Peptides and combination of peptides for use in immunotherapy against various tumors
11702460 · 2023-07-18
Assignee
Inventors
- Andrea Mahr (Tuebingen, DE)
- Toni Weinschenk (Aichwald, DE)
- Oliver Schoor (Tuebingen, DE)
- Jens Fritsche (Dusslingen, DE)
- Harpreet Singh (Munich, DE)
- Lea Stevermann (Tuebingen, DE)
Cpc classification
A61K31/519
HUMAN NECESSITIES
G01N33/566
PHYSICS
A61K31/675
HUMAN NECESSITIES
C07K2319/55
CHEMISTRY; METALLURGY
A61P43/00
HUMAN NECESSITIES
A61K2300/00
HUMAN NECESSITIES
G01N2333/47
PHYSICS
A61K31/519
HUMAN NECESSITIES
A61K45/06
HUMAN NECESSITIES
A61K39/001184
HUMAN NECESSITIES
A61K38/1774
HUMAN NECESSITIES
C12Q2600/106
CHEMISTRY; METALLURGY
C07K14/4748
CHEMISTRY; METALLURGY
C07K7/02
CHEMISTRY; METALLURGY
C07K2319/60
CHEMISTRY; METALLURGY
A61K31/4745
HUMAN NECESSITIES
C07K2319/40
CHEMISTRY; METALLURGY
A61K31/4745
HUMAN NECESSITIES
A61K2300/00
HUMAN NECESSITIES
A61P35/00
HUMAN NECESSITIES
A61K31/675
HUMAN NECESSITIES
A61K39/001102
HUMAN NECESSITIES
C07K2317/24
CHEMISTRY; METALLURGY
C12N5/0638
CHEMISTRY; METALLURGY
C07K2317/34
CHEMISTRY; METALLURGY
A61K2039/57
HUMAN NECESSITIES
C12N9/6491
CHEMISTRY; METALLURGY
International classification
C07K7/00
CHEMISTRY; METALLURGY
A61K39/00
HUMAN NECESSITIES
A61K45/06
HUMAN NECESSITIES
C07K14/00
CHEMISTRY; METALLURGY
C07K16/28
CHEMISTRY; METALLURGY
C07K7/02
CHEMISTRY; METALLURGY
G01N33/50
PHYSICS
G01N33/566
PHYSICS
Abstract
The present invention relates to peptides, proteins, nucleic acids and cells for use in immunotherapeutic methods. In particular, the present invention relates to the immunotherapy of cancer. The present invention furthermore relates to tumor-associated T-cell peptide epitopes, alone or in combination with other tumor-associated peptides that can for example serve as active pharmaceutical ingredients of vaccine compositions that stimulate anti-tumor immune responses, or to stimulate T cells ex vivo and transfer into patients. Peptides bound to molecules of the major histocompatibility complex (MHC), or peptides as such, can also be targets of antibodies, soluble T-cell receptors, and other binding molecules.
Claims
1. A peptide consisting of the amino acid sequence of SEQ ID NO: 169 in the form of a pharmaceutically acceptable salt.
2. The peptide according to claim 1, wherein the pharmaceutically acceptable salt is a chloride salt, acetate salt, or trifluoro-acetate salt.
3. A pharmaceutical composition comprising the peptide according to claim 1 and a pharmaceutically acceptable carrier.
4. The pharmaceutical composition according to claim 3, wherein the pharmaceutically acceptable carrier is selected from the group consisting of saline, Ringer's solution and dextrose solution.
5. The pharmaceutical composition according to claim 3, further comprising pharmaceutically acceptable excipients and/or stabilizers.
6. The pharmaceutical composition according to claim 5, wherein said pharmaceutically acceptable excipients are selected from the group consisting of buffers, binding agents, diluents, flavors, and lubricants.
7. The peptide of claim 2, wherein the pharmaceutically acceptable salt is the trifluro-acetate salt.
8. The peptide of claim 2, wherein the pharmaceutically acceptable salt is chloride salt.
9. A pharmaceutical composition comprising the peptide of claim 1 and an immune-enhancing amount of an adjuvant.
10. The pharmaceutical composition according to claim 9, wherein the adjuvant is selected from the group consisting of anti-CD40 antibody, imiquimod, resiquimod, GM-CSF, cyclophosphamide, sunitinib, bevacizumab, interferon-alpha, interferon-beta, CpG oligonucleotides and derivatives, poly-(I:C) and derivatives, RNA, sildenafil, particulate formulations with poly(lactide co-glycolide) (PLG), virosomes, interleukin (IL)-1, IL-2, IL-4, IL-7, IL-12, IL-13, IL-15, IL-21, and IL-23.
11. An acylated or pegylated peptide consisting of the amino acid sequence of SEQ ID NO: 169 or a pharmaceutically acceptable salt thereof.
12. The pharmaceutical composition of claim 10, wherein the adjuvant is IL-1.
13. The pharmaceutical composition of claim 10, wherein the adjuvant is IL-2.
14. The pharmaceutical composition of claim 10, wherein the adjuvant is IL-4.
15. The pharmaceutical composition of claim 10, wherein the adjuvant is IL-7.
16. The pharmaceutical composition of claim 10, wherein the adjuvant is IL-12.
17. The pharmaceutical composition of claim 10, wherein the adjuvant is IL-13.
18. The pharmaceutical composition of claim 10, wherein the adjuvant is IL-15.
19. The pharmaceutical composition of claim 10, wherein the adjuvant is IL-21.
20. The pharmaceutical composition of claim 10, wherein the adjuvant is IL-23.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
(1)
(2)
(3)
(4)
(5)
(6)
(7)
EXAMPLES
Example 1
(8) Identification and Quantitation of Tumor Associated Peptides Presented on the Cell Surface
(9) Tissue Samples
(10) Patients' tumor tissues were obtained from Asterand (Detroit, USA and Royston, Herts, UK); Val d'Hebron University Hospital (Barcelona); BioServe (Beltsville, Md., USA); Center for cancer immune therapy (CCIT), Herlev Hospital (Herlev); Geneticist Inc. (Glendale, Calif., USA); University Hospital of Geneva; University Hospital of Heidelberg; University Hospital of Munich; Kyoto Prefectural University of Medicine (KPUM); Osaka City University (OCU); ProteoGenex Inc., (Culver City, Calif., USA); University Hospital of Tubingen. Normal tissues were obtained from Bio-Options Inc., CA, USA; BioServe, Beltsville, Md., USA; Capital BioScience Inc., Rockville, Md., USA; Geneticist Inc., Glendale, Calif., USA; University Hospital of Geneva; University Hospital of Heidelberg; University Hospital Munich; ProteoGenex Inc., Culver City, Calif., USA; University Hospital of Tubingen. Written informed consents of all patients had been given before surgery or autopsy. Tissues were shock-frozen immediately after excision and stored until isolation of TUMAPs at −70° C. or below.
(11) Isolation of HLA Peptides from Tissue Samples
(12) HLA peptide pools from shock-frozen tissue samples were obtained by immune precipitation from solid tissues according to a slightly modified protocol (Falk et al., 1991; Seeger et al., 1999) using the HLA-A*02-specific antibody BB7.2, the HLA-A, -B, -C-specific antibody W6/32, CNBr-activated sepharose, acid treatment, and ultrafiltration.
(13) Mass Spectrometry Analyses
(14) The HLA peptide pools as obtained were separated according to their hydrophobicity by reversed-phase chromatography (nanoAcquity UPLC system, Waters) and the eluting peptides were analyzed in LTQ-velos and fusion hybrid mass spectrometers (ThermoElectron) equipped with an ESI source. Peptide pools were loaded directly onto the analytical fused-silica micro-capillary column (75 μm i.d.×250 mm) packed with 1.7 μm C18 reversed-phase material (Waters) applying a flow rate of 400 nL per minute. Subsequently, the peptides were separated using a two-step 180 minute-binary gradient from 10% to 33% B at a flow rate of 300 nL per minute. The gradient was composed of Solvent A (0.1% formic acid in water) and solvent B (0.1% formic acid in acetonitrile). A gold coated glass capillary (PicoTip, New Objective) was used for introduction into the nanoESI source. The LTQ-Orbitrap mass spectrometers were operated in the data-dependent mode using a TOP5 strategy. In brief, a scan cycle was initiated with a full scan of high mass accuracy in the Orbitrap (R=30 000), which was followed by MS/MS scans also in the Orbitrap (R=7500) on the 5 most abundant precursor ions with dynamic exclusion of previously selected ions. Tandem mass spectra were interpreted by SEQUEST and additional manual control. The identified peptide sequence was assured by comparison of the generated natural peptide fragmentation pattern with the fragmentation pattern of a synthetic sequence-identical reference peptide.
