Methods for stimulating T cell responses by manipulating a...

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, C424S141100, C424S143100, C424S144100, C424S153100, C424S154100, C424S173100, C530S387100, C530S388100, C530S388200, C530S388220, C530S388700, C530S388730, C530S388750, C530S389100, C530S389600

Reexamination Certificate

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06576236

ABSTRACT:

BACKGROUND OF THE INVENTION
The induction of antigen-specific T cell responses involves multiple interactions between cell surface receptors on T cells and ligands on antigen presenting cells (APCs). The primary interaction is between the T cell receptor (TCR)/CD3 complex on a T cell and a major histocompatibility complex (MHC) molecule/antigenic peptide complex on an antigen presenting cell. This interaction triggers a primary, antigen-specific, activation signal in the T cell. In addition to the primary activation signal, induction of T cell responses requires a second, costimulatory signal. In the absence of proper costimulation, TCR signalling can induce a state of anergy in the T cell. Subsequent appropriate presentation of antigen to an anergic T cell fails to elicit a proper response (see Schwartz, R. H. (1990)
Science
248:1349).
A costimulatory signal can be triggered in a T cell through a T cell surface receptor, such as CD28. For example, it has been demonstrated that suboptimal polyclonal stimulation of T cells (e.g. by anti-CD3 antibodies or phorbol ester, either of which can provide a primary activation signal) can be potentiated by crosslinking of CD28 with anti-CD28 antibodies (Linsley, P. S. et al. (1991)
J. Exp. Med.
173:721; Gimmi, C. D. et al. (1991)
Proc. Natl. Acad. Sci. USA
88:6575). Moreover, stimulation of CD28 can prevent the induction of anergy in T cell clones (Harding, F. A. (1992)
Nature
356:607-609). Natural ligands for CD28 have been identified on APCs. CD28 ligands include members of the B7 family of proteins, such as B7-1(CD80) and B7-2 (B70) (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). In addition to CD28, proteins of the B7 family have been shown to bind another surface receptor on T cells related to CD28, termed CTLA4, which may also play a role in T cell costimulation (Linsley, P. S. (1991)
J. Exp. Med.
174:561-569; Freeman, G. J. et al. (1993)
Science
262:909-911).
The elucidation of the receptor:ligand relationship of CD28/CTLA4 and the B7 family of proteins, and the role of this interaction in costimulation, has led to therapeutic approaches involving manipulation of the extracellular interactions of surface receptors on T cells which bind costimulatory molecules. For example, a CTLA4Ig fusion protein, which binds to both B7-1 and B7-2 and blocks their interaction with CD28/CTLA4, has been used to inhibit ejection of allogeneic and xenogeneic grafts (see e.g., Turka, L. A. et al. (1992)
Proc. Natl. cad. Sci. USA
89:11102-11105; Lenschow, D. J. et al. (1992)
Science
257:789-792). Similarly, antibodies reactive with B7-1 and/or B7-2 have been used to inhibit T cell proliferation and IL-2 production in vitro and inhibit primary immune responses to antigen in vivo (Hathcock K. S. et al. (1993)
Science
262:905-907; Azuma, M. et al. (1993)
Nature
366:76-79; Powers, G. D. et al. (1994)
Cell. Immunol.
153:298-311; Chen C. et al. (1994)
J. Immunol.
152:2105-2114). Together, these studies indicate the costimulatory pathway mediated by T cell surface receptors which bind costimulatory molecules such as B7-1 and B7-2 are desirable targets for manipulating immune responses. Delivery of an antigen specific signal to a T cell in the absence of a costimulatory signal does not induce a T cell response, but rather has been found to induce a state of T cell unresponsiveness or anergy (see Schwartz, R. H. (1990)
Science
248:1349; Jenkins, M. K. et al. (1988)
J. Immunol.
140:3324). In a number of clinical situations it is desirable to inhibit T cell responses (e.g., in transplantation or autoimmune disorders). Thus, therapeutic approaches have been proposed to induce antigen specific T cell unresponsiveness by blocking of a costimulatory signal in T cells. For example, a CTLA4Ig fusion protein, which binds both B7-1 and B7-2, has been used to inhibit rejection of allogeneic and xenogeneic grafts (see e.g., Turka, L. A. et al. (1992)
