Source: {"pile_set_name": "USPTO Backgrounds"}

The present invention relates generally to therapies involving the selective destruction of cells in vivo and to compositions of matter useful in the treatment of various cancers and vital infections. In particular, this invention relates to genetically engineered antibody fusion constructs capable of targeting an infected cell, and eliciting a localized inflammatory response such that the cell is killed or neutralized.
Tumor necrosis factor (TNF.varies.) and lymphotoxin (LT or TNF.beta.) were first identified on the basis of their ability to directly kill certain tumors. However, many other biological activities are now attributed to these closely related cytokines. These include effects on a variety of cell types, such as the induction of histocompatibility antigens and adhesion receptors, as well as those resulting in inflammation, vascular permeability changes and mononuclear cell infiltration (Goeddel, D. V. et al. (1986) Symp. Quant. Biol. 51:597, Cold Spring Harbor; Beutler, B. and Cerami, A. (1988) Ann. Rev. Biochem. 57:505; Paul N. L. and Ruddle, N. H. (1988) Ann. Rev. Immunol. 6:407). The very short half-life of both TNF.varies. and LT ensures that these inflammatory reactions do not occur systematically, but only at the sites of release from TNF-producing cells.
This ability to elicit a localized inflammatory response could be used in the treatment of solid tumors or other diseased tissue. For example, if it were possible to specifically deliver either TNF.varies. or LT to a tumor site, a local inflammatory response could lead to an influx of effector cells such as natural killer cells, large granular lymphocytes, and eosinophils, i.e., the cells that are needed for antibody-dependent cellular cytotoxicity (ADCC) activity.
A way to deliver the lymphokine to a specific site in vivo is to conjugate it to an immunoglobulin specific for the site. However, the fusion of protein domains to the carboxy-termini of immunoglobulin chains or fragments can have unexpected consequences for the activities of both the protein to be fused and the immunoglobulin, particularly as far as antigen binding, assembly and effector functions are concerned. For example, the desired biological functions of the individual proteins may not be maintained in the final product.
Another potential problem with expressing proteins, such as the lymphokine LT, as a fusion protein to an immunoglobulin chain is that the native molecule exists in solution as a trimer and binds more efficiently to its receptor in this form. Thus, it seems unlikely that trimerization could still occur when LT is attached to an immunoglobulin heavy (H) chain via amino terminus and is assembled into an intact Ig molecule containing two paired H chain fusion polypeptides. Secondly, the ability of the fused LT to bind its receptor may be severely compromised if a free amino terminus is required for receptor binding activity. In fact, it has been postulated that the amino and carboxy-termini of TNF.varies., and, by analogy, LT, together form a structure that is required for receptor interaction.
It is an object of the invention to provide compositions of matter capable of selectively destroying cells in vivo, and therapeutic methods for accomplishing this. It is also an object of the invention to provide compositions of matter and therapeutic methods for selectively delivering a cytokine to a target cell for the purpose of destroying the target cell either directly or by creating an environment lethal to the target cell.