FC epsilon -PE CHIMERIC PROTEIN FOR TARGETED TREATMENT OF ALLERGY RESPONSES, A METHOD FOR ITS PRODUCTION AND PHARMACEUTICAL COMPOSITIONS CONTAINING THE SAME

Abstract: The present invention generally relates to a new approach for thetherapy of allergic responses, based on targeted elimination of cells expressing the Fc epsilon RI receptor by a chimeric cytotoxin Fc2'-3-PE40. A sequence encoding amino acids 301-437 of the Fc region of the mouse IgE molecule was genetically fused to PE40 - a truncated form of PE lacking the cell binding domain. The chimeric protein, produced in E. coli, specifically and efficiently kills mouse mast cell lines expressing the Fc epsilon RI receptor, as well as primary mast cells derived from bone marrow. The present invention provides a chimeric protein for targeted elimination of Fc epsilon RI expressing cells especially useful for the therapy of allergic responses. The said chimeric protein is comprised of a cell targeting moiety for Fc epsilon RI expressing cells and a cell killing moiety. The preferred killing moiety is the bacterial toxin Pseudomonas exotoxin (PE). This Pseudomonas exotoxin is a product of Pseudomonas aeruginosa. The present invention also relates to a method for the preparation of said protein. This chimeric protein is prepared by genetically fusing the Fc region of the mouse IgE molecule to PE40, a truncated form of PE lacking the cell binding domain. The present invention also provides pharmaceutical compositions, for the treatment of allergic diseases and for the treatment of hyperplasias and malignancies, comprising as an active ingredient the above mentioned chimeric protein and a conventional adjuvant product.

Description: Fce-PE CHIMERIC PROTEIN FOR TARGETED TREATMENT OF ALLERGY RESPONSES A METHOD FOR ITS PRODUCTION AND PHARMACEUTICAL COMPOSITIONS CONTAINING THE SAME FIELD OF THE INVENTION The present invention generally relates to a novel approach for the therapy of allergic responses. More specifically the present invention relates to Fce-PE chimeric protein for targeted elimination of Fc ε RI expressing cells, a method for its production, and pharmaceutical compositions containing the same. This chimeric protein is composed of cell targeting which is a part of IgE molecule linked to cell killing moieties for recognizing and distroying cells overexpressing the specific receptor. The killing moiety used in the chimeric protein of the present invention is the bacterial toxin Pseudomonas exotoxin (PE) (a product of Pseudomonas aeruginosa). BACKGROUND OF THE INVENTION About twenty percent of the world population suffers from various allergic diseases such as asthma, allergic rhinitis, food allergies, atopic dermatitis and anaphylaxis. The alarming increase in the prevalence of allergic diseases over the past decade has led to a clear need for more effective treatment. The interaction between IgE and mast cells or basophils is the primary effector pathway in allergic responses. IgE binds to high-affinity receptor (FcεRI) for its constant region, found almost exclusively on the surface of these cells. The binding itself, in spite of the low dissociation rate, does not result in stimulation of the cell. However, cross-linkage of cell surface-bound IgE by multivalent antigen causes receptor aggregation, triggering explosive cellular degranulation whereby mediators of allergy such as cellular degranulation whereby mediators of allergy such as histamine and seretonin are released. The fact that distribution of the FceRI receptor is restricted to cells participating in an allergic response makes it an attractive candidate for targeted lmmunotherapy by chimeric cytotoxins . Chimeric cytotoxms are a novel class of targeted molecules constructed by gene fusion techniques. These molecules are composed of cell targeting and cell killing moieties, enabling them to recognize and distroy cells overexpressing specific receptors . The bacterial toxin Pseudomonas exotoxm (PE) used m chimeric protein constructs, is a product of Pseudomonas aeruginosa . Having accessed the cytoplasm, PE inhibits protein synthesis by its ADP-ribosylation activity, thus causing cell death (Middlebrook, J.I., and Dorland, R.B. 1984. Bacterial toxins: cellular mechanisms of action. Microbiol . Rev. 48, 199.). Effective chimeric cytotoxins have been constructed by fusion of cDNAs encoding various growth factors or single chain antibodies with PE derivatives lacking intrinsic cell binding capacity. One of these chimeric proteins designated IL 2 -PE ΛO , constructed to target and selectively eliminate activated T cells overexpressing IL ^ receptors, was shown to provide effective and selective lmmunosuppression in various models of autoimmune disorders, graft rejection and cancer (Lorberboum-Galski , H. 1994. Interleukm 2-Pseuαomonas exotoxm A (IL2-PE40) chimeric protein for targeted lmmunotherapy and the study of immune responses. J. Toxicol .