CA2076648C - Composition for inducing humoral anergy to an immunogen - Google Patents

Abstract

Conjugates of stable nonimmunogenic polymers and analogs of immunogens that possess the specific B cell binding ability of the immunogen but lack T cell epitopes and which, when introduced into individuals, induce humoral anergy to the immunogen are disclosed. Accordingly, these conjugates are useful for treating antibody-mediated pathologies that are caused by foreign or self immunogens.

Description

20766 ~8 A COMPOSITION FOR INDUCING HUMORAL ANERGY TO AN
IMMUNOGEN
Technical Field This invention is in the field of immunology and concerns compositions and methods for inducing humoral anergy for the purpose of treating antibody-mediated pathologies. More specifically, the invention relates to conjugates of nonimmunogenic stable polymers and analogs of immunogens that lack T cell epitopes.
Background of the Invention In order to survive in a world of pathogenic or potentially pathogenic microorganisms, higher organisms have evolved immune systems which can specifically recognize virtually any foreign substance through its characteristic molecules. This recognition frequently results in the production of specific proteins called antibodies which bind only to the foreign substance which induced their synthesis, causing the elimination of the invading microorganism. Occasionally an animal's immune system makes antibodies which recognize some of its own molecules, generating an autoimmune state that may affect the animal's health adversely.
The induction of specific antibodies in response to an immunogen involves the interaction of multiple cell types, including thymus-derived lymphocytes (T cells), macrophages, and bone marrow-derived lymphocytes (B cells). B cells possess surface immunoglobulin by which they are able to bind immunogens, 20.7G6~~
"A'192/ 13558 PCT/US92/00975 the first step in their activation and clonal expansion.
The site(s), regions) or domains) of the immunogen to which the immunoglobulin binds is called a "B cell epitope". In the second step of B cell activation and expansion, T cells are activated through interaction with the B cell bound-immunogen at a site, region or domain of the immunogen called a "T cell epitope". Once activated, the T cells provide positive signals) to the B cells bound by the immunogen and they proceed to differentiate and to produce and secrete antibody. Positive signals from the T cell include the secretion of lymphokines, and/or direct contact between the B cells and T cells.
T cell epitopes may be different or more restricted in scope than B cell epitopes. As discussed above, in order for an immunogen to elicit T dependent antibodies, it must have epitopes recognized by both B and T cells.
Past attempts to treat antibody-mediated pathologies have involved both general and specific suppression of the immune response. General suppression has typically employed broad spectrum, nonspecific immunosuppressants such as cyclophosphamide or steroids.
Because these nonspecific drugs suppress many aspects of the immune system, they eliminate its required and beneficial functions as well as the malfunction causing the condition being treated. They are thus used with extreme caution if at all, and subject the patient to risk from secondary infections or other undesirable side ef f ects .
Because of the disadvantages of general immunosuppression, methods for specifically suppressing an immune response to an immunogen without affecting the normal functions of the immune system are highly preferred for treating antibody-mediated pathologies.
The present invention concerns compositions and methods 207~6~8 for specifically suppressing the humoral response to immunogens.
Prior attempts to induce specific immunosuppression have focused on conjugating haptens and immunogens to nonimmunogenic polymeric carriers.
Benacerraf, Katz and their colleagues used conjugates of haptens and antigens and copolymers of D_-lysine and D-glutamic acid (D_-EK). Their initial studies involved conjugates of the synthetic hapten 2,4-dinitrophenyl (DNP) in guinea pigs and mice and showed the conjugates were capable of inducing humoral unresponsiveness. These initial studies were then extended to conjugates of other haptens and conjugates of immunogens. While the results with haptens were repeatable, and although their patents (U.S. 4,191,668 and 4,220,565) allege the approach is effective in inducing tolerance to immunogens, subsequent work has shown that conjugates of D_-EK and immunogens do not provide a means for inducing humoral unresponsiveness to the immunogen. For instance, Liu et al., J. Immun.
(1979) 13:2456-2464, report that subsequent studies of those conjugates demonstrate that the conjugates "do not induce unresponsiveness at the level of protein specific B cells." Similarly, Butterfield et al., J. Allerav Clin. Immun. (1981) 67:272-278, reported that conjugates of ragweed immunogen and D_-EK actually stimulated both IgE and IgG responses to the immunogen.
This subsequent work and other data dealing with conjugates of nonimmunogenic polymers and immunogens (Saski et al., Scand. J. Immun. (1982) 16:191-200; Sehon, PrOQ. Allergy (1982) 32:l61-202; Wilkinson et al., J.
Immunol. (987) 13'9:326-331, and Borel et al., J. Immunol.
Methods (1990) l26:159-168) appear to indicate that the anergy, if any, obtained with such conjugates is due to suppression of T cell activity, not B cell unresponsiveness.

