DIAGNOSTIC METHODS AND GENE THERAPY USING REAGENTS DERIVED FROM THE HUMAN METASTASIS SUPPRESSOR GENE KAI1

Abstract: The isolation and characterization of a metastasis tumor suppressor gene KAI1 is disclosed and diagnostic methods and gene therapy approaches utilizing reagents derived from the nucleotide and deduced amino acid sequences of the KAI1 gene are provided.

Description: ° Title of Invention DIAGNOSTIC METHODS AND GENE THERAPY USING REAGENTS DERIVED FROM THE HUMAN METASTASIS SUPPRESSOR GENE KAIl . 5 Field of Invention This invention is in the field of cancer diagnostics and therapeutics. In particular, this invention relates to detection of alterations of wild-type KAIl gene sequence, KAIl tnRNA and KAIl protein useful in 0 determining the presence of malignant cancer in a subject or a genetic predisposition to malignancy in a subject. The invention further relates to the use of gene therapy to restore the wild-type KAIl gene product. 5 Background of Invention It has been widely accepted that carcinogenesis is a multistep process involving genetic and epigenetic changes that dysregulate molecular control of cell proliferation and differentiation. The genetic changes 0 can include activation of proto-oncogenes and/or the inactivation of tumor suppressor genes that can initiate tumorigenesis as well as lead to the progression of tumors. For example, the tumor suppressor gene p53 may be involved in late stages of colorectal carcinomas (Baker, 5 S.J. et al., (1989) Science. 244: 217-221) and a putative metastasis suppressor gene, nm23, was found down-regulated in etastatic tumors versus nonmetastatic tumors (Steeg, P.S. et al., (1988) J. Natl. Cane. Inst.. 80:200-204). In addition, the activation of ras oncogene and the Q amplification of N-myc have been associated with progression of human tumors such as breast carcinomas (Liu, E. et al., (1988) Oncogene 3:323-327); and neuroblastomas (Brodeur, G.M. et al. , (1984) Science. 224:1121-1124; Schwab, M. et al. , (1984) Proc. Natl. Acad. 5 Sci. U.S.A. , 81:4940-4944) but they are unlikely to be ° universal determinants of tumor progression (Nicolson, G.L. Bio Essays. 13:337-342 (1991) . However despite these advances in understanding the genetic changes underlying carcinogenesis, metastasis, which is the main cause of death for most cancer patients 5 (Rosenberg, S.A., Surgical Treatment of Metastasis Cancer (Lippincott, Philadelphia PA 1987)), remains one of the most important but least understood aspects of cancer (Liotta, L.A. et al. (1991) Cell. 64:327-336; Nicolson, G.L. (1991) BioEssavs. 13:337-342 and Steeg, P.S. (1992) 10 Curr. Opin. Oncol.. 4:134-141). Accordingly, the isolation of metastasis tumor suppressor genes is of great importance for the diagnosis and therapy of cancers. Cell fusion studies by Ramshaw et al. ((1983) Int. J. Cancer. 32:471-478) in which hybridization of non- 15 metastatic and metastatic tumor cells produced cell hybrids which are tumorigenic but no longer metastatic demonstrated the existence of metastasis suppressor genes. More recently, Ichikawa et al. (1991) Cancer Res.. 51:3788-3792) demonstrated that the metastatic ability of 20 rat prostatic cancer cells was suppressed when fused to non-metastatic cancer cells and that the reexpression of metastasis was associated with the consistent loss of a normal rat chromosome. A subsequent study using micro- cell-mediated chromosome transfer further mapped a 25 putative human metastasis suppressor gene to the llpll.2- 13 region of human chromosome 11. (Ichikawa et al. (1992) Cancer Res.. 52:3486-3490) In this study, these researchers demonstrated that a hybrid retaining human chromosome llcent-pl3 showed a suppression of metastasis 30 while hybrids retaining llcent-pll.2 did not. In sum, the data presented in the Ichikawa et al. papers suggested that a putative suppressor gene in the pll.2-13 region of human chromosome 11 may play a role in metastasis. However to date, no gene has been •-.«■ identified in this region which is a candidate metastasis suppressor gene. Thus, there is a need in the art to identify such gene(s) in this chromosome region and to determine if any such gene(s) is associated with metastasis. Summary of Invention The present invention relates to methods for detecting alterations of the wild-type KAIl gene where detection of such alterations is useful in determining the presence of a malignant cancer in a subject or a genetic predisposition to malignancy in a subject. A first method for detecting alterations of the wild-type KAIl gene comprises analyzing the DNA of a subject for mutations of the KAIl gene. A second method for detecting alterations of the KAIl gene comprises analyzing the RNA of a subject for mutations and altered expression of the mRNA product of the KAIl gene. The present invention therefore provides nucleic acid probes for detection of alterations of the wild-type KAIl gene. The present invention further provides a diagnostic kit containing purified and isolated nucleic acid sequences useful as PCR primers in analyzing RNA or DNA of a subject for alterations of the wild-type KAIl gene. These PCR primers can also be used to determine the nucleotide sequence of KAIl alleles. A third method for detecting alterations of the wild-type KAIl gene comprises analyzing protein of a subject for alterations in the expression of KAIl protein. The invention therefore relates to antibodies to the KAIl protein and to a diagnostic kit containing antibodies to KAIl protein useful for detecting alterations in KAIl protein expression in a subject. The present invention further provides a method for supplying the wild-type KAIl gene to a cell having altered expression of the KAIl protein, the method comprising: introducing a wild-type KAIl gene into a cell having altered expression of KAIl protein such that the wild-type gene is expressed in the cell. Description of Figures Figure 1 shows the results of a Northern blot of mRNA from normal tissue (human prostate) and from both metastatic (AT6.1, AT6.1-11-2 and AT6.1-11-3) and non- metastatic (AT6.1-11-1*) tumor cells. 2 μg of poly A + RNA per sample was loaded in each lane and the blots were hybridized sequentially with KAIl cDNA and rat 0-actin probes. The asterisk (*) identifies the hybrid AT6.1-11-1 that contained the llpcen-pl3 region and was suppressed in metastatic ability. Figure 2 shows the results of Southern blot analysis of DNA isolated from human placenta, rodent cells (A9 and AT6.1) and human-rodent microcell hybrids (A9- llneo, AT6.1-11-1 * , AT6.1-11-2 and AT6.1-11-3). For each sample, 15 μg of DNA was digested with Hind III, separated on a 1.2% agarose gel and hybridized to a KAIl cDNA probe. As in Figure 1, the asterisk (*) identifies the hybrid AT6.1-11-1 that contained the llpcen-pl3 region and was suppressed in metastatic ability. Figure 3 shows the nucleotide (upper line) and deduced amino acid (lower line) sequences of the KAIl cDNA where the abbreviations for the amino acid residues are: A, Ala; C, Cys; D, Asp; E, Glu; F, Phe; G, Gly; H, His; I, lie; K, Lys; L, Leu; M. Met; N, Asn; P, Pro; Q, Gin; R, Arg; S, Ser; T, Thr; V, Val; W, Trp; Y, Tyr. The four putative transmembrane domains are noted by a dotted underline and the potential N-linked glycosylation sites are doubly underlined. Figure 4 shows the results of Northern blot analysis of 15 μg of total RNA isolated from human normal prostate tissue and from cell lines derived from human metastatic prostate cancers. The blot was hybridized sequentially with KAIl and human β-actin probes. Figure 5 shows the results of Northern blot analysis of 2 μg of poly A + RNA prepared from the various human tissues indicated at the top of Figure 5. The blot was hybridized sequentially with KAIl and human 3-actin probes. Figure 6 shows the results of a "zoo" blot of EcoRI-digested genomic DNA of the various species indicated at the top of Figure 6. The blot was hybridized with KAIl probe. Detailed Description of Invention The present invention relates to the cloning and characterization of a metastasis suppressor gene on human chromosome 11. The nucleotide and deduced amino acid sequences of this gene, designated KAIl herein, are shown in Figure 3. The nucleotide sequence shown in Figure 3 was cloned from a metastasis suppressed cell hybrid clone AT6.1-11-1* and represents the wild-type KAIl sequence. A search of the KAIl cDNA sequence in GenBank and EMBL databases revealed that the KAIl cDNA sequence is identical to three cDNA clones from human lymphocytes, designated C33, R2 and IA4 by different laboratories (Imai, T. et al . (1992) J. Immunol . . 