A pharmaceutical preparation for the maturation of prothymocytes

Abstract: The invention concerns a pharmaceutical preparation comprising the 25K IgE-binding factor (25K IgE-bf) and interleukin-1 (IL-1), and the use of said pharmaceutical preparation for the stimulation of the maturation of prothymocytes, e.g. for the treatment of T cell immunodeficiencies and prothymocyte leukemias.

Description: The invention concerns a pharmaceutical preparation comprising the 25K IgE-binding factor (25K IgE-bf) and interLeukin-1 (IL-1), and the use of said pharmaceutical preparation for the stimulation of the maturation of prothymocytes, e.g. for the treatment of T cell immunodeficiencies and prothymocyte leukemias. During the development of T-cells, lymphoid stem cells migrate into the thymic rudiment where they proliferate, rearrange their antigen receptor genes, are selected in regard to their MHC-specificity repertoire and differentiate into functionally mature T cells (Refs. 1-6). Prothymocytes having the cell surface marker phenotype CD7⁺CD2⁻CD3⁻ represent the earliest identifiable step in T cell lineage (Refs. 7-10). Recent in vitro findings (Refs. 8-11) pointed to the ability of these prothymocytes to acquire mature T cell surface markers following appropriate conditioning. The cellular and factor mediated interactions for this process are poorly understood. A role for cytokines such as IL-1 (Ref. 12) and IL-2 (Ref. 11) was suggested. The ability of IL-1 to function as hemopoietin-1 and to induce development of multipotent hemopoietic cells if it is combined with colony stimulating factors, such as GM-CSF, G-CSF, CSF-1, IL-3, erythropoietin, or erythroid-potentiating activity, is disclosed in the PCT application WO88/00969. B cells are implied to produce various lymphokines which can intervene in T cell differentiation (Refs. 15, 16). The ability of supernatants derived from PHA induced "B+null" cells (peripheral blood lymphocytes depleted from adherent and mature T cells) to promote in vitro the generation of mature T cell clones from prothymocytes regardless of their anatomical origins was reported (Refs. 8, 13, 14). This prothymocyte differentiating activity (PTDA) was B cell derived (Ref. 14). IL-1 alone had no effect in this respect. However, "B+null" cell-derived supernatants with PTDA always contained low IL-1 levels, whereas neither IL-2, IL-3, IL-4,IL-5, IL-6, GM-CSF, TNF nor IFN-γ were detected in these supernatants (Refs. 8, 14). Biological activities of "B+null"cell-derived supernatants are e.g. the ability to promote the formation of cells able to generate T colony from mature T cell depleted bone marrow, thymus and PBL, the capacity to enhance CD4⁺ cell derived responses, the ability to increase CFU-GM, CFU-GEMM, and BFU-E numbers in Dexter cultures, the ability to increase the formation of myeloid colonies in cultures of bone marrow cells from patients with refractory anemia, and the ability to induce mature T cell markers on cells derived from some acute lymphoblastic leukemias with prothymocyte features. An example of such an acute lymphoblastic leukemia with prothymocyte features in which the tumor cells have a CD7⁺CD4⁻CD8⁻ phenotype was described by Kurtzberg et al.(Ref.10). Compounds with PTDA may be useful in the treatment of such leukemias, because the mature T cells derived from the leukemia cells with prothymocyte features may have lost tumorigenicty. T cell immunodeficiencies can be caused by the incapability of the organism to produce mature T cells or by the loss of mature T cells. T cell immunodeficiences occur e.g. in patients with thymic dysfunctions, after immunosuppressive therapy, in elderly and AIDS patients. Compounds with PTDA may be useful in the treatment of such T cell immunodeficiencies. It is an object of the present invention to provide a composition exerting PTDA. Surprisingly, a preparation comprising the 25K IgE-binding factor (25K IgE-bf), also named soluble CD23 (sCD23), and interleukin-1(IL-1) has PTDA. Further objects of the invention are the use of said preparation for the stimulation of the maturation of prothymocytes. The invention concerns a pharmaceutical preparation comprising effective amounts of the 25K IgE-bf having the amino acid sequence with the Sequence Identification (SEQ ID) No. 1 shown in the Sequence Listing, or of a pharmacologically active variant, fragment or derivative thereof and of IL-1 or of a pharmacologically active variant, fragment or derivative thereof as an admixture for the use together or in separate form for sequential use. Said pharmaceutical preparation is hereinafter also referred to as a pharmaceutical preparation according to the invention. The 25K IgE-bf or a pharmacologically active variant, fragment or derivative thereof and IL-1 or a pharmacologically active variant, fragment or derivative thereof are known or can be prepared according to known processes. The 25K IgE-bf, variants, fragments and derivatives thereof and methods for their production are disclosed e.g. in EP-A-0254249 and EP-A-0205405. IL-1 and methods of producing same are disclosed e.g. in EP-A-0161901 and EP-A-0165654. A variant of the 25K IgE-bf is a protein with an altered amino acid sequence in comparison with the amino acid sequence with the SEQ ID No. 1. A variant includes naturally occuring variants, e.g. human allelic variants or variants isolated from non-human mammalian species, e.g. from mouse or monkey. A variant also includes an artificially made variant. 