regions were joined by PCR SOEing resulting in a scFv. hi this reaction, the V regions were connected by a triplicate of GlyGlyGlyGlySer. Furthermore, the gene fragments encoding the complete scFv were flanked by Sfil and Sail restriction enzyme sites.

Fig 11 Joining of the hinge-Cγ3 segments and the M315 scFv by PCR SOEing. This reaction introduced the Sfil site 5' of the antigenic scFv encoding region.

Fig 12 Subcloning of the hinge-Cγ3-M315 scFv into pUC19. Three different dimerization motifs were included, derived from mIgG2b or IgG3. In all cases, they consisted of hinge followed by a triplicate of GlyGlyGlySerSer and CH3. Two different hinges were derived from gG3, one consisting of hi linked to h4, and one consisting of h4, only.

Fig 13 Removal of two inconvenient BamHI restriction enzyme sites within the gene fragment encoding the antigenic scFv by QuickChange PCR.

Fig 14 Introduction of stop codon, a Sfil and a BamHI restriction enzyme site downstream of the coding region by QuickChange PCR.

Fig 15 Subcloning into the C cassette of the expression vector pLNOH₂ on Hindlll- BamHI

Fig 16 Cloning of the V regions specific for ND? and MHCII. The V regions were amplified and joined by PCR soeing resulting in scFvs. The linker connecting the V regions consists of a triplicate of GlyGlyGlyGlySer. The gene fragments encoding the complete scFvs are flanked by Bsml/Munl and BsiWI sites. Linkers and restriction sites were introduced in the PCR reactions.

Fig 17 Subcloning into the expression vector pLNOH₂ on Bsml/Munl and BsiWI

Fig 18 The final Vaccibody construct

Fig 19 Detailed figure of Vaccibody gene construct. The targeting unit is inserted between the Bsml/Mfel and BsiWI restriction enzyme sites (The V cassette of the pLNOH2 vector). The hinge-Cγ3-Fv³¹⁵ is inserted between the Hindlll and BamHI sites into the C cassette of pLNOH2. The hinge and the Cγ3 domain as well as the two scFv's are connected with (G₄S)₃ linkers (black boxes). The Cγ3 and the Fv³¹⁵ are connected through a GLSGL linker. The Fv³¹⁵ is inserted between two nonidentical Sfil restriction enzyme sites. The antigenic unit and dimerization motif may be of any origin appropriate. Also, functional fragments of Cγ3 may be employed, or a sequence which is substantially homologous to the Cγ3 sequence or Cγ3 fragments.

Fig 20 Vaccibodies are secreted as functional molecules. Two distinct Vaccibodies were tested, one carrying the hapten specific Fv^NIP as targeting unit, while the other carried the MHC class II-specific Fv^I_E as targeting unit. Both carried the scFv from M315 (Fv^{3 5}) as antigenic unit, a) 10% SDS-PAGE of metabolically labeled Vaccibodies immunoprecipitated from culture supernatants of transfectants with or without reduction of disulfide bonds by mercaptoethanol (ME), b) DNP-specificity of the Vaccibodies was measured by ELISA. Supernatants from NSO cells transfected with Vaccibodies were added to ELISA plates coated with DNP-BSA. Data are illustrated as mean of triplicates and error bars indicate SEM. c) NTP-specificity was measured by ELISA. ELISA plates were coated with NIP-BSA. Vaccibodies in both b) and c) were detected by either 9A8- bio (αVλl/2) or Ab2.1-4 (specific for Id of Fv³¹⁵) Fv³¹⁵ carries Vλ2 and Fv^Nπ> carries Vλl and will both bind 9A8 mAb. Only Fv315 will bind Ab2.1-4 mAb. Fv^I_E carries VK and will bind neither of the mAbs. Fig 21 Production of Vaccibodies by intramucular injection of naked DNA plasmids followed by in vivo electroporation. Serum samples were collected on day 14. Vaccibody plasmids were injected into I-E^d positive BALB/c mice, which were subsequently electroporated. a) Level of Vaccibodies in sera was measured by ELISA, with DNP-BSA and 9A8bio as described previously, b) The same day 14 sera samples were analyzed for anti-Id antibodies by ELISA. Microtiter plates were coated with M315 and 187-bio (anti- mouse K Ab) was used for detection, c) Comparison of detectable Vaccibody levels and anti-Id antibodies. The amount of detectable Vaccibodies in sera is shown on the y-axis and the level of αld-Abs is shown on the x-axis.

Fig 22 Tumor avoidance. BALB/c mice were immunized once with naked plasmids encoding MHC class II specific Vaccibodies (Fv^I_EFv³¹⁵), nontargeted NIP-specific Vaccibodies (Fv^NIP Fv³¹⁵) or 0.9% NaCl by i.m. immunization into the two quadriceps muscles (25μg/muscle) followed by in vivo electroporation. They were challenged with l.όxlO⁵ MOPC315.4 myeloma cells s.c. and the first day tumor take were recorded. A tumor of >3 mm was scored as positive tumor take.

Fig 23 Induction of protective immunity against the MOPC315.4 plasmacytoma.

BALB/c mice were immunized once with naked plasmids encoding MHC class II specific Vaccibodies (Fv ^" Fv ), nontargeted NIP-specific Vaccibodies (Fv Fv ) or 0.9% NaCl by i.m. immunization into the two quadriceps muscles (25μg/muscle) followed by in vivo electroporation. They were challenged with 1.6x10^s MOPC315.4 myeloma cells s.c. and their survival were compared.

Fig 24 Level of M315 myeloma protein in sera of mice on a) day 18 and b) day 24 after MOPC315.4 challenge in BALB/c mice vaccinated i.m. with Vaccibody plasmids followed by in vivo electroporation. M315 in sera samples were measured by ELISA coated with anti-Id-mAb (Ab2.1-4) and detected by biotinylated anti-IgA mAb (8D2).

Fig 25 Chemokine Vaccibodies are secreted as functional molecules. MJJP-lα Fv³¹⁵ has mouse macrophage inflammatory protein 1 α as the targeting unit and scFv from M315 (Fv³¹⁵) as the antigenic unit. Functionality of MJP-lα in Vaccibody format was measured in ELISA. Supernatants from 293E cells transfected with Vaccibodies were added to ELISA plates coated with anti-mouse MlP-lα mAb (R&D Systems) and detected by 9A8-bio (αVλl/2).

