Composition for inducing humoral anergy to an immunogen

Abstract: Conjugates of stable nonimmunogenic polymers and analogs of immunogens that possess the specific B cell binding ability of the immunogen but lack T cell epitopes and which, when introduced into individuals, induce humoral anergy to the immunogen are disclosed. Accordingly, these conjugates are useful for treating antibody-mediated pathologies that are caused by foreign or self immunogens.

Description: Technical Field This invention is in the field of immunology and concerns compositions and methods for inducing humoral anergy for the purpose of treating antibody-mediated pathologies. More specifically, the invention relates to conjugates of nonimmunogenic stable polymers and analogs of immunogens that lack T cell epitopes. Background of the Invention In order to survive in a world of pathogenic or potentially pathogenic microorganisms, higher organisms have evolved immune systems which can specifically recognize virtually any foreign substance through its characteristic molecules. This recognition frequently results in the production of specific proteins called antibodies which bind only to the foreign substance which induced their synthesis, causing the elimination of the invading microorganism. Occasionally an animal's immune system makes antibodies which recognize some of its own molecules, generating an autoimmune state that may affect the animal's health adversely. The induction of specific antibodies in response to an immunogen involves the interaction of multiple cell types, including thymus-derived lymphocytes (T cells), macrophages, and bone marrow-derived lymphocytes (B cells). B cells possess surface immunoglobulin by which they are able to bind immunogens, the first step in their activation and clonal expansion. The site(s), region(s) or domain(s) of the immunogen to which the immunoglobulin binds is called a "B cell epitope". In the second step of B cell activation and expansion, T cells are activated through interaction with the B cell bound-immunogen at a site, region or domain of the immunogen called a "T cell epitope". Once activated, the T cells provide positive signal(s) to the B cells bound by the immunogen and they proceed to differentiate and to produce and secrete antibody. Positive signals from the T cell include the secretion of lymphokines, and/or direct contact between the B cells and T cells. T cell epitopes may be different or more restricted in scope than B cell epitopes. As discussed above, in order for an immunogen to elicit T dependent antibodies, it must have epitopes recognized by both B and T cells. Past attempts to treat antibody-mediated pathologies have involved both general and specific suppression of the immune response. General suppression has typically employed broad spectrum, nonspecific immunosuppressants such as cyclophosphamide or steroids. Because these nonspecific drugs suppress many aspects of the immune system, they eliminate its required and beneficial functions as well as the malfunction causing the condition being treated. They are thus used with extreme caution if at all, and subject the patient to risk from secondary infections or other undesirable side effects. Because of the disadvantages of general immunosuppression, methods for specifically suppressing an immune response to an immunogen without affecting the normal functions of the immune system are highly preferred for treating antibody-mediated pathologies. The present invention concerns compositions and methods for specifically suppressing the humoral response to immunogens. Prior attempts to induce specific immunosuppression have focused on conjugating haptens and immunogens to nonimmunogenic polymeric carriers. Benacerraf, Katz and their colleagues used conjugates of haptens and antigens and copolymers of D -lysine and D -glutamic acid ( D -EK). Their initial studies involved conjugates of the synthetic hapten 2,4-dinitrophenyl (DNP) in guinea pigs and mice and showed the conjugates were capable of inducing humoral unresponsiveness. These initial studies were then extended to conjugates of other haptens and conjugates of immunogens. While the results with haptens were repeatable, and although their patents (U.S. 4,191,668 and 4,220,565) allege the approach is effective in inducing tolerance to immunogens, subsequent work has shown that conjugates of D -EK and immunogens do not provide a means for inducing humoral unresponsiveness to the immunogen. For instance, Liu et al., J. Immun. (1979) 123 :2456-2464, report that subsequent studies of those conjugates demonstrate that the conjugates "do not induce unresponsiveness at the level of protein specific B cells." Similarly, Butterfield et al., J. Allergy Clin. Immun. (1981) 67 :272-278, reported that conjugates of ragweed immunogen and D -EK actually stimulated both IgE and IgG responses to the immunogen. This subsequent work and other data dealing with conjugates of nonimmunogenic polymers and immunogens (Saski et al., Scand. J. Immun. (1982) 16 :191-200; Sehon, Prog. Allergy (1982) 32 :161-202; Wilkinson et al., J. Immunol. (987) 139 :326-331, and Borel et al., J. Immunol. Methods (1990) 126 :159-168) appear to indicate that the anergy, if any, obtained with such conjugates is due to suppression of T cell activity, not B cell unresponsiveness. Several other references deal with conjugates of nonimmunogenic polymers and DNA. See U.S. 4,191,668; U.S. 4,650,625; J. Clin. Invest. (1988) 82 :1901-1907; and commonly owned EP-A-438259 (U.S. patent application Serial No. 07/494,118). As a whole, these references indicate that these DNA conjugates may suppress the production of antibodies to this lupus autoimmunogen. It should be noted in this regard that DNA, like haptens, does not possess T cell epitopes. In sum, applicants believe the prior art shows that antibody production to conjugates of nonimmunogenic stable polymers and haptens or DNA, neither of which have T cell epitopes, may provide B cell unresponsiveness. Applicants also believe that conjugates of immunogens do not provide B cell unresponsiveness but may activate T cells to directly suppress the immune response. Disclosure of the Invention The present invention resides in the discovery that the failure of the prior conjugates of nonimmunogenic stable polymers and immunogens to induce B cell anergy (unresponsiveness) was due to the fact that the immunogens contained both B and T cell epitopes and that if the latter were eliminated, the conjugate would be effective for inducing B cell anergy. Accordingly, one aspect of the invention is a composition for inducing specific B cell anergy to an immunogen comprising a conjugate of a nonimmunogenic biologically stable carrier polymer and an analog of the immunogen that (a) binds specifically to B cells to which the immunogen binds and (b) lacks the T cell epitope(s) of the immunogen. Pharmaceutical compositions of the above-described conjugates and pharmaceutically acceptable carriers or vehicles are another aspect of the invention. A further aspect of the invention is a method of inducing specific B cell anergy to an immunogen in an individual comprising administering to the individual an effective amount of the above-described conjugate. Yet another aspect of the invention is a method of treating an individual for an antibody-mediated pathology in which undesired antibodies are produced in response to an immunogen comprising administering to the individual a therapeutically effective amount of the above-described conjugate. Brief Description of the Drawings Figure 1 graphically illustrates the detection of B cell epitopes in immunized CAF1 mice as described in Example 1. Figure 2, similarly, illustrates the detection of T cell epitopes as described in Example 1. Figure 3 illustrates the suppression of antibodies to peptide "L-53" as described in Example 1. Figures 4 and 5 are graphs of the results described in Example 4. Modes for Carrying Out the Invention As used herein the term "B cell anergy" intends unresponsiveness of those B cells requiring T cell help to produce and secrete antibody and includes, without limitation, clonal deletion of immature and/or mature B cells and/or the inability of B cells to produce antibody. "Unresponsiveness" means a therapeutically effective reduction in the humoral response to an immunogen. Quantitatively the reduction (as measured by reduction in antibody production) is at least 50%, preferably at least 75%, and most preferably 100%. "Antibody" means those antibodies which are T cell dependent. As used herein the term "immunogen" means a chemical entity that elicits a humoral immune response when injected into an animal. Immunogens have both B cell epitopes and T cell epitopes. As used herein "individual" denotes a member of the mammalian species and includes humans, primates, domestic animals such as cattle and sheep, sports animals such as horses, and pets such as dogs and cats. The term "analog" of an immunogen intends a molecule that (a) binds specifically to an antibody to which the immunogen binds specifically and (b) lacks T cell epitopes. Although the analog will normally be a fragment or derivative of the immunogen and thus be of the same chemical class as the