(15) Label-free relative LC-MS quantitation was performed by ion counting i.e. by extraction and analysis of LC-MS features (Mueller et al., 2007). The method assumes that the peptide's LC-MS signal area correlates with its abundance in the sample. Extracted features were further processed by charge state deconvolution and retention time alignment (Mueller et al., 2008; Sturm et al., 2008). Finally, all LC-MS features were cross-referenced with the sequence identification results to combine quantitative data of different samples and tissues to peptide presentation profiles. The quantitative data were normalized in a two-tier fashion according to central tendency to account for variation within technical and biological replicates. Thus each identified peptide can be associated with quantitative data allowing relative quantification between samples and tissues. In addition, all quantitative data acquired for peptide candidates was inspected manually to assure data consistency and to verify the accuracy of the automated analysis. For each peptide a presentation profile was calculated showing the mean sample presentation as well as replicate variations. The profiles juxtapose cancer samples to a baseline of normal tissue samples. Presentation profiles of exemplary over-presented peptides are shown in
(16)
(17) TABLE-US-00006 TABLE 4 Overview of presentation of selected peptides across entities. A peptide was considered interesting in an entity if it was over-presented on cancer samples of this entity compared to normal tissues. MEL = melanoma, BRCA = breast cancer, OSCAR = esophageal carcinoma. BPH includes benign prostate hyperplasia as well as pancreatic cancer. SEQ ID NO. Sequence Entities of particular interest 1 KLQEKIQEL GB, GC, NSCLC, HCC, OC, RCC, CRC, PC, OSCAR 2 SVLEKEIYSI NSCLC, HCC, BPH, OC, CRC, PC 3 RVIDDSLVVGV NSCLC, HCC, OC, MEL, CRC, PC, OSCAR 4 VLFGELPAL GB, NSCLC, BRCA, RCC, PC, OC, PC 5 GLVDIMVHL NSCLC, RCC, OC 7 ALLQALMEL GC, NSCLC, RCC, CRC, PC 8 ALSSSQAEV GB, NSCLC, OC, CRC, PC 9 SLITGQDLLSV NSCLC, BPH, OC, MEL, PC, OSCAR 10 QLIEKNWLL NSCLC, OC, CRC, PC, HCC, CLL, OSCAR 11 LLDPKTIFL NSCLC, HCC, RCC, CRC 12 RLLDPKTIFL NSCLC, RCC 13 RLHDENILL GB, GC, NSCLC, HCC, BPH, OC, RCC, CRC, PC, OSCAR 14 YTFSGDVQL GC, NSCLC, CRC, PC, OSCAR 15 GLPSATTTV GC, NSCLC, OC, PC 16 SLADLSLLL NSCLC, HCC, PC 17 GLLPSAESIKL NSCLC, BPH, OC, OSCAR 18 KTASINQNV NSCLC, CRC, PC, OSCAR, OC 19 KVFELDLVTL GC, NSCLC, CRC, OSCAR 21 YLMDDFSSL PC, NSCLC 22 LMYPYIYHV GB, NSCLC, OC, OSCAR 23 ALLSPLSLA PC 24 KVWSDVTPL PC, NSCLC 25 LLWGHPRVALA CRC, PC, NSCLC 26 VLDGKVAVV HCC, MEL, OC, GB, GC, NSCLC 27 GLLGKVTSV NSCLC, BRCA 29 KMISAIPTL NSCLC, OC 34 TLNTLDINL OC, PC 35 VIIKGLEEI GC, NSCLC, OSCAR 36 TVLQELINV NSCLC, PC, OSCAR 37 QIVELIEKI GC, NSCLC, OSCAR 39 YLEDGFAYV GB, NSCLC, HCC, PC 40 KIWEELSVLEV GC, NSCLC, HCC, MEL 43 LLIPFTIFM NSCLC, MEL, CRC, OC 44 AVFNLVHVV GC, NSCLC, PC 46 ISLDEVAVSL GB, NSCLC, HCC, OC 47 GLNGFNVLL PC, OSCAR 48 KISDFGLATV GB, NSCLC, PC, OSCAR 49 KLIGNIHGNEV GB, NSCLC, OC 50 ILLSVLHQL NSCLC, CRC 51 LDSEALLTL GB, NSCLC, HCC 52 TIGIPFPNV NSCLC, PC, OC 53 AQHLSTLLL GC, NSCLC 54 YLVPGLVAA NSCLC, OC 55 HLFDKIIKI GC, CRC 56 VLQENSSDYQSNL NSCLC, HCC 57 TLYPGRFDYV NSCLC, PC 58 HLLGEGAFAQV NSCLC, PC 59 ALADGIKSFLL NSCLC, PC 60 YLFSQGLQGL NSCLC, PC 61 ALYPKEITL NSCLC, CRC 63 KLLPMVIQL NSCLC, PC 65 SLSEKSPEV NSCLC, OC, OSCAR, MEL 66 AMFPDTIPRV NSCLC, OC 67 FLIENLLAA GB, NSCLC 68 QLMNLIRSV HCC, PC 69 LKVLKADVVL GC, NSCLC 70 GLTEKTVLV NSCLC, PC 71 HMSGKLTNV NSCLC, PC 73 SVPKTLGV GB, RCC 74 GLAFLPASV GC, CRC 76 FTAEFLEKV NSCLC, PC, GB, OSCAR 77 ALYGNVQQV NSCLC, OC 82 ILAEEPIYIRV NSCLC, PC, OSCAR, OC 83 GLLENSPHL NSCLC, OC 84 FLLEREQLL NSCLC, MEL, RCC, CRC, PC 85 KLLDKPEQFL NSCLC, OC, MEL, CRC 86 SLFSNIESV NSCLC, BPH, CRC 88 LLLPLELSLA GB, NSCLC, PC 89 SLAETIFIV GC, NSCLC, OC 92 RLFEEVLGV NSCLC, HCC, OC, OC 93 RLYGYFHDA NSCLC, PC 94 YLDEVAFML NSCLC, HCC, OC 95 KLIDEDEPLFL NSCLC, OC 96 ALDTTRHEL NSCLC, PC 97 KLFEKSTGL NSCLC, CRC 98 FVQEKIPEL GC, CRC 100 ALQSFEFRV OC, RCC 101 SLLEVNEASSV GC, CLL 102 GLYPVTLVGV BPH, OC 114 LLFPSDVQTL PC, OSCAR 116 ALLSSVAEA NSCLC, OSCAR, OC 117 TLLEGISRA NSCLC, OC 134 SLYKSFLQL NSCLC, OSCAR, OC 137 KLIYKDLVSV NSCLC, OC, PC 146 VVAAHLAGA NSCLC, OSCAR, OC 158 YLDPLWHQL PC, OC 165 SLLDYEVSI NSCLC, OSCAR, OC 166 LLGDSSFFL NSCLC, HCC, OSCAR, OC, PC 170 FIAAVVEKV NSCLC, OC 175 SLLDLVQSL PC, OC 176 VQSGLRILL NSCLC, OSCAR 184 ALDSTIAHL NSCLC, OC 191 AAIEIFEKV NSCLC, OSCAR, OC 203 FLFVDPELV NSCLC, GC, OC 229 YLYELEHAL NSCLC, OC 233 SLFESLEYL NSCLC, OSCAR, OC 234 VLLNEILEQV GC, NSCLC, HCC, OC, MEL, RCC, CRC, PC, OSCAR 235 SLLNQPKAV GB, NSCLC, HCC, OC, MEL, CRC, PC, OSCAR 236 KMSELQTYV GB, NSCLC, HCC, OC, MEL, CRC, PC 237 ALLEQTGDMSL NSCLC, OC, MEL, CRC 239 VIIKGLEEITV GC, NSCLC, HCC, OC, MEL, CRC, PC 241 KQFEGTVEI NSCLC, MCC, OC, CRC, PC, OSCAR 242 KLQEEIPVL GB, NSCLC, CRC 243 GLAEFQENV GB, NSCLC, HCC, OC, CRC, PC, OSCAR 244 NVAEIVIHI GC, NSCLC 246 ALAGIVTNV NSCLC, HCC, OC, MEL, RCC 247 NLLIDDKGTIKL NSCLC, HCC, MEL, CRC, PC 248 VLMQDSRLYL NSCLC, CRC, PC 251 LLWGNLPEI NSCLC, MEL, CRC, PC, OC 252 SLMEKNQSL NSCLC, OC, CRC, OSCAR, RCC 253 KLLAVIHEL NSCLC, RCC, CRC, PC, OSCAR, OC 254 ALGDKFLLRV NSCLC, HCC, MEL, OC 255 FLMKNSDLYGA NSCLC, HCC, MEL, PC, OSCAR 256 FLNDIFERI NSCLC, HCC, CLL, OC 257 KLIDHQGLYL NSCLC, OC, CRC, OSCAR 258 QLVQRVASV NSCLC, OC 259 GPGIFPPPPPQP NSCLC, BPH, OSCAR, OC 260 ALNESLVEC NSCLC, MEL, OSCAR, OC 261 GLAALAVHL NSCLC, OC, MEL, CRC, PC, OSCAR 262 LLLEAVWHL NSCLC, CRC 263 SIIEYLPTL NSCLC, MEL, PC 264 TLHDQVHLL NSCLC, BPH, OC 265 FLLDKPQDLSI NSCLC, OC, RCC 266 FLLDKPQDL RCC, OC 267 YLLDMPLWYL NSCLC, RCC, CRC, OC, MEL 269 GLLDCPIFL NSCLC, CRC, OSCAR, OC 270 TLLTFFHEL GB, PC 271 VLIEYNFSI NSCLC, OC 272 FVMEGEPPKL NSCLC, OC 273 SLNKQIETV NSCLC, OC 274 TLYNPERTITV NSCLC, PC, HCC 277 KLQEELNKV HCC, OC 281 LLLESDPKVYSL PC, OC 284 KLMDPGSLPPL NSCLC, OC 287 KIQEILTQV GB, GC, NSCLC, HCC, CLL, OC, MEL, RCC, CRC, PC, OSCAR 288 SLYKGLLSV GB, NSCLC, HCC, BPH, OC, RCC, CRC, PC, OSCAR
(18) TABLE-US-00007 TABLE 4B Overview of presentation of selected peptides across entities. GB = glioblastoma, BRCA = breast cancer, CRC = colorectal cancer, RCC = renal cell carcinoma, CLL = chronic lymphocytic leukemia, HCC = hepatocellular carcinoma, NSCLC = non-small cell lung cancer, SCLC = small cell lung cancer, NHL = non-Hodgkin lymphoma, AML = acute myeloid leukemia, OC = ovarian cancer, PC = pancreatic cancer, BPH = prostate cancer and benign prostate hyperplasia, OSCAR = esophageal cancer, including cancer of the gastric-oesophageal junction, GBC_CCC = gallbladder adenocarcinoma and cholangiocarcinoma, MEL = melanoma, GC = gastric cancer, UBC = urinary bladder cancer, UTC = uterine cancer. SEQ ID NO. Sequence Additional entities of particular interest 1 KLQEKIQEL MEL, AML, NHL 2 SVLEKEIYSI GC, CLL, OSCAR, SCLC, UBC, UTC, BRCA, GBC_CCC, MEL, AML, NHL 3 RVIDDSLVVGV UBC 4 VLFGELPAL SCLC, UBC, UTC 5 GLVDIMVHL SCLC, UBC, BRCA, MEL, PC 6 FLNAIETAL RCC 7 ALLQALMEL CLL, OSCAR, OC, SCLC, UTC, BRCA, GBC_CCC, MEL, AML, NHL 8 ALSSSQAEV BPH, OSCAR, SCLC, UBC, UTC, BRCA, GBC_CCC, MEL, AML, NHL 9 SLITGQDLLSV SCLC, UBC, UTC, BRCA, GBC_CCC 10 QLIEKNWLL SCLC, UBC, UTC, BRCA, GBC_CCC, MEL, AML, NHL 11 LLDPKTIFL GBC_CCC 13 RLHDENILL SCLC, UBC, UTC, BRCA, MEL, AML, NHL 14 YTFSGDVQL SCLC, UBC, UTC, GBC_CCC, MEL 15 GLPSATTTV UBC, UTC, MEL 16 SLADLSLLL GB, GC, BPH, CLL, OSCAR, OC, SCLC, UBC, UTC, BRCA, GBC_CCC, MEL, RCC, CRC, AML, NHL 17 GLLPSAESIKL UBC 18 KTASINQNV SCLC, UBC, UTC, MEL 19 KVFELDLVTL AML, NHL 21 YLMDDFSSL OSCAR, OC, SCLC, UBC, BRCA, GBC_CCC, MEL, AML, NHL 22 LMYPYIYHV HCC, CLL, SCLC, UBC, BRCA, GBC_CCC, MEL, CRC, NHL 24 KVWSDVTPL BRCA 26 VLDGKVAVV CLL, UTC, NHL 27 GLLGKVTSV SCLC, UBC 28 IKVTDPQLLEL NSCLC, MEL 29 KMISAIPTL UTC 30 IITEVITRL OC, UTC 31 GLLETTGLLAT OC 33 TLDRNSLYV OC, UTC 34 TLNTLDINL UTC 35 VIIKGLEEI OC 36 TVLQELINV UBC, UTC, MEL, CRC, AML, NHL 38 VLQQESNFL AML 39 YLEDGFAYV CLL, UBC, UTC, MEL, NHL 40 KIWEELSVLEV SCLC, UBC 41 IVTEIISEI CLL, SCLC, UTC, GBC_CCC, AML, NHL 43 LLIPFTIFM SCLC, GBC_CCC, NHL 46 ISLDEVAVSL BRCA 47 GLNGFNVLL SCLC, UTC, GBC_CCC, MEL, CRC, AML, NHL 48 KISDFGLATV OC, MEL 51 LDSEALLTL BRCA 52 TIGIPFPNV MEL, NHL 53 AQHLSTLLL