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Method of obtaining diagnostic reagents, assays and therapeutics based on clinical manifestations of a disease    
United States Patent5492807   
Link to this pagehttp://www.wikipatents.com/5492807.html
Inventor(s)Santi; Daniel V. (211 Belgrave Ave., San Francisco, CA 94117)
AbstractAntibodies are recovered and isolated from the sera of a number "n" of patients each of which have or have had the same given disease so that each of the "n" patients has, within a large number of different antibodies, some antibodies uniquely associated with the same disease of interest. The antibodies of a first patient are bound to a support surface. To carry out initial screening libraries of molecules are brought into contact with the bound antibodies of the first patient under conditions where binding will occur. Secondary screening is then carried out by extracting and labeling the antibodies of a second patient and using the labeled antibodies to probe the molecules (peptides) isolated in the initial screening. Many of the non-disease specific antibodies (of the second patient) will not bind to the molecules (peptides) of the isolated bacteriophage which bound to the antibodies of the first patient. Hence, the molecules (peptides) which are common to both patients with the same disease will be identified. The process may be repeated with labeled antibodies from a third, fourth, etc. patient to obtain those molecules (peptides) which are common to all patients with the disease, and have the highest affinity to the antibodies specific to the disease. Copies of the characterized molecules (peptides) can be synthesized and bound to a support for use as an assay to detect the presence of antibodies specific to a disease.
   














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Inventor     Santi; Daniel V. (211 Belgrave Ave., San Francisco, CA 94117)
Owner/Assignee    
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Publication Date     February 20, 1996
Application Number     08/155,943
PAIR File History     Application Data   Transaction History
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Litigation
Filing Date     November 19, 1993
US Classification     435/5 435/6 436/518 436/811 436/820
Int'l Classification     C12Q 001/70
Examiner     Scheiner; Toni R.
Assistant Examiner     Wortman; Donna C.
Attorney/Law Firm     Bozicevic; Karl Fish & Richardson
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Priority Data    
USPTO Field of Search     435/5 435/7.32 435/7.22 435/6 436/506 436/508 436/518 436/519 436/545 436/546 436/800 436/804 436/811 436/813 436/820 530/413 530/806 530/808 935/82
Patent Tags     obtaining diagnostic reagents, assays therapeutics based clinical manifestations disease
   
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ReferenceRelevancyCommentsReferenceRelevancyComments
5270170
Schatz
435/7.37
Dec,1993

[0 after 0 votes]
5223409
Ladner
435/69.7
Jun,1993

[0 after 0 votes]
5182366
Huebner
530/334
Jan,1993

[0 after 0 votes]
5010175
Rutter
530/334
Apr,1991

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4751181
Keene
435/69.3
Jun,1988

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What is claimed is:

1. A method of obtaining peptide molecules which selectively bind to antibodies uniquely associated with a disease of a patient infected with a pathogenic bacterium or virus, comprising:

(a) isolating antibodies from the serum of a first patient having antibodies uniquely associated with the disease;

(b) binding the antibodies to a support surface;

(c) contacting the antibodies on the support surface with a library of peptide molecules in a manner so as to allow peptide molecules in the library to bind to the antibodies;

(d) obtaining peptide molecules in step (c) which bind to an antibody from the first patient;

(e) isolating antibodies from the serum of a second patient having antibodies uniquely associated with the same disease as the first patient;

(f) labeling the antibodies from the second patient with a detectable label;

(g) contacting the labeled antibodies of step (f) with the peptide molecules of step (d) in a manner so as to allow binding of the labeled antibodies to the molecules of step (d); and

(h) obtaining peptide molecules which bind to antibodies of the first patient and to antibodies of the second patient.

2. The method of claim 1, further comprising:

(i) isolating antibodies from the serum of a third patient having antibodies uniquely associated with the same disease as the first patient;

(j) labeling the antibodies from the third patient with a detectable label;

(k) contacting the labeled antibodies of step (j) with the peptide molecules of step (h) in a manner so as to allow binding of the labeled antibodies to the peptide molecules of step (j); and

(l) obtaining peptide molecules which bind to antibodies of the first, second and third patient.

