PSEUDOMONAS EXOTOXIN - MYELIN BASIC PROTEIN CHIMERIC PROTEINS

Abstract: A chimeric protein comprising a Pseudomonas aeruginosa exotoxin (PE) moiety linked to a myelin basic protein (MBP) moiety is disclosed. The MBP moiety is selected from the group comprising: (a) MBP; (b) amino acids 69-88 of guinea-pig myelin basic protein or an antigenic portion thereof; (c) amino acids 84-102 of human myelin basic protein or an antigenic portion thereof; (d) amino acids 143-168 of human myelin basic protein or an antigenic portion thereof; and (e) an amino acid sequence in which one or more amino acids have been deleted, added, substituted or mutated in the amino acid sequences of (a), (b), (c) or (d), the modified sequence of (e) retaining at least 75 % homology with the amino acid sequences of (a), (b), (c) or (d), respectively. The chimeric protein is useful in treating autoimmune diseases, and especially multiple sclerosis.

Description: PSEUDOMONAS EXOTOXIN - MYELIN BASIC PROTEIN CHIMERIC PROTEINS FIELD OF THE INVENTION The present invention relates to antigen-toxin chimeric proteins useful in the targeted immunotherapy of autoimmune diseases, and particularly of multiple sclerosis. BACKGROUND OF THE INVENTION The development of selective immunosuppressive agents is one of the major goals in the treatment of autoimmune diseases. In the ignorance of the identity of the specific antigen involved, treatment has until now been oriented toward nonspecific killing of rapidly dividing cells by means of cytotoxic agents, as well as inhibiting the action of mediators of inflamma¬ tion with anti inflammatory agents. More recently, specific and selective agents for the therapy of disorders of the immune response have been developed, based on our increased understanding of the immune response, advances in genetic engineering and improved models of autoimmune diseases. The well studied animal model Experimental Autoimmune Encephalo- myelitis (EAE) is known to be induced by Myelin Basic Protein (MBP) or its immunogenic determinants, in many mammalian species when injected under appropriate conditions. MBP is a major component of central nervous system (CNS) myelin proteins. It has been proposed that MBP stimulates populations of T cells causing them to migrate into the central nervous system and initiate a response that results in perivascular cuffing lesions and demyelination characteristic of multiple sclerosis. This model can also be induced by injecting (MBP-specific -T helper cells into murine animals. Many approaches have been taken to inhibit the EAE model. Mono¬ clonal antibodies specific to the MBP-la complex were reported to inhibit EAE in H-2 S mice (1-2) Other approaches to the treatment of multiple sclerosis (MS) include the administration of synthetic T-cell receptor peptides (3), altered peptides of MBP (4), copolymer-1 - a synthetic random copolymer of amino acids (US Patent 3,849,550) and various interferons (5). A different approach to the treatment of autoimmune diseases relates to the use of chimeric cytotoxic molecules that are produced by gene fusion techniques. These molecules utilize portions of toxins such as Pseudomonas exotoxin (PE) while eliminating its nonspecific cell binding properties. Specificity is added to the truncated or modified toxin molecules by fusion of the toxin moiety with a recognition element which directs the chimeric protein to selected target cells expressing a specific receptor. Effective chimeric cytotoxins have been constructed by fusion of cDNA's encoding IL2 IL4, IL6, TGF , anti Tac and CD4 with PE (6-11). One of the chimeric proteins, IL2-PE40 has been designed to target and selectively eliminate activated T cells expressing IL2 receptors. IL2-PE40 was found to be an effective and selective immunosuppressive agent for IL2 receptor targeted therapy in many models of disorders of the immune response, where activated T cells play a crucial role (12-19). Using a highly purified preparation (20), IL2-PE40 has been shown to (a) delay and mitigate adjuvant induced arthritis in rats (21), (b) significantly prolong the survival of vascularized heart allografts in mice (22), (c) reduce the incidence and severity of experimental autoimmune uveoretinitis (EAU) in rats, (23), (d) suppress the growth of a T cell lymphoma in mice (24), (e) significantly reduce the clinical rejection score and cumulative rejection rate in orthotopic corneal grafts in rats (25) and (f) prevent the characteristic features of EAE in rats and mice (26). Although cytokine-toxin chimeric proteins such as IL2-PE40 have been shown to be an effective and selective immunosuppressive agent, its effects are not limited to specific antigen activated cells but rather involve all IL2 receptor positive cells (12). In contrast to many strategies undertaken or proposed today to treat EAE or MS patients, there remains a need for a specific approach that targets only the pathogenic cells and will leave other immune responses fully operative. Oiigonucleotides coding for an MBP encephalogenic moiety fused to a cDNA encoding a truncated or mutated full length PE gene were disclosed by Steinberger I., et al (Third International Conference on Neuro- immunology, Jerusalem, Israel (1991), Third International Symposium on Immunotoxins Jerusalem (1992)). The DNA was expressed in E. Coli and the resulting chimeric proteins efficiently killed αMBP T cells while having no effect on non-target cells. BRIEF SUMMARY OF THE INVENTION It is an object of the present invention to provide a chimeric protein useful in the treatment of an autoimmune disease. It is a further object of the present invention to provide a method of treatment of autoimmune diseases such as multiple sclerosis. The present invention relates to the construction, characterization and purification of chimeric molecules comprising a myelin basic protein moiety linked to a toxin moiety that are efficient and selective novel agents to target and