US20150196635A1

US20150196635A1 - Peptides for vaccine against birch allergy

Info

Publication number: US20150196635A1
Application number: US14/674,370
Authority: US
Inventors: Roderick Peter Hafner; Paul Laidler; Guy Layton; Mark Larche
Original assignee: Circassia Ltd
Current assignee: Niox Healthcare Ltd
Priority date: 2010-02-15
Filing date: 2015-03-31
Publication date: 2015-07-16
Also published as: WO2011098778A2; SG183198A1; WO2011098778A8; GB2481475B; IL221196A0; ES2573651T3; EP2536429B1; JP5926198B2; US9017689B2; AU2011214104A1; AU2011214104B2; KR20120120965A; PL2536429T3; WO2011098778A3; CN102762225A; MX2012009431A; NZ602380A; CA3139588A1; JP2013519717A; EA201290792A1

Abstract

The present invention relates to compositions comprising peptides for preventing or treating allergy to birch, and in particular to optimal combinations of peptides for preventing or treating said allergy.

Description

FIELD OF THE INVENTION

The present invention relates to compositions for preventing or treating allergy to birch.

BACKGROUND OF THE INVENTION

T-cell antigen recognition requires antigen presenting cells (APCs) to present antigen fragments (peptides) on their cell surface in association with molecules of the major histocompatibility complex (MHC). T cells use their antigen specific T-cell receptors (TCRs) to recognise the antigen fragments presented by the APC. Such recognition acts as a trigger to the immune system to generate a range of responses to eradicate the antigen which has been recognised.
Recognition of external antigens by the immune system of an organism, such as man, can in some cases result in diseases, known as atopic conditions. Examples of the latter are the allergic diseases including asthma, atopic dermatitis and allergic rhinitis. In this group of diseases, B lymphocytes generate antibodies of the IgE class (in humans) which bind externally derived antigens, which are referred to in this context as allergens since these molecules elicit an allergic response. Production of allergen-specific IgE is dependent upon T lymphocytes which are also activated by (are specific for) the allergen. Allergen-specific IgE antibodies bind to the surface of cells such as basophils and mast cells by virtue of the expression by these cells of surface receptors for IgE.
Crosslinking of surface bound IgE molecules by allergen results in degranulation of these effector cells causing release of inflammatory mediators such as histamine, 5-hydroxtryptamine and lipid mediators such as the sulphidoleukotrienes. In addition to IgE-dependent events, certain allergic diseases such as asthma are characterised by IgE-independent events.
Allergic IgE-mediated diseases are currently treated with agents which provide symptomatic relief or prevention. Examples of such agents are anti-histamines, β2 agonists, and glucocorticosteroids. In addition, some IgE-mediated diseases are treated by desensitisation procedures that involve the periodic injection of allergen components or extracts. Desensitisation treatments may induce an IgG response that competes with IgE for allergen, or they may induce specific suppressor T cells that block the synthesis of IgE directed against allergen. This form of treatment is not always effective and poses the risk of provoking serious side effects, particularly general anaphylactic shock. This can be fatal unless recognised immediately and treated with adrenaline. A therapeutic treatment that would decrease or eliminate the unwanted allergic-immune response to a particular allergen, without altering the immune reactivity to other foreign antigens or triggering an allergic response itself would be of great benefit to allergic individuals.
Pollen allergens are recognised as a major cause of allergic diseases in humans and animals, including asthma, allergic rhinitis and allergic dermatitis. At least 10% of the population of the USA suffers from pollen allergies at various times and to varying extents. Proteins present in tree pollen, in particular from trees of the order Fagales, for example birch, alder, hazel, hornbeam and oak, are particularly important. Of these species, birch pollen allergens are the most frequent initiators of allergic responses to tree pollen (Jarolim et al: Allergy 1989; 44(6):385-95). For example, approximately 25% of hayfever sufferers are responsive to birch pollen. Hayfever is the common term for a form of seasonal allergy characterised by sneezing, runny nose and itching eyes. Allergy to tree pollen is most problematic during the spring months, with the birch pollen season typically occurring around April (in the northern hemisphere). However, some related types of tree such as alder and hazel can release airborne pollen as early as January (northern hemisphere). These are followed by elm, willow and ash in March, with oak in late April and early May.
It has been calculated that for adults in the United States, hayfever is the 5th leading chronic disease and a major cause of work absenteeism, resulting in nearly 4 million missed or lost workdays each year, resulting in a total cost of more than $700 million in total lost productivity. Allergies are also the most frequently reported chronic condition in children, limiting activities for more than 40% of them. Each year, allergies account for more than 17 million outpatient office visits in the United States; seasonal allergies such as hayfever account for more than half of these allergy visits.
A therapeutic or preventative treatment would therefore be of great benefit to humans that suffer or are at risk of suffering from tree allergy.

SUMMARY OF THE INVENTION

The present inventors have discovered that certain peptide fragments derived from the major allergens in the pollens of birch species are useful in desensitising individuals to these allergens. Peptide fragments derived from Bet v2, Bet v1, Bet v3, Bet v4, Bet v6 and Bet v7 of birch (family name: Betulucaea) are particularly useful.
The peptides of the invention were selected as MHC class II-binding T cell epitopes through use of in silico analysis to predict peptide-MHC interactions and MHC class II binding assays. Additional epitopes were identified by homology.
A difficulty associated with approaches to desensitisation based on peptide immunisation lies in how to select an appropriate size and region of the allergen as the basis for the peptide to be used for immunisation. The size of the peptide of choice is crucial. If the peptide is too small, the vaccine would not be effective in inducing an immunological response. If the peptides are too large, or if the whole antigen is introduced into an individual, there is the risk of inducing adverse reactions, such as anaphylaxis, which may be fatal.
The polypeptides of the invention have been selected to retain T cell specificity whilst being small enough in size to not possess significant tertiary structure that would enable them to retain the conformation of an IgE-binding epitope of the whole molecule. The polypeptides of the invention therefore do not induce significant crosslinking of adjacent specific IgE molecules on cells such as mast cells and basophils and consequently do not cause significant histamine release.
An advantage of the invention is the ability of the peptides to broadly target Major Histocompatibility Complex (MHC) molecules. T cell receptors (TCRs) are highly variable in their specificity. Variability is generated, as with antibody molecules, through gene recombination events within the cell. TCRs recognise antigen in the form of short peptides bound to molecules encoded by the genes of the Major Histocompatibility Complex (MHC). These gene products are the same molecules that give rise to “tissue types” used in transplantation and are also referred to as Human Leukocyte Antigen molecules (HLAs) which terms may be used interchangeably. Individual MHC molecules possess peptide binding grooves which, due to their shape and charge are only capable of binding a limited group of peptides. The peptides bound by one MHC molecule may not necessarily be bound by other MHC molecules.
When a protein molecule such as an antigen or allergen is taken up by antigen presenting cells such as B lymphocytes, dendritic cells, monocytes and macrophages, the molecule is enzymatically degraded within the cell. The process of degradation gives rise to peptide fragments of the molecule which, if they are of the appropriate size, charge and shape, may then bind within the peptide binding groove of certain MHC molecules and be subsequently displayed upon the surface of antigen presenting cells. If the peptide/MHC complexes are present upon the antigen presenting cell surface in sufficient numbers they may then activate T cells which bear the appropriate peptide/MHC-specific T cell receptors.
Due to the polymorphic nature of the MHC, individuals in an outbred population such as man will express different combinations of MHC molecules on their cell surfaces. Since different MHC molecules can bind different peptides from the same molecule based on the size, charge and shape of the peptide, different individuals will display a different repertoire of peptides bound to their MHC molecules. Identification of universal MHC-binding peptide epitopes in an outbred population such as man is more difficult than in inbred animals (such as certain strains of laboratory mice). On the basis of differential MHC expression between individuals and the inherent differences in peptide binding and presentation which this brings, it is unlikely that a single peptide can be identified which will be of use for desensitisation therapy in man.
The peptides of the invention, however, provide a broad coverage of efficacy over the human population by targeting multiple different MHC molecules. A vaccine formulated with a peptide of the invention would therefore have broad utility. Accordingly, the present invention provides a composition suitable for use in preventing or treating allergy to birch pollen by tolerisation comprising:
i) at least one of the polypeptides of SEQ ID NO: 74 (BIR12B; AKYMVIQGEPGRVIRGK), SEQ ID NO: 72 (BIR11; FPQFKPQEITGIMK), SEQ ID NO: 71 (BIR10; GSVWAQSSSFPQFK), SEQ ID NO: 73 (BIR12A; PTGMFVAGAKYMVIQGR), SEQ ID NO: 75 (BIR13; IKYMVIQGEAGAVIRGK and SEQ ID NO: 76 (BIR14; EAGAVIRGKKGSGGIT), or a variant of any thereof, and
ii) at least one of the polypeptides of SEQ ID NO: 53 (Bir02J; PAARMFKAFILEGDKLVPK), SEQ ID NO: 48 (Bir01I; FNYETETTSVIPAARK), SEQ ID NO: 54 (Bir04; PGTIKKISFPEGFPFKYV), SEQ ID NO: 67 (Bir09; ETLLRAVESYLLAHSDAY), SEQ ID NO: 60 (BIR07; SNEEKIVATPDGGSILK), and SEQ ID NO: 63 (Bir07C; SNEIKIVATPEGGSILK), or a variant of any thereof, wherein said variant is:

- I) a longer polypeptide of up to 30 amino acids in length which comprises the sequence of the corresponding polypeptide specified in (i) or (ii), or
- II) a polypeptide of 9 to 30 amino acids in length which comprises a sequence that has at least 65% homology to the sequence of the corresponding polypeptide specified in (i) or (ii), which sequence is capable of tolerising to said corresponding polypeptide; or
- III) a polypeptide of length 9 to 30 amino acids which comprises a sequence of, or a sequence that has at least 65% homology to, at least 9 contiguous amino acids of the sequence of the corresponding polypeptide specified in (i) or (ii), which sequence of at least 9 contiguous amino acids or homologous sequence is capable of tolerising to said corresponding polypeptide.
  Also provided is a composition suitable for use in preventing or treating allergy to birch pollen by tolerisation comprising at least three different polypeptides, selected from:
  (a) Bir12B (AKYMVIQGEPGRVIRGK), or a variant thereof;
  (b) Bir02J (PAARMFKAFILEGDKLVPK), or a variant thereof;
  (c) Bir01I (FNYETETTSVIPAARK) or a variant thereof;
  (d) Bir04 (PGTIKKISFPEGFPFKYV) or a variant thereof;
  (e) Bir09 (ETLLRAVESYLLAHSDAY) or a variant thereof;
  (f) Bir16A (AERERIFKRFDANGEGK) or a variant thereof;
  (g) Bir07 (SNEIKIVATPDGGSILK) or a variant thereof;
  (h) Bir07C (SNEIKIVATPEGGSILK) or a variant thereof;
  (i) Bir011 (FPQFKPQEITGIMK) or a variant thereof;
  (j) Bir15 (SLNTLRLRRIFDLFDK) or a variant thereof;
  wherein said variant is:
- I) a longer polypeptide of up to 30 amino acids in length which comprises the sequence of the corresponding polypeptide specified in (a) to (j), or
- II) a polypeptide of 9 to 30 amino acids in length which comprises a sequence that has at least 65% homology to the sequence of the corresponding polypeptide specified in (a) to (j), which sequence is capable of tolerising to said corresponding polypeptide; or
- III) a polypeptide of length 9 to 30 amino acids which comprises a sequence of, or a sequence that has at least 65% homology to, at least 9 contiguous amino acids of the sequence of the corresponding polypeptide specified in (a) to (j), which sequence of at least 9 contiguous amino acids or homologous sequence is capable of tolerising to said corresponding polypeptide.

Description of the Sequences Mentioned Herein

SEQ ID NOS: 1 to 80 provide the polypeptide sequences of the invention as set out in Tables 1 to 8. SEQ ID NOS: 1 to 34 and 45 to 70 correspond to peptides derived from Bet v1. SEQ ID NOS: 71 to 76 correspond to peptides derived from Bet v2. SEQ ID NOS: 35, 36 and 77 correspond to peptides derived from Bet v3. SEQ ID NOS: 37 to 39, 78 and 79 correspond to peptides derived from Bet v4. SEQ ID NOS: 40 to 43 and 80 correspond to peptides derived from Bet v6. SEQ ID NO: 44 corresponds to a peptide derived from Bet v7.

DETAILED DESCRIPTION OF THE INVENTION

The invention concerns peptides which can be used in tolerisation. Such peptides may comprise, consist of, or consist essentially of the sequences shown in any of SEQ ID NOS: 1 to 80. Variants of these specific peptides may also be used. The variants may comprise, consist of, or consist essentially of sequences which are fragments of either any of SEQ ID NOS: 1 to 80 or homologues of any of SEQ ID NOS: 1 to 80.
The invention also provides products and formulations comprising the polypeptides of the invention and compositions, products and vectors comprising polynucleotides capable of expressing the polypeptides of the invention for use in preventing or treating birch allergy by tolerisation. Such tolerisation will typically be to an epitope (for example a MHC class II-binding T cell epitope) present in any of SEQ ID NOS: 1 to 80.

Tree Species

Species of tree from the family Betulaceae, commonly known as birch, are responsible for a high proportion of tree allergy worldwide, particularly allergies associated with tree pollen, such as hayfever. Other important tree species include alder, hazel, hornbeam and oak.
Birch trees, for example Silver Birch (Betula pendula), tolerate a wide range of habitats, with soil pH from approximately 3.5 to approximately 7. They are native to most of Europe and parts of Asia, but are common throughout the world, being found in the temperate, boreal, and arctic zones of the Northern Hemisphere, especially in Canada and other parts of North America. Birch trees typically flower between April and May (Northern Hemisphere).