DETAILED DESCRIPTION OF THE INVENTION

The present invention relates to a recombinant human antibody-based molecule, called Vaccibodies, comprising dimers of a monomeric unit that consist of a single chain fragment variable (scFv) of immunoglobulins (Ig) with specificity for surface molecules on Ag presenting cells (APC), connected through a hinge region and a Cγ3 domain to a scFv in the COOH-terminal end, the latter being derived from a myeloma protein (Fig 1), although any origin is possible due to the cassette cloning system of the expression vector. The hinge region and the Cγ3 domains (carboxyterminal C domain of Ig) contribute to dimerization of the Vaccibody through disulfide bridges in the hinge and strong hydrophobic interactions between the two Cγ3 domains. Hence, the dimeric product will include two preferably identical scFvs with binding specificity for the same surface molecules on APC (Fig 2), enabling bivalent binding. Bivalent binding (i.e. crosslinking) is of importance to trigger activation of the target cell and thereby initiation of an immune response. Also, bivalent binding provides increased binding strength due to avidity effects, and increases the likelihood of receptor mediated endocytosis into the APC and subsequent degradation inside the APC. Furthermore, the bivalent binding may provide important receptor mediated intracellular signaling to the APC. The scFvs with a targeting function are either derived from B cell liybridomas expressing monoclonal antibodies (mAbs) that bind to surface molecules on APC, or they may be derived from any source, e.g. phage display libraries. The use of scFvs from B cell hybridomas as the targeting moiety opens for a great range of possible targets due to the large collection of B cell hybridomas that produce mAbs which bind different surface molecules on APC. Furthermore, one may choose the nature of the signal given to the targeted cell by employing agonistic or antagonistic mAbs. Growing knowledge of Ab-Ag interactions will allow the improvement of the binding affinity of such mAbs to their Ag by amino acid replacements in the binding sites. This can be performed by ordinary site-directed mutagenesis. For vaccine purposes, an attractive approach is to target the Vaccibodies to surface molecules expressed exclusively on subsets of dendritic cells (DC) that are able to initiate a strong, specific immune response towards the patients own Id. Examples of such target surface molecules on APC are HLA, e.g. HLA-DP, CD14, CD40, Toll-like receptors, e.g. Toll-like receptor 2, or chemokine receptors. The Vaccibody can be targeted to said surface molecules by means of targeting units comprising for example antibody binding regions with specificity for e.g HLA, HLA-DP, CD14, CD40, or Tolllike receptor; ligands, e.g. soluble CD40 ligand; natural ligands like chemokines, e.g. RANTES or MTP-lα; or bacterial antigens like e.g. flagellin or a part thereof. Because the targeting unit is inserted into the V cassette of the expression vector pLNOH₂ (Norderhaug, Olafsen et al. 1997), it is easily exchanged with other units (Fig 17).

The crucial dimerization motifs in the Vaccibodies constructed in the examples so far, include hinge regions and an immunoglobulin domain (e.g. Cγ3 domain), e.g. carboxyterminal C domain (C_H3 domain), or a sequence that is substantially homologous to said C domain. The hinge is Ig derived and contributes to the dimerization through the formation of an interchain covalent bond(s), e.g. disulfide bridge(s). In addition, it functions as a flexible spacer between the domains allowing the two scFvs with targeting tasks to bind simultaneously to two target molecules expressed with variable distances (Fig 2). The immunoglobulin domains contribute to homodimerization through noncovalent interactions, e.g. hydrophobic interactions, h a preferred embodiment the Cjj3 domain is derived from IgG. These dimerization motifs can be exchanged with other multimerization moieties (e.g from other Ig isotypes/subclasses).

The C-terminal scFv derived from the monoclonal Ig produced by myeloma or lymphoma cells, also called the myeloma/lymphoma M component, can be genetically exchanged with other scFvs or any antigen because the vector has been constructed with a Sfi I restriction site (Fig 8). Therefore, the scFv derived from the model myeloma protein used in the present example is easily swapped with scFv from the M component of any patient with B cell lymphoma or multiple myeloma. Thus, this vector will allow for rapid construction of individual patient specific vaccines. The dimeric structure of the Vaccibody not only affords crosslinking, but should also allow double loading of the patient Fv to the APC per Vaccibody molecule compared to a single scFv combined to a single targeting moiety. Furthermore, there is in a single Vaccibody duplication of serological idiotypic determinants, which might be of importance for the anti-Id B cell response. The Vaccibodies lack a C_H2 domain and hence all FcR binding sites, and should therefore exclusively be taken up through its target molecules, such as MHC class II in the example used and not by any FcRs, ensuring that a large proportion of the vaccine will arrive at the intended target cells. This is in contrast to vaccines that exert their effect through the binding to an FcR on a target cell (Ravetch and Bolland 2001).

Vaccibodies can be extended to a general medical treatment through induction of an immune response against any polypeptide of any origin. It is possible to replace the idiotypic scFv with other antigenic sequences of sufficient length to allow proper folding of the polypeptide. This sequence may be derived from other cancer proteins or infectious agents. Examples of such cancer sequences are telomerase, more specifically hTERT. The infectious agents can be of bacterial, e.g. tuberculosis antigens, or viral origin, more specifically HIV derived sequences like e.g. gpl20 derived sequences. Insertion of such sequences in a Vaccibody format might also lead to activation of both arms of the immune response, similar to the Vaccibodies that are described herein, which comprise the idiotypic scFv. Imiriunization by means of Vaccibody protein, Vaccibody DNA, or Vaccibody RNA, the latter two executed e.g. by intramuscular injection followed by electroporation (See Examples), are all feasible methods. The scFvs on the NH₂- terminal end of the Vaccibodies target the Vaccibodies to

APC through binding to surface molecules (Fig 2), and in the example shown they bind to MHC class II. MHC class II is expressed on all professional APC, so the Vaccibodies described herein are able to target B cells, DC and macrophages. Targeting of conventional Ag-Ab complexes to MHC class II induces activation of specific CD4+ T cells (Snider and Segal 1987; Casten and Pierce 1988) . Targeting of Troybodies to MHC class II has previously been shown to enhance Ag presentation and T cell activation in vitro as well as in vivo (Lunde, Western et al. 2002). In the antigenic region of the molecule, the Vaccibodies of the examples contain the scFv of the myeloma protein M315 derived from the BALB/c plasmacytoma MOPC315.4. The λ2³¹⁵ light chain of M315 harbors three defined somatic mutations in the CDR3 loop and functions as a model idiotypic T cell epitope in a well defined system (Bogen, Malissen et al. 1986; Bogen and Lambris 1989).

The Vaccibodies have been genetically assembled, and the DNA transfected into NSO cells, 293E cells and Cos-7 cells. Transfectants produce and secrete the recombinant Vaccibody molecules. The targeting scFvs at one end of the Vaccibodies exhibit binding to MHC class II (Fig 3). The antigenic scFv at the other end of the Vaccibody binds DNP (di-nitro-phenyl, the specificity of M315) (Fig 5). Thus, both the targeting and antigenic scFvs retain the same folding pattern as in their original context. We have evidence that Vaccibodies have the ability to induce strong T cell responses through their binding to APC and presentation of Id-peptides on class II molecules to Id- specific CD4+ T cells in vitro (Fig 6). Furthermore, since they have intact Fv of the M- component, they elicit anti-Id antibodies in significant amounts in vivo when injected into BALB/c mice without adjuvants (Fig 7).