specifically kill αMBP specific T cells, as well as peripheral blood cells from MS patients. According to one aspect of the present invention, there is provided a chimeric protein comprising a Pseudomonas aeruginosa exotoxin (PE) moiety linked to a myelin basic protein (MBP) moiety selected from the group comprising: (a) MBP; (b) amino acids 69-88 of guinea-pig myelin basic protein or an antigenic portion thereof; (c) amino acids 84-102 of human myelin basic protein or an antigenic portion thereof; (d) amino acids 143-168 of human myelin basic protein or an antigenic portion thereof; and (e) an amino acid sequence in which one or more amino acids have been deleted, added, substituted or mutated in the amino acid sequences of (a), (b), (c) or (d), the modified sequence retaining at least 75% homology with the unmodified amino acid sequences. Analysis of the Pseudomonas exotoxin has revealed that it is comprised of several functionally distinct domains, referred to as domains I (a and b), II and III. Preferably, the Pseudomonas toxin moiety comprises the full length exotoxin or is a mutated or truncated derivative of said exotoxin. The exotoxin may be derived from domains II and III of the exotoxin. Alterna¬ tively, the Pseudomonas toxin moiety may be derived from a Pseudomonas exotoxin mutated, for example, at one or more of positions 57, 246, 247, and 249. Such a mutated PE is referred to as PE66 4Glu . In an alternative embodiment the invention relates to a chimeric protein comprising a full length myelin basic protein linked to an optionally mutated or truncated Pseudomonas exotoxin moiety. In either embodiment of the invention the myelin basic protein moiety and toxin moiety may be linked directly or indirectly. If the two moieties are indirectly linked then they are preferably joined by means of a linker sequence. As used herein the term "linker sequence" relates to any amino acid sequence comprising from 1 to 5 amino acids that may be repeated from 1 to 3 times, i.e. the linker may comprise up to 15 amino acid residues consisting of a pentapeptide repeated three times. Preferably the linker sequence is a pentapeptide comprising gly-gly-gly-gly-ser. A further aspect of the present invention relates to plasmids containing a DNA sequence encoding a molecule of the present invention and expression vectors capable of expressing said molecules. Suitable plasmids comprise a promoter operatively linked to a DNA sequence encoding a molecule of the present invention. Any prokaryotic promoter may be used such as PL, Tac and the like, preferably a bacteriophage T7 promoter is used. The term "operatively linked" is used herein to mean that the promoter sequence and the sequence to be expressed under the control of said promoter are spatially positioned in respect of one another such as to permit the induction of expression by said promoter. Thus, the promoter and sequence to be expressed may be separated by means of a spacer sequence. Any suitable expression vector may be utilized, preferably, the vector used is E.coli. Also included in the scope of the present invention are salts of the described chimeric proteins. The term "salts" includes both salts of carboxy groups as well as acid addition salts of amino groups of the protein molecule. Salts of the carboxy group may be formed by methods known in the art and include both inorganic salts such as sodium, calcium, ammonium, ferric or zinc salts and the like as well as salts with organic bases such as triethanolamine, arginine, lysine, piperidine, procaine and the like. Acid addition salts include, for example, salts with mineral acids such as for example, hydrochloric acid, sulfuric acid or salts with organic acids such as acetic acid or oxalic acid. The invention further relates to pharmaceutical compositions compris¬ ing at least one chimeric protein as defined above together with a pharma¬ ceutically acceptable inert carrier. Preferably, the composition further includes a lysosomotrophic agent such as ammonium chloride, monensin and the like. The proteins of the present invention may be administered by methods known in the art for the administration of proteins for example, oral, intravenous, intraarticular, sub-cutaneous, intra-muscular, intra-peritoneal, intra-nasal, intrathecal intra-dermal, trans-dermal, by inhalation or any other route including the enteral route. The chimeric protein of the present invention may be prepared by methods familiar to those skilled in the art for example, by chemical synthetic methods or by biotechnological (genetic) methods. If the latter is used a construct of the DNA encoding the chimeric protein is inserted into plasmid. A suitable vector is the selected and transformed by such a plasmid. The vector can then be stimulated to produce the desired chimeric protein. DESCRIPTION OF THE DRAWINGS The present invention will be better understood from the following detailed description of preferred embodiments, taken in conjunction with the following drawings in which: Fig. 1 is a scheme for the construction of expression plasmids pIS-1, pIS-2 and pIS-3 which encode the BPPl-PE66 4Glu , BPP2-PE66 4Glu and MBP- PE66 4G,U , respectively, in which: B, Bam HI; H, Hind III; N, Ndel; and E, EcoRI; Fig. 2 is a scheme for the construction of expression plasmid pHL15, in which: B, Bam HI; N, Ndel; and E, EcoRI; Fig.3A illustrates a Coomassie blue stained gel showing SDS-PAGE analysis of bacteria cell fractions containing the BPP-PE chimeric proteins; Fig.3B illustrates immunobloting with anti PE antibodies and SDS- PAGE analysis of bacterial cell fractions containing the BPP-PE chimeric proteins; Fig.4 illustrates cytotoxic activity of BPP-PE chimeric proteins on the αMBP T cell line-D9. BPP-PE chimeric proteins were added at the following various concentrations: 1 - 4 = 250; 500; 1000; 1500 ng respectively (total protein concentra- tion) of the insoluble fraction-guanidine hydrochloride treated BPP-PE chimeric proteins; 4 * = BPP-PE chimeric proteins (1500ng, total protein concentration) in the presence of αPE antiserum; 5 - 7 = 50; 100; 500 ng respectively of highly purified IL2-PE40. [ 3 H]-leucine incorporation into cellular proteins was measured. Results are expressed as percentage of control cells not exposed to BPP-PE chimeric proteins; Fig.5 illustrates cytotoxic activity of BPP-PE chimeric proteins toward the αMBP-T cell line Zla. Results are expressed as described in legend to Fig. 4; Fig.6 illustrates cytotoxic activity of BPP-PE chimeric proteins toward the αMBP-T cell line kla. Results are expressed as described in legend to Fig. 4; Fig.7 illustrates cytotoxic activity of MBP-PE66 4Glu chimeric protein toward Z85 cells. Results are expressed as described in legend to Fig. 4; Fig.8 illustrates cytotoxic activity of BPP-PE chimeric proteins on the non-target T cell line-A2b. BPP-PE chimeric proteins were added at the following various concentrations: 1 - 5 = 250; 500; 1000; 1500 2000 ng respectively (total protein concentration) of the insoluble fraction-guanidine hydrochloride treated BPP-PE chimeric proteins; 6 - 8 = 50; 100; 500 ng respectively of highly purified IL2-PE40. [ 3 H]-leucine incorporation into cellular proteins was measured. Results are expressed as percentage of control cells not exposed to BPP-PE chimeric proteins; Fig.9 illustrates cytotoxic activity of BPP-PE chimeric proteins toward the PPD-non target cells. Results are expressed as described in legend to Fig. 4: Fig. 10 illustrates internalization of BPP2-PE66 and BPP1-PE40 chimeric proteins into PAS target cells. BPP2-PE66 4Glu or BPP1'-PE40 (15 ug, total protein concentration of insoluble fraction-guanidine hydrochloride treated) were added to the cells for 5 hr. Cells were washed and lysed and samples were applied for immunoblot analysis using anti PE antiserum. Lane 1: BPP2-PE66 4Glu /BPPl'-PE40 respectively (3ug, total protein concentration); Lane 2: Insoluble fraction of lysed cells incubated with either of the BPP-PE chimeric proteins; Lane 3: Soluble fraction of lysed cells incubated with BPP-PEs; Lanes 4,5: Samples of the washing steps 1 and 4, respectively. Fig.11 illustrates cytotoxic activity of BPPL-PE40 on PAS cells (αMBP T cells). Purified BPP1'-PE40 (- D -) was added at various concentrations to PAS cells at day 1 of the propagation period. Results are expressed as described in Fig. 4; Fig.12 illustrates the effect of NH 4 C1 on the cytotoxic activity of BPP1'-PE40 toward αMBP T cells. BPPT-PE40 was added at a constant amount of 500 ng. Inhibition of protein synthesis by BPP1'-PE40 was measured in the presence of increasing concentrations of NH 4 C1 (-o-). The effect of NHjCl alone at the different concentrations was also measured (-θ- ). Results are expressed as in Fig. 4; Fig.13 illustrates the effect of BPP1'-PE40 on PBL from MS patients. BPP1'-PE40 was added at various concentrations to PBL cells separated from the following MS patients: MSM 13 (-■-), MSM 14 (-Δ-), MSM 16 (- • -) and MSM 18 (-□-), Inhibition of protein synthesis was measured as described in Fig. 4; Figs. 14a-d are schematic representations of plasmids encoding human chimeric proteins; and Figs. 15a-c illustrate SDS-PAGE profiles of E. coli cell fractions expressing human BPP-PE chimeric proteins: a) BPP 84 . 102 -PE66 4Glu ; b) BPP 143 . 168 -PE66 4Glu ; c) BPP 84 . 102 -PE40. DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS A. Construction of BPP-PE/MBP-PE fusion genes Five peptide-toxin chimeric proteins were constructed. Three contained the BPP sequence coding for 19 amino acids (amino acids 69-88) of guinea pig-Myelin Basic Protein (29). Three oiigonucleotides each containing this guinea pig sequence were synthesized (oligos 1, 1' and 2, Table 1) and were each fused to the 5' end of a DNA fragment encoding a truncated form of PE (PE40) or a mutated full length PE sequence (PE66 4Glu ). The BPP encoding sequences were preceded by a sequence encoding 2 amino acids Met- Val, in the cases of BPPl-PE66 4Glu and BPP1'-PE40, and by a sequence encoding Met-Ala in the case of BPP2-PE66 4Glu . The BPP/MBP encoding sequences were fused either directly to the mutated PE sequence (chimeric protein BPP2-PE66 4Glu ) or via a linker sequence of 5 amino acids (gly-gly-gly-gly-ser) that was inserted between the BPP sequence and PE66 4Glu (Table I, oligo 1 chimeric protein BPP1-- PE66 4Glu ) or PE40 (Table I oligo 1 '.chimeric protein BPPL-PE40). In the fourth plasmid, pIS-3, a rat MBP sequence (30) was directly ligated to the PE66 4Glu sequence (Fig 1) whereas in the fifth pSM-8466 the sequence encoding for amino acids 84-102 of human MBP was ligated directly to the PE66 4Glu sequence. Summary of plasmids and their contents (construct (plasmid name)): 1. BPPl-PE66 4G!u (pIS-1) - 69-88 guinea pig MBP & mutated PE, with linker 2. BPP1'-PE40 (pHL15) - 69-88 guinea pig MBP & truncated PE, with linker 3. BPP2-PE66 401 " (pIS-2) - 69-88 guinea pig MBP & mutated PE. no linker 4. MBP-PE66 4Glu - (pIS 3) - rat MBP & mutated PE, no linker 5. BPP84-PE66 4Glu (pSM- 8466) - 84-102 human MBP & mutated PE, no linker. Table I: Oligo's used for the synthesis of BPP-PE chimeric proteins Oligo 1: 5' TATGGTAGGCTCCCTGCCCCAGAAGTCGCAGAGGTCTCAAGAT GAAAACCCA GTAGTCCACTTCGGTGGCGGAGGATCAGA 3 * Oligo 1' : 5' TATGGTAGGCTCCCTGCCCCAGAAGTCGCAGAGGTCTCAAGAT GAAAACCCA GTAGTCCACTTCGGTGGCGGAGGATCACA 3' Oligo 2 : 5 * TATGGCTGGCTCCCTGCCCCAGAAGTCGCAGAGGTCTCAAGAT GAAAACCCAGTAGTCCACTTCGA 3' Oligo 3: 5' TATGGATGAAAATCCAGTAGTTCATTTTTTTAAAAATATTGTAA CCCCACGTACCCCACCCGA 3' PCR-primers for cDNA encoding the Rat MBP in pMBP-1 plasmid IS 1: sense: 5' AGC TCATATGGCATCACAGGGGAGACC 3' IS2: antisense: 5' AGCTAAGCTTCGCGTCTTGCTATGGGAGATC 3' A.l: Plasmids plS-1, plS-2 and pSM- 8466 Plasmids for the expression of the chimeric proteins under the bacteriophage T7 promoter were constructed as shown in Figs. 1 and 2. Plasmids plS-1, plS-2 and pSM-8466 encoding BPPl-PE66 4Glu , , BPP2- -PE66 4Glu and