Peptide Fragments of Birch Pollen Allergens

The present inventors have identified the regions in certain birch pollen allergen proteins which comprise MHC Class II-binding T cell epitopes. The present inventors have also shown that regions corresponding to MHC Class II-binding T cell epitopes within the major birch pollen allergens are highly conserved between different isoforms of said allergens. Based on this information, peptides derived from the relevant regions of each protein are suitable for preventing or treating birch allergy by tolerisation to all isoforms of that protein.
The peptides of the invention are derived directly or by homology from the protein allergens Bet v2 (SEQ ID NOS: 71 to 76), Bet v1 (SEQ ID NOS: 1 to 34 and 45 to 70), Bet v3 (SEQ ID NOS: 35, 36 and 77), Bet v4 (SEQ ID NOS: 37 to 39, 78 and 79), Bet v6 (SEQ ID NOS: 40 to 43 and 80) and Bet v7 (SEQ ID NO: 44). The terms “peptide” and “polypeptide” are used interchangeably herein. The above proteins are also referred to herein as “the allergens”. Tables 1 to 7 set out the sequences of the peptides of the invention (SEQ ID NOS: 1 to 80), indicating the parent protein from which each peptide derives. The composition of the invention comprises at least one polypeptide selected from SEQ ID NOS: 1 to 80 or a variant of any thereof.
In other words, the invention provides a composition for use in the prevention or treatment of birch allergy by tolerisation comprising at least three, preferably at least four different polypeptides selected from any of SEQ ID NOS: 1 to 80, or a variant of any thereof. It is preferred that none of the selected polypeptides are variants of the same original sequence defined by any one of SEQ ID NOS: 1 to 80. In other words, it is preferred that each of the three or four polypeptides are different original baseline sequences defined by any one of SEQ ID NOS: 1 to 80, or are variants of different original baseline sequences defined by any one of SEQ ID NOS: 1 to 80.
Preferably, the composition will comprise polypeptides which derive from more than one allergen. For example, the composition may comprise one or more polypeptides or variants thereof derived from Bet v 2 and one or more polypeptides or variants thereof derived from Bet v 1. Additional polypeptides may optionally be included which derive from Bet v 3, Bet v 4, Bet v 6 and/or Bet v 7. Accordingly, in some embodiments, the composition comprises
i) at least one of the polypeptides of SEQ ID NO: 74, 72, 71, 73, 75 and 76 (which are derived from Bet v 2), or a variant of any thereof as defined herein; and
ii) at least one of the polypeptides of SEQ ID NOS: 1 to 34 and 45 to 70 (which are derived from Bet v 1), or a variant of any thereof; and optionally
iii) at least one of the polypeptides of:
(a) SEQ ID NOs: 35, 36 and 77 (which are derived from Bet v 3), or a variant of any thereof as defined herein; and/or
(b) SEQ ID NOs: 37 to 39, 78 and 79 (which derived from Bet v 4), or a variant of any thereof as defined herein; and/or
(c) SEQ ID NOs: 40 to 43 and 80 (which are derived from Bet v 6), or a variant of any thereof as defined herein; and/or
(d) SEQ ID NO: 44 (which is derived from Bet v 7), or a variant thereof as defined herein.
The composition may thus comprise any combination of one or more polypeptides selected from group (i), one or more polypeptides selected from group (ii) and optionally one or more polypeptides from group (iii) (a) to (d) as defined above. Groups (i), (ii) and (iii) (a) to (d) correspond to peptides derived from different Bet allergens, as described above. Combining polypeptides derived from different Bet allergens may allow for broad coverage of birch pollen allergy observed in the general population by providing tolerising epitopes from more than one birch pollen allergen.
Non-limiting examples of compositions selected as defined above include:
One, two or more polypeptides selected from SEQ ID NO: 74, 72, 71, 73, 75 and 76 or variants of any thereof, at least one polypeptide selected from group (ii) or variant of any thereof, and optionally at least one polypeptide or variant thereof selected from groups (iii) (a) and/or (b); or
One, two or more polypeptides selected from SEQ ID NO: 74, 72, 71, 73, 75 and 76 or variants of any thereof and two, three, four or five polypeptides selected from group (ii) or variants of any thereof, and optionally at least one polypeptide or variant thereof selected from groups (iii) (a) and/or (b); or
One, two or more polypeptides selected from SEQ ID NO: 74, 72, 71, 73, 75 and 76 or variants of any thereof and two, three, four or five polypeptides selected from group (ii) or variants of any thereof, and at least one polypeptide from group (iii) b).
In one embodiment, the composition comprises:
(i) at least one of the polypeptides of SEQ ID NO: 74 (BIR12B; AKYMVIQGEPGRVIRGK), SEQ ID NO: 72 (BIR11; FPQFKPQEITGIMK), SEQ ID NO: 71 (BIR10; GSVWAQSSSFPQFK), SEQ ID NO: 73 (BIR12A; PTGMFVAGAKYMVIQGR), SEQ ID NO: 75 (BIR13; IKYMVIQGEAGAVIRGK and SEQ ID NO: 76 (BIR14; EAGAVIRGKKGSGGIT), or a variant of any thereof, and
ii) at least one of the polypeptides of SEQ ID NO: 53 (Bir02J; PAARMFKAFILEGDKLVPK), SEQ ID NO: 48 (Bir01I; FNYETETTSVIPAARK), SEQ ID NO: 54 (Bir04; PGTIKKISFPEGFPFKYV), SEQ ID NO: 67 (Bir09; ETLLRAVESYLLAHSDAY), SEQ ID NO: 60 (BIR07; SNEIKIVATPDGGSILK), and SEQ ID NO: 63 (Bir07C; SNEIKIVATPEGGSILK), or a variant of any thereof. In another embodiment, the composition further comprises at least one additional polypeptide of (i) or (ii) or variant thereof not selected above. In another embodiment, the composition further comprises at least one additional polypeptide of SEQ ID NO: 77 (BIR15; SLNTLRLRRIFDLFDK) or SEQ ID NO: 78 (BIR16A; AERERIFKRFDANGEGK), or a variant of any thereof. In a preferred embodiment, the composition comprises:
(a) the polypeptide Bir12B (AKYMVIQGEPGRVIRGK), or a variant thereof;
(b) the polypeptide Bir02J (PAARMFKAFILEGDKLVPK), or a variant thereof; and
(c) the polypeptide Bir01I (FNYETETTSVIPAARK) or a variant thereof;
In a particularly preferred embodiment, the composition comprises the polypeptide Bir12B (AKYMVIQGEPGRVIRGK) or a variant thereof, the polypeptide Bir02J (PAARMFKAFILEGDKLVPK) or a variant thereof, the polypeptide Bir01I (FNYETETTSVIPAARK) or a variant thereof, the polypeptide Bir04 (PGTIKKISFPEGFPFKYV) or a variant thereof, the polypeptide Bir09 (ETLLRAVESYLLAHSDAY) or a variant thereof, the polypeptide Bir07C (SNEIKIVATPEGGSILK) or a variant thereof, and the polypeptide Bir16A (AERERIFKRFDANGEGK) or a variant thereof, and optionally no further polypeptides.
In a further particularly preferred embodiment, the composition comprises the polypeptide Bir12B (AKYMVIQGEPGRVIRGK) or a variant thereof, the polypeptide Bir02J (PAARMFKAFILEGDKLVPK) or a variant thereof, the polypeptide Bir01I (FNYETETTSVIPAARK) or a variant thereof, the polypeptide Bir04 (PGTIKKISFPEGFPFKYV) or a variant thereof, the polypeptide Bir07C (SNEIKIVATPEGGSILK) or a variant thereof, the polypeptide Bir16A (AERERIFKRFDANGEGK) or a variant thereof, and the polypeptide Bir09B (KEMGETLLRAVESYLLAHS) or a variant thereof, and optionally no further polypeptides.
In a further particularly preferred embodiment, the composition comprises the polypeptide Bir12B (AKYMVIQGEPGRVIRGK) or a variant thereof, the polypeptide Bir02J (PAARMFKAFMEGDKLVPK) or a variant thereof, the polypeptide Bir01I (FNYETETTSVIPAARK) or a variant thereof, the polypeptide Bir04 (PGTIKKISFPEGFPFKYV) or a variant thereof, the polypeptide Bir07C (SNEIKIVATPEGGSILK) or a variant thereof, and the polypeptide Bir16A (AERERIFKRFDANGEGK) or a variant thereof, and optionally no further polypeptides.
The invention also provides a product comprising a peptide, variant or composition according to the invention. The invention provides a product comprising:
i) at least one of the polypeptides of SEQ ID NO: 74 (BIR12B; AKYMVIQGEPGRVIRGK), SEQ ID NO: 72 (BIR11; FPQFKPQEITGIMK), SEQ ID NO: 71 (BIR10; GSVWAQSSSFPQFK), SEQ ID NO: 73 (BIR12A; PTGMFVAGAKYMVIQGR), SEQ ID NO: 75 (BIR13; IKYMVIQGEAGAVIRGK and SEQ ID NO: 76 (BIR14; EAGAVIRGKKGSGGIT), or a variant of any thereof as defined in (I) to (III), and
ii) at least one of the polypeptides of SEQ ID NO: 53 (Bir02J; PAARMFKAFILEGDKLVPK), SEQ ID NO: 48 (Bir01I; FNYETETTSVIPAARK), SEQ ID NO: 54 (Bir04; PGTIKKISFPEGFPFKYV), SEQ ID NO: 67 (Bir09; ETLLRAVESYLLAHSDAY), SEQ ID NO: 60 (BIR07; SNEIKIVATPDGGSILK), and SEQ ID NO: 63 (Bir07C; SNEIKIVATPEGGSILK), or a variant of any thereof as defined in (I) to (III), wherein each different polypeptide is for simultaneous, separate or sequential use in preventing or treating allergy to birch pollen by tolerisation.
Variants of the polypeptides of SEQ ID NOS: 1 to 80 are mentioned herein. A variant of any of SEQ ID NOS: 1 to 80 will typically be functional. By functional it is meant that the variant is one which:
(a) comprises or consists of a sequence which binds to the same MHC class II molecule as the corresponding polypeptide of SEQ ID NOS: 1 to 80; and/or
(b) comprises or consists of a sequence which is recognised by a T cell which recognises the corresponding polypeptide of SEQ ID NOS: 1 to 80; and/or
(c) is capable of inducing a late phase response in an individual with birch allergy; and/or
(d) is capable of tolerising an individual to the corresponding polypeptide.
Recognition by a T cell may be tested by measuring the ability of a peptide or variant to induce T cell proliferation in a sample of T cells. The induction of a late phase response may also be tested in this way when the sample of T cells is taken from an individual with birch allergy. Methods of testing the induction of T cell proliferation are well known in the art and one such method is exemplified in Example 8.
Variants of SEQ ID NOS: 1 to 80 may be fragments derived by truncation, e.g. by removal of one or more amino acids from the N and/or C-terminal ends of a polypeptide. Fragments may also be generated by one or more internal deletions, provided that the core 9 amino acids that makes up the T cell epitope is not substantially disrupted.
For example, a variant of SEQ ID NO: 1 may comprise a fragment of SEQ ID NO: 1, i.e. a shorter sequence. This may include a deletion of one, two, three or four amino acids from the N-terminal end of SEQ ID NO: 1 or from the C-terminal end of SEQ ID NO: 1. Such deletions may be made from both ends of SEQ ID NO: 1.
A variant of SEQ ID NO: 1 may include additional amino acids (for example from the sequence of the parent protein from which the peptide derives) extending beyond the end(s) of SEQ ID NO: 1. A variant of a polypeptide may typically be a longer polypeptide of up to 20, 21, 22, 23, 24, 25, 26, 27, 28, 29 or 30 amino acids in length which comprises the sequence of the corresponding polypeptide of SEQ ID NOS: 1 to 80.
A variant may include a combination of the deletions and additions discussed above. For example, amino acids may be deleted from one end of SEQ ID NO: 1, but additional amino acids from the full length parent protein sequence may be added at the other end of SEQ ID NO: 1. The same discussion of variants above also applies to SEQ ID NOS: 2 to 80.
A variant may alternatively be a polypeptide of 9 to 30, 11 to 20 or 13 to 17 amino acids in length which comprises a sequence that has at least 65% sequence identity to the sequence of the corresponding polypeptide of SEQ ID NOS: 1 to 80. More preferably a suitable variant may comprise at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, or at least 98% amino acid identity to the corresponding polypeptide of SEQ ID NOS: 1 to 80.
A variant may be a polypeptide of length 9 to 30, 11 to 20 or 13 to 17 amino acids which comprises a sequence of, or a sequence that has, at least 65% sequence identity to at least 9 (for example at least 10, 11, 12 or 13) or more contiguous amino acids of the sequence of the corresponding polypeptide of SEQ ID NOS: 1 to 80. These contiguous amino acids may typically comprise a MHC class II epitope, for example which binds to any of the MHC molecules mentioned herein.
A variant peptide may include one or more amino acid substitutions from the amino acid sequence of any of SEQ ID NOS: 1 to 80 or a fragment thereof. A variant peptide may comprise sequence having at least 65% sequence identity to at least 9 or more contiguous amino acids in any of SEQ ID NOS: 1 to 80. More preferably a suitable variant may comprise at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, or at least 98% amino acid identity to at least 9 contiguous amino acids of any of SEQ ID NOS: 1 to 80. This level of amino acid identity may be seen at any section of the peptide, although it is preferably the core region. The level of amino acid identity is over at least 9 contiguous amino acids but it may be at least 10, 11, 12, 13, 14, 15 or at least 16 or 17 amino acids, depending on the size of the peptides of comparison. Accordingly, any of the above-specified levels of identity may be across the entire length of sequence.
In connection with amino acid sequences, “sequence identity” refers to sequences which have the stated value when assessed using ClustalW (Thompson et al., 1994, supra) with the following parameters:
Pairwise alignment parameters—Method: accurate, Matrix: PAM, Gap open penalty: 10.00, Gap extension penalty: 0.10; Multiple alignment parameters—Matrix: PAM, Gap open penalty: 10.00, % identity for delay: 30, Penalize end gaps: on, Gap separation distance: 0, Negative matrix: no, Gap extension penalty: 0.20, Residue-specific gap penalties: on, Hydrophilic gap penalties: on, Hydrophilic residues: GPSNDQEKR. Sequence identity at a particular residue is intended to include identical residues which have simply been derivatized.
A variant peptide may comprise 1, 2, 3, 4, 5 or more, or up to 10 amino acid substitutions from any of SEQ ID NOS: 1 to 80. Substitution variants preferably involve the replacement of one or more amino acids with the same number of amino acids and making conservative amino acid substitutions. For example, an amino acid may be substituted with an alternative amino acid having similar properties, for example, another basic amino acid, another acidic amino acid, another neutral amino acid, another charged amino acid, another hydrophilic amino acid, another hydrophobic amino acid, another polar amino acid, another aromatic amino acid or another aliphatic amino acid. Some properties of the 20 main amino acids which can be used to select suitable substituents are as follows:


Ala	aliphatic, hydrophobic,	Met	hydrophobic, neutral
	neutral
Cys	polar, hydrophobic,	Asn	polar, hydrophilic,
	neutral		neutral
Asp	polar, hydrophilic,	Pro	hydrophobic, neutral
	charged (−)
Glu	polar, hydrophilic,	Gln	polar, hydrophilic,
	charged (−)		neutral
Phe	aromatic, hydrophobic,	Arg	polar, hydrophilic,
	neutral		charged (+)
Gly	aliphatic, neutral	Ser	polar, hydrophilic,
			neutral
His	aromatic, polar, hydrophilic,	Thr	polar, hydrophilic,
	charged (+)		neutral
Ile	aliphatic, hydrophobic,	Val	aliphatic, hydrophobic,
	neutral		neutral
Lys	polar, hydrophilic,	Trp	aromatic, hydrophobic,
	charged(+)		neutral
Leu	aliphatic, hydrophobic,	Tyr	aromatic, polar,
	neutral		hydrophobic

Further variants include those in which instead of the naturally occurring amino acid the amino acid which appears in the sequence is a structural analog thereof. Amino acids used in the sequences may also be modified, e.g. labelled, providing the function of the peptide is not significantly adversely affected.
Where the peptide has a sequence that varies from the sequence of any of SEQ ID NOS: 1 to 80 or a fragment thereof, the substitutions may occur across the full length of the sequence, within the sequence of any of SEQ ID NOS: 1 to 80 or outside the sequence of any of SEQ ID NOS: 1 to 80. For example, the variations described herein, such as additions, deletions, substitutions and modifications, may occur within the sequence of any of SEQ ID NOS: 1 to 80. A variant peptide may comprise or consist essentially of the amino acid sequence of any of SEQ ID NOS: 1 to 80 in which one, two, three, four or more amino acid substitutions have been made. A variant peptide may comprise a fragment of the parent protein that is larger than any of SEQ ID NOS: 1 to 80. In this embodiment, the variations described herein, such as substitutions and modifications, may occur within and/or outside the sequence of any of SEQ ID NOS: 1 to 80. For example, one or more positively charged residues may be added at the N and/or C terminus of the native sequence of the peptide of any of SEQ ID NOS: 1 to 80.
The variant peptides of the invention are 9 to 30 amino acids in length inclusive. Preferably, they may be from 9 to 20 or more preferably 13 to 17 amino acids in length. The peptides may be the same length as the peptide sequences in any one of SEQ ID NOS: 1 to 80.
The peptides may be chemically derived from the polypeptide allergen, for example by proteolytic cleavage or can be derived in an intellectual sense from the polypeptide allergen, for example by making use of the amino acid sequence of the polypeptide allergen and synthesising peptides based on the sequence. Peptides may be synthesised using methods well known in the art.
The term “peptide” includes not only molecules in which amino acid residues are joined by peptide (—CO—NH—) linkages but also molecules in which the peptide bond is reversed. Such retro-inverso peptidomimetics may be made using methods known in the art, for example such as those described in Meziere et al (1997) 3. Immunol. 159, 3230-3237. This approach involves making pseudopeptides containing changes involving the backbone, and not the orientation of side chains. Meziere et al (1997) show that, at least for MHC class II and T helper cell responses, these pseudopeptides are useful. Retro-inverse peptides, which contain NH—CO bonds instead of CO—NH peptide bonds, are much more resistant to proteolysis.
Similarly, the peptide bond may be dispensed with altogether provided that an appropriate linker moiety which retains the spacing between the carbon atoms of the amino acid residues is used; it is particularly preferred if the linker moiety has substantially the same charge distribution and substantially the same planarity as a peptide bond. It will also be appreciated that the peptide may conveniently be blocked at its N- or C-terminus so as to help reduce susceptibility to exoproteolytic digestion. For example, the N-terminal amino group of the peptides may be protected by reacting with a carboxylic acid and the C-terminal carboxyl group of the peptide may be protected by reacting with an amine. Other examples of modifications include glycosylation and phosphorylation. Another potential modification is that hydrogens on the side chain amines of R or K may be replaced with methylene groups (—NH₂→—NH(Me) or —N(Me)₂).
Analogues of peptides according to the invention may also include peptide variants that increase or decrease the peptide's half-life in vivo. Examples of analogues capable of increasing the half-life of peptides used according to the invention include peptoid analogues of the peptides, D-amino acid derivatives of the peptides, and peptide-peptoid hybrids. A further embodiment of the variant polypeptides used according to the invention comprises D-amino acid forms of the polypeptide. The preparation of polypeptides using D-amino acids rather than L-amino acids greatly decreases any unwanted breakdown of such an agent by normal metabolic processes, decreasing the amounts of agent which needs to be administered, along with the frequency of its administration.
The peptides provided by the present invention may be derived from splice variants of the parent proteins encoded by mRNA generated by alternative splicing of the primary transcripts encoding the parent protein chains. The peptides may also be derived from amino acid mutants, glycosylation variants and other covalent derivatives of the parent proteins which retain at least an MHC-binding property of the allergens. Exemplary derivatives include molecules wherein the peptides of the invention are covalently modified by substitution, chemical, enzymatic, or other appropriate means with a moiety other than a naturally occurring amino acid. Further included are naturally occurring variants of the parent proteins found in different mites. Such a variant may be encoded by an allelic variant or represent an alternative splicing variant.
Variants as described above may be prepared during synthesis of the peptide or by post-production modification, or when the peptide is in recombinant form using the known techniques of site-directed mutagenesis, random mutagenesis, or enzymatic cleavage and/or ligation of nucleic acids.
In any of the embodiments of the invention, typical examples of variants as described herein may be as follows:
a variant of Bir01I is Bir01F (FNYETEATSVIPAARK), Bir01G (FNYEIEATSVIPAARK) or Bir01H (FNYEIETTSVIPAARK); and/or
a variant of Bir02J is Bir02E (PAARLFKAFILEGDTLIPK), Bir02G (PAARLFKAFILEGDNLIPK), Bir02I (PAARMFKAFILD) or Bir02D (PAARMFKAFILDGDKLVPK); and/or
a variant of Bir09 is selected from Bir09A (GETLLRAVESYLLAHS), Bir09B (KEMGETLLRAVESYLLAHS) or Bir09C (KEKGETLLRAVESYLLAHS); and/or
a variant of Bir16B is Bir16A (AERERIFKRFDANGEGK).
It will be understood that SEQ ID NOS: 1 to 80 are polypeptide sequences which comprise a T cell epitope that consists of a core of typically 9 amino acids, which are the minimal essential sequence required for MHC class II binding. However, the polypeptides of SEQ ID NOS: 1 to 80 may also comprise additional residues flanking the core. The peptides may therefore comprise a region containing a T cell epitope, in which some residues may be modified without affecting the function of the epitope. Thus, for example, the sequences of any of SEQ ID NOS: 1 to 80 may be altered to improve their solubility, and accordingly a variant of any of SEQ ID NOS: 1 to 80 will preferably be more soluble than the corresponding polypeptide of SEQ ID NOS: 1 to 80 under equivalent conditions. Methods for evaluating the solubility of peptides are well known in the art and one such method is exemplified in Example 9.
Improved solubility is advantageous for the tolerisation of subjects to allergens from which the peptides of the invention derive, since administration of poorly soluble agents to subjects causes undesirable, non-tolerising inflammatory responses. The solubility of the peptides may be improved by altering the residues which flank the region containing a T cell epitope. A peptide of the invention may be engineered to be more soluble such that it comprises:

i) N terminal to the residues of the peptide which flank a T cell epitope: one to six contiguous amino acids corresponding to the one to six contiguous amino acids immediately N terminal to said residues in the sequence of the protein from which the peptide derives; and/or
ii) C terminal to the residues of the peptide which flank a T cell epitope: one to six contiguous amino acids corresponding to the one to six contiguous amino acids immediately C terminal to the said residues in the sequence of the protein from which the peptide derives; or
iii) both N and C terminal to the residues of the peptide which flank a T cell epitope, at least one amino acid selected from arginine, lysine, histidine, glutamate and aspartate.

