LIPOSOME CONJUGATES AND DIAGNOSTIC METHODS THEREWITH

Abstract: A number of naturally occurring antibodies to human erythrocyte surface antigens are capable of combining with their specific antigens (for example, Rhesus factor), but are not capable of producing visible hemagglutination. Also, the sensitivity of many diagnostic methods, such as in human blood typing, depends upon cell agglutination. The present invention provides liposome-protein conjugates, especially useful for hemagglutination assays, having an enhanced agglutination capacity with respect to antibody from which the conjugates are derived.

Description: Description Liposo e Conjugates and Diagnostic Methods Therewith Field of the Invention The present invention relates generally to liposome conjugates, and more particularly to liposome- proteiή conjugates which have an enhanced agglutination ability, can rapidly and sensitively agglutinate cells such as erythrocytes, lymphocytes, and leukocytes, and which are useful in applications such as blood typing. This is a continuation-in-part of U.S. Patent Application Serial No. 129,654, filed March 12, 1980. Background of the Invention Liposomes are now well recognized as useful for delivery of therapeutic agents, such as cytotoxic drugs or other macromolecules capable of modifying cell behavior, to in vivo sites. For example, U.S. Patent 3,993,754, inventors Rahman, et al, issued November 23, 1976, discloses an improved method for chemotherapy of malignant tumors in which an antitumor drug is encap¬ sulated within liposomes and the liposomes containing the encapsulated drug are injected into an animal or man. It has been suggested that target, or in vivo site, specificity might be conferred on liposomes by their association with specific antibodies or lectins. Methods of associating antibodies with liposomes have been described, and may be generally divided into two groups— onspecific association and covalent attachment. Nonspecific association appears to rely upon the affinity of the Fc portion of the antibody for the hydrophobic region of the lipid bilayer. However, non- specific association appears incapable of associating more than about 15-30 microgram per micro ole of lipid. Also, nonspecific association has little practical value because the liposomes are rendered more permeable than their encapsulated contents and protein aggregation is produced during formation of the nonspecifically associated liposome-protein. Prior to preparation of the covalently attached protein of coupled-protein species described in U.S. patent Application Serial No. 129,654, attempts to covalently attach protein to liposomes had been unsatis¬ factory. For example, some of the prior attempts had involved modifications of the proteins which tended to denature the protein, and thus a substantial loss of biological activity had ensued. Other attempts to cova¬ lently attach protein to liposomes had produced very small amounts of specific attachment. By contrast, activated liposomes in accordance with U.S. Patent Application Serial No. 129,654 are readily and efficiently covalently bound to a variety of 1 biologically active proteins with at least about 40 micrograms of protein per micromole of lipid. For example, use of the activated liposomes has achieved coupling of up to about 200 micrograms of F(ab') per micromole of lipid; further, such coupled liposome- protein species were shown to have an improved hemagglu- tinating titre by comparison to the original, soluble antibody from which they were derived. Very recently, another efficient method for coupling protein to liposomes has reported coupling of up to 600 micrograms of Fab 1 per micromole of phospholipid via a disulfide interchange reaction. Martin, et al., Biochemistry, 20, pages 4429-4238 (July, 1981). Meanwhile, agglutination methods are known and useful for applications such as blood typing. However, many such methods have had to be performed indirectly, or have been of relatively low sensitivity. For example, the Coombs test is an indirect agglutination method in the sense that a secondary, or intermediate, antibody must be used. Further, detection of antibodies which do not produce positive agglutination (e.g., visible aggluti¬ nation) when combined with their specific antigens has presented difficulties in applications such as blood crossmatching. Such serologically "incomplete" anti¬ bodies are believed to be fully functional bivalent IgG molecules, but they are unable to bridge two cells and hence do not produce positive agglutination. Summary of the Invention Accordingly, it is an object of the present invention to provide a hemagglutination reagent having an improved capacity to agglutinate erythrocytes. It is a further object of the present invention to provide an agglutination method, useful for assaying erythrocyte antigens, which is rapid and sensitive. It is yet a further object that human erythro¬ cyte surface antigens, which are not normally capable of producing visible hemagglutination, may be agglutinated and the clumps subject to detection. In one aspect of the present invention, an agglutination method useful for assaying cell surface antigens comprises providing a quantity of liposome- protein conjugates where the protein thereof supplies an antigen binding capacity for at least a majority of the liposome-protein conjugates, contacting the liposome- protein conjugates with substantially unagglutinated cells to form a mixture, and examining the mixture for cell agglutination. The liposome-protein conjugates have at least about 40 micrograms of protein per micromole of lipid. in another aspect of the present invention, a reagent, useful for hemagglutination, comprises liposome-protein conjugates having an antibod covalently bound to the liposomes and an antigen binding capacity for erythrocytes bearing a surface antigen for which the antibody is specific. The reagent has a hemagglutinating activity which is improved with respect to the hemagglutination activity of the original antibody from which the liposome-protein conjugates are derived. The liposome-protein conjugates and