AU747841B2 - Vaccine and antitoxin for treatment and prevention of C. difficile disease - Google Patents

Description

S F Ref: 376036D1

AUSTRALIA

PATENTS ACT 1990 COMPLETE SPECIFICATION FOR A STANDARD PATENT

ORIGINAL

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*SS 4 *5*4 S. S Name and Address of Applicant: Proyn-ie'o Cc^Y-e.4i Qv) Ophian Pharmaceutical, Tnc. 2,80 -jo id- 5445 East Cheryl Parkway Madison Wisconsin 53711 UNITED STATES OF AMERICA GtrllDhl (ZoD~Q~ Actual Inventor(s): James A Williams, Nisha V Padhye, John A Kink, Thalley, Douglas C Stafford and Joseph R Firca Bruce S *555

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Address for Service: Invention Title: Spruson Ferguson, Patent Attorneys Level 33 St Martins Tower, 31 Market Street Sydney, New South Wales, 2000, Australia Vaccine and Antitoxin for Treatment and Prevention of C. difficile Disease The following statement is a full description of this invention, including the best method of performing it known to me/us:- 5845 VACCINE AND ANTITOXIN FOR TREATMENT AND PREVENTION OF C. DIFFICILE DISEASE FIELD OF THE INVENTION The present invention relates to clostridial antitoxin and vaccine therapy for humans and other animals. Antitoxins which neutralize the pathologic effects of clostridial toxins are provided. Vaccines which prevent the morbidity and mortality associated with clostridial diseases are provided.

10 BACKGROUND OF THE INVENTION The genus Clostridium is comprised of gram-positive, anaerobic. spore-forming bacilli.

The natural habitat of these organisms is the environment and the intestinal tracts of humans and other animals. Indeed. clostridia are ubiquitous: they are commonly found in soil, dust.

sewage. marine sediments. decaying vegetation, and mud. [See P.H.A. Sneath et al..

"Clostridium." Bergey's Manual@ f /Systematic Bacteriology, Vol. 2. pp. 1141-1200, Williams Wilkins (1986).] Despite the identification of approximately 100 species of S° •Clostridium. only a small number have been recognized as etiologic agents of medical and veterinary importance. Nonetheless. these species are associated with very serious diseases.

including botulism. tetanus. anaerobic ccllulitis. gas gangrene. bacteremia, pseudomembranous colitis, and clostridial gastroenteritis. Table I lists some of the species of medical and veterinary importance and the diseases with which they are associated. As virtually all of these species have been isolated from fecal samples of apparently healthy persons. some of these isolates may be transient rather than permanent residents of the colonic flora.

TABLE 1 Clostridium Species of Medical and Veterinary Importance* Species Disease C. aminovalericum Bacteriuria (pregnant women) Infected wounds: Bacteremia: Botulism; Infections of C. argentinense amniotic fluid Infected war wounds: Peritonitis: Infectious processes of C. baratii the eye. ear and.prostate C. beijerinckikii Infected wounds C. bifermentans Infected wounds: Abscesses: Gas Gangrene: Bacteremia -1- TABLE 1 Clostridium Species of Medical and Veterinary Importance* Species Disease C. botulinum Food poisoning: Botulism (wound. food. infant) Urinary tract. lower respiratory tract, pleural cavity, and C. burvricum abdominal infections: Infected wounds: Abscesses; Bacteremia C. cadaveris Abscesses: Infected wounds C. carnis Soft tissue infections: Bacteremia C. chauvoei Blackleg Abdominal. cervical, scrotal. pleural. and other infections: C. clostridioforme Septicemia: Peritonitis: Appendicitis Isolated from human disease processes. but role in disease C. cochlearium unknown.

Antimicrobial-associated diarrhea: Pseudomembranous C. difficile enterocolitis: Bacteremia: Pyogenic infections C. fallax Soft tissue infections C ghnoii Soft tissue infections C. glycolicum Wound infections: Abscesses: Peritonitis C. hastiforme Infected war wounds: Bacteremia: Abscesses Infected war wounds: Gas gangrene: Gingival plaque C. histolyticum isolate C indolis Gastrointestinal tract infections C. innocuum Gastrointestinal tract infections: Empyema C. irregulare Penile lesions C. leptum C. limosum C. malenominatum C. novyi C. oroticum C. paraputrificumn Isolated from human disease processes. but role in disease unknown.

Bacteremia: Peritonitis; Pulmonary infections Various infectious processes Infected wounds: Gas gangrene: Blackleg. Big head (ovine); Redwater disease (bovine) Urinary tract infections: Rectal abscesses Bacteremia: Peritonitis: Infected wounds: Appendicitis TABLE 1 Clostridium Species of Medical and Veterinary Importance* Soecies Disease Gas gangrene: Anaerobic cellulitis: Intra-abdominal abscesses; Soft tissue infections: Food poisoning; C. perfringens Necrotizing pneumonia: Empyema: Meningitis: Bacteremia: Uterine Infections: Enteritis necrotans: Lamb dysentery: Struck: Ovine Enterotoxemia: C putrefaciens Bacteriuria (Pregnant women with bacteremia) C. putrificum Abscesses: Infected wounds: Bacteremia Infections of the abdominal cavity, genital tract. lung, and C. ramosum biliary tract: Bacteremia Isolated from human disease processes. but role in disease C. sartagoforme unknown.

Gas gangrene: Bacteremia; Suppurative infections; C. septictm Necrotizing enterocolitis: Braxy Gas gangrene: Wound infections: Penile lesions; C. sordellii Bacteremia: Abscesses: Abdominal and vaginal infections Appendicitis; Bacteremia: Bone and soft tissue infections; C. sphenoides Intraperitoneal infections: Infected war wounds: Visceral gas gangrene: Renal abscesses Gas gangrene: Bacteremia: Endocarditis: central nervous system and pleuropulmonary infections: Penile lesions: Infected war wounds: Other pyogenic infections C sporogenes

I

C. subterminale C. svmbiosum Bacteremia: Empyema: Biliary tract. soft tissue and bone infections Liver abscesses: Bacteremia: Infections resulting due to bowel flora Gas gangrene: Appendicitis: Brain abscesses: Intestinal tract and soft tissue infections: Infected war wounds; Periodontitis: Bacteremia C. tertium 1 C. letani Tetanus; Infected gums and teeth; Coreal ulcerations; Mastoid and middle ear infections: Intraperitoneal infections; Tetanus neonatorum: Postpartum uterine infections; Soft tissue infections, especially related to trauma (including abrasions and lacerations); Infections related to use of contaminated needles Isolated from human disease processes. but role in disease olyticum unknown.

C. thermosacchar Compiled from P.G. Engelkirk et al. "Classification". Principles and Practice of Clinical Anaerobic Bacteriology, pp. 22-23, Star Publishing Co., Belmont, CA (1992); J. Stephen and R.A. Petrowski. "Toxins Which Traverse Membranes and Deregulate Cells." in Bacterial Toxins. 2d ed., pp. 66-67. American Society for Microbiology (1986); R. Berkow and A.J. Fletcher "Bacterial Diseases." Merck Manual of Diagnosis and Therapy, 16th ed., pp. 116-126, Merck Research Laboratories. Rahway, N.J. (1992); and O.H. Sigmund and C.M. Fraser "Clostridial Infections." Merck Veterinary Manual. 5th ed.. pp. 396-409. Merck Co.. Rahway. N.J. (1979).

In most cases, the pathogenicity of these organisms is related to the release of powerful exotoxins or highly destructive enzymes. Indeed. several species of the genus Clostridium produce toxins and other enzymes of great medical and veterinary significance.

Hatheway. Clin. Microbiol. Rev. 3:66-98 (1990).] Perhaps because of their significance for human and veterinary medicine, much 15 research has been conducted on these toxins, in particular those of C. hotulinum and C.

difficile.

C botulinum Several strains of Clostridium botulinum produce toxins of significance to human and 20 animal health. Hatheway. Clin. Microbiol. Rev. 3:66-98 (1990).] The effects of these toxins range from diarrheal diseases that can cause destruction of the colon, to paralytic effects that can cause death. Particularly at risk for developing clostridial diseases are neonates and humans and animals in poor health those suffering from diseases associated with old age or immunodeficiency diseases).

25 Clostridium botulinum produces the most poisonous biological toxin known. The lethal human dose is a mere 10" mg/kg bodyweight for toxin in the bloodstream. Botulinal toxin blocks nerve transmission to the muscles, resulting in flaccid paralysis. When the toxin reaches airway and respiratory muscles, it results in respiratory failure that can cause death.

Arnon. J. Infect. Dis. 154:201-206 (1986).] C. botulinum spores are carried by dust and are found on vegetables taken from the soil. on fresh fruits, and on agricultural products such as honey. Under conditions favorable to the organism. the spores germinate to vegetative cells which produces toxin. Amon.

Ann. Rev. Med. 31:541 (1980).] Botulism disease may be grouped into four types. based on the method of introduction of toxin into the bloodstream. Food-borne botulism results from ingesting improperly preserved and inadequately heated food that contains botulinal toxin. There were 355 cases of food-borne botulism in the United States between 1976 and 1984. MacDonald et al., Am. J. Epidemiol. 124:794 (1986).] The death rate due to botulinal toxin is 12% and can be higher in particular risk groups. Tacket et al.. Am. J. Med. 76:794 (1984).] Woundinduced botulism results from C. botulinum penetrating traumatized tissue and producing toxin that is absorbed into the bloodstream. Since 1950. thirty cases of wound botulism have been reported. Swartz. "Anaerobic Spore-Forming Bacilli: The Clostridia." pp. 633-646. in 10 B.D. Davis et Microbiology, 4th edition. J.B. Lippincott Co. (1990).] Inhalation botulism results when the toxin is inhaled. Inhalation botulism has been reported as the result of accidental exposure in the laboratory Holzer. Med. Klin. 41:1735 (1962)] and could arise if the toxin is used as an agent of biological warfare Franz et al.. in Botulinum .and Tetanus Neurotoxins. B.R. DasGupta. ed.. Plenum Press. New York (1993), pp. 473-476].

Infectious infant botulism results from C. botulinum colonization of the infant intestine with production of toxin and its absorption into the bloodstream. It is likely that the bacterium gains entry when spores are ingested and subsequently germinate. Amon. J. Infect. Dis.

154:201 (1986).] There have been 500 cases reported since it was first recognized in 1976.

Swartz. supra.] Infant botulism strikes infants who are three weeks to eleven months old (greater than 90% of the cases are infants less than six months). Arnon. J. Infect. Dis. 154:201 (1986).] It is believed that infants are susceptible. due. in large part. to the absence of the full adult complement of intestinal microflora. The benign microflora present in the adult intestine provide an acidic environment that is not favorable to colonization by C botulinum. Infants begin life with a sterile intestine which is gradually colonized by microflora. Because of the limited microflora present in early infancy, the intestinal en ironment is not as acidic, allowing for C. botulinum spore germination, growth, and toxin production. In this regard, some adults who have undergone antibiotic therapy which alters intestinal microflora become more susceptible to botulism.

An additional factor accounting for infant susceptibility to infectious botulism is the immaturity of the infant immune system. The mature immune system is sensitized to bacterial antigens and produces protective antibodies. Secretory IgA produced in the adult intestine has the ability to agglutinate vegetative cells of C. botulinum. Arnon. J. Infect.

Dis. 154:201 (1986).] Secretory IgA may also act by preventing intestinal bacteria and their products from crossing the cells of the intestine. Amon. Epidemiol. Rev. 3:45 (1981).] The infant immune system is not primed to do this.

Clinical symptoms of infant botulism range from mild paralysis, to moderate and severe paralysis requiring hospitalization, to fulminant paralysis. leading to sudden death. [S.

10 Anon. Epidemiol. Rev. 3:45 (1981).] The chief therapy for severe infant botulism is ventilatory assistance using a mechanical respirator and concurrent elimination of toxin and bacteria using cathartics.

enemas. and gastric lavage. There were 68 hospitalizations in California for infant botulism in a single year with a total cost of over $4 million for treatment. Frankovich and S.

Anon. West. J. Med. 154:103 (1991).] Different strains of Clostridium botulinum each produce antigenically distinct toxin designated by the letters A-G. Serotype A toxin has been implicated in 26% of the cases of food botulism: types B. E and F have also been implicated in a smaller percentage of the food botulism cases Sugiyama. Microbiol. Rev. 44:419 (1980)]. Wound botulism has been reportedly caused by only types A or B toxins Sugiyama. supra]. Nearly all cases of infant botulism have been caused by bacteria producing either type A or type B toxin.

(Exceptionally. one New Mexico case was caused by Clostridium botulinum producing type F toxin and another by Clostridium botulinum producing a type B-type F hybrid.) Anon.

Epidemiol. Rev. 3:45 (1981).] Type C toxin affects waterfowl. cattle, horses and mink. Type D toxin affects cattle, and type E toxin affects both humans and birds.

A trivalent antitoxin derived from horse plasma is commercially available from Connaught Industries Ltd. as a therapy for toxin types A. B, and E. However, the antitoxin has several disadvantages. First, extremely large dosages must be injected intravenously and/or intramuscularly. Second, the antitoxin has serious side effects such as acute anaphylaxis which can lead to death, and serum sickness. Finally. the efficacy of the antitoxin is uncertain and the treatment is costly. Tacket et al.. Am. J. Med. 76:794 (1984).] A heptavalent equine botulinal antitoxin which uses only the F(ab')2 portion of the antibody molecule has been tested by the United States Military. Balady, USAMRDC Newsletter. p. 6 (1991).] This was raised against impure toxoids in those large animals and is not a high titer preparation.

A pentavalent human antitoxin has been collected from immunized human subjects for use as a treatment for infant botulism. The supply of this antitoxin is limited and cannot be expected to meet the needs of all individuals stricken with botulism disease. In addition, 10 collection of human sera must involve screening out HIV and other potentially serious human pathogens. Schwarz and S.S. Arnon. Western J. Med. 156:197 (1992).] Infant botulism has been implicated as the cause of mortality in some cases of Sudden Infant Death Syndrome (SIDS. also known as crib death). SIDS is officially recognized as infant death that is sudden and unexpected and that remained unexplained despite complete post-mortem examination. The link of SIDS to infant botulism came when fecal or blood specimens taken at autopsy from SIDS infants were found to contain C. botulinum organisms and/or toxin in 3-4% of cases analyzed. Peterson et al., Rev. Infect. Dis. 1:630 (1979).] In contrast. only I of 160 healthy infants had C botulinum organisms in the feces and no botulinal toxin. Anon et al.. Lancet, pp. 1273-76. June 17. 1978.) In developed countries. SIDS is the number one cause of death in children between one month and one year old. Amon et al.. Lancet. pp. 1273-77. June 17. 1978.) More children die from SIDS in the first year than from any other single cause of death in the first fourteen years of life. In the United States, there are 8.000-10.000 SIDS victims annually.

Id.

What is needed is an effective therapy against infant botulism that is free of dangerous side effects. is available in large supply at a reasonable price, and can be safely and gently delivered so that prophylactic application to infants is feasible.

Immunization of subjects with toxin preparations has been done in an attempt to induce immunity against botulinal toxins. A C. botulinum vaccine comprising chemically inactivated formaldehyde-treated) type A. B.C. D and E toxin is commercially available -7for human usage. However, this vaccine preparation has several disadvantages. First, the efficacy of this vaccine is variable (in particular, only 78% of recipients produce protective levels of anti-type B antibodies following administration of the primary series). Second, immunization is painful (deep subcutaneous inoculation is required for administration), with adverse reactions being common (moderate to severe local reactions occur in approximately 6% of recipients upon initial injection: this number rises to approximately 11% of individuals who receive booster injections) [Informational Brochure for the Pentavalent (ABCDE) Botulinum Toxoid. Centers for Disease Control]. Third, preparation of the vaccine is dangerous as active toxin must be handled by laboratory workers.

10 What is needed are safe and effective vaccine preparations for administration to those 9 at risk of exposure to C. botulinum toxins.

C. difficile C difficile. an organism which gained its name due to difficulties encountered in its isolation, has recently been proven to be an etiologic agent of diarrheal disease. (Sneath et S p. 1165.). C difficile is present in the gastrointestinal tract of approximately 3% of healthy adults, and 10-30% of neonates without adverse effect (Swartz. at p. 644); by other estimates. C difficile is a part of the normal gastrointestinal flora of 2-10% of humans. [G.F.

S" Brooks et al., (eds.) "Infections Caused by Anaerobic Bacteria." Jawetz. Melnick. 20 Adelberg s Medical Microbiology, 19th ed.. pp. 257-262. Appleton Lange. San Mateo. CA (1991).] As these organisms are relatively resistant to most commonly used antimicrobials.

when a patient is treated with antibiotics. the other members of the normal gastrointestinal flora are suppressed and C. difficile flourishes, producing cytopathic toxins and enterotoxins.

It has been found in 25% of cases of moderate diarrhea resulting from treatment with antibiotics, especially the cephalosporins. clindamycin. and ampicillin. Swartz at 644.] Importantly, C. difficile is commonly associated with nosocomial infections. The organism is often present in the hospital and nursing home environments and may be carried on the hands and clothing of hospital personnel who care for debilitated and immunocompromised patients. As many of these patients are being treated with 8 antimicrobials or other chemotherapeutic agents. such transmission of C. difficile represents a significant risk factor for disease. (Engelkirk et al., pp. 64-67.) C difficile is associated with a range of diarrhetic illness, ranging from diarrhea alone to marked diarrhea and necrosis of the gastrointestinal mucosa with the accumulation of inflammatory cells and fibrin. which forms a pseudomembrane in the affected area. (Brooks et al.) It has been found in over 95% of pseudomembranous enterocolitis cases. (Swartz, at p. 644.) This occasionally fatal disease is characterized by diarrhea, multiple small colonic plaques. and toxic megacolon. (Swartz, at p. 644.) Although stool cultures are sometimes used for diagnosis. diagnosis is best made by detection of the heat labile toxins present in fecal filtrates from patients with enterocolitis due to C difficile. (Swarz. at p. 644-645: and Brooks et al.. at p. 260.) C. difficile toxins are cytotoxic for tissue/cell cultures and cause o enterocolitis when injected intracecally into hamsters. (Swartz. at p. 644.) The enterotoxicity of C. difficile is primarily due to the action of two toxins, 0. designated A and B. each of approximately 300.000 in molecular weight. Both are potent 15 cvtotoxins, with toxin A possessing direct enterocytotoxic activity. [Lyerly el al.. Infect.

Immun. 60:4633 (1992).] Unlike toxin A of C. perfringens. an organism rarely associated with antimicrobial-associated diarrhea, the toxin of C. difficile is not a spore coat constituent and is not produced during sporulation. (Swartz- at p. 644.) C. difficile toxin A causes hemorrhage, fluid accumulation and mucosal damage in rabbit ileal loops and appears to 20 increase the uptake of toxin B by the intestinal mucosa. Toxin B does not cause intestinal fluid accumulation, but it is 1000 times more toxic than toxin A to tissue culture cells and causes membrane damage. Although both toxins induce similar cellular effects such as actin disaggregation. differences in cell specificity occurs.

g o "Both toxins are important in disease. [Borriello et al.. Rev. Infect. Dis.. 12(suppl.

2):S185 (1990); Lyerly et al.. Infect. Immun.. 47:349 (1985): and Rolfe. Infect. Immun..

59:1223 (1990).] Toxin A is tiought to act first by binding to brush border receptors, destroying the outer mucosal layer, then allowing toxin B to gain access to the underlying tissue. These steps in pathogenesis would indicate that the production of neutralizing antibodies against toxin A may be sufficient in the prophylactic therapy of CDAD. However.

antibodies against toxin B may be a necessary additional component for an effective -9therapeutic against later stage colonic disease. Indeed. it has been reported that animals require antibodies to both toxin A and toxin B to be completely protected against the disease.

[Kim and Rolfe, Abstr. Ann. Meet. Am. Soc. Microbiol.. 69:62 (1987).] C. difficile has also been reported to produce other toxins such as an enterotoxin different from toxins A and B [Banno et al.. Rev. Infect. Dis.. 6(Suppl. 1:SI 1-S20 (1984)], a low molecular weight toxin [Rihn et al.. Biochem. Biophys. Res. Comm.. 124:690-695 (1984)], a motility atering factor [Justus et al.. Gastroenterol.. 83:836-843 (1982)], and perhaps other toxins. Regardless. C difficile gastrointestinal disease is of primary concern.

It is significant that due to its resistance to most commonly used antimicrobials, C.

difficile is associated with antimicrobial therapy with virtually all antimicrobial agents (although most commonly ampicillin. clindamycin and cephalosporins). It is also associated with disease in patients undergoing chemotherapy with such compounds as methotrexate. fluorouracil. cyclophosphamide. and doxorubicin. Finegold et al.. Clinical Guide to Anaerobic Infections. pp. 88-89. Star Publishing Co.. Belmont. CA (1992).] 15 Treatment of C. difficile disease is problematic, given the high resistance of the organism. Oral metronidazole. bacitracin and vancomycin have been reported to be effective.

(Finegold et al.. p. 89.) However there are problems associated with treatment utilizing these compounds. Vancomycin is very expensive, some patients are unable to take oral medication.

and the relapse rate is high although it may not occur for several weeks. Id.

20 C. difficile disease would be prevented or treated by neutralizing the effects of these toxins in the gastrointestinal tract. Thus. what is needed is an effective therapy against C.

difficile toxin that is free of dangerous side effects. is available in large supply at a reasonable oooo rice, and can be safely delivered so that prophylactic application to patients at risk of developing pseudomembranous enterocolitis can be effectively treated.

DESCRIPTION OF THE DRAWINGS Figure 1 shows the reactivity of anti-C botulinum IgY by Western blot.

Figure 2 shows the IgY antibody titer to C. botulinum type A toxoid in eggs, measured by ELISA.

Figure 3 shows the results of C. difficile toxin A neutralization assays.

10 Figure 4 shows the results of C difficile toxin B neutralization assays.

Figure 5 shows the results of C. difficile toxin B neutralization assays.

Figure 6 is a restriction map of C. difficile toxin A gene. showing sequences of primers 1-4 (SEQ ID NOS:1-4).

Figure 7 is a Western blot of C. difficile toxin A reactive protein.

Figure 8 shows C. dificile toxin A expression constructs.

Figure 9 shows C. difficile toxin A expression constructs.

Figure 10 shows the purification of recombinant C difficile toxin A.

Fieure 11 shows the results of C. difficile toxin A neutralization assays with antibodies reactive to recombinant toxin A.

Figure 12 shows the results for a C. difficile toxin A neutralization plate.

S..

Figure 13 shows the results for a C difficile toxin A neutralization plate.

Figure 14 shows the results of recombinant C difficile toxin A neutralization assays.

Figure 15 shows C. dificile toxin A expression constructs.

15 Figure 16 shows a chromatograph plotting absorbance at 280 nm against retention time for a pMA1870-680 IgY PEG preparation.

Figure 17 shows two recombinant C. difficile toxin B expression constructs.

Figure 18 shows C difficile toxin B expression constructs.

Figure 19 shows C difficile toxin B expression constructs.

Figure 20 shows C difficile toxin B expression constructs.

Figure 21 is an SDS-PAGE gel showing the purification of recombinant C. difficile toxin B fusion protein.

Figure 22 is an SDS-PAGE gel showing the purification of two histidine-tagged recombinant C. difficile toxin B proteins.

Figure 23 shows C difficile toxin B expression constructs.

Figure 24 is a Western blot of C. difficile toxin B reactive protein.

Figure 25 shows C. botulinum type A toxin expression constructs: constructs used to provide C botulinum or C. difficile sequences are also shown.

Figure 26 is an SDS-PAGE gel stained with Coomassie blue showing the purification of recombinant C. botulinum type A toxin fusion proteins.

11 Figure 27 shows C. botulinum type A toxin expression constructs: constructs used to provide C. botulinum sequences are also shown.

Figure 28 is an SDS-PAGE gel stained with Coomassie blue showing the purification of pHisBot protein using the Ni-NTA resin.

Figure 29 is an SDS-PAGE gel stained with Coomassie blue showing the expression of pHisBot protein in BL21(DE3) and BL21(DE3)pLysS host cells.

Figure 30 is an SDS-PAGE gel stained with Coomassie blue showing the purification of pHisBot protein using a batch absorption procedure.

Figure 31 shows C difficile toxin A expression constructs.

Figure 32 shows an SDS-PAGE gel stained with Coomassie blue and a Western blot showing the expression of the pUC1960-2680 in E. coli host cells.

Figure 33 shows an SDS-PAGE gel stained with Coomassie blue and a Western blot showing the expression of the several recombinant C. dificile toxin A fusion proteins in E.

coli host cells.

15 Figure 34 is an SDS-PAGE gel stained with Coomassie blue showing the purification of recombinant C difficile toxin A and B fusion proteins.

Figure 35 shows the results of a prophylactic treatment study in hamsters.

Figure 36 shows the resultsof a therapeutic treatment study in hamsters.

Figure 37 shows the results of a therapeutic treatment study in hamsters.

20 Figure 38 shows the results of a therapeutic treatment study in hamsters.

Ficure 39 shows the results of administration of vancomycin to hamsters having an established C dfficile infection.

Figure 40 shows the results of an ELISA analysis of IgY isolated from hens immunized with the recombinant C difficile toxin A protein pMA1870-2680 and four different adjuvants.

Figure 41 shows the results of an ELISA analysis of IgY isolated from hens immunized with the recombinant C. difficile toxin A protein pPAI870-2680(N/C) and four different adjuvants.

Figure 42 shows dissolution profiles for Aquateric-coated IgY.

Figure 43 shows dissolution profiles for Eugragit®-coated IgY.

12 Figure 44 shows the results of an ELISA analysis of IgY isolated from hamsters vaccinated with recombinant C. difficile toxin A proteins.

Figure 45 shows the results of an ELISA analysis of IgY isolated from hamsters vaccinated with recombinant C. difficile toxin A and B proteins: reactivity to recombinant C difficile toxin A is shown.

Figure 46 shows the results of an ELISA analysis of IgY isolated from hamsters vaccinated with recombinant C. difficile toxin A and B proteins: reactivity to recombinant C difficile toxin B is shown.

Figure 47 shows results of a therapeutic treatment study in hamsters.

Figure 48 shows results of a therapeutic treatment study in diarrhetic hamsters.

Figure 49 shows results of a therapeutic treatment study in hamsters.

.4 *Figure 50 shows a Western blot showing C. dificile toxin A levels in culture supernatant. column flow through and column eluate from an affinity purification column.

Figure 51 shows a Western blot showing C difficile toxin A levels in culture 15 supernatant. column flow through and column eluate from an affinity purification column.

Figure 52 is a native PAGE gel stained with Coomassie blue showing C. difficile toxin B levels in liquid culture supernatant.

Figure 53 is a native PAGE gel stained with Coomassie blue and a Western blot showing C. difficile toxin B levels in dialysis bag cultures.

20 Figure 54 is a native PAGE gel stained with Coomassie blue and a Western blot showing C difficile toxin B levels in a commercial toxin B preparation and column flow through and column eluate from an affinity purification column.

Figure 55 shows the dissolution profiles of IgY tablets overcoated with a pH-sensitive Senteric film.

Figure 56 shows the stability of the C difficile toxin A IgY reactivity after the tableting and enteric overcoating process.

Figure 57 shows mortality of hamsters prophylactically treated with IgY and infected with C. difficile toxin A.

Figure 58 shows mortality of hamsters therapeutically treated with IgY after infection with C difficile toxin A.

13

DEFINITIONS

To facilitate understanding of the invention, a number of terms are defined below.

As used herein, the term "neutralizing" is used in reference to antitoxins, particularly antitoxins comprising antibodies. which have the ability to prevent the pathological actions of the toxin against which the antitoxin is directed.

As used herein, the term "overproducing" is used in reference to the production of clostridial toxin polypeptides in a host cell and indicates that the host cell is producing more of the clostridial toxin by virtue of the introduction of nucleic acid sequences encoding said clostridial toxin polypeptide than would be expressed by said host cell absent the introduction of said nucleic acid sequences. To allow ease of purification of toxin polypeptides produced in a host cell it is preferred that the host cell express or overproduce said toxin polypeptide at S a level greater than 1 mg/liter of host cell culture.

o As used herein, the term "fusion protein" refers to a chimeric protein containing the protein of interest C. difficile toxin A or B and fragments thereof) joined to an 15 exogenous protein fragment (the fusion partner which consists of a non-toxin protein). The fusion partner may enhance solubility of the C difficile protein as expressed in a host cell.

.may provide an affinity tag to allow purification of the recombinant fusion protein from the host cell or culture supernatant. or both. If desired. the fusion protein may be removed from the protein of interest toxin protein or fragments thereof) prior to immunization by a 20 variety of enzymatic or chemical means known to the art.

As used herein the term "non-toxin protein" or "non-toxin protein sequence" refers to that portion of a fusion protein which comprises a protein or protein sequence which is not derived from a bacterial toxin protein.

The term "protein of interest" as used herein refers to the protein whose expression is desired within the fusion protein. In a fusion protein the protein of interest will be joined or fused with another protein or prctein domain, the fusion partner. to allow for enhanced stability of the protein of interest and/or ease of purification of the fusion protein.

As used herein, the term "maltose binding protein" refers to the maltose binding protein of E. coli. A portion of the maltose binding protein may be added to a protein of interest to generate a fusion protein: a portion of the maltose binding protein may merely 14 enhance the solubility of the resulting fusion protein when expressed in a bacterial host. On the other hand. a portion of the maltose binding protein may allow affinity purification of the fusion protein on an amylose resin.

As used herein, the term "poly-histidine tract" when used in reference to a fusion protein refers to the presence of two to ten histidine residues at either the amino- or carboxyterminus or both termini of a protein of interest or a fusion partner. A poly-histidine tract of six to ten residues is preferred. The poly-histidine tract is also defined functionally as being a number of consecutive histidine residues added to the protein of interest which allows the affinity purification of the resulting fusion protein on a nickel-chelate column.

The term "thioredoxin protein" when used in reference to a fusion protein refers to a the thioredoxin protein of E. coli It is noted that the invention is not limited by the source of the thioredoxin protein, while the E. coli thioredoxin protein is particularly preferred, thioredoxin proteins may be obtained from several sources. A portion of the thioredoxin protein may be added to a protein of interest to generate a fusion protein: a portion of the 15 thioredoxin protein may enhance the solubility of the resulting fusion protein when expressed in a bacterial host.

As used herein, the term "purified" or "to purify" refers to the removal of contaminants from a sample. For example. antitoxins are purified by removal of contaminating non-immunoglobulin proteins: they are also purified by the removal of 20 immunoglobulin that does not bind toxin. The removal of non-immunoglobulin proteins and/or the removal of immunoglobulins that do not bind toxin results in an increase in the percent of toxin-reactive immunoglobulins in the sample. The purification of antitoxin may be accomplished by a variety of means including the extraction and precipitation of avian antitoxin from eggs using polyethylene glycol. Purification of anticlostridal antitoxin may also be accomplished by affinity chromatography on a resin comprising a portion of a clostridial toxin protein. In another example, recombinant toxin polypeptides are expressed in bacterial host cells and the toxin polypeptides are purified by the removal of host cell proteins: the percent of recombinant toxin polypeptides is thereby increased in the sample.

Additionally. the recombinant toxin polypeptides are purified by the removal of host cell components such as lipopolysaccharide endotoxin).

The term "recombinant DNA molecule" as used herein refers to a DNA molecule which is comprised of segments of DNA joined together by means of molecular biological techniques.

The term "recombinant protein" or "recombinant polypeptide" as used herein refers to a protein molecule which is expressed from a recombinant DNA molecule.

The term "native protein" as used herein refers to a protein which is isolated from a natural source as opposed to the production of a protein by recombinant means.

As used herein the term "portion" when in reference to a protein (as in "a portion of a given protein") refers to fragments of that protein. The fragments may range in size from four amino acid residues to the entire amino acid sequence minus one amino acid.

As used herein "soluble" when in reference to a protein produced by recombinant DNA technology in a host cell is a protein which exists in solution in the cytoplasm of the host cell: if the protein contains a signal sequence the soluble protein is exported to the periplasmic space in bacteria hosts and is secreted into the culture medium in eucaryotic cells 15 capable of secretion or by bacterial host possessing the appropriate genes the kil gene).

In contrast. an insoluble protein is one which exists in denatured form inside cytoplasmic granules (called an inclusion bodies) in the host cell. High level expression greater than 10-20 ma recombinant protein/liter of bacterial culture) of recombinant proteins often results in the expressed protein being found in inclusion bodies in the bacterial host cells. A soluble 20 protein is a protein which is not found in an inclusion body inside the host cell or is found both in the cytoplasm and in inclusion bodies and in this case the protein may be present at high or low levels in the cytoplasm.

A distinction is drawn between a soluble protein a protein which when expressed

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in a host cell is produced in a soluble form) and a "solubilized" protein. An insoluble recombinant protein found inside an inclusion body may be solubilized rendered into a soluble form) by treating purified inclusion bodies with denaturants such as guanidine hydrochloride, urea or sodium dodecyl sulfate (SDS). These denaturants must then be removed from the solubilized proteinpreparation to allow the recovered protein to renature (refold). Not all proteins will refold into an active conformation after solubilization in a denaturant and removal of the denaturant. Many proteins precipitate upon removal of the 16denaturant. SDS may be used to solubilize inclusion bodies and will maintain the proteins in solution at low concentration. However, dialysis will not always remove all of the SDS (SDS can form micelles which do not dialyze out); therefore. SDS-solubilized inclusion body protein is soluble but not refolded.

A distinction is drawn between proteins which are soluble dissolved) in a solution devoid of significant amounts of ionic detergents SDS) or denaturants urea. guanidine hydrochloride) and proteins which exist as a suspension of insoluble protein molecules dispersed within the solution. A soluble protein will not be removed from a solution containing the protein by centrifugation using conditions sufficient to remove bacteria present in a liquid medium centrifugation at 5.000 x g for 4-5 minutes). For example, to test whether two proteins, protein A and protein B. are soluble in solution, the two proteins are placed into a solution selected from the group consisting of PBS-NaCI (PBS containing 0.5 M NaCI). PBS-NaCI containing 0.2% Tween 20. PBS. PBS containing 0.2% Tween 6PBS-C (PBS containing 2 mM CaCI,). PBS-C containing either 0.1 or 0.5 Tween 20. PBS- C containing either 0.1 or 0.5% NP-40. PBS-C containing either 0.1 or 0.5% Triton X-100, PBS-C containing 0.1% sodium deoxycholate. The mixture containing proteins A and B is then centrifuged at 5000 x g for 5 minutes. The supernatant and pellet formed by centrifugation are then assayed for the presence of protein A and B. If protein A is found in the supernatant and not in the pellet [except for minor amounts less than 10%) as a 20 result of trapping). protein is said to be soluble in the solution tested. If the majority of protein B is found in the pellet greater than then protein B is said to exist as a suspension in the solution tested.

As used herein, the term "therapeutic amount" refers to that amount of antitoxin required to neutralize the pathologic effects of one or more clostridial toxins in a subject.

The term "therapeutic mixture" when used in reference to a mixture of antitoxins refers to that amount of antitoxin required neutralize the pathologic effects of one or more clostridial toxins in a subject.

The term "therapeutic vaccine" when used in reference to a vaccine comprising one or more recombinant clostridial toxin fusion proteins means that the vaccine contains an immunologically-effective amount of the fusion proteins the immunogens).

17 As used herein the term "immunogenically-effective amount" refers to that amount of an immunogen required to invoke the production of protective levels of antibodies in a host a subject) upon vaccination.

The term "pyrogen" as used herein refers to a fever-producing substance. Pyrogens may be endogenous to the host prostaglandins) or may be exogenous compounds bacterial endo- and exotoxins. nonbacterial compounds such as antigens and certain steroid compounds. etc.). The presence of pyrogen in a pharmaceutical solution may be detected using the U.S. Pharmacopeia (USP) rabbit fever test (United States Pharmacopeia. Vol. XXII (1990) United States Pharmacopeial Convention. Rockville. MD, p. 151).

10 The term "endotoxin" as used herein refers to the high molecular weight complexes associated with the outer membrane of gram-negative bacteria. Unpurified endotoxin contains lipids, proteins and carbohydrates. Highly purified endotoxin does not contain protein and is referred to as lipopolysaccharide (LPS). Because unpurified endotoxin is of concern in the production of pharmaceutical compounds proteins produced in E. coli using recombinant 15 DNA technology), the term endotoxin as used herein refers to unpurified endotoxin. Bacterial endotoxin is a well known pyrogen.

As used herein, the term "endotoxin-free" when used in reference to a composition to be administered parenterally (with the exception of intrathecal administration) to a host means that the dose to be delivered contains less than 5 EU/kg body weight [FDA Guidelines for Parenteral Drugs (December 1987)]. Assuming a weight of 70 kg for an adult human, the dose must contain less than 350 EU to meet FDA Guidelines for parenteral administration.

Endotoxin levels are measured herein using the Limulus Amebocyte Lysate (LAL) test (Limulus Amebocyte Lysate Pyrochrome

T

Associates of Cape Cod. Inc. Woods Hole. MA).

To measure endotoxin levels in preparations of recombinant proteins. 0.5 ml of a solution comprising 0.5 mg of purified recombinant protein in 50 mM NaPO,. pH 7.0. 0.3M NaCI and giycerol is used in the LAL assay according to the manufacturer's instructions for the endpoint chromogenic without diazo-coupling method. Compositions containing less than or equal to 450 endotoxin units (EU)/mg of purified recombinant protein are herein defined as "substantially endotoxin-free." Typically. administration of bacterial toxins or toxoids to adult humans for the purpose of vaccination involves doses of about 10-500 pg protein/dose.

18 Therefore. administration of 10-500 .g of a purified recombinant protein to a 70 kg human.

wherein said purified recombinant protein preparation contains 450 EU/mg protein, results in the introduction of only 4.5 to 225 EU 1.3 to 64.5% of the maximum allowable endotoxin burden per parenteral dose).

The LAL test is accepted by the U.S. FDA as a means of detecting bacterial endotoxins (21 C.F.R. 660.100 -105). Studies have shown that the LAL test is equivalent or superior to the USP rabbit pyrogcn test for the detection of endotoxin and thus the LAL test can be used as a surrogate for pyrogenicity studies in animals Perason. Pyrogens: endotoxins. LAL testing and depyrogenation. Marcel Dekker. New York (1985), pp.150-155].

S 10 The FDA Bureau of Biologics accepts the LAL assay in place of the USP rabbit pyrogen test so long as the LAL assay utilized is shown to be as sensitive as. or more sensitive as the rabbit test [Fed. Reg.. 38. 26130 (1980)].

The term "monovalent" when used in reference to a clostridial vaccine refers to a vaccine which is capable of provoking an immune response in a host a subject) animal •15 directed against a single type of clostridial toxin. For example, if immunization of a host with C. difficile type A toxin vaccine induces antibodies in the immunized host which protect against a challenge with type A toxin but not against challenge with type B toxin, then the type A vaccine is said to be monovalent. In contrast. a "multivalent" vaccine provokes an immune response in a host animal directed against several more than one) clostridial toxins. For example. if immunization of a host with a vaccine comprising C. difficile type A and B toxins induces the production of antibodies which protect the host against a challenge with both type A and B toxin, the vaccine is said to be multivalent (in particular. this hypothetical vaccine is bivalent).

As used herein, the terms "aggregate" and "aggregation" refer to the production of clumps. groupings. or masses of materials. It is not intended that the terms be limited to a particular type of clumping. Rather. it is intended that the term be used in its broadest sense to encompass any situation where multiple items are brought together into close contact.

Thus. the term encompasses agglutination of any type (including, but not limited to latex agglutination. hemagglutination. or any other method in which an immunological reaction is used to produce agglutination). The terms also apply to non-immunological methods, and 19also encompass non-specific relationships between multiple components: all that is required is that the individual components be clumped together.

The term "subject" when used in reference to administration of compositions comprising antitoxins or vaccines refers to the recipient animal to whom said antitoxins or vaccines are administered. The subject may be any animal, including mammals and more particularly. humans, in which it is desirable to administer said compositions. The subject may have been previously exposed to one or more C. difficile toxins prior to administration of said compositions (this constitutes therapeutic administration to the subject). Alternatively, the subject may not have been previously exposed to C. difficile toxins prior to administration S 10 of said compositions (this constitutes prophylactic administration to the subject).

The term "sample" in the present specification and claims is used in its broadest sense.

S. On the one hand it is meant to include a specimen or culture microbiological cultures).

On the other hand. it is meant to include both biological and environmental samples.

Biological samples may be animal. including human, fluid. solid stool) or tissue.

15 as well as liquid and solid food and feed products and ingredients such as dairy items.

vegetables, meat and meat by-products, and waste. Biological samples may be obtained from all of the various families of domestic animals. as well as eral or wild animals, including, but not limited to. such animals as ungulates. bear. fish. lagamorphs. rodents, etc.

Environmental samples include environmental material such as surface matter, soil.

water and industrial samples, as well as samples obtained from food and dairy processing instruments. apparatus. equipment, utensils, disposable and non-disposable items. These examples are not to be construed as limiting the sample types applicable to the present invention.

As used herein, the term "culture" is used in reference to the in vivo or in vitro growth of organisms, including, but not limited to bacteria. It is intended that the term encompass any form of microbial culture. It is intended that the term encompass the propagation of micoorganisms or other living cells in media and in an environment that is conducive to their growth. Such cultures may be grown in any format, including but not limited to agar plates.

broths, and semi-solid media, and may be grown in any environment suitable for the oreanisms cultured aerobic. anaerobic. microaerophilic. etc.).

20 As used herein, the term "supernatant" is used in reference to any liquid or fluid solution. This liquid or fluid may or may not contain soluble particles such as proteins antibodies or toxin molecules). The term encompasses any liquid lying above precipitated insoluble material, as well as liquids such as liquid culture media collected from a microbial or cell culture. It also encompasses the liquid portion of a sample which has been centrifuged to separate insoluble particles which are incapable of remaining in solution during centrifugation. from particles which are capable of remaining in solution during centrifugation. However. it is not intended that the term be limited to the situation in which centrifugation is utilized.

10 The term "protective level", when used in reference to the level of antibodies induced upon immunization of the host with an immunogen which comprises a bacterial toxin, means 4 0. a level of circulating antibodies sufficient to protect the host from challenge with a lethal dose of the toxin.

As used herein the terms "protein" and "polypeptide" refer to compounds comprising 15 amino acids joined via peptide bonds and are used interchangeably.

The term "toxin" when used in reference to toxins produced by members species and strains) of the genus Clostridium refers to the proteins which are poisonous to tissue(s).

For example, the toxins produced by C difficile are poisonous to intestinal tissues: the toxins produced by C. botulinum are poisonous to nerve tissue.

The terms "encapsulation" or "encapsulating" refers to the covering of a solid lyophilized) form of antitoxin. The covering may comprise an enteric coating or a capsule.

The terms "enteric coating" or "enteric film" are used interchangeably and refer to a material or compound which is resistant to acid pH an acid-resistant compound). such as that found in the stomach. An enteric coating when applied to a solid inhibits the dissolution of the solid in the stomach.

Standard techniques are known to the art for the encapsulation of solid compositions.

These techniques include microencapsulation of a solid composition wherein an enteric coating is applied to the solid composition. The coated material may be delivered orally to a subject by suspending the microencapsulated particles in pharmaceutical suspension solutions known to the art.

21 When a solid antitoxin is to be encapsulated using an enteric coating, the enteric coating may be applied using a one step coating process in which the enteric film is directly applied to the solid antitoxin: the coated antitoxin is said to be overcoated with the enteric film. Alternatively, a two step coating process may be employed wherein the solid antitoxin is first used to overcoat a non-pariel a sugar particle of about 40-60 mesh size) and then the antitoxin-coated non-pariel is overcoated with the enteric film. Desirable enteric coatings for the delivery of antitoxins include polymethacrylates such as Eudragit® L30D (Rohm Tech, Inc.) Solid antitoxin may formulated for oral delivery by insertion of the desired qunatity of 10 antitoxin into a capsule: the capsule would preferable have the characteristic of being resistant to dissolution in the stomach and being capable of dissolving in the intestines. Numerous suitable capsule formulations are available to the art: in addition standard techniques are available for the filling of capsules including the use of inert filler materials to provide sufficient bulk of the filling of a capsule with a therapeutic composition in a solid form. In addition to the use of microencapsulated antitoxin and antitoxin contained within a capsule.

S°the solid antitoxin may be delivered orally in tablet or pill form. The solid antitoxin may be combined with inert materials to provide sufficient bulk for the pressing of the tablet or pill.

Once formed. the tablet or pill may then be coated with an enteric film to prevent dissolution in the stomach and to enhance dissolution in the intestines.

The term "oral administration" refers to the delivery of a composition, such as a composition comprising antitoxin, via the mouth.

The term "parenteral administration" refers to the delivery of a composition, such as a composition comprising an antitoxin or vaccine, by a route other than through the gastrointestinal tract oral delivery) or the lungs. In particular, parenteral administration may be via intravenous, subcutaneous, intramuscular or intramedullary intrathecal) injection.

The terms "symptoms" and "symptoms of intoxication" when used in reference to a subject exposed to or at risk of exposure to C. difficile toxins refers to presence of any of the following phenomenon: diarrhea. enterocolitis. pseudomembranous colitis, hemorrhage, 22 ulceration and/or inflammation of the intestinal mucosa. cecitis inflammation of the cecum).

As used herein, the term "ceases to exhibit symptoms" refers to the situation in which a subject has stopped exhibiting the signs and/or symptoms associated with C difficile disease and/or infection.

The term "substantial elimination" of the symptoms of intoxication with C. difficile disease means that in subject exposed to and suffering from the symptoms of intoxication, the symptoms are abated. attenuated or eliminated. For example. if an intoxicated subject presents with severe diarrhea voluminous, watery diarrhea). a return to an at least loosely 10 formed stool would constitute a substantial elimination of this symptom.

The term "beyond the treatment period" when used in reference to a method of treating a subject exposed to a C difficile toxin means a period of time following the cessation of administration of a therapeutic compound antitoxin) to the subject for at least 7 days and more preferably at least 14 days. A therapeutic compound which results in 15 the substantial elimination of the symptoms of intoxication beyond the treatment period will prevent the reappearance (when symptoms are eliminated) or the increase in severity (when symptoms are abated) of these symptoms for at least 7 days following the withdrawal of administration of the therapeutic compound. In other words. no relapse reappearance or increase in severity) of the symptoms is seen in the majority a statistically significant number of subjects for a period of at least 7 days following the cessation of therapy.

"In contrast to the antitoxins of the present invention, existing therapeutic compounds for established C. difficile infections antibiotics such as vancomycin or metronidazole or bovine IgG concentrate from cows immunized with C difficile toxoids A and B [Lyerly et al.

(1991) Infect. Immun.59:221 5 do not prevent relapse in a significant number of treated subjects. For example. about 25% of humans and up to 100% of hamsters suffering from C.

difficile associated disease treated with either vancomycin or metronidazole relapse symptoms of intoxication reappear).

Hamsters administered bovine IgG concentrate (BIC) from cows immunized with C difficile toxoids A and B prior to infection with C. difficile prophylactic treatment) 23 24 invariably relapse diarrheas returns) and die when the BIC is withdrawn [Lyerly et (1991), supra]. No therapeutic effect is observed when hamsters having established C. difficile infections are treated with the BIC the administration of the BIC does not eliminate the diarrhea or prevent death) [Lyerly et al., (1991), supra].

In contrast, the antitoxins of the present invention, when used to treat established C. difficile infection (therapeutic regimen), substantially eliminate the symptoms of intoxication, including diarrhea and prevent death. The majority of animals treated with the anti-C. difficile toxin proteins do not relapse and remain healthy following cessation of antitoxin therapy for a period of at least 14 days [the animals remain healthy for long periods of time about 5 months)].

Summary of the Invention There is disclosed herein a composition comprising an avian antitoxin directed against a clostridial toxin protein, wherein said composition is in a solid dosage form.

There is also disclosed a method of generating a solid dosage form of an avian antitoxin directed against a clostridial toxin protein, comprising: 5 providing a composition comprising said avian antitoxin directed against a clostridial toxin protein in a dry form; and shaping said dry avian antitoxin into a tablet.

The present invention relates to the production of polypeptides derived from toxins. In one embodiment, the invention contemplates a fusion protein comprising a poly-histidine tract and a 20 portion of a toxin. The invention is not intended to be limited by the type or nature of the toxin. By .way of example, portions of toxins produced by members of the genus Clostridium are expressed as fusion proteins comprising a poly-histidine tract.

In a preferred embodiment, the toxin polypeptides comprise Clostridium botulinum neurotoxin. The invention contemplates the use of polypeptides derived from C. botulinum toxin as immunogens for the production of vaccines and antitoxins. The C. botulinum vaccines and antitoxins find use in humans and other animals. In one embodiment, the present invention contemplates a fusion protein comprising a non-toxin protein sequence and a portion of the Clostridium botulinum type A toxin. In a preferred embodiment, the C. botulinum type A toxin sequences comprise a portion of the sequence of SEQ ID NO:28. In yet another preferred embodiment, the C botulinum type A toxin sequences comprise a portion of the sequence of SEQ ID NO:23. It is not intended that the present invention be limited by the nature of the fusion protein.

For example, the fusion protein may comprise the Clostridium botulinum type A toxin sequence as set forth in SEQ ID NO:23 along with a poly-histidine tract.

(R:\LIBXX]03182.doc:aak The invention also contemplates a host cell containing a recombinant expression vector, wherein the vector encodes a fusion protein comprising a non-toxin protein sequence and a portion of the Clostridium botulinum type A toxin sequence of SEQ ID NO:28. In this embodiment, the host cell is capable of expressing the encoded Clostridium botulinum type A toxin protein as a soluble protein at a level greater than or equal to 0.25% to 10% of the total cellular protein and preferably at a level greater than or equal to 0.75% of the total cellular protein. It is not intended that the present invention be limited by the nature of the fusion protein expressed by the recombinant vector in the host cell. For example. the fusion protein may comprise the Clostridium botulinum type A toxin sequence as set forth in SEQ ID 10 NO:23. along with a poly-histidine tract.

The present invention also contemplates a host cell containing a recombinant expression vector, wherein the vector encodes a protein derived from the Clostridium hbotulinum type A toxin sequence of SEQ ID NO:28. In this embodiment. the host cell is capable of expressing the encoded Clostridium botulinum type A toxin protein at a level 15 greater than or equal to 10% to 40% of the total cellular protein and preferably at a level greater than or equal to 20% of the total cellular protein. It is not intended that the present invention be limited by the nature of the fusion protein expressed by the recombinant vector .e in the host cell. For example, the fusion protein may comprise the Clostridium botulinum type A toxin sequence as set forth in SEQ ID NO:23. along with a poly-histidine tract.

20 In one embodiment. the present invention contemplates a method of generating neutralizine antitoxin directed against Clostridium botulinum type A toxin comprising (in any order), a purified soluble fusion protein comprising a non-toxin protein sequence and a portion of the Clostridium botulinum type A toxin sequence of SEQ ID NO:28. as well as host is immunized with the purified fusion protein so as to generate antibodies capable of neutralizing native Clostridium botulinum type A toxin. By way of illustration only, the fusion protein may comprise a portion of the Clostridium-botulinum type A toxin sequence as set forth in SEQ ID NO:23. and a poly-histidine tract. The method may further comprise the additional step of collecting antibodies from the host. It is also contemplated that the collected antibodies be purified. The present invention contemplates the antibody, as a composition of matter. raised according to the above-described methods.

25 The present invention further contemplates a method of purifying a recombinant fusion protein derived from a Clostridium botulinum type A toxin. In this embodiment, the recombinant fusion protein comprises a poly-histidine tract. comprising (in any order) a solution comprising a fusion protein comprising a poly-histidine tract and a portion of the Clostridium botulinum type A toxin sequence of SEQ ID NO:28. and a chromatography resin comprising a divalent cation covalently linked to a solid support. In this embodiment, the solution is added to the chromatography resin to allow binding of the fusion protein to the chromatography resin. It is also contemplated that this embodiment further comprises the step of washing the chromatography resin containing said bound fusion protein to remove non- 10 fusion protein from the chromatography resin, and eluting the bound fusion protein from the washed chromatography resin.

In a preferred embodiment. the chromatography resin comprises nickel ions immobilized on a solid support. Examples of commercially available nickel ion columns include the His*Bind® Resin (Novagen) and the Ni-NTA Agarose resin (Qiagen). Because 15 the Ni-NTA Agarose resin has a very high affinity for binding proteins containing a polyhistidine tract, it is a preferred chromatography resin.

The invention is not intended to be limited by the nature of the solution comprising a fusion protein comprising a poly-histidine tract and a portion of the Clostridium botulinum type A toxin sequence of SEQ ID NO:28. In one embodiment, this solution comprises a 20 soluble extract derived from a cell pellet comprising host cells containing a recombinant fusion protein. In yet another embodiment the soluble extract is generated from the cell pellet by suspension of the cell pellet in a binding buffer and disrupting the suspension to cause the disruption of the membranes of the host cell to generate a mixture comprising soluble proteins and insoluble cellular debris. In another embodiment. the method of purifying a recombinant fusion protein derived from a Clostridium botulinum type A toxin.

wherein the recombinant fusion protein comprises a poly-histidine tract. further includes the additional step of removing the insoluble cellular debris from the disrupted cell suspension to generate a clarified soluble lysate. In yet a further embodiment, the method of purifying the recombinant fusion protein employs the addition of a non-ionic detergent to the clarified soluble lysate. A preferred non-ionic detergent is Nonidet P-40. In still another preferred 26embodiment of the method of purifying the recombinant fusion protein comprises, the additional step of incubating the clarified soluble lysate containing said non-ionic detergent with the chromatography resin for greater than one hour at four degrees Centigrade to allow the fusion protein to bind to the chromatography resin. Incubation steps of about 3 hours are particularly preferred.

The present invention relates to clostridial antitoxin therapy for humans and other animals. Antitoxins which neutralize the pathologic effects of clostridial toxins are generated by immunization of avian hosts with recombinant toxin fragments. In one embodiment, the present invention contemplates a fusion protein comprising a non-toxin protein sequence and a 10 portion of the Clostridium difficile toxin B sequence of SEQ ID NO:10. It is not intended that the present invention be limited by the nature of the fusion protein. For example, the fusion protein may comprise the portion of the Clostridium difficile toxin B sequence as set forth in SEQ ID NO:20 and the maltose binding protein (or portion thereof). On the other hand. the fusion protein may comprise the Clostridium difficile toxin B sequence as set forth 15 in SEQ ID NO:21 along with a poly-histidine tract.

In one embodiment, the present invention contemplates a method of generating a neutralizing antitoxin directed against Closiridium difficile toxin B comprising: a) providing in any order: i) a purified fusion protein comprising a non-toxin protein sequence and a portion of the Clostridium difficile toxin B sequence of SEQ ID NO:10, and ii) an avian host; and b) 20 immunizing said host with said purified fusion protein so as to generate an antitoxin capable of neutralizing native Clostridium difficile toxin B. Again by way of illustration only. the fusion protein may comprise the portion of the Clostridium difficile toxin B sequence as set forth in SEQ ID NO:20 and the maltose binding protein (or portion thereof). On the other hand, the fusion protein may comprise the Clostridium difficile toxin B sequence as set forth in SEQ ID NO:21 along with a poly-histidine tract. The method may further comprise a step c) collecting said antitoxin from said host and. even further, a step d) purifying said antitoxin.

The present invention contemplates the antibody. as a composition of matter.. raised according to the above-described methods.

The present invention further contemplates a method of treatment comprising: a) providing: i) a subject. and ii) at least one neutralizing antitoxin directed against a fusion 27 protein comprising a non-toxin protein sequence and a portion of Clostridium difficile toxin B sequence of SEQ ID NO:10: and b) administering said antitoxin to said subject. In one embodiment, the present invention contemplates administering by oral administration. The present invention further contemplates that the subject treated may or may not have been exposed to Clostridium difficile and its toxins. That is to say. in one instance, exposure to at Clostridium difficile toxin B may have occurred prior to administration of the antitoxin. In another instance, the subject has not been exposed to at Clostridium difficile toxin B prior to administration of the antitoxin.

The present invention also contemplates fusion proteins containing toxin A fragments.

10 In one embodiment. the present invention contemplates a fusion protein comprising a nontoxin protein sequence and a portion of the Clostridium difficile toxin A sequence consisting of SEQ ID NO:7. In still another embodiment. the present invention contemplates a fusion protein comprising a non-toxin protein sequence and a portion of the Clostridium difficile toxin A sequence comprising the amino acid sequence of SEQ ID NO:8. In the above 15 embodiments. the non-toxin part of the fusion protein may be selected from a variety of non- *toxin protein sequence types. In a preferred embodiment. the non-toxin sequence is the maltose binding protein sequence (or a portion thereof).

The present invention contemplates a method of generating a neutralizing antitoxin directed against Clostridium difficile toxin A comprising: a) providing in any order: i) a purified fusion protein comprising a non-toxin protein sequence (for example. the maltose binding protein sequence or portion thereof) and a portion of the Clostridium difficile toxin A Ssequence (for example, the toxin A sequence as set forth in SEQ ID NO:7). and ii) an avian host: and b) immunizing said host with said purified fusion protein so as to generate an antitoxin capable of neutralizing said Closlridium difficile toxin A. The method may further comprise step c) collecting said antitoxin from said host and step d) purifying said antitoxin.

The present invention also contemplates uses for the toxin fragments in vaccines and diagnostic assays. The fragments may be used separately as purified. soluble antigens or, alternatively, in mixtures or "cocktails." The present invention provides compositions comprising an avian neutralizing antitoxin directed against a portion of C difficile toxin A and a portion of C. difficile toxin B. The 28antitoxins find use in humans and other animals exposed to or at risk of exposure to C.

difficile. In one embodiment. the component of the avian neutralizing antitoxin directed against, a portion C. difficile toxin A is directed against a first fusion protein comprising a portion of C. difficile toxin A and a second fusion protein comprising a portion of C. difficile toxin B. In yet another embodiment. both first and second fusion proteins further comprise at least one non-toxin protein sequence. In a still further embodiment. the antitoxin is directed against a portion of C. difficile toxin A comprising a portion of SEQ ID NO:6. In another embodiment, the antitoxin is directed against a portion of C. difficile toxin A. wherein the portion of SEQ ID NO:6 comprises a sequence selected from the group comprising SEQ ID NOS:7, 8 and 29. In yet another embodiment, the first and second fusion proteins comprise at least one non-toxin protein sequence. It is not intended that the present invention be limited by the nature of the non-toxin protein sequence. In one embodiment the non-toxin protein sequence comprises a poly-histidine tract. In yet another embodiment, the non-toxin protein sequence comprises the maltose binding protein. In yet another embodiment. the non- 15 toxin protein sequence comprises a thioredoxin protein. In a still further embodiment, the antitoxin is directed against a portion of C difficile toxin B comprising a portion of SEQ ID In another embodiment. the antitoxin is directed against a portion of C difficile toxin B. wherein the portion of SEQ ID NO:10 comprises a sequence selected from the group comprising SEQ ID NOS:11. 12. 20. 21 and 30. In still another embodiment, the compositions comprising the avian antitoxins further comprise an enteric coating.

The invention also contemplates a method of treatment comprising: a) providing: i) a subject. ii) a first avian neutralizing antitoxin directed against a portion of Clostridium difficile toxin A sequence SEQ ID NO:6. and iii) a second avian neutralizing antitoxin directed against a portion of Clostridium difficile toxin B sequence SEQ ID NO:10: b) mixing the first and second antitoxins to create a therapeutic mixture: and c) administering the therapeutic mixture to a subject for a treatment period. The invention further contemplates a method of treatment which further comprises the step of, prior to step processing the therapeutic mixture to improve its enteric stability. In a preferred embodiment. this treating comprises encapsulating the antitoxins of the therapeutic mixture. In a particularly preferred embodiment the 29encapsulating step comprises overcoating the antitoxins in the therapeutic mixture with an enteric film.

The invention further contemplates the method of treatment wherein the subject has been exposed to at least one Clostridium difficile toxin prior to administration of antitoxin. In one embodiment, the exposed subject is suffering from the symptoms of intoxication and administering antitoxin results in the substantial elimination of symptoms beyond the treatment period. In another embodiment, the symptoms of intoxication comprise diarrhea.

The invention also contemplates the method of treatment wherein the subject has not been exposed to Clostridium difficile toxin prior to administration of antitoxin.

10 In one embodiment. the method of treatment provides a first avian antitoxin directed against a portion of Clostridium difficile toxin A comprising a protein sequence selected from the group comprising SEQ ID NOS:7. 8 and 29. In another embodiment. the method of treatment provides a second avian antitoxin directed against a portion of Clostridium difficile toxin B comprising a protein sequence selected from the group comprising SEQ ID NOS:11.

12. 20. 21 and "9 :The method of treatment is not limited by the method of administration of the antitoxin. In one embodiment. the method of treatment comprises administration of the antitoxins by oral administration. In another embodiment. the method of treatment comprises administration of the antitoxins by parenteral administration.

The invention further contemplates a method of vaccinating a subject to produce neutralizing antitoxin directed against C. difficile toxin comprising: a) providing in any order: i) a subject. ii) a first purified soluble and substantially endotoxin-free protein comprising a portion of Clostridium difficile toxin A sequence SEQ ID NO:6. and iii) a second purified soluble and substantially endotoxin-free protein comprising a portion of Clostridium difficile toxin B sequence SEQ ID NO:10;b) mixing the first and second proteins to create a therapeutic vaccine: and c) vaccinating the subject with the therapeutic vaccine so as to generate neutralizing antitoxin. The method of vaccination is not limited by the nature or species of the subject. In one. embodiment the subject is a bird. In another embodiment the subject is a mammal. In yet another embodiment the subject is a human. In a still further embodiment, the method of vaccination the first and second toxin proteins further comprise at least one non-toxin protein sequence. The invention is not limited by the nature of the nontoxin protein sequence. In one embodiment, the non-toxin protein sequence comprises a polyhistidine tract. In another embodiment, the non-toxin protein sequence comprises the maltose binding protein. In yet another embodiment. the non-toxin protein sequence comprises a thioredoxin protein.

In one embodiment. the method of vaccinating uses a first purified and substantially endotoxin-free protein comprising SEQ ID NO:29. In another embodiment. the method of vaccinating uses a second purified and substantially endotoxin-free protein comprising SEQ ID 10 The invention further provides a fusion protein comprising at least one non-toxin protein sequence and a portion of the Clostridium difficile toxin A sequence consisting of SEQ ID NO:29. In one embodiment. the non-toxin protein sequence comprises a thioredoxin protein. In yet another embodiment. the non-toxin protein sequence further comprises a polyhistidine tract.

The present invention provides a method for the detection of Clostridium difficile antigens in a sample. comprising providing, in any order a sample suspected of containing Clostridium difficile antigens. solid support conjugates comprising antibodies reactive with Clostridium difficile antigens bound to a solid support: mixing the sample and solid support conjugates under conditions such that the conjugates are capable of binding to Clostridium difficile antigens: and detecting binding. In one embodiment. the antibodies reactive with Clostridium difficile antigens are avian antibodies. In a preferred embodiment. the avian i antibodies reacts with Toxin A of Clostridium difficile. In a particularly preferred embodiment, the avian antibodies reacts with the A-6 interval of Toxin A. In an alternative preferred embodiment the avian antibodies react with Toxin B of Clostridium difficile. In another preferred embodiment, the avian antibodies react with the B-3 interval of Toxin B. In yet another preferred embodiment, the avian antibodies react with Toxin A and Toxin B. It is also contemplated that the solid support used in the method comprises polystyrene particles.

In one preferred embodiment. the mixing of step results in the formation of visible aggregates. In a preferred embodiment, the sample is human feces.

31 1W In an alternative embodiment. the present invention comprises a method of treatment comprising providing a subject exposed to Clostridium difficile exhibiting symptoms comprising diarrhea. and antibody reactive with Clostridium difficile. wherein the antibody is present in a therapeutic amount that is administrable. and administering the antibody to the subject under conditions such that the subject ceases to exhibit symptoms and treatment can be terminated. In a particularly preferred embodiment, the subject exhibits long-term survival beyond the treatment period. In one preferred embodiment, the antibodies reactive with Clostridium difficile antigens are avian antibodies. It is contemplated that the antibodies will be reactive against various moieties or antigens, including, but not limited to Toxin A of 10 Clostridium difficile, the A-6 interval of Toxin A. Toxin B of Clostridium difficile, the B-3 interval of Toxin B. and a combination of Toxin A and Toxin B.

The present invention also provides a method of purifying Clostridium difficile toxins from a culture, comprising providing in any order, a culture comprising Clostridium difficile organisms and a supernatant comprising toxins in solution, antibodies reactive with Closiridium difficile toxins immobiled on a solid support. collecting the supernatant from the culture comprising toxins, adding the supernatant to immobilized antibody under conditions such that antibodies are capable of binding to the toxins. eluting the toxins from the immobilized antibodies: and detecting any eluted toxins. In one preferred embodiment, the antibodies reactive with Clostridium difficile antigens are avian antibodies. It is contemplated that various antibodies will be used in this method, including antibodies reactive against various antigens or moieties, including, but not limited to Toxin A of Clostridium difficile. the A-6 interval of Toxin A. Toxin B of Clostridium difficile, the B-3 interval of Toxin B. and a combination of Toxin A and Toxin B.

DEI The present invention provides compositions comprising an avian antitoxin directed against a clostridial toxin protein. In a preferred embodiment these compositions are in a solid dosage form. The term "solid dosage form" means as dosage forms including tablets.

pills. capsules (including, a gel-cap as that term is commonly used in the pharmaceutical industry) and all extended-release variations thereof controlled-release. sustained-release.

timed-release, prolonged-action and the like). Moreover, the term "solid dosage form" can also include suspensions solid particles comprising avian antitoxin suspended within a 32 liquid vehicle: the solid particles may further comprise an enteric coating) which may be delivered orally.

In one embodiment, the solid dosage form of the avian antitoxin further comprises an enteric coating. In a particularly preferred embodiment, the enteric coating dissolves at a pH about 7.0. The terms "at a pH about 7.0" and "about pH 7.0" are used interchangeably and refer to a pH range of 6.5 to 7.5. Particularly preferred enteric coating are those which remain essentially intact during transient of the enterically-coated tablet (pill. capsule, etc.) through the stomach (pH of about 0- 2.0) and small intestine (pH of about 5.0 6.5) but which dissolve when they reach the large intestine (pH of about Examples of suitable 10 enteric coatings are methacrylic acid copolymers Eudragit L or S (Rohm Tech, Inc..

Maiden. cellulose acetate phthalate (CAP) Aquateric (FMC Corp., Philadelphia, PA) which dissolves at pH hydroxypropyl methylcellulose acetate succinate (HPMCAS) Aqoat Grade 3 (Shin-Esta Chemical Corp.. Japan) which dissolves at pH 7.0] and i" polyvinyl acetate phthalate (PVAP) Sureteric (Colorcaon. Inc.. West Point. The term "essentially intact" when used in reference to an enterically-coated tablet (pill, capsule.

etc.) means less than 10% of the protein avian antitoxin) present in the coated tablet is released at pH below about In one embodiment. the avian antitoxin present in a solid dosage form comprises a tablet. The term tablet" refers to a solid dosage form containing medicinal substances avian antitoxin) with or without suitable diluents, excipients. fillers, etc. The tablet may vary in shape, size and weight and may be classed according to the method of manufacture a molded tablet, a compressed tablet etc.). The term tablet encompasses pills.

In another embodiment the compositions comprising avian antitoxins in a solid dosage form contain polyethylene glycol (PEG). Solid dosage forms tablets comprising lyophilized avian antibody antitoxin) preparations containing PEG may contain 0-60% (of the total weight of the tablet) PEG and more preferably 20-40% PEG. The tablets may also contain water (as well as fillers, binders, extenders, coloring agents. etc.). The water content may vary; the presence of water in the tablet may be due to absorption of water from the atmosphere during the handling of lyophilized avian antibody preparations prior to or during the formation of the tablets. If desirable for the formation of the tablet, water may be deliberately added to the solid antibody preparations.

The present invention also provides a method of generating a solid dosage form of an avian antitoxin directed against a clostridial toxin protein, comprising: a) providing a composition comprising an avian antitoxin directed against a clostridial toxin protein in a dry form; and shaping said dry avian antitoxin into a tablet. The process of shaping dry antitoxin into a tablet encompasses any procedure capable of rendering the solid antitoxin preparation into a tablet form. including compression or molding of the antitoxin. The art is well aware of methods for the formation of tablets from dry material. In a preferred 10 embodiment, the shaping of the dry antitoxin into a tablet is accomplished by compression of the dry antitoxin using a tablet press.

In vet a further embodiment. the method of generating a solid dosage form comprising avian antitoxin further comprises the step of applying an enteric coating to tablet. In a still further preferred embodiment. the method of generating a solid dosage form comprising avian antitoxin utilizes a composition comprising dry antitoxin which contains polyethylene glycol.

DESCRIPTION OF THE INVENTION The present invention contemplates vaccinating humans and other animals polypeptides derived from C botulinum neurotoxin which are substantially endotoxin-free. These botulinal peptides are also useful for the production of antitoxin. Anti-botulinal toxin antitoxin is useful for the treatment of patients effected by or at risk of symptoms due to the action of C.

botulinum toxins. The organisms, toxins and individual steps of the present invention are described separately below.

1. Clostridium Species, Clostridial Diseases And Associated Toxins A preferred embodiment of the method of the present invention is directed toward obtaining antibodies against Clostridium species. their toxins, enzymes or other metabolic byproducts. cell wall components. or synthetic or recombinant versions of any of these compounds. It is contemplated that these antibodies wiil be produced by immunization of humans or other animals. It is not intended that the present invention be limited to any 34 particular toxin or any species of organism. In one embodiment. toxins from all Clostridium species are contemplated as immunogens. Examples of these toxins include the neuraminidase toxin of C. buryricum. C. sordellii toxins HT and LT. toxins A, B, C, D, E, F. and G of C.

botulinum and the numerous C perfringens toxins. In one preferred embodiment, t6xins A and B of C. difficile are contemplated as immunogens. Table 2 below lists various Clostridium species, their toxins and some antigens associated with disease.

TABLE 2 Clostridial Toxins 4 Organism Toxins and Disease-Associated Antigens

J

C. botulinum C. butvricum C. difficile C. perfringens C. sordelli/ C. bifermentans C. novwi A. B. D, E. F. G Neuraminidase A. B. Enterotoxin (not A nor Motility Altering Factor.

Low Molecular Weight Toxin. Others a. p, 1 5, v. 0. K. A. u HT. LT. a. 0, y a. p. y. c. v. O C sepricum C. histolvticum C. chauvoei a. P. y. 8 a, 1, E plus additional enzymes a, p, y, 8 It is not intended that antibodies produced against one toxin will only be used against that toxin. It is contemplated that antibodies directed against one toxin C. perfringens type A enterotoxin) may be used as an effective therapeutic against one or more toxin(s) produced by other members of the genus Clostridium or other toxin producing organisms Bacillus cereus. Staphylococcus aureus. Streptococcus mutans. Acinetobacter 35 calcoaceticus. Pseudomonas aeruginosa. other Pseudomonas species. etc.). It is further contemplated that antibodies directed against the portion of the toxin which binds to mammalian membranes C perfringens enterotoxin A) can also be used against other organisms. It is contemplated that these membrane binding domains are produced synthetically and used as immunogens.

II. Obtaining Antibodies In Non-Mammals A preferred embodiment of the method of the present invention for obtaining antibodies involves immunization. However. it is also contemplated that antibodies could be 10 obtained from non-mammals without immunization. In the case where no immunization is contemplated. the present invention may use non-mammals with preexisting antibodies to toxins as well as non-mammals that have antibodies to whole organisms by virtue of reactions .with the administered antigen. An example of the latter involves immunization with synthetic peptides or recombinant proteins sharing epitopes with whole organism components.

15 In a preferred embodiment. the method of the present invention contemplates immunizing non-mammals with bacterial toxin(s). It is not intended that the present invention be limited to any particular toxin. In one embodiment. toxin from all clostridial bacteria sources (see Table 2) are contemplated as immunogens. Examples of these toxins are C burvricum neuraminidase toxin, toxins A. B. C. D. E. F. and G from C botulinum 20 C perfiingens toxins a. P. e. and t. and C sordellii toxins HT and LT. In a preferred embodiment. C difficile toxins A and B are contemplated as immunogens.

A particularly preferred embodiment involves the use of bacterial toxin protein or fragments of toxin proteins produced by molecular biological means recombinant toxin proteins). In a preferred embodiment, the immunogen comprises interval 6 of C. difficile toxin A produced by recombinant DNA technology. In yet another preferred embodiment, the immunogen comprises inLerval 3 of C difficile toxin B produced by recombinant DNA technology. The recombinant C difficile toxin proteins may be used as immunogens separately or in combination to produce antibodies specific for either C. difficile toxin A, C.

difficile toxin B or both C. difficile toxins A and B. Specifically. the recombinant C. difficile toxins A and B proteins may be mixed together and used as a single immunogen.

Alternatively. C. difficile toxin A proteins may be used separately as an immunogen in a first subject. Similarly. C difficile toxin B proteins may be used separately as an immunogen in a second subject. The antitoxin produced by separate immunization of two separate subjects 36 with C. difficile toxin A proteins or C. difficile toxin B proteins may be combined to yield an antitoxin directed against both C. difficile toxins A and B.

The recombinant C. difficile toxin proteins provided herein enables the production of antibodies which are specific for a single C. difficile toxin mono-specific antibodies).

This is in contrast to the biochemical purification of C. difficile toxin A from natural sources results invariably in the isolation of a toxin A preparation contaminated with immunologically significant amounts of toxin B: similarly the biochemical purification of C. difficile toxin B from natural sources results in the isolation of a toxin B preparation contaminated with immunologically significant amounts of toxin A. Because, these preparations of non- S 10 recombinant toxin A and or toxin B are cross-contaminated with either toxin B or A.

immunization of an animal will result in the production of polyclonal antibodies reactive against both toxins A and B.

As discussed below in section VI. accurate detection of the presence of C. difficile toxin A and/or B in a sample requires the availability of both pure preparations of toxin A 15 and B and the availability of mono-specific antibodies. The use of recombinant C. difficile toxin proteins thus allows for the production of a polyclonal antibody preparation that can be used for accurate detection of individual C. difficile toxins as well as C. difficile organisms.

When immunization is used. the preferred non-mammal is from the class Aves. All birds are contemplated duck. ostrich. emu. turkey, etc.). A preferred bird is a chicken.

Importantly. chicken antibody does not fix mammalian complement. [See H.N. Benson et a..

J. Immunol. 87:616 (1961).] Thus. chicken antibody will normally not cause a complementdependent reaction. Benedict and K. Yamaga. "Immunoglobulins and Antibody Production in Avian Species." in Comparative Immunology Marchaloni. pp. 335- 375. Blackwell, Oxford (1966).] Thus. the preferred antitoxins of the present invention will not exhibit complement-related side effects observed with antitoxins known presently.

When birds are used. it is contemplated that the antibody will be obtained from either the bird serum or the egg. A preferred embodiment involves collection of the antibody from the egg. Laying hens transport immunoglobulin to the egg yolk in concentrations equal to or exceeding that found in serum. [See R. Patterson et al.. J. Immunol. 89:272 (1962): and S.B. Carroll and B.D. Stollar. J. Biol. Chem. 258:24 (1983).] In addition, the large volume of egg yolk produced vastly exceeds the volume of serum that can be safely obtained from the bird over any given time period. Finally. the antibody from eggs is purer 37 and more homogeneous: there is far less non-immunoglobulin protein (as compared to serum) and only one class of immunoglobulin is transported to the yolk.

When considering immunization with toxins, one may consider modification of the toxins to reduce the toxicity. In this regard, it is not intended that the present invention be limited by immunization with modified toxin. Unmodified ("native") toxin is also contemplated as an immunogen.

It is also not intended that the present invention be limited by the type of modification if modification is used. The present invention contemplates all types of toxin modification.

including chemical and heat treatment of the toxin. The preferred modification. however, is 10 formaldehyde treatment.

It is not intended that the present invention be limited to a particular mode of immunization: the present invention contemplates all modes of immunization. including subcutaneous, intramuscular. intraperitoneal. and intravenous or intravascular injection, as well as per os administration of immunogen.

The present invention further contemplates immunization with or without adjuvant.

(Adjuvant is defined as a substance known to increase the immune response to other antigens when administered with other antigens.) If adjuvant is used. it is not intended that the present invention be limited to any particular type of adjuvant or that the same adjuvant. once used.

o' 0 be used all the time. While the present invention contemplates all types of adjuvant. whether used separately or in combinations, the preferred use of adjuvant is the use of Complete Freund's Adjuvant followed sometime later with Incomplete Freund's Adjuvant. Another preferred use of adjuvant is the use of Gerbu Adjuvant. The invention also contemplates the use of RIBI fowl adjuvant and Quil A adjuvant.

When immunization is used. the present invention contemplates a wide variety of immunization schedules. In one embodiment, a chicken is administered toxin(s) on day zero and subsequently receives toxin(s) in intervals thereafter. It is not intended that the present invention be limited by the particular intervals or doses. Similarly. it is not intended that the present invention be limited to any particular schedule for collecting antibody. The preferred collection time is sometime after day 100.

Where birds are used and collection of antibody is performed by collecting eggs. the eggs may be stored prior to processing for antibody. It is preferred that eggs be stored at 4"C for less than one year.

38 It is contemplated that chicken antibody produced in this manner can be bufferextracted and used analytically. While unpurified, this preparation can serve as a reference for activity of the antibody prior to further manipulations immunoaffinity purification).

III. Increasing The Effectiveness Of Antibodies When purification is used. the present invention contemplates purifying to increase the effectiveness of both non-mammalian antitoxins and mammalian antitoxins. Specifically. the present invention contemplates increasing the percent of toxin-reactive immunoglobulin. The preferred purification approach for avian antibody is polyethylene glycol (PEG) separation.

10 The present invention contemplates that avian antibody be initially purified using **simple. inexpensive procedures. In one embodiment. chicken antibody from eggs is purified by extraction and precipitation with PEG. PEG purification exploits the differential solubility of lipids (which are abundant in egg yolks) and yolk proteins in high concentrations of PEG 8000. [Poison et al.. Immunol. Comm. 9:495 (1980).] The technique is rapid. simple, and l15 relatively inexpensive and yields an immunoglobulin fraction that is significantly purer in terms of contaminating non-immunoglobulin proteins than the comparable ammonium sulfate fractions of mammalian sera and horse antibodies. The majority of the PEG is removed from -the precipitated chicken immunoglobulin by treatment with ethanol. Indeed. PEG-purified antibody is sufficiently pure that the present invention contemplates the use of PEG-purified antitoxins in the passive immunization of intoxicated humans and animals.

The invention further contemplates increasing the effectiveness of compositions comprising antitoxins by enterically-coating a solid form of the antitoxin to improve the survival of the antitoxin in the gastrointestinal tract enteric stability) as discussed further below in section IV(C).

IV. Treatment The present invention contemplates antitoxin therapy for humans and other animals intoxicated by bacterial toxins. A preferred method of treatment is by oral administration of antitoxin. Another preferred method of treatment is by parenteral administration of antitoxin.

A. Therapeutic Preparations and Combinations The present invention contemplates using therapeutic compositions of antitoxins. The antitoxin compositions may comprise antitoxin in a solid or liquid form.

39 It is not intended that the present invention be limited by the particular nature of the therapeutic preparation. For example, such compositions can be provided together with physiologically tolerable liquid, gel or solid carriers, diluents. adjuvants and excipients. In addition, the antitoxins may be used together with other therapeutic agents. including antibiotics.

As noted above, these therapeutic preparations can be administered to mammals for veterinary use. such as with domestic animals. and clinical use in humans in a manner similar to other therapeutic agents. In general, the dosage required for therapeutic efficacy will vary according to the type of use and mode of administration, as well as the particularized 10 requirements of individual hosts.

With respect to the mode of administration, the antitoxins may be employed for oral.

intravenous, intraperitoneal. intramuscular or intrathecal administration. Formulations for such administrations may comprise an effective amount of antitoxin in sterile water or physiological saline.

15 On the other hand. formulations may contain such normally employed additives such as binders, fillers, carriers, preservatives, stabilizing agents. emulsifiers. buffers and excipients as. for example, pharmaceutical grades of mannitol. lactose. starch, magnesium stearate.

sodium saccharin. cellulose, magnesium carbonate, and the like. These compositions typically *contain 1%-95% of active ingredient. preferably 2%-70%.

The compositions are preferably prepared for oral administration, either as liquid solutions or suspensions: solid forms, including solid forms suitable for solution in. or suspension in. liquid prior to administration. may also be prepared. Solid forms of the antitoxins may further comprise an enteric coating. The compositions are also preferably prepared as injectables. either as liquid solutions or suspensions: solid forms suitable for solution in. or suspension in. liquid prior to administration may also be prepared.

The antitoxins of the present invention are often mixed with diluents or excipients which are physiological tolerable and compatible. Suitable diluents and excipients are. for example, water, saline, nutritional formulations Ensure®. Enfamil®. etc.) dextrose.

glycerol. or the like. and combinations thereof. In addition, if desired the compositions may contain minor amounts of auxiliary substances such as wetting or emulsifying agents.

stabilizing or pH buffering agents.

B. Dosage Of Antitoxin It is noted by way of background that a balance must be struck when administering currently available antitoxin which is usually produced in large animals such as horses; sufficient antitoxin must be administered to neutralize the toxin, but not so much antitoxin as to increase the risk of untoward side effects. These side effects are caused by: i) patient sensitivity to foreign horse) proteins: ii) anaphylactic or immunogenic properties of nonimmunoglobulin proteins: iii) the complement fixing properties of mammalian antibodies; and/or iv) the overall burden of foreign protein administered. It is extremely difficult to strike this balance when. as noted above, the degree of intoxication (and hence the level of 10 antitoxin therapy needed) can only be approximated.

'The present invention contemplates significantly reducing side effects so that this balance is more easily achieved. Treatment according to the present invention contemplates reducing side effects by using PEG-purified antitoxin from birds.

In one embodiment, the treatment of the present invention contemplates the use of 15 PEG-purified antitoxin from birds. The use of yolk-derived. PEG-purified antibody as antitoxin allows for the administration of: 1) non(mammalian)-complement-fixing. avian antibody; 2) a less heterogeneous mixture of non-immunoglobulin proteins: and 3) less total protein to deliver the equivalent weight of active antibody present in currently available antitoxins. The non-mammalian source of the antitoxin makes it useful for treating patients who are sensitive to horse or other mammalian sera.

As is true in cases of botulism, the degree of an individual's exposure to C. difficile toxin and the prognosis are often difficult to assess. and depend upon a number of factors the quantity of the inoculum, the toxigenicity and serotype of C. difficile strain involved.

etc.). Thus, the clinical presentation of a patient is usually a more important consideration than a quantitative diagnostic test. for determination of dosage in antitoxin administration.

Indeed. for many toxin-associated diseases botulism. tetanus, diphtheria. etc.), there is no rapid, quantitative test to detect the presence of the toxin or organism. Rather, these toxinassociated diseases are medical emergencies which mandate immediate treatment.

Confirmation of the etiologic agent must not delay the institution of therapy, as the condition of an affected patient may rapidly deteriorate. In addition to the initial treatment with antitoxin, subsequent doses may be indicated, as the patient's disease progresses. The dosage and timing of these subsequent doses is dependent upon the signs and symptoms of disease in each individual patient.

-41 It is contemplated that when antitoxin is to be administered parentally, the administration of antitoxin to an affected individual would involve an initial injection of an approximately 10 ml dose of immune globulin (with less than approximately I gram of total protein). In one preferred embodiment, it is contemplated that at least 50% of the initial injection comprises immune globulin. It is also contemplated that more purified immune globulin be used for treatment. wherein approximately 90% of the initial injection comprises immune globulin. When more purified immune globulin purified IgY) is used, it is contemplated that the total protein will be less than approximately 100 milligrams. It is also contemplated that additional doses be given, depending upon the signs and symptoms associated with C. difficile associated disease progression.

It is contemplated that when antitoxin is to be administered orally, the administration of antitoxin to an affected individual would involve a treatment course initial and subsequent doses) comprising the administration of a therapeutic composition comprising about 50 gmni of antitoxin and more preferably about 4-5 gm of antitoxin.

C. Delivery Of Antitoxin Although it is not intended to limit the route of delivery, the present invention contemplates a method for antitoxin treatment of bacterial intoxication in which delivery of antitoxin is parenteral or oral.

20 In one embodiment, antitoxin is parenterally administered to a subject in an aqueous solution. It is not intended that the parenteral administration be limited to a particular route.

Indeed. it is contemplated that all routes of parenteral administration will be used. In one "embodiment, parenteral administration is accomplished via intramuscular injection. In an alternative embodiment, parenteral administration is accomplished via intravenous injection.

In one embodiment. antitoxin is delivered in a solid form tablets. capsules). In an alternative embodiment antitoxin is delivered in an aqueous solution. When an aqueous solution is used. the solution has sufficient ionic strength to solubilize antibody protein, yet is made palatable for oral administration. The delivery solution may also be buffered carbonate buffer pH 9.5) which can neutralize stomach acids and stabilize the antibodies when the antibodies are administered orally. In one embodiment the delivery solution is an aqueous solution. In another embodiment the delivery solution is a nutritional formula. Preferably, the delivery solution is infant formula. Yet another embodiment contemplates the delivery of lyophilized antibody encapsulated or microencapsulated inside acid-resistant compounds.

42 Methods of applying enteric coatings to pharmaceutical compounds are well known to the art [companies specializing in the coating of pharmaceutical compounds are available; for example. The Coating Place (Verona. WI) and AAI (Wilmington. Enteric coatings which are resistant to gastric fluid and whose release dissolution of the coating to release the pharmaceutical compound) is pH dependent are commercially available [for example, the polymethacrylates Eudragit® L and Eudragit® S (R6hm GmbH)]. Eudragit® S is soluble in intestinal fluid from pH 7.0: this coating can be used to microencapsulate lyophilized antitoxin antibodies and the particles are suspended in a solution having a pH above or below pH for oral administration. The microparticles remain intact and undissolved until they reach the 10 intestines where the intestinal pH causes them to dissolve thereby releasing the antitoxin.

S.0. The invention is directed to the improvement of the enteric stability of the therapeutic antitoxin [Enteric stability is defined as the stability of the antitoxin during passage through the gastrointestinal tract: the enteric stability is improved by increasing the amount of the orally administered antitoxin which is delivered to the desired site the intestines) in a functional or active form]. Antibodies. and avian antibodies in particular. are known to be significantly denatured when exposed to acidic solutions gastric fluid). Denaturation of the antibody results in the loss of functionality loss of the ability to bind to the specific target). In addition to the denaturation of antibodies due to the low pH found in portions of :the gastrointestinal tract. proteolytic degradation of the antitoxin may occur due to digestion with enzymes. The invention improves the enteric stability of the therapeutic antitoxins by coating the antitoxins with an enteric coating. The enteric coating prevents the acid-induced denaturation of the antitoxin and prevents exposure of the antitoxin to enzymes present in the upper portions of the gastrointestinal tract.

Application of acid resistant enteric coatings are shown herein to prevent release of microencapsulated antitoxin enterically-coated antitoxin) into simulated gastric solution while permitting release of the antitoxin in simulated intestinal solution. The enteric survival of the therapeutic antitoxins may also be improved through the use of excipients (more or less inert substances added to a therapeutic compound as a diluent or to give form or consistency when the compound is provided in tablet form). Excipients. such as carbonate buffers of about pH 9.5 or nutritional formulations Ensure®. Enfamil®. etc.) may indirectly reduce the denaturation of the antitoxin in the stomach by raising the stomach pH or by providing additional protein to compete for degradation by gastric enzymes. In contrast the use of enteric coatings on the antitoxin composition directly prevents the denaturation or digestion of 43 the antitoxin in the stomach by preventing the release of the antitoxin from the entericallycoated particle until the particle reaches the intestinal fluid which has a basic pH. The use of enteric coatings is a particularly preferred means of improving the acid stability of the therapeutic antitoxins of the invention.

The invention contemplates a method of treatment which can be administered for treatment of acute intoxication. In one embodiment. antitoxin is administered orally in either a delivery solution or in tablet form, in therapeutic dosage, to a subject intoxicated by the bacterial toxin which served as immunogen for the antitoxin.

The invention also contemplates a method of treatment which can be administered prophylactically. In one embodiment, antitoxin is administered orally, in a delivery solution.

S in therapeutic dosage, to a subject. to prevent intoxication of the subject by the bacterial toxin which served as immunogen for the production of antitoxin. In another embodiment.

antitoxin is administered orally in solid form such as tablets or as microencapsulated particles.

Microencapsulation of lyophilized antibody using compounds such as Eudragit® (Rbhm Tech, Inc.) or polyethylene glycol. which dissolve at a wide range of pH units. allows the oral administration of solid antitoxin in a liquid form a suspension) to recipients unable to tolerate administration of tablets children or patients on feeding tubes). In a preferred embodiment, the lyophilized antibody is coated with Eudragit® L30D (R6hm Tech. Inc.). In one preferred embodiment the subject is an child. In another embodiment. antibody raised 20 against whole bacterial organism is administered orally to a subject. in a delivery solution. in therapeutic dosage.

SV. Vaccines Against Clostridial Species The invention contemplates the generation of mono- and multivalent vaccines for the protection of an animal (particularly humans) against several clostridial species. Of particular interest are vaccines which stimulate the production of a humoral immune response to C.

difficile. C. tetani and C botulinum in humans. The antigens comprising the vaccine preparation may be native or recombinantly produced toxin proteins from the clostridial species listed above. When toxin proteins are used as immunogens they are generally modified to reduce the toxicity. This modification may be by chemical or genetic recombinant DNA technology) means. In general genetic detoxification the expression of nontoxic fragments in a host cell) is preferred as the expression of nontoxic fragments in a host cell precludes the presence of intact, active toxin in the final preparation. However.

-44when chemical modification is desired. the preferred toxin modification is formaldehyde treatment.

The invention contemplates that recombinant C difficile toxin proteins be used as antigens in mono- and multivalent vaccine preparations. Soluble. substantially endotoxin-free recombinant C difficile toxin A and or toxin B proteins may be used alone or in conjunction with either recombinant or native toxins or toxoids from C botulinum. C. difficile and C tetani as antigens for the preparation of these mono- and multivalent vaccines. It is contemplated that. due to the structural similarity of C. botulinum and C. tetani toxin proteins.

a vaccine comprising C. difficile and botulinum toxin proteins (native or recombinant or a S. 10 mixture thereof) be used to stimulate an immune response against C botulinum. C. tetani and C difficile.

The adverse consequences of exposure to C difficile toxins would be avoided by immunization of subjects at risk of exposure to the toxin with nontoxic preparations which confer immunity such as chemically or genetically detoxified toxin.

Vaccines which confer immunity against one or more of the toxin types A and B would be useful as a means of protecting animals, including humans. from the deleterious effects of C. difficile toxins. A subject may be immunized with compositions comprising one or more C. difficile toxin proteins to generate neutralizing antibodies in the subject. A subject tnay be immunized with a first immunogen comprising C difficile toxin A proteins followed by a separate immunization with a second immunogen comprising C. difficile B toxin proteins to produce neutralizing antibodies directed against C difficile toxins A and B. Alternatively.

the subject may be immunized with a single immunogen comprising C. difficile toxin A and B proteins.

In general, chemical detoxification of bacterial toxins using agents such as formaldehyde, glutaraldehyde or hydrogen peroxide is not optimal for the generation of vaccines or antitoxins. A delicate balance must be struck between too much and too little chemical modification. If the treatment is insufficient, the vaccine may retain residual toxicity. If the treatment is too excessive, the vaccine may lose potency due to destruction of native immunogenic determinants. Another major limitation of using botulinal toxoids for the generation of antitoxins or vaccines is the high production expense. For the above reasons.

the development of methods for the production of nontoxic but immunogenic C. difficile toxin proteins is desirable.

Recombinant C. difficile toxin proteins have be produced in a host cell such as E. coli in either a soluble or insoluble form. Insoluble recombinant proteins are found in inclusion bodies. Inclusion body protein must be solubilized prior to purification and/or administration to a host. The harsh treatment of inclusion body protein needed to accomplish this solubilization may reduce the immunogenicity of the purified protein. Ideally, recombinant proteins to be used as vaccines are expressed as soluble proteins at high levels greater than or equal to about 0.75% of total cellular protein) in E. coli or other host cells. This facilitates the production and isolation of sufficient quantities of the immunogen in a highly purified form substantially free of endotoxin or other pyrogen contamination). The ability to express recombinant toxin proteins as soluble proteins in E. coli is advantageous due to the low cost of growth compared to insect or mammalian tissue culture cells.

The subject invention provides soluble C. difficile toxin proteins produced in economical host cells E. coli). Further. methods for the isolation of purified soluble C difficile toxin proteins which are suitable for immunization of humans and other animals are provided. These soluble, purified preparations of C difficile toxin proteins provide the basis for improved vaccine preparations and facilitate the production of antitoxin.

When recombinant clostridial toxin proteins produced in gram-negative bacteria E. coli) are used as vaccines, they are purified to remove endotoxin prior to administration to a host animal. In order to vaccinate a host, an immunogenically-effective amount-of purified substantially endotoxin-free recombinant clostridial toxin protein is administered in any of a number of physiologically acceptable carriers known to the art. When administered for the purpose of vaccination, the purified substantially endotoxin-free recombinant clostridial toxin protein may be used alone or in conjunction with known adjutants. including potassium alum, aluminum phosphate. aluminum hydroxide. Gerbu adjuvant (GMDP; C.C. Biotech Corp.), RIBI adjuvant (MPL: RIBI Immunochemical Research. Inc.). QS21 (Cambridge Biotech).

The alum and aluminum-based adjutants are particularly preferred when vaccines are to be' administered to humans. The route of immunization may be nasal, oral, intramuscular, intraperitoneal or subcutaneous.

The invention contemplates the use of soluble, substantially endotoxin-free preparations of fusion proteins comprising portions of C. difficile toxins A and B as vaccines.

In one embodiment, the vaccine comprises a portion of a C difficile toxin and a poly-histidine tract (also called a histidine tag). In a particularly preferred embodiment, a fusion protein comprising a portion of a C. difficile toxin protein and a poly-histidine tract is expressed -46using the pET series of expression vectors (Novagen). The pET expression system utilizes a vector containing the T7 promoter which encodes the fusion protein and a host cell which can be induced to express the T7 DNA polymerase a DE3 host strain). The production of C difficile toxin fusion proteins containing a histidine tract is not limited to the use of a particular expression vector and host strain. Several commercially available expression vectors and host strains can be used to express the C. difficile protein sequences as a fusion protein containing a histidine tract (For example, the pQE series (pQE-8. 12. 16, 17, 18, 31, 32. 40. 41. 42. 50, 51. 52. 60 and 70) of expression vectors (Qiagen) which are used with the host strains M15[pREP4] (Qiagen) and SG13009[pREP4] (Qiagen) can be used to express 10 fusion proteins containing six histidine residues at the amino-terminus of the fusion protein).

9 VI. Detection Of Toxin The invention contemplates detecting bacterial toxin in a sample. The term "sample" in the present specification and claims is used in its broadest sense. On the one hand it is meant to include a specimen or culture. On the other hand. it is meant to include both biological and environmental samples.

Biological samples may be animal, including human, fluid, solid stool) or tissue; liquid and solid food products and ingredients such as dairy items, vegetables, meat and meat by-products. and waste. Environmental samples include environmental material such as surface matter. soil, water and industrial samples. as well as samples obtained from food and dairy processing instruments, apparatus. equipment. disposable and non-disposable items.

These examples are not to be construed as limiting the sample types applicable to the present invention.

As discussed above in section IV, toxin-associated diseases are medical emergencies which mandate immediate treatment. Because existing methodologies do not provide rapid.

quantitative tests for the presence of C. difficile toxins or organisms, treatment of subjects suspected of having C difficile associated disease is begun prior to a determination of the amount or nature of the toxin or organism present. If a rapid and quantitative test for C difficile toxins or organisms were available, the dosage of therapeutic compounds could be adjusted to provide maximum benefit to the intoxicated subject. The specific anti-C. difficile toxin A and B antibodies of the invention and the purified recombinant C difficile toxin A and B proteins enable rapid and quantitative tests for C. difficile toxins or organisms.

47 W The invention contemplates detecting bacterial toxin by a competitive immunoassay method that utilizes recombinant toxin A and toxin B proteins, antibodies raised against recombinant bacterial toxin proteins. A fixed amount of the recombinant toxin proteins are immobilized to a solid support a microtiter plate) followed by the addition of a biological sample suspected of containing a bacterial toxin. The biological sample is first mixed with affinity-purified or PEG fractionated antibodies directed against the recombinant toxin protein. A reporter reagent is then added which is capable of detecting the presence of antibody bound to the immobilized toxin protein. The reporter substance may comprise an antibody with binding specificity for the antitoxin attached to a molecule which is used to identify the presence of the reporter substance. Iftoxin is present in the sample, this toxin will compete with the immobilized recombinant toxin protein for binding to the anti- :recombinant antibody thereby reducing the signal obtained following the addition of the reporter reagent. A control is employed where the antibody is not mixed with the sample.

This gives the highest (or reference) signal.

The invention also contemplates detecting bacterial toxin by a "sandwich" immunoassay method that utilizes antibodies directed against recombinant bacterial toxin proteins. Affinity-purified antibodies directed against recombinant bacterial toxin proteins are immobilized to a solid support microtiter plates). Biological samples suspected of containing bacterial toxins are then added followed by a washing step to remove substantially all unbound antitoxin. The biological sample is next exposed to the reporter substance, which binds to antitoxin and is then washed free of substantially all unbound reporter substance.

The reporter substance may comprise an antibody with binding specificity for the antitoxin attached to a molecule which is used to identify the presence of the reporter substance.

Identification of the reporter substance in the biological tissue indicates the presence of the bacterial toxin.

It is also contemplated that bacterial toxin be detected by pouring liquids soups and other fluid foods and feeds including nutritional supplements for humans and other animals) over immobilized antibody which is directed against the bacterial toxin. It is contemplated that the immobilized antibody will be present in or on such supports as cartridges, columns. beads, or any other solid support medium. In one embodiment, following the exposure of the liquid to the immobilized antibody, unbound toxin is substantially removed by washing. The exposure of the liquid is then exposed to a reporter substance which detects the presence of bound toxin. In a preferred embodiment the reporter substance 48 is an enzyme. fluorescent dye. or radioactive compound attached to an antibody which is directed against the toxin in a "sandwich" immunoassay). It is also contemplated that the detection system will be developed as necessary the addition of enzyme substrate in enzyme systems; observation using fluorescent light for fluorescent dye systems; and quantitation of radioactivity for radioactive systems).

EXPERIMENTAL

The following examples serve to illustrate certain preferred embodiments and aspects of the present invention and are not to be construed as limiting the scope thereof.

10 In the disclosure which follows, the following abbreviations apply: *C (degrees Centigrade); rpm (revolutions per minute); BBS-Tween (borate buffered saline containing Tween): BSA (bovine serum albumin); ELISA (enzyme-linked immunosorbent assay); CFA (complete Freund's adjuvant); IFA (incomplete Freund's adjuvant); IgG (immunoglobulin G); IgY (immunoglobulin IM (intramuscular); IP (intraperitoneal); IV (intravenous or intravascular): SC (subcutaneous); H,O (water): HCI (hydrochloric acid); LDoo (lethal dose for 100% of experimental animals); aa (amino acid); HPLC (high performance liquid chromatography); kD (kilodaltons); gm (grams); gg (micrograms); mg (milligrams); ng (nanograms); pl (microliters); ml (milliliters); mm (millimeters); nm (nanometers); gpm "(micrometer); M (molar); mM (millimolar); MW (molecular weight): sec (seconds); min(s) (minute/minutes); hr(s) (hour/hours); MgCI, (magnesium chloride): NaCI (sodium chloride); Na,CO, (sodium carbonate): OD,, (optical density at 280 nm): OD, (optical density at 600 nm): PAGE (polyacrylamide gel electrophoresis); PBS [phosphate buffered saline (150 mM NaCI. 10 mM sodium phosphate buffer, pH PEG (polyethylene glycol); PMSF (phenylmethylsulfonyl fluoride); SDS (sodium dodecyl sulfate); Tris (tris(hydroxymethyl)aminomethane); Ensure® (Ensure®. Ross Laboratories. Columbus OH); Enfamil® (Enfamil®, Mead Johnson); w/v (weight to volume); v/v (volume to volume); Accurate Chemical (Accurate Chemical Scientific Corp., Westbury, NY); Amicon (Amicon, Inc.. Beverly, MA); Amresco (Amresco, Inc., Solon, OH); ATCC (American Type Culture Collection. Rockville, MD); BBL (Baltimore Biologics Laboratory, (a division of Becton Dickinson). Cockeysville, MD); Becton Dickinson (Becton Dickinson Labware. Lincoln Park.

NJ); BioRad (BioRad, Richmond, CA); Biotech (C-C Biotech Corp., Poway, CA); Charles River (Charles River Laboratories. Wilmington. MA): Cocalico (Cocalico Biologicals Inc..

Reamstown. PA): CytRx (CytRx Corp., Norcross. GA): Falcon Baxter Healthcare Corp..

-49 McGaw Park. IL and Becton Dickinson): FDA (Federal Food and Drug Administration); Fisher Biotech (Fisher Biotech. Springfield. NJ); GIBCO (Grand Island Biologic Company/BRL, Grand Island, NY); Gibco-BRL (Life Technologies, Inc., Gaithersburg, MD); Harlan Sprague Dawley (Harlan Sprague Dawley, Inc., Madison, WI); MallincKrodt (a division of Baxter Healthcare Corp., McGaw Park, IL); Millipore (Millipore Corp., Marlborough, MA); New England Biolabs (New England Biolabs. Inc.. Beverly, MA); Novagen (Novagen, Inc.. Madison. WI); Pharmacia (Pharmacia, Inc.. Piscataway, NJ); Qiagen (Qiagen. Chatsworth. CA): RIBI (RIBI Immunochemical Research. Inc.. Hamilton. MT); Sasco (Sasco. Omaha. NE); Showdex (Showa Denko America, Inc.. New York. NY): Sigma 10 (Sigma Chemical Co.. St. Louis. MO): Sterogene (Sterogene. Inc.. Arcadia. CA); Tech Lab (Tech Lab. Inc.. Blacksburg. VA): and Vaxcell (Vaxcell, Inc.. a subsidiary of CytRX Corp., Norcross. GA).