Optionally, the peptides may additionally be engineered to be more soluble such that:
i) any cysteine residues in the native sequence of the peptide are replaced with serine or 2-aminobutyric acid; and/or
ii) any hydrophobic residues in the up to three amino acids at the N or C terminus of the native sequence of the peptide, which are not comprised in a T cell epitope, are deleted; and/or
iii) any two consecutive amino acids comprising the sequence Asp-Gly in the up to four amino acids at the N or C terminus of the native sequence of the peptide, which are not comprised in a T cell epitope, are deleted; and/or
iv) one or more positively charged residues are added at the N and/or C terminus of the native sequence of the peptide.
Preferably the peptides and variants of the invention are capable of causing T cell proliferation in at least 20% of samples of T cells, wherein each sample is obtained from different birch allergic individuals in the population. The compositions of the invention are preferably capable of inducing T cell proliferation in 30% or more samples of T cells obtained from of a panel of birch allergic individuals. More preferably, the compositions are capable of inducing T cell proliferation in 35% or more, 40% or more, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, or 90% or more of samples obtained from sensitized individuals in a panel. The number of individuals in a panel of birch allergic individuals may be any number greater than one, for example at least 2, 3, 5, 10, 15, 20, 30, 50, 80, or at least 100 individuals.
It is preferred if the peptides, variants and compositions of the invention cause T cell proliferation, but do not lead to the release of histamine from enriched basophils or mast cell preparations from a sensitised individual. There may be some histamine release, but preferably the peptides, variants and compositions do not cause significant amounts of histamine to be released. Significant histamine release may be considered to be the release of 20% or more of the total available leukocyte histamine when a sample of leukocytes from an individual is stimulated with a composition in vitro. A peptide, variant or composition of the invention preferably causes the release of less than 5%, less than 4%, less than 3%, less than 2% or less than 1% of the total available leukocyte histamine when a sample of leukocytes from an individual is stimulated with a composition in vitro. A normal individual typically has an approximate leukocyte histamine content of 150 ng/10⁷cells.
Suitable peptides or variants capable of binding to TCRs may be derived empirically or selected according to known criteria. Within a single peptide there are certain residues which contribute to binding within the MHC antigen binding groove and other residues which interact with hypervariable regions of the T cell receptor (Allen et al (1987) Nature 327: 713-5).
Within the residues contributing to T cell receptor interaction, a hierarchy has been demonstrated which pertains to dependency of T cell activation upon substitution of a given peptide residue. Using peptides which have had one or more T cell receptor contact residues substituted with a different amino acid, several groups have demonstrated profound effects upon the process of T cell activation. Evavold & Allen (1991) Nature 252: 1308-10) demonstrated the dissociation of T cell proliferation and cytokine production. In this in vitro model, a T cell clone specific for residues 64-76 of haemoglobin (in the context of I-E^k), was challenged with a peptide analogue in which a conservative substitution of aspartic acid for glutamic acid had been made. This substitution did not significantly interfere with the capacity of the analogue to bind to I-E^k.
Following in vitro challenge of a T cell clone with this analogue, no proliferation was detected although IL-4 secretion was maintained, as was the capacity of the clone to help B cell responses. In a subsequent study the same group demonstrated the separation of T cell-mediated cytolysis from cytokine production. In this instance, the former remained unaltered while the latter was impaired. The efficacy of altered peptide ligands in vivo was initially demonstrated in a murine model of EAE (experimental allergic encephalomyelitis) by McDevitt and colleagues (Smilek et al (1991) Proc Natl Acad Sci USA 88: 9633-9637). In this model EAE is induced by immunisation with the encephalitogenic peptide Ac1-11 of MBP (myelin basic protein). Substitution at position four (lysine) with an alanine residue generated a peptide which bound well to its restricting element (Aα^uAβ^u), but which was non-immunogenic in the susceptible PL/JxSJLF1 strain and which, furthermore prevented the onset of EAE when administered either before or after immunisation with the encephalitogenic peptide. Thus, residues can be identified in peptides which affect the ability of the peptides to induce various functions of T-cells.
Advantageously, peptides may be designed to favour T-cell proliferation and induction of desensitisation. Metzler and Wraith have demonstrated improved tolerogenic capacity of peptides in which substitutions increasing peptide-MHC affinity have been made (Metzler & Wraith (1993) Int Immunol˜: 1159-65). That an altered peptide ligand can cause long-term and profound anergy in cloned T cells was demonstrated by Sloan-Lancaster et al (1993) Nature 363: 156-9.
The compositions of the invention are capable of inducing a late phase response in an individual that is sensitised to the allergens. The term “late phase response” includes the meaning as set forth in Allergy and Allergic Diseases (1997) A. B. Kay (Ed.), Blackwell Science, pp 1113-1130. The late phase response may be any late phase response (LPR). Preferably, the peptides are capable of inducing a late asthmatic response (LAR) or a late rhinitic response, or a late phase skin response or a late phase ocular response. Whether or not a particular peptide can give rise to a LPR can be determined using methods well known in the art; a particularly preferred method is that described in Cromwell O, Durham S R, Shaw R J, Mackay J and Kay A B. Provocation tests and measurements of mediators from mast cells and basophils in asthma and allergic rhinitis. In: Handbook of Experimental Immunology (4) Chapter 127, Editor: Weir D M, Blackwell Scientific Publications, 1986.
Thus, preferably, the individual peptides and variants of the invention are able to induce a LPR in an individual who has been sensitised to the allergens. Whether or not an individual has been sensitised to the allergens may be determined by well known procedures such as skin prick testing with solutions of allergen extracts, induction of cutaneous LPRs, clinical history, allergen challenge and radioallergosorbent test (RAST) for measurement of allergen specific IgE. Whether or not a particular individual is expected to benefit from treatment may be determined by the physician based, for example, on such tests.
Desensitising or tolerising an individual to the allergens means inhibition or dampening of allergic tissue reactions induced by the allergens in appropriately sensitised individuals. It has been shown that T cells can be selectively activated, and then rendered unresponsive. Moreover the anergising or elimination of these T-cells leads to desensitisation of the patient for a particular allergen. The desensitisation manifests itself as a reduction in response to an allergen or allergen-derived peptide, or preferably an elimination of such a response, on second and further administrations of the allergen or allergen-derived peptide. The second administration may be made after a suitable period of time has elapsed to allow desensitisation to occur; this is preferably any period between one day and several weeks. An interval of around two weeks is preferred.
Although the compositions of the invention are able to induce a LPR in a birch allergic individual, it should be appreciated that when a composition is used to treat a patient it is preferable that a sufficiently low concentration of the composition is used such that no observable LPR will occur but the response will be sufficient to partially desensitise the T cells such that the next (preferably higher) dose may be given, and so on. In this way the dose is built up to give full desensitisation but often without ever inducing a LPR in the patient. Although, the composition or peptide is able to do so at a higher concentration than is administered.
The compositions of the invention preferably are capable of inducing a late phase response in 50% or more of a panel of birch allergic individuals from the population. More preferably, the compositions are capable of inducing a LPR in 55% or more, 60% or more, 65% or more, 70% or more, 75% or more, 80% or more, 85% or more, or 90% or more of sensitized individuals in a panel. Whether or not the compositions are able to induce a LPR in a certain percentage of a panel of subjects can be determined by methods which are well known in the art.

Nucleic Acids and Vectors

The individual peptides that make up the compositions and products of the invention may be administered directly, or may be administered indirectly by expression from an encoding sequence. For example, a polynucleotide may be provided that encodes a peptide of the invention, such as any of the peptides described above. A peptide of the invention may thus be produced from or delivered in the form of a polynucleotide which encodes, and is capable of expressing, it. Any reference herein to the use, delivery or administration of a peptide of the invention is intended to include the indirect use, delivery or administration of such a peptide via expression from a polynucleotide that encodes it.
Accordingly, the invention provides a composition for use in preventing or treating allergy to birch by tolerisation comprising at least one polynucleotide sequence which when expressed causes the production of a composition according to the invention for use in preventing or treating allergy to birch by tolerisation.
The terms “nucleic acid molecule” and “polynucleotide” are used interchangeably herein and refer to a polymeric form of nucleotides of any length, either deoxyribonucleotides or ribonucleotides, or analogs thereof. Non-limiting examples of polynucleotides include a gene, a gene fragment, messenger RNA (mRNA), cDNA, recombinant polynucleotides, plasmids, vectors, isolated DNA of any sequence, isolated RNA of any sequence, nucleic acid probes, and primers. A polynucleotide of the invention may be provided in isolated or purified form. A nucleic acid sequence which “encodes” a selected polypeptide is a nucleic acid molecule which is transcribed (in the case of DNA) and translated (in the case of mRNA) into a polypeptide in vivo when placed under the control of appropriate regulatory sequences. The boundaries of the coding sequence are determined by a start codon at the 5′ (amino) terminus and a translation stop codon at the 3′ (carboxy) terminus. For the purposes of the invention, such nucleic acid sequences can include, but are not limited to, cDNA from viral, prokaryotic or eukaryotic mRNA, genomic sequences from viral or prokaryotic DNA or RNA, and even synthetic DNA sequences. A transcription termination sequence may be located 3′ to the coding sequence.
Polynucleotides of the invention can be synthesised according to methods well known in the art, as described by way of example in Sambrook et al (1989, Molecular Cloning—a laboratory manual; Cold Spring Harbor Press).
The polynucleotide molecules of the present invention may be provided in the form of an expression cassette which includes control sequences operably linked to the inserted sequence, thus allowing for expression of the peptide of the invention in vivo in a targeted subject. These expression cassettes, in turn, are typically provided within vectors (e.g., plasmids or recombinant viral vectors) which are suitable for use as reagents for nucleic acid immunization. Such an expression cassette may be administered directly to a host subject. Alternatively, a vector comprising a polynucleotide of the invention may be administered to a host subject. Preferably the polynucleotide is prepared and/or administered using a genetic vector. A suitable vector may be any vector which is capable of carrying a sufficient amount of genetic information, and allowing expression of a peptide of the invention.
Expression vectors are routinely constructed in the art of molecular biology and may for example involve the use of plasmid DNA and appropriate initiators, promoters, enhancers and other elements, such as for example polyadenylation signals which may be necessary, and which are positioned in the correct orientation, in order to allow for expression of a peptide of the invention. Other suitable vectors would be apparent to persons skilled in the art. By way of further example in this regard we refer to Sambrook et al.
Thus, a polypeptide of the invention may be provided by delivering such a vector to a cell and allowing transcription from the vector to occur. Thus, the invention also provides a vector for use in preventing or treating allergy to birch pollen by tolerisation comprising four or more polynucleotide sequences which encode a different polypeptide of the invention. Preferably, a polynucleotide of the invention or for use in the invention in a vector is operably linked to a control sequence which is capable of providing for the expression of the coding sequence by the host cell, i.e. the vector is an expression vector.
“Operably linked” refers to an arrangement of elements wherein the components so described are configured so as to perform their usual function. Thus, a given regulatory sequence, such as a promoter, operably linked to a nucleic acid sequence is capable of effecting the expression of that sequence when the proper enzymes are present. The promoter need not be contiguous with the sequence, so long as it functions to direct the expression thereof. Thus, for example, intervening untranslated yet transcribed sequences can be present between the promoter sequence and the nucleic acid sequence and the promoter sequence can still be considered “operably linked” to the coding sequence.
A number of expression systems have been described in the art, each of which typically consists of a vector containing a gene or nucleotide sequence of interest operably linked to expression control sequences. These control sequences include transcriptional promoter sequences and transcriptional start and termination sequences. The vectors of the invention may be for example, plasmid, virus or phage vectors provided with an origin of replication, optionally a promoter for the expression of the said polynucleotide and optionally a regulator of the promoter. A “plasmid” is a vector in the form of an extrachromosomal genetic element. The vectors may contain one or more selectable marker genes, for example an ampicillin resistance gene in the case of a bacterial plasmid or a resistance gene for a fungal vector. Vectors may be used in vitro, for example for the production of DNA or RNA or used to transfect or transform a host cell, for example, a mammalian host cell. The vectors may also be adapted to be used in vivo, for example to allow in vivo expression of the polypeptide.
A “promoter” is a nucleotide sequence which initiates and regulates transcription of a polypeptide-encoding polynucleotide. Promoters can include inducible promoters (where expression of a polynucleotide sequence operably linked to the promoter is induced by an analyte, cofactor, regulatory protein, etc.), repressible promoters (where expression of a polynucleotide sequence operably linked to the promoter is repressed by an analyte, cofactor, regulatory protein, etc.), and constitutive promoters. It is intended that the term “promoter” or “control element” includes full-length promoter regions and functional (e.g., controls transcription or translation) segments of these regions.
A polynucleotide, expression cassette or vector according to the present invention may additionally comprise a signal peptide sequence. The signal peptide sequence is generally inserted in operable linkage with the promoter such that the signal peptide is expressed and facilitates secretion of a polypeptide encoded by coding sequence also in operable linkage with the promoter.
Typically a signal peptide sequence encodes a peptide of 10 to 30 amino acids for example 15 to 20 amino acids. Often the amino acids are predominantly hydrophobic. In a typical situation, a signal peptide targets a growing polypeptide chain bearing the signal peptide to the endoplasmic reticulum of the expressing cell. The signal peptide is cleaved off in the endoplasmic reticulum, allowing for secretion of the polypeptide via the Golgi apparatus. Thus, a peptide of the invention may be provided to an individual by expression from cells within the individual, and secretion from those cells.
Alternatively, polynucleotides of the invention may be expressed in a suitable manner to allow presentation of a peptide of the invention by an MHC class II molecule at the surface of an antigen presenting cell. For example, a polynucleotide, expression cassette or vector of the invention may be targeted to antigen presenting cells, or the expression of encoded peptide may be preferentially stimulated or induced in such cells.
In some embodiments, the polynucleotide, expression cassette or vector will encode an adjuvant, or an adjuvant will otherwise be provided. As used herein, the term “adjuvant” refers to any material or composition capable of specifically or non-specifically altering, enhancing, directing, redirecting, potentiating or initiating an antigen-specific immune response.
Polynucleotides of interest may be used in vitro, ex vivo or in vivo in the production of a peptide of the invention. Such polynucleotides may be administered or used in the prevention or treatment of allergy by tolerisation.
Methods for gene delivery are known in the art. See, e.g., U.S. Pat. Nos. 5,399,346, 5,580,859 and 5,589,466. The nucleic acid molecule can be introduced directly into the recipient subject, such as by standard intramuscular or intradermal injection; transdermal particle delivery; inhalation; topically, or by oral, intranasal or mucosal modes of administration. The molecule alternatively can be introduced ex vivo into cells that have been removed from a subject. For example, a polynucleotide, expression cassette or vector of the invention may be introduced into APCs of an individual ex vivo. Cells containing the nucleic acid molecule of interest are re-introduced into the subject such that an immune response can be mounted against the peptide encoded by the nucleic acid molecule. The nucleic acid molecules used in such immunization are generally referred to herein as “nucleic acid vaccines.”
The polypeptides, polynucleotides, vectors or cells of the invention may be present in a substantially isolated form. They may be mixed with carriers or diluents which will not interfere with their intended use and still be regarded as substantially isolated. They may also be in a substantially purified form, in which case they will generally comprise at least 90%, e.g. at least 95%, 98% or 99%, of the proteins, polynucleotides, cells or dry mass of the preparation.

Antigen Presenting Cells (APCs)

The invention encompasses the use in vitro of a method of producing a population of APCs that present the peptides of the invention on their surface, that may be subsequently used in therapy. Such a method may be carried out ex vivo on a sample of cells that have been obtained from a patient. The APCs produced in this way therefore form a pharmaceutical agent that can be used in the treatment or prevention of birch allergy by tolerisation. The cells should be accepted by the immune system of the individual because they derive from that individual. Delivery of cells that have been produced in this way to the individual from whom they were originally obtained, thus forms a therapeutic embodiment of the invention.

Formulations and Compositions

The peptides, polynucleotides, vectors and cells of the invention may be provided to an individual either singly or in combination. Each molecule or cell of the invention may be provided to an individual in an isolated, substantially isolated, purified or substantially purified form. For example, a peptide of the invention may be provided to an individual substantially free from the other peptides. Alternatively, four or more peptides in the composition may be coupled chemically together, using standard peptide coupling reagents, to provide a single peptide containing the preferred epitopes. Such peptides would be screened for basophil histamine release to confirm lack of histamine release as per the individual peptides. In a further embodiment, four or more peptides in the composition may be provided as part of a single polypeptide chain i.e by recombinant means from an encoding polynucleotide. The four or more peptides may be fused contiguously, or may alternatively be separated by appropriate linkers.
Whilst it may be possible for the peptides, polynucleotides or compositions according to the invention to be presented in raw form, it is preferable to present them as a pharmaceutical formulation. Thus, according to a further aspect of the invention, the present invention provides a pharmaceutical formulation for use in preventing or treating allergy to birch by tolerisation comprising a composition, vector or product according to the invention together with one or more pharmaceutically acceptable carriers or diluents and optionally one or more other therapeutic ingredients. The carrier (s) must be ‘acceptable’ in the sense of being compatible with the other ingredients of the formulation and not deleterious to the recipient thereof. Typically, carriers for injection, and the final formulation, are sterile and pyrogen free. Preferably, the carrier or diluent is thioglycerol or thioanisole.
Formulation of a composition comprising the peptide, polynucleotides or cells of the invention can be carried out using standard pharmaceutical formulation chemistries and methodologies all of which are readily available to the reasonably skilled artisan.
For example, compositions containing one or more molecules or cells of the invention can be combined with one or more pharmaceutically acceptable excipients or vehicles. Auxiliary substances, such as wetting or emulsifying agents, pH buffering substances and the like, may be present in the excipient or vehicle. These excipients, vehicles and auxiliary substances are generally pharmaceutical agents that do not induce an immune response in the individual receiving the composition, and which may be administered without undue toxicity. Pharmaceutically acceptable excipients include, but are not limited to, liquids such as water, saline, polyethyleneglycol, hyaluronic acid, glycerol, thioglycerol and ethanol. Pharmaceutically acceptable salts can also be included therein, for example, mineral acid salts such as hydrochlorides, hydrobromides, phosphates, sulfates, and the like; and the salts of organic acids such as acetates, propionates, malonates, benzoates, and the like. A thorough discussion of pharmaceutically acceptable excipients, vehicles and auxiliary substances is available in Remington's Pharmaceutical Sciences (Mack Pub. Co., N.J. 1991).
Such compositions may be prepared, packaged, or sold in a form suitable for bolus administration or for continuous administration. Injectable compositions may be prepared, packaged, or sold in unit dosage form, such as in ampoules or in multi-dose containers containing a preservative. Compositions include, but are not limited to, suspensions, solutions, emulsions in oily or aqueous vehicles, pastes, and implantable sustained-release or biodegradable formulations. Such compositions may further comprise one or more additional ingredients including, but not limited to, suspending, stabilizing, or dispersing agents. In one embodiment of a composition for parenteral administration, the active ingredient is provided in dry (for e.g., a powder or granules) form for reconstitution with a suitable vehicle (e. g., sterile pyrogen-free water) prior to parenteral administration of the reconstituted composition. The pharmaceutical compositions may be prepared, packaged, or sold in the form of a sterile injectable aqueous or oily suspension or solution. This suspension or solution may be formulated according to the known art, and may comprise, in addition to the active ingredient, additional ingredients such as the dispersing agents, wetting agents, or suspending agents described herein. Such sterile injectable formulations may be prepared using a non-toxic parenterally-acceptable diluent or solvent, such as water or 1,3-butane diol, for example. Other acceptable diluents and solvents include, but are not limited to, Ringer's solution, isotonic sodium chloride solution, and fixed oils such as synthetic mono- or di-glycerides.
Other parentally-administrable compositions which are useful include those which comprise the active ingredient in microcrystalline form, in a liposomal preparation, or as a component of a biodegradable polymer systems. Compositions for sustained release or implantation may comprise pharmaceutically acceptable polymeric or hydrophobic materials such as an emulsion, an ion exchange resin, a sparingly soluble polymer, or a sparingly soluble salt.
Alternatively, the peptides or polynucleotides of the present invention may be encapsulated, adsorbed to, or associated with, particulate carriers. Suitable particulate carriers include those derived from polymethyl methacrylate polymers, as well as PLG microparticles derived from poly(lactides) and poly(lactide-co-glycolides). See, e.g., Jeffery et al. (1993) Pharm. Res. 10:362-368. Other particulate systems and polymers can also be used, for example, polymers such as polylysine, polyarginine, polyornithine, spermine, spermidine, as well as conjugates of these molecules.
The formulation of any of the peptides, polynucleotides or cells mentioned herein will depend upon factors such as the nature of the substance and the method of delivery. Any such substance may be administered in a variety of dosage forms. It may be administered orally (e.g. as tablets, troches, lozenges, aqueous or oily suspensions, dispersible powders or granules), topically, parenterally, subcutaneously, by inhalation, intravenously, intramuscularly, intrasternally, transdermally, intradermally, sublingually, intranasally, buccally or by infusion techniques. The substance may also be administered as suppositories. A physician will be able to determine the required route of administration for each particular individual.
The compositions of formulations of the invention will comprise a suitable concentration of each peptide/polynucleotide/cell to be effective without causing adverse reaction. Typically, the concentration of each peptide in the composition will be in the range of 0.03 to 200 nmol/ml. More preferably in the range of 0.3 to 200 nmol/ml, 3 to 180 nmol/ml, 10 to 150 nmol/ml, 50 to 200 nmol/ml or 30 to 120 nmol/ml. The composition or formulations should have a purity of greater than 95% or 98% or a purity of at least 99%.
In one aspect of the invention an adjuvant may be used in combination with the polypeptide/polynucleotides/cells of the invention. The adjuvant is preferably administered in an amount which is sufficient to augment the effect of the polypeptide/polynucleotides/cells of the invention or vice versa. The adjuvant or other therapeutic agent may be an agent that potentiates the effects of the molecule of the invention. For example, the other agent may be an immunomodulatory molecule or an adjuvant which enhances the response to the peptide or cell of the invention.
In one embodiment, therefore, the peptides, polynucleotides, cells or compositions of the invention are used for therapy in combination with one or more other therapeutic agents. The agents may be administered separately, simultaneously or sequentially. They may be administered in the same or different compositions. Accordingly, in a method of the invention, the subject may also be treated with a further therapeutic agent.
A composition may therefore be formulated which comprises a molecule and/or cell of the invention and also one or more other therapeutic molecules. A composition of the invention may alternatively be used simultaneously, sequentially or separately with one or more other therapeutic compositions as part of a combined treatment.
Non-limiting examples of adjuvants include vitamin D, rapamycin and glucocorticoid steroids such as dexamethasone, fluticasone, budesonide, mometasone, beclomethasone, hydrocortisone, cortisone acetate, prednisone, prednisolone, methylprednisolone, betamethasone and triamcinolone. A preferred glucocorticoid is dexamethasone.