25K IgE-bf or a variant thereof is preferably made by means of recombinant DNA technology, e.g. it is produced by the expression in a heterologous host cell. One or more amino acids may be attached to the N- or C-terminus. To the N-terminus may be attached e.g. methionine, N-formyl-methionine or N-acetyl-methionine, especially when the expression product is obtained from Escherichia coli . An artificially made variant of the IgE-bf of the invention or of a naturally occuring variant thereof includes proteins characterized by the exchange of one or more, about up to 10, of the amino acids of the 25K IgE-bf of the invention or of a naturally occuring variant thereof with one or more of other amino acids. Within the scope of a fragment of the 25K IgE-bf of the invention are also fragments of variants of said 25K IgE-bf. A fragment of the 25K IgE-bf or of a variant thereof is an amino acid chain having at least 10 and up to 173 successive amino acids in a sequence corresponding to the invention or to the sequence of a variant thereof. Different or identical fragments may be linked covalently by peptide bonds. Fragments of the 25K IgE-bf are in particular those of the group consisting of polypeptides starting with anyone of amino acids 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, or 13 and ending with any of the amino acids 135 to 174 of the amino acid sequence with the SEQ ID No. 1. A preferred fragment is characterized in that it consists of the amino acids 3 to 174. This fragment can be found in addition to the 25K IgE-bf of the invention in supernatants of RPMI8866 cells, and thus represents a naturally occuring fragment. Derivatives of the 25K IgE-bf or of a variant thereof are such where functional groups, such as amino, hydroxyl, mercapto or carboxyl groups, are derivatized, e.g. glycosylated, acylated, amidated or esterified, respectively. In glycosylated derivatives an oligosaccharide is usually linked to asparagine, serine, threonine and/or lysine. Acylated derivatives are especially acylated by a naturally occuring organic or inorganic acid, e.g. acetic acid, phosphoric acid or sulfuric acid. Usually the N-terminal amino group or hydroxy groups, especially of tyrosine or serine are acylated. Esters are those of naturally occuring alcohols, e.g. methanol or ethanol. Further derivatives are salts, especially pharmaceutically acceptable salts, for example metal salts, such as alkali metal and alkaline earth metal salts, e.g. sodium, potassium, magnesium, calcium or zink salts, or ammonium salts formed with ammonia or a suitable organic amine, such as a lower alkylamine, e.g. triethylamine, hydroxy-lower alkylamine, e.g. 2-hydroxyethylamine, and the like. The term derivative according to the present invention includes also derivatives of a variant or a fragment of the 25K IgE-bf of the invention. A pharmacologically active variant, fragment or derivative of the 25K IgE-bf has a measurable stimulating influence on the maturation rate of prothymocytes in combination with IL-1 or a pharmacologically active variant, fragment or derivative thereof. Most preferred is a pharmaceutical preparation comprising the human 25K IgE-bf having the amino acid sequence with the SEQ ID No. 1. The term IL-1 comprises IL-1 purified from the supernatant of mammalian cells which naturally produce IL-1, e.g. from monocytes, optionally after stimulating the IL-1 production in such cells. IL-1 may be derived from different species, e.g. from human, monkey or mouse, preferentially from human. IL-1 also comprises recombinant IL-1, e.g. recombinant IL-1α or recombinant 1L-1β, produced e.g. in E. coli or mammalian cells. The meaning of a derivative of IL-1 is in accordance with the meaning of a derivative of the 25K IgE-bf given hereinbefore. Included within the scope of the present invention are also derivatives of variants or fragments of IL-1. A pharmacologically active variant, fragment or derivative of IL-1 has a measurable stimulating influence on the maturation rate of prothymocytes in combination with the 25K IgE-bf or a pharmacologically active variant, fragment or derivative thereof. A pharmaceutical preparation according to the invention has a stimulating influence on the maturation rate of prothymocytes. It comprises effective amounts of the 25K IgE-bf or of a pharmacologically active variant, fragment or derivative thereof and of IL-1 or of a pharmacologically active variant fragment or derivative thereof appropriate to stimulate the maturation of prothymocytes. Effective amounts of active ingredients of a pharmaceutical preparation according to the invention comprise a ratio of about 50 units of IL-1 or of an equivalent amount of a pharmacologically active variant, fragment or derivative thereof to about 0.25 up to 125 ng, preferentially 25 up to 100 ng, of 25K IgE-bf or of an equivalent amount of a pharmacologically active variant, fragment or derivative thereof. The active ingredients may be admixed or in separate form. The invention also concerns the use of a pharmaceutical preparation according to the invention for the stimulation of the maturation of prothymocytes in vitro , e.g. in cell culture, or in vivo , i.e. in an organism. A prothymocyte is a hematopoietic stem cell which is able to maturate after stimulation with appropriate differentiating factors into a mature T lymphocyte. A prothymocyte may be, for example, a mammalian, e.g. mouse, monkey or preferentially human, prothymocyte. A prothymocyte is characterized, for example, by the presence of the CD7 cell surface marker and by the absence of e.g. the CD2, CD3, CD4 and CD8 cell surface markers. Accordingly a prothymocyte according to the invention is in particular a CD7⁺CD2⁻CD3⁻CD4⁻CD8⁻ cell. Prothymocyte maturation leads to a T cell which is characterized by the presence of certain cell surface markers which have not been detectable on the prothymocyte. Such markers are e.g. CD2, CD3, CD4, CD8 and TCR. Accordingly, the maturation of a prothymocyte leads to the formation of a CD7⁺CD2⁺CD3⁺TCR⁺CD4⁺ and/or CD8⁺ cell. Methods for the determination of cell surface markers are well known in the art, e.g. indirect immunofluorescence techniques. A prothymocyte is also a cell having cell surface markers typical for prothymocytes derived from a patient with acute lymphoblastic leukemia. A