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Patent application title: Cancer Immunotherapy

Inventors:
IPC8 Class: AA61K3517FI
USPC Class: 1 1
Class name:
Publication date: 2020-10-08
Patent application number: 20200316123



Abstract:

Methods of providing populations of NKT and/or .gamma..delta. T cells, and their use, e.g., in therapies such as cancer immunotherapy.

Claims:

1. A method of preparing an isolated population of Natural Killer T cells (NKT) and/or .gamma..delta. T cells, the method comprising: obtaining a first isolated population comprising hematopoietic stem cells (HSC); engineering the HSC to overexpress Ten eleven translocation (Tet)1; maintaining the Tet1-overexpressing HSC in culture under conditions and for a time sufficient for at least some of the HSC to differentiate into NKT and/or .gamma..delta. T cells; and optionally purifying the NKT and/or .gamma..delta. T cells, thereby providing an isolated population of NKT and/or .gamma..delta. T cells.

2. An isolated population of NKT and/or .gamma..delta. T cells prepared by the method of claim 1.

3.-4. (canceled)

5. A method of reducing the severity of a cancer in a subject, comprising administering to the subject a population of NKT and/or .gamma..delta. T cells of claim 2.

6. (canceled)

7. The method of claim 5, wherein the subject has colorectal cancer.

8.-10. (canceled)

11. The method of claim 7, further comprising: maintaining the Tet1-overexpressing HSC in culture under conditions and for a time sufficient for at least some of the HSC to differentiate into NKT and/or .gamma..delta. T cells; optionally purifying the NKT and/or .gamma..delta. T cells, and administering the NKT and/or .gamma..delta. T cells to the subject, thereby reducing the severity of the cancer in the subject.

12.-14. (canceled)

15. A method of increasing levels of NKT and/or .gamma..delta. T cells in a subject who has colorectal cancer, the method comprising administering to the subject the isolated population of NKT and/or .gamma..delta. T cells of claim 2, thereby increasing levels of NKT and/or .gamma..delta. T cells in the subject.

16. (canceled)

17. The method of claim 15, wherein the first isolated population of HSC is obtained from the subject.

18.-23. (canceled)

24. The method of claim 2, wherein the subject also has hypercholesterolemia.

25. The method of claim 2, wherein the subject has adenoma.

26. The method of claim 15, wherein the subject also has hypercholesterolemia.

27. The method of claim 15, wherein the subject has adenoma.

Description:

CROSS-REFERENCE TO RELATED APPLICATIONS

[0001] This application is a continuation application of and claims priority to U.S. application Ser. No. 15/538,690, filed on Jun. 22, 2017, which is the national stage application of International Application No. PCT/US2016/014477, filed on Jan. 22, 2016, which claims priority to U.S. Application Ser. No. 62/106,507, filed on Jan. 22, 2015. The entire contents of each application is hereby incorporated by reference.

TECHNICAL FIELD

[0002] The invention relates, at least in part, to methods of providing populations of NKT and/or .gamma..delta. T cells for use in tumor immunotherapy.

BACKGROUND

[0003] Cancer immunotherapies trigger the body's own immune system to find and destroy neoplastic cells. Natural killer T cells (NKT) and .gamma..delta. T cells have been identified as critical components in cancer immunosurveillance. The initial success of preclinical trials in the last decades has evoked NKT or .gamma..delta. T cells based immunotherapeutic approaches for the treatment of cancer. However, a significant proportion of patients are not eligible for NKT or .gamma..delta. T cells based therapies because they don't have either a sufficient number of NKT or .gamma..delta. T cells and/or lack sufficient cells with normal function. Although stem cell research has found that embryonic stem cells and induced pluripotent stem cells differentiate into NKT and .gamma..delta. T cells, serving as a potential resource for clinical therapy, their differentiation efficiency is extremely low.

SUMMARY

[0004] The present invention is based, at least in part, on the discovery that Tet1 is essential to the differentiation of HSCs toward NKT and/or .gamma..delta. T cells as well as their function, and that overexpressing Tet1 in hematopoietic stem cells (HSCs) increased their differentiation towards natural killer T cells (NKT) and gamma delta T cells (.gamma..delta. T cells), e.g., by 10-20 times, in both in vivo and in vitro conditions. In addition, when Tet1 was overexpressed in HSCs they generated not only increased numbers of NKT and .gamma..delta. T cells, but the cells that were generated were functionally superior in their capacity to kill tumor cells, as injection of WT HSCs that overexpress Tet1 eliminated all of the carcinoma stages of neoplasia.

[0005] Thus, in a first aspect the present invention provides methods for preparing a population of Natural Killer T cells (NKT) and/or .gamma..delta. T cells. The methods include obtaining a first population comprising hematopoietic stem cells (HSC); engineering the HSC to express (i.e., overexpress) Ten eleven translocation (Tet)1; maintaining the Tet1-overexpressing HSC in culture under conditions and for a time sufficient for at least some of the HSC to differentiate into NKT and/or .gamma..delta. T cells; and optionally purifying the NKT and/or .gamma..delta. T cells, thereby providing a population of NKT and/or .gamma..delta. T cells.

[0006] Also provided herein is a population of NKT and/or .gamma..delta. T cells prepared by a method described herein.

[0007] In another aspect, the invention provides populations of HSC engineered to overexpress Tet1, e.g., to express exogenous Tet1 or to overexpress endogenous Tet1 to produce levels of Tet1 above those found in normal, non-engineered cells; in some embodiments, the HSCs comprise a Tet1 gene operably linked to a regulatory region other than the endogenous Tet1 regulatory region.

[0008] In another aspect, the invention provides methods for treating a subject who has cancer. The methods include administering to the subject a population of NKT and/or .gamma..delta. T cells described herein, or a population of HSC described herein.

[0009] In a further aspect, the invention provides methods for treating a subject who has cancer. The methods include obtaining a first population comprising hematopoietic stem cells (HSC); engineering the HSC to express Ten eleven translocation (Tet)1; and administering the Tet1-overexpressing HSC to the subject, thereby treating the subject.

[0010] In yet another aspect, the invention includes methods for treating a subject who has cancer. The methods include obtaining a first population comprising hematopoietic stem cells (HSC); engineering the HSC to overexpress Ten eleven translocation (Tet)1; maintaining the Tet1-expressing HSC in culture under conditions and for a time sufficient for at least some of the HSC to differentiate into NKT and/or .gamma..delta. T cells; optionally purifying the NKT and/or .gamma..delta. T cells, and administering the differentiated or purified population of NKT and/or .gamma..delta. T cells to the subject, thereby treating the subject.

[0011] In some embodiments, the first population of HSC is obtained from the subject who has cancer. In some embodiments, the subject has colon cancer, ovarian cancer, prostate cancer, lymphoid malignancies, myeloma, renal cell carcinoma, breast cancer, or malignant glioma, or any cancer sensitive to immunosurveillance.

[0012] In an additional aspect, the invention provides methods for increasing levels of NKT and/or .gamma..delta. T cells in a subject. The methods include obtaining a first population comprising hematopoietic stem cells (HSCs); engineering the HSCs to overexpress Ten eleven translocation (Tet)1; and administering the Tet1-expressing HSC to the subject, thereby increasing levels of NKT and/or .gamma..delta. T cells in the subject.

[0013] In another aspect, the invention provides methods for increasing levels of NKT and/or .gamma..delta. T cells in a subject. The methods include obtaining a first population comprising hematopoietic stem cells (HSCs); engineering the HSCs to overexpress Ten eleven translocation (Tet)1; maintaining the Tet1-expressing HSC in culture under conditions and for a time sufficient for at least some of the HSC to differentiate into NKT and/or .gamma..delta. T cells; optionally purifying the NKT and/or .gamma..delta. T cells, and administering the population of NKT and/or .gamma..delta. T cells to the subject, thereby increasing levels of NKT and/or .gamma..delta. T cells in the subject.

[0014] In some embodiments, the first population of HSCs is obtained from the subject.

[0015] In some embodiments of the methods described herein, the subject has a tumor.

[0016] In some embodiments of the methods described herein, the subject has carcinoma, sarcoma, myeloma, leukemia, or lymphoma. In some embodiments of the methods described herein, the subject has colon cancer, ovarian cancer, prostate cancer, lymphoid malignancies, myeloma, renal cell carcinoma, breast cancer, or malignant glioma.

[0017] Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. Methods and materials are described herein for use in the present invention; other, suitable methods and materials known in the art can also be used. The materials, methods, and examples are illustrative only and not intended to be limiting. All publications, patent applications, patents, sequences, database entries, and other references mentioned herein are incorporated by reference in their entirety. In case of conflict, the present specification, including definitions, will control.

[0018] Other features and advantages of the invention will be apparent from the following detailed description and figures, and from the claims.

BRIEF DESCRIPTION OF DRAWINGS

[0019] FIGS. 1a-j. Hypercholesterolemia induced oxidant stress downregulates the expression of TET1 in HSCs that impairs their differentiation towards NKT and .gamma..delta.T cells. a, The expression of TET1, TET2 and TET3 in HSCs from WT and ApoE.sup.-/- mice. n=6, **, p<0.01, vs. WT. b, Oxidant stress dependent downregulation of TET1 expression in HSCs from ApoE.sup.-/- mice. n=6, *<0.05; **, p<0.01, vs. ApoE.sup.-/-. c, The deletion of TET1 in HSCs. n=6, *, p<0.05; **, p<0.01, vs. WT; #, p<0.05, vs. ApoE.sup.-/-. d, The differentiation of HSCs towards NKT in vitro. n=6, *, p<0.05; **, p<0.01, vs. WT; #, p<0.05, vs. ApoE.sup.-/-. e. The differentiation of HSCs towards .gamma..delta.T cells in vitro. n=6, *, p<0.05; **, p<0.01, vs. WT; #, p<0.05, vs. ApoE.sup.-/-. f, The overexpression of TET1 in HSCs. n=6, *, p<0.05; **, p<0.01, vs. WT; #, p<0.05; ##, p<0.01, vs. ApoE.sup.-/-. g, The differentiation of HSCs towards NKT in vitro. n=6, *, p<0.05; **, p<0.01, vs. WT; #, p<0.05, vs. ApoE.sup.-/-. h. The differentiation of HSCs towards .gamma..delta.T cells in vitro. n=6, *, p<0.05; **, p<0.01, vs. WT; #, p<0.05, vs. ApoE.sup.-/-. i, The differentiation of HSCs towards NKT cells in vivo. n=6, *, p<0.05; **, p<0.01, vs. WT; #, p<0.05, vs. ApoE.sup.-/-. j. The differentiation of HSCs towards .gamma..delta.T cells in vivo. n=6, *, p<0.05; **, p<0.01, vs. WT; #, p<0.05, vs. ApoE.sup.-/-.

[0020] FIGS. 2a-e. The overexpression of TET1 alters the frequency of immature populations and specific subsets of NKT and .gamma..delta.T cells in vitro. a, HAS expression in NKT derived from in vitro co-culture. n=6, *, p<0.05, vs. WT+mock; #, p<0.05, vs. ApoE.sup.-/-+mock. b, HAS expression in .gamma..delta.T cells derived from in vitro co-culture. n=6, *, p<0.05, vs. WT+mock; #, p<0.05, vs. ApoE.sup.-/-+mock. c,d,e. V1 (c), V2 (d) and V6 (e) subsets in .gamma..delta.T cells derived from in vitro co-culture of TET1 overexpressing HSCs. n=6, *, p<0.05, vs. WT+mock; #, p<0.05, vs. ApoE.sup.-/-+mock.