method of the present invention provide considerably improved sensitivity for agglutination assays. • For example, agglutination of erythrocytes by use of the liposome- protein conjugates can occur in seconds with large, clearly visible agglutinated clumps of cells. By contrast, agglutination assays using the original, soluble antibody typically require minutes to produce agglutination visible to the naked eye, and the clumps of cells are much smaller. Thus, the ability of liposome- protein conjugates in accordance with the present invention to produce larger, more visible clots suggests the possibility of simple, visual spot tests which need not require special optical equipment for observation, and for use in a variety of diagnostic applications. Detailed Description of the Preferred Embodiments Broadly, one aspect of the present invention is a diagnostic method wherein liposome-ligand conjugates are contacted with ligand-binding molecules to form a mixture, and the mixture is examined for combinations, or interactions, between the liposome-ligand conjugates and the ligand-binding molecules. The ligand-binding molecules are carried by at least one surface, more preferably carried by a plurality of surfaces defined by discrete particles, and most preferably carried by cell surfaces. The ligand of the liposome-ligand species is in an amount of at least about 40 micrograms per micromole of lipid, and preferably is a protein having an antigen binding capacity. For example, when the protein is an antibody and the ligand-binding molecules are antigens carried by cell surfaces, then the mixture examination following the contacting step typically includes deter¬ mining cell agglutination mediated by combinations between the coupled antibody and im unological partners, or specific antigens, carried on the cells. Where the ligand is protein, the conjugates will hereinafter sometimes be referred to as liposome-protein conjugates. The at least one surface carrying the ligand- binding molecules may be a natural multivalent antigen or may also be formed by inanimate, synthetic materials. For example, among suitable non-cellular materials are polyacrylamide beads about 5-10 microns in diameter having immobilized, or covalently bound, immunoglobulin on ' the bead surfaces, which are commercially available from Bio-Rad Laboratories under the trademark "Immuno- bead", and polystyrene spheres about 1 micron in diameter, which may be coupled along their surfaces with immunoglobulin such igG, commercially available from Covalent Technology .Corporation under the trademark "Covaspheres". As used herein, ligand and ligand-binding molecules mean moieties which can interact specifically u -r .- but non-covalently with each other. One type of such moiety pairings is an antigen-antibody interaction, another is a hormone-receptor interaction, and yet another is a carbohydrate-lectin interaction. Liposome-protein conjugates useful in accor¬ dance with the present invention may be prepared in various ways. For example, one suitable preparation is via activated liposome precursors where the precursor liposomes, before being covalently bound, are activated by means of an oxidizing reagent. A modification of this preparation is wherein the lipid, such as gangliosides, is first oxidized and then formed into the precursor liposomes. Another suitable preparation is via disulfide bonds, as described by Martin et al, supra. i any event, it is necessary that the protein be then covalently bound to the liposomes precursors in an amount of at least about 40 micrograms per micromole of lipid. A suitable preparation and properties of liposome-protein conjugates will now be more fully described. Preparation of Liposome-Protein Conjugates Via Activated Liposome Precursors Activated liposomes may be prepared from starting vesicles which are generally characterized either as unila ellar vesicles or multilamellar vesicles. Either liposomal structure is suitable. A particularly preferred preparation is by the reverse-phase evaporation vesicle (REV) method, which is disclosed by U.S. Patent 4,235,871, and as is described in Proc. Natl. Acad. Sci. U.S.A., Volume 75, No. 9, pp. 4194-4198 (1978), entitled "Procedure For Preparation of Liposomes With Large Internal Aqueous Space and High Capture by Reverse-Phase Evaporation," Szoka, Jr. and Papahadjopoulos, which disclosures are incorporated herein by reference. As is known to the art, a wide variety of materials may be encapsulated, if desired, by the precursor liposomes. For example, the precursor liposomes can encapsulate cytotoxic drugs, can encap¬ sulate nucleic acids, and can encapsulate various proteins. In any event, the precursor liposomes suitable for the present invention may be formed from either phosphatidylglycerol (hereinafter also referred to as "PG"), which has an oxidisable group at the polar head region, as the sole lipid, or may be formed from a mixture of two or more different lipids. hen formed from two or more different lipids, at least one of the lipids contains oxidisable groups, such as vicinal a ino or vicinal hydroxyl groups, along the polar head region of the lipid molecule. For example, in the instance of vicinal amino groups, a glycolipid having galactosamine or glucosamine residue is a suitable oxidizable lipid. More usually, at least one of the lipids will have vicinal hydroxyl groups at the polar head region. Particularly preferred as one of the lipids (that is, the oxidisable lipid) in a lipid mixture are the glycolipids such as lactosyl ceramide, galacto- cerebroside, gangliosides, and trihexosyl ceramide, and the phospholipids, such as phosphatidylclycerol and phosphatidylinositol. The amount of such lipids having oxidisable groups (generally herein referred to as "oxidisable lipids") may vary with respect to the total lipids forming the precursor liposomes; however, it is preferred that the mole percent of oxidisable lipids be in an amount of ϋ at least about 10 mole percent with respect to a total of the mixture of lipids. Particularly preferred amounts of oxidisable lipids with respect to the total lipids are