Abstract:
BTL.010 is a novel human serine proteinase inhibitor of the Kunitz family that exhibits greater potency towards neutral serine proteinases, particularly leukocyte elastase and proteinase 3 than towards trypsin-like proteinases. BTL.010, or variants thereof, may be employed as therapeutics in diseases such as emphysema, idiopathic pulmonary fibrosis, adult respiratory distress syndrome, cystic fibrosis, rheumatoid arthritis, organ failure, and glomerulonephritis in which uncontrolled proteolysis due to neutral serine proteinase activity results in tissue damage.

Description:
This is a divisional application of U.S. Ser. No. 09/369,494, filed Aug. 5, 1999, now U.S. Pat. No. 6,180,607. The parent application, U.S. Ser. No. 09/369,494 is herein incorporated by reference. 
    
    
     BACKGROUND OF THE INVENTION 
     Field This invention relates to newly identified polynucleotides, polypeptides encoded by such polynucleotides, the use of such polynucleotides and polypeptides, as well as the production of such polynucleotides and polypeptides. More particularly, the polypeptide of the present invention has been identified as a member of the Kunitz serine proteinase inhibitor family and is hereinafter referred to as BTL.010. 
     Inflammatory Diseases 
     The inflammatory response after surgeries, trauma and infection involves neutrophil activation and infiltration into the injured tissue. The activated neutrophils release the neutral serine proteinases leukocyte elastase, cathepsin G and proteinase 3, which, if not properly controlled, cause abnormal connective tissue turnover and result in severe damage to healthy tissue (1-3, 81). The uncontrolled proteolysis can lead to a myriad of diseases including emphysema, idiopathic pulmonary fibrosis, adult respiratory distress syndrome, cystic fibrosis, rheumatoid arthritis, organ failure, and glomerulonephritis. 
     Proteins capable of inhibiting the neutral serine proteinases released by neutrophils can have therapeutic efficacy in treating inflammatory diseases. In patients suffering from hyperdynamic septic shock, plasma levels of the serine proteinase inhibitors antithrombin III, alpha 2-macroglobulin and inter-alpha-trypsin inhibitor, as well as those of various clotting, complement and other plasma factors, are significantly decreased (5). In an experimental endotoxemia model, the reduction in the plasma levels of these factors was considerably diminished by the intravenous injection of a soybean-derived leukocyte elastase and cathepsin G inhibitor, indicating that these neutral proteinases are at least partially responsible for the proteolysis of the plasma factors. In addition, the survival rate in the rat lethal peritonitis model (cecal ligation and puncture-induced septic shock model) was improved by treatment with the second domain of human urinary trypsin inhibitor (2), which has been shown to inhibit leukocyte elastase and cathepsin G (6, 7). 
     Stimulated neutrophils generate active oxygen species which contribute to inflammatory diseases, necrosis of surrounding tissues, mutagenicity and carcinogenicity (8). The most effective serine protease inhibitors in decreasing H 2 O 2  formation by TPA-activated neutrophils were chymotrypsin-specific inhibitors (e.g., potato inhibitor-1 and a chymotrypsin-inhibitory fragment of potato inhibitor-2), followed by bifunctional inhibitors recognizing both chymotrypsin and trypsin, and least active was soybean trypsin inhibitor, a predominantly trypsin inhibitor. In addition, cytin, a chymotrypsin- but not trypsin-specific inhibitor, significantly diminished the level of human neutrophil and monocyte activation induced by lipopolysaccharide (9). 
     Neutrophil chemotaxis also plays an important role in the inflammatory response and, when excessive or persistent, may augment tissue damage (10). Inhibitors of cathepsin G and chymotrypsin suppressed neutrophil chemotaxis to the chemoattractants N-formyl-L-methionyl-L-leucyl-L-phenylalanine (fMLP) and zymosan-activated serum in multiple blind well assays and to fMLP in migration assays under agarose. 
     IL-1, a proinflammatory cytokine, is secreted from monocytes at inflammatory sites as an inactive precursor. Leukocyte elastase and cathepsin G cleave the IL-1 precursor to form fully active forms of IL-1 (11). Synovial fluid collected from patients with inflammatory polyarthritis and bronchoalveolar lavage fluid from patients with sarcoidosis process the IL-1 precursor into the same active forms as leukocyte elastase and cathepsin G. Control fluids from patients who had no symptoms of inflammatory disease did not exhibit the processing activity. Only lavage fluids that processed precursor IL-1 contain cathepsin G and/or elastase activity. 
     Synthetic tannin exhibits anti-inflammatory properties in skin diseases. Tannin specifically inhibits leukocyte elastase in an irreversible manner, and it is believed that the anti-inflammatory properties of synthetic tannin may at least in part be due to inactivation of elastase (12). 
     Lung Injury 
     Many syndromes of lung injury, including emphysema, adult respiratory distress syndrome, cystic fibrosis and idiopathic pulmonary fibrosis, are associated with accumulation of neutrophils within the pulmonary parenchyma. Activated neutrophils have the capacity to produce lung injury by secreting products including proteinases and reactive oxygen species (13). Neutral serine proteinases secreted from activated neutrophils are capable of inducing damage to lung alveolar extracellular matrix (ECM) by directly digesting the matrix and through the activation of latent metalloproteases resident in the matrix (14). Proteinase 3 and leukocyte elastase have been shown to cause significant lung damage and emphysema when administered by tracheal insufflation or injection to hamsters (16, 17). 
     Inhibitors of neutrophil neutral serine proteinases have been shown to exert potent therapeutic effects on pulmonary emphysema, adult respiratory distress syndrome and other diseases involving tissue degradation. Treatment of hamsters with Eglin C, a neutral serine proteinase inhibitor, completely protected hamsters against leukocyte elastase-induced emphysema (18). Derivatives of 5-methyl-4H-3,1-benzoxazin-4-one, shown to be highly specific inhibitors of leukocyte elastase, efficiently prevented degradation of insoluble elastin by stimulated neutrophils (19). These small molecule inhibitors also significantly suppressed leukocyte induced pulmonary hemorrhage and emphysema in hamsters (19). Alpha 1-proteinase inhibitor and soybean trypsin inhibitor, two leukocyte elastase and cathepsin G inhibitors, were also shown to completely or nearly completely inhibit neutrophil-induced ECM solubilization (13). 
     However, alpha 1-proteinase inhibitor, the major endogenous serine proteinase inhibitor for neutrophil elastase, is easily inactivated by proteolysis by metalloproteinases present in the injured lung and by oxidation (20, 21). Oxidative inactivation of alpha 1-proteinase has been linked to the pathogenesis of pulmonary emphysema associated with cigarette smoking (22). 
     Vascular Effects 
     Injury to the vascular endothelium, such as that occurs during angioplasty, can result in the accumulation of neutrophils and platelets and platelet activation at the site of injury. Platelet accumulation and activation at the injured site can result in abrupt artery closure. Cathepsin G potently induces platelet aggregation, secretion and calcium mobilization by binding to a specific receptor on platelets (23). Leukocyte elastase, though having no platelet agonist activity itself, increases the apparent affinity of cathepsin G binding to platelets and enhances cathepsin G-induced platelet activation. Thrombospondin 1, which inactivates cathepsin G by binding near the enzyme&#39;s active site, protected fibronectin from cleavage by cathepsin G and blocked cathepsin G-mediated platelet aggregation (24). 
     Endothelin-1 (ET-1) is a potent vasoconstrictor peptide secreted by endothelial cells. Marked ET-1 degradation is observed in the presence of activated neutrophils. ET-1 inactivation could play a role in acute inflammatory reactions where neutrophils adhere to the vascular endothelial cells. Soybean trypsin inhibitor abolishes ET-1 degradation almost completely, suggesting a role of cathepsin G in ET-1 hydrolysis (25). Among the purified leukocyte enzymes tested, cathepsin G hydrolyzed ET-1 at the highest rate. 
     Cathepsin G converts angiotensinogen and angiotensin I to angiotensin II (26, 27). The neutrophil-angiotensin system does not require renin or converting enzyme and may function as a mobile effector pathway which modulates tissue blood flow and/or vascular permeability. 
     Proteinase Inhibitor Structure and Specificity 
     Cathepsin G, leukocyte elastase and proteinase 3 are neutral serine proteinases that exist primarily in azurophilic granules of neutrophils. Elastase has a preference for hydrophobic (e.g., neutral) residues at the P1 site such as valine, alanine, isoleucine and leucine (28, 29). (The reactive-site sequence of proteinase inhibitors and substrates are written as . . . -P3-P2-P1-P′1-P′2-P′3- . . . , where-P1-P′1-denotes the reactive site). Cathepsin G has a similar preference for large hydrophobic residues (i.e., phenylalanine, leucine) and basic residues (lysine, arginine) and exhibits dual and equal trypsin- and chymotrypsin-like specificities (30). Proteinase 3 prefers small aliphatic amino acids such as alanine, serine and valine at the P1 site (15, 31). The P3-S3 interaction during human leukocyte elastase hydrolysis of peptide substrates has also been determined to be important (32). (S3 refers to the residue on the inhibited proteinase that interacts with the P3 residue on the inhibitor.) 
     Kunitz Inhibitors 
     Protein inhibitors of serine proteinases can be grouped into several families, including the Kunitz, serpin, Kazal, and mucous protein inhibitor families, based on conserved structural features. Members of each family exhibit greatly varied binding specificities, and members of different families can have similar inhibitory profiles. The binding specificities of the proteinase inhibitors are determined by the residue at the P1 position as well as other residues that lie at the interface between the inhibitor and the bound target proteinase. The P1 residue in Kunitz domain proteins lies immediately C-terminal to the conserved second cysteine (position 15; aprotinin numbering). 