Therapeutic Methods and Individual to be Treated

The present invention relates to peptides, polynucleotides, vectors and cells that are capable of desensitising or tolerising human individuals to the allergens described above and are therefore useful in the prevention or treatment of birch allergy. The invention provides compositions, products, vectors and formulations for use in preventing or treating allergy to birch by tolerisation. The invention also provides a method of tolerising or desensitizing a birch allergic individual comprising administering, either singly or in combination the polypeptides/polynucleotides/cells of the invention as described above.
The individual to be treated or provided with the composition or formulation of the invention is preferably human. It will be appreciated that the individual to be treated may be known to be sensitised to the allergens, at risk of being sensitised or suspected of being sensitised. The individual can be tested for sensitisation using techniques well known in the art and as described herein. Alternatively, the individual may have a family history of allergy to birch. It may not be necessary to test an individual for sensitisation to birch because the individual may display symptoms of allergy when exposed to birch. By exposure is meant proximity to, for example, a birch plant, or a substance or product derived from a birch plant, or a substance or product containing or comprising either of the above. The substance or product derived from a birch plant is typically birch pollen. By proximity is meant 10 metres or less, 5 metres or less, 2 metres or less, 1 metre or less, or 0 metres from the items described above. Symptoms of allergy can include itchy eyes, runny nose, breathing difficulties, red itchy skin or rash.
The individual to be treated may be of any age. However, preferably, the individual may be in the age group of 1 to 90, 5 to 60, 10 to 40, or more preferably 18 to 35.
Preferably, the individual to be treated is from a population that has MHC allele frequencies within the range of frequencies that are representative of the Caucasian population. Reference population allele frequencies for 11 common DRB1 allele families are shown in Table 1 (Data from HLA Facts Book, Parham and Barber).
TABLE 1

DRB1 1 3 4 7 8 11 12 13 14 15 16

% 6.4 14.7 15.7 8.8 3.4 8.3 3.9 14.7 2.9 17.6 2.5

Reference 9.4 11.1 12.8 13.2 3.7 13.4 2.3 10.2 3.2 10.7 3.6

population %

Reference frequencies were obtained by analysis of multiple studies reporting frequencies and the figures shown are mean values. Preferably therefore, the individual to be treated is from a population that has equivalent MHC allele frequencies as the reference population for the alleles referred to Table 1 (such as for at least 1, 2, 3, 4, 5 or all of the alleles), for example within the ranges of those figures plus or minus 1, 2, 3, 5, 10, 15 or 20%.
Preferably the individual is from a population where the allele frequencies of the following DRB1 alleles is:
4—at least 9%
7—at least 10%
11—at least 8%.
The individual may have had allergy to birch for at least 2 weeks, 1 month, 6 months, 1 year or 5 years. The individual may suffer from a rash, nasal congestion, nasal discharge and/or coughing caused by the allergy. The individual may or may not have been administered with other compositions/compounds which treat birch allergy. The individual may live in a geographical region which has:
a temperate, boreal or arctic climate, and/or:
a typical soil pH in the range of about 3.5, to about 7.5.
The individual typically suffers from allergy to birch pollen in a particular season. The season typically corresponds to the flowering season of birch, which is typically spring, preferably early spring (for example from April to May in the Northern hemisphere). The allergic individual is typically allergic to birch pollen from any tree in the subgenus Betula, for example Betula pendula or Betula pubescens.

Combination Immunotherapy

Since many individuals are allergic, or may require desensitizing to several polypeptide antigens, the current invention also provides means of desensitizing individuals that are allergic to multiple antigens. “Tolerance” induced in an individual to a first polypeptide antigen or allergen can create in the individual a “tolergeneic environment” wherein inappropriate immune responses to other antigens can be downregulated in order to provide tolerance to other antigens.
This finding means that individuals allergic to multiple allergens can be treated in a greatly reduced time period, and that individuals seriously allergic to some allergens (e.g., peanuts) but more mildly allergic to other allergens (e.g., cat dander) can benefit from a therapy wherein tolerance to the milder allergen is established and then this tolergeneic environment is used to provide tolerance to the other, more extreme allergen. In addition, individuals suffering from an autoimmune disorder who are additionally sensitised (or otherwise immune) to an unrelated antigen or allergen can benefit from a treatment regime wherein tolerance to the unrelated antigen or allergen is first established and then this tolergeneic environment is used to provide tolerance to the autoantigen associated with the autoimmune disorder.
A method is therefore provided for desensitising a birch allergic individual to birch allergen as described above and one or more further different polypeptide antigens. The method entails, in a first step, administering to the individual a composition/product/formulation (primary composition) according to the invention as described herein and wherein the administration is carried out in a manner sufficient to generate a hyporesponsive state against birch allergen. Once a hyporesponsive state has been established toward birch allergen, or at least a shift toward desensitisation has occurred, the method entails administration of a secondary composition comprising a second, different polypeptide antigen to which the individual is to be sensitised. Administration of the secondary composition is carried out in such a way as to take advantage of the tolerogenic environment established by use of the primary composition, where it is now possible to establish tolerance to the second, different polypeptide antigen. The secondary composition is coadministered with either the first primary composition or a larger fragment of the birch allergen. By “coadministered” it is meant either the simultaneous or concurrent administration, e.g., when the two are present in the same composition or administered in separate compositions at nearly the same time but at different sites, as well as the delivery of polypeptide antigens in separate compositions at different times. For example, the secondary composition may be delivered prior to or subsequent to delivery of the first composition at the same or a different site. The timing between deliveries can range from about several seconds apart to about several minutes apart, several hours apart, or even several days apart. Furthermore, different delivery methods can be employed.
The second polypeptide antigen is preferably an allergen different to the birch allergen. Suitable allergens for use in the methods of the invention can of course be obtained and/or produced using known methods. Classes of suitable allergens include, but are not limited to, dust mite allergens, pollens, animal dander (especially cat dander), grass allergens, molds, dusts, antibiotics, stinging insect venoms, and a variety of environmental (including chemicals and metals), drug and food allergens. Common tree allergens include pollens from cottonwood, popular, ash, birch, maple, oak, elm, hickory, and pecan trees; common plant allergens include those from mugwort, ragweed, English plantain, sorrel-dock and pigweed; plant contact allergens include those from poison oak, poison ivy and nettles; common grass allergens include rye grass, Timothy, Johnson, Bermuda, fescue and bluegrass allergens; common allergens can also be obtained from molds or fungi such as Alternaria, Fusarium, Hormodendrum, Aspergillus, Micropolyspora, Mucor and thermophilic actinomycetes; epidermal allergens can be obtained from house or organic dusts (typically fungal in origin), or from animal sources such as feathers, and dog dander; common food allergens include milk and cheese (diary), egg, wheat, nut (e.g., peanut), seafood (e.g., shellfish), pea, bean and gluten allergens; common environmental allergens include metals (nickel and gold), chemicals (formaldehyde, trinitrophenol and turpentine), Latex, rubber, fiber (cotton or wool), burlap, hair dye, cosmetic, detergent and perfume allergens; common drug allergens include local anesthetic and salicylate allergens; antibiotic allergens include penicillin, tetracycline and sulfonamide allergens; and common insect allergens include bee, wasp and ant venom, and cockroach calyx allergens. Particularly well characterized allergens include, but are not limited to, the major cat allergen Fel d1, bee venom phospholipase A2 (PLA) (Akdis et al. (1996) J. Clin. Invest. 98:1676-1683) and the multi-epitopic recombinant grass allergen rKBG8.3 (Cao et al. (1997) Immunology 90:46-51). These and other suitable allergens are commercially available and/or can be readily prepared as extracts following known techniques.
Preferably, the second polypeptide allergen is a whole tree pollen allergen or allergen fragment selected from the list of allergen sequences and database accession numbers (NCBI Entrez accession numbers) below. NCBI is the National Center for Biotechnology information and is a division of the US National Institutes of Health. The NCBI web site, from which access to the database may be sought, is www.ncbi.nlm.nih.gov/. Allergen sequences and database accession numbers (NCBI Entrez accession numbers):

Olive Tree

Olive Sequences

416610 Ole e 1

EDIPQPPVSQFHIQGQVYCDTCRAGFITELSEFIPGASLRLQCKDKE

NGDVTFTEVGYTRAEGLYSMLVERDHKNEFCEITLISSGRKDCNEIP

TEGWAKPSLKFKLNTVNGTTRTVNPLGFFKKEALPKCAQVYNKLGMY

PPNM

Tree Allergen Sequences (Mainly Birch) Sequences:

130975 Bet v 2

MSWQTYVDEHLMCDIDGQASNSLASAIVGHDGSVWAQSSSFPQFKPQEI

TGIMKDFEEPGHLAPTGLHLGGIKYMVIQGEAGAVIRGKKGSGGITIKK

TGQALVFGIYEEPVTPGQCNMVVERLGDYLIDQGL

1942360 Bet v 2

MSWQTYVDEHLMCDIDGQGEELAASAIVGHDGSVWAQSSSFPQFKPQEI

TGIMKDFEEPGHLAPTGLHLGGIKYMVIQGEAGAVIRGKKGSGGITIKK

TGQALVFGIYEEPVTPGQCNMVVERLGDYLIDQGL

166953 Bet v 2

MSWQTYVDEHLMCDIDGQASNSLASAIVGHDGSVWAQSSSFPQFKPQEI

TGIMKDFEEPGHLAPTGLHLGGIKYMVIQGEAGAVIRGKKGSGGITIKK

TGQALVFGIYEEPVTPGQCNMVVERLGDYLIDQGL

541814 Bet v 2

MSWQTYVDEHLMCDIDGQASNSLASAIVGHDGSVWAQSSSFPQFKPQEI

TGIMKDFEEPGHLAPTGLHLGGIKYMVIQGEAGAVIRGKKGSGGITIKK

TGQALVFGIYEEPVTPGQCNMVVERLGDYLIDQGL

2488678 Bet v 2

MSWQTYVDEHLMCDIDGQASNSLASAIVGHDGSVWAQSSSFPQFKPQEI

TGIMKDFEEPGHLAPTGLHLGGIKYMVIQGEAGAVIRGKKGSGGITIKK

TGQALVFGIYEEPVTPGQCNMVVERLGDYLIDQGL

1829894 Bet v 2

MSWQTYVDEHLMCDIDGQASNSLASAIVGHDGSVWAQSSSFPQFKPQEI

TGIMKDFEEPGHLAPTGLHLGGIKYMVIQGEAGAVIRGKKGSGGITIKK

TGQALVFGIYEEPVTPGQCNMVVERLGDYLIDQGL

1168696 Bet v 3

MPCSTEAMEKAGHGHASTPRKRSLSNSSFRLRSESLNTLRLRRIFDLFD

KNSDGIITVDELSRALNLLGLETDLSELESTVKSFTREGNIGLQFEDFI

SLHQSLNDSYFAYGGEDEDDNEEDMRKSILSQEEADSFGGFKVFDEDGD

GYISARELQMVLGKLGFSEGSEIDRVEKMIVSVDSNRDGRVDFFEFKDM

MRSVLVRSS

809536 Bet v 4

MADDHPQDKAERERIFKRFDANGDGKISAAELGEALKTLGSITPDEVKH

MMAEIDTDGDGFISFQEFTDFGRANRGLLKDVAKIF

543675 Que a I-Quercus alba = oak trees

(fragment)

GVFTXESQETSVIAPAXLFKALFL

543509 Carb I-Carpinus betulus = hornbeam trees

(fragment)

GVFNYEAETPSVIPAARLFKSYVLDGDKLIPKVAPQAIXK

543491 Aln g I-Alnus glutinosa = alder trees

(fragment)

GVFNYEAETPSVIPAARLFKAFILDGDKLLPKVAPEAVSSVENI

1204056 Rubisco

VQCMQVWPPLGLKKFETLSYLPPLSSEQLAKEVDYLLRKNLIPCLEFEL

EHGFVYREHNRSPGYYDGRYWTMWKLPMFGCNDSSQVLKELEECKKAYP

SAFIRIIGFDDK

Additional Tree Allergen Sequences (NCBI Entrez Accession Number):

131919; 128193; 585564; 1942360; 2554672; 2392209; 2414158; 1321728; 1321726; 1321724; 1321722; 1321720; 1321718; 1321716; 1321714; 1321712; 3015520; 2935416; 464576; 1705843; 1168701; 1168710; 1168709; 1168708; 1168707; 1168706; 1168705; 1168704; 1168703; 1168702; 1842188; 2564228; 2564226; 2564224; 2564222; 2564220; 2051993; 1813891; 1536889; 534910; 534900; 534898; 1340000; 1339998; 2149808; 66207; 2129477; 1076249; 1076247; 629480; 481805; 81443; 1361968; 1361967; 1361966; 1361965; 1361964; 1361963; 1361962; 1361961; 1361960; 1361959; 320546; 629483; 629482; 629481; 541804; 320545; 81444; 541814; 629484; 474911; 452742; 1834387; 298737; 298736; 1584322; 1584321; 584320; 1542873; 1542871; 1542869; 1542867; 1542865; 1542863; 1542861; 1542859; 1542857; 1483232; 1483230; 1483228; 558561; 551640; 488605; 452746; 452744; 452740; 452738; 452736; 452734; 452732; 452730; 452728; 450885; 17938; 17927; 17925; 17921; 297538; 510951; 289331; 289329; 166953.

Cedar Sequences

493634 Cry j IB precursor

MDSPCLVALLVFSFVIGSCFSDNPIDSCWRGDSNWAQNRMKLADCAVGF

GSSTMGGKGGDLYTVTNSDDDPVNPPGTLRYGATRDRPLWIIFSGNMNI

KLKMPMYLAGYKTFDGRGAQVYIGNGGPCVFIKRVSNVIIHGLYLYGCS

TSVLGNVLINESFGVEPVHPQDGDALTLRTATNIWIDHNSFSNSSDGLV

DVTLTSTGVTISNNLFFNHHKVMSLGHDDAYSDDKSMKVTVAFNQFGPN

CGQRMPRARYGLVHVANNNYDPWTIYAIGGSSNPTILSEGNSFTAPNES

YKKQVTIRIGCKTSSSCSNWVWQSTQDVFYNGAYFVSSGKYEGGNIYTK

KEAFNVENGNATPHLTQNAGVLTCSLSKRC

493632 Cry j IA precursor

MDSPCLVALLVLSFVIGSCFSDNPIDSCWRGDSNWAQNRMKLADCAVGF

GSSTMGGKGGDLYTVTNSDDDPVNPAPGTLRYGATRDRPLWIIFSGNMN

IKLKMPMYIAGYKTFDGRGAQVYIGNGGPCVFIKRVSNVIIHGLHLYGC

STSVLGNVLINESFGVEPVHPQDGDALTLRTATNIWIDHNSFSNSSDGL

VDVTLSSTGVTISNNLFFNHHKVMLLGHDDAYSDDKSMKVTVAFNQFGP

NCGQRMPRARYGLVHVANNNYDPWTIYAIGGSSNPTILSEGNSFTAPNE

SYKKQVTIRIGCKTSSSCSNWVWQSTQDVFYNGAYFVSSGKYEGGNIYT

KKEAFNVENGNATPQLTKNAGVLTCSLSKRC

1076242 Cry j II precursor-Japanese cedar

MAMKLIAPMAFLAMQUQLIIMAAAEDQSAQIMLDSVVEKYLRSNRSLRK

VEHSRHDAINIFNVEKYGAVGDGKHDCTEAFSTAWQAACKNPSAMLLVP

GSKKFVVNNLFFNGPCQPHFTFKVDGIIAAYQNPASWKNNRIWLQFAKL

TGFTLMGKGVIDGQGKQWWAGQCKWVNGREICNDRDRPTAIKFDFSTGL

IIQGLKLMNSPEFHLVFGNCEGVKIIGISITAPRDSPNTDGIDIFASKN

FHLQKNTIGTGDDCVAIGTGSSNIVIEDLICGPGHGISIGSLGRENSRA

EVSYVHVNGAKFIDTQNGLRIKTWQGGSGMASHIIYENVEMINSENPIL

INQFYCTSASACQNQRSAVQIQDVTYKNIRGTSATAAAIQLKCSDSMPC

KDIKLSDISLKLTSGKIASCLNDNANGYFSGHVIPACKNLSPSAKRKES

KSHKHPKTVMVENMRAYDKGNRTRILLGSRPPNCTNKCHGCSPCKAKLV

IVHRIMPQEYYPQRWICSCHGKIYHP

1076241 Cry j II protein-Japanese cedar

MAMKFIAPMAFVAMQLIIMAAAEDQSAQIMLDSDIEQYLRSNRSLRKVE

HSRHDAINIFNVEKYGAVGDGKHDCTEAFSTAWQAACKKPSAMLLVPGN

KKFVVNNLFFNGPCQPHFTFKVDGIIAAYQNPASWKNNRIWLQFAICLT

GFTLMGKGVIDGQGKQWWAGQCKWVNGREICNDRDRPTAIKFDFSTGLI

IQGLKLMNSPEFHLVFGNCEGVKIIGISITAPRDSPNTDGIDIFASKNF

HLQKNTIGTGDDCVAIGTGSSNIVIEDLICGPGHGISIGSLGRENSRAE

VSYVHVNGAKFIDTQNGLRIKTWQGGSGMASHIIYENVEMINSENPILI

NQFYCTSASACQNQRSAVQIQDVTYKNIRGTSATAAAIQLKCSDSMPCK

DIKLSDISLKLTSGKIASCLNDNANGYFSGHVIPACKNLSPSAKRKESK

SHKHPKTVMVKNMGAYDKGNRTRILLGSRPPNCTNKCHGCSPCKAKLVI

VHRIMPQEYYPQRWMCSRHGKIYHP

541803 Cry j I precursor-Japanese cedar

MDSPCLVALLVLSFVIGSCFSDNPIDSCWRGDSNWAQNRMKLADCAVGF

GSSTMGGKGGDLYTVTNSDDDPVNPPGTLRYGATRDRPLWIIFSGNMNI

KLKMPMYIAGYKTFDGRGAQVYIGNGGPCVFIKRVSNVIIHGLHLYGCS

TSVLGNVLINESFGVEPVHPQDGDALTLRTATNIWIDHNSFSNSSDGLV

DVTLSSTGVTISNNLFFNHHKVMLLGHDDAYSDDKSMKVTVAFNQFGPN

CGQRMPRARYGLVHVANNNYDPWTIYAIGGSSNPTILSEGNSFTAPNES

YKKQVTIRIGCKTSSSCSNWVWQSTQDVFYNGAYFVSSGKYEGGNIYTK

KEAFNVENGNATPQLTKNAGVLTCSLSKRC

541802 Cry j I precursor-Japanese cedar

MDSPCLVALLVFSFVIGSCFSDNPIDSCWRGDSNWAQNRMKLADCAVGF

GSSTMGGKGGDLYTVTNSDDDPVNPAPGTLRYGATRDRPLWIIFSGNMN

IKLKMPMYIAGYKTFDGRGAQVYIGNGGPCVFIKRVSNVIIHGLYLYGC

STSVLGNVLINESFGVEPVHPQDGDALTLRTATNIWIDHNSFSNSSDGL

VDVTLTSTGVTISNNLFFNHHKVMSLGHDDAYSDDKSMKVTVAFNQFGP

NCGQRMPRARYGLVHVANNNYDPWTTYAIGGSSNPTILSEGNSFTAPNE

SYKKQVTIRIGCKTSSSCSNWVWQSTQDVFYNGAYFVSSGKYEGGNIYT

KKEAFNVENGNATPHLTQNAGVLTCSLSKRC

Delivery Methods

Once formulated the compositions of the invention can be delivered to a subject in vivo using a variety of known routes and techniques. For example, a composition can be provided as an injectable solution, suspension or emulsion and administered via parenteral, subcutaneous, epidermal, intradermal, intramuscular, intraarterial, intraperitoneal, intravenous injection using a conventional needle and syringe, or using a liquid jet injection system, or using a patch. Compositions can also be administered topically to skin or mucosal tissue, such as nasally, intratracheally, intestinal, rectally or vaginally, or provided as a finely divided spray suitable for respiratory or pulmonary administration. Other modes of administration include oral administration, suppositories, sublingual administration, and active or passive transdermal delivery techniques.
Where a peptide of the invention is to be administered, it is preferred to administer the peptide to a site in the body where it will have the ability to contact suitable antigen presenting cells, and where it, or they, will have the opportunity to contact T cells of the individual. Where an APC is to be administered, it is preferred to administer the APC to a site in the body where it will have the ability to contact, and activate, suitable T cells of the individual.

