MODIFIED HUMAN CHORIONIC ( beta -hCG) PROTEINS AND THEIR MEDICAL USE

Abstract: The present invention relates to modified human chorionic gonadotrophin ( beta -hCG) proteins and their medical use as immunological contragestatives. The modification causes a reduction in the cross-reactivity of the modified beta -hCG protein with LH as defined by the ability of both proteins to react with the same antibody.

Description: Modified human chorionic (β-hCG) proteins and their medical use Field of the Invention The present invention relates to substances, in particular to modified human chorionic gonadotropin (/3-hCG) proteins/genes, and their medical use, for example as immunological contraceptives having improved specificity and/or which in vivo avoid producing antibodies having undesirable cross-reactivity, for example with other natural hormones . Background of the Invention The principle of immunising the female with 3-hCG or its C- terminal peptide to induce antibodies which neutralise hCG and therefore inhibit pregnancy has been proposed 1 and has been the subject of trials by the World Health Organization 2 and the Indian Health Authorities 3 . Shortly after fertilization of the ovum, the hormone hCG which at other times is essentially absent from the body, is produced and acts on the corpus luteum in the ovary to promote synthesis of progesterone. Progesterone is vital for the maintenance of the fertilized egg in the uterus and so the production of antibodies to neutralise the hCG will effectively prevent the pregnancy from proceeding. This strategy has been successfully employed to block fertility in baboons 1 and marmosets 4 and more recently in humans 3 . hCG itself is composed of two chains, c. and β . The c.-chain is common to other hormones (FSH, TSH and LH) , which contribute to normal physiological function, so that autoantibodies made to this chain would be highly undesirable. The 3-chain of hCG is far more specific, but a major problem still remains in that there is an 85% homology of /3-hCG with the /3-chain of luteinizing hormone (LH) which is present continually in the potentially fertile female. A strategy adopted by the W.H.O. has been to prepare a vaccine based on the /3-hCG C-terminal peptide (residues 109-145) which is unique to hCG. This is made immunogenic by linking to the carrier proteins tetanus or diphtheria toxoids to provide T-cell help. This has not produced adequately high responses in high frequency within the cohorts tested 5 partly because of the relatively weak immunogenicity of the peptide and the fact that antibodies to a peptide fragment of a protein do not usually bind with high affinity to the parent protein 6 . Talwar adopted a less cautious approach by using the whole /3-hCG chain (together with ovine α-chain as a carrier) in the hope that the antibodies produced which cross-reacted with LH would not prove to be troublesome. However, not enough experience has been gained so far to confirm this hope and in principle, where possibly millions of people could be immunized with the vaccine for several years, it would seem prudent, to devise a vaccine which did not cross-react with LH. Summary of the Invention It is known that the epitopes specific for /3-hCG other than the C-terminus are discontinuous, i.e. the residues making up the epitope may be separate from each other in primary structure but are brought together by the protein folding. However, the contact residues forming these discontinuous epitopes are very difficult to identify and even if they could be, the "floppiness" of any synthetic peptide formed from these residues would make it a poor immunogen with respect to the generation of antibodies with high affinity. In the present invention, we have adopted a strategy 7 which relies upon the natural folding of the protein to form the specific discontinuous epitope, while at the same time mutating the parent gene in such a way that the amino acid residues forming the LH cross-reacting epitopes are altered without affecting the more distant folding of the hCG- specific epitope (s) . The retention of the desired epitope (s) and the loss of the unwanted epitopes can be monitored by reaction of the mutants with monoclonal antibodies specific for hCG and others giving cross- reaction between hCG and LH. Broadly, the present invention provides a substance which has the property of inducing a neutralising antibody response to /3-hCG in vivo, said antibodies not