WO1997032603A1 - Recombinant constructs encoding t cell receptors specific for human hla-restricted tumor antigens - Google Patents
Recombinant constructs encoding t cell receptors specific for human hla-restricted tumor antigens Download PDFInfo
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- WO1997032603A1 WO1997032603A1 PCT/US1997/003611 US9703611W WO9732603A1 WO 1997032603 A1 WO1997032603 A1 WO 1997032603A1 US 9703611 W US9703611 W US 9703611W WO 9732603 A1 WO9732603 A1 WO 9732603A1
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K14/00—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof
- C07K14/435—Peptides having more than 20 amino acids; Gastrins; Somatostatins; Melanotropins; Derivatives thereof from animals; from humans
- C07K14/705—Receptors; Cell surface antigens; Cell surface determinants
- C07K14/70503—Immunoglobulin superfamily
- C07K14/7051—T-cell receptor (TcR)-CD3 complex
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P35/00—Antineoplastic agents
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K48/00—Medicinal preparations containing genetic material which is inserted into cells of the living body to treat genetic diseases; Gene therapy
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2319/00—Fusion polypeptide
Definitions
- the invention is directed to recombinant T cell receptors and modified forms thereof that are useful in identifying displayed tumor antigens and in antitumor therapy
- CTLs Cytotoxic T lymphocytes
- T cells may lose functional activity by down-regulating expression of the ⁇ chain of the CD3 complex or the p 56 LCK molecules (Mizoguchi, H. et al. Science (1992) 258 1795-1798)
- transgenic mice as a source of CTLs that contain the desired nucleotide sequences encoding TCRs specific for tumor-associated antigens restricted by human HLAs.
- Both humans and HLA-A2 transgenic mice select the same A2-restricted antigenic epitopes from influenza (Vitiello, A. et al. J Exp Med (1991) 173: 1007-1015).
- HLA-A2 transgenic mice can produce p53- specific, A2 restricted CTLs when immunized with certain p53 derived peptides. Theobald, M. et al . Proc Natl Acad Sci USA (1995) 92: 1 1993-11997.
- the invention provides materials that are useful in tumor diagnosis and therapy by permitting altered T lymphocytes to recognize and destroy unwanted tumor tissue T cell receptor-encoding nucleic acid molecules can be obtained by immunizing transgenic mice which produce human HLA with tumor-associated antigens and recovering the nucleic acids encoding the T cell receptors from the cytotoxic T lymphocytes (CTL)
- CTL cytotoxic T lymphocytes
- the invention relates to a method to prepare an isolated nucleic acid molecule comprising a nucleotide sequence encoding at least one of the variable regions of the ⁇ and ⁇ chains of a non-human TCR which TCR is human
- HLA-restricted and specific for a tumor-associated antigen which method comprises cloning or amplifying a nucleic acid molecule containing said encoding nucleotide sequence from the CTL prepared by a method which comprises immunizing a transgenic non-human vertebrate which is modified so as to express at least one human HLA antigen with said tumor-associated antigen (TAA) so as to effect the production in said mouse of cytotoxic T lymphocytes which display human HLA-restricted TCR specific for said TAA and which contain nucleic acid molecules comprising nucleotide sequences encoding the ⁇ and ⁇ chain of said TCR and recovering the CTL
- TAA tumor-associated antigen
- the invention relates to nucleic acid molecules obtained by the foregoing method and to constructs employing their variable regions, to cells displaying TCRs or derivatives encoded by said nucleic acids or their modified forms, and use of these materials in diagnosis and therapy of human tumors
- Figure 1 shows the structure of several derivatives of effective T cell receptors wherein the ⁇ region is substituted as a chimeric transmembrane and cytoplasmic region
- Figure 2 shows, in more detail, the construction of the nucleotide sequence encoding such derivatives
- Figure 3 shows the complete nucleotide sequence and deduced amino acid sequence of a single chain TCR derivative which contains variable ⁇ and ⁇ specific for HA linked through a short peptide linker and then fused through a CD8 hinge to the ⁇ chain.