207~64~
Several other references deal with conjugates of nonimmunogenic polymers and DNA. See U.S. 4,191,668;
U.S. 4,650,625; J. Clin. Invest. (1988) 82:1901-1907.
As a whole, these references indicate that these DNA conjugates may suppress the production of antibodies to this lupus autoimmunogen. It should be noted in this regard that DNA, like haptens, does not possess T cell epitopes.
In sum, applicants believe the prior art shows that antibody production to conjugates of nonimmunogenic stable polymers and haptens or DNA, neither of which have T cell epitopes, may provide B cell unresponsiveness.
Applicants also believe that conjugates of immunogens do not provide B cell unresponsiveness but may activate T cells to directly suppress the immune response.
Disclosure of the Invention The present invention resides in the discovery that the failure of the prior conjugates of nonimmunogenic stable polymers and immunogens to induce B
cell anergy (unresponsiveness) was due to the fact that the immunogens contained both B and T cell epitopes and that if the latter were eliminated, the conjugate would be effective for inducing H cell anergy.
Accordingly, one aspect of the invention is a composition for inducing specific B cell anergy to an immunogen comprising a conjugate of a nonimmunogenic biologically stable carrier polymer and an analog of the immunogen that (a) binds specifically to B cells to which the immunogen binds and (b) lacks the T cell epitope(s) of the immunogen.