149, 2879-2886 (1992); Fukudome, K. et al . (1992) J. Virol. ■ 66, 1394-1401 (1992); Gaugitsch, H. W., et al. (1991) Eur. J. Immunol . . 21, 377-383 (1991); Gil, M. L. et al. (1992) J. Immunol.. 148, 2826-33 (1992)). C33 is associated with the inhibition of virus-induced syncytium formation (Imai, T. et al . (1992); Fukudome, K. et al . (1992)); R2 is strongly up-regulated in mitogen-activated human T cells (Gaugitsch, H. W., et al. (1991)), and IA4 is highly expressed in several B lymphocyte lines (Gil, M. L. et al. (1992)). However, none of these three clones were suggested to function in metastasis and the function of the protein encoded by these clones was not known prior to the present invention. The present invention further relates to association of alterations of the wild-type KAIl gene with metastasis. Accordingly, the present invention relates to methods for detecting alterations of the wild-type KAIl gene in a subject where such methods can provide diagnostic and prognostic information. For example, since loss of expression of the KAIl gene has been observed in metastatic prostate tumors, these are tumors in which KAIl has a role in metastasis. Thus, detection of alterations of the wild-type KAIl gene in a subject may effect the course of treatment chosen by a clinician. In addition, since KAIl is expressed in all tissues tested including spleen, thymus, prostate, testes, ovary, small intestine, colon, blood leukocyte, heart, brain, placenta, lung, liver, skeletal muscle, kidney and pancreas, alterations of the wild-type KAIl gene may contribute to metastasis in these tissues. It is further understood by those of ordinary skill in the art that the methods of the present invention are applicable to any tumor in which alterations of wild- type KAIl occur. Moreover, the methods of detection disclosed in the present invention can be used prenatally to screen a fetus or presymptomatically to screen a subject at risk of having cancer based on his/her family history. For purposes of the present invention, subject means a mammal. According to the diagnostic methods of the present invention, alterations of the wild-type KAIl gene are detected. "Alterations of the wild-type KAIl gene" as used throughout the specification and claims encompasses mutations of the wild-type KAIl gene where such mutations include deletions, inversions, insertions, transversions or point mutations of the wild-type KAIl gene. It is believed that many mutations found in tumor tissues will be those leading to decreased expression of KAIl protein. However, mutations leading to non-functional gene products can also lead to malignancy. It is further understood that point mutations can occur in regulatory regions (e.g. promoter) or can disrupt proper RNA processing thus leading to loss of expression of the KAIl gene products respectively. "Alterations of the wild-type KAIl gene" as used throughout the specification and claims can also be detected on the basis of altered expression of the wild- tv P e KAIl-specific mRNA and KAIl protein. The altered expression of these KAIl gene products may be detected as a loss or reduction in the levels of KAIl mRNA and protein relative to wild-type levels. Alternatively, the altered expression of KAIl protein can encompass a loss of function of the KAIl protein. Those of ordinary skill in the art would therefore understand that altered expression of the KAIl gene products may be caused by a variety of events, including but not limited to, mutations of the wild-type KAIl gene, changes in the posttranslational modification of the KAIl protein (e.g. glycosylation) or loss of a trans-acting factor necessary for transcription of the KAIl gene. Provided with the KAIl cDNA and deduced amino acid sequences shown in Figure 3, design of particular probes useful in detecting alterations of the wild-type KAIl gene is well within the skill of the ordinary artisan. In one embodiment of the invention, the method for detecting alterations of the KAIl gene comprises analyzing the DNA of a subject for mutations of the wild- type KAIl gene. For analysis of DNA, a biological specimen is obtained from the subject. Examples of biological specimens that can be obtained for use in the present methods include, but are not limited to, tissue biopsies, whole blood, lymphocytes and tumors. Means for enriching a tissue preparation for tumor cells are known in the art. For example, the tissue may be isolated from paraffin or cryostat sections. Cancer cells may also be separated from normal cells by flow cytometry and other techniques well known in the art. Alternatively, primary cell cultures can be established from tumor biopsies using methods known to those of ordinary skill in the art. The DNA isolated from the biological specimen can be analyzed for mutations of the wild-type KAIl gene by a variety of methods including, but not limited to, Southern blotting after digestion with the appropriate restriction enzymes (restriction fragment length polymorphism, RFLP) (Botstein, D. (1980) Amer. J. Hum. Genet.. 69:201-205, denaturing gradient electrophoresis technique (Myers, R.M. , (1985) Nature, 313:495-498), oligonucleotide hybridization (Conner, R. et al. , (1984) EMBO J.. 3:13321-1326), RNase digestion of a duplex between a probe RNA and the target DNA (Winter, E. et al. , (1985) Proc. Natl. Acad. Sci. U.S.A.. 82:7575-7579), polymerase chain reaction (PCR) (Saiki, P.K. et al. , (1988) Science. 239:487-491; U.S. Patents 4,683,195 and 4,683,202), ligase chain reaction (LCR) (European Patent Application Nos. 0,320,308 and 0,439,182), and PCR-single stranded conformation analysis (PCR-SSCP) (Orita, M. et al. (1989) Genomics. 5:874-879; Dean, M. et al. (1990) Cell. 61:863-871) . In one preferred embodiment, Southern blot analysis can be used to examine DNA isolated from a subject for gross rearrangement of the KAIl gene. The DNA to be analyzed via Southern analysis is digested with one or more restriction enzymes. Following restriction digestion, resultant DNA fragments are separated by gel electrophoresis and the fragments are detected by hybridization with a labelled nucleic acid probe (Southern, E.M. (1975) J. Mol. Biol.. 98:503-517). The nucleic acid sequence used as a probe in Southern analysis can be labeled in single-stranded or double-stranded form. Labelling of the nucleic acid sequence can be carried out by techniques known to one skilled in the art. Such labelling techniques can include radiolabels and enzymes (Sambrook, J. et al . (1989) in "Molecular Cloning, A Laboratory Manual", Cold Spring Harbor Press, Plainview, New York) . In addition, there are known non-radioactive techniques for signal amplification including methods for attaching chemical moieties to pyrimidine and purine rings (Dale, R.N.K. et al. (1973) Proc. Natl. Acad. Sci.. 70:2238-2242; Heck, R.F. 1968) S. A . Chem. Soc.. 90:5518-5523) , methods which allow detection by chemiluminescence (Barton, S.K. et al . (1992) J. Am. Chem. Soc.. 114:8736-8740) and methods utilizing biotinylated nucleic acid probes (Johnson, T. K. et al. (1983) Anal. Biochem.. 