     All members of the Kunitz domain protein family have the same number (six) and spacing of cysteine residues. The precise bonding of cysteine residues to form the three intrachain disulfide bonds is known and invariant for all previously known Kunitz members (33). 
     Members of the Kunitz domain protein family function as inhibitors of serine proteases. Each inhibitor has a unique inhibition specificity profile towards the serine proteases. However, inhibitors with a basic residue (i.e., arginine or lysine) immediately following the second cysteine residue tend to have greater potencies towards proteases that cleave proteins at basic residues. In addition, mutation of the lysine residue at this position in aprotinin to a valine resulted in a dramatic increase in the protein&#39;s potency towards neutrophil elastase, a protease that typically cleaves proteins at residues with small neutral aliphatic side chains (34). 
     The serine protease inhibitory activities of the Kunitz domain proteins has led to their evaluation as potential therapeutics in a number of disease indications. For example, aprotinin is a potent inhibitor of proteases involved in the blood clotting cascade and is used clinically to reduce bleeding during open heart surgery (35). Human placental bikunin is a potent inhibitor of plasmin, which has been implicated in facilitating metastasis and tumor growth (36). Other disease indications in which serine proteases are believed to play a significant pathological role and in which the Kunitz domain proteins may therefore be effective therapeutics include traumatic brain injury and stroke (37, 38), cystic fibrosis (39, 40), emphysema (41), arthritis and anemia (42) and non-insulin dependent diabetes (43). 
     Kunitz domains that exist within larger proteins have been shown to retain their functional activities when produced as single domains (44). Kunitz-type inhibitors have been described in the patent literature (85). 
     Serine proteinase inhibitors of the Kunitz family typically exhibit significantly tighter binding to trypsin and chymotrypsin, two proteases with relatively strict P1 specificities (trypsin=arginine, lysine; chymotrypsin=tyrosine, phenylalanine, tryptophan) but with few restrictions at other P and P′ positions, than to the three neutral proteinases secreted by neutrophils. For example, aprotinin is a potent inhibitor of trypsin (Ki=0.02 nM) and chymotrypsin (Ki=1.3 nM) but does not inhibit leukocyte elastase (44). Similarly, placental bikunin inhibits trypsin (Ki=0.01 nM) and chymotrypsin (Ki=0.48 nM) but not leukocyte elastase (44). Tissue factor pathway inhibitor (TFPI), another member of the Kunitz family, inhibits trypsin (0.1 nM) and chymotrypsin (Ki=0.75 nM) but is a weak inhibitor of leukocyte elastase (Ki=400 nM) and cathepsin G (Ki=100-200 nM) (45, 46). In addition, these Kunitz family members exhibit potent inhibitory activity towards serine proteinases having trypsin-like substrate specificity involved in both coagulation and fibrinolysis (44-47). Elastase and cathepsin G have been reported to proteolytically cleave and inactivate TFPI (4, 46). 
     Human inter-alpha-trypsin inhibitor (I alpha I), a plasma Kunitz family proteinase inhibitor, is a potent inhibitor of trypsin (Ki=0.078 nM) and chymotrypsin (1.1 nM) but exhibits somewhat lesser activity against cathepsin G (Ki=18 nM) and leukocyte elastase (Ki=61 nM) (6). Similarly, a Kunitz-type inhibitor purified from Japanese horseshoe crab ( Tachypleus tridentatus ) hemocytes potently inhibited trypsin (Ki=0.46 nM) and chymotrypsin (Ki=5.5 nM), but was somewhat less active towards leukocyte elastase (Ki=72 nM) (48). 
     Soybean trypsin inhibitor (STI) is a potent Kunitz family inhibitor of tryspin but a significantly weaker inhibitor of chymotrypsin (Ki(1)=1000 nM; Ki(2)=300 nM) (49). STI has been reported to exhibit similar inhibitory activity towards chymotrypsin and leukocyte elastase (25). On the other hand, a serine protease inhibitor from larvae of parasitic nematode Anisakis simplex that has 96% amino acid identity to soybean trypsin inhibitor was reported to inhibit trypsin and elastase but not chymotrypsin (50). In addition, a Kunitz-type inhibitor purified from potato tubers ( Solanum tuberosum  L) was reported to be an effective inhibitor of trypsin, leukocyte elastase, and chymotrypsin (51). 
     Non-Kunitz Proteinase Inhibitors 
     Numerous serine proteinase inhibitors from families other than that of the Kunitz family have been reported to inhibit neutral serine proteinases, including those secreted by activated neutrophils. Alpha-1-proteinase and alpha-2-macroglobulin, members of the serpin proteinase inhibitor family, inhibit elastase, cathepsin G and proteinase 3 (15, 52-55). Alpha-1-proteinase has been described as the major serum inhibitor of elastase and cathepsin G (54). Alpha-1-antichymotrypsin, another serpin family proteinase inhibitor, inhibits cathepsin G (53, 56, 55) but not proteinase 3 (15), and has been described as another physiological cathepsin G inhibitor (53). Monocyte/neutrophil elastase inhibitor, also a serpin family inhibitor, inhibits elastase and proteinase 3 (57). Antileukoproteinase (SLPI) and elafin, members of the mucous proteinase inhibitor family, inhibit elastase (Ki=0.6 nM) (58, 59) but not proteinase 3 (15) and cathepsin G (58). Eglin C, a member of the potato inhibitor 1 family from leech  Hirudo medicinalis , inhibits leukocyte elastase (Ki=0.37 nM) and cathepsin G (Ki˜0.1 nM) (60-62) but only weakly inhibits proteinase 3 (15). 
     SUMMARY OF THE INVENTION 
     The present invention encompasses a newly identified human protein, herein called BTL.010, which has been identified as a member of the Kunitz family of proteinase inhibitors based on the presence of the conserved six cysteines observed in all members of this family. BTL.010 is thought to inhibit preferentially elastase-like proteases over trypsin- and chymotrypsin-like proteases. 
     The instant invention encompasses the use of BTL.010 for preventing neutrophil and monocyte activation and formation of active oxygen species during the oxidative burst of stimulated granulocytes. The current invention further encompasses the use of BTL.010 for reducing platelet activation and blood coagulation. The invention may also be useful in a method for the prophylactic or therapeutic treatment of patients undergoing angioplasty. The instant invention also encompasses pharmaceutical compositions containing BTL.010 that are useful for the treatment of inflammatory diseases and diseases involving lung and vascular injury. 
     In accordance with one aspect of the present invention, there are provided novel mature polypeptides comprising the amino acid sequence given in SEQ ID NO:1 as well as biologically active and diagnostically or therapeutically useful fragments, analogues and derivatives thereof. 
     In accordance with another aspect of the present invention, there are provided isolated nucleic acid molecules encoding the polypeptides of the present invention, including mRNAs, DNAs, cDNAs, genomic DNA, as well as antisense analogs thereof and biologically active and diagnostically or therapeutically useful fragments thereof. 
     In accordance with still another aspect of the present invention, there are provided processes for producing such polypeptides by recombinant techniques through the use of recombinant vectors. As a further aspect of the present invention, there are provided recombinant prokaryotic and/or eukaryotic host cells comprising a nucleic acid sequence encoding a polypeptide of the present invention. 
     In accordance with a further aspect of the present invention, there is provided a process for utilizing such polypeptides, or polynucdeotides encoding such polypeptides, for therapeutic purposes, for example, preventing neutrophil and monocyte activation and formation of active oxygen species during the oxidative burst of stimulated granulocytes; or for reducing platelet activation and blood coagulation, or for the treatment of inflammatory diseases and diseases involving lung and vascular injury. 
     In accordance with another aspect of the present invention, there are provided nucleic acid probes comprising nucleic acid molecules of sufficient length to specifically hybridize to a polynucleotide encoding a polypeptide of the present invention. 
     In accordance with yet another aspect of the present invention, there are provided diagnostic assays for detecting diseases or susceptibility to diseases related to mutations in a nucleic acid sequence of the present invention and for detecting over-expression of the polypeptides encoded by such sequences. 
     In accordance with another aspect of the present invention, there is provided a process involving expression of such polypeptides, or polynucleotides encoding such polypeptides, for purposes of gene therapy. As used herein, gene therapy is defined as the process of providing for the expression of nucleic acid sequences of exogenous origin in an individual for the treatment of a disease condition within that individual. 
     DETAILED DESCRIPTION OF THE INVENTION 
     A potential coding sequence containing a putative Kunitz domain sequence was identified by searching a computer database of human genomic sequence information. The protein was found as a result of searching in the NCBI (National Center for Biotechnology Information) Genbank HTG (High-Throughput Genomic) DNA sequence database. This HTG-derived Kunitz domain-containing protein was found by using a Kunitz domain sequence KQDVCEMPKETGPCLAYFLHWWYDKKDNTCSMFVYGG CQGNNNNFQSKANCLNTCKNK (SEQ ID NO:8) as a query and searching in the Genbank High-Throughput Genome Center (HTG) DNA sequence database. These lower-quality HTG sequences are maintained in a separate, small database that is practical to query using a frameshift-tolerant homology search algorithm such as “Framesearch” (available from the company Genetics Computer Group, Madison, Wis., a subsidiary of Oxford Molecular, Oxford, UK), or “Transition” (available from Thoughtware LLC, Dallas, Tex.). 
     The query identified the following significant alignment when searched using the “Transition” TBLASTN algorithm with frameshifting enabled: 
     