SCLC, GBC_CCC 56 VLQENSSDYQSNL UTC 57 TLYPGRFDYV OSCAR, UBC 59 ALADGIKSFLL BRCA, MEL 64 SLYAGSNNQV NSCLC 65 SLSEKSPEV HCC, SCLC, UBC, UTC, BRCA, NHL 67 FLIENLLAA UTC 68 QLMNLIRSV UBC, AML 70 GLTEKTVLV CRC, AML, NHL 75 ALLDGALQL GC, CRC 76 FTAEFLEKV UBC, MEL, AML, NHL 77 ALYGNVQQV BRCA, NHL 78 LFQSRIAGV BPH 80 VLTGQVHEL GB 83 GLLENSPHL BRCA, MEL, AML, NHL 84 FLLEREQLL CLL, UBC, UTC, BRCA, AML, NHL 85 KLLDKPEQFL NHL 86 SLFSNIESV SCLC, BRCA, GBC_CCC 87 KLLSLLEEA NSCLC, BPH 89 SLAETIFIV SCLC, GBC_CCC, RCC, NHL 90 AILNVDEKNQV OC 91 LLPSIFLMV OC 92 RLFEEVLGV OSCAR, SCLC, UBC, BRCA, AML 94 YLDEVAFML UBC, BRCA, GBC_CCC 95 KLIDEDEPLFL SCLC, UTC, GBC_CCC 96 ALDTTRHEL OSCAR, UBC, UTC 98 FVQEKIPEL GBC_CCC 99 TLFGIQLTEA GC, GBC_CCC 101 SLLEVNEASSV NHL 102 GLYPVTLVGV SCLC, BRCA, AML 103 YLADTVQKL NSCLC 104 DLPTQEPALGTT BPH 106 VLLGSVVIFA BPH 108 FIANLPPELKA BPH 109 ILGSFELQL BPH 110 QIQGQVSEV BPH 112 ILAQDVAQL MEL, AML, NHL 113 FLFLKEVKV CRC 116 ALLSSVAEA SCLC, BRCA, CRC 117 TLLEGISRA BRCA 118 IAYNPNGNAL NSCLC, CLL, AML 119 SLIEESEEL OC, UTC 121 ALYVQAPTV NSCLC, UTC, NHL 122 SIIDTELKV AML 124 ALLLRLFTI NSCLC 128 SILTNISEV NSCLC 129 KMASKVTQV HCC 130 QLYGSAITL HCC 132 ALLNNVIEV HCC, BRCA 133 FLDGRPLTL UTC, MEL 135 HLDTVKIEV GB 136 LLWDAPAKC CRC 139 IILENIQSL UBC, BRCA, AML 140 FLDSQITTV MEL 142 LLDAAHASI NSCLC 143 MLWESIMRV NSCLC, UTC 144 FLISQTPLL NSCLC, SCLC, UBC 145 ALEEKLENV NSCLC 146 VVAAHLAGA GC, MEL 147 GLLSALENV CLL, NHL 148 YLILSSHQL CLL, NHL 150 VLLDMVHSL HCC, UTC 151 DISKRIQSL NSCLC 152 ILVTSIFFL CLL, NHL 153 KLVELEHTL GC, NSCLC, OSCAR 154 AIIKEIQTV GB, NSCLC, HCC, UBC, MEL 155 TLDSYLKAV OC, BRCA 156 VILTSSPFL CLL, BRCA, AML, NHL 157 ILQDGQFLV HCC, UBC 158 YLDPLWHQL CLL, MEL, NHL 159 QLGPVPVTI UBC, RCC, NHL 160 TLQEWLTEV NSCLC, GBC_CCC 161 NLLDENVCL CRC 162 GLLGNLLTSL NSCLC 163 GLEERLYTA NSCLC, CLL, AML, NHL 164 MLIIRVPSV NSCLC 165 SLLDYEVSI GBC_CCC 166 LLGDSSFFL CLL, UBC, UTC, BRCA, GBC_CCC, MEL, AML 167 LVVDEGSLVSV OC, SCLC 168 VIFEGEPMYL NSCLC, BRCA, NHL 169 ALADLSVAV NSCLC, HCC, OSCAR, OC, UBC, UTC, GBC_CCC, MEL, AML 170 FIAAVVEKV SCLC, NHL 171 LLLLDVPTA NSCLC, UTC, BRCA, CRC, NHL 172 SLYLQMNSLRTE NSCLC 173 RLIDIYKNV OC 174 ALYSGDLHAA HCC 175 SLLDLVQSL BRCA, AML, NHL 177 ALINVLNAL AML 179 TLGEIIKGV NSCLC 180 RLYEEEIRI NSCLC 181 LLWAPTAQA GB, NSCLC, RCC, CRC 182 GLQDGFQITV GC 183 ALSYILPYL NSCLC, SCLC, UTC, BRCA, CRC, AML, NHL 184 ALDSTIAHL UTC, MEL 185 TLYQGLPAEV GC, NSCLC, HCC, OSCAR, OC, UBC, UTC, BRCA, RCC, CRC 186 SLLSLESRL GC 187 SILKEDPFL NSCLC 188 VLGEEQEGV NSCLC 189 MAVSDLLIL GB 190 SLSTELFKV HCC 192 TLLPSSGLVTL BRCA 193 ALFHMNILL NSCLC 194 KLLEEVQLL NSCLC 195 VIIQNLPAL CRC 196 TLHOWIYYL CRC 198 ILTNKVVSV OC 199 SVADLAHVL GC 200 IMPTFDLTKV HCC 201 LLFSLLCEA BPH 203 FLFVDPELV CRC, AML, NHL 204 SEWGSPHAAVP PC 205 LAFGYDDEL HCC 206 GLDAFRIFL CRC 207 KLFETVEEL GB 208 HLNNDRNPL BPH 210 GLAGDNIYL RCC 211 LLTTVLINA RCC 212 MTLSEIHAV CRC 213 ILAVDGVLSV NSCLC, BRCA, MEL 214 ALFETLIQL HCC 215 QIADIVTSV HCC 216 ALSTVTPRI HCC 217 LLWPSSVPA GB, MEL, AML 220 ALSELERVL BPH, UTC 221 IMLNSVEEI BPH, NHL 222 LLTGVFAQL CLL, UTC, BRCA, CRC, NHL 223 ALHPVQFYL OC, CRC 224 LLFDWSGTGRADA GBC_CCC 225 FLPQPVPLSV CLL, MEL, NHL 226 SLAGNLQEL GB 227 SEMEELPSV HCC 228 SLLELDGINLRL NSCLC 230 KLLNMIFSI BPH 231 LLDDIFIRL MEL 233 SLFESLEYL UTC, RCC 234 VLLNEILEQV CLL, SCLC, UBC, UTC, BRCA, AML, NHL 235 SLLNQPKAV SCLC, UBC, UTC, BRCA, GBC_CCC, AML, NHL 236 KMSELQTYV GC, BPH, CLL, OSCAR, SCLC, UBC, UTC, BRCA, GBC_CCC, RCC, AML, NHL 237 ALLEQTGDMSL SCLC, UBC, BRCA, AML, NHL 238 HLQEKLQSL HCC 239 VIIKGLEEITV CLL, SCLC, UBC, UTC, AML, NHL 240 SVQENIQQK RCC, NHL 241 KQFEGTVEI CLL, NHL 242 KLQEEIPVL BRCA, MEL, NHL 243 GLAEFQENV CLL, SCLC, UBC, UTC, BRCA, GBC_CCC, MEL, AML, NHL 244 NVAEIVIHI GB 245 ALLEEEEGV NSCLC, UBC, GBC_CCC 246 ALAGIVTNV GB, CLL, SCLC, BRCA, GBC_CCC, AML 248 VLMQDSRLYL CLL, UBC, UTC, AML, NHL 251 LLWGNLPEI CLL, SCLC, UTC, GBC_CCC, AML, NHL 252 SLMEKNQSL AML 253 KLLAVIHEL UBC, BRCA, GBC_CCC, MEL, AML, NHL 254 ALGDKFLLRV NHL 255 FLMKNSDLYGA UBC, UTC, GBC_CCC, AML, NHL 256 FLNDIFERI UTC, MEL, AML, NHL 258 QLVQRVASV UBC, NHL 260 ALNESLVEC SCLC, UBC, UTC, CRC, AML, NHL 261 GLAALAVHL GC, CLL, SCLC, UBC, UTC, BRCA, GBC_CCC, AML, NHL 262 LLLEAVWHL BRCA, NHL 263 SIIEYLPTL CLL, OSCAR, OC, SCLC, UBC, GBC_CCC, AML, NHL 264 TLHDQVHLL UTC, BRCA, GBC_CCC, MEL 265 FLLDKPQDLSI GBC_CCC 267 YLLDMPLWYL AML, NHL 269 GLLDCPIFL CLL, UTC, AML, NHL 270 TLLTFFHEL UTC, GBC_CCC, AML, NHL 271 VLIEYNFSI CLL, SCLC, MEL, AML, NHL 272 FVMEGEPPKL CLL, UTC 273 SLNKQIETV AML 275 AVPPPPSSV NSCLC, HCC 276 RMPTVLQCV BPH 277 KLQEELNKV NSCLC, OSCAR, UBC, BRCA, NHL 279 VLMDEGAVLTL CLL, CRC, NHL 280 HLWGHALFL HCC 281 LLLESDPKVYSL OSCAR, SCLC 282 SLYALHVKA OC, SCLC 283 ALSELLQQV NSCLC, HCC, OC, SCLC, UTC, MEL, CRC, AML, NHL 285 MLLDTVQKV NSCLC 286 FLTEMVHFI NSCLC, CLL, SCLC, UBC, NHL
Example 2
(19) Expression Profiling of Genes Encoding the Peptides of the Invention
(20) Over-presentation or specific presentation of a peptide on tumor cells compared to normal cells is sufficient for its usefulness in immunotherapy, and some peptides are tumor-specific despite their source protein occurring also in normal tissues. Still, mRNA expression profiling adds an additional level of safety in selection of peptide targets for immunotherapies. Especially for therapeutic options with high safety risks, such as affinity-matured TCRs, the ideal target peptide will be derived from a protein that is unique to the tumor and not found on normal tissues. For this invention, normal tissue expression of all source genes was shown to be minimal based on the above-described database of RNA expression data covering about 3000 normal tissue samples. Further RNA analyses of normal and tumor tissues were added in case of some cancer entities (HCC, CRC, GB, GC, NSCLC, PC, RCC, BPH/PCA) to estimate the target coverage in the population of patients having the respective cancer.
(21) RNA Sources and Preparation
(22) Surgically removed tissue specimens were provided as indicated above (see Example 1) after written informed consent had been obtained from each patient. Tumor tissue specimens were snap-frozen immediately after surgery and later homogenized with mortar and pestle under liquid nitrogen. Total RNA was prepared from these samples using TRI Reagent (Ambion, Darmstadt, Germany) followed by a cleanup with RNeasy (QIAGEN, Hilden, Germany); both methods were performed according to the manufacturer's protocol.
(23) Total RNA from healthy human tissues was obtained commercially (Ambion, Huntingdon, UK; Clontech, Heidelberg, Germany; Stratagene, Amsterdam, Netherlands; BioChain, Hayward, Calif., USA). The RNA from several individuals (between 2 and 123 individuals) was mixed such that RNA from each individual was equally weighted. Quality and quantity of all RNA samples were assessed on an Agilent 2100 Bioanalyzer (Agilent, Waldbronn, Germany) using the RNA 6000 Pico LabChip Kit (Agilent).
(24) Total RNA from healthy human tissues for RNASeq experiments was obtained from: Asterand (Detroit, Mich., USA & Royston, Herts, UK), BioCat GmbH (Heidelberg, Germany), BioServe (Beltsville, Md., USA), Capital BioScience Inc. (Rockville, Md., USA), Geneticist Inc. (Glendale, Calif., USA), Istituto Nazionale Tumori “Pascale” (Naples, Italy), ProteoGenex Inc. (Culver City, Calif., USA), University Hospital Heidelberg (Heidelberg, Germany)
(25) Total RNA from tumor tissues for RNASeq experiments was obtained from: Asterand (Detroit, Mich., USA & Royston, Herts, UK), Bio-Options Inc. (Brea, Calif., USA), BioServe (Beltsville, Md., USA), Geneticist Inc. (Glendale, Calif., USA), ProteoGenex Inc. (Culver City, Calif., USA), Tissue Solutions Ltd (Glasgow, UK), University Hospital Bonn (Bonn, Germany), University Hospital Heidelberg (Heidelberg, Germany), University Hospital Tubingen (Tubingen, Germany)
(26) Microarray Experiments
(27) Coverage was estimated by analysis of RNA expression profiles (Affymetrix microarrays) of 30 GB, 16 CRC, 56 RCC, 12 HCC, 38 NSCLC, 11 PC, 34 GC, and 20 prostate cancer samples.