immunogen (e.g., the immunogen is a polypeptide and the analog is a polypeptide), chemical similarity is not essential. Accordingly, the analog may be of a different chemical class than the immunogen (e.g., the immunogen is a carbohydrate and the analog is a polypeptide) as long as it has the functional characteristics (a) and (b) above. The analog may be a protein, carbohydrate, lipid, lipoprotein, glycoprotein, lipopolysaccharide or other biochemical entity. Further, the chemical structure of neither the immunogen nor the analog need be defined for the purposes of this invention. "Nonimmunogenic" is used to describe the carrier polymer means that the carrier polymer elicits substantially no immune response when it is administered by itself to an individual. Immunogens that are involved in antibody mediated pathologies may be external (foreign to the individual) immunogens such as biological drugs, allergens, idiopathic contrast media, and the like or self-immunogens (autoimmunogens) such as those associated with thyroiditis (thyroglobulin), stroke (cardiolipin), male infertility (α-sperm), myasthenia gravis (acetylcholine receptor), rheumatic fever (carbohydrate complex), and Rh hemolytic disease (D immunogen). Analogs to such immunogens may be identified by screening candidate molecules to determine whether they (a) bind specifically to serum antibodies to the immunogen and (b) lack T cell epitopes. Specific binding to serum antibodies may be determined using conventional immunoassays and the presence or absence of T cell epitopes may be determined by conventional T cell activation assays. In this regard an analog which "binds specifically" to serum antibodies to the immunogen exhibits a reasonable affinity thereto. The presence or absence of T cell epitopes may be determined using the tritiated thymidine incorporation assay described in the examples. Analogs that fail to induce statistically significant incorporation of thymidine above background are deemed to lack T cell epitopes. It will be appreciated that the quantitative amount of thymidine incorporation may vary with the immunogen. Typically a stimulation index below about 2-3, more usually about 1-2, is indicative of a lack of T cell epitopes. A normal first step in identifying useful analogs is to prepare a panel or library of candidates to screen. For instance, in the case of protein or peptide analogs, libraries may be made by synthetic or recombinant techniques such as those described by Geysen et al. in Synthetic Peptides as Antigens ; Ciba Symposium (1986) 119 :131-149; Devlin et al., Science (1990) 249 :404-406; Scott et al., Science (1990) 249 :386-390; and Cwirla et al., PNAS USA (1990) 87 :6378-6382. In one synthetic technique, peptides of about 5 to 30 amino acids are synthesized in such a manner that each peptide overlaps the next and all linear epitopes are represented. This is accomplished by overlapping both the carboxyl and amino termini by one less residue than that expected for a B cell epitope. For example, if the assumed minimum requirement for a B cell epitope is six amino acids, then each peptide must overlap the neighboring peptides by five amino acids. In this embodiment, each peptide is then screened against antisera produced against the native immunogen, either by immunization of animals or from patients, to identify the presence of B cell epitopes. Those molecules with antibody binding activity are then screened for the presence of T cell epitopes as described in the examples. The molecules lacking T cell epitopes are useful as analogs in the invention. If the T cell epitope(s) of an immunogen are known or can be identified, random screening of candidate analogs is not necessary. In such instances, the T cell epitope(s) may be altered (e.g., by chemical derivatization, or elimination of one or more components of the epitope) to render them inoperative or be eliminated completely, such as, for instance, in the case of peptides, by synthetic or recombinant procedures. The analogs are coupled to a nonimmunogenic polymeric carrier to prepare the conjugates of the invention. Preferred polymeric carriers are biologically stable, i.e., they exhibit an in vivo excretion half-life of days to months, and are preferably composed of a synthetic single chain of defined composition. They will normally have a molecular weight in the range of about 5,000 to about 200,000, preferably 5,000 to 30,000. Examples of such polymers are polyethylene glycol, poly- D -lysine, polyvinyl alcohol, polyvinyl pyrrolidone, immunoglobulins, and " D -EK", a copolymer of D -glutamic acid and D -lysine. Particularly