       
         
               
             
               
               
             
               
             
           
               
                   
               
             
             
               
                 &gt;gb | AC004846 | AC004846 Homo sapiens clone DJ0647C14; HTGS phase 1, 
               
             
          
           
               
                   
                 21 unordered pieces.  Length = 143,577 
               
             
          
           
               
                 Score = 99, Expect = 0.0, P = 0.0 
               
               
                 Identities = 19/53 (35%), Positives = 29/53 (54%), Start Frame = −3 
               
               
                 Query:  7 CEMPKETGPCLAYFLHWWYDKKDNTCSMFVYGGCQ-GNNNNFQSKANCLNTCK 58 
               
               
                     C +P G C +  W++   C+ F YGGC 2GN NNF S+ C+++C+ 
               
               
                 Sbjct:16318 CLLPSAHGSCADWAARWYFVASVGQCNRFWYGGC--GNANNFASEQECMSSCQ 16164 
               
               
                   
               
             
          
         
       
     
     (Query is a subsequence of SEQ ID NO:8; Sbjct is SEQ ID NO:9.). 
     It can be seen that the algorithm corrected a frameshift error at the number “2” to generate the alignment. The nucleotide sequence (accession number AC004846) is available from Genbank at NCBI. 
     When nucleotides 16318-16164 are translated (with frameshift correction) and searched against the Genpept peptide database, this HTG sequence has a highest match of 47% to “kunitz-type proteinase inhibitor” (as shown below), confirming its novelty among known protein sequences. 
     
       
         
               
             
           
               
                   
               
             
             
               
                 &gt;gi | 512802 (A16768) kunitz type protease inhibitor [unidentified] 
               
               
                    Length = 111 
               
               
                 Score = 151 (53.2 bits), Expect = 6.4e-11, P = 6.4e-11 
               
               
                 Identities = 24/51 (47%), Positives = 31/51 (60%) 
               
               
                 Query: 1 CLLPSAHGSCADWAARWYFVASVGQCNRFWYGGCG-NANNFASEQECMSSC 50 
               
               
                    C LP G+C D+ +WY+ + C RFWYGGCG N N F S++EC C 
               
               
                 Sbjct: 58 CKLPKDEGTCRDFILKWYYDPNTKSCARFWYGGCGGNENKFGSQKECEKVC 108 
               
               
                   
               
             
          
         
       
     
     (Query is subsequence of SEQ ID NO:9; Sbjct is SEQ ID NO:10.). 
     When searched against the assembled Unigene database, this translated HTG sequence has a highest match of 53% to “Amyloid beta (A4) precursor-like protein 2” (a kunitz-type proteinase inhibitor, as shown below), confirming its novelty among expressed sequences derived from the EST database. 
     
       
         
               
             
           
               
                   
               
             
             
               
                 &gt;190493232.FastaFile.screen.Contig6  190493232 Assembled_Cluster.16990 
               
               
                 @ 16990 
               
               
                     ID Hs.64797 TITLE Amyloid beta (A4) precursor-like protein 
               
               
                 2 GENE 
               
               
                     APLP2 CHROMOSOME 11 CYTOBAND 11q23-q25 BLASTX ACC=Q06481; 
               
               
                     PVAL=0.0e+00 SCOUNT 620    Length = 1602 
               
               
                 Score = 129, Expect = 0.0, P = 0.0 
               
               
                 Identities = 29/54 (53%), Positives = 32/54 (59%), Start Frame = +1 
               
               
                 Query: 1 CLLPSAH--GSCADWAARWYFVASVGQCNRFWYGGC-GNANNFASEQECMSSCQ 51 
               
               
                     CLLP 32G C RWYF S G+C RF YGGC GN NNF SE CM+ C+ 
               
               
                 Sbjct: 244 CLLPGGD--GPCRAVMPRWYFDLSKGKCVRFIYGGCGGNRNNFESEDYCMAVCK 403 
               
               
                   
               
             
          
         
       
     
     (Query is SEQ ID NO:9; Sbjct is SEQ ID NO:11.). 
     Nucleotides 16016 to 16414 from the genomic nucleotide sequence (Genbank accession number AC004846), below, were used to design PCR primers to clone this sequence from human genomic DNA, to clone and resequence the kunitz-homologous region. 
     
       
         
               
               
               
               
             
           
               
                 CTGAGTCGGA  GGCTGAGAGG ATGGAGGGTG  CAGCTTTAG T ACTGGGCACC 
                  50 
                 (SEQ ID NO:12) 
                   
               
               
                   
               
               
                 TCAGTGACTT ATATCACACC CATGCCCTGC AGCCTACCCC GTGCGGTGCC 
                 100 
               
               
                   
               
               
                 TGCTGCCCAG TGCCCATGGC TCTTGCGCAG ACTGGGCTGC CCGCTGGTAC 
                 150 
               
               
                   
               
               
                 TTCGTTGCCT CTGTGGGCCA ATGTAACCGC TTCTGGTATG GCGGCTGC*AT 
                 200 
               
               
                   
               
               
                 GGCAATGCCA ATAACTTTGC CTCGGAGCAA GAGTGCATGA GCAGCTGCCA 
                 250 
               
               
                   
               
               
                 GGGATCTCTC CATGGGCCCC GTCGTCCCCA GCCTGGGGCT TCTGGAAGGA 
                 300 
               
               
                   
               
               
                 GCACCCACAC GGATGGTGGC GGCAGCAGTC CTGCAGG CGA  GCAGGAACCC   
                 350 
               
               
                   
               
               
                   AGCCAGCACA  GGACAG GGGC CGCGGTGCAG AGAAAGCCCT GGCCTTCTG 
                 399 
               
             
          
         
       
     
     The primers that were designed are shown underlined in the above sequence. PCR amplification of human genomic DNA (Clontech, Palo Alto, Calif.) was conducted using these primers. The position of the frameshift error is shown as a “*”. The high fidelity enzyme ExpandLong Taq polymerase (Boeringer Manheim, Mannheim, Germany) was used to avoid possible errors. One band around 0.4 kb was amplified, purified with Gel extraction kit (Qiagen, Valencia, Calif.), and cloned into TA cloning vector (Invitrogen, Carlsbad, Calif.). Three independent clones were sequenced, and the correct nucleotide sequence across the region in question was obtained. This analysis resulted in a correction of the genomic sequence 
     
       
         
               
               
               
             
           
               
                   
               
             
             
               
                 from 
                 TGGCGGCTGC-ATGGCAATGCCAA 
                 (SEQ ID NO: 13) 
               
               
                 to 
                 TGGCGGCTGCCATGGCAATGCCAA 
                 (SEQ ID NO: 14) 
               
               
                   
               
             
          
         
       
     
     i.e. a “C” (cytosine) was inserted at position 11 in this alignment. A genomic clone later submitted to Genbank (accession number AC006342) confirmed this correction. 
     This correction resulted in the identification of the missing amino acid in the frameshifted protein alignment as a histidine (“H”). The full protein sequence of the Kunitz-containing open reading frame (ORF) (between the closest upstream and downstream stop codons in the same frame) is thus: 
     
       
         
               
               
               
               
             
           
               
                 LISHPCPAA Y  PVRCLLPSAH  GSCADWAARW  YFVASVGQCN  RFWYGGCHGN   
                  50 
                 (SEQ ID NO:15) 
                   
               
               
                   
               
               
                   ANNFASEQEC MSSCQGS LHG PRRPQPGASG RSTHTDGGGS SPAGEQEPSQ 
                 100 
               
               
                   
               
               
                 HRTGAAVQRK PWPSGGLWRQ DQQPGPGEAP TPRPLENGHG GRSLGPGPLD 
                 150 
               
               
                   
               
               
                 WVEMPDHQRH PSTAPPTGEA HLPQVRGLGR PDKEHASWS 
                 189 
               
             
          
         
       
     
     The Kunitz domain is underlined. For in vivo protein expression, a start codon would have to be supplied to initiate translation in this reading frame, possibly by a splicing event in between the kunitz domain and the stop codon 5′ of this domain in the genomic sequence, or by further corrections to the sequence. 
     Kunitz domains that exist within larger proteins have been shown to retain their functional activities when produced as single domains (Delaria et.al., 1997, J. Biol. Chem. 272:12209-12). Therefore, the Kunitz-HTG domain by itself, as shown below, is predicted to have activity as a protease inhibitor. 
     
