Human interleukin-6 receptor antagonists

Abstract

It is known that the ligands of the group of cytokines similar to Interleukin 6 (IL-6), that is Oncostatin M (OSM), Leukemia Inhibitory Factor (LIF), Ciliary Neurotrophic Factor (CNTF) and Interleukin 11 (IL-11), induce the formation of a receptor complex of which the membrane molecule gp 130 is a part. The present invention refers to a methodology for selecting superagonists, antagonists and superantagonists of human interleukin-6 comprising the following operations: comparing the amino acid sequence of bovine granulocyte colony stimulating factor (bG-CSF) with the sequence of said hormone; and on the basis of the above comparison, formulating a three dimensional model of said hormone, which allows the identification of residues that form the site of interaction with the specific receptor (Site 1) and those that constitute the site of interaction with gp 130 (Site 2) respectively. The invention allows the identification of these sites in human interleukin-6 and the isolation of variants having, with respect to the wild type hormone, a greater affinity for the specific receptor (superagonists and superantagonists) or affinity for gp 130 reduced or abolished (antagonists and superantagonists). The figure shows a scheme illustrating the methodology applied to identify site 1 and site 2 in the case of human interleukin-6. The invention also describes the obtaining of specific superagonists and superantagonists of interleukin-6 and the use of superantagonists as low dose inhibitors of the growth of human myeloma cells dependent on wild type interleukin-6. (FIG. 1)

Description

DESCRIPTION

The present invention relates to a methodology for selecting superagonists, antagonists and superantagonists of human interleukin-6 (hereinafter referred to also as h IL-6 or IL-6) based on three-dimensional modelling.

As is known, WO 92/21029 to Genentech Inc. teaches a method for determination of agonists or antagonists of growth hormones and ligands with a similar structural conformation. The potential agonists and antagonists are put into contact with a receptor for the hormone and this causes formation of a ternary complex consisting of a molecule of the potential agonist or antagonist and two molecules of such receptor for the hormone to be agonized or antagonized. Dimerization of receptors induced by a ligand molecule allows to conclude that the ligand has two different interaction sites (site 1 and site 2), on which it is possible to operate using mutagenesis to generate agonists or antagonists.

It is known that the ligands in the group of cytokines similar to Interleukin 6 (IL-6), that is Oncostatin M (OSM), Leukemia Inhibitory Factor (LIF), Ciliary Neurotrophic Factor (CNTF), and Interleukin 11 (IL-11), induce the formation of a receptor complex of which the membrane molecule gp 130 is a part. In this receptor complex the specific receptor for each of these cytokines and the membrane molecule gp 130 are always present as common elements. It is thus possible to formulate the hypothesis that site 1 and site 2 bind to two different molecules in this class of hormones: site 1 to the specific receptor and site 2 to gp 130. Identification of the two sites is made possible, as will be seen more clearly from the following, by construction of a three-dimensional model of the receptor complex based on the functional similarity between sequences of the human growth hormone (hGH) receptor and sequences of the receptors for the hormones in question. Isolation of variants that, with respect to the wild type hormone, have a greater affinity for the specific receptor (superagonists or superantagonists) is obtained by construction of filamentous phage libraries, for example M13, carrying the hormone, both in the wild type and mutant version.

According to the invention, the difference between the three-dimensional model, for example of IL-6, adopted here and the one adopted in WO92/21029 leads to identify different residues in helix A and C as constituents of site 2. In fact, for the construction of the IL-6 model according to present invention the structure of a different cytokine instead of growth hormone, was used as template.

Modelling of the human interleukin 6 molecule is performed as follows. It is known, from data available in scientific literature, that the amino acid sequence of human interleukin 6 shows similarities with that of the granulocyte colony stimulating factor (G-CSF). The three-dimensional structure of bovine granulocyte colony stimulating factor (bG-CSF), determined using X-ray crystallography, was used as template to develop a three-dimensional model of human IL-6 from residues 16 to 184. Firstly, the amino acid sequence of human IL-6 was aligned with that of bG-CSF. On the basis of the derived alignment, the amino acid residues in the bG-CSF three-dimensional structure were replaced by the corresponding residues of human IL-6 using molecular modelling program in a computerized interactive graphic unit. In the positions in which alignment involves either deletions or insertions (which suggests a different local structure in the interleukin 6 molecule) adjustments were made by applying the options provided by the molecular modelling program.