preferred carrier polymers are D -EKs having a molecular weight of about 5,000 to about 30,000, and an E:K ( D -glutamic acid: D -lysine) mole ratio of approximately 60:40, as described in EP-A-438259 (U.S. Patent Application Serial No. 07/494,118), referenced above. Conjugation of the analog to the carrier polymer may be effected in any number of ways, typically involving one or more crosslinking agents and functional groups on the analog and carrier. Polypeptide analogs will contain amino acid sidechain groups such as amino, carbonyl, or sulfhydryl groups that will serve as sites for coupling the analog to the carrier. Residues that have such functional groups may be added to the analog if the analog does not already contain same. Such residues may be incorporated by solid phase synthesis techniques or recombinant techniques, both of which are well known in the peptide synthesis arts. In the case of carbohydrate or lipid analogs, functional amino and sulfhydryl groups may be incorporated therein by conventional chemistry. For instance, primary amino groups may be incorporated by reaction with ethylendiamine in the presence of sodium cyanoborohydride and sulfhydryls may be introduced by reaction of cysteamine dihydrochloride followed by reduction with a standard disulfide reducing agent. In a similar fashion the carrier may also be derivatized to contain functional groups if it does not already possess appropriate functional groups. With specific reference to conjugating peptide analogs and D -EK or other proteinaceous carriers, coupling is preferably carried out using a heterobifunctional crosslinker, such as sulfosuccinimidyl(4-iodoacetyl) aminobenzoate, which links the ε amino group on the D-lysine residues of D -EK to a sulfhydryl side chain from an amino terminal cysteine residue on the peptide to be coupled. This method is preferably carried out such that an average of 3 to 5 analog molecules are coupled to each D -EK molecule and the average molecular weight of the D -EK prior to coupling is 5,000 to 30,000 daltons. The conjugates will normally be formulated for administration by injection (e.g., intraperitoneally, intramuscularly, etc.). Accordingly, they will typically be combined with pharmaceutically acceptable carriers such as saline, Ringer's solution, dextrose solution, and the like. The conjugate will normally constitute about 0.01% to 10% by weight of the formulation. The conjugate is administered to an individual in a "therapeutically effective amount", i.e., an amount sufficient to produce B cell anergy to the involved immunogen and effect prophylaxis, improvement or elimination of the antibody-mediated condition being addressed. The particular dosage regimen, i.e., dose, timing and repetition, will depend on the particular individual and that individual's medical history. Normally, a dose of about 10 µg to 1 mg conjugate/kg body weight will be given, daily for three consecutive days. Other appropriate dosing schedules would be 3 doses per week, or one dose per week. Repetitive administrations, normally timed according to B cell turnover rates, may be required to achieve and/or maintain a state of humoral anergy. Such repetitive administrations will typically involve treatments of up to 1 mg/kg of body weight every 30 to 60 days, or sooner, if an increase in antibody titer is detected. Alternatively, sustained continuous release formulations of the conjugates may be indicated for some pathologies. Various formulations and devices for achieving sustained release are known in the art. Anti-T helper cell treatments may be administered together with the conjugates. Such treatments usually employ agents that suppress T cells such as steroids or cyclosporin. The following examples are intended to further illustrate the invention and its uniqueness. These examples are not intended to limit the scope of the invention in any manner. Example 1 B Cell Anergy to the Acetylcholine Receptor Preparation of Peptides and D -EK/Peptide Conjugates: The α-subunit of the acetylcholine receptor of Torpedo californicus is described by Stroud, R.M., and Finer-Moore, J., Ann. Rev. Cell Biol. (1985) 1 :317:351, and Sumikawa, K., et al., Nucl. Acids Res. (1982) 10 :5809-22. The peptide defined by residues 47-127 of that α-subunit is called the major immunogenic region (MIR). Two peptides, L-42 and L-53, corresponding to residues 61-77 and 112-127 of that α-subunit, were synthesized using conventional solid-phase methods and purified to homogeneity by HPLC. An amino terminal cysteine was added to each sequence for the purpose of attachment of the peptide to D -EK via a thio