[0021] FIGS. 3a-g. The overexpression of TET1 alters the frequency of immature population and specific subsets of NKT and .gamma..delta.T cells in vivo. a, HAS expression in NKT derived from in vitro co-culture. n=6, *, p<0.05, vs. WT+mock; #, p<0.05, vs. ApoE.sup.-/-+mock. b, HAS expression in .gamma..delta.T cells derived from in vitro co-culture. n=6, *, p<0.05, vs. WT+mock; #, p<0.05, vs. ApoE.sup.-/-+mock. c,d,e. V1 (c), V2 (d) and V6 (e) subsets in .gamma..delta.T cells derived from in vitro culture of TET1 overexpressing HSCs. n=6, *, p<0.05, vs. WT+mock; #, p<0.05, vs. ApoE.sup.-/-+mock. f CCR6.sup.+ population in .gamma..delta.T cells derived from recipient mice; g, IL-17.sup.+ cells in .gamma..delta.T cells derived from recipient mice. n=8, *, p<0.05, vs. WT+mock; #, p<0.05, vs. ApoE.sup.-/-+mock.

[0022] FIG. 4. The overexpression of TET1 alters the differentiation of CD4.sup.+ and CD8.sup.+ populations in in vitro co-culture of HSCs. n=8, *, p<0.05, vs. WT+mock; #, p<0.05, vs. ApoE.sup.-/-+mock.

[0023] FIGS. 5a-f. Reconstitution of lethally irradiated WT mice with ApoE.sup.-/- HSCs that overexpresses TET1 restores immunosurveillance against colorectal neoplasia. a, The frequency of NKT cells in thymus and blood of the recipients after transplantation with WT HSCs, ApoE.sup.-/- HSCs, TET1-overexpressing WT HSCs+WT HSCs, or TET1-overexpressing ApoE.sup.-/- HSCs+ApoE.sup.-/- HSCs. n=8, *, p<0.05, vs. WT-WT; #, p<0.05, vs. ApoE.sup.-/--WT. b. The frequency of .gamma..delta. T cells in thymus and blood of the recipients. n=8, *, p<0.05, vs. WT-WT; #, p<0.05, vs. ApoE.sup.-/--WT. c, The frequency of NKT cells in colon of the recipients. n=8, **, p<0.01, vs. WT-WT; #, p<0.05, vs. ApoE.sup.-/--WT. d, The frequency of .gamma..delta. T cells in colon of the recipients. n=8, **, p<0.01, vs. WT-WT; #, p<0.05, vs. ApoE.sup.-/--WT. e, Average tumor numbers per mouse in the recipients. n=12, *, p<0.05, vs. WT-WT; #, p<0.05, vs. ApoE.sup.-/--WT. f, Histopathologic stages of tumors. n=12, *, p<0.05, **, p<0.01 vs. WT-WT; #, p<0.05, ##, p<0.01, vs. ApoE.sup.-/--WT.

DETAILED DESCRIPTION

[0024] Natural killer T (NKT) cells, defined by the expression of both .alpha..beta. T-cell receptors (TCR) and lineage markers of natural killer (NK) cells, are a small population of lymphocytes that possess characteristics of both innate and adaptive immune cells (1,2). Upon activation, NKT and .gamma..delta.T cells rapidly secrete a variety of cytokines, including interferon .gamma. (IFN.gamma.), interleukins (IL)-4, IL-13, IL-17, tumor necrosis factor .alpha. (TNF.alpha.), and granulocyte macrophage colony-stimulating factor (GM-CSF) (Hayday, Annu Rev Immunol. 18, 975-1026 (2000); Brennan et al., Nat Rev Immunol. 13, 101-17 (2013)). Along with the mediators produced by antigen-presenting cells with which NKT and .gamma..delta.T cells interact, these cytokines recruit and stimulate the anti-tumor functions of cytotoxic lymphocytes, boosting innate as well as adaptive antitumor responses. Activated NKT and .gamma..delta.T cells both have strong cytotoxic effector activity (Chien et al., Annu Rev Immunol. 32, 121-55 (2014); Taniguchi et al., Nat Immunol. 4, 1165-1165 (2003); Todaro et al., J Immunol. 182, 7287-7296 (2009)). In this context, NKT and .gamma..delta.T cells function as major participants in tumor immunosurveillance. Recent studies showed that iNKT-deficient mice exhibited significantly increased susceptibility to methylcholanthrene-(MCA) induced sarcomas and B16F10 melanoma tumors (3), an effect reversed by the administration of liver-derived iNKT cells during the early stages of tumor growth (4). Interferon (IFN)-.gamma. production by NKT cells has also been shown to be critical in tumor rejection. The primary contribution of NKT cells to tumor immunosurveillance occurs indirectly via the activation of NKT cells by dendritic cells (DC) presenting alpha-galactosylceramide (.alpha.-GalCer). Activated NKT cells then initiate a series of cytokine cascades that help boost the priming phase of the antitumor immune response. These studies indicate that NKT cells are an essential component in the immunosurveillance against cancers.

[0025] T lymphocytes bearing .gamma.- and .delta.-chain T-cell receptor heterodimers are named .gamma..delta. T cells and have been identified as another important cellular component in the immunosurveillance against cancer. Antigen recognition of .gamma..delta. T-cell receptors is very unique, and the responses frequently exhibit innate characteristics. Furthermore, peripheral .gamma..delta. T cells exert a number of effector and regulatory functions (5). .gamma..delta. T cells rapidly produce cytokines like IFN-.gamma. and IL-17 and promote inflammation, partly due to their inherent epigenetic and transcriptional programs, which facilitates a rapid and comprehensive killing response to neoplastic cells. Moreover, .gamma..delta. T cells lyse target cells directly, which is necessary for pathogen or tumor clearance (6).

[0026] Recent studies have shown that NKT and .gamma..delta. T cells could be steadily expanded in vitro and employed in cancer immunotherapy. Clinical trials have been completed in a cohort of 17 patients with advanced non-small cell lung cancers and 10 cases of head and neck tumors. Sixty percent of advanced lung cancer patients with high IFN-.gamma. production had significantly prolonged median survival times of 29.3 months with only the primary treatment. In the case of head and neck tumors, 10 patients who completed the trial all had stable disease or partial responses five weeks after the combination therapy of .alpha.-GalCer-DCs and activated NKT cells. Cancer immunotherapy trials with autologous .gamma..delta. T cells have been investigated in parallel by Japanese, Australian and French groups. Their results suggested that .gamma..delta. T cells based therapy is well tolerated and therapeutically effective, as many patients showed stabilized diseases following this treatment (7, 8, 9, 10).

[0027] Based on the initial success in preclinical trials, intense efforts have been made in the last decades to launch NKT or .gamma..delta. T cells based immunotherapeutic approaches for the treatment of cancer. However, a significant proportion of patients are not eligible for NKT or .gamma..delta. T cells based therapies because they don't have sufficient NKT and/or .gamma..delta. T cells (11, 12). Although stem cell research has provided evidence that embryonic stem cells and induced pluripotent stem cells differentiated into NKT and .gamma..delta. T cells in vitro, serving as a potential resource for clinical therapy, the differentiation efficiency is questionable (12,13). Therefore, it is a priority goal in NKT or .gamma..delta. T cell based cancer immunotherapy to establish an adequate and reliable resource of these cells.

[0028] Enhancing Hematopoietic Stem Cell Differentiation Toward NKT and .gamma..delta. T Cells

[0029] Described herein are methods for creating populations of NKT and .gamma..delta. T cells by overexpressing Ten eleven translocation (Tet)1 in hematopoietic stem cells. Members of the Tet protein family, including Tet1, Tet2 and Tet3, are ketoglutarate and Fe2+ dependent enzymes that can specifically modify DNA by demethylation (14,15,16). Within the Tet family, Tet2 has been shown to have a critical role in regulating the self-renewal, proliferation and differentiation of HSCs (14, 17), whereas the role of Tet1 in hematopoiesis was previously unknown. The present inventors found that Tet1-dependent epigenetic regulation is a novel determinant in the differentiation of hematopoietic stem cells (HSCs) towards NKT and .gamma..delta.T cells. Tet1 overexpression in HSCs dramatically increases the differentiation of HSCs towards NKT and .gamma..delta.T cells and restores the impaired immunosurveillance against colorectal cancer in hypercholesterolemic mice. Based on these findings, the present methods can be used to provide human NKT and .gamma..delta. T cells for cancer immunotherapy by manipulating Tet1 dependent epigenetic regulation in HSCs.

[0030] Thus, the present methods include obtaining a first population of hematopoietic stem cells (HSC), preferably from an affected person. Preferably, the HSCs are obtained from a human subject who is going to receive the immunotherapy treatment with NKT and .gamma..delta. T cells, i.e., the cells are autologous; alternatively, they can be allogeneic. Methods for obtaining enriched populations of HSC are known in the art and include cell sorting based on expression of one or more cell surface markers; in some embodiments, the HSC used in the present methods are CD34+; in some embodiments, the cells are CD34+, Thy-1+; in some embodiments, the cells are CD34+, CD59+, Thy1/CD90+, CD38lo/-, C-kit/CD117+, and/or lin-. For example, primary human CD34+-enriched cells can be obtained from peripheral blood, e.g., after treatment of the donor with a mobilizing cytokine such as granulocyte-colony stimulating factor (GCSF). Other sources of HSC include bone marrow and umbilical cord blood. A number of methods are known in the art for preparing enriched populations of HSC, e.g., as described in Rector et al., Methods Mol Biol. 2013; 976:1-15. For example, the cells can be sorted, e.g., using columns (e.g., the MiniMACS LS+ separation columns (Miltenyi Biotec, Auburn, Calif.)), e.g., using commercially available kits, e.g., the CD34-progenitor cell isolation kit (StemCell Technologies, Vancouver, BC, Canada), according to the manufacturer's protocol. A population of cells that is enriched for HSCs is at least 20% HSC, e.g., is at least 30%, 40%, 50%, 60%, 70%, 80%, 90%, or 95% HSCs. In some embodiments, the HSCs used in the present methods are obtained by enriching for cells that are CD34+; in some embodiments, the cells are obtained by enriching for cells that are CD34+, Thy-1+; in some embodiments, the cells are obtained by enriching for cells that are CD34+, CD59+, Thy1/CD90+, CD38lo/-, C-kit/CD117+, lin-.