illustrated by Table I, below. TABLS I Mole of Oxidisable Lipid Oxidisable Lipid To Total Lipid Mixture Lactosylceramide About 10 Tr ihexosylcer amide About 10 Galactocerebroside About 20 P " hosphatidylglycerol About 33-40 Phosphatidylinositol About 20 Gangliosides About 10 The structures of the preferred oxidisable lipids are well known; however, for clarity Figure 1, below, illustrates PG as representative of the general structures of the oxidisable lipids having the polar head regions and the region of non-polar tails. * Figure I; PG Polar Head Non-polar Tails . Figure 1 is generally representative of all of the lipids which may be mixed to form the precursor liposomes in defining the polar head region and the non- polar tails. The Figure 1 structure is more particularly generally representative of the oxidisable lipids which have vicinal hydroxyl groups at the polar head region thereof. As is known, the above discussed mixtures of lipid molecules form precursor liposomes with the lipid molecules being arranged in either one bimolecular layer (unila ellar) or a plurality of bimolecular layer forms an outer surface for the liposome. In an aqueous solution, the polar head regions of the lipid molecules are exposed, or extend into, the aqueous system in a generally radially outward orientation with respect to the outer surface. The non-polar tails extend radially inwardly with respect to the outer surface and form a substantially continuous hydrocarbon phase of the bimo¬ lecular layer. This substantially continuous hydro¬ carbon phase is relatively impermeable, and acts to encapsulate the materials inside the precursor liposomes. Nevertheless, some mixtures of lipids forming the precursor, liposomes may tend to be permeable to small molecules, and cholesterol is a desirable addition to some of these lipid mixtures for reducing the permea- bility of the precursor liposomes. The cholesterol tends to orientate within the bimolecular layer. Other components may be utilized in place of cholesterol to reduce the liposome permeability. For example, a phos- phatidylcholine having the fatty acid saturated aliphatic chain, or non-polar tails, of a length of 18 (rather than the usual unsaturated 16 to 18 carbon chain obtainable from egg yolks) may be utilized. However, when sphingo- myelin is mixed with the oxidisable lipid, the precursor liposomes thereof are inherently quite impermeable to small molecules. A solution of precursor liposomes may thus be provided as has been described above. This solution is preferably a polar solution, such as an aqueous solution, but may also be a non-polar solution. The precursor liposomes are contacted with a sufficient amount of a relatively mild oxidizing reagent to produce activated liposomes. Where the lipids to be used for liposomes are in a non-polar solution, the oxidizing reagent may be lead tetraacetate. In the preferred polar solution, the ' oxidizing reagent of the contacting step is a periodate reagent, usually sodium periodate, which cleaves the vicinal amino or hydroxyl groups at the polar head regions of the oxidisable lipids. Where the solution is polar and the oxidizing agent is a periodate reagent, the pH and osmolarity of the liposome solution and an added amount of periodate reagent should be substantially the same. The pH is typically about 6.0 to about 8.5. The oxidizing reagent produces activated liposomes by oxidizing the oxidisable groups, such as the vicinal hydroxyl or amino groups of the oxidisable lipid, to yield aldehyde moieties at the polar head regions of the oxidisable lipids. A sufficient quantity of periodate reagent will usually be a molar ratio with respect to the total of lipid molecules of from about 1.5:1 to about 6:1. The oxidation reaction of the contacting step is typically left to proceed for about one-half hour at room temperature, although the reaction may be permitted to proceed for up to about one hour on ice. The periodate reagent is then preferably removed by gel filtration through a column of dextran polymeric beads having an exclusion limit of about 75,000 daltons. Reaction Schemes I, II and III diagramatically illustrate the activation of precursor liposomes, with the oxidisable lipids being phosphatidylglycerol, phos- phatidylinositol and lactosylceramide respectively. - 12 - Reaction Scheme I 0 t) R - C - 0 - CH, R - C - 0 - CH 0 1 tl CH. - 0 - P - CH_ - CH - CH_ -f- Sodium 2 I I ? periodate Oθ OH OH - Reaction Scheme II 0 remainder) 0 CH of ( - 0 - P - 0 - CH + 4HC00H molecule j Oθ CH II 0 Reaction Scheme III te remainder"] HCOOH + - * ZAΪ OMPI - 14 - Substantially all of the material which is interior the outer surfaces of the activated liposomes remains encap¬ sulated during the above-described oxidation with perio¬ date reagent. As illustrated by Reaction Schemes I-III, the aldehyde moieties which are formed by the oxidation, or modification, of the oxidisable lipids at the polar head.regions thereof define covalent binding sites for the protein to be bound, or coupled. A wide variety of proteins may be attached, or coupled, to the activated liposomes. The mechanism of coupling is believed to occur between the primary or secondary amino group along the protein and the aldehyde moiety of the activated liposomes so as to form a Schiff— base, for example, with the primary amino group of a lysyl moiety. Such a mechanism is diagramatically represented by Reaction Scheme IV, which for simplicity illustrates only the terminal galactose (after modification of lactosylceramide. Reaction Scheme IV nder ein The coupling is driven to completion by a mild reducing agent, preferably sodium cyanoborohydride, so that a stable, covalent bond is formed between the protein and the activated liposome. For example, addition of a sufficient amount of sodium cyanoborohydride drives the Schiff-base of Reaction Scheme IV, above, to completion, as is generally illustrated by Reaction Scheme V,- below. Reaction Scheme V - nder -0 ein Reaction Schemes IV and V, above, diagra atically illu- strate coupling of a protein with lactosylceramide, where the lactosylceramide has been modified by oxidation