133:126-131; Erickson, P.F. et al . (1982) J. of Immunology Methods. 51:241-249; Matthaei, F.S. et al. (1986) Anal. Biochem.. 157:123-128) and methods which allow detection by fluorescence using commercially available products. Each of the nucleic acid sequences used as a probe in Southern analysis is derived from the wild-type KAIl gene. Preferred probes are derived from having the cDNA sequence shown in Figure 3. Once the separated DNA fragments are hybridized to the labelled nucleic acid probes, the restriction digest pattern can be visualized by autoradiography and compared with the restriction digest pattern of the wild- type KAIl gene. The presence or absence of a restriction fragment length polymorphism (RFLP) in the restriction pattern of the subject's DNA relative to the wild-type restriction pattern indicates an alteration of the wild- type KAIl gene. In another preferred embodiment, genomic DNA may be analyzed for mutations in the wild-type KAIl gene via PCR-SSCP. In this method, each of the pair of primers selected for use in PCR are designed to hybridize with sequences in the wild-type KAIl gene to permit amplification and subsequent detection of mutations in the denatured amplification product via non-denaturing polyacrylamide gel electrophoresis. In one embodiment, primer pairs are derived from the KAIl cDNA sequence shown in Figure 3. In another embodiment, primer pairs useful in the analysis of genomic DNA mutations of the wild-type KAIl gene may be derived from intronic sequences which border the 5' and 3' ends of a given exon of the KAIl gene. Examples of primer pairs permitting specific amplification of specific exons of the KAIl gene include: SEQ ID NO:l: AGAAGATCAAGTTGAAGAGG SEQ ID NO:2 : GGGACCTCATTTCCTAGCTG SEQ ID NO:3: ATGAAACTGCTCTTGTCGG SEQ ID NO:4: TCAGCTCTTGGCTCCCCATT SEQ ID NO:5: TGGGCACGGGTTTCAGGAAAT SEQ ID NO:6: TGCAGAGAGCCCCAAATGCA SEQ ID NO:7: AGGGTGAGCCGTGAGCACAA SEQ ID NO:8: TGCTGAGAGTACCCAGATGC SEQ ID NO:9 : GATGGCCACACCCACGCCC SEQ ID NO:10 TGCATGGAGAAGGTGCAGGC SEQ ID NO:11 CCTCTTGCCCACCCTGACTGA SEQ ID NO:12 TTCACACCATTCTCCTGCCT where SEQ ID NOS-.l and 2 bound exon 3; SEQ ID NOS:3 and 4 bound exon 4; SEQ ID NOS: 5 and 6 bound exon 6; SEQ ID NOS:7 and 8 bound exon 7; SEQ ID NOS:9 and 10 bound exon 8; and SEQ ID NOS:11 and 12 bound exon 9. Each primer of a pair is a single-stranded oligonucleotide of about 15 to about 50 base pairs in length which is complementary to a sequence at the 3' end of one of the strands of a double-stranded target sequence. Optimization of the amplification reaction to obtain sufficiently specific hybridization to the KAIl gene sequence is well within the skill in the art and is preferably achieved by adjusting the annealing ° temperature. In yet another embodiment, RNA may be analyzed for mutations in the KAIl gene by RT-PCR-SSCP. In this method, single stranded cDNA is prepared from either total RNA or polyA + -enriched RNA using reverse transcriptase. In this method, each of the pairs of primers selected for use in PCR of the resultant single- stranded cDNA are designed to hybridize with sequences in the KAIl cDNA which are an appropriate distance apart (at least about 100-300 nucleotides) in the gene to permit amplification and subsequent detection of mutations in the denatured amplification product via non-denaturing polyacrylamide gel electrophoresis. Such primer pairs can be derived from the KAIl cDNA sequence set forth in Figure 3. Each pair comprises two such primers, complementary to sequences on each strand separated by generally about 100 to about 300 base pairs. The primers of this invention can be synthesized using any of the known methods of oligonucleotide synthesis (e.g., the phosphodiester method of Agarwal et al. (1972) Agnew. Chem. Int. Ed. Engl.. 11:451, the phosphotriester method of Hsiung et al . (1979) . Nucleic Acids Res.. 6:1371, or the automated diethylphosphoramidite method of Beuacage et al. (1981) . Tetrahedron Letters. 22:1859-1862) , or they can be isolated fragments of naturally occurring or cloned DNA. In addition, those skilled in the art would be aware that oligonucleotides can be synthesized by automated instruments sold by a variety of manuf cturers or can be commercially custom ordered and prepared. In one embodiment, the primers can be derivatized to include a detectable label suitable for detecting and/or identifying the primer extension products (e.g., biotin, avidin, or radiolabelled dNTP's) , or with a substance which aids in the isolation of the products of amplification (e.g. biotin or avidin) . The present invention therefore provides a diagnostic kit for detecting mutations of the KAIl gene. This diagnostic kit comprises purified and isolated nucleic acid sequences useful as hybridization probes or as PCR primers in analyzing DNA or RNA for alterations of the wild-type KAIl gene. In an alternative embodiment, nucleic acid probes can be selected to hybridize to mutant alleles of the KAIl gene. These allele-specific probes are useful to detect similar mutations in other subjects on the basis of hybridization rather than mismatches. Where such nucleic acid probes are primer pairs which hybridize to mutations in the KAIl gene sequence, these primer pairs can be used to amplify specific mutant gene sequences present in a biological sample via PCR. The amplification products of PCR can be detected either directly or indirectly. Direct detection of the amplification products is carried out via labelling of primer pairs. Labels suitable for labelling the primers of the present invention are known to one skilled in the art and include radioactive labels, biotin, avidin, enzymes and fluorescent molecules. The desired labels can be incorporated into the primers prior to performing the amplification reaction. A preferred labelling procedure utilizes radiolabelled ATP and T4 polynucleotide kinase (Sambrook, J. et al. (1989) in "Molecular Cloning, A Laboratory Manual", Cold Spring Harbor Press, Plainview, NY) . Alternatively, the desired label can be incorporated into the primer extension products during the amplification reaction in the form of one or more labelled dNTPs. In the present invention, the labelled amplified PCR products can be analyzed for mutations of the KAIl gene via separating the PCR products by non-denaturing polyacrylamide gel electrophoresis, denaturing polyacrylamide gel electrophoresis (PCR-SSCP) or via direct sequencing of the PCR-products. In yet another embodiment, unlabelled amplification products can be analyzed for mutations in the KAIl disease gene via hybridization with nucleic acid probes radioactively labelled or, labelled with biotin, in Southern blots or dot blots. Nucleic acid probes useful in this embodiment are those described earlier for Southern analysis. In a further embodiment, detection of point mutations may be accomplished by molecular cloning of the allele present in the tumor tissue using the cDNA sequence set forth in Figure 3 and sequencing that allele using techniques well known in the art. A second method for detecting alterations of the wild-type KAIl gene comprises analyzing the RNA of a subject for mutations and altered expression of KAI1- specific mRNA. For the analysis of RNA by this method, RNA can be isolated from, for example, a tumor biopsy sample obtained from said subject where said tumors include, but are not limited to, prostate tumors. The RNA to be analyzed can be isolated from blood or tumor biopsy samples as whole cell RNA or as poly(A) + RNA. Whole cell RNA can be isolated by methods known to those skilled in the art. Such methods include extraction of RNA by differential precipitation (Birnbiom, H.C. (1988) Nucleic Acids Res.. 16:1487-1497), extraction of RNA by organic solvents (Chomczynski, P. et al. (1987) Anal. Biochem.. 