This present disclosure relates generally to engineered T-cell modulating molecules. In particular, the present disclosure is directed to engineered V-domain Immunoglobulin suppressor of T-cell activation (VISTA), programmed death-ligand 1 (PD-L1) and B7 homolog 4 (B7-H4) molecules that inhibit T-cells and engineered inducible costimulatory ligand (ICOS-L) molecules that stimulate T-cells.
T-cell activity is regulated by co-stimulatory and co-inhibitory signals generated by the binding of immune checkpoint (IC) cell surface molecules present on T-cells and antigen presenting cells (APC)/cancer cells. These signals facilitate protection against invading pathogens and/or malignant cells, while maintaining self-tolerance. T-cell responses are either upregulated by co-stimulatory checkpoint pairs exemplified by CD28:CD80/CD86, ICOS:ICOS-L, OX-40:OX-40L and 4-1BB:4-1BBL and/or downregulated by co-inhibitory checkpoint molecules which include CTLA-4:CD80/CD86, PD-1:PD-L1 (References 1-4). Some T cell co-inhibitory IC pairs have not yet been fully characterized including the receptors recognized by VISTA and B7-H4. To date, several negative checkpoint receptors that function to suppress T-cell activity have been identified, including PD-1 and CTLA-4. Antibody-mediated blockade of these pathways has been shown to promote anti-tumor immune responses (References 1-3) while ligands which activate these immunoinhibitory pathways may suppress uncontrolled immune responses linked to autoimmune and/or inflammatory disorders (References 4-6). In contrast, activation of co-stimulatory pathways in T-cells such as ICOS:ICOS-L and OX40:OX40L can lead to T-cell activation, proliferation and cytokine production; outcomes which can promote anti-tumor immune responses.
Many of the known immune checkpoint pairs are members of the B7-CD28 family of surface proteins defined in part by their Ig-V/Ig-C containing extracellular domains. These pairs include ICOS:ICOS-L, CTLA-4:CD80/CD86, PD-1:PD-L1, as well as VISTA and B7-H4 (Reference 7).
V-domain Immunoglobulin suppressor of T-cell activation (“VISTA”, which may also be referred to as PD-1H, DD1α, SISP1, Dies1, c10Orf54, and/or Gi24) is a checkpoint ligand that is expressed primarily on CD11bhigh myeloid cells and which negatively regulates T-cell responses upon binding to a putative cell surface receptor (VISTA-receptor) (References 8-9). VISTA is also expressed on naïve CD4+ and CD8+ T-cells, where it is postulated to negatively regulate T-cell responses, suggesting a dual-role of VISTA as both a checkpoint ligand and receptor (Reference 10). Structurally, VISTA shares significant homology with PD-1 and PD-L1, having an N-terminal IgV domain followed by a single membrane spanning domain and cytoplasmic tail. Similar to the PD-1:PD-L1 pathway, blockade of VISTA using monoclonal antibodies has been demonstrated to provoke anti-tumor immune responses in mouse models, suggesting a role for VISTA:VISTA-receptor signalling in the promotion of tumor immune evasion (References 11-12). VISTA may also play a role in regulating autoimmune disease progression. For example, VISTA-deficient (VISTA−/−) mice bred on a lupus-prone background developed accelerated and severe systemic lupus erythematosus (SLE) (Reference 13). VISTA−/− 2D2 T-cell receptor transgenic mice exhibited increased levels of peripheral encephalitogenic T-cells and developed an exacerbated form of experimental autoimmune encephalomyelitis (EAE) (Reference 14). VISTA−/− mice bred on a C57Bl/6 background displayed a mild pro-inflammatory phenotype, exemplified by an increase in dendritic cells and a rise in T-cell activation markers, but were not reported to develop inflammatory disorders (Reference 14). In slight contrast, another study described a more severe phenotype, where VISTA−/− C57Bl/6 mice developed glomerulonephritis at 10 months of age (Reference 15). Together, these studies suggest that promoting VISTA-mediated immunosuppression may be useful for treatment of autoimmune and/or inflammatory diseases.
Agonistic anti-VISTA antibodies have been reported (Reference 16) and a dimeric version of VISTA (VISTA.Fc) has been reported to suppress T-cell activation in-vitro when VISTA.Fc is immobilized on a solid surface (References 8, 11).
The inhibitory co-stimulatory molecule known as programmed death-1 (PD-1) is expressed on activated T cells, B cells, monocytes, and macrophages and binds to PD-L1 (on hematopoietic and non-hematopoietic cells) and PD-L2 (on DCs and macrophages) (References 6, 17-20). PD-L1 binding to PD-1 on lymphocytes sends an inhibitory signal to T cells that blocks TCR signaling, T- and B-cell proliferation, cytokine production and CD8+ T cell cytotoxicity (References 4, 17). PDL-2 is a second ligand for PD-1 and inhibits T-cell activation (Reference 20). The PD-1 agonist PD-L1.Fc has been shown to improve disease outcome in two CIA mouse models (References 5, 21).
B7-H4 is another B7 family member that is an IgV domain-containing inhibitory ligand. Its receptor first presumed to be BTLA-4 still remains unknown (Reference 22). B7-H4.Fc has been shown to dampen immune responses in vivo, exemplified by its ability to reduce ConA-induced hepatic injury in mice (Reference 23) and to limit the progression of CIA in mice (Reference 24).
The Inducible T-cell Costimulator ((ICOS), which may also be referred to as CD278, H4 or AILIM) is a receptor in the CD28 family of B7-binding proteins (References 25-27) which is inducibly expressed on activated T cells (References 25, 28, 29). Upon binding to its ligand ICOS-L (B7-H2) expressed on APCs (References 30, 31), T-cells are co-stimulated by ICOS to enhance Th1 and Th2 functions reflected by the production of effector cytokines (IL-4, IL-5, IL-10, IL-21, IFNγ, TNFα) (References 32-34).
Pre-clinical tumor studies have shown that mice implanted with tumor cells expressing ICOS-L (to agonize ICOS signalling) have reduced tumor growth and improved survival in the context of anti-CTLA-4 therapy (Reference 35). As well, a clinical trial of patients treated with anti-CTLA-4 agents have shown that the presence of ICOS-hi T cells correlates with an increased treatment response to these immune checkpoint inhibitors (References 36, 37). These results suggest the use of an ICOS agonist as a strategy to enhance anti-tumor immune response. PCT Application No. WO2016US23524 describes agonistic monoclonal antibodies that target ICOS. These antibodies are purported to both stimulate immune cells to kill tumor cells, and to limit the number of Treg linked to the suppression of antitumor immunity.
There is currently a need for improved compounds and methods for regulating or modulating T-cell activity, inducing immunosuppression and/or improving anti-tumor immune responses.
Provided herein are engineered nucleic acids, engineered mRNAs, engineered polypeptides, and engineered pentamerized polypeptides, human and murine, each of which includes a sequence of a VISTA, B7-H4, PD-L1 or ICOS-L extracellular domain operably linked to the pentamerization domain of COMP. A soluble form of the pentamerized polypeptides has T-cell modulating activity in vitro and in vivo. Methods of using same for treatment of a subject in need of T-cell modulating activity are also provided.
In an aspect, a recombinant nucleic acid is provided. The recombinant nucleic acid comprises: a nucleic acid having substantial similarity to a nucleic acid encoding an extracellular IgV-containing domain of a V-domain Ig Suppressor of T cell Activation (VISTA) having a sequence of SEQ ID NO: 1 or 2; and a nucleic acid having substantial similarity to a nucleic acid encoding a pentamerization domain of cartilage oligomeric matrix protein (COMP) having a sequence of SEQ ID NO: 3 or 4, the nucleic acid encoding the extracellular IgV-domain containing VISTA polypeptide being operably linked to the nucleic acid encoding the pentamerization domain of COMP.
In an embodiment, the recombinant nucleic acid comprises SEQ ID NO: 1 operably linked to SEQ ID NO: 3. In an embodiment, the recombinant nucleic acid comprises SEQ ID NO: 2 operably linked to SEQ ID NO: 4.
In another aspect, a recombinant nucleic acid is provided. The recombinant nucleic acid comprises: a nucleic acid having substantial similarity to a nucleic acid encoding an extracellular domain of B7-H4 having a sequence of SEQ ID NO: 26; and a nucleic acid having substantial similarity to a nucleic acid encoding a pentamerization domain of cartilage oligomeric matrix protein (COMP) having a sequence of SEQ ID NO: 3, the nucleic acid encoding the extracellular domain of B7-H4 polypeptide being operably linked to the nucleic acid encoding the pentamerization domain of COMP.
In another aspect, a recombinant nucleic acid is provided. The recombinant nucleic acid comprises: a nucleic acid having substantial similarity to a nucleic acid encoding an extracellular domain of PD-L1 having a sequence of SEQ ID NO: 37; and a nucleic acid having substantial similarity to a nucleic acid encoding a pentamerization domain of cartilage oligomeric matrix protein (COMP) having a sequence of SEQ ID NO: 3, the nucleic acid encoding the extracellular domain of PD-L1 polypeptide being operably linked to the nucleic acid encoding the pentamerization domain of COMP.
In another aspect, a recombinant nucleic acid is provided. The recombinant nucleic acid comprises: a nucleic acid having substantial similarity to a nucleic acid encoding an extracellular domain of ICOS-L having a sequence of SEQ ID NO: 48; and a nucleic acid having substantial similarity to a nucleic acid encoding a pentamerization domain of cartilage oligomeric matrix protein (COMP) having a sequence of SEQ ID NO: 3, the nucleic acid encoding the extracellular domain of ICOS-L polypeptide being operably linked to the nucleic acid encoding the pentamerization domain of COMP.
In an embodiment, an expression vector comprising the recombinant nucleic acid of the disclosure is provided. In an embodiment, the expression vector further comprises at least one control sequence. In an embodiment, a host cell comprising the expression vector is provided.
In an aspect, a recombinant messenger ribonucleic acid (mRNA) is provided. The mRNA comprises: an mRNA having substantial similarity to an mRNA encoding an extracellular domain of a V-domain Ig Suppressor of T cell Activation (VISTA) having a sequence of SEQ ID NO: 5 or 6; and an mRNA having substantial similarity to an mRNA encoding a pentamerization domain of cartilage oligomeric matrix protein (COMP) having a sequence of SEQ ID NO: 7 or 8, the mRNA encoding the extracellular domain of VISTA mRNA being operably linked to the mRNA encoding the pentamerization domain of COMP.
In an embodiment, the recombinant mRNA comprises SEQ ID NO: 5 operably linked to SEQ ID NO: 7. In an embodiment, the recombinant mRNA comprises SEQ ID NO: 6 operably linked to SEQ ID NO: 8.
In an aspect, a recombinant messenger ribonucleic acid (mRNA) is provided. The mRNA comprises: an mRNA having substantial similarity to an mRNA encoding an extracellular domain of B7-H4 having a sequence of SEQ ID NO: 27; and an mRNA having substantial similarity to an mRNA encoding a pentamerization domain of cartilage oligomeric matrix protein (COMP) having a sequence of SEQ ID NO: 7, the mRNA encoding the extracellular domain of B7-H4 mRNA being operably linked to the mRNA encoding the pentamerization domain of COMP.
In an aspect, a recombinant messenger ribonucleic acid (mRNA) is provided. The mRNA comprises: an mRNA having substantial similarity to an mRNA encoding an extracellular domain of PD-L1 having a sequence of SEQ ID NO: 62; and an mRNA having substantial similarity to an mRNA encoding a pentamerization domain of cartilage oligomeric matrix protein (COMP) having a sequence of SEQ ID NO: 7, the mRNA encoding the extracellular domain of PD-L1 mRNA being operably linked to the mRNA encoding the pentamerization domain of COMP.
In an aspect, a recombinant messenger ribonucleic acid (mRNA) is provided. The mRNA comprises: an mRNA having substantial similarity to an mRNA encoding an extracellular domain of ICOS-L having a sequence of SEQ ID NO: 61; and an mRNA having substantial similarity to an mRNA encoding a pentamerization domain of cartilage oligomeric matrix protein (COMP) having a sequence of SEQ ID NO: 7, the mRNA encoding the extracellular domain of ICOS-L mRNA being operably linked to the mRNA encoding the pentamerization domain of COMP.
In an aspect, a recombinant polypeptide is provided. The recombinant polypeptide comprises: a polypeptide having substantial similarity to an extracellular domain of a V-domain Ig Suppressor of T cell Activation (VISTA) (SEQ ID NO: 9 or 10) linked to a polypeptide having substantial similarity to a pentamerization domain of cartilage oligomeric matrix protein (COMP) (SEQ ID NO: 11 or 12).
In an embodiment, the recombinant polypeptide comprises SEQ ID NO: 9 operably linked to SEQ ID NO: 11. In an embodiment, the recombinant polypeptide comprises SEQ ID NO: 10 operably linked to SEQ ID NO: 12.
In another aspect, a recombinant polypeptide is provided. The recombinant polypeptide comprises: a polypeptide having substantial similarity to an extracellular domain of B7-H4 (SEQ ID NO: 25) linked to a polypeptide having substantial similarity to a pentamerization domain of cartilage oligomeric matrix protein (COMP) (SEQ ID NO: 11).
In another aspect, a recombinant polypeptide is provided. The recombinant polypeptide comprises: a polypeptide having substantial similarity to an extracellular domain of PD-L1 (SEQ ID NO: 36) linked to a polypeptide having substantial similarity to a pentamerization domain of cartilage oligomeric matrix protein (COMP) (SEQ ID NO: 11).
