Methods for inducing T cell unresponsiveness to donor tissue...

Drug – bio-affecting and body treating compositions – Immunoglobulin – antiserum – antibody – or antibody fragment,... – Monoclonal antibody or fragment thereof

Reexamination Certificate

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C424S130100, C424S133100, C424S134100, C424S141100, C424S143100, C424S144100, C424S153100, C424S173100, C424S184100, C424S093700, C424S093710, C424S577000, C424S192100, C514S002600, C514S008100, C514S885000, C530S387100, C530S387300, C530S388100, C530S388200, C530S388220, C530S388700, C530S388730, C530S388750, C530S350000

Reexamination Certificate

active

06375950

ABSTRACT:

BACKGROUND OF THE INVENTION
To induce antigen-specific T cell activation and clonal expansion, two signals provided by antigen-presenting cells (APCs) must be delivered to the surface of resting T lymphocytes (Jenkins, M. and Schwartz, R. (1987)
J. Exp. Med
165, 302-319; Mueller, D. L., et al. (1990)
J. Immunol.
144, 3701-3709; Williams, I. R. and Unanue, E. R. (1990)
J. Immunol.
145, 85-93). The first signal, which confers specificity to the immune response, is mediated via the T cell receptor (TCR) following recognition of foreign antigenic peptide presented in the context of the major histocompatibility complex (MHC). The second signal, termed costimulation, induces T cells to proliferate and become functional (Schwartz, R. H. (1990)
Science
248, 1349-1356). Costimulation is neither antigen-specific, nor MHC restricted and is thought to be provided by one or more distinct cell surface molecules expressed by APCs (Jenkins, M. K., et al. (1988)
J. Immunol.
140, 3324-3330; Linsley, P. S., et al. (1991)
J. Exp. Med.
173, 721-730; Gimmi, C. D., et al., (1991)
Proc. Natl. Acad. Sci. USA.
88, 6575-6579; Young, J. W., et al. (1992)
J. Clin. Invest.
90, 229-237; Koulova, L., et al. (1991)
J. Exp. Med.
173, 759-762; Reiser, H., et al. (1992)
Proc. Natl. Acad. Sci. USA.
89, 271-275; van-Seventer, G. A., et al. (1990)
J. Immunol.
144,4579-4586; LaSalle, J. M., et al., (1991)
J. Immunol.
147, 774-80; Dustin, M. I., et al., (1989)
J. Exp. Med.
169, 503; Armitage, R. J., et al. (1992)
Nature
357, 80-82; Liu, Y., et al. (1992)
J. Exp. Med.
175, 437-445). One costimulatory pathway involved in T cell activation involves the molecule CD28 on the surface of T cells. This molecule can receive a costimulatory signal delivered by a ligand on B cells or other APCs. Ligands for CD28 include members of the B7 family of B lymphocyte activation antigens such as B7-1 and/or B7-2 (Freedman. A. S. et al. (1987)
J. Immunol.
137, 3260-3267; Freeman, G. J. et al. (1989)
J. Immunol.
143, 2714-2722; Freeman, G. J. et al. (1991)
J. Exp. Med.
174, 625-631; Freeman, G. J. et al (1993)
Science
262, 909-911; Azuma, M. et al. (1993)
Nature
366, 76-79; Freeman, G. J. et al. (1993)
J. Exp. Med.
178, 2185-2192). B7-1 and B7-2 are also ligands for another molecule, CTLA4, present on the surface of activated T cells, although the role of CTLA4 in costimulation is unclear.
Delivery to a T cell of an antigen-specific signal with a costimulatory signal leads to T cell activation, which can include both T cell proliferation and cytokine secretion. In contrast, delivery to a T cell of an antigen-specific signal in the absence of a costimulatory signal is thought to induce a state of unresponsiveness or anergy in the T cell, thereby inducing antigen-specific tolerance in the T cell.
Interactions between T cells and B cells play a central role in immune responses. Induction of humoral immunity to thymus-dependent antigens requires “help” provided by T helper (hereafter Th) cells. While some help provided to B lymphocytes is mediated by soluble molecules released by Th cells (for instance lymphokines such as IL-4 and IL-5), activation of B cells also requires a contact-dependent interaction between B cells and Th cells. Hirohata et al.,
J. Immunol.,
140:3736-3744 (1988); Bartlett et al.,
J. Immunol.,
143:1745-1754 (1989). This indicates that B cell activation involves an obligatory interaction between cell surface molecules on B cells and Th cells. The molecule(s) on the T cell therefore mediates contact-dependent helper effector functions of the T cell. A contact-dependent interaction between molecules on B cells and T cells is further supported by the observation that isolated plasma membranes of activated T cells can provide helper functions necessary for B cell activation. Brian,