Delivery Regimes

Administration of the peptides/polynucleotides/cells (such as the composition containing a plurality of peptides) may be by any suitable method as described above. Suitable amounts of the peptide may be determined empirically, but typically are in the range given below. A single administration of each peptide may be sufficient to have a beneficial effect for the patient, but it will be appreciated that it may be beneficial if the peptide is administered more than once, in which case typical administration regimes may be, for example, once or twice a week for 2-4 weeks every 6 months, or once a day for a week every four to six months. As will be appreciated, each peptide or polynucleotide, or combination of peptides and/or polynucleotides may be administered to a patient singly or in combination.
Dosages for administration will depend upon a number of factors including the nature of the composition, the route of administration and the schedule and timing of the administration regime. Suitable doses of a molecule of the invention may be in the order of up to 15 μg, up to 20 μg, up to 25 μg, up to 30 μg, up to 50 μg, up to 100 μg, up to 500 μg or more per administration. Suitable doses may be less than 15 μg, but at least 1 ng, or at least 2 ng, or at least 5 ng, or at least 50 ng, or least 100 ng, or at least 500 ng, or at least 1 μg, or at least 10 μg. For some molecules of the invention, the dose used may be higher, for example, up to 1 mg, up to 2 mg, up to 3 mg, up to 4 mg, up to 5 mg or higher. Such doses may be provided in a liquid formulation, at a concentration suitable to allow an appropriate volume for administration by the selected route.

Kits

The invention also relates to a combination of components described herein suitable for use in a treatment of the invention which are packaged in the form of a kit in a container. Such kits may comprise a series of components to allow for a treatment of the invention. For example, a kit may comprise one or more different peptides, polynucleotides and/or cells of the invention, or one or more peptides, polynucleotides or cells of the invention and one or more additional therapeutic agents suitable for simultaneous administration, or for sequential or separate administration. The kit may optionally contain other suitable reagent(s) or instructions and the like.
The invention is illustrated by the following Examples:

Example 1

MHC Class II Binding Search

The aim of this study is to identify a distinct panel of peptides with strong affinities for the eight most common human MHC Class II HLA-DRB1* allotypes. In order to identify binding peptides in the major birch allergens Bet v1, Bet v2, Bet v3, Bet v4, Bet v6, an in silico approach was carried out using the commercially available EpiMatrix algorithm (EpiVax Inc.) This is a bioinformatic analysis of peptides from a sequence for the potential to be accommodated within the binding groove of MHC class II HLA-DR molecules.
EpiMatrix is a matrix-based algorithm that ranks 9 amino acid residue sequences, overlapping by 8 amino acids, from any polypeptide sequence by estimated probability of binding to each of the selected MHC molecules. (De Groot et al., AIDS Research and Human Retroviruses 13:539-41 (1997). The procedure for developing matrix motifs was published by Schafer et al, Vaccine 16:1880-4 (1998). In this Example, binding potential for HLA DR1, DR3, DR4, DR7, DRB, DR11, DR13 and DR15 is assessed. Putative MHC ligands are selected by scoring each 9-mer frame in a protein sequence. This score is derived by comparing the sequence of the 9-mer to the matrix of amino acid sequences known to bind to each MHC allele. Retrospective studies have demonstrated that EpiMatrix accurately predicts published MHC ligands (Jesdale et al., in Vaccines '97 (Cold Spring Harbor Press, Cold Spring Harbor, N.Y., 1997)). Successful Prediction of peptides which bind to multiple MHC molecules has also been confirmed.
The EpiMatrix data for each allergen is shown either:
As overlapping 9 mer peptide data with the binding (Z) score for each allele and the number of ‘hits’ for the eight alleles (Z scores of equal to or greater than the top 5% of predicted binders): or
As a cluster report where the data from analysing multiple sequences from the database is ‘clustered’ to give an overview of binding for all variants of the protein. The “EpiMatrix hits’ refers to the number of high predicted Z binding scores for the eight alleles within that sequence whilst the “EpiMatrix Cluster Score” is derived from the number of hits normalized for the length of the cluster. Cluster Score is thus the excess or shortfall in predicted aggregate MHC binding properties relative to a random peptide standard. A cluster score above 10 is considered to indicate broad MHC binding properties.
EpiMatrix analyses were performed on the entire sequences of known isoforms of Bet v1, listed below with their corresponding NCBI accession numbers:


	Bet v1 L	P43185;
	Bet v1 M/N	P43186;
	Betv1 K	P43184;
	Bet v1 J	P43183;
	Bet v1 G	P43180;
	Bet v1 F/I	P43179;
	Bet v1 E	P43178;
	Bet v1 D/H	P43177;
	Bet v1 C	P43176;
	Bet v1 B	P45431;
	Bet v1 A	P15494;

Epimatrix analyses were also performed on additional known Bet v1 sequences indexed by accession number in Table 2.

These analyses identified core peptides (and their flanking sequences) derived from the above sequences which are predicted to have good MHC class-II binding.
These sequences are shown below in Tables 1 and 2. As shown, many of the peptides identified are highly conserved between different Bet v1 isoforms.
In Tables 1 and 2:
“Residues in main sequence” gives the location of the peptide within the sequences that were analysed. The core peptide (underscored middle amino acids in bold) defines the actual binding sequence that was identified during the analysis. The stabilizing flanks (N-terminal and C-terminal, not bold) were included for use with the core sequence and are typically required to aid manufacture of the peptides. “Number of hits” refers to the number of high predicted binding affinities for all MHC types tested within the sequence. The “EpiMatrix Cluster Score” is derived from the number of hits normalized for the length of the cluster. Cluster Score is thus the excess or shortfall in predicted aggregate MHC binding properties relative to a random peptide standard. A score above 10 is considered to indicate broad MHC binding properties.

TABLE 1

Bet v1

					EpiMatrix
				EpiMatrix	CLUSTER
INPUT	RESIDUES IN		Hydro-	HITS	SCORE	Peptide	SEQ
SE-	SEQUENCE		pho-	(Excl	(Excl	ID	ID
QUENCE	(Incl. FLANKS)	SEQUENCE	bicity	FLANKS)	FLANKS)	NO	NO:

P43185	13-28	VIPAARMFKAFILDGD	0.78	6	11.3	P1	1

P15494	100-114	SNEIKIVATPDGGSI	0.03	7	15.57	P2	2

P43176	100-114	CNEIKIVATPDGGSI	0.25	7	15.57	P3	3

P43177	100-114	SNEIKIVATPDGGCV	0.23	7	15.57	P4	4

P43178	100-116	SNEIKIVATPNGGSILK	0.02	10	20.13	P5	5

P43179	100-116	SNEIKIVATPNGGSILK	0.02	10	20.13	P6

P43180	100-114	SNEIKIVATPDGGCV	0.23	7	15.57	P7

P43183	100-116	SNEIKIVATPNGGSILK	0.02	10	20.13	P8

P43184	100-114	CNEIKIVATPDGGSI	0.25	7	15.57	P9

P43185	100-114	SNEIKIVATPDGGCV	0.23	7	15.57	P10

P43186	100-114	CNEIKIVATPDGGSI	0.25	7	15.57	P11

P45431	100-114	CNEIKIVATPDGGSI	0.25	7	15.57	P12

P43178	112-126	GSILKINNKYHTKGD	−1.08	6	12.34	P13

P43179	112-126	GSILKINNKYHTKGD	−1.08	6	12.34	P14

P43183	112-126	GSILKIHNKYHTKGD	−1.08	6	12.34	P15

P15494	142-160	ETLLRAVESYLLAHSDAYN	−0.09	8	12.06	P16	6

P43176	142-160	EALLRAVESYLLAHSDAYN	0.04	8	12.06	P17	7

P43177	142-160	ETLLRAVESYLLAHSDAYN	−0.09	8	12.06	P18

P43178	142-160	ETLLRAVESYLLAHSDAYN	−0.09	8	12.06	P19

P43179	142-160	ETLLRAVESYLLAHSDAYN	−0.09	8	12.06	P20

P43180	142-160	ETLLRAVESYLLAHSDAYN	−0.09	8	12.06	P21

P43183	142-160	ETLLRAVESYLLAHSDAYN	−0.09	8	12.06	P22

P43184	142-160	ETLLRAVESYLLAHSDAYN	0.04	8	12.06	P23

P43185	142-160	ETLLRAVESYLLAHSDAYN	−0.09	8	12.06	P24

P43186	142-160	ETLLRAVESYLLAHSDAYN	0.04	8	12.06	P25

P45431	142-160	ETLLRAVESYLLAHSDAYN	0.04	8	12.06	P26

TABLE 1A

EpiMatrix analysis of Bet v1 Sequence: P15494: predicted
multiple HLA DR allele binding region: FNYETETTSVIPAARLFKAFILDGDNLF (4-31).

			DRB1*	DRB1*	DRB1*	DRB1*	DRB1*	DRB1*	DRB1*	DRB1*
Frame	AA	Frame	0101	0301	0401	0701	0801	1101	1301	1501
Start	Sequence	Stop	Z−Score	Z−Score	Z−Score	Z−Score	Z−Score	Z−Score	Z−Score	Z−Score	Hits

4	FNYETETTS	12	.96	1.29	1.58	−.42	.10	.93	−.21	.27	0

5	NYETETTSV	13	.32	−.86	.59	.81	−1.32	−.80	−.75	.22	0

6	YETETTSVI	14	2.15	1.37	2.25	1.72	1.09	1.15	−.03	.70	3

7	ETETTSVIP	15	−.11	−1.34	.48	.58	−.89	−.60	−.84	−.03	0

8	TETTSVIPA	16	.16	−1.10	.97	.51	−.86	−.69	−.48	.04	0

9	ETTSVIPAA	17	−.04	.16	.64	−.18	−.89	.43	−.39	−.17	0

10	TTSVIPAAR	18	.64	.66	−.12	−.56	.14	.47	.50	−.43	0

11	TSVIPAARL	19	1.52	−.44	.23	.47	−.63	.28	−.96	−.33	0

12	SVIPAARLF	20	.69	−.06	−.07	1.07	−.44	.25	1.05	−.20	0

13	VIPAARLFK	21	.67	2.00	.65	.50	1.21	1.32	1.98	1.21	2

14	IPAARLFKA	22	.55	1.17	.00	−.28	.32	.16	1.27	1.60	0

15	PAARLFKAF	23	−1.29	−1.65	−1.57	.28	−.29	−.88	−.32	−.58	0

16	AARLFKAFI	24	1.13	1.39	−.25	−.68	1.25	1.50	1.32	−.06	0

17	ARLFKAFIL	25	2.12	.89	.25	1.84	1.11	.18	1.54		3

18	RLFKAFILD	26	−1.54	−.90	−1.35	−.86	1.38	−1.29	−.38	−.67	0

19	LFKAFILDG	27	.86	1.13	1.48	.68	.94	.39	1.14	1.37	0

20	FKAFILDGD	28	−.17	.58	.09	−.43	1.90	.24	.30	.96	1

21	KAFILDGDN	29	−.49	−1.35	−.67	−.69	−.59	−.02	−2.05	.29	0

22	AFILDGDNL	30	1.32	−.28	−.21	.67	−.85	−.69	−.80	.30	0

23	FILDGDNLF	31	−.02	2.27	1.73	1.07	.47	−.09	−.22	.74	2

TABLE 2

Bet v 1

CAA04829	1-16	GVFNYEIGATSVIPAA	0.84	7	11.23	P27	8

2122374C	14-34	IAPARLFRSFVLDADNLIPKV	0.62	9	13.67	P28	9

ABC41588	97-111	CNEIKLVATPDGGST	-0.15	7	15.45	P29	10

ABC41605	97-111	SKEIKIAAAPDGGSI	0.01	6	13.05	P30	11

ABC41615	97-111	SNEIKIVATPDGGCI	0.25	7	15.57	P31	12

ABC41617	97-1ll	CNEIKLVATPDGGSI	0.20	7	15.45	P32	13

ABC41596	97-113	CNEIKIVAAPGGGSILK	0.54	9	17.42	P33	14

ABC41602	97-113	CNEIKIVPAPGGGSILK	0.34	9	16.98	P34	15

ABC41609	97-113	SYEIKIVAAPGGGSILK	0.48	9	17.42	P35	16

1QMR_A	99-113	SNEIKIVATGDGGSI	0.11	5	10.32	P36	17

CAA96546	100-114	CNEIKIVAAPDGGSI	0.41	7	14.59	P37	18

CAA96547	100-114	SNEIKIVATPDGRSI	-0.25	7	15.57	P38	19

CAA07324	100-114	SNEIKLVATPDGGSI	-0.02	7	15.45	P39	20

CAA07327	100-114	CNEIKIVATPDGGCV	0.45	7	15.57	P40	21

CAA07318	100-114	SNEIKIVTTPDGGCV	0.06	7	15.57	P41	22

AAD26561	100-114	SNEIKIVATPDGGPI	-0.03	7	15.57	P42	23

ABC41589	109-125	GSILKIRNKYHTKGDHE	-1.41	9	15.34	P43	24

ABC41609	139-150	AGLFKAVENYLV	0.82	5	10.95	P44	25

ABC41583	139-150	ETLLRAVESYLL	0.58	6	13.44	P45	26

ABC41589	139-150	EALLRAVESYLL	0.78	6	13.44	P46	27

ABC41602	139-150	EALFRAVESYLL	0.70	7	16.84	P47	28

CAA96544	139-156	EKAVGLLKAVESYLLAHS	0.43	7	12.67	P48	29

CAA07319	141-160	GETLLRAVEGYLLAHSDAYN	-0.09	8	11.13	P49	30

AAD26561	142-156	ETLLRAVESYPLAHS	-0.05	6	13.44	P50	31

2122374C	142-160	AGLFKAVENYLVAHPNAYN	0.02	10	15.5	P51	32

CAA96539	142-160	ETLLRAVERYLLAHSDAYN	-0.29	10	18.69	P52	33

2122374A	142-160	ETLLRAVESYLLAHSDAYN	-0.02	9	15.46	P53	34

Example 2

EpiMatrix analyses as above were performed on the entire sequence of a known isoform of Bet v 3 (NCBI accession no: P43187). These analyses identified a core peptide (and its flanking sequence) derived from the above sequence which is predicted to have good MHC class-II binding. The sequence is shown below in Table 3. Headings and notes for Table 3 are as with Table 1 above.

TABLE 3

Bet v 3

					EpiMatrix
				EpiMatrix	CLUSTER
INPUT	RESIDUES IN		Hydro-	HITS	SCORE	Peptide	SEQ
SE-	SEQUENCE		pho-	(Excl	(Excl	ID	ID
QUENCE	(Incl. FLANKS)	SEQUENCE	bicity	FLANKS)	FLANKS)	NO	NO:

P43187	188-205	VDFFEFKDMMRSVLVRSS	0.16	10	14.02	P54	35

A sequence at residues 80 to 94 of P43187, TVKSFTREGNIGLQF (Peptide ID NO. P55, SEQ ID NO: 36), was also predicted to have good MHC-Class II binding. Additional in silico analysis of other birch allergen sequences from Bet v 3 is shown here:

TABLE 3A

EpiMatrix analysis of Bet v3 Sequence: GI1168696_SPP43187:
predicted multiple HLA DR allele binding region SLNTLRLRRIFDLFDK (35-50).

			DRB1*	DRB1*	DRB1*	DRB1*	DRB1*	DRB1*	DRB1*	DRB1*
Frame			0101	0301	0401	0701	0801	1101	1301	1501
start	sequence	end	Z-Score	Z-Score	Z-Score	Z-Score	Z-Score	Z-Score	Z-Score	Z-Score	Hits

35	SLNTLRLRR	43	.28	.97	-.38	.38	.64	.53	1.73	.68	1

36	LNTLRLRRI	44	1.30	.87	-.15	.46	.82	1.35	1.41	.17	0

37	NTLRLRRIF	45	-.24	.12	-1.52	.43	1.21	1.13	1.42	-.47	0

38	TLRLRRIFD	46	.47	.40	-.46	.42		.66	.49	-.34	1

39	LRLRRIFDL	47	1.09	.83	.08		1.68	.31	1.94		4

40	RLRRIFDLF	48	-1.83	-.86	-1.40	-.38	-.94	-1.34	-.63	-.87	0

41	LRRIFDLFD	49	.84	.60	1.39	.46	1.41	.88	.39	1.55	0

42	RRIFDLFDK	50	-.31	.38	-.31	-.58	.85	.33	1.05	1.61	0

Example 3

EpiMatrix analyses as above were performed on the entire sequence of known isoforms of Bet v 4 (NCBI accession nos: Q39419, CAA73147). These analyses identified core peptides (and their flanking sequences) derived from the above sequences which are predicted to have good MHC class-II binding. These sequences are shown below in Table 4. Headings and notes for Table 4 are as with Table 1 above.

TABLE 4

Bet v 4

Q39419	10-27	AERERIFKRFDANGDGKI	-1.19	8	13.83	P56	37

Q39419	67-81	FTDFGRANRGLLKDV	-0.38	7	13.49	P57	38

CAA73147	67-81	FTDFARANRGLLKDV	-0.23	7	13.53	P58	39

Example 4

EpiMatrix analyses as above were performed on the entire sequence of a known isoform of Bet v 6 (NCBI accession no: 065002). These analyses identified core peptides (and their flanking sequences) derived from the above sequences which are predicted to have good MHC class-II binding. These sequences are shown below in Table 5. Headings and notes for Table 5 are as with Table 1 above.

TABLE 5

Bet v 6

065002	43-63	PVKGEKLVEKFKGLGVTLLHGD	0.04	9	14.09	P59	40

065002	67-90	HESLVKAFKQVDVVISTVGHLQ	0.52	11	15.54	P60	41
		LA

065002	149-170	YVSSNFFAGYFLPTLAQPGLTS	0.46	10	12.92	P61	42

065002	258-274	PINVILAINHSVFVKGD	0.83	7	10.54	P62	43

Example 5

EpiMatrix analyses as above were performed on the entire sequence of a known isoform of Bet v 7 (NCBI accession no: CAC84116). These analyses identified a core peptide (and its flanking sequence) derived from the above sequence which is predicted to have good MI-IC class-H binding. This sequence is shown below in Table 6. Headings and notes for Table 6 are as with Table 1 above.

TABLE 6

Bet v 7

					EpiMatrix
				EpiMatrix	CLUSTER
INPUT	RESIDUES IN		Hydro-	HITS	SCORE	Peptide	SEQ
SE-	SEQUENCE		pho-	(Excl	(Excl	ID	ID
QUENCE	(Incl. FLANKS)	SEQUENCE	bicity	FLANKS)	FLANKS)	NO	NO:

CAC84116	34-48	AENFRALCTGEKGNG	−0.77	5	10.46	P63	44

Example 5A

Additional in silico analysis of other birch allergen sequences from Bet v 2 is shown here:

TABLE 6A

EpiMatrix analysis of Bet v2 Sequence: GI1942360_PDB1CQA:
predicted multiple HLA DR allele binding region: SVWAQSSSFPQFKPQEITGIMK (33-54).