In another aspect, a recombinant polypeptide is provided. The recombinant polypeptide comprises: a polypeptide having substantial similarity to an extracellular domain of ICOS-L (SEQ ID NO: 49) linked to a polypeptide having substantial similarity to a pentamerization domain of cartilage oligomeric matrix protein (COMP) (SEQ ID NO: 11).
In an embodiment, a recombinant polypeptide provided herein is in a soluble form.
In an aspect, a pentamerized polypeptide having T-cell inhibitory activity is provided. The pentamerized polypeptide having T-cell inhibitory activity comprises: five monomers, each of the monomers comprising: a polypeptide having substantial similarity to an extracellular domain of a V-domain Ig Suppressor of T cell Activation (VISTA) (SEQ ID NO: 9 or 10) linked to a polypeptide having substantial similarity to a pentamerization domain of cartilage oligomeric matrix protein (COMP) (SEQ ID NO: 11 or 12).
In an embodiment, the recombinant polypeptide comprises SEQ ID NO: 9 operably linked to SEQ ID NO: 11. In an embodiment, the pentamerized polypeptide comprises SEQ ID NO: 10 operably linked to SEQ ID NO: 12. In an embodiment, the pentamerized polypeptide is in a soluble form. In an embodiment, the soluble form pentamerized polypeptide has increased T-cell inhibitory activity relative to a soluble dimerized polypeptide comprising an extracellular domain of VISTA (SEQ ID NO: 9 or 10). In an embodiment, the increased T-cell inhibitory activity comprises one or more of increased inhibition of T-cell activation and T-cell proliferation. In an embodiment, the soluble form pentamerized polypeptide has increased immune inhibitory activity in vivo relative to a soluble dimerized polypeptide comprising an extracellular domain of VISTA (SEQ ID NO: 9 or 10). In an embodiment, the increased immune inhibitory activity comprises one or more of increased inhibition of cytokine secretion and cytotoxic lymphocyte (CTL) production.
In another aspect, a pentamerized polypeptide having T-cell inhibitory activity is provided. The pentamerized polypeptide having T-cell inhibitory activity comprises: five monomers, each of the monomers comprising: a polypeptide having substantial similarity to an extracellular domain of B7-H4 (SEQ ID NO: 25) linked to a polypeptide having substantial similarity to a pentamerization domain of cartilage oligomeric matrix protein (COMP) (SEQ ID NO: 11).
In an embodiment, the pentamerized polypeptide is in a soluble form. In an embodiment, the soluble form pentamerized polypeptide has increased T-cell inhibitory activity relative to a soluble dimerized polypeptide comprising an extracellular domain of B7-H4 (SEQ ID NO: 25). In an embodiment, the increased T-cell inhibitory activity comprises one or more of increased inhibition of T-cell activation and T-cell proliferation. In an embodiment, the soluble form pentamerized polypeptide has increased immune inhibitory activity in vivo relative to a soluble dimerized polypeptide comprising an extracellular domain of B7-H4 (SEQ ID NO: 25). In an embodiment, the increased immune inhibitory activity comprises one or more of increased inhibition of cytokine secretion and cytotoxic lymphocyte (CTL) production.
In another aspect, a pentamerized polypeptide having T-cell inhibitory activity is provided. The pentamerized polypeptide having T-cell inhibitory activity comprises: five monomers, each of the monomers comprising: a polypeptide having substantial similarity to an extracellular domain of PD-L1 (SEQ ID NO: 36) linked to a polypeptide having substantial similarity to a pentamerization domain of cartilage oligomeric matrix protein (COMP) (SEQ ID NO: 11).
In an embodiment, the pentamerized polypeptide is in a soluble form. In an embodiment, the soluble form pentamerized polypeptide has increased T-cell inhibitory activity relative to a soluble dimerized polypeptide comprising an extracellular domain of PD-L1 (SEQ ID NO: 36). In an embodiment, the increased T-cell inhibitory activity comprises one or more of increased inhibition of T-cell activation and T-cell proliferation. In an embodiment, the soluble form pentamerized polypeptide has increased immune inhibitory activity in vivo relative to a soluble dimerized polypeptide comprising an extracellular domain of PD-L1 (SEQ ID NO: 36). In an embodiment, the increased immune inhibitory activity comprises one or more of increased inhibition of cytokine secretion and cytotoxic lymphocyte (CTL) production.
In another aspect, a pentamerized polypeptide having T-cell stimulatory activity is provided. The pentamerized polypeptide having T-cell stimulatory activity comprises: five monomers, each of the monomers comprising: a polypeptide having substantial similarity to an extracellular domain of ICOS-L (SEQ ID NO: 49) linked to a polypeptide having substantial similarity to a pentamerization domain of cartilage oligomeric matrix protein (COMP) (SEQ ID NO: 11).
In an embodiment, the pentamerized polypeptide is in a soluble form. In an embodiment, the soluble form pentamerized polypeptide has increased T-cell stimulatory activity relative to a soluble dimerized polypeptide comprising an extracellular domain of ICOS-L (SEQ ID NO: 49). In an embodiment, the increased T-cell stimulatory activity comprises one or more of increased stimulation of T-cell activation and T-cell proliferation. In an embodiment, the soluble form pentamerized polypeptide has increased immune stimulatory activity in vivo relative to a soluble dimerized polypeptide comprising an extracellular domain of ICOS-L (SEQ ID NO: 49). In an embodiment, the increased immune stimulatory activity comprises one or more of increased stimulation of cytokine secretion and cytotoxic lymphocyte (CTL) production. In an embodiment, the soluble form pentamerized polypeptide increases effector T-cells:regulatory T-cell ratios.
In an aspect, a pharmaceutical composition is provided. The pharmaceutical composition comprises: one or more of the polypeptides provided herein, the host cells provided herein, and the pentamerized polypeptides provided herein; and a pharmaceutically acceptable carrier, diluent, or excipient.
In an aspect, a method of eliciting a biological response in an individual in need thereof is provided. The method comprises: administering to the individual a therapeutically effective amount of a V-domain Ig Suppressor of T cell Activation (VISTA)-cartilage oligomeric matrix protein (COMP) fusion polypeptide (VISTA.COMP), the VISTA.COMP polypeptide having SEQ ID NO: 9 and being linked to SEQ ID NO: 11 or having SEQ ID NO: 10 and being linked to SEQ ID NO: 12, wherein the biological response is one or more of: suppression of T-cell activation; suppression of T-cell proliferation; decreased secretion by T-cells of one or more inflammatory cytokines; suppressed induction of cytotoxic T lymphocytes (CTLs); and an increase in T-cells with regulatory phenotypes. In an embodiment, the inflammatory cytokines comprise one or more of IL-2 and IFNγ.
In an aspect a method of eliciting a biological response in an individual in need thereof is provided. The method comprises administering to the individual a therapeutically effective amount of a B7-H4-cartilage oligomeric matrix protein (COMP) fusion polypeptide (B7-H4.COMP), the B7-H4.COMP polypeptide having SEQ ID NO: 25 and being linked to SEQ ID NO: 11, wherein the biological response is one or more of: suppression of T-cell activation; suppression of T-cell proliferation; decreased secretion by T-cells of one or more inflammatory cytokines; suppressed induction of cytotoxic T lymphocytes (CTLs); and an increase in T-cells with regulatory phenotypes.
In an aspect, a method of eliciting a biological response in an individual in need thereof is provided. The method comprises administering to the individual a therapeutically effective amount of a PD-L1-cartilage oligomeric matrix protein (COMP) fusion polypeptide (PD-L1.COMP), the PD-L1.COMP polypeptide having SEQ ID NO: 36 and being linked to SEQ ID NO: 11, wherein the biological response is one or more of suppression of T-cell activation; suppression of T-cell proliferation; decreased secretion by T-cells of one or more inflammatory cytokines; suppressed induction of cytotoxic T lymphocytes (CTLs); and an increase in T-cells with regulatory phenotypes.
In an aspect, a method of eliciting a biological response in an individual in need thereof is provided. The method comprises administering to the individual a therapeutically effective amount of an ICOS-L-cartilage oligomeric matrix protein (COMP) fusion polypeptide (ICOS-L.COMP), the ICOS-L.COMP polypeptide having SEQ ID NO: 49 and being linked to SEQ ID NO: 11, wherein the biological response is one or more of stimulation of T-cell activation; stimulation of T-cell proliferation; increased secretion by T-cells of one or more inflammatory cytokines; increased induction of cytotoxic T lymphocytes (CTLs); and an increase in the effector T-cells:regulatory T-cell ratio within the tumor microenvironment. In an embodiment, the ICOS-L.COMP polypeptide is administered in combination with a checkpoint blocking molecule. In an embodiment, the ICOS-L.COMP polypeptide is administered simultaneously with or before or after the checkpoint blocking molecule. In an embodiment, the checkpoint blocking molecule is an anti-PD-1 antibody or an anti-CTLA-4 antibody.
The features of the invention will become more apparent in the following detailed description in which reference is made to the appended drawings wherein:
Unless defined otherwise, all technical and scientific terms used herein generally have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs.
V-domain Immunoglobulin suppressor of T-cell activation (VISTA) is a recently-discovered immune checkpoint ligand that functions to suppress T-cell activity. Other immune checkpoint ligands include B7-H4 and PD-L1. Activation of this immune checkpoint pathway in a subject has therapeutic potential, at least because it may reduce inflammatory responses in the subject by inhibiting T-cell activity. Conversely, ligands that stimulate T-cell activity, such as ICOS-L, have immune-boosting therapeutic potential, such as in cancer immunotherapy.
A dimeric construct of the IgV domain of VISTA (VISTA-Fc) was shown to suppress T-cell activation in-vitro. However, this effect required immobilization of VISTA-Fc to a solid substrate. Immobilization-dependent activity suggests that the efficacy of VISTA-Fc as a VISTA-receptor agonist in-vivo may be limited.
Provided herein is a pentameric polypeptide and monomers that make up same, each of the monomers containing an extracellular domain of VISTA, B7-H4, PD-L1 or ICOS-L genetically fused or linked to the pentamerization domain of cartilage oligomeric matrix protein (COMP).
COMP is a 524 kDa homopentamer of five subunits which consists of an N-terminal heptad repeat region (cc) followed by four epidermal growth factor (EGF)-like domains (EF), seven calcium-binding domains (T3) and a C-terminal globular domain (TC). The COMP pentamerization domain used herein is a 45-amino acid long sequence that spontaneously assembles into a bundle of 5 alpha-helices arranged in a parallel orientation and stabilized by disulphide bridges. Previously, a pro-angiogenic factor angiopoietin 1 that was fused to the COMP pentamerization domain (COMP-Ang1) showed increased stability relative to native Ang1, which lead to an increased induction of angiogenesis in-vivo21.
The inventors have generated engineered nucleic acids, engineered polypeptides, and engineered pentamerized polypeptides, human and murine, each of which include sequences of a VISTA, B7-H4, PD-L1 or ICOS-L extracellular domain operably linked to the pentamerization domain of COMP. By “extracellular domain” (or “ECD”), we mean the extracellular region of the polypeptide, or the nucleic acid that codes for it, that contains one or more Ig-type domains, which play a role in efficient binding between ligand and receptor. The ECD of VISTA, B7-H4, PD-L1 and ICOS-L comprises an IgV domain. The ECD of B7-H4, PD-L1 and ICOS-L also comprises an IgC domain. Engineered mRNAs corresponding to the engineered nucleic acids and/or polypeptides provided herein are also contemplated herein.
Appendix 1 provides nucleic acid and polypeptide sequences for use in preparing a VISTA, B7-H4, PD-L1 or ICOS-L extracellular domain operably linked to the pentamerization domain of COMP.
In an embodiment, a recombinant nucleic acid having a nucleic acid sequence encoding an extracellular domain of VISTA, B7-H4, PD-L1 or ICOS-L linked to a pentamerization domain of COMP is provided. In some embodiments, the nucleic acid encoding an extracellular IgV-containing domain VISTA has substantial similarity to SEQ ID NO: 1 (the human IgV-containing domain of VISTA) or SEQ ID NO: 2 (the mouse IgV-containing domain of VISTA). In some embodiments, the nucleic acid encoding the extracellular domain of B7-H4 has substantial similarity to SEQ ID NO: 26. In some embodiments, the nucleic acid encoding the extracellular domain of PD-L1 has substantial similarity to SEQ ID NO: 37. In some embodiments, the nucleic acid encoding the extracellular domain of ICOS-L has substantial similarity to SEQ ID NO: 48. In some embodiments, the nucleic acid encoding the pentamerization domain of COMP has substantial similarity to SEQ ID NO: 3 (the human pentamerization domain of COMP) or SEQ ID NO: 4 (the mouse pentamerization domain of COMP).
By “substantial similarity” in sequence, we mean sequences that are identical to or variants of the sequences provided herein, and encompass, or encode for a polypeptide that encompasses, the biological activity described herein.
For example, for nucleic acid sequences, substantially similar sequences include conservative variants that, because of the degeneracy of the genetic code, encode the amino acid sequence of one of the polypeptides provided herein. Variant nucleotide sequences include synthetically derived nucleotide sequences. Generally, variants of a particular nucleotide sequence of the invention will have at least at least 65%, 70%, 75%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or more sequence identity to one of the nucleotide sequences provided herein, as determined by sequence alignment programs known in the art, and using default parameters. In some preferred embodiments, substantially similar sequences are identical to the sequence referred to. In some preferred embodiments, the nucleic acid sequence is codon optimized for use in a genetic construct (e.g., for use in a plasmid).