To determine if MM patients treated with ASCT achieve remission with a low serum myeloma protein concentration, ELISA should performed for each patient's myeloma protein because routine assays (agarose gel electrophoresis, combined with immunofixation) have only a sensitivity of about 0.2-1 mg/ml, which is far too insensitive. The kinetic data of the serum myeloma protein levels will indicate if and when Id-vaccination may best be performed post ASCT to avoid the problem of T cell tolerance of newly educated thymic emigrants. To achieve this, mice are immunized with DNA encoding patient specific Vaccibodies by in vivo electroporation of muscle cells. Sera from immunized mice are absorbed on anti human Ig-Sepharose to remove crossreactive antibodies and thereafter eluted to obtain purified highly Id-specific antibodies. Sandwich ELISAs specific for each patient's myeloma are performed as follows: The purified anti-Id Ab from mice is coated in wells. Serum from the patient in casu is added. Myeloma protein binding to anti-Id antibodies will be detected by use of Ab specific for human IgG or IgA. The sensitivity of such sandwich ELISAs is usually < 1 ng/ml, which is > 10⁶ times more sensitive than routine assays. Furthermore, to monitor development of new T cells, profile of T cells in blood will be monitored by flow cytometry with Vβ-specific mAbs, in combination with other markers.

The present invention relates to a pharmaceutical comprising the above described recombinant based antibody, DNA/RNA sequences, or expression vectors according to the invention. Where appropriate, this pharmaceutical additionally comprises a pharmaceutically compatible carrier. Suitable carriers and the formulation of such pharmaceuticals are known to a person skilled in the art. Suitable carriers are e.g phosphate-buffered common salt solutions, water, emulsions, e.g. oil/water emulsions, wetting agents, sterile solutions etc. The pharmaceuticals may be administered orally or parenterally. The methods of parenteral administration comprise the topical, intra- arterial, intramuscular, subcutaneous, intramedullary, intrathekal, intraventricular, intravenous, intraperitoneal or intranasal administration. The suitable dose is determined by the attending physician and depends on different factors, e.g. the patient's age, sex and weight, the kind of administration etc. Furthermore, the present invention relates to a vaccine composition against cancer or infectious diseases comprising an immunologically effective amount of the nucleic acid encoding the molecule of the invention or degenerate variants thereof, wherein said composition is able to trigger both a T-cell- and B-cell immuiie response. The present invention also relates to a kit comprising Vaccibody DNA, RNA, or protein for diagnostic, medical or scientific purposes. The invention further relates to a method of preparing the recombinant molecule of the invention comprising, transfecting the vector comprising the molecule of the invention into a cell population; culturing the cell population; collecting recombinant protein expressed from the cell population; and purifying the expressed protein.

The above described nucleotide sequences may preferably be inserted into a vector suited for gene therapy, e.g. under the control of a specific promoter, and introduced into the cells. In a preferred embodiment the vector comprising said DNA sequence is a virus, e.g an adenovirus, vaccinia virus or an adeno-associated virus.

Retroviruses are particularly preferred. Examples of suitable retroviruses are e.g.

MoMuLV or HaMuSV. For the purpose of gene therapy, the DNA/RNA sequences according to the invention can also be transported to the target cells in the form of colloidal dispersions. They comprise e.g. liposomes or lipoplexes.

In a preferred embodiment of the present invention naked Vaccibody DNA construct is injected intra-muscularly into mice, whereupon the site of injection is subject to in vivo electroporation. This DNA vaccination resulted in production of Vaccibody protein which conferred life-saving protective immunity on a majority of the mice. More specifically, example 4 demonstrates that after a single injection of Vaccibody plasmid in quadriceps and electroporation, F_V ^NIP F_v ³¹⁵ Vaccibody protein was detected in significant amounts in serum, while there was no detectable F_V ^I_E F_v ³¹⁵ (Fig 21a). Furthermore, example 5 shows the presence of anti-Id antibodies in serum after injection of Vaccibody DNA intramuscularly and electroporation. Taken together the results demonstrate a formidable effect of targeting to MHC class II (I-E^d) positive cells for development of a strong humoral response. Further, example 6 shows that protection against myeloma can be achieved by i.m. DNA vaccine followed by electroporation and that the protection requires targeting of the tumor-derived scFv to APC. Example 7 demonstrates that chemokines are functional as targeting units in the Vaccibody format.

MATERIALS AND METHODS

Mice BALB/cABom were from Bomholtgaard (Ry, Denmark). The λ2³¹⁵-specific TCR- transgenic mice on a BALB/c background (Bogen, Gleditsch et al. 1992)were bred in our animal facility.

Cell lines The 14-4-4S Hybridoma (Ozato, Mayer et al. 1980) and NSO cells were purchased from American Type Culture Collection (ATCC, Manassas, VA). 293E cells, a variant of the 293 cell line expressing the Epstein-Barr virus EBNA1 protein.

Construction of Vaccibodies The gene for the hIgG3 hinge and C_H3 domain was cloned from the pUC19 vector containing hinge genetically combined with Cγ3 genes of the hIgG3 subclass (Olafsen, Rasmussen et al. 1998). Two variants of the hinge length in the humanized Vaccibodies were made; one with just the h4 exon connected to the C_H3 domain (sh) and one with both exon hi and h4 connected to the C_H3 domain (Ih) (Fig 8). The primers included restriction enzyme sites (underlined): 5'h4: tag caa get tgg cca gcg cag gga g; 3⁵CH3: cag gee acc Rag gee ttt acc egg aga cag gga. The hi exon were introduced directly upstream of the h4 exon by QuickChange PCR using these primers Qhla: ctccaatcttctctctgca gag etc aaa acc cca ctt ggt gac aca act cac aca gag ccc aaa tct tgt gac ac and Qhlb: gt gtc aca aga ttt ggg etc tgt gtg agt tgt gtc acc aag tgg ggt ttt gag etc tgcagagagaagattgggag.

The murine Vaccibodies have a complete hinge and C_R3 domain of the mIgG2b subclass picked up by PCR from a pUC18 vector containing the Cγ2b genes (Fig 9). The primers included restriction enzyme sites (underlined) or linkers (bold) with the complementary sequences (italic): 5 'hinge: tagcaagctt ca gag ccc age ggg ccc; 3 'hinge: 5' tec acc tec get get tec acc gcc tgg gca ttt gtg aca etc ctt g; 5'C_H3 : gga age age gga ggt gga agt gga ggg eta gtc aga get cca ca; 3'C_H3 : cag gcc acc gag gcc acc egg aga ccg gga gat g. The hinge and the CH3 domain were then joined by PCR SOEing. The Antigenic V region genes were cloned from the plasmacytoma MOPC315.4 (Eisen, Simms et al. 1968). The V regions were obtained by extracting mRNA from the MOPC315.4 cell line with oligo (dT)-coated magnetic Dynabeads (Dynal). First strand cDNA were then made and used as template for PCR amplification of the V region genes using specific primers annealing to the exact ends of the M315 V region sequences. The primers included restriction enzyme sites (underlined) or linkers (bold) with the complementary sequences (italic). The primer sequences were: 5'VH: ggc etc ggt ggc ctg gat gta cag ctt cag gag tea; 3'V_H: gcc aga gcc acc tec gcc iga tec gcc tec acc tga gga gac tgt gag agt ggt; 5'V_L: ggc ggα ggt ggc tctggc ggt ggc gga teg cag get gtt gtg act cag gaa; 3'V_L: gacg tcgac tag gac agt gac ctt ggt tec. The V_H and V_L genes were then joined by PCR soeing to a scFv format (Fig 10).