33	SVWAQSSSF	41	.75	.40	1.04	1.19	−.29	−.22	−.17	.71	0

34	VWAQSSSFP	42	.90	.82	1.31	.46	−.02	.21	.64	1.01	0

35	WAQSSSFPQ	43	1.70	.36	2.24		1.23	1.44	.12	1.53	3

36	AQSSSFPQF	44	−.65	.38	−.28	−.01	−1.26	−.18	−.18	−.56	0

37	QSSSFPQFK	45	−.31	.01	.24	.04	−1.01	.00	−1.52	−.51	0

38	SSSFPQFKP	46	−.45	−.73	−1.50	−1.02	−.04	−.76	−.02	.21	0

39	SSFPQFKPQ	47	−1.10	−2.37	−.57	.24	−.52	−.64	−1.22	−.98	0

40	SFPQFKPQE	48	−.23	1.11	−.75	−1.69	1.34	.47	1.32	−.32	0

41	FPQFKPQEI	49	1.55	.73	.67	.99	.88	.49	.09	2.02	1

42	PQFKPQEIT	50	−.26	.27	−.85	.12	1.00	.28	.59	−.60	0

43	QFKPQEITG	51	−1.28	−.42	−.84	−.60	−.27	−1.13	.23	.00	0

44	FKPQEITGI	52	1.94	1.68	1.69	1.76	.07	.45	1.37	1.43	4

45	KPQEITGIM	53	.15	.15	.32	.12	−.39	.10	−1.15	−.26	0

46	PQEITGIMK	54	−.06	−1.11	−.06	−.24	−1.55	−.85	−1.48	−.15	0

TABLE 6B

EpiMatrix analysis of Bet v2 Sequence: GI1942360_PDB1CQA: predicted
multiple HLA DR allele binding region: IKYMVIQGEAGAVIRGKKGSGG (72-93).

72	IKYMVIQGE	80	1.21	1.60	1.25	.49	1.87	1.30	−.52	.97	1

73	KYMVIQGEA	81	.45	.63	−.35	.37	.56	1.73	.28	.53	1

74	YMVIQGEAG	82	1.68	.22	1.47	.98	.61	1.06	−.37	.26	1

75	MVIQGEAGA	83	1.49	2.23	1.51	−.42	1.07	1.87	2.27	.85	3

76	VIQGEAGAV	84	1.12	1.46	−.18	1.12	−.11	.16	−.07	2.02	1

77	IQGEAGAVI	85		1.64	1.28	.54	.46	.67	.50	.86	1

78	QGEAGAVIR	86	.56	.61	−.43	−.01	−.68	−1.08	.29	.12	0

79	GEAGAVIRG	87	.02	.36	.41	−.45	−.52	−1.38	−.79	.28	0

80	EAGAVIRGK	88	−.12	−.55	.17	−.08	−.44	.08	−.23	−1.21	0

81	AGAVIRGKK	89	−.65	.95	−1.14	.00	.75	1.71	.58	.53	1

82	GAVIRGKKG	90	.82	−1.39	−.20	−.20	−.70	−.26	−1.31	.08	0

83	AVIRGKKGS	91	−.08	.16	−.55	−.21	1.97	1.49	1.43	1.07	1

84	VIRGKKGSG	92	.10		−.64	−.90	1.35	1.18	.92	1.79	2

85	IRGKKGSGG	93	1.18	1.05	.64	.02	2.09	.95	1.11	1.83	2

Example 6

Based on the analyses performed in Examples 1 to 5A, the following peptides shown in Table 7 were designed for screening in subsequent assays. The design process involved modification of native sequences to enhance solubility and other physicochemical characteristics. For example, for Bir12A, residues in parent 62-77R indicates that the peptide sequence of Bir12A corresponds to residues 62 to 77 of the parent sequence, with an additional R residue added to the C terminus to improve solubility. Similarly, for Bir01F, G, H and I, residues in parent 4-18K indicates that these peptide sequences correspond to residues 4 to 18 of the parent sequence, with an additional K residue added to the C terminus to improve solubility.

TABLE 7

Peptide	Sequence	Residues	SEQ. ID. NO

BIR01F	FNYETEATSVIPAARK	4-18K (P43185) Bet v1	45

BIR01G	FNYEIEATSVIPAARK	4-18K (P43179) Bet v1	46

BIR01H	FNYEIETTSVIPAARK	4-18K (P43177) Bet v1	47

BIR01I	FNYETETTSVIPAARK	4-18K (P15494) Bet v1	48

BIR02D	PAARMFKAFILDGDKLVPK	15-33 (P43185) Bet v1	49

BIR02E	PAARLFKAFILEGDTLIPK	15-33 (P43184) Bet v1	50

BIR02G	PAARLFKAFILEGDNLIPK	15-33 (P41380) Bet v1	51

BIR02I	PAARMFKAFILD	15-26 (P41385) Bet v1	52

BIR02J	PAARMFKAFILEGDKLVPK	D to E variant of	53
		BIR02D

BIR04	PGTIKKISFPEGFPFKYV	51-68 (P43185) Bet v1	54

BIR05	SPFKYVKERVDEVDHA	63-78 (P43186) Bet v1	55

BIR05A	FPFKYVKDRVDEVDHT	63-78 (P43185) Bet v1	56

BIR06	ANFKYSYSMIEGGALGD	78-94 (P43186) Bet v1	57

BIR06B	TNFKYSYSVIEGGPVGD	78-94 (P43183) Bet v1	58

BIR06D	TNFKYNYSVIEGGPIG	78-93 (P) Bet v1	59

BIR07	SNEIKIVATPDGGSILK	100-116 Bet v1	60

BIR07A	SNEIKIVATPNGGSILK	100-116 Bet v1	61

BIR07B	SNEIKIVATPQGGSILK	100-116 Bet v1	62

BIR07C	SNEIKIVATPEGGSILK	100-116 Bet v1	63

BIR07D	SNEIKIVATPGGGSILK	100-116 Bet v1	64

BIR08	GSILKINNKYHTKGD	112-126 Bet v1	65

BIR08A	SILKISNKYHTKGD	113-125 (P43186) Bet v1	66

BIR09	ETLLRAVESYLLAHSDAY	142-159 Bet v1	67

BIR09A	GETLLPAVESYLLAHS	141-156 Bet v1	68

BIR09B	KEMGETLLRAVESYLLAHS	138-156 Bet v1	69

BIR09C	KEKGETLLRAVESYLLAHS	M to K variant of above	70

BIR10	GSVWAQSSSFPQFK	33-45 (P25816) Bet v2	71

BIR11	FPQFKPQEITGIMK	41-54 (AAB44348) Bet v2	72

BIR12A	PTGMFVAGAKYMVIQGR	62-77R (P35079) Phl p12	73

BIR12B	AKYMVIQGEPGRVIRGK	70-86 (P35079) Phl p12	74

BIR13	GIKYMVIQGEAGAVIRGK	71-88 (AAB44348) Bet v2	75

BIR14	EAGAVIRGKKGSGGIT	80-95 (P25816) Bet v2	76

BIR15	SLNTLRLRRIFDLFDK	35-50 Bet v3	77

BIR16A	AERERIFKRFDANGEGK	10-26 D to E variant	78
		Bet v4

BIR16B	AERERIFKRFDAGGEGK	N to G variant of above	79

BIR17	VKGKLVEKFKGLGVTLLHG	44-62 Bet v6	80

Example 7

In Vitro Binding Analysis

The peptides identified as being potential MHC Class II-binding are pre-screened for solubility in an aqueous, acidic milieu and the peptides are tested in an in vitro MHC Class II binding assay.

Methods

The assay employed is a competitive MHC class II binding assay, wherein each peptide is analysed for its ability to displace a known control binder from each of the human MHC class II allotypes investigated. The allotypes and control peptides used in this study are typically those shown below:

Control Peptides Used in the In Vitro Binding Assays


Allotype	Control Peptide	Sequence

DRB1*0301	Myco. tuberculosis/	AKTIAYDEEARRGLE
	leprae hsp 65 2-16

DRB1*1101	Influenza haemagglutinin	PKYVKQNTLKLAT
	307-319

DRB1*1501	Human myelin basic protein	ENPVVHFFKNIVTPR
	85-99

Each of the peptides from Tables 1 to 7 are analysed in the competition assay and screened for relative binding compared to the control peptides. Due to the nature of the competitive assay the data for each peptide is determined as a ratio of its own IC50 to that of the control peptide. Thus, a peptide that has an IC50 value that is parity to the control peptide has an identical binding affinity, while peptides with a ratio less than one have a higher affinity and those with a ratio greater than one have a lower affinity.

Solubility in aqueous solution is an essential criterion for a peptide to be an effective therapeutic agent. Therefore, as a consequence of the solubility screen very hydrophobic peptides with a high frequency of large hydrophobic amino acid residues in multiple binding registers will be eliminated. This is a characteristic of promiscuous HLA-DRB1* binders. Peptides which bind to one or more of the MHC Class II allotypes are identified. It would be expected that such peptides would have the ability to bind similar allotypes that have not been tested through the homology of MHC structures.

Example 8

The following methods are applied to the same peptides as in Example 7.

Cell Proliferation Assay

The cell proliferation assay is performed on PBMC's (140×10⁶cells required for all parameters to be tested). Proliferation is measured by the incorporation of the radiolabelled compound 3H-thymidine. In more detail, 100 μl of the appropriate antigen or peptide concentration is distributed into the appropriate wells of 96 well plates. The plates are then placed into a humidified 5% CO2 incubator set at 37° C. for a maximum of 4 hours. PBMC's isolated as described above are prepared to a concentration of 2×10⁶cells/ml in complete medium at room temperature. 100 μl of cell solution is then distributed into each of the wells of the 96 well plates containing antigen/peptide. The plates are then incubated for 6 to 8 days. The cultures are pulsed with tritiated thymidine solution by adding 10 μl of tritiated thymidine stock solution (1.85 MBq/ml in serum-free RPMI medium) to each well. The plates are then returned to the incubator for between 8 and 16 hours. Cultures are then harvested using a Canberra Packard FilterMate 196 cell harvester. Dried filter mats are counted using an appropriate beta scintillation counter.
Counts from wells containing peptide are compared statistically to wells containing media alone (12 wells per group). The non-parametric Mann-Whitney test is used. The same statistical test is used for all subjects. A statistically significant difference between media only wells and peptide-stimulated wells is considered a positive stimulation of PBMC's by the peptide.

Cytokine Release Assay

The 36 peptides were manufactured at small scale (approximately 10 mg batch size, non-GMP). The purity of each peptide was at least 95% by HPLC. 96 well culture plates containing peptides and controls (the negative control was culture medium and the positive controls were staphylococcal enterotoxin B (SEB) 25 ng/ml and whole birch pollen allergen extract 100 μg/ml) were prepared in advance and stored at −20° C. prior to the day of assay. Peptides were added to wells in a volume of 100 μl containing peptides at a concentration of 200 μg/ml, such that subsequent addition of 100 μl of cells would create a final assay concentration of 100 μg/ml.
Peripheral blood mononuclear cells (PBMCs) were isolated from heparinised blood by Ficoll density gradient centrifugation. A 100 μl aliquot of a 5×10⁶cell/ml PBMC suspension was then added to each well and the plates placed in a humidified 5% CO2 incubator at 37° C. for 5 days. Following stimulation, culture supernatants (100 μl) were harvested for testing by multiplex bead assay.
Multiplex cytokine bead assays (IL-10, IL-13, Interferon gamma (IFN-g)) were performed on thawed culture supernatants according to the manufacturer's instructions. Single measurements were performed for each culture supernatant sample. After completion of the multiplex assay, individual cytokine levels were determined by interpolation from the standard curve generated in the assay. A positive result was taken as being greater than 100 pg/ml for the IL-13 and IFN-g assays or >4 times the background for the EL-10 assays. The number of responders out of 47 birch allergic subjects tested was calculated for each peptide for the three cytokines. Results for IL-13 or IFN-g are summarized in Table 9.

TABLE 8

% responders indicates the proportion of subjects in which each peptide
induced IL-13 or IFN-g above a threshold level of 100 pg/ml

	Peptide	% responders

	Bir02J	48
	Bir01I	42
	Bir01F	38
	Bir12B	38
	Bir01G	33
	Bir04	33
	Bir09	33
	Bir02E	31
	Bir02G	31
	Bir02I	31
	Bir07	31
	Bir07C	31
	Bir09A	31
	Bir09B	31
	Bir11	31
	Bir16A	31
	Bir02D	29
	Bir09C	27
	Bir15	27
	Bir16B	27
	Bir01H	25
	Bir06D	25
	Bir07B	25
	Bir07D	25
	Bir10	25
	Bir14	25
	Bir17	25
	Bir05A	23
	Bir06	23
	Bir07A	23
	Bir13	23
	Bir06B	19
	Bir08A	19
	Bir05	17
	Bir08	17
	Bir12A	17

Peptides which induce positive response in a high proportion of subjects are desirable for inclusion in a vaccine. As shown, the top performing peptides were Bir02J (top of the 02 series), Bir01I (top of the 01 series) and Bir12B. The core of any vaccine should ideally contain these peptides. The second best performing peptides were Bir04 and Bir09 (top of the 09 series) which may be added to the core mixture of Bir02J, Bir01I and Bir12B. The third best performing peptides were Bir07, Bir07C, Bir11 and Bir16A. Additional peptides from this group may be added to the vaccine mixture to further increase coverage. Bir15 was the fourth best performing peptide and may also be added to the vaccine mixture. In terms of other peptides in the various series, Bir01F, 01G or 01H, in that order of preference, are useful variants of Bir01I; Bir02E, 02G, 02I or lastly 02D are useful variants of Bir02J; Bir09A, 09B or lastly 09C are useful variants of Bir09; and Bir16B is a useful variant of Bir16A. A possible preferred mixture would therefore include Bir02J, Bir01I, Bir12B, Bir04, Bir09, Bir07C and Bir16A. Bir11 and/or Bir15 may also be included, or alternatively substituted for Bir07C and/or Bir16A.
In terms of IL-10 release, Bir01I, listed above as one of the top 3 peptides for IL-13 or IFN-g production, induced IL-10 responses in 49% of individuals. Bir02I also induced IL-10 production in a high proportion of individuals (43%). Inclusion of a strong IL-10 inducing peptide may assist in the induction of tolerance following vaccination.

Example 9

Solubility Screening

A) Introduction

TABLE 9-1

Birch peptides to be
included in solubility testing

				Theo-
				retical
				Iso-
				electric
		Mw	Length	point
Peptide	Sequence	(Da)	(a.a.)	(pI)

BIR01I	FNYETETTSVIPAARK	1825.92	16	6.14

BIR02I	PAARMFKAFILD	1378.74	12	9.18

BIR02J	PAARMFKAFILEGDKLVPK	2130.26	19	9.72

BIR04	PGTIKKISFPEGFPFKYV	2054.12	18	9.56

BIR07C	SNEIKIVATPEGGSILK	1754.98	17	5.86

BIR09	ETLLRAVESYLLAHSDAY	2050.04	18	4.65

BIR09B	KEMGETLLRAVESYLLAHS	2146.11	19	5.50

BIR12B	AKYMVIQGEPGRVIRGK	1901.07	17	10.28

BIR16A	AERERIFKRFDANGEGK	2022.04	17	8.63

B)

Solubility Testing

A series of matrices containing 260 mM trehalose and spanning a pH range of 3.0 to 7.0 plus a solution modified with 2 mM HCl were prepared as indicated in Appendix 2. The solubility of each of the nine peptides was evaluated in each of the matrices in accordance with Appendix 1. Where solubility was achieved initially, but the peptide precipitated out of solution subsequently then an additional quantity of the relevant matrix was added to try and achieve solubility of the peptide at ca. 200 μM.
Details of the Birch reference peptides used are indicated in Table 9-2. All peptides were manufactured by Bachem AG, Bubendorf, Switzerland.

TABLE 9-2

Details of Birch peptides

	Batch	MW	Peptide	Peptide
Peptide	no.	(Da)	purity (%)	content (%)

BIR1I	1028882	1827.03	99.2	87.1
BIR02I	1028883	1379.69	99.1	86.2
BIR02J	1028884	2131.61	97.4	84.1
BIR04	1028885	2055.45	98.1	88.3
BIR07C	1029310	1756.03	97.9	89.8
BIR09	1028886	2051.28	97.5	86.9
BIR09B	1029311	2147.48	97.3	89.4
BIR12B	1028887	1902.30	97.3	85.9
BIR16A	1028888	2023.24	98.4	88.1

C) Results

The results of the solubility screening are displayed in tables 9-3 to 9-8 below:

TABLE 3

2 mM HCl and 260 mM trehalose dihydrate, pH 2.65

	Weight of	Volume	Solubility		Solubility
2 mM hydrochloric Acid	peptide	required	[mg per	Solubility	[μmol

Peptide	Comments	Solubility after 24 Hours	‘as is’ (mg)	(μL)	ml ‘as is’]	[mg per ml]	per ml]

BIR1I	Completely dissolved	Completely dissolved	0.975	50	19.50	16.849	9.222
BIR02I	Completely dissolved	Completely dissolved	1.175	50	23.50	20.075	14.550
BIR02J	Completely dissolved	Completely dissolved	1.180	50	23.60	19.332	9.069
BIR04	Completely dissolved	Completely dissolved	1.025	50	20.50	17.758	8.639
BIR07C	Completely dissolved	Completely dissolved	1.148	100	11.48	10.093	5.747
BIR09	Completely dissolved •	Completely dissolved •	1.147	1250	0.92	0.777	0.379
	filter debris	filter debris
BIR09B	Completely dissolved	Completely dissolved	1.220	100	12.20	10.612	4.942
BIR12B	Completely dissolved	Completely dissolved	1.022	100	10.22	8.542	4.490
BIR16A	Completely dissolved	Completely dissolved	1.243	50	24.86	21.551	10.652

TABLE 4^a

10 mM sodium citrate and 260 mM trehalose dihydrate, pH 3.01

	Weight of	Volume	Solubility		Solubility
Citrate buffer pH 3.0	peptide	required	[mg per	Solubility	[μmol

BIR1I	Completely dissolved	Completely dissolved	1.071	650	1.65	1.424	0.779
BIR02I	Completely dissolved	Completely dissolved	1.112	1100	1.01	0.864	0.626
BIR02J	Completely dissolved in	Precipitated out,	1.150	3000	0.38	0.314	0.147
	100 uL, redissolved in	redissolved
	3 mL after 24 hrs
BIR04	Completely dissolved	Completely dissolved	1.129	50	22.58	19.559	9.516
BIR07C	Completely dissolved	Completely dissolved	1.108	850	1.30	1.146	0.653
BIR09	Undissolved in 1.5 mL	Undissolved	1.111	3000	0.37	0.314	0.153
	diluted to 3 mL still
	undissolved
BIR09B	Completely dissolved	Completely dissolved	1.162	100	11.62	10.108	4.707
BIR12B	Completely dissolved	Completely dissolved	1.094	200	5.47	4.572	2.403
BIR16A	Completely dissolved	Completely dissolved	1.076	150	7.17	6.219	3.074

TABLE 4^b

10 mM sodium citrate and 260 mM trehalose dihydrate, pH 3.99

	Weight of	Volume	Solubility		Solubility
Citrate buffer pH 4.0	peptide	required	[mg per	Solubility	[μmol

BIR1I	Completely dissolved	Completely dissolved	1.026	450	2.28	1.970	1.078
BIR02I	Cloudy solution with	Undissolved	1.051	3000	0.35	0.299	0.217
	suspended material.
	Frothing on vortex
BIR02J	Completely dissolved in	Precipitated out,	1.155	3000	0.39	0.315	0.148
	50 uL, redissolved in	redissolved
	3 mL after 24 hrs
BIR04	Completely dissolved	Completely dissolved	1.018	50	20.36	17.636	8.580
BIR07C	Cloudy solution with	Cloudy solution with	1.126	3000	0.38	0.330	0.188
	suspended material.	suspended material
	Frothing on vortex
BIR09	Cloudy solution with	Cloudy solution with	1.074	3000	0.36	0.303	0.148
	undissolved material	undissolved material
BIR09B	Completely dissolved	Completely dissolved	1.140	100	11.40	9.916	4.618
BIR12B	Completely dissolved	Completely dissolved	1.032	100	10.32	8.626	4.534
BIR16A	Completely dissolved	Completely dissolved	1.123	150	7.49	6.490	3.208

TABLE 5

10 mM sodium citrate and 260 mM trehalose dihydrate, pH 5.02

	Weight of	Volume	Solubility		Solubility
Citrate buffer pH 5.0	peptide	required	[mg per	Solubility	[μmol