(28) Gene expression analysis of all tumor and normal tissue RNA samples was performed by Affymetrix Human Genome (HG) U133A or HG-U133 Plus 2.0 oligonucleotide microarrays (Affymetrix, Santa Clara, Calif., USA). All steps were carried out according to the Affymetrix manual. Briefly, double-stranded cDNA was synthesized from 5-8 μg of total RNA, using SuperScript RTII (Invitrogen) and the oligo-dT-T7 primer (MWG Biotech, Ebersberg, Germany) as described in the manual. In vitro transcription was performed with the BioArray High Yield RNA Transcript Labelling Kit (ENZO Diagnostics, Inc., Farmingdale, N.Y., USA) for the U133A arrays or with the GeneChip IVT Labelling Kit (Affymetrix) for the U133 Plus 2.0 arrays, followed by cRNA fragmentation, hybridization, and staining with streptavidin-phycoerythrin and biotinylated anti-streptavidin antibody (Molecular Probes, Leiden, Netherlands). Images were scanned with the Agilent 2500A GeneArray Scanner (U133A) or the Affymetrix Gene-Chip Scanner 3000 (U133 Plus 2.0), and data were analyzed with the GCOS software (Affymetrix), using default settings for all parameters. For normalization, 100 housekeeping genes provided by Affymetrix were used. Relative expression values were calculated from the signal log ratios given by the software and the normal kidney sample was arbitrarily set to 1.0. Exemplary expression profiles of source genes of the present invention that are highly over-expressed or exclusively expressed in HCC, CRC, GB, GC, NSCLC, PC, RCC, or BPH/PCA are shown in
(29) TABLE-US-00008 TABLE 5A Target coverage for source genes of selected peptides. Over-expression was defined as more than 1.5-fold higher expression on a tumor compared to the relevant normal tissue that showed highest expression of the gene. <19% over-expression = I, 20-49% = II, 50-69% = III, >70% = IV. If a peptide could be derived from several source genes, the gene with minimal coverage was decisive. SEQ BPH/ ID GB CRC RCC HCC NSCLC PC PCA GC Official gene NO. Sequence (%) (%) (%) (%) (%) (%) (%) (%) Gene ID symbol 116 ALLSSVAEA I II I I II I I I 9048 ARTN 263 SIIEYLPTL I II I I I I I I 79915 ATAD5 93 RLYGYFHDA II III I II II II I III 6790 AURKA 27 GLLGKVTSV I I I I II I I I 51297 BPIFA1 28 IKVTDPQLLEL I I I I II I I I 51297 BPIFA1 62 SLVENIHVL II III II I III III I III 675 BRCA2 241 KQFEGTVEI II III II I III III I III 675 BRCA2 52 TIGIPFPNV III I I II II I I II 83990 BRIP1 58 HLLGEGAFAQV III III I I III II I III 699 BUB1 117 TLLEGISRA I I I I II II I I 26256 CABYR 94 YLDEVAFML I I I I I II I I 1238 CCBP2 103 YLADTVQKL II I I I I I I I 100526761, CCDC169- 54937 SOHLH2, SOHLH2 79 TVLEEIGNRV II IV I I II I I II 9133 CCNB2 247 NLLIDDKGTIKL IV IV II II IV III I IV 983 CDK1 248 VLMQDSRLYL IV IV II II IV III I IV 983 CDK1 249 YLYQILQGI IV IV II II IV III I IV 983 CDK1 250 LMQDSRLYL IV IV II II IV III I IV 983 CDK1 1 KLQEKIQEL III II I I II I I II 1062 CENPE 242 KLQEEIPVL III II I I II I I II 1062 CENPE 19 KVFELDLVTL IV III I I I I I I 1063 CENPF 20 ALVEKGEFAL IV III I I I I I I 1063 CENPF 236 KMSELQTYV IV III I I I I I I 1063 CENPF 237 ALLEQTGDMSL IV III I I I I I I 1063 CENPF 238 HLQEKLQSL IV III I I I I I I 1063 CENPF 60 YLFSQGLQGL III IV I III III II I III 2491 CENPI 260 ALNESLVEC I III I I II I I II 55165 CEP55 48 KISDFGLATV IV IV II II IV II I IV 1111 CHEK1 49 KLIGNIHGNEV I I I I I II I I 8532 CPZ 50 ILLSVLHQL I I I I I II I I 8532 CPZ 284 KLMDPGSLPPL I IV I I II I I II 2118 ETV4 261 GLAALAVHL I III I II II I I I 2175 FANCA 262 LLLEAVWHL I III I II II I I I 2175 FANCA 270 TLLTFFHEL II III I I II I I II 55215 FANCI 271 VLIEYNFSI II III I I II I I II 55215 FANCI 11 LLDPKTIFL I I II I I I I I 26762 HAVCR1 12 RLLDPKTIFL I I II I I I I I 26762 HAVCR1 111 AQLEGKLVSI I III I I II I I III 3161 HMMR 277 KLQEELNKV I III I I II I I III 3161 HMMR 67 FLIENLLAA I I I II I I I I 3166 HMX1 56 VLQENSSDYQS II III I I I I I I 3188 HNRNPH2 NL 89 SLAETIFIV I I I I II I I I 3359 HTR3A 90 AILNVDEKNQV I I I I II I I I 3359 HTR3A 91 LLPSIFLMV I I I I II I I I 3359 HTR3A 287 KIQEILTQV IV II II III IV IV I II 10643 IGF2BP3 97 KLFEKSTGL IV IV II II I II III II 23421 ITGB3BP 35 VIIKGLEEI I II I I I I I I 3832 KIF11 36 TVLQELINV I II I I I I I I 3832 KIF11 37 QIVELIEKI I II I I I I I I 3832 KIF11 239 VIIKGLEEITV I II I I I I I I 3832 KIF11 240 SVQENIQQK I II I I I I I I 3832 KIF11 10 QLIEKNWLL IV IV I II III II I IV 56992 KIF15 112 ILAQDVAQL III IV I I II II I III 24137 KIF4A 70 GLTEKTVLV III IV I I II II I III 24, KIF4A, KIF4B 137, 285, 643 252 SLMEKNQSL III IV I I II II I III 24, KIF4A, KIF4B 137, 285, 643 104 DLPTQEPALGTT I I I I I I IV I 354 KLK3 118 IAYNPNGNAL I I I I I II I I 3824 KLRD1 113 FLFLKEVKV I II I I I I I I 54596 L1TD1 279 VLMDEGAVLTL I II I I I I I I 54596 L1TD1 119 SLIEESEEL I II I I I I I I 284217 LAMA1 105 AMLASQTEA II I I II I IV I I 4295 MLN 106 VLLGSVVIFA I I I I I I IV II 4477 MSMB 29 KMISAIPTL I I I I III II II I 94025 MUC16 30 IITEVITRL I I I I III II II I 94025 MUC16 31 GLLETTGLLAT I I I I III II II I 94025 MUC16 32 VVMVLVLML I I I I III II II I 94025 MUC16 33 TLDRNSLYV I I I I III II II I 94025 MUC16 34 TLNTLDINL I I I I III II II I 94025 MUC16 41 IVTEIISEI III IV I I III I I III 64151 NCAPG 42 KQMSISTGL III IV I I III I I III 64151 NCAPG 234 VLLNEILEQV III IV I I III I I III 64151 NCAPG 285 MLLDTVQKV I II I I I I I I 54892 NCAPG2 114 LLFPSDVQTL II III I I III I I III 23397 NCAPH 107 RVLPGQAVTGV I III I I I I I I 55247 NEIL3 81 ILAEEPIYI I I I I II II II II 55655 NLRP2 82 ILAEEPIYIRV I I I I II II II II 55655 NLRP2 115 ILHGEVNKV I II I I I I I I 54830 NUP62CL 39 YLEDGFAYV II IV I I III II IV IV 5558 PRIM2 83 GLLENSPHL III II II II I III I II 25788 RAD54B 253 KLLAVIHEL III II II II I III I II 25788 RAD54B 288 SLYKGLLSV III II II II I III I II 25788 RAD54B 108 FIANLPPELKA I II I I I I IV I 6013 RLN1 13 RLHDENILL III II II I I I I I 23322 RPGRIP1L 120 LQLJPLKGLSL II IV I II III II I III 6241 RRM2 76 FTAEFLEKV III I I I I II I I 79801 SHCBP1 255 FLMKNSDLYGA III I I I I II I I 79801 SHCBP1 74 GLAFLPASV I II I I I I I I 6570 SLC18A1 75 ALLDGALQL I II I I I I I I 6570 SLC18A1 243 GLAEFQENV II I I I II II I II 57405 SPC25 281 LLLESDPKVYSL I III I I I I I I 6491 STIL 109 ILGSFELQL I I I I I I IV I 7047 TGM4 110 QIQGQVSEV I I I I I I IV I 7047 TGM4 267 YLLDMPLWYL IV IV II II IV III I IV 7153 TOP2A 268 SLDKDIVAL IV IV II II IV III I IV 7153 TOP2A 121 ALYVQAPTV IV IV II II IV IV I IV 9319 TRIP13 122 SIIDTELKV IV IV II II IV IV I IV 9319 TRIP13 123 QTAPEEAFIKL IV II III III III II IV III 15, TTC30B, TTC30A 073, 792, 104 124 ALLLRLFTI III IV II II IV IV I IV 11169 WDHD1 125 AALEVLAEV I III I I I I I I 11130 ZWINT 126 QLREAFEQL I III I I I I I I 11130 ZWINT
(30) RNAseq Experiments
(31) Gene expression analysis of—tumor and normal tissue RNA samples was performed by next generation sequencing (RNAseq) by CeGaT (Tubingen, Germany). Briefly, sequencing libraries are prepared using the IIIumina HiSeq v4 reagent kit according to the provider's protocol (IIIumina Inc., San Diego, Calif., USA), which includes RNA fragmentation, cDNA conversion and addition of sequencing adaptors. Libraries derived from multiple samples are mixed equimolarly and sequenced on the IIIumina HiSeq 2500 sequencer according to the manufacturer's instructions, generating 50 bp single end reads. Processed reads are mapped to the human genome (GRCh38) using the STAR software. Expression data are provided on transcript level as RPKM (Reads Per Kilobase per Million mapped reads, generated by the software Cufflinks) and on exon level (total reads, generated by the software Bedtools), based on annotations of the ensembl sequence database (Ensembl77). Exon reads are normalized for exon length and alignment size to obtain RPKM values.
(32) Exemplary expression profiles of source genes of the present invention that are highly over-expressed or exclusively expressed in NHL, BRCA, GBC, CCC, MEL, OC, OSCAR, SCLC, UBC, UEC are shown in
(33) TABLE-US-00009 TABLE 5B Target coverage for source genes of selected peptides. Over-expression was defined as more than 1.5-fold higher expression on a tumor compared to the relevant normal tissue that showed highest expression of the gene. <19% over-expression = I, 20-49% = II, 50-69% = III, >70% = IV. If a peptide could be derived from several source genes, the gene with minimal coverage was decisive. The baseline included the following relevant normal tissues: adipose tissue, adrenal gland, artery, bone marrow, brain, cartilage, colon, esophagus, gallbladder, heart, kidney, liver, lung, lymph node, pancreas, pituitary, rectum, skeletal muscle, skin, small intestine, spleen, stomach, thymus, thyroid gland, trachea, urinary bladder and vein. In case expression data for several samples of the same tissue type were available, the arithmetic mean of all respective samples was used for the calculation. AML = acute myeloid leukemia, NHL = non-Hodgkin lymphoma, BRCA = breast cancer, CLL = chronic lymphocytic leukemia, GBC_CCC = gallbladder adenocarcinoma and cholangiocarcinoma, MEL = melanoma, OC = ovarian cancer, OSCAR = esophageal cancer, including cancer of the gastric-oesophageal junction, SCLC = small cell lung cancer, UBC = urinary bladder cancer, UTC = uterine cancer. SEQ GBC_ ID AML NHL BRCA CLL CCC MEL OC OSCAR SCLC UBC UTC NO. Sequence (%) (%) (%) (%) (%) (%) (%) (%) (%) (%) (%) 1 KLQEKIQEL I I I I I I I I I I I 2 SVLEKEIYSI I I I I I I I I I I I 3 RVIDDSLVVGV I II I I I I I I II I I 4 VLFGELPAL I I I I I I I I I I I 5 GLVDIMVHL I I I I I I I I I I I 7 ALLQALMEL I II II I II III II II I II I 8 ALSSSQAEV I I I I I I I I I I I 9 SLITGQDLLSV I I I I I I I I II I I 10 QLIEKNWLL I II I I I I I I II I I 11 LLDPKTIFL I I I I II I I I I I I 13 RLHDENILL I I II I I I I I II I I 14 YTFSGDVQL I I I I I II I IV I III I 17 GLLPSAESIKL I I I I I I I I I I I 18 KTASINQNV I I I I I I I I II I I 21 YLMDDFSSL I I II I I I I I II I I 22 LMYPYIYHV I I II I I I I I I I I 24 KVWSDVTPL I I IV I IV II II IV II IV IV 39 YLEDGFAYV I II II I II II III I III I I 40 KIWEELSVLEV I I II I III IV I III IV III II 41 IVTEIISEI I I I I I I I I II I I 43 LLIPFTIFM I II II I II II I IV I II I 46 ISLDEVAVSL I I I I I I I I III I I 47 GLNGFNVLL I II I I I I I I III I II 49 KLIGNIHGNEV I I I I I I I I I I I 50 ILLSVLHQL I I I I I I I I I I I 67 FLIENLLAA I I I I I I I I I I I 76 FTAEFLEKV I I I I I I I I I I I 83 GLLENSPHL I II II I I II II I III I III 84 FLLEREQLL I II I I I I I I II I II 85 KLLDKPEQFL I I I I I IV I I I I I 86 SLFSNIESV I I I I I I I I I I I 88 LLLPLELSLA I I I I I I I I III I I 89 SLAETIFIV I III I I I I II I II I I 92 RLFEEVLGV I I I I I I I I II I I 95 KLIDEDEPLFL I I I I I I I I I I I 96 ALDTTRHEL I II I I I I I I I I I 102 GLYPVTLVGV I I I I I I I I II I I 116 ALLSSVAEA I I II I I I I IV I II I 117 TLLEGISRA I I I I I I I II I I I 147 GLLSALENV I III I IV I I I I I I I 148 YLILSSHQL I III I IV I I I I I I I 152 ILVTSIFFL I II I II I I I I I I I 153 KLVELEHTL I I II I II II I II I II I 155 TLDSYLKAV I I III I I I I I I I I 156 VILTSSPFL I I I II I I I I I I I 157 ILQDGQFLV I I I II I III I I II I I 158 YLDPLWHQL I I I I I I I I II I I 166 LLGDSSFFL I I I I I I I I I I I 169 ALADLSVAV I I I I I I I II I III I 170 FIAAVVEKV I I I I I II II I I I I 181 LLWAPTAQA I I I I II I I I II I I 185 TLYQGLPAEV I I II I I I III IV I II IV 203 FLFVDPELV II I I I I I I I I I I 220 ALSELERVL I I I I I I I I I I I 222 LLTGVFAQL I I I I II I I I I II I 233 SLFESLEYL I I II I II II II II I I I 234 VLLNEILEQV I I I I I I I I III I I 235 SLLNQPKAV I I I I I I II I II I I 236 KMSELQTYV I II I I I I I I II I I 237 ALLEQTGDMSL I II I I I I I I II I I 241 KQFEGTVEI I II II I I I I I II I I 242 KLQEEIPVL I I I I I I I I I I I 243 GLAEFQENV I II I I I I I I II I I 245 ALLEEEEGV I I I I I II I II II II I 246 ALAGIVTNV I I II I II I III I I II I 248 VLMQDSRLYL I II I I I I I I I I I 251 LLWGNLPEI I II I I I I I I I I I 252 SLMEKNQSL I I I I I I I I II I I 253 KLLAVIHEL I II II I I II II I III I III 255 FLMKNSDLYGA I I I I I I I I I I I 257 KLIDHQGLYL I I I I I I II I II I I 260 ALNESLVEC I III I I II I II IV II II II 261 GLAALAVHL I II I I I I I I III I I 263 SIIEYLPTL I I I I I I I I II I I 264 TLHDQVHLL I I IV I I I IV I I I IV 265 FLLDKPQDLSI I I I I II I II I I I I 267 YLLDMPLWYL I II I I I I I I III I I 269 GLLDCPIFL I I I I I I I I I I I 270 TLLTFFHEL I I I I I II I II II I I 271 VLIEYNFSI I I I I I II I III II I I 274 TLYNPERTITV II IV II III IV IV IV IV IV II II 277 KLQEELNKV I I I I I I I I I I I 279 VLMDEGAVLTL I I I II I I I I I I I 283 ALSELLQQV I I I I I I I I II I I 286 FLTEMVHFI I I I I I I I I II II I
Example 3
(34) In Vitro Immunogenicity of MHC Class I Presented Peptides
(35) In order to obtain information regarding the immunogenicity of the TUMAPs of the present invention, the inventors performed investigations using an in vitro T-cell priming assay based on repeated stimulations of CD8+ T cells with artificial antigen presenting cells (aAPCs) loaded with peptide/MHC complexes and anti-CD28 antibody. This way the inventors could show immunogenicity for 47 HLA-A*0201 restricted TUMAPs of the invention so far, demonstrating that these peptides are T-cell epitopes against which CD8+ precursor T cells exist in humans (Table 6A and B).