-Toxin Rewiewes, 13 (1), 105.). The entire recombinant constant region of IgE (Fee) expressed in bacteria, have an affinity for FceRI receptor comparable to that of the native IgE, as well as the capacity to sensitize basophils for anti-IgE indused histamine release. When recombinant fragments of human Fee expressed in bacteria, were tested for receptor binding, a peptide corresponding to residues 301-376 at the junctions of domains 2 and 3 ot the constant region was found to be sufficient for high-affinity binding to the receptor. It was also reported that e-chain dimeπzation was not required for receptor binding (Helm, B., Marsc, P., Vercelli, D., Padlan, E. , Gould, H., and Geha, R. 1988. The mast cell binding site on human immunoglobulin E. Nature 331, 180.). The present invention generally relates to a novel approach for the therapy of allergic responses. At present the ma or known groups of drugs used in the treatment of asthma and allergic disorders are: 1. B2 agonists - produce airway dilatation through simulation of β2 adrenergic receptors. 2. Methylxantines - smooth muscle relaxantε, produce bronchodilatation . 3. Glucocorticoids - reduce inflammation. 4. Cromolyn sodium - prevents mast cell degranulation. 5. Antihistammes - prevents histamine action on it's target cells. Although widely used, all of these drugs have notable disadvantages in regard to: 1. Specificity: The action of all of these drugs (except cromolyn sodium) is not mast cell specific. Therefore, they can not prevent the release of allergy mediators but rather reverse or block the effects caused by their action. The treatment by these drugs is symptomatic, it can be started only after the onset of the allergic reaction and thus can't be used m a prophylactic manner. 2. Toxicity: Being non-speci ic, these drugs exert their action on various tissues and organs causing serious side effects. The major side effect of β2 agonists is tremor, but they also cause cardiac arrhythmias; Methylxant es stimulate the central nervous system, causing nervousness, nausea, vomiting, anorexia, headache and cardiac muscle- causing tachycardia. At high plasma levels there is a danger of seizures and arrhythmias. Antihistammes affect the central nervous system, causing sedation. Steroids are most harmful , causing suppression of the pituitary-adrenal function, fluid and electrolyte disturbances, hypertension, hyperglycemia, increased susceptibility to infections, osteoporosis and arrest of qiowt in children. 3. Duration of the effect: -adrenergic agonists, aminoxant es and antihistammes are mostly short-acting drugs, and as such must be administered frequently. Steπods which are long-acting drugs, have also long induction time and are of little value in emergencies. The only existing mast cell specific drug is Cromolyn sodium. This drug can be used prophilactically, essentially without side effects. However, it has a very short half life, very long induction time, it can be applied only locally and only part of the patients respond to it. All these make use of Cromolyn sodium very limited. A number of attempts to interfere with interaction between IgE and it's high-afflnity receptor, as a basis for anti- allergy therapy, have been reported in recent years. Recombinant peptides comprising structural elements from IgE (Helm, B. , Kebo, D., Vercelli, D. , Glovsky, M. M., Gould, H., Ishizaka, K., Geha, R., and Ishizaka, T. 1989. Blocking the passive sensatization of human mast cells and basophil granolocytes with IgE antibodies by a recombinant human e- cha fragment of 76 ammo acids. Proc. Natl. Acad. Sci. USA 86, 9465.) or FCeRI (Ra, C , Kuromitsu, S., Hirose, T., Yaεuda, S., Furuichi , K., and Okumura, K. 1993. Soluble human nigh affinity receptor tor IgE abrogates the IgE- mediated allergic reaction. Int. Immunol. 5, 47.; Haak- Frendscho, M., Ridgway, J., Shields, R., Robbins, K., Gorman, C, and Jardieu, P. 1993. Human IgE receptor a-chain IgG chimera blocks passive cutaneous anaphylaxis reaction vivo. J. Immunol. 151, 351.) have been investigated as competitive inhibitors of the IgE-FceRI interaction. Monoclonal antibodies generated against IgE (Baniyash, M., and Eshhar, Z. 1984. Inhibition of IgE binding to mast cells and basophils by monoclonal antibodies to murine IgE. Eur. J. Immunol. 