When a recombinant protein is described in the specification it is referred to in a short-hand manner by the amino acids in the toxin sequence present in the recombinant protein rounded to the nearest 10. For example, the recombinant protein pMB1850-2360 contains amino acids 1852 through 2362 of the C. difficile toxin B protein. The specification gives detailed construction details for all recombinant proteins such that one skilled in the art will know precisely which amino acids are present in a given recombinant protein.

S 20 EXAMPLE 1 Production Of Hieh-Titer Antibodies To Clostridium difficile Oreanisms In A Hen Antibodies to certain pathogenic organisms have been shown to be effective in treating diseases caused by those organisms. It has not been shown whether antibodies can be raised.

against Clostridium difficile. which would be effective in treating infection by this organism.

Accordingly, C. difficile was tested as immunogen for production of hen antibodies.

To determine the best course for raising high-titer egg antibodies against whole C difficile organisms, different immunizing strains and different immunizing concentrations were examined. The example involved preparation of the bacterial immunogen, immunization, purification of anti-bacterial chicken antibodies, and detection of anti-bacterial antibodies in the purified IgY preparations.

a) Preparation Of Bacterial Immunogen C. difficile strains 43594 (serogroup A) and 43596 (serogroup C) were originally obtained from the ATCC. These two strains were selected because they represent two of the most commonly-occurring serogroups isolated from patients with antibiotic-associated pseudomembranous colitis. [Delmee et al., J. Clin. Microbiol.. 28(10):2210 (1990).] Additionally, both of these strains have been previously characterized with respect to their virulence in the Syrian hamster model for C. difficile infection. [Delmee et al., J. Med Microbiol., 33:85 (1990).] The bacterial strains were separately cultured on brain heart infusion agar for 48 hours 10 at 37 0 C in a Gas Pack 100 Jar (BBL. Cockeysville. MD) equipped with a Gas Pack Plus anaerobic envelope (BBL). Forty-eight hour cultures were used because they produce better growth and the organisms have been found to be more cross-reactive with respect to their surface antigen presentation. The greater the degree of cross-reactivity of our IgY preparations. the better the probability of a broad range of activity against different strains/serogroups. [Toma et al., J. Clin. Microbiol., 26(3):426 (1988).] The resulting organisms were removed from the agar surface using a sterile dacron-tip swab. and were suspended in a solution containing 0.4% formaldehyde in PBS, pH 7.2. This concentration of formaldehyde has been reported as producing good results for the purpose of preparing whole-organism immunogen suspensions for the generation of polyclonal anti-C.

difficile antisera in rabbits. [Delmee et al., J. Clin. Microbiol.. 21:323 (1985); Davies et al., Microbial Path.. 9:141 (1990).] In this manner, two separate bacterial suspensions were prepared, one for each strain. The two suspensions were then incubated at 4 0 C for 1 hour.

Following this period of formalin-treatment, the suspensions were centrifuged at 4,200 x g for min.. and the resulting pellets were washed twice in normal saline. The washed pellets.

which contained formalin-treated whole organisms. were resuspended in fresh normal saline such that the visual turbidity of each suspension corresponded to a #7 McFarland standard.

Edelstein, "Processing Clinical Specimens for Anaerobic Bacteria: Isolation and Identification Procedures," in S.M. Finegold et al Bailey and Scott's Diagnostic Microbiology, pp. 477-507, C.V. Mosby Co.. (1990). The preparation of McFarland nephelometer standards and the corresponding approximate number of organisms for each tube are described in detail at pp. 172-173 of this volume.] Each of the two #7 suspensions was then split into two separate volumes. One volume of each suspension was volumetrically adjusted. by the addition of saline, to correspond to the visual turbidity of a #1 McFarland 51 standard. The #1 suspensions contained approximately 3x10' organisms/ml, and the #7 suspensions contained approximately 2x10 9 organisms/ml. The four resulting concentration-adjusted suspensions of formalin-treated C difficile organisms were considered to be "bacterial immunogen suspensions." These suspensions were used immediately after preparation for the initial immunization. [See section The formalin-treatment procedure did not result in 100% non-viable bacteria in the immunogen suspensions. In order to increase the level of killing, the formalin concentration and length of treatment were both increased for subsequent immunogen preparations, as described below in Table 3. (Although viability was decreased with the stronger formalin treatment. 100% inviability of the bacterial immunogen suspensions was not reached.) Also, in subsequent immunogen preparations, the formalin solutions were prepared in normal saline instead of PBS. At day 49. the day of the fifth immunization, the excess volumes of the four previous bacterial immunogen suspensions were stored frozen at -70 0 C for use during all Ssubsequent immunizations.

b) Immunization For the initial immunization. 1.0 ml volumes of each of the four bacterial immunogen suspensions described above were separately emulsified in 1.2 ml volumes of CFA (GIBCO).

-For each of the four emulsified immunogen suspensions, two four-month old White Leghorn 20 hens (pre-laying) were immunized. (It is not necessary to use pre-laying hens: actively-laying hens can also be utilized.) Each hen received a total volume of approximately 1.0 ml of a single emulsified immunogen suspension via four injections (two subcutaneous and two intramuscular) of approximately 250 pi per site. In this manner, a total of four different immunization combinations, using two hens per combination, were initiated for the purpose of evaluating both the effect of immunizing concentration on egg yolk antibody (IgY) production. and interstrain cross-reactivity of IgY raised against heterologous strains. The four immunization groups are summarized in Table 3.

52'- $060 *0 0

C;

000.

TABLE 3 Immunization Groups GROUP IMMUNIZING

APPROXIMATE

DESIGNATION STRAIN IMMUNIZING DOSE CD 43594, #1 C difficile 1.5 x 10' organisms/hen strain 43594 CD 43594. #7 "1.0 x I109 organisms/hen CD 43596. #1 C difficile 1.5 x 10' organisms/hen strain 43596 CD 43596, #7 "1.0 x 109~ organisms/hen The time point for the first series of immunizations was designated 'as "day zero." All subsequent immunizations were performed as described above except that the bacterial immunogen suspensions were emulsified using IFA (GIBCO) instead of CFA. and for the later time point immunization, the stored frozen suspensions were used instead of freshlyprepared suspensions. The immunization schedule used is listed in Table 4.

TABLE 4 Immunization Schedule DAY OF FORMALIN

IMMUNOGEN

IMMUNIZATION TREATMENT PREPARATION USED 0 1 I hr. freshly-prepared 14 overnight 21 overnight 48 hrs.

49 72 hrs.

"stored frozen 105 53 c) Purification Of Anti-Bacterial Chicken Antibodies Groups of four eggs were collected per immunization group between days 80 and 84 post-initial immunization, and chicken immunoglobulin (IgY) was extracted according to a modification of the procedure of A. Poison el al., Immunol. Comm.. 9:495 (1980). A gentle stream of distilled water from a squirt bottle was used to separate the yolks from the whites, and the yolks were broken by dropping them through a funnel into a graduated cylinder. The four individual yolks were pooled for each group. .The pooled, broken yolks were blended with 4 volumes of egg extraction buffer to improve antibody yield (egg extraction buffer is 0.01 M sodium phosphate, 0.1 M NaCI, pH 7.5. containing 0.005% thimerosal), and PEG 10 8000 (Amresco) was added to a concentration of When all the PEG dissolved, the protein precipitates that formed were pelleted by centrifugation at 13.000 x g for 10 minutes.

The supernatants were decanted and filtered through cheesecloth to remove the lipid layer.

and the PEG was added to the supematants to a final concentration of 12% (the supernatants were assumed to contain 3.5% PEG). After a second centrifugation, the supernatants were discarded and the pellets were centrifuged a final time to extrude the remaining PEG. These crude IgY pellets were then dissolved in the original yolk volume of egg extraction buffer and Sstored at 4°C. As an additional control, a preimmune IgY solution was prepared as described above, using eggs collected from unimmunized hens.

d) Detection Of Anti-Bacterial Antibodies In The Purified IgY Preparations In order to evaluate the relative levels of specific anti-C. difficile activity in the IgY preparations described above, a modified version of the whole-organism ELISA procedure of N.V. Padhye et al., J. Clin. Microbiol. 29:99-103 (1990) was used. Frozen organisms of both C. difficile strains described above were thawed and diluted to a concentration of approximately 1 x 10 7 organisms/ml using PBS. pH 7.2. In this way, two separate coating suspensions were prepared, one for each immunizing strain. Into the wells of 96-well microtiter plates (Falcon. Pro-Bind Assay Plates) were placed 100 1tl volumes of the coating suspensions. In this manner, each plate well received a total of approximately 1 x organisms of one strain or the other. The plates were then incubated at 4*C overnight. The next morning, the coating suspensions were decanted, and all wells were washed three times using PBS. In order to block non-specific binding sites. 100 pl of 0.5% BSA (Sigma) in PBS was then added to each well. and the plates were incubated for 2 hours at room temperature.

54- The blocking solution was decanted, and 100 .l volumes of the IgY preparations described above were initially diluted 1:500 with a solution of 0.1% BSA in PBS. and then serially diluted in 1:5 steps. The following dilutions were placed in the wells: 1:500. 1:2.500.

1:62.5000, 1:312.500, and 1:1,562.500. The plates were again incubated for 2 hours at room temperature. Following this incubation, the IgY-containing solutions were decanted, and the wells were washed three times using BBS-Tween (0.1 M boric acid. 0.025 M sodium borate.

M NaCI. 0.1% Tween-20), followed by two washes using PBS-Tween and finally, two washes using PBS only. To each well. 100 pi of a 1:750 dilution of rabbit anti-chicken IgG (whole-molecule)-alkaline phosphatase conjugate (Sigma) (diluted in 0.1% 10 BSA in PBS) was added. The plates were again incubated for 2 hours at room temperature.

The conjugate solutions were decanted and the plates were washed as described above.

substituting 50 mM Na,CO,. pH 9.5 for the PBS in the final wash. The plates were developed by the addition of 100 pl of a solution containing 1 mg/ml para-nitrophenyl phosphate (Sigma) dissolved in 50 mM NaCO,. 10 mM MgCL,. pH 9.5 to each well, and incubating the plates at room temperature in the dark for 45 minutes. The absorbance of each well was measured at 410 nm using a Dynatech MR 700 plate reader. In this manner, each of the four IgY preparations described above was tested for reactivity against both of the immunizing C difficile strains: strain-specific, as well as cross-reactive activity was determined.

:o o• 55 TABLE Results Of The Anti-C. difficile Whole-Organism

ELISA

IgY

PREPARATION

DILUTION OF IgY PREP 43594-COATED

WELLS

43596-COATED

WELLS

I

I

I

CD 43594. #1 1:500 1:2.500 1:12.500 1:62.500 1:312.500 1:1.562.500 1.746 1.092 0.202 0.136 0.012 0.002 1.801 1.670 0.812 0.179 0.080 0.020 0 *0 1:500 1.780 1.771 1:2.500 1.025 1.078 1:12.500 0.188 0.382 CD 43594. #7 1:62.500 0.052 0.132 1:312.500 0.022 0.043 1:1.562.500 0.005 0.024

I

CD 43596. #1 1:500 1:2.500 1:12.500 1:62.500 1:312.500 1:1.562.500 1.526 0.832 0.247 0.050 0.010 0.000

I

CD 43596. #7 1:500 1:2.500 1:12.500 1:62.500 1:312.500 1:1.562.500 1:500 1:2.500 1:12.500 1:62.500 1:312.500 1:1.562.500 1.702 0.706 0.250 0.039 0.002 0.000 0.142 0.032 0.006 0.002 0.004 0.002 1.790 1.477 0.452 0.242 0.067 0.036 1.505 0.866 0.282 0.078 0.017 0.010 0.309 0.077 0.024 0.012 0.010 0.014 Preimmune IgY Table 5 shows the results of the whole-organism ELISA. All four IgY preparations demonstrated significant levels of activity, to a dilution of 1:62.500 or greater against both of the immunizing organism strains. Therefore. antibodies raised against one strain were highly cross-reactive with the other strain, and vice versa. The immunizing concentration of organisms did not have a significant effect on organism-specific IgY production, as both concentrations produced approximately equivalent responses. Therefore, the lower 56 immunizing concentration of approximately 1.5 x 10' organisms/hen is the preferred immunizing concentration of the two tested. The preimmune IgY preparation appeared to possess relatively low levels of C difficile-reactive activity to a dilution of 1:500. probably due to prior exposure of the animals to environmental clostridia.

An initial whole-organism ELISA was performed using IgY preparations made from single CD 43594. #1 and CD 43596. #1 eggs collected around day 50 (data not shown).

Specific titers were found to be 5 to 10-fold lower than those reported in Table 5. These results demonstrate that it is possible to begin immunizing hens prior to the time that they begin to lay eggs. and to obtain high titer specific IgY from the first eggs that are laid. In 10 other words. it is not necessary to wait for the hens to begin laying before the immunization schedule is started.

EXAMPLE 2 Treatment Of C. difficile Infection With Anti-C. difficile Antibody In order to determine whether the immune IgY antibodies raised against whole C difficile organisms were capable of inhibiting the infection of hamsters by C difficile.

hamsters infected by these bacteria were utilized. [Lyerly el al.. Infect. Immun.. 59:2215- 2218 (1991).] This example involved: determination of the lethal dose of C. difficile organisms: and treatment of infected animals with immune antibody or control antibody in nutritional solution.

a) Determination Of The Lethal Dose Of C difficile Organisms Determination of the lethal dose of C. difficile organisms was carried out according to the model described by D.M. Lyerly el al.. Infect. Immun.. 59:2215-2218 (1991). C difficile strain ATCC 43596 (serogroup C. ATCC) was plated on BHI agar and grown anaerobically (BBL Gas Pak 100 system) at 37 0 C for 42 hours. Organisms were removed from the agar 57 surface using a sterile dacron-tip swab and suspended in sterile 0.9% NaCI solution to a density of 10' organisms/ml.

In order to determine the lethal dose of C. difficile in the presence of control antibody and nutritional formula. non-immune eggs were obtained from unimmunized hens and a 12% PEG preparation made as described in Example This preparation was redissolved in one fourth the original yolk volume of vanilla flavor Ensure®.

Starting on day one. groups of female Golden Syrian hamsters (Harlan Sprague Dawley), 8-9 weeks old and weighing approximately 100 gm. were orally administered 1 ml of the preimmune/Ensure® formula at time zero. 2 hours. 6 hours, and 10 hours. At 1 hour, animals were orally administered 3.0 mg clindamycin HCI (Sigma) in I ml of water. This drug predisposes hamsters to C difficile infection by altering the normal intestinal flora. On day two. the animals were given I ml of the preimmune IgY/Ensure® formula at time zero, 2 hours. 6 hours. and 10 hours. At 1 hour on day two. different groups of animals were inoculated orally with saline (control). or 102. 10'. 10". or 10' C. difficile organisms in 1 ml of saline. From days 3-12. animals were given I ml of the preimmune IgY/Ensure® formula three times daily and observed for the onset of diarrhea and death. Each animal was housed in an individual cage and was offered food and water ad libitum.

Administration of 10' 10" organisms resulted in death in 3-4 days while the lower doses of 102 10 organisms caused death in 5 days. Cecal swabs taken from dead animals 20 indicated the presence of C difficile. Given the effectiveness of the 102 dose. this number of organisms was chosen for the following experiment to see if hyperimmune anti-C difficile antibody could block infection.

b) Treatment Of Infected Animals With Immune Antibody Or Control Antibody In Nutritional Formula The experiment in was repeated using three groups of seven hamsters each. Group A received no clindamycin or C difficile and was the survival control. Group B received clindamycin. 102 C. difficile organisms and preimmune IgY on the same schedule as the animals in above. Group C received clindamycin. 10 2 C difficile organisms, and hyperimmune anti-C. difficile IgY on the same schedule as Group B. The anti-C. difficile IgY was prepared as described in Example 1 except that the 12% PEG preparation was dissolved in one fourth the original yolk volume of Ensure®.

58 All animals were observed for the onset of diarrhea or other disease symptoms and death. Each animal was housed in an individual cage and was offered food and water ad libitum. The results are shown in Table 6.

TABLE 6 The Effect Of Oral Feeding Of Hyperimmune IgY Antibody on C. difficile Infection .r ANIMAL GROUP TIME TO TIME TO

DIARRHEA

3

DEATH'

A pre-immune IgY only no diarrhea no deaths B Clindamycin. C dificile. preimmune IgY 30 hrs. 49 hrs.

C Clindamycin. C dificile. immune IgY 33 hrs. 56 hrs.

Mean of seven animals.

Hamsters in the control group A did not develop diarrhea and remained healthy during the experimental period. Hamsters in groups B and C developed diarrheal disease. Anti-C.

difficile IgY did not protect the animals from diarrhea or death, all animals succumbed in the same time interval as the animals treated with preimmune IgY. Thus. while immunization with whole organisms apparently can improve sub-lethal symptoms with particular bacteria (see U.S. Patent No. 5.080.895 to H. Tokoro). such an approach does not prove to be productive to protect against the lethal effects of C. difficile.

EXAMPLE 3 Production of C botulinum Type A Antitoxin in Hens In order to determine whether antibodies could be raised against the toxin produced by clostridial pathogens, which would be effective in treating clostridial diseases. antitoxin to C botulinum type A toxin was produced. This example involves: toxin modification: (b) immunization: antitoxin collection; antigenicity assessment: and assay of antitoxin titer.

59 a) Toxin Modification C. botulinum type A toxoid was obtained from B. R. DasGupta. From this, the active type A neurotoxin approximately 150 kD) was purified to greater than 99% purity, according to published methods. DasGupta V. Sathyamoorthy. Toxicon. 22:415 (1984).] The neurotoxin was detoxified with formaldehyde according to published methods.

Singh B.R. DasGupta. Toxicon. 27:403 (1989).] b) Immunization C. botulinum toxoid for immunization was dissolved in PBS (1 mg/ml) and was emulsified with an approximately equal volume of CFA (GIBCO) for initial immunization or IFA for booster immunization. On day zero. two white leghorn hens. obtained from local breeders. were each injected at multiple sites (intramuscular and subcutaneous) with 1 ml inactivated toxoid emulsified in I ml CFA. Subsequent booster immunizations were made according to the following schedule for day of injection and toxoid amount: days 14 and 21 0.5 mg: day 171 0.75 mg: days 394. 401. 409 0.25 mg. One hen received an additional booster of 0.150 mg on day 544.

c) Antitoxin Collection Total yolk immunoglobulin (IgY) was extracted as described in Example l(c) and the 20 IgY pellet was dissolved in the original yolk volume of PBS with thimerosal.

d) Antigenicity Assessment O*V. Eggs were collected from day 409 through day 423 to assess whether the toxoid was sufficiently immunogenic to raise antibody. Eggs from the two hens were pooled and .antibody was collected as described in the standard PEG protocol. [Example Antigenicity of the botulinal toxin was assessed on Western blots. The 150 kD detoxified type A neurotoxin and unmodified. toxic. 300 kD botulinal type A complex (toxin used for intragastric route administration for animal gut neutralization experiments; see Example 6) were separated on a SDS-polyacrylamide reducing gel. The Western blot technique was performed according to the method of Towbin. Towbin et al.. Proc. Natl. Acad. Sci.

USA. 76:4350 (1979).] Ten lg samples of C. botulinum complex and toxoid were dissolved in SDS reducing sample buffer SDS. 0.5% 2-mercaptoethanol. 50 mM Tris. pH 6.8. glycerol. 0.025% w/v bromphenol blue. 10% p-mercaptoethanol), heated at 95 0 C for 10 min 60 and separated on a I mm thick 5% SDS-polyacrylamide gel. Weber and M.

Osborn."Proteins and Sodium Dodecyl Sulfate: Molecular Weight Determination on Polvacrvlamide Gels and Related Procedures." in The Proteins. 3d Edition Neurath R.L. Hill. eds), pp. 179-223. (Academic Press. NY. 1975).] Part of the gel was cut off and the proteins were stained with Coomassie Blue. The proteins in the remainder of the gel were transferred to nitrocellulose using the Milliblot-SDE electro-blotting system (Millipore) according to manufacturer's directions. The nitrocellulose was temporarily stained with Ponceau S Carroll and A. Laughon. "Production and Purification of Polvclonal Antibodies to the Foreign Segment of 6-galactosidase Fusion Proteins." in DNA Cloning: A 10 Practical Approach. Vol.111. Glover. pp. 89-111. IRL Press. Oxford. (1987)] to visualize the lanes. then destained by running a gentle stream of distilled water over the blot for several minutes. The nitrocellulose was immersed in PBS containing 3% BSA overnight at 4°C to block any remaining protein binding sites.

The blot was cut into strips and each strip was incubated with the appropriate primary antibody. The avian anti-C hotulinum antibodies [described in and pre-immune chicken antibody (as control) were diluted 1:125 in PBS containing 1 mg/ml BSA for 2 hours at room temperature. The blots were washed with two changes each of large volumes of PBS. BBS- Tween and PBS. successively (10 min/wash). Goat anti-chicken IgG alkaline phosphatase f conjugated secondary antibody (Fisher Biotech) was diluted 1:500 in PBS containing 1 mg/ml BSA and incubated with the blot for 2 hours at room temperature. The blots were washed with two changes each of large volumes of PBS and BBS-Tween. followed by one change of PBS and 0.1 M Tris-HC1. pH 9.5. Blots were developed in freshly prepared alkaline phosphatase substrate buffer (100 pg/ml nitroblue tetrazolium (Sigma). 50 pg/ml 5-bromo-4chloro-3-indolyl phosphate (Sigma). 5 mM MgCI, in 50 mM NaCO 3 pH The Western blots are shown in Figure 1. The anti-C. botulinum IgY reacted to the toxoid to give a broad immunoreactive band at about 145-150 kD on the reducing gel. This toxoid is refractive to disulfide cleavage by reducing agents due to formalin crosslinking. The immune IgY reacted with the active toxin complex. a 97 kD C botulinum type A heavy chain and a 53 kD light chain. The preimmune IgY was unreactive to the C. botulinum complex or toxoid in the Western blot.

61 e) Antitoxin Antibody Titer The IgY antibody titer to C. botulinum type A toxoid of eggs harvested between day 409 and 423 was evaluated by ELISA. prepared as follows. Ninety-six-well Falcon Pro-bind plates were coated overnight at 4°C with 100 pl/well toxoid Singh B.R. Das Gupta.

Toxicon 27:403 (1989)] at 2.5 pg/ml in PBS. pH 7.5 containing 0.005% thimerosal. The following day the wells were blocked with PBS containing 1% BSA for 1 hour at 37 0 C. The IgY from immune or preimmune eggs was diluted in PBS containing 1% BSA and 0.05% Tween 20 and the plates were incubated for 1 hour at 37 0 C. The plates were washed three times with PBS containing 0.05% Tween 20 and three times with PBS alone. Alkaline 10 phosphatase-conjugated goat-anti-chicken IgG (Fisher Biotech) was diluted 1:750 in PBS containing 1% BSA and 0.05% Tween 20. added to the plates. and incubated 1 hour at 37 0

C.

The plates were washed as before, and p-nitrophenyl phosphate (Sigma) at 1 mg/ml in 0.05 M Na,CO,. pH 9.5. 10 mM MgCI, was added.

The results are shown in Figure 2. Chickens immunized with the toxoid generated high titers of antibody to the immunogen. Importantly. eggs from both immunized hens had significant anti-immunogen antibody titers as compared to preimmune control eggs. The anti- SC. botulinum IgY possessed significant activity. to a dilution of 1:93.750 or greater.

EXAMPLE 4 S 20 Preparation Of Avian Eun Yolk Immunoelobulin In An Orally Administrable Form In order to administer avian IgY antibodies orally to experimental mice. an effective delivery formula for the IgY had to be determined. The concern was that if the crude IgY was dissolved in PBS. the saline in PBS would dehydrate the mice. which might prove harmful over the duration of the study. Therefore. alternative methods of oral administration of IgY were tested. The example involved: isola-tion of immune IgY; solubilization of IgY in water or PBS. including subsequent dialysis of the IgY-PBS solution with water to eliminate or reduce the salts (salt and phosphate) in the buffer: and comparison of the quantity and activity of recovered IgY by absorbance at 280 nm and PAGE. and enzymelinked immunoassay (ELISA).

62 a) Isolation Of Immune IgY In order to investigate the most effective delivery formula for IgY. we used IgY which was raised against Crotalus durissus terrificus venom. Three eggs were collected from hens immunized with the C. durissus terrificus venom and IgY was extracted from the yolks using the modified Poison procedure described by Thalley and Carroll [Bio/Technology, 8:934-938 (1990)] as described in Example 1(c).

The egg yolks were separated from the whites, pooled. and blended with four volumes of PBS. Powdered PEG 8000 was added to a concentration of The mixture was centrifuged at 10.000 rpm for 10 minutes to pellet the precipitated protein, and the S 10 supernatant was filtered through cheesecloth to remove the lipid layer. Powdered PEG 8000 was added to the supernatant to bring the final PEG concentration to 12% (assuming a PEG concentration of 3.5% in the supernatant). The 12% PEG/IgY mixture was divided into two equal volumes and centrifuged to pellet the IgY.

o* b) Solubilization Of The IgY In Water Or PBS ";One pellet was resuspended in 1/2 the original yolk volume of PBS. and the other pellet was resuspended in 1/2 the original yolk volume of water. The pellets were then centrifuged to remove any particles or insoluble material. The IgY in PBS solution dissolved readily but the fraction resuspended in water remained cloudy.

S 20 In order to satisfy anticipated sterility requirements for orally administered antibodies.

the antibody solution needs to be filter-sterilized (as an alternative to heat sterilization which would destroy the antibodies). The preparation of IgY resuspended in water was too cloudy to pass through either a 0.2.or 0.45 pm membrane filter. so 10 ml of the PBS resuspended fraction was dialyzed overnight at room temperature against 250 ml of water. The following morning the dialysis chamber was emptied and refilled with 250 ml of fresh H,O for a second diavysis. Thereafter. the yields of soluble antibody were determined at ODso and are compared in Table 7.

63 TABLE 7 Dependence Of IgY Yield On Solvents ABSORBANCE OF 1:10 PERCENT FRACIN DILUTION AT 280 nm RECOVERY PBS dissolved 1.149 100% HO dissolved 0.706 61% PBS dissolved/H,O dialyzed 0.885 77%

C

*9 a

C..

C

C.

0

C..

C

CC..

C

C

Resuspending the pellets in PBS followed by dialysis against water recovered more antibody than directly resuspending the pellets in water (77% versus Equivalent 10 volumes of the IgY preparation in PBS or water were compared by PAGE. and these results were in accordance with the absorbance values (data not shown).

c) Activity Of IgY Prepared With Different Solvents An ELISA was performed to compare the binding activity of the IgY extracted by each procedure described above. C. durissus terrificus venom at 2.5 pgimi in PBS was used to coat each well of a 96-well microtiter plate. The remaining protein binding sites were blocked with PBS containing 5 mg/ml BSA. Primary antibody dilutions (in PBS containing 1 mg/ml BSA) were added in duplicate. After 2 hours of incubation at room temperature. the unbound primary antibodies were removed by washing the wells with PBS.

BBS-Tween. and PBS. The species specific secondary antibody (goat anti-chicken immunoglobulin alkaline-phosphatase conjugate (Sigma) was diluted 1:750 in PBS containing 1 mg/ml BSA and added to each well of the microtiter plate. After 2 hours of incubation at room temperature. the unbound secondary antibody was removed by washing the plate as before, and freshly prepared alkaline phosphatase substrate (Sigma) at I mg/ml in 50 mM Na,CO,, 10 mM MgCI, pH 9.5 was added to each well. The color development was measured on a Dynatech MR 700 microplate reader using a 412 nm filter. The results are shown in Table 8.

64 TABLE 8 Antigen-Binding Activity of IgY Prepared with Different Solvents PBS H,O DILUTION PREIMMUNE DISSOLVED DISSOLVED PBS

H

,O

1:500 0.005 1.748 1.577 1.742 1:2.500 0.004 0.644 0.349 0.606 1:12.500 0.001 0.144 0.054 0.090 1:62.500 0.001 0.025 0.007 0.016 1:312.500 0.010 0.000 0.000 0.002

S.

S

S

The binding assay results parallel the recovery values in Table 7. with PBS-dissolved IgY showing slightly more activity than the PBS-dissolved/H,O dialyzed antibody. The water-dissolved antibody had considerably less binding activity than the other preparations.

EXAMPLE Survival Of Antibody Activity After Passace Throuah The Gastrointestinal Tract In order to determine the feasibility of oral administration of antibody. it was of interest to determine whether orally administered IgY survived passage through the gastrointestinal tract. The example involved: oral administration of specific immune antibody mixed with a nutritional formula: and assay of antibody activity extracted from feces.

a) Oral Administration Of Antibody The IgY preparations used in this example are the same PBS-dissolved/H,O dialyzed antivenom materials obtained in Example 4 above, mixed with an equal volume of Enfamil®.

Two mice were used in this experiment, each receiving a different diet as follows: 1) water and food as usual: 2) immune IgY preparation dialyzed against water and mixed 1:1 with Enfamil®.

(The mice were given the corresponding mixture as their only source of food and water).

65 b) Antibody Activity After Ingestion After both mice had ingested their respective fluids, each tube was refilled with approximately 10 ml of the appropriate fluid first thing in the morning. By mid-morning there was about 4 to 5 ml of liquid left in each tube. At this point stool samples were collected from each mouse. weighed, and dissolved in approximately 500 Pl PBS per 100 mg stool sample. One hundred and sixty mg of control stools (no antibody) and 99 mg of experimental stools (specific antibody) in 1.5 ml microfuge tubes were dissolved in 800 and 500 pl PBS. respectively. The samples were heated at 37 0 C for 10 minutes and vortexed vigorously. The experimental stools were also broken up with a narrow spatula. Each sample was centrifuged for 5 minutes in a microfuge and the supernatants. presumably containing the antibody extracts. were collected. The pellets were saved at 2-8 0 C in case future extracts were needed. Because the supernatants were tinted, they were diluted five-fold in PBS containing 1 mg/ml BSA for the initial dilution in the enzyme immunoassav (ELISA). The primary extracts were then diluted five-fold serially from this initial dilution. The volume of primary extract added to each well was 190 pl. The ELISA was performed exactly as described in Example 4.

TABLE 9 Specific Antibody Activity After Passage Through the Gastrointestinal Tract *o CONTROL FECAL EXP. FECAL DILUTION PREIMMUNElgY EXTRACT EXTRACT EXTRACT EXTRACT 1:5 <0 0.000 0.032 1:25 0.016 <0 0.016 1:125 <0 <0 0.009 1:625 <0 0.003 0.001 1:3125 <0 <0 0.000 There was some active antibody in the fecal extract from the mouse given the specific antibody in Enfamil® formula. but it was present at a very low level. Since the samples were assayed at an initial 1:5 dilution, the binding observed could have been higher with less dilute samples. Consequently. the mice were allowed to continue ingesting either regular food and 66water or the specific IgY in Enfamil® formula. as appropriate, so the assay could be repeated.

Another ELISA plate was coated overnight with 5 tig/ml of venom in PBS.

The following morning the ELISA plate was blocked with 5 mg/ml BSA. and the fecal samples were extracted as before. except that instead of heating the extracts at 37 0 C. the samples were kept on ice to limit proteolysis. The samples were assayed undiluted initially.

and in 5X serial dilutions thereafter. Otherwise the assay was carried out as before.

TABLE Specific Antibody Survives Passage Through The Gastrointestinal Tract .9 .9 9 *9* 9.

a

CONTROL

DILUTION PREIMMUNE IgY EXTRACT EXP. EXTRACT undiluted 0.003 <0 0.379 1:5 <0 <0 0.071 1:25 0.000 <0 0.027 1:125 0.003 <0 0.017 1:625 0.000 <0 0.008 1:3125 0.002 <0 0.002 The experiment confirmed the previous results. with the antibody activity markedly higher. The control fecal extract showed no anti-Cd.t. activity, even undiluted. while the fecal extract from the anti-Cd.t. IgY/Enfamil®-fed mouse showed considerable anti-Cd.t.

activity. This experiment (and the previous experiment) clearly demonstrate that active IgY antibody survives passage through the mouse digestive tract. a finding with favorable implications for the success of IgY antibodies administered orally as a therapeutic or prophylactic.

EXAMPLE 6 In Vivo Neutralization Of Type C. botulinum Type A Neurotoxin By Avian Antitoxin Antibody This example demonstrated the ability of PEG-purified antitoxin, collected as described in Example 3. to neutralize the lethal effect of C. houlinum neurotoxin type A in 67mice. To determine the oral lethal dose (LDiO) of toxin A. groups of BALB/c mice were given different doses of toxin per unit body weight (average body weight of 24 grams). For oral administration, toxin A complex. which contains the neurotoxin associated with other non-toxin proteins was used. This complex is markedly more toxic than purified neurotoxin when given by the oral route. Ohishi et al.. Infect. Immun.. 16:106 (1977).] C. botulinum toxin type A complex. obtained from Eric Johnson (University Of Wisconsin. Madison) was 250 pg/ml in 50 mM sodium citrate. pH 5.5. specific toxicity 3 x 107 mouse LDso/mg with parenteral administration. Approximately 40-50 ng/gm body weight was usually fatal within 48 hours in mice maintained on conventional food and water. When mice were given a diet S. 10 ad libitum of only Enfamil® the concentration needed to produce lethality was approximately 2.5 times higher (125 ng/gm body weight). Botulinal toxin concentrations of approximately 200 ng/gm body weight were fatal in mice fed Enfamil® containing preimmune IgY (resuspended in Enfamil® at the original yolk volume).

The oral LD 100 of C botulinum toxin was also determined in mice that received known amounts of a mixture of preimmune IgY-Ensure® delivered orally through feeding needles. Using a 22 gauge feeding needle. mice were given 250 pl each of a preimmune IgY-Ensure® mixture (preimmune IgY dissolved in 1/4 original yolk volume) 1 hour before and 1/2 hour and 5 hours after administering botulinal toxin. Toxin concentrations given orally ranged from approximately 12 to 312 ng/gm body weight (0.3 to 7.5 pg per mouse).

Botulinal toxin complex concentration of approximately 40 ng/gm body weight (1 pg per mouse) was lethal in all mice in less than 36 hours.

Two groups of BALB/c mice. 10 per group. were each given orally a single dose of 1 pg each of botulinal toxin complex in 100 l of 50 mM sodium citrate pH 5.5. The mice received 250 pl treatments of a mixture of either preimmune or immune IgY in Ensure® (1/4 original yolk volume) 1 hour before and 1/2 hour. 4 hours, and 8 hours after botulinal toxin administration. The mice received three treatments per day for two more days. The mice were observed for 96 hours. The survival and mortality are shown in Table 11.

68 TABLE 11 Neutralization Of Botulinal Toxin A In Vivo TOXIN DOSE NUMBER OF NUMBER OF MICE ng/gm ANTIBODY TYPE MICE ALIVE

DEAD

41.6 non-immune 0 41.6 anti-botulinal toxin 10 0 All mice treated with the preimmune IgY-Ensure® mixture died within 46 hours posttoxin administration. The average time of death in the mice was 32 hours post toxin 10 administration. Treatments of preimmune IgY-Ensure® mixture did not continue beyond 24 hours due to extensive paralysis of the mouth in mice of this group. In contrast. all ten mice treated with the immune anti-botulinal toxin IgY-Ensure® mixture survived past 96 hours.

Only 4 mice in this group exhibited symptoms of botulism toxicity (two mice about 2 days after and two mice 4 days after toxin administration). These mice eventually died 5 and 6 15 days later. Six of the mice in this immune group displayed no adverse effects to the toxin and remained alive and healthy long term. Thus. the avian anti-botulinal toxin antibody demonstrated very good protection from the lethal effects of the toxin in the experimental mice.

20 EXAMPLE 7 Production Of An Avian Antitoxin Against Clostridium difficile Toxin A Toxin A is a potent cytotoxin secreted by pathogenic strains of C. difficile. that plays a direct role in damaging gastrointestinal tissues. In more severe cases of C. difficile intoxication. pseudomembranous colitis can develop which may be fatal. This would be prevented by neutralizing the effects of this toxin in the gastrointestinal tract. As a first step.

antibodies were produced against a portion of the toxin. The example involved: (a) conjugation of a synthetic peptide of toxin A to bovine serum albumin: immunization of hens with the peptide-BSA conjugate: and detection of antitoxin peptide antibodies by

ELISA.

69a) Conjugation Of A Synthetic Peptide Of Toxin A To Bovine Serum Albumin The synthetic peptide CQTIDGKKYYFN-NH, was prepared commercially (Multiple Peptide Systems. San Diego, CA) and validated to be >80% pure by high-pressure liquid chromatography. The eleven amino acids following the cysteine residue represent a consensus sequence of a repeated amino acid sequence found in Toxin A. [Wren et al.. Infect. Immun..

59:3151-3155 (1991).] The cysteine was added to facilitate conjugation to carrier protein.

In order to prepare the carrier for conjugation. BSA (Sigma) was dissolved in 0.01 M NaPO,, pH 7.0 to a final concentration of 20 mg/ml and n-maleimidobenzoyl-N- 10 hydroxysuccinimide ester (MBS: Pierce) was dissolved in N.N-dimethyl formamide to a concentration of 5 mg/ml. MBS solution. 0.51 ml. was added to 3.25 ml of the BSA solution and incubated for 30 minutes at room temperature with stirring every 5 minutes. The MBSactivated BSA was then purified by chromatography on a Bio-Gel P-10 column (Bio-Rad: ml bed volume) equilibrated with 50 mM NaPO,. pH 7.0 buffer. Peak fractions were pooled (6.0 ml).

Lyophilized toxin A peptide (20 mg) was added to the activated BSA mixture, stirred *a 00 until the peptide dissolved and incubated 3 hours at room temperature. Within 20 minutes, the reaction mixture became cloudy and precipitates formed. After 3 hours. the reaction •mixture was centrifuged at 10.000 x g for 10 min and the supernatant analyzed for protein content. No significant protein could be detected at 280 nm. The conjugate precipitate was S0.. washed three times with PBS and stored at 4°C. A second conjugation was performed with 15 mg of activated BSA and 5 mg of peptide and the conjugates pooled and suspended at a peptide concentration of 10 mg/ml in 10 mM NaPO,, pH 7.2.

b) Immunization Of Hens With Peptide Conjugate Two hens were each initially immunized on day zero by injection into two subcutaneous and two intramuscular sites with I mg of peptide conjugate that was emulsified in CFA (GIBCO). The hens were boosted on day 14 and day 21 with I mg of peptide conjugate emulsified in IFA (GIBCO).

c) Detection Of Antitoxin Peptide Antibodies By ELISA IgY was purified from two eggs obtained before immunization (pre-immune) and two eggs obtained 31 and 32 days after the initial immunization using PEG fractionation as described in Example 1.

Wells of a 96-well microtiter plate (Falcon Pro-Bind Assay Plate) were coated overnight at 4 0 C with 100 pg/ml solution of the toxin A synthetic peptide in PBS, pH 7.2 prepared by dissolving 1 mg of the peptide in 1.0 ml of H,O and dilution of PBS. The preimmune and immune IgY preparations were diluted in a five-fold series in a buffer containing 1% PEG 8000 and 0.1% Tween-20 in PBS. pH 7.2. The wells were blocked for 2 hours at room temperature with 150 li of a solution containing 5% Carnation® nonfat dry milk and 1% PEG 8000 in PBS. pH 7.2. After incubation for 2 hours at room temperature. the wells were washed. secondary rabbit anti-chicken IgG-alkaline phosphatase (1:750) added. the wells washed again and the color development obtained as described in Example 1. The results are shown in Table 12.

TABLE 12 Reactivity Of IgY With Toxin Peptide *o ABSORBANCE AT 410 nm DILUTION OF PEG PREP IMMUNE ANTI- PREIMMUNE PEPTIDE

PEPTIDE

1:100 0.013 0.253 1:500 0.004 0.039 1:2500 0.004 0.005 Clearly. the immune antibodies contain titers against this repeated epitope of toxin A.

EXAMPLE 8 Production Of Avian Antitoxins Against Clostridium difficile Native Toxins A and B To determine whether avian antibodies are effective for the neutralization of C difficile toxins, hens were immunized using native C. difficile toxins A and B. The resulting egg yolk antibodies were then extracted and assessed for their ability to neutralize toxins A 71 and B in vitro. The Example involved preparation of the toxin immunogens. (b) immunization. purification of the antitoxins, and assay of toxin neutralization activity.

a) Preparation Of The Toxin Immunogens Both C. difficile native toxins A and B. and C difficile toxoids. prepared by the treatment of the native toxins with formaldehyde. were employed as immunogens. C dificile toxoids A and B were prepared by a procedure which was modified from published methods (Ehrich et al.. Infect. Immun. 28:1041 (1980). Separate solutions (in PBS) of native C.

difficile toxin A and toxin B (Tech Lab) were each adjusted to a concentration of 0.20 mg/ml.

and formaldehyde was added to a final concentration of The toxin/formaldehyde solutions were then incubated at 37 0 C for 40 hrs. Free formaldehyde was then removed from the resulting toxoid solutions by dialysis against PBS at 4*C. In previously published reports.

this dialysis step was not performed. Therefore. free formaldehyde must have been present in their toxoid preparations. The toxoid solutions were concentrated. using a Centriprep 15 concentrator unit (Amicon). to a final toxoid concentration of 4.0 mg/ml. The two resulting preparations were designated as toxoid A and toxoid B.

C difficile native toxins were prepared by concentrating stock solutions of toxin A and toxin B (Tech Lab. Inc). using Centriprep concentrator units (Amicon). to a final concentration of 4.0 mg/ml.

b) Immunization The first two immunizations were performed using the toxoid A and toxoid B immunogens described above. A total of 3 different immunization combinations were employed. For the first immunization group. 0.2 ml of toxoid A was emulsified in an equal volume of Titer Max adjuvant (CytRx). Titer Max was used in order to conserve the amount of immunogen used. and to simplify the immunization procedure. This immunization group was designated "CTA." For the second immunization group. 0.1 ml of toxoid B was emulsified in an equal volume of Titer Max adjuvant. This group was designated "CTB." For the third immunization group. 0.2 ml of toxoid A was first mixed with 0.2 ml of toxoid B. and the resulting mixture was emulsified in 0.4 ml of Titer Max adjuvant. This group was designated "CTAB." In this way. three separate immnnunogen emulsions were prepared, with each emulsion containing a final concentration of 2.0 mg/ml of toxoid A (CTA) or toxoid B (CTB) or a mixture of 2.0 mg/ml toxoid A and 2.0 mg/ml toxoid B (CTAB).

72 On day 0. White Leghorn hens. obtained from a local breeder, were immunized as follows: Group CTA. Four hens were immunized. with each hen receiving 20 0pg of toxoid A. via two intramuscular injections of 50pl of CTA emulsion in the breast area.

Group CTB. One hen was immunized with 200pg of toxoid B. via two I.M. injections of 50pl of CTB emulsion in the breast area. Group CTAB. Four hens were immunized, with each hen receiving a mixture containing 200lg of toxoid A and 200pg of toxoid B. via two I.M. injections of 100pl of CTAB emulsion in the breast area. The second immunization was performed 5 weeks later. on day 35. exactly as described for the first immunization above.

In order to determine whether hens previously immunized with C. difficile toxoids could tolerate subsequent booster immunizations using native toxins, a single hen from group CTAB was immunized for a third time. this time using a mixture of the native toxin A and native toxin B described in section above (these toxins were not formaldehyde-treated. and were used in their active form). This was done in order to increase the amount (titer) and affinity of specific antitoxin antibody produced by the hen over that achieved by immunizing 15 with toxoids only. On day 62. 0.1 ml of a toxin mixture was prepared which contained 200pg of native toxin A and 200lag of native toxin B. This toxin mixture was then emulsified in 0.1 ml of Titer Max adjuvant. A single CTAB hen was then immunized with the resulting immunogen emulsion. via two I.M. injections of 1001l each. into the breast area.

This hen was marked with a wing band. and observed for adverse effects for a period of S 20 approximately 1 week. after which time the hen appeared to be in good health.

Because the CTAB hen described above tolerated the booster immunization with native toxins A and B with no adverse effects. it was decided to boost the remaining hens with native toxin as well. On day 70. booster immunizations were performed as follows: Group CTA. A 0.2 ml volume of the 4 mg/ml native toxin A solution was emulsified in an equal volume of Titer Max adjuvant. Each of the 4 hens was then immunized with 200pg of native toxin A. as described for the toxoid A immunizations above. Group CTB. A 50pl volume of the 4 mg/ml native toxin B solution was emulsified in an equal volume of Titer Max adjuvant. The hen was then immunized with 200gg of native toxin B. as described for the toxoid B immunizations above. Group CTAB. A 0.15 ml volume of the 4 mg/ml native toxin A solution was first mixed with a 0.15 ml volume the 4 mg/ml native toxin B solution.

The resulting toxin mixture was then emulsified in 0.3 ml of Titer Max adjuvant. The 3 remaining hens (the hen with the wing band was not immunized this time) were then immunized with 200gg of native toxin A and 200jg of native toxin B as described for the.

73 toxoid A+ toxoid B immunizations (CTAB) above. On day 85. all hens received a second booster immunization using native toxins, done exactly as described for the first boost with native toxins above.

All hens tolerated both booster immunizations with native toxins with no adverse effects. As previous literature references describe the use of formaldehyde-treated toxoids.

this is apparently the first time that any immunizations have been performed using native C difficile toxins.

c) Purification Of Antitoxins Eggs were collected from the hen in group CTB 10-12 days following the second immunization with toxoid (day 35 immunization described in section above), and from the hens in groups CTA and CTAB 20-21 days following the second immunization with toxoid.

To be used as a pre-immune (negative) control, eggs were also collected from unimmunized hens from the same flock. Egg yolk immunoglobulin (IgY) was extracted from the 4 groups 15 of eggs as described in Example 1 and the final luY pellets were solubilized in the original yolk volume of PBS without thimerosal. Importantly. thimerosal was excluded because it would have been toxic to the CHO cells used in the toxin neutralization assays described in section below.

20 d) Assay Of Toxin Neutralization Activity The toxin neutralization activity of the IgY solutions prepared in section above was determined using an assay system that was modified from published methods. [Ehrich el al..

•Infect. Immun. 28:1041-1043 (1992): and McGee et al. Microb. Path. 12:333-341 (1992).] As additional controls. affinity-purified goat anti-C difficile toxin A (Tech Lab) and affinitypurified goat anti-C difficile toxin B (Tech Lab) were also assayed for toxin neutralization activity.

The IgY solutions and goat antibodies were serially diluted using F 12 medium (GIBCO) which was supplemented with 2% FCS (GIBCO)(this solution will be referred to as "medium" for the remainder of this Example). The resulting antibody solutions were then mixed with a standardized concentration of either native C. difficile toxin A (Tech Lab), or native C difficile toxin B (Tech Lab). at the concentrations indicated below. Following incubation at 37 0 C for 60 min.. 100ul volumes of the toxin antibody mixtures were added to the wells of 96-well microtiter plates (Falcon Microtest III) which contained 2.5 x 104 74 Chinese Hamster Ovary (CHO) cells per well (the CHO cells were plated on the previous day to allow them to adhere to the plate wells). The final concentration of toxin, or dilution of antibody indicated below refers to the final test concentration of each reagent present in the respective microtiter plate wells. Toxin reference wells were prepared which contained CHO cells and toxin A or toxin B at the same concentration used for the toxin plus antibody mixtures (these wells contained no antibody). Separate control wells were also prepared which contained CHO cells and medium only. The assay plates were then incubated for 18- 24 hrs. in a 37 0 C. humidified. 5% CO, incubator. On the following day, the remaining adherent (viable) cells in the plate wells were stained using 0.2% crystal violet (Mallinckrodt) dissolved in 2% ethanol. for 10 min. Excess stain was then removed by rinsing with water.

and the stained cells were solubilized by adding l00 of 1% SDS (dissolved in water) to each well. The absorbance of each well was then measured at 570 nm. and the percent cytotoxicity of each test sample or mixture was calculated using the following formula: Abs. Sample CHO Cell Cytotoxicity [1 Sample X 100 Abs. Control 15 Unlike previous reports which quantitate results visually by counting cell rounding by microscopy. this Example utilized spectrophotometric methods to quantitate the C. difficile toxin bioassay. In order to determine the toxin A neutralizing activity of the CTA. CTAB.

and pre-immune IgY preparations. as well as the affinity-purified goat antitoxin A control.

dilutions of these antibodies were reacted against a 0.1lg/ml concentration of native toxin A 20 (this is the approx. 50% cytotoxic dose of toxin A in this assay system). The results are shown in Figure 3.

Complete neutralization of toxin A occurred with the CTA IgY (antitoxin A. above) at dilutions of 1:80 and lower, while significant neutralization occurred out to the 1:320 dilution.

The CTAB IgY (antitoxin A toxin B. above) demonstrated complete neutralization at the 1:320-1:160 and lower dilutions, and significant neutralization occurred out to the 1:1280 dilution. The commercially available affinity-purified goat antitoxin A did not completely neutralize toxin A at any of the dilutions tested, but demonstrated significant neutralization out to a dilution of 1:1.280. The preimmune IgY did not show any toxin A neutralizing activity at any of the concentrations tested. These results demonstrate that IgY purified from eggs laid by hens immunized with toxin A alone, or simultaneously with toxin A and toxin B, is an effective toxin A antitoxin.

75 The toxin B neutralizing activity of the CTAB and pre-immune IgY preparations, and also the affinity-purified goat antitoxin B control was determined by reacting dilutions of these antibodies against a concentration of native toxin B of 0.1 ng/ml (approximately the cyxotoxic dose of toxin B in the assay system). The results are shown in Figure 4.

Complete neutralization of toxin B occurred with the CTAB IgY (antitoxin A toxin B. above) at the 1:40 and lower dilutions. and significant neutralization occurred out to the 1:320 dilution. The affinity-purified goat antitoxin B demonstrated complete neutralization at dilutions of 1:640 and lower, and significant neutralization occurred out to a dilution of 1:2.560. The preimmune IgY did not show any toxin B neutralizing activity at any of the concentrations tested. These results demonstrate that IgY purified from eggs laid by hens immunized simultaneously with toxin A and toxin B is an effective toxin B antitoxin.

In a separate study. the toxin B neutralizing activity of CTB. CTAB. and pre-immune IgY preparations was determined by reacting dilutions of these antibodies against a native toxin B concentration of 0.1 g/ml (approximately 100% cytotoxic dose of toxin B in this 15 assay system). The results are shown in Figure Significant neutralization of toxin B occurred with the CTB IgY (antitoxin B. above) at dilutions of 1:80 and lower, while the CTAB IgY (antitoxin A toxin B. above) was found to have significant neutralizing activity at dilutions of 1:40 and lower. The preimmune IgY did not show any toxin B neutralizing activity at any of the concentrations tested. These results demonstrate that IgY purified from eggs laid by hens immunized with toxin B alone.

or simultaneously with toxin A and toxin B. is an effective toxin B antitoxin.

EXAMPLE 9 In vivo Protection Of Golden Syrian Hamsters From C. difficile Disease By Avian Antitoxins Against C. difficile Toxins A and B The most extensively used animal model to study C difficile disease is the hamster.

[Lyerly et al.. Infect. Immun. 47:349-352 (1992).] Several other animal models for antibiotic-induced diarrhea exist. but none mimic the human form of the disease as closely as the hamster model. Fekety. "Animal Models of Antibiotic-Induced Colitis." in O. Zak and M. Sande Experimental Models in Antimicrobial Chemotherapy. Vol. 2. pp.

6 1 7 2 (1986).] In this model. the animals are first predisposed to the disease by the oral administration of an antibiotic. such as clindamycin. which alters the population of normallyoccurring gastrointestinal flora (Fekety. at 61-72). Following the oral challenge of these 76animals with viable C. difficile organisms. the hamsters develop cecitis. and hemorrhage.

ulceration, and inflammation are evident in the intestinal mucosa. [Lyerly et al.. Infect.

Immun. 47:349-352 (1985).] The animals become lethargic, develop severe diarrhea, and a high percentage of them die from the disease. [Lyerly et al.. Infect. Immun. 47:349-352 (1985).] This model is therefore ideally suited for the evaluation of therapeutic agents designed for the treatment or prophylaxis of C difficile disease.

The ability of the avian C. diffcile antitoxins, described in Example 1 above, to protect hamsters from C. difficile disease was evaluated using the Golden Syrian hamster model of C. difficile infection. The Example involved preparation of the avian C. difficile antitoxins. in vivo protection of hamsters from C difficile disease by treatment with avian antitoxins, and long-term survival of treated hamsters.

a) Preparation Of The Avian C. difficile Antitoxins Eggs were collected from hens in groups CTA and CTAB described in Example 1 (b) 15 above. To be used as a pre-immune (negative) control, eggs were also purchased from a local supermarket. Egg yolk immunoglobulin (IgY) was extracted from the 3 groups of eggs as described in Example 1 and the final IgY pellets were solubilized in one fourth the original yolk volume of Ensure® nutritional formula.

'20 b) In vivo Protection Of Hamsters Against C difficile Disease By P Treatment With Avian Antitoxins The avian C difficile antitoxins prepared in section above were evaluated for their ability to protect hamsters from C difficile disease using an animal model system which was modified from published procedures. [Fekety. at 61-72: Borriello et al.. J. Med. Microbiol., 24:53-64 (1987): Kim ct al.. Infect. Immun.. 55:2984-2992 (1987): Borriello et al.. J. Med.

Microbiol.. 25:191-196 (1988): Delmee and Avesani. J. Med. Microbiol.. 33:85-90 (1990); and Lyerly et al.. Infect. Immun.. 59:2215-2218 (1991).] For the study. three separate experimental groups were used. with each group consisting of 7 female Golden Syrian hamsters (Charles River), approximately 10 weeks old and weighing approximately 100 gms.

each. The three groups were designated "CTA," "CTAB" and "Pre-immune." These designations corresponded to the antitoxin preparations with which the animals in each group were treated. Each animal was housed in an individual cage. and was offered food and water ad libitum through the entire length of the study. On day 1, each animal was orally 77administered 1.0 ml of one of the three antitoxin preparations (prepared in section above) at the following timepoints: 0 hrs.. 4 hrs.. and 8 hrs. On day 2. the day I treatment was repeated. On day 3, at the 0 hr. timepoint. each animal was again administered antitoxin, as described above. At 1 hr., each animal was orally administered 3.0 mg of clindamycin-HCI (Sigma) in 1 ml of water. This treatment predisposed the animals to infection with C.

difficile. As a control for possible endogenous C difficile colonization, an additional animal from the same shipment (untreated) was also administered 3.0 mg of clindamycin-HCI in the same manner. This clindamycin control animal was left untreated (and uninfected) for the remainder of the study. At the 4 hr. and 8 hr. timepoints. the animals were administered antitoxin as described above. On day 4. at the 0 hr. timepoint. each animal was again administered antitoxin as described above. At 1 hr.. each animal was orally challenged with 1 ml of C. difficile inoculum. which contained approx. 100 C difficile strain 43596 organisms in sterile saline. C difficile strain 43596. which is a serogroup C strain, was chosen because it is representative of one of the most frequently-occurring serogroups isolated from patients 15 with antibiotic-associated pseudomembranous colitis. [Delmee el al.. J. Clin. Microbiol..

28:2210-2214 (1985).] In addition, this strain has been previously demonstrated to be virulent in the hamster model of infection. [Delmee and Avesani. J. Med. Microbiol.. 33:85-90 (1990).] At the 4 hr. and 8 hr. timepoints. the animals were administered antitoxin as Sdescribed above. On days 5 through 13. the animals were administered antitoxin 3x per day S 20 as described for day I above, and observed for the onset of diarrhea and death. On the moring of day 14. the final results of the study were tabulated. These results are shown in Table 13.

TABLE 13 Treatment Results I T No. Animals No. Animals Treatment Grout I I I 78- Representative animals from those that died in the Pre-Immune and CTA groups were necropsied. Viable C difficile organisms were cultured from the ceca of these animals, and the gross pathology of the gastrointestinal tracts of these animals was consistent with that expected for C difficile disease (inflamed, distended. hemorrhagic cecum. filled with watery diarrhea-like material). In addition, the clindamycin control animal remained healthy throughout the entire study period, therefore indicating that the hamsters used in the study had not previously been colonized with endogenous C difficile organisms prior to the start of the study. Following the final antitoxin treatment on day 13. a single surviving animal from the CTA group. and also from the CTAB group. was sacrificed and necropsied. No pathology was noted in either animal.

Treatment of hamsters with orally-administered toxin A and toxin B antitoxin (group CTAB) successfully protected 7 out of 7 (100%) of the animals from C difficile disease.

Treatment of hamsters with orally-administered toxin A antitoxin (group CTA) protected out of 7 of these animals from C difficile disease. Treatment using pre-immune IgY 15 was not protective against C. difficile disease. as only I out of 7 of these animals survived. These results demonstrate that the avian toxin A antitoxin and the avian toxin A toxin B antitoxin effectively protected the hamsters from C dificile disease. These results also suggest that although the neutralization of toxin A alone-confers some degree of protection against C. difficile disease. in order to achieve maximal protection. simultaneous antitoxin A and antitoxin B activity is necessary.

c) Long-Term Survival Of Treated Hamsters It has been previously reported in the literature that hamsters treated with orallyadministered bovine antitoxin IgG concentrate are protected from C. difficile disease as long as the treatment is continued, but when the treatment is stopped. the animals develop diarrhea and subsequently die within 72 hrs. [Lyerly et al.. Infect. Immun.. 59(6):2215-2218 (1991).] In order to determine whether treatment of C. difficile disease using avian antitoxins promotes long-term survival following the discontinuation of treatment, the 4 surviving animals in group CTA, and the 6 surviving animals in group CTAB were observed for a period of 11 days (264 hrs.) following the discontinuation of antitoxin treatment described in section above. All hamsters remained healthy through the entire post-treatment period.

This result demonstrates that not only does treatment with avian antitoxin protect against the 79 W onset of C difficile disease it is effective as a prophylactic). it also promotes long-term survival beyond the treatment period, and thus provides a lasting cure.

EXAMPLE In vivo Treatment Of Established C difficile Infection In Golden Syrian Hamsters With Avian Antitoxins Against C. difficile Toxins A and B The ability of the avian C difficile antitoxins, described in Example 8 above. to treat an established C. difficile infection was evaluated using the Golden Syrian hamster model.

The Example involved preparation of the avian C. difficile antitoxins. in vivo treatment of hamsters with established C difficile infection, and histologic evaluation of cecal tissue.

Preparation Of The Avian C. difficile Antitoxins ::Eggs were collected from hens in group CTAB described in Example 8 above.

15 which were immunized with C. difficile toxoids and native toxins A and B. Eggs purchased from a local supermarket were used as a pre-immune (negative) control. Egg yolk immunoglobulin (IgY) was extracted from the 2 groups of eggs as described in Example 1 and the final IgY pellets were solubilized in one-fourth the original yolk volume of Ensure® nutritional formula.

b) In vivo Treatment Of Hamsters With Established C. difficile Infection The avian C difficile antitoxins prepared in section above were evaluated for the ability to treat established C difficile infection in hamsters using an animal model system 25 which was modified from the procedure which was described for the hamster protection study in Example 8(b) above.

For the study, four separate experimental groups were used. with each group consisting of 7 female Golden Syrian hamsters (Charles River), approx. 10 weeks old. weighing approximately 100 gms. each. Each animal was housed separately. and was offered food and water ad libitum through the entire length of the study.

On day 1 of the study. the animals in all four groups were each predisposed to C.

difficile infection by the oral administration of 3.0 mg of clindamycin-HCI (Sigma) in 1 ml of water.

SOn day 2. each animal in all four groups was orally challenged with 1 ml of C. difficile inoculum. which contained approximately 100 C difficile strain 43596 organisms in sterile saline. C. difficile strain 43596 was chosen because it is representative of one of the most frequently-occurring serogroups isolated from patients with antibiotic-associated pseudomembranous colitis. [Delmee et al.. J. Clin. Microbiol., 28:2210-2214 (1990).] In addition. as this was the same C. difficile strain used in all of the previous Examples above, it was again used in order to provide experimental continuity.

On day 3 of the study (24 hrs. post-infection), treatment was started for two of the four groups of animals. Each animal of one group was orally administered 1.0 ml of the CTAB IgY preparation (prepared in section above) at the following timepoints: 0 hrs.. 4 hrs.. and 8 hrs.' The animals in this group were designated "CTAB-24." The animals in the second group were each orally administered 1.0 ml of the pre-immune IgY preparation (also prepared in section above) at the same timepoints as for the CTAB group. These animals *were designated "Pre-24." Nothing was done to the remaining two groups of animals on day 3.

On day 4. 48 hrs. post-infection, the treatment described for day 3 above was repeated for the CTAB-24 and Pre-24 groups. and was initiated for the remaining two groups at the same timepoints. The final two groups of animals were designated "CTAB-48" and "Pre-48" respectively.

On days 5 through 9. the animals in all four groups were administered antitoxin or pre-immune IgY. 3x per day. as described for day 4 above. The four experimental groups are summarized in Table 14.

81 0 TABLE 14 Experimental Treatment Groups Group Designation Experimental Treatment CTAB-24 Infected. treatment w/antitoxin IgY started 24 hrs. post-infection.

Infected. treatment w/pre-immune IgY started 24 hrs. post- Pre-24 infection.

CTAB-48 Infected. treatment w/antitoxin IgY started 48 hrs. post-infection.

Infected. treatment w/pre-immune IgY started 48 hrs. post- Pre-48 infection.

All animals were observed for the onset of diarrhea and death through the conclusion of the study on the morning of day 10. The results of this study are displayed in Table TABLE Experimental Outcome--Day Treatment Group No. Animals Surviving No. Animals Dead CTAB-24 6 1 Pre-24 0 7 CTAB-48 4 3 Pre-48 2 Eighty-six percent of the animals which began receiving treatment with antitoxin IgY at 24 hrs. post-infection (CTAB-24 above) survived, while 57% of the animals treated with antitoxin IgY starting 48 hrs. post-infection (CTAB-48 above) survived. In contrast. none of the animals receiving pre-immune IgY starting 24 hrs. post-infection (Pre-24 above) survived.

and only 29% of the animals which began receiving treatment with pre-immune IgY at 48 hrs. post-infection (Pre-48 above) survived through the conclusion of the study. These results demonstrate that avian antitoxins raised against C. difficile toxins A and B are capable of successfully treating established C. difficile infections in vivo.

82 c) Histologic Evaluation Of Cecal Tissue In order to further evaluate the ability of the IgY preparations tested in this study to treat established C difficile infection, histologic evaluations were performed on cecal tissue specimens obtained from representative animals from the study described in section above.

Immediately following death. cecal tissue specimens were removed from animals which died in the Pre-24 and Pre-48 groups. Following the completion of the study, a representative surviving animal was sacrificed and cecal tissue specimens were removed from the CTAB-24 and CTAB-48 groups. A single untreated animal from the same shipment as those used in the study was also sacrificed and a cecal tissue specimen was removed as a normal control. All tissue specimens were fixed overnight at 4*C in 10% buffered formalin.

The fixed tissues were paraffin-embedded. sectioned. and mounted on glass microscope slides.

The tissue sections were then stained using hematoxylin and eosin (H and E stain), and were examined by light microscopy.

Upon examination, the tissues obtained from the CTAB-24 and CTAB-48 animals showed no pathology, and were indistinguishable from the normal control. This observation provides further evidence for the ability of avian antitoxins raised against C difficile toxins A and B to effectively treat established C difficile infection, and to prevent the pathologic consequences which normally occur as a result of C difficile disease.

0. In contrast. characteristic substantial mucosal damage and destruction was observed in the tissues of the animals from the Pre-24 and Pre-48 groups which died from C. difficile disease. Normal tissue architecture was obliterated in these two preparations. as most of the mucosal layer was observed to have sloughed away. and there were numerous large hemorrhagic areas containing massive numbers of erythrocytes.

EXAMPLE 11 Clonin And Expression Of C. difficile Toxin A Fragments The toxin A gene has been cloned and sequenced. and shown to encode a protein of predicted MW of 308 kd. [Dove et al.. Infect. Immun.. 58:480-488 (1990).] Given the expense and difficulty of isolating native toxin A protein. it would be advantageous to use simple and inexpensive procaryotic expression systems to produce and purify high levels of recombinant toxin A protein for immunization purposes. Ideally. the isolated recombinant 83 protein would be soluble in order to preserve native antigenicity. since solubilized inclusion body proteins often do not fold into native conformations. To allow ease of purification, the recombinant protein should be expressed to levels greater than 1 mg/liter of E. coli culture.

To determine whether high levels of recombinant toxin A protein can be produced in E. coli. fragments of the toxin A gene were cloned into various prokaryotic expression vectors, and assessed for the ability to express recombinant toxin A protein in E. coli. Three prokaryotic expression systems were utilized. These systems were chosen because they drive expression of either fusion (pMALc and pGEX2T) or native (pET23a-c) protein to high levels in E. coli. and allow affinity purification of the expressed protein on a ligand containing column. Fusion proteins expressed from pGEX vectors bind glutathione agarose beads, and are elutcd with reduced glutathione. pMAL fusion proteins bind amylose resin, and are eluted with maltose. A poly-histidine tag is present at either the N-terminal (pET16b) or C-terminal (pET23a-c) end of pET fusion proteins. This sequence specifically binds Ni,- chelate columns.

and is eluted with imidazole salts. Extensive descriptions of these vectors are available 15 (Williams et al. (1994) DNA Cloning: Expression Systems. in press), and will not be discussed in detail here. The Example involved cloning of the toxin A gene. (b) expression of large fragments of toxin A in various prokaryotic expression systems. (c) identification of smaller toxin A gene fragments that express efficiently in E. coli. (d) purification of recombinant toxin A protein by affinity chromatography. and demonstration of functional activity of a recombinant fragment of the toxin A gene.

a) Cloning Of The Toxin A Gene SA restriction map of the toxin A gene is shown in Figure 6. The encoded protein contains a carboxy terminal ligand binding region, containing multiple repeats of a carbohydrate binding domain. [von Eichel-Streiber and Sauerbor. Gene 96:107-113 (1990).] The toxin A gene was cloned in three pieces. by using either the polymerase chain reaction (PCR) to amplify specific regions. (regions 1 and 2. Figure 6) or by screening a constructed genomic library for a specific toxin A gene fragment (region 3. Figure The sequences of the utilized PCR primers are PI: 5' GGAAATT TAGCTGCAGCATCTGAC 3' (SEQ ID NO:1); P2: 5' TCTAGCAAATTCGCTTGT GTTGAA 3' (SEQ ID NO:2): P3: 5' CTCGCATATAGCATTAGACC 3' (SEQ ID NO:3); and P4: 5' CTATCTAGGCCTAAAGTAT 3' (SEQ ID NO:4).

84 These regions were cloned into prokaryotic expression vectors that express either fusion (pMALc and pGEX2T) or native (pET23a-c) protein to high levels in E. coli. and allow affinity purification of the expressed protein on a ligand containing column.

Clostridium difficile VPI strain 10463 was obtained from the ATCC (ATCC #43255) and grown under anaerobic conditions in brain-heart infusion medium (BBL). High molecular-weight C. difficile DNA was isolated essentially as described by Wren and Tabaqchali (1987) J. Clin. Microbiol.. 25:2402. except proteinase K and sodium dodecyl sulfate (SDS) was used to disrupt the bacteria, and cetyltrimethylammonium bromide precipitation [as described in Ausubel et al.. Current Protocols in Molecular Biology (1989)] was used to remove carbohydrates from the cleared lysate. The integrity and yield of genomic DNA was assessed by comparison with a serial dilution of uncut lambda DNA after electrophoresis on an agarose gel.

Fragments 1 and 2 were cloned by PCR. utilizing a proofreading thermostable DNA polymerase (native pfit polymerase: Stratagene). The high fidelity of this polymerase reduces 15 the mutation problems associated with amplification by error prone polymerases Taq polymerase). PCR amplification was performed using the indicated PCR primers (Figure 6) in 50 tl reactions containing 10 mM Tris-HCl(8.3). 50 mM KCI. 1.5 mM MgCl, 200 gM S. each dNTP. 0.2 uM each primer, and 50 ng C. difficile genomic DNA. Reactions were overlaid with 100 pl mineral oil. heated to 94°C for 4 min. 0.5 pl native pfi polymerase 20 (Stratacene) added. and the reaction cycled 30x at 94 0 C for I min. 50°C for I min. 72 0 C for 4 min. followed by 10 min at 72 0 C. Duplicate reactions were pooled. chloroform extracted, and ethanol precipitated. After washing in 70% ethanol. the pellets were resuspended in 50 pl TE buffer [10 mM Tris-HCL. 1 mM EDTA pH Aliquots of 10pl each were restriction digested with either EcoRIIHincll (fragment 1) or EcoRlIPsil (fragment and the appropriate restriction fragments were gel purified using the Prep-A-Gene kit (BioRad). and ligated to either EcoRIISmal-restricted pGEX2T (Pharmacia) vector (fragment or the EcoRIIPstI pMAlc (New England Biolabs) vector (fragment Both clones are predicted to produce in-frame fusions with either the glutathione-S-transferase protein (pGEX vector) or the maltose binding protein (pMAL vector). Recombinant clones were isolated, and confirmed by restriction digestion. using standard recombinant molecular biology techniques.

[Sambrook et al.. Molecular Cloning. A Laboratory Manual (1989). and designated 660 and pMA660-1100. respectively (see Figure 6 for description of the clone designations).] 85 M Fragment 3 was cloned from a genomic library of size selected Pstl digested C. difficile genomic DNA. using standard molecular biology techniques (Sambrook el al.).

Given that the fragment 3 internal PstI site is protected from cleavage in C. difficile genomic DNA [Price et al.. Curr. Microbiol.. 16:55-60 (1987)], a 4.7 kb fragment from Pstl restricted C. difficile genomic DNA was gel purified, and ligated to Pstl restricted. phosphatase treated pUC9 DNA. The resulting genomic library was screened with a oligonucleotide primer specific to fragment 3. and multiple independent clones were isolated. The presence of fragment 3 in several of these clones was confirmed by restriction digestion. and a clone of the indicated orientation (Figure 6) was restricted with BamHI/Hindll. the released fragment purified by gel electrophoresis. and ligated into similarly restricted pET23c expression vector DNA (Novagen). Recombinant clones were isolated. and confirmed by restriction digestion.

This construct is predicted to create both a predicted in frame fusion with the pET protein leader sequence. as well as a predicted C-terminal poly-histidine affinity tag. and is designated SpPA 100-2680 (see Figure 6 for the clone designation).

b) Expression Of Large Fragments Of Toxin A In E. coli Protein expression from the three expression constructs made in was induced, and analyzed by Western blot analysis with an affinity purified, goat polyclonal antiserum directed against the toxin A toxoid (Tech Lab). The procedures utilized for protein induction. SDS- 20 PAGE. and Western blot analysis are described in detail in Williams et al (1994). supra. In o brief. 5 ml 2X YT (16 g tryptone. 10 g yeast extract. 5 g NaCI per liter. pH 7.5 100 Pg/ml ampicillin were added to cultures of bacteria (BL21 for pMAI and pGEX plasmids. and BL21(DE3)LysS for pET plasmids) containing the appropriate recombinant clone which were induced to express recombinant protein by addition of IPTG to I mM. Cultures were grown at 37 0 C. and induced when the cell density reached 0.5 ODo,. Induced protein was allowed to accumulate for two hrs after induction. Protein samples were prepared by pelleting 1 ml aliquots of bacteria by centrifugation (1 min in a microfuge). and resuspension of the pelleted bacteria in 150 pi of 2x SDS-PAGE sample buffer [Williams et al. (1994), supra]. The samples were heated to 95 0 C for 5 min. the cooled and 5 or 10 pl aliquots loaded on SDS-PAGE gels. BioRad high molecular weight protein markers were also loaded, to allow estimation of the MW of identified fusion proteins. After electrophoresis. protein was detected either generally by staining gels with Coomassie blue. or specifically, by blotting to nitrocellulose for Western blot detection of specific immunoreactive protein. Western blots.

86 (performed as described in Example 3) which detect toxin A reactive protein in cell lysates of induced protein from the three expression constructs are shown in Figure 7. In this figure, lanes 1-3 contain cell lysates prepared from E. coli strains containing pPA 100-2860 in B121(DE3)lysE cells; lanes 4-6 contain cell lysates prepared from E. coli strains containing pPA1100-2860 in B121(DE3)lysS cells: lanes 7-9 contain cell lysates prepared from E. coli strains containing pMA30-660: lanes 10-12 contain cell lysates prepared from E. coli strains containing pMA660-1100. The lanes were probed with an affinity purified goat antitoxin A polyclonal antibody (Tech Lab). Control lysates from uninduced cells (lanes 1. 7, and contain very little immunoreactive material compared to the induced samples in the remaining lanes. The highest molecular weight band observed for each clone is consistent with the predicted size of the full length fusion protein.

Each construct directs expression of high molecular weight (HMW) protein that is reactive with the toxin A antibody. The size of the largest immunoreactive bands from each sample is consistent with predictions of the estimated MW of the intact fusion proteins. This 15 demonstrates that the three fusions are in-frame, and that none of the clones contain cloning artifacts that disrupt the integrity of the encoded fusion protein. However, the Western blot demonstrates that fusion protein from the two larger constructs (pGA30-660 and pPA1100- 2680) are highly degraded. Also. expression levels of toxin A proteins from these two constructs are low, since induced protein bands are not visible by Coomassie staining (not S 20 shown). Several other expression constructs that fuse large sub-regions of the toxin A gene to either pMALc or pET23a-c expression vectors, were constructed and tested for protein induction. These constructs were made by mixing gel purified restriction fragments, derived from the expression constructs shown in Figure 6. with appropriately cleaved expression vectors. ligating, and selecting recombinant clones in which the toxin A restriction fragments had ligated together and into the expression vector as predicted for in-frame fusions. The expressed toxin A interval within these constructs are shown in Figure 8. as well as the internal restriction sites utilized to make these constructs.

As used herein, the term "interval" refers to any portion any segment of the toxin which is less than the whole toxin molecule) of a clostridial toxin. In a preferred embodiment, "interval" refers to portions of C. difficile toxins such as toxin A or toxin B. It is also contemplated that these intervals will correspond to epitopes of immunologic importance. such as antigens or immunogens against which a neutralizing antibody response is effected. It is not intended that the present invention be limited to the particular intervals or -87 'W sequences described in these Examples. It is also contemplated that sub-portions of intervals an epitope contained within one interval or which bridges multiple intervals) be used as compositions and in the methods of the present invention.

In all cases. Western blot analysis of each of these constructs with goat antitoxin A antibody (Tech Lab) detected HMW fusion protein of the predicted size (not shown). This confirms that the reading frame of each of these clones is not prematurely terminated, and is fused in the correct frame with the fusion partner. However, the Western blot analysis revealed that in all cases, the induced protein is highly degraded, and. as assessed by the absence of identifiable induced protein bands by Coomassie Blue staining, are expressed only at low levels. These results suggest that expression of high levels of intact toxin A recombinant protein is not possible when large regions of the toxin A gene are expressed in E. coli using these expression vectors.

c) High Level Expression Of Small Toxin A Protein Fusions In 15 E. coli Experience indicates that expression difficulties are often encountered when large (greater than 100 kd) fragments are expressed in E. coli. A number of expression constructs containing smaller fragments of the toxin A gene were constructed, to determine if small regions of the gene can be expressed to high levels without extensive protein degradation. A summary of these expression constructs are shown in Figure 9. All were constructed by inframe fusions of convenient toxin A restriction fragments to either the pMALc or pET23a-c vectors. Protein preparations from induced cultures of each of these constructs were analyzed by both Coomassie Blue staining and Western analysis as in above. In all cases. higher levels of intact, full length fusion proteins were observed than with the larger recombinants from section d) Purification Of Recombinant Toxin A Protein Large scale (500 ml) cultures of each recombinant from were grown. induced, and soluble and insoluble protein fractions were isolated. The soluble protein extracts were affinity chromatographed to isolate recombinant fusion protein, as described [Williams et al.

(1994). supra]. In brief, extracts containing tagged pET fusions were chromatographed on a nickel chelate column. and eluted using imidazole salts as described by the distributor (Novagen). Extracts containing soluble pMAL fusion protein were prepared and 88 04:00 0 0 06 0 @9 9eve 09S *06 9090 0 9* 9 9 0* 9 0 chromatographed in column buffer (10 mM NaPO,. 0.5M NaCI. 10 mM P-mercaptoethanol.

pH 7.2) over an amylose resin column (New England Biolabs). and eluted with column buffer containing 10 mM maltose as described [Williams et al. (1994). supra]. When the expressed protein was found to be predominantly insoluble, insoluble protein extracts were S prepared by the method described in Example 17. infra. The results are summarized in Table 16. Figure 10 shows the sample purifications of recombinant toxin A protein. In this figure.

lanes I and 2 contain MBP fusion protein purified by affinity purification of soluble protein.

TABLE 16 Purification Of Recombinant Toxin A Protein Yield Affinity Intact Yield Intact Clone w Protein Purified Soluble Soluble Fusion Insoluble Fusion Solubility Protein bj l Protein Protein pMA30-270 Soluble 4 mg/500 mis 10% NA PMA30-300 Soluble 4 mg/500 mis 5-10% NA pMA300-660 Insoluble NA 10 mg/500 ml 15 pMA660-1100 Soluble 4.5 mg/500 mis 50%

NA

pMAl 100-1610 Soluble 18 mg/500 mis 10% NA pMA 1610-1870 Both 22 mg/500 mis 90% 20 mg/500 ml pMA1450-1870 nsoluble NA 0.2 mg/500 ml pPA1100-1450 Soluble 0.1 mg/500 mis 90% NA pPA 1100-1870 Soluble 0.02 mg/500 mis 90% NA pMA1870-2680 Both 12 mg/500 mis 80%

NA

pPA1870-2680 Insoluble NA 10 mg/500 ml I a)" (b)

(C)

pP pET23 vector. pM=pMALc vector. Atoxin A.

Based on 1.5 OD,, 0 mg/ml (extinction coefficient of MBP).

Estimated by Coomassie staining of SDS-PAGE gels.

Lanes 3 and 4 contain MBP fusion protein purified by solubilization of insoluble inclusion bodies. The purified fusion protein samples are pMA1870-2680 (lane pMA660-1100 (lane pMA300-60 0 (lane 3) and pMA1450-1870 (lane 4).

89- Poor yields of affinity purified protein were obtained when poly-histidine tagged pET vectors were used to drive expression (pPA 100-1450. pP 1100-1870). However. significant protein yields were obtained from pMAL expression constructs spanning the entire toxin A gene. and yields of full-length soluble fusion protein ranged from an estimated 200-400 g/500 ml culture (pMA30-300) to greater than 20 mg/500 ml culture (pMA1610-1870).

Only one interval was expressed to high levels as strictly insoluble protein (pMA300-660).

Thus. although high level expression was not observed when using large expression constructs from the toxin A gene. usable levels of recombinant protein spanning the entire toxin A gene were obtainable by isolating induced protein from a series of smaller pMAL expression constructs that span the entire toxin A gene. This is the first demonstration of the feasibility of expressing recombinant toxin A protein to high levels in E. coli.

e) Hemagglutination Assay Using The Toxin A Recombinant Proteins 15 The carboxv terminal end consisting of the repeating units contains the hemagglutination activity or binding domain of C. difficile toxin A. To determine whether the expressed toxin A recombinants retain functional activity. hemagglutination assays were performed. Two toxin A recombinant proteins, one containing the binding domain as either soluble affinity purified protein (pMA1870-2680) or SDS solubilized inclusion body protein (pPA1870-2680) and soluble protein from one region outside that domain (pMA1100-1610) were tested using a described procedure. IH.C. Krivan et. al.. Infect. Immun.. 53:573 (1986).] Citrated rabbit red blood cells (RRBC)(Cocalico) were washed several times with Tris-buffer 0. 1M Tris and. 50 mM NaCI by centrifugation at 450 x g for 10 minutes at 4* C. A 1% RRBC suspension was made from the packed cells and resuspended in Tris-buffer.

Dilutions of the recombinant proteins and native toxin A (Tech Labs) were made in the Trisbuffer and added It duplicate to a round-bottomed 96-well microtiter plate in a final volume of 100 il. To each well. 50 pl of the 1% RRBC suspension was added. mixed by gentle tapping, and incubated at 4 0 C for 3-4 hours. Significant hemagglutination occurred only in the recombinant proteins containing the binding domain (pMA 1870-2680) and native toxin A. The recombinant protein outside the binding domain (pMA 1100-1610) displayed no hemagglutination activity. Using equivalent protein concentrations. the hemagglutination titer for toxin A was 1:256. while titers for the soluble and insoluble recombinant proteins of the binding domain were 1:256 and about 1:5000. Clearly. the recombinant proteins tested retained functional activity and were able to bind RRBC's.

EXAMPLE 12 Functional Activity Of IgY Reactive Against Toxin A Recombinants The expression of recombinant toxin A protein as multiple fragments in E.coli has demonstrated the feasibility of generating toxin A antigen through use of recombinant methodologies (Example 11). The isolation of these recombinant proteins allows the immunoreactivity of each individual subregion of the toxin A protein to be determined (i.e.

in a antibody pool directed against the native toxin A protein). This identifies the regions (if any) for which little or no antibody response is elicited when the whole protein is used as a immunogen. Antibodies directed against specific fragments of the toxin A protein can be purified by affinity chromatography against recombinant toxin A protein, and tested for 15 neutralization ability. This identifies any toxin A subregions that are essential for producing -,,neutralizing antibodies. Comparison with the levels of immune response directed against these intervals when native toxin is used as an immunogen predicts whether potentially higher "titers of neutralizing antibodies can be produced by using recombinant protein directed against o°~oa individual region. rather than the entire protein. Finally. since it is unknown whether antibodies reactive to the recombinant toxin A proteins produced in Example 11 neutralize "toxin A as effectively as antibodies raised against native toxin A (Examples 9 and 10). the protective ability of a pool of antibodies affinity purified against recombinant toxin A fragments was assessed for its ability to neutralize toxin A.

This Example involved epitope mapping of the toxin A protein to determine the titre of specific antibodies directed against individual subregions of the toxin A protein when native toxin A protein is used as an immunogen. affinity purification of IgY reactive against recombinant proteins spanning the toxin A gene. toxin A neutralization assays with affinity purified IgY reactive to recombinant toxin A protein to identify subregions of the toxin A protein that induce the production of neutralizing antibodies. and determination of whether complete neutralization of toxin A can be elicited with a mixture of antibodies reactive to recombinant toxin A protein.

-91 a) Epitope Mapping Of The Toxin A Gene The affinity purification of recombinant toxin A protein specific to defined intervals of the toxin A protein allows epitope mapping of antibody pools directed against native toxin A.

This has not previously been possible. since previous expression of toxin A recombinants has been assessed only by Western blot analysis. without knowledge of the expression levels of the protein von Eichel-Streiber et al. J. Gen. Microbiol.. 135:55-64 (1989)]. Thus. high or low reactivity of recombinant toxin A protein on Western blots may reflect protein expression level differences. not immunoreactivity differences. Given that the purified recombinant protein generated in Example 11 have been quantitated. the issue of relative immunoreactivity of individual regions of the toxin A protein was precisely addressed.

For the purposes of this Example. the toxin A protein was subdivided into 6 intervals numbered from the amino (interval 1) to the carboxyl (interval 6) termini.

The recombinant proteins corresponding to these intervals were from expression clones o* (see Example 1 l(d) for clone designations) pMA30-300 (interval pMA300-660 (interval 15 pMA660-1100 (interval pPA 1l00-1450 (interval pMA1450-1870 (interval 5) and pMA1870-2680 (interval These 6 clones were selected because they span the entire protein from amino acids numbered 30 through 2680. and subdivide the protein into 6 small intervals. Also. the carbohydrate binding repeat interval is contained specifically in one interval (interval allowing evaluation of the immune response specifically directed against this region. Western blots of 7.5% SDS-PAGE gels. loaded and electrophoresed with defined quantities of each recombinant protein. were probed with either goat antitoxin A polyclonal antibody (Tech Lab) or chicken antitoxin A polyclonal antibody [pCTA IgY. Example The blots were prepared and developed with alkaline phosphatase as previously described [Williams et al. (1994). supra]. At least 90% of all reactivity, in either goat or chicken antibody pools. was found to be directed against the ligand binding domain (interval The remaining immunoreactivity was directed against all five remaining intervals, and was similar in both antibody pools. except that the chicken antibody showed a much lower reactivity against interval 2 than the goat antibody.

This clearly demonstrates that when native toxin A is used as an immunogen in goats or chickens. the bulk of the immune response is directed against the ligand binding domain of the protein, with the remaining response distributed throughout the remaining 2/3 of the protein.

92 b) Affinity Purification Of IgY Reactive Against Recombinant Toxin A Protein Affinity columns. containing recombinant toxin A protein from the 6 defined intervals in above, were made and used to affinity purify antibodies reactive to each individual S interval from the CTA IgY preparation [Example and (ii) deplete interval specific antibodies from the CTA IgY preparation. Affinity columns were made by coupling 1 ml of PBS-washed Actigel resin (Sterogene) with region specific protein and 1/10 final volume of Ald-coupling solution (IM sodium cyanoborohydridc). The total region specific protein added to each reaction mixture was 2.7 mg (interval 3 mg (intervals 2 and 0.1 mg (interval 0.2 mg (interval 5) and 4 mg (interval Protein for intervals 1. 3, and 6 was affinity purified pMAI fusion protein in column buffer (see Example 11). Interval 4 was affinity purified poly-histidine containing pET fusion in PBS: intervals 2 and 5 were from inclusion body preparations of insoluble pMAL fusion protein, dialyzed extensively in PBS.

Aliquots of the supernatants from the coupling reactions. before and after coupling, were 15 assessed by Coomassie staining of 7.5% SDS-PAGE gels. Based on protein band intensities.

in all cases greater than 50% coupling efficiencies were estimated. The resins were poured into 5 ml BioRad columns. washed extensively with PBS. and stored at 4 0

C.

Aliquots of the CTA IgY polyclonal antibody preparation were depleted for each individual region as described below. A 20 ml sample of the CTA IgY preparation [Example was dialyzed extensively against 3 changes of PBS (1 liter for each dialysis). quantitated by absorbance at OD,,o. and stored at 4°C. Six 1 ml aliquots of the dialyzed IgY preparation were removed, and depleted individually for each of the six intervals. Each 1 ml aliquot was passed over the appropriate affinity column. and the eluate twice reapplied to the column.

The eluate was collected, and pooled with a 1 ml PBS wash. Bound antibody was eluted from the column by washing with 5 column volumes of 4 M Guanidine-HCI (in 10 mM Tris- HCI. pH The column was reequilibrated in PBS. and the depleted antibody stock reapplied as described above. The eluate was collected. pooled with a 1 ml PBS wash.

quantitated by absorbance at OD,, 0 and stored at 40 C. In this manner. 6 aliquots of the CTA IgY preparation were individually depleted for each of the 6 toxin A intervals, by two rounds of affinity depletion. The specificity of each depleted stock was tested by Western blot analysis. Multiple 7.5% SDS-PAGE gels were loaded with protein samples corresponding to all 6 toxin A subregions. After electrophoresis. the gels were blotted, and protein transfer confirmed by Ponceau S staining [protocols described in Williams et al. (1994). supra]. After 93 blocking the blots 1 hr at 20 0 C in PBS+ 0.1% Tween 20 (PBST) containing 5% milk (as a blocking buffer). 4 ml of either a 1/500 dilution of the dialyzed CTA IgY preparation in blocking buffer. or an equivalent amount of the six depleted antibody stocks (using OD,go to standardize antibody concentration) were added and the blots incubated a further 1 hr at room temperature. The blots were washed and developed with alkaline phosphatase (using a rabbit anti-chicken alkaline phosphate conjugate as a secondary antibody) as previously described [Williams et al. (1994). supra]. In all cases, only the target interval was depleted for antibody reactivity, and at least 90% of the reactivity to the target intervals was specifically depleted.

Region specific antibody pools were isolated by affinity chromatography as described below. Ten mis of the dialyzed CTA IgY preparation were applied sequentially to each affinity column. such that a single 10 ml aliquot was used to isolate region specific antibodies specific to each of the six subregions. The columns were sequentially washed with volumes of PBS. 6 volumes of BBS-Tween. 10 volumes of TBS. and eluted with 4 ml Actisep elution media (Sterogene). The eluate was dialyzed extensively against several 15 changes of PBS. and the affinity purified antibody collected and stored at 4 0 C. The volumes of the eluate increased to greater than 10 mis during dialysis in each case, due to the high viscosity of the Actisep elution media. Aliquots of each sample were 20x concentrated using Centricon 30 microconcentrators (Amicon) and stored at 4°C. The specificity of each region specific antibody pool was tested. relative to the dialyzed CTA IgY preparation. by Western blot analysis. exactly as described above, except that 4 ml samples of blocking buffer containing 100 pl region specific antibody (unconcentrated) were used instead of the depleted CTA IgY preparations. Each affinity purified antibody preparation was specific to the defined interval, except that samples purified against intervals 1-5 also reacted with interval 6. This o may be due to non-specific binding to the interval 6 protein, since this protein contains the repetitive ligand binding domain which has been shown to bind antibodies nonspecifically.

[Lyerly et al.. Curr. Microbiol.. 19:303-306 (1989).] The reactivity of each affinity purified antibody preparation to the corresponding proteins was approximately the same as the reactivity of the 1/500 diluted dialyzed CTA IgY preparation standard. Given that the specific antibody stocks were diluted 1/40. this would indicate that the unconcentrated affinity purified antibody stocks contain 1/10-1/20 the concentration of specific antibodies relative to the starting CTA IgY preparation.

94c) Toxin A Neutralization Assay Using Antibodies Reactive Toward Recombinant Toxin A Protein The CHO toxin neutralization assay [Example was used to assess the ability of the depleted or enriched samples generated in above to neutralize the cytotoxicity of toxin A. The general ability of affinity purified antibodies to neutralize toxin A was assessed by mixing together aliquots of all 6 concentrated stocks of the 6 affinity purified samples generated in above, and testing the ability of this mixture to neutralize a toxin A concentration of 0.1 ug/ml. The results. shown in Figure 1. demonstrate almost complete neutralization of toxin A using the affinity purified (AP) mix. Some epitopes within the recombinant proteins utilized for affinity purification were probably lost when the proteins were denatured before affinity purification [by Guanidine-HCI treatment in above]. Thus, the neutralization ability of antibodies directed against recombinant protein is probably underestimated using these affinity purified antibody pools. This experiment demonstrates that antibodies reactive to recombinant toxin A can neutralize cytotoxicity. suggesting that 15 neutralizing antibodies may be generated by using recombinant toxin A protein as immunogen.

In view of the observation that the recombinant expression clones of the toxin A gene divide the protein into 6 subregions, the neutralizing ability of antibodies directed against each S: individual region was assessed. The neutralizing ability of antibodies directed against the ligand binding domain of toxin A was determined first.

~In the toxin neutralization experiment shown in Figure 11. interval 6 specific antibodies (interval 6 contains the ligand binding domain) were depleted from the dialyzed PEG preparation, and the effect on toxin neutralization assayed. Interval 6 antibodies were depleted either by utilizing the interval 6 depleted CTA IgY preparation from above aff. depleted" in Figure 11). or by addition of interval 6 protein to the CTA IgY preparation (estimated to be a 10 fold molar excesssover anti-interval 6 immunoglobulin present in this preparation) to competitively compete for interval 6 protein prot depleted" in Figure 11).

In both instances, removal of interval 6 specific antibodies reduces the neutralization efficiency relative to the starting CTA IgY preparation. This demonstrates that antibodies directed against interval 6 contribute to toxin neutralization. Since interval 6 corresponds to the ligand binding domain of the protein, these results demonstrate that antibodies directed against this region in the PEG preparation contribute to the neutralization of toxin A in this assay. However, it is significant that after removal of these antibodies, the PEG preparation 95 retains significant ability to neutralize toxin A (Figure 11). This neutralization is probably due to the action of antibodies specific to other regions of the toxin A protein, since at least of the ligand binding region reactive antibodies were removed in the depleted sample prepared in above. This conclusion was supported by comparison of the toxin neutralization of the affinity purified (AP) mix compared to affinity purified interval 6 antibody alone. Although some neutralization ability was observed with AP interval 6 antibodies alone, the neutralization was significantly less than that observed with the mixture of all 6 AP antibody stocks (not shown).

Given that the mix of all six affinity purified samples almost completely neutralized the cytotoxicity of toxin A (Figure 11), the relative importance of antibodies directed against toxin A intervals 1-5 within the mixture was determined. This was assessed in two ways.

First. samples containing affinity purified antibodies representing 5 of the 6 intervals were prepared. such that each individual region was depleted from one sample. Figure 12 demonstrates a sample neutralization curve. comparing the neutralization ability of affinity S 15 purified ant:ibody mixes without interval 4 or 5 specific antibodies. relative to the mix of all 6 affinity purified antibody stocks (positive control). While the removal of interval specific antibodies had no effect on toxin neutralization (or intervals 1-3. not shown), the loss of interval 4 specific antibodies significantly reduced toxin neutralization (Figure 12).

Similar results were seen in a second experiment, in which affinity purified antibodies.

directed against a single region. were added to interval 6 specific antibodies. and the effects on toxin neutralization assessed. Only interval 4 specific antibodies significantly enhanced neutralization when added to interval 6 specific antibodies (Figure 13). These results demonstrate that antibodies directed against interval 4 (corresponding to clone pPA1100-1450 in Figure 9) are important for neutralization of cytotoxicity in this assay. Epitope mapping has shown that only low levels of antibodies reactive to this region are generated when native toxin A is used as an immunogen [Example It is hypothesized that immunization with recombinant protein specific to this interval will elicit higher titers of neutralizing antibodies.

In summary. this analysis has identified two critical regions of the toxin A protein against which neutralizing antibodies are produced. as assayed by the CHO neutralization assay.

96- 97 Example 13 Production And Evaluation Of Avian Antitoxin O Against C. difficile Recombinant Toxin A Polypeptide In Example 12, we demonstrated neutralization of toxin A mediated cytotoxicity by affinity purified antibodies reactive to recombinant toxin A protein. To determine whether antibodies raised against a recombinant polypeptide fragment of C. difficile toxin A may be effective in treating clostridial diseases, antibodies to recombinant toxin A protein representing the binding domain were generated.

Two toxin A binding domain recombinant polypeptides, expressing the binding domain in either the pMALc (pMA1870-2680) or pET 23(pPA1870-2680) vector, were used as immunogens. The pMAL protein was affinity purified as a soluble product [Example 12(d)] and the pET protein was isolated as insoluble inclusion bodies [Example 12(d)] and solubilized to an immunologically active protein using a proprietary method described in United States Patent No. 5,605,691. This example involves (a) immunization, antitoxin collection, determination of antitoxin antibody titer, anti-recombinant toxin A neutralization of toxin A hemagglutination activity in vitro, and assay of in vitro toxin A s15 neutralizing activity.

a) Immunization The soluble and the inclusion body preparations each were used separately to immunize hens.

Both purified toxin A polypeptides were diluted in PBS and emulsified with approximately equal volumes of CFA for the initial immunization of IFA for subsequent booster immunizations. On day 20 zero, for each of the recombinant preparations, two egg laying white Leghorn hens (obtained from local breeder) were each injected at multiple sites (intramuscular and subcutaneous) with 1ml of recombinant adjuvant mixture containing approximately 0.5 to 1.5mgs of recombinant toxin A.

Booster immunizations of 1.0mg were given on days 14 and day 28.

b) Antitoxin Collection Total yolk immune IgY was extracted as described in the standard PEG protocol (as in Example 1) and the final IgY pellet was dissolved in sterile PBS at the original yolk volume. This material is designated "immune recombinant IgY" or "immune IgY".

[R:\LIBAA]075 1.doc:TAB c) Antitoxin Antibody Titer To determine if the recombinant toxin A protein was sufficiently immunogenic to raise antibodies in hens, the antibody titer of a recombinant toxin A polypeptide was determined by ELISA. Eggs from both hens were collected on day 32. the yolks pooled and the antibody was isolated using PEG as described. The immune recombinant IgY antibody titer was determined for the soluble recombinant protein containing the maltose binding protein fusion generated in p-Mal (pMA1870-2680). Ninety-six well Falcon Pro-bind plates were coated overnight at 4°C with 100 1l /well of toxin A recombinant at 2.5 pg /pl in PBS containing 0.05% thimerosal. Another plate was also coated with maltose binding protein (MBP) at the same concentration, to permit comparison of antibody reactivity to the fusion partner. The next day, the wells were blocked with PBS containing 1% bovine serum alluminTBSA) for 1 hour at 37*C. IgY isolated from immune or preimmune eggs was diluted in antibody diluent S (PBS containing 1% BSA and 0.05% Tween-20), and added to the blocked wells and incubated for 1 hour at 37 0 C The plates were washed three times with PBS with 0.05% 15 Tween-20. then three times with PBS. Alkaline phosphatase conjugated rabbit anti-chicken IgG (Sigma) diluted 1:1000 in antibody diluent was added to the plate. and incubated for I hour at 37 0 C. The plates were washed as before and substrate was added, [p-nitrophenyl phosphate (Sigma)] at I mg/ml in 0.05M Na,C0 3 pH 9.5 and 10 mM MgCI,. The plates were evaluated quantitatively on a Dynatech MR 300 Micro EPA plate reader at 410 nm about 10 minutes after the addition of substrate.

Based on these ELISA results, high antibody titers were raised in chickens immunized with the toxin A recombinant polypeptide. The recombinant appeared to be highly immunogenic, as it was able to generate high antibody titers relatively quickly with few immunizations. Immune IgY titer directed specifically to the toxin A portion of the 25 recombinant was higher than the immune IgY titer to its fusion partner, the maltose binding protein, and significantly higher than the preimmune IgY. ELISA titers (reciprocal of the highest dilution of IgY generating a signal) in the preimmune IgY to the MBP or the recombinant was <1:30 while the immune IgY titers to MBP and the toxin A recombinant were 1:18750 and 1:93750 respectively. Importantly, the anti-recombinant antibody titers generated in the hens against the recombinant polypeptide is much higher, compared to antibodies to that region raised using native toxin A. The recombinant antibody titer to region 1870-2680 in the CTA antibody preparation is at least five-fold lower compared to the recombinant generated antibodies (1:18750 versus >1:93750). Thus. it appears a better 98immune response can be generated against a specific recombinant using that recombinant as the immunogen compared to the native toxin A.

This observation is significant. as it shows that because recombinant portions stimulate the production of antibodies, it is not necessary to use native toxin molecules to produce antitoxin preparations. Thus. the problems associated with the toxicity of the native toxin are avoided and large-scale antitoxin production is facilitated.

d) Anti-Recombinant Toxin A Neutralization Of Toxin A Hemagglutination Activity In Vitro Toxin A has hemagglutinating activity besides cytotoxic and enterotoxin properties.

Specifically. toxin A agglutinates rabbit erythrocytes by binding to a trisaccarideTgal 1-3B1- 4GlcNAc) on the cell surface. Krivan et al.. Infect. Immun.. 53:573-581 (1986).] We examined whether the anti-recombinant toxin A (immune IgY. antibodies raised against the insoluble product expressed in pET) can neutralize the hemagglutination activity of toxin A in 15 vitro. The hemagglutination assay procedure used was described by H.C. Krivan et al.

Polyethylene glycol-fractionated immune or preimmune IgY were pre-absorbed with citrated rabbit erythrocytes prior to performing the hemagglutination assay because we have found that IgY alone can agglutinate red blood cells. Citrated rabbit red blood cells (RRBC's)(Cocalico) were washed twice by centrifugation at 450 x g with isotonic buffer (0.1 M Tris-HCl, 0.05 M NaCI. pH RRBC-reactive antibodies in the IgY were removed by preparing a RRBC suspension (made by adding packed cells to immune or preimmune IgY) and incubating the mixture for 1 hour at 37C. The RRBCs were then removed by centrifugation.

Neutralization of the hemagglutination activity of toxin A by antibody was tested in roundbottomed 96-well microtiter plates. Twenty-five pl of toxin A (36 pg /ml) (Tech Lab) in isotonic buffer was mixed with an equal volume of different dilutions of immune or preimmuf.e IgY in isotonic buffer, and incubated for 15 minutes at room temperature. Then.

pl of a 1% RRBC suspension in isotonic buffer was added and the mixture was incubated for 3 hours at 4°C. Positive control wells containing the final concentration of 9 pg/ml of toxin A after dilution without IgY were also included. Hemagglutination activity was assessed visually, with a diffuse matrix of RRBC's coating the bottom of the well representing a positive hemagglutination reaction and a tight button of RRBC's at the bottom of the well representing a negative reaction. The anti-recombinant immune IgY neutralized 99toxin A hemagglutination activity, giving a neutralization titer of 1:8. However. preimmune IgY was unable to neutralize the hemagglutination ability of toxin A.

e) Assay Of In Vitro Toxin A Neutralizing Activity The ability of the anti-recombinant toxin A IgY (immune IgY antibodies raised against pMA 1870-2680. the soluble recombinant binding domain protein expressed in pMAL.

designated as Anti-tox. A-2 in Figure 14 and referred to as recombinant region 6) and preimmune IgY. prepared as described in Example 8(c) above, to neutralize the cytotoxic activity of toxin A was assessed in vitro using the CHO cell cytotoxicity assay. and toxin A (Tech Lab) at a concentration of 0.1 pg/ml. as described in Example 8(d) above. As additional controls. the anti-native toxin A IgY (CTA) and pre-immune IgY preparations described in Example 8(c) above were also tested. The results are shown in Figure 14.

The anti-recombinant toxin A IgY demonstrated only partial neutralization of the cvtotoxic activity of toxin A. while the pre-immune IgY did not demonstrate any significant 15 neutralizing activity.

EXAMPLE 14 In vivo Neutralization Of C difficile Toxin A The ability of avian antibodies (IgY) raised against recombinant toxin A binding domain to neutralize the enterotoxin activity of C difficile toxin A was evaluated in viva using Golden Syrian hamsters. The Example involved: preparation of the avian antirecombinant toxin A IgY for oral administration; in vivo protection of hamsters from C difficile toxin A enterotoxicity by treatment of toxin A with avian anti-recombinant toxin A 25 IgY; and histologic evaluation of hamster ceca.

a) Preparation Of The Avian Anti-Recombinant Toxin A IgY For Oral Administration Eggs were collected from hens which had been immunized with the recombinant C.

difficile toxin A fragment pMA1870-2680 (described in Example 13. above). A second group of eggs purchased at a local supermarket was used as a pre-immune (negative) control. Egg yolk immunoglobulin (IgY) was extracted by PEG from the two groups of eggs as described in Example and the final IgY pellets were solubilized in one-fourth the original yolk.