The complementary sequences in the tags 3' of the Cγ3 coding region and 5' of the M315 V_H coding region enabled the M315 scFv to be combined with the three different hinge-CπS genes by PCR SOEing (Fig 11). The products of this reaction were then digested with Hindlll and Sail and subcloned into a pUC19 vector (Fig 12). Two BamHI restriction enzyme sites inside the V regions of M315 were removed by QuickChange PCR (Fig 13) using primers: BamHI V_Ll:at gcc aac tgg ata caa gaa aaa cc; BamHI V_L2 gg ttt ttc ttg tat cca gtt ggc at, BamHI V_H1 : tgg aac tgg ata egg cag ttt cc and BamHI _H2 gg aaa ctg ccg tat cca gtt cca. A following QuickChange PCR using primers: 3'V_L stopl gtc act gtc eta tga ggcctgcagggcc ggatcc gtcgactctag and 3'V_L stop2: eta gag teg ac ggatec ggccctgcaggcc tea tag gac agt gac, were then performed to introduce a stop codon (bold), a Sfil and a BamHI restriction enzyme site (underlined) downstream of the coding region (Fig 14). The final construct is then digested with Hindlll and BamHI and subcloned into the expression vector pLNOH₂ (Fig 15) (Norderhaug, Olafsen et al. 1997).

The V region genes providing specificity for MHC class II had previously been cloned from the 14-4-4S hybridoma (Lunde, Western et al. 2002), which produces an Ab specific for the Eα chain (determinant la.7) of the I-E MHC class II molecule (Ozato, Mayer et al. 1980). Specific primers annealing to the exact ends of the V region sequences with tags designed to include restriction enzyme sites (underlined) or linker sequences (bold) with the complementary sequences (italic). The primer sequences were: 5'V_L: gac att caattg aca cag tct tct cct get tec; 3 'V_L: gcc aga gcc acc tec gcc aga tec gcc tec acc ttt gat ttc cag ctt ggt gcc; 5' V_H: ggc gga ggt ggc tct ggc ggt ggc gga teg cag gtc cag ctg cag cag t; 3'V_H: ga cgtacg actcacc tga gga gac ggt gac tga gg. The V region genes conferring specificity for the hapten NIP (Neuberger 1983) were designed with the similar tag sequences except for the 5'V_L primer: 5'V_L: ggtg tgcattcc cag get gtt gtg act cag gaa; 3'V_L: gcc aga gcc acc tec gcc aga tec gcc tec acc tag gac agt cag ttt ggt acc t; 5'V_H: ggc gga ggt ggc tct ggc ggt ggc gga teg cag gtc caa ctg cag cag cc; 3'V_H: ga cgtacg a etc acc tga gga gac tgt gag agt ggt. Both N_L and N_H were then joined by PCR SOEing (Fig 16) and subcloned into the N cassette pLΝOH₂ vector containing the hinge-CH3-scFvM315 genes (Fig 17 and Fig 18). Likewise, other N genes conferring a desired specificity are isolated from hybridomas or from phage selected from phage display libraries. They are then PCR amplified using primers designed in the same manner as above and subcloned after PCR SOEing in the targeting-cassette (Fig. 17 and 18). Rearranged N_H and VK genes conferring specificity for HLA-DP were PCR amplified from cDΝA from the 22C1 hybridoma, which produces an antibody with pan HLA-DP specificity. The V genes were reamplified with new primers containing sites for direct cloning into the expression vectors pLΝOK and pLΝOH2 (Norderhaug and Olafsen, 1997); 5⁵-V_L, ggt tgeatteegαcαttgtgctc ce; 3 '-V_L, cgtacgttctacteaegttttαtttecαget,- 5⁵-V_H, gtgcattccgα t cαgctgcΩ gαgtct; 3'-V_H, cgtacgaetcacctgαggαgαccgtαgc. Furthermore, scFV was generated by PCR SOEing using the following primers: 5'V_L, g gtg tgcattc cga cat tgt get cac c 3'V_L: gcc aga gcc acc tec gcc aga tec gcc tec acc gtt tta ttt cca get 5 ' V_H: ggc gga ggt ggc tct ggc ggt ggc gga teg gag gtg cag ctg cag gag tct 3'V_H, cgtacg act cac ctg agg aga ccg tag c

In 3'NL and 5'NH the sequences in bold+italics are complementary and antiparallell, thus hybridising to generate the gene fragment encoding the linker region. Anti CD 14 N regions are cloned from the mouse hybridoma 3C10 (ATCC). The chemokine genes were cloned from thioglycolate stimulated peritoneal macrophages. 4ml 2% thioglycolate were injected i.p. into Balb/c mice. 3 days later peritoneal macrophages were collected and mRΝA was extracted with oligo (dT)-coated magnetic Dynabeads. First strand cDNA was made and used as template for PCR amplification of chemokine genes (RANTES and MlP-lα) using specific primers: 5'MIP-lα: ggtg tgcattc cgc gcc ata tgg age tga cac, 3'MTP-lα: ga cgtacg act cac ctg cat tea gtt cca ggt cag tg 5 'RANTES: ggtg tgcattc c gcc tea cca tat ggc teg g 3 'RANTES: ga cgtacg a etc acc tga cat etc caa ata gtt gat gta ttc. The different targeting unit genes were then digested with Muni and BsiWI or Bsml and BsiWI, respectively and subcloned into the V cassette pLNOH vector containing the hinge-CH3-scFvM315 genes (Fig 17 and Fig 18). CD40 ligand is cloned from T cells that are activated with LPS for 4 hours before mRNA is extracted for preparation of cDNA. The cDNA is used as template in a PCR reaction with primers specific for the CD40 ligand sequence. Furthermore, this sequence is reamplified with primers designed to facilitate subcloning in the targeting cassette as described above.

Production and purification of Vaccibodies The pLNOH₂ vector carrying the Vaccibody genes was transfected into NSO cells by electroporation, and supernatants from single colonies resistant to 800μg/ml G418 were analysed for Vaccibody secretion after 2-3 weeks, using ELISA. DNP-BSA was used as coat, and biotinylated rat-anti mouse Vλl/2 (9A8-bio) was used for detection. The NIP- specific Vaccibodies were additionally screened in an ELISA using NIP-BSA as coat. The cells selected for high Vaccibody production were grown in Rollerbottles (VWR) and affinity purified from supernatant using a column made by DNP-lysine (Sigma) coupled to fast flow Sepharose. The Vaccibodies were eluted with 0.05M DNP-glycine (Sigma) and the flow-through was run on an ion-exchange Cl^" Dowex 1x8 resin column (Sigma). The eluted Vaccibodies were dialyzed against PBS/0.05%NaN3 and sterile PBS, before the vaccibody concentration were calculated from absorbance values at 280nm.