14, 799) or FceRI (Kitani, S., Kraft, D. , Fischler, C, Mergenhagen, S. E., and Siraganian, R. P. 1988. Inhibition of allergic reactions with monoclonal antibody to the high affinity IgE receptor. J. Immunol. 140, 2585.), capable of blocking IgE binding to the receptor, without causing mast cell degranulation have also been tested. However, the affinity of IgE for FceRI is very high (KM-10 -1 °M) , so that once it is bound to it's receptor, the IgE molecule remains attached to the cell membrane for several weeks. Moreover, mast cell can be activated at low receptor occupancy: the cross-linkage of as few as 5% of receptors is sufficient to cause mast cell degranulation. These two properties of the system impede inhibition by competitive agents, thus limiting their clinical value. Our anti-allergy molecule depends to a much lesser extent on the ability to compete with IgE. Once having entered the target cell through a non-occupied IgE receptor, the chimeric protein affects the target cell. Moreover, early expression of the receptor in the maturation course of mast calls should allow the elimination of immature target cells before they are capable of mediator release. As the receptor is not expressed on stem cells, no damage to bone marrow is expected on the whole. The IgE system is guite complex and diverse. Interactions between IgE and its binding structures have many functions apart from the allergic response, some of which are only beginning to emerge. Monoclonal antibodies against IL-4, the IL-4 receptor or the low-affmity IgE receptor eliminate expression of IgE in mice but have more general lmmunosupress ve effects. The advantage of the present invention in which the high-afUnity IgE receptor is targeted and not the overall IgE system, is therefore evident. SUMMARY OF THE INVENTION The present invention generally relates to a new approach for therapy of allergic lesponses, based on targeted elimination of cells expressing the FceRI receptor by a chimeric cytotoxin Fc • - ,-PE 4ϋ . A sequence encoding ammo acids 301-437 of the Fc region of the mouse IgE molecule was genetically fused to PE ΛO - a truncated form of PE lacking the cell binding domain. The chimeric protein, produced E. coli, specifically and efficiently kills mouse mast cell lines expressing the FceRI receptor, as well as primary mast cells derived from bone marrow. The present invention provides a chimeric protein for targeted elimination of Fc e RI expressing cells especially usefull for the therapy of allergic responses. The said chimeric protein is co prisesd of a cell targeting moiety for the FCcRI expressing cells and a cell killing moiety. The preferred killing moiety is the bacterial toxin Pseudomonas exotoxm (PE). This Pseudomonas exotoxm is a product of Pseudomonas aerugmosa. The present invention also relates to a method for the preparation of said protein. This chimeric protein is prepared by genetically fusing the Fc region of the mouse IgE molecule to PE AO , a truncated form of PE lacking the cell binding domain. The present invention also provides a pharmaceutical compositions, for the treatment of allergic diseases and for the treatment of hyperplasias and malignancies, comprising as an active ingredient the above mentioned chimeric protein and a conventional adjuvant product. The present invention further relates to the method for the preparation of these pharmaceutical compositions comprising genetically fused Fc region of the mouse IgE molecule to PE Λ(J and adding, if needed, a conventional adjuvant product. The pharmaceutical compositions according to the present invention may be in any suitable form for injection, for toppical application, or for oral administration DETAILED DESCRIPTION OF THE INVENTION The Fc-PE chimeric protein according to the present invention has a number of advantages over the existing known drugs . : 1. Specificity: Tc-PL s highly specific, affecting the cells (mast cells and basophils) responsible for the release of allergic mediators. As it prevents the allergic attack, it can be of great value as a prophylactic treatment. 2. Toxicity: As it acts on affector cells and not on it's target organs, Fc-PE is expected to have little, if any, side effects. Moreover, as the receptor is not expressed on stem cells, no damage to bone marrow and lmmunosupression are anticipated. Re-mstitution of a normal psysiological state is expected to occur within seveial weeks after the end of the treatment. 