3. The method of claim 2, further comprising:

(m) isolating antibodies from the serum of an additional patient having antibodies uniquely associated with the same disease as the first patient wherein the additional patient is different from the first patient, the second patient, and the third patient;

(n) labelling the antibodies from the additional patient with a detectable label;

(o) contacting the labelled antibodies of the additional patient with the peptide molecules of step (l) in a manner so as to allow binding of the labelled antibodies to the peptide molecules of step (l); and

(p) obtaining peptide molecules which bind to antibodies of the first patient, second patient, third patient, and additional patient.

4. The method of claim 3, further comprising:

(q) repeating steps (m)-(p) a plurality of times thereby obtaining peptide molecules which bind to disease specific antibodies which antibodies are specific to the disease of the first patient, second patient, third patient, and each additional patient.

5. The method of claim 1, further comprising:

isolating the peptide molecules of step (h).

6. The method of claim 5, further comprising:

identifying the isolated peptide molecules.

7. The method of claim 1, further comprising:

obtaining peptide molecules which bind to disease specific antibodies which antibodies are specific to the disease of the first patient and the second patient by observing antibodies which bind to the peptide molecules of step (h).

8. The method of claim 1, further comprising:

repeating step (c) under more stringent binding conditions in order to determine antibodies with a higher binding affinity for the library of peptide molecules than the antibodies determined by carrying out step (c) a first time.

9. The method of claim 1, wherein the antibodies of step (f) are labelled with a label selected from the group consisting of a radioactive label, biotin, and fluorescein.

10. The method of claim 1, wherein the disease is caused by a virus selected from the group consisting of HIV, HCV and HBV.

11. The method of claim 1, where the support surface is the surface of polystyrene beads.

12. The method of claim 1, wherein the library of peptides is a library produced on the surface of a bacteriophage.

13. The method of claim 12, wherein the library of peptides contains more than 400 different bacteriophage with each having on its surface a peptide with a distinct, unique and different amino acid sequence.

14. The method of claim 13, wherein the library of peptides contains more than 8,000 different bacteriophage with each having on its surface a peptide with a distinct, unique and different amino acid sequence.

15. The method of claim 14, wherein the library of peptides contains more than 160,000 different bacteriophage with each having on its surface a distinct, unique and different amino acid sequence.

16. The method of claim 15, wherein the library of peptides contains more than 3,200,000 different bacteriophage with each having on its surface a distinct, unique and different amino acid sequence.

17. The method of claim 16, wherein the library of peptides contains more than 64,000,000 different bacteriophage with each having on its surface a distinct, unique and different amino acid sequence.

18. The method of claim 1, wherein the library of peptides is a library of peptides on the surface of bacteria.

19. A method of obtaining peptides which selectively bind to an antibodies uniquely associated with a disease of a patient infected with a pathogenic bacterium or virus, comprising:

(a) isolating antibodies from the serum of a first patient having antibodies uniquely associated with the disease;

(b) binding the antibodies to a support surface;

(c) contacting the antibodies on the support surface with a library of peptides expressed on bacteriophage in a manner so as to allow peptides to bind to the antibodies;

(d) obtaining the peptides expressed on bacteriophage in step (c) which bind to antibodies from the first patient;

(e) diluting the bacteriophage of step (d) and contacting the diluted bacteriophage with bacteria under conditions which allow the bacteriophage to infect the bacteria, reproduce and produce plaques;

(f) isolating antibodies from the serum of a second patient having antibodies uniquely associated with the same disease as the first patient;

(g) labeling the antibodies from the second patient having antibodies uniquely associated with a detectable label;

(h) contacting the labeled antibodies of step (g) with the plaques of step (e) in a manner so as to allow binding of the labeled antibodies to the plaques; and

(i) obtaining peptides on the bacteriophage in the plaques which bind to antibodies of the first patient and to antibodies of the second patient and isolating these peptides.

20. A method of obtaining antibodies uniquely associated with a disease of a patient infected with a pathogenic bacterium or virus, comprising:

(a) isolating antibodies from the serum of a first patient having antibodies uniquely associated with the disease;

(b) binding the antibodies to a support surface;

(c) contacting the antibodies on the support surface with a library of peptides expressed on bacteriophage in a manner so as to allow peptides to bind to the antibodies;

(d) obtaining the peptides expressed on bacteriophage in step (c) which bind to an antibody from the first patient;

(e) diluting the bacteriophage of step (d) and contacting the diluted bacteriophage with bacteria under conditions which allow the bacteriophage to infect the bacteria, reproduce and produce plaques;