100volume using 0.1M carbonate buffer (mixture of NaHCO, and Na,C0 3 pH 9.5. The basic carbonate buffer was used in order to protect the toxin A from the acidic pH of the stomach environment.

b) In vivo Protection Of Hamsters Against C difficile Toxin A Enterotoxicity By Treatment Of Toxin A With Avian Antirecombinant Toxin A IgY In order to assess the ability of the avian anti-rccombinant toxin A IgY. prepared in section above to neutralize the in vivo enterotoxin activity of toxin A. an in vivo toxin neutralization model was developed using Golden Syrian hamsters. This model was based on published values for the minimum amount of toxin A required to elicit diarrhea (0-08 mg toxin A/Kg body wt.) and death (0.16 mg toxin A/Kg body wt.) in hamsters when S administered orally (Lyerly et al. Infect. Immun.. 47:349-352 (1985).

For the study. four separate experimental groups were used. with each group consisting 15 of 7 female Golden Syrian hamsters (Charles River). approx. three and one-half weeks old.

weighing approx. 50 gms each. The animals were housed as groups of 3 and 4. and were offered food and water ad lihitum through the entire length of the study.

0 For each animal. a mixture containing either 10lig of toxin A (0.2 mg/Kg) or 30pg of toxin A (0.6 mg/Kg) difficile toxin A was obtained from Tech Lab and I ml of either the anti-recombinant toxin A IgY or pre-immune IgY (from section above) was prepared.

These mixtures were incubated at 37*C for 60 min. and were then administered to the animals by the oral route. The animals were then observed for the onset of diarrhea and death for a period of 24 hrs. following the administration of the toxin A+IgY mixtures. at the end of which time, the following results were tabulated and shown in Table 17: *9 101 TABLE 17 Study Outcome At 24 Hours Study Outcome at 24 Hours Experimental Group Healthy' Diarrhea 2 Dead 3 pg Toxin A Antitoxin Against Interval-6 7 0 0 30 pg Toxin A Antitoxin Against Interval 6 7 0 0 pg Toxin A Pre-Immune Serum 0 5 2 ig Toxin A Pre-lmmune 0 5 2 4 4 S Animals remained healthy through the entire 24 hour study period.

10 Animals developed diarrhea. but did not die.

Animals developed diarrhea. and subsequently died.

Pretreatment of toxin A at both doses tested. using the anti-recombinant toxin A IgY, prevented all overt symptoms of disease in hamsters. Therefore. pretreatment of C difficile 15 toxin A. using the anti-recombinant toxin A IgY. neutralized the in vivo enterotoxin activity of the toxin A. In contrast all animals from the two groups which received toxin A which had been pretreated using pre-immune IgY developed disease symptoms which ranged from diarrhea to death. The diarrhea which developed in the 5 animals which did not die in each of the two pre-immune groups. spontaneously resolved by the end of the 24 hr. study period.

c) Histologic Evaluation Of Hamster Ceca In order to further assess the ability of anti-recombinant toxin A IgY to protect hamsters from the enterotoxin activity of toxin A. histologic evaluations were performed on the ceca of hamsters from the study described in section above.

Three groups of animals were sacrificed in order to prepare histological specimens.

The first group consisted of a single representative animal taken from each of the 4 groups of surviving hamsters at the conclusion of the study described in section above. These animals represented the 24 hr. timepoint of the study.

The second group consisted of two animals which were not part of the study described above, but were separately treated with the same toxin A pre-immune IgY mixtures as described for the animals in section above. Both of these hamsters developed diarrhea.

102and were sacrificed 8 hrs. after the time of administration of the toxin A pre-immune IgY mixtures. At the time of sacrifice, both animals were presenting symptoms of diarrhea.

These animals represented the acute phase of the study.

The final group consisted of a single untreated hamster from the same shipment of animals as those used for the two previous groups. This animal served as the normal control.

Samples of cecal tissue were removed from the 7 animals described above, and were fixed overnight at 4*C using 10% buffered formalin. The fixed tissues were paraffinembedded. sectioned, and mounted on glass microscope slides. The tissue sections were then stained using hematoxylin and eosin (H and E stain), and were examined by light microscopy.

The tissues obtained from the two 24 hr. animals which received mixtures containing either 10ig or 30pg of toxin A and anti-recombinant toxin A IgY were indistinguishable from the normal control, both in terms of gross pathology, as well as at the microscopic level.

These observations provide further evidence for the ability of anti-recombinant toxin A IgY to effectively neutralize the in vivo enterotoxin activity of C. difficile toxin A. and thus its ability 15 to prevent acute or lasting toxin A-induced pathology.

4° 0 In contrast, the tissues from the two 24 hr. animals which received the toxin A preimmune IgY mixtures demonstrated significant pathology. In both of these groups, the mucosal layer was observed to be less organized than in the rormal control tissue. The cytoplasm of the epithelial cells had a vacuolated appearance. and gaps were present between the epithelium and the underlying cell layers. The lamina propria was largely absent.

Intestinal villi and crypts were significantly diminished, and appeared to have been overgrown by a planar layer of epithelial cells and fibroblasts. Therefore, although these animals overtly appeared to recover from the acute symptoms of toxin A intoxication, lasting pathologic alterations to the cecal mucosa had occurred.

0i 25 The tissues obtained from the two acute animals which received mixtures of toxin A and pre-immune IgY demonstrated the most significant pathology. At the gross pathological level, both animals were observed to have severely distended ceca which were filled with watery, diarrhea-like material. At the microscopic level, the animal that was given the mixture containing 10gg of toxin A and pre-immune IgY was found to have a mucosal layer which had a ragged, damaged appearance, and a disorganized. compacted quality. The crypts were largely absent, and numerous breaks in the epithelium had occurred. There was also an influx of erythrocytes into spaces between the epithelial layer and the underlying tissue. The animal which had received the mixture containing 30pg of toxin A and pre-immune IgY 103demonstrated the most severe pathology. The cecal tissue of this animal had an appearance very similar to that observed in animals which had died from C. difficile disease. Widespread destruction of the mucosa was noted. and the epithelial layer had sloughed. Hemorrhagic areas containing large numbers of erythrocytes were very prevalent. All semblance of normal tissue architecture was absent from this specimen. In terms of the presentation of pathologic events, this in vivo hamster model of toxin A-intoxication correlates very closely with the pathologic consequences of C difficile disease in hamsters. The results presented in this Example demonstrate that while anti-recombinant toxin A (Interval 6) IgY is capable of only partially neutralizing the cytotoxic activity of C difficile toxin A. the same antibody effectively neutralizes 100% of the in vivo enterotoxin activity of the toxin. While it is not Sintended that this invention be limited to this mechanism. this may be due to-the cytotoxicity Sand enterotoxicity of C. dificile Toxin A as two separate and distinct biological functions.

o 0 EXAMPLE In Vivo Neutralization Of C. Difficile Toxin A By Antibodies Against Recombinant Toxin A Polvpeptides The ability of avian antibodies directed against the recombinant C. difficile toxin A fragment 1870-2680 (as expressed by pMA1870-2680: see Example 13) to neutralize the 20 enterotoxic activity of toxin A was demonstrated in Example 14. The ability of avian antibodies (IgYs) directed against other recombinant toxin A epitopes to neutralize native toxin A in vivo was next evaluated. This example involved: the preparation of IgYs against recombinant toxin A polypeptides; in vivo protection of hamsters against toxin A by treatment with anti-recombinant toxin A IgYs and quantification of specific antibody concentration in CTA and Interval 6 IgY PEG preparations.

The nucleotide sequence of the coding region of the entire toxin A protein is listed in SEQ ID NO:5. The amino acid sequence of the entire toxin A protein is listed in SEQ ID NO:6. The amino acid sequence consisting of amino acid residues 1870 through 2680 of toxin A is listed in SEQ ID NO:7. The amino acid sequence consisting of amino acid residues 1870 through 1960 of toxin A is listed in SEQ ID NO:8. The amino acid sequence of residues 1873 through 2684 of toxin A is listed in SEQ ID NO:29.

104 a) Preparation Of IgY's Against Recombinant Toxin A Polypeptides Eggs were collected from Leghorn hens which have been immunized with recombinant C difficile toxin A polypeptide fragments encompassing the entire toxin A protein. The polypeptide fragments used as immunogens were: 1) pMA 1870-2680 (Interval 2) pPA 1100-1450 (Interval and 3) a mixture of fragments consisting of pMA 30-300 (Interval 1), pMA 300-660 (Interval pMA 660-1100 (Interval 3) and pMA 1450-1870 (Interval This mixture of immunogens is referred to as Interval 1235. The location of each interval within the toxin A molecule is shown in Figure 15A. In Figure 15A. the following abbreviations are used: pP refers to the pET23 vector (New England BioLabs): pM refers to the pMAL

T

vector (New England BioLabs): A refers to toxin A: the numbers refer to the amino acid interval expressed in the clone. (For example, the designation pMA30-300 indicates that the recombinant clone encodes amino acids 30-300 of toxin A and the vector Sused was pMAL T h The recombinant proteins were generated as described in Example 11. The IgYs were extracted and solubilized in 0.1M carbonate buffer pH 9.5 for oral administration as described in Example 14(a). The IgY reactivities against each individual recombinant interval was evaluated by ELISA as described in Example 13(c).

20 b) In Vivo Protection Of Hamsters Against Toxin A By Treatment With Anti-Recombinant Toxin A Antibodies The ability of antibodies raised against recombinant toxin A polypeptides to provide in vivo protection against the enterotoxic activity of toxin A was examined in the hamster model system. This assay was performed as described in Example 14(b). Briefly. for each 40-50 gram female Golden Syrian hamster (Charles River). I ml of IgY 4X resuspended in 1/4 of the original yolk volume) PEG prep against Interval 6. Interval 4 or Interval 1235 was mixed with 30 pig (LDoo oral dose) of C difficile toxin A (Tech Lab). Preimmune IgY mixed with toxin A served as a negative control. Antibodies raised against C difficile toxoid A (Example 8) mixed with toxin A (CTA) served as a positive control. The mixture was incubated for 1 hour at 37 0 C then orally administered to lightly etherized hamsters using an 18G feeding needle. The animals were then observed for the onset of diarrhea and death for a period of approximately 24 hours. The results are shown in Table 18.

105

S.

*5

S

*S.SS

S

TABLE 18 Study Outcome After 24 Hours Treatment group Healthy' Diarrhea 2 Dead 3 Preimmune 0 0 7 CTA 5 0 0 Interval 6 6 1 0 Interval 4 0 1 6 Interval 1235 0 0 7- Animal shows no sign of illness.

S Animal developed diarrhea. but did not die.

Animal developed diarrhea and died.

Pre-treatment of toxin A with IgYs against Interval 6 prevented diarrhea in 6 of 7 hamsters and completely prevented death in all 7. In contrast. as with preimmune IgY, IgYs against Interval 4 and Interval 1235 had no effect on the onset of diarrhea and death in the hamsters.

c) Quantification Of Specific Antibody Concentration In CTA And Interval 6 IgY PEG Preparations To determine the purity of IgY PEG preparations. an aliquot of a pMA1870-2680 (Interval 6) IgY PEG preparation was chromatographed using HPLC and a KW-803 sizing column (Shodex). The resulting profile of absorbance at 280 nm is shown in Figure 16. The single large peak corresponds to the predicted MW of IgY. Integration of the area under the single large peak showed that greater than 95% of the protein eluted from the column was present in this single peak. This result demonstrated that the majority of the material absorbing at 280 nm in the PEG preparation corresponds to IgY. Therefore. absorbance at 280 nm can be used to determine the total antibody concentration in PEG preparations.

To determine the concentration of Interval 6-specific antibodies (expressed as percent of total antibody) within the CTA and pMAl870-2680 (Interval 6) PEG preparations, defined quantities of these antibody preparations were affinity purified on a pPA1870-2680(H) (shown schematically in Figure 15B) affinity column and the specific antibodies were quantified. In 106- Figure 15B the following abbreviations are used: pP refers to the pET23 vector (New England BioLabs); pM refers to the pMALM-c vector (New England BioLabs): pG refers to the pGEX vector (Pharmacia): pB refers to the PinPoint T M Xa vector (Promega): A refers to toxin A: the numbers refer to the amino acid interval expressed in the clone. The solid black ovals represent the MBP: the hatched ovals represent glutathione S-transferase: the hatched circles represent the biotin tag: and HHH represents the poly-histidine tag.

An affinity column containing recombinant toxin A repeat protein was made as follows. Four ml of PBS-washed Actigel resin (Sterogene) was coupled with 5-10 mg of pPA1870-2680 inclusion body protein [prepared as described in Example (17) and dialyzed into PBS] in a 15 ml tube (Falcon) containing 1/10 final volume Aid-coupling solution (I M sodium cyanoborohydride). Aliquots of the supernatant from the coupling reactions, before and after coupling, were assessed by Coomassie staining of 7.5% SDS-PAGE gels. Based upon protein band intensities, greater than 6 mg of recombinant protein was coupled to the resin. The resin was poured into a 10 ml column (BioRad). washed extensively with PBS.

pre-eluted with 4 M guanidine-HCI (in 10 mM Tris-HCI. pH 8.0: 0.005% thimerosal) and reequilibrated with PBS. The column was stored at 4°C.

Aliquots of a pMA1870-2680 (Interval 6) or a CTA IgY polyclonal antibody preparation (PEG prep) were affinity purified on the above affinity column as follows. The column was attached to an UV monitor (ISCO) and washed with PBS. For pMAI870-2680 20 IgY purification. a 2X PEG prep (filter sterilized using a 0.45 p filter: approximately 500 mg total IgY) was applied. The column was washed with PBS until the baseline was reestablished (the column flow-through was saved), washed with BBSTween to elute nonspecifically binding antibodies and re-equilibrated with PBS. Bound antibody was eluted from the column in 4 M guanidine-HCI (in 10 mM Tris-HCl. pH 8.0: 0.005% thimerosal).

The entire elution peak was collected in a 15 ml tube (Falcon). The column was reequilibrated and the column eluate was re-chromatographed as described above. The antibody preparation was quantified by UV absorbance (the elution buffer was used to zero the spectrophotometer). Total purified antibody was approximately 9 mg and 1 mg from the first and second chromatography passes. respectively. The low yield from the second pass indicated that most specific antibodies were removed by the first round of chromatography.

The estimated percentage of Interval 6 specific antibodies in the pMA1870-2680 PEG prep is approximately 2%.

107 The percentage of Interval 6 specific antibodies in the CTA PEG prep was determined (utilizing the same column and methodology described above) to be approximately 0.5% of total IgY.

A 4X PEG prep contains approximately 20 mg/ml IgY. Thus in b) above.

approximately 400 pg specific antibody in the Interval 6 PEG prep neutralized 30 pg toxin A in vivo.

EXAMPLE 16 In Vivo Treatment Of C. difficile Disease In Hamsters By Recombinant Interval 6 Antibodies The ability of antibodies directed against recombinant Interval 6 of toxin A-4o protect hamsters in vivo from C difficile disease was examined. This example involved: (a) prophylactic treatment of C. difficile disease and therapeutic treatment of C. difficile disease.

a) Prophylactic Treatment Of C. difficile Disease This experiment was performed as described in Example Three groups each consisting of 7 female 100 gram Syrian hamsters (Charles River) were prophylactically treated with either preimmune IgYs. IgYs against native toxin A and B [CTAB: see Example 8 (a) 20 and or IgYs against Interval 6. IgYs were prepared as 4X PEG preparations as described in Example 9(a).

The animals were orally dosed 3 times daily. roughly at 4 hour intervals, for 12 days with I ml antibody preparations diluted in Ensure. Using estimates of specific antibody concentration from Example 15(c), each dose of the Interval 6 antibody prep contained approximately 400 pg of specific antibody. On day 2 each hamster was predisposed to C.

difficile infection by the oral administration of 3.0 mg of Clindamycin-HCI (Sigma) in 1 ml of water. On day 3 the hamsters were orally challenged with 1 ml of C. difficile inoculum strain ATCC 43596 in sterile saline containing approximately 100 organisms. The animals were then observed for the onset of diarrhea and subsequent death during the treatment period. The results are shown in Table 19.

108 TABLE 19 Lethality After 12 Days Of Treatment Treatment Group Number Animals Alive Number Animals Dead Preimmune 0 7 CTAB 6 1 Interval 6 7 0 *r Treatment of hamsters with orally-administered IgYs against Interval 6 successfully protected 7 out of 7 (100%) of the animals from C. difficile disease. One of the hamsters in 10 this group presented with diarrhea which subsequently resolved during the course of treatment. As shown previously in Example 9. antibodies to native toxin A and toxin B were highly protective. In this Example. 6 out of 7 animals survived in the CTAB treatment group.

All of the hamsters treated with preimmune sera came down with diarrhea and died. The survivors in both the CTAB and Interval 6 groups remained healthy throughout a 12 day posttreatment period. In particular. 6 out of 7 Interval 6-treated hamsters survived at least 2 weeks after termination of treatment which suggests that these antibodies provide a longlasting cure. These results represent the first demonstration that antibodies generated against a recombinant region of toxin A can prevent CDAD when administered passively to animals.

These results also indicate that antibodies raised against Interval 6 alone may be sufficient to protect animals from C. difficile disease when administered prophylactically.

Previously others had raised antibodies against toxin A by actively immunizing hamsters against a recombinant polypeptide located within the Interval 6 region [Lyerly.

et al. (1990) Curr. Microbiol. 21:29]. Figure 17 shows schematically the location of the Lyerly. et al. intra-Interval 6 recombinant protein (cloned into the pUC vector) in comparison with the complete Interval 6 construct (pMAl 870-2680) used herein to generate neutralizing antibodies directed against toxin A. In Figure 17. the solid black oval represents the MBP which is fused to the toxin A Interval 6 in pMA1870-2680.

The Lyerly. el al. antibodies (intra-Interval 6) were only able to partially protect hamsters against C difficile infection in terms of survival (4 out of 8 animals survived) and furthermore, these antibodies did not prevent diarrhea in any of the animals. Additionally, 109 animals treated with the intra-Interval 6 antibodies [Lverly. el al. (1990), supra] died when treatment was removed.

In contrast. the experiment shown above demonstrates that passive administration of anti-Interval 6 antibodies prevented diarrhea in 6 out of 7 animals and completely prevented death due to CDAD. Furthermore, as discussed above, passive administration of the anti- Interval 6 antibodies provides a long lasting cure treatment could be withdrawn without incident).

b) Therapeutic Treatment Of C difficile Disease: In Vivo Treatment Of An Established C. difficile Infection In Hamsters With Recombinant Interval 6 Antibodies The ability of antibodies against recombinant interval 6 of toxin A to therapeutically V 0. treat C difficile disease was examined. The experiment was performed essentially as described in Example 10(b). Three groups, each containing seven to eight female Golden S 15 Syrian hamsters (100 g each: Charles River) were treated with either preimmune IgY, IgYs against native toxin A and toxin B (CTAB) and IgYs against Interval 6. The antibodies were prepared as described above as 4X PEG preparations.

The hamsters were first predisposed to C. difficile infection with a 3 mg dose of Clindamycin-HCI (Sigma) administered orally in 1 ml of water. Approximately 24 hrs later, 20 the animals were orally challenged with 1 ml of C. difficile strain ATCC 43596 in sterile saline containing approximately 200 organisms. One day after infection, the presence of toxin A and B was determined in the feces of the hamsters using a commercial immunoassay kit (Cytoclone A+B EPA. Cambridge Biotech) to verify establishment of infection. Four members of each group were randomly selected and tested. Feces from an uninfected hamster was tested as a negative control. All infected animals tested positive for the presence of toxin according to the manufacturer's procedure. The initiation of treatnent then started approximately 24 hr post-infection.

The animals were dosed daily at roughly 4 hr intervals with 1 ml antibody preparation diluted in Ensure® (Ross Labs). The amount of specific antibodies given per dose (determined by affinity purification) was estimated to be about 400 pg of anti-Interval 6 IgY (for animals in the Interval 6 group) and 100 pg and 70 pg of anti-toxin A (Interval 6specific) and anti-toxin B (Interval 3-specific: see Example 19). respectively, for the CTAB preparation. The animals were treated for 9 days and then observed for an additional 4 days 110for the presence of diarrhea and death. The results indicating the number of survivors and the number of dead 4 days post-infection are shown in Table TABLE In vivo Therapeutic Treatment With Interval 6 Antibodies *0 *0 00 0 0 00 0 000 00 0* 00 *0 000 *000 0 0 0 00 0 0 *00 *0 *000 Treatment Group Number Animals Alive Number Animals Dead Preimmune 4 3 CTAB 8 0 Interval 6 8 0 10 Antibodies directed against both Interval 6 and CTAB successfully prevented death from C difficile when therapeutically administered 24 hr after infection. This result is significant since many investigators begin therapeutic treatment of hamsters with existing drugs vancomycin. phenelfamycins. tiacumicins. etc.) 8 hr post-infection [Swanson. et al. (1991) Antimicrobial Agents and Chemotherapy 35:1108 and (1989) J. Antibiotics 42:94].

15 Forty-two percent of hamsters treated with preimmune IgY died from CDAD. While the anti-Interval 6 antibodies prevented death in the treated hamsters. they did not eliminate all symptoms of CDAD as 3 animals presented with slight diarrhea. In addition. one CTABtreated and one preimmune-treated animal also had diarrhea 14 days post-infection. These results indicate that anti-Interval 6 antibodies provide an effective means of therapy for 20 CDAD.

EXAMPLE 17 Induction Of Toxin A Neutralizing Antibodies Requires Soluble Interval 6 Protein As shown in Examples 1 l(d) and 15. expression of recombinant proteins in E. coli may result in the production of either soluble or insoluble protein. If insoluble protein is produced, the recombinant protein is solubilized prior to immunization of animals. To determine whether, one or both of the soluble or insoluble recombinant proteins could be used to generate neutralizing antibodies to toxin A. the following experiment was performed. This example involved a) expression of the toxin A repeats and subfragments of these repeats in E.

coli using a variety of expression vectors; b) identification of recombinant toxin A repeats and Ill sub-regions to which neutralizing antibodies bind: and c) determination of the neutralization ability of antibodies raised against soluble and insoluble toxin A repeat immunogen.

a) Expression Of The Toxin A Repeats And Subfragments Of These Repeats In E. coli Using A Variety Of Expression Vectors The Interval 6 immunogen utilized in Examples 15 and 16 was the pMA1870-2680 protein, in which the toxin A repeats are expressed as a soluble fusion protein with the MBP (described in Example 11). Interestingly, expression of this region (from the SpeI site to the end of the repeats. see Figure 15B) in three other expression constructs, as either native (pPA1870-2680). poly-His tagged [pPA1870-2680 or biotin-tagged (pBA1870-2680) proteins resulted in completely insoluble protein upon induction of the bacterial host (see Figure 15B). The host strain BL21 (Novagen) was used for expression of pBA1870-2680 and host strain BL21(DE3) (Novagen) was used for expression of pPA1870-2680 and pPA1870- 15 2680(H). These insoluble proteins accumulated to high levels in inclusion bodies. Expression of recombinant plasmids in E. coli host cells grown in 2X YT medium was performed as described [Williams. el al. (1994), supra].

As summarized in Figure 15B. expression of fragments of the toxin A repeats (as either N-terminal SpeI-EcoRI fragments. or C-terminal EcoRI-end fragments) also yielded S 20 high levels of insoluble protein using pGEX (pGA1870-2190). PinPoint -Xa (pBA1870-2190 and pBA2250-2680) and pET expression systems (pPA1870-2190). The pGEX and pET expression systems are described in Example 11. The PinPointm-Xa expression system drives the expression of fusion proteins in E. coli. Fusion proteins from PinPointM-Xa vectors contain a biotin tag at the amino-terminal end and can be affinity purified SoftLink T M Soft Release avidin resin (Promega) under mild denaturing conditions (5 mM biotin).

The solubility of expressed proteins from the pPG 1870-2190 and pPA1870-2190 expression constructs was determined after induction of recombinant protein expression under conditions reported to enhance protein solubility [These conditions comprise growth of the host at reduced temperature (30 0 C) and the utilization of high (1 mM IPTG) or low (0.1 mM IPTG) concentrations of inducer [Williams et al. (1994), supra]. All expressed recombinant toxin A protein was insoluble under these conditions. Thus. expression of these fragments of the toxin A repeats in pET and pGEX expression vectors results in the production of insoluble recombinant protein even when the host cells are grown at reduced temperature and using 112 lower concentrations of the inducer. Although expression of these fragments in pMal vectors yielded affinity purifiable soluble fusion protein, the protein was either predominantly insoluble (pMA1870-2190) or unstable (pMA2250-2650). Attempts to solubilize expressed protein from the pMA1870-2190 expression construct using reduced temperature or lower inducer concentration (as described above) did not improve fusion protein solubility.

Collectively, these results demonstrate that expression of the toxin A repeat region in E. coli results in the production of insoluble recombinant protein, when expressed as either large (aa 1870-2680) or small (aa 1870-2190 or aa 2250-2680) fragments. in a variety of expression vectors (native or poly-his tagged pET. pGEX or PinPoint'- Xa vectors), utilizing growth conditions shown to enhance protein solubility. The exception to this rule were fusions with the MBP. which enhanced protein solubility. either partially (pMA 1870-2190) or fully (pMA1870-2680).

b) Identification Of Recombinant Toxin A Repeats And Sub- 15 Regions To Which Neutralizing Antibodies Bind Toxin A repeat regions to which neutralizing antibodies bind were identified by utilizing recombinant toxin A repeat region proteins expressed as soluble or insoluble proteins to deplete protective antibodies from a polyclonal pool of antibodies against native C. difficile toxin A. An in vivo assay was developed to evaluate proteins for the ability to bind 20 neutralizing antibodies.

The rational for this assay is as follows. Recombinant proteins were first pre-mixed with antibodies against native toxin A (CTA antibody: generated in Example 8) and allowed to react. Subsequently. C difficile toxin A was added at a concentration lethal to hamsters and the mixture was administered to hamsters via IP injection. If the recombinant protein contains neutralizing epitopes. the CTA antibodies would lose their ability to bind toxin A reaslting in diarrhea and/or death of the hamsters.

The assay was performed as follows. The lethal dose of toxin A when delivered orally to nine 40 to 50 g Golden Syrian hamsters (Sasco) was determined to be 10 to 30 pg. The PEG-purified CTA antibody preparation was diluted to 0.5X concentration the antibodies were diluted at twice the original yolk volume) in 0.1 M carbonate buffer, pH 9.5. The antibodies were diluted in carbonate buffer to protect them from acid degradation in the stomach. The concentration of 0.5X was used because it was found to be the lowest effective concentration against toxin A. The concentration of Interval 6-specific antibodies in the -113 CTA prep was estimated to be 10-15 pg/ml (estimated using the method described in Example The inclusion body preparation [insoluble Interval 6 protein: pPA1870-2680(H)] and the soluble Interval 6 protein [pMA1870-2680: see Figure 15] were both compared for their ability to bind to neutralizing antibodies against C difficile toxin A (CTA). Specifically. 1 to 2 mg of recombinant protein was mixed with 5 ml of a 0.5X CTA antibody prep (estimated to contain 60-70 pg of Interval 6-specific antibody). After incubation for 1 hr at 37 0 C. CTA (Tech Lab) at a final concentration of 30 pg/ml was added and incubated for another 1 hr at 37 0 C. One ml of this mixture containing 30 lg of toxin A (and 10-15 pg of Interval 6specific antibody) was administered orally to 40-50 g Golden Syrian hamsters (Sasco).

Recombinant proteins that result in the loss of neutralizing capacity of the CTA atibody would indicate that those proteins contain neutralizing epitopes. Preimmune and CTA antibodies (both at 0.5X) without the addition of any recombinant protein served as negative and positive controls. respectively.

15 Two other inclusion body preparations. both expressed as insoluble products in the pET vector, were tested: one containing a different insert (toxin B fragment) other than Interval 6 called pPB1850-2070 (see Figure 18) which serves as a control for insoluble Interval 6. the other was a truncated version of the Interval 6 region called pPA1870-2190 (see Figure 15B). The results of this experiment are shown in Table 21.

114 TABLE 21 Binding Of Neutralizing Antibodies By Soluble Interval 6 Protein Study Outcome After 24 Hours Treatment Group' Healthy' Diarrhea 3 Dead' Preimmune Ab 0 3 2 CTA Ab 4 1 0 CTA Ab Int 6 (soluble) 1 2 2 CTA Ab Int 6 (insoluble) 5 0 0 CTA Ab pPB1850-2070 5 0 0 CTA Ab pPA1870-2190 5 0 0 C. difficile toxin A (CTA) was added to each group.

2 Animals showed no signs of illness.

3 Animals developed diarrhea but did not die.

4 Animals developed diarrhea and died.

Preimmune antibody was ineffective against toxin A. while anti-CTA antibodies at a dilute 0.5X concentration almost completely protected the hamsters against the enterotoxic effects of CTA. The addition of recombinant proteins pPB 1850-2070 or pPA 1870-2190 to the anti-CTA antibody had no effect upon its protective ability, indicating that these recombinant proteins do not bind to neutralizing antibodies. On the other hand. recombinant Interval 6 protein was able to bind to neutralizing anti-CTA antibodies and neutralized the in vivo protective effect of the anti-CTA antibodies. Four out of five animals in the group treated with anti-CTA antibodies mixed with soluble Interval 6 protein exhibited toxin associated toxicity (diarrhea and death). Moreover, the results showed that interval 6 protein must be expressed as a soluble product in order for it to bind to neutralizing anti-CTA antibodies since the addition of insoluble Interval 6 protein had no effect on the neutralizing capacity of the CTA antibody prep.

115 c) Determination Of Neutralization Ability Of Antibodies Raised Against Soluble And Insoluble Toxin A Repeat Immunogen To determine if neutralizing antibodies are induced against solubilized inclusion S bodies. insoluble toxin A repeat protein was solubilized and specific antibodies were raised in chickens. Insoluble pPA1870-2680 protein was solubilized using the method described in Williams el al. (1994), supra. Briefly. induced cultures (500 ml) were pelleted by centrifugation at 3.000 X g for 10 min at 4*C. The cell pellets were resuspended thoroughly in 10 ml of inclusion body sonication buffer (25 mM HEPES pH 7.7. 100 mM KCI. 12.5 mM MgCI,. 20% glycerol. 0.1% Nonidet P-40. 1 mM DTT). The suspension was transferred to a 30 ml non-glass centrifuge tube. Five hundred pl of 10 mg/ml lysozyme was-added and the tubes were incubated on ice for 30 min. The suspension was then frozen at -70 0 C for at least 1 hr. The suspension was thawed rapidly in a water bath at room temperature and then placed on ice. The suspension was then sonicated using at least eight 15 sec bursts of the 15 microprobe (Branson Sonicator Model No. 450) with intermittent cooling on ice.

The sonicated suspension was transferred to a 35 ml Oakridge tube and centrifuged at 6.000 X g for 10 min at 4°C to pellet the inclusion bodies. The pellet was washed 2 times by pipetting or vortexing in fresh. ice-cold RIPA buffer SDS. 1% Triton X-100. 1% sodium deoxycholate in TBS (25 mM Tris-Cl pH 7.5. 150 mM NaCI)]. The inclusion bodies were recentrifuged after each wash. The inclusion bodies were dried and transferred using a small metal spatula to a 15 ml tube (Falcon). One ml of 10% SDS was added and the pellet was solubilized by gently pipetting the solution up and down using a 1 ml micropipettor. The solubilization was facilitated by heating the sample to 95 0 C when necessary.

Once the inclusion bodies were in solution, the samples were diluted with 9 volumes of PBS. The protein solutions were dialyzed overnight against a 100-fold volume of PBS containing 0.05% SDS at room temperature. The dialysis buffer was then changed to PBS containing 0.01% SDS and the samples were dialyzed for several hours to overnight at room temperature. The samples were stored at 4 0 C until used. Prior to further use. the samples were warmed to room temperature to allow any precipitated SDS to go back into solution.

The inclusion body preparation was used to immunize hens. The protein was dialyzed into PBS and emulsified with approximately equal volumes of CFA for the initial immunization or IFA for subsequent booster immunizations. On day zero. for each of the recombinant recombinant preparations, two egg laying white Leghorn hens were each injected 116at multiple sites (IM and SC) with 1 ml of recombinant protein-adjuvant mixture containing approximately 0.5-1.5 mg of recombinant protein. Booster immunizations of 1.0 mg were given of days 14 and day 28. Eggs were collected on day 32 and the antibody isolated using PEG as described in Example 14(a). High titers of toxin A specific antibodies were present (as assayed by ELISA. using the method described in Example 13). Titers were determined for both antibodies against recombinant polypeptides pPA1870-2680 and pMA1870-2680 and were found to be comparable at 1:62.500.

Antibodies against soluble Interval 6 (pMA1870-2680) and insoluble Interval 6 [(inclusion body), pPA1870-2680] were tested for neutralizing ability against toxin A using the in vivo assay described in Example 15(b). Preimmune antibodies and antibodies against toxin A (CTA) served as negative and positive controls, respectively. The results are shown in Table 22.

TABLE 22 Neutralization Of Toxin A By Antibodies Against Soluble 15 Interval 6 Protein Study Outcome After 24 Hours .r *oo*

-I

Antibody Treatment Group Healthy' Diarrhea 2 Dead 3 Preimmune 1 0 4 CTA 5 0 0 Interval 6 (Soluble) 4 5 0 0 Interval 6 (Insoluble) 0 2 3 Animals showed no sign of illness.

2 Animal developed diarrhea but did not die.

Animal developed diarrhea and died.

4 400 plg/ml.

Antibodies raised against native toxin A were protective while preimmune antibodies had little effect. As found using the in vitro CHO assay [described in Example where antibodies raised against the soluble Interval 6 could partially neutralize the effects of toxin A.

here they were able to completely neutralize toxin A in vivo. In contrast. the antibodies raised against the insoluble Interval 6 was unable to neutralize the effects of toxin A in vivo as shown above (Table 22) and in vitro as shown in the CHO assay [described in Example 117- These results demonstrate that soluble toxin A repeat immunogen is necessary to induce the production of neutralizing antibodies in chickens. and that the generation of such soluble immunogen is obtained only with a specific expression vector (pMal) containing the toxin A region spanning aa 1870-2680. That is to say. insoluble protein that is subsequently solubilized does not result in a toxin A antigen that will elicit a neutralizing antibody.

EXAMPLE 18 Cloning And Expression Of The C. difficile Toxin B Gene The toxin B gene has been cloned and sequenced: the amino acid sequence deduced from the cloned nucleotide sequence predicts a MW of 269.7 kD for toxin B-[Barreso et al..

Nucl. Acids Res. 18:4004 (1990)]. The nucleotide sequence of the coding region of the entire toxin B gene is listed in SEQ ID NO:9. The amino acid sequence of the entire toxin B protein is listed in SEQ ID NO: 10. The amino acid sequence consisting of amino acid 15 residues 1850 through 2360 of toxin B is listed in SEQ ID NO:11. The amino acid sequence consisting of amino acid residues 1750 through 2360 of toxin B is listed in SEQ ID NO:12.

The amino acid sequence consisting of amino acid residues 1754 through 2362 of toxin B is listed in SEQ ID Given the expense and difficulty of isolating native toxin B protein, it would be 20 advantageous to use simple and inexpensive procarvotic expression systems to produce and purify high levels of recombinant toxin B protein for immunization purposes. Ideally. the isolated recombinant protein would be soluble in order to preserve native antigenicity. since solubilized inclusion body proteins often do not fold into native conformations. Indeed as shown in Example 17. neutralizing antibodies against recombinant toxin A were only obtained when soluble recombinant toxin A polypeptides were used as the immunogen. To allow ease of purification, the recombinant protein should be expressed to levels greater than 1 mg/liter of E. coli culture.

To determine whether high levels of recombinant toxin B protein could be produced in E. coli. fragments of the toxin B gene were cloned into various prokaryotic expression vectors, and assessed for the ability to express recombinant toxin B protein in E. coli. This Example involved cloning of the toxin B gene and expression of the toxin B gene in E. coli.

118a) Cloning Of The Toxin B Gene The toxin B gene was cloned using PCR amplification from C. difficile genomic DNA.

Initially, the gene was cloned in two overlapping fragments, using primer pairs P5/P6 and P7/P8. The location of these primers along the toxin B gene is shown schematically in Figure 18. The sequence of each of these primers is: 5' TAGAAAAAATGGCAAATGT 3' (SEQ ID NO:1 1) P6: 5'TTTCATCTTGTA GAGTCAAAG 3' (SEQ ID NO:12): P7: 5' GATGCCACAAGATGATTTAGTG 3' (SEQ ID NO:13): and P8: 5' CTAATTGAGCTGTATCAGGATC 3' (SEQ ID NO:14).

Figure 18 also shows the location of the following primers along the toxin B gene: P9 which consists of the sequence 5' CGGAATTCCTAGAAAAAATGGCAA ATG 3-(SEQ ID S* NO: 15); P10 which consists of the sequence 5' GCTCTAGAATGA CCATAAGCTAGCCA 3' (SEQ ID NO:16): P11 which consists of the sequence 5' CGGAATTCGAGTTGGTAG- AAAGGTGGA 3' (SEQ ID NO:17); P13 which consists of the sequence 5' CGGAATTCGG- TTATTATCTTAAGGATG 3' (SEQ ID NO:18): and P14 which consists of the sequence CGGAATTCTTGATAACTGGAT TTGTGAC 3' (SEQ ID NO:19). The amino acid sequence consisting of amino acid residues 1852 through 2362 of toxin B is listed in SEQ ID NO:20. The amino acid sequence consisting of amino acid residues 1755 through 2362 of toxin B is listed in SEQ ID NO:21. The amino acid sequence consisting of amino acid 20 residues 1754 through 2362 of toxin B is listed in SEQ ID Clostridium difficile VPI strain 10463 was obtained from the American Type Culture Collection (ATCC 43255) and grown under anaerobic conditions in brain-heart infusion medium (Becton Dickinson). High molecular-weight C difficile DNA was isolated essentially as described [Wren and Tabaqchali (1987) J. Clin. Microbiol.. 25:2402], except 1) 100 pg/ml proteinase K in 0.5% SDS was used to disrupt the bacteria and 2) cetytrimethylammonium bromide (CTAB) precipitation [as described by Ausubel et al.. Eds.. Current Protocols in Molecular Biology, Vol. 2 (1989) Current Protocols] was used to remove carbohydrates from the cleared lysate. Briefly, after disruption of the bacteria with proteinase K and SDS, the solution is adjusted to approximately 0.7 M NaCI by the addition of a 1/7 volume of NaCI. A 1/10 volume of CTAB/NaCI (10% CTAB in 0.7 M NaCI) solution was added and the solution was mixed thoroughly and incubated 10 min at 65"C. An equal volume of chloroform/isoamvyl alcohol (24:1) was added and the phases were thoroughly mixed. The organic and aqueous phases were separated by centrifugation in a microfuge for 5 min. The 119aqueous supernatant was removed and extracted with phenol/chloroform/ isoamyl alcohol (25:24:1). The phases were separated by centrifugation in a microfuge for 5 min. The supernatant was transferred to a fresh tube and the DNA was precipitated with isopropanol.

The DNA precipitate was pelleted by brief centrifugation in a microfuge. The DNA pellet was washed with 70% ethanol to remove residual CTAB. The DNA pellet was then dried and redissolved in TE buffer (10 mM Tris-HCI pH8.0. 1 mM EDTA). The integrity and yield of genomic DNA was assessed by comparison with a serial dilution of uncut lambda DNA after electrophoresis on an agarose gel.

Toxin B fragments were cloned by PCR utilizing a proofreading thermostable DNA polymerase [native Pfu polymerase (Stratagene)]. The high fidelity of this polymerase reduces the mutation problems associated with amplification by error prone-olyrnerases Taq polymerase). PCR amplification was performed using the PCR primer pairs P5 (SEQ ID NO: 11) with P6 (SEQ ID NO:12) and P7 (SEQ ID NO:13) with P8 (SEQ ID NO:14) in S "lpl reactions containing 10 mM Tris-HCI pH8.3. 50 mM KCI. 1.5 mM MgCI,. 200 pM of 15 each dNTP. 0.2 pM each primer, and 50 ng C. difficile genomic DNA. Reactions were overlaid with 100 pl mineral oil. heated to 94°C for 4 min, 0.5pl native Pfu polymerase (Stratagene) was added, and the reactions were cycled 30 times at 94°C for 1 min. 50 0 C for 1 min. 72*C (2 min for each kb of sequence to be amplified), followed by 10 min at 72 0

C.

Duplicate reactions were pooled, chloroform extracted, and ethanol precipitated. After 20 washing in 70% ethanol. the pellets were resuspended in 50 pl TE buffer (10 mM Tris-HCI pH8.0. 1 mM EDTA).

The P5/P6 amplification product was cloned into pUC19 as outlined below. aliquots of DNA were gel purified using the Prep-a-Gene kit (BioRad). and ligated to Smal restricted pUC19 vector. Recombinant clones were isolated and confirmed by restriction digestion using standard recombinant molecular biology techniques (Sambrook et al.. 1989).

Inserts from two independent isolates were identified in which the toxin B insert was oriented such that the vector BamHI and Sacl sites were 5' and 3' oriented, respectively (pUCB 0- 1530). The insert-containing BamHI/Sacl fragment was cloned into similarly cut pET23a-c vector DNA. and protein expression was induced in small scale cultures (5 ml) of identified clones.

Total protein extracts were isolated, resolved on SDS-PAGE gels. and toxin B protein identified by Western analysis utilizing a goat anti-toxin B affinity purified antibody (Tech Lab). Procedures for protein induction. SDS-PAGE. and Western blot analysis were 120 performed as described in Williams et al. (1994). supra. In brief. 5 ml cultures of bacteria grown in 2XYT containing 100 pg/ml ampicillin containing the appropriate recombinant clone were induced to express recombinant protein by addition of IPTG to ImM. The E. coli hosts used were: BL21(DE3) or BL21(DE3)LysS (Novagen) for pET plasmids.

Cultures were induced by the addition of IPTG to a final concentration of 1.0 mM when the cell density reached 0.5 OD., and induced protein was allowed to accumulate for two hrs after iiduction. Protein samples were prepared by pelleting 1 ml aliquots of bacteria by centrifugation (1 min in microfuge), and resuspension of the pelleted bacteria in 150 pi of 2X SDS-PAGE sample buffer (0.125 mM Tris-HCl pH 6.8. 2 mM EDTA, 6% SDS, glycerol. 0.025% bromophenol blue: P-mercaptoethanol is added to 5% before use). The samples were heated to 95C for 5 min. then cooled and 5 or 10 ils loaded on 7.5% SDS- PAGE gels. High molecular weight protein markers (BioRad) were also loaded, to allow estimation of the MW of identified fusion proteins. After electrophoresis. protein was detected either generally by staining the gels with Coomassie Blue. or specifically, by blotting 15 to nitrocellulose for Western blot detection of specific immunoreactive protein. The MW of induced toxin B reactive protein allowed the integrity of the toxin B reading frame to be determined.

9.,99 The pET23b recombinant (pPBIO-1530) expressed high MW recombinant toxin B reactive protein, consistent with predicted values. This confirmed that frame terminating 20 errors had not occurred during PCR amplification. A pET23b expression clone containing the 10-1750aa interval of the toxin B gene was constructed. by fusion of the EcoRV-Spel fragment of the P7/P8 amplification product to the P5-EcoRV interval of the P5/P6 amplification product (see Figure 18) in pPB10-1530. The integrity of this clone (pPBI0- 1750) was confirmed by restriction mapping, and Western blot detection of expressed recombinant toxin B protein. Levels of induced protein from both pPB0O-1530 and pPB0O- 1750 were too low to facilitate purification of usable amounts of recombinant toxin B protein.

The remaining 1750-2360 aa interval was directly cloned into pMAL or pET expression vectors from the P7/P8 amplification product as described below.

b) Expression Of The Toxin B Gene i) Overview Of Expression Methodologies Fragments of the toxin B gene were expressed as either native or fusion proteins in E.

coli. Native proteins were expressed in either the pET23a-c or pET16b expression vectors 121 (Novagen). The pET23 vectors contain an extensive polylinker sequence in all three reading frames (a-c vectors) followed by a C-terminal poly-histidine repeat. The pET16b vector contains a N-terminal poly-histidine sequence immediately 5' to a small polylinker. The poly-histidine sequence binds to Ni-Chelate columns and allows affinity purification of tagged target proteins [Williams et al. (1994). supra]. These affinity tags are small (10 aa for pET16b. 6 aa for pET23) allowing the expression and affinity purification of native proteins with only limited amounts of foreign sequences.

An N-terminal histidine-tagged derivative of pET16b containing an extensive cloning cassette was constructed to facilitate cloning of N-terminal poly-histidine tagged toxin B expressing constructs. This was accomplished by replacement of the promoter region of the pET23a and b vectors with that of the pET16b expression vector. Each vector was restricted with Bgll and Ndel. and the reactions resolved on a 1.2 agarose gel. The pET16b promoter region (contained in a 200 bp Bgll-NdeI fragment) and the promoter-less pET23 a or b vectors were cut from the gel. mixed and Prep-A-Gene (BioRad) purified. The eluted 15 DNA was ligated, and transformants screened for promoter replacement by Ncol digestion of purified plasmid DNA (the pET16b promoter contains this site. the pET23 promoter does not). These clones (denoted pETHisa or b) contain the pET16b promoter (consisting of a pT7-lac promoter. ribosome binding site and poly-histidine (10aa) sequence) fused at the NdeI site to the extensive pET23 polylinker.

20 All MBP fusion proteins were constructed and expressed in the pMAL"T-c or pMAL

M

-p2 vectors (New England Biolabs) in which the protein of interest is expressed as a C-terminal fusion with MBP. All pET plasmids were expressed in either the BL21(DE3) or BL21(DE3)LysS expression hosts. while pMal plasmids were expressed in the BL21 host.

Large scale (500 mis to 1 liter) cultures of each recombinant were grown in 2X YT broth, induced, and soluble protein fractions were isolated as described [Williams. et al.

(1994). supra]. The soluble protein extracts were affinity chromatographed to isolate recombinant fusion protein, as described [Williams et al., (1994) supra]. In brief, extracts containing tagged pET fusions were chromatographed on a nickel chelate column. and eluted using imidazole salts or low pH (pH 4.0) as described by the distributor (Novagen or Qiagen).

Extracts containing soluble pMAL fusion protein were prepared and chromatographed in PBS buffer over an amylose resin (New England Biolabs) column. and eluted with PBS containing mM maltose as described [Williams el al. (1994). supra].

122ii) Overview Of Toxin B Expression In both large expression constructs described in above, only low level less than 1 mg/liter of intact or nondegraded recombinant protein) expression of recombinant protein was detected. A number of expression constructs containing smaller fragments of the toxin B gene were then constructed. to determine if small regions of the gene can be expressed to high levels greater than 1 mg/liter intact protein) without extensive protein degradation. All were constructed by in frame fusions of convenient toxin B restriction fragments to either the pMAL-c. pET23a-c. pET16b or pETHisa-b expression vectors, or by engineering restriction sites at specific locations using PCR amplification [using the same conditions described in above]. In all cases. clones were verified by restriction mapping, and. where indicated. DNA sequencing.

Protein preparations from induced cultures of each of these constructs were analyzed.

by SDS-PAGE. to estimate protein stability (Coomassie Blue staining) and immunoreactivity against anti-toxin B specific antiserum (Western analysis). Higher levels of intact S 15 nondegraded). full length fusion proteins were observed with the smaller constructs as compared with the larger recombinants. and a series of expression constructs spanning the entire toxin B gene were constructed (Figures 18. 19 and 20 and Table 23).

Constructs that expressed significant levels of recombinant toxin B protein (greater than 1 mg/liter intact recombinant protein) in E. coli were identified and a series of these 20 clones that spans the toxin B gene are shown in Figure 19 and summarized in Table 23.

These clones were utilized to isolate pure toxin B recombinant protein from the entire toxin B gene. Significant protein yields were obtained from pMAL expression constructs spanning the entire toxin B gene. and yields of full length soluble fusion protein ranged from an estimated i mg/liter culture (pMB1100-1530) to greater than 20 mg/liter culture (pMB1750-2360).

Representative purifications of MBP and poly-histidine-tagged toxin B recombinants are shown in Figures 21 and 22. Figure 21 shows a Coomassie Blue stained 7.5% SDS- PAGE gel on which various protein samples extracted from bacteria harboring pMB1850- 2360 were electrophoresed. Samples were loaded as follows: Lane 1: protein extracted from uninduced culture: Lane 2: induced culture protein: Lane 3: total protein from induced culture after sonication: Lane 4: soluble protein; and Lane 5: eluted affinity purified protein. Figure 22 depicts the purification of recombinant proteins expressed in bacteria harboring either pPB1850-2360 (Lanes 1-3) or pPB1750-2360 (Lanes Samples were loaded as follows: uninduced total protein (Lanes I and induced total protein (Lanes 2 and and eluted 123 affinity purified protein (Lanes 3 and The broad range molecular weight protein markers (BioRad) are shown in Lane 7.

Thus, although high level expression was not attained using large expression constructs from the toxin B gene. usable levels of recombinant protein were obtained by isolating induced protein from a series of smaller pMAL expression constructs that span the entire toxin B gene.

These'results represent the first demonstration of the feasibility of expressing recombinant toxin B protein to high levels in E. coli. As well. expression of small regions of the putative ligand binding domain (repeat region) of toxin B as native protein yielded insoluble protein, while large constructs. or fusions to MBP were soluble (Figure 19).

demonstrating that specific methodologies are necessary to produce soluble fusion-protein from this interval.

iii) Clone Construction And Expression Details 15 A portion of the toxin B gene containing the toxin B repeat region [amino acid residues 1852-2362 of toxin B (SEQ ID NO:20)] was isolated by PCR amplification of this interval of the toxin B gene from C. difficile genomic DNA. The sequence. and location within the toxin B gene. of the two PCR primers [P7 (SEQ ID NO:13) and P8 (SEQ ID NO:14)] used to amplify this region are shown in Figure 18.

20 DNA from the PCR amplification was purified by chloroform extraction and ethanol precipitation as described above. The DNA was restricted with Spel. and the cleaved DNA was resolved by agarose gel electrophoresis. The restriction digestion with Spel cleaved the 3.6 kb amplification product into a 1.8 kb doublet band. This doublet band was cut from the gel and mixed with appropriately cut, gel purified pMALc or pET23b vector. These vectors were prepared by digestion with Hindll. filling in the overhanging ends using the Klenow enzyme, and cleaving with Xbal (pMALc) or Nhel (pET23b). The gel purified DNA fragments were purified using the Prep-A-Gene kit (BioRad) and the DNA was ligated.

transformed and putative recombinant clones analyzed by restriction mapping.

pET and pMal clones containing the toxin B repeat insert (aa interval 1750-2360 of toxin B) were verified by restriction mapping. using enzymes that cleaved specific sites within the toxin B region. In both cases fusion of.the toxin B Spel site with either the compatible Xbal site (pMal) or compatible Nhel site (pET) is predicted to create an in frame fusion. This was confirmed in the case of the pMB1750-2360 clone by DNA sequencing of the clone 124 junction and 5' end of the toxin B insert using a MBP specific primer (New England Biolabs). In the case of the pET construct, the fusion of the blunt ended toxin B 3' end to the filled HindII site should create an in-frame fusion with the C-terminal poly-histidine sequence in this vector. The pPB1750-2360 clone selected had lost. as predicted. the HindIII site at this clone junction: this eliminated the possibility that an additional adenosine residue was added to the 3' end of the PCR product by a terminal transferase activity of the Pfu polymerase. stice fusion of this adenosine residue to the filled Hindlll site would regenerate the restriction site (and was observed in several clones).

One liter cultures of each expression construct were grown. and fusion protein purified by affinity chromatography on either an amylose resin column (pMAL constructs: resin supplied by New England Biolabs) or Ni-chelate column (pET constructs: resin supplied by i" Qiagen or Novagen) as described [Williams et al. (1994). supra]. The integrity and purity of the fusion proteins were determined by Coomassie staining of SDS-PAGE protein gels as well as Western blot analysis with either an affinity purified goat polyclonal antiserum (Tech Lab).

or a chicken polyclonal PEG prep. raised against the toxin B protein (CTB) as described above in Example 8. In both cases. affinity purification resulted in yields in excess of 20 mg protein per liter culture. of which greater than 90% was estimated to be full-length recombinant protein. It should be noted that the poly-histidine affinity tagged protein was released from the Qiagen Ni-NTA resin at low imidazole concentration (60 mM), 20 necessitating the use of a 40 mM imidazole rather than a 60 mM imidazole wash step during purification.

A periplasmically secreted version of pMB1750-2360 was constructed by replacement of the promoter and MBP coding region of this construct with that from a related vector (pMALM-p2; New England Biolabs) in which a signal sequence is present at the N-terminus of the MBP. such that fusion protein is exported. This was accomplished by substituting a BglII-EcoRV promoter fragment from pMAL-p2 into pMB1750-236 0 The yields of secreted.

affinity purified protein (recovered from osmotic shock extracts as described by Riggs in Current Protocols in Molecular Biology, Vol. 2. Ausubel. et al.. Eds. (1989). Current Protocols. pp. 16.6.1 16.6.14] from this vector (pMBpl750- 2360 were 6.5 mg/liter culture.

of which 50% was estimated to be full-length fusion protein.

The interval was also expressed in two non-overlapping fragments. pMB1750-1970 was constructed by introduction of a frameshift into pMB1750-2360. by restriction with HindlII. filling in the overhanging ends and religation of the plasmid. Recombinant clones 4 125 were selected by loss of the Hindlll site. and further restriction map analysis. Recombinant protein expression from this vector was more than 20 mg/liter of greater than 90% pure protein.

The complementary region was expressed in pMB1970-2360. This construct was created by removal of the 1750-1970 interval of pMB1750-2360. This was accomplished by restriction of this plasmid with EcoRI (in the pMalc polylinker 5' to the insert) and III. filling in the overhanging ends. and religation of the plasmid. The resultant plasmid. pMB1970-2360.

was made using both intracellularly and secreted versions of the pMB1750-2360 vector.

No fusion protein was secreted in the pMB1970-2360 version. perhaps due to a conformational constraint that prevents export of the fusion protein. However, the intracellularly expressed vector produced greater than 40mg/liter of greater than .9f0% fulllength fusion protein.

Constructs to precisely express the toxin B repeats in either pMalc (pMB1850-2360) or pETl6b (pPB1850-2360) were constructed as follows. The DNA interval including the toxin 15 B repeats was PCR amplified as described above utilizing PCR primers P14 (SEQ ID NO:19) and P8 (SEQ ID NO:14). Primer P14 adds a EcoRI site immediately flanking the start of the toxin B repeats.

SThe amplified fragment was cloned into the pT7 Blue T-vector (Novagen) and recombinant clones in which single copies of the PCR fragment were inserted in either orientation were selected (pT71850-2360) and confirmed by restriction mapping. The insert was excised from two appropriately oriented independently isolated pT71850-2360 plasmids.

with EcoRI end of repeats) and Pstl (in the flanking polylinker of the vector), and cloned into EcoRIlPstI cleaved pMalc vector. The resulting construct (pMB1850-2360) was confirmed by restriction analysis. and yielded 20 mg/1 of soluble fusion protein [greater than

S

90% intact nondegraded)] after affinity chromatography. Restriction of this plasmid with HindII and religation of the vector resulted in the removal of the 1970-2360 interval. The resultant construct (pMB1850-1970) expressed greater than 70 mg/liter of 90% full length fusion protein.

The pPB1850-2360 construct was made by cloning a EcoRI (filled with Klenow)- BamHI fragment from a pT71850-2360 vector (opposite orientation to that used in the pMB1850-2360 construction) into Ndel (filled)lBamHI cleaved pET16b vector. Yields of affinity purified soluble fusion protein were 15 mg/liter. of greater than 90% full length fusion protein.

126 Several smaller expression constructs from the 1750-2070 interval were also constructed in His-tagged pET vectors, but expression of these plasmids in the BL21 (DE3) host resulted in the production of high levels of mostly insoluble protein (see Table 23 and Figure 19). These constructs were made as follows.

pPB1850-1970 was constructed by cloning a BgII-Hindll fragment of pPB1850-2360 into BgIIIIHindlII cleaved pET23b vector. pPB1850-2070 was constructed by cloning a BgllI-Pvull fragment of pPB1850-2360 into BglII/Hincll cleaved pET23b vector. pPB1750- 1970(c) was constructed by removal of the internal HindIII fragment of a pPB1750-2360 vector in which the vector HindIII site was regenerated during cloning (presumably by the addition of an A residue to the amplified PCR product by terminal transferase activity of Pfu polymerase). The pPB1750-1970(n) construct was made by insertion of the insert eentaining the Ndel-HindIII fragment of pPB1750-2360 into identically cleaved pETHisb vector. All constructs were confirmed by restriction digestion.

An expression construct that directs expression of the 10-470 aa interval of toxin B 15 was constructed in the pMalc vector as follows. A Nhel (a site 5' to the insert in the pET23 vector)-AflI (filled) fragment of the toxin B gene from pPBIO-1530 was cloned into XbaI o.o (compatible with Nhel)/HindlII (filled) pMalc vector. The integrity of the construct (pMBIO- 470) was verified by restriction mapping and DNA sequencing of the 5' clone junction using a MBP specific DNA primer (New England Biolabs). However, all expressed protein was 20 degraded to the MBP monomer MW.

*A second construct spanning this interval (aa 10-470) was constructed by cloning the PCR amplification product from a reaction containing the P9 (SEQ ID NO:15) and P10 (SEQ ID NO:16) primers (Figure 18) into the pETHisa vector. This was accomplished by cloning the PCR product as an EcoRI-blunt fragment into EcoRI-Hincll restricted vector DNA; recombinant clones were verified by restriction mapping. Although this construct 520) allowed expression and purification (utilizing the N-terminal polyhistidine affinity tag) of intact fusion protein, yields were estimated at less than 500 lig per liter culture.

Higher yield of recombinant protein from this interval (aa 10-520) were obtained by expression of the interval in two overlapping clones. The 10-330aa interval was cloned in both pETHisa and pMalc vectors, using the BamHI-AflHI (filled) DNA fragment from pPBO0- 520. This fragment was cloned into BamHI-HindIll (filled) restricted pMalc or BamHI-Hincl restricted pETHisa vector. Recombinant clones were verified by restriction mapping. High level expression of either insoluble (pET) or soluble (pMal) fusion protein was obtained. Total 127 yields of fusion protein from the pMB10-330 construct (Figure 18) were 20 mg/liter culture.

of which 10% was estimated to be full-length fusion protein. Although yields of this interval were higher and >90% full-length recombinant protein produced when expressed from the pET construct. the pMal fusion was utilized since the expressed protein was soluble and thus more likely to have the native conformation.

The pMB260-520 clone was constructed by cloning EcoRI-Xbal cleaved amplified DNA from a PCR reaction containing the P11 (SEQ ID NO:17) and P10 (SEQ ID NO:16) DNA primers (Figure 18) into similarly restricted pMalc vector. Yields of affinity purified protein were 10 mg/liter. of which approximately 50% was estimated to be full-length recombinant protein.

The aa510-1110 interval was expressed as described below. This entire interval was expressed as a pMal fusion by cloning the Nhel-Hindll fragment of pUCB10-1530 into XbaI- HindII cleaved pMalc vector. The integrity of the construct (pMB510-1110) was verified by restriction mapping and DNA sequencing of the 5' clone junction using a MBP specific DNA 15 primer. The yield of affinity purified protein was 25 mg/liter culture. of which 5% was estimated to be full-length fusion protein (1 mg/liter).

To attempt to obtain higher yields. this region was expressed in two fragments (aa510- 820. and 820-1110) in the pMalc vector. The pMB510-820 clone was constructed by insertion of a SacI (in the pMalc polylinker 5' to the insert)-Hpal DNA fragment from 20 pMB510-1110 into Sacl/Stul restricted pMalc vector. The pMB820-1110 vector was constructed by insertion of the Hpal-HindlII fragment of pUCB10-1530 into BamHI (filled)/HindIII cleaved pMalc vector. The integrity of these constructs were verified by restriction mapping and DNA sequencing of the 5' clone junction using a MBP specific DNA primer.

Recombinant protein expressed from the pMB510-820 vector was highly unstable.

However, high levels (20 mg/liter) of >90% full-length fusion protein were obtained from the pMB820-1105 construct. The combination of partially degraded pMB510-l110 protein (enriched for the 510-820 interval) with the pMB820-1110 protein provides usable amounts of recombinant antigen from this interval.

The aal100-1750 interval was expressed as described below. The entire interval was expressed in the pMalc vector from a construct in which the AccI(filled)-Spel fragment of pPBI0-1750 was inserted into Stul/XbaI (Xbal is compatible with Spel: Slul and filled Accl sites are both blunt ended) restricted pMalc. The integrity of this construct (pMB1100-1750) 128 was verified by restriction mapping and DNA sequencing of the clone junction using a MBP specific DNA primer. Although 15 mg/liter of affinity purified protein was isolated from cells harboring this construct. the protein was greater than 99% degraded to MBP monomer size.

A smaller derivative of pMB 1100-1750 was constructed by restriction of pMBI 100- 1750 with Afll and Sall (in the pMalc polylinker 3' to the insert), filling in the overhanging ends. and religaing the plasmid. The resultant clone (verified by restriction digestion and DNA sequencing) has deleted the aal530-1750 interval, was designated pMB 1100-1530.

pMBI 100-1530 expressed recombinant protein at a yield of greater than 40 mg/liter. of which 5% was estimated to be full-length fusion protein.

Three constructs were made to express the remaining interval. Initially-a BspHI (filled)-Spel fragment from pPB10-1750 was cloned into EcoRI(filled)/Xbal cleaved pMalc vector. The integrity of this construct (pMB1570-1750) was verified by restriction mapping and DNA sequencing of the 5' clone junction using a MBP specific DNA primer. Expression 15 of recombinant protein from this plasmid was very low. approximately 3 mg affinity purified Sprotein per liter, and most was degraded to MBP monomer size. This region was subsequently expressed from a PCR amplified DNA fragment. A PCR reaction utilizing primers P13 [SEQ ID NO:18; P13 was engineered to introduce an EcoRI site 5' to amplified toxin B sequences] and P8 (SEQ ID NO:14) was performed on C difficile genomic DNA as 20 described above. The amplified fragment was cleaved with EcoRI and Spel. and cloned into EcoRIIXbal cleaved pMalc vector. The resultant clone (pMB1530-1750) was verified by restriction map analysis. and recombinant protein was expressed and purified. The yield was greater than 20 mg protein per liter culture and it was estimated that 25% was full-length fusion protein: this was a significantly higher yield than the original pMB1570-1750 clone.

The insert of pMB1530-1750 (in a EcoRI-Sall fragment) was transferred to the pETHisa vector (EcoRIlXhoI cleaved. Xhol and Sail ends are compatible). No detectable fusion protein was purified on Ni-Chelate columns from soluble lysates of cells induced to express fusion protein from this construct.

.J.

129- TABLE 23 Summary Of Toxin B Expression Constructs' Clone Affinity Tag Yield (mg/liter) Full Length pPB 10-1750 none low (estimated from9 Western blot hyb.) pPBIO-1530 none low (as above) pMB10-470 MBP 15mg/I 0% pPBI10-520 poly-his 0.5mg/I pPB 10-330 poly-his >20mg/I (insoluble) pMBJO-330 MBP 20mg/I PMB260-520 MBP I10mg/I pMB1 0O-I1110 MBP 25mg/I pMB510-820 MBP degraded (by Western blot hyb) pMB820-JJJ0 MBP 20mg/I pMB110-1750 MBP 15mg/I 0% pMB1JOO-1530 MBP 40mg/I pMB1570-1750 MBP 3mg/I pPB153-170 ply-isno purified 9) pPB130-750 olyhisprotein detected pMB]S3O-J 750 MBP 20mg/I pMBJ 750-2360 MBP >2Omgll pMBpl750-2360 MBP 6.5mg/I (secreted) pPB 1750-2360 poly-his >20mg/I pMB]750-1070 MBP >20mg/I 130 TABLE 23 Summary Of Toxin B Expression Constructs' Clone Affinity Tag Yield (mg/liter) Full Length pMB1970-2360 MBP 40mg/l pMBpl970-2360 MBP (no secretion) NA pMB1850-2360 MBP 20mg/l pPBI 850-2360 poly-his 15mg/l pMB 1850-1970 MBP 70mg/ >90% pPB 1850-1970 poly-his >1 Omg/1 (insoluble) pPB1850-2070 poly-his >10mg/1 (insoluble) pPB1750-1970(c) poly-his 10mg/l (insoluble) pPB1750-1970(n) poly-his >10mg/l (insoluble) 0 *009 0* 0O 00 0 Clones in italics are clones currently from each selected interval.

utilized to purify recombinant protein

S*

EXAMPLE 19 Identification. Purification And Induction Of Neutralizing Antibodies Against Recombinant C difficile Toxin B Protein To determine whether recombinant toxin B polypeptide fragments can generate neutralizing antibodies, typically animals would first be immunized with recombinant proteins and anti-recombinant antibodies-are generated. These anti-recombinant protein antibodies are then tested for neutralizing ability in vivo or in vitro. Depending on the immunogenic nature of the recombinant polypeptide. the generation of high-titer antibodies against that protein may take several months. To accelerate this process and identify which recombinant polypeptide(s) may be the best candidate to generate neutralizing antibodies, depletion studies were performed. Specifically, recombinant toxin B polypeptide were pre-screened by testing whether they have the ability to bind to protective antibodies from a CTB antibody preparation and hence deplete those antibodies of their neutralizing capacity. Those 131 recombinant polypeptides found to bind CTB. were then utilized to generate neutralizing antibodies. This Example involved: a) identification of recombinant sub-regions within toxin B to which neutralizing antibodies bind; b) identification of toxin B sub-region specific antibodies that neutralize toxin B in vivo; and c) generation and evaluation of antibodies reactive to recombinant toxin B polypeptides.

a) fIentification Of Recombinant Sub-Regions Within Toxin B To Which Neutralizing Antibodies Bind Sub-regions within toxin B to which neutralizing antibodies bind were identified by utilizing recombinant toxin B proteins to deplete protective antibodies from a polyclonal pool of antibodies against native C. difficile toxin B. An in vivo assay was developed to-evaluate protein preparations for the ability to bind neutralizing antibodies. Recombinant proteins were first pre-mixed with antibodies directed against native toxin B (CTB antibody: see Example 8) S* and allowed to react for one hour at 37 0 C. Subsequently. C. dificile toxin B (CTB: Tech 15 Lab) was added at a concentration lethal to hamsters and incubated for another hour at 37 0

C.

After incubation this mixture was injected intraperitoneally (IP) into hamsters. If the recombinant polypeptide contains neutralizing epitopes. the CTB antibodies will lose its ability to protect the hamsters against death from CTB. If partial or complete protection occurs with the CTB antibody-recombinant mixture. that recombinant contains only weak or 20 non-neutralizing epitopes of toxin B. This assay was performed as follows.

Antibodies against CTB were generated in egg laying Leghorn hens as described in Example 8. The lethal dosage (LD of C difficile toxin B when delivered I.P. into female Golden Syrian hamsters (Charles River) was determined to be 2.5 to 5 pg. Antibodies generated against CTB and purified by PEG precipitation could completely protect the hamsters at the I.P, dosage determined above. The minimal amount of CTB antibody needed to afford good protection against 5,ug of CTB when injected I.P. into hamsters was also determined (IX PEG prep). These experiments defined the parameters needed to test whether a given recombinant protein could deplete protective CTB antibodies.

132 The cloned regions tested for neutralizing ability cover the entire toxin B gene and were designated as Intervals (INT) 1 through 5 (see Figure 19). Approximately equivalent final concentrations of each recombinant polypeptide were tested. The following recombinant polypeptides were used: 1) a mixture of intervals I and 2 (INT-1. 2) a mixture of Intervals 4 and 5 (INT-4. 5) and 3) Interval 3 (INT-3). Recombinant proteins (each at about 1 mg total protein) were first preincubated with a final CTB antibody concentration of IX pellet dissolved in original yolk volume as described in Example in a final volume of mis for 1 hour at 37 0 C. Twenty-five pg of CTB (at a concentration of 5 pg/ml), enough CTB to kill 5 hamsters. was then added and the mixture was then incubated for 1 hour at 10 37 0 C. Five. 40g female hamsters (Charles River) in each treatment group were then each given I ml of the mixture I.P. using a tuberculin syringe with a 27 gauge needle. -The results of this experiment are shown in Table 24.

TABLE 24 Binding Of Neutralizing Antibodies By INT 3 Protein 15 Treatment Group' Number Of Animals Alive Number Of Animals Dead CTB antibodies 3 2 CTB antibodies INT1.2 3 2 CTB antibodies INT4.5 3 2 CTB antibodies INT 3 0 oo* C difficile toxin B (CTB) was added to each group.

As shown in Table 24, the addition of recombinant proteins from INT-1. 2 or INT-4. 'had no effect on the in vivo protective ability of the CTB antibody preparation compared to the CTB antibody preparation alone. In contrast. INT-3 recombinant polypeptide was able to remove all of the toxin B neutralizing ability of the CTB antibodies as demonstrated by the death of all the hamsters in that group.

133 The above experiment was repeated. using two smaller expressed fragments (pMB 1750-1970 and pMB 1970-2360. see Figure 19) comprising the INT-3 domain to determine if that domain could be further subdivided into smaller neutralizing epitopes. In addition, fulllength INT-3 polypeptide expressed as a nickel tagged protein (pPB1750-2360) was tested for neutralizing ability and compared to the original INT-3 expressed MBP fusion (pMB1750- 2360). The results are shown in Table TABLE Removal Of Neutralizing Antibodies By Repeat Containing Proteins 10 Treatment Group' Number Of Number Of Animals Alive Animals-Dead CTB antibodies 5 0 CTB antibodies pPB1750-2360 0 CTB antibodies pMB1750-2360 0 CTB antibodies pMB1970-2360 3 2 CTB antibodies pMB1750-1970 2 3 C. difficile toxin B (CTB) was added to each group.

The results summarized in Table 25 indicate that the smaller polypeptide fragments within the INT-3 domain. pMB1750-1970 and pMB1970-2360. partially lose the ability to bind to and remove neutralizing antibodies from the CTB antibody pool. These results demonstrate that the full length INT-3 polypeptide is required to completely deplete the CTB antibody pool of neutralizing antibodies. This experiment also shows that the neutralization epitope of INT-3 can be expressed in alternative vector systems and the results are independent of the vector utilized or the accompanying fusion partner.

Other Interval 3 specific proteins were subsequently tested for the ability to remove neutralizing antibodies within the CTB antibody pool as described above. The Interval 3 specific proteins used in these studies are summarized in Figure 23. In Figure 23 the following abbreviations are used: pP refers to the pET23 vector: pM refers to the pMALc vector: B refers to toxin B: the numbers refer to the amino acid interval expressed in the clone. The solid black ovals represent the MBP: and HHH represents the poly-histidine tag: 134 Only recombinant proteins comprising the entire toxin B repeat domain (pMB1750- 2360. pPB1750-2360 and pPB1850-2360) can bind and completely remove neutralizing antibodies from the CTB antibody pool. Recombinant proteins comprising only a portion of the toxin B repeat domain were not capable of completely removing neutralizing antibodies from the CTB antibody pool (pMB1750-1970 and pMB1970-2360 could partially remove neutralizing antibodies while pMB1850-1970 and pPB1850-2070 failed to remove any neutralizing antibodies from the CTB antibody pool).

The above results demonstrate that only the complete ligand binding domain (repeat region) of the toxin B gene can bind and completely remove neutralizing antibodies from the 10 CTB antibody pool. These results demonstrate that antibodies directed against the entire toxin B repeat region are necessary for in vivo toxin neutralization (see Figure 23: only the recombinant proteins expressed by the pMB1750-2360. pPB1750-2 3 6 0 and pPB1850-2360 vectors are capable of completely removing the neutralizing antibodies from the CTB antibody pool).

15 These results represent the first indication that the entire repeat region of toxin B would be necessary for the generation of antibodies capable of neutralizing toxin B. and that sub-regions may not be sufficient to generate maximal titers of neutralizing antibodies.

o b) Identification Of Toxin B Sub-Region Specific Antibodies That Neutralize Toxin B In Vivo To determine if antibodies directed against the toxin B repeat region are sufficient for 0 0o neutralization, region specific antibodies within the CTB antibody preparation were affinity purified, and tested for in vivo neutralization. Affinity columns containing recombinant toxin B repeat proteins were made as described below. A separate affinity column was prepared using each of the following recombinant toxin B repeat proteins: pPB1750-2360. pPB1850- 2360. pMB1750-1970 and pMB1970-2360.

For each affinity column to be made. four ml of PBS-washed Actigel resin (Sterogene) was coupled overnight at room temperature with 5-10 mg of affinity purified recombinant protein (first extensively dialyzed into PBS) in 15 ml tubes (Falcon) containing a 1/10 final volume Aid-coupling solution (I M sodium cyanoborohydride). Aliquots of the supematants from the coupling reactions. before and after coupling, were assessed by Coomassie staining of 7.5% SDS-PAGE gels. Based on protein band intensities, in all cases greater than coupling efficiencies were estimated. The resins were poured into 10 ml columns (BioRad).

135 washed extensively with PBS. pre-eluted with 4 M guanidine-HCI (in 10 mM Tris-HC1, pH and reequilibrated in PBS. The columns were stored at 4"C.

Aliquots of a CTB IgY polyclonal antibody preparation (PEG prep) were affinity purified on each of the four columns as described below. The columns were hooked to a UV monitor (ISCO). washed with PBS and 40 ml aliquots of a 2X PEG prep (filter sterilized using a 0.45 p filter) were applied. The columns were washed with PBS until the baseline value was re-established. The columns were then washed with BBStween to elute nonspecifically binding antibodies. and reequilibrated with PBS. Bound antibody was eluted from the column in 4M guanidine-HCI (in 10mM Tris-HC1. pH8.0). The eluted antibody was 10 immediately dialyzed against a 100-fold excess of PBS at 4 0 C for 2 hrs. The samples were then dialyzed extensively against at least 2 changes of PBS. and affinity purified-ahtibody was collected and stored at 4 0 C. The antibody preparations were quantified by UV absorbance.

The elution volumes were in the range of 4-8 ml. All affinity purified stocks contained similar total antibody concentrations. ranging from 0.25-0.35% of the total protein applied to the columns.

The ability of the affinity purified antibody preparations to neutralize toxin B in vivo was determined using the assay outlined in a) above. Affinity purified antibody was diluted 1:1 in PBS before testing. The results are shown in Table 26.

*o* 136 TABLE 26 Neutralization Of Toxin B By Affinity Purified Antibodies Sp Number of Number of Treatment group Animals Alive Animals Deadb Preimmune' 0 CTB': 400 pg 5 0 CTB (AP on pPB1750-2360): 2 875 pg 5 0 CTB (AP on pMB1750-1970); 2 875 pg 5 0 CTB (AP on pMB1970-2360):- 500 pg 5 0 C difficile toxin B (CTB) (Tech Lab: at 5 pg/ml. 25 pg total) at lethal concentration to hamsters is added to antibody and incubated for one hour at 37°C. After incubation this mixture is injected intraperitoneally (IP) into hamsters. Each treatment group received toxin premixed with antibody raised against the indicated protein. as either: 4X antibody PEG prep or 'affinity purified (AP) antibody (from CTB PEG prep. on indicated columns). The amount of specific antibody in each prep is indicated: the amount is directly determined for affinity purified preps and is estimated for the 4X CTB as described in Example h The numbers in each group represent numbers of hamsters dead or alive. 2 hr post IP administration of toxin/antibody mixture.

In all cases similar levels of toxin neutralization was observed, such that lethality was delayed in all groups relative to preimmune controls. This result demonstrates that antibodies reactive to the repeat region of the toxin B gene are sufficient to neutralize toxin B in vivo.

The hamsters will eventually die in all groups, but this death is maximally delayed with the CTB PEG prep antibodies. Thus neutralization with the affinity purified (AP) antibodies is not as complete as that observed with the CTB prep before affinity chromatography. This result may be due to loss of activity during guanidine denaturation (during the elution of the antibodies from the affinity column) or the presence of antibodies specific to other regions of the toxin B gene that can contribute to toxin neutralization (present in the CTB PEG prep).

137 The observation that antibodies affinity purified against the non-overlapping pMB1750-1970 and pMB1970-2360 proteins neutralized toxin B raised the possibility that either 1) antibodies specific to repeat sub-regions are sufficient to neutralize toxin B or 2) sub-region specific proteins can bind most or all repeat specific antibodies present in the CTB polyclonal pool. This would likely be due to conformational similarities between repeats.

since homology in the primary amino acid sequences between different repeats is in the range of only 25-75% [Eichel-Streiber. e al. (1992) Molec. Gen. Genetics 233:260]. These possibilities were tested by affinity chromatography.

The CTB PEG prep was sequentially depleted 2X on the pMB1750-1970 column: only a small elution peak was observed after the second chromatography. indicating that most S. reactive antibodies were.removed. This interval depleted CTB preparation was then chromatographed on the pPB1850-2360 column: no antibody bound to the column. The reactivity of the CTB and CTB (pMB1750-1970 depleted) preps to pPB1750-2360. pPB1850- 2360. pMB1750-1970 and pMB1970-2360 proteins was then determined by ELISA using the protocol described in Example 13(c). Briefly. 96-well microtiter plates (Falcon. Pro-Bind Assay Plates) were coated with recombinant protein by adding 100 Pl volumes of protein at 1-2 gg/ml in PBS containing 0.005% thimerosal to each well and incubating overnight at 4 0

C.

The next morning, the coating suspensions were decanted and the wells were washed three times using PBS. In order to block non-specific binding sites. 100 pl of 1.0% BSA (Sigma) 20 in PBS (blocking solution) was then added to each well. and the plates were incubated for 1 hr. at 37 0 C. The blocking solution was decanted and duplicate samples of 150 pl of diluted antibody was added to the first well of a dilution series. The initial testing serum dilution was (1/200 for CTB prep. (the concentration of depleted CTB was standardized by OD,o) in blocking solution containing 0.5% Tween 20. followed by 5-fold serial dilutions into this solution. This was accomplished by serially transferring 30 pl aliquots to 120 l buffer.

mixing, and repeating the dilution into a fresh well. After the final dilution. 30 pl was removed from the well such that all wells contained 120 lp final volume. A total of 5 such dilutions were performed (4 wells total). The plates were incubated for 1 hr at 37 0

C.

Following this incubation, the serially diluted samples were decanted and the wells were washed three times using PBS containing 0.5% Tween 20 (PBST), followed by two 5 min washes using BBS-Tween and a final three washes using PBST. To each well. 100 pl of 1/1000 diluted secondary antibody [rabbit anti-chicken IgG alkaline phosphatase (Sigma) diluted in blocking solution containing 0.5% Tween 20] was added, and the plate was 138incubated 1 hr at 37°C. The conjugate solutions were decanted and the plates were washed 6 times in PBST. then once in 50 mM Na,C0 3 10 mM MgCl,. pH 9.5. The plates were developed by the addition of 100 pl of a solution containing 1 mg/ml para-nitro phenyl phosphate (Sigma) dissolved in 50 mM Na.CO, 3 10 mM MgCl 2 pH 9.5 to each well. The plates were then incubated at room temperature in the dark for 5-45 min. The absorbency of each well was measured at 410 nm using a Dynatech MR 700 plate reader.

As predicted by the affinity chromatography results, depletion of the CTB prep on the pMB1750-!970 column removed all detectable reactivity to the pMB1970-2360 protein. The reciprocal purification of a CTB prep that was depleted on the pMB1970-2360 column 10 yielded no bound antibody when chromatographed on the pMB1750-1970 column. These results demonstrate that all repeat reactive antibodies in the CTB polyclonal pool tecognize a conserved structure that is present in non-overlapping repeats. Although it is possible that this conserved structure represents rare conserved linear epitopes. it appears more likely that the neutralizing antibodies recognize a specific protein conformation. This conclusion was also suggested by the results of Western blot hybridization analysis of CTB reactivity to these recombinant proteins.

Western blots of 7.5% SDS-PAGE gels. loaded and electrophoresed with defined quantities of each recombinant protein, were probed with the CTB polyclonal antibody preparation. The blots were prepared and developed with alkaline phosphatase as described in Example 3. The results are shown in Figure 24.

Figure 24 depicts a comparison of immunoreactivity of IgY antibody raised against either native or recombinant toxin B antigen. Equal amounts of pMB1750-1970 (lane 1).

pMB1970-2360 (lane pPB1850-2360 (lane 3) as well as a serial dilution of pPB1750-2360 (lanes 4-6 comprising IX. 1/10X and 1/100X amounts, respectively) proteins were loaded in duplicate and resolved on a 7.5% SDS-PAGE gel. The gel was blotted and each half was hybridized with PEG prep IgY antibodies from.chickens immunized with either native CTB or pPB1750-2360 protein. Note that the full-length pMB1750-1970 protein was identified only by antibodies reactive to the recombinant protein (arrows).

Although the CTB prep reacts with the pPB1750-2360, pPB1850-2360. and pMB1970- 2360 proteins, no reactivity to the pMB1750-1970 protein was observed (Figure 24). Given that all repeat reactive antibodies can be bound by this protein during affinity chromatography, this result indicates that the protein cannot fold properly on Western blots.

Since this eliminates all antibody reactivity, it is unlikely that the repeat reactive antibodies.in a 139 the CTB prep recognize linear epitopes. This may indicate that in order to induce protective antibodies, recombinant toxin B protein will need to be properly folded.

c) Generation And Evaluation Of Antibodies Reactive To Recombinant Toxin B Polypeptides i) Generation Of Antibodies Reactive To Recombinant Toxin B Proteins Antibodies against recombinant proteins were generated in egg laying Leghorn hens as described in Example 13. Antibodies were raised [using Freund's adjuvant (Gibco) unless 10 otherwise indicated] against the following recombinant proteins: 1) a mixture of Interval 1+2 proteins (see Figure 18): 2) a mixture of interval 4 and 5 proteins (see Figure 18),-3) pMB1970-2360 protein: 4) pPB1750-2360 protein: 5) pMB1750-2360: 6) pMB1750-2360 [Titermax adjuvant (Vaxcell)]; 7) pMB1750-2360 [Gerbu adjuvant (Biotech)]; 8) pMBpl750- 2360 protein; 9) pPB1850-2360: and 10) pMB1850-2360.

Chickens were boosted at least 3 times with recombinant protein until ELISA reactivity [using the protocol described in b) above with the exception that the plates were coated with pPB1750-2360 protein] of polyclonal PEG preps was at least equal to that of the CTB polyclonal antibody PEG prep. ELISA titers were determined for the PEG preps from all of the above immunogens and were found to be comparable ranging from 1:12500 to 1:62500. High titers were achieved in all cases except in 6) pMB1750-2360 in which strong titers were not observed using the Titermax adjuvant. and this preparation was not tested further.

ii) Evaluation Of Antibodies Reactive To Recombinant Proteins By Western Blot Hybridization Western blots of 7.5% SDS-PAGE gels. loaded and electrophoresed with defined quantities of recombinant protein (pMB1750-1970, pPB1850-2360. and pMB1970-2360 proteins and a serial dilution of the pPB 1750-2360 to allow quantification of reactivity), were probed with the CTB, pPB1750-23 6 0, pMB1750-2360 and pMB1970-23 6 0 polyclonal antibody preparations (from chickens immunized using Freund's adjuvant). The blots were prepared and developed with alkaline phosphatase as described above in b).

140 As shown in Figure 24. the CTB and pMB1970-2360 preps reacted strongly with the pPB1750-2360. pPB1850-2360. and pMB1970-2360 proteins while the pPB1750-2360 and pMB1970-2360 (Gerbu) preparations reacted strongly with all four proteins. The Western blot reactivity of the pPB1750-2360 and pMB1970-2360 (Gerbu) preparations were equivalent to that of the CTB preparation, while reactivity of the pMB1970-2360 preparation was that of the CTB prep. Despite equivalent ELISA reactivities only weak reactivity (approximately"1%) to the recombinant proteins were observed in PEG preps from two independent groups immunized with the pMB1750-2360 protein and one group immunized with the pMB1750-2360 preparation using Freund's adjuvant.

S. 10 Affinity purification was utilized to determine if this difference in immunoreactivity by Western blot analysis reflects differing antibody titers. Fifty ml 2X PEG preparations from chickens immunized with either pMB1750-2360 or pMB1970-2360 protein were chromatographed on the pPB1750-2360 affinity column from b) above, as described. The yield of affinity purified antibody total protein in preparation) was equivalent to the yield obtained from a CTB PEG preparation in b) above. Thus. differences in Western reactivity reflect a qualitative difference in the antibody pools, rather than quantitative differences..

These results demonstrate that certain recombinant proteins are more effective at generating high affinity antibodies (as assayed by Western blot hybridization).

20 iii) In Vivo Neutralization Of Toxin B Using Antibodies Reactive To Recombinant Protein The in vivo hamster model [described in Examples 9 and 14(b)] was utilized to assess the neutralizing ability of antibodies raised against recombinant toxin B proteins. The results from three experiments are shown below in Tables 27-29.

The ability of each immunogen to neutralize toxin B in vivo has been compiled and is shown in Table 30. As predicted from the recombinant protein-CTB premix studies (Table 24) only antibodies to Interval 3 (1750-2366) and not the other regions of toxin B intervals 1-5) are protective. Unexpectedly, antibodies generated to INT-3 region expressed in pMAL vector (pMB1750-2360 and pMB1750-2360) using Freund's adjuvant were nonneutralizing. This observation is reproducible. since no neutralization was observed in two independent immunizations with pMB1750-2360 and one immunization with pMpB1750- 2360. The fact that 5X quantities of affinity purified toxin B repeat specific antibodies from pMB1750-2360 PEG preps cannot neutralize toxin B while IX quantities of affinity purified.

141 anti-CTB antibodies can (Table 28) demonstrates that the differential ability of CTB antibodies to neutralize toxin B is due to qualitative rather than quantitative differences in these antibody preparations. Only when this region was expressed in an alternative vector (pPB1750-2360) or using an alternative adjuvant with the pMB1750-2360 protein were neutralizing antibodies generated. Importantly, antibodies raised using Freund's adjuvant to pPB1850-2360. which contains a fragment that is only 100 amino acids smaller than recombinant pPB1750-2360. are unable to neutralize toxin B in vivo (Table 27): note also that the same vector is used for both pPB1850-2360 and pPB1750-2360.

TABLE 27 10 In Vivo Neutralization Of Toxin B

S

0* a.

S.

5*

SSOS

S

*5S

S

Treatment Group' Number Animals Aliveb Number Animals Deadb Preimmune 0 CTB 5 0 INTI+2 0 INT 4+5 0 pMB1750-2360 0 pMB1970-2360 0 pPB1750-2360 5 0 C difficile toxin B (CTB) (at 5 pg/ml: 25 pg total: Tech Lab) at lethal concentration to hamsters is added to antibody and incubated for one hour at 37*C. After incubation this mixture is injected intraperitoneally (IP) into hamsters. Each treatment group received toxin premixed with antibody raised against the indicated protein, as a 4X antibody PEG prep.

b The numbers in each group represent numbers of hamsters dead or alive. 2 hours post IP administration of toxin/antibody mixture.

142 *O TABLE 28 In Vivo Neutralization Of Toxin B Using Affinity Purified Antibodies Treatment Group' Number Animals Aliveb Number Animals Deadb Preimmune(l) 0 -CTB(1) 5 0 pPB1750-2360(1) 5 0 mg anti-pMB1750-2360( 2 1 4 1.5 mg anti-pMB1970-2360(2) 0 300 pg anti-CTB(2) 5 0 C. difficile toxin B (CTB) (at 5 pg/ml: 25 plg total:Tech Lab) at lethal concentration to hamsters is added to antibody and incubated for one hour at 37 0 C. After incubation. I ml of this mixture is injected intraperitoneally (IP) into hamsters. Each treatment group received toxin premixed with antibody 15 raised against the indicated protein, as either 4X antibody PEG prep or (2) affinity purified antibody (on a pPB1750-2360 resin), either 1.5 mg/group (anti-pMB1750-2360 and anti-pMB1970-2360: used undiluted affinity purified antibody) or 350 pg/group (anti-CTB. repeat specific: used 1/5 diluted anti- CTB antibody).

h The numbers in each group represent numbers of hamsters dead or alive. 2 hr post-IP administration of toxin/antibody mixture.

143 TABLE 29 Generation Of Neutralizing Antibodies Utilizing The Gerbu Adjuvant Treatment Group' Number Animals Aliveb Number Animals Deadb Preimmune 0 6TB 5 0 pMB1970-2360 0 pMB1850-2360 0 pPB1850-2360 0 pMB1750-2360 (Gerbu adj) 5 0 C. difficile toxin B (CTB) (Tech Lab) at lethal concentration to hamsters is added to antibody and incubated for one hour at 37°C. After incubation this mixture is injected intraperitoneally (IP) into hamsters. Each treatment group received toxin premixed with antibody raised against the indicated protein, as a 4X antibody PEG prep.

b The numbers in each group represent numbers of hamsters dead or alive. 2 hrs post IP administration of toxiniantibody mixture.

144 4 4 o 4 *4 4 4* TABLE In Vivo Neutralization Of Toxin B Imniunogen Adjuvant Tested Antigen In vivo Preparation' Utilized For AP Neutralization' Preimmune NA' PEG NA no CTh (nativ e) Titerrnax PEG NA yes CTh (native) Titennax AP pPBl75O-2360 yes CTh (native) Titennax AP pPBl85O-2360 yes CTB (native) Titermax AP pPB 1750-1970 yes CTB (native) Titermax AP pPB1970-2360 yes pMB1750-2360 Freunds PEG NA no pMBI1750-2360 Freunds AP pPBI750-2360 no pMB 1750-2360 Gerbu PEG NA yes pMB1970-2360 Freunds PEG NA no pMB1970-2360 Freunds, AP pPB175O-23 6 0 no pPB 1750-2360 Freunds PEG NA yes PPB1850-2360 Freunds PEG NA no PMB1850-2360 Freunds PEGI NA no INT 1+2 Freunds PEG NA no INT 4+5 Freunds;

PEG

Either PEG preparation (PEG) or affinity purified antibodies (AP).

'Yes' denotes complete neutralization (0/5 dead) while 'no' denotes no neutralization (5/5 dead) of toxin B. 2 hours post-administration of mixture.

'NA' denotes not applicable.

145 The pPB1750-2360 antibody pool confers significant in vivo protection. equivalent to that obtained with the affinity purified CTB antibodies. This correlates with the observed high affinity of this antibody pool (relative to the pMB1750-236 0 or pMB1970-2360 pools) as assayed by Western blot analysis (Figure 24). These results provide the first demonstration that in vivo neutralizing antibodies can be induced using recombinant toxin B protein as immunogen.

The fa'iure of high concentrations of antibodies raised against the pMB1750-2360 protein (using Freunds adjuvant) to neutralize, while the use of Gerbu adjuvant and pMB1750-2360 protein generates a neutralizing response. demonstrates that conformation or presentation of this protein is essential for the induction of neutralizing antibodies. These results are consistent with the observation that the neutralizing antibodies produced when native CTB is used as an immunogen appear to recognize conformational epitopes [see section b) above]. This is the first demonstration that the conformation or presentation of i* recombinant toxin B protein is essential to generate high titers of neutralizing antibodies.

EXAMPLE Determination Of Quantitative And Qualitative Differences Between pMB1750-236 0 pMB1750- 23 60 (Gerbu) Or pPBI750-2360 I9Y Polvclonal Antibody Preparations In Example 19. it was demonstrated that toxin B neutralizing antibodies could be generated using specific recombinant toxin B proteins (pPB1750-2360) or specific adjuvants.

.::Antibodies raised against pMB1750-2360 were capable of neutralizing the enterotoxin effect of toxin B when the recombinant protein was used to immunize hens in conjunction with the Gerbu adjuvant. but not when Freunds adjuvant was used. To determine the basis for these 25 antigen and adjuvant restrictions, toxin B-specific antibodies present in the neutralizing and non-neutralizing PEG preparations were isolated by affinity chromatography and tested for qualitative or quantitative differences. The example involved a) purification of anti-toxin

B

specific antibodies from pMB1750-2360 and pPB1750-2360 PEG preparations and b) in vivo neutralization of toxin B using the affinity purified antibody.

a) Purification Of specific Antibodies From pMB1750-23 6 0 And pPB1750- 23 6 0 PEG Preparations To purify and determine the concentration of specific antibodies (expressed as the percent of total antibody) within the pPB1750-2360 (Freunds and Gerbu) and pPB1750-2360 146 PEG preparations. defined quantities of these antibody preparations were chromatographed on an affinity column containing the entire toxin B repeat region (pPB1750-2360). The amount of affinity purified antibody was then quantified.

An affinity column containing the recombinant toxin B repeat protein, pPB1750-2360, was made as follows. Four ml of PBS-washed Actigel resin (Sterogene) was coupled with mg of pPB1750-2360 affinity purified protein (dialyzed into PBS: estimated to be greater than full length fusion protein) in a 15 ml tube (Falcon) containing 1/10 final volume Aldcoupling solution (1M sodium cyanoborohydride). Aliquots of the supernatant from the coupling reactions. before and after coupling, were assessed by Coomassie staining of SDS-PAGE gels. Based on protein band intensities, greater than 95% (approximately 5 mg) of recombinant protein was coupled to the resin. The coupled resin was poured into a 10 ml column (BioRad). washed extensively with PBS. pre-eluted with 4M guanidine-HCI (in mM Tris-HCL. pH 8.0: 0.005% thimerosal) and re-equilibrated in PBS and stored at 4*C.

Aliquots of pMB1750-2360. pMB1750-2360 (Gerbu) or pPB1750-2360 IgY polyclonal 15 antibody preparations (PEG preps) were affinity purified on the above column as follows.

The column was attached to an UV monitor (ISCO). and washed with PBS. Forty ml aliquots of 2X PEG preps (filter sterilized using a 0.45 p filter and quantified by OD, 8 0 before chromatography) was applied. The column was washed with PBS until the baseline was reestablished (the column flow-through was saved), washed with BBSTween to elute 20 nonspecifically binding antibodies and re-equilibrated with PBS. Bound antibody was eluted from the column in 4M guanidine-HCI (in 10 mM Tris-HCL. pH 8.0. 0.005% thimerosal) and the entire elution peak collected in a 15 ml tube (Falcon). The column was re-equilibrated.

-and the column eluate re-chromatographed as described above. The antibody preparations were quantified by UV absorbance (the elution buffer was used to zero the spectrophotometer). Approximately 10 fold higher concentrations of total purified antibody was obtained upon elution of the first chromatography pass relative to the second pass. The low yield from the second chromatography pass indicated that most of the specific antibodies were removed by the first round of chromatography.

Pools of affinity purified specific antibodies were prepared by dialysis of the column elutes after the first column chromatography pass for the pMB1750-2360. pMB1750-2360 (Gerbu) or pPB1750-2360 IgY polyclonal antibody preparations. The elutes were collected on ice and immediately dialyzed against a 100-fold volume of PBS at 4"C for 2 hrs. The samples were then dialyzed against 3 changes of a 65-fold volume of PBS at 4"C. Dialysis 147was performed for a minimum of 8 hrs per change of PBS. The dialyzed samples were collected, centrifuged to remove insoluble debris, quantified by ODg, and stored at 4 0

C.

The percentage of toxin B repeat-specific antibodies present in each preparation was determined using the quantifications of antibody yields from the first column pass (amount of specific antibody recovered after first pass/total protein loaded). The yield of repeat-specific affinity purified antibody (expressed as the percent of total protein in the preparation) in: 1) the pMB1750-2360 PEG prep was approximately 2) the pMB1750-2360 (Gerbu) prep was approximately and 3) the pPB1750-2360 prep was approximately 0.4%.

Purification of a CTB IgY polyclonal antibody preparation on the same column demonstrated that the concentration of toxin B repeat specific antibodies in the CTB preparation was 0.35%.

These results demonstrate that I) the use of Gerbu adjuvant enhanced the titer of specific antibody produced against the pMB 1750-2360 protein 5-fold relative to immunization using Freunds adjuvant. and 2) the differences seen in the in vivo neutralization ability of the pMB1750-2360 (not neutralizing) and pPB1750-2360 (neutralizing) and CTB (neutralizing) PEG preps seen in Example 19 was not due to differences in the titers of repeat-specific antibodies in the three preparations because the titer of repeat-specific antibody was similar for all three preps: therefore the differing ability of the three antibody preparations to neutralize toxin B must reflect qualitative differences in the induced toxin B repeat-specific antibodies. To confirm that qualitative differences exist between antibodies raised in hens 20 immunized with different recombinant proteins and/or different adjuvants. the same amount of affinity purified anti-toxin B repeat (aa 1870-2360 of toxin B) antibodies from the different preparations was administered to hamsters using the in vivo hamster model as described below.

b) In vivo Neutralization Of Toxin B Using Affinity Purified Antibody The in vivo hamster model was utilized to assess the neutralizing ability of the affinity purified antibodies raised against recombinant toxin B proteins purified in above. As well.

a 4X IgY PEG preparation from a second independent immunization utilizing the pPB1750- 2360 antigen with Freunds adjuvant was tested for in vivo neutralization. The results are shown in Table 31.

148 *9

S

TABLE 31 In vivo Neutralization Of Toxin B Using Affinity Purified Antibodies Treatment Group" Number Animals Aliveb Number Animals Deadb Preimmune' 0 C'B (300 jg) 2 5 0 CTB (100 pg) 1 4 pMB1750-2360 (5 mg) 2 5 0 pMB1750-2360 (1.5 mg) 2 5 0 pMB1750-2360 (300 jg) 2 5 0 pMBI750-2360 (1.5 mg) 0 pPB1750-2360 (1.5 mg) 2 5 0 pPB1750-2360 (300 jg)- 1 4 CTB (100 g) 3 2 3 pPB1750-2360 (500 jg)' 5 0 C. difficile toxin B (CTB) (Tech Lab) at lethal concentration to hamsters pg) was added to the antibody (amount of specific antibody is indicated) and incubated for one hour at 37*C. After incubation, this mixture was injected IP into hamsters (1/5 total mix injected per hamster). Each treatment group received toxin premixed with antibody raised against the indicated protein (G=gerbu adjuvant. F=Freunds adjuvant). 'indicates the antibody was a 4X IgY PEG prep; indicates the antibody was affinity purified on a pPB1850- 2360 resin; and indicates that the antibody was a IX IgY PEG prep.

b The numbers in each group represent numbers of hamsters dead or alive. 2 hrs post IP administration of toxin/antibody mixture.

149 The results shown in Table 31 demonstrate that: 1) as shown in Example 19 and reproduced here. 1.5 mg of affinity purified antibody from pMB1750-2360 immunized hens using Freunds adjuvant does not neutralize toxin B in vivo. However. 300 jlg of affinity purified antibody from similarly immunized hens utilizing Gerbu adjuvant demonstrated complete neutralization of toxin B in vivo. This demonstrates that Gerbu adjuvant. in addition to enhancing the titer of antibodies reactive to the pMB1750-2360 antigen relative to Freunds adjuvant (demonstrated in above), also enhances the yield of neutralizing antibodies to this antigen. greater than 5 fold.

2) Complete in vivo neutralization of toxin B was observed with 1.5 mg of affinity purified antibody from hens immunized with pPB1750-2360 antigen, but not with pMB1750-2360 antigen, when Freunds adjuvant was used. This demonstrates.

using standardized toxin B repeat-specific antibody concentrations. that neutralizing antibodies were induced when pPB1750-2360 but not pMB1750-2360 was used as the antigen with Freunds adjuvant.

3) Complete in vivo neutralization was observed with 300 ag of pMB1750-2360 (Gerbu) antibody. but not with 300 plg of pPB1750-2360 (Freunds) antibody. Thus the pMB1750-2360 (Gerbu) antibody has a higher titer of neutralizing antibodies than the pPB1750-2360 (Freunds) antibody.

20 4) Complete neutralization of toxin B was observed using 300 jg of CTB antibody [affinity purified but not 100 pg CTB antibody (AP or PEG prep).

This demonstrates that greater than 100 jg of toxin B repeat-specific antibody (anti- CTB) is necessary to neutralize 25 jg toxin B in vivo in this assay. and that affinity purified antibodies specific to the toxin B repeat interval neutralize toxin B as effectively as the PEP prep of IgY raised against the entire CTB protein (shown in this assay).

As was observed with the initial pPB1750-2360 (IgY) PEG preparation (Example 19). complete neutralization was observed with a IgY PEG preparation isolated from a second independent group of pPB1750-2360 (Freunds) immunized hens. This demonstrates that neutralizing antibodies are reproducibly produced when hens are immunized with pPB1750-2360 protein utilizing Freund's adjuvant.

150 EXAMPLE 21 Diagnostic Enzyme Immunoassavs For C. difficile Toxins A and B The ability of the recombinant toxin proteins and antibodies raised against these recombinant proteins (described in the above examples) to form the basis of diagnostic assays for the detection of clostridial toxin in a sample was examined. Two immunoassay formats were tested to quantitatively detect C. difficile toxin A and toxin B from a biological specimen. The first format involved a competitive assay in which a fixed amount of recombinant toxin A or B was immobilized on a solid support microtiter plate wells) followed by the addition of a toxin-containing biological specimen mixed with affinitypurified or PEG fractionated antibodies against recombinant toxin A or B. If toxin is present in a specimen. this toxin will compete with the immobilized recombinant toxin protein for binding to theanti-recombinant antibody thereby reducing the signal obtained following the addition of a reporter reagent. The reporter reagent detects the presence of antibody bound to the immobilized toxin protein.

In the second format. a sandwich immunoassay was developed using affinity-purified antibodies to recombinant toxin A and B. The affinity-purified antibodies to recombinant toxin A and B were used to coat microtiter wells instead of the recombinant polypeptides (as was done in the competitive assay format). Biological samples containing toxin A or B were 20 then added to the wells followed by the addition of a reporter reagent to detect the presence of bound toxin in the well.

a) Competitive Immunoassay For The Detection Of C difficile 5 Toxin Recombinant toxin A or B was attached to a solid support by coating 96 well microtiter plates with the toxin protein at a concentration of 1lg/ml in PBS. The plates were incubated overnight at 2-8 0 C. The following morning, the coating solutions were removed and the remaining protein binding sites on the wells were blocked by filling each well with a PBS solution containing 0.5% BSA and 0.05% Tween-20. Native C. difficile toxin A or B (Tech Lab) was diluted to 4 ig/ml in stool extracts from healthy Syrian hamsters (Sasco).