substantially cross-reacting with LH, the substance comprising one or more of the conformational epitopes specific to native β-hCG, or functional equivalents or mimetics of these epitopes. In one aspect, the substance is a modified /3-hCG protein having one or more conformational epitopes specific to native /3-hCG, the protein being modified at one or more amino acid residues forming epitope (s) of native /3-hCG that cross-react with LH, to reduce the cross-reactivity the β- hCG protein with LH, as defined . by the ability of both proteins to react with the same antibody. The present invention also includes substances which are variants, derivatives, functional equivalents or mimetics of these above proteins. Preferably, the substance includes two or more epitopes that are specific to native /3-hCG. This helps to induce the production of antibodies specific for these epitopes, which will form complexes of the β-hCG with two or more antibody molecules, so helping to improve the in vivo neutralising activity caused by the substance. Preferably, the modified amino acid residues are selected from the following residues of native /3-hCG; Lys20, Glu21, Gly22, Pro24, Val25, Glu65, Arg68, Gly71, Arg74, Gly75 and/or Val79. There are other residues common to /3-hCG and /3-LH which lie on the outside of the protein molecule accessible to the aqueous solvent phase, which might potentially be immunogenic and give rise to cross-reacting antibodies. This would have to be established following immunisation with the mutant /3-hCG and a similar further mutation procedure would then be required to abolish the epitopes reacting with these new antibodies. The rationale for selecting the residues to replace the native residues is set out below in more detail. Pre_ferred modifications are set out in table 2. In a further aspect, the present invention provides nucleic acid encoding the above proteins, vectors incorporating the nucleic acid and host cells transformed with the vectors. In a further aspect, the present invention includes compositions comprising one or more of the above substances, in combination with a physiologically acceptable carrier. Preferably, the compositions will be contraceptive compositions in a form suitable for immunisation. However, the substances, proteins or compositions described herein may prove useful in hCG- specific immunoassays and for applications where hCG is active, such as the inhibition of Kaposi sarcoma. In a further aspect, the present invention provides a method of contraception, more strictly in this context contragestative, for a female mammal comprising immunising the female mammal with contraceptively effective amount of one or more of the substances. In a further aspect, the present invention includes the use of the substances in the manufacture of a contraceptive composition. Conveniently, the immunogenicity of the substance may be enhanced by linking it to a carrier such as tetanus toxoid, or to appropriate sequences from such a carrier acting as T-helper epitopes. Additionally the substance may be engineered as a fusion protein with an appropriately immunogenic partner. Engineered DNA constructs containing nucleotide sequences encoding the substance together with, for example, additional sequences encoding T-helper epitopes or cytokine adjuvants, may be directly administered as a nucleic acid, preferably DNA, vaccine. It will be appreciated that the nucleic acid construct encoding the modified /3-hCG protein can be used as a initial vaccine to prime an immune response. This initial response can then be boosted by subsequent injection of the modified β-hCG protein itself. Likewise, the modified /3-hCG protein could be used first followed by the nucleic acid to boost the immune response. The designing of mimetics to a known pharmaceutically active compound is a known approach to the development of pharmaceuticals based on a "lead" compound. This might be desirable where the active compound is difficult or expensive to synthesise or where it is unsuitable for a particular method of administration, eg peptides are unsuitable active agents for oral compositions as they tend to be quickly degraded by proteases, in the alimentary canal. Mimetic design, synthesis and testing is generally used to avoid randomly screening large number of molecules for a target property. There are several steps commonly taken in the design of a mimetic from a compound having a given target