(36) In Vitro Priming of CD8+ T Cells
(37) In order to perform in vitro stimulations by artificial antigen presenting cells loaded with peptide-MHC complex (pMHC) and anti-CD28 antibody, the inventors first isolated CD8+ T cells from fresh HLA-A*02 leukapheresis products via positive selection using CD8 microbeads (Miltenyi Biotec, Bergisch-Gladbach, Germany) of healthy donors obtained from the University clinics Mannheim, Germany, after informed consent. PBMCs and isolated CD8+lymphocytes were incubated in T-cell medium (TCM) until use consisting of RPMI-Glutamax (Invitrogen, Karlsruhe, Germany) supplemented with 10% heat inactivated human AB serum (PAN-Biotech, Aidenbach, Germany), 100 U/ml Penicillin/100 μg/ml Streptomycin (Cambrex, Cologne, Germany), 1 mM sodium pyruvate (CC Pro, Oberdorla, Germany), 20 μg/ml Gentamycin (Cambrex). 2.5 ng/ml IL-7 (PromoCell, Heidelberg, Germany) and 10 U/ml IL-2 (Novartis Pharma, Nurnberg, Germany) were also added to the TCM at this step. Generation of pMHC/anti-CD28 coated beads, T-cell stimulations and readout was performed in a highly defined in vitro system using four different pMHC molecules per stimulation condition and 8 different pMHC molecules per readout condition.
(38) The purified co-stimulatory mouse IgG2a anti human CD28 Ab 9.3 (Jung et al., 1987) was chemically biotinylated using Sulfo-N-hydroxysuccinimidobiotin as recommended by the manufacturer (Perbio, Bonn, Germany). Beads used were 5.6 μm diameter streptavidin coated polystyrene particles (Bangs Laboratories, Illinois, USA).
(39) pMHC used for positive and negative control stimulations were A*0201/MLA-001 (peptide ELAGIGILTV (SEQ ID NO. 289) from modified Melan-A/MART-1) and A*0201/DDX5-001 (YLLPAIVHI from DDX5, SEQ ID NO. 290), respectively.
(40) 800.000 beads/200 μl were coated in 96-well plates in the presence of 4×12.5 ng different biotin-pMHC, washed and 600 ng biotin anti-CD28 were added subsequently in a volume of 200 μl. Stimulations were initiated in 96-well plates by co-incubating 1×10.sup.6 CD8+ T cells with 2×10.sup.5 washed coated beads in 200 μl TCM supplemented with 5 ng/ml IL-12 (PromoCell) for 3 days at 37° C. Half of the medium was then exchanged by fresh TCM supplemented with 80 U/ml IL-2 and incubating was continued for 4 days at 37° C. This stimulation cycle was performed for a total of three times. For the pMHC multimer readout using 8 different pMHC molecules per condition, a two-dimensional combinatorial coding approach was used as previously described (Andersen et al., 2012) with minor modifications encompassing coupling to 5 different fluorochromes. Finally, multimeric analyses were performed by staining the cells with Live/dead near IR dye (Invitrogen, Karlsruhe, Germany), CD8-FITC antibody clone SK1 (BD, Heidelberg, Germany) and fluorescent pMHC multimers. For analysis, a BD LSRII SORP cytometer equipped with appropriate lasers and filters was used. Peptide specific cells were calculated as percentage of total CD8+ cells. Evaluation of multimeric analysis was done using the FlowJo software (Tree Star, Oregon, USA). In vitro priming of specific multimer+CD8+ lymphocytes was detected by comparing to negative control stimulations. Immunogenicity for a given antigen was detected if at least one evaluable in vitro stimulated well of one healthy donor was found to contain a specific CD8+ T-cell line after in vitro stimulation (i.e. this well contained at least 1% of specific multimer+ among CD8+ T-cells and the percentage of specific multimer+ cells was at least 10× the median of the negative control stimulations).
(41) In Vitro Immunogenicity of Peptides
(42) For tested HLA class I peptides, in vitro immunogenicity could be demonstrated by generation of peptide specific T-cell lines. Exemplary flow cytometry results after TUMAP-specific multimer staining for 15 peptides of the invention are shown in
(43) TABLE-US-00010 TABLE 6A in vitro immunogenicity of HLA class I peptides of the invention Exemplary results of in vitro immunogenicity experiments conducted by the applicant for the peptides of the invention. <20% = +; 21% - 49% = ++; 50% - 69% = +++; >= 70% = ++++ Seq ID Sequence wells donors 288 SLYKGLLSV ++ ++++ 287 KIQEILTQV + +++
(44) TABLE-US-00011 TABLE 6B In vitro immunogenicity of HLA class I peptides of the invention Exemplary results of in vitro immunogenicity experiments conducted by the applicant for HLA- A*02 restricted peptides of the invention. Results of in vitro immunogenicity experiments are indicated. Percentage of positive wells and donors (among evaluable) are summarized as indicated <20% = +; 20% - 49% = ++; 50% - 69% = +++; >= 70% = ++++ SEQ ID Sequence Wells positive [%] 4 VLFGELPAL + 7 ALLQALMEL ++ 9 SLITGQDLLSV + 11 LLDPKTIFL ++ 14 YTFSGDVQL + 17 GLLPSAESIKL + 18 KTASINQNV +++ 27 GLLGKVTSV + 29 KMISAIPTL + 34 TLNTLDINL ++++ 35 VIIKGLEEI + 39 YLEDGFAYV ++++ 48 KISDFGLATV ++ 50 ILLSVLHQL + 66 AMFPDTIPRV + 77 ALYGNVQQV + 82 ILAEEPIYIRV +++ 89 SLAETIFIV + 92 RLFEEVLGV ++ 97 KLFEKSTGL + 101 SLLEVNEASSV + 102 GLYPVTLVGV + 117 TLLEGISRA ++ 121 ALYVQAPTV + 157 ILQDGQFLV + 166 LLGDSSFFL ++ 183 ALSYILPYL +++ 203 FLFVDPELV +++ 233 SLFESLEYL + 234 VLLNEILEQV ++ 236 KMSELQTYV + 242 KLQEEIPVL + 246 ALAGIVTNV + 248 VLMQDSRLYL ++ 251 LLWGNLPEI ++ 253 KLLAVIHEL ++ 254 ALGDKFLLRV + 255 FLMKNSDLYGA + 257 KLIDHQGLYL + 260 ALNESLVEC + 261 GLAALAVHL ++ 263 SIIEYLPTL + 264 TLHDQVHLL + 267 YLLDMPLWYL + 275 AVPPPPSSV ++
Example 4
(45) Synthesis of Peptides
(46) All peptides were synthesized using standard and well-established solid phase peptide synthesis using the Fmoc-strategy.
(47) Identity and purity of each individual peptide have been determined by mass spectrometry and analytical RP-HPLC. The peptides were obtained as white to off-white lyophilizates (trifluoro acetate salt) in purities of >50%.
(48) All TUMAPs are preferably administered as trifluoro-acetate salts or acetate salts, other salt-forms are also possible.
Example 5
(49) MHC Binding Assays
(50) Candidate peptides for T cell based therapies according to the present invention were further tested for their MHC binding capacity (affinity). The individual peptide-MHC complexes were produced by UV-ligand exchange, where a UV-sensitive peptide is cleaved upon UV-irradiation, and exchanged with the peptide of interest as analyzed. Only peptide candidates that can effectively bind and stabilize the peptide-receptive MHC molecules prevent dissociation of the MHC complexes. To determine the yield of the exchange reaction, an ELISA was performed based on the detection of the light chain (β2m) of stabilized MHC complexes. The assay was performed as generally described in Rodenko et al. (Rodenko et al., 2006).
(51) 96 well MAXISorp plates (NUNC) were coated over night with 2 ug/ml streptavidin in PBS at room temperature, washed 4× and blocked for 1 h at 37° C. in 2% BSA containing blocking buffer. Refolded HLA-A*02:01/MLA-001 monomers served as standards, covering the range of 15-500 ng/ml. Peptide-MHC monomers of the UV-exchange reaction were diluted 100 fold in blocking buffer. Samples were incubated for 1 h at 37° C., washed four times, incubated with 2 ug/ml HRP conjugated anti-β2m for 1 h at 37° C., washed again and detected with TMB solution that is stopped with NH.sub.2SO.sub.4. Absorption was measured at 450 nm. Candidate peptides that show a high exchange yield (preferably higher than 50%, most preferred higher than 75%) are generally preferred for a generation and production of antibodies or fragments thereof, and/or T cell receptors or fragments thereof, as they show sufficient avidity to the MHC molecules and prevent dissociation of the MHC complexes.