BBP84-PE66 4Glu , respectively, were constructed from pHL823 (28) cut with Ndel and Hindlll. The largest vector fragment (4.4 Kb) was ligated to either of three different synthetic oiigonucleotides (oligo 1, 2 or 3, Table I and Fig 1). The resulting plasmids were examined for size and for the expression of the encoded chimeric proteins in BL 21(λDE3) cells, see section G. A.2: Plasmid pHL15 which encodes BPP1'-PE40 Plasmid pHL15 was constructed from pHL906 (29b) cut with Ndel. The largest vector fragment (4kb) was ligated to a synthetic oligonucleotide (oligo 1', Table I and Fig 2). Plasmid pHL15 was examined as described above. A3: Plasmid plS-3 which encodes MBP-PE664Glu Plasmid plS-3, was constructed by fusing a 400bp-PCR fragment corre¬ sponding to the whole rat MBP, to the larger fragment (4.4 Kb) of pHL823 cut with Ndel and Hind 111 (Fig. 1). The PCR fragment was synthesized using ISI and IS2 primers (Table 1) and plasmid pMBP-1, kindly provided by L. Hood, California Inst. of Tech, USA. The PCR product was cut with Ndel and Hind 111 and ligated to pHL823 cut with the same enzymes. Plasmid pMBP-1 contains the full size cDNA for rat MBP. The sequences of the chimeric genes constructed were confirmed by DNA sequence analysis (data not shown). B. Protein Expression The plasmids encoding the fusion genes were transformed into E.coli strain BL-21 DE3 using the heat shock protocol (32). The transformed E.coli colonies were grown and selected from Ampicillin (100 (g/ml) agar plates. Selected colonies were further grown in SLB medium containing Ampicillin (50 (g/ml) until OD 650 reached 0.5. Induction was then performed for 90 minutes using iso-propyl-(-D-galactoside (IPTG) (ImM final concentration). A pellet of expressed cells was suspended in TE buffer (50mM Tris pH 8.0, ImM EDTA) sonicated (six 30-sec bursts, at 100 W) and centrifuged at 10,000 xg for 15 min. The supernatant (soluble fraction) was removed and kept for analysis. The pellet was denatured in 4 vol (v/w) of extraction buffer (7M Gu-HCI, 0.1M Tris pH 8.0, ImM EDTA, ImM DTT) and sonicated (six 30-sec bursts 100 W). The suspension was stirred for 1 hr at 4°C. The suspension was cleared by centrifugation at 12,000g for 15 min and the pellet discarded. The clear supernatant was then diluted 4-fold with phosphate buffer saline (PBS) and dialyzed against PBS. The dialyzed material was centrifuged at 12,000g for 10 min. The resulting supernatant (insoluble fraction, guanidine hydrochloride treated) was used as a source of the chimeric proteins for most experiments. C. Characterization and subcellular localization of the BPP-PE chimeric proteins The new expressed chimeric proteins were characterized by SDS polyacrylamide gel electrophoresis (PAGE). These proteins migrated with an apparent molecular mass of approximately 42.9Kd and 68.3- 68.9Kd, corresponding to the expected molecular mass of BPP1'-PE40, BPP1- -PE66 4Glu /BPP2-PE66 G|U /BPP84-PE66 4Glu , respectively (Fig. 3A). The molecular weight of MBP-PE66 4Glu is 80Kd. Immunoblots showed that the chimeric proteins react with the polyclonal anti-PE antiserum (Fig. 3B). Extracts from the cells displayed ADP-ribosylation activity (31) as shown in Table II below. To identify the subcellular localization of the expressed chimeric proteins subcellular fractionation was performed. Each subtraction was tested for its ADP ribosylation activity using wheat germ extracts enriched in Elongation Factor 2. According to the enzymatic activity the three different chimeric proteins (BPPl-PE66 4Glu , BPP2-PE66 4G|U and BPP1'-PE40) are expressed and distributed similarly in the different subfractions. About 60-70% of the total activity was found associated within the soluble fraction and only 30-40% within the insoluble fraction. However, the insoluble fraction was found to be the most enriched one for the proteins, showing 7 to 16-fold higher values (specific activity) than those calculated for the soluble fraction (Table II). Thus BPP-PE chimeric proteins were purified from the insoluble fraction (see below). It should be noted that only basal levels of BPP-PE proteins were found in the periplasm fraction or in the incubation media. Table II BPPl-PE66 4Glu BPP2-PE66 4Glu BPPL-PE40 % sp. Re¬ sp. % sp. SAMPLE activity activity activity activity activity activity Soluble fraction 68 0.9 60 0.7 67 0.6 Insoluble fraction 32 6.3 40 11.2 33 6.4 D. Cytotoxic activity of BPP-PE chimeric proteins The cytotoxic activity of the different BPP-PE chimeric proteins was tested on MBP-specific encephalitogenic T cell lines. The cell lines ((MBP— specific T cell lines: Z85, D9 , PAS, Kla and control cell lines: A2b, PPD, available from the inventors) were maintained in culture by alternating specific antigen stimulation for 3 days and propagation phases for another 5-7 days. Stimulation of MBP specific encephalitogenic MBP-T line cells (3 x 105 cells/ml) was done in the presence of 15 μg/ml guinea-pig MBP for two to three days with 15 x IO 6 cells/ml syngeneic irradiated thymocytes as antigen presenting cells (APC) in RPMI-1640 supplemented with 1% syngeneic rat serum, 2mM-L glutamine, ImM sodium pyruvate, 5 x IO "5 M /3-mercaptoethanol, 100 μg/ml penicillin and 100 μg/ml streptomycin. The activated lymphoblasts were separated from the thymocytes and debris by centrifugation over a Ficoll paque gradient (Pharmacia). The blasts are found in the interface. Blasts were then expanded in the same medium minus antigen and rat serum, enriched with 10% heat inactivated fetal calf serum (FCS) and 10% ConA activated spleenocyte supernatant (conditioned medium which contains TGCF) or 25 units/ml of human rlL2. Assays were performed using the insoluble fraction of the different chimeric proteins, diluted in PBS containing 0.2% bovine serum albumin (BSA). They were then added at various concentrations to the (MBP-T cells in a 96-well plate (2-4 X IO 4 cells/well) in triplicate at the third day (d3) of the propagation