prothymocyte and the maturation of prothymocytes to T cells may also be monitored on a functional level. The proliferation of a T cell but not of a prothymocyte can be stimulated with a combination of anti-CD2 or anti-CD3 antibody and IL-2. The proliferation of cells can be determined with conventional methods. A preferred embodiment of the invention is the use of a pharmaceutical preparation according to the invention for the stimulation of the maturation of CD7⁺CD2⁻CD3⁻CD4⁻CD8⁻ cells to CD2⁺CD3⁺TCR⁺CD4⁺ and/or CD8⁺ cells in vitro , e.g. in cell culture, or in vivo , i.e. in an organism. Stimulation of the maturation of prothymocytes is, for example, performed by the addition of a pharmaceutical preparation according to the invention to a cell culture comprising prothymocytes in such amount that a final concentration of about 0.25 ng/ml up to about 125 ng/ml, preferentially from about 25 ng/ml up to about 100 ng/ml, of the 25K IgE-bf or of an equivalent amount of a pharmacologically active variant, fragment or derivative thereof and a final concentration about 50 U/ml of IL-1 or of a pharmacologically acitve variant, fragment or derivative thereof is achieved. A cell culture comprising prothymocytes is obtained from tissue comprising said cells, e.g. from bone marrow, lymph nodes, embryonal tissue, blood, thymus or tonsils. Said tissue may be obtained by biopsy and said cell culture may be obtained by homogenisation of the tissue, isolation of lymphatic cells, e.g. by centrifugation in a density gradient, and by cultivation the lymphatic cells in an appropriate culture medium. Methods for isolating and cultivating lymphatic cells are known in the art. Prothymocytes may be further purified from said lymphatic cells according to conventional methods e.g. by sorting the lymphatic cells on a cell sorter or on a plastic surface to which the adherent cell population attaches. The adherent cell population then may be treated with a specifically cytotoxic combination of antibodies not directed against prothymocytes but against cell surface markers of the other cells in the adherent population, and with complement. The stimulation of the maturation of prothymocytes can lead to the enlargement of a T cell pool and/or to the diminution of a prothymocyte pool in a cell culture or an organism. After in vitro stimulation of prothymocytes isolated from an organism, the cells can be reinfused or reimplanted into an organism of the same or a closely related species or preferentially into the individuum from which the prothymocytes were isolated. Accordingly, the present invention concerns also the use of a pharmaceutical preparation of the invention for the stimulation of the maturation of prothymocytes in vitr o or in vivo , for example for the enlargement of a T cell pool in vitro , e.g. in cell culture, or in vivo , i.e. in an organism, e.g. for the treatment or prevention of a T cell immunodeficiency. Included within the scope of a T cell immunodeficiency are congenital and acquired T cell immunodeficiencies, e.g. AIDS, T cell immunodeficiencies of elderly patients, of patients after therapeutical immunosuppression, and of patients with autoimmune diseases or with thymic dysfunctions. Preferred is the use for the treatment of AIDS. The invention concerns also the use of a pharmaceutical preparation of the invention for the stimulation of the maturation of prothymocytes, for example, for the diminution of a prothymocyte pool in vitro , e.g. in cell culture, or in vivo , i.e. in an organism, e.g. for the treatment or prevention of a lymphoblastic leukemia with prothymocyte features, hereinafter also referred to as prothymocyte leukemia. A prothymocyte leukemia is an acute leukemia which is characterized in that the tumour cell is a prothymocyte, e.g. with a CD7⁺CD4⁻CD8⁻ phenotype. A pharmaceutical preparation according to the invention may be administered to an organism, preferentially a mammalian organism, more preferentially a human, parenterally, for example, intramuscularly, subcutaneously, intravenously, or directly into the tissue in which the formation of T lymphocytes takes place, e.g. into the thymus or bone marrow, usually in dosage unit forms such as ampoules or vials. The amounts of the polypeptides to be administered depends on their specific activities, on the age, weight and general condition of the patient, the type and severity of the disease, the mode of administration and has to be based on the judgement of the physician. In general a dose of between about 10 µg and about 5000 µg of each of the 25K IgE-bf of the invention, or a pharmacologically active variant, fragment or derivative thereof and IL-1 or a pharmacologically active variant, fragment or derivative thereof per kg bodyweight and day may be administered. In a pharmaceutical preparation according to the invention the active ingredients are present in form of a mixture or in separate form. If the active ingredients are comprised in the pharmaceutical preparation in separate form, they may be administered by separate routes. A pharmaceutical preparation according to the invention, particularly if used for the treatment or prevention of T cell immunodeficiencies or prothymocyte leukemias, comprises conventional pharmaceutically acceptable carriers that are suitable for parenteral, e.g. intramuscular, subcutaneous or intraperitoneal, administration and that do not deleteriously interact with the active ingredients. There are suitable vials containing a solid powder, or vials, ampoules and the like containing infusion solutions, preferably aqueous solutions or suspensions, it being possible to prepare these before use, for example from lyophilized preparations that contain the active ingredient alone or together with a carrier, such as mannitol, lactose, glucose, dextrose, albumin and the like. The pharmaceutical preparation may be sterilized and, if desired, mixed