(f) isolating antibodies from the serum of a second patient having antibodies uniquely associated with the same disease as the first patient;

(g) labeling the antibodies from the second patient with a detectable label;

(h) contacting the labeled antibodies of step (g) with the plaques of step (e) in a manner so as to allow binding of the labeled antibodies to the plaques; and

(i) obtaining antibodies of the second patient which bind to the same peptides as the antibodies of the first patient and isolating those antibodies.
 Description Submit all comments and votes
 


FIELD OF THE INVENTION

This invention relates generally to the field of technology involved in the isolation, recovery, formulation and use of various compounds including peptides which selectively bind specific antibodies or other specific binding proteins that are characteristic of a disease state.

BACKGROUND OF THE INVENTION

The present invention is based, in part, on conventional knowledge of antibodies, the antigens which bind them, and known procedures for making large mixtures of peptides and other molecules which may bind to naturally occurring antibodies. Antibodies are proteins produced by lymphoid cells (plasma cells). The antibodies are produced by the cells in response to "foreign" substances (antigens), either exogenous or endogenous, and are capable of binding specifically with the antigen which stimulated the immune response. The antibodies can also bind with substances which are structurally similar to that same antigen. An antigen can be any foreign substance that, upon introduction into a vertebrate animal, stimulates the production of antibodies. An antigen may also be of endogenous source, such as antigens in auto-immune diseases or from tissue destruction. A complex antigen-like molecule may carry several antigenically distinct sites which are referred to as determinants. A substance which is structurally similar to certain parts of an immunogen (in general the determinants) can react specifically with its antibody. However, such smaller substances are generally too small to stimulate antibody synthesis by themselves and can be referred to as an incomplete antigen or hapten.

Throughout the life of vertebrate animals, such as humans, foreign substances are continually introduced. These foreign substances include viruses and bacteria which cause disease. Each time an antigenic substance is introduced it may result in the generation of a different antibody or several antibodies. Since many foreign substances are introduced over the life of the animal, and since many antibodies may be generated in response to a single foreign substance, each individual animal will have a large numbers of different antibodies. With present technology, it is very difficult to isolate and recover a specific antibody associated with a specific antigen or disease especially if nothing is known about the characteristics of the antibody or antigens involved. More specifically, if one or more individuals is known to have a given disease (wherein the agent responsible for the disease has not been characterized), it is not a simple matter to isolate the antibodies in that individual which have been generated and amplified as a result of that disease, nor is it a simple matter to isolate and recover antigens which bind to those antibodies. The present invention endeavors to provide approaches which make it possible to isolate and recover antibodies which are characteristic of a specific disease and to simultaneously isolate and recover antigens and/or related molecules which specifically bind to those antibodies.

In order to carry out the methodology of the present invention it is necessary to produce large numbers of peptides and/or other molecules which can be tested for their ability to bind to antibodies. These large mixtures of peptides and/or other molecules can be produced using technology described in the literature. One of the initial methods of producing multiple peptides more rapidly than the standard Merrifield method is disclosed by Houghten, R. A., Proc Natl Acad Sci USA (1985) 82:5131-5135. The Houghten method involves a modification of the Merrifield method but uses many individual polyethylene bags resulting in a method wherein each bag will contain a different peptide. An alternative method was devised by Geysen, H. M., et al., Proc Natl Acad Sci USA (1984) 81:3998-4002. (See also, W086/06487 and W086/00991). In accordance with the Geysen method, C-terminal amino acid residues are bound to solid supports in the form of multiple polyethylene pins and the pins treated in parallel to attach additional amino acid residues.

More recently, machines have been introduced which produce many peptides by parallel synthesis (e.g. Advanced Chem Tech, Gilson). An advancement in the ability to produce extremely large numbers of peptides as mixtures was disclosed within U.S. Pat. No. 5,010,175 issued Apr. 23, 1991 to Rutter and Santi. The Rutter and Santi method makes it possible to generate large numbers of peptides in either equimolar amounts or in predictable amounts. The methodology makes it possible to quickly synthesize large numbers of peptides such as mixtures containing 64 million or more different and distinct peptides. Another method for producing mixtures of peptides including large numbers of different peptides is disclosed within issued U.S. Pat. No. 5,182,366 issued Jan. 26, 1993 to Huebner et al. and in publications by Lam et al., Nature, (1991) 354, 82-84, and Prague paper.