Variant polypeptides encompassed by the present invention are biologically active, that is they continue to possess the biological activity of the pentamerized polypeptide described herein. Such variants may result from, for example, genetic polymorphism or from human manipulation. Biologically active variants of a polypeptide of the invention will have at least 75%, 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or more sequence identity to one of the amino acid sequences provided herein as determined by sequence alignment programs known in the art using default parameters.
In an embodiment, the recombinant nucleic acid comprises SEQ ID NO: 1 operably linked to SEQ ID NO: 3 (i.e., the human IgV-containing domain of VISTA linked to the human pentamerization domain of COMP). In an embodiment, the recombinant nucleic acid comprises SEQ ID NO: 2 operably linked to SEQ ID NO: 4 (i.e., the mouse IgV-containing domain of VISTA linked to the mouse pentamerization domain of COMP).
A nucleic acid molecule is operably linked to another nucleic acid molecule when it is placed into a functional relationship with another nucleic acid molecule. For example, two nucleic acid molecules are operably linked when they are joined such that the amino acid sequences encoded by the two nucleic acid molecules provide for proper translation. Such nucleic acids may be operably linked through a linker sequence. Linker sequences suitable for use with the recombinant nucleic acids disclosed herein may be determined by a person of skill in the art. In some preferred embodiments, the linker sequence will be engineered to encode a somewhat flexible peptide or polypeptide (for example, it may be glycine rich).
In an aspect, a recombinant messenger ribonucleic acid (mRNA) having an mRNA sequence encoding an extracellular domain of VISTA linked to a pentamerization domain of COMP is provided. In some embodiments, the mRNA encoding the extracellular domain of VISTA has substantial similarity to SEQ ID NO: 5 (the human IgV-containing domain of VISTA) or SEQ ID NO: 6 (the mouse IgV-containing domain of VISTA). In some embodiments, the mRNA encoding the pentamerization domain of COMP has substantial similarity to SEQ ID NO: 7 (the human pentamerization domain of COMP) or SEQ ID NO: 8 (the mouse pentamerization domain of COMP).
In an embodiment, the recombinant mRNA comprises SEQ ID NO: 5 operably linked to SEQ ID NO: 7 (i.e., the human IgV-containing domain of VISTA linked to the human pentamerization domain of COMP). In an embodiment, the recombinant nucleic acid comprises SEQ ID NO: 6 operably linked to SEQ ID NO: 8 (i.e., the mouse IgV-containing domain of VISTA linked to the mouse pentamerization domain of COMP). Linker sequences suitable for use with the recombinant nucleic acids disclosed herein may be determined by a person of skill in the art. In some preferred embodiments, the linker sequence will be engineered to encode a somewhat flexible peptide or polypeptide (for example, it may be glycine rich).
In an aspect, a recombinant messenger ribonucleic acid (mRNA) having an mRNA sequence encoding an extracellular domain of B7-H4linked to a pentamerization domain of COMP is provided. In some embodiments, the mRNA encoding the extracellular domain of B7-H4 has substantial similarity to SEQ ID NO: 27 (the human ECD of B7-H4). In some embodiments, the mRNA encoding the pentamerization domain of COMP has substantial similarity to SEQ ID NO: 7 (the human pentamerization domain of COMP).
In an aspect, a recombinant messenger ribonucleic acid (mRNA) having an mRNA sequence encoding an extracellular domain of PD-L1 linked to a pentamerization domain of COMP is provided. In some embodiments, the mRNA encoding the extracellular domain of VISTA has substantial similarity to SEQ ID NO: 62 (the human ECD of PD-L1). In some embodiments, the mRNA encoding the pentamerization domain of COMP has substantial similarity to SEQ ID NO: 7 (the human pentamerization domain of COMP).
In an aspect, a recombinant messenger ribonucleic acid (mRNA) having an mRNA sequence encoding an extracellular domain of ICOS-L linked to a pentamerization domain of COMP is provided. In some embodiments, the mRNA encoding the extracellular domain of VISTA has substantial similarity to SEQ ID NO: 61 (the human ECD of ICOS-L). In some embodiments, the mRNA encoding the pentamerization domain of COMP has substantial similarity to SEQ ID NO: 7 (the human pentamerization domain of COMP).
In an aspect, a recombinant polypeptide having an amino acid sequence encoding an extracellular domain of VISTA, B7-H4, PD-L1 or ICOS-L linked to a pentamerization domain of COMP is provided. In some embodiments, the amino acid sequence encoding the extracellular IgV-containing domain of VISTA has substantial similarity to SEQ ID NO: 9 (the human IgV-containing domain of VISTA) or SEQ ID NO: 10 (the mouse IgV-containing domain of VISTA). In some embodiments, the amino acid sequence encoding the extracellular domain of B7-H4 has substantial similarity to SEQ ID NO: 25. In some embodiments, the amino acid sequence encoding the extracellular domain PD-L1 has substantial similarity to SEQ ID NO: 36. In some embodiments, the amino acid sequence encoding the extracellular domain ICOS-L has substantial similarity to SEQ ID NO: 49. In some embodiments, the amino acid encoding the pentamerization domain of COMP has substantial similarity to SEQ ID NO: 11 (the human pentamerization domain of COMP) or SEQ ID NO: 12 (the mouse pentamerization domain of COMP).
As used herein, “link” means covalently or non-covalently associating one polypeptide to another polypeptide, regardless of the method of association. In one embodiment the association is a covalent association, such as a peptide bond. For example, a peptide having an amino acid sequence encoding an extracellular domain of VISTA, B7-H4, PD-L1 or ICOS-L of the invention can be linked to a pentamerization domain of COMP of the invention. Examples of such linkers are known in the art and are described for example, in Chen et. al (Reference 38). In an embodiment, an extracellular domain of VISTA, B7-H4, PD-L1 or ICOS-L of the invention can be linked to a pentamerization domain of COMP by forming a fusion protein between the extracellular domain of VISTA, B7-H4, PD-L1 or ICOS-L and the pentamerization domain of COMP. Such fusions proteins can be produced in host cells using expression vectors encoding VISTA, B7-H4, PD-L1 or ICOS-L ECDs and the pentamerization domain of COMP according to standard methods known in the art and as described herein.
In an embodiment, the recombinant polypeptide comprises SEQ ID NO: 9 operably linked to SEQ ID NO: 11 (i.e., the human extracellular IgV-containing domain of VISTA linked to the human pentamerization domain of COMP). In an embodiment, the recombinant nucleic acid comprises SEQ ID NO: 10 operably linked to SEQ ID NO: 12 (i.e., the mouse extracellular IgV-containing domain of VISTA linked to the mouse pentamerization domain of COMP). Linker sequences suitable for use with the recombinant nucleic acids disclosed herein may be determined by a person of skill in the art. In some preferred embodiments, the linker sequence will be engineered to encode a somewhat flexible peptide or polypeptide (for example, it may be glycine rich).
Herein, in some embodiments, the recombinant polypeptide may also be referred to as a recombinant protein, an engineered protein, or a fusion protein. By “fusion protein”, we mean a protein generated by joining two or more genes which originally coded for separate polypeptides. Translation of this fusion gene results in a single polypeptide with functional properties derived from each of the original polypeptides.
In some embodiments the nucleic acid or polypeptide of the invention may include an N-terminal leader sequence to enable secretion of the recombinant protein and/or a Histidine or other affinity tag for purification purposes. Methods for introducing an N-terminal leader sequence and/or a Histidine or other affinity tag are known in the art.
In an embodiment, the recombinant polypeptide is provided in a soluble form. As used herein, “soluble” means without immobilization on a solid substrate or a solid surface. In an embodiment, the activity of the recombinant polypeptide is substrate immobilization-independent (i.e., activity does not depend on the recombinant polypeptide being immobilized on a solid substrate or solid surface).
In an embodiment, an expression vector comprising a recombinant polypeptide disclosed herein is provided. In some embodiments, the expression vector further comprises at least one control sequence. By “control sequences”, we mean one or more sequences necessary for the expression of an operably linked coding sequence in a particular host organism. The control sequences that are suitable include, for example, promoters, polyadenylation signals, and/or enhancers. Methods and tools for generating an expression vector housing a recombinant polypeptide are known in the art and may be suitable for generating the expression vectors provided herein.
In an aspect, a host cell comprising an expression vector disclosed herein is provided. For example, the host cell may be HEK-293 or a HEK-293 derivative, CHO or a CHO derivative, or NS01 or an NS01 derivative. Methods and tools for generating a host cell housing an expression vector are known in the art and may be suitable for generating the host cells provided herein. In an embodiment, an engineered cell line comprising VISTA and COMP, B7-H4 and COMP, PD-L1 and COMP, or ICOS-L and COMP genetic material (as provided herein) integrated into the genome thereof is provided.
In an aspect, a pentamerized polypeptide having T-cell modulating activity is provided. The pentamerized polypeptide includes five monomers, each of the monomers comprising: a polypeptide having substantial similarity to an extracellular domain of a V-domain Ig Suppressor of T cell Activation (VISTA) (SEQ ID NO: 9 or 10); a polypeptide having substantial similarity to an extracellular domain of B7-H4 (SEQ ID NO: 25); a polypeptide having substantial similarity to an extracellular domain of PD-L1 (SEQ ID NO: 36); or a polypeptide having substantial similarity to an extracellular domain of ICOS-L (SEQ ID NO: 49); linked to a polypeptide having substantial similarity to a pentamerization domain of cartilage oligomeric matrix protein (COMP) (SEQ ID NO: 11 or 12).
In an embodiment, the pentamerized polypeptide comprises SEQ ID NO: 9 operably linked to SEQ ID NO: 11.
In an embodiment, the pentamerized polypeptide comprises SEQ ID NO: 10 operably linked to SEQ ID NO: 12.
In some embodiments, the pentamerized polypeptide is in a soluble form. In contrast to the dimerized VISTA-Fc, the pentamerized VISTA.COMP, B7-H4.COMP and PD-L1.COMP provided herein is biologically active in its soluble form. A skilled person will appreciate the possible advantages of an agent that is biologically active in its soluble relative to one that is active only in its immobilized form. For example, a soluble VISTA-receptor agonist, B7-H4-receptor agonist or PD-1 receptor agonist may exhibit increased activity in vivo, relative to a dimeric version (VISTA-Fc, B7-H4-Fc or PD-L1-Fc) which may require binding and clustering on accessory cells to induce immunosuppression.
In some embodiments, the soluble form pentamerized polypeptide has increased T-cell inhibitory activity relative to a soluble dimerized polypeptide comprising the IgV-containing domain of VISTA (SEQ ID NO: 9 or 10) (e.g., relative to VISTA-Fc) or relative to a soluble dimerized polypeptide comprising the ECD of B7-H4 (e.g., relative to B7-H4-Fc), or relative to a soluble dimerized polypeptide comprising the ECD of PD-L1 (e.g., relative to PD-L1-Fc). The T-cell inhibitory activity of the soluble form pentamerized polypeptide may be increased by 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 65%, 70%, 75%, 80%, 85%, 90% or 95% relative to the T-cell inhibitory activity of a soluble dimerized polypeptide comprising the IgV-containing domain of VISTA (SEQ ID NO: 9 or 10) (e.g., relative to VISTA-Fc) or relative to a soluble dimerized polypeptide comprising the ECD of B7-H4 (e.g., relative to B7-H4-Fc), or relative to a soluble dimerized polypeptide comprising the ECD of PD-L1 (e.g., relative to PD-L1-Fc). In some embodiments, the increased T-cell inhibitory activity comprises one or more of increased inhibition of T-cell activation and T-cell proliferation. Methods for determining T-cell inhibitory activity, T-cell activation and T-cell proliferation are known in the art and are described, for example, herein.
In some embodiments, the soluble form VISTA.COMP, B7-H4.COMP or PD-L1.COMP pentamerized polypeptide has increased immune inhibitory activity in vivo relative to a soluble dimerized polypeptide comprising an extracellular domain of VISTA (SEQ ID NO: 9 or 10) (e.g., relative to VISTA-Fc) or relative to a soluble dimerized polypeptide comprising the ECD of B7-H4 (e.g., relative to B7-H4-Fc), or relative to a soluble dimerized polypeptide comprising the ECD of PD-L1 (e.g., relative to PD-L1-Fc). The immune inhibitory activity of the soluble form pentamerized polypeptide may be increased by 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 65%, 70%, 75%, 80%, 85%, 90% or 95% relative to the immune inhibitory activity of a soluble dimerized polypeptide comprising the IgV-containing domain of VISTA (SEQ ID NO: 9 or 10) (e.g., relative to VISTA-Fc) or relative to a soluble dimerized polypeptide comprising the ECD of B7-H4 (e.g., relative to B7-H4-Fc), or relative to a soluble dimerized polypeptide comprising the ECD of PD-L1 (e.g., relative to PD-L1-Fc). For example, the increased immune inhibitory activity may include one or more of increased inhibition of cytokine secretion (e.g., IL-2 and/or IFNγ) and increased inhibition of cytotoxic lymphocyte (CTL) production. Methods for determining immune inhibitory activity, cytokine secretion and inhibition of cytotoxic lymphocyte (CTL) production are known in the art and are described, for example, herein. For example, the increased immune inhibitory activity may include suppression of inflammatory responses in-vivo, as demonstrated in the Examples section by data indicating prolongation of murine skin allograft survival, and protection of mice from lethal acute hepatitis.