This three-dimensional model of interleukin 6, based on the bG-CSF structure, has enabled the identification of the two sites of interaction between human interleukin 6 and its two receptors: the low affinity receptor gp 80 (site 1) and the high affinity signal transducer receptor gp 130 (site 2). The following procedure was used to identify the two sites. From sequence comparison it is known that all the members of the family of hematopoietic receptors are related to each other by the fact that they share a domain, known as the cytokine binding domain. This similarity of sequences also indicates a high probability of structural similarity in corresponding parts of the various receptors, including the two interleukin 6 receptors, gp 80 and gp 130. The observation that the cytokines that bind to these receptors all have (or are predicted to have) a similar structure, that is a four helix bundle, strongly supports the notion that the interaction between these cytokines and their receptors, by means of the cytokine binding domain, must be very similar--albeit not identical--in biologically active complexes.

Considering that the three-dimensional structure of one of these receptor complexes (the complex made by growth hormone and the extra-cellular domain of the dimeric receptor for the growth hormone, i.e. GHbp) has been determined by means of X-ray crystallography, our bG-CSF built model of human interleukin 6 allows us to identify the potential sites of interaction between interleukin 6 and its two receptors gp 80 (site 1) and gp 130 (site 2). This has been accomplished, according to the present invention, by constructing a structural model of gp 80 and gp 130 based on the coordinates furnished by the X-ray crystallographic structure of the growth hormone receptor, and by substituting in such complex the growth hormone with our bG-CSF built model of human interleukin-6 (see FIG. 1).

As is known, interleukin 6 is a polypeptide of 184 amino acids which, as described, belongs to the class of helical cytokines. Interleukin 6 is a multi-functional cytokine produced by various cell types. It acts as a differentiation and growth factor on cells of various lineages, such as for example cells in the immune system, hepatocytes, kidney cells, hematopoietic stem cells, keratinocytes and neurones.

Production of superagonists of interleukin 6 would allow the use of therapeutic doses lower than those required with wild type interleukin 6 in the treatment of numerous serious diseases. In fact, interleukin 6 has important and promising applications in the treatment of breast cancer, leukemia, and infectious diseases or diseases connected with disorders of bone marrow progenitor cells.

In addition superagonists of IL-6 could be used in protocols for ex vivo expansion of hematopoietic progenitor cells both in bone marrow transplantation and gene therapy.

On the other hand the production of antagonists or superantagonists of human interleukin 6 would allow inhibition of interleukin 6 in numerous diseases characterized by its excessive production, such as chronic autoimmune diseases, myeloma/plasmacytoma, post-menopausal osteoporosis and cancer cachexia.

The methodology for the selection of superagonists, antagonists or superantagonists of interleukin-6, according to the present invention, comprises the following operations:

comparing the amino acid sequence of bovine granulocyte colony stimulating factor (bG-CSF) with the sequence of said hormone; and on the basis of the above comparison, formulating a three dimensional model of said hormone, which allows the identification of residues that form the site of interaction with the specific receptor (Site 1) and those that constitute the site of interaction with gp 130 (Site 2) respectively.

For selection of superagonists of interleukin 6, the methodology according to the present invention further comprises the following additional operations:

production of a series of phage libraries containing mutations of the following wild type residues of interleukin 6 (present in the form of fusion product with filamentous phage proteins): helix A: Ser 22, Glu 23, Asp 26, Arg 30, Leu 33, Ser 37, Arg 40, Glu 42; loop AB: Ser 52, Ser 53, Ala 56, Leu 57, Glu 59, Asn 60, Leu 62, Leu 64, Pro 65, Lys 66, Met 67, Ala 68, Glu 69, Lys 70, Asp 71, Phe 74, Gln 75, Ser 76; helix D: His 164, Leu 165, Arg 168, Ser 169, Lys 171, Glu 172, Phe 173, Gln 175, Ser 176, Ser 177, Leu 178, Arg 179, Ala 180, Leu 181, Arg 182, Gln 183, Met 184. selection, from the mixed population of phages belonging to each individual phage library and expressing interleukin 6 mutants, of that or those with an affinity for the specific receptor greater than that of wild type interleukin; and identification of the best receptor binding amino acid sequence or sequences by sequencing of the DNA extracted from the selected phage particles.