[0031] Tet1

[0032] The enriched populations of HSCs used in the present methods and compositions are engineered to express the Tet1 protein. The sequence of human Tet1 is as follows:

TABLE-US-00001 (SEQ ID NO: 1) 1 msrsrharps rlvrkedvnk kkknsqlrkt tkganknvas vktlspgklk gliqerdvkk 61 ktepkppvpv rslltragaa rmnldrtevl fqnpesltcn gftmalrsts lsrrlsqppl 121 vvakskkvpl skglekqhdc dykilpalgv khsendsvpm qdtqvlpdie tligvqnpsl 181 lkgksqettq fwsqrvedsk inipthsgpa aeilpgpleg trcgeglfse etlndtsgsp 241 kmfaqdtvca pfpqratpkv tsqgnpsiql eelgsrvesl klsdsyldpi ksehdcypts 301 slnkvipdln lrnclalggs tsptsvikfl lagskqatlg akpdhqeafe atanqqevsd 361 ttsflgqafg aiphqwelpg adpvhgealg etpdlpeipg aipvqgevfg tildqqetlg 421 msgsvvpdlp vflpvppnpi atfnapskwp epqstvsygl avqgaigilp lgsghtpqss 481 snseknslpp vmaisnvene kqvhisflpa ntqgfplape rglfhaslgi aqlsgagpsk 541 sdrgssqvsv tstvhvvntt vvtmpvpmvs tssssyttll ptlekkkrkr cgvcepcqqk 601 tncgectyck nrknshqick krkceelkkk psvvvplevi kenkrpqrek kpkvlkadfd 661 nkpvngpkse smdysrcghg eeqklelnph tvenvtkned smtgievekw tqnkksqltd 721 hvkgdfsanv peaeksknse vdkkrtkspk lfvqtvrngi khvhclpaet nvsfkkfnie 781 efgktlenns ykflkdtanh knamssvatd mscdhlkgrs nvlvfqqpgf ncssiphssh 841 siinhhasih negdqpktpe nipskepkdg spvqpslls1 mkdrrltleq vvaiealtql 901 seapsenssp sksekdeese qrtasllnsc kailytvrkd lqdpnlqgep pklnhcpsle 961 kqsscntvvf ngqtttlsns hinsatnqas tksheyskvt nslslfipks nsskidtnks 1021 iaqgiitldn csndlhqlpp rnneveycnq lldsskklds ddlscqdath tqieedvatq 1081 ltqlasiiki nyikpedkkv estptslvtc nvqqkynqek gtiqqkppss vhnnhgsslt 1141 kqknptqkkt kstpsrdrrk kkptvvsyqe ndrqkwekls ymygticdiw iaskfqnfgq 1201 fcphdfptvf gkissstkiw kplaqtrsim qpktvfpplt qiklqrypes aeekvkvepl 1261 dslslfhlkt esngkaftdk aynsqvqltv nanqkahplt qpssppnqca nvmagddqir 1321 fqqvvkeqlm hqrlptlpgi shetplpesa ltlrnvnvvc sggitvvstk seeevcsssf 1381 gtsefstvds aqknfndyam nfftnptknl vsitkdselp tcscldrviq kdkgpyythl 1441 gagpsvaavr eimenrygqk gnairieivv ytgkegkssh gcpiakwvir rssdeekvlc 1501 lvrqrtghhc ptavmvvlim vwdgiplpma drlytelten lksynghptd rrctlnenrt 1561 ctcqgidpet cgasfsfgcs wsmyfngckf grspsprrfr idpssplhek nlednlqsla 1621 trlapiykqy apvayqnqve yenvarecrl gskegrpfsg vtacldfcah phrdihnmnn 1681 gstvvctltr ednrslgvip qdeqlhvlpl yklsdtdefg skegmeakik sgaievlapr 1741 rkkrtcftqp vprsgkkraa mmtevlahki ravekkpipr ikrknnsttt nnskpsslpt 1801 lgsntetvqp evksetephf ilkssdntkt yslmpsaphp vkeaspgfsw spktasatpa 1861 plkndatasc gfsersstph ctmpsgrlsg anaaaadgpg isqlgevapl ptlsapvmep 1921 linsepstgv tepltphqpn hqpsfltspq dlasspmeed eqhseadepp sdeplsddpl 1981 spaeeklphi deywsdsehi fldaniggva iapahgsvli ecarrelhat tpvehpnrnh 2041 ptrlslvfyq hknlnkpqhg felnkikfea keaknkkmka seqkdqaane gpeqssevne 2101 lnqipshkal tlthdnvvtv spyalthvag pynhwv

In some embodiments, the Tet1 proteins that are expressed in the enriched HSCs can be at least about 80%, 85%, 90%, 95%, 98% or more homologous to SEQ ID NO:1, and maintain the ability to promote HSC differentiation to NKT or .gamma..delta. T cells. In some embodiments the Tet1 comprises the catalytic domain of Tet1, e.g., amino acids 1418-2136 of SEQ ID NO:1, or a sequence that is at least about 80%, 85%, 90%, 95%, 98% or more homologous to amino acids 1418-2136 of SEQ ID NO:1 and maintains the ability to promote HSC differentiation to NKT or .gamma..delta. T cell. Another exemplary nucleic acid sequence encoding human Tet1 is in GenBank at Acc. No. NM 030625.2.

[0033] Recombinant Expression Vectors, Host Cells and Genetically Engineered Cells

[0034] Generally speaking, the HSC are engineered to express Tet1 by transduction with a nucleic acid, e.g., expression vectors, containing a nucleic acid encoding a Tet1 polypeptide described herein. As used herein, the term "vector" refers to a nucleic acid molecule capable of transporting another nucleic acid to which it has been linked and can include a plasmid, cosmid or viral vector. The vector can be capable of autonomous replication or it can integrate into a host DNA. Viral vectors include, e.g., replication defective retroviruses, recombinant retroviruses, adenovirus, adeno-associated virus, lentivirus, and herpes simplex virus-1, or recombinant bacterial or eukaryotic plasmids. Viral vectors transfect cells directly; plasmid DNA can be delivered naked or with the help of, for example, cationic liposomes (lipofectamine) or derivatized (e.g., antibody conjugated), polylysine conjugates, gramacidin S, artificial viral envelopes or other such intracellular carriers, as well as direct injection of the gene construct or CaPO4 precipitation carried out in vivo.

[0035] A preferred approach for in vivo introduction of nucleic acid into a cell is by use of a viral vector containing nucleic acid, e.g., a cDNA. Infection of cells with a viral vector has the advantage that a large proportion of the targeted cells can receive the nucleic acid. Additionally, molecules encoded within the viral vector, e.g., by a cDNA contained in the viral vector, are expressed efficiently in cells that have taken up viral vector nucleic acid.

[0036] Retrovirus vectors and adeno-associated virus vectors can be used as a recombinant gene delivery system for the transfer of exogenous genes in vivo, particularly into humans. These vectors can provide effective delivery of genes into cells. Whereas the transgene within a retroviral vector is typically stably integrated into the chromosomal DNA of the host, the transgene of an AAV vector usually exists as extrachromosomal episomes within the cytoplasm of infected cells. The development of specialized cell lines (termed "packaging cells") which produce only replication-defective retroviruses has increased the utility of retroviruses for gene therapy, and defective retroviruses are characterized for use in gene transfer for gene therapy purposes (for a review see Miller, Blood 76:271 (1990)). A replication defective retrovirus can be packaged into virions, which can be used to infect a target cell through the use of a helper virus by standard techniques. Protocols for producing recombinant retroviruses and for infecting cells in vitro or in vivo with such viruses can be found in Ausubel, et al., eds., Current Protocols in Molecular Biology, Greene Publishing Associates, (1989), Sections 9.10-9.14, and other standard laboratory manuals. Examples of suitable retroviruses include pLJ, pZIP, pWE and pEM which are known to those skilled in the art. Examples of suitable packaging virus lines for preparing both ecotropic and amphotropic retroviral systems include TCrip, TCre, .PSI.2 and .PSI.Am. Retroviruses have been used to introduce a variety of genes into many different cell types, including epithelial cells, in vitro and/or in vivo (see for example Eglitis, et al. (1985) Science 230:1395-1398; Danos and Mulligan (1988) Proc. Natl. Acad. Sci. USA 85:6460-6464; Wilson et al. (1988) Proc. Natl. Acad. Sci. USA 85:3014-3018; Armentano et al. (1990) Proc. Natl. Acad. Sci. USA 87:6141-6145; Huber et al. (1991) Proc. Natl. Acad. Sci. USA 88:8039-8043; Ferry et al. (1991) Proc. Natl. Acad. Sci. USA 88:8377-8381; Chowdhury et al. (1991) Science 254:1802-1805; van Beusechem et al. (1992) Proc. Natl. Acad. Sci. USA 89:7640-7644; Kay et al. (1992) Human Gene Therapy 3:641-647; Dai et al. (1992) Proc. Natl. Acad. Sci. USA 89:10892-10895; Hwu et al. (1993) J. Immunol. 150:4104-4115; U.S. Pat. Nos. 4,868,116; 4,980,286; PCT Application WO 89/07136; PCT Application WO 89/02468; PCT Application WO 89/05345; and PCT Application WO 92/07573).

[0037] Another viral gene delivery system useful in the present methods utilizes adenovirus-derived vectors. The genome of an adenovirus can be manipulated, such that it encodes and expresses a gene product of interest but is inactivated in terms of its ability to replicate in a normal lytic viral life cycle. See, for example, Berkner et al., BioTechniques 6:616 (1988); Rosenfeld et al., Science 252:431-434 (1991); and Rosenfeld et al., Cell 68:143-155 (1992). Suitable adenoviral vectors derived from the adenovirus strain Ad type 5 d1324 or other strains of adenovirus (e.g., Ad2, Ad3, or Ad7 etc.) are known to those skilled in the art. Recombinant adenoviruses can be advantageous in certain circumstances, in that they are not capable of infecting non-dividing cells and can be used to infect a wide variety of cell types, including epithelial cells (Rosenfeld et al., (1992) supra). Furthermore, the virus particle is relatively stable and amenable to purification and concentration, and as above, can be modified so as to affect the spectrum of infectivity. Additionally, introduced adenoviral DNA (and foreign DNA contained therein) is not integrated into the genome of a host cell but remains episomal, thereby avoiding potential problems that can occur as a result of insertional mutagenesis in situ, where introduced DNA becomes integrated into the host genome (e.g., retroviral DNA). Moreover, the carrying capacity of the adenoviral genome for foreign DNA is large (up to 8 kilobases) relative to other gene delivery vectors (Berkner et al., supra; Haj-Ahmand and Graham, J. Virol. 57:267 (1986).

[0038] Yet another viral vector system useful for delivery of nucleic acids is the adeno-associated virus (AAV). Adeno-associated virus is a naturally occurring defective virus that requires another virus, such as an adenovirus or a herpes virus, as a helper virus for efficient replication and a productive life cycle. (For a review see Muzyczka et al., Curr. Topics in Micro. and Immunol. 158:97-129 (1992). It is also one of the few viruses that may integrate its DNA into non-dividing cells, and exhibits a high frequency of stable integration (see for example Flotte et al., Am. J. Respir. Cell. Mol. Biol. 7:349-356 (1992); Samulski et al., J. Virol. 63:3822-3828 (1989); and McLaughlin et al., J. Virol. 62:1963-1973 (1989). Vectors containing as little as 300 base pairs of AAV can be packaged and can integrate. Space for exogenous DNA is limited to about 4.5 kb. An AAV vector such as that described in Tratschin et al., Mol. Cell. Biol. 5:3251-3260 (1985) can be used to introduce DNA into cells. A variety of nucleic acids have been introduced into different cell types using AAV vectors (see for example Hermonat et al., Proc. Natl. Acad. Sci. USA 81:6466-6470 (1984); Tratschin et al., Mol. Cell. Biol. 4:2072-2081 (1985); Wondisford et al., Mol. Endocrinol. 2:32-39 (1988); Tratschin et al., J. Virol. 51:611-619 (1984); and Flotte et al., J. Biol. Chem. 268:3781-3790 (1993).