property. Firstly, the particular parts of the compound that are critical and/or important in determining the target property are determined. In the case of a peptide, this can be done by systematically varying the amino acid residues in the peptide, eg by substituting each residue in turn. These parts or residues constituting the active region of the compound are known as its "pharmacophore" . Once the pharmacophore has been found, its structure is modelled according to its physical properties, eg stereochemistry, bonding, size and/or charge, using data from a range of sources, eg spectroscopic techniques, X-ray diffraction data and NMR. Computational analysis, similarity mapping (which models the charge and/or volume of a pharmacophore, rather than the bonding between atoms) and other techniques can be used in this modelling process. In a variant of this approach, the three-dimensional structure of the ligand and its binding partner are modelled. This can be especially useful where the ligand and/or binding partner change conformation on binding, allowing the model to take account of this the design of the mimetic. A template molecule is then selected onto which chemical groups which mimic the pharmacophore can be grafted. The template molecule and the chemical groups grafted on to it can conveniently be selected so that the mimetic is easy to synthesise, is likely to be pharmacologically acceptable, and does not degrade in vivo, while retaining the biological activity of the lead compound. The mimetic or mimetics found by this approach can then be screened to see whether they have the target property, or to what extent they exhibit it. Further optimisation or modification can then be carried out to arrive at one or more final mimetics for in vivo or clinical testing. The present invention will now be described in more detail by way of example with reference to the accompanying drawings. Brief Description of the Drawings Figure 1 shows schematically a modified /3-hCG protein in which an epitope which cross-reacts with LH is modified; more particularly an epitope deletion mutant which has lost epitope (■) cross-reacting with /3-LH but still retains β- hCG specific epitope (•) . Figure 2 shows the fluorescence of cell transfected with β- hCG mutant 6 determined by Facscan: (a) control antibody; (b) stained by anti-C terminal epitope; (c) stained by anti-hCG-specific β epitope; (d) stained with antibody to LH cross-reacting /3 3 epitope showing loss of staining; Figure 3 shows the relative spatial distribution of the β- hCG epitope clusters; Figure 4 shows the results of the binding of Mabs to different mutants; and, Figure 5 shows the amino acid substitutions made in /3-hCG. Detailed Description Production of mutant jβ-hCG /3-hCG has a size of 145 amino acid residues which include 12 cysteines that form 6 conserved di-sulphide bridges. The subunit is heavily glycosylated with N-linked carbohydrates at position Asnl3 and Asn30 in addition to four O-linked carbohydrates in the C-terminus at Serl21, 127, 132 and 138. To ensure correct folding of the recombinant molecules we opted for expression in mammalian cells. Using a construct where β- hCG is synthesized as a fusion protein with a C-terminal extension that consists of the 17 amino acids proximal to the membrane, the transmembrane and the cytoplasmic portion of the H2-D b molecule, it was possible to express wild type and mutant hCG on the surface of transfected cells. The expression level was determined with the hCG specific Mab OT3A on a Becton Dickinson Facscan as shown in Figure 2. The Mab OT3A which recognizes a linear epitope in the C-terminal extension of β- hCG can be used to quantitate the expression level of the wild type and mutant recombinant proteins following transient transfection in the COS7 cells. Berger et al B & 9 have previously used a panel of Mab to define 8 separate epitope clusters on /3-hCG, which_can graphically be related to each other using a cylindrical Mercator's projection (Fig 3) . The 01-/35, β8 and β9 clusters are present on the heterodimeric hCG holohormone, whereas β6 and βl are unique to the free /3-hCG subunit . The Si, ββ, βl , β8 and β9 are unique to hCG, whereas the Mab to the other epitope clusters cross- react with -3LH. All the Mabs used apart from OT3A, recognize discontinuous sequences on /3-hCG, because reduction and alkylation of /3-hCG abolishes the binding of the Mab 9 . As summarised in Table 1 (figure 