The stool extracts were made by placing fecal pellets in a 15 ml centrifuge tube; PBS was added at 2 ml/pellet and the tube was vortexed to create a uniform suspension. The tube was then centrifuged at 2000 rpm for 5 min at room temperature. The supernatant was removed; 151 this comprises the stool extract. Fifty pl of the hamster stool extract was pipetted into each well of the microtiter plates to serve as the diluent for serial dilutions of the 4 pg/ml toxin samples. One hundred pl of the toxin samples at 4 pg/ml was pipetted into the first row of wells in the microtiter plate. and 50 pl aliquots were removed and diluted serially down the plate in duplicate. An equal volume of affinity purified anti-recombinant toxin antibodies [1 ng/well of anti-pMA 1870-2680 antibody was used for the detection of toxin A: 0.5 ng/well of anti-pMB1750-2360(Gerbu) was used for the detection of toxin B] were added to appropriate wells, and the plates were incubated at room temperature for 2 hours with gentle agitation.

Wells serving as negative control contained antibody but no native toxin to compete for binding.

Unbound toxin and antibody were removed by washing the plates 3 to 5 times with PBS containing 0.05% Tween-20. Following the wash step, 100 pl of rabbit anti-chicken IgG antibody conjugated to alkaline phosphatase (Sigma) was added to each well and the plates Swere incubated for 2 hours at room temperature. The plates were then washed as before to S 15 remove unbound secondary antibody. Freshly prepared alkaline phosphatase substrate (1 mg/ml p-nitrophenyl phosphate (Sigma) in 50 mM NaCO 3 pH 9.5: 10 mM MgCl,) was added to each well. Once sufficient color developed, the plates were read on a Dynatech S.MR700 microtiter plate reader using a 410 nm filter.

The results are summarized in Tables 32 and 33. For the results shown in Table 32, 20 the wells were coated with recombinant toxin A protein (pMA1870-2680). The amount of native toxin A added (present as an addition to solubilized hamster stool) to a given well is indicated (0 to 200 ng). Antibody raised against the recombinant toxin A protein. pMA1870- 2680. was affinity purified on the an affinity column containing pPA1870-2680 (described in Example 20). As shown in Table 32. the recombinant toxin A protein and affinity-purified antitoxin can be used for the basis of a competitive immunoassay for the detection of toxin A in biological samples.

Similar results were obtained using the recombinant toxin B, pPB1750-23 6 0, and antibodies raised against pMB1750-2360(Gerbu). For the results shown in Table 33, the wells were coated with recombinant toxin B protein (pPB1750-2360). The amount of native toxin B added (present as an addition to solubilized hamster stool) to a given well is indicated (0 to 200 ng). Antibody raised against the recombinant toxin B protein. pMB1750- 2360(Gerbu). was affinity purified on the an affinity column containing pPB1850-2360 (described in Example 20). As shown in Table 33. the recombinant toxin B protein and 152a affinity-purified antitoxin can be used for the basis of a competitive immunoassay for the detection of toxin B in biological samples.

In this competition assay, the reduction is considered significant over the background levels at all points; therefore the assay can be used to detect samples containing less than 12.5 ng toxin A/well and as little as 50-100 ng toxin B/well.

TABLE 32 Competitive Inhibition Of Anti-C. difficile Toxin A By Native Toxin A ng Toxin A/Well OD 4 0 o Readout 200 0.176 100 0.253 0.240 25 0.259 12.5 0.309 6.25 0.367 3.125 0.417 0 0.590 TABLE 33 Competitive Inhibition Of Anti-C. difficile Toxin B By Native Toxin B ng Toxin B/Well OD,o Readout 200 0.392 100 0.566 0.607 0.778 12.5 0.970 6.25 0.902 3.125 1.040 0 1.055 153 These competitive inhibition assays demonstrate that native C. difficile toxins and recombinant C. difficile toxin proteins can compete for binding to antibodies raised against recombinant C. difficile toxins demonstrating that these anti-recombinant toxin antibodies provide effective diagnostic reagents.

b) Sandwich Immunoassay For The Detection Of C. difficile Toxin Affinity-purified antibodies against recombinant toxin A or toxin B were immobilized to 96 well microtiter plates as follows. The wells were passively coated overnight at 4"C with affinity purified antibodies raised against either pMA1870-2680 (toxin A) or pMB1750- 2360(Gerbu) (toxin The antibodies were affinity purified as described in Example The antibodies were used at a concentration of 1 Vg/ml and 100 pl was added to each microtiter well. The wells were then blocked with 200 pl of 0.5% BSA in PBS for 2 hours at room temperature and the blocking solution was then decanted. Stool samples from healthy 15 Syrian hamsters were resuspended in PBS. pH 7.4 (2 ml PBS/stool pellet was used to resuspend the pellets and the sample was centrifuged as described above). The stool suspension was then spiked with native C difficile toxin A or B (Tech Lab) at 4 pg/ml. The stool suspensions containing toxin (either toxin A or toxin B) were then serially diluted twofold in stool suspension without toxin and 50 pi was added in duplicate to the coated 20 microtiter wells. Wells containing stool suspension without toxin served as the negative control.

The plates were incubated for 2 hours at room temperature and then were washed three times with PBS. One hundred pi of either goat anti-native toxin A or goat anti-native toxin B (Tech Lab) diluted 1:1000 in PBS containing 1% BSA and 0.05% Tween 20 was added to each well The plates were incubated for another 2 hours at room temperature.

The plates were then washed as before and 100 pi of alkaline phosphatase-conjugated rabbit anti-goat IgG (Cappel. Durham. was added at a dilution of 1:1000. The plates were incubated for another 2 hours at room temperature. The plates were washed as before then developed by the addition of 100 pl/well of a substrate solution containing 1 mg/ml pnitrophenyl phosphate (Sigma) in 50 mM Na,CO,. pH 9.5: 10 mM MgCI,. The absorbance of each well was measured using a plate reader (Dynatech) at 410 nm. The assay results are shown in Tables 34 and 154 '0 0 0 00 *000 @0 0 000* 0 0000 0 TABLE 34 C. difficile Toxin A Detection In Stool Using Affinity-Purified Antibodies Against Toxin A ng Toxin A/Well OD 4 Readout 200 0.9 100 0.8 0.73 0.71 12.5 0.59 6.25 0.421 10 0 0 TABLE C. difficile Toxin B Detection In Stool Using Affinity-Purified Antibodies Against Toxin B ng Toxin B/Well

OD

4 1 o Readout 200 1.2 100 0.973 50 0.887 0.846 12.5 0.651 6.25 0.431 0 0.004 The results shown in Tables 34 and 35 show that antibodies raised against recombinsnt toxin A and toxin B fragments can be used to detect the presence of C. difficile toxin in stool samples. These antibodies form the basis for a sensitive sandwich immunoassay which is capable of detecting as little as 6.25 ng of either toxin A or B in a 50 pl stool sample. As shown above in Tables 34 and 35. the background for this sandwich immunoassay is extremely low: therefore, the sensitivity of this assay is much lower than 6.25 ng toxin/well.

It is likely that toxin levels of 0.5 to 1.0 pg/well could be detected by this assay.

155 The results shown above in Tables 32-35 demonstrate clear utility of the recombinant reagents in C. difficile toxin detection systems.

EXAMPLE 22 Construction And Expression Of C botulinum C Fragment Fusion Proteins The C botulinum type A neurotoxin gene has been cloned and sequenced [Thompson.

el al., Eur. J. Biochem. 189:73 (1990)]. The nucleotide sequence of the toxin gene is available from the EMBL/GenBank sequence data banks under the accession number X52066; the nucleotide sequence of the coding region is listed in SEQ ID NO:27. The amino acid sequence of the C. botulinum type A neurotoxiri is listed in SEQ ID NO:28. The type A S'neurotoxin gene is synthesized as a single polypeptide chain which is processed to form a dimer composed of a light and a heavy chain linked via disulfide bonds. The 50 kD carboxy- Sterminal portion of the heavy chain is referred to as the C fragment or the H c domain.

Previous attempts by others to express polypeptides comprising the C fragment ofC.

fe* botulinum type A toxin as a native polypeptide not as a fusion protein) in E. coli have been unsuccessful LaPenotiere. et al. in Botulinum and Tetanus Neurotoxins, DasGupta, Ed., Plenum Press. New York (1993), pp. 463-466]. Expression of the C fragment as a fusion with the E. coli MBP was reported to result in the production of insoluble protein 20 LaPenotiere. et al.. supra).

In order to produce soluble recombinant C fragment proteins in E. coli. fusion proteins comprising a synthetic C fragment gene derived from the C botulinum type A toxin and either a portion of the C difficile toxin protein or the MBP were constructed. This example involved a) the construction of plasmids encoding C fragment fusion proteins and b) expression of C. botulinum C fragment fusion proteins in E. coli.

a) Construction Of Plasmids Encoding C Fragment Fusion Proteins In Example 11. it was demonstrated that the C. difficile toxin A repeat domain can be efficiently expressed and purified in E. coli as either native (expressed in the pET 23a vector in clone pPAl 870-2680) or fusion (expressed in the pMALc vector as a fusion with the E.

coli MBP in clone pMA1870-2680) proteins. Fusion proteins comprising a fusion between the MBP, portions of the C. difficile toxin A repeat domain (shown to be expressed as a 156 soluble fusion protein) and the C fragment of the C. hotulinum type A toxin were constructed.

A fusion protein comprising the C fragment of the C. botulinum type A toxin and the MBP was also constructed.

Figure 25 provides a schematic representation of the botulinal fusion proteins along with the donor constructs containing the C. difficile toxin A sequences or C. botulinum C fragment sequences which were used to generate the botulinal fusion proteins. In Figure the solid boxes represent C. difficile toxin A gene sequences, the open boxes represent C.

botulinum C fragment sequences and the solid black ovals represent the E. coli MBP. When the name for a restriction enzyme appears inside parenthesis. this indicates that the restriction site was destroyed during construction. An asterisk appearing with the name for a restriction enzyme indicates that this restriction site was recreated at the cloning junction.

S: In Figure 25. a restriction map of the pMA1870-2680 and pPA 1100-2680 constructs (described in Example 11) which contain sequences derived from the C. difficile toxin A 1 repeat domain are shown: these constructs were used as the source of C. difficile toxin A gene 15 sequences for the construction of plasmids encoding fusions between the C botulinum C fragment gene and the C. difficile toxin A gene. The pMA1870-2680 expression construct expresses high levels of soluble, intact fusion protein (20 mg/liter culture) which can be ,affinity purified on an amylose column (purification described in Example I ld).

The pAlterBot construct (Figure 25) was used as the source of C. botulinum C 20 fragment gene sequences for the botulinal fusion proteins. pAlterBot was obtained from J.

Middlebrook and R. Lemley at the U.S. Department of Defense. pAlterBot contains a synthetic C botulinum C fragment inserted in to the pALTER-I® vector (Promega). This synthetic C fragment gene encodes the same amino acids as does the naturally occurring C fragment gene. The naturally occurring C fragment sequences. like most clostridial genes. are extremely A/T rich (Thompson el al.. supra). This high A/T content creates expression difficulties in E. coli and yeast due to altered codon usage frequency and fortuitous polyadenylation sites. respectively. In order to improve the expression of C fragment proteins in E. coli. a synthetic version of the gene was created in which the non-preferred codons were replaced with preferred codons.

The nucleotide sequence of the C. botulinum C fragment gene sequences contained within pAlterBot is listed in SEQ ID NO:22. The first six nucleotides (ATGGCT) encode a methionine and alanine residue. respectively. These two amino acids result from the insertion of the C botulinum C fragment sequences into the pALTER® vector and provide the initiator 157 methionine residue. The amino acid sequence of the C. botulinum C fragment encoded by the sequences contained within pAlterBot is listed in SEQ ID NO:23. The first two amino acids (Met Ala) are encoded by vector-derived sequences. From the third amino acid residue onward (Arg), the amino acid sequence is identical to that found in the C. botulinum type A toxin gene.

The pMA1870-2680. pPA1100-2680 and pAlterBot constructs were used as progenitor plasmids to make expression constructs in which fragments of the C. difficile toxin A repeat domain were expressed as genetic fusions with the C. botulinum C fragment gene using the pMAL-c expression vector (New England BioLabs). The pMAL-c expression vector generates fusion proteins which contain the MBP at the amino-terminal end of the protein. A construct. pMBot in which the C. botulinum C fragment gene was expressed as a fusion with only the MBP was constructed (Figure 25). Fusion protein expression was induced from E.

coli strains harboring the above plasmids. and induced protein was affinity purified on an amylose resin column.

I i) Construction Of pBlueBot In order to facilitate the cloning of the C. botulinum C fragment gene sequences into a number of desired constructs. the botulinal gene sequences were removed from pAlterBot and Swere inserted into the pBluescript plasmid (Stratagene) to generate pBlueBot (Figure S 20 pBlueBot was constructed as follows. Bacteria containing the pAlterBot plasmid were grown in medium containing tetracycline and plasmid DNA was isolated using the QIAprep-spin Plasmid Kit (Qiagen). One microgram of pAlterBot DNA was digested with Ncol and the resulting 3' recessed sticky end was made blunt using the Klenow fragment of DNA polymerase I (here after the Klenow fragment). The pAlterBot DNA was then digested with 25 HindIll to release the botulinal gene sequences (the Bot insert) as a blunt (filled Ncol site)- HindII fragment. pBluescript vector DNA was prepared by digesting 200 ng of pBluescript DNA with Smal and HindlII. The digestion products from both plasmids were resolved on an agarose gel. The appropriate fragments were removed from the gel, mixed and purified utilizing the Prep-a-Gene kit (BioRad). The eluted DNA was then ligated using T4 DNA ligase and used to transform competent DHSa cells (Gibco-BRL). Host cells were made competent for transformation using the calcium chloride protocol of Sambrook et al., supra at 1.82-1.83. Recombinant clones were isolated and confirmed by restriction digestion using standard recombinant molecular biology techniques (Sambrook et al. supra). The resultant 158 clone. pBlueBot. contains several useful unique restriction sites flanking the Bot insert the C. botulinum C fragment sequences derived from pAlterBot) as shown in Figure ii) Construction Of C. difficile I C. botulinum I MBP Fusion Proteins Constructs encoding fusions between the C difficile toxin A gene and the C. botulinum C fragment gene and the MBP were made utilizing the same recombinant DNA methodology outlined above: these fusion proteins contained varying amounts of the C. difficile toxin A repeat domain.

The pMABot clone contains a 2.4 kb insert derived from the C. difficile toxin A gene fused to the Bot insert the C. botulinum C fragment sequences derived from pAlterBot).

pMABot (Figure 25) was constructed by mixing gel-purified DNA from Notl/Hindill digested pBlueBot (the 1.2 kb Bot fragment). Spel/Notl digested pPA1100-2680 (the 2.4 kb C. difficile toxin A repeat fragment) and XbalIHindIII digested pMAL-c vector. Recombinant clones 15 were isolated. confirmed by restriction digestion and purified using the QIAprep-spin Plasmid Kit (Qiagen). This clone expresses the toxin A repeats and the botulinal C fragment protein sequences as an in-frame fusion with the MBP.

The pMCABot construct contains a 1.0 kb insert derived from the C. difficile toxin A gene fused to the Bot insert the C. botulinum C fragment sequences derived from S: 0 pAlterBot). pMCABot was constructed by digesting the pMABot clone with EcoRI to remove the 5' end of the C difficile toxin A repeat (see Figure 25. the pMAL-c vector contains a EcoRI site 5' to the C. difficile insert in the pMABot clone). The restriction sites were filled and religated together after gel purification. The resultant clone (pMCABot.

Figure 25) generated an in-frame fusion between the MBP and the remaining 3' portion of the 25 C difficile toxin A repeat domain fused to the Bot gene.

The pMNABot clone contains the 1 kb Speli'-coRI (filled) fragment from the C.

difficile toxin A repeat domain (derived from clone pPAl 100-2680) and the 1.2 kb C botulinum C fragment gene as a Ncol (filled)HindIII fragment (derived from pAlterBot).

These two fragments were inserted into the pMAL-c vector digested with Xbal/HindIIl. The two insert fragments were generated by digestion of the appropriate plasmid with EcoRI (pPA1100-2680) or Ncol (pAlterBot) followed by treatment with the Klenow fragment. After treatment with the Klenow fragment, the plasmids were digested with the second enzyme (either Spel or HindIll). All three fragments were gel purified, mixed and Prep-a-Gene 159 purified prior to ligation. Following ligation and transformation, putative recombinants were analyzed by restriction analysis: the EcoRI site was found to be regenerated at the fusion junction, as was predicted for a fusion between the filled EcoRl and Ncol sites.

A construct encoding a fusion protein between the botulinal C fragment gene and the MBP gene was constructed this fusion lacks any C difficile toxin A gene sequences) and termed pMBot. The pMBot construct was made by removal of the C difficile toxin A sequences from the pMABot construct and fusing the C fragment gene sequences to the MBP.

This was accomplished by digestion of pMABot DNA with Stul (located in the pMALc polylinker 5' to the Xbal site) and Xbal (located 3' to the Noil site at the toxA-Bot fusion junction), filling in the Xbal site using the Klenow fragment. gel purifying the desired restriction fragment and ligating the blunt ends to circularize the plasmid. Following ligation and transformation. putative recombinants were analyzed by restriction mapping of the Bot insert the C. botulinum C fragment sequences).

15 b) Expression Of C botulinum C Fragment Fusion Proteins In E. coli Large scale (1 liter) cultures of the pMAL-c vector, and each recombinant construct described above in were grown. induced, and soluble protein fractions were isolated as described in Example 18. The soluble protein extracts were chromatographed on amylose 20 affinity columns to isolate recombinant fusion protein. The purified recombinant fusion proteins were analyzed by running samples on SDS-PAGE gels followed by Coomassie staining and by Western blot analysis as described [Williams et al. (1994) supra]. In brief.

extracts were prepared and chromatographed in column buffer (10 mM NaPO,, 0.5 M NaCI.

10 mM p-mercaptoethanol. pH 7.2) over an amylose resin (New England Biolabs) column.

25 and eluted with column buffer containing 10 mM maltose as described [Williams. et al.

(1994), supra]. An SDS-PAGE gel containing the purified protein samples tained with Coomassie blue is shown in Figure 26.

In Figure 26. the following samples were loaded. Lanes 1-6 contain protein purified from E. coli containing the pMAL-c. pPA1870-2680, pMABot. pMNABot, pMCABot and pMBot plasmids. respectively. Lane 7 contains broad range molecular weight protein markers (BioRad).

The protein samples were prepared for electrophoresis by mixing 5 pi of eluted protein with 5 pl of 2X SDS-PAGE sample buffer (0.125 mM Tris-HCl. pH 6.8. 2 mM EDTA, 6% 160 SDS. 20% glycerol. 0.025% bromophenol blue; P-mercaptoethanol is added to 5% before use). The samples were heated to 95 0 C for 5 min. then cooled and loaded on a 7.5% agarose SDS-PAGE gel. Broad range molecular weight protein markers were also loaded to allow estimation of the MW of identified fusion proteins. After electrophoresis. protein was detected generally by staining the gel with Coomassie blue.

In all cases the yields were in excess of 20 mg fusion protein per liter culture (see Table 36) and. with the exception of the pMCABot protein, a high percentage greater than 20-50% of total eluted protein) of the eluted fusion protein was of a MW predicted for the full length fusion protein (Figure 26). It was estimated (by visual inspection) that less than 10% of the pMCABot fusion protein was expressed as the full length fusion protein.

TABLE 36 Yield Of Affinity Purified C. botulinum C Fragment MBP Fusion Proteins 9 9 9 9* 9 9*9 9* 99* 9 9 *o 9* 9 oooo oo oo* *oo 15 Yield Percentage Of Total Construct(mg/liter of Culture) Soluble Protein pMABot 24 pMCABot 34 pMNABot 40 pMBot 22 pMA1870-2680 40 4.8 20 These results demonstrate that high level expression of intact C bodilinum C fragment/C. difficile toxin A fusion proteins in E. coli is feasible using the pMAL-c expression system. These results are in contrast to those reported by H. F. LaPenotiere. et al.

(1993), supra. In addition. these results show that it is not necessary to fuse the botulinal C fragment gene to the C. difficile toxin A gene in order to produce a soluble fusion protein using the pMAL-c system in E. coli.

In order to determine whether the above-described botulinal fusion proteins were recognized by anti-C. botulinum toxin A antibodies. Western blots were performed. Samples containing affinity-purified proteins from E. coli containing the pMABot. pMCABot.

pMNABot, pMBot. pMA1870-2680 or pMALc plasmids were analyzed. SDS-PAGE gels acrylamide) were loaded with protein samples purified from each expression construct.

161 After electrophoresis. the gels were blotted and protein transfer was confirmed by Ponceau S staining (as described in Example 12b).

Following protein transfer, the blots were blocked by incubation for 1 hr at 20 0 C in blocking buffer [PBST (PBS containing 0.1% Tween 20 and 5% dry milk)]. The blots were then incubated in 10 ml of a solution containing the primary antibody; this solution comprised a 1/500 dilution of an anti-C. botulinum toxin A IgY PEG prep (described in Example 3) in blocking buffer. The blots were incubated for 1 hr at room temperature in the presence of the primary antibody. The blots were washed and developed using a rabbit anti-chicken alkaline phosphatase conjugate (Boehringer Mannheim) as the secondary antibody as follows. The rabbit anti-chicken antibody was diluted to 1 pg/ml in blocking buffer (10 ml final volume per blot) and the blots were incubated at room temperature for 1 hour in the presence of the secondary antibody. The blots were then washed successively with PBST. BBS-Tween and 50 mM Na,C0 3 pH 9.5. The blots were then developed in freshly-prepared alkaline phosphatase substrate buffer (100 lig/ml nitro blue tetrazolium. 50 pg/ml 15 indolylphosphate. 5 mM MgCI, in 50 mM Na,CO3. pH Development was stopped by flooding the blots with distilled water and the blots were air dried.

This Western blot analysis detected anti-C. botulinum toxin reactive proteins in the pMABot, pMCABot, pMNABot and pMBot protein samples (corresponding to the predicted full length proteins identified above by Coomassie staining in Figure 26). but not in the 20 pMA1100-2680 or pMALc protein samples.

These results demonstrate that the relevant fusion proteins purified on an amylose resin as described above in section a) contained immunoreactive C botulinum C fragment protein as predicted.

25 EXAMPLE 23 Generation Of Neutralizing Antibodies By Nasal Administration Of pMBot Protein The ability of the recombinant botulinal toxin proteins produced in Example 22 to stimulate a systemic immune response against botulinal toxin epitopes was assessed. This example involved: a) the evaluation of the induction of serum IgG titers produced by nasal or oral administration of botulinal toxin-containing C difficile toxin A fusion proteins and b) the in vivo neutralization of C botulinum type A neurotoxin by anti- recombinant C.

botulinum C fragment antibodies.

162 a) Evaluation Of The Induction Of Serum IgG Titers Produced By Nasal Or Oral Administration Of Botulinal Toxin- Containing C. difficile Toxin A Fusion Proteins Six groups containing five 6 week old CF female rats (Charles River) per group were immunized nasally or orally with one of the following three combinations using protein prepared in Example 22: 250 pg pMBot protein per rat (nasal and oral); 2) 250 pg pMABot protein per rat (nasal and oral): 3) 125 pg pMBot admixed with 125 pg pMA1870- 2680 per rat (nasal and oral). A second set of 5 groups containing 3 CF female rats/group were immunized nasally or orally with one of the following combinations 250 pg pMNABot protein per rat (nasal and oral) or 5) 250 pg pMAL-c protein per rat (nasal and oral).

The fusion proteins were prepared for immunization as follows. The proteins (in column buffer containing 10 mM maltose) were diluted in 0.1 M carbonate buffer, pH 9.5 and administered orally or nasally in a 200 pl volume. The rats were lightly sedated with ether 15 prior to administration. The oral dosing was accomplished using a 20 gauge feeding needle.

The nasal dosing was performed using a P-200 micro-pipettor (Gilson). The rats were boosted 14 days after the primary immunization using the techniques described above and were bled 7 days later. Rats from each group were lightly etherized and bled from the tail.

The blood was allowed to clot at 37*C for 1 hr and the serum was collected.

S 20 The serum from individual rats was analyzed using an ELISA to determine the anti-C.

,botulinum type A toxin IgG serum titer. The ELISA protocol used is a modification of that described in Example 13c. Briefly. 96-well microtiter plates (Falcon. Pro-Bind Assay Plates) were coated with C botulinum type A toxoid (prepared as described in Example 3a) by S placing 100 pl volumes of C botulinum type A toxoid at 2.5 pg/ml in PBS containing 25 0.005% thimerosal in each well and incubating overnight at 4 0 C. The next morning, the coating suspensions were decanted and all wells were washed three times using PBS.

In order to block non-specific binding sites. 100 pl of blocking solution BSA in PBS] was then added to each well and the plates were incubated for 1 hr at 37°C. The blocking solution was decanted and duplicate samples of 150 pl of diluted rat serum added to the first well of a dilution series. The initial testing serum dilution was 1:30 in blocking solution containing 0.5% Tween 20 followed by 5-fold dilutions into this solution. This was accomplished by serially transferring 30 pl aliquots to 120 pl blocking solution containing Tween 20, mixing, and repeating the dilution into a fresh well. After the final dilution.

163 .l was removed from the well such that all wells contained 120 pC final volume. A total of 3 such dilutions were performed (4 wells total). The plates were incubated 1 hr at 37 0

C.

Following this incubation, the serially diluted samples were decanted and the wells were washed six times using PBS containing 0.5% Tween 20 (PBST). To each well. 100 pl of a rabbit anti-Rat IgG alkaline phosphatase (Sigma) diluted (1/1000) in blocking buffer containing 0.5% Tween 20 was added and the plate was incubated for 1 hr at 37°C. The conjugate solutions were decanted and the plates were washed as described above, substituting mM Na,CO3, pH 9.5 for the PBST in the final wash. The plates were developed by the addition of 100 pl of a solution containing 1 mg/ml para-nitro phenyl phosphate (Sigma) dissolved in 50 mM NaC0 3 10 mM MgCIl. pH 9.5 to each well. and incubating the plates at room temperature in the dark for 5-45 min. The absorbency of each well was measured at 410 nm using a Dynatech MR 700 plate reader. The results are summarized in Tables 37 and 38 and represent mean serum reactivities of individual mice.

TABLE 37 15 Determination Of Anti-C. botulinum Type A Toxin Serum IgG Titers Following Immunization With C. botulinum C Fragment-Containing Fusion Proteins oo i

*CC*

e 20

C..

C C Route of Immunization Nasal Oral pMBot pMBot& Immunogen PRE- pMBot pMA1870- pMABot pMBot pMA1870- pMABot IMMUNE 2680 2680 Dilution 1:30 0.080 1.040 1.030 0.060 0.190 0.080 0.120 1:150 0.017 0.580 0.540 0.022 0.070 0.020 0.027 1:750 0.009 0.280 0.260 0.010 0.020 0.010 0.014 1:3750 0.007 0.084 0.090 0.009 0.009 0.010 0.007 Rats 5 55 2 Tested Numbers represent the average values obtained from two ELISA plates.

standardized utilizing the preimmune control.

164 *5

*SS*

S

TABLE 38 Determination Of Anti-C. botulinum Type A Toxin Serum IgG Titers Following Immunization With C. botulinum C Fragment-Containing Fusion Proteins Route of Immunization Nasal Oral Immunogen PRE-IMMUNE pMBot pMABot pMNABot pMNABot Dilution 1:30 0.040 0.557 0.010 0.015 0.010 1:150 0.009 0383 0.001 0.003 0.002 1:750 0.001 0.140 0.000 0.000 0.000 1:3750 0.000 0.040 0.000 0.000 0.000 Rats Tested I I 3 3 The above ELISA results demonstrate that reactivity against the botulinal fusion 15 proteins was strongest when the route of administration was nasal: only weak responses were stimulated when the botulinal fusion proteins were given orally. Nasally delivered pMbot and pMBot admixed with pMA1870-2680 invoked the greatest serum IgG response. These results show that only the pMBot protein is necessary to induce this response. since the addition of the pMAI870-2680 protein did not enhance antibody response (Table 37). Placement of the C. difficile toxin A fragment between the MBP and the C. botulinum C fragment protein dramatically reduced anti-bot IgG titer (see results using pMABot. pMCABot and pMNABot proteins).

This study demonstrates that the pMBot protein induces a strong serum IgG response directed against C botulinum type A toxin when nasally administered.

b) In Vivo Neutralization Of C. botulinum Type A Neurotoxin By Anti- Recombinant C. botulinum C Fragment Antibodies The ability of the anti-C botulinum type A toxin antibodies generated by nasal administration of recombinant botulinal fusion proteins in rats (Example 22) to neutralize C hotulinum type A toxin was tested in a mouse neutralization model. The mouse model is the art accepted method for detection of botulinal toxins in body fluids and for the evaluation of anti-botulinal antibodies Schantz and D.A. Kautter. J. Assoc. Off. Anal. Chem. 61:96 (1990) and Investigational New Drug (BB-IND-3703) application by the Surgeon General of.

165 the Department of the Army to the Federal Food and Drug Administration]. The anti-C botulinum type A toxin antibodies were prepared as follows.

Rats from the group given pMBot protein by nasal administration were boosted a second time with 250 ig pMBot protein per rat and serum was collected 7 days later. Serum from one rat from this group and from a preimmune rat was tested for anti-C botulinum type A toxin neutralizing activity in the mouse neutralization model described below.

The LD.o of a solution of purified C botulinum type A toxin complex. obtained from Dr. Eric 'ohnson (University of Wisconsin Madison), was determined using the intraperitoneal (IP) method of Schantz and Kautter Assoc. Off. Anal. Chem. 61:96 (1978)] using 18-22 gram female ICR mice and was found to be 3500 LD 0 o/ml. The determination of the LD.o was performed as follows. A Type A toxin standard was prepared by dissolving purified type A toxin complex in 25 mM sodium phosphate buffer. pH 6.8 to yield a stock toxin solution of 3.15 x 107 LD /mg. The of the solution was determined and the concentration was adjusted to 10-20 ig/ml. The toxin solution was then diluted 1:100 in gel-phosphate (30 mM 15 phosphate. pH 6.4: 0.2% gelatin). Further dilutions of the toxin solution were made as shown below in Table 39. Two mice were injected IP with 0.5 ml of each dilution shown and the mice were observed for symptoms of botulism for a period of 72 hours.

TABLE 39 Determination Of The LDo Of Purified C. botulinum Type A Toxin Complex 20

S

Dilution: Number Dead At 72 hr 1:320 2/2 1:640 2/2 1:1280 2/2 1:2560 0/2 (sick after 72 hr) 1:5120 0/2 (no symptoms) From the results shown in Table 39. the toxin titer was assumed to be between 2560

LD

50 /ml and 5120 LDo/ml (or about 3840 LDo/ml). This value was rounded to 3500 LDso/ml for the sake of calculation.

The amount of neutralizing antibodies present in the serum of rats immunized nasally with pMBot protein was then determined. Serum from two rats boosted with pMBot protein as described above and preimmune serum from one rat was tested as follows. The toxin 166standard was diluted 1:100 in gel-phosphate to a final concentration of 350 LD,o/ml. One milliliter of the diluted toxin standard was mixed with 25 pl of serum from each of the three rats and 0.2 ml of gel-phosphate. The mixtures were incubated at room temperature for min with occasional mixing. Each of two mice were injected with IP with 0.5 ml of the mixtures. The mice were observed for signs of botulism for 72 hr. Mice receiving serum from rats immunized with pMBot protein neutralized this challenge dose. Mice receiving preimmune raFserum died in less than 24 hr.

The amount of neutralizing anti-toxin antibodies present in the serum of rats immunized with pMBot protein was then quantitated. Serum antibody titrations were performed by mixing 0.1 ml of each of the antibody dilutions (see Table 40) with 0.1 ml of a 1:10 dilution of stock toxin solution (3.5 x 10' LD\ml) with 1.0 ml of gel-phosphate and injecting 0.5 ml IP into 2 mice per dilution. The mice were then observed for signs of botulism for 3 days (72 hr). The results are tabulated in Table 39.

As shown in Table 40 pMBot serum neutralized C botulinum type A toxin complex 15 when used at a dilution of 1:320 or less. A mean neutralizing value of 168 lU/ml was obtained for the pMBot serum (an IU is defined as 10.000 mouse This value translates to a circulating serum titer of about 3.7 lU/mg of serum protein. This neutralizing titer is comparable to the commercially available bottled concentrated (Connaught Laboratories. Ltd.) horse anti-C botulinum antiserum. A 10 ml vial of Connaught antiserum contains about 200 mg/ml of protein:each ml can neutralize 750 IU of C. botulinum type A toxin. After administration of one vial to a human, the circulating serum titer of the Connaught preparation would be approximately 25 IU/ml assuming an average serum volume of 3 liters).

Thus. the circulating anti-C botulinum titer seen in rats nasally immunized with pMBot protein (168 IU/ml) is 6.7 time higher than the necessary circulation titer of anti-C. botulinum S 25 antibody needed to be protective in humans.

-167- TABLE Quantitation Of Neutralizing Antibodies In pMBot Sera 1:20 2/2 2/2 1:40 2/2 2/2 1:80 2/2 2/2 1:160 2/2 1:320 2/2 2 /2 1:640 0/2 0/2 1:320 2/2b 2 1:1280 0/2 0/2 1:2560 0/2 0/2 Numbers represent the number of mice surviving at 72 hours which received serum taken from rats immunized with the pMBot protein.

h These mice survived but were sick after 72 hr.

These results demonstrate that antibodies capable of neutralizing C. botulinum type A toxin are induced when recombinant C. botulinum C fragment fusion protein produced in E.

coli is used as an immunogen.

4*

S

EXAMPLE 24 Production Of Soluble C. botulinum C Fragment Protein Substantially Free Of Endotoxin Contamination Example 23 demonstrated that neutralizing antibodies are generated by immunization with the pMBot protein expressed in E. coll. These results showed that the pMBot fusion protein is a good vaccine candidate. However. immunogens suitable for use as vaccines should be pyrogen-free in addition to having the capability of inducing neutralizing antibodies. Expression clones and conditions that facilitate the production of C botulinum C fragment protein for utilization as a vaccine were developed.

The example involved: determination of pyrogen content of the pMBot protein; generation of C botulinum C fragment protein free of the MBP: expression of C.

168 botulinum C fragment protein using various expression vectors: and purification of soluble C. botulinum C fragment protein substantially free of significant endotoxin contamination.

a) Determination Of The Pyrogen Content Of The pMBot Protein In order to use a recombinant antigen as a vaccine in humans or other animals, the antigen preparation must be shown to be free of pyrogens. The most significant pyrogen present in preparations of recombinant proteins produced in gram-negative bacteria, such as E.

coli. is endotoxin Pearson. Pyrogens: endotoxins. LAL testing and depyrogentaion, (1985) Marcel Dekker. New York. pp. 23-56]. To evaluate the utility of the pMBot protein as a vaccine candidate. the endotoxin content in MBP fusion proteins was determined.

The endotoxin content of recombinant protein samples was assayed utilizing the Limulus assay (LAL kit: Associates of Cape Cod according to the manufacturer's instructions. Samples of affinity-purified pMal-c protein and pMA1870-2680 were found to 15 contain high levels of endotoxin [>50.000 EU/mg protein: EU (endotoxin unit)]. This suggested that MBP- or toxin A repeat-containing fusions with the botulinal C fragment should also contain high levels of endotoxin. Accordingly. removal of endotoxin from affinity-purified pMal-c and pMBot protein preparations was attempted as follows.

Samples of pMal-c and pMBot protein were depyrogenated with polymyxin to determine if the endotoxin could be easily removed. The following amount of protein was treated: 29 ml at 4.8 OD, 0 /ml for pMal-c and 19 mis at 1.44 ODs/ml for pMBot. The protein samples were dialyzed extensively against PBS and mixed in a 50 ml tube (Falcon) with 0.5 ml PBS-equilibrated polymyxin B (Affi-Prep Polymyxin. BioRad). The samples were allowed to mix by rotating the tubes overnight at 4 0 C. The polymyxin was pelleted by 25 centrifugation for 30 min in a bench top centrifuge at maximum speed (approximately 2000 x g) and the supernatant was removed. The recovered protein (in the supernatant) was quantified by OD, 8 0 and the endotoxin activity was assayed by LAL. In both cases only approximately 1/3 of the input protein was recovered and the polymyxin-treated protein retained significant endotoxin contamination (approximately 7000 EU/mg of pMBot).

The depyrogenation experiment was repeated using an independently purified pMal-c protein preparation and similar results were obtained. From these studies it was concluded that significant levels of endotoxin copurifies with these MBP fusion proteins using the 169 amylose resin. Furthermore. this endotoxin cannot be easily removed by polymyxin treatment.

These results suggest that the presence of the MBP sequences on the fusion protein complicated the removal of endotoxin from preparations of the pMBot protein.

b) Generation Of C botulinum C Fragment Protein Free Of The MBP It was demonstrated that the pMBot fusion protein could not be easily purified from contaminating endotoxin in section a) above. The ability to produce a pyrogen-free endotoxin-free) preparation of soluble botulinal C fragment protein free of the MBP tag was next investigated. The pMBot expression construct was designed to facilitate purification of the botulinal C fragment from the MBP tag by cleavage of the fusion protein by utilizing an engineered Factor Xa cleavage site present between the MBP and the botulinal C fragment.

The Factor Xa cleavage was performed as follows.

15 Factor Xa (New England Biolabs) was added to the pMBot protein (using a 0.1-1.0% Factor Xa/pMBot protein ratio) in a variety of buffer conditions PBS-NaCI (PBS containing 0.5 M NaCI), PBS-NaCI containing 0.2% Tween 20. PBS. PBS containing 0.2% Tween 20, PBS-C (PBS containing 2 mM CaCI,), PBS-C containing either 0.1 or 0.5 Tween 20. PBS-C containing either 0.1 or 0.5% NP-40, PBS-C containing either 0.1 or Triton X-100. PBS-C containing 0.1% sodium deoxycholate. PBS-C containing 0.1% SDS].

The Factor Xa digestions were incubated for 12-72 hrs at room temperature.

The extent of cleavage was assessed by Western blot or Coomassie blue staining of proteins following electrophoresis on denaturing SDS-PAGE gels. as described in Example "22. Cleavage reactions (and control samples of uncleaved pMBot protein) were centrifuged 25 for 2 min in a microfuge to remove insoluble protein prior to loading the samples on the gel.

The Factor Xa treated samples were compared with uncleaved, uncentrifuged pMBot samples on the same gel. The results of this analysis is summarized below.

1) Most (about 90%) pMBot protein could be removed by centrifugation, even when uncleaved control samples were utilized. This indicated that the pMBot fusion protein was not fully soluble it exists as a suspension rather than as a solution). [This result was consistent with the observation that most affinity-purified pMBot protein precipitates after long term storage weeks) at 4 0 C. Additionally, the majority 75%) of induced pMBot protein remains in the pellet after sonication and clarification of the induced E. coli.

170- Resuspension of these insoluble pellets in PBS followed by sonication results in partial solubilization of the insoluble pMBot protein in the pellets.] 2) The portion of pMBot protein that is fully in solution (about 10% of pMBot protein) is completely cleaved by Factor Xa. but the cleaved (released) botulinal C fragment is relatively insoluble such that only the cleaved MBP remains fully in solution.

3) None of the above reaction conditions enhanced solubility without also reducing effective cleavage. Conditions that effectively solubilized the cleaved botulinal C fragment were not identified.

4) The use of 0.1% SDS in the buffer used for Factor Xa cleavage enhanced the solubility of the pMBot protein (all of pMBot protein was soluble). However, the presence of the SDS prevented any cleavage of the fusion protein with Factor Xa.

5) Analysis of pelleted protein from the cleavage reactions indicated that both full length pMBot uncleaved) and cleaved botulinal C fragment protein precipitated during incubation.

15 These results demonstrate that purification of soluble botulinal C fragment protein after cleavage of the pMBot fusion protein is complicated by the insolubility of both the pMBot protein and the cleaved botulinal C fragment protein.

c) Expression Of C botulinum C Fragment Using Various Expression Vectors In order to determine if the solubility of the botulinal C fragment was enhanced by expressing the C fragment protein as a native protein, an N-terminal His-tagged protein or as a fusion with glutathione-S-transferase (GST). alternative expression plasmids were constructed. These expression constructs were generated utilizing the methodologies described in Example 22. Figure 27 provides a schematic representation of the vectors described below.

In Figure 27. the following abbreviations are used. pP refers to the pET23 vector.

pHIS refers to the pETHisa vector. pBlue refers to the pBluescript vector. pM refers to the pMAL-c vector and pG refers to the pGEX3T vector (described in Example 11). The solid black lines represent C botulinum C fragment gene sequences: the solid black ovals represent the MBP: the hatched ovals represent GST: "HHHHH" represents the poly-histidine tag. In Figure 27. when the name for a restriction enzyme appears inside parenthesis. this indicates that the restriction site was destroyed during construction. An asterisk appearing with the 171 name for a restriction enzyme indicates that this restriction site was recreated at a cloning junction.

i) Construction Of pPBot In order to express the C. botulinum C fragment as a native non-fused) protein.

the pPBot plasmid (shown schematically in Figure 27) was constructed as follows. The C fragment sequences present in pAlterBot (Example 22) were removed by digestion of pAlterBot vith Ncol and HindIII. The Ncol/HindlI C fragment insert was ligated to pETHisa vector (described in Example 18b) which was digested with Ncol and HindIIl. This ligation creates an expression construct in which the Ncol-encoded methionine of the botulinal C fragment is the initiator codon and directs expression of the native botulinal C fragment.

The ligation products were used to transform competent BL21(DE3)pLysS cells (Novagen).

Recombinant clones were identified by restriction mapping.

15 ii) Construction Of pHisBot In order to express the C. botulinum C fragment containing a poly-histidine tag at the amino-terminus of the recombinant protein, the pHisBot plasmid (shown schematically in Figure 27) was constructed as follows. The NcollHindlI botulinal C fragment insert from pAlterbot was ligated into the pETHisa vector which was digested with Nhel and Hindll.

The Ncol (on the C fragment insert) and Nhel (on the pETHisa vector) sites were filled in using the Klenow fragment prior to ligation: these sites were then blunt end ligated (the Ndel site was regenerated at the clone junction as predicted). The ligation products were used to transform competent BL21(DE3)pLysS cells and recombinant clones were identified by restriction mapping.

The resulting pHisBot clone expresses the botulinal C fragment protein with a histidine-tagged N-terminal extension having the following sequence: MetGlyHisHisHisHisHisHisHisHisHisHisSerSerGlyHisIleGluGlyArgHisMet Ala(SEQ ID NO:24); the amino acids encoded by the botulinal C fragment gene are underlined and the vector encoded amino acids are presented in plain type. The nucleotide sequence present in the pETHisa vector which encodes the pHisBot fusion protein is listed in SEQ ID The amino acid sequence of the pHisBot protein is listed in SEQ ID NO:26.

172 iii) Construction Of pGBot The botulinal C fragment protein was expressed as a fusion with the glutathione-Stransferase protein by constructing the pGBot plasmid (shown schematically in Figure 27).

This expression construct was created by cloning the Notl/Sall C fragment insert present in pBlueBot (Example 22) into the pGEX3T vector which was digested with Smal and XhoI.

The Notl site (present on the botulinal fragment) was made blunt prior to ligation using the Klenow fragment. The ligation products were used to transform competent BL21 cells.

Each of the above expression constructs were tested by restriction digestion to confirm the integrity of the constructs.

Large scale (1 liter) cultures of pPBot [BL21(DE3)pLysS host], pHisBot [BL21(DE3)pLysS host] and pGBot (BL21 host) were grown in 2X YT medium and induced (using IPTG to 0.8-1.0 mM) for 3 hrs as described in Example 22. Total, soluble and S..insoluble protein preparations were prepared from 1 ml aliquots of each large scale culture [Williams et al. (1994). supra] and analyzed by SDS-PAGE. No obvious induced band was 15 detectable in the pPBot or pHisBot samples by Coomassie staining, while a prominent insoluble band of the anticipated MW was detected in the pGBot sample. Soluble lysates of the pGBot large scale (resuspended in PBS) or pHisBot large scale [resuspended in Novagen IX binding buffer (5 mM imidazole. 0.5 M NaCI, 20 mM Tris-HCl, pH cultures were prepared and used to affinity purify soluble affinity-tagged protein as follows.

The pGBot lysate was affinity purified on a glutathione-agarose resin (Pharmacia) exactly as described in Smith and Corcoran [Current Protocols in Molecular Biology.

Supplement 28 (1994). pp. 16.7.1-16.7.7]. The pHisBot protein was purified on the His-Bind resin (Novagen) utilizing the His-bind buffer kit (Novagen) exactly as described by manufacturer.

25 Samples from the purification of both the pGBot and pHisBot proteins (including uninduced. induced, total, soluble. -and affinity-purified eluted protein) were resolved on SDS- PAGE gels. Following electrophoresis, proteins were analyzed by Coomassie staining or by Western blot detection utilizing a chicken anti-C botulinum Type A toxoid antibody (as described in Example 22).

These studies showed that the pGBot protein was almost entirely insoluble under the utilized conditions, while the pHisBot protein was soluble. Affinity purification of the pHisBot protein on this first attempt was inefficient, both in terms of yield (most of the 173 immunoreactive botulinal protein did not bind to the His-bind resin) and purity (the botulinal protein was estimated to comprise approximately 20% of the total eluted protein).

d) Purification Of Soluble C. botulinum C Fragment Protein Substantially Free Of Endotoxin Contamination The above studies showed that the pHisBot protein was expressed in E. coli as a soluble protein. However, the affinity purification of this protein on the His-bind resin was very inefficient. In order to improve the affinity purification of the soluble pHisBot protein (in terms of both yield and purity), an alternative poly-histidine binding affinity resin (Ni- NTA resin; Qiagen) was utilized. The Ni-NTA resin was reported to have a superior binding affinity (Ki= 1 x 10" at pH 8.0: Qiagen user manual) relative to the His-bind resin.

A soluble lysate (in Novagen IX binding buffer) from an induced I liter 2X YT 9 culture was prepared as described above. Briefly, the culture of pHisBot [B121(DE3)pLysS host] was grown at 37 0 C to an OD() of 0.7 in 1 liter of 2X YT medium containing 100 15 gg/ml ampicillin. 34 ug/ml chloramphenicol and 0.2% glucose. Protein expression was induced by the addition of IPTG to 1 mM. Three hours after the addition of the IPTG. the cells were cooled for 15 min in a ice water bath and then centrifuged 10 min at 5000 rpm in a JA10 rotor (Beckman) at 4 0 C. The pellets were resuspended in a total volume of 40 mis Novagen IX binding buffer (5 mM imidazole. 0.5 M NaCl. 20 mM Tris-HCl, pH 7.9), transferred to two 35 ml Oakridge tubes and frozen at -70 0 C for at least 1 hr. The tubes were thawed and the cells were lysed by sonication (4 X 20 second bursts using a Branson Sonifier 450 with a power setting of 6-7) on ice. The suspension was clarified by centrifugation for 20 min at 9.000 rpm (10.000 x g) in a JA-17 rotor (Beckman).

The soluble lysate was brought to 0.1% NP40 and then was batch absorbed to 7 ml of 25 a 1:1 slurry of Ni-NTA resin:binding buffer by stirring for 1 hr at 4°C. The slurry was poured into a column having an internal diameter of 1 o. 2.5 cm (BioRad). The column was then washed sequentially with 15 mis of Novagen IX binding buffer containing 0.1% ml of Novagen IX binding buffer. 15 ml wash buffer (60 mM imidazole, 0.5 M NaC1, mM Tris-HCl, pH 7.9) and 15 ml NaHPO, wash buffer (50 mM NaHPO,, pH 7.0. 0.3 M NaCl. 10 glycerol). The bound protein was eluted by protonation of the resin using elution buffer (50 mM NaHPO 4 pH 4.0. 0.3 M NaCl. 10 glycerol). The eluted protein was stored at 4 0

C.

174 Samples of total. soluble and eluted protein were resolved by SDS-PAGE. Protein samples were prepared for electrophoresis as described in Example 22b. Duplicate gels were stained with Coomassie blue to visualize the resolved proteins and C. botulinum type A toxinreactive protein was detected by Western blot analysis as described in Example 22b. A representative Coomassie stained gel is shown in Figure 28. In Figure 28. the following samples were loaded on the 12.5% acrylamide gel. Lanes 1-4 contain respectively total protein. soluble protein, soluble protein present in the flow-through of the Ni-NTA column and affinity-purified pHisBot protein protein released from the Ni-NTA resin by protonation). Lane 5 contains high molecular weight protein markers (BioRad).

The purification of pHisBot protein resulted in a yield of 7 mg of affinity purified protein from a 1 liter starting culture of BL21(DE3)pLysS cells harboring the pHisBot plasmid. The yield of purified pHisBot protein represented approximately 0.4% of the total S soluble protein in the induced culture. Analysis of the purified pHisBot protein by SDS- PAGE revealed that at least 90-95% of the protein was present as a single band (Figure 28) of .o 15 the predicted MW (50 kD). This 50 kD protein band was immunoreactive with anti-C.

botulinum type A toxin antibodies. The extinction coefficient of the protein preparation was determined to be 1.4 (using the Pierce BCA assay) or 1.45 (using the Lowry assay) OD, 8 o per 1 mg/ml solution.

Samples of pH neutralized eluted pHisBot protein were resolved on a KB 803 HPLC column (Shodex). Although His-tagged proteins are retained by this sizing column (perhaps due to the inherent metal binding ability of the proteins), the relative mobility of the pHisBot 000' protein was consistent with that expected for a non-aggregated protein in solution. Most of the induced pHisBot protein was determined to be soluble under the growth and solubilization conditions utilized above greater than 90% of the pHisBot protein was found to be soluble as judged by comparison of the levels of pHisBot protein seen in total and soluble protein samples prepared from BL21(DE3)pLysS cells containing the pHisBot plasmid).

SDS-PAGE analysis of samples obtained after centrifugation. extended storage at -20 0 C, and at least 2 cycles of freezing and thawing detected no protein loss (due to precipitation), indicating that the pHisBot protein is soluble in the elution buffer 50 mM NaHPO,, pH 4.0. 0.3 M NaCI. 10 glycerol).

Determination of endotoxin contamination in the affinity purified pHisBot preparation (after pH neutralization) using the LAL assay (Associates of Cape Cod) detected no significant endotoxin contamination. The assay was performed using the endpoint 175 chromogenic method (without diazo-coupling) according to the manufacturer's instructions.

This method can detect concentrations of endotoxin greater than or equal to 0.03 EU/ml (EU refers to endotoxin units). The LAL assay was run using 0.5 ml of a solution comprising mg pHisBot protein in 50 mM NaHPO, pH 7.0, 0.3 M NaCI, 10 glycerol: 30-60 EU were detected in the 0.5 ml sample. Therefore. the affinity purified pHisBot preparation contains 60-120 EU/mg of protein. FDA Guidelines for the administration of parenteral drugs require that a composition to be administered to a human contain less than 5 EU/kg body weight (The average human body weight is 70 kg; therefore up to 349 EU units can be delivered in a parental dose.). Because very small amount of protein are administered in a vaccine preparation (generally in the range of 10-500 pg of protein), administration of affinity purified pHisBot containing 60-120 EU/mg protein would result in delivery of only a small percentage of the permissible endotoxin load. For example. administration of 10-500 gg of purified pHisBot to a 70 kg human, where the protein preparation contains 60 EU/mg protein.

results in the introduction of only 0.6 to 30 EU 0.2 to 8.6% of the maximum allowable 15 endotoxin burden per parenteral dose (less than 5 EU/kg body weight)].

The above results demonstrate that endotoxin (LPS) does not copurify with the pHisBot protein using the above purification scheme. Preparations of recombinantly produced pHisBot protein containing lower levels of endotoxin (less than or equal to 2 EU/ mg recombinant protein) may be produced by washing the Ni-NTA column with wash buffer until the OD, 0 returns to baseline levels until no more UV-absorbing material comes off of the column).

The above results illustrate a method for the production and purification of soluble.

botulinal C fragment protein substantially free of endotoxin.

25 EXAMPLE Optimization Of The Expression And Purification Of pHisBot Protein The results shown in Example 24d demonstrated that the pHisBot protein is an excellent candidate for use as a vaccine as it could be produced as a soluble protein in E. coli and could be purified free of pyrogen activity. In order to optimize the expression and purification of the pHisBot protein, a variety of growth and purification conditions were tested.

176 a) Growth Parameters i) Host Strains The influence of the host strain utilized upon the production of soluble pHisBot protein was investigated. A large scale purification of pHisBot was performed [as described in Example 24d above] using the BL21(DE3) host (Novagen) rather than the BL21(DE3)pLysS host. The deletion of the pLysS plasmid in the BL21(DE3) host yielded higher levels of expression due to de-repression of the plasmid's T7-lac promoter. However.

the yield of affinity-purified soluble recombinant protein was very low (approximately 600 pg/ liter culture) when purified under conditions identical to those described in Example 24d above. This result was due to the fact that expression in the BL21(DE3) host yielded very high level expression of the pHisBot protein as insoluble inclusion bodies as shown by SDS- PAGE analysis of protein prepared from induced BL21(DE3) cultures (Figure 29. lanes 1-7, described below). These results demonstrate that the pHisBot protein is not inherently toxic to E. coli cells and can be expressed to high levels using the appropriate promoter/host 15 combination.

Figure 29 shows a Coomassie blue stained SDS-PAGE gel (12.5% acrylamide) onto which extracts prepared from BL21(DE3) cells containing the pHisBot plasmid were loaded.

Each lane was loaded with 2.5 pl protein sample mixed with 2.5 pil of 2X SDS sample buffer.

The samples were handled as described in Example 22b. The following samples were applied to the gel. Lanes 1-7 contain protein isolated from the BL21(DE3) host. Lanes 8-14 contain proteins isolated from the BL21(DE3)pLysS host. Total protein was loaded in lanes 1. 2. 4.

6, 8, 10 and 12. Soluble protein was loaded in Lanes 3. 5. 7. 9. 11 and 13. Lane I contains protein from uninduced host cells. Lanes 2-13 contain protein from host cells induced for 3 hours. IPTG was added to a final concentration of 0.1 mM (Lanes 0.3 mM (Lanes 25 or 1.0 mM (Lanes 2. 3. 8-13). The cultures were grown in LB broth (Lanes 2X YT broth (Lanes 10-11) or terrific broth (Lanes 1-7, 12-13). The pHisBot protein seen in Lanes 3. 5 and 7 is insoluble protein which spilled over from Lanes 2, 4 and 6, respectively. High molecular weight protein markers (BioRad) were loaded in Lane 14.

A variety of expression conditions were tested to determine if the BL21(DE3) host could be utilized to express soluble pHisBot protein at suitably high levels about mg/ml). The conditions altered were temperature (growth at 37 or 30 0 culture medium (2X YT. LB or Terrific broth) and inducer levels 0.3 or 1.0 mM IPTG). All combinations of these variables were tested and the induction levels and solubility was then 177assessed by SDS-PAGE analysis of total and soluble extracts [prepared from 1 ml samples as described in Williams et al.. (1994). supra].

All cultures were grown in 15 ml tubes (Falcon #2057). All culture medium was prewarmed overnight at the appropriate temperature and were supplemented with 100 Pg/ml ampicillin and 0.2% glucose. Terrific broth contains 12 g/l bacto-tryptone. 24 g/l bacto-yeast extract and 100 ml/I of a solution comprising 0.17 M KH2PO0, 0.72 M K,HPO4. Cultures were grown in"a incubator on a rotating wheel (to ensure aeration) to an ODo of approximately 0.4. and induced by the addition of IPTG. In all cases, high level expression of insoluble pHisBot protein was observed, regardless of temperature. medium or inducer 10 concentration.

The effect of varying the concentration of IPTG upon 2X YT cultures grown at 23°C was then investigated. IPTG was added to a final concentration of either 1 mM, 0.1 mM.

0.05 mM or 0.01 mM. At this temperature. similar levels of pHis Bot protein was induced in the presence of either 1 or 0.1 mM IPTG: these levels of expression was lower than that observed at higher temperatures. Induced protein levels were reduced at 0.05 mM IPTG and absent at 0.01 mM IPTG (relative to 1.0 and 0.1 mM IPTG inductions at 23°C). However.

no conditions were observed in which the induced pHisBot protein was soluble in this host.

Thus. although expression levels are superior in the BL21(DE3) host (as compared to the BL21(DE3)pLysS host). conditions that facilitate the production of soluble protein in this host 20 could not be identified.

These results demonstrate that production of soluble pHisBot protein was achieved using the BL21(DE3)pLysS host in conjunction with the T7-lac promoter.

ii) Effect Of Varying Temperature, Medium And IPTG Concentration And Length Of Induction The effect growing the host cells in various mediums upon the expression of recombinant botulinal protein from the pHisBot expression construct [in the BL21(DE3)pLysS host] was investigated. BL21(DE3)pLysS cells containing the pHisBot plasmid were grown in either LB. 2X YT or Terrific broth at 37 0 C. The cells were induced using 1 mM IPTG for a 3 hr induction period. Expression of pHisBot protein was found to be the highest when the cells were grown in 2X YT broth (see Figure 29. lanes 8-13).

The cells were then grown at 30°C in 2X YT broth and the concentration of IPTG was varied from 1.0. 0.3 or 0.1 mM and the length of induction was either 3 or 5 hours.

178 Expression of pHisBot protein was similar at all 3 inducer concentrations utilized and the levels of induced protein were higher after a 5 hr induction as compared to a 3 hr induction.

Using the conditions found to be optimal for the expression of pHisBot protein, a large scale culture was grown in order to provide sufficient material for a large scale purification of the pHisBot protein. Three 1 liter cultures were grown in 2X YT medium containing 100 pg/ml ampicillin. 34 pg/ml chloramphenicol and 0.2% glucose. The cultures were grown at 0 C and weri induced with 1.0 mM IPTG for a 5 hr period. The cultures were harvested and a soluble lysate were prepared as described in Example 18. A large scale purification was performed as described in Example 24d with the exception that except the soluble lysate 10 was batch absorbed for 3 hours rather than for 1 hour. The final yield was 13 mg pHisBot protein/liter culture. The pHisBot protein represented 0.75% of the total soluble protein.

The above results demonstrate growth conditions under which soluble pHisBot protein *is produced use of the BL21(DE3)pLysS host. 2X YT medium. 30 0 C. 1.0 mM IPTG for 5 hours).

b) Optimization Of Purification Parameters For optimization of purification conditions. large scale cultures (3 X 1 liter) were grown at 30 0 C and induced with I mM IPTG for 5 hours as described above. The cultures were pooled, distributed to centrifuge bottles. cooled and pelleted as described in Example 24d. The cell pellets were frozen at -70 0 C until used. Each cell pellet represented 1/3 of a liter starting culture and individual bottles were utilized for each optimization experiment described below. This standardized the input bacteria used for each experiment, such that the yields of affinity purified pHisBot protein could be compared between different optimization experiments.

i) Binding Specificity (pH Protonation) A lysate of pHisBot culture was prepared in PBS (pH 8.0) and applied to a 3 ml Ni- NTA column equilibrated in PBS (pH 8.0) using a flow rate of 0.2 mlmin (3-4 column volumes/hr) using an Econo chromatography system (BioRad). The column was washed with PBS (pH 8.0) until the absorbance (ODso) of the elute was at baseline levels. The flow rate was then increased to 2 ml/min and the column was equilibrated in PBS (pH A pH gradient (pH 7.0 to 4.0 in PBS) was applied in order to elute the bound pHisBot protein from the column. Fractions were collected and aliquots were resolved on SDS-PAGE gels. The 179- PAGE gels were subjected to Western blotting and the pHisBot protein was detected using a chicken anti-C. botulinum Type A toxoid antibody as described in Example 22.

From the Western blot analysis it was determined that the pHisBot protein begins to elute from the Ni-NTA column at pH 6.0. This is consistent with the predicted elution of a His-tagged protein monomer at pH 5.9.

These results demonstrate that the pH at which the pHisBot protein is protonated (released) frm Ni-NTA resin in PBS buffer is pH ii) Binding Specificity (Imidazole Competition) 10 In order to define purification conditions under which the native E. coli proteins could be removed from the Ni-NTA column while leaving the pHisBot protein bound to the column. the following experiment was performed. A lysate of pHisBot culture was prepared in 50 mM NaHPO, 0.5 M NaCI. 8 mM imidazole (pH This lysate was applied to a 3 ml Ni-NTA column equilibrated in 50 mM NaHPO,, 0.5 M NaCI (pH 7.0) using an Econo chromatography system (BioRad). A flow rate of 0.2 ml/min (3-4 column volumes/hr) was utilized. The column was washed with 50 mM NaHPO,, 0.5 M NaCI (pH 7.0) until the absorbance of the elute returned to baseline. The flow rate was then increased to 2 ml/min.

The column was eluted using an imidazole step gradient [in 50 mM NaHPO4, 0.5 M NaCI (pH Elution steps were 20 mM, 40 mM. 60 mM. 80 mM. 100 mM. 200 mM, M imidazole. followed by a wash using 0.1 mM EDTA (to strip the nickel from the column and remove any remaining protein). In each step. the wash was continued until the OD,,, returned to baseline. Fractions were resolved on SDS-PAGE gels. Western blotted, and pHisBot protein detected using a chicken anti-C botulinum Type A toxoid antibody as described in Example 22. Duplicate gels were stained with Coomassie blue to detect eluted protein in each fraction.

The results of the PAGE analysis showed that most of the non-specifically binding bacterial protein was removed by the 20 mM imidiazole wash. with the remaining bacterial proteins being removed in the 40 and 60 mM imidazole washes. The pHisBot protein began to elute at 100 mM imidazole and was quantitatively eluted in 200 mM imidazole.

These results precisely defined the window of imidazole wash stringency that optimally removes E. coli proteins from the column while specifically retaining the pHisBot protein in this buffer. These results provided conditions under which the pHisBot protein can be purified free of contaminating host proteins.

180 iii) Purification Buffers And Optimized Purification Protocols A variety of purification parameters were tested during the development of an optimized protocol for batch purification of soluble pHisBot protein. The results of these analyses are summarized below.

Batch purifications were performed (as described in Example 24d) using several buffers to determine if alternative buffers could be utilized for binding of the pHisBot protein to the Ni-NTA column. It was determined that quantitative binding of pHisBot protein to the Ni-NTA resin was achieved in either Tris-HCI (pH 7.9) or NaHPO, (pH 8.0) buffers.

Binding of the pHisBot protein in NaHPO, buffer was not inhibited using 5 mM. 8 mM or mM imidazole. Quantitative elution of bound pHisBot protein was obtained in buffers containing 50 mM NaHPO,, 0.3 M NaCI (pH with or without 10% glycerol.

However, quantitation of soluble affinity purified pHisBot protein before and after a freeze thaw (following several weeks storage of the affinity purified elute at -20 0 C) revealed that 94% of the protein was recovered using the glycerol-containing buffer, but only 68% of the protein was recovered when the buffer lacking glycerol was employed. This demonstrates that glycerol enhanced the solubility of the pHisBot protein in this low pH buffer when the eluted protein was stored at freezing temperatures -20 0 Neutralization of pH by addition of NaHPO, buffer did not result in obvious protein precipitation.

20 It was determined that quantitative binding of pHisBot protein using the batch format occurred after 3 hrs (Figure 30). but not after 1 hr of binding at 4 0 C (the resin was stirred during binding). Figure 30 depicts a Coomaisse blue stained SDS-PAGE gel acrylamide) containing samples of proteins isolated during the purification of pHisBot protein from lysate prepared from the BL21(DE3)pLysS host. Each lane was loaded with 5 ul of protein sample mixed with 5 pi of 2X sample buffer and processed as described in Example 22b. Lane 1 contains high molecular weight protein markers (BioRad). Lanes 2 and 3 contain protein eluted from the Ni-NTA resin. Lane 4 contains soluble protein after a 3 hr batch incubation with the Ni-NTA resin. Lanes 5 and 6 contain soluble and total protein, respectively. Figure 30 demonstrates that the pHisBot protein is completely soluble [compare Lanes 5 and 6 which show that a similar amount of the 50 kD pHisBot protein is seen in both: if a substantial amount (greater than 20%) of the pHisBot protein were partially insoluble in the host cell, more pHisBot protein would be seen in lane 6 (total protein) as compared to lane 5 (soluble protein)]. Figure 30 also demonstrates that the pHisBot protein is 181 completely removed from the lysate after batch absorption with the Ni-NTA resin for 3 hours (compare Lanes 4 and The reported high affinity interaction of the Ni-NTA resin with His-tagged proteins (Kd= 1 x 10-" 1 at pH 8.0) suggested that it should be possible to manipulate the resin-protein complexes without significant release of the bound protein. Indeed. it was determined that after the recombinant protein was bound to the Ni-NTA resin, the resin-pHisBot protein complex was highly stable and remained bound followingrepeated rounds of centrifugation of the resin for 2 min at 1600 x g. When this centrifugation step was performed in a 50 ml tube (Falcon). a tight resin pellet formed. This allowed the removal of spent soluble lysate 1by pouring off the supernatant followed by resuspension of the pellet in wash buffer. Further washes can be performed by centrifugation. The ability to perform additional washes permits the development of protocols for batch absorption of large volumes of lysate with removal of the lysate being performed simply by centrifugation following binding of the recombinant protein to the resin.

15 A simplified, integrated purification protocol was developed as follows. A soluble lysate was made by resuspending the induced cell pellet in binding buffer [50 mM NaHPO,, M NaCI. 60 mM imidazole (pH sonicating 4 x 20 sec and centrifuging for 20 min at 10.000 x g. NP-40 was added to 0.1% and Ni-NTA resin (equilibrated in binding buffer) was added. Eight milliliters of a 1:1 slurry (resin:binding buffer) was used per liter of starting culture. The mixture was stirred for 3 hrs at 4*C. The slurry was poured into a column having a 1 cm internal diameter (BioRad). washed with binding buffer containing 0.1% NP40. then binding buffer until baseline was established (these steps may alternatively be performed by centrifugation of the resin, resuspension in binding buffer containing followed by centrifugation and resuspension in binding buffer). Imidazole was removed by washing the resin with 50 mM NaHPO,, 0.3M NaCI (pH Protein bound to the resin was eluted using the same buffer (50 mM NaHPO,. 0.3M NaCI) having a reduced pH (pH A pilot purification was performed following this protocol and yielded 18 mg/liter affinity-purified pHisBot. The pHisBot protein was greater than 90% pure as estimated by Coomassie staining of an SDS-PAGE gel. This represents the highest observed yield of soluble affinity-purified pHisBot protein and this protocol eliminates the need for separate imidazole-containing binding and wash buffers. In addition to providing a simplified and efficient protocol for the affinity purification of recombinant pHisBot protein, the above 182 results provide a variety of purification conditions under which pHisBot protein can be isolated.

EXAMPLE 26 The pHisBot Protein Is An Effective Immunogen In Example 23 it was demonstrated that neutralizing antibodies are generated in mouse serum after nasal immunization with the pMBot protein. However, the pMBot protein was found to copurify with significant amounts of endotoxin which could not be easily removed.

10 The pHisBot protein, in contrast. could be isolated free of significant endotoxin contamination making pHisBot a superior candidate for vaccine production. To further assess the suitability of pHisBot as a vaccine, the immunogenicity of the pHisBot protein was determined and a comparison of the relative immunogenicity of pMBot and pHisBot proteins in mice was performed as follows.

Two groups of.eight BALBc mice were immunized with either pMBot protein or pHisBot protein using Gerbu GMDP adjuvant (CC Biotech). pMBot protein (in PBS containing 10 mM maltose) or pHisBot protein (in 50 mM NaHPO,, 0.3 M NaCI, glycerol. pH 4.0) was mixed with Gerbu adjuvant and used to immunize mice. Each mouse received an IP injection of 100 pl antigen/adjuvant mix (50 pg antigen plus 1 pg adjuvant) on day 0. Mice were boosted as described above with the exception that the route of administration was IM on day 14 and 28. The mice were bled on day 77 and anti-C.

hotulinum Type A toxoid titers were determined using serum collected from individual mice in each group as described in Example 23). The results are shown in Table 41.

in each group (as described in Example 23). The results are shown in Table 41.

183 TABLE 41 Anti-C. hotulinun Type A Toxoid Serum lgG Titers In Individual Mice Immunized With pM13ot or pHisBot Protein Preimmune' pMBot: pHisBot-2 Mouse Sample Dilution Sample Dilution Sample Dilution 1:250 1:1250 1:6230 3:4;0 1.250 1:12;0 1:6250 3:50 1:250 1:1250 1:620 1 0.678 0.190 0.03' 0.007 1.574 (1.799 0.320 0.093 1.161 0.931 0.254 0.075 1.313 0.829 0.409 0.134 1 .364 0.458 03195 0.041 3.596 3.028 0.453 03122 4 1.622 1.189 0.334 0.067 1.552 0.3140 0.348 0.090 1 .612 1 .030 0.289 0.067 1.629 1.5811) 0.895 01.233 6 0.913 0.242 0.069 0.013 1.485 4; 09;2 0.477 0.145 7 0.910 0.235 0.058 0.014 1.524 0.725 0.269 0.069 8 0.747 0.234 0.058 0.034 1.274 0.427 o1. 316 0.029 Men 0.04X1 0.01 0.011 0.002 1.133 0-564 31614 0.037 1_51 8 0.396 04331 0.134 The preimmune sample represents the average from 2 sets of duplicate wells containing senrum )0 from a individual mouse immunized wvith recombinant Siaphylococcus enterotoxin B (SEB) antigen. This antigen is immunologically unrelated to C. hot ulinum toxin and provides a control serum.

Average of duplicate wells.

The results shown above in Table 41 demonstrate that both the pMBot and pHisBot proteins are immulnogenic in-mice as 100% of the mice in each group seroconverted from non-immune to immune status. The results also show that the average titer of anti-C botulinum Type A toxoid IgG is 2-3 fold higher after immunization with the pHisBot protein relative to immunization with the pM13ot protein. This suggests that the pHislot protein may be a superior immunogen to the pMBot protein.

184 EXAMPLE 27 Immunization With The Recombinant pHisBot Protein Generates Neutralizing Antibodies The results shown in Example 26 demonstrated that both the pHisBot and pMBot proteins were capable of inducing high titers of anti-C botulinum type A toxoid-reactive antibodies in immunized hosts. The ability of the immune sera from mice immunized with either the pHsBot or pMBot proteins to neutralize C botulinum type A toxoid in vivo was determined using the mouse neutralization assay described in Example 23b.

The two groups of eight BALBc mice immunized with either pMBot protein or 10 pHisBot protein in Example 26 were boosted again one week after the bleeding on day 77.

The boost was performed by mixing pMBot protein (in PBS containing 10 mM maltose) or pHisBot protein (in 50 mM NaHPO,. 0.3 M NaCI. 10% glycerol. pH 4.0) with Gerbu adjuvant as described in Example 26. Each mouse received an IP injection of 100 pI antigen/adjuvant mix (50 pg antigen plus 1 pg adjuvant). The mice were bled 6 days after this boost and the serum from mice within a group was pooled. Serum from preimmune mice was also collected (this serum is the same serum described in the footnote to Table The presence of neutralizing antibodies in the pooled or preimmune serum was detected by challenging mice with 5 LDD, units of type A toxin mixed with 100 pl of pooled serum. The challenge was performed by mixing (per mouse to be injected) 100 pl of serum from each pool with 100 pl of purified type A toxin standard (50 LD,, /ml prepared as described in Example 23b) and 500 pl of gel-phosphate. The mixtures were incubated for min at room temperature with occasional mixing. Each of four mice were injected IP with the mixtures (0.7 ml/mouse). The mice were observed for signs of botulism for 72 hours.

Mice receiving toxin mixed with serum from mice immunized with either the pHisBot or pMBot proteins showed no signs of botulism intoxication. In contrast. mice receiving preimmune serum died in less than 24 hours.

These results demonstrate that antibodies capable of neutralizing C botulinum type A toxin are induced when either of the recombinant C botulinum C fragment proteins pHisBot or pMBot are used as immunogens.

185 EXAMPLE 28 Expression and Purification of Recombinant C. difficile Toxin A Proteins Containing the 1870-2680. 1870-2190 and 1960-2680 Interval Previously others had raised antibodies against C difficile toxin A by actively immunizing hamsters against a recombinant polypeptide located within the Interval 6 region [Lyerly. el al. (1990) Curr. Microbiol. 21:29]. The structure of the recombinant clone used by Lyerly el al. [(1990) Curr. Microbiol. 21:29] is shown schematically in Figure 31 as pUC1960-2680.

In Figure 31. the following abbreviations are used. pP refers to the pET23 vector: pM refers to the pMal-c vector: pGEX refers to the pGEX vector: Trx refers to thioredoxin: pUC refers to the pUC9 vector: A refers to C difficile toxin A. The numbers refer to the amino .acid interval expressed in a given construct. The solid black boxes represent coding regions: the open box at the 3' end of the pUC1960-2680 construct represents a portion of a-peptide of the lacZ gene which is encoded by vector sequences. The solid ovals represent the MBP.

"HHH" represents the poly-histidine tract. The open circles represent thioredoxin. The hatched ovals represent GST.

Using a hamster model of C. difficile associated disease (CDAD) where antibodies are given. prophylactically. the Lyerly. et al. antibodies (intra-lnterval 6: pUC1960-2680) were s 20 only able to partially protect hamsters against C difficile infection in terms of survival (4 out of 8 animals survived) and furthermore. these antibodies did not prevent diarrhea in any of the animals. Additionally. animals treated with the intra-Interval 6 antibodies [Lyerly. et al.

(1990). supra] died when treatment was removed. In contrast. Example 16 demonstrated that passive administration of anti-Interval 6 antibodies (anti-pMA1870-2680) prevented diarrhea in 6 out of 7 animals and completely prevented death due to CDAD in the prophylactic treatment model system. Furthermore passive administration of the anti-Interval 6 antibodies provided a long lasting cure treatment could be withdrawn without incident).

While the antibodies of Lyerly. et al. were reported to provide some protection against CDAD. the integrity and purity of the recombinant protein expressed from the pUC1960-2680 construct was not reported. The pUC1960-2680 construct potentially expresses the 1960-2680 aa interval of C. difficile toxin A in the pUC9 vector: this interval is nested within the pMA1870-2 6 8 0 clone (see Figure 31).

This example involved: construction of pUC1960-26 8 0 and characterization of the expressed protein by Western blot analysis: cloning and expression of the 1960-2680 186interval as an affinity tagged protein in pET and pMal vectors and affinity purification and characterization of soluble MBP tagged proteins from clones expressing the 1870-2680. 1870- 2190 or 1960-2680 intervals.

a) Construction of pUC1960-2680 and Characterization of Expressed Protein by Western Blot Analysis The"pUC1960-2680 construct contains a 2.1 kb C difficile toxin A gene fragment encoding 33 of the 38 repeat units: this construct was generated to provide the same recombinant protein utilized by Lyerly et al. [(1990) Curr.'Microbiol. 21:29] for the generation of anti-C. difficile toxin A antibodies. pUC1960-2680 was constructed as follows.

Briefly, the 2.1 kb PstI fragment containing the C. difficile toxin A repeats was removed from pPA1100-2680 (Example 11) and was cloned into pUC9 which had been digested with Pstl and dephosphorylated. The dephosphoryation reaction was performed using calf intestinal alkaline phosphatase (CIP) according to the manufacturers instructions (New England 15 Biolabs). Following restriction digestion and CIP-treatment. the reaction products were resolved on an agarose gel, and the appropriate fragments were excised, mixed, and purified utilizing the Prep-a-Gene kit (BioRad). The eluted DNA was ligated, transformed into JM109 competent cells and recombinant clones isolated, and confirmed by restriction digestion using standard techniques of molecular biology. Plasmid DNA was isolated using the QIA-prep spin plasmid kit (Qiagen).

JM109 containing the pUC 1960-2680 construct were grown, induced and total and soluble extracts were prepared as described [Lyerly et al.(1990) Curr. Microhiol. 21:29].

Briefly, a 500 ml culture of Terrific broth was inoculated with pUC1960-2680 (in JM109) and grown at 37 0 C to early stationary phase (0.8 OD). IPTG was added to a final concentration of 1 mM and the culture was induced for 2 hrs. A 1 ml aliquot of the culture was withdrawn prior to the addition of IPTG and served as the uninduced sample. Following growth in the presence of the IPTG for 2 hr. another 1 ml aliquot of the culture was withdrawn and served as the induced sample. These 1 ml uninduced and induced samples were treated as follows.

The bacteria were pelleted by centrifugation. The cell pellets were resuspended in 100 tl 2X sample buffer (0.125 mM Tris-HCI, pH 6.8. 2 mM EDTA 6% SDS, 20% glycerol. 0.25% bromophenol blue: p-mercaptoethanol was added to 5% before use).

The remaining culture was then processed to prepare total and soluble extracts for analysis. The culture was distributed into 500 ml centrifuge bottles. The bottles were cooled 187 for 15 min in a ice water bath and the cells were pelleted by centrifugation at 5.000 rpm in a Beckman JAIO rotor. The cell pellet was resuspended in 1/10 initial culture volume mi) of TBS (0.05 M Tris-HCI. 0.15 M NaCI. pH 7.5) and distributed to two 35 ml Oakridge tubes. One and one forth milliliters of a 10 mg/ml solution of lysozyme (in TBS) was added to each tube and the mixtures were incubated on ice for 20 min. The two tubes were stored at -70 0 C overnight. One of the two tubes from the induced culture was then thawed and sonicated in ice water using four twenty second bursts (Branson Sonifier Model 450 set at level The sample was clarified by centrifugation for 20 min at 9000 rpm (Beckman J2- 21 rotor), and the soluble lysate filter sterilized through a 0.45 pm filter. Total (before 10 centrifugation) and soluble (after filter sterilization) extracts were prepared for electrophoresis ,by mixing 4 pi extract with 16 pl PBS and 20 pl 2X sample buffer.

The protein samples were resolved by electrophoresis on a 12.5% SDS-PAGE gel and the proteins detected either by Coomassie blue staining (detects all proteins) and Western blot analysis (detects specific proteins) utilizing a goat anti-toxin A specific antibody (TechLabs) 15 as follows. The 12.5% SDS-PAGE gels were loaded with the protein samples. After electrophoresis. the gel was bisected. One half was stained with Coomassie blue and the proteins on the other half were transferred to a solid support for Western blot analysis.

Protein transfer was confirmed by Ponceau S staining (as described in Example 12b). The blot was then incubated for I hr at 20 0 C in PBS containing 0.1% Tween 20 (PBST) and milk (blocking buffer). Then 10 ml of a solution comprising a 1/1000 dilution of an affinity purified goat anti-C difficile toxin A antibody (Tech Labs) in blocking buffer was added and the blot was incubated for 1 hr at room temperature. The blot was then washed and the presence of the bound anti-C difficile antibody was detected using a rabbit anti-goat alkaline phosphatase conjugate as secondary antibody as described in Example 3. The resulting Coomassie blue-stained gel and developed Western blot are shown in Figure 32.

In Figure 32. the Coomassie blue-stained gel is shown on the left (lanes 1-5) and the Western blot is shown on the right (lanes The following abbreviations are used: uninduced induced total soluble and broad range molecular weight markers BioRad). The size of the MW markers is indicated by the numbers to the right of lane 5. Figure 32 shows that no induced bands corresponding to the size expected for the recombinant pUC19 6 0- 2 6 8 0 protein were detectable by Coomassie blue staining. However.

Western blot detection of C. difficile toxin A-reactive material revealed a predominant, inducible protein species of the predicted MW for the full length recombinant C. difficile 188 toxin A protein. Although some induced protein is soluble. the majority of the protein is insoluble [compare the amount of protein reactive with the antibody present in lanes 8 (total) and 9 (soluble)]. The recombinant protein produced by pUC1960-2680 was also clearly unstable. since breakdown products were detected even in the uninduced (lane 6) or induced (lane 7) culture samples.

b) Cloning and Expression of the 1960-2680 Interval as an Affinity Tagged Protein in pET and pMal Vectors As shown above, the protein produced by the pUC1960-2680 construct was unstable 10 prone to proteolytic degradation) and furthermore, it lacks an affinity tag. The instability of the pUC1960-2680 protein may be due to the presence of the a-peptide of the lacZ gene at the C terminus of the fusion protein: the presence of these sequences on a fusion protein is known to results in the production of an unstable protein. In order to determine whether soluble. stable. affinity purified fusion protein representing the pUC1960-2680 15 interval could be isolated, the following two constructs were made. The pPA1960-2680 :construct contains the 1960-2680 interval of C. difficile toxin A in the pET23c vector (Novagen). The pET23 series of vectors permits the expression of inserted genes as a fusion protein containing a poly-histidine tag or tract at either the C- or N-terminus of the fusion protein: the pPA1960-2680 construct expresses the C difficile toxin A repeat region as a fusion protein containing a C-terminal poly-histidine tract. The pMA1960-2680 construct contains the 1960-2680 interval of C difficile toxin A in the pMal-c vector (New England o BioLabs) and expresses a fusion protein comprising the MBP at the N-terminus of the fusion protein.

The pPA1960-2680 construct was made as follows. A pUC1960-2680 clone in which the 2.1 kb Pstl fragment was in the opposite transcriptional orientation (relative to the direction of transcription through the LacZ sequences on the vector) was isolated using the methods described in section The C. difficile toxin A insert was excised by digestion with BamH1 and HindII and the insert was cloned into the pET23c vector (Novagen) digested with BamHI and HindIlI as described in section a).

The pMAI960-2 6 8 0 construct was created by cloning the C. difficile toxin A repeat region of pPA1960-268 0 as an Nhel-Hindlll fragment into the pMal-c vector cleaved with Xbal (Xbal ends are compatible with Nhel ends) and Hindll.

189- Expression of recombinant protein from these two plasmids was assessed in small scale cultures grown at 30 0 C. utilizing the BL21(DE3) pLysS (pPA1960-2680) or BL21pLysS (pMA1960-26 8 0) hosts. The following conditions were varied: culture broth (2X YT, LB.

Terrific broth) and inducer levels 0.3 or 1.0 mM IPTG). All combinations of these variables were tested [except in Terrific broth. in which a single concentration (1 mM) of IPTG was tested]. The level of recombinant protein expressed upon induction and the solubility of the recombinant protein was assessed by SDS-PAGE analysis of total and soluble extracts (prepared from 1 ml samples as described in Example 25). All cultures were grown in 15 ml tubes (Falcon 2057): all culture medium was prewarmed overnight at the appropriate 10 temperature, and supplemented with 100 pg/ml ampicillin and glucose to Cultures were grown in a incubator on a rotating wheel (to ensure aeration) to an ODo of approximately 0.5-0.7 and induced with the indicated concentration of IPTG.

In all cases. high level expression of insoluble pPA1960-2680 protein was observed.

regardless of the broth or inducer concentration employed. The pMA1960-2680 protein was 15 partially soluble under all tested conditions. with maximal levels of soluble protein produced in 2X YT media at the lower inducer concentrations 0.1 and 0.3 mM IPTG).

These results demonstrate that the expression of the 1960-2680 interval of C. difficile toxin A in the pPA1960-2680 construct results in the production of insoluble recombinant protein under the conditions tested. The expression of this interval in the pMA1960-2680 construct permitted the expression of some soluble recombinant protein.

c) Affinity Purification and Characterization of Soluble MBP-Tagged Proteins From Constructs Expressing the 1870-2680, 1870-2190 or 1960- 2680 Intervals of C. difficile Toxin A Large scale (1 liter) cultures of the pMal-c vector vector lacking an insert), and each of the following recombinant constructs were grown. induced, and soluble protein fractions isolated: pMA 1870-2190 (Example 17), pMA 1960-2680 (Example 28b) and pMA1870-2680 [Example 11: Interval 6: Interval 6 contains amino acid residues 1873 through 2684 (SEQ ID NO:29) of the C. difficile toxin A protein]. The large scale cultures were grown at 32 0 C in 2X YT broth and recombinant protein expression was induced by the addition of IPTG to 0.3 mM at ODo of 0.6. The cultures were induced for 4-5 hrs and then the cells were harvested. Soluble protein extracts were prepared and subjected to affinity 190- Schromatography to isolate recombinant fusion protein (Example I Id). and analyzed by Coomassie staining and Western analysis as described (Example lib).

Briefly, soluble extracts were prepared and applied in PBS to an amylose resin (New England Biolabs) column. The column was eluted with PBS containing 10 mM maltose.

Protein yields were 40 mg per 1 liter starting volume 1 liter cultures) for each recombinant. Protein samples were analyzed by electrophoresis on 7.5% SDS-PAGE gels followed byvtaining with Coomassie blue and Western blot analysis as described in section Protein samples were prepared for electrophoresis by mixing 1 pl total or soluble (S) protein with 4 pl PBS and 5 pi 2X sample buffer, or 5 pl eluted protein and 5 pl 2X 10 sample buffer or 0.5 pl eluted protein. 4.5 pl PBS and 5 pl 2X sample buffer (1/10E).

Samples of pMA1870-2680 and pPA1870-2680 (inclusion body preparations described in Example 11) were also resolved on the gel. The samples were heated to 95 0 C for 5 min. then '.cooled and loaded on a 7.5% SDS-PAGE gel. Broad range molecular weight protein markers (BioRad) were also loaded to allow estimation of the MW of identified fusion proteins.

After electrophoresis. protein was detected by staining the gel with Coomassie blue or the proteins were subjected to Western blotting using a goat anti-toxin A antibody (Tech Labs) as described in section a) above. The resulting gel and Western blot are shown in Figure 33.

In Figure 33. the Coomaisse blue-stained gel is shown on the left (lanes 1-10) and the Western blot is shown on the right (lanes Lanes 1-10 and I'-10' are mirror images of one another and contain the following samples: lanes 1 and 1' contain pMA1870-2190 lanes 2 and 2' contain pMA1870-2190 lanes 3 and 3' contain pMA1960-2680 lanes 4 and 4' contain pMA1960-2680 lanes 5 and 5' contain pMA1960-2680 lanes 6 and 6' contain pMA1960-2680 (l/10E); lanes 7 and 7' contain pMA1870-2680 lanes 8 and 8' contain pMA1870-2680 (1/10E); lanes 9 and 9' contain pPAI870-2680(N/C) (E) [pPA1870-2680(N/C) is described in Examples 15 and 29d]; and lanes 10 and 10' contain molecular weight markers.

The results shown in Figure 33 demonstrate: 1) That the pMA1870-2190 protein was unstable but was at least partially soluble under the growth conditions utilized. The affinity purified pMA1870-2190 preparation does however contain significant concentrations of full length fusion protein (Fig. 33. lane 2).

-191 2) The pMAI960-2680 protein was partially soluble (compare lanes 3' and 4' in Fig.

33) and the integrity of the affinity purified protein (Fig. 33. lanes 5' and was comparable to that of the pMAI870-2680 preparation (Fig. 33. lane 2).

3) The full-length pMA1960-2680, pMA1870-2680 and pPA1870-2680 proteins bind the anti-C difficile toxin A antibody. while the full-length pMA1870-2190 protein does not (however. smaller breakdown products of the pMA1870-2190 protein do bind to the antibody as shown in Fig. 33. lanes 1'.and This implies that either the epitopes identified by the antibody are present only in the C terminal end of the repeats. or that the antibodies recognize a conformation that cannot form with the N terminal fragment represented in pMA1870-2190.

S 10 This observation is similar to the lack of reactivity of N-terminal fragments of the C difficile toxin B gene (pMB1750-1970) with anti-toxin B antibody (Tech Labs) on Western blots seen in Example 19b (Figure 24).

The results shown above provide a method for the production of affinity purified recombinant C difficile toxin A protein from the 1870-2190 and 1960-2680 intervals. These 15 results are in contrast to those obtained when using the pUC1960-2680 construct. which was prepared according to the description of Lyerly et al. [(1990) Curr. Microbiol. 21:29]. The protein expressed by the pUC1960-2680 construct was mainly insoluble and could not be affinity purified due to the absence of an affinity tag on the recombinant protein.

EXAMPLE 29 Purification of Soluble. Substantially Endotoxin-Free pPA1870-2680(N/C) Protein For potential utilization as a human vaccine to induce active immunity) or as an antigen in a host animal to induce protective antibodies antitoxin) for passive immunization of humans. a protein antigen should be 1) easily purified. 2) well characterized and of a high purity. 3) pyrogen poor.(when used as a human vaccine). 4) immunogenic and capable of inducing a protective immune response. In the case of the C. difficile toxin A repeat antigen. the protein must be soluble and capable of assuming a conformation which will induce a protective response. As was shown in Example 17. when pPA1870-2680(N/C) protein, which was expressed as insoluble protein inside inclusion bodies, was solubilized with SDS and then used to immunize chickens. no protective anti-toxin A antibodies were produced.

192 In this example, the recombinant C. difficile toxin A proteins were expressed and evaluated as vaccine candidates using the criteria stated above. This example involved a) evaluation of the utility of affinity purified pMA1870-2680 protein as a vaccine antigen, b) construction, purification and evaluation of the pGA1870-2680 protein, c) development of a protocol for production of soluble pPA1870-2680. d) construction of pPA1870-2680(N) and large scale purification of N. C and N/C his-tagged 1870-2680 protein, e) construction of pPTrxA1870'-2680(N) and and large scale purification of N. C and N/C his-tagged Trx 1870-2680 proteins, f) large scale affinity purification of pPA1870-2680 and pPB1750- 2'360 proteins and determination of endotoxin levels and g) construction, large scale affinity purification of pPB1750-2360(N/C) and determination of endotoxin levels.

a) Evaluation of the Utility of Affinity Purified pMA1870-2680 Protein as a Vaccine Antigen Although the pMA1870-2680 protein (Example 11) was shown to be easily purified.

immunogenic and capable of inducing a protective response (Example 17). the ability to use this protein as a vaccine is limited by the poor purity of the affinity purified protein (see Figure 33. lanes 7' and It was estimated that only 50% of the affinity purified protein represents full-length fusion protein. The remainder of the proteins in the affinity purified I: preparation was found to be primarily MBP alone and contaminating E. coli proteins.

In order to assess whether affinity purified pMA1870-2680 protein could be used as a vaccine candidate. the endotoxin content in two independently affinity purified preparations of pMA1870-2680 protein was determined. Pyrogen content in the samples was assayed utilizing the Limulus assay (LAL kit: Associates of Cape Cod) as described in Example 24d.

Both samples of affinity purified pMA1870-2680 were found to contain high levels of endotoxin (>50.000 EU/mg purified recombinant protein). As seen in Examples 24a and b, high endotoxin load was determined to be a general feature of affinity purified MBP fusion proteins, or MBP alone. The above results indicate that. using current purification protocols, affinity purified MBP-C difficile toxin A fusion proteins are not suitable for use as vaccine antigens.

The pMA1870-2680 expression construct was designed to facilitate purification of the toxin A protein from the MBP tag by cleavage of the fusion protein at the engineered Factor Xa cleavage site located between the MBP and toxin A protein domains. The feasibility of obtaining substantially endotoxin-free. soluble recombinant C. difficile toxin A protein by 19 purification of cleaved C. difficile toxin A protein from the MBP-toxin A fusion protein was assessed. Factor Xa (New England Biolabs) was added to the affinity purified pMA1870- 2680 protein 0.2. 0.5. 1.0 and 2.5% Factor Xa/pMA1870-2680 protein ratio) in PBS containing 10 mM maltose and the mixtures were incubated for 5.5 and 20 hrs at room temperature. The extent of cleavage was assessed by Coomassie blue staining proteins after electrophoresis on SDS-PAGE gels.

The results demonstrated that some cleavage was observed in the 2.5% Factor Xa sample after 20 hrs. but cleavage was only partial. This indicates that cleavage of pMA1870- 2680 is not an efficient purification strategy to obtain soluble endotoxin-free C. difficile toxin A repeat protein using the above tested reaction conditions.

b) Construction, Purification and Evaluation of pG1870-2680 Protein **In order to facilitate evaluation of the GST-containing proteins as a means of large scale production of antigens. the C. difficile toxin A repeats were expressed as a fusion with GST. The C. difficile toxin A repeats were isolated by cleavage of pPAI 100-2680 (Example 11) with Spel followed by treatment with the Klenow fragment to fill in the ends: the DNA was then digested with XhoI. The Spel (Klenow filled)-Xhol fragment was cloned into EcoRI (Klenow filled)-AhoI cleaved pGEX3T vector (Pharmacia) to yield the pGA1870-2680 expression construct.

A large scale (1 liter) 2X YT culture of pGAI870-2680 [in BL21 host cells (Novagen)] was grown in 2X YT medium containing 50 pg/ml ampicillin and induced (using IPTG to 1.0 mM) for 3 hrs at 30°C as described in Example 28. A soluble lysate of the pGA1870-2680 large scale culture (resuspended in PBS) was prepared. and used to affinity purify soluble affinity tagged protein. The pGAl870-2680 lysate was affinity purified on Glutathione-agarose resin (Pharmacia) as described in [Smith and Corcoran. Current Protocols in Molecular Biology, Suppl. 28 (1994) pp. 16.7.1-16.7.7] with the exception that binding of protein to resin was for 1 hr at 4"C.

Briefly, following induction of the 1 liter culture for 3 hrs. the cells were collected by centrifugation for 10 min at 5.000 x g at room temperature. The cell pellet was resuspended in 10 ml ice-cold PBS. The cells were then disrupted by sonication as described in Example 24d. Triton X-100 was added to a final concentration of 1% and the sample was well mixed.

Insoluble debris was removed by centrifugation of the sample for 5 min at 10,000 x g at 4 0

C.

The supernatant was carefully removed and added to 1 ml of 50% slurry of glutathione- 194agarose beads (Pharmacia). The mixture was allowed incubate for 1 hr at 4 0 C to allow the GST-tagged fusion protein to bind to the resin. The glutathione-agarose beads were then washed by adding 50 ml of ice-cold PBS. mixing and centrifuging for 10 sec at 500 x g at room temperature. The wash step was repeated twice (for a total of 3 washes). The resin was resuspended in 1 ml of ice-cold PBS and transferred to a 1.5 ml microcentrifuge tube.

The resin was pelleted by centrifugation for 10 sec at 500 x g at room temperature. The supernatant was removed and the fusion protein was eluted from the washed resin by adding 1 ml of 50 mM Tris-HCI (pH 8.0) and 5 mM reduced glutathione. The tube was mixed gently for 2 min then centrifuged for 10 sec at 500 x g at room temperature. The elution was 10 repeated twice and the supematants were pooled. The pooled supernatant. containing the eluted fusion protein, was stored in a solution containing 50 mM Tris-HCI (pH 5 mM reduced glutathione and 10% glycerol. Endotoxin content of the purified fusion protein was determined using the LAL kit as described in Example 24d.

Samples from the growth. induction and purification steps (uninduced. induced, total.

15 soluble, and affinity purified elution) were resolved on SDS-PAGE gels. and proteins detected by staining with Coomassie blue (as described in Example 28). The fusion protein was found to be partially soluble most protein remained in the pellet) and approximately mg/liter starting culture of mostly full length protein was affinity purified. The affinity purified preparation contained approximately 5000 EU/mg of affinity purified fusion protein.

These results demonstrate that under the above conditions. the pGEX expression system did o. not facilitate high level production of recombinant C. dificile toxin A fusion protein, and that the recovered protein contained significant endotoxin contamination.

c) Development of a Protocol for Production of Soluble pPA1870-2680 In Example 11 it was shown that. when produced by growth at 37°C. induced pPA 1870-2680 protein is almost entirely insoluble. To determine if expression at a lower temperature could enhance solubility, a culture of pPA1870-2680(N/C) was grown at 30 0

C

and the level of soluble affinity purifiable protein determined. A soluble lysate (in Novagen IX binding buffer) from an induced I liter 2X YT culture was prepared as described below.

Briefly. a culture of pPA1870-2680(N/C) [in the BL21(DE3)pLysS host] was grown at to an ODo of 0.9 in 1 liter of 2X YT medium containing 100 Lg/ml ampicillin. 34 pg/ml chloramphenicol and 0.2% glucose. Protein expression was induced by the addition of IPTG to 1 mM. After a 5 hr induction, the cells were cooled 15 min in a ice water bath and 195 then centrifuged 10 min at 5.000 rpm in a JAI0 rotor (Beckman) at 4 0 C. The pellets were resuspended in a total volume of 40 mis Novagen IX binding buffer (5 mM imidazole. 0.5 M SNaCl, 20 mM Tris-HCI. pH transferred to two 35 ml Oakridge tubes and frozen at -70 0

C

for at least 1 hr. The tubes were thawed and the cells were lysed by sonication (4 x second bursts) on ice using a Branson Sonifier 450 with a power setting of 6-7. The suspension was clarified by centrifugation for 20 min at 9,000 rpm (10.000 x g) in a JA-17 rotor. The- soluble lysate (after addition of NP40 to was batch absorbed to 7 ml of a 1:1 slurry of NiNTA resin (Qiagen): binding buffer [50 mM NaHPO,, 0.5 M NaCl. 60 mM imidazole (pH by stirring the mixture for 3 hr at 4°C. The slurry was poured into a *i 10 column having an internal diameter of I cm (BioRad). and washed with the following solutions in succession: 15 mls binding buffer containing 0.1%NP40. 15 ml binding buffer. 1.

ml wash buffer (40 mM imidazole. 0.5 M NaCI. 20 mM Tris-HCI. pH The bound protein was eluted in 200 mM imidazole. 0.5 M NaCI. 20 mM Tris-HCI. pH 7.9.

Samples of total. soluble. and eluted protein were resolved by SDS-PAGE. Total 15 protein was detected by staining the gel with Coomassie blue. The purification resulted in a yield of 34 mg of affinity purified protein from a 1 liter starting culture of the total soluble extract). of which at least 90-95% of the protein was found to migrated as a single band of the predicted MW (90 kd) for the recombinant C difjicile toxin A fusion protein the pPA1870-2680(N/C) protein].

These results provide a method. utilizing reduced growth temperature. that facilitates the efficient purification of high levels of soluble recombinant C. difficile toxin A protein utilizing the pPA1870-2680(N/C) expression plasmid.

d) Construction of pPA1870-2680(N) and Large Scale Purification of N, C and N/C His-Tagged 1870-2680 Protein Expression plasmids that facilitated expression of the 1870-2680 interval of C. difficile toxin A with either a N-terminal his-tag [pPA1870-2680 a C terminal his-tag [pPA1870- 2680(C)] or with both N- and C-terminal his-tags [pPAl870-2680(N/C)] were evaluated for large scale production and affinity purification of C. difficile toxin A repeat protein.

The features of the pPA 1870-2680(C) and pPAI870-2680(N/C) expression vectors was described in Examples 11 and 15. In Example 11. pPAI870-2680(C) was termed pPA1870- 2680 and in Example 15. pPA1870-2680(N/C) was termed pPA1870-2680(H). In order to more clearly identify the location of the poly-histidine tract (his-tag) the plasmids are 196hereinafter referred to with the and suffixes. These three expression plasmids were constructed as follows.

pPA1870-2680(C) was constructed by insertion of the C. difficile toxin A repeat containing Spel-HindIIl fragment from pPA1000-2680 (Example Il a) into the pET23b vector (Novagen) cleaved with NheI and HindIII.

The pPAI870-2680(N/C) plasmid was constructed by replacement of the pPA1870- 2680(C) promoter region, contained on a Bgl-Ndel fragment, with the corresponding BgIlI- Ndel fragment from.the pET16b vector (Novagen).

The pPA1870-2680(N) vector was created by digestion of pPA1870-2680(N/C) at the 10 C-terminal HindlII site followed by treatment with the Klenow enzyme to fill-in the cut ends.

SThe blunted plasmid was then circularized by ligation to create pPA1870-2680(N).

Large scale cultures of pPAI870-2680(N) and pPAI870-2680(C) were grown (using the BL21(DE3)pLysS host), induced and soluble protein was affinity purified and eluted as described in section c) above. In each case 10-20 mg affinity purified protein was recovered and the purified protein was found to be greater than 50% full length fusion protein as estimated by SDS-PAGE analysis. However, the bulk of the pPA1860-2680(C) protein eluted in the 40 mM wash buffer. In an attempt to identify wash conditions which did not result in the elution of significant amounts of the pPA1860-2680(C) protein, the following experiment was performed.

20 A one liter culture of pPAI870-2680(C) was grown as described above and purified utilizing a phosphate buffer based binding. wash and elution buffers. Cells were resuspended in phosphate binding buffer (50 mM NaPO,. 0.5 M NaCI. 5 mM imidazole. pH 8.0) and sequentially washed in phosphate binding buffer containing either 20. 40. or 200 mM imidazole. Recombinant protein eluted in all three washes (5.5 mg. 12.5 mg and 12 mg total protein, respectively) indicating that the C-terminal his-tagged protein is not retained by the resin at 40 mM imidazole concentrations in either buffer system utilized.

The above results demonstrated that soluble, affinity purified C difficile toxin A protein was isolated using any of the pPA1870-2680 or expression plasmids.

197 e) Construction of pPTrxA1870-2680(N) and and Large Scale Purification of N, C and N/C His-Tagged Trx 1870-2680 Proteins The thioredoxin (Trx) expression system (Invitrogen) has been developed to facilitate soluble expression of normally insoluble or difficult to express proteins. Genes are cloned into the pTrxFus vector and expressed as fusions with the E. coli thioredoxin protein; this linkage often confers the solubility properties of thioredoxin to the fusion protein [La Vallic, er al.

(1993) Bio/Technology 11:187]. However, the pTrxFus vector has several undesirable properties for an expression vector. All plasmids must be grown in specific strains and growth media since fusion protein expression in this system is inducible by tryptophan. As well, the promoter is not stringently controlled, such that low level expression of fusion protein occurs at reduced temperatures 30 0 Finally, the expression vector does not contain an affinity tag to facilitate high level affinity purification of soluble fusion protein.

To facilitate construction of IPTG-inducible, affinity tagged Trx fusion proteins, the 15 pETHisTrx vector was constructed. The thioredoxin gene of pTrxFus (Invitrogen) was excised as an NdeI-BamHI DNA fragment and was cloned into NdeI-BamHI digested pETHisb vector (Example 18) to created the pETHisTrx vector.

In the pETHisTrx vector, the Trx gene is expressed from the pET16b promoter and contains the pET16b N-terminal leader and his-tag sequence upstream of Trx, and the pET23b 20 polylinker (from the BamHI site) downstream of the Trx gene for construction of C-terminal genetic fusions. Three expression constructs which facilitate expression of a Trx-toxin A 1870-2680 interval fusion, as N, C or N/C terminal his-tags were constructed as follows.