to include aldehyde moieties. Use of the other oxidisable lipids proceeds by an analogous manner. In the instance of modified lactosylceramide, the secondary amine moiety which is covalently binding the protein to the activated liposome may further proceed, in the presence of sodium cyanoborohydride, into an even more stable, tertiary a ine form. Although sodium cyanoborohydride is the pre¬ ferred reducing agent for coupling proteins to the activated liposomes, other reducing agents may be uti— lized, depending upon the particular circumstances. For example, borohydride may be utilized; however, the coupling reaction would usually then be conducted at a relatively alkaline pH, which may tend to denature the protein being coupled. Suitable proteins for adequate coupling will have at least one primary or secondary amino group, and preferably a plurality of primary or secondary groups. Proteins having at least about 20 lysyl moieties per molecule are more preferred. IgG, with about 60 lysyl moieties, has been found to be particularly well coupled; another preferred antibody for coupling with the acti¬ vated liposome is F[ab'] . Four aqueous solutions of liposome, each con¬ taining from about 10 to about 40 raicromoles of lipid per milliliter, were activated as previously described. The precursor liposomes had been prepared by the REV pro¬ cedure and had been extruded through a polycarbonate filter to yield liposomes having a diameter of about 0.2 micron. The solutions were buffered at a pH of from about 6.0 to about 8.5. A fifth liposome solution, wherein the oxidisable lipid was not oxidized, was prepared as a control. These four activated liposome solutions in accordance with the present invention and the fifth control solution were as illustrated by Table II. TABLE II Solution Lipid Composition Total Lipid No. Molar Ratio (micromole) Vol. (ml. ) 1 PC/Lactosylceramide, 10:1 9.21 2.8 2 PC/Trihexosylceramide, 10:1 16.44 4.5 3 PC/PG, 1:1 9.5 3.1 4 Galactocerebroside/ PC/Cholosterol, 2:4:5 15 0.6 5* PC/Lactosylceramide, 10:1 7.11 2.8 10 ♦ Control solution, liposomes not activated The five solutions as in Table II were treated as follows. Five to ten milligrams of IgG in the same buffer as the liposome solutions were added to the respective liposome solutions (the activated liposomes were suspended in the 15 solutions with substantially no clumping) . Sufficient sodium cyanoborohydride was added to give a concentration of about 20 millimolar, and the solutions were left for about two to about three hours at room temperature. The liposomes having covalently bound IgG thereon were then 0 purified by conventional methods, such as column gel filtration or centrifugation. The amount of coupling is illustrated by Table III, below (the number of molecules per vesicle was estimated on the assumption that the vesicles were 0.2 micron in diameter, with about 1.8 X - c 12 D 10 vesicles/micromole lipid) . TABLE III Protein: Lipid Ratio Liposome IgG (mg) Molecules Solution addeid ( μg/ mole) ( μg/mg 1ipid) IgG/vesicle 1 20 112 147 251 2 14 57 75 128 3 14 47 62 106 4 10 96 126 216 5* 20 11 14 25 *Control solution, liposomes not activated. \r& Binding of Protein to Liposomes IgG coupling to activated liposomes has typic¬ ally resulted in the binding of from about 50 to about 200 micrograms of IgG per micromole of lipid. Substantially no coupling is observed in control liposomes. Non¬ specific binding of proteins to activated liposomes was below the limits of the protein assay utilized in determining coupling. The proteins which may be covalently bound, or coupled, to the activated liposomes retain a significant amount of biological activity. This is illustrated by use of immunopur . ified rabbit antifluorescein antibody, as follows. Antifluorescein IgG binds specifically to fluorescein isothiocyanate and carboxyfluorescein. upon binding to the antibody, the fluorescence of the fluorescein is abolished, and this was used to measure the binding activity of the antibody. Successive additions of antibody to a solution of carboxyfluorescein reduced the fluorescence due to quenching of the fluoroohore upon binding to the antibody. The antigen binding capacity of liposome-bound antibody was compared by correlating the percentage reduction in fluorescence for a variety of specified protein concentrations in linear ranges where quenching was proportional to the protein concentration as illustrated by Table IV, below (wherein the original antibody, or control, linear range was from about 78/1 to about 30/4; and coupled antibody-activated liposomes was linear over the entire range illustrated). - jV y A TABLE IV Fluorescent Intensit /Antibody cone, x 10 (umole/mi) Coupled Original Antibody- Antibody Activated (Control) unbound Activity Liposome 78/1 85/1 95/1 60/2 75/2 90/2 40/3 62/3 85/3 30/4 50/4 78/4 18/5 40/5 70/5 12/6 35/6 65/6 8/7 30/7 60/7 8/8 20/8 58/8 15/9 50/9 As illustrated by Table IV, above, the fluorescent quenching of carboxylfluorescein by the original antibody preparation (control) and the antibody that was recovered from the coupling process may be compared to antibody bound to the activated liposomes. If the activity of the original, control preparation is set at 100%, then the activity of the activated liposome bound antibody is about 33%, and of the recovered antibody is about 70%. Antigen binding capacity is, therefore, only partially inhibited by the inventive coupling process, and the coupled protein displays, or retains, a significant amount of antigen binding capacity. Hemagglutination Liposome-protein conjugates in accordance with - J E the present invention have the ability to agglutinate erythrocytes. Activated liposomes, prepared as de¬ scribed above, were conjugated with antigen-antibody, and incubated with erythrocytes conjugated with fluorescein- isothiocyanate. This resulted in the agglutination of the erythrocytes and the hemagglutinating titre (expressed as the minimum concentration observed to cause agglutination) was improved by a factor of about 1.5 with respect to the original, soluble antibody from which the liposome-protein conjugates were derived. Lower values of the hemagglutinating titre indicate more effective agglutination capacity. This is illustrated by Table V, below. TABLE V Hemagglutination of FITC-Human Erythrocytes By Rabbit Antifluorescein IgG Preparation Titre (microgram/ml) Liposomes Bound Antibody 1.22 (500 molecules/vesicle untreated Antibody 1.92 The improved ability of liposome-protein con¬ jugates in accordance with the present invention to agglutinate erythrocytes is also demonstrated in another preparation of liposome-protein conjugates via the acti- vated liposome precursor, as follows. 