Pharmaceutical compositions of the above-described conjugates and pharmaceutically acceptable carriers or vehicles are another aspect of the invention.
A further aspect of the invention is a composition for inducing specific B cell anergy to an immunogen comprising an effective amount of the above-described conjugate.
Yet another aspect of the invention is a composition for treating an antibody-mediated pathology in which undesired antibodies are produced in response to an immunogen comprising a therapeutically effective amount of the above-described conjugate. Preferably, the above-described composition is a pharmaceutical composition, comprising the above-described conjugate combined with a pharmaceutically acceptable carrier.
Yet another aspect of the invention is a method for making a conjugate useful for inducing specific B cell energy to an immunogen implicated in an antibody-mediated pathology, the conjugate comprising a nonimmunogenic biologically stable polymer and an analog of the immunogen wherein (i) the analog binds specifically to B cells to which the immunogen binds specifically and (ii) the conjugate lacks a T cell epitope, comprising the steps of:
.(a) covalently bonding the analog of the immunogen lacking T cell epitopes to a nonimmunogenic polymer to form a conjugate; and (b1 separating the conjugate from the reaction mixture.
Methods for synthesizing pharmaceutical compositions of the above-described conjugates and pharmaceutically acceptable carriers or vehicles are another aspect of the invention.
According to another aspect of the invention, there is provided a method for making a composition useful for inducing specific B cell energy to an immunogen implicated in an antibody-mediated pathology, the composition comprising a pharmaceutically acceptable vehicle and a conjugate of a -Sa-nonimmunogenic biologically stable polymer and an analog of the immunogen wherein (i) the analog binds specifically to B cells to which the immunogen binds specifically and (ii) the conjugate lacks a T cell epitope, comprising the steps of:
(a) covalently bonding the analog of the immunogen lacking T cell epitopes to a nonimmunogenic polymer to form a conjugate;
(b) separating the conjugate from the reaction mixture; and (c) combining the conjugate with a pharmaceutically acceptable vehicle.
Brief Description of the Drawing Figure 1 graphically illustrates the detection of B cell epitopes in immunized CAF1 mice as described in Example 1.
Figure 2, similarly, illustrates the detection of T cell epitopes as described in Example 1.
Figure 3 illustrates the suppression of antibodies to peptide "L-53" as described in Example 1.
Figures 4 and 5 are graphs of the results described in Example 4.
Modes for Carrying Out the Invention As used herein the term "B cell anergy" intends unresponsiveness of those B cells requiring T cell help to produce and secrete antibody and includes, without limitation, clonal deletion of immature and/or mature B
cells and/or the inability of B cells to produce antibody. "Unresponsiveness" means a therapeutically effective reduction in the humoral response to an immunogen. Quantitatively the reduction (as measured by reduction in antibody production) is at least 50%, preferably at least 75%, and most preferably 100%.
"Antibody" means those antibodies which are T cell dependent.
As used herein the term "immunogen" means a chemical entity that elicits a humoral immune response when injected into an animal. Immunogens have both B
cell epitopes and T cell epitopes.
As used herein "individual" denotes a member of the mammalian species and includes humans, primates, domestic animals such as cattle and sheep, sports animals such as horses, and pets such as dogs and cats.
The term "analog" of an immunogen intends a molecule that (a) binds specifically to an antibody to which the immunogen binds specifically and (b) lacks T
cell epitopes. Although the analog will normally be a fragment or derivative of the immunogen and thus be of the same chemical class as the immunogen (e.g., the immunogen is a polypeptide and the analog is a polypeptide), chemical similarity is not essential.
Accordingly, the analog may be of a different chemical class than the immunogen (e.g., the immunogen is a carbohydrate and the analog is a polypeptide) as long as it has the functional characteristics (a) and (b) above.
The analog may be a protein, carbohydrate, lipid, lipoprotein, glycoprotein, lipopolysaccharide or other biochemical entity. Further, the chemical structure of neither the immunogen nor the analog need be defined for , the purposes of this invention.
"Nonimmunogenic" is used to describe the carrier polymer means that the carrier polymer elicits substantially no immune response when it is administered by itself to an individual.
Immunogens that are involved in antibody mediated pathologies may be external (foreign to the ~'O 92/13558 PCT/US92/00975 _7-individual) immunogens such as biological drugs, allergens, idiopathic contrast media, and the like or self-immunogens (autoimmunogens) such as those associated with thyroiditis (thyroglobulin), stroke (cardiolipin), male infertility (a-sperm), myasthenia gravis (acetylcholine receptor), rheumatic fever (carbohydrate complex), and Rh hemolytic disease (D immunogen).
Analogs to such immunogens may be identified by screening candidate molecules to determine whether they (a) bind specifically to serum antibodies to the immunogen and (b) lack T cell epitopes. Specific binding to serum antibodies may be determined using conventional immunoassays and the presence or absence of T cell epitopes may be determined by conventional T cell activation assays. In this regard an analog which 'binds specifically" to serum antibodies to the immunogen exhibits a reasonable affinity thereto. The presence or absence of T cell epitopes may be determined using the tritiated thymidine incorporation assay described in the examples. Analogs that fail to induce statistically significant incorporation of thymidine above background are deemed to lack T cell epitopes. It will be appreciated that the quantitative amount of thymidine incorporation may vary with the immunogen. Typically a stimulation index below about 2-3, more usually about 1-2, is indicative of a lack of T cell epitopes.
A normal first step in identifying useful analogs is to prepare a panel or library of candidates to screen. For instance, in the case of protein or peptide analogs, libraries may be made by synthetic or recombinant techniques such as those described by Geysen et al. in Synthetic Peptides as Antigens; Ciba Symposium (1986) 119:131-149; Devlin et al., Science (1990) 249:404-406; Scott et al., Science (1990) 249:386-390;
and Cwirla et al., PNAS USA (1990) 87:6378-6382. In one WO 92/13558 ' w PCT/US92/00975 -g-synthetic technique, peptides of about 5 to 30 amino acids are synthesized in such a manner that each peptide overlaps the next and a11 linear epitopes are represented. This is accomplished by overlapping both the carboxyl and amino termini by one less residue than that expected for a B cell epitope. For example, if the assumed minimum requirement for a B cell epitope is six amino acids, then each peptide must overlap the neighboring peptides by five amino acids. In this embodiment, each peptide is then screened against antisera produced against the native immunogen, either by immunization of animals or from patients, to identify the presence of B cell epitopes. Those molecules with antibody binding activity are then screened for the presence of T cell epitopes as described in the examples.
The molecules lacking T cell epitopes are useful as analogs in the invention.
If the T cell epitope(s) of an immunogen are known or can be identified, random screening of candidate analogs is not necessary. In such instances, the T cell epitope(s) may be altered (e. g., by chemical derivatization, or elimination of one or more components of the epitope) to render them inoperative or be eliminated completely, such as, for instance, in the case of peptides, by synthetic or recombinant procedures.
The analogs are coupled to a nonimmunogenic polymeric carrier to prepare the conjugates of the invention. Preferred polymeric carriers are biologically stable, i.e., they exhibit an in vivo excretion half-life of days to months, and are preferably composed of a synthetic single chain of defined composition. They will normally have a molecular weight in the range of about 5,000 to about 200,000, preferably 5,000 to 30,000.
Examples of such polymers are polyethylene glycol, poly-D-lysine, polyvinyl alcohol, polyvinyl pyrrolidone, immunoglobulins, and "D-EK", a copolymer of D-glutamic acid and D-lysine. Particularly preferred carrier polymers are D-EKs having a molecular weight of about 5,000 to about 30,000, and an E:K (D-glutamic acid:D-lysine) mole ratio of approximately 60:40, Conjugation of the analog to the carrier polymer may be effected in any number of ways, typically involving one or more crosslinking agents and functional groups on the analog and carrier.
Polypeptide analogs will contain amino acid sidechain groups such as amino, carbonyl, or sulfhydryl groups that will serve as sites for coupling the analog to the carrier. Residues that have such functional groups may be added to the analog if the analog does not already contain same. Such residues may be incorporated by solid phase synthesis techniques or recombinant techniques, both of which are well known in the peptide synthesis arts. In the case of carbohydrate or lipid analogs, functional amino and sulfhydryl groups may be incorporated therein by conventional chemistry. For instance, primary amino groups may be incorporated by reaction with ethylendiamine in the presence of sodium cyanoborohydride and sulfhydryls may be introduced by reaction of cysteamine dihydrochloride followed by reduction with a standard disulfide reducing agent. In a similar fashion the carrier may also be derivatized to contain functional groups if it does not already possess appropriate functional groups. With specific reference to conjugating peptide analogs and D-EK or other proteinaceous carriers, coupling is preferably carried out using a heterobifunctional crosslinker, such as sulfosuccinimidyl(4-iodoacetyl) aminobenzoate, which links the E amino group on the D-lysine residues of D-EK