       
         
               
               
               
             
           
               
                   
                   
               
             
             
               
                   
                 YPVRCLLPSA HGSCADWAAR WYFVASVGQC 
                 50 
               
               
                   
                 NRFWYGGCHG NANNFASEQE 
               
               
                   
                 CMSSCQGS 
                 58 
               
               
                   
                 (SEQ ID NO: 1) 
               
               
                   
                   
               
             
          
         
       
     
     The polypeptides of the present invention comprise polypeptides having the deduced amino acid sequence given by SEQ ID NO:1. The polypeptides of the present invention may include additional amino acid sequences appended to the N- or C-terminal of the peptides having the deduced amino acid sequence given by SEQ ID NO:1. The polypeptides of the present invention may be recombinant polypeptides, natural polypeptides, or synthetic polypeptides, preferably recombinant polypeptides. As used herein, “protein” is synonymous with “polypeptide.” 
     The present invention further includes a polypeptide which shares at least a 60%, more preferably at least an 80%, still more preferably a 90%, or most preferably at least a 95% sequence identity over at least 20, more preferably at least 30, still more preferably at least 40, or most preferably at least 50 residues with SEQ ID NO:1. (Such polypeptides may be herein referred to as “polypeptides of the present invention”.) 
     Such a polypeptide as described above may be (i) one in which one or more of the amino acid residues are substituted with a conserved or non-conserved amino acid residue (preferably a conserved amino acid residue) and such substituted amino acid residue may or may not be one encoded by the genetic code, or (ii) one in which one or more of the amino acid residues includes a substituent group, or (iii) one in which the mature polypeptide is fused with another compound, such as a compound to increase the half-life of the polypeptide (for example, polyethyleneglycol), or (iv) one in which additional amino acids are fused to the mature polypeptide, such as a leader or secretory sequence or a sequence which is employed for purification of the mature polypeptide or a proprotein sequence or mature protein sequence beyond the Kunitz domain, or (v) one in which one or more amino acids are deleted from or inserted into the sequence of the polypeptide. Combinations of the above-described types of variations in the peptide sequence are within the scope of the invention. Such polypeptides are deemed to be within the scope of those skilled in the art from the teachings herein. 
     The polypeptide of the present invention may contain amino acids other than the 20 gene-encoded amino acids. The polypeptides may be modified by either natural processes, such as posttranslational processing, or by chemical modification techniques which are well known in the art. Such modifications are well described in basic texts and in more detailed monographs, as well as in a voluminous research literature. Modifications can occur anywhere in a polypeptide, including the peptide backbone, the amino acid side-chains and the amino or carboxyl termini. It will be appreciated that the same type of modification may be present in the same or varying degrees at several sites in a given polypeptide. Also, a given polypeptide may contain many types of modifications. Polypeptides may be branched, for example, as a result of ubiquitination, and they may be cyclic, with or without branching. Cyclic, branched, and branched cyclic polypeptides may result from posttranslation natural processes or may be made by synthetic methods. Modifications include acetylation, acylation, ADP-ribosylation, amidation, covalent attachment of flavin, covalent attachment of a heme moiety, covalent attachment of a nucleotide or nucleotide derivative, covalent attachment of a lipid or lipid derivative, covalent attachment of phosphatidylinositol, cross-linking, cyclization, disulfide bond formation, demethylation, formation of covalent cross-links, formation of cysteine, formation of pyroglutamate, formylation, gamma-carboxylation, glycosylation, GPI anchor formation, hydroxylation, iodination, methylation, myristoylation, oxidation, pegylation, proteolytic processing, phosphorylation, prenylation, racemization, selenoylation, sulfation, transfer-RNA mediated addition of amino acids to proteins such as arginylation, and ubiquitination. (63-66) 
     The polypeptides and polynucleotides of the present invention are preferably provided in an isolated form, and preferably are purified to homogeneity. The term “isolated” means that the material is removed from its original environment (e.g., the natural environment if it is naturally occurring). For example, a naturally occurring polynucleotide or polypeptide present in a living animal is not isolated, but the same polynucleotide or DNA or polypeptide, separated from some or all of the coexisting materials in the natural system, is isolated. Such polynucleotide could be part of a vector and/or such polynucleotide or polypeptide could be part of a composition, and still be isolated in that such vector or composition is not part of its natural environment. 
     As known in the art “similarity” between two polypeptides is determined by comparing the amino acid sequence and its conserved amino acid substitutes of one polypeptide to the sequence of a second polypeptide. Such conservative substitutions include those described by Dayhoff (67) and by Argos (68). For example, amino acids belonging to one of the following groups represent conservative changes: 
     ala, pro, gly, gln, asn, ser, thr; 
     cys, ser, tyr, thr; 
     val, ile, leu, met, ala, phe; 
     lys, arg, his; 
     phe, tyr, trp, his; and 
     asp, glu. 
     (Note that these grouping are examples; other groupings may represent more relevant choices.) 
     “Similarity” or “identity” refers to sequence conservation, or “homology”, between two or more peptides or two or more nucleic acid molecules, normally expressed in terms of percentages. When a position in the compared sequences is occupied by the same base or amino acid (“residue”), then the molecules are identical at that position. When a position in two compared peptide sequences is occupied by an amino acid with similar physical properties (a conservative substitution as determined by a given scoring matrix; similarity is thus dependent on the scoring matrix chosen), then the molecules are similar at that position. The percent identity or similarity can be maximized by aligning the compared sequences alongside each other, sliding them back and forth, and conservatively introducing gaps in the sequences where necessary. The percent identity is calculated by counting the number of identical aligning residues, dividing by the total length of the aligned region, including gaps in both sequences, and multiplying by 100. Identity would thus be expressed as, e.g., “60% identity over 200 amino acids,” or “57% identity over 250 amino acids.” Similarity is calculated by counting both identities and similarities in the above calculation. For example, the alignment below has 37.5% sequence identity over 56 amino acids ( (21 identities/56 residues)×100%), where 56 is the total length of the aligned region. 
     
       
         
               
               
               
             
           
               
                 RTPSDKPVAH--VANPQLQWLNRRANALLANGVE-RDNQLVV--EGLYLIYSQVLF 
                 56 resid. 
                   
               
               
                 | |  |  |   ||   | | |      |  ||   |  ||    ||| |  |  | 
                 21 ident. 
               
               
                 RAPFKKSWAYLQVAKHKLSW-NK--DGIL-HGVRYQDGNLVIQFPSLYFIICQLQF 
                 56 resid. 
               
               
                 (Query is SEQ ID NO:16; Sbjct is SEQ ID NO:17.) 
               
             
          
         
       
     
     As a further example, the same alignment below has 55.4% sequence similarity over 56 amino acids ( (31 similarities/56 residues)×100%), where 56 is the total length of the aligned region. In this example, conservative substitutions are indicated by a plus sign and the total similarities is given by the sum of the identities and the conservative substitutions. (As noted above, determination of conservative substitutions is dependent on the scoring matrix chosen. The same alignment below may yield a different value for percent similarity using a different scoring matrix.) 
     
       
         
               
               
               
             
           
               
                 RTPSDKPVAH--VANPQLQWLNRRANALLANGVE-RDNQLVVE--GLYLIYSQVLF 
                 56 resid. 
                   
               
               
                 R P  K  A+  VA  +L W N+  + +L +GV  +D  LV++  GLY I  Q+ F 
                 31 simil. 
               
               
                 RAPFKKSWAYLQVAKHKLSW-NK--DGIL-HGVRYQDGNLVIQFPSLYFIICQLQF 
                 56 resid. 
               
               
                 (Query is SEQ ID NO:16; Sbjct is SEQ ID NO:17.) 
               