[0039] Typically, an expression vector includes the nucleic acid in a form suitable for expression of the human Tet1 in an HSC. Preferably the recombinant expression vector includes one or more regulatory sequences operatively linked to the nucleic acid sequence to be expressed. The term "regulatory sequence" includes promoters, enhancers and other expression control elements (e.g., polyadenylation signals). Regulatory sequences include those which direct constitutive expression of a nucleotide sequence, as well as tissue-specific regulatory and/or inducible sequences. The design of the expression vector can depend on such factors as the level of expression of protein desired and whether regulated or inducible expression is desired. The expression vectors can be introduced into HSCs. The expression vector is preferably a vector suitable for expression in mammalian cells, and the expression vector's control functions can be provided by viral regulatory elements. For example, commonly used promoters are derived from polyoma, Adenovirus 2, cytomegalovirus and Simian Virus 40. See, e.g., Wang et al., Exp Hematol. 2008 July; 36(7):823-31.

[0040] In another aspect the invention provides HSC that include and optionally express a Tet1 nucleic acid molecule described herein, e.g., a Tet1 nucleic acid molecule within a recombinant expression vector or a Tet1 nucleic acid molecule containing sequences which allow it to homologously recombine into a specific site of the HSC's genome. The term HSC refers not only to the particular subject cell that is transduced but to the progeny or potential progeny of such a cell that contain the Tett nucleic acid. Because certain modifications may occur in succeeding generations due to either mutation or environmental influences, such progeny may not, in fact, be identical to the parent cell, but are still included within the scope of the term as used herein.

[0041] Vector DNA can be introduced into host cells via conventional transformation or transfection techniques. As used herein, the terms "transformation" and "transfection" are intended to refer to a variety of art-recognized techniques for introducing foreign nucleic acid (e.g., DNA) into a host cell, including calcium phosphate or calcium chloride co-precipitation, DEAE-dextran-mediated transfection, lipofection, or electroporation.

[0042] In another aspect, the invention features an HSC cell or purified preparation of HSCs that include a Tet1 transgene, which over-express Tet1 or express Tet1 in response to a stimulus.

[0043] Also provided herein are human hematopoietic stem cells, in which an endogenous Tet1 is under the control of an exogenous regulatory sequence that does not normally control the expression of the endogenous Tet1 gene, and that express Tet1 under circumstances in which a cell that lacks the exogenous regulatory sequence do not express Tet1. The expression characteristics of an endogenous Tet1 gene within a cell can be modified by inserting a heterologous DNA regulatory element into the genome of the cell such that the inserted regulatory element is operably linked to the endogenous Tet1 gene. For example, an endogenous Tet1 gene that is "transcriptionally silent," e.g., not normally expressed, or expressed only at very low levels, may be activated by inserting a regulatory element capable of promoting the expression of a normally expressed gene product in that cell. Techniques such as targeted homologous recombination can be used to insert the heterologous DNA as described in, e.g., Chappel, U.S. Pat. No. 5,272,071; WO 91/06667, published in May 16, 1991.

[0044] The methods can also include identifying, selecting, and/or purifying those cells that overexpress Tet1, or that express Tet1 over a desired level.

[0045] The Tet1-expressing cells can be used for administration to a subject, can be frozen or otherwise stored for later administration to a subject, or can be maintained under conditions such that the HSC differentiate into NKT and .gamma..delta. T cells. These conditions can include those previously described. For example, c-kit+ Sca-1+ Lin- (KSL) hematopoietic stem cells can be seeded, e.g., at 4.times.10.sup.3 cells/well into 12-well tissue culture plates, containing a confluent monolayer of OP9-DL1 cells; see, e.g., Holmes and Zuniga-Pflucker, Cold Spring Harb Protoc 2009: oi:10.1101/pdb.prot5156 (2009)). In some embodiments, the cultures are performed in the presence of one or more cytokines or growth factors, e.g., 5 ng/mL IL-2, 10 ng/mL GM-CSF (Stem cell Technology), 5 ng/mL, IL-7, and 5 ng/mL mFLT3 (Peprotech).

[0046] NKT cells can be identified by methods known in the art, e.g., by the presence of TCR.alpha..beta. and NK1.1 or CD1d-tet (see, e.g. Godfrey et al. Nature Reviews Immunology 4,231-237 (2004)); .gamma..delta. T cells can be identified by methods known in the art, e.g., by the presence of .gamma..delta. TCR (see, e.g., Holtmeier and Kabelitz, Chemical Immunology and Allergy 86: 151-83 (2005)). The cells can be maintained in culture until a desired number of cells, e.g., of HSC or NKT and .gamma..delta. T cells, is obtained, and then harvested for use or freezing. The methods can also include purifying the NKT and/or .gamma..delta. T cells away from the Tet1-expressing HSC, to provide purified populations of NKT and/or .gamma..delta. T cells.

[0047] Methods of Targeting Neoplasias

[0048] The present methods include the use of enriched populations of Tet1-expressing HSC, or NKT and .gamma..delta. T cells obtained from Tet1-expressing HSC, for treating a neoplasia, e.g., a tumor, in a subject. As noted in Bennouna et al., Cancer Immunol Immunother (2010) 59:1521-1530, "An expansive body of literature in the field has documented that cd T cells, which represent 1-10% of human peripheral T cells, kill solid and hematologic tumors originating from virtually any organ type." NKT and .gamma..delta. T cells have been shown to be effective in treating a wide range of lymphoid malignancies as well as solid tumor-associated cancers, including colon cancer, colorectal cancer; gastrointestinal carcinoma, hepatocarcinoma, esophageal cancer, ovarian cancer, prostate cancer, myeloma, renal cell carcinoma, breast cancer, non-small cell lung cancer, and malignant glioma, among others, see, e.g., Fisher et al., Oncoimmunology. 2014; 3: e27572; Kobayashi et al., Anticancer Research 31: 1027-1032 (2011); Motohashi et al., Clin Cancer Res 2006; 12:6079-6086; Bennouna et al., Cancer Immunol Immunother (2010) 59:1521-1530; and Kobayashi et al., Cancer Immunol Immunother (2007) 56:469-476.

[0049] Thus the present methods can include identifying a subject who has a neoplasm, e.g., a tumor, and administering to the subject a therapeutically effective amount of a population of Tet1-expressing HSC, or NKT and/or .gamma..delta. T cells obtained from Tet1-expressing HSC. In some embodiments, the Tet1-expressing HSC, NKT and/or .gamma..delta. T cells are prepared by a method described herein from a population of the subject's own (autologous) HSC; in some embodiments, the HSC are obtained from a related or unrelated type-matched donor. In some embodiments, the neoplasm is a tumor, e.g., a tumor that is sensitive to innate immunity against cancer or immunosurveillance, e.g., carcinoma, sarcoma, myeloma, leukemia, or lymphoma. In some embodiments, the methods include determining a level of native NKT and/or .gamma..delta. T cells in the subject, comparing the level of NKT and/or .gamma..delta. T cells to a reference level (e.g., a level of NKT and/or .gamma..delta. T cells determined, based on analysis of a cohort of subjects, to correlate to a level of NKT and/or .gamma..delta. T cells in subjects who would benefit from the administration of additional NKT and/or .gamma..delta. T cells, e.g., subjects who are deficient in native NKT and/or .gamma..delta. T cells). The levels of NKT and/or .gamma..delta. T cells can be measured, e.g., in the circulating blood, in the thymus, and/or in a tumor in the subject.

EXAMPLES

[0050] The invention is further described in the following examples, which do not limit the scope of the invention described in the claims.

[0051] Materials and Methods

[0052] The following materials and methods were used in the examples set forth herein.

[0053] Mice

[0054] All mice were purchased from Jackson Laboratories (Bar Harbor, Me.) and were maintained in the mouse barrier facility. Care of mice was in accordance with NIH guidelines and the Institutional Animal Care and Use Committee of the University of Massachusetts Medical School approved all protocols. Mice were kept on a 12 hr day/night schedule and were allowed free access to chow and water. ApoE.sup.-/- and WT mice were fed standard mouse chow (5.4 g fat/100 g diet, 0% cholesterol). HCD mice were fed a diet with 10 g fat/100 g diet, 11.25 g cholesterol/100 g diet (Research Diets, New Brunswick, N.J.). NAC was given for 8 weeks (150 mg/kg/day via drinking water).

[0055] Tumor Induction and Analysis

[0056] The colorectal neoplasia were performed as described in previous publications (Greten et al., Cell. 118(3), 285-96 (2004)). Three month old mice were subcutaneously injected with a solution of Azoxymethane (AOM) at a dose rate of 15 mg/kg body weight, once weekly for 3 successive weeks. 2% DSS was given in the drinking water over five days in the last week. Mice were sacrificed ten weeks after the last injection of AOM. Colons were removed and flushed with PBS. Sections (5 .mu.m) were cut stepwise (200 .mu.m) through the complete block and stained with H&E. Tumors counts were performed in a blinded fashion. To determine the histopathologic stages of tumors, the sections of tumors were read by cancer pathologists in a blind fashion.

[0057] Flow Cytometry

[0058] Cells were stained with monoclonal antibodies conjugated to various fluoroprobes. These antibodies included: cKit (2B8), Sca-1 (E13-161.7), CD4 (L3T4), CD8 (53-6.72), CD90.1, CD25, CD44, TCR.beta., NK1.1, .gamma..delta.TCR, CD45.1, CD45.2. The lineage cocktail consisted of CD4, CD8, B220 (RA3-6B2), TER-119, Mac-1 (MI/70), and Gr-1 (RB6-8C5). All antibodies were purchased from BD Bioscience (San Diego, Calif.). CD1d-aGalCer tetramer was obtained from the NIH Tetramer facility. FACS analysis was carried out on a FACS Diva or MoFlow.

[0059] Lentiviral Particle Preparation and Transduction

[0060] The Tet1 specific and control shRNA plasmids were both purchased from Santa Cruz (CA, USA). The plasmid with TET1 catalytic domain (pTYF-U6-shCONT-EF1-Puro-2A-CD1) was a gift from Dr Yi Zhang (Massachusetts General Hospital, Boston, Mass.). The envelope and helper plasmids were purchased from ABM (Toronto, Canada). The lentiviral particles were prepared according to the kit instruction. The lentivirus-containing supernatant was harvested 2 days post-transfection. Fresh isolated KSL cells were transduced with lentivirus for 24 hours and then selected with puromycin (2 .mu.g/ml) (Santa Cruz Biotechnology, CA, USA) for 72 hours.