- Figure 4 shows the ability of cells transfected with various modified TCR forms specific for HA to produce IL2 in response to stimulation with HA
- Figure 5 shows the ability of CTL' s generated in mice in response to Her 2/neu-peptides H3 and H7 to mice H7 or H3 bearing targets CTLs from both A2 lxK b xCD8 and from A2.1 transgenic mice were comparable in result
- Figure 6 shows the sequence of various primers useful in cloning or amplifying the nucleotide sequences in coding during variable regions of ⁇ and ⁇ TCR chains
- Figures 7A and 7B show the nucleotide sequence and deduced amino acid sequence of the variable regions of the ⁇ and ⁇ chains of H7-specific TCR respectively
- Figure 8 shows a diagram of an expression vector suitable for producing the modified TCRs of the invention.
- Figure 9 shows the ability of H7 specific modified TCR forms transfected in the 27J cells to effect IL2 production in said cells in response to the H7 peptide when the H7 peptide is presented in the presence of JA2 cells
- Figure 10 shows the ability of the various modified H7 specific TCR constructs to stimulate IL2 production in 27J cells in response to tissues bearing Her2/neu- peptides.
- the invention provides a convenient source for desirable recombinant materials that are useful in therapeutic and diagnostic procedures related to human tumors
- the materials of the invention provide a means whereby enhanced populations of cells that display appropriate TCRs for identifying and destroying tumor tissue may be obtained, as well as providing cells that are useful in evaluating the tumor-associated antigen that could usefully be targeted
- the recombinant materials are obtained from CTL produced by immunizing nonhuman subjects with tumor-associated antigens associated with human tumors, where the nonhuman subject has been modified so as to be capable of expressing a human HLA.
- the relevant TCRs are not only specific for the human tumor-associated antigen, but also restricted by a human HLA.
- transgenic animals While murine subjects are clearly the most convenient at the present time, further developments in the construction of transgenic animals may permit alternative nonhuman subjects to be used equally conveniently in the near future.
- additional nonhuman subjects may include rats, avian subjects, larger mammals, or any appropriate vertebrate system that can be manipulated to provide it with human HLA and which can mount an immune response to provide CTLs with the appropriate T cell receptors.
- mice transgenic mice are readily available which produce this antigen, the use of a A2 as the restrictive antigen is simply a matter of convenience.
- the MHC region is entirely human, it is preferred to use mice transgenic so as to express human CD8 as well as human Class MHC antigen. This is due to the inability of murine CD8 to interact effectively with human A2.1.
- expression of human CD8 on the murine cells facilitates lysis of target antigen presenting cells.
- mice transgenic for MHC human/mouse chimeras such as A2K b mice also examplified below, the presence of human CD8 is not necessary
- the recombinant materials relevant to the invention include those associated with the TCR produced by the nonhuman subject per se, and also derivatives of this TCR which retain their HLA restriction and specificity characteristics.
- Such derivatives contain the variable regions of the ⁇ and ⁇ chains either as dimers or in single chain form and are more advantageous than the nonhuman TCR per se for a number of reasons.
- economies of production can be effected if shorter peptides can be substituted for the TCR per se.
- Figures 1 and 2 describe some typical derivatives of TCRs useful in the invention.
- a dimeric form may be constructed wherein the variable regions of both ⁇ and ⁇ chains are directly coupled to the ⁇ regions of various CD receptors such as CD3, CD8 and CD 16. These ⁇ regions substitute for the transme brane and cytoplasmic regions normally associated with the TCR. In these examples, the constant region, as it is unnecessary, is eliminated in any case.
- an alternative construction includes a CD8 hinge region between the variable region and the transmembrane portion of the ⁇ chain. This spacer may assist in appropriate folding of the receptor.
- construction of a single chain TCR wherein the variable regions of the ⁇ and ⁇ chains are fused through a linker and then fused to the ⁇ region is shown with and without the CD8 hinge.
- Figure 2 shows a pattern for construction of the relevant plasmids containing the nucleotide sequences encoding the derivatives shown in Figure 1.