The pPTrxA1870-2680(N/C) construct was constructed by ligation of the NdeI-BamHI (filled) Trx gene (isolated from the pTrxFus vector) and a SpeI (filled)-XhoI fragment containing the C difficile toxin A 1870-2680 gene [isolated from pPA1 100-2680 construct (Example 11)] into the NdeI-XhoI cleaved pETHisb vector (the filled BamHI and SpeI sites blunt end ligate together and create an in-frame Trx-C. difficile toxin A fusion).

The above Trx-C. difficile toxin A fusion was excised as an Ndel-Hindll fragment and inserted into NdeI-HindlII cleaved pET23a vector (Novagen) to create pPTrxA1870- 2680(C).

The HindIII site of pPTrxA1870-2680(N/C) was cleaved, filled-in by treatment with the Klenow enzyme and religatcd to create pPTrxA1870-2680(N).

198 The above constructions were carried using standard techniques of molecular biology as described in Example 29.

Large scale cultures of all three TrxAl870-2680 fusions pPTrxA1870-2680(C), pPTrxA1870-2680(N) and pPTrxA 1870-2680(N/C)] were grown and soluble affinity purified protein was isolated as described in section c) above. In all cases, affinity purified Trx fusion protein yields were similar in terms of solubility, mg/liter culture yields. and purity to the parallel pPA1870-2680 N. C. or N/C constructs described in section d) above.

i) Large Scale Affinity Purification of pPA1870-2680 and pPB1750-2360 10 Proteins and Determination of Endotoxin Levels Preparations of affinity purified pPA1870-2680(N/C) (Example 15) and pPB1750-2360 S(Example 15b) protein were generated to determine the endotoxin levels in the purified samples. All buffers were filter sterilized and gloves were worn through the preparation of the buffers to reduce buffer-mediated endotoxin contamination of the purified recombinant 15 protein samples. Large scale purifications of pPA1870-2680(N/C) and pPB1750-2360 proteins were performed as follows.

Briefly. cultures of pPA1870-2680(N/C) and pPB1750-2360 [in the BL21(DE3)pLysS host] was grown at 30 0 C to an ODpo of 1.0 in I liter of2X YT medium containing 100 gg/ml ampicillin. 34 pg/ml chloramphenicol and 0.2% glucose. Expression of the recombinant proteins was induced by the addition of IPTG to 0.3 mM. After 5-6 hrs of induction, the cells were for cooled 15 min in a ice water bath and then centrifuged 10 min at o 5.000 rpm in a JA10 rotor (Beckman) at 4 0 C. The cell pellets were frozen at -70 0 C overnight and then thawed and resuspended in a total volume of 40 mis binding buffer (5 mM imidazole. 0.5 M NaCI. 50 mM NaPO,, pH 8.0) and transferred to two 35 ml Oakridge tubes. The cells lysed by sonication (8 x 20 second bursts) on ice using as described in Example 29c. The suspension was clarified by centrifugation for 30 min at 9,000 rpm (10,000 x g) in a JA-17 rotor (Beckman). The supernatant was removed (this constitutes the soluble lysate) and NP40 was added to a final concentration of The soluble lysate (after addition of NP40 to was batch absorbed to 8 ml of a 1:1 slurry of NiNTA resin (Qiagen): binding buffer by stirring for 3 hr at 4 0 C. The slurry was centrifuged for 1 min at 500 x g in 50 ml tube (Falcon). resuspended in 5 mis binding buffer containing 0.1% and poured into a 2.5 cm diameter column (BioRad). The resin was then washed with 20 mis binding buffer containing 0.1% NP40. The column was attached to a UV monitor (ISCO) 199 and was washed with binding buffer until the baseline was established. Following establishment of the baseline absorbance. the column was washed with wash buffer [20 mM (pPB1750-2360) or 40 mM (pPA1870-2680) imidazole. 0.5 M NaCI. 50 mM NaPO 4 pH until baseline was reestablished. Imidazole was removed by washing the column with 50 mM NaPO 4 0.3 M NaCI, 10% glycerol. pH 7.0. and the bound proteins were eluted in 50 mM NaPO,, 0.3 M NaCI. 10% glycerol. pH 3.5-4.0. Proteins samples from various stages in the purification process were resolved by electrophoresis on an SDS-PAGE gel:the resulting gel is shown in Figure 34.

Figure 34 shows a Coomassie blue-stained gel showing the steps of the purification.

Protein samples were prepared for electrophoresis by mixing I pl total or soluble or soluble protein after binding to NiNTA resin and centrifugation protei,-with-4 pl PBS and 5 p. 2X SDS-PAGE sample buffer. or 5 pl eluted protein and 5 pi 2X sample buffer.

The samples were heated to 95 0 C for 5 min. then cooled and loaded onto a 7.5% SDS-PAGE gel. Broad range molecular weight protein markers BioRad) were also loaded, to allow 15 the estimation of the MW of identified fusion proteins. After electrophoresis. protein was detected generally by staining the gel with Coomassie blue. In Figure 34. lanes 1-4 contain protein from the purification of the pPA1870-2680 protein and lanes 5-8 contain protein from the purification of the pPB1750-2360 protein.

The purification resulted in a yield of approximately 30 mg/liter of affinity purified protein from 1 liter starting cultures (2-2.5 of the total soluble extract) for both proteins, of which at least 90-95% of the protein migrated as a single band of the predicted MW (90 kD) for the recombinant C. difficile toxin A protein. In both cases. most greater than 90 of the induced protein was soluble. and bound the resin quantitatively under the purification conditions utilized.

The endotoxin levels of the purified recombinant proteins was determined using the LAL kit (Example 24d) and was found to be less than 1.0 EU/mg purified protein for pPA1870-2680(N/C). and greater than 250 EU/mg purified protein for pPB1750-23 6 0. The difference in endotoxin levels between these two purified recombinant proteins may reflect the lower stringency wash utilized during the purification of the pPB1750-23 6 0 protein.

200g) Construction, Large Scale Affinity Purification of pPB1750-2360(N/C) and Determination of Endotoxin Levels As shown above, the affinity purified pPB1750-2360 protein contained higher levels of endotoxin than did the purified pPA1870-2680(N/C) protein. The pPB1750-2360 protein contains a poly-histidine tract at the carboxy-terminus while pPA1870-2680(N/C) contains a Roly-histidine tract at both the amino- and carboxy-termini. The presence of a poly-histidine tract at both ends of the fusion protein permitted higher stringency wash conditions to be employed during the affinity purification of pPA1870-2680(N/C) as compared to pPB1750- 2360 (40 mM imidazole versus 20 mM imidazole. respectively).

10 In order to produce a fusion protein comprising the 1750-2360 interval of C. difficile toxin B containing poly-histidine tracts at both the amino- and carboxy-terminipPB1750- 2360(N/C) was constructed as follows. pPB1750-2360 (Example 15b) was digested with Ndel Sand Xhol and the 1.5 kb NdeIXhol fragment was isolated and inserted into pETHisb vector (Example 18) digested with Ndel and Xhol. Routine procedures were employed for this 15 construction as described in the preceding Examples.

Large scale purification of pPB1750-2360(N/C) was conducted as described above in section f) for the purification of pPB1750-2360 with the exception that the wash buffer contained 40 mM imidazole. 0.5 M NaCl. 50 mM NaPO,, pH 8.0. Following the wash step, imidazole was removed by washing the column with 50 mM NaPO,. 0.3 M NaCI. glycerol. pH 7.0. The column was then washed with 50 mM NaPO 4 M NaCI. glycerol. pH 3.0 in an attempt to elute the bound protein. No pPB1750-2360(N/C) was eluted under these conditions.

The large scale purification was then repeated as described above with the exception that following the wash step using the wash buffer containing 40 mM imidazole. 0.5 M NaCI, 50 mM NaPO 4 pH 8.0. the bound protein was eluted using a solution containing 200 mM imidazole, 0.5 M NaCI. 50 mM NaPO,, pH 8.0. The imidazole was removed from the eluted protein by dialysis against PBS.

Analysis of the eluted pPB1750-2360(N/C) on SDS-PAGE gels stained with Coomassie blue revealed a single band of the MW expected for the full-length fusion protein.

The endotoxin levels of the purified pPB 1750-2360(N/C) protein was determined using the LAL kit (Example 24d). Three separate determinations were conducted and the endotoxin level was found to be 80. 300 or 450 EU/mg of purified recombinant protein. While not limited to any particular mechanism, it is believed that the inconsistent LAL assay results seen 201 with pPB1750-2360(N/C) and the high reading obtained with pPB 1750-2360 (see section f) are due to non-specific agglutination of the LAL components by carbohydrate binding moieties present on the C. difficile toxin B sequences present on these proteins. Regardless of whether the actual endotoxin level is 80 or 450 EU/mg purified protein, the affinity purified pPB1750-2360(N/C) preparation represents a substantially endotoxin-free preparation of recombinant protein (Administration of 10 to 500 pg of purified pPB1750-2360(N/C) would result in the introduction of only 4.5 to 225 EU: in a 70 kg human this amount of endotoxin is 1.3 to 64.5% of the maximum permissible dose).

The above results provide a protocol for the affinity purification of substantially endotoxin-free preparations of recombinant C difficile toxin A and B repeat proteins in high yields.

Example Purification of Soluble pPA1870-2680(N/C). pPA1960-2680 and pPA1870-2190 Proteins In Example 29. methods for the production of soluble, substantially endotoxin-free samples of pPA1870-2680(N). or were provided which produced proteins that met the initial criteria set for antigen production, that is the proteins were 1) easily purified 2) well characterized and of a high purity and 3) substantially endotoxin-free. In this example.

the ability to produce similarly pure antigen from the pPA1870-2190 or pPA1960-2680 expression constructs was examined. This example involved a) large scale purification of soluble pPA1870-2190 and pPA1960-2680 proteins and b) construction of the pPTrxA1870- 2190 vector and large scale purification of soluble pPTrxA1870-21 90 protein.

a) Large Scale Purification of Soluble pPA1870-2190 and pPA1960-2680 Proteins Previous attempts to produce soluble affinity purified protein utilizing the pPA1870- 2190 (Example 17a) or pPA1960- 26 8 0 (Example 28) vectors were unsuccessful, as assessed by analysis of total and soluble protein produced in small scale cultures. However, the solubility properties of a protein determined utilizing small scale or minicultures may not translate to large scale cultures, due to differences in buffers, sonication conditions. etc.

Indeed, the successful expression of soluble, substantially endotoxin-free C. difficile toxin A repeat protein utilizing the pPA1870-2680 N. C or N/C constructs suggested that the 202conditions utilized to solubilize these proteins might also enhance solubility of the pPA1870- 2190 and pPA1960-2680 proteins. This hypothesis was tested as follows.

Large scale cultures of pPA1870-2190 and pPA 1960-2680 were grown and soluble protein affinity purified on Ni-NTA resin as described in Example 29c. Both the BL21(DE3) and BL21(DE3)pLysS hosts for pPA1960-2680. and the BL21(DE3)pLysS host for pPA1870- 2190 were utilized. The culture of pPA1870-2680(N/C) [in the BL21(DE3)pLysS host] was grown at 30 0 C to an OD, of 0.9 in I liter of 2X YT medium containing 100 gg/ml ampicillin and 0.2% glucose: when the host utilized harbored the pLysS plasmid. 34 ig/ml chloramphenicol was added to the above medium. Protein expression was induced by 10 addition of IPTG to 1 mM. After 5 hrs of induction, the cells were cooled for 15 min in a ice water bath and then centrifuged for 10 min at 5.000 rpm in a JAI0 rotor (Beckman) at 4 0 C. The pellets were resuspended in a total volume of 40 mis Novagen IX binding buffer (5 mM imidazole. 0.5 M NaCI. 20 mM Tris-HCI. pH transferred to two 35 ml Oakridge tubes and frozen at -70 0 C for at least 1 hr. The tubes were thawed and the cells were lysed 15 by sonication (4 x 20 second bursts using a Branson Sonifer 450 with a power setting of 6-7) on ice. The suspension was clarified by centrifugation for 20 min at 9.000 rpm (10,000 x g) in a JA-17 rotor (Beckman) at 4°C. The soluble lysate (after addition of NP40 to was batch absorbed to 7 ml of a 1:1 slurry of NiNTA resin (Qiigen): Novagen IX binding buffer by stirring for 3 hr at 4 0 C. The slurry was poured into a 1 cm internal diameter column (BioRad). and washed with the following solutions in succession: 15 mis Novagen IX binding buffer containing 0.1%NP40. 15 ml Novagen IX binding buffer. 15 ml wash buffer (40 mM oo ~imidazole. 0.5 M NaCI. 20 mM Tris-HCl, pH The bound protein was eluted in 200 mM imidazole. 0.5 M NaCI, 20 mM Tris-HC1, pH 7.9.

Samples of total, soluble. and eluted protein (both the 40 mM and 200 mM wash and elution buffers) were resolved by SDS-PAGE. Total protein was detected by Coomassie staining, and C. difficile toxin A-reactive protein (in the case of pPA1960-2680) detected by Western blot detection, utilizing affinity purified goat anti-toxin A antibody as described in Example 28.

The results of these analyses showed that for the pPA1870-2190 protein, only 600 jg protein/liter culture was purified in the 200 mM imidazole elution. The C difficile toxin A protein was expressed to high levels with this construct. but most of the induced protein was insoluble. As well. the pPAI 870-2190 protein represented less than 10% of the total eluted protein. For the pPA1960- 2 6 8 0 construct. total yields of soluble affinity purified protein was 203 either I mg [B121(DE3)pLysS host] or 200 pg [BL21(DE3) host] in the 200 mM elution fraction. Coomassie and Western analysis demonstrated that the pPA1960-2680 protein was expressed to high levels, but that most of the induced protein was insoluble, and that eluted protein preparations contained only approximately 20% C. difficile toxin A-reactive protein.

The above results demonstrate that the conditions utilized to solubilize the pPA1870- 2680 protein were not successful in generating solubilized C difficile toxin A repeat protein expressed by either the pPA1960-2680 or pPA1870-2190 constructs.

b) Construction of the pPTrxA1870-2190 Plasmid and Large Scale 10 Purification of Soluble Protein To determine if the solubility of recombinant proteins comprising 1870-2680 interval of C. dificile toxin A could be enhanced by utilizing the solubilizing properties of the Trx protein, a fusion construct in which the 1870-2680 interval was expressed as a fusion to thioredoxin (Trx) was constructed.

15 The pPTrxA1870-2190 construct was made in two steps. First. the 1870-2190 interval was cloned into the pTrxFus vector (Invitrogen). This was accomplished by ligating the KpnI-Sall fragment from pMA1870-2190 which contains the 1870-2190 interval of C difficile toxin A into the Kpnl-SalI cleaved pTrxFus vector. A recombinant clone containing the appropriate DNA fragments was selected and the sequences encoding the Trx-C difficile toxin A fusion protein were excised utilizing Ndel and Sall. and cloned into the pETHisb vector (Example i8) cleaved with Ndel and Xhol. The resultant construct. pPTrxAl870-2190.

S" contains an N-terminal his-tagged Trx-C difficile toxin A fusion driven by the pET16b promoter.

Purification of soluble affinity purified Trx-C. difficile toxin A protein from the pPTrxA1870-2190 construct was performed from a large scale culture as described in section a) above. Total, soluble and elution samples were resolved on a 12.5% SDS-PAGE gel and protein was detected by staining with Coomassie blue.

The results of this analysis revealed that the total yield of affinity purified recombinant protein was 2 mg of greater than 50% pure protein in the 200 mM imidazole elution. This yield of I mg specific protein (50% of 2 mg total purified protein) represents a ten fold increase over the yield obtained with the pPA1870-2190 construct (10% of 600 pg, or less than 100 pg specific protein) and demonstrates the solubilizing property of the Trx protein.

However, the majority of induced protein was insoluble with both constructs 204pPTrxA1870- 2 190 and pPA1870-2190) and the overall affinity purifiable protein yield with the pPTrxA1870-2190 vector was still less than 20 fold lower that obtained with the pPA1870-2680 constructs.

EXAMPLE 31 Protection of Hamsters Against C. difficile Disease with Avian Antibodies (IcY) Against Recombinant C difficile Toxin A and Toxin B In this example. experiments were performed to determine if orally administered IgY 10 against a recombinant fragment of C difficile toxin A and/or recombinant C difficile toxin B can effectively prevent hamsters against C difficile disease. This example involved a) the immunization of hens with recombinant C difficile toxin A or B protein. b) purification.

~detection and quantification of anti-recombinant C difficile toxin A and toxin B IgY and c) in vivo protection infection study using either anti-recombinant C difficile toxin A IgY or a mixture of anti-recombinan C. dfficile toxin A IgY and anti-recombinant C difficile toxin B IgY.

a) Immunization of Hens with Recombinant C difficile Toxin A or B Proteins Egg-laying Leghorn hens were each immunized with C difficile toxin A recombinant protein pMA1870-2680 (the 1870-2680 interval of C difficile toxin A is referred to as Interval A-6) or C difficile toxin B recombinant pPB1750-2360 (the 1750-2360 interval of C.

difficile toxin B is referred to as Interval Both recombinant proteins were expressed as soluble products and purified as described in Example 28 (pMA 1870-2680) and Example 29 (pPB1750-2360). About I mg of each recombinant protein was mixed with complete Freund's adjuvant (prepared as described in Example 1) and subcutaneously administered to the hens at multiple sites. The hens were immunized ten times. The first four immunizations were given on Day 1. 14. 21 and 35. The remaining immunizations were then given at 4 week intervals.

b) Purification, Detection and Quantification of Anti-Recombinant

C

difficile Toxin A and Toxin B IgY Eggs were collected about I week after the last boost and IgYs were extracted using PEG as described in Example 1. The anti-recombinant C. difficile toxin A and B IgYs were resuspended as a 4X PEG concentrate resuspended in 1/4 of the original yolk volume) in 205- 0.1 M carbonate buffer. pH 9.5. The total protein concentration of both of the 4X IgY concentrates was 20 mg/ml as judged by absorbance at 280 nm. The relative levels of IgY specific for reactivity with the immunogens were detected by ELISA as follows.

Microtiter plates were coated at 100 tl/well with either 0.05 ig/ml of the recombinant S C. difficile toxin A protein. pPA1870-2680 (Example 11) or 1 Pgiml of the recombinant

C.

difficile toxin B. pPB1750-2360 (Example 18b). The ELISA was performed as described in Example 13c. The results of this analysis revealed that the antibody titers were both greater than 1:125.000. (Antibody titer is defined as the reciprocal of the highest antibody dilution that gives an ELISA signal that is at least 3-fold over pre-immune IgY.) The amount of 10 specific anti-recombinant toxin A and anti-recombinant toxin B IgY was determined by affinity purification as described in Example 15c. The amount of specific.anti-recombinant

C.

difficile toxin A and B antibodies present in the anti-pMA 1870-2680 and anti-pPB1750-2360 preparations was determined to be about 160 pg/ml and 200 pgiml. respectively.

15 c) In Vivo Protection Infection Study Using Either Anti-Recombinant

C.

difficile Toxin A IgY or a Mixture of Anti-Recombinant C difficile Toxin A IgY and Anti-Recombinant C. difficile Toxin B IgY An in vivo protection study using antibodies raised against pMA1870-2680 (Example and pPB1750-2360 (Example 18b) was performed using the C. dificile-hamster model.

This study employed a hamster model which was modified from that used in Example 9. as follows.

Hamsters were predisposed to infection with C difficile by I.P. administration of I mg/100 gm body weight of Clindamycin phosphate (Biomol) in I ml of sterile water. The Clindamycin was administered I.P. using a 1 ml tuberculin syringe (Terumo). About 20-24 hours later, the hamsters were each infected orally with I ml of saline containing I x 10' C.

difficile (ATCC 43596). The C. difficile was grown for about 48 hours on CCFA (C.

difficile selective agar) plates (BBL) prior to infection.

Using the above modifications in the hamster model, the time course of infection (in particular, the time of onset of disease) in the hamsters was much more consistent and rapid as compared to the results obtained using the conditions described in Example 9. For the present study, 3 groups of hamsters (Sasco). 8 per group were treated with 2 mis of a 4X concentrate of preimmune or anti-recombinant C difficile toxin A IgY containing 40 mg of total IgY: the amount of specific anti-recombinant C difficile toxin A was approximately 400 206-

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pg. The third group was treated with 2 mis of an equal mixture of 4X concentration of IgYs to both recombinant C difficile toxin A and B giving a final specific concentration to each of 2X (the amount of specific anti-recombinant toxin A and B IgY was approximately 200 pg each). The third group. therefore has one-half the amount of specific antibodies to the recombinant C. difficile toxin A compared to the anti-recombinant C. difficile toxin A only treatment.

Hamsters were treated 3 times daily at roughly 4 hour intervals starting 24-hours prior to infection. The hamsters were treated for 5 days. This was about 1 week less than the treatment period employed in Example 9. The outcome of the present prophylactic treatment 10 study is shown in Figure In Figure 35. the percentage cumulative mortality is displayed along-the-erdinate and the time (in days) is displayed along the abscissa. The treatment period is indicated by the use of the bar between days 0 and 4. The administration of Clindamycin and the inoculation with C. difficile (marked as "Infection" in Fig. 35) is indicated. The solid black squares represent hamsters which received pre-immune IgY: the open squares represent hamsters which received anti-recombinant C. difficile toxin A IgY (anti-Interval A-6) and the solid black diamonds represent hamsters which received a mixture of anti-recombinant C. difficile toxins A and B IgY (anti-Interval A-6/B-3).

The results shown in Figure 35 demonstrate that under these model conditions, all of the hamsters treated with pre-immune IgY developed diarrhea less than 24-hours post inoculation. One day post inoculation all of the animals were dead in that group. In contrast.

using the conditions employed in Example 9. the group treated with pre-immune IgY took several days before the onset of illness was apparent and often not all of the members died from the disease.

As shown in Figure 35. the hamsters treated with either the anti-recombinant

C.

difficile toxin A IgY (anti-pMA1870-2680) or anti-recombinant C di ficile toxin A (antipMA1870-2680) and toxin B (anti-pPB1750-2360) mixture were protected from death: 62 and 88 survived from each group. respectively. Chi-squared analysis of the results in the anti-recombinant C. difficile toxin A and the mixture treated groups was significant compared to the pre-immune treated group. with P values of less than 0.05 and less than 0.005, respectively. Although the results comparing death as an endpoint between two test groups was not significant (P 0.75). diarrhea in the animals receiving the anti-recombinant

C

207difficile toxin A and B IgY mix was less severe than that seen in the pre-immune control group.

The above results. using a highly aggressive hamster model of CDAD. show that IgYs against a recombinant C. difficile toxin A protein (pMA1870-2680) was protective, but the addition of antibodies against the recombinant C. difficile toxin B (pPB1750-2360) provided additional protection a lessening of the severity of the disease symptoms).

EXAMPLE 32 Treatment of Hamsters with an Established C difficile Infection with 10 Avian Antibodies (IlY) Against Recombinant C difficile Toxin A and Toxin B In order to determine if orally administered IgY against a recombinant C. difficile toxin A protein and /or recombinant C difficile toxin B can effectively treat hamsters infected with C. difficile. the following experiments were performed. The example involved a) the immunization of hens with recombinant C. difficile toxin A or B proteins b) purification and detection cf anti-recombinant C difficile toxin A and B chicken IgYs c) an in vivo infection study where hamsters were treated with IgYs against either recombinant C. difficile toxin A or recombinant toxin B (Infection study In addition. a mixture of IgY. containing both antirecombinant toxin A and B was also used to treat hamsters after infection with C. difficile 20 (Infection study The conditions used in infection study #2 were repeated to yield Infection study #3.

a) Immunization of Hens with Recombinant C difficile Toxin A or B proteins Egg-laying Leghorn hens were each immunized with the recombinant C difficile toxin A recombinant protein pMA 870-2680 (Interval A-6) or the C difficile toxin B recombinant pPB1750-2360 (Interval Each recombinant comprises the repeat regions of C. difficile toxin A and toxin B. Both recombinant proteins were expressed as soluble proteins utilizing the pMal vector for the toxin A recombinant (Example 15) and pET for the toxin B recombinant (Example 18b).

About I mg of each recombinant protein was mixed with 500 ug of Fowl adjuvant (RIBI Immunochemical Research) for the C. difficile toxin A recombinant and or Freund's adjuvant (prepared as described in Example 1) for the C difficile toxin B recombinant. Each hen was subcutaneously immunized about 7 times at roughly two to four week intervals.

208

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b) Purification and Detection of Anti-Recombinant C. difficile Toxin A and B Chicken IgYs Eggs were collected about 1 week after the last boost and antibodies were extracted using PEG as described (Example The IgYs were resuspended as a 8X or 4X concentrate resuspension at 1/8 or 1/4 yolk volume in 0.1 M carbonate buffer. pH The relative levels of specific antibodies to the recombinant immunogens was detected by ELISA as described in Example 13c with the following modifications. The 96-well microtiter plate was coated with 0.05 pg/ml of recombinant toxin A protein pPTrxAl870-2680N/C (Example 29e) or 1 jg/ml of toxin B recombinant pPB1750-2360 (Example 18b) at 100 pl/well. The 10 standard ELISA format to detect anti-recombinant C difficile toxin A or B was performed (Example 13c). Antibody titers by ELISA were both determined to be greater thin 1:125.000.

c) In vivo Infection Study 15 Three infection studies. #2 and #3 were performed using the hamster model described in Example 31.

i) Infection Study #1 In the infection study three separate experimental groups, each consisting of 12 Golden Syrian hamsters (Sasco) weighing approximately 80-90 grams each were used. The animals were housed at 3 per cage and were offered food and water ad libitum throughout the study. The hamster model was conducted as described in Example 31. At the start of the study. each hamster was predisposed to infection by the intra-peritoneal administration of Clindamycin-phosphate (Biomol) at I mg/100 gm body weight in 1 ml of water using a I ml tuberculin syringe (27 gauge needle). Approximately 24 hours later. each animal was orally challenged, using an 18 gauge feeding needle. with 1 ml of C difficile. (strain ATCC 43596) with approximately 10 3 to 10 organisms in sterile saline. The organisms were grown for 48 hours on CCFA plates (BBL) prior to infection.

Three hours after inoculation (Day treatment was initiated for both groups. The groups were each orally treated using an 18 gauge feeding needle to administer 2 mis of a 4X concentrate of either pre-immune IgY or specific immune IgY against either the recombinant C. difficile toxin A (pMA1870-2680: Interval A-6) or toxin B (pPB1750- 2 3 6 0: Interval B-3).

On Day 1, the hamsters were treated additionally two more times at 2 hour intervals. On Day 2. through 4 the hamsters were each treated with 2 mis of the respective antibody preparations 209 3 times daily roughly at 4 hour intervals. Each 2 ml dose contained about 40 mg of IgY of which about 400 gg is specific IgY (determined by affinity purification as described in Example 15c) to the recombinant toxin protein or about 1200 pg of specific anti-C. difficile toxin protein per day. All animals were observed for the onset of diarrhea and death during and after the treatment period. The results are shown in Figure 36.

In Figure 36. the percentage cumulative mortality is displayed along the ordinate and the time (in days) is displayed along the abscissa. The treatment period is indicated by the use of the bar between days I and 4. The administration of Clindamycin and C. difficile organisms ("Infection") is indicated. The solid black squares represent hamsters which 10 received pre-immune IgY: the open squares represent hamsters which received a 4X preparation of anti-recombinant C difficile toxin A IgY (anti-Interval A-6)-and the-solid black diamonds represent hamsters which received a 4X preparation of anti-recombinant C. difficile toxin B IgY (anti-Interval B-3).

The results shown in Figure 36 demonstrate that half of the hamsters (6/12) treated after infection with antibodies against the C difficile toxin A recombinant were protected from death from CDAD. The degree of protection in the anti-recombinant C difficile toxin A group was statistically significant at P< 0.025 using Chi-square analysis. Most of the hamsters (10/12) in that group presented with diarrhea. It appeared that at the concentration o tested, antibodies against the C difficile toxin A recombinant was unable to prevent diarrhea in the hamsters. In contrast. all of the pre-immune and anti-recombinant C difficile toxin B treated hamsters developed diarrhea and died shortly afterward.

6: The above results demonstrated that IgYs raised against a recombinant C. difficile toxin A protein (pMA1870-2680) can protect the hamsters from death due to CDAD.

ii) Infection Study #2 A second experiment was conducted basically as described above with the exception that a mixture of antibodies to both recombinant C. difficile toxins A and B was tested for the ability to protect hamsters from CDAD. Equal volumes of an 8X concentration of IgYs to both recombinants (pMA1870-2680 and pPB1750-2360) were mixed to give a final concentration to each recombinant equal to 4X. Each dose (2 ml) contained approximately mg/ml protein containing about 400 pg of specific IgY specific anti-C. dfficile toxin protein as compared to the total) to each recombinant. The amount of specific antirecombinant IgY to each toxin recombinant was determined by affinity purification using the respective recombinant protein. The resulting preparation therefore contains the same final 210concentration of anti-recombinant toxin A used in the previous experiment (section c(i) above) except it contains twice the amount of protein. Because of this difference, an additional test group was set-up and treated with equal volumes of two 8X concentration of anti-recombinant C difficile toxin A and pre-immune IgY. As a control. a third group of hamsters were treated with an 8X concentrate of only pre-immune IgY. Nine hamsters per group were infected with I x 10 C. difficile organisms (ATCC 43596) and then were treated 4 hours later with 2 mis of either preimmune IgY, anti-recombinant C. difficile toxin A IgY mixed with preimmune IgY or a mixture of anti-recombinant C. difficile toxin A and B IgYs. The animals were treated as described (section c(i) above) at 3 times a day for 4 days. The outcome of this experiment is shown in Figure 37.

In Figure 37. the percentage cumulative mortality is displayed along the ordinate and the time (in days) is displayed along the abscissa. The treatment period is indicated by the use of the bar between days I and 4. The administration of Clindamycin and C diflicile organisms ("Infection") is indicated. The solid black squares represent hamsters which 15 received an 8X preparation of pre-immune IgY: the open squares represent hamsters which :received a mixture of 8X preparations of pre-immune sera and anti-recombinant C. difficile toxin A IgY (anti-Interval A-6) and the solid black diamonds represent hamsters which received a mixture of 8X preparations of anti-recombinant C. difficile toxins A and B IgY (anti-Interval A-6 and B-3).

The results shown in Figure 37 demonstrate that a mixture of IgYs to both recombinant C difficile toxin A and B (pMA1870-2680 and pPB1750-2360) completely protected all the hamsters from death from CDAD. Only 1/3 (3 out of 9) of the animals treated with the mixture of anti C difficile toxin A and B antibodies exhibited diarrhea (one had a very mild case). Hamsters treated with a mixture of anti-recombinant C. difficile toxin A antibodies (anti-Interval A-6) and pre-immune IgY were partially protected with a 56 survival rate. All except one hamster in the anti-Interval A-6/pre-immune IgY group presented with diarrhea. The survival rate in this group. was comparable to the rate seen in infection study #1 (50 using only anti-recombinant C difficile toxin A IgY without the addition of pre-immune IgY. This indicated that the addition of preimmune IgY probably had little or no effect (in terms of non-specific protection from proteases in the GI tract) on the effectiveness of the anti-recombinant C difficile toxin A IgY. As usual, treatment of animals with pre-immune antibodies alone did not protect the hamsters from C. difficile infection and all the hamsters died within 2 days post-infection. The survival rates seen due to -211 administration of the anti-recombinant C. difficile toxin A IgY and the anti-recombinant C difficile toxins A and B were both statistically significant compared to pre-immune IgY with P values of less than 0.05 and 0.001. respectively. The P-value comparing both recombinant treated groups was less than 0.10.

The survivors in both infection studies #1 and #2 survived lived long-term for a period of greater than or equal to 30 days after withdrawal of treatment: animals were euthanized about one month after withdrawal of treatment when the experiment was terminated). Furthermore. no relapse was observed in these animals (relapse is commonly seen in animals. including humans. treated with drugs such as vancomycin or metronidazole to combat C difficile infection). These results represent the first time antibodies raised against recombinants proteins derived from C. difficile toxins A and B have been shown to be completely effective in animals given a lethal infection with C difficile.

iii) Infection Study #3 15 After several more immunizations of the hens with the recombinant C difficile toxin A alone (pMA1870-2680) and C. difficile toxin A/B recombinants (a mixture of pMA1870-2680 and pPB1750-2360), the in vivo therapeutic study described above (infection study using the mixture of both antibodies was repeated (infection study Three groups of hamsters, each group consisting of 10 members were treated 4 hours post-infection with either preimmune IgY. anti-recombinant C difficile toxin A or a mixture of anti-recombinant C difficile toxin A and B IgYs at the same dosages and times outlined above. The results of this study is.shown in Figure 38.

In Figure 38. the percentage cumulative mortality is displayed along the ordinate and the time (in days) is displayed along the abscissa. The treatment period is indicated by the use of the bar between days I and 4. The administration of Clindamycin and C. difficile organisms ("Infection") is indicated. The solid black squares represent hamsters which received an 8X preparation of pre-immune IgY: the open squares represent hamsters which received a mixture of 8X preparations of pre-immune sera and anti-recombinant C difficile toxin A IgY (anti-Interval A-6) and the solid black diamonds represent hamsters which received a mixture of 8X preparations of anti-recombinant C difficile toxins A and B IgY (anti-Interval A-6 and B-3).

As shown in Figure 38. the hamsters treated with the antibody mixture to both recombinant C difficile toxins A and B were completely protected from death as shown in the 212 previous experiment (infection study but in addition none of the treated (anti-recombinant toxins A and B) animals presented with diarrhea. While hamsters treated with antirecombinant C. difficile toxin A were also protected from mortality (only one of ten died) all but one had diarrhea. All hamsters treated with preimmune IgY developed diarrhea and died within 48-hours of infection.

Prevention against mortality using antibodies to recombinant C. difficile toxin A and both C. difficile toxins A and B was statistically significant (P <0.001). compared to the results obtained using pre-immune antibody. Also. was shown in previous Examples (16 and sections i and ii above), all the treated hamsters survived long-term with no signs of relapse.

10 The prevention of morbidity in the hamsters. which includes presence of diarrhea and weight loss. by treating with anti-recombinant A and B IgY is shown in Table 42.

Table 42 Interval A-6 and B-3 Antibodies Reduce CDAD Morbidity S 15 Treatment Group Animals with Weight Loss P S 15 Treatment Group Diarrhea Pre-lmmune 100 NAb pmA1870- 2 6 8 0 90 NSc 16 <0.001 pmAl870- 2 6 8 0 plus 0 <0.001 1 NS pPB1750-2360 (A-6/B-3) Weight loss of survivors calculated as the difference between the starting weight and that at termination of treatment.

S NA. not applicable.

c NS. not significant.

As shown in Table 42. the percent weight loss in the survivors treated with the antirecombinant C difficile toxin A IgY alone (pMA1870- 268 0: A-6) compared to the mean weight before infection was about 16%. The hamsters treated with both antibodies to both recombinants (pMA1870-2 6 80 and pPB1750-2360: A-6/B-3) only lost 1% of their mean starting weight. These results demonstrate that the antibodies raised against the C. difficile toxin A recombinant protected the hamsters from the fatal stage of CDAD but the addition of antibodies to the C. difficile toxin B recombinant was necessary for the prevention of the diarrheal stage associated with CDAD.

213 EXAMPLE 33 Relapse During In Vivo Treatment of Hamsters Infected with C. difficile Usine Vancomvcin Therapy To determine if relapse of C. difficile disease occurs after vancomycin treatment under conditions used in the previous treatment studies, the following experiment was performed.

The conditions employed for the hamster model were identical to the conditions used in Example 32. Three groups of hamsters (Sasco). each group containing 6 members, were treated with 0.2. 1 or 5 mg/kg of vancomycin (Vancomycin HCI. Lilly) in one ml of sterile water. Animals were dosed once per day for 5 days. An additional untreated group was S..tested as a control. Hamsters were each orally infected with 1 x 103 C difficile organisms (ATCC 43596) and then vancomycin treatment was begun 3 hours post-infection. The outcome of the experiment, twenty days after infection, is shown in Figure 39.

In Figure 39. the percentage cumulative mortality is displayed along the ordinate and the time (in days) is displayed along the abscissa. The treatment period is indicated by the use of the bar between days I and 5. The administration of Clindamycin and the inoculation with C. difficile organisms (marked as "Infection" in Fig. 39) is indicated. The solid black squares represent hamsters which received no treatment (untreated): the open squares represent hamsters which received 0.2 mg/kg vancomycin: the solid black diamonds represent hamsters which received 1.0 mg/kg vancomycin: and the open diamonds represent hamsters which received 5.0 mg/kg vancomycin.

The results shown in Figure 39 demonstrate that the hamsters treated with 0.2 mg/kg of vancomycin all died during the course of treatment. Hamsters treated with 1 mg/kg or mg/kg of vancomycin were protected during the period of treatment. but quickly relapsed and most died shortly after the termination of treatment. All of the treated hamsters developed diarrhea and 83% of the hamsters treated with 1 mg/kg vancomycin or 100% of the hamsters treated with 5 mg/kg vancomycin died 7 days or 9 days after withdrawal of treatment.

This relapse effect using vancomycin as illustrated here or using metronidazole to treat C difficile infections in the hamster model or in humans is a common occurrence that has been reported frequently. Up to 100% of hamsters and about 25% of humans treated with either of these two drugs relapse. This relapse effect is in marked contrast to the effect shown in the present invention when treating hamsters infected with C. difficile with IgYs raised against either native or recombinant C difficile toxin A or B. Relapse rarely or never 214 occurs when animals are treated with anti-C. difficile toxin IgY. Thus. the prevention of relapse by the administration of anti-C difficile toxin IgY represents an important therapeutic advantage over conventional antibiotic treatments.

EXAMPLE 34 Comparison of C. difficile Toxin A Neutralization In Vivo Using IgYs Against Three Different C diffcile Toxin A Repeat-Containing Recombinant Proteins Three C. difficile toxin A recombinants proteins from the repeat region of C. difficile 10 toxin A were expressed in the pMal-c vector. Antibodies against each were generated and compared for their ability to neutralize C. difficile toxin A in hamsters. The.example involved a) immunization of hens. b) purification and detection of anti-recombinant toxin A IgYs and c) C difficile toxin A neutralization study in hamsters using anti-recombinant toxin A IgYs.

a) Immunization of Hens Three groups of egg-laying Leghorn hens were immunized with different toxin A recombinants proteins produced in the pMal vector. All were expressed as MBP fusions.

They were pMA1870-2190 (Example 17). pMA1960-2 680 (Example 28) and pMA1870-2680 (Example 11). The first two recombinants proteins comprise overlapping sub-fragments within the interval contained in the recombinant pMA1870- 2 6 80 Approximately I mg of each recombinant protein was given with Freund's adjuvant to each hen. The standard immunization procedure using this adjuvant was performed as described Example 1. The hens were immunized four times at multiple sites using the time intervals described in Example 32a.

b) Purification and Detection of Anti-Recombinant C. difficile Toxin A IgYs Antibodies were extracted using PEG from eggs collected after at least one week after the last boost. Anti-C. difficile toxin A (CTA) and pre-immune IgYs were also prepared as a controls (as described in Examples and 1. respectively). The IgYs were resuspended in 0.1 M carbonate buffer (pH 9.5) at 4X concentration (1/4 the original yolk volume). The levels of specific antibodies from each group was determined by ELISA. Reactivity was determined against the soluble recombinant toxin A protein pPTrxl870-2680. The pPTrx1870-2680 215 protein does not contain the MBP as do the other 3 immunogens and therefore the ELISA reactivity is specific to only the toxin A recombinant. The standard ELISA protocol was employed (Example 13c). From the ELISA results. all four of the anti-recombinant C.

difficile toxin A IgYs were shown to have very similar titers at greater than 1:31.250 compared to the pre-immune IgY.

c) C. difficile Toxin A Neutralization Study in Hamsters Using Anti- Recombinant Toxin A IgYs The ability of the above recombinant toxin A IgYs pMA1870-2190. pMA1960- 10 2680 and pMA1870-2680) to provide protection against C. difficile toxin A was determined in the hamster model. Two groups of hamsters received the anti-pMA1870-2680 IgYs: therefore a total of 6 treatment groups were examined. The assay was performed as described in Example 14.

One ml of IgY was mixed and preincubated for I hour with 30 pg of C difficile toxin A (Tech Labs) then administered orally to 30-40 gm Golden Syrian hamsters (Charles River).

Preimmune and CTA IgY (Example 8) served as negative and positive controls. respectively.

The animals were observed for 24 hours and the number dead in each group was tallied. The results of the experiment is shown in Table 43.

0 Table 43 Generation of Toxin A Neutralizing Antibodies Against Different Toxin A Recombinant Fragments Treatment Group Alive' Dead' Preimmune 0 CTA 5 0 pMA 1870-2190 0 pMA 1960-2680 5 0 pMA 1870-2680 a 5 0 pMA 1870-2680 b 32 SStudy outcome after 24 hours.

216 As shown in Table 43. pre-treatment of C difficile toxin A with IgY against pMA1870-2680 prevented death in all 5 treated hamsters in the treatment group designated "pMA1870-2680 a" and 3 out of 5 in the treatment group designated "pMAI870-2680 b." Antibodies raised against pMA1870-2680 and the slightly smaller, carboxy-terminal polypeptide, pMA1960-2680. both prevented death in all 5 animals. In contrast, as with preimmune IgY, IgYs raised against the amino-terminal polypeptide pMA1870-2190 had no Seffect on the prevention of death. As expected. hamsters treated with CTA IgYs were completely protected from the enterotoxic effects of C. difficile toxin A.

EXAMPLE Identification of Adjuvants that Optimally Induce Neutralizine Antibodies Against Native C difficile Toxin A In Vivo In order to compare the ability of different adjuvants to invoke neutralizing antibodies 15 against C difficile toxin A in hens using a recombinant C difficile toxin A protein as the immunogen. the following experiments were performed. The example involved a) immunization of hens with a recombinant C difficile toxin A protein using four different adjuvants: b) determination of anti-recombinant C. difficile toxin A IgY titers by ELISA and g* c) testing the neutralizing ability of the anti-recombinant C difficile toxin A IgYs against C 20 difficile toxin A in vivo.

a) Immunization of Hens with a Recombinant C. difficile Toxin A Protein Using Four Different Adjuvants Eight groups of egg-laying Leghorn hens. each group containing 4 hens. were immunized with either 100 pg or 1 mg of recombinant toxin A protein (pMA1870-2680; Example 11) in combination with four different adjuvants. The four adjuvants tested were: Freund's (GIBCO). Fowl adjuvant LES-STM (here after referred to as the RIBI adjuvant; RIBI Immunochemical Research. Inc.), Gerbu (Biotech) and Quil A (Accurate Chemical).

Each adjuvant was tested at both concentrations of antigen. The procedures for preparation and administration for each of the adjuvants were those provided by each manufacturers' protocol. The adjuvant dose in hens was also determined according to manufacturers recommendation if specified.

For immunization with Freund's adjuvant. the standard protocol was used (Example Briefly. 1 volume of antigen were emulsified in 1.2 volumes of either complete Freund's 217 adjuvant for the first immunization or incomplete Freund's for the subsequent boosts. One milliliter of the antigen/Freund's mixture was administered to each hen at four sites. Since Freund's adjuvant contains an oil. the mixing of Freund's adjuvant with the immunogen required vigorous emulsification of the material until solidification using two syringes connected together by a barrel connector. The other three adjuvants (RIBI. Gerbu and Quil A) are aqueous in composition and uniform mixing with the recombinant antigen was far easier as compared to Freund's. Only gentle vortexing was required for mixing the three aqueous adjuvants. The final mixture using these aqueous adjuvants also remained a homogenous liquid allowing easier administration into the hens as compared to using Freund's.

Using the RIBI adjuvant. each hen received 500 Iil of the antigen/adjuvantimixture at S one site containing 100 jig of adjuvant. The recommended Quil-A dose for guinea pigs and rabbits was 50 pg and 100 pg. respectively. By extrapolating by weight, the hens were each given 75 pg of the Quil A adjuvant at one site in an antigen/adjuvant volume of 500. l.

S 15 Using Gerbu material, each hen received 5 pg of adjuvant in 500 tl antigen mixture at one site. The hens were all immunized subcutaneously for 4 times at roughly two-week intervals.

b) Determination of Anti-Recombinant C difficile Toxin A IgY Titers by

ELISA

20 Anti-recombinant toxin A antibody levels generated using the different adjuvants were 'compared by ELISA. About I week after the last boost. at least 3 eggs from each of the 8 groups along with pre-immune eggs were collected. yolks pooled within the group and IgYs were extracted by PEG as described in Example 1. The purified anti-recombinant toxin A gYs were then resuspended in PBS at IX yolk volume. The protein concentration of each of the preparations. determined by absorbance at 280 nm. were all similar at about 4 to 5 mg/ml.

The IgY reactivity and titer of each of the individual antibody preparations against pMA1870- 2680 were determined by ELISA against a soluble (pPTrxA1870-2680N/C: Example 29) and an insoluble (pPA1870-2190: Example 17a) analog of the C. difficile toxin A 1870-2680 interval. These recombinant C. difficile toxin A analogs were used to coat the microtiter plates for ELISA instead of the recombinant used in the immunization (pMAl 870-2680) as both pPTrxA1870-2680N/C and pPA1870-2680 were not expressed as fusions with the MBP as was the pMA1870-2680 immunogen. This was done in order to determine antibody 218 reactivity against the toxin portion of the C. difficile toxin A recombinant specifically rather than to the MBP portion of the fusion protein.

The soluble analog pPTrxA1870-2680N/C used to coat the microtiter plate was expressed as a fusion with thioredoxin which aids in solubility and the resulting fusion protein probably exists in a native conformation. The insoluble analog pPA1870-2190. which presumably contains denatured epitopes. was also used to coat microtiter plates. The ELISA reactivity of each IgY to both the soluble and insoluble analogs was tested to determine if there was any preferential reactivity to one or the other analogs when different adjuvants were used for the generation of the IgY.

The standard ELISA protocol described in Example 13c was used with the exception that 20 to 40 fold-less pPTrxA1870-2680N/C protein was used than normalTo coarthe 96- S well microtiter plates (Falcon. Pro-Bind Assay plates) to reduce background. One-hundred pl/well were coated overnight at 4 0 C with the soluble pPTrxA1870-2680N/C protein at 0.05 pg/ml or the insoluble protein pPA1870-2680 at 1 pg/ml. The results are shown in Figure 15 In Figure 40. the results of the ELISA reactivity comparing the antibody titer of each of the adjuvant/antigen combinations to either the insoluble or the soluble C. difficile toxin A recombinant is shown. The following abbreviations were utilized: PI (pre-immune); adjuvants were designated as F. R. Q and G for Freund's. RIBI. Quil-A and Gerbu 20 respectively at either 1 mg or 100 pg (100).

I In addition, the antibody titer in each group was compared after 3 or 4 immunizations to determine if antibody response has plateaued (indicated by the use of -3 or -4 in Figure 40). All four adjuvants were able to elicit antibody responses in the hens to varying degrees.

ooo but their antibody responses to the soluble or native antigen and insoluble or denatured antigen differed. Freund's adjuvant generated a greater antibody response to the insoluble analog as compared to the soluble one. Almost ro reactivity was seen using Freund's adjuvant with 100 pg of antigen to the soluble analog. There was also no difference in response using Freund's to the insoluble analog at either concentration (100 pg or I mg) of irmnunogen while an increase in reactivity to the soluble analog was seen in the higher concentration compared to the lower concentration. In contrast. the antibody reactivity to the soluble analog was generally greater than the insoluble analog using the three other aqueous adjuvants. Antibody reactivities in the ELISA to the soluble analog were about 2-fold higher compared to the insoluble analog. The antibody response improved in the Gerbu. RIBI and -219- Quil-A groups using the increased dose of antigen (1 mg versus 100 ig, and was more pronounced against the soluble analog compared to the insoluble one. The antibody levels to both the insoluble and soluble analog in most of the groups increased after an additional boosting when comparing the 3rd and 4th immunizations.

The results shown in Figure 40 demonstrate that the immunization of chickens with Freund's adjuvant using a soluble recombinant C. difficile toxin A immunogen elicits antibodies primarily against the insoluble analog. This finding is important if conformational antibodies are required to confer protection in vivo. If conformational antibodies are required.

the alternative adjuvants such as Gerbu or RIBI used here would be preferred. The soluble antigen may become denatured during the harsh emulsification process required when using Freund's adjuvant as compared with the other adjuvants. The resulting denatured-antigen would then presumably invoke antibodies primarily against an insoluble or nonconformational analog. This effect using Freund's may be overcome by using more antigen for immunization because less of the total is being denatured and a greater amount of native 15 antigen is present. Indeed, there was an increase in soluble analog antibody reactivity at the higher immunogen concentration while there is no difference in insoluble antibody reactivity at both immunogen concentrations.

c) Testing the Neutralizing Ability of the Anti-Recombinant C difficile Toxin 20 A IgYs Against C. difficile Toxin A In Vivo The ability of the antibodies raised against the pMA1870-2680 protein generated above using the different adjuvants to neutralize toxin A was compared in vivo. PEG-purified IgYs from eggs from hens immunized with each of the four adjuvants at the 1 mg immunogen concentration were diluted at 0.5X yolk volume in 0.1 M carbonate buffer. pH 9.5. This antibody concentration (0.5X) was chosen because it would illustrate the best differentiation in IgY neutralizing capability using the different adjuvants. Pre-immune antibodies also at concentration in carbonate were prepared as controls. The antibodies were diluted in carbonate buffer so they could be orally administered with acid less degradation in the stomach.

The IgY protein concentration by absorbance at 280 nm of all of the 0.5X preparations was 2.4-2.5 mg/ml of which 25 to 50 ag/ml was specific antibody against the C difficile toxin A recombinant protein. An in vivo protection study of hamsters against C difficile toxin A using the five IgY preps was preformed as described in Example 14(c). Five groups.

220each consisting of 4 male 30-40 gms Golden Syrian hamsters (Charles River). Each hamster was given a mixture of 30 pg of C. difficile toxin A (Tech Labs) in 1 ml of anti-recombinant C. difficile toxin A IgYs or pre-immune IgY. This mixture was first allowed to preincubate for one hour at 37 0 C prior to oral administration. The animals were then observed for 24 hours after administration for the presence of diarrhea and death. The results were tabulated and shown in Table 44.

Table 44 Generation of Toxin A Neutralizing Antibodies Using Different Adjuvants with pMA 1870-2680 a a a Treatment Group Healthy 3 Diarrhea' Dead Preimmune 0 1 3 Freund's 0 0 4 Gerbu 4 0 0 RIBI 4 0 0 Quil A 4 0 0 SStudy outcome after 24 hours.

The results shown in Table 44 demonstrate that premixture of C difficile toxin A with 0.5X anti-recombinant C. difficile toxin A IgYs generated using the Gerbu, RIBI and Quil A adjuvants before administration prevented all overt symptoms and death from the disease in the hamsters. In contrast. all the animals treated with anti-recombinant C difficile toxin A IgY generated by use of Freund's adjuvant (as a 0.5X antibody preparation) mixed with C.

difficile toxin A failed to protect and the hamsters developed diarrhea and died within 24 hours. Three out of four hamsters treated with pre-immune IgY died and the lone survivor had severe diarrhea. These results showed that the anti-recombinant C difficile toxin A IgYs generated using Gerbu. RIBI and Quil A were able to neutralize the C. difficile toxin A activity in vivo while the Freund's-generated IgY at the same concentration could not. The inability to neutralize C difficile toxin A by the Freund's-generated anti-recombinant

C

difficile toxin A IgY correlates with its low ELISA reactivity against the soluble toxin A analog. In contrast. all of the other adjuvants invoked high antibody levels to the soluble analog and were neutralizing. These results indicated that the neutralizing potential of the antibodies correlated well with their reactivity to the soluble, but not the insoluble analog.

The results also indicated that the maintenance of a soluble or conformational C difficile 221 toxin A immunogen was important in generating neutralizing antibodies. Thus, the choice of an adjuvants such as RIBI or Gerbu was important to retain the conformation of the immunogen which was important in generating anti-C difficile toxin A antibodies which were protective in vivo.

EXAMPLE 36 In Vivo Neutralization of Toxin A Using Antibodies Against the Recombinant pPA1870-2680 Protein To determine if the imminunization of hens with the C. difficile toxin A recombinant pPA1870-2680(N/C) induced neutralizing antibodies, the following experiment was performed. The example involved a) immunization of hens with the C. difficile toxin A recombinant pPA1870-2680(N/C) using four different adjuvants: b) purification and detection of anti-recombinant IgY; and c) in vivo neutralization study in hamsters using the anti- 15 pPA1870- 26 8 0 antibodies incubated with toxin A.

a) Immunization of Hens with the C difficile Toxin A Recombinant pPA1870- 2680 Using Four Different Adjuvants Egg-laying Leghorn hens were each immunized with the C difficile toxin A 20 recombinant pPA870-2680(N/C) (Example 29d). This recombinant protein is expressed in S* the pET vector and was shown to be capable of isolation in a highly pure form which contained very low levels of endotoxin as compared to the same region expressed in other vectors such as pMal-c (Example 11). These results showed that the pPA 870-2680 recombinant protein would be compatible for use in a vaccine. Accordingly, the ability of pPA 1870-2680 to stimulate an antibody response was tested.

Four groups of hens (2 hens/group) were immunized with 100 g of pPA1870- 2680(N/C) (purified as described in Example 29d) using 4 different adjuvants. The adjuvants used were: Freund's (GIBCO). Fowl (RIBI) adjuvant (RIBI Immunochemical), Gerbu (Biotech) and Quil A (Accurate Chemical). The amount of each adjuvant used with the recombinant was described in Example 35. The hens were all immunized 4 times at 2 week intervals.

222

F

b) Purification and Detection of Anti-Recombinant IgY The anti-recombinant pPA1870-2680(N/C) levels using the different adjuvants were compared by ELISA. About one week after the last boost, standard PEG preps were prepared from eggs from each group and resuspended at a 4X concentration (all contained about mg/ml IgY) in 0.1 M carbonate buffer, pH. 9.5. The standard ELISA protocol (Example 13c) was followed to determine specific antibody reactivity to soluble immunogen pPAI870-2680.

The ELISA results are shown in Figure 41.

In Figure 41. the absorbance at 410 nm is plotted against the loglo of the dilution of each antibody tested. The solid black squares represent the results of the ELISA using the pre-immune IgY; the open squares. black diamonds. open diamonds and black triangles represent the results of the ELISA using antibodies generated using pPA1870-2680(N/C) (Interval A2) and the following adjuvants: Gerbu Quil A RIBI (R-A2) and Freund's respectively.

After 4 immunizations, all the hens generated a specific IgY response against the C 15 difficile toxin A recombinant expressed in the pET vector pPA1870-2680N/C)]. The response generated by using Freund's, Fowl (RIBI) adjuvant and Quil A were comparable as shown in Figure 41. A lower antibody response was seen in the Gerbu immunized hens.

Interestingly, using the Freund's adjuvant with pPA 870-2680(N/C) gave the highest antirecombinant activity, whereas in the previous example (Example 35) using the same 20 recombinant region expressed in pMal-c (pMA1870-2680). Freund's adjuvant generated the weakest response. The other adjuvants invoked similar antibody responses comparing both recombinants. These result indicated that the level of antibody response using Freund's adjuvant may depend on what type of antigen is used.

c) In Vivo Neutralization Study in Hamsters Using the Anti-pPA18 7 0- 2680(N/C) Antibodies Incubated with C. difficile Toxin A The ability of antibodies to neutralize C. difficile toxin A in vivo was compared using antibodies raised against pPA1870-2680(N/C) protein generated using the RIBI and Freund's adjuvants. This assay was preformed as described in Example 35c with the exception that the antibodies were diluted to a 2X concentration containing 10 mg/ml of IgY protein. C difficile toxin A (Tech Labs) was mixed with antibodies generated using Freund's and Fowl (RIBI) adjuvant and orally administered to hamsters. Hamsters treated with pre-immune IgY 223 served as the control. The number of hamsters which were healthy, had diarrhea or were dead 24 hours after administration of the IgYs is shown in Table Table Generation of C. difficile Toxin A Neutralizing Antibodies Using Different Adjuvants with pPA1870-2680 9** Treatment Group Healthy Diarrhea Dead Preimmune 0 0 4 Freund's 4 0 0 RIBI 4 0 0 As shown in Table 45. both the Freund's and RIBI adjuvants used in conjunction with pPA1870-2680(N/C) were able to elicit in vivo neutralizing antibodies against C. difficile toxin A as compared to pre-immune IgY. The ability of the antibodies to neutralize C.

difficile toxin A shown in this example and in Example 35 appears to correlate well with their ELISA reactivity to a soluble (native) recombinant protein. These results show that the C difficile toxin A recombinant. pPAl870-2680(N/C). was immunogenic in hens and was capable of generating in vivo neutralizing antibodies: therefore, the pPA 870-2680(N/C) protein is an excellent vaccine candidate.

EXAMPLE 37 Enteric Coating of IgY Raised Against Recombinant C difficile Toxin A For Oral Delivery To determine if the avian antibodies (IgYs) raised against recombinant C. difficile toxin A could be enterically-coated and potentially retain in vivo protective abilities, the following experiment was conducted. The example involved a) enteric coating of antirecombinant C. difficile toxin A antibodies. b) dissolution studies to determine the disintegration kinetics of the enteric-coated IgYs as a function of pH and c) determination of the stability of the antibody reactivity after coating and dissolution by ELISA.

a) Enteric Coating of Anti-Recombinant C. difficile Toxin A Antibodies Preliminary studies were performed to determine an effective enteric coating process.

Enterically-coated avian antibodies should be more resistant to degradation in the stomach 224 compared to antibodies delivered in solution when the route of administration is oral.

Intestinal enteric coatings would remain intact at the low pH ranges found in the stomach and therefore the coated IgYs would be able to pass the through stomach undegraded but dissolve at the higher pHs (about 6.0) and release the IgYs in the intestines. An additional property of the enteric films selected for testing is that they are compatible in aqueous solutions instead of organic solvents during the coating process. This property of the enteric film should probably preserve conformation and integrity of the IgY antibody during the coating process.

Since the intestines are the site of C difficile disease. enteric coating of the anti-C. difficile toxin IgY' should concentrate the amount of antibodies available at the site of infection to improve efficacy and reduce the effective dose required as compared to the use of uncoated IgYs.

The anti-C. difficile toxin A antibodies were coated as follows. Sixty grams of lyophilized antibodies against the recombinant C. difficile toxin A protein pMA1870-2680 (Example 11) were prepared. IgYs from eggs collected from hens immunized with the 15 recombinant protein were purified by PEG-precipitation. The IgY pellets after purification were resuspended in 0.1X PBS, pH 7.4 at about 1/4 starting yolk volume (4X) and from 200 to 250 ml volumes were transferred to 600 ml lyophilizing flasks (Labconco). The IgY solutions were flash frozen in the flasks by rotation in an reagent alcohol bath containing dry ice. The frozen antibodies were lyophilized on a Labconco Freeze Dry System/Lyph Lock 20 4.5 unit operated according to manufacturer's instruction. About 250 mis of the 4X IgY prep yielded about 10 grams of dry material after lyophilization.

The lyophilized IgY was sent to The Coating Place Inc. (Verona. WI) for enteric coating. The antibodies were encapsulated using a Wurster coating chamber which is wellsuited for coating materials efficiently and uniformly at a small scale in a single operation.

Encapsulated IgYs were prepared using two different coating processes. Either a single step direct process or a two-step process using a non-pariel a sugar particle of 40-60 mesh size). The lyophilized IgY was either overcoated directly with the film coatings or a two-step method was performed where first the IgY itself was used to overcoat the non-pariel. Then the IgY-coated sugar particle was then overcoated with the enteric film. The use of the sugar particle provides extra bulk necessary to maintain the antibodies in the coating chamber and can aid in a more uniform application of the enteric film.

Two different aqueous enteric films were selected and used with each coating process.

The lyophilized IgY was either overcoated with Aquateric (FMC Corp.) or Eudragit® 225 (Rohm Tech Inc). Both of these coatings are water-soluble enteric film coatings that dissolve at pH 6.5 or 5.5. respectively. Both of these enteric films were selected because they fulfill the selection criteria suitable for the needs as described above. Each of the different coating procedures using both enteric films yielded enterically-coated antibodies product. The twostep process using the sugar particle made the entire overcoating procedure in Wurster apparatus technically easier with less loss of material and subsequent greater yields of final product. An enteric coating of approximately a 27-30% by weight was applied to the IgY using the direct method. About 70% of the remaining weight of this enteric-coated material was IgY. About a 32-33% by weight of the enteric coating was achieved in the IgYovercoated sugar particle. The remaining 67% by weight of the enteric particle was comprised of about 40-50% due to the sugar particle and about 20% the IgY. 0 0• b) Dissolution Studies to Determine the Disintegration Kinetics of the Enteric- 0* coated IgYs as a Function of pH 15 The performance of each of the enterically-coated IgY were tested by determining their dissolution profile. Properly coated IgY particles with intestinal enteric films should remain intact in a gastric solution of pH 1 to 2. but dissolve and release the IgYs into an intestinal solution of pH 7.5. Simulated gastric fluid at about pH 1.2 and simulated intestinal fluid at pH 7.5 were prepared according to USP guidelines except the digestive enzymes were 20 omitted (United States Pharmacopeia. Vol. XXII (1990) United States Pharmacopeial Convention. Rockville, MD. pp. 1788-1789]. Ten milligrams of each enteric coated preparation Aquateric and Eudragit® coatings) was added per I ml of the simulated t* gastric and intestinal fluids and mixed gently for 1-2 hours at room temperature. An aliquot "o of the solution was taken at different time points and checked for the presence of protein released in solution. Protein amounts in solution were determined either by absorbance at 280 nm or using a BCA protein assay (Pierce).

The studies demonstrated that the IgY directly coated with both the Aquateric and Eudragit® coatings and the Aquateric-overcoated IgY sugar-particles failed to perform adequately in the dissolution studies. IgYs at both pH 1.2 and 7.5 were released in the solution within minutes after addition of these particles. The dissolution profile for the Aquateric-overcoated IgY sugar particle monitored by absorbance is shown in Figure 42. The dissolution profile for the Eudragit® -overcoated IgY sugar particle is shown in Figure 43.

-226 In Figure 42 the absorbance at 280 nm is plotted against time in minutes. The release of the IgY from the Aquateric-overcoated particle in simulated gastric fluid is shown by the solid black squares; release of the IgY from the coated particle in simulated intestinal fluid is shown by the open black squares. Because the Aquateric film itself absorbs UV at a similar wavelength as protein (275-276 nm), UV absorbance at 280 nm cannot be used to accurately quantitate the amount of IgY in solution. Thus, protein at 1 hour (60 min) dissolution was quantitated using the BCA method in order to obtain an accurate determination of the protein concentration.

As shown in Figure 42. the amount of specific IgY found after dissolution of the Aquateric-overcoated IgY in the two fluids were similar: 4 mg/ml at pH 1.2 and 4.9 mg/ml at pH 7.5. The difference in absorbance shown in Figure 42 between the gasteic and-ntestinal solutions is due to the presence of more Aquateric film being dissolved in the intestinal solution.

In contrast to the performance of the failed coatings, the Eudragit® -overcoated IgY :i 15 sugar particle properly opened and released IgY into the solution in the simulated intestinal fluid in a time-dependant manner, while it remained intact in the gastric fluid. The dissolution profile in the gastric and intestinal solutions of the Eudragit® -overcoated IgY

OV,

a sugar particle as a function of time is shown in Figure 43.

In Figure 43, the absorbance at 280 nm is plotted against time in minutes. The release 20 of the IgY from the Eudragit® -overcoated particle in simulated gastric fluid is shown by the solid black squares; release of the IgY from the coated particle in simulated intestinal fluid is shown by the open black squares. Since Eudragit® does not absorb UV at the amounts found in the coatings, absorbance values at 280 nm can be directly converted to protein concentration.

As shown in Figure 43. little or no protein was released in the gastric solution while protein was continually released into the intestinal solution at a linear rate reaching a maximal dissolution after about 2 hours. Ten mg/ml of Eudragit® -overcoated particles yielded from 2 to 2.5 mg/ml of IgY after dissolution. The Eudragit® -overcoated particles in the gastric solution remained intact for long periods of time, even after further incubation at 4 0 C for an additional week.

The dissolution profile Eudragit® -overcoated IgY sugar particles was determined under conditions that mimic normal physiological conditions simulated travel through the GI tract). The particle was first placed in the gastric solution for 120 minutes followed by an -227 180 minute incubation in the intestinal solution. Both of these incubations took place with gentle mixing at 37 C. Under these conditions incubation in gastric fluid followed by incubation in intestinal fluid), IgY from the Eudragit® -overcoated sugar particle was not released into the gastric solution protein as found in Figure 42 incubation in gastric fluid only), but was only released and detected in the intestinal solution at similar levels found in Figure 42 (from 2 to 2.5 mg/ml protein released after about 2 hours).

The dissolution studies discussed above demonstrated that the anti-recombinant

C.

difficile toxin A IgYs were successfully enterically-coated using Eudragit® and a non-pariel.

c) Determination of the Stability of the Antibody Reactivity after Coating and Dissolution by ELISA The stability of the anti-recombinant C difficile toxin A IgYs after the overcoating process was determined. This was tested by comparing the ELISA reactivity of the antibodies before coating then after the coating process followed by dissolution at pH 1.2 then pH 15 Pre-immune IgY, lyophilized anti-recombinant toxin A IgY starting material and antirecombinant toxin A IgY obtained from the Eudragit® -overcoated IgY sugar particle after dissolution were first all quantitated for protein and normalized at 2 mg/ml in PBS (pH 7.4).

An ELISA was performed detecting antibodies against the recombinant toxin A pPTrxA 1870- 2680N/C as described in Example 35b. The ELISA results are shown in Table 46.

Table 46 Comparison of Anti-Recombinant Toxin A Titers by ELISA Before and After Enteric Coating Pre-Coated Anti- Post Coated Anti- Dilution Preimmune IgY* Recombinant A* Recombinant A* 1:50 0.017 1.4 1.2 1:250 0.005 0.59 0.38 1:1.250 0.004 0.15 0.10 1:6.250 0.005 0.037 0.026 1:31.250 0.007 0.015 0.009 1:156.250 0.009 0.009007 'Average A280 readings.

228 The results shown in Table 46 demonstrate that the reactivity of the anti-recombinant C. difficile toxin A IgYs before and after Eudragit® -coating to the recombinant C. difficile toxin A protein was very similar. These results indicated that the coating process was not harmful to the IgY and that the IgY remain reactive and functional after dissolution under physiological conditions.

The results shown above demonstrate that enterically-coated IgY that remained stable and active was generated.

EXAMPLE 38 Vaccination of Hamsters Against C difficile Infection with Recombinant C difficile Toxin A Proteins To determine if hamsters vaccinated with C. difficile toxin A recombinant proteins •would elicit protective antibodies against C difficile infection, the following experiment was 15 conducted. Three different C. difficile toxin A recombinants, expressed in the pMal-c or pET vectors, were compared. The example involved a) immunization of hamsters, b) detection of humoral and mucosal anti-recombinant antibody responses by ELISA. and c) challenge study of hamsters with C difficile.

20 a) Immunization of Hamsters Three groups of 90-100 gram female Golden Syrian hamsters (Charles River), each group containing 9 to 11 members, were tested as follows. Hamsters from each group were individually tagged using an ear punch for identification. The animals from each group were housed together and were given food and water ad libitum throughout the course of the experiment. Hamsters were immunized with two different recombinant C. difficile toxin A protein repeats fragments produced the in pMal-c vector and expressed with a maltose binding protein (MBP) fusion and one recombinant C. difficile toxin A protein repeats fragment produced the in pET vector. The animals were immunized subcutaneously with 25 pg of purified protein of either pPA1870-2680N/C (Example 15), pMA1870-2680, a subfragment of pMA1870-2680 called pMA1960-2680 or the MBP (pMal-c) alone as a control. All three recombinant pMal vectors were grown and protein was expressed and purified as described in Example 28c. Recombinant pPA1870-2680N/C was purified as described in Example 29f.

Mixtures comprising 200 pi of antigen and complete Freund's adjuvant (for the first injection) and incomplete Freund's adjuvant (for the subsequent injections) were given 229 subcutaneously behind the neck. The vaccination was administered using a 1 ml 27 gauge tuberculin syringe after the animals were lightly etherized. The animals were vaccinated five times at roughly 2 week intervals.

b) Detection of Humoral and Mucosal Anti-Recombinant Antibody Responses by ELISA The detection of humoral and mucosal anti-recombinant C difficile toxin A IgY titers in the hamsters was determined by ELISA. For the humoral response. serum from all members from each group was collected and assayed for anti-recoibinant toxin A IgG levels.

At least I week after the last boost. the hamsters were etherized. bled by cardiac puncture and serum was collected. Ninety-six well microtiter plates (Probind. Falcon) were coated overnight with the soluble C. difficile toxin A recombinant. pPTrxAI870-2680N/C (Example 29e) at 0.05 pg/ml in PBS (pH 7.4) at 100 il per well. Standard ELISA procedure were followed as described in Example 35b. The secondary antibody used was goat anti-hamster IgG-alkaline phosphatase (Southern Biotech) at a dilution of 1/2000. The average absorbance at 410 nm from duplicate test wells of each serum sample diluted at 1/250 is shown in Figure 44.

In Figure 44. the OD 4 10 of a 1:250 dilution of serum taken from hamsters immunized with either pMal-c (the pMal-c vector lacking an insert). pMAI870-2680 (Example 28c), 20 pMA1960-2680 (Example 28b) or pPA1870-2680 (Example 15). The numerals shown on the ordinate represent the number assigned to animals within a group.

The results shown in Figure 44 demonstrate that all the hamsters immunized with the C. difficile toxin A recombinants responded by producing anti-recombinant C difficile toxin A IgG in the serum. Some variability in the antibody response within the hamsters in a group existed although this difference was not greater than 4-fold. The average antibody response to pMA1960-2680 and pPA1870-2680 was uniformly higher than the response to pMA1870- 2680. The hamsters immunized with pMal protein did not produce an anti-serum IgG response to the C. difficile toxin A recombinant protein.

Whether a mucosal IgA response was elicited after immunization was also determined by ELISA. Freshly isolated feces from 4 members of each group were collected. weighed and resuspended by vortexing at 300 pilper 100 mg of stool in PBS. pH 7.4 containing 0.05% thimerosal. The fecal suspension was centrifuged for 5 minutes at 14.000 rpm in a microcentrifuge. Microtiter plates were coated with recombinant antigen as described above.

230 Standard ELISA procedures were used with goat anti-mouse IgA-alkaline phosphatase (Southern Biotech) at 1/1000 as the secondary antibody. This conjugate was used instead of an anti-hamster IgA because the anti-hamster IgA is not commercially available and the antimouse antibody has been previously reported to cross-react with hamster IgA. In all samples of fecal extracts, mucosal IgA against recombinant toxin A was not detected by ELISA.

These results confirm previous studies [Kim and Rolfe (1989) Microbial Ecology in Health and Disease 2:47] in which IgA against toxoid A was not detected in hamsters immunized with a toxoid prepared from C difficile toxin A.

10 c) Challenge Study of Hamsters with C. difficile The vaccinated hamsters (described in section a above) were challenged wilh C difficile to determine if the anti-recombinant C difficile toxin A antibodies were protective against C difficile disease. Normal hamsters infected with a toxigenic strain of C difficile develop a fatal disease beginning with diarrhea and eventually die from severe enterocolitis of the cecum (proximal colon) and ileum (as described in Example 9).

The four groups of vaccinated hamsters were first each predisposed with an intraperitoneal dose of Clindamycin-phosphate (Biomol) in I ml of water at I mg per 100 gm body weight. About 24 hours later, the hamsters were orally challenged with 1 x 106 C.

difficile in 1 ml of sterile saline using an 18 gauge feeding needle. The animals were lightly anethesized with ether prior to administration. The toxigenic strain of C. difficile. ATCC 43596, was used after 48-hours growth on CCFA plates (BBL). One hamster in the pMA1960-2680 immunized group died accidentally from ether overdose reducing the group number from 9 to 8. The results of the immunization study are shown in Table 47.

Table 47 Vaccination Against Lethal C. difficile Enterocolitis Using Recombinant Toxin A Fragments Vaccination Group Protection pMal-c (MBP) 10% (1/10) pMA 960-2680 62% (5/8) pMA1870-26 8 0 30% (3/10) 231 The results shown in Table 47 demonstrate that protection against death occurred in some of the hamsters immunized with each of the recombinant toxin A proteins pMA1960-2680 and pMA1870-2680). These results were not statistically significant compared to the fusion control (pMal-c which expresses only the MBP) at a P-value of 0.05 or less using Chi-squared analysis. Ninety percent mortality occurred in the fusion control immunized group(pMal-c). The percent mortality in the pMAl960-2680 immunized group was 38%. The percent mortality in the pMA1870-2680 immunized group was 70% and in the pPA1870-2680 immunized group was 81%. The time to death in recombinant C difficile toxin A vaccinated group was not delayed compared to the control, occurring up to 3 days 10 after infection. Necropsy of the dead hamsters revealed typical pathology such as severe megacecum.

The specific P-values of the test groups compared to the control group for pMA1960- 2680. pMA1870-2680 and pPA1870-2680 groups were less than 0.10. less than 0.75 and less than 0.90. respectively. All of the hamsters except one in the pMA 1870-2680 immunized 15 group presented with diarrhea one to two days after infection. There appeared to be no correlation between anti-recombinant C. difficile toxin A antibody titers and the level of protection. For example. hamster number 6 in the pMA1960-2680 immunized group had a lower ELISA titer compared to hamster number 2 (see Figure 44) yet number 6 survived and number 2 was not protected and died. From these results, hamsters vaccinated with either of the recombinant C difficile toxin A repeats proteins were not protected against C difficile- ''oo induced diarrhea and from 19 to 62% were protected from the lethal stage of the disease.

The above results correlate with previously published work [Lyerly et al. (1990) Curr.

Microbiol. 21:29] which showed that hamsters vaccinated with the smaller C difficile toxin A recombinant fragment (the 1960-2680 interval) expressed in pUC9 could also only partially protect against the lethal stage of disease and none of those hamsters were protected against diarrhea. Lyerly et al. [(1990) Curr. Microbiol. 21:29] stated that antibodies to the C. difficile toxin A recombinant protein tested did not prevent the diarrheal stage of the disease and the death in half of the hamsters was due to the varying levels of neutralizing serum antibodies to the toxin A recombinant. From the above results, differences in anti-recombinant C. difficile toxin A titers seen between hamsters in a group may not explain why protection did not occur in all of the animals. The above results indicate that possibly an additional component, possibly a toxin B recombinant protein, is necessary for a more effective vaccine against C.

difficile disease.

232 EXAMPLE 39 09 Vaccination of Hamsters Against C. dificile Infection with C. difficile Toxin A and Toxin B Recombinant Proteins Hamsters were immunized with recombinant C difficile toxin A or recombinant toxin B alone or in combination to test whether this would invoke a humoral response to the recombinant proteins. Furthermore, the ability of the antibodies produced by these vaccinations were tested for the ability to protect the hamsters from infection with C. dificile.

Specifically, it was determined if antibodies raised against a recombinant C difficile toxin B would provide any protection in vivo by itself or above that provided by vaccination with recombinant C. difficile toxin A alone. The example involved a) the immunization of hamsters, b) determination of humoral and mucosal antibody response by ELISA and c) in S. vivo challenge studies in vaccinated hamsters.

15 a) Immunization of Hamsters The recombinant proteins used for vaccination were the C. difficile toxin A recombinant protein pPAl870-2680N/C (Examples 11 and 29) and the C. difficile toxin B recombinant protein pPB1750-2360 (Example 15b). The recombinant proteins were expressed in the pET vector instead of pMal-c vector used in Example 38 because the proteins expressed and isolated using the pET vector were found to be capable of purification at a higher level of purity with lower levels of endotoxin. Production of recombinant proteins in the pET vector is especially amenable for the potential utilization of the recombinant protein as a human vaccine which demands high purity and low levels of potentially harmful endotoxin.

For immunization, 100 pg of pPA1870-2680, 100 pg of pPB1750-2360 or 100 gg of each in combination (200 pg total) were mixed with 2 pg of Gerbu adjuvant (Biotech). The control group were immunized with 100 $pg of bovine serum albumin (BSA) with the Gerbu adjuvant Each group (four total) consisted of 9-10 members of 100 gm female Golden Syrian hamsters (Charles River). Animals were individually tagged to identify members. The hamsters were lightly anesthetized prior to injection sub-cutaneously behind the neck using 1 ml syringe with a 27 gauge needle. The hamsters were immunized 4 times at roughly 2 week intervals.

-233 b) Determination of Humoral and Mucosal Antibody Response by ELISA Serum from all individuals from each of the above groups were tested for antirecombinant protein IgG levels by ELISA. At least one week after the last boost, all of the animals from each group were bled by cardiac puncture and serum was collected. Antirecombinant C. difficile toxin A and anti-recombinant C difficile toxin B from the serum samples were determined by ELISA. Ninety-six well microtiter plates (Probind. Falcon) were coated overnight at 4 0 C with either pPAI870-26 8 0 protein at 0.05 pg/ml or pPB1750-2360 protein at 1.0 pg/ml in PBS (pH 7.4) at 100 pl per well. Standard ELISA procedures were used exactly as described (Example 13c). The results are shown in Figures 45 and 46.

10 The average absorbance of each serum performed in duplicate and diluted at 1/250 is shown in Figures 45 and 46. Figure 45 shows individual antibody reactivity to the C. difficile toxin A recombinant in the groups immunized with either the C. difficile toxin A recombinant (pPA1870- 26 8 0) or a mixture of recombinant C difficile toxins A and B (pPA1870-2680 and S:i" pPB1750-2360). Figure 46 shows antibody reactivity to recombinant C difficile toxin B in the groups immunized with either the C. difficile toxin B recombinant (pPB1750-23 6 0) or a mixture of recombinant C. difficile toxins A and B (pPA1870-2 68 0 and pPB1750-23 6 0).

The results shown in Figures 45 and 46 demonstrate that in all cases each animal responded and produced a specific IgG antibody response to the immunogen. As expected.

the hamsters immunized with BSA (negative control group) did not invoke any antibody response to the recombinant antigens. The anti-recombinant C difficile toxin A or B response S..within members of the same group were similar.

The determination of a mucosal anti-recombinant C difficile toxin A or recombinant C. difficile toxin B IgA response was elicited after immunization was also determined by ELISA. Freshly isolated feces from 4 members of each group were collected. weighed and processed as described in Example 21. Plates were coated with recombinant C difficile toxin A or recombinant C. difficile toxin B antigen as described above for determination of serum IgG levels. Standard ELISA procedures (Example 13c) were used in conjunction with goat anti-mouse IgA-alkaline phosphatase (Southern Biotech. Birmingham. AL). In all samples of fecal extracts. IgA against recombinant toxin A or B was not detected. Again this result using different recombinants confirms that found in Example 38 and with previous studies [Kim and Rolfe (1989). supra].

234 c) In Vivo Challenge Studies in Vaccinated Hamsters The vaccinated hamsters described above in section a) above were challenged with C difficile to determine whether the serum antibody response to either recombinant C. difficile toxin A or B alone or in combination was protective against CDAD. The four groups of vaccinated hamsters were first each predisposed to CDAD with an intra-peritoneal dose of Clindamycin-phosphate (Biomol) in 1 ml of water at 1 mg per 100 gm weight. About 24 hours later. the hamsters were orally challenged with 1 x 106 C difficile organisms in 1 ml of sterile saline using an 18 gauge feeding needle. The animals were lightly anethesized with ether prior to administration. The toxigenic strain ATCC 43596 was used after 48-hours growth on CCFA plates (BBL). The results of the immunization study is shown in Table 48.

Table 48 Vaccination Against Lethal C difficile Enterocolitis Using Recombinant Toxin A and Toxin B Polypeptides a a a a Vaccination Group' Protection BSA 0% (0/10) pPA1870-2680N/C 20% (2/10) pPB1750-2360 0% (0/10) pPA1870-2680N/C pPB1750-2360 100% (9/9) S Vaccinated with 100 pg recombinant protein per hamster subcutaneously 4 times at 2 week intervals.

S As-shown in Table 48. one to three days after challenge with C. difficilc. all of the hamsters immunized with either pPA1870-2680 or pB1750-2360 and the BSA control group developed diarrhea. All the hamsters in those three groups except two members immunized with pPA1870-2680. died from several hours to 48 hours after the detected onset of diarrhea.

Necropsy revealed severe enterocolitis in the animals with inflamed and enlarged cecums characteristic of C. difficile disease. In contrast. hamsters immunized with the vaccine comprising the combination of pPA1870-2680 or pB1750-2360 proteins showed no signs of illness such as diarrhea and remained healthy for the entire 14-day post-infection observation period. In fact. these animals have remained healthy for a period of at least 5 months postinfection: these results demonstrate that vaccination with the combination of pPA1870-2680 or 235 pB1750-23 60 proteins confers complete and long term protection on hamsters inoculated with C. difficile.

The protective effect seen with the combination vaccine was not due to differences in antibody titer in this group compared to the antibody titers in the hamsters vaccinated with only recombinant C. difficile toxin A or C. difficile toxin B. Protection of the hamsters immunized with the C difficile toxin A/B combination pPA1870-2 68 0 and pB1750- 2360) was statistically significant compared to the control; the P value was determined to be less than 0.001.

The above results demonstrate that recombinant C difficile toxin A and toxin B 10 proteins are both key components for an effective vaccine against C. difficile and that ellictation of antibodies against recombinant C. difficile toxins A or B alone was not sufficient S" to confer complete protection. Antibodies generated against a recombinant C. difficile toxin B in addition to recombinant C. difficile toxin A both confer protection and they both act synergistically to neutralize C. dfficile-associated diarrhea and death. While the invention is 15 not limited by any particular mechanism. the protection from the anti-C difficile toxin serum antibodies may result from the leakage of the C. difficile toxin A and B neutralizing antibodies into tissues or the intestinal lumen during the inflammation that accompanies the early stages of C. difficile enterocolitis.

The results shown above (vaccination of hamsters with recombinant C difficile toxins A and B) and in Example 32(c)(iii) (administration of antitoxin comprising a mixture of antibodies raised against both C difficile toxins A and B) strongly support one another.

Together they demonstrate that full protection from CDAD protection from both morbidity and mortality) requires the use of recombinant proteins derived from both C difficile toxins A and B for either active or passive immunization.

EXAMPLE In Vivo Protection Against C. difficile Infection by the Parenteral Administration of Antibodies Aainst Reombinant C. difile Toxin A and B Proteins results shown in Example 39 demonstrated that vaccination of hamsters with recombinant C dificile toxin A and B proteins generated neutralizing serum antibodies in the recipient animals which conferred complete protection protection from both morbidity and mortality) from the deleterious effects of infection with C. difficile. Example 38 236demonstrated that vaccination of hamsters with recombinant C. difficile toxin A proteins produced neutralizing serum anti-toxin A antibodies (IgG) but undetectable levels of mucosal (IgA) anti-toxin A antibodies. Thus. the production of serum anti-toxin A and B antibodies is sufficient to confer protection from CDAD. In order to determine whether parenteral delivery of anti-recombinant toxin A and B IgYs is an effective way to treat C dificile infection, the following experiment is conducted.

Six groups of 80-100 gram female Golden Syrian hamsters (Charles River). each group containing 9-10 members, are infected with C difficile as described in Example 32c).

The animals are housed three per cage and are offered food and water ad libitum throughout 10 the study. At the start of the study. each hamster is predisposed to infection by the intraperitoneal administration of Clindamycin-phosphate (Biomol) at I mg/100 gram body weight in 1 ml of water using a I ml tuberculin syringe (27 gauge needle). Approximately 24 hours later. each animal is orally challenged, using an 18 gauge feeding needle, with 1 ml of C.

difficile. (strain ATCC 43596) with approximately 103 to 10 organisms in sterile saline. The organisms are grown for 48 hours on CCFA plates (BBL) prior to infection.

Three hours after infection (Day treatment is initiated as follows. Each hamster receives 2 mis of a solution comprising either pre-immune IgY (as an 8X PEG preparation) or a mixture of anti-recombinant toxins A and B antitoxin raised against pMA1870-2680 !and pPB1750-2360). The 8X PEG preparations are prepared and mixed as described in 32(c)(ii) with the exception that the IgYs are resuspended in sterile saline rather than in carbonate buffer. The IgY preparations are delivered by intra-peritoneal injection. The IgY preparations are administered either once. twice or three times a day for a period of 4 days (the treatment period).

The animals are observed for the onset of diarrhea and death during and after the treatment period. The level of protection afforded by each treatment dosage is ]calculated. If the lowest dose is protective in a significant number of hamsters. then lower doses are tested in subsequent experiments using the above conditions. For example, 1.0 and 0.5 ml of IgY preparation per animal per day for 4 days would be tested to determine the lowest intraperitoneal dosage sufficient for protection. If only very small doses of IgY are needed to confer protection via intra-peritoneal injection. then the IgY would also be delivered via intravascular injection to determine whether intra-vascular delivery of the IgY PEG preparations confer protection from C. difficile infection.

237 EXAMPLE 41 Treatment of Hamsters Infected with C. difficile using Enteric-Coated IgYs Against a Recombinant C. difficile Toxin A Protein To determine whether the enterically-coated anti-recombinant toxin A IgY (Example 37a) is effective in treating C. difficile infection in hamsters at a lower dose required using the same IgY without an enteric coating, the following experiment is performed.

The hamster infection model is carried out exactly as described in Example 32c with the exception that enterically-coated antitoxin (Eudragit® L30D-coated pMA1870-2680 which had first be applied to a non-pariel) is used in place of the non-coated IgY in carbonate buffer. Briefly. three groups of hamsters (Sasco) containing 7 members per group are predisposition to infection with Clindamycin-phosphate (Biomol) at 1 mg/100 gram body o weight. Twenty-four later, each animal is orally challenged. using an 18 gauge feeding "needle. with ml of C. difficile (ATCC 43596) containing approximately 1 x 103 organisms in sterile saline. The organisms are grown for 48 hours on CCFA plates (BBL) prior to infection.

Three hours after infection (Day treatment is intimated by oral administration of various concentrations of Eudragit® -coated anti-toxin A IgY as follows. Each group receives 0 (the control group). 2. 20. 50. 100 or 600 mg of enterically-coated IgY once per day for a 20 period of 4 days. The enterically-coated particles are administered orally to the hamsters by placing each dose in a microcentrifuge tube. resuspending the panicles in a low pH buffer such as acetate. pH 4.0 (low pH buffers are used to prevent the release of the IgY from the enterically-coated particle prior to delivery to the hamster): the suspension is then orally administered using a 14 gauge feeding needle. The animals are observed for the onset of diarrhea and death during and after the treatment period. The percentage cumulative mortality death) and morbidity diarrhea) are calculated.

The results form the above experiment (administration of enterically-coated IgY) are compared to the results obtained in Example 32c. In Example 32c. the same infection conditions were employed but the anti-toxin A antibodies were delivered in carbonate buffer and they lacked an enteric coating. In Example 32c. 50% of the hamsters treated after infection with uncoated IgYs were protected from death from C. difficile. The amount of total IgY given per day in Example 32c was about 120 mg. Of that dose. the amount of specific antibody per day necessary achieve that level of protection 50% survival) was about 1200 pg of specific IgY. In the present example. the hamsters are each given 2. 20. 238 100 or 600 mg of enterically coated IgY. Since only 1/5 of the weight of the entericallycoated material is IgY, the actual amount of total IgY administered in the 2. 20. 50, 100 and 600 mg doses is about 0.40 mg. 4 mg, 10 mg. 20 mg and 120 mg, respectively. Of that about 1 is specific anti-recombinant toxin A IgY. The 600 mg dose of the enteric particle the Eudragit®-coated anti-recombinant C difficile toxin A IgY preparation) is roughly equivalent to the amount of antibody delivered in carbonate buffer in Example 32c which gave 50% protection. Comparison of the dose of the enteric particles required to give the same 50%) level of protection indicates the degree of increased potency afforded by enterically-coating the IgY preparation. The results of the above experiment demonstrate 10 whether enterically-coated anti-recombinant C dificile toxin A.IgY (Example 37a) is effective in treating C. difficile infection in hamsters at a lower doseas compared to noncoated anti-recombinant toxin A.

Accordingly, the recombinant C. difficile toxin B IgY anti-pPB1750-2360) is also enterically-coated using the methods described in Example 37a. The enterically-coated antirecombinant C. difficile toxin B IgY is tested in the hamster infection model described above S alone or in combination with enterically-coated anti-recombinant C difficile toxin A the coated anti-pMA1870-2680 IgY preparation). The results of these experiments demonstrate whether enterically-coated anti-recombinant C difficile toxin A and B IgYs (Example 37a) are effective in completely protecting animals from the morbidity and mortality associated with C difficile infection at lower doses as compared to the use of non-coated anti-recombinant

C

difficile toxin A and B IgYs.

EXAMPLE 42 Determination of the Minimum Effective Dose of Avian Antibodies in Carbonate Buffer Against Recombinant C. difficie Toxin A and Toxin B to Treat C difficile-lnfected Hamsters The minimum effective dose of avian antibodies (IgY) raised against recombinant toxin A protein and recombinant toxin B protein necessary to treat C difficile-associated disease (CDAD) in hamsters was determined. The experiment involved an in vivo infection study in which hamsters were treated with different concentrations of IgYs raised against recombinant toxin A and recombinant toxin B.

Antibodies were generated against recombinant C difficile toxin A (pMAI 870-2680: Interval A-6) using RIBI adjuvant and against the recombinant C. difficile toxin B (pPB1750- 239 2360: Interval B-3) using Freund's adjuvant. The immunization protocol used for each adjuvant was previously described in Example 35. Antibodies were PEG-purified and resuspended at an 8X concentration (all contained about 40 mg/ml IgY) in 0.1 M carbonate buffer, pH The infection study involved the testing of three experimental groups (Group 1. Group II. and Group III). Group I animals received 2 mis pre-immune IgY. Group II animals received 1 ml of a mixture containing anti-C difficile toxin A and anti-C. difficile toxin B IgY. Group III animals received 2 ml of the mixture given to Group II. Each group consisted of eight Golden Syrian hamsters (Sasco) weighing an average of 79 3.2 gm.

The hamsters were housed two or three per cage and were given food and water ad libitum throughout the study. The infection study was performed using the protocol described in Example 31c.

Hamsters were predisposed to infection with C difficile by I.P. administration of I mg/100 gm body weight of Clindamycin-phosphate (Biomol) in 1 ml of sterile water. The Clindamycin was administered I.P. using a 1 ml 27-gauge tuberculin syringe (Terumo).

About 24 hours later. the hamsters were each infected orally with approximately 1 ml of S sterile saline containing 1 x 104 C. difficile (strain ATCC 43596). The C difficile were grown for about 48 hours on CCFA (cycloserine-cefoxitin-fructose-egg yolk agar. a C. difficileselective and differential medium) plates (BBL) prior to inoculation.

20 Eight hours after inoculation (Day treatment was initiated. The hamsters in each of the three groups orally received one of three treatments through an 18-gauge feeding needle (Popper). Group 1 received 2 ml of pre-immune IgY (as an 8X PEG preparation). Group II oo ireceiveU I ml of immune IgY a mixture of antibodies generated against pMAl870-2680 [Interval A-6] and pPB1750-23 6 0 [Interval and Group Ill received 2 ml of immune IgY.

The immune IgY mixture was prepared by mixing an equal volume of an 8X concentrate of IgY raised against pMA1870-2680 and an equal volume of an 8X concentrate of IgY raised against pPB1750-23 6 0: the resulting mixture was designated A-6/B-3 IgY. The amount of anti-toxin protein specific antibodies contained in this A-6/B-3 IgY mixture was about 1.2 mg/ml of anti-recombinant toxin A IgY and about 400 ag/ml of anti-recombinant toxin B IgY. These amounts were determined by affinity purification as previously described in Example 15c. The amounts of total IgY in the 2 ml IgY dose was about 80 mg. and about mg in the 1 ml dose.

240- The hamsters were treated once each day for 3 days. [The dosing schedule in this treatment regimen differs from that used previous Examples Example 32), where the hamsters were treated with 2 ml three times daily for 3 days.] All hamsters were observed for the onset of diarrhea and death during and after the treatment period. The results are shown in Figure 47 and Table 49.

In Figure 47. cumulative mortality (expressed as a percentage) is displayed along the ordinate and time (expressed in days) is displayed along the abscissa. The duration of the treatment period, indicated by the horizontal bar in Figure 47. was 3 days. The administration of Clindamycin and the inoculation with C difficile ("Infection") is indicated by arrows. The solid black squares represent the Group I hamsters hamsters treated with 2 ml of preimmune IgY). The open squares represent the Group II hamsters hamsters treated with S1* ml of the A-6/B-3 IgY). The solid black diamonds represent the Group III hamsters hamsters treated with 2 ml of A-6/B-3 IgY).

The results shown in Figure 47 demonstrate that all the hamsters 8/8) in Group 15 111 were protected from death. In contrast. only 13% 1/8) of the hamsters in both Groups I and II survived. The degree of protection in Group III was statistically significant at P 0.005. using Chi-square analysis.

The following table shows the results observed using A-6/B-3 IgY. The dose given in this table refers to the total (not specific) IgY concentration given to the animals in a I or 2 20 ml dose.

TABLE 49 Prevention of Morbidity In Vivo Using A-6/B-3 IgY Treatment Group Animals with Diarrhea Mean Weight' Pre-immune, 80 mg 100 67.3 3.9 (Group I) A-6/B-3. 40 mg 100 69 4.2 (Group II) A-6/B-3. 80 mg 0 81.6 (Group III) Weight expressed in grams mean starting weight of hamsters was 79 3.2 gm.

For the animals that died. weight was measured at the time of death. For survivors.

the weight was measured after the end of treatment.

-241 The results shown in Table 49 demonstrate that morbidity was also prevented when the hamsters were treated using 2 ml of A-6/B-3 IgY per day. Morbidity from CDAD was defined here as including diarrhea and weight loss. As shown in Table 49. none of the hamsters in Group III presented with diarrhea. In contrast. all of the hamsters treated with either 1 ml of A-6/B-3 IgY (Group II) or with 2 ml of pre-immune IgY (Group I) presented with diarrhea. Moreover, all but one of the hamsters in Groups I and II died about 48 hours after presenting with diarrhea. The prevention of diarrhea in Group III was statistically significant (P 0.001) in comparison to the other two treatment groups.

In addition, the results shown in Table 49 indicate that hamsters treated with either 2 ml of pre-immune IgY (Group 1) or 1 ml of A-6/B-3 IgY (Group II) lost 14% of their mean starting weight prior to infection. In contrast. the animals treated with 2 ml of the A-6/B-3 IgY (Group III) gained about 2% of their mean starting weight at the end of the treatment period.

Based on the above results. the minimal effective therapeutic dose of specific IgY to 15 both recombinant C. difficile toxins A and B (pMA1870-2680 and pPB1750-2360; Intervals A-6 and B-3. respectively) necessary to prevent mortality and morbidity of CDAD in hamsters under the conditions set forth above in carbonate buffer) is about 2.4 mg of A-6 IgY and about 800 pg of B-3 IgY per day for 3 days.

EXAMPLE 43 Determination of Specific IgY in the Cecum of a Hamster Treated with Anti-Recombinant C. difficile Toxin A and Anti-Recombinant C difficile Toxin B 25 The amount of specific anti-C difficile toxin IgY found in the cecum of a hamster treated with antibodies raised against the recombinant toxin A (pMA1870-2680: A-6) and the recombinant toxin B (pPB1750- 2 36 0; B-3) was determined. The results of this study provide an indication of the approximate therapeutic dose of anti-recombinant toxin A and antirecombinant toxin B IgY (A-6/B-3 IgY) that must be present at the site of infection to protect an animal infected with C. difficile.

The example involved a) recovery of cecal contents from an untreated hamster and from a hamster treated with anti-recombinant C difficile toxin A and anti-recombinant

C.

difficile toxin B IgY A-6/B-3 IgY), b) direct determination by ELISA of the amount of 242 specific A-6 IgY and B-3 IgY in the cecal contents, and c) direct determination by ELISA of total IgY in the cecum and indirect determination of specific IgY.

a) Recovery of Cecal Contents from an Untreated Hamster and from a Hamster Treated with Anti-Recombinant C. difficile Toxin A and Anti-Recombinant C. difficile Toxin B IgY (A- 6/B-3 IgY) A hamster was treated according to the protocol for Group III animals as described in Example 42 a hamster that was successfully treated against CDAD using 2 ml of 8X A- 6/B-3 IgY per day for 3 days). Four hours after the last dose of IgY was administered, the hamster was sacrificed using ether. A control hamster was treated with Clindamycin to predispose the animal to infection with C. difficile. but did not receive any IgY nor C difficile. served as a negative control. The control hamster was sacrificed two days after 15 administration of Clindamycin.

The ceca from both hamsters were removed and most of the cecal contents were collected in a 15 ml centrifuge tube. Each centrifuge tube contained several mis of cecal material. The contents in each tube were vortexed and a I ml aliquot from each tube was removed to a 1.5 ml microcentrifuge tube. The microcentrifuge tubes were centrifuged for 1 20 minute at 14.000 rpm. The resulting supernatant was collected and the specific IgY in the samples was quantitated by ELISA.

b) Direct Determination by ELISA of the Amount of Specific A- 6 IgY and B-3 IgY in the Cecal Contents The levels of anti-recombinant toxin A and toxin B IgY present in the cecal contents were detected by ELISA using the protocol described in Example 13c with the following modifications. The 96-well microtiter plates were coated (100 ,I/well) overnight at 4 0 C with 0.05 ig/ml of recombinant C. difficile toxin A protein [pPA1870-2 680 (Example 29)] or with 1 pg/ml of recombinant C difficile toxin B protein [pPB1750-2360 (Example 18b)] in PBS. pH 7.4. Cecal samples were initially diluted two-fold into PBS and placed in the wells. The diluted samples were then serially diluted 5-fold in the microtiter wells. All samples were tested in duplicate.

243 Quantitation of specific IgY levels in the cecal samples was determined by comparing the antibody reactivity directed against either recombinant toxin A or recombinant toxin B to the reactivity generated using known amounts of affinity-purified IgY in ELISA assays. IgY specific for recombinant C difficile toxins A and B were affinity purified as described in Example 15c. Briefly. affinity-purified antibodies were isolated from PEG-purified IgYs from the eggs of hens immunized with either pMA1870-2680 (Interval A-6) or pPB1750-2360 (Interval The PEG-purified anti-pMA1870-2680 IgY was affinity-purified using a column comprising pMA1870-2680 bound to Actigel (Sterogene). The PEG-purified antipPB1750-2360 IgY was affinity purified using an Actigel column containing pPB1850-2360 (Example 15c). a recombinant C. dificile toxin B protein that is 100 amino acids smaller than pPB1750-2360.

The affinity-purified anti-pMA1870-2 6 80 IgY and the affinity-purified antipPB1750-2360 IgY were quantitated by measuring the absorbance at 280 nm and each preparation was diluted to a concentration of 10 ig/ml in PBS. The affinity-purified IgYs 15 were tested by ELISA starting with an initial concentration of 10 Pg/ml and at serial dilutions in the respective coated-microtiter plate along side the cecal extracts. Rabbit antichicken IgY conjugated with alkaline phosphatase (Sigma) was used as the secondary antibody at a dilution of 1:750 to detect the bound IgYs in the ELISA.

Comparison of the ELISA reactivity equivalence between the cecal extracts to the 20 known concentrations of the affinity-purified IgY allowed the amount of specific antirecombinant IgY present in the cecal extracts to be estimated. From the ELISA results the amount of specific anti-pMA1870- 2 6 8 0 IgY was found to be about 12 pgiml. The amount of specific anti-pPB1750-23 6 0 IgY was determined to be about 800 ng/ml.

These concentrations of specific IgYs provide estimates of the effective therapeutic concentrations necessary to achieve protection at the site of infection. Since the amount of specific IgY given'orally prior to collection of the cecal fluid was about 2400-2800 pgs against the toxin A recombinant and from 400-800 pgs against the toxin B recombinant, there was approximately a 200-233 fold reduction and 500-1000 fold reduction in the detectable amount of anti-recombinant toxin protein IgY found in the cecum directed against Interval A- 6 and Interval B-3. respectively.

These results were obtained using antibodies present in carbonate buffer. If the orally administered anti-recombinant toxin IgY were properly protected from degradation during passage through the GI tract through use of an enteric coating as described in Example 244 37) the effective therapeutic dose required for oral administration would be less than that specified in Example 42.

c) Indirect Determination of the Amount of Specific Anti-Recombinant

C.

difficile Toxin A and Toxin B IgY in the Cecal Contents by ELISA In order to confirm the values determined in Example 43(b) for the amount of antirecombinant toxin IgY levels found in the cecum of a treated hamster, the following experiment was performed. The standard ELISA format was used (described in Example 13c) unless otherwise specified.

The cecal extracts from an untreated hamster (serving as the negative control) and one treated with both anti-recombinant toxin A and anti-recombinant toxin B IgY [described in section a) above] were used in this experiment. The total cecal IgY. not just the amount of cecal IgY specific for the recombinant C difficile toxin proteins, was directly determined.

Because the percent amounts of specific antibody contained within the IgY preparations was 15 known. the determination of the total IgY level present in the cecal extracts allowed the amounts of specific antibody in the cecal extract to be calculated.

A sandwich ELISA assay was used to capture IgY in the cecal material as follows.

Rabbit anti-chicken IgG (Cappel) at 0.1 g/ml in PBS was used to coat a microtiter plate (100 pl per well) overnight at 4°C. Both of the cecal extracts were tested at an initial dilution of 20 1:500 and at serial 5-fold dilutions to a final dilution of 1:312.500. All sample dilutions were tested in duplicate. Affinity-purified antibodies directed against recombinant toxin A (pPA1870-2680. Interval A-6) were diluted to 0.1 lg/ml and then further diluted serially by five-fold to a final concentration of 0.16 ng/ml. was also tested by ELISA for allow for quantitation by comparison. After incubation and washing. rabbit anti-chicken alkaline phosphatase IgG (Sigma) was added (at 1:1000 dilution) to the plates. The plates were then washed and substrate (p-nitrophenyl phosphate) was added and the plates were evaluated as described in Example 13c.

As described above in Example 43(b), the ELISA reactivity obtained using the affinity purified anti-recombinant toxin A IgY was matched to that ELISA activity generated in dilutions of cecal extract. to quantitate the amount of total IgY found in the cecum of the treated hamster.