In this case, a series of phage libraries can be produced containing mutations of said wild type residues of interleukin 6 present as a fusion product with the M13 pIII protein.

The methodology for selecting antagonists of interleukin 6 according to the present invention comprises--along with the operations indicated above for molecular modelling of the human IL-6 protein and its receptor chains--the following operations:

mutagenesis of the residues identified to form part of the site of interaction with gp 130 (Arg 30, Tyr 31, Gly 35, Ser 37, Ala 38, Ser 118, Lys 120, Val 121, Gln 124, Phe 125, Gln 127, Lys 128 and Lys 129), using conventional molecular biology techniques; evaluation of biological activity and affinity for the specific interleukin 6 receptor of the mutants produced as above, in order to identify variants of interleukin 6 whose affinity for the specific receptor is normal and that show reduction or loss of the biological activity; and evaluation of the above variants of interleukin 6 as antagonists for the biological activity of wild type interleukin 6 on human cell lines.

In case of obtaining of superantagonists of interleukin 6 by combination of the variants of amino acid sequences responsible for antagonist activity, identified as above, with amino acid mutations responsible for an increased affinity of the specific receptor for interleukin 6.

In the methodology for obtaining antagonists or superantagonists of interleukin 6, the mutagenesis of the residues identified as above can be performed using a molecular biology technique chosen from the group comprising Polymerase Chain Reaction, Primer Extension, Oligonucleotide Directed Mutagenesis, and combinations thereof.

The present invention is not limited to the methodology for selection of superagonists, antagonists or superantagonists of interleukin 6. On the contrary, it extends to molecules obtainable by said methodology of selection, i.e. to: superagonists of h IL-6, with the exception of the molecule called IL-6 IRA and carrying the following three substitutions Gln175Ile/Ser176Arg/Gln183Ala; antagonists of h IL-6, with the exception of three molecules with the following substitutions: Tyr31Asp/Gly35Phe/Ser118Arg/Val121Asp (DFRD) Tyr31Asp/Gly35Phe/Ser118Phe/Val121Asp (DFFD) Tyr31Asp/Gly35Phe/Ser118Leu/Val121Asp (DFLD); and superantagonists of h IL-6, with the exception of the molecule called Sant1 and carrying the following seven substitutions: Tyr31Asp/Gly35Phe/Ser118Arg/Val121Asp/Gln175Ile/Ser176Arg/Gln183Ala.

Up to this point a general description of the subject of the present invention has been given. With the aid of the following examples a detailed description of specific embodiments of the invention will now be given, with the purpose of giving a better understanding of the objects, characteristics, advantages and methods of application thereof.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 shows a scheme illustrating the methodology applied to identify site 1 and site 2 in the case of human interleukin 6.

FIG. 2 shows the increase in potency of three superantagonists according to the invention, i.e. Sant 3, Sant 4 and Sant 5, over antagonist Tyr31Asp/Gly35Phe/Ser118Arg/Val121Asp (the one letter codes have been used in the figure), with the increase of concentration.

DEPOSITS

E.coli K12 bacteria--transformed using the plasmid pHen.DELTA.hIL-6 containing, from the recognition site of the restriction enzyme SalI to that for the restriction enzyme NotI, a nucleotidic sequence coding for the amino acid sequence of wild type human interleukin 6 --have been deposited on Oct. 6, 1993 with The National Collection of Industrial and Marine Bacteria Ltd. (NCIMB), Aberdeen, Scotland, UK, with access number NCIMB 40563.

EXAMPLE 1

Application of the methodology according to the present invention for the selection of superagonists interleukin 6 by means of mutagenesis of amino acid residues in the AB loop

The strategy consists in construction of a hybrid gene containing all the region coding for hIL-6 (SEQ ID NO:1) followed by the last 157 amino acids of protein pIII of the phage M13 and preceded by the sequence Pel B, which vectors the synthesized protein to the periplasmic space.

This construct allows the obtaining of phagemid particles displaying on their surface correctly folded and biologically active human interleukin 6.