(52) TABLE-US-00012 TABLE 7 MHC class I binding scores Binding of HLA-class I restricted peptides to HLA- A*02:01 was evaluated by peptide exchange yield: ≥10% = +; ≥20% = ++; ≥50 = +++; ≥75% = ++++ SEQ ID Sequence Peptide exchange 1 KLQEKIQEL ++++ 3 RVIDDSLVVGV +++ 4 VLFGELPAL +++ 5 GLVDIMVHL +++ 6 FLNAIETAL ++++ 7 ALLQALMEL +++ 9 SLITGQDLLSV +++ 10 QLIEKNWLL +++ 11 LLDPKTIFL +++ 12 RLLDPKTIFL +++ 13 RLHDENILL +++ 14 YTFSGDVQL +++ 16 SLADLSLLL +++ 17 GLLPSAESIKL ++++ 18 KTASINQNV ++ 19 KVFELDLVTL ++ 20 ALVEKGEFAL ++ 21 YLMDDFSSL +++ 22 LMYPYIYHV +++ 23 ALLSPLSLA +++ 24 KVWSDVTPL +++ 25 LLWGHPRVALA +++ 26 VLDGKVAVV +++ 27 GLLGKVTSV +++ 28 IKVTDPQLLEL ++ 29 KMISAIPTL ++ 30 IITEVITRL +++ 31 GLLETTGLLAT +++ 33 TLDRNSLYV ++ 34 TLNTLDINL +++ 35 VIIKGLEEI ++ 36 TVLQELINV +++ 37 QIVELIEKI ++ 38 VLQQESNFL ++ 39 YLEDGFAYV +++ 40 KIWEELSVLEV +++ 41 IVTEIISEI +++ 42 KQMSISTGL ++ 44 AVFNLVHVV +++ 45 FLPVSVVYV +++ 47 GLNGFNVLL +++ 48 KISDFGLATV +++ 49 KLIGNIHGNEV ++ 50 ILLSVLHQL +++ 51 LDSEALLTL ++ 52 TIGIPFPNV ++ 53 AQHLSTLLL + 54 YLVPGLVAA +++ 55 HLFDKIIKI +++ 57 TLYPGRFDYV ++ 58 HLLGEGAFAQV +++ 59 ALADGIKSFLL +++ 60 YLFSQGLQGL +++ 61 ALYPKEITL +++ 62 SLVENIHVL +++ 63 KLLPMVIQL +++ 64 SLYAGSNNQV ++ 65 SLSEKSPEV ++ 66 AMFPDTIPRV ++ 67 FLIENLLAA +++ 68 QLMNLIRSV +++ 69 LKVLKADVVL ++ 70 GLTEKTVLV ++ 71 HMSGKLTNV ++ 72 VLSTRVTNV ++ 74 GLAFLPASV ++ 75 ALLDGALQL +++ 76 FTAEFLEKV +++ 77 ALYGNVQQV +++ 79 TVLEEIGNRV ++ 80 VLTGQVHEL +++ 81 ILAEEPIYI ++ 82 ILAEEPIYIRV +++ 83 GLLENSPHL ++ 84 FLLEREQLL ++++ 85 KLLDKPEQFL ++ 86 SLFSNIESV +++ 87 KLLSLLEEA +++ 88 LLLPLELSLA +++ 89 SLAETIFIV +++ 90 AILNVDEKNQV ++ 91 LLPSIFLMV ++ 92 RLFEEVLGV ++++ 93 RLYGYFHDA ++ 94 YLDEVAFML +++ 95 KLIDEDEPLFL +++ 96 ALDTTRHEL ++ 97 KLFEKSTGL +++ 98 FVQEKIPEL +++ 99 TLFGIQLTEA +++ 100 ALQSFEFRV +++ 101 SLLEVNEASSV +++ 102 GLYPVTLVGV +++ 103 YLADTVQKL ++ 105 AMLASQTEA ++ 106 VLLGSVVIFA ++ 107 RVLPGQAVTGV ++ 108 FIANLPPELKA +++ 109 ILGSFELQL +++ 110 QIQGQVSEV ++ 111 AQLEGKLVSI +++ 112 ILAQDVAQL +++ 113 FLFLKEVKV ++ 114 LLFPSDVQTL ++ 115 ILHGEVNKV ++ 116 ALLSSVAEA ++ 117 TLLEGISRA ++ 119 SLIEESEEL ++ 121 ALYVQAPTV ++ 122 SIIDTELKV +++ 123 QTAPEEAFIKL + 124 ALLLRLFTI ++ 125 AALEVLAEV +++ 126 QLREAFEQL +++ 128 SILTNISEV ++ 129 KMASKVTQV ++ 130 QLYGSAITL +++ 131 SLYPHFTLL +++ 132 ALLNNVIEV +++ 133 FLDGRPLTL ++ 134 SLYKSFLQL ++ 136 LLWDAPAKC +++ 137 KLIYKDLVSV ++ 138 GIINKLVTV ++ 139 IILENIQSL +++ 140 FLDSQITTV +++ 141 NIDINNNEL ++ 142 LLDAAHASI ++ 143 MLWESIMRV +++ 144 FLISQTPLL +++ 145 ALEEKLENV +++ 146 VVAAHLAGA ++ 147 GLLSALENV +++ 148 YLILSSHQL +++ 149 NMADGQLHQV ++ 150 VLLDMVHSL +++ 151 DISKRIQSL ++ 153 KLVELEHTL +++ 154 AIIKEIQTV ++ 155 TLDSYLKAV ++ 157 ILQDGQFLV ++ 158 YLDPLWHQL +++ 159 QLGPVPVTI +++ 160 TLQEWLTEV +++ 161 NLLDENVCL ++++ 162 GLLGNLLTSL +++ 163 GLEERLYTA ++ 164 MLIIRVPSV +++ 165 SLLDYEVSI +++ 166 LLGDSSFFL +++ 167 LVVDEGSLVSV +++ 168 VIFEGEPMYL +++ 169 ALADLSVAV +++ 170 FIAAVVEKV ++ 171 LLLLDVPTA ++ 173 RLIDIYKNV +++ 174 ALYSGDLHAA ++ 175 SLLDLVQSL +++ 176 VQSGLRILL ++ 177 ALINVLNAL +++ 178 SLVSWQLLL ++++ 179 TLGEIIKGV +++ 180 RLYEEEIRI +++ 181 LLWAPTAQA +++ 182 GLQDGFQITV +++ 183 ALSYILPYL +++ 184 ALDSTIAHL ++ 185 TLYQGLPAEV ++ 187 SILKEDPFL ++ 188 VLGEEQEGV ++ 190 SLSTELFKV +++ 191 AAIEIFEKV +++ 192 TLLPSSGLVTL ++ 193 ALFHMNILL +++ 194 KLLEEVQLL ++ 195 VIIQNLPAL +++ 198 ILTNKVVSV ++ 199 SVADLAHVL ++ 200 IMPTFDLTKV +++ 203 FLFVDPELV ++ 204 SEWGSPHAAVP +++ 206 GLDAFRIFL ++++ 207 KLFETVEEL +++ 208 HLNNDRNPL ++ 210 GLAGDNIYL +++ 211 LLTTVLINA +++ 212 MTLSEIHAV ++ 213 ILAVDGVLSV +++ 214 ALFETLIQL +++ 215 QIADIVTSV ++ 216 ALSTVTPRI ++ 217 LLWPSSVPA +++ 218 SLTGANITV +++ 219 GVVPTIQKV ++ 220 ALSELERVL +++ 221 IMLNSVEEI ++ 222 LLTGVFAQL ++ 223 ALHPVQFYL +++ 224 LLFDWSGTGRADA +++ 225 FLPQPVPLSV +++ 226 SLAGNLQEL +++ 227 SEMEELPSV + 228 SLLELDGINLRL +++ 229 YLYELEHAL ++ 230 KLLNMIFSI +++ 231 LLDDIFIRL +++ 233 SLFESLEYL +++ 234 VLLNEILEQV ++++ 235 SLLNQPKAV ++ 236 KMSELQTYV +++ 237 ALLEQTGDMSL +++ 238 HLQEKLQSL ++ 239 VIIKGLEEITV +++ 241 KQFEGTVEI +++ 242 KLQEEIPVL +++ 243 GLAEFQENV ++ 244 NVAEIVIHI +++ 245 ALLEEEEGV ++ 246 ALAGIVTNV +++ 247 NLLIDDKGTIKL ++ 248 VLMQDSRLYL +++ 249 YLYQILQGI +++ 250 LMQDSRLYL +++ 251 LLWGNLPEI +++ 252 SLMEKNQSL ++ 253 KLLAVIHEL +++ 254 ALGDKFLLRV ++ 255 FLMKNSDLYGA +++ 256 FLNDIFERI +++ 257 KLIDHQGLYL +++ 258 QLVQRVASV ++ 259 GPGIFPPPPPQP + 260 ALNESLVEC +++ 261 GLAALAVHL +++ 262 LLLEAVWHL +++ 263 SIIEYLPTL +++ 264 TLHDQVHLL ++ 265 FLLDKPQDLSI +++ 266 FLLDKPQDL ++ 267 YLLDMPLWYL +++ 268 SLDKDIVAL ++ 269 GLLDCPIFL ++++ 270 TLLTFFHEL +++ 271 VLIEYNFSI +++ 272 FVMEGEPPKL ++ 273 SLNKQIETV ++ 274 TLYNPERTITV +++ 275 AVPPPPSSV ++ 276 RMPTVLQCV +++ 277 KLQEELNKV +++ 278 VLEDKVLSV +++ 279 VLMDEGAVLTL ++ 280 HLWGHALFL +++ 281 LLLESDPKVYSL ++ 282 SLYALHVKA ++ 283 ALSELLQQV +++ 284 KLMDPGSLPPL ++ 285 MLLDTVQKV +++ 286 FLTEMVHFI +++
Example 6
(53) TABLE-US-00013 TABLE 8 Preferred peptides according to the present invention SEQ ID No Sequence Peptide Code 11 LLDPKTIFL HAVCR1-001 14 YTFSGDVQL MMP1-003 21 YLMDDFSSL COL6A3-015 24 KVWSDVTPL MMP-002 25 LLWGHPRVALA MXRA5-003 40 KIWEELSVLEV MAGEA3-003 85 KLLDKPEQFL FMN1-001 89 SLAETIFIV HTR3A-001 117 TLLEGISRA CABY-001 153 KLVELEHTL CT83-001 155 TLDSYLKAV CYP4Z-001 157 ILQDGQFLV DCAF4L2-001 168 VIFEGEPMYL HORMAD1-001 233 SLFESLEYL ZFP42-001 245 ALLEEEEGV MAGEA4-003 253 KLLAVIHEL RAD54B-002 264 TLHDQVHLL ESR1-001 274 TLYNPERTITV IGF-004
(54) Absolute Quantitation of Tumor Associated Peptides Presented on the Cell Surface
(55) The generation of binders, such as antibodies and/or TCRs, is a laborious process, which may be conducted only for a number of selected targets. In the case of tumor-associated and—specific peptides, selection criteria include but are not restricted to exclusiveness of presentation and the density of peptide presented on the cell surface. In addition to the isolation and relative quantitation of peptides as described herein, the inventors did analyze absolute peptide copies per cell as described. The quantitation of TUMAP copies per cell in solid tumor samples requires the absolute quantitation of the isolated TUMAP, the efficiency of TUMAP isolation, and the cell count of the tissue sample analyzed.
(56) Peptide quantitation by nanoLC-MS/MS
(57) For an accurate quantitation of peptides by mass spectrometry, a calibration curve was generated for each peptide using the internal standard method. The internal standard is a double-isotope-labelled variant of each peptide, i.e. two isotope-labelled amino acids were included in TUMAP synthesis. It differs from the tumor-associated peptide only in its mass but shows no difference in other physicochemical properties (Anderson et al., 2012). The internal standard was spiked to each MS sample and all MS signals were normalized to the MS signal of the internal standard to level out potential technical variances between MS experiments.
(58) The calibration curves were prepared in at least three different matrices, i.e. HLA peptide eluates from natural samples similar to the routine MS samples, and each preparation was measured in duplicate MS runs. For evaluation, MS signals were normalized to the signal of the internal standard and a calibration curve was calculated by logistic regression.
(59) For the quantitation of tumor-associated peptides from tissue samples, the respective samples were also spiked with the internal standard; the MS signals were normalized to the internal standard and quantified using the peptide calibration curve.
(60) Efficiency of Peptide/MHC Isolation
(61) As for any protein purification process, the isolation of proteins from tissue samples is associated with a certain loss of the protein of interest. To determine the efficiency of TUMAP isolation, peptide/MHC complexes were generated for all TUMAPs selected for absolute quantitation. To be able to discriminate the spiked from the natural peptide/MHC complexes, single-isotope-labelled versions of the TUMAPs were used, i.e. one isotope-labelled amino acid was included in TUMAP synthesis. These complexes were spiked into the freshly prepared tissue lysates, i.e. at the earliest possible point of the TUMAP isolation procedure, and then captured like the natural peptide/MHC complexes in the following affinity purification. Measuring the recovery of the single-labelled TUMAPs therefore allows conclusions regarding the efficiency of isolation of individual natural TUMAPs.
(62) The efficiency of isolation was analyzed in a low number of samples and was comparable among these tissue samples. In contrast, the isolation efficiency differs between individual peptides. This suggests that the isolation efficiency, although determined in only a limited number of tissue samples, may be extrapolated to any other tissue preparation. However, it is necessary to analyze each TUMAP individually as the isolation efficiency may not be extrapolated from one peptide to others.