~4'~~6~8 '' m''~ 92/13558 PCT/US92/00975 to a sulfhydryl side chain from an amino terminal cysteine residue on the peptide to be coupled. This method is preferably carried out such that an average of 3 to 5 analog molecules are coupled to each D-EK molecule and the average molecular weight of the D-EK prior to coupling is 5,000 to 30,000 daltons.
The conjugates will normally be formulated for administration by injection (e. g., intraperitoneally, intramuscularly, etc.). Accordingly, they will typically be combined with pharmaceutically acceptable carriers such as saline, Ringer's solution, dextrose solution, and the like. The conjugate will normally constitute about 0.01% to 10% by weight of the formulation. The conjugate is administered to an individual in a "therapeutically effective amount", i.e., an amount sufficient to produce B cell anergy to the involved immunogen and effect prophylaxis, improvement or elimination of the antibody-mediated condition being addressed. The particular dosage regimen, i.e., dose, timing and repetition, will depend on the particular individual and that individual's medical history. Normally, a dose of about 10 ug to 1 mg conjugate/kg body weight will be given, daily for three consecutive days. Other appropriate dosing schedules would be 3 doses per week, or one dose per week.
Repetitive administrations, normally timed according to B
cell turnover rates, may be required to achieve and/or maintain a state of humoral anergy. Such repetitive administrations will typically involve treatments of up to 1 mg/kg of body weight every 30 to 60 days, or sooner, if an increase in antibody titer is detected.
Alternatively, sustained continuous release formulations of the conjugates may be indicated for some pathologies.
Various formulations and devices for achieving sustained release are known in the art.

-11- ~~ ~6 6 4~.~
Anti-T helper cell treatments may be administered together with the conjugates. Such treatments usually employ agents that suppress T cells such as steroids or cyclosporin.
The following examples are intended to further illustrate the invention and its uniqueness. These examples are not intended to limit the scope of the invention in any manner.
ExamQle 1 B Cell Anercty to the Acetylcholine Receptor Preparation of Peptides and D_-EK/Peptide Conjugates:
The a-subunit of the acetylcholine receptor of Tor-pedo californicus is described by Stroud, R.M:, and Finer-Moore, J., Ann. Rev. Cell Biol. (1985) 1:317:351, and Sumikawa, K., et al., Nucl. Acids Res. (1982) 10:5809-22. The peptide defined by residues 47-127 of that a-subunit is called the major immunogenic region (MIR) .
Two peptides, L-42 and L-53, corresponding to residues 61-77 and 112-127 of that a-subunit, were synthesized using conventional solid-phase methods and purified to homogeneity by HPLC. An amino terminal cysteine was added to each sequence for the purpose of attachment of the peptide to D-EK via a thio ether linkage.
Each peptide (40 mg) was dissolved in 0.1M
sodium borate buffer, pH 9Ø The solution was reacted with citraconic anhydride (400 ~L) at room temperature;
the pH was maintained above 7.0 by addition of 1M NaoH.
The solution was then made 20 mM in dithiothreitol and was warmed at 37°C for 20 minutes to reduce the peptide.
The mixture was quickly desalted over G-10 Sephadex~
*Trademark .. <) 92/ 13558 PC1'/US92/00975 columns which were equilibrated with O.1M sodium borate, pH 7Ø
D-EK (200 mg, weight average mw = 10,00o -30,000) was dissolved in 2.0 mL of O.1M sodium borate.
Sulfosuccinimidyl (4-iodoacetyl) aminobenzene (SSIAB, mg, Pierce Chemical) was added to the mixture and the mixture was reacted for 90 minutes at room temperature in the dark. The mixture was then desalted over a 10 mL
G-25 column, equilibrated with 0.1M sodium borate, 10 pH 7Ø
The desalted SSIAB-D-EK was mixed with the reduced and desalted peptide and reacted overnight. The resulting conjugate was placed in dialysis tubing with a 14 Kd cutoff and was dialyzed against 5% acetic acid to remove citraconyl groups. The dialysis buffer was changed to phosphate-buffered saline and the dialysis continued.
Detection of B cell epitopes:
CAF1 mice were immunized (day 0) intraperitoneally (i.p.) with 50 ~g of recombinant torpedo MIR absorbed onto alum plus B. pertussis vaccine (Iverson, G.M., (1986) Handbook of Experimental Immunology, Vol. 2, p. 67, D.M. Weir ed., Blackwell Scientific Publications, Palo Alto, CA). The mice received a booster injection of the same protein in saline, IP, on day 21 and were bled from the tail vein on day 28. Sera from these mice (anti-MIR sera) were used to screen peptides L-42 and L-53 for the presence of B
cell epitopes, as follows. The sera were added to microtiter wells coated with 10 ug/ml of the indicated peptide conjugates. The plates were incubated at 37°C
for one hour, washed 3 times, 100 ~1 of alkaline phosphatase-conjugated goat antimouse antibody was added, incubated at 37°C for one hour, washed 3 times, and 100 ~cl of developer (substrate) was added to each well.