             
          
         
       
     
     Both of the sequences in the aligned region may be contained within longer, less homologous sequences. “Unrelated” or “non-homologous” sequences typically share less than 40% identity at the peptide level, preferably less than 25% identity. 
     The invention further encompasses polynucleotides which code for the above-described polypeptides of the present invention. These polynucleouides may be in the form of RNA or in the form of DNA, which DNA includes cDNA, genomic DNA, and synthetic DNA. The DNA may be double-stranded or single-stranded. The polynucleotides may include: only the coding sequence for the mature polypeptide; the coding sequence for the mature polypeptide and additional coding sequence such as a leader or secretory sequence or a proprotein sequence; the coding sequence for the mature polypeptide (and, optionally, additional coding sequence) and non-coding sequence, such as introns or non-coding sequence 5′ and/or 3′ of the coding sequence for the mature polypeptide. Thus, the term “polynucleotide encoding a polypeptide” encompasses a polynucleotide which includes only coding sequence for the polypeptide as well as a polynucleotide which includes additional coding and/or non-coding sequence. 
     The present invention further relates to variants of the herein above-described polynucleotides. The variants of the polynucleotides may be naturally occurring allelic variants of the polynucleotides or non-naturally occurring variants of the polynucleotides. As known in the art, an allelic variant is an alternate form of a polynucleotide sequence which may have a substitution, deletion, or addition of one or more nucleotides which does not substantially alter the function of the encoded polypeptides. Thus, the present invention includes polynucleotides encoding the same mature polypeptide as described in Example 1, below, as well as variants of such polynucleotides which variants include deletion variants, substitution variants and addition or insertion-variants. 
     The present invention also includes polynucleotides wherein the coding sequence for the mature polypeptides may be fused in the same reading frame to a polynucleotide sequence which aids in expression and secretion of a polypeptide from a host cell, for example, a leader sequence which functions as a secretory sequence for controlling transport of a polypeptide from the cell. The polypeptide having a leader sequence is a preprotein and may have the leader sequence cleaved by the host cell to form the mature form of the polypeptide. The polynucleotides may also encode for a proprotein which is the mature protein plus additional amino acid residues. A mature protein having a prosequence is a proprotein and is an inactive form of the protein. Once the prosequence is cleaved an active mature protein remains. For example, the polynucleotides of the present invention may code for a mature protein or for a protein having a prosequence or for a protein having both a prosequence and a presequence (leader sequence). 
     The polynucleotides of the present invention may also have the coding sequence fused in frame to a marker sequence which allows for purification of the polypeptide of the present invention. The marker sequence may be a hexa-histidine tag supplied by a pQE-9 vector to provide for purification of the mature polypeptide fused to the marker in the case of a bacterial host, or, for example, the marker sequence may be a hemagglutinin (HA) tag when a mammalian host, e.g. COS-7 cells, is used. The HA tag corresponds to an epitope derived from the influenza hemagglutinin protein (69). 
     The term “gene” means the segment of DNA involved in producing a polypeptide chain; it includes regions preceding and following the coding region (leader and trailer) as well as intervening sequences (introns) between individual coding segments (exons). Fragments of the full length BTL.010 gene may be used as a hybridization probe for a cDNA library to isolate the full length gene and to isolate other genes which have a high sequence similarity to the gene or similar biological activity. Probes of this type preferably have at least 30 bases and may contain, for example, 50 or more bases. The probe may also be used to identify a cDNA clone corresponding to a full length transcript and a genomic clone or clones that contain the complete BTL.010 gene including regulatory and promotor regions, exons, and introns. An example of a screen comprises isolating the coding region of the BTL.010 gene by using the known DNA sequence to synthesize an oligonucleotide probe. Labeled oligonucleotides having a sequence complementary to that of the gene of the present invention are used to screen a library of human cDNA, genomic DNA or mRNA to determine which members of the library the probe hybridizes to. 
     The present invention is directed to polynucleotides having at least a 70% identity, preferably at least 90% identity, and more preferably at least a 95% identity over at least 90 bases, preferably over at least 120 bases, more preferably over at least 160 bases to a polynucleotide which encodes a polypeptide of the present invention, as well as fragments thereof, which fragments have at least 30 bases and preferably at least 50 bases and to polypeptides encoded by such polynucleotides. 
     The present invention also relates to vectors that include polynucleotides of the present invention as above described, host cells that are genetically engineered with vectors of the invention, and the production of polypeptides of the invention by recombinant techniques. Host cells may be genetically engineered (transduced or transformed or transfected) with the vectors of this invention which may be, for example, a cloning vector or an expression vector. The vector may be, for example, in the form of a plasmid, a viral particle, a phage, etc. The engineered host cells can be cultured in conventional nutrient media modified as appropriate for activating promoters, selecting transformants or amplifying the BTL.010 genes. The culture conditions, such as temperature, pH and the like, are those previously used with the host cell selected for expression, and will be apparent to the ordinarily skilled artisan. The polynucleotide of the present invention may be employed for producing a polypeptide by recombinant techniques. 
     Thus, for example, the polynucleotide sequence may be included in any one of a variety of expression vehicles, in particular vectors or plasmids for expressing a polypeptide. Such vectors include chromosomal, non-chromosomal and synthetic DNA sequences, e.g., derivatives of SV40; bacterial plasmids; phage DNA; yeast plasmids; vectors derived from combinations of plasmids and phage DNA, viral DNA such as vaccinia, adenovirus, fowl pox virus, and pseudorabies. However, any other vector or plasmid may be used as long as they are replicable and viable in the host. 
     The appropriate DNA sequence may be inserted into the vector by a variety of procedures. Such procedures and others are deemed to be within the scope of those skilled in the art. The DNA sequence in the expression vector is operatively linked to an appropriate expression control sequence(s) (promoter) to direct mRNA synthesis. As representative examples of such promoters, there may be mentioned: LTR or SV40 promoter, the  E. coli  lac or trp, the phage lambda PL promoter and other promoters known to control expression of genes in prokaryotic or eukaryotic cells or their viruses. The expression vector may also contain a ribosome binding site for translation initiation and a transcription terminator. The vector may also include appropriate sequences for amplifying expression. In addition, the expression vectors preferably contain a gene to provide a phenotypic trait for selection of transformed host cells such as dihydrofolate reductase or neomycin resistance for eukaryotic cell culture, or such as tetracycline or ampicillin resistance in  E. coli . The vector containing the appropriate DNA sequence as herein above described, as well as an appropriate promoter or control sequence, may be employed to transform an appropriate host to permit the host to express the protein. As representative examples of appropriate hosts, there may be mentioned: bacterial cells, such as  E. coli, Salmonella typhimurium , Streptomyces; fungal cells, such as yeast; insect cells, such as Drosophila S2 and Spodoptera Sf9; animal cells such as CHO, COS or Bowes melanoma; adenoviruses; plant cells, etc. The selection of an appropriate host is deemed to be within the scope of those skilled in the art from the teachings herein. 
     The present invention also includes recombinant constructs comprising one or more of the sequences as broadly described above. The constructs comprise a vector, such as a plasmid or viral vector, into which a sequence of the invention has been inserted, in a forward or reverse orientation. In a preferred aspect of this embodiment, the construct further comprises regulatory sequences, including, for example, a promoter, operably linked to the sequence. Large numbers of suitable vectors and promoters are known to those of skill in the art and are commercially available. The following vectors are provided by way of example. Bacterial: pQE70, pQE60, pQE-9 (Qiagen), pBS, phagescript, psiX174, pBluescript SK, pBsKS, pNH8a, pNH16a, pNH18a, pNH46a (Stratagene), pTRC99A, pKK223-3, pKK233-3, pDR540, PRIT5 (Pharmacia). Eukaryotic: pWLneo, pSV2cat, pOG44, pXT1, pSG (Stratagene) pSVK3, pBPV, pMSG, PSVL (Pharmacia). However, any other plasmid or vector may be used as long as they are viable in the host. Promoter regions can be selected from any desired gene using CAT (chloramphenicol acetyl transferase) vectors or other vectors with selectable markers. Two appropriate vectors are pKK232-8 and pCM7. Particular named bacterial promoters include laci, lacZ, T3, T7, gpt, lambda PR, PL and trp. Eukaryotic promoters include CMV immediate early, HSV thymidine kinase, early and late SV40, LTRs from retrovirus, and mouse metallothionein-I. Selection of the appropriate vector and promoter is well within the level of ordinary skill in the art. 
     The present invention also relates to host cells containing the above-described construct. The host cell can be a higher eukaryotic cell, such as a mammalian cell, or a lower eukaryotic cell, such as a yeast cell, or the host cell can be a prokaryotic cell, such as a bacterial cell. Introduction of the construct into the host cell can be effected by calcium phosphate transfection, DEAE-Dextran mediated transfection, or electroporation (70). The constructs in host cells can be used in a conventional manner to produce the gene product encoded by the recombinant sequence. Alternatively, the polypeptides of the invention can be synthetically produced by conventional peptide synthesizers. 
     Mature proteins can be expressed in mammalian cells, yeast, bacteria, or other cells under the control of appropriate promoters. Cell-free translation systems can also be employed to produce such proteins using RNAs derived from the DNA constructs of the present invention. Appropriate cloning and expression vectors for use with prokaryotic and eukaryotic hosts are described by Sambrook (71), the disclosure of which is hereby incorporated by reference. 
     Transcription of a DNA encoding the polypeptides of the present invention by higher eukaryotes is increased by inserting an enhancer sequence into the vector. Enhancers are cis-acting elements of DNA, usually from about 10 to 300 bp, that act on a promoter to increase its transcription. Examples include the SV40 enhancer on the late side of the replication origin (bp 100 to 270), a cytomegalovirus early promoter enhancer, a polyoma enhancer on the late side of the replication origin, and adenovirus enhancers. Generally, recombinant expression vectors will include origins of replication and selectable markers permitting transformation of the host cell, e.g., the ampicillin resistance gene of  E. coli  and  S. cerevisiae  TRP1 gene, and a promoter derived from a highly-expressed gene to direct transcription of a downstream structural sequence. Such promoters can be derived from operons encoding glycolytic enzymes such as 3-phosphoglycerate kinase (PGK), alpha factor, acid phosphatase, or heat shock proteins, among others. The heterologous structural sequence is assembled in appropriate phase with translation, initiation and termination sequences, and preferably, a leader sequence capable of directing secretion of translated protein into the periplasmic space or extracellular medium. Optionally, the heterologous sequence can encode a fusion protein including an N-terminal identification peptide imparting desired characteristics, e.g., stabilization or simplified purification of expressed recombinant product. 
     Useful expression vectors for bacterial use are constructed by inserting a structural DNA sequence encoding a desired protein together with suitable translation, initiation, and termination signals in operable reading phase with a functional promoter. The vector will comprise one or more phenotypic selectable markers and an origin of replication to ensure maintenance of the vector and, if desirable, to provide amplification within the host. Suitable prokaryotic hosts for transformation include  E.coli, Bacillus subtilis, Salmonella typhimurium  and various species within the genera Pseudomonas, Streptomyces, and Staphylococcus, although others may also be employed as a matter of choice. Useful expression vectors for bacterial use can comprise a selectable marker and bacterial origin of replication derived from commercially available plasmids comprising genetic elements of the well known cloning vector pBR322 (ATCC 37017). Such commercial vectors include, for example, pKK223-3 (Pharmacia Fine Chemicals, Uppsala, Sweden) and GEM1 (Promega Biotec, Madison, Wis.) These pBR322 “backbone” sections are combined with an appropriate promoter and the structural sequence to be expressed. 
     After transformation of a suitable host strain and growth of the host strain to an appropriate cell density, the selected promoter may be de-repressed, if necessary, by appropriate means (e.g., temperature shift or chemical induction) and the cells may be cultured for an additional period. Cells are typically harvested by centrifugation, disrupted by physical or chemical means, and the resulting crude extract retained for further purification. Microbial cells employed in expression of proteins can be disrupted by any convenient method, including freeze-thaw cycling, sonication, mechanical disruption, or use of cell lysing agents. 
     Various mammalian cell culture systems can also be employed to express recombinant protein. Examples of mammalian expression systems include the COS-7 lines of monkey kidney fibroblasts (82) and other cell lines capable of expressing a compatible vector, for example, the C127, 3T3, CHO, HeLa and BHK cell lines. Mammalian expression vectors will generally comprise an origin of replication, a suitable promoter and enhancer, and also any necessary ribosome binding sites, polyadenylation site, splice donor and acceptor sites, transcription termination sequences, and 5′ flanking nontranscribed sequences. DNA sequences derived from the SV40 viral genome, for example, SV40 origin, early promoter, enhancer, splice, and polyadenylation sites may be used to provide the required non-transcribed genetic elements. 
     The polypeptide of the present invention may be recovered and purified from recombinant cell cultures by methods used heretofore, including ammonium sulfate or ethanol precipitation, acid extraction, anion or cation exchange chromatography, phosphocellulose chromatography, hydrophobic interaction chromatography, affinity chromatography, hydroxyapatite chromatography, and lectin chromatography. Protein refolding steps can be used, as necessary, in completing configuration of the mature protein. Finally, high performance liquid chromatography (HPLC) can be employed for final purification steps. 
     The polypeptide of the present invention may be a naturally purified product, or a product of chemical synthetic-procedures, or produced by recombinant techniques from a prokaryotic or eukaryotic host (for example, by bacterial, yeast, higher plant, insect and mammalian cells in culture). Depending upon the host employed in a recombinant production procedure, the polypeptides of the present invention may be glycosylated with mammalian or other eukaryotic carbohydrates or may be non-glycosylated. Polypeptides of the invention may also include an initial methionine amino acid residue. 
    