BIR1I	Completely dissolved	Completely dissolved	1.036	450	2.30	1.989	1.089
BIR02I	Cloudy solution with	Completely dissolved	1.085	3000	0.36	0.309	0.224
	suspended material
BIR02J	Completely dissolved in	Precipitated out,	1.029	3000	0.34	0.281	0.132
	150 uL, redissolved in	redissolved
	3 mL after 24 hrs
BIR04	Completely dissolved	Completely dissolved	1.076	50	21.52	18.641	9.069
BIR07C	Completely dissolved	Completely dissolved	1.167	1350	0.86	0.760	0.433
BIR09	Clear solution with	Clear solution with	1.115	3000	0.37	0.315	0.154
	suspended material	suspended material
BIR09B	Completely dissolved	Completely dissolved	1.275	100	12.75	11.091	5.165
BIR12B	Completely dissolved	Completely dissolved	1.167	200	5.84	4.877	2.564
BIR16A	Completely dissolved	Completely dissolved	1.158	50	23.16	20.077	9.923

TABLE 6

10 mM sodium citrate and 260 mM trehalose dihydrate, pH 6.01

	Weight of	Volume	Solubility		Solubility
Citrate buffer pH 6.0	peptide	required	[mg per	Solubility	[μmol

BIR1I	Completely dissolved	Completely dissolved	1.117	150	7.45	6.434	3.522
BIR02I	Cloudy solution with	Cloudy solution with	1.143	3000	0.38	0.325	0.236
	suspended material	suspended material
BIR02J	Completely dissolved in	Precipitated out,	1.172	3000	0.39	0.320	0.150
	100 uL, redissolved in	redissolved
	3 mL after 24 hrs
BIR04	Completely dissolved.	Completely dissolved.	1.011	100	10.11	8.758	4.261
	Evidence of filter debris	Filter debris
BIR07C	Completely dissolved in	Precipitated out,	1.045	3000	0.35	0.306	0.174
	350 uL, redissolved in	redissolved
	3 mL after 24 hrs
BIR09	Completely dissolved	completely dissolved	1.084	1050	1.03	0.875	0.426
BIR09R	Completely dissolved	Completely dissolved	1.230	250	4.92	4.280	1.993
BIR12B	Completely dissolved.	Completely dissolved.	1.026	450	2.28	1.906	1.002
	Evidence of filter debris	Filter debris
BIR16A	Completely dissolved	Completely dissolved	1.293	50	25.86	22.418	11.080

TABLE 7

10 mM potassium dihydrogen phosphate and 260 mM trehalose dihydrate, pH 6.03

	Weight of	Volume	Solubility		Solubility
Phosphate buffer pH 6.0	peptide	required	[mg per	Solubility	[μmol

Peptide	Commute	Solubility after 24 Hours	‘as is’ (mg)	(μL)	ml ‘as is’]	[mg per ml]	per ml]

BIR1I	Completely dissolved	Completely dissolved	1.107	50	22.14	19.130	10.470
BIR02I	Completely dissolved	Completely dissolved	1.145	100	11.45	9.781	7.089
BIR02J	Completely dissolved	Completely dissolved	1.112	100	11.12	9.109	4.273
BIR04	Completely dissolved	Completely dissolved	0.986	100	9.86	8.541	4.155
BIR07C	Completely dissolved in	Precipitated out,	1.245	3000	0.42	0.365	0.208
	250 uL, redissolved in	redissolved
	3 mL after 24 hrs
BIR09	Cloudy solution with	Cloudy solution with	1.037	3000	0.35	0.293	0.143
	suspended material	suspended material
BIR09B	Completely dissolved in	Precipitated out,	1.086	3000	0.36	0.315	0.147
	100 uL, redissolved in	redissolved
	3 mL after 24 hrs
BIR12B	Completely dissolved	Completely dissolved	1.192	50	23.84	19.926	10.474
BIR16A	Completely dissolved	Completely dissolved	1.077	50	21.54	18.673	9.229

TABLE 8

10 mM potassium dihydrogen phosphate and 260 mM trehalose dihydrate, pH 7.03

	Weight of	Volume	Solubility		Solubility
Phosphate buffer pH 7.0	peptide	required	[mg per	Solubility	[μmol

BIR1I	Completely dissolved	Completely dissolved	1.039	50	20.78	17.955	9.827
BIR02I	Completely dissolved	Completely dissolved	1.190	100	11.90	10.165	7.368
BIR02J	Completely dissolved	Completely dissolved	1.231	100	12.31	10.084	4.730
BIR04	Completely dissolved	Completely dissolved	1.075	50	21.50	18.624	9.061
BIR07C	Completely dissolved	Completely dissolved	1.005	150	6.70	5.890	3.354
BIR09	Completely dissolved	Completely dissolved	1.138	750	1.52	1.286	0.627
BIR09B	Completely dissolved	Completely dissolved	1.085	50	21.70	18.876	8.790
BIR12B	Completely dissolved	Completely dissolved	1.031	50	20.62	17.234	9.060
BIR16A	Completely dissolved	Completely dissolved	1.099	50	21.98	19.055	9.418

Example 9

Annex 1

Peptide Solubility Studies

Solubility Methodology

The formulation vehicles were prepared and measurement of pH taken.
Weighing of peptides.

- Approximately 1 mg was required for each evaluation.
- Materials were dispensed into containers suitable for subsequent solubility evaluation, i.e. clear glass HPLC vials (with screw cap).

Evaluation of solubility (for each matrix).

- Aliquots of matrix (50 to 100˜L) were added as required.
- The peptide solubility was interpreted by visual inspection.
- The description of the sample characteristics following addition of each aliquot of the solvent was recorded.
- Repeat visual assessment of solubility after 24 hours.

Where a peptide precipitated out of solution after 24 hours, additional buffer was added to produce a final concentration of ca. 0.2 mM (200 nmol per mL should equate to roughly 0.35 mg/mL).
Calculation of peptide solubilities (initial evaluation).

- Based on absolute amount of powder weighed.
- Determination of molar concentration at which solubility was achieved using peptide molecular masses and peptide content and purity values.

Calculations

$Solubility mg / ml ‘ as is ’ = \frac{weight (mg)}{dilution (μ  l)} \times 1000$ $Solubility mg / ml = \frac{weight (mg)}{dilution (μ  l)} \times 1000 \times % Content \times % Purity$ $Solubility μmol / ml = \frac{weight (mg)}{dilution (μ  l)} \times 1000 \times % Content \times % Purity \times \frac{1}{Mol Wt} \times 1000$

Example 9

Annex 2

Buffers for Initial Solubility and Stability Screening

Each matrix was prepared at a concentration of 10 mM of the buffering agent. Each buffer contained 260 mM Trehalose dihydrate (FW 378.3).

Preparation of Matrix

The procedure indicated is for the preparation of 100 mL of each buffer, but alternative volumes can be prepared by adjusting the quantities.
0.1M stock solutions of sodium citrate and potassium dihydrogen phosphate were prepared.
Weight of trehalose dihydrate equivalent to 260 mM was transferred to an appropriate mixing vessel containing 70-80 mL of distilled deionised water and allowed to dissolve.
10 mL of the appropriate stock 0.1M buffer solution was added to the mixing vessel and stirred.
The pH of the matrix was adjusted to the desired value by adding 2 mM hydrochloric acid or 0.1M sodium hydroxide as required.
The solutions were finally diluted to 100 g weight and the pH re-assessed.
Buffers for initial solubility and stability screening, shown as Buffer salt or pH modifier/pH:
2 mM HCl and 260 mM trehalose dihydrate/pH 2.65
10 mM sodium citrate and 260 mM trehalose dihydrate/pH 3.01
10 mM sodium citrate and 260 mM trehalose dihydrate/pH 3.99
10 mM sodium citrate and 260 mM trehalose dihydrate/pH 5.02
10 mM sodium citrate and 260 mM trehalose dihydrate/pH 6.01
10 mM potassium dihydrogen phosphate and 260 mM trehalose dihydrate/pH 6.03
10 mM potassium dihydrogen phosphate and 260 mM trehalose dihydrate/pH 7.03

Example 10

Histamine Release Assay

The purpose of this assay was to identify compositions that are capable of activating blood basophils (as a surrogate for tissue mast cells) resulting in histamine release that may result in allergic reactions during therapy. A composition comprising a mixture of peptides that induce histamine release frequently may be considered unsuitable for use as a vaccine.
Histamine release requires the crosslinking of adjacent specific IgE molecules on the surface of the basophil. The peptides being evaluated were small (11 to 18 amino acids in length) and should not, therefore, possess significant tertiary structure that would enable them to retain the conformation of an IgE-binding epitope of the whole molecule. Furthermore, peptide monomers in solution, even if they are bound by IgE, should not be able to crosslink adjacent IgE molecules.
Histamine release from fresh peripheral whole blood from birch allergic subjects was evaluated. Peripheral blood basophils were used as a surrogate for tissue mast cells which were not practical to assay. Blood was incubated in vitro with mixtures of peptides identified as suitable based on the results of Examples 1 to 9 above. Specifically, the following mixtures were assayed:

Mix 1—BIR01I, BIR02J, BIR04, BIR12B, BIR16A, BIR07C

Mix 2—BIR01I, BIR02J, BIR04, BIR12B, BIR16A, BIR07C, BIR09

Mix 3—BIR01I, BIR02J, BIR04, BIR12B, BIR16A, BIR07C, BIR09B

Mix 4—BIR01I, BIR02I, BIR04, BIR12B, BIR16A, BIR07C

Mix 5—BIR01I, BIR02I, BIR04, BIR12B, BIR16A, BIR07C, BIR09

Mix 6—BIR01I, BIR02I, BIR04, BIR12B, BIR16A, BIR07C, BIR09B

Histamine release in response to whole birch allergen extract was measured in each subject to confirm basophil sensitisation. A positive control, representing total histamine release, generated by freeze/thawing the cells twice, was included in each assay. A negative control for spontaneous histamine release was generated by incubating cells in buffer only.
The assay was performed using the Immunotech Histamine Release Immunoassay kit according to the manufacturer's instructions. Following the in vitro challenge of blood basophils with peptide mixtures, whole allergen or buffer in microtitre plate wells, supernatants were removed and the histamine in the samples converted to acyl histamine. Acylated samples were tested by a competitive acyl histamine ELISA.
Peptide mixtures were assayed for their ability to induce histamine release over a 5 log 10 range (1 to 10,000 ng/ml). The concentration range assayed was selected based on theoretical in vivo doses of peptide that may be achieved during therapy. For example, a 31 μg dose (approximately 3 nmol/peptide equivalent) of each peptide entering a blood volume of 5 litres, would result in a blood concentration of 6 ng/ml, at the lower end of the histamine release assay dose range. The whole birch allergen extract was used over the same concentration range.
Single measurements were performed for each dilution. After completion of the ELISA, individual histamine levels were determined by interpolation from the standard curve generated in the ELISA assay. Results from samples were adjusted to allow for dilution. Where two or more consecutive dilutions of a peptide/allergen preparation elicited >15% of the total histamine release seen in the freeze thawed positive control (>15% of positive control), or where a single value of >15% of positive control was achieved at the highest concentration tested (10 μg/mL for peptides), this was considered a “positive histamine release”.
A total of 40 histamine release assays were completed during the study. Of these 5 assays were rejected because of failure to meet appropriate QC controls, e.g. due to unacceptably high levels (>15% of positive control) of spontaneous release in the medium plus buffer negative control wells.
The mixtures tested all showed good histamine release properties. The study findings are summarised as follows: (WA=whole allergen)


Mix	Peptide conc: μg/ml	Average % histamine release

1	10	1%
1	1	2%
1	0.1	3%
1	0.01	3%
1	0.001	2%
2	10	2%
2	1	2%
2	0.1	3%
2	0.01	3%
2	0.001	2%
3	10	4%
3	1	2%
3	0.1	3%
3	0.01	2%
3	0.001	2%
4	10	2%
4	1	2%
4	0.1	2%
4	0.01	1%
4	0.001	1%
5	10	2%
5	1	2%
5	0.1	2%
5	0.01	2%
5	0.001	2%
6	10	3%
6	1	2%
6	0.1	1%
6	0.01	1%
6	0.001	2%
WA	10	65%
WA	1	38%
WA	0.1	38%
WA	0.01	42%
WA	0.001	43%

Claims

1. A composition of matter suitable for use in preventing or treating allergy to birch pollen, said composition being selected from the group consisting of:

a) a composition comprising:

i) at least one of the polypeptides of SEQ ID NO: 74 (BIR12B; AKYMVIQGEPGRVIRGK), SEQ ID NO: 72 (BIR11; FPQFKPQEITGIMK), SEQ ID NO: 71 (BIR10; GSVWAQSSSFPQFK), SEQ ID NO: 73 (BIR12A; PTGMFVAGAKYMVIQGR), SEQ ID NO: 75 (BIR13; IKYMVIQGEAGAVIRGK) and SEQ ID NO: 76 (BIR14; EAGAVIRGKKGSGGIT), or a variant of any thereof, and

ii) at least one of the polypeptides of SEQ ID NO: 53 (Bir02J; PAARMFKAFILEGDKLVPK), SEQ ID NO: 48 (Bir01I; FNYETETTSVIPAARK), SEQ ID NO: 54 (Bir04; PGTIKKISFPEGFPFKYV), SEQ ID NO: 67 (Bir09; ETLLRAVESYLLAHSDAY), SEQ ID NO: 60 (BIR07; SNEIKIVATPDGGSILK), and SEQ ID NO: 63 (Bir07C; SNEIKIVATPEGGSILK), or a variant of any thereof,

wherein a variant of a polypeptide is:

I) up to 30 amino acids in length and comprises the sequence of the said polypeptide, or

II) 9 to 30 amino acids in length and comprises a sequence that has at least 65% homology to the sequence of said polypeptide, which sequence is capable of tolerising to said polypeptide; or

III) 9 to 30 amino acids in length and comprises a sequence of at least 9 contiguous amino acids of the sequence of said polypeptide, or a sequence that has at least 65% homology to said at least 9 contiguous amino acids, which sequence of at least 9 contiguous amino acids or homologous sequence is capable of tolerising to said polypeptide;

b) a composition comprising at least one polynucleotide sequence which when expressed causes the production of a composition as defined in (i);

c) a vector comprising four or more polynucleotide sequences which each encode a different polypeptide as defined in (i);

d) a product comprising:

wherein a variant of a polypeptide is as defined in claim 1(a) (I), (II) or (III), and

wherein each different polypeptide is for simultaneous, separate or sequential use in preventing or treating allergy to birch pollen; and

e) a pharmaceutical formulation comprising a composition according to (a) or (b); a vector according to (c); or a product according to (d); and a pharmaceutically acceptable carrier or diluent, and optionally one or more adjuvants selected from a glucocorticoid, vitamin D and rapamycin.

2. A composition according to claim 1(a), which is selected from the group consisting of:

i) a composition of claim 1(a) which further comprises at least one additional polypeptide of claim 1(a)(i) or (ii) or variant thereof not selected in claim 1(a);

ii) a composition of claim 1(a) which further comprises at least one additional polypeptide selected from the group consisting of SEQ ID NO: 77 (BIR15; SLNTLRLRRIFDLFDK) and SEQ ID NO:78 (BIR16A; AERERIFKRFDANGEGK), or a variant of any thereof; and

iii) a composition of claim 1(a) which comprises:

(a) the polypeptide SEQ ID NO: 74 (Bir12B; AKYMVIQGEPGRVIRGK), or a variant thereof;

(b) the polypeptide SEQ ID NO: 53 (Bir02J; PAARMFKAFILEGDKLVPK), or a variant thereof; and

(c) the polypeptide SEQ ID NO: 48 (Bir01I; FNYETETTSVIPAARK) or a variant thereof;

wherein a variant of a polypeptide is as defined in claim 1(a) (I), (II) or (III), preferably wherein;

when said polypeptide is SEQ ID NO: 48 said variant of SEQ ID NO: 48 is SEQ ID NO: 45 (Bir01F; FNYETEATSVIPAARK), SEQ ID NO: 46 (Bir01G; FNYEIEATSVIPAARK) or SEQ ID NO: 47 (Bir01H; FNYEIETTSVIPAARK); and

when said polypeptide is SEQ ID NO: 53, said variant of SEQ ID NO: 53 is SEQ ID NO: 50 (Bir02E; PAARLFKAFILEGDTLIPK), SEQ ID NO: 51 (Bir02G; PAARLFKAFILEGDNLIPK), SEQ ID NO: 52 (Bir02I; PAARMFKAFILD) or SEQ ID NO: 49 (Bir02D; PAARMFKAFILDGDKLVPK); and

when said polypeptide is SEQ ID NO: 67, said variant of SEQ ID NO: 67 is selected from SEQ ID NO: 68 (Bir09A; GETLLRAVESYLLAHS), SEQ ID NO: 69 (Bir09B; KEMGETLLRAVESYLLAHS) or SEQ ID NO: 70 (Bir09C; KEKGETLLRAVESYLLAHS); and

when said polypeptide is SEQ ID NO: 78 said variant of SEQ ID NO: 78 is SEQ ID NO: 79 (Bir16B; AERERIFKRFDAGGEGK).

3-5. (canceled)

6. A composition suitable for use in preventing or treating allergy to birch pollen comprising at least three different polypeptides, selected from:

(a) SEQ ID NO: 74 (Bir12B; AKYMVIQGEPGRVIRGK), or a variant thereof;

(b) SEQ ID NO: 53 (Bir02J; PAARMFKAFILEGDKLVPK), or a variant thereof;

(c) SEQ ID NO: 48 (Bir01I; FNYETETTSVIPAARK) or a variant thereof;

(d) SEQ ID NO: 54 (Bir04; PGTIKKISFPEGFPFKYV) or a variant thereof;

(e) SEQ ID NO: 67 (Bir09; ETLLRAVESYLLAHSDAY) or a variant thereof;

(f) SEQ ID NO: 78 (Bir16A; AERERIFKRFDANGEGK) or a variant thereof;

(g) SEQ ID NO: 60 (Bir07; SNEIKIVATPDGGSILK) or a variant thereof;

(h) SEQ ID NO: 63 (Bir07C; SNEIKIVATPEGGSILK) or a variant thereof;

(i) SEQ ID NO: 72 (Bir01I; FPQFKPQEITGIMK) or a variant thereof;

(j) SEQ ID NO: 77 (Bir15; SLNTLRLRRIFDLFDK) or a variant thereof;

wherein a variant of a polypeptide is:

I) up to 30 amino acids in length and comprises the sequence of said polypeptide, or

III) 9 to 30 amino acids in length and comprises a sequence of at least 9 contiguous amino acids of the sequence of said polypeptide, or a sequence that has at least 65% homology to said at least 9 contiguous amino acids, which sequence of at least 9 contiguous amino acids or homologous sequence is capable of tolerising to said polypeptide.