3. Duration of the effect: Because maturation of mast cells takes several weeks, the effect of Fc-PE is predicted to be long-standing, eliminating the need for frequent administration. Moreover, as in vitro studies indicate that reduction of 80% in cellulai protein systhesis is observed m less than \ hours, induction time of Fc-PE is expected to oe relatively short, enabling it's usage in acute phase allergic reactions. Fce-PE can also be valuable in the treatment of hyperplasias and malignancies of mast cells and basophils, like systemic mastocytosis (in both benign and malignant forms) and basophilic leukemia. Chemotherapy is not appropriate for patients with benign mastocytosis due to severe side effects. On the other hand, there is no good clinical protocol for the treatment of the malignant diseases. Fce-PE chimeric protein, being highly potent and selective can be used for both benign and malignant conditions involving cells expressing the FceRI receptors. /22364 The following experimental results indicate that the Fc 2 -- 3_pιr40chιmerιc protein according to the present invention is a promising candidate for effective and selective allergy therapy. The present invention provides a Fce-PE chimeric cytotoxin protein for the targered elimination of FceRI expressing cells, useful especially for the therapy of allergic responses such as asthma, allergic rhinitis, food allergies, atopic dermatitis, and anaphylaxis. The said invention will be further described in detail by the following experiments. These experiments do not intend to limit the scope of the invention but to demonstrate and clarify it only. 1. Construction of Fce-PE ΛO chimeric proteins. For the targeting moiety of the chimeric proteins fragments of the mouse IgE constant region (Fee) are used as it binds both to human and to mouse h gh affinity IgE receptors (Conrad, D. H., W gard, J.R. , and Ishizaka, T. 1983 The interaction of human and rodent IgE with the human basophil IgE receptor. J. Immunol. 130, 327.). We used a sequence corresponding to a.a. 301-437, containing the COOH terminus of domain 2 and the entire domain 3(C 2 '- C 3 ) . We used also a sequence corresponding to a.a. 225- 552, containing the whole C 2 -C Λ domaιns . The cDNA for these fragments was obtained by RT-PCR, using RNA isolated from mouse B cells which were lsotopically switched to secrete IgE and a specific set of primers. B cells obtained from the spleen of a 6-week-old BALB/C mouse were separated by negative selection using antι-Thyl.2 and rabbit complement. Cells were incubated at 2x10 s cells/ml m the presence of Lipopolyεaccharide (LPS, lOμg/ml) and IL * . (500 u/ml) for 5 days to induce isotypic switching for IgE production. After 5 days, total cellular RNA was isolated (RNAzol TM B isolation kit produced by BIOTECK Laboratories, Houston, USA. ) . Total RNA (2.5 μg) was then reverse transcribed into first strand cDNA, using the reverse transcription System (Pio ega, USA) under conditions, recomended by the manfacturer. The cDNA was diluted to a total volume of 1 ml with TE buffer (10 mM Tns-HCL, pH 7.6, 1 mM EDTA) and stored at until used. Fee fragments were generated by PCR, using cDNA and a pair of synthetic oligonucleotide primers 5 ' -GCG GAT CCC ATA TGG AGC AAT GGA TGT CGT-3' (sense, starting from nucleotide 406, according to gene bank sequence J004/6) and 5 ' -GCG GAT CCC ATA TGT GGG GTC TTG GTG ATG GAA C-3 1 (antisense, starting from nucleotide 813) for the Fee., _ 3 sequence and 5 ' -GCG GAT CCC ATA TGC GAC CTG TCA ACA TCA CTG-3' (sense, starting from nucleotide 175) and 5 ' -GCG GAT CCC ATA TGG GAG GGA CGG AGG GAG G-3 ' (antisense, starting from nucleotide 1167) for the Fce 2 Λ sequence. Synthetic oligonucleotides were synthesized on an Applied Biosystems DNA synthesizer and purified on oligonucleotide purification cartridges. The vent polymerase enzyme (Biolabs) was used for amplification. The reaction mixture was incubated in a DNA thermal cycler (MJ Research, Inc, USA.) for 33 cycles. Each cycle consisted of 1 mm. at 95 * C, 1 mm. at the annealing temperature and 2 mm. at 72A. The MgSO * concentration and tre annealing temperature used for each primer pair were: 2.5 mM and 61°C for Fc 2 - ^ , 2 mM and 57°C for Fc 2 -._. The pHL 906 plasmid, which encodes IL 2 -PE 40 , was described previously (Fishman, A., Bar-Kana, Y., Stemberger, I., and Lorberbou -Galski, H. 1994. Increased cytotoxicity of IL2-PE chimeric proteins containing targeting signal for lysosomal membranes. Biochem. 