A phage library was constructed containing mutations of residues Asp 71, Phe 74, Gln 75 and Ser 76 of interleukin 6, starting from the variant IL-6 IRA (substitutions Gln175Ile/Ser176Arg/Gln183Ala) described in WO95/00852 and having an affinity for the receptor approximately five times greater than that of wild type human interleukin 6, present in the form of fusion product with protein pIII of filamentous phage M13. The library was constructed using the Primer Extension technique. The mutagenic oligonucleotide is IL-6 DFQS, a 95 nucleotides oligo, whose sequence is SEQ ID NO: 2. Primer IL-6 DFQS introduces degenerations into codons coding for the amino acids 71 (wild type Asp), 74 (wild type Phe), 75 (wild type Gln) and 76 (wild type Ser). The oligonucleotide IL-6 AB primer, whose sequence is SEQ ID NO: 3, was used as primer for the Primer Extension reaction. The two oligonucleotides were annealed in vitro, and the annealed oligonucleotides were used as substrate for a Primer Extension reaction. The double-stranded DNA fragment thus obtained was then digested and ligated into the plasmid pHen.DELTA.hIL-6 in order to replace the wild type sequence with the mutated ones. The ligation product was inserted in bacteria, yielding roughly three million independent transformants. The transformed bacteria were infected with the M13K07 helper bacteriophage to generate the phage library (a library of phasmids).

The library underwent selection by incubation with magnetic beads coated with monoclonal antibody directed against shrIL-6R and in the presence of shrIL-6R and shrgp130. The phasmid population eluted at pH 3.6 was then amplified in bacteria. After four cycles of selection-amplification, randomly selected phasmids were sequenced over the mutagenized region, the corresponding mutant interleukin 6 proteins were produced in the periplasmic space of the appropriate bacterial strain and tested for interleukin 6 specific receptor binding. Table 1 shows that, using the methodology according to the present invention, it is possible to select variants of interleukin 6 having an additional increase in the affinity for the specific receptor, molecules with mutations both in helix D and in region A-B.

TABLE 1______________________________________Receptor binding properties in variants of interleukin 6-IRA containing additional mutations in the residues 71,74, 75 and 76 of the region A-B ReceptorPosition 71 74 75 76 binding (%)______________________________________wild type Asp Phe Gln Ser 100%IL-6IRA Asp Phe Gln Ser 450%phasmid D3-3 Asp Tyr Phe Ile 2350%phasmid D4-1 Asp Tyr Tyr Val 2750%phasmid D3-7 Asp Phe Tyr Ile 2770%phasmid D4-19 Asp Phe Tyr Ser 1800%phasmid D4-20 Asp Phe Tyr Lys 4200%phasmid D3-16 Asp Phe Tyr Leu 1450%phasmid D4-17 Asp Phe Phe Ile 2430%______________________________________

EXAMPLE 2

Application of the methodology according to the present invention for obtaining superantagonists of interleukin 6

The four mutations Tyr31Asp/Gly35Phe/Ser118Arg/Val121Asp (DFRD) confer antagonistic properties as described in WO95/00852. These four mutations were combined with mutations capable of increasing the specific receptor binding capacity (described in example 1), using the Polymerase Chain Reaction (PCR) molecular biology technique. More specifically:

the super-binder mutations on helix D and region AB of the phasmid D 3-7 (described in example 1), to create the mutant protein Sant 3; the super-binder mutations on helix D and region AB of the phasmid D 3--3 (described in example 1), to create the mutant protein Sant 4; the super-binder mutations on helix D and region AB of the phasmid D 4-20 (described in example 1), to create the mutant protein Sant 5.

The mutant proteins, containing nine (Sant 3 and Sant 5) or ten (Sant 4) amino acid substitutions, were tested both for their specific interleukin-6 receptor binding, and for their ability to antagonize the biological activity of interleukin-6 on human hepatoma and myeloma cells. Table 2 and FIG. 2 show the specific receptor binding properties of DFRD and of Sant 3, Sant 4 and Sant 5 along with the concentrations (expressed in nanograms of mutant per milliliter of culture medium) of mutant necessary to inhibit 50% of interleukin 6 biological activity (hepatoma cells were stimulated with 4 nanograms of wild type interleukin 6 per milliliter of culture medium, while myeloma cells were stimulated with 0.1 nanograms of interleukin 6 per milliliter of culture medium, due to the higher sensitivity of the latter cells to wild type interleukin 6).