20766e NO 92/13558 PCT/L'S92/00975 The plates were incubated at room temperature for 30 minutes and the amount of color in each well was determined in a Titertek~ Multiskan. Results are illustrated graphically in Figure 1. The curve labelled "L42 or L53, NMS" contains the values obtained using normal mouse serum (NMS) instead of the anti-MIR sera on plates coated with either L42 or L53. As shown in Figure 1, both peptides reacted specifically with antibodies from the immunized mice indicating the presence of B cell epitopes on both peptides.
Detection of T cell epitopes:
T cell activation was assayed by the general procedure of Bradley, M.L., (1980) in Mishell and Shigii, eds., Selected Methods in Cellular Immunology (W. H.
Freeman and Co., San Francisco, CA), p. 164. CAF1 mice were immunized on the footpad with 50 ~g MIR in Complete Freund's Adjuvant (CFA) on day 0. On day 7 the popliteal lymph nodes were removed and placed in culture in microtiter plates using 5 x l05 cells per well. The peptides or peptide-DEK conjugate were added to the cultures, and on day 4, 1 ~Ci of tritiated thymidine was added to each well to measure proliferation of T cells.
The cultures were harvested on day 5 with a Skatron~ cell harvester. The amount of incorporated 3H-thymidine was determined in a Beckman L6800~ liquid scintillation Gaunter. The stimulation index was calculated by dividing the CPM incorporated with peptide by the CPM
incc-porated from cultures without any peptide. A
stimulation index > 1 was indicative of the presence of a T cell epitope on the peptide added to the well. As shown in Figure 2, L-42 but not L-53 possessed T cell epitopes in this assay.