ether linkage. Each peptide (40 mg) was dissolved in 0.1M sodium borate buffer, pH 9.0. The solution was reacted with citraconic anhydride (400 µL) at room temperature; the pH was maintained above 7.0 by addition of 1M NaOH. The solution was then made 20 mM in dithiothreitol and was warmed at 37°C for 20 minutes to reduce the peptide. The mixture was quickly desalted over G-10 Sephadex® columns which were equilibrated with 0.1M sodium borate, pH 7.0. D -EK (200 mg, weight average mw ≃ 10,000 - 30,000) was dissolved in 2.0 mL of 0.1M sodium borate. Sulfosuccinimidyl (4-iodoacetyl) aminobenzene (SSIAB, 10 mg, Pierce Chemical) was added to the mixture and the mixture was reacted for 90 minutes at room temperature in the dark. The mixture was then desalted over a 10 mL G-25 column, equilibrated with 0.1M sodium borate, pH 7.0. The desalted SSIAB- D -EK was mixed with the reduced and desalted peptide and reacted overnight. The resulting conjugate was placed in dialysis tubing with a 14 Kd cutoff and was dialyzed against 5% acetic acid to remove citraconyl groups. The dialysis buffer was changed to phosphate-buffered saline and the dialysis continued. Detection of B cell epitopes: CAF1 mice were immunized (day 0) intraperitoneally (i.p.) with 50 µg of recombinant torpedo MIR absorbed onto alum plus B. pertussis vaccine (Iverson, G.M., (1986) Handbook of Experimental Immunology , Vol. 2, p. 67, D.M. Weir ed., Blackwell Scientific Publications, Palo Alto, CA). The mice received a booster injection of the same protein in saline, IP, on day 21 and were bled from the tail vein on day 28. Sera from these mice (anti-MIR sera) were used to screen peptides L-42 and L-53 for the presence of B cell epitopes, as follows. The sera were added to microtiter wells coated with 10 µg/ml of the indicated peptide conjugates. The plates were incubated at 37°C for one hour, washed 3 times, 100 µl of alkaline phosphatase-conjugated goat antimouse antibody was added, incubated at 37°C for one hour, washed 3 times, and 100 µl of developer (substrate) was added to each well. The plates were incubated at room temperature for 30 minutes and the amount of color in each well was determined in a Titertek® Multiskan. Results are illustrated graphically in Figure 1. The curve labelled "L42 or L53, NMS" contains the values obtained using normal mouse serum (NMS) instead of the anti-MIR sera on plates coated with either L42 or L53. As shown in Figure 1, both peptides reacted specifically with antibodies from the immunized mice indicating the presence of B cell epitopes on both peptides. Detection of T cell epitopes: T cell activation was assayed by the general procedure of Bradley, M.L., (1980) in Mishell and Shigii, eds., Selected Methods in Cellular Immunology (W.H. Freeman and Co., San Francisco, CA), p. 164. CAF1 mice were immunized on the footpad with 50 µg MIR in Complete Freund's Adjuvant (CFA) on day 0. On day 7 the popliteal lymph nodes were removed and placed in culture in microtiter plates using 5 x 10 5 cells per well. The peptides or peptide-DEK conjugate were added to the cultures, and on day 4, 1 µCi of tritiated thymidine was added to each well to measure proliferation of T cells. The cultures were harvested on day 5 with a Skatron® cell harvester. The amount of incorporated 3 H-thymidine was determined in a Beckman L6800® liquid scintillation counter. The stimulation index was calculated by dividing the CPM incorporated with peptide by the CPM incorporated from cultures without any peptide. A stimulation index > 1 was indicative of the presence of a T cell epitope on the peptide added to the well. As shown in Figure 2, L-42 but not L-53 possessed T cell epitopes in this assay. Induction of B Cell Anergy to L-53 by L-53/ D -EK Conjugate: CAF1 mice were immunized with 50 µg of MIR, i.p., absorbed onto alum plus B. pertussis vaccine on day 0. On days 21, 22 and 23 the mice (6 mice per group) received 10 or 100 µg of either L-42- D -EK conjugate or L-53- D -EK conjugate. One group received only saline. On day 28 all mice received a booster injection of MIR in saline and on day 35 all mice were bled and assayed for the presence of antibodies to L-42 and L-53 in their sera, using an ELISA assay as described above with respect to Figure 1. The results for antibodies to L42 are shown in Figure 3A and for antibodies to L53 are shown in Figure 3B. The L-53 conjugate suppressed antibody formation to L-53 but not to L-42. The L-42 conjugate did not suppress the antibody response to either L-42 or L-53 but rather may have increased antibody production to L-42. The antibody titers are expressed as a percent of