162:156-159) and extraction of RNA with strong denaturants (Chirgwin, J.M. et al. (1979) Biochemistry. 18:5294-5299). Poly(A) + RNA can be selected from whole cell RNA by affinity chromatography on oligo- d(T) columns (Aviv, H. et al. (1972) Proc. Natl. Acad. Sci.. 69:1408-1412). The methods for analyzing RNA for mutations and altered expression of KAIl-specific mRNA include Northern blotting (Alwine, J.C. et al. (1977) Proc. Natl. Acad. Sci., 74:5350-5354), dot and slot hybridization (Kafatos, F.C. et al. (1979) Nucleic Acids Res., 7:1541-1522), filter hybridization (Hollander, M.C. et al. (1990) Biotechniques; 9:174-179), S, analysis (Sharp, P.A. et al., (1980) Meth. Enzy ol. , 65:750-768), RNase protection (Sambrook, J. et al. (1989) in "Molecular Cloning, A Laboratory Manual", Cold Spring Harbor Press, Plainview, NY) , reverse-transcription polymerase chain reaction (RT- PCR) (Watson, J.D. et al. (1992) in "Recombinant DNA" Second Edition, W.H. Freeman and Company, New York) and RT-PCR-SSCP. Where expression of KAIl mRNA is measured, diminished KAIl mRNA expression is indicative of alteration of the wild-type KAIl gene. One preferred method for measuring alterations in the level of KAI1- specific mRNA expression is Northern blotting where the nucleic acid sequence used as a probe for detecting KAI1- specific mRNA expression is complementary to all or part of the KAIl cDNA sequence shown in Figure 3. A second preferred method for measuring, alterations in the level of KAIl-specific mRNA expression is detection of KAIl mRNA expression via hybridization of a nucleic acid probe derived from KAIl cDNA sequence to RT-PCR products generated from RNA isolated from a biological sample. A third method for detecting alterations of the wild-type KAIl gene comprises analyzing the protein of a subject for alteration of wild-type KAIl protein. In one embodiment, alteration of wild-type KAIl protein encompasses a loss or reduction in the level of expression of KAIl protein in a biological sample. Examples of immunoassays useful in determining the level of expression of KAIl protein include, but are not limited to, immunoprecipitation, radioimmunoassay, Western blot assay, immunofluorescent assay, enzyme immunoassay, chemiluminescent assay, immunohistochemical assay and enzyme-linked immunosorbent assay (ELISA) . In addition, the above immunoassays may be used in combination such as immunoprecipitation followed by Western blot. The above methods are described in Principles and Practice of Immunoassay. Price and Newman, eds., Stochton Press, 1991. Such assays may be a direct, indirect, competitive or noncompetitive immunoassay as described in the art (Oelbrick, N. (1984) J. Clin. Chem. Clin. Biochem.. 22:895-904) . The protein to be analyzed by such methods may be obtained from biological samples such as tumor biopsies and the protein can be obtained as a crude lysate or it can be further purified by methods known to those of ordinary skill in the art including immunoaffinity chromatography using antibodies to the KAIl protein (Sambrook, J. et al (1989) in "Molecular Cloning: A Laboratory Manual", Cold Spring Harbor Press, Plainview, NY) . Alternatively, levels of KAIl protein may be detected by immunohistochemistry of fixed or frozen tumor sections. For detection of KAIl protein by immunoassay, the present invention provides anti-KAIl antibodies where such antibodies may be polyclonal or monoclonal. If polyclonal antibodies are desired, serum containing polyclonal antibodies to KAIl protein can be used or the polyclonal antibodies can be purified from other antigens present in the serum by immunoaffinity chromatography. Alternatively, monoclonal antibodies directed against KAIl can readily be produced by one of ordinary skilled in the art. Methods of producing monoclonal or polyclonal antibodies are known to one of ordinary skilled in the art (Goding, J.W. (1983) monoclonal antibodies: Principles and Practice, Plodermic Press, Inc., NY, NY, pp. 56-97; Hum, B.A.L. et al. (1980) Meth. Enzvmol.. 70:104-141) . Suitable immunogens which may be used to produce the polyclonal or monoclonal antibodies of the present invention include cell lysate prepared from cells transfected with a recombinant KAIl protein, partially or substantially purified recombinant or native KAIl protein, or peptides derived from the KAIl amino acid sequence shown in Figure 3. When purification of the recombinant or native KAIl protein is desired, it can be accomplished by standard protein purification procedures known in the art which may include differential precipitation, molecular sieve chromatography, ion-exchange chromatography, isoelectric focusing, gel electrophoresis, affinity, and immunoaffinity chromatography and the like. In the case of immunoaffinity chromatography, the recombinant protein may be purified by passage through a column containing a resin which has bound thereto antibodies specific for the KAIl protein. In a preferred embodiment, the immunogen is a recombinantly produced KAIl protein or fragments thereof. Production of recombinant KAIl protein or a fragment thereof may be directed by a natural or synthetic nucleic acid sequence inserted into a suitable expression vector. A preferred nucleic acid sequence is the KAIl cDNA sequence shown in Figure 3. In one embodiment, restriction digest fragments containing the full-length cDNA or fragments thereof containing a coding sequence for KAIl can be inserted into a suitable expression vector. By suitable expression vector is meant a vector that can function in eukaryotic or prokaryotic cells and is capable of carrying and expressing a nucleic acid sequence encoding the KAIl protein or a fragment thereof. Such vectors and their use in producing recombinant proteins are known to those of ordinary skill in the art (Sambrook, J. et al. (1989) in "Molecular Cloning, A Laboratory Manual", Cold Spring Harbor Press, Plainview, NY) . The immunogen of the present invention can be used in a suitable diluent such as saline or water, or in complete or incomplete adjuvants. Further, the immunogen may or may not be bound to a carrier to make the protein immunogenic. Examples of such carrier molecules include but are not limited to bovine serum albumin (BSA) , keyhole limpet hemocyanin (KLH) , tetanus toxoid, and the like. The immunogen can be administered by any route appropriate for antibody production such as intravenous, intraperitoneal, intramuscular, subcutaneous, and the like. The immunogen may be administered once or at periodic intervals until a significant titer of anti-KAIl antibody is produced. The antibody may be detected in the serum using an immunoassay. The antibodies or antigen binding fragments may also be produced by genetic engineering. The technology for expression of both heavy and light chain genes in E. coli is the subject of PCT patent applications; publication number WO 901443, WO 901443, and WO 9014424 and in Huse et al. (1989) Science. 