TABLE 2______________________________________Inhibition of wild type interleukin 6 biological activityon both human hepatoma and myeloma cells as a function ofthe mutant antagonists' specific interleukin-6 receptorbinding capacityReceptor 50% inhibition of interleukin 6 activity on: binding hepatoma cells myeloma cellsAntagonist (% of wild type) Hep3B XG-1______________________________________DFRD 97% 164 ng/ml 190.0 ng/mlSant 3 2800% 2.4 ng/ml 1.85 ng/mlSant 4 2000% 2.7 ng/ml 3.90 ng/mlSant 5 4500% 2.3 ng/ml 2.45 ng/ml______________________________________

As can be seen from the table, the introduction of the amino acid substitutions described in example 1 has at once increased the specific receptor binding capacity of the parental mutant DFRD and decreased the amount of antagonist needed to inhibit 50% of wild type interleukin 6 biological activity on both cell lines tested, therefore generating very effective and strong interleukin 6 superantagonists.

__________________________________________________________________________SEQUENCE LISTING(1) GENERAL INFORMATION:(iii) NUMBER OF SEQUENCES: 4(2) INFORMATION FOR SEQ ID NO:1:(i) SEQUENCE CHARACTERISTICS:(A) LENGTH: 555 base pairs(B) TYPE: nucleic acid(C) STRANDEDNESS: single(D) TOPOLOGY: linear(ii) MOLECULE TYPE: cDNA(ix) FEATURE:(A) NAME/KEY: CDS(B) LOCATION: 1..552(xi) SEQUENCE DESCRIPTION: SEQ ID NO:1:CCAGTACCCCCAGGAGAAGATTCCAAAGATGTAGCCGCCCCACACAGA48ProValProProGlyGluAspSerLysAspValAlaAlaProHisArg151015CAGCCCCTCACGAGCTCAGAACGAATTGACAAACAAATTCGGTACATC96GlnProLeuThrSerSerGluArgIleAspLysGlnIleArgTyrIle202530CTCGACGGCATCTCAGCCTTAAGAAAGGAGACATGTAACAAGAGTAAC144LeuAspGlyIleSerAlaLeuArgLysGluThrCysAsnLysSerAsn354045ATGTGTGAAAGCAGCAAAGAGGCACTGGCAGAAAACAACCTGAACCTT192MetCysGluSerSerLysGluAlaLeuAlaGluAsnAsnLeuAsnLeu505560CCAAAGATGGCTGAAAAAGATGGATGCTTCCAATCTGGATTCAATGAG240ProLysMetAlaGluLysAspGlyCysPheGlnSerGlyPheAsnGlu65707580GAGACTTGCCTGGTGAAAATCATCACTGGTCTTTTGGAGTTTGAGGTA288GluThrCysLeuValLysIleIleThrGlyLeuLeuGluPheGluVal859095TACCTAGAGTACCTCCAGAACAGATTTGAGAGTAGTGAGAGTCAAGCC336TyrLeuGluTyrLeuGlnAsnArgPheGluSerSerGluSerGlnAla100105110AGAGCTGTCCAGATGAGTACAAAAGTCCTGATCCAGTTCCTGCAGAAA384ArgAlaValGlnMetSerThrLysValLeuIleGlnPheLeuGlnLys115120125AAGGCAAAGAATCTAGATGCAATAACCACCCCTGACCCAACCACAAAT432LysAlaLysAsnLeuAspAlaIleThrThrProAspProThrThrAsn130135140GCCAGCCTGCTGACGAAGCTGCAGGCACAGAACCAGTGGCTGCAGGAC480AlaSerLeuLeuThrLysLeuGlnAlaGlnAsnGlnTrpLeuGlnAsp145150155160ATGACAACTCATCTCATTCTGAGATCTTTTAAGGAGTTCCTGCAGTCC528MetThrThrHisLeuIleLeuArgSerPheLysGluPheLeuGlnSer165170175AGCCTGAGGGCTCTTCGGCAAATGTAG555SerLeuArgAlaLeuArgGlnMet180(2) INFORMATION FOR SEQ ID NO:2:(i) SEQUENCE CHARACTERISTICS:(A) LENGTH: 184 amino acids(B) TYPE: amino acid(D) TOPOLOGY: linear(ii) MOLECULE TYPE: protein(xi) SEQUENCE DESCRIPTION: SEQ ID NO:2:ProValProProGlyGluAspSerLysAspValAlaAlaProHisArg151015GlnProLeuThrSerSerGluArgIleAspLysGlnIleArgTyrIle202530LeuAspGlyIleSerAlaLeuArgLysGluThrCysAsnLysSerAsn354045MetCysGluSerSerLysGluAlaLeuAlaGluAsnAsnLeuAsnLeu505560ProLysMetAlaGluLysAspGlyCysPheGlnSerGlyPheAsnGlu65707580GluThrCysLeuValLysIleIleThrGlyLeuLeuGluPheGluVal859095TyrLeuGluTyrLeuGlnAsnArgPheGluSerSerGluSerGlnAla100105110ArgAlaValGlnMetSerThrLysValLeuIleGlnPheLeuGlnLys115120125LysAlaLysAsnLeuAspAlaIleThrThrProAspProThrThrAsn130135140AlaSerLeuLeuThrLysLeuGlnAlaGlnAsnGlnTrpLeuGlnAsp145150155160MetThrThrHisLeuIleLeuArgSerPheLysGluPheLeuGlnSer165170175SerLeuArgAlaLeuArgGlnMet180(2) INFORMATION FOR SEQ ID NO:3:(i) SEQUENCE CHARACTERISTICS:(A) LENGTH: 95 base pairs(B) TYPE: nucleic acid(C) STRANDEDNESS: single(D) TOPOLOGY: linear(ii) MOLECULE TYPE: cDNA(xi) SEQUENCE DESCRIPTION: SEQ ID NO:3:GTGAGAGCTCCAAAGAGGCACTGGCAGAAAACAACCTGAACCTTCCAAAGATGGCTGAAA60AANNSGGATGCNNSNNSNNSGGATTCAATGAGGAG95(2) INFORMATION FOR SEQ ID NO:4:(i) SEQUENCE CHARACTERISTICS:(A) LENGTH: 72 base pairs(B) TYPE: nucleic acid(C) STRANDEDNESS: single(D) TOPOLOGY: linear(ii) MOLECULE TYPE: cDNA(xi) SEQUENCE DESCRIPTION: SEQ ID NO:4:GGCCTCTAGATATACCTCAAACTCCAAAAGACCAGTGATGATTTTCACCAGGCAAGTCTC60CTCATTGAATCC72__________________________________________________________________________