[0061] HSCs and OP9 Cell Co-Culture

[0062] The co-culture was performed as described (e.g., Holmes and Zuniga-Pflucker, Cold Spring Harb Protoc 2009: oi:10.1101/pdb.prot5156 (2009)). KSL cells were seeded at 4.times.10.sup.3 cells/well into 12-well tissue culture plates containing a confluent monolayer of OP9-DL1 cells. OP9-DL1 cells were a kind gift from Dr. Juan Carlos Zuniga-Pflucker (University of Toronto). All cultures were performed in the presence of 5 ng/mL IL-2, 10 ng/mL GM-CSF (Stem cell Technology), 5 ng/mL, IL-7, 5 ng/mL mFLT3 (Peprotech). Co-cultures were harvested by forceful pipetting at the indicated time points.

[0063] Immunohistochemistry

[0064] We used a standard protocol to detect NKT and .gamma..delta. T cells in colon and tumor tissues. The antibodies were purchased from BD Biosciences (MA, USA). For indirect immunohistochemistry, we used rabbit-specific IgG conjugated with FITC or PE (Chemicon) as a secondary antibody. For nuclear staining, we treated specimens with DAPI (Molecular Probes). Fluorescent images were obtained using a confocal laser scanning microscope (Carl Zeiss LSM 510 system; Carl Zeiss).

[0065] Analysis of Intracellular ROS

[0066] We loaded samples of cultures with DCF-DA (Sigma) and incubated them on a shaker at 37.degree. C. for 30 min. The peak excitation wavelength for oxidized DCF was 488 nm, and emission was 525 nm. The concentration of H.sub.2O.sub.2 was measured by Amplex Red Hydrogen Peroxide/Peroxidase Assay Kit (Molecular Probes).

[0067] Chromatin Immunoprecipitation (ChIP)

[0068] ChIP was performed with minor modifications of the procedure described by Yildirim et al. (Nature Structural & Molecular Biology 19:56-61 (2012)). Approximately 6.times.10.sup.6 Hepa-1 cells were incubated for 10 min at room temperature with 1% formaldehyde. After cross-linking, the reaction was quenched with 0.25 M glycine for 10 min at room temperature. Proteins are initially cross-linked to DNA and nuclei are pelleted and sonicated to 200-500 bp fragments (Bioruptor, Diagenode). The cross-linked DNA was immunoprecipitated with H3K4me3 or H3K27me3 antibodies (Millipore, USA) overnight at 4.degree. C. with rotation, DNA-Antibody complexes were bound to ChIP beads, pulled down, washed and then eluted from beads. Following reversal of cross-linkage purified DNA was used for Quantitative PCR using ChIP PCR primers which were purchased from IDT (MA, USA). Immunoprecipitation efficiency was calculated by normalizing sample CT values against control IgG values and calculating ratios of sample CT values relative to input values.

[0069] RT-PCR and qRT-PCR Array

[0070] We reverse transcribed cDNAs from total RNA isolated from each cell fraction using Trizol LS (Invitrogen). Transcription to cDNA was performed using SuperScript III (Invitrogen). All PCRs were carried out in triplicate using an Eppendorf Mastercycler (Eppendorf).

[0071] DNA Extraction, Bisulfite Conversion and Pyrosequencing

[0072] Genomic DNA was extracted from freshly isolated cells using QIAamp DNA MiniKit (Qiagen Inc., Hilden, Germany) and quantified by UV absorption. 200-300 ng of DNA was used in the bisulfite conversion reactions where unmethylated cytosines were converted to uracil with the Epi-Tect Bisulfite kit (Qiagen) according to manufacturer's instructions. Briefly, DNA was mixed with water, DNA protect buffer and bisulfite mix and the conversion was run in a thermocycler (Biometra, Goettingen, Germany) at the recommended cycle conditions. Converted DNA was purified on a spin column and eluted twice into a total of 40 .mu.l Buffer EB.

[0073] PCR and Pyrosequencing

[0074] Primer sets with one biotin-labelled primer were used to amplify the bisulfite converted DNA. New primers for each gene were designed using PyroMark Assay Design software version 2.0.1.15 (Qiagen). The size of the amplicons was restricted to a maximum of 210 bp. Due care was taken to avoid any primer overlapping CG dyads to prevent amplification biases.

[0075] We examined at least two different sites within the CpG islands separated by several hundred base pairs. To provide the internal control for total bisulfite conversion, a non-CG cytosine in the region for pyrosequencing was included where possible. PCRs were performed using a converted DNA equivalent of 200 cells employing the PyroMark PCR kit (Qiagen). The cell genome-equivalents of DNA calculations assumed 6 pg DNA per diploid cell. Briefly, 12.5 .mu.l master mix, 2.5 .mu.l Coral red, 5 pmol of each primer, 7 .mu.l of water and 2 .mu.l sample were mixed for each reaction and run at thermal cycling conditions: 95.0 for 15 min and then 45 cycles: 30 sec at 94.degree. C.; 30 sec at the optimized primer-specific annealing temperature; 30 sec at 72.0 and a final extension for 10 min at 72.degree. C. The amplified DNA was confirmed by electrophoresis in a 2% low melting point agarose gel (Sigma-Aldrich, Steinheim, Germany). 3 .mu.l streptavidin beads (GE Healthcare, Buckinghamshire, UK), 37 .mu.l PyroMark binding buffer (Qiagen), 20 .mu.l PCR product and 20 .mu.l water were mixed and incubated for 10 min on a shaking table at 1300 rpm. Using the Biotage Q96 Vaccum Workstation, amplicons were separated, denatured, washed and added to 45 .mu.l annealing buffer containing 0.33 .mu.M of pyrosequencing primer. Primer annealing was performed by incubating the samples at 80.degree. C. for 2 min and allowed to cool to room temperature prior to pyrosequencing. PyroGold reagents were used for the pyrosequencing reaction and the signal was analyzed using the PSQ 96MA system (Biotage, Uppsala, Sweden). Target CGs were evaluated by instrument software (PSQ96MA 2.1) which converts the pyrograms to numerical values for peak heights and calculates proportion of methylation at each base as a C/T ratio. All runs contained standard curves, which comprised a range of control methylated DNA (0%, 25%, 50%, 75%, and 100%) to allow standardized direct comparisons between different primer sets. For the standard curves a total of 300 ng of unmethylated (Qiagen) and hypermethylated DNA (Millipore, Billerica, Mass., USA) were mixed to obtain the different ratios of DNA methylation and then bisulfite converted as described above.

[0076] In Vitro Differentiation of Human Bone Marrow Derived HSCs

[0077] Human bone marrow-derived HSCs were isolated and differentiated in vitro as follows.

[0078] 1. Isolation of Human Hematopoietic Stem Cells from Bone Marrow Aspirate

[0079] Fresh bone marrow aspirate is obtained from donors. Bone fragments and cells are filtered through 40-.mu.m cell strainer. Mononuclear cells from bone marrow aspirate are separated with histopaque-1077 (Sigma, 3000 rpm, 30 min, room temperature). CD34+ Lineage-(CD4, CD8, CD11b, CD19, CD45R, CD161, GR.1, Ter119) progenitor cells or HSCs are isolated with flow cytometric cell sorting. If required, HSCs will be transfected with Lenti-Tet1 and selected by puromycin (5 ug/ml). 5.times.103 cells (normal HSCs, or Tet1-overexpressing HSCs) are seeded in 10 mL of OP9 medium per 10-cm dish of 80%-90% confluent OP9 or OP9-DL1 cells. Add 5 ng/mL Flt-3L, 5 ng/mL IL-3 and 1 ng/mL IL-7 for .gamma..delta.T cell differentiation. Add 5 ng/mL GM-CSF, 5 ng/mL IL-3 and 2 ng/mL IL-2 for NKT cell differentiation.

[0080] 2. In Vitro Differentiation

[0081] 5 days later, disaggregate cells without the use of trypsin by pipetting the cells up and down until the OP9 cell monolayer is completely disrupted from the plate and broken into small pieces. Filter cells through a 40-.mu.m cell strainer. Wash the 10-cm dish with 6 mL of PBS, filter through the same cell strainer, and centrifuge at 400 g (1500 rpm) for 5 min at 4.degree. C. Resuspend the cells in 10 mL of OP9 medium (alpha MEM supplied with 20% FBS, 1% antibiotics) containing cytokines, and seed the cells onto 10-cm dishes of 80%-90% confluent fresh OP9 or OP9-DL1 cells. Measure NKT or .gamma..delta.T cell populations by FSCS 6 weeks after coculture.

[0082] 3. IL-3 Supplement

[0083] We bought bone marrow aspirate from All Cell Co Ltd. The samples were collected and delivered to our lab by overnight shipment on ice. We found that some HSCs isolated from the samples did not grow very well. To overcome the problem, we supplied 5 ng/mL IL-3 in HSC culture medium. In the last culture, IL-3 supplement enhanced the proliferation of human HSCs. This observation is supported by previous studies (Bryder et al, Blood, 2000, 96, 1748). We did not have any evidence to show IL-3 supplement affects the differentiation of HSCs towards T lineages yet.

[0084] Statistical Analysis

[0085] All data were shown as means.+-.sd. Statistical analyses were carried out with either GraphPad Prism (GraphPad Software) or SPSS v19 (IBM) software. Statistical significance was evaluated by using a one- or two-way analysis of variance (ANOVA) or an unpaired t-test. Significance was established for P values of at least <0.05.

Example 1. Hypercholesterolemia Downregulates the Expression of Tett in HSCs which Functions as Pivotal Regulator in the Differentiation from HSCs Towards NKT and .gamma..delta. T Cells

[0086] Hypercholesterolemia (HC) increases the incidence and histopathologic severity of colorectal neoplasia by an HSC-autonomous mechanism.

[0087] Ten eleven translocation (Tet) family, including Tet1, Tet2 and Tet3, demethylate genomic DNA (Ito et al., Nature. 466, 1129-33 (2010); Ko et al., Nature. 468, 839-43 (2010); Ito et al., Science, 333, 1300 (2011). Within the Tet family, Tet2 has been shown to have a critical role in regulating the self-renewal, proliferation and differentiation of HSCs (Ko et al., Nature. 468, 839-43 (2010); Ko et al., Proc Natl Acad Sci USA. 108, 14566-71 (2011)), whereas the role of Tet1 in hematopoiesis is as yet unknown. In hematopoietic stem cells (HSC) of ApoE.sup.-/- mice we found a significant downregulation of Tet1 (FIG. 1a). Supplemental treatment with NAC restored the expression of Tet1 in HSCs from ApoE.sup.-/- mice (FIG. 1b).

[0088] To test whether Tet1 plays a role in the differentiation of HSCs towards NKT and .gamma..delta.T cells, the expression of Tet1 in HSCs from WT and ApoE.sup.-/- mice was inhibited with shRNA (FIG. 1c). The inhibition of Tet1 in HSCs from both WT and ApoE.sup.-/- mice greatly reduced their differentiation towards NKT and .gamma..delta.T cells both in vivo and in vitro (FIGS. 1d, 1e). In contrast, the overexpression of Tet1 in HSCs from WT or ApoE.sup.-/- mice resulted in 6-10 fold increase in the differentiation towards NKT cells and more than 20 fold increase in their differentiation towards .gamma..delta.T cells (FIGS. 1f, 1g, 1h, 1i, 1j).