In some embodiments, the soluble form ICOS-L.COMP pentamerized polypeptide has increased T-cell stimulatory activity relative to a soluble dimerized polypeptide comprising the ECD of ICOS-L (SEQ ID NO: 49) (e.g., relative to ICOS-L-Fc). The T-cell stimulatory activity of the soluble form pentamerized polypeptide may be increased by 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 65%, 70%, 75%, 80%, 85%, 90% or 95% or by 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95 or 100 or more fold relative to the T-cell stimulatory activity of a soluble dimerized polypeptide comprising the ECD of ICOS-L (SEQ ID NO: 49) (e.g., relative to ICOS-L-Fc). In some embodiments, the increased T-cell stimulatory activity comprises one or more of increased stimulation of T-cell activation and T-cell proliferation. Methods for determining T-cell stimulatory activity, T-cell activation and T-cell proliferation are known in the art and are described, for example, herein.
In some embodiments, the soluble form ICOS-L.COMP pentamerized polypeptide has increased immune stimulatory activity in vivo relative to a soluble dimerized polypeptide comprising an extracellular domain of ICOS-L (SEQ ID NO: 49) (e.g., relative to ICOS-L-Fc). The immune stimulatory activity of the soluble form pentamerized polypeptide may be increased by 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 65%, 70%, 75%, 80%, 85%, 90% or 95% or by 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95 or 100 or more fold relative to the immune stimulatory activity of a soluble dimerized polypeptide comprising the ECD of ICOS-L (SEQ ID NO: 49) (e.g., relative to ICOS-L-Fc). For example, the increased immune stimulatory activity may include one or more of increased cytokine secretion and increased cytotoxic lymphocyte (CTL) production. Methods for determining immune stimulatory activity, cytokine secretion and cytotoxic lymphocyte (CTL) production are known in the art and are described, for example, herein.
In some embodiments, the soluble form ICOS-L.COMP pentamerized polypeptide has an increase in the effector T-cells:regulatory T-cell ratios relative to a soluble dimerized polypeptide comprising an extracellular domain of ICOS-L (SEQ ID NO: 49) (e.g., relative to ICOS-L-Fc). The effector T-cells:regulatory T-cell ratios of the soluble form pentamerized polypeptide may be increased by 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 65%, 70%, 75%, 80%, 85%, 90% or 95% or by 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10 fold relative to an appropriate control. Methods for determining effector T-cells:regulatory T-cell ratios are known in the art and are described, for example, herein.
In some embodiments, the soluble form of the VISTA.COMP, B7-H4.COMP or PD-L1.COMP pentamerized polypeptide provided herein exhibits activity as an agonist of the putative VISTA receptor, the putative B7-H4 receptor or the PD-1 receptor, respectively, in vitro and/or in vivo. By “agonist”, we mean an agent that binds to a receptor and activates the receptor thereby effecting a biological response.
In an embodiment, a pharmaceutical composition comprising one or more of the polypeptides, host cells, or pentamerized polypeptides disclosed herein and a pharmaceutically acceptable carrier, diluent, or excipient is provided herein.
The polypeptides or VISTA.COMP, B7-H4.COMP or PD-L1.COMP pentamerized polypeptides of the invention can be formulated in various ways using art recognized techniques. In some embodiments, the therapeutic compositions of the invention can be administered neat or with a minimum of additional components while others may optionally be formulated to contain suitable pharmaceutically acceptable carriers. As used herein, “pharmaceutically acceptable carriers” comprise excipients, vehicles, adjuvants and diluents that are well known in the art and can be available from commercial sources for use in pharmaceutical preparation (see, e.g., Gennaro (2003) Remington: The Science and Practice of Pharmacy with Facts and Comparisons: Drugfacts Plus, 20th ed., Mack Publishing; Ansel et al. (2004) Pharmaceutical Dosage Forms and Drug Delivery Systems, 7th ed., Lippencott Williams and Wilkins; Kibbe et al. (2000) Handbook of Pharmaceutical Excipients, 3rd ed., Pharmaceutical Press.)
Suitable pharmaceutically acceptable carriers comprise substances that are relatively inert and can facilitate administration of polypeptides, host cells or pentamerized polypeptides or can aid processing of the polypeptides, host cells or pentamerized polypeptides into preparations that are pharmaceutically optimized for delivery to the site of action.
Such pharmaceutically acceptable carriers include agents that can alter the form, consistency, viscosity, pH, tonicity, stability, osmolarity, pharmacokinetics, protein aggregation or solubility of the formulation and include buffering agents, wetting agents, emulsifying agents, diluents, encapsulating agents and skin penetration enhancers. Certain non-limiting examples of carriers include saline, buffered saline, dextrose, arginine, sucrose, water, glycerol, ethanol, sorbitol, dextran, sodium carboxymethyl cellulose and combinations thereof. Polypeptides, host cells or pentamerized polypeptides for systemic administration may be formulated for enteral, parenteral or topical administration. In certain embodiments the disclosed compositions will be formulated for intravenous administration and will preferably be infused using an IV container (e.g. an IV drip bag). Indeed, all three types of formulation may be used simultaneously to achieve systemic administration of the active ingredient. Excipients as well as formulations for parenteral and nonparenteral drug delivery are set forth in Remington: The Science and Practice of Pharmacy (2000) 20th Ed. Mack Publishing.
In an aspect, a method of eliciting a biological response in an individual in need thereof is provided. The method involves administering to the individual a therapeutically effective amount of: a VISTA-COMP fusion polypeptide (VISTA.COMP) comprising a) SEQ ID NO: 9 operably linked to SEQ ID NO: 11, or b) SEQ ID NO: 10 operably linked to SEQ ID NO: 12; a B7-H4-COMP fusion polypeptide (B7-H4.COMP) comprising SEQ ID NO: 25 operably linked to SEQ ID NO: 11; or a PD-L1-COMP fusion polypeptide (PD-L1.COMP) comprising SEQ ID NO: 36 operably linked to SEQ ID NO: 11. In this method, the biological response is one or more of: suppression of T-cell activation; suppression of T-cell proliferation; decreased secretion by T-cells of one or more inflammatory cytokines; suppressed induction of cytotoxic T lymphocytes (CTLs); and an increase in T-cells with regulatory phenotypes.
The suppression of T-cell activation in the individual administered the soluble form VISTA.COMP, B7-H4.COMP or PD-L1.COMP pentamerized polypeptide may be 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 65%, 70%, 75%, 80%, 85%, 90% or 95% relative to an appropriate control (for example, an individual receiving no polypeptide or a subject receiving soluble dimerized polypeptide). The suppression of T-cell proliferation in the individual administered the soluble form pentamerized polypeptide may be 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 65%, 70%, 75%, 80%, 85%, 90% or 95% relative to an appropriate control (for example, an individual receiving no polypeptide or a subject receiving soluble dimerized polypeptide). The secretion by T-cells of one or more inflammatory cytokines in the individual administered the soluble form pentamerized polypeptide may be decreased by 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 65%, 70%, 75%, 80%, 85%, 90% or 95% relative to an appropriate control (for example, an individual receiving no polypeptide or a subject receiving soluble dimerized polypeptide). The induction of cytotoxic T lymphocytes (CTLs) in the individual administered the soluble form pentamerized polypeptide may be suppressed by 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 65%, 70%, 75%, 80%, 85%, 90% or 95% relative to an appropriate control (for example, an individual receiving no polypeptide or a subject receiving soluble dimerized polypeptide). The increase in T-cells with regulatory phenotypes in the individual administered the soluble form pentamerized polypeptide may be increased by 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 65%, 70%, 75%, 80%, 85%, 90% or 95% or by 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10 fold relative to an appropriate control (for example, an individual receiving no polypeptide or a subject receiving soluble dimerized polypeptide).
Methods for determining suppression of T-cell activation; suppression of T-cell proliferation; decreased secretion by T-cells of one or more inflammatory cytokines; suppressed induction of cytotoxic T lymphocytes (CTLs); and an increase in T-cells with regulatory phenotypes are known in the art and are described, for example, herein.
In an embodiment, a method of eliciting a biological response in an individual in need thereof is provided. The method involves administering to the individual a therapeutically effective amount of: an ICOS-L-COMP fusion polypeptide (ICOS-L.COMP) comprising SEQ ID NO: 49 operably linked to SEQ ID NO: 11. In this method, the biological response is one or more of: enhancement of T-cell activation; enhancement of T-cell proliferation; increased secretion by T-cells of one or more inflammatory cytokines; and enhanced induction of cytotoxic T lymphocytes (CTLs), and increases in the effector T-cells:regulatory T-cell ratios.
T-cell activation in the individual administered the soluble form ICOS-L.COMP pentamerized polypeptide may be increased or enhanced by 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 65%, 70%, 75%, 80%, 85%, 90% or 95% or by 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95 or 100 or more fold relative to an appropriate control (for example, an individual receiving no polypeptide or a subject receiving soluble dimerized polypeptide (e.g., ICOS-L-Fc). T-cell proliferation in the individual administered the soluble form pentamerized polypeptide may be increased or enhanced by 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 65%, 70%, 75%, 80%, 85%, 90% or 95% or by 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95 or 100 or more fold relative to an appropriate control (for example, an individual receiving no polypeptide or a subject receiving soluble dimerized polypeptide). The secretion by T-cells of one or more inflammatory cytokines in the individual administered the soluble form pentamerized polypeptide may be increased by 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 65%, 70%, 75%, 80%, 85%, 90% or 95% or by 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95 or 100 or more fold relative to an appropriate control (for example, an individual receiving no polypeptide or a subject receiving soluble dimerized polypeptide). The induction of cytotoxic T lymphocytes (CTLs) in the individual administered the soluble form pentamerized polypeptide may be increased or enhanced by 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 65%, 70%, 75%, 80%, 85%, 90% or 95% or by 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10 fold relative to an appropriate control (for example, an individual receiving no polypeptide or a subject receiving soluble dimerized polypeptide). The increase in the effector T-cells:regulatory T-cell ratios in the individual administered the soluble form pentamerized polypeptide may be increased by 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 60%, 65%, 70%, 75%, 80%, 85%, 90% or 95% or by 1, 2, 3, 4, 5, 6, 7, 8, 9, or 10 fold relative to an appropriate control (for example, an individual receiving no polypeptide or a subject receiving soluble dimerized polypeptide).
Methods for determining enhancement of T-cell activation; enhancement of T-cell proliferation; increased secretion by T-cells of one or more inflammatory cytokines; and enhanced induction of cytotoxic T lymphocytes (CTLs), and increases in the effector T-cells:regulatory T-cell ratios are known in the art and are described, for example, herein.
By “therapeutically effective amount”, we mean an amount effective to achieve the intended purpose (i.e., an amount sufficient to elicit a biological response in an individual in need thereof). Determination of a therapeutically effective amount is well within the capability of those skilled in the art.
The ICOS-L.COMP polypeptide may administered in combination with a checkpoint blocking molecule. As used herein a checkpoint blocking molecule is an agent that is capable of blocking immunoinhibitory signals to improve anti-tumor immune responses. The ICOS-L.COMP polypeptide can be administered simultaneously with, or before, or after the checkpoint blocking molecule. In an embodiment, the checkpoint blocking molecule is an inhibitor—for example an antagonistic antibody against PD-1, PD-L1, CTLA-4, LAG3, VISTA or TIM3.
Desired outcomes of the disclosed combinations are quantified by comparison to a control or baseline measurement. As used herein, relative terms such as “improve,” “increase,” or “reduce” indicate values relative to a control, such as a measurement in the same individual prior to initiation of treatment described herein, or a measurement in a control individual (or multiple control individuals) in the absence of the soluble form pentamerized polypeptides described herein but in the presence of other therapeutic moiety(ies) such as standard of care treatment. A representative control individual is an individual afflicted with the same condition as the individual being treated.
Changes or improvements in response to therapy (whether additive or synergistic) may prove to be statistically significant. As used herein, the term “significance” or “significant” relates to a statistical analysis of the probability that there is a non-random association between two or more measured responses. To determine whether or not a relationship is “significant” or has “significance,” a “p-value” can be calculated. P-values that fall below a user-defined cut-off point are regarded as significant. For the purposes of the instant invention a p-value less than or equal to 0.1, less than 0.05, less than 0.01, less than 0.005, or less than 0.001 may be regarded as significant.
A synergistic therapeutic effect may be an effect of at least about two-fold greater than the therapeutic effect elicited by a single therapeutic moiety, or the sum of the therapeutic effects elicited by the single therapeutic moieties) of a given combination, or at least about five-fold greater, or at least about ten-fold greater, or at least about twenty-fold greater, or at least about fifty-fold greater, or at least about one hundred-fold greater. A synergistic therapeutic effect may also be observed as an increase in therapeutic effect of at least 10% compared to the therapeutic effect elicited by a single therapeutic, or the sum of the therapeutic effects elicited by the single therapeutic moieties of a given combination, or at least 20%, or at least 30%, or at least 40%, or at least 50%, or at least 60%, or at least 70%, or at least 80%, or at least 90%, or at least 100%, or more. A synergistic effect is also an effect that permits reduced dosing of therapeutic agents when they are used in combination.
The particular dosage regimen, i.e., dose, timing and repetition, will depend on the individual subject, as well as empirical considerations such as pharmacokinetics (e.g., half-life, clearance rate, etc.). Determination of the frequency of administration may be made by persons skilled in the art, such as an attending physician based on considerations of the condition and severity of the condition being treated, age and general state of health of the subject being treated and the like. Frequency of administration may be adjusted over the course of therapy based on assessment of the efficacy of the selected composition and the dosing regimen. Such assessment can be made on the basis of markers of the specific disease, disorder or condition or assessments of the individuals wellbeing (as measured using quality of life assessments, activities of daily living, etc.).