a standard sera. The P values were determined by a standard t test comparing each dose to the saline control. Example 2 Failure of Ovalbumin-D-EK Conjugate to Induce B Cell Anergy to Ovalbumin This example is further evidence that conjugates of immunogens and D -EK do not induce B cell anergy. Synthesis of Ovalbumin-D-EK Conjugate: Chicken egg ovalbumin (50 mg) was dissolved in 5 mL of 0.1M sodium borate buffer, pH 9.0, containing 10 mM EDTA. After the addition of 3.0 mg of 2-iminothiolane (Traut's reagent), the mixture was reacted for 2.5 hours at room temperature. D -EK (54 mg), dissolved in 0.5M sodium borate, pH 9.0, at a concentration of 100 mg/mL, was reacted with SSIAB (18 mg; Pierce Chemical) for 2.5 hours in the dark, at room temperature. The two reaction mixtures described above were desalted separately on G-25 columns (Pharmacia; 10 mL column volume, equilibrated with 0.1M sodium borate, pH 9.0) and the excluded fractions were combined and reacted for 16 hours at 4°C, in the dark. The reaction product was fractionated by gel filtration over Sephacryl S-200® (490 mL, Pharmacia) columns, equilibrated with 0.2M ammonium bicarbonate. Fractions containing conjugate, as assessed by polyacrylamide gel electrophoresis, in the presence of sodium dodecyl sulfate (SDS-PAGE), were pooled and dried under vacuum. The dried material was reacted with 0.8 mL of citraconic anhydride, maintaining the pH between 7 and 9 by the addition of 1M NaOH, in order to efficiently separate conjugated ovalbumin from unreacted protein. The citraconylated conjugate was rechromatographed over S-200, and fractions containing high molecular weight material (> 80,000 daltons), as assessed SDS-PAGE, were used for biological studies. Chicken ovalbumin, when conjugated to D -EK, does not induce B cell anergy in mice immunized to chicken ovalbumin: Female CAF 1 mice were primed with chicken ovalbumin (ova; 100 µg/mouse, i.p.) precipitated on alum, with B. pertussis vaccine added as an adjuvant. Sixteen weeks later, the mice were divided into two groups of six mice each. One group (control) was treated with saline, and the second group was injected with a conjugate of ova and D -EK (ova- D -EK; 200 µg/mouse/day, i.p.). The mice were dosed on three successive days. One week after the first dose, the mice in both groups were boosted, i.p., with ova in saline (100 µg/mouse). One week later, the mice were bled from a tail vein. The plasma was harvested and assayed for the amount of anti-ova antibodies by an ELISA assay. As shown in Table 1, the ova- D -EK conjugate did not suppress the anti-ova response. Group Treatment Percent of Anti-Ova Standard Serum ± S.D. 1 saline 70.7 ± 36 2 ova- D -EK 160.2 ± 167 Example 3 Failure of MIR-D-EK Conjugate to Induce B Cell Anergy to MIR This example is still further evidence that conjugates of immunogens and D -EK do not induce B cell anergy. Synthesis of MIR- D -EK Conjugate: MIR was modified on its carboxyl-terminus to include a sequence of 8-amino acids (Arg-Ser-Lys-Ser-Lys-Ser-Lys-Cys (SEQ. ID NO.: 1)). The amino-terminus was extended by one amino acid, proline. Purified modified MIR (250 mg) was reduced with 100 mM dithiothreitol and was desalted over Sephadex G-25 (Pharmacia), equilibrated with 0.1 M sodium borate buffer, pH 9.0, containing 10 mM EDTA. D -EK (400 mg) was reacted with SSIAB (29 mg) as in the previous examples. The product was desalted over G-25. The excluded volumes from the modified MIR and D -EK G-25 column runs were combined and reacted at 4°C for 16 hours, in the dark. Excess SSIAB groups were quenched with 2-mercaptoethanol, and the reaction mixture was concentrated to 20 mL over a PM-10 membrane (Amicon Corporation). The mixture was treated with 1.0 mL of citraconic anhydride and chromatographed over S-300 (Pharmacia; 1.8 L), equilibrated with 5% ammonium hydroxide. Fractions containing two or more modified MIR groups per D -EK, as assessed by SDS-PAGE, were pooled and used for biological studies. MIR- D -EK conjugate contains T cell epitopes in rats immunized with MIR from the same species: T cell activation was assayed by the general procedure of Bradley, supra . Female Lewis rats were immunized in the footpad with MIR (50 µg) in complete Freund's adjuvant (CFA) on day 0. On day 7, the popliteal lymph nodes were removed and placed in culture in microtiter plates using 5·10 5 cells per well. MIR- D -EK was added, and, after four days of culture, the wells were pulsed with tritiated thymidine (1-µCi) to measure proliferation of T cells. The cultures were collected after 5 days of culture with a Skatron™ cell harvester. The amount of