[0089] Both in vivo and in vitro, NKT and .gamma..delta.T cells derived from Tet1-overexpressing HSCs had greater staining for HSA, a cell surface marker that decreases in expression with maturation (FIGS. 2i, 2j; FIG. 3a, 3b). V1 subsets were decreased, while V2 and V6 subsets were significantly increased in .gamma..delta.T cells derived from Tet1-overexpressing HSCs (FIGS. 2c, 2d, 2e; FIGS. 3c, 3d, 3e). Interestingly, .gamma..delta.T cells derived from Tet1 overexpressing HSCs displayed greater expression of CCR6 and IL-17 (FIG. 3f, 3g). Tet1 overexpression in HSCs also increased the differentiation towards CD8.sup.+ T cells in in vitro differentiation assay (FIG. 4). These results indicate that Tet1 is a pivotal determinant of the differentiation of HSCs towards NKT and .gamma..delta.T cells as well as their function.

[0090] In order to determine whether the overexpression of Tet1 in HSCs could restore the impaired immunosurveillance against colorectal neoplasia observed in hypercholesterolemic mice, we reconstituted the hematopoiesis of lethally irradiated WT recipient mice with WT HSCs, Tet1-overexpressing HSCs, ApoE.sup.-/- HSCs or Tet1-overexpressing ApoE.sup.-/- HSCs. Because Tet1-overexpressing HSCs were extremely quiescent and not able to fully reconstitute the hematopoiesis in lethally irradiated WT recipient mice, the transplantation with Tet1-overexpressing WT HSCs was supported with WT HSCs and the transplantation of Tet1-overexpressing ApoE.sup.-/- HSCs was supported with ApoE.sup.-/- HSCs at the ratio of 3:1. NKT and .gamma..delta.T cell populations in thymus of the recipient mice reconstituted with Tet1-overexpressing ApoE.sup.-/- HSCs was significantly greater than those in the recipient mice with ApoE.sup.-/- HSCs (FIG. 5a, 5b). Similarly, the number of submucosal NKT and .gamma..delta.T cells were also significantly greater in the recipient mice reconstituted with Tet1-overexpressing ApoE.sup.-/- HSCs than those in the recipient mice reconstituted with ApoE.sup.-/- HSCs (FIG. 5c, 5d). In accordance with this increase in NKT and .gamma..delta.T cells, the average tumor number and histopathologic severity of colorectal neoplasia in the recipient mice reconstituted with Tet1-overexpressing ApoE.sup.-/- HSCs were significantly lower than those in the recipient mice with ApoE.sup.-/- HSC (FIGS. 5e, 5f). We also found that recipient mice reconstituted with Tet1-overexpressing WT HSCs had no carcinoma tumors (FIG. 5f). These results indicate that transplantation with Tet1-overexpressing HSCs normalizes NKT and .gamma..delta.T cell population and also restored immunosurveillance against colorectal neoplasia.

Example 2. Tet1 Epigenetically Regulates the Expression of Genes Critical in the Differentiation Toward NKT and .gamma..delta.T Cells

[0091] The differentiation and maturation of NKT and .gamma..delta. T cells is regulated by the strict control of gene expression (Matsuda and Gapin, Curr Opin Immunol. 17(2), 122-30 (2005); Garbe and von Boehmer, Trends Immunol. 28(3), 124-31 (2007)). To identify the molecular mechanisms that underlie the decreased differentiation of NKT and .gamma..delta. T cells in hypercholesterolemic mice, we screened the expression of genes critical to the differentiation of HSCs towards NKT and .gamma..delta. T cells in in vitro differentiation assay (Table 1). We found lower expression of Fyn, Sox13, IL-15R, ITK and SH2D1a in the cells derived from ApoE.sup.-/- HSCs than those from WT HSCs. Overexpression of Tet1 in ApoE.sup.-/- HSCs restored the expression of these genes to a level even greater than those from WT HSCs. The overexpression of Tet1 also increased the expression of ETV5, BCL11b, EGR2, SLAMF1, ZBTB16, RELb, PHF1 and NFKb1 in the cells derived from both WT HSCs and ApoE.sup.-/- HSCs. These results indicate that Tet1 exerts a heretofore unrecognized significant influence on the network of transcription factors and other genes that regulate the differentiation towards NKT and .gamma..delta. T cells.

TABLE-US-00002 TABLE 1 Genes related to iNKT cell Genes related to .gamma..delta. T cell differentiation differentiation Interleukin-2 receptor .beta. (IL-2Rb) B-cell lymphoma/leukemia 11B (BCL11b) Interleukin-15 receptor (IL-15R) Early growth response protein 2 (EGR2) E26 Transformation specific Ets variant 5 (ETV5) transcription factor 1 (Ets1) myeloid Elf-1-like factor (MEF) inhibitor of DNA binding protein 2 (ID2) Interferon regulatory inhibitor of DNA binding protein 3 factor 1 (IRF-1) (ID3) Fyn interleukin-2-inducible T-cell kinase (ITK) interleukin-2-inducible T-cell Iterleukin 7 receptor (IL-7R) kinase (Itk) Activator protein-1 (AP-1) Interleukine-15 receptor (IL-15R) T cell factor 1 (TCF-1) PHD finger protein 1 (PHF1) Nuclear factor .kappa.B p50 (NF.kappa.b) SLAM-Associated Protein (SAP, SH2D1a) RELb Sry-related HMG box 13 (Sox13) I.kappa.B kinase 2 (IKK2) T cell factor 12 (TCF12) Protein kinase C-.theta. (PKC.theta.) Zinc finger and BTB domain-containing protein 16 (ZBTB16) Signaling lymphocytic activation molecule F1 (SLAMF1) signaling lymphocytic activation molecule-associated protein (SAP) Kruppel-like factor 2 (KLF2) CCR9

[0092] Thus, we have exposed human normal HSCs to oxidized-LDL and have shown a concentration-dependent impairment of their differentiation toward NKT and .gamma..delta. T cells. In addition, exposure of human HSCs to oxidized-LDL also downregulates Tet1 as it does in mouse HSCs. Specifically, HC causes an oxidant-stress dependent downregulation of Tet1 in HSCs that reduces the expression of genes critical for .gamma..delta. T cell and NKT cell differentiation. These effects reduce the concentration of .gamma..delta. T cells and NKT cells in colon submucosa and at the early stages of tumor development and thereby impair immunosurveillance against colorectal neoplasia. Overexpression of Tet1 in HSCs of HC mice restores their differentiation toward NKT and .gamma..delta. T cells and reverses the increased incidence of colorectal neoplasia.

[0093] The results above showed that Tet1 is a crucial and essential determinant in the differentiation from HSCs towards NKT and .gamma..delta. T cells as well as a pivotal role in the mechanism by which HC increases the incidence of colorectal neoplasia. The overexpression of Tet1 in HSCs dramatically increased the differentiation of HSCs towards NKT and .gamma..delta. T cells both in vitro and in vivo.

Example 3. Establishing In Vitro and In Vivo Systems to Enhance the Differentiation of Human HSCs Towards NKT and .gamma..delta. T Cells

[0094] Given that the Tet protein family is highly conserved in mammals, it was hypothesized that Tet1 also functions as a determinant in the differentiation of human HSCs to NKT and .gamma..delta. T cells. To test this hypothesis, we will clone the full length human Tet1 or the catalytic domain of human Tet1 into lentiviral vectors. The lentiviral constructs yield among the best outcome to introduce DNA fragments or genes into human HSCs. Normal human HSCs and Tet1 overexpressing human HSCs will be selected and co-cultured with support cells which consistently express the critical molecule for T cell differentiation, Notch ligand Delta-like 1. The co-culture system is a reliable assay to study the in vitro differentiation of HSCs towards T cell lineages. It has been repeatedly used in numerous laboratories. The percentage of NKT and .gamma..delta. T cells in the co-culture will be determined by flow cytometry 6-8 weeks following viral transduction. In the in vivo experiments, normal human HSCs or human HSCs overexpressing Tet1 will be injected intravenously (at a dose of 5.times.10.sup.3) into three month old lethally irradiated NOD-scid IL2r.gamma..sup.null (NSG) humanized mice. The frequency of NKT and .gamma..delta. T cells derived from human HSCs will be closely monitored at multiple time points after transplantation. In these experiments, we will measure the subsets of NKT and .gamma..delta. T cells derived from normal human HSCs and Tet1 overexpressing human HSCs as well as the critical molecules and cytokines which are fundamental for the function of NKT and .gamma..delta. T cells.

Example 4. Determining Tet1-Dependent Epigenetic Regulation in the Differentiation of Human HSCs Towards NKT and .gamma..delta. T Cells

[0095] Current hematological research is raising the concern that even a highly enriched HSC fraction is heterogeneous in terms of lymphopoietic potential. Heritable epigenetic signatures of DNA, histone and chromosome conformation, appear to have a major role in the process (18, 19). Although the regulatory network governing the differentiation of HSCs towards NKT and .gamma..delta. T cells has been extensively explored in the last decades, the epigenetic signature predisposing HSCs towards NKT and .gamma..delta. T cell fate is yet unknown.

[0096] Tet-dependent DNA demethylation results in open chromatin structure and permits the transcription of target genes (Ko et al., Proc Natl Acad Sci USA. 108, 14566-71 (2011); Wu and Zhang, Genes Dev. 25(23), 2436-52 (2011)). Pyrosequencing analysis showed that Fyn, Sox13, IL-15R, EGR2 and SH2D1a were highly methylated in the cells derived from ApoE.sup.-/- HSCs, supporting a Tet1-dependent down-regulation of the genes. The overexpression of Tet1 significantly decreased the methylation of most targeted genes in the cells derived from both WT and ApoE.sup.-/- HSCs, which correlates well with the high expression of the targeted genes in the cells derived from Tet1 overexpressing HSCs. These results indicate that Tet1-dependent demethylation regulates the expression of targeted genes that mediate HSC differentiation toward NKT and .gamma..delta.T cells.

[0097] However, we also found that the expression of BCL11b, RELb and PHF1 was increased in the cells derived from Tet1 overexpressing HSCs, but their methylation status was unchanged. In addition, although the methylation of ETV5, EGR2, RELb and NFKB1 was significantly higher in the cells derived from ApoE.sup.-/- HSCs than those from WT HSCs, their expression was unchanged, indicating that the regulation of the genes responsible for NKT and .gamma..delta.T cell differentiation is more complex.