Recombinant Protein Expression and Purification
VISTA.Fc was produced by cloning a synthetic dsDNA coding for the extracellular domain (ECD; residues 16-194 of SEQ ID NO: 10) of murine VISTA upstream of the human IgG-1 Fc region (GeneArt; Thermo Fisher Scientific) into the pcDNA-3.4 expression plasmid (Thermo Fisher Scientific). The plasmid encoding the murine VISTA.COMP (SEQ ID NO: 14) gene was similarly generated by inserting a synthetic dsDNA coding for the ECD of VISTA, flanked by 5′ and 3′ EcoRI restriction digestion sites, upstream of the cartilage oligomeric matrix protein pentamerization domain (COMP; residues 28-72 of SEQ ID NO: 12) followed by a C-terminal hexahistidine tag. An expression plasmid coding for COMP domain alone (control) was constructed by excising the VISTA ECD region from the VISTA.COMP plasmid by EcoRI restriction digestion. All plasmids encoded a 5′ Ig-kappa leader sequence for high protein secretion in mammalian cells. Recombinant proteins were expressed using the Expi-293TM transient expression system (Thermo Fisher Scientific). Human VISTA.COMP (hVISTA.COMP, SEQ ID NO: 24) was created as above but with the exception of DNA encoding for the hVISTA ECD (SEQ ID NO: 9) in place of the mouse VISTA ECD and the human COMP sequence (SEQ ID NO:11) in place of the mouse COMP domain. Secreted VISTA.Fc was purified from culture media using HiTrap Protein A HP columns (GE Healthcare), while the histidine tagged VISTA.COMP and COMP were purified using Ni-NTA resin (Qiagen) and desalted into PBS pH 7.4 using PD-10 columns (GE Healthcare). Proteins were verified for purity using SDS-PAGE, and protein concentration quantified by BCA assay (Pierce) or A280 measurements.
Animals
C57BL/6 mice used throughout this study were housed in a pathogen free environment at the Sunnybrook Research Institute Comparative Research (SRICR) facility while CD200R1−/− mice were bred at the Toronto Research Institute Animal facility. All protocols were approved by the SRICR animal care committee, accredited by the Canadian Council of Animal Care.
Cell Culture
CD4+ T-cells were isolated from spleens of C57Bl/6 mice using an EasySep Mouse CD4+ T-cell isolation kit (Stem Cell) and cultured in RPMI-1640 media supplemented with 10% FBS, penicillin (100U/mL), streptomycin (100 μg/mL) and 0.05 mM 2-mercaptoethanol. The murine 2.10 T-cell clone was cultured in complete IMDM supplemented with IL-2 (3.5 μg/mL), lecithin (20 μg/mL), and BSA (0.5 mg/mL).
2.10 T-Cell Clone Activation
96-well microtiter plates were coated with anti-CD3 antibody (3 μg/mL in PBS, clone 145-2C11, BioXcell) at 4° C. overnight. To monitor the effects of immobilized checkpoint ligands on 2.10 cell activation, the anti-CD3 coated wells were washed and coated with VISTA.COMP or other recombinant proteins for 1 hr at 37° C. in PBS. Wells were then washed with PBS (3×) to remove residual unbound proteins. Murine 2.10 T-cells grown in culture were recovered, washed in IMDM (×3), and dispended into protein-coated wells (1×104 cells/well). To measure proliferation, cells were pulsed for 6 hr with 1 μCi of [3H]-Thymidine after 18 hr of culture and uptake quantified using a TopCount NXT scintillation counter (Perkin Elmer). To assay the sensitivity of 2.10 T-cells to soluble checkpoint ligands, indicated recombinant proteins were diluted in culture media and added to anti-CD3 antibody-coated wells simultaneously with the 2.10 cells.
CD4+ T-Cell Proliferation and Cytokine Secretion (Mouse)
Isolated murine CD4+ T-cells were labelled with CFSE following the manufacturers protocol (Thermo Fisher Scientific) and stimulated in 96-well microtiter plates pre-coated with an anti-CD3 antibody in the presence of either murine VISTA.Fc, VISTA.COMP or COMP alone (coated or soluble). Cells were harvested 48 or 72 hrs later and CFSE-dilution profiles quantified by flow cytometry (FACScalibur, Becton Dickinson). Culture media were harvested from stimulated CD4+ T-cells at 48 or 72 hr and analysed by enzyme linked immunosorbent assay (ELISA, R&D System) to quantify VISTA.COMP-mediated inhibition of IL2 and IFNγ secretion.
Human T-Cell Activation and Proliferation Assays
Peripheral blood mononuclear cells (PBMCs) isolated from healthy donors (STEM CELL Technologies) were cultured with 5 ug/mL ConA for 48 or 72 hours or immobilized anti-CD3 antibody (OKT3, 1 ug/mL) in the presence of VISTA.Fc, VISTA.COMP, or COMP. In some cases, cells were labelled before culture with CFSE to trace proliferation. After culture cells were harvested, stained with the indicated antibody (anti-CD3, anti-CD4, anti-CD8, and/or anti-CD25) and analysed by flow cytometry.
Flow Cytometry Binding Assays
Binding of VISTA.COMP, VISTA.Fc, or control proteins to T-cells was assessed using flow cytometry. Proteins were first biotinylated using EZ-Link Sulfo-NHS-LC-Biotin reagent (Thermo Scientific) as directed by the manufacturer. Upon completion of the reaction, the excess biotin was removed using a PD-10 (GE Healthcare) desalting column. To confirm equivalent levels of biotinylation of each protein, the quantity of biotin conjugated to each ligand was determined using HABA/Avidin reagent (Sigma). 2.10 T-cells were incubated with the indicated biotinylated protein (10 μg/100 μL) or VISTA.Fc for 0.5 hr at 4° C. in FACS staining buffer (PBS supplemented with 1% FBS and 0.09% NaN3). After removal of non-bound proteins, cells were incubated with streptavidin-PE (1:300, BioLegend) or PE-anti-human IgG (1:100, BioLegend) in FACS staining buffer for 15 minutes and the PE-fluorescence signal analysed using a FACScalibur cell analyzer.
Allogeneic Mouse Mixed Leukocyte Culture Assay (Allo-MLC)
VISTA.COMP or CD200Fc (positive control) were added to allogeneic murine mixed leukocyte cultures for 5 days and induction of cytotoxic T-lymphocytes (CTLs) assayed as previously described (Reference 39). Briefly, C57Bl/6 responder splenocytes were incubated with an equal number of irradiated BALB/c stimulator cells in the presence of each recombinant protein at the indicated concentration. Induced CTLs were assayed by monitoring the release of 51Cr from loaded P815 mastocytoma target cells over 5 hrs (25:1 effector to target ratio).
Allogeneic Skin Graft Transplant
The immunosuppressive effect of VISTA.COMP was tested in-vivo using a mouse skin allograft model as previously described (Reference 39). BALB/C mice received C57Bl/6 skin grafts (day 0) followed by treatment with VISTA.COMP (15 μg IV) once every 3 days for a total of 5 treatments in combination with low-dose rapamycin (0.5 mg/kg, I.P. injections every 48 hrs). A blinded investigator monitored graft survival daily.
Concanavalin-A Induced Acute Hepatitis
The ability of VISTA.COMP to rescue mice from lethal acute inflammation was evaluated using the Con-A model of acute hepatitis. Male C57Bl/6 mice were treated I.P. with VISTA.COMP (200 μg) or PBS, two hours prior to I.V. injection of a lethal dose (15 mg/kg) of Con-A (Sigma-Aldrich). A subset of animals were sacrificed after 3 hours to quantify serum IL-6 and TNFα levels by ELISA (R&D Systems) and the remaining animals were monitored for survival over the course of 24 hours.
Solid Phase Immunoprecipitation Assay
A solid phase immunoprecipitation assay was performed to assess the inhibitory effects of VISTA.COMP on TCR phospho-signalling cascades. 2.10 T-cells were exposed to plates coated with anti-CD3 antibody (with or without VISTA.COMP) for 15 minutes. Residual medium was removed and cells lysed in situ upon incubation with lysis buffer (50 mM Tris pH 7.4, 150 mM NaCl, 1% NP40, 5 mM Na4O7P2, 5 mM NaF, 2 mM Na3VO4, and 1× Sigma Protease Inhibitor Cocktail) for 30 minutes at 4° C. Wells were vigorously washed 3× with lysis buffer, and adhered proteins eluted with 3.5% NH4OH. The eluted proteins were lyophilized and resuspended in SDS-sample buffer, and total phosphorylated proteins visualized by western blot using an anti-phosphotyrosine antibody (clone 4G10; Sunnybrook Antibody Core Facility).
Statistics
Statistical analyses were performed using GraphPad Prism software (v6.0.2) using either Students T-test, or Mann Whitney U-tests where indicated. Graphs and visuals were created using GraphPad Prism software.
Dimeric VISTA Suppresses T-Cell Proliferation Only when Immobilized
The activation of immune checkpoint receptors on T-cells has, in some cases, been initiated through the binding of an IgV domain displayed by a protein ligand such as PD-L1 expressed on APCs and tumour cells to a complementary IgV domain of its cognate immune checkpoint receptor PD-1 on T-cells. Past studies have demonstrated that monomeric forms of these IgV domains involving PD1:PD-L1 and CD28:CD80/CD86 interact with each other with modest affinity, reflected by Kd values typically in the low micromolar (μM) range (References 40, 41). To activate checkpoint receptors on T-cells in-vitro, these immune checkpoint ligands have been expressed as oligomers, such as Fc fusion proteins, which have been immobilized on a surface. The immobilized presentation mimics avidity events taking place when such immune checkpoint domains are displayed on the surface of APCs and T-cells.
Consistent with previous reports (References 8, 9), a dimeric form of VISTA (VISTA-Fc), constructed by fusing the VISTA IgV domain with the Fc region from IgG1, suppressed the proliferation of anti-CD3 stimulated CD4+ T-cells only when it was immobilized on a culture dish (
Without being bound by theory, the lack of activity in soluble VISTA-Fc in-vitro may be caused by insufficient avidity towards its receptor and/or a lack of ability to cluster the VISTA-receptor on the cell surface.
A higher order VISTA oligomer was engineered in order to generate an agonist that may effectively suppress T-cell stimulation both in-vitro and in-vivo. A recombinant VISTA pentamer (VISTA.COMP; see SEQ ID NO: 14 of Appendix 1 for sequence) was constructed by genetically fusing the VISTA IgV domain to the COMP pentamerization domain. Recombinant VISTA.COMP was produced in a mammalian expression system, yielding a pentameric protein of ˜250 kDa stabilized by intramolecular disulphide bonds within the COMP pentamerization domain (
VISTA.COMP Suppresses T-Cell Activation and Proliferation as a Soluble Ligand In-Vitro
In contrast to VISTA-Fc, soluble VISTA.COMP substantially suppressed expansion and proliferation of isolated anti-CD3 stimulated CD4+ T-cells (
hVISTA.COMP Suppresses the Activation and Proliferation of Human T-Cells
A human version of VISTA.COMP (SEQ ID NO: 24) was constructed as described for mVISTA.COMP with replacement of the mouse VISTA ECD with that of hVISTA.COMP, and the replacement of mouse COMP pentamerization domain with that of human COMP. This protein—hVISTA.COMP (SEQ ID NO: 24)—was readily expressed by Expi293F cells and purified to homogeneity (
VISTA.COMP Binds to a Clonal T-Cell Line and Suppresses its Activation
In addition to primary CD4+ T-cells, it was found that a CD4-negative murine IL-2 dependent T-cell clone (2.10) (Reference 42) was sensitive to VISTA inhibitory signalling, providing a controlled system to assay the effects of VISTA-receptor agonists. Consistent with what was observed in primary CD4+ T-cells, VISTA-Fc suppressed anti-CD3 induced proliferation only when immobilized on a solid surface, while VISTA.COMP suppressed activity when immobilized or when provided in a soluble form in culture media (p<0.01) (
VISTA.COMP Suppresses Immune Responses In-Vivo
In view of the data showing that VISTA.COMP suppresses T-cell activity in-vitro as a soluble ligand, it may be a useful agonist to suppress pro-inflammatory responses in-vivo. VISTA.COMP was first tested in a murine skin allograft model. BALB/C mice received non-histocompatible skin allografts (from C57Bl/6 donors) before receiving treatment with VISTA.COMP or a saline control combined with low-dose rapamycin (
Influence of Tag on VISTA.COMP Activity
Proliferation of anti-CD3 stimulated CFSE-labelled splenic CD4+ T-cells in the presence of coated or soluble VISTA constructs (
VISTA.COMP is a High-Avidity Checkpoint Receptor Agonist
The data provided herein suggest that VISTA.COMP is a high-avidity checkpoint receptor agonist capable of suppressing T-cell activities in-vitro and capable of suppressing inflammatory responses in-vivo. Comparisons between immobilized and soluble VISTA-Fc and VISTA.COMP show that activity as a VISTA-receptor agonists is dependent on the level of oligomerization, the higher-avidity multimer created using the COMP pentamerization domain being required for activity in solution (i.e., in the absence of immobilization to a substrate). The inventors have found the COMP domain to be a useful scaffold for expressing stable VISTA pentamers. The data provided herein, combined with the observation of exacerbated autoimmune diseases observed upon genetic deletion of VISTA in mice, suggest a potential utility of targeting the VISTA-mediated immunosuppression pathway to clinically suppress undesired immune responses.