Ab and flow cytometry

Ab and reagents used for flow cytometry were 9A8 biotin, FGK.45 biotin, streptavidin PerCP, anti-CD 19 PE and anti-mIgG2a PE (BD Pharmingen). BALB/c spleen cells were double stained with anti-CD 19 PE and Vaccibodies. Bound Vaccibodies were detected by 9A8-bio and streptavidin PerCP. Twenty thousand cells were run on FACSCalibur (BD Biosciences, Mountain View, CA) and analyzed using the WinMDI software.

Metabolic labelling and immunoprecipitation 2xl0⁶ cells were labelled for 6h at 37°C in RPMI lacking methionine, cysteine (BioWhittaker) containing lOOμCi ³⁵[S]-methionine, cysteine (Amersham). The SN was harvested and immunoprecipitated with rat anti-mouse Vλl/2 (9A8) on a wheel ON at 4°C. lOμl Dynabeads coated with sheep anti-rat IgG (Dynal AS, Oslo, Norway) were incubated with the precipitate for lh on a wheel and the Dynabeads were collected with a Dynal Magnetic Particle Concentrator rack (Dynal MPC). The beads were washed three times in ice cold PBS with 1%NP40 and resuspended in lOμl lx sample buffer. The proteins were eluted from the beads by incubating the samples at 95°C for 3 minutes. The Vaccibodies were run on a 10% SDS-PAGE gel, with a 5% stacking gel, at 40mA for lh, using a BIO RAD miniprotean II gel electrophoresis apparatus. The gels were subsequently fixed in 30% methanol and 10% acetic acid for 30 minutes prior to 30 min incubation with Amplify (Amersham), before drying and exposing to BIOMAX-MR film (Eastman Kodak Company, Utah, USA).

T cell proliferation assay Irradiated (2000rad) BALB/c splenocytes (5xl0⁵cells/well) were used as a source of APC. Titrated amounts of different MHC CLASS II- and NIP-specific Vaccibodies were added to the splenocytes. A 91-107 λ2 synthetic peptide were used as a positive control. The assays were put up in 150μl cultures in 96-well flat-bottom microtiter wells and incubated for 4 h at 37°C (Lunde, Western et al. 2002). The cultures were then washed three times before addition of 200μl polarized λ2³¹⁵-specific Th2 cells (2xl0⁴) derived from TCR transgenic SCID mice. After 48h, the cultures were pulsed for 16-24h with lμCi ³[H] dThd. The cultures were harvested and, and incorporated ³[H] dThd was measured using a TopCount NXT scintillation counter (Packard, Meriden, CT).

In vivo experiments

BALB/c mice were injected subcutaneously (s.c) with 200μg or 20μg purified Vaccibody proteins in PBS on day 0, 14 and 28. Blood samples were taken on day 14 and 28 before revaccination and then on day 35, 42 and 49, before they were sacrificed according to the

Humane End Point procedure.

Measurement of antibody responses Anti-idiotypic Abs against M315 were measured by ELISA. The wells were coated with 2μg/ml M315. Anti-Id Ab in the sera were detected by a biotinylated anti-mouse VK Ab (187.1 bio), anti-mouse IgGl bio or anti-mouse IgG2a bio (both from BD Pharmingen). Ab2.1-4 (an anti-Id mAb that bind λ2³¹⁵) was used as standard.

Vaccination

Protein vaccination: BALB/c mice were injected subcutaneously (s.c) in the right flank region with 20μg or 200μg purified class II- or NIP specific Vaccibodies (F_V ^I_E F_v ³¹⁵, F_V ^NIP F_v ³¹⁵ ) in PBS on day 0 and 14. PBS was injected as negative control. Blood samples were collected from the leg vein on different time points after the last immunization. Anti-idiotypic antibodies with specificity with specificity for F_v ³¹⁵ were measured by ELISA. The wells were coated with 2μg/ml M315. Anti-Id Ab in the sera were detected by a biotinylated anti-mouse K mAb (187.1 bio). Ab2.1-4 (an anti-Id mAb binding F_v ³¹⁵ (Kristoffersen, Hannestad et al. 1987) was used as standard.

DNA vaccination and electroporation

Five to ten weeks old Balb/c mice were purchased from Bomholtgaard (Ry, Denmark). The animals were anaesthetized by intraperitonal injection with 9 g Pentobarbital/mice and the legs were shaved. Conductive gel was applied at the skin and 50 μl vector DNA diluted in 0.9% NaCl, was injected into the quadriceps. Following injection, electroporation was performed, by applying rod electrodes to the skin near the site of the injection and subjecting the site to an electrical potential comprising 10 trains of 1000 pulses each, with a pulse length at two times 200 Sec (positive 200Sec and negative 200 Sec) with 600 s interval between each pulse and with a current limit of 50 mA (about 150-174 V/cm) (Tollefsen, Tjelle et al. 2002). Blood samples were collected from the leg vein on different time points and heart puncture was performed on the day they were sacrificed. Serum samples were analyzed for the presence of correctly folded Vaccibodies. The ELISA was performed with DNP-BSA as coat and 9A8-bio as detected Ab, as described above. In addition, serum samples were analyzed for anti-Id Abs by ELISA as described above.

Tumor challenge Protein Vaccibodies-MOPC315.4: BALB/c mice (6-10 weeks old) were injected s.c. with 160 μg class Il-or NIP-specific Vaccibodies in PBS in the right flank region on day 0 and 14. On day 28, 1.6xl0⁵ MOPC315.4 cells were injected s.c. on the right flank. Mice were inspected twice weekly. Tumor size development was monitored by palpation and use of a caliper. A tumor of 3 mm in diameter was scored as tumor take. Mice were killed when tumor size reached 20 mm with no sign of tumor necrosis.

DNA Vaccibodies-MOPC315.4: DNA vaccination was performed at day 0 as described above. On day 14, 1.6xl0⁵ MOPC315.4 cells were injected s.c. in the right flank region. Tumor size development was monitored by palpation and use of a caliper. The mice were sacrificed when the tumor size reached 20 mm. Blood samples were collected on different time points from the leg vein. Levels of M315 myeloma protein in sera were quantified in a sandwich ELISA with Ab2.1-4 as coat by biotinylated anti-Cα (8D2) mAb as detection Ab. Tumor size, tumor take, survival curves and statistical analyses were calculated by use of Graph Pad Prism 3.0 software (San Diego, CA).

EXAMPLES

By way of example the following experiments demonstrate that Vaccibodies bind APC and are able to trigger both T cell and B cell immune response. Moreover, the following experiments show that Vaccibodies induce a strong immune response rendering adjuvants redundant. The experiments demonstrate that said molecule is capable of inducing an iirimune response against multiple myeloma and, further, the feasibility of treatment of mammals by immunization by means of Vaccibody DNA or Vaccibody protein. The experiments also demonstrate that another attractive approach is to target the Vaccibodies to surface molecules expressed exclusively on subsets of dendritic cells (DC), like e.g. chemokine receptors. The following examples are meant to illustrate how to make and use the invention. They are not intended to limit the scope of the invention in any manner or to any degree.