phase. The cells were incubated in 5% C0 2 in air at 37°C for 18-24 hr, with the addition of 2μci of [3H]-leucine or lμci of [3H]- thymidine for an additional 12-16 hr. Cells were then harvested and incorpo- rated radioactivity was measured. When assays were performed on HUT102 control cells, the radioactive material was added for only 4 hr. before harvesting the cells. Percentage of protein synthesis inhibition was calculated from control cells not exposed to any chimeric proteins. As shown in Figs. 4-6 specific αMBP T cell lines (D9, Z85 and Kla respectively) were sensitive to the cytotoxic activity of these BPP-PE chimeric proteins demonstrating a 60-70% inhibition of protein synthesis at the highest concentration tested. Protein synthesis inhibition was concentra¬ tion dependent. Chimeric protein BPPl-PE66 4Glϋ was not cytotoxic to D9 target cells in contrast to the other two chimeras (BPP2-PE66 4Glu and BPP1'-PE40) (Fig. 4). When the cytotoxic effect of BPP-PE chimeric proteins was tested on DNA synthesis, similar results were observed (results not shown) demon¬ strating that the chimeric proteins irreversibly inhibit protein synthesis thus causing cell death. As the insoluble fraction of expressed cells was used in most of these experiments, we used the insoluble fraction of cells expressing only the toxin moiety of the chimeric protein, (PE40), as a control to test for non-specific activity associated with the insoluble fraction preparations. The insoluble fraction of PE40 had no cytotoxic effect on target (Fig 4) or non target cells. The insoluble (ins.) fraction of MBP-PE66 Glu was cytotoxic to Z85 cells. At the highest concentration tested (2,000ng) an inhibition of 58% of protein synthesis was observed (Fig. 7). De novo expression of interleukin 2 receptor molecules (1L2R) appears during the activation process of a T cell line induced by an antigen, thus we tested the cytotoxic activity of IL2-PE chimeric proteins on the different antigen specific T cell lines as positive controls. Highly purified IL2-- PE66 4G|U caused 40-75% inhibition of protein synthesis in the different αMBP T cell lines tested (Figs. 4-6). E. Specificity of activity of BPP/MBP-PE chimeric proteins After demonstrating that BPP-PE chimeric proteins had a cytotoxic effect on αMBP T cell lines, we assessed the specificity of the response to the chimeric proteins. As shown in Fig.4, the cytotoxic effect of BPP-PE chimeric proteins on the αMBP T cell line D9 was completely blocked by excess of polyclonal αPE, demonstrating the specificity of their action. The effect of BPP-PE proteins was also tested on the non target cell lines A2b or PPD. The A2b cell line which is specific to mycobacterial antigen, cross reactive with rat cartilage and it is involved in mediating adjuvant arthritis. The PPD cell line is specific to Purified Protein Derivative of Mycobacterium tuberculosis. Both T cells were maintained in culture in the same conditions as that of αMBP T cells. As shown in Figs. 8 and 9, A2b or PPD control cell lines were unaffected by the action of the BPP-PE chimeric proteins, showing that the effect is a highly specific response. The activity of BPP-PE chimeric proteins was also tested on other non target cells-HUT 102 cells, a human HTLV-I T cell leukemia cell line which expresses the high and the low affinity forms of IL2R. This cells were maintained in RPMI 1640 supple¬ mented with 10% FCS. HUT 102 was a gift of T.A. Waldmann (National Cancer Institutes). No cytotoxic effect was observed by the BPP-PE chimeric. F. Internalization of chimeric proteins into target cells As another approach to confirm internalization of BPP-PE chimeric proteins into target cells we followed the existence of the proteins following incubation, within the cells, by immunoblot analysis. Internalization of chimeric proteins into target cells was assayed by incubating chimeric proteins BPP2-PE66 4Glu and BPP1'-PE40 ( " 5 μg, total protein concentration of insoluble fraction, guanidine hydrochloride-treated), with αMBP T cells (PAS cells) or with A2b non target cells for 5 hr. At the end of the incubation, cells were washed four times with Hanks Balanced Sodium Saline (HBSS) buffer, saving samples from each washing step. Cells were then lysed with lysis buffer (20 mM Tris- HCl pH 7.4, 150mM NaCl, ImM EDTA, 1% NP40, 1% deoxycholic acid, 0.1% SDS, ImM PMSF) and incubated for 15 min. at RT. The cell lysate was centrifuged at 9000g for 10 min. and the pellet (dissolved in Tris-HCl pH 7.4, ImM EDTA, TE buffer) and supernatant fractions of the lysed cells were kept for analysis. Samples of the growing media, washing steps, and the lysed cells were applied for SDS PAGE analysis. Eiectrophoresed samples were transferred from gels to nitrocellulose and immunoblotted using αPE antiserum. When internalization was assayed on A2b cells, immunobloting of the samples was performed by slot-blot analysis. After standard assay conditions, BPP2-PE66 Giu and BPP1'-PE40 could be detected within lysates of target cells (Fig. 10). These chimeric proteins are cell associated as samples from the last washing step (before lysing the cells, wash IV, Fig. 10) didn't reveal any immunoreactive material. No internalized chimeric proteins could be detected within the A2b non target cells under identical assay conditions (Fig. 10). As expected, chimeric proteins could be detected in this case only in the growing medium and in the first washing sample. G. Production and purification of BPP-PE chimeric proteins MBP/BPP-PE chimeric proteins are expressed in prokaryotic systems. The expression in E. coli, as observed with many foreign eukaryotic proteins, results in the formation of insoluble inclusion bodies, which contain the recombinant protein in a non-native and non-active conforma- tion. Further ways for obtaining the fusion proteins differ and depend on nature of its moieties. The chimeric protein was expressed in E. coli strain BL21 (λDE3) cells. Bacterial