Recombinant ICOS-L.COMP Expression and Purification
A dsDNA construct was synthesized (GeneArt; Thermo Fisher Scientific) containing dsDNA encoding the human ICOS-L extracellular domain (ECD)(SEQ ID NO: 49) upstream of dsDNA encoding the human COMP pentamerization domain (SEQ ID NO: 11) with a C-terminal histidine tag and inserted in the pcDNA3.4 expression plasmid (GeneArt; Thermo Fisher Scientific). The sequence also contained the Ig-kappa leader sequence at the 5′ end of the ICOS-L ECD, and the nucleotide sequences were codon optimized to allow high yield secretion from human derived cell lines (ICOS-L.COMP; see SEQ ID NO: 57 of Appendix 1 for sequence). The ICOS-L.COMP encoding plasmid was transfected into Expi293F cells following manufacturers recommendations (GeneArt; Thermo Fisher Scientific) and a stable cell line secreting ICOS-L.COMP was selected by exposing the transfected cell to geneticin (GeneArt; Thermo Fisher Scientific) for two-weeks. Secreted histidine-tagged ICOS-L.COMP was purified from cell-culture supernatants using HisTrap HP columns (GE Healthcare). Subsequent purification, protein samples were desalted into PBS, pH 7.4, using PD10 columns (GE Healthcare). Proteins were verified for purity using SDS-PAGE, and protein concentration quantified by BCA assay (Pierce) or A280 measurements.
Animals
C57BL/6 mice used throughout this study were housed in a pathogen free environment at the Sunnybrook Research Institute Comparative Research (SRICR) facility. All protocols were approved by the SRICR animal care committee, accredited by the Canadian Council of Animal Care.
Human T-Cell Proliferation and Activation
The ability of ICOS-L.COMP or ICOSL-Fc (R&D Systems) to co-stimulate human T-cells in vitro as a soluble ligand was assayed. Human T-cells were isolated from Ficoll-Paque separated human cord blood cells or adult PBMCs using the EasySep Human T-cell Isolation Kit (STEMCELL Technologies). Isolated T-cells were labelled with CFSE following manufacturers protocol (Thermofisher) and stimulated in 96-well plates coated with an anti-CD3 antibody (clone OKT3, BioXcell). Cells in each well were cultured in RPMI-1640 media supplemented with 10% FBS, penicillin (100U/mL), streptomycin (100 μg/mL) and 0.05 mM 2-mercaptoethanol. Selected wells were incubated with soluble COMP or ICOS-L.COMP at titrated concentrations. Cells were harvested 48-72 hours later, stained with the appropriate antibody (anti-CD4, anti-CD8, and/or anti-CD25) and analysed by flow cytometry (FACScalibur, Becton Dickinson) for proliferation (CFSE) and upregulation of activation markers (i.e., CD25). Cell culture supernatants from these wells were also collected for cytokine analysis at 72 hr and secretion of IFNγ, TNFα, IL10, IL2 and IL6 quantified using the human LEGENDplex Th1 inflammation panel (Biolegend).
ICOS-L.COMP Binding to hICOS, mICOS, and CD28
Direct binding of ICOS-L.COMP to hICOS, mICOS, and hCD28 was evaluated using Biacore T-200 surface plasmon resonance (SPR) experiments. hICOS-Fc, mICOS-Fc, and hCD28-Fc (all from R&D Systems) were affinity captured (350-400RU) by Protein A (Sigma Aldrich) previously amine coupled to a CM5 chip (GE Healthcare). hICOS-L.COMP was injected over each affinity captured protein at a concentration of 25 nM in HBS-EP running buffer (GE Healthcare).
ICOS-L.COMP Binding Kinetics
The kinetics of hICOSL-COMP, hICOSL-Fc, and COMP binding to immobilized hICOS-Fc was determined by SPR single cycle kinetic analysis using a Biacore T200. Briefly, titrated concentrations of ICOS-L.COMP, ICOSL-Fc (R&D Systems), or COMP (negative control) were injected over hICOS-Fc (R&D Systems) previously immobilized on a CM5 sensor chip (GE Healthcare). The derived sensorgrams were fit with a 1:1 binding model to determine on-rate (ka), off-rate (kd) and the dissociation constant (KD).
ICOS-L.COMP Binding to Human T-Cells
The ability of ICOSL-COMP to bind to human T-cells was demonstrated by flow cytometry. ICOS-L.COMP was derivatized with FITC following manufacturer's directions (Thermofisher). 1×105 CD3+ T-cells previously isolated from human donor PBMCs (STEMCELL technologies human CD3+ Isolation Kit) was incubated with 100 nM ICOS-L.COMP.FITC and PE-Cy7-anti-CD4 (Biolegend) for 20 minutes in FACS buffer (PBS+2% FBS+0.09% NaN3). Cells were subsequently washed and analysed by flow cytometry using a BD LSR cytometer. DAPI was used to exclude dead cells.
ICOS-L.COMP Competition Experiments (Human)
The ability of hICOS-L.COMP to compete with hICOS-Fc for binding to ICOS on 1-day anti-CD3/CD28 stimulated human CD3+ T-cells was evaluated by flow cytometry. Briefly, 200 nM ICOS-L.COMP.FITC or an equal volume of PBS (no ICOS-L.COMP) was pre-incubated with stimulated CD3+ T-cells for 15 minutes on ice prior to addition of 100 nM hICOS-L.Fc. Cells were washed and incubated with a PE labelled anti-human IgG-Fc secondary antibody (Biolegend), and analysed by flow cytometry using a BD LSR cytometer.
ICOS-L Competition Experiments (Mouse)
The ability of hICOS-L.COMP to compete with mICOS-Ig for binding to ICOS on primary murine CD4+ was evaluated by flow cytometry. Splenic murine CD4+ T-cells were isolated using the EasySep Mouse CD4+ T-cell isolation kit (STEMCELL Technologies) and activated for 48 hours by exposure to immobilized anti-CD3 antibody (clone 145-2C11, BioXcell) to upregulate ICOS expression. Activated T-cells were incubated with mICOS-Ig or mICOS-Ig combined with ICOS-L.COMP, and binding of mICOS-Ig detected using a PE conjugated anti-human IgG-Fc antibody (Bio Legend).
MC38 Colon Carcinoma Mouse Model
The ability of ICOS-L.COMP to synergize with anti-PD-1 checkpoint blockade to restore anti-tumor immune responses and slow the progression of established tumors was demonstrated using the MC38 colon carcinoma model. Male C57BL/6 mice were injected with 2×105 MC38 tumor cells and tumors allowed to reach a size of 50-150 mm3 prior to treatment over the course of 7-10 days. Animals were subsequently injected with either PBS, anti-PD-1 (200 μg, clone RMPI-14), ICOS-L.COMP (100 μg) or anti-PD-1 combined with ICOS-L.COMP every 2-3 days for five injections. Tumor size was measured every other day using calipers and calculated using the formula: large diameter×small diameter2×π/6. In some cases tumors were resected at day 10-12 post treatment initiation, enzymatically dissociated to a single cell suspension, and stained with anti-CD45, anti-CD4, anti-CD8, anti-FOXP3 and anti-ICOS to profile TIL populations after treatment.
Rationale and Design of a Pentameric ICOS-L Fusion Protein
T-cells require two-signals to achieve activation in-vitro and in-vivo, with the first signal being delivered by the T-cell receptor (TCR) upon recognition of antigen displayed on the major histocompatible complex (MHC). Secondary co-stimulatory signals are delivered by a number of ligand:receptor interactions such as B7-1/2:CD28 to increase T-cell activity. ICOS, a member of the B7/CD28 family, is a co-stimulatory receptor which is upregulated by T-cells upon activation. Binding of ICOS by its ligand ICOS-L, which is expressed on antigen presenting cells (APC), leads to increased T-cell proliferation and cytokine production. Prior studies have demonstrated increased expression of ICOS on T-cells in cancer patients treated with anti-CTLA-4 (ipilimumab), with this upregulation being correlated with improved clinical outcome. Pre-clinical experiments have established a therapeutic utility in agonizing ICOS signalling to promote beneficial anti-tumor immune responses. Specifically, it was shown that agonizing ICOS using a whole-cell vaccine (ICOS-L expression on B16 melanoma tumor cells) in combination with anti-CTLA-4 could lead to a delay in tumor growth in the B16 melanoma model. Collectively these results confirm a role for an ICOS agonist as a synergistic therapeutic to established checkpoint blocking therapeutics (anti-PD-1 and anti-CTLA-4 monoclonal antibodies).
To this end, it was hypothesized that a soluble ICOS agonist could be derived by pentamerization of the ICOS-L extracellular binding domain. Due to an increased avidity and clustering, it was hypothesized that this pentameric version of the natural ligand for ICOS (ICOS-L) may agonize ICOS signalling to a greater extent than would agonistic ICOS monoclonal antibodies or a dimeric version of the ICOS-L ECD (i.e., ICOS-Fc).
A pentameric ICOS-L construct was created by genetic fusion of the ICOS-L ECD (IgV+IgC domain) to the COMP pentamerization domain (ICOS-L.COMP; see SEQ ID NO: 57 of Appendix 1 for sequence). ICOS-L.COMP was expressed in a mammalian cell expression system, yielding stable homopentamers of MW-300 kDa under non-reducing conditions (
ICOSL.COMP Binds to Human and Mouse ICOS but not CD28
hICOS-L.COMP was characterized for its binding to ICOS and the closely related family member CD28 by SPR. hICOSL-COMP at 25 nM readily bound both mouse and human ICOS as expected (
ICOS-L.COMP Binds to ICOS with Superior Affinity/Avidity than ICOSL-Fc
Surface plasmon resonance (SPR) assays were used to characterize the binding affinity of hICOS-L.COMP and ICOSL-Fc to hICOS. hICOS-L.COMP bound with an apparent KD of 0.9 nM, a value approximately 3-fold stronger then hICOSL-Fc (2.9 nM). COMP did not show binding to ICOS demonstrating that this interaction is due to specific ICOSL-ICOS binding (
hICOS-L.COMP Binds Directly to Human T-Cells and Competes with ICOSL-Fc
hICOSL-COMP was also characterized for its ability to bind to ICOS-expressing human CD3+ T-cells. For this, hICOSL-COMP was derivatized with FITC, yielding approximately 13-15 FITC/molecule. hICOSL.COMP.FITC was found to readily bind CD3+CD4+ and CD3+CD4− T-cells isolated from human PBMCs (
ICOS-L Competition Experiments (Mouse)
The ability of hICOS-L.COMP to outcompete mICOS-Ig for binding to ICOS displayed on primary murine CD4+ was evaluated by flow cytometry. The pentameric hICOS-L.COMP sufficiently outcompetes mICOS-L-Ig for binding to ICOS expressed by activated T-cells (
ICOS-L.COMP Co-Stimulates Human T-Cells
The function of ICOS-L.COMP in agonizing ICOS signalling to co-stimulate human T-cells was established. CFSE labelled CD3+ T-cells isolated from fresh human cord blood were stimulated in vitro with anti-CD3 antibody, and ICOS-L.COMP or COMP (negative control) added soluble to the culture media. Cell expansion and proliferation was tracked after 72 hours by FACS, demonstrating that ICOS-L.COMP, but not COMP, profoundly stimulates the proliferation of CD4+ and CD8+ T-cells (
ICOS-L.COMP Synergizes with Checkpoint Blockade to Promote Protective Anti-Tumor Immunity in Mice
To determine the anti-tumor efficacy of ICOS-L.COMP in combination with checkpoint blockade, the MC38 colon carcinoma model was used. Here, immune competent C57Bl/6 mice with injected subcutaneously with MC38 cells and tumors established to a volume of 50-150 mm3 prior to treatment with PBS (control), anti-PD-1 monotherapy, ICOS-L.COMP monotherapy, or ICOS-L.COMP combined with anti-PD-1 (combination) (
Collectively the data show that an ICOS-L ECD pentamer (ICOS-L.COMP) can readily bind to ICOS with high-avidity to co-stimulate human T-cells. Importantly, this co-stimulation in-vivo can lead to an increase in anti-tumor activity when combined with checkpoint blockade (anti-PD-1 antibody) leading to a reduced tumor burden.
Design of a PD-L1 Pentamer (PD-L1.COMP) Expression Vector
A codon optimized dsDNA construct was synthesized (IDT) encoding the mouse PD-L1 ECD bearing EcoRI (5′) and KpnI (3′) restriction sites. This construct was digested, and ligated into a EcoRI/KpnI double digested plasmid (COMP.HIS8-pcDNA3.4) such that the PD-L1 ECD (SEQ ID NO:42) was located downstream an Ig-kappa leader sequence and upstream the COMP pentamerization domain (SEQ ID NO: 12) (PD-L1.COMP; see SEQ ID NO: 46 of Appendix 1 for sequence).
Expression and Purification of Chimeric PD-L1.COMP
The PD-L1.COMP encoding plasmid was transfected into Expi293F cells following manufacturers recommendations (GeneArt; Thermo Fisher Scientific) and a stable cell line secreting PD-L1.COMP selected by exposing the transfected cell to geneticin (GeneArt; Thermo Fisher Scientific) for two weeks. Secreted histidine-tagged PD-L1.COMP was purified from cell-culture supernatants using HisTrap HP columns (GE Healthcare). Subsequent to purification, protein samples were desalted into PBS, pH 7.4, using PD10 columns (GE Healthcare). Proteins were verified for purity using SDS-PAGE, and protein concentration quantified by BCA assay (Pierce) or A280 measurements.