Proc. Natl. Acad. Sci. USA
89, 11102-11105; Lenschow, D. J. et al. (1992)
Science
257, 789-792). Similarly, antibodies reactive with B7-1 and/or B7-2 have been used to inhibit T cell proliferation and IL-2 production in vitro and inhibit primary immune responses to antigen in vivo (Hathcock K. S. et al. (1993)
Science
262, 905-907; Azuma, M. et al. (1993)
Nature
36:76-79; Powers, G. D. et al. (1994)
Cell. Immunol.
153, 298-311; Chen C. et al. (1994)
J. Immunol.
152, 2105-2114).
SUMMARY OF THE INVENTION
When stimulated through the T cell receptor(TCR)/CD3 complex without requisite costimulation through the CD28/B7 interaction, T cells enter a state of antigen specific unresponsiveness or anergy. This invention is based, at least in part, on the discovery that signaling though a common cytokine receptor &ggr; chain (e.g., interleukin-
2
receptor, interleukin-4 receptor, interleukin-7 receptor) prevents the induction of T cell anergy. This &ggr; chain has been found to be associated with a JAK kinase having a molecular weight of about 116 kD (as determined by sodium dodecyl sulfate polyacrylamide gel electrophoresis) and signaling through the &ggr; chain induces phosphorylation of the JAK kinase.
Accordingly, one embodiment of this invention pertains to methods for stimulating proliferation by a T cell which expresses a cytokine receptor &ggr; chain and which has received a primary activation signal under conditions which normally result in unresponsiveness in the T cell (i.e., lack of costimulation). T cell unresponsiveness or anergy is prevented by contacting T cells with an agent which binds to the cytokine receptor &ggr; chain and stimulates an intracellular signal in the T cell resulting in T cell proliferation. Typically, the agent is an anti-&ggr; chain antibody capable of crosslinking the receptor or a soluble form of natural ligand which binds to the &ggr; chain, such as interleukin-4 or interleukin-7. Alternatively, T cells can be contacted with an agent which acts intracellularly to stimulate phosphorylation of the 116 kD JAK kinase. To induce an immune response against a pathogen, such as a virus, bacteria or parasite in vivo the pathogen or component thereof can be administered in conjunction with an agent which binds to the cytokine receptor &ggr; chain and stimulates an intracellular signal in the T cell. Similarly, tumor immunity can be can be induced in a tumor bearing host in vivo or ex vivo by contacting T cells of the subject in the presence of tumor cells expressing tumor antigens with a &ggr; chain stimulatory agent (e.g., a crosslinking anti-&ggr; chain antibody).
Another embodiment of the invention pertains to methods for inducing unresponsiveness to an antigen in a T cell which expresses a cytokine receptor &ggr; chain. T cells are contacted in vivo or ex vivo in the presence of an antigen with an agent which inhibits delivery of a signal through the cytokine receptor &ggr; chain resulting in T cell unresponsiveness to the antigen. Such agents can act extracellularly to inhibit delivery of a signal through the &ggr; chain, such as an inhibitory or blocking anti-&ggr; chain antibody or an agent which binds a natural ligand of the &ggr; chain to inhibit binding of the ligand to the 7 chain (e.g., an anti-interleukin-2 antibody, an anti-interleukin-4 antibody or an anti-interleukin-7 antibody). Alternatively, the agent can act intracellularly to inhibit delivery of a signal through the cytokine receptor &ggr; chain, such as an agent which inhibits association of the &ggr; chain with the 116 kD JAK kinase or inhibits phosphorylation of the &ggr; chain or the JAK kinase or both. Methods for inducing T cell unresponsiveness are particularly useful for inhibiting transplant rejection and graft-versus-host disease and for treating autoimmune diseases.
Method for identifying agents which stimula

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