33, 6235.). The pHL906 plasmid was cut with Ndel , obtaining the larger fragment of 3596 bp. The above Fee fragment was inserted into the Nde] site of pHL906. The resulting plaεmids, pAF2302 and pAF2415, coding for the C '-C 3 and C 2 -C 4 fragments respectivly, each fused 5' to PE 4 o, were characterized by restriction and sequence analysis ( results not shown). Escherichia coll strain HB101 was used for transformation and preparation of the plasmids . 2. Expression and partial purification of the chimeric proteins. The newly designed chimeric protein, Fce-PE ΛO encoded by plasmid pAF2302 was expressed in E. coll strain BL21(lambda- DE3) which carries a T7 RNA polymerase gene m a lysogenic and mducible form. Induction was performed at 0.D. S o O 0.5 for 180 min in the presence of isopropyl β-D- thiogalactoside (IPTG, ImM final concentration). A pellet expressing cells was suspended in TE buffer (50 mM Tris pH 8.0, ImM EDTA) containing 0.2 mg/ml lysosyme, sonicated (three 30s bursts) and centπfuged at 30,000Xg for 30 mm. The supernatant (soluble fraction) was removed and kept for analysis. The pellet was denatured in extraction buffer (6 M guanidme-hydrochloride, 0.1 M Tris pH 8.6, ImM EDTA, 0.05 M NaCl and 10 mM DTT) and stirred for 30 mm. at 4°C. The suεpention was cleared by centrifugation at 30,000Xg for 15 mm. and the pellet discarded. The supernatant was then dialysed against 0.1 M Tris (pH 8.0), 1 mM EDTA, 0.25 mM NaCl and 0.25 mM L-Arginine for 16 h. The dialysate was centrifuged at 15,000Xg for 15 min. and the resultant supernatant (insoluble fraction, guanidme-hydrochloride treated) was used as a source of the chimeric proteins. Proteins were characterized by gel electrophoresis (Fig. 2). The protein profile of whole cell extracts revealed the high expression level of the chimeric protein. The protein was further characterized by Western blot analysis using antibodies against PE (Fig. 3A) and against IgE (Serotec, England) (Fig. 3B). The electrophoresed samples were tranεfered onto nitrocellulose and lmmunoblotted as described (Lorberboum-Galski, H. , Fitzgerald, D.J., Chaudhary, V., Ashya, S., and Pastan, I. 1988. Cytotoxic activity of an mterleukm 2 - Pseudomonas exotoxin chimeric protein produced in Escherichia coll. Proc. Natl. Acad. Sci. USA 85, 1992.). A Vectaεtam ABC Kit (Vectoi Laboratories, USA) was used according to the manufacturer's instructions. The chimera reacted with both antibodies, thus confirming the cloning and production of in-frame full-length chimeric protein. Subcellular fractionation of expressing cells revealed that the insoluble fraction (inclusion bodies) was paticularly rich with chimeric protein (Fig. 2). This fraction was therefore used as the source of the chimeric protein. The ADP- iboεylation activity of teεted samples was measured using wheat germ extracts enriched elongation factor 2 as substrate, as described previously, and revealed that the novel chimeric protein was enzy atically active (results not shown) . 3. Effect of chimeric protein on mouse mast cell lines. The cytotoxic effect of the chimeric protein was tested on various mouse maεt cell lines known to express the Fc e RI receptor. The cytotoxic activity of the chimeric protein was evaluated by inhibition of protein synthesis, as measured by [ 3 H] Leuc e incorporation. Various concentrations of the chimeric protein, diluted with 0.25% bovine εerum albumim m phosphate-buffered saline, were added to 2xl0 4 cells/0.2 ml seeded 96-well plates for 20h., followed by an 8h pulse with 2μ.Cι of [ J H]-Leucin . The results are expressed as a percentage of the control experiments m which the cells were not exposed to the chimeric protein. All assays were carried out in triplicate in three separate experiments. Three target cell lines expressing the FceRI receptor were used: MC-9, a mast cell line originating in mouse fetal liver and dependent on IL 3 for growth, C57, an IL 3 independent mast cell line originating m mouse bone marrow; and the Abelson-viruε transformed mast cell line originating m mouse midgestation embryonic placenta. Fce-PE AU was lound to DO cytotoxic in a dose-dependent manner to all the cell lines tested (Fig. 4). The MC-9 and C57 lines were extremely sensitive to the chimeric toxin, with an ID so of 50-75 ng/ml and 100-125 ng/ml, respectively. The Alelεon cell line was much less sensitive (IDso of 1200-1500 ng/ml). 