T-Cell Line Activation and Proliferation Assays
The murine 2.10 T-cell clone was cultured in complete IMDM supplemented with IL-2 (3.5 μg/mL), lecithin (20 μg/mL), and BSA (0.5 mg/mL). For activation assays, cells were harvested, washed three times and seeded on an anti-CD3 (3 ug/mL, BioXcell) coated 96-well plate at 2×104 cells/well. PD-L1.COMP and COMP (negative control) were either coated in the anti-CD3 coated wells in PBS pH7.4 for 1 hour at 37° C. or added to the wells soluble with the 2.10 cells, at 10 ug/mL construct concentration. Cells were cultured for 18 hours then pulsed with 1 uCi [3H]-thymidine and cultured for another 6 hours. [3H]-thymidine uptake and proliferation quantified using TopCount NXT scintillation counter (Perkin Elmer).
Binding to a PD-1 Expression T-Cell Clone
The binding of PD-L1.COMP to cell expressed PD-1 was investigating by flow cytometry using the 2.10 T-cell line. PD-L1.COMP was biotinylated using the EX-Link Sulfo-NHS-LC-Biotin reagent following manufacturer's directions (Thermo Scientific) and desalted into PBS using a PD10 column to remove excess biotin reagent. Resting or anti-CD3 activated 2.10 cells were incubated with biotinylated COMP or PD-L1.COMP for 30 minutes at 4 C. Cells were subsequently washed in PBS and stained with Streptavidin-PE (1:100, BioLegend) for 30 minutes at 4 C. The cells were washed with PBS, resuspended in PBS+DAPI (for live/dead cell exclusion), and read using a FACScalibur cell analyzer (Becton Dickinson).
Primary CD4+ T-Cell Line Activation and Proliferation
CD4+ T-cells were isolated from murine splenocytes using the mouse CD4+ T-cell isolation kit (STEM CELL Technologies). CD4+ T cells were CFSE labeled using manufacturer protocol (Thermo Fischer Scientific), and seeded on an anti-CD3 (3 ug/mL) coated 96-well plate, with PD-L1.COMP, hB7-H4.COMP, mVISTA.COMP or COMP added soluble in culture media at 10 μg/mL. Cells were harvested after 72 hours and CFSE profiles analysed by FACS (FACSCalibur, Becton Dickinson). In some cases, culture media from the CFSE labeled cells were collected at 48 and 72 hour time points, and IL-2 and IFNγ secretion quantified by ELISA (R&D Systems).
Stimulation of negative checkpoint receptors occurs through the binding of an IgV domain displayed by a protein ligand, such as PD-L1, expressed on APCs and tumour cells to a complementary IgV domain of its cognate immune checkpoint receptor, such as PD-1, on T-cells. Past studies have demonstrated that monomeric forms of these IgV domains involving PD1:PD-L1 and CD28:CD80/CD86 interact with each other with modest affinity, reflected by Kd values typically in the low micromolar (μM) range (References 40, 41). To activate checkpoint receptors on T-cells in-vitro, these immune checkpoint ligands have been expressed as dimers, such as Fc fusion proteins, which have been immobilized on a surface. The immobilized presentation mimics avidity events taking place when such immune checkpoint domains are displayed on the surface of APCs and T-cells. Previous reports have shown that PD-L1-Fc requires immobilization on plates or beads to successfully agonist PD-1 immunoinhibitory signalling suggesting that use of PD-L1-Fc in-vivo to suppress T-cell activity may be limited due to its inability to fully agonize PD-1.
Without being bound by theory, the lack of activity in soluble PD-L1 in-vitro may be caused by insufficient avidity towards its receptor and/or a lack of ability to cluster PD-1. This hypothesis is further supported by the finding that a soluble VISTA IgV pentamer (VISTA.COMP) could readily suppress T-cell proliferation in-vitro while the dimeric VISTA-Fc could not.
Design, Expression, and Purification of a PD-L1 Homopentamer: PD-L1.COMP
A higher order PD-L1 ECD multimer was engineered in order to generate a PD-1 agonist that may effectively suppress T-cell stimulation both in-vitro and in-vivo. A recombinant PD-L1 pentamer (PD-L1.COMP; see SEQ ID No: 46 in Appendix 1 for sequence) was constructed by genetically fusing the mouse PD-L1 ECD domain to the COMP pentamerization domain. Recombinant PD-L1.COMP was produced in a mammalian expression system, yielding a pentameric protein of ˜250-300 kDa stabilized by intramolecular disulphide bonds within the COMP pentamerization domain (
PD-L1.COMP Binds to PD-1 Expressed by a T-Cell Line
Flow cytometry was performed on the 2.10 T-cell line using biotinylated PD-L1.COMP or COMP to establish that PD-L1.COMP binds to PD-1 expressed in a cell context. PD-L1.COMP and COMP were labelled with an equivalent number of biotin groups and used to stain naïve or anti-CD3 activated 2.10 cells. PD-L1.COMP, but not COMP readily bound to naïve 2.10 T-cells, with the amount of binding increased throughout T-cell activation, consistent with the established kinetics of PD-1 upregulation during T-cell activation (
Primary CD4+ T-Cell Line Activation and Proliferation
In contrast to PD-L1-Fc which requires immobilization to agonize PD-1 and suppress T-cell activity, soluble PD-L1.COMP completely suppressed the expansion and proliferation of CFSE labelled primary murine CD4+ T-cells undergoing anti-CD3 antibody mediated stimulation. Importantly, recombinant COMP domain alone did not significantly inhibit T-cell proliferation confirming that the immunosuppressive effects seen with PD-L1.COMP are not off-target events due to the COMP pentamerization domain or histidine tag (
Design of a Pentameric B7-H4 Construct
The codon optimized gene fragment encoding human B7-H4 fused to the COMP pentamerization domain was synthesized (GeneArt, Thermo Fisher Scientific) and cloned into the pcDNA3.4 expression plasmid with a 5′ Ig-Kappa leader sequence. The final construct consists of dsDNA encoding the human B7-H4 ECD (SEQ ID NO: 25) followed by a spacer sequence, the COMP pentamerization domain (SEQ ID NO: 11) followed by another spacer sequence and a HIS8 tag (B7-H4.COMP; see SEQ ID NO: 30 of Appendix 1 for sequence).
Expression and Purification of Pentameric B7-H4.COMP
hB7-H4.COMP was expressed using the Expi293 transient mammalian expression system using manufacturer's protocols (Thermo Fisher Scientific). Secreted hB7-H4.COMP was dialysed against PBS and purified by Ni-NTA purification using HisTrap HP columns. The protein was desalted into PBS pH 7.4 using a PD-10 column (GE Healthcare) and purity verified by SDS-PAGE and concentration determined using A280 measurements.
2.10 T-Cell Activation Assay
The clonal IL-2 dependent 2.10 T-cell was cultured in complete IMDM supplemented with IL-2 (3.5 μg/mL), lecithin (20 μg/mL), and BSA (0.5 mg/mL). Cells were harvested, washed three times, resuspended in complete IMDM without IL-2 and lecithin and seeded on an anti-CD3 (3 ug/mL, BioXcell) coated 96-well plate at 2×104 cells/well. hB7-H4.COMP, Vista.COMP (positive control) and COMP (negative control) were either coated in the anti-CD3 coated wells in PBS for 1 hour at 37° C. and well subsequently washed, or added to directly to the wells soluble with the 2.10 cells. Cells were cultured for 18 hours then pulsed with 1 uCi [3H]-thymidine and cultured for another 6 hours. [3H]-thymidine uptake and proliferation was quantified using TopCount NXT scintillation counter (Perkin Elmer).
Primary CD4+ T-Cell Line Activation and Proliferation
CD4+ T-cells were isolated from murine splenocytes using the mouse CD4+ T-cell isolation kit (STEM CELL Technologies). CD4+ T cells were CFSE labeled using manufacturer protocol (Thermo Fischer Scientific), and seeded on an anti-CD3 (3 ug/mL) coated 96-well plate, with PD-L1.COMP, hB7-H4.COMP, mVISTA.COMP or COMP added soluble in culture media at 10 μg/mL. Cells were harvested after 72 hours and CFSE profiles analysed by FACS (FACSCalibur, Becton Dickinson). In some cases, culture media from the CFSE labeled cells were collected at 48 and 72 hour time points, and IL-2 and IFNγ secretion quantified by ELISA (R&D Systems).
Binding to a T-Cell Clone
The binding of B7-H4.COMP to its putative receptor (B7-H4R) expressed on T-cells was investigating by flow cytometry using the 2.10 T-cell line. B7-H4.COMP was biotinylated using the EX-Link Sulfo-NHS-LC-Biotin reagent following manufacturer's directions (Thermo Scientific) and desalted into PBS using a PD10 column to remove excess biotin reagent. Resting or anti-CD3 activated 2.10 cells were incubated with biotinylated COMP or B7-H4.COMP for 30 minutes at 4 C. Cells were subsequently washed in PBS and stained with Streptavidin-PE (1:100, BioLegend) for 30 minutes at 4 C. The cells were washed with PBS, resuspended in PBS+DAPI (for live/dead cell exclusion), and read using a FACScalibur cell analyzer (Becton Dickinson).
Previous reports have shown that B7-H4-Fc requires immobilization on plates or beads to successfully agonise immunoinhibitory signalling in T-cells suggesting that use of B7-H4-Fc in-vivo to suppress T-cell activity may be limited due to its inability to fully agonize the putative receptor in the absence of FcR-mediated cross-linking.
Without being bound by theory, the lack of activity of soluble B7-H4-Fc in-vitro may be caused by insufficient avidity towards its receptor and/or a lack of ability to cluster the putative receptor. This hypothesis is further supported by the finding that a soluble VISTA IgV pentamer (VISTA.COMP) could readily suppress T-cell proliferation in-vitro while the dimeric VISTA-Fc could not.
Design and Expression of a B7-H4 Pentamer
To address the issue of insufficient avidity or lack of clustering, a pentameric version of human B7-H4 was generated, by fusing the B7-H4 ECD with the COMP pentamerization domain (B7-H4.COMP; see SEQ ID NO: 30 of Appendix 1 for sequence). B7-H4.COMP was readily produced in mammalian cells and purified to homogeneity as stable pentamers at the MW of 250-300 kDa (
hB7-H4.COMP Binds to a Clonal T-Cell Line and Suppresses its Activation
Flow cytometry was performed on the 2.10 T-cell line using biotinylated B7-H4.COMP or COMP to establish that B7-H4.COMP binds to the putative B7-H4R expressed on T-cells. B7-H4.COMP and COMP were labelled with an equivalent number of biotin groups and used to stain naïve or anti-CD3 activated 2.10 cells. B7-H4.COMP, but not COMP readily bound to naïve and activated 2.10 T-cells (
The IL-2 dependent 2.10 T-cell line was used as a reporter system to assay if B7-H4.COMP could suppress T-cell activation. Consistent with previous observations using pentameric VISTA.COMP, B7-H4.COMP suppressed anti-CD3 induced proliferation whether present as an immobilized ligand or provided in a soluble form in culture media (p<0.01) (
B7-H4.COMP Inhibits Primary CD4+ T-Cell Line Activation and Proliferation
In contrast to B7-H4-Fc which requires immobilization to agonize B7-H4R and suppress T-cell activity, soluble B7-H4.COMP completely suppressed the expansion and proliferation of CFSE labelled primary murine CD4+ T-cells undergoing anti-CD3 antibody mediated stimulation (
Pentamerization of Checkpoint Ligands as a Strategy to Design High-Avidity Checkpoint Receptor Agonists
The data provided herein indicate that pentamerization of three checkpoint ligands, namely PD-L1, B7-H4, and VISTA, can be used to design high-avidity checkpoint receptor agonist capable of suppressing T-cell activities in-vitro and capable of suppressing inflammatory responses in-vivo. Comparisons between immobilized and soluble VISTA-Fc and VISTA.COMP show that activity as checkpoint-receptor agonists is dependent on the level of oligomerization, with the higher-avidity multimer created using the COMP pentamerization domain being required for activity in solution (i.e., in the absence of immobilization to a substrate). The inventors have found the COMP domain to be a useful scaffold for expressing stable pentamers upon fusion of the ECD from checkpoint ligands. The data provided herein, combined with the observation of exacerbated autoimmune diseases observed upon genetic deletion of checkpoint ligands and receptors in mice, suggest a potential utility in agonizing these checkpoint receptors with pentameric agonists to clinically suppress undesired immune responses.
Although the invention has been described with reference to certain specific embodiments, various modifications thereof will be apparent to those skilled in the art without departing from the purpose and scope of the invention as outlined in the claims appended hereto. Any examples provided herein are included solely for the purpose of illustrating the invention and are not intended to limit the invention in any way. Any drawings provided herein are solely for the purpose of illustrating various aspects of the invention and are not intended to be drawn to scale or to limit the invention in any way. The disclosures of all prior art recited herein are incorporated herein by reference as if set forth in their entirety.