Example 1

Vaccibodies are produced and secreted as functional dimerized molecules and is itself bound by the anti-Vλl/2 antibody (9A8) (Bogen 1989) and the anti-idiotypic antibody Ab2.1-4 (Lauritzsen, Weiss et al. 1994).

The M315 mAb binds the hapten di-nitro-phenyl (DNP) (Eisen, Simms et al. 1968). Therefore, to verify that Vaccibodies were produced, secreted and correctly folded as functional molecules, the antigenic units of Vaccibodies were tested in ELISA for their capability to bind DNP, 9A8 and Ab2.1-4 mAbs. Fig 20b shows that both the NTP- specific and the MHCII-specific Vaccibodies, that both have scFv³¹⁵, bind DNP, 9A8 and Ab2.1-4. This was the case with all Vaccibodies containing scFv³¹⁵, both the ones with long human dimerization unit, short human dimerization unit and murine dimerization unit (Fig 5). We next tested the targeting units of the Vaccibodies. These were found to be correct; first, the NIP-specific Vaccibodies bound NTP-BSA in ELISA (Fig 4 and Fig 20c), while the MHCII-specific Vaccibodies did not (Fig 20c). Second, the MHCII-specific Vaccibodies bound to I-E expressing BALB/c splenic B cells (H-2^d) as detected by flow cytometry, whereas the NIP-specific Vaccibodies did not (Fig 3). To check for correct homodimerization, the Vaccibodies were metabolically labelled by growth of transfected cells in medium containing ³⁵S-methionine, vaccibodies were immunoprecipitated from supernatant using specific antibodies, and analyzed by SDS-

PAGE. As would be expected from the theoretical consideration of Fig.2, both the F_V ^NIP

F_v ³¹⁵ and ¥_v ^l'B F_v ³¹⁵ transfectomas secreted dimeric Vaccibodies of ~ 130 kDa. After reduction of disulfide bonds, the Vaccibodies are degraded to monomeric chains of- 65 kDa (Fig 20a).

Example 2

MHC class II-specific Vaccibodies enhance λ2³¹⁵ -specific stimulation ofCD4⁺ T cells. Class II-specific and non-targeting NIP-specific Vaccibodies were mixed with antigen presenting cells (APC) and compared for their ability to induce specific T cell activation. Irradiated BALB/c splenocytes were used as APC. The BALB/c strain has the H-2^d haplotype, hence they express I-E^d molecules necessary for both targeting of the MHC II-specific Vaccibodies and presentation of the λ2³¹⁵ epitope to specific CD4⁺ T cells.

The APC were pulsed with the different Vaccibodies for 4h and subsequently washed. Washing was performed to reduce the chance that I-E -specific Vaccibodies in the culture medium could diminish T cell stimulation by blocking I-E^d molecules (Lunde, Western et al. 2002). Polarized Th2 cells from mice transgenic for a λ2³¹⁵- specific I-E^d restricted TCR (Lauritzsen, Weiss et al. 1993) were added as responder T cells. The dose response curve in fig 6 shows that the λ2 epitope was presented 100- 1000 times more efficiently to TCR-transgenic Th2 cells when they were carried in the APC-targeted MHC II-specific Vaccibodies (both the ones with short and long human dimerization units) compared to the non-targeted NIP-specific Vaccibodies. It should be noted that Vaccibodies do not include an FcγR binding site; hence the NIP-specific Vaccibodies should not be able to enter cells via receptor-mediated endocytosis. Example 3

Level of anti-idiotypic antibodies in sera of mice that received Vaccibodies as proteins in saline s.c. in the absence of adjuvant.

In the protein vaccination protocol, BALB/c mice were immunized twice, spaced two weeks apart, with 20 or 200μg MHC II- specific Vaccibodies or NIP-specific Vaccibodies in PBS. Note that no adjuvant was employed. Sera from immunized mice taken at various time points after the second vaccination were then analyzed for anti- idiotypic antibodies binding M315 in ELISA. The MHC II-specific Vaccibodies elicited significant higher anti-idiotypic antibody responses after 14 days after the second immunization than did NIP-specific Vaccibodies. Vaccibodies with a long human dimerization unit induced best anti-idiotypic Ab responses (Fig 7). Thus targeting of Vaccibodies enhanced anti-Id immuneresponses, however, by this route of immunization, also the non-targeted Vaccibodies induced some responses.

Example 4

Protein Vaccibodies detected in serum after injection of DNA intramuscularly and in vivo electroporation.

It has recently been described that skeletal muscle can produce antibodies after injection of Ig genes and electroporation (Tjelle 2004). We therefore investigated if functional

Vaccibodies were produced by i.m. plasmid injection and electroporation. Since the F_V ^I_

^E F_v ³¹⁵ Vaccibodies are specific for I-E^d molecules present in BALB/c (H-2 ), these

Vaccibodies should be rapidly absorbed by the I-E^d positive cells in BALB/c. By contrast, the non-targeted F_V ^NIP F_v ³¹⁵ Vaccibodies should not be absorbed. Indeed, 14 days after a single injection of 50μg Vaccibody plasmid in quadriceps and electroporation, F_V ^NIP F_v ³¹⁵ Vaccibody protein was detected in significant amounts in serum, while there was no detectable

(Fig 21a). Example 5

Anti-Id antibodies in serum after injection of Vaccibody DNA intramuscularly and electropor'ation.

Analysis of the same day 14 sera samples for anti-idiotypic antibodies demonstrated that mice i.m. injected/electroporated with the MHC class II -targetd F_V ^I_E F_v ³¹⁵ Vaccibody DNA, had developed antibodies that bound idiotypic Fv from the MOPC315.4 tumor (Fig 21b). This result was in distinct contrast to the lack of any anti- idiotypic antibody response in mice injected with the non-targeted F_V ^NIP F_v ³¹⁵ Vaccibody DNA (Fig 21b). Taken together with the results described in example 4, the results demonstrate a formidable effect of targeting to MHC class II (I-E^d) positive cells for development of a strong humoral response. Control mice injected i.m. with 0.9% NaCl followed by electroporation had neither Vaccibodies nor anti-idiotypic Abs in day 14 sera (Fig 21a-c).

Example 6

Induction of protective immunity against the MOPC315.4 myeloma: Vaccibody DNA injection/electroporation.