- a model system wherein clone 4 TCR directed against hemaglutinin antigen (HA) was used to supply the variable region verified the operability of these approaches.
- HA hemaglutinin antigen
- the critical feature of the nucleic acid encoding the TCR derivative is the presence of the variable regions from the ⁇ and ⁇ chains, and that additional sequence, perhaps for added stability, including some or all of the constant region may be present.
- additional sequence perhaps for added stability, including some or all of the constant region may be present.
- alternative transmembrane and signalling regions other than the ⁇ regions examplified above may be substituted.
- the recombinant materials encoding the TAA-specific, human MHC restricted TCR derivatives of the invention need only include the variable ⁇ and ⁇ regions of the relevant TCR along with some additional transmembrane and signalling sequence and may further include additional non-interfering amino acid sequence
- TAAs TAAs associated with human cancers
- Her-2/neu since this proto-oncogene is overexpressed in many human cancers and associated with aggressive disease and malignant transformation (Press, M S et al. Cancer Res (1994) 54 5675-5682, Slamon, D et al.
- tumor-associated antigens include Ras, p53, tyranase, MART, GplOO, MAGE, BAGE and MUC-1 Any desired antigen which is associated with human tumors can readily be used
- the availability of nucleic acid molecules encoding the desired TCR permits of both diagnostic and therapeutic uses Cells displaying the TCR at their surfaces can be used as diagnostic for the TAA that is actually expressed by the tumor
- the tumor or a portion thereof or cells derived therefrom are exposed to cells transfected to contain an expression system for the TCR or derivative and the ability of the recombinant CTLs to lyse the tumor cells is assessed The procedure described in Theobald, M., et al.
- an expression for the appropriate TCR may be used therapeutically by transducing such an expression system into the peripheral blood lymphocytes (PBL) CD8 + T cells from a tumor-bearing host via, for example, retroviral-mediated gene transfer
- PBL peripheral blood lymphocytes
- TCR peripheral blood lymphocytes
- retroviral-mediated gene transfer techniques are known in the art See, for example, Kasid, A et al. Proc Natl Acad Sci USA (1990) 87.473, Rosenberg, S A et al. New England Journal of Medicine ( 1990) 323.570
- the altered CD8 * cells then provide a passive form of immunotherapy
- humanized forms of the TCR as the appropriate derivatives are most helpful in this application
- the following examples are intended to illustrate but not to limit the invention
- TCR hemaglutinin antigen
- Both single-chain forms, with and without the CD8 hinge and both dimeric forms, both with and without the CD8 hinge showed appreciable stimulation of LL-2 production when treated either with Balb/c spleen cells plus HA peptide, P815 cells plus HA peptide, or RENCA cells expressing HA at their surfaces.
- Her-2/neu Immunogenic Peptides Eighteen peptides were synthesized based on the sequence of the human Her-2/neu protein wherein each sequence contained the anchor motif for HLA A2.1, that is, L, I, M, V, A, T at position 2 and position 8/9/10 (Rupert, J. et al. Cell (1993) 74:929-937). The binding efficiency of these peptides to A2 was determined using a competition assay as described by Morrison, J. et al. Eur J Immunol (1992) 22:903- 907.
- each test peptide (10 ⁇ g) was incubated with radiolabeled target cells (T2-A2.1/K b , 10 6 target cells labeled with 150 ⁇ g 51 Cr at 37° for 1.5 hours) in the presence of an influenza virus matrix protein (0.1 ⁇ g).