with adjuncts, for example preservatives, stabilisers, emulsifiers, solubilisers, buffers and/or salts, such as 0.9 % sodium chloride, for regulating the osmotic pressure. Sterilization can be achieved by sterile filtration through filters of small pore size (0.45 µm diameter or smaller) after which the preparation can be lyophilized, if desired. Antibiotics may also be added in order to assist in preserving sterility. A pharmaceutical preparation according to the invention is dispensed in unit dosage forms, for example ampules, comprising 1 to 2000 mg of a pharmaceutically acceptable carrier per unit dosage and about 0.001 to 100 mg, preferably about 0.1 to 50 mg, of each of the active ingredients per unit dosage. The invention also concerns a process for the manufacture of a pharmaceutical preparation of the invention. Said process is characterized in that the 25K IgE-bf of the invention or a pharmacologically active variant, fragment or derivative thereof and IL-1 or a pharmacologically active variant, fragment or derivative thereof are admixed with a pharmaceutically acceptable carrier or, if the active ingredients are in separate form in the pharmaceutical preparation, are separately admixed with a pharmaceutically acceptable carrier. A pharmaceutical composition according to the invention is manufactured according to methods known per se , for example by conventional mixing, dissolving, lyophilizing, freeze-drying and the like processes and contain 0.1 % to 100 %, especially from about 1 % to 50 % of the active substances. The invention concerns further a pack comprising a pharmaceutical preparation according to the present invention optionally together with instructions for its use. In an organism or cell culture which has sufficient IL-1 only the 25K IgE-bf or a pharmacologically active variant, fragment or derivative thereof or a pharmaceutical preparation comprising the 25K IgE-bf or a pharmacologically active variant, fragment or derivative thereof as the only active ingredient has to be administered to stimulate the maturation of prothymocytes. Likewise, in an organism or cell culture having sufficient 25K IgE-bf, only IL-1 or a pharmacologically active variant, fragment or derivative thereof or a pharmaceutical preparation comprising IL-1 or a pharmacologically active variant, fragment or derivative thereof as the only active ingredient has to be administered to stimulate the maturation of prothymocytes. As already mentioned above, the stimulation of the maturation of prothymocytes can lead to the enlargement of a T cell pool and/or to the diminution of a prothymocyte pool in vitro , e.g. in a cell culture, or in vivo , i.e. in an organism. Accordingly, the present invention concerns also the use of the 25K IgE-bf or a pharmacologically active variant, fragment or derivative-thereof, preferentially of the 25K IgE-bf, for the stimulation of the maturation of prothymocytes in a cell culture or in an organism, e.g. mouse, monkey or preferentially in human, having sufficient IL-1, for example for the enlargement of a T cell pool, e.g. for the treatment or prevention of a T cell immunodeficiency, preferentially of AIDS, or for the diminution of a prothymocyte pool, e.g. for the treatment or prevention of a prothymocyte leukemia. Likewise, the invention concerns the use of IL-1 or a pharmacologically active variant, fragment or derivative thereof for the stimulation of the maturation of prothymocytes in a cell culture or in an organism, e.g. mouse, monkey or preferentially in human, comprising sufficient 25K IgE-bf, for example for the enlargement of a T cell pool, e.g. for the treatment or prevention of a T cell immunodeficiency, preferentially of AIDS, or for the diminution of a prothymocyte pool, e.g. for the treatment or prevention of a prothymocyte leukemia. The meaning of IL-1 and preferred forms thereof is the same as given above. Another subject of the present invention is the use of the 25K IgE-bf or a pharmacologically active variant, fragment or derivative thereof for the manufacture of a pharmaceutical preparation for the stimulation of the maturation of prothymocytes in vitro , e.g. in a cell culture, or in vivo , i.e. in an organism, e.g. in mouse, monkey or preferentially in human, for example for the enlargement of a T cell pool, e.g. for the treatment or prevention of a T cell immunodeficiency, such as those mentioned hereinbefore, preferentially of AIDS, or for the diminution of a prothymocyte pool, e.g. for the treatment or prevention of a prothymocyte leukemia. The pharmaceutical preparation either contains only the 25K IgE-bf or a pharmacologically active variant, fragment or derivative thereof or optionally also IL-1 or a pharmacologically active variant, fragment or derivative thereof as active ingredient. The former type of pharmaceutical preparation is for use in a cell culture or organism having sufficient IL-1. A subject of the invention is also the use of IL-1 or a pharmacologically active variant, fragment or derivative thereof for the manufacture of a pharmaceutical preparation for the stimulation of the maturation of prothymocytes in vitro , e.g. in a cell culture, or in vivo , i.e. in an organism, e.g. in mouse, monkey or preferentially in human, for example for the enlargement of a T cell pool, e.g. for the treatment or prevention of a T cell immunodeficiency, preferentially of AIDS, or for the diminution of a prothymocyte pool, e.g. for the treatment or prevention of a prothymocyte leukemia. The pharmaceutical preparation either contains only IL-1 or a pharmacologically active variant, fragment or derivative thereof or optionally also the 25K IgE-bf or a pharmacologically active variant, fragment or derivative thereof as active ingredient. The former type of pharmaceutical preparation is for use in a cell culture or organism having sufficient 25K IgE-bf. Abbreviations The abbreviations