cells were grown in SLB/Amp (50 (g/ml) (SLB in IL - 5 g NaCl, 16g tryptophan, IO g yeast extract) medium at 37°C, until the OD 600 reached 1.5-2.0. Induction with IPTG (ImM, 90 min. at 37°C) resulted in the expression of the chimeric proteins. Cultures were centrifuged at 2700rpm for 15 min. Pellets of cells were frozen at -70° C. The frozen E. coli cells were thawed and suspended in lysis buffer (50mM Tris-HCl pH 8.0, ImM EDTA, 0.2 mg/ml lysozyme) (10 ml/g cells). The cell suspension was pulse sonicated 3 X 30 seconds. The disrupted cells were centrifuged at 35,000 xg for 30 min. at 4°C to obtain the insoluble fraction, i.e. the inclusion bodies. The inclusion bodies were suspended in denaturing buffer (6M GuHCl, lOOmM Tris-HCl pH 8.6, 1 mM EDTA, 10 mM DTT, 50 mM NaCl) (1 ml/g cells). The mixture was collected by centrifugation (35,000g for 15 min.). Supernatant was diluted 100-fold with refolding buffer (lOOmM Tris-HCl, pH 8.0, 1 mM EDTA, 0.25M Arginine, 5mM DTT, 0.25M NaCl) and stirred for 48 hr. at 4°C. The diluted extract was clarified by centrifugation 35,000g for 30 min. at 4°C. Each gram of protein of the refolding solution was absorbed on to 0.7-0.8 ml of pre-treated (with BSA) hydroxyapatite. The fraction not bound to the absorbent was added with 0.25M NaCl and lOOmM arginine and concentrated with a stirrer cell (Nucleopore, membrane cut 30,000, Sigma) until final volume reached 1-2 ml. Concentrated fraction was then loaded onto a Sephacryl S-200 HR column (1 X 120 cm) precalibrated with 50mM K-phosphate buffer pH 7.0 and 0.25M NaCl. Fractions of one ml were collected and tested for absorbance at 280nm and on SDS-PAGE. Peak fractions were collected and dialyzed against PBS and designed as purified BPPL-PE40. Highly purified BPP1'-PE40 was kept at -20°C in aliquots. All purification steps were followed by SDS-PAGE electrophoresis, protein measurements, Western blot analysis and ADP-ribosylation activity of the samples. Based on total activity (as measured by ADP-ribosylation activity) a yield of 4.5% from starting material (Table III) was obtained. According to specific activity of the chimeric protein, the degree of purification was 20.8-fold (Table III). Table III: Purification of BPP-PE40 Protein Total Spe¬ Total Yield Degree of cone. pro¬ cific activity Purificat¬ tein activity ion mg/ml mg cpm- cpm % xlO 6 - xlO 6 /mg Whole cell 5.2 83.2 12.9 1073 100 1 extract Refolding 0.28 28 25.3 708 66 2 solution hydroxyapa¬ 0.022 2.2 57.6 127 12 4.5 tite sup. Centricon-3 1.15 1.73 45.4 78.5 7.3 3.5 sol. Sephacryl 0.045 0.18 267.8 48 4.5 20.8 peak The highly purified chimeric protein was tested for its nonspecific toxicity. This was done by injecting a single increasing dose of chimeric protein into mice (strain SJL ). Animals were observed for at least 2 weeks, although a toxic dose of PE caused death within 24-48 hours. None of the mice died at a dose of 50 μg, 2/3 of the mice died at a dose of 100 μg. Use of an ion-exchange column (in place of the stirrer cell) after the hydroxyapatite step in the purification procedure described above, improves the purity of the end product. Fractions found not to bind to the hydroxyap¬ atite support were diluted (1:5) with TE buffer (TE buffer: lOmM Tris HCl pH 8.0, ImM EDTA), added to Q-Sepharose (5ml of wet column media to ~20mg protein of diluted BPP1-PE40 solution) and stirred for 30 min. at 4°C. The material was then packed into a column and washed with TE buffer. Elution was performed with 1 M NaCl in TE buffer. This step concentrated the protein samples that were then applied onto the Sephacryl column. H. Cytotoxic activity of purified BPP1'-PE40 Increasing amounts of purified BPP1'-PE40 chimeric protein were added to PAS cells at day 1 (dl) of the propagation phase. As shown in Fig. 11, the highly purified BPP1'-PE40 caused inhibition of protein synthesis in a dose dependent manner. I. Enhancement of cytotoxicity by lysosomotrophic agent NH 4 C1 is known to be a lysosomotrophic agent which increases the lysosomal pH thus neutralizes the activity of its enzymes. Different lysosomotrophic agents such as NH 4 CI, monensin, etc. caused enhancement of the immunotoxins' cytotoxicity. We examined the effect of NH 4 CI on BPP1'-PE40 cytotoxicity toward target cells. As can be seen in Fig. 12, 5mM NH 4 CI dramatically increased the cytotoxic effect of BPP1'-PE40 on PAS cells. While in the absence of NH 4 CL, 500 ng BPPL-PE40 caused only 4% inhibition of protein synthesis, adding NH 4 C1 increased inhibition of protein synthesis to 98% (5mM of NH 4 C1 caused in itself a 26% decrease in protein synthesis). J. BPP-PE cytotoxicity toward PBL from MS patients Peripheral was collected from MS patients or control healthy donors. Lymphocytes were separated by application of 20 ml peripheral blood on Ficoll-isopaque (1.077). Lymphocytes were either activated with PHA (5(g/ml) for 72 hr. or used freshly within 24 hr. Activated lymphocytes were transferred to RPMI 1640 supplemented with 10% FCS and 10 units/ml rlL2. The cytotoxic assay (2xl0 4 cells/well) was done immediately after the cells transfer. Fresh lymphocytes (IO 5 cells/well) were maintained in the same medium as described for the T cell lines supplemented with 20% heat inactivated FCS and 10 units/ml rlL2. Cells were seeded for protein inhibition assays that were performed on: 1 ) Fresh cells without any pre-activation period. Calibration experiments were performed on control fresh blood samples to ensure good availability of the cells during the assay period. Parameters such as density of cells seeded, addition of specific growth factors/cytokines, etc. were tested; 2) Cells following 2-3 days of activation PHA. In parallel experiments, control blood samples taken from healthy individuals were tested in a similar manner, examining for specificity of the chimeric proteins used. The study was performed on MS patients mainly at relapses of the disease. Eighteen MS patients were included in this