- the ability of these peptides to inhibit the binding of the influenza matrix protein peptide Ml (58-66) to A2.1 was measured by inhibition of lysis by an Ml (58-66) specific, A2 1 restricted CTL clone As shown in Table 1, many of the tested peptides were able to inhibit binding of the Ml peptide
- the peptides were then tested for their ability to elicit an immune response in vivo
- the peptides were administered either to A2 l/K b xCD8 or A2 1 transgenic mice and primary cultures of CTLs were generated
- Mice were immunized with a mixture of lOO ⁇ g of the Her-2/neu peptide with 120 ⁇ g 'helper' peptide (the helper peptide is a I-A b restricted peptide derived from Hepatitis B virus core protein comprising amino acid residues 128 to 140, that induces a strong CD4 helper response ) in lOO ⁇ l Incomplete Freuhd's adjuvant
- A2 l/K b xCD8 lipopolysacharide (LPS)-blasts were prepared as stimulators for in vitro restimulation of spleen cells from immunized mice These were prepared by incubating splenocytes in complete RPMI containing 25 ⁇ g/ml LPS
- the cultured cells were assayed for cytotoxicity against T2A2 1/K b target cells pulsed with the priming peptide
- 10 6 target cells were incubated at 37°C with 150 ⁇ Ci of sodium 51 Cr chromate for 90 minutes, in the presence or absence of specific peptide Cells were washed three times and resuspended in 5% RPMI
- CTL populations that were specific for H3 and H7 were established from either murine strain and maintained in vitro by weekly restimulation
- the results of testing these established cell cultures for their ability to lyse T2-labeled targets at a ratio of 1 1 in a four-hour assay in the presence of peptide H3 or H7 are shown in Figure 5
- the CTLs from either murine subject were comparably effective at comparable peptide concentrations
- Various tumor cell lines were characterized by FACS analysis for surface expression of A2 and Her-2/neu peptides.
- tumor cells and other control tumors were preincubated or not for 24 hours in media supplemented with 20 ng/ml ⁇ -IFN and 3 ng/ml TNF- ⁇ , as such pretreatment increases expression of MHC- 1 and adhesion molecules thus enhancing their sensitivity to lysis (Fady, C. et al. Cancer Immuno Immunother (1993) 37:329-336; Fisk, B. et al. Lympho and Cytokine Res (1994) 13: 125- 131).
- the tumor cells were mixed with the H3- or H7-specific CTL for 6 hours and lysis was measured. HIV-9K-specific CTL were used as a control. The results are shown in Table 2.
- OVCAR-5 OVARIAN + + 1 3 23 25 29 10 1 2
- FIG. 8 A preferred vector for the insertion of the modified sequences, pBJINeo with a polylinker insertion site is shown in Figure 8
- the host vector, pBJINeo is described in , Mol Cell Biol ( 1988) 8 466, the polylinker is described by , Science
- the dimer and single chain constructs were transfected into 27J cells and the cells measured for production of LL-2 in the presence of JA 2 cells plus H7 peptide As shown in Figure 9, all transfectants produced with the H7 specific TCR derivatives produced IL-2 27J cells without these constructs did not produce IL-2 in response to the JA2 cells and peptide, and none of the cells produced IL-2 in response to JA2 cells alone
- Figure 10 shows the production of IL-2 by these four constructs transfected into 27J cells in response to HER 2/neu derived peptides and cells presenting such peptides Again, all four constructs rendered the transfected cells responsive
- Human PBL that are CD8+ are transduced with the chimeric constructs described above using the LXSN and LXSH retroviral vectors (Hock, R A et al. Nature (1986) 320.275) and the technique of Anderson, W F Science (1992) 256 808
- the ⁇ chimeric gene is inserted into the LXSH retroviral vector which confers Hygromycin B resistance and ⁇ chimeric gene in LXSN retroviral vector which confers neomycin resistance, thus selection of T lymphocytes expressing both the V ⁇ / ⁇ and V ⁇ / ⁇ can be recovered.