used hereinbefore and in the examples have the following meanings: AIDS Acquired Immunodeficiency Syndrome ALL Acute lymphoblastic leukemia BFU-E Burst forming Unit-Erythrocytes CFU-GEMM Colony forming Unit-Granulocytes, Erythrocytes, Monocytes, Megakaryocytes CFU-GM Colony forming Unit-Granulomonocytes IL-1 Interleukin-1 rIL-1 recombinant Interleukin-1 IL-2 Interleukin-2 rIL-2 recombinant Interleukin-2 Mab-45-affigel Monoclonal antibody 45-coated affinity gel MHC Major histocompatibility complex PBL Peripheral blood lymphocyte PHA Phytohemaglutinine PTDA Prothymocytes differentiating activity TcR T cell receptor Experimental part The following examples serve to illustrate the present invention, however, they should not be construed as a limitation thereof. Monoclonal Antibodies (mAbs) Cultivation of lymphocytes All lymphocytes are cultured routinely in a density from about 10⁶ cells/ml in MacCoy's 5A (Flow Laboratories) medium modified as described in Robinson et al. (Ref. 18). All media are supplemented with human AB-serum (HS), human AB-plasma (HP) or fetal calf serum (FCS). AB-serum and AB-plasma is obtained from donors with AB⁺ blood group. Cultures are incubated at 37°C in a water satured atmosphere containing 6 % CO₂. Example 1: Stimulation of the maturation of purified CD7⁺CD2⁻CD3⁻CD4⁻CD8⁻ cells Thymocytes are obtained in a manner known per se by teasing thymic fragments (Ref. 17). CD7⁺CD2⁻CD3⁻CD4⁻CD8⁻ cells are isolated from the thymocytes by adherence on plastic surfaces followed by two cycles of cytotoxic treatment as described by Mossalayi et al. (Ref. 8) with OKT11A, OKT3, OKT4 and OKT8 (Ortho Pharmaceuticals, Raritan, NJ) and subsequent incubation with complement. The complement used in this work is a serum from 4 weeks old rabbits obtained by direct intracardiac puncture. The complement is tested for the absence of nonspecific toxicity on human T cell precursors. CD7⁺ cells are then positively selected by application of the CD7⁺CD2⁻CD3⁻CD4⁻CD8⁻ cells into flasks coated with RFT2A monoclonal antibody (IgM, anti-CD7) as described (Ref. 13). The CD7⁺CD2⁻CD3⁻CD4⁻CD8⁻ cells are collected and centrifuged at 1250 g for 25 min on a Ficoll gradient to eliminate dead cells. CD7⁺CD2⁻CD3⁻CD4⁻CD8⁻ cells recovered from the Ficoll gradient are about 0,37 % of total thymocytes. The maturation of the CD7⁺CD2⁻CD3⁻CD4⁻CD8⁻ cells was stimulated by incubating them for 48 h at 37°C in a water satured atmosphere containing 6 % CO₂ at a density of 10⁶ cells/ml in MacCoy's 5A medium containing 20 % of decomplemented and filtered AB-serum obtained from healthy human and one or a combination of the following factors: Recombinant 25 K IgE-bf having the amino acid sequence with the SEQ ID No.1 in a concentration of 25 ng/ml. rIL-Iβ (50 U/ml; Glaxo, Geneva). rIL-2 (100 U/ml; Glaxo, Geneva). IOB6 (25 µg/ml; monoclonal antibody, IgG1K). IOT14 (10 µg/ml; monoclonal antibody, IgG2a). The cells are then harvested at 450 g and the maturation state of the cells is tested by analyzing surface markers of the cells with indirect immunofluorescence technique as described in Ref. (8). Cells harvested before incubation with factors as well as cells incubated in nutrient medium without factors are used as control. The cells are labelled with the following monoclonal antibodies (recognized antigen in brackets): OKT6 (CD1), OKT11A (CD2), OKT3 (CD3), OKT4 (CD4), OKT8 (CD8), WT31(recognizing CD3/TCRαβ complex), IOT14 (CD25), IOB4 (CD19), RFT2A (CD7), anti-TigammaA, or δTCS-1 (TcRδ). Fluorescein conjugated Anti-mouse F(ab′) fragments (Beckton Dickinson) are applied as second antibody (all antibodies and fragments are used in a final dilution of 1/50). The results are shown in Table 1. Example 2: Mitogenic stimulation of the cells derived from maturation stimulated CD7⁺CD2⁻CD3⁻CD4⁻CD8⁻ cells CD7⁺CD2⁻CD3⁻CD4⁻CD8⁻ cells are incubated for 24 h in the presence of various factors as described in Example 1. They are then washed in Hank's B lanced Salt Solution (HBSS, Institut Pasteur, Paris, France) and subsequently cultured in McCoy's 5A medium (10⁶ cells/ml, 37°C, 6 % CO₂) in the presence of an 1:400 diluted ascites containing anti-CD2 I+III mAb (Ref. 22). On day 5, 1 mCi ³H-Thymidin is added to 5·10⁴ cells in a final volume of 0.1 ml for 24 h. Cells are washed in HBSS, filtered on Skatron papers (No. 11731; Suffolk, UK), dissolved in scintillation solution (Pico-Fluor, Packard, Groningen, Netherlands), and radioactive counts are determined using a β Scintillation Counter (Beckman). Average results and standard deviation of four independent series of experiments are given in Table 2. No significant proliferation response of the cells are obtained if the solutions of 25K IgE-bf are preincubated with IOB6-coated sepharose beads(data not shown). Example 3: Dose dependent mitogenic stimulation and maturation of CD7⁺CD2⁻CD3⁻CD4⁻CD8⁻ cells CD7⁺CD2⁻CD3⁻CD4⁻CD8⁻ cells are cultured for 48 h in McCoy's 5A medium (10⁶ cells/ml, 37°C, 6 % CO₂) in the presence of a constant rIL1β concentration (50 U/ml) and various concentrations of recombinant 25K IgE-bf. The cells are then harvested and washed. The percentage of CD7⁺ prothymocytes acquring both CD2 and CD3 expression is then determined by indirect immunofluorescence technique with OKT11 (anti-CD2) and OKT3 (anti-CD3) and with rabbit anti-mouse F(ab′)₂ as second antibody (all antibodies and fragments are used in a final dilution of 1:50). In a parallel experiment the proliferative response of the cells is determined according to Example 2. The results are shown in Table 3. Example 4: Synergistic effect of 25K IgE-bf and rIL-1β on cloning capacity of cells derived from maturation induced CD7⁺ CD2⁻ CD3⁻ CD4⁻ CD8⁻ cells CD7⁺CD2⁻CD3⁻CD4⁻CD8⁻ cells are incubated in McCoy's 5A medium (10⁶ cells/ml, 37°C, 6 % CO₂) for 48 hours in the presence of 25 ng/ml 25K IgE-bf, 25 µg/ml IOB6, 50 U/ml rIL-1β, and/or 1000 U/ml rIL-2. IOB4 was used in a concentration of 25 µg/ml as isotype-matched control for IOB6 and had no inhibitory influence on the 25K IgE-bf effect. The cells are then washed in HBSS and cultured in limiting dilutions as described by Mossalayi et al. (Ref. 8) in the presence of anti-CD2 I+III (1:400 ascite, Ref. 22) and 50 U/ml rIL-2. 