    
     EXAMPLE 1 
     As shown below, the BTL.010 protein contains the same pattern of six conserved cysteine residues shared by the Kunitz domains of the other members of the Kunitz domain family of proteinase inhibitors. 
     
       
         
               
               
               
               
               
             
               
               
               
               
               
               
               
               
               
               
               
             
           
               
                   
                   
               
               
                   
                 SEQ 
                   
                   
                   
               
               
                   
                 ID # 
                 protein 
                 sequence of Kunitz domain 
                 sequence of Kunitz domain (cont&#39;d) 
               
               
                   
                   
               
             
             
               
                   
               
             
          
           
               
                   
                 2 
                 Aprotinin 
                 RPDFCLEPPY 
                 TGPCKARIIR 
                 YFYNAKAGLC 
                 33 
                 QTFVYGGCRA 
                 KRNNFKSAED 
                 CMRTCGGA 
                   
               
               
                   
                 3 
                 APP 
                 VREVCSEQAE 
                 TGPCRAMISR 
                 WYFDVTEGKC 
                 30 
                 APFFYGGCGG 
                 NRNNFDTEEY 
                 CMAVC 
                 55 
               
               
                   
                 4 
                 coll a-3 
                 ETDICKLPKD 
                 EGTCRDFILK 
                 WYYDPNTKSC 
                 30 
                 ARFWYGGCGG 
                 NENKFGSQKE 
                 CEKVCAPV 
                 58 
               
               
                   
                 5 
                 TFPI-KD1 
                 MHSFCAFKAD 
                 DGPCKAIMKR 
                 FFFNIFTRQC 
                 30 
                 EEFIYGGCEG 
                 NQNRFESLEE 
                 CKKMCTRD 
                 58 
               
               
                   
                 6 
                 TFPI-KD2 
                 KPDRCFLEED 
                 PGICRGYITR 
                 YFYNNQTKQC 
                 30 
                 ERFKYGGCLG 
                 NMNNFETLEE 
                 CKNIC 
                 55 
               
               
                   
                 7 
                 TFPI-KD3 
                 GPSWCLTPAD 
                 RGLCRANENR 
                 FYYNSVIGKC 
                 30 
                 RPFKYSGCGG 
                 NENNFTSKQE 
                 CLRACKKG 
                 58 
               
               
                   
                 1 
                 BTL.010 
                 YPVRCLLPSA 
                 HGSCADWAAR 
                 WYFVASVGQC 
                 30 
                 NRFWYGGCHG 
                 NANNFASEQE 
                 CMSSCQGS 
                 58 
               
               
                   
                   
                 consensus 
                    C 
                   C 
                     C 
                   
                     C 
                   
                 C  C 
               
               
                   
                   
               
               
                   
                 (APP = Alzheimer&#39;s beta-amyloid Precursor Protein; coll = collagen; TFPI-KD = Tissue Factor Pathway Inhibitor-Kunitz Domain)  
               
             
          
         
       