[0098] Recent studies indicate that Tet proteins may also participate in the regulation of histone modification via distinct pathways. The O-linked N-acetylglucosamine (O-GlaNAc) transferase OGT is an evolutionarily conserved enzyme that catalyzes O-linked protein glycosylation. Tet proteins were identified as stable partners of OGT in the nucleus (Vella et al., Mol Cell. 49(4), 645-56 (2013); Chen et al., Nature. 493(7433), 561-4 (2013); Shi et al., J Biol Chem. 288(29), 20776-84 (2013)). The interaction of Tet2 and Tet3 with OGT led to the GlcNAcylation of Host Cell Factor 1 and the integrity of H3K4 methyltransferase SET1/COMPASS complex, indicating that Tet proteins increase H3K4me3 that induces transcriptional activation (Deplus et al., EMBO J. 32(5), 645-55 (2013)). Although an early observation showed that the interaction between Tet1 and OGT was limited to embryonic stem cells (Bendelac et al., Annu Rev Immunol. 25, 297-336 (2007)), our immunoprecipitation studies indicate that OGT also has strong interactions with Tet1 in HSCs. In accordance with the decrease in Tet1 expression, the interaction with OGT was significantly reduced in HSCs isolated from hypercholesterolemic mice. The overexpression of Tett significantly increased the interaction of Tet1 and OGT, but did not influence the expression and interaction of Tet3 and OGT in the cells. H3K4me3 modification in all the genes except RELb and NFKB1 was increased after Tet1 overexpression, suggesting that by interacting with OGT Tet1 plays an important role in H3K4me3 modification in HSCs.

[0099] Our study showed that Tet1 increased the expression of genes critical in the differentiation of HSCs towards NKT and .gamma..delta. T cells in mouse by demethylating the genes responsible for the differentiation from HSCs. We also have evidence that Tett also regulates the expression of genes by inducing histone protein modifications, primarily of H3K27me3 and H3K4me3. We harvest the T cells derived from normal human HSCs and Tet1 overexpressing human HSCs, and screen the expression of genes crucial in the differentiation of human HSCs towards NKT and .gamma..delta. T cells. Then, we measure the DNA methylation status of these genes by using pyrosequencing, and measure H3K27me 3 and H3K4me3 as well as other histone modifications by using ChIP-PCR.

Example 5. The Use of NKT and .gamma..delta. T Cells Derived from Tet1 Overexpressing HSCs in Cancer Immunotherapy

[0100] We will apply two different approaches to demonstrate the use of NKT and .gamma..delta. T cells derived from Tet1 overexpressing human HSCs. In the first approach, we will generate and purify NKT and .gamma..delta. T cells in the in vitro co-culture system and inject them into NSG humanized mice which would have been implanted with human colorectal tumors. The cancer burden and the infiltration of NKT and .gamma..delta. T cells derived from Tet1 overexpressing human HSCs into tumors will be determined at multiple time points. Furthermore, we will determine the capacity of these NKT and .gamma..delta. T cells to recognize and eliminate cancer cells in vitro. In the second approach, we will reconstitute the hematopoiesis of lethally irradiated NSG mice with normal human HSCs or Tet1 overexpressing human HSCs. Then, human colorectal cancer tissue will be implanted in the chimeric mice. The frequency of NKT and .gamma..delta. T cells in peripheral blood will be closely monitored. The cancer burden and the infiltration of NKT and .gamma..delta. T cells derived from Tet1 overexpressing human HSCs into tumors will be determined at multiple time points.

REFERENCES



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[0108] 7. Bennouna J, Levy V, Sicard H, Senellart H, Audrain M, Hiret S, Rolland F, Bruzzoni-Giovanelli H, Rimbert M, Galea C, Tiollier J, Calvo F. Phase I study of bromohydrin pyrophosphate (BrHPP, IPH 1101), a Vgamma9Vdelta2 T lymphocyte agonist in patients with solid tumors. Cancer Immunol Immunother. 2010.59(10):1521-30.

[0109] 8. Kobayashi H, Tanaka Y, Yagi J, Osaka Y, Nakazawa H, Uchiyama T, Minato N, Toma H. Safety profile and anti-tumor effects of adoptive immunotherapy using gamma-delta T cells against advanced renal cell carcinoma: a pilot study. Cancer Immunol Immunother. 2007. 56(4):469-76.

[0110] 9. Kobayashi H, Tanaka Y, Nakazawa H, Yagi J, Minato N, Tanabe K. A new indicator of favorable prognosis in locally advanced renal cell carcinomas: gamma delta T-cells in peripheral blood. Anticancer Res. 2011.31(3):1027-31.

[0111] 10. Kondo M, Sakuta K, Noguchi A, Ariyoshi N, Sato K, Sato S, Sato K, Hosoi A, Nakajima J, Yoshida Y, Shiraishi K, Nakagawa K, Kakimi K. Zoledronate facilitates large-scale ex vivo expansion of functional gammadelta T cells from cancer patients for use in adoptive immunotherapy. Cytotherapy. 2008; 10(8):842-56.

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OTHER EMBODIMENTS

[0122] It is to be understood that while the invention has been described in conjunction with the detailed description thereof, the foregoing description is intended to illustrate and not limit the scope of the invention, which is defined by the scope of the appended claims. Other aspects, advantages, and modifications are within the scope of the following claims.