WO 92/13558 ~. ~2 ~ 7 6 6 ~ 8 PCT/US92/00975 Induction of B Cell Anergy to L-53 by L-53/D-EK Conjugate:
CAF1 mice were immunized with 50 ~,g of MIR, i.p., absorbed onto alum plus B. pertussis vaccine on day 0. On days 21, 22 and 23 the mice (6 mice per group) received 10 or 100 ~.g of either L-42-D-EK conjugate or L-53-D-EK conjugate. One group received only saline. On day 28 a11 mice received a booster injection of MIR in saline and on day 35 a11 mice were bled and assayed for the presence of antibodies to L-42 and L-53 in their sera, using an ELISA assay as described above with respect to Figure 1. The results for antibodies to L42 are shown in Figure 3A and for antibodies to L53 are shown in Figure 3B. The L-53 conjugate suppressed antibody formation to L-53 but not to L-42. The L-42 conjugate did not suppress the antibody response to either L-42 or L'53 but rather may have increased antibody production to L-42. The antibody titers are expressed as a percent of a standard sera. The P values were determined by a standard t test comparing each dose to the saline control.
Example 2 Failure of Ovalbumin-D-EK ConiuQate to Induce B Cell Aner.~cy to Ovalbumin This example is further evidence that conjugates of immunogens and D_-EK do not induce B cell anergy.
Synthesis of Ovalbumin-D-EK Conjugate:
Chicken egg ovalbumin (50 mg) was dissolved in 5 mL of 0.1M sodium borate buffer, pH 9.0, containing l0 mM EDTA. After the addition of 3.0 mg of 2-iminothiolane (Traut's reagent), the mixture was reacted for 2.5 hours at room temperature. D-EK (54 mg), dissolved in 0.5M
sodium borate, pH 9.0, at a concentration of 100 mg/mL, was reacted with SSIAB (18 mg; Pierce Chemical) for 2.5 hours in the dark, at room temperature. The two reaction mixtures described above were desalted separately on G-25 columns (Pharmacia; 10 mL column volume, equilibrated with 0.1M sodium borate, pH 9.0) and the excluded fractions were combined and reacted for 16 hours at 4°C, in the dark. The reaction product was fractionated by *..
gel filtration over Sephacryl ~-200 (490 mL, Pharmacia) columns, equilibrated with 0.2M ammonium bicarbonate.
Fractions containing conjugate, as assessed by polyacrylamide gel electrophoresis, in the presence of sodium dodecyl sulfate (SDS-PAGE), were pooled and dried under vacuum. The dried material was reacted with 0.8 mL
of citraconic anhydride, maintaining the pH between 7 and 9 by the addition of 1M NaOH, in order to efficiently separate conjugated ovalbumin from unreacted protein.
The citraconylated conjugate was rechromatographed over S-200, and fractions contain-i.ng high molecular weight material (> 80,000 daltons), as assessed SDS-PAGE, were used for biological studies.
Chicken ovalbumin, when conjugated to D-EK, does not induce B cell anergy in mice immunized to chicken ovalbumin:
Female CAF1 mice were primed with chicken ovalbumin (ova; 100 ~g/mouse, i.p.) precipitated on alum, with H. pertussis vaccine added as an adjuvant. Sixteen weeks later, the mice were divided into two groups of six mice each. One group (control) was treated with saline, and the second group was injected with a conjugate of ova and D-EK (ova-D-EK; 200 ~g/mouse/day, i.p.). The mice were dosed on three successive days. One week after the first dose, the mice in both groups were boosted, i.p., with ova in saline G100 ~g/mouse). One week later, the mice were bled from a tail vein. The plasma was harvested and assayed for the amount of anti-ova *Trademark C

... -~ 92/13558 P~'/US92/00975 antibodies by an ELISA assay. As shown in Table l, the ova-D-EK conjugate did not suppress the anti-ova response.
Table 1 Percent ~f Anti-Ova Group Treatment Standard Serum ~ S.D.
1 saline 70.7 ~ 36 2 ova-D-EK 160.2 ~ 167 1 The amount of anti-ova antibody was determined in an ELISA, measured against a standard pool of sera obtained from CAF1 mice immunized and boosted with ova. The values shown are the mean and standard deviation for the six mice in each group.
Example 3 Failure of MIR-D-EK Conjugate to Induce H Cell Anerav to MIR
This example is still further evidence that conjugates of immunogens and Q-EK do not induce B cell anergy.
Synthesis of MIR-D_-EK Conjugate:
MIR was modified on its carboxyl-terminus to include a sequence of 8-amino acids (Arg-Ser-Lys-Ser-Lys-Ser-Lys-Cys (SEQ. ID NO.: 1)). The amino-terminus was extended by one amino acid, proline. Purified modified MIR (250 mg) was reduced with 100 mM
dithiothreitol and was desalted over Sephadex G-25 (Pharmacia), equilibrated with 0.1 M sodium borate buffer, pH 9.0, containing 10 mM EDTA. D-EK (400 mg) was reacted with SSIAB (29 mg) as in the previous examples.
The product was desalted over G-25. The excluded volumes from the modified MIR and D-EK G-25 column runs were .;