4) all the Mab against the different /3-hCG epitope clusters used in this study bind to surface expressed wild type /3-hCG, transiently expressed in COS7 cells. This suggests that the folding of the recombinant wild type /3-hCG is as seen in the native molecule. The target residues for mutation were selected from the crystal structure of hCG to have side chains protruding from the surface of the molecule which could contribute to the antibody binding site. To increase the likelihood for correct folding of the mutants the substitutions were selected by comparing the same residues in the different members of the same family. The changes were designed, however, to introduce amino acids with sufficiently dissimilar properties in their side chains (e.g. charge, size, polarity) from the /3-hCG residues, to disrupt any Mab binding in this region. Computer graphic model building of the mutant /3-hCG molecules ensured that the side chains of the amino acid substitutions could be accommodated into the predicted structure without grossly altering the overall conformation. Table 2 (figure 5) summarizes the amino acid changes in fifteen of the mutants used in this study. Expression vector construct and production of mutants Full length /3-hCG cDNA was cloned from human placental third trimester RNA using RT-PCR and the sense cloning primer 5 'ACCGGAATTCCAGGGGCTCCTGCTGTTG3 ' (corresponding to nucleotide (nt) -51→-33) and the antisense cloning primer 5'TTGGTCGACTTGTGGGAGGATCGGGGTGTCC3'__ (nt 414→435) . The hCG cDNA was cloned into pCDM8 10 into which a DNA fragment from H2-Db containing the 17 membrane proximal amino acid residues, the transmembrane region and cytoplasmic tail had been inserted. This fragment was obtained using RT-PCR amplification using RNA from a spleen of a C57BL/10 mouse with the sense primer 5'GCGTTGGTCGACCATGAGGGGCTGCCTGAGCCC3' (nt 547→566) and an antisense primer 5' CACAGGAGAGACCTGAACACATCG3' (nt 809→832) . The sequence of /3-hCG is as published 11 . The mutants were produced by an overlap PCR mutagenesis method 12 . Examples of primer sequences that were used include: mutant 1 sense 5'GAGAACCGCGAGTGCCCCGTGTGCATCACCGTC3' ; antisense 5'GGCACTCGCGGTTCTCCACAGCCAGGGTGGC3' ; mutant 2 sense 5' CCACTACTGCATCACCGTCAACACCACCATGTGCC3' ; antisense 5' CGGTGATGCAGTAGTGGCAGCCCTCCTTCTCC3' ; mutant 3 sense 5'GGCTGCCCCTCCCACGTGAACCCCCACGTCTCCTACGCCGTG3 ' ; antisense 5'CGTGGGAGGGGCAGCCAGGGAGCTCGATGGACTCGAAG3' mutant 4 sense 5'GGAGAACCGCGAGTGCCACTACTGCATCACCGTCAAC3' ; antisense 5'GACGGTGATGCACACGTGGCAGCCCTCCTTCTC3' ; mutant 5 sense 5'GAGAAGGAGGGCTGCCACGTGTGCATCACCGTC3' ; antisense 5'GACGGTGATGCACACGTGGCAGCCCTCCTTCTC3' ; mutant 6 sense 5'GAAGGAGGGCTGCCCCTACTGCATCACCGTCAAC3' ; antisense 5'GTTGACGGTGATGCAGTAGGGGCAGCCCTCCTTC3 ' . / 3-hCG, or the mutants themselves, were used to generate mutants/further mutants. The sequence of all the mutations were verified using double stranded DNA sequencing (Sequenase USB) and a range of β-hCG internal and CDM8 primers. Transfections, surface expression, staining and FACs analysis COS cells were transfected using a modified DEAE dextran- chloroquine method (based on Seed & Aruffo 13 ) . Briefly, 1.5 x 10 cells were seeded into an 80cm 3 flask on the day before transfection. 6ml of the transfection mixture, ( 10% NuSerum (Becton Dickinson, Bedford MA) ;l-2μg/ml supercoiled DNA (CsCl prepared or PEG prepared) ; 250μg/ml DEAE dextran) was added to the washed monolayer and left in 37°C incubator for 60 minutes. Chloroquine was then added to a final concentration of 200μM and the cells incubated for a further 120 minutes. The transfection mixture was then removed, the monolayer washed with PBS and 3ml 10%DMSO (in PBS) added for 2 minutes. The cells were washed again and complete medium added. The cells were split 1:1 24 hours later and harvested 65-72 hours after transfection. A transfection efficiency of 20-40% was routinely obtained. Cells were stained prior to Facs analysis in duplicates of 2 5 x 10 cells for each Mab tested. Following washing of the harvested cells with PBS; 10% FCS; 0.02% NaN 3 They were incubated with lOOμl of the conformation-dependent anti-/3-hCG Mab for 30 minutes on ice, washed twice in PBS 0.02% NaN 3 and then incubated with lOOμl of rabbit anti-mouse Fc Flourescein isothyocyanate conjugate. Following washing the cells were fixed in 1% formaldehyde in PBS, and Facs analysis performed using a Becton-Dickinson Facscan. Markers were set on the negative