10 mg of F[ab'] was added to lO . ymole of vesicle lipid (after oxidation and desalting) to 1 ml of borateasline (pH 8.4), and then added 10 ul of IM sodium cv r ? cyanoborohydride. After 18 hours at room temperature, the vesicles were separated from unbound protein by flotation on discontinuous dextran gradients (0 to 20 percent, weight to volume). For quantitation of binding 3 to cells the vesicles contained H-labeled di- palmitoylphosphatidylcholine (DPPC; 10 -y.Ci/ μ ole) and 14 C-labeled sucrose (1 yCi/μmole). "Targeted" vesicles were those having coupled rabbit F[ab'] to human erythrocytes, whereas "control" vesicles were coupled to F[ab'] prepared from rabbit gamma globulin by pepsin digestion and absorption to a Staphylococcus aureus suspension. The targeted vesicles and the control vesicles 6 8 were then separately incubated with 10 to 10 human erythrocytes in 0.2 ml of phosphate-buffered saline (PBS) at pH 7.4 for 1 hour at 37°C. Cells were washed to remove unbound vesicles and were either taken up directly in 10 3 ml of Triton-toluene scintillant and counted for [ H]DPPC 6 7 8 (10 to 10 cells) or extracted after washing 10 cells; the chloroform phase was evaporated and counted for 3 [ H]DPPC content, and the aqueous phase was incubated 14 overnight at 60°C to remove methanol and counted for [ C] sucrose content. When vesicles (with from about 1 to 500 nmoles g of lipid) were incubated with 10 cells there was a marked difference between targeted and control binding, with 80% of the vesicles binding at about 20 to 500 umole of lipid. Control binding with vesicles conjugated to nonspecific F[ab'] was very low ( <1 percent) and did not appreciably increase between 100 and 500 nmole of lipid. Both the vesicle lipids and the encapsulated sucrose bound to the cells in nearly identical proportions, indicating that cell binding caused no loss of vesicle contents and that the antibody-conjugated liposome preparation was reason¬ ably homogeneous with respect to lipid, encapsulated aqueous marker, and antibody. When vesicles were incu- 7 bated with 10 erythrocytes there was a marked difference in binding between the targeted and non-targeted samples. Although a small fraction of the total available vesicles became bound, the number of vesicles that bound to each 6 cell was increased. Vesicles incubated with 10 cells also exhibited binding specificity (not shown), with 6 nmole of specific antibody-bearing vesicles and 2 nmole of nonspecific vesicles being bound when 100 nmole of lipid was incubated with the cells. The addition of serum (25 percent fetal calf) during incubation had no substantial effect on the binding. The vesicle preparations contained 143 molecules per vesicle, assuming Ffab'j has a molecular weight of 90,000 and that the vesicle preparations contained 1.8 « 10 12 vesicles per micromole (for uni- lamellar vesicles of 0.2 ym diameter). Antibodies not purified immunologically, such as those used here, may contain only 1 to 5 percent of molecules that are specifically reactive to the cell antigens. The pre¬ paration therefore probably contained approximately one to five specific molecules per vesicle, so that most vesicles were specific for the target cells. The use of nonimmunopurified antibodies with coupling method that bind only a few antibody molecules per vesicle would result in many vesicles having no specificity for the target. The association of 400 nmole of lipid with 10 human erythrocytes constitutes a lipid mass three times greater than the lipid content of the cell membranes. If one assumes that the vesicles are 0.2 ym in diameter and - 2 4 - are unila ellar, the number of vesicles bound per cell is 8000 and their encapsulated volume is 0.33 of the cell volume.. Thus, about 80% of the targeted vesicles asso¬ ciated with the human erythrocytes. The hemagglutinating titre of the F[ab'l bound to vesicles was measured and compared to the original antibody preparation. The nonspecific soluble F[ab'] and the control vesicles derived from it produced no hemagglutination at concentrations up to 1 mg of F[ab'J per milliliter. The soluble antibody to human erythro- cyte F[ab']_ had a hemagglutination titre of 4 μg/ml, and the titre of the liposome-protein conjugates derived from the original, soluble antibody was 1.5 μg/ml, for an improvement factor of about 2.7. The extent of improvement, or enhancement, of hemagglutinating activity for suitable liposome-protein conjugates is greater than appears from the data, for example in Table V, since during conjugation some of the bound antibody is partially inactivated. In a further experiment, performed with antifluorescein conjugated liposomes prepared via the activated method, a variety of antibody preparations were obtained by mixing the immuno- purified antifluorescein with normal rabbit IgG to vary the extent of antifluorescein substitution. The acti- vity of the antifluorescein was calculated by fluorescence quenching, as previously described and illustrated by Table IV, and this value was used to calculate the number of active antibody molecules per liposome of the liposome-antibody conjugates and the corrected minimum hemagglutinating concentration. The liposome-protein conjugates were contacted with unagglu- tinated erythrocytes which had been coated with fluorescein. (The uncorrected minimum hemagglutinating concentration (MHC) is calculated from the total protein concentration.) The data is illustrated by Table VI, below. TABLE VI Active antibody MHC corrected MHC Improvement molecules/liposomes ( μ g/ml ) (μ g/ml ) Factor 67 5 . 