From the results of the ELISA assay. the amount of total IgY in the cecum of the treated hamster was estimated to be 50 tg/ml. Affinity purification studies showed that total 245 IgY preparations comprised about 7% or 3.5 .tg/ml IgY specific for recombinant toxin A (anti-A-6 IgY) and about 1-2% or 500-1000 ngiml IgY specific for anti-recombinant toxin B (anti-B-3 IgY). The concentrations of both of the specific IgYs detected here correlates fairly closely with the amounts detected above in Example 43(b), namely, 3.5 pg/ml versus 12 pg/ml for anti-Interval A-6 and 800 ng/ml versus 500-1000 ng/ml for anti-Interval B-3.

The results above and in section b) of this Example. both indicate that very low levels of specific anti-Interval A-6 and B-3 IgY's were detected at the site of the C. difficile infection. Since the hamster was protected from CDAD. this level of anti-recombinant toxin A and B is within the therapeutic range. These results also support the proposition that much lower levels of anti-recombinant toxin IgYs would need to be orally administered if they were delivered using means to prevent degradation in the GI tract enteric coating of IgY).

EXAMPLE 44 15 Treatment of Diarrheic Hamsters Usine Anti-Recombinant C difficile Toxin A Protein IgY To determine whether hamsters presenting with diarrhea after infection with C. difficile could be effectively treated using the anti-recombinant C difficile toxin A IgY alone or whether a combination of anti-recombinant toxin A and B IgY is required, the following 20 experiment was performed.

Hamsters were given Clindamycin and infected with C. difficile essentially as described in Example 32c. The anti-recombinant toxin A IgY and anti-recombinant toxin B IgY were produced against pMA1870-2680 (Interval A-6) and pPB1750-23 6 0 (Interval B-3).

respectively.

Three groups of hamsters (Sasco) were predisposed to C. difficile infection by I.P.

injection of 1 ml of Clindamycin-phosphate (Biomol) at I mg/100 g body weight. About 24hours later, each hamster was challenged, using an 18 gauge feeding needle, with a 1 ml inoculum containing approximately I x 10' C difficile (ATCC 43596) organisms in sterile saline. The bacteria were grown for about 48 hours on CCFA agar (BBL) plates prior to infection.

The three groups, each containing nine to ten members. were given IgY preparations using a feeding needle. Group I received pre-immune IgY; Group II received antirecombinant toxin A IgY (anti-A-6 IgY); Group III received a mixture of anti-recombinant 246 toxin A IgY and anti-recombinant toxin B IgY (anti-A-6/B-3 IgY). Each IgY preparation comprised an 8X PEG prep in 0.1 M carbonate buffer. pH 9.5 and contained about 40 mg/ml of protein. To generate the anti-A-6/B-3 IgY mixture. equal volumes of the two 8X concentrates anti-A-6 and anti-B-3) were mixed together. The amount of specific antirecombinant C. difficile toxin A IgY in the anti-A-6 IgY preparation was about 2.8 mg/ml.

The amount of specific anti-recombinant C. difficile toxin A IgY in the anti-A-6/B-3 IgY prep per ml was therefore half that of the A-6 IgY prep 1.4 mg/ml). About 200-400 pg/ml of specific anti-recombinant C. difficile toxin B IgY was present in the anti-A-6/B-3 IgY preparation.

After the onset of diarrhea was detected in each individual hamster. that animal was dosed with 2 ml of their respective treatment preparations either pre-immune. anti-A-6 IgY or anti-A-6/B-3 IgY). The onset of diarrhea was detected in the hamsters from 20 to 44 hours post-inoculation with C difficile. The majority of the hamsters exhibited diarrhea within 24 hours post-inoculation with the organisms. The majority of the animals 15 were given 3 doses of IgY per day at roughly 4 hour intervals for 2 days: however, some hamsters were only dosed once or twice on the first day of treatment due to a later onset of diarrhea.

The results of this experiment indicated that the anti-A-6 IgY was able to protect many of the hamsters from death. even if given after the onset of diarrhea. About half of the 20 hamsters treated with anti-A-6 IgY survived for approximately one month, while only 11% of the hamsters treated with preimmune IgY and 20% of the hamsters treated with anti-A-6/B-3 IgY survived.

Because it appears that the anti-A-6 IgY is the most important component for prevention of death in the hamster model Example the results obtained in hamsters treated with the anti-A-6/B-3 IgY (which contains half the amount of specific anti- A-6 IgY compared to the A-6 IgY alone preparation) was not unexpected (only 20% of the animals were protected from death). In this Example. anti-A-6 IgY alone could not prevent mortality in 50% of the hamsters, and anti B-3 IgY alone did not provide protection. In addition, the results obtained in previous studies Example 32c) indicated that the anti-B- 3 antibodies are more important in preventing the onset of diarrhea rather than in preventing death due to CDAD.

All of the animals that were.successfully treated with the anti-A-6 IgY exhibited mild diarrhea before treatment was started. If diarrhea was severe and neurological symptoms were 247 present before treatment was initiated, the hamsters could not be successfully treated with oral anti-A-6 IgY.

The above hamster treatment experiment was repeated, with the exception that only pre-immune or anti-A-6 IgY were administered. Ten to eleven hamsters per group were treated with 2 ml of 8X IgY concentrates after diarrhea has been detected in each individual hamster. The treatment schedule was as described above.

Diarrhea was detected in the hamsters from about 20 to 45 hours after inoculation with C. difficile. Eighty-five percent of the animals (17/20) presented with diarrhea about 28 hours after infection. The data from these two studies were combined and are shown in Figure 48.

In Figure 48. the percentage cumulative mortality is displayed along the ordinate and the time (in days) is displayed along the abscissa. The treatment period is indicated by the use of the bar between days 2 and 3. The administration of Clindamycin and the inoculation with C. difficile organisms (marked as "Infection" in Fig. 48) is indicated by the arrows. The solid black squares represent hamsters which received pre-immune IgY and the open squares 15 represent hamsters which received anti-A-6 IgY.

The data shown in Figure 48 demonstrates that 45 of the hamsters treated with anti- A-6 IgY post-diarrhea survived after treatment (diarrhea resolved itself in most of these hamsters). The results obtained using anti-A-6 IgY as compared to the results obtained using pre-immune IgY was statistically significant at P 0.05. All of the hamsters treated with 20 anti-A-6 IgY survived long term month after treatment until the termination of the experiment).

These results provide the first description of a treatment regime which can be used to treat hamsters after the onset of diarrhea due to infection with C difficile. Furthermore. these results demonstrate that the anti-recombinant C. difficile toxin A IgY is an effective therapeutic even when administered at the late stages of CDAD. (i.e..after the onset of diarrhea).

EXAMPLE Treatment of Established C. difficile Infection Using Anti-Recombinant C. difficile Toxin A Protein and Toxin B Protein IcYs Generated Usine Two Different Adjuvants The ability of recombinant toxin A and toxin B proteins produced using the pET vector to elicit neutralizing IgY in the hens capable of protecting hamsters against C. difficile 248 infection was examined. In previous studies (Example 32 or Example 44). the IgYs were generated against recombinant C. dfficile toxin A proteins expressed using the pMal vector (pMA 870-2680. Interval Because recombinant proteins expressed using the pET system could be isolated in a more highly purified form. as compared to proteins expressed using the pMal vector, production of antibodies against the toxin A recombinant produced in pET (pPA1870-2680. A-6) was preferred.

The anti-pPA1870-2680 IgYs were tested in the hamster model along with antibodies raised against the toxin B protein also expressed using the pET vector (pPB1750-2360.

Interval The use of a common expression system to produce both recombinant toxins has definite manufacturing advantages. For example, the same affinity-purification columns and protocols can be used for both recombinants and both antigens should be of comparable purity and yield.

A further objective of this example was to generate antibodies against both pET produced A-6 and B-3 toxin proteins using the same adjuvant. In previous examples 15 (Example 32 or Example 44). the IgYs tested were generated against either A-6 or B-3 recombinants using different adjuvants (the RIBI adjuvant was used for the anti-recombinant toxin A IgY and Freund's adjuvant was used for the recombinant toxin B IgY).

The example involved a) the immunization of hens with recombinant C difficile toxin proteins expressed using the pET vector and 2 different adjuvants and the determination of 20 anti-recombinant protein IgY titers by ELISA and b) treatment of C. difficile-infected hamsters using a mixture of Gerbu or Quil A-generated anti-recombinant toxin A and toxin B IgY.

a) Immunization of Hens with Recombinant C difficile Toxin Proteins Expressed Using the pET Vector and Two Different Adjuvants and the Determination of Anti-Recombinant Protein IgY Titers by ELISA Hens were immunized with recombinant proteins expressed using the pET vector; nickel column affinity-purified recombinant toxin A (pPA1870-2680) or the recombinant toxin B (pPB1750-2360) proteins were mixed with either the Quil A (Accurate Scientific) or Gerbu (CC Biotech) adjuvants. These two adjuvants were chosen on the basis of performance (shown in Example 35) and cost. The immunization protocol followed was basically that described in Example 249 Briefly. hens were immunized with 100 pg of pPA1870-2680 for the first four immunizations followed by two immunizations using 1 mg of protein. Hens were immunized six times using 1 mg of pPB1750-2360 per immunization. Five hundred microliters of a solution containing either recombinant toxin protein and either 5 jig of Gerbu or 75 pg of Quil A was administered sub-cutaneously to each hen. About 1 week after the last boost. the eggs were collected and the IgYs in each group (four groups of hens. using both toxin recombinants with both adjuvants) were extracted using PEG as described in Example 1. IgY from preimmune eggs was also processed.

The IgYs were resuspended in 0.1 M carbonate buffer. pH 9.5 at 8X yolk concentration (about 40 mg/ml) and an ELISA was performed (as described in Example to determine the anti-recombinant toxin A and anti-recombinant toxin B titers. The antibody titers generated against either the pPA1870-2680 or pPB1750-2360 proteins using either the Gerbu or Quil A adjuvants was found to be 1:62.500. By affinity purification, the amount of specific A-6 and B-3 IgY using Gerbu was 4.3% and 1.0% respectively. The 15 amount of specific IgY using Quil A was 2.2% for A-6 and 1.9% for B-3.

b) Treatment of C. difficile-Infected Hamsters Using a Mixture of Gerbu or 4* 6Quil A-Generated Anti-Recombinant Toxin A and Toxin B IgY 20 Equal volumes of the anti-A-6 and anti-B-3 IgY PEG preps generated in section a) using the same adjuvant were mixed. These preparations were designated A-6/B-3 Gerbu and A-6/B-3 Quil A. The hamster treatment study was performed exactly as described in Example 42. Six hours after challenge with 104 C difficile organisms (ATCC strain 43596).

the hamsters were treated with 2 ml of either pre-immune IgY or an immune IgY preparation (A-6/B-3 Gerbu and A-6/B-3 Quil The hamsters were treated with 2 ml of IgY for two more days. once per day.

The results of this hamster treatment study are shown in Figure 49. In Figure 49. the percentage cumulative mortality is displayed along the ordinate and the time (in days) is displayed along the abscissa. The treatment period is indicated by the use of the bar between days 1 and 3. The administration of Clindamycin and the inoculation with C. difficile organisms (marked as "Infection" in Fig. 49) is indicated by the arrows. The solid black squares represent hamsters which received pre-immune IgY: the open squares represent 250hamsters which received anti-A-6/B-3 Gerbu IgY and the solid black diamonds represent hamsters which received anti-A-6/B-3 Quil A IgY.

The results shown in Figure 49 demonstrate that both immune IgY preparations (A- 6/B-3 Gerbu and A-6/B-3 Quil A) completely protected the hamsters from death due to CDAD. Nine out of nine of the hamsters treated with either of the immune IgY preparations survived infection with C. difficile. while all nine of the hamsters treated with pre-immune IgY died. The survival rates seen using either the A-6/B-3 Gerbu or A-6/B-3 Quil A preparations were statistically significant compared to the result obtained using pre-immune IgY (P value of <0.001 using Chi-square analysis).

Three out of nine of the animals treated with A-6/B-3 Gerbu and one out of nine of the animals treated with A-6/B-3 Quil A presented with very slight diarrhea. The slight diarrhea seen in these treated hamsters (compared to the total absence of diarrhea seen in previous Examples. such as Example 32) may be due to the lower antibody titer of the preparations used here (1:62.500 versus 1:125.000). Additional booster immunizations should 15 increase titers to the 1:125.000 range for hens immunized using either Gerbu or Quil A adjuvants. and thus increase therapeutic potency against diarrhea.

The above results indicate that the recombinant C difficile toxin A and B proteins can be produced using the pET vector (in place of the pMal vector) without deleterious effects upon the production of neutralizing antitoxin. Furthermore. the same adjuvant can be used in conjunction with the pET-produced proteins to elicit in vivo neutralizing IgY. Moreover, the same adjuvant can be used with both recombinant toxin proteins to produce a therapeutic antirecombinant IgY response in vivo.

EXAMPLE 46 Production of Antibodies Using a Mixture Containing Recombinant C. difficile Toxins A and B in Hens The ability to raise chicken antibodies directed against both a recombinant C. difficile toxin A and toxin B protein using a mixture of both proteins as a combined immunogen was investigated. The example involved a) immunization of hens with a mixture of recombinant C. difficile toxin A and B proteins and b) purification and detection of anti-recombinant

C.

difficile toxin A and toxin B IgY.

251 a) Immunization of Hens With a Mixture of Recombinant C difficile Toxin A and B Proteins Egg-laying Leghorn hens were immunized with a mixture of recombinant toxin A (pPA1870-2680. Interval A-6) and recombinant toxin B (pPB1750-2360. Interval B-3) proteins: both recombinant proteins were expressed using the pET vector system. Two groups of hens (each containing 4 hens) were immunized with 500 pg of each recombinant protein mixed with either Quil A (Accurate Scientific) or Gerbu (CC Biotech) adjuvant. A total volume of I ml containing the recombinant proteins and either 5 pg Gerbu or 75 pg Quil A adjuvant was administered to each hen. The immunization protocol followed for each 10 adjuvant was as described in Example 35. The hens were immunized twice 2 weeks apart.

V b) Purification and Detection of Anti-Recombinant C difficile Toxin A and Toxin B IgY About I week after the last boost. 3 eggs from each group were collected and IgY was 15 extracted using PEG as described in Example 1. The IgYs were resuspended in PBS (pH 7.4) at a 4 X concentration each containing about 20 mg/ml total protein. Preimmune IgY served as a negative control.

The amount of anti-recombinant toxin A (A-6 IgY) and anti-recombinant toxin B (B-3 IgY) antibodies present in the two immune IgY preparations was determined by ELISA essentially as described in Example 13c or Example 43b. Briefly. the wells of a microtiter plate were passively coated with either the toxin A recombinant (pPA1870-2680) or the toxin B recombinant (pPB1750-2360). The IgY samples were initially diluted 250-fold. then serially diluted 5-fold. All samples were tested in duplicate. Rabbit anti-chicken lgG alkaline phosphatase (Sigma) diluted 1:1000 was used to detect the specific IgY.

The results of these ELISA assays revealed that both recombinant toxin antigens were able to elicit an IgY response in the hen. The antibody titers are expressed as the reciprocal of the highest dilution that was found to be about 3-fold higher in ELISA reactivity compared to pre-immune the negative control) at the same dilution. The titers for both the anti-A- 6 IgY and anti-B-3 IgY generated using the Gerbu adjuvant were very low at about 1:250.

The titer for the anti-A-6 IgY and anti-B-3 IgY generated using the Quil A adjuvant was from and 25 fold-higher compared to the Gerbu adjuvant. Antibody titers generated using Quil A for the anti-A-6 IgY was greater than 1:6250 and greater than 1:1250 for the anti-B-3 IgY.

252 While the IgY titers against the recombinant toxins using Quil A are lower than the levels achieved previous Examples Example 32) (mainly because these hens in this example have been immunized only twice: in comparison the hens in previous examples were immunized 5 to 10 or more times and the resulting anti-toxin protein titers reached 1:100.000 or more), the results indicated that both recombinant toxin proteins appear to be equally antigenic in the hens and the antibodies produced to each were present at comparable levels.

The results also indicated that the level of the antibody response generated depends on the adjuvant used. It was found that the Quil A adjuvant invoked a higher anti-A-6 and anti-B-3 IgY response early during the immunization process in comparison to the results obtained 10 using the Gerbu adjuvant.

EXAMPLE 47 Affinity Purification of Native C. difficile Toxin A Usina Anti-Recombinant C. difficile Toxin A Antibodies Avian antibodies (IgY) raised against recombinant C. difficile toxin A protein were affinity purified using interval A-6 as the affinity ligand. The resulting specific antibodies were then immobilized on a solid support to purify native toxin A from C difficile (ATCC# 43255) organisms grown in dialysis bags submerged in BHI broth. The following example describes the a) affinity purification of avian antibodies directed against a recombinant fragment of toxin A and generation of a toxin A affinity column. b) growth of C. difficile organisms to produce toxin A and B in dialysis bag culture supernatants. c) affinity purification of toxin A. d) in vitro characterization of affinity purified C difficile toxin A, e) investigation of an alternate strategy for coupling the anti-A-6 igY to a solid support to affinity purify toxin A. f) affinity purification of C difficile toxin A on affinity column ,generated by periodate oxidation of A-6 IgY and g) in vitro characterization of affinity purified C. difficile toxin A.

a) Affinity Purification of Avian Antibodies Directed Against a Recombinant Fragment of Toxin A and Generation of a Toxin A Affinity Column Antibodies specific for Interval A-6 (aa 1870-2680) of C. difficile toxin A were affinity purified to provide reagents for the generation of an affinity column to permit purification of C. diflicile toxin A from liquid culture supernatants and to provide an 253 immunoassay reagent to permit detection of C dfficile toxin A in culture supernatant and affinity purified C difficile toxin A samples.

i) Affinity purification of A-6 IgY Hyperimmune IgY from eggs containing antibodies to A-6 recombinant protein using Freund's adjuvant was extracted using the PEG fraction method (Example The antibodycontaining supernatant was applied to a A-6 affinity column. made by covalently coupling pPA 1870-2680 protein (prepared in Example 29) to Actigel A affinity resin (Sterogene Biochemicals) according to manufacturer's instructions. Approximately 10.2 mg of pPA1870- 10 268 protein was coupled to 5 ml Actigel affinity resin The anti-A-6 IgY was eluted with Actisep elution media (Sterogene Biochemicals) as described in Example 15c. and dialyzed against PBS for 24-48 hours at 2-8"C.

ii) Coupling of Affinity-Purified Anti-A-6 IgY to an Activated Affinity Resin 15 to Make a C. difficile Toxin A Affinity Column An initial toxin A affinity column was prepared as described in Example 48a below.

by coupling the anti-A-6 IgY to Actigel A affinity resin. By comparing the pre- and postcoupling absorbance values of the IgY at 280 nm. it was estimated that 58%. or about 7.6 mg, of the anti-A-6 IgY was coupled to the affinity resin.

b) Growth of C. difficile Organisms to Produce Toxins A and B in Dialysis Bag Culture C. difficile strain #43255 was grown as described in Example 49b. sections iv and v.

below. SDS-PAGE/Western blot analysis was conducted to evaluate the C difficile dialysis bag culture supernatants for the presence of toxin A as follows.

The dialysis'bag culture supernatant samples and a known toxin A sample purchased commercially were analyzed as described in Example 49b. section iv. with the exception that affinity purified A-6 IgY was used as the primary antibody for the western blot.

Following SDS-PAGE polyacrylamide gel) the proteins were transferred to nitrocellulose using a Milliblot transfer apparatus (Millipore) according to the manufacturer's instructions. The blot was temporarily stained with 10% Ponceau S. and blocked overnight in PBS containing 1 mg/ml dry milk. The preimmune and anti-A-6 IgY primary antibodies were diluted to I gg/ml in PBS containing 1 me/ml BSA. and the appropriate antibody was 254 incubated with the corresponding blot for 2 hours at room temperature with gentle agitation.

The strips were washed with PBS (10 mM sodium phosphate. 150 mM NaCI. pH BBS- Tween (0.1 M boric acid. 0.025 M sodium borate. 1 M NaCI. 0.1% v/v Tween 20) and PBS to remove unbound primary antibody, and incubated with Rabbit anti-chicken IgG alkaline phosphatase conjugated secondary antibody (Sigma Chemical Co). diluted 1:2000 in PBS/BSA. The blots were washed to remove unbound secondary antibody. and the strips were developed in BCIP/NBT substrate solution (as described in Example 48 below).

Both culture supernatant samples analyzed appeared to contain immunoreactive

C.

difficile toxin A when analyzed by Western blot. This protein co-migrated with the 10 commercial toxin A and was recognized by the affinity-purified anti-A-6 IgY. The culture supernatant samples were pooled prior to affinity purification of toxin A. The pooled culture supernatants were not concentrated prior to loading on the affinity column.

c) Affinity Purification of C. difficile Toxin A 15 The C. difficile toxin culture supernatant samples were affinity purified as described in Example 48c. The volume of the Actisep fraction following elution and dialysis was 42 ml, ml of which were removed and concentrated to 3 ml prior to analysis. A Centricon concentrator (Amicon) was used to concentrate the sample.

d) Analysis of C. difficile Culture Supernatant, Actisep-Eluted Fraction and Column Effluent for the Presence of Toxin A In order to determine the presence or absence of toxin A in the Actisep eluted sample and effluent from the affinity column. these samples were analyzed by SDS-PAGE and Western blot along with the culture supernatant starting material. These analyses were performed as described in section b above to evaluate the relative amount of toxin A in the samples and the efficiency of the affinity purification.

The resulting Western blot is shown in Figure 50. In Figure 50. lanes 1-3 were incubated with pre-immune IgY as the primary antibody and lanes 4-6 were incubated with anti-A-6 IgY as the primary antibody. Lanes I and 4 contain culture supernatant starting material; lanes 2 and 5 contain column flow-through and lanes 3 and 6 contain affinity purified toxin A.

The results shown in Figure 50 demonstrated that immunoreactive toxin A was detected in the culture supernatant starting material and the Actisep fraction. Furthermore. no 255 toxin A was observed in the column effluent sample. indicating most of the toxin was bound by the affinity column. There appeared to be significantly more toxin A in the starting material than in the Actisep fraction. Since the column effluent apparently contains no toxin A. the difference in toxin A amounts between the starting material and Actisep fraction suggested a significant amount of the toxin was still bound to column. even after Actisep elution. One possible explanation for the inability of the Actisep to elute all of the toxin A is the tendency for toxin A to bind nonspecifically to the carbohydrate region of molecules such as immunoglobulins. This is possible because the anti-A-6 IgY on the column is coupled via primary amines. which would allow for a subpopulation of the IgY to couple via the Fab S 10 region, leaving the carbohydrate-containing Fc region accessible for binding to toxin A.

e) Investigation of an Alternate Strategy for Coupling the Anti-A-6 IgY to a Solid Support to Affinity Purify Toxin A The possibility of coupling IgY to a solid support by periodate oxidation of the 15 carbohydrate region was next examined. This method of coupling was predicted to accomplish the following: 1) couple the IgY to the support via the Fc region. leaving the Fab regions accessible for binding to C difficile toxin, and 2) alter the carbohydrates enough to eliminate or reduce the nonspecific binding of C. difficile toxin A.

i) Oxidation of Anti-A-6 IgY with Sodium Periodate The anti-A-6 IgY was oxidized using sodium periodate (Sigma Chemical Co) as follows. A sodium periodate stock solution was made by dissolving 25 mg of sodium periodate in 1.2 ml of distilled, deionized water. To six ml of A-6 IgY (at 2.7 mg/ml) in a ml polystyrene tube 600 pl (0.1 volume) of the sodium periodate stock solution was added. The tube was then covered with aluminum foil and mixed gently at room temperature for 1 hour and 20 minutes. Glycerol was then added to a final concentration of 20 mM. and the tube was inverted for 10 more minutes. The solution was then dialyzed against 100 mM sodium acetate. 150 mM NaC1. pH 5.5 to remove the sodium periodate.

ii) Coupling of Oxidized IgG to Affi-Gel Hz Hydrazide Gel (BioRad) Six ml of Affi-Gel resin was washed with coupling buffer (100 mM sodium acetate, pH 5.5 and 150 mM sodium chloride). The oxidized anti-A-6 IgY was filtered through a glass fiber syringe filter to remove the precipitate which had formed during the oxidation 256 procedure. and a 100 pl aliquot was removed for A,,s analysis. The washed Affi-Gel resin was added to the oxidized IgY in a 15 ml polystyrene tube. and the tube was inverted overnight at room temperature (Total volume 12 ml).

iii) Determination of Coupling Efficiency The anti-A-6 IgY-Affi-Gel affinity resin was poured into a BioRad Econo column and the unbound antibody was washed through the resin and saved for A2,o analysis. The resin was then washed with 1 bed volume of PBS (10 mM sodium phosphate. 0.5 M NaC1. pH This wash was also collected and saved for A 2 analysis. The resin was then washed 10 with several more volumes of PBS. and treated with the Actisep elution buffer (Sterogene Bioseparations) to ensure no unbound antibody remained in the resin. By comparing the preand post-coupling values of the A-6 IgY. it was estimated that 95%. or 8.4 mg, of the IgY was coupled to the resin.

f) Affinity Purification of C difficile toxin A on Affinity Column Generated by Periodate Oxidation of Anti-A-6 IgY Two dialysis bag culture supernatants. grown as described in Example 48b. sections iv and v. were pooled and concentrated to about 10.5 ml using an Amicon centriprep concentrator. The pooled. concentrated supematants were then applied to the anti-A-6 IgY Affi Gel affinity column and the column effluent was collected and reloaded several times to bind as much toxin as possible. The unbound protein was then removed by washing the column with several bed volumes of PBS and the bound toxin A was eluted with 2 bed volumes of Actisep elution media. The column effluent was saved for analysis to evaluate the efficiency of the affinity purification. The Actisep-eluted toxin was then dialyzed against TBS for 24-48 hours at 2-8 0 C. and concentrated from 53 to 3 ml using a Centriprep concentrator (Amicon).

g) In Vitro Characterization of Affinity Purified C. difficile Toxin A i) Protein Assay The purified toxin concentration was determined using a BCA protein assay (Pierce) and was found to be 70 lg/ml. or about 210 pg total from 37 ml of culture supernatant.

indicating there was about 5.7 pg of toxin/ml of culture supernatant.

257 ii) Comparison of Toxin Purity and Retention Times by HPLC HPLC analysis was used to compare both the purity and retention times of the affinity purified toxin A samples. Commercial and affinity purified toxin A samples were applied to a Shodex KW 803 HPLC column and eluted with PBS. using a Waters HPLC system. The toxin A retention times were approximately 7 minutes for both toxin samples. suggesting the toxins are identical. Furthermore. the purities of both toxins were similar.

iii) Western Blot Analysis of Culture Supernatant Starting Material, Affinity Purified Toxin A and Column Effluent (flow through) 10 In order to evaluate the efficiency of the affinity purification and immunochemically identify the affinity purified toxin A. the culture supernatant, affinity purified toxin A. and column effluent samples were electrophoresed by SDS-PAGE on a 5% gel under reducing conditions and transferred to nitrocellulose using standard methods. The blot was temporarily stained with 10% Ponceau S to allow the lanes to be marked and the remaining protein 15 binding sites were blocked overnight at 2-8"C with a PBS solution containing 1 mg/ml dry milk. The blot was cut into two halves, one of which was incubated with anti-A-6 IgY primary antibody, diluted to 1 .g/ml in PBS containing 1 mg/ml BSA. and the second half incubated with preimmune IgY diluted to 1 pg/ml in PBS/BSA. After a two hour incubation in the presence of the primary antibody (with gentle agitation). the unbound primary antibody was removed with successive washes of PBS. BBS-Tween and PBS. Rabbit anti-chicken IgY alkaline phosphatase conjugated secondary antibody. diluted 1:2000 in PBS containing I mgiml BSA was then added to each blot. After two hours. the blots were washed to remove unbound secondary antibody and developed with BLIP/NBT (Kirkegaard and Perry) substrate solution. Color development was stopped by flooding the blots with water. The resulting Western blot is shown in Figure 51.

In Figure 51. lanes 1-7 were incubated with anti-A-6 IgY as the primary antibody and lanes 8-15 were incubated with pre-immune IgY as the primary antibody. Lanes 1 and 9 contain broad range molecular weight markers (BioRad). Lanes 2 and 10 contain C. difficile culture supernatant Lanes 3 and 11 contain C difficile culture supernatant Lanes 4 and 12 contain C. difficile culture supernatants #1 and #2 (pooled). Lanes 5 and 13 contain column flow-through. Lanes 6 and 14 contain affinity purified Toxin A (high load; 2X the load shown in lanes 7 and 15). Lanes 7 and 15 contain affinity purified Toxin A (low load). Lane 8 does not contain any sample material (blank).

258 The affinity purified toxin A sample (lane 7) was 3.5 fold more concentrated than the pooled starting material sample (lane however. 1/3 the volume (5 pl vs 15 l) of the affinity purified sample was loaded compared to the pooled starting material sample.

Consequently, if most of the toxin A was recovered from the column.the toxin A levels detected on the Western blot should be similar. As shown in Figure 51. the signals corresponding to the main high molecular weight bands are comparable. Therefore. the recovery of toxin A from the affinity column appeared to be quantitative.

EXAMPLE 48 10 Affinity Purification of Native C. difficile Toxin B Using Anti-Recombinant C difficile Toxin B Antibodies Avian antibodies (IgY) raised against recombinant C. difficile toxin B protein (pPB 1750-2360: Interval B-3) were affinity purified using Interval B-3 aa 1750-2360 of C.

difficile toxin B) as the affinity ligand. The resulting purified anti-Interval B-3 specific °antibodies were then immobilized on a solid support to facilitate purification of native toxin B o derived from C. difficile organisms (ATCC #43255) grown under conditions favorable for toxin production.

*The example involved a) affinity purification of avian antibodies directed against a recombinant fragment of C difficile toxin B and generation of a C. difficile toxin B affinity column. b) growth of C difficile organisms to produce toxins A and B in liquid culture and dialysis bag culture supematants. c) affinity purification of C difficile toxin B. and d) in vitro Sand in vivo characterization of affinity purified toxin B from C. difficile.

a) Affinity Purification of Avian Antibodies Directed Against a Recombinant Fragment of C. difficile Toxin B and Generation of a C. difficile Toxin B Affinity Column Antibodies specific for Interval B-3 of C. difficile toxin B protein were affinity purified to provide reagents for the generation of an affinity column to permit purification of C. difficile toxin B from liquid culture supernatants and to provide an immunoassay reagent to permit detection of C. difficile toxin B in culture supernatants and affinity-purified C. difficile toxin B samples.

259 i) Affinity Purification of Anti-Interval B-3 IgY Hyperimmune IgY was extracted from eggs containing antibodies to the Interval B-3 recombinant protein (pPB 1750-2360) generated using Gerbu adjuvant (see Example 45) using the PEG fractionation method (Example The antibody-containing supernatant was applied to an Interval B-3 affinity column. made by covalently coupling pPB 1750-2360 protein (prepared in Example 29) to Actigel A affinity resin (Sterogene) as described in Example This fragment was chosen because it contains the C. difficile toxin B repeat region and does not contain regions of homology with the C. difficile toxin A protein, therefore the resulting purified antibody should not cross-react with C. dfficile toxin A. The anti-Interval B-3 10 antibodies (anti-B-3 IgY) were eluted from the column with 4 M guanidine HCI. pH 8.0 and dialyzed against PBS for 24 to 48 hours at 2-8 0

C.

ii) Coupling of Affinity-Purified Anti-B-3 IgY to an Activated Affinity Resin to Make a C. difficile Toxin B Affinity Column.

15 A C. difficile toxin B affinity column was made by coupling 11 mg of the affinity purified avian anti-B-3 antibodies prepared above to 5 ml of Actigel affinity resin (Sterogene).

A coupling time of 30 minutes was used rather than the minimum 2 hours recommended by the manufacturer in order to minimize the number of sites where each antibody molecule is coupled to the resin, thereby making the antibody more accessible to the toxin. In addition, the column was only exposed to high salt buffers or the Actisep elution buffer (Sterogene): no guanidine solutions were utilized during the preparation of the affinity column in order to minimize denaturation of the anti-B-3 antibodies. Comparison of the pre- and post-coupling absorbance values of the IgY at 289 nm. revealed that approximately estimate 62%. or about 6.8 mg. of the anti-B-3 IgY was coupled to the resin.

b) Growth of C. difficile Organisms to Produce Toxirs A and B in Liquid Culture and Dialysis Bag Culture Supernatants i) Liquid Culture of C difficile in BHI Broth A frozen stock vial of C. difficile (ATCC #43255) was thawed and plated on CCFA plates (BBL) and grown for 36 to 48 hours at 37 0 C in an anaerobic chamber. Colonies were harvested from the CCFA plates using a sterile swab. The harvested colonies were used to inoculate a 20 ml liquid culture of BHI broth (BBL). This culture was grown for 260approximately 24 hours in an anaerobic jar at 37 0 C. Ten milliliters of the overnight culture were used to inoculate a 500 ml liquid culture of BHI broth, and the culture was grown for approximately 72 hours at 37'C in an anaerobic chamber.

ii) Harvest of Liquid Culture Supernatant The 72 hour culture was centrifuged at 5000 rpm (4420 x g) for 10 minutes in a Beckman J2-21 centrifuge to pellet the C difficile organisms and the supernatant was filtered through a 0.45 p filter (Nalgene) and saved for toxin purification and analysis at 2-8 0

C.

10 iii) In Vitro Analysis of Culture Supernatant to Detect Presence of C.

difficile Toxin B In order to determine whether C difficile toxin B was present in the culture supernatant. the supematant was analyzed by native PAGE and Western blotting as follows.

;o0. The harvested culture supernatant was concentrated about 10-fold using a Centricon concentrator (Amicon) prior to electrophoresis on native PAGE gels. The concentrated sample was then mixed with an equal volume of native gel sample buffer (50% sucrose, 0.1% bromophenol blue-) and loaded on a 4-15% Tris-glycine gradient gel (Bio-Rad). along with a known sample of C. difficile toxin B. purchased from Techlab. The samples were electrophoresed for 3 hours at 150 volts, constant voltage, using a Hoefer power supply.

20 Following electrophoresis. the gel was cut in half and one half was stained with Coomassie blue and destained with a solution comprising 10% glacial acetic acid/40% methanol to visualize any protein bands. The other half of the gel was blotted and probed using affinity purified anti-B-3 antibody (section i above).

The Coomassie blue stained gel is shown in Figure 52. In Figure 52. lane I contains broad range molecular weight markers. Lane 2 contains the commercial toxin B (Techlab); lane 3 contains BHI broth: lane 4 contains culture supernatant and lane 5 contains concentrated culture supernatant.

As shown in Figure 52. the commercial toxin B was detectable on the Coomassie stained gel. The concentrated culture supernatant showed several relatively faint bands, however no detectable proteins in the supernatant samples co-migrated with the known C.

difficile toxin B sample. Furthermore, western blot analysis did not detect any proteins in the culture supernatant that were recognized by the affinity purified anti-B-3 antibody. These results demonstrated that the above growth conditions did not appear to be optimal for toxin production.

261 iv) Production of C difficile Toxin B in Dialysis Bag Culture In order to identify growth conditions optimal for the production of C difficile toxin B. the following experiment was conducted. A liquid culture of C difficile 43255 was grown overnight as described above. The overnight culture was used to inoculate large scale cultures grown in dialysis bags containing PBS and submerged in BHI broth, as described by Meador and Tweten [Infection and Immunity, 56:7 (1988)]. Briefly. two 500 ml wide-mouth media bottles were filled with 400 ml of BHI broth. A dialysis bag having a molecular weight cut-off of 12-14.000 (Spectrapor) containing 25 ml of PBS was tied off at both ends and submerged in the BHI media in each 500 ml bottle. The bottles and dialysis bags were then autoclaved for 30 minutes to sterilize the broth and PBS. The bottles were then :*"incubated for 1 hour at 37 0 C under anaerobic conditions to cool the liquids and remove oxygen from the media.

.The PBS in each dialysis bag was then inoculated with 10 ml of the overnight culture using a 10 cc syringe fitted with a 27 gauge needle to puncture the bags above the broth 15 level. The bottles were then incubated for 48 to 72 hours at 37 0 C under anaerobic conditions.

Both bottles showed heavy growth inside the dialysis bags. however one of the bottles also showed turbidity in the BHI broth outside of the dialysis bag. suggesting the BHI was contaminated. Therefore. the contents of the two dialysis bags were kept separate until the contents could be analyzed separately. It was thought that the BHI growth in the 20 contaminated bag was due to C. difficile which may have fallen from the needle during inoculation of the dialysis bag.

v) Harvest of Dialysis Bag Culture Supernatants The dialysis bag contents were removed and centrifuged at 5000 rpm (3440 x g) for 10 minutes to pellet the cells and the dialysis bag culture supernatants from each bag were handled separately: each was filtered through a 0.45 p syringe filter and concentrated using a Centriprep 30 concentrator (Amicon). The two samples were concentrated from 35 ml to 3 ml. and stored at 2-8°C.

The culture supernatants from the dialysis bag liquid cultures were analyzed by native PAGE and western blot analysis to evaluate the amount of toxin B produced in the dialysis bag culture supernatants.

262 vi) Native PAGE/Western Blot Analysis of C. difficile Dialysis Bag Culture Supernatants Aliquots of the concentrated dialysis bag culture supematants and a known C difficile toxin B sample were electrophoresed on a 4-15% Tris-glycine gel (Bio-Rad) as described above in section iii). One half of the gel was stained with Coomassie blue and the other half was transferred to a nitrocellulose membrane for western blot analysis using a semi-dry transfer apparatus (Millipore)and standard transfer conditions (12 volts, constant voltage, for minutes). The remaining protein binding sites on the membrane were blocked overnight in PBS containing 1 mg/ml dry milk.

10 Figure 53 shows the resulting Coomassie stained gel and Western blot. In Figure 53.

lanes 1-4 represent the Coomassie stained gel and lanes 6-9 represent the Western blot. Lanes I and 6 contain broad range molecular weight markers: lanes 2 and 7 contain commercial toin B (Techlab): lanes 3 and 8 contain dialysis bag culture supematant from the culture having sterile BHI broth: lanes 4 and 9 contain dialysis bag culture supernatant from the culture having "contaminated" BHI broth: lane 5 is blank.

A shown in Figure 53. the presence of C. difficile toxin B was detected by incubating the blot strips with affinity purified anti-B-3 IgY. After washing the blots to remove unbound anti-B-3 antibodies, bound anti-B-3 antibodies were detected by incubating the strips with a secondary antibody comprising rabbit anti-chicken Ig conjugated to alkaline phosphatase 20 (Sigma). The blots were washed again to remove any unbound secondary antibody and the blots were developed in freshly prepared BLIP/NBT substrate solution. Development was stopped by flooding the blots with water once an adequate signal was obtained.

The results of the PAGE and Western blot analysis showed that the amount of toxin B present in the dialysis bag supernatant samples was too dilute to be detected by staining with Coomassie. However. both culture supernatant samples (one from the bottle with sterile BHI broth and one from the bottle with contaminated BHI broth) contained immunoreactive toxin B when analyzed by Western blotting. The only difference seen between the two culture supernatant samples appeared to be in the amount of toxin B produced. The sterile broth sample appeared to contain more toxin B than did the contaminated broth sample.

Comparison of the commercial toxin B sample to the toxin B produced in the dialysis bag culture supernatant samples revealed that the culture supernatant sample contained a higher percentage of intact toxin B protein there was much less evidence of degradation in the form of minor immunoreactive bands present in the culture supematant samples).

263 Because both culture supernatant samples contained toxin B (although at different concentrations). they were pooled prior to affinity purification.

c) Affinity Purification of C. difficile Toxin B The dialysis bag culture supernatant samples were pooled and applied to the toxin B affinity column [prepared in section Nonspecific proteins were removed by washing the column with PBS until the baseline OD was achieved. The bound protein was eluted using Actisep elution media (Sterogene) and was then dialyzed against Tris-buffered saline. pH mM Tris. 150 mM NaCI). Following dialysis. the affinity purified protein was 10 concentrated from 40 ml to 4.5 ml using a Centricon 30 concentrator (Amicon).

d) In Vitro and In Vivo Characterization of Affinity Purified Toxin B From C.

difficile In order to determine the presence or absence of C difficile toxin B in the Actisepeluted sample and effluent from the affinity column the flow-through), these samples were analyzed by native PAGE and Western blotting along with the culture supernatant starting material. These analyses were performed to evaluate the relative amount of C.

difficile toxin B in the culture supernatant and the efficiency of the affinity purification.

The affinity purified, culture supernatant, flow-through, and commercial C difficile 20 toxin B samples were each mixed with an equal volume native sample buffer and loaded on a 4-15% native Tris-glycine gradient gel (Bio-Rad). The sample were electrophoresed for approximately 2.5 hours at 200 volts, constant voltage, using a Hoefer power supply, and transferred to nitrocellulose using a semi-dry blotting apparatus (Millipore) according to manufacturer's instructions. The blot was blocked overnight using a solution containing 1% powdered milk in PBS. The blot was then incubated with affinity purified anti-B-3 IgY as the primary antibody and rabbit anti-chicken conjugated to alkaline phosphatase as the secondary antibody. The blots were handled as described in section b(vi) to permit visualization of the C. difficile toxin B protein.

Figure 54 shows the Coomassie stained gel and corresponding Western blots. In Figure 54. lanes 1-3 were stained with Coomassie blue: lanes 5-10 were probed with anti-B-3 IgY and lanes 8-10 were probed with pre-immune IgY. Lanes 1. 5 and 8 contain affinity purified toxin B; lanes 2. 6 and 9 contain the column flow through; lanes 3. 7 and 10 contain commercial toxin B (Techlab). Lane 4 does not contain any protein (blank).

264 The following results were obtained upon western blot analysis. All three samples (culture supernatant. eluted protein and flow-through) contained immunoreactive toxin B.

These results indicated that the affinity purification protocol was successful in purifying some toxin B. However, as the flow-through fraction was found to contain significant amounts of toxin B the following modifications would be examined for the ability to further optimize the purification process coupling of B-3 IgY to Affigel hydrazide support (BioRad) via periodate oxidation of IgY).

ii) Yield of Affinity Purified C. difficile Toxin B 10 The yield of affinity purified C. difficile toxin B was determined by BCA protein assay (Pierce), using BSA as the protein standard. This assay showed that the toxin B concentration was 73 pg/ml x 4.5 ml (volume of affinity purified material) 365 pg of toxin B. Approximately 70 ml of dialysis bag culture supernatant was used as the starting material: therefore. about 5 pg toxin B was recovered per milliliter of culture. This yield was consistent with previously reported yields using this method of culturing C. difficile [7.8 pg toxin B/ml of culture supernatant: Meador and Tweten (1988). supra].

iii) Measurement of the In Vivo Activity of the Affinity Purified C difficile Toxin B 20 The in vivo activity of the affinity purified C difficile toxin B was determined by injecting various amounts of the purified toxin B preparation (described below) into 30 to ~gram female syrian hamsters. Another group of hamsters was injected with various amounts of a commercial toxin B preparation (TechLabs) for comparison with results previously obtained. The LD,, of the TechLabs preparation of C difficile toxin B was found to be about 5 pg for 30-40 g hamsters when administered I.P. (Example 19). At this concentration pg/30-4 0 g hamster). the hamsters died within about 3 hours post-I.P. injection.

The LD,, 0 concentration of the affinity purified toxin B was determined by I.P.

injection of 1 ml of a solution containing either 5 or 50 pg of affinity purified toxin B diluted in saline. Two 30-40 gram hamsters were injected with each concentration of affinity purified toxin B. The hamsters injected with 50 pg of affinity purified material hamster died within 2 hours: the hamsters injected with 5 pg of affinity purified toxin B died within 4 hours. These results demonstrated that the toxicity of the affinity purified C. difficile toxin B preparation was comparable to the commercially available C. difficile toxin B.

265 EXAMPLE 49 Diagnostic Agglutination Assay for the Detection of C difficile Toxin A and Toxin B In this example, a rapid agglutination assay designed to detect C difficile toxin A and toxin B in either culture supernatants or biological specimens such as feces was developed.

Affinity purified antibodies against recombinant C. difficile toxin A and toxin B from hens were used to passively coat small polystyrene particles. In principle, the particles coated with the specific avian antibodies (IgY) to toxin A and toxin B should form visible aggregates when they are mixed with a sample containing the toxins. This format should produce a 10 specific. sensitive and rapid assay. Affinity purified IgY in this case confers specificity and sensitivity to C difficile toxin, while ease of use and speed of the assay is conferred using an agglutination assay format. This example describes: a) initial development of the agglutination assay for the detection of C difficile toxin A and toxin B: and b) evaluation and optimization of the agglutination assay.

a) Development of an Agglutination Assay for Detection of C. difficile Toxin A and Toxin B Antibodies were generated in hens using the toxin A recombinant (pMAL 1870-2680) and the toxin B recombinant (pPB1750-2360) using Freund's adjuvant as described in 20 previous Examples. The recombinant toxin A antibodies (A-6 IgY) and the recombinant toxin B antibodies(B-3 IgY) were PEG fractionated the then affinity purified as described in Example 15c. The A-6 IgY was affinity purified against pPA1870-2680 and the B-3 IgY was affinity purified against pB1750-2369. The affinity-purified antibodies were then passively coated onto the polystyrene particles.

For each IgY preparation to be coated. 100 ul of a 5% bead suspension of 1 u beads (Spherotech Inc..Libertyville. IL) was removed and centrifuged for 2 minutes at 14,000 x g in a Beckman microfuge to pellet the particles. The particles were then washed with TBS mM Tris. 150 mM NaCI. pH 8) PBS-Tween (10 mM sodium phosphate. 150 mM NaCI, pH 7.2 0.05% Tween 20) and TBS. The particles were centrifuged for 2 minutes following each wash and the wash buffer was discarded. Following the last TBS wash. the particles were resuspended in I ml of the antibody coating solution: affinity purified avian A-6 or B-3 IgY at 100 pg/ml in TBS. PEG-fractionated preimmune IgY was also coated in the same manner to serve as a negative control in the agglutination assays. The particle suspensions 266 W were then inverted at room temperature for 18 to 24 hours to allow the IgY to coat the particles.

To remove the unbound antibody, the suspensions were centrifuged for 2 minutes. the antibody solution was discarded, and the particles were washed as before (TBS. PBS-Tween.

TBS). After the last TBS wash. the IgY-coated particles were resuspended in 200 pl of TBS.

giving a 2.5% particle suspension.

In order to demonstrate that the particles were coated with IgY. 10 pl of the particles were incubated with 5 pl of undiluted goat anti-chicken IgG (Fisher Biotech) in depression wells. Samples were then evaluated for macroscopic agglutination. Particles that had not 10 been coated with IgY showed no agglutination in this procedure.

In order to demonstrate the feasibility of using affinity purified polyclonal avian IgY in this type of assay. the ability of A-6 IgY coated particles to agglutinate in the presence of various concentrations of toxin A was evaluated.

Commercial toxin A (Tech labs) was diluted 10-fold serially from a starting concentration of 0.29 mg/ml. using PBS containing BSA at 1 mg/ml as the diluent. Ten pl of each dilution was mixed with 10 pl of the coated beads in a depression-well slide, and the mixture was incubated for 20 minutes at 37' C. The slides were then analyzed macroscopically for evidence of agglutination.

Strong agglutination was observed with the 1:10 and 1:100 dilutions, and weak agglutination was observed in the 1:1000 dilution. The dilutions greater than 1:1000 showed no agglutination. The pre-immune coated particles did not agglutinate at any dilution tested.

S

The 1:100 dilution of toxin A had a concentration of 2.9 pg/ml. Ten pl of the 2.9 pg/ml dilution contains 29 ng of toxin A. therefore the assay is sensitive to 29 ng of toxin A. or 2.9 pg/ml. The agglutination assay format appears to be suitable for detecting C. difficile toxins A and B.

Affinity purified polyclonal avian antibodies were most commonly used to coat the particles, however the use of PEG-fractionated and water-diluted IgY preparations was also investigated, in order to determine if it was possible to increase the sensitivity of the agglutination assay by using polyclonal antibodies which might contain a population of high affinity antibodies lost during affinity purification.

PEG-fractionated polyclonal A2 IgY was used to coat 1 L polystyrene particles under conditions identical to those described above, and the particles were evaluated for sensitivity 267 in the C dfficile toxin A agglutination assay. These particles were less sensitive than particles ccated with affinity purified IgY.

To investigate the possibility that residual PEG in the PEG-fractionated IgY may inhibit particle agglutination in the assay, A-2 IgY was extracted by the acidified water dilution method described by Akita and Nakai of Food Science. 57:629 (1992)].

Polystyrene panicles were then coated with water diluted IgY under conditions identical to those described above, and the particles were evaluated for sensitivity in the C difficile toxin A agglutination assay.

It was determined that particles coated with water-diluted IgY preparations were less 10 sensitive than particles coated with affinity purified IgY. Affinity purified IgY therefore appears superior to batch-fractionated IgY preparations in this assay format. In order to increase the sensitivity and maintain the specificity of the agglutination assays. we then evaluated the effect of several other variables on the assay performance.

b) Evaluation and Optimization of the C difficile Toxin A and Toxin B Agglutination Assay A-6 and B-3 IgY-coated beads were evaluated for their agglutinability with lowest amount of toxin sensitivity) and specificity. Instead of using PEG-fractionated "preimmune IgY. affinity-purified IgY against an irrelevant antigen. C airox snake venom.

was used to coat the particles as a negative control. Toxin A and toxin B were serially diluted in PBS from 1 pg/ml to 0.1 ng/ml. Ten pl of bead suspension was mixed with 20 p I. sample in wells of glass agglutination plates, mixed well and rotated on nutator (Lab Quake) or manually for two minutes. Agglutination was read after two minutes. A completely uniform suspension was rated as a slightly gritty appearance was rated as and distinct agglutination was rated as or according to the size of the aggregates.

Various parameters which affect the sensitivity and/or specificity of the assay such as bead size. concentration of coating antibody, temperature of reaction, pH of coating buffer, antibodies generated using different adjuvants, final density of the beads w/v) and sample diluents were evaluated. Four different bead sizes 0.39 p. 0.81 p. 1 p. and 1.2 p were initially evaluated. The 1 p bead agglutinated very rapidly. resulting in large aggregates with little or no non-specific agglutination. Hence. 1 p bead size was chosen for further optimization studies. Samples were initially diluted in PBS. If the beads autoagglutinated in PBS. PBS with I mg/ml BSA or PBS with 0.01% Tween-20 was substituted. Both diluents 268 prevented autoagglutination. but PBS with Tween-20 also inhibited the specific signal.

Various other blocking agents such as sucrose. BSA at higher concentration and gelatin were evaluated as diluents. PBS containing 1 mg/ml BSA was found to be optimal at preventing autoagglutination without inhibiting specific signal.

The density of the beads in final suspension was also evaluated. In order to improve the sensitivity and specificity. A-6 or B-3 IgY-coated latex particles were tested for their agglutinability at 1.25%. and 0.25% suspensions. All the bead suspensions except 2.5% resulted in no or low signal. Antibodies generated using different adjuvants have different avidities and affinities, and hence agglutinate differently. It was known that 10 antibodies with higher avidity and affinity form large and distinct aggregates. A-6 and B-3 IgY generated using Freund's and Gerbu as adjuvants were evaluated for their agglutinability at lowest concentration of toxin. Antibodies generated using Gerbu adjuvant were found to be better in giving distinct and large aggregates at 10-times lower concentrations of toxin A or toxin B. compared to antibodies generated with Freund's adjuvant.

The effect of antibody concentration/mg of beads with lower or higher incubation temperature was also tested. The polystyrene particles were coated with 20 pg IgY or 50 pg IgY/mg of beads. and incubated at room temperature. 37 0 C. or 56 0 C. There was a direct correlation between higher concentration of coating antibody and higher temperature with respect to increase in sensitivity. However, it was found that coating the particles at higher temperature also resulted in increased non-specific signal. High pH and low pH coating buffers were evaluated in order to optimize maximum sensitivity and specificity. The polystyrene particles coated in 50 mM sodium acetate. 150 mM sodium chloride. pH 5.5 (low oo pH buffer) agglutinated non-specifically. while beads coated using 50 mM sodium carbonate.

pH 9.5 (high pH buffer) buffer increased sensitivity and specificity with A-6 IgY coated particles, but not for B-3 IgY coated particles. The sensitivity and specificity of A-6 or B-3 IgY sensitized panicles using various methods is summarized it. Table 269 0 00 to So 0 0 0 0 0 0000 0 0 0* 0o 0 0 00 1. 0 to *0 too 0 Table Summary of Results inV.sensitie d1 B-3 IgY-sensitized beads

S

A.

13.

C.

D.

IS

I.

Ui.

II.

I

J.

K.

Sensitivity Specificity

S

Conditions 100 o 10 neg .10i 0 10 1 I F neg Feces E. coli ng/ml ng/ml ng/nil ng/ml control ng/ml ng/nil nglml control IoU pg/ml, lp, F13S, p- 7.5 (FIRT) to0pg/ml, lp, BS, pH 7.5 (GIRT) 100 Pg/mI, Ij, 'IBS, 4 ni pH 7.5 (G/37'C) 250 pg/ml. Ip, I1S, i pH 7.5 (G!RT) 250 ug/mI, p, ITUS, 4 pH 7.5, (G/37C) 30 pg/mg of beads 0.81 p (Yamarnoto, et al procedure 3Opg/mg ofbeads 0.39 p (Yamamoto, et at procedure) -4 ISO pig/mi. Ip, l1S, PH 7.5 (G/RT) blocking procedure 150 pgml, 0.8 1 p, +4 TBS, pH 7.5, (G/RT) blocking procedure 100 pg/ml, p, BS, na pH 7.5, (F/RT) 100 LIw/ml. l. TBS, I 4+ n/a

I

pH 7.5 (GIRT) I I I I I I I *q a. R. same as Qexcept alter I overcoating %v/BSA J Expliantion of conditions: coating concentration of 16,Y, head sizc. coating solution. pl1,. adjtiint used, temperiture dutring coating.

No autoagglutination with sensitivity ot I ng/ml in presence of' PIS4 BSA 40.0 1% TW20, however nonspecific agglutination did occutr with E. coli and M feces even with this dilucnt.

-4

F

G

E. oli) Feces"' IgY generated using Freund's adjuvaint igY generated using Gerbu adjuvant E. coli colony was picked from agar plate and resuspended in 500 ltl diluent 50 mg mouse feces was suspended in 500 id diluent vortexed and spun at 14,000 x g fur 2 min. supernatant was used in the assay qW Based on the information from various parameters tested, the following bead coating protocols with A-6 and B-3 IgY were established: i) A-6 IgY coated particles to detect toxin A directly from feces of human patients.

Five mg polystyrene particles (1 p, Spherotech Inc.. Libertyville. IL) were added to a tube and washed with I ml of TBS. PBS-T. and TBS followed by another wash with 50 mM Na,CO,, pH 9.5 buffer. The beads were resuspended in the latter buffer to a total volume of 1 ml. A-6 IgY (affinity-purified. Gerbu-generated) was added to beads to a final 10 concentration of 250 pg/ml and incubated at room temperature on a nutator overnight. The next day, IgY-sensitized particles were washed with TBS. PBS-T. and TBS and resuspended in TBS to a final concentration of These IgY-sensitized particles were stored at 4°C until use.

*o ii) B-3 coated latex particles to detect toxin B directly from feces of human patients.

Five mg polystyrene panicles (1 tp. Spherotech Inc.. Libertyville. IL) were added to a tube and washed with 1 ml of TBS. PBS-T. and TBS followed by another wash with 50 mM Na,CO, pH 9.5 buffer. The beads were resuspended in the latter buffer to a total volume of I ml. B-3 IgY (affinity-purified. Gerbu-generated) was added to beads to a final concentration of 100 pg/ml and incubated at room temperature on a nutator overnight.

The next day, IgY-sensitized latex particles were washed with TBS. PBS-T. and TBS and ~resuspended in TBS to a final concentration of These IgY-sensitized latex particles were stored at 4*C until use.

The agglutination assay to detect toxin A and B from feces was compared with commercially available assays to detect toxin A and toxin B from human stool specimens.

Cyctoclone TM A+B EIA (Cambridge Biotech). which detects both toxins A and B, and PremierTM C. difficile Toxin A Test (Meridian Diagnostics Inc.). which detects only toxin A, were used for comparison. Normal human stool specimens were processed according to each of the manufacturer's instructions. Stool samples were spiked with 1 pg/ml of toxin A or toxin B and serially diluted 10-fold. to 0.01 ng/ml toxin A and 0.1 ng/ml toxin B. For agglutination assays, stool was diluted 5-fold with PBS containing i mg/ml BSA and centrifuged at 2500 xg for 3 minutes. The supernatant was then used in the assay.

-272 EIA's were performed according to the manufacturer's instructions, and results were read spectrophotometrically. Interpretation of results was made based on optical density values and the manufacturer's recommendations. For the agglutination assay, 10 pl suspension of A-6. B-3 IgY- or non-specific IgY-sensitized particles were placed in the wells of glass agglutination plates. Twenty pl samples were added to each well, mixed well, and rotated on a nutator. Agglutination was read visually after 2 minutes of rotation.

Interpretation of results was made as described earlier. The summary of the results is presented in Table 51. The agglutination assay of the present invention detected toxin A at 1 ng/ml. while both the Cytoclone T M A+B EIA. and PremierTM C. difficile toxin A test detected 10 toxins at 10-fold lower levels. Toxin B was detected at I ng/ml. using both agglutination and Cytoclone A+B EIA. The results show that agglutination assay of the invention, is simple.

easy to perform. and very rapid. as the results can be obtained in 5 minutes.

.ee..

*S

*S

273 TABLE 51 Comparison of Results of Three Different Methods to Detect Toxin A and Toxin B Spiked in Normal Human Stool Specimens *00 00% Parameter ctoclone" Premier'~ C difficile Agglutination assay for A+B EIA toxin A test Toxin A B Cambridge Biotech Meridian Diagnostics Ophidian Pharmaceuticals Stool spiked with Toxin A 100 rig/mI ng/mI I ng/ml 0.1 ng/ml 0.01 ng/ml -ND

ND

Stool spiked with Toxin B 100ng/mI N/A ng/mI I ng/rnl 0.1 rig/mI I otal i ime 50min 150 min 3 min ND Not determined N/A Not applicable EXAMPLE Characterization of Hamsters After Successful Treatment with Avian Antibodies Direced int Reobnn C ificile Toxin A and Toxin B _Proteins In order to investigate why hamsters treated with IgYs directed against recombinant toxin A (A-6 IgY) and recombinant toxin B (B-3 IgY) before or after challenge with C diffiide do not relapse and contract C difficite associated disease CDAD) after the withdrawal of treatment, the following experiment was performed.

274 Relapse is commonly seen in hamsters (as demonstrated in Example 33) and in humans treated with drugs, such as vancomycin or metronidazole, to combat CDAD once drug treatment is terminated. In contrast, data presented in Examples 16 and 32 show that IgYs directed against recombinant C. difficile toxin A alone (given prophylactically) or a mixture containing IgYs directed against recombinant toxin A and B proteins (given therapeutically) can be used to successfully prevent or treat CDAD and also prevent relapse.

The example involved a) the detection of C. difficile organisms and toxins in the feces of hamsters treated with anti-A-6/B-3 IgY, b) the detection of anti-C difficile toxin A and anti-C difficile toxin B IgG in the serum of treated hamsters by ELISA, c) the detection of anti-C difficile toxin A and anti-C difficile toxin B IgA in the saliva of treated hamsters by ELISA and d) re-exposure of A-6/B-3 treated hamsters with antibiotics.

a) Detection of C difficile Organisms and Toxins in the Feces of Hamsters 15 Treated with A-6/B-3 IgY The 7 hamsters that were successfully treated with 2 ml per day of A-6/B-3 IgY and the lone surviving hamster treated with 1 ml per day of A-6/B-3 IgY (Example 42) were tested for the presence of C difficile and toxin A and toxin B in fecal material after treatment was withdrawn. This determination was performed to investigate whether hamsters treated A-6/B-3 IgY were protected from relapse because the IgY treatment either reduced or completely eliminated C difficile organisms and toxins from the GI tract of the treated hamsters.

Stools were collected from the 7 individual hamsters 4 days after termination of treatment with A-6/B-3 IgY. A suspension was made from the stool samples as follows.

Fifty milligrams of feces were added to 100 ul of PBS (pH 7.4) and the mixture was suspended by vortexing the sample. An aliquot (50 1 of each suspension was streaked unto a C difficile selective agar plate (CCFA plates;BBL) and the plates were incubated for 48 hours under anaerobic conditions. The remaining suspension was tested for the presence of C difficile toxin A and toxin B using the toxin agglutination assay described in Example 49.

The results obtained by culturing stool suspensions on the CCFA plates demonstrated that all of the hamsters successfully treated with A-6/B-3 IgY still harbored C difficile organisms 4 days after treatment (ranging from approximately 6-100 colonies).

275 Furthermore, C. difficile toxin A was detected in the feces from all nine treated hamsters using the agglutination assay (Example 49). Surprisingly, C. difficile toxin B was not detected in the feces of any of the hamsters.

Stool samples were collected from the same 7 hamsters again about 5 weeks after the termination of antibody treatment. Suspensions were prepared and plated onto CCFA plates as described above. After this prolonged period, the presence of C difficile was only detected in the stool from one of the hamsters. Interestingly, the organisms were detected in the hamster that was treated with the lower (1 ml) dose of A-6/B-3 IgY. Only a low number of colonies (5 colonies) was detected in the stool of that animal. In control S: 10 animals there were no organisms detected, as normally, only a very low percentage of hamsters have detectable levels of organisms..

These results indicate that although the A-6/B-3 treated hamsters have been successfully treated for CDAD and the disease does not relapse, they still shed C. difficile organisms and contain toxin A in their feces early after treatment. The anti-recombinant 15 C difficile toxin A and B antibodies A-6/B-3 IgY) apparently eliminate disease symptoms without completely eliminating C difficile organisms or toxin A from the GI tract of the treated hamsters. While not limiting the invention to a particular theory of action, the avian IgYs may exert their therapeutic effects by lowering the level of toxin •present and thus possibly reducing organism number enough to not only prevent CDAD but also prevent CDAD from re-occurring, as it is possible that toxin A may aid in the colonization of C. difficile.

Five weeks after treatment with the avian antitoxin preparation, C difficile organisms were not detected in the feces of most of the treated hamsters. These results indicate that long-term colonization of the GI tract by C difficile does not occur following treatment with A-6/B-3 IgY.

b) Detection of Anti-C difficile Toxin A and Anti-C difficile Toxin B IgG in the Serum of Treated Hamsters by ELISA Serum was collected from hamsters following treatment with anti-A-6/B-3 IgY to determine if an endogenous serum IgG response directed against C. difficile toxins was elicited in the treated hamsters. The generation of an anti-toxin IgG response could account for the prevention of subsequent relapse in the animals.

276- Blood was collected by cardiac puncture in the seven hamsters that were still available after five weeks (described above) four days after termination of treatment. The blood was allowed to clot and serum was prepared by centrifugation of the clotted sample.

Serum was also collected from an uninfected hamster and from a hamster vaccinated with a mixture of recombinant toxin A and toxin B proteins (Example 39) to serve as negative and positive controls, respectively. The ELISA was conducted using the protocol described in Example 1. Briefly, the wells of the microtiter plates were coated with 0.05 pg/ml of the toxin A recombinant pPA1870-2680 or 1.0 tg/ml of toxin B recombinant pPB 1750- 2360 at 100 pA per well. Serum samples were tested at a starting dilution of 1:50 10 followed by 5-fold serial dilutions. Goat-anti-hamster IgG alkaline phosphatase (Southern Biotechnology Assoc.) was used at a dilution of 1:1000 as the secondary antibody. All antibody incubations were carried out at 37 0 C for 2 hours. The plates were developed for minutes using para-nitrophenyl phosphate (Sigma).

The results of the ELISA demonstrated that all of the serum samples from the test hamsters contained significantly lower levels of anti-toxin A and anti-toxin B IgG as compared to the positive control serum (serum from a hamster that generated a protective IgG response after active immunization with recombinant toxin A and B proteins).

Antibody titers present in the serum from the 7 treated hamsters were comparable to those present in the negative control. These results demonstrated that the protection from CDAD relapse achieved by treatment of hamsters with the A-6/B-3 IgY is probably not due to the generation of an active serum IgG response in the hamsters following infection with C difficile organisms.

c) Detection of an Anti-C difficile Toxin A and Anti-C difficile Toxin B IgA Response in the Saliva by ELISA in Treated Hamsters To investigate whether the protection from relapse from CDAD seen in the anti-A- 6/B-3 IgY treated hamsters was due to the production of a mucosal IgA response in the animals, the following experiment was performed. Saliva was collected from 6 hamsters previously treatment with anti-A-6/B-3 IgY (Example 42; 2 ml) using pilocarpine (Sigma) which causes hyper-secretion of saliva. Hamsters were injected I.P. with a solution containing pilocarpine (1 mg/ml) in sterile water; 1 to 3 mgs pilocarpine was administered to the animals. Saliva was collected from 6 hamsters using a pipettor. As a negative control, saliva was collected from an mouse given 200 jug of pilocarpine. A mouse 277 specimen was used as a negative control because the only anti-IgA conjugate commercially available is a goat anti-mouse IgA (this reagent has been reported to cross-react with hamster IgA).

The ELISA was performed as described above with the following modifications.

The saliva samples were tested at an initial 1:10 dilution followed by serial five-fold dilutions. Goat anti-mouse IgA (Southern Biotechnology Assoc.) was used as the secondary antibody at a 1:1000 dilution.

The results of the ELSA showed that saliva from only 2 out of the 6 treated hamsters contained levels of anti-toxin A and anti-toxin B IgA higher than that seen in the 10 mouse negative control. The saliva of the two anti-toxin IgA-positive hamsters had fairly low titers (between 1:250 and 1:1250). Typical hyper-immune IgA titers normally range about 1:10,000 or greater. The remaining 4 hamsters did not have a significant anti-toxin IgA response to either toxin A or toxin B as compared to the negative control. Since all six of the hamsters were successfully treated against CDAD relapse and the majority (4/6) 15 of the treated hamsters did not produce a significant anti-toxin IgA response, it is unlikely that the prevention of relapse was due to the generation of an anti-toxin A or anti-toxin B IgA response by the hamster.

The results shown in sections b) and c) indicate that the protection against relapse seen in hamsters successfully treated with IgY directed against C difficile Intervals A-6 and B-3 is not due to the production of a anti-C difficile toxin humoral response by the host.

Thus, prevention of relapse is a function of the administration of the IgY preparations.

This indicates that the host's immune status may not be relevant in terms of prediction of disease outcome survival) or whether relapse will occur. This is important as many of the patients who would most benefit most from treatment with an A-6/B-3 IgY therapeutic are immunocompromised.

d) Re-exposure of A-6/B-3 Treated Hamsters with Antibiotics As shown in section a) above, the treated hamsters still possess detectable levels of C. difficile organisms in their feces (4 days after termination of IgY treatment) and thus have the potential for developing CDAD. An experiment was performed to investigate whether re-exposure of these treated hamsters to Clindamycin would initiate onset of

CDAD.

278 Four of the same hamsters used in the above experiments in Example 42) that were successfully treated with A-6/B-3 IgY were again predisposed to C difficile infection by administration of Clindamycin-phosphate. Seven days after termination of the initial antibody treatment, the hamsters were given another I.P. injection of Clindamycinphosphate (Biomol) at 1 mg/100 g body weight. Twelve days post-Clindamycin predisposition the second application of Clindamycin), none of the hamsters developed any signs of CDAD.

These results demonstrated that once the hamsters are successfully treated with the anti-A-6/B-3 IgY, they were resistant to developing CDAD even after another exposure to 10 Clindamycin. To take this result another step further, the same hamsters were given another antibiotic, namely Cefoxitin (Sigma) which is also known to predispose the hamsters to C. difficile infection. This was done as it was possible that the prevention of CDAD in the hamsters after the Clindamycin re-treatment was due to the generation of Clindamycin-resistant normal flora which may have prevented colonization of the GI tract with C. difficile. The 4 hamsters were each given a subcutaneous injection of 10 mg of Cefoxitin in saline 11 days after (18 days post treatment with A-6/B-3 IgY). This dosage of Cefoxitin is known to predispose hamsters to CDAD.

Seven days post-Cefoxitin treatment, 1 of the 4 hamsters developed diarrhea and died. The remaining 3 hamsters remained healthy and have survived long-term at least one month). The results obtained after treatment with Cefoxitin indicate that protection .from the re-occurrence of CDAD in the treated hamsters is probably not due to the development of specific antibiotic resistance resistance to Clindamycin) in the hamster flora.

Together the above results showed that hamsters treated for CDAD using anti-A- 6/B-3 IgY contain viable C difficile organisms and C difficile toxin A in their GI tract early after the withdrawal of treatment and yet the hamsters do not relapse. Even more.

surprising was the finding that while the hamsters still harbor C. difficile in the gut, they were resistant to a subsequent challenge using antibiotics capable of predisposing hamsters to CDAD. As was shown above, 5 weeks after withdrawal of the avian antitoxin, the hamsters no longer shed organisms into feces and thus were probably no longer colonized by C. difficile. The results further indicate that oral administration of A-6/B-3 IgY to hamsters not only successfully treated CDAD, but also conferred resistance to relapse.

279 W Moreover, the A-6/B-3 IgY protected the hamsters against CDAD from repeated antibiotic predisposition using two different antibiotics.

From the above it is clear that the present invention provides antitoxins and vaccines for the treatment and prevention of C. difficile disease. Furthermore, these antitoxins prevent the relapse of C. difficile disease which is commonly seen using conventional treatment protocols. Additionally, the invention provides a rapid agglutination assay for the detection of C. difficile toxins A and B in samples.

EXAMPLE 51 10 Formation and Enteric Overcoating of Tablets Containing Avian Antitoxin Directed Against Clostrdial Toxin Proteins For Oral Delivery This example describes the formation of tablets containing chicken IgY directed against Clostridial toxin proteins suitable for oral delivery for the effective treatment for C.

15 difficile disease. As shown in Example 43, when IgYs are administered orally to hamsters in a carbonate buffer, only a very small amount of the delivered antibody is detected at the cecum, the relevant site where infection occurs. Most of the IgY is probably hydrolyzed in the acid environment or degraded by proteases in the stomach. Furthermore, much of the remaining functional IgY passing through the stomach would then be digested by the 20 various enzymes found in the small intestine. The low levels of IgY found in the cecums of treated hamsters is supported by the work of Losch ct al. who has found in in vitro experiments that chicken IgYs are very sensitive to the effects of low pH and intestinal proteases. In order to maximize the effectiveness of a given dose of an oral antibody S" therapeutic, experiments were performed to determine if the PEG-fractionated IgYs could be tableted for easy administration and enterically overcoated to prevent degradation in the GI tract. The Example involved the formation of tablets containing PEG-purified anti- A-6 IgY, overcoating the IgY tablets with a pH sensitive enteric film, testing the dissolution profile of the overcoated IgY tablets, determination of the stability of the IgY reactivity after tableting, enteric overcoating and dissolution by ELISA and (e) demonstration of the retention of the ability of the tableted IgY to neutralize C difficile toxin A in vivo.

280 W a) The Formation of Tablets Containing PEG-Purified Anti-A-6 IgY Chicken IgY from hens immunized with the recombinant C difficile toxin A protein pMA 1870-2680 (A-6 region) was fractionated by PEG as described in Example 37(a) IgYs from eggs collected from hens immunized with the recombinant protein were purified by PEG-precipitation and after purification the IgY pellets were resuspended in 0.1X PBS, pH This protocol differs slightly from the protocol described in Example 1 in that 0.1X PBS is used here (and Ex. 37a) rather than 1X PBS (Ex. The change to 0.1X PBS was done primarily to reduce the final proportion of salt in relation to IgY in the final dried preparation.

10 One-hundred thirteen eggs were fractionated and the final IgY pellet after the 12% PEG step was resuspended in process water at 1/4 the yolk volume. The resuspended IgY in water was transferred to lyophilization vessels and quick-frozen with on dry-ice in reagent alcohol. The vessels were rotated in the dry-ice bath to allow for even freezing of the IgY solution by layering on the walls of the vessel. The frozen IgY solution was placed on a Labconco Freeze-Dry System/Lyph Lock 4.5 apparatus and lyophilized for about 18 hours until dry. The final lyophilized IgY weighed 13.56 grams or about 120 mgs of dried material per egg.

Twelve grams of the lyophilized IgY were processed into forty, 250 milligram tablets using a Stokes B2 tablet press. Conventional flat-face 1/4 inch die tooling was used.

20 The tablets were prepared by double compression using 4500 pounds of pressure and were hard and flat-faced with an average weight of 256 mgs 6 mgs.

b) Overcoating of the IgY Tablets with a pH Sensitive Enteric Film The tablets were coated with Eudragit S-100 (Rohm Tech. Inc. Malden, MA), an enteric film coating (methacrylic acid copolymer Type B, USP/NF) that is soluble in solutions from pH 7.00 and above. A stock solution of Eudragit S-100 was prepared according to the manufacturer's instructions. Briefly, Eudragit S-100 was dissolved by mixing 13 parts (by weight) of Eudragit S-100 (12.5% of dry polymer substance) in a mixture of 82 parts (by weight) of isopropyl alcohol and 5 parts (by weight) of process water. The enteric coating film was prepared by weight in grams as follows: 480 g of the Eudragit S-100 12.5% solution, 6 g of triethyl citrate as the plasticizer, 30 g of talc as the anti-adhesive, 50 g of process water and 434 g of isopropyl alcohol. The solid content of the final suspension was 9.6% and the content of the dry polymer substance was 281 The enteric coating mixture was placed in a beaker and individual tablets were dunked into the solution for about 1 second using fine tipped tweezers. The coated tablets were then allowed to dry at room temperature on a sheet of parafilm. Some tablets were dipped again in the enteric coating an additional two times with room temperature drying between coatings. This was done to ensure a more complete overcoating of the tablets.

The tablets dipped once and three times in the enteric solution were designated as lx and 3x tablets, respectively.

c) Testing the Dissolution Profile of the Overcoated IgY Tablets 10 Dissolution studies were conducted to determine the disintegration kinetics of the enteric tablets using the methods described in Example 37(b). The dissolution of the g' tablets was conducted under two conditions: either in simulated gastric solution, pH 1.2 or simulated intestinal solution at pH 7.5, both prepared using USP guidelines. Each tablet was weighed and placed in a beaker containing the respective solutions at 10 mg tablet per ml of solution. The following forms of tablets were tested: 1) uncoated IgY tablets, 2) lx coated IgY tablets and 3) 3x coated IgY tablets.

The tablets were allowed to dissolve by gentle mixing using a stir bar at room temperature. At various times, aliquots of each were taken and the absorbance at 280 nm was measured to quantitate the amount of IgY in solution. The dissolution profile of the Eudragit overcoated IgY tablets are shown in Figure In Figure 55, the absorbance at 280 nm is plotted against time in minutes. The release of IgY from the uncoated IgY tablets in gastric or intestinal fluid is shown by the solid black squares and the open diamonds, respectively. As shown in Figure 55, the rate of dissolution of the uncoated IgY tablet was slower in gastric solution compared to intestinal solution. This inherent physical property of the uncoated tablet is an unexpected advantage of the tablet, making it naturally more resistant to gastric dissolution.

The dissolution profile of the lx and 3x coated IgY tablets placed in the intestinal fluid is shown by the black triangles and the open triangles in Figure 55. As shown in Figure 55, both the lx and 3x coated tablets dissolved at similar rates with complete dissolution occurring after about 1 hour. Moreover, the dissolution rates of the enteric coated IgY tablets was slightly faster than the uncoated IgY tablet in the intestinal fluid. In contrast, the lx or 3x coated IgY tablets in gastric fluid (shown by the open boxes and the black triangles, respectively in Figure 55) dissolved very slowly and only a small fraction of 282 Wthe total IgY contained in the tablets was released into the solution. The difference in the dissolution profile of the Ix or 3x coated IgY tablets was minimal. From these results, the Eudragit over-coated IgY tablets properly opened into the solution of the simulated intestinal fluid at pH 7.5 in a time dependent manner, but largely remained intact in the gastric fluid at pH 1.2.

The dissolution studies described above demonstrate that the IgY, formulated as a tablet, can be successfully enterically coated.

d) Determination of the Stability of the IgY Reactivity after Tableting, 10 Enteric Over-Coating and Dissolution by ELISA The stability of the anti-recombinant C difficile toxin A IgY (anti-A-6 IgY) after the tableting formation into a tablet) and enteric overcoating process was determined by comparing the ELISA reactivity of the lyophilized A-6 starting material (not tableted) with either the Eudragit S-100 enterically-coated or uncoated anti-A-6 IgY tablets. The S 15 enterically coated (3x tablet) or uncoated IgY tablets were allowed to dissolve in the simulated intestinal fluid at pH 7.5 at a concentration of 10 mg per ml. The starting o untableted IgY (designated as bulk antibody) was also dissolved in the intestinal fluid at the same concentration. A standard ELISA was performed detecting the presence of antibodies directed against the toxin A recombinant pPA1870-2680 N/C protein as described in Example 35. Pre-immune IgY at the same normalized concentration (designation as the placebo; shown by solid squares in Figure 56)) was also tested as a negative control. The ELSA results are shown in Figure 56.

In Figure 56 the absorbance at 410 nm is plotted against the reciprocal of the antibody dilution tested. The results shown in Figure 56 demonstrate that the reactivity of the anti-A-6 IgY after tableting (intestinal uncoated; shown by the black diamonds) and the anti-A-6 IgY after tableting followed by enteric over-coating with the Eudragit S-100 mixture (intestinal 3x; shown by the open diamonds) were very similar to the starting bulk anti-A-6 IgY (bulk antibody; shown by the open squares). The results indicated that the tableting and the enteric over-coating processes were not harmful to the IgY preparation and that the anti-A-6 IgY remains active and functional after dissolution under physiological conditions.

The above results demonstrate that enterically-coated IgY tablets were generated that were stable and reactive.

283 e) Demonstration of the Retention of the Ability of the Tableted IgY to Neutralize C difficil Toxin A In Vivo The ability of the A-6 IgY tablet after dissolution to neutralize C. difficile toxin A was determined in vivo. Mice were used instead of hamsters to test toxin A neutralization because mice require less toxin for an LD (lethal dose) 100.

The LD0, of C. difficile toxin A for mice was determined by I.P. injection of gram Balb/c mice (Charles River) with 1 ml of PBS containing either 50 ng, 500 ng, or 5000 ng of C. difficle toxin A. The C. difficile toxin A used in this study was purchased from Dade International, Inc., Bartells Division Seattle, WA. C difficile toxin A at 50 ng 10 was found to be the minimum lethal dose tested and all mice died within 24-hours posttreatment. All mice died within 3 and 4 hours when 500 ng and 5000 ng of C. difficile toxin A were administered, respectively.

The effect of injecting C difficile toxin A in the presence of preimmune IgY was also tested to determine if preimmune IgY would reduce toxicity in vivo. Fifty nanograms 15 of toxin A was preincubated for 1 hour at 37 0 C with up to 50,000 ng (100-fold more) of preimmune IgY before administering to the mice. Even in the presence of preimmune IgY, 50 ng of C difficile toxin A was found to be lethal to the mice within 24 hours.

The ability of the anti-A-6 IgY tablet to neutralize C. difficile toxin A in vivo was compared to the ability of anti-A-6 bulk IgY (before tableting) to neutralize the toxin.

One 250 mg anti-A-6 IgY tablet (the tablet had been stored for 3 weeks at room temperature) was dissolved in simulated intestinal fluid and the amount of IgY in solution was quantitated by absorbance at 280 nm. Lyophilized A-6 IgY before tableting (bulk) and preimmune (PI) IgY were also prepared in intestinal fluid and quantitated by absorbance at 280 nm. Five-thousand nanograms, 25,000 ng and 50,000 ng per ml of preimmune, anti-A- 6 bulk or dissolved anti-A-6 tablet IgY were each preincubated for 1 hour at 37 0 C with ng per ml of C difficile toxin A. This represents, respeqtively, 100, 500, and 1000-fold more IgY compared to the amount of toxin (in terms of weight).

After incubation for 1 hour, the mixtures (9 total) were administered intraperitoneally to 20-25 gram Balb/c mice. Three mice were tested per group, with nine groups total. At the end of the 27 hour observation period, the number of mice surviving in each group were ascertained. The results are summarized below in Table 52.

-284- TABLE 52 Treatment Group (ng of IgY mixed with 50 ng of Toxin A) 1 5000 ng anti-A-6 tablet 2 250,000 ng anti-A-6 tablet 3 500,000 ng anti-A-6 tablet 4 5000 ng anti-A-6 bulk 250,000 ng anti-A-6 bulk 6 500,000 ng anti-A-6 bulk 7 5000 ng PI 8 250,000 ng PI 9 500,000 ng PI Survivors 100 (3/3)

I

100 (3/3) 100 (3/3) 100 (3/3) 100 (3/3) 66 (2/3) r a a r a r a a 0 (0/3) 0 (0/3) 33 (1/3) The results shown above demonstrate that the anti-A-6 IgY tablet, after dissolution at pH 7.5, is able to neutralize the lethal effects of C difficile toxin A in a manner comparable to that observed when the starting bulk or uncoated) material was used.

These results show that the tableting process does not have an adverse effect on the capaciyt of the anti-A-6 IgY to neutralize C. difficile toxin A. In contrast to the results obtaining using preimmune IgY, both the bulk and tableted anti-A-6 IgY preparations were able to neutralize C difficile toxin A at a comparable 100-fold excess of protein (5000 ng of 20 A-6 IgY neutralized 50 ng of toxin).

These results demonstrate the ability to formulate anti-clostridial toxin IgYs in a solid dosage form a tablet) form that is enterically coated for delivery in the large intestine. Moreover, the anti-clostridial toxin IgY present in the tablet remains stable, active and functional.

EXAMPLE 52 Prophylactic Treatment of C Difficile Disease in Hamsters by Antibodies Against Toxin A Recombinant Interval 6 The experiment involved infection of hamsters with C difficile and treatment of C.

difficile-induced disease with antibodies raised against recombinant toxin A (IgY). IgY antibodies were generited against the C difficile toxin A recombinant pMA18 7 0 2680 285 (Interval Control animals were infected hamsters treated with preimmunization immunoglobulin fraction Crude PI and IgY were fractionated with polyethylene glycol and resuspended at an 8 X concentration (40 mg/ml) in 0.1 M carbonate buffer pH The two groups of hamsters each consisted of nine or ten female Golden Syrian hamsters (Sasco; outbred LVG) weighing about 80 g. The hamsters were housed at three per cage and were given food and water ad libitum throughout the study.

Hamsters were predisposed to C difficile infection using the method of Lyerly et al.' Clindamycin-HCI (Sigma) was intragastrically administered to each hamster at 3 mg/1 0 0 g 10 body weight in 1 ml of sterile water using a gavage needle. Two and four hours after clindamycin treatment, the hamsters were orally dosed with 2 mis of the 8X PI or 8X IgY.

Twenty-four hours after the administration of clindamycin-HCI the hamsters were challenged with 1 ml of phosphate buffered saline (PBS) pH 7.2 containing approximately organisms of C. difficile VPI 7698. The challenge dose was prepared from brain heart 15 infusion (BHI) broth cultures grown anaerobically in a Gaspak anaerobic chamber at 37 0

C

overnight (growth conditions followed those of Lyerly et One hour prior to challenge and 8 hours after challenge the hamsters were dosed with 8X PI or 8X IgY. Treatments were continued twice a day at approximately 8 hour intervals for 2 more days (4 days total).

20 The results are shown in Figure 57. The duration of treatment is indicated by the horizontal bar below the abscissa. The administration of clindamycin and C. difficile (infection) is indicated by arrows. Black squares represent PI-treated hamsters and open squares represent A-6 IgY-treated hamsters.

PI-treated hamsters developed diarrhea within 24-48 hours and died within 24 hours after the onset of diarrhea. All nine of the PI-treated hamsters were dead 48 hours after challenge. In contrast, sixty percent (6/10) of the hamsters receiving anti-A-6 IgY survived through 19 days post-challenge, when monitoring of the hamsters ended. The onset of death in the other four anti-A-6-IgY-treated hamsters was delayed from one to three days compared to the PI-treated hamsters. The level of long-term protection by anti-A- 6 IgY was statistically significant (chi-square analysis with P< 0.025). Although most of the anti- A-6 IgY-treated hamsters developed diarrhea (8 of 10), only half of those with diarrhea died Lyerly et al. Infect. Immun.. 59 2215-2218 (1991).

286 from C difficile infection. Notwithstanding the onset of diarrhea, the anti-A-6 IgY promoted survival of the diseased hamsters.

These results indicate that low prophylactic doses of anti-A-6 IgY protects hamsters long-term from the severest effects of C. difficile-induced disease. This protection was achieved on a dosage regimen of eight administrations over 4 days, of which only 3 doses were before infection. This minimal treatment contrasts with the Lyerly et al. regimen wherein hamsters were prophylatically treated a total of 39 times: bovine antitoxin was administered three times daily starting three days before challenge, and continuing ten days after challenge. Lyerly's bovine antitoxin dosage was also larger than that in the present S 10 experiment 300 mg bovine antibody/dose versus 80 mg avian antibody/dose).

Moreover, in contrast to our findings, Lyerly reported that the animals showed no long Sterm protection after termination of treatment (all died 72 hour after treatment) or once diarrhea developed.

In contrast to the Lyerly study, the present results demonstrate that avian anti- 15 recombinant toxin A antibodies are an effective prophylactic whose protective effects last well after treatment ends.

EXAMPLE 53 Therapeutic Treatment of C. Difficile Disease in Hamsters by Antibodies Against Toxin A Recombinant Interval 6 o In another experiment, hamsters were treated therapeutically (post-infection) with anti-A-6 IgY. This is a more difficult treatment approach and has not been reported by Lyerly.

The C difficile strain, growth media, challenge dose and infection procedure were the same as in Example 52. Two groups each containing nine female hamsters (Sasco) were challenged with approximately 108 organisms of C. difficile strain VPI 7698. Four hours after challenge, treatment was initiated with 2 mis of either PI or anti-A-6 IgY at the same concentration as in Example 52. The hamsters were dosed again about 4 hours later, followed by two more daily treatments twice a day at 8-hour intervals. The hamsters were treated a total of six times over 3 days.

The results are shown in Figure 58. The duration of treatment is indicated by the horizontal bar below the abscissa and the clindamycin administration and C difficile challenge are indicated by arrows.

287 The hamsters that were therapeutically treated with anti-A-6 IgY (open squares) had a lower cumulative mortality rate than the control group (closed squares). Additionally, the onset of diarrhea was delayed at least 24 hours in the anti-A-6 IgY-treated hamsters compared to the P1-treated hamsters. All hamsters treated with PI developed diarrhea and died within 2 days, demonstrating the lack of protection against the disease using control immune fraction. Fifty-five percent of the anti-A-6 treated hamsters survived longterm (observation period was 20 days). The protection provided by anti-A-6 IgY (survival) was statistically significant as compared to the PI-treated group (chi-square value P 0.05).

These results demonstrate that hamsters infected with C difficile under infection conditions identical to those of Lyerly received effective therapeutic protection with the avian anti-A-6 IgY and exhibited long-term survival.

*o o ***ee 288 SEQUENCE LISTING INFORMATION FOR SEQ ID NO:1: SEQUENCE CHARACTERISTICS: LENGTH: 24 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: linear (ii) MOLECULE TYPE: DNA (genomic) (xi) SEQUENCE DESCRIPTION: SEQ ID NO:1: GGAAATTTAG CTGCAGCATC

TGAC

24 *o INFORMATION FOR SEQ ID NO:2: Sa.. SEQUENCE CHARACTERISTICS: LENGTH: 24 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: linear (ii) MOLECULE TYPE: DNA (genomic) (xi) SEQUENCE DESCRIPTION: SEQ ID NO:2: TCTAGCAAAT TCGCTTGTGT TGAA 24 INFORMATION FOR SEQ ID NO:3: SEQUENCE CHARACTERISTICS: LENGTH: 20 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: linear (ii) MOLECULE TYPE: DNA (genomic) (xi) SEQUENCE DESCRIPTION: SEQ ID NO:3: CTCGCATATA GCATTAGACC INFORMATION FOR SEQ ID NO:4: SEQUENCE

CHARACTERISTICS:

LENGTH: 19 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: linear (ii) MOLECULE TYPE: DNA (genomic) (xi) SEQUENCE DESCRIPTION: SEQ ID NO:4: CTATCTAGGC

CTAAAGTAT

19 INFORMATION FOR SEQ ID SEQUENCE

CHARACTERISTICS:

LENGTH: 8133 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: linear 289- (ii) MOLECULE TYPE: DNA (genonic) (ix) FEATURE: NAME/KEY: CDS LOCATION: 1. .8130 (xi) SEQUENCE DESCRIPTION: SEQ ID ATG TCT TTA ATA TCT AAA OAA GAG TTA ATA AAA CTC GCA TAT AGC ATT 48 Met Ser Leu Ile Ser Lys Glu Giu Leu Ile Lys Leu Ala Tyr Ser Ile AGA CCA AGA GAA AAT GAG TAT AAA ACT ATA 96 Arg Pro Arg Giu Asn Giu Tyr Lys Thr Ilie 20 25 9e a TAT AAT AAG TTA ACT 144 Tyr Asn Lys Leu Thr AAA AAA CTA AAT GAA 192 Lys Lys Leu Asn Glu ACA AAC AAT Thr Asn Asn 40 TCA ATT GAT Ser Ile Asp GCA CTC TCT Ala Leu Ser 70 AGC AGA AAT AGA Ser Arg Asn Arg AAT GA-A Asn Giu GTT TT Val Phe AAT CTA Asn Leu AAT ACA Asn Thr 90 GAA GTC Giu Val 105 GAA GTA ATT 288 Giu Val Ile TTA CAT TTT 336 Leu His Phe TAC ATA AAA 384 Tyr Ilie Lys 115 TOG TAT GAT 432 Trp Tyr Asp CTT ATT AAA AAT TCC Leu Ile Lys Asn Ser 85 GTA TOG ATA GGT GGA Val Trp Ile Gly Gly CTA ACT AAT TTA GAC GAA Leu Thr Asn Leu Asp Giu AAT AAA TAT TTG CAA TTA Asn Lys Tyr Leu Gin Leu ATG AAT AAA TAT AAA ACT Met Asn Lys Tyr Lys Thr AAA AAA Lys Lys 75 AGC CCT Ser Pro AGT OAT Ser Asp OAT ATA TTA AAA Asp Ile Leu Lys OTA GAA AAA AAT Val Oiu Lys Asn ATT OCT CTT GAA Ile Ala Leu Oiu 110 A-AT ATT AAA CTO Asn Ile Lys Leu 125 AAA AAG OCT ATA Lys Lys Ala Ile 100 CAA TOO OCT Gin Trp Ala OAT ATT Asp Ile 120 AAT OCA GAA TAT Asn Ala Glu Tyr 130 OTT OAA 480 Val Oiu 145 CAA AAT 528 Gin Asn

TCT

Ser AOT OAA OCA TTC TTA OTA Ser Giu Ala Phe Leu Val 135 TCT ACC ACT GAA OCA TTA Ser Thr Thr Oiu Ala Leu

A-AT

A-sn ACA CTA Thr Leu 140 CCT CAA TTT Pro Gin Phe 165 OAT AAT ASP Asn Gin Leu Leu 155 TTT TAC AAA Phe Tyr Lys 170

GAG

Glu ATO AAA Met Lys Lys Arg Met Giu 175 TAT AMA TCT CAA Tyr Lys Ser Gin 190 OAA GAG ATT Oiu Gu Ile 160 T= ATA TAT OAT 576 Phe Ile Tyr ASP 180 AGA CAA Arg Gin AAA AGO Lys Arg ATA AAT TAT Ile Asn Tyr ATC AAT AAA 624 CCT ACA GTA CCT ACA ATA OAT OAT ATT ATA AAO TCT CAT -290 lie Asn Lys Pro Thr Val Pro Thr Ile Asp Asp Ile lie Lys Ser His 195 200 205 CTA GTA TCT GAA TAT AAT AGA GAT GAA ACT GTA TTA GAA TCA TAT AGA 672 Leu Val Ser Giu Tyr Asn Arg Asp Giu Thr Val Leu Giu Ser Tyr Arg 210 215 220 ACA AAT TCT TTG AGA AAA ATA AAT AGT AAT CAT GGG ATA Asn Ser Leu Arg Lys Ile 230 ACA GAA Thr Glu

GAG

816 Giu

TTA

864 Leu AAT AGT TTG Asn Ser Leu TTG TTA AAT Leu Leu Asn 260 TTA GCC CTA Leu Ala Leu 275 CGT GGA AAT Arg Gly Asn AAA AAT TTT Lys Asn Phe Asn Ser Asn His Gly Ile 235 CAA GAG TTA TTA AAT ATT Gin Giu Leu Leu Asn Ile 250 TTA GCT GCA GCA TCT GAC Leu Ala Ala Ala Ser Asp 265 GGC GGA GTA TAT TTA GAT Gly Gly Val Tyr Leu Asp 280 285 GAT ATC AGG Asp Ile Arg 240 TAT AGT CAG Tyr Ser Gin ATA GTA AGA Ile Val Arg 270 GTT GAT ATG Val Asp Met CTT CCA GGT ATT CAC TCT GAT TTA TTT AAA ACA ATA TCT AGA CCT AGC 912 Leu Pro Gly Ile His Ser Asp Leu Phe Lys Thr Ile Ser Arg Pro Ser 290 295 300 TCT ATT GGA CTA GAC CGT TGG GAA ATG ATA AAA TTA GAG GCT ATT ATG 960 Ser Ile 305 AAG TAT 1008 Lys Tyr CTT GAT 1056 Leu Asp Gly Leu Asp Arg Trp Giu Met Ile 310 Lys Leu 315 Giu Ala Ile AAA AAA TAT ATA AAT Lys Lys Tyr Ile Asn 325 AAT TAT ACA TCA Asn Tyr Thr Ser 330 CAA CAA Gin Gin 340 AGT GAA AAA TCT 1104 Ser Giu Lys Ser 355 GAT CTT GAA ATT 1152 Asp Leu Giu Ile 370 GCC TTG ATA TCA 1200 Ala Leu Ile Ser 365 CAA GTA AAA AAT 1248 Gin Val Lys Asfl TTA AAA GAT AAT TTT Leu Lys ASP Asn Phe 345 GAG ATA TTT TCT AAA Giu Ile Phe Ser Lys 360 AAA ATA GCT TTC GCT Lys Ile Ala Phe Ala Lys Leu

GAA

Giu GAD. AAC TTT GAT AAA Giu Asn Phe Asp Lys 335 ATT ATA GAA AGT AAA Ile Ile Giu Ser Lys 350 AAT TTA AAT GTA TCT Asfl Leu Asn Val Ser 365 TTA GGC AGT Leu Giy Ser 380 GTT ATA AAT CAA Val Ile Asn Gin 375 AAA CAA Lys Gin 390 AGA TAT Arg Tyr 405 GGT TCA TAT CTT ACT AAC CTA GTA ATA GAA Giy Ser Tyr Leu Thr Asn Leu Val Ile Giu 395 400 CAA TTT TTA AMC cAA CAC CTT AAC CCA GCC Gin Phe Leu Asfl Gin His Leu Asn Pro Ala 410 415 qrC' ACA GAT ACT ACT AAA ATT TTT CAT GAT mr R? 1296 -291 Ile Giu Ser Asp Asn Asn Phe Thr Asp Thr Thr Lys Ile Phe His Asp 420 425 430 TCA TTA TTT AAT TCA GCT ACC GCA GAA AAC TCT ATG TTT TTA ACA AAA 1344 Ser Leu Phe Asn Ser Ala Thr Ala Glu Asn Ser Met Phe Leu Thr Lys 435 440 445 ATA GCA CCA TAC TTA CAA GTA GGT TTT ATG CCA GAA GCT CGC TCC ACA 1392 Ile Ala Pro Tyr Leu Gin Vai Gly Phe Met Pro Giu Ala Arg Ser Thr 450 455 460 ATA ACT TTA AGT GGT CCA GGA GCT TAT GCG TCA GCT TAC TAT GAT TTC 1440 Ile Ser Leu Ser Gly Pro Gly Ala Tyr Ala Ser Ala Tyr Tyr Asp Phe 465 470 475 480 ATA AAT TTA CAA GAA AAT ACT ATA GAA AAA ACT TTA AAA GCA TCA GAT 1488 Ile Asn Leu Gin Giu Asn Thr Ile Giu Lys Thr Leu Lys Ala Ser ASP TTA ATA 1536 Leu Ilie 485 490 GAA TTT AAA TTC CCA GAA AAT AAT CTA TCT CAA TTG Giu Phe Lys Phe Pro Giu Asn Asn Leu Ser Gin Leu 500 505 510 ACA GAA Thr Giu CAA GAA ATA AAT ACT CTA TGG AGC TTT GAT CAA GCA ACT CCA AAA TAT 1584 Gin Giu CAA TT GAG 1632 Gin Phe Giu 530 GAC AAT CCC 1680 Asp Asn Gly 545 Asn Ser Leu AAA TAT CTA Lys Tyr Val GTA GAC TTT Val ASP Phe rrp,

AGA

Arg 535 TAT ACT GCT Tyr Thr Gly TCT CAA Ser Clu Phe Asp Gin Ala Ser Ala Lys Tyr TTA TTA 1728 Leu Leu AAA AAT 1776 Lys Asn TAT CAA 1824 Tyr Giu AAT AAT AAA Asn Asn Lys 565 TAT CTT CAT Tyr Vai His AAT AAA AAT ACT Asn Lys Asn Thr CCA TCA AAC AAT Pro Ser Asn Asfl 570 ATC ATA CAC TTA Ile Ile Gin Leu c

TAT

Tvr ;CC CTC GAC kla Leu Asp 5 3TA GAA GAA Val Giu Ciu CAA GGA CAT Gin Gly Asp AAT CC? AAA Asn Pro Lys 605 AAA ACC TAC Lys Ser Tyr 620 ~A AAC TAT Lys Asn Tyr 560 CCT CCA ACT Ala Gly Ser 575 CAT ATA ACT Asp Ile Ser 590 AAT ACT AT1T Asn Ser Ile TTT TTA ACT Phe Leu Ser 580 ACA TC Thr Cys 585 AAT TTA TTT TCT Asn Leu Phe Ser AT? ATA CAA CGA AAT ATG AAT GAA AGT (GLA 18'72 Ile Ile Gin Arg Asn Met Asn Glu Ser Ala 610 615 CAT CAT GGA GAA TCT AT? TTA GAA TTA AAT 1920 Asp Asp Gly Giu Ser Ile Leu Ciu Leu Asn 625 630 AGA TTA AAA AAT AAG GAA AAA GTA AAA GTA 1968 AAA TAT ACC ATA CCT CAA Lys Tyr Arg Ile Pro Giu 635 640 ACC TTT AT? GCA CAT GCT 2921 Arg Leu Lys Asn Lys Giu Lys Val Lys Val Thr Phe lie Cly His Gly 645 650 655 AAA GAT GAA TTC AAC ACA AGC GAA TTT CCT AGA TTA ACT GTA GAT TCA 2016 Lys Asp Giu Phe Asn Thr Ser Glu Phe Ala Arg Leu Ser Val Asp Ser 660 665 670 CTT TCC AAT GAG ATA AGT TCA TTT TTA GAT ACC ATA AAA TTA GAT ATA 2064 Leu Ser Asn Giu Ile Ser Ser Phe Leu Asp Thr Ile Lys Leu Asp Ile 675 680 685 TCACCT AAA AAT GTA GAA GTA AAC TTA CTT GGA TGT AAT ATG TT AGT 2112 Ser Pro Lys Asn Val Giu Val Asn Leu Leu Gly Cys Asn Met Phe Ser 690 695 700 TAT GAT TTT AAT GTT GAA GAA ACT TAT CCT GGG AAG TTG CTA TTA AGT 2160 Tyr Asp Phe Asn Val Glu Glu Thr Tyr Pro Gly Lys Leu Leu Leu Ser 705 710 715 720 ATT ATG GAC AAA ATT ACT TCC ACT TTA CCT GAT GTA AAT AAA AAT TCT 2208 Ile Met Asp Lys Ile Thr Ser Thr Leu Pro Asp Val Asn Lys Asn Ser 725 730 735 ATT ACT ATA CGA GCA AAT CAA TAT CAA GTA AGA ATT AAT ACT GAG CGA 2256 Xl lie Thr Ile Cly Ala Asn Gin Tyr Giu Val Arg le Asn Ser Ciu Cly 740 745 750 AGA AAA GAA CTT CTG CCT CAC TCA GGT AAA TGG ATA AAT AAA CAA CAA 2304 Arg Lys Glu Leu Leu Ala His Ser Gly Lys Trp Ile Asn Lys Ciu Glu 755 760 765 GCT ATT ATG ACC CAT TTA TCT ACT AAA CAA TAC ATT TTT TTT CAT TCT 2352 Ala Ile Met Ser Asp Leu Ser Ser Lys Glu Tyr le Phe Phe Asp Ser 770 775 780 ATA CAT AAT AAC CTA AAA CCA AAC TCC AAG AAT ATT CCA GGA TTA CCA 2400 Ile Asp Asn Lys Leu Lys Ala Lys Ser Lys Asn Ile Pro Cly Leu Ala 785 790 795 800 TCA ATA TCA GAA CAT ATA AAA ACA TTA TTA CTT CAT CCA ACT CTT AGT 2448 Ser le Ser Glu Asp Ile Lys Thr Leu Leu Leu Asp Ala Ser Val Ser 805 810 815 CCT CAT ACA AAA TTT ATT TTA AAT AAT CTT AAC CTT AAT ATT GAA TCT 2496 Pro Asp Thr Lys Phe Ile Leu Asn Asn Leu Lys Leu Asn le Ciu Ser 820 825 830 TCT ATT GGG GAT TAC ATT TAT TAT CAA AAA TTA GAG CCT CTT AAA AAT 2544 Ser lie Cly Asp Tyr Ile Tyr Tyr Clu Lys Leu Glu Pro Val Lys Asn 835 840 845 ATA ATT CAC AAT TCT ATA CAT CAT TTA ATA CAT GAG TTC AAT CTA CTT 2592 Ile Ile His Asn Ser lie Asp Asp Leu Ile Asp lu Phe Asn Leu Leu 850 855 860 GAA AAT CTA TCT CAT GAA TTA TAT GAA TTA AAA AAA TTA AAT AAT CTA 2640 293 Giu Asn Val Ser Asp Giu Leu Tyr Giu Leu Lys Lys Leu Asn Asn Leu 865 870 875 880 GAT GAG AAG TAT TTA ATA TCT TTT GAA GAT ATC TCA AAA AAT AAT TCA 2688 Asp Giu Lys Tyr Leu Ile Ser Phe Giu Asp Ile Ser Lys Asn Asn Ser 885 890 895 ACT TAC TCT GTA AGA TTT ATT AAC AAA AGT AAT GGT GAG TCA GTT TAT 2736 Thr Tyr Ser Val Arg Phe Ile Asn Lys Ser Asn Giy Giu Ser Val Tyr 900 905 910 GTA GAA ACA GAA AAA GAA ATT TTT TCA AAA TAT AGC GAA CAT ATT ACA 2784 Val Giu Thr Giu Lys Giu Ile Phe Ser Lys Tyr Ser Giu His Ile Thr os915 920 925 *AAA GAA ATA AGT ACT ATA AAG AAT AGT ATA ATT ACA GAT GTT AAT GGT 2832 *Lys Giu Ile Ser Thr Ile Lys Asn Ser Ile Ilie Thr Asp Vai Asn Gly *930 935 940 .AAT TTA TTG GAT AAT ATA CAG TTA GAT CAT ACT TCT CAA GTT AAT ACA 2880 Asn Leu Leu Asp Asn Ilie Gin Leu Asp His Thr Ser Gin Vai Asn Thr 945 950 955 960 ***TTA AAC GCA GCA TTC TTT ATT CAA TCA TTA ATA GAT TAT AGT AGC AAT 2928 .*Leu Asn Aia Aia Phe Phe Ile Gin Ser Leu Ilie Asp Tyr Ser Ser Asn .*.965 970 975 AAA GAT GTA CTG AAT GAT TTA AGT ACC TCA GTT AAG GTT CAA CTT TAT S8*S 2976 *Lys Asp Val Leu Asn Asp Leu Ser Thr Ser Val Lys Val Gin Leu Tyr 980 985 990 GCT CAA CTA TTT AGT ACA GGT TTA AAT ACT ATA TAT GAC TCT ATC CAA 3024 :'ge Aia Gin Leu Phe Ser Thr Giy Leu Asn Thr Ilie Tyr Asp Ser Ile Gin .5..95 00 1005 TTA OTA AAT TTA ATA TCA A.AT GCA GTA AAT GAT ACT ATA AAT GTA CTA 3072 Leu Val Asn Leu Ilie Ser Asn Ala Val Asn Asp Thr Ile Asn Vai Leu 1010 1015 1020 CCT ACA ATA ACA GAG GGG ATA CCT ATT GTA TCT ACT ATA TTA GAC GGA 3120 Pro Thr Ile Thr Giu Gly Ile Pro Ilie Val Ser Thr Ile Leu Asp Gly 1025 1030 1035 1040 ATA AAC TTA GGT GCA GCA ATT AAG GAA TTA CTA GAC GAA CAT GAC CCA 3168 Ile Asn Leu Gly Ala Ala Ile Lys GlU. Leu Leu Asp GiU His Asp Pro 1045 1050 1055 TTA CTA AAA AAA GAA TTA GAA GCT AAG GTG GGT GTT TTA GCA ATA AAT 3216 Leu Leu Lys Lys Giu Leu Giu Ala Lys Val Gly Val Leu Ala Ile Asn 1060 1065 1070 ATG TCA TTA TCT ATA GCT GCA ACT GTA GCT TCA ATT GTT GGA ATA GGT 3264 Met Ser Leu Ser Ile Ala Ala Thr Val Ala Ser Ile Val Gly Ile Gly 1075 1080 1085 GCT GAA GTT ACT ATT TTC TI'A TTA CCT ATA GCT GGT ATA TCT GCA GGA 3312 294 Ala Glu Val Thr Ile Phe Leu Leu Pro Ile Ala Gly Ile 1090 1095 1100 ATA CCT TCA TTA GTT AAT AAT GAA TTA ATA TTG CAT GAT 3360 Ile Pro Ser Leu Val Asn Asn Giu Leu lie Leu His Asp 1105 1110 1115 Ser Ala Gly AAG GCA ACT Lys Ala Thr 1120 *0 *5 0 *5*S 0 00 TCA GTG GTA AAC TAT TTT AAT CAT TTG TCT GAA TCT 3408 Ser Val Val Asn Tyr Phe Asn His Leu Ser Glu Ser 1125 1130 CCT CTT AAA ACA GAA GAT GAT AAA ATT TTA GTT CCT 3456 Pro Leu Lys Thr Giu Asp Asp Lys Ile Leu Val Pro 1140 1145 GTA ATA TCA GAA ATA GAT TTT AAT AAT AAT TCG ATA.