GAGGGCCAGAATGCCACCCTGACCTGTAGAATCCTGGGCCCCGTGTCCAAGGGCCA
CGACGTGACCATCTACAAGACCTGGTATCTGAGCAGCAGAGGCGAGGTGCAGATGT
GCAAAGAGCACCGGCCCATCCGGAACTTCACCCTGCAGCATCTGCAGCACCACGGC
AGCCACCTGAAGGCCAATGCCAGCCACGACCAGCCTCAGAAGCACGGCCTGGAACT
GGCCTCTGACCACCACGGAAACTTCAGCATCACCCTGCGGAACGTGACCCCCAGAG
ACAGCGGCCTGTACTGCTGTCTCGTGATCGAGCTGAAGAACCACCACCCCGAGCAGC
GGTTCTACGGCAGCATGGAACTGCAGGTCCAGGCCGGCAAGGGCAGCGGCTCTACT
TGCATGGCCAGCAACGAGCAGGACAGCGACTCCATCACAGCC
IYKTWYLSSRGEVQMCKEHRPIRNFTLQHLQHHGSHLKANASHDQPQKHGLELASDHHG
N
FSITLRNVTPRDSGLYCCLVIELKNHHPEQRFYGSMELQVQAGKGSGSTCMASNEQDSDS
ITA dlapqmlrelqetnaalqdvrellrqqvkeitflkntvmecdacg
61
dkghdvtfyk twyrssrgev qtcserrpir nltfq
dlhlh
hgghqaants hdlaq
rhgle
121
sasdhhgnfs itmrnltlld sglycclvve irhhhsehry hgamelqvq
t gkdapsnc
vv
181
ypsssq
dsen ita
aalatga civgilclpl illlvykqrq aasnrraqel vrmdsniqgi
Bold
= VISTA extracellular domain containing IgV domain (amino acids 31-193)
Bold
= VISTA extracellular domain containing IgV domain (amino acids 31-193)
61
flkntvmecd acg
mqqsvrt glpsvrpllh capgfcfpgv aciqtesgar cgpcpagftg
Bold
= Pentamerization domain (amino acids 28-73)
61
lkntv
mecda cg
mqpartpg lsvrpvplca pgscfpgvvc setatgarcg pcppgytgng
Bold
= Pentamerization domain (amino acids 28-72)
Bold
= VISTA extracellular domain containing IgV domain (235-720)
Bold
= VISTA extracellular domain containing IgV domain (101-574)
Bold
= Pentamerization domain (121-255)
Bold = Pentamerization domain (105-240)
GTGACCCTGACCTGTAGACTGCTGGGCCCCGTGGATAAGGGCCACGACGTGACCTTT
TACAAGACCTGGTACAGATCCAGCAGAGGCGAGGTGCAGACCTGCTCTGAGAGAAG
GCCCATCCGGAACCTGACCTTCCAGGACCTGCATCTGCACCACGGTGGACATCAGGC
CGCCAATACCTCTCATGATCTGGCCCAGAGACACGGCCTGGAAAGCGCCTCTGATCA
CCACGGCAACTTCAGCATCACCATGCGGAATCTGACCCTGCTGGACAGCGGCCTGTA
CTGCTGTCTGGTGGTGGAAATCAGACACCACCACAGCGAGCACAGAGTGCACGGCG
CTATGGAACTGCAGGTCCAGACAGGCAAGGACGCCCCTAGCAATTGCGTGGTGTACC
CTAGCAGCAGCCAGGACAGCGAGAATATCACCGCC
errpirnltfqdlhlhhgghqaantshdlaqrhglesasdhhgnfsitmrnltlldsglycclvveirhhhsehrvhgam
elqvqtgkdapsncvvypsssqdsenita dlgpqmlrelqetnaalqdvrellrqqvreitflkntvm
IQWLKEGVLGLVHEFKEGKDELSEQDEMFRGRTAVFADQVIVGNASLRLKNVQLTDAGT
Y
KCYIITSKGKGNANLEYKTGAFSMPEVNVDYNASSETLRCEAPRWFPQPTVVWASQVDQ
G
ANFSEVSNTSFELNSENVTMKVVSVLYNVTINNTYSCMIENDIAKATGDIKVTESEIKRR
SHLQLLNSKA dlapqmlrelqetnaalqdvrellrqqvkeitflkntvm
GIVIQWLKEGIKGLVHEFKEGKDDLSQQHEMFRGRTAVFADQVVVGNASLRLKNVQLTDA
GTYTCYIRTSKGKGNANLEYKTGAFSMPEINVDYNASSESLRCEAPRWFPQPTVAWASQ
VDQGANFSEVSNTSFELNSENVTMKVVSVLYNVTINNTYSCMIENDIAKATGDIKVTDSEVK
ACCTTTACCAGCGCCGGCAACATCGGCGAGGATGGCACACTGAGCTGCACCTTCGA
GCCCGACATCAAGCTGAACGGCATCGTGATCCAGTGGCTGAAAGAGGGCATCAAAG
GCCTGGTGCACGAGTTCAAAGAAGGCAAGGACGACCTGAGCCAGCAGCACGAGATG
TTCAGAGGCAGAACCGCCGTGTTCGCCGATCAGGTGGTCGTGGGAAATGCCAGCCT
GCGGCTGAAGAATGTGCAGCTGACAGACGCCGGCACCTACACCTGTTACATCCGGA
CCTCTAAAGGCAAGGGCAACGCCAACCTCGAGTACAAGACAGGCGCCTTCAGCATG
CCCGAGATCAACGTGGACTACAACGCCAGCAGCGAGAGCCTGAGATGCGAAGCCCC
TAGATGGTTCCCTCAGCCTACAGTGGCTTGGGCTAGTCAGGTTGACCAGGGCGCCAA
CTTTAGCGAGGTGTCCAACACCAGCTTCGAGCTGAACAGCGAGAACGTGACCATGAA
GGTGGTGTCCGTGCTGTACAATGTGACCATCAACAACACCTACAGCTGCATGATCGA
GAACGATATCGCCAAGGCCACCGGCGACATCAAAGTGACCGACAGCGAAGTGAAGC
EMEDKNIIQFVHGEEDLKVQHSSYRQRARLLKDQLSLGNAALQITDVKLQDAGVYRCMIS
YGGADYKRITVKVNAPYNKINQRILVVDPVTSEHELTCQAEGYPKAEVIWTSSDHQVLSGK
TTTTNSKREEKLFNVTSTLRINTTTNEIFYCTFRRLDPEENHTAELVIPELPLAHPPNER dl
apqmlrelqetnaalqdvrellrqqvkeitflkntymecdacg
AACATGACCATCGAGTGCAAGTTCCCCGTGGAAAAGCAGCTGGATCTGGCCGCTCTG
ATCGTGTACTGGGAGATGGAAGATAAGAACATCATCCAGTTCGTGCACGGCGAAGAG
GACCTGAAGGTGCAGCACAGCAGCTACAGACAGAGAGCCAGACTGCTGAAGGACCA
GCTGAGCCTGGGAAATGCCGCTCTGCAGATCACCGACGTGAAGCTGCAAGATGCCG
GCGTGTACCGGTGCATGATCTCTTATGGCGGAGCCGACTACAAGCGGATCACCGTGA
AAGTGAACGCCCCTTACAACAAGATCAACCAGCGGATCCTGGTGGTGGACCCTGTGA
CATCTGAGCACGAGCTGACCTGTCAGGCCGAGGGATATCCTAAGGCCGAAGTGATCT
GGACCAGCAGCGATCACCAGGTGCTGAGCGGCAAGACCACCACCACAAACAGCAAG
CGGGAAGAGAAGCTGTTCAACGTGACCAGCACACTGCGGATCAACACAACCACCAA
CGAGATCTTCTACTGCACCTTTCGGCGGCTGGACCCCGAGGAAAATCACACAGCCGA
LVVYWEKEDEQVIQFVAGEEDLKPQHSNFRGRASLPKDQLLKGNAALQITDVKLQDAGV
Y
CCIISYGGADYKRITLKVNAPYRKINQRISVDPATSEHELICQAEGYPEAEVIWTNSDHQ
PVSGKRSVTTSRTEGMLLNVTSSLRVNATANDVFYCTFWRSQPGQNHTAELIIPELPATH
PPQNR dlapqmlrelqetnaalqdvrellrqqvkeitflkntymecdacg
AACGTCACGATGGAGTGCAGATTCCCTGTAGAACGGGAGCTGGACCTGCTTGCGTTA
GTGGTGTACTGGGAAAAGGAAGATGAGCAAGTGATTCAGTTTGTGGCAGGAGAGGA
GGACCTTAAGCCTCAGCACAGCAACTTCAGGGGGAGAGCCTCGCTGCCAAAGGACC
AGCTTTTGAAGGGAAATGCTGCCCTTCAGATCACAGACGTCAAGCTGCAGGACGCAG
GCGTTTACTGCTGCATAATCAGCTACGGTGGTGCGGACTACAAGCGAATCACGCTGA
AAGTCAATGCCCCATACCGCAAAATCAACCAGAGAATTTCCGTGGATCCAGCCACTT
CTGAGCATGAACTAATATGTCAGGCCGAGGGTTATCCAGAAGCTGAGGTAATCTGGA
CAAACAGTGACCACCAACCCGTGAGTGGGAAGAGAAGTGTCACCACTTCCCGGACA
GAGGGGATGCTTCTCAATGTGACCAGCAGTCTGAGGGTCAACGCCACAGCGAATGAT
GTTTTCTACTGTACGTTTTGGAGATCACAGCCAGGGCAAAACCACACAGCGGAGCTG
GCTCAGCTGCGCATGTCCCGAAGGGAGCCGATTTGACCTTAACGATGTCTACGTCTA
TTGGCAGACCAGTGAATCAAAGACTGTAGTTACCTATCACATACCACAGAATAGTTCA
TTGGAGAACGTAGATTCACGCTATAGGAATAGAGCTCTGATGTCACCGGCGGGCATG
TTGCGAGGGGACTTTAGCCTGAGGCTTTTCAACGTTACGCCACAAGATGAGCAGAAG
TTCCACTGTCTTGTACTGTCACAGAGTTTGGGATTCCAAGAGGTTCTCTCAGTGGAGG
TCACGTTGCACGTAGCTGCCAATTTCAGTGTCCCTGTTGTCTCTGCACCCCATAGCCC
ATCCCAGGACGAGTTGACATTCACTTGTACAAGCATAAATGGCTACCCACGCCCGAA
TGTCTATTGGATTAACAAGACAGATAATAGCCTCTTGGATCAAGCTCTTCAGAATGAT
ACGGTTTTCCTCAACATGCGCGGGCTTTACGACGTGGTATCCGTTTTGCGAATCGCAC
GAACTCCTTCTGTCAATATCGGTTGCTGCATCGAGAATGTACTCCTGCAGCAGAATCT
TACGGTCGGTTCTCAAACTGGCAATGACATCGGCGAGCGCGATAAAATAACTGAGAA
TCCGGTCAGCACAGGAGAAAAAAACGCCGCAACATGGTCC
SESKTVVTYHIPQNSSLENVDSRYRNRALMSPAGMLRGDFSLRLFNVTPQDEQKFHCLVL
SQSLGFQEVLSVEVTLHVAANFSVPVVSAPHSPSQDELTFTCTSINGYPRPNVYWINKTD
NSLLDQALQNDTVFLNMRGLYDVVSVLRIARTPSVNIGCCIENVLLQQNLTVGSQTGNDI
ATTGATCCGCACAGAAGGCATTTCAACTTGTCAGGTCTGTACGTGTACTGGCAAATTG
AAAACCCGGAAGTTTCAGTTACATACTACTTGCCATATAAATCTCCTGGTATAAATGT
AGATAGCTCTTATAAAAATAGAGGACATCTCAGTCTGGATTCAATGAAACAAGGTAAC
TTCTCACTGTACCTTAAGAATGTAACGCCACAAGACACACAGGAATTTACGTGTAGGG
TATTTATGAACACTGCCACAGAACTGGTGAAAATACTTGAAGAGGTTGTGCGCCTGC
GCGTGGCGGCGAACTTTTCAACGCCTGTTATTTCAACTAGTGACAGTTCTAATCCTGG
ACAAGAACGAACGTATACCTGTATGTCCAAGAATGGTTACCCAGAGCCCAACCTTTAT
TGGATAAACACGACCGATAACAGCCTTATTGACACGGCGCTTCAGAACAACACAGTG
TACCTTAACAAATTGGGATTGTATGACGTAATTTCCACGTTGAGACTTCCTTGGACTA
GTAGAGGAGACGTTTTGTGCTGCGTGGAGAATGTTGCTTTGCATCAAAATATTACCTC
AATTTCTCAAGCGGAGTCTTTCACCGGCAATAATACCAAGAACCCACAAGAAACGCA
EVSVTYYLPYKSPGINVDSSYKNRGHLSLDSMKQGNFSLYLKNVTPQDTQEFTCRVFMNT
ATELVKILEEVVRLRVAANFSTPVISTSDSSNPGQERTYTCMSKNGYPEPNLYWINTTDN
SLIDTALQNNTVYLNKLGLYDVISTLRLPWTSRGDVLCCVENVALHQNITSISQAESFTG
This application claims priority under the Paris Convention to U.S. Provisional Patent Application 62/478,198, filed Mar. 29, 2017, and U.S. Provisional Patent Application 62/590,848, filed Nov. 27, 2017, each of which are incorporated herein by reference as if set forth in their entirety.
Filing Document | Filing Date | Country | Kind |
---|---|---|---|
PCT/CA2018/050382 | 3/28/2018 | WO | 00 |
Number | Date | Country | |
---|---|---|---|
62478198 | Mar 2017 | US | |
62590848 | Nov 2017 | US |