(63) Determination of the Cell Count in Solid, Frozen Tissue
(64) In order to determine the cell count of the tissue samples subjected to absolute peptide quantitation, the inventors applied DNA content analysis. This method is applicable to a wide range of samples of different origin and, most importantly, frozen samples (Alcoser et al., 2011; Forsey and Chaudhuri, 2009; Silva et al., 2013). During the peptide isolation protocol, a tissue sample is processed to a homogenous lysate, from which a small lysate aliquot is taken. The aliquot is divided in three parts, from which DNA is isolated (QiaAmp DNA Mini Kit, Qiagen, Hilden, Germany). The total DNA content from each DNA isolation is quantified using a fluorescence-based DNA quantitation assay (Qubit dsDNA HS Assay Kit, Life Technologies, Darmstadt, Germany) in at least two replicates.
(65) In order to calculate the cell number, a DNA standard curve from aliquots of single healthy blood cells, with a range of defined cell numbers, has been generated. The standard curve is used to calculate the total cell content from the total DNA content from each DNA isolation. The mean total cell count of the tissue sample used for peptide isolation is extrapolated considering the known volume of the lysate aliquots and the total lysate volume.
(66) Peptide Copies Per Cell
(67) With data of the aforementioned experiments, the inventors calculated the number of TUMAP copies per cell by dividing the total peptide amount by the total cell count of the sample, followed by division through isolation efficiency. Copy cell number for selected peptides are shown in Table 9.
(68) TABLE-US-00014 TABLE 9 Absolute copy numbers. The table lists the results of absolute peptide quantitation in tumor samples. The median number of copies per cell are indicated for each peptide: <100 = +; >=100 = ++; >=1,000 +++; >=10,000 = ++++. The number of samples, in which evaluable, high quality MS data are available is indicated. Number SEQ ID Copies per cell of No. Peptide Code (median) samples 11 HAVCR1-001 + 22 14 MMP1-003 ++ 10 21 COL6A3-015 + 35 24 MMP-002 + 33 85 FMN1-001 + 18 89 HTR3A-001 +++ 17 117 CABY-001 + 17 155 CYP4Z-001 ++ 18 157 DCAF4L2-001 ++ 16 245 MAGEA4-003 + 33 253 RAD54B-002 +++ 6 264 ESR1-001 + 16 274 IGF-004 + 6
REFERENCE LIST
(69) Adelaide, J. et al., Cancer Res 67 (2007): 11565-11575 Alcoser, S. Y. et al., BMC.Biotechnol. 11 (2011): 124 Allison, J. P. et al., Science 270 (1995): 932-933 American Cancer Society, (2015), cancer.org Ampie, L. et al., Front Oncol. 5 (2015): 12 Andersen, R. S. et al., Nat.Protoc. 7 (2012): 891-902 Anderson, N. L. et al., J Proteome.Res 11 (2012): 1868-1878 Appay, V. et al., Eur.J Immunol. 36 (2006): 1805-1814 Arafat, H. et al., Surgery 150 (2011): 306-315 Aung, P. P. et al., Oncogene 25 (2006): 2546-2557 Avigan, D. et al., Clin Cancer Res. 10 (2004): 4699-4708 Baba, T. et al., Eur.J Cardiothorac.Surg. 43 (2013): 759-764 Bahnassy, A. A. et al., World J Gastroenterol. 20 (2014): 18240-18248 Banchereau, J. et al., Cell 106 (2001): 271-274 Band, A. M. et al., J Mammary.Gland.Biol Neoplasia. 16 (2011): 109-115 Bankovic, J. et al., Lung Cancer 67 (2010): 151-159 Beatty, G. et al., J Immunol 166 (2001): 2276-2282 Beaty, T. H. et al., Hum.Genet. 132 (2013): 771-781 Beggs, J. D., Nature 275 (1978): 104-109 Bell, J. L. et al., J Clin Oncol 33 (2015): 1285-1293 Bell, J. L. et al., Cell Mol Life Sci. 70 (2013): 2657-2675 Benjamini, Y. et al., Journal of the Royal Statistical Society.Series B (Methodological), 57 (1995): 289-300 Berger, C. et al., Curr.Mol.Med. 13 (2013): 1229-1240 Berman, R. S. et al., National Cancer Institute: PDQ(R) Colon Cancer Treatment (2015a) Berman, R. S. et al., National Cancer Institute: PDQ(R) Rectal Cancer Treatment (2015b) Bhan, S. et al., Oncol Rep. 28 (2012): 1498-1502 Bode, P. K. et al., Mod.Pathol. 27 (2014): 899-905 Bogush, T. A. et al., Antibiot.Khimioter. 54 (2009): 41-49 Bonventre, J. V., Trans.Am.Clin Climatol.Assoc. 125 (2014): 293-299 Boulter, J. M. et al., Protein Eng 16 (2003): 707-711 Braumuller, H. et al., Nature (2013) Bray, F. et al., Int J Cancer 132 (2013): 1133-1145 Brossart, P. et al., Blood 90 (1997): 1594-1599 Bruckdorfer, T. et al., Curr.Pharm.Biotechnol. 5 (2004): 29-43 Butterfield, L. H. et al., Clin Cancer Res 12 (2006): 2817-2825 Butterfield, L. H. et al., Clin Cancer Res 9 (2003): 5902-5908 Caballero, 0. L. et al., PLoS.One. 5 (2010) Carballido, E. et al., Cancer Control 19 (2012): 54-67 Card, K. F. et al., Cancer Immunol Immunother. 53 (2004): 345-357 Chang, Y. S. et al., Cancer Chernother.Pharmacol. 59 (2007): 561-574 Chanock, S. J. et al., Hum.Immunol. 65 (2004): 1211-1223 Chapiro, J. et al., Radiol.Med. 119 (2014): 476-482 Chen, H. S. et al., Zhonghua Gan Zang.Bing.Za Zhi. 11 (2003): 145-148 Chen, S. T. et al., Cancer Sci. 102 (2011b): 2191-2198 Chen, Y. L. et al., Int J Surg. 11 (2013c): 85-91 Chen, Y. T. et al., Cancer Immun. 5 (2005): 9 Cierna, Z. et al., BMC.Cancer 14 (2014): 472 Ciruelos Gil, E. M., Cancer Treat.Rev 40 (2014): 862-871 Cohen, C. J. et al., J Mol Recognit. 16 (2003a): 324-332 Cohen, C. J. et al., J Immunol 170 (2003b): 4349-4361 Cohen, S. N. et al., Proc.Natl.Acad.Sci.U.S.A 69 (1972): 2110-2114 Coligan, J. E. et al., Current Protocols in Protein Science (1995) Colombetti, S. et al., J Immunol. 176 (2006): 2730-2738 Coosemans, A. et al., Anticancer Res 33 (2013): 5495-5500 Coulie, P. G. et al., Immunol.Rev 188 (2002): 33-42 Counter, C. M. et al., Blood 85 (1995): 2315-2320 Cuadros, T. et al., Cancer Res 74 (2014): 1416-1428 Cuadros, T. et al., Eur.J Cancer 49 (2013): 2034-2047 Dalerba, P. et al., Int.J Cancer 93 (2001): 85-90 De, Plaen E. et al., Immunogenetics 40 (1994): 360-369 Dengjel, J. et al., Clin Cancer Res 12 (2006): 4163-4170 Denkberg, G. et al., J Immunol 171 (2003): 2197-2207 Downie, D. et al., Clin Cancer Res. 11 (2005): 7369-7375 Du, X. et al., Clin Cancer Res 20 (2014): 6324-6335 Duan, Z. et al., Clin Cancer Res 9 (2003): 2778-2785 Ek, S. et al., Cancer Res 62 (2002): 4398-4405 Emens, L. A., Expert.Rev.Anticancer Ther. 12 (2012): 1597-1611 Enguita-German, M. et al., World J Hepatol. 6 (2014): 716-737 Estey, E. H., Am.J Hematol. 89 (2014): 1063-1081 Falk, K. et al., Nature 351 (1991): 290-296 Ferlay et al., GLOBOCAN 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11 [Internet], (2013), globocan.iarc.fr Findeis-Hosey, J. J. et al., Biotech.Histochem. 87 (2012): 24-29 Fong, L. et al., Proc.Natl.Acad.Sci.U.S.A 98 (2001): 8809-8814 Forsey, R. W. et at., Biotechnol.Lett. 31 (2009): 819-823 Frasor, J. et al., Mol.Cell Endocrinol. 418 Pt 3 (2015): 235-239 Fuge, O. et al., Res Rep.Urol. 7 (2015): 65-79 Fujiyama, T. et al., J Dermatol.Sci. 75 (2014): 43-48 Fukuyama, T. et al., Cancer Res. 66 (2006): 4922-4928 Fuqua, S. A. et al., Breast Cancer Res Treat. 144 (2014): 11-19 Gabrilovich, D. I. et al., Nat Med. 2 (1996): 1096-1103 Gandhi, A. V. et al., Ann Surg.Oncol 20 Suppl 3 (2013): S636-S643 Gardina, P. J. et al., BMC.Genornics 7 (2006): 325 Gattinoni, L. et al., Nat Rev.Immunol 6 (2006): 383-393 Giannopoulos, K. et al., Leukemia 24 (2010): 798-805 Giannopoulos, K. et al., Int.J Oncol 29 (2006): 95-103 Gibbs, P. et al., Melanoma Res 10 (2000): 259-264 Gnjatic, S. et al., Proc Natl.Acad.Sci.U.S.A 100 (2003): 8862-8867 Godkin, A. et al., Int.Immunol 9 (1997): 905-911 Gong, Y. et al., Adv.Anat.Pathol. 21 (2014): 191-200 Grah, J. J. et al., Tumori 100 (2014): 60-68 Granziero, L. et al., Blood 97 (2001): 2777-2783 Green, M. R. et al., Molecular Cloning, A Laboratory Manual 4th (2012) Greenfield, E. A., Antibodies: A Laboratory Manual 2nd (2014) Gu, X. et al., Sci.Rep. 4 (2014): 6625 Gunawardana, C. et al., Br.J Haematol. 142 (2008): 606-609 Hall, R. D. et al., Cancer Control 20 (2013): 22-31 Hamilton, K. E. et al., Mol.Cancer Res 13 (2015): 1478-1486 Han, L. et al., Int.J Clin Exp.Pathol. 7 (2014): 6734-6742 Hanagiri, T. et al., Anticancer Res. 33 (2013): 2123-2128 Harig, S. et al., Blood 98 (2001): 2999-3005 Hasegawa, H. et al., Arch.Pathol.Lab Med. 122 (1998): 551-554 Hayashi, S. I. et al., Endocr.Relat Cancer 10 (2003): 193-202 Hennard, C. et al., J Pathol. 209 (2006): 430-435 Herbert, N. et al., J Immunol. 185 (2010): 902-916 Hinrichs, C. S. et al., Nat.Biotechnol. 31 (2013): 999-1008 Hiramoto, T. et al., Oncogene 18 (1999): 3422-3426 Hoffmann, N. E. et al., Cancer 112 (2008): 1471-1479 Holtl, L. et al., Clin.Cancer Res. 8 (2002): 3369-3376 Hsu, H. C. et al., Biochem.Biophys.Res Commun. 329 (2005): 1108-1117 Hu, S. et al., J Cancer Res Clin Oncol 140 (2014): 883-893 Huang, X. et al., Cell Prolif. 48 (2015b): 593-599 Hui, L. et al., Oncol Rep. 34 (2015): 2627-2635 Hussein, Y. M. et al., Med.Oncol 29 (2012): 3055-3062 Hwang, M. L. et al., J Immunol. 179 (2007): 5829-5838 loannidis, P. et al., Anticancer Res 23 (2003): 2179-2183 Jeng, Y. M. et al., Br.J Surg. 96 (2009): 66-73 Jung, G. et al., Proc Natl Acad Sci USA 84 (1987): 4611-4615 Kalos, M. et al., Sci.Transl.Med. 3 (2011): 95ra73 Kang, C. Y. et al., J Gastrointest.Surg. 18 (2014): 7-15 Kibbe, A. H., Handbook of Pharmaceutical Excipients rd (2000) Kim, Y. D. et al., Int.J Mol.Med. 29 (2012): 656-662 Kobayashi, H. et al., Oncol Lett. 10 (2015): 612-618 Koido, S. et al., World J Gastroenterol. 