3504 Val Ile Ser Glu Ile Asp Phe Asn Asn Asn Ser Ile 1155 1160 TGT AAT ATA TTA GCA ATG GAG GGG GGA TCA GGA CAC 3552 Cys Asn Ile Leu Ala Met Giu Gly Gly Ser Gly His 1170 1175 1180 AAT ATA GAT CAC TTT TTC TCA TCT CCA TCT ATA AGT 3600 Asn Ile Asp His Phe Phe Ser Ser Pro Ser Ile Ser 1185 1190 1195 TCA TTA TCA ATT TAT TCT GCA ATA GGT ATA GAA ACA 3648 Ser Leu Ser Ile Tyr Ser Ala Ile Gly Ile Glu Thr 1205 1210 TTT TCA AAA AAA ATA ATG ATG TTA CCT AAT GCT CCT 3696 Phe Ser Lys Lys Ile Met Met Leu Pro Asn Ala Pro 1220 1225 TGG TGG GAA ACT GGA GCA GTT CCA GGT TTA AGA TCA 3744 Trp Trp Giu Thr Gly Ala Val Pro Gly Leu ARg Ser 1235 1240 GGA ACT AGA TTA CTT GAT TCA ATA AGA GAT TTA TAC 3792 Gly Thr Arg Leu Leu Asp Ser Ile Arg Asp Leu Tyr 1250 1255 126 4A AAA TAT GGC Lys Lys Tyr Gly 1135 ATT GAT GAT TTA Ile Asp Asp Leu 1150 AAA CTA GGA ACA Lys Leu Gly Thr 1165 ACA GTG ACT GGT Thr Val Thr Gly TCT CAT ATT CCT Ser His Ile Pro 1200 GAA AAT CTA GAT Glu Asn Leu Asp 1215 TCA AGA GTG TTT Ser Arg Vai Phe 1230 TTG GAA AAT GAC Leu Giu Asn Asp 1245 CCA GGT AAA TTT Pro Gly Lys Phe 0 TAC TGG AGA TTC TAT GCT TTT TTC GAT TAT GCA ATA ACT ACA TTA AAA 3840 Tyr Trp Arg Phe Tyr Ala Phe Phe Asp Tyr Ala Ile Thr Thr Leu Lys 1265 1270 1275 1280 CCA GTT TAT GAA GAC ACT AAT ATT AAA ATT AAA CTA GAT AAA GAT ACT 3888 Pro Val Tyr Giu Asp Thr Asn Ile Lys Ile Lys Leu Asp Lys Asp Thr 1285 1290 1295 AGA AAC TTC ATA ATG CCA ACT ATA ACT ACT AAC GAA ATT AGA AAC AAA 3936 Arg Asn Phe Ile Met Pro Thr le Thr Thr Asn Giu le Arg Asn Lys 1300 1305 1310 TTA TCT TAT TCA T T GAT OGA GCA GGA GGA ACT TAC TCT TTA TTA TTA 3984 295- Leu Ser Tyr Ser Phe Asp Gly Ala Gly Gly Thr Tyr Ser Leu Leu Leu 1315 1320 1325 TCT TCA TAT CCA ATA TCA ACG AAT ATA MAT TTA TCT AAA GAT GAT TTA 4032 Ser Ser Tyr Pro Ile Ser Thr Asn Ilie Asn Leu Ser Lys Asp Asp Leu 1330 1335 1340 TGG ATA TTT MAT ATT GAT AAT GMA GTA AGA GMA ATA TCT ATA GA MAT 4080 Tr-p Ile Phe Asn Ilie Asp Asn Giu Val Arg Giu Ile Ser Ile Glu Asn 1345 1350 1355 1360 GGT ACT ATT AMA MA GGA MAG TTA ATA MAA GAT GTT ITA AGT AMA ATT 4128 Gly Thr Ile Lys Lys Gly Lys Leu Ile Lys Asp Vai Leu Ser Lys Ile 1365 1370 1375 GAT ATA MT MAA MAT AMA CTT ATT ATA GGC MAT CMA ACA ATA GAT TTT 4176 Asp Ilie Asn Lys Asn Lys Leu Ile Ile Gly Asn Gin Thr Ile Asp Phe 1380 1385 1390 TCA GGC GAT ATA GAT MAT AMA GAT AGA TAT ATA TTC TTG ACT TGT GAG 4224 Ser Gly Asp Ile Asp Asn Lys Asp Arg Tyr Ile Phe Leu Thr Cys Giu 1395 1400 1405 TTA GAT GAT AMA ATT AGT TTA ATA ATA GMA ATA MAT CTT GTT GCA A 4272 Leu Asp Asp Lys Ile Ser Jeu Ile Ile Glu Ile Asri Leu Vai Ala Lys 1410 1415 1420 TCT TAT AGT TTG TTA TTG TCT GGG GAT MAA MAT TAT TTG ATA TCC MAT 4320 Ser Tyr Ser Leu Leu Leu Ser Gly Asp Lys Asn Tyr Leu Ile Ser Asn 1425 1430 1435 144 TCT MAT ACT ATT GAG AMA ATC MAT ACT TTA GGC CTA GAT AGT AMA 4368 Leu Ser Asn Thr Ilie Giu Lys Ile Asn Thr Leu Gly Leu Asp Ser Lys 1445 1450 1455 MAT ATA GCG TAC MAT TAC ACT GAT GMA TCT MAT MT MAA TAT TTT GGA 4416 Asn Ile Ala Tyr Asn Tyr Thr Asp Giu Ser Asn Asn Lys Tyr Phe Gly 1460 1465 1470 GCT ATA TCT AMA ACA AGT CAA AMA AGC ATA ATA CAT TAT MAA MAA GAC 4464 Ala Ile Ser Lys Thr Ser Gin Lys Ser Ile Ile His Tyr Lys Lys Asp 1475 1460 1485 AGT AMA MT ATA TTA GMA TTT TAT MAT GAC AGT ACA TTA GMA TTT MC 4512 Ser Lys Asn Ile Leu Giu Phe Tyr Asn Asp Ser Thr Leu Giu Phe Asi 1490 1495 1500 AGT MAA GAT TTT ATT GCT GMA GAT ATA MAT GTA TTT ATG MAA GAT GA' 4560 Ser Lys Asp Phe Ile Ala Giu Asp Ile Asn Val Phe Met Lys Asp AS~ 1505 1510 1515 1 ATT MAT ACT ATA ACA GGA MAA TAC TAT OTT GAT MAT MAT ACT GAT AA 4608 lie Asn Thr Ile Thr Gly Lys Tyr Tyr Val Asp Asn Asn Thr Asp Ly 1525 1535 0 r p

S

AGT ATA GAT TTC TCT ATT TCT 4656 TTA GTT AGT MAA MAT CMA GTA MAA GTA 296 Ser Ile Asp Phe Ser Ile Ser Leu Val Ser 1540 1545 Lys Asn Gin Val Lys Val 1550 AAT GGA TTA TAT 4704 Asn Giy Leu Tyr 1555 GTG AAA AAT TCA 4752 Val Lys Asn Ser 1570 TTT TTG GAC AAT 4800 Phe Leu Asp Asn 1585 AAT TTT GTA ATC 4848 Asn Phe Val Ile TTA AAT GAA TCC GTA TAC Leu Asn Glu Ser Val Tyr 1560 GAT GGA CAC CAT AAT ACT Asp Giy His His Asn Thr 1575 ATA AGT Ile Ser 1590 GAT AMA Asp Lys GGA TAT 4896 Gly Tyr 1605 GTA GAA TTT ATT Val Giu Phe Ile 1620 1TC TGG AAA TTG Phe Trp Lys Leu TAC TTT ACC CTT Tyr Phe Thr Leu 161c TGT GAC AAT AAT Cys Asp Asn Asn 1625 TCG TCA TCT AMA Ser Ser Ser Lvs 1640 TCA TCT TAC CTT GAT TTT Ser Ser Tyr Leu Asp Phe 1565 TCT AAT TTT ATG AAT TTA Ser Asn Phe Met Asn Leu 1580 TmT GGG TTI GAA AAT ATA Phe Gly Phe Glu Asn lle 1595 1600 GTT GGT AAA ACT MAT CTT Val Gly Lys Thr Asn Leu 1615 MAA AAT ATA GAT ATA TAT Lys Asn Ile Asp Ile Tyr 1630 AGC ACT ATA TTT AGC GGA Ser Thr Ile Phe Ser Gly 1645 TTT GGT GAA TGG AAA ACA 4944 Phe Gly Glu Trp Lys Thr 1635 AAT GGT AGA AAT GTT GTA GTA GAG CCT ATA TAT M.T CCT GAT ACG GGT 4992 Asn Gly Arg Asn Val Val Val Glu Pro le Tyr Asn Pro Asp Thr Gly 1650 1655 1660 GAA GAT ATA TCT ACT TCA CTA GAT TTT TCC TAT GMA CCT CTC TAT GGA 5040 Giu Asp Ile Ser Thr Ser Leu Asp Phe Ser Tyr Giu Pro Leu Tyr Gly 1665 1670 1675 1680 ATA GAT AGA TAT ATA AAT AAA GTA TTG ATA GCA CCT GAT TTA TAT ACA 5088 Ile Asp Arg Tyr Ile Asn Lys Val Leu Ile Ala Pro Asp Leu Tyr Thr 1685 1690 1695 AGT TTA ATA MAT ATT AT ACC AAT TAT TAT TCA AAT GAG TAC TAC CCT 5136 Ser Leu Ile Asn Ile Asn Thr Asn Tyr Tyr Ser Asn Glu Tyr Tyr Pro 1700 1105 1710 GAG ATT ATA GTT CTT AAC CCA AAT ACA TTC CAC MAA MAA GTA AAT ATA 5184 Giu Ile Ile Val Leu Asn Pro Asf Thr Phe His Lys Lys Vai Asn Ile 1715 1720 1725 AAT TTA GAT AGT TCT TCT TTT GAG TAT AAA TGG TCT ACA GAA GGA AGT 5232 Asn Le Asp Ser Ser Ser Phe Giu Tyr Lys Trp Ser Thr Git Gly Ser 1730 1735 1740 GAC TT ATT TTA OTT AGA TAC TTA GA GMA AGT MAT MAA MA ATA TTA 5280 Asp Phe Ile Leu Val Arg Tyr Leu Glu Glu Ser Asn Lys Lys Ile Leu 1745 1750 1755 1760 CA AAA ATA AGA ATC AAA GOT ATC TTA TCT aaT ACT CMA TCA Tl MAT 5328 297 0..0.

*.0 Gin Lys Ilie Arg Ile Lys Giy Ile Leu Ser Asn Thr Gin Ser Phe Asn 1765 1770 1775 AAA ATG AGT ATA GAT TTT AAA GAT ATT AAA AAA CTA TCA TTA GGA TAT 5376 Lys Met Ser Ile Asp Phe Lys Asp Ile Lys Lys Leu Ser Leu Gly Tyr 1780 1785 1790 ATA ATG AGT AAT TTT AAA TCA TTT AAT TCT GAA AAT GAA TTA GAT AGA 5424 Ile Met Ser Asn Phe Lys Ser Phe Asn Ser Giu Asn Glu Leu Asp Axg 1795 1800 1805 GAT CAT TTA GGA TTT AAA ATA ATA GAT AAT AAA ACT TAT TAC TAT GAT 5472 Asp His Leu Gly Phe Lys Ile le Asp Asn Lys Thr Tyr Tyr Tyr Asp 1810 1815 1820 GAA GAT AGT AAA TTA GTT AAA GGA TTA ATC AAT ATA AAT AAT TCA TTA 5520 Glu Asp Ser Lys Leu Val Lys Giy Leu Ile Asn Ile Asn Asn Ser Leu 1825 1830 1635 1840 TTC TAT TTT GAT CCT ATA GAA TTT AAC TTA GTA ACT GGA TGG CAA ACT 5568 Phe Tyr Phe Asp Pro Ile Giu Phe Asn Leu Vai Thr Gly Trp Gin Thr 1845 1850 1855 ATC AAT GOT AAA AAA TAT TAT TTT GAT ATA AAT ACT GGA GCA GCT TTA 5616 le Asn Gly Lys Lys Tyr Tyr Phe Asp Ile Asn Thr Gly Ala Ala Leu 1860 1865 1870 ACT AGT TAT AAA ATT ATT AAT GGT AAA CAC =T TAT TTT AAT AAT GAT 5664 Thr Ser 'Tyr Lys Ile Ile Asn Giy Lys His Phe Tyr Phe Asn Asn Asp 1875 1880 1885 GGT GTG ATG CAG TTG GGA GTA TTT AAA GGA CCT GAT GGA TTT GAA TAT 5712 Gly Val Met Gin Leu Gly Val Phe Lys Gly Pro Asp Gly Phe Giu Tyr 1890 1895 1900 TTT GCA 5760 Phe Ala 1905 GTT TAT 5808 Val Tyr GAT AAT 5856 Asp Asn AAA TAT 5904 Lys Tyr CCT GCC AAT ACT CAA.

Pro Ala Asn Thr Gin 1910 CAA AGT AAA TTC TTA Gin Ser Lys Phe Leu 1925 AAC TCA AAA OCA GTC Asn Ser Lys Ala Val 1940 TAC TTT AAT CCT AAT Tyr Phe Asn Pro Asn 1955 AAT AAT Asn Asn ACT TTG Thr Leu AAC ATA GAA GOT Asn Ile Giu Oly 1915 Gin Ala Ile 1920 Asn 1930 ACT GGA TG Thr Gly Trp 1945 AAT GCT ATT Asn Ala Ile 1960 GGC AAA AAA TAT TAT TTT Giy Lys Lys Tyr Tyr Phe 1935 AGA ATT ATT AAC AAT GAG Ag Ile Ile Asn Asn Glu 1950 GCT GCA GTC GGA TTG CAA Ala Ala Vai Gly Leu Gin 1965 GTA ATT GAC AAT AAT AAG TAT TAT TTC AAT CCT GAC ACT GCT ATC ATC 5952 Val Ile Asp Asn Asn Lys Tyr Tyr Phe Asn Pro Asp Thr Ala Ile Ile 1970 1975 1980 TCA AAA GGT TOO CAG ACT GTT AAT GOT AOT AGA TAC TAC TTT OAT ACT 6000 -298- Ser Lys Gly Trp Gin Thr Val Asn 1985 1990 GAT ACC GCT ATT GCC TTT AAT GCT 6048 Asp Thr Ala Ile Ala Phe Asn Gly 2005 Gly Ser Arg Tyr 1995 TAT AAA ACT ATT Tyr Lys Thr Ile 2010 Tyr Phe Asp Thr 2000 GAT GGT AAA CAC Asp Gly Lys His 2015 TTT TAT 6096 Phe Tyr TTT GAT AGT Phe Asp Ser 2020 CAT TCT Asp Cys GTG AAA ATA Val Lys Ile 2025 CCT GCT AAT Pro Ala Asn GGT GTG Gly Val TTT ACT ACC Phe Ser Thr 2030 AAT AAT AAC Asn Asn Asn

S

*5*S *5 TCT AAT GCA 6144 Ser Asn Cly 2035 ATA CAA GGT 6192 Ile Giu Gly 2050 GCT AAA AAA 6240 Cly Lys Lys 2065 CAA ACT ATT 6288 Gin Thr Ile CCA CCT ACT 6336

GAA

TAT TTI' OCA Phe Ciu Tyr P CAC GCT ATA C Gln Ala Ile I TAT TAC TTT Tyr Tyr Phe 2070 CAT ACT AAA Asp Ser Lys 2085 CCA TCC CAA Cly Trp Gin 2040

ACT

Thr ;TT TAT CAA AGT AAA TTC TTA ACT TTC AAT ai Tyr Gin Ser Lys Phe Leu Thr Leu Asn a055 2060 3AT AAT AAC TCA AAA GCA CTT ACC CCA TTC Asp Asn Asn Ser Lys Ala Val Thr Cly Leu 2075 2080 AAA TAT TAC TTT AAT ACT AAC ACT GCT CAA Lys Tyr Tyr Phe Asn Thr Asn Thr Ala Ciu 2090 2095 ACT ATT CAT GCT AAA AAA TAT TAC TTT AAT Thr Ile Asp Cly Lys Lys Tyr Tyr Phe Asn 2105 2110 CCT ACT CCA TCC CAA ACT ATT CAT GGT AAA

TAT

Tyr 2045 Ala Ala Thr 2100 ACT AAC ACT CCT CAA GCA 2115 2120 2125 AAA TAT -,Ac TTT AAT ACT AAC ACT GCT ATA GCT TCA ACT CCT TAT ACA 6432 Lys Tyr Tyr Phe Asn Thr Asn Thr Ala Ile Ala Ser Thr Gly Tyr Thr 2130 2135 2140 ATT ATT AAT GCT AAA CAT TTT TAT TTT AAT ACT CAT GGT ATT ATC CAC 6480 Ile Ile Asn Gly Lys His Phe Tyr Phe Asn Thr Asp Cly Ile Met Gin 2145 2150 2155 2160 ATA GGA GTC TT' AAA GCA CCT AAT CCA TIT GAA TAT TTT GCA CCT CCT 6528 Ile Gly Val Phe Lys Cly Pro Asn Gly Phe Glu Tyr Phe Ala Pro Ala 2165 2170 2175 AAT ACC CAT CCT AAC AAC ATA GAA GGT CAA GCT ATA CTT TAC CAA AAT 6576 Asn Thr Asp Ala Asn Asn Ile Clu Cly Gin Ala Ile Leu Tyr Gin Asfl 2180 2185 2190 CAA TTC TTA ACT TTC AAT CGT AAA AAA TAT TAC TTT OCT ACT CAC TCA 6624 Clu Phe Leu Thr Leu Asn Gly Lys Lys Tyr Tyr Phe Cly Ser Asp Ser 2195 2200 2205 AAA GCA GTT ACT GCA TCG AGA ATT ATT AAC AAT AAG AAA TAT TAC TTT 6672 -299 Lys Ala Val Thr Gly Trp Arg Ile Ile Asn Asn Lys Lys Tyr Tyr Phe 2210 2215 2220 AAT CCT AAT AAT GCT ATT GCT GCA ATT CAT CTA TGC ACT ATA AAT AAT 6720 Asn Pro Asn Asn Ala Ile Ala Ala Ile His Leu Cys Thr Ile Asn Asn 2225 2230 2235 2240 GAC AAG TAT TAC TTT AGT TAT GAT GGA ATT CTT CAA AAT GGA TAT ATT 6768 Asp Lys Tyr Tyr Phe Ser Tyr Asp Gly Ile Leu Gin Asn Gly Tyr Ile 2245 2250 2255 ACT ATT GAA AGA AAT AAT TTC TAT TTT GAT GCT AAT AAT GAA TCT AAA 6816 Thr Ile Glu Arg Asn Asn Phe Tyr Phe Asp Ala Asn Asn Glu Ser Lys 2260 2265 2270 ATG GTA ACA GGA GTA TTT AAA GGA CCT AAT GGA TTT GAG TAT TTT GCA 6864 Met Val Thr Gly Val Phe Lys Gly Pro Asn Gly Phe Glu Tyr Phe Ala 2275 2280 2285 CCT GCT AAT ACT CAC AAT AAT AAC ATA GAA GGT CAG GCT ATA GTT TAC 6912 Pro Ala Asn Thr His Asn Asn Asn Ile Glu Gly Gin Ala Ile Val Tyr 2290 2295 2300 CAG AAC AAA TTC TTA ACT TTG AAT GGC AAA AAA TAT TAT TTT GAT AAT 6960 Gin Asn Lys Phe Leu Thr Leu Asn Gly Lys Lys Tyr Tyr Phe Asp Asn 2305 2310 2315 2320 GAC TCA AAA GCA GTT ACT GGA TGG CAA ACC ATT GAT GGT AAA AAA TAT 7008 Asp Ser Lys Ala Val Thr Gly Trp Gin Thr Ile Asp Gly Lys Lys Tyr 2325 2330 2335 TAC TTT AAT CTT AAC ACT GCT GAA GCA GCT ACT GGA TGG CAA ACT ATT 7056 Tyr Phe Asn Leu Asn Thr Ala Glu Ala Ala Thr Gly Trp Gin Thr Ile 2340 2345 2350 GAT GGT AAA AAA TAT TAC TTT AAT CTT AAC ACT GCT GAA GCA GCT ACT 7104 Asp Gly Lys Lys Tyr Tyr Phe Asn Leu Asn Thr Ala Glu Ala Ala Thr 2355 2360 2365 GGA TGG CAA ACT ATT GAT GGT AAA AAA TAT TAC TTT AAT ACT AAC ACT 7152 Gly Trp Gin Thr Ile Asp Gly Lys Lys Tyr Tyr Phe Asn Thr Asn Thr 2370 2375 2380 TTC ATA GCC TCA ACT GGT TAT ACA AGT ATT AAT GGT AAA CAT TTT TAT 7200 Phe Ile Ala Ser Thr Gly Tyr Thr Ser Ile Asn Gly Lys His Phe Tyr 2385 2390 2395 2400 TT- AAT ACT GAT GGT ATT ATG CAG ATA GGA GTG TTT AAA GGA CCT AAT 7248 Phe Asn Thr Asp Gly Ile Met Gin Ile Gly Val Phe Lys Gly Pro Asn 2405 2410 2415 GGA TTT GAA TAC TTT GCA CCT GCT AAT ACG GAT GCT AAC AAC ATA GAA 7296 Gly Phe Glu Tyr Phe Ala Pro Ala Asn Thr Asp Ala Asn Asn Ile Glu 2420 2425 2430 GGT CAA GCT ATA CTT TAC CAA AAT AAA TTC TTA ACT TTG AAT GGT AAA 7344 300 Giy Gin Ala Ile Leu Tyr Gin Asn Lys Phe Leu Thr Leu Asn Gly Lys 2435 2440 2445 AAA TAT TAC TTT GGT AGT GAC TCA AAA GCA GTT ACC GGA CTG CGA ACT 7392 Lys T1yr Tyr Phe Giy Ser Asp Scr Lys Ala Val Thr Gly Leu Arg Thr 2450 2455 2460 ATT GAT GGT AAA AAA TAT TAC ?440 Ile Asp Gly Lys Lys Tyr Tyr 2465 2470 ACT GGA TGG CAA ACT ATT AAT ?488 Thr Gly Trp Gin Thr Ile Asn 2485

TTTA

Phe A

GGTA

Gly L Sn Thr Asn Thr Ala Val Ala Val 2475 2480 AA AAA TAC TAC TTT AAT ACT AAC ys Lys Tyr Tyr Phe Asn Thr Asn 2490 2495 CA ATT ATT AGT GGT AAA CAT TTT hr Ile Ile Ser Giy Lys His Phe S505 2510 AG ATA GGA GTG TTT AAA GGA CCT 9 9* ACT TCT ATA GCT TCA ACT GGT TAT i 7536 Thr Ser Ile Aia Ser Tnr Gly Tyr T1 2500 2 TAT TTT AAT ACT GAT GGT ATT ATG C 7584 Tyr Phe Asn Thr Asp Giy Ile Met( 2515 2520 GAT GGA TTT GAA TAC TTT GCA CCT 7632 Asp Gly Phe Giu Tyr Phe Aia Pro 2530 2535 GAA GGT CAA GCT ATA CGT TAT CAM 7680 Giu Giy Gin Ala Ile Arg Tyr Gin in Ile Gly Val

P

~525 ;CT AAC AAT ATA kla Asn Asn Ile

GCT

Ala MAT AGA Asn Arg ACA GAT Thr Asp 2540 TTC CTA Phe Leu 2555 GCG GCT Ala Ala 0 2545 2550 TAT TTA CAT GAC Tyr Leu His Asp 2560 ACT GGT TGG GTA Thr Gly Trp Val 2575 AAT ATA 7728 Asn Ile TAT TAT TTT GGT AAT Tyr Tyr Phe Gly Asn 2156 5 AAT TCA AMA Asn Ser Lys 2571 *9 ACT ATT GAT GGT AAT AGA TAT TAC TTC GAG CCT AAT ACA GCT ATG GGT 7776 Thr Ile GCG AAT 7824 Ala Asn 2580 GGT TAT Gly Tyr 2595 2585 kAM ACT ATT GAT A.AT A Lys Thr Ile Asp Asn Lys 2600 ATA GGA GTG TTT AMA GGG Ile Gly Val Phe Lys Gly 2615 MAT ACG GAT GCT MAC MAT Asfl Thr Asp Ala Asn Asn 2630 2590 AAT TTT TAC TTT AGA MAT Asn Phe Tyr Phe Arg Asn 2605 TCT MAT GGA TTT GMA TAC Ser Asn Gly Phe Giu Tyr 7872 Gly Leu Pro Gin 2610 TTT GCA CCT GCT 7920 Phe Ala Pro Ala 2625 ATA GMA Ile Glu 2635 GGT CMA GCT Gly Gin Mda Ile 2640 COT TAT 7968 Arg Tyr CMA MT AGA Gin Asn Arg 264! TTC CTA CAT Phe Leu His TTA Cr-r GGA AMA Leu Leu Gly Lys 2650 GGA TOG CMA ACT ATA TAT TAC TI1T Ile Tyr Tyr Phe 2655 ATT MAT GGT AMA GGT MAT MAT TCA AMA GCA GTT ACT 8016 301 Gly Asn Asn Ser Lys Ala Val Thr Gly Tru Gin Thr Ile Asn Gly Lys 2660 2665 2670 GTA TAT TAC TIT ATG CCT GAT ACT OCT ATG OCT GCA GCT GGT GGA CTT 8064 Val Tyr Tyr Phe Met Pro Asp Thr Ala Met Ala Ala Ala Gly Gly Leu 2675 2660 2685 TTC GAG ATT GAT GGT GTT ATA TAT TTC TTT GGT GTT GAT GGA GTA AA.A 6112 Phe Giu Ile Asp Gly Val Ile Tyr Phe Phe Gly Val Asp Gly Val Lys 2690 2695 2700 GCC CCT GGG AlA TAT GGC TAA 8133 Ala Pro Gly Ile Tyr Gly 2705 2710 4 INFORM~ATION FOR SEQ ID 140:6: SEQUENCE CHARACTERISTICS: LENGTH: 2710 amino acids TYPE: amino acid TOPOLOGY: linear (ii) MOLECULE TYPE: protein (xi) SEQUENCE DESCRIPTION: SEQ ID NO:6: Met Ser Leu Ile Ser Lys Glu Glu Leu Ile Lys Leu Ala lyr Ser Ile 5 10 **Arg Pro Arg Glu Asn Glu Tyr Lys Thr Ile Leu Thr Asn Leu Asp Glu 20 25 *Tyr Asn Lys Leu Thr Thr Asm Asn Asn Glu Asn Lys Tyr Leu Gin Leu 35 40 4...Lys Lys Leu Asn Giu Ser Ile Asp Val Phe Met Asn Lys Tyr Lys Thr 55 *Ser Ser Arg Asm Arg Ala Leu Ser Asn Leu Lys Lys Asp Ile Leu Lys 70 75 *:006:Oiu Val Ilie Leu Ilie Lys Asn Ser Asm Thr Ser Pro Val Glu Lys Asn 85 90 Leu His.Phe Val Trp Ile Giy Gly Glu Val Ser Asp Ile Ala Leu Giu 100 105 110 Tyr Ile Lys Gin Trp Ala Asp le Asn Ala Glu Tyr As Ile Lys Leu 115 120 125 Trp Tyr Asp Ser Giu Ala Phe Leu Val Asn Thr Leu Lys Lys Ala Ile 130 135 140 Vai Giu Ser Ser Thr lhr Olu Ala Leu Gin Leu Leu Glu Oiu Giu Ile 145 150 155 160 Gin Asn Pro Gin Phe Asp Asn Met Lys Phe Tyr Lys Lys Arg Met Giu 165 170 175 Phe Ile Tyr Asp Arg Gin Lys Arg Phe Ile Asn Tyr Tyr Lys Ser Gin 180 185 190 Ile Asn Lys Pro Thr Val Pro Thr Ile Asp Asp Ile Ile Lys Ser His 195 200 205 Leu Val Ser Glu Tyr Asm Arg Asp Olu Thr Val Leu Olu Ser Tyr Arg 210 215 220 302 S S

S..

S

S S.

*SSS

S

Thr Asn Ser Leu 225 Ala Asn Ser Leu Glu Leu Leu Asn 260 Leu Leu Ala Leu 275 Leu Pro Giy Ile 290 Ser Ile Giy Leu 305 Lys Tyr Lys Lys Leu Asp Gin Gln 340 Ser Giu Lys Ser 355 Asp Leu Giu Ile 370 Ala Leu Ile Ser 385 Gin Val Lys Asn Ile Giu Ser Asp 420 Ser Leu Phe Asr 435 Ile Ala Pro Tyl 450 Ile Ser Leu Se 465 Ile Asn Leu Gi: Leu Ile Giu Ph Gin Giu Ile AS 515 Gin Phe Giu Ly 530 Asp Asn Giy Va 545 Leu Leu Asn As Lys Asn Tyr V~

SI

Tyr Giu Aia TI Arg Lys Ile Asn Ser Asn Hi 230 23 Phe Thr Giu Gin Giu Leu Le 245 250 Arg Giy Asn Leu Ala Ala Al 265 Lys Asn Phe Gly Gay Val T) 280 His Ser Asp Leu Phe Lys T1 295 Asp Arg Trp Giu Met Ile LI 310 3: Tyr Ile Asn Asn Tyr Thr St 325 330 Leu Lys Asp Asn Phe Lys L 345 Glu Ile Phe Ser Lys Leu G 360 Lys Ile Ala Phe Ala Leu G 375 Lys Gin Gly Ser Tyr Leu T 390 3 Arg Tyr Gin Phe Leu Asn G 405 410 Asn Asn Phe Thr Asp Thr 'I 425 Ser Aia Thr Aia Giu Asn S 440 Leu Gin Val Gly Phe Met I 455 r Giy Pro Giy Aia Tyr Ala 470 n Giu Asn Thr Ile Giu Lvs 485 490 e Lys Phe Pro Giu Asn Asn 0 50!.

n Ser Leu Trp Ser Phe Asp 520 *s Tyr Val Arg Asp Tyr Thr 535 1 Asp Phe Asn Lys Asn Thr 550 n Lys le Pro Ser Asn Asn 565 570 1 His Tyr Ile Ile Gin Leu 30 585 hr Cys Asn Leu Phe Ser Lys 303 S Gly Ii 5 u Asn I a Ser As r Leu As 28 ir Ile St 300 (s Leu G1 is er Giu A eu Ile I iu Asn L 3 ly Ser V 380 hr Asn L 95 in His L 'hr Lys I ;er Met I 4 ?ro Giu 3 460 Ser Ala 475 Thr Leu Leu Ser Gin Ala Gly Gly 540 Ala Leu 555 Val Glu Gin Gly Asn Pro e 3e eu al u eu sn le eu 65 al eu eu le he kla Iyr Lya Gl1 Se 52 Se As Gl As

L]

Asp Il Tvr Se 25 Ile Va 270 Val As Arg PI Ala I Phe A 3.

Glu S 350 Asn V Ile A Val I Asn P 4 Phe H 430 Leu I Arg Tyr s Ala n Leu 510 r Ala

S

r Leu p Lys u Ala ;p Asp 590 (s Asn ei rr l sn ro le ro er al sn le 'ro lis Thr ;er ASy Se 49! Th~ Ly Se As Gi 57 Il St Arg 240 Gin Arg Met Ser Met 320 Lys Lys Ser Gin Glu 400 Ala Asp Lvs Thr Phe 480 r Asp r Glu s Tyr r Glu n Tvr 560 *y Ser .e Ser ir Ile 595 Ile Gin Arg Asn 610 Asp Gly Giu Ser Leu Lys Asn Lys 645 600 Asn Giu 615 Leu Giu Lys Vai Ser Ala Lys Ser Tyr i'ne 620 Leu Asn Lys Tyr Arg Ile 635 Lys Vai Thr Phe Ile Gly 650 Lys Asp Giu Phe Asn Thr Ser Glu Phe Ala Arg Leu Ser Val Asp Ser *e Leu Ser Tyr 705 Ile Ile Arg Ala Ile 785 Ser Pro 690 Asp Met Thr Lys Ile 770 Asp Asn 675 Lys Phe Asp Ile Giu 755 Met Asn Giu As n Asn Lys Gly 740 Leu Ser Lys Ile Val1 Val1 Ile 725 Al a Leu Asp Leu Ser Giu Giu 710 Thr As n Ala Leu Lys 790 Ser Val1 695 Giu ter Gin His Ser 775 Al a Phe 680 Asn Thr Thr Tyr Ser 760 Se r Lys Leu Asp Thr Ile Leu Tyr Leu Giu 745 Gly Lys Ser Leu Gly Cys 700 Pro Gly Lys 715 Pro Asp Val 730 Val Arg Ile Lys Trp Ile Giu Tyr Ile 780 Lys Asn Ile 795 Leu Leu Asp 810 Lys 685 Asn Leu Asn Asn Asn 765 Phe Pro Ala Leu Asp Ile Met Phe Ser Leu Leu Ser 720 Lys Asn Ser 735 Ser Giu Gly 750 Lys Giu Giu Phe Asp Ser Gly Leu Ala 800 Ser Val Ser 815 Ser Ile Ser Giu Asp 805 Ile Lys Thr Leu 0 Pro Asp Thr Lys Phe Ile Leu 820 Asn Asn Leu Lys Leu Asn Ile Giu Ser Ser Ile Glu 865 Asp Thr Val1 Lys Asn 945 Ile Ile 850 Asn Giu Tyr Giu Giu 930 Le u Gly 835 His Val Lys Se r Thr 915 Ile Leu Asp Asn Ser Tyr Val1 900 Giu Ser Asp Tyr Ilie Ser Ilie Asp Giu 870 Leu Ile 885 Arg Phe Lys Giu Thr Ile Asn Ile 950 Tyr Asp 855 Leu Ser Ile Ile Lys 935 Gln Tyr Giu 840 Asp Leu Tyr Giu Phe Giu Asn LYS 905 Phe Ser 920 Asn Ser ILeu Asp Lys Leu Ile Asp Leu Lys 875 Asp Ile 890 Ser Asn Lys Tyr le Ile His Thr 955 830 Giu Pro Val 845 Giu Phe Asn 860 Lys Leu Asn Ser Lys Asn Giy Giu Ser 910 Ser Giu His 925 Thr Asp Val 940 Ser Gin Vai Lys Asn Leu Leu Asn Leu 880 Asn Ser 895 Val Tyr Ile Thr Asn Gly Asn Thr 960 04 Leu Asn Ala Ala Pne Phe Ile Gin Ser Leu Ile Asp Tyr Ser Ser Asn 965 970 975 Lys Asp Val Leu As n Asp Leu Ser Thr Ser Val Lys Val Gin Leu Tyr 980 985 990 Ala Gin Leu Phe Ser Thr Gly Leu Asn Thr Ile Tyr Asp Ser Ile Gin 995 1000 1005 Leu Val Asn Leu Ile Ser Asn Ala Val Asn Asp Thr Ilie Asn Val. Leu 1010 1015 1020 Pro Thr Ile Thr Glu Gly Ile Pro Ile Val Ser Thr Ile Leu Asp Gly 1025 1030 1035 1040 Ile Asn Leu Gly Ala Ala Ile Lys Glu Leu Leu Asp Glu His Asp Pro 1045 1050 1055 *Leu Leu Lys Lys Giu Leu Glu Ala Lys Val Gly Val Leu Ala Ile Asn S*1060 1065 1070 Met Ser Leu Ser Ile Ala Ala Thr Val Ala Ser Ile Val Gly Ile Gly **1075 1080 1065 Ss**Ala Giu Val Thr Ilie Phe Leu Leu Pro Ilie Ala Gly Ile Ser Ala Gly 1090 1095 1100 Ile Pro Ser Leu Val Asn Asn Giu Leu Ile Leu His Asp Lys Ala Thr 1105 1110 1115 1120 SSer Val Val Asn Tyr Phe Asn His Leu Ser Giu Ser Lys Lys Tyr Gly S1125 1130 1135 Pro Leu Lys Thr Giu Asp Asp Lys Ile Leu Val .Pro Ile Asp Asp Leu 1140 1145 1150 5*Val Ile Ser Giu Ile Asp Phe Asn Asn Asn Ser Ile Lys Leu Gly Thr see 1155 1160 1165 Cys Asn Ilie Leu Ala Met Glu Giy Gly Ser Gly His Thr Val Thr Gly 1170 1175 1180 Ilie Asp His Phe Phe Ser Ser Pro Ser Ile Ser Ser His Ile Pro S1185 1190 1195 1200 Ser Leu Ser Ile Tyr Ser Ala Ile Gly Ile Glu Thr Giu Asn Leu Asp 1205 1210 1215 Phe Ser Lys Lys Ile Met Met Leu Pro Asn Ala Pro Ser Arg Val Phe 1220 1225 1230 Trp, Trp Glu Thr Gly Ala Val Pro Gly Leu Arg Ser Leu Giu Asn A-sp 1235 1240 1245 Gly Thr Axg Leu Leu Asp Ser Ile Arg Asp Leu Tyr Pro Gly Lys Phe 1250 *.1255 1260 Tyr Trp Arg Phe Tyr Ala Phe Phe Asp Tyr Ala Ile Thr Thr Leu Lys 1265 1270 1275 1280 Pro Val Tyr Glu Asp Thr Asn Ile Lys Ile Lys Leu Asp Lys Asp Thr 1285 1290 1295 305 Arg Asn Phe Ile Met Pro Thr Ile Thr Thr Asn Glu Ile Arg Asn Lys 1300 1305 1310 Leu Ser Tyr Ser Phe Asp Gly Ala Gly Gly Thr Tyr Ser Leu Leu Leu 1315 1320 1325 Ser Ser Tyr Pro Ile Ser Thr Asn Ile Asn Leu Ser Lys Asp Asp Leu 1330 1335 1340 Trp Ile Phe Asn Ile Asp Asn Glu Val Arg Glu Ile Ser Ile Glu Asn 1345 1350 1355 1360 Gly Thr Ile Lys Lys Gly Lys Leu Ile Lys Asp Val Leu Ser Lys Ile 1365 1370 1375 Asp Ile Asn Lys Asn Lys Leu Ile Ile Gly Asn Gin Thr Ile Asp Phe 1380 1385 1390 Ser Gly Asp Ile Asp Asn Lys Asp Arg Tyr Ile Phe Leu Thr Cys Glu 1395 1400 1405 Leu Asp Asp Lys Ile Ser Leu Ile Ile Glu Ile Asn Leu Val Ala Lys o 1410 1415 1420 Ser Tvr Ser Leu Leu Leu Ser Gly Asp Lys Asn Tyr Leu Ile Ser Asn 1425 1430 1435 1440 Leu Ser Asn Thr Ile Glu Lys Ile Asn Thr Leu Gly Leu Asp Ser Lys 1445 1450 1455 Asn Ile Ala Tyr Asn Tyr Thr Asp Glu Ser Asn Asn Lys Tyr Phe Gly 1460 1465 1470 Ala Ile Ser Lys Thr Ser Gin Lys Ser Ile Ile His Tyr Lys Lys Asp 1475 1480 1485 Ser Lys Asn Ile Leu Glu Phe Tyr Asn Asp Ser Thr Leu Glu Phe Asn S: 1490 1495 1500 o*so Ser Lys Asp Phe Ile Ala Glu Asp Ile Asn Val Phe Met Lys Asp Asp 1505 1510 1515 1520 Ile Asn Thr Ile Thr Gly Lys Tyr Tyr Val Asp Asn Asn Thr Asp Lys 0* 1525 1530 1535 Ser Ile Asp Phe Ser Ile Ser Leu Val Ser Lys Asn Gin Val Lys Val 1540 1545 1550 Asn Gly Leu Tyr Leu Asn Glu Ser Val Tyr Ser Ser Tyr Leu Asp Phe 1555 1560 1565 Val Lys Asn Ser Asp Gly His His Asn Thr Ser Asn Phe Met Asn Leu 1570 1575 1580 Phe Leu Asp Asn Ile Ser Phe Trp Lys Leu Phe Gly Phe Glu Asn Ile 1585 1590 1595 1600 Asn Phe Val Ile Asp Lys Tyr Phe Thr Leu Val Gly Lys Thr Asn Leu 1605 1610 1615 Gly Tyr Val Glu Phe Ile Cys Asp Asn Asn Lys Asn Ile Asp Ile Tyr 1620 1625 1630 306 Phe Gly Giu Trp Lys Thr Ser Ser Ser Lys Ser Thr lie Phe Ser Gly !635 1640 1645 Asn Gly Arg Asn Val Vai Val Giu Pro Ile Tyr Asri Pro Asp Thr Gly 1650 1655 1660 Glu Asp Ilie Ser Thr Ser Leu Asp Phe Ser Tyr Giu Pro Leu Tyr Gly 1665 1670 1675 1680 Ile Asp Arg Tyr Ile Asn Lys Val Leu Ile Ala Pro Asp Leu Tyr Thr 1685 1690 1695 Ser Leu Ile Asn Ilie Asn Thr Asn Tyr Tyr Ser Asn Giu Tyr Tyr Pro 1700 1705 1710 Giu Ile Ile Val Leu Asn Pro Asn Thr Phe His Lys Lys Val Asn Ile 1715 1720 1725 *Asn Leu Asp Ser Ser Ser Phe Giu Tyr Lys Trp Ser Thr Giu Gly Ser **1730 1735 1740 Asp Phe Ile Leu Val Arg Tyr Leu Giu Glu Ser Asn Lys Lys Ile Leu 1745 1750 1755 1760 Gin Lys Ile Arg Ile Lys Gly Ile Leu Ser Asn Thr Gin Ser Phe Asn 1765 1770 177 Lys Met Ser Ile Asp Phe Lys Asp Ilie Lys Lys Leu Ser Leu Gly Tyr 1780 1785 1790 Ile Met Ser Asn Phe Lys Ser Phe Asn Ser Giu Asn Glu Leu Asp Arg *1795 1800 1805 Asp His Leu Gly Phe Lys Ile Ile Asp Asn Lys Thr Tyr Tyr Tyr Asp 1810 1815 1820 *Giu Asp Ser Lys Leu Val Lys Gly Leu Ilie Asn Ile Asn Asn Ser Leu 1825 1830 1835 1840 Phe Tyr Phe Asp Pro Ilie Glu Phe Asn Leu Val Thr Gly Trp Gin Thr 1845 1850 1855 Sle Asn Gly Lys Lys Tyr Tyr Phe'Asp Ile Asn Thr Gly Ala Ala Leu 1860 1865 1870 Thr Ser Tyr Lys Ilie Ile Asn Gly Lys His Phe Tyr Phe Asn Asfl Asp 1875 1880 1885 Gly Val Met Gin Leu Gly Val Phe Lys Gly Pro Asp Gly Phe Giu Tyr 1890 1895 1900 Phe Ala Pro Ala Asn Thr Gin Asn Asn Asn Ile Glu Gly Gin Ala Ile 1905 11910 1915 1920 Val Tyr Gin Ser Lys Phe Leu Thr Leu Asn Gly Lys Lys Tyr Tyr Phe 1925 1930 1935 Asp. Asn Asn Ser Lys Ala Val Thr Gly Trp, Arg Ile Ile Asn Asn Glu 1940 1945 1950 Lys Tyr Tyr Phe Asn Pro Asn Asn Ala Ilie Ala Ala Val Gly Leu Gin 1955 1960 1965 307 Val Ile Asp Asn Asn Lys Tyr Tyr Phe Asn Pro Asp Thr Ala Ile Ile 1970 1975 1960 Ser Lys Gly Trp Gin Thr Val Asn Gly Ser Arg Tyr Tyr Phe Asp Thr 1985 1990 1995 2000 Asp Thr Ala Ile Ala Phe Asn Gly Tyr Lys Thr Ile Asp Giy Lys His 2005 2010 2015 Phe Tyr Phe Asp Ser Asp Cys Val Vai Lys Ile Gly Val Phe Ser Thr 2020 2025 2030 Ser Asn Gly Phe Giu Tyr Phe Ala Pro Ala Asn Thr Tyr Asn Asn Asn 2035 2040 2045 Ile Glu Gly Gin Aia Ile Val Tyr Gin Ser Lys Phe Leu Thr Leu Asn 2050 2055 2060 .Gly Lys Lys Tyr Tyr Phe Asp Asn Asn Ser Lys Ala Val Thr Gly Leu ***2065 2070 2075 2080 Gin Thr Ile Asp Ser Lys Lys Tyr Tyr Phe Asn Thr Asn Thr Ala Giu 2085 2090 2095 Ala Ala Thr Gly Trp Gin Thr Ilie Asp Gly Lys Lys Tyr Tyr Phe Asn *2100 2105 2110 Thr Asn Thr Ala Glu Ala Ala Thr Gly Trp Gin Thr Ilie Asp Gly Lys 2115 2120 2.125 **.Lys Tyr Tyr Phe Asn Thr Asn Thr Ala Ile Ala Ser Thr Gly Tyr Thr *2130 2135 2140 Ile Ile Asn Gly Lys His Phe Tyr Phe Asn Thr Asp Gly Ile Met Gin 2145 2150 2155 2160 I*.le Gly Val Phe Lys Gly Pro Asn Gly Phe Giu Tyr Phe Ala Pro Ala 2165 2170 2175 Asn Thr Asp Ala Asn Asn Ile Giu Gly Gin Ala Ile Leu Tyr Gin Asn 2180 2185 2190 *Giu Phe Leu Thr Leu Asn Gly Lys 'Lys Tyr Tyr Phe Gly Ser Asp Ser *2195 2200 2205 Lys Ala Val Thr Gly Trp Arg Ile Ile Asn Asn Lys Lys Tyr Tyr Phe 2210 2215 2220 Asn Pro Asn Asn Ala Ile Ala Ala Ile His Leu Cys Thr Ile Asn Asn 2225 2230 2235 2240 Asp Lys Tyr Tyr Phe Ser Tyr Asp Gly Ile Leu Gin Asn Giy Tyr Ile 2245 '22 50 2255 Thr Ile Giu Arg Asn Asn Phe Tyr Phe Asp Ala Asn Asn Giu Ser Lys 2260 2265 2270 Met Val Thr Gly Val Phe Lys Gly Pro Asn Gly Phe Giu Tyr Phe Ala 2275 2280 2285 Pro Ala Asn Thr His Asn Asn Asn Ile Glu Gly Gln Ala Ile Val Tyr 2290 2295 2300 308 Gin Asn Lys Phe Leu Thr Leu Asn Gly Lys Lys Tyr Tyr Phe Asp Asn 2305 2310 2315 2320 Asp Ser Lys Ala Val Thr Gly Trp Gin Thr Ile Asp Gly Lys Lys Tyr 2325 2330 2335 Tyr Phe Asn Leu Asn Thr Ala Glu Ala Ala Thr Gly Trp Gin Thr Ile 2340 2345 2350 Asp Gly Lys Lys Tyr Tyr Phe Asn Leu Asn Thr Ala Glu Ala Ala Thr 2355 2360 2365 Gly Trp Gin Thr Ile Asp Gly Lys Lys Tyr Tyr Phe Asn Thr Asn Thr 2370 2375 2380 Phe Ile Ala Ser Thr Gly Tyr Thr Ser Ile Asn Gly Lys His Phe Tyr 2385 2390 2395 2400 Phe Asn Thr Asp Gly Ile Met Gin Ile Gly Val Phe Lys Gly Pro Asn S: 2405 2410 2415 Gly Phe Glu Tyr Phe Ala Pro Ala Asn Thr Asp Ala Asn Asn Ile Glu 2420 2425 2430 Gly Gin Ala Ile Leu Tyr Gin Asn Lys Phe Leu Thr Leu Asn Gly Lys 2435 2440 2445 Lys Tyr Tyr Phe Gly Ser Asp Ser Lys Ala Val Thr Gly Leu Arg Thr 2450 2455 2460 Ile Asp Gly Lys Lys Tyr Tyr Phe Asn Thr Asn Thr Ala Val Ala Val 2465 2470 2475 2480 S: Thr Gly Trp Gin Thr Ile Asn Gly Lys Lys Tyr Tyr Phe Asn Thr Asn 2485 2490 2495 Thr Ser Ile Ala Ser Thr Gly Tyr Thr Ile Ile Ser Gly Lys His Phe 2500 2505 2510 Tyr Phe Asn Thr Asp Gly Ile Met Gin Ile Gly Val Phe Lys Gly Pro 2515 2520 2525 Asp Gly Phe Glu Tyr Phe Ala Pro Ala Asn Thr Asp Ala Asn Asn Ile 2530 2535 2540 Glu Gly Gin Ala Ile Arg Tyr Gin Asn Arg Phe Leu Tyr Leu His Asp 2545 2550 2555 2560 Asn Ile Tyr Tyr Phe Gly Asn Asn Ser Lys Ala Ala Thr Gly Trp Val 2565 2570 2575 Thr Ile Asp Gly Asn Arg Tyr Tyr Phe Glu Pro Asn Thr Ala Met Gly 2580 2585 2590 Ala Asn Gly Tyr Lys Thr Ile Asp Asn Lys Asn Phe Tyr Phe Arg Asn 2595 2600 2605 Gly Leu Pro Gin Ile Gly Val Phe Lys Gly Ser Asn Gly Phe Glu Tyr -2610 2615 2620 Phe Ala Pro Ala Asn Thr Asp Ala Asn Asn Ile Glu Gly Gin Ala Ile 2625 2630 2635 2640 -309 Arg Tyr Gin Asn Arg Phe Leu His Leu Leu Gly Lys Ile Tyr Tyr Phe 2645 2650 2655 Gly Asn Asn Ser Lys Ala, Val Thr Gly Trp Gin Thr Ile Asn Giy Lys 2660 2665 2670 Val Tyr Tyr Phe Met Pro Asp Thr Ala Met Ala Ala Ala Gly Gly Leu 2675 2680 2685 Phe Giu Ile Asp Gly Val Ile Tyr Phe Phe Gly Val Asp Gly Val Lys 2690 2695 2700 Ala Pro Gly Ile Tyr Gly 2705 2710 INFORMATION FOR SEQ ID NO:7: SEQUENCE CHARACTERISTICS: LENGTH: 811 amino acids TYPE: amino acid STRANDEDNESS: unknown TOPOLOGY: unknown (ii) MOLECULE TYPE: protein (xi) SEQUENCE DESCRIPTION: SEQ ID NO:7: Ser Tyr Lys Ile Ile Asn Gly Lys His Phe Tyr Phe Asn Asn Asp Gly 1 5 10 Val Met Gin Leu Gly Val Phe Lys Gly Pro Asp Giy Phe Glu Tyr Phe 25 *Aia Pro Ala Asn Thr Gin Asn Asn Asn Ile Giu Gly Gin Ala Ile Val 35 40 Tyr Gin Ser Lys Phe Le u Thr Leu Asn Gly Lys Lys Tyr Tyr Phe Asp 55 Asn Asn Ser Lys Ala Val Thr Gly Trp Arg Ilie Ile Asn Asn Giu Lys 70 75 *Tyr Tyr Phe Asn Pro Asn Asn Ala Ilie Ala Ala Val Giy Leu Gin Val 6**85 90 Ile Asp Asn Asn Lys Tyr Tyr Phe Asn Pro Asp Thr Ala Ile Ile Ser *100 105 110 Lys Gly Trp, Gin Thr Val Asn Gly Ser Arg Tyr Tyr Phe Asp Thr Asp 115 120 125 Thr Ala Ile Ala Phe Asn Gly ?-yr Lys Thr Ilie Asp Gly Lys His Phe 130 135 140 Tyr Phe Asp Ser Asp Cys Val Vai Lys Ile Gly Val Phe Ser Thr Ser 145 150 155 160 Asn Gly Phe Glu Tyr Phe Ala Pro Ala Asn Thr Tyr Asn Asn Asn Ile 165 170 175 Giu Giy Gin Ala Ile Val Tyr Gin Ser Lys Phe Leu Thr Leu Asfl Gly 180 185 190 310- Lys Lys Tyr Tyr Phe Asp Asn Asn Ser Lys Ala Val Thr Gly Leu Gin 195 200 205 Thr Al a 225 Asn Tyr Ile Gly Thr 305 Phe Al a Ile 210 Thr Thr Tyr Asn Val1 290 Asp Leu Val Asp Gly Ala Phe Gly 275 Phe Al a Thr Thr Ser Trp, Glu Asn 260 Lys Lys Asn Leu Gly 340 Lys Lys Tyr Tyr Phe Asn Thr Asn Thr Ala Glu Ala Gin Ala 245 Thr His Gly Asn Asn 325 Tr-p Ile Asp Gly Lys Gly Trp Ala Ile 265 Phe Asn 280 Gly Phe Gly Gin Lys Tyr Ile Asn 345 Ilie His 360 Gly Ile Lys 235 Thr Ser Asp Tyr Ile 315 Phe Lys Cys Tyr Ile Thr Gly Phe 300 Leu Gly Lys Thr Phe Gly Tyr 270 Met Pro Gin Asp Tyr 350 Asn Tyr Asn Lys 255 Thr Gin Al a As n Ser 335 Phe Asn Ile Thr 240 Lys Ile Ile As n Glu 320 Lys Asn Asp Thr Pro Asn Asn Ala Ile Ala Ala 35S Lys Tyr Tyr Phe Ser Tyr Asp 370 375 380 Ile Giu Arg Asn Asn Phe Tyr Phe Asp Ala 385 390 Asn Asn Giu Ser Lys Met 395 400 S S Val1 Ala Asn Ser Phe 465 Gly Tr-p Ile Thr Asn Lys Lys 450 Asn Lys Gi11 Ala Gly Val Phe Lys Gly Pro Asn 405 Thr His Asn Asn AsnIlie Giu 420 425 Phe Leu Thr Leu Asn Gly Lys 435 440 Ala Val Thr Gly Trp, Gin Thr 455 Leu Asn Thr Ala Glu Ala Ala 470 Lys Tyr Tyr Phe Asn Leu Asn 485 Thr Ile Asp Gly Lys Lys Tyr 500 505; Ser Thr Gly Tyr Thr Ser Ilie 515 520 410 Gly Lys Ile Thr Thr 490 Tyr Asn Phe Giu Tyr Phe Gin Ala Ile Val 430 Tyr Tyr Phe Asp 445 Asp Gly Lys Lys 460 Gly Trp, Gin Thr 475 Ala Giu Ala Aia Phe A-sn Thr Asn 510 Gly Lys His Phe 525 415 Tyr Asn Tryr Ile Thr 495 Thr Tyr Gin Asp Tyr Asp 480 Gly Phe Phe -311- Asn Thr Asp Gly Ile Met Gin Ile Glv Val Phe Lys Gly Pro Asn Gly 530 535 540 Phe Glu Tyr Phe Ala Pro Ala Asn Thr Asp Ala Asn Asn Ile Glu Gly 545 550 555 560 Gin Ala Ile Leu Tyr Gin Asn Lys Phe Leu Thr Leu Asn Gly Lys Lys 565 570 575 Tyr Tyr Phe Gly Ser Asp Ser Lys Ala Val Thr Gly Leu Arg Thr Ile 580 585 590 Asp Gly Lys Lys Tyr Tyr Phe Asn Thr Asn Thr Ala Val Ala Val Thr 595 600 605 Gly Trp Gin Thr Ile Asn Gly Lys Lys Tyr Tyr Phe Asn Thr Asn Thr 610 615 620 Ser Ile Ala Ser Thr Gly Tyr Thr Ile Ile Ser Gly Lys His Phe Tyr 625 630 635 640 :,:Phe Asn Thr Asp Gly Ile Met Gin Ile Gly Val Phe Lys Gly Pro Asp 645 650 655 Gly Phe Glu Tyr Phe Ala Pro Ala Asn Thr Asp Ala Asn Asn Ile Glu 660 665 670 00•* Gly Gin Ala Ile Arg Tyr Gin Asn Arg Phe Leu Tyr Leu His Asp Asn 675 680 685 Ile Tyr Tyr Phe Gly Asn Asn Ser Lys Ala Ala Thr Gly Trp Val Thr 690 695 700 Ile Asp Gly Asn Arg Tyr Tyr Phe Glu Pro Asn Thr Ala Met Gly Ala 705 710 715 720 Asn Gly Tyr Lys Thr Ile Asp Asn Lys Asn Phe Tyr Phe Arg Asn Gly 725 730 735 Leu Pro Gin Ile Gly Val Phe Lys Gly Ser Asn Gly Phe Glu Tyr Phe 740 745 750 Ala Pro Ala Asn Thr Asp Ala Asn Asn Ile Glu Gly Gin Ala Ile Arg 755 760 765 e Tyr Gin Asn Arg Phe Leu His Leu Leu Gly Lys Ile Tyr Tyr Phe Gly 770 775 780 Asn Asn Ser Lys Ala Val Thr Gly Trp Gin Thr Ile Asn Gly Lys Val 785 790 795 800 Tyr Tyr Phe Met Pro Asp Thr Ala Met Ala Ala 805 810 INFORMATION FOR SEQ ID NO:8: SEQUENCE CHARACTERISTICS: LENGTH: 91 amino acids TYPE: amino acid STRANDEDNESS: unknown TOPOLOGY: unknown (ii) MOLECULE TYPE: protein (xi) SEQUENCE DESCRIPTION: SEQ ID NO:8: Ser Tyr Lys Ile Ile Asn Gly Lys His Phe Tyr Phe Asn Asn Asp Gly 1 5 10 is Val Met Gin Leu Gly Val Phe Lys Gly Pro Asp Gly Phe Glu Tyr Phe 312- Ala Pro Ala Asn Thr Gin Asn Asn Asn Ile 40 Tyr Gin Ser Lys Phe Leu Thr Leu Asn Gly 55 Asn Asn Ser Lys Ala Vai Thr Gly Trp Arg 70 Tyr Tyr Phe Asn Pro Asn Asn Mla Ile Mla AS Giu Giy Gin Mla Ile Vai Lys Lys Tyr Tyr Phe Asp Ile Ile Asn Asn Giu Lys 75 Aila a a a a INFORMATION FOR SEQ ID NO:9: Ci) SEQUENCE CHARACTERISTICS: CA) LENGTH: 7101 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: linear (ii) MOLECULE TYPE: DNA (genomic) (ix) FEATURE: NAME/KEY: CDS LOCATION: 1. .7098 (xi) SEQUENCE DESCRIPTION: SEQ ID NO:9: ATG AGT TTA GT1T AAT AGA AAA CAG TTA GAA AAA ATG GCA AAT 48 Met Ser Leu Vai Asn Arg Lys Gin Leu Giu Lys Met Ala Asn 1 5 10 TTT CGT ACT CAA GAA GAT GAA TAT GTT GCA ATA TTG GAT GCT 96 Phe Arg Thr Gin Giu Asp Giu Tyr Val Ala Ile Leu Asp Ala 20 25 GTA AGA Val Arg TTA GAA Leu Giu GAA TAT CAT AAT ATG TCA GAG ART ACT GTA GTC GAA AAA TAT TTA AAA 144 Giu Tyr His Asn Met Ser Giu Asn Thr Val Val Giu Lys Tyr Leu Lys 35 40 TTA ARA GAT ATA ART AGT TTA ACA GAT ATT TAT ATA GAT ACA TAT AAA 192 Leu Lys Asp Ile Asn Ser Leu Thr Asp Ile Tyr Ile Asp Thr Tyr Lys 50s 55 AAA TCT GGT AGA ART AAA GCC TTA AAA AAA TTT ARG GAR TAT CTA GTT 240 Lys Ser Gly Arg Asn Lys Ala: Leu Lys Lys Phe Lys Giu Tyx. Leu Val 70 75 s0 ACA GAR GTA TTA GAG CTA ARG ART ART ART TTA ACT CCA GTT GAG AAR 288 Thr Giu Val Leu Giu Leu Lys Asn Asn Asn Leu Thr Pro Vai Giu Lys 85 90 ART flTA CAT TTT GTT TGG ATT GGA GGT CAR ATA AAT GAC ACT GCT ATT 336 Asn Leu His Phe Val Trp Ile Gly Giy Gin Ile Asn Asp Thr Ala Ile 100 105 110 ART TAT ATA ART CAR TGG AAA GAT GTA ART AGT GAT TAT ART GTT ART 384 Asn Tyr Ile Asn Gin Trp Lys Asp Val Asn Ser Asp Tyr Asn Vai Asn 115 120 125 313 GTT TTr TAT GAT AGT AAT GCA TTT TTG ATA 432 Val Phe Tyr Asp Ser Asn Ala Phe Leu Ile 130 135 GTA GTA GAA TCA GCA ATA AAT GAT ACA CTT 480 Val Val Glu Ser Ala lie Asn Asp Thr Leu 145 150 TTA AAT GAC CCT AGA TTT GAC TAT AAT AAA 528 AAC ACA TTG AA AAA Asn Thr Leu Lys Lys 140 GAA TCA TTT AGA GAA Glu Ser Phe Arg Glu 155

AAC

Asn 160 TTC TTC AGA AAA Phe Phe Arg Lys Leu Asn Asp GAA ATA ATT 576 Glu Ile Ile Pro Arg 165 TAT GAT Tyr Asp Phe Asp Tyr Asn Lys 170 AAA CAG AAA AAT TTC Lys Gin Lys Asn Phe 185 CCT GAA CTT ATA ATT Pro Glu Leu lie Ile CGT ATG Arg Met 175 AAA GCT Lys Ala ATA AAC TAC Ile Asn Tyr a a CAA AGA 624 Gin Arg TAT CTT 672 Tyr Leu 210 ATT GAA 720 Ile Glu 225 AGA AAC 768 Arg Asn

AAT

GAT

Asp 200 AAT GAG TAT TCA AAG Asn Giu Tyr Ser Lys 215 TCC TTA AAT AAA ATT Ser Leu Asn Lys Ile GAG ATA GAT Glu Ile Asp GAT ATT GTA AAG ACA Asp Ile Val Lys Thr 205 GAA CTT AAT ACC TAT Glu Leu Asn Thr Tyr

GAA

Glu ACA CAG Thr Gin GGA AAT GAT Gly Asn Asp 230 TTT GAA GAA TTT Phe Giu Giu Phe 245 CAA GAG TTG GTA GAA 816 Gin Giu Leu Val Glu 260 AGA ATA TCT GCA TTA 864 Arc Ile Ser Ala Leu

AGG

Arg AAA AAT GGA GAG TCA Lys Asn Gly Glu Ser 250 TGG AAT TTA GCT GCT Trp Asn Leu Aia Ala TTC AAC Phe Asn GCT TCT Ala Ser TTA TAT GAA Leu Tyr Glu 255 GAC ATA TTA Asp Ile Leu 270 265 AAA GAA ATT GGT Lys Giu Ile Gly 280 GGT ATG Gly Met 275 ATG TTA CCA 912 Met Leu Pro TAT TTA GAT GTT GAT Tyr Leu Asp Val Asp 285 TCT ATA GAG AAA CCT Ser Ile Giu Lys Pro GGA ATA CAA CCA Gly Ile Gin Pro 295 ACA GTG GAT TTT Thr Val Asp Phe 310 GAC TTA Asp Leu TGG GAA Trp G1U TTT GAG Phe Glu ATG ACA Met Thr 315

GTA

Val 300

AAG

Lys

TTA

Leu GAA GCT ATA Glu Ala Ile 320 CAT TTT GAC His Phe Asp ATG AAA TAC AM GMA TAT ATA CCA GMA TAT ACC TCA GMA 1.008 Met Lys Tyr Lys Glu Tyr le Pro Glu Tyr Thr Ser Glu 325 330 335 CTA GCT TC ATG TTA GAC GAA GAA GTT CAA AGT 1056 Met Leu Asp Glu Giu Val Gin Ser 340 AGT TTT GAA TCT GTT Ser Phe Giu Ser Val Leu Ala Ser 345 350 -314 AAG TCA GAT AAA TCA GAA ATA TTC TCA TCA CTT GGT GAT ATG GAG GCA 1104 Lys Ser Asp Lys Ser Glu Ile Phe Ser Ser Leu Giy Asp Met Giu Ala 355 360 365 TCA CCA CTA GAA GTT AAA ATT GCA TTT MAT AGT AAG GGT ATT ATA MAT a a. a. a a 9* a 1152 Ser Pro Leu 370 CMA GGG CTA 1200 Giln Gly Leu 385 AAA CMA ATC 1248 Lys Gin Ile GCT ATT AGC 1296 Ala Ile Ser GAT ACT ATA 1344 Asp Ser Ile 435 GMA CTA GGA 1392 Giu Leu Gly 450 ACT ATT MAC 1440 Thr Ile Asn 465 Giu Val Lys Ile 380 GAC TCA TAT TGT AGC ATT TCT Ile Ser GAG MAT Giu Asn 405 GAG GAT Giu Asp Asp Ser Tyr 395

AAT

Asn Ser Msn Leu Ile AGA TAT MAA ATA TI'G Arg Tyr Lys Ile Leu 410 MAT GAT Tfl AAT ACT Msn Asp Phe Msn Thr 425 GMA GCT MAT GCA GAT Giu Ala Msn Ala Asp AGT TTA MAT CCA Ser Leu Msn Pro 415 MAT TTA ATA GTA 420

ATG

Met Thr Thr Msn Thr Phe Ile 430 MAT GGT AGA TTT ATG ATG Msn Gly Arg Phe Met Met

GCT

Al a MAG TAT TTA AGA Lys Tyr Leu Arg 455 T1'A AGT GGC CCT Leu Ser Giy Pro 470 GGT TTC Giy Phe TTC CCA Phe Pro 460 GCG GCA Ala Ala GTT MAA ACT Val Lys Thr GMA GCA TAT Glu Aia Tyr GCT TAT CMA GAT Ala Tyr Gin Asp 480 TTA TTA ATG TTT MAA GMA GGC AGT ATG MAT ATC CAT TTG ATA GMA GCT 1488 Leu Leu Met Phe Lys Glu Gly Ser fMet Asn Ile His Leu Ile Glu Ala 485 490 495 GAT TTA AGA MAC TTT GMA ATC TCT AAA ACT MAT ATT TCT CMA TCA ACT 15~36 Asp Leu Arg Msn Phe Giu Ile Ser Lys Thr Msn Ile Ser Gin Ser Thr 500 505 510 GM CMA GMA ATO OCT AGC TTA TOG TCA TTT OAC OAT GCA AGA OCT MA 1584 Giu Gin Giu Met Ala Ser Leu Trp, Ser Phe Asp Asp Ala Arg Ala Lys 515 520 525 GCT CMA TTT GMA GMA TAT MAA AGG MAT TAT TTT GMA GGT TCT CTT GGT 1632 Ala Gln Phe Olu Giu Tyr Lys Arg Msn Tyr Phe Glu Gly Ser Leu Gly 530 535 540 GMA GAT GAT MAT CTI' GAT TTT TCT CAA M.T ATA GTA GTT GAC MAG GAG 1680 1JL -j A -sln Leu Asp Phe Ser Gln Asn le Val Val Asp Lys Glu 545 550 TAT CTT TTA GM MAA ATA TCT TCA 1728 Tyr Leu Leu Giu Lys Ile Ser Ser 565 TrA GCA Leu Ala 570 AGA ACT Arg Ser TCA GAG AGA OGA Ser Glu Arg Gly 575 315 TAT ATA CAC TAT ATT GTT CAG TTA CAA GGA GAT AAA ATT ACT TAT GAA 1776 Tyr Ile His Tyr Ile Val Gin Leu Gin Gly Asp Lys Ile Ser Tyr Giu 580 585 590 GCA GCA TGT AAC TTA TTT GCA AAG ACT CCT TAT GAT AGT GTA CTG TrT 1824 Ala Ala Cys Asn 595 0 0 *0 0 *0*0 0000 *0 0 0 CAG AAA 1872 Gin Lys 610 GAT GGT 1920 Asp Gly 625 TCT GAT 1968 Ser Asp GAA TTTr 2016 Glu Phe AAT ATA Asn Ile GAA ATA Leu Phe Ala GAA GAT TCA Giu Asp Ser 615 CAA GAA ATA Gin Cii Ile Thr Pro Tyr Asp Ser 605 Val Leu Phe

GAC

Asp 630 6 3 5 O C ATT GCA TAT TAT TAT AAT CCT GGA Ile Aia Tyr Tyr Tyr Asn Pro Gly 620 AAG TAT AAA ATT CCA ACT ATA ATT Lys Tyr Lys Ile Pro Ser Ile Ile AGA CCT AAG Arg Pro Lys 645 Ile AAA TTA ACA TT Lys Leu Thr Phe 650 Ile Gly CAT GGT His Gly AAA GAT Lys Asp 655 AAT ACT GAT ATA =T GCA GGT Asn Thr Asp Ilie Phe Ala Gly 660 665 ATA GAA GCA GCA ATA GAT TTA Ile Giu Ala Ala Ile Asp Leu 675 680 Phe GAT GTA GAT Asp Val Asp see* 000: ACA GAA 2064 Thr Giu AAG TCA 2112 Lys Ser 690 ATC AAC 2160 Ile Asn '705 GAT AAA 2208 Asp Lys GCT AAA Ala Lys ATA GAA ATA AAT Ile Glu Ile Asn TTA GGA TGT Leu Giy Cys Asn Met Phe 700 GAG GAT Glu Asp 685 Ser Leu Ser 670 ATT TCT CCT Ile Ser Pro AGC TAC TCT Ser Tyr Ser AAA GTT AAA Lys Val Lys 720 TCT ATT ATA Ser Ile Ile GTA GAG Val Ciii GAG ACT Ciii Thr 710 CCT GGA AAA TTA Pro Giy Lys Leu 715 Leu Leu ATA TCA GAA Ile Ser Glu 725 GTA AGT 2256 Val Ser GAA TTA 2304 Giu Leu Ala Asn Gin 740 TTG GAT CAT Leu Asp His 755 Leu Met Pro Ser Ile Ser 730 TAT GAA OTT AGA ATA AAT Tyr Giu Vai Arg Ile Asn 745 TCT GGT GAA TGG ATA AAT Ser Gly Giu Trp Ile Asn

CAA

Gin

ACT

Ser

AAA

Lys

GAC

Asp GAA GGA AGA AGA Glu Giy Arg Arg 750 GAA GAA AGT ATT Guu Giu Ser Ile 765 760 ATA AAG GAT ATT TCA TCA AAA GAA 2352 Ile Lys Asp Ile Ser Ser Lys Giu 770 775 AAT AAA ATT ACA GTA AAA TCT AAA 2400 Asn Lys Ile Thr Val Lys Ser Lys 785 790 TAT ATA TCA TTT AAT CCT AAA GAA Tyr Ile Ser Phe Asn Pro Lys Giu 780 AAT TTA CCT GAG CTA TCT ACA TTA Asn Leu Pro Glu Leu Ser Thr Leu 795 800 -316 TA CAA GAA AT? AGA AAT AAT TCT AAT TCA AGT GAT AT? GAA C-A GAA 2448 Leu Gin Giu Ile Arg Asn Asn Ser Asn Ser Ser Asp Ile Giu Leu Giu 805 810 815 GAA AAA GTA ATG TTA ACA GAA 2496 TGT GAG ATA AAT GTT AT? TCA AAT ATA Glu Lys Val Met 820 Leu Thr Giu Cys GAT ACG 2544 Asp Thr 0* @0 S C a

S*

S S i *5*e 6 a a.

a a a.

"a.

a.

a. a S @9 a S a S a a.

a a

OS..

S

0 TCT GAC 2592 Ser Asp 850 AT? TCT 2640 Ile Ser 865 TCT CAT 2688 Ser His AG? ATA 2736 Ser Ile CAA AT? Gin Ile 835 TCT AT? Ser Ile GA? GCA Asp Aia GT? GAG GAA Vai Giu Giu AA? TA? ATA Asn Tyr Ile 855 CTA TG? GAC Leu Cys Asp AGG AT? Arg Ile 840 AAA GA? Lys Asp

TA

Leu AAA CAA CAG AAT Lys Gin Gin Asn 875 ATA TCA GAG ACT Ile Ser Glu ?hr 830 GAA GAA GCT AAG AA? TA ACT Giu Giu Ala Lys Asn Leu ?kir 845 GAA TTT AAA CTA ATA GAA TCT Giu Phe Lys Leu Ile Giu Ser 870 GAA TA GAA GA? Giu Leu Giu Asp 880 GA? GAG GGA TTT Asp Giu Gly Phe 895 TTT ATA TCT Phe Ile Ser 885 AGA TTT AT? Arq Phe Ile Phe GAG GAC Giu Asp AAT AAA Asn Lys ACT GAA AAA 2784 ?hr Giu Lys 915 AT? TCT AAG 2832 le Ser Lys 930 GTA AAA AAA 2880 Vai Lys.Lys 945 GCT GCA TT? 2928 Ala Ala Phe TCT CT? AG? 2976 Ser Leu Ser 900

ACA

Thr GAA AC? GGA GAA Giu ?hr Gly Giu 905 GAA TAT GCT AAT Giu Tyr Ala Asn ATA TC TCT Ile Phe Ser Ser Ile Phe Val Giu 910 CAT ATA ACT GAA GAG His Ile Thr Giu Glu 925 GA AAT GGT AAG TA Vai Asn Gly Lys Leu ATA AAA GGT ACT Ile Lys Gly Thr 935 GTA AAT TTA GA? Vai Asn Leu Asp ATA TTT Ile Phe ACT ACA Thr Thr GA? ACT Asp Thr His Giu 955 GAA TAT Giu Tyr 970

GTA

Val AAT ACT Asn Thr AG? TCT Ser Ser TTA AAT Leu Asn 960 AAA GAA Lys Giu 975 TTT ATA Phe Ile 965 TCA TA ATA Ser Leu Ile

AA?

Asn TA TT AG? ACT 3024 Leu Phe Ser Thr 995 GA.A TA GTA TCA 3072 Giu Leu Vai Ser 1010 TA AG? GTA GCA ATG Leu Ser Vai Ala Met 985 GGT TA AAT ACT ATT Gly Leu Asfl Thr Ile 1000 ACT GCA TA GAT GAA Thr Ala Leu Asp Giu 1015 AAA GTC CAA GTT TAC GCT CAA Lys Val Gin Val Tyr Ala Gin 990 ACA GAT GCA GCC AAA GT? GTT Thr Asp Ala Ala Lys Val Val 1005 ACT ATA GAC TA CT? CCT ACA Thr Ile Asp Leu Leu Pro Thr 1020 317 IA TCT GAA GGA TTA CCT ATA ATT GCA ACT ATT ATA GAT GGT GTA AGT 3120 Leu Ser Glu Gly Leu Pro Ile Ile Ala Thr lie lie Asp Gly Val Ser 1025 1030 1035 1040 TTA GGT GCA GCA ATC AAA GAG CTA AGT GAA ACG AGT GAC CCA TTA TTA 3168 Leu Gly Ala Ala Ile Lys Glu Leu Ser Glu Thr Ser Asp Pro Leu Leu 1045 1050 1055 AGA CAA GAA ATA GAA GCT AAG ATA GGT ATA ATG GCA GTA AAT TTA ACA 3216 Arg Gin Giu lie Glu Ala Lys Ile Gly lie Met Ala Val Asn Leu Thr 1060 1065 1070 ACA GCT ACA ACT GCA ATC ATT ACT TCA TCT TTG GGG ATA OCT ACT GGA 3264 Thr Ala Thr Thr Ala lie Ile Thr Ser Ser Leu Gly Ile Ala Ser Cly 1075 1080 1085 TTT ACT ATA CTT TTA GTT CCT TTA GCA GGA ATT TCA GCA GOT ATA CCA 3312 Phe Ser Ile Leu Leu Val Pro Leu Ala Gly Ile Ser Ala Gly Ile Pro 1090 1095 1100 AGC TTA CTA AAC AAT GAA CTT GTA CTT CGA CAT AAG GCA ACA AAC GTT 3360 Ser Leu Val Asn Asn Glu Leu Val Leu Arg Asp Lys Ala Thr Lys Val 1105 1110 1115 1120 CTA GAT TAT TTT AAA CAT CTT TCA TTA GTT GAA ACT GAA GGA GTA 11'T 3408 Val Asp Tyr Phe Lys His Val Ser Leu Val Glu Thr Glu Gly Val Phe 1125 1130 1135 ACT TTA TTA CAT CAT AAA ATA ATC ATG CCA CAA CAT CAT TTA GTG ATA .3456 Thr Leu Leu Asp Asp Lys Ile Met Met Pro Gin Asp Asp Leu Val Ile 1140 1145 1150 TCA CAA ATA GAT TTT AAT AAT AAT TCA ATA GTT TTA GGT AAA TGT GAA ****3504 Ser Glu Ile Asp Phe Asn Asn Asn Ser Ile Val Leu Gly Lys Cys Glu 1155 1160 1165 ATC TOG AGA ATG GAA CGT GCT TCA GOT CAT ACT OTA ACT CAT CAT ATA 3552 Ile T-p Arg Met Giu Gly Gly Ser Oly His Thr Val Thr Asp Asp Ile 1170 1175 1180 GAT CAC TTC TTT TCA GCA CCA TCA ATA ACA TAT AGA GAG CCA CAC TTA 3600 Asp His Phe Phe Ser Ala Pro Ser Ile Thr Tyr Arg Glu Pro His Leu 1185 1190 1195 1200 TCT ATA TAT CAC CTA TTG GAA CTA CAA AAA GAA GAA CTT CAT TTG TCA 3648 Ser Ile Tyr Asp Val Leu Clu Val Gin Lys Giu Giu Leu Asp Leu Ser 1205 1210 1215 AAA CAT TTA ATG CTA TTA CCT AAT GCT CCA AAT AGA GTA TTT GCT TGG 3696 Lys Asp Leu Met Val Leu Pro Asn Ala Pro Asn Arg Val Phe Ala Trp 1220 1225 1230 CAA ACA OGA TGG ACA CCA GGT TTA AGA AGC TTA CMA AAT CAT GOC ACA 3744 Glu Thr Gly Tx-p Thr Pro Gly Leu Arg Ser Leu Glu Asn Asp Oly Thr 1235 1240 1245 -318- AAA CTC TTA GAC CGT ATA AGA GAT AAC 3792 Lys Leu Leu Asp Arg Ile Arg Asp Asn 1250 1255 AGA TAT TTT GCT TTT ATA GCT GAT GCT 3840 Arg Tyr Phe Ala Phe Ile Ala Asp Ala 1265 1270 AGA TAT GAA GAT ACT AAT ATA AGA ATA TAT GAA GGT GAG TT TAT TGG Tyr Giu Oly Glu Phe Tyr T-p, 1260 TTA ATA ACA ACA TTA AAA CCA Leu Ile Thr Thr Leu Lys Pro 1275 1280 AAT TTA CAT ACT AAT ACT AGA ASn Leu Asp Ser Asn Thr Arg 1290 1295 GAA TAT ATA AGA GAA AAA TTA Glu Tyr Ile Arg Giu Lys Leu 3888 Arg Tyr AGT TT? 3936 Ser Phe Glu Asp Thr 1285 ATA GTT CCA Ile Val Pro 1300 TCA TAT TCT 3984 Ser Tyr Ser 1315 CAA TAT MAT 4032 Gin Tyr Asn 1330 AT? ATA CAT 4080 Ile Ile Asp 1345 AAA ATT AAA 4128 Lys Ile Lys TTC TAT Phe Tyr As Ile Arg ATA ATA ACT Ile Ile Thr OCT TCA GCA Cly Ser Cly 1320 ATA AAT ATA Ile Asn Ile 1335 Ilie

AICA

rhr 130~

GGA

Gly ACT TAT Thr Tyr GCA TTC TCT Ala Leu Ser 1325 CTT TCT Leu Ser CT? TCC Val Ti-p ATC CCT Met Cly CT? CAT AAT CT? GTC Val Asp Asn Val Val 1350 AAA CGT CAT TA ATA Lys Cly Asp LeuIle 1365 GAA TTA ACT OAA Clu Leu Ser Ciu 1340 AGA CAT OTA ACT Arg Asp Val Thr 1355 CAA OCT AT? TA Glu Cly Ile Leu 1370 ATA CAA TCT CAT Ile Clu Ser Asp 1360 TCT ACA CTA ACT Ser Thi- Leu Ser 1375 AT? AAT TT? TCT Ile Asn Phe Ser 1390 ACA rrr TCA AT? Thr Phe Ser Ile Ser Asp AT? CAA CAG AAT AAA AT? ATC TA AAT AGC 4176 Ile Ciu Ciu Asn Lys Ile Ile Leu Asn Ser 1380 1385 COT GAG OTA AAT GCA ACT AAT GGA TTT OTT 4224 Oly Giu Val Asn Gly Ser Asn Gly Phe Val 1395 1400 TTA OAA OCA ATA AAT OCA AT? ATA GAA OTT 4272 Leu Olu Gly Ile Asn Ala Ile Ile Giu Vai CAT GAG His Giu TCT TA 1405 OAT TTA TA TCT AAA TCA Asp Leu 1410 TAT AAA TA CT? 4320 Tyr Lys Leu Leu 1425 AT? TCT OGC CAA Ile Ser Gly Ciu 1430 TA AAA ATA TG Leu Lys Ile Leu 1435 Leu Ser Lys Ser ATC TA AAT TCA Met LeU Asn Ser 1440 AAT CAT AT? CAA CAC AAA ATA CAT TAT ATA OGA TTC MAT ACC GMA TA 4368 Asn His Ile Gin Gin Lys Ile Asp Tyr Ile Oly Phe Asn Ser Giu Leu 1445 1450 1455 CAC AMA MT ATA CCA TAT AGC =T GTA GAT ACT GMA OGA AAA GAG MAT 4416 Gin Lys Asn Ile Pro Tyr Ser Phe Val Asp Ser Giu Oly Lys Ciu Asn 1460' 1465 1470 319- GGT TTT ATT AAT GGT TCA ACA AAA GAA GOT TTA TTr GTA TCT 4464 Gly Phe Ile Asn Gly Ser Thr Lys Giu Gly Leu Phe Val Ser 1475 1480 1485 CCT GAT GTA GTT CTT ATA ACT AAG GTT TAT ATC GAT GAT AGT 4512 Pro Asp Val Val Leu Ile Ser Lys Val Tyr Met Asp Asp Ser 1490 1495 1500 TCA TTT GGA TAT TAT AGT AAT AMT TTG AAA GAT GTC AAA GTT 4560 Ser Phe Gly Tyr Tyr Ser Asn Asn Leu Lys Asp Val Lys Val 1505 1510 1515 GMA TTA Glu Leu AAG CC? Lys Pro ATA ACT Ile Thr 1520 AAA GAT 4608 Lys Asp AAA ATC 4656 Lys Ile AAT CTT AAT ATA TTA ACA GGT TAT TAT Asn Val Asn Ile Leu Thr Gly Tyr Tyr 1525 1530 TCT CTT TCT TTC ACT CTA CAA CAT GAA Ser Leu Ser Leu Thr Leu Gin Asp Giu 1540 1545 GTC CAT TTA CAT CAA ACT GGA CTA GCT Val His Leu Asp Gbu Ser Gly Val Ala 1555 1560 ACA AAA CC? AAT ACA AAT ACT TCA GAT Arg Lys Cly Asn Thr Asn Thr Ser Asp 0 1575 CT? AAC CAT CAT ATA Leu Lys Asp Asp Ile 1535 AAA ACT ATA AAC TTA Lys Thr Ile Lys Leu 1550 GAG AT? TTG AAC TC Glu Ile Leu Lys Phe 1565 TCT TTA ATC AC Ser Leu Met Ser Phe 1580 AAT ACT 4704 Asn Ser ATO AAT 4752 Met Asn 157C TA CAA ACT ATO AAT ATA AMA ACT AT? TTC CT? AAT TTC TTA CAA TCT 4800 Leu Giu Ser Met Asn Ile Lys Ser Ile Phe Val Asn Phe Leu Gin Ser 1585 1590 1595 1600 AAT AT? MCG TT? ATA TTA CAT GC AAT TTT ATA ATA ACT CCT ACT ACT 4848 Asn Ile Lys Phe Ile Leu Asp Ala Asn Phe Ile Ile Ser Cly Thr Thr 1605 1610 1615 TCT AT? C 4996 Ser Ile C CCA TAT 4944 Pro Tyr GTA GGA 4992 Val Gly 16 50 CAT TCT 5040 Asp Ser 1665 CTT TAT 5088 GCC CAA TTT GAG TTT ATT TGT CAT ;ly Gin Phe Glu Phe Ile Cys Asp 1620 1625 FTC ATT AAG TT? AAT ACA CTA GAA Phe Ile Lys Phe Asn Thr Leu Glu 1635 1640 AAT AGA CAA AAT ATG ATA GTG GAA Asn Arg Gin Asn Met Ile Val Clu 1655 GGA CAT ATA TCT TCA ACT GTT ATC Cly Asp Ile Ser Ser Thr Val Ilie 1670 GCA ATA GAC ACT TCT GTT MAT AAA GAA MAT CAT MAT ATA CMA Giu Asn Asp Asn Ile Gin 1630 ACT AAT TAT ACT TTA TAT Thr Asn Tyr Thx Leu Tyr 1645 CCA AAT TAT CAT TTA CAT Pro Asn Tyr Asp Leu Asp 1660 MAT TTC TCT CAA MC TAT Asn Phe Ser Gin Lys Tyr 1675 168 GTT GTA ATT TCA CCA MAT 0 Leu Tyr Gly Ile Asp 1685 Ser Cys Val Asn Lys Val Val le Ser Pro Asn 1690 1695 320 ATT TAT ACA OAT GAA ATA AAT ATA ACG CCT OTA TAT GAA ACA AAT AAT 5136 Ile Tyr Thr Asp Glu 1700 ACT TAT CCA GAA OTT 5184 Thr Tyr Pro Glu Val 1715 ATA AAT OTT AAT ATC 5232 Ile Asn Val Asn Ile 1730 OAT GGT AAT OAT TTT 5280 Asp Oly Asn Asp Phe 1745 Ile Asn Ile Thr Pro Val Tyr Olu ATT OTA TTA OAT OCA Ile Val Leu Asp Ala 1720 AAT TAT Asn Tyr

ATA

Ile 172~ 1710 AAT OAA AAA Asn Oiu Lys AAT OAT CTA TCT ATA COA TAT OTA TOO AOT AAT Asn Asp Leu Ser Ile Arg Tyr Val Trp, Ser Asn 1735 1740 ATT CTI' ATG TCA ACT AOT OAA GAA AAT AAG OTO Ile Leu Met Ser Thr Ser Giu 01u Asn Lys Val 1750 1755 176 0 TCA CAA OTT AAA ATA AGA TTC 5328 Ser Gln Val Lys Ilie Arg Phe 1765 OTT AAT OTT Trr AAA Val Asn Val Phe Lys 1770

G

OCA AAT AAG CTA TCT TTT AAC TTT AGT OAT AAA CAA G 5376 Ala Asn Lys Leu Ser Phe Asn Phe Ser Asp Lys Gin 1780 1785 ACT OAA ATA ATC TTA TCA TTT ACA CCT TCA TAT TAT C 5424 Ser 1u Ile Ile Leu Ser Phe Thr Pro Ser Tyr Tyr C 1795 18001 ATT 0CC TAT OAT TTO OOT CTA OTT TCT TTA TAT AAT 5472 Ile Oly Tyr Asp Leu Oly Leu Val Ser Leu Tyr Asn 1810 1815 1820 ATT AAT AAC TTT OOA ATO ATO OTA TCT OGA TTA ATA 5520 Ile Asn Asn Phe Oly Met Met Val Ser Oly Leu Ilie 1825 1830 1835 TCA TTA TAT TAT Tfl AAA CCA CCA OTA AAT AAT TTO AT AAO ACT TTO ,sp Lys Thr Leu 1775 AT OTA CCT OTA Lsp Val Pro Val 1790 ;AG OAT OGA TTG 1U ASP Cly Leu L805 ;AG AAA TTT TAT 31u Lys Phe Tyr ATT AAT Ile Asfl

GAT

ASP

1840

TTT

ATA ACT OCA 5568 Ser Leu Tyr Tyr Phe Lys Pro Pro Val Asn 1845 1850 OTO ACT 5616 Val Thr OTA GGC OAT Val Oly Asp 1860 OCT OCT TCA ATT OGA 5664 Ala Ala Ser Ile Oly 1875 AAC CAA ACT OOA OTG 5712 Asr. Gin Ser Oly Val 1890 TTT AAA TAT TTT 0CC 5760 Phe Lys Tyr Phe Ala 1905 OAT AAA TAC TAC TTT Asp Lys Tyr Tyr Phe 1865 GAG ACA ATA ATT OAT Olu Thr Ile Ile Asp 1880 TTA CAA ACA OCT 0TA Leu Cmn Thr Oly Val 1895 CCA OCT AAT ACA CTT Pro Ala Asn Thr Leu 1910 Asn Leu Ile Thr Oly Phe 1655 AAT CCA ATT AAT GOT OGA Asn Pro Ile Asn Oiy Gly 1870 OAC AAA AAT TAT TAT TTC Asp Lys Asn Tyr Tyr Phe 1885 TTT ACT ACA GAA OAT GGA Phe Ser Thr Olu Asp Oiy 1900 OAT GAA AAC CTA OAA OGA Asp Oiu Asn Leu Oiu Cly 1915 1920 321 GAA GCA ATT GAT TTT ACT GGA AAA TTA ATT ATT GAC GAA AAT ATT TAT 5806 Giu Ala Ile Asp Phe Thr Gly Lys Leu lie Lie Asp Giu Asn lie Tyr 1925 1930 1935 TAT TTT GAT GAT AAT TAT AGA GGA GCT GTA GAA TOG AAA GAA TTA GAT 5856 Tyr Phe Asp Asp Asn Tyr Arg Gly Ala Val Glu Trp Lys Glu Leu Asp 1940 1945 1950 GGT GAA ATG CAC TAT TTT AGC CCA GAA ACA GGT AAA GCT TTT AAA GGT 5904 Gly Giu Met His Tyr Phe Ser Pro Giu Thr Gly Lys Ala Phe Lys Gly 1955 1960 1965 CTA AAT CAA ATA GGT GAT TAT AAA TAC TAT TTC AAT TCT GAT GGA GTT 5952 Leu Asn Gin Ile Gly Asp Tyr Lys Tyr Tyr Phe Asn Ser Asp Gly Val 1970 1975 1980 ATG CAA-AAA GGA rrT GTT AGT ATA AAT GAT AAT AAA CAC TAT rT GAT 6000 Met Gin Lys Gly Phe Val Ser Ile Asn Asp Asn Lys His Tyr Phe Asp 1985 1990 1995 2000 GAT TCT GGT GTT ATG AAA GTA GGT TAC ACT GAA ATA OAT GGC AAG CAT 6048 Asp Ser Gly Val Met Lys Val Gly Tyr Thr Giu Ile Asp Giy Lys His 2005 2010 2015 TTC TAC TTT OCT GAA AAC GGA GAA ATG CAA ATA OGA OTA TTT AAT ACA 6096 Phe Tyr Phe Ala Glu Asn Oly Giu Met Gin Ile Gly Val Phe Asn Thr 2020 2025 2030 GAA GAT GGA TTT AAA TAT TTT GCT CAT CAT AAT GAA GAT TTA GGA AAT 6144 Glu Asp Gly Phe Lys Tyr Phe Ala His His Asn Giu Asp Leu Gly Asn 2035 2040 2045 GAA GAA GGT GAA GAA ATC TCA TAT TCT GOT ATA TTA AAT TTC AAT AAT 6192 Glu Giu Gly Giu Giu Ile Ser Tyr'Ser Gly le Leu Asn Phe Asn Asn 2050 2055 2060 AAA ATT TAC TAT TTT GAT OAT TCA TTT ACA GCT OTA OTT GOA TGG AAA 6240 Lys Ile Tyr Tyr Phe Asp Asp Ser Phe Thr Ala Val Val Gly Trp Lys 2065 2070 2075 2080 GAT TTA GAG GAT GOT TCA AAG TAT TAT TTT GAT GAA GAT ACA GCA GAA 6288 Asp Ler- Giu Asp Gly Ser Lys Tyr Tyr Phe Asp Glu Asp Thr Ala Glu 2085 2090 2095 OCA TAT ATA GOT TTG TCA TTA ATA AAT GAT GGT CAA TAT TAT TTT AAT 6336 Ala Tyr Ile Gly Leu Ser Leu Ile Asn Asp Gly Gin Tyr Tyr Phe Asn 2100 2105 2110 OAT OAT GGA ATT ATG CAA OTT OGA TTT GTC ACT ATA AAT GAT AAA GTC 6384 Asp Asp Oly Ile Met Gin Val Gly Phe Val Thr Ile Asn Asp Lys Val 2115 2120 2125 TTC TAC TTC TCT GAC TCT OGA ATT ATA GAA TCT GGA OTA CAA AAC ATA 6432 Phe Tyr Phe Ser Asp Ser Giy Ile Ile Glu Ser Gly Val Gin Asn Ile 2130 2135 2140 322 GAT GAC 6480 Asp Asp 2145 GTA TTT 6528 Val Phe GTA AAT 6576 Val Asn AGA GTT 6624 Arg Val ACT GGA 6672 Thr Gly 221 AAT TAT TTC TAT ATA GAT GAT AAT GGT ATA Asn Tyr Phe Tyr Ile Asp Asp Asn Gly Ile 2150 2155 GAT ACT TCA Asp Thr Ser 2165 GAT AAT ATT Asp Asn Ile 2180 GGG GAA GAT GlyGlu Asp 2195 TGG ATA TAT Trp Ile Tyr 0 GAT GGA TAT AAA TAT TTTr GCA Asp Gly Tyr Lys Tyr Phe Ala 2170 TAC GGA CAA GCA GTT GAA TAT Tyr Gly Gin Ala Val Glu Tyr 2185 GTA TAT TAT TTT GGA GAA ACA Val Tyr Tyr Phe Gly Glu Thr 2200 GTT CAA ATT GGT Val Gin Ile Gly 2160 CCT GCT AAT ACT Pro Ala Asn Thr 2175 AGT GGT TTA GTT Ser Gly Leu Val 2190 TAT ACA ATT GAG Tyr Thr Ile Glu 2205 4. 4@

S

*6 GAT ATG Asp Met 2215 ;AA AAT GAA Glu Asn Glu GAT AAA TAT Asp Lys Tyr 2220 TAT TTC Tyr Phe GAT GAT Asp Asp 2240 AAT CCA GAA ACT AAA AAA GCA TGC AAA GGT ATT AAT TTA ATT 6720 Asn Pro Glu Thr Lys Lys Ala Cys Lys Gly Ile Asn Leu Ile 2225 2230 2235 toes ATA AAA TAT TAT TTT GAT GAG AAG GGC ATA ATG 6768 Ile Lys Tyr Tyr Phe Asp Glu Lys Gly Ile Met 2245 2250 TCA TTT GAA AAT AAT AAT TAT TAC TTT AAT GAG 6816 Ser Phe Glu Asn Asn Asn Tyr Tyr Phe Asn Glu 2260 2265 TTT GGT TAT ATA AAT ATA GAA GAT AAG ATG TTC 6864 Phe Gly Tyr Ile Asn Ile Glu Asp Lys Met Phe 2275 2280 GGT GTC ATG CAG ATT GGA GTA TTT AAT ACA CCA 6912 Gly Val Met Gin Ile Gly Val Phe Asn Thr Pro 2290 2295 TTT GCA CAT CAA AAT ACT TTG GAT GAG AAT TrT 6960 Phe Ala His Gin Asf Thr Leu Asp Giu Asn Phe 2305 2310 231 AGA ACG GGT CTT ATA Arg Thr Gly Leu Ile 2255 AAT GGT GAA ATG CAA Asn Gly Glu Met Gin 2270 TAT TTT GGT GAA GAT Tyr Phe Gly Glu Asp 2285 GAT GGA TTT AAA TAC Asp Gly Phe Lys Tyr 2300 GAG GGA GAA TCA ATA Glu Gly Glu ;er lle 3 5 232 AAC TAT 7008 Asn Tyr GAT GAA 7056 Asp Glu TAT TAT 7098 Tyr Tyr ACT GGT TGG TTA GAT Thr Gly Trp Leu Asp 2325 TAT ATT GCA GCA ACT Tyr Ile Ala Ala Thr 2340 TTT GAT CCT GAT ACA Phe Asp Pro Asp Thr 2355 TTA GAT GAA AAG AGA TAT Leu Asp Glu Lys Arg Tyr 2330 GGT TCA GTT ATT ATT GAT Gly Ser Val Ile Ile Asp 2345 GCT CAA TTA GTG ATT AGT Ala Gin Leu Val Ile Ser 2360 236 TAT TTT ACA Tyr Phe Thr 2335 GGT GAG GAG Gly Glu Glu 2350

GAA

Glu 323

TAG

7101 INFORMATION FOR SEQ ID SEQUENCE CHARACTERISTICS: LE:NGTH: 2366 amino acids TYPE: amino acid TOPOLOGY: linear (ii) MOLECULE (xi) SEQUENCE Met Ser Leu Val Asn 1 5 Phe Arg Thr Gin Glu Giu Tvr His Asn Met 35 Leu Lys Asp Ile Asn Lys Ser Gly Arg Asn 65 Thr Glu Val Leu Glu Asn Leu His Phe Val 100 Asn Tyr Ilie Asn Gin 115 Val Phe Tyr Asp Ser 130 Val Vai Giu Ser Ala 145 TYPE: protein DESCRIPTION: SEQ ID Arg Lys Gin Leu Giu Lys Met Ala 10 Asp Glu Tyr Val Ala Ile Leu Asp 25 Ser Giu Asn Thr Val Val Giu Lys 40 Ser Leo Thr Asp Ilie Tyr Ile Asp 55 Lys Ala Leu Lys Lys Phe Lys Giu 70 75 Leo Lys Asn Asn Asn Leo Thr Pro 90 Trp Ile Gly Gly Gin Ile Asn Asp 105 Trp Lys Asp Val Asn Ser Asp Tyr 120 125 Asn Ala Phe Leu Ilie Asn Thr Leu 135 140 Ile Asn Asp Thr Leo Giu Ser Phe 150 155 Asn Val Arg Mla Leu Glu Tyr Leu Lys Thr Tyr Lys Tyr Leo Val Val Glu Lys Thr Aia Ile 110 Asn Val Asn Lys Lys Thr Arg Glu Asn 160 Leo Asn Asp Pro Arg Phe Asp Tyr Asn Lys Phe Phe Arg Lys Arg Met 165 170 175 Glu Gin Tyr Ile 225 Arg Gin Axg Met Ile Ilie Tyr 180 Arg Giu Giu 195 Leu Ser Asn 210 Glu Glu Ser Asn Phe Glu Gbu Leo Val 260 Ile Ser Ala 275 Leu Pro'Gly 290 Asp Asn Glu Leu Glu 245 Glu Leo Ile Lys Pro Tyr Asn 230 Phe Arg Lys Gin Gin Lys Asn Phe 185 Giu Leu Ile Ile 200 Ser Lys Giu Iil 215 Lys Ile Thr G1i Lys Asn Gly GIr 25 Trp Asn Leo Al1 265 Gl Ile Gly G1 280 Pro Asp Leo Ph 295 324 Li 0 a y Ile Asp As p Asn 235 Ser Ala Met Giu Asn Asp Glu 220 Ser Phe Ala Tyr Ser 300 Tyr Tyr Lys 190 Ile Val Lys 205 Leu Asn Thr Gly Asn Asp Asn Leo Tyr 255 Ser Asp Ile 270 Leo Asp Val 285 Ile Gbu Lys Thr Tyr Vali 240 Glu Leo

ASP

Pro Ser Ser Val Thr 305 Val Asp Phe Trp Giu Met Thr Lys Leu Giu Ala Ile 310 315 320 Met Lys Met Leu Lys Ser Ser Pro 370 Gin Giy 385 Lys Gin Ala Ile Asp Ser Giu Leu 450 Thr Ile 465 Tyr Asp Asp 355 Leu Leu Ile Ser Ile 435 Gly Asn Lys Giu Tyr Ile Pro Glu Giu 340 Lys Giu Ile Giu Giu 420 Met Lys Leu Giu Ser Vai Ser Asn 405 Asp Ala Tyr Ser Val Giu Lys Val 390 Arg Asn Giu Le u Gly 470 Gin Ile Ile 375 Lys Tyr Asp Al a Arg 455 Pro Ser Ser Phe 360 Ala Asp Lys Phe Asn 440 Val1 Glu Ser Phe Ser Ile Asn 425 Ala Gly Ala Tyr Thr Ser 330 Phe Giu Ser Ser Leu Gly Asn Ser Lys 380 Tyr Cys Ser 395 Leu Asn Asn 410 Thr Thr Thr Asp Asn Gly Phe Phe Pro 460 Tyr Ala Ala 4.75 Giu Val Asp 365 Gly Asn Ser Asn Arg 445 Asp Ala Leu Hi s Leu 350 Met Ile Leu Leu Thr 430 Phe Val1 Tyr Ile 335 Al a Giu Ile Ile Asn 415 Phe Met Lys Gin Giu 495 Ser Asn Val 400 Pro Ile Met Thr *Asp 480 *Ala Leu Leu Met Phe Lys Giu Giy Ser Met Asn Ile His 485 490 Asp Leu Arg Asn Phe Glu Ile Ser Lys S00 505 Thr Asn Ile Ser Gin Ser Thr 510 Glu Gin Ala Gin 530 Giu Asp 545 Tyr Leu Tyr Ile Ala Al1a Gin Lys 610 Asp Gly 625 Ser Asp Glu 515 Phe Asp Leu His Cys 595 Asn Gilu Arc Met Ala Ser Leu Giu Giu Tyr Lys 535 Asn Leu Asp Phe 550 Glu Lys Ile Ser 565 Tyr Ile Val Gin 580 Asn Leu Phe Ala Ile Glu Asp Ser 615 Ile Gin Glu Ile 630 Pro Lys Ile Lys 645 Trp 520 Arg Ser Ser Leu Lys 600 Glu Asp Leu Ser Phe Asp Asn Tyr Phe Gin Asn Ile 555 Leu Ala Arg 570 Gin Gly Asp 565 Thr Pro Tyr Ile Ala Tyr Lys Tyr Lys 635 Thr Phe Ile 650 Asp Ala Arg Aia Lys 525 Giu Gly Ser Leu Gly 540 Val Val Asp Lys Giu 560 Ser Ser Giu Arg Giy 5.75 Lys Ile Ser Tyr Giu 590 Asp Ser Val Leu Phe 605 Tyr Tyr Asn Pro Gly 620 Ile Pro Ser Ile Ile 640 Gly His Gly Lys Asp 655 325 Glu Ph Thr GI Lys Sf Ile Ar 705 Asp L Val S.