- Recombinant retrovirus-producing cell lines are generated by transfection of the vectors into the Ecotropic packaging cell line GP+E86 and the ecotropic virus produced by these cells is used to infect the amphotropic packaging cell line PA317 PA317 clones that produce helper virus free from amphotropic
- L(V ⁇ / ⁇ )SN and L(V ⁇ / ⁇ )SH virus are obtained by selection in G418 or Hygromycin B- containing medium
- Clones yielding the highest titer of virus are used to transduce T lymphocytes that have been incubated with anti-CD3 and recombinant IL-2
- the single-chain TCR is inserted into LXSN retroviral vector and introduced similarly
- the resulting transformed human CD8 + -PBL are tested for cytotoxic activity in vitro against tumor cells and then in vivo in SCID mice that have received tumor cells displaying the relevant TAA
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Priority Applications (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| AU21997/97A AU728794B2 (en) | 1996-03-05 | 1997-03-05 | Recombinant constructs encoding T cell receptors specific for human HLA-restricted tumor antigens |
| EP97914916A EP0910409A4 (en) | 1996-03-05 | 1997-03-05 | RECOMBINANT ELEMENTS ENCODING FOR T-LYMPHOCYTE RECEPTORS SPECIFIC TO HLA HUMAN BOUNDARY TUMOR ANTIGENS |
| JP09531972A JP2000512127A (en) | 1996-03-05 | 1997-03-05 | Recombinant encoding a T cell receptor specific for human HLA-restricted tumor antigen |
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US1284596P | 1996-03-05 | 1996-03-05 | |
| US60/012,845 | 1996-03-05 |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| WO1997032603A1 true WO1997032603A1 (en) | 1997-09-12 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/US1997/003611 Ceased WO1997032603A1 (en) | 1996-03-05 | 1997-03-05 | Recombinant constructs encoding t cell receptors specific for human hla-restricted tumor antigens |
Country Status (6)
| Country | Link |
|---|---|
| US (2) | US20010007152A1 (en) |
| EP (1) | EP0910409A4 (en) |
| JP (1) | JP2000512127A (en) |
| AU (1) | AU728794B2 (en) |
| CA (1) | CA2246333A1 (en) |
| WO (1) | WO1997032603A1 (en) |
Cited By (27)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2000031239A1 (en) * | 1998-11-19 | 2000-06-02 | Yeda Research And Development Co. Ltd. | Immune cells having predefined biological specificity, comprising chimeric t cell receptor |
| DE10109854A1 (en) * | 2001-03-01 | 2002-09-12 | Thomas Stanislawski | Polypeptides of an hdm2 protein-specific murine alpha / beta T cell receptor, these coding nucleic acids and their use |
| DE10109855A1 (en) * | 2001-03-01 | 2002-09-12 | Stanislawski Thomas | Polypeptides of a p53 protein-specific murine alpha / beta T cell receptor, these coding nucleic acids and their use |
| DE10163755A1 (en) * | 2001-12-27 | 2004-01-08 | Immugenics Ag | Tumor peptide antigens from human CD19 protein |
| EP1409646A4 (en) * | 2000-12-19 | 2005-04-06 | Altor Bioscience Corp | TRANSGENIC ANIMALS HUMANIZED IMMUNE SYSTEM |
| EP2009019A1 (en) | 2001-06-05 | 2008-12-31 | Altor BioScience Corporation | P53 binding T cell receptor molecules and uses thereof |
| WO2010012829A1 (en) * | 2008-07-31 | 2010-02-04 | Helmholtz Zentrum München Deutsches Forschungszentrum Für Gesundheit Und Umwelt (Gmbh) | Her2/neu specific t cell receptors |
| WO2010089412A1 (en) | 2009-02-09 | 2010-08-12 | Helmholtz Zentrum Muenchen Deutsches Forschungszentrum Fuer Gesundheit Und Umwelt (Gmbh) | Repertoire of allo-restricted peptide-specific t cell receptor sequences and use thereof |
| CN102272153A (en) * | 2008-11-24 | 2011-12-07 | 德国慕尼黑亥姆霍兹研究中心健康和环境有限公司 | High affinity t cell receptor and use thereof |
| US20140219978A1 (en) * | 2007-01-12 | 2014-08-07 | The United States Of America, As Represented By The Secretary, Dept. Of Health And Human Services | Gp100-specific t cell receptors and related materials and methods of use |