Proc. Natl. Acad Sci. USA,
85:564-568 (1988); Hodgkin et al.,
J. Immunol.,
145:2025-2034 (1990); Noelle et al.,
J. Immunol.,
146:1118-1124 (1991).
A molecule, CD40, has been identified on the surface of immature and mature B lymphocytes which, when crosslinked by antibodies, induces B cell proliferation. Valle et al.,
Eur. J. Immunol.,
19:1463-1467 (1989); Gordon et al.,
J. Immunol.,
140:1425-1430 (1988); Gruber et al.,
J. Immunol.,
142: 4144-4152 (1989). CD40 has been molecularly cloned and characterized. Stamenkovic et al.,
EMBO J.,
8:1403-1410 (1989). A ligand for CD40, gp39 (also called CD40 ligand or CD40L) has also been molecularly cloned and characterized. Armitage et al.,
Nature,
357:80-82 (1992); Lederman et al.,
J. Exp. Med.,
175:1091-1101 (1992); Hollenbaugh et al,
EMBO J.,
11:4313-4319 (1992). The gp39 protein is expressed on activated, but not resting, CD4
+
Th cells. Spriggs et al.,
J. Exp. Med.,
176:1543-1550 (1992); Lane et al.,
Eur. J. Immunol.,
22:2573-2578 (1992); Roy et al.,
J. Immunol.,
151:1-14 (1993). Cells tansfected with the gp39 gene and expressing the gp39 protein on their surface can trigger B cell proliferation and, together with other stimulatory signals, can induce antibody production. Armitage et al.,
Nature,
357:80-82 (1992); Hollenbaugh et al.,
EMBO J.,
11:4313-4319 (1992).
SUMMARY OF THE INVENTION
Cell-surface molecules which mediate contact-dependent helper effector functions of T cells are important for inducing immune responses which require T cell help. For example, the interaction of gp39 on T cells with CD40 on B cells plays a central role in activating B cell responses to an antigen. The current invention is based, at least in part, on the discovery that cell-surface molecules which mediate contact-dependent helper effector functions of T cells also play a critical role in the response of T cells to alloantigens. In particular, it has been discovered that, under appropriate conditions, interference with an interaction of gp39 with a ligand on an allogeneic cell which is presenting alloantigens to the T cell can induce tolerance in the T cell. Preferably, the allogeneic cell which presents alloantigens to the T cell requires an interaction between a gp39 ligand on the cell and gp39 on the T cell to be able to provide signals necessary for activation of the T cell. Inhibiting the interaction of the gp39 ligand on the allogeneic cell with gp39 on the T cell prevents T cell activation and rather induces alloantigen-specific T cell tolerance. Induction of T cell tolerance to alloantigens as described herein can be used as a preparative regimen for tissue or organ transplantation.
Accordingly, the methods of the invention are particularly useful for inducing T cell tolerance to a donor tissue or organ in a recipient of the tissue or organ The methods involve administering to a transplant recipient: 1) an allogeneic or xenogeneic cell which expresses at least one donor antigen and which has a ligand on a cell surface which interacts with a receptor on the surface of a recipient T cell which mediates contact-dependent helper effector functions; and 2) an antagonist of the molecule on the surface of the recipient T cell which mediates contact-dependent helper effector functions. The antagonist inhibits an interaction between the molecule on the T cell and it's ligand on the allogeneic or xenogeneic cell.
In a preferred embodiment, the receptor on the surface of a recipient T cell which mediates contact-dependent helper effector functions is gp39. In this embodiment, the antagonist is a molecule which inhibits the interaction of gp39 on a T cell with a gp39 ligand on an allogeneic or xenogeneic cell. A particularly preferred gp39 antagonist is an anti-gp39 antibody. In another embodiment, the gp39 antagonist is a soluble form of a gp39 ligand, for example soluble CD40. The allogeneic or xenogeneic cell which is administered to the recipient is preferably a lymphoid cell, for example a B cell. Alternatively, the allogeneic or xenogeneic cell is a small resting B cell. The allogeneic or xenogeneic cell and the antagonist (e.g., anti-gp39 antibody) are typically administered to a recipient subject prior to transplantation of the tiss

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