4. Specificity of Fce-PE dD response. To verify the specificity of Fc 2 -- 3 -PE ΛO activity, two control proteins, PE 40 and Fc 2 ■ _ 3 -PE Λ o M , were generated and evaluated for their effect on target and non target cells. To construct Fc • -j-PEio∞, the region coding for the 122 amino acids at the C-term al of PE was exised with EcoRI and BamHI and replaced by a corresponding fragment carrying a deletion at ammo acid 553. PE 4 o, which has no intrinsic targeting capacity had, as expected, no effect on the target cell lines (Fig. 4). FC 2 ' -3-PE OM which posεeεεes a Fc 2 .- 3 moiety linked to a mutated, enzymatically inactive form PE ΛO , was also not cytotoxic to the target cells (Fig. 4). In addition, it was possible to block the cytotoxic effect of Fc 2 .-3-PE 40 against target cells by whole mouse IgE (40 μg/ml, Fig. 5A) or by a PE polyclonal antibody (10 μg/ml , Fig . 5B) . The effect of Fc 2 -- 3 -PE ΛO was also tested on various mouse non-target cell lines (Table 1). All cell lines of hemopoetic origin were unaffected by the chimeric protein. Supriεingly, fibroblast and hematoma cell lineε exhibited εome εensitivity to chimeric toxin, although the ID so values were twenty-fold higher than those of the MC-9 cells (Table 1) . The above data demonstrates that the toxic effect of Fc 2 ._ 3-E> E 40 on mast cell lineε is due to a specific response mediated by the Fc 2 .- 3 moiety which targets the cytotoxic part of the chimera (PE ΛO ) into the cell. 5. Effect of chimeric proteins on primary mast cells. As it is likely that fresh murine mast cells react differently from established cell lines, we also tested primary mast cells obtained from normal mice for their sensitivity to Fc 2 - - 3 -PE 4 o . When cultured in the presence of IL 3 for two weeks, mouse bone marrow differentiates into an almost pure population of cells with the morphology of immature mast cells, containing granules and expressing the FceRI receptor. BALB/C mice aged 4-6 weeks were sacπfied and their bone marrow was aseptically flushed from femurs into 0.9% cold NaCl. The cell suspension was waεhed twice with 0.9% NaCl, centrifuged for 10 mm. at 300Xg and finally resuspended m RPMI 1640 medium containing 10% heat inactivated fetal calf serum, 4 mM L-glutamine, 1 mM sodium piruvate, 0.1 mM nonessential amino acids, 5xlθ ~& M β-mercaptoethanol , 100 u/ml penicillin, 100 μg/ml streptomycin and 20 u/ml recombinant mouse IL 3 . Cells were grown m tissue culture flaεkε at a density of 10 6 cells/ml, at 37°C in a 5% C0 2 humidified atmosphere for 2-3 weeks. The media were changed every 7 days. Recombinant IL Λ (lOu/ml) was added starting from day 7 m culture. To follow the degree of maturation, cells were mounted on slides, stained with acidic Toluidine Blue (pH 1.0) and examined microscopically under oil. The effect of chimeric proteins was tested on bone marrow derived mast cells (BMMC) on the 16th day of culture. As shown in Fig. 6, Fc 2 .- 3 -PE ΛO was cytotoxic to BMMC in a dose dependent manner, with an ID so of 125 ng/ml. At a high chimeric protein dose, there was nearly 100% inhibition of protein synthesis. None of the control proteins Fc 2 ' - 3 - PE 4 OM or PE d0 displayed cytotoxicity against BMMC (Fig. 6). Thus, primary mast cells respond towards the chimeric protein similarly to the established mast cell lines (Fig. 4 and 6 ) . 6. Receptor specificity of Fc 2 - 3 -PE 40 . Aside from the high affinity FceRI receptor, three other membrane surface structures were reported to bind IgE with low affinity - the low affinity Fc e RII receptor, the eBP galactoside-bmdmg protein (also termed MAC-2 or CBP35) and the FcϊRII/III receptor. These structures appear on various cell types, mainly of hemopoethic origin, but also on fibroblasts (eBP). FcjfRII/III and eBP appear on mast cell membranes in addition to FceRI. As our aim was to target only mast cells, it was essential to prove that the chimeric protein does not recognize these structures and thus can not be internalized through them. Theoretically our chimeric protein does not fulfill the binding requirements of the low-aff ity IgE binding structure FceRIl, eBP and Fc RII/III. FceRII binds only disulfide linked e-chain dimmers, while our protein lacks domain 4 which is essential for dimerization. eBP binds only glycoεylated IgE; Fc 2 • _ 3 -PE<ιo being produced in bacteria, is not glycosylated. FCifRII/III binds IgE- lmmunocomplexeε but not free IgE. Nevertheless, the issue of receptor binding was challenged experimentally. Experiments involving eBP and FcflRII/III were performed on C57 mast cells, known to express these receptors m addition to FceRI . To test whether the chimeric protein can enter the cell via the Fc RII/III receptors, cellε were premeubated with the 2.4G2 antibody (Pharmigen) (50 