study. Fresh cells (without any pre-activation) from eleven patients were examined with BPP1'-PE40 at different stages of its purification (following the progress in the purification protocol). Peripheral blood cells from six patients (54%) were sensitive to BPP1'-PE40 mediated cytotoxicity with inhibition of protein synthesis ranging from 20% to 92%. Fig. 13 demonstrates the effect of BPP1'-PE40 on a few MS patients, one that was very sensitive to the chimera (MSM-18), one that did not show any response (MSM-16) and two other patients that showed low to moderate sensitivity to BPP1'-PE40 mediated cytotoxicity (MSM-13,14). Samples from twelve patients (part of the patients' samples were tested both as fresh cells and after activation) were tested after 3 days of activation with PHA. Six out of the twelve samples (50%) showed sensitivity to the chimera. Cells taken from control donors showed no or very little response to the chimera. Cells taken from a patient with another, unrelated neurological disease were also tested and found unresponsive to the cytotoxic effect of BPP1'-PE40. K. Inhibition of EAE by BPP1'-PE40 Immunization and treatment protocol: 18 Female SJL mice between 8-10 wk of age were immunized in 4 footpads with mice spinal cord homogenate (O.lmg/mice) solubilized in PBS, pH 7.4, and emulsified 1:1 in CFA (5 mg/ml Mycobacterium titberculosum) in a total volume of lOOμl/mice. In addition, pertusis toxin (200ng/200μl/mice) was i.v. injected. Boosting was done in 48 h. later with another dose of pertusis toxin, i.v. injected (200ng/200μl/mice). Treatment consisted of i.p. injection every 12 h. of BPP1'-PE40 at 5ug/mice (based on 2.5μg/g animal) in 0.5 ml PBS pH 7.4 or 0.5 ml PBS alone. The treatment was initiated 8 days after immunization and continued for 10 days. Grading of the severity of EAE was made every day during treatment and at least 1 month later. The scoring ranged from 1 to 6 as follows: 1 = mild tail weakness, 2 = tail paralysis, 3 = tail paralysis and hind leg paralysis, 4 = hind leg paralysis or mild fore-limb weakness, 5 = quadriple- gia, 6 = death. Results: BPPT-PE40 treated mice did not develop EAE at all (mean severity=0) and none of them died from the disease. In contrast, in the PBS control group, 6 out of 9 mice developed EAE with the peak of disease on day 14. The 6 affected mice displayed differences in severity and duration of the disease, the mean severity on day 14 being 3. In addition, one of the 6 mice in the control group died from the disease. The treated group was followed for an additional 4 weeks and no sign of a late appearance or late relapse of the disease was observed. L. Human chimeric proteins Several additional chimeric proteins based on the human MBP pathogenic sequences were constructed. The targeting sequences in these chimeric proteins were based on peptides 84-102 and 143-168 of the human MBP (Table IVb). The short peptide sequences were synthesized on a DNA synthesizer and purified by conventional protocols. Sequences of the oligo's used for the constructs are shown in Table IVa. Table IVa: Sequences of oligo's used for constructing human BPP-PE chimeric proteins Oligo 1 (143-906): 5' TATGTTTAAAGGGGTAGATGCTCAAGGGACCCTTTCTAAAAT- TTTTAAATTGGGAGGTAGAGATCA 3' Oligo 2 (143-906 : 5' TATGAT(^CTACCTCCCAATTTAAAAATTTTAGAAAGGGTCCCTT- GAGCATCTACCCCTTTAAACA 3' Oligo 3 (84-906): 5TATGGATG AAAATCCAGTAGTTCATTTTTTTAAAAATATTGTAA- CCCCACGTACCCCACCCCA 3' Oligo 4 (84-906): 5 ATGGGGTGGGGTACGTGGGGTTACAATATTTTTAAAAAAATG- AACTACTGGATTTTCATCCA 3' Oligo 5 (84-823): 5 ATGGATGAAAATCCAGTAGTTCATTTTTTTAAAAATATTGTAAC- CCCACGTACCCCACCCGA 3' Oligo 6 (84-823): 5' AGC1 CGGGTGGGGTACGTGGGGTTACAATATTTTTAAAAAAAT- GAACTACTGGATTTTCATCCA 3' Oligo 7 (143-823): 5 ' TATGTTTAAAGGGGTAGATGCTCAAGGG ACCCTTTCTAAAAT- TTTTAAATTGGGAGGTAGAGATGA 3' Oligo 8 (143-823): 5ΑGCTTCATCTCTACCTCCCAATTTAAAAATTTTAGAAAGGGTGC- CTTGAGCATCTACCCCTTTAAACA 3' Table IVb: Amino acid sequences of the human BPP's 84-102: 5' Asn Glu Asn Pro Val Val His Phe Phe Lys Asn He Val Thr Pro Arg Thr Pro Pro 3' 143-168: 5' Phe Lys Gly Val Asp Ala Gin Gly Thr Leu Ser Lys He Phe Lys Leu Gly Gly Arg Asp 3' The new chimeric proteins were constructed using gene fusion techniques. Schematic representations of the plasmids encoding the new chimeric proteins are shown in Figs. 14a-d. The targeting sequences were cloned at the 5' end of a full length modified PE (PE66 4Glu ) (Figs. 14a,b) or to a truncated form of PE-cDNA (PE40) (Figs. 14c,d). Both forms of the PE-cDNA had been used for constructing IL2-toxin chimeric proteins and were found to exhibit a differential activity towards human and murine freshly activated T Cells. Oligo's 1-2 were used to construct BPP ]43 _ ι6g - PE40; Oligo's 3-4 were used to construct BPP g4 . 102 -PE40; Oligo's 5-6 were used to construct BPP 84 . 102 -PE66 4Glu ; and Oligo's 7-8 were used to construct BPP 143 . 168 -PE66 4Glu . The new chimeric cytotoxins were expressed in E. coli expression systems, similar to the production of previous MBP-PE. Expression was followed by SDS-PAGE of cell extracts (Figs. 15a-c), by Western blot analysis using anti-PE antibodies and by measuring ADP-ribosylation activity of the expressed proteins. All new chimeric proteins were highly expressed and primarily concentrated in the insoluble fraction of the expressing cells. These human chimeric proteins were tested on target cells such as peripheral blood from MS patients. BPP 84 . 102 -PE66 4Glu was tested on the cells of two MS patients (already tested before, MSM 16,18) and found to be cytotoxic (Table V). One of the patients (MSM 16) responding to the new chimeric proteins based on the human sequence did not respond before to BPP1-PE40 (guinea pig-based sequence) mediated cytotoxicity. Cells from an additional MS patient had no response to BPP 84 . ]02 -PE66 Glu . Table V: Effect of BPP R4 , ιn ,-PE66 4Glu on PBL from MS patients Patient % protein synthesis inhibition (at 500 ng) MSM-16 52 MSM-18 56 MSM-22 <5 REFERENCES: I) Aharoni, R., Teitelbaum, D., Arnon, R. & Puri, J. (1991) immunomodulation of experimental allergic encephalomyelitis by antibodies to the antigen-la complex. 