246:1275-1281. Alternatively, anti-KAIl antibodies can be induced by administering anti-idiotype antibodies as immunogens. Conveniently, a purified anti-KAIl antibody preparation prepared as described above is used to induce anti-idiotype antibody in a host animal. The composition is administered to the host animal in a suitable diluent. Following administration, usually repeated administration, the host produces anti-idiotype antibody. To eliminate an immunogenic response to the Fc region, antibodies produced by the same species as the host animal can be used or the Fc region of the administered antibodies can be removed. Following induction of anti-idiotype antibody in the host animal, serum or plasma is removed to provide an antibody composition. The composition can be purified as described above for anti-KAIl antibodies, or by affinity chromatography using anti-KAIl antibodies bound to the affinity matrix. In an alternative embodiment, the antibodies of the present invention can be used in situ to detect KAIl protein in cells or tissues. In one embodiment, the antibodies are used in direct or indirect immunofluorescence. In the direct method, anti-KAIl antibody labelled with a fluorescent reagent such as fluorescein isothiocyanate, rhodamine B isothiocyanate and the like is reacted directly with the KAIl present in cells or tissues. In the indirect method, unlabelled anti-KAIl antibody is reacted with the KAIl protein present in cells or tissue. The unlabelled anti-KAIl antibody is then reacted with a labelled second antibody. The second antibody can be labelled with a fluorescent tag as described above. The fluorescently labelled cells or tissues can then be detected using techniques known to one skilled in the art such as a fluorescence-activated cell sorter, light microscopy using a fluorescent light lamp and the like. Alternatively, KAIl protein can be detected in situ via the use of radiolabelled anti-KAIl antibody or via the use of an unlabelled anti-KAIl antibody followed by a radiolabelled second antibody reactive to the anti- KAIl antibody. The antibodies of the present invention may also be used to immunoprecipitate the KAIl protein from a mixture of proteins. The use of immunoprecipitation as a sensitive and specific technique to detect and quantitate target antigen in mixtures of proteins is well known to those of ordinary skill in the art (see Molecular Cloning, A Laboratory Manual, 2d Edition, Maniatis, T. et al. eds. (1989) Cold Spring Harbor Press) . The antibodies of the present invention may also be affixed to solid supports for use in the isolation of KAIl protein by immunoaffinity chromatography. Techniques for immunoaffinity chromatography are known in the art (Harlow, E. and Lane, D. (1888) "Antibodies: A Laboratory Manual", Cold Spring Harbor Laboratory, Cold Spring Harbor, NY) including techniques for affixing antibodies to solid supports so that they retain their immunoselective activity; the techniques used may be those in which the antibodies are adsorbed to the support as well as those in which the antibodies are covalently linked to the support. Generally, the techniques are similar to those used in covalent linking of antigen to a solid support; however, spacer groups may be included in the bifunctional coupling agents so that the antigen binding site of the antibody remains accessible. The above described antibodies and antigen binding fragments thereof may be supplied in a diagnostic kit useful for the detection of alterations in the expression of KAIl protein. In a second embodiment, alteration of wild-type KAIl protein encompasses loss of function of the KAIl protein. The present method therefore includes assays useful in determining the functional status of the KAI protein . For example, since an association between processing of N-linked oligosaccharides and metastatic phenotype has been well-documented (Hakomori, S.-I. (1989) Advanc. Cancer Res. , 52:257-331; Dennis, J. W. , et al. (1987) Science. 236:582-585; Ishikawa, M. et al. (1988) Cancer Res.. 48:665-670) it is believed that glycosylation of the KAIl protein is required for the protein to function as a metastasis suppressor. Thus, detection of a loss of function of KAIl protein as evidenced by an absence of glycosylation is indicative of the presence of metastatic cancer in a subject. The present invention also relates to a gene therapy method in which an expression vector containing a nucleic acid sequence representing the wild-type KAIl gene is administered to a subject having a mutation of the KAIl gene. A nucleic acid sequence representing wild-type KAIl gene is that shown in Figure 3. Such nucleic acid sequence may be inserted into a suitable expression vector by methods known to those of ordinary skill in the art. Expression vectors suitable for producing high efficiency gene transfer in vivo include retroviral, adenoviral and vaccinia viral vectors. Expression vectors containing a nucleic acid sequence representing wild-type KAIl gene can be administered intravenously, intramuscularly, subcutaneously, intraperitoneally or orally. A preferred route of administration is intraperitioneally. Any articles or patents referenced herein are incorporated by reference. The following examples are presented to illustrate various aspects of the invention but are in no way intended to limit the scope thereof. Examples Materials and Methods Cell lines: AT6.1 is a highly metastatic Dunning rat prostatic cancer cell line. AT6.1-11 clones are microcell hybrids that have a portion of human chromosomes 11 as the sole human genetic materials in AT6.1 cells. Microcell hybrid AT6.1-11-1* contains a fragment of human chromosome 11, cen-pl3, from the centromere to region pl3, and was suppressed for metastatic ability. Microcell hybrids AT6.1-11-2 and -3 have smaller fragments of human chromosome 11 from the centromere to P11.2 and were not suppressed for metastatic ability. The characteristics and growth condition for these cell lines have been previously described in detail (Ichikawa et al, (1992) Cancer Res.. 52:3486-3490). A9- llneo is a mouse A9 cell line containing human chromosome llpter-q23 (Koi et al, (1989) Mol Carcinog.. 2:12-21). Isolation and sequencing of KAIl cDNA clone: Poly (A) + RNA was isolated from exponentially growing AT6.1-11-1* cells, using a FastTrack mRNA isolation kit (Invitrogen, San Diego, CA) . Oligo (dT) was used to prime the first strand cDNA synthesis from 5 μg of poly (A) + RNA. Double-stranded cDNA was cloned into plasmid pSPORT 1 vector by procedures recommended by the vendor (GIBCO BRL, Grand Island, NY) . Human Alu sequence primer Alu 559 ° (Nelson, D.L. et al (189) Proc. Natl. Acad Sci U.S.A. 86:6686-6690.) was used to amplify genomic DNA from suppressed hybrid AT6.1-11-1* and the nonsuppressed clone AT6.1-11-2 by PCR. The multiple Alu-PCR fragments of AT6.1-11-1* were cloned into a T-tailed vector pCRlOOO (Invitrogen, San Diego, CA) . Individual clones corresponding to each fragment of Alu-PCR products were isolated after comparing the size of these Alu-PCR products to molecular weight markers in a agarose gel stained with ethidium bromide. Eleven fragments unique to AT6.1-11-1* were labeled by random priming (GIBCO BRL, Bethesda, MD) and used to screen 5 x 10 4 recombinants of the cDNA library under stringent wash conditions (65°C in 0.1 x SSC + 0.1% SDS for 30 min.) . Five independent clones were obtained and their inserts were sequenced using the Sequenase kit (US Biochemical, Cleveland, OH) . DNA sequences were analyzed with the GCG package (version 7.3, 1993, Madison, WI) . RNA analysis: Cytoplasmic RNA from AT6.1, AT6.1-11-1*, -2 and -3 were prepared from exponentially growing cells, using FastTrack mRNA isolation kit (Invitrogen, San Diego, CA) . Other poly (A) + RNA and human multiple tissue Northern blots were purchased from Clontech (Palo Alto, CA) . 