10⁴ irradiated (2500 rads) autologous CD2⁻ cells are also added per culture. Cloning frequencies are evaluated as described by Porter and Berry (Ref. 23) by scoring positive versus negative wells on day 10 after culturing. Results are shown in Table 4. References 1. Snodgrass, H.R., Kisielow, P., Kiefler, M., Steinmetz, M. & von Boehmer, H. Nature 313, 592-595 (1985). 2. Raulet, D.H., Garman, R.D., Saito, H. & Tonegawa, S. Nature 314, 103-107 (1985). 3. Born, W., Yague, J., Palmer, E., Kappler, J. & Marrack, P. Proc. Nat. Acad. Sci. U.S.A. 82, 2925-2929 (1985). 4. Ceredig, R., Dialynas, D.P., Fitch, F.W. & MacDonald, H.R. J. Exp. Med. 158, 1654-1671 (1983). 5. Marrack, P. et al. Cell 53, 627-634 (1988). 6. Sia Teh, H. et al. Nature 335, 229-233 (1988). 7. Furley et al. Cell 46, 75-87 (1986). 8. Mossalayi, M.D. et al. Blood, 71, 1281-1287 (1988). 9. Haynes, B.F., Martin, M.E., Key, H. & Kurtzberg, J.J. Exp. Med. 168, 1061-1080 (1988). 10. Kurtzberg, J. et al. Blood 73, 381-390 (1989). 11. Toribio, M.L. et al. J. Exp. Med. 168, 2231-2249 (1988). 12. Rock, K.L. & Benacerraf, B.J. Immunol. 132, 1654-1662 (1984). 13. Mossalayi, M.D. et al. J. Immunol. 134, 2400-2404 (1985). 14. Lecron, J.C. et al. Exp. Hematol. 17, 785-790 (1989). 15. Jurgenson, C.H., Ambrus, J.L. & Fauci, A.S. J. Immunol. 136, 4542-4547 (1986). 16. Taira, S., Matsui, M., Hayakama, K., Yokoyama, T. & Nariuchi, H.J. Immunol. 139, 2957-2964 (1987). 17. Dallol, A.H. et al., Exp. Hematol. 17, 774-778 (1989) 18. Robinson, W.A. (1971) In vitro cell culture of hemopoietic cells. In: Dicke, K.A., and Beckum, V. (eds.). Rijkwijk. 19. Mossalayi et al., Tissue Antigen 33, 100 (1989) 20. Campana, D. et al., J. Immunol. 142, 57-66 (1989) 21 Faure, F. et al., J. Immunol. 141, 3357-60 (1988). 22. Huet, S. et al., Proc. Natl. Acad. Sci USA 84, 7222-26 (1987). 23. Porter, E.H. and Berry, R.J. Br. J. Cancer 17, 583-89 (1963).

Claims: Claims for the following Contracting States : AT, BE, CH, DE, DK, FR, GB, IT, LI, LU, NL, SE A pharmaceutical preparation comprising an effective amount of the 25K IgE-bf having the amino acid sequence with the SEQ ID No. 1 or a pharmacologically active variant, fragment or derivative thereof and of IL-1 or a pharmacologiclly active variant, fragment or derivative thereof as an admixture for the use together or in separate form for sequential use. A pharmaceutical preparation according to claim 1 which comprises the human 25K IgE-bf having the amino acid sequence with the SEQ ID No. 1. A pharmaceutical preparation according to claim 1 which comprises IL-1. A pharmaceutical preparation according to claim 3 which comprises recombinant IL-1. A pharmaceutical preparation according to claim 4 which comprises recombinant IL-1β. A pharmaceutical preparation according to claim 3 which comprises human IL-1. A pharmaceutical preparation according to claim 6 which comprises recombinant human IL-1β. A pharmaceutical preparation according to claim 1 comprising a ratio of about 50 units of IL-1 or an equivalent amount of a pharmacologically active variant, fragment or derivative thereof to about 0.25 up to 125 ng of 25K IgE-bf having the amino acid sequence with the SEQ ID No. 1 or an equivalent amount of a pharmacologically active variant, fragment or derivative thereof. A pharmaceutical preparation according to claim 8 comprising a ratio of about 50 units of IL-1 or an equivalent amount of a pharmacologically active variant, fragment or derivative thereof to about 25 up to 100 ng of 25K IgE-bf having the amino acid sequence with the SEQ ID No. 1 or an equivalent amount of a pharmacologically active variant, fragment or derivative thereof. A pharmaceutical preparation according to claim 1 wherein the active ingredients are present in form of a mixture. A pharmaceutical preparation according to claim 1 wherein the active ingredients are present in separate form. A pharmaceutical preparation according to claim 1 in dosage unit form. A pharmaceutical preparation according to claim 1 for parenteral application. A pharmaceutical preparation according to claim 1 for intravenous application. Use of a pharmaceutical preparation according to claim 1 for the stimulation of the maturation of prothymocytes in vitro . Use according to claim 15 for the stimulation of the maturation of mammalian prothymocytes. Use according to claim 16 for the stimulation of the maturation of human prothymocytes. Use according to claim 15 for the stimulation of the maturation of CD7⁺CD2⁻CD3⁻CD4⁻CD8⁻ cells to CD2⁺CD3⁺TCR⁺CD4⁺ and/or CD8⁺ cells. Use according to claim 15 characterized in that the 25K IgE-bf having the amino acid sequence with the SEQ ID No. 1 or a pharmacologically active variant, fragment or derivative thereof is applied in a final concentration from about 0.25 ng/ml up to about 125 ng/ml and IL-1 or a biologiclly active variant, fragment or derivative thereof is applied in a final concentration of about 50 U/ml. Use according to claim 21 characterized in that the 25K IgE-bf or a biologically active variant, fragment or derivative thereof is applied in a final concentration from about 25 ng/ml up to about 100 ng/ml and IL-1 or a pharmacologically active variant, fragment or derivative thereof is applied in a final concentration of about 50 U/ml. Use according to claim 15 for the enlargement of a T cell pool. Use according to claim 15 for the diminution of a prothymocyte pool. A process for the manufacture of a pharmaceutical preparation according to claim 1 in which the components are processed according to conventional methods. A pack comprising a pharmaceutical preparation