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U.S.A. 85:1922-1926. 7) Ogata, M., Chaudhary, V.K., Fitzgerald, D.J. & Pastan, I. (1989) Proc. Natl. Acad. Sci. U.S.A. 86:4215-9742. 8) Siegall, CB, Chaudhary, V.K, Fitzgerald, D.J. & Pastan, I. (1988) Proc. Natl. Acad. Sci. U.S.A. 85:9738-9742. 9) Chaudhary, V.K, Mizukami, T, Fuerst, T.R, Fitzgerald, D.J, Moss, B, Pastan, I. & Berger, E.A. (1988) Nature 335:369-372. 10) Siegall, CB, Chaudhary, V.K, Fitzgerald, D.J. & Pastan, I. (1989) J. Biol. Chem. 264:14256-14261. I I) Kreitman, R.J, Chaudhary, V.K, Waldmann, T, Willingham, M.C, Fitzgerald, D.J, & Pastan, I. (1990)Proc. Natl. Acad. Sci. 87:8291- 8295. 12) Waldmann, T.A. (1995)Immunol. Today 14:264-270. 13) Wall, J.R, Baur, R, Shlesener, H. & Bandy-Dafoe P. (1983) J. Clin. Edocήnol. Metab. 56:164-168. 14) Bottazo, G.F, Dean, B.M, McNally, J.M, Mackay, E.H, Swift, P.G, & Gamble, D.R. (1985) N. Engl. J. Med. 313:353-360. 15) Lemm, G, & Warmatz, H. (1986) Clin. Exp. Immunol.64:7l-79. 16) Selby, W.S., Janossy, G, Bosil, M. & Jewel, D.P. (1984) Gut 25:32- 40. 17) Gery, I, Mochizuki, M. & Nussenblatt, R.B. (1986) In Progress in Retinol. Research eds. Osborne, N. and Chader, Y. (Pergamon. Oxford and New York) pp. 75-109. 18) Shapiro, M.E, Kirkman, R.L, Reed, M.H, Puskas, J.D, Mazoiyian, G, Letvin, N.L, Carpenter, CB, Milford, E.L, Waldmann, T.A. & Strom, T.B. (1987) Transplant Proc. 19:594-598. 19) Heidecke, CD, Kupiec-Welylinki, J.W, Lear, P.A, Abbud-Filho, M, Araujo, J.L, Araneda, D, Strom, T.B. & Tilney, N.L. (1984) J. Immunol. 133:582-588. 20) Bailon, P, Weber, D.V, Gately, M, Smart, J.E, Lorberboum-Galski, H, Fitzgerald, D. & Pastan, I. (1988) Biotechnol.6:1326-1929. 21) Case, J.P, Lorberboum-Galski, H, Lafyatis, R, Fitzgerald, D, Wilder, R.L. & Pastan, I. (1989) Chimeric cytotoxin IL2-PE40 prevents adjuvant arthritis in rats. Proc. Natl. Acad. Sci. U.S.A. 86:287-291. 22) Lorberboum-Galski, H, Barret, L, Kirkman, R, Ogata, M, Willingham, M, Fitzgerald, D. & Pastan, I. (1989) Cardiac allograft survival in mice treated with IL2-PE40. Proc. Natl. Acad. Sci U.S.A. 86: 1008-1012. 23) Roberge, F.G, Lorberboum-Galski, H, Phoan, P.L, desmet, M, Chan, CC, Fitzgerald, D & Pastan, I. (1989) Selective immunosuppression of activited T cells with the chimeric toxin IL2-PE40: Inhibition of experimental autoimmune uveoretinitis (EAU). J. Immunol.143:3498- 3502. 24) Kozak, R.W, Lorberboum-Galski, H, Jones, L, Puri, R.J.K, Willingham, M.C, Malek, T, Fitzgerald, D.J, Waldman, T.a. & Pastan, I. (1990) J. Immunol. 145:2766-2771. 25) Herbort, CP, deSmet, M.D, Roberge, F.G, Nussenblatt, R.B, Fitzgerald, D, Lorbergboum-Galski, H, & Pastan, I. (1991) Transplantation 52:470-474. 26) Beraud, E, Lorberboum-Galski,H, Chan, CC, Fitzgerald, D, Pastan, I. & Nussenblatt, R.B. (1991) Immunospecific Suppression of encephalitogenic activated T lymphocytes by chimeric cytotoxin IL2- PE40. 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Claims: CLAIMS: 1. A chimeric protein comprising a Pseudomonas aeruginosa exotoxin (PE) moiety linked to a myelin basic protein (MBP) moiety selected from the group comprising: (a) MBP; (b) amino acids 69-88 of guinea-pig myelin basic protein or an antigenic portion thereof; (c) amino acids 84-102 of human myelin basic protein or an antigenic portion thereof; (d) amino acids 143-168 of human myelin basic protein or an antigenic portion thereof; and (e) an amino acid sequence in which one or more amino acids have been deleted, added, substituted or mutated in the amino acid sequences of (a), (b), (c) or (d), said modified sequence retaining at least 75% homology with said amino acid sequences. 2. A protein according to claim 1 wherein said PE moiety comprises PE mutated at one or more of amino acid positions 57, 246, 247, and 249. 3. A protein according to claim 1 wherein said PE moiety comprises domains II and III of the exotoxin. 4. A protein according to claim 1 wherein said MBP moiety and said PE moiety are linked directly. 5. A protein according to claim 1 wherein said MBP moiety and said PE moiety are linked by a pentapeptide repeated from 1-3 times. 6. A protein according to claim 5 wherein said pentapeptide comprises the amino acid sequence gly-gly-gly-gly-ser. 7. A DNA sequence encoding a protein according to any of claims 1-6. 8. A plasmid comprising a promoter operatively linked to a DNA sequence according to claim 7. 9. An expression vector capable of expressing a protein as claimed in any of claims 1-6 comprising a plasmid according to claim 8. 10. A pharmaceutical composition comprising a chimeric protein as defined in any of claims 1-6 and an inert carrier. 11. A pharmaceutical composition according to claim 10 further compris- ing a lysosomotrophic agent. 12. A method for the treatment of an autoimmune disease comprising administering a pharmaceutical composition according to claim 10 to a patient suffering from said disease. 13. A method for the treatment of an autoimmune disease comprising administering a pharmaceutical composition according to claim 11 to a patient suffering from said disease. 14. A method according to claim 12 wherein said disease is multiple sclerosis. 15. A method according to claim 13 wherein said disease is multiple sclerosis.

Inventors: BERAUD EVELINE, LORBERBOUM-GALSKI HAYA, MARIANOVSKY IRINA, STEINBERGER IDA, YARKONI SHAI, BERAUD, EVELINE, LORBERBOUM-GALSKI, HAYA, MARIANOVSKY, IRINA, STEINBERGER, IDA, YARKONI, SHAI
Applicants: BERAUD EVELINE, LORBERBOUM GALSKI HAYA, MARIANOVSKY IRINA, STEINBERGER IDA, YARKONI SHAI, YISSUM RES DEV CO, BERAUD, EVELINE, LORBERBOUM-GALSKI, HAYA, MARIANOVSKY, IRINA, STEINBERGER, IDA, YARKONI, SHAI, YISSUM RESEARCH DEVELOPMENT COMPANY OF THE HEBREW
Application year: 1996
Main classification: C12N15
IPC codes: A61K38, C07K14, C07K19, C12N15