Sequence CWU 1

1

112136PRTHomo sapiens 1Met Ser Arg Ser Arg His Ala Arg Pro Ser Arg Leu Val Arg Lys Glu1 5 10 15Asp Val Asn Lys Lys Lys Lys Asn Ser Gln Leu Arg Lys Thr Thr Lys 20 25 30Gly Ala Asn Lys Asn Val Ala Ser Val Lys Thr Leu Ser Pro Gly Lys 35 40 45Leu Lys Gln Leu Ile Gln Glu Arg Asp Val Lys Lys Lys Thr Glu Pro 50 55 60Lys Pro Pro Val Pro Val Arg Ser Leu Leu Thr Arg Ala Gly Ala Ala65 70 75 80Arg Met Asn Leu Asp Arg Thr Glu Val Leu Phe Gln Asn Pro Glu Ser 85 90 95Leu Thr Cys Asn Gly Phe Thr Met Ala Leu Arg Ser Thr Ser Leu Ser 100 105 110Arg Arg Leu Ser Gln Pro Pro Leu Val Val Ala Lys Ser Lys Lys Val 115 120 125Pro Leu Ser Lys Gly Leu Glu Lys Gln His Asp Cys Asp Tyr Lys Ile 130 135 140Leu Pro Ala Leu Gly Val Lys His Ser Glu Asn Asp Ser Val Pro Met145 150 155 160Gln Asp Thr Gln Val Leu Pro Asp Ile Glu Thr Leu Ile Gly Val Gln 165 170 175Asn Pro Ser Leu Leu Lys Gly Lys Ser Gln Glu Thr Thr Gln Phe Trp 180 185 190Ser Gln Arg Val Glu Asp Ser Lys Ile Asn Ile Pro Thr His Ser Gly 195 200 205Pro Ala Ala Glu Ile Leu Pro Gly Pro Leu Glu Gly Thr Arg Cys Gly 210 215 220Glu Gly Leu Phe Ser Glu Glu Thr Leu Asn Asp Thr Ser Gly Ser Pro225 230 235 240Lys Met Phe Ala Gln Asp Thr Val Cys Ala Pro Phe Pro Gln Arg Ala 245 250 255Thr Pro Lys Val Thr Ser Gln Gly Asn Pro Ser Ile Gln Leu Glu Glu 260 265 270Leu Gly Ser Arg Val Glu Ser Leu Lys Leu Ser Asp Ser Tyr Leu Asp 275 280 285Pro Ile Lys Ser Glu His Asp Cys Tyr Pro Thr Ser Ser Leu Asn Lys 290 295 300Val Ile Pro Asp Leu Asn Leu Arg Asn Cys Leu Ala Leu Gly Gly Ser305 310 315 320Thr Ser Pro Thr Ser Val Ile Lys Phe Leu Leu Ala Gly Ser Lys Gln 325 330 335Ala Thr Leu Gly Ala Lys Pro Asp His Gln Glu Ala Phe Glu Ala Thr 340 345 350Ala Asn Gln Gln Glu Val Ser Asp Thr Thr Ser Phe Leu Gly Gln Ala 355 360 365Phe Gly Ala Ile Pro His Gln Trp Glu Leu Pro Gly Ala Asp Pro Val 370 375 380His Gly Glu Ala Leu Gly Glu Thr Pro Asp Leu Pro Glu Ile Pro Gly385 390 395 400Ala Ile Pro Val Gln Gly Glu Val Phe Gly Thr Ile Leu Asp Gln Gln 405 410 415Glu Thr Leu Gly Met Ser Gly Ser Val Val Pro Asp Leu Pro Val Phe 420 425 430Leu Pro Val Pro Pro Asn Pro Ile Ala Thr Phe Asn Ala Pro Ser Lys 435 440 445Trp Pro Glu Pro Gln Ser Thr Val Ser Tyr Gly Leu Ala Val Gln Gly 450 455 460Ala Ile Gln Ile Leu Pro Leu Gly Ser Gly His Thr Pro Gln Ser Ser465 470 475 480Ser Asn Ser Glu Lys Asn Ser Leu Pro Pro Val Met Ala Ile Ser Asn 485 490 495Val Glu Asn Glu Lys Gln Val His Ile Ser Phe Leu Pro Ala Asn Thr 500 505 510Gln Gly Phe Pro Leu Ala Pro Glu Arg Gly Leu Phe His Ala Ser Leu 515 520 525Gly Ile Ala Gln Leu Ser Gln Ala Gly Pro Ser Lys Ser Asp Arg Gly 530 535 540Ser Ser Gln Val Ser Val Thr Ser Thr Val His Val Val Asn Thr Thr545 550 555 560Val Val Thr Met Pro Val Pro Met Val Ser Thr Ser Ser Ser Ser Tyr 565 570 575Thr Thr Leu Leu Pro Thr Leu Glu Lys Lys Lys Arg Lys Arg Cys Gly 580 585 590Val Cys Glu Pro Cys Gln Gln Lys Thr Asn Cys Gly Glu Cys Thr Tyr 595 600 605Cys Lys Asn Arg Lys Asn Ser His Gln Ile Cys Lys Lys Arg Lys Cys 610 615 620Glu Glu Leu Lys Lys Lys Pro Ser Val Val Val Pro Leu Glu Val Ile625 630 635 640Lys Glu Asn Lys Arg Pro Gln Arg Glu Lys Lys Pro Lys Val Leu Lys 645 650 655Ala Asp Phe Asp Asn Lys Pro Val Asn Gly Pro Lys Ser Glu Ser Met 660 665 670Asp Tyr Ser Arg Cys Gly His Gly Glu Glu Gln Lys Leu Glu Leu Asn 675 680 685Pro His Thr Val Glu Asn Val Thr Lys Asn Glu Asp Ser Met Thr Gly 690 695 700Ile Glu Val Glu Lys Trp Thr Gln Asn Lys Lys Ser Gln Leu Thr Asp705 710 715 720His Val Lys Gly Asp Phe Ser Ala Asn Val Pro Glu Ala Glu Lys Ser 725 730 735Lys Asn Ser Glu Val Asp Lys Lys Arg Thr Lys Ser Pro Lys Leu Phe 740 745 750Val Gln Thr Val Arg Asn Gly Ile Lys His Val His Cys Leu Pro Ala 755 760 765Glu Thr Asn Val Ser Phe Lys Lys Phe Asn Ile Glu Glu Phe Gly Lys 770 775 780Thr Leu Glu Asn Asn Ser Tyr Lys Phe Leu Lys Asp Thr Ala Asn His785 790 795 800Lys Asn Ala Met Ser Ser Val Ala Thr Asp Met Ser Cys Asp His Leu 805 810 815Lys Gly Arg Ser Asn Val Leu Val Phe Gln Gln Pro Gly Phe Asn Cys 820 825 830Ser Ser Ile Pro His Ser Ser His Ser Ile Ile Asn His His Ala Ser 835 840 845Ile His Asn Glu Gly Asp Gln Pro Lys Thr Pro Glu Asn Ile Pro Ser 850 855 860Lys Glu Pro Lys Asp Gly Ser Pro Val Gln Pro Ser Leu Leu Ser Leu865 870 875 880Met Lys Asp Arg Arg Leu Thr Leu Glu Gln Val Val Ala Ile Glu Ala 885 890 895Leu Thr Gln Leu Ser Glu Ala Pro Ser Glu Asn Ser Ser Pro Ser Lys 900 905 910Ser Glu Lys Asp Glu Glu Ser Glu Gln Arg Thr Ala Ser Leu Leu Asn 915 920 925Ser Cys Lys Ala Ile Leu Tyr Thr Val Arg Lys Asp Leu Gln Asp Pro 930 935 940Asn Leu Gln Gly Glu Pro Pro Lys Leu Asn His Cys Pro Ser Leu Glu945 950 955 960Lys Gln Ser Ser Cys Asn Thr Val Val Phe Asn Gly Gln Thr Thr Thr 965 970 975Leu Ser Asn Ser His Ile Asn Ser Ala Thr Asn Gln Ala Ser Thr Lys 980 985 990Ser His Glu Tyr Ser Lys Val Thr Asn Ser Leu Ser Leu Phe Ile Pro 995 1000 1005Lys Ser Asn Ser Ser Lys Ile Asp Thr Asn Lys Ser Ile Ala Gln Gly 1010 1015 1020Ile Ile Thr Leu Asp Asn Cys Ser Asn Asp Leu His Gln Leu Pro Pro1025 1030 1035 1040Arg Asn Asn Glu Val Glu Tyr Cys Asn Gln Leu Leu Asp Ser Ser Lys 1045 1050 1055Lys Leu Asp Ser Asp Asp Leu Ser Cys Gln Asp Ala Thr His Thr Gln 1060 1065 1070Ile Glu Glu Asp Val Ala Thr Gln Leu Thr Gln Leu Ala Ser Ile Ile 1075 1080 1085Lys Ile Asn Tyr Ile Lys Pro Glu Asp Lys Lys Val Glu Ser Thr Pro 1090 1095 1100Thr Ser Leu Val Thr Cys Asn Val Gln Gln Lys Tyr Asn Gln Glu Lys1105 1110 1115 1120Gly Thr Ile Gln Gln Lys Pro Pro Ser Ser Val His Asn Asn His Gly 1125 1130 1135Ser Ser Leu Thr Lys Gln Lys Asn Pro Thr Gln Lys Lys Thr Lys Ser 1140 1145 1150Thr Pro Ser Arg Asp Arg Arg Lys Lys Lys Pro Thr Val Val Ser Tyr 1155 1160 1165Gln Glu Asn Asp Arg Gln Lys Trp Glu Lys Leu Ser Tyr Met Tyr Gly 1170 1175 1180Thr Ile Cys Asp Ile Trp Ile Ala Ser Lys Phe Gln Asn Phe Gly Gln1185 1190 1195 1200Phe Cys Pro His Asp Phe Pro Thr Val Phe Gly Lys Ile Ser Ser Ser 1205 1210 1215Thr Lys Ile Trp Lys Pro Leu Ala Gln Thr Arg Ser Ile Met Gln Pro 1220 1225 1230Lys Thr Val Phe Pro Pro Leu Thr Gln Ile Lys Leu Gln Arg Tyr Pro 1235 1240 1245Glu Ser Ala Glu Glu Lys Val Lys Val Glu Pro Leu Asp Ser Leu Ser 1250 1255 1260Leu Phe His Leu Lys Thr Glu Ser Asn Gly Lys Ala Phe Thr Asp Lys1265 1270 1275 1280Ala Tyr Asn Ser Gln Val Gln Leu Thr Val Asn Ala Asn Gln Lys Ala 1285 1290 1295His Pro Leu Thr Gln Pro Ser Ser Pro Pro Asn Gln Cys Ala Asn Val 1300 1305 1310Met Ala Gly Asp Asp Gln Ile Arg Phe Gln Gln Val Val Lys Glu Gln 1315 1320 1325Leu Met His Gln Arg Leu Pro Thr Leu Pro Gly Ile Ser His Glu Thr 1330 1335 1340Pro Leu Pro Glu Ser Ala Leu Thr Leu Arg Asn Val Asn Val Val Cys1345 1350 1355 1360Ser Gly Gly Ile Thr Val Val Ser Thr Lys Ser Glu Glu Glu Val Cys 1365 1370 1375Ser Ser Ser Phe Gly Thr Ser Glu Phe Ser Thr Val Asp Ser Ala Gln 1380 1385 1390Lys Asn Phe Asn Asp Tyr Ala Met Asn Phe Phe Thr Asn Pro Thr Lys 1395 1400 1405Asn Leu Val Ser Ile Thr Lys Asp Ser Glu Leu Pro Thr Cys Ser Cys 1410 1415 1420Leu Asp Arg Val Ile Gln Lys Asp Lys Gly Pro Tyr Tyr Thr His Leu1425 1430 1435 1440Gly Ala Gly Pro Ser Val Ala Ala Val Arg Glu Ile Met Glu Asn Arg 1445 1450 1455Tyr Gly Gln Lys Gly Asn Ala Ile Arg Ile Glu Ile Val Val Tyr Thr 1460 1465 1470Gly Lys Glu Gly Lys Ser Ser His Gly Cys Pro Ile Ala Lys Trp Val 1475 1480 1485Leu Arg Arg Ser Ser Asp Glu Glu Lys Val Leu Cys Leu Val Arg Gln 1490 1495 1500Arg Thr Gly His His Cys Pro Thr Ala Val Met Val Val Leu Ile Met1505 1510 1515 1520Val Trp Asp Gly Ile Pro Leu Pro Met Ala Asp Arg Leu Tyr Thr Glu 1525 1530 1535Leu Thr Glu Asn Leu Lys Ser Tyr Asn Gly His Pro Thr Asp Arg Arg 1540 1545 1550Cys Thr Leu Asn Glu Asn Arg Thr Cys Thr Cys Gln Gly Ile Asp Pro 1555 1560 1565Glu Thr Cys Gly Ala Ser Phe Ser Phe Gly Cys Ser Trp Ser Met Tyr 1570 1575 1580Phe Asn Gly Cys Lys Phe Gly Arg Ser Pro Ser Pro Arg Arg Phe Arg1585 1590 1595 1600Ile Asp Pro Ser Ser Pro Leu His Glu Lys Asn Leu Glu Asp Asn Leu 1605 1610 1615Gln Ser Leu Ala Thr Arg Leu Ala Pro Ile Tyr Lys Gln Tyr Ala Pro 1620 1625 1630Val Ala Tyr Gln Asn Gln Val Glu Tyr Glu Asn Val Ala Arg Glu Cys 1635 1640 1645Arg Leu Gly Ser Lys Glu Gly Arg Pro Phe Ser Gly Val Thr Ala Cys 1650 1655 1660Leu Asp Phe Cys Ala His Pro His Arg Asp Ile His Asn Met Asn Asn1665 1670 1675 1680Gly Ser Thr Val Val Cys Thr Leu Thr Arg Glu Asp Asn Arg Ser Leu 1685 1690 1695Gly Val Ile Pro Gln Asp Glu Gln Leu His Val Leu Pro Leu Tyr Lys 1700 1705 1710Leu Ser Asp Thr Asp Glu Phe Gly Ser Lys Glu Gly Met Glu Ala Lys 1715 1720 1725Ile Lys Ser Gly Ala Ile Glu Val Leu Ala Pro Arg Arg Lys Lys Arg 1730 1735 1740Thr Cys Phe Thr Gln Pro Val Pro Arg Ser Gly Lys Lys Arg Ala Ala1745 1750 1755 1760Met Met Thr Glu Val Leu Ala His Lys Ile Arg Ala Val Glu Lys Lys 1765 1770 1775Pro Ile Pro Arg Ile Lys Arg Lys Asn Asn Ser Thr Thr Thr Asn Asn 1780 1785 1790Ser Lys Pro Ser Ser Leu Pro Thr Leu Gly Ser Asn Thr Glu Thr Val 1795 1800 1805Gln Pro Glu Val Lys Ser Glu Thr Glu Pro His Phe Ile Leu Lys Ser 1810 1815 1820Ser Asp Asn Thr Lys Thr Tyr Ser Leu Met Pro Ser Ala Pro His Pro1825 1830 1835 1840Val Lys Glu Ala Ser Pro Gly Phe Ser Trp Ser Pro Lys Thr Ala Ser 1845 1850 1855Ala Thr Pro Ala Pro Leu Lys Asn Asp Ala Thr Ala Ser Cys Gly Phe 1860 1865 1870Ser Glu Arg Ser Ser Thr Pro His Cys Thr Met Pro Ser Gly Arg Leu 1875 1880 1885Ser Gly Ala Asn Ala Ala Ala Ala Asp Gly Pro Gly Ile Ser Gln Leu 1890 1895 1900Gly Glu Val Ala Pro Leu Pro Thr Leu Ser Ala Pro Val Met Glu Pro1905 1910 1915 1920Leu Ile Asn Ser Glu Pro Ser Thr Gly Val Thr Glu Pro Leu Thr Pro 1925 1930 1935His Gln Pro Asn His Gln Pro Ser Phe Leu Thr Ser Pro Gln Asp Leu 1940 1945 1950Ala Ser Ser Pro Met Glu Glu Asp Glu Gln His Ser Glu Ala Asp Glu 1955 1960 1965Pro Pro Ser Asp Glu Pro Leu Ser Asp Asp Pro Leu Ser Pro Ala Glu 1970 1975 1980Glu Lys Leu Pro His Ile Asp Glu Tyr Trp Ser Asp Ser Glu His Ile1985 1990 1995 2000Phe Leu Asp Ala Asn Ile Gly Gly Val Ala Ile Ala Pro Ala His Gly 2005 2010 2015Ser Val Leu Ile Glu Cys Ala Arg Arg Glu Leu His Ala Thr Thr Pro 2020 2025 2030Val Glu His Pro Asn Arg Asn His Pro Thr Arg Leu Ser Leu Val Phe 2035 2040 2045Tyr Gln His Lys Asn Leu Asn Lys Pro Gln His Gly Phe Glu Leu Asn 2050 2055 2060Lys Ile Lys Phe Glu Ala Lys Glu Ala Lys Asn Lys Lys Met Lys Ala2065 2070 2075 2080Ser Glu Gln Lys Asp Gln Ala Ala Asn Glu Gly Pro Glu Gln Ser Ser 2085 2090 2095Glu Val Asn Glu Leu Asn Gln Ile Pro Ser His Lys Ala Leu Thr Leu 2100 2105 2110Thr His Asp Asn Val Val Thr Val Ser Pro Tyr Ala Leu Thr His Val 2115 2120 2125Ala Gly Pro Tyr Asn His Trp Val 2130 2135



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