according to claim 1 optionally together with instructions for its use. Use of the 25K IgE-bf having the amino acid sequence with the SEQ ID No. 1 or a pharmacologically active variant, fragment or derivative thereof for the manufacture of a pharmaceutical preparation for the stimulation of the maturation of prothymocytes. Use according to claim 25 in which said pharmaceutical preparation is for use in vitro . Use according to claim 25 in which said pharmaceutical preparation is for use in vivo . Use according to claim 25 in which said pharmaceutical preparation is for the stimulation of the maturation of human prothymocytes. Use according to claim 25 in which said pharmaceutical preparation is for the stimulation of the maturation of CD7⁺CD2⁻CD3⁻CD4⁻CD8⁻ cells to CD2⁺CD3⁺TCR⁺CD4⁺ and/or CD8⁺ cells. Use according to claim 25 in which said pharmaceutical preparation is for the enlargement of a T cell pool. Use according to claim 25 in which said pharmaceutical preparation is for the treatment or prevention of a T cell immunodeficiency. Use according to claim 25 in which said pharmaceutical preparation is for the treatment or prevention of an acquired T cell immunodeficiency. Use according to claim 25 in which said pharmaceutical preparation is for the treatment or prevention of AIDS. Use according to claim 25 in which said pharmaceutical preparation is for the diminution of a prothymocyte pool. Use according to claim 25 in which said pharmaceutical preparation is for the treatment or prevention of a prothymocyte leukemia. Use according to claim 25 in which said pharmaceutical preparation is for the treatment or prevention of a prothymocyte leukemia in which the tumour cells have a CD7⁺CD4⁻CD8⁻ phenotype. Use of the 25K IgE-bf having the amino acid sequence with the SEQ ID No. 1 or a pharmacologically active variant, fragment or derivative thereof for the manufacture of a pharmaceutical preparation comprising only IGF-I as active ingredient for the stimulation of the maturation of prothymocytes in a cell culture or an organism comprising sufficient IL-1. Use of IL-1 or a biologically active variant, fragment or derivative thereof for the manufacture of a pharmaceutical preparation for the stimulation of the maturation of prothymocytes. Use according to claim 38 in which said pharmaceutical preparation is for use in vitro . Use according to claim 38 in which said pharmaceutical preparation is for use in vivo . Use according to claim 38 in which said pharmaceutical preparation is for the stimulation of the maturation of human prothymocytes. Use according to claim 38 in which said pharmaceutical preparation is for the stimulation of the maturation of CD7⁺CD2⁻CD3⁻CD4⁻CD8⁻ cells to CD2⁺CD3⁺TCR⁺CD4⁺ and/or CD8⁺ cells. Use according to claim 38 in which said pharmaceutical preparation is for the enlargement of a T cell pool. Use according to claim 38 in which said pharmaceutical preparation is for the treatment or prevention of a T cell immunodeficiency. Use according to claim 38 in which said pharmaceutical preparation is for the treatment or prevention of an acquired T cell immunodeficiency. Use according to claim 38 in which said pharmaceutical preparation is for the treatment or prevention of AIDS. Use according to claim 38 in which said pharmaceutical preparation is for the diminution of a prothymocyte pool. Use according to claim 38 in which said pharmaceutical preparation is for the treatment or prevention of a prothymocyte leukemia. Use according to claim 38 in which said pharmaceutical preparation is for the treatment or prevention of a prothymocyte leukemia in which the tumour cells have a CD7⁺CD4⁻CD8⁻ phenotype. Use of IL-1 or a biologically active variant, fragment or derivative thereof for the manufacture of a pharmaceutical preparation comprising only IL-1 as active ingredient for the stimulation of the maturation of prothymocytes in a cell culture or an organism comprising sufficient 25K IgE-bf. Claims for the following Contracting States : ES, GR A process for the preparation of a pharmaceutical preparation comprising an effective amount of the 25K IgE-bf having the amino acid sequence with the SEQ ID No. 1 or a pharmacologically active variant, fragment or derivative thereof and of IL-1 or a pharmacologiclly active variant, fragment or derivative thereof as an admixture for the use together or in separate form for sequential use, in which process the components are processed according to conventional methods. A process according to claim 1 in which the human 25K IgE-bf having the amino acid sequence with the SEQ ID No.1 is used. A process according to claim 1 in which IL-1 is used. A process according to claim 3 in which recombinant IL-1 is used. A process according to claim 4 in which recombinant IL-1β is used. A process according to claim 3 in which human IL-1 is used. A process according to claim 6 in which recombinant human IL-1β is used. A process according to claim 1 in which a ratio of about 50 units of IL-1 or an equivalent amount of a pharmacologically active variant, fragment or derivative thereof to about 0.25 up to 125 ng of 25K IgE-bf having the amino acid sequence with the SEQ ID No. 1 or an equivalent amount of a pharmacologically active variant, fragment or derivative thereof is used. A process according to claim 8 in which a ratio of about 50 units of IL-1 or an equivalent amount of a pharmacologically active variant, fragment or derivative thereof to about 25 up to 100 ng of 25K IgE-bf having the amino acid sequence with the SEQ ID No. 1 or an equivalent amount of a pharmacologically active variant, fragment or derivative thereof is used. A process according to claim 1 preparation of a pharmaceutical preparation in which the active ingredients are present in form of a mixture. A process according to claim 1 preparation of a pharmaceutical preparation in which the active ingredients are present in separate