Intramuscular vaccination with MHC class Il-targeted F_V ^I_E F_v ³¹⁵ Vaccibody plasmids and subsequent electroporation induced strong protection against a challenge with MOPC315.4 myeloma cells, pO.OOl, compared to control mice injected with 0.9% NaCl and electroporated (Fig 23). By contrast, non-targeted F_V ^NIP F_v ³¹⁵ Vaccibody plasmid immunization was ineffective compared to the saline control group, p= 0.2739 (Fig 23). The appearance of tumor was delayed in mice vaccinated with F_V ^I_E F_v ³¹⁵ compared to F_V ^NIPF_V ³¹⁵ (Fig 22). One of the

F_v ³¹⁵ vaccinated mice developed a tumor of maximum 6mm (day 20) in diameter that regressed and was completely undetectable from day 28 (data not shown). The presence of M315 myeloma protein in sera confirmed the tumor size measurements (Fig 24). These results show that protection against the MOPC315.4 myeloma can be achieved by i.m. DNA vaccine followed by electroporation and that the protection requires targeting of the tumor- derived scFv to MHC class II (I-E^d) positive cells. Example 7

Chemokines are functional as targeting units in the Vaccibody format

A vector carrying the gene encoding a Vaccibody as outlined in Figure 18, but specifically with MTP-la in the targeting unit, long human hinge in the dimerization unit and M315 scFv in the antigenic unit was assembled. Supernatant from cells transfected with this construct was collected and tested in ELISA for the presence of

Vaccibodies binding to an anti-mouse MTP-la mAb and 9A8 bio. The results showed that such Vaccibodies with desired specificity were produced, and furthermore, that they bound to anti-MTP-lα mAb, while the NTP-specific Vaccibodies did not (Fig 25).

Example 8

The chemokine RANTES is functional as targeting unit in the Vaccibody format hi the same manner, a vector with a gene encoding Vaccibodies like those described in example 7 was produced, with the exception that the targeting unit was the mouse chemokine RANTES. Supernatant from cells transfected with this construct was collected and tested in ELISA for the presence of Vaccibodies. The experiment showed that this Vaccibody variant was expressed and exported as a functional molecule.

Example 9 Flaggelin as targeting unit in the Vaccibody format

In the same manner, a vector with a gene encoding Vaccibodies like those described in example 7 was produced, with the exception that the targeting unit was flaggelin. Supernatant from cells transfected with this construct will be collected and tested in ELISA for the presence of Vaccibodies.

Example 10

Soluble CD40 ligand as targeting unit in the Vaccibody format

In the same manner, a vector with a gene encoding Vaccibodies like those described in example 7 was produced, with the exception that the targeting unit was soluble CD 40 ligand from the mouse. Supernatant from cells transfected with this construct will be collected and tested in ELISA for the presence of Vaccibodies. Example 11

Anti-Toll-like-receptor 2 as targeting unit in the Vaccibody format In the same manner, a vector with a gene encoding Vaccibodies like those described in example 7 was produced, with the exception that the targeting unit was a scFv with specificity for toll-like-receptor 2 from the mouse. Supernatant from cells transfected with this construct will be collected and tested in ELISA for the presence of Vaccibodies.

Example 12

Anti-CD14 is functional as targeting units in the Vaccibody format In the same manner, a vector with a gene encoding Vaccibodies like those described in example 7 was produced, with the exception that the targeting unit was scFv with specificity for human CD 14. Supernatant from cells transfected with this construct was collected and tested in ELISA for the presence of Vaccibodies. The results showed that this Vaccibody variant was expressed and exported as a functional molecule.

Example 13

Anti-HLA-DP is functional as targeting units in the Vaccibody format

In the same manner, a vector with a gene encoding Vaccibodies like those described in example 7 was produced, with the exception that the targeting unit was scFv with specificity for HLA-DP. Supernatant from cells transfected with this construct was collected and tested in ELISA for the presence of Vaccibodies. The results showed that this Vaccibody variant was expressed and exported as a functional molecule.

Example 14

Tuberculosis antigen in the Vaccibody antigenic cassette.

A nucleic acid encoding a tuberculosis antigen (cattle antigen) will be inserted into the antigenic unit of the Vaccibody construct.

Example 15

Telomerase antigen in the Vaccibody antigenic cassette hTERT, an antigenic region of the telomerase ribonucleoprotein, will be inserted into the antigenic unit of the Vaccibody construct.

Example 16

HIV Gpl20 antigenic in the Vaccibody antigenic cassette

A nucleic acid encoding a gpl20 derived molecule will be inserted into the antigenic unit of the Vaccibody construct.

Example 17

Vaccibodies with patient specific scFv of myeloma origin in the antigenic cassette.

Bone marrow aspirate from patients suffering from multiple myeloma is collected. The mononuclear cells (MNC) are separated using a density gradient solution of Ficoll-

Isopaque (LymphoprepTM from Axis-Shield PoC AS). Total RNA is isolated (TRIzol® Reagent from h vitrogenTM Life Technologies) from MNC, and cDNA is made from mRNA (First-Strand cDNA Synthesis Kit from Amersham Biosciences (Not I-d(T)18 bifunctional primer)). This cDNA is used as template in PCR with primers that amplify the V genes of the heavy or light chain of the multiple myeloma Ig. The sense primers are family specific and localized in the leader regions (VH1-7, VK1-6 and VLl-10), and the anti-sense primers are localized in the first part of the C regions (one primer each for IgG, IgA, kappa and lambda). PCR products are ligated into a vector (pGEM®-T Easy Vector from Promega), and transformed into E.colL DNA samples isolated from individual colonies are sequenced. Getting the same sequence from three different colonies originating from three different PCRs confirms that the V regions from the myeloma Ig have been isolated. PCR SOEing is performed and reamplification is done with primers including tags with sites for Sfil as described in Figure 19. For one patient such primers had the sequence: 5'TAVH 5' ACGTAGGCCTCGGTGGCCTGCAGATCACCTTGAAGGAGTCT

3'TAVK 5' GATCCGGCCCTGCAGGCCTCATTTGATCTCCAGCTTGGTCCC

The resulting vector is transiently transfected into 293E cells. Supernatants are tested in ELISA for the presence of such Vaccibodies. They are also injected into BALB/c mice. The presence of anti-idiotypic antibodies is measured in ELISAs against serum from the mice and serum from the patients.

REFERENCES

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8.

Claims

P a t e n t C l a i m s:

1. A method of treating multiple myeloma or lymphoma in a patient, the method comprising administering to the patient, a recombinant antibody-based molecule comprising two targeting units and two antigenic units connected through a dimerization motif, or a nucleic acid encoding said recombinant antibody-based molecule

2. The method of claim 1, wherein administering the nucleic acid comprises delivering the nucleic acid by electroporation.

3. The method of claim 1, wherein said targeting unit(s) is/are a single chain fragment variable of Ig (scFv).

4. The method of claim 3, wherein said scFv is anti-HLA, anti-CD 14, anti-CD40, or anti-toll-like receptor.

5. The method of claim 4, wherein said anti-HLA is anti-HLA-DP.

6. The method of claim 4, wherein said anti-toll-like receptor is anti-toll-like receptor 2.

7. The method of claim 1, wherein said targeting unit(s) is/are a ligand.

8. The method of claim 7, wherein said ligand is soluble CD40 ligand or a chemokine.

9. The method of claim 7, wherein said ligand is a chemokine.

10. The method of claim 8 or 9, wherein said chemokine is RANTES or MlP-lα.

11. The method of claim 8 or 9, wherein said chemokine is MlP-lα.

12. The method of claim 1, wherein said targeting unit(s) is/are a bacterial antigen.

13. The method of claim 12, wherein the bacterial antigen is a flaggelin.

14. The method of claim 1, wherein the targeting units have the ability to target antigen presenting cells (APC).

15. The method of claim 1, wherein the targeting units have the ability to target HLA- DP, CD14, CD40, toll-like receptors, or a chemokine receptors.