19 (2013): 8531-8542 Krackhardt, A. M. et al., Blood 100 (2002): 2123-2131 Krieg, A. M., Nat Rev.Drug Discov. 5 (2006): 471-484 Lederer, M. et al., Semin.Cancer Biol 29 (2014): 3-12 Lee, M. Y. et al., J Cell Physiol 224 (2010): 17-27 Lee, W. C. et al., J Immunother. 28 (2005): 496-504 Leitlinien für Diagnostik and Therapie in der Neurologie, 030/099, (2014) Leivo, I. et al., Cancer Genet.Cytogenet. 156 (2005): 104-113 Leonetti, M. D. et al., Proc.Natl.Acad.Sci.U.S.A 109 (2012): 19274-19279 Li, H. et al., Bull.Cancer 99 (2012): E26-E33 Li, M. et al., Clin Cancer Res 11 (2005): 1809-1814 Li, W. M. et al., J Surg.Oncol (2016) Li, Y. et al., Cancer Epidemiol. 39 (2015): 8-13 Liddy, N. et al., Nat Med. 18 (2012): 980-987 Lin, J. et al., Clin Cancer Res 10 (2004): 5708-5716 Lin, L. et al., Oncol Lett. 6 (2013): 740-744 Lisitskaia, K. V. et al., Mol.Gen.Mikrobiol.Virusol. (2010): 34-37 Liu, X. et al., Int.Immunopharmacol. 25 (2015): 416-424 Ljunggren, H. G. et al., J Exp.Med. 162 (1985): 1745-1759 Llovet, J. M. et al., N.Engl.J Med. 359 (2008): 378-390 Longenecker, B. M. et al., Ann N.Y.Acad.Sci. 690 (1993): 276-291 Lonsdale, J., Nat.Genet. 45 (2013): 580-585 Lukas, T. J. et al., Proc.Natl.Acad.Sci.U.S.A 78 (1981): 2791-2795 Lundblad, R. L., Chemical Reagents for Protein Modification 3rd (2004) Luo, C. et al., Clin Cancer Res 13 (2007): 1288-1297 Mantia-Smaldone, G. M. et al., Hum.Vaccin.Immunother. 8 (2012): 1179-1191 Marten, A. et al., Cancer Immunol.Immunother. 51 (2002): 637-644 Mason, J. M. et al., Nucleic Acids Res. 43 (2015): 3180-3196 Massari, F. et al., Cancer Treat.Rev. 41 (2015): 114-121 Matsueda, S. et al., World J Gastroenterol. 20 (2014): 1657-1666 Maus, M. V. et al., Blood 123 (2014): 2625-2635 Mayr, C. et al., Exp.Hematol. 34 (2006): 44-53 Mayr, C. et al., Blood 105 (2005): 1566-1573 Mehta, A. et al., Breast 23 (2014): 2-9 Meziere, C. et al., J Immunol 159 (1997): 3230-3237 Miyagi, Y. et al., Clin Cancer Res 7 (2001): 3950-3962 Miyoshi, Y. et al., Med.Mol.Morphol. 43 (2010): 193-196 Molina, J. R. et al., Mayo Clin Proc. 83 (2008): 584-594 Mongan, N. P. et al., Mol.Carcinog 45 (2006): 887-900 Morgan, R. A. et al., Science 314 (2006): 126-129 Mori, M. et al., Transplantation 64 (1997): 1017-1027 Mortara, L. et al., Clin Cancer Res. 12 (2006): 3435-3443 Moulton, H. M. et al., Clin Cancer Res 8 (2002): 2044-2051 Mueller, L. N. et al., J Proteome.Res 7 (2008): 51-61 Mueller, L. N. et al., Proteomics. 7 (2007): 3470-3480 Mumberg, D. et al., Proc.Natl.Acad.Sci.U.S.A 96 (1999): 8633-8638 Murray, G. I. et al., Histopathology 57 (2010): 202-211 National Cancer Institute, (May 6, 2015), cancer.gov Noubissi, F. K. et al., J Invest Dermatol. 134 (2014): 1718-1724 Oehlrich, N. et al., Int.J Cancer 117 (2005): 256-264 Okuno, K. et al., Exp. Ther Med. 2 (2011): 73-79 Ottaviani, S. et al., Cancer Immunol.Immunother. 55 (2006): 867-872 Otte, M. et al., Cancer Res 61 (2001): 6682-6687 Ozeki, N. et al., Int.J Mol.Sci. 17 (2016) Pai, V. P. et al., Breast Cancer Res 11 (2009): R81 Palmer, D. H. et al., Hepatology 49 (2009): 124-132 Palomba, M. L., Curr.Oncol Rep. 14 (2012): 433-440 Perez, C. A. et al., Expert.Rev Anticancer Ther. 11 (2011): 1599-1605 Phan, G. Q. et al., Cancer Control 20 (2013): 289-297 Pineda, C. T. et al., Cell 160 (2015): 715-728 Pinheiro, J. et al., nlme: Linear and Nonlinear Mixed Effects Models (CRAN.R-project.org/packe=nlme) (2015) Plebanski, M. et al., Eur.J Immunol 25 (1995): 1783-1787 Porta, C. et al., Virology 202 (1994): 949-955 Porter, D. L. et al., N.Engl.J Med. 365 (2011): 725-733 Prasad, M. L. et al., Head Neck 26 (2004): 1053-1057 Qian, Z. et al., Mol.Cancer Res 12 (2014): 335-347 Quinn, D. I. et al., Urol.Oncol. (2015) Raman, J. D. et al., Carcinogenesis 27 (2006): 499-507 Rammensee, H. G. et al., Immunogenetics 50 (1999): 213-219 Reck, M., Ann.Oncol 23 Suppl 8 (2012): viii28-viii34 RefSeq, The NCBI handbook [Internet], Chapter 18, (2002), ncbi.nlm.nih.gov/books/NBK21091/ Reinisch, C. M. et al., Int.J Exp.Pathol. 92 (2011): 326-332 Reinisch, W. et al., J Immunother. 25 (2002): 489-499 Reinmuth, N. et al., Dtsch.Med.Wochenschr. 140 (2015): 329-333 Ries, J. et al., Int.J Oncol 26 (2005): 817-824 Rinaldi, A. et al., Pathobiology 77 (2010): 129-135 Rini, B. I. et al., Curr.Opin.Oncol. 20 (2008): 300-306 Rini, B. I. et al., Cancer 107 (2006): 67-74 Risinger, J. I. et al., Clin Cancer Res 13 (2007): 1713-1719 Rock, K. L. et al., Science 249 (1990): 918-921 Rodenko, B. et al., Nat Protoc. 1 (2006): 1120-1132 S3-Leitlinie Exokrines Pankreaskarzinom, 032-010OL, (2013) S3-Leitlinie Lungenkarzinom, 020/007, (2011) S3-Leitlinie maligne Ovarialtumore, 032-035OL, (2013) S3-Leitlinie Mammakarzinom, 032-045OL, (2012) S3-Leitlinie Melanom, 032-024OL, (2013) S3-Leitlinie Prostatakarzinom, 043/022OL, (2014) Saiki, R. K. et al., Science 239 (1988): 487-491 Salman, B. et al., Oncoimmunology. 2 (2013): e26662 Sangro, B. et al., J Clin Oncol 22 (2004): 1389-1397 Schmidt, S. M. et al., Cancer Res 64 (2004): 1164-1170 Seeger, F. H. et al., Immunogenetics 49 (1999): 571-576 Shahzad, M. M. et al., Cancer Lett. 330 (2013): 123-129 Sherman, F. et al., Laboratory Course Manual for Methods in Yeast Genetics (1986) Sherman-Baust, C. A. et al., Cancer Cell 3 (2003): 377-386 Shi, M. et al., World J Gastroenterol. 10 (2004): 1146-1151 Showel, M. M. et al., F1000Prime.Rep. 6 (2014): 96 Siegel, S. et al., Blood 102 (2003): 4416-4423 Silva, L. P. et al., Anal. Chem. 85 (2013): 9536-9542 Singh-Jasuja, H. et al., Cancer Immunol.Immunother. 53 (2004): 187-195 Skandalis, S. S. et al., Matrix Biol 35 (2014): 182-193 Small, E. J. et al., J Clin Oncol. 24 (2006): 3089-3094 Smith, M. J. et al., Br.J Cancer 100 (2009): 1452-1464 Son, M. Y. et al., Stem Cells 31 (2013): 2374-2387 Springelkamp, H. et al., Genet.Epidemiol. 39 (2015): 207-216 Stahl, M. et al., Ann.Oncol. 24 Suppl 6 (2013): vi51-vi56 Sturm, M. et al., BMC.Bioinformatics. 9 (2008): 163 Su, Z. et al., Cancer Res. 63 (2003): 2127-2133 Sun, H. et al., J BUON. 20 (2015): 296-308 Szajnik, M. et al., Gynecol.Obstet. (Sunnyvale.) Suppl 4 (2013): 3 Szarvas, T. et al., Int J Cancer 135 (2014): 1596-1604 Takayama, T. et al., Cancer 68 (1991): 2391-2396 Takayama, T. et al., Lancet 356 (2000): 802-807 Tanaka, F. et al., Int.J Oncol 10 (1997): 1113-1117 Teufel, R. et al., Cell Mol Life So. 62 (2005): 1755-1762 Thakkar, J. P. et al., Cancer Epidemiol.Biomarkers Prev. 23 (2014): 1985-1996 Thorsen, K. et al., Mol Cell Proteomics. 7 (2008): 1214-1224 Tian, X. et al., J Transl.Med. 13 (2015): 337 Toomey, P. G. et al., Cancer Control 20 (2013): 32-42 Tradonsky, A. et al., Am.J Clin Pathol. 137 (2012): 918-930 Tran, E. et al., Science 344 (2014): 641-645 Urgard, E. et al., Cancer Inform. 10 (2011): 175-183 van der Bruggen, P. et al., Immunol.Rev 188 (2002): 51-64 van, Duin M. et al., Haematologica 96 (2011): 1662-1669 Velinov, N. et al., Khirurgiia (Sofia) (2010): 44-49 Walter, S. et al., J Immunol 171 (2003): 4974-4978 Walter, S. et al., Nat Med. 18 (2012): 1254-1261 Wang, G. H. et al., Oncol Lett. 5 (2013): 544-548 Wang, Y. et al., Anticancer Res 33 (2013): 207-214 Wilhelm, S. M. et al., Cancer Res 64 (2004): 7099-7109 Willcox, B. E. et al., Protein Sci. 8 (1999): 2418-2423 Wittig, B. et al., Hum.Gene Ther. 12 (2001): 267-278 Wlodarski, M. W. et al., J Leukoc.Biol 83 (2008): 589-601 World Cancer Report, (2014) Wu, Z. Y. et al., Scand.J Immunol. 74 (2011): 561-567 Xie, X. et al., Oncol Lett. 7 (2014): 1537-1543 Xiong, D. et al., Carcinogenesis 33 (2012): 1797-1805 Xu, J. et al., J Mol.Biol 377 (2008): 28-46 Xu, L. et al., Zhongguo Fei.Ai.Za Zhi. 14 (2011): 727-732 Xu, X. et al., Exp.Mol.Pathol. 97 (2014): 579-584 Xu, Y. et al., Sci.Rep. 5 (2015): 12104 Yakimchuk, K. et al., Mol.Cell Endocrinol. 375 (2013): 121-129 Yamada, R. et al., Tissue Antigens 81 (2013): 428-434 Yang, S. et al., Biochim.Biophys Acta 1772 (2007): 1033-1040 Yao, J. et al., Cancer Immunol.Res. 2 (2014): 371-379 Yin, B. et al., Int.J Clin Exp.Pathol. 7 (2014a): 2934-2941 Yu, J. et al., Gut 64 (2015): 636-645 Yu, W. et al., Toxicol.Appl.Pharmacol. 264 (2012): 73-83 Yuan, R. H. et al., Ann Surg.Oncol 16 (2009): 1711-1719 Zamuner, F. T. et al., Mol.Cancer Ther. 14 (2015): 828-834 Zaremba, S. et al., Cancer Res. 57 (1997): 4570-4577 Zhan, W. et al., Clin Res Hepatol.Gastroenterol. (2015) Zhang, H. et al., Carcinogenesis 35 (2014): 1863-1871 Zhang, J. et al., Oncotarget. 6 (2015): 42040-42052 Zhang, S. et al., Int.J Clin Exp.Pathol. 8 (2015): 541-550 Zhang, X. et al., Int.J Oncol (2016) Zhao, H. et al., Zhonghua Gan Zang.Bing.Za Zhi. 10 (2002): 100-102 Zou, T. T. et al., Oncogene 21 (2002): 4855-4862 Follenzi A,et al. Nat Genet. 2000 June; 25(2):217-22. Zufferey R, et al. J Virol. 1999 April; 73(4):2886-92. Scholten K B, et al. Clin Immunol. 2006 May; 119(2):135-45. Gustafsson C, et al. Trends Biotechnol. 2004 July; 22(7):346-53. Review. Kuball, J., et al. (2007). Blood 109, 2331-2338. Schmitt, T. M., et al. (2009). Hum. Gene Ther. 20, 1240-1248