incorporated 3 H-thymidine was determined by scintillation spectrometry. The stimulation index was calculated by dividing the counts incorporated in the absence of the conjugate. A stimulation index of greater than 1 was considered indicative of the presence of a T cell epitope on the added conjugate. The stimulation index was 4 or greater at all concentrations of MIR- D -EK tested (10 µg/mL to 400 mg/mL). This proves that T cells from MIR-immunized rats recognize T cell epitopes on the MIR- D -EK conjugate in this assay. MIR- D -EK does not induce B cell anergy in rats immunized with MIR: Female Lewis rats were primed with MIR (100 µg/rat) in CFA. Six months later, the rats were divided into three groups of three rats each. One group was treated with saline (control) and the other two groups were treated with MIR- D -EK (100 µg/rat, i.p.) on three successive days. After one week, the rats in the control group and one group that had been treated with MIR- D -EK were boosted with recombinant MIR (1000 µg/rat, i.p.) in saline. One week later, all three groups of rats were bled from the tail vein. The plasma was harvested and assayed for the amount of anti-MIR antibodies by an ELISA assay. Table 2 below reports the data from those assays. Group Treatment MIR Boost µg/ml anti-MIR (mean ± S.D.) P vs. Group 1 1 Saline Yes 130.5 ± 74.7 2 MIR- D -EK Yes 85.5 ± 31.1 0.195 3 MIR- D -EK No 230.6 ± 31 0.049 As shown in Table 2, the data on Group 1 animals (saline control) indicate that MIR itself is an immunogen. The data for the Group 2 and 3 animals indicate that the MIR- D -EK conjugate did not affect the anti-MIR response. In fact, MIR- D -EK boosted the anti-MIR response in Group 3. Example 4 Tests with Conjugate of L-42 and KLH These tests, taken together with the results of Example 1 show that the moiety conjugated to D -EK will cause anergy in B cells recognizing that moiety if the moiety either does not contain a T cell epitope or is not recognized by T cells. Synthesis of L42 peptide-KLH conjugate: Reduced L-42 (see Example 1) was conjugated to keyhole limpet hemocyanin (KLH) using thioether chemistry similar to that described above with respect to D -EK. L-42 lacks a T cell epitope(s) in mice immunized with L-42-KLH: Activation of T cells by peptides was measured by the general procedure of Bradley, supra . Female CAF 1 mice were immunized in the footpad with L-42 peptide conjugated KLH (L-42-KLH; 50 µg) in CFA on day 0. On day 7, the popliteal lymph nodes were removed and placed in culture in microtiter plates, at a cell density of 5·10 5 cells/well. Peptides were added, and, after four days of culture, the wells were pulsed with 1 µCi of tritiated thymidine to measure proliferation of T cells. The cultures were collected after 5 days of culture with a Skatron™ cell harvester. The amount of incorporated 3 H-thymidine was determined by scintillation spectrometry. The stimulation index was calculated by dividing the counts incorporated in the absence of peptide. An index of greater than 1 is indicative of the presence of a T cell epitope on the added peptide. The data in Figure 4 demonstrate that the L-42 did not stimulate the growth of T cells taken from L-42-KLH-immunized mice, and therefore did not contain an epitope(s) recognized by T-cells induced by immunization with L-42-KLH. L-42- D -EK conjugate induces a B cell anergy in mice immunized to L-42-KLH: CAF 1 mice were primed with 100 µg/mouse of L-42-KLH on alum plus B. pertussis vaccine as an adjuvant. Three weeks later, the mice were divided into groups of six mice each. One group was treated by i.p. injections on three successive days with saline (control); the other groups were similarly treated with L-42- D -EK (50 µg/mouse, i.p.), and, after a wait of one week, they were bled from the tail vein. The plasma was harvested and assayed for the amount of anti-L-42 and anti-KLH antibodies by ELISA assays. Data are expressed as a percent of a standard serum. An asterisk indicates that a data point was significantly different from the control as determined by a standard t test. The data in Figure 5 demonstrate that the L-42 response, but not the anti-KLH response, was suppressed in this assay by the L-42- D -EK conjugate. Thus, the studies summarized in Example 1 and these data demonstrate the L-42- D -EK induces B cell anergy when the mice are immunized in a manner that does not induce the proliferation of T cell clones that recognize the L-42 peptide. On the other hand, L-42- D -EK did not induce B cell anergy in animals that were immunized with an immunogen (MIR) which induced T cells that recognized the L-42 peptide.