7. A composition according to claim 6, which is selected from the group consisting of:

i) a composition comprising:

a) the polypeptide SEQ ID NO: 74 (Bir12B; AKYMVIQGEPGRVIRGK) or a variant thereof;

b) at least one of the polypeptides SEQ ID NO: 53 (Bir02J; PAARMFKAFILEGDKLVPK) and SEQ ID NO: 48 (Bir01I; FNYETETTSVIPAARK), or a variant of any thereof; and

c) at least one additional polypeptide of a) to j);

ii) a composition comprising the polypeptide SEQ ID NO: 74 (Bir12B; AKYMVIQGEPGRVIRGK) or a variant thereof, the polypeptide SEQ ID NO: 53 (Bir02J; PAARMFKAFILEGDKLVPK) or a variant thereof, the polypeptide SEQ ID NO: 48 (Bir01I; FNYETETTSVIPAARK) or a variant thereof, and at least one additional polypeptide of a) to j);

iii) a composition comprising the polypeptide SEQ ID NO: 74 (Bir12B; AKYMVIQGEPGRVIRGK) or a variant thereof, the polypeptide SEQ ID NO: 53 (Bir02J; PAARMFKAFILEGDKLVPK) or a variant thereof, the polypeptide SEQ ID NO: 48 (Bir01I; FNYETETTSVIPAARK) or a variant thereof, the polypeptide SEQ ID NO: 54 (Bir04; PGTIKKISFPEGFPFKYV) or a variant thereof, the polypeptide SEQ ID NO: 67 (Bir09; ETLLRAVESYLLAHSDAY) or a variant thereof, the polypeptide SEQ ID NO: 63 (Bir07C; SNEIKIVATPEGGSILK) or a variant thereof, and the polypeptide SEQ ID NO: 78 (Bir16A; AERERIFKRFDANGEGK) or a variant thereof, and optionally no further polypeptides derived from a birch pollen allergen;

iv) a composition comprising the polypeptide SEQ ID NO: 74 (Bir12B; AKYMVIQGEPGRVIRGK) or a variant thereof, the polypeptide SEQ ID NO: 53 (Bir02J; PAARMFKAFILEGDKLVPK) or a variant thereof, the polypeptide SEQ ID NO: 48 (Bir01I; FNYETETTSVIPAARK) or a variant thereof, the polypeptide SEQ ID NO: 54 (Bir04; PGTIKKISFPEGFPFKYV) or a variant thereof, the polypeptide SEQ ID NO: 63 (Bir07C; SNEIKIVATPEGGSILK) or a variant thereof, the polypeptide SEQ ID NO: 78 (Bir16A; AERERIFKRFDANGEGK) or a variant thereof, and the polypeptide SEQ ID NO: 69 (Bir09B; KEMGETLLRAVESYLLAHS), and optionally no further polypeptides derived from a birch pollen allergen; and

v) a composition comprising the polypeptide SEQ ID NO: 74 (Bir12B; AKYMVIQGEPGRVIRGK) or a variant thereof, the polypeptide SEQ ID NO: 53 (Bir02J; PAARMFKAFILEGDKLVPK) or a variant thereof, the polypeptide SEQ ID NO: 48 (Bir01I; FNYETETTSVIPAARK) or a variant thereof, the polypeptide SEQ ID NO: 54 (Bir04; PGTIKKISFPEGFPFKYV) or a variant thereof, the polypeptide SEQ ID NO: 63 (Bir07C; SNEIKIVATPEGGSILK) or a variant thereof, and the polypeptide SEQ ID NO: 78 (Bir16A; AERERIFKRFDANGEGK) or a variant thereof, and optionally no further polypeptides derived from a birch pollen allergen;

wherein a variant of a polypeptide is as defined in claim 3 (I), (II) or (III), preferably wherein:

when said polypeptide is SEQ ID NO: 78, said variant of SEQ ID NO: 78 is SEQ ID NO: 79 (Bir 16B; AERERIFKRFDAGGEGK).

8-12. (canceled)

13. The composition according to claim 1(a), wherein the composition:

is capable of tolerising at least 50% or at least 60% of a panel of birch pollen allergic individuals in the population and/or

comprises at least one further polypeptide up to a total of thirteen unique/different polypeptides, wherein the further polypeptides:

(a) comprise a sequence having at least 65% sequence identity to at least 9 or more contiguous amino acids in any of SEQ ID NOs: 1 to 80 not selected above; and

(b) are 9 to 30 amino acids in length.

14. The composition according to claim 1(a), comprising at least one said polypeptide which is 9 to 20 or 13 to 17 amino acids in length and/or wherein said polypeptide has at least 70% sequence identity to any of SEQ ID NOS: 1 to 80.

15. The composition according to claim 1(a), wherein one or more of the polypeptides have one or more modifications selected from the following:

(i) N terminal acetylation;

(ii) C terminal amidation;

(iii) one or more hydrogens on the side chain amines of Arginine and/or Lysine replaced with a methylene group;

(iv) glycosylation; and

(v) phosphorylation.

16. The composition according to claim 1(a) wherein at least one of the polypeptides has been engineered to be soluble such that it comprises:

i) N terminal to the residues of the polypeptide which flank a T cell epitope: one to six contiguous amino acids corresponding to the two to six contiguous amino acids immediately N terminal to said residues in the sequence of the protein from which the polypeptide derives; and/or

ii) C terminal to the residues of the polypeptide which flank a T cell epitope: one to six contiguous amino acids corresponding to the one to six contiguous amino acids immediately C terminal to the said residues in the sequence of the protein from which the polypeptide derives; or

iii) both N and C terminal to the residues of the polypeptide which flank a T cell epitope, at least one amino acid selected from arginine, lysine, histidine, glutamate and aspartate, wherein the polypeptide has a solubility of at least 3.5 mg/ml and the T cell epitope has a solubility of less than 3.5 mg/ml.

17. The composition according to claim 1(a) wherein at least one of the polypeptides has been engineered to be soluble such that additionally:

i) any cysteine residues in the native sequence of the polypeptide are replaced with serine or 2-aminobutyric acid; and/or

ii) any hydrophobic residues in the up to three amino acids at the N or C terminus of the native sequence of the polypeptide, which are not comprised in a T cell epitope, are deleted; and/or

iii) any two consecutive amino acids comprising the sequence Asp-Gly in the up to four amino acids at the N or C terminus of the native sequence of the polypeptide, which are not comprised in a T cell epitope, are deleted; and/or

iv) one or more positively charged residues are added at the N and/or C terminus of the native sequence of the polypeptide.

18. The composition according to claim 1(a) wherein each polypeptide has a concentration in the range of 0.03 to 200 nmol/ml, 0.3 to 200 nmol/ml, 50 to 200 nmol/ml or 30 to 120 nmol/ml.

19-23. (canceled)

24. The composition according to claim 1(e), wherein said composition of claim 1(a) or (b), said vector of claim 1(c) or said product of claim 1(d) is formulated for oral administration, nasal administration, topical administration, subcutaneous administration, sublingual administration, intradermal administration, buccal administration, epidermal administration, or for administration by inhalation, by injection, or by a patch.

25. The composition according to claim 1 wherein said composition of claim 1(a) or product of claim 1(d), additionally comprises a further polypeptide allergen for use in tolerising an individual to the further polypeptide allergen.

26. An in vitro method of determining whether T cells recognize a composition according to claim 1(a), comprising contacting said T cells with said composition and detecting whether said T cells are stimulated by said composition.

27. A method according to claim 26 which is carried out to determine whether an individual has, or is at risk of having, an allergy to birch pollen.

28. A method of preventing or treating allergy to birch pollen, the method comprising administering to a subject in need of such treatment a therapeutically effective amount of:

(A) a composition comprising:

wherein a variant of a polypeptide is:

or

(B) a composition comprising at least three different polypeptides, selected from:

(a) SEQ ID NO: 74 (Bir12B; AKYMVIQGEPGRVIRGK), or a variant thereof;

(b) SEQ ID NO: 53 (Bir02J; PAARMFKAFILEGDKLVPK), or a variant thereof;

(c) SEQ ID NO: 48 (Bir01I; FNYETETTSVIPAARK) or a variant thereof;

(d) SEQ ID NO: 54 (Bir04; PGTIKKISFPEGFPFKYV) or a variant thereof;

(e) SEQ ID NO: 67 (Bir09; ETLLRAVESYLLAHSDAY) or a variant thereof;

(f) SEQ ID NO: 78 (Bir16A; AERERIFKRFDANGEGK) or a variant thereof;

(g) SEQ ID NO: 60 (Bir07; SNEIKIVATPDGGSILK) or a variant thereof;

(h) SEQ ID NO: 63 (Bir07C; SNEIKIVATPEGGSILK) or a variant thereof;

(i) SEQ ID NO: 72 (Bir011; FPQFKPQEITGIMK) or a variant thereof;

(j) SEQ ID NO: 77 (Bir15; SLNTLRLRRIFDLFDK) or a variant thereof;

wherein a variant of a polypeptide is:

29. A composition according to claim 1, which is selected from the group consisting of:

i) a composition comprising the polypeptide of SEQ ID NO: 74 (Bir12B; AKYMVIQGEPGRVIRGK) or a said variant thereof, the polypeptide of SEQ ID NO: 53 (Bir02J; PAARMFKAFILEGDKLVPK) or a said variant thereof, the polypeptide of SEQ ID NO:48 (Bir01I; FNYETETTSVIPAARK) or a said variant thereof, the polypeptide of SEQ ID NO: 54 (Bir04; PGTIKKISFPEGFPFKYV) or a said variant thereof, the polypeptide of SEQ ID NO: 67 (Bir09; ETLLRAVESYLLAHSDAY) or a said variant thereof, the polypeptide of SEQ ID NO: 63 (Bir07C; SNEIKIVATPEGGSILK) or a said variant thereof, and the polypeptide of SEQ ID NO: 78 (Bir16A; AERERIFKRFDANGEGK) or a said variant thereof; and optionally no further polypeptides derived from a birch pollen allergen;

ii) a composition comprising the polypeptide of SEQ ID NO: 74 (Bir12B; AKYMVIQGEPGRVIRGK) or a said variant thereof, the polypeptide of SEQ ID NO: 53 (Bir02J; PAARMFKAFILEGDKLVPK) or a said variant thereof, the polypeptide of SEQ ID NO: 48 (Bir01I; FNYETETTSVIPAARK) or a said variant thereof, the polypeptide of SEQ ID NO: 54 (Bir04; PGTIKKISFPEGFPFKYV) or a said variant thereof, the polypeptide of SEQ ID NO: 63 (Bir07C; SNEIKIVATPEGGSILK) or a said variant thereof, the polypeptide of SEQ ID NO: 78 (Bir16A; AERERIFKRFDANGEGK) or a said variant thereof, and the polypeptide of SEQ ID NO: 69 (Bir09B; KEMGETLLRAVESYLLAHS) or a said variant thereof, and optionally no further polypeptides derived from a birch pollen allergen;

iii) a composition comprising the polypeptide of SEQ ID NO: 74 (Bir12B; AKYMVIQGEPGRVIRGK) or a said variant thereof, the polypeptide of SEQ ID NO: 53 (Bir02J; PAARMFKAFILEGDKLVPK) or a said variant thereof, the polypeptide of SEQ ID NO: 48 (Bir01I; FNYETETTSVIPAARK) or a said variant thereof, the polypeptide of SEQ ID NO: 54 (Bir04; PGTIKKISFPEGFPFKYV) or a said variant thereof, the polypeptide of SEQ ID NO: 63 (Bir07C; SNEIKIVATPEGGSILK) or a said variant thereof, and the polypeptide of SEQ ID NO: 78 (Bir16A; AERERIFKRFDANGEGK) or a said variant thereof, and optionally no further polypeptides derived from a birch pollen allergen;

iv) a composition comprising the polypeptide of SEQ ID NO: 74 (Bir12B; AKYMVIQGEPGRVIRGK) or a said variant thereof, the polypeptide of SEQ ID NO: 52 (Bir02I; PAARMFKAFILD) or a said variant thereof, the polypeptide of SEQ ID NO: 48 (Bir01I; FNYETETTSVIPAARK) or a said variant thereof, the polypeptide of SEQ ID NO: 54 (Bir04; PGTIKKISFPEGFPFKYV) or a said variant thereof, the polypeptide of SEQ ID NO: 67 (Bir09; ETLLRAVESYLLAHSDAY) or a said variant thereof, the polypeptide of SEQ ID NO: 63 (Bir07C; SNEIKIVATPEGGSILK) or a said variant thereof, and the polypeptide of SEQ ID NO: 78 (Bir16A; AERERIFKRFDANGEGK) or a said variant thereof;

v) a composition comprising the polypeptide of SEQ ID NO: 74 (Bir12B; AKYMVIQGEPGRVIRGK) or a said variant thereof, the polypeptide of SEQ ID NO: 52 (Bir02I; PAARMFKAFILD) or a said variant thereof, the polypeptide of SEQ ID NO: 48 (Bir01I; FNYETETTSVIPAARK) or a said variant thereof, the polypeptide of SEQ ID NO: 54 (Bir04; PGTIKKISFPEGFPFKYV) or a said variant thereof, the polypeptide of SEQ ID NO: 63 (Bir07C; SNEIKIVATPEGGSILK) or a said variant thereof, the polypeptide of SEQ ID NO: 78 (Bir16A; AERERIFKRFDANGEGK) or a said variant thereof, and the polypeptide of SEQ ID NO: 69 (Bir09B; KEMGETLLRAVESYLLAHS) or a said variant thereof; and

vi) a composition comprising the polypeptide of SEQ ID NO: 74 (Bir12B; AKYMVIQGEPGRVIRGK) or a said variant thereof, the polypeptide of SEQ ID NO: 52 (Bir02I; PAARMFKAFILD) or a said variant thereof, the polypeptide of SEQ ID NO: 48 (Bir01I; FNYETETTSVIPAARK) or a said variant thereof, the polypeptide of SEQ ID NO: 54 (Bir04; PGTIKKISFPEGFPFKYV) or a said variant thereof, the polypeptide of SEQ ID NO: 63 (Bir07C; SNEIKIVATPEGGSILK) or a said variant thereof, and the polypeptide of SEQ ID NO: 78 (Bir16A; AERERIFKRFDANGEGK).

30. The method according to claim 28, wherein the composition is selected from the group consisting of:

v) a composition comprising the polypeptide of SEQ ID NO: 74 (Bir12B; AKYMVIQGEPGRVIRGK) or a said variant thereof, the polypeptide of SEQ ID NO: 52 (Bir02I; PAARMFKAFILD) or a said variant thereof, the polypeptide of SEQ ID NO: 48 (Bir01I; FNYETETTSVIPAARK) or a said variant thereof, the polypeptide of SEQ ID NO: 54 (Bir04; PGTIKKISFPEGFPFKYV) or a said variant thereof, the polypeptide of SEQ ID NO: 63 (Bir07C; SNEIKIVATPEGGSILK) or a said variant thereof, the polypeptide of SEQ ID NO: 78 (Bir16A; AERERIFKRFDANGEGK) or said variant thereof, and the polypeptide of SEQ ID NO: 69 (Bir09B; KEMGETLLRAVESYLLAHS) or a said variant thereof; and

31. A method of preparing a pharmaceutical formulation, the method comprising combining with a pharmaceutically acceptable carrier or diluent

i) at least one of the polypeptides of SEQ ID NO: 74 (BIR12B; AKYMVIQGEPGRVIRGK), SEQ ID NO: 72 (BIR11; FPQFKPQEITGIMK), SEQ ID NO: 71 (BIR10; GSVWAQSSSFPQFK), SEQ ID NO: 73 (BIR12A; PTGMFVAGAKYMVIQGR), SEQ ID NO: 75 (BIR13; IKYMVIQGEAGAVIRGK and SEQ ID NO: 76 (BIR14; EAGAVIRGKKGSGGIT), or a variant of any thereof, and

wherein a variant of a polypeptide is:

32. A method according to claim 31, the method comprising combining with a pharmaceutically acceptable carrier or diluent

i) the polypeptide of SEQ ID NO: 74 (Bir12B; AKYMVIQGEPGRVIRGK) or a said variant thereof, the polypeptide of SEQ ID NO: 53 (Bir02J; PAARMFKAFILEGDKLVPK) or a said variant thereof, the polypeptide of SEQ ID NO:48 (Bir01I; FNYETETTSVIPAARK) or a said variant thereof, the polypeptide of SEQ ID NO: 54 (Bir04; PGTIKKISFPEGFPFKYV) or a said variant thereof, the polypeptide of SEQ ID NO: 67 (Bir09; ETLLRAVESYLLAHSDAY) or a said variant thereof, the polypeptide of SEQ ID NO: 63 (Bir07C; SNEIKIVATPEGGSILK) or a said variant thereof, and the polypeptide of SEQ ID NO: 78 (Bir16A; AERERIFKRFDANGEGK) or a said variant thereof; and optionally no further polypeptides derived from a birch pollen allergen;

ii) the polypeptide of SEQ ID NO: 74 (Bir12B; AKYMVIQGEPGRVIRGK) or a said variant thereof, the polypeptide of SEQ ID NO: 53 (Bir02J; PAARMFKAFILEGDKLVPK) or a said variant thereof, the polypeptide of SEQ ID NO: 48 (Bir01I; FNYETETTSVIPAARK) or a said variant thereof, the polypeptide of SEQ ID NO: 54 (Bir04; PGTIKKISFPEGFPFKYV) or a said variant thereof, the polypeptide of SEQ ID NO: 63 (Bir07C; SNEIKIVATPEGGSILK) or a said variant thereof, the polypeptide of SEQ ID NO: 78 (Bir16A; AERERIFKRFDANGEGK) or a said variant thereof, and the polypeptide of SEQ ID NO: 69 (Bir09B; KEMGETLLRAVESYLLAHS) or a said variant thereof, and optionally no further polypeptides derived from a birch pollen allergen;

iii) the polypeptide of SEQ ID NO: 74 (Bir12B; AKYMVIQGEPGRVIRGK) or a said variant thereof, the polypeptide of SEQ ID NO: 53 (Bir02J; PAARMFKAFILEGDKLVPK) or a said variant thereof, the polypeptide of SEQ ID NO: 48 (Bir01I; FNYETETTSVIPAARK) or a said variant thereof, the polypeptide of SEQ ID NO: 54 (Bir04; PGTIKKISFPEGFPFKYV) or a said variant thereof, the polypeptide of SEQ ID NO: 63 (Bir07C; SNEIKIVATPEGGSILK) or a said variant thereof, and the polypeptide of SEQ ID NO: 78 (Bir16A; AERERIFKRFDANGEGK) or a said variant thereof, and optionally no further polypeptides derived from a birch pollen allergen;

iv) the polypeptide of SEQ ID NO: 74 (Bir12B; AKYMVIQGEPGRVIRGK) or a said variant thereof, the polypeptide of SEQ ID NO: 52 (Bir02I; PAARMFKAFILD) or a said variant thereof, the polypeptide of SEQ ID NO: 48 (Bir01I; FNYETETTSVIPAARK) or a said variant thereof, the polypeptide of SEQ ID NO: 54 (Bir04; PGTIKKISFPEGFPFKYV) or a said variant thereof, the polypeptide of SEQ ID NO: 67 (Bir09; ETLLRAVESYLLAHSDAY) or a said variant thereof, the polypeptide of SEQ ID NO: 63 (Bir07C; SNEIKIVATPEGGSILK) or a said variant thereof, and the polypeptide of SEQ ID NO: 78 (Bir16A; AERERIFKRFDANGEGK) or a said variant thereof;

v) the polypeptide of SEQ ID NO: 74 (Bir12B; AKYMVIQGEPGRVIRGK) or a said variant thereof, the polypeptide of SEQ ID NO: 52 (Bir02I; PAARMFKAFILD) or a said variant thereof, the polypeptide of SEQ ID NO: 48 (Bir01I; FNYETETTSVIPAARK) or a said variant thereof, the polypeptide of SEQ ID NO: 54 (Bir04; PGTIKKISFPEGFPFKYV) or a said variant thereof, the polypeptide of SEQ ID NO: 63 (Bir07C; SNEIKIVATPEGGSILK) or a said variant thereof, the polypeptide of SEQ ID NO: 78 (Bir16A; AERERIFKRFDANGEGK) or a said variant thereof, and the polypeptide of SEQ ID NO: 69 (Bir09B; KEMGETLLRAVESYLLAHS) or a said variant thereof; or

vi) the polypeptide of SEQ ID NO: 74 (Bir12B; AKYMVIQGEPGRVIRGK) or a said variant thereof, the polypeptide of SEQ ID NO: 52 (Bir02I; PAARMFKAFILD) or a said variant thereof, the polypeptide of SEQ ID NO: 48 (Bir01I; FNYETETTSVIPAARK) or a said variant thereof, the polypeptide of SEQ ID NO: 54 (Bir04; PGTIKKISFPEGFPFKYV) or a said variant thereof, the polypeptide of SEQ ID NO: 63 (Bir07C; SNEIKIVATPEGGSILK) or a said variant thereof, and the polypeptide of SEQ ID NO: 78 (Bir16A; AERERIFKRFDANGEGK).