v0 92/13558 ~ 0 ~ ~ ~ PCT/US92/o0975 combined and reacted at 4°C for 16 hours, in the dark.
Excess SSIAB groups were quenched with 2-mercaptoethanol, and the reaction mixture was concentrated to 20 mL over a PM-10 membrane (Amicon Corporation). The mixture was treated with 1.0 mL of citraconic anhydride and chromatographed over S-300 (Pharmacia; 1.8 L), equilibrated with 5% ammonium hydroxide. Fractions containing two or more modified MIR groups per D_-EK, as assessed by SDS-PAGE, were pooled and used for biological studies.
MIR-D-EK conjugate contains T cell epitopes in rats immunized with MIR from the same species:
T cell activation was assayed by the general procedure of Bradley, supra. Female Lewis rats were immunized in the footpad with MIR (50 ~cg) in complete Freund's adjuvant (CFA) on day 0. On day 7, the popliteal lymph nodes were removed and placed in culture in microtiter plates using 5~10 5 cells per well. MIR-D-EK was added, and, after four days of culture, the wells were pulsed with tritiated thymidine (1-~cCi) to measure proliferation of T cells. The cultures were collected after 5 days of culture with a Skatron"' cell harvester.
The amount of incorporated 3H-thymidine was determined by scintillation spectrometry. The stimulation index was calculated by dividing the counts incorporated in the absence of the conjugate. A stimulation index of greater than 1 was considered indicative of the presence of a T
cell epitope on the added conjugate. The stimulation index was 4 or greater at all concentrations of MIR-D-EK
tested (10 ug/mL to 400 mg/mL). This proves that T cells from MIR-immunized rats recognize T cell epitopes on the MIR-D-EK conjugate in this assay.

MIR-D-EK does not induce B cell anergy in rats immunized with MIR:
Female Lewis rats were primed with MIR (100 ~.g/rat) in CFA. Six months later, the rats were divided into three groups of three rats each. One group was treated with saline (control) and the other two groups were treated with MIR-D_-EK (100 ~Cg/rat, i.p.) on three successive days. After one week, the rats in the control group and one group that had been treated with MIR-D-EK
were boosted with recombinant MIR (1000 ug/rat, i.p.) in saline. One week later, a11 three groups of rats were bled from the tail vein. The plasma was harvested and assayed for the amount of anti-MIR antibodies by an ELISA
assay. Table 2 below reports the data from those assays.
Table 2 Group Treatment MIR Boost ~g/ml anti-MIR2 P vs.
(mean ~ S.D.) Group 1 1 Saline Yes 130.5 ~ 74.7 2 MIR-D-EK Yes 85.5 t 31.1 0.195 3 MIR-D-EK No 230.6 ~ 31 0.049 2 The concentration of anti-MIR antibodies was determined in an ELISA measured against a standard pool of rat anti-MIR sera. The values shown are the mean and standard deviation of the three rats in each group.
P values were determined by a Standard t test. Group 2 is not significantly different from Group 1. Group 3 (the non-boosted group) is significantly higher than Group 1.
As shown in Table 2, the data on Group 1 animals (saline control) indicate that MIR itself is an immunogen. The data for the Group 2 and 3 animals indicate that the MIR-D-EK conjugate did not affect the JVO 92/l3558 2 0'~ ~ ~ ~ g PCT/US92/00975 anti-MIR response. In fact, MIR-D-EK boosted the anti-MIR response in Group 3.
Example 4 Tests with ConLg~ate of L-42 and KLH
These tests, taken together with the results of Example 1 show that the moiety conjugated to _D-EK will cause anergy in B cells recognizing that moiety if the moiety either does not contain a T cell epitope or is not recognized by T cells.
Synthesis of L42 peptide-KLH conjugate:
Reduced L-42 (see Example 1) was conjugated to keyhole limpet hemocyanin (KLH) using thioether chemistry similar to that described above with respect to D_-EK.
L-42 lacks a T cell epitope(s) in mice immunized with L-42-KLH:
Activation of T cells by peptides was measured by the general procedure of Bradley, supra. Female CAF1 mice were immunized in the footpad with L-42 peptide conjugated KLH (L-42-KLH; 50 fig) in CFA on day 0. On day 7, the popliteal lymph nodes were removed and placed in culture in microtiter plates, at a cell density of 5105 cells/well. Peptides were added, and, after four days of culture, the wells were pulsed with 1 ~cCi of tritiated thymidine to measure proliferation of T cells. The cultures were collected after 5 days of culture with a Skatron"' cell harvester. The amount of incorporated 3H-thymidine was determined by scintillation spectrometry.
The stimulation index was calculated by dividing the counts incorporated in the absence of peptide. An index of greater than 1 is indicative of the presence of a T
cell epitope on the added peptide.
The data in Figure 4 demonstrate that the L-42 did not stimulate the growth of T cells taken from L-42 KLH-immunized mice, and therefore did not contain an V1'O 92/13558 ~ PCT/US92/00975 epitope(s) recognized by T-cells induced by immunization with L-42-KLH.
L-42-D-EK conjugate induces a B cell anergy in mice immunized to L-42-KLH:
CAF1 mice were primed with 100 ug/mouse of L-42-KLFi on alum plus B. pertussis vaccine as an adjuvant.
Three weeks later, the mice were divided into groups of six mice each. One group was treated by i.p. injections on three successive days with saline (control); the other l0 groups were similarly treated with L-42-KLH (50 ug/mouse, i.p.), and, after a wait o.f one week, they were bled from the tail vein. The plasma was harvested and assayed for the amount of anti-L-42 and anti-KLH antibodies by ELISA
assays. Data are expressed as a percent of a standard serum. An asterisk indicates that a data point was significantly different from the control as determined by a standard t test.
The data in Figure 5 demonstrate that the L-42 response, but not the anti-KLH response, was suppressed in this assay by the L-42-D-EK conjugate. Thus, the studies summarized in Example 1 and these data demonstrate the L-42-D_-EK induces B cell anergy when the mice are immunized in a manner that does not induce the proliferation of T cell clones that recognize the L-42 peptide. On the other hand, L-42-D-EK did not induce B cell anergy in animals that were immunized with an immunogen (MIR) which induced T cells that recognized the L-42 peptide.
Modifications of the above-described modes for carrying out the invention that are obvious to those of ordinary skill in the fields of immunology, chemistry, medicine and related arts are untended to be within the scope of the following claims.