control which was routinely an anti-CD34 IgGl . All cells to the right of this marker were deemed to be positively transfected. Results The results of staining wild type and mutant /3-hCG expressed on the surface of COS7 cells with the panel of Mabs are summarized in Table 1 . The Mabs to the βl epitope cluster and the Mab 0T3A bind to wild type and all the mutant β-hCG with the same relative binding. This demonstrates that the mutant molecules fold to completely recreate the hCG specific epitope βl . The mutations in the N-terminal hairpin loop (Lys20, Glu21, Gly22, Pro24 and Val25) completely abolish binding of the Mab specific for the /33 and /36 epitope cluster, and lead to partial binding of Mab 3E2 specific for the 03/5 cluster. Different mutants were made to pinpoint the important amino acids that contribute to the binding of the different Mabs. Mutations of residues Lys20-Glu21-Gly22 (Mutant 1) completely abolish the binding of the Mab InnhCG64 recognizing the hCG- specific epitope cluster 06 and lead to partial binding of the 03/5 Mab 3E2. Mutant 2 (Pro24-Val25) fails to bind both 03 specific Mabs (InnLHl and InnhCGlll) and also reduces binding of 3E2 to 25-50%. The two 03 Mabs have separate but overlapping binding sites on 0-hCG, because a single point mutation Pro24→His (Mutant 5) completely abolishes binding of Mab InnLHl but allows partial binding of InnhCGlll (63%) , whereas the mutation Val25→Tyr (Mutant 6) prevents binding of InnhCGlll and reduces the binding of InnLHl to 63%. Combining all five point mutations of the N-terminal hairpin loop (Mutant 4) is required to reduce the binding of 3E2 to 13% compared to that of 0T3A. In contrast to this the four mutations at residues 68, 74, 75, 79 introduced in the C-terminal hairpin loop (Mutant 3) completely abolish the binding of all cross-reactive antibodies to the mutated molecule yet retain the binding of the hCG- specific Mabs directed to the 01 and 07 epitope clusters and to the linear epitope in the C-terminus of Mab OT3A. Discussion The strategy of producing epitope-specific vaccines by allowing the natural folding of a protein to retain a desired discontinuous epitope while at the same time removing unwanted epitopes by mutation, is clearly feasible. It has proved possible to construct mutants which still display epitopes specific for 0-hCG, even though they have lost epitopes cross- reacting with luteinizing hormone with which the parent molecule shares 85% homology. Retention of the ability of the mutants to react with the 0-hCG-specific monoclonals implies that the structural changes introduced into the molecule have not affected the tertiary folding of the chains which generate the related epitope since this is known to have a discontinuous structure. The design of the mutants was guided by three main principles. Residues selected for mutation should contribute to epitope formation, they should be common to 0-hCG and the cross- reacting luteinizing hormone, and their modification should not significantly influence the overall folding of the molecule at distant sites. The successful deletion mutants clearly achieved the primary objective of preserving the functional structure of the 0 -specific epitope but considerable progress has also been made towards the secondary aim of identifying the location of the epitopes themselves. We have shown that, even with a molecule like hCG which has complex non-contiguous B-cell epitopes it is possible, to make radical changes in structure which remove unwanted epitopes yet maintain other desirable epitopes. It seems likely that the many different amino acid substitutions will provide good T- cell helper epitopes. Alternatively, the mutant can either be linked to a carrier such as tetanus toxoid, or engineered as a fusion protein with an appropriately immunogenic partner. REFERENCES 1. Stevens, V.C., Powell, LE., Lee, A.C. and Griffin, P.D. Anti-fertility effects from immunization 1 of female baboons with C-teπninal peptides of human chorionic gonadotrophin. Fer l. Steril., 1981, 36, 98-105. 2. Jones, W_R., Judά, SJ_. Ing, R.M.Y., Powell, 1, Bradley, J., Derώol , EJEL, Mueller, U.W., Griffin, PJD., and Stevens, V.C.. Phase I clinical trials of a world health organisation birth control vaccine. Lancet, June 4 1988, 1295-1298. 3. Tai ar-GP Singh-O; Pal-R; Chatterjee- ; Sahai-P; Dhall-K; Kaur-J; Das-SX; Suri-S; Buckshee-K.; et-al. A vaccine that prevents pregnancy in women. Proc-Na:l-Acad-Sci-U-S-A ., Aug 30 1994, 91(18), 8532-6 4. Kearn, J.B. Immunisation against pregnancy. Proc R Soc B., 1976; 195 , 149-60. 