     
     The P1 residue in BTL.010 is an alanine, a small residue with a neutral side chain. Therefore, BTL.010 is predicted to have a unique specificity profile towards elastase-like proteinases that selectively cleave at small residues with aliphatic side chains. Thus, BTL.010 is expected to exhibit potency against the human neutrophil proteinases leukocyte elastase, and proteinase 3. 
     The present invention, BTL.010, is also expected to exhibit significantly greater inhibitory activity towards a neutral serine proteinase secreted by neutrophils than towards trypsin-like proteases. As trypsin-like serine proteinases are known to play important roles in many physiological processes such as blood coagulation and fibrinolysis, the narrow specificity of BTL.010 towards neutral serine proteinases should result in fewer undesirable proteolytic effects during treatment with this protein. 
     EXAMPLE 2 
     Increased activity of BTL.010 towards other proteinases for which it shows poor potency may be obtained through production of BTL.010 variants via mutagenesis of the protein structure at the P1 residue (Ala15) and other residues corresponding to contact sites with target proteinases (residues 11-14, 16-19 and 34-39). The binding specificities of numerous serine proteinase inhibitors of the Kunitz and other families have been altered through replacement of key binding residues via semisynthetic means and mutagenesis. 
     Aprotinin variants containing a mutation at the P1 site produced by mutagenesis and displayed on bacteriophage M13 [Lys15&gt;Leu] or produced through semisynthesis [Lys15&gt;Val] exhibited greatly enhanced inhibitory activity towards leukocyte elastase (Ki=2.9 nM and Ki=0.11 nM, respectively) (72-73). Both aprotinin variants were inactive towards trypsin. The P′2 position of aprotinin was also demonstrated to be important in determining binding specificity. Aprotinin variants produced in  Escherichia coli  with positions P1 and P′2 substituted with the hydrophobic amino acids phenylalanine, tyrosine, and leucine acted specifically against chymotrypsin-like proteinases (74). Some of the variants, particularly those with phenylalanine or leucine substitutions, also exhibited inhibitory activity against cathepsin G (Ki˜10 nM). Aprotinin variants containing single mutations have not exhibited inhibitory activity towards cathepsin G. 
     Substitution of the putative P1 residue, arginine, with valine in Alzheimer&#39;s beta-amyloid precursor protein Kunitz domain (APP KD) by site-directed mutagenesis eliminated the ability of the protein to inhibit its usual substrates, trypsin, factor Xia, and chymotrypsin (84). Instead, the APP KD variant was a potent inhibitor of leukocyte elastase (Ki=0.8 nM), for which the wild-type inhibitor exhibits no activity. 
     Phage display systems have also been used to alter the specificity of APP KD. Alterations at or near the binding loop (positions 11-13, 15-19 and 34) and construction of consensus mutants by site directed mutagenesis resulted in a very potent plasma kallikrein APP KD variant inhibitor (Ki˜0.015 nM) that differed from APP KD at 6 key residues (T11D, P13H, M17A, I18H, S19P and F34Y) (75). This APP KD variant had an increase in binding affinity to plasma kallikrein of more than 10,000-fold compared to wild-type APP KD. Phage display involving alterations in the primary and secondary binding loops was also employed to convert APP KD into potent inhibitors of tissue factor-Factor Viia complex (TF•FVIIa) (75). The most striking difference in the selected Kunitz domain sequences was determined to be at the P4′ position where Lys was highly preferred. APP KD variants that exhibited high potency towards TF•FVIIa were obtained (Ki=2 to 20 nM); the Ki values for these variants were generally &gt;1 μM for FXIa and plasma kallikrein and ranged from 4 to 200 nM for plasmin. 
     The Kunitz domain 1 of human lipoprotein-associated coagulation inhibitor was displayed on the III protein of phage M13, and libraries of the Kunitz domain were made (76). Residues corresponding to the P1 region (positions 10-21) and the “second loop” (positions 31-39) were iteratively varied, and the resulting phage libraries were selected for. binding to the serine proteinases plasmin and plasma kallikrein (63). Highly potent specific inhibitors of both proteinases (Ki=0.04-0.08 nM) were identified with this iterative strategy. 
     Alpha 1-proteinase inhibitor, a serpin family serine proteinase inhibitor, is a potent inhibitor of leukocyte elastase and cathepsin G (22, 77). Substitution of the P1 residue, Met358 with an alanine, isoleucine or valine by site-directed mutagenesis resulted in efficient inhibitors of leukocyte and pancreatic elastase but not of cathepsin G. The alpha 1-proteinase inhibitor [Phe358] variant was a potent specific inhibitor of cathepsin G whereas the alpha 1-proteinase inhibitor [Arg358] variant was a potent inhibitor of trypsin-like molecules such as thrombin but not of leukocyte elastase (78). The P3 site of alpha 1-proteinase inhibitor (position 356) was also determined to be important in conferring specificity as alpha 1-proteinase inhibitor [Ala356, Val358] inhibited pancreatic elastase but not leukocyte elastase (22). Oxidation of Met358 in alpha 1-proteinase inhibitor results in a loss of inhibitor activity. The alpha 1-proteinase variants containing alanine, valine, isoleucine and leucine in the P1 site were all resistant to oxidation, and the most active variant, alpha 1-proteinase inhibitor [Leu358], was proposed as a potential therapeutic for the therapy of destructive lung disorders. Similarly, alpha 1-proteinase inhibitor [Arg358] was proposed to be effective in the control of thrombosis. 
     Human secretory trypsin inhibitor (hPSTI), a member of the Kazal serine proteinase family, is a potent inhibitor of trypsin and is completely inactive towards chymotrypsin- and elastase-like porteinases. Substitution of the P1 residue lysine with leucine in hPSTI by site-directed mutagenesis resulted in a variant that was inactive towards trypsin but highly potent towards leukocyte elastase (Ki=0.025 nM) and somewhat less active towards chymotrypsin (Ki=8 nM) (79). Introduction of a second mutation in the single mutant hPSTI variant, a substitution of isoleucine with glutamate at the P′1 site, resulted in a nearly equipotent inhibitor of chymotrypsin (Ki=0.024 nM) and leukocyte elastase (Ki=0.037 nM). Replacement of leucine with a tyrosine at the P1 site in the double mutant hPSTI variant resulted in a potent inhibitor of chymotrypsin (Ki=0.016 nM) but a significantly weaker inhibitor of leukocyte elastase (Ki&gt;10 μM). 
     Phage display systems and site-directed mutagenesis can be used to identify BTL.010 variants with increased potency towards leukocyte elastase or proteinase 3 or altered and improved specificities towards other targeted proteinases such as cathepsin G. BTL.010 can be displayed on the III or VI protein of phage M13, and libraries of the BTL.010 kunitz domain can be made (76, 80). Highly potent inhibitors towards targeted proteinases can be identified through the iterative construction of BTL.010 variants with mutations at the P1 residue and surrounding residues that contact the inhibited proteinases (residues His11-Ser13, Ala15-Ala19, Trp34-Gly37 and His39) and selection through binding to the targeted proteinases (80). Further selection of high binding BTL.010 variants can be made through the construction of “consensus muteins” via site-specific mutagenesis. 
     As cathepsin G has a specificity preference of large side chains (e.g., Phe, Leu), increased potency of BTL.010 towards cathepsin G may be obtained through substitution of the P1 residue, Ala15, in BTL.010 with a large aromatic or aliphatic amino acid such as Phe or Leu. Substitution of the P1 residue with a large aromatic or aliphatic amino acid would also be expected to significantly increase the potency of BTL.010 towards chymotrypsin-like proteinases. Increased potency of BTL.010 towards leukocyte elastase and proteinase 3 may also result from substitution of the P1 Ala residue to alternate favored amino acids such as Val (leukocyte elastase) and Val and Ser (proteinase 3). Substitution of the P1 residue with an arginine or lysine would also be expected to significantly increase the potency of BTL.010 towards cathepsin G and trypsin-like proteinases. 
     Increased potency of BTL.010 towards proteinases may also be effected through changes at sites other than the P1 residue (Ala 15). For example, substitution of the P′2 residue, Trp17, with a Phe or Leu may result in a more potent cathepsin G inhibitor (74). Increased potency of BTL.010 variants towards elastase, cathepsin G, proteinase 3 and other serine proteinases may be further constructed through the iterative mutagenesis of BTL.010 within positions 11-13, 14-19, 34-37 and 39 as described above. The BTL.010 variants with altered potencies towards proteinases would preferably have at least 76% identity over 55 residues to BTL.010, more preferably at least 89% identity over 55 residues to BTL.010. 
     CONCLUSION 
     The above examples are intended to illustrate the invention and it is thought variations will occur to those skilled in the art. Accordingly, it is intended that the scope of the invention should be limited only by the claims below. 
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             17 
           
           
             1 
             58 
             PRT 
             Artificial Sequence 
             
               Description of Artificial Sequencefragment
      from computer database 
             
           
            1
Tyr Pro Val Arg Cys Leu Leu Pro Ser Ala His Gly Ser Cys Ala Asp
  1               5                  10                  15
Trp Ala Ala Arg Trp Tyr Phe Val Ala Ser Val Gly Gln Cys Asn Arg
             20                  25                  30
Phe Trp Tyr Gly Gly Cys His Gly Asn Ala Asn Asn Phe Ala Ser Glu
         35                  40                  45
Gln Glu Cys Met Ser Ser Cys Gln Gly Ser
     50                  55
 
           
             2 
             58 
             PRT 
             Artificial Sequence 
             
               Description of Artificial Sequencefragment
      from computer database 
             
           
            2
Arg Pro Asp Phe Cys Leu Glu Pro Pro Tyr Thr Gly Pro Cys Lys Ala
  1               5                  10                  15
Arg Ile Ile Arg Tyr Phe Tyr Asn Ala Lys Ala Gly Leu Cys Gln Thr
             20                  25                  30
Phe Val Tyr Gly Gly Cys Arg Ala Lys Arg Asn Asn Phe Lys Ser Ala
         35                  40                  45
Glu Asp Cys Met Arg Thr Cys Gly Gly Ala
     50                  55
 
           
             3 
             55 
             PRT 
             Artificial Sequence 
             
               Description of Artificial Sequencefragment
      from computer database 
             
           
            3
Val Arg Glu Val Cys Ser Glu Gln Ala Glu Thr Gly Pro Cys Arg Ala
  1               5                  10                  15
Met Ile Ser Arg Trp Tyr Phe Asp Val Thr Glu Gly Lys Cys Ala Pro
             20                  25                  30
Phe Phe Tyr Gly Gly Cys Gly Gly Asn Arg Asn Asn Phe Asp Thr Glu
         35                  40                  45
Glu Tyr Cys Met Ala Val Cys
     50                  55
 
           
             4 
             58 
             PRT 
             Artificial Sequence 
             
               Description of Artificial Sequencefragment
      from computer database 
             
           
            4
Glu Thr Asp Ile Cys Lys Leu Pro Lys Asp Glu Gly Thr Cys Arg Asp
  1               5                  10                  15
Phe Ile Leu Lys Trp Tyr Tyr Asp Pro Asn Thr Lys Ser Cys Ala Arg
             20                  25                  30
Phe Trp Tyr Gly Gly Cys Gly Gly Asn Glu Asn Lys Phe Gly Ser Gln
         35                  40                  45
Lys Glu Cys Glu Lys Val Cys Ala Pro Val
     50                  55
 
