Fviii peptides for immune tolerance induction and immunodiagnostics

Abstract

The present invention is related to peptides that can be used to reduce the immune response against FVIII or to induce tolerance to human FVIII in patients with, e.g., hemophilia A. Furthermore, the peptides can be used for immunodiagnostic purposes to detect FVIII-specific CD4 + T cells to monitor patients with hemophilia A during replacement therapy and during immune tolerance induction therapy.

What is claimed is: 
     
         1 . A peptide consisting of the amino acid sequence:
   (R 1 ) x —P—(R 2 ) y ,
   wherein:   P is an amino acid sequence having at least 85% identity to at least nine consecutive amino acids of SEQ ID NO:344;   R 1  is an amino acid sequence consisting of from 1 to 80 amino acids;   R 2  is an amino acid sequence consisting of from 1 to 80 amino acids; and   each of x and y are independently zero or one.   
     
     
         2 . The peptide of  claim 1 , wherein x and y are both zero. 
     
     
         3 . The peptide of  claim 1 , wherein x is one and y is zero. 
     
     
         4 . The peptide of  claim 1 , wherein x is zero and y is one. 
     
     
         5 . The peptide of  claim 1 , wherein x and y are both one. 
     
     
         6 . The peptide of  claim 1 , wherein the peptide consists of from 9 to 100 amino acids. 
     
     
         7 . The peptide of  claim 6 , wherein the peptide consists of from 9 to 50 amino acids. 
     
     
         8 . The peptide of  claim 6 , wherein the peptide consists of from 9 to 25 amino acids. 
     
     
         9 . A composition comprising a peptide according to  claim 1 . 
     
     
         10 . The composition of  claim 9 , wherein the composition is formulated for pharmaceutical administration. 
     
     
         11 . The composition of  claim 9 , wherein the composition further comprises a second polypeptide, the second polypeptide consisting of the amino acid sequence:
   (R 1 ) x —P—(R 2 ) y ,
   wherein:   P is an amino acid sequence having at least 85% identity to at least nine consecutive amino acids of a sequence selected from SEQ ID NOS:10, 68, 159, 250, 344, 477, 568, 659, and 740;   R 1  is an amino acid sequence consisting of from 1 to 80 amino acids;   R 2  is an amino acid sequence consisting of from 1 to 80 amino acids; and   each of x and y are independently zero or one.   
     
     
         12 . A method of inducing an immune tolerance to FVIII in a subject in need thereof, the method comprising a step of:
 administering to the subject a therapeutically effective amount of a peptide according to  claim 1 .   
     
     
         13 . A method of making a FVIII peptide, the method comprising the steps of:
 a) providing a culture of cells comprising a polynucleotide that encodes a FVIII peptide according to  claim 1 ; and   b) expressing the peptide in the culture of cells.   
     
     
         14 . A method of identifying a FVIII peptide-specific T cell, the method comprising:
 a) combining a plurality of CD4 +  T cells with a peptide complexed with a MHC class II multimer, wherein the peptide is a FVIII peptide according to  claim 1 ; and   b) identifying at least one of the members of the plurality of CD4 +  T cells that is specific for the peptide complexed with the MHC class II multimer.   
     
     
         15 . The method of  claim 14 , wherein the MHC class II multimer is a MHC class II tetramer. 
     
     
         16 . The method of  claim 14 , wherein the peptide or MHC class II multimer further comprises a detectable moiety. 
     
     
         17 . The method of  claim 14 , further comprising isolating the at least one CD4 +  T cells that is specific for the peptide. 
     
     
         18 . The method of  claim 17 , wherein the CD4 +  T cells is isolated using flow cytometry. 
     
     
         19 . A fusion protein comprising:
 a Factor VIII peptide according to  claim 1 ; and   a second peptide.   
     
     
         20 . The fusion protein of  claim 19 , wherein the second peptide is a reporter peptide.