Claims (23)

CLAIMS:

1. A conjugate for inducing specific B cell anergy to an immunogen comprising a nonimmunogenic biologically stable polymer and an analog of the immunogen that (a) binds specifically to B cells to which the immunogen binds specifically and (b) lacks a T cell epitope.

2. The conjugate of Claim 1 wherein the immunogen is an external immunogen.

3. The conjugate of Claim 2 wherein the external immunogen is a biological drug, an allergen, or an idiopathic contrast medium.

4. The conjugate of Claim 1 wherein the immunogen is a self-immunogen.

5. The conjugate of Claim 4 wherein the self immunogen is that associated with thyroiditis, diabetes, stroke, male infertility, myasthenia gravis, rheumatic fever, or Rh hemolytic disease.

6. The conjugate of Claim 1 wherein the immunogen and analog are of the same chemical class.

7. The conjugate of Claim 6 wherein the immunogen and the analog are polypeptides.

8. The conjugate of Claim 1 wherein the immunogen and the analog are of different chemical classes.

9. The conjugate of Claim 1 wherein the polymer is a copolymer of D-lysine and D-glutamic acid.

10. The conjugate of any one of Claims 1 to 9 in a therapeutic amount for use in treating an antibody-mediated pathology in which undesired antibodies are produced in response to an immunogen.

11. A pharmaceutical composition comprising the conjugate of Claim 10 combined with a pharmaceutically acceptable carrier.

12. A composition comprising the conjugate of claim 1 combined with a pharmaceutical carrier.

13. A method for making a conjugate useful for inducing specific B cell anergy to an immunogen implicated in an antibody-mediated pathology, the conjugate comprising a nonimmunogenic biologically stable polymer and an analog of the immunogen wherein (i) the analog binds specifically to B cells to which the immunogen binds specifically and (ii) the conjugate lacks a T cell epitope, comprising the steps of:
(a) covalently bonding the analog of the immunogen lacking T cell epitopes to a nonimmunogenic polymer to form a conjugate; and (b) separating the conjugate from the reaction mixture.

14. The method of Claim 13 wherein the immunogen is an external immunogen.

15. The method of Claim 14 wherein the external immunogen is a biological drug, an allergen, or an idiopathic contrast medium.

16. The method of Claim 13 wherein the immunogen is a self-immunogen.

17. The method of Claim 16 wherein the self immunogen is that associated with thyroiditis, diabetes, stroke, male infertility, myasthenia gravis, rheumatic fever, or Rh hemolytic disease.

18. The method of Claim 13 wherein the immunogen and analog are of the same chemical class.

19. The method of Claim 18 wherein the immunogen and the analog are polypeptides.

20. The method of Claim 13 wherein the immunogen and the analog are of different chemical classes.

21. The method of Claim 12 wherein the polymer is a copolymer of D-lysine and D-glutamic acid.

22. A method for making a composition useful for inducing specific B cell anergy to an immunogen implicated in an antibody-mediated pathology, the composition comprising a pharmaceutically acceptable vehicle and a conjugate of a nonimmunogenic biologically stable polymer and an analog of the immunogen wherein (i) the analog binds specifically to B cells to which the immunogen binds specifically and (ii) the conjugate lacks a T cell epitope, comprising the steps of:
(a) covalently bonding the analog of the immunogen lacking T cell epitopes to a nonimmunogenic polymer to form a conjugate;
(b) separating the conjugate from the reaction mixture; and (c) combining the conjugate with a pharmaceutically acceptable vehicle.

23. Use of the conjugate of any one of Claims 1 to 9 to induce specific B
cell anergy to an immunogen in an individual.