           
             5 
             58 
             PRT 
             Artificial Sequence 
             
               Description of Artificial Sequencefragment
      from computer database 
             
           
            5
Met His Ser Phe Cys Ala Phe Lys Ala Asp Asp Gly Pro Cys Lys Ala
  1               5                  10                  15
Ile Met Lys Arg Phe Phe Phe Asn Ile Phe Thr Arg Gln Cys Glu Glu
             20                  25                  30
Phe Ile Tyr Gly Gly Cys Glu Gly Asn Gln Asn Arg Phe Glu Ser Leu
         35                  40                  45
Glu Glu Cys Lys Lys Met Cys Thr Arg Asp
     50                  55
 
           
             6 
             55 
             PRT 
             Artificial Sequence 
             
               Description of Artificial Sequencefragment
      from computer database 
             
           
            6
Lys Pro Asp Arg Cys Phe Leu Glu Glu Asp Pro Gly Ile Cys Arg Gly
  1               5                  10                  15
Tyr Ile Thr Arg Tyr Phe Tyr Asn Asn Gln Thr Lys Gln Cys Glu Arg
             20                  25                  30
Phe Lys Tyr Gly Gly Cys Leu Gly Asn Met Asn Asn Phe Glu Thr Leu
         35                  40                  45
Glu Glu Cys Lys Asn Ile Cys
     50                  55
 
           
             7 
             58 
             PRT 
             Artificial Sequence 
             
               Description of Artificial Sequencefragment
      from computer database 
             
           
            7
Gly Pro Ser Trp Cys Leu Thr Pro Ala Asp Arg Gly Leu Cys Arg Ala
  1               5                  10                  15
Asn Glu Asn Arg Phe Tyr Tyr Asn Ser Val Ile Gly Lys Cys Arg Pro
             20                  25                  30
Phe Lys Tyr Ser Gly Cys Gly Gly Asn Glu Asn Asn Phe Thr Ser Lys
         35                  40                  45
Gln Glu Cys Leu Arg Ala Cys Lys Lys Gly
     50                  55
 
           
             8 
             58 
             PRT 
             Artificial Sequence 
             
               Description of Artificial Sequencefragment
      from computer database 
             
           
            8
Lys Gln Asp Val Cys Glu Met Pro Lys Glu Thr Gly Pro Cys Leu Ala
  1               5                  10                  15
Tyr Phe Leu His Trp Trp Tyr Asp Lys Lys Asp Asn Thr Cys Ser Met
             20                  25                  30
Phe Val Tyr Gly Gly Cys Gln Gly Asn Asn Asn Asn Phe Gln Ser Lys
         35                  40                  45
Ala Asn Cys Leu Asn Thr Cys Lys Asn Lys
     50                  55
 
           
             9 
             51 
             PRT 
             Artificial Sequence 
             
               Description of Artificial Sequencefragment
      from computer database 
             
           
            9
Cys Leu Leu Pro Ser Ala His Gly Ser Cys Ala Asp Trp Ala Ala Arg
  1               5                  10                  15
Trp Tyr Phe Val Ala Ser Val Gly Gln Cys Asn Arg Phe Trp Tyr Gly
             20                  25                  30
Gly Cys Gly Asn Ala Asn Asn Phe Ala Ser Glu Gln Glu Cys Met Ser
         35                  40                  45
Ser Cys Gln
     50
 
           
             10 
             51 
             PRT 
             Artificial Sequence 
             
               Description of Artificial Sequencefragment
      from computer database 
             
           
            10
Cys Lys Leu Pro Lys Asp Glu Gly Thr Cys Arg Asp Phe Ile Leu Lys
  1               5                  10                  15
Trp Tyr Tyr Asp Pro Asn Thr Lys Ser Cys Ala Arg Phe Trp Tyr Gly
             20                  25                  30
Gly Cys Gly Gly Asn Glu Asn Lys Phe Gly Ser Gln Lys Glu Cys Glu
         35                  40                  45
Lys Val Cys
     50
 
           
             11 
             52 
             PRT 
             Artificial Sequence 
             
               Description of Artificial Sequencefragment
      from computer database 
             
           
            11
Cys Leu Leu Pro Gly Gly Asp Gly Pro Cys Arg Ala Val Met Pro Arg
  1               5                  10                  15
Trp Tyr Phe Asp Leu Ser Lys Gly Lys Cys Val Arg Phe Ile Tyr Gly
             20                  25                  30
Gly Cys Gly Gly Asn Arg Asn Asn Phe Glu Ser Glu Asp Tyr Cys Met
         35                  40                  45
Ala Val Cys Lys
     50
 
           
             12 
             399 
             DNA 
             Artificial Sequence 
             
               Description of Artificial Sequencefragment
      from computer database 
             
           
            12
ctgagtcgga ggctgagagg atggagggtg cagctttagt actgggcacc tcagtgactt     60
atatcacacc catgccctgc agcctacccc gtgcggtgcc tgctgcccag tgcccatggc    120
tcttgcgcag actgggctgc ccgctggtac ttcgttgcct ctgtgggcca atgtaaccgc    180
ttctggtatg gcggctgcat ggcaatgcca ataactttgc ctcggagcaa gagtgcatga    240
gcagctgcca gggatctctc catgggcccc gtcgtcccca gcctggggct tctggaagga    300
gcacccacac ggatggtggc ggcagcagtc ctgcaggcga gcaggaaccc agccagcaca    360
ggacaggggc cgcggtgcag agaaagccct ggccttctg                           399
 
           
             13 
             23 
             DNA 
             Artificial Sequence 
             
               Description of Artificial Sequencefragment
      from computer database 
             
           
            13
tggcggctgc atggcaatgc caa                                             23
 
           
             14 
             24 
             DNA 
             Artificial Sequence 
             
               Description of Artificial Sequencefragment
      from computer database 
             
           
            14
tggcggctgc catggcaatg ccaa                                            24
 
           
             15 
             189 
             PRT 
             Artificial Sequence 
             
               Description of Artificial Sequencefragment
      from computer database 
             
           
            15
Leu Ile Ser His Pro Cys Pro Ala Ala Tyr Pro Val Arg Cys Leu Leu
  1               5                  10                  15
Pro Ser Ala His Gly Ser Cys Ala Asp Trp Ala Ala Arg Trp Tyr Phe
             20                  25                  30
Val Ala Ser Val Gly Gln Cys Asn Arg Phe Trp Tyr Gly Gly Cys His
         35                  40                  45
Gly Asn Ala Asn Asn Phe Ala Ser Glu Gln Glu Cys Met Ser Ser Cys
     50                  55                  60
Gln Gly Ser Leu His Gly Pro Arg Arg Pro Gln Pro Gly Ala Ser Gly
 65                  70                  75                  80
Arg Ser Thr His Thr Asp Gly Gly Gly Ser Ser Pro Ala Gly Glu Gln
                 85                  90                  95
Glu Pro Ser Gln His Arg Thr Gly Ala Ala Val Gln Arg Lys Pro Trp
            100                 105                 110
Pro Ser Gly Gly Leu Trp Arg Gln Asp Gln Gln Pro Gly Pro Gly Glu
        115                 120                 125
Ala Pro Thr Pro Arg Pro Leu Glu Asn Gly His Gly Gly Arg Ser Leu
    130                 135                 140
Gly Pro Gly Pro Leu Asp Trp Val Glu Met Pro Asp His Gln Arg His
145                 150                 155                 160
Pro Ser Thr Ala Pro Pro Thr Gly Glu Ala His Leu Pro Gln Val Arg
                165                 170                 175
Gly Leu Gly Arg Pro Asp Lys Glu His Ala Ser Trp Ser
            180                 185
 
           
             16 
             51 
             PRT 
             Artificial Sequence 
             
               Description of Artificial Sequencefragment
      from computer database 
             
           
            16
Arg Thr Pro Ser Asp Lys Pro Val Ala His Val Ala Asn Pro Gln Leu
  1               5                  10                  15
Gln Trp Leu Asn Arg Arg Ala Asn Ala Leu Leu Ala Asn Gly Val Glu
             20                  25                  30
Arg Asp Asn Gln Leu Val Val Glu Gly Leu Tyr Leu Ile Tyr Ser Gln
         35                  40                  45
Val Leu Phe
     50
 
           
             17 
             52 
             PRT 
             Artificial Sequence 
             
               Description of Artificial Sequencefragment
      from computer database 
             
           
            17
Arg Ala Pro Phe Lys Lys Ser Trp Ala Tyr Leu Gln Val Ala Lys His
  1               5                  10                  15
Lys Leu Ser Trp Asn Lys Asp Gly Ile Leu His Gly Val Arg Tyr Gln
             20                  25                  30
Asp Gly Asn Leu Val Ile Gln Phe Pro Gly Leu Tyr Phe Ile Ile Cys
         35                  40                  45
Gln Leu Gln Phe
     50