10 1 . 63 2. 3 100 1.60 0 . 70 5. 6 186 0 .57 0.31 12 .6 soluble antibody 3.90 3.90 The improvement factor, illustrated by Table VI, above, compares the corrected MHC of liposome-protein conjugates to the MHC of the original, soluble antibody from which the liposome-protein conjugates were derived. As may be seen, the improvement factor varied from about 2.3 to about 12.6, depending upon the number of active antibody molecules which were covalently bound per liposome. In another preparation of liposome-protein conjugates the liposome-protein conjugates had 50 μg of antihuman erythrocyte Fab' fragments per μmole liposomal phospholipid (about 500 antihuman Fab' fragments per liposome). The precursor liposomes were formed from PC:cholesterol:PDP-PE and conjugated to Fab' by the procedure of Martin and Papahadjopoulos, J. Biol. Chem., (1981-In Press). The minimum hemagglutinating concen¬ tration (MHC) for soluble antibody was 5.2 μg/ml, whereas the MHC for liposome-protein conjugates was 0.17 μg/ml. That is, the agglutination improvement factor was about 30. C. Binding Inhibition Another batch of liposome-protein conjugates via activated liposome precursors was prepared and tested with soluble antibody for binding inhibition as follows. The precursor liposomes were prepared from a mixture of phosphatidylcholine:cholesterol:oxidized 3 ganglioside (5:5:1) which contained trace amounts of H dipalmioylphosphatidylcholine to give 2000 counts per minute (cpm) per nanomole lipid. These vesicles were then conjugated to monoclonal mouse anti H2 antibody by reductive amination with sodium cyanoborohydride. The resultant liposome-protein conjugates had an anti¬ body:lipid ratio of 60 μmole. 6 Meanwhile, 5 x 10 L929 fibroblasts in con- fluent monolayers in 6 cm petri dishes were incubated for 30 minutes at 37°C with 0.2 ml phosphate buffered solution (PBS) containing 50% serum and 20 nmole lipid to which was conjugated 1.2 μg antibody. The incubation mixture also contained variable amounts of soluble antibody, as indicated in Table VII, below. After incubation, the cells were washed four times with phosphate buffered saline, trypsinized to remove them from the onolayer and taken up in scintillant for counting. 6 In a similar manner, 2 x 10 Rl.l T-lymphoma cells were suspended in 0.2 ml PBS containing 50% serum, 20 nmole lipid conjugated to 1 μg antibody and various amounts of soluble antibody as indicated in Table VII, below. After 30 minutes they were washed four times by centrifugation and resuspension of the cells in 5 ml portions of PBS. The cells were finally resuspended in 0.5 ml and taken up in scintillant. The antibody-anti H2 reaction which occurred between the liposome-conjugates and the cells (and, to a lesser extent between the soluble antibody and the cells) illustrates a reaction with the H2K of certain mouse strains. This protein is a membrane antigen present at high levels in most mouse tissues. The L929 fibroblast and the Rl.l T-lymphoma are cultured cell lines derived fro mice which express the H2K antigen. TABLE VII INHIBITION OF TARGETED LIPOSOME BINDING BY SOLUBLE ANTIBODY Soluble Antibody Percent Control Binding Per Sample (μg) ' L929 • Rl.l 0.1 100% 100% 0.3 86% 97% 1 97% 81% 3 100% 62% 10 95% 44% 30 66% 31% For example, as illustrated by Table VII above, a ratio of soluble to liposome-bound antibody of at least 10:1 was required to achieve about 50% binding inhibition with the Rl.l T-lymphoma cells. These data demonstrate that liposome-protein conjugates in accordance with the prese¬ nt invention bind with greater functional affinity to their immunological partners than does soluble antibody. it is believed this, and the improved agglutination property, is due to a multivalent character of the liposome-protein conjugates, e.g. that each vesicle contains many antigen binding sites. By contrast, for example, native IgG is only bivalent. A wide variety of proteins, particularly anti¬ bodies, may be covalently bound to liposomes and used in accordance with the present invention. Table VIII, below, illustrates a number of liposome-protein con¬ jugates suitable for immunodiagnostic applications, and particularly for cell agglutinations mediated by combi¬ nations with the appropriate antigenic partner. TABLE VIII Liposome-protein Antibody to Conjugate Lipid Ratio Composition # Bound Antibody (μg/μmole) 1 Normal bovine IgG 100-300 2 Normal rabbit IgG 60-300 3 Normal rabbit F[ab'], 70 4 Rab. antiHRBC F[ab'], 60 5 Mouse IgG 98 6 Rabbit anti CVI 107 7 Normal rabbit IgG 275 8 anti sheep RBC (2a)* 153 9 anti H2K, (2a)* 72 k 10 anti Thy 1.1 (1)* 50 11 anti sheep RBC (2a)* 121 12 anti H2K, (2a)* 70 k 13 Normal human IgG 235 14 anti H2K, (2)* 52 k 15 Mouse IgG (All)* 128 16 anti glycophorin (1)* 240 17 anti sheep RBC (2a)* 000 (*wherein the symbol within the parentheses gives the IgG subclass of the antibody) Composition numbers 1-10, above, were prepared from precursor liposomes by the activated liposome method (e.g., glycosphingolipids were oxidized with periodate and antibody was covalently bound by reductive amination with sodium cyanoborohydride). The lipid of compo¬ sitions 1 and 2 were lactosylceramide, phosphatidylglycerol, phosphatidylcholine and choles¬ terol in a ratio of 10:3:45:45. The lipid of compo¬ sitions 3-10 consisted of phosphatidylcholine, choles- terol and ganglioside in a ratio of 5:5:1. The antibody of compositions 8-10 was monoclonal (mouse). Compositions 11 and 12 were prepared from precursor liposomes by a preoxidation modification of the activated liposomes method (e.g. gangliosides were pre- oxidized, the precursor liposomes were formed therefrom, and the antibody then conjugated as in the activated liposome method) . .More particularly, gangliosides, usu¬ ally a mixture from bovine brain, are suspended in 20 mM and sodium-in-periodate at pH 5.5. After 30 minutes at room temperature in the dark, ethylene glycol is added to a final cone of 100 mM and the solution is left 30 minutes. Oxidized gangliosides are separated from the reaction products by gel chro atography. The ganglioside fractions are