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| US9113616B2 (en) | 2011-10-28 | 2015-08-25 | Regeneron Pharmaceuticals, Inc. | Genetically modified mice having humanized TCR variable genes |
| US9238063B2 (en) | 2001-03-16 | 2016-01-19 | Helmholtz Zentrum München Deutsches Forschungszentrum für Gesundlheit und Umwelt (GmbH) | Semi-allogenic anti-tumour vaccine with HLA haplo-identical antigen-presenting cells |
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| US9848587B2 (en) | 2013-02-20 | 2017-12-26 | Regeneron Pharmaceuticals, Inc. | Humanized T cell co-receptor mice |
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| US10414812B2 (en) * | 2015-02-16 | 2019-09-17 | The Trustees Of The University Of Pennsylvania | Fully-human T-cell receptor specific for the 369-377 epitope derived from the Her2/neu (ERBB2) receptor protein |
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| US11259510B2 (en) | 2015-04-06 | 2022-03-01 | Regeneron Pharmaceuticals, Inc. | Humanized T cell mediated immune responses in non-human animals |
| US11517591B2 (en) | 2017-09-01 | 2022-12-06 | Dana-Farber Cancer Institute, Inc. | Immunogenic peptides specific to BCMA and TACI antigens |
| WO2022261018A1 (en) | 2021-06-07 | 2022-12-15 | Providence Health & Services - Oregon | Cxcr5, pd-1, and icos expressing tumor reactive cd4 t cells and their use |
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| US6416971B1 (en) * | 1990-05-15 | 2002-07-09 | E.R. Squibb & Sons, Inc. | Soluble single chain T cell receptors |
-
1997
- 1997-03-05 EP EP97914916A patent/EP0910409A4/en not_active Ceased
- 1997-03-05 AU AU21997/97A patent/AU728794B2/en not_active Ceased
- 1997-03-05 JP JP09531972A patent/JP2000512127A/en not_active Ceased
- 1997-03-05 CA CA002246333A patent/CA2246333A1/en not_active Abandoned
- 1997-03-05 US US08/812,393 patent/US20010007152A1/en not_active Abandoned
- 1997-03-05 WO PCT/US1997/003611 patent/WO1997032603A1/en not_active Ceased
-
2001
- 2001-02-01 US US09/774,681 patent/US20030208780A1/en not_active Abandoned
Non-Patent Citations (11)
Cited By (53)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2000031239A1 (en) * | 1998-11-19 | 2000-06-02 | Yeda Research And Development Co. Ltd. | Immune cells having predefined biological specificity, comprising chimeric t cell receptor |
| EP1409646A4 (en) * | 2000-12-19 | 2005-04-06 | Altor Bioscience Corp | TRANSGENIC ANIMALS HUMANIZED IMMUNE SYSTEM |
| DE10109854A1 (en) * | 2001-03-01 | 2002-09-12 | Thomas Stanislawski | Polypeptides of an hdm2 protein-specific murine alpha / beta T cell receptor, these coding nucleic acids and their use |
| DE10109855A1 (en) * | 2001-03-01 | 2002-09-12 | Stanislawski Thomas | Polypeptides of a p53 protein-specific murine alpha / beta T cell receptor, these coding nucleic acids and their use |
| US9238063B2 (en) | 2001-03-16 | 2016-01-19 | Helmholtz Zentrum München Deutsches Forschungszentrum für Gesundlheit und Umwelt (GmbH) | Semi-allogenic anti-tumour vaccine with HLA haplo-identical antigen-presenting cells |
| US9597384B2 (en) | 2001-03-16 | 2017-03-21 | Helmholtz Zentrum München Deutsches Forschungszentrum Für Gesundheit Und Umwelt (Gmbh) | Semi-allogenic anti-tumour vaccine with HLA haplo-identical antigen-presenting cells |
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Also Published As
| Publication number | Publication date |
|---|---|
| JP2000512127A (en) | 2000-09-19 |
| EP0910409A4 (en) | 2003-03-19 |
| AU728794B2 (en) | 2001-01-18 |
| AU2199797A (en) | 1997-09-22 |
| CA2246333A1 (en) | 1997-09-12 |
| EP0910409A1 (en) | 1999-04-28 |
| US20030208780A1 (en) | 2003-11-06 |
| US20010007152A1 (en) | 2001-07-05 |
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