Claims

1. An interleukin-6 receptor antagonist having an amino acid sequence of wild-type human interleukin-6 comprising a set of amino acid substitutions selected from the group consisting of:

(1) Tyr31Asp, Gly35Phe, Gln75Tyr, Ser76Ile, Ser118Arg, Val121Asp, Gln 175Ile, Ser176Arg, Gln183Ala;

(2) Tyr31Asp, Gly35Phe, Phe74Tyr, Gln75Phe, Ser76Ile, Ser 118Arg, Val121Asp, Gln175Ile, Ser176Arg, Gln183Ala; and

(3) Tyr31Asp, Gly35Phe, Gln75Tyr, Ser76Lys, Ser118Arg, Val121Asp, Gln175Ile, Ser176Arg, Gln183Ala.

2. The interleukin-6 receptor antagonist according to claim 1, which comprises a set of amino acid substitutions Tyr31Asp, Gly35Phe, Gln75Tyr, Ser76Ile, Ser118Arg, Val121Asp, Gln175Ile, Ser176Arg, Gln183Ala.

3. A composition comprising the interleukin-6 receptor antagonist of claim 2 in a pharmaceutically effective carrier, vehicle or auxiliary agent.

4. The interleukin-6 receptor antagonist according to claim 1, which comprises a set of amino acid substitutions Tyr31Asp, Gly35Phe, Phe74Tyr, Gln75Phe, Ser76Ile, Ser118Arg, Val121Asp, Gln175Ile, Ser176Arg, Gln183Ala.

5. A composition comprising the interleukin-6 receptor antagonist of claim 4 in a pharmaceutically effective carrier, vehicle or auxiliary agent.

6. The interleukin-6 receptor antagonist according to claim 1, which comprises a set of amino acid substitutions Tyr31Asp, Gly35Phe, Gln75Tyr, Ser76Lys, Ser118Arg, Val121Asp, Gln175Ile, Ser176Arg, Gln183Ala.

7. A composition comprising the interleukin-6 receptor antagonist of claim 6 in a pharmaceutically effective carrier, vehicle or auxiliary agent.