The procedures described in the patents listed above allow for the production of peptides and/or modified peptides using chemical synthesis technology i.e. one compound is reacted with another in a chemical reaction in order to obtain a reaction product. Although these methods can be used in connection with the present invention, other recent technology involves the biological synthesis of peptides in large numbers. More specifically, the genetic material of bacteria or phage can be modified so that each bacterium or phage produce an individual peptide on their surface. By randomly producing large numbers of different pieces of altered genetic material it is possible to produce a mixture of bacteria or phage wherein the different bacteria or phage in the mixture include a different peptide expressed on the surface. One method of producing peptides on phage is taught by Devlin et al., Science (1990) 249:404-406 which discloses a method for the production and rapid evaluation of random libraries of millions of peptides on the surface of phage. A similar method was published by Scott and Smith, Science (1990) 249: 386-390. Scott and Smith disclose a method wherein peptides are produced on the surface of bacteriophage and the phage expressing a particular peptide tag can be selected from a mixture of tens of millions of clones expressing oligopeptides of random sequences using affinity purification with a protein ligand. Christian et al., J. Mol. Biol., (1992) 227:711-718 discloses simplified methods for the construction, assessment and rapid screening of peptide libraries in bacteriophage. Another related method involves the generation of libraries by insertion of peptides into the external domain of bacterial outer-membrane proteins, such as lam B, using recombinant technology Brown, Proc. Natl. Acad. Sci. USA (1992) 89: 8651-8655. Still another method of producing large numbers of peptides is taught in U.S. Pat. No. 5,223,409 issued Jun. 29, 1993 to Ladner et al.

All the above discussed methods for producing libraries of peptides and modified peptides can be used in connection with the present invention. Although the methods are extremely useful for producing large mixtures of peptides and modified peptides, the methodologies do not allow one to identify molecules which bind to antibodies in sera when neither the antibody nor the antigen is known, or to identify antibodies specific to a given disease. The present invention endeavors to provide technology which makes such possible.

SUMMARY OF THE INVENTION

The methodology of the present invention makes it possible to isolate peptides and/or other molecules which specifically bind to antibodies in sera which antibodies are specific to a given disease while simultaneously isolating those antibodies. In order to carry out the methodology, antibodies are isolated from the sera of a number "n" of patients, each with a history of having had the same given disease. The antibodies of a first patient are isolated and immobilized on a support surface in a manner which does not interfere with specific binding of antigens. To carry out the initial selection, libraries of peptides displayed on the surface of bacteriophage (or bacteria, or synthetic peptides on a solid support) are brought into contact with the immobilized antibodies of the first patient under conditions where binding will occur. (For descriptive purposes procedures using peptides displayed on phage are described below. However, similar approaches can be performed with bacteria, synthetic peptides, etc., by persons skilled in the art.). Unbound phage-peptides are washed away and antibody specific phage-peptides are removed, isolated, and recovered as plaques grown on a lawn of bacteria. Secondary screening is then carried out by isolating and labeling (radioisotopically or other method) the antibodies of a second patient and using the labeled antibodies to probe the peptides of the isolated bacteriophage binders identified in the initial selection (e.g. using methods similar to that described with pure monoclonal antibodies by Christian et al., J. Mol. Biol., (1992) 227:711-718 and Castagnoliet al., J. Mol. Biol. (1991) 222: 301-310. In that many of the antibodies of the first patient will differ from the antibodies of the second patient, many or most of the non-disease specific antibodies (of the second patient) will not bind to the peptides of the isolated bacteriophage which bound to the antibodies of the first patient. The peptides which are not bound by antibodies of the second patient are identified as not binding to antibodies of the disease of interest and are eliminated from the screening process. The process may be repeated with labeled antibodies from a third, fourth, etc. patient to obtain and identify those peptides having the highest affinity to the antibodies specific to the disease of interest. Those peptides found to have the greatest binding affinity are characterized--e.g. their amino acid sequences are determined by deducing such from the DNA sequences if the peptides are on phage or bacteria. The predicted peptides can then be chemically synthesized and bound to a support for use as a diagnostic assay to detect the presence of antibodies, or formulated in a pharmaceutical preparation which can be used to deactivate or neutralize antibodies in a living being.