Claims: Claims for the following Contracting States : AT, BE, CH, DE, DK, FR, GB, IT, LI, LU, MC, NL, PT, SE A conjugate for inducing specific B cell anergy to an immunogen comprising a nonimmunogenic biologically stable polymer and an analog of the immunogen that (a) binds specifically to B cells to which the immunogen binds specifically and (b) lacks a T cell epitope. A conjugate according to claim 1 wherein the immunogen is an external immunogen. A conjugate according to claim 2 wherein the external immunogen is a biological drug, an allergen, or an idiopathic contrast medium. A conjugate according to claim 1 wherein the immunogen is a self-immunogen. A conjugate according to claim 4 wherein the self immunogen is that associated with thyroiditis, diabetes, stroke, male infertility, myasthenia gravis, rheumatic fever, or Rh hemolytic disease. A conjugate according to claim 1 wherein the immunogen and analog are of the same chemical class. A conjugate according to claim 6 wherein the immunogen and the analog are polypeptides. A conjugate according to claim 1 wherein the immunogen and the analog are of different chemical classes. A conjugate according to any preceding claim wherein the polymer is a copolymer of D -lysine and D -glutamic acid. A conjugate according to any of claims 1 to 8 wherein the polymer is polyethylene glycol. A pharmaceutical composition for treating an antibody-mediated pathology comprising a therapeutically effective amount of a conjugate according to any preceding claim combined with a pharmaceutically acceptable carrier. A conjugate according to any preceding claim for use in a method of treatment of the human or animal body for anergy to an immunogen. A conjugate according to any of claims 1 to 10 for use in a method of treatment of the human or animal body for antibody-mediated pathology in which undesired antibodies are produced in response to an immunogen. The use of a conjugate according to any of claims 1 to 10 for the manufacture of a medicament for: (a) treating anergy to an immunogen; or (b) treating antibody-mediated pathology in which undesired antibodies are produced in response to an immunogen. A process for preparing a conjugate for inducing specific B cell anergy to an immunogen implicated in an antibody-mediated pathology, the conjugate comprising a nonimmunogenic biologically stable polymer and an analog of the immunogen wherein (i) the analog binds specifically to B cells to which the immunogen binds specifically and (ii) the conjugate lacks a T cell epitope, the method comprising coupling the analog to the nonimmunogenic polymer. A process according to claim 15 wherein the conjugate is as defined in any of claims 1 to 10. A process for preparing a formulation for inducing specific B cell anergy to an immunogen implicated in an antibody-mediated pathology, the formulation comprising a pharmaceutically acceptable carrier and a conjugate of a nonimmunogenic biologically stable polymer and an analog of the immunogen wherein (1) the analog binds specifically to B cells to which the immunogen binds specifically and (ii) the conjugate lacks a T cell epitope, the method comprising combining the conjugate with the pharmaceutically acceptable carrier. Claims for the following Contracting States : ES, GR A process for preparing a conjugate for inducing specific B cell anergy to an immunogen implicated in an antibody-mediated pathology, the conjugate comprising a nonimmunogenic biologically stable polymer and an analog of the immunogen wherein (i) the analog binds specifically to B cells to which the immunogen binds specifically and (ii) the conjugate lacks a T cell epitope, the method comprising coupling the analog to the nonimmunogenic polymer. A process according to claim 2 wherein the immunogen is an external immunogen. A process according to claim 2 wherein the external immunogen is a biological drug, an allergen, or an idiopathic contrast medium. A process according to claim 1 wherein the immunogen is a self-immunogen. A process according to claim 4 wherein the self-immunogen is that associated with thyroiditis, diabetes, stroke, male infertility, myasthenia gravis, rheumatic fever, or Rh hemolytic disease. A process according to claim 1 wherein the immunogen and analog are of the same chemical class. A process according to claim 6 wherein the immunogen and analog are polypeptides. A process according to claim 1 wherein the immunogen and analog are of different chemical classes. A process according to any preceding claim wherein the polymer is a copolymer of D -lysin and D -glutamic acid. A process according to any of claims 1 to 9 wherein the polymer is polyethylene glycol. A conjugate preparable by a process according to any preceding claim for use in a method of treatment of the human or animal body for anergy to an immunogen. A conjugate preparable by a process according to any of claims 1 to 10 for use in a method of treatment of the human or animal body for antibody-mediated pathology in which undesired antibodies are produced in response to an immunogen. The use of a conjugate preparable by a process according to any of claims 1 to 10 for the manufacture of a medicament for: (a) treating anergy to an immunogen; or (b) treating antibody-mediated pathology in which undesired antibodies are produced in response to an immunogen.

Inventors: BARSTAD PAUL ARLYN, IVERSON GILBERT MICHAEL, BARSTAD, PAUL ARLYN, IVERSON, GILBERT MICHAEL
Applicants: JOLLA PHARMA, LA JOLLA PHARMACEUTICAL
Application year: 1992
Main classification: A61K39
IPC codes: A61K39, C07K16, A61P37, A61K38, C07K17, A61K47, C07K7, C07K14