Glu L Ile L 7 Asn L '785 .Leu G Glu L Asp I) Sex I Ile ****865 Ser Ser Thr Ile Val 945 Ala Ser e eu rs 70 s ys er eu ss 70 vs Il .ys :hr ksp 850 Ser Hir Gl1 Se 93 Ly Al Le Asn Thr Asp Ii 660 Ile Glu Ala Al 675 Ile Glu Ile As Val Giu Giu Tk 7: Ile Ser Giu L 725 Ala Asn Gin T' 740 Leu Asp His S 755 Asp Ile Ser S Ile Thr Val L 7 Glu Ile Arg A 805 Val Met Leu T 820 Gin Ile Val C 835 Ser Ile Asn Asp Ala Leu s Phe Ile Ser 885 e Arg Phe Ile 900 u Lys Thr Ile 915 r Lys Ile Lys 0 s Lys Val Asn a Phe Phe Ile 965 :u Ser Asn Leu 980 e a nn ir

LO

eu yr er er ys 90 sn *hr ;lu ryr 87( Ph As Ph G1 Le 95 03

S(

Phe Ala Gly Ph 665 Ile Asp Leu Al 680 Leu Leu Gly C) 695 Tyr Pro Gly L~ Met Pro Ser I 7: Glu Val Arg I: 745 Gly Giu Trp I 760 Lys Giu Tyr I 775 Ser Lys Asn L Asn Ser Asn S 8 Glu Cys Giu 1 825 Glu Arg Ile C 840 Ile Lys Asp 855 3 Asp Leu Lys Glu Asp Ile n Lys Giu Thr 905 e Ser Giu Tyr 920 y Thr Ile Phe 935 u Asp Thr Thr .n Ser Leu Ile ?r Val Ala Met 985 ee aa Ps le 30 le le le eu er 10 le ;lu 3lu Gln Sei 89( Al As Hi 01 97 Ly Asp Vai Asp Ser Leu Si 670 Lys Glu Asp Ile Ser P: 685 Asn Met Phe Ser Tyr S.

700 Leu Leu Leu Lys Val L 715 7 Ser Gin Asp Ser Ile I 735 Asn Ser Giu Gly Arg A 750 Asn Lys Glu Glu Ser I 765 Ser Phe Asn Pro Lys G 780 Pro Giu Leu Ser Thr 1 795 8 Ser Asp Ile Giu Leu C 815 Asn Val Ile Ser Asn 830 Glu Ala Lys Asn Leu 845 Phe Lys Leu Ile Glu 860 Gin Asn Glu Leu Glu 875 Glu Thr Asp Glu Gly 0 895 y Glu Ser Ile Phe Vai 910 a Asf His Ile Thr Glu 925 p Thr Val Asn Gly Lys 940 s Gu Val Asn Thr Leu 955 u Tyr Asn Ser Ser Lys 0 975 's Val Gin Val Tyr Ala 990 er ro er ys le rg le ;lu ,eu )00 lu Ile rhr Ser Asp 880 Phe Glu Glu Leu As 960 Glu Gin 326 Leu Phe Ser Thr Gly Leu Asfl Thr Ile Thr Asp Ala Ala Lys Val Val 995 1000 1005 Giu Leu Val Ser Thr Ala Leu Asp Giu Thr Ile Asp Leu Leu Pro Thr 1010 1015 1020 Leu Ser Giu Gly Leu Pro Ile Ile Ala Thr Ile Ile Asp Gly Val Ser 1025 1030 1035 1040 Leu Gly Ala Ala Ilie Lys Giu Leu Ser Giu Thr Ser Asp Pro Leu Leu 1045 1050 1055 Arg Gin Giu Ile Giu Ala Lys Ile Gly Ile Met Ala Val Asn Leu Thr 1060 1065 1070 Thr Ala Thr Thr Ala Ile Ile Thr Ser Ser Leu Gly Ile Ala Ser Gly 1075 1080 1085 Phe Ser Ile Leu Leu Val Pro Leu Ala Gly Ile Ser Ala Gly Ile Pro 1090 1095 1100 :::Ser Leu Val Asn Asn Glu Leu Val Leu Arg Asp Lys Ala Thr Lys Val Val Asp Tyr Phe Lys His Vai Ser Leu Val Glu Thr Glu Gly Val Phe 1125 1130 1135 Thr Leu Leu Asp Asp Lys Ile Met Met Pro Gin Asp Asp Leu Val Ile 1140 1145 1150 Ser Giu Ile Asp Phe Asn Asn Asn Ser Ile Val Leu Gly Lys Cys Giu *1155 1160 1165 Ile Trp Arg Met Glu Gly Gly Ser Gly His Thr Val Thr Asp Asp Ile .**1170 11'75 1180 Asp His Phe Phe Ser Ala Pro Ser Ile Thr Tyr Arg Giu Pro His Leu *1185 1190 1195 1200 Ser Ile Tyr Asp Val Leu Giu Val Gin Lys Giu Glu Leu Asp Leu Ser 1205 1210 1215 Lys Asp Leu Met Val Leu Pro Asn-Ala Pro Asn Arg Val Phe Ala Trp *1220 1225 1230 G1u Thr Giy Trp Thr Pro Gly Leu Arg Ser Leu Giu Asn Asp Gly Thr .1235 1240 1245 Lys Leu Leu Asp Arg Ilie Arg Asp Asn Tyr Giu Giy Giu Phe Tyr Trp 1250 1255 1260 Arg Tyr Phe Ala Phe Ile Ala Asp Ala Leu Ile Thr Thr Leu Lys Pro 1265 1270 11275 1280 Arg Tyr Glu Asp Thr Asn Ile Arg Ile Asn Leu Asp Ser Asn Thr Arg 1285 1290 1295 Ser Phe Ile Val Pro Ile Ile Thr Thr Giu Tyr Ile Arg Giu Lys Leu 1300 1305 1310 Ser Tyr Ser Phe Tyr Gly Ser Giy Gly Thr Tyr Ala Leu Ser Leu Ser 1315 1320 1325 27 Gin Tvr Asn Met Gly Ile Asn Ilie Giu Leu Ser Giu Ser Asp Val Trp 1330 1335 1340 Ile Ilie Asp Val Asp Asn Val Val Arg Asp Val Thr Ile Giu Ser Asp 1345 1350 1355 1360 Lys Ile Lys Lys Gly Asp Leu Ilie Glu Gly Ilie Leu Ser Thr Leu Ser 1365 1370 1375 lie Giu Giu Asn Lys Ile Ile Leu Asn Ser His Giu Ile Asn Phe Ser 1380 1385 1390 Gly Giu Vai Asn Gly Ser Asn Gly Phe Val Ser Leu Thr Phe Ser Ile .1395 1400 1405 Leu Giu Gly Ile Asn Ala Ile 116 Glu Val Asp Leu Leu Ser Lys Ser 1410 1415 1420 Tyr Lys Leu Leu Ilie Ser Gly Giu Leu Lys Ilie Leu Met Leu Asn Ser 1425 1430 1435 1440 *Asn His Ile Gin Gin Lys Ile Asp Tyr Ile Gly Phe Asfl Ser Giu Leu *1445 1450 1455 Gin Lys Asn Ile Pro Tyr Ser Phe Val Asp Ser Giu Gly Lys Giu Asn 1460 1465 1470 Giy Phe Ile Asn Giy Ser Thr Lys Giu Giy Leu Phe Val Ser Giu Leu 1475 1480 1485 Pro Asp Val Val Leu Ile Ser Lys Vai Tyr Met Asp Asp Ser Lys Pro *1490 1495 1500 Ser Phe Gly Tyr Tyr Ser Asn Asn Leu Lys Asp Val Lys Val Ile Thr *1505 1510 1515 1520 Lys Asp Asn Val Asn Ile Leu Thr Gly Tyr Tyr Leu Lys Asp Asp Ile *1525 1530 1535 Lys Ile Ser Leu Ser Leu Thr Leu Gin Asp Giu Lys Thr Ile Lys Leu 1540 1545 1550 Asn Ser Val His Leu Asp Giu Ser Gly Val Ala Giu Ile Leu Lys Phe *1555 1560 1565 Met Asn Arg Lys Gly Asn Thr Asn Thr Ser Asp Ser Leu Met Ser Phe *1570 1575 1580 Leu Giu Ser Met Asn Ile Lys Ser Ile Phe Val Asn Phe Leu Gin Ser 1585 1590 1595 1600 Asn Ile Lys Phe Ile Leu Asp Aia Asn Phe Ile Ile Ser Gly Thr Thr 1605 1610 1615 Ser Ile Gly Gin Phe Giu Phe Ile Cys Asp Giu Asn Asp Asn Ile Gin 1620 1625 1630 Pro Tyr Phe Ile Lys Phe Asn Thr Leu Giu Thr Asn Tyr Thr Leu Tyr 1635 1640 1645 Val Gly Asn Arg Gin Asn Met Ile Val Giu Pro Asn Tyr Asp Leu Asp 1650 1655 1660 328 Asp Ser Gly Asp Ile Ser Ser Thr Val Ile Asn Phe Ser Gin Lys Tyr 1665 1670 1675 1680 Leu Tyr Gly Ile Asp Ser Cys Val Asn Lys Val Val Ile Ser Pro Asn 1685 1690 1695 Ile Tyr Thr Asp Glu Ile Asn Ile Thr Pro Val Tyr Glu Thr Asn Asn 1700 1705 1710 Thr Tyr Pro Glu Val Ile Val Leu Asp Ala Asn Tyr Ile Asn Glu Lys 1715 1720 1725 Ile Asn Val Asn Ile Asn Asp Leu Ser Ile Arg Tyr Val Trp Ser Asn 1730 1735 1740 Asp Gly Asn Asp Phe Ile Leu Met Ser Thr Ser Glu Glu Asn Lys Val 1745 1750 1755 1760 Ser Gin Val Lys Ile Arg Phe Val Asn Val Phe Lys Asp Lys Thr Leu 1765 1770 1775 Ala Asn Lys Leu Ser Phe Asn Phe Ser Asp Lys Gin Asp Val Pro Val 1780 1785 1790 Ser Glu Ile Ile Leu Ser Phe Thr Pro Ser Tyr Tyr Glu Asp Gly Leu 1795 1800 1805 Ile Gly Tyr Asp Leu Gly Leu Val Ser Leu Tyr Asn Glu Lys Phe Tyr 0 1810 1815 1820 Ile Asn Asn Phe Gly Met Met Val Ser Gly Leu Ile Tyr Ile Asn Asp 1825 1830 1835 1840 Ser Leu Tyr Tyr Phe Lys Pro Pro Val Asn Asn Leu Ile Thr Gly Phe 1845 1850 1855 Val Thr Val Gly Asp Asp Lys Tyr Tyr Phe Asn Pro Ile Asn Gly Gly 1860 1865 1870 Ala Ala Ser Ile Gly Glu Thr Ile Ile Asp Asp Lys Asn Tyr Tyr Phe 1875 1880 1885 Asn Gin Ser Gly Val Leu Gin Thr Gly Val Phe Ser Thr Glu Asp Gly 1890 1895 1900 Phe Lys Tyr Phe Ala Pro Ala Asn Thr Leu Asp Glu Asn Leu Glu Gly 0000o: 1905 1910 1915 1920 Glu Ala Ile Asp Phe Thr Gly Lys Leu Ile Ile Asp Glu Asn Ile Tyr 1925 1930 1935 Tyr Phe Asp Asp Asn Tyr Arg Gly Ala Val Glu Trp Lys Glu Leu Asp 1940 1945 1950 Gly Glu Met His Tyr Phe Ser Pro Glu Thr Gly Lys Ala Phe Lys Gly 1955 1960 1965 Leu Asn Gin Ile Gly Asp Tyr Lys Tyr Tyr Phe Asn Ser Asp Gly Val 1970 1975 1980 Met Gin Lys Gly Phe Val Ser Ile Asn Asp Asn Lys His Tyr Phe Asp 1985 1990 1995 2000 329 Asp Ser Gly Val Met Lys Val Gly Tyr Thr Glu Ile Asp Gly Lys His 2005 2010 2015 Phe Tyr Phe Ala Glu Asn Gly Glu Met Gin Ile Gly Val Phe Asn Thr 2020 2025 2030 Glu Asp Gly Phe Lys Tyr Phe Ala His His Asn Glu Asp Leu Gly Asn 2035 2040 2045 Glu Glu Gly Glu Glu Ile Ser Tyr Ser Gly Ile Leu Asn Phe Asn Asn 2050 2055 2060 Lys Ile Tyr Tyr Phe Asp Asp Ser Phe Thr Ala Val Val Gly Trp Lys 2065 2070 2075 2080 Asp Leu Glu Asp Gly Ser Lys Tyr Tyr Phe Asp Glu Asp Thr Ala Glu 2085 2090 2095 Ala Tyr Ile Gly Leu Ser Leu Ile Asn Asp Gly Gin Tyr Tyr Phe Asn 2100 2105 2110 S* Asp Asp Gly Ile Met Gin Val Gly Phe Val Thr Ile Asn Asp Lys Val 2115 2120 2125 Phe Tyr Phe Ser Asp Ser Gly Ile Ile Glu Ser Gly Val Gin Asn Ile S* 2130 2135 2140 Asp Asp Asn Tyr Phe Tyr Ile Asp Asp Asn Gly Ile Val Gin Ile Gly 2145 2150 2155 2160 Val Phe Asp Thr Ser Asp Gly Tyr Lys Tyr Phe Ala Pro Ala Asn Thr 2165 2170 2175 Val Asn Asp Asn Ile Tyr Gly Gin Ala Val Glu Tyr Ser Gly Leu Val 2180 2185 2190 Arg Val Gly Glu Asp Val Tyr Tyr Phe Gly Glu Thr Tyr Thr Ile Glu S2195 2200 2205 Thr Gly Trp Ile Tyr Asp Met Glu Asn Glu Ser Asp Lys Tyr Tyr Phe 2210 2215 2220 Asn Pro Glu Thr Lys Lys Ala Cys Lys Gly Ile Asn Leu Ile Asp Asp S2225 2230 2235 2240 Ile Lys Tyr Tyr Phe Asp Glu Lys Gly Ile Met Arg Thr Gly Leu Ile 2245 2250 2255 Ser Phe Glu Asn Asn Asn Tyr Tyr Phe Asn Glu Asn Gly Glu Met Gin 2260 2265 2270 Phe Gly Tyr Ile Asn Ile Glu Asp Lys Met Phe Tyr Phe Gly Glu Asp 2275 2280 2285 Gly Val Met Gin Ile Gly Val Phe Asn Thr Pro Asp Gly Phe Lys Tyr 2290 2295 2300 Phe Ala His Gin Asn Thr Leu Asp Glu Asn Phe Glu Gly Glu Ser Ile 2305 2310 2315 2320 Asn Tyr Thr Gly Trp Leu Asp Leu Asp Glu Lys Arg Tyr Tyr Phe Thr 2325 2330 2335 330 Asp Glu Tyr I e Ala Ala Thr Gly Ser Val Ile Ile Asp Gly Glu Glu 2340 2345 2350 Tyr Tyr Phe Asp Pro Asp Thr Ala Gin Leu Val Ile Ser Glu 2355 2360 2365 INFORMATION FOR SEQ ID NO:11: SEQUENCE CHARACTERISTICS: LENGTH: 19 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: linear (ii) MOLECULE TYPE: DNA (genomic) (xi) SEQUENCE DESCRIPTION: SEQ ID NO:11: TAGAAAAAAT GGCAAATGT 19 INFORMATION FOR SEQ ID NO:12: SEQUENCE CHARACTERISTICS: LENGTH: 21 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: linear (ii) MOLECULE TYPE: DNA (genomic) 0 (xi) SEQUENCE DESCRIPTION: SEQ ID NO:12: TTTCATCTTG TAGAGTCAAA G 21 INFORMATION FOR SEQ ID NO:13: SEQUENCE CHARACTERISTICS: LENGTH: 22 base pairs TYPE: nucleic acid STRANDEDNESS: single S*o TOPOLOGY: linear (ii) MOLECULE TYPE: DNA (genomic) (xi) SEQUENCE DESCRIPTION: SEQ ID NO:13: GATGCCACAA GATGATTTAG

TG

22 INFORMATION FOR SEQ ID NO:14: SEQUENCE

CHARACTERISTICS:

LENGTH: 22 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: linear (ii) MOLECULE TYPE: DNA (genomic) (xi) SEQUENCE DESCRIPTION: SEQ ID NO:14: CTAATTGAGC TGTATCAGGA

TC

22 331 INFORMATION FOR SEQ ID SEQUENCE CHARACTERISTICS: LENGTH: 27 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: linear (ii) MOLECULE TYPE: DNA (genomic) (xi) SEQUENCE DESCRIPTION: SEQ ID CGGAATTCCT AGAAAAAATG GCAAATG 27 INFORMATION FOR SEQ ID NO:16: i) SEQUENCE CHARACTERISTICS: LENGTH: 26 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: linear (ii) MOLECULE TYPE: DNA (genomic) (xi) SEQUENCE DESCRIPTION: SEQ ID NO:16: GCTCTAGAAT GACCATAAGC TAGCCA 26 INFORMATION FOR SEQ ID NO:17: SEQUENCE CHARACTERISTICS: LENGTH: 27 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: linear (ii) MOLECULE TYPE: DNA (genomic) (xi) SEQUENCE DESCRIPTION: SEQ ID NO:17: *o CGGAATTCGA GTTGGTAGAA AGGTGGA 27 INFORMATION FOR SEQ ID NO:18: SEQUENCE CHARACTERISTICS: LENGTH: 27 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: linear (ii) MOLECULE TYPE: DNA (genomic) (xi) SEQUENCE DESCRIPTION: SEQ ID NO:18: CGGAATTCGG TTATTATCTT AAGGATG 27 INFORMATION FOR SEQ ID NO:19: SEQUENCE CHARACTERISTICS: LENGTH: 28 base pairs TYPE: nucleic acid STRANDEDNESS: single TOPOLOGY: linear (ii) MOLECULE TYPE: DNA (genomic) 332 (xi) SEQUENCE DESCRIPTION: SEQ ID NO:19: 9 CGGAATTCTT GATAACTGGA

TTTGTGAC

28 INFORMATION FOR SEQ ID SEQUENCE CHARACTERISTICS: LENGTH: 511 amino acids TYPE: amino acid STRANDEDNESS: unknown TOPOLOGY: unknown (ii) MOLECULE TYPE: protein (xi) SEQUENCE DESCRIPTION: SEQ ID Leu Ile Thr Gly Phe Val Thr Val Gly Asp Asp Lys Tyr Tyr Phe Asn 1 5 10 Pro Ile Asn Gly Gly Ala Ala Ser Ile Gly Giu Thr Ile Ile Asp Asp 25 Lys Asn Tyr Tyr Phe Asn Gin Ser Gly Val Leu Gin Thr Gly Val Phe 40 Ser Thr Giu Asp Giv Phe Lys Tyr Phe Ala Pro Ala Asn Thr Leu Asp 55 Giu Asn Leu Giu Gly Giu Ala Ile Asp Phe Thr Gly Lys Leu Ilie Ile 70 75 *Asp Giu Asn Ile Tyr Tyr Phe Asp Asp Asn Tyr Arg Gly Ala Val Giu 90 Trp Lys Giu Leu Asp Gly Giu Met His Tyr Phe Ser Pro Giu Thr Gly 100 105 110 Lys Ala Phe Lys Giy Leu Asn Gin Ile Gly Asp Tyr Lys Tyr Tyr Phe 115 120 125 Asn Ser Asp Gly Val Met Gin Lys Gly Phe Val Ser Ile Asn Asp Asn :*.130 135 140 Lys His Tyr Phe Asp Asp Ser Giy Val Met Lys Vai Gly Tyr Thr Glu *145 150 155 160 Ile Asp Gly Lys His Phe Tyr Phe Ala Giu Asn Giy Giu Met Gin Ile 165 170 175 Gly Vai Phe Asn Thr Giu Asp Giy Phe Lys Tyr Phe Ala His His Asn 180 185 190 Giu Asp Leu Giy Asn Giu Giu Gly Glu Giu Ile Ser Tyr Ser Gly Ile 195 200 205 Leu Asn Phe Asn Asn Lys Ile Tyr Tyr Phe Asp Asp Ser Phe Thr Ala 210 215 220 Val Val Gly Trp Lys Asp Leu Glu Asp Giy Ser Lys Tyr Tyr Phe Asp 225 230 235 240 333 Giu Asp Thr Ala Giu Ala Tyr ile Gly Leu S.

245 250 Gin Tyr Tyr Phe Asn Asp Asp Gly Ile Met G 260 265 Ile Asn Asp Lys Val Phe Tyr Phe Ser Asp S 275 280 Gly Val Gin Asn Ile Asp Asp Asn Tyr PheT 290 295 Ile Val Gin Ile Gly Val Phe Asp Thr Ser 305 310 3 Ala Pro Ala Asn Thr Val Asn Asp Asn Ile 325 330 Tyr Ser Giy Leu Vai Arg Vai Giy Glu Asp N 340 345 Thr Tyr Thr Ile Giu Thr Gly Trp Ile Tyr3 355 360 Asp Lys Tyr Tyr Phe Asn Pro Glu Thr Lys 370 375 Asn Leu Ile Asp Asp Ile Lys Tyr Tyr Phe 385 390 Arg Thr Gly Leu Ile Ser Phe Giu Asn Asn 405 410 Asn Gly Giu Met Gin Phe Gly Tyr Ile Asn 420 425 Tyr Phe Gly Giu Asp Gly Vai Met Gin Ile 435 440 Asp Gly Phe Lys Tyr Phe Ala His Gin Asn 450 455 Giu Giy Glu Ser Ile Asn Tyr Thr Gly Trp 465 470 Arg Tyr Tyr Phe Thr Asp Glu Tyr Ile Ala 485 490 Ile Asp Gly Glu Glu Tyr Tyr Phe Asp Pro 500 505 INFORMATION FOR SEQ ID NO:2i: SEQUENCE

CHARACTERISTICS:

LENGTH: 608 amino acids TYPE: amino acid sTRANDEDNESS- unknown TOPOLOGY: unknown (ii) MOLECULE TYPE: protein er Leu in Vai er Gly yr Ile 300 ,sp Gly 1yr Gly Tal Tyr sp Met Lys Ala 380 Asp Giu 395 Asn Tyr Ile Glt Giy Val Thr Lei 461 Leu AS~ 475 Ala Th Asp Th Ile Asn Asp G 255 Giy Phe Vai T 270 Ile Ile Glu S 285 Asp Asp Asn G Tyr Lys Tyr P 3 Gin Ala Val G 335 Tyr Phe Giy C 350 Giu Asn Glu 365 Cys Lys Gly *Lys Gly Ile *Tyr Phe Asn 415 Asp Lys Met 430 Phe Asn Thr 445 a Asp Glu Asn p Leu Asp Giu r Giy Ser Val 495 r Ala Gin Leu 510 ly hr er ly 'he ;iu ;iu er Ilie Met 400 Glu Phe Pro Phe Lys 480 Ile -334- (xi) ser 1 SEQUENCE DESCRIPTION: SEQ ID NO:2i: Glu Giu Asn Lys Val Ser Gin Val Lys 5 10 Ile Arg Phe Val Asn Val is Phe Lys Lys Gin Tyr Tyr Tyr Asfl Leu Ile Asn Leu Asn Pro Asp Lys 130 Phe Ser 145 Lys 20 Vai As p Lys Ile Thr 100 Asn Tyr Giu I'hr Leu Ala Asn Pro Gly Phe Asn 85 Gly Gi y Tyr Asp Ser Ile 55 Ile Ser Val1 Al a Asn 135 Phe G iu 40 Gly Asn Leu Thr Al a 120 Gin Lys 2 'ys Leu Ser Phe Asn Phe Ser Asp C

C.

le Ile -yr Asp ~sn Phe ryr Tyr 90 Val Gly 1OS Ser Ile Ser Gly Tvr Phe Ilie Asp 170 Ser Gly Met Lys Asp Giu Leu 140 Pro Phe Leu Met Pro Lys Thr 125 Gin Al a Thr Val1 Val Pro 110 Ile Thr Asn Pro Ser Ser Leu Ser Gly Val Asn Tyr Phe Ile Asp Giy Val Thr Leu 160 Leu Ile 175 Asp Glu Asn Leu Glu Gly Glu Ala 165 Phe Thr Gly Lys Ile Asp Glu Asn Ile Tyr Tyr P 180 Glu Trp Lys Giu Leu Asp Gly G 1952 Gly Lys Ala Phe Lys Gly Leu 210 215 Phe Asn Ser Asp Gly Val Met 225 230 Asn Lys His Tyr Phe Asp Asp 245 Giu Ile Asp Gly Lys His Phe 260 Ile Gly Vai Phe Asn Thr Glu 275 Asn Giu Asp Leu Gly Asn Giu 290 295 Ile Leu Asn Phe Asn Asn Lys 305 310 Ala Val Vai Gly Trp Lys Asp 325 Asp Giu Asp Thr Ala Glu Ala 340 Giy Gin Tlyr Tyr Phe Asn Asp 355 'he Asp Asp Asn 185 1u Met His Tyr P ~00 ~sn Gin Ile Gly 31n Lys Gly Phe 235 Ser Gly Val Met 250 Tyr Phe Aia Giu 265 Asp Gly Phe Lys 280 Giu Giy Giu Giu Ile Tyr Tyr Phe 315 Leu Giu Asp Gly 330 Tyr Ile Gly Leu 345 Asp Gly le Met 360 -yr ~he k.sp 220 Val1 Lys Asn Tyr Ile 300

ASP

Se 1 Se~ G1~ Arg Gly Ala V 190 Ser Pro Giu 1 205 Tyr Lys Tyr~ Ser Ile Asn Val Gly Tyr 255 Gly Giu Met 270 Phe Ala His 285 Ser Tyr Ser Asp Ser Phe Lys Tyr Tyr 335 r Leu Ile Asn 350 n~ Val Gly Phe 365 hr ryr Asp 240 rhr Gin His Gly Thr 320 Phe Asp Val1 335 Thr Ile Asn Asp Lys Val Phe Tyr Phe Ser Asp Ser Gly Ile Ile Glu 370 375 380 Ser Gly Val Gin Asn Ilie Asp Asp Asn Tyr Phe Tyr Ile Asp Asp Asn 385 390 395 400 Gly Ile Val Gin Ile Gly Val Phe Asp Thr Ser Asp Gly Tyr Lys Tyr 405 410 415 Phe Ala Pro Ala Asn Thr Val As n Asp Asn Ile Tyr Gly Gin Ala Val 420 425 430 Giu Tyr Ser Gly Leu Val Arg Val Gly GiU ASP Val Tyr Tyr Phe Gly 435 440 445 Giu Thr Tyr Thr Ile Giu Thr Gly Trp Ile Tyr Asp Met Giu Asn Glu 450 455 460 *Ser Asp Lys Tyr Tyr Phe Asn Pro Glu Thr Lys Lys Ala Cys Lys Giy ***465 470 475 1480 Ile Asn Leu Ile Asp Asp Ile Lys Tyr Tyr Phe Asp Giu Lys Gly Ile *485 490 495 *Met Arg Thr Gly Leu Ile Ser Phe Glu Asn Asn Asn Tyr Tyr Phe ASfl 500 505 510 Giu Asn Gly Giu Met Gin Phe Gly Tyr Ile Asn Ile Giu Asp Lys Met 515, 520 525 Phe Tyr Phe Gly Giu Asp Gly Val Met Gin Ile Gly Val Phe Asn Thr *530 535 540 Pro Asp Gly Phe Lys Tyr Phe Ala His Gin Asn Thr Leu Asp Giu As n 545 550 555 560 Phe Giu Gly Giu Ser Ile Asn Tyr Thr Gly Trp Leu Asp Leu Asp Glu 565 570 575 Lys Arg Tyr Tyr Phe Thr Asp Glu Tyr Ile Ala Ala Thr Gly Ser Val 580 585 590 Ile Ile Asp Gly Giu Giu Tyr Tvr Phe Asp Pro Asp Thr Ala Gin Leu 595 600 605 INFORMATION FOR SEQ ID NO:22: SEQUENCE CHARACTERISTICS: LENGTH: 1330 base pairs TYPE: nucleic acid STRANDEDNESS: double TOPOLOGY: linear (ii) MOLECULE TYPE: DNA (genomic) (ix) FEATURE: NAME/KEY: CDS LOCATION: 1. .1314 (xi) SEQUENCE DESCRIPTION: SEQ ID NO:22: ATG GCT CGT CTG CTG TCT ACC TTC ACT GAA TAC ATC kAG AAC ATC ATC 48 Met Ala Arg Leu Leu Ser Thr Phe Thr Giu Tyr Ile Lys Asn Ile Ile 1 5 10 AAT ACC TCC ATC CTG AAC CTG CGC TAC GAA TCC AAT CAC CTG ATC GAC 96 Asn Thr Ser Ile Leu Asn Leu Arg Tyr Glu Ser Asn His Leu Ile Asp 25 -336 CTG TCT CGC TAC OCT TCC AAA ATC AAC ATC GGT TCT AAA OTT AAC T7C 144 Leu Ser Arg Tyr Ala Ser Lys Ile Asn Ile Gly Ser Lys Val Asn Phe 40 GAT CCG ATC GAC AAG AAT CAG ATC Asp Pro le Asp Lys Asn Gin Ile ATC GAA OTT ATC Ile Giu Val Ile AAC TTC TCC ACC Asn Phe *Ser Thr 8s CAG CTG TTC AAT CTG GAA TCT TCC Gin Leu Phe Asn Leu Giu Ser Ser GCT ATC GTA TAC AAC TCT ATG TAC Ala Ile Val Tyr Asn Ser Met Tyr CTG AAG AAT Leu Lys Asn TCC TTC TG Ser Phe Trp AAT GAA TAC Asn Giu Tyr ATC COT Ile Arg 90 CCG AAA TAC TTC AAC Pro Lys Tyr Phe Asn a a a a a TCC ATC TCT CTG 336 Ser Ile Ser Leu 100 AAT TCT GGT TGG 384 Asn Ser Gly Trp Ile Ile Asn Cys Met Giu Asn 110 CTG CAG 432 Leu Gin 130 CAG ATG 480 Gin Met 115 GAC ACT Asp Thr AAA GTA TCT CTG Lys Val Ser Leu 120 CAG GAA ATC AAA Gin Giu Ile Lys CAG COT Gin Arg ATC AAT Ile Asn Tyr Gly Gu Ile Ile Trp Thr 125 OTT GTA TTC AAA TAC TCT Val Val Phe Lys Tyr Ser 140 COC TOG ATC TTC OTT ACC Arg Trp Ile Phe Val Thr ATC AAC ATC TCT Ile Asn Ile Ser 150 AAC AAT COT CTG Asn Asn Arg Leu

ACC

AAT AAC TCC Asn Asn'Ser TAC ATC AAC Tvr Ile Asn GOC COT Gly Arg 175 165 CTO ATC GAC CAG 576 Leu Ile Asp Gin 180 A.AT AAC ATC ATO 624 Asn Asn Ile Met AAA CCG ATC TCC Lys Pro Ile Ser TTC AAA CTG GAC Phe Lys Leu Asp 200 TAC TTC AAT CTG Tyr Phe Asn Leu CTG GOT AAC ATC Leu Gly Asn Ile TOT COT GAC ACT Cys Arg Asp Thr 205 His Ala Ser 190 CAC CGC TAC His Arg Tyr ATC TG 672 Ile Trp 210 GAA ATC 720 Giu Ile 195 ATC AAA Ile Lys AAA OAC CTG TAC Lys Asp Leu Tyr 230

AAC

Asn TTC GAC AAA GAA CTO AAC GAA AAA Phe Asp Lys Glu Leu Asn Giu Lys 220 CAG TCC AAT TCT GOT ATC CTG AAA Gin Ser Asn Ser Gly Ile Leu Lys 235 240 TAC GAC AAA CCG TAC TAC ATO C TG Tyr Asp Lys Pro Tyr Tyr Met Leu 250 255 GAC TTC TOO GOT GAC TAC CTO CAG 768 Asp Phe Trp Gly Asp Tyr Leu Gin 245 337 AAT CTG TAC GAT CCG AAC AAA TAC GTT GAC GTC AAC AAT GTA GGT ATC 816 Asn Leu Tyr Asp Pro Asn Lys Tyr Val Asp Val Asn Asn Val Gly Ile 260 265 270 CCC GGT TAC ATG TAC CTG AAA GGT 864 Arg Gly Tyr Met TIyr Leu Lys Gly 275 280 CCG CGT GGT Pro Arg Gly TCT CTT ATG ACT ACC Ser Val met Thr Thr 285 ACC AAA TTC ATC ATC Thr Lys Phe Ile Ile C.

C

C

C

AAC ATC 912 Asn Ile 290 AAG AAA 960 Lys Lys 305 CGT GTA 1008 Arg Val ACC AAT 1056 Thr Asn TAC CTG AAC TCT Tyr Leu Asn Ser TCC CTG TAC Ser Leu Tyr 295 AAC AAG GAC Asn Lys Asp TAC GCG TCT Tyr Ala Ser TAC ATC AAT Tyr Ile Asn 325 GCT TCT CAG Ala Ser Gin CGT GGT Arg Gly AAT ATC Asn Ile 315 GTT CGC AAC Val Arg Asn GAA TAC CGT Giu Tyr Arg AAT GAT Asn Asp 320 CTG GCT Leu Ala 335 CTA GTT AAC AAC AAA Val Val Lys Asn Lys 330 GGT GTA GAA AAG ATC Gly Val Giu Lys Ile

GCT

Al a ATC CCG 1104 Ile Pro 340 GAC GTT Asp Val 355 GGT AAT CTG TCT CAG GTA CTT Gly Asn Leu Ser Gin Val Val 360 TTG TCT GCT CTG GAA Leu Ser Ala Leu Giu 350 GTA ATG AAA TCC AAG Val Met Lys Ser Lys 365 AAC GAC 1152 Asn Asp 3*70 AAT GGT 12C0 Asn Gly 385 CAG GGT ATC ACT AAC AAA TCC AAA ATG AAT CTG CAC GAC AAC Gin Giy Ile Thr Asn Lys Cys Lys Met Asn Leu Gin Asp Asn 375 380 AAC CAT ATC GCT TTC ATC CGT TTC CAC CAG TTC AAC AAT ATC Asn Asp Ile Gly Phe Ile Ciy Phe His Gin Phe Asn Asn Ile I AnnO GCT AAA CTG GTT GCT TCC AAC TGG TAC AAT CGT CAG 1248 Ala Lys Leu Val Ala Ser Asn Trp Tyr Asn Arg Gin 405 410 TCT CCC ACT CTG GGT TGC TCT TGG GAG TTC ATC CCG 1296 Ser Arg Thr Leu Gly Cys Ser Trp Ciu Phe Ile Pro 420 425 TGC GGT GAA CGT CCG CTG TAACCCGGGA

AAGCT

1330 Trp Gly Giu Arg Pro Leu 435 INFORMATION FOR SEQ ID NO:23: SEQUENCE

CHARACTERISTICS:

LENGTH: 438 amino acids TYPE: amino acid TOPOLOGY: linear (ii) MOLECULE TYPE: protein (xi) SEQUENCE DESCRIPTION: SEQ ID NO:23: ATC GAA CGT TCC Ile Giu Arg Ser 415 GTT CAT GAC GGT Val Asp Asp Cly 430 338 Met Ala Arg Leu Leu Ser Thr Phe Thr Giu Tyr Ilie Lys Asn Ile Ile is Asn Leu Asp Lys Giu Ser Asn Leu Gin 145 1'hr Ser Pro Ile Asn Ile Ser Gin 130 Met Ser Arg Ile Giu Phe Ser Gly 115 Asp Ile Ile Leu Asn Leu Arg Tyr Asp Val Ser Leu 100 Tr-p Thr As n Ala Lys Ile Thr 85 Asn Lys Gin Ilie Arg 165 Ser Asn Leu 70 Ser Asn Val Giu Ser 150 Lys Gin 55 Lys Phe Giu Ser Ile 135 Asp Ile 40 Ile Asn Trp Leu 120 Lys Tyr Tyr 25 Asn Gin Ala Ile Thr 105 Asn Gin Ile Giu Ile Leu Ile Arg 90 Ile Tyr Arg As n Lys 170 10 Ser Gly Phe Val1 75 Ile Ile Gly Vali Arg 155 Asn Se r Asn Tyr Pro Asn Giu Val 140 Trp His Lys Leu Asn Lys Cys Ile 125 Phe Ile Leu 30 Val Giu Ser Tyr Met 110 Ile Lys Phe Ile Asn Ser Met Phe Giu Trp Tyr Val1 Asp Phe Ser Tyr Asn Asn Thr Ser Thr 160 a.

a a a a. a a.

a a a a Ile Thr Asn Asn Leu Asn Asn Ser Leu I Asn Ile I Giu 225 Asp Asn Arg Asn Lys 305 Arg Thr Ile Asn le Ls n rrp Ilie Phe Leu Giy Ile 290 Lys Val Asr Pr Asi Asp Gin Lys P 180 Ile Met Phe L 195 Ile Lys Tyr P Lys Asp Leu I Trp Gly Asp 245 Tyr Asp Pro 260 Tyr Met Tyr 275 Tyr Leu Asn Tyr Ala Ser Tyr Ile Asn 325 Ala Ser Gin 340 o Asp Val Giy 355 p Gin Gly Ilie ro Ile S ,ys Leu A ~he Asn 1 215 ryr Asp ~30 ryr Leu Asn Lys Leu Lys Ser Ser 295 Gly Asn 310 Vai Vai Ala Gly Asn Leu Thr Asn er ~sp ~00 ~eu ksn iln Tyr Gly 280 Leu Lys Val Val Se! 36!

LY~

Asn Leu 185 Giy Cys Phe Asp Gin Ser Tyr Asp 250 Val Asp 265 Pro Arg Tyr Arg Asp As! *Lys As! 33~ *Giu Ly 345 rGin Va s Cys Ly 339 Ile Tyr Ile Asn G 1 Gly Asn Ile His A 190 Arg Asp Thr His 205 Lys Giu Leu Asn C 220 Aso Ser Gly Ile 235 Lys Pro Tyr Tyr Val Asn Asn 270 IGly Ser Val Met 285 Gly Thr Lys Phe 300 SIle Val Arg Asn 315 n~ Lys Giu Tyr Arg 0 s Ile Leu Ser Ala 350 1 Val Val Met Lys 365 s met Asn Leu Gin ;iy Arg 75 la Ser Lrg Tyr 1u Lys Leu Lys 240 Met Leu 255 Giy Ile Thr Thr Ile Ilf Asn Asi 32! Leu Ai 335 Leu Gi Ser Ly Asp As 0 a n 370 375 380 Asn Gly Asn Asp Ile Gly Phe Ile Gly Phe His Gin Phe Asn Asn Ile 385 390 395 400 Ala Lys Leu Val Ala Ser Asn Trp Tyr Asn Arg Gin Ile Glu Arg Ser 405 410 415 Ser Arg Thr Leu Gly Cys Ser Trp Glu Phe Ile Pro Val Asp Asp Gly 420 425 430 Trp Gly Glu Arg Pro Leu 435 INFORMATION FOR SEQ ID NO:24: SEQUENCE CHARACTERISTICS: LENGTH: 23 amino acids TYPE: amino acid STRANDEDNESS: unknown TOPOLOGY: linear (ii) MOLECULE TYPE: protein (xi) SEQUENCE DESCRIPTION: SEQ ID NO:24: Met Gly His His His His His His His His His His Ser Ser Gly His 1 5 10 Ile Glu Gly Arg His Met Ala INFORMATION FOR SEQ ID SEQUENCE CHARACTERISTICS: LENGTH: 1402 base pairs TYPE: nucleic acid STRANDEDNESS: double TOPOLOGY: linear (ii) MOLECULE TYPE: DNA (genomic) (ix) FEATURE: oe NAME/KEY: CDS LOCATION: 1..1386 (xi) SEQUENCE DESCRIPTION: SEQ ID ATG GGC CAT CAT CAT CAT CAT CAT CAT CAT CAT CAC AGC AGC GGC CAT 48 Met Gly His His His His His His His His His His Ser Ser Gly His 1 5 10 ATC GAA GGT CGT CAT ATG GCT AGC ATG GCT CGT CTG CTG TCT ACC TTC 96 Ile Glu Gly Arg His Met Ala Ser Met Ala Arg Leu Leu Ser Thr Phe 25 ACT GAA TAC ATC AAG AAC ATC ATC AAT ACC TCC ATC CTG AAC CTG CGC 144 Thr Glu Tyr Ile Lys Asn Ile Ile Asn Thr Ser Ile Leu Asn Leu Arg 40 TAC GAA TCC AAT CAC CTG ATC GAC CTG TCT CGC TAC GCT TCC AAA ATC 192 Tyr Glu Ser Asn His Leu Ile Asp Leu Ser Arg Tyr Ala Ser Lys Ile 55 AAC ATC GGT TCT AAA GTT AAC TTC GAT CCG ATC GAC AAG AAT CAG ATC 240 340 Asn Ile Gly Ser Lys Val Asn Phe Asp Pro Ile Asp Lys Asn Gin Ile 70 75 CAG CTG TTC AAT CTG GAA TCT TCC AAA ATC GAA GTT ATC CTG AAG AAT 288 Gin Leu Phe Asn Leu Giu Ser Ser Lys Ile Glu Val Ile Leu Lys Asn 85 90 GCT ATC GTA TAC AAC TCT ATG TAC GAA AAC TTC TCC ACC TCC TTC TGG *0 *00.

336 Aia Ile Val Tyr Asn Ser Met Tyr Giu Asn Phe 100 105 ATC CGT ATC CCG AAA TAC TTC AAC TCC ATC TCT 384 Ile Arg Ile Pro Lys Tyr Phe Asn Ser Ile Ser 115 120 ACC ATC ATC AAC TGC ATG GAA AAC AAT TCT GGT 432 Thr Ile Ile Asn Cys Met Giu Asn Asn Ser Gly 130 135 AAC TAC GGT GAA ATC ATC TGG ACT CTG CAG GAC 480 Asn Tyr Gly Giu Ile Ile Ti-p Thr Leu Gin Asp 145 150 155 110 CTG AAC AAT GAA TAC Leu Asn Asn Giu Tyr 125 TGG AAA GTA TCT CTG Ti-p Lys Val Ser Leu 140 ACT CAG GAA ATC AAA Thi- Gin Glu Ile Lys CAG CGT GTT GTA TTC AAA TAC TCT CAG ATG ATC AAC ATC TCT GAC TAC 528 Gin Arg Val Vai Phe Lys Tyr Ser Gin Met Ile Asn 165 170 ATC AAT CGC TGG ATC TTC GTT ACC ATC ACC AAC AAT 576 Ile Asn Arg Ti-p Ilie Phe Vai Thi- Ile Thr Asn Asn 180 185 TCC AAA ATC TAC ATC AAC GGC CGT CTG ATC GAC CAG 175 CGT CTG AAT AAC Arg Leu Asn Asn 190 AAA CCG ATC TCC Lvs Pro Ile Ser Ser Lys Ile 195 AAT CTG GGT 672 Asn Leu Gly Tyr Ile Asn Gly AAC ATC CAC GCT Asn Ile His Ala 215 GAC ACT CAC CGC Asp Thr His Arg 200 TCT AAT Ser Asn Ile Asp Gin AAC ATC ATG TTC Asn Ile Met Phe 220

GGT

720 Gly 210 TGT CGT Cys Arg AAA CTG GAC Lys Leu Asp TTC AAT CTG Phe Asn Leu 240 230 GAC AAA GAA CTG AAC Asp Lys Giu Leu Asn

GAA

Glu TAC ATC TGG ATC Tyr Ile Trp Ile 235 AAA GAA ATC A;A Lys Giu Ile Lys Lys Tyr CAG TCC AAT 816 Gin Ser Asn ATC CTG AAA GAC Ile Leu Lys Asp 265 TTC TGG Phe Ti-p Asp Leu Tyr Asp Asn 255 GGT GAC TAC CTG CAG Gly Asp Tyr Leu Gin 270 TAC GAC AAA CCG TAC TAC ATG CTG AAT CTG TAC GAT CCG AAC AAA TAC 864 Tyr Asp Lys Pro Tyr Tyr Met Leu Asn Leu Tyr Asp Pro Asn Lys Tyr 275 260 285 GTT GAC GTC AAC AAT GTA GGT ATC CGC GGT TAC ATG TAC CTG AAA GGT 912 341 Val Asp Val A-sn 290 CCG CGT GGT TCT 960 Pro Arg Gly Ser 305 TA-C CGT GGT ACC 1008 Tyr Arg Gly Thr Asn Val GTT A-TG Val Met 310 AAA TTC Lys Phe Gly Ile Arg Gly Tyr Met 295 300 ACT ACC AA-C A-TC TA-C CTG Thr Thr Asn Ile TyrLeu 315 A-TC ATC A-AG AAA TA-C GCG Ile Ile Lys Lys Tyr Ala 330 A-AT GAT CGT GTA TAC ATC Asn Asp Arg Val Tyr Ile

S.

0 9

S

*5 0 *005

S.

0 0@ 0 0 *0 e.g.

4*Se

*SS*

C.

S

t 9

S

S.

9

S

*CS@SO

0 GA-C A-AT 1056 Asp A-sn A-AG A-AC 1104 Lys Asn GA-A A-A-G 1152 Giu Lys 370 ATC GTT Ile Val 340 AAA GA-A Lys Giu 355 A-TC TTG Ile Leu

A-A-C

A-sn TA-C CGT CTG GCT A-CC Tyr Arg Leu A-ia Thr 360 TCT GCT CTG GAA ATC Ser Ala Leu Giu Ile 375 Tyr Leu Lys Gly A-A-C TCT TCC CTG A-sn Ser Ser Leu 320 TCT GGT A-A-C A-AG Ser Gly A-sn Lys 335 A-AT GTT GTA GTT A-sn Val Val Vai 350 CAG GCT GGT GTA Gin A-ia Gly Val 365 GGT A-AT CTG TCT Gly A-sn Leu Ser A-AT GCT TCT A-sn A-ia Ser CCG GA-C GTT Pro Asp Val 380 GAC CAG GGT Asp Gin Gly CAG GTA GTT GTA A-TG AAA TCC A-AG A-A-C 1200 Gin Val Val Val Met Lys Ser Lys A-sn 385 390 TGC A-AA A-TG A-AT CTG CAG GA-C AA-C A-AT 1248 Cys Lys Met A-sn Leu Gin Asp Asn Asn 405 GGT TTC CA-C CAG TTC A-A-C A-AT A-TC GCT 1296 Gly Phe His Gin Phe A-sn A-sn Ile Ala 420 425 TA-C A-AT CGT CA-G A-TC GAA CGT TCC TCT 1344 Tyr A-sn A-rg Gin Ile Giu Arg Ser Ser 435 440 GGT A-AC Giy A-sn

GAT

Asp Ile Thr A-TC GGT Ile Gly A-sn Lys 400 TTC A-TC Phe Ile 415 AAA CTG GTT GCT TCC AA-C TGG Lys Leu Val Ala Ser A-sn Trp 430 CGC A-CT CTG GGT TGC TCT TGG A-rg Thr Leu Gly Cys Ser Trp 445 GAG TTC A-TC CCG GTT GAT GA-C GGT TGG GGT GAA CGT CCG CTG 1386 Giu Phe Ile Pro Val Asp Asp Gly Trp Gly Giu A-rg Pro Leu 450 455 460 TAA-CCCGGGA AAGCTT 1402 INFORMATION FOR SEQ ID 140:26: SEQUENCE CHARACTERISTICS: LENGTH: 462 amino acids TYPE: amino acid TOPOLOGY: linear (ii) MOLECULE TYPE: protein (xi) SEQUENCE DESCRIPTION: SEQ ID 140:26: Met Gly His His His His His His His His His His Ser Ser Gly His 1 5 10 342 Ile Glu GlY Arg lie iu ly rqi Met Ala Ser Met Ala Arg Leu Leu Ser Thr Phe 20 Ile Lys Asn Ile Ile Asn Thr Ser Thr Glu Tyr Tyr Glu Ser Asn Ilie Gly Gin Leu Phe Ala Ile Val Ile Arg lie 115 Thr Ile Ile 130 Asn Tyr Gly 145 Gin Arg Val Asn Ser Asn Tyr 100 Pro Asn Giu Val1 His Lys Leu 85 Asn L~ys Cys Ile Phe 165 Leu Val 70 Glu Ser Tyr Met Ile 150 Lys Asp Phe Ser Tyr Asn 120 Asn Thr Ser Leu Ser Arg Asp Pro Ile .75 Lys Ile Giu 90 Giu Asn Phe 105 Ser Ile Ser Asn Ser Gly Leu Gin Asp 155 Gin met Ilie 170 Ile Leu 4S Tyr Al a Asp Lys Val Ilie Ser Thr Leu Asn 125 Trp Lys 140 Thr Gin Asn Ile Asn Ser Asn Leu Ser 110 Asn Vai Giu Ser Leu Lys Gin Lys Phe Giu Ser Ile Asp 175 Arg Ile Ile Asn Trp, Tyr Leu Lys 160 Tyr Ile Asn Arg Tr-p Ile Phe Vai Thr Ilie Thr Asn Asn Arg Leu Asn Asn 180 185 190 Ser Asn Giy 225 Phe Gin Tyr Val Pro 305 Tyr Asp Lys Lys Ile Tyr I 195 Leu Giy AsnI 210 Cys Arg Asp Asp Lys Giu Ser Asn Ser 260 Asp Lys Pro 275 Asp Val Asn 290 Arg Giy Ser Arg Giy Thr Asn Ile Val 340 Asn Lys Giu 355 lie le rhr Leu 245 Gly Tyr Asn Val1 Lys 325 Arc

TY

Asn Giy Arg Leu Ile Asp GinI 2002 His Aia Ser Asn Asn Ile Met 215 220 His Arg Tyr Ilie Trp Ile Lys 230 235 Asn Glu Lys Glu Ile Lys Asp 250 Ile Leu Lys Asp Phe Trp Gly 265 Tyr Met Leu Asn Leu Tyr Asp 260 Val Giy Ile Arg Gly Tyr Met 295 300 Met Thr Thr Asn Ile Tyr Leu 310 315 Phe Ile Ile Lys Lys Tyr Aia 5 330 3 Asn Asn Asp Arg Val Tyr Ile 345 r Arg Leu Ala Thr Asn Ala Ser 360 ys Phe ryr Leu Asp Pro 285 Tyr Asn Ser Asnr G ir 365 Pro IleI Lys Leu Phe Asn Tyr Asp 255 Tyr Leu 270 Asn Lys Leu Lys Ser Ser Giy Asfl 335 Vai Val 350 1Ala Gly %sp Leu 240 Asn Gin Tyr Giy Leu 320 Lys Val Val 343 Giu Lys Ile Leu Ser Ala Leu Giu Ile Pro Asp Val Gly Asn Leu Ser 370 375 380 Gir. Val Val Val Met Lvs Ser Lys Asfl Asp Gin Giy Ilie Thr Asn Lys 385 390 395 400 Cys Lys Met Asn Leu Gin Asp Asn Asn Gly Asn Asp Ile Giy Phe Ile 405 410 415 Giy Phe His Gin Phe Asn Asn Ile Aia Lys Leu Val Ala Ser Asn Ti-p 420 425 430 Tyr Asn Arg Gin Ile Giu Arg Ser Ser Arg Thr Leu Gly Cys Ser Ti-p 435 440 445 Glu Phe Ile Pro Vai Asp Asp Giy Ti-p Gly Glu Arg Pro Leu 450 455 460 INFORMATION FOR SEQ ID NO:27: SEQUENCE CHARACTERISTICS: LENGTH: 3891 base pairs TYPE: nucleic acid STRANDEDNESS: double TOPOLOGY: linear (ii) MOLECULE TYPE: DNA (genonic) (ix) FEATURE: NAME/KEY: CDS LOCATION: l. .3888 (xi) SEQUENCE DESCRIPTION: SEQ ID NO:27: ATG CAA TTT GTT AAT AAA CAA TTT AAT TAT AAA GAT CCT GTA AAT GGT 48 Met Gin Phe Val Asn Lys Gin Phe Asn Tyr Lys Asp Pro Val Asn Gly 1 5 10 GTT GAT ATT GCT TAT ATA AAA ATT CCA AAT GTA GGA CAA ATG CAA CCA 96 Val Asp Ile Ala Tyr Ile Lys Ile Pro Asn Val Gly Gin Met Gin Pro 20 .25 GTA AAA GCT TTT AAA ATT CA kk 144 Val Lys Ala Phe Lys Ile His Asn 40 GAT ACA TTT ACA AAT CCT GAA GAA 192 Asp Thr Phe Thr Asn Pro Giu Glu 55 GCA AAA CAA GTT CCA GTT TCA TAT 240 Ala Lys Gin Val Pro Val Ser Tyr 70 GAT AAT GAA AAA GAT AAT TAT TTA 288 Asp Asn Glu Lys Asp Asn Tyr Leu 85 Lys Ile Ti-p Val Ile Pro Glu Arg Gly Asp Leu A-sn Pro TAT GAT TCA ACA TAT Tyr Asp Ser Thr Tyr 75 AAG GGA GTT ACA AAA Lys Gly Val Thr Lys 90 CCA CCA GAA Pro Pro Glu.

TTA ACT ACA Leu Ser Thr TTA TTT GAG Leu Phe GlU AGA ATT TAT TCA ACT GAT CTT GGA AGA ATG TTG TTA ACA TCA 336 Arg Ile Tyr Ser Thr Asp Leu Gly Arg Met Leu Leu Thr Ser 100 105 110 Ile Val -344 AGG GGA ATA CC.A TTT TCG GGT GGA AGT ACA ATA GAT ACA GAA TTA AAA 384 Arg Gly Ile Pro Phe Trp Gly Gly Ser Thr Ilie Asp Thr Glu Leu Lys 115 120 125 GTT ATT GAT ACT AAT TGT ATT AAT GTG ATA CAA CCA GAT GCT ACT TAT 432 Val Ile Asp Thr Asn Cys Ile Asn Vai Ile Gin Pro Asp Gly Ser Tyr 130 135 140 AGA TCA GAA GAA CTT AAT CTA GTA ATA ATA GGA CCC TCA CCT GAT ATT 480 Arg Ser Giu Giu Leu Asn Leu Val Ile Ile Gly Pro Ser Ala Asp Ile 145 150 155 160 ATA CAG TTT GAA TGT AAA ACC TTT GGA CAT GAA OTT TTC AAT CTT ACG 528 Ile Gin Phe Glu Cys Lys Ser Phe Gly His Giu Val Leu Asn Leu Thr 165 170 175 CCA AAT GCT TAT CCC TCT ACT CAA TAC ATT AGA 7T ACC CCA CAT TTT 576 Arg Asn Cly Tyr Cly Ser Thr Gin Tyr Ile Arg Phe Ser Pro Asp Phe 180 185 190 ACA TTT CCT TTT GAG GAG TCA CTT CAA GTT1 CAT ACA AAT CCT CTT TTA 624 Thr Phe Gly Phe Giu Ciu Ser Leu Ciu Val Asp Thr Asn Pro Leu Leu 195 200 205 CCT GCA CCC AAA TTT CCT ACA CAT CCA GCA CTA ACA TTA CCA CAT GAA 67 2 Cly Ala Cly Lys Phe Ala Thr Asp Pro Ala Val Thr Leu Ala His Ciu

CTT

720 Leu 225

AGC

768 Ara ATA CAT CCT CGA CAT Ile His Ala Cly His 230 CTT TTT AAA CTA AAT Val Phe Lys Val Asn TTA TAT Leu Tyr CCA ATA CCA ATT Cly Ile Ala Ile 235 TAT TAT GAA ATC Tyr Tyr Clu Met Asn Pro Asfl 240 CCC TTA Civ Leu ACT AAT GCC Thr Asn'Ala.

ACT

Ser 255 GAA OTA ACC TTT GAG GAA CTT ACA ACA TIT CCC GGA CAT CAT CCA AAC 816 Giu Val Ser Phe Ciu Giu Leu Arg Thr Phe Gly Cly His Asp Ala Lys 260 265 270 TTT ATA CAT ACT TTA CAC CAA AAC GAA TTT CGT CTA TAT TAT TAT AAT 864 Phe Ile Asp Set Leu Gin Giu Asfl Glu Phe Arg Leu Tyr Tyr Tyr Asn 275 280 285 AAG TTT AAA CAT ATA CCA ACT ACA CTT MAT AAA C AAA TCA ATA CTA 912 Lys Phe Lys Asp Ile Ala Ser Thr Leu Asn Lys Ala Lys Ser Ile Vai 290 295 300 CCT ACT ACT GCC TCA TTA CAC TAT ATG MAA AAT CT' TTT AAA GAG AAA 960 Gly Thr Thr Ala Ser Leu Gin Tyr Met Lys Asn Val Phe Lys Giu Lys 305 310 315 320 TAT CTC CTA TCI CAA CAT ACA TCI GGA AAA T1'T ICC GTA CAT AAA TTA 1008 Tyr Leu Leu Ser Giu Asp Thr Ser Gly Lys Phe Ser Val Asp Lys Leu 325 330 335 345 AAA TTT GAT AAG TTA TAC AAA ATG TTA ACA GAG ATT TAC ACA GAG GAT 1056 Lys Phe Asp Lys Leu Tyr Lys Met Leu Thr Giu Ile Tyr Thr Glu Asp 340 345 350 AAT TTT GTT AAG TTT TTT AAA GTA CTT AAC AGA AAA ACA TAT TTG AAT 1104 Asn Phe Val Lys Phe Phe Lys Val Leu Asn Arg Lys Thr Tyr Leu Asn 355 360 365 TTT GAT AAA GCC GTA TTT AAG ATA AAT ATA GTA CCT AAG GTA AAT TAC 1152 Phe Asp Lys Ala Val Phe Lys Ile Asn Ile Val Pro Lys Val Asn Tyr 370 375 380 ACA ATA TAT GAT GGA TTT AAT TTA AGA AAT ACA AAT TTA GCA GCA AAC 1200 Thr Ile Tyr Asp Gly Phe Asn Leu Arg Asn Thr Asfl Leu Ala Ala Asn *385 390 395 400 *TTT AAT GGT CAA AAT ACA GAA ATT AAT MAT ATO AAT TTT ACT AAA CTA 1248 Phe Asn Gly Gin Asn Thr Glu Ile Asn Asn Met Asn Phe Thr Lys Leu .405 410 415 AA MT TTT ACT GGA TTG TTT GMA TTT TAT MAG TTG CTA TGT GTA AGA 1296 Lys Asn Phe Thr Giy Leu Phe Giu Phe Tyr Lys Leu Leu Cys Val Arg 420 425 430 GGG ATA ATA ACT TCT AMA ACT AAA TCA TTA GAT MAA GGA TAC MAT MAG 1344 *Gly Ilie Ile Thr Ser Lys Thr Lys Ser Leu Asp Lys Gly Tyr Asn Lys 435 440 445 *GCA TTA MAT GAT TTA TGT ATC AMA GTT MAT MAT TGG GAC TTG TTT TTT 1392 Ala Leu Asn Asp Leu Cys Ile Lys Val Asn Asn Trp Asp Leu Phe Phe 450 455 460 AGT CCT TCA GMA GAT MAT TTT ACT APT GAT CTA MAT AMA GGA GMA GMA 1440 *Ser Pro Ser Giu Asp Asn Phe Thr Asn Asp Leu Asn Lys Gly Giu Giu 465 470 475 480 ATT ACA TCT GAT ACT MAT ATA GMA GCA GCA GMA GMA MT ATT AGT TTA 1488 Ile Thr Ser Asp Thr Asn Ile Giu Ala Ala Giu Giu Asn Ile Ser Leu 485 490 495 GAT TTA ATA CMA CMA TAT TAT TTA ACC TTT MAT TTT GAT MAT GMA CCT 1536 Asp Leu Ile Gin Gin Tyr Tyr Leu Thr Phe- Asn Phe Asp Asn Glu Pro 500 505 510 GMA MT ATT TCA ATA GMA MT CTT TCA AGT GAC ATT ATA GGC CMA TTA 1584 Giu Asn Ile Ser Ile Giu Asn Leu Ser Ser Asp Ile Ile Gly Gin Leu 515 520 525 GMA CTT ATG CCT MAT ATA GMA AGA TTT CCT MAT GGA AMA MG TAT GAG 1632 Giu Leu Met Pro Asn Ile Giu Arg Phe Pro Asn Gly Lys Lys Tyr Giu 530 535 540 TTA GAT AMA TAT ACT ATG TTC CAT TAT CTT CGT GCT CMA GMA TTT GMA 1680 Leu Asp Lys Tlyr Thr Met Phe His Tyr Leu Arg Ala Gin Giu Phe Giu 554S 550 555 560 346 CAT GGT AAA TCT AGG ATT GCT TTA ACA AAT TCT GTT AAC GAA GCA TTA 1728 His Gly Lys Ser Arg Ile Ala Leu Thr A.Sn Ser 565 5,70 TTA AAT CCT AGT CGT GTT TAT ACA Trr

TCT

1776 Leu Asn Pro Ser Arg Val Tyr Thr Phe Phe Ser 580 585 AAA GTT AAT AAA GCT ACG GAG GCA GCT ATG TTT 1824 Lys Val Asfl Lys Ala Thr Giu Ala Ala Met Phe 575 TCA GAC TAT GTA AAG Ser Asp Tyr Val Lys a *aa.

a a a a a.

a a CAA TTA GTA TAT !872 Gin Leu Val Tyr 610 GAT AAA ATT GCG 1920 Asp LYS Ile Ala 625 TTA AAT ATA GGT 1968 Leu Asn Ile Gly GAT TTT Asp Phe GAT ATA Asp Ile

ACC

Thr 615 GAT GAA ACT AGC Asp Giu Thr Ser TTA GGC TGG GTA GAA Leu Gly Trp Val Glu 605 GAA GTA AGT ACT ACG Giu Val Ser Thr Thr 620 TAT ATA GGA CCT GCT Tyr Ile Gly Pro Ala ACT ATA ATT AT' CCA Thr Ile Ile Ile Pro 635 TTA TAT AAA GAT GAT Leu Tyr Lys Asp Asp 650

AAT

Asn TTT GTA GGT GCT TTA Phe Val Gly Ala Leu 655 645 ATA TTT 2016 Ile Phe TCA GGA GCT GTT ATT CTG TTA GAA TTT Ser Gly Ala Val Ile Leu Leu Giu Phe 660 665 ATA CCA Ile Pro Glu Ile Ala 670 ATA CCT GTA TTA GGT ACT TTT GCA CTT GTA TCA TAT ATT GCG AAT AAG 2064 Ile Pro Val Leu Gly Thr Phe Ala Leu Val Ser Tyr Ile Ala Asn Lys 675 680 685 GTT CTA ACC GTT CAA ACA ATA CAT AMT GCT TTA AGT AAA AGA AAT GAA 2112 Val Leu Thr Val Gin Thr Ile Asp *Asn Ala Leu Ser Lys Arg Asfl Giu 690 695 700 AAA TGG CAT GAG GTC TAT AAA TAT ATA GTA ACA AAT TGG TTA GCA AAG 2160 Lys Trp Asp Glu Val Tyr Lys Tyr Ile Val Thr Asn Trp Leu Ala Lys 705 710 715 720 GTT AAT ACA CAG ATT CAT CTA ATA AGA AAA AAA ATG AAA GAA GCT TTA 2208 Val Asn Thr Gin Ile Asp Leu Ile Arg Lys Lys Met Lys Giu Ala Leu 725 730 735 GMA AAT CAA GCA GAA GCA ACA AAG OCT ATA ATA MAC TAT CAG TAT MAT 2256 Giu Asn Gin Ala Giu Ala Thr Lys Al1a Ile Ile Asn Tyr Gin Tyr Asfl 740 745 750 CAA TAT ACT GAG GAA GAG AMA MT AAT ATT MAT TTT MAT ATT GAT CAT 2304 Gin Tyr Thr Giu Giu Glu Lys Asfl Asn Ile Asn Phe Asn Ile Asp Asp 755 760 765 TTA AGT TCG MAA CTT MAT GAG TCT ATA AAT AMA GCT ATG ATT MAT ATA 2352 Leui Ser Ser Ly's Leu Asfl Giu Ser Ile Asn Lys Ala Met Ile Asn Ile 770 775 780 347 PJAT AAA TTT TTG AAT CAA TGC TCT GTT TCA TAT TTA ATG AAT TCT ATG 2400 Asn Lys Phe Leu Asn Gin Cys Ser Val Ser Tyr Leu Met Asn Ser Met 785 790 795 800 ATC CCT TAT GGT GTT AAA CGG TTA GAA GAT TTT GAT GCT AGT CTT AAA 2448 Ile Pro Tyr Gly Val Lys Arg Leu Giu Asp Phe Asp Ala Ser Leu Lys 805 810 815 GAT GCA TTA TTA AAG TAT ATA TAT GAT AAT AGA GGA ACT Tl'A ATT GGT 2496 Asp Ala Leu Leu Lys Tyr Ile Tyr Asp Ann Arg Gly Thr Leu Ile Gly 820 825 830 CAA GTA GAT AGA TTA AAA GAT AAA GTT AAT AAT ACA Crr AGT ACA GAT 2544 Gin Val Asp Arg Leu Lys Asp Lys Val Asn Asn Thr Leu Ser Thr Asp 85840 845 0* @0 0 0 0 00 0 6 9*P* 0* S 0 0* ATA CCT 2592 Ile Pro 850 ACA TTT 2640 Thr Phe 865 TTA AGA 2688 Leu Arg TTT CAG CTT TCC AAA TAC GTA GAT AAT CAA AGA Phe Gin Leu Ser Lys Tyr Val Asp Asn Gin Arg 855 860 ACT GAA TAT ATT AAG AAT ATT ATT AAT ACT TCT TTA TTA TCT Leu Leu Ser ATA TTG AAT Thr Giu Tyr Ile Lys Asn Ile Ile Asn Thr Ser Ile Leu Asn 000* @0 0* 0 *000 0* @000 0*

S

0050 0 0000

S.

0 0000 0

S.O.S.

0 TAT GAA AGT Tyr Giu Ser 885 AAT ATT GGT Asn Ile Giy 900

AAT

Asn

AGT

Ser AAA ATA 2736 Lys Ile CAA ATT 2784 Gin Ile CAT TTA ATA GAC His Leu Ile Asp 890 AAA GTA AAT TTT Lys Vai Asn Phe 905 TTA GAA AGT AGT Leu Giu Ser Ser 875 080 TTA TCT AGG TAT GCA TCA Leu Ser Arg Tyr Aia Ser 895 CAT CCA ATA GAT AAA AAT Asp Pro Ile Asp Lys Asn TTA TIT AAT Leu Phe Asn ATT GTA TAT

AAA

Lys ATT GAG GTA ATT TTA Ile Ciu Vai Ile Leu 925 AAT TTT ACT ACT AGC Asn Phe Ser Thr Ser AAT ATG TAT GAA AAA AAT 2832 Lys Asn 930 Ala Ile Val Tyr Asn 935 Ser Met Tyr Giu TTT TGG ATA AGA ATT CCT AAG TAT TTT AAC AGT ATA AGT CTA AAT AAT 2880 Phe Trp Ile Arg Ile Pro Lys Tyr Phe Ann Ser Ile Ser Leu Asn An 945 950 955 960 GAA TAT ACA ATA ATA AAT TGT ATG GAA AAT AAT TCA GGA TGG AAA GTA 2928 Giu Tyr Thr Ile Ile Asn Cys Met Giu Ann Asn Ser Gly Trp Lys Vai 965 970 975 TCA CTT AAT TAT GCT GAA ATA ATC TGG ACT TTA CAG GAT ACT CAG GAA 2976 Ser Leu Asn Tyr Gly Gu Ile Ile Trp Thr Leu Gin Asp Thr Gin Giu 980 985 990 ATA AAA CAA AGA GTA GTT TTT AAA TAC AGT CAA ATG ATT AAT ATA TCA 3024 Ile Lys Gin Arg Vai Vai Phe Lys Tyr Ser Gin Met Ile Asn Ile Ser 995 1000 1005 348 GAT TAT ATA AAC AGA TOG ATT TTT GTA ACT ATC ACT AAT AAT AGA TTA 3072 Asp Tyr Ile Asn Arg TrP Ile Phe Val Thr Ile Tkir Asn Asn Arg Leu 1010 1015 1020 AAT AAC TCT AAA ATT TAT ATA AAT GGA AGA 77A ATA GAT CAA AAA CCA 3120 Asn Asn Ser Lys Ilie Tyr Ile Asfl Oly Arg Leu Ile Asp Gin Lys Pro 1025 1030 1035 104 ATT TCA AAT TTA GGT AAT ATT CAT OCT AGT AAT AAT ATA ATG TTT AAA 3168 le Ser Asn Leu Gly Asn Ile His Ala Ser Asn Asn Ile Met Phe Lys 1045 1050 1055 0 00.

a.

TTA OAT GOT TOT AGA OAT ACA CAT AGA TAT ATT TGG ATA AAA TAT TTT 3216 Leu Asp Gly Cys Arg Asp Tkhr His Arg Tyr Ilie Trp Ile Lys Tyr Phe 1060 1065 1070 AAT CTT TTT OAT AAG GAA TTA AAT GA AAA GAA ATC AMA OAT TTA TAT 3264 Asn Leu Phe Asp Lys Giu Leu Asn Giu Lys Giu Ile Lys Asp Leu Tyr 1075 1080 1085 OAT MAT CAA TCA MAT TCA GOT ATT TTA AM. GAC TTT TOG GOT OAT TAT 3312 Asp Asn Gin Ser Asn Ser Gly Ilie Leu Lys Asp Phe Trp, Oly Asp Tyr 1090 1095 1100 TTA CMA TAT GAT AAA CCA TAC TAT ATO TTA AAT TTA TAT OAT CCA MAT 3360 Leu Gin Tyr Asp Lys Pro Tyr Tyr Met Leu Asn Leu Tyr Asp Pro Asn 1105 1110 1115 1120 AAA TAT GTC OAT OTA MAT MAT OTA GOT ATT AGA GOT TAT ATG TAT CTT 3408 Lys Tyr Val Asp Val Asn Asn Val Gly Ile Arg Oly Tyr Met Tyr Leu 1125 1130 1135 AAA GOG CCT AGA GOT AGC OTA ATO ACT ACA MAC ATT TAT TTA MAT TCA 3456 Lys Gly Pro Arg Oly Ser Vai Met Thr Thr Asn Ile Tyr Leu Asn Ser 1140 1145 1150 AGT TTG TAT AGO 000 ACA AAA TTT ATT ATA AAA AMA TAT OCT TCT OGA 3504 Ser Leu Tyr Arg Oly Thr Lys Phe Ile Ile Lys Lys Tyr Ala Ser Gly 1155 1160 1165 MAT AMA OAT MAT ATT OTT AGA MAT MAT GAT CGT OTA TAT ATT MAT OTA 3552 Asn Lys Asp Asl Ile Vai Arg Asn Asn Asp Arg Val Tyr Ile Asn Val 11'70 1175 1180 OTA OTT AMA MT AMA GMA TAT AGO TTA OCT ACT MAT GCA TCA CAG OCA 3600 Vai Vai Lys' Asfl Lys Oiu Tyr Arg Leu Ala Thr Asn Ala Ser Gin Ala 1185- 1190 1195 1200 GOC OTA GMA AMA ATA CTA AGT OCA TTA GAA ATA CCT OAT GTA GGA MAT 3648 Gly Val Oiu Lys Ile Leu Ser Ala Leu lu Ile Pro Asp Val Oly Asn 1205 1210 1215 CTA AGT CMA OTA OTA OTA ATO AAG TCA AMA AT OAT CMA OGA ATA ACA 3696 Leu Ser Gin Vai Val Val Met Lys Ser Lys Asn Asp Gin Oly Ile Thr 1220 1225 1230 349.

AAT ;AAA TGC AAA 374.4 As n :.Lys Cys Lys 1235 Trr ;ATA GGA T 3792 Phe ":le Gly Phe 1259 AAT TGG TAT AAT 3840 Asn Trp Tyr Asn 1265 TCA -MG GAA T 3888 Ser -Trp Giu Phe ATG AAT TTA CAA GAT Met Asn Leu Gin Asp 1240 CAT CAG TTT AAT AAT His Gin Phe Asn Asn 1255 AGA CAA ATA GAA AGA Arg Gin Ile Giu Arg 1270 ATT CCT GTA GAT GAT Ile Pro Vai Asp, Asp 1285 AAT AAT GGG AAT G Asn Asn Gly Asn A 1245 ATA GCT AAA CTA G Ile Ala Lys Leu V~ 1260 TCT AGT AGG ACT1 Ser Ser Arg Thr I 1275 GGA TGG GGA GAA Gly Tr-p Gly Giu2 1290 AT ATA GGC sp Ile Gly TA GCA AGT ~al Ala Ser TG GGT TGC ~eu Gly Cys 1280 ~GG CCA CTG krg Pro Leu 1295 Val Asn Gly Met Gin Pro

TAA

3891 1MRMATION FOR SEQ, ID NO:28: SEQUENCE CHARACTERISTICS-.

LENGTH: 1296 amino acids TYPE: amino acid TOPOLOGY: linear Iii) MOLECULE TYPE: protein tx~i) SEQUENCE DESCRIPTION: SEQ ID NO:28: Met Ginm Phe Val Asn Lys Gin Phe Asn Tyr Lys Asp 1 S 10 Val Asp Ile Aia Tyr Ile Lys Ile Pro Asn Val Gly 25 Val Lys Ala Phe Lys Ile His Asn Lys Ile Tro Val Asp, Al a Asp Arg Arg Val Arg 145 35 Phe Gin.

Glu Tyr Ile 115 Asp Glu Pro Val 70 Asn Asp Tr-p Cys As n 150 Glu 55 Se r Leu Gly Ile 135 Leu GiU Tyr Leu Gly Gly 120 Asn Val Gly Tyr Lys Arg 105 Ser Val1 Ile Asp Leu Asn Asp Ser Thr 75 Gly Val Thr 90 Met Leu Leu Thr Ile Asp Ile Gin Pro 140 Ilie Gly Pro 155 His Glu Val 170 Ilie Pro ryr Lys Thr Thr 125 Asp Ser Leu Pro Giu Pro Pro Leu Ser Leu Phe Ser Ile 110 Glu Leu Gly Ser Ala Asp Asn Leu 175 Arg Giu Thr Glu Val Lys Tyr Ile 160 Thr Ile Gin Phe G1u Lys Ser Phe Gl1 Arg Asn Gly Tyr Gly Ser Thr Gin Tyr Ile Arg Phe Ser Pro Asp Phe 180 185 190 350 4 .4 4* Thr Phe Gly Phe Giu 195 Gly Ala Giy Lys Phe 210 Leu Ile His Ala Gly 225 Arg Val Phe Lys Val 245 Glu Val Ser Phe Giu 260 Phe Ile Asp Ser Leu 275 Lys Phe Lys Asp Ile 290 Giy Thr Thr Ala Ser 305 T'yr Leu Leu Ser Gii.

325 Lys Phe Asp Lys Let 340 Asn Phe Val Lys PhE 355 Phe Asp Lys Ala Vag 370 Thr Ile Tyr Asp Gi 385 Phe Asn Gly Gin As 40 Lys Asn Phe Thr Gl 420 Gly Ile Ile Thr SE 435 Ala Leu Asn Asp L4 450 Ser Pro Ser Giu K 465 Ile Thr Ser Asp T' 4 Asp. Leu Ile Gin G 500 Giu Asn Ile Ser 1 515 Giu Leu Met Pro 530 Le Asp Lys Tyr 545 His Gly Lys Ser Glu Ser Leu Giu Va.l Asp Thr Asn Pro 200 205 Ala Thr Asp Pro Ala Val Thr Leu Ala 215 220 His Arg Leu Tyr Gly Ile Ala Ile Asn 230 235 Asn Thr Asn Ala Tyr Tyr Giu Met Se2 250 Giu Leu Arg Thr Phe Gly Gly His As~ 265 271 Gin Giu Asn Giu Phe Arg Leu Tyr Ty 280 285 Ala Ser Thr Leu Asn Lys Ala Lys Se 295 300 Leu Gin Tyr Met Lys Asn Val Phe Ly 310 315 Asp Thr Ser Gly Lys Phe Ser Val As 330 1Tyr Lys Met Leu Thr Giu Ile Tyr Ti- 345 Phe Lys Val Leu Asn Arg Lys Thr T 360 365 1 Phe Lys Ile Asn Ile Val Pro Lys V.

3-75 380 y Phe Asn Leu Arg Asn Thr Asn Leu A 390 395 n Thr Giu Ile Asn Asn Met Asn Phe T 5 410 .y Leu Phe Giu Phe Tyr Lys Leu Leu C 425 4 r Lys Thr Lys Ser Leu Asp Lys Gly T 440 445 eu Cys Ile Lys Val Asn Asn Trp Asp 1 455 460 sp Asn Phe Thr Asn Asp Leu Asn Lys 470 475 hr Asn Ilie Giu Ala Ala Giu Giu Asn 85 490 in Tir Tyr Leu Thr Phe Asn Phe Asp 505 lie Giu Asn Leu Ser Ser Asp Ile Ile 520 525 Lsn Ile GiU Arg Phe Pro Asn Gly Lys 535 540 rhr Met Phe His Tyr Leu Arg Ala Gin 550 555 Arg Ile Ala Leu Thr Asn Ser Val Asn -351- Leu Leu *His Giu Pro Asn 240 Gly Leu 255 p Ala Lys 0 rTyr An r le Val Giu Lys 320 ~p Lyts Leu 335 ir Giu Asp rr Leu Asn al Asn Tyr la Ala Asn 400 hr Lys Leu 415 'ys Val Arg 'yr Asfl Lys .eu Phe Phe Gly Glu Giu 480 Ile Ser Leu 495 Asn Giu Pro 510 Gly Gin Leu Lys Tyr Giu Giu Phe Giu 560 Glu Ala Leu 0

I

L

Leu Asn Pro Se2 58 Lys Val As Ly 595 Gin Leu Val Ty 610 Asp Lys Ile Al 625 Leu Asn Ile G1 Ile Phe Ser 01 66 Ile Pro Val Le 675 Val Leo Thr Vz 690 Lys TrD Asp G 705 Val Asn Thr G Glu Asn Gin A 7 Gin Tyr Thr G 755 Leu Ser Ser L 770 Asn Lys Phe I 785 Ile Pro Tyr Asp Aia Leo Gin Vai Asp 835 Ile Pro Phe 850 Thr Phe Thr 865 Leo Arg Tyr Lys Ile As Gin Ile Gin 915 Lys As Ala 930 r Arg s Ala r Asp a Asp y Asn 645 y Ala .0 !u Gly 1i Gir lu Va in Iii 72 la Gi' 40 iu Gi .ys Le .eu As Sly Va 8C Leu L 820 Arg L Gin L Glu Glu S Ile C 900 Leu Ile 570 Val Tyr Thr Phe Phe 585 Thr Giu Aia Ala Met 600 Phe Thr Asp Glu Th 615 Ile Thr Ile Ile Iii 630 Met Leo Tyr Lys As' 65 Val Ile Leo Leu 01 665 Thr Phe Ala Leu Va 680 Thr Ile Asp Asn Al 695 1 Tyr Lys Tyr Ile Va 710 e Asp Leu Ile Arg L~ 5 7: u Ala Thr Lys Ala I.

745 u Glu Lys Asn Asn I 760 .u Asn Giu Ser Ile A 775 ;n Gin Cys Ser Vai S 790 il Lys Arg Leo Giu A 05 ys Tyr Ile Tyr Asp 2 825 eu Lys Asp Lys Val 840 eu Ser Lys Tyr Vai 855 yr Ile Lys Asn Ile 870 ;er Asn His Leu Ile ]85 sly Ser Lys Val Asn 905 Phe Asn Leu Glu Ser 920 Val Tyr Asn Ser Met 935 *Ser Ser Phe Leu r Ser Gi, 62( e Pro T7y 635 p Asp Ph 0 u Phe I1 1 Ser Ty .a Leo Se 70 1i Thr As 715 's Lys ME 30 le lie Ar be Asn P1 Sn Lys A 7 er Tyr L 795 Lsp Phe A 10 ksn Arg G Asn Asl Asp Asn Ile Asn 875 Asp Leo 890 Phe Asp Ser Lys Tyr Glu e e r r '0 nn tt he ii

TI

Is *1 rh T1

S

P

1 9 575 Asp Tyr Val Lys 590 Gly Trp Val Glu 605 Val Ser Thr Thr Ile Gly Pro Ala 640 Val Giy Ala Leu 655 Pro Glu Ile Ala 670 Ile Ala Asn Lys 685 Lys Arg Asn Glu Trp Leo Ala Lys 720 Lys Glu Ala Leo 735 1 Tyr Gin Tyr Asn 750 e Asn Ile Asp Asp 765 a Met Ile Asn Ile 0 u Met Asn Ser Met 800 p Ala Ser Leo Lys 815 y Thr Leu Ile Gly 830 ir Leo Ser Thr Asp 845 ln Arg Leo Leo Ser hr Ser Ile Leo Asn 880 er Arg Tyr Ala Ser 895 ro Ile Asp Lys Assn 910 be Glu Val Ile Leo 925 \sn Phe Ser Thr Ser 352- Phe Tr-p Ile Arg Ile Pro Lys Ty-r Phe Asn Ser Ile Ser Leu Asn Asn 945 950 955 960 Giu Tyr Thr Ile Ile Asfl Cys Met Giu Asn Asn Ser Giy Trp Lys Val 965 970 975 Ser Leu Asn Tyr Gly Giu Ile Ilie Trp Thr Leu Gin Asp Thr Gin Giu 980 985 990 Ile LvS Gin Arg Val Val Phe Lys Tyr Ser Gin Met Ile Asn Ile Ser 995 1000 1005 Asp Tyr Ile Asn Arg Trp Ile Phe Vai Thr Ile Thr Asn Asn Arg Leu 1010 1015 1020 Asn Asn Ser Lys Ile Tyr Ile Asn Gly Axg Leu Ile Asp Gin Lys Pro 1025 1030 1035 1040 *lie Ser Asn Leu Gly Asn Ile His Ala Ser Asn Asn Ile met Phe Lys 1045 1050 1055 Asp Gly Cys Arg Asp Thr His Arg Tyr Ile Trp Ile Lys Tyr Phe 9..*1060 1065 10'70 Asn Leu Phe Asp Lys Glu Leu Asn Giu Lys Glu Ilie Lys Asp Leu Tyr 1075 1080 1085 Asp Asn Gin Ser Asn Ser Gly Ile Leu Lys Asp Phe Trp Gly Asp Tyr *1090 1095 1100 *Leu Gin Tyr Asp Lys Pro Tyr Tyr Met Leu Asn Leu Tyr Asp Pro Asn *1105 1110 1115 1120 Lys Tyr Val Asp Val Asn Asn Val Gly Ile Arg Gly Tyr Met Tyr Leu 1125 1130 1135 Lys Gly Pro Arg Gly Ser Val Met Thr Thr Asn Ile Tyr Leu Asn Ser 1140 1145 1150 Ser Leu Tyr Arg Gly Thr Lys Phe Ilie Ile Lys Lys Tyr Ala Ser Gly .1155 1160 1165 Asn Lys Asp Asn Ilie Val Arg Asn Asn. Asp Arg Val Tyr Ile Asn Val 1170 1175 1180 Val Val Lys Asn Lys Giu Tyr Arg Leu Ala Thr Asn Ala Ser Gin Ala 1185 1190 1195 1200 Gly Val Giu Lys Ile Leu Ser Ala Leu Glu Ile Pro Asp Val Gly Asn 1205 1210 1215 Leu Ser Gin Val Val Val Met Lys Ser Lys Asn Asp Gin Gly Ile Thr 1220 1225 1230 Asn Lys Cys Lys Met Asn Leu Gin Asp Asn Asn Gly Asn Asp Ile Gly 1235 1240 1245 Phe Ile Gly Phe His Gin Phe Asn Asn Ile Ala Lys Leu Val Ala Ser 1250 1255 1260 Asn Tr-p Tyr Asn Arg Gin Ilie Glu Arg Ser Ser Arg Thr Leu Gly CyS 1265 .1270 1275 1280 Ser Trp, Glu Phe Ile Pro Val Asp Asp Gly Trp Gly Giu Arg Pro Leu 1285 1290 1295 INFORMATION FOR SEQ ID NO:29: Ci) SEQUENCE

CHARACTERISTICS:

LENGTH: 812 amino acids -353 TYPE: amino acid STRANDEDNESS: unknownr TOPOLO)GY: linear (ii) MOLECULE TYPE: protein (xi) SEQUENCE DESCRIPTION: SEQ ID NO:29: Thr Ser Tyr Lys Ile Ilie Asn Gly Lys His 1 5 10 Phe Tyr Phe Asn Asn Asp is Gly Val Met Gin Leu Gly Vai a.

Phe Vali Asp Lys Val1 Ser Asp Phe 145 Ala Tyr 50 Asn Tyr Ile Lys Thr 130 Tyr Ala Ser Ser Phe Asn 100 Trp Ile Asp Thr Phe Ala 70 Pro Lys Thr Phe Asp 150 Gin Leu Vai Asn Tyr Val Asn 135 Cys Phe Lys Asn Asn Thr Leu Thr Gly Asn Ala Tyr Phe 105 Asn Gly 120 Gly Tyr Val Val Gly Pro Asp Gly Phe Giu Tyr Asn Asn Trp Ilie 90 Asn Se r Lys Lys Gin Tyr Asn Gly Ala 110 Phe Gly Phe Ser Asn Gly Phe Glu Tyr Phe Ala Pro Ala Asn Thr Tyr Asn 165 170 le Giu Giy iGly Lys Lys 195 Gin Thr Ile 210 Ala Ala Thr 225 Thr Asn Thr Lys Tyr Tyr Ile Ile Asn 275 Ile Gly Val 290 Asn Thr Asp 305 Giu Phe Lela Gin Ala Ile Vai Tyr Gin 185 Tyr Tyr Phe Asp Asn Asn 200 Asp Ser Lys Lys Tyr Tyr 215 Giy Trp Gin Thr Ile Asp 230 Aia Giu Ala Aia Thr Gly 245 Phe Asn Thr Asn Thr A-1a 260 265 Gly Lys His Phe Tyr Phe 280 Phe Lys Giy Pro Asn Gly 295 Ala Asn Asn Ile Glu Gly 310 Thr Leu Asn Gly Lys Lys 325 Ser Lys Phe Ser Lys Ala Phe Asn Thr 220 Gly Lys Lys 235 Trp Gin Thr 250 Ile Ala Ser Asn Thr Asp Phe Giu Tyr 300 Gin Ala Ile 315 Tyr Tyr Phe 330 Leu Val 205 Asn Tyr.

Ile Thr Giy 285 Phe Leu Gly 190 Thr Thr Asp Giy 270 Ile Al a Tyr Ser kla Ile ryr Phe ksn Glu Leu Gin Ile Ile Asp Thr Lys His Ser Thr 160 Asn Asn 175 Leu Asn Giy Leu Ala Glu Phe Asn 240 Gly Lys 255 Tyr Thr Met Gin Pro Ala Gin Asn 320 Asp Ser 335 354 Lys Ala Vai Thr Gly Trp Arg Ile lie Asn Asn Lys Lys Tyr Tyr Phe 340 345 350 r r r r r r rr Asn Asp Thr 385 Met Pro Gin Asp Tyr 465 Asp Gly Pro Lys 370 Ile Vai Ala Asn Ser 450 Phe Gly Trp Asn 355 T'yr Glu Thr Asn Lys 435 Lys Asn Lys Gin Asn Tyr Arg Gly Thr 420 Phe Ala Leu Lys Thr 500 Ala Phe Asn Vai 405 His Leu Val Asn Tyr 485 Ile Ser Asn 390 Phe Asn Thr Thr Thr 470 Tyr Asp 375 Phe Lys Asn Leu Gly 455 Ala Phe Gly 360 Asp Tyr Gly Asn Asn 440 Trp Glu Asn Lys Gly Ile Phe Asp Pro Asn 410 Ile Glu 425 Gly Lys Gin Thr Ala Aia Leu Asn 490 Lys Tyr 505 Gin 380 Asn Phe Gin Tyr Asp 460 Gly Ala Phe 365 Asn Asn Glu Ala Tyr 445 Gly Trp Glu Asn Gly Tyr Glu Ser Tyr Phe 415 Ile Val 430 Phe Asp Lys Lys Gin Thr Ala Ala 495 Thr Asn 510 His Phe Ile Lys 400 Ala Asn Tyr Ile 480 Thr Thr Tyr Ile Aia Ala Ile His Leu Cys Thr lie Asn Asn Phe Ile Ala Ser Thr Gly Tyr 515 Phe Gly 545 Gly Lys Ile Thr Thr 625 Tyr Asy GI1 Asi Th Asn 530 Phe Gin Tyr Asp Gly 610 Ser Phe Gly a Gly n Ile 690 r Ile Thr Asp Glu Tyr Ala Ile Tyr Phe 580 Gly Lys 595 Trp Gin Ile Aia As Thr Phe Glu 660 Gin Ala 675 Tyr Ty2 Asp Gil Gly Ile Met 535 Phe Ala Pro 550 Leu Tyr Gin' 565 Gly Ser Asp Lys Tyr Tyr Thr Ile Asn 615 Ser Thr Gly 630 Asp Gly Ile 645 Tyr Phe Ala ile Arg Tyi Phe Gly Asi 69' r' Asn Arg Ty.

Thr Ser Ile Asn Gly 520 Gin Ile Giy Val Phe 540 Ala Asn Thr Asp Ala 555 Asn Lys Phe Leu Thr 570 Ser Lys Ala Val Thr 585 Phe Asn Thr Asn Thr 600 Gly Lys Lys Tyr Tyr 620 Tyr Thr Ile Ile Ser 635 Met Gin lie Gly Va 650 Pro Ala Asn Thr Asi 665 Gin Asn Arg Phe Le 680 1 Asn Ser Lys Ala Al 70 r Tyr Phe Giu Pro As 355 Lys 525 Lys Gly Pro Asn Asn Asn Ile Glu 560 Leu Asn Giy Lys 575 Gly Leu Arg Thr 590 Ala Val Ala Vai 605 Phe Asn Thr Asn Gly Lys His Phe 640 1 Phe Lys Giy Pro 655 p Ala Asn Asn Ile 670 Tyr Leu His Asp 685 a Thr Giy Trp Val 0 n Thr Aia Met Giy 705 710 715 720 Ala Asn Gly Tyr Lys Thr Ile Asp Asn Lys Asn Phe Tyr Phe Arg As n 725 730 735 Gly Leu Pro Gin Ile Gly Val Phe Lys Gly Ser Asfl Gly Phe Giu Tyr 740 745 750 Phe Ala Pro Ala Asn Thr Asp Ala Asn Asn Ile Giu Gly Gln Ala Ile 755 760 765 Arg Tyr Gin Asn Arg Phe Leu His Leu Leu Gly Lys Ile Tyr Tyr Phe 770 775 780 Gly Asn Asn Ser Lys Ala Val Thr Gly Trp Gin Thr Ile Asn Gly Lys 785 790 795 800 Val Tyr Tyr Phe Met Pro Asp Thr Ala Met Ala Ala *805 810 INFORMATION FOR SEQ ID SEQUENCE CHARACTERISTICS: LENGTH: 609 amino acids TYPE: amino acid STRAINDEDNESS: unknown TOPOLOGY: linear (ii) MOLECULE TYPE: protein (xi) SEQUENCE DESCRIPTION: SEQ ID Thr Ser Giu Giu Asn Lys Val Ser Gin Vai Lys Ile Arg Phe Vai Asn 1 5 10 *.*Val Phe Lys Asp Lys Thr Leu Ala Asn Lys Leu Ser Phe Asn Phe Ser 25 Asp Lys Gin Asp Val Pro Val Ser Giu Ile Ile Leu Ser Phe Thr Pro 40 *Ser Tyr Tyr Giu Asp Gly Leu Ile Gly Tyr Asp Leu Gly Leu Val Ser 50 55' Leu Tyr Asn Giu Lys Phe Tyr Ile Asn Asn Phe Gly Met met Val Ser 70 75 Gly Leu Ile Tyr Ile Asn Asp Ser Leu Tyr Tyr Phe Lys Pro Pro Val 85 90 Asn Asn Leu Ile Thr Gly Phe Val Thr Val Gly Asp Asp Lys Tyr Tyr 100 105 110 Phe Asn Pro Ile Asn Gly Gly Ala Ala Ser Ile Gly Giu Thr Ile Ile 115 120 125 Asp Asp Lys Asn Tyr Tyr Phe Asn Gin Ser Gly Val Leu Gln Thr Giy 130 135 140 Val Phe Ser Thr Giu Asp Gly Phe Lys Tyr Phe Aia Pro Ala Asn Thr 145 150 155 160 Leu Asp Giu Asn Leu Giu Giy Glu Ala Ile Asp Phe Thr Gly Lys Leu 165 170 175 356 Ile Ile Asp Giu Asn Ile Tyr Tyr Phe Asp Asp Asn Tyr Arg Gly Ala 180 185 190 Val Glu Trp Lys Giu Leu Asp Gly Giu Met His Tyr Phe Ser Pro Glu 195 200 205 Thr Giy Lys Ala Phe Lys Gly Leu Asn Gin Ile Gly Asp Tyr Lys Tryr 210 215 220 Tyr Phe Asn Ser Asp Giy Val Met Gin Lys Gly Phe Val Ser Ile Asn 225 230 235 240 Asp Asn Lys His Tyr Phe Asp Asp Ser Gly Val Met Lys Val Gly Tyr 245 250 255 Thr Giu Ile Asp Gly Lys His Phe Tyr Phe Ala Giu Asn Gly Giu Met 260 265 270 Gin Ilie Gly Val Phe Asn Thr Giu Asp Gly Phe Lys Tyr Phe Ala His *275 280 285 *His Asn Giu Asp Leu Giy Asn Giu Giu Giy Giu Giu Ile Ser Tyr Ser *290 295 300 Gly Ile Leu Asn Phe Asn Asn Lys Ile Tyr Tyr Phe Asp Asp Ser Phe *305 310 315 320 Thr Ala Val Val Gly Trp Lys Asp Leu Giu Asp Giy Ser Lys Tyr Tyr *325 330 335 *Phe Asp Giu Asp Thr Ala Giu Ala Tyr Ile Gly Leu Ser Leu Ile Asn 340 345 350 Asp Giy Gin Tyr Tyr Phe Asn Asp Asp Giy Ile Met Gin Val Gly Phe 355 360 365 Val Thr Ile Asn Asp Lys Val Phe Tyr Phe Ser Asp Ser Gly Ile Ile 370 1375 380 Giu Ser Gly Val Gin Asn Ile Asp Asp Asn Tyr Phe Tyr Ile Asp Asp *385 390 395 400 Asn Gly Ile Vai Gin Ile Gly Val Phe Asp Thr Ser Asp Giy Tyr Lys 405 410 415 Tyr Phe Aia Pro Ala Asn Thr Val Asn Asp Asn Ile Tyr Giy Gin Ala 420 425 430 Val Giu Tyr Ser Gly Leu Vai Arg Val Giy Giu Asp Val Tyr Tyr Phe 435 440 445 Gly Glu Thr Tyr Thr Ile Glu Thr Gly Trp Ile Tyr Asp Met Giu Asn 450 455 460 Giu Ser Asp Lys Tyr Tyr Phe Asn Pro Glu Thr Lys Lys Ala Cys Lys 465 470 475 480 Gly Ile Asn Leu Ile Asp Asp Ile Lys Tyr Tyr Phe Asp Glu Lys Giy 485 490 495 Ile Met Arg Thr Gly Leu Ile Ser Phe Giu Asn Asn Asn Tyr Tyr Phe 500 505 510 357 Asn Giu Asn Gly Giu Met Gin Phe Giy Tyr Ile Asn Ile Giu Asp Lys 515 520 525 Met Phe Tyr Phe Gly Giu Asp Gly Val Met Gin Ile Gly Vai Phe Asn 530 535 540 Thr Pro Asp Gly Phe Lys Tyr Phe Ala His Gin Asn Thr Leu Asp Giu 545 550 555 560 Asn Phe Giu Gly Giu Ser Ile Asn Tyr Thr Gly Trp Leu Asp Leu Asp 565 570 575 Giu Lys Arg Tyr Tyr Phe Thr Asp Giu Tyr Ile Aia Ala Thr Giy Ser 580 565 590 Val Ile Ile Asp Giy Giu Giu Tyr Tyr Phe Asp Pro Asp Thr Ala Gin ***595 600 605 Leu 358

Claims (13)

1. A composition comprising an avian antitoxin directed against a clostridial toxin protein, wherein said composition is in a solid dosage form.

2. The composition of claim 1, further comprising an enteric coating.

3. The composition of claim 2, wherein said enteric coating dissolves at a pH of approximately 7.0

4. The composition of any one of claims 1 to 3, wherein said solid form is a tablet.

The composition of claim 1, wherein said composition comprises polyethylene glycol.

6. The composition of claim 1, wherein said composition comprises an excipient.

7. A method of generating a solid dosage form of an avian antitoxin directed against a clostridial toxin protein, comprising: a) providing a composition comprising said avian antitoxin directed against a clostridial toxin protein in a dry form; and b) shaping said dry avian antitoxin into a tablet. is

8. The method of claim 7, wherein said shaping of step b) is accomplished by *9 Scompression of said dry antitoxin using a tablet press.

9. The method of claim 7, further comprising the step of applying an enteric coating to said tablet.

10. The method of any one of claims 7 to 9, wherein said composition comprising dry 9 antitoxin further comprises polyethylene glycol.

11. The method of any one of claims 7 to 9, wherein said composition comprising dry antitoxin further comprises a filler. 0 S a

12. A solid dosage form of an antitoxin directed against a clostridial toxin protein generated by the method of any one of claims 7 to 11.

13. A composition comprising an avian antitoxin directed against a clostridial toxin protein, the composition being substantially as hereinbefore described with reference to any one of the Examples. Dated 12 March, 2002 Ophidian Pharmaceuticals, Inc. Patent Attorneys for the Applicant/Nominated Person SPRUSON FERGUSON [R:\LIBXX)03182.doc:aak