2 μg of poly (A) + RNA was denatured with formamide and fractionated on a 1.2% agarose gel in formaldehyde buffer. The RNA was then transferred onto nylon membrane, baked in an oven at 80°C for 90 min, and then hybridized with a labeled probe in QuickHyb hybridization solution (Stratagene, La Jolla, CA) at 68°C for 1.5 hours and washed at 68°C for 30 minutes in 0.1% x SSC, 0.1% SDS and autoradiographed. DNA analysis: 15 μg of genomic DNA was digested with BamHI and separated on a 1.2% agarose gel. Following denaturation and neutralization, the DNA in the gel was transferred onto nylon membrane. The "zoo" blot containing EcoRl-digested genomic DNA from human, rat, ° mouse, dog, cow, rabbit, chicken and yeast (Zoo-blot) was purchased from Clontech (Palo Alto, CA) . The Southern blots were further hybridized and washed under the same conditions as described above for the Northern blots. PCR: All PCRs in this study were carried out in 50 μl with 25 pmol of each primer, 10 mM Tris.HCI, 500 mM KCI, 1.5 mM MgCl 2 , 0.01% gelatin, 250 mM of each dNTP and .25 units of Taq DNA polymerase (Perkin-Elmer, Norwalk, CT) . The initial DNA denaturation was performed at 95°C for 5 min, followed by 35 cycles of 94°C denaturation for 1 min, 55°C annealing for 1 min and 72°C extension of 4 min, with a final extension of 72°C for 8 min. Probes and Oligonucleotides sequences: The KAIl probe (nucleotides 64-1094 of the KAIl cDNA) used in Southern and Northern blot analyses was generated by PCR with primers shown as SEQ ID NO: 13 AGTCCTCCCTGCTGCTGTGTG and SEQ ID NO:14 TCAGTCAGGGTGGGCAAGAGG. Human and rat β-actin probes were PCR products generated by templates and primers purchased from Clontech (Palo Alto, CA) . The primer sequences for human 3-actin are shown as SEQ ID NO:15 GAGGAGCACCCCGTGCTGCTGA and SEQ ID NO:16 CTAGA AGCATTTGCGGTGGACGATGGAGGGGCC and the primer sequences for rat 0-actin are shown as SEQ ID NO: 17 TTGTAACCAACTGGGACGATATGG and SEQ ID NO:18 GTCTTGATCTTCATGGTGCTAGG. Example 1 Cloning of the KAIl Gene To clone the gene on human chromosome 11 responsible for the metastasis suppression of AT6.1 prostatic cancer cells, genomic DNA fragments from the pll.2-13 region were isolated using human-specific Alu element-mediated PCR (Alu-PCR) (Nelson, D.L. et al Proc. Natl. Acad. Sci. U.S.A.. 86:6686-6690) with DNAs from the metastasis suppressed microcell hybrid AT6.1-11-1* and the non-suppressed hybrids AT6.1-11-2 and AT6.1-11-3. The Alu-PCR fragments found only in the AT6.1-11-1 DNA were then used as probes to screen a cDNA library prepared from the suppressed cell hybrid clone AT6.1-11-1* that contains human chromosomal region llcen-pl3. Of five cDNA clones obtained, all were expressed in the suppressed hybrid but not in the nonsuppressed hybrids as detected by reverse transcription-polymerase chain reaction (RT-PCR) using primers derived from these cDNA sequences. Northern analysis of RNA isolated from human prostate and cell lines AT6.1, AT6.1-11-1*, -2 and -3 revealed that two of the cDNA clones detected a 2.4 hb and 4.0 kb transcript respectively in human tissue and the suppressed AT6.1-11-1* cells. The results of a Northern blot for one such clone, designated KAIl for Kang Ai (Chinese for anti- cancer) , are shown in Figure 1 and clearly demonstrate that KAIl mRNA was abundant in the metastatic suppressed AT6.1-11-1* cells but absent from the parental AT6.1 cells and the nonsuppressed hybrids. Therefore, the KAIl clone was analyzed further. To confirm that the KAIl gene was isolated from the pll.2-13 region of human chromosome 11 involved in metastasis suppression, Southern blot analysis was conducted on 15 μg of genomic DNA from human placenta, rodent cells (A9 and AT6.1) and human-rodent microcell hybrids (AT6.1-11-1*, AT6,1-11-2 and AT6.1-11-3) , digested with Hind III, separated on a 1.2% agarose gel and hybridized with KAIl probe. The results shown in Figure 2 demonstrate that only the cell hybrids that have the pll.2-13 region involved in metastasis suppression (AT6.1- 11-1*) have the pattern observed with normal human DNA when hybridized to KAIl probe. Fluorescence in si tu hybridization of a KAIl probe to metaphase chromosomes further localized KAIl to the pll.2 region. Example 2 Nucleotide And Deduced Amino Acid Sequences of the KAIl cDNA The nucleotide and deduced amino acid sequences of the KAIl cDNA are shown in Figure 3. The KAIl cDNA has a single open reading frame from nucleotide positions 166 to 966, predicting a protein of 267 amino acids with a calculated molecular weight of 29,610 daltons. An Alu element was present in the 3' -untranslated region of the cDNA. The predicted protein had four hydrophobic and presumably transmembrane domains and one large extracellular hydrophilic domain with three potential N-glycosylation sites. As noted earlier, the KAIl cDNA sequence is identical to three cDNA clones from human lymphocytes, C33, R2 and IA4. Example 3 Determination That KAIl Is A Metastasis Suppressor Gene To investigate if KAIl is the gene responsible for metastasis suppression in AT6.1-11-1*, KAIl cDNA was subcloned into a constitutive expression vector and transfected into parental AT6.1 cells as follows. In brief, KAIl cDNA was cloned into pCMVneo, in which transcription is driven by the constitutive human cytomegalovirus promoter (Eliyahu, D. et al Proc Natl Acad Sci U.S.A.. (1989) 86:8763-8767) . The resultant plasmid pCMV-KAIl was transfected into AT6.1 cells by calcium phosphate precipitate method and the vector alone was also transfected as a negative control. Individual transfectants were isolated in selection medium (RPMI-1640 plus 10% fetal calf serum, 2units/ml pen-strep and 500 ug/ml neomycin) . Exponentially growing untransfected AT6.1, AT6.1-11-1* and AT6.1-11-2 cells and exponentially growing vector (AT6.1VEC-1, AT6.1VEC-2 and AT6.1VEC-3) and KAIl (AT6.1KAI-1, AT6.1KAI-2 and AT6.1KAI-3) transfectants were collected by scraping and cell clumps were broken up by gentle pipetting. The cell suspension was placed in a tube and allowed to stand at room temperature for 30 min. Cells from the supernatant suspension were collected, washed, and resuspended in cold PBS at 10 6 cells/ml. Four-to-five-week-old male Ncr nu/nu nude mice (National Cancer Institute Animal Program, Bethesda, MD) were injected with 0.1 ml of the indicated cell suspension (10 5 cells) (the column designated "Clone" in Table 1) subcutaneously at sites on both the right and left midlateral, about 1/4 of the distance from the base of the skull to the base of the tail. About 6 weeks after injection, the tumors were weighed and the lungs were inflated with Bouin's solution. Tumor foci on the surface of lungs were scored under a dissecting microscope. Individual transfectants were analyzed for KAIl expression and for their ability to suppress lung metastases and the results of one experiment are shown in Table 1. TABLE 1 Mean Numbef* KAIl' Tumor Tumor Number of Metastasis rnRNA Latency* Age Weight(g) Mice with Per Mouse Mean Clones Level (days) (Days) @ Excision Metastases (#mice) P AT6.1 0 4.3 27 2.58 19/19 58(32-135) AT6.1-11-1* 10 3.7 37 2.79 6/7 7(0-9) <0.005» AT6.1-11-1-2 0 4.2 37 2.78 6/6 26(20-40) AT6.1VEC-1 0 4.9 43 2.32 17/17 30(16-57) AT6.1VEC-2 0 4.0 43 3.26 17/17 30(12-71) AT6.1VEC-3 0 5.5 43 2.57 18/18 47(15-183) AT6.1KAI-1 10 4.2 43 3.99 18/20 6(0-14) <0.001 « AT6.1KAI-2 7 4.5 41 1.79 17/19 7(0-17) <0.001 " AT6.1KAI-3 1 4.5 43 2.56 18/19 23(0-36) <0.02 " The data shown in this table are from a large, age-matched cohort of "side-by-side" nude mice, with cells inoculated at the same time. KAIl expression was determined by Northern blot analysis. The KAIl signals on the Northern blot were scored by a densitometer. The value for AT6.1KAI-1 was standardized to 10 and the values for other clones were adjusted accordingly. + Latency is the time following injection for a palpable tumor to appear. + The numbers in parentheses indicate the range of metastases in individual mice. 1 Compared to the number of metastases with AT6.1-11-2 cells. 