form. A process according to claim 1 wherein the pharmaceutical preparation is in dosage unit form. A process according to claim 1 wherein the pharmaceutical preparation is for parenteral application. A process according to claim 1 wherein the pharmaceutical preparation is for intravenous application. Use of a pharmaceutical preparation comprising an effective amount of the 25K IgE-bf having the amino acid sequence with the SEQ ID No. 1 or a pharmacologically active variant, fragment or derivative thereof and of IL-1 or a pharmacologiclly active variant, fragment or derivative thereof as an admixture for the use together or in separate form for sequential use, for the stimulation of the maturation of prothymocytes in vitro . Use according to claim 15 for the stimulation of the maturation of mammalian prothymocytes. Use according to claim 16 for the stimulation of the maturation of human prothymocytes. Use according to claim 15 for the stimulation of the maturation of CD7⁺CD2⁻CD3⁻CD4⁻CD8⁻ cells to CD2⁺CD3⁺TCR⁺CD4⁺ and/or CD8⁺ cells. Use according to claim 15 characterized in that the 25K IgE-bf having the amino acid sequence with the SEQ ID No. 1 or a pharmacologically active variant, fragment or derivative thereof is applied in a final concentration from about 0.25 ng/ml up to about 125 ng/ml and IL-1 or a biologiclly active variant, fragment or derivative thereof is applied in a final concentration of about 50 U/ml. Use according to claim 19 characterized in that the 25K IgE-bf or a biologically active variant, fragment or derivative thereof is applied in a final concentration from about 25 ng/ml up to about 100 ng/ml and IL-1 or a pharmacologically active variant, fragment or derivative thereof is applied in a final concentration of about 50 U/ml. Use according to claim 15 for the enlargement of a T cell pool. Use according to claim 15 for the diminution of a prothymocyte pool. Use of the 25K IgE-bf having the amino acid sequence with the SEQ ID No. 1 or a pharmacologically active variant, fragment or derivative thereof for the manufacture of a pharmaceutical preparation for the stimulation of the maturation of prothymocytes. Use according to claim 23 in which said pharmaceutical preparation is for the stimulation of the maturation of human prothymocytes. Use according to claim 23 in which said pharmaceutical preparation is for the stimulation of the maturation of CD7⁺CD2⁻CD3⁻CD4⁻CD8⁻ cells to CD2⁺CD3⁺TCR⁺CD4⁺ and/or CD8⁺ cells. Use according to claim 23 in which said pharmaceutical preparation is for the enlargement of a T cell pool. Use according to claim 23 in which said pharmaceutical preparation is for the treatment or prevention of a T cell immunodeficiency. Use according to claim 23 in which said pharmaceutical preparation is for the treatment or prevention of an acquired T cell immunodeficiency. Use according to claim 23 in which said pharmaceutical preparation is for the treatment or prevention of AIDS. Use according to claim 23 in which said pharmaceutical preparation is for the diminution of a prothymocyte pool. Use according to claim 23 in which said pharmaceutical preparation is for the treatment or prevention of a prothymocyte leukemia. Use according to claim 23 in which said pharmaceutical preparation is for the treatment or prevention of a prothymocyte leukemia in which the tumour cells have a CD7⁺CD4⁻CD8⁻ phenotype. Use of the 25K IgE-bf having the amino acid sequence with the SEQ ID No. 1 or a pharmacologically active variant, fragment or derivative thereof for the manufacture of a pharmaceutical preparation comprising only IGF-I as active ingredient for the stimulation of the maturation of prothymocytes in a cell culture or an organism comprising sufficient IL-1. Use of IL-1 or a biologically active variant, fragment or derivative thereof for the manufacture of a pharmaceutical preparation for the stimulation of the maturation of prothymocytes. Use according to claim 34 in which said pharmaceutical preparation is for use in vitro . Use according to claim 34 in which said pharmaceutical preparation is for use in vivo . Use according to claim 34 in which said pharmaceutical preparation is for the stimulation of the maturation of human prothymocytes. Use according to claim 34 in which said pharmaceutical preparation is for the stimulation of the maturation of CD7⁺CD2⁻CD3⁻CD4⁻CD8⁻ cells to CD2⁺CD3⁺TCR⁺CD4⁺ and/or CD8⁺ cells. Use according to claim 34 in which said pharmaceutical preparation is for the enlargement of a T cell pool. Use according to claim 34 in which said pharmaceutical preparation is for the treatment or prevention of a T cell immunodeficiency. Use according to claim 34 in which said pharmaceutical preparation is for the treatment or prevention of an acquired T cell immunodeficiency. Use according to claim 34 in which said pharmaceutical preparation is for the treatment or prevention of AIDS. Use according to claim 34 in which said pharmaceutical preparation is for the diminution of a prothymocyte pool. Use according to claim 34 in which said pharmaceutical preparation is for the treatment or prevention of a prothymocyte leukemia. Use according to claim 34 in which said pharmaceutical preparation is for the treatment or prevention of a prothymocyte leukemia in which the tumour cells have a CD7⁺CD4⁻CD8⁻ phenotype. Use of IL-1 or a biologically active variant, fragment or derivative thereof for the manufacture of a pharmaceutical preparation comprising only IL-1 as active ingredient for the stimulation of the maturation of prothymocytes in a cell culture or an organism comprising sufficient 25K IgE-bf.

Inventors: DEBRE PATRICE PROF DR, MOSSALAYI MOHAMMAD DJAVAD DR, DEBRE, PATRICE, PROF. DR., MOSSALAYI, MOHAMMAD DJAVAD, DR., Debré, Patrice, Prof. Dr.
Applicants: CIBA GEIGY AG, CIBA-GEIGY AG
Application year: 1991
Main classification: A61K37
IPC codes: A61K38, A61P31, A61P43, A61P35, A61P37, A61K39