μg/m) prior to addition of the chimeric protein. Thiε monoclonal antibody, which bindε to the extracellular domains of both Fc^RII and the Fc X RIII receptors was shown to be a competitive inhibitor of IgE binding. As can be seen m Fig. 7A, there was no difference in the cellular response to Fc 2 ._ 3 - PE 40 between control cells and cellε premeubated with the antibody. We next examined whether eBP is involved m the cytotoxicity of Fc 2 • -3-PE.40. As eBP is attached to membrane carbohydrate determinants, addition of lactose to the culture medium causes its dissociation from the cell surface. We found no difference in the cellular responεe to Fc 2 ' -3-PE ΛO in the presence or absence of lactose (25mM, Fig. 7B) . Additional experiments in the presence of 2.4G2 antibody and lactose were performed on fibroblast cell lines that were found partially responsive to the chimeric protein (Table 1). Again, there was no difference m Fc 2 ._ 3 -PE ΛO cytotoxicity against treated ana control cells (results not shown) . To test whether Fc 2 .- 3 -PE 40 affects Fc e RII-bearmg cells, we used the 0.12A3 cell line, a mouse B cell hybridoma expresεing the Fc c RIl receptor. The 0.12A3 cells were totally non responsive to Fc 2 ■ -j-PE. 0 , even at high doses (>5000 ng/ml, Fig. 8A) . As this line loses the receptor upon long term culture, the assay was followed by FACS analysis with the B3B4 antibody against the receptor (Pharmigm). The reεults showed that the receptor was expressed on 54% of the cells (reεults not shown). An additional experiment was performed on fresh mouse B splenocytes premeubated for 16 h. with LPS (50 μg/ml) to stimulate expresεion of FceRII. Fc 2 .- 3 -PE ΛO haε no effect on theεe B splenocytes (Fig. 8B), although 69% of the cells expressed the receptor, as determined by FACS analysis. Collectively, theεe results suggeεt that Fc 2 .~ 3 -PE Λ O does not bind to the low affinity IgE-binding structures, namely Fc e RII, Fc^RII/III and eBP. 7. Effect of Fc 2 .-3-PE 40 on cellular degranulation. Because of the possible clinical applicability of Fc 2 .- 3 -PE 40 , it was important to test whether treatment of mast cells with Fc 2 ._j-PE AU results in the release of allergic mediators triggered upon Fc ε RI binding by the chimetric protein. C57 cellε prelabelled overnight with [ 3 H]- hydroxytryptamine (10 μci/ml) were washed, plated at 2x10 s cells/well in DMEM containing 10% FCS, in 96-well tissue culture plates and incubated with Fc 2 ._ 3 -PE ΛO (10 μg/ml) at 37 ° C. At various time points, supernatantε were separated and release of seretonin into the supernatant was measured. Unlabled cellε were also incubated with Fc 2 ._ 3 - PΞ 40 and at the same time intervals were pulsed 1 hr with [ 3 H] leucine to measure protein systhesis inhibition by chimeric toxin. There was no difference in supernatant [ 3 H] seretonin content between Fc 2 -_ 3 -PE<ιo treated and untreated cells at h , 4 or 8 hr following chimeric protein addition (Fig. 9A) . Inhibition of protein syntheεiε reached 80% at 4 h. and a value of 90% by 8 h. (Fig. 9B) . These results suggest that Fc 2 ._ 3 -PE 40 does not cause release of allergic mediators during receptor binding or upon inhibition of protein syntheεiε. 8. Electrophoretic characterization of Fce-PE40 Western blot analysis of electrophoresed samples run under non-reducing conditions (omitting 2-mercaptoethanol from the sample buffer) revealed that the Fc2'-3-PE40 chimeric protein is predominantly present as a monomer (figure 10b). For native PAGE, 2-mercaptoethanol was omitted from the sample buffer and the samples were not heated. In addition, SDS was replaced with equivalent volumes of water in the gel, sample buffer and electrode running buffer. Under non- denaturing conditions the chimeric protein runs as a broad band (figure 10c). A single native system can not distinguish the effects of molecular weight, charge and conformation on protein electrophoretic mobilities. However, the proximity of the molecules in the band indicates that they can not differ much in these parameters. 9. Internalization assay In vitro activity of the chimeric protein is achieved only upon it's internalization. To test whether the chimeric protein is internalysed, 5x10 cells/3ml were incubated for 1 hour with 20μg of the chimeric protein at 37°C. After 3 washes with cold PBS the pellet was treated with 0.5 ml of acid solution (0.15M NaCl, 0.15M acetic acid (pH 3)) for 3 min on ice to remove membrane-bounded chimeric protein. The pH was then neutrilised by addition of 50% FCS following by three washed with RPMI/10% FCS. The cell pellet was lysed with 0.3 ml of RIPA lysis buffer (150 mM NaCl, 1 mM EDTA, 20 mM tris-HCl pH 7.4, 1 mM phenylmethylsulfonyl fluoride, 15% SDS, 1% deoxycholyc acid, 1% Nonidet P-40). Various samples were electrophoresed and immunoblotted using α-PE and the ECL detection system (Amersham) . Western blot analysis revealed undoubtfully that Fc2'-3-PE40 chimeric protein is internalized into the target cells (figure 11). 