5. Dimhofer. S., lieber, R., De eεuw, R_, Bidart, J_M., Merz- E., Wick, G. and Berger, P. Functional and immunological relevance of the COOH-texxainal extension of human chorionic gonadortropin J3: . implications for the WHO birth control vaccine. FASEB, 1993, 7, 13S2-1385. 6. Roitt, LIvL Essential Immunology, 8th Edition. Blac well Scientific Publications, 1994, p. 281. 7. Roitt, LM. Basic concepts and new aspects of vaccine development Parasitology, 1989, 9S S7-S12. 8. Berger, P., Klieber, R., Panmoung, W._ Madersbacher,S., Wolf. H- and. Wick, G. Monoclonal antibodes against the free subπnits of human chorionic gonadotrophin. /. Endocrinology, 1990, 125, 301 -309. 9. Dirnliofer, S.. Madersbacher, S._ Bidart _J-M. T Ten, P B.W.- Kortenaar Spo.tle G., Mann, K., Wick, G. and Berger, P. The molecular basis for epitopes on the free β snbunit of human chorionic gonadotrophin, its carboxyl terminal peptide and the hCG core fragment J. of Endocrinology, 1994, 121,153-162. 10. Se d, B. An LFA-3 cDNA encodes a phospholipid-linked membrane protein homologous to its receptor CD2. Nature (Lend.), 1987, 329 , 840-842. 1 1 . Talmadge, K., Vamvakopoulos, N.C. and Fiddes, J.C. Evolution of the genes for the beta subunits of human chorionic gonadotropin and luteinizing hormone. Nature. 1984, 307, 37-40. 12. Hortσn, R.M. and Pease, L.R. Recombination and mutagenesis of DNA sequences using PCR. from Directed Mutagenesis: A Practical Approach, Ed McPherson, MJ. IRL Press, 1991, 2i7-247. 13. Seed, B., and Aruffo,A. Molecular cloning of the human CD2 antigen by a rapid immunoselection procedure. Prσc Nail Acad Sci. USA, 1987, 84, 3365-3369.

Claims: CLAIMS : 1. Use, in the preparation of a contragestative medicament, of a modified 0-hCG protein, the protein being modified at one or more amino acid residues so as to reduce the cross-reactivity of the modified 0-hCG protein with LH as defined by the ability of both proteins to react with the same antibody, wherein the modified 0-hCG protein retains one or more conformational epitopes specific to the native 0-hCG. 2. Use according to claim 1, whrein the protein is modified at residue 68 (Arg) of native 0-hCG. 3. Use according to claim 1 or claim 2, wherein the protein is modified at one or more of residues 20 (Lys) , 21 (Glu) , 22 (Gly) , 24 (Pro) , 25 (Val) , 71 (Gly) , 74 (Arg) , 75 (Gly) and 79 (Val) of native 0-hCG. 4. Use according to any one of claims 1, 2 and 3, wherein the modification comprises substitution of a native 0-hCG amino acid by a different amino acid. 5. Use according to claim 4, wherein 68 (Arg) is substituted by 68 (Glu) . 6. Use according to any one of the preceding claims wherein the binding of the modified protein to antibodies reactive with one or more of the 02, 03 , 04 and 05 epitope clusters of native 0-hCG is disrupted by the modified amino acid residue (s) . 7. Use according to any one of the preceding claims, wherein the medicament is a contragestative vaccine. 8. A contragestative composition, comprising a modified 0-hCG protein according to any one of claims 1 to 6, with a pharmaceutically acceptable carrier. 9. A contragestative composition according to claim 8 in the form of a vaccine. 10. A contragestative composition according to claim 9, wherein the modified 0-hCG is chemically linked to an immunogenic substance. 11. A modified 0-hCG protein according to claim 10 wherein the chemical linkage is by co-expression as a fusion protein. 12. An isolated and purified nucleic acid sequence encoding a modified 0-hCG protein according to any one of claims 1 to 6. 13. An isolated and purified nucleic acid according to claim 12 further encoding a pharmaceutically acceptable carrier protein fused to the modified 0-hCG. 14. An expression vector comprising a nucleic acid according to claim 12 or claim 13. 15. A mammalian or microbial host cell comprising a vector according to claim 14 or a nucleic acid according to claim 12 or claim 13. 16. A nucleic acid according to any one of claims 11-13 for use as a vaccine.

Inventors: DELVES PETER JOHN, LUND TORBEN, ROITT IVAN MAURICE, DELVES, PETER, JOHN, LUND, TORBEN, ROITT, IVAN, MAURICE
Applicants: DELVES PETER JOHN, LUND TORBEN, ROITT IVAN MAURICE, DELVES, PETER, JOHN, LUND, TORBEN, ROITT, IVAN, MAURICE
Application year: 1996
Main classification: C12N15
IPC codes: A61K39, C07K14, C12N15