pooled, mixed with methanol and evaporated to dryness under a stream of nitrogen. The residue is taken up in chloroform:methanol (1:1) and stored under argon at -40°C before protein conjugation. Lipid content was as described for compositions 3-10, above. The antibody was monoclonal (mouse). Compositions 13-17 were prepared as follows. N-[4-(p- maleimidophenyl)butyryl]phosphatidylethanola ine (MPB- PE) was synthesized by the procedure of Martin and Papahadjopoulos, J. Biol. Chem. (1981-In Press). Liposomes are then prepared by the method of Szoka and Papahadjopoulos, supra, from 10:10:1 phosphatidylcho¬ line:cholesterol:MPB-PE in a buffer at pH 6.0-6.7. A suitable buffer is 0.05 M morpholino-ethanesulfonic acid, 0.096 M NaCl, pH 6.4. It is essential to prepare the vesicle below pH 7.0 to ensure the maximal stability of the maleimide function. Th antibody is py- ridiylthiolated and reduced by the method of Carlsson et al. Bioche .J., 173, pp. 723-737 (1978). Reaction of protein with 10 mole of N-Succinimidyl 3-(2-Py- ridyldithiol) Proprionate (SPDP) per mole of protein results in the substitution of 3-5 mole of pyridyldithiol groups per mole protein. After reduction with dithio- threitol, the protein is separated from the reducing agent on a polyacrylamide column (50 to 100 mesh) equilibrated in argon-purged (de—oxygenated) buffer, pH 6.0-6.5. The protein fractions are pooled and concen¬ trated to a suitable volume under argon in an amicon type concentrator. Commonly, the protein is concentrated to around 3 mg/μl. Liposomes are then added to the protein solution with stirring to give 5 μmole lipid per ml. After reaction overnight, the vesicles are reacted with Aldrithiol 4 and separated on a metrizamide gradient and the protein and lipid are determined. The protein, or antibody, was modified in compositions 13-17 by from about 1.8 to about 5.1 thiols per molecule. Industrial Applicability The enhanced agglutination activity of lipo- some-protein conjugates is useful for a variety of diagnostic applications, such as in inhibition assays and flocculation tests. Hemagglutin inhibition assays measure the extent to which a soluble antigen inhibits the capacity of its specific antibody to agglutinate antigen- sensitized erythrocytes. Liposome-protein conjugates can increase the sensitivity of hemagglutination inhi¬ bition assays. Since considerably less antibody is required for agglutination, a correspondingly less amount of soluble antigen will inhibit agglutination. That is, soluble antigen will compete with an erythrocyte surface antigen of the same antigenic specificity, and thus the presence of soluble antigen will reduce the amount of agglutination produced by liposome-protein conjugates specific for the antigen. One may thus determine the extent to which the soluble antigen inhibits cell agglutination mediated by antibody-antigen interaction. Among the human serum antigens which may be detected by the more sensitive liposome-protein conjugates are pep- tide hormones, such as thyroxin, C-reactive protein, hepatitis surface antigen, hCG, heterophile antibodies, rheumatoid antibodies, thyroxin binding protein (T ) and digoxin. In addition, liposome-protein conjugates may be used in flocculation tests. For example, where the liposome-protein conjugates have an antibody covalently bound to the liposomes, the antibody may be selected with an antigen binding capacity for a particle such as the Dane particle of hepatitis B virus, which would be more sensitively flocculated, or agglutinated, when contacted with the liposome-protein conjugates than when conjugates are derived. The best mode contemplated for carrying out the present invention is use of liposome-protein conjugates in blood typing. The preferred size of liposomes for such use is from about 0.1 micron to about 5 micron, and more preferred from about 0.1 to about 0.5 micron. The size is most preferably controlled by extrusion through straight pore polycarbonate filters, as is described in U.S. Patent 4,263,428, issued April 21, 1981. The extrusion permits the production of uniform vesicles in selected sizes between about 0.1 and about 0.5 micron. The antibody preparat «ion is covalently bound to the liposome so that the antibody is in an amount of at least about 40 micrograms per micromole of lipid mole¬ cules, more preferably from about 40 to about 90 micrograms per micromole of lipid. The antibody may be derived from a normal polyclonal antiserum, or from a monoclonal antibody. The liposome-protein conjugates are then separated from the soluble, unbound antibody by flotation in a discontinuous etrizamide gradient. The recovered liposome-protein conjugates may then be ana¬ lyzed for protein and lipid content. To establish the minimum quantity of the liposome-protein conjugates required for agglutination, serial two-fold dilutions of the liposome-protein con¬ jugates are prepared in a hemagglutination plate (e.g. one-half, one- quarter, one-eighth, one-sixteenth, etc.). These dilutions are then mixed with an equal volume of a 2% erythrocyte suspension and left to stand for about 18 hours. The wells are then scored for agglutination, and the most dilute solution which gives agglutination is taken to be the minimum hemagglutination concentration. - Liposome-protein conjugates at a concentration known to give agglutination of antigen-positive cells are then mixed with erythrocytes whose expression of the antigen is to be determined. After incubation for a suitable period, the cells are scored for agglutination. While the invention has been described in connection with specific embodiments thereof, it will be understood that it is capable of further modification, and this application is intended to cover any variations, uses or adaptations of the invention following in general, the principles of the invention and including such departures from the present disclosures as come within known or customary practice in the art to which the invention pertains and as may be applied to the essential features .hereinabove set forth, and as fall within the scope of the invention and the limits of the appended claims.