16. The method of claim 15, wherein said HLA is HLA-DP

17. The method of claim 1, wherein the targeting units have the ability to target chemokine receptors.

18. The method of claim 1, wherein the antigenic unit(s) is/are an antigenic scFv.

19. The method of claim 18, wherein the antigenic scFv is derived from a monoclonal Ig produced by myeloma or lymphoma.

20. The method of claim 18, wherein the antigenic unit(s) is/are a telomerase, or a functional part thereof.

21. The method of claim 20, wherein said telomerase is hTERT.

22. The method of claim 1, wherein the antigenic unit(s) is/are derived from a bacterium.

23. The method of claim 22, wherein the bacterium derived antigenic unit(s) is/are a tuberculosis antigen.

24. The method of claim 1, wherein the antigenic unit(s) is/are derived from a virus.

25. The method of claim 24, wherein the virus derived antigenic unit(s) is/are derived from HIV.

26. The method of claim 25, wherein the HIV derived antigenic unit(s) is/are derived

27. The method of claim 1, wherein the dimerization motif comprises a hinge region and an immunoglobulin domain.

28. The method of claim 27, wherein the hinge region is Ig derived.

29. The method of claim 27, wherein the hinge region has the ability to form one or several covalent bonds.

30. The method of claim 29, wherein the covalent bond is a disulphide bridge.

31. The method of claim 27, wherein the immunoglobulin domain is a carboxyterminal C domain, or a sequence that is substantially homologous to said C domain.

32. The method of claim 31, wherein the carboxyterminal C domain is derived from IgG.

33. The method of claim 27, wherein the immunoglobulin domain has the ability to homodimerize.

34. The method of claim 33, wherein said immunoglobulin domain has the ability to homodimerize via noncovalent interactions.

35. The method of claim 34, wherein said noncovalent interactions are hydrophobic interactions.

36. The method of claim 1 comprising administering the nucleic acid to the patient to induce production of the recombinant antibody-based molecule.

37. The method of claim 1 comprising administering a vector comprising the nucleic acid.

38. A recombinant antibody-based molecule comprising two targeting units and two antigenic units connected through a dimerization motif, or a nucleic acid encoding said recombinant antibody-based molecule.

39. The recombinant molecule of claim 38, wherein said targeting unit(s) is/are a single chain fragment variable of Ig (scFv).

40. The recombinant molecule of claim 39, wherein said scFv is anti-HLA, anti-CD14, anti-CD40, or anti-toll-like receptor.

41. The recombinant molecule of claim 40, wherein said anti-HLA is anti-HLA-DP.

42. The recombinant molecule of claim 40, wherein said anti-toll-like receptor is anti- toll-like receptor 2.

43. The recombinant molecule of claim 38, wherein said targeting unit(s) is/are a ligand.

44. The recombinant molecule of claim 43, wherein said ligand is soluble CD40 ligand or a chemokine.

45. The recombinant molecule of claim 43, wherein said ligand is a chemokine.

46. The recombinant molecule of claim 45, wherein said chemokine is RANTES or MTP-la.

47. The recombinant molecule of claim 45 wherein said chemokine is MTP-la.

48. The recombinant molecule of claim 38, wherein said targeting unit(s) is/are a bacterial antigen.

49. The recombinant molecule of claim 48, wherein the bacterial antigen is a flaggelin.

50. The recombinant molecule of claim 38, wherein the targeting units have the ability to target antigen presenting cells (APC).

51. The recombinant molecule of claim 38, wherein the targeting units have the ability to target HLA, CD 14, CD40, toll-like receptors, or chemokine receptors.

52. The recombinant molecule of claim 51, wherein said HLA is HLA-DP.

53. The recombinant molecule of claim 38, wherein the targeting units have the ability to target chemokine receptors.

54. The recombinant molecule of claim 38, wherein the antigenic unit(s) is/are an antigenic scFv.

55. The recombinant molecule of claim 54, wherein the antigenic scFv is derived from a monoclonal Ig produced by myeloma or lymphoma.

56. The recombinant molecule of claim 38, wherein the antigenic unit(s) is/are a telomerase, or a functional part thereof.

57. The recombinant molecule of claim 56, wherein said telomerase is hTERT.

58. The recombinant molecule of claim 38, wherein the antigenic unit(s) is/are derived from a bacterium.

59. The recombinant molecule of claim 58, wherein the bacterium derived antigenic unit(s) is/are a tuberculosis antigen.

60. The recombinant molecule of claim 38, wherein the antigenic unit(s) is/are derived from a virus.

61. The recombinant molecule of claim 60, wherein the virus derived antigenic unit(s) is/are derived from HIV.

62. The recombinant molecule of claim 61, wherein the HIV derived antigenic unit(s) is/are derived from gpl20.

63. The recombinant molecule of claim 38, wherein the dimerization motif comprises a hinge region and an immunoglobulin domain.

64. The recombinant molecule of claim 63, wherein the hinge region is Ig derived.

65. The recombinant molecule of claim 63, wherein the hinge region has the ability to form one or several covalent bonds.

66. The recombinant molecule of claim 65, wherein the covalent bond is a disulphide bridge.

67. The recombinant molecule of claim 63, wherein the immunoglobulin domain is a carboxyterminal C domain, or a sequence that is substantially homologous to said C domain.

68. The recombinant molecule of claim 67, wherein the carboxyterminal C domain is derived from IgG.

69. The recombinant molecule of claim 63, wherein the immunoglobulin domain has the ability to homodimerize.

70. The recombinant molecule of claim 63, wherein said immunoglobulin domain has the ability to homodimerize via noncovalent interactions.

71. The recombinant molecule of claim 70, wherein said noncovalent interactions are hydrophobic interactions.

72. The recombinant molecule of claim 38 comprising a nucleic acid formulated for administration to a patient to induce production of the recombinant antibody-based molecule.

73. The recombinant molecule of claim 38, wherein the nucleic acid is comprised by a vector.

74. The recombinant molecule of claim 73, wherein said vector is comprised by a cell line.

75. The recombinant molecule of claim 38, wherein the nucleic acid is comprised by a cell line.

76. A pharmaceutical composition comprising a recombinant molecule of claim 38 and a physiologically acceptable diluent or carrier.

77. A method of preparing the recombinant molecule of claim 38 comprising a. transfecting the vector of claim 73 into a cell population; b. culturing the cell population; c. collecting recombinant protein expressed from the cell population; and d. purifying the expressed protein.

78. A vaccine composition against cancer or infectious diseases comprising an immunologically effective amount of the nucleic acid of claim 38 or degenerate variants thereof, wherein said composition is able to trigger both a T-cell- and B-cell immune response.

79. The composition of claim 78 further comprising a pharmaceutically acceptable carrier.

80. The composition of claim 78, wherein said cancer is multiple myeloma or lymphoma.

81. The composition of claim 78, wherein said infectious disease is AIDS or tuberculosis.

82. A kit for preparation of a recombinant antibody-based molecule of anyone of claims 38 to 75.