A primary object of the invention is to provide a method for determining specific peptides which selectively bind to disease specific antibodies and isolating antibodies associated with a disease.

An important advantage of the present invention is that the methodology requires no prior knowledge of the molecular entities which cause a given disease or the antibodies which are generated by infection with the disease.

Another advantage of the present invention is that the isolated molecules which specifically bind to antibodies characteristic of a disease can be used to assay the sera of an individual for the presence of the disease and can, at times, be used to diagnose the progress of the disease within the individual by quantitative or qualitative differences in disease specific antibodies.

A feature of the invention is that the diagnostic reagents isolated, using the methodology of the present invention, are isolated and defined solely by the presence of common antibodies generated during a disease state of a number of individuals who have had or who are suffering from the disease. As such these antibodies define the disease by clinical description and are thus termed "disease-specific."

Another advantage and feature of the present invention is that the antibodies of a number of different patients (all with a given disease in common) are comparatively analyzed to eliminate non-common antibodies and thereby isolate common antibodies specific to a given disease of interest.

Another advantage of the invention is that very large numbers of peptides and other molecules can be quickly screened for their ability to bind to antibodies and thereafter isolated and characterized.

A feature of the invention is that it can be used in connection with libraries of synthetic peptides or cell surface peptides displayed on bacteriophage or bacteria.

Another object of the invention is to provide a diagnostic assay device comprised of a substrate having single or multiple antibody-binding peptides bound to the surface of the substrate.

Another advantage of the invention is that the methodology can be used to produce assays for a variety of different diseases which can be used to assay human and animal sera to determine the presence of antibodies associated with specific diseases and, perhaps associated with a specific state of a disease.

Another feature of the invention is that it is useful in developing not only assays but pharmaceutical formulations used in neutralizing the antibodies and thus, in some cases, the treatment of patients..

These and other objects, advantages and features of the present invention will become apparent to those persons skilled in the art upon reading the details of the methodology and usage as more fully set forth below.

DETAILED DESCRIPTION OF PREFERRED EMBODIMENTS

Before the present method of obtaining peptide diagnostic reagents, and assays and formulations using such are described, it is to be understood that this invention is not limited to the particular methodologies, assays and formulations described as such and may, of course, vary. It is also to be understood that the terminology used herein is for the purpose of describing particular embodiments only, and is not intended to be limiting since the scope of the present invention will be limited only by the appended claims.

It must be noted that as used in this specification and the appended claims, the singular "a", "and" and "the" include plural referents unless the context clearly dictates otherwise. Thus, for example, reference to "a peptide" includes mixtures of and large numbers of peptides, reference to "an antibody" includes large numbers of antibodies and reference to "the method of synthesis" includes one or more methods of synthesis known to those skilled in the art or understood by those skilled in the art upon reading the present application and so forth.

Unless defined otherwise all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. Although any methods and materials similar or equivalent to those described herein can be used in the practice or testing of the present invention, the preferred methods and materials are now described. All publications mentioned herein are incorporated herein by reference in order to describe and disclose the specific information for which the reference has been cited.

Definitions

The term "antibody" is defined in its broadest sense to encompass specific binding moieties, i.e., chemical moieties which specifically bind to other chemical moieties within a biological system. The term includes a protein molecule formed within the body of an animal in order to neutralize the effect of a foreign invading protein (called an antigen). The term further includes antibodies produced by lymphocytes in response to the presence of antigens wherein each antibody has a molecular structure that exactly fits the structure of one particular antigen molecule so that the antigen and antibody fit specifically to each other like a lock and key. The term encompasses antibody molecules which attach themselves to invading antigen molecules (which antigen molecules are generally on the surface of a pathogenic bacteria or virus) and thereby renders the bacteria or virus inactive.

The terms "peptide library" and "library of peptides" are used interchangeably herein. The terms are intended to encompass a mixture of peptides, preferably in the form of linear chains of amino acids containing four to 20 amino acids. A peptide library is intended to encompass mixtures which include 400 or more distinct and unique peptides, each present in the mixture in retrievable and analyzable amounts. Preferred mixtures include peptides which include the same number of amino acids e.g. mixtures containing only hexapeptides. A particularly preferred mixture includes peptides wherein each of the 20 naturally occurring amino acids is positioned at all possible positions in one of the peptides in the mixture. For example, a particularly preferred mixture of hexapeptides includes 206 hexapeptides (64 million) with each of the 64 million hexapeptides being present in retrievable and analyzable amounts.