1 Compared to the mean number of metastases with all of the three vector transfectants. The results presented show that expression of KAIl resulted in a significant suppression of the number of lung metastases per mouse but did not affect the growth rate of the primary tumor. Further, whereas the parental AT6.1 cells yielded 58 metastasis per mouse when injected subcutaneously into nude mice, two transfectants with levels of KAIl mRNA expression similar to the high level of expression observed in AT6.1-11-1* cells gave only 6 or 7 lung metastases per animal. In contrast, the three vector control transfectants produced 30-47 lung metastases per mouse, which is on average 5.5 times the number of metastases observed with the 2 KAIl transfectants with high KAIl mRNA expression (AT6.1KAI-1 and AT6.1KAI-2). In addition, while the AT6.1KAI-3 clone which had low KAIl expression produced 23 lung metastases, this was still significantly less than the mean number of lung metastases for control transfectants. Finally, Northern analysis showed that KAIl expression was undetectable or very low in 28 lung metastases from KAIl transfectants suggesting that selection for cells with absent or reduced KAIl expression resulted in metastasis formation. These results indicate that the metastatic ability of AT6.1 cells is suppressed by KAIl expression. Example 4 KAIl mRNA Expression In Cell Lines Derived From Metastatic Human Prostate Tumors To determine whether KAIl mRNA expression was reduced in human metastatic prostate tumors relative to expression in normal human prostate, 15 μg total RNA from human normal prostate tissue and from cell lines derived from metastatic prostate cancers (Kaighn, M.E. et al (1979) Invest. Urol.:17:16: Horoszewicz, J.J. et al. in Models for Prostate Cancer, G.P. Murphy. Ed. (Alan R. Liss, Inc., New York, 1980). pp 115-132: T. Iizumi. et al. (1987) J. Urol. 137:1304, D.D. Mickey et al. , in Models for Prostate Cancer. G. P. Murphy. Ed. (Alan R. Liss, Inc. New York, 1980), pp. 67-84) were denatured with formamide, electrophoresed fractionated on a 1.2% agarose gel and hybridized sequentially to KAIl and human β-actin probes. The results of this Northern blot analysis are shown in Figure 4 and clearly demonstrate that KAIl expression was significantly reduced in the human cell lines derived from metastatic prostate tumors (PC-3, LNCaP, TSU-Prl and DU145) when compared to normal prostate (prostate) . In addition, while longer exposures (4 days at -80 C) of the autoradiogram shown in Figure 4 (overnite at -80 C) revealed expression of KAIl mRNA in all of the tumor cells, the level of expression was still much lower than in normal prostate. To rule out the possibility that the metastasis suppression by KAIl was due to an indirect immune mechanism, two other experiments were performed. First, parental AT6.1 cells, cell hybrid clone AT6.1-11-1*, or a KAIl transfectant (AT6.1 KAI-1) were inoculated into the leg of severe combined immune deficient (SCID) mice at 5 x 10 5 eelIs/mouse. When tumors reached 3-5 cm 3 , the leg with tumor was surgically removed and animals were followed until 50 to 60 days post inoculation. Lung metastases for each mouse were analyzed as described for Table 1. For AT6.1, 9/9 mice had lung metastases with an average number of 83 per mouse. For AT6.1-11-1*, 4/9 mice had lung metastases with an average number of 6 per mouse. For AT6.1KAI-1, 2/7 mice had lung metastases with an average number of 2 per mouse. These studies demonstrated that even in SCID mice, which are more immune compromised than nude mice, metastasis suppression was observed. Second, highly metastatic rat mammary cancer cells into which the KAIl gene was introduced via microcell-mediated chromosome transfer, retained their ability to metastasize (Rinker-Schaefer, C.W. et al. (1994) Cancer Res.. 54:6249-6256) even though the hybrids expressed similar level of KAIl mRNA. Based upon these data, a more direct mechanism appears to be responsible for the metastasis suppression by KAIl. Consistent with this possibility, high KAIl expressing AT6.1-11-1* hybrid cells have about 50% reduction in their invasive ability as compared to parental AT6.1 cells or nonsuppressed AT6.1-11-2 hybrid cells in Boyden chamber assay. In brief, Boyden chamber invasion assays were performed as described by J. Vukanovic et al. (1993) Cancer Res.. 53: 1833) , using matrigel coated filters and 5% fetal bovine serum as chemoattractant in the lower well. During the 12 hours of the assay, 19±3 parental AT6.1 cells per high power field invaded through the matrigel filters versus 10±2 for the metastasis suppressed AT6.1-11-1* hybrid cells and 18±2 for the nonsuppressed AT6.1-11-2 hybrid cells. Example 5 Expression of KAIl Gene In Human Tissues To evaluate the expression level of KAIl gene in various human tissues, Northern analysis was performed on RNA isolated from multiple human tissues. In brief, a human multiple tissue Northern blot purchased from Clontech (Palo Alto, CA) was hybridized sequentially with KAIl and human β-actin probes under conditions described in the Methods section. The results presented in Figure 5 show that the 2.4 kb KAIl transcript was detected in all the human tissues tested, with high abundance in prostate, lung, liver, kidney, bone marrow and placenta; moderate abundance in mammary gland, pancreas, skeletal muscle and thymus; and low expression in brain, heart, ovary, stomach and uterus. Example 6 Conservation Of The KAIl Gene Across Species To determine if the KAIl gene is evolutionarily conserved across species, a zoo blot containing EcoRI- digested genomic DNA from various species was purchased from Clontech (Palo Alto, CA) and hybridized with KAIl probe. The results presented in Figure 6 show that the evolutionary conservation of KAIl coding sequence is high in human, monkey, dog and rabbit and moderate in cow, rat, mouse. The evolutionary conservation and wide tissue distribution for KAIl suggest that the gene may have an essential biological function. Example 7 Correlation Of Altered KAIl Expression In Human Tissue Samples With Metastasis Tumor biopsies of liver metastases from prostate cancer patients and liver biopsies from healthy patients are analyzed for KAIl mRNA expression by Northern blotting. KAIl mRNA expression is lost in the tumor samples indicating that the presence of liver metastases in the prostate cancer patients is correlated with altered KAIl expression. SEQUENCE LISTING (1) GENERAL INFORMATION: (i) APPLICANTS: THE GOVERNMENT OF THE UNITED STATES OF AMERICA AS REPRESENTED BY THE SECRETARY, DEPARTMENT OF HEALTH AND HUMAN SERVICES AND JOHN HOPKINS UNIVERSITY (ii) TITLE OF INVENTION: DIAGNOSTIC METHODS AND GENE THERAPY USING REAGENTS DERIVED FROM THE HUMAN METASTASIS SUPPRESSOR GENE KAIl (iii) NUMBER OF SEQUENCES: 18 (iv) CORRESPONDENCE ADDRESS: (A) ADDRESSEE: MORGAN & FINNEGAN, L.L.P. (B) STREET: 345 PARK AVENUE (C) CITY: NEW YORK (D) STATE: NEW YORK (E) COUNTRY: USA (F) ZIP: 10154 (v) COMPUTER READABLE FORM: (A) MEDIUM TYPE: FLOPPY DISK (B) COMPUTER: IBM PC COMPATIBLE (C) OPERATING SYSTEM: PC-DOS/MS-DOS (D) SOFTWARE: WORDPERFECT 5.1 (vi) CURRENT APPLICATION DATA: (A) APPLICATION NUMBER: TO BE ASSIGNED (B) FILING DATE: 25-APR-1996 (C) CLASSIFICATION: (vii) PRIOR APPLICATION DATA: (A) APPLICATION NUMBER: 08/430,225 (B) FILING DATE: 28-APR-1995 (C) CLASSIFICATION: (viii) ATTORNEY/AGENT INFORMATION: (A) NAME: BLUM, ISRAEL (B) REGISTRATION NUMBER: 26,710 (C) REFERENCE/DOCKET NUMBER: 2026-4172PCT (ix) TELECOMMUNICATION INFORMATION: (A) TELEPHONE: (212) 758-4800 (B) TELEFAX: (212) 751-6849 (C) TELEX: 421792 (2) INFORMATION FOR SEQ ID NO:1 : (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 20 base pairs (B) TYPE: nucleic acid (C) STRANDEDNESS : single (D) TOPOLOGY: linear (xi) SEQUENCE DESCRIPTION: SEQ ID NO:1 : AGAAGATCAA GTTGAAGAGG 20 (2) INFORMATION FOR SEQ ID NO:2 : (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 20 base pairs (B) TYPE: nucleic acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (xi) SEQUENCE DESCRIPTION: SEQ ID NO:2 : GGGACCTCAT TTCCTAGCTG 20 (2) INFORMATION FOR SEQ ID NO:3 : (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 19 base pairs (B) TYPE: nucleic acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (xi) SEQUENCE DESCRIPTION: SEQ ID NO:3 : ATGAAACTGC TCTTGTCGG 19 (2) INFORMATION FOR SEQ ID NO:4 (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 20 base pairs (B) TYPE: nucleic acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (xi) SEQUENCE DESCRIPTION: SEQ ID NO:4: TCAGCTCTTG GCTCCCCATT 20 (2) INFORMATION FOR SEQ ID NO:5 : (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 21 base pairs (B) TYPE: nucleic acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 5: TGGGCACGGG TTTCAGGAAA T 21 (2) INFORMATION FOR SEQ ID NO: 6: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 20 base pairs (B) TYPE: nucleic acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (xi) SEQUENCE DESCRIPTION: SEQ ID NO:6 : TGCAGAGAGC CCCAAATGCA 20 (2) INFORMATION FOR SEQ ID NO:7 : (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 20 base pairs (B) TYPE: nucleic acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 7: AGGGTGAGCC GTGAGCACAA 20 (2) INFORMATION FOR SEQ ID NO: 8: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 20 base pairs (B) TYPE: nucleic acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (xi) SEQUENCE DESCRIPTION: SEQ ID NO:8 : TGCTGAGAGT ACCCAGATGC 20 (2) INFORMATION FOR SEQ ID NO:9: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 19 base pairs (B) TYPE: nucleic acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (xi) SEQUENCE DESCRIPTION: SEQ ID NO: 9: GATGGCCACA CCCACGCCC 19 (2) INFORMATION FOR SEQ ID NO:10: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 20 base pairs (B) TYPE: nucleic acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (xi) SEQUENCE DESCRIPTION: SEQ ID NO:10: TGCATGGAGA AGGTGCAGGC 20 (2) INFORMATION FOR SEQ ID NO:11: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 21 base pairs (B) TYPE: nucleic acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (xi) SEQUENCE DESCRIPTION: SEQ ID NO:11: CCTCTTGCCC ACCCTGACTGA 21 (2) INFORMATION FOR SEQ ID NO:12 (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 20 base pairs (B) TYPE: nucleic acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (xi) SEQUENCE DESCRIPTION: SEQ ID NO:12: TTCACACCAT TCTCCTGCCT 20 (2) INFORMATION FOR SEQ ID NO:13: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 21 base pairs (B) TYPE: nucleic acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (xi) SEQUENCE DESCRIPTION: SEQ ID NO:13: AGTCCTCCCT GCTGCTGTGT G 21 (2) INFORMATION FOR SEQ ID NO:14: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 21 base pairs (B) TYPE: nucleic acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (xi) SEQUENCE DESCRIPTION: SEQ ID NO:14: TCAGTCAGGG TGGGCAAGAG G 21 (2) INFORMATION FOR SEQ ID NO:15: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 22 base pairs (B) TYPE: nucleic acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (xi) SEQUENCE DESCRIPTION: SEQ ID NO:15: GAGGAGCACC CCGTGCTGCT GA 22 (2) INFORMATION FOR SEQ ID NO:16: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 33 base pairs (B) TYPE: nucleic acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (xi) SEQUENCE DESCRIPTION: SEQ ID NO:16: CTAGAAGCAT TTGCGGTGGA CGATGGAGGG GCC 33 (2) INFORMATION FOR SEQ ID NO:17: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 24 base pairs (B) TYPE: nucleic acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (xi) SEQUENCE DESCRIPTION: SEQ ID NO:17: TTGTAACCAA CTGGGACGAT ATGG 24 (2) INFORMATION FOR SEQ ID NO:18: (i) SEQUENCE CHARACTERISTICS: (A) LENGTH: 23 base pairs (B) TYPE: nucleic acid (C) STRANDEDNESS: single (D) TOPOLOGY: linear (xi) SEQUENCE DESCRIPTION: SEQ ID NO:18: GTCTTGATCT TCATGGTGCT AGG 23

Claims: Claims 1. A method for detecting the presence of malignant cancer in a subject comprising: comparing KAIl gene sequence, KAIl mRNA or KAIl protein of said subject to wild-type KAIl gene sequence, mRNA or protein, an observed alteration in KAIl gene sequence, KAIl mRNA, or KAIl protein of said subject as compared to wild-type indicating the presence of malignant cancer in said subject. 2. The method of claim 1, wherein KAIl gene sequences are compared. 3. The method of Claim 2 wherein said alteration in KAIl gene sequence is detected by Southern hybridization. 4. The method of Claim 2, wherein said alteration in KAIl gene sequence is detected by cloning KAIl genes of said subject and sequencing all or part of the cloned gene. 5. The method of claim 2, wherein said alteration in KAIl gene sequence is detected by PCR-SSCP. 6. The method of claim 5, wherein the primers used in said PCR step are derived from KAIl cDNA. 7. The method of claim 5, wherein the primers used in said PCR-SSCP are selected from SEQ ID NOS:1-12. 8. The method of claim 1 wherein KAIl mRNA molecules are compared. 9. The method of claim 8, wherein said alteration in KAIl mRNA is detected by Northern blotting. 10. The method of claim 8, wherein said alteration in KAIl mRNA is detected by RT-PCR. 11. The method of claim 10, wherein the primers used in said PCR step are derived from KAIl cDNA. 12. The method of claim 8, wherein said alteration in KAIl mRNA is detected by RT-PCR-SSCP. 13. The method of claim 12, wherein the primers used in said PCR step are derived from KAIl cDNA. 14. The method of claim 1, wherein KAIl proteins are compared. 15. The method of claim 14, wherein said alteration in KAIl protein is detected by Western blotting. 16. The method of claim 15, wherein said alteration in KAIl protein is detected by immunohistochemistry. 17. Antibodies having specific binding affinity for KAIl protein or peptide fragments thereof. 18. The antibodies of claim 17, wherein said antibodies are monoclonal antibodies. 19. Purified and isolated primers having nucleic acid sequences selected from the group consisting Of SEQ ID NOs: 1-12. 20. A diagnostic kit for use in detecting the presence of malignant cancer in a subject, said kit comprising: primers having nucleic acid sequences selected from the group consisting of SEQ ID NOs: 1-12. 21. A gene therapy method for a subject having altered KAIl expression comprising administering to said subject a recombinant expression vector having a nucleic acid sequence capable of directing host organism synthesis of wild-type KAIl protein.

Inventors: BARRETT J CARL, DONG JIN-TANG, ISAACS JOHN T, LAMB PATRICIA W, BARRETT, J., CARL, DONG, JIN-TANG, ISAACS, JOHN, T., LAMB, PATRICIA, W.
Applicants: UNIV JOHNS HOPKINS, US HEALTH, JOHN HOPKINS UNIVERSITY, THE GOVERNMENT OF THE UNITED STATES OF AMERICA, RE
Application year: 1996
Main classification: C12Q1
IPC codes: A61K48, A61P35, C07K14, C07K16, C12N15, C12P21, C12Q1