Claims: Claims 1. A diagnostic method comprising: providing liposome-ligand conjugates, the liposome-ligand conjugates including liposomes and ligand, the liposomes having lipid molecules, the ligand being covalently bound to the liposomes and in an amount of at least 40 micrograms per micromole of lipid molecules; contacting the liposome-ligand conjugates with ligand-binding molecules to form a mixture, the ligand- binding molecules carried by at least one surface; and, examining the mixture for interactions between the ligand of the liposome-ligand conjugates and the ligand-binding molecules. 2. The diagnostic method of claim 1 wherein: the at least one surface is a plurality of surfaces defined by discrete particles. 3. The diagnostic method of claim 1 wherein: the ligand-binding molecules are carried by cells along surfaces thereof. 4. T e diagnostic method of claim 2 or 3 wherein: the ligand of the liposome-ligand conjugates is an antibody having an antigen binding capacity, and the ligand-binding molecules are antigens. 5. The diagnostic method of claim 4 wherein: the examining includes determining cell agglu¬ tination mediated by antibody-antigen interaction. 6. The diagnostic method of claim 4 wherein: the examining includes determining particle agglutination mediated by antibody-antigen interaction. 7. An agglutination method useful for assay- ing cell surface antigens comprising: providing liposome-protein conjugates, the liposome-protein conjugates including liposomes and protein, the liposomes having lipid molecules, the protein supplying an antigen binding capacity for at least a majority of the liposome-protein conjugates, the protein in an amount of at least about 40 micrograms per micromole of lipid molecules; contacting the liposome-protein conjugates with substantially unagglutinated cells to form a mix- ture; and, examining the mixture for cell agglutination. 8. The agglutination method of claim 7 where¬ in: the cells of the contacting and examining steps are erythrocytes, lymphocytes or leukocytes. 9. The agglutination method of claim 8 where¬ in: the cells of the contacting and examining steps are erythrocytes. 10. The agglutination method of claim 9 where¬ in: the protein includes IgG or a fragment thereof, and the antigen binding capacity is for erythrocytes bearing a surface antigen for which the IgG or fragment thereof is specific. 11. The agglutination method of claim 7 or 10 wherein: the examining includes determining cell agglu- tination mediated by antibody-antigen interaction. 12. A reagent, useful for hemagglutination assays, comprising: liposome-protein conjugates, the liposome-pro¬ tein conjugates including liposomes and antibody cova- lently bound to the liposomes, the liposomes having lipid molecules, the antibody having an antigen binding capa¬ city for erythrocytes bearing a surface antigen for which the antibody is specific, the antibody in an amount of at least about 40 micrograms per micromole of lipid molecules, the liposome-protein conjugates having an enhanced hemagglutinating activity with respect to the hemagglutinating activity of antibody from which the liposome-protein conjugates are derived. 13. The reagent of claim 12 wherein: the antibody is derived from a polyclonal antiserum or is a monoclonal antibody, and the hemag¬ glutinating activity is determinable as a minimum hemag¬ glutinating concentration. 14. The reagent as in claim 12 wherein: the enhanced hemagglutinating activity is at least about 1.5 times greater than the hemagglutinating activity of antibody from which the liposome-protein conjugates are derived. 15. The reagent as in claim 12 wherein: the liposomes of the liposome-protein conju¬ gates are from about 0.1 micron to about 5 micron in size. 16. The reagent as in claim 12 wherein: the liposomes are a substantially uniform size between about 0.1 and about 0.5 microns. 17. The reagent as in claim 15 or 16 wherein: the antibody is IgG or a fragment thereof. 18. The reagent as in claim 17 wherein: the IgG or fragment thereof is in an amount of from about 40 micrograms to about 90 micrograms per micromole of lipid molecule.

Inventors: HEATH TIMOTHY D, PAPAHADJOPOULOS DEMETRIOUS P, HEATH, TIMOTHY, D., PAPAHADJOPOULOS, DEMETRIOUS, P.
Applicants: UNIV CALIFORNIA, THE REGENTS OF THE UNIVERSITY OF CALIFORNIA
Application year: 1982
Main classification: A61K39
IPC codes: A61K39, G01N33