The term "peptide analog library" and "library of peptide analogs" are used interchangeably herein. The terms are intended to encompass a library of molecules which are preferably polymers and are preferably in the form of a linear chain of monomer units containing four to 20 monomer units. A peptide analog library includes large numbers of molecules such as defined above with respect to a "peptide library." Peptide analogs include peptides which incorporate Doamino acids, amino acid analogs and other organic molecules which can be linked together as monomer units in order to form a polymer.

The term "disease specific antibody" (DSA) is intended to encompass any antibody produced by a living being having an immune system which is uniquely associated with a given disease and, as such, is an antibody or antibodies specifically generated as a direct or indirect result of the disease.

The term "non-disease specific antibody" (NDSA) is intended to encompass all antibodies in an organism other than the disease specific antibodies. Non-disease specific antibodies may have been generated as the result of a wide range of different antigenic materials including prior diseases which are not the specific disease of interest.

The term "antibody-binding peptides" is intended to encompass linear peptides (preferably containing four to 20 amino acids) which will bind to an antibody under conventional antibody/antigen binding conditions. Preferred antibody-binding peptides are linear peptides which selectively bind to disease specific antibodies and which do not bind to non-disease specific antibodies.

The term "antibody-binding molecule" is intended to encompass antibody-binding peptides and other molecules such as peptide analogs or organic molecules which selectively bind to an antibody under conventional antibody-antigen binding conditions. Preferred antibody-binding molecules are linear polymeric molecules or organic molecules containing four or more monomer units which selectively bind to disease specific antibodies and which do not bind, or bind less tightly, to non-disease specific antibodies.

General Methodology

The methodology of the present invention makes it possible to isolate molecules, such as peptides, which selectively bind to the disease specific antibodies with no prior knowledge of the immune response and subsequently to isolate and identify these antibody molecules. Having isolated antibody-binding molecules such as peptides they can be chemically synthesized and used in assays or formulated for use as therapeutics. Having isolated and recovered pure antibodies they might in some cases be sequenced and copies can be produced.

The methodology is carried out by extracting the antibodies from sera from a number of patients all of whom have the same disease of interest but who are otherwise immunologically heterogeneous. The antibodies from different patients are compared to ascertain which antibodies are the disease specific antibodies (DSA) common to patients who have the disease of interest. The antibody-binding peptides or other molecules of interest can then be identified using the DSA. Thereafter, the antibody-binding molecules can be used in assays to determine the presence of disease specific antibodies within the sera of other patients being tested, or can be formulated for use as therapeutics.

The "Background of the Invention" section put forth above describes a number of methodologies for producing peptide libraries and/or peptide analog libraries. Any of these methodologies and others can be used in connection with the general methodology of the present invention. In general, chemical synthesis methodologies such as disclosed within U.S. Pat. No. 5,010,175 to Rutter and Santi or Huber and Santi, or Lam et al., can be used to produce large libraries of peptides synthetically. The amino acid monomer units can be modified so that this technology can be used to produce peptide analog libraries synthetically. Alternatively, methods such as disclosed within the above cited Devlin et al. and Scott and Smith articles can be used to produce large libraries of peptides expressed on the surface of bacteriophage. Alternately, organic-diversity libraries as described (Pauwels, et al. Proc. Natl. Acad. Sci. USA (1993) 90: 1711-1715; Bunin, B. A. and Ellman, J. A. (1992) 114, 10997-10998; DeWitt, S. H. et al., (1993) 90: 6909-6913) might be used to identify novel organic-molecule diagnostic reagents. Although any of these methods can be used it is, of course, necessary to use chemical synthesis methodology if the antibody binding molecules are different from peptides. More specifically, chemical synthesis methodology must be used to produce peptide analogs and related organic compounds which might bind antigens. However, for purposes of simplicity and efficiency it is preferable to use peptide libraries where the peptides are produced on the surface of bacteriophage or bacteria in accordance with the nonproprietary methods described in Devlin et al., Science (1990) 249: 404-406; Scott and Smith, Science (1990) 249: 386-390; Christian et al., J. Mol. Biol., (1992) 227: 711-718; Castagnoliet al., J. Mol. Biol. (1991) 222: 301-310 and Brown, Proc. Natl. Acad. Sci. USA (1992) 89: 8651-8655. For this reason, the following specific description refers to the use of a peptide library produced on bacteriophage. However, it should be noted that, having read the present disclosure, those skilled in the art could readily modify the following description so that the methodology could be carried out using various libraries including libraries on the surface of bacteria, synthetic peptide analog libraries and libraries of organic compounds produced using chemical synthesis technology.