10. Effect of Fc. 3 -PE 40 on cellular degranulation C57 cells were incubated overnight w th [ 3 H]- Hydroxytryptamme (lOμci/ml) at 37°C. Cells were washed 3 times to remove free [ 3 H ]-Hydroxytryptamme, plated in Tyrod's buffei (lOmM Hepeε pH 7.4, 130 mM NaCl, 5 mM KCl , 5.6 mM Glucose, 0.5% BSA) at 2.5x10 s cells/0.5 ml in 24 well tissue culture plates and incubated with IgE (lOμg/ml) for 1 hour at 4°C. MgCl and CaCl 2 were then added to the final concentration of 1 mM and 1.6 mM respectively, following by incubation with Dm trophenyl-human serum albumin (DNP-HSA, 50 ng/ml) for 30 minutes or with the different concentrations ot chimeric protein for various times at 37°C. Cell-free supernatants were collected Dy centrifugation and amount of [ 3 H]-Hydroxytryptamιne released was measured. No degranulation was obεerved with any concentration of chimeric protein tested (figure 12a). As a control, cells premeubated with IgE were exposed to DNP under the same conditions. The effect of triggering degranulation by DNP is clearly visible (figure 12a). Fc 2 -- 3 -PE 40 did not cause any degranulation also at later stages of it's interaction with the target cell (figure 12b), while it inhibits protein synthesis by over 80% (figure 12c). Our reεults demonstrate that Fc 2 -_ 3 - PE 40 _does not_trιgger degr anulation at anv stage during it's interaction with the cell.

Claims: CLAIMS 1. A chimeric protein for the therapy of allergic responses by the way of targeted elimination of Fc ε RI expressing cells wherein the said chimeric protein is comprised of a cell targeting moiety for the Fc e RI expressing cells and a cell killing moiety. 2 . A chimeric protein according to claim 1 wherein the killing moiety is the bacterial toxin Pseudomonas exotoxm (PE). 3. A chimeric protein according to claim 1 wherein the cell targeting moiety is the Fc region of the mouse IgE molecule. 4 A chimeric protein according to claim 1 wherein the cell targeting and cell killing moieties are genetically fused. 5. A chimeric protein according to claim 1 wherein a sequence encoding ammo acids 225-552 of the Fc region of the mouse IgE molecule is genetically fused to PE ΛO , a truncated form of PE lacking the cell binding domain. 6. A chimeric protein according to claim 1 wherein a sequence encoding am o acids 301-437 of the Fc region of the mouse IgE molecule is genetically fused to PE ΛO , a truncated form of PE lacking the cell binding domain. 7. A chimeric protein as defined in claim 1 for use in allergic diseases selected from asthma, allergic rhinitis, food allergies, atopic dermatitis, and anaphylaxiε. 8. Pharmaceutical compositions for the treatment of allergic diseaεeε and for the treatment of hyperplaεiaε and malignancies evolving cells expressing Fc e RI receptor comprising of an active ingredient a chimeric protein as defined in claims l-b and a conventional adjuvant product. 9. A pharmaceutical composition for the treatment of allergic diseases and for the treatment of hyperplasiaε and malignancieε according to claim 8 wherein εaid compoεition lε a suitable form for injection (mtra-veneouε, mtra- articular, sub-cutaneous, intra-muscular, mtra-peritoneal ) , intra-nasal , intra-thecal, tra-dermal , trans-dermal, inhalation, toppical application, oral administration, sustained release, or by any other route including the enteral route. 10. A method for the preparation of a pharmaceutical composition as defined m claim 9 compriεing genetically fusing the Fc region of the mouse IgE molecule to PE and adding if needed a conventional adjuvant product. 11. A plasmid comprising a promoter operably linked to a DNA molecule encoding a peptide as defined m claims 1-5.

Inventors: FISHMAN ALA, LORBERBOUM-GALSKI HAYA, YARKONI SHAI, FISHMAN, ALA, LORBERBOUM-GALSKI, HAYA, YARKONI, SHAI
Applicants: FISHMAN ALA, LORBERBOUM GALSKI HAYA, YARKONI SHAI, YISSUM RES DEV CO, FISHMAN, ALA, LORBERBOUM-GALSKI, HAYA, YARKONI, SHAI, YISSUM RESEARCH DEVELOPMENT COMPANY OF THE HEBREW
Application year: 1996
Main classification: A61K47
IPC codes: A61K38, A61K39, A61K47, A61P11, A61P35, A61P37, C07K19, C12N15