Initial Sera/Antibody Cleanup

To carry out the methodology of the invention the sera of a number "n" of patients (e.g. 10 patients), each diagnosed with the same disease of interest, are extracted. It is critical that each of the patients be definitively diagnosed as having the disease of interest. It is desirable that the patients are otherwise different with respect to their immunological background so that most antibodies in common are disease specific. This could be accomplished, to a certain extent, by choosing patients of diverse genetic backgrounds and from diverse locations around the world.

Having extracted the sera from the different patients, the serum from each of the patients is subjected to an initial cleanup procedure which involves the removal of interfering substances in order to simplify the search for the antibodies of interest. For example, the sera are brought into contact with the proteins of E. coli, and the antibodies which specifically bind to the E. coli proteins (due to previous exposures) are removed. Other common high titer antibodies can also be removed from the sera in an analogous fashion. Techniques for carrying out such cleanup procedures involve contacting the antibodies with E. coli K-12 lysate using procedures such as those described in laboratory handbooks such as Sambrook, Fritsch and Maniatis (1989), Cold Spring Harbor Laboratory Press. The antibodies are then purified by column separation techniques such as a protein A column in order to isolate IgG antibodies. The isolated antibodies can then be subjected to elimination methodology in an attempt to remove as many non-disease specific antibodies as possible.

The serum extracted from each of the "n" patients is subjected to the initial antibody extraction and cleanup procedures of the type described above. Having done so, one will obtain individual pools of antibodies (e.g. 10 pools of antibodies from 10 individuals) which include the disease specific antibodies from each of the 10 individuals along with large numbers of non-disease specific antibodies. It is these 10 pools which are to be comparatively sorted per the present invention, one against the other, in order to discern the disease specific antibodies common to all of the 10 pools. Any antibodies common to all 10 pools is almost certainly a disease specific antibody and the present invention is directed towards obtaining such disease specific antibodies.

It should be pointed out that the broadest possible interpretation of the present invention would not require the use of the initial clean-up procedure. In accordance with the broadest interpretation of the present invention, the antibodies of a first patient would be comparatively sorted against the antibodies of a second patient. If the first and second patient did not share any antibodies except for the disease specific antibodies of interest, antibody-binding molecules could be readily identified along with the binding antibodies. However, in practice the use of the initial clean-up procedure could be important in reducing the number of antibodies which would need to be subjected to further comparative sorting per the present invention.

A variety of initial antibody clean-up procedures can be used. Those skilled in the art will recognize that different procedures might be more useful in connection with the treatment of the sera from particular populations than would other techniques. For example, patients from a given population may be very likely to have generated antibodies with respect to a given disease, whereas patients from another population would be very unlikely to have generated antibodies specific to that disease. For example, malaria is more common in some populations than in others. Accordingly it might be more efficient to screen out malaria specific antibodies from some populations routinely whereas screening for such antibodies in a patient population unlikely to have been infected with malaria would not be efficient.

The initial clean-up procedure described above does not require the use of any peptide library or peptide analog library and thus can be carried out in the same manner regardless of what type of library is being used for subsequent screening. However, with respect to the next section referred to as "Initial Selection" it is necessary to generate some type of library. As indicated above, for purposes of simplicity, the methodology is described with respect to the use of a peptide library and specifically a peptide library which has been generated on the surface of bacteriophage as described in the Scott and Smith, 1990, article cited above. However, all types of libraries (including organic compounds which are not peptides, but which mimic peptide or other molecules (e.g. carbohydrates, nucleic acids, etc.) in their ability to bind antibodies) could be used in the methodology of the present invention.

Initial Selection

Even after the initial extraction and cleanup procedures it would be expected that each of the 10 pools of extracted antibodies would include a number of disease specific antibodies and disease non-specific antibodies, e.g. 10 disease specific antibodies mixed with a much larger number of non-disease specific antibodies, e.g. 1,000 non-disease specific antibodies. As indicated, the numbers used here are chosen merely for example. The exact number of disease specific antibodies and non-disease specific antibodies present in each pool are unknown, and will vary based on a number of factors such as the disease and the individual from whom the antibodies were extracted. However, in general, each pool will include several antibodies specific to the disease and a much larger number of antibodies which are not specific to the disease. The fact that a small number of disease-specific antibodies are hidden within a much larger number of non-disease-specific antibodies is a natural phenomenon which emphasizes the importance of the present invention. More specifically, the methodology of the present invention makes it possible to select out the disease-specific antibodies from among a much larger number of non-disease-specific antibodies.

A pool of antibodies from a first patient (patient A) are immobilized to a given support surface. The antibodies are bound in a manner so as to not hinder binding of antigens to them. A library of peptides (phage, bacteria, synthetic peptides, or other molecules) is then brought into contact with the immobilized antibodies bound to the support surface. The library of peptides is preferably created on the surface of bacteriophage wherein each of the phage will express a different peptide, e.g., a hexapeptide. Such a phage library can be produced in accordance with procedures known to those skilled in the art e.g. as described in the references cited above. In essence, the procedures involve the random synthesis of nucleotides which will encode 64 or more million hexapeptides and randomly inserting the oligonucleotides into the genome of bacteriophage. It is preferable to use a peptide library created on the surface of bacteriophage in that any given peptide in the library which is found to be of interest can be readily purified by plaque purification and amplified by using the bacteriophage to infect bacteria and undergo replication.

The peptide library on the bacteriophage is brought into contact with the immobilized antibodies from patient A which were bound to a support. In order to reduce the background of non-disease-specific antibodies, an excess of blocking antibodies from disease-free individuals may be added to the bacteriophage library in advance and/or simultaneously co-incubated. Conventional antibody/peptide binding conditions can be used. After sufficient time has been allotted for the binding of the peptides (on the bacteriophage) to the immobilized antibodies bound to the support, conventional procedures are utilized to wash unbound peptides (bacteriophage) and bacteriophage-"blocking antibody" complexes from the area leaving only those peptides (bacteriophage) which bind to the immobilized antibodies.

The antibody-binding peptides (phage) are then removed and isolated. The isolated peptides (phage) can be used to infect bacteria and create unique, purified plaques of the bacteriophage. At this point, the initial selection step of the present invention has been completed. Specifically, a library of molecules has been generated and those molecules have been demonstrated to bind to the antibodies from a first patient. At this point, the "initial selection" step of the invention has been completed. However, the initial selection step can be further elaborated on in order to determine which of the antibody-binding peptides bind most strongly to the antibodies of the first patient. This procedure is described below.

Initial Selection (Increased Binding Affinity)

Copies of the antibody-binding peptides can be brought into contact with the antibodies from patient A bound to a support in order to determine which of the peptides bind to the antibodies with greatest affinity. The binding conditions can be changed (such as to make conditions for binding more difficult) in order to determine those antibody binding peptides which have the highest affinity for the antibodies. Although the procedures need not be repeated, it can be repeated any number of times and can be used to identify not only peptides which have higher affinity for antibodies but used to deduce which antibodies are present in high titer and therefore more likely to be related to the specific disease of interest.

Secondary Screening--Identifying Overlapping Epitopes in Different Sera

To a large extent the present invention is characterized by the secondary subsequent screening step. In the second step antibodies which have been isolated and subjected to initial "cleanup" procedures from a second patient (patient B) are labeled with an appropriate detectable label such as biotin, fluorescein or appropriate radioactivity. The labeled antibodies of patient B are then used as probes by bringing the labeled antibodies into contact with the bacteriophage colonies created by the antibody-binding peptides from patient A. In one method, the antibody-binding peptides are bound to a membrane and plaque hybridization procedures are used Christian et al., J. Mol. Biol., (1992) 227: 711-718.

A representative sample of phage are used to infect male E. coli (phage:E. coli::1:100). Approximately 50,000 colonies are plated on Luria broth (LB) plates with tetracycline (20 .mu.g/ml; 1000 colonies/plate) and incubated overnight at 37.degree. C. Phage are transferred to nitrocellulose filters by simple overlay. The filters are immediately washed twice (30 minutes/wash) with TNT buffer (10 mMTris-HCl